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NDC

00002035102
00002036302
00002036303
00002036333
00002240702
00002240704
00002240802
00002240804
00002240902
00002240904
00002241002
00002241102
00002241302
00002241304
00002321045
00003020776
00003034950
00003045051
00003045054
00003045075
00003045251
00003045275
00003050620
00003050646
00003050649
00003050820
00003050856
00003053750
00003068144
00003068154
00003068244
00003068254
00003091450
00003092730
00003152910
00003152911
00003152913
00003152915
00003152916
00003152917
00003152918
00003152919
00003152920
00003159712
00003173730
00003173740
00003173745
00003173830
00003173840
00003173845
00003324504
00003324509
00003324510
00003324604
00003324609
00003324611
00003324704
00003324709

NAME
DARVOCET-N 50 TABLET
DARVOCET-N 100 TABLET
DARVOCET-N 100 TABLET
DARVOCET-N 100 TABLET
CAPSULES, EMPTY NO.0
CAPSULES, EMPTY NO.0
CAPSULES, EMPTY NO.1
CAPSULES, EMPTY NO.1
CAPSULES, EMPTY NO.2
CAPSULES, EMPTY NO.2
CAPSULES, EMPTY NO.3
CAPSULES, EMPTY NO.4
CAPSULES, EMPTY NO.00
CAPSULES, EMPTY NO.00
SARAFEM 10 MG PULVULE
CORGARD 40 MG TABLET
CAPOZIDE 25/25 TABLET
CAPOTEN 12.5 MG TABLET
CAPOTEN 12.5 MG TABLET
CAPOTEN 12.5 MG TABLET
CAPOTEN 25 MG TABLET
CAPOTEN 25 MG TABLET
KENALOG 0.1% CREAM
KENALOG 0.1% CREAM
KENALOG 0.1% CREAM
KENALOG 0.1% OINTMENT
KENALOG 0.1% OINTMENT
NIACIN 500 MG TABLET
VEETIDS 125 MG/5 ML ORAL SUSP
VEETIDS 125 MG/5 ML ORAL SUSP
VEETIDS 250 MG/5 ML ORAL SUSP
VEETIDS 250 MG/5 ML ORAL SUSP
COD LIVER OIL GELCAPS
COD LIVER OIL
TUBULAR BANDAGE APPLICATOR
TUBULAR BANDAGE APPLICATOR
TUBULAR BANDAGE APPLICATOR
TUBULAR BANDAGE APPLICATOR
TUBULAR BANDAGE APPLICATOR
TUBULAR BANDAGE APPLICATOR
TUBULAR BANDAGE APPLICATOR
TUBULAR BANDAGE APPLICATOR
TUBULAR BANDAGE APPLICATOR
SAF-CLENS AF WOUND CLEANSER
TRIMOX 125 MG/5 ML SUSPENSION
TRIMOX 125 MG/5 ML SUSPENSION
TRIMOX 125 MG/5 ML SUSPENSION
TRIMOX 250 MG/5 ML SUSPENSION
TRIMOX 250 MG/5 ML SUSPENSION
TRIMOX 250 MG/5 ML SUSPENSION
SENSI-CARE PERINEAL CLEANSR
SENSI-CARE PERINEAL CLEANSR
SENSI-CARE PERINEAL CLEANSR
ALOE VESTA BODYWASH/SHAMPOO
ALOE VESTA BODYWASH/SHAMPOO
ALOE VESTA BODYWASH/SHAMPOO
ALOE VESTA 2-N-1 PERINEAL
ALOE VESTA 2-N-1 PERINEAL

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA
KA
KA
KA
OA
OA
TA
PD
PD
PD
PD
CA
SQ
EA
EA
EA
EA
EA
EA
EA
EA
EA
PN
PD
PD
PD
PD
PD
PD
SA
SA
SA
EE
EE
EE
SA
SA

UNIT PRICE
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01
$
0.01

NDC
37000041906
37000041907
37000041908
37000041910
37000041911
37000041912
37000041913
37000041914
37000041930
37000041931
37000041932
37000041933
37000041934
37000041935
37000041936
37000041937
37000041938
37000041940
37000041944
37000041945
37000041946
37000041947
37000041948
37000041949
37000041950
37000041951
37000041952
37000041956
37000041969
37000041970
37000041995
37000041997
37000042001
37000042003
37000042007
37000042009
37000042020
37000042021
37000042022
37000042023
37000042024
37000042026
37000042028
37000042031
37000042032
37000042033
37000042034
37000042035
37000042036
37000042037
37000042043
37000042045
37000042047

NAME
PAMPERS CRUISERS SIZE 4
PAMPERS CRUISERS SIZE 5
PAMPERS CRUISERS SIZE 6
PAMPERS CRUISERS SIZE 3
PAMPERS CRUISERS SIZE 3
PAMPERS CRUISERS SIZE 4
PAMPERS CRUISERS SIZE 4
PAMPERS CRUISERS SIZE 5
LUVS SIZE 2 DIAPERS
LUVS SIZE 3 DIAPERS
LUVS SIZE 6 DIAPERS
LUVS SIZE 1 DIAPERS
LUVS SIZE 2 DIAPERS
LUVS SIZE 3 DIAPERS
LUVS SIZE 4 DIAPERS
LUVS SIZE 5 DIAPERS
LUVS SIZE 6 DIAPERS
LUVS NEWBORN DIAPERS
LUVS SIZE 1 DIAPERS
LUVS SIZE 2 DIAPERS
LUVS SIZE 3 DIAPERS
LUVS SIZE 4 DIAPERS
LUVS SIZE 5 DIAPERS
LUVS SIZE 6 DIAPERS
LUVS SIZE 3 DIAPERS
LUVS SIZE 4 DIAPERS
LUVS SIZE 5 DIAPERS
LUVS SIZE 1-2 DIAPERS
LUVS OVERNIGHT SIZE 4 DIAPERS
LUVS OVERNIGHT SIZE 5 DIAPERS
PAMPERS BABY-DRY SIZE 1
PAMPERS BABY-DRY SIZE 2
PAMPERS BABY-DRY SIZE 3
PAMPERS BABY-DRY SIZE 4
PAMPERS BABY-DRY SIZE 5
PAMPERS BABY-DRY SIZE 6
PAMPERS BABY-DRY SIZE 1
PAMPERS BABY-DRY SIZE 2
PAMPERS BABY-DRY SIZE 3
PAMPERS BABY-DRY SIZE 4
PAMPERS BABY-DRY SIZE 5
PAMPERS BABY-DRY SIZE 6
PAMPERS BABY-DRY SIZE 1
PAMPERS BABY-DRY SIZE 2
PAMPERS BABY-DRY SIZE 3
PAMPERS BABY-DRY SIZE 4
PAMPERS BABY-DRY SIZE 5
PAMPERS BABY-DRY SIZE 6
PAMPERS BABY-DRY SIZE 1-2
PAMPERS BABY-DRY SIZE 1-2
PAMPERS BABY-DRY SIZE 3
PAMPERS BABY-DRY SIZE 4
PAMPERS BABY-DRY SIZE 5

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08

NDC
37000042049
37000042050
37000042051
37000042069
37000042074
37000042083
37000042084
37000042089
37000042092
37000042093
37000042094
37000042103
37000042627
37000042628
37000043581
37000043582
37000043583
37000043584
37000043675
37000043676
37000043677
37000043857
37000043858
37000043859
37000043918
37000043973
37000043974
37000044635
37000044638
37000060000
37000060001
37000060002
37000060004
37000060041
37000060046
37000060047
37000060050
37000060052
37000060054
37000060118
37000060120
37000060142
37000060147
37000060148
37000060151
37000060154
37000060155
37000064665
37000064666
37000064668
37000064669
37000065271
37000065360

NAME
PAMPERS BABY-DRY SIZE 6
PAMPERS BABY-DRY SIZE 3
PAMPERS BABY-DRY SIZE 4
LUVS SIZE 1-2 DIAPERS
LUVS SIZE 5 DIAPERS
LUVS SIZE 4 DIAPERS
LUVS SIZE 6 DIAPERS
PAMPERS CRUISERS SIZE 3
PAMPERS CRUISERS SIZE 4
PAMPERS CRUISERS SIZE 5
PAMPERS CRUISERS SIZE 5
PAMPERS SWADDLERS SIZE 1-2
PAMPERS BABY-DRY SIZE 1-2
PAMPERS BABY-DRY SIZE 1-2
PAMPERS EASY UPS 1T-2T
PAMPERS EASY UPS 1T-2T
PAMPERS EASY UPS SML 1T-2T
PAMPERS EASY UPS SML 1T-2T
LUVS SIZE 3 DIAPERS
LUVS SIZE 4 DIAPERS
LUVS SIZE 5 DIAPERS
PAMPERS EASY UPS 2T-3T
PAMPERS EASY UPS 3T-4T
PAMPERS EASY UPS 4T-5T
PAMPERS BABY-DRY SIZE 5
PAMPERS EASY UPS XL 4T-5T
PAMPERS EASY UPS XL 4T-5T
PAMPERS BABY-DRY SIZE 6
PAMPERS BABY-DRY SIZE 6
LUVS SIZE 3 UNISEX
PAMPERS BABY-DRY UNISEX
PAMPERS BABY-DRY UNISEX
PAMPERS BABY-DRY UNISEX
PAMPERS ULTRA DRY THN-UNISX
LUVS SIZE 5 UNISEX
PAMPERS ULTRA DRY-UNISEX
PAMPERS BABY-DRY UNISEX
PAMPERS PREMIUM SIZE 3
PAMPERS BABY-DRY UNISEX
PAMPERS ULTRA DRY THIN
LUVS JUMBO STRETCH
PAMPERS BABY-DRY UNISEX
LUVS SIZE 2 UNISEX JUMBO
PAMPERS BABY-DRY UNISEX
PAMPERS BABY-DRY UNISEX
PAMPERS PREMIUM SIZE 5
PAMPERS BABY-DRY UNISEX
LUVS SIZE 1 UNISEX
LUVS SIZE 2 UNISEX
LUVS SIZE 4 UNISEX
LUVS SIZE 5 UNISEX
PAMPERS NON-ELASTICIZED
PAMPERS MEDIUM

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08

NDC
37000065412
37000065413
37000065550
37000065699
37000065736
37000065770
37000065780
37000065782
37000065792
37000065802
37000065810
37000065812
37000065820
37000065842
37000065861
37000065864
37000065865
37000065872
37000065882
37000065891
37000065928
37000065963
37205002753
37205013805
37205026371
37205033962
37205053753
37205060305
38341010435
38341010473
38396040501
38396040504
38396040801
38396040804
38396043177
38396043277
38396044164
38396044264
38396050163
38396050263
38396050363
38396050763
38396052163
38396052263
38396052363
38396052763
38396054163
38396054263
38396054363
38396054763
38485067250
38485080618
38485080620

NAME
PAMPERS ULT PHASES CRAWLER
PAMPERS ULT PHASE WALKER II
PAMPERS LARGE
PAMPERS BABY-DRY UNISEX
PAMPERS ULTRA PHASES NEWBRN
ULTRA + PAMPERS SMALL
ULTRA + PAMPERS MEDIUM
PAMPERS THICK + MEDIUM
PAMPERS REG ABS LARGE
PAMPERS REG ABS MEDIUM
ULTRA + PAMPERS LARGE
PAMPERS THICK + LARGE
ULTRA + PAMPERS EXTRA-LARGE
PAMPERS ULT PHASES INFANT I
ULTRA + PAMPERS MED (JUMBO)
PAMPERS THK PHASES CRAWLER
PAMPERS THK PHASE WALKER II
ULTRA + PAMPERS M S (JUMBO)
ULTRA + PAMPERS L S (JUMBO)
ULTRA + PAMPERS LG (JUMBO)
PAMPERS ULTRA DRY THN-UNISX
PAMPERS ULTRA DRY THIN-BOY
TUSSIN COLD & COUGH SOFTGEL
EYE DROPS ALLERGY RELIEF
PANAX GINSENG 300 MG CPLT
MENSTRUAL RELIEF CAPLET
TUSSIN SEVERE CONGESTION CP
TEARS PURE DROPS
PREVIDENT 5000 BOOSTER GEL
PREVIDENT 5000 BOOSTER GEL
FIRST CHOICE SYRINGE 0.5 ML
FIRST CHOICE SYRINGE 1 ML
PREFERRED PLUS SYRINGE 0.5 ML
PREFERRED PLUS SYRINGE 1 ML
FP INSULIN 0.5 ML SYRINGE
FP INSULIN 1 ML SYRINGE
GNP ULTRA COMFORT 0.5 ML SYR
GNP ULTRA COMFORT 1 ML SYRINGE
DEX4 GLUCOSE TABLET CHEW
DEX4 GLUCOSE TABLET CHEW
DEX4 GLUCOSE TABLET CHEW
DEX4 GLUCOSE TABLET CHEW
DEX4 VERTICAL GLUCOSE
DEX4 VERTICAL GLUCOSE
DEX4 VERTICAL GLUCOSE
DEX4 VERTICAL GLUCOSE
DEX4 GLUCOSE TABLET CHEW
DEX4 GLUCOSE TABLET CHEW
DEX4 GLUCOSE TABLET CHEW
DEX4 GLUCOSE TABLET CHEW
YODORA CREAM DEODORANT
SWEETA CONCENTRATE LIQUID
SWEETA CONCENTRATE LIQUID

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
CA
SO
TA
TA
CA
SO
JC
JC
YL
YL
YL
YL
YL
YL
YL
YL
TC
TC
TC
TC
TC
TC
TC
TC
TC
TC
TC
TC
KA
SL
SL

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08

NDC
38485080630
38502055005
38779055005
38779055008
38779055009
38779070508
38779070509
38779214903
38779214904
38779214905
41100081232
41100081235
41163001562
41163025158
41163025546
41163026557
41163026611
41163038953
41163038960
41163041560
41163041862
41163086760
41163096552
41163502203
41218037100
41218037200
41608008710
43292050017
43292055086
43656021020
43656021110
43656021120
44156030091
45565073011
45565073023
45802074230
46287001216
47113012512
47113012515
47682018113
47682018133
47682018170
48107003998
48107004200
48107004605
48107004765
48107004766
48107004928
48107004934
48107004949
48107004959
48107004969
48107004983

NAME
SWEETA CONCENTRATE LIQUID
SWIFTCHECK BLOOD GLUCOSE STRIP
SULFADIZAINE POWDER
SULFADIAZINE POWDER
SULFADIAZINE POWDER
SULFADIAZINE POWDER
SULFADIAZINE POWDER
PHENYTOIN POWDER
PHENYTOIN POWDER
PHENYTOIN POWDER
GYNE-MOISTRIN VAGINAL GEL
GYNE-MOISTRIN VAGINAL GEL
EQL PAIN RELIEF COLD CAPLET
EQL DAYTIME COLD-FLU SOFTGEL
EQL NON-DRYING SINUS LIQ CAP
EQL PAIN RELIEF COLD CAPLET
EQL ESTER-C 500 MG TABLET
SOBA DAYTIME LIQUID CAP
SOBA DAYTIME LIQUID CAP
SOBA GLUCOSE TABLET CHEW
EQL NON-DRYING SINUS LIQ CAP
EQL DAYTIME COLD-FLU SOFTGEL
COLD & ALLERGY TABLET SA
SOBA GLUCOSE TABLET CHEW
CHECKMATE PLUS TEST STRIPS
CHECKMATE PLUS TEST STRIPS
SUMMER'S EVE INTIM CLN CLTH
L-PHENYLALANINE 500 MG TAB
SHARK CARTILAGE 750 MG CAP
GLUTAMINE RAPID-RELEASE PWD
GLUTAMINE W/ANTIOXIDANT PWD
GLUTAMINE W/ANTIOXIDANT PWD
DIGNITY UNDERPAD
REA-LO 30% CREAM
REA-LO 30% CREAM
VERSAL HEMORRHOIDAL SUPP
SODIUM POLYSTYRENE SULF PWD
MIRA FLOW DAILY CLEANER
MIRA FLOW DAILY CLEANER
DI-GON II TABLET
DI-GON II TABLET
DI-GON II TABLET
MULTI GINSENG 1,000 MG SFTGEL
VALERIAN ROOT 250 MG SOFTGEL
HORSE CHESTNUT 150 MG CAP
MEN'S SAW PALMETTO TABLET
MEN'S SAW PALMETTO TABLET
CAT'S CLAW 500 MG CAPSULE
CRANBERRY 500 MG CAPSULE
FEVERFEW 250 MG SOFTGEL
GRAPE SEED 25 MG CAPSULE
MILK THISTLE 200 MG SOFTGEL
VALERIAN 250 MG SOFTGEL

DOSE FORM DRUG STRENGTH


SL
YR
PA
PA
PA
PA
PA
PA
PA
PA
JV
JV
TA
CA
CA
TA
TA
CA
CA
TC
CA
CA
TM
TC
YR
YR
ZA
TA
CA
PA
PA
PA
EA
KA
KA
QA
PA
SA
SA
TA
TA
TA
CA
CA
CA
TA
TA
CA
CA
CA
CA
CA
CA

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08

NDC
48107005061
48107005128
48107005137
48107021408
49072012510
49072059730
49260012106
49260012114
49260012117
49260012218
49326017302
49348009412
49348031509
49348033413
49348037204
49348042702
49348069729
49348095050
49452011101
49452011102
49452011103
49452063001
49452063002
49452086002
49452086003
49452115001
49452115002
49452115003
49452119001
49452119002
49452119003
49452136501
49452136502
49452148501
49452148502
49452148701
49452148702
49452371001
49452371002
49452371003
49452371004
49452423001
49452423002
49452479001
49452479002
49452479003
49452486001
49452486002
49452486003
49452513001
49452513002
49452534001
49452534002

NAME
FIBROLEVE TABLET
HORSE CHESTNUT 150 MG CAP
VALERIAN COMPLEX CAPSULE
GINKGO BILOBA 50 MG TABLET
CHROMIUM TRACE ELEMENT VIAL
PYRIDOXINE 100 MG/ML VIAL
L-PHENYLALANINE 500 MG TAB
SHARK CARTILAGE 750 MG CAP
BEC W/ZINC TABLET
SHARK CARTILAGE 750 MG CAP
ORACIDE LIQUID
SM STRESS FORMULA+IRON TAB
V-R PANAX GINSENG 300 MG CPL
SUNMARK CRANBERRY 307 MG CAPLT
SM PAIN RELIEVER COLD CAPLET
SM TUSSIN COLD AND COUGH SFTGL
SM EYE DROPS ADVANCED RELIEF
V-R GLUCOSE TEST STRIP
COUMARIN POWDER
COUMARIN POWDER
COUMARIN POWDER
ANETHOLE LIQUID
ANETHOLE LIQUID
BAYBERRY WAX
BAYBERRY WAX
BISMUTH SUBCARBONATE POWDER
BISMUTH SUBCARBONATE POWDER
BISMUTH SUBCARBONATE POWDER
BISMUTH SUBSALICYLATE PWD
BISMUTH SUBSALICYLATE PWD
BISMUTH SUBSALICYLATE PWD
CALCIUM ASCORBATE POWDER
CALCIUM ASCORBATE POWDER
CALCIUM IODATE POWDER
CALCIUM IODATE POWDER
CALCIUM IODATE POWDER
CALCIUM IODATE POWDER
IODINE CRYSTALS
IODINE CRYSTALS
IODINE CRYSTALS
IODINE CRYSTALS
MAGNESIUM GLYCEROPHOS POWDR
MAGNESIUM GLYCEROPHOS POWDR
MUSTARD OIL
MUSTARD OIL
MUSTARD OIL
NUTMEG OIL
NUTMEG OIL
NUTMEG OIL
PERUVIAN BALSAM POWDER
PERUVIAN BALSAM POWDER
PHENYTOIN POWDER
PHENYTOIN POWDER

DOSE FORM DRUG STRENGTH


TA
CA
CA
TA
HV
HV
TA
CA
TA
CA
SL
TA
TA
TA
TA
CA
SO
YR
PA
PA
PA
SL
SL
WA
WA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PC
PC
PC
PC
PA
PA
SQ
SQ
SQ
SQ
SQ
SQ
PA
PA
PA
PA

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08

NDC
49452534201
49452534202
49452543201
49452543202
49452659001
49452659002
49452659003
49452682001
49452682002
49452682003
49452704001
49452704002
49452704201
49452704202
49452720501
49452720502
49452743001
49452743002
49452745001
49452746001
49452746002
49452750001
49452750002
49452813001
49452813002
49483003101
49614000011
49614000012
49614012852
49614016771
49614020505
49614030205
49614038560
49614039560
49614039715
49614046760
49614048753
49738041862
49756046801
49884008301
49884008310
49884024601
49884024605
49884058201
49884058210
49884058301
49884058310
49884060901
49884060910
49884060911
49884068601
49884072301
49884072305

NAME
PHENYTOIN POWDER
PHENYTOIN POWDER
PINE NEEDLE OIL
PINE NEEDLE OIL
BARBITAL SODIUM POWDER
BARBITAL SODIUM POWDER
BARBITAL SODIUM POWDER
SODIUM IODIDE GRANULES
SODIUM IODIDE GRANULES
SODIUM IODIDE GRANULES
SODIUM SULFATHIAZOLE POWDER
SODIUM SULFATHIAZOLE POWDER
SODIUM SULFATHIAZOLE POWDER
SODIUM SULFATHIAZOLE POWDER
SPEARMINT OIL
SPEARMINT OIL
SULFACETAMIDE SODIUM POWDER
SULFACETAMIDE SODIUM POWDER
SULFACETAMIDE SOD CRYST PWD
SULFADIAZINE POWDER
SULFADIAZINE POWDER
SULFAMETHAZINE POWDER
SULFAMETHAZINE POWDER
VITAMIN E ACETATE CRYSTAL
VITAMIN E ACETATE CRYSTAL
FERRO-DSS TABLET SA
BLOOD GLUCOSE TEST STRIPS
BLOOD GLUCOSE TEST STRIPS
12 HR ANTIHIST/DECON TAB SA
PANAX GINSENG 300 MG CPLT
ARTIFICIAL TEARS DROPS
ARTIFICIAL TEARS DROPS
MEDI-TUSSIN COUGH/COLD CAPS
MEDI-TUSSIN SEVERE CONGEST
SCAR GEL
INTENSE COLD MEDICINE CPLT
MEDI-TUSSIN GELCAP
AF-PSEUDOEPHEDRINE SIN LGEL
KALGINATE DRESSING 4"X4"
DEXAMETHASONE 0.25 MG TABLET
DEXAMETHASONE 0.25 MG TABLET
CARISOPRODOL COMPOUND TAB
CARISOPRODOL COMPOUND TAB
SOTALOL 80 MG TABLET
SOTALOL 80 MG TABLET
SOTALOL 120 MG TABLET
SOTALOL 120 MG TABLET
FAMOTIDINE 40 MG TABLET
FAMOTIDINE 40 MG TABLET
FAMOTIDINE 40 MG TABLET
ENALAPRIL/HCTZ 5-12.5MG TAB
OXAPROZIN 600 MG TABLET
OXAPROZIN 600 MG TABLET

DOSE FORM DRUG STRENGTH


PA
PA
SQ
SQ
PA
PA
PA
PG
PG
PG
PA
PA
PA
PA
SQ
SQ
PA
PA
PA
PA
PA
PA
PA
PC
PC
TS
YR
YR
TM
TA
SO
SO
CA
CA
JG
TA
CA
CA
YE
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08

NDC
49884078310
49884078330
49884078353
49884086101
49884086201
49884086301
49884086401
49999002601
49999002630
49999002640
49999002690
49999003330
49999005014
49999005020
49999005028
49999005030
49999005040
49999005814
49999005815
49999005820
49999005828
49999005830
49999005860
49999007230
49999011130
49999018940
49999022115
49999022130
49999023030
49999026815
49999031160
49999033615
49999034701
49999034728
49999034730
49999034760
49999035315
49999037630
49999044115
49999044215
49999049242
49999057415
49999059015
50111036201
50111036203
50111053001
50111061501
50111061502
50111061503
50313005313
50313008215
50383001615
50383002615

NAME
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
BENAZEPRIL-HCTZ 5-6.25 MG TAB
BENAZEPRIL-HCTZ 10-12.5 MG TAB
BENAZEPRIL-HCTZ 20-12.5 MG TAB
BENAZEPRIL-HCTZ 20-25 MG TAB
ACETAMINOPHEN/COD #4 TABLET
ACETAMINOPHEN/COD #4 TABLET
ACETAMINOPHEN/COD #4 TABLET
ACETAMINOPHEN/COD #4 TABLET
AMOXICILLIN 250 MG TAB CHEW
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
DAYPRO 600 MG CAPLET
CHOLINE MAG TRISAL 1 GM TAB
ERYTHROMYCIN 250 MG CAP EC
CLOBETASOL 0.05% CREAM
CLOBETASOL 0.05% CREAM
FAMOTIDINE 40 MG TABLET
TETRACAINE 0.5% EYE DROPS
FLURBIPROFEN 100 MG TABLET
PURALUBE TEARS DROPS
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANADINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
ALCAINE 0.5% EYE DROPS
OXAPROZIN 600 MG TABLET
NAPHAZOLINE 0.1% EYE DROPS
PROPARACAINE 0.5% EYE DROPS
DICLOFENAC SOD 25 MG TAB EC
PHENYTOIN SOD EXT 100 MG CAP
OPHTHETIC 0.5% EYE DROPS
CHLORTHALIDONE 25 MG TABLET
CHLORTHALIDONE 25 MG TABLET
CHOLINE MAG TRISAL 1 GM TAB
NAPROXEN 500 MG TABLET EC
NAPROXEN 500 MG TABLET EC
NAPROXEN 500 MG TABLET EC
SERENITAS TABLET
LUFA CAPSULE
REDNESS RELIEVER EYE DROPS
HYPOTONIC TEARS EYE DROPS

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TC
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CE
KA
KA
TA
SO
TA
SO
TA
TA
TA
TA
SO
TA
SO
SO
TE
CA
SO
TA
TA
TA
TE
TE
TE
TA
CA
SO
SO

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08

NDC
50383002630
50383002915
50383062930
50419010510
50419010511
50419010910
50419010911
50419011506
50419011511
50419011906
50419011911
50428106901
50428106902
50428106903
50428106904
50428106905
50428106908
50428106910
50428106912
50428106913
50428106923
50428106927
50428106929
50428106930
50428126449
50428126451
50428126452
50428126941
50428130559
50428147530
50428148974
50428176720
50428176753
50428176758
50428176760
50428176762
50428176763
50428176765
50428194178
50428204743
50428207677
50428207684
50428207686
50428207690
50428210328
50428212753
50428213355
50428232552
50428249816
50428267901
50428292300
50428292383
50428293555

NAME
HYPOTONIC TEARS EYE DROPS
TETRACAINE 0.5% EYE DROPS
SODIUM FLUORIDE 0.125 MG/DRP
BETAPACE 80 MG TABLET
BETAPACE 80 MG TABLET
BETAPACE 120 MG TABLET
BETAPACE 120 MG TABLET
BETAPACE AF 80 MG TABLET
BETAPACE AF 80 MG TABLET
BETAPACE AF 120 MG TABLET
BETAPACE AF 120 MG TABLET
CVS DIAPERS JUMBO S3
CVS DIAPERS JUMBO S4
CVS SUPREME DIAPERS S3
CVS DIAPERS JUMBO S5
CVS SUPREME DIAPERS S4
CVS SUPREME DIAPERS S5
CVS DIAPERS MEGA S4
CVS DIAPERS MEGA S5
CVS DIAPERS MEGA S3
CVS KIDPANT MED GIRLS
CVS KIDPANT MED BOYS
CVS KIDPANT LG BOYS
CVS KIDPANT LG GIRLS
CVS DIAPERS UNISEX SZ3
CVS DIAPERS UNISEX SZ5
CVS DIAPERS UNISEX SZ4
CVS NON-DRYING SINUS CAP
CVS ORAL ANESTHETIC LIQUID
CVS BLOOD GLUCOSE TEST SRIP
CVS DIAPERS UNISEX SZ 6
CVS NEWBORN DIAPER JUMBO
CVS KIDPANT XL BOYS
CVS KIDPANT XL GIRLS
CVS DIAPER JUMBO S-6
CVS DIAPER JUMBO S-2
CVS DIAPER JUMBO S-1
CVS DIAPER MEGA S-6
CVS BLOOD GLUCOSE STRIPS
CVS VIT B12 2,000 MCG TAB SA
CVS KIDPANT LG BOYS
CVS KIDPANT LG GIRLS
CVS YOUTH PANTS XL
CVS YOUTH PANTS MEDIUM
CVS WART REMOVER LIQUID
CVS NYPLEX DISP GLOVES
CVS ANESTHETIC CREAM
CVS TUSSIN COLD SEV CONGEST
CVS SCAR GEL
CVS SUPREME DIAPERS S3
CVS KIDPANT BOYS S-3
CVS KIDPANT GIRLS S-3
CVS KIDPANT BOYS S-2

DOSE FORM DRUG STRENGTH


SO
SO
SO
TA
TA
TA
TA
TA
TA
TA
TA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
CA
SL
YR
EA
EA
EA
EA
EA
EA
EA
EA
YR
TS
EA
EA
EA
EA
SL
ZP
KA
CA
JG
EA
EA
EA
EA

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08

NDC
50428293563
50428310056
50428345348
50428397141
50428668434
50428668517
50428796862
50428902783
50474092501
50486001414
50486002601
50486010353
50580021424
50580021425
50580021447
50580021448
50580021449
50580021450
50580021460
50580051324
50580051424
50580051448
50924008310
50924014110
50924023150
50924027650
50924031410
50924036550
50924037350
50924038110
50924047550
50924050125
50924050250
50924050810
50924055350
50924056050
50924056610
50924064101
50924078750
50924088110
50924088250
50924088401
50924090001
50924091125
50924091350
50924096610
50924098850
51079005801
51079005820
51079006801
51079006820
51079010601
51079010620

NAME
CVS KIDPANT GIRLS S-2
CVS YOUTH PANTS LARGE
CVS LIQ CORN/CALLUS REMOVER
CVS HC-1% HEMORRHOID OINT
CVS TUSSIN COLD SEVERE GELC
CVS TUSSIN COLD/COUGH GELCP
CVS EYE DROPS DUAL ACTION
CVS VITAMIN E 800 UNIT SOFTGEL
LORTAB 2.5/500 TABLET
DURACARE II CLEANING SOLN
JUST TEARS EYE DROPS
LOBOB SOFT CLEANER SYSTEM
TYLENOL COLD CAPLET
TYLENOL COLD CAPLET
TYLENOL COLD CAPLET
TYLENOL COLD CAPLET
TYLENOL COLD CAPLET
TYLENOL COLD CAPLET
TYLENOL COLD CAPLET
JR. TYLENOL 160 MG MELTAWAYS
JR. TYLENOL 160 MG MELTAWAYS
JR. TYLENOL 160 MG MELTAWAYS
ACCU-CHEK CMFRT CURVE STRIP
ACCU-CHEK SIMPLICITY STRIPS
ACCU-CHEK ACTIVE STRIP
ACCU-CHEK SIMPLICITY STRIPS
ACCU-CHEK SIMPLICITY STRIPS
ACCU-CHEK CMFRT CURVE STRIP
ACCU-CHEK CMFRT CURVE STRIP
ACCU-CHEK CMFRT CURVE STRIP
ACCU-CHEK ACTIVE TEST STRIP
CHEMSTRIP BG (VISUAL ONLY)
CHEMSTRIP BG(ACCU-CHEK II)
CHEMSTRIP BG(ACCU-CHEK II)
ACCU-CHEK ADVANTAGE STRIPS
ACCU-CHEK EASY TEST STRIPS
ACCU-CHEK EASY TEST STRIPS
ACCU-CHEK COMPACT STRIP
ACCU-CHEK ADVANTAGE STRIPS
ACCU-CHEK COMFORT CURVE STRIP
ACCU-CHEK COMFORT CURVE STRIP
ACCU-CHEK COMPACT TEST DRUM
ACCU-CHEK CMFRT CURVE STRIP
ACCU-CHEK INSTANTPLUS STRIP
ACCU-CHEK INSTANT TEST STRP
ACCU-CHEK ADVANTAGE STRIPS
ACCU-CHEK COMPACT STRIPS
CHLORTHALIDONE 25 MG TABLET
CHLORTHALIDONE 25 MG TABLET
DIPYRIDAMOLE 25 MG TABLET
DIPYRIDAMOLE 25 MG TABLET
ACETAMINOPHEN-COD #4 TABLET
ACETAMINOPHEN-COD #4 TABLET

DOSE FORM DRUG STRENGTH


EA
EA
SL
OA
CA
CA
SO
CA
TA
SA
SO
SA
TA
TA
TA
TA
TA
TA
TA
UL
UL
UL
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08

NDC
51079010621
51079056401
51079056420
51079081501
51079081520
51079089301
51079089320
51079090501
51079090517
51079090519
51079090520
51079090556
51079090557
51079092801
51079092820
51079093901
51079093920
51079099801
51079099820
51285030402
51285030404
51552022705
51552024405
51552045504
51552055305
51655058324
51655058325
51655062752
51655067451
51672125801
51672125802
51672125803
51672125806
51672404501
51674021204
51674021207
51687040602
51927105300
51927121600
51927181400
51991008616
51991011790
52041003015
52083041104
52152008602
52152013702
52152013704
52152018702
52152023404
52152023421
52238064515
52238064530
52238075215

NAME
ACETAMINOPHEN/COD #4 TABLET
AMITRIPTYLINE HCL 150 MG TAB
AMITRIPTYLINE HCL 150 MG TAB
FLURBIPROFEN 100 MG TABLET
FLURBIPROFEN 100 MG TABLET
BUMETANIDE 2 MG TABLET
BUMETANIDE 2 MG TABLET
PHENYTOIN SOD 100 MG CAPSULE
PHENYTOIN SOD EXT 100 MG CAP
PHENYTOIN SOD EXT 100 MG CAP
PHENYTOIN SOD 100 MG CAPSULE
PHENYTOIN SOD EXT 100 MG CAP
PHENYTOIN SOD EXT 100 MG CAP
LABETALOL HCL 100 MG TABLET
LABETALOL HCL 100 MG TABLET
TERAZOSIN 10 MG CAPSULE
TERAZOSIN 10 MG CAPSULE
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
ACETAMINOPHEN/COD #4 TABLET
ACETAMINOPHEN/COD #4 TABLET
CETYL ALCOHOL FLAKES
SULFACETAMIDE SODIUM POWDER
BISMUTH SUBCARBONATE POWDER
PHENYTOIN POWDER
POTASSIUM CL 10 MEQ CAP SA
POTASSIUM CL 10 MEQ CAP SA
NAPROXEN SODIUM 550 MG TAB
ERYTHROMYCIN 250 MG CAP EC
CLOBETASOL 0.05% CREAM
CLOBETASOL 0.05% CREAM
CLOBETASOL 0.05% CREAM
CLOBETASOL 0.05% CREAM
ENALAPRIL/HCTZ 5-12.5MG TAB
PROLEX DH LIQUID
PROLEX DH LIQUID
TI-LITE FACE CREAM
SULFACETAMIDE SODIUM POWDER
PHENYTOIN POWDER
COUMARIN POWDER
GUIADEX DH LIQUID
MILK THISTLE 200 MG CAPSULE
METHISCOL CAPSULE
PRICORT LOTION
CHOLINE MAG TRISAL 1 GM TAB
CARISOPRODOL COMPOUND TAB
CARISOPRODOL COMPOUND TAB
OXYCODONE 5 MG CAPSULE
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
NU-TEARS II EYE DROPS
NU-TEARS II EYE DROPS
PILOPTIC-2 EYE DROPS

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
CA
CA
CA
CA
CA
CA
TA
TA
CA
CA
TA
TA
TA
TA
PF
PA
PA
PA
CS
CS
TA
CE
KA
KA
KA
KA
TA
ST
ST
KM
PA
PA
PA
ST
CA
CA
SK
TA
TA
TA
CA
TA
TA
SO
SO
SO

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08

NDC
52238091416
52297051053
52297086578
52297086678
52297100309
52569013051
52569079224
52569084923
52735008213
52735030125
52735030325
52735038601
52735038701
52735039714
52735042100
52735043505
52735045417
52735045517
52735059808
52735059908
52735069412
52735076281
52959001000
52959001030
52959001060
52959001230
52959001620
52959001630
52959001730
52959006420
52959006428
52959006440
52959011630
52959018203
52959021320
52959021328
52959021330
52959021340
52959024619
52959024621
52959024630
52959025201
52959025214
52959025215
52959025220
52959025221
52959025224
52959025228
52959025230
52959025242
52959025245
52959025260
52959027114

NAME
OPTICAINE 0.5% EYE DROPS
HM TUSSIN COUGH/COLD SFTGEL
HM INSULIN SYRINGE 0.5 ML
HM INSULIN SYRINGE 1 ML
HM PANAX GINSENG 300 MG CPLT
HM PANAX GINSENG 300 MG CPLT
HM INSULIN SYRINGE 0.5 ML
HM TUSSIN COUGH/COLD SFTGEL
FP ANTIOXIDANT A,C & E
FP ARTIFICIAL TEARS
FP ARTIFICIAL TEARS
FP INSULIN 0.5 ML SYRINGE
FP INSULIN 1 ML SYRINGE
FP VISION CAPSULE
12 HR ANTIHIST/DECON TAB SA
FP THROAT LOZENGE MAX SRENGTH
FP TUSSIN COLD & COUGH SFTG
FP TUSSIN SEVERE CONGST SFG
FP JR. STR NON-ASPIRIN 160 MG
FP JR. STR NON-ASPIRIN 160 MG
FP BLOOD GLUCOSE TEST STRIP
FP ANUSERT HC-1 OINTMENT
CELEXA 20 MG TABLET
CELEXA 20 MG TABLET
CELEXA 20 MG TABLET
AMOXIL 250 MG TABLET CHEW
ANAPROX DS 550 MG TABLET
ANAPROX DS 550 MG TABLET
ANSAID 100 MG TABLET
ERYTHROMYCIN 250 MG CAP EC
ERYTHROMYCIN 250 MG CAP EC
ERYTHROMYCIN 250 MG CAP EC
FAMOTIDINE 40 MG TABLET
LINDANE 1% SHAMPOO
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
AMOXICILLIN 250 MG TAB CHEW
AMOXICILLIN 250 MG TAB CHEW
AMOXICILLIN 250 MG TAB CHEW
DAYPRO 600 MG CAPLET
DAYPRO 600 MG CAPLET
DAYPRO 600 MG CAPLET
DAYPRO 600 MG CAPLET
DAYPRO 600 MG CAPLET
DAYPRO 600 MG CAPLET
DAYPRO 600 MG CAPLET
DAYPRO 600 MG CAPLET
DAYPRO 600 MG CAPLET
DAYPRO 600 MG CAPLET
DAYPRO 600 MG CAPLET
NAPROXEN SODIUM 550 MG TAB

DOSE FORM DRUG STRENGTH


SO
CA
YL
YL
TA
TA
YL
CA
CA
SO
SO
YL
YL
CA
TM
TL
CA
CA
UL
UL
YR
OA
TA
TA
TA
TC
TA
TA
TA
CE
CE
CE
TA
SS
TA
TA
TA
TA
TC
TC
TC
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08

NDC
52959027115
52959027120
52959027128
52959027130
52959027160
52959027190
52959034140
52959034160
52959034614
52959034620
52959034621
52959034630
52959037730
52959037760
52959041630
52959044600
52959044620
52959044624
52959044630
52959044660
52959045402
52959045414
52959045460
52959045630
52959045640
52959045660
52959051602
52959051610
52959051614
52959051615
52959051620
52959051630
52959051640
52959051660
52959061103
52959063715
52959063730
52959063745
52959063790
52959068902
52959068908
52959068915
52959068920
52959068921
52959068930
52959068942
52959068945
52959068960
52959068990
52959070530
52959080001
52959080014
52959080015

NAME
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
ERYC 250 MG CAPSULE EC
ERYC 250 MG CAPSULE EC
FLURBIPROFEN 100 MG TABLET
FLURBIPROFEN 100 MG TABLET
FLURBIPROFEN 100 MG TABLET
FLURBIPROFEN 100 MG TABLET
DICLOFENAC SOD 25 MG TAB EC
DICLOFENAC SOD 25 MG TAB EC
VOLTAREN 25 MG TABLET EC
ACETAMINOPHEN/COD #4 TABLET
ACETAMINOPHEN/COD #4 TABLET
ACETAMINOPHEN/COD #4 TABLET
ACETAMINOPHEN/COD #4 TABLET
ACETAMINOPHEN/COD #4 TABLET
CARISOPRODOL COMPOUND TAB
CARISOPRODOL COMPOUND TAB
CARISOPRODOL COMPOUND TAB
EC-NAPROSYN 500 MG TABLET EC
EC-NAPROSYN 500 MG TABLET EC
EC-NAPROSYN 500 MG TABLET EC
NAPROXEN 500 MG TABLET EC
NAPROXEN 500 MG TABLET EC
NAPROXEN 500 MG TABLET EC
NAPROXEN 500 MG TABLET EC
NAPROXEN 500 MG TABLET EC
NAPROXEN 500 MG TABLET EC
NAPROXEN 500 MG TABLET EC
NAPROXEN 500 MG TABLET EC
PEDITUSS SYRUP
ZANAFLEX 4 MG TABLET
ZANAFLEX 4 MG TABLET
ZANAFLEX 4 MG TABLET
ZANAFLEX 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
PROPARACAINE 0.5% EYE DROPS
OXAPROZIN 600 MG TABLET
OXAPROZIN 600 MG TABLET
OXAPROZIN 600 MG TABLET

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
CE
CE
TA
TA
TA
TA
TE
TE
TE
TA
TA
TA
TA
TA
TA
TA
TA
TE
TE
TE
TE
TE
TE
TE
TE
TE
TE
TE
ST
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
SO
TA
TA
TA

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08

NDC
52959080020
52959080021
52959080024
52959080028
52959080030
52959080042
52959080045
52959080060
53062001003
53062002203
53100000851
53100054000
53100054200
53191004901
53191006501
53191007401
53191028901
53191028910
53191029001
53191029010
53265028603
53265028610
53265028611
53265028650
53265035510
53265035550
53265036410
53265036450
53303000009
53335015012
53459000072
53459001727
53489010901
53489022101
53489022105
53489022107
53489022110
53489035401
53489035405
53567040004
53567041004
53809020205
53809060160
53885004810
53885005210
53885019725
53885019850
53885024450
53885024510
53885028550
53885035950
53885037410
53885044450

NAME
OXAPROZIN 600 MG TABLET
OXAPROZIN 600 MG TABLET
OXAPROZIN 600 MG TABLET
OXAPROZIN 600 MG TABLET
OXAPROZIN 600 MG TABLET
OXAPROZIN 600 MG TABLET
OXAPROZIN 600 MG TABLET
OXAPROZIN 600 MG TABLET
DR.SMITH'S DIAPER OINTMENT
DR.SMITH'S ADULT CARE OINT
SUCRETS LOZENGE
MASSENGILL TOWELETTE
MASSENGILL TOWELETTE
C-PLEX CAPSULE
MPS CAPSULE
K-MAG CAPSULE
BIO-THROID 15 MG CAPSULE
BIO-THROID 15 MG CAPSULE
BIO-THROID 30 MG CAPSULE
BIO-THROID 30 MG CAPSULE
ACETAMINOPHEN/COD #4 TABLET
ACETAMINOPHEN/COD #4 TABLET
ACETAMINOPHEN/COD #4 TABLET
ACETAMINOPHEN/COD #4 TABLET
LITHIUM CARBONATE 150 MG CAP
LITHIUM CARBONATE 150 MG CAP
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
CARRA SORB H 4"X4" DRESSING
ZINC PICOLINATE 25 MG CAP
EZ SMART TEST STRIPS
EZ SMART TEST STRIPS
AMITRIPTYLINE HCL 150 MG TAB
QUININE SULFATE 324 MG CAP
QUININE SULFATE 324 MG CAP
QUININE SULFATE 324 MG CAP
QUININE SULFATE 324 MG CAP
LABETALOL HCL 100 MG TABLET
LABETALOL HCL 100 MG TABLET
DERMASTAT 4"X4" DRESSING
NUTRASTAT 4"X4" DRESSING
DOMETUSSCOUGH/COLD SOFTGEL
CALCI-MAX CM-600 SOFTGEL
FAST TAKE TEST STRIPS
SURESTEP TEST STRIPS
ONE TOUCH TEST STRIPS
ONE TOUCH TEST STRIPS
ONE TOUCH ULTRA TEST STRIPS
ONE TOUCH ULTRA TEST STRIPS
ONE TOUCH TEST STRIPS
SURESTEP TEST STRIPS
ONE TOUCH TEST STRIPS
FAST TAKE TEST STRIPS

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
OA
OA
TL
ET
ET
CA
CA
CA
CA
CA
CA
CA
TA
TA
TA
TA
CA
CA
TA
TA
YE
CA
YR
YR
TA
CA
CA
CA
CA
TA
TA
YE
YE
CA
CA
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08

NDC
53885079750
53885099425
53996044224
53996044232
53996044254
54002008044
54022102501
54022108401
54022108402
54499034912
54569016100
54569016102
54569030201
54569030203
54569113800
54569137200
54569176303
54569209600
54569224400
54569228100
54569228101
54569228104
54569256202
54569265700
54569271001
54569271002
54569271004
54569271005
54569271006
54569338800
54569338801
54569338805
54569350301
54569368900
54569368901
54569368905
54569370200
54569370201
54569373700
54569376200
54569376202
54569376203
54569376204
54569376205
54569376207
54569385800
54569385803
54569385804
54569398200
54569398201
54569410900
54569420000
54569420800

NAME
SURESTEP PRO TEST STRIPS
ONE TOUCH ULTRA TEST STRIPS
COMFEES LARGE UNISEX
COMFEES MEDIUM UNISEX
COMFEES X-LARGE UNISEX
HYPERION 4"X4" DRESSING
MANGANESE 15 MG TABLET
CALCIUM CITRATE 1,040 MG TAB
CALCIUM CITRATE 1,040 MG TAB
DAYTIME LIQUID GEL
DILANTIN 100 MG KAPSEAL
DILANTIN 100 MG KAPSEAL
ACETAMINOPHEN/COD #4 TABLET
ACETAMINOPHEN/COD #4 TABLET
LINDANE 1% SHAMPOO
INSULIN SYRINGE 28GX0.5 ML
ANAPROX DS 550 MG TABLET
QUININE SULFATE 325 MG CAP
OPHTHETIC 0.5% EYE DROPS
ERYTHROMYCIN 250 MG CAP EC
ERYTHROMYCIN 250 MG CAP EC
ERYTHROMYCIN 250 MG CAP EC
CARISOPRODOL COMPOUND TAB
NAPHAZOLINE 0.1% EYE DROPS
VEETIDS 500 MG TABLET
VEETIDS 500 MG TABLET
VEETIDS 500 MG TABLET
VEETIDS 500 MG TABLET
VEETIDS 500 MG TABLET
POTASSIUM CL 10 MEQ CAP SA
POTASSIUM CL 10 MEQ CAP SA
POTASSIUM CL 10 MEQ CAP SA
VEETIDS 500 MG TABLET
AMOXICILLIN 250 MG TAB CHEW
AMOXICILLIN 250 MG TAB CHEW
AMOXICILLIN 250 MG TAB CHEW
DAYPRO 600 MG CAPLET
DAYPRO 600 MG CAPLET
BROMPHENIRAMINE/P-EPHED CAP
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
FLURBIPROFEN 100 MG TABLET
FLURBIPROFEN 100 MG TABLET
FLURBIPROFEN 100 MG TABLET
EC-NAPROSYN 500 MG TABLET EC
EC-NAPROSYN 500 MG TABLET EC
MONOJECT 3 ML SYRN 25GX5/8"
CLOBETASOL 0.05% CREAM
ONE TOUCH TEST STRIPS

DOSE FORM DRUG STRENGTH


YR
YR
EA
EA
EA
YE
TA
TA
TA
CA
CA
CA
TA
TA
SS
YL
TA
CA
SO
CE
CE
CE
TA
SO
TA
TA
TA
TA
TA
CS
CS
CS
TA
TC
TC
TC
TA
TA
CS
TA
TA
TA
TA
TA
TA
TA
TA
TA
TE
TE
YL
KA
YR

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08

NDC
54569436200
54569436800
54569437900
54569452000
54569452001
54569455000
54569463600
54569470300
54569478200
54569487600
54569487900
54569496500
54569497500
54569497501
54569497502
54569497503
54569497504
54569521200
54569521201
54569521202
54569521203
54569521204
54569550000
54569550001
54569550002
54569550003
54569562600
54569562700
54569567400
54629001118
54629001143
54629001160
54629001169
54629008044
54629011812
54629024360
54629066118
54629066687
54629068700
54629069400
54629080412
54799050012
54799050215
54799086015
54799090515
54868004000
54868004001
54868004002
54868004204
54868019702
54868019703
54868019704
54868022401

NAME
TETRACAINE 0.5% EYE DROPS
ALCAINE 0.5% EYE DROPS
TEARS NATURALE-II EYE DROPS
NAPROXEN 500 MG TABLET EC
NAPROXEN 500 MG TABLET EC
CLOBETASOL 0.05% CREAM
MEDERMA GEL
CELEXA 20 MG TABLET
POLOCAINE 1% VIAL
TERAZOSIN 10 MG CAPSULE
CELEXA 40 MG TABLET
BLACK COHOS EXTR 200 MG CAP
ZANAFLEX 4 MG TABLET
ZANAFLEX 4 MG TABLET
ZANAFLEX 4 MG TABLET
ZANAFLEX 4 MG TABLET
ZANAFLEX 4 MG TABLET
OXAPROZIN 600 MG CAPLET
OXAPROZIN 600 MG CAPLET
OXAPROZIN 600 MG CAPLET
OXAPROZIN 600 MG CAPLET
OXAPROZIN 600 MG CAPLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
CITALOPRAM HBR 20 MG TABLET
CITALOPRAM HBR 40 MG TABLET
ANU-MED SUPPOSITORY
GLUCOSAMINE/CHONDROITIN CAP
SOY ISOFLAVONES 40 MG CAPLET
VIRA EXTRA CAPSULE
VIRA FEMALE CAPSULE
GLUCOSAMINE/CHONDROIT SFTGL
GLUCOSAMINE/CHONDROITIN CAP
STARCH CONTROL CAPSULE
GLUCOSAMINE COMPLEX CAPSULE
GRAPE SEED 50 MG TABLET
GRAPE SEED 50 MG TABLET
WOMEN'S CONTROL & RELF CAP
GLUCOSAMINE/CHONDROIT SFTGL
PARCAINE 0.5% EYE DROPS
TETCAINE 0.5% EYE DROPS
ALLERSOL 0.1% EYE DROPS
TEARS AGAIN MC EYE DROPS
PHENYTOIN SOD EXT 100 MG CAP
PHENYTOIN SOD EXT 100 MG CAP
PHENYTOIN SOD EXT 100 MG CAP
DIPYRIDAMOLE 25 MG TABLET
ANAPROX DS 550 MG TABLET
ANAPROX DS 550 MG TABLET
ANAPROX DS 550 MG TABLET
ERYTHROMYCIN 250 MG CAP EC

DOSE FORM DRUG STRENGTH


SO
SO
SO
TE
TE
KA
JG
TA
HV
CA
TA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
QA
CA
TA
CA
CA
CA
CA
CA
CA
TA
TA
CA
CA
SO
SO
SO
SO
CA
CA
CA
TA
TA
TA
TA
CE

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08

NDC
54868022403
54868022404
54868022406
54868030401
54868032500
54868032501
54868032502
54868032504
54868032507
54868051900
54868057200
54868057201
54868080701
54868082400
54868086000
54868086001
54868086300
54868090100
54868102301
54868111301
54868111302
54868111303
54868116701
54868117300
54868117301
54868117302
54868117304
54868117305
54868117306
54868123900
54868128800
54868167400
54868180701
54868180702
54868180703
54868182601
54868188600
54868194100
54868200701
54868207900
54868210900
54868231300
54868243400
54868285800
54868285801
54868286400
54868286401
54868287401
54868288500
54868299700
54868299701
54868299702
54868299703

NAME
ERYTHROMYCIN 250 MG CAP EC
ERYTHROMYCIN 250 MG CAP EC
ERYTHROMYCIN 250 MG CAP EC
PEPCID 40 MG TABLET
DILANTIN 100 MG KAPSEAL
DILANTIN 100 MG KAPSEAL
DILANTIN 100 MG KAPSEAL
DILANTIN 100 MG KAPSEAL
DILANTIN 100 MG KAPSEAL
TYLENOL W/CODEINE #4 TABLET
LINDANE 1% SHAMPOO
LINDANE 1% SHAMPOO
AMOXIL 250 MG TABLET CHEW
ACCU-CHEK ADVANTAGE STRIPS
ACETAMINOPHEN/COD #4 TABLET
ACETAMINOPHEN/COD #4 TABLET
GLUCOSTIX REAGENT STRIPS
TETRACAINE 0.5% EYE DROPS
NAPHAZOLINE 0.1% EYE DROPS
ANSAID 100 MG TABLET
ANSAID 100 MG TABLET
ANSAID 100 MG TABLET
PILOCARPINE 2% EYE DROPS
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
CITALOPRAM HBR 40 MG TABLET
PERSANTINE 25 MG TABLET
OPHTHETIC 0.5% EYE DROPS
TEMOVATE 0.05% CREAM
TEMOVATE 0.05% CREAM
TEMOVATE 0.05% CREAM
CARISOPRODOL COMPOUND TAB
ERYPED 100 MG/2.5 ML DROPS
SODIUM FLUORIDE 0.125 MG/DRP
CHLORTHALIDONE 25 MG TABLET
PROPARACAINE 0.5% EYE DROPS
AK-CON 0.1% EYE DROPS
ANUSOL OINTMENT
AMITRIPTYLINE HCL 150 MG TAB
QUININE SULFATE 325 MG CAP
QUININE SULFATE 324 MG CAP
TRANDATE 100 MG TABLET
TRANDATE 100 MG TABLET
DREXOPHED TABLET SA
VERAPAMIL 40 MG TABLET
DAYPRO 600 MG CAPLET
DAYPRO 600 MG CAPLET
DAYPRO 600 MG CAPLET
DAYPRO 600 MG CAPLET

DOSE FORM DRUG STRENGTH


CE
CE
CE
TA
CA
CA
CA
CA
CA
TA
SS
SS
TC
YR
TA
TA
YR
SO
SO
TA
TA
TA
SO
TA
TA
TA
TA
TA
TA
TA
TA
SO
KA
KA
KA
TA
SO
SO
TA
SO
SO
OA
TA
CA
CA
TA
TA
TM
TA
TA
TA
TA
TA

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08

NDC
54868299704
54868299705
54868304301
54868304302
54868304303
54868304305
54868310500
54868310501
54868310502
54868336200
54868336201
54868358400
54868358401
54868358402
54868359000
54868390600
54868392000
54868399900
54868405100
54868405101
54868414500
54868414501
54868414502
54868415900
54868415901
54868415902
54868415903
54868415904
54868422600
54868422601
54868422602
54868422800
54868422801
54868422802
54868424900
54868424901
54868424902
54868435200
54868435201
54868435202
54868435203
54868435204
54868436000
54868442300
54868443500
54868443501
54868443502
54868448600
54868454800
54868454801
54868454802
54868456700
54868456701

NAME
DAYPRO 600 MG CAPLET
DAYPRO 600 MG CAPLET
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
AMOXICILLIN 250 MG TAB CHEW
AMOXICILLIN 250 MG TAB CHEW
AMOXICILLIN 250 MG TAB CHEW
FLURBIPROFEN 100 MG TABLET
FLURBIPROFEN 100 MG TABLET
CLOBETASOL 0.05% CREAM
CLOBETASOL 0.05% CREAM
CLOBETASOL 0.05% CREAM
ACCU-CHEK ACTIVE TEST STRIP
BENAZEPRIL-HCTZ 20/12.5 MG TAB
TRANDATE 5 MG/ML VIAL
DICLOFENAC SOD 25 MG TAB EC
NAPROXEN 500 MG TABLET EC
NAPROXEN 500 MG TABLET EC
ZANAFLEX 4 MG TABLET
ZANAFLEX 4 MG TABLET
ZANAFLEX 4 MG TABLET
CELEXA 20 MG TABLET
CELEXA 20 MG TABLET
CELEXA 20 MG TABLET
CELEXA 20 MG TABLET
CELEXA 20 MG TABLET
CELEXA 40 MG TABLET
CELEXA 40 MG TABLET
CELEXA 40 MG TABLET
HYTRIN 10 MG CAPSULE
HYTRIN 10 MG CAPSULE
HYTRIN 10 MG CAPSULE
TERAZOSIN 10 MG CAPSULE
TERAZOSIN 10 MG CAPSULE
TERAZOSIN 10 MG CAPSULE
BUMETANIDE 2 MG TABLET
BUMETANIDE 2 MG TABLET
BUMETANIDE 2 MG TABLET
BUMETANIDE 2 MG TABLET
BUMETANIDE 2 MG TABLET
HYDROCODONE-APAP 2.5/500 TB
BETAPACE AF 80 MG TABLET
SOTALOL 80 MG TABLET
SOTALOL 80 MG TABLET
SOTALOL HCL 80 MG TABLET
LABETALOL HCL 5 MG/ML VIAL
OXAPROZIN 600 MG TABLET
OXAPROZIN 600 MG TABLET
OXAPROZIN 600 MG TABLET
FAMOTIDINE 40 MG TABLET
FAMOTIDINE 40 MG TABLET

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TC
TC
TC
TA
TA
KA
KA
KA
YR
TA
HV
TE
TE
TE
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
CA
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
HV
TA
TA
TA
TA
TA

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08

NDC
54868458800
54868490400
54868490401
54868492100
54868492101
54868493900
54868493901
54868493902
54868517600
54868517800
54868517801
54868525600
54868526500
54868529600
54868531300
54868531301
55045120203
55045120204
55045120205
55045120207
55045120208
55045122309
55045134900
55045135400
55045169500
55045189701
55045189707
55045189708
55045200408
55045206801
55045206807
55045206808
55045206809
55045207602
55045207603
55045207604
55045207606
55045212005
55045212006
55045212008
55045214201
55045214202
55045214206
55045214207
55045251607
55045251608
55045269908
55045270500
55045291604
55045291606
55045291607
55045291608
55045292601

NAME
PROLEX DH LIQUID
LOTENSIN HCT 20/12.5 TABLET
LOTENSIN HCT 20/12.5 TABLET
LABETALOL HCL 100 MG TABLET
LABETALOL HCL 100 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
BROMFENEX-PD CAPSULE SA
CITALOPRAM HBR 20 MG TABLET
CITALOPRAM HBR 20 MG TABLET
BENAZEPRIL-HCTZ 10/12.5 TAB
ONE TOUCH ULTRA TEST STRIPS
BENAZEPRIL-HCTZ 20/25MG TAB
LOTENSIN HCT 20/25 TABLET
LOTENSIN HCT 20/25 TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
LINDANE 1% SHAMPOO
TEARS RENEWED EYE DROPS
NAPHAZOLINE 0.1% EYE DROPS
POTASSIUM CL 10 MEQ CAP ER
ACETAMINOPHEN-COD #4 TABLET
ACETAMINOPHEN-COD #4 TABLET
ACETAMINOPHEN-COD #4 TABLET
AMOXICILLIN 250 MG TAB CHEW
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
ERYTHROMYCIN 250 MG CAP EC
ERYTHROMYCIN 250 MG CAP EC
ERYTHROMYCIN 250 MG CAP EC
ERYTHROMYCIN 250 MG CAP EC
DAYPRO 600 MG CAPLET
DAYPRO 600 MG CAPLET
DAYPRO 600 MG CAPLET
FLURBIPROFEN 100 MG TABLET
FLURBIPROFEN 100 MG TABLET
FLURBIPROFEN 100 MG TABLET
FLURBIPROFEN 100 MG TABLET
NAPROXEN 500 MG TABLET EC
NAPROXEN 500 MG TABLET EC
BUMETANIDE 2 MG TABLET
CELEXA 40 MG TABLET
OXAPROZIN 600 MG TABLET
OXAPROZIN 600 MG TABLET
OXAPROZIN 600 MG TABLET
OXAPROZIN 600 MG TABLET
TIZANIDINE HCL 4 MG TABLET

DOSE FORM DRUG STRENGTH


ST
TA
TA
TA
TA
TA
TA
TA
CS
TA
TA
TA
YR
TA
TA
TA
TA
TA
TA
TA
TA
SS
SO
SO
CS
TA
TA
TA
TC
TA
TA
TA
TA
CE
CE
CE
CE
TA
TA
TA
TA
TA
TA
TA
TE
TE
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08

NDC
55045292602
55045292606
55045292608
55045307308
55111012001
55111013301
55111017001
55111017005
55111018010
55111018015
55111034301
55111034305
55111034330
55111034401
55111034405
55111034430
55289006790
55289007120
55289011120
55289011128
55289011140
55289011156
55289011180
55289014604
55289015210
55289018206
55289018209
55289018214
55289018230
55289020704
55289020715
55289020720
55289020728
55289020730
55289020740
55289021830
55289027820
55289027860
55289030715
55289030724
55289030730
55289033206
55289033215
55289033220
55289033230
55289036706
55289036710
55289036714
55289036715
55289036720
55289036728
55289036730
55289036742

NAME
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
FAMOTIDINE 40 MG TABLET
FAMOTIDINE 40 MG TABLET
ENALAPRIL-HCTZ 5-12.5 MG TAB
OXAPROZIN 600 MG TABLET
OXAPROZIN 600 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
CITALOPRAM HBR 20 MG TABLET
CITALOPRAM HBR 20 MG TABLET
CITALOPRAM HBR 20 MG TABLET
CITALOPRAM HBR 40 MG TABLET
CITALOPRAM HBR 40 MG TABLET
CITALOPRAM HBR 40 MG TABLET
CHLORTHALIDONE 25 MG TABLET
PEN-VEE K 500 MG TABLET
ERYC 250 MG CAPSULE EC
ERYC 250 MG CAPSULE EC
ERYC 250 MG CAPSULE EC
ERYC 250 MG CAPSULE EC
ERYC 250 MG CAPSULE EC
PEPCID 40 MG TABLET
DILANTIN 100 MG KAPSEAL
AMOXICILLIN 250 MG TAB CHEW
AMOXICILLIN 250 MG TAB CHEW
AMOXICILLIN 250 MG TAB CHEW
AMOXICILLIN 250 MG TAB CHEW
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
POTASSIUM CL 10 MEQ CAP SA
BROMFED-PD CAPSULE SA
BROMPHED-PD CAPSULE SA
NAPROXEN 500 MG TABLET EC
NAPROXEN 500 MG TABLET EC
NAPROXEN 500 MG TABLET EC
ANAPROX DS 550 MG TABLET
ANAPROX DS 550 MG TABLET
ANAPROX DS 550 MG TABLET
ANAPROX DS 550 MG TABLET
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CE
CE
CE
CE
CE
TA
CA
TC
TC
TC
TC
TA
TA
TA
TA
TA
TA
CS
CS
CS
TE
TE
TE
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08

NDC
55289045314
55289045315
55289045320
55289045330
55289045340
55289045342
55289045360
55289056110
55289056115
55289056130
55289060120
55289061210
55289061220
55289064501
55289064520
55289064528
55289064530
55289064540
55289064556
55289064580
55289064709
55289064714
55289064720
55289064730
55289069314
55289069315
55289069330
55289069528
55289069540
55289074801
55289078420
55289082730
55289089930
55289091620
55370089207
55370089208
55390013020
55390013040
55499080618
55499080620
55499080630
55515042015
55515042030
55515042045
55654001402
55887026130
55887041330
55887055020
55887055030
55887055060
55887055090
55887055515
55887055520

NAME
DAYPRO 600 MG CAPLET
DAYPRO 600 MG CAPLET
DAYPRO 600 MG CAPLET
DAYPRO 600 MG CAPLET
DAYPRO 600 MG CAPLET
DAYPRO 600 MG CAPLET
DAYPRO 600 MG CAPLET
FLURBIPROFEN 100 MG TABLET
FLURBIPROFEN 100 MG TABLET
FLURBIPROFEN 100 MG TABLET
OXAPROZIN 600 MG TABLET
ZANAFLEX 4 MG TABLET
ZANAFLEX 4 MG TABLET
ERYTHROMYCIN 250 MG CAP EC
ERYTHROMYCIN 250 MG CAP EC
ERYTHROMYCIN 250 MG CAP EC
ERYTHROMYCIN 250 MG CAP EC
ERYTHROMYCIN 250 MG CAP EC
ERYTHROMYCIN 250 MG CAP EC
ERYTHROMYCIN 250 MG CAP EC
ANSAID 100 MG TABLET
ANSAID 100 MG TABLET
ANSAID 100 MG TABLET
ANSAID 100 MG TABLET
NAPROSYN 500 MG TABLET EC
NAPROSYN 500 MG TABLET EC
EC-NAPROSYN 500 MG TABLET EC
CARISOPRODOL COMPOUND TAB
CARISOPRODOL COMPOUND TAB
DIPYRIDAMOLE 25 MG TABLET
TIZANIDINE HCL 4 MG TABLET
CELEXA 20 MG TABLET
MICRO-K 10 MEQ EXTENCAPS
ACETAMINOPHEN/COD #4 TABLET
AMOXICILLIN 250 MG TAB CHEW
AMOXICILLIN 250 MG TAB CHEW
LABETALOL HCL 5 MG/ML VIAL
LABETALOL HCL 5 MG/ML VIAL
SWEETA CONCENTRATE LIQUID
SWEETA CONCENTRATE LIQUID
SWEETA CONCENTRATE LIQUID
CORMAX 0.05% CREAM
CORMAX 0.05% CREAM
CORMAX 0.05% CREAM
SODIUM FLUORIDE 0.125 MG/DRP
CITALOPRAM HBR 20 MG TABLET
HYDROCODONE-APAP 2.5/500 TAB
CELEXA 20 MG TABLET
CELEXA 20 MG TABLET
CELEXA 20 MG TABLET
CELEXA 20 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CE
CE
CE
CE
CE
CE
CE
TA
TA
TA
TA
TE
TE
TE
TA
TA
TA
TA
TA
CS
TA
TC
TC
HV
HV
SL
SL
SL
KA
KA
KA
SO
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08

NDC
55887055530
55887055560
55887055582
55887055590
55887069810
55887069814
55887069820
55887069828
55887069830
55887070510
55887070520
55887070524
55887070530
55887070560
55887070590
55887070615
55887080915
55887085520
55887085528
55887085530
55887085560
55887092310
55887092314
55887092320
55887092321
55887092330
56091002019
56091002145
56091007637
56151030101
56151030150
56151030201
56151030250
56151030350
56151030450
56151030650
56151030750
56151030850
56151030950
56151031001
56151031050
56151031101
56151031150
56151031250
56151031301
56151031350
56151031450
56151031650
56151031750
56151031850
56151031950
56151032150
56151032250

NAME
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
OXAPROZIN 600 MG TABLET
OXAPROZIN 600 MG TABLET
OXAPROZIN 600 MG TABLET
OXAPROZIN 600 MG TABLET
OXAPROZIN 600 MG TABLET
NAPROXEN 500 MG TABLET EC
NAPROXEN 500 MG TABLET EC
NAPROXEN 500 MG TABLET EC
NAPROXEN 500 MG TABLET EC
NAPROXEN 500 MG TABLET EC
NAPROXEN 500 MG TABLET EC
NAPHAZOLINE 0.1% EYE DROPS
AK-TAINE 0.5% EYE DROPS
ERYTHROMYCIN 250 MG CAPSULE
ERYTHROMYCIN 250 MG CAPSULE
ERYTHROMYCIN 250 MG CAPSULE
ERYTHROMYCIN 250 MG CAPSULE
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
ADAPTIC DRESSING 5" X 9"
SURGIPAD DRESSING 5"X 9"
NU-GAUZE SPONGE 4" X 8"
WALGREENS TEST STRIP
WALGREENS TEST STRIP
LEADER TEST STRIP
LEADER TEST STRIP
HEALTH ALLIANCE STRIP
KERR TEST STRIPS
DUANE READE TEST STRIPS
CVS TEST STRIP
NAVARRO TEST STRIPS
EXPRESS MED TEST STRIPS
BRITE LIFE TEST STRIP
BRITE LIFE TEST STRIP
GOOD NEIGH TEST STRIP
GOOD NEIGH TEST STRIP
LONG TEST STRIP
W-D TEST STRIP
W-D TEST STRIP
LIFE MEDICAL TEST STRIP
DIABETIC.COM TEST STRIP
TRUE CARE TEST STRIP
DRUG EMP TEST STRIP
MEIJER TEST STRIP
ALBERTSONS TEST STRIP
SENTRY TEST STRIP

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TE
TE
TE
TE
TE
TE
SO
SO
CE
CE
CE
CE
TA
TA
TA
TA
TA
YE
YE
YV
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08

NDC
56151032401
56151032450
56151032501
56151032550
56151032601
56151032650
56151032701
56151032750
56151055001
56151055050
56151055550
56151071001
56151075050
56151077101
56151077550
56151081001
56151083003
56151085050
56151091001
56151095050
57565006070
57565006080
57565006090
57565006310
57565006312
57565006316
57565006318
57565006350
57565006352
57565006356
57565006358
57565090003
57565090004
57565090152
57565090153
57565090154
57565090155
57599006305
57599011605
57599033901
57599034304
57599710302
57599710305
57599717402
57599740004
57599740105
57599741205
57599754204
57599754305
57599833501
57599833601
57599873204
57599873305

NAME
SHOPRITE TEST STRIPS
SHOPRITE TEST STRIPS
DISCOUNT DRUG MART TEST STR
DISCOUNT DRUG MART TEST STR
GIANT EAGLE PHARM TEST STRP
GIANT EAGLE PHARM TEST STRP
KINRAY TEST STRIPS
KINRAY TEST STRIPS
PSS TEST STRIP
PSS TEST STRIP
PRESTIGE TEST STRIPS
TRUETRACK TEST STRIPS
TRUETRACK TEST STRIPS
TRACKEASE GLUCOSE STRIPS
TRACKEASE GLUCOSE STRIPS
TRUETRACK GLUCOSE STRIPS
TRUETRACK TEST STRIPS
TRUETRACK TEST STRIPS
PRESTIGE SMART SYS TEST STP
PRESTIGE SMART SYS TEST STP
QUICK-CHECK ONE TEST STRIP
QUICK-CHECK II TEST STRIPS
QUICK-CHECK FILM STRIPS
DEX4 GLUCOSE TABLET CHEW
DEX4 GLUCOSE TABLET CHEW
DEX4 GLUCOSE TABLET CHEW
DEX4 GLUCOSE TABLET CHEW
DEX4 GLUCOSE TABLET CHEW
DEX4 GLUCOSE TABLET CHEW
DEX4 GLUCOSE TABLET CHEW
DEX4 GLUCOSE TABLET CHEW
RELIEF PLUS TEST STRIPS
RELIEF PLUS TEST STRIPS
EQUATE GLUCOSE TABLET CHEW
EQUATE GLUCOSE TABLET CHEW
EQUATE GLUCOSE TABLET CHEW
EQUATE GLUCOSE TABLET CHEW
PRECISION PCX PLUS TEST STR
PRECISION POINT OF CARE STR
PRECISION PCX PLUS TEST STR
PRECISION SOF-TACT TEST STR
EXACTECH TEST STRIPS
EXACTECH TEST STRIPS
EXACTECH TEST STRIPS
PRECISION Q-I-D TEST STRIPS
PRECISION Q-I-D TEST STRIPS
PRECISION G (GLUCOSE) TEST STRIPS
EXACTECH RSG TEST STRIPS
EXACTECH RSG TEST STRIPS
PRECISION Q-I-D TEST STRIPS
PRECISION Q-I-D TEST STRIPS
PRECISION Q-I-D TEST STRIPS
PRECISION Q-I-D TEST STRIPS

DOSE FORM DRUG STRENGTH


YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
TC
TC
TC
TC
TC
TC
TC
TC
YR
YR
TC
TC
TC
TC
YR
YR
YR
YR
YR
YR
YR
YR
YR
ST
YR
YR
YR
YR
YR
YR

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08

NDC
57599875705
57599913404
57599913505
57599956505
57599958601
57599958604
57599969405
57599969504
57599972804
57599983804
57599987705
57599987805
57664016106
57664016508
57664016513
57664022108
57664039108
57664039113
57664050313
57664050318
57664050383
57664050388
57664050389
57664050813
57664050818
57664050883
57664050888
57664050913
57664050918
57664050983
57664050988
57866289901
57866289902
57866289903
57866289904
57866299903
57866322601
57866361401
57866431101
57866431102
57866431104
57866601101
57866601103
57866606901
57866643802
57866648901
57866660202
57866660203
57866661300
57866661301
57866661302
57866661303
57866661304

NAME
PRECISION PCX TEST STRIPS
OPTIUM TEST STRIP
OPTIUM TEST STRIP
PRECISION PCX TEST STRIPS
SOF-TACT TEST STRIPS
PRECISION SOF-TACT TEST STR
PRECISION XTRA TEST STRIPS
PRECISION XTRA TEST STRIPS
PRECISION XTRA TEST STRIPS
PRECISION XTRA TEST STRIPS
PRECISION XTRA TEST STRIPS
PRECISION XTRA TEST STRIPS
SURELAC TABLET CHEW
FLURBIPROFEN 100 MG TABLET
FLURBIPROFEN 100 MG TABLET
CHOLINE MAG TRISAL 1 GM TAB
OXAPROZIN 600 MG TABLET
OXAPROZIN 600 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
CITALOPRAM HBR 20 MG TABLET
CITALOPRAM HBR 20 MG TABLET
CITALOPRAM HBR 20 MG TABLET
CITALOPRAM HBR 20 MG TABLET
CITALOPRAM HBR 40 MG TABLET
CITALOPRAM HBR 40 MG TABLET
CITALOPRAM HBR 40 MG TABLET
CITALOPRAM HBR 40 MG TABLET
OXAPROZIN 600 MG TABLET
OXAPROZIN 600 MG TABLET
OXAPROZIN 600 MG TABLET
OXAPROZIN 600 MG TABLET
DAYPRO 600 MG CAPLET
ACETAMINOPHEN/COD #4 TABLET
PENICILLIN VK 500 MG TABLET
POTASSIUM CL 10 MEQ CAP SA
POTASSIUM CL 10 MEQ CAP SA
POTASSIUM CL 10 MEQ CAP SA
FLURBIPROFEN 100 MG TABLET
FLURBIPROFEN 100 MG TABLET
BUMETANIDE 2 MG TABLET
PHENYTOIN SOD EXT 100 MG CAP
TERAZOSIN 10 MG CAPSULE
NAPROXEN 500 MG TABLET EC
NAPROXEN 500 MG TABLET EC
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB

DOSE FORM DRUG STRENGTH


YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
TC
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CS
CS
CS
TA
TA
TA
CA
CA
TE
TE
TA
TA
TA
TA
TA

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08

NDC
57866661305
57866661306
57866661307
57866662201
57866667001
57866667004
57866675604
57866903101
57866903201
57866903202
57866903203
57866903204
57866903301
57866903302
57866903303
57866903304
57866993501
57866993601
58016012300
58016012312
58016012315
58016012320
58016012324
58016012328
58016012330
58016012340
58016014700
58016014702
58016014703
58016014706
58016014710
58016014712
58016014715
58016014716
58016014720
58016014721
58016014724
58016014728
58016014730
58016014740
58016014750
58016014760
58016014773
58016014789
58016014790
58016017800
58016017802
58016017804
58016017805
58016017810
58016017812
58016017814
58016017815

NAME
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
LABETALOL HCL 100 MG TABLET
POTASSIUM CL 10 MEQ CAP SA
POTASSIUM CL 10 MEQ CAP SA
ZANAFLEX 4 MG TABLET
PHENYTOIN SOD EXT 100 MG CAP
SOTALOL 80 MG TABLET
SOTALOL 80 MG TABLET
SOTALOL 80 MG TABLET
SOTALOL 80 MG TABLET
SOTALOL 120 MG TABLET
SOTALOL 120 MG TABLET
SOTALOL 120 MG TABLET
SOTALOL 120 MG TABLET
PHENYTOIN SOD EXT 100 MG CAP
POTASSIUM CL 10 MEQ CAP SA
ERYTHROMYCIN 250 MG CAP EC
ERYTHROMYCIN 250 MG CAP EC
ERYTHROMYCIN 250 MG CAP EC
ERYTHROMYCIN 250 MG CAP EC
ERYTHROMYCIN 250 MG CAP EC
ERYTHROMYCIN 250 MG CAP EC
ERYTHROMYCIN 250 MG CAP EC
ERYTHROMYCIN 250 MG CAP EC
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
CITALOPRAM HBR 20 MG TABLET
CITALOPRAM HBR 20 MG TABLET
CITALOPRAM HBR 20 MG TABLET
CITALOPRAM HBR 20 MG TABLET
CITALOPRAM HBR 20 MG TABLET
CITALOPRAM HBR 20 MG TABLET
CITALOPRAM HBR 20 MG TABLET
CITALOPRAM HBR 20 MG TABLET

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
CS
CS
TA
CA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CS
CE
CE
CE
CE
CE
CE
CE
CE
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08

NDC
58016017820
58016017830
58016017840
58016017850
58016017860
58016017889
58016017890
58016017899
58016020414
58016022400
58016022402
58016022404
58016022405
58016022410
58016022412
58016022414
58016022415
58016022420
58016022430
58016022440
58016022450
58016022460
58016022489
58016022490
58016022499
58016027200
58016027202
58016027208
58016027210
58016027212
58016027215
58016027220
58016027228
58016027230
58016027240
58016027250
58016027256
58016027260
58016027284
58016027290
58016032100
58016032102
58016032103
58016032110
58016032112
58016032114
58016032115
58016032120
58016032124
58016032128
58016032130
58016032140
58016032142

NAME
CITALOPRAM HBR 20 MG TABLET
CITALOPRAM HBR 20 MG TABLET
CITALOPRAM HBR 20 MG TABLET
CITALOPRAM HBR 20 MG TABLET
CITALOPRAM HBR 20 MG TABLET
CITALOPRAM HBR 20 MG TABLET
CITALOPRAM HBR 20 MG TABLET
CITALOPRAM HBR 20 MG TABLET
ANSAID 100 MG TABLET
CITALOPRAM HBR 40 MG TABLET
CITALOPRAM HBR 40 MG TABLET
CITALOPRAM HBR 40 MG TABLET
CITALOPRAM HBR 40 MG TABLET
CITALOPRAM HBR 40 MG TABLET
CITALOPRAM HBR 40 MG TABLET
CITALOPRAM HBR 40 MG TABLET
CITALOPRAM HBR 40 MG TABLET
CITALOPRAM HBR 40 MG TABLET
CITALOPRAM HBR 40 MG TABLET
CITALOPRAM HBR 40 MG TABLET
CITALOPRAM HBR 40 MG TABLET
CITALOPRAM HBR 40 MG TABLET
CITALOPRAM HBR 40 MG TABLET
CITALOPRAM HBR 40 MG TABLET
CITALOPRAM HBR 40 MG TABLET
ACETAMINOPHEN/COD #4 TABLET
ACETAMINOPHEN-COD #4 TABLET
ACETAMINOPHEN/COD #4 TABLET
ACETAMINOPHEN/COD #4 TABLET
ACETAMINOPHEN/COD #4 TABLET
ACETAMINOPHEN/COD #4 TABLET
ACETAMINOPHEN/COD #4 TABLET
ACETAMINOPHEN/COD #4 TABLET
ACETAMINOPHEN/COD #4 TABLET
ACETAMINOPHEN/COD #4 TABLET
ACETAMINOPHEN/COD #4 TABLET
ACETAMINOPHEN-COD #4 TABLET
ACETAMINOPHEN/COD #4 TABLET
ACETAMINOPHEN-COD #4 TABLET
ACETAMINOPHEN-COD #4 TABLET
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08

NDC
58016032156
58016032160
58016032173
58016032189
58016032190
58016037200
58016037220
58016037230
58016037240
58016037260
58016037284
58016037290
58016051300
58016051302
58016051308
58016051310
58016051320
58016051330
58016051340
58016051345
58016051360
58016051390
58016057400
58016057402
58016057403
58016057410
58016057412
58016057414
58016057415
58016057420
58016057428
58016057430
58016057440
58016057460
58016057473
58016057489
58016057490
58016059800
58016059830
58016059860
58016059890
58016065100
58016065102
58016065104
58016065110
58016065120
58016065130
58016065140
58016065160
58016065190
58016065199
58016071000
58016071030

NAME
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN 500 MG TABLET EC
NAPROXEN 500 MG TABLET EC
NAPROXEN 500 MG TABLET EC
NAPROXEN 500 MG TABLET EC
NAPROXEN 500 MG TABLET EC
NAPROXEN 500 MG TABLET EC
NAPROXEN 500 MG TABLET EC
ZANAFLEX 4 MG TABLET
ZANAFLEX 4 MG TABLET
ZANAFLEX 4 MG TABLET
ZANAFLEX 4 MG TABLET
ZANAFLEX 4 MG TABLET
ZANAFLEX 4 MG TABLET
ZANAFLEX 4 MG TABLET
ZANAFLEX 4 MG TABLET
ZANAFLEX 4 MG TABLET
ZANAFLEX 4 MG TABLET
OXAPROZIN 600 MG CAPLET
OXAPROZIN 600 MG CAPLET
OXAPROZIN 600 MG CAPLET
OXAPROZIN 600 MG CAPLET
OXAPROZIN 600 MG CAPLET
OXAPROZIN 600 MG CAPLET
OXAPROZIN 600 MG CAPLET
OXAPROZIN 600 MG CAPLET
OXAPROZIN 600 MG CAPLET
OXAPROZIN 600 MG CAPLET
OXAPROZIN 600 MG CAPLET
OXAPROZIN 600 MG CAPLET
OXAPROZIN 600 MG CAPLET
OXAPROZIN 600 MG CAPLET
OXAPROZIN 600 MG CAPLET
CELEXA 20 MG TABLET
CELEXA 20 MG TABLET
CELEXA 20 MG TABLET
CELEXA 20 MG TABLET
QUININE SULFATE 325 MG CAPS
QUININE SULFATE 325 MG CAPS
QUININE SULFATE 325 MG CAPS
QUININE SULFATE 325 MG CAPS
QUININE SULFATE 325 MG CAPS
QUININE SULFATE 325 MG CAPS
QUININE SULFATE 325 MG CAPS
QUININE SULFATE 325 MG CAPS
QUININE SULFATE 325 MG CAPS
QUININE SULFATE 325 MG CAPS
AMITRIPTYLINE HCL 150 MG TAB
AMITRIPTYLINE HCL 150 MG TAB

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TE
TE
TE
TE
TE
TE
TE
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
TA
TA

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08

NDC
58016071060
58016071090
58016071099
58016073000
58016073002
58016073004
58016073030
58016073060
58016073081
58016073090
58016073099
58016075000
58016075010
58016075012
58016075014
58016075015
58016075020
58016075028
58016075030
58016075040
58016075100
58016075102
58016075103
58016075130
58016075160
58016075173
58016075189
58016075190
58016090700
58016090710
58016090712
58016090715
58016090730
58016098900
58016098930
58016113301
58016209801
58016304101
58016325601
58016556401
58016605201
58016607701
58016608801
58016609801
58016610701
58016644701
58016907701
58177000104
58177000108
58177000109
58177000111
58177002004
58177004104

NAME
AMITRIPTYLINE HCL 150 MG TAB
AMITRIPTYLINE HCL 150 MG TAB
AMITRIPTYLINE HCL 150 MG TAB
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
FLURBIPROFEN 100 MG TABLET
FLURBIPROFEN 100 MG TABLET
FLURBIPROFEN 100 MG TABLET
FLURBIPROFEN 100 MG TABLET
FLURBIPROFEN 100 MG TABLET
FLURBIPROFEN 100 MG TABLET
FLURBIPROFEN 100 MG TABLET
FLURBIPROFEN 100 MG TABLET
FLURBIPROFEN 100 MG TABLET
FAMOTIDINE 40 MG TABLET
FAMOTIDINE 40 MG TABLET
FAMOTIDINE 40 MG TABLET
FAMOTIDINE 40 MG TABLET
FAMOTIDINE 40 MG TABLET
FAMOTIDINE 40 MG TABLET
FAMOTIDINE 40 MG TABLET
FAMOTIDINE 40 MG TABLET
DILANTIN 100 MG KAPSEAL
DILANTIN 100 MG KAPSEAL
DILANTIN 100 MG KAPSEAL
DILANTIN 100 MG KAPSEAL
DILANTIN 100 MG KAPSEAL
POTASSIUM CL 10 MEQ CAP SA
POTASSIUM CL 10 MEQ CAP SA
TEMOVATE 0.05% CREAM
TEARS NATURALE DROPTAINER
LINDANE 1% SHAMPOO
RHULIGEL
ALCAINE 0.5% EYE DROPS
PROPARACAINE 0.5% EYE DROPS
NAPHAZOLINE 0.1% EYE DROPS
PILOCARPINE 2% EYE DROP
TETRACAINE 0.5% EYE DROPS
HYPOTEARS DROPS
OPHTHETIC 0.5% EYE DROPS
SODIUM FLUORIDE 0.125 MG/DRP
POTASSIUM CL 10 MEQ CAP SA
POTASSIUM CL 10 MEQ CAP SA
POTASSIUM CL 10 MEQ CAP SA
POTASSIUM CL 10 MEQ CAP SA
BROMFENEX-PD CAPSULE SA
OXYCODONE 5 MG CAPSULE

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
CA
CA
CA
CS
CS
KA
SO
SS
JG
SO
SO
SO
SO
SO
SO
SO
SO
CS
CS
CS
CS
CS
CA

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08

NDC
58177004111
58177030304
58223068430
58238021104
58238021304
58238021504
58238021604
58605053401
58768013015
58768013030
58768051612
58768051615
58768051634
58768078712
58864000530
58864002730
58864003742
58864036701
58864045730
58864050990
58864061228
58864061230
58864061240
58864061615
58864061630
58864067540
58864075230
58864081230
58864085230
58864087130
58864087714
58864087830
59011020110
59075059415
59196000401
59366270105
59390004417
59390017313
59390018113
59390018118
59606049005
59741030212
59741030224
59743006101
59762372401
59762372403
59762372405
59762500201
59762500202
59930150801
59930150802
59930161101
59930161103

NAME
OXYCODONE 5 MG CAPSULE
NAPROXEN 500 MG TABLET EC
FLURA-DROPS 0.125 MG/DROP
TRISPEC DMX LIQUID
TRISPEC PSE LIQUID
TRISPEC SFX LIQUID
DELTUSS DMX LIQUID
MAXI-TUSS HCX LIQUID
HYPOTEARS DROPS
HYPOTEARS DROPS
PILOCAR 2% EYE DROPS
PILOCAR 2% EYE DROPS
PILOCAR 2% EYE DROPS
TETRACAINE 0.5% EYE DROPS
ACETAMINOPHEN/COD #4 TABLET
AMOXICILLIN 250 MG TAB CHEW
DILANTIN 100 MG KAPSEAL
NORMODYNE 100 MG TABLET
QUININE SULFATE 325 MG CAP
DILANTIN 100 MG KAPSEAL
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
CELEXA 40 MG TABLET
CELEXA 40 MG TABLET
AMOXICILLIN 250 MG TAB CHEW
NAPROXEN SODIUM 550 MG TAB
CITALOPRAM HBR 40 MG TABLET
CELEXA 20 MG TABLET
POTASSIUM CL 10 MEQ CAP SA
CITALOPRAM HBR 20 MG TABLET
TERAZOSIN 10 MG CAPSULE
OXYIR 5 MG CAPSULE
ZANAFLEX 4 MG TABLET
ULTRABROM PD CAPSULE SA
MAXIMUM STRENGTH WART LIQ
ORACAINE LIQUID
ALTAZINE IRRITATION RELF DR
TETRACAINE HCL 0.5% EYE DROP
TETRACAINE HCL 0.5% EYE DROP
TUSSIN COLD/COUGH SOFTGEL
RECTASOL SUPPOSITORY
RECTASOL SUPPOSITORY
PSEUBROM-PD CAPSULE SA
FLURBIPROFEN 100 MG TABLET
FLURBIPROFEN 100 MG TABLET
FLURBIPROFEN 100 MG TABLET
OXAPROZIN 600 MG CAPLET
OXAPROZIN 600 MG TABLET
OXAPROZIN 600 MG TABLET
OXAPROZIN 600 MG TABLET
AMOXICILLIN 250 MG TAB CHEW
AMOXICILLIN 250 MG TAB CHEW

DOSE FORM DRUG STRENGTH


CA
TE
SO
SL
SL
SL
SL
SL
SO
SO
SO
SO
SO
SO
TA
TC
CA
TA
CA
CA
TA
TA
TA
TA
TA
TC
TA
TA
TA
CS
TA
CA
CA
TA
CS
SL
SL
SO
SO
SO
CA
QA
QA
CS
TA
TA
TA
TA
TA
TA
TA
TC
TC

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08

NDC
59930177201
60258023016
60258023116
60258025116
60258043016
60258043116
60258043216
60258068416
60258071316
60258073516
60267053104
60429014840
60429071030
60429071090
60432054760
60505008000
60505011800
60505011805
60505015900
60505017600
60505017601
60505022201
60505022301
60505025202
60505025203
60505071700
60505071701
60505071702
60505071703
60505251901
60505251904
60505252001
60505252004
60575082519
60760038120
60760038130
60760038160
60760038220
60760038230
60760038260
60760053720
60760053760
60760061820
60760071120
60976034643
60976034644
60976034647
61314001601
61314020415
61646015201
61646015205
61703023322
61703023341

NAME
DOSE FORM DRUG STRENGTH
FLURBIPROFEN 100 MG TABLET
TA
CORDRON-D LIQUID
SL
CORDRON-DM LIQUID
SL
CARBOXINE LIQUID
SL
CARBOXINE-PSE LIQUID
SL
TUSDEC-DM LIQUID
SL
DECAHIST-DM LIQUID
ST
TUSDEC-HC LIQUID
SL
RELACON-HC LIQUID
ST
HY-KXP LIQUID
ST
VERSICLEAR LOTION
SK
PENICILLIN V K 500MG TAB
TA
TERAZOSIN HCL CAPSULES 10MG, 10 "UNIT OF
CAUSE" BOTTLES OF 30 TABLETS
TERAZOSIN 10 MG CAPSULE
CA
LINDANE 1% SHAMPOO
SS
SOTALOL HCL 80 MG TABLET
TA
TERAZOSIN 10 MG CAPSULE
CA
TERAZOSIN 10 MG CAPSULE
CA
SOTALOL HCL 120 MG TABLET
TA
OXAPROZIN 600 MG TABLET
TA
OXAPROZIN 600 MG TABLET
TA
SOTALOL AF 80 MG TABLET
TA
SOTALOL AF 120 MG TABLET
TA
TIZANIDINE HCL 4 MG TABLET
TA
TIZANIDINE HCL 4 MG TABLET
TA
LABETALOL HCL 5 MG/ML VIAL
HV
LABETALOL HCL 5 MG/ML VIAL
HV
LABETALOL HCL 5 MG/ML VIAL
HV
LABETALOL HCL 5 MG/ML VIAL
HV
CITALOPRAM HBR 20 MG TABLET
TA
CITALOPRAM HBR 20 MG TABLET
TA
CITALOPRAM HBR 40 MG TABLET
TA
CITALOPRAM HBR 40 MG TABLET
TA
RESPAHIST CAPSULE SA
CS
DAYPRO 600 MG CAPLET
TA
DAYPRO 600 MG CAPLET
TA
DAYPRO 600 MG CAPLET
TA
OXAPROZIN 600 MG TABLET
TA
OXAPROZIN 600 MG TABLET
TA
OXAPROZIN 600 MG TABLET
TA
NAPROXEN SODIUM 550 MG TAB
TA
NAPROXEN SODIUM 550 MG TAB
TA
NAPROXEN 500 MG TABLET EC
TE
FLURBIPROFEN 100 MG TABLET
TA
TRANDATE 100 MG TABLET
TA
TRANDATE 100 MG TABLET
TA
TRANDATE 100 MG TABLET
TA
PROPARACAINE 0.5% EYE DROPS
SO
PILOCARPINE 2% EYE DROPS
SO
DRIXOMED TABLET SA
TM
DRIXOMED TABLET SA
TM
LABETALOL HCL 5 MG/ML VIAL
HV
LABETALOL HCL 5 MG/ML VIAL
HV

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08

NDC
61703023347
61703023348
61924027044
62037052301
62037052305
62037075601
62037075701
62037075801
62037075901
62037095601
62037095610
62403000401
62436018510
62436053004
62451010510
62451010910
62451380813
62794009218
62991102901
62991108302
62991108303
62991157101
62991157102
62991201301
62991201302
62991201303
63304051501
63304051504
63304056101
63304056105
63304066501
63304066505
63323000121
63323000131
63323003250
63323003261
63323018001
63739008501
63739008502
63739008503
63739027101
63739034615
63868051512
63868067520
63868085012
63868095202
64011000904
64011000908
64011000911
64011000921
64125012001
64125012005
64125012010

NAME
LABETALOL HCL 5 MG/ML VIAL
LABETALOL HCL 5 MG/ML VIAL
DERMAGINATE 4"X4" DRESSING
ACETAMINOPHEN-COD #4 TABLET
ACETAMINOPHEN-COD #4 TABLET
BENAZEPRIL-HCTZ 5/6.25MG TB
BENAZEPRIL-HCTZ 10/12.5 TAB
BENAZEPRIL-HCTZ 20/12.5 TAB
BENAZEPRIL-HCTZ 20/25MG TAB
FAMOTIDINE 40 MG TABLET
FAMOTIDINE 40 MG TABLET
FIBER 6 TABLET
OCCLUSAL-HP 17% LIQUID
BENZASHAVE 5% CREAM
SOTALOL HCL 80 MG TABLET
SOTALOL HCL 120 MG TABLET
TERAZOSIN 10 MG CAPSULE
SORBSAN 4"X 4" WOUND DRESS
CARBOXYMETHYL SOD POWDER
IODINE CRYSTALS
IODINE CRYSTALS
BISMUTH SUBSALICYLATE POWDR
BISMUTH SUBSALICYLATE POWDR
BISMUTH SUBCARBONATE POWDER
BISMUTH SUBCARBONATE POWDER
BISMUTH SUBCARBONATE POWDER
AMOXICILLIN 250 MG TAB CHEW
AMOXICILLIN 250 MG TAB CHEW
ACETAMINOPHEN/COD #4 TABLET
ACETAMINOPHEN/COD #4 TABLET
TERAZOSIN 10 MG CAPSULE
TERAZOSIN 10 MG CAPSULE
MAXIFILL TRANSFER SET
IV TRANSFER SPIKE
SODIUM ACETATE 4 MEQ/ML VIAL
SODIUM ACETATE 4 MEQ/ML VIAL
PYRIDOXINE 100 MG/ML VIAL
DIPYRIDAMOLE 25 MG TABLET
DIPYRIDAMOLE 25 MG TABLET
DIPYRIDAMOLE 25 MG TABLET
PHENYTOIN SOD EXT 100 MG CAP
TIZANIDINE HCL 4 MG TABLET
QC SEVERE COLD-CONGEST CPLT
QC COLD MEDICINE CAPLET
QC TUSSIN COLD-COUGH SFTGEL
QC SCAR RELIEF GEL
MICRO-K 10 MEQ EXTENCAPS
MICRO-K 10 MEQ EXTENCAPS
MICRO-K 10 MEQ EXTENCAPS
MICRO-K 10 MEQ EXTENCAPS
QUININE SULFATE 325 MG CAP
QUININE SULFATE 325 MG CAP
QUININE SULFATE 325 MG CAP

DOSE FORM DRUG STRENGTH


HV
HV
YE
TA
TA
TA
TA
TA
TA
TA
TA
TA
SL
KA
TA
TA
CA
YE
PA
PC
PC
PA
PA
PA
PA
PA
TC
TC
TA
TA
CA
CA
EA
EA
HV
HV
HV
TA
TA
TA
CA
TA
TA
TA
CA
JG
CS
CS
CS
CS
CA
CA
CA

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08

NDC
64455014501
64679093701
64679093702
64679093703
64899004520
64899008320
64899009212
64899009220
64899011424
64899056859
64899091901
64899092050
64915011224
64915055979
64915075660
65056010210
65162013811
65162013815
65162013850
65224017516
65224022516
65224030016
65224041216
65224045016
65224045716
65483035502
65483035504
65483039110
65483039111
65483039150
65615011060
65628005001
65779007026
65862000601
65862000605
65862000610
65862000630
65862000701
65862000705
65862000710
65862000730
66004012104
66004012205
66004085018
66004085118
66004953904
66004969105
66116016830
66116024440
66116026330
66116060530
66116060620
66116060830

NAME
VASERETIC 5-12.5 MG TABLET
FAMOTIDINE 40 MG TABLET
FAMOTIDINE 40 MG TABLET
FAMOTIDINE 40 MG TABLET
HCA DAY-TIME LIQUID CAPS
HCA COLD CAPS CAPLET
HCA TUSSIN COLD/COUGH SFTGL
HCA TUSSIN COLD/COUGH SFTGL
HCA NON-DRYING SINUS SFTGEL
HCA TEARS PLUS DROPS
HCA TEST STRIP
HCA TEST STRIP
TYLER PRENATAL CAPSULE
BIFIDO-GENIC FACTORS POWDER
BLACK COHOS EXTR 200 MG CAP
PRE-FOLIC TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
PEDIATEX LIQUID
PEDIATEX DM LIQUID
PEDIATEX-D LIQUID
Z-COF HC LIQUID
PEDIATEX DM LIQUID
PEDIATEX-D LIQUID
TRANDATE 5 MG/ML VIAL
TRANDATE 5 MG/ML VIAL
TRANDATE 100 MG TABLET
TRANDATE 100 MG TABLET
TRANDATE 100 MG TABLET
GENETICAL SOFTGEL
FIRST-MOUTHWASH BLM SUSPENSION
DAY-TIME SOFTGEL
CITALOPRAM HBR 20 MG TABLET
CITALOPRAM HBR 20 MG TABLET
CITALOPRAM HBR 20 MG TABLET
CITALOPRAM HBR 20 MG TABLET
CITALOPRAM HBR 40 MG TABLET
CITALOPRAM HBR 40 MG TABLET
CITALOPRAM HBR 40 MG TABLET
CITALOPRAM HBR 40 MG TABLET
ULTIMA TEST STRIPS
ULTIMA TEST STRIPS
KROGER TEST STRIPS
KROGER TEST STRIPS
RELI ON TEST STRIPS
RELI ON TEST STRIPS
AMOXICILLIN 250 MG TAB CHEW
PENICILLIN VK 500 MG TABLET
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
AMOXICILLIN 250 MG TAB CHEW

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
CA
TA
CA
CA
CA
SO
YR
YR
CA
PA
CA
TA
TA
TA
TA
SL
ST
SL
ST
SL
SL
HV
HV
TA
TA
TA
CA
SM
CA
TA
TA
TA
TA
TA
TA
TA
TA
YR
YR
YR
YR
YR
YR
TC
TA
TA
TA
TA
TC

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08

NDC
66116061240
66116069430
66239026416
66267000230
66267002230
66267006514
66267006530
66267006560
66267007990
66267015414
66267015420
66267015430
66267015460
66267016020
66267016028
66267016040
66267040714
66267040720
66267040730
66267040760
66267048630
66267059830
66267059860
66267059884
66267059890
66267061830
66267092415
66267095915
66852000547
66852001171
66869010910
66869072110
67204021016
67204024516
67204032016
67253020110
67253020150
68030029903
68030289901
68030289905
68030299903
68030361401
68030604101
68030604701
68030604702
68030604703
68030605701
68030661300
68030661304
68030661307
68030675604
68030963601
68071023130

NAME
PENICILLIN VK 500 MG TABLET
OXAPROZIN 600 MG TABLET
HISTUSS 1.75 MG/5 ML LIQUID
ACETAMINOPHEN/COD #4 TABLET
AMOXICILLIN 250 MG TAB CHEW
DAYPRO 600 MG CAPLET
DAYPRO 600 MG CAPLET
DAYPRO 600 MG CAPLET
DILANTIN 100 MG KAPSEAL
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
OXAPROZIN 600 MG TABLET
OXAPROZIN 600 MG TABLET
OXAPROZIN 600 MG TABLET
OXAPROZIN 600 MG TABLET
FLURBIPROFEN 100 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
CELEXA 20 MG TABLET
TETRACAINE 0.5% EYE DROPS
NAPHAZOLINE 0.1% EYE DROPS
AT-LAST TEST STRIPS
AT-LAST TEST STRIPS
LORTUSS HC LIQUID
LORTUSS DM LIQUID
ORATUSS LIQUID
ZYMINE-D LIQUID
ZYMINE 1.25 MG/5 ML LIQUID
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
DAYPRO 600 MG CAPLET
OXAPROZIN 600 MG TABLET
OXAPROZIN 600 MG TABLET
DAYPRO 600 MG CAPLET
PENICILLIN VK 500 MG TABLET
ANAPROX DS 550 MG TABLET
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
OXAPROZIN 600 MG TABLET
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
ZANAFLEX 4 MG TABLET
PROPARACAINE 0.5% EYE DROPS
CITALOPRAM HBR 20 MG TABLET

DOSE FORM DRUG STRENGTH


TA
TA
SL
TA
TC
TA
TA
TA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
SO
SO
YR
YR
SL
SL
SL
SL
ST
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
SO
TA

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08

NDC
68071023152
68084001301
68084001380
68084001385
68084011600
68084011605
68084011606
68084011630
68115000200
68115000230
68115000260
68115000290
68115002721
68115002730
68115007100
68115007130
68115013930
68115025220
68115025230
68115026530
68115026560
68115026920
68115026928
68115026930
68115026940
68115028130
68115028190
68115028630
68115028660
68115039215
68115039230
68115039260
68115039290
68115040030
68115043030
68115063600
68115066100
68115068307
68115071498
68115071800
68115072650
68115079700
68115086898
68115094215
68115095815
68188093190
68387014030
68387014060
68387014090
68387018030
68387018060
68552075005
68552075010

NAME
CITALOPRAM HBR 20 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
QUININE SULFATE 325 MG CAP
QUININE SULFATE 325 MG CAP
QUININE SULFATE 325 MG CAP
QUININE SULFATE 325 MG CAP
ACETAMINOPHEN-COD #4 TABLET
ACETAMINOPHEN-COD #4 TABLET
ACETAMINOPHEN-COD #4 TABLET
ACETAMINOPHEN-COD #4 TABLET
AMOXICILLIN 250 MG TAB CHEW
AMOXICILLIN 250 MG TAB CHEW
CELEXA 20 MG TABLET
CELEXA 20 MG TABLET
FAMOTIDINE 40 MG TABLET
NAPROXEN SODIUM 550 MG TABLET
NAPROXEN SODIUM 550 MG TABLET
OXAPROZIN 600 MG TABLET
OXAPROZIN 600 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PENICILLIN VK 500 MG TABLET
PHENYTOIN SOD EXT 100 MG CAP
PHENYTOIN SOD EXT 100 MG CAP
POTASSIUM CL 10 MEQ CAPSULE SA
POTASSIUM CL 10 MEQ CAPSULE SA
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
QUININE SULFATE 324 MG CAP
AMITRIPTYLINE HCL 150 MG TAB
VERAPAMIL 40 MG TABLET
SOTALOL 80 MG TABLET
ANUSOL-HC 1% OINTMENT
ZANAFLEX 4 MG TABLET
ONE TOUCH ULTRA TEST STRIPS
ONE TOUCH II TEST STRIPS
CELEXA 40 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TETRACAINE 0.5% EYE DROPS
NAPHAZOLINE 0.1% EYE DROPS
LINDANE 1% SHAMPOO
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET
OXAPROZIN 600 MG TABLET
OXAPROZIN 600 MG TABLET
TIZANIDINE HCL 4 MG TABLET
TIZANIDINE HCL 4 MG TABLET

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
CA
CA
CA
CA
TA
TA
TA
TA
TC
TC
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
CS
CS
TA
TA
TA
TA
CA
TA
TA
TA
OA
TA
YR
YR
TA
TA
SO
SO
SS
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08

NDC
68552075050
68585001201
68722990801
68722990805
70030013250
70030013336
70030013835
70030013846
70074050261
70501001400
70501009100
70501009400
70501009700
73913128274
73913128277
74300000401
74300000402
74684000101
74684000102
74684000103
74684000104
75137059110
75537000336
75537000501
75537000502
75537000508
75537000535
75537000553
75537000560
75537000566
75537000596
75537000787
75537000913
75537000966
75537008049
75537008059
75537027231
75537030276
75537030314
75537030365
75537030373
75537030381
75537031111
75537031430
75537031463
75537040214
75537043881
75537043882
75537047419
75537059884
75537093099
79511050004
79511050602

NAME
TIZANIDINE HCL 4 MG TABLET
MAGBEE TABLET
NAPROXEN SODIUM 550 MG TAB
NAPROXEN SODIUM 550 MG TAB
DAY-TIME LIQUID SOFTGEL
TUSSIN COUGH-COLD SOFTGEL
DAY TIME LIQUID CAPSULE
NASAL DECONGESTANT LIQ CAP
PROVIMIN POWDER
NEUT ANTISEPTIC CLEAN PAD
VEHICLE/N SOLUTION
VEHICLE/N MILD SOLUTION
NEUTROGENA ACNE MASK CREAM
FIRST CHOICE SYRINGE 0.5 ML
FIRST CHOICE SYRINGE 1 ML
VISINE ALLERGY RELIEF DROP
VISINE ALLERGY RELIEF DROP
GOODY'S HEADACHE POWDER PKT
GOODY'S HEADACHE POWDER PKT
GOODY'S HEADACHE POWDER PKT
GOODY'S HEADACHE POWDER PKT
COMPOUND W LIQUID
ACCU-CHEK ADVANTAGE STRIPS
CHEMSTRIP BG (VISUAL ONLY)
CHEMSTRIP BG(ACCU-CHEK II)
CHEMSTRIP BG(ACCU-CHEK II)
TRACER BG TEST STRIP
ACCU-CHEK ADVANTAGE STRIPS
ACCU-CHEK EASY TEST STRIPS
ACCU-CHEK EASY TEST STRIPS
TRACER BG TEST STRIP
ACCU-CHEK ADVANTAGE STRIPS
ACCU-CHEK INSTANT TEST STRP
ACCU-CHEK ADVANTAGE STRIPS
ACCU-CHEK CMFRT CURVE STRIP
ACCU-CHEK CMFRT CURVE STRIP
ACCU-CHEK ACTIVE STRIP
ACCU-CHEK SIMPLICITY STRIPS
ACCU-CHEK SIMPLICITY STRIPS
ACCU-CHEK CMFRT CURVE STRIP
ACCU-CHEK CMFRT CURVE STRIP
ACCU-CHEK CMFRT CURVE STRIP
ACCU-CHEK ADVANTAGE STRIPS
ACCU-CHEK CMFRT CURVE STRIP
ACCU-CHEK ACTIVE TEST STRIP
ACCU-CHEK COMPACT STRIP
ACCU-CHEK COMFORT CURVE STRIP
ACCU-CHEK COMFORT CURVE STRIP
ACCU-CHEK COMPACT STRIP
ACCU-CHEK COMPACT TEST DRUM
ACCU-CHEK SIMPLICITY STRIPS
MG217 MEDICATED TAR OINT
MG217 SAL-ACID OINTMENT

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
CA
CA
CA
CA
PA
ET
SA
SA
KA
YL
YL
SO
SO
PP
PP
PP
PP
SL
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
OA
OA

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08

NDC
79854000687
79854000694
79854001118
79854001143
79854001160
79854001169
79854001181
79854001243
79854008041
79854008044
79854020687
79854021118
80196073463
82468011384
82468061429
82468061430
82468061442
82468061489
82468061490
82468062123
82468062124
86679001999
86679023469
86679023879
86679023896
86679024780
87651060367
87651060467
87651060567
87701033586
87701033674
87701036101
87701036105
87701040001
87701040002
87701041663
87701041795
87701048604
87701053719
87701053869
87701055200
87701055277
87701055557
87701055850
87701061627
87701063748
87701063767
87701065176
87701066838
87701066840
87701074702
87701074723
87701079204

NAME
GRAPE SEED 50 MG TABLET
WOMEN'S CONTROL & RELF CAP
GLUCOSAMINE/CHONDROITIN CAP
SOY ISOFLAVONES 40 MG CAPLET
VIRA EXTRA CAPSULE
VIRA FEMALE CAPSULE
GLUCOSAMINE/CHONDROITIN CAP
STARCH CONTROL CAPSULE
GLUCOSAMINE/CHONDROIT SFTGL
GLUCOSAMINE/CHONDROIT SFTGL
GRAPE SEED 50 MG TABLET
GLUCOSAMINE COMPLEX CAPSULE
EVENCARE GLUCOSE TST STRIPS
FP THROAT LOZENGE MAX STRENGTH
FP INSULIN 0.5 ML SYRINGE
FP INSULIN 1 ML SYRINGE
FP VISION CAPSULE
FP TUSSIN SEVERE CONGST SFG
FP TUSSIN COLD & COUGH SFTG
FP JR. STR NON-ASPIRIN 160 MG
FP JR. STR NON-ASPIRIN 160 MG
UNDERPAD STANDARD 17"X24"
EZ-SORB 17"X24" UNDERPAD
DRI-SORB UNDERPADS 17"X24"
ECONOLINE 17"X24" UNDERPAD
ECONOLINE PLUS PAD 17"X24"
AZO MENOPAUSE TABLET
AZO CONFIDENCE TABLET
AZO PMS TABLET
GNP TEST STRIPS
BL TEST STRIPS
BL DAILY CLEANER SOLUTION
GNP DAILY CLEANER SOLUTION
GNP JR. STR NON-ASPIRIN 160 MG
GNP JR. STR NON-ASPIRIN 160 MG
BL GLUCOSE TABLET CHEW
GNP GLUCOSE TABLET CHEW
BL SORE THROAT LOZENGE
BL DIXAPHEDRINE TABLET SA
BL SPEARMINT OIL
GNP ANTIBIOTIC CREAM
GNP ORASOL LIQUID
BL UNDERPAD, REGULAR
BL UNDERPAD, REGULAR
GNP SORE THROAT LOZENGES
BL TAMPON REGULAR
BL TAMPON SUPER
BL SORE THROAT LOZENGES
BL REAGENT STRIPS
BL REAGENT STRIPS
GNP ULTRA COMFORT 0.5 ML SYR
GNP ULTRA COMFORT 1 ML SYRINGE
BL DAYTIME LIQUID CAPSULE

DOSE FORM DRUG STRENGTH


TA
CA
CA
TA
CA
CA
CA
CA
CA
CA
TA
CA
YR
TL
YL
YL
CA
CA
CA
UL
UL
EA
EA
EA
EA
EA
TA
TA
TA
YR
YR
SA
SA
UL
UL
TC
TC
TL
TM
SQ
KA
SL
EA
EA
TL
YN
YN
TL
YR
YR
YL
YL
CA

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08

NDC
87701079227
87701080000
87701082967
87701083868
87701084737
87701086415
87701088972
87701089193
87701089432
87701089434
87701089510
87701090028
87701091650
87701091777
87701091851
87701091875
87701095067
87701095086
87701095346
87701097042
87701099796
87900086012
87900086013
87900086014
90389001513
90891013300
90891030120
90891030124
90891030132
90891070036
92771083044
93815080063
93815080116
93815080339
93815080343
93815097103
93815097174
93815097400
93815097401
93815097542
93815097543
93815098335
93815098336
93815098729
93815098730
93815098732
93815098733
93815098757
93815099134
93815099135
93815099565
93815099586
93815099694

NAME
GNP DAYTIME LIQUID CAPSULE
GNP ANTIOXIDANT SOFTGEL
GNP TUSSIN COUGH/COLD GELCP
GNP GRAPE SEED 25 MG CAP
BL TUSSIN COUGH/COLD GELCAP
GNP SORE THROAT LOZENGE
BL VITAMIN E 800 UNIT SOFTGEL
BL IRON 50 MG CAPLET SA
GNP WART REMOVER SOLUTION
BL WART REMOVER SOLUTION
GNP IRON 50 MG CAPLET SA
GNP DIXAPHEDRINE TABLET SA
GNP TUSSIN COUGH/CLD GELCAP
GNP TUSSIN SEVERE GELCAP
BL TUSSIN COUGH/COLD GELCAP
BL TUSSIN SEVERE GELCAP
BL ANTIBIOTIC CREAM
BL ORASOL LIQUID
BL GRAPE SEED 25 MG CAP
GNP VITAMIN E 800 UNIT SOFTGEL
BL ANTIOXIDANT SOFTGEL
B.F.I. POWDER
B.F.I. POWDER
B.F.I. POWDER
SOOTHE-AID LOZENGE
FLUFF UNDERPAD 17.5"X24"
CUTIES BABY DIAPERS UNISEX
CUTIES BABY DIAPERS UNISEX
CUTIES BABY DIAPERS UNISEX
PREVAIL UNDERPAD 17.5"X 24"
CALALGIN-GRX 4"X4" DRESSING
PRECISION PCX PLUS TEST STR
PRECISION POINT OF CARE STR
PRECISION PCX PLUS TEST STR
PRECISION SOF-TACT TEST STR
EXACTECH TEST STRIPS
EXACTECH TEST STRIPS
PRECISION Q-I-D TEST STRIPS
PRECISION Q-I-D TEST STRIPS
EXACTECH RSG TEST STRIPS
EXACTECH RSG TEST STRIPS
PRECISION Q-I-D TEST STRIPS
PRECISION Q-I-D TEST STRIPS
EXACTECH TEST STRIPS
EXACTECH TEST STRIPS
PRECISION Q-I-D TEST STRIPS
PRECISION Q-I-D TEST STRIPS
PRECISION PCX TEST STRIPS
OPTIUM TEST STRIP
OPTIUM TEST STRIP
PRECISION PCX TEST STRIPS
PRECISION SOF-TACT TEST STR
PRECISION XTRA TEST STRIPS

DOSE FORM DRUG STRENGTH


CA
CA
CA
CA
CA
TL
CA
TS
SL
SL
TS
TM
CA
CA
CA
CA
KA
SL
CA
CA
CA
PA
PA
PA
TL
EA
EA
EA
EA
EA
YE
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08

NDC
93815099695
93815099728
93815099838
93815099877
93815099878
96295011214
96295011287
97807007075
97807007110
97807019018
99073012001
99073012050
99073012101
99073012301
99073012350
99073012401
99073012450
99073042001
99073042050
99207075410
00003013450
00003013460
00003020917
00003020922
00003022736
00003022750
00003022751
00003022752
00003022753
00003022754
00003022755
00003022756
00003022757
00003022758
00003022759
00003022760
00003022761
00003022762
00003022763
00003022764
00003022765
00003022766
00003022767
00003022768
00003022769
00003022770
00003022771
00003025433
00003027062
00003037405
00003037406
00003037407
00003037439

NAME
PRECISION XTRA TEST STRIPS
PRECISION XTRA TEST STRIPS
PRECISION XTRA TEST STRIPS
PRECISION XTRA TEST STRIPS
PRECISION XTRA TEST STRIPS
SCAR GEL
WART REMOVER LIQUID
HCA COLD CAPS CAPLET
HCA NON-DRYING SINUS SFTGEL
HCA TEARS PLUS DROPS
FREESTYLE TEST STRIPS
FREESTYLE TEST STRIPS
FREESTYLE TEST STRIPS
FREESTYLE TEST STRIPS
FREESTYLE TEST STRIPS
FREESTYLE TEST STRIPS
FREESTYLE TEST STRIPS
FREESTYLE TEST STRIPS
FREESTYLE TEST STRIPS
OCCLUSAL-HP 17% LIQUID
PRINCIPEN 500 MG CAPSULE
PRINCIPEN 500 MG CAPSULE
LITTLE ONES ACTIVE LIFE PCH
LITTLE ONES ACTIVE LIFE PCH
VISI-FLOW STOMA CONE
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
SUR-FIT NIGHT DRNAGE TUBING
WOUND MGR DRAINAGE POUCH
WOUND MGR DRAINAGE POUCH
WOUND MGR DRAINAGE POUCH
ALLKARE PROTECT BARR WIPE

DOSE FORM DRUG STRENGTH


YR
YR
YR
YR
YR
JG
SL
TA
CA
SO
YR
YR
YR
YR
YR
YR
YR
YR
YR
SL
CA
CA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.08
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
00003037444
00003037449
00003125330
00003125362
00003175635
00003175650
00003175652
00003400598
00003400599
00003401515
00003401989
00003403948
00003405456
00003405457
00003405458
00003405467
00003405468
00003405483
00003409268
00003409269
00003409270
00003411100
00003411101
00003413147
00003650078
00003650408
00003650422
00003650476
00003830210
00003830211
00003830212
00003830213
00003830214
00003830220
00003830221
00003830222
00003830223
00003830224
00003830225
00003839001
00003839002
00003839003
00003839210
00003839211
00003839212
00003839213
00003839214
00003839220
00003839221
00003839222
00003839223
00003839224
00003839225

NAME
ALLKARE PROTECT BARR WIPE
FLEXI-TRAK ANCHORING DEVICE
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE UROSTOMY POUCH
SUR-FIT/ACT LIFE/TAIL CLOSR
SUR-FIT TAIL CLOSURES
DUOLOCK CURVED TAIL CLOSURE
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
SUR-FIT NAT DRAINABLE POUCH
VISI-FLOW IRRIG STOMA CONE
STOMAHESIVE SKIN BARRIER
STOMAHESIVE SKIN BARRIER
STOMAHESIVE SKIN BARRIER
STOMAHESIVE SKIN BARRIER
STOMAHESIVE SKIN BARRIER
STOMAHESIVE SKIN BARRIER
STOMAHESIVE SKIN BARRIER
DURAHESIVE MOLDABLE CONVEX
DURAHESIVE MOLDABLE CONVEX
DURAHESIVE MOLDABLE CONVEX
FLEXI-SEAL FMS
FLEXI-SEAL FMS COLLECTION BAGS
ACTIVE LIFE CLOSED-END PCH
FLEXI-SEAL FECAL COLLECTOR
ACTIVE LIFE CLOSED-END PCH
ACTIVE LIFE CLOSED-END PCH
ACTIVE LIFE CLOSED-END PCH
EAKIN FISTULA & WOUND POUCH
EAKIN FISTULA & WOUND POUCH
EAKIN FISTULA & WOUND POUCH
EAKIN FISTULA & WOUND POUCH
EAKIN FISTULA & WOUND POUCH
EAKIN FISTULA & WOUND POUCH
EAKIN FISTULA & WOUND POUCH
EAKIN FISTULA & WOUND POUCH
EAKIN FISTULA & WOUND POUCH
EAKIN FISTULA & WOUND POUCH
EAKIN FISTULA & WOUND POUCH
EAKIN COHESIVE SEALS 4"
EAKIN COHESIVE SEALS 2"
EAKIN SKIN BARRIER 4"X8"
EAKIN FISTULA & WOUND POUCH
EAKIN FISTULA & WOUND POUCH
EAKIN FISTULA & WOUND POUCH
EAKIN FISTULA & WOUND POUCH
EAKIN FISTULA & WOUND POUCH
EAKIN FISTULA & WOUND POUCH
EAKIN FISTULA & WOUND POUCH
EAKIN FISTULA & WOUND POUCH
EAKIN FISTULA & WOUND POUCH
EAKIN FISTULA & WOUND POUCH
EAKIN FISTULA & WOUND POUCH

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
00004641501
00005517857
00005556719
00006014031
00006014058
00009770001
00009770009
00009770011
00009770012
00009770013
00009770015
00009771501
00013010101
00013010120
00019658801
00024175401
00026556161
00026556162
00026851348
00026851351
00031224201
00031890363
00034234003
00037051568
00037071416
00049337226
00049343626
00054439425
00054816721
00054816723
00054839424
00064221002
00064221004
00065075612
00066009802
00067000506
00067000518
00067000548
00067004114
00071073720
00071073730
00074104130
00074116101
00074116501
00074116502
00074117901
00074117902
00074117911
00074117921
00074117930
00074117931
00074148302
00074148303

NAME
EC-NAPROSYN 375 MG TABLET EC
ARISTOCORT HP 0.5% OINT
CALTRATE PLUS TABLET CHEW
PRINZIDE 20/12.5 TABLET
PRINZIDE 20/12.5 TABLET
ROGAINE 5% SOLUTION
ROGAINE 5% SOLUTION
ROGAINE 5% SOLUTION
ROGAINE 5% SOLUTION
ROGAINE 5% SOLUTION
ROGAINE 5% SOLUTION
PEDIACARE INFANT DROPS
AZULFIDINE 500 MG TABLET
AZULFIDINE 500 MG TABLET
PHENOBARBITAL POWDER
NEO-SYNEPHRINE 12 HOUR SPRAY
TRIDESILON 0.05% CREAM
TRIDESILON 0.05% CREAM
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
DIMETAPP INFANT DROPS
TENEX 2 MG TABLET
BETADINE 10% OINTMENT
LUFYLLIN 100 MG/15 ML ELIXIR
RYNATAN PEDIATRIC ORAL SUSP
DIFLUCAN/SALINE 400 MG/200 ML
DIFLUCAN/SALINE 400 MG/200 ML
HYDROMORPHONE 4 MG TABLET
CROMOLYN NEBULIZER SOLUTION
CROMOLYN NEBULIZER SOLUTION
HYDROMORPHONE 4 MG TABLET
NUTRACORT 2.5% LOTION
NUTRACORT 2.5% LOTION
PILOCARPINE 4% EYE DROPS
HYTONE 2.5% LOTION
SENNA CONC 15MG TAB
EX-LAX CHOCOLATE
EX-LAX CHOCOLATE
BENEFIBER POWDER
LOPID 600 MG TABLET
LOPID 600 MG TABLET
CARBOCAINE 1.5% VIAL
BUPIVACAINE 0.5% AMPUL
BUPIVACAINE 0.75% VIAL
BUPIVACAINE 0.75% VIAL
DEMEROL 75 MG/ML SYRINGE
DEMEROL 75 MG/ML SYRINGE
DEMEROL 75 MG/ML SYRINGE
DEMEROL 75 MG/ML SYRINGE
DEMEROL 75 MG/ML SYRINGE
DEMEROL 75 MG/ML SYRINGE
NTG 0.1 MG/ML IN D5W
NTG 0.1 MG/ML IN D5W

DOSE FORM DRUG STRENGTH


TE
OA
TC
TA
TA
SA
SA
SA
SA
SA
SA
SO
TA
TA
PA
AT
KA
KA
TA
TA
SO
TA
PP
SE
SC
HP
HP
TA
AL
AL
TA
SK
SK
SO
SK
TC
TC
TC
PP
TA
TA
HV
HH
HV
HV
HQ
HQ
HQ
HQ
HQ
HQ
HB
HB

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
00074156030
00074158210
00074158229
00074200701
00074241612
00074241614
00074241654
00074329606
00074329706
00074329806
00074439013
00074439053
00074468802
00074468833
00074468834
00074588101
00074738501
00074788313
00074909420
00074909422
00074909425
00074909428
00074909431
00074909461
00074909610
00074909620
00076010903
00085175401
00085175402
00085460203
00085460270
00085460401
00085460402
00087054301
00088171225
00088171247
00088171253
00088171255
00089023110
00093067005
00093067006
00093086401
00093100501
00093100505
00093103601
00093103605
00093221001
00093221005
00093514601
00093514605
00096070935
00096070960
00113010716

NAME
MARCAINE 0.5% AMPUL
MARCAINE 0.75% VIAL
MARCAINE 0.75% VIAL
PONTOCAINE 0.5% OINTMENT
DILAUDID 4 MG TABLET
DILAUDID 4 MG TABLET
DILAUDID 4 MG TABLET
TPN ELECTROLYTES VIAL
TPN ELECTROLYTES II VIAL
TPN ELECTROLYTES III VIAL
TRANXENE T-TAB 7.5 MG
TRANXENE T-TAB 7.5 MG
FLUCONAZOLE-NS 400 MG/200 ML
FLUCONAZOLE-NS 400 MG/200 ML
FLUCONAZOLE-NS 400 MG/200 ML
TPN ELECTROLYTES VIAL
AMINOPHYLLINE 250 MG/10 ML
GENTAMICIN 80 MG/NS 50 ML PB
FENTANYL 0.05 MG/ML VIAL
FENTANYL 0.05 MG/ML VIAL
FENTANYL 0.05 MG/ML VIAL
FENTANYL 0.05 MG/ML VIAL
FENTANYL 0.05 MG/ML VIAL
FENTANYL 0.05 MG/ML VIAL
FENTANYL 0.05 MG/ML VIAL
FENTANYL 0.05 MG/ML VIAL
URO-KP-NEUTRAL CAPLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
INSPIREASE RESERVOIR BAGS
INSPIREASE RESERVOIR BAGS
INSPIREASE MOUTHPIECE
INSPIREASE REPL MOUTHPIECE
VASODILAN 10 MG TABLET
CARAFATE 1 GM TABLET
CARAFATE 1 GM TABLET
CARAFATE 1 GM TABLET
CARAFATE 1 GM TABLET
NORGESIC TABLET
GEMFIBROZIL 600 MG TABLET
GEMFIBROZIL 600 MG TABLET
CIPROFLOXACIN HCL 500 MG TAB
NAPROXEN 375 MG TABLET EC
NAPROXEN 375 MG TABLET EC
LISINOPRIL-HCTZ 20/12.5 TAB
LISINOPRIL-HCTZ 20/12.5 TAB
SUCRALFATE 1 GM TABLET
SUCRALFATE 1 GM TABLET
AMPICILLIN TR 500 MG CAPSULE
AMPICILLIN TR 500 MG CAPSULE
XERAC AC 6.25% SOLUTION
XERAC AC 6.25% SOLUTION
MINOXIDIL 5% SOLUTION

DOSE FORM DRUG STRENGTH


HH
HV
HV
OA
TA
TA
TA
HV
HV
HV
TA
TA
HP
HP
HP
HV
HH
HP
HV
HV
HV
HV
HV
HV
HV
HV
TA
TA
TA
EA
EA
EA
EA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TE
TE
TA
TA
TA
TA
CA
CA
SA
SA
SA

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
00113010781
00113048705
00113062605
00131422009
00131433086
00143126301
00143126310
00143992801
00145253802
00145253804
00168017515
00168028802
00172474000
00172474010
00172474060
00172474080
00172503400
00172503410
00172503460
00172503470
00172531200
00172531210
00172531260
00172531270
00172640649
00172640659
00173068700
00173500001
00178008101
00182020830
00182166211
00182195689
00182272101
00182272136
00182407726
00182506651
00182506652
00182506851
00185015201
00185015210
00185037101
00185037110
00185045101
00185064701
00185064710
00185071301
00185071305
00185210001
00185210005
00185500001
00185500010
00186041801
00186103302

NAME
MINOXIDIL 5% SOLUTION
PEDIA RELIEF INFANT DROPS
INFANTS' PAIN/REL COLD DRPS
NIFEREX-150 CAPSULE
NIFEREX-150 FORTE CAPSULE
LISINOPRIL-HCTZ 20-12.5 TAB
LISINOPRIL-HCTZ 20-12.5 TAB
CIPROFLOXACIN HCL 500 MG TAB
LACTICARE-HC 2.5% LOTION
LACTICARE-HC 2.5% LOTION
PILOCARPINE 4% EYE DROPS
HYDROCORTISONE 2.5% LOTION
CITALOPRAM HBR 10 MG TABLET
CITALOPRAM HBR 10 MG TABLET
CITALOPRAM HBR 10 MG TABLET
CITALOPRAM HBR 10 MG TABLET
LISINOPRIL-HCTZ 20/12.5 TAB
LISINOPRIL-HCTZ 20/12.5 TAB
LISINOPRIL-HCTZ 20/12.5 TAB
LISINOPRIL-HCTZ 20/12.5 TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CROMOLYN NEBULIZER SOLUTION
CROMOLYN NEBULIZER SOLUTION
AGENERASE 15 MG/ML ORAL SOLN
ELLIPSE COMPACT SPACER
IROMIN-G TABLET
BACITRACIN 500 UNITS/GM OINTMN
ACETAMINOPHEN 120 MG SUPPOS
GEMFIBROZIL 600 MG TABLET
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
SAW PALMETTO 160 MG SOFTGEL
DESONIDE 0.05% CREAM
DESONIDE 0.05% CREAM
TRIAMCINOLONE 0.5% OINTMENT
LISINOPRIL-HCTZ 20/12.5 TB
LISINOPRIL-HCTZ 20/12.5 TB
CITALOPRAM HBR 10 MG TABLET
CITALOPRAM HBR 10 MG TABLET
CIPROFLOXACIN HCL 500 MG TAB
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
ORPHENADRINE COMP TABLET
ORPHENADRINE COMP TABLET
SUCRALFATE 1 GM TABLET
SUCRALFATE 1 GM TABLET
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
POLOCAINE 1.5% VIAL
SENSORCAINE 0.5% AMPUL

DOSE FORM DRUG STRENGTH


SA
SO
SO
CA
CA
TA
TA
TA
SK
SK
SO
SK
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
AL
AL
SJ
EA
TA
PP
QA
TA
TA
TA
CA
KA
KA
OA
TA
TA
TA
TA
TA
CA
CA
TA
TA
TA
TA
CA
CA
HV
HH

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
00186103701
00186103712
00187000301
00212282374
00225035610
00225035612
00225035615
00228270703
00228270711
00228274511
00228275511
00228306811
00228306850
00245000308
00245000331
00247015707
00247015716
00247015720
00247015721
00247015728
00247015730
00247015740
00247016701
00247016702
00247016706
00247016708
00247016710
00247016712
00247016714
00247016715
00247016720
00247016730
00247022801
00247022802
00247022806
00247022808
00247022812
00247026415
00247026420
00247026430
00247026515
00247026520
00247026530
00247036710
00247036718
00247036720
00247036728
00247036730
00247036740
00247036756
00247044015
00247044030
00247048415

NAME
SENSORCAINE 0.75% VIAL
SENSORCAINE 0.75% VIAL
CAPITAL W/CODEINE ORAL SUSP
BENEFIBER POWDER
MOBIGESIC TABLET
MOBIGESIC TABLET
MOBIGESIC TABLET
LISINOPRIL-HCTZ 20/12.5 TB
LISINOPRIL-HCTZ 20/12.5 TB
NAPROXEN 375 MG TABLET EC
CITALOPRAM HBR 10 MG TABLET
CLORAZEPATE 7.5 MG TABLET
CLORAZEPATE 7.5 MG TABLET
SSKI 1 GM/ML SOLUTION
SSKI 1 GM/ML SOLUTION
AMPICILLIN TR 500 MG CAPSULE
AMPICILLIN TR 500 MG CAPSULE
AMPICILLIN TR 500 MG CAPSULE
AMPICILLIN TR 500 MG CAPSULE
AMPICILLIN TR 500 MG CAPSULE
AMPICILLIN TR 500 MG CAPSULE
AMPICILLIN TR 500 MG CAPSULE
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
ACETAMINOPHEN 120 MG SUPPOS
ACETAMINOPHEN 120 MG SUPPOS
ACETAMINOPHEN 120 MG SUPPOS
ACETAMINOPHEN 120 MG SUPPOS
ACETAMINOPHEN 120 MG SUPPOS
ALBUTEROL SULFATE 2 MG TAB
ALBUTEROL SULFATE 2 MG TAB
ALBUTEROL SULFATE 2 MG TAB
ALBUTEROL SULFATE 4 MG TAB
ALBUTEROL SULFATE 4 MG TAB
ALBUTEROL SULFATE 4 MG TAB
METHOCARBAMOL W/ASA TABLET
METHOCARBAMOL W/ASA TABLET
METHOCARBAMOL W/ASA TABLET
METHOCARBAMOL W/ASA TABLET
METHOCARBAMOL W/ASA TABLET
METHOCARBAMOL W/ASA TABLET
METHOCARBAMOL W/ASA TABLET
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
PILOCARPINE 4% EYE DROPS

DOSE FORM DRUG STRENGTH


HV
HV
SC
PP
TA
TA
TA
TA
TA
TE
TA
TA
TA
SJ
SJ
CA
CA
CA
CA
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
QA
QA
QA
QA
QA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
SO

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
00247062500
00247062507
00247062514
00247062515
00247062528
00247062530
00247079107
00247079114
00247102260
00247114930
00247114960
00247124520
00247135530
00247140015
00258369501
00258369505
00259029101
00259039021
00259039148
00264194320
00264303024
00264530004
00264531004
00264581638
00277016901
00299577015
00299577060
00299577090
00310014210
00314021105
00314021150
00338050941
00338104702
00338204948
00338350241
00338355148
00338604537
00378004001
00378004005
00378021301
00378021310
00378025501
00378025505
00378057201
00378057205
00378119001
00378132301
00378132305
00378201201
00378335401
00394010202
00394010205
00394010502

NAME
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
CLORAZEPATE 7.5 MG TABLET
CLORAZEPATE 7.5 MG TABLET
LOPID 600 MG TABLET
ZESTORETIC 20/12.5 TABLET
ZESTORETIC 20/12.5 TABLET
CARAFATE 1 GM TABLET
PHENTERMINE 30 MG CAPSULE
DESONIDE 0.05% CREAM
CITALOPRAM HBR 10 MG TABLET
CITALOPRAM HBR 10 MG TABLET
NU-IRON 150 CAPSULE
STERAPRED 5 MG TABLET UNIPAK
STERAPRED 5 MG TABLET UNIPAK
HYPERLYTE CR VIAL
IMMUN-AID POWDER
HYPERLYTE VIAL
HYPERLYTE R VIAL
GENTAMICIN 80 MG/NS 50 ML PB
RESPAIRE-120 SR CAPSULE
DESOWEN 0.05% CREAM
DESOWEN 0.05% CREAM
DESOWEN 0.05% CREAM
ZESTORETIC 20/12.5 TABLET
HYTINIC 150 MG CAPSULE
HYTINIC 150 MG CAPSULE
ISOTON GENTAMICIN 80 MG/50 ML
NTG 0.1 MG/ML IN D5W
NEBCIN 100 MG/DEXTROSE 5%
CEFAZOLIN 500 MG/D5W BAG
VANCOCIN HCL 500 MG/100 ML
FLUCONAZOLE-NS 400 MG/200 ML
CLORAZEPATE 7.5 MG TABLET
CLORAZEPATE 7.5 MG TABLET
CHLORTHALIDONE 50 MG TABLET
CHLORTHALIDONE 50 MG TABLET
ALBUTEROL SULFATE 2 MG TAB
ALBUTEROL SULFATE 2 MG TAB
ALBUTEROL SULFATE 4 MG TAB
ALBUTEROL SULFATE 4 MG TAB
GUANFACINE 2 MG TABLET
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
LISINOPRIL-HCTZ 20/12.5 TAB
ORPHENADRINE COMP TABLET
FLORICAL CAPSULE
FLORICAL CAPSULE
MONOCAL TABLET

DOSE FORM DRUG STRENGTH


CA
CA
CA
CA
CA
CA
TA
TA
TA
TA
TA
TA
CA
KA
TA
TA
CA
UD
UD
HV
PA
HV
HV
HP
CS
KA
KA
KA
TA
CA
CA
HP
HB
HP
HK
HK
PI
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
TA

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
00394025009
00395052191
00395225594
00406324401
00406658801
00409116101
00409148302
00409148303
00409329606
00409468833
00440704530
00440704630
00440756060
00440756092
00451450050
00456074413
00456074513
00456074613
00456103916
00456401001
00472009473
00472009475
00472075021
00472075060
00472075221
00472075260
00472097916
00472120106
00472120112
00472120150
00482018516
00482311010
00486112501
00486112505
00486113601
00496083645
00517200025
00517202025
00517310025
00517312025
00517641025
00527135401
00527138501
00536125512
00536999512
00548824300
00551017301
00551021601
00555069502
00555081502
00573021120
00573021140
00573119120

NAME
GLUCOSAMINE 500 MG CAPLET
CATNIP POWDER
PERUVIAN BALSAM LIQUID
HYDROMORPHONE 4 MG TABLET
PHENOBARBITAL POWDER
BUPIVACAINE 0.5% AMPUL
NTG 0.1 MG/ML IN D5W
NTG 0.1 MG/ML IN D5W
TPN ELECTROLYTES VIAL
FLUCONAZOLE-NS 400 MG/200 ML
ALBUTEROL SULFATE 2 MG TAB
ALBUTEROL SULFATE 4 MG TAB
GEMFIBROZIL 600 MG TABLET
GEMFIBROZIL 600 MG TABLET
SALINEX 0.4% NOSE MIST
AEROCHAMBER W/MASK-SMALL
AEROCHAMBER W/MASK
AEROCHAMBER W/MASK-LARGE
PEDAMETH 15 MG/ML LIQUID
CELEXA 10 MG TABLET
MINOXIDIL 5% SOLUTION
MINOXIDIL 5% SOLUTION
CROMOLYN NEBULIZER SOLUTION
CROMOLYN NEBULIZER SOLUTION
CROMOLYN NEBULIZER SOLUTION
CROMOLYN NEBULIZER SOLUTION
ERYTHROMYCIN EST 250 MG/5 ML
FEVERALL 120 MG SUPPOSITORY
FEVERALL 120 MG SUPPOSITORY
FEVERALL 120 MG SUPPOSITORY
DECONAMINE SYRUP DYE-FREE
ENT-SOL NASAL SPRAY
K-PHOS NEUTRAL TABLET
K-PHOS NEUTRAL TABLET
CITROLITH TABLET
CLINAC O.C. GEL
NUTRILYTE II VIAL
NUTRILYTE II VIAL
NUTRILYTE VIAL
NUTRILYTE VIAL
MANGANESE 0.1 MG/ML VIAL
HYDROMORPHONE 4 MG TABLET
CIPROFLOXACIN HCL 500 MG TAB
ACETAMINOPHEN 120 MG SUPPOS
CONDOMS LUBRICATED
BUPIVACAINE 0.75% VIAL
VERSACAPS 300/60
TUSS-S SYRUP
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
ANACIN MS TABLET
ANACIN MS TABLET
DRISTAN LONG LASTING MIST

DOSE FORM DRUG STRENGTH


TA
PA
SL
TA
PA
HH
HB
HB
HV
HP
TA
TA
TA
TA
AS
EA
EA
EA
SL
TA
SA
SA
AL
AL
AL
AL
SC
QA
QA
QA
SY
SP
TA
TA
TA
JG
HV
HV
HV
HV
HV
TA
TA
QA
EA
HV
CS
ST
TA
TA
TA
TA
AM

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
00576025460
00585067302
00585067303
00591036401
00591036405
00591045301
00591045405
00591045460
00591078001
00591078005
00591079601
00591079605
00591079610
00591086101
00591086105
00591317601
00591317605
00603166154
00603166158
00603250521
00603377521
00603377621
00603377721
00603392621
00603533215
00603533231
00603533715
00603533731
00603580104
00603580121
00603580128
00603580132
00603699821
00603778552
00615133453
00615133463
00615355953
00615355963
00615451753
00615451763
00641240241
00641240341
00641712099
00642010160
00677048301
00677048305
00677135901
00677135905
00677136001
00677136005
00677150201
00677150301
00677159701

NAME
MEDEBRAL CAPSULE
INTAL NEBULIZER SOLUTION
INTAL NEBULIZER SOLUTION
CLORAZEPATE 7.5 MG TABLET
CLORAZEPATE 7.5 MG TABLET
GUANFACINE 2 MG TABLET
GEMFIBROZIL 600 MG TABLET
GEMFIBROZIL 600 MG TABLET
SUCRALFATE 1 GM TABLET
SUCRALFATE 1 GM TABLET
SULFASALAZINE 500 MG TABLET
SULFASALAZINE 500 MG TABLET
SULFASALAZINE 500 MG TABLET
LISINOPRIL-HCTZ 20-12.5 TAB
LISINOPRIL-HCTZ 20-12.5 TAB
CITALOPRAM HBR 10 MG TABLET
CITALOPRAM HBR 10 MG TABLET
R-TANNAMINE PEDIATRIC SUSP
R-TANNAMINE PEDIATRIC SUSP
BROMPHENR/P-EPHED 12/120 CP
GUANFACINE 2 MG TABLET
GUAIFENESIN-P CAPSULE SA
GUAIFENESIN-P-PD CAPSULE SA
HYDROMORPHONE 4 MG TABLET
PREDNISONE 5 MG TABLET
PREDNISONE 5 MG TABLET
PREDNISONE 5 MG TABLET
PREDNISONE 5 MG TABLET
SULFAZINE 500 MG TABLET
SULFAZINE 500 MG TABLET
SULFAZINE 500 MG TABLET
SULFAZINE 500 MG TABLET
ACCUSURE INSULIN SYRN 1 ML
HYDROCORTISONE 2.5% LOTION
POLYSACCHARIDE-IRON 150 MG
POLYSACCHARIDE-IRON 150 MG
GEMFIBROZIL 600 MG TABLET
GEMFIBROZIL 600 MG TABLET
SUCRALFATE 1 GM TABLET
SUCRALFATE 1 GM TABLET
FENTANYL 0.05 MG/ML VIAL
FENTANYL 0.05 MG/ML VIAL
GENTAMICIN 80 MG/NS 50 ML PB
ZE CAPS CAPSULE
SULFASALAZINE 500 MG TABLET
SULFASALAZINE 500 MG TABLET
ALBUTEROL SULFATE 2 MG TAB
ALBUTEROL SULFATE 2 MG TAB
ALBUTEROL SULFATE 4 MG TAB
ALBUTEROL SULFATE 4 MG TAB
GUAIFENESIN/P-EPHED CAP SA
GUAIFENESIN/P-EPHED CAP SA
POLYSACCHARIDE IRON 150 MG

DOSE FORM DRUG STRENGTH


CA
AL
AL
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
SC
SC
CS
TA
CS
CS
TA
UD
UD
UD
UD
TA
TA
TA
TA
YL
SK
CA
CA
TA
TA
TA
TA
HV
HV
HP
CA
TA
TA
TA
TA
TA
TA
CS
CS
CA

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
00677190033
00677190041
00677191133
00677191333
00677192901
00677192902
00703101009
00703102030
00713011801
00713011811
00713011812
00713011850
00713011866
00713053512
00713053524
00713053548
00713060531
00781117601
00781164601
00781176501
00781184001
00781214501
00781214505
00781515701
00802392191
00802392392
00884205203
00884529212
00884529216
00904115240
00904115260
00904537940
00904537952
00904537961
00904539561
00904543840
00904543860
00904543861
00904555235
00904557116
00904558060
00904559951
00904561252
00904769212
00904772402
00904772436
00904781512
00998010130
00998020615
00998020630
02340007100
02340007167
02340008240

NAME
GUAIFEN-CARBPNTN-PE SYRUP
GUAIFEN-CARBPNTN-PE SYRUP
UNI-HIST PDX SYRUP
UNI-LEV 5.0 SYRUP
GUAIFENESIN 400 MG TABLET
GUAIFENESIN 400 MG TABLET
FLUCONAZOLE-NS 400 MG/200 ML
FLUCONAZOLE-NS 400 MG/200 ML
ACEPHEN 120 MG SUPPOSITORY
ACEPHEN 120 MG SUPPOSITORY
ACEPHEN 120 MG SUPPOSITORY
ACEPHEN 120 MG SUPPOSITORY
ACEPHEN 120 MG SUPPOSITORY
FORMULATION R SUPPOSITORY
FORMULATION R SUPPOSITORY
FORMULATION R SUPPOSITORY
FEM-PREP HEMORRHOIDAL CREAM
LISINOPRIL-HCTZ 20/12.5 TAB
NAPROXEN 375 MG TABLET EC
CIPROFLOXACIN HCL 500 MG TAB
ISOXSUPRINE 10 MG TABLET
AMPICILLIN TR 500 MG CAPSULE
AMPICILLIN TR 500 MG CAPSULE
CITALOPRAM HBR 10 MG TABLET
TUR-BI-KAL NOSE DROPS
SODIUM FLUORIDE GEL
OSTIDERM ROLL-ON
LACTINOL 10% LOTION
LACTINOL 10% LOTION
SULFASALAZINE 500 MG TABLET
SULFASALAZINE 500 MG TABLET
GEMFIBROZIL 600 MG TABLET
GEMFIBROZIL 600 MG TABLET
GEMFIBROZIL 600 MG TABLET
FERREX-150 CAPSULE
SUCRALFATE 1 GM TABLET
SUCRALFATE 1 GM TABLET
SUCRALFATE 1 GM TABLET
PEDIA RELIEF INFANT DROPS
RHINATATE-NF PEDIATRIC SUSP
GUANFACINE 2 MG TABLET
LUTEIN 6 MG SOFTGEL
CORAL CALCIUM 500 MG CAPSULE
MAPAP 120 MG SUPPOSITORY
DESONIDE 0.05% CREAM
DESONIDE 0.05% CREAM
DAY TIME LIQUID CAPSULE
ALCONEFRIN 0.16% DROPS
ISOPTO CARPINE 4% EYE DROPS
ISOPTO CARPINE 4% EYE DROPS
HIGH SENSATION CONDOM
ULTIMATE FEELING CONDOM
INTENSE SENSATION CONDOM

DOSE FORM DRUG STRENGTH


ST
ST
ST
ST
TA
TA
HP
HP
QA
QA
QA
QA
QA
QA
QA
QA
KA
TA
TE
TA
TA
CA
CA
TA
SO
JG
SL
SK
SK
TA
TA
TA
TA
TA
CA
TA
TA
TA
SO
SC
TA
CA
CA
QA
KA
KA
CA
SO
SO
SO
EA
EA
EA

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
02340012800
04351052510
04351078710
04351080710
04351088710
05632083010
05632083015
05632083020
05632083025
05632083030
05632083035
05632083040
05632083045
08011961003
08011962000
08011962002
08011962003
08026713300
08065100002
08065100003
08080103800
08080106900
08080116700
08080127200
08080144900
08080258500
08080294900
08080308500
08080320034
08080322114
08080325114
08080327114
08080430800
08080493500
08080528012
08080601700
08080603500
08080629700
08080636500
08080644900
08080649300
08080659100
08080665300
08080713400
08080731000
08080819200
08080919200
08137004720
08137004721
08219106900
08219116700
08219127200
08219258500

NAME
EXTRA SENSITIVE CONDOM
AEROTRACH HOLDING CHAMBER
AEROCHAMBER PLUS W/MASK-MED
AEROCHAMBER PLUS W/MASK-LRG
AEROCHAMBER PLUS W/MASK-SML
TRUSTEX-RIA CONDOM
TRUSTEX-RIA CONDOM
TRUSTEX-RIA CONDOM
TRUSTEX-RIA CONDOM
TRUSTEX-RIA CONDOM
TRUSTEX-RIA CONDOM
TRUSTEX-RIA CONDOM
TRUSTEX-RIA CONDOM
IRRIGATING SLEEVE FOR SET
EXTRA OPEN-END DRAIN
EXTRA OPEN-END DRAIN
FISTULA POUCH
PRIMAPORE IV DRESSING 2"X3"
MICROSPONGE TEARDROP REGTIP
MICROSPONGE TEARDROP SHRPTP
DURASORB UNDERPAD
RONDIC RADIOPAQUE SPONGE
KERLIX SUPER SPONGE MEDIUM
KERLIX SUPER SPONGE LARGE
HOME CARE UNDERPADS
KERLIX SUPER SPONGE MEDIUM
KERLIX RADIOPAQUE SPONGE
KERLIX SUPER SPONGE MEDIUM
MONOJECT SYRNG 20GX3/4" 3 ML
MONOJECT 3 ML SYR 22GX1-1/4"
MONOJECT 3 ML SYRN 25GX1.25"
MONOJECT 3 ML SYRN 27GX1.25"
KERLIX SUPER SPONGE LARGE
KERLIX RADIOPAQUE SPONGE
MONOJECT TB 0.5 ML SYRINGE
TELFA ADHESIVE PADS
KERLIX SUPER SPONGE X-LARGE
RONDIC RADIOPAQUE SPONGE
RONDIC RADIOPAQUE SPONGE
RONDIC RADIOPAQUE SPONGE
RONDIC RADIOPAQUE SPONGE
RONDIC RADIOPAQUE SPONGE
RONDIC RADIOPAQUE SPONGE
TENDERSORB UNDERPAD
KERLIX SUPER SPONGE MEDIUM
TENDERSORB ABDOMINAL PADS
TENDERSORB ABDOMINAL PADS
J & J SMALL NON-STICK PADS
J & J SMALL NON-STICK PADS
RONDIC RADIOPAQUE SPONGE
KERLIX SUPER SPONGE MEDIUM
KERLIX SUPER SPONGE LARGE
KERLIX SUPER SPONGE MEDIUM

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
YE
YV
YV
EA
YV
YV
YV
EA
YV
YV
YV
YL
YL
YL
YL
YV
YV
YL
YE
YV
YV
YV
YV
YV
YV
YV
EA
YV
YE
YE
YE
YE
YV
YV
YV
YV

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
08219294900
08219308500
08219430800
08219493500
08219601700
08219603500
08219619700
08219629700
08219636500
08219644900
08219649300
08219659100
08219665300
08219719700
08219731000
08219819200
08219919200
08222082589
08225144900
08225620000
08225631000
08225636000
08284051102
08287126001
08287126026
08290009465
08290305141
08290305932
08290309305
08290309573
08290328465
08290329461
08290329465
08290846503
08329290110
08367050102
08373081311
08380001460
08380001600
08380001620
08380001640
08380001700
08380001710
08380001796
08380003777
08380003778
08380003779
08380004043
08380007035
08380007037
08380007040
08380007041
08380007042

NAME
KERLIX RADIOPAQUE SPONGE
KERLIX SUPER SPONGE MEDIUM
KERLIX SUPER SPONGE LARGE
KERLIX RADIOPAQUE SPONGE
TELFA ADHESIVE PADS
KERLIX SUPER SPONGE X-LARGE
CURITY ABDOMINAL PADS
RONDIC RADIOPAQUE SPONGE
RONDIC RADIOPAQUE SPONGE
RONDIC RADIOPAQUE SPONGE
RONDIC RADIOPAQUE SPONGE
RONDIC RADIOPAQUE SPONGE
RONDIC RADIOPAQUE SPONGE
CURITY ABDOMINAL PADS
KERLIX SUPER SPONGE MEDIUM
TENDERSORB ABDOMINAL PADS
TENDERSORB ABDOMINAL PADS
INSULIN SYRINGE U100 0.5 ML
CURITY UNDERPAD 23" X 24"
TELFA 1.5" X 2" STERILE PAD
TELFA 2" X 3" ADHESIVE PADS
TELFA 2" X 3" ADHESIVE PADS
SURE ONE INSULIN SYR 1/2CC
EXEL INSULIN SYRN 28G-1/2 ML
EXEL INSULIN SYR U100 0.5 ML
B-D INSULIN U100-1/2 ML SYRN
B-D PRECISIONGLIDE NEEDLE
SAFETY-GLIDE 0.5 ML SYRINGE
B-D INSULIN U100-1/2 ML SYRN
B-D 3 ML SYRINGE/NEEDLE
BD INSULIN U100-1/2 ML SYRN
B-D INSULIN U100-1/2 ML SYRN
B-D INSULIN U100-1/2 ML SYRN
BD INSULIN U100-1/2 ML SYRN
MAJOR INSULIN SYRINGE 1 ML
ELITE-THIN INSUL SYR 0.5CC
OPTICHAMBER ADULT MASK-LARGE
1STCHOICE URO PH CUT-TO-FIT
CONTOUR I DRAINABLE POUCH
CONTOUR I MINI POUCH
CONTOUR I DRAINABLE POUCH
CONTOUR I CLOSED POUCH
CONTOUR I CLOSED POUCH
CONTOUR I STOMA CAP
POUCHKINS PREMIE POUCH
POUCHKINS NEWBORN POUCH
POUCHKIN NEWBORN DRAIN TUBE
COMFORT WEAR POUCH COVER
APPLIANCE COVER CLOSED
APPLIANCE COVER DRAINABLE
COMFORT WEAR POUCH COVER
COMFORT WEAR POUCH COVER
COMFORT WEAR POUCH COVER

DOSE FORM DRUG STRENGTH


YV
YV
YV
YV
YE
YV
YE
YV
YV
YV
YV
YV
YV
YE
YV
YE
YE
YL
EA
YE
YE
YE
YL
YL
YL
YL
YH
YL
YL
YL
YL
YL
YL
YL
YL
YL
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
08380007043
08380007044
08380007045
08380007046
08380007328
08380007330
08380007331
08380007723
08380007765
08380007766
08380007767
08380007805
08380007806
08380007807
08380007808
08380007917
08380008460
08380008770
08380008812
08380009760
08380009762
08380009766
08380009768
08380009769
08380009820
08380009821
08380009822
08380009823
08380037310
08380037311
08380070410
08380070411
08380079400
08380079520
08380087711
08387280501
08388911012
08388913012
08395058000
08395058020
08395058030
08395058040
08395058050
08395058060
08395058070
08395059390
08395078000
08395078020
08395078030
08395078040
08395078050
08395078060
08395078070

NAME
COMFORTWEAR POUCH COVER
COMFORT WEAR POUCH COVER
COMFORT WEAR POUCH COVER
COMFORT WEAR POUCH COVER
UROSTOMY STNDRD DRAIN TUBE
UROSTOMY DRAIN TUBE,LO-PROF
UROSTOMY DRAIN TUBE ADAPTER
STOMA CONE W/CONNECTOR UNIT
DRAINABLE POUCH CLAMP
FILTER REPLACEMENT
LOOP OSTOMY BRIDGE, STERILE
ADAPT BARRIER RINGS 13/16"
SOFTFLEX SKIN BARRIER RINGS
SOFTFLEX SKIN BARRIER RINGS
SOFTFLEX SKIN BARRIER RINGS
SKIN GEL PROTECTIVE DRESSNG
PREMIER UROSTOMY POUCH
DRAINABLE POUCH CLAMP
PREMIER DRAIN POUCH 1.75"
HOLLISTER POST-OPERATIV PCH
HOLLISTER POST-OPERATIV PCH
POUCHKINS 1PC DRAINABLE PCH
POUCHKINS 1PC DRAINABLE PCH
POUCHKINS 1PC DRAINABLE PCH
FECAL COLLECTOR, CLOSED
FECAL COLLECTOR, DRAINABLE
FECAL COLLECTOR,DRAIN-MED
FECAL COLLECTOR,DRAIN-MED
CONVEX SYN BARR/FLNGE 1.75"
CONVEX SYN BARR/FLANGE 2"
COMFORTWEAR POUCH COVER
COMFORTWEAR POUCH COVER
ADAPT BARRIER STRIPS
ADAPT CONVEX BARRIER RINGS
PREMIER SKN BARR/FLANGE 2"
LIBERTY INSULIN SYR 0.5 ML
KIMONO SPECIAL CONDOM
KIMONO COLORS CONDOM
TWO-PIECE ADHESIVE BARRIERS
TWO-PIECE ADHESIVE BARRIERS
TWO-PIECE ADHESIVE BARRIERS
TWO-PIECE ADHESIVE BARRIERS
TWO-PIECE ADHESIVE BARRIERS
TWO-PIECE ADHESIVE BARRIERS
TWO-PIECE ADHESIVE BARRIERS
TWO-PIECE IRRIGATION SLEEVE
TWO-PIECE ADHESIVE BARRIERS
TWO-PIECE ADHESIVE BARRIERS
TWO-PIECE ADHESIVE BARRIERS
TWO-PIECE ADHESIVE BARRIERS
TWO-PIECE ADHESIVE BARRIERS
TWO-PIECE ADHESIVE BARRIERS
TWO-PIECE ADHESIVE BARRIERS

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
YL
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
08395098200
08395099060
08395099150
08439123020
08439640101
08439640102
08439640103
08439640105
08439640111
08439640112
08439640113
08439640115
08462122061
08462122062
08462122064
08462122065
08462122066
08462122069
08462141004
08462141005
08462141006
08462141086
08462141125
08462141200
08462426001
08462426002
08462430100
08462430120
08462430200
08462430220
08881500014
08881513025
08881513249
08881513546
08881513744
08881600004
08881600038
08881600904
08884472641
08970200541
08970210541
08970230541
10019003682
10019003783
10106236201
10106236205
10106285204
10106411005
10122010105
10122010110
10122010150
10267146501
10267210301

NAME
ILE-SORB ORIGINAL
NIGHT DRAIN ADAPTER
DRAINABLE POUCH CLAMP
PEDIATRIC MOUTHPIECE
PEDIATRIC PANDA MASK
PANDA MASK SMALL
PANDA MASK MEDIUM
PANDA MASK LARGE
PEDIATRIC PANDA MASK
PANDA MASK SMALL
PANDA MASK MEDIUM
PANDA MASK LARGE
ONE WAY VALVED MOUTHPIECE
ONE WAY VALVED MOUTHPIECE
ONE WAY VALVED MOUTHPIECE
ONE WAY VALVED MOUTHPIECE
ONE WAY VALVED MOUTHPIECE
ONE WAY VALVED MOUTHPIECE
ONE FLOW TESTER SPIROMETER
ONE FLOW TESTER SPIROMETER KIT
ONE FLOW TESTER SPIROMETER
ONE FLOW TESTER TYPE MOUTHPIEC
ONE FLOW SPIROMETER PC CABLE
ONE FLOW SPIROMETER SOFTWARE
SILICONE MASK-INFANT
SILICONE MASK-PEDIATRIC
BREATHRITE VALVED MDI CHAMBER
BREATHRITE VALVED MDI CHAMBER
BREATHRITE VALVED MDI SPACER
BREATHRITE VALVED MDI SPACER
MONOJECT INSUL SYR U100 0.5 ML
MONOJECT SYRNG 20GX3/4" 3 ML
MONOJECT 3 ML SYRN 22GX11/4"
MONOJECT 3 ML SYRN 25GX11/4"
MONOJECT 3 ML SYRN 27GX11/4"
MONOJECT INSUL SYR U100 0.5 ML
SYRINGES, 1 1/2CC, 50 UNITS, W/28G X 1/2
ULTRA COMFORT 0.5 ML SYRINGE
VIASORB 2"X3" DRESSING
TERUMO INS SYRNG U100-1/2 ML
SURE-DOSE INS SYRINGE 1/2 ML
TERUMO SURGUARD SYR 28G-1/2 ML
FENTANYL 0.05 MG/ML VIAL
FENTANYL 0.05 MG/ML VIAL
LITHIUM CARB POWDER REAGENT
LITHIUM CARB POWDER REAGENT
PHENOBARBITAL POWDER
THIAMINE HCL POWDER
HUMIBID E 400 MG TABLET
HUMIBID E 400 MG TABLET
HUMIBID E 400 MG TABLET
POLYSACCHARIDE IRON CAPSULE
POLYSACCHARIDE IRON FORTE

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
YL
YL
YL
YL
YL
YL
YL
YL
YE
YL
YL
YL
HV
HV
PA
PA
PA
PA
TA
TA
TA
CA
CA

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
10356003400
10481102301
10481102302
10542001010
10768706001
10768706003
10892015065
10939007633
10939022322
10939025722
10939027122
10939027511
10939027611
10939034922
10939036633
10939041333
10939042133
10939044533
10939045633
10939046322
10939079611
10939090611
11026267004
11026267504
11026274608
11298000100
11298000101
11298000102
11298000103
11298000104
11298000105
11298000106
11298000107
11298000108
11298000109
11298000110
11298000111
11298000113
11298000114
11298000222
11298000223
11298000264
11298000265
11298000304
11298000305
11298000306
11298000307
11298000310
11298000311
11298000312
11298000313
11298000314
11298000315

NAME
COVERLET ADH DRESSING PATCH
METHAGUAL GEL
METHAGUAL GEL
DIALYVITE TABLET
CITALOPRAM HBR 10 MG TABLET
CITALOPRAM HBR 10 MG TABLET
DYLIX 100 MG/15 ML ELIXIR
SUNMARK INSULIN SYR 0.5 ML
SM SAW PALMETTO 160 MG SFGL
V-R INFANT NON-ASA COLD DRP
GLUCOSAMINE 500 MG TABLET
VALU-DRYL 1% CREAM
V-R NASAL SPRAY
V-R LAXATIVE CHOCOLATE
SM PAIN RELIEVER COLD INF DROP
SUNMARK NASAL SPRAY
SM HAIR REGROWTH TREATMENT SOL
SM PEDIA RELIEF INFANT DROPS
SM SAW PALMETTO 160 MG SFGL
V-R PEDIA RELIEF INF DROPS
NON-ASPIRIN CHILD 120 MG SUP
SUNMARK INSULIN SYR 0.5 ML
PANATUSS DX LIQUID
PANATUSS DXP LIQUID
HEMATRON LIQUID
PLASTIC DISC,BABY 2 1/4"
PLASTIC DISC SMALL 2 7/8"OD
PLASTIC DISC REG 3 3/16" OD
PLASTIC DISC LRG 3 9/16" OD
PLASTIC DSC LRG 3 15/16" OD
PLASTIC DISC X LRG 4 3/8"OD
PLASTIC DISC SPECIAL SMALL
PLASTIC DISC REGULAR SMALL
PLASTIC DISC REGULAR LARGE
PLASTIC DISC BABY
PLASTIC DISC VERY LARGE
PLASTIC DISC EXTRA LARGE
CONCAVE DISC
TORBOT CONVEX INSERT
GAS VALVE ADDITION
EXTRA GAS STEMS
ROUND ELASTICS
ROUND ELASTICS
RELIASEAL ADHESIVE SEALS
HOLLIHESIVE SKIN BARRIER
HOLLIHESIVE SKIN BARRIER
HOLLISEAL SKIN BARRIER
COLLYSEAL BARRIER 3 1/2" OD
COLLYSEAL BARRIER RND OPEN
COLLYSEAL BARRIER
COLLYSEAL BARRIER
COLLYSEAL BARRIER
COLLYSEAL BARRIER

DOSE FORM DRUG STRENGTH


YE
JG
JG
TA
TA
TA
SE
YL
CA
SO
TA
KA
AT
TC
SO
AT
SA
SO
CA
SO
QA
YL
SL
SL
SL
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
11298000316
11298000317
11298000458
11298000624
11298000625
11391030100
11391030101
11391030102
11391030103
11391030104
11391030105
11391030110
11391030120
11391030130
11391030200
11391030201
11391030202
11391030203
11391030204
11391030205
11391030210
11391030220
11391030230
11530000302
11530000324
11694097301
11701082120
11701082410
11701083010
11701083210
11701083215
11701083710
11701083721
11701084021
11701084310
11701084315
11701084320
11701084410
11701084415
11701084610
11701084811
11701084816
11701084871
11701084876
11701087410
11701087415
11701087450
11701087455
11701087524
11701087564
11701087565
11701087575
11701087576

NAME
COLLYSEAL SQUARES 4" X 4"
COLLYSEAL SQUARES 4" X 4"
TORBOT POUCH COVER
POST-OP ODOR RESISTANT BAG
POST-OP ODOR PROOF BAG
BREATHERITE MDI SPACER
BREATHERITE RIGID SPACER
BREATHERITE RIGID SPACER
BREATHERITE RIGID SPACER
BREATHERITE RIGID SPACER
BREATHERITE RIGID SPACER
BREATHERITE W/MASK LARGE
BREATHERITE W/MASK MEDIUM
BREATHERITE W/MASK SMALL
BREATHERITE MDI SPACER
BREATHERITE MDI SPACER
BREATHERITE MDI SPACER
BREATHERITE MDI SPACER
BREATHERITE MDI SPACER
BREATHERITE MDI SPACER
BREATHERITE W/MASK LARGE
BREATHERITE W/MASK MEDIUM
BREATHERITE W/MASK SMALL
STANBACK AF EX-STR PACKET
STANBACK AF EX-STR PACKET
EX-L TABLET
ASSURA IRRIG FACE PLATE
POUCH CLAMP
ASSURA PED FLANGE 3/8"-1 3/8"
ASSURA WOUND MANAGER WINDOW
ASSURA WOUND MANAGER WINDOW
ASSURA PED POUCH 3/8"-1 3/8"
ASSURA PED POUCH 3/8"-1 3/8"
ASSURA NON-CONVEX STD POUCH
ASSURA FLANGE STANDARD CUT
ASSURA FLANGE STANDARD CUT
ASSURA FLANGE STANDARD CUT
ASSURA CUT-TO-FIT CONVEX
ASSURA CUT-TO-FIT CONVEX
ASSURA 2PC DRAINABLE POUCH
ASSURA 2PC CLOSED POUCH 7"
ASSURA 2PC CLOSED POUCH 7"
ASSURA 2PC CLOSED POUCH 8 1/2"
ASSURA 2PC CLOSED POUCH 8 1/2"
ASSURA 2-PC POUCH 1/2"-2"
ASSURA 2-PC POUCH 1/2"-2 3/8"
ASSURA 2-PC POUCH 1/2"-2"
ASSURA 2-PC POUCH 1/2"-2 3/8"
ASSURA EAS/CLOS DRAIN POUCH
ASSURA EAS/CLOS DRAIN POUCH
ASSURA EAS/CLOS DRAIN POUCH
ASSURA EAS/CLOS DRAIN POUCH
ASSURA EAS/CLOS DRAIN POUCH

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
PP
PP
TA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
11701087586
11701087660
11701087682
11701088401
11701088411
11701088451
11701088461
11701088501
11701088502
11701088551
11701088561
11701088562
11701088601
11701088602
11701088603
11701088651
11701088652
11701088653
11701088661
11701088662
11701088663
11701088911
11701088912
11701088941
11701090401
11701090402
11701090403
11701090404
11701090405
11701090406
11701090431
11701090432
11701090442
11701090444
11701090446
11701090447
11701090448
11701090456
11701090457
11701090458
11701090459
11701090461
11701090462
11701090463
11701090471
11701090473
11701090528
11701090529
11701090540
11701090550
11701090560
11701090610
11701090611

NAME
ASSURA EAS/CLOS DRAIN POUCH
ASSURA NON-CONVEX DRAIN PCH
ASSURA EAS/CLOS DRAIN POUCH
ASSURA EXTRA 1-PC CONVEX POUCH
ASSURA EXTRA 1-PC CONVEX POUCH
ASSURA EXTRA NON-CONVEX PCH
ASSURA EXTRA NON-CONVEX POUCH
ASSURA EXTRA CONVEX UROS POUCH
ASSURA EXTRA CONVEX UROS POUCH
ASSURA EXTRA NON-CONVEX POUCH
ASSURA EXTRA NON-CONVEX POUCH
ASSURA EXTRA NON-CONVEX POUCH
ASSURA EXTRA CONVEX FLANGE
ASSURA EXTRA CONVEX FLANGE
ASSURA EXTRA CONVEX FLANGE
ASSURA EXTRA NON-CONVEX FLANGE
ASSURA EXTRA NON-CONVEX FLANGE
ASSURA EXTRA NON-CONVEX FLANGE
ASSURA 2PC CONVEX LIGHT FLANGE
ASSURA 2PC CONVEX LIGHT FLANGE
ASSURA 2PC CONVEX LIGHT FLANGE
ASSURA EASICLOSE DRAIN POUCH
ASSURA EASICLOSE DRAIN POUCH
ASSURA CONVEX CLOSED POUCH
ASSURA AC NON-CONVEX BASEPLATE
ASSURA AC NON-CONVEX BASEPLATE
ASSURA AC NON-CONVEX BASEPLATE
ASSURA AC NON-CONVEX BASEPLATE
ASSURA AC NON-CONVEX BASEPLATE
ASSURA AC NON-CONVEX BASEPLATE
ASSURA AC CLOSED POUCH MAXI
ASSURA AC CLOSED POUCH MAXI
ASSURA AC DRAINABLE POUCH MIDI
ASSURA AC DRAINABLE POUCH MIDI
ASSURA AC DRAINABLE POUCH MIDI
ASSURA AC DRAINABLE POUCH MIDI
ASSURA AC DRAINABLE POUCH MIDI
ASSURA AC DRAINABLE POUCH MAXI
ASSURA AC DRAINABLE POUCH MAXI
ASSURA AC EASICLOSE POUCH
ASSURA AC EASICLOSE POUCH
ASSURA AC EASICLOSE POUCH
ASSURA AC EASICLOSE POUCH
ASSURA AC EASICLOSE POUCH
ASSURA AC CONVEX BASEPLATE
ASSURA AC CONVEX BASEPLATE
UROSTOMY MULTI-CHAMBER POUCH
UROSTOMY MULTI-CHAMBER POUCH
UROSTOMY MICRO-POUCH
UROSTOMY MICRO-POUCH
UROSTOMY MICRO-POUCH
EASICLOSE WIDE OUTLET 1-PC
EASICLOSE WIDE OUTLET 1-PC

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
11701090613
11701090653
11701090654
11701090655
11701090657
11701092052
11822304010
11822304040
11822304080
11822317450
11822340200
11822358870
11822359220
11822880900
11845012098
11845012099
11845012905
11845012915
11845012975
11845013665
11845079805
11845108605
11845113205
11845114505
11845120908
11917000649
11917001273
11917001487
12280012630
12333097061
12333098301
12333098701
12333908101
12333951407
12333983001
12830081101
15127034912
15127034916
15127038710
15912020253
16169003003
16169003012
16169004003
16169004012
16169006003
16169006012
16169006024
16169007003
16169007012
16169008003
16169008012
16169011012
16169013012

NAME
EASICLOSE WIDE OUTLET 1-PC
EASICLOSE WIDE OUTLET 2-PC
EASICLOSE WIDE OUTLET 2-PC
EASICLOSE WIDE OUTLET 2-PC
EASICLOSE WIDE OUTLET 2-PC
ASSURA 1PC CONVEX STANDARD
RA DAY TIME LIQUID CAPSULE
RA PEDIA RELIEF DROPS
RA SUPHEDRINE COLD&COUGH CP
RA NASAL SPRAY
RA INFANT COLD FORMULA DRPS
RA INFANTS COLD/COUGH DROPS
RA SENNA 8.6 MG SOFTGEL
RA GLUCOSAMINE 500 MG TABLET
GLUCOSAMINE 500 MG TABLET
GLUCOSAMINE 500 MG TABLET
SAW PALMETTO 160 MG SOFTGEL
VALERIAN ROOT 100 MG SOFTGEL
FEVERFEW 100 MG CAPSULE
LUTEIN 6 MG SOFTGEL
ROYAL JELLY 200 MG CAPSULE
CAYENNE 447 MG CAPSULE
BILBERRY 100 MG CAPSULE
GOLDENSEAL ROOT 500 MG CAP
GLUCOSAMINE 500 MG TABLET
CRANBERRY 250 MG TABLET
SAW PALMETTO 160 MG SOFTGEL
INSULIN 1 ML SYRINGE
LISINOPRIL-HCTZ 20-12.5 TAB
LONGS LAXATIVE
ACETAMINOPHEN 120 MG SUPPOS
LONGS PEDIA RELIEF INF DRP
NASAL SPRAY
PEDIA RELIEF INFANT DROPS
ACETAMINOPHEN 120 MG SUPPOS
FERUS 150 MG CAPSULE
SB DAYTIME LIQUIDGEL
SB DAYTIME LIQUIDGEL
SB P-EPHEDRINE MAX STR CAP
DAMOR SKIN CLEANSER
KIMONO PLUS CONDOMS
KIMONO PLUS CONDOMS
MAXX PLUS CONDOM
MAXX PLUS CONDOM
KIMONO MICROTHIN + CONDOM
KIMONO MICROTHIN + CONDOM
KIMONO MICROTHIN + CONDOM
KIMONO SENSATION CONDOM
KIMONO SENSATION CONDOM
KIMONO SENSATION + CONDOM
KIMONO SENSATION + CONDOM
KIMONO SPECIAL CONDOM
KIMONO COLORS CONDOM

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
CA
SO
CA
AM
SO
SO
CA
TA
TA
TA
CA
CA
CA
CA
CA
CA
CA
CA
TA
TA
CA
YL
TA
TC
QA
SO
AT
SO
QA
CA
CA
CA
CA
SL
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
17236054601
17236054605
17317035701
17317035702
17317035704
17317035705
17317041301
17317041302
17317041304
17317041305
17317055501
17317055504
17317057202
17317057203
17317057206
17317163601
17317163604
17317189801
17317189804
17700000400
17700000401
17700000402
17714011312
19458026750
19458809701
19458910801
19458910803
19458955601
19458955602
19458979501
20221026026
22600009340
22600064103
22600064106
22600064203
22600064212
22600064503
22600064512
22600064712
22600090620
22600090640
22600090820
22600090840
22600091050
22600091222
22600091240
22600091340
22600091520
22600091540
22600091640
22600092220
22600092240
22600092320

NAME
SUCRALFATE 1 GM TABLET
SUCRALFATE 1 GM TABLET
MERCURY BICHLORIDE GRANULES
MERCURY BICHLORIDE GRANULES
MERCURY BICHLORIDE GRANULES
MERCURY BICHLORIDE GRANULES
PHENOBARBITAL POWDER
PHENOBARBITAL POWDER
PHENOBARBITAL POWDER
PHENOBARBITAL POWDER
SULFATHIAZOLE POWDER PURIF
SULFATHIAZOLE POWDER PURIF
THIAMINE HCL POWDER
THIAMINE HCL POWDER
THIAMINE HCL POWDER
MERCURIC CL GRANULES REAG
MERCURIC CL GRANULES REAG
LITHIUM CARBONATE POWDER
LITHIUM CARBONATE POWDER
IMMUNOPRO RX POWDER
IMMUNOPRO RX POWDER
IMMUNOPRO RX POWDER
MAXIMA LUBRICATED CONDOM
ECK INSULIN 1 ML SYRINGE
ECK SU-PHEDRIN CLD COUGH CAP
ECK MINOXIDIL 5% SOLUTION
ECK MINOXIDIL 5% SOLUTION
ECK LAXATIVE CHOCOLATE TAB
ECK LAXATIVE CHOCOLATE TAB
ECK OATMEAL ANTI-ITCH CREAM
EXEL INSULIN SYR U100 0.5 ML
TROJAN SUPRA'S SPERMICIDAL
MENTOR PLUS CONDOM
MENTOR PLUS CONDOM
TROJAN MAGNUM CONDOM
TROJAN MAGNUM CONDOM
TROJAN MAGNUM W/SPERMICIDE
TROJAN MAGNUM W/SPERMICIDE
TROJAN MAGNUM XL LUBRICATED
TROJAN FOR WOMEN SPERMICIDE
TROJAN FOR WOMEN SPERMICIDE
TROJAN FOR WOMEN LUBRICATED
TROJAN FOR WOMEN LUBRICATED
TROJAN ENZ CONDOM
CLASS ACT CONDOM
CLASS ACT CONDOM
CLASS ACT CONDOM
CLASS ACT SPERMICIDE CONDOM
CLASS ACT SPERMICIDE CONDOM
CLASS ACT SPERMICIDE CONDOM
TROJAN VERY SENSITIVE LUBED
TROJAN VERY SENSITIVE LUBED
TROJAN VERY SENS/SPERMICIDE

DOSE FORM DRUG STRENGTH


TA
TA
PG
PG
PG
PG
PA
PA
PA
PA
PA
PA
PA
PA
PA
PG
PG
PA
PA
PA
PA
PA
EA
YL
CA
SA
SA
TC
TC
KA
YL
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
22600092340
22600092620
22600092640
22600092720
22600092740
22600093050
22600093070
22600093150
22600093170
22600093250
22600093270
22600093350
22600093750
22600093770
22600093850
22600093950
22600094150
22600094550
22600094650
22600095100
22600095250
22600095640
22600095740
22600095850
22600095950
22600097050
22600097250
22600097750
22600097950
22600099150
22600099850
23558068940
23734154719
23734218008
23734219012
23734229004
23734829006
23734929003
23900000806
24208038819
24208068615
24385038016
24385051405
24385051671
24385097171
26893010002
26893010092
26893010102
26893010192
28373020003
28373020012
28373021000
28373031000

NAME
TROJAN VERY SENS/SPERMICIDE
TROJAN VERY THIN LUBED
TROJAN VERY THIN LUBED
TROJAN VERY THIN/SPERMICIDE
TROJAN VERY THIN/SPERMICIDE
TROJAN ENZ LUB CONDOM
TROJAN ENZ LARGE LUBRICATED
TROJAN ENZ W/SPERMICIDE LUB
TROJAN ENZ LG W/SPERMICIDE
TROJAN ENZ W/SPERMICIDE LUB
TROJAN ENZ LG LUB/SPERMICID
TROJAN ENZ W/SPERMICIDE LUB
TROJAN ENZ LUB CONDOM
TROJAN ENZ LARGE LUBRICATED
TROJAN PLEASURE MESH CONDOM
TROJAN ENZ LUB CONDOM
TROJAN RIBBED W/SPERMICIDE
TROJAN RIBBED W/SPERMICIDE
TROJAN RIBBED W/SPERMICIDE
TROJAN ASST PACK W/LUB
TROJAN ULTRA PLEASURE CNDOM
TROJAN ULTRA TEX LUBED
TROJAN ULTRA TEX/SPERMICIDE
TROJAN SHARED SENSATION
TROJAN SHARED SENSATION
TROJAN NATURALUBE CONDOM
TROJAN EXTENDED PLEASURE
TROJAN NATURALUBE CONDOM
TROJAN NATURALUBE CONDOM
TROJAN X STREN/SPERMICIDE
TROJAN X STRENGTH/SPERMICID
NOSE BETTER SPRAY
SURECARE UNDERPAD
ECONOMY 23"X24" UNDERPAD
MEDICAL 23"X24" UNDERPAD
ECONOMY 23"X24" UNDERPAD
STANDARD UNDERPAD
MEDICAL 23"X24" UNDERPAD
VICKS SINEX 12 HOUR MIST
OCUVITE EXTRA TABLET
PILOCARPINE 4% EYE DROPS
MINOXIDIL 5% SOLUTION
INFANTS PAIN/COLD DROPS
ONE DAILY DIET SUPPORT TAB
SAW PALMETTO 160 MG SOFTGEL
ATLAS LUBRICATED CONDOM
ATLAS SPERMICIDE CONDOM
ATLAS COLORED CONDOM
ATLAS COLORED CONDOM
CROWN CONDOM
CROWN CONDOM
CROWN CONDOM
CROWN ASSORTED COLORS CONDOM

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
AS
EA
EA
EA
EA
EA
EA
AM
TA
SO
SA
SO
TA
CA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
28373031003
28373031012
28373041000
28373051000
28373051012
28373070003
28373070006
28373070012
28373071000
28373090003
28373090006
28373090012
28373091000
29936024701
30716016136
30716040118
30716080128
30716080130
31604001449
31604001669
35515094678
35515097465
36652037800
36652040108
36652040112
36652400001
36652400101
36652400205
36652400505
36652400801
36652401505
36652401805
37000054305
37205009671
37205029305
37205038016
37205045591
38344000004
38396040105
38396040108
38396040505
38396040525
38396042190
38396043377
38415005528
38485050060
38485054504
38485054510
38779026305
38779026308
38779026309
38779088304
38779088305

NAME
CROWN PLUS CONDOM W/SPERMCD
CROWN PLUS CONDOM W/SPERMCD
FE+MALE CONDOM
BEYOND SEVEN STUDDED CONDOM
BEYOND SEVEN STUDDED CONDOM
BEYOND SEVEN CONDOM
BEYOND SEVEN CONDOM
BEYOND SEVEN CONDOM
BEYOND SEVEN CONDOM
BEYOND SEVEN PLUS CONDOM
BEYOND SEVEN PLUS CONDOM
BEYOND SEVEN PLUS CONDOM
BEYOND SEVEN PLUS CONDOM
TEXACORT 1% SOLUTION
CAUTION CONDOM W/SPERMICIDE
CAUTION CONDOM W/SPERMICIDE
CAUTION CONDOMS, LUBRICATED
CAUTION CONDOMS, LUBRICATED
ECHINACEA 125 MG SOFTGEL
GLUCOSAMINE 500 MG TABLET
QC MINOXIDIL 5% SOLUTION
QC INSULIN SYRINGE 1 ML
PROTEGRA CARDIO TABLET
LEADER INS SYR 0.5 ML
MS INSULIN SYRINGE 0.5 ML
BL INSULIN 0.5 ML SYRINGE
INSULIN SYRINGE 0.5 ML
INSULIN SYRINGE 1 ML
ULTRA COMFORT SYRINGE 1 ML
ULTRA COMFORT SYRINGE 0.5 ML
QC INSULIN SYRINGE 1 ML
INSULIN SYRINGE 1 ML
VICKS SINEX 12 HOUR MIST
SAW PALMETTO 160 MG SOFTGEL
INFANTS PAIN RELIEF COLD DROPS
MINOXIDIL 5% SOLUTION
PAIN RELIEVER 120 MG SUPPOS
DERMAZINC 0.25% LIQUID
QC INSULIN SYRINGE 1 ML
LEADER INSULIN SYRINGE 0.5 ML
FIRST CHOICE SYRINGE 1 ML
KMART VALU PLUS SYRINGE 1 ML
BL INSULIN 0.5 ML SYRINGE
FP INSULIN 1 ML SYRINGE
INSULIN SYRINGE 0.5 ML
LIPOTRIAD CAPLET
CYSTEX TABLET
CYSTEX TABLET
SULFATHIAZOLE POWDER
SULFATHIAZOLE POWDER
SULFATHIAZOLE POWDER
TYROSINE POWDER
TYROSINE POWDER

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
SA
EA
EA
EA
EA
CA
TA
SA
YL
TA
YL
YL
YL
YL
YL
YL
YL
YL
YL
AM
CA
SO
SA
QA
SL
YL
YL
YL
YL
YL
YL
YL
TA
TA
TA
PA
PA
PA
PA
PA

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
38779088308
38779088309
41163010716
41163010781
41163025186
41163025542
41163025676
41163026312
41163041215
41163042079
41163042080
41163048705
41163051405
41163062605
41163068810
41163081710
41163402205
41250052813
41250093187
43292055766
43820000301
43900028230
44156030095
44677010201
44677010202
45802004935
45802006070
45802042235
45802042237
45802042435
45802042437
45802073230
45802073232
45802073233
45985064901
45985065401
47360017205
47360017206
47469000458
47469000597
48107004201
48107004732
48107004736
48107004948
48107004956
48107004957
48107004998
48107005008
48107005134
48107005135
48107015978
49072047710
49158034832

NAME
TYROSINE POWDER
TYROSINE POWDER
SOBA MINOXIDIL 5% SOLUTION
SOBA MINOXIDIL 5% SOLUTION
EQL SINUS NASAL SPRAY
EQL DECONGESTANT & COUGH DROPS
EQL COLD & COUGH DROPS
INSULIN 1 ML SYRINGE
EQL SINUS RELIEF NASAL SPRAY
EQL SAW PALMETTO 160 MG SFTGEL
EQL SAW PALMETTO 160 MG SFTGEL
EQL DECONGESTANT & COUGH DROPS
EQL COLD & COUGH DROPS
SOBA PAIN/REL COLD DROPS
EQL SINUS RELIEF NASAL SPRAY
EQL SINUS NASAL SPRAY
INSULIN 1 ML SYRINGE
REALITY CONDOM
REALITY 1/2 ML SYRINGE
GOLDEN SEAL ROOT 500 MG CAP
SAVE-LUV LUBRI LTX CONDOMS
BENEFIBER POWDER
DIGNITY UNDERPAD
LANSINOH OINTMENT
LANSINOH OINTMENT
TRIAMCINOLONE 0.5% OINTMENT
BACITRACIN 500 UNITS/GM OINT P
DESONIDE 0.05% CREAM
DESONIDE 0.05% CREAM
TRIDESILON 0.05% CREAM
TRIDESILON 0.05% CREAM
ACETAMINOPHEN 120 MG SUPPOS
ACETAMINOPHEN 120 MG SUPPOS
ACETAMINOPHEN 120 MG SUPPOS
BIDEX 400 MG TABLET
BIDEX 400 MG TABLET
MICROCHAMBER WITH MASK
MICROCHAMBER WITH MASK
MELATONIN 3 MG TABLET SA
DHEA TABLET
SAW PALMETTO 160 MG SOFTGEL
SAW PALMETTO 160 MG SOFTGEL
RED CLOVER 50 MG CAPSULE
ELDERBERRY 200 MG CAPSULE
GLUCOSAMINE 500 MG TABLET
GOLDENSEAL 500 MG CAPSULE
ECHINACEA 125 MG TABLET
ECHINACEA 125 MG TABLET
SAW PALMETTO 160 MG SOFTGEL
SAW PALMETTO 160 MG SOFTGEL
POTASSIUM & MAG ASP 250 CAP
MANGANESE TRACE ELEMENT VL
HYDROCORTISONE 2.5% LOTION

DOSE FORM DRUG STRENGTH


PA
PA
SA
SA
AT
SO
SO
YL
AM
CA
CA
SO
SO
SO
AM
AT
YL
EA
YL
CA
EA
PP
EA
OA
OA
OA
PP
KA
KA
KA
KA
QA
QA
QA
TA
TA
EA
EA
TS
TA
CA
CA
CA
CA
TA
CA
TA
TA
CA
CA
CA
HV
SK

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
49260012175
49326041704
49348017209
49348020729
49348021812
49348027627
49348029069
49348044030
49348048629
49348090610
49452408501
49452408502
49452408503
49452408505
49452447001
49452447002
49452519001
49452519002
49452773001
49452773002
49452773003
49452805201
49452805202
49502068902
49502068912
49502068961
49614012416
49614016271
49614041510
49614044871
49614073165
49614073272
49884047201
49884047205
49884057301
49884063801
49884063805
49884063874
49999006104
49999006107
49999006110
49999006114
49999006120
49999006125
49999011430
49999011460
49999011720
49999014244
49999033400
49999033406
49999033410
49999033414
49999033420

NAME
GOLDENSEAL ROOT 500 MG CAP
CONPEC ORAL SOLUTION
SM SAW PALMETTO 160 MG SFGL
V-R INFANT NON-ASA COLD DRP
GLUCOSAMINE 500 MG TABLET
SUNMARK NASAL SPRAY
SM PEDIA RELIEF INFANT DROPS
SM HAIR REGROWTH TREATMENT SOL
SM PAIN RELIEVER COLD INF DROP
SUNMARK INSULIN SYR 0.5 ML
LITHIUM CARBONATE POWDER
LITHIUM CARBONATE POWDER
LITHIUM CARBONATE POWDER
LITHIUM CARBONATE POWDER
MERCURIC CHLORIDE GRANULE
MERCURIC CHLORIDE GRANULE
PHENOBARBITAL POWDER
PHENOBARBITAL POWDER
THIAMINE HCL POWDER
THIAMINE HCL POWDER
THIAMINE HCL POWDER
L-TYROSINE POWDER
L-TYROSINE POWDER
CROMOLYN NEBULIZER SOLUTION
CROMOLYN NEBULIZER SOLUTION
CROMOLYN NEBULIZER SOLUTION
MINOXIDIL 5% SOLUTION
SAW PALMETTO 160 MG SOFTGEL
ANTI-ITCH 1% CREAM
CHEST CONGESTION RELIEF TABLET
GLUCOSAMINE 500 MG TABLET
GLUCOSAMINE 500 MG TABLET
ORPHENGESIC TABLET
ORPHENGESIC TABLET
GUANFACINE 2 MG TABLET
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
GEMFIBROZIL 600 MG TABLET
GEMFIBROZIL 600 MG TABLET
AMPICILLIN 500 MG CAPSULE
BACITRACIN 500 UNITS/GM OINT
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB

DOSE FORM DRUG STRENGTH


CA
SJ
CA
SO
TA
AT
SO
SA
SO
YL
PA
PA
PA
PA
PG
PG
PA
PA
PA
PA
PA
PA
PA
AL
AL
AL
SA
CA
KA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
PP
TA
TA
TA
TA
TA

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
49999033430
49999039021
49999040530
50111036301
50111036303
50111061401
50111061402
50111061403
50313006724
50313006924
50313011742
50383000815
50383080804
50383080816
50383084216
50428006171
50428140791
50428195674
50428212811
50428212977
50428297885
50580050315
50580082902
50580082915
50580082930
51079005901
51079005920
51079023301
51079023320
51079063420
51079065701
51079065720
51079065801
51079065820
51079078701
51079078717
51079078719
51079078720
51079087101
51079087117
51079087119
51079087120
51219000015
51219000036
51219000110
51234018704
51285074355
51552031704
51552062504
51552102102
51552102106
51552102108
51672128001

NAME
CIPROFLOXACIN HCL 500 MG TAB
STERAPRED 5 MG TABLET UNIPAK
PHENTERMINE 30 MG CAPSULE
CHLORTHALIDONE 50 MG TABLET
CHLORTHALIDONE 50 MG TABLET
NAPROXEN 375 MG TABLET EC
NAPROXEN 375 MG TABLET EC
NAPROXEN 375 MG TABLET EC
PAHOMA DROPS
PASMIN DROPS
PRO-TANNATE PEDIATRIC SUSP
PILOCARPINE 4% EYE DROPS
TRIPLE TANNATE-S SUSPENSION
TRIPLE TANNATE PED SUSPENION
PHENYL CHLOR-TAN SUSPENSION
CVS INFANT DROPS
CVS SAW PALMETTO 160 MG SFTG
CVS INFANTS' COLD DROPS
CVS LATEX DISPOSABLE GLOVES
CVS NON-ADHESIVE 0.5X2 PAD
CHEST CONGESTION RELIEF TAB
INFANT'S TYLENOL COLD DROPS
INFANT TYLENOL COLD DROPS
INFANT TYLENOL COLD DROPS
INFANT TYLENOL COLD DROPS
CHLORTHALIDONE 50 MG TABLET
CHLORTHALIDONE 50 MG TABLET
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CLORAZEPATE 7.5 MG TABLET
ALBUTEROL SULFATE 2 MG TAB
ALBUTEROL SULFATE 2 MG TAB
ALBUTEROL SULFATE 4 MG TAB
ALBUTEROL SULFATE 4 MG TAB
GEMFIBROZIL 600 MG TABLET
GEMFIBROZIL 600 MG TABLET
GEMFIBROZIL 600 MG TABLET
GEMFIBROZIL 600 MG TABLET
SUCRALFATE 1 GM TABLET
SUCRALFATE 1 GM TABLET
SUCRALFATE 1 GM TABLET
SUCRALFATE 1 GM TABLET
HAYSMA CAPSULE
HAYSMA CAPSULE
HAYSMA CAPSULE
VITA-NUMONYL DM SOLUTION
TRIOTANN-S PEDIATRIC SUSP
PERUVIAN BALSAM LIQUID
ALMOND OIL BITTER POWDER
BHRTBASE CREAM
BHRTBASE CREAM
BHRTBASE CREAM
DESONIDE 0.05% CREAM

DOSE FORM DRUG STRENGTH


TA
UD
CA
TA
TA
TE
TE
TE
SO
SO
SC
SO
SC
SC
SC
SO
CA
SO
ZP
YV
TA
SO
SO
SO
SO
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
CA
SJ
SC
SL
PA
KA
KA
KA
KA

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
51672128003
51672300204
51672404301
51672404302
51672908003
51674000301
51674002704
51709000501
51709000502
51709000605
51709000606
51927101500
51927124200
51927305500
51927344100
51991005216
51991008316
51991011290
51991015211
51991019811
51991020311
52041000542
52041002809
52041002815
52152000902
52152000905
52152011902
52152011904
52152016002
52152016005
52152016811
52152017302
52152017305
52238075415
52297086978
52380110204
52380310205
52544083601
52544083605
52544097701
52555005701
52555005705
52555077001
52569084952
52735039001
52735041326
52735043836
52735071717
52735073712
52735097708
52747020190
52959003606
52959003610

NAME
DESONIDE 0.05% CREAM
HYDROCORTISONE 2.5% LOTION
CLORAZEPATE 7.5 MG TABLET
CLORAZEPATE 7.5 MG TABLET
DELONIDE 0.05% CREAM
NALEX JR CAPSULE SA
NALEX A 12 SUSPENSION
AIMSCO INSULN U100 0.5 ML SYR
AIMSCO INSULN U100 0.5 ML SYR
HARMONIZE LATEX CONDOM
HARMONIZE LATEX CONDOM
PHENOBARBITAL POWDER
THIAMINE HCL POWDER
ACIDOPHILUS LACTOBACILLUS
SULFATHIAZOLE POWDER
TRI TANN PEDIATRIC SUSP
CARBETAPLEX LIQUID
GLUCOSAMINE SULFATE/MSM CAP
VINATE 90 TABLET SA
FERREX 150 FORTE CAPSULE
FERREX 150 CAPSULE
NUHIST PEDIATRIC SUSPENSION
FLATULEX TABLETS
FLATULEX TABLETS
ISOXSUPRINE 10 MG TABLET
ISOXSUPRINE 10 MG TABLET
GUANFACINE 2 MG TABLET
GUANFACINE 2 MG TABLET
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
AMINATE W/90 MG IRON TAB SA
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
PILOPTIC-4 EYE DROPS
HM INSULIN SYRINGE 1 ML
POVIDONE-IODINE 7.5% SWABST
POVIDONE-IODINE SWABSTICK
CLORAZEPATE 7.5 MG TABLET
CLORAZEPATE 7.5 MG TABLET
NEPHRO-VITE RX TABLET
SUCRALFATE 1 GM TABLET
SUCRALFATE 1 GM TABLET
CIPROFLOXACIN HCL 500 MG TAB
HM INSULIN SYRINGE 1 ML
FP INSULIN 1 ML SYRINGE
FP 12 HOUR NASAL SPRAY
FP MINOXIDIL 5% SOLUTION
FP ACETAMINOPHEN 120 MG SUPP
FP ONE DAILY DIET SUPPRT TB
FP CARBONYL IRON 50 MG CPLT
ALTOREX CAPSULE
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET

DOSE FORM DRUG STRENGTH


KA
SK
TA
TA
KA
CS
SC
YL
YL
EA
EA
PA
PA
PA
PA
SC
ST
CA
TS
CA
CA
SC
TA
TA
TA
TA
TA
TA
CA
CA
TS
CA
CA
SO
YL
EL
EL
TA
TA
TA
TA
TA
TA
YL
YL
AT
SA
QA
TA
TA
CA
TA
TA

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
52959003614
52959003615
52959003620
52959003628
52959003630
52959005230
52959010100
52959019430
52959021030
52959038920
52959038928
52959038930
52959038940
52959042520
52959042530
52959043030
52959043214
52959043230
52959044007
52959044015
52959044030
52959067360
52959073000
52959073006
52959073010
52959073014
52959073015
52959073020
52959073021
52959073028
52959073030
53191029101
53191029110
53265004910
53265004950
53265025810
53265025811
53265025910
53265025911
53303001930
53303002105
53303002111
53303002130
53489014701
53489014705
53489017601
53489017605
53489017701
53489017705
53489043301
53489043310
54022104501
54022104502

NAME
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CARAFATE 1 GM TABLET
ACETAMINOPHEN 120 MG SUPPOS
NAPROXEN 375 MG TABLET EC
METHOCARBAMOL W/ASA TABLET
AMPICILLIN TR 500 MG CAPSULE
AMPICILLIN TR 500 MG CAPSULE
AMPICILLIN TR 500 MG CAPSULE
AMPICILLIN TR 500 MG CAPSULE
ALBUTEROL SULFATE 2 MG TAB
ALBUTEROL SULFATE 2 MG TAB
FASTIN 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
ORPHENADRINE COMP TABLET
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
BIO-THROID 60 MG CAPSULE
BIO-THROID 60 MG CAPSULE
CLORAZEPATE 7.5 MG TABLET
CLORAZEPATE 7.5 MG TABLET
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
DIAB GEL
RADIAGEL
DIAB DAILY CARE GEL
RADIAGEL
SULFASALAZINE 500 MG TABLET
SULFASALAZINE 500 MG TABLET
ALBUTEROL SULFATE 2 MG TAB
ALBUTEROL SULFATE 2 MG TAB
ALBUTEROL SULFATE 4 MG TAB
ALBUTEROL SULFATE 4 MG TAB
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
K MAG ASPARTATE TABLET
K MAG ASPARTATE TABLET

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
QA
TE
TA
CA
CA
CA
CA
TA
TA
CA
CA
CA
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
TA
TA
CA
CA
CA
CA
JG
JG
JG
JG
TA
TA
TA
TA
TA
TA
CA
CA
TA
TA

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
54022104801
54391100201
54569000300
54569031303
54569039200
54569039202
54569039204
54569055401
54569172300
54569172301
54569172302
54569172304
54569172305
54569172306
54569241100
54569241101
54569287400
54569287401
54569306900
54569306902
54569306903
54569306904
54569306906
54569319700
54569340900
54569341300
54569369500
54569422700
54569434400
54569452300
54569485200
54569488400
54569544200
54569553600
54569557400
54569557401
54569557402
54569557403
54629000795
54629008036
54629011310
54629014100
54629039336
54629066669
54629066700
54629066710
54629066795
54859055806
54859071601
54868013800
54868013801
54868013802
54868019200

NAME
ALKA-AID TABLET
NEPHRO-VITE RX TABLET
ACEPHEN 120 MG SUPPOSITORY
SULFASALAZINE 500 MG TABLET
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
CHLORTHALIDONE 50 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
AMPICILLIN TR 500 MG CAPSULE
AMPICILLIN TR 500 MG CAPSULE
ALBUTEROL SULFATE 4 MG TAB
ALBUTEROL SULFATE 4 MG TAB
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
BACITRACIN ZINC OINTMENT
ALBUTEROL SULFATE 2 MG TAB
PREDNISONE 5 MG TABLET
GEMFIBROZIL 600 MG TABLET
STERAPRED 5 MG TABLET UNIPAK
AEROCHAMBER W/MASK-SMALL
NAPROXEN 375 MG TABLET EC
SAW PALMETTO 160 MG SOFTGEL
DESONIDE 0.05% CREAM
CHLOR/PHENYLEPHRINE-TAN SUS
BACITRACIN 500 UNIT/GM OINT
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
SHARK CARTILAGE 700 MG CAP
LUTEIN 15 MG SOFTGEL
PMS WOMEN'S FORMULA TAB
GOLDEN SEAL 500 MG CAPSULE
SLENDER CORTISOL CAPSULE
GOLDEN SEAL 500 MG CAPSULE
GINKGO BILOBA 40 MG CAPSULE
SAW PALMETTO 160 MG CAPSULE
SHARK CARTILAGE 700 MG CAP
TUSNEL-HC LIQUID
NEPHRONEX CAPLET
CHLORTHALIDONE 50 MG TABLET
CHLORTHALIDONE 50 MG TABLET
CHLORTHALIDONE 50 MG TABLET
PHENTERMINE 30 MG CAPSULE

DOSE FORM DRUG STRENGTH


TA
TA
QA
TA
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA
CA
CA
TA
TA
CA
CA
CA
CA
CA
PP
TA
UD
TA
UD
EA
TE
CA
KA
SC
PP
TA
TA
TA
TA
CA
CA
TA
CA
CA
CA
CA
CA
CA
SL
TA
TA
TA
TA
CA

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
54868019201
54868019204
54868025300
54868025301
54868030801
54868031205
54868080200
54868080201
54868080202
54868080203
54868093900
54868093901
54868093902
54868093903
54868093905
54868093906
54868093907
54868107302
54868107303
54868107304
54868107306
54868107403
54868107405
54868107407
54868112301
54868113800
54868113801
54868113803
54868113804
54868113805
54868113806
54868116801
54868121101
54868141800
54868141801
54868179200
54868182101
54868220301
54868220302
54868235300
54868235301
54868235302
54868235303
54868260000
54868290500
54868290502
54868290503
54868290504
54868311300
54868311303
54868311305
54868311307
54868311308

NAME
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
PROVENTIL 4 MG TABLET
CARAFATE 1 GM TABLET
CLORAZEPATE 7.5 MG TABLET
CLORAZEPATE 7.5 MG TABLET
CLORAZEPATE 7.5 MG TABLET
CLORAZEPATE 7.5 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
ALBUTEROL SULFATE 2 MG TAB
ALBUTEROL SULFATE 2 MG TAB
ALBUTEROL SULFATE 2 MG TAB
ALBUTEROL SULFATE 2 MG TAB
ALBUTEROL SULFATE 4 MG TAB
ALBUTEROL SULFATE 4 MG TAB
ALBUTEROL SULFATE 4 MG TAB
AZULFIDINE 500 MG TABLET
SULFASALAZINE 500 MG TABLET
SULFASALAZINE 500 MG TABLET
SULFASALAZINE 500 MG TABLET
SULFASALAZINE 500 MG TABLET
SULFASALAZINE 500 MG TABLET
SULFASALAZINE 500 MG TABLET
PILOCARPINE 4% EYE DROPS
BROMFED CAPSULE SA
LOPID 600 MG TABLET
LOPID 600 MG TABLET
ACETAMINOPHEN 120 MG SUPPOS
GUAIFED CAPSULE SA
DESOWEN 0.05% CREAM
DESOWEN 0.05% CREAM
GEMFIBROZIL 600 MG TABLET
GEMFIBROZIL 600 MG TABLET
GEMFIBROZIL 600 MG TABLET
GEMFIBROZIL 600 MG TABLET
NIFEREX-150 FORTE CAPSULE
DILAUDID 4 MG TABLET
DILAUDID 4 MG TABLET
DILAUDID 4 MG TABLET
DILAUDID 4 MG TABLET
AMPICILLIN TR 500 MG CAPSULE
AMPICILLIN TR 500 MG CAPSULE
AMPICILLIN TR 500 MG CAPSULE
AMPICILLIN TR 500 MG CAPSULE
AMPICILLIN TR 500 MG CAPSULE

DOSE FORM DRUG STRENGTH


CA
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
SO
CS
TA
TA
QA
CS
KA
KA
TA
TA
TA
TA
CA
TA
TA
TA
TA
CA
CA
CA
CA
CA

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
54868311309
54868328400
54868328401
54868338500
54868355500
54868389700
54868389701
54868393300
54868393301
54868398900
54868400300
54868463700
54868463701
54868463702
54868485800
54868485801
54868485802
54868485803
54868485804
54868485805
54868485806
54868487600
54868487601
54868487602
54868496200
54868496900
54868496901
54868496903
54868498500
54868498501
54868501200
54868513100
54868521300
54868524400
55045120403
55045120409
55045126009
55045149403
55045149405
55045149408
55045149409
55045155408
55045247606
55045308001
55045308002
55045308005
55045308007
55111012701
55111012705
55111034201
55111034205
55111034230
55289000930

NAME
AMPICILLIN TR 500 MG CAPSULE
DESONIDE 0.05% CREAM
DESONIDE 0.05% CREAM
ATROHIST PEDIATRIC SUSP
CROMOLYN NEBULIZER SOLUTION
R-TANNAMINE SUSPENSION
R-TANNATE PEDIATRIC SUSP
SUCRALFATE 1 GM TABLET
SUCRALFATE 1 GM TABLET
IOFED CAPSULE SA
ZESTORETIC 20/12.5 TABLET
LISINOPRIL-HCTZ 20/12.5 TAB
LISINOPRIL-HCTZ 20/12.5 TB
LISINOPRIL-HCTZ 20/12.5 TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
GUANFACINE 2 MG TABLET
GUANFACINE 2 MG TABLET
GUANFACINE 2 MG TABLET
PHENCLOR TANNATE PEDI SUSP
HYDROMORPHONE 4 MG TABLET
HYDROMORPHONE 4 MG TABLET
HYDROMORPHONE 4 MG TABLET
CELEXA 10 MG TABLET
CELEXA 10 MG TABLET
POLYSACC IRON 150 COMPLEX C
AEROCHAMBER-MASK SMALL
PREDNISONE 5 MG TABLET
HUMIBID E 400 MG TABLET
AMPICILLIN TR 500 MG CAPSULE
AMPICILLIN TR 500 MG CAPSULE
PREDNISONE 5 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
PSEUBROM TR CAPSULE
GUAIFENESIN-P-EPHED CAP SA
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CITALOPRAM HBR 10 MG TABLET
CITALOPRAM HBR 10 MG TABLET
CITALOPRAM HBR 10 MG TABLET
PROVENTIL 2 MG TABLET

DOSE FORM DRUG STRENGTH


CA
KA
KA
SC
AL
SC
SC
TA
TA
CS
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
SC
TA
TA
TA
TA
TA
CA
EA
UD
TA
CA
CA
UD
TA
TA
TA
TA
CS
CS
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
55289000960
55289002404
55289002407
55289002410
55289002420
55289002428
55289002430
55289002440
55289004530
55289006830
55289017610
55289017640
55289018030
55289022930
55289026715
55289026724
55289031307
55289031314
55289031316
55289031321
55289031330
55289031360
55289036320
55289036324
55289036330
55289037106
55289037110
55289037114
55289037115
55289037120
55289037130
55289037140
55289037150
55289037179
55289041160
55289044304
55289049630
55289062407
55289062414
55289062428
55289062430
55289081215
55289082103
55289082106
55289082114
55289082120
55289082130
55289082150
55289082179
55289086030
55289096820
55370088107
55370088108

NAME
PROVENTIL 2 MG TABLET
AMPICILLIN TR 500 MG CAPSULE
AMPICILLIN TR 500 MG CAPSULE
AMPICILLIN TR 500 MG CAPSULE
AMPICILLIN TR 500 MG CAPSULE
AMPICILLIN TR 500 MG CAPSULE
AMPICILLIN TR 500 MG CAPSULE
AMPICILLIN TR 500 MG CAPSULE
ALBUTEROL SULFATE 4 MG TAB
CHLORTHALIDONE 50 MG TABLET
SULFASALAZINE 500 MG TABLET
SULFASALAZINE 500 MG TABLET
FASTIN 30 MG CAPSULE
ROBAXISAL TABLET
NAPROSYN 375 MG TABLET EC
NAPROSYN 375 MG TABLET EC
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
ALBUTEROL SULFATE 2 MG TAB
ALBUTEROL SULFATE 2 MG TAB
ALBUTEROL SULFATE 2 MG TAB
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
GEMFIBROZIL 600 MG TABLET
TANORAL PEDIATRIC ORAL SUSP
METHOCARBAMOL W/ASA TABLET
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
GUAIFED CAPSULE SA
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CLORAZEPATE 7.5 MG TABLET
CARAFATE 1 GM TABLET
AMPICILLIN TR 500 MG CAPSULE
AMPICILLIN TR 500 MG CAPSULE

DOSE FORM DRUG STRENGTH


TA
CA
CA
CA
CA
CA
CA
CA
TA
TA
TA
TA
CA
TA
TE
TE
CA
CA
CA
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
SC
TA
CA
CA
CA
CA
CS
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
55390004601
55499050060
55499054504
55499054510
55505010211
55505010513
55505010516
55860007298
55887020612
55887050230
55887058410
55887058414
55887058420
55887058430
55887058440
55887085814
56091002144
57515008258
57599854701
57664050713
57664050718
57664050783
57664050788
57866006501
57866494101
57866610901
57866625101
57866625102
57866625103
57866654002
57866654004
57866654005
57866707801
57866799201
57866800001
57866800002
57866903001
58016011700
58016011704
58016011708
58016011710
58016011712
58016011714
58016011715
58016011720
58016011730
58016011750
58016014900
58016014907
58016014910
58016014920
58016014921
58016014924

NAME
FLUCONAZOLE-NS 400 MG/200 ML
LIPOTRIAD CAPLET
CYSTEX TABLET
CYSTEX TABLET
CHARCOAL PLUS DS TABLET
CHARCOAL PLUS DS TABLET
CHARCOAL PLUS DS TABLET
AIRSTRIP 2 1/2" X 1 1/2"
ACEPHEN 120 MG SUPPOSITORY
CELEXA 10 MG TABLET
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPRO 500 MG TABLET
SURGIPAD DRESSING 8"X 7.5"
INSULIN SYRINGE U100 0.5 ML
PRECISION SURE DOSE SYRINGE
CITALOPRAM HBR 10 MG TABLET
CITALOPRAM HBR 10 MG TABLET
CITALOPRAM HBR 10 MG TABLET
CITALOPRAM HBR 10 MG TABLET
PRINZIDE 20/12.5 MG TABLET
CLORAZEPATE 7.5 MG TABLET
SUCRALFATE 1 GM TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
GEMFIBROZIL 600 MG TABLET
GEMFIBROZIL 600 MG TABLET
GEMFIBROZIL 600 MG TABLET
HYDROMORPHONE 4 MG TABLET
PRINZIDE 20/12.5 MG TABLET
LISINOPRIL-HCTZ 20/12.5 TAB
LISINOPRIL-HCTZ 20/12.5 TAB
PHENTERMINE 30 MG CAPSULE
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
AMPICILLIN TR 500 MG CAPSULE
AMPICILLIN TR 500 MG CAPSULE
AMPICILLIN TR 500 MG CAPSULE
AMPICILLIN TR 500 MG CAPSULE
AMPICILLIN TR 500 MG CAPSULE
AMPICILLIN TR 500 MG CAPSULE

DOSE FORM DRUG STRENGTH


HP
TA
TA
TA
TA
TA
TA
YE
QA
TA
TA
TA
TA
TA
TA
TA
YE
YL
YL
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
CA
CA
CA
CA

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
58016014925
58016014928
58016014930
58016014940
58016017540
58016028130
58016047300
58016047312
58016047315
58016047320
58016047324
58016047330
58016047390
58016054000
58016054060
58016059300
58016059330
58016059360
58016059390
58016060300
58016060312
58016060315
58016060320
58016060324
58016060330
58016079000
58016079030
58016079060
58016086114
58016086130
58016086160
58016095300
58016095302
58016095310
58016095312
58016095315
58016095320
58016095330
58016095360
58016095390
58016200601
58016603701
58173003816
58177001904
58177002409
58177002411
58177002511
58177004504
58177004604
58177021204
58177021211
58177029904
58177029911

NAME
AMPICILLIN TR 500 MG CAPSULE
AMPICILLIN TR 500 MG CAPSULE
AMPICILLIN TR 500 MG CAPSULE
AMPICILLIN TR 500 MG CAPSULE
ERYTHROMYCIN EST 250 MG/5 ML
ROBAXISAL TABLET
ALBUTEROL SULFATE 2 MG TAB
ALBUTEROL SULFATE 2 MG TAB
ALBUTEROL SULFATE 2 MG TAB
ALBUTEROL SULFATE 2 MG TAB
ALBUTEROL SULFATE 2 MG TAB
ALBUTEROL SULFATE 2 MG TAB
ALBUTEROL SULFATE 2 MG TAB
GEMFIBROZIL 600 MG CAPSULE
GEMFIBROZIL 600 MG TABLET
CELEXA 10 MG TABLET
CELEXA 10 MG TABLET
CELEXA 10 MG TABLET
CELEXA 10 MG TABLET
ALBUTEROL SULFATE 4 MG TAB
ALBUTEROL SULFATE 4 MG TAB
ALBUTEROL SULFATE 4 MG TAB
ALBUTEROL SULFATE 4 MG TAB
ALBUTEROL SULFATE 4 MG TAB
ALBUTEROL SULFATE 4 MG TAB
PSEUDO-G CAPSULE SA
PSEUDO-G CAPSULE SA
PSEUDO-G CAPSULE SA
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
ACETAMINOPHEN 120 MG SUPPOS
PILOCARPINE 4% EYE DROP
BRONDIL LIQUID
BROMFENEX CAPSULE SA
FE-TINIC 150 CAPSULE
FE-TINIC 150 CAPSULE
FE-TINIC 150 FORTE CAPSULE
PSEUDOVENT CAPSULE SA
PSEUDOVENT PED CAPSULE SA
PRENATAL MR 90 FE TABLET SA
PRENATAL MR 90 FE TABLET SA
HYDROMORPHONE 4 MG TABLET
HYDROMORPHONE 4 MG TABLET

DOSE FORM DRUG STRENGTH


CA
CA
CA
CA
SC
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CS
CS
CS
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
QA
SO
SL
CS
CA
CA
CA
CS
CS
TS
TS
TA
TA

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
58177030204
58211060792
58605053001
58607010359
58607010390
58607011185
58607101100
58768051812
58768051815
58768051834
58864003328
58864003340
58864063714
58864063720
58864063730
58864071060
58864083310
58864083320
58914017110
58914017121
58914017130
58914017150
59085025515
59196000601
59196000901
59196002001
59366270802
59366270804
59441015101
59441043816
59743000201
59743000301
59743006001
59762500001
59762500002
59762503502
59779114799
59879010501
59930153201
59930153202
60258004512
60258016101
60258018501
60258018601
60258024716
60258031304
60258042916
60258043616
60429008105
60429008118
60429008160
60432034504
60432034516

NAME
NAPROXEN 375 MG TABLET EC
SENIOR TOPIX SUN PAD SPF30
ALLFEN JR TABLET
MYNATAL CAPSULE
MYNATE 90 PLUS CAPLET SA
MYFERON 150 CAPSULE
MYFERON-150 FORTE CAPSULE
PILOCAR 4% EYE DROPS
PILOCAR 4% EYE DROPS
PILOCAR 4% EYE DROPS
AMPICILLIN TR 500 MG CAPSULE
AMPICILLIN TR 500 MG CAPSULE
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
GEMFIBROZIL 600 MG TABLET
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
CARAFATE 1 GM TABLET
CARAFATE 1 GM TABLET
CARAFATE 1 GM TABLET
CARAFATE 1 GM TABLET
PEDIA RELIEF INFANT DROPS
ULTRABROM CAPSULE SA
E-Z SPACER
E-Z SPACER MASK, SMALL
HYDROCORTISONE 2.5% LOTION
HYDROCORTISONE 2.5% LOTION
SINUFED TIMECELLES
ENTUSS-D LIQUID
G-PHED CAPSULE SA
G-PHED-PD CAPSULE SA
PSEUBROM CAPSULE SA
SULFASALAZINE 500 MG TABLET
SULFASALAZINE 500 MG TABLET
FLUCONAZOLE-NS 400 MG/200 ML
CVS SYRINGE 1 ML
POLYSACCHARIDE IRON 150 MG
SUCRALFATE 1 GM TABLET
SUCRALFATE 1 GM TABLET
LACTIC ACID 10% LOTION
RENA-VITE RX TABLET
POLY-IRON 150 MG CAPSULE
POLY-IRON 150 FORTE CAPSULE
RELACON-DM LIQUID
CHLOREX-A 12 SUSPENSION
BROMHIST-PDX SYRUP
ANDEHIST SYRUP
GEMFIBROZIL 600 MG TABLET
GEMFIBROZIL 600MG TAB
GEMFIBROZIL 600 MG TABLET
PHENCLOR TANNATE PEDI SUSP
PHENCLOR TANNATE PEDI SUSP

DOSE FORM DRUG STRENGTH


TE
ET
TA
CA
TS
CA
CA
SO
SO
SO
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
SO
CS
EA
EA
SK
SK
CS
SL
CS
CS
CS
TA
TA
HP
YL
CA
TA
TA
SK
TA
CA
CA
ST
SC
ST
ST
TA
TA
TA
SC
SC

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
60505003404
60505003408
60505020603
60505073302
60505080201
60505080202
60505130901
60505251801
60505251804
60505710200
60505710201
60760051310
60760081510
60904028620
60951075770
61139130100
61139130103
61139130104
61139130105
61139130200
61139130202
61139130203
61139130204
61139130205
61314020615
61703041464
62107006901
62107008350
62436007807
62436024701
62441030010
62451539013
62991117701
62991132001
62991200101
62991200102
62991200103
62991200104
62991200105
63044003012
63044019862
63044020361
63304020601
63304020602
63304053701
63304055301
63304055305
63304071001
63323000920
63323000940
63323000963
63323014620
63323014640

NAME
DOSE FORM DRUG STRENGTH
GEMFIBROZIL 600 MG TABLET
TA
GEMFIBROZIL 600 MG TABLET
TA
LISINOPRIL-HCTZ 20/12.5 TAB
TA
FLUCONAZOLE-NS 400 MG/200 ML
HP
CROMOLYN NEBULIZER SOLUTION
AL
CROMOLYN NEBULIZER SOLUTION
AL
CIPROFLOXACIN HCL 500 MG TAB
TA
CITALOPRAM HBR 10 MG TABLET
TA
CITALOPRAM HBR 10 MG TABLET
TA
MINOXIDIL 5% SOLUTION
SA
MINOXIDIL 5% SOLUTION
SA
CIPRO 500 MG TABLET
TA
CIPROFLOXACIN HCL 500 MG TAB
TA
PREDNISONE 5 MG TABLET
UD
HYDROMORPHONE 4 MG TABLET
TA
SPACER, BREATHERITE, SOLID
EA
SPACER, BREATHRITE, SM MASK
EA
SPACER, BREATHERITE, MED MASK
EA
SPACER, BREATHERITE, LRG MASK
EA
SPACER, BREATHERITE, COLLAPSABLE
EA
SPACER, BREATHERITE, COLLAPSABLE, XSML
EAMASK
SPACER, BREATHERITE, COLLAPSABLE, SM MASK
EA
SPACER, BREATHERITE, COLLP, MED MASK EA
SPACER, BREATHERITE, COLLP, LG MASK EA
PILOCARPINE 4% EYE DROPS
SO
FLUCONAZOLE-NS 400 MG/200 ML
HP
GENTLE TOUCH 0.5 ML SYRINGE
YL
G-PHEN 400 CAPLET
TA
SALAC FOAM
AF
TEXACORT 1% SOLUTION
SA
FENESIN IR 400 MG TABLET
TA
CLORAZEPATE 7.5 MG TABLET
TA
ATTAPULGITE POWDER
PA
SUPPOSIBASE MBK FATTY ACID PWD
PA
ACIDOPHILUS LACTOBACILLUS
PA
ACIDOPHILUS LACTOBACILLUS
PA
ACIDOPHILUS LACTOBACILLUS
PA
ACIDOPHILUS LACTOBACILLUS
PA
ACIDOPHILUS LACTOBACILLUS
PA
CONDOM
EA
IFEREX 150 FORTE CAPSULE
CA
IFEREX 150 CAPSULE
CA
RIOMET 500 MG/5 ML SOLUTION
SJ
RIOMET 500 MG/5 ML SOLUTION
SJ
LISINOPRIL-HCTZ 20-12.5 TAB
TA
CLORAZEPATE 7.5 MG TABLET
TA
CLORAZEPATE 7.5 MG TABLET
TA
CIPROFLOXACIN HCL 500 MG TAB
TA
LYPHOLYTE VIAL
HV
LYPHOLYTE VIAL
HV
LYPHOLYTE MAXIVIAL
HV
LYPHOLYTE-II VIAL
HV
LYPHOLYTE-II VIAL
HV

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
63323014661
63323014663
63323030863
63717025106
63736073005
63739026101
63739026103
63739026115
63824017016
63868010602
64376071416
64543013001
64731057501
64731057510
64899091201
64915010590
64915010790
64915010990
64915011090
64915050365
64915063590
64915071360
64980010401
64980031036
65162054610
65162054650
65224015016
65224016516
65224029516
65224041016
65224044516
65224062016
65234004616
65759045802
65759046102
65862000501
65862000505
65862000510
65862000530
66116019206
66116019214
66116019230
66116019260
66116024928
66116042320
66116068814
66116068920
66239015716
66267001030
66267002528
66267002540
66267005810
66267005814

NAME
LYPHOLYTE-II MAXIVIAL
LYPHOLYTE-II MAXIVIAL
FLUCONAZOLE-NS 400 MG/200 ML
XPECT 400 MG TABLET
NOSTRILLA 12HR NOSE SPRAY
SUCRALFATE 1 GM TABLET
SUCRALFATE 1 GM TABLET
SUCRALFATE 1 GM TABLET
ALLERX SUSPENSION
QC MINOXIDIL 5% SOLUTION
CPM PSE SYRUP
LIQUIBID 400 MG TABLET
ISOXSUPRINE 10 MG TABLET
ISOXSUPRINE 10 MG TABLET
INSULIN SYRINGE U100 1/2 ML
CALCIUM CHELA-MAX CAPSULE
CAL-MAG CHELA-MAX CAPSULE
CAL-MAG-K CHELA-MAX CAPSULE
MAG-K CHELA-MAX CAPSULE
ESKIMO-3 LIQUID
FIBERZYME CONCENTRATE-HP CP
SAW PALMETTO 160 MG SOFTGEL
PHOSPHA 250 NEUTRAL TABLET
LACTIC ACID 10% LOTION
SUCRALFATE 1 GM TABLET
SUCRALFATE 1 GM TABLET
PEDIATEX LIQUID
PEDIATEX HC LIQUID
PEDIATEX-D LIQUID
Z-COF HC LIQUID
PEDIATEX DM LIQUID
Z-COF DM SYRUP
CAPITAL W/CODEINE ORAL SUSP
MP NON ASPIRIN DROP
MP NON ASPIRIN DROP
CITALOPRAM HBR 10 MG TABLET
CITALOPRAM HBR 10 MG TABLET
CITALOPRAM HBR 10 MG TABLET
CITALOPRAM HBR 10 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
PRINCIPEN 500 MG CAPSULE
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
TANATAN RF PEDIATRIC SUSP
ALBUTEROL SULFATE 2 MG TAB
AMPICILLIN 500 MG CAPSULE
AMPICILLIN 500 MG CAPSULE
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET

DOSE FORM DRUG STRENGTH


HV
HV
HP
TA
AT
TA
TA
TA
SC
SA
ST
TA
TA
TA
YL
CA
CA
CA
CA
SL
CA
CA
TA
SK
TA
TA
SL
SL
SL
ST
SL
ST
SC
SO
SO
TA
TA
TA
TA
TA
TA
TA
TA
CA
TA
TA
TA
SC
TA
CA
CA
TA
TA

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
66267005820
66267091914
66267091920
66346018165
66813017916
66813093916
66992014516
66992014616
66993053057
66993053155
66993053757
66993083002
66993083004
67253074150
67286890301
67386030201
67386030205
67767013801
68030011401
68030011402
68030625101
68030625102
68030625103
68030625120
68032010704
68047014104
68084000101
68084007001
68115000830
68115000860
68115000915
68115000930
68115003321
68115003328
68115008200
68115008210
68115008220
68115015360
68115015397
68115027814
68115027830
68115027930
68115044601
68115044630
68115056112
68115061904
68115067700
68115074200
68115075399
68115086445
70030013709
70030013803
70030014624

NAME
CIPRO 500 MG TABLET
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
ACCUHIST PDX SYRUP
LEVALL SYRUP
LEVALL 5.0 SYRUP
LUSONAL LIQUID
LUSONAL LIQUID
TRIOTANN PEDIATRIC SUSP
R-TANNA S PEDIATRIC SUSPENSION
R-TANNA PEDIATRIC SUSPENSION
SUCRALFATE 1 GM TABLET
SUCRALFATE 1 GM TABLET
GEMFIBROZIL 600 MG TABLET
TENEX 2 MG TABLET
TRANXENE T-TAB 7.5 MG
TRANXENE T-TAB 7.5 MG
CIPROFLOXACIN HCL 500 MG TAB
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
RE2+30 SYRUP
TANACOF-A 12 SUSPENSION
SUCRALFATE 1 GM TABLET
CIPROFLOXACIN HCL 500 MG TAB
ALBUTEROL SULFATE 2 MG TAB
ALBUTEROL SULFATE 2 MG TAB
ALBUTEROL SULFATE 4 MG TAB
ALBUTEROL SULFATE 4 MG TAB
AMPICILLIN 500 MG CAPSULE
AMPICILLIN TR 500 MG CAPSULE
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
CIPRO 500 MG TABLET
GEMFIBROZIL 600 MG TABLET
GEMFIBROZIL 600 MG TABLET
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
PHENTERMINE 30 MG CAPSULE
CIPROFLOXACIN HCL 500 MG TAB
CIPROFLOXACIN HCL 500 MG TAB
ACETAMINOPHEN 120 MG SUPPOS
HYDROCORTISONE 2.5% LOTION
LISINOPRIL-HCTZ 20/12.5 TAB
SUCRALFATE 1 GM TABLET
CHARCOAL PLUS DS TABLET
BIOTENE DRY MOUTH TOOTHPSTE
INFANTS' PAIN/REL COLD DRPS
PEDIA RELIEF INFANT DROPS
MINOXIDIL 5% SOLUTION

DOSE FORM DRUG STRENGTH


TA
TA
TA
ST
ST
ST
SL
SL
SC
SC
SC
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
ST
SC
TA
TA
TA
TA
TA
TA
CA
CA
TA
TA
TA
TA
TA
CA
CA
CA
TA
TA
QA
SK
TA
TA
TA
KT
SO
SO
SA

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
70030014625
70501009640
70907001312
73913128273
74300000910
74980030090
79511010003
79854000795
79854001131
79854003933
79854008036
79854010607
79854010614
79854010672
79854016795
79854061062
81306051613
81306052613
81317040070
81317050360
81317050400
81317050600
81317050620
81317070020
81317070040
81317070060
81317070080
81317070110
81317070130
81317070160
81317070180
81317070190
81317070210
81317070680
81317070980
81317070990
81317090460
81317090630
81317440050
81317705000
82468011168
82468061433
82468061972
82468062010
86227080055
86679005003
86679023468
86679023898
86679024781
87651042067
87701009417
87701009418
87701039916

NAME
MINOXIDIL 5% SOLUTION
NEUTROGENA T/SCALP 1% SOLN
LIFESTYLES XTR PLEAS CONDOM
FIRST CHOICE SYRINGE 1 ML
HEMORID CREAM
YL ECHINACEA 125 MG CAPLET
SKEETER STIK LIQUID
SHARK CARTILAGE 700 MG CAP
PMS WOMEN'S FORMULA TAB
SLENDER CORTISOL CAPSULE
LUTEIN 15 MG SOFTGEL
GINKGO BILOBA 40 MG CAPSULE
GOLDEN SEAL 500 MG CAPSULE
SAW PALMETTO 160 MG CAPSULE
SHARK CARTILAGE 700 MG CAP
GOLDEN SEAL 500 MG CAPSULE
RELION INSULIN SYRINGE 1 ML
RELI-ON INSULIN 1 ML SYR
SLEEVE CLOSURE CLAMP
SHUT OFF FOR 5000 ENEMA BAG
IRRIGATION SLEEVE 1.5"
IRRIGATION SLEEVE 2"
IRRIGATION SLEEVE 2.5"
IRRIGATION SLEEVE 2"
IRRIGATION SLEEVE 2"
IRRIGATION SLEEVE 2.5"
IRRIGATION SLEEVE 2.5"
ENEMA BAG
TUBING FOR IRRIGATOR
SHUT OFF FOR TUBING
QUICK DISCONNECT-CONNECTOR
INSERTION TUBE CATHETER 8"
SHIELD FOR INSERTION TUBE
LAIRD TIP 1/2" TO 1"
COLOSTOTIP 3/8" TO 1-1/2"
COLOSTOTIP/QUICK DISCONNECT
ECONOMY POUCH
MINI-DRAIN OPEN END POUCH
SHIELD SKIN MEDICATED SWAB
CONE TIP
FP ACETAMINOPHEN 120 MG SUPP
FP INSULIN 1 ML SYRINGE
FP MINOXIDIL 5% SOLUTION
FP ONE DAILY DIET SUPPRT TB
SURE COMFORT 0.5 ML SYRINGE
UNDERPAD STANDARD 23"X24"
EZ-SORB 23"X24" UNDERPAD
DRI-SORB UNDERPADS 23"X24"
ECONOLINE PLUS PAD 23"X24"
AZO CRANBERRY 450 MG TABLET
BL INFANTS PAIN/COLD DROPS
GNP INFANTS PAIN/COLD DROPS
BL CATNIP HERB POWDER

DOSE FORM DRUG STRENGTH


SA
SA
EA
YL
KA
TA
SL
CA
TA
CA
CA
CA
CA
CA
CA
CA
YL
YL
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EL
EA
QA
YL
SA
TA
YL
EA
EA
EA
EA
TA
SO
SO
PA

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09

NDC
87701044144
87701047999
87701055203
87701060266
87701086010
87701086736
87701089173
87701089186
87701089461
87701089517
87701092696
87701095122
90891013200
91717023833
93815098547
96295001157
96295010494
96295011093
00002749801
00004001814
00004001822
00004001823
00004027301
00005558611
00006014231
00006014258
00006020728
00006020731
00006020754
00006020758
00006020772
00006020782
00006020787
00006020794
00009026002
00009026017
00009037005
00024135801
00026068520
00026069020
00026069025
00029604612
00029604620
00029604625
00043011908
00043011916
00043011932
00045018550
00045049824
00053767006
00054372250
00054372263
00054373063

NAME
BL INSULIN 0.5 ML SYRINGE
GNP SAW PALMETTO 160 MG SFTG
GNP LONG ACTING NASAL SPRAY
BL SAW PALMETTO 160 MG SFTG
GNP MINOXIDIL 5% SOLUTION
GNP ONE DAILY DIET TABLET
BL CARBONYL IRON 50 MG CPLT
BL GLUCOSAMINE 500 MG TABLET
GNP GLUCOSAMINE 500 MG TAB
GNP CARBONYL IRON 50 MG CPLT
BL ONE DAILY DIET SUPPORT TAB
BL LONG ACTING NASAL SPRAY
FLUFF UNDERPAD
IMMULIFE POWDER
PRECISION SURE DOSE SYRINGE
MINOXIDIL 5% SOLUTION
LEADER INSULIN SYRINGE 0.5 ML
INFANTS PAIN RELIEF COLD DROPS
DOBUTAMINE 500 MG/D5W 250 ML
TICLID 250 MG TABLET
TICLID 250 MG TABLET
TICLID 250 MG TABLET
TORADOL 10 MG TABLET
MATERNA TABLET
PRINZIDE 20/25 TABLET
PRINZIDE 20/25 TABLET
PRINIVIL 20 MG TABLET
PRINIVIL 20 MG TABLET
PRINIVIL 20 MG TABLET
PRINIVIL 20 MG TABLET
PRINIVIL 20 MG TABLET
PRINIVIL 20 MG TABLET
PRINIVIL 20 MG TABLET
PRINIVIL 20 MG TABLET
COLESTID GRANULES
COLESTID GRANULES
COLESTID FLAVORED GRANULES
NEO-SYNEPHRINE 2.5% EYE DRP
PLASBUMIN-5 IV SOLUTION
PLASBUMIN-5 IV SOLUTION
PLASBUMIN-5 IV SOLUTION
AMOXIL 500 MG TABLET
AMOXIL 500 MG TABLET
AMOXIL 500 MG TABLET
TAVIST-1 1.34 MG TABLET
TAVIST-1 1.34 MG TABLET
CLEMASTINE FUMARATE 1.34MG TAB
LACTAID EX-STR 4,500 UNIT CPLT
MOTRIN 100 MG CAPLET
ALBUMINAR-5 IV SOLUTION
PREDNISONE 5 MG/5 ML SOLUTION
PREDNISONE 5 MG/5 ML SOLUTION
PROPRANOLOL 40 MG/5 ML SOLN

DOSE FORM DRUG STRENGTH


YL
CA
AT
CA
SA
TA
TA
TA
TA
TA
TA
AT
EA
PA
YL
SA
YL
SO
HM
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
PG
PG
PG
SO
HV
HV
HV
TA
TA
TA
TA
TA
TA
TA
TA
HV
SJ
SJ
SJ

UNIT PRICE
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.09
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10

NDC
00054412125
00054812125
00054872216
00056064728
00056064768
00062318501
00064048015
00064048030
00064048060
00064205002
00064205004
00065034203
00065804010
00065804053
00065804054
00067004710
00067004736
00067119008
00067119016
00068021315
00068021318
00069260066
00069393066
00074106720
00074204750
00074234732
00074258913
00074258953
00074409001
00074409201
00074427501
00074427801
00074452605
00074572913
00074572953
00074602513
00074735102
00078031805
00081073794
00081960041
00085061402
00085133601
00087076001
00087076043
00087076101
00087076102
00087076143
00088110947
00088110955
00089023310
00089090540
00089091006
00089091012

NAME
CALCIUM GLUCONATE 500 MG TAB
CALCIUM GLUCONATE 500 MG TAB
PREDNISONE 5 MG/5 ML SOLUTION
SINEMET-10/100 TABLET
SINEMET-10/100 TABLET
GYNOL II EXTRA STRENGTH
EMBELINE 0.05% GEL
EMBELINE 0.05% GEL
EMBELINE 0.05% GEL
IONAX SCRUB CLEANSER
IONAX SCRUB CLEANSER
MYDFRIN 2.5% EYE DROPS
ICAPS TABLET
ICAPS TABLET
ICAPS TABLET
BENEFIBER CHEWABLE TABLET
BENEFIBER CHEWABLE TABLET
TAVIST-1 1.34 MG TABLET
TAVIST-1 1.34 MG TABLET
CEPACOL SORE THROAT LOZENGE
CEPACOL SORE THROAT LOZENGE
PROCARDIA 10 MG CAPSULE
DIABINESE 100 MG TABLET
CARBOCAINE 2% VIAL
CARBOCAINE 2% VIAL
DOBUTAMINE 500 MG/D5W 250 ML
ERYTHROMYCIN ES 400 MG TAB
ERYTHROMYCIN ES 400 MG TAB
ZINC CHLORIDE 1 MG/ML VIAL
COPPER CHLORIDE 0.4 MG/ML VL
LIDOCAINE HCL 0.5% VIAL
LIDOCAINE HCL 0.5% VIAL
ZINC CHLORIDE 1 MG/ML VIAL
E.E.S. 400 FILMTAB
E.E.S. 400 FILMTAB
CYLERT 18.75 MG TABLET
CIMETIDINE 1,200 MG/250 ML SLN
ANAFRANIL 75 MG CAPSULE
NEOSPORIN PLUS CREAM
SUDAFED SINUS NIGHTTIME CAPLET
PROVENTIL 90 MCG INHALER
PROVENTIL 0.5% SOLUTION
K-LYTE TABLET EFF
K-LYTE TABLET EFF
K-LYTE TABLET EFF
K-LYTE TABLET EFF
K-LYTE TABLET EFF
ALLEGRA 180 MG TABLET
ALLEGRA 180 MG TABLET
NORGESIC FORTE TABLET
BUF-PUF/OIL-FREE CLEANSR
BUF-PUF
BUF-PUF SPONGE EACH

DOSE FORM DRUG STRENGTH


TA
TA
SJ
TA
TA
JW
JG
JG
JG
PL
PL
SO
TS
TS
TS
TC
TC
TA
TA
TL
TL
CA
TA
HV
HV
HM
TA
TA
HV
HV
HV
HV
HV
TA
TA
TA
HM
CA
KA
TA
AB
SA
TF
TF
TF
TF
TF
TA
TA
TA
EA
EA
EA

UNIT PRICE
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10

NDC
00089091506
00089091825
00089091925
00093015401
00093015405
00093026592
00093026639
00093029201
00093029205
00093031401
00093096001
00093103701
00093103705
00093105201
00093105210
00093111401
00093111410
00093226301
00093817101
00093817155
00093954101
00113001162
00113028251
00113028273
00143111501
00143111505
00143126401
00143126410
00143126801
00143126810
00143178501
00143178510
00145279004
00168013460
00168013515
00168013560
00168029315
00168029330
00168029360
00168032608
00168032630
00168032660
00172293260
00172293270
00172376000
00172376010
00172376060
00172376070
00172376080
00172409760
00172409780
00172439018
00172444060

NAME
BUF-PUF GENTLE
BUF-PUF GENTLE SPONGES
BUF-PUF REGULAR SPONGES
TICLOPIDINE 250 MG TABLET
TICLOPIDINE 250 MG TABLET
FLUOCINONIDE 0.05% GEL
FLUOCINONIDE 0.05% SOLUTION
CARBIDOPA/LEVO 10/100 TAB
CARBIDOPA/LEVO 10/100 TAB
KETOROLAC 10 MG TABLET
CLOMIPRAMINE 75 MG CAPSULE
LISINOPRIL-HCTZ 20/25 TAB
LISINOPRIL-HCTZ 20/25 TAB
ENALAPRIL/HCTZ 10-25MG TAB
ENALAPRIL/HCTZ 10-25MG TAB
LISINOPRIL 20 MG TABLET
LISINOPRIL 20 MG TABLET
AMOXICILLIN 500 MG TABLET
NIFEDIPINE 10 MG CAPSULE
NIFEDIPINE 10 MG CAPSULE
PEMOLINE 18.75 MG TABLET
IBURPOFEN JR STR 100 MG TAB
DAYHIST TABLET
DAYHIST TABLET
BUTALBITAL/APAP/CAFFEINE TB
BUTALBITAL/APAP/CAFFEINE TB
LISINOPRIL-HCTZ 20-25 TAB
LISINOPRIL-HCTZ 20-25 TAB
LISINOPRIL 20 MG TABLET
LISINOPRIL 20 MG TABLET
BUTALBITAL COMPOUND TABLET
BUTALBITAL COMPOUND TABLET
CLOBEVATE 0.05% GEL
FLUOCINONIDE 0.05% SOLUTION
FLUOCINONIDE 0.05% GEL
FLUOCINONIDE 0.05% GEL
CLOBETASOL 0.05% GEL
CLOBETASOL 0.05% GEL
CLOBETASOL 0.05% GEL
NITRO-BID 2% OINTMENT
NITRO-BID 2% OINTMENT
NITRO-BID 2% OINTMENT
METHYLDOPA 500 MG TABLET
METHYLDOPA 500 MG TABLET
LISINOPRIL 20 MG TABLET
LISINOPRIL 20 MG TABLET
LISINOPRIL 20 MG TABLET
LISINOPRIL 20 MG TABLET
LISINOPRIL 20 MG TABLET
BACLOFEN 20 MG TABLET
BACLOFEN 20 MG TABLET
ALBUTEROL 90 MCG INHALER
GABAPENTIN 100 MG TABLET

DOSE FORM DRUG STRENGTH


EA
EA
EA
TA
TA
JG
SA
TA
TA
TA
CA
TA
TA
TA
TA
TA
TA
TA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
JG
SA
JG
JG
JG
JG
JG
OA
OA
OA
TA
TA
TA
TA
TA
TA
TA
TA
TA
AB
TA

UNIT PRICE
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10

NDC
00172444070
00172480460
00172480470
00172503200
00172503210
00172503260
00172503270
00173032188
00173045501
00173045502
00173045503
00178060001
00182109511
00182129689
00182149717
00182163101
00182269401
00182271801
00182409619
00182505068
00182601465
00182708264
00185010201
00185010210
00185010233
00185011505
00185011530
00185011560
00185017201
00185017210
00185017301
00185017310
00185070101
00185070105
00185070130
00185070401
00185070405
00185070430
00185070701
00185070705
00185070730
00185071401
00185080501
00186013501
00186013701
00186042001
00186042201
00186085944
00186085954
00186085981
00186085991
00193279127
00193279727

NAME
GABAPENTIN 100 MG TABLET
OXAZEPAM 10 MG CAPSULE
OXAZEPAM 10 MG CAPSULE
LISINOPRIL-HCTZ 20/25 TAB
LISINOPRIL-HCTZ 20/25 TAB
LISINOPRIL-HCTZ 20/25 TAB
LISINOPRIL-HCTZ 20/25 TAB
VENTOLIN 90 MCG INHALER
TEMOVATE 0.05% GEL
TEMOVATE 0.05% GEL
TEMOVATE 0.05% GEL
UROCIT-K 540 MG TABLET SA
ACETAMINOPHEN 650 MG SUPPOS
BACLOFEN 20 MG TABLET
POTASSIUM 25 MEQ TAB EFF
BUTALBITAL COMPOUND TABLET
BUTALBITAL-APAP-CAFFEINE TB
GABARONE 100 MG TABLET
VITAMIN C & E COMBO SOFTGEL
FLUOCINONIDE 0.05% SOLUTION
ALBUTEROL 5 MG/ML SOLUTION
TEARGEN II EYE DROPS
LISINOPRIL 20 MG TABLET
LISINOPRIL 20 MG TABLET
LISINOPRIL 20 MG TABLET
TICLOPIDINE 250 MG TABLET
TICLOPIDINE 250 MG TABLET
TICLOPIDINE 250 MG TABLET
ENALAPRIL/HCTZ 10-25MG TAB
ENALAPRIL/HCTZ 10-25MG TAB
LISINOPRIL-HCTZ 20/25MG TB
LISINOPRIL-HCTZ 20/25MG TB
BISOPROLOL/HCTZ 2.5/6.25 TB
BISOPROLOL/HCTZ 2.5/6.25 TB
BISOPROLOL/HCTZ 2.5/6.25 TB
BISOPROLOL/HCTZ 5/6.25 TAB
BISOPROLOL/HCTZ 5/6.25 TAB
BISOPROLOL/HCTZ 5/6.25 TAB
BISOPROLOL/HCTZ 10/6.25 TAB
BISOPROLOL/HCTZ 10/6.25 TAB
BISOPROLOL/HCTZ 10/6.25 TAB
ORPHENADRINE COMP FORTE TAB
DOXYCYCLINE MONO 50 MG CAP
XYLOCAINE 0.5% VIAL
XYLOCAINE 0.5% VIAL
POLOCAINE 2% VIAL
POLOCAINE 2% VIAL
ROPIVACAINE HCL 2MG/ML INJ
ROPIVACAINE HCL 2MG/ML INJ
NAROPIN 2 MG/ML INFUSION BTL
NAROPIN 2 MG/ML INFUSION BTL
AUTOLET PLATFORMS
AUTOLET PLATFORMS

DOSE FORM DRUG STRENGTH


TA
CA
CA
TA
TA
TA
TA
AB
JG
JG
JG
TS
QA
TA
TF
TA
TA
TA
CA
SA
SA
SO
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
HV
HV
HV
HV
HB
HB
HB
HB
ZA
ZA

UNIT PRICE
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10

NDC
00193546101
00193559401
00193561701
00224180111
00224180124
00224180135
00228202310
00228202396
00228206710
00228206750
00228249710
00228249730
00228253810
00228253850
00228261303
00228261306
00228261311
00228265010
00228265110
00228265203
00228270803
00228270811
00245003901
00245003930
00245016806
00245016812
00247004802
00247004805
00247004815
00247012100
00247012101
00247012102
00247012103
00247012104
00247012106
00247012108
00247012110
00247012112
00247012115
00247012116
00247012120
00247012121
00247012128
00247012130
00247012140
00247019403
00247019406
00247019412
00247021406
00247021412
00247021415
00247021420
00247021425

NAME
GLUCOFACTS PRINTER CABLE
GLUCOMETER CALIBRATION CHIP
GLUCOFACTS DATA-LINK MODEM
KONSYL PACKET
KONSYL PACKET
KONSYL PACKET
BUTALBITAL COMPOUND TABLET
BUTALBITAL COMPOUND TABLET
OXAZEPAM 10 MG CAPSULE
OXAZEPAM 10 MG CAPSULE
NIFEDIPINE 10 MG CAPSULE
NIFEDIPINE 10 MG CAPSULE
CARBIDOPA/LEVO 10/100 TAB
CARBIDOPA/LEVO 10/100 TAB
TICLOPIDINE 250 MG TABLET
TICLOPIDINE 250 MG TABLET
TICLOPIDINE 250 MG TABLET
BISOPROLOL/HCTZ 2.5/6.25 TB
BISOPROLOL/HCTZ 5/6.25 TAB
BISOPROLOL/HCTZ 10/6.25 TAB
LISINOPRIL-HCTZ 20/25MG TB
LISINOPRIL-HCTZ 20/25MG TB
KLOR-CON/EF 25 MEQ TAB EFF
KLOR-CON/EF 25 MEQ TAB EFF
CLENIA FOAMING WASH
CLENIA FOAMING WASH
PHENYLEPHRINE 2.5% EYE DROP
PHENYLEPHRINE 2.5% EYE DROP
PHENYLEPHRINE 2.5% EYE DROP
TORADOL 10 MG TABLET
TORADOL 10 MG TABLET
TORADOL 10 MG TABLET
TORADOL 10 MG TABLET
TORADOL 10 MG TABLET
TORADOL 10 MG TABLET
TORADOL 10 MG TABLET
TORADOL 10 MG TABLET
TORADOL 10 MG TABLET
TORADOL 10 MG TABLET
TORADOL 10 MG TABLET
TORADOL 10 MG TABLET
TORADOL 10 MG TABLET
TORADOL 10 MG TABLET
TORADOL 10 MG TABLET
TORADOL 10 MG TABLET
ACETAMINOPHEN 650 MG SUPPOS
ACETAMINOPHEN 650 MG SUPPOS
ACETAMINOPHEN 650 MG SUPPOS
BUTALBITAL COMPOUND TABLET
BUTALBITAL COMPOUND TABLET
BUTALBITAL COMPOUND TABLET
BUTALBITAL COMPOUND TABLET
BUTALBITAL COMPOUND TABLET

DOSE FORM DRUG STRENGTH


ZA
ZA
ZA
PP
PP
PP
TA
TA
CA
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TF
TF
PL
PL
SO
SO
SO
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
QA
QA
QA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10

NDC
00247021430
00247075900
00247082814
00247087120
00247102300
00247102330
00247102360
00247115030
00247115060
00247123530
00247141730
00258361301
00258365701
00299383906
00299383913
00310013210
00310013239
00310014510
00316010102
00338036561
00338107502
00338201548
00338930702
00338938948
00338939048
00338939148
00338939202
00338939448
00378019701
00378019705
00378021401
00378021410
00378042101
00378042105
00378050101
00378050110
00378050301
00378050310
00378050501
00378050505
00378072301
00378113401
00378202501
00378207501
00378207510
00378225291
00378240201
00378307501
00378335601
00378640005
00386000975
00394021718
00394021760

NAME
BUTALBITAL COMPOUND TABLET
MATERNA TABLET
CLEMASTINE FUM 1.34 MG TAB
PROVENTIL 5 MG/ML SOLUTION
ZESTRIL 20 MG TABLET
ZESTRIL 20 MG TABLET
ZESTRIL 20 MG TABLET
ZESTORETIC 20/25 TABLET
ZESTORETIC 20/25 TABLET
BACLOFEN 20 MG TABLET
PREDNISONE 5 MG/5 ML SOLUTION
ISOSORBIDE DN 40 MG TAB SA
BUTALBITAL/APAP/CAFFEINE TB
ROSANIL CLEANSER LOTION
ROSANIL CLEANSER LOTION
ZESTRIL 20 MG TABLET
ZESTRIL 20 MG TABLET
ZESTORETIC 20/25 TABLET
DEL-TRAC LOTION
COPPER CHLORIDE 0.4 MG/ML VL
DOBUTAMINE 500 MG/D5W 250 ML
PENICILLIN GK 3MM UNIT/100 D5
FENTANYL/NS 5 MCG/ML
BUPIVACAINE HCL/NS 0.0625%
BUPIVACAINE HCL/NS 0.0625%
BUPIVACAINE HCL/NS 0.125%
BUPIVACAINE HCL/NS0.125%
BUPIVACAINE HCL/NS 0.125%
CHLORPROPAMIDE 100 MG TABLET
CHLORPROPAMIDE 100 MG TABLET
HALOPERIDOL 2 MG TABLET
HALOPERIDOL 2 MG TABLET
METHYLDOPA 500 MG TABLET
METHYLDOPA 500 MG TABLET
BISOPROLOL/HCTZ 2.5/6.25 TB
BISOPROLOL-HCTZ 2.5/6.25MG TAB
BISOPROLOL/HCTZ 5/6.25 TAB
BISOPROLOL-HCTZ 5/6.25MG TAB
BISOPROLOL/HCTZ 10/6.25 TAB
BISOPROLOL-HCTZ 10/6.25MG TAB
ENALAPRIL/HCTZ 10-25MG TAB
KETOROLAC 10 MG TABLET
LISINOPRIL-HCTZ 20/25 TAB
LISINOPRIL 20 MG TABLET
LISINOPRIL 20 MG TABLET
SELEGILINE HCL 5 MG CAPSULE
TRIFLUOPERAZINE 2 MG TABLET
CLOMIPRAMINE 75 MG CAPSULE
ORPHENADRINE COMP FORTE TAB
ERYTHROMYCIN ES 400 MG TAB
SALIVART SYNTHETIC SALIVA
GINKGO 60 MG TABLET
GINKGO 60 MG TABLET

DOSE FORM DRUG STRENGTH


TA
TA
TA
SA
TA
TA
TA
TA
TA
TA
SJ
TS
TA
PL
PL
TA
TA
TA
SK
HV
HM
HP
HZ
HZ
HZ
HZ
HZ
HZ
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
TA
CA
TA
TA
AB
TA
TA

UNIT PRICE
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10

NDC
00396503010
00406036301
00406036305
00406036362
00406036391
00406155201
00406990801
00409234733
00409409001
00409409201
00421159401
00440750640
00440757610
00440757660
00440757690
00440766990
00440766992
00440766994
00440775690
00440775694
00440799530
00440799550
00456063701
00456067801
00456067802
00456070701
00456070801
00456070901
00472080216
00472083220
00472120305
00472120312
00472120350
00482310001
00486111101
00486111105
00486113501
00486113505
00501275220
00501320001
00501371205
00501544506
00501544518
00501544542
00501544606
00501544618
00501544642
00517040125
00521275000
00521275200
00536126012
00536991501
00573017510

NAME
TRIMO-SAN JELLY
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
PEMOLINE 18.75 MG TABLET
ANAFRANIL 75 MG CAPSULE
DOBUTAMINE 500 MG/D5W 250 ML
ZINC CHLORIDE 1 MG/ML VIAL
COPPER CHLORIDE 0.4 MG/ML VL
NESTABS FA TABLET
ERYTHROMYCIN ES 400 MG TAB
HALOPERIDOL 2 MG TABLET
HALOPERIDOL 2 MG TABLET
HALOPERIDOL 2 MG TABLET
ISOSORBIDE DN 40 MG TAB SA
ISOSORBIDE DN 40 MG TABLET
ISOSORBIDE DN 40 MG TAB SA
METHYLDOPA 500 MG TABLET
METHYLDOPA 500 MG TABLET
OXAZEPAM 10 MG CAPSULE
OXAZEPAM 10 MG CAPSULE
ISOCHRON 40 MG TABLET SA
ESGIC-PLUS TABLET
ESGIC-PLUS TABLET
CEBOCAP #1 CAPSULE (BLUE)
CEBOCAP #2 CAPSULE
CEBOCAP #3 CAPSULE (ORANGE)
PAREGORIC LIQUID
ALBUTEROL 5 MG/ML SOLUTION
FEVERALL 650 MG SUPPOSITORY
FEVERALL 650 MG SUPPOSITORY
FEVERALL 650 MG SUPPOSITORY
ENT-SOL NASAL MIST
K-PHOS ORIGINAL TABLET
K-PHOS ORIGINAL TABLET
K-PHOS M.F. TABLET
K-PHOS M.F. TABLET
SUDAFED SINUS NIGHTTIME CAPLET
BENADRYL ITCH STOPPING CRM
NEOSPORIN PLUS CREAM
ROLAIDS EXTRA STRENGTH SOFTCHW
ROLAIDS EXTRA STRENGTH SOFTCHW
ROLAIDS EXTRA STRENGTH SOFTCHW
ROLAIDS EXTRA STRENGTH SOFTCHW
ROLAIDS EXTRA STRENGTH SOFTCHW
ROLAIDS EXTRA STRENGTH SOFTCHW
ATROPINE 0.4 MG/ML VIAL
VASELINE LIP THERAPY OINT
VASELINE LIP THERAPY OINT
ACETAMINOPHEN 650 MG SUPPOS
INSULIN SYRINGE U100 1 ML
ADVIL 100 MG TABLET

DOSE FORM DRUG STRENGTH


JA
TA
TA
TA
TA
TA
CA
HM
HV
HV
TA
TA
TA
TA
TA
TS
TS
TS
TA
TA
CA
CA
TS
TA
TA
CA
CA
CA
SL
SA
QA
QA
QA
SP
TA
TA
TA
TA
TA
KA
KA
TC
TC
TC
TC
TC
TC
HV
OA
OA
QA
YL
TA

UNIT PRICE
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10

NDC
00573017610
00573017710
00574012125
00574722010
00591030901
00591040801
00591040810
00591041001
00591054001
00591054005
00591059601
00591084101
00591084105
00591084201
00591084205
00591084301
00591084330
00591086201
00591086205
00591573101
00591573105
00591603501
00591603530
00603100643
00603254521
00603254528
00603254821
00603254832
00603255121
00603350421
00603388802
00603388804
00603388816
00603388820
00603388821
00603388822
00603388828
00603388832
00603417016
00603505521
00603815010
00615259653
00615259663
00615353753
00615353763
00615354253
00615354263
00641450886
00641450888
00677081907
00677082701
00677165206
00677165267

NAME
CHILDS ADVIL 50 MG TAB CHEW
CHILDS ADVIL 50 MG TAB CHEW
ACTIDOSE-AQUA 15 GM LIQUID
TRIMETHOBENZAMIDE 100 MG SUP
DOXYCYCLINE MONO 50 MG CAP
LISINOPRIL 20 MG TABLET
LISINOPRIL 20 MG TABLET
DOXYCYCLINE MONO 50 MG CAP
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
CLOMIPRAMINE 75 MG CAPSULE
BISOPROLOL/HCTZ 2.5/6.25 TB
BISOPROLOL/HCTZ 2.5/6.25 TB
BISOPROLOL/HCTZ 5/6.25 TAB
BISOPROLOL/HCTZ 5/6.25 TAB
BISOPROLOL/HCTZ 10/6.25 TAB
BISOPROLOL/HCTZ 10/6.25 TAB
LISINOPRIL-HCTZ 20-25 TAB
LISINOPRIL-HCTZ 20-25 TAB
BACLOFEN 20 MG TABLET
BACLOFEN 20 MG TABLET
POTASSIUM 25 MEQ TABLET EFF
POTASSIUM 25 MEQ TABLET EFF
ALBUTEROL 5 MG/ML SOLUTION
BUTALBITAL-APAP-CAFFEINE TB
BUTALBITAL-APAP-CAFFEINE TB
BUTALBITAL COMPOUND TABLET
BUTALBITAL COMPOUND TABLET
BUTALBITAL/APAP/CAFFEINE TB
DRITUSS GP TABLET SA
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
K EFFERVESCENT 25 MEQ TABLET
PEMOLINE 18.75 MG TABLET
TRIMETHOBENZAMIDE 100 MG SUP
HALOPERIDOL 2 MG TABLET
HALOPERIDOL 2 MG TABLET
CARBIDOPA/LEVO 10/100 TAB
CARBIDOPA/LEVO 10/100 TAB
BACLOFEN 20 MG TABLET
BACLOFEN 20 MG TABLET
OXAZEPAM 10 MG CAPSULE
OXAZEPAM 10 MG CAPSULE
POTASSIUM 25 MEQ TABLET EFF
FORTABS TABLET
GLUCOSAMINE/CHONDROITIN CAP
GLUCOSAMINE/CHONDROITIN CAP

DOSE FORM DRUG STRENGTH


TC
TC
SC
QA
CA
TA
TA
CA
TA
TA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TF
TF
SA
TA
TA
TA
TA
TA
TM
TA
TA
TA
TA
TA
TA
TA
TA
TF
TA
QA
TA
TA
TA
TA
TA
TA
CA
CA
TF
TA
CA
CA

UNIT PRICE
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10

NDC
00677173801
00677178501
00677188491
00713010709
00713016501
00713016505
00713016512
00713016550
00781103201
00781103210
00781103213
00781117801
00781135801
00781139301
00781139310
00781139313
00781166701
00781173101
00781182401
00781182405
00781183301
00781183305
00781183331
00781184101
00781184105
00781184131
00781204701
00781280901
00832102500
00832102550
00890910015
00904022560
00904040961
00904272046
00904272060
00904273515
00904389260
00904389280
00904501835
00904522261
00904537840
00904537852
00904537861
00904548118
00904548152
00904548193
00904549060
00904554360
00904559452
00904559489
00904559492
00904564043
00904564061

NAME
BUTALBITAL/APAP/CAFFEINE TB
GUAIFEN/P-EPHED CAPLET SA
UNI-REX 600 COMBO PACK
TEBAMIDE 100 MG SUPPOSITORY
ACEPHEN 650 MG SUPPOSITORY
ACEPHEN 650 MG SUPPOSITORY
ACEPHEN 650 MG SUPPOSITORY
ACEPHEN 650 MG SUPPOSITORY
TRIFLUOPERAZINE 2 MG TABLET
TRIFLUOPERAZINE 2 MG TABLET
TRIFLUOPERAZINE 2 MG TABLET
LISINOPRIL-HCTZ 20/25 TAB
CLEMASTINE FUM 1.34 MG TAB
HALOPERIDOL 2 MG TABLET
HALOPERIDOL 2 MG TABLET
HALOPERIDOL 2 MG TABLET
LISINOPRIL 20 MG TABLET
PEMOLINE 18.75 MG TABLET
BISOPROLOL/HCTZ 5/6.25 TAB
BISOPROLOL/HCTZ 5/6.25 TAB
BISOPROLOL/HCTZ 10/6.25 TAB
BISOPROLOL/HCTZ 10/6.25 TAB
BISOPROLOL/HCTZ 10/6.25 TAB
BISOPROLOL/HCTZ 2.5/6.25 TB
BISOPROLOL/HCTZ 2.5/6.25 TB
BISOPROLOL/HCTZ 2.5/6.25 TB
CLOMIPRAMINE 75 MG CAPSULE
OXAZEPAM 10 MG CAPSULE
BACLOFEN 20 MG TABLET
BACLOFEN 20 MG TABLET
BUF-PUF
CHLORPROPAMIDE 100 MG TABLET
NIFEDIPINE 10 MG CAPSULE
POTASSIUM 25 MEQ TABLET EFF
POTASSIUM 25 MEQ TABLET EFF
TRIMAZIDE 100 MG SUPPOSITORY
FARBITAL TABLET
FARBITAL TABLET
NATURAL BALANCE TEARS DROPS
BACLOFEN 20 MG TABLET
TICLOPIDINE 250 MG TABLET
TICLOPIDINE 250 MG TABLET
TICLOPIDINE 250 MG TABLET
GLUCOSAMINE/CHONDROITIN CAP
GLUCOSAMINE/CHONDROITIN CAP
GLUCOSAMINE-CHONDROITIN CAP
BUTALBITAL/APAP/CAFFEINE TB
GUAIFEN/P-EPHED TABLET SA
GLUCOSAMINE-CHONDR CAPLET
GLUCOSAMINE-CHONDR CAPLET
GLUCOSAMINE-CHONDR CAPLET
LISINOPRIL 20 MG TABLET
LISINOPRIL 20 MG TABLET

DOSE FORM DRUG STRENGTH


TA
TM
ZD
QA
QA
QA
QA
QA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
TA
TA
EA
TA
CA
TF
TF
QA
TA
TA
SO
TA
TA
TA
TA
CA
CA
CA
TA
TM
TA
TA
TA
TA
TA

UNIT PRICE
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10

NDC
00904564093
00904765855
00904771861
00904772988
00904776812
00998034205
08080810055
08080812505
08219939300
08290305120
08290305136
08290325657
08290328233
08290328235
08290329651
08317710120
08380009853
08462108251
08881200433
08881200508
08881501384
08881501822
08881701406
09958008990
10019025012
10019025020
10106158001
10106263001
10106263004
10267199101
10267227001
10337075151
10481301401
10481301402
10542001210
10939006922
10939007022
10939030133
10939031433
10939067622
10939067733
10939068601
10939068611
11169001206
11169012060
11694071120
11694077502
11822317440
11822320100
11822383820
11822388700
11822389450
11822880730

NAME
LISINOPRIL 20 MG TABLET
ALBUTEROL 5 MG/ML SOLUTION
CARBIDOPA/LEVO 10/100 TAB
CLEMASTINE FUM 1.34 MG TAB
MAPAP 650 MG SUPPOSITORY
MYDFRIN 2.5% EYE DROPS
MONOJECT SYRINGE 1 ML
MONOJECT 1 ML SYRN 25X5/8"
CURAFOAM 8" X 4" DRESSING
BD NEEDLES 23GX1.25"
BD NEEDLES 27GX1X1.25"
B-D INSULIN U-40 1 ML SYRINGE
BD MAGNI-GUIDE MAGNIFIER
B-D SAFE CLIP NEEDLE CLIPPR
B-D INSULIN U100-1 ML SYRNGE
UNILIFE-A 15,000 UNITS SOFTGEL
CLEANSING TABLET
SECUREGARD SAFETY SYR 1 ML
HYPODERMIC NEEDLE,ALUM HUB
HYPODERMIC NEEDLE,ALUM HUB
MONOJECT INSUL SYR U100 1 ML
MONOJECT INSUL SYR U100 1 ML
INSULIN SYRINGE 1 ML-HARD PK
COMPDRESS ISLAND 4"X8" DRES
ATROPINE 0.4 MG/ML VIAL
ATROPINE 0.4 MG/ML VIAL
CHOLESTEROL LEAFLET
MERCURIC OXIDE POWD YELLOW
MERCURIC OXIDE POWD YELLOW
MATERNITY VITAMIN
CO-NATAL FA TABLET
ZODERM 6.5% CLEANSER
VITA-RAY CREME
VITA-RAY CREME
DIALYVITE WITH ZINC TABLET
NON-ASA ALLERGY SINUS PM CP
NON-ASA FLU NIGHTTIME GLCP
SUNMARK IBUPROFEN IB 100 MG TB
SM ALLERGY RELIEF 1.34 MG TAB
IBUPROFEN 100 MG TABLET
SM MENOPAUSE SUPPORT TABLET
DAILYHIST-1 1.34 MG TABLET
DAILYHIST-1 1.34 MG TABLET
GETS-IT CORN REMOVER LIQUID
GETS-IT CORN REMOVER LIQ
ASCOCID ISO-PH CAPSULE
LACTO-KEY-POWDER
RA ANTI-SNORE THROAT SPRAY
RA 12 HOUR NASAL SPRAY
RA NIGHT TIME ACETAMINOPHEN
RA GLUCOSAMINE-CHONDR CPLT
RA VISTAMINE 1.34 MG TABLET
RA ECHINACEA&GOLDENSEAL CAP

DOSE FORM DRUG STRENGTH


TA
SA
TA
TA
QA
SO
YL
YL
YE
YH
YH
YL
ZA
ZA
YL
CA
TA
YL
YH
YH
YL
YL
YL
YE
HV
HV
PF
PA
PA
TA
TA
CL
KA
KA
TA
TA
TA
TA
TA
TA
TA
TA
TA
SL
SL
CA
PA
AU
AS
TA
TA
TA
CA

UNIT PRICE
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10

NDC
11822881240
11822988740
11845011665
11845012865
11845014255
11845014409
11845073301
11845111405
11845114705
11845115405
11845116705
11917000814
11917000815
11917001271
11917003170
12280007690
12280012430
12333098751
12333946501
12539088816
12547065517
12547065520
12547065522
12547065525
12547065528
12547065531
14600037012
14654011957
15127037708
15127037712
15127037716
16500004108
16500008160
16563005902
17204036420
17236075760
17270072101
17317011201
17317011202
17317011204
17317011205
17317020902
17317020903
17317020906
17317035401
17317035404
17317035405
17317035501
17317035504
17317035505
17317072801
17317072805
17317073401

NAME
RA GLUCOSAMINE/CHONDR CAP
RA DAIRY RELIEF CAPLET
VITAMIN B-12 1,500 MCG TAB SA
GRAPE SEED 50 MG CAPSULE
SAVISION PLUS CAPLET
INNER BEAUTY FORMULA CAPSULE
SUPER B-50 IMPROVED TABLET
MELATONIN TABLET
GUARANA 1,000 MG CAPSULE
CITRIMAX 250 TABLET
FORMULA 500 TABLET
GLUCOSAMINE-CHONDROITIN CAP
GLUCOSAMINE-CHONDROITIN CAP
GLUCOSAMINE-CHONDROITIN CAP
GLUCOSAMINE CHONDROITIN CAP
GABAPENTIN 100 MG TABLET
LISINOPRIL-HCTZ 20-25 TAB
LONGS IBUPROFEN CAPLET
DAILYHIST-1 1.34 MG TABLET
NEOTUSS-D LIQUID
ROLAIDS EXTRA STRENGTH SOFTCHW
ROLAIDS EXTRA STRENGTH SOFTCHW
ROLAIDS EXTRA STRENGTH SOFTCHW
ROLAIDS EXTRA STRENGTH SOFTCHW
ROLAIDS EXTRA STRENGTH SOFTCHW
ROLAIDS EXTRA STRENGTH SOFTCHW
CALCIWISE CHEWABLE TABLET
LIQ-10 SYRUP
SB ANTIHISTAMINE 12HR TAB
SB ANTIHISTAMINE 12HR TAB
SB ANTIHISTAMINE 12HR TAB
ALKA-SELTZER GOLD TAB EFF
ONE-A-DAY BONE STRENGTH TAB
VITAMIN E 400 UNIT TABLET CHEW
PROANTHO PLUS 50 MG CAPSULE
JOINT PAIN FORMULA SOFTGEL
ALBUTEROL 90 MCG INHALER
CHOLESTEROL FLAKES
CHOLESTEROL FLAKES
CHOLESTEROL FLAKES
CHOLESTEROL FLAKES
L-ARGININE MHC POWDER
L-ARGININE MHC POWDER
L-ARGININE MHC POWDER
MERCURIC OXIDE POWDER RED
MERCURIC OXIDE POWDER RED
MERCURIC OXIDE POWDER RED
MERCURIC OXIDE POWD YELLOW
MERCURIC OXIDE POWD YELLOW
MERCURIC OXIDE POWD YELLOW
BENZETHONIUM CHLORIDE POWD
BENZETHONIUM CHLORIDE POWD
ISONIAZID POWDER

DOSE FORM DRUG STRENGTH


CA
TA
TS
CA
TS
CA
TA
TA
CA
TA
TA
CA
CA
CA
CA
TA
TA
TA
TA
SL
TC
TC
TC
TC
TC
TC
TC
ST
TA
TA
TA
TF
TA
TC
CA
CA
AB
PF
PF
PF
PF
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA

UNIT PRICE
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10

NDC
17317073404
17317189401
17317189404
17317189405
17317189501
17317189504
17317189505
17478020012
17478020020
19458904201
19458907401
19458976101
20525012802
21200185038
23185019549
24208034720
24208074002
24208074006
24208074059
24385018351
24385025876
24385038141
24385067272
30142028251
31604001693
31928004008
31928004011
34575002697
34575099021
36652012819
37000002404
37000074107
37000074108
37205022873
37205032472
37205040157
38130004903
38344000001
38485050117
38485050119
38485080855
38779012005
38779012008
38779050205
38779050208
38779050209
38779050305
38779050308
38779050309
38779077208
38779077209
39506002260
41163001162

NAME
ISONIAZID POWDER
MERCURIC OXIDE POWDER RED
MERCURIC OXIDE POWDER RED
MERCURIC OXIDE POWDER RED
MERCURIC OXIDE POWD YELLOW
MERCURIC OXIDE POWD YELLOW
MERCURIC OXIDE POWD YELLOW
AK-DILATE 2.5% EYE DROPS
AK-DILATE 2.5% EYE DROPS
ECK CLEMASTINE-1 1.34 MG TAB
ECK MULTI-SYMPTOM FLU RELIEF
ECK IBUPROFEN JR CAPLET
GRAPE SEED EXTRACT 50 MG CAP
BUF-PUF GENTLE
STYPTIC LIQUID
ALBUTEROL 5 MG/ML SOLUTION
P-EPHRINE 2.5% EYE DROPS
P-EPHRINE 2.5% EYE DROPS
P-EPHRINE 2.5% EYE DROPS
DAILYHIST-1 1.34 MG TABLET
GLUCOSAMIN/CHONDROT TB
GLUCOSAMINE-CHONDR CAPLET
MSM GLUCOSAMINE COMPLEX TAB
DAYHIST-1 1.34 MG TABLET
ALPHA LIPOIC ACID 50 MG TABLET
ICAPS TABLET
ICAPS TABLET
ECK CLEMASTINE-1 1.34 MG TAB
ECK MULTI-SYMPTOM FLU RELIEF
STRESSTABS MENOPAUSE TABLET
METAMUCIL PACKET S/F
METAMUCIL SUNRISE SMOOTH PK
METAMUCIL PACKET S/F
ALLERHIST-1 1.34 MG TABLET
MENOPAUSE SUPPORT TABLET
GLUCOSAMINE-CHONDR CAPLET
V.V.S. CREAM
DERMAZINC 0.25% SPRAY
LIPOFLAVONOID CAPLET
LIPOFLAVONOID CAPLET
HYDROCIL INSTANT PACKET
ISONIAZID POWDER
ISONIAZID POWDER
L-ARGININE POWDER
L-ARGININE POWDER
L-ARGININE POWDER
ARGININE HCL POWDER
ARGININE HCL POWDER
ARGININE HCL POWDER
ALBENDAZOLE POWDER
ALBENDAZOLE POWDER
ELDEPRYL 5 MG CAPSULE
SOBA PROFEN IB CAPLET

DOSE FORM DRUG STRENGTH


PA
PA
PA
PA
PA
PA
PA
SO
SO
TA
TA
TA
CA
EA
SL
SA
SO
SO
SO
TA
TA
TA
TA
TA
TA
TS
TS
TA
TA
TA
PP
PP
PP
TA
TA
TA
KA
AU
TA
TA
PP
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
CA
TA

UNIT PRICE
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10

NDC
41163024505
41163025124
41163026667
41163026668
41163026669
41163028273
41163041352
41163041866
41163042114
41163042115
41383018524
41383018550
43292040120
44184001602
44184001604
44184001606
44206031025
44206031050
45800023708
45800023717
45802072332
45802072390
45802073030
45802073032
45802073033
47046066000
47046300000
47682025010
47682025039
47682025047
48107003427
48107004561
48107004858
48107004897
48107005022
48107024780
48426010001
48426024001
49072099310
49326029006
49326050106
49348037104
49348056712
49348068603
49452029002
49452029003
49452070201
49452070202
49452071501
49452071502
49452096001
49452096002
49452201001

NAME
EQL DAIRY DIGESTIVE CAPLET
EQL DAYHIST ALLERGY TABLET
EQL GLUCOSAMINE-CHONDROIT CPLT
EQL GLUCOSAMINE-CHONDROIT CPLT
EQL GLUCOSAMINE-CHONDROIT CPLT
EQL DAYHIST ALLERGY TABLET
EQL ONE DAILY DIETER'S TABLET
EQL REMEPRIN TABLET
EQL GINKGO BILOBA 60 MG CAPLET
EQL GINKGO BILOBA 60 MG CAPLET
LACTAID ES CAPLET
LACTAID ES CAPLET
MEGA-MARATHON 100 TAB SA
POTASSIUM 25 MEQ TABLET EFF
POTASSIUM 25 MEQ TABLET EFF
POTASSIUM 25 MEQ TABLET EFF
ALBURX (HUMAN) 5% VIAL
ALBURX (HUMAN) 5% VIAL
CONTAC 12-HOUR ALLERGY TAB
CONTAC 12-HOUR ALLERGY TAB
TRIMETHOBENZAMIDE 100 MG SUP
TRIMETHOBENZAMIDE 100 MG SUP
ACETAMINOPHEN 650 MG SUPPOS
ACETAMINOPHEN 650 MG SUPPOS
ACETAMINOPHEN 650 MG SUPPOS
GARLIQUE 400 MG TABLET EC
GARLIQUE 400 MG TABLET EC
PMS RELIEF TABLET
PMS RELIEF TABLET
PMS RELIEF TABLET
GRAPE SEED 50 MG CAPSULE
CHLOROPHYLL 60 MG SOFTGEL
PRO CUT CAPSULE
BASIC ANTIOXIDANT SOFTGEL
GLUCOSAMINE/CHONDROITIN CAP
BORAGE OIL SOFTGEL
ISOLYSER SYR DISPOSAL SYSTM
ISOLYSER SYR DISPOSAL SYSTM
ZINC TRACE ELEM 1 MG/ML VIAL
ALBA-LYBE LIQUID
ALBA-LYBE NR LIQUID
SUNMARK IBUPROFEN IB 100 MG TB
SM MENOPAUSE SUPPORT TABLET
SM ALLERGY RELIEF 1.34 MG TAB
ALOIN POWDER
ALOIN POWDER
ARGININE POWDER
ARGININE POWDER
ARGININE HCL POWDER
ARGININE HCL POWDER
BENZETHONIUM CL POWDER
BENZETHONIUM CL POWDER
CHOLESTEROL FLAKE

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TS
TF
TF
TF
HV
HV
TA
TA
QA
QA
QA
QA
QA
TE
TE
TA
TA
TA
CA
CA
CA
CA
CA
CA
ZA
ZA
HV
SL
SL
TA
TA
TA
PA
PA
PA
PA
PA
PA
PA
PA
PF

UNIT PRICE
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10

NDC
49452201002
49452201003
49452380001
49452380002
49452451001
49452451002
49452451003
49452451004
49452901001
49452901002
49502010501
49614015662
49614028273
49614041126
49614055165
49614074144
49614074176
49614080933
49756046013
49884047301
49884047305
49884055901
49884055910
49884059901
49884059902
49884059905
49884059911
49884068701
49884072601
49999008028
49999008030
49999008040
49999011520
49999013010
49999013015
49999013020
49999013021
49999013030
49999014610
49999016190
49999017117
49999018330
49999018360
49999032100
49999032130
49999032760
49999032790
49999034110
49999042920
49999044030
49999056860
49999064724
50111037201

NAME
CHOLESTEROL FLAKE
CHOLESTEROL FLAKE
ISONIAZID POWDER
ISONIAZID POWDER
MERCURIC OXIDE YELLOW POWD
MERCURIC OXIDE YELLOW POWD
MERCURIC OXIDE YELLOW POWDR
MERCURIC OXIDE YELLOW POWDR
SUPER ANTIOXIDANT TABLET
SUPER ANTIOXIDANT TABLET
ALBUTEROL 5 MG/ML SOLUTION
MEDI-TABS ALLERGY SINUS CPT
ALLERHIST-1 1.34 MG TABLET
MEDI-GEN 0.04% SOLUTION
GARLIC 400 MG TABLET EC
GLUCOSAMINE-CHONDROIT CPLT
GLUCOSAMINE-CHONDROIT CPLT
MENOPAUSE SUPPORT TABLET
MULTIPAD DRESSING 4"X8"
ORPHENGESIC FORTE TABLET
ORPHENGESIC FORTE TABLET
LISINOPRIL 20 MG TABLET
LISINOPRIL 20 MG TABLET
TICLOPIDINE 250 MG TABLET
TICLOPIDINE 250 MG TABLET
TICLOPIDINE 250 MG TABLET
TICLOPIDINE 250 MG TABLET
ENALAPRIL/HCTZ 10-25MG TAB
DOXYCYCLINE MONO 50 MG CAP
E.E.S. 400 FILMTAB
E.E.S. 400 FILMTAB
E.E.S. 400 FILMTAB
BUTALBITAL COMPOUND TABLET
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
TIGAN 100 MG SUPPOSITORY
NIFEDIPINE 10 MG CAPSULE
ALBUTEROL 90 MCG INHALER
LISINOPRIL 20 MG TABLET
LISINOPRIL 20 MG TABLET
LISINOPRIL-HCTZ 20-25 MG TAB
LISINOPRIL-HCTZ 20-25 TAB
HYDROCODONE-APAP 10-500 TAB
HYDROCODONE-APAP 10-500 TAB
TEBAMIDE 100 MG SUPPOSITORY
TORADOL 10 MG TABLET
ISOSORBIDE DN 40 MG TAB SA
GABAPENTIN 100 MG TABLET
GLUCOSAMINE-CHONDROITIN CAP
CHLORPROPAMIDE 100 MG TABLET

DOSE FORM DRUG STRENGTH


PF
PF
PA
PA
PA
PA
PA
PA
TA
TA
SA
TA
TA
SA
TE
TA
TA
TA
YE
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
QA
CA
AB
TA
TA
TA
TA
TA
TA
QA
TA
TS
TA
CA
TA

UNIT PRICE
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10

NDC
50111060801
50111080131
50114112206
50114117004
50383074120
50428124848
50428125493
50428585216
50428606038
50428955724
50474029222
50474064001
50474064070
50474091001
50474091050
50474091060
50580017224
50580017424
50580017450
50580020524
50580044302
50580044324
50580049824
50580090724
50991021416
51079013701
51079013720
51079020101
51079020120
51079020201
51079020220
51079057301
51079057320
51079066901
51079066920
51079073501
51079073520
51079075501
51079075520
51079088701
51079088703
51079095401
51079095420
51079095501
51079095520
51079095601
51079095620
51079098301
51079098317
51079098319
51079098320
51079098357
51138083595

NAME
KETOROLAC 10 MG TABLET
ALBUTEROL 90 MCG INHALER
VERTIGOHEEL ORAL VIAL
VERTIGOHEEL DROPS
ALBUTEROL 5 MG/ML SOLUTION
CVS IBUPROFEN 100 MG CAPLET
CVS NIGHTTIME FLU GELCAP
CVS LACTASE ENZYME CAPLET
CVS ANTIBIOTIC PLUS CREAM
CVS DAYHIST ALLERGY TABLET
VI-ZAC CAPSULE
DURATUSS GP TABLET SA
DURATUSS GP TABLET SA
LORTAB 10/500 TABLET
LORTAB 10/500 TABLET
LORTAB 10/500 TABLET
TYLENOL FLU NIGHTTIME GELCP
TYLENOL FLU NIGHTTIME GELCP
TYLENOL FLU NIGHT TIME GLCP
MOTRIN 50 MG TABLET CHEWABLE
TYLENOL ALLERGY SINUS CPLT
TYLENOL ALLERGY SINUS CPLT
MOTRIN 100 MG CAPLET
MOTRIN 50 MG TABLET CHEWABLE
DILEX-G 200 SYRUP
SELEGILINE HCL 5 MG CAPSULE
SELEGILINE HCL 5 MG CAPSULE
METHYLDOPA 500 MG TABLET
METHYLDOPA 500 MG TABLET
CHLORPROPAMIDE 100 MG TABLET
CHLORPROPAMIDE 100 MG TABLET
TRIFLUOPERAZINE 2 MG TABLET
TRIFLUOPERAZINE 2 MG TABLET
BACLOFEN 20 MG TABLET
BACLOFEN 20 MG TABLET
HALOPERIDOL 2 MG TABLET
HALOPERIDOL 2 MG TABLET
CARBIDOPA/LEVO 10/100 TAB
CARBIDOPA/LEVO 10/100 TAB
ELDEPRYL 5 MG CAPSULE
ELDEPRYL 5 MG CAPSULE
BISOPROLOL/HCTZ 2.5/6.25 TB
BISOPROLOL/HCTZ 2.5/6.25 TB
BISOPROLOL/HCTZ 5/6.25 TAB
BISOPROLOL/HCTZ 5/6.25 TAB
BISOPROLOL/HCTZ 10/6.25 TAB
BISOPROLOL/HCTZ 10/6.25 TAB
LISINOPRIL 20 MG TABLET
LISINOPRIL 20 MG TABLET
LISINOPRIL 20 MG TABLET
LISINOPRIL 20 MG TABLET
LISINOPRIL 20 MG TABLET
BUF-PUF REGULAR SPONGES

DOSE FORM DRUG STRENGTH


TA
AB
SO
SO
SA
TA
TA
TA
KA
TA
CA
TM
TM
TA
TA
TA
TA
TA
TA
TC
TA
TA
TA
TC
ST
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
EA

UNIT PRICE
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10

NDC
51138083601
51138083625
51234015804
51285004001
51285004701
51285004702
51285004802
51285004901
51285005002
51552026699
51552028099
51552028299
51552034699
51552034799
51552034899
51552034999
51552048499
51552048599
51655058824
51672127302
51672127304
51672127901
51672127902
51672127903
51672129401
51672129402
51672129403
51672401301
51672404601
51801000118
51801000130
51801000140
51801000218
51801000230
51885049708
51885049808
51885050208
51885050608
51885051008
51885051108
51885051408
51885051508
51885051608
51885051808
51885052208
51885053008
51885053408
51885053508
51885053708
51885053808
51885054108
51885054408
51885054508

NAME
DOSE FORM DRUG STRENGTH
BUF-PUF GENTLE SPONGES
EA
BUF-PUF/OIL-FREE CLEANSR
EA
NUMONYL LIQUID
SL
ZIAC 10-6.25 MG TABLET
TA
BISOPROLOL FUMARATE 2.5MG/HYDROCHLOROTHIAZIDE
TA
6.25MG TAB
ZIAC 2.5-6.25 MG TABLET
TA
ZIAC 5-6.25 MG TABLET
TA
ZIAC 10-6.25 MG TABLET
TA
ZIAC 5-6.25 MG TABLET
TA
LACTOSE 450 MG CAPSULE 0
CA
LACTOSE CAPSULE 00
CA
LACTOSE CAPSULE 0
CA
LACTOSE #1 305 MG CAPSULE
CA
LACTOSE #1 305 MG CAPSULE
CA
LACTOSE #1 305 MG CAPSULE
CA
LACTOSE #1 305 MG CAPSULE
CA
CAPSULE #0 LACTOSE
CA
CAPSULE #0 LACTOSE
CA
BUTALBITAL COMPOUND TABLET
TA
FLUOCINONIDE 0.05% SOLUTION
SA
FLUOCINONIDE 0.05% SOLUTION
SA
FLUOCINONIDE 0.05% GEL
JG
FLUOCINONIDE 0.05% GEL
JG
FLUOCINONIDE 0.05% GEL
JG
CLOBETASOL 0.05% GEL
JG
CLOBETASOL 0.05% GEL
JG
CLOBETASOL 0.05% GEL
JG
CLOMIPRAMINE 75 MG CAPSULE
CA
ENALAPRIL/HCTZ 10-25MG TAB
TA
EFFER-K 25 MEQ TABLET EFF
TF
EFFER-K 25 MEQ TABLET EFF
TF
EFFER-K 25 MEQ TABLET EFF
TF
EFFER-K 25 MEQ TABLET EFF
TF
EFFER-K 25 MEQ TABLET EFF
TF
ANACARDIUM-HOMACCORD DROPS
SO
BERBERIS-HOMACCORD DROPS
SO
CINNAMOMUM-HOMACCORD DROPS
SO
CANTHARIS COMPOSITUM DROPS
SO
CARBO COMPOSITUM DROPS
SO
DROSERA-HOMACCORD DROPS
SO
GELSIUM-HOMACCORD DROPS
SO
GLONOIN-HOMACCORD DROPS
SO
IGNATIA-HOMACCORD DROPS
SO
MOMORDICA COMPOSITUM DROPS
SO
ARNICA-HEEL DROPS
SO
CACTUS COMPOSITUM DROPS
SO
EUPHORBIUM COMPOSITUM DROPS
SO
GALIUM-HEEL DROPS
SO
HUSTEEL DROPS
SO
HAMAMELIS-HOMACCORD DROPS
SO
NASO-HEEL DROPS
SO
AURUMHEEL DROPS
SO
COLOCYNTHIS-HOMACCORD DROPS
SO

UNIT PRICE
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10

NDC
51885054608
51885054808
51885055008
51885055308
51885056008
51885056508
51885057108
51885057708
51885058008
51885058108
51885058208
51885058308
51885058608
51885059208
51885059308
51885059408
51885059908
51885060208
51885060308
51885060508
51885060708
51885060908
51885061208
51885061808
51885062408
51885062908
51885063208
51885063408
51885066608
51885066808
51885066908
51885067008
51885067108
51885067208
51885067308
51885067408
51885067508
51885067608
51885067708
51885067808
51885067908
51885068008
51885068108
51885068208
51885068308
51885068408
51885068608
51885070208
51885070908
51885322908
51927188300
51991003106
51991005801

NAME
POPULUS COMPOSITUM DROPS
PHOSPHOR-HOMACCORD DROPS
VERATRUM-HOMACCORD DROPS
SABAL-HOMACCORD DROPS
VALERIANAHEEL DROPS
TRAUMEEL DROPS
TARTEPHEDREEL DROPS
CRALONIN DROPS
FERRUM-HOMACCORD DROPS
RANUMNCULUS-HOMACCORD DROPS
APIS-HOMACCORD DROPS
VERTIGOHEEL DROPS
ACONITUM-HOMACCORD DROPS
NUX VOMICA-HOMACCORD DROPS
AESCULUS COMPOSITUM DROPS
AESCULUS-HEEL DROPS
BELLADONNA-HOMACCORD DROPS
CAUSTICUM COMPOSITUM DROPS
CEANOTHUS-HOMACCORD DROPS
CHELIDONIUM-HOMACCORD DROPS
CHINA-HOMACCORD DROPS
CIMICIFUGA-HOMACCORD DROPS
COCCULUS-HOMACCORD DROPS
COLNADUL DROPS
DULCAMARA-HOMACCORD DROPS
GINSENG COMPOSITUM DROPS
GRAPHITES-HOMACCORD DROPS
GYNACOHEEL DROPS
HORMEEL DROPS
KALMIA COMPOSITUM DROPS
LAMIOFLUR DROPS
LEPTANDRA COMPOSITUM DROPS
MELILOTUS-HOMACCORD DROPS
MEZEREUM-HOMACCORD DROPS
NATRIUM-HOMACCORD DROPS
PLANTAGO-HOMACCORD DROPS
PODOPHYLLUM COMPOSITUM DROP
PROCTHEEL DROPS
PSORINOHEEL DROPS
RHODODENDRONEEL DROPS
SCHWEF-HEEL DROPS
SELENIUM-HOMACCORD DROPS
SPIGELON DROPS
STRUMEEL FORTE DROPS
SYZYGIUM COMPOSITUM DROPS
TANACET-HEEL DROPS
VOMITUSHEEL DROPS
SECALE COMPOSITUM DROPS
COCCULUS COMPOSITUM DROPS
LYMPHOMYOSOT DROPS
ISONIAZID POWDER
GLUCOSAMINE/CHONDROITIN CAP
GUIADRINE GP TABLET SA

DOSE FORM DRUG STRENGTH


SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
PA
CA
TM

UNIT PRICE
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10

NDC
51991011536
51991014213
51991015501
51991017326
52041001731
52152019702
52152024702
52238071802
52238071805
52238071815
52268020001
52268021001
52297025773
52297098544
52297103912
52544030901
52569013033
52569013162
52569016485
52735025126
52735044616
52735056423
52735097913
52747040490
52959006321
52959006328
52959006330
52959006340
52959009403
52959010903
52959011520
52959022408
52959022410
52959022412
52959022414
52959022415
52959022420
52959022430
52959022440
52959022460
52959024130
52959027308
52959027310
52959027340
52959029004
52959029005
52959029010
52959029300
52959033710
52959033730
52959039920
52959039960
52959045330

NAME
BLACK COHOSH COMPOUND TAB
VINATAL 600 COMBO PACK
VINATE-M TABLET
SULFATOL CLEANSER
DAYTO-SULF VAGINAL CREAM
PEMOLINE 18.75 MG TABLET
GUAIFENESIN/P-EPHED TAB SA
PHENOPTIC 2.5% EYE DROPS
PHENOPTIC 2.5% EYE DROPS
PHENOPTIC 2.5% EYE DROPS
PHOSLO 667 MG TABLET
PHOSLO 667 MG GELCAP
HM DAILYHIST-1 1.34 MG TAB
HM HIGH POTENCY GARLIC TAB
HM MSM GLUCOS CMPLX CPLET
DOXYCYCLINE MONO 50 MG CAP
HM HIGH POTENCY GARLIC TAB
HM MSM GLUCOS CMPLX CPLET
HM DAILYHIST-1 1.34 MG TAB
FP FUNGAL NAIL SOLUTION
FP ALLERHIST-1 1.34 MG TAB
FP GLUCOS-CHONDROIT CAPLET
FP GLUCOSAMINE/CHONDR CAP
HEMOCYTE-F ELIXIR
ERYTHROMYCIN ES 400 MG TAB
ERYTHROMYCIN ES 400 MG TAB
ERYTHROMYCIN ES 400 MG TAB
ERYTHROMYCIN ES 400 MG TAB
ALBUTEROL 90 MCG INHALER
ACETAMINOPHEN 650 MG SUPPOS
NORGESIC FORTE TABLET
TORADOL 10 MG TABLET
TORADOL 10 MG TABLET
TORADOL 10 MG TABLET
TORADOL 10 MG TABLET
TORADOL 10 MG TABLET
TORADOL 10 MG TABLET
TORADOL 10 MG TABLET
TORADOL 10 MG TABLET
TORADOL 10 MG TABLET
BISOPROLOL-HCTZ 10/6.25 TAB
NIFEDIPINE 10 MG CAPSULE
NIFEDIPINE 10 MG CAPSULE
NIFEDIPINE 10 MG CAPSULE
TEBAMIDE 100 MG SUPPOSITORY
TEBAMIDE 100 MG SUPPOSITORY
TEBAMIDE 100 MG SUPPOSITORY
PROVENTIL 90 MCG INHALER
BISOPROLOL-HCTZ 5/6.25 TAB
BISOPROLOL-HCTZ 5/6.25 TAB
FARBITAL TABLET
FARBITAL TABLET
LORTAB 10/500 TABLET

DOSE FORM DRUG STRENGTH


TA
ZD
TA
PL
KA
TA
TM
SO
SO
SO
TA
CA
TA
TE
TA
CA
TE
TA
TA
SX
TA
TA
CA
SE
TA
TA
TA
TA
AB
QA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
CA
QA
QA
QA
AB
TA
TA
TA
TA
TA

UNIT PRICE
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10

NDC
52959051208
52959051210
52959051212
52959051214
52959051215
52959051220
52959051230
52959051240
52959051260
52959052100
52959052102
52959052110
52959052120
52959052130
52959052140
52959052150
52959052160
52959052180
52959065260
52959067745
52959067790
52959072930
52959074120
52959076802
52959076830
52959076860
52959112100
52959129301
52959129400
53076010326
53100075003
53100075201
53191002501
53191005701
53191029201
53191029210
53265023510
53265023550
53265033103
53265033110
53265033111
53265033150
53335008110
53983010015
53983010035
53983040005
53983040065
53983060025
53983060035
54022101201
54022305001
54022900201
54023812107

NAME
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
FLUOCINONIDE 0.05% GEL
BACLOFEN 20 MG TABLET
BACLOFEN 20 MG TABLET
LISINOPRIL 20 MG TABLET
ALBUTEROL 5 MG/ML SOLUTION
GLUCOSAMINE-CHONDROITIN CAP
GLUCOSAMINE-CHONDROITIN CAP
GLUCOSAMINE-CHONDROITIN CAP
PROVENTIL 90 MCG INHALER
VENTOLIN 90 MCG INHALER
VENTOLIN 5 MG/ML SOLUTION
FUNGI-NAIL TINCTURE
REMIFEMIN MENOPAUSE TABLET
REMIFEMIN MENOPAUSE TABLET
ME-500 500 MG CAPSULE
AZEC CAPSULE
BIO-THROID 90 MG CAPSULE
BIO-THROID 90 MG CAPSULE
BUTALBITAL/APAP/CAFFEINE TB
BUTALBITAL/APAP/CAFFEINE TB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
L-METHIONINE 500 MG CAPSULE
SUPERDOPHILUS POWDER
SUPERDOPHILUS POWDER
M.F.A. POWDER
M.F.A. POWDER
PRO-BIONATE-P POWDER
PRO-BIONATE-P POWDER
BETAZYME TABLET
BORON 6 MG TABLET
OX-ABSORB CAPLET
LIQ-10 SYRUP

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
JG
TA
TA
TA
SA
CA
CA
CA
AB
AB
SA
SX
TA
TA
CA
CA
CA
CA
TA
TA
TA
TA
TA
TA
CA
PA
PA
PA
PA
PA
PA
TA
TA
TA
ST

UNIT PRICE
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10

NDC
54092050310
54458010022
54458020022
54569005200
54569012703
54569033900
54569033904
54569051001
54569084001
54569189701
54569250500
54569250702
54569250704
54569250707
54569266501
54569312104
54569344100
54569344101
54569353901
54569390000
54569417100
54569417101
54569424500
54569434700
54569434701
54569438300
54569449400
54569449401
54569449402
54569493500
54569493501
54569493800
54569518200
54569525000
54569543500
54569548100
54569548101
54569548102
54629078400
54629080466
54629081076
54799053015
54838052270
54859070501
54868001800
54868001801
54868001803
54868001804
54868001805
54868001807
54868001809
54868033301
54868033302

NAME
TIGAN PEDIATRIC SUPPOSITORIES 100 MG
GLUCOSAMINE/CHONDROITIN CAP
GLUCOSAMINE/CHONDROITIN CAP
PROVENTIL 90 MCG INHALER
E.E.S. 400 FILMTAB
BUTALBITAL COMPOUND TABLET
BUTALBITAL COMPOUND TABLET
METHYLDOPA 500 MG TABLET
NORGESIC FORTE TABLET
TEBAMIDE 100 MG SUPPOSITORY
INSULIN U100-1 ML SYRINGE
ERYTHROMYCIN ES 400 MG TAB
ERYTHROMYCIN ES 400 MG TAB
ERYTHROMYCIN ES 400 MG TAB
ZESTRIL 20 MG TABLET
NIFEDIPINE 10 MG CAPSULE
ESGIC-PLUS TABLET
ESGIC-PLUS TABLET
TORADOL 10 MG TABLET
ALBUTEROL 5 MG/ML SOLUTION
BACLOFEN 20 MG TABLET
BACLOFEN 20 MG TABLET
ALBUTEROL 90 MCG INHALER
LORTAB 10/500 TABLET
LORTAB 10/500 TABLET
NEOSPORIN PLUS CREAM
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
BUTALBITAL/APAP/CAFFEINE TB
BUTALBITAL-APAP-CAFFEINE TB
ALLEGRA 180 MG TABLET
AMOXICILLIN 500 MG TABLET
GLUCOSAMINE/CHONDROITIN CAP
LISINOPRIL 20 MG TABLET
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE-APAP 10-500 TAB
CHONDROITIN SULF 400 MG CAP
BORAGE OIL SOFTGEL
HI-POTENCY VITAMIN/MIN SFTG
NEOFRIN 2.5% EYE DROPS
CHOLINE MAG TRISAL LIQUID
LIPOFLAVOVIT CAPLET
ERYTHROMYCIN ES 400 MG TAB
ERYTHROMYCIN ES 400 MG TAB
ERYTHROMYCIN ES 400 MG TAB
ERYTHROMYCIN ES 400 MG TAB
ERYTHROMYCIN ES 400 MG TAB
ERYTHROMYCIN ES 400 MG TAB
ERYTHROMYCIN ES 400 MG TAB
E.E.S. 400 FILMTAB
E.E.S. 400 FILMTAB

DOSE FORM DRUG STRENGTH


QA
CA
CA
AB
TA
TA
TA
TA
TA
QA
YL
TA
TA
TA
TA
CA
TA
TA
TA
SA
TA
TA
AB
TA
TA
KA
TA
TA
TA
TA
TA
TA
TA
CA
TA
TA
TA
TA
CA
CA
CA
SO
SL
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10

NDC
54868033304
54868033306
54868033307
54868034000
54868034001
54868035500
54868073001
54868074001
54868087701
54868100101
54868104101
54868105101
54868107500
54868107501
54868107502
54868107503
54868110100
54868110102
54868110103
54868110104
54868132600
54868132602
54868132604
54868132800
54868132801
54868132802
54868134100
54868150200
54868154401
54868228501
54868228502
54868228503
54868228504
54868243000
54868245101
54868271100
54868271101
54868273600
54868277800
54868277801
54868277802
54868277803
54868281200
54868281201
54868300601
54868302300
54868339200
54868340700
54868346001
54868347900
54868363400
54868363500
54868370900

NAME
E.E.S. 400 FILMTAB
E.E.S. 400 FILMTAB
E.E.S. 400 FILMTAB
TIGAN 100 MG SUPPOSITORY
TIGAN 100 MG SUPPOSITORY
POTASSIUM 25 MEQ TABLET EFF
VENTOLIN 90 MCG INHALER
ATROPINE 0.4 MG/ML VIAL
CHLORPROPAMIDE 100 MG TABLET
ZESTRIL 20 MG TABLET
PROVENTIL 90 MCG INHALER
PHENTERMINE 18.75 MG CAPSULE
BUTALBITAL COMPOUND TABLET
BUTALBITAL COMPOUND TABLET
BUTALBITAL COMPOUND TABLET
BUTALBITAL COMPOUND TABLET
NORGESIC FORTE TABLET
NORGESIC FORTE TABLET
NORGESIC FORTE TABLET
NORGESIC FORTE TABLET
NIFEDIPINE 10 MG CAPSULE
NIFEDIPINE 10 MG CAPSULE
NIFEDIPINE 10 MG CAPSULE
METHYLDOPA 500 MG TABLET
METHYLDOPA 500 MG TABLET
METHYLDOPA 500 MG TABLET
OXAZEPAM 10 MG CAPSULE
PRINIVIL 20 MG TABLET
SINEMET-10/100 TABLET
TORADOL 10 MG TABLET
TORADOL 10 MG TABLET
TORADOL 10 MG TABLET
TORADOL 10 MG TABLET
LACTAID ES CAPLET
FLUOCINONIDE 0.05% SOLUTION
ISOSORBIDE DN 40 MG TAB SA
ISOSORBIDE DN 40 MG TAB SA
NITRO-BID 2% OINTMENT
ESGIC-PLUS TABLET
ESGIC-PLUS TABLET
ESGIC-PLUS TABLET
ESGIC-PLUS TABLET
PHENYLEPHRINE 2.5% EYE DROP
PHENYLEPHRINE 2.5% EYE DROP
BACLOFEN 20 MG TABLET
FLUOCINONIDE 0.05% GEL
XYLOCAINE 0.5% VIAL
ALBUTEROL 5 MG/ML SOLUTION
PHOSLO 667 MG TABLET
VENTOLIN 5 MG/ML SOLUTION
CEBOCAP #1 CAPSULE (BLUE)
CEBOCAP #3 CAPSULE (ORANGE)
ALBUTEROL 90 MCG INHALER

DOSE FORM DRUG STRENGTH


TA
TA
TA
QA
QA
TF
AB
HV
TA
TA
AB
CA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
CA
TA
TA
TA
CA
TA
TA
TA
TA
TA
TA
TA
SA
TS
TS
OA
TA
TA
TA
TA
SO
SO
TA
JG
HV
SA
TA
SA
CA
CA
AB

UNIT PRICE
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10

NDC
54868378301
54868381200
54868381201
54868417100
54868417300
54868417900
54868423700
54868423701
54868425900
54868425901
54868425902
54868429800
54868457600
54868457601
54868457701
54868457800
54868457801
54868463600
54868463601
54868463602
54868465800
54868465801
54868478500
54868478501
54868499100
54868506200
54868506300
54868510000
55045116803
55045116806
55045116807
55045116808
55045120807
55045239005
55045253003
55045253004
55045253005
55045284900
55045284904
55045284906
55045284907
55045284908
55045307408
55111013401
55289004015
55289004020
55289004030
55289010630
55289011003
55289011009
55289011020
55289011028
55289011030

NAME
TICLID 250 MG TABLET
LORTAB 10/500 TABLET
LORTAB 10/500 TABLET
KETOROLAC 10 MG TABLET
ZIAC 5/6.25 MG TABLET
ZIAC 10/6.25 MG TABLET
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE-APAP 10-500 MG TAB
ALLEGRA 180 MG TABLET
ALLEGRA 180 MG TABLET
ALLEGRA 180 MG TABLET
XYLOCAINE 0.5% VIAL
BISOPROLOL/HCTZ 5/6.25 TAB
BISOPROLOL-HCTZ 5/6.25 TAB
BISOPROLOL/HCTZ 2.5-6.25 TAB
BISOPROLOL-HCTZ 10/6.25 TAB
BISOPROLOL-HCTZ 10/6.25 TAB
GUAIFEN/P-EPHED TABLET SA
GUAIFEN/P-EPHED TABLET SA
GUAIFEN/P-EPHED TABLET SA
LISINOPRIL 20 MG TABLET
LISINOPRIL 20 MG TABLET
LISINOPRIL-HCTZ 20-25 TAB
LISINOPRIL-HCTZ 20/25MG TAB
ACETAMINOPHEN 650 MG SUPPOS
TICLOPIDINE 250 MG TABLET
PAREGORIC LIQUID
ENALAPRIL/HCTZ 10-25MG TABLET
ERYTHROMYCIN ES 400 MG TAB
ERYTHROMYCIN ES 400 MG TAB
ERYTHROMYCIN ES 400 MG TAB
ERYTHROMYCIN ES 400 MG TAB
BUTALBITAL COMPOUND TABLET
ALBUTEROL 90 MCG INHALER
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
HYDROCODONE-APAP 10-500 TAB
HYDROCODONE-APAP 10-500 TAB
HYDROCODONE-APAP 10-500 TAB
HYDROCODONE-APAP 10-500 TAB
HYDROCODONE-APAP 10/500 TAB
BACLOFEN 20 MG TABLET
ENALAPRIL-HCTZ 10-25 MG TABLET
BUTALBITAL COMPOUND TABLET
BUTALBITAL COMPOUND TABLET
BUTALBITAL COMPOUND TABLET
ZESTRIL 20 MG TABLET
ERYTHROMYCIN ES 400 MG TAB
ERYTHROMYCIN ES 400 MG TAB
ERYTHROMYCIN ES 400 MG TAB
ERYTHROMYCIN ES 400 MG TAB
ERYTHROMYCIN ES 400 MG TAB

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
HV
TA
TA
TA
TA
TA
TM
TM
TM
TA
TA
TA
TA
QA
TA
SL
TA
TA
TA
TA
TA
TA
AB
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10

NDC
55289011040
55289011056
55289026412
55289029030
55289029050
55289032815
55289032820
55289032830
55289043912
55289048430
55289052905
55289057330
55289057730
55289063030
55289069614
55289069630
55289069907
55289069914
55289073220
55289076230
55289083610
55289084620
55289085902
55289090708
55289090730
55289090779
55289097001
55289098508
55289098515
55289098520
55289098530
55289098540
55499050117
55499050119
55499080855
55499080857
55505010326
55515026006
55887052620
55887052630
55887052660
55887052682
55887052690
55887053810
55887053812
55887053815
55887053820
55887053830
55887053840
55887053845
55887053860
55887053882
55887053890

NAME
ERYTHROMYCIN ES 400 MG TAB
ERYTHROMYCIN ES 400 MG TAB
ESGIC-PLUS TABLET
PROCARDIA 10 MG CAPSULE
PROCARDIA 10 MG CAPSULE
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
BUTALBITAL/APAP/CAFFEINE TB
VASERETIC 10-25 MG TABLET
TRIMETHOBENZAMIDE 100 MG SUP
PRINZIDE 25 MG TABLET
PRINIVIL 20 MG TABLET
BISOPROLOL-HCTZ 5-6.25 MG TAB
LISINOPRIL 20 MG TABLET
LISINOPRIL 20 MG TABLET
PHENTERMINE 18.75 MG CAPSULE
PHENTERMINE 18.75 MG CAPSULE
ALLEGRA 180 MG TABLET
CLEMASTINE FUM 1.34 MG TAB
TAVIST-1 1.34 MG TABLET
NORGESIC FORTE TABLET
PREDNISONE 5 MG/5 ML SOLUTION
NIFEDIPINE 10 MG CAPSULE
NIFEDIPINE 10 MG CAPSULE
NIFEDIPINE 10 MG CAPSULE
ISOSORBIDE DN 40 MG TAB SA
TORADOL 10 MG TABLET
TORADOL 10 MG TABLET
TORADOL 10 MG TABLET
TORADOL 10 MG TABLET
TORADOL 10 MG TABLET
LIPOFLAVONOID CAPLET
LIPOFLAVONOID CAPLET
HYDROCIL INSTANT PACKET
HYDROCIL INSTANT PACKET
FUNGI-NAIL TINCTURE
MONODOX 50 MG CAPSULE
BACLOFEN 20 MG TABLET
BACLOFEN 20 MG TABLET
BACLOFEN 20 MG TABLET
BACLOFEN 20 MG TABLET
BACLOFEN 20 MG TABLET
HYDROCODONE-APAP 10-500 TAB
HYDROCODONE-APAP 10-500 TAB
HYDROCODONE-APAP 10-500 TAB
HYDROCODONE-APAP 10-500 TAB
HYDROCODONE-APAP 10-500 TAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE-APAP 10-500 TAB
HYDROCODONE-APAP 10-500 TAB
HYDROCODONE-APAP 10-500 TAB
HYDROCODONE-APAP 10-500 TAB

DOSE FORM DRUG STRENGTH


TA
TA
TA
CA
CA
TA
TA
TA
TA
TA
QA
TA
TA
TA
TA
TA
CA
CA
TA
TA
TA
TA
SJ
CA
CA
CA
TS
TA
TA
TA
TA
TA
TA
TA
PP
PP
SX
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10

NDC
55887088010
55887088020
55887088028
55887088030
55948002810
55948003110
55948009710
55948029710
55948037410
55948041710
55948097002
56091005716
57664032706
57664032713
57664032783
57866005101
57866006007
57866034301
57866035101
57866035102
57866035103
57866035104
57866125202
57866125203
57866125204
57866125205
57866387801
57866391601
57866391602
57866485602
57866485603
57866485604
57866485605
57866485606
57866485702
57866485703
57866485704
57866500001
57866500002
57866670102
57866670601
57866673601
57866697000
57866738201
57866738203
57866738204
57866738205
57866902301
58016012706
58016012708
58016012710
58016012714
58016012720

NAME
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
MEDI-JECTOR ADAPTER
MEDI-JECTOR CHOICE ADAPTER
SINGLE VISION ADAPTER
SINGLE VISION ADAPTER
MEDI-JECTOR ADAPTER
MEDI-JECTOR ADAPTER
MEDI-JECTOR VISION ADAPTER
BAND-AID ADHESIVE BANDAGE
TICLOPIDINE 250 MG TABLET
TICLOPIDINE 250 MG TABLET
TICLOPIDINE 250 MG TABLET
ALBUTEROL 90 MCG INHALER
SELEGILINE 5 MG CAPSULE
DOXYCYCLINE MONO 50 MG CAP
ERYTHROMYCIN ES 400 MG TAB
ERYTHROMYCIN ES 400 MG TAB
ERYTHROMYCIN ES 400 MG TAB
ERYTHROMYCIN ES 400 MG TAB
ALLEGRA 180 MG TABLET
ALLEGRA 180 MG TABLET
ALLEGRA 180 MG TABLET
ALLEGRA 180 MG TABLET
HALOPERIDOL 2 MG TABLET
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
BUTALBITAL-APAP-CAFFEINE TB
BUTALBITAL-APAP-CAFFEINE TB
BUTALBITAL-APAP-CAFFEINE TB
BUTALBITAL-APAP-CAFFEINE TB
BUTALBITAL-APAP-CAFFEINE TB
ASA-CAFFEINE-BUTALBITAL TAB
ASA-CAFFEINE-BUTALBITAL TAB
ASA-CAFFEINE-BUTALBITAL TAB
LISINOPRIL 20 MG TABLET
LISINOPRIL 20 MG TABLET
PRINIVIL 20 MG TABLET
PRINIVIL 20 MG TABLET
CARBIDOPA/LEVO 10/100 TAB
OXAZEPAM 10 MG CAPSULE
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
BACLOFEN 20 MG TABLET
ERYTHROMYCIN ES 400 MG TAB
ERYTHROMYCIN ES 400 MG TAB
ERYTHROMYCIN ES 400 MG TAB
ERYTHROMYCIN ES 400 MG TAB
ERYTHROMYCIN ES 400 MG TAB

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
ZA
ZA
ZA
ZA
ZA
ZA
ZA
YE
TA
TA
TA
AB
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10

NDC
58016012721
58016012724
58016012728
58016012730
58016012740
58016012742
58016012750
58016012760
58016016700
58016016720
58016016740
58016017900
58016017902
58016017930
58016017940
58016017956
58016017960
58016017980
58016017990
58016022900
58016022902
58016022903
58016022904
58016022910
58016022914
58016022920
58016022921
58016022928
58016022930
58016022940
58016022950
58016022956
58016022960
58016022973
58016022980
58016022989
58016022990
58016022991
58016022992
58016022993
58016022999
58016023300
58016023310
58016023312
58016023314
58016023315
58016023320
58016023321
58016023324
58016023325
58016023328
58016023330
58016023340

NAME
ERYTHROMYCIN ES 400 MG TAB
ERYTHROMYCIN ES 400 MG TAB
ERYTHROMYCIN ES 400 MG TAB
ERYTHROMYCIN ES 400 MG TAB
ERYTHROMYCIN ES 400 MG TAB
ERYTHROMYCIN ES 400 MG TAB
ERYTHROMYCIN ES 400 MG TAB
ERYTHROMYCIN ES 400 MG TAB
E.E.S. 400 FILMTAB
E.E.S. 400 FILMTAB
E.E.S. 400 FILMTAB
GLUCOSAMINE/CHONDROITIN CAP
GLUCOSAMINE/CHONDROITIN CAP
GLUCOSAMINE/CHONDROITIN CAP
GLUCOSAMINE-CHONDROITIN CAP
GLUCOSAMINE/CHONDROITIN CAP
GLUCOSAMINE/CHONDROITIN CAP
GLUCOSAMINE-CHONDROITIN CAP
GLUCOSAMINE/CHONDROITIN CAP
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE-APAP 10-500 TAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE-APAP 10-500 TAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE-APAP 10-500 TAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE-APAP 10-500 TAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE-APAP 10-500 TAB
HYDROCODONE-APAP 10-500 TAB
HYDROCODONE-APAP 10-500 TAB
HYDROCODONE/APAP 10/500 TAB
BUTALBITAL COMPOUND TABLET
BUTALBITAL COMPOUND TABLET
BUTALBITAL COMPOUND TABLET
BUTALBITAL COMPOUND TABLET
BUTALBITAL COMPOUND TABLET
BUTALBITAL COMPOUND TABLET
BUTALBITAL COMPOUND TABLET
BUTALBITAL COMPOUND TABLET
BUTALBITAL COMPOUND TABLET
BUTALBITAL COMPOUND TABLET
BUTALBITAL COMPOUND TABLET
BUTALBITAL COMPOUND TABLET

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
CA
CA
CA
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10

NDC
58016023350
58016023360
58016024700
58016024702
58016024703
58016024710
58016024712
58016024715
58016024720
58016024721
58016024730
58016024740
58016024773
58016024789
58016030100
58016030102
58016030103
58016030110
58016030114
58016030115
58016030120
58016030121
58016030128
58016030130
58016030140
58016030150
58016030160
58016030190
58016036300
58016036314
58016036321
58016036330
58016036360
58016047700
58016047710
58016047720
58016047730
58016047740
58016047760
58016047790
58016059500
58016062200
58016062208
58016062230
58016062250
58016062260
58016062290
58016076000
58016076030
58016076060
58016076090
58016112301
58016200701

NAME
BUTALBITAL COMPOUND TABLET
BUTALBITAL COMPOUND TABLET
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
GABAPENTIN 100 MG TABLET
GABAPENTIN 100 MG TABLET
GABAPENTIN 100 MG TABLET
GABAPENTIN 100 MG TABLET
GABAPENTIN 100 MG TABLET
GABAPENTIN 100 MG TABLET
GABAPENTIN 100 MG TABLET
GABAPENTIN 100 MG TABLET
GABAPENTIN 100 MG TABLET
GABAPENTIN 100 MG TABLET
GABAPENTIN 100 MG TABLET
GABAPENTIN 100 MG TABLET
GABAPENTIN 100 MG TABLET
GABAPENTIN 100 MG TABLET
ZESTRIL 20 MG TABLET
ZESTRIL 20 MG TABLET
ZESTRIL 20 MG TABLET
ZESTRIL 20 MG TABLET
ZESTRIL 20 MG TABLET
BACLOFEN 20 MG TABLET
BACLOFEN 20 MG TABLET
BACLOFEN 20 MG TABLET
BACLOFEN 20 MG TABLET
BACLOFEN 20 MG TABLET
BACLOFEN 20 MG TABLET
BACLOFEN 20 MG TABLET
K-LYTE TABLET EFF
NIFEDIPINE 10 MG CAPSULE
NIFEDIPINE 10 MG CAPSULE
NIFEDIPINE 10 MG CAPSULE
NIFEDIPINE 10 MG CAPSULE
NIFEDIPINE 10 MG CAPSULE
NIFEDIPINE 10 MG CAPSULE
PRINIVIL 20 MG TABLET
PRINIVIL 20 MG TABLET
PRINIVIL 20 MG TABLET
PRINIVIL 20 MG TABLET
NITROGLYCERIN 2% OINTMENT
ACETAMINOPHEN 650 MG SUPPOS

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TF
CA
CA
CA
CA
CA
CA
TA
TA
TA
TA
OA
QA

UNIT PRICE
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10

NDC
58016309101
58016327401
58016609701
58016609901
58016640401
58016656901
58173003116
58177030104
58177031604
58177032904
58177037304
58177043738
58298014010
58605050801
58864000630
58864010030
58864036590
58864074730
58864079620
58914021260
59366279101
59366279103
59366279106
59390019305
59390019313
59528031701
59730640101
59730640201
59741030509
59741030549
59741030550
59879060906
59879060912
59911588601
59930151504
59930156001
59930164702
60258009008
60258019001
60258024416
60258026601
60432045716
60505002702
60505002704
60505002707
60505005501
60505005502
60505018700
60505018701
60505020703
60760031420
60760054030
60951060368

NAME
TRIMETHOBENZAMIDE 100 MG SUP
FLUOCINONIDE 0.05% GEL
PHENYLEPHRINE 2.5% EYE DROP
VENTOLIN 90 MCG INHALER
ALBUTEROL 5 MG/ML SOLUTION
ALBUTEROL 90 MCG INHALER
BRONKOPHYLLINE GG ELIXIR
KETOROLAC 10 MG TABLET
PRENATAL MTR TABLET
NATATAB FA TABLET
GUAIFENEX GP TABLET SA
CARENATE 600 COMBO PACK TAB
TRIMETHOBENZAMIDE 100 MG SUP
PRO-FAST HS 18.75 MG CAPSULE
LISINOPRIL 20 MG TABLET
CHLORPROPAMIDE 100 MG TABLET
NIFEDIPINE 10 MG CAPSULE
ALLEGRA 180 MG TABLET
NIFEDIPINE 10 MG CAPSULE
ADEKS PEDIATRIC DROPS
CLOBETASOL 0.05% GEL
CLOBETASOL 0.05% GEL
CLOBETASOL 0.05% GEL
ALTAFRIN 2.5% EYE DROPS
ALTAFRIN 2.5% EYE DROPS
NEPHPLEX RX TABLET
PHOSLO 667 MG TABLET
PHOSLO 667 MG GELCAP
TRIMETHOBENZAMIDE 100 MG SUP
TRIMETHOBENZAMIDE 100 MG SUP
TRIMETHOBENZAMIDE 100 MG SUP
ARTHX DS CAPSULE
ARTHX DS CAPSULE
SELEGILINE HCL 5 MG CAPSULE
ALBUTEROL 5 MG/ML SOLUTION
ALBUTEROL 90 MCG INHALER
ALBUTEROL 5 MG/ML SOLUTION
CHOLINE MAG TRISAL LIQUID
PRENATABS FA TABLET
DEXCON-DM SYRUP
GFN/PSE TABLET
PAREGORIC LIQUID
TICLOPIDINE 250 MG TABLET
TICLOPIDINE 250 MG TABLET
TICLOPIDINE 250 MG TABLET
SELEGILINE HCL 5 MG CAPSULE
SELEGILINE HCL 5 MG CAPSULE
LISINOPRIL 20 MG TABLET
LISINOPRIL 20 MG TABLET
LISINOPRIL-HCTZ 20/25 TAB
KETOROLAC 10 MG TABLET
HYDROCODONE/APAP 10/500 TAB
CARBIDOPA/LEVO 10/100 TAB

DOSE FORM DRUG STRENGTH


QA
JG
SO
AB
SA
AB
SE
TA
TA
TA
TM
ZD
QA
CA
TA
TA
CA
TA
CA
SO
JG
JG
JG
SO
SO
TA
TA
CA
QA
QA
QA
CA
CA
CA
SA
AB
SA
SL
TA
ST
TM
SL
TA
TA
TA
CA
CA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10

NDC
61059017515
61314034201
61314034202
61553010702
61553018948
61553019048
61553019148
61553019202
61553019448
61553019702
61553021602
61553060402
61553061702
61570050310
62022002601
62037079444
62991100501
62991100502
62991167601
62991167602
63304053401
63304053410
63304053801
63304076220
63323023401
63323023420
63546031025
63546031050
63739003201
63739003202
63739003203
63739003215
63739004601
63739004602
63739004603
63739004615
63739012201
63739012202
63739012203
63739012215
63739018501
63739018502
63739018503
63739035015
63857032710
63948015800
63948015802
64455014601
64915041160
64915060190
64915063790
65162009906
65224061916

NAME
AUTOJECT E.D.
PHENYLEPHRINE 2.5% EYE DROP
PHENYLEPHRINE 2.5% EYE DROP
FENTANYL CITRATE/NS 5 MCG/ML
BUPIVACAINE HCL-NS 0.0625%
BUPIVACAINE HCL-NS 0.0625%
BUPIVACAINE HCL-NS 0.125%
BUPIVACAINE HCL-NS 0.125%
BUPIVACAINE HCL-NS 0.125%
BUPIVACAINE HCL-NS 0.0625%
BUPIVACAINE HCL-NS 0.1%
FENTANYL CITRATE/NS 5 MCG/ML
BUPIVACAINE HCL-NS 0.125%
TIGAN 100 MG SUPPOSITORY
EMBREX 600 COMBO PACK
ALBUTEROL 90 MCG INHALER
ALBENDAZOLE POWDER
ALBENDAZOLE POWDER
ISONIAZID POWDER
ISONIAZID POWDER
LISINOPRIL 20 MG TABLET
LISINOPRIL 20 MG TABLET
LISINOPRIL-HCTZ 20-25MG TAB
AMOXICILLIN 500 MG TABLET
ATROPINE 0.4 MG/ML VIAL
ATROPINE 0.4 MG/ML VIAL
ALBUMIN-ZLB (HUMAN) 5% VL
ALBUMIN-ZLB (HUMAN) 5% VL
BACLOFEN 20 MG TABLET
BACLOFEN 20 MG TABLET
BACLOFEN 20 MG TABLET
BACLOFEN 20 MG TABLET
CARBIDOPA/LEVO 10/100 TAB
CARBIDOPA/LEVO 10/100 TAB
CARBIDOPA/LEVO 10/100 TAB
CARBIDOPA/LEVO 10/100 TAB
HALOPERIDOL 2 MG TABLET
HALOPERIDOL 2 MG TABLET
HALOPERIDOL 2 MG TABLET
HALOPERIDOL 2 MG TABLET
NIFEDIPINE 10 MG CAPSULE
NIFEDIPINE 10 MG CAPSULE
NIFEDIPINE 10 MG CAPSULE
LISINOPRIL 20 MG TABLET
SERAX 10 MG CAPSULE
CELLULAR FORTE CAPSULE
CELLULAR FORTE CAPSULE
VASERETIC 10-25 MG TABLET
MILK THISTLE EXT 500-140 CP
SIMILASE JR CAPSULE
AMYLASE CONCENTRATE-HP CAP
JOINT PAIN FORMULA SOFTGEL
Z-COF DM LIQUID

DOSE FORM DRUG STRENGTH


ZA
SO
SO
HZ
HZ
HZ
HZ
HZ
HZ
HZ
HZ
HZ
HZ
QA
ZD
AB
PA
PA
PA
PA
TA
TA
TA
TA
HV
HV
HV
HV
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
CA
TA
CA
CA
CA
TA
CA
CA
CA
CA
SL

UNIT PRICE
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10

NDC
65224079016
66116029230
66116066120
66116066417
66267008628
66267008640
66267010830
66267010860
66267010888
66267010890
66267010891
66267010892
66267020408
66267020421
66267041820
66267099517
66346019165
66424064501
66685070401
66685070402
66685070403
66977010105
66977010106
66992012016
66992013016
66992013516
66992015016
66993033202
67216017031
67216017041
67216017051
67216017081
67253070006
68025000116
68030005101
68030014401
68030014403
68030035103
68030125202
68030125203
68030606301
68030670102
68030728901
68030738201
68030738203
68030738205
68032010406
68032012004
68084003901
68084003980
68084003985
68084009201
68115001100

NAME
Z-COF DMX LIQUID
ALLEGRA 180 MG TABLET
KETOROLAC 10 MG TABLET
ALBUTEROL 90 MCG INHALER
E.E.S. 400 FILMTAB
E.E.S. 400 FILMTAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
HYDROCODONE/APAP 10/500 TAB
TORADOL 10 MG TABLET
TORADOL 10 MG TABLET
KETOROLAC 10 MG TABLET
ALBUTEROL 90 MCG INHALER
TUSSINATE SYRUP
GUAIFENESIN PSE TABLET
LISINOPRIL 20 MG TABLET
LISINOPRIL 20 MG TABLET
LISINOPRIL 20 MG TABLET
RADIAPLEXRX GEL
RADIAPLEXRX GEL
BETAVENT SYRUP
VAZOL LIQUID
VAZOL-D LIQUID
FLUTUSS HC LIQUID
GUAIFEN/P-EPHED TABLET
GLUCOSAMINE/CHONDROITIN CAP
GLUCOSAMINE/CHONDROITIN CAP
GLUCOSAMINE/CHONDROITIN CAP
GLUCOSAMINE/CHONDROITIN CAP
SELEGILINE HCL 5 MG CAPSULE
ZOTEX SYRUP
ALBUTEROL 90 MCG INHALER
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
ERYTHROMYCIN ES 400 MG TAB
ALLEGRA 180 MG TABLET
ALLEGRA 180 MG TABLET
ERYTHROMYCIN ES 400 MG TAB
PRINIVIL 20 MG TABLET
TRIMETHOBENZAMIDE 100 MG SUP
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
ROSADERM CLEANSER
BENZOYL PEROXIDE 6.5% CLEANSER
BACLOFEN 20 MG TABLET
BACLOFEN 20 MG TABLET
BACLOFEN 20 MG TABLET
CARBIDOPA/LEVO 10/100 TABLET
ALLEGRA 180 MG TABLET

DOSE FORM DRUG STRENGTH


SL
TA
TA
AB
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
AB
ST
TM
TA
TA
TA
JG
JG
ST
SL
SL
SL
TM
CA
CA
CA
CA
CA
ST
AB
TA
TA
TA
TA
TA
TA
TA
QA
TA
TA
TA
PL
PN
TA
TA
TA
TA
TA

UNIT PRICE
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10

NDC
68115001130
68115005630
68115012630
68115012640
68115016930
68115016942
68115016960
68115016984
68115016990
68115019220
68115019230
68115020830
68115020860
68115020890
68115033710
68115036200
68115039060
68115039090
68115044330
68115044360
68115071120
68115099517
68305019214
68387022030
68453064010
68552069303
68552069315
70030013254
70030013255
70030013925
70501001340
79854000784
79854008046
79854008107
79854062120
82468062060
82468095087
87701004248
87701006678
87701006682
87701014910
87701034318
87701034324
87701039915
87701083385
87701084678
87701089187
87701094548
87701094555
87701094608
87701094618
87701095452
87701095562

NAME
ALLEGRA 180 MG TABLET
BUTALBITAL COMPOUND TABLET
E.E.S. 400 FILMTAB
E.E.S. 400 FILMTAB
HYDROCODONE-APAP 10-500 TAB
HYDROCODONE-APAP 10-500 TAB
HYDROCODONE-APAP 10-500 TAB
HYDROCODONE-APAP 10-500 TAB
HYDROCODONE-APAP 10-500 TAB
KETOROLAC 10 MG TABLET
KETOROLAC 10 MG TABLET
LISINOPRIL 20 MG TABLET
LISINOPRIL 20 MG TABLET
LISINOPRIL 20 MG TABLET
TRIMETHOBENZAMIDE 100 MG SUP
ZESTRIL 20 MG TABLET
BACLOFEN 20 MG TABLET
BACLOFEN 20 MG TABLET
GLUCOSAMINE/CHONDROITIN CAP
GLUCOSAMINE/CHONDROITIN CAP
ALBUTEROL 5 MG/ML SOLUTION
ALBUTEROL 90 MCG INHALER
NOBLE FORMULA 0.25% SPRAY
HYDROCODONE-APAP 10-500 TAB
DURATUSS GP TABLET SA
PHENYLEPHRINE 2.5% EYE DROP
PHENYLEPHRINE 2.5% EYE DROP
DAYHIST TABLET
DAYHIST TABLET
IBURPOFEN JR STR 100 MG TAB
NEUTROGENA ACNE-PRONE SKIN
CHONDROITIN SULF 400 MG CAP
BORAGE OIL SOFTGEL
HI-POTENCY VITAMIN/MIN SFTG
LEG CRAMP TREATMENT CAP
FP GLUCOS-CHONDROIT CAPLET
FP GLUCOSAMINE/CHONDR CAP
BL MSM GLUCOSAMINE CMPLX TB
BL GLUCOSAMI/CHONDROT TB
GNP GLUCOSAM/CHONDROT TB
GNP MSM GLUCOSAMINE CPLX TB
GNP GLUCOSAMINE-CHONDR CPLT
BL GLUCOSAMINE-CHONDR CPLT
BL ASAFETIDA TINCTURE
BL KOREAN GINSENG 560 MG
GNP KOREAN GINSENG 560 MG
BL IRON 50 MG CAPLET
BL ACETAMINOPHEN 650 MG SUPP
BL ACETAMINOPHEN 650 MG SUPP
GNP ACETAMINOPHEN 650 MG SUP
GNP ACETAMINOPHEN 650 MG SUP
BL DAILYHIST-1 1.34 MG TAB
GNP DAILYHIST-1 1.34 MG TAB

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
QA
TA
TA
TA
CA
CA
SA
AB
AU
TA
TM
SO
SO
TA
TA
TA
JG
CA
CA
CA
CA
TA
CA
TA
TA
TA
TA
TA
TA
SX
CA
CA
TA
QA
QA
QA
QA
TA
TA

UNIT PRICE
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10

NDC
87900061139
94542072038
94542072138
94542072238
96295011159
96295011234
96499031060
99207050713
99207050714
99207050717
99207051744
99207051746
00006889535
00006889536
00009005002
00009005009
00009005011
00009005027
00009011404
00009011405
00009012101
00009338102
00009377201
00009377217
00011836850
00023431230
00025100131
00025100151
00025100155
00034052202
00034052301
00034052302
00045009560
00045009569
00046073881
00054355663
00054375144
00054375150
00054375158
00054377444
00054377450
00054378649
00054378663
00054460325
00054474125
00054474131
00054806311
00054806313
00054806321
00054860325
00054873925
00062535001
00064043025

NAME
LIQUIPRIN DROPS
SURESHARP NEEDLE 20GX11/2"
SURESHARP NEEDLE 21GX1/2"
SURESHARP NEEDLE 22GX11/2"
MENOPAUSE SUPPORT TABLET
GLUCOSAMINE-CHONDR CAPLET
GLUCOSAMINE/CHONDROITIN CAP
LIDEX 0.05% GEL
LIDEX 0.05% GEL
LIDEX 0.05% GEL
LIDEX 0.05% SOLUTION
LIDEX 0.05% SOLUTION
TIMOPTIC 0.25% OCUM PLS DRP
TIMOPTIC 0.25% OCUM PLS DRP
PROVERA 10 MG TABLET
PROVERA 10 MG TABLET
PROVERA 10 MG TABLET
PROVERA 10 MG TABLET
TOLINASE 250 MG TABLET
TOLINASE 250 MG TABLET
LONITEN 2.5 MG TABLET
CLEOCIN 300 MG/D5W/GALAXY
OGEN 0.625 TABLET
OGEN 0.625 TABLET
LACTINEX TABLET CHEWABLE
ERYGEL 2% GEL
ALDACTONE 25 MG TABLET
ALDACTONE 25 MG TABLET
ALDACTONE 25 MG TABLET
MSIR 20 MG/5 ML ORAL SOLUTION
MSIR 20 MG/ML CONCENTRATE
MSIR 20 MG/ML CONCENTRATE
PANCREASE CAPSULE EC
PANCREASE CAPSULE EC
LODINE 200 MG CAPSULE
METHADONE 10 MG/5 ML SOLUTION
ROXANOL 20 MG/ML SOLUTION
ROXANOL 20 MG/ML SOLUTION
ROXANOL 100 MG/5 ML SOLUTION
ROXANOL-T 20 MG/ML SOLUTION
ROXANOL-T 20 MG/ML SOLUTION
MORPHINE SULF 20 MG/5 ML SOLN
MORPHINE SULF 20 MG/5 ML SOLN
MEGESTROL 20 MG TABLET
PREDNISONE 1 MG TABLET
PREDNISONE 1 MG TABLET
ALBUTEROL 0.83 MG/ML SOLUTION
ALBUTEROL 0.83 MG/ML SOLUTION
ALBUTEROL 0.83 MG/ML SOLUTION
MEGESTROL 20 MG TABLET
PREDNISONE 1 MG TABLET
TERAZOL 7 CREAM
EMBELINE 0.05% SOLUTION

DOSE FORM DRUG STRENGTH


SO
YH
YH
YH
TA
TA
CA
JG
JG
JG
SA
SA
SO
SO
TA
TA
TA
TA
TA
TA
TA
HP
TA
TA
TC
JG
TA
TA
TA
SJ
SJ
SJ
CE
CE
CA
SJ
SJ
SJ
SJ
SJ
SJ
SJ
SJ
TA
TA
TA
SA
SA
SA
TA
TA
KW
SA

UNIT PRICE
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.10
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11

NDC
00064043050
00065010612
00065010620
00065039602
00065039605
00065039615
00072480004
00074116401
00074158230
00074318201
00074318202
00074318203
00074323601
00074384401
00074427401
00074434673
00074577901
00074766823
00074776003
00074962113
00085005002
00085005003
00085036108
00085036109
00085180601
00087607211
00093026415
00093026430
00093026492
00093028001
00093028005
00093215901
00093722193
00093726001
00115700101
00115700105
00115703501
00115703505
00143176301
00143176310
00168014015
00168014030
00168014060
00168019903
00168019910
00168019915
00168019925
00168021630
00168021660
00168026925
00168026950
00172205760
00172297960

NAME
EMBELINE 0.05% SOLUTION
OPTI-FREE DAILY CLEANER
OPTI-FREE DAILY CLEANER
CYCLOGYL 1% EYE DROPS
CYCLOGYL 1% EYE DROPS
CYCLOGYL 1% EYE DROPS
SEBUCARE LOTION
BUPIVACAINE 0.75% AMPUL
MARCAINE 0.75% AMPUL
LIDOCAINE 2%/EPI 1:100,000
LIDOCAINE 2%/EPI 1:100,000
LIDOCAINE 2%/EPI 1:100,000
TPN ELECTROLYTES II IV SOLN
TPN ELECTROLYTES III IV SOL
BUPIVACAINE 0.75% AMPUL
AMINOCAPROIC ACID 250 MG/ML
TPN ELECTROLYTES VIAL
THEOPHYLLINE 200 MG/D5W 100 ML
HEPARIN 20,000 UNIT/D5W 500 ML
CLINDAMYCIN 300 MG/D5W SOLN
EMKO FOAM REFILL
EMKO FOAM REFILL
OCUCLEAR EYE DROPS
OCUCLEAR EYE DROPS
PROVENTIL 0.83 MG/ML SOLUTN
GLUCOVANCE 1.25/250 MG TAB
FLUOCINONIDE 0.05% OINTMENT
FLUOCINONIDE 0.05% OINTMENT
FLUOCINONIDE 0.05% OINTMENT
BUPROPION HCL 75 MG TABLET
BUPROPION HCL 75 MG TABLET
TRIMETHOPRIM 200 MG TABLET
PRENATAL OPTIMA ADVANCE TAB
GLYBURID-METFORMIN 1.25/250 MG
PANCRELIPASE 4500 UNITS USP, 100'S
LIPRAM 4500 UNITS, USP, 250'S
LIPRAM 4,500 CAPSULE EC
LIPRAM 4,500 CAPSULE EC
TRIHEXYPHENIDYL 5 MG TABLET
TRIHEXYPHENIDYL 5 MG TABLET
FLUOCINONIDE 0.05% OINTMENT
FLUOCINONIDE 0.05% OINTMENT
FLUOCINONIDE 0.05% OINTMENT
TIMOLOL 0.25% EYE DROPS
TIMOLOL 0.25% EYE DROPS
TIMOLOL 0.25% EYE DROPS
TIMOLOL 0.25% EYE DROPS
ERYTHROMYCIN 2% GEL
ERYTHROMYCIN 2% GEL
CLOBETASOL 0.05% SOLUTION
CLOBETASOL 0.05% SOLUTION
PHENYTOIN SOD 100 MG CAPSULE
TOLAZAMIDE 250 MG TABLET

DOSE FORM DRUG STRENGTH


SA
SL
SL
SO
SO
SO
SK
HH
HH
HV
HV
HV
HV
HV
HH
HV
HV
HM
HM
HP
AF
AF
SO
SO
SA
TA
OA
OA
OA
TA
TA
TA
TA
TA
CE
CE
CE
CE
TA
TA
OA
OA
OA
SO
SO
SO
SO
JG
JG
SA
SA
CA
TA

UNIT PRICE
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11

NDC
00172297980
00172571000
00172571010
00172571060
00172571070
00172571084
00172640544
00172640549
00173017755
00173043200
00173043201
00173044001
00173044002
00178013201
00178015301
00178016101
00186012501
00186016001
00186103702
00193216121
00193216221
00193216321
00193216421
00193216521
00193216621
00193216821
00193217621
00193217821
00193217921
00193218021
00193218121
00193218221
00193218321
00193218421
00193230521
00247004902
00247004915
00247017800
00247017805
00247017807
00247017810
00247017830
00247017850
00247034120
00247034130
00247067607
00247067614
00247067630
00247067660
00247074630
00247077830
00247077850
00247108052

NAME
TOLAZAMIDE 250 MG TABLET
GLYBURID-METFORMIN 1.25/250 MG
GLYBURID-METFORMIN 1.25/250 MG
GLYBURID-METFORMIN 1.25/250 MG
GLYBURID-METFORMIN 1.25/250 MG
GLYBURID-METFORMIN 1.25/250 MG
ALBUTEROL 0.83 MG/ML SOLUTION
ALBUTEROL 0.83 MG/ML SOLUTION
WELLBUTRIN 75 MG TABLET
TEMOVATE 0.05% SOLUTION
TEMOVATE 0.05% SOLUTION
EMGEL 2% TOPICAL GEL
EMGEL 2% TOPICAL GEL
MISSION PRENATAL TABLET
MISSION PRENATAL FA TABLET
MISSION PRENATAL HP TABLET
XYLOCAINE 2%/EPI 1:100,000
XYLOCAINE 2%/EPI 1:100,000
SENSORCAINE 0.75% AMPUL
MULTISTIX 10 SG REAG STRIPS
MULTISTIX 9 REAGENT STRIPS
MULTISTIX 9 SG REAGNT STRIP
MULTISTIX 8 SG REAGNT STRIP
MULTISTIX 7 REAGENT STRIP
URISTIX 4 REAGENT STRIPS
MULTISTIX 2 REAGENT STRIPS
N-MULTISTIX SG DIP/READ TES
N-MULTISTIX REAGENT STRIPS
MULTISTIX REAGENT STRIPS
BILI-LABSTIX REAGENT STRIPS
LABSTIX REAGENT STRIPS
HEMA-COMBISTIX STRIPS
COMBISTIX REAGENT STRIPS
URISTIX REAGENT STRIPS
MULTISTIX 7 REAGENT STRIP
PENTOLAIR 1% EYE DROPS
PENTOLAIR 1% EYE DROPS
MEDROXYPROGESTERONE 10 MG TB
MEDROXYPROGESTERONE 10 MG TB
MEDROXYPROGESTERONE 10 MG TB
MEDROXYPROGESTERONE 10 MG TB
MEDROXYPROGESTERONE 10 MG TB
MEDROXYPROGESTERONE 10 MG TB
CHLORZOXAZONE 250 MG TABLET
CHLORZOXAZONE 250 MG TABLET
WELLBUTRIN 75 MG TABLET
WELLBUTRIN 75 MG TABLET
WELLBUTRIN 75 MG TABLET
WELLBUTRIN 75 MG TABLET
ERYTHROMYCIN 2% GEL
LIDOCAINE 2%/EPI 1:100,000
LIDOCAINE 2%/EPI 1:100,000
ETHYL CHLORIDE SPRAY

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
SA
SA
TA
SA
SA
JG
JG
TA
TA
TA
HV
HV
HH
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
SO
SO
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
JG
HV
HV
AS

UNIT PRICE
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11

NDC
00247111630
00247111660
00254360128
00259039701
00259431230
00259431260
00264555232
00264691037
00264936155
00264956710
00316014102
00338044348
00338051341
00338054903
00338101102
00338113103
00338204348
00338937741
00338937948
00338938102
00338938348
00338938502
00378021701
00378043301
00378214601
00378214605
00378455101
00378720001
00386000102
00386000103
00386000104
00386000106
00406036701
00406036705
00406036762
00406036791
00406082903
00406082912
00406082915
00406082924
00407074920
00407075010
00409323601
00409434673
00409577901
00421195901
00440838510
00440838530
00440838560
00440838590
00440838591
00440838592
00440838595

NAME
LODINE 200 MG CAPSULE
LODINE 200 MG CAPSULE
HYDROCODONE/APAP 10/325 TAB
MEDICONE RECTAL OINTMENT
ERYGEL 2% GEL
ERYGEL 2% GEL
THEOPHYLLINE 200 MG/D5W 100 ML
UCEPHAN ORAL SOLUTION
TROPHAMINE 6% IV SOLUTION
HEPARIN 20,000 UNIT/D5W 500 ML
DEL-STAT CLEANSER
THEOPHYLLINE 200 MG/D5W 100 ML
ISOTON GENTAMICIN 120 MG/50 ML
HEPARIN 20,000 UNIT/D5W 500 ML
DOPAMINE/D5W 1,600 MG/250 ML
PREMASOL 6% IV SOLUTION
ZINACEF 1.5G/100 ML VIAFLEX
MORPHINE/NS 50 MG/50 ML
MORPHINE/NS 100 MG/100 ML
MORPHINE/NS 250 MG/250 ML
MORPHINE/D5W 100 MG/100 ML
MORPHINE/D5W 250 MG/250 ML
TOLAZAMIDE 250 MG TABLET
BUPROPION HCL 75 MG TABLET
SPIRONOLACTONE 25 MG TABLET
SPIRONOLACTONE 25 MG TABLET
ESTROPIPATE 0.625(0.75 MG) TAB
ETODOLAC 200 MG CAPSULE
ETHYL CHLORIDE SPRAY
ETHYL CHLORIDE SPRAY
ETHYL CHLORIDE SPRAY
ETHYL CHLORIDE SPRAY
HYDROCODONE/APAP 10/325 TAB
HYDROCODONE/APAP 10/325 TAB
HYDROCODONE/APAP 10/325 TAB
HYDROCODONE/APAP 10/325 TAB
MORPHINE SULFATE 20 MG/ML SOLN
MORPHINE SULFATE 20 MG/ML SOLN
MORPHINE SULFATE 20 MG/ML SOLN
MORPHINE SULFATE 20 MG/ML SOLN
HYPAQUE MEGLUMINE 60% BTL
HYPAQUE MEGLUMINE 60% BTL
TPN ELECTROLYTES II IV SOLN
AMINOCAPROIC ACID 250 MG/ML
TPN ELECTROLYTES VIAL
VITELLE NESTABS TABLET
SPIRONOLACTONE 25 MG TABLET
SPIRONOLACTONE 25 MG TABLET
SPIRONOLACTONE 25 MG TABLET
SPIRONOLACTONE 25 MG TABLET
SPIRONOLACTONE 25 MG TABLET
SPIRONOLACTONE 25 MG TABLET
SPIRONOLACTONE 25 MG TABLET

DOSE FORM DRUG STRENGTH


CA
CA
TA
OA
JG
JG
HM
SJ
HM
HM
SK
HM
HP
HM
HZ
HM
HP
HZ
HZ
HZ
HZ
HZ
TA
TA
TA
TA
TA
CA
AS
AS
AS
AS
TA
TA
TA
TA
SJ
SJ
SJ
SJ
HB
HB
HV
HV
HV
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11

NDC
00462034646
00472040225
00472040250
00472083123
00472083130
00472083160
00482013013
00482013014
00482166050
00482166150
00482166250
00487950101
00487950103
00487950125
00487950160
00496043402
00517502425
00517651025
00517912025
00521065300
00521277200
00521492300
00521650700
00525988804
00536558908
00536991601
00551021801
00555060602
00555072702
00555077902
00555077904
00576026150
00576059350
00591041401
00591085301
00591085305
00591319689
00591533701
00591533710
00591564201
00591564205
00603100540
00603106245
00603388721
00603388728
00603388732
00603533521
00603533532
00603624121
00603624132
00603699921
00603700021
00615153553

NAME
ZAZOLE VAGINAL 0.4% CREAM
CLOBETASOL 0.05% SOLUTION
CLOBETASOL 0.05% SOLUTION
ALBUTEROL 0.83 MG/ML SOLUTION
ALBUTEROL 0.83 MG/ML SOLUTION
ALBUTEROL 0.83 MG/ML SOLUTION
APATATE LIQUID
APATATE LIQUID
GLANDOSANE SYNTHETIC SALIVA
GLANDOSANE SYNTHETIC SALIVA
GLANDOSANE SYNTHETIC SALIVA
ALBUTEROL 0.83 MG/ML SOLUTION
ALBUTEROL 0.83 MG/ML SOLUTION
ALBUTEROL 0.83 MG/ML SOLUTION
ALBUTEROL 0.83 MG/ML SOLUTION
KRONOFED-A-JR KRONOCAPS
POTASSIUM ACET 4 MEQ/ML VIAL
SELENIUM 40 MCG/ML VIAL
AMINOCAPROIC ACID 250 MG/ML
VASELINE LIP THERAPY MEDCTD
VASELINE LIP THERAPY MEDCTD
VASELINE LIP THERAPY MEDCTD
VASELINE LIP THERAPY MEDCTD
PANCOF PD SYRUP
ANTIOXIDANT ULTRA FORM CAP
INSULIN SYRINGE U100 0.5 ML
TUSS-ES SYRUP
MEGESTROL 20 MG TABLET
ESTROPIPATE 0.625(0.75 MG) TAB
MEDROXYPROGESTERONE 10 MG TB
MEDROXYPROGESTERONE 10 MG TB
MEDISPRAY
OXIPLEN CAPSULE
ESTROPIPATE 0.625(0.75 MG) TAB
HYDROCODONE/APAP 10/325 TAB
HYDROCODONE/APAP 10/325 TAB
TERCONAZOLE 0.4% CREAM
TRIHEXYPHENIDYL 5 MG TABLET
TRIHEXYPHENIDYL 5 MG TABLET
MINOXIDIL 2.5 MG TABLET
MINOXIDIL 2.5 MG TABLET
ALBUTEROL 0.83 MG/ML SOLUTION
CARDEC DROPS
HYDROCODONE/APAP 10/325 TAB
HYDROCODONE/APAP 10/325 TAB
HYDROCODONE-APAP 10/325 TAB
PREDNISONE 1 MG TABLET
PREDNISONE 1 MG TABLET
TRIHEXYPHENIDYL 5 MG TABLET
TRIHEXYPHENIDYL 5 MG TABLET
ACCUSURE INSULIN SYRN 0.5 ML
ACCUSURE INSULIN SYRN 1 ML
SPIRONOLACTONE 25 MG TABLET

DOSE FORM DRUG STRENGTH


KW
SA
SA
SA
SA
SA
LI
LI
AS
AS
AS
SA
SA
SA
SA
CB
HV
HV
HV
OA
OA
OA
OA
ST
CA
YL
ST
TA
TA
TA
TA
AS
CA
TA
TA
TA
KW
TA
TA
TA
TA
SA
SO
TA
TA
TA
TA
TA
TA
TA
YL
YL
TA

UNIT PRICE
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11

NDC
00615153563
00641400386
00642070016
00677062501
00677062505
00677062506
00677062507
00677062510
00677175201
00682010601
00781105301
00781105310
00781159901
00781159905
00781159910
00781171501
00781171513
00781517001
00832030000
00832030010
00904216161
00904269060
00904539361
00904541360
00904541370
00904553473
00904562152
08026118377
08026118551
08026420400
08026420600
08080105000
08080123800
08080213200
08080289100
08137004728
08137004729
08137004731
08137004760
08137004761
08137005518
08219105000
08219123800
08219213200
08219289100
08219611300
08219611500
08222092397
08222093196
08222093394
08222093592
08225112900
08225123801

NAME
SPIRONOLACTONE 25 MG TABLET
MINOXIDIL 2.5 MG TABLET
TRITUSS SYRUP
SPIRONOLACTONE 25 MG TABLET
SPIRONOLACTONE 25 MG TABLET
SPIRONOLACTONE 25 MG TABLET
SPIRONOLACTONE 25 MG TABLET
SPIRONOLACTONE 25 MG TABLET
TRIHEXYPHENIDYL 5 MG TABLET
DONNAMAR 0.13 MG TABLET
BUPROPION HCL 75 MG TABLET
BUPROPION HCL 75 MG TABLET
SPIRONOLACTONE 25 MG TABLET
SPIRONOLACTONE 25 MG TABLET
SPIRONOLACTONE 25 MG TABLET
CHLORPROMAZINE 10 MG TABLET
CHLORPROMAZINE 10 MG TABLET
GLYBURID-METFORMIN 1.25/250 MG
CHLORPROMAZINE 10 MG TABLET
CHLORPROMAZINE 10 MG TABLET
CHLORPROMAZINE 10 MG TABLET
MEDROXYPROGESTERONE 10 MG TB
ULTRA TABLET
PANCRELIPASE CAPSULE EC
PANCRELIPASE CAPSULE EC
EFFERVESCENT CLD REL TB EFF
VITAMIN E-SELEN UNITM SOFTGEL
EXU-DRY WOUND DRESS 3"X4"
EXU-DRY DRESSING 3"X4"
SKIN-PREP WIPES
NO STING SKIN PREP WIPES
TELFA NON-ADHERENT DRESSING
TELFA NON-ADHERENT DRESSING
TELFA NON-ADHERENT PADS
TELFA NON-ADHERENT STRIPS
J & J LARGE NON-STICK PADS
J & J LARGE NON-STICK PADS
J & J NON-STICK PADS 3" X 4"
J & J SMALL ADHESIVE PADS
J & J SMALL ADHESIVE PADS
RELEASE NON-ADHER. DRESSING
TELFA NON-ADHERENT DRESSING
TELFA NON-ADHERENT DRESSING
TELFA NON-ADHERENT PADS
TELFA NON-ADHERENT STRIPS
CURITY NON-ADHERING DRESS
CURITY NON-ADHERING DRESS
INSULIN SYRINGE U100 0.3 ML
INSULIN SYRINGE U100 1 ML
INSULIN SYRINGE U100 0.3 ML
INSULIN SYRINGE U100 0.5 ML
TELFA 3" X 8" DRESSING
TELFA 8" X 3" NON-STICK PAD

DOSE FORM DRUG STRENGTH


TA
TA
ST
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CE
CE
TF
CA
YE
YE
ZB
ZB
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YL
YL
YL
YL
YE
YE

UNIT PRICE
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11

NDC
08225622000
08225627000
08284013202
08284053202
08287126014
08287126015
08287126016
08287126018
08287126230
08290301027
08290301028
08290301603
08290305293
08290305558
08290305935
08290309301
08290309603
08290329431
08317112000
08317114000
08317131550
08317134000
08326300130
08326300230
08329300230
08330131401
08330131501
08367012202
08418991901
08474935900
08881511144
08881511310
08881511336
08881511344
08881600137
08881600145
08881600700
08881600800
08881601600
08881609145
08881609600
08881609700
08881609800
08881700408
08970213031
08970233031
10023010404
10023023070
10267004311
10267292605
10337074451
10337074551
10475001314

NAME
TELFA 3" X 4" STERILE PADS
TELFA 3" X 4" STERILE PADS
SURE ONE INSULIN SYR 1CC
SURE ONE INSULIN SYR 1/2CC
EXEL INSULIN SYR U100 0.3 ML
EXEL INSULIN SYR U100 0.5 ML
EXEL INSULIN SYR U100 1 ML
EXEL INSULIN SYR U100 0.3 ML
EXEL SYRINGE 5 ML
B-D BULK SYRINGE 5 ML
B-D BULK SYRINGE 5 ML
B-D 5 ML SYRINGE
B-D GLASPAK 5 ML SYRINGE
SAFETY-LOK 5 ML SYRINGE
SAFETY-GLIDE 0.3 ML SYRINGE
B-D INSULIN U100-3/10 ML SYR
B-D 5 ML SYRINGE
B-D INSULIN U100-3/10 ML SYR
DIASCREEN 2GP STRIPS
DIASCREEN 4PH REAGENT STRIPS
DIASCREEN 1B REAGENT STRIPS
DIASCREEN 4NL REAGENT STRIPS
INSULIN SYRINGE 0.3 ML
INSULIN SYRINGE 0.3 ML
MAJOR INSULIN SYRINGE 0.3 ML
ANTI-STICK INSULIN 0.5 ML SYR
ANTI-STICK INSULIN 0.5 ML SYR
ELITE-THIN INSUL SYR 1CC
BROOKS INSULIN 0.3 ML SYRN
SCHNUCKS INSULIN SYR 0.5 ML
MONOJECT INSULIN SYR 3/10 ML
MONOJECT INSULIN SYR 1 ML
MONOJECT INSULIN SYR 0.5 ML
MONOJECT INSULIN SYR 0.3 ML
SYRINGES, 1 3/10CC, 30 UNITS, W/29G X 1/2
MONOJECT INSUL SYR U100
MONOJECT INSULIN SYR 0.5 ML
MONOJECT INSULIN SYR 0.3 ML
MONOJECT INSULIN SYR 1 ML
ULTRA COMFORT 0.3 ML SYRINGE
ULTRA COMFORT 1 ML SYRINGE
ULTRA COMFORT 0.5 ML SYRINGE
ULTRA COMFORT 0.3 ML SYRINGE
INSULIN SYR 1/2 ML BULK PACK
SURE-DOSE PLUS INS SYRINGE
TERUMO SURGUARD SYR 29G-0.3 ML
ALBATUSSIN NN EXPECTORANT
ALBATUSSIN PEDIATRIC DROPS
ULTRA-NATAL TABLET
PRENATAL ADVANTAGE TABLET
ZODERM 4.5% CLEANSER
ZODERM 8.5% CLEANSER
ANTI-STICK INSULIN 0.5 ML SYR

DOSE FORM DRUG STRENGTH


YE
YE
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YR
YR
YR
YR
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
SH
SO
TA
TA
CL
CL
YL

UNIT PRICE
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11

NDC
10475001315
10939007833
10939008133
10939008233
10939008333
10939048722
10939057533
10939062722
10939062822
10939062922
10939090811
10956070915
10961002003
10961002004
11110035323
11298000460
11584103301
11701080090
11822219610
11822219680
11822356020
11822880600
11822880930
11822881110
11845014152
11845050401
11845050409
11845060605
11845060608
11845060609
11845073101
11845073105
11845076501
11845114105
11845115005
11845118709
11845121505
11917002527
12280008345
12333091170
12333097011
12333950907
12333996901
12539066616
15482011200
15482011400
15482013150
15482013400
15912020004
15912020254
16110012233
16110012234
16110012235

NAME
ANTI-STICK INSULIN 0.5 ML SYR
SUNMARK INSULIN SYR 0.3 ML
SUNMARK INSULIN SYR 0.3 ML
SUNMARK INSULIN SYR 0.5 ML
SUNMARK INSULIN SYRINGE 1 ML
V-R MEMORY COMPLEX CAPLET
SM TRIPLE ANTIBIOTIC PLUS
SUNMARK INSULIN SYR 0.3 ML
SUNMARK INSULIN SYRINGE 1 ML
SUNMARK INSULIN SYR 0.5 ML
SUNMARK INSULIN SYR 0.3 ML
TRI-BIOZENE OINTMENT
CHARCOCAPS 260 MG CAPLET
CHARCOCAPS 260 MG CAPLET
KROGER INS SYRINGE 0.5 ML
STOMA CENTERING COLLARS
REMULAR-S 250 MG TABLET
COLOPLAST SKIN BARRIER
RA SAW PALMETTO 80 MG CAP
RA TRIPLE ANTIBIOTIC PLUS
RA EFFERVESCENT CLD REL TAB
RA VITAMIN E 1,000 UNITS SFTGL
RA KAVA KAVA 150 MG CAPSULE
RA SAW PALMETTO 80 MG CAP
CORAL CALCIUM PLUS 1,500 MG CP
VITAMIN E 1,000 UNITS CAPSULE
VITAMIN E 1,000 UNITS CAPSULE
VITAMIN E 1,000 UNITS SOFTGEL
VITAMIN E 1,000 UNITS SOFTGEL
VITAMIN E 1,000 UNITS SOFTGEL
THIAMINE 500 MG TABLET
THIAMINE 500 MG TABLET
VITAMIN E 600 UNIT CAPSULE
KOREAN GINSENG 1,000 MG TAB
MILK THISTLE 500 MG CAPSULE
LACTOSE INTOLERANCE SOFTGEL
KOREAN GINSENG COMPLEX CAP
INSULIN 3/10 ML SYRINGE
TERAZOL 7 CREAM
LONGS INSULIN SYRINGE 0.3 ML
LONGS INSULIN SYRINGE 0.3 ML
RIGID GAS PERMEABLE CLEANER
VIT C W/R H 2,000 MG TAB SA
NEOTUSS COUGH/SORE THROAT
DIASCREEN 2GP STRIPS
DIASCREEN 4PH REAGENT STRIPS
DIASCREEN 1B REAGENT STRIPS
DIASCREEN 4NL REAGENT STRIPS
DAMOR TISSUE MOISTURIZER
DAMOR TISSUE MOISTURIZER
LIVERITE TABLET
LIVERITE TABLET
LIVERITE TABLET

DOSE FORM DRUG STRENGTH


YL
YL
YL
YL
YL
TA
OA
YL
YL
YL
YL
OA
TA
TA
YL
ZB
TA
EA
CA
OA
TF
CA
CA
CA
CA
CA
CA
CA
CA
CA
TA
TA
CA
TA
CA
CA
CA
YL
KW
YL
YL
SL
TS
TL
YR
YR
YR
YR
KA
KA
TA
TA
TA

UNIT PRICE
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11

NDC
16500006203
16500008209
16963094553
17204048640
17317025602
17317025603
17317025606
17317035601
17317035604
17317035605
17317046702
17317046703
17317046705
17317046708
17317055001
17317055004
17317062202
17317062203
17317062205
17317062208
17478010012
17478010020
17478080660
19458026747
19458027747
20221026014
20221026015
20221026016
20221026018
20525010384
21140070389
21140070642
21140070643
21140070644
23535005005
23535007005
23535009005
24208033005
24208033010
24208033015
24208073501
24208073506
29300000001
29300000002
29300000007
29300000009
29300000011
29300000014
29300000020
29300000023
29300000025
31604001691
32671000506

NAME
ALKA-SELTZER ANTACID LIQCAP
ONE-A-DAY GARLIC 600 MG SFGL
MALIC ACID PLUS CAPSULE
MILTAB #1 TABLET
L-CYSTEINE HCL POWDER
L-CYSTEINE HCL POWDER
L-CYSTEINE HCL POWDER
MERCURY LIQUID
MERCURY LIQUID
MERCURY LIQUID
RIBOFLAVIN POWDER
RIBOFLAVIN POWDER
RIBOFLAVIN POWDER
RIBOFLAVIN POWDER
SULFAMERAZINE CRYSTALS
SULFAMERAZINE CRYSTALS
MERBROMIN POWDER
MERBROMIN POWDER
MERBROMIN POWDER
MERBROMIN POWDER
AK-PENTOLATE 1% EYE DROPS
AK-PENTOLATE 1% EYE DROPS
I-SENSE CAPSULE
ECK INSULIN 3/10 ML SRYINGE
ECK INSULIN 3/10 ML SYRINGE
EXEL INSULIN SYR U100 0.3 ML
EXEL INSULIN SYR U100 0.5 ML
EXEL INSULIN SYR U100 1 ML
EXEL INSULIN SYR U100 0.3 ML
VITAMIN C 2,000 MG TABLET SA
WD MEDIC INSULIN SYR 0.3 ML
WD MEDIC INSULIN SYRNGE 1 ML
WD MEDIC INSULIN SYR 0.5 ML
WD MEDIC INSULIN SYR 0.3 ML
WINTERGREEN FLAVOR
PEPPERMINT FLAVOR
SPEARMINT FLAVOR
TIMOLOL 0.25% EYE DROPS
TIMOLOL 0.25% EYE DROPS
TIMOLOL 0.25% EYE DROPS
CYCLOPENTOLATE 1% EYE DROPS
CYCLOPENTOLATE 1% EYE DROPS
CINNAMON FLAVOR
LEMON FLAVOR
CLOVE FLAVOR
ANISE FLAVOR
RASPBERRY FLAVOR
BUTTER RUM FLAVOR
WATERMELON FLAVOR
STRAWBERRY FLAVOR
APPLE FLAVOR
ACIDOPHILUS 500MM CELL TABLET
LITE TOUCH INSULIN 0.3 ML SYR

DOSE FORM DRUG STRENGTH


CA
CA
CA
TA
PA
PA
PA
SL
SL
SL
PA
PA
PA
PA
PC
PC
PA
PA
PA
PA
SO
SO
CA
YL
YL
YL
YL
YL
YL
TS
YL
YL
YL
YL
SQ
SQ
SQ
SO
SO
SO
SO
SO
SQ
SQ
SQ
SQ
SQ
SQ
SQ
SQ
SQ
TA
YL

UNIT PRICE
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11

NDC
32671000507
36652020100
36652020200
36652040308
36652040312
36652040608
36652040612
36652040718
36652400002
36652400008
36652400102
36652400108
36652400208
36652400508
36652400702
36652400708
36652400802
36652400808
36652400908
36652402102
36652402106
36652402107
36652402108
36652402602
36652403608
36652403707
36652403806
37205608304
38396040212
38396040308
38396040417
38396040425
38396040608
38396040612
38396040718
38396040806
38396040807
38396040808
38396040825
38396042590
38396042890
38396043877
38396044864
38415001630
38415003529
38415003630
38415005630
38485000026
38485000027
38779012205
38779012208
38779058305
38779110404

NAME
LITE TOUCH INSULIN 0.3 ML SYR
SOYCARE FOR MENOPAUSE CAP
SOYCARE BONE HEALTH TABLET
LEADER INS SYR 3/10 ML
MS INSULIN SYRINGE 3/10 ML
LEADER INS SYR 3/10 ML
MS INSULIN SYRINGE 3/10 ML
KROGER INS SYRINGE 0.5 ML
BL INSULIN 0.3 ML SYRINGE
ULTRA COMFORT 3/10 ML SYR
INSULIN SYRINGE 3/10 ML
INSULIN SYRINGE 3/10 ML
INSULIN SYRINGE 0.3 ML
ULTRA COMFORT SYRINGE 0.3 ML
INSULIN SYRINGE 0.3 ML
INSULIN SYRINGE 0.3 ML
ULTRA COMFORT SYRINGE 0.3 ML
ULTRA COMFORT SYRINGE 0.3 ML
ULTRA COMFORT 3/10 ML SYR
MEDIC DRUG INSULIN SYR 0.3 ML
WD MEDIC INSULIN SYRNGE 1 ML
MEDIC DRUG INSULIN SYR 0.5 ML
MEDIC DRUG INSULIN SYR 0.3 ML
RELION INSULIN 0.3 ML SYRINGE
RELION INSULIN 0.3 ML SYRINGE
RELION INSULIN 0.5 ML SYRINGE
RELION INSULIN 1 ML SYRINGE
INSULIN 3/10 ML SYRINGE
MS INSULIN SYRINGE 0.3 ML
LEADER INSULIN SYRINGE 0.3 ML
D&K INSULIN SYRINGE 0.3 ML
VALUE PLUS INS SYRNGE 0.3 ML
LEADER INSULIN SYRINGE 0.3 ML
MS INSULIN SYRINGE 0.3 ML
KROGER INS SYRINGE 0.5 ML
PREFERRED PLUS SYRINGE 1 ML
PREFERRED PLUS SYRINGE 0.5 ML
PREFERRED PLUS SYRINGE 0.3 ML
KMART VALU PLUS SYR 3/10 ML
BL INSULIN 0.3 ML SYRINGE
BL INSULIN SYRINGE 0.3 ML
FP INSULIN 0.3 ML SYRINGE
GNP ULTRA COMFORT 3/10 ML SYR
INSULIN SYRINGE 1 ML
INSULIN SYRINGE 0.3 ML
INSULIN SYRINGE 0.3 ML
INSULIN SYRINGE 0.5 ML
EQUALACTIN 500 MG TAB CHEW
EQUALACTIN 500 MG TAB CHEW
PHENAZOPYRIDINE HCL POWDER
PHENAZOPYRIDINE HCL POWDER
ETHYL CHLORIDE SPRAY
L-GLUTAMINE POWDER

DOSE FORM DRUG STRENGTH


YL
CA
TA
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
TC
TC
PA
PA
AS
PA

UNIT PRICE
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11

NDC
38779110405
38779110408
38779110409
38779163304
38779163305
41163026313
41163042112
41163042113
41163263109
41163402208
41318071769
43656021200
47469000456
48107003430
48107003517
48107003519
48107003981
48107004166
48107004802
48107004863
48107004907
48107004937
48107004978
48107004988
48107005034
48107005042
48107005062
48107005119
48107024297
49072062510
49326027204
49326028904
49326043850
49348027569
49348030912
49348036810
49348036910
49348037010
49348090810
49452241201
49452241202
49452287001
49452330201
49452330202
49452330203
49452446001
49452446002
49452446003
49452627001
49452627002
49452627003
49452687001
49452687002

NAME
L-GLUTAMINE POWDER
L-GLUTAMINE POWDER
L-GLUTAMINE POWDER
STRAWBERRY FLAVOR
STRAWBERRY FLAVOR
INSULIN 3/10 ML SYRINGE
EQL GINSENG 100 MG CAPLET
EQL GINSENG 100 MG CAPLET
SOBA INSULIN 3/10 ML SYRINGE
INSULIN 3/10 ML SYRINGE
SCHNUCKS INSULIN SYR 0.5 ML
FOOD ALLERGY FORMULA POWDER
MELATONIN 3 MG LOZENGE
MODIFIED CITRUS PECTIN TAB
GINSENG GOLD CAPSULE
GINSENG GOLD CAPSULE
HAWTHORN & GARLIC SOFTGEL
BLACK COHOSH 1,000 MG SOFTGEL
GINKGO BILOBA PLUS TABLET
HORSE CHESTNUT 300 MG TABLET
BILBERRY 500 MG CAPSULE
VITAMIN E 1,000 UNITS SOFTGEL
SHARK CARTILAGE 750 MG TAB
ZINC LOZENGES
MIGRAPLEX TABLET
CHOLVEX TABLET
PROBIOTIC COMPLEX CAPSULE
AMERICAN GINSENG 500 MG CAP
NATURAL E 600 UNIT SOFTGEL
SELENIUM TRACE ELEMENT VIAL
VITA-NUMONYL LIQUID
ALBATUSSIN-NN LIQUID
MEDISPRAY THROAT SPRAY
SM TRIPLE ANTIBIOTIC PLUS
V-R MEMORY COMPLEX CAPLET
SUNMARK INSULIN SYR 0.3 ML
SUNMARK INSULIN SYRINGE 1 ML
SUNMARK INSULIN SYR 0.5 ML
SUNMARK INSULIN SYR 0.3 ML
L-CYSTEINE HCL POWDER
L-CYSTEINE HCL POWDER
ETHYL CHLORIDE SPRAY
GLUCOSAMINE HCL POWDER
GLUCOSAMINE HCL POWDER
GLUCOSAMINE HCL POWDER
MERBROMIN POWDER
MERBROMIN POWDER
MERBROMIN POWDER
RIBOFLAVIN POWDER
RIBOFLAVIN POWDER
RIBOFLAVIN POWDER
SODIUM MONOFLUOROPHOSPHATE
SODIUM MONOFLUOROPHOSPHATE

DOSE FORM DRUG STRENGTH


PA
PA
PA
SQ
SQ
YL
TA
TA
YL
YL
YL
PA
TL
TA
CA
CA
CA
CA
TA
TA
CA
CA
TA
TL
TA
TA
CA
CA
CA
HV
SL
SL
AS
OA
TA
YL
YL
YL
YL
PA
PA
AS
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA

UNIT PRICE
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11

NDC
49452812001
49452812002
49502069703
49502069724
49502069729
49502069730
49502069733
49502069760
49502069761
49884025601
49884028901
49884096701
49884096705
49999001920
49999009210
49999016900
49999016901
49999016918
49999016920
49999016930
49999016950
49999016960
49999034425
49999055430
50313005113
50383074225
50428265258
50428798173
50428858399
50428973669
50486002020
50580083624
50580083627
50924010910
50924012610
50924013510
50924014410
50924014510
50924021807
50924046706
50924074310
50924082810
50991012616
50991040516
50991060316
51079010301
51079010317
51079010319
51079010320
51079030501
51079030521
51079043401
51079043420

NAME
VITAMIN E CRYSTALS
VITAMIN E CRYSTALS
ALBUTEROL 0.83 MG/ML SOLUTION
ALBUTEROL 0.83 MG/ML SOLUTION
ALBUTEROL 0.83 MG/ML SOLUTION
ALBUTEROL 0.83 MG/ML SOLUTION
ALBUTEROL 0.83 MG/ML SOLUTION
ALBUTEROL 0.83 MG/ML SOLUTION
ALBUTEROL 0.83 MG/ML SOLUTION
MINOXIDIL 2.5 MG TABLET
MEGESTROL 20 MG TABLET
GLYBURID-METFORMIN 1.25/250 MG
GLYBURID-METFORMIN 1.25-250 MG
NORCO 10/325 TABLET
MEDROXYPROGESTERONE 10 MG TB
HYDROCODONE-APAP 10-325 TAB
HYDROCODONE-APAP 10/325 TAB
HYDROCODONE-APAP 10-325 TAB
HYDROCODONE/APAP 10/325 TAB
HYDROCODONE-APAP 10-325 TAB
HYDROCODONE-APAP 10-325 TAB
HYDROCODONE-APAP 10-325 TAB
ALBUTEROL 0.83 MG/ML SOLUTION
CARBAXEFED RF ORAL DROPS
ROYAGEL CAPSULE
ALBUTEROL 0.83 MG/ML SOLUTION
CVS NON-STICK PAD 8"X3"
CVS GINSENG 200 MG SOFTGEL
CVS GINSENG 200 MG SOFTGEL
CVS SAW PALMETTO 80 MG CAP
RIGID GAS PERMEABLE CLEANER
TYLENOL SINUS NIGHTTIME CAP
TYLENOL SINUS NIGHT TIME CP
CHEMSTRIP-9
CHEMSTRIP 7
CHEMSTRIP 6
CHEMSTRIP 4 THE OB
CHEMSTRIP 10 WITH SG
CHEMSTRIP 7
CHEMSTRIP 50B
CHEMSTRIP 2 GP
CHEMSTRIP 10 MD
POLY HIST DM LIQUID
POLY HIST PD LIQUID
POLY-TUSSIN HD SYRUP
SPIRONOLACTONE 25 MG TABLET
SPIRONOLACTONE 25 MG TABLET
SPIRONOLACTONE 25 MG TABLET
SPIRONOLACTONE 25 MG TABLET
HYDROCODONE-APAP 10/325 TABLET
HYDROCODONE-APAP 10/325 TABLET
MEGESTROL 20 MG TABLET
MEGESTROL 20 MG TABLET

DOSE FORM DRUG STRENGTH


PC
PC
SA
SA
SA
SA
SA
SA
SA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
SA
SO
CA
SA
YE
CA
CA
CA
SL
TA
TA
YR
YR
YR
YR
YR
YR
YR
YR
YR
SL
SL
ST
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11

NDC
51079051801
51079051820
51079094301
51079094320
51234012704
51234017004
51234017204
51285054202
51285054204
51285091702
51285091725
51552028504
51552028505
51552028507
51552040001
51552041101
51552087704
51552087705
51672126401
51672126402
51672126403
51672129302
51672129303
51672130406
51672202701
51672202702
51672401601
51687040902
51709000618
51709000620
51709000722
51817007202
51817007205
51927153200
51927272700
51927357300
51991015391
51991015991
51991021701
51991022404
51991035391
51991040601
51991040602
52083083560
52152005302
52152005305
52297090571
52297099612
52544053901
52544053905
52569013044
52735039401
52735083526

NAME
CHLORPROMAZINE 10 MG TABLET
CHLORPROMAZINE 10 MG TABLET
BUPROPION HCL 75 MG TABLET
BUPROPION HCL 75 MG TABLET
VITA-NUMONYL LIQUID
NUMONYL LIQUID
NUMONYL DX ORAL SOLUTION
MEDROXYPROGESTERONE 10 MG TB
MEDROXYPROGESTERONE 10 MG TB
PALIPASE CAPSULE EC
PALIPASE CAPSULE EC
L-GLUTAMINE POWDER
L-GLUTAMINE POWDER
L-GLUTAMINE POWDER
L-LEUCINE POWDER
L-LEUCINE POWDER
RIBOFLAVIN POWDER
RIBOFLAVIN POWDER
FLUOCINONIDE 0.05% OINTMENT
FLUOCINONIDE 0.05% OINTMENT
FLUOCINONIDE 0.05% OINTMENT
CLOBETASOL 0.05% SOLUTION
CLOBETASOL 0.05% SOLUTION
TERCONAZOLE 0.4% CREAM
TRIPLE ANTIBIOTIC PLUS OINT
TRIPLE ANTIBIOTIC PLUS OINT
ETODOLAC 200 MG CAPSULE
ALPHA GLOW DAY CREAM
AIMSCO INSULIN 0.5 ML SYRNGE
AIMSCO INSULIN 1 ML SYRINGE
AIMSCO INSULIN 0.3 ML SYRNGE
RHINARIS NASAL GEL
RHINARIS NASAL GEL
RIBOFLAVIN POWDER
GLUCOSAMINE HCL (D) POWDER
ETHOXY DIGLYCOL REAGENT LIQ
VINATE ADVANCED TABLET
VINATE GT TABLET
DYNAHIST ER CAPSULE SA
COLDCOUGH PD SYRUP
VINATE ADVANCED TABLET
PANOCAPS CAPSULE
PANOCAPS CAPSULE
ESPASMOTEX TABLET
CHLORZOXAZONE 250 MG TABLET
CHLORZOXAZONE 250 MG TABLET
HM SAW PALMETTO 80 MG SOFTGL
HM MEMORY COMPLEX CAPLET
NORCO 10/325 TABLET
NORCO 10/325 TABLET
HM MEMORY COMPLEX CAPLET
FP INSULIN 0.3 ML SYRINGE
TRIPLE ANTIBIOTIC PLUS OINT

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
SL
SL
SJ
TA
TA
CE
CE
PA
PA
PA
PA
PA
PA
PA
OA
OA
OA
SA
SA
KW
OA
OA
CA
KA
YL
YL
YL
JG
JG
PA
PA
SL
TA
TA
CB
ST
TA
CE
CE
TA
TA
TA
CA
TA
TA
TA
TA
YL
OA

UNIT PRICE
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11

NDC
52735083926
52959031501
52959031503
52959032400
52959032402
52959032410
52959032415
52959032420
52959032424
52959032430
52959032440
52959032460
52959032490
52959032601
52959053324
52959053330
52959053340
52959068230
52959116100
53014007525
53014007560
53191003401
53191003418
53191003801
53191009501
53191029301
53191029310
53265032803
53265032810
53265032811
53265032850
53335002714
53335073916
53489014301
53489014305
53489014310
53489038601
53706100303
53746028601
53746028602
53746028610
53809070002
53983020025
53983020045
53983030050
53983030055
53983050070
53983050075
54458089804
54569050500
54569050501
54569050503
54569080900

NAME
FP ANTIBIOTIC CREAM
FLUOCINONIDE 0.05% OINTMENT
FLUOCINONIDE 0.05% OINTMENT
HYDROCODONE-APAP 10/325 TAB
HYDROCODONE-APAP 10/325 TAB
HYDROCODONE-APAP 10/325 TAB
HYDROCODONE-APAP 10/325 TAB
HYDROCODONE-APAP 10/325 TAB
HYDROCODONE-APAP 10/325 TAB
HYDROCODONE-APAP 10/325 TAB
HYDROCODONE-APAP 10/325 TAB
HYDROCODONE-APAP 10/325 TAB
HYDROCODONE-APAP 10/325 TAB
ESTROPIPATE 0.625(0.75 MG) TAB
NORCO 10/325 TABLET
NORCO 10/325 TABLET
NORCO 10/325 TABLET
TRIPLE ANTIBIOTIC PLUS OINT
TERAZOL 7 CREAM
AIRET 0.83 MG/ML SOLUTION
AIRET 0.83 MG/ML SOLUTION
G.L.A.-45 SOFTGEL
G.L.A.-45 SOFTGEL
PAN-2,400 CAPSULE
ORNITHINE 500 MG CAPSULE
BIO-THROID 120 MG CAPSULE
BIO-THROID 120 MG CAPSULE
HYDROCODONE/APAP 10/325 TAB
HYDROCODONE/APAP 10/325 TAB
HYDROCODONE/APAP 10/325 TAB
HYDROCODONE/APAP 10/325 TAB
AMINO-MIN D CAPSULE
M.V.M. CAPSULE
SPIRONOLACTONE 25 MG TABLET
SPIRONOLACTONE 25 MG TABLET
SPIRONOLACTONE 25 MG TABLET
MINOXIDIL 2.5 MG TABLET
AMBERDERM AEROSOL
TOLAZAMIDE 250 MG TABLET
TOLAZAMIDE 250 MG TABLET
TOLAZAMIDE 250 MG TABLET
GARYLIN THROAT SPRAY
BIFIDO FACTOR POWDER
BIFIDO FACTOR POWDER
BULGARICUM I.B. POWDER
BULGARICUM I.B. POWDER
LIFE START POWDER
LIFE START POWDER
KAVA KAVA 25 MG/ML DROP
SPIRONOLACTONE 25 MG TABLET
SPIRONOLACTONE 25 MG TABLET
SPIRONOLACTONE 25 MG TABLET
MEDROXYPROGESTERONE 10 MG TB

DOSE FORM DRUG STRENGTH


OA
OA
OA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
OA
KW
SA
SA
CA
CA
CA
CA
CA
CA
TA
TA
TA
TA
CA
CA
TA
TA
TA
TA
AA
TA
TA
TA
AU
PA
PA
PA
PA
PA
PA
SO
TA
TA
TA
TA

UNIT PRICE
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11

NDC
54569080902
54569201300
54569308700
54569389900
54569421000
54569465600
54569468501
54569468502
54569481000
54569524000
54569524001
54569524002
54569524003
54569524004
54569524005
54569525700
54569567500
54738013001
54738013003
54738055501
54738055503
54738080001
54799050102
54799050112
54807082001
54838053530
54868010900
54868010901
54868010902
54868010903
54868010905
54868010906
54868029000
54868029002
54868029003
54868029004
54868062100
54868062101
54868062102
54868065600
54868065601
54868070000
54868070001
54868070002
54868070005
54868102000
54868111901
54868111902
54868111903
54868111904
54868111905
54868126200
54868144900

NAME
MEDROXYPROGESTERONE 10 MG TB
TERAZOL 7 CREAM
CYCLOGYL 1% EYE DROPS
ALBUTEROL 0.83 MG/ML SOLUTION
FLUOCINONIDE 0.05% OINTMENT
CORMAX 0.05% SOLUTION
NORCO 10/325 TABLET
NORCO 10/325 TABLET
ERYTHROMYCIN 2% GEL
HYDROCODONE/APAP 10/325 TAB
HYDROCODONE/APAP 10/325 TAB
HYDROCODONE/APAP 10/325 TAB
HYDROCODONE/APAP 10/325 TAB
HYDROCODONE/APAP 10/325 TAB
HYDROCODONE-APAP 10/325 TAB
CHEMSTRIP 10 WITH SG
TERCONAZOLE 0.4% CREAM
SPIRONOLACTONE 25 MG TABLET
SPIRONOLACTONE 25 MG TABLET
TRIHEXYPHENIDYL 5 MG TABLET
TRIHEXYPHENIDYL 5 MG TABLET
MINOXIDIL 2.5 MG TABLET
CYLATE 1% EYE DROPS
CYLATE 1% EYE DROPS
CHLORPROMAZINE 10 MG TABLET
SILDEC DROPS
MEDROXYPROGESTERONE 10 MG TB
MEDROXYPROGESTERONE 10 MG TB
MEDROXYPROGESTERONE 10 MG TB
MEDROXYPROGESTERONE 10 MG TB
MEDROXYPROGESTERONE 10 MG TB
MEDROXYPROGESTERONE 10 MG TB
PROVERA 10 MG TABLET
PROVERA 10 MG TABLET
PROVERA 10 MG TABLET
PROVERA 10 MG TABLET
TIMOPTIC 0.25% EYE DROPS
TIMOPTIC 0.25% EYE DROPS
TIMOPTIC 0.25% EYE DROPS
CYCLOGYL 1% EYE DROPS
CYCLOGYL 1% EYE DROPS
SPIRONOLACTONE 25 MG TABLET
SPIRONOLACTONE 25 MG TABLET
SPIRONOLACTONE 25 MG TABLET
SPIRONOLACTONE 25 MG TABLET
TOLAZAMIDE 250 MG TABLET
PREDNISONE 1 MG TABLET
PREDNISONE 1 MG TABLET
PREDNISONE 1 MG TABLET
PREDNISONE 1 MG TABLET
PREDNISONE 1 MG TABLET
OGEN 0.625 TABLET
WELLBUTRIN 75 MG TABLET

DOSE FORM DRUG STRENGTH


TA
KW
SO
SA
OA
SA
TA
TA
JG
TA
TA
TA
TA
TA
TA
YR
KW
TA
TA
TA
TA
TA
SO
SO
TA
SO
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
SO
SO
SO
SO
SO
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11

NDC
54868155701
54868164600
54868179700
54868181300
54868195801
54868242000
54868247200
54868247201
54868286200
54868299301
54868311400
54868341600
54868343500
54868343501
54868346500
54868367200
54868371300
54868371301
54868403400
54868403401
54868403402
54868403403
54868413400
54868469700
54868469701
54868484000
54868484001
54868490500
54868490600
54868497400
54868497500
54868518500
54868527400
54868527401
54868527402
54868529200
55045292101
55045292102
55045292105
55045292107
55045292108
55045292109
55289003410
55289016005
55289016007
55289016010
55289016013
55289016030
55289016040
55289016042
55289016050
55289026590
55289037620

NAME
PANCREASE CAPSULE EC
CORDRAN SP 0.05% CREAM
XYLOCAINE 2%/EPI 1:100,000
LODINE 200 MG CAPSULE
CODIMAL-LA HALF CAPSULE
CHEMSTRIP 9 TEST STRIPS
ALBUTEROL 0.83 MG/ML SOLUTION
ALBUTEROL 0.83 MG/ML SOLUTION
TERAZOL 7 CREAM
TEMOVATE 0.05% SOLUTION
ESTROPIPATE 0.625(0.75 MG) TAB
ROXANOL 20 MG/ML SOLUTION
FLUOCINONIDE 0.05% OINTMENT
FLUOCINONIDE 0.05% OINTMENT
MINOXIDIL 2.5 MG TABLET
ORTHO-EST 0.625 TABLET
TIMOLOL 0.25% EYE DROPS
TIMOLOL 0.25% EYE DROPS
NORCO 10/325 TABLET
NORCO 10/325 TABLET
NORCO 10/325 TABLET
NORCO 10/325 TABLET
BUPROPION HCL 75 MG TABLET
CYCLOPENTOLATE 1% EYE DROPS
CYCLOPENTOLATE 1% EYE DROPS
PRENATE GT TABLET
PRENATE GT TABLET
FLORANEX TABLET
GLUCOVANCE 1.25/250 MG TAB
HYDROCODONE-APAP 10/325 TAB
LACTINEX TABLET CHEWABLE
GLYBURID-METFORMIN 1.25/250 MG
ETODOLAC 200 MG CAPSULE
ETODOLAC 200 MG CAPSULE
ETODOLAC 200 MG CAPSULE
CLOBETASOL 0.05% SOLUTION
HYDROCODONE-APAP 10-325 TAB
HYDROCODONE-APAP 10-325 TAB
HYDROCODONE-APAP 10-325 TAB
HYDROCODONE-APAP 10-325 TAB
HYDROCODONE-APAP 10-325 TAB
HYDROCODONE-APAP 10-325 TAB
PROVERA 10 MG TABLET
MEDROXYPROGESTERONE 10 MG TB
MEDROXYPROGESTERONE 10 MG TB
MEDROXYPROGESTERONE 10 MG TB
MEDROXYPROGESTERONE 10 MG TB
MEDROXYPROGESTERONE 10 MG TB
MEDROXYPROGESTERONE 10 MG TB
MEDROXYPROGESTERONE 10 MG TAB
MEDROXYPROGESTERONE 10 MG TB
TOLAZAMIDE 250 MG TABLET
CHLORZOXAZONE 250 MG TABLET

DOSE FORM DRUG STRENGTH


CE
KA
HV
CA
CB
YR
SA
SA
KW
SA
TA
SJ
OA
OA
TA
TA
SO
SO
TA
TA
TA
TA
TA
SO
SO
TA
TA
TC
TA
TA
TC
TA
CA
CA
CA
SA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11

NDC
55289037640
55289047820
55289050701
55289050730
55289065130
55289073720
55289073730
55289073760
55499000026
55499000027
55515003515
55515003530
55515003560
55515043025
55515043050
55887044360
55887044390
55887065030
55887065060
55946022615
56091002013
56091002015
56091002054
56091002058
56091004731
56184014011
56184014021
56184014031
56184014041
57515009239
57515009319
57515009339
57515009359
57599855001
57866103501
57866457502
57866900001
57866900002
58016029808
58016037030
58016049500
58016049502
58016049503
58016049504
58016049520
58016049528
58016049530
58016049540
58016049550
58016049556
58016049560
58016049571
58016049573

NAME
CHLORZOXAZONE 250 MG TABLET
KRONOFED-A-JR KRONOCAPS
SPIRONOLACTONE 25 MG TABLET
SPIRONOLACTONE 25 MG TABLET
NORCO 10/325 TABLET
HYDROCODONE-APAP 10-325 MG TAB
HYDROCODONE-APAP 10-325 MG TAB
HYDROCODONE-APAP 10/325 TAB
EQUALACTIN 500 MG TAB CHEW
EQUALACTIN 500 MG TAB CHEW
CORDRAN SP 0.05% CREAM
CORDRAN SP 0.05% CREAM
CORDRAN SP 0.05% CREAM
CORMAX 0.05% SOLUTION
CORMAX 0.05% SOLUTION
HYDROCODONE-APAP 10-325 TAB
HYDROCODONE-APAP 10-325 TAB
BUPROPION HCL 75 MG TABLET
BUPROPION HCL 75 MG TABLET
ECHINACEA 1X LIQUID
ADAPTIC DRESSING 3" X 8"
ADAPTIC DRESSING 3" X 8"
RELEASE DRESSING 4" X 3"
RELEASE DRESSING 8" X 3"
J & J NON-STICK PAD LARGE
LITTLE COLDS DECON-FORM DRP
LITTLE COLDS DECN-COUGH DRP
LITTLE COLDS COUGH-FORM DRP
LITTLE COLDS MULTI-SYMP DRP
INSULIN SYRINGE U100 0.3 ML
INSULIN SYRINGE U100 1 ML
INSULIN SYRINGE U100 0.3 ML
INSULIN SYRINGE U100 0.5 ML
PRECISION SURE DOSE SYRINGE
WELLBUTRIN 75 MG TABLET
SPIRONOLACTONE 25 MG TABLET
BUPROPION HCL 75 MG TABLET
BUPROPION HCL 75 MG TABLET
CHLORZOXAZONE 250 MG TABLET
TOLAZAMIDE 250 MG TABLET
HYDROCODONE/APAP 10/325 TAB
HYDROCODONE/APAP 10/325 TAB
HYDROCODONE-APAP 10-325 TAB
HYDROCODONE-APAP 10-325 TAB
HYDROCODONE/APAP 10/325 TAB
HYDROCODONE/APAP 10/325 TAB
HYDROCODONE/APAP 10/325 TAB
HYDROCODONE/APAP 10/325 TAB
HYDROCODONE/APAP 10/325 TAB
HYDROCODONE/APAP 10/325 TAB
HYDROCODONE/APAP 10/325 TAB
HYDROCODONE-APAP 10-325 TAB
HYDROCODONE-APAP 10-325 TAB

DOSE FORM DRUG STRENGTH


TA
CB
TA
TA
TA
TA
TA
TA
TC
TC
KA
KA
KA
SA
SA
TA
TA
TA
TA
SL
YE
YE
YE
YE
YE
SO
SO
SO
SO
YL
YL
YL
YL
YL
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11

NDC
58016049580
58016049584
58016049589
58016049590
58016049591
58016049592
58016049593
58016049599
58016067220
58016072200
58016072202
58016072203
58016072220
58016072230
58016072240
58016072250
58016072260
58016072270
58016072273
58016072280
58016072289
58016072290
58016084500
58016084530
58016084560
58016084590
58016091530
58016092600
58016092610
58016092620
58016092640
58016092650
58016112601
58016311901
58016646801
58016906101
58177003104
58177003106
58177035020
58177035026
58177041820
58177041826
58177045826
58177088601
58177088603
58177088605
58406061012
58407037216
58607012583
58607032600
58728040504
58864067328
58864074630

NAME
HYDROCODONE-APAP 10-325 TAB
HYDROCODONE/APAP 10/325 TAB
HYDROCODONE-APAP 10-325 TAB
HYDROCODONE/APAP 10/325 TAB
HYDROCODONE-APAP 10-325 TAB
HYDROCODONE-APAP 10-325 TAB
HYDROCODONE-APAP 10-325 TAB
HYDROCODONE/APAP 10/325 TAB
PREDNISONE 1 MG TABLET
BUPROPION HCL 75 MG TABLET
BUPROPION HCL 75 MG TABLET
BUPROPION HCL 75 MG TABLET
BUPROPION HCL 75 MG TABLET
BUPROPION HCL 75 MG TABLET
BUPROPION HCL 75 MG TABLET
BUPROPION HCL 75 MG TABLET
BUPROPION HCL 75 MG TABLET
BUPROPION HCL 75 MG TABLET
BUPROPION HCL 75 MG TABLET
BUPROPION HCL 75 MG TABLET
BUPROPION HCL 75 MG TABLET
BUPROPION HCL 75 MG TABLET
NORCO 10/325 TABLET
NORCO 10/325 TABLET
NORCO 10/325 TABLET
NORCO 10/325 TABLET
MINOXIDIL 2.5 MG TABLET
MEDROXYPROGESTERONE 10 MG TB
MEDROXYPROGESTERONE 10 MG TB
MEDROXYPROGESTERONE 10 MG TB
MEDROXYPROGESTERONE 10 MG TB
MEDROXYPROGESTERONE 10 MG TB
TIMOPTIC 0.25% EYE DROPS
TERAZOL 7 CREAM
CYCLOGYL 1% EYE DROPS
MULTISTIX 10 SG REAG STRIPS
PANGESTYME CAPSULE EC
PANGESTYME CAPSULE EC
ADVANCED NATALCARE TABLET
ADVANCED NATALCARE TABLET
NATALCARE GLOSSTABS
NATALCARE GLOSSTABS
ADVANCED-RF NATALCARE TAB
MORPHINE SULF 20 MG/ML SOLN
MORPHINE SULF 20 MG/ML SOLN
MORPHINE SULF 20 MG/ML SOLN
AMICAR 250 MG/ML VIAL
STATUSS GREEN LIQUID
MYNATAL ULTRACAPLET
MYNATAL ADVANCE TABLET
SALICYLIC ACID 5% OINTMENT
SPIRONOLACTONE 25 MG TABLET
PHENYTOIN SOD 100 MG CAPSULE

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
SO
KW
SO
YR
CE
CE
TA
TA
TA
TA
TA
SJ
SJ
SJ
HV
SL
TA
TA
OA
TA
CA

UNIT PRICE
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11

NDC
58864078530
58864079430
58914004510
58980073161
59016042016
59016042017
59016042018
59016042019
59366246203
59366246205
59390004917
59440040101
59440040201
59440040301
59440040401
59441013501
59630041090
59630042090
59630047590
59762374202
59762374208
59762501101
59762501102
59779114803
59930150006
59930150008
59930151701
59930151702
60258019409
60258024316
60258043530
60267091160
60432013325
60432013350
60432023430
60505003901
60505055202
60505055203
60505055204
60758080205
60758080210
60758080215
60760038830
60760038860
60760038890
60760038892
60760038894
60760038898
61314022605
61314022610
61314022615
61314039601
61314039603

NAME
SPIRONOLACTONE 25 MG TABLET
BUPROPION HCL 75 MG TABLET
ULTRASE CAPSULE EC
PEVIDERM WOUND CARE SOL
MAG-TAB SR 84 MG CAPLET SA
MAG-TAB SR 84 MG CAPLET SA
MAG-TAB SR 84 MG CAPLET SA
MAG-TAB SR 84 MG CAPLET SA
ERYTHROMYCIN 2% GEL
ERYTHROMYCIN 2% GEL
INSTACORT-10 GEL
LITTLE COLDS DECON-FORM DRP
LITTLE COLDS DECN-COUGH DRP
LITTLE COLDS COUGH-FORM DRP
LITTLE COLDS MULTI-SYMP DRP
CHLORAFED H.S. TIMECELLES
PRENATE GT TABLET
PRENATE ADVANCE TABLET
PRENATE ADVANCE TABLET
MEDROXYPROGESTERONE 10 MG TB
MEDROXYPROGESTERONE 10 MG TB
SPIRONOLACTONE 25 MG TABLET
SPIRONOLACTONE 25 MG TABLET
CVS SYRINGE 3/10 ML
ALBUTEROL 0.83 MG/ML SOLUTION
ALBUTEROL 0.83 MG/ML SOLUTION
ALBUTEROL 0.83 MG/ML SOLUTION
ALBUTEROL 0.83 MG/ML SOLUTION
PRENATAL AD TABLET
DACEX-DM SYRUP
ANDEHIST NR ORAL DROPS
STOMAX 400 MG TABLET
CLOBETASOL 0.05% SOLUTION
CLOBETASOL 0.05% SOLUTION
CARBAXEFED RF ORAL DROPS
ETODOLAC 200 MG CAPSULE
TIMOLOL 0.25% EYE DROPS
TIMOLOL 0.25% EYE DROPS
TIMOLOL 0.25% EYE DROPS
TIMOLOL 0.25% EYE DROPS
TIMOLOL 0.25% EYE DROPS
TIMOLOL 0.25% EYE DROPS
HYDROCODONE-APAP 10-325 TAB
HYDROCODONE-APAP 10-325 TAB
HYDROCODONE-APAP 10-325 TAB
HYDROCODONE/APAP 10/325 TAB
HYDROCODONE/APAP 10/325 TAB
HYDROCODONE-APAP 10-325 TAB
TIMOLOL 0.25% EYE DROPS
TIMOLOL 0.25% EYE DROPS
TIMOLOL 0.25% EYE DROPS
CYCLOPENTOLATE 1% EYE DROPS
CYCLOPENTOLATE 1% EYE DROPS

DOSE FORM DRUG STRENGTH


TA
TA
CE
SA
TS
TS
TS
TS
JG
JG
JG
SO
SO
SO
SO
CB
TA
TA
TA
TA
TA
TA
TA
YL
SA
SA
SA
SA
TA
ST
SO
TA
SA
SA
SO
CA
SO
SO
SO
SO
SO
SO
TA
TA
TA
TA
TA
TA
SO
SO
SO
SO
SO

UNIT PRICE
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11

NDC
61553017741
61553017848
61553017948
61553018102
61553018348
61553018502
61553061441
61553061502
61570007201
62794005651
62991150701
62991150702
63044015364
63044015463
63044015910
63162050816
63323003350
63323005430
63323042025
63323042525
63323088210
63739022601
63739022602
63739022603
63739022615
63739031715
64248010101
64376071816
64455008003
64543008201
64731053201
64760000601
64899071141
64899091601
64899091701
64899093201
64915040766
64915050251
64915055513
64915055563
64915061790
64915063690
64915063890
64915064290
64915066190
64915066390
64915070990
64980012509
64980012950
65271000205
65271000206
66239024230
66239031604

NAME
MORPHINE-NS 50 MG/50 ML
MORPHINE/NS 100 MG/100 ML
MORPHINE/NS 100 MG/100 ML
MORPHINE/NS 250 MG/250 ML
MORPHINE-D5W 100 MG/100 ML
MORPHINE-D5W 250 MG/250 ML
MORPHINE/NS 50 MG/50 ML
MORPHINE/NS 250 MG/250 ML
MENEST 0.3 MG TABLET
PRODERM AEROSOL
MERBROMIN POWDER
MERBROMIN POWDER
INATAL ADVANCE TABLET
INATAL ULTRA TABLET
INATAL GT TABLET
BALAMINE DM SYRUP
POTASSIUM ACET 4 MEQ/ML VIAL
SELEPEN 40 MCG/ML VIAL
MULTILYTE-40 VIAL
MULTILYTE-20 VIAL
SELEPEN 40 MCG/ML SDV VIAL
SPIRONOLACTONE 25 MG TABLET
SPIRONOLACTONE 25 MG TABLET
SPIRONOLACTONE 25 MG TABLET
SPIRONOLACTONE 25 MG TABLET
BUPROPION HCL 75 MG TABLET
ORTHO-EST 0.625 TABLET
PSE CARBINOXAMINE DM SYRUP
RONDEC DROPS
RESCON JR CAPSULE
BISMUTH SUBGALLATE 324 MG TB
HYDROPEL SPORTS OINTMENT
TRIPLE ANTIBIOTIC PLUS OINT
HCA INSULIN SYRINGE 1 ML
HCA INSULIN SYRINGE 0.5 ML
HCA INSULIN SYRINGE 0.3 ML
IMMUNACEA LIQUID
ESKIMO-3 SOFTGEL
PMS HERBAL CAPSULE
PMS HERBAL CAPSULE
GS-SIMILASE CAPSULE
LIPASE CONCENTRATE-HP CAP
PROTEASE CONCENTRATE-HP CAP
HEPATIC COMPLEX CAPSULE
IMUZYME CAPSULE
HF COMPLEX CAPSULE
METHYL-MAX CAPSULE
NU-NATAL ADVANCED TABLET
FLORANEX TABLET CHEWABLE
ALBUTEROL 0.83 MG/ML SOLUTION
ALBUTEROL 0.83 MG/ML SOLUTION
BROMDEC DROPS
TRICOF PD SYRUP

DOSE FORM DRUG STRENGTH


HZ
HZ
HZ
HZ
HZ
HZ
HZ
HZ
TA
AA
PA
PA
TA
TA
TA
ST
HV
HV
HV
HV
HV
TA
TA
TA
TA
TA
TA
ST
SO
CB
TA
OA
OA
YL
YL
YL
SL
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
TA
TC
SA
SA
SO
ST

UNIT PRICE
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11

NDC
66267014010
66267031920
66267031930
66267031960
66267031985
66267031987
66267031988
66267031990
66267031991
66267031992
66479002539
66794000125
66794000130
66794000160
66813007316
66870003201
68025000716
68032011440
68032011740
68115016800
68115016820
68115016830
68115016860
68115016890
68115016896
68115016899
68115022510
68115022530
68115042330
68115066000
68115088400
68387035060
68585000950
73913192613
74300000403
74300000404
74312013566
74980030070
74980030120
75137070331
75137070335
75137070401
75450031301
75537000743
75537001893
75537017109
75537017126
75537017135
75537017144
75537017145
75537031312
75537067160
81306051423

NAME
MEDROXYPROGESTERONE 10 MG TB
HYDROCODONE/APAP 10/325 TAB
HYDROCODONE/APAP 10/325 TAB
HYDROCODONE/APAP 10/325 TAB
HYDROCODONE/APAP 10/325 TAB
HYDROCODONE/APAP 10/325 TAB
HYDROCODONE/APAP 10/325 TAB
HYDROCODONE/APAP 10/325 TAB
HYDROCODONE/APAP 10/325 TAB
HYDROCODONE/APAP 10/325 TAB
AMICAR 250 MG/ML VIAL
ALBUTEROL 0.83 MG/ML SOLUTION
ALBUTEROL 0.83 MG/ML SOLUTION
ALBUTEROL 0.83 MG/ML SOLUTION
DOLGIC LQ ELIXIR
AMERIFED LIQUID
ZOTEX-G SYRUP
BENZOYL PEROXIDE 4.5% CLEANSER
BENZOYL PEROXIDE 8.5% CLEANSER
HYDROCODONE-APAP 10-325 TAB
HYDROCODONE-APAP 10-325 TAB
HYDROCODONE-APAP 10-325 TAB
HYDROCODONE-APAP 10/325 TAB
HYDROCODONE-APAP 10-325 TAB
HYDROCODONE-APAP 10/325 TAB
HYDROCODONE-APAP 10/325 TAB
MEDROXYPROGESTERONE 10 MG TB
MEDROXYPROGESTERONE 10 MG TAB
SPIRONOLACTONE 25 MG TABLET
SPIRONOLACTONE 25 MG TABLET
BUPROPION HCL 75 MG TABLET
BUPROPION HCL 75 MG TABLET
FLORANEX TABLET
FIRST CHOICE SYRINGE 0.3 ML
VISINE LONG LASTING EYE DRP
VISINE LONG LASTING EYE DRP
POMEGRANATE 250 MG CAPSULE
YL SAW PALMETTO 80 MG SFTGEL
YL GINSENG 100 MG TABLET
NEW SKIN LIQUID
NEW SKIN LIQUID
NEW SKIN SPRAY
HY-VEE INS SYRINGE 3/10 ML
CHEMSTRIP 2 GP
CHEMSTRIP 50B
CHEMSTRIP 9
CHEMSTRIP 7
CHEMSTRIP 6
CHEMSTRIP 4 THE OB
CHEMSTRIP 10 WITH SG
CHEMSTRIP 10 MD
CHEMSTRIP 7
RELION INSULIN SYR 0.3 ML

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
HV
SA
SA
SA
SE
SL
ST
PN
PN
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TC
YL
SO
SO
CA
CA
TA
SL
SL
AS
YL
YR
YR
YR
YR
YR
YR
YR
YR
YR
YL

UNIT PRICE
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11

NDC
81306052423
81317704300
82468014447
82468061437
86227070035
86227070055
86227070105
86227090035
87701044288
87701055282
87701065341
87701065354
87701089492
87701089582
87701089599
87701095105
87701095343
91899060978
91899062878
93815098550
96295010498
96295010629
96295011171
97807011008
97807011009
97807011039
99207001830
99207051413
99207051414
99207051417
00002080302
00002080303
00002080333
00002311102
00002311103
00002717510
00003043450
00003119450
00003119480
00006021468
00006353750
00007365021
00007365022
00007365030
00009006404
00009006406
00009006412
00013103691
00013104694
00013105694
00015798540
00019370403
00023920805

NAME
RELI-ON INSULIN 0.3 ML SYR
COLOSTOPADS 6" X 6"
FP ANTIBIOTIC CREAM
FP INSULIN 0.3 ML SYRINGE
SURE COMFORT 3/10 ML SYRINGE
SURE COMFORT 0.5 ML SYRINGE
SURE COMFORT 1 ML SYRINGE
SURE COMFORT 3/10 ML SYRINGE
BL INSULIN 0.3 ML SYRINGE
GNP ANESTHETIC ORAL GEL
BL INSULIN SYRINGE 0.3 ML
GNP ULTRA COMFORT 3/10 ML SYR
GNP SAW PALMETTO 80 MG CAP
GNP KAVA KAVA 150 MG CAPSULE
BL KAVA KAVA 150 MG CAPSULE
BL ANESTHETIC ORAL GEL
BL SAW PALMETTO 80 MG CAP
MS INSULIN SYRINGE 0.3 ML
MS INSULIN SYRINGE 0.3 ML
PRECISION SURE DOSE SYRINGE
LEADER INSULIN SYRINGE 0.3 ML
LEADER INSULIN SYRINGE 0.3 ML
NON-STICK PAD 3"X4"
HCA INSULIN SYRINGE 1 ML
HCA INSULIN SYRINGE 0.5 ML
HCA INSULIN SYRINGE 0.3 ML
A/T/S 2% GEL
LIDEX 0.05% OINTMENT
LIDEX 0.05% OINTMENT
LIDEX 0.05% OINTMENT
DARVON 65 MG PULVULE
DARVON 65 MG PULVULE
DARVON 65 MG PULVULE
DARVON COMPOUND-65 PULVULE
DARVON COMPOUND-65 PULVULE
DOBUTREX 250 MG VIAL
PRONESTYL 375 MG TABLET
VELOSEF 250 ORAL SUSPENSION
VELOSEF 250 ORAL SUSPENSION
DIURIL 250 MG TABLET
PEPCID 20 MG PIGGYBACK
DYAZIDE 37.5/25 CAPSULE
DYAZIDE 37.5/25 CAPSULE
DYAZIDE 37.5/25 CAPSULE
PROVERA 2.5 MG TABLET
PROVERA 2.5 MG TABLET
PROVERA 2.5 MG TABLET
ADRUCIL 50 MG/ML VIAL
ADRUCIL 50 MG/ML BULK VIAL
ADRUCIL 50 MG/ML BULK VIAL
OXACILLIN 250 MG/5 ML SUSP
BARBITAL POWDER PURIFIED
PROPINE 0.1% EYE DROPS

DOSE FORM DRUG STRENGTH


YL
EA
OA
YL
YL
YL
YL
YL
YL
JG
YL
YL
CA
CA
CA
JG
CA
YL
YL
YL
YL
YL
YE
YL
YL
YL
JG
OA
OA
OA
CA
CA
CA
CA
CA
HV
TA
PD
PD
TA
HP
CA
CA
CA
TA
TA
TA
HV
HV
HV
PD
PA
SO

UNIT PRICE
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.11
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12

NDC
00023920810
00023920815
00024156210
00025006602
00026851448
00026851450
00031867901
00032190473
00032190482
00043015450
00046073981
00049337126
00049343526
00054001920
00054001925
00054319446
00054338750
00054338758
00054338763
00054437025
00054473325
00054483121
00054483126
00054817116
00054819116
00054834916
00054835016
00054872925
00054883125
00067015450
00072685004
00074011701
00074202520
00074202554
00074234401
00074234402
00074242614
00074245202
00074374113
00074468823
00074468827
00074468828
00074471302
00074471332
00074472901
00074622713
00074631613
00074632113
00081067013
00081086213
00085050801
00085050802
00085093101

NAME
PROPINE 0.1% EYE DROPS
PROPINE 0.1% EYE DROPS
PLAQUENIL 200 MG TABLET
LOMOTIL LIQUID
CIPRO 750 MG TABLET
CIPRO 750 MG TABLET
ROBITUSSIN PEDIATRIC DROPS
HYDROCORTISONE 100MG/60ML ENEMA
HYDROCORTISONE 100MG/60ML ENEMA
GAS-X 166 MG SOFTGEL SOFTGL
LODINE 300 MG CAPSULE
DIFLUCAN/SALINE 200 MG/100 ML
DIFLUCAN/SALINE 200 MG/100 ML
PREDNISONE 50 MG TABLET
PREDNISONE 50 MG TABLET
DIPHENOXYLATE/ATROPINE LIQ
HYDROMORPHONE 1 MG/ML SOLN
HYDROMORPHONE 1 MG/ML SOLN
HYDROMORPHONE 1 MG/ML SOLN
HYDROMORPHONE HCL 8 MG TAB
PREDNISONE 50 MG TABLET
TAMOXIFEN 10 MG TABLET
TAMOXIFEN 10 MG TABLET
DIPHENOXYLATE/ATROPINE LIQ
DIPHENOXYLATE/ATROPINE SOLN
HYDROMORPHONE 1 MG/ML SOLN
HYDROMORPHONE 1 MG/ML SOLN
PREDNISONE 50 MG TABLET
TAMOXIFEN 10 MG TABLET
GAS-X 166 MG SOFTGEL
CAPITROL 2% SHAMPOO
VI-DAYLIN+IRON ADC DROPS
DOBUTAMINE 12.5 MG/ML VIAL
DOBUTAMINE 12.5 MG/ML VIAL
DOBUTAMINE 12.5 MG/ML VIAL
DOBUTAMINE 12.5 MG/ML VIAL
DILAUDID 8 MG TABLET
DILAUDID-5 1 MG/ML LIQUID
DICAL-D TABLET
FLUCONAZOLE-NS 200 MG/100 ML
FLUCONAZOLE-NS 200 MG/100 ML
FLUCONAZOLE-NS 200 MG/100 ML
LIDOCAINE HCL 1% AMPUL
LIDOCAINE HCL 1% AMPUL
DOBUTAMINE 12.5 MG/ML VIAL
ERYTHROMYCIN 500 MG FILMTAB
ERYTHROCIN 500 MG FILMTAB
ERY-TAB 500 MG TABLET EC
SUDAFED 12HR 120 MG CAPLT SA
SUDAFED 12HR 120 MG TAB SA
DRIXORAL NON-DROWSY TAB SA
DRIXORAL NON-DROWSY TAB SA
AFRIN 120 MG TABLET SA

DOSE FORM DRUG STRENGTH


SO
SO
TA
SL
TA
TA
SO
SF
SF
CA
CA
HP
HP
TA
TA
SL
SL
SL
SL
TA
TA
TA
TA
SL
SL
SL
SL
TA
TA
CA
RC
SO
HV
HV
HV
HV
TA
SL
TA
HP
HP
HP
HH
HH
HV
TA
TA
TE
TS
TS
TS
TS
TS

UNIT PRICE
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12

NDC
00085093102
00085093103
00085093105
00085175601
00085175602
00087045303
00087075601
00087075648
00087607411
00091464024
00093012201
00093012205
00093012256
00093074101
00093074105
00093074110
00093078406
00093078486
00093086553
00093312501
00093726201
00093726205
00093830501
00093830505
00093839701
00093894701
00093894705
00093916871
00093942401
00093977401
00093977405
00108502725
00113005452
00113028652
00113028660
00113040760
00126019654
00131220909
00131230909
00131503864
00131503870
00143120901
00143992950
00172218660
00172218680
00172219060
00172234660
00172398560
00172414160
00172426860
00172426870
00172531300
00172531310

NAME
AFRIN 120 MG TABLET SA
AFRIN 120 MG TABLET SA
AFRIN 120 MG TABLET SA
CIPRO 750 MG TABLET
CIPRO 750 MG TABLET
TRI-VI-SOL/IRON DROPS
ESTRACE 2 MG TABLET
ESTRACE 2 MG TABLET
GLUCOVANCE 5/500 MG TAB
PROCTOCREAM-HC 2.5% CREAM
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
PROPOXYPHENE HCL 65 MG CAP
PROPOXYPHENE HCL 65 MG CAP
PROPOXYPHENE HCL 65 MG CAP
TAMOXIFEN 10 MG TABLET
TAMOXIFEN 10 MG TABLET
CIPROFLOXACIN HCL 750 MG TAB
DICLOXACILLIN 500 MG CAPSULE
GLYBURIDE-METFORMIN 5/500 MG
GLYBURIDE-METFORMIN 5/500 MG
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
ETODOLAC 300 MG CAPSULE
ACYCLOVIR 800 MG TABLET
ACYCLOVIR 800 MG TABLET
HYDROCORTISONE 100 MG ENEMA
METHAZOLAMIDE 50 MG TABLET
HYDROXYCHLOROQUINE 200 MG TB
HYDROXYCHLOROQUINE 200 MG TB
TAGAMET 800 MG TABLET
NASAL DECONGESTANT CAPLET
12 HOUR COLD CAPLET SA
12 HOUR COLD CAPLET SA
DIBROMM EXT REL NASAL TAB
THERA-FLUR-N GEL DROPS
NIFEREX-PN TABLET
NIFEREX-PN FORTE TABLET
CODIMAL PH SYRUP
CODIMAL PH SYRUP
CHLOROTHIAZIDE 250 MG TABLET
CIPROFLOXACIN HCL 750 MG TAB
PROPOXYPHENE HCL 65 MG CAP
PROPOXYPHENE HCL 65MG CAP
PROBENECID 500 MG TABLET
PROCAINAMIDE HCL 375MG CAP
ASPIRIN/CODEINE 325/60 TAB
FENOPROFEN 600 MG TABLET
ACYCLOVIR 800 MG TABLET
ACYCLOVIR 800 MG TABLET
CIPROFLOXACIN HCL 750 MG TAB
CIPROFLOXACIN HCL 750 MG TAB

DOSE FORM DRUG STRENGTH


TS
TS
TS
TA
TA
SO
TA
TA
TA
KA
TA
TA
TA
CA
CA
CA
TA
TA
TA
CA
TA
TA
TA
TA
CA
TA
TA
SF
TA
TA
TA
TA
TS
TS
TS
TS
SO
TA
TA
ST
ST
TA
TA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12

NDC
00172531360
00172565649
00172565658
00172565670
00172565680
00172571200
00172571210
00172571260
00172571270
00172571288
00172771146
00172771160
00172771165
00173011318
00173094555
00173094556
00178081130
00182156989
00182266700
00182266789
00185047053
00186021003
00186023003
00186025502
00186027844
00186027854
00187395364
00225051003
00225068051
00228260711
00228260750
00245002216
00245006711
00247006000
00247006014
00247006015
00247006020
00247006021
00247006030
00247006040
00247006042
00247006060
00247010408
00247010414
00247010420
00247010428
00247010430
00247010440
00247016910
00247016920
00247016928
00247016930
00247016935

NAME
CIPROFLOXACIN HCL 750 MG TAB
TAMOXIFEN 10 MG TABLET
TAMOXIFEN 10 MG TABLET
TAMOXIFEN 10 MG TABLET
TAMOXIFEN 10 MG TABLET
GLYBURIDE-METFORMIN 5/500 MG
GLYBURIDE-METFORMIN 5/500 MG
GLYBURIDE-METFORMIN 5/500 MG
GLYBURIDE-METFORMIN 5/500 MG
GLYBURIDE-METFORMIN 5/500 MG
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
RETROVIR 10 MG/ML SYRUP
ZOVIRAX 800 MG TABLET
ZOVIRAX 800 MG TABLET
CITRACAL LIQUITAB TAB EFF
DIPYRIDAMOLE 50 MG TABLET
ACYCLOVIR 800 MG TABLET
ACYCLOVIR 800 MG TABLET
CIPROFLOXACIN HCL 750 MG TAB
XYLOCAINE-MPF 1% AMPUL
XYLOCAINE-MPF 1% AMPUL
XYLOCAINE-MPF 1% AMPUL
XYLOCAINE-MPF 1% AMPUL
XYLOCAINE-MPF 1% AMPUL
FLUOROURACIL 50 MG/ML VIAL
COUGH-X LOZENGES
AYR SNORE RELIEVING SPRAY
ACYCLOVIR 800 MG TABLET
ACYCLOVIR 800 MG TABLET
AMLACTIN XL LOTION
NIACOR 500 MG TABLET
LODINE 300 MG CAPSULE
LODINE 300 MG CAPSULE
LODINE 300 MG CAPSULE
LODINE 300 MG CAPSULE
LODINE 300 MG CAPSULE
LODINE 300 MG CAPSULE
LODINE 300 MG CAPSULE
LODINE 300 MG CAPSULE
LODINE 300 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
ZOVIRAX 800 MG TABLET
ZOVIRAX 800 MG TABLET
ZOVIRAX 800 MG TABLET
ZOVIRAX 800 MG TABLET
ZOVIRAX 800 MG TABLET

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
ST
TA
TA
TF
TA
TA
TA
TA
HH
HH
HH
HH
HH
HV
TL
AU
TA
TA
SZ
TA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12

NDC
00247016950
00247018300
00247018302
00247018310
00247018320
00247018325
00247018330
00247018345
00247025330
00247027209
00247027218
00247036506
00247036520
00247036521
00247036528
00247036530
00247058115
00247092820
00247140160
00258363801
00283059701
00283059705
00310060060
00314072601
00314072610
00338204541
00338350341
00338519741
00338519841
00338604648
00338930248
00338932602
00338932702
00378014405
00378014491
00378015001
00378015601
00378030201
00378037301
00378047101
00378054101
00378057401
00378057405
00378061201
00378061210
00378132489
00378145801
00378145805
00378146801
00378253701
00378253710
00378706501
00378706505

NAME
ZOVIRAX 800 MG TABLET
PROBENECID 500 MG TABLET
PROBENECID 500 MG TABLET
PROBENECID 500 MG TABLET
PROBENECID 500 MG TABLET
PROBENECID 500 MG TABLET
PROBENECID 500 MG TABLET
PROBENECID 500 MG TABLET
MEDROXYPROGESTERONE 2.5 MG
CEPASTAT LOZENGE
CEPASTAT LOZENGE
FENOPROFEN 600 MG TABLET
FENOPROFEN 600 MG TABLET
FENOPROFEN 600 MG TABLET
FENOPROFEN 600 MG TABLET
FENOPROFEN 600 MG TABLET
DESOXIMETASONE 0.05% CREAM
CIPRO 750 MG TABLET
LOMOTIL LIQUID
THEOPHYLLINE 125 MG CAP SA
PERIDIN-C TABLET
PERIDIN-C TABLET
NOLVADEX 10 MG TABLET
ND-GESIC 300 MG TABLET
ND-GESIC 300 MG TABLET
NEBCIN 60 MG/DEXTROSE 5%
CEFAZOLIN 1 GM/D5W BAG
FAMOTIDINE 20 MG PIGGYBACK
FAMOTIDINE 20 MG PIGGYBACK
FLUCONAZOLE-NS 200 MG/100 ML
FENTANYL/NS 2 MCG/ML
FENTA/BUPIVA/NS 4 MCG/0.0625%
FENTA/BUPIVA/NS 4 MCG/0.0625%
TAMOXIFEN 10 MG TABLET
TAMOXIFEN 10 MG TABLET
CHLOROTHIAZIDE 250 MG TABLET
PROBENECID 500 MG TABLET
ACYCLOVIR 800 MG TABLET
HYDROXYCHLOROQUINE 200 MG TB
FENOPROFEN 600 MG TABLET
CIMETIDINE 800 MG TABLET
AMITRIP/PERPHEN 25-4 TABLET
AMITRIP/PERPHEN 25-4 TABLET
THIORIDAZINE 10 MG TABLET
THIORIDAZINE 10 MG TABLET
CIPROFLOXACIN HCL 750 MG TAB
ESTRADIOL 2 MG TABLET
ESTRADIOL 2 MG TABLET
ACYCLOVIR 800 MG TABLET
TRIAMTERENE/HCTZ 37.5/25 CP
TRIAMTERENE/HCTZ 37.5/25 CP
PROPOXYPHENE HCL 65 MG CAP
PROPOXYPHENE HCL 65 MG CAP

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TL
TL
TA
TA
TA
TA
TA
KA
TA
SL
CB
TA
TA
TA
TA
TA
HP
HK
HP
HP
PI
HZ
HZ
HZ
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
CA
CA

UNIT PRICE
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12

NDC
00378723301
00378723305
00396601000
00406324901
00406883903
00406895901
00409234488
00409468827
00421074801
00430002424
00430002430
00440728315
00440728330
00440728360
00440728390
00440728391
00440738140
00440745190
00440745194
00440751121
00440751128
00440751140
00440773790
00440820020
00440820030
00440820040
00440820060
00440820090
00440820091
00456052708
00456105400
00456430101
00501278710
00501278720
00501320433
00501320439
00501330615
00527138650
00555021904
00555028502
00555028504
00555028505
00555044605
00555044609
00555044663
00555048802
00555048805
00555069610
00555081610
00555087202
00555087204
00555088702
00555088704

NAME
ETODOLAC 300 MG CAPSULE
ETODOLAC 300 MG CAPSULE
AMINO-CERV CREAM
HYDROMORPHONE HCL 8 MG TAB
GENTIAN VIOLET POWDER
DEXTROAMPHETAMINE 10 MG TAB
DOBUTAMINE 12.5 MG/ML VIAL
FLUCONAZOLE-NS 200 MG/100 ML
GYNODIOL 2 MG TABLET
ESTRACE 2 MG TABLET
ESTRACE 2 MG TABLET
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
DICLOXACILLIN 500 MG CAPSULE
DIPYRIDAMOLE 50 MG TABLET
DIPYRIDAMOLE 50 MG TABLET
ERYTHROMYCIN ST 500 MG TAB
ERYTHROMYCIN ST 500 MG TAB
ERYTHROMYCIN ST 500 MG TAB
MEDROXYPROGESTERONE 2.5 MG
PROPOXYPHENE HCL 65 MG CAP
PROPOXYPHENE HCL 65 MG CAP
PROPOXYPHENE HCL 65 MG CAP
PROPOXYPHENE HCL 65 MG CAP
PROPOXYPHENE HCL 65 MG CAP
PROPOXYPHENE HCL 65 MG CAP
FLUMADINE 50 MG/5 ML SYRUP
PEDAMETH 200 MG CAPSULE
THEOCAP 125 MG CAPSULE
SUDAFED 12HR 120 MG CAPLT SA
SUDAFED 12HR 120 MG CAPLT SA
BENADRYL ITCH RELIEF STICK
BENADRYL ITCH RELIEF STICK
CORTIZONE-10 1% SPRAY
CIPROFLOXACIN HCL 750 MG TAB
ERYTHROMYCIN ST 500 MG CAPLT
DIPYRIDAMOLE 50 MG TABLET
DIPYRIDAMOLE 50 MG TABLET
DIPYRIDAMOLE 50 MG TABLET
TAMOXIFEN 10 MG TABLET
TAMOXIFEN 10 MG TABLET
TAMOXIFEN 10 MG TABLET
TRIAMTERENE/HCTZ 37.5/25 CP
TRIAMTERENE/HCTZ 37.5/25 CP
CIPROFLOXACIN HCL 750 MG TAB
CIPROFLOXACIN HCL 750 MG TAB
MEDROXYPROGESTERONE 2.5 MG
MEDROXYPROGESTERONE 2.5 MG
ESTRADIOL 2 MG TABLET
ESTRADIOL 2 MG TABLET

DOSE FORM DRUG STRENGTH


CA
CA
KW
TA
PA
TA
HV
HP
TA
TA
TA
TA
TA
TA
TA
TA
CA
TA
TA
TA
TA
TA
TA
CA
CA
CA
CA
CA
CA
ST
CA
CB
TS
TS
SA
SA
AS
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12

NDC
00555095302
00574202001
00574202007
00591033601
00591033605
00591048801
00591048805
00591069801
00591069805
00591534701
00591534710
00597001801
00603106445
00603236221
00603350321
00603350328
00603447121
00603545921
00603545928
00603595021
00603700121
00603700221
00603772986
00615133353
00615133363
00615250453
00615250463
00677067601
00677082301
00677082306
00682010801
00703101909
00703102930
00703301513
00703301812
00703301912
00781107101
00781140701
00781140705
00781160401
00781160410
00781171701
00781171710
00781171713
00781176701
00781207401
00781207410
00781225801
00781517201
00813001206
00832030200
00832030210
00884359702

NAME
DEXTROAMPHETAMINE 10 MG TAB
COLOCORT 100 MG ENEMA
COLOCORT 100 MG ENEMA
ACYCLOVIR 800 MG TABLET
ACYCLOVIR 800 MG TABLET
ESTRADIOL 2 MG TABLET
ESTRADIOL 2 MG TABLET
HYDROXYCHLOROQUINE 200 MG TB
HYDROXYCHLOROQUINE 200 MG TB
PROBENECID 500 MG TABLET
PROBENECID 500 MG TABLET
PERSANTINE 50 MG TABLET
CARDEC-DM DROPS
ASPIRIN/CODEINE 325/60 TAB
DRITUSS G 1,200 MG TABLET SA
DRITUSS G 1,200 MG TABLET SA
METHAZOLAMIDE 50 MG TABLET
PROPOXYPHENE HCL 65 MG CAP
PROPOXYPHENE HCL 65 MG CAP
THEOPHYLLINE 125 MG CAP SA
ACCUSURE INSULIN SYRN 0.5 ML
ACCUSURE INSULIN SYRN 1 ML
CERVICAL AMINO ACID CREAM
TRIAMTERENE/HCTZ 37.5/25 CP
TRIAMTERENE/HCTZ 37.5/25 CP
THIORIDAZINE 10 MG TABLET
THIORIDAZINE 10 MG TABLET
ASPIRIN/CODEINE 325/60 TAB
THIORIDAZINE 10 MG TABLET
THIORIDAZINE 10 MG TABLET
FERROMAR 275 MG CAPSULE SA
FLUCONAZOLE-NS 200 MG/100 ML
FLUCONAZOLE-NS 200 MG/100 ML
ADRUCIL 50 MG/ML VIAL
ADRUCIL 50 MG/ML VIAL
ADRUCIL 50 MG/ML VIAL
METHAZOLAMIDE 50 MG TABLET
HYDROXYCHLOROQUINE 200 MG TB
HYDROXYCHLOROQUINE 200 MG TB
THIORIDAZINE 10 MG TABLET
THIORIDAZINE 10 MG TABLET
CHLORPROMAZINE 50 MG TABLET
CHLORPROMAZINE 50 MG TABLET
CHLORPROMAZINE 50 MG TABLET
CIPROFLOXACIN HCL 750 MG TAB
TRIAMTERENE/HCTZ 37.5/25 CP
TRIAMTERENE/HCTZ 37.5/25 CP
DICLOXACILLIN 500 MG CAPSULE
GLYBURIDE-METFORMIN 5/500 MG
FERRETTS 324 MG TABLET
CHLORPROMAZINE 50 MG TABLET
CHLORPROMAZINE 50 MG TABLET
PEDI-PRO 1% TOPICAL POWDER

DOSE FORM DRUG STRENGTH


TA
SF
SF
TA
TA
TA
TA
TA
TA
TA
TA
TA
SO
TA
TM
TM
TA
CA
CA
CB
YL
YL
KW
CA
CA
TA
TA
TA
TA
TA
CS
HP
HP
HV
HV
HV
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
CA
TA
TA
TA
TA
PA

UNIT PRICE
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12

NDC
00884388602
00891111710
00891136100
00891154100
00904108760
00904108761
00904205361
00904510760
00904522760
00904544746
00904544760
00904544761
00904545360
00904557330
00955079001
00955079005
08026420500
08026420700
08080128012
08080327900
08080600555
08080600777
08080708300
08080710500
08080819400
08080919400
08080949000
08214358901
08214359001
08214502901
08214503001
08214509501
08219327900
08219619800
08219719800
08219819400
08219919400
08219939500
08284014202
08284054202
08287126265
08290005500
08290032829
08290301029
08290301030
08290301604
08290301605
08290303404
08290305294
08290305462
08290305482
08290305559
08290305937

NAME
LAZER CREME
SECURE UNDERPADS SMALL
SECURE UNDERPADS LARGE
SECURE UNDERPADS X-LARGE
DIPYRIDAMOLE 50 MG TABLET
DIPYRIDAMOLE 50 MG TABLET
CHLORPROMAZINE 50 MG TABLET
HYDROXYCHLOROQUINE 200 MG TB
MEDROXYPROGESTERONE 2.5 MG
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
GUAIFENESIN 1,200 MG TAB SA
RONDAMINE DM DROPS
HYDROXYCHLOROQUINE 200 MG TB
HYDROXYCHLOROQUINE 200 MG TB
SKIN-PREP SWAB
NO STING SKIN PREP WIPES
MONOJECT TB 1 ML SYR 28GX1/2
TELFA NON-ADHERENT STRIPS
MONOJECT SYRINGE 6 ML
MONOJECT SYRINGE 6 ML
EXCILON DRESSING SPONGE
TENDERSORB UNDERPAD
TENDERSORB ABDOMINAL PADS
TENDERSORB ABDOMINAL PADS
DURASORB UNDERPAD
UNIFINE PENTIP NEEDLES
UNIFINE PENTIPS 6MM NEEDLES
UNIFINE PENTIP NEEDLES
UNIFINE PENTIP NEEDLES
UNIFINE PENTIPS 6MM NEEDLES
TELFA NON-ADHERENT STRIPS
CURITY ABDOMINAL PADS
CURITY ABDOMINAL PADS
TENDERSORB ABDOMINAL PADS
TENDERSORB ABDOMINAL PADS
CURAFOAM 8" X 10" DRESSING
SURE ONE INSULIN SYR 1CC
SURE ONE INSULIN SYR 5/16CC
EXEL SYRINGE 10 ML
ALLERGY SYRINGE 28GX1/2
ULTRA FINE II 1CC 30G
B-D BULK SYRINGE 10 ML
B-D BULK SYRINGE 10 ML
B-D 10 ML SYRINGE
B-D 10 ML SYRINGE BULK
B-D 10 ML SYRINGE
B-D GLASPAK 10 ML SYRINGE
B-D 10 ML SYRINGE
B-D 10 ML SYRINGE
SAFETY-LOK 10 ML SYRINGE
BD SAFETYGLIDE 0.3 ML SYRINGE

DOSE FORM DRUG STRENGTH


KA
EA
EA
EA
TA
TA
TA
TA
TA
TA
TA
TA
TM
SO
TA
TA
YW
YW
YL
YE
YL
YL
YV
EA
YE
YE
EA
YH
YH
YH
YH
YH
YE
YE
YE
YE
YE
YE
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL

UNIT PRICE
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12

NDC
08290309576
08290309580
08290309582
08290309604
08290309605
08290309695
08290328289
08290328290
08290328291
08290328418
08290328438
08290328440
08290328468
08290841801
08290841803
08290843801
08290843803
08290844001
08290846801
08290846803
08326290130
08326290150
08326300110
08326300150
08326300210
08326300250
08329290130
08329290150
08329300210
08329300250
08367013202
08367033202
08367053202
08470352901
08470353001
08470359001
08881106028
08881501608
08881516200
08881516911
08881516937
08881533056
08881566015
08881566023
10019018120
10019018420
10106108001
10106334301
10106382001
10267004301
10267210101
10267210201
10481103801

NAME
B-D 3 ML SYRINGE/NEEDLE
B-D 3 ML SYRINGE 18GX1-1/2"
B-D 3 ML SYRINGE 25GX1-1/2"
B-D 10 ML SYRINGE
B-D 10 ML SYRINGE BULK
B-D 10 ML CONTROL SYRINGE
BD ULTRA FINE II 1 ML SYRIN
BD ULTRA FINE II 0.5 ML SYRN
BD ULTRA FINE II 0.3 ML SYRN
BD ULTRA FINE II 1 ML SYRIN
BD ULTRA FINE II 0.3 ML SYRN
BD ULTRA FINE II 0.3 ML SYRN
BD INSULIN U100 1/2 ML SYRN
BD INSULIN U100 1 ML SYR
BD ULTRA FINE II 1 ML SYRIN
BD INSULIN U100 0.3 ML SYR
BD ULTRA FINE II 0.3 ML SYRN
BD INSULIN U100 0.3 ML SYRN
BD INSULIN U100 0.5 ML SYR
BD INSULIN U100 1/2 ML SYRN
INSULIN SYRINGE 0.3 ML
INSULIN SYRINGE 0.5 ML
INSULIN SYRINGE 1 ML
INSULIN SYRINGE 0.5 ML
INSULIN SYRINGE 1 ML
INSULIN SYRINGE 0.5 ML
MAJOR INSULIN SYRINGE 0.3 ML
MAJOR INSULIN SYRINGE 0.5 ML
MAJOR INSULIN SYRINGE 1 ML
MAJOR INSULIN SYRINGE 0.5 ML
ELITE-THIN INSUL SYR 1CC
ELITE-THIN INSUL SYR 0.3CC
ELITE-THIN INS SYR 0.5CC
UNIFINE PENTIPS 12MM NEEDLES
UNIFINE PENTIPS 8MM NEEDLES
UNIFINE PENTIPS 6MM NEEDLES
SYRINGE W/O NDL 6ML,NONSTRL
TUBERCULIN SYRINGE
MONOJECT SYR PHARM TRAY PK
MONOJECT 6 ML SYRINGE
MONOJECT 6 ML SYRINGE
MONOJECT SAFETY SYRINGE
MONOJECT SAFETY SYRINGE
MONOJECT SAFETY SYRINGE
DOBUTAMINE 12.5 MG/ML VIAL
DOBUTAMINE 12.5 MG/ML VIAL
BENZOCAINE CRYSTALLINE PWD
PYRIDOXINE HCL CRYSTALS
SODIUM PHOS GRAN MONOBASIC
ULTRA-NATAL TABLET
POLY IRON PN FORTE TABLET
POLY IRON PN TABLET
UNDELENIC TINCTURE

DOSE FORM DRUG STRENGTH


YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YH
YH
YH
YL
YL
YL
YL
YL
YL
YL
YL
HV
HV
PC
PC
PG
TA
TA
TA
SX

UNIT PRICE
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12

NDC
10481103802
10666023102
10812093001
10939046333
10939061622
10939069022
10939084533
10939084633
10939084733
10956063616
10956063632
10956065920
11110036176
11110036177
11110036178
11110037502
11110037503
11298000447
11298000448
11509000306
11694093001
11822302360
11822332340
11822382370
11822386780
11845012815
11845012925
11845072801
11845072805
11845109905
11917001489
11917001492
11917002528
11917002529
11917004813
11917004814
11917004815
12280002700
12333098641
12333952605
14600037002
14600037007
14600037009
14600037010
15127045514
17236017230
17236061001
17317003801
17317003804
17317003805
17317018302
17317018304
17317018305

NAME
UNDELENIC TINCTURE
EXOREX SCALP CONDITIONER
MELANEX 3% SOLUTION
SUNMARK SINUS 12 HOUR CAPLET
V-R SUPHEDRINE 12HR CAPLET
V-R ANTI-GAS 166 MG SOFTGEL
SUNMARK INSULIN SYRINGE 0.3 ML
SUNMARK INSULIN SYRINGE 0.5 ML
SUNMARK INSULIN SYRINGE 1 ML
SINADRIN PLUS TABLET
SINADRIN PLUS TABLET
RECOFEN CAPLET
KROGER INSULIN SYRINGE 0.3 ML
KROGER 0.5 ML INSULIN SYRINGE
KROGER 1 ML INSULIN SYRINGE
KROGER INS SYRINGE 3/10 ML
KROGER INS SYRINGE 0.5 ML
SKIN-PREP WIPES
SHIELD-SKIN WIPES
LANACANE MAXIMUM STRENGTH CRM
NEURO K 500 MG TABLET
RA VITAMIN E 800 UNIT SOFTGEL
RA HEMORRHOIDAL OINTMENT
RA 12HR DECONGESTANT TAB SA
RA SUPHEDRINE 120 MG CPLT SA
ECHINACEA 80 MG CAPSULE
HAWTHORNE 250 MG CAPUSLE
PYRIDOXINE 500 MG TABLET
PYRIDOXINE 500 MG TABLET
PMS MULTIVITAMIN CAPSULE
INSULIN 1/2 ML SYRINGE
INSULIN 3/10 ML SYRINGE
INSULIN 1/2 ML SYRINGE
INSULIN 1 ML SYRINGE
INSULIN SYRINGE 1 ML
INSULIN SYRINGE 0.5 ML
INSULIN SYRINGE 0.3 ML
GLUCOVANCE 5/500 MG TABLET
LONGS DECONGESTANT 12H CPLT
BED PAD
RESISTEX CAPSULE
FLEXTEND CAPLET
STAYCALM CAPLET
VEINTAIN CAPLET
SB ANTI-GAS 125 MG SOFTGEL
CIMETIDINE 800 MG TABLET
HYDROXYCHLOROQUINE 200 MG TB
BARBITAL POWDER
BARBITAL POWDER
BARBITAL POWDER
GENTIAN VIOLET POWDER
GENTIAN VIOLET POWDER
GENTIAN VIOLET POWDER

DOSE FORM DRUG STRENGTH


SX
SL
SA
TS
TS
CA
YL
YL
YL
TA
TA
TA
YL
YL
YL
YL
YL
YW
YW
KA
TA
CA
OA
TS
TS
CA
CA
TA
TA
CA
YL
YL
YL
YL
YL
YL
YL
TA
TS
EA
CA
TA
TA
TA
CA
TA
TA
PA
PA
PA
PA
PA
PA

UNIT PRICE
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12

NDC
17317045502
17317045503
17317045505
17317045508
17317055301
17317055304
17317058701
17317058704
17317060902
17317060903
17317060905
17317060906
19458026746
19458026748
19458026749
19458026751
19458027746
19458027748
19458027749
19458027751
19458941401
19458941501
19458941701
19458941801
19458944801
19458960001
23513063616
23513063632
23513064020
23513065920
23734958010
24208054005
24208054010
24208054015
24385005452
24385036352
24385044472
30727064580
32671000502
32671000504
32671000505
34575004716
34575027995
34575050667
34575050668
35515094737
35515094738
35515095111
35515095484
35515095485
35515097463
35515097464
36652067762

NAME
PYRIDOXINE HCL CRYSTALS
PYRIDOXINE HCL CRYSTALS
PYRIDOXINE HCL CRYSTALS
PYRIDOXINE HCL CRYSTALS
SULFAPYRIDINE POWDER
SULFAPYRIDINE POWDER
TRYPSIN POWDER 1:80
TRYPSIN POWDER 1:80
D-XYLOSE POWDER
D-XYLOSE POWDER
D-XYLOSE POWDER
D-XYLOSE POWDER
ECK INSULIN 3/10 ML SYRINGE
ECK INSULIN 1/2 ML SYRINGE
ECK INSULIN 1/2 ML SYRINGE
ECK INSULIN 1 ML SYRINGE
ECK INSULIN 3/10 ML SYRINGE
ECK INSULIN 1/2 ML SYRINGE
ECK INSULIN 1/2 ML SYRINGE
ECK INSULIN 1 ML SYRINGE
ECK UNDERPAD SUPER LARGE
ECK UNDRPD W/ADHESIVE X-LG
ECK UNDERPAD
ECK UNDERPAD XLG
ECK FREEDOM LAXATIVE CAPLET
ECK PRENATAL VITAMINS
SINADRIN PLUS TABLET
SINADRIN PLUS TABLET
TRANQUIL-EZE CAPLET
RECOFEN CAPLET
MAXICARE 28"X36" UNDERPAD
DIPIVEFRIN 0.1% EYE DROPS
DIPIVEFRIN 0.1% EYE DROPS
DIPIVEFRIN 0.1% EYE DROPS
SUPHEDRIN 12 HOUR CAPLET SA
12 HOUR COLD CAPLET SA
ANTI-GAS 166 MG SOTFGEL
ASCORBIC ACID 222 MG/ML VIAL
LITE TOUCH INSULIN 0.5 ML SYR
LITE TOUCH INSULIN 0.5 ML SYR
LITE TOUCH INSULIN 1 ML SYR
ECK UNDERPADS SUPER LARGE
ECK UNDRPD W/ADHESIVE X-LG
ECK HEALTHLINE UNDERPAD
ECK HEALTHLINE UNDERPAD XLG
QC INSULIN SYRINGE 0.5 ML
QC INSULIN SYRINGE 1 ML
COMPLETE SINUS RELIEF TAB
QC INSULIN SYRINGE 0.5 ML
QC INSULIN SYRINGE 1 ML
QC INSULIN SYRINGE 0.3 ML
QC INSULIN SYRINGE 0.5 ML
ALLBEE C-800 TABLET

DOSE FORM DRUG STRENGTH


PC
PC
PC
PC
PA
PA
PA
PA
PA
PA
PA
PA
YL
YL
YL
YL
YL
YL
YL
YL
EA
EA
EA
EA
TA
TA
TA
TA
TA
TA
EA
SO
SO
SO
TS
TS
CA
HV
YL
YL
YL
EA
EA
EA
EA
YL
YL
TA
YL
YL
YL
YL
TA

UNIT PRICE
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12

NDC
36652073020
36652400006
36652400007
36652400106
36652400107
36652400202
36652400203
36652400206
36652400207
36652400502
36652400503
36652400506
36652400507
36652400706
36652400707
36652400803
36652400806
36652400807
36652400902
36652400903
36652400906
36652400907
36652401502
36652401503
36652401506
36652401507
36652401802
36652401803
37205005952
37205044652
37205608104
37205608204
38396000506
38396000606
38396000706
38396040102
38396040117
38396040202
38396040205
38396040217
38396040218
38396040302
38396040305
38396040318
38396040325
38396040405
38396040502
38396040503
38396040506
38396040507
38396040517
38396040605
38396040617

NAME
POSTURE 600 MG TABLET
BL INSULIN 1 ML SYRINGE
BL INSULIN 0.5 ML SYRINGE
INSULIN SYRINGE 1 ML
INSULIN SYRINGE 0.5 ML
INSULIN SYRINGE 0.3 ML
INSULIN SYRINGE 0.5 ML
INSULIN SYRINGE 1 ML
INSULIN SYRINGE 0.5 ML
ULTRA COMFORT SYRINGE 0.3 ML
ULTRA COMFORT SYRINGE 0.5 ML
ULTRA COMFORT SYRINGE 1 ML
ULTRA COMFORT SYRINGE 0.5 ML
INSULIN SYRINGE 1 ML
INSULIN SYRINGE 0.5 ML
ULTRA COMFORT SYRINGE 0.5 ML
ULTRA COMFORT SYRINGE 1 ML
ULTRA COMFORT SYRINGE 0.5 ML
ULTRA COMFORT 3/10 ML SYR
ULTRA COMFORT 0.5 ML SYRINGE
ULTRA COMFORT 1 ML SYRINGE
ULTRA COMFORT 0.5 ML SYRINGE
QC INSULIN SYRINGE 0.3 ML
QC INSULIN SYRINGE 0.5 ML
QC INSULIN SYRINGE 1 ML
QC INSULIN SYRINGE 0.5 ML
INSULIN SYRINGE 0.3 ML
INSULIN SYRINGE 0.5 ML
UNDERPADS SUPER LARGE
12 HOUR DECONGEST 120 MG CAPLT
INSULIN 1 ML SYRINGE
INSULIN 1/2 ML SYRINGE
KINRAY INSULIN SYRINGE 0.3 ML
KINRAY INSULIN SYRINGE 0.5 ML
KINRAY INSULIN SYRINGE 1 ML
RELION INSULIN SYRNGE 0.3 ML
D&K INSULIN SYRINGE 0.3 ML
RELION INSULIN SYRNGE 0.5 ML
QC INSULIN SYRINGE 0.5 ML
D&K INSULIN SYRINGE 0.5 ML
KROGER INS SYRINGE 3/10 ML
RELION INSULIN SYRINGE 1 ML
QC INSULIN SYRINGE 0.3 ML
KROGER INS SYRINGE 0.5 ML
KMART VALU PLUS SYR 1/2 ML
QC INSULIN SYRINGE 1 ML
FIRST CHOICE SYRINGE 0.3 ML
FIRST CHOICE SYRINGE 0.5 ML
FIRST CHOICE SYRINGE 1 ML
FIRST CHOICE SYRINGE 0.5 ML
D&K INSULIN SYRINGE 0.5 ML
QC INSULIN SYRINGE 0.5 ML
D&K INSULIN SYRINGE 1 ML

DOSE FORM DRUG STRENGTH


TA
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
EA
TS
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL

UNIT PRICE
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12

NDC
38396040625
38396040725
38396040802
38396040918
38396041018
38396041118
38396041908
38396042008
38396042108
38396042690
38396042790
38396042912
38396042990
38396043012
38396043090
38396043112
38396043190
38396043477
38396043577
38396043677
38396043777
38396043977
38396044077
38396044177
38396044364
38396044564
38396044664
38396044764
38396044964
38396045064
38396045164
38415001631
38415003531
38415003631
38415005631
38703000958
38779021604
38779021605
38779021608
38779021610
38779021625
38779021650
38779031404
38779031405
38779031408
38779031409
38779087304
38779087305
38779087308
38779087309
41163005452
41163005460
41163005465

NAME
KMART VALU PLUS SYRINGE 1 ML
KMART VALU PLUS SYR 1/2 ML
PREFERRED PLUS SYRINGE 0.3 ML
KROGER INSULIN SYRINGE 0.3 ML
KROGER 0.5 ML INSULIN SYRINGE
KROGER 1 ML INSULIN SYRINGE
LEADER INSULIN 0.3 ML SYRINGE
LEADER INSULIN 0.5 ML SYRINGE
LEADER INSULIN 1 ML SYRINGE
BL INSULIN 0.5 ML SYRINGE
BL INSULIN 1 ML SYRINGE
MS INSULIN 0.3 ML SYRINGE
BL INSULIN SYRINGE 0.3 ML
MS INSULIN 0.5 ML SYRINGE
BL INSULIN SYRINGE 0.5 ML
MS INSULIN 1 ML SYRINGE
BL INSULIN SYRINGE 1 ML
FP INSULIN 0.5 ML SYRINGE
FP INSULIN 0.3 ML SYRINGE
FP INSULIN 0.5 ML SYRINGE
FP INSULIN 1 ML SYRINGE
FP INSULIN SYRINGE 0.3 ML
FP INSULIN SYRINGE 0.5 ML
FP INSULIN SYRINGE 1 ML
GNP ULTRA COMFORT 0.5 ML SYR
GNP ULTRA COMFORT 3/10 ML SYR
GNP ULTRA COMFORT 0.5 ML SYR
GNP ULTRA COMFORT 1 ML SYRINGE
GNP INSULIN SYRINGE 0.3 ML
GNP INSULIN SYRINGE 0.5 ML
GNP INSULIN SYRINGE 1 ML
INSULIN SYRINGE 1 ML
INSULIN SYRINGE 0.3 ML
INSULIN SYRINGE 0.3 ML
INSULIN SYRINGE 0.5 ML
ENTRUST PLUS SUPER UNDERPAD
PHENYTOIN SODIUM POWDER
PHENYTOIN SODIUM POWDER
PHENYTOIN SODIUM POWDER
PHENYTOIN SODIUM POWDER
PHENYTOIN SODIUM POWDER
PHENYTOIN SODIUM POWDER
HYDROCHLOROTHIAZIDE POWDER
HYDROCHLOROTHIAZIDE POWDER
HYDROCHLOROTHIAZIDE POWDER
HYDROCHLOROTHIAZIDE POWDER
PYRIDOXINE HCL CRYSTALS
PYRIDOXINE HCL CRYSTALS
PYRIDOXINE HCL CRYSTALS
PYRIDOXINE HCL CRYSTALS
EQL 12 HR DECONGEST 120 MG CPT
EQL 12 HR DECON 120 MG ER CPLT
EQL SUPHEDRINE 12HR 120 MG TAB

DOSE FORM DRUG STRENGTH


YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
EA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PC
PC
PC
PC
TS
TS
TS

UNIT PRICE
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12

NDC
41163024529
41163025145
41163025513
41163026310
41163026311
41163026314
41163026315
41163028660
41163040141
41163040241
41163040341
41163040545
41163042682
41163042683
41163042684
41163402202
41163402203
41163402206
41163402207
44156030067
44156030075
44156030090
48107003381
48107003382
48107003621
48107003622
48107004962
48107005094
48107005129
48107050210
49072003530
49348036101
49348036110
49348038012
49348065510
49348065610
49348065710
49452056701
49452056702
49452056703
49452081002
49452081003
49452134001
49452134002
49452327001
49452327002
49452327004
49452357501
49452357502
49452357503
49452485501
49452485502
49452614001

NAME
EQL 12 HR DECONGEST 120 MG CPT
FIRST AID ANTIBIOTIC CREAM
EQL 12 HR DECON 120 MG ER CPLT
INSULIN 3/10 ML SYRINGE
INSULIN 1/2 ML SYRINGE
INSULIN 1/2 ML SYRINGE
INSULIN 1 ML SYRINGE
EQL 12 HOUR COLD CAPLET
EQL INSULIN SYRINGE 1 ML
EQL INSULIN SYRINGE 0.5 ML
EQL INSULIN SYRINGE 0.3 ML
EQL 12 HOUR COLD CAPLET
EQL INSULIN SYRINGE 0.5 ML
EQL INSULIN SYRINGE 1 ML
EQL INSULIN SYRINGE 0.3 ML
INSULIN 3/10 ML SYRINGE
INSULIN 1/2 ML SYRINGE
INSULIN 1 ML SYRINGE
INSULIN 1/2 ML SYRINGE
DIGNITY + SHEET PROTECTOR
PREVENT PLUS TRAINING PAD
DIGNITY PLUS UNDERPAD
CRANBERRY 1,000 MG SOFTGEL
CRANBERRY 1,000 MG SOFTGEL
GINSENG GOLD CAPSULE
GINSENG GOLD CAPSULE
KAVA KAVA 110 MG SOFTGEL
ZINC MAGNESIUM ASPARTATE CP
KAVA KAVA 110 MG SOFTGEL
RA GLUCOSAMIN-CHONDROIT CP
ASCORBIC ACID 222 MG/ML VIAL
SUNMARK SINUS 12 HOUR CAPLET
SM 12 HOUR SINUS DECONG CAPLET
V-R ANTI-GAS 166 MG SOFTGEL
SUNMARK INSULIN SYRINGE 0.3 ML
SUNMARK INSULIN SYRINGE 0.5 ML
SUNMARK INSULIN SYRINGE 1 ML
AMMONIUM MOLYBDATE CRYSTAL
AMMONIUM MOLYBDATE CRYSTAL
AMMONIUM MOLYBDATE CRYSTAL
BARBITAL POWDER
BARBITAL POWDER
CAJEPUT OIL
CAJEPUT OIL
GENTIAN VIOLET POWDER
GENTIAN VIOLET POWDER
GENTIAN VIOLET POWDER
HYDROCHLOROTHIAZIDE POWDER
HYDROCHLOROTHIAZIDE POWDER
HYDROCHLOROTHIAZIDE POWDER
NITROFURAZONE POWDER
NITROFURAZONE POWDER
PYRIDOXINE HCL CRYSTALS

DOSE FORM DRUG STRENGTH


TS
KA
TS
YL
YL
YL
YL
TS
YL
YL
YL
TS
YL
YL
YL
YL
YL
YL
YL
EA
EA
EA
CA
CA
CA
CA
CA
CA
CA
CA
HV
TS
TS
CA
YL
YL
YL
PC
PC
PC
PA
PA
SQ
SQ
PA
PA
PA
PA
PA
PA
PA
PA
PC

UNIT PRICE
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12

NDC
49452614002
49452614003
49452752001
49452752002
49452799001
49452799002
49452824001
49452824002
49614029865
49614043252
49614043362
49614052774
49614074172
49614075155
49738005460
49884056701
49884056705
49884063903
49884063905
49884063974
49884096901
49884096905
49999001200
49999001214
49999001220
49999001228
49999001230
49999006600
49999006630
49999006728
49999006740
49999010121
49999010140
49999012020
49999012028
49999012040
49999023135
49999027201
49999027230
49999037260
49999040160
49999043703
50111055201
50111055202
50111055210
50383057601
50383057630
50428144665
50428159725
50428512491
50428512509
50428909820
50474062001

NAME
PYRIDOXINE HCL CRYSTALS
PYRIDOXINE HCL CRYSTALS
SULFAPYRIDINE POWDER
SULFAPYRIDINE POWDER
TRYPSIN 1:100 POWDER
TRYPSIN 1:100 POWDER
D-XYLOSE POWDER
D-XYLOSE POWDER
PRENATAL VITAMIN TABLET
MEDI-PHEDRINE 120 MG CAPLET
12 HOUR DECONGESTANT CAPLET
DAILY-C + ECHINACEA CHEW TB
GLUCOSAMINE/CHONDROITIN CAP
BED UNDERPADS
AF-PSEUDOEPHEDRINE 120 MG TB
ACYCLOVIR 800 MG TABLET
ACYCLOVIR 800 MG TABLET
CIPROFLOXACIN HCL 750 MG TAB
CIPROFLOXACIN HCL 750 MG TAB
CIPROFLOXACIN HCL 750 MG TAB
GLYBURIDE-METFORMIN 5/500 MG
GLYBURID-METFORMIN 5-500 MG TB
ERYTHROMYCIN 500 MG FILMTAB
ERYTHROMYCIN 500 MG FILMTAB
ERYTHROMYCIN 500 MG FILMTAB
ERYTHROMYCIN 500 MG FILMTAB
ERYTHROMYCIN 500 MG FILMTAB
TRIAMTERENE-HCTZ 37.5-25 CP
TRIAMTERENE-HCTZ 37.5-25 CP
ERY-TAB 500 MG TABLET EC
ERY-TAB 500 MG TABLET EC
ERYTHROCIN 500 MG FILMTAB
ERYTHROCIN 500 MG FILMTAB
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
ACYCLOVIR 800 MG TABLET
PROVERA 2.5 MG TABLET
PROVERA 2.5 MG TABLET
HYDROXYCHLOROQUINE 200 MG TB
GLYBURIDE-METFORMIN 5/500 MG
PREDNISONE 50 MG TABLET
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
CARBOFED DM DROPS
CARBOFED DM DROPS
CVS NASAL/SINUS 120 MG CAPT
CVS 12HR DECON TAB SA
CVS UNDERPAD 17X24
CVS UNDERPADS
CVS UNDERPAD
DURATUSS G 1,200 MG TABLET SA

DOSE FORM DRUG STRENGTH


PC
PC
PA
PA
PA
PA
PA
PA
TA
TS
TS
TC
CA
EA
TS
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
TE
TE
TA
TA
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
SO
SO
TS
TS
EA
EA
EA
TM

UNIT PRICE
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12

NDC
50474062050
50474062070
51079006001
51079006020
51079006901
51079006920
51079013001
51079013020
51079023401
51079023420
51079056501
51079056520
51079080901
51079080920
51079087801
51079087820
51079093501
51079093520
51285048805
51285050402
51285050404
51285054004
51285087902
51496840101
51552014904
51552025505
51552053204
51552101204
51655015229
51655084924
51655084925
51655084926
51655084982
51672127101
51672127103
51672401701
51672520009
51672520501
51672520503
51709000724
51724030004
51927109300
51927161100
51927183800
51991002401
51991003206
51991012906
51991015411
51991018142
52083052950
52083070301
52152024502
52297079589

NAME
DURATUSS G 1,200 MG TABLET SA
DURATUSS G 1,200 MG TABLET SA
CHLOROTHIAZIDE 250 MG TABLET
CHLOROTHIAZIDE 250 MG TABLET
DIPYRIDAMOLE 50 MG TABLET
DIPYRIDAMOLE 50 MG TABLET
CHLORPROMAZINE 50 MG TABLET
CHLORPROMAZINE 50 MG TABLET
CIPROFLOXACIN HCL 750 MG TAB
CIPROFLOXACIN HCL 750 MG TAB
THIORIDAZINE 10 MG TABLET
THIORIDAZINE 10 MG TABLET
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
ACYCLOVIR 800 MG TABLET
ACYCLOVIR 800 MG TABLET
TRIAMTERENE/HCTZ 37.5/25 CP
TRIAMTERENE/HCTZ 37.5/25 CP
TRIAMTERENE/HCTZ 37.5/25 CP
ESTRADIOL 2 MG TABLET
ESTRADIOL 2 MG TABLET
MEDROXYPROGESTERONE 2.5 MG
GUAIFENESIN 1,200 MG CPLT SA
NORM-JECT 1 ML SYRINGE
PYRIDOXINE HCL CRYSTALS
SULFAPYRIDINE POWDER
PHENYTOIN SODIUM POWDER
HYDROCHLOROTHIAZIDE POWDER
ERYTHROMYCIN ST 500 MG TAB
PROPOXYPHENE HCL 65 MG CAP
PROPOXYPHENE HCL 65 MG CAP
PROPOXYPHENE HCL 65 MG CAP
PROPOXYPHENE HCL 65 MG CAP
DESOXIMETASONE 0.05% CREAM
DESOXIMETASONE 0.05% CREAM
ETODOLAC 300 MG CAPSULE
PRIMSOL 50 MG/5 ML ORAL SOLN
TOPICORT LP 0.05% CREAM
TOPICORT LP 0.05% CREAM
AIMSCO INSULIN 0.3 ML SYRNGE
YODEFAN-NF LIQUID
PYRIDOXINE HCL CRYSTALS
HYDROCHLOROTHIAZIDE POWDER
PHENYTOIN SODIUM POWDER
GUIADRINE G-1200 TABLET SA
GLUCOSAMINE CHONDROITIN CAP
CRANBERRY 1,000 MG CAPSULE
VINATE ULTRA TABLET
FERROCITE TABLET
VARISAN VITALITY TABLET
GUMSOL SOLUTION
GUAIFENESIN ER 1,200 MG TAB
HM UNDERPADS EXTRA LARGE

DOSE FORM DRUG STRENGTH


TM
TM
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
CA
TA
TA
TA
TM
YL
PC
PA
PA
PA
TA
CA
CA
CA
CA
KA
KA
CA
SJ
KA
KA
YL
SL
PC
PA
PA
TM
CA
CA
TA
TA
TA
SA
TM
EA

UNIT PRICE
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12

NDC
52297079652
52297086778
52297086878
52544033601
52555077101
52555077150
52569080737
52569082043
52735038901
52735039101
52735039201
52735039301
52747030730
52747030770
52959003714
52959003720
52959004920
52959004928
52959004930
52959004940
52959006220
52959006228
52959006230
52959006240
52959006256
52959006720
52959006730
52959012530
52959017660
52959021120
52959021121
52959021130
52959021142
52959032300
52959033420
52959033430
52959037600
52959037616
52959037620
52959037630
52959037640
52959037660
52959042030
52959045002
52959046220
52959048320
52959048321
52959048330
52959050420
52959050440
52959071200
52959071215
52959071230

NAME
HM UNDERPADS SUPER
HM INSULIN SYRINGE 0.3 ML
HM INSULIN SYRINGE 0.5 ML
ACYCLOVIR 800 MG TABLET
CIPROFLOXACIN HCL 750 MG TAB
CIPROFLOXACIN HCL 750 MG TAB
HM INSULIN SYRINGE 1 ML
HM INSULIN SYRINGE 0.3 ML
FP INSULIN 0.5 ML SYRINGE
FP INSULIN 0.3 ML SYRINGE
FP INSULIN 0.5 ML SYRINGE
FP INSULIN 1 ML SYRINGE
HEMOCYTE TABLET
HEMOCYTE TABLET
CIPRO 750 MG TABLET
CIPRO 750 MG TABLET
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
ERY-TAB 500 MG TABLET EC
ERY-TAB 500 MG TABLET EC
ERY-TAB 500 MG TABLET EC
ERY-TAB 500 MG TABLET EC
ERY-TAB 500 MG TABLET EC
FENOPROFEN 600 MG TABLET
FENOPROFEN 600 MG TABLET
CARDEC-DM DROPS
HYDROXYCHLOROQUINE 200 MG TB
LODINE 300 MG CAPSULE
LODINE 300 MG CAPSULE
LODINE 300 MG CAPSULE
LODINE 300 MG CAPSULE
ESTRADIOL 2 MG TABLET
PROPOXYPHENE HCL 65 MG CAP
PROPOXYPHENE HCL 65 MG CAP
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
MEDROXYPROGESTERONE 2.5 MG
PROBENECID 500 MG TABLET
PROPOXYPHENE COMP-65 CAP
ETODOLAC 300 MG CAPSULE
ETODOLAC 300 MG CAPSULE
ETODOLAC 300 MG CAPSULE
ERYTHROMYCIN ST 500 MG TAB
ERYTHROMYCIN ST 500 MG TAB
TRIAMTERENE-HCTZ 37.5/25 CP
TRIAMTERENE-HCTZ 37.5/25 CP
TRIAMTERENE-HCTZ 37.5/25 CP

DOSE FORM DRUG STRENGTH


EA
YL
YL
TA
TA
TA
YL
YL
YL
YL
YL
YL
TA
TA
TA
TA
CA
CA
CA
CA
TE
TE
TE
TE
TE
TA
TA
SO
TA
CA
CA
CA
CA
TA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
CA
CA
TA
TA
CA
CA
CA

UNIT PRICE
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12

NDC
52959071290
52959073420
53191014501
53335006614
53489014801
53489014810
54000061310
54000061311
54000061312
54092045201
54348071421
54391002703
54458089802
54569012502
54569012505
54569022300
54569022304
54569022305
54569188900
54569188901
54569188904
54569210501
54569248800
54569248801
54569248803
54569248804
54569250200
54569250203
54569250207
54569250800
54569250801
54569250803
54569334701
54569376500
54569380602
54569383900
54569383902
54569396700
54569396701
54569432900
54569454500
54569454501
54569472400
54569498101
54569521100
54569521101
54569549000
54569558300
54569558301
54569561900
54569561901
54629001167
54629008037

NAME
TRIAMTERENE-HCTZ 37.5/25 CP
CIPROFLOXACIN HCL 750 MG TAB
PROS-TECH PLUS CAPSULE
L-GLUTAMIC ACID 500 MG CAP
THIORIDAZINE 10 MG TABLET
THIORIDAZINE 10 MG TABLET
PROVIDE UNDERPAD - LARGE
PROVIDE UNDERPAD - LARGE
PROVIDE PREMIUM UNDERPAD LG
DEXTROSTAT 10 MG TABLET
ESTRACE 2 MG TABLET
CALCI-MIX 1.25 GM CAPSULE
ST. JOHN'S WORT 25 MG/ML DRP
ERYTHROCIN 500 MG FILMTAB
ERYTHROCIN 500 MG FILMTAB
PROPOXYPHENE HCL 65 MG CAP
PROPOXYPHENE HCL 65 MG CAP
PROPOXYPHENE HCL 65 MG CAP
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
FENOPROFEN 600 MG TABLET
CIPRO 750 MG TABLET
CIPRO 750 MG TABLET
CIPRO 750 MG TABLET
CIPRO 750 MG TABLET
ERYTHROMYCIN 500 MG FILMTAB
ERYTHROMYCIN 500 MG FILMTAB
ERYTHROMYCIN 500 MG FILMTAB
ERY-TAB 500 MG TABLET EC
ERY-TAB 500 MG TABLET EC
ERY-TAB 500 MG TABLET EC
ERYTHROCIN 500 MG FILMTAB
TAMOXIFEN 10 MG TABLET
MEDROXYPROGESTERONE 2.5 MG
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
TRIAMTERENE/HCTZ 37.5/25 CP
TRIAMTERENE/HCTZ 37.5/25 CP
HYDROCORTISONE 2.5% CREAM
ETODOLAC 300 MG CAPSULE
ETODOLAC 300 MG CAPSULE
ACYCLOVIR 800 MG TABLET
HYDROXYCHLOROQUINE 200 MG TB
GLUCOVANCE 5/500 MG TAB
GLUCOVANCE 5/500 MG TAB
CARBOFED DM DROPS
CIPROFLOXACIN HCL 750 MG TAB
CIPROFLOXACIN 750 MG TABLET
GLYBURIDE-METFORMIN 5/500 MG
GLYBURIDE-METFORMIN 5/500 MG
L-CARNITINE 200 MG CAPSULE
LYCOTENE 6 MG SOFTGEL

DOSE FORM DRUG STRENGTH


CA
TA
CA
CA
TA
TA
EA
EA
EA
TA
TA
CA
SO
TA
TA
CA
CA
CA
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TE
TE
TE
TA
TA
TA
TA
TA
CA
CA
KA
CA
CA
TA
TA
TA
TA
SO
TA
TA
TA
TA
CA
CA

UNIT PRICE
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12

NDC
54807082201
54838053730
54868004300
54868004301
54868004302
54868015900
54868015902
54868022500
54868022501
54868048200
54868049500
54868062401
54868062402
54868062403
54868077503
54868090800
54868101001
54868101003
54868118401
54868118402
54868118403
54868138000
54868138001
54868138002
54868138003
54868138700
54868138701
54868138702
54868146600
54868146601
54868146701
54868146702
54868151101
54868201801
54868201803
54868201804
54868218400
54868218402
54868218403
54868218404
54868230200
54868230202
54868250401
54868284000
54868298400
54868298402
54868298403
54868300401
54868300402
54868331600
54868331602
54868331603
54868336600

NAME
CHLORPROMAZINE 50 MG TABLET
SILDEC-DM DROPS
DIPYRIDAMOLE 50 MG TABLET
DIPYRIDAMOLE 50 MG TABLET
DIPYRIDAMOLE 50 MG TABLET
PROBENECID 500 MG TABLET
PROBENECID 500 MG TABLET
ERYTHROMYCIN ST 500 MG TAB
ERYTHROMYCIN ST 500 MG TAB
AMINO-CERV CREAM
ESTRACE 2 MG TABLET
PROPINE 0.1% EYE DROPS
PROPINE 0.1% EYE DROPS
PROPINE 0.1% EYE DROPS
FENOPROFEN 600 MG TABLET
PREDNISONE 50 MG TABLET
PROVERA 2.5 MG TABLET
PROVERA 2.5 MG TABLET
CIPRO 750 MG TABLET
CIPRO 750 MG TABLET
CIPRO 750 MG TABLET
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
ERYTHROMYCIN 500 MG FILMTAB
ERYTHROMYCIN 500 MG FILMTAB
ERYTHROMYCIN 500 MG FILMTAB
PROPOXYPHENE HCL 65 MG CAP
PROPOXYPHENE HCL 65 MG CAP
PROPOXYPHENE COMP-65 CAP
PROPOXYPHENE COMP-65 CAP
LOMOTIL LIQUID
LODINE 300 MG CAPSULE
LODINE 300 MG CAPSULE
LODINE 300 MG CAPSULE
ZOVIRAX 800 MG TABLET
ZOVIRAX 800 MG TABLET
ZOVIRAX 800 MG TABLET
ZOVIRAX 800 MG TABLET
CHLORPROMAZINE 50 MG TABLET
CHLORPROMAZINE 50 MG TABLET
RETROVIR 10 MG/ML SYRUP
ERY-TAB 500 MG TABLET EC
MEDROXYPROGESTERONE 2.5 MG
MEDROXYPROGESTERONE 2.5 MG
MEDROXYPROGESTERONE 2.5 MG
TAMOXIFEN 10 MG TABLET
TAMOXIFEN 10 MG TABLET
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
DYAZIDE 37.5/25 CAPSULE

DOSE FORM DRUG STRENGTH


TA
SO
TA
TA
TA
TA
TA
TA
TA
KW
TA
SO
SO
SO
TA
TA
TA
TA
TA
TA
TA
CA
CA
CA
CA
TA
TA
TA
CA
CA
CA
CA
SL
CA
CA
CA
TA
TA
TA
TA
TA
TA
ST
TE
TA
TA
TA
TA
TA
TA
TA
TA
CA

UNIT PRICE
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12

NDC
54868336601
54868336602
54868337300
54868382100
54868382101
54868382102
54868382103
54868399800
54868399801
54868399802
54868399803
54868399804
54868399805
54868399806
54868399807
54868399808
54868403100
54868403101
54868403102
54868414700
54868414701
54868414702
54868423200
54868429700
54868429701
54868452900
54868452901
54868452902
54868452903
54868459800
54868459801
54868472700
54868477700
54868484100
54868484101
54868502300
54868502301
54868511300
54868524300
54868524301
55045122708
55045138105
55045138108
55045157108
55045165002
55045216207
55045216208
55045259201
55045259206
55045259207
55045259208
55045264802
55045285000

NAME
DYAZIDE 37.5/25 CAPSULE
DYAZIDE 37.5/25 CAPSULE
DIPIVEFRIN 0.1% EYE DROPS
HYDROXYCHLOROQUINE 200 MG TB
HYDROXYCHLOROQUINE 200 MG TB
HYDROXYCHLOROQUINE 200 MG TB
HYDROXYCHLOROQUINE 200 MG TB
ACYCLOVIR 800 MG TABLET
ACYCLOVIR 800 MG TABLET
ACYCLOVIR 800 MG TABLET
ACYCLOVIR 800 MG TABLET
ACYCLOVIR 800 MG TABLET
ACYCLOVIR 800 MG TABLET
ACYCLOVIR 800 MG TABLET
ACYCLOVIR 800 MG TABLET
ACYCLOVIR 800 MG TABLET
ESTRADIOL 2 MG TABLET
ESTRADIOL 2 MG TABLET
ESTRADIOL 2 MG TABLET
DILAUDID 8 MG TABLET
DILAUDID 8 MG TABLET
DILAUDID 8 MG TABLET
PROCTOCREAM-HC 2.5% CREAM
GUAIFENESIN LA 1,200 MG TB SA
GUAIFENESIN LA 1,200 MG TB SA
GLUCOVANCE 5/500 MG TAB
GLUCOVANCE 5/500 MG TAB
GLUCOVANCE 5/500 MG TAB
GLUCOVANCE 5/500 MG TAB
HYDROMORPHONE HCL 8 MG TAB
HYDROMORPHONE HCL 8 MG TAB
CARBINOX-PSEUD-DM RF DROPS
PRENATAL MULITVITAMIN ULTRA
NIFEREX-PN FORTE TABLET
NIFEREX-PN FORTE TABLET
CIPROFLOXACIN HCL 750 MG TAB
CIPROFLOXACIN HCL 750 MG TAB
TRIAMTERENE-HCTZ 37.5-25 CP
GLYBURIDE-METFORMIN 5/500 MG
GLYBURIDE-METFORMIN 5/500 MG
DICLOXACILLIN 500 MG CAPSULE
ERYTHROMYCIN ST 500 MG TAB
ERYTHROMYCIN ST 500 MG TAB
FENOPROFEN 600 MG TABLET
CIPRO 750 MG TABLET
ERY-TAB 500 MG TABLET EC
ERY-TAB 500 MG TABLET EC
ETODOLAC 300 MG CAPSULE
ETODOLAC 300 MG CAPSULE
ETODOLAC 300 MG CAPSULE
ETODOLAC 300 MG CAPSULE
ACYCLOVIR 800 MG TABLET
ESTRADIOL 2 MG TABLET

DOSE FORM DRUG STRENGTH


CA
CA
SO
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
KA
TM
TM
TA
TA
TA
TA
TA
TA
SO
TA
TA
TA
TA
TA
CA
TA
TA
CA
TA
TA
TA
TA
TE
TE
CA
CA
CA
CA
TA
TA

UNIT PRICE
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12

NDC
55045308101
55045308102
55111012801
55111012850
55289002504
55289002520
55289002528
55289002530
55289002540
55289002920
55289006530
55289009420
55289009430
55289009440
55289012130
55289018517
55289021728
55289021740
55289025010
55289032416
55289033010
55289033420
55289033430
55289033440
55289039630
55289045430
55289050130
55289052807
55289056415
55289056420
55289056448
55289058530
55289062910
55289067901
55289070310
55289070502
55289070506
55289070515
55289070516
55289070520
55289070528
55289070530
55289070540
55289070556
55289071220
55289071502
55289071515
55289071517
55289071710
55289081630
55289082620
55289099220
55289099221

NAME
CIPROFLOXACIN HCL 750 MG TAB
CIPROFLOXACIN HCL 750 MG TAB
CIPROFLOXACIN HCL 750 MG TAB
CIPROFLOXACIN HCL 750 MG TAB
ERYTHROMYCIN 500 MG FILMTAB
ERYTHROMYCIN 500 MG FILMTAB
ERYTHROMYCIN 500 MG TAB EC
ERYTHROMYCIN 500 MG FILMTAB
ERYTHROMYCIN 500 MG FILMTAB
PROPOXYPHENE CMPD-65 CAP
DYNAPEN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
PROVERA 2.5 MG TABLET
AMITRIP/PERPHEN 25-4 TABLET
ERY-TAB 500 MG TABLET EC
ERY-TAB 500 MG TABLET EC
TAGAMET 800 MG TABLET
PROPOXYPHENE HCL 65 MG CAP
PREDNISONE 50 MG TABLET
FENOPROFEN 600 MG TABLET
FENOPROFEN 600 MG TABLET
FENOPROFEN 600 MG TABLET
ESTRACE 2 MG TABLET
DYAZIDE 37.5/25 CAPSULE
ETODOLAC 300 MG CAPSULE
CIMETIDINE 800 MG TABLET
ZOVIRAX 800 MG TABLET
ZOVIRAX 800 MG TABLET
ZOVIRAX 800 MG TABLET
NOLVADEX 10 MG TABLET
ACYCLOVIR 800 MG TABLET
DIPYRIDAMOLE 50 MG TABLET
DARVON COMPOUND-65 PULVULE
ERYTHROMYCIN ST 500 MG TAB
ERYTHROMYCIN ST 500 MG TAB
ERYTHROMYCIN ST 500 MG TAB
ERYTHROMYCIN ST 500 MG TAB
ERYTHROMYCIN ST 500 MG TAB
ERYTHROMYCIN ST 500 MG TAB
ERYTHROMYCIN ST 500 MG TAB
ERYTHROMYCIN ST 500 MG TAB
ERYTHROMYCIN ST 500 MG TAB
GUAIFENESIN LA 1,200 MG TB SA
PROBENECID 500 MG TABLET
PROBENECID 500 MG TABLET
PROBENECID 500 MG TABLET
CIPRO 750 MG TABLET
MEDROXYPROGESTERONE 2.5 MG
CIPROFLOXACIN HCL 750 MG TAB
LODINE 300 MG CAPSULE
LODINE 300 MG CAPSULE

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TE
TA
TA
CA
CA
CA
CA
CA
TA
TA
TE
TE
TA
CA
TA
TA
TA
TA
TA
CA
CA
TA
TA
TA
TA
TA
TA
TA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TM
TA
TA
TA
TA
TA
TA
CA
CA

UNIT PRICE
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12

NDC
55289099230
55289099242
55289099260
55370013706
55370013725
55370055607
55370055608
55390001201
55390056090
55654002801
55860007279
55860007299
55887025201
55887070414
55887070420
55887070428
55887070430
55887070440
55887070442
55887070460
55887070482
55887070490
56091002148
57866009701
57866026401
57866026402
57866026502
57866104201
57866399203
57866432801
57866432802
57866432803
57866436001
57866436002
57866436003
57866436004
57866436202
57866570001
57866661501
57866680901
57866713201
57866799101
57866902701
58016011800
58016011810
58016011812
58016011814
58016011815
58016011820
58016011830
58016011850
58016012200
58016012210

NAME
LODINE 300 MG CAPSULE
LODINE 300 MG CAPSULE
LODINE 300 MG CAPSULE
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
ACYCLOVIR 800 MG TABLET
ACYCLOVIR 800 MG TABLET
FLUCONAZOLE-NS 200 MG/100 ML
DOBUTAMINE 12.5 MG/ML VIAL
CARBODEX DM DROPS
AIRSTRIP 3" X 1 1/2"
AIRSTRIP 3" X 1 3/4"
PROCTOSOL-HC 2.5% CREAM
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
SURGIPAD DRESSING 8"X 10"
ESTRACE 2 MG TABLET
ETODOLAC 300 MG CAPSULE
ETODOLAC 300 MG CAPSULE
ERYTHROMYCIN ST 500 MG TAB
THIORIDAZINE 10 MG TABLET
MEDROXYPROGESTERONE 2.5 MG
PREDNISONE 50 MG TABLET
PREDNISONE 50 MG TABLET
PREDNISONE 50 MG TABLET
PROPOXYPHENE COMP-65 CAP
PROPOXYPHENE COMP-65 CAP
PROPOXYPHENE COMP-65 CAP
PROPOXYPHENE COMP-65 CAP
PROPOXYPHENE HCL 65 MG CAP
FENOPROFEN 600 MG TABLET
NOLVADEX 10 MG TABLET
TRIAMTERENE/HCTZ 37.5/25 CP
CIPRO 750 MG TABLET
GLUCOVANCE 5/500 MG TABLET
HYDROXYCHLOROQUINE 200 MG TB
CIPRO 750 MG TABLET
CIPRO 750 MG TABLET
CIPRO 750 MG TABLET
CIPRO 750 MG TABLET
CIPRO 750 MG TABLET
CIPRO 750 MG TABLET
CIPRO 750 MG TABLET
CIPRO 750 MG TABLET
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE

DOSE FORM DRUG STRENGTH


CA
CA
CA
TA
TA
TA
TA
HP
HV
SO
YE
YE
KA
CA
CA
CA
CA
CA
CA
CA
CA
CA
YE
TA
CA
CA
TA
TA
TA
TA
TA
TA
CA
CA
CA
CA
CA
TA
TA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA

UNIT PRICE
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12

NDC
58016012212
58016012214
58016012215
58016012220
58016012221
58016012224
58016012228
58016012230
58016012240
58016012250
58016012260
58016012500
58016012503
58016012506
58016012509
58016012510
58016012512
58016012514
58016012515
58016012520
58016012521
58016012524
58016012528
58016012530
58016012540
58016020900
58016020914
58016020915
58016020920
58016020921
58016020930
58016020942
58016020960
58016021420
58016021430
58016021500
58016021502
58016021512
58016021515
58016021520
58016021528
58016021530
58016021556
58016021560
58016024406
58016024420
58016024421
58016024430
58016024460
58016053000
58016053002
58016053003
58016053007

NAME
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
ERYTHROMYCIN ST 500 MG TAB
ERYTHROMYCIN ST 500 MG TAB
ERYTHROMYCIN ST 500 MG TAB
ERYTHROMYCIN ST 500 MG TAB
ERYTHROMYCIN ST 500 MG TAB
ERYTHROMYCIN ST 500 MG TAB
ERYTHROMYCIN ST 500 MG TAB
ERYTHROMYCIN ST 500 MG TAB
ERYTHROMYCIN ST 500 MG TAB
ERYTHROMYCIN ST 500 MG TAB
ERYTHROMYCIN ST 500 MG TAB
ERYTHROMYCIN ST 500 MG TAB
ERYTHROMYCIN ST 500 MG TAB
ERYTHROMYCIN ST 500 MG TAB
ETODOLAC 300 MG CAPSULE
ETODOLAC 300 MG CAPSULE
ETODOLAC 300 MG CAPSULE
ETODOLAC 300 MG CAPSULE
ETODOLAC 300 MG CAPSULE
ETODOLAC 300 MG CAPSULE
ETODOLAC 300 MG CAPSULE
ETODOLAC 300 MG CAPSULE
PROPOXYPHENE HCL 65 MG CAP
PROPOXYPHENE HCL 65 MG CAP
PROPOXYPHENE COMP-65 CAP
PROPOXYPHENE COMP-65 CAP
PROPOXYPHENE COMP-65 CAP
PROPOXYPHENE COMP-65 CAP
PROPOXYPHENE COMP-65 CAP
PROPOXYPHENE COMP-65 CAP
PROPOXYPHENE COMP-65 CAP
PROPOXYPHENE COMP-65 CAP
PROPOXYPHENE COMP-65 CAP
FENOPROFEN 600 MG TABLET
FENOPROFEN 600 MG TABLET
FENOPROFEN 600 MG TABLET
FENOPROFEN 600 MG TABLET
FENOPROFEN 600 MG TABLET
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET

DOSE FORM DRUG STRENGTH


CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12

NDC
58016053009
58016053012
58016053015
58016053020
58016053024
58016053030
58016053073
58016053089
58016055512
58016055520
58016062700
58016062720
58016062730
58016062760
58016062790
58016065760
58016095700
58016095702
58016095710
58016095712
58016095715
58016095720
58016095730
58016095760
58016095790
58016096900
58177025711
58177025804
58177025811
58177029204
58177029211
58177031204
58223010652
58407037816
58437000313
58437000321
58521045201
58864010930
58864019125
58864019135
58864019528
58864020028
58864066030
58864068840
58864076630
58864084530
58980047610
59310012010
59366278103
59528050805
59528102805
59606045615
59743002801

NAME
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
DIPYRIDAMOLE 50 MG TABLET
DIPYRIDAMOLE 50 MG TABLET
ACYCLOVIR 800 MG TABLET
ACYCLOVIR 800 MG TABLET
ACYCLOVIR 800 MG TABLET
ACYCLOVIR 800 MG TABLET
ACYCLOVIR 800 MG TABLET
NOLVADEX 10 MG TABLET
CIPROFLOXACIN HCL 750 MG TAB
CIPROFLOXACIN HCL 750 MG TAB
CIPROFLOXACIN HCL 750 MG TAB
CIPROFLOXACIN HCL 750 MG TAB
CIPROFLOXACIN HCL 750 MG TAB
CIPROFLOXACIN HCL 750 MG TAB
CIPROFLOXACIN HCL 750 MG TAB
CIPROFLOXACIN HCL 750 MG TAB
CIPROFLOXACIN HCL 750 MG TAB
PROVERA 2.5 MG TABLET
NATALCARE PIC TABLET
NATALCARE PIC FORTE TABLET
NATALCARE PIC FORTE TABLET
ULTRA NATALCARE TABLET
ULTRA NATALCARE TABLET
DEXTROAMPHETAMINE 10 MG TAB
SUPER NU-THERA POWDER
ZTUSS EXPECTORANT
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
DEXTROAMPHETAMINE SO4 10MG TAB
CIMETIDINE 800 MG TABLET
ACYCLOVIR 800 MG TABLET
ACYCLOVIR 800 MG TABLET
ERYTHROMYCIN 500 MG FILMTAB
ERYTHROMYCIN ST 500 MG TAB
DYAZIDE 37.5/25 CAPSULE
DICLOXACILLIN 500 MG CAPSULE
TRIAMTERENE-HCTZ 37.5/25 CAP
ERY-TAB 500 MG TABLET EC
MELQUIN-3 SOLUTION
MUCO-FEN 1,200 TABLET SA
HYDROQUINONE 3% SOLUTION
MAGNEBIND 300 TABLET
MAGNEBIND 200 TABLET
ANTI-GAS 166 MG SOFTGEL
GUAIFENESIN-SR 1,200 MG TB SA

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
PA
SL
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
CA
TE
SA
TM
SA
TA
TA
CA
TM

UNIT PRICE
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12

NDC
59762374001
59762374005
59762503402
59772002703
59772002704
59772605801
59779114599
59779114796
59779114811
59879012301
60258012801
60258018201
60258025801
60258044530
60267023414
60429071350
60432023730
60505002102
60505002103
60505004001
60505073301
60505131004
60758008705
60758008710
60758008715
60760047130
60951063330
61059035301
61059035891
61059035901
61059050951
61059502913
61059503019
61314023505
61314023510
61314023515
61553012148
61553012602
61553012702
61553012948
61553013202
61553021122
61553060248
61553060348
61570031311
61646017201
61703040932
61703040953
61703040967
61703041463
62403000201
62451365030
62991124501

NAME
MEDROXYPROGESTERONE 2.5 MG
MEDROXYPROGESTERONE 2.5 MG
FLUCONAZOLE-NS 200 MG/100 ML
ESTRADIOL 2 MG TABLET
ESTRADIOL 2 MG TABLET
DICLOXACILLIN 500 MG CAPSULE
CVS SYRINGE 3/10 ML
CVS SYRINGE 1/2 ML
CVS SYRINGE 1/2 ML
ULTRA-NATAL TABLET
CALVITE P&D TABLET
FERROUS FUMARATE 324 MG TAB
GUAIFENESIN 1,200 TABLET SA
ANDEHIST-DM NR ORAL DROPS
AMINO ACID CERVICAL CREAM
ACYCLOVIR 800 MG TABLET
CARBAXEFED DM RF ORAL DROPS
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
ETODOLAC 300 MG CAPSULE
FLUCONAZOLE-NS 200 MG/100 ML
CIPROFLOXACIN HCL 750 MG TAB
DIPIVEFRIN 0.1% EYE DROPS
DIPIVEFRIN 0.1% EYE DROPS
DIPIVEFRIN 0.1% EYE DROPS
FENOPROFEN 600 MG TABLET
CIMETIDINE 800 MG TABLET
UNIFINE PENTIP NEEDLES
UNIFINE PENTIP NEEDLES
UNIFINE PENTIPS 6MM NEEDLES
UNIFINE PENTIPS 6MM NEEDLES
UNIFINE PENTIP NEEDLES
UNIFINE PENTIP NEEDLES
DIPIVEFRIN 0.1% EYE DROPS
DIPIVEFRIN 0.1% EYE DROPS
DIPIVEFRIN 0.1% EYE DROPS
FENTA-BUPIVA-NS 2 MCG/0.0625%
FENTA-BUPIVA-NS 4 MCG/0.0625%
FENTA-BUPIVA-NS 4 MCG/0.0625%
FENTA-BUPIVA-NS 2 MCG/0.0625%
FENTA-BUPIVA-NS 2 MCG/0.0625%
FENTA-BUPIVA-NS 4 MCG/0.0625%
FENTANYL-NS 2 MCG/ML
FENTANYL CITRATE/NS 2 MCG/ML
ANUSOL-HC 2.5% CREAM
GUAIFENESIN 1,200 MG TAB SA
FLUOROURACIL 50 MG/ML VIAL
FLUOROURACIL 50 MG/ML VIAL
FLUOROURACIL 50 MG/ML VIAL
FLUCONAZOLE-NS 200 MG/100 ML
KIDSTART TABLET CHEWABLE
TRIAMTERENE/HCTZ 37.5/25 CP
NITROFURAZONE POWDER

DOSE FORM DRUG STRENGTH


TA
TA
HP
TA
TA
CA
YL
YL
YL
TA
TA
TA
TM
SO
KW
TA
SO
TA
TA
CA
HP
TA
SO
SO
SO
TA
TA
YH
YH
YH
YH
YH
YH
SO
SO
SO
HZ
HZ
HZ
HZ
HZ
HZ
HZ
HZ
KA
TM
HV
HV
HV
HP
TC
CA
PA

UNIT PRICE
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12

NDC
62991124502
62991133001
62991133002
62991156901
63162050716
63162051316
63304040701
63304050501
63304060028
63304060060
63304071101
63304071150
63323011710
63323011720
63323011751
63323011761
63323030861
63736003751
63736020418
63739008601
63739008602
63739008603
63739026915
63739031615
63868075516
63921042003
64376080401
64455007003
64543012101
64899008720
64899093101
64899093501
64899093601
64899093701
64915075560
64980030130
65162017203
65162061010
65649040130
66116024650
66116026630
66116028830
66116042740
66239024530
66267007320
66267007328
66267007340
66267008920
66267008928
66267009120
66267009128
66267009130
66267009140

NAME
NITROFURAZONE POWDER
ALUMINUM OXIDE POWDER
ALUMINUM OXIDE POWDER
ALOE VERA OIL
ALACOL DM SYRUP
BALTUSSIN SYRUP
PROCTOSOL-HC 2.5% CREAM
ACYCLOVIR 800 MG TABLET
TAMOXIFEN 10 MG TABLET
TAMOXIFEN 10 MG TABLET
CIPROFLOXACIN HCL 750 MG TAB
CIPROFLOXACIN HCL 750 MG TAB
FLUOROURACIL 50 MG/ML VIAL
FLUOROURACIL 50 MG/ML VIAL
FLUOROURACIL 50 MG/ML VIAL
FLUOROURACIL 50 MG/ML VIAL
FLUCONAZOLE-NS 200 MG/100 ML
AMERICAINE HEMORRHOID OINT
CEPASTAT LOZENGE
DIPYRIDAMOLE 50 MG TABLET
DIPYRIDAMOLE 50 MG TABLET
DIPYRIDAMOLE 50 MG TABLET
TAMOXIFEN 10 MG TABLET
ACYCLOVIR 800 MG TABLET
COMPLETE SINUS RELIEF TAB
WOUND GEL DRESSING
PHOSCAL D TABLET
RONDEC-DM DROPS
LIQUIBID 1,200 TABLET SA
HCA COUGH-EX CAPLET
HCA INSULIN SYRINGE 0.3 ML
HCA INSULIN SYRINGE 0.3 ML
HCA INSULIN SYRINGE 0.5 ML
HCA INSULIN SYRINGE 1 ML
SIBERIAN GINSENG 250 MG CAP
PROCTOZONE-HC 2.5% CREAM
CIMETIDINE 800 MG TABLET
HYDROXYCHLOROQUINE 200 MG TAB
ANUSOL-HC 2.5% CREAM
ACYCLOVIR 800 MG TABLET
TRIAMTERENE/HCTZ 37.5/25 CP
MEDROXYPROGESTERONE 2.5 MG
DICLOXACILLIN 500 MG CAPSULE
BROMDEC DM DROPS
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
ERY-TAB 500 MG TABLET EC
ERY-TAB 500 MG TABLET EC
ERYTHROMYCIN 500 MG FILMTAB
ERYTHROMYCIN 500 MG FILMTAB
ERYTHROMYCIN 500 MG FILMTAB
ERYTHROMYCIN 500 MG FILMTAB

DOSE FORM DRUG STRENGTH


PA
PA
PA
SQ
ST
ST
KA
TA
TA
TA
TA
TA
HV
HV
HV
HV
HP
OA
TL
TA
TA
TA
TA
TA
TA
JG
TA
SO
TM
TA
YL
YL
YL
YL
CA
KA
TA
TA
KA
TA
CA
TA
CA
SO
CA
CA
CA
TE
TE
TA
TA
TA
TA

UNIT PRICE
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12

NDC
66267009620
66267014130
66267017920
66267017930
66267025830
66267039930
66267094730
66424060001
66500074801
66591061241
66591062241
66685170400
66685170401
66685170402
66870011301
66993032402
67253010210
67253010250
67253034210
67253034225
67767013911
68030713201
68030799101
68084007101
68115000730
68115008030
68115010510
68115010520
68115010528
68115013520
68115013530
68115013540
68115013628
68115013640
68115014030
68115030630
68115041030
68115063300
68115074300
68188088150
68702000365
68702000366
68702000367
68702000368
70030013907
70030014562
70030014563
70030014618
70319002073
70319002074
70319002075
70501009300
73913128270

NAME
FENOPROFEN 600 MG TABLET
MEDROXYPROGESTERONE 2.5 MG
PROPOXYPHENE HCL 65 MG CAP
PROPOXYPHENE HCL 65 MG CAP
CIMETIDINE 800 MG TABLET
ACYCLOVIR 800 MG TABLET
PROCTOCARE-HC 2.5% CREAM
GUAIFENESIN SR 1,200 MG TAB
GYNODIOL 2 MG TABLET
DARVON COMPOUND-65 PULVULE
DARVON 65 MG PULVULE
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
AMBI 1,200 MG CAPLET
GUAIFENESIN 1,200 MG TAB
ACYCLOVIR 800 MG TABLET
ACYCLOVIR 800 MG TABLET
CIMETIDINE 800 MG TABLET
CIMETIDINE 800 MG TABLET
CIPROFLOXACIN HCL 750 MG TAB
CIPRO 750 MG TABLET
GLUCOVANCE 5/500 MG TAB
CIPROFLOXACIN HCL 750 MG TAB
ACYCLOVIR 800 MG TABLET
CIMETIDINE 800 MG TABLET
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
DICLOXACILLIN 500 MG CAPSULE
ERYTHROMYCIN 500 MG FILMTAB
ERYTHROMYCIN 500 MG FILMTAB
ERYTHROMYCIN 500 MG FILMTAB
ERYTHROMYCIN ST 500 MG TAB
ERYTHROMYCIN ST 500 MG TAB
FENOPROFEN 600 MG TABLET
PROPOXYPHENE HCL 65 MG CAPSULE
PROBENECID 500 MG TABLET
HYDROXYCHLOROQUINE 200 MG TB
DARVON COMPOUND-65 PULVULE
METHYLIN 5 MG/5 ML SOLUTION
HARMONIE ULTRA PLUS UNDERPAD
HARMONIE ULTRA UNDERPAD
HARMONIE ULTRA PLUS UNDERPAD
HARMONIE ULTRA UNDERPAD
NASAL DECONGESTANT CAPLET
12 HOUR COLD CAPLET SA
12 HOUR COLD CAPLET SA
DIBROMM EXT REL NASAL TAB
TRANQ SLIMLINE PEACH PAD
TRANQ PEACH-SHEET BED PAD
TRANQ PEACH-SHEET BED PAD
MELANEX 3% SOLUTION
FIRST CHOICE SYRINGE 0.3 ML

DOSE FORM DRUG STRENGTH


TA
TA
CA
CA
TA
TA
KA
TM
TA
CA
CA
TA
TA
TA
TM
TM
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
CA
TA
TA
TA
TA
TA
TA
CA
TA
TA
CA
SJ
EA
EA
EA
EA
TS
TS
TS
TS
EA
EA
EA
SA
YL

UNIT PRICE
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12

NDC
73913128271
73913192609
73913192610
74300001008
79854001167
79854008037
81306051413
81306051513
81306051523
81306051623
81306052413
81306052513
81306052523
81306052623
81317054050
81317340500
82468061432
82468061434
82468061435
82468061436
82468062111
82468062112
82468062113
86227065035
86227065055
86227065105
86679023605
86679023934
86679023949
86679023950
86679023951
86679023952
86679023953
86679023963
86679024107
87701012408
87701012423
87701030763
87701030764
87701039969
87701039970
87701039971
87701039972
87701039973
87701039974
87701055571
87701065329
87701065340
87701065343
87701065352
87701074725
87701074728
87701091455

NAME
FIRST CHOICE SYRINGE 0.5 ML
FIRST CHOICE SYRINGE 0.5 ML
FIRST CHOICE SYRINGE 1 ML
CORTIZONE-10 1% SPRAY
L-CARNITINE 200 MG CAPSULE
LYCOTENE 6 MG SOFTGEL
RELION INSULIN SYR 0.3 ML
RELION INSULIN SYR 0.5 ML
RELION INSULIN SYR 0.5 ML
RELION INSULIN SYRINGE 1 ML
RELI-ON INSULIN 0.3 ML SYR
RELI-ON INSULIN 0.5 ML SYR
RELI-ON INSULIN 0.5 ML SYR
RELI-ON INSULIN 1 ML SYR
LUBRI-WIPE
ADHESIVE REMOVER WIPES
FP INSULIN 0.5 ML SYRINGE
FP INSULIN 0.3 ML SYRINGE
FP INSULIN 0.5 ML SYRINGE
FP INSULIN 1 ML SYRINGE
FP INSULIN SYRINGE 0.5 ML
FP INSULIN SYRINGE 1 ML
FP INSULIN SYRINGE 0.3 ML
SURE COMFORT 3/10 ML SYRINGE
SURE COMFORT 0.5 ML SYRINGE
SURE COMFORT 1 ML SYRINGE
ULTIMA TUCKABLES 28"X70" PAD
TUFFSORB 30"X30" UNDERPAD
ATTENDS NIGHT PRESERVER PADS
ULTIMA PAD 36"X36"
TUCKABLES 28"X70" UNDERPAD
TUCKABLES 28"X70" UNDERPAD
TUCKABLES 36"X70" UNDERPAD
TUCKABLES 28"X70" UNDERPAD
TUCKABLES 28"X70" UNDERPAD
BL UNDERPADS EXTRA LARGE
BL UNDERPAD REGULAR 17"X23.5"
GNP 12 HOUR COLD CAPLET SA
BL 12 HOUR COLD CAPLET SA
BL INSULIN SYRINGE 0.3 ML
BL INSULIN SYRINGE 1 ML
BL INSULIN SYRINGE 0.5 ML
GNP INSULIN SYRINGE 0.5 ML
GNP INSULIN SYRINGE 1 ML
GNP INSULIN SYRINGE 0.3 ML
BL UNDERPAD, SUPER
BL INSULIN 1 ML SYRINGE
BL INSULIN 0.5 ML SYRINGE
GNP ULTRA COMFORT 1 ML SYRINGE
GNP ULTRA COMFORT 0.5 ML SYR
GNP ULTRA COMFORT 3/10 ML SYR
GNP ULTRA COMFORT 0.5 ML SYR
BL ANTI-GAS 166 MG SOTFGEL

DOSE FORM DRUG STRENGTH


YL
YL
YL
AS
CA
CA
YL
YL
YL
YL
YL
YL
YL
YL
YW
YW
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
TS
TS
YL
YL
YL
YL
YL
YL
EA
YL
YL
YL
YL
YL
YL
CA

UNIT PRICE
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12

NDC
87701091485
87701098915
87701099096
90891001000
90891001001
90891013050
91899042912
91899043012
91899043112
91899043252
96295010684
96295011261
96295011262
96295011263
96295104554
97807007077
97807011038
97807011046
97807011047
97807011048
00003183910
00005557619
00006091768
00006333160
00006337666
00006889635
00006889636
00009001201
00009017007
00019131707
00019131709
00019131711
00019659301
00019659303
00024033502
00024033504
00024033506
00024105010
00024262401
00025190131
00025190134
00031868101
00034051510
00034051512
00034051545
00034051550
00034051590
00034999625
00037054192
00037054196
00037054197
00037100101
00037100102

NAME
GNP ANTI-GAS 166 MG SOTFGEL
BL SUPHEDRIN 12HR CAPLT SA
GNP SUPHEDRIN 12HR CAPLT SA
FQ PREVAIL FITS TO A T PAD
FQ PREVAIL FITS TO A T PAD
SUPER ABSORBENT UNDERPAD
MS INSULIN 0.3 ML SYRINGE
MS INSULIN 0.5 ML SYRINGE
MS INSULIN 1 ML SYRINGE
12 HOUR DECONGESTANT CAPLET
12 HOUR DECONGEST 120 MG CAPLT
LEADER INSULIN 0.5 ML SYRINGE
LEADER INSULIN 1 ML SYRINGE
LEADER INSULIN 0.3 ML SYRINGE
UNDERPADS SUPER LARGE
HCA COUGH-EX CAPLET
HCA INSULIN SYRINGE 0.3 ML
HCA INSULIN SYRINGE 0.3 ML
HCA INSULIN SYRINGE 0.5 ML
HCA INSULIN SYRINGE 1 ML
STOMAHESIVE PASTE
CALTRATE 600 W/SOY TABLET
MODURETIC 5/50 TABLET
MINTEZOL 500 MG/5 ML SUSP
INDOCIN 25 MG/5 ML SUSPENSION
TIMOPTIC 0.5% OCUM PLUS DRP
TIMOPTIC 0.5% OCUM PLUS DRP
CORTEF 5 MG TABLET
ANSAID 50 MG TABLET
MD-76 R 66/10 INFUS BOTTLE
MD-76 R 66/10 INFUS BOTTLE
MD-76 R 66/10 INFUS BOTTLE
PHENOBARBITAL SODIUM POWDER
PHENOBARBITAL SODIUM POWDER
DEMEROL 50 MG TABLET
DEMEROL 50 MG TABLET
DEMEROL 50 MG TABLET
BREONESIN 200 MG CAPSULE
ZEPHREX TABLET
CALAN SR 120 MG CAPLET SA
CALAN SR 120 MG CAPLET SA
ROBITUSSIN DM INFANT DROPS
MS CONTIN 30 MG TABLET SA
MS CONTIN 30 MG TABLET SA
MS CONTIN 30 MG TABLET SA
MS CONTIN 30 MG TABLET SA
MS CONTIN 30 MG TABLET SA
X-PREP LIQUID
LUFYLLIN-GG TABLET
LUFYLLIN-GG TABLET
LUFYLLIN-GG TABLET
MILTOWN 400 MG TABLET
MILTOWN 400 MG TABLET

DOSE FORM DRUG STRENGTH


CA
TS
TS
EA
EA
EA
YL
YL
YL
TS
TS
YL
YL
YL
EA
TA
YL
YL
YL
YL
KP
TA
TA
SC
SC
SO
SO
TA
TA
HB
HB
HB
PA
PA
TA
TA
TA
CA
TA
TS
TS
SO
TS
TS
TA
TA
TS
SL
TA
TA
TA
TA
TA

UNIT PRICE
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.12
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13

NDC
00037100103
00045021148
00045029408
00045043110
00046076181
00049342030
00049342041
00049562066
00054428813
00054459525
00054480519
00054480525
00054480527
00054828825
00054859511
00054880524
00065003508
00066005101
00068020918
00069097065
00071201223
00072220316
00072220360
00074114914
00074441902
00074604301
00074721703
00074722217
00074722218
00074765103
00074765162
00074781124
00074781137
00083001630
00085037401
00085037402
00085037403
00085037404
00085037409
00087003147
00087607311
00093089201
00093106201
00093717801
00093720356
00093726101
00093726105
00093740306
00095000816
00108490620
00115273301
00115279001
00115279006

NAME
MILTOWN 400 MG TABLET
TYLENOL SEVERE ALLERGY CAPLET
IMODIUM ADVANCED TAB CHEW
MOTRIN 100 MG TABLET CHEW
LODINE 400 MG TABLET
DIFLUCAN 100 MG TABLET
DIFLUCAN 100 MG TABLET
ATARAX 50 MG TABLET
FLUCONAZOLE 100 MG TABLET
MEPERIDINE 50 MG TABLET
ORAMORPH SR 30 MG TABLET SA
ORAMORPH SR 30 MG TABLET SA
ORAMORPH SR 30 MG TABLET SA
FLUCONAZOLE 100 MG TABLET
MEPERIDINE 50 MG TABLET
ORAMORPH SR 30 MG TABLET SA
OSMOGLYN 50% SOLUTION
VYTONE 1/1 CREAM
CEPACOL SORE THROAT LOZENGE
VIBRAMYCIN 25 MG/5 ML SUSP
NEURONTIN 250 MG/5 ML SOLN
EURAX 10% LOTION
EURAX 10% LOTION
ISOPTIN SR 120 MG TABLET
NUTRIMIX IV EMPTY CONTAINER
AMMONIUM CHLORIDE 5 MEQ/ML
AMINOSYN-HF 8% IV SOLUTION
EMPTY 3-IN-1 MIX CONTNR/SET
EMPTY 3-IN-1 MIX CONTNR/SET
HEPARIN 25000U-1/2NS 500ML
HEPARIN 12500U-1/2NS 250ML
METRONIDAZOLE 500 MG/100 ML
METRONIDAZOLE 500 MG/100 ML
RITALIN-SR 20 MG TABLET SA
CHLOR-TRIMETON 8 MG REPETAB
CHLOR-TRIMETON 8 MG REPETAB
CHLOR-TRIMETON 8 MG REPETAB
CHLOR-TRIMETON 8 MG REPETAB
CHLOR-TRIMETON 8 MG REPETAB
SERZONE 50 MG TABLET
GLUCOVANCE 2.5/500 MG TAB
ETODOLAC 400 MG TABLET
SOTALOL 160 MG TABLET
NEFAZODONE HCL 50 MG TABLET
FLUCONAZOLE 100 MG TABLET
GLYBURIDE-METFORMIN 2.5/500 MG
GLYBURIDE-METFORMIN 2.5/500 MG
SOTALOL AF 160 MG TABLET
LODRANE XR SUSPENSION
STELAZINE 5 MG TABLET
SOTALOL HCL 160 MG TABLET
CHLOROQUINE PHOSPHATE 250MG 100'S
CHLOROQUINE PHOSPHATE 250MG 50'S

DOSE FORM DRUG STRENGTH


TA
TA
TC
TC
TA
TA
TA
TA
TA
TA
TS
TS
TS
TA
TA
TS
SJ
KA
TL
PD
SJ
SK
SK
TS
EA
HV
HM
EA
EA
HM
HM
HP
HP
TS
TS
TS
TS
TS
TS
TA
TA
TA
TA
TA
TA
TA
TA
TA
SC
TA
TA
TA
TA

UNIT PRICE
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13

NDC
00115705606
00145231005
00145241005
00168020003
00168020010
00168020015
00168020025
00172300160
00172300170
00172417160
00172423960
00172428500
00172428510
00172428560
00172434310
00172434349
00172434360
00172436160
00172541100
00172541110
00172541146
00172541160
00172571100
00172571110
00172571160
00172571170
00172571188
00182142719
00182142723
00182861500
00182861589
00185003860
00185014001
00185017701
00185020501
00185020510
00185064401
00185064410
00185434601
00185434610
00193279001
00193420221
00225058006
00225058008
00228259911
00228259950
00228301611
00228301696
00245001401
00245001411
00247039908
00247039910
00247039912

NAME
CHLOROQUINE PH 250 MG TABLET
BREVOXYL-4 CLEANSING LOTION
BREVOXYL-8 CLEANSING LOTION
TIMOLOL 0.5% EYE DROPS
TIMOLOL 0.5% EYE DROPS
TIMOLOL 0.5% EYE DROPS
TIMOLOL 0.5% EYE DROPS
QUININE SULFATE 260 MG TAB
QUININE SULFATE 260 MG TAB
QUININE SULFATE 200 MG CAP
NADOLOL 160 MG TABLET
VERAPAMIL 120 MG TABLET SA
VERAPAMIL 120 MG TABLET SA
VERAPAMIL 120 MG TABLET SA
NEFAZODONE HCL 50 MG TABLET
NEFAZODONE HCL 50 MG TABLET
NEFAZODONE HCL 50 MG TABLET
FLURBIPROFEN 50MG TAB, 100
FLUCONAZOLE 100 MG TABLET
FLUCONAZOLE 100 MG TABLET
FLUCONAZOLE 100 MG TABLET
FLUCONAZOLE 100 MG TABLET
GLYBURIDE-METFORMIN 2.5/500 MG
GLYBURIDE-METFORMIN 2.5/500 MG
GLYBURIDE-METFORMIN 2.5/500 MG
GLYBURIDE-METFORMIN 2.5/500 MG
GLYBURIDE-METFORMIN 2.5/500 MG
TRIMETHOBENZAMIDE 200 MG SUP
TRIMETHOBENZAMIDE 200 MG SUP
QUININE SULFATE 260 MG TAB
QUININE SULFATE 260 MG TAB
NEFAZODONE HCL 50 MG TABLET
ETODOLAC 400 MG TABLET
SOTALOL 160 MG TABLET
METHIMAZOLE 5 MG TABLET
METHIMAZOLE 5 MG TABLET
PHENTERMINE 15 MG CAPSULE
PHENTERMINE 15 MG CAPSULE
QUINIDINE SULFATE 200 MG TAB
QUINIDINE SULFATE 200 MG TAB
AUTOLET KIT
URIN-TEK KIT
CONGESTAC TABLET
CONGESTAC TABLET
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
PHENTERMINE 37.5 MG TABLET
PHENTERMINE 37.5 MG TABLET
SORINE 160 MG TABLET
SORINE 160 MG TABLET
CHLORPHENIRAMINE 8 MG TAB SA
CHLORPHENIRAMINE 8 MG TAB SA
CHLORPHENIRAMINE 8 MG TAB SA

DOSE FORM DRUG STRENGTH


TA
SZ
SZ
SO
SO
SO
SO
TA
TA
CA
TA
TS
TS
TS
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
QA
QA
TA
TA
TA
TA
TA
TA
TA
CA
CA
TA
TA
YK
YK
TA
TA
TA
TA
TA
TA
TA
TA
TS
TS
TS

UNIT PRICE
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13

NDC
00247039930
00247071803
00247071806
00247071814
00247071820
00247071828
00247071830
00247071840
00247071860
00247076301
00247076315
00247103128
00247107403
00247107406
00247107420
00247149207
00247149214
00247149230
00247149307
00247149330
00264197210
00264553532
00264937155
00264975506
00264975606
00270086030
00270086040
00270086050
00314022401
00314022410
00314800001
00314800010
00338011844
00338049703
00338105548
00338931148
00338931248
00338931302
00338931402
00338932802
00338933548
00338933602
00338933702
00338936141
00338942448
00378007601
00378023701
00378023705
00378031401
00378032701
00378032710
00378057701
00378057705

NAME
CHLORPHENIRAMINE 8 MG TAB SA
LODINE 400 MG TABLET
LODINE 400 MG TABLET
LODINE 400 MG TABLET
LODINE 400 MG TABLET
LODINE 400 MG TABLET
LODINE 400 MG TABLET
LODINE 400 MG TABLET
LODINE 400 MG TABLET
DIFLUCAN 100 MG TABLET
DIFLUCAN 100 MG TABLET
MEPROBAMATE 400 MG TABLET
HYDROXYZINE HCL 50 MG TABLET
HYDROXYZINE HCL 50 MG TABLET
HYDROXYZINE HCL 50 MG TABLET
PHENTERMINE 15 MG CAPSULE
PHENTERMINE 15 MG CAPSULE
PHENTERMINE 15 MG CAPSULE
PHENTERMINE 8 MG TABLET
PHENTERMINE 8 MG TABLET
PENTASPAN 10% IV SOLUTION
METRO IV 500 MG/100 ML
HEPATAMINE 8% IV SOLUTION
EMPTY IV CONT/EVACUATED
EMPTY EVACUATED CONTAINER
RENOCAL-76 66/10 INF BOTTLE
RENOCAL-76 66/10 INF BOTTLE
RENOCAL-76 66/10 INF BOTTLE
TUSS-DM TABLET
TUSS-DM TABLET
HYTUSS-2X CAPSULE
HYTUSS-2X CAPSULE
LACTATED RINGERS IRRIGATION
HEPATASOL 8% IV SOLUTION
METRONIDAZOLE 500 MG/0.1L BAG
FENTANYL/NS 10 MCG/ML
FENTANYL/NS 10 MCG/ML
FENTANYL/NS 10 MCG/ML
FENTANYL/NS 10 MCG/ML
FENTA/BUPIVA/NS 4 MCG/0.1%
FENTA/BUPIVA/NS 5 MCG/0.0625%
FENTA/BUPIVA/NS 5 MCG/0.0625%
FENTA/BUPIVA/NS 5 MCG/0.0625%
HYDROMORPHONE/NS 10 MG/50 ML
HYDROMORPHONE/NS 20 MG/100 ML
FLURBIPROFEN 50 MG TABLET
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
SOTALOL 160 MG TABLET
HALOPERIDOL 5 MG TABLET
HALOPERIDOL 5 MG TABLET
AMILORIDE HCL/HCTZ 5/50 TAB
AMILORIDE HCL/HCTZ 5/50 TAB

DOSE FORM DRUG STRENGTH


TS
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
CA
TA
TA
HB
HP
HM
EA
EA
HB
HB
HB
TA
TA
CA
CA
SW
HM
HP
HZ
HZ
HZ
HZ
HZ
HZ
HZ
HZ
HZ
HZ
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13

NDC
00378112001
00378240501
00378251693
00396601010
00396601030
00406145101
00406659301
00406659303
00406711301
00406833001
00406833005
00406833032
00406833062
00407077802
00407077803
00407077902
00409604301
00440757710
00440757760
00440757790
00456037200
00456037201
00456037263
00482062801
00486113401
00486113405
00527131701
00527131710
00551012301
00551012302
00555038102
00555048302
00555048305
00555077201
00555077202
00573017810
00573017910
00574722210
00574722250
00591071501
00591071505
00591071510
00591072601
00591311101
00591523801
00591523810
00591543801
00591543810
00603441521
00603519221
00603519232
00603561821
00603561828

NAME
VERAPAMIL 120 MG TABLET SA
TRIFLUOPERAZINE 5 MG TABLET
FLUCONAZOLE 100 MG TABLET
AMINO-CERV REFILL CREAM
AMINO-CERV CREAM
METHYLIN ER 20 MG TABLET SA
PHENOBARBITAL SODIUM POWDER
PHENOBARBITAL SODIUM POWDER
MEPERIDINE 50 MG TABLET
MORPHINE SULF 30 MG TAB SA
MORPHINE SULF 30 MG TAB SA
MORPHINE SULF 30 MG TAB SA
MORPHINE SULF 30 MG TAB SA
HYPAQUE-76 INFUSION BOTTLE
HYPAQUE-76 INFUSION BOTTLE
HYPAQUE-76 INFUSION BOTTLE
AMMONIUM CHLORIDE 5 MEQ/ML
HALOPERIDOL 5 MG TABLET
HALOPERIDOL 5 MG TABLET
HALOPERIDOL 5 MG TABLET
FEOSTAT 100 MG TABLET CHEW
FEOSTAT 100 MG TABLET CHEW
FEOSTAT 100 MG TABLET CHEW
IRCON 200 MG TABLET
K-PHOS #2 TABLET
K-PHOS #2 TABLET
PHENTERMINE 37.5 MG TABLET
PHENTERMINE 37.5 MG TABLET
DYLINE-GG TABLET
DYLINE-GG TABLET
MEPERIDINE 50 MG TABLET
AMILORIDE HCL/HCTZ 5/50 TAB
AMILORIDE HCL/HCTZ 5/50 TAB
FLUCONAZOLE 100 MG TABLET
FLUCONAZOLE 100 MG TABLET
ADVIL 100 MG TABLET CHEW
ADVIL 100 MG TABLET CHEW
TRIMETHOBENZAMIDE 200 MG SUP
TRIMETHOBENZAMIDE 200 MG SUP
QUININE SULFATE 260 MG TAB
QUININE SULFATE 260 MG TAB
QUININE SULFATE 260 MG TAB
MEPERIDINE 50 MG TABLET
METHYLPHENIDATE ER 20 MG TAB
MEPROBAMATE 400 MG TABLET
MEPROBAMATE 400 MG TABLET
QUINIDINE SULFATE 200 MG TAB
QUINIDINE SULFATE 200 MG TAB
MEPERITAB 50 MG TABLET
PHENTERMINE 37.5 MG TABLET
PHENTERMINE 37.5 MG TABLET
QUININE SULFATE 260 MG TAB
QUININE SULFATE 260 MG TAB

DOSE FORM DRUG STRENGTH


TS
TA
TA
KA
KA
TS
PA
PA
TA
TS
TS
TS
TS
HB
HB
HB
HV
TA
TA
TA
TC
TC
TC
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TC
TC
QA
QA
TA
TA
TA
TA
TS
TA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13

NDC
00603561832
00603577121
00603815110
00615157953
00615157963
00615259753
00615259763
00677012201
00677012210
00677060601
00677060605
00677060610
00677171101
00677171106
00677178001
00677189201
00677189205
00677189207
00677189501
00677189506
00677191541
00682250001
00689108401
00713010809
00713010850
00781103401
00781103410
00781103413
00781139601
00781139610
00781139613
00781175401
00781175410
00781192931
00781517101
00781709004
00781884301
00851072002
00904056460
00904273615
00904501546
00904524805
00904524810
00904524835
00904532152
00904560552
00904569124
00905184724
08080200555
08080200777
08080243800
08080284100
08080411200

NAME
QUININE SULFATE 260 MG TAB
SOTALOL 160 MG TABLET
TRIMETHOBENZAMIDE 200 MG SUP
QUININE SULFATE 260 MG TAB
QUININE SULFATE 260 MG TAB
HALOPERIDOL 5 MG TABLET
HALOPERIDOL 5 MG TABLET
QUINIDINE SULFATE 200 MG TAB
QUINIDINE SULFATE 200 MG TAB
HYDROXYZINE HCL 50 MG TABLET
HYDROXYZINE HCL 50 MG TABLET
HYDROXYZINE HCL 50 MG TABLET
SOTALOL 160 MG TABLET
SOTALOL 160 MG TABLET
DYPHYLLINE GG TABLET
QUININE SULFATE 260 MG TAB
QUININE SULFATE 260 MG TAB
QUININE SULFATE 260 MG TAB
SOTALOL AF 160 MG TABLET
SOTALOL AF 160 MG TABLET
CARBONYL IRON PEDI 15 MG SUSP
MARNATAL-F PLUS COMBO PACK
METHIMAZOLE 5 MG TABLET
TEBAMIDE 200 MG SUPPOSITORY
TEBAMIDE 200 MG SUPPOSITORY
TRIFLUOPERAZINE 5 MG TABLET
TRIFLUOPERAZINE 5 MG TABLET
TRIFLUOPERAZINE 5 MG TABLET
HALOPERIDOL 5 MG TABLET
HALOPERIDOL 5 MG TABLET
HALOPERIDOL 5 MG TABLET
METHYLPHENIDATE 20 MG TAB SA
METHYLPHENIDATE 20 MG TAB SA
FLUCONAZOLE 100 MG TABLET
GLYBURIDE-METFORMIN 2.5/500 MG
KETOCONAZOLE 2% SHAMPOO
METHYLPHENIDATE 20 MG TAB SA
CERA SIPPER TRAVEL BOTTLE
QUININE SULFATE 260 MG TAB
TRIMETHOBENZAMIDE 200 MG SUP
COENZYME Q10 30 MG SOFTGEL
TIMOLOL 0.5% EYE DROPS
TIMOLOL 0.5% EYE DROPS
TIMOLOL 0.5% EYE DROPS
MILK THISTLE 150 MG CAPSULE
GRAPE SEED EXTRACT 100 MG CP
IBUPROFEN JR STR 100 MG TAB
FLAGYL I.V. RTU 500 MG/100 ML
MONOJECT SYRINGE 12 ML
MONOJECT SYRINGE 12 ML
CURITY GAUZE SPONGES
CURITY EYE PADS
CURITY EYE PADS

DOSE FORM DRUG STRENGTH


TA
TA
QA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
SC
ZD
TA
QA
QA
TA
TA
TA
TA
TA
TA
TS
TS
TA
TA
SS
TS
EA
TA
QA
CA
SO
SO
SO
CA
CA
TC
HP
YL
YL
YV
YM
YM

UNIT PRICE
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13

NDC
08080433400
08080732000
08080753900
08080989300
08137004764
08137004765
08137005505
08137005532
08164430325
08214026001
08214026501
08219243800
08219284100
08219433400
08219613600
08219732000
08219753900
08219989300
08225411200
08290305203
08290305204
08290305205
08290305206
08290305228
08290305487
08290305488
08290323487
08290323488
08317410012
08333154601
08333154609
08470026001
08470026501
08470027001
08470027101
08881112059
08881112075
08881120029
08881120037
08881512258
08881512852
08881512878
08881512977
08881522000
10106288700
10119005403
10157992002
10157992003
10337044021
10337065651
10356002879
10361072200
10742000601

NAME
VISTEC X-RAY DETECT SPONGE
VISTEC X-RAY DETECT SPONGE
TELFA ISLAND DRESSING
CURI-STRIP WOUND CLOSURE
J & J MEDIUM ADHESIVE PADS
J & J MEDIUM ADHESIVE PADS
JOHNSON & JOHNSON EYE PAD
PROXI-STRIP SKIN CLOSURES
EMPTY IV CONT/TRANSFER SET
AUTOLET MINI LANCING DEVICE
AUTOLET MINI LANCING DEVICE
CURITY GAUZE SPONGES
CURITY EYE PADS
VISTEC X-RAY DETECT SPONGE
CURAD FLEX FABRIC BANDAGE
VISTEC X-RAY DETECT SPONGE
TELFA ISLAND DRESSING
CURI-STRIP WOUND CLOSURE
CURITY EYE PADS
B-D TAMPER-TUF 15 ML CNTAINR
B-D TAMPER-TUF 30 ML CNTAINR
B-D TAMPER-TUF 15 ML CNTAINR
B-D TAMPER-TUF 30 ML CNTAINR
B-D TAMPER-TUF CLOSER
ONE-PIECE SHARPS COLLECTORS
BD SHARPS COLLECTOR 3.3 QTS
BD HOME SHARPS CONTAINER
BD SHARPS CONTAINER 1.4QT
HYPOLANCE AST LANCING KIT
STERI-STRIP 1/4"X4",STERILE
3M NEXCARE STERI-STRIP
AUTOLET MINI LANCING DEVICE
AUTOLET MINI LANCING DEVICE
AUTOLET IMPRESS LANCING DEVICE
AUTOLET IMPRESS LANCING DEVICE
SYRINGE W/O NDL 12ML,NONSTR
SYRINGE W/O NDL 12ML,NONSTR
SYRINGE W/O NDL 12ML,NONSTR
SYRINGE W/O NDL 12ML,NONSTR
SYRINGE 12ML,PHARM TRAY PK
MONOJECT DISP SYRINGE 12 ML
SYRINGE 12 ML
CONTROL SYRINGE ONLY 12 ML
MONOJECT SAFETY SYRINGE
PHENOBARBITAL SODIUM POWDER
CONCENTRATED CLEANER
BLISTEX LIP OINTMENT
BLISTEX LIP OINTMENT
UNGUENTUM BOSSI OINTMENT
CARMOL 40 LOTION
COVER-STRIP CLOSURE STRIP
MIXING CONTAINER W/LID 32OZ
SNUG DENTURE CUSHIONS

DOSE FORM DRUG STRENGTH


YV
YV
YE
YR
YE
YE
YM
YT
EA
YK
YK
YV
YM
YV
YE
YV
YE
YR
YM
EA
EA
EA
EA
EA
EA
EA
EA
EA
YK
YR
YR
YK
YK
YK
YK
YL
YL
YL
YL
YL
YL
YL
YL
YL
PA
SA
OA
OA
OA
LO
YR
EA
EA

UNIT PRICE
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13

NDC
10892016010
10939028833
10939069222
10939073011
10939073111
10939073211
10939073311
10939079633
10956072416
10961003024
11298000275
11298000321
11509020518
11509021217
11584104506
11822304020
11822306260
11822306310
11822681860
11822880570
11845012325
11845013075
11845013595
11845014165
11845014358
11845075301
11845085405
11845107108
11845119105
11845119205
11845123208
11845129905
11917005030
12280002600
12280011900
12843010762
14654068805
15482041012
16837081024
17204042440
17204044736
17317051901
17317051902
17317051904
17317051908
17317086501
17317086504
17317086505
17478028810
17478028811
17478028812
18029052003
18029052006

NAME
DG 200 TABLET
SUNMARK CALCIUM 600 + SOY TAB
CALCIUM 600 W/SOY TABLET
ONE DAY PILL BOX
WEEKLY PILL BOX
WEEKLY PILL PLANNER
PILL DIVIDER W/PILL BOX
SM IBUPROFEN IB 100MG CHEW TAB
REFENESEN PLUS CAPLET
CHARCOCAPS A-D CAPSULE
PLASTIC JUG 3,840 ML CAPACITY
STOMAHESIVE PASTE
CEPACOL SORE THROAT LOZENGE
CEPACOL SORE THROAT LOZENGE
DESPEC DM SYRUP
RA MAX STR SINUS ALLERGY CP
RA WEEKLY + PILL ORGANIZER
RA 7 DAY PILL BOX
RA PILL BOX REMINDER X-LRG
RA COENZYME Q-10 30 MG CAP
CO Q-10 30 MG SOFTGEL
HORSE CHESTNUT CAPSULE
SUPER CALCIUM 600 MG CAPLET
APPLE CIDER VINEGAR PLUS TB
GREEN TEA SLIM TABLET
CHOLINE CAPSULE
TRIPLE AMINO ACID COMP TAB
Q-10 CO-ENZYME 30 MG SOFTGEL
DAILY AMINO 6,000 MG TAB CHEW
CHROMIUM PICO 500 MCG TABLET
Q-10 CO-ENZYME 30 MG SOFTGEL
MILK THISTLE 150 MG CAPSULE
CALCIUM 600 PLUS SOY TABLET
GLUCOVANCE 2.5/500 MG TABLET
ETODOLAC 400 MG TABLET
BAYER PM EX-STRENGTH CAPLET
Q-GEL 15 MG SOFTSULE
HYPOLANCE AST LANCING KIT
CHILDREN'S MYLANTA TAB CHEW
DEQUASINE TABLET
COENZYME Q10 30 MG CAPSULE
PHENOBARBITAL SODIUM POWDER
PHENOBARBITAL SODIUM POWDER
PHENOBARBITAL SODIUM POWDER
PHENOBARBITAL SODIUM POWDER
METHYL NICOTINATE CRYSTALS
METHYL NICOTINATE CRYSTALS
METHYL NICOTINATE CRYSTALS
TIMOLOL 0.5% EYE DROPS
TIMOLOL 0.5% EYE DROPS
TIMOLOL 0.5% EYE DROPS
CHEMOSAFETY CONTAINER 12GAL
CHEMOSAFETY CONTAINER 18GAL

DOSE FORM DRUG STRENGTH


TA
TA
TA
EA
EA
EA
EA
TC
TA
CA
EA
KP
TL
TL
ST
CA
EA
EA
EA
CA
CA
CA
TA
TA
TA
CA
TA
CA
TC
TA
CA
CA
TA
TA
TA
TA
CA
YK
TC
TA
CA
PA
PA
PA
PA
PC
PC
PC
SO
SO
SO
EA
EA

UNIT PRICE
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13

NDC
18029052010
18029052015
18029052025
19458904001
19458906001
19458907501
19458910001
19810002401
20525012728
20525012804
20525012805
22170020818
24208032405
24208032410
24208032415
24385014403
24385028571
24385054662
24385067746
24385090072
25294087500
25294087501
31604001701
31604009644
34575088161
34575099071
34672010288
35515095107
36652067862
37000002901
37000003001
37000074091
37000074092
37205040262
38130001201
38485002030
38673012406
41100017111
41100017129
41163023856
43292055842
43292055851
45802046564
45802072432
45802072490
47270054111
47270054121
47270054122
47270054131
47270054132
47270054141
47270054142
47270054151

NAME
CHEMOSAFETY CONTAINER 2 GAL
CHEMOSAFETY CONTAINER 8 GAL
CHEMOSAFETY CONTAINER 18GAL
ECK ANTIBIOTIC CREAM/LIDOCA
ECK COLD MEDICINE LIQ CAP
ECK COLD MEDICINE LIQ CAP
ECK NON-ASA SEVERE ALLG CPLT
PAZO HEMORRHOIDAL OINTMENT
COQ10 30 MG CAPSULE
GRAPE SEED EXTRACT 100 MG CP
GRAPE SEED EXTRACT 100 MG CP
CEPACOL SORE THROAT LOZENGE
TIMOLOL 0.5% EYE DROPS
TIMOLOL 0.5% EYE DROPS
TIMOLOL 0.5% EYE DROPS
ANTIBIOTIC CREAM/LIDOCAINE
NIGHT-TIME CRAMP CAPLET
IBUPROFEN JR STR 100 MG TAB
CAPSAICIN 0.025% LOTION
CALCIUM 600+SOY TABLET
INSUL-TOTE #IT-500T
INSUL-TOTE #IT-500B
CO Q10 30 MG SOFTGEL
OLAY TOTAL EFFECTS VITAMIN
ECK NON-ASA SEVERE ALLG CPLT
ECK COLD MEDICINE LIQ CAP
LOBOB W/RW
SEVERE CONGESTION-CGH CPLT
ALLBEE C-800 PLUS IRON TAB
METAMUCIL FIBER WAFER
METAMUCIL FIBER WAFER
METAMUCIL FIBER WAFER
METAMUCIL FIBER WAFER
IBUPROFEN JR STR 100 MG TB CHW
DYFLEX-G TABLET
AGORAL 25 MG TABLET CHEW
POCKET SIZE PILL BOX/TIMER
CUSHION GRIP MISCELL.
CUSHION GRIP MISCELL.
EQL GINSENG 100 MG SOFTGEL
GRAPE SEED EXTRACT 30 MG CAP
CO Q-10 30 MG CAPSULE
KETOCONAZOLE 2% SHAMPOO
TRIMETHOBENZAMIDE 200 MG SUP
TRIMETHOBENZAMIDE 200 MG SUP
SHARPS CONTAINER
SHARPS CONTAINER
SHARPS CONTAINER
SHARPS CONTAINER
SHARPS CONTAINER
SHARPS CONTAINER
SHARPS CONTAINER
SHARPS CONTAINER

DOSE FORM DRUG STRENGTH


EA
EA
EA
KA
CA
CA
TA
OA
CA
CA
CA
TL
SO
SO
SO
KA
TA
TC
SK
TA
YK
YK
CA
ZD
TA
CA
SO
TA
TA
TW
TW
TW
TW
TC
TA
TC
EA
EA
EA
CA
CA
CA
SS
QA
QA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13

NDC
47270054152
47270054161
47270054162
47469000925
48107005066
48107005067
49260012211
49348040112
49348063904
49348073001
49348073101
49348073201
49348073301
49452040701
49452040702
49452187502
49452495402
49452520001
49452520002
49614010094
49614010194
49614010394
49614010594
49614012694
49614012894
49614013194
49614016060
49614016160
49614018494
49614018894
49614018994
49614028172
49756046203
49756046213
49756046600
49756046601
49884025801
49884027101
49884058401
49884058410
49884064001
49884064074
49884091602
49884091605
49884093911
49884093974
49884096801
49884096805
49999001314
49999003524
49999003530
49999003560
49999003814

NAME
SHARPS CONTAINER
SHARPS CONTAINER
SHARPS CONTAINER
SOY ISOFLAVONES CAPSULE
ULTRA MEGA TABLETS
ULTRA MEGA TABLETS
CO Q-10 30 MG CAPSULE
SUNMARK CALCIUM 600 + SOY TAB
SM IBUPROFEN IB 100MG CHEW TAB
ONE DAY PILL BOX
WEEKLY PILL BOX
WEEKLY PILL PLANNER
PILL DIVIDER W/PILL BOX
AMINOBENZOATE POT CRYSTALS
AMINOBENZOATE POT CRYSTALS
MICROCRYSTAL CELLULOSE PWDR
OXTRIPHYLLINE POWDER
PHENOBARBITAL SODIUM POWDER
PHENOBARBITAL SODIUM POWDER
7 DAY PILL BOX W/LOGO
FANCY PILL BOX
ALARM PILL BOX
MEDI-PLANNER II
PILL PAL
ONE WK/TODAY PILL BX W/LOGO
ONE WEEK/TODAY PILL BOX
ZINC LOZENGES
ZINC LOZENGES
DAILY PILL BOX
DAILY PILL BOX
MEDI-ORGANIZER
CALCIUM 600 MG PLUS SOY TAB
EPISEAL WOUND CLOSURE STRIP
EPISEAL WOUND CLOSURE STRIP
DEROYAL EYE DRESSING
DEROYAL EYE DRESSING
METAPROTERENOL 10 MG TABLET
VERAPAMIL 120 MG TABLET
SOTALOL 160 MG TABLET
SOTALOL 160 MG TABLET
METHIMAZOLE 5 MG TABLET
METHIMAZOLE 5 MG TABLET
NEFAZODONE HCL 50 MG TABLET
NEFAZODONE HCL 50 MG TABLET
FLUCONAZOLE 100 MG TABLET
FLUCONAZOLE 100 MG TABLET
GLYBURIDE-METFORMIN 2.5/500 MG
GLYBURID-METFORMIN 2.5-500 MG
LODINE 400 MG TABLET
HYDROXYZINE HCL 50 MG TABLET
HYDROXYZINE HCL 50 MG TABLET
HYDROXYZINE HCL 50 MG TABLET
ETODOLAC 400 MG TABLET

DOSE FORM DRUG STRENGTH


EA
EA
EA
CA
TS
TS
CA
TA
TC
EA
EA
EA
EA
PC
PC
PA
PA
PA
PA
EA
EA
EA
EA
EA
EA
EA
TL
TL
EA
EA
EA
TA
YR
YR
YM
YM
TA
TS
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13

NDC
49999003828
49999003830
49999003840
49999003860
49999014510
49999020330
49999034210
49999034250
49999051715
49999051730
49999051745
50111030901
50111030902
50111030903
50111067601
50111067610
50383066308
50419010610
50419010611
50419011606
50419011611
50458022304
50580007224
50580007236
50580007248
50580007324
50580007336
50580007348
50580020724
50580021148
50580029406
50580029408
50580029412
50580029418
50580029425
50580029430
50580029442
50580037924
50580037936
50580044112
50580044136
50580044202
50580044212
50580044224
50580044248
50580044250
50580090924
50580092212
50580092217
50580092218
50580092219
50580092230
50580092242

NAME
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
TIGAN 200 MG SUPPOSITORY
NADOLOL 160 MG TABLET
TEBAMIDE 200 MG SUPPOSITORY
TEBAMIDE 200 MG SUPPOSITORY
PHENTERMINE 37.5 MG TABLET
PHENTERMINE 37.5 MG TABLET
PHENTERMINE 37.5 MG TABLET
HYDROXYZINE HCL 50 MG TABLET
HYDROXYZINE HCL 50 MG TABLET
HYDROXYZINE HCL 50 MG TABLET
FLUCONAZOLE 100 MG TABLET
FLUCONAZOLE 100 MG TABLET
UREA 40% LOTION
BETAPACE 160 MG TABLET
BETAPACE 160 MG TABLET
BETAPACE AF 160 MG TABLET
BETAPACE AF 160 MG TABLET
NIZORAL 2% SHAMPOO
TYLENOL SINUS CAPLET
TYLENOL SINUS CAPLET
TYLENOL SINUS CAPLET
TYLENOL COLD CAPLET
TYLENOL COLD CAPLET
TYLENOL COLD CAPLET
MOTRIN 100 MG TABLET CHEW
TYLENOL SEVERE ALLERGY CAPLET
IMODIUM ADVANCED TAB CHEW
IMODIUM ADVANCED TAB CHEW
IMODIUM ADVANCED TAB CHEW
IMODIUM ADVANCED TAB CHEW
IMODIUM ADVANCED TAB CHEW
IMODIUM ADVANCED TAB CHEW
IMODIUM ADVANCED TAB CHEW
TYLENOL ALLERGY SINUS CPLT
TYLENOL ALLERGY SINUS CPLT
TYLENOL FLU GELCAP
TYLENOL FLU GELCAP
TYLENOL SINUS CAPLET
TYLENOL SINUS CAPLET
TYLENOL SINUS CAPLET
TYLENOL SINUS CAPLET
TYLENOL SINUS CAPLET
MOTRIN 100 MG TABLET CHEW
IMODIUM ADVANCED CAPLET
IMODIUM ADVANCED CAPLET
IMODIUM ADVANCED CAPLET
IMODIUM ADVANCED CAPLET
IMODIUM ADVANCED CAPLET
IMODIUM ADVANCED CAPLET

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
QA
TA
QA
QA
TA
TA
TA
TA
TA
TA
TA
TA
SK
TA
TA
TA
TA
SS
UA
UA
UA
UA
UA
UA
TC
TA
TC
TC
TC
TC
TC
TC
TC
TA
TA
CQ
CQ
TA
TA
TA
TA
TA
TC
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13

NDC
50580092250
50924015210
50924098701
50991040001
50991040005
51028000104
51079025901
51079025903
51079042101
51079042120
51079057401
51079057420
51079073601
51079073620
51079089401
51079089420
51119000221
51119000238
51131000222
51131064125
51655000724
51672401801
51672406500
51672406506
51927113000
51991027018
51991037501
52152015802
52152015804
52152015902
52152015905
52152017002
52152017005
52152031302
52297075500
52297075600
52604109401
52735057605
52735099320
52747020460
52747020480
52959003440
52959028114
52959028120
52959028130
52959028160
52959042606
52959042607
52959042614
52959042615
52959042624
52959042628
52959042630

NAME
IMODIUM ADVANCED CAPLET
CHEMSTRIP 2 LN
LINEARITY TEST KIT
DILEX-G TABLET
DILEX-G TABLET
CLIP & STOR INSULIN NDL SYSTEM
FLUCONAZOLE 100 MG TABLET
FLUCONAZOLE 100 MG TABLET
AMILORIDE HCL/HCTZ 5/50 TAB
AMILORIDE HCL/HCTZ 5/50 TAB
TRIFLUOPERAZINE 5 MG TABLET
TRIFLUOPERAZINE 5 MG TABLET
HALOPERIDOL 5 MG TABLET
HALOPERIDOL 5 MG TABLET
VERAPAMIL 120 MG TABLET SA
VERAPAMIL 120 MG TABLET SA
OPTICLUDE EYE PATCH JUNIOR
OPTICLUDE EYE PATCH
OPTICLUDE EYE PATCH JUNIOR
3M NEXCARE STERI-STRIP
CHLORPHENIRAMINE 8 MG TAB SA
ETODOLAC 400 MG TABLET
FLUCONAZOLE 100 MG TABLET
FLUCONAZOLE 100 MG TABLET
MICROCRYSTAL CELLULOSE PWDR
KERATOL 40 LOTION
DYPHYLLIN GG TABLET
MEPERIDINE 50 MG TABLET
MEPERIDINE 50 MG TABLET
PHENTERMINE 37.5 MG TABLET
PHENTERMINE 37.5 MG TABLET
PHENTERMINE 15 MG CAPSULE
PHENTERMINE 15 MG CAPSULE
HYDROXYZINE HCL 50 MG TABLET
HM 1 DAY PILL BOX
HM 7 DAY PILL BOX
TAPAZOLE 5 MG TABLET
FP IBUPROFEN JR STR 100 MG TAB
FP ZINC LOZENGES
ISOVEX 100 MG CAPSULE
ISOVEX 100 MG CAPSULE
CHLOROQUINE PH 250 MG TABLET
LODINE 400 MG TABLET
LODINE 400 MG TABLET
LODINE 400 MG TABLET
LODINE 400 MG TABLET
PHENTERMINE 15 MG CAPSULE
PHENTERMINE 15 MG CAPSULE
PHENTERMINE 15 MG CAPSULE
PHENTERMINE 15 MG CAPSULE
PHENTERMINE 15 MG CAPSULE
PHENTERMINE 15 MG CAPSULE
PHENTERMINE 15 MG CAPSULE

DOSE FORM DRUG STRENGTH


TA
YR
YK
TA
TA
YK
TA
TA
TA
TA
TA
TA
TA
TA
TS
TS
YM
YM
YM
YR
TS
TA
TA
TA
PA
SK
TA
TA
TA
TA
TA
CA
CA
TA
EA
EA
TA
TC
TL
CA
CA
TA
TA
TA
TA
TA
CA
CA
CA
CA
CA
CA
CA

UNIT PRICE
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13

NDC
52959043728
52959043730
52959043760
52959047112
52959047114
52959047115
52959047120
52959047128
52959047130
52959047160
52959047190
52959057301
52959113703
52959126401
52959126405
53014059407
53191018201
53191018203
53265025710
53265025711
53265025740
53265026210
53265026211
53265034610
53265034611
53265038910
53265038911
53265038950
53489012801
53489012805
53489012810
53489040601
53489040610
53489046101
53489046110
53489046201
53489046205
53489046207
53746025001
53746025010
53885035601
53885040410
54023678102
54092050410
54092050450
54569040901
54569093502
54569171800
54569171803
54569189600
54569189601
54569320300
54569320301

NAME
PHENTERMINE 8 MG TABLET
PHENTERMINE 8 MG TABLET
PHENTERMINE 8 MG TABLET
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
TRIMETHOBENZAMIDE 200 MG SUP
TIMOPTIC 0.5% EYE DROPS
TEBAMIDE 200 MG SUPPOSITORY
TEBAMIDE 200 MG SUPPOSITORY
METADATE ER 20 MG TABLET SA
COQ10 30 MG CAPSULE
COQ10 30 MG CAPSULE
PHENTERMINE 37.5 MG TABLET
PHENTERMINE 37.5 MG TABLET
PHENTERMINE 37.5 MG TABLET
METHYLPHENIDATE 20 MG TAB SA
METHYLPHENIDATE 20 MG TAB SA
PHENTERMINE 15 MG CAPSULE
PHENTERMINE 15 MG CAPSULE
HYDROXYZINE HCL 50 MG TABLET
HYDROXYZINE HCL 50 MG TABLET
HYDROXYZINE HCL 50 MG TABLET
HYDROXYZINE HCL 50 MG TABLET
HYDROXYZINE HCL 50 MG TABLET
HYDROXYZINE HCL 50 MG TABLET
PHENTERMINE 37.5 MG TABLET
PHENTERMINE 37.5 MG TABLET
QUINIDINE SULFATE 200 MG TAB
QUINIDINE SULFATE 200 MG TAB
QUININE SULFATE 260 MG TAB
QUININE SULFATE 260 MG TAB
QUININE SULFATE 260 MG TAB
QUININE SULFATE 260 MG TAB
QUININE SULFATE 260 MG TAB
PENLET II BLOOD SAMPLER KIT
LIFESCAN UNISTIK 2 LANCETS
Q-GEL 15 MG SOFTSULE
TIGAN SUPPOSITORIES 200 MG
TIGAN SUPPOSITORIES 200 MG
HYDROXYZINE HCL 50 MG TABLET
MEPROBAMATE 400 MG TABLET
ADIPEX-P 37.5 MG TABLET
ADIPEX-P 37.5 MG TABLET
TRIMETHOBENZ/BENZ 200 MG SUP
TRIMETHOBENZ/BENZ 200 MG SUP
PHENTERMINE 37.5 MG TABLET
PHENTERMINE 37.5 MG TABLET

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
QA
SO
QA
QA
TS
CA
CA
TA
TA
TA
TS
TS
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
YK
KI
CA
QA
QA
TA
TA
TA
TA
QA
QA
TA
TA

UNIT PRICE
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13

NDC
54569320303
54569320304
54569339400
54569376400
54569386900
54569414302
54569414304
54569414305
54569428900
54569445700
54569446800
54569446801
54569446802
54569446805
54569486000
54569486001
54569486002
54569486003
54569486004
54569486005
54569486008
54569521000
54569521001
54569561800
54569561801
54738030901
54738030903
54859055704
54868004703
54868008700
54868008702
54868028300
54868028301
54868047901
54868066401
54868066402
54868066403
54868066700
54868066701
54868107100
54868107101
54868123301
54868135200
54868180400
54868180402
54868186301
54868186302
54868186303
54868211500
54868211501
54868214702
54868223900
54868229600

NAME
PHENTERMINE 37.5 MG TABLET
PHENTERMINE 37.5 MG TABLET
NIZORAL 2% SHAMPOO
LODINE 400 MG TABLET
AMILORIDE HCL/HCTZ 5/50 TAB
PHENTERMINE 15 MG CAPSULE
PHENTERMINE 15 MG CAPSULE
PHENTERMINE 15 MG CAPSULE
TIMOLOL 0.5% EYE DROPS
MOTRIN 100 MG TABLET CHEW
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
PHENTERMINE 37.5 MG TABLET
PHENTERMINE 37.5 MG TABLET
PHENTERMINE 37.5 MG TABLET
PHENTERMINE 37.5 MG TABLET
PHENTERMINE 37.5 MG TABLET
PHENTERMINE 37.5 MG TABLET
PHENTERMINE 37.5 MG TABLET
GLUCOVANCE 2.5/500 MG TAB
GLUCOVANCE 2.5/500 MG TAB
GLYBURIDE-METFORMIN 2.5/500 MG
GLYBURIDE-METFORMIN 2.5/500 MG
HYDROXYZINE HCL 50 MG TABLET
HYDROXYZINE HCL 50 MG TABLET
TUSNEL PED-C SYRUP
QUINIDINE SULFATE 200 MG TAB
PHENTERMINE 37.5 MG TABLET
PHENTERMINE 37.5 MG TABLET
PHENTERMINE 15 MG CAPSULE
PHENTERMINE 15 MG CAPSULE
ADIPEX-P 37.5 MG TABLET
TIMOPTIC 0.5% EYE DROPS
TIMOPTIC 0.5% EYE DROPS
TIMOPTIC 0.5% EYE DROPS
AMILORIDE HCL/HCTZ 5/50 TAB
AMILORIDE HCL/HCTZ 5/50 TAB
DEMEROL 50 MG TABLET
DEMEROL 50 MG TABLET
MEPERIDINE 50 MG TABLET
TRIFLUOPERAZINE 5 MG TABLET
HYDROXYZINE HCL 50 MG TABLET
HYDROXYZINE HCL 50 MG TABLET
DIFLUCAN 100 MG TABLET
DIFLUCAN 100 MG TABLET
DIFLUCAN 100 MG TABLET
MS CONTIN 30 MG TABLET SA
MS CONTIN 30 MG TABLET
CALAN SR 120 MG CAPLET SA
NIZORAL 2% SHAMPOO
HALOPERIDOL 5 MG TABLET

DOSE FORM DRUG STRENGTH


TA
TA
SS
TA
TA
CA
CA
CA
SO
TC
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
ST
TA
TA
TA
CA
CA
TA
SO
SO
SO
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TS
TS
TS
SS
TA

UNIT PRICE
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13

NDC
54868229602
54868241800
54868241801
54868241802
54868297402
54868298700
54868298701
54868345400
54868345403
54868345404
54868348700
54868348701
54868348702
54868348703
54868348704
54868365200
54868365201
54868371400
54868371401
54868371402
54868392400
54868395500
54868395501
54868443200
54868443201
54868460900
54868506600
54868514800
54868514801
54868520600
54868522100
55045119803
55045239209
55045249000
55045249001
55045249002
55045249003
55045249004
55045249005
55045249006
55045249008
55111014405
55111014430
55289013812
55289013820
55289013830
55289023912
55289023921
55289023930
55289023945
55289037930
55289054408
55289054460

NAME
HALOPERIDOL 5 MG TABLET
RITALIN-SR 20 MG TABLET SA
RITALIN-SR 20 MG TABLET SA
RITALIN-SR 20 MG TABLET SA
METHYLPHENIDATE 20 MG TABLET
LODINE 400 MG TABLET
LODINE 400 MG TABLET
METHYLPHENIDATE 20 MG TAB SA
METHYLPHENIDATE 20 MG TAB SA
METHYLPHENIDATE 20 MG TAB SA
TRIMETHOBENZAMIDE 200 MG SUP
TRIMETHOBENZAMIDE 200 MG SUP
TRIMETHOBENZAMIDE 200 MG SUP
TRIMETHOBENZAMIDE 200 MG SUP
TRIMETHOBENZAMIDE 200 MG SUP
QUININE SULFATE 260 MG TAB
QUININE SULFATE 260 MG TAB
TIMOLOL 0.5% EYE DROPS
TIMOLOL 0.5% EYE DROPS
TIMOLOL 0.5% OPTH SOLUTION
CORTEF 5 MG TABLET
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
VERAPAMIL 120 MG TABLET SA
VERAPAMIL 120 MG TABLET SA
GLUCOVANCE 2.5/500 MG TAB
HYDROCORTISONE-IODOQUINOL CRM
GLYBURIDE-METFORMIN 2.5/500 MG
GLYBURIDE-METFORMIN 2.5/500 MG
BREVOXYL-4 CLEANSING LOTION
LODRANE XR SUSPENSION
TRIMETHOBENZAMIDE 200 MG SUP
AMILORIDE HCL-HCTZ 5-50 TAB
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
FLUCONAZOLE 100 MG TABLET
FLUCONAZOLE 100 MG TABLET
HYDROXYZINE HCL 50 MG TABLET
HYDROXYZINE HCL 50 MG TABLET
HYDROXYZINE HCL 50 MG TABLET
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
ADIPEX-P 37.5 MG TABLET
METAPROTERENOL 10 MG TABLET
METAPROTERENOL 10 MG TABLET

DOSE FORM DRUG STRENGTH


TA
TS
TS
TS
TS
TA
TA
TS
TS
TS
QA
QA
QA
QA
QA
TA
TA
SO
SO
SO
TA
TA
TA
TS
TS
TA
KA
TA
TA
SZ
SC
QA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13

NDC
55289064412
55289064420
55289070190
55289070198
55289079107
55289079114
55289079115
55289079128
55289079130
55289079160
55289080107
55289080114
55289080160
55289080307
55289080314
55289080321
55289080328
55289080330
55289080342
55289080360
55289080390
55289086507
55289086514
55289086515
55289086521
55289086528
55289086530
55289086560
55289098330
55370055207
55370055208
55860007180
55887040230
55887040260
55887040282
55887040290
55887080815
55887080820
55887080830
55887080842
55887080860
55887080890
55946028010
55946031015
55948003710
55948004010
55948012210
55948012410
55948012610
55948022210
55948022410
55948022610
55948043010

NAME
LODINE 400 MG TABLET
LODINE 400 MG TABLET
PHENTERMINE 37.5 MG TABLET
PHENTERMINE 37.5 MG TABLET
PHENTERMINE 15 MG CAPSULE
PHENTERMINE 15 MG CAPSULE
PHENTERMINE 15 MG CAPSULE
PHENTERMINE 15 MG CAPSULE
PHENTERMINE 15 MG CAPSULE
PHENTERMINE 15 MG CAPSULE
PHENTERMINE 8 MG TABLET
PHENTERMINE 8 MG TABLET
PHENTERMINE 8 MG TABLET
PHENTERMINE 8 MG TABLET
PHENTERMINE 8 MG TABLET
PHENTERMINE 8 MG TABLET
PHENTERMINE 8 MG TABLET
PHENTERMINE 8 MG TABLET
PHENTERMINE 8 MG TABLET
PHENTERMINE 8 MG TABLET
PHENTERMINE 8 MG TABLET
PHENTERMINE 37.5 MG TABLET
PHENTERMINE 37.5 MG TABLET
PHENTERMINE 37.5 MG TABLET
PHENTERMINE 37.5 MG TABLET
PHENTERMINE 37.5 MG TABLET
PHENTERMINE 37.5 MG TABLET
PHENTERMINE 37.5 MG TABLET
MEPROBAMATE 400 MG TABLET
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
AIRSTRIP 3 1/2" X 2 1/4"
VERAPAMIL 120 MG TABLET SA
VERAPAMIL 120 MG TABLET SA
VERAPAMIL 120 MG TABLET SA
VERAPAMIL 120 MG TABLET SA
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
INFLUDO LIQUID
MARJORAM COMPOUND LIQUID
NEEDLE FREE INSULIN SYR KIT
NEEDLE FREE INSULIN SYR KIT
NEEDLE FREE SYRINGE KIT A
NEEDLE FREE SYRINGE KIT B
NEEDLE FREE SYRINGE KIT C
NEEDLE FREE SYRINGE KIT A
NEEDLE FREE SYRINGE KIT B
NEEDLE FREE SYRINGE KIT C
MEDI-JECTOR ADULT/PEDIATRIC

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
CA
CA
CA
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
YE
TS
TS
TS
TS
TA
TA
TA
TA
TA
TA
SL
SL
YK
YK
YK
YK
YK
YK
YK
YK
YK

UNIT PRICE
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13

NDC
56091008771
56091008772
56091008773
56643080060
56643080120
56643081120
56643085060
56643085120
56643086120
57664016408
57664046708
57844000901
57866026201
57866026203
57866387602
57866387603
57866387604
57866387901
57866442601
57866691201
57866705101
57866705102
57866707901
57866707902
57866902901
57866903401
57866903402
57866903403
57866903404
58016020800
58016020821
58016020842
58016020860
58016020890
58016034000
58016034002
58016034003
58016034010
58016034015
58016034020
58016034028
58016034030
58016034040
58016034073
58016034089
58016040200
58016045200
58016045220
58016045230
58016068400
58016083200
58016083202
58016083204

NAME
JOHNSON & JOHNSON EYE PAD
JOHNSON & JOHNSON EYE PAD
JOHNSON & JOHNSON EYE PAD
REJOYN VEROMAX CAPSULE
REJOYN VEROMAX CAPSULE
REJOYN VEROMAX CAPSULE
REJOYN VEROMAX CAPSULE
REJOYN VEROMAX CAPSULE
REJOYN VEROMAX CAPSULE
FLURBIPROFEN 50 MG TABLET
MEPERIDINE 50 MG TABLET
ADIPEX-P 37.5 MG TABLET
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
HYDROXYZINE HCL 50 MG TABLET
HYDROXYZINE HCL 50 MG TABLET
HYDROXYZINE HCL 50 MG TABLET
HALOPERIDOL 5 MG TABLET
QUININE SULFATE 260 MG TAB
VERAPAMIL 120 MG CAPLET SA
MORPHINE SULF 30 MG TAB SA
MORPHINE SULF 30 MG TAB SA
MEPERIDINE 50 MG TABLET
MEPERIDINE 50 MG TABLET
PHENTERMINE 15 MG CAPSULE
SOTALOL 160 MG TABLET
SOTALOL 160 MG TABLET
SOTALOL 160 MG TABLET
SOTALOL 160 MG TABLET
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
FLURBIPROFEN 50 MG TABLET
FLURBIPROFEN 50 MG TABLET
FLURBIPROFEN 50 MG TABLET
FLURBIPROFEN 50 MG TABLET
FLURBIPROFEN 50 MG TABLET
FLURBIPROFEN 50 MG TABLET
FLURBIPROFEN 50 MG TABLET
FLURBIPROFEN 50 MG TABLET
FLURBIPROFEN 50 MG TABLET
FLURBIPROFEN 50 MG TABLET
FLURBIPROFEN 50 MG TABLET
METAPROTERENOL 10 MG TABLET
HYDROXYZINE HCL 50 MG TABLET
HYDROXYZINE HCL 50 MG TABLET
HYDROXYZINE HCL 50 MG TABLET
STELAZINE 5 MG TABLET
QUININE SULFATE 260 MG TAB
QUININE SULFATE 260 MG TAB
QUININE SULFATE 260 MG TAB

DOSE FORM DRUG STRENGTH


YM
YM
YM
CA
CA
CA
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TS
TS
TS
TA
TA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13

NDC
58016083210
58016083220
58016083230
58016083240
58016083260
58016083290
58016083299
58016095800
58016309201
58016606901
58016621601
58016633101
58016703801
58177080302
58298014510
58298014550
58605050401
58864071130
58980081110
58980081112
59011026105
59011026110
59011026125
59243002110
59291000301
59366233608
59366270601
59439017520
59741030409
59741030449
59741030450
59762501601
59772246501
59930177101
60258003230
60505004101
60505008100
60505012001
60505022401
60505055102
60505055103
60505055104
60758080105
60758080110
60758080115
60760055230
60760055260
60793010401
60951065370
60951065385
60951076470
60976002501
61059026013

NAME
QUININE SULFATE 260 MG TAB
QUININE SULFATE 260 MG TAB
QUININE SULFATE 260 MG TAB
QUININE SULFATE 260 MG TAB
QUININE SULFATE 260 MG TAB
QUININE SULFATE 260 MG TAB
QUININE SULFATE 260 MG TAB
TAPAZOLE 5 MG TABLET
TRIMETHOBENZAMIDE 200 MG SUP
TIMOPTIC 0.5% EYE DROPS
TIMOPTIC 0.5% EYE DROPS
TIMOPTIC 0.5% EYE DROPS
X-PREP LIQUID
H-CORTISONE/IODOQUINOL CRM
TRIMETHOBENZAMIDE 200 MG SUP
TRIMETHOBENZAMIDE 200 MG SUP
PRO-FAST SA 8 MG TABLET
GLUCOVANCE 2.5/500 MG TAB
DERMAZENE CREAM
DERMAZENE CREAM
MS CONTIN 30 MG TABLET SA
MORPHINE SO4 30MG TAB,SA
MS CONTIN 30 MG TABLET SA
COPD TABLET
CAPSAGEL 0.075% GEL
UREA 40% LOTION
H-CORTISONE/IODOQUINOL CRM
FEVERALL 80 MG SPRINKLE CAPS
TRIMETHOBENZAMIDE 200 MG SUP
TRIMETHOBENZAMIDE 200 MG SUP
TRIMETHOBENZAMIDE 200 MG SUP
FLUCONAZOLE 100 MG TABLET
NADOLOL 160 MG TABLET
FLURBIPROFEN 50 MG TABLET
H-CORTISONE/IODOQUINOL CRM
ETODOLAC 400 MG TABLET
SOTALOL HCL 160 MG TABLET
FLUCONAZOLE 100 MG TABLET
SOTALOL AF 160 MG TABLET
TIMOLOL 0.5% EYE DROPS
TIMOLOL 0.5% EYE DROPS
TIMOLOL 0.5% EYE DROPS
TIMOLOL 0.5% EYE DROPS
TIMOLOL 0.5% EYE DROPS
TIMOLOL 0.5% EYE DROPS
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
TAPAZOLE 5 MG TABLET
MORPHINE SULF 30 MG TAB SA
MORPHINE SULF 30 MG TAB SA
AMILORIDE HCL/HCTZ 5/50 TAB
CAPSIN 0.025% ANALGESIC LOT
AUTOLET MINI LANCING DEVICE

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
QA
SO
SO
SO
SL
KA
QA
QA
TA
TA
KA
KA
TS
TS
TS
TA
JC
SK
KA
CK
QA
QA
QA
TA
TA
TA
KA
TA
TA
TA
TA
SO
SO
SO
SO
SO
SO
TA
TA
TA
TS
TS
TA
SK
YK

UNIT PRICE
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13

NDC
61059026518
61314022705
61314022710
61314022715
61553011148
61553011248
61553011302
61553011402
61553012802
61553013548
61553013602
61553013702
61553016141
61553020648
61553020701
61553020837
61553020902
61553021148
61553021648
61553021702
61553060702
61553060848
61553062448
61570007001
61570020401
61570050410
61570050450
61941000314
61941000319
61941005116
61941027423
61941027524
61941027722
62451010610
62584074000
62584074001
62584074005
62584074006
63304040501
63304054101
63304054160
63304080401
63304080430
63717003011
63717003111
63717003911
63717010204
63736012301
63739012301
63739012302
63739012303
63739012315
63868075716

NAME
AUTOLET MINI LANCING DEVICE
TIMOLOL 0.5% EYE DROPS
TIMOLOL 0.5% EYE DROPS
TIMOLOL 0.5% EYE DROPS
FENTANYL CITRATE/NS 10 MCG/ML
FENTANYL-NS 10 MCG/ML
FENTANYL-NS 10 MCG/ML
FENTANYL-NS 10 MCG/ML
FENTA-BUPIVA-NS 4 MCG/0.1%
FENTA/BUPIVA/NS 5 MCG/0.0625%
FENTA/BUPIVA/NS 5 MCG/0.0625%
FENTA/BUPIVA/NS 5 MCG/0.0625%
HYDROMORPHONE/NS 10 MG/50 ML
HYDROMORPHONE/NS 10 MG/50 ML
HYDROMORPHONE/NS 10 MG/50 ML
HYDROMORPHONE/NS 10 MG/50 ML
HYDROMORPHONE/NS 10 MG/50 ML
CEFAZOLIN-D5W 2 G/100 ML
CEFAZOLIN-NS 2 G/100 ML
BUPIVACAINE HCL-NS 0.2%
FENTA-BUPIVA-NS 4 MCG/0.1%
FENTA/BUPIVA/NS 5 MCG/0.0625%
HYDROMORPHONE/NS 10 MG/50 ML
PROCTOCORT 1% CREAM
CORGARD 160 MG TABLET
TIGAN 200 MG SUPPOSITORY
TIGAN 200 MG SUPPOSITORY
COLD-EEZE GUM
COLD-EEZE GUM
COLD-EEZE GUM
COLD-EEZE GUM
COLD-EEZE GUM
COLD-EEZE GUM
SOTALOL HCL 160 MG TABLET
QUININE SULFATE 260 MG TAB
QUININE SULFATE 260 MG TAB
QUININE SULFATE 260 MG TAB
QUININE SULFATE 260 MG TAB
PROCTO-KIT 1% CREAM
NEFAZODONE HCL 50 MG TABLET
NEFAZODONE HCL 50 MG TABLET
FLUCONAZOLE 100 MG TABLET
FLUCONAZOLE 100 MG TABLET
ZACLIR 4% CLEANSING LOTION
ZACLIR 8% CLEANSING LOTION
CEROVEL 40% LOTION
ICAR 15 MG/1.25 ML SUSPENSION
VITRON-C TABLET
HALOPERIDOL 5 MG TABLET
HALOPERIDOL 5 MG TABLET
HALOPERIDOL 5 MG TABLET
HALOPERIDOL 5 MG TABLET
SEVERE CONGESTION-CGH CPLT

DOSE FORM DRUG STRENGTH


YK
SO
SO
SO
HZ
HZ
HZ
HZ
HZ
HZ
HZ
HZ
HZ
HZ
HZ
HZ
HZ
HZ
HZ
HZ
HZ
HZ
HZ
KA
TA
QA
QA
TG
TG
TG
TG
TG
TG
TA
TA
TA
TA
TA
KA
TA
TA
TA
TA
SZ
SZ
SK
SC
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13

NDC
64125012101
64125012105
64125012110
64899008416
64915030560
64915040160
64915061290
64915061490
64915061890
64915071490
64915075860
64980030230
64980031130
65649050130
66116023330
66116061430
66267009528
66267009530
66267009540
66267009560
66267027305
66813094016
67425000350
67537094016
68030604401
68032010108
68115013730
68115013760
68115015860
68115027714
68115027730
68115028030
68115033805
68115033810
68115044130
68115058600
68115069760
68115073100
68387015030
68387015060
70074051585
73913173721
74300000922
74300001070
74312007292
74970004395
74980030220
75137028692
75137028693
75137028697
75137028698
75537000510
75537000512

NAME
QUININE SULFATE 260 MG TAB
QUININE SULFATE 260 MG TAB
QUININE SULFATE 260 MG TAB
HCA COLD & COUGH CAPLETS
PANPLEX 2-PHASE TABLET
ECHINACEA ACZ CAPSULE
PROTEO-SIMILASE CAPSULE
LIPO-SIMILASE CAPSULE
CARBO-SIMILASE CAPSULE
HTN COMPLEX CAPSULE
NEURO-PLUS CAPSULE
PROCTO-PAK 1% CREAM
H-CORTISONE/IODOQUINOL CRM
PROCTOCORT 1% CREAM
GLUCOVANCE 2.5/500 MG TAB
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
TEBAMIDE 200 MG SUPPOSITORY
BROVEX HC LIQUID
ISTALOL 0.5% EYE DROPS
BROMPHENIRAMINE-HYDROC-PSE LIQ
ETODOLAC 400 MG TABLET
RE UREA 40 LOTION
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
GLUCOVANCE 2.5/500 MG TAB
PHENTERMINE 15 MG CAPSULE
PHENTERMINE 15 MG CAPSULE
PHENTERMINE 37.5 MG TABLET
TRIMETHOBENZAMIDE 200 MG SUP
TRIMETHOBENZAMIDE 200 MG SUPP
VERAPAMIL 120 MG TABLET SA
TRIFLUOPERAZINE 5 MG TABLET
NEFAZODONE HCL 50 MG TABLET
QUININE SULFATE 260 MG TAB
ETODOLAC 400 MG TABLET
ETODOLAC 400 MG TABLET
FLEXIFLO EASY-FEED 500 BAG
PILL BOX 7 DAY
CORTIZONE-10 1% CREME
VISINE TEARS DROPS
CO Q-10 30 MG SOFTGEL
YL COENZYME Q10 30 MG SFTGEL
YL ECHINACEA/GOLDENSEAL CPT
EZO DENT CUSHION LOWER REG
EZO DENT CUSHION LOWER HVY
EZO DENT CUSHION UPPER REG
EZO DENT CUSHION UPPER HVY
LINEARITY TEST KIT
LINEARITY TEST KIT

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
CA
CA
CA
CA
CA
CA
KA
KA
KA
TA
TA
TA
TA
TA
TA
QA
ST
SO
ST
TA
SK
TA
TA
TA
CA
CA
TA
QA
QA
TS
TA
TA
TA
TA
TA
EA
EA
KA
DP
CA
CA
TA
EA
EA
EA
EA
YK
YK

UNIT PRICE
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13

NDC
75537000571
75537000572
75537000579
75537000987
75537017152
82468061440
82468062106
87701056599
87701056601
87701056603
87701060471
87701061206
87701066277
87701091508
87701094540
87701094585
87701096100
87900001072
96295011246
97807007067
99207010602
99207010609
99207010612
00002750001
00003082030
00008418804
00008418806
00009001702
00009001755
00009001759
00009009401
00009009403
00009022501
00009022502
00009022503
00009076004
00009377301
00009377317
00031670924
00031670972
00031670978
00032449201
00037068110
00045019801
00045082824
00046048481
00054002125
00054002129
00054460425
00054467221
00054467321
00054467421
00054485906

NAME
HOSPITAL TEST STATION KIT
HOSPITAL TEST STATION KIT
HOSPITAL TEST STATION KIT
LINEARITY TEST KIT
CHEMSTRIP 2 LN
FP ZINC LOZENGES
FP IBUPROFEN JR STR 100 MG TAB
GNP PILL BOX WEEKLY
GNP PILL BOX ONE DAY
GNP PILL BOX EVERYDAY
GNP CALCIUM 600+SOY TABLET
BL CALCIUM 600+SOY TABLET
GNP WEEKLY PILL PLANNER
GNP NIGHT-TIME CRAMP CPLT
BL ANTIBIOTIC CRM/LIDOCAINE
GNP ANTIBIOTIC CRM/LIDOCAIN
GNP IBUPROFEN JR STR 100 MG TB
PLATE WELD PASTE KIT
IBUPROFEN JR STR 100 MG TB CHW
HCA COLD & COUGH CAPLETS
TRIAZ 10% CLEANSER
TRIAZ 10% CLEANSER
TRIAZ 10% CLEANSER
DOBUTAMINE 1 GM/D5W 250 ML
PROLIXIN 2.5 MG/5 ML ELIXIR
CORDARONE 200 MG TABLET
CORDARONE 200 MG TABLET
HALCION 0.25 MG TABLET
HALCION 0.25 MG TABLET
HALCION 0.25 MG TABLET
XANAX 2 MG TABLET
XANAX 2 MG TABLET
CLEOCIN HCL 150 MG CAPSULE
CLEOCIN HCL 150 MG CAPSULE
CLEOCIN HCL 150 MG CAPSULE
CLEOCIN 75 MG/5 ML GRANULES
OGEN 1.25 TABLET
OGEN 1.25 TABLET
REGLAN 5 MG/ML VIAL
REGLAN 5 MG/ML VIAL
REGLAN 5 MG/ML VIAL
LITHOBID 300 MG TABLET SA
TUSSI-12 TABLET
MOTRIN 40 MG/ML SUSP DROPS
CHILD TYLENOL SINUS TABLET
INDERIDE-40/25 TABLET
LITHIUM CARBONATE ER 300 MG TB
LITHIUM CARBONATE ER 300 MG TB
MEGESTROL 40 MG TABLET
NEFAZODONE HCL 100 MG TABLET
NEFAZODONE HCL 150 MG TABLET
NEFAZODONE HCL 200 MG TABLET
TRIAZOLAM 0.25 MG TABLET

DOSE FORM DRUG STRENGTH


YK
YK
YK
YK
YR
TL
TC
EA
EA
EA
TA
TA
EA
TA
KA
KA
TC
EA
TC
TA
SZ
SZ
SZ
HM
SE
TA
TA
TA
TA
TA
TA
TA
CA
CA
CA
PI
TA
TA
HV
HV
HV
TS
TA
SN
TC
TA
TS
TS
TA
TA
TA
TA
TA

UNIT PRICE
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.13
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14

NDC
00054485929
00054860425
00054885925
00056065428
00056065468
00065053001
00065053004
00065089802
00065089804
00068000701
00072210360
00074148402
00074148403
00074227414
00074227454
00074254105
00074254109
00074254128
00074341401
00074372432
00074400801
00074459201
00074459210
00074459250
00074582001
00074582010
00074659201
00074659210
00074909320
00074909332
00074909335
00074909336
00074909338
00074910420
00074940601
00074940602
00074940649
00074940651
00085051701
00085051704
00085063204
00085331530
00085331535
00087003231
00087003331
00087003931
00091248923
00093029001
00093029005
00093029401
00093029405
00093029410
00093102406

NAME
TRIAZOLAM 0.25 MG TABLET
MEGESTROL 40 MG TABLET
TRIAZOLAM 0.25 MG TABLET
SINEMET-25/250 TABLET
SINEMET-25/250 TABLET
EYE-STREAM SOLUTION
EYE-STREAM SOLUTION
SCHIRMER TEAR TEST STRIP
SCHIRMER TEAR TEST STRIP
NORPRAMIN 10 MG TABLET
EURAX 10% CREAM
NTG 0.4 MG/ML IN D5W
NTG 0.4 MG/ML IN D5W
VICODIN HP TABLET
VICODIN HP TABLET
CLEAR EYES 0.012% EYE DROPS
CLEAR EYES 0.012% EYE DROPS
CLEAR EYES 0.012% EYE DROPS
METOCLOPRAMIDE 5 MG/ML VIAL
DOBUTAMINE 1 GM/D5W 250 ML
TRACE METALS ADDITIVE VIAL
TRACE METALS ADDITIVE VIAL
TRACE ELEMENTS ADD VIAL
TRACE METALS ADDITIVE VIAL
DOPAMINE 40 MG/ML VIAL
DOPAMINE 40 MG/ML VIAL
CLEAR EYES ACR 0.012% DROPS
CLEAR EYES ACR 0.012% DROPS
FENTANYL 0.05 MG/ML AMPUL
FENTANYL 0.05 MG/ML AMPUL
FENTANYL 0.05 MG/ML AMPUL
FENTANYL 0.05 MG/ML AMPUL
FENTANYL 0.05 MG/ML AMPUL
DOPAMINE 40 MG/ML VIAL
ENFLURANE INHALATION
ENFLURANE INHALATION
ENFLURANE INHALATION
ENFLURANE INHALATION
DIPROLENE AF 0.05% CREAM
DIPROLENE AF 0.05% CREAM
AFRIN 0.025% NOSE DROPS
NITRO-DUR 0.3 MG/HR PATCH
NITRO-DUR 0.3 MG/HR PATCH
SERZONE 100 MG TABLET
SERZONE 200 MG TABLET
SERZONE 150 MG TABLET
VERELAN 180 MG CAP PELLET
BUPROPION HCL 100 MG TABLET
BUPROPION HCL 100 MG TABLET
CARBIDOPA/LEVO 25/250 TAB
CARBIDOPA/LEVO 25/250 TAB
CARBIDOPA/LEVO 25/250 TAB
NEFAZODONE HCL 100 MG TABLET

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
SW
SW
YR
YR
TA
KA
HB
HB
TA
TA
SO
SO
SO
HV
HM
HV
HV
HV
HV
HV
HV
SO
SO
HH
HH
HH
HH
HH
HV
GA
GA
GA
GA
KA
KA
SO
PV
PV
TA
TA
TA
CP
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14

NDC
00093102506
00093317101
00093711306
00093913306
00093913352
00093913393
00095900816
00096072102
00096072145
00113005705
00115702901
00115702902
00121065402
00121065416
00168017803
00168026515
00168026550
00172366760
00172422660
00172433210
00172433249
00172433260
00172433270
00172433310
00172433349
00172433360
00172433370
00172433410
00172433449
00172433460
00172433470
00173017855
00173027255
00173027455
00182186400
00182186489
00185001660
00185002901
00185008160
00185012660
00185014405
00185014460
00193212621
00193212736
00193215921
00217200501
00217200504
00225062076
00225063076
00228203910
00228203950
00228234010
00228234050

NAME
NEFAZODONE HCL 200 MG TABLET
CLINDAMYCIN HCL 150 MG CAPS
NEFAZODONE HCL 150 MG TABLET
AMIODARONE HCL 200 MG TABLET
AMIODARONE HCL 200 MG TABLET
AMIODARONE HCL 200 MG TABLET
LODRANE D SUSPENSION
DML FACIAL MOISTURIZER CRM
DML FACIAL MOISTURIZER CRM
INFANTS IBUPROFEN SUSP DROP
PANCRELIPASE 8,000 TABLET
PANCRELIPASE 8,000 TABLET
FLUPHENAZINE 2.5 MG/5 ML ELIX
FLUPHENAZINE 2.5 MG/5 ML ELIX
GENTAMICIN 3 MG/ML EYE DROPS
BETAMETHASONE DP 0.05% CRM
BETAMETHASONE DP 0.05% CRM
PERPHENAZINE 2 MG TABLET
GUANABENZ ACETATE 4 MG TAB
NEFAZODONE HCL 100 MG TABLET
NEFAZODONE HCL 100 MG TABLET
NEFAZODONE HCL 100 MG TABLET
NEFAZODONE HCL 100 MG TABLET
NEFAZODONE HCL 150 MG TABLET
NEFAZODONE HCL 150 MG TABLET
NEFAZODONE HCL 150 MG TABLET
NEFAZODONE HCL 150 MG TABLET
NEFAZODONE HCL 200 MG TABLET
NEFAZODONE HCL 200 MG TABLET
NEFAZODONE HCL 200 MG TABLET
NEFAZODONE HCL 200 MG TABLET
WELLBUTRIN 100 MG TABLET
LANOXICAPS 0.1 MG CAPSULE
LANOXICAPS 0.2 MG CAPSULE
MEGESTROL 40 MG TABLET
MEGESTROL 40 MG TABLET
NEFAZODONE HCL 100 MG TABLET
DESIPRAMINE 10 MG TABLET
NEFAZODONE HCL 150 MG TABLET
NEFAZODONE HCL 200 MG TABLET
AMIODARONE HCL 200 MG TABLET
AMIODARONE HCL 200 MG TABLET
CLINITEST REAGENT TABLET
CLINITEST REAGENT TABLET
CLINITEST REAGENT TABLET
FEOCYTE FA TABLET
FEOCYTE FA TABLET
HOLD 4 HOUR LOZENGE REGULAR
HOLD 4 HOUR LOZENGE CHERRY
ALPRAZOLAM 2 MG TABLET
ALPRAZOLAM 2 MG TABLET
CARBIDOPA/LEVO 25/250 TAB
CARBIDOPA/LEVO 25/250 TAB

DOSE FORM DRUG STRENGTH


TA
CA
TA
TA
TA
TA
SC
KA
KA
SN
TA
TA
SE
SE
SO
KA
KA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TS
TS
TL
TL
TA
TA
TA
TA

UNIT PRICE
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14

NDC
00228234096
00228235810
00228235850
00228235896
00228254010
00228254050
00228254096
00245014701
00245014715
00245014760
00245014790
00247051102
00247051103
00247051104
00247051110
00247051130
00247058015
00247063920
00247063930
00247063940
00247067707
00247067714
00247067730
00247067760
00247079607
00247079614
00247079630
00247105230
00247105245
00338105102
00338107702
00338932248
00338932348
00338932448
00338932548
00338933802
00338933902
00338934002
00338934102
00378043501
00378061601
00378061610
00378073101
00378100101
00378205291
00378205391
00378205491
00378241001
00378400701
00378455301
00378638001
00395201591
00406036201

NAME
CARBIDOPA/LEVO 25/250 TAB
PROPRANOLOL/HCTZ 40/25 TAB
PROPRANOLOL/HCTZ 40/25 TAB
PROPRANOLOL/HCTZ 40/25 TAB
CARBIDOPA/LEVO 25/250 TAB
CARBIDOPA/LEVO 25/250 TAB
CARBIDOPA/LEVO 25/250 TAB
PACERONE 200 MG TABLET
PACERONE 200 MG TABLET
PACERONE 200 MG TABLET
PACERONE 200 MG TABLET
HALCION 0.25 MG TABLET
HALCION 0.25 MG TABLET
HALCION 0.25 MG TABLET
HALCION 0.25 MG TABLET
HALCION 0.25 MG TABLET
DESOXIMETASONE 0.25% CREAM
CLINDAMYCIN HCL 150 MG CAPS
CLINDAMYCIN HCL 150 MG CAPS
CLINDAMYCIN HCL 150 MG CAPS
WELLBUTRIN 100 MG TABLET
WELLBUTRIN 100 MG TABLET
WELLBUTRIN 100 MG TABLET
WELLBUTRIN 100 MG TABLET
PERPHENAZINE 2 MG TABLET
PERPHENAZINE 2 MG TABLET
PERPHENAZINE 2 MG TABLET
PROPRANOLOL/HCTZ 40/25 TAB
PROPRANOLOL/HCTZ 40/25 TAB
NTG 0.4 MG/ML IN D5W
DOBUTAMINE 1 GM/D5W 250 ML
FENTA/BUPIVA/NS 2 MCG/0.1%
FENTA/BUPIVA/NS 2 MCG/0.1%
FENTA/BUPIVA/NS 2 MCG/0.125%
FENTA/BUPIVA/NS 2 MCG/0.125%
FENTA/BUPIVA/NS 5 MCG/0.1%
FENTA/BUPIVA/NS 5 MCG/0.125%
FENTA/BUPIVA/NS 5 MCG/0.125%
FENTA/BUPIVA/NS 5 MCG/0.1%
BUPROPION HCL 100 MG TABLET
THIORIDAZINE 50 MG TABLET
THIORIDAZINE 50 MG TABLET
PROPRANOLOL/HCTZ 40/25 TAB
THIOTHIXENE 1 MG CAPSULE
NEFAZODONE HCL 100 MG TABLET
NEFAZODONE HCL 150 MG TABLET
NEFAZODONE HCL 200 MG TABLET
TRIFLUOPERAZINE 10 MG TABLET
ALPRAZOLAM 2 MG TABLET
ESTROPIPATE 1.25(1.5 MG) TAB
VERAPAMIL 180 MG CAP PELLET
PEPPERMINT OIL
HYDROCODONE/APAP 10/660 TAB

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
KA
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
HB
HM
HZ
HZ
HZ
HZ
HZ
HZ
HZ
HZ
TA
TA
TA
TA
CA
TA
TA
TA
TA
TA
TA
CP
SQ
TA

UNIT PRICE
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14

NDC
00406130001
00406130003
00406130034
00406886701
00407077015
00409148402
00409459210
00409459250
00421200101
00440707390
00440730030
00485002301
00485006501
00485006601
00517180525
00551017601
00555034502
00555060702
00555060703
00555060704
00555072802
00555091704
00555091709
00573017220
00573017320
00591041501
00591076460
00591076560
00591076660
00591288201
00591400801
00591570801
00603319821
00603388621
00603388628
00603509021
00603509028
00603715837
00615250753
00615250763
00615357053
00615357063
00615450453
00615450463
00641111733
00641111834
00641111934
00677082501
00677082506
00677082510
00677182501
00703450204
00781103601

NAME
MERCURY AMMONIATED POWDER
MERCURY AMMONIATED POWDER
MERCURY AMMONIATED POWDER
TUSSIZONE-12 RF TABLET
HYPAQUE 50% INFUSION BOTTLE
NTG 0.4 MG/ML IN D5W
TRACE ELEMENTS ADD VIAL
TRACE METALS ADDITIVE INJ
NESTABS CBF TABLET
ALPRAZOLAM 2 MG TABLET
CLINDAMYCIN HCL 150 MG CAPS
ECEE PLUS TABLET
ED CYTE F TABLET
ED-FLEX CAPSULE
DOPAMINE 40 MG/ML VIAL
LOBAC CAPSULE
LITHIUM ER 300 MG TABLET
MEGESTROL 40 MG TABLET
MEGESTROL 40 MG TABLET
MEGESTROL 40 MG TABLET
ESTROPIPATE 1.25(1.5 MG) TAB
AMIODARONE HCL 200 MG TABLET
AMIODARONE HCL 200 MG TABLET
CHILDREN'S ADVIL SUSP DROPS
CHILDREN'S ADVIL SUSP DROPS
ESTROPIPATE 1.25(1.5 MG) TAB
NEFAZODONE HCL 100 MG TABLET
NEFAZODONE HCL 150 MG TABLET
NEFAZODONE HCL 200 MG TABLET
VERAPAMIL 180 MG CAP PELLET
DEXCHLOR 4 MG TABLET SA
CLINDAMYCIN HCL 150 MG CAPS
DEXCHLORPHENIRAMINE 4 MG TAB
HYDROCODONE/APAP 10/660 TAB
HYDROCODONE/APAP 10/660 TAB
PERPHENAZINE 2 MG TABLET
PERPHENAZINE 2 MG TABLET
GENTAFAIR 3 MG/ML EYE DROPS
THIORIDAZINE 50 MG TABLET
THIORIDAZINE 50 MG TABLET
MEGESTROL 40 MG TABLET
MEGESTROL 40 MG TABLET
CARBIDOPA/LEVO 25/250 TAB
CARBIDOPA/LEVO 25/250 TAB
FENTANYL 0.05 MG/ML AMPUL
FENTANYL 0.05 MG/ML AMPUL
FENTANYL 0.05 MG/ML AMPUL
THIORIDAZINE 50 MG TABLET
THIORIDAZINE 50 MG TABLET
THIORIDAZINE 50 MG TABLET
CAR-B-PEN TA/CHLOR-TAN TAB
METOCLOPRAMIDE 5 MG/ML VIAL
TRIFLUOPERAZINE 10 MG TABLET

DOSE FORM DRUG STRENGTH


PA
PA
PA
TA
HB
HB
HV
HV
TA
TA
CA
TA
TA
CA
HV
CA
TS
TA
TA
TA
TA
TA
TA
SN
SN
TA
TA
TA
TA
CP
TS
CA
TS
TA
TA
TA
TA
SO
TA
TA
TA
TA
TA
TA
HH
HH
HH
TA
TA
TA
TA
HV
TA

UNIT PRICE
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14

NDC
00781103610
00781103613
00781104601
00781104610
00781104613
00781106401
00781106410
00781108901
00781108905
00781120305
00781120360
00781120392
00781163401
00781163410
00781197101
00781211201
00781222601
00781707427
00781707450
00884489102
00891910000
00891910101
00891910102
00891912100
00891912101
00891915001
00891920000
00891920100
00891920101
00891930000
00891930100
00891930101
00891940000
00891940100
00891940101
00891950000
00891950101
00904190705
00904190735
00904347240
00904347260
00904357161
00904546330
00904546335
00904556660
00904561646
00904564960
00904772061
00998007815
00998035415
08080105800
08080107800
08080107900

NAME
TRIFLUOPERAZINE 10 MG TABLET
TRIFLUOPERAZINE 10 MG TABLET
PERPHENAZINE 2 MG TABLET
PERPHENAZINE 2 MG TABLET
PERPHENAZINE 2 MG TABLET
BUPROPION HCL 100 MG TABLET
BUPROPION HCL 100 MG TABLET
ALPRAZOLAM 2 MG TABLET
ALPRAZOLAM 2 MG TABLET
AMIODARONE HCL 200 MG TABLET
AMIODARONE HCL 200 MG TABLET
AMIODARONE HCL 200 MG TABLET
THIORIDAZINE 50 MG TABLET
THIORIDAZINE 50 MG TABLET
DESIPRAMINE 10 MG TABLET
CLINDAMYCIN HCL 150 MG CAP
THIOTHIXENE 1 MG CAPSULE
BETAMETHASONE DP 0.05% CRM
BETAMETHASONE DP 0.05% CRM
NAIL SCRUB LOTION
SECURE BRIEFS ADULT
SECURE UNDERGARMENTS
SECURE UNDERGARMENT BELTED
SECURE UNDERGARMENTS BELTED
SECURE UNDERGARMENTS BELTED
SECURE TOTAL FIT UNDERGRMNT
SECURE BRIEFS ADULT SMALL
SECURE ADULT BRIEFS SMALL
SECURE BRIEF ADULT SMALL
SECURE BRIEFS ADULT MEDIUM
SECURE BRIEFS ADULT MEDIUM
SECURE BRIEFS ADULT MEDIUM
SECURE BRIEFS ADULT LARGE
SECURE BRIEFS ADULT LARGE
SECURE BRIEFS ADULT LARGE
SECURE BRIEFS ADULT X-LARGE
SECURE BRIEFS ADULT X-LARGE
GENTAMICIN 3 MG/ML EYE DROPS
GENTAMICIN 3 MG/ML EYE DROPS
PANCRELIPASE 8,000 UNITS TAB
PANCRELIPASE 8,000 UNITS TAB
MEGESTROL 40 MG TABLET
INFANT'S IBUPROFEN ORAL SUS
CHILDS IBUPROFEN SUSP DRP
RENTAMINE-12 TABLET
CO-ENZYME Q-10 50 MG SOFTGEL
LITHIUM ER 300 MG TABLET
CARBIDOPA/LEVO 25/250 TAB
NAPHCON 0.012% EYE DROPS
MYDRIACYL 0.5% EYE DROPS
MAXICARE UNDERGARMENT
SIMPLICITY ADULT BRIEF
SIMPLICITY PLUS ADULT BRIEF

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
KA
KA
SK
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
SO
SO
TA
TA
TA
SN
SN
TA
CA
TS
TA
SO
SO
EA
EA
EA

UNIT PRICE
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14

NDC
08080108800
08080108900
08080160500
08080161500
08080171010
08080181030
08080211750
08080212670
08080232160
08080600010
08080600020
08080600030
08080600040
08080600100
08080600310
08080600320
08080600330
08080600340
08080600350
08080600440
08080700000
08080701000
08080702000
08080703000
08080808000
08225940500
08225940600
08225940700
08284011202
08284012202
08284051202
08284052202
08367010202
08367011202
08367050202
08367051202
08367052202
08418992201
08418992301
10019003372
10019003473
10019003574
10019003867
10019035060
10106256301
10119002058
10157953502
10666012100
10666012205
10892015222
10939003625
10939003629
10939003723

NAME
SIMPLICITY ADULT BRIEF
SIMPLICITY PLUS ADULT BRIEF
SURE CARE UNDERGARMENT
SURE CARE UNDERGARMENT
MAXICARE UNDERGARMENT BELTD
MAXICARE UNDERGARMENT
SURETYS SHIELD
SURETYS UNDERGARMENT
SURETYS GUARD
WINGS CLASSIC YOUTH BRIEFS
WINGS CLASSIC ADULT BRIEF
WINGS CLASSIC ADULT BRIEFS
WINGS CLASSIC ADULT BRIEFS
WINGS CLASSIC ADULT BRIEF
WINGS CHOICE YOUTH BRIEFS
WINGS CHOICE ADULT BRIEFS
WINGS CHOICE ADULT BRIEFS
WINGS CHOICE ADULT BRIEFS
WINGS CHOICE ADULT BRIEFS
WINGS CHOICE ADULT BRIEF
SIMPLICITY PANTS
SIMPLICITY PANTS
SIMPLICITY PANTS
SIMPLICITY PANTS
CURITY INCONTINENT PANTS
KEN GUARD PLUS BRIEFS SML
KEN GUARD PLUS BRIEFS MED
KEN GUARD PLUS BRIEFS LRG
SURE ONE INSULIN SYR 1CC
SURE ONE INSULIN SYR 1CC
SURE ONE INSULIN SYR 1/2CC
SURE ONE INSULIN SYR 1/2CC
ELITE-THIN INSULIN SYR 1CC
ELITE-THIN INSUL SYR 1CC
ELITE-THIN INSULIN SYR 0.5CC
ELITE-THIN INSUL SYR 0.5CC
ELITE-THIN INSULIN SYR 0.5CC
BROOKS INSULIN 0.3 ML SYRN
BROOKS INSULIN 1/2 ML SYRN
FENTANYL 0.05 MG/ML AMPUL
FENTANYL 0.05 MG/ML AMPUL
FENTANYL 0.05 MG/ML AMPUL
FENTANYL 0.05 MG/ML AMPUL
ETHRANE INHALATION
MERCURY, AMMONIATED POWDER
MOISTURE EYES P/F DROPS
DAILY CONDITIONING OINTMENT
EXOREX STABILIZING CREAM
EXOREX STABILIZING CREAM
VIRACON OINTMENT
SM UNDERGARMENT
EP UNDERGARMENT
EP MEDIUM BRIEF

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
HH
HH
HH
HH
GA
PA
DP
OA
KA
KA
OA
EA
EA
EA

UNIT PRICE
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14

NDC
10939003725
10939035233
10939038922
10939039022
10939048922
10939068422
10939079933
10939080022
10939084080
10939084081
11098003002
11098003005
11098003010
11098003020
11822002600
11822002610
11822002620
11822002630
11822002640
11822002650
11822152590
11822243850
11822309860
11822309870
11822321680
11822321690
11822331010
11822339880
11822358490
11822358500
11822361640
11822361650
11822391430
11822398240
11822872840
11822872850
11845012957
11845012985
11845014149
11845014155
11845131405
11917000257
11917000258
11917000259
11917001378
11917001380
11917001381
11917003360
11917003361
11917003595
11917003596
11917004245
11917004248

NAME
EP LARGE BRIEF
SM IBUPROFEN INFANTS SUSP
V-R ZINC LOGENZES
V-R ZINC LOGENZES
V-R IMMUNE SUPP COMPLEX CPL
CHILD IBU-DROPS 50 MG/1.25 ML
SM INFANT'S IBUPROFEN ORAL SUS
V-R COENZYME Q-10 50 MG SFGL
EP BRIEF, MEDIUM
EP BRIEF, SMALL
SUBLIMAZE 0.05 MG/ML AMPUL
SUBLIMAZE 0.05 MG/ML AMPUL
SUBLIMAZE 0.05 MG/ML AMPUL
SUBLIMAZE 0.05 MG/ML AMPUL
RA BELTED UNDERGARMENT REG
RA UNDERGARMENT X-ABSORBENT
RA BELTED UNDERGARMENT XTRA
RA BRIEF FITTED SMALL
RA BRIEF FITTED MEDIUM
RA BRIEF FITTED LARGE
RA UNDERGARMENT REGULAR
RA SLIP-ON UNDERGARMENT
RA PROTECTIVE UNDERWEAR LRG
RA PREMIUM PLUS BRIEFS
RA PROTECTIVE UNDERWEAR SM-MED
RA PROTECTIVE UNDERWEAR LARGE
RA PADS ULTRA PLUS
RA PROTECTIVE UNDERWEAR
RA PROTECTIVE UNDERWEAR LRG
RA PROTECTIVE UNDERWEAR
RA PROTECTIVE UNDERWEAR LRG
RA PROTECTIVE UNDERWEAR XL
RA BRIEF SMALL DISPOSABLE
RA GLUCOSAMIN-CHONDR-MSM TB
RA PREMIUM PLUS BRIEFS
RA PREMIUM PLUS BRIEFS
BILBERRY CAPSULE
KAVA KAVA 100 MG CAPSULE
GLUCOSAMINE/FISH OIL SOFTGEL
CORAL CALCIUM 1,500 MG CAP
ALPHA-LIPOIC ACID 50 MG CAP
DISPOSABLE BRIEF, MEDIUM
DISPOSABLE BRIEF, LARGE
DISPOSABLE BRIEF, X-LARGE
FITTED BRIEF, SMALL
FITTED BRIEF, MEDIUM
FITTED BRIEF, LARGE
DISPOSABLE BRIEF, LARGE
DISPOSABLE BRIEF, X-LARGE
BRIEFS OVERNIGHT, MEDIUM
BRIEF OVERNIGHT, LARGE
PROTECTIVE UNDERWEAR, LARGE
PROTECTIVE UNDERWEAR, MEDIU

DOSE FORM DRUG STRENGTH


EA
SN
TL
TL
TA
SN
SN
CA
EA
EA
HH
HH
HH
HH
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
TA
EA
EA
CA
CA
CA
CA
CA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14

NDC
11917004250
11917004251
11917005478
11917005479
11917005480
11917005481
11917005482
11917005483
11917005484
11917005485
11917005486
11917005487
11917005489
11917005501
11917005502
11917005656
11917005658
11917005659
11917005903
11980011701
12333092271
12333922401
12333922601
12333949807
12333950805
12333987601
12539058030
15127057024
15622000001
17317002401
17317002402
17317002404
17317002405
17317037801
17317037808
17317040801
17317040802
17317040804
17317066902
17317066903
17478010112
17478028310
17478028312
17478040101
19458100101
19458100102
19458100203
19458100204
19458100301
19458100302
19458100401
19458100402
19458100403

NAME
PROTECTIVE UNDERWEAR, LARGE
PROTECTIVE UNDERWEAR, X-LRG
PROTECTIVE UNDERWEAR SMALL-MED
PROTECTIVE UNDERWEAR, LARGE
PROTECTIVE UNDERWEAR, X-LRG
PROTECTIVE UNDERWEAR SMALL-MED
PROTECTIVE UNDERWEAR, LARGE
BELTED UNDERGARMENT XTRA AB
PROTECTIVE UNDERWEAR SUPER XL
BELTED UNDERGARMENT REGULAR
PROTECTIVE UNDERWEAR SMALL/MED
PROTECTIVE UNDERWEAR LARGE
PROTECTIVE UNDERWEAR, X-LRG
BELT FREE UNDERGARMENT, LARGE
BELT FREE UNDERGARMENT-SM-MED
PROTECTIVE UNDERWEAR-LARGE
PROTECTIVE UNDERWEAR-SM-MED
PROTECTIVE UNDERWEAR-XLARGE
PROTECTIVE UNDERWEAR-SMALL
GENOPTIC 3 MG/ML EYE DROPS
LONGS FITTED BRIEF MEDIUM
XTRA ABSORBENT UNDERGARMENT
BRIEF ADULT LARGE
ADULT BRIEF, MEDIUM
BRIEF ADULT SMALL
CHILDS IBUPROFEN SUSP DROP
DOLOREX CAPSULE
SB MENSTRUAL CAPLET
ZIKS ARTHRITIS PAIN RELIEF
MERCURY AMMONIATED POWDER
MERCURY AMMONIATED POWDER
MERCURY AMMONIATED POWDER
MERCURY AMMONIATED POWDER
NEOMYCIN SULFATE POWDER
NEOMYCIN SULFATE POWDER
PEPPERMINT OIL
PEPPERMINT OIL
PEPPERMINT OIL
RUTIN POWDER
RUTIN POWDER
TROPICACYL 0.5% EYE DROPS
GENTAK 3 MG/ML EYE DROPS
GENTAK 3 MG/ML EYE DROPS
SNO STRIPS
ECK REFAST UNDERWEAR SM-MED
ECK REFAST UNDERWEAR LARGE
ECK FITTED BRIEFS LARGE
ECK BRIEF REG ELAST WAIST
ECK UNDERGARMENT EX ABS
ECK UNDERGARMENT REGULAR
ECK PROT UNDWR EX/ABS SM-MED
ECK PROT UNDWR EX/ABS LARGE
ECK PROT UNDWR SUP PLUS SM-MED

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
SO
EA
EA
EA
EA
EA
SN
CA
TA
KA
PA
PA
PA
PA
PA
PA
SQ
SQ
SQ
PA
PA
SO
SO
SO
YR
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14

NDC
19458100404
19458941201
19458941601
19458941602
19458941603
19458942301
19458942501
19458942901
19458943001
19458943101
19458976001
23734001108
23734002108
23734005108
23734007800
23734008800
23734013108
23734015001
23734015051
23734020108
23734054002
23734054019
23734058017
23734060003
23734060997
23734061017
23734066005
23734066996
23734067019
23734070002
23734070996
23734071016
23734072006
23734072990
23734076004
23734076998
23734077018
23734078992
23734079005
23734080001
23734080995
23734081015
23734082005
23734082999
23734086003
23734086997
23734087017
23734088991
23734096002
23734106718
23734107111
23734107715
23734108118

NAME
ECK SUPER PROT UNDERWR LG
ECK SLIP ON UNDERGARMENT
ECK PROTECT UNDERWEAR MED
ECK PROTECT UNDERWEAR LARGE
ECK PROTECTIVE UNDERWEAR X-LG
ECK XL FITTED BRIEFS
ECK GUARDS FOR MEN
ECK PROTECT UNDERWEAR XL
ECK PROTECT UNDERWEAR LG
ECK PROTECT UNDERWEAR MED
ECK IBUPROFEN ORAL SUSP BERRY
ASSURANCE BRIEF MEDIUM
ASSURANCE BRIEF LARGE
ASSURANCE UNDERGARMENT
TRIMLINE BRIEF
TRIMLINE BRIEF
ASSURANCE BRIEF SMALL
SURECARE ADULT UNDERGARMENT
SURECARE ADULT UNDERGARMENT
ASSURANCE UNDERGARMENT
MAXICARE UNDERGARMENT BELTD
MAXICARE UNDERGARMENT
MAXICARE UNDERGARMENT
PRIMETIME PLUS BRIEF SMALL
PRIMETIME PLUS BRIEF SMALL
PRIMETIME PLUS BRIEF SMALL
MAXICARE ADULT BRIEF SMALL
MAXICARE ADULT BRIEF SMALL
MAXICARE ADULT BRIEF SMALL
PRIMETIME PLUS BRIEF MEDIUM
PRIMETIME PLUS BRIEF MEDIUM
PRIMETIME PLUS BRIEF MEDIUM
PRIMETIME ADULT BRIEF MED.
PRIMETIME BRIEF MEDIUM
MAXICARE ADULT BRIEF MEDIUM
MAXICARE BRIEF MEDIUM
MAXICARE ADULT BRIEF MEDIUM
MAXICARE ADULT BRIEF MEDIUM
BRIEF MEDIUM
PRIMETIME PLUS BRIEF LARGE
PRIMETIME PLUS BRIEF LARGE
PRIMETIME PLUS BRIEF LARGE
PRIMETIME ADULT BRIEF LARGE
PRIMETIME BRIEF LARGE
MAXICARE ADULT BRIEF LARGE
MAXICARE ADULT BRIEF LARGE
MAXICARE ADULT BRIEF LARGE
BRIEF LARGE
MAXICARE BRIEF X-LARGE
MAXICARE BRIEF
PRIMETIME PLUS BRIEF MEDIUM
MAXICARE ADULT BRIEF MEDIUM
PRIMETIME PLUS BRIEF LARGE

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
SN
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14

NDC
23734108712
23734152913
23734600001
23734602005
23734610017
23734630008
23734640014
23734680010
23734770001
23734771015
23734780000
23734781014
24208058060
24208058064
24208059064
24385051241
24385055010
31604014101
34575034080
34575034082
34575063086
34575063095
34575063134
34575076790
34575099066
36000019035
36000019056
36000019067
36000019078
36000019079
36000019092
36000019130
36000019131
36000019146
36000019147
36000019166
36000019167
36000019183
36000019184
36000019240
36000019256
36000019259
36000019272
36000019278
36000019279
36000019317
36000019377
36000019379
36000019381
36000019640
36000019643
36000019645
36000019656

NAME
MAXICARE ADULT BRIEF LARGE
SURECARE UNDERGARMENT
ABLES MEDIUM CHANNEL BRIEF
ABLES MEDIUM CHANNEL BRIEF
ABLES MEDIUM CHANNEL BRIEF
ABLES UNISIZE CHANNEL BRIEF
ABLES UNISIZE CHANNEL BRIEF
ABLES EXTRA-HEAVY BRIEF
ABLES ELASTIC LEG BRIEF MED
ABLES ELASTIC LEG BRIEF MED
ABLES ELASTIC LEG BRIEF LRG
ABLES ELASTIC LEG BRIEF LRG
GENTAMICIN 3 MG/ML EYE DROPS
GENTAMICIN 3 MG/ML EYE DROPS
TROPICAMIDE 0.5% EYE DROPS
STARCH BLOCKER CAPLET
INFANTS IBUPROFEN ORAL SUSP
ZINC-ECHINACEA LOZENGE
ECK PROT UNDWR EX/ABS SM-MED
ECK PROT UNDWR EX/ABS LARGE
ECK PROT UNDRWEAR MED JUMBO
ECK PROT UNDERWEAR LG JUMBO
ECK PROT UNDERWEAR XL JUMBO
ECK X-LARGE BRIEF
ECK MALE GUARD
DEPENDS GUARDS FOR MEN
DEPEND PANTS
DEPEND PANTS X-LARGE
DEPEND PANTS SMALL-MEDIUM
DEPEND PANTS LARGE
DEPEND PANTS LARGE
DEPEND OVERNIGHT BRIEF SMALL
DEPEND OVERNIGHT BRIEF LARGE
DEPEND PANTS SMALL-MEDIUM
DEPEND PANTS LARGE
DEPEND PANTS
DEPEND PANTS
DEPEND PANTS
DEPEND PANTS, LARGE
DEPEND UNDERGARMNT,X-ABSORB
DEPEND UNDERGARMENT, REG.
DEPEND PANTS
DEPEND PANTS
DEPEND GUARDS FOR MEN
DEPENDS GUARDS FOR MEN
DEPEND OVERNITE BRIEF
DEPEND PANTS SMALL-MEDIUM
DEPEND PANTS LARGE
DEPEND PANTS SMALL-MEDIUM
DEPEND ELAS LEG UNDERGARMNT
DEPEND UNDERGARMNT EASY FIT
DEPEND NON-ELAST UNDERGARM
DEPEND ELAS LEG UNDERGARMNT

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
SO
SO
SO
TA
SN
TL
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14

NDC
36000019658
36000019680
36000019690
36000019696
36000019697
36000019710
36000019720
36000019730
36000019740
36000019750
36000019754
36000019760
36000019764
36000019780
36000019791
36000019796
36000019797
36000019798
36000031853
36000031854
36000031856
36000031857
36800000091
36800004484
36800004485
36800020718
36800020719
36800060050
36800060051
37000006541
37000006542
37000006544
37000006620
37000006707
37000060107
37000068452
37000068453
37000068456
37205002889
37205002984
37205003360
37205003874
37205004674
37205005862
37205032573
37205032589
37205035365
37205035557
37205035572
37205043610
37205064605
38415001629
38485050010

NAME
DEPEND UNDERGARMNT EASY FIT
DEPEND X-ABS UNDERGARMENT
DEPEND REG. UNDERGARMENT
DEPEND UNDERGARMNT,X-ABSORB
DEPEND UNDERGARMNT, REGULAR
DEPEND BRIEF, SMALL
DEPEND BRIEF, MEDIUM
DEPEND BRIEF, LARGE
DEPEND OVERNITE BRIEF
DEPEND BRIEF, MEDIUM
DEPEND FITTED BRIEF MEDIUM
DEPEND BRIEF, LARGE
DEPEND BRIEF, LARGE
DEPEND BRIEF, LARGE
DEPEND BRIEF, MEDIUM
DEPEND FITTED BRIEF, SMALL
DEPEND FITTED BRIEF MEDIUM
DEPEND FITTED BRIEF LARGE
EASY CARE BRIEF
EASY CARE BRIEF
EASY CARE UNDERGARMENT
EASY CARE UNDERGARMENT
BELTED UNDERGARMENT
PROTECTIVE UNDERWEAR MEDIUM
PROTECTIVE UNDERWEAR LARGE
BELTED UNDERGARMENT
MALE GUARD
BRIEFS MEDIUM
BRIEFS LARGE
ATTENDS BRIEFS
ATTENDS BRIEFS
ATTENDS YOUTH BRIEFS
ATTENDS UNDERGARMENTS
ATTENDS MEDIUM BRIEFS
ATTENDS LARGE BRIEFS
ATTENDS MEDIUM BRIEFS
ATTENDS LARGE BRIEFS
ATTENDS UNDERGARMENTS
FITTED BRIEFS, LARGE
FITTED BRIEFS, MEDIUM
FITTED BRIEFS SUPREME, MEDIUM
FITTED BRIEFS, X-LARGE
PROTECTIVE UNDERWEAR X-LRG
SLIP-ON PROTECTIVE UNDERGARMNT
PROTECTIVE UNDERWEAR, LARGE
PROTECTIVE UNDERWEAR SM-MED
CO Q-10 50 MG SOFTGEL
STARCH BLOCKER 500 MG CAPLET
STARCH BLOCKER 500 MG CAPLET
INFANTS IBU-DROPS SUSPENSION
IBU-DROPS 40 MG/ML SUSP DRPS
INSULIN SYRINGE 1 ML
SARATOGA 1% OINTMENT

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
CA
TA
TA
SN
SN
YL
OA

UNIT PRICE
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14

NDC
38485050020
38703001076
38703001086
38703003622
38703003623
38703003625
38703003627
38703003629
38703003720
38703003722
38703003723
38703003725
38703010960
38703084080
38703084081
38779014804
38779014805
38779020501
38779020505
38779020508
38779020509
39822030001
39822030002
39822030005
41163005705
41163023704
41163023807
41163023852
41163025600
41163041154
41250056546
44156026960
44156026962
44156030073
44156030076
44156030077
44156030078
44156030087
44156030088
44156030089
44156030230
45802037632
45802037635
45802049535
45802049537
47469003008
48107003379
48107003380
48107003385
48107003419
48107004735
48107004896
48107004933

NAME
SARATOGA 1% OINTMENT
ENTRUST PLUS BRIEF,ADULT(M)
ENTRUST PLUS BRIEF,ADULT(L)
ENTRUST PLUS UNDERGARMENT
ENTRUST PLUS UNDERGARMENT
ENTRUST PLUS UNDERGARMENT
ENTRUST PLUS UNDERGARMENT
ENTRUST PLUS UNDERGARMENT
ENTRUST PLUS BRIEF, LARGE
ENTRUST PLUS BRIEF, SMALL
ENTRUST PLUS BRIEF, MEDIUM
ENTRUST PLUS BRIEF, LARGE
ENTRUST PLUS BRIEF,EX-LARGE
ENTRUST PLUS BRIEF, MEDIUM
ENTRUST PLUS BRIEF, SMALL
NEOMYCIN SULFATE POWDER
NEOMYCIN SULFATE POWDER
CHLORHEXIDINE GLUC 20% SOLN
CHLORHEXIDINE GLUC 20% SOLN
CHLORHEXIDINE GLUC 20% SOLN
CHLORHEXIDINE GLUC 20% SOLN
NEOMYCIN SULFATE POWDER
NEOMYCIN SULFATE POWDER
NEOMYCIN SULFATE POWDER
EQL IBUPROFEN ORAL SUSPENSION
SOBA MED FITTED BRIEF
EQL OVERNIGHT BRIEF LARGE
EQL COENZYME Q-10 50 MG SOFTGL
EQL IBUPROFEN ORAL SUSPENSION
EQL COENZYME Q-10 50 MG SOFTGL
REALITY INCONTINENT BRIEFS
DIGNITY WINGFOLD DIAPER
DIGNITY WINGFOLD DIAPER
BRIEFMATES UNDERGARMENTS
DIGNITY PLUS FITTED BRIEF
DIGNITY PLUS FITTED BRIEF
DIGNITY PLUS FITTED BRIEF
DIGNITY PLUS FITTED BRIEF
DIGNITY PLUS FITTED BRIEF
DIGNITY PLUS FITTED BRIEF
BRIEFMATES UNDERGARMENT
BETAMETHASONE DP 0.05% CRM
BETAMETHASONE DP 0.05% CRM
DESOXIMETASONE 0.25% CREAM
DESOXIMETASONE 0.25% CREAM
HOT FLASHEX CAPLET
VALERIAN ROOT 1,000 MG SOFTGE
VALERIAN ROOT 1,000 MG SOFTGE
DONG QUAI 1,000 MG SOFTGEL
FEVERFEW 1,000 MG SOFTGEL
BLACK COHOSH 50 MG CAPSULE
ALPHA-LIPOIC ACID 50 MG SFGL
COENZYME Q-10 50 MG CAPSULE

DOSE FORM DRUG STRENGTH


OA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
PA
PA
SA
SA
SA
SA
PA
PA
PA
SN
EA
EA
CA
SN
CA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
KA
KA
KA
KA
TA
CA
CA
CA
CA
CA
CA
CA

UNIT PRICE
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14

NDC
48107004947
49260012200
49326030504
49326045704
49348003625
49348003629
49348003723
49348003725
49348031112
49348032644
49348037469
49348064227
49348084080
49348084081
49452047001
49452047002
49452047003
49452089001
49452089002
49452483001
49452483002
49452509001
49452509002
49452634001
49452634002
49452634003
49523016910
49614024865
49614024972
49614075143
49614075255
49614075257
49614075365
49614075455
49614075460
49614089610
49738005705
49884029001
49884029004
49884029005
49884045405
49884045412
49884045462
49884045802
49884045804
49884045805
49884091702
49884091705
49884091802
49884091805
49884091902
49884091905
49999001104

NAME
ECHINACEA/GOLDEN SEAL SFTGL
BILBERRY PLUS CAPSULE
ALBATUSSIN PEDIATRIC SYRUP
VITA-NUMONYL ORAL SOLUTION
SM UNDERGARMENT
EP UNDERGARMENT
EP MEDIUM BRIEF
EP LARGE BRIEF
V-R IMMUNE SUPP COMPLEX CPL
V-R COENZYME Q-10 50 MG SFGL
SM IBUPROFEN INFANTS SUSP
SM INFANT S IBUPROFEN ORAL SUS
EP BRIEF, MEDIUM
EP BRIEF, SMALL
MERCURY AMMONIATED POWDER
MERCURY AMMONIATED POWDER
MERCURY AMMONIATED POWDER
BELLADONNA LEAF POWD EXT
BELLADONNA LEAF POWD EXT
NEOMYCIN SULFATE POWDER
NEOMYCIN SULFATE POWDER
PEPPERMINT OIL
PEPPERMINT OIL
RUTIN POWDER
RUTIN POWDER
RUTIN POWDER
COLYTROL TABLET
COENZYME Q-10 50 MG SOFTGEL
STARCH BLOCKER 500 MG CAPLET
SLIP-ON UNDERGARMENTS
FITTED BRIEFS/MEDIUM
FITTED BRIEFS/MEDIUM
BELTED UNDERGARMENTS
PROTECTIVE UNDERWEAR
PROTECTIVE UNDERWEAR
INFANTS MEDI-PROFEN SUSP
AF-IBUPROFEN INFANT SUSP
MEGESTROL 40 MG TABLET
MEGESTROL 40 MG TABLET
MEGESTROL 40 MG TABLET
TRIAZOLAM 0.25 MG TABLET
TRIAZOLAM 0.25 MG TABLET
TRIAZOLAM 0.25 MG TABLET
AMIODARONE HCL 200 MG TABLET
AMIODARONE HCL 200 MG TABLET
AMIODARONE HCL 200 MG TABLET
NEFAZODONE HCL 100 MG TABLET
NEFAZODONE HCL 100 MG TABLET
NEFAZODONE HCL 150 MG TABLET
NEFAZODONE HCL 150 MG TABLET
NEFAZODONE HCL 200 MG TABLET
NEFAZODONE HCL 200 MG TABLET
CLINDAMYCIN HCL 150 MG CAP

DOSE FORM DRUG STRENGTH


CA
CA
ST
SJ
EA
EA
EA
EA
TA
CA
SN
SN
EA
EA
PA
PA
PA
PA
PA
PA
PA
SQ
SQ
PA
PA
PA
TA
CA
TA
EA
EA
EA
EA
EA
EA
SN
SN
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA

UNIT PRICE
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14

NDC
49999001115
49999001120
49999001128
49999005500
49999005502
49999005510
49999005530
49999005560
49999013805
49999013815
49999017510
49999017530
49999017560
49999017590
49999025360
49999036115
49999036130
49999037715
50111047301
50111047302
50114800008
50114800108
50313010826
50428121442
50428122869
50428125607
50428146959
50428146988
50428155664
50428155665
50428163093
50428163094
50428163095
50428163096
50428171122
50428203643
50428203644
50428240333
50428252796
50428512541
50428568907
50428641431
50428641449
50428693861
50580010015
50580010020
50580019801
50580019815
51079025301
51079025320
51079043501
51079043517
51079043519

NAME
CLINDAMYCIN HCL 150 MG CAP
CLINDAMYCIN HCL 150 MG CAP
CLINDAMYCIN HCL 150 MG CAP
TRIAZOLAM 0.25 MG TABLET
TRIAZOLAM 0.25 MG TABLET
TRIAZOLAM 0.25 MG TABLET
TRIAZOLAM 0.25 MG TABLET
TRIAZOLAM 0.25 MG TABLET
GENTAMICIN 3 MG/ML EYE DROPS
GENTAMICIN 3 MG/ML EYE DROPS
HALCION 0.25 MG TABLET
HALCION 0.25 MG TABLET
HALCION 0.25 MG TABLET
HALCION 0.25 MG TABLET
ALPRAZOLAM 2 MG TABLET
PHENTERMINE 37.5 MG CAPSULE
PHENTERMINE 37.5 MG CAPSULE
DESOXIMETASONE 0.25% CREAM
PROPRANOLOL/HCTZ 40/25 TAB
PROPRANOLOL/HCTZ 40/25 TAB
ARNICA OINTMENT
CALENDULA OINTMENT
PRODEC-DM DROPS
CVS ZINC 10 MG LOZENGE
CVS COENZYME Q10 50 MG CAP
CVS IBUPROFEN SUSP DROPS
CVS PROTECTIVE UNDERWEAR LG
CVS PROTECTIVE UNDERWEAR MD
CVS BRIEFS, MEDIUM
CVS BRIEFS, LARGE
CVS GUARD MALE
CVS BRIEFS, X-LARGE
CVS SUPER ABSORB UNDERWEAR
CVS SUPER ABSORB UNDERWEAR
CVS PROTECTIVE UNDERWEAR XL
CVS PROTECTIVE UNDERWEAR
CVS PROTECTIVE UNDERWEAR
CVS OVERNIGHT MEDIUM BRIEFS
CVS IBUPROFEN SUSP DROPS
CVS UNDERGARMENT X-ABSORB
CVS BELTED UNDERGARMENT REG
CVS LARGE BRIEFS
CVS MEDIUM BRIEFS
CVS UNDERGARMENT EXTRA ABS
MOTRIN 40 MG/ML SUSP DROPS
MOTRIN 40 MG/ML SUSP DROPS
MOTRIN 40 MG/ML SUSP DROPS
MOTRIN 40 MG/ML SUSP DROPS
LITHIUM CARBONAT 300 MG ER TAB
LITHIUM CARBONAT 300 MG ER TAB
MEGESTROL 40 MG TABLET
MEGESTROL 40 MG TABLET
MEGESTROL 40 MG TABLET

DOSE FORM DRUG STRENGTH


CA
CA
CA
TA
TA
TA
TA
TA
SO
SO
TA
TA
TA
TA
TA
CA
CA
KA
TA
TA
OA
OA
SO
TL
CA
SN
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
SN
EA
EA
EA
EA
EA
SN
SN
SN
SN
TS
TS
TA
TA
TA

UNIT PRICE
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14

NDC
51079043520
51079056701
51079056720
51079057501
51079057520
51079058601
51079058620
51079059801
51079059817
51079059819
51079059820
51079078301
51079078320
51079090601
51079090620
51079091801
51079091820
51079094401
51079094420
51285092802
51285092804
51552007805
51672126201
51672126203
51672127001
51672127003
51672131001
51672131003
51672402504
51672520301
51672520303
51672520401
51672520403
51724043204
51817007102
51885330203
51927113300
51927116700
51991007201
51991011006
51991011306
51991065501
51991065505
52083029360
52083070401
52152001402
52152016702
52152016705
52152021602
52238072015
52297079100
52297079273
52297079465

NAME
MEGESTROL 40 MG TABLET
THIORIDAZINE 50 MG TABLET
THIORIDAZINE 50 MG TABLET
TRIFLUOPERAZINE 10 MG TABLET
TRIFLUOPERAZINE 10 MG TABLET
THIOTHIXENE 1 MG CAPSULE
THIOTHIXENE 1 MG CAPSULE
CLINDAMYCIN HCL 150 MG CAPS
CLINDAMYCIN HCL 150 MG CAPS
CLINDAMYCIN HCL 150 MG CAPS
CLINDAMYCIN HCL 150 MG CAPS
CARBIDOPA/LEVO 25/250 TAB
CARBIDOPA/LEVO 25/250 TAB
AMIODARONE HCL 200 MG TABLET
AMIODARONE HCL 200 MG TABLET
VERAPAMIL 180 MG CAP PELLET
VERAPAMIL 180 MG CAP PELLET
BUPROPION HCL 100 MG TABLET
BUPROPION HCL 100 MG TABLET
PALTRASE V8 TABLET
PALTRASE V8 TABLET
CHLORHEXIDINE GLUC 20% SOLN
DESOXIMETASONE 0.25% OINT
DESOXIMETASONE 0.25% OINT
DESOXIMETASONE 0.25% CREAM
DESOXIMETASONE 0.25% CREAM
BETAMETHASONE DP 0.05% CRM
BETAMETHASONE DP 0.05% CRM
AMIODARONE HCL 200 MG TABLET
TOPICORT 0.25% OINTMENT
TOPICORT 0.25% OINTMENT
TOPICORT 0.25% CREAM
TOPICORT 0.25% CREAM
YODEFAN EXPECTORANT LIQUID
RHINARIS NASAL GEL MIST
TRAUMEEL OINTMENT
CHLORHEXIDINE DIGLUC 20% SOLN
NEOMYCIN SULFATE POWDER
TRIONATE NF TABLET
CO ENZYME Q-10 50 MG CAPSULE
GLUCOSAMINE/CHONDR/MSM TAB
PANOKASE TABLET
PANOKASE TABLET
KARBOKOFF TABLET
GUMSOL SPRAY
DEXCHLORPHENIRAMINE 4 MG TAB
PHENTERMINE 37.5 MG CAPSULE
PHENTERMINE 37.5 MG CAPSULE
CAR-B-PEN TA/CHLOR-TAN TAB
INDUSTRIAL 0.12% EYE DROPS
HM FITTED BRIEFS, MEDIUM
HM FITTED BRIEFS, LARGE
HM SUPR ABSORB UNDERGARMENT

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
CA
CA
CA
CA
CA
CA
TA
TA
TA
TA
CP
CP
TA
TA
TA
TA
SA
OA
OA
KA
KA
KA
KA
TA
OA
OA
KA
KA
SL
AT
OA
SA
PA
TA
CA
TA
TA
TA
TA
AS
TS
CA
CA
TA
SO
EA
EA
EA

UNIT PRICE
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14

NDC
52297099812
52297103669
52569013046
52569013158
52735058126
52735065020
52735065102
52735068190
52735068252
52735073588
52735092804
52735092911
52735093052
52735093111
52735093220
52735099220
52959007102
52959007120
52959010300
52959010301
52959012830
52959015415
52959040230
52959040260
52959041730
52959051320
52959064590
52959065530
52959065540
52959116400
53100538881
53100538941
53191012101
53191029401
53191029410
53265028303
53265028310
53265028311
53265028350
53489015001
53489015010
54000075887
54000075888
54000095851
54000095852
54000095853
54000095881
54000095882
54000095883
54000096105
54000096106
54000096107
54569121800

NAME
HM IMMUNE SUPP COMPLEX CPLT
HM IBUPROFEN CHILD DROPS
HM IMMUNE SUPP COMPLEX CPLT
HM IBUPROFEN CHILD DROPS
FP INFANT'S IBUPROFEN ORAL SUS
FP INCONTINENT BRIEF LARGE
FP INCONTINENT BRIEF MEDIUM
FP INCONTINENT UNDERGARMENT
FP MALE GUARDS
FP STARCH BLOCKER CAPLET
FP INCONTINENT NITE BRIEF
FP INCONTINENT NITE BRIEF
FP INCONTINENT BRIEF XLARGE
FP PROTECTVIE UNDERWEAR
FP PROTECTIVE UNDERWEAR
FP ZINC 10 MG LOZENGE
HYDROCODONE-APAP 10/660 TAB
HYDROCODONE/APAP 10/660 TAB
GENTAMICIN 3 MG/ML EYE DROPS
GENTAMICIN 3 MG/ML EYE DROPS
DESIPRAMINE 10 MG TABLET
DESOXIMETASONE 0.25% CREAM
TRIAZOLAM 0.25 MG TABLET
TRIAZOLAM 0.25 MG TABLET
PHENTERMINE 37.5 MG CAPSULE
VICODIN HP TABLET
SERZONE 100 MG TABLET
BUPROPION HCL 100 MG TABLET
BUPROPION HCL 100 MG TABLET
GARAMYCIN 3 MG/ML EYE DROPS
SUCRETS COUGH CONTROL LOZ
SUCRETS MAX. STRENGTH LOZ
DNZ-2 100 MG CAPSULE
BIO-THROID 240 MG CAPSULE
BIO-THROID 240 MG CAPSULE
LITHIUM 300 MG ER TABLET
LITHIUM 300 MG ER TABLET
LITHIUM 300 MG ER TABLET
LITHIUM 300 MG ER TABLET
THIORIDAZINE 50 MG TABLET
THIORIDAZINE 50 MG TABLET
PROVIDE SPECIAL BRIEF - MED
PROVIDE SPECIAL BRIEF LARGE
PROVIDE REGULAR BRIEF SMALL
PROVIDE REGULAR BRIEF - MED
PROVIDE REGULAR BRIEF LARGE
PROVIDE ULTRA BRIEFS -SMALL
PROVIDE ULTRA BRIEF -MEDIUM
PROVIDE ULTRA BRIEF - LARGE
PROVIDE ULTRA BRIEF - SMALL
PROVIDE ULTRA BRIEF -MEDIUM
PROVIDE ULTRA BRIEF - LARGE
GENTAMICIN 3 MG/ML EYE DROPS

DOSE FORM DRUG STRENGTH


TA
SN
TA
SN
SN
EA
EA
EA
EA
TA
EA
EA
EA
EA
EA
TL
TA
TA
SO
SO
TA
KA
TA
TA
CA
TA
TA
TA
TA
SO
TL
TL
CA
CA
CA
TS
TS
TS
TS
TA
TA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
SO

UNIT PRICE
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14

NDC
54569217200
54569218300
54569294600
54569345600
54569345601
54569345603
54569345604
54569345606
54569396600
54569396601
54569396603
54569435500
54569448600
54569481601
54569485400
54569490000
54569490001
54569490002
54629066848
54629067390
54629084800
54738055001
54738055002
54799051005
54799052915
54859060202
54859060302
54859070410
54859070912
54868025900
54868082901
54868082902
54868082903
54868082904
54868097601
54868097602
54868126100
54868145000
54868165900
54868183200
54868183202
54868183203
54868185700
54868185701
54868185702
54868185705
54868185706
54868185707
54868216000
54868216001
54868216002
54868235601
54868266201

NAME
MYDRIACYL 0.5% EYE DROPS
DIPROLENE AF 0.05% CREAM
CLEAR EYES 0.012% DROPS
CLINDAMYCIN HCL 150 MG CAPS
CLINDAMYCIN HCL 150 MG CAPS
CLINDAMYCIN HCL 150 MG CAPS
CLINDAMYCIN HCL 150 MG CAPS
CLINDAMYCIN HCL 150 MG CAPS
TRIAZOLAM 0.25 MG TABLET
TRIAZOLAM 0.25 MG TABLET
TRIAZOLAM 0.25 MG TABLET
GENTAMICIN 3 MG/ML EYE DROPS
DESOXIMETASONE 0.25% CREAM
PHENTERMINE 37.5 MG CAPSULE
ST. JOHN'S WORT 450 MG CAP
ALPRAZOLAM 2 MG TABLET
ALPRAZOLAM 2 MG TABLET
ALPRAZOLAM 2 MG TABLET
COENZYME Q10 50 MG CAPSULE
COENZYME Q10 50 MG CAPSULE
COENZYME Q10 50 MG CAPSULE
PERPHENAZINE 2 MG TABLET
PERPHENAZINE 2 MG TABLET
GENTASOL 3 MG/ML EYE DROPS
MYDRAL 0.5% EYE DROPS
TUSNEL PEDIATRIC DROPS
TUSNEL-DM DROPS
COLYTROL TABLET
NATALVIT TABLET
GARAMYCIN 3 MG/ML EYE DROPS
HALCION 0.25 MG TABLET
HALCION 0.25 MG TABLET
HALCION 0.25 MG TABLET
HALCION 0.25 MG TABLET
TOPICORT 0.25% CREAM
TOPICORT 0.25% CREAM
OGEN 1.25 TABLET
WELLBUTRIN 100 MG TABLET
GENOPTIC 3 MG/ML EYE DROPS
THIORIDAZINE 50 MG TABLET
THIORIDAZINE 50 MG TABLET
THIORIDAZINE 50 MG TABLET
CLINDAMYCIN HCL 150 MG CAPS
CLINDAMYCIN HCL 150 MG CAPS
CLINDAMYCIN HCL 150 MG CAPS
CLINDAMYCIN HCL 150 MG CAPS
CLINDAMYCIN HCL 150 MG CAPS
CLINDAMYCIN HCL 150 MG CAPS
LANOXICAPS 0.1 MG CAPSULE
LANOXICAPS 0.1 MG CAPSULE
LANOXICAPS 0.1 MG CAPSULE
TRIFLUOPERAZINE 10 MG TABLET
TOPICORT 0.25% OINTMENT

DOSE FORM DRUG STRENGTH


SO
KA
SO
CA
CA
CA
CA
CA
TA
TA
TA
SO
KA
CA
CA
TA
TA
TA
CA
CA
CA
TA
TA
SO
SO
SO
SO
TA
TA
SO
TA
TA
TA
TA
KA
KA
TA
TA
SO
TA
TA
TA
CA
CA
CA
CA
CA
CA
CA
CA
CA
TA
OA

UNIT PRICE
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14

NDC
54868266202
54868285100
54868298300
54868298301
54868298303
54868298304
54868298305
54868304100
54868304101
54868367300
54868367301
54868370700
54868370800
54868373800
54868373801
54868383300
54868414900
54868414901
54868416700
54868442600
54868455000
54868455001
54868455002
54868461800
54868461801
54868461802
54868482300
54868482301
54868492400
54868494000
54868494001
54868505900
54868505901
54868505902
54868505903
54868674501
54868674502
55045124005
55045124006
55045128807
55045200602
55045200604
55045200607
55045200608
55045208608
55045256804
55045303901
55045326508
55289012830
55289044104
55289044128
55289044130
55289044142

NAME
TOPICORT 0.25% OINTMENT
DIPROLENE AF 0.05% CREAM
TRIAZOLAM 0.25 MG TABLET
TRIAZOLAM 0.25 MG TABLET
TRIAZOLAM 0.25 MG TABLET
TRIAZOLAM 0.25 MG TABLET
TRIAZOLAM 0.25 MG TABLET
DESOXIMETASONE 0.25% CREAM
DESOXIMETASONE 0.25% CREAM
ORTHO-EST 1.25 TABLET
ORTHO-EST 1.25 TABLET
SERZONE 100 MG TABLET
SERZONE 150 MG TABLET
FENTANYL 0.05 MG/ML AMPUL
FENTANYL 0.05 MG/ML AMPUL
TROPICAMIDE 0.5% EYE DROPS
ESTROPIPATE 1.25(1.5 MG) TAB
ESTROPIPATE 1.25(1.5 MG) TAB
METOCLOPRAMIDE 5 MG/ML VIAL
NITRO-DUR 0.3 MG/HR PATCH
BUPROPION HCL 100 MG TABLET
BUPROPION HCL 100 MG TABLET
BUPROPION HCL 100 MG TABLET
AMIODARONE HCL 200 MG TABLET
AMIODARONE HCL 200 MG TABLET
AMIODARONE HCL 200 MG TABLET
SERZONE 200 MG TABLET
SERZONE 200 MG TABLET
NEFAZODONE HCL 200 MG TABLET
VICODIN HP TABLET
VICODIN HP TABLET
HYDROCODONE-APAP 10-660 TAB
HYDROCODONE-APAP 10/660 MG TAB
HYDROCODONE-APAP 10-660 TAB
HYDROCODONE-APAP 10-660 TAB
GENTAMICIN 3 MG/ML EYE DROPS
GENTAMICIN 3 MG/ML EYE DROPS
GENTAMICIN 3 MG/ML EYE DROPS
GENTAMICIN 3 MG/ML EYE DROPS
CARDEC-DM DROPS
CLINDAMYCIN HCL 150 MG CAPS
CLINDAMYCIN HCL 150 MG CAPS
CLINDAMYCIN HCL 150 MG CAPS
CLINDAMYCIN HCL 150 MG CAPS
TRIAZOLAM 0.25 MG TABLET
ALPRAZOLAM 2 MG TABLET
DIPROLENE AF 0.05% CREAM
HYDROCODONE-APAP 10/660 TAB
HALCION 0.25 MG TABLET
CLINDAMYCIN HCL 150 MG CAP
CLINDAMYCIN HCL 150 MG CAP
CLINDAMYCIN HCL 150 MG CAPSULE
CLINDAMYCIN HCL 150 MG CAP

DOSE FORM DRUG STRENGTH


OA
KA
TA
TA
TA
TA
TA
KA
KA
TA
TA
TA
TA
HH
HH
SO
TA
TA
HV
PV
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
SO
SO
SO
SO
SO
CA
CA
CA
CA
TA
TA
KA
TA
TA
CA
CA
CA
CA

UNIT PRICE
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14

NDC
55289044180
55289052330
55289052360
55289078702
55299070399
55422010115
55422041110
55887061128
55887094905
55946032250
56184012071
57599889401
57599889501
57844001901
57866015502
57866015505
57866015506
57866015507
57866032402
57866125701
57866125801
57866443901
57866443902
57866443903
57866464301
57866482201
57866673701
57866903601
57866903602
57866903603
57866903604
57866910101
57866910102
58016037900
58016037902
58016037903
58016037910
58016037912
58016037914
58016037915
58016037920
58016037921
58016037924
58016037925
58016037928
58016037930
58016037940
58016037960
58016037973
58016037989
58016045321
58016045340
58016050200

NAME
CLINDAMYCIN HCL 150 MG CAP
ALPRAZOLAM 2 MG TABLET
ALPRAZOLAM 2 MG TABLET
TRIAZOLAM 0.25 MG TABLET
MOI-STIR SWABSTICK
NEUTRALIZE TABLET
ASP CAPSULE
CLINDAMYCIN HCL 150 MG CAPS
GENTAMICIN 3 MG/ML EYE DROPS
OXALIS OINTMENT
LITTLE TUMMYS LAXATIVE DROP
PRECISION SURE DOSE SYRINGE
PRECISION SURE DOSE SYRINGE
ADIPEX-P 37.5 MG CAPSULE
CLINDAMYCIN HCL 150 MG CAPS
CLINDAMYCIN HCL 150 MG CAPS
CLINDAMYCIN HCL 150 MG CAPS
CLINDAMYCIN HCL 150 MG CAPS
LANOXICAPS 0.1 MG CAPSULE
LANOXICAPS 0.1 MG CAPSULE
LANOXICAPS 0.2 MG CAPSULE
TRIFLUOPERAZINE 10 MG TABLET
TRIFLUOPERAZINE 10 MG TABLET
TRIFLUOPERAZINE 10 MG TABLET
THIORIDAZINE 50 MG TABLET
MEGESTROL 40 MG TABLET
CARBIDOPA/LEVO 25/250 TAB
TRIAZOLAM 0.25 MG TABLET
TRIAZOLAM 0.25 MG TABLET
TRIAZOLAM 0.25 MG TABLET
TRIAZOLAM 0.25 MG TABLET
BUPROPION HCL 100 MG TABLET
BUPROPION HCL 100 MG TABLET
ALPRAZOLAM 2 MG TABLET
ALPRAZOLAM 2 MG TABLET
ALPRAZOLAM 2 MG TABLET
ALPRAZOLAM 2 MG TABLET
ALPRAZOLAM 2 MG TABLET
ALPRAZOLAM 2 MG TABLET
ALPRAZOLAM 2 MG TABLET
ALPRAZOLAM 2 MG TABLET
ALPRAZOLAM 2 MG TABLET
ALPRAZOLAM 2 MG TABLET
ALPRAZOLAM 2 MG TABLET
ALPRAZOLAM 2 MG TABLET
ALPRAZOLAM 2 MG TABLET
ALPRAZOLAM 2 MG TABLET
ALPRAZOLAM 2 MG TABLET
ALPRAZOLAM 2 MG TABLET
ALPRAZOLAM 2 MG TABLET
CLINDAMYCIN HCL 150 MG CAPS
CLINDAMYCIN HCL 150 MG CAPS
DESIPRAMINE 10 MG TABLET

DOSE FORM DRUG STRENGTH


CA
TA
TA
TA
EL
TA
CA
CA
SO
OA
SO
YL
YL
CA
CA
CA
CA
CA
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
TA

UNIT PRICE
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14

NDC
58016050215
58016050228
58016050230
58016050250
58016050260
58016058400
58016058402
58016058403
58016058410
58016058412
58016058415
58016058420
58016058425
58016058430
58016058440
58016058450
58016058460
58016058470
58016058473
58016058480
58016058489
58016058490
58016075700
58016075702
58016075703
58016075705
58016075710
58016075712
58016075715
58016075720
58016075730
58016075760
58016075773
58016075789
58016075790
58016095000
58016095002
58016095010
58016095020
58016095030
58016095040
58016095050
58016095060
58016095090
58016318701
58016401401
58016602701
58016622801
58016644101
58177032804
58177032811
58177041604
58177041608

NAME
DESIPRAMINE 10 MG TABLET
DESIPRAMINE 10 MG TABLET
DESIPRAMINE 10 MG TABLET
DESIPRAMINE 10 MG TABLET
DESIPRAMINE 10 MG TABLET
BUPROPION HCL 100 MG TABLET
BUPROPION HCL 100 MG TABLET
BUPROPION HCL 100 MG TABLET
BUPROPION HCL 100 MG TABLET
BUPROPION HCL 100 MG TABLET
BUPROPION HCL 100 MG TABLET
BUPROPION HCL 100 MG TABLET
BUPROPION HCL 100 MG TABLET
BUPROPION HCL 100 MG TABLET
BUPROPION HCL 100 MG TABLET
BUPROPION HCL 100 MG TABLET
BUPROPION HCL 100 MG TABLET
BUPROPION HCL 100 MG TABLET
BUPROPION HCL 100 MG TABLET
BUPROPION HCL 100 MG TABLET
BUPROPION HCL 100 MG TABLET
BUPROPION HCL 100 MG TABLET
TRIAZOLAM 0.25 MG TABLET
TRIAZOLAM 0.25 MG TABLET
TRIAZOLAM 0.25 MG TABLET
TRIAZOLAM 0.25 MG TABLET
TRIAZOLAM 0.25 MG TABLET
TRIAZOLAM 0.25 MG TABLET
TRIAZOLAM 0.25 MG TABLET
TRIAZOLAM 0.25 MG TABLET
TRIAZOLAM 0.25 MG TABLET
TRIAZOLAM 0.25 MG TABLET
TRIAZOLAM 0.25 MG TABLET
TRIAZOLAM 0.25 MG TABLET
TRIAZOLAM 0.25 MG TABLET
HYDROCODONE-APAP 10-660 TAB
HYDROCODONE-APAP 10-660 TAB
HYDROCODONE-APAP 10-660 TAB
HYDROCODONE-APAP 10-660 TAB
HYDROCODONE-APAP 10-660 TAB
HYDROCODONE-APAP 10-660 TAB
HYDROCODONE-APAP 10-660 TAB
HYDROCODONE-APAP 10-660 TAB
HYDROCODONE-APAP 10-660 TAB
TOPICORT 0.25% CREAM
CARDEC-DM DROPS
GENTAMICIN 3 MG/ML EYE DROPS
DESOXIMETASONE 0.25% CREAM
GARAMYCIN 3 MG/ML EYE DROPS
NATATAB CFE TABLET
NATATAB CFE TABLET
PLARETASE 8,000 TABLET
PLARETASE 8,000 TABLET

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
KA
SO
SO
KA
SO
TA
TA
TA
TA

UNIT PRICE
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14

NDC
58196022663
58552011016
58605050301
58768036505
58864060740
58864078702
58914011110
58914011150
59390017913
59439017620
59440020701
59741013430
59762332801
59762371803
59762371804
59762372201
59762372203
59936000601
60232852505
60258019101
60258030301
60258044216
60307021025
60758018805
60951060768
60951060785
60977045101
60977045102
60977045103
61314035401
61314063305
61553012248
61553012348
61553012448
61553012548
61553013002
61553013102
61553013802
61553013902
61553014002
61553014102
61553020137
61553020437
61553020502
61553021422
61553021548
61553021837
61703021007
61703021011
61703021021
61703021031
61703021035
61787014816

NAME
METOCLOPRAMIDE 5 MG/ML VIAL
GILTUSS HC SYRUP
PRO-FAST SR 37.5 MG CAPSULE
GENTACIDIN 3 MG/ML EYE DROPS
CLINDAMYCIN HCL 150 MG CAPS
TRIAZOLAM 0.25 MG TABLET
VIOKASE 8 TABLET
VIOKASE 8 TABLET
ALTAFRIN 0.12% EYE DROPS
FEVERALL 160 MG SPRINKLE CAP
LITTLE TUMMYS LAXATIVE DROP
BIODEC-DM DROPS
CLINDAMYCIN HCL 150 MG CAPS
TRIAZOLAM 0.25 MG TABLET
TRIAZOLAM 0.25 MG TABLET
ALPRAZOLAM 2 MG TABLET
ALPRAZOLAM 2 MG TABLET
PHENYDEX PEDIATRIC DROP
ELTA DERMAL 4"X5" DRESSING
PRENATABS CBF TABLET
TANNIC-12 TABLET
ANDEHIST DM SYRUP
COMPOUND 347 INHALATION
GENTAMICIN 3 MG/ML EYE DROPS
CARBIDOPA/LEVO 25/250 TAB
CARBIDOPA/LEVO 25/250 TAB
REGLAN 5 MG/ML VIAL
REGLAN 5 MG/ML VIAL
REGLAN 5 MG/ML VIAL
TROPICAMIDE 0.5% EYE DROPS
GENTAMICIN 3 MG/ML EYE DROPS
FENTA-BUPIVA-NS 2 MCG/0.1%
FENTA-BUPIVA-NS 2 MCG/0.1%
FENTA-BUPIVA-NS 2 MCG/0.125%
FENTA-BUPIVA-NS 2 MCG/0.125%
FENTA-BUPIVA-NS 4 MCG/0.125%
FENTA-BUPIVA-NS 2 MCG/0.1%
FENTA/BUPIVA/NS 5 MCG/0.1%
FENTA/BUPIVA/NS 5 MCG/0.125%
FENTA/BUPIVA/NS 5 MCG/0.125%
FENTA/BUPIVA/NS 5 MCG/0.1%
FENTA-BUPIVA-NS 2 MCG/0.1%
FENTA/BUPIVA/NS 2 MCG/0.125%
FENTA/BUPIVA/NS 2 MCG/0.125%
FENTA-BUPIVA-NS 4 MCG/0.125%
FENTA-BUPIVA-NS 4 MCG/0.125%
FENTA-BUPIVA-NS 2 MCG/0.1%
METOCLOPRAMIDE 5 MG/ML VIAL
METOCLOPRAMIDE 5 MG/ML VIAL
METOCLOPRAMIDE 5 MG/ML VIAL
METOCLOPRAMIDE 5 MG/ML VIAL
METOCLOPRAMIDE 5 MG/ML VIAL
DIABETIC TUSSIN C LIQUID

DOSE FORM DRUG STRENGTH


HV
ST
CA
SO
CA
TA
TA
TA
SO
CK
SO
SO
CA
TA
TA
TA
TA
SO
YE
TA
TA
ST
GA
SO
TA
TA
HV
HV
HV
SO
SO
HZ
HZ
HZ
HZ
HZ
HZ
HZ
HZ
HZ
HZ
HZ
HZ
HZ
HZ
HZ
HZ
HV
HV
HV
HV
HV
SL

UNIT PRICE
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14

NDC
62037056701
62794010150
62794010151
62794010154
62991157001
62991157002
63044003060
63304054201
63304054260
63304054301
63304054360
63304054401
63304054460
63304069201
63717015003
63717026104
63736007026
63736007028
63736066207
63739004801
63739004803
63739004815
63739016401
63739016501
63739016503
63739016515
63739031815
64248010201
64759000101
64899072342
64915040822
64915053060
64915075060
65044999005
65615020060
66116066605
66267006020
66267006028
66267061430
66267061460
66267097015
66267097105
66794001025
66870003501
68030032402
68030666001
68030706101
68030706201
68030979501
68084009401
68115001700
68115001760
68115008621

NAME
HYDROCODONE-APAP 10-660 TAB
SULFAMYLON 8.5% CREAM
SULFAMYLON 8.5% CREAM
SULFAMYLON 8.5% CREAM
BELLADONNA LEAF POWD EXT
BELLADONNA LEAF POWD EXT
ZIKS ARTHRITIS PAIN RELIEF
NEFAZODONE HCL 100 MG TABLET
NEFAZODONE HCL 100 MG TABLET
NEFAZODONE HCL 150 MG TABLET
NEFAZODONE HCL 150 MG TABLET
NEFAZODONE HCL 200 MG TABLET
NEFAZODONE HCL 200 MG TABLET
CLINDAMYCIN HCL 150 MG CAPS
ICAR PRENATAL COMBO PACK
NASOP SUSPENSION
ASPERGUM GUM
ASPERGUM GUM
PRIVINE 0.05% NASAL DROPS
CARBIDOPA/LEVO 25/250 TAB
CARBIDOPA/LEVO 25/250 TAB
CARBIDOPA/LEVO 25/250 TAB
MEGESTROL 40 MG TABLET
MEGESTROL 40 MG TABLET
MEGESTROL 40 MG TABLET
MEGESTROL 40 MG TABLET
BUPROPION HCL 100 MG TABLET
ORTHO-EST 1.25 TABLET
PANCRELIPASE TABLET
HCA ARTHRITIS CREAM
GINKGO BILOBA EXTRACT
SEDAPLEX CAPSULE
ST. JOHN'S WORT 450 MG CAP
PHENOL SALINE VIAL
ASP 300/200/20 CAPSULE
GENTAMICIN 3 MG/ML EYE DROPS
CLINDAMYCIN HCL 150 MG CAPS
CLINDAMYCIN HCL 150 MG CAPS
BUPROPION HCL 100 MG TABLET
BUPROPION HCL 100 MG TABLET
GENTAMICIN 3 MG/ML EYE DROPS
GENTAMICIN 3 MG/ML EYE DROPS
COMPOUND 347 INHALATION
AMERIFED DM SYRUP
LANOXICAPS 0.1 MG CAPSULE
LANOXICAPS 0.2 MG CAPSULE
GENTAMICIN 3 MG/ML EYE DROPS
GENTAMICIN 0.3% OPHTH SOLN
GENTAMICIN 3 MG/ML EYE DROPS
CARBIDOPA/LEVO 25/250 TABLET
ALPRAZOLAM 2 MG TABLET
ALPRAZOLAM 2 MG TABLET
CLINDAMYCIN HCL 150 MG CAPS

DOSE FORM DRUG STRENGTH


TA
KA
KA
KA
PA
PA
KA
TA
TA
TA
TA
TA
TA
CA
ZD
SC
TG
TG
SO
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
KA
SO
CA
CA
HV
CA
SO
CA
CA
TA
TA
SO
SO
GA
ST
CA
CA
SO
SO
SO
TA
TA
TA
CA

UNIT PRICE
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14

NDC
68115008628
68115037920
68115037960
68115041260
68115041290
68115064160
68115066500
68115079860
68115084800
68115085700
68115092960
68115096705
68115096815
68387035360
68387039020
68387045501
68552067915
68702000380
68702000385
68702000390
68702000395
68702048000
68702048100
68702061375
68702067100
68702067150
68702067200
68702067250
68702067300
68702067350
68702068115
68702068116
68702068117
68702068118
68702068119
68702068120
68702068121
68702068122
68702068123
68702068124
68702068125
68702068126
68702068127
68702072122
68702072210
68702072220
68702072222
68702072230
68702072322
68702072412
70030013917
70319002120
70319002122

NAME
CLINDAMYCIN HCL 150 MG CAPS
TRIAZOLAM 0.25 MG TABLET
TRIAZOLAM 0.25 MG TABLET
BUPROPION HCL 100 MG TABLET
BUPROPION HCL 100 MG TABLET
NEFAZODONE HCL 150 MG TABLET
HYDROCODONE-APAP 10-660 TAB
NEFAZODONE HCL 100 MG TABLET
BUPROPION HCL 100 MG TABLET
NEFAZODONE HCL 200 MG TABLET
NEFAZODONE HCL 200 MG TABLET
GENTAMICIN 3 MG/ML EYE DROPS
GENTAMICIN 3 MG/ML EYE DROPS
BUPROPION HCL 100 MG TABLET
CLINDAMYCIN HCL 150 MG CAPS
GENTAMICIN 3 MG/ML EYE DROPS
PHENYLEPHRINE 0.12% EYE DRP
DRY COMFORT EXTRA BRIEF-SM
DRY COMFORT EXTRA BRIEF-MED
DRY COMFORT EXTRA BRIEF-LG
DRY COMFORT EXTRA BRIEF-XL
TENA PROTECTIVE UNDERWEAR-M
TENA PROTECTIVE UNDERWEAR-L
TENA BRIEF-EXTRA LARGE
TENA ULTRA BRIEF-SMALL
TENA ULTRA BRIEF-SMALL
TENA ULTRA BRIEF-MEDIUM
TENA ULTRA BRIEF-MEDIUM
TENA ULTRA BRIEF-LARGE
TENA ULTRA BRIEF-LARGE
TENA CLASSIC BRIEF-MEDIUM
TENA CLASSIC BRIEF-LARGE
DRY COMFORT EXTRA BRIEF-MED
DRY COMFORT EXTRA BRIEF-LG
DRY COMFORT EXTRA BRIEF-XL
TENA ULTRA BRIEF-SMALL
TENA ULTRA BRIEF-MEDIUM
TENA ULTRA BRIEF-LARGE
TENA SUPER BRIEF-MEDIUM
TENA SUPER BRIEF-LARGE
TENA PROTECTIVE UNDERWEAR-MED
TENA PROTECTIVE UNDERWEAR-LG
TENA PROTECTIVE UNDERWEAR-SM
TENA PROTECTIVE UNDERWEAR-SM
TENA PROTECTIVE UNDERWEAR-S
TENA PROTECTIVE UNDERWEAR-M
TENA PROTECTIVE UNDERWEAR-MED
TENA PROTECTIVE UNDERWEAR-L
TENA PROTECTIVE UNDERWEAR-LG
TENA PROTECTIVE UNDERWEAR-XL
INFANTS IBUPROFEN SUSP DROP
TRANQ SLIMLINE BRIEF SMALL
TRANQ SLIMLINE BRIEF MEDIUM

DOSE FORM DRUG STRENGTH


CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
SO
SO
TA
CA
SO
SO
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
SN
EA
EA

UNIT PRICE
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14

NDC
70319002125
70319002127
70319002131
70319002132
73913121181
73913121182
73913121267
79854000848
79854006739
79854010848
82468062012
82468062107
86679000639
86679000644
86679000649
86679000659
86679000662
86679000665
86679000668
86679000673
86679000676
86679000681
86679000684
86679000998
86679000999
86679001007
86679001008
86679006581
86679007687
86679007694
86679009018
86679010502
86679010519
86679022723
86679023748
86679023755
86679024880
86679024881
86679024882
86679024883
86679024884
86679024885
86679024886
86679024887
86679024888
86679024889
86679024890
86679024891
86679024892
86679024894
86679024897
86679024898
86679024899

NAME
TRANQ SLIMLINE BRIEF SMALL
TRANQ SLIMLINE BRIEF MEDIUM
TRANQ SLIMLINE BRIEF LARGE
TRANQ SLIMLINE BRIEF LARGE
INCONTINENCE BRIEF MEDIUM
INCONTINENCE BRIEF LARGE
BELTED UNDERGARMENT XTRA
COENZYME Q10 50 MG CAPSULE
COENZYME Q10 50 MG CAPSULE
COENZYME Q10 50 MG CAPSULE
FP STARCH BLOCKER CAPLET
FP INFANT'S IBUPROFEN ORAL SUS
CONFIDENCE EXTRA CARE BRIEF
CONFIDENCE EXTRA CARE BRIEF
CONFIDENCE EXTRA CARE BRIEF
CONFIDENCE PREMIUM BRIEF
CONFIDENCE PREMIUM BRIEF
CONFIDENCE PREMIUM BRIEF
CONFIDENCE PREMIUM BRIEF
CONFIDENCE PREMIUM BRIEF
CONFIDENCE PREMIUM BRIEF
CONFIDENCE EXTRA CARE BRIEF
CONFIDENCE EXTRA CARE BRIEF
SECURELY YOURS STRETCH BRIEF
SECURELY YOURS STRETCH BRIEF
SECURELY YOURS STRETCH BRIEF
SECURELY YOURS STRETCH BRIEF
COMFORTCARE STRETCH BRIEF
CONFIDENCE STANDARD BRIEF
CONFIDENCE PREMIUM BRIEF
CONFIDENCE PREMIUM BRIEF
CONFIDENCE PREMIUM BRIEF
CONFIDENCE STANDARD BRIEF
ATTENDS BRIEFS
ATTENDS PULL-ON BRIEFS
ATTENDS PULL-ON BRIEFS
ATTENDS 10 EASY-FIT BRIEF SML
ATTENDS 10 EASY-FIT BRIEF MED
ATTENDS 10 EASY-FIT BRIEF LRG
ATTENDS 10 EASY-FIT BRIEF XLRG
ATTENDS 10 CLASSIC BRIEF SMALL
ATTENDS 10 CLASSIC BRIEF MED
ATTENDS 10 CLASSIC BRIEF LRG
ATTENDS 10 CLASSIC BRIEF X-LRG
ATTENDS 9 BRIEF MEDIUM
ATTENDS 9 BRIEF LARGE
ATTENDS 8 BRIEF MEDIUM
ATTENDS 8 BRIEF LARGE
ATTENDS 8 BRIEF X-LARGE
ATTENDS 9 BRIEF X-LARGE
ATTENDS MEDIUM BRIEFS
ATTENDS LARGE BRIEFS
ATTENDS MEDIUM BRIEFS

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
CA
CA
CA
TA
SN
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14

NDC
86679024900
86679025017
86679025031
86679025032
86679025033
86679025036
86679025037
86679025038
86679025039
86679025194
86679025326
86679025389
86679025390
86679025391
86679025392
86679025393
86679025394
86679025788
86679025792
86679025827
87701001830
87701039875
87701055502
87701055503
87701055800
87701055843
87701056343
87701056344
87701062844
87701062899
87701074225
87701086734
87701089124
87701089312
87701089321
87701089620
87701094276
87701095769
87701095927
87900085109
90891010012
90891010013
90891010018
90891010024
90891010064
90891010080
90891010096
90891010097
90891011114
90891011115
90891011116
90891011117
90891012002

NAME
ATTENDS LARGE BRIEFS
ATTENDS 10 CLASSIC BRIEF YOUTH
ATTENDS PULL-ON MEDIUM BRIEFS
ATTENDS PULL-ON LARGE BRIEFS
ATTENDS PULL-ON X-LARGE BRIEFS
ATTENDS 10 EASY-FIT BRIEF REG
ATTENDS 9 EASY-FIT BRIEF MED
ATTENDS 9 EASY-FIT BRIEF LARGE
ATTENDS 9 EASY-FIT BRIEF REG
ATTENDS 10 CLASSIC BRIEF REG
ATTENDS 9 EASY-FIT BRIEF X-LRG
CONFIDENCE PLUS FITTED BRIEF
CONFIDENCE PLUS FITTED BRIEF
CONFIDENCE PLUS FITTED BRIEF
CONFIDENCE PREMIUM PLUS BRIEF
CONFIDENCE PREMIUM PLUS BRIEF
CONFIDENCE PREMIUM PLUS BRIEF
CONFIDENCE PLUS FITTED BRIEF
CONFIDENCE PREMIUM PLUS BRIEF
ATTENDS 8 BRIEF REGULAR
BL OVERNITE SUPREME BRIEFS
BL FITTED BRIEFS EXTRA LARGE
BL BELTED UNDERGARMENT
BL BELTED UNDERGARMENT
BL CONTOUR BRIEF, LARGE
BL CONTOUR BRIEF, MEDIUM
BL FITTED BRIEF, MEDIUM
BL FITTED BRIEF, LARGE
BL BELTED UNDERGARMENT
BL BELTED UNDERGARMENT
BL SLIP-ONS
GNP STARCH BLOCKER CAPLET
BL ZINC 10 MG LOZENGE
BL PROTECTIVE UNDERWEAR SM/MED
BL PROTECTIVE UNDERWEAR LARGE
GNP ZINC 10 MG LOZENGE
BL SUPREME FITTED BRIEFS
BL BELTED UNDERGARMENT
GNP INFANTS IBUPROFEN ORAL SUS
HOLD 4 HOUR LOZENGE CHILD'S
LEG CUFF ADULT BRIEF
LEG CUFF ADULT BRIEF
FQ ADULT BRIEF LARGE
FQ ADULT BRIEF MEDIUM
FQ ADULT BRIEF X-LARGE
FQ ADULT BRIEF REGULAR
FQ YOUTH BRIEF SMALL
FQ ADULT BRIEF X-LARGE
FQ BREATHABLE ADULT BRIEF
FQ BREATHABLE ADULT BRIEF
FQ BREATHABLE ADULT BRIEF
FQ BREATHABLE ADULT BRIEF
FQ FTB ADULT BRIEFS MEDIUM

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
TA
TL
EA
EA
TL
EA
EA
SN
TL
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14

NDC
90891012003
90891012004
90891012006
90891012024
90891012064
90891012080
90891012096
90891014610
90891014612
90891014812
90891014912
90891015080
90891015096
90891018416
90891018612
90891018812
90891020001
90891020002
90891020011
90891020013
90891020014
90891020024
90891020030
90891020036
90891024612
90891024808
90891024810
90891024812
90891025612
90891025808
90891025810
90891025812
90891026415
90891026612
90891026810
90891026812
90891030030
90891030035
90891040018
90891040022
90891049000
90891049001
90891049002
90891049003
90891050000
90891050001
90891050002
90891050003
90891050004
90891050007
90891050008
90891050024
90891050030

NAME
FQ FTB ADULT BRIEF LARGE
FQ FTB ADULT BRIEF X-LARGE
FQ FTB ADULT BRIEF REGULAR
ADULT FRONTAL TAPE BRIEF MD
ADULT FRONTAL BRIEF X-LARGE
ADULT FRONTAL TAPE BRIEF RG
ADULT FRONTAL TAPE BRIEF LG
FQ PREMIER ADULT BRIEF
PREMIER ADULT BRIEF
PREMIER ADULT BRIEF
FQ PREMIER ADULT BRIEF
FQ OVERNIGHT BRIEF MEDIUM
FQ OVERNIGHT BRIEF LARGE
VALUE BUY ADULT BRIEF-XL
VALUE BUY ADULT BRIEF-LG
VALUE BUY ADULT BRIEF-MD
FQ ADULT APERTURE BRIEF
FQ ADULT APERTURE BRIEF
FQ ADULT BRIEF LARGE
ADULT BRIEF MEDIUM
ADULT BRIEF LARGE
FQ ADULT BRIEF MEDIUM
BELTED UNDERGARMENT
BELTED UNDERGARMENT
NUFIT BRIEFS-MEDIUM
FQ NUFIT BRIEF X-LARGE
NUFIT BRIEFS-REGULAR
NUFIT BRIEFS-LARGE
FQ PERFIT ADULT BRIEF LRG
FQ PERFIT ADULT BRIEF X-LRG
FQ PERFIT ADULT BRIEF REG
FQ PERFIT ADULT BRIEF MED
FQ PREVAIL BRIEF X-LARGE
FQ PREVAIL BRIEF LARGE
FQ PREVAIL BRIEF REGULAR
FQ PREVAIL BRIEF MEDIUM
PREVAIL UNDERGARMENT BELTED
FQ BELTED UNDERGARMENT
FQ PREMIUM ADULT BRIEF
FQ PREMIUM ADULT BRIEF
FQ PROTECTIVE UNDERWEAR MED
FQ PROTECTIVE UNDERWEAR LRG
FQ PROTECTIVE UNDERWEAR MED
FQ PROTECTIVE UNDERWEAR LARGE
FQ PROTECTIVE UNDERWEAR
FQ PROTECTIVE UNDERWEAR S/M
FQ PROTECTIVE UNDERWEAR LG
FQ PROTECTIVE UNDERWEAR X-LG
SUPER ABS UNDERWEAR LRG
FQ PROTECTIVE UNDERWEAR S/M
FQ PROTECTIVE UNDERWEAR LG
GUARD SUPER PLUS
GUARD SUPER

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14

NDC
90891050112
90891050113
90891060010
90891060018
90891080000
90891080036
90891080430
93815098894
93815098895
94542085000
96295010451
96295010452
96295010936
96295010951
96295011160
96295011161
96295011162
96295011204
96295011206
96295011217
96295011230
96295011265
97807002009
99207001115
99207001160
99207002560
00006061968
00006094168
00009003101
00009013701
00009337502
00015118079
00015118080
00024033206
00024039202
00029608729
00029608739
00029608751
00054354563
00054478425
00054854516
00054878424
00064044015
00064044030
00064044060
00064400006
00064400012
00065035503
00066060303
00066060307
00069553047
00069553093
00074174650

NAME
FQ PREVAIL PROTECT UNDERWEAR
FQ PREVAIL PROTECT UNDERWEAR
FQ ADULT BRIEF MEDIUM
FQ ADULT BRIEF LARGE
FQ PREVAIL MALE GUARD
PREVAIL UNDERGARMENT BELTED
BELTED UNDERGARMENT
PRECISION SURE DOSE SYRINGE
PRECISION SURE DOSE SYRINGE
SURESEAL M 1-1/4"X1-3/4"
FITTED BRIEFS, MEDIUM
FITTED BRIEFS, LARGE
FITTED BRIEFS SUPREME, MEDIUM
FITTED BRIEFS, X-LARGE
PROTECTIVE UNDERWEAR X-LRG
PROTECTIVE UNDERWEAR SM-MED
PROTECTIVE UNDERWEAR, LARGE
CO Q-10 50 MG SOFTGEL
STARCH BLOCKER 500 MG CAPLET
STARCH BLOCKER 500 MG CAPLET
SLIP-ON PROTECTIVE UNDERGARMNT
INFANTS IBU-DROPS SUSPENSION
HCA ARTHRITIS CREAM
TOPICORT 0.25% CREAM
TOPICORT 0.25% CREAM
TOPICORT 0.25% OINTMENT
HYDROCORTONE 10 MG TABLET
CLINORIL 150 MG TABLET
CORTEF 10 MG TABLET
LONITEN 10 MG TABLET
CLEOCIN 600 MG/D5W/GALAXY
TEQUIN 200 MG/100 ML D5W
TEQUIN 200 MG/100 ML D5W
DEMEROL 50 MG/5 ML SYRUP
DRISDOL 50,000 UNITS CAPSULE
AUGMENTIN 200-28.5 SUSPEN
AUGMENTIN 200-28.5 SUSPEN
AUGMENTIN 200-28.5 SUSPEN
MEPERIDINE 50 MG/5 ML SYRUP
ROXICET 5/500 CAPLET
MEPERIDINE 50 MG/5 ML SYRUP
ROXICET 5/500 CAPLET
EMBELINE E 0.05% CREAM
EMBELINE E 0.05% CREAM
EMBELINE E 0.05% CREAM
OVACE WASH 10% LIQUID
OVACE WASH 10% LIQUID
MYDRIACYL 1% EYE DROPS
VANAMIDE 40% CREAM
VANAMIDE 40% CREAM
ZYRTEC 1 MG/ML SYRUP
ZYRTEC 1 MG/ML SYRUP
MARCAINE W/EPI 0.25%/0.0005

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
YL
YL
YE
EA
EA
EA
EA
EA
EA
EA
CA
TA
TA
EA
SN
KA
KA
KA
OA
TA
TA
TA
TA
HP
HP
HP
ST
CA
PD
PD
PD
ST
TA
ST
TA
KA
KA
KA
SL
SL
SO
KA
KA
ST
ST
HH

UNIT PRICE
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.14
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15

NDC
00074234534
00074321301
00074321302
00074410401
00074410701
00074421902
00074904101
00074962213
00085071506
00085086101
00086004810
00087004131
00087054401
00091092001
00093030801
00093102606
00093224001
00093227773
00095013216
00143998101
00143998150
00143998175
00145160603
00168030115
00168030130
00168030160
00172221860
00172433510
00172433549
00172433560
00172740520
00172740521
00172740522
00173045401
00173045402
00173045403
00173095396
00178025530
00178061001
00182700111
00185014860
00185405701
00185405710
00187049701
00187049702
00223197101
00247043310
00247043320
00247082914
00247094814
00247130506
00247130512
00259036421

NAME
DOBUTAMINE 250 MG/D5W 500 ML
DIAZEPAM 5 MG/ML VIAL
DIAZEPAM 5 MG/ML VIAL
NITROGLYCERIN 5 MG/ML VIAL
NITROGLYCERIN 5 MG/ML VIAL
SODIUM CL 2.5 MEQ/ML ADD SOL
BUPIVACAINE/EPI 0.25%/0.0005
CLINDAMYCIN 600 MG/D5W SOLN
TINACTIN 1% CREAM
CHLORTRIMETON NON-DROWSY TB
BONTRIL PDM 35 MG TABLET
SERZONE 250 MG TABLET
VASODILAN 20 MG TABLET
DILATRATE-SR 40 MG CAPSULE
CLEMASTINE FUM 2.68 MG TAB
NEFAZODONE HCL 250 MG TABLET
CEPHALEXIN 500 MG TABLET
AMOX TR-K CLV 200-28.5/5 SUSP
ANAPLEX DMX COUGH SYRUP
AMOCLAN 200-28.5/5 SUSPENSION
AMOCLAN 200-28.5/5 SUSPENSION
AMOCLAN 200-28.5/5 SUSPENSION
ZEASORB-AF 2% LOTION
CLOBETASOL 0.05% CREAM
CLOBETASOL 0.05% CREAM
CLOBETASOL 0.05% CREAM
SULFISOXAZOLE 500 MG TABLET
NEFAZODONE HCL 250 MG TABLET
NEFAZODONE HCL 250 MG TABLET
NEFAZODONE HCL 250 MG TABLET
AMOX TR-K CLV 200-28.5/5 SUSP
AMOX TR-K CLV 200-28.5/5 SUSP
AMOX TR-K CLV 200-28.5/5 SUSP
TEMOVATE EMOLLIENT 0.05% CRM
TEMOVATE EMOLLIENT 0.05% CRM
TEMOVATE EMOLLIENT 0.05% CRM
ZOVIRAX 200 MG/5 ML SUSP
CALCIBIND POWDER
UROCIT-K 1,080 MG TABLET SA
ACETAMINOPHEN 325 MG SUPPOS
NEFAZODONE HCL 250 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
BONTRIL PDM 35 MG TABLET
BONTRIL PDM 35 MG TABLET
VITAMIN D 50,000 UNITS CAPSULE
CEPHALEXIN 500 MG TABLET
CEPHALEXIN 500 MG TABLET
CLEMASTINE FUM 2.68 MG TAB
BONTRIL PDM 35 MG TABLET
ACETAMINOPHEN 325 MG SUPPOS
ACETAMINOPHEN 325 MG SUPPOS
STERAPRED DS 10 MG TB UNIPAK

DOSE FORM DRUG STRENGTH


HM
HV
HV
HV
HV
HM
HH
HP
PP
TA
TA
TA
TA
CS
TA
TA
TA
PD
SC
PD
PD
PD
SZ
KA
KA
KA
TA
TA
TA
TA
PD
PD
PD
KA
KA
KA
SC
PA
TS
QA
TA
TA
TA
TA
TA
CA
TA
TA
TA
TA
QA
QA
UD

UNIT PRICE
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15

NDC
00259038948
00270131601
00270131604
00270131635
00270131637
00270131640
00270131641
00270131644
00270131652
00270131698
00314040801
00314040810
00338107103
00338355248
00378042701
00378205591
00386000220
00396503000
00406102601
00406102603
00409421902
00440745290
00440745294
00440807630
00440843030
00440843060
00472008216
00472070078
00472120206
00472120212
00472120250
00482001506
00482093201
00496080420
00496080460
00517480510
00517481025
00536132012
00555028602
00555028604
00555028605
00591076760
00591564301
00591564305
00591566101
00591566105
00597001901
00603533815
00603533831
00641019025
00641234541
00677117301
00677117305

NAME
DOSE FORM DRUG STRENGTH
STERAPRED DS 10 MG TB UNIPAK
UD
ISOVUE-370 76% INFUS BOTTLE
HB
ISOVUE-370 76% INFUS BOTTLE
HB
ISOVUE-370 76% INFUS BOTTLE
HB
ISOVUE-370 76% INFUS BOTTLE
HB
ISOVUE-370 76% INFUS BOTTLE
HB
ISOVUE MULTIPK-370 76% BTLE
HB
ISOVUE-370 76% INFUS BOTTLE
HB
ISOVUE-370 76% INFUS BOTTLE
HB
ISOVUE MULTIPK-370 76% BTLE
HB
TRAC 2X TABLET
TA
TRAC 2X TABLET
TA
DOBUTAMINE 250 MG/D5W 500 ML
HM
VANCOCIN HCL 1G/200 ML BAG
HK
SULINDAC 150 MG TABLET
TA
NEFAZODONE HCL 250 MG TABLET
TA
FLURO-ETHYL 25/75 AEROSOL
AA
TRIMO-SAN JELLY
JW
IODINE POWDER
PA
IODINE POWDER
PA
SODIUM CL 2.5 MEQ/ML ADD SOL
HM
DIPYRIDAMOLE 75 MG TABLET
TA
DIPYRIDAMOLE 75 MG TABLET
TA
PHENDIMETRAZINE 35 MG TABLET
TA
SULINDAC 150 MG TABLET
TA
SULINDAC 150 MG TABLET
TA
ACYCLOVIR 200 MG/5 ML SUSP
SC
TRIPLE SULFA VAGINAL CREAM 2.75 OZ TUBEKW
FEVERALL 325 MG SUPPOSITORY
QA
FEVERALL 325 MG SUPPOSITORY
QA
FEVERALL 325 MG SUPPOSITORY
QA
HEPACOLIN CAPSULE
CA
IRCON-FA TABLET
TA
LOCOID 0.1% SOLUTION
SA
LOCOID 0.1% SOLUTION
SA
NITROGLYCERIN 5 MG/ML VIAL
HV
NITROGLYCERIN 5 MG/ML VIAL
HV
ACETAMINOPHEN 325 MG SUPPOS
QA
DIPYRIDAMOLE 75 MG TABLET
TA
DIPYRIDAMOLE 75 MG TABLET
TA
DIPYRIDAMOLE 75 MG TABLET
TA
NEFAZODONE HCL 250 MG TABLET
TA
MINOXIDIL 10 MG TABLET
TA
MINOXIDIL 10 MG TABLET
TA
SULINDAC 150 MG TABLET
TA
SULINDAC 150 MG TABLET
TA
PERSANTINE 75 MG TABLET
TA
PREDNISONE 10 MG TABLET
UD
PREDNISONE 10 MG TABLET
UD
MORPHINE 15 MG/ML VIAL
HV
MORPHINE 15 MG/ML VIAL
HV
SULINDAC 150 MG TABLET
TA
SULINDAC 150 MG TABLET
TA

UNIT PRICE
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15

NDC
00677117306
00713016401
00713016411
00713016412
00713016450
00713016466
00713052012
00713052024
00781135901
00781184201
00781184210
00781610246
00884499004
00884499008
00904108860
00904108861
00904562252
00904566752
00998035515
08026480400
08080109300
08080116900
08080179800
08080319500
08080717400
08080717600
08080719300
08080764300
08080939010
08080982010
08219116900
08219319500
08219764300
08225179800
08225630000
08225632000
08290309584
08290309587
08290309591
08290328278
08290328279
08290328280
08290328411
08290328431
08290328466
08290328888
08290823000
08290841101
08290841103
08290843101
08290843103
08290846601
08290846603

NAME
SULINDAC 150 MG TABLET
ACEPHEN 325 MG SUPPOSITORY
ACEPHEN 325 MG SUPPOSITORY
ACEPHEN 325 MG SUPPOSITORY
ACEPHEN 325 MG SUPPOSITORY
ACEPHEN 325 MG SUPPOSITORY
FORMULATION R SUPPOSITORY
FORMULATION R SUPPOSITORY
CLEMASTINE FUM 2.68 MG TAB
ISOXSUPRINE 20 MG TABLET
ISOXSUPRINE 20 MG TABLET
AMOX TR-K CLV 200-28.5/5 SUSP
LACTINOL-E CREME
LACTINOL-E CREME
DIPYRIDAMOLE 75 MG TABLET
DIPYRIDAMOLE 75 MG TABLET
V-MAX FOR HIM TABLET
V-MAX FOR HER TABLET
MYDRIACYL 1% EYE DROPS
ALGISITE M 0.75"X12" DRSSNG
DURASORB UNDERPAD
TELFA NON-ADHERENT DRESSING
HOME CARE UNDERPADS
CURITY READY-CUT GAUZE
TENDERSORB UNDERPAD
TENDERSORB 23"X36" UNDERPAD
DURASORB UNDERPAD
TELFA ADHESIVE PADS
DURASORB UNDERPAD
WINGS MAXIMA UNDERPAD
TELFA NON-ADHERENT DRESSING
CURITY READY-CUT GAUZE
TELFA ADHESIVE PADS
CURITY UNDERPAD 23" X 36"
TELFA 1.5"X2" ADHESIVE PADS
TELFA 3" X 4" ADHESIVE PADS
B-D 3 ML SYRINGE/NEEDLE
B-D 3 ML SYRINGE/NEEDLE
B-D 3 ML SYRINGE/NEEDLE
BD ULTRA FINE 1 ML SYRINGE
BD ULTRA FINE 0.5 ML SYRIN
BD ULTRA FINE 0.3 ML SYRIN
BD ULTRA FINE 1 ML SYRINGE
BD ULTRA FINE 0.3 ML SYRIN
BD INSULIN U100 1/2 ML SYRN
BD INSULIN SYRINGE PREPACK
BD GLUCOSE 300 MG TABLET
BD ULTRA FINE 1 ML SYRINGE
BD ULTRA FINE 1 ML SYRINGE
BD ULTRA FINE 0.3 ML SYRIN
BD ULTRA FINE 0.3 ML SYRIN
BD INSULIN U100 1/2 ML SYRN
BD INSULIN U100 1/2 ML SYRN

DOSE FORM DRUG STRENGTH


TA
QA
QA
QA
QA
QA
QA
QA
TA
TA
TA
PD
KA
KA
TA
TA
TA
TA
SO
YE
EA
YE
EA
YE
EA
EA
EA
YE
EA
EA
YE
YE
YE
EA
YE
YE
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
TA
YL
YL
YL
YL
YL
YL

UNIT PRICE
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15

NDC
08326290110
08330131101
08330131201
08330131301
08330131601
08330137101
08330137201
08330137301
08330138201
08330138301
08330138401
08330138501
08387300101
08387300501
08471054701
08881608104
08881608204
08884646700
08884682400
09958008290
10019017944
10019017963
10106222001
10106222004
10106257801
10106257805
10106259401
10106259404
10106259405
10106270201
10106270204
10157994103
10337065219
10337065249
10337065252
10432018301
10432018302
10432018303
10475001311
10475001312
10475001313
10475001316
10475001371
10475001372
10475001373
10475001382
10475001383
10475001384
10475001385
10475001386
10939000958
11025011093
11025011451

NAME
INSULIN SYRINGE 1 ML
INSULIN SYRINGE U100 0.5 ML
INSULIN SYRINGE U100 0.5 ML
INSULIN SYRINGE U100 1 ML
INSULIN SYRINGE U100 1 ML
ANTI-STICK INSULIN 1 ML SYR
ANTI-STICK TUBERCULIN SYR
ANTI-STICK LEUR LOCK SYR
ANTI-STICK TUBERCULIN SYR
ANTI-STICK ALLERGY SYRINGE
ANTI-STICK IMMUNIZATION SYR
ANTI-STICK IMMUNIZATION SYR
LIBERTY INSULIN SYR 1 ML
LIBERTY INSULIN SYR 0.5 ML
ANTI-NAUSEA GINGER GUM
LEADER INSULIN SYRINGE 1 ML
LEADER INSULIN SYRINGE 0.5 ML
INTERSORB DRESSING 18"X18"
INTERSORB DRESSING 18"X18"
ALGICELL CAL 3/4"X12" DRESS
MORPHINE 15 MG/ML VIAL
MORPHINE 15 MG/ML VIAL
IODOFORM POWDER PURIFIED
IODOFORM POWDER PURIFIED
MERCURY BICHLORIDE CRYSTALS
MERCURY BICHLORIDE CRYSTALS
MERCURIC CHLORIDE CRYSTALS
MERCURIC CHLORIDE CRYSTALS
MERCURIC CHLORIDE CRYSTALS
METHYLENE BLUE PWD PURIFIED
METHYLENE BLUE PWD PURIFIED
BLISTEX LIP REVITALIZER GEL
CARMOL 40 CREAM
CARMOL 40 CREAM
CARMOL 40 CREAM
VITAMIN E 600 UNITS/ML LIQUID
VITAMIN E 600 UNITS/ML LIQUID
VITAMIN E 600 UNITS/ML LIQUID
INSULIN SYRINGE U100 0.5 ML
INSULIN SYRINGE U100 0.5 ML
INSULIN SYRINGE U100 1 ML
INSULIN SYRINGE U100 1 ML
ANTI-STICK INSULIN 1 ML SYR
ANTI-STICK TUBERCULIN SYR
ANTI-STICK LEUR LOCK SYR
ANTI-STICK TUBERCULIN SYR
ANTI-STICK ALLERGY SYRINGE
ANTI-STICK IMMUNIZATION SYR
ANTI-STICK IMMUNIZATION SYR
ANTI-STICK IMMUNIZATION SYR
EP UNDERPAD
DECON-A DROPS
DECON-A DROPS

DOSE FORM DRUG STRENGTH


YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
TG
YL
YL
YE
YE
YE
HV
HV
PA
PA
PC
PC
PC
PC
PC
PA
PA
JG
CR
CR
CR
SL
SL
SL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
EA
SO
SO

UNIT PRICE
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15

NDC
11086002201
11086002801
11086002901
11110035222
11110035322
11110035324
11822001290
11822001310
11822302950
11822302960
11822315280
11845014249
11845115305
11845119305
12333090170
12333090270
12333090370
12333097001
12333097002
12333097003
12333926701
12539053030
12539058001
16500004030
16500004402
16500004404
17317029801
17317029802
17317029804
17317029805
17317036501
17317036502
17317036504
17317036505
17317054001
17317054004
17317057901
17317057904
17317179101
17317179104
17317179105
17478010212
19458027750
19458506001
19458700801
19458902401
19810007105
19810007106
20525012201
22170021416
22170021516
23558068360
23734014108

NAME
REZAMID LOTION
LIQUIMAT MEDIUM LOTION
LIQUIMAT LIGHT LOTION
KROGER INS SYRINGE 1 ML
KROGER INSULIN SYRINGE 1 ML
KROGER INSULIN SYRINGE 0.3M
RA HEMORRHOIDAL H SUPP
RA HEMORRHOIDAL H SUPP
RA ZINC LOZENGES
RA ZINC LOZENGES
RA CORN LIQUID
DIGESTION CAPLET
YOHIMBE 500 MG CAPSULE
FORTIFIED CHROMIUM 500 MCG
LONGS INSULIN SYRINGE 0.3 ML
LONGS INSULIN SYRINGE 0.5 ML
LONGS INSULIN SYRINGE 1 ML
LONGS INSULIN SYRINGE 0.3 ML
LONGS INSULIN SYRINGE 0.5 ML
LONGS INSULIN SYRINGE 1 ML
HEMORRHOIDAL SUPPOSITORY
DOLOREX SOFTGEL CAPSULE
DOLOREX CAPSULE
ALKA-SELTZER PM TAB EFF
ALKA-SELTZER ES TAB EFF
ALKA-SELTZER ES TAB EFF
IODOFORM POWDER PURIFIED
IODOFORM POWDER PURIFIED
IODOFORM POWDER PURIFIED
IODOFORM POWDER PURIFIED
METHYLENE BLUE POWDER
METHYLENE BLUE POWDER
METHYLENE BLUE POWDER
METHYLENE BLUE POWDER
STANNOUS FLUORIDE FLAKES
STANNOUS FLUORIDE FLAKES
THYROID POWDER
THYROID POWDER
METHYLBENZETHONIUM CL CRYST
METHYLBENZETHONIUM CL CRYST
METHYLBENZETHONIUM CL CRYST
TROPICACYL 1% EYE DROPS
ECK INSULIN 1 ML SYRINGE
ECK A-PHEDRIN CAPSULE
ECK ORA-HEAL W-BENZOCAINE GEL
ECK ORA-HEAL W-BENZOCAINE GEL
EXCEDRIN P.M. LIQUIGEL
EXCEDRIN P.M. LIQUIGEL
ST. JOHN'S WORT 600 MG CAP
CEPACOL MAX STR LOZENGE
CEPACOL MAX STR LOZENGE
BABY GUMZ 10% GEL
ASSURANCE 23"X36" UNDERPADS

DOSE FORM DRUG STRENGTH


SK
SK
SK
YL
YL
YL
QA
QA
TL
TL
SK
TA
CA
TA
YL
YL
YL
YL
YL
YL
QA
CA
CA
TF
TF
TF
PA
PA
PA
PA
PA
PA
PA
PA
PF
PF
PA
PA
PC
PC
PC
SO
YL
CA
JG
JG
CA
CA
CA
TL
TL
JG
EA

UNIT PRICE
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15

NDC
23734155013
23734318005
23734319019
23734329001
23734839005
23734939002
23734940008
23734982008
23734985005
23734988000
24208058559
24208058564
32671000503
36000019210
36000019276
36652026768
36652026769
36652040218
36652040318
36652040518
36652040618
36652040708
36652040712
36652040808
36652040812
36652040818
36652400905
36800000106
37205006289
37205068953
38396040317
38396040618
38396040708
38396040712
38396040812
38396040818
38396041808
38396044464
38415001530
38415003530
38415005530
38779031805
38779031809
38779165405
41163068953
44156026965
44156026966
47682022935
48107000240
48107001239
48107005039
48107005064
48107005065

NAME
SURECARE UNDERPAD
ECONOMY 23"X36" UNDERPAD
MEDICAL 23"X36" UNDERPAD
ECONOMY UNDERPAD
STANDARD UNDERPAD
MEDICAL 23"X36" UNDERPAD
PRIMETIME 23"X36" UNDERPAD
BETACARE 23"X36" UNDERPAD
POLYCARE 23"X36" UNDERPAD
MAXIFLO BREATHABLE UNDERPAD
TROPICAMIDE 1% EYE DROPS
TROPICAMIDE 1% EYE DROPS
LITE TOUCH INSULIN 1 ML SYR
DEPEND UNDERPADS BED
DEPEND UNDERPADS FOR BED
FERRO-SEQUELS TABLET SA
FERRO-SEQUELS TABLET SA
KROGER INS SYRINGE 3/10 ML
KROGER INS SYRINGE 0.5 ML
KROGER INS SYRINGE 1 ML
KROGER INS SYRINGE 1 ML
LEADER INS SYR 0.5 ML
MS INSULIN SYRINGE 0.5 ML
LEADER INS SYR 1 ML
MS INSULIN SYRINGE 1 ML
KROGER INS SYRINGE 3/10 ML
ULTRA COMFORT 1 ML SYRINGE
UNDERPAD, LARGE
UNDERPADS EXTRA LARGE
HEMORRHOIDAL SUPPOSITORIES
D&K INSULIN SYRINGE 1 ML
KROGER INSULIN SYRINGE 1 ML
LEADER INSULIN SYRINGE 0.5 ML
MS INSULIN SYRINGE 0.5 ML
MS INSULIN SYRINGE 1 ML
KROGER INSULIN SYRINGE 0.3 ML
LEADER INSULIN SYRINGE 1 ML
GNP ULTRA COMFORT 1 ML SYRINGE
INSULIN SYRINGE 1 ML
INSULIN SYRINGE 0.3 ML
INSULIN SYRINGE 0.5 ML
SUCRALFATE POWDER
SUCRALFATE POWDER
THYROID POWDER
HEMORRHOIDAL SUPPOSITORY
DIGNITY UNDERPAD BULK
DIGNITY UNDERPAD
MEDI-FIRST ANTI-FUNGAL CRM
BOVINE CARTILAGE 750 MG TAB
ESTER-C TABLET SA
PROSTAMEN SOFTGEL
ULTRA MEGA TWO TABLET SA
ULTRA MEGA TWO TABLET SA

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
SO
SO
YL
EA
EA
TS
TS
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
EA
EA
QA
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
PA
PA
PA
QA
EA
EA
PP
TA
TS
CA
TS
TS

UNIT PRICE
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15

NDC
48107005101
48107005107
49348000958
49452211101
49452211102
49452211103
49452211104
49452211105
49452351501
49452351502
49452376001
49452376002
49452376004
49452446501
49452446502
49452446503
49452462001
49452462002
49452466001
49452466003
49452466004
49452467001
49452467002
49452723001
49452723002
49452740501
49452740502
49452762801
49452781101
49614062678
49614062778
49614062878
49692094113
49692094122
49692094160
49756101804
49884025701
49884025705
49884092002
49884092005
49999035600
50111099001
50313004113
50383066403
50383066407
50383066430
50428213272
51079007001
51079007020
51079066601
51079066620
51284055032
51284057072

NAME
ENERGY FORMULA TABLET
AQUATONE TABLET
EP UNDERPAD
L-CITRULLINE POWDER
L-CITRULLINE POWDER
L-CITRULLINE POWDER
L-CITRULLINE POWDER
L-CITRULLINE POWDER
L-HISTIDINE MHCL POWDER
L-HISTIDINE MHCL POWDER
IODOFORM POWDER
IODOFORM POWDER
IODOFORM POWDER
MERCURIC CHLORIDE CRYSTAL
MERCURIC CHLORIDE CRYSTAL
MERCURIC CHLORIDE CRYSTAL
METHYLBENZETHONIUM CL CRYST
METHYLBENZETHONIUM CL CRYST
METHYLENE BLUE POWDER
METHYLENE BLUE POWDER
METHYLENE BLUE POWDER
METHYL NICOTINATE POWDER
METHYL NICOTINATE POWDER
STANNOUS FLUORIDE FLAKES
STANNOUS FLUORIDE FLAKES
SUCRALFATE POWDER
SUCRALFATE POWDER
TAURINE POWDER
THYROID POWDER
ULTRA COMFORT 1 ML SYRINGE
ULTRA COMFORT 0.5 ML SYRINGE
ULTRA COMFORT 3/10 ML SYR
FEOSOL 45 MG CAPLET
FEOSOL 45 MG CAPLET
FEOSOL 45 MG CAPLET
DRY GAUZE BANDAGE,FINE MESH
MINOXIDIL 10 MG TABLET
MINOXIDIL 10 MG TABLET
NEFAZODONE HCL 250 MG TABLET
NEFAZODONE HCL 250 MG TABLET
AMOX TR-K CLV 200-28.5/5 SUSP
VITAMIN D 50,000 UNITS SOFTGEL
VENATON TABLET
UREA 40% CREAM
UREA 40% CREAM
UREA 40% CREAM
CVS HEMORRHOIDAL SUPP
DIPYRIDAMOLE 75 MG TABLET
DIPYRIDAMOLE 75 MG TABLET
SULINDAC 150 MG TABLET
SULINDAC 150 MG TABLET
ZILACTIN-B GEL
ZILACTIN BABY TEETHING GEL

DOSE FORM DRUG STRENGTH


TA
TA
EA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PC
PC
PC
PC
PC
PA
PA
PA
PA
PA
PF
PF
PA
PA
PA
PA
YL
YL
YL
TA
TA
TA
YE
TA
TA
TA
TA
PD
CA
TA
KA
KA
KA
QA
TA
TA
TA
TA
JG
JG

UNIT PRICE
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15

NDC
51552066507
51552102203
51552102206
51672126101
51672126103
51672129701
51672129702
51672129703
51672406102
51672406104
51672520201
51672520203
51724005201
51817065661
51927146700
51927178700
51927362000
51991011406
51991026819
51991026837
51991026841
52152001002
52152001005
52152024802
52152024804
52735080825
52747013060
52747014060
52959019600
52959019610
52959019614
52959019615
52959019620
52959019630
52959019660
52959028230
52959028290
52959050120
52959052825
53191029601
53191029610
53191029701
53191029710
53329002414
53329002418
53335005329
53489038701
53489047801
53489047805
54022105801
54022520001
54569000400
54569023101

NAME
L-CITRULLINE POWDER
LIPOVAN BASE OINTMENT
LIPOVAN BASE OINTMENT
DESOXIMETASONE 0.05% GEL
DESOXIMETASONE 0.05% GEL
CLOBETASOL E 0.05% CREAM
CLOBETASOL E 0.05% CREAM
CLOBETASOL E 0.05% CREAM
HYDROCORTISONE 0.1% SOLN
HYDROCORTISONE 0.1% SOLN
TOPICORT 0.05% GEL
TOPICORT 0.05% GEL
DECON-A DROPS
FLUOR-A-DAY 2.5 MG/ML DROPS
THYROID POWDER
HISTIDINE HCL POWDER
MAGNESIUM MALATE POWDER
CONJ LINOLEIC ACID SOFTGEL
KERATOL 40 CREAM
KERATOL 40 CREAM
KERATOL 40 CREAM
ISOXSUPRINE 20 MG TABLET
ISOXSUPRINE 20 MG TABLET
PRENATAL FORMULA 3 TABLET
PRENATAL FORMULA 3 TABLET
FP ORAL GEL ANTISEPTIC
CENOGEN-OB CAPSULE
CENOGEN ULTRA CAPSULE
SULINDAC 150 MG TABLET
SULINDAC 150 MG TABLET
SULINDAC 150 MG TABLET
SULINDAC 150 MG TABLET
SULINDAC 150 MG TABLET
SULINDAC 150 MG TABLET
SULINDAC 150 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
CLEMASTINE FUM 2.68 MG TAB
DRISDOL 50,000 UNITS CAPSULE
BIO-THROID 150 MG CAPSULE
BIO-THROID 150 MG CAPSULE
BIO-THROID 180 MG CAPSULE
BIO-THROID 180 MG CAPSULE
S & C SKIN CREAM W/ALOE
S & C SKIN CREAM W/ALOE
L-CITRULLINE POWDER
MINOXIDIL 10 MG TABLET
SULINDAC 150 MG TABLET
SULINDAC 150 MG TABLET
L-GLUTAMINE & CHOLINE TAB
RENAL MULTIVIT/ZINC TABLET
ACEPHEN 325 MG SUPPOSITORY
SULFISOXAZOLE 500 MG TABLET

DOSE FORM DRUG STRENGTH


PA
OA
OA
JG
JG
KA
KA
KA
SA
SA
JG
JG
SO
SO
PA
PA
PA
CA
KA
KA
KA
TA
TA
TA
TA
JG
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
CA
CA
CA
KA
KA
PA
TA
TA
TA
TA
TA
QA
TA

UNIT PRICE
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15

NDC
54569266800
54569266802
54569266803
54569266805
54569266809
54569333600
54569379800
54569384700
54569433600
54569433602
54569435200
54569450900
54569519501
54569519502
54569519503
54569519504
54569519506
54569519507
54569519508
54569519509
54569523300
54569535100
54569548800
54629205253
54629205273
54738080101
54738080102
54738090201
54738090202
54799052802
54799052812
54859080550
54868004402
54868015501
54868016401
54868025201
54868025203
54868061700
54868061701
54868071600
54868087900
54868146400
54868153500
54868210800
54868232001
54868232002
54868287800
54868300701
54868323400
54868346701
54868362000
54868372000
54868373400

NAME
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
SULINDAC 150 MG TABLET
STERAPRED DS 10 MG TB UNIPAK
STERAPRED DS 10 MG TB UNIPAK
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
AUGMENTIN 200-28.5 SUSPEN
ZYRTEC 1 MG/ML SYRUP
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
DIAZEPAM 5 MG/ML VIAL
AMOX TR-K CLV 200-28.5/5 SUSP
LIFE-PACK MEN'S
LIFE-PACK WOMEN'S
MINOXIDIL 10 MG TABLET
MINOXIDIL 10 MG TABLET
SULINDAC 150 MG TABLET
SULINDAC 150 MG TABLET
MYDRAL 1% EYE DROPS
MYDRAL 1% EYE DROPS
DOLOGESIC CAPSULE
DIPYRIDAMOLE 75 MG TABLET
CEPHALEXIN 500 MG TABLET
TRIPLE SULFA VAGINAL CREAM
PHENDIMETRAZINE 35 MG TAB
PHENDIMETRAZINE 35 MG TAB
DIAZEPAM 5 MG/ML VIAL
DIAZEPAM 5 MG/ML VIAL
VALIUM 5 MG/ML VIAL
SULINDAC 150 MG TABLET
ISOXSUPRINE 20 MG TABLET
SULFISOXAZOLE 500 MG TABLET
TROPICAMIDE 1% EYE DROPS
DIAZEPAM 5 MG/ML VIAL
DIAZEPAM 5 MG/ML VIAL
ACETAMINOPHEN 325 MG SUPPOS
CLEMASTINE FUM 2.68 MG TAB
STERAPRED DS 10 MG TB UNIPAK
MINOXIDIL 10 MG TABLET
TINACTIN 1% CREAM
DILATRATE-SR 40 MG CAPSULE
TEMOVATE EMOLLIENT 0.05% CRM

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
UD
UD
TA
TA
PD
ST
TA
TA
TA
TA
TA
TA
TA
TA
TA
HV
PD
ZD
ZD
TA
TA
TA
TA
SO
SO
CA
TA
TA
KW
TA
TA
HV
HV
HV
TA
TA
TA
SO
HV
HV
QA
TA
UD
TA
PP
CS
KA

UNIT PRICE
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15

NDC
54868373401
54868406100
54868407501
54868409500
54868420800
54868426700
54868477900
54868477901
54868477902
54868499000
55045213303
55289028521
55289028528
55289028556
55289029421
55289029428
55289029456
55289029484
55289029488
55289029489
55289029528
55289029556
55289029584
55289029588
55289029589
55289030007
55289030021
55289030028
55289030056
55289030921
55289030928
55289030956
55289038715
55289042920
55289042960
55289054114
55289054130
55289077612
55289077628
55289077630
55289077640
55289077656
55289077680
55289083407
55289083421
55289083428
55289083456
55289083484
55289083486
55289083488
55289083489
55289083490
55289083499

NAME
TEMOVATE EMOLLIENT 0.05% CRM
DIAZEPAM 5 MG/ML VIAL
FERRO-SEQUELS TABLET
PREDNISONE 10 MG TABLET
AUGMENTIN 200-28.5 SUSPEN
ZYRTEC 1 MG/ML SYRUP
UROCIT-K 1,080 MG TABLET SA
UROCIT-K 1,080 MG TABLET SA
UROCIT-K 1,080 MG TABLET SA
AMOX TR-K CLV 200-28.5/5 SUSP
DIAZEPAM 5 MG/ML VIAL
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
CLINORIL 150 MG TABLET
TAVIST 2.68 MG TABLET
TAVIST 2.68 MG TABLET
SULINDAC 150 MG TABLET
SULINDAC 150 MG TABLET
SULFISOXAZOLE 500 MG TABLET
SULFISOXAZOLE 500 MG TABLET
SULFISOXAZOLE 500 MG TABLET
SULFISOXAZOLE 500 MG TABLET
SULFISOXAZOLE 500 MG TABLET
SULFISOXAZOLE 500 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TAB
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET

DOSE FORM DRUG STRENGTH


KA
HV
TS
UD
PD
ST
TS
TS
TS
PD
HV
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15

NDC
55505012613
55887069621
55887069648
55946014640
55946014840
57866362201
57866462103
58016051630
58016051660
58016055612
58016055615
58016055620
58016055630
58016074300
58016074312
58016074315
58016074320
58016074330
58016091430
58016201101
58016558801
58177007304
58177007311
58177041504
59366222601
59366222603
59366222607
60258004604
60258017901
60258018701
60258019201
61314035501
61314035502
62991167501
62991167502
63304054501
63304054560
63304097701
63304097703
63304097704
63717003506
63717004005
63739008701
63739008702
63739008703
64731057601
64731057610
64731081401
64980030912
65234004810
65234004890
65255011565
65255011590

NAME
DIGESTOL TABLET
PREDNISONE 10 MG TABLET
PREDNISONE 10 MG TABLET
CALCON 1 POWDER
CALCON 2 POWDER
VITAMIN D 50,000 UNIT CAPSULE
SULINDAC 150 MG TABLET
SERZONE 250 MG TABLET
SERZONE 250 MG TABLET
DIPYRIDAMOLE 75 MG TABLET
DIPYRIDAMOLE 75 MG TABLET
DIPYRIDAMOLE 75 MG TABLET
DIPYRIDAMOLE 75 MG TABLET
SULINDAC 150 MG TABLET
SULINDAC 150 MG TABLET
SULINDAC 150 MG TABLET
SULINDAC 150 MG TABLET
SULINDAC 150 MG TABLET
MINOXIDIL 10 MG TABLET
ACETAMINOPHEN 325 MG SUPPOS
ACETAMINOPHEN 325 MG SUPPOS
NATACAPS CAPSULE
NATACAPS CAPSULE
NATALCARE THREE TABLET
UREA 40% CREAM
UREA 40% CREAM
UREA 40% CREAM
LACTIC ACID 10% CREAM
PRENATAL-U CAPSULE
PRENATAL-H CAPSULE
TRINATE TABLET
TROPICAMIDE 1% EYE DROPS
TROPICAMIDE 1% EYE DROPS
IODOFORM REAGENT POWDER
IODOFORM REAGENT POWDER
NEFAZODONE HCL 250 MG TABLET
NEFAZODONE HCL 250 MG TABLET
AMOX TR-K CLV 200-28.5/5 SUSP
AMOX TR-K CLV 200-28.5/5 SUSP
AMOX TR-K CLV 200-28.5/5 SUSP
MEXAR WASH 10% LIQUID
CEROVEL 40% CREAM
DIPYRIDAMOLE 75 MG TABLET
DIPYRIDAMOLE 75 MG TABLET
DIPYRIDAMOLE 75 MG TABLET
ISOXSUPRINE 20 MG TABLET
ISOXSUPRINE 20 MG TABLET
STUARTNATAL PLUS 3 TABLET
LACTIC ACID 10% E CREAM
BONTRIL PDM 35 MG TABLET
BONTRIL PDM 35 MG TABLET
CETADERM WASH 10%
CETADERM WASH 10%

DOSE FORM DRUG STRENGTH


TA
UD
UD
PA
PA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
QA
QA
CA
CA
TA
KA
KA
KA
KA
CA
CA
TA
SO
SO
PA
PA
TA
TA
PD
PD
PD
SL
KA
TA
TA
TA
TA
TA
TA
KA
TA
TA
SL
SL

UNIT PRICE
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15

NDC
66267026420
66685101100
66685101101
66685101102
66758002001
66758002002
66977010003
67336053204
67336053216
68032010006
68032010012
68115005007
68115005014
68115005028
68115027321
68115027360
68115066300
72499052500
72499052700
75450031601
75450031701
75450031801
86227062035
86227062055
86227062105
86227090055
86679001807
86679003214
86679023466
86679023467
86679023551
86679023906
86679023907
86679023908
86679023909
86679023910
86679023912
86679023913
86679023916
86679023918
86679023920
86679024500
86679024501
86679024782
86679025636
87279000547
87701055566
87701055835
87701074745
87701083832
87701095339
90891013080
90891013150

NAME
SULINDAC 150 MG TABLET
AMOX TR-K CLV 200-28.5/5 SUSP
AMOX TR-K CLV 200-28.5/5 SUSP
AMOX TR-K CLV 200-28.5/5 SUSP
DIAZEPAM 5 MG/ML VIAL
DIAZEPAM 5 MG/ML VIAL
REGENECARE WOUND GEL
HISTEX PD 12 SUSPENSION
HISTEX PD 12 SUSPENSION
RE 10 WASH
RE 10 WASH
BONTRIL PDM 35 MG TABLET
BONTRIL PDM 35 MG TABLET
BONTRIL PDM 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
PHENDIMETRAZINE 35 MG TABLET
DIPYRIDAMOLE 75 MG TABLET
LIFE-PACK MEN'S
LIFE-PACK WOMEN'S
HY-VEE INS SYRINGE 0.3 ML
HY-VEE INS SYRINGE 0.5 ML
HY-VEE INS SYRINGE 1 ML
SURE COMFORT 3/10 ML SYRINGE
SURE COMFORT 0.5 ML SYRINGE
SURE COMFORT 1 ML SYRINGE
SURE COMFORT 0.5 ML SYRINGE
UNDERPAD STANDARD 23"X36"
SUPERSORB UNDERPAD 23"X36"
EZ-SORB 23"X36" UNDERPAD
EZ-SORB 23"X36" UNDERPAD
ATTENDS NIGHT PRESERVER PADS
DRI-SORB UNDERPADS 23"X36"
DRI-SORB PLUS UNDERPAD 23"X36"
ULTIMA 23"X36" UNDERPAD
CONFIDENCE PAD 23"X36"
EZ-SORB 23"X36" UNDERPAD
ANTI-DRI PAD 23"X36"
SUPERSORB 23"X36" UNDERPAD
CAIRPAD PAD 23"X36"
AIR-DRI PAD 23"X36"
SUPERSORB 23"X36" UNDERPAD
ATTENDS CLASSIC PAD 23"X36"
ATTENDS CLASSIC PAD 23"X36"
ECONOLINE PLUS PAD 23"X36"
DRI-SORB UNDERPADS 23"X36"
ANTI-NAUSEA GINGER GUM
BL UNDERPAD, LARGE
BL UNDERPAD, LARGE
GNP ULTRA COMFORT 1 ML SYRINGE
GNP CAT'S CLAW 250 MG CAP
BL CAT'S CLAW 250 MG CAPSULE
SUPER ABSORBENT UNDERPAD
FLUFF UNDERPAD

DOSE FORM DRUG STRENGTH


TA
PD
PD
PD
HV
HV
JG
SC
SC
SL
SL
TA
TA
TA
TA
TA
TA
ZD
ZD
YL
YL
YL
YL
YL
YL
YL
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
TG
EA
EA
YL
CA
CA
EA
EA

UNIT PRICE
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15

NDC
90891020018
90891070612
91899062678
91899062778
92771083112
94542085100
96295010456
96295010643
96295010645
99207001415
99207001460
00002035302
00002035303
00002035333
00003058053
00003058054
00004026201
00004026249
00006006368
00006043268
00008049801
00015050842
00015118179
00015118180
00019133206
00019133211
00019133216
00019133221
00019133261
00019133283
00019133321
00019133361
00019133375
00019133377
00019133381
00019133383
00019133391
00028007201
00028007210
00045090532
00045090560
00049341030
00052010530
00052010590
00054007525
00054209325
00054261625
00054354258
00054418025
00054454725
00054467613
00054818025
00054854725

NAME
FQ FLUFF UNDERPAD X-LARGE
AIR PREMEABLE UNDERPAD
MS INSULIN SYRINGE 1 ML
MS INSULIN SYRINGE 0.5 ML
CALALGIN-GRX 0.75"X12" DRESSNG
SURESEAL L BANDG 1" X2-7/8"
UNDERPADS EXTRA LARGE
LEADER INSULIN SYRINGE 0.5 ML
LEADER INSULIN SYRINGE 1 ML
TOPICORT 0.05% GEL
TOPICORT 0.05% GEL
DARVON-N 100 MG TABLET
DARVON-N 100 MG TABLET
DARVON-N 100 MG TABLET
MYCOSTATIN 500,000 UNIT ORL TB
MYCOSTATIN 500,000 UNIT ORL TB
DEMADEX 5 MG TABLET
DEMADEX 5 MG TABLET
DECADRON 0.75 MG TABLET
DIURIL 500 MG TABLET
PHENERGAN 12.5 MG SUPPOS
MEGACE 40 MG/ML ORAL SUSP
TEQUIN 400 MG/200 ML D5W
TEQUIN 400 MG/200 ML D5W
OPTIRAY 300 (300 MG/ML) VIAL
OPTIRAY 300 (300 MG/ML) VIAL
OPTIRAY 300 (300 MG/ML) VIAL
OPTIRAY 300 (300 MG/ML) VIAL
OPTIRAY 300 (300 MG/ML) VIAL
IOVERSOL 300MG/ML INJ
IOVERSOL 350MG/ML INJ
OPTIRAY 350 (350 MG/ML) VIAL
IOVERSOL 350MG/ML INJ
IOVERSOL 350MG/ML INJ
IOVERSOL 350MG/ML INJ
IOVERSOL 350MG/ML INJ
IOVERSOL 350MG/ML INJ
BRETHINE 2.5 MG TABLET
BRETHINE 2.5 MG TABLET
LACTAID ULTRA 9M UNITS TAB CHE
LACTAID ULTRA 9,000 UNITS CHEW
DIFLUCAN 50 MG TABLET
REMERON 15 MG TABLET
REMERON 15 MG TABLET
TORSEMIDE 5 MG TABLET
ANAGRELIDE HCL 0.5 MG CAPSULE
MEXILETINE 150 MG CAPSULE
MEGESTROL ACET 40 MG/ML SUSP
DEXAMETHASONE 0.75 MG TABLET
METHADONE 40 MG TABLET DISPR
MIRTAZAPINE 15 MG TABLET
DEXAMETHASONE 0.75 MG TABLET
METHADONE 40 MG TABLET DISPR

DOSE FORM DRUG STRENGTH


EA
EA
YL
YL
YE
YE
EA
YL
YL
JG
JG
TA
TA
TA
TA
TA
TA
TA
TA
TA
QA
SC
HP
HP
VI
VI
VI
VI
VI
HV
HV
HV
HV
HV
HV
HV
HV
TA
TA
TC
TC
TA
TA
TA
TA
CA
CA
SC
TA
TB
TA
TA
TB

UNIT PRICE
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.15
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16

NDC
00054867625
00065008910
00065019015
00065019310
00065019320
00074155950
00074174930
00074195304
00074409101
00074439113
00074557405
00074557416
00074557422
00074904401
00078010305
00078010308
00081960017
00085049201
00085081930
00085081935
00085330530
00085330535
00085331030
00085331035
00085332030
00085332035
00085333030
00085333035
00087048841
00089030102
00089030202
00089030302
00089030402
00089130130
00089130140
00089130230
00089130240
00089130330
00089130340
00089130430
00089130440
00091249023
00091311101
00093023756
00093098301
00093515101
00093712701
00093720656
00093873901
00093963487
00115261101
00115461101
00143121001

NAME
MIRTAZAPINE 15 MG TABLET
OPTI-ONE REWETTING DROPS
OPTI-TEARS DROPS
OPTI-FREE REWETTING DROPS
OPTI-FREE REWETTING DROPS
MARCAINE 0.25% AMPUL
MARCAINE W/EPI 0.5%/0.0005
PROCAINE HCL 2% VIAL
MANGANESE 0.1 MG/ML VIAL
TRANXENE T-TAB 15 MG
MURINE EYE DROPS
MURINE EYE DROPS
MURINE EYE DROPS
BUPIVACAINE/EPI 0.5%/0.0005
FIORINAL CAPSULE
FIORINAL CAPSULE
CHILDS SUDAFED 15 MG TAB CHW
GUANIDINE HCL 125 MG TABLET
NITRO-DUR 0.8 MG/HR PATCH
NITRO-DUR 0.8 MG/HR PATCH
NITRO-DUR 0.1 MG/HR PATCH
NITRO-DUR 0.1 MG/HR PATCH
NITRO-DUR 0.2 MG/HR PATCH
NITRO-DUR 0.2 MG/HR PATCH
NITRO-DUR 0.4 MG/HR PATCH
NITRO-DUR 0.4 MG/HR PATCH
NITRO-DUR 0.6 MG/HR PATCH
NITRO-DUR 0.6 MG/HR PATCH
POLY-VI-FLOR/IRON 0.25 MG TB
MINITRAN 0.1 MG/HR PATCH
MINITRAN 0.2 MG/HR PATCH
MINITRAN 0.4 MG/HR PATCH
MINITRAN 0.6 MG/HR PATCH
NITROGLYCERIN 0.1 MG/HR PTCH
NITROGLYCERIN 0.1 MG/HR PTCH
NITROGLYCERIN 0.2 MG/HR PTCH
NITROGLYCERIN 0.2 MG/HR PTCH
NITROGLYCERIN 0.4 MG/HR PTCH
NITROGLYCERIN 0.4 MG/HR PTCH
NITROGLYCERIN 0.6 MG/HR PTCH
NITROGLYCERIN 0.6 MG/HR PTCH
VERELAN 120 MG CAP PELLET
NULEV 0.125 MG TABLET
FLUCONAZOLE 50 MG TABLET
NYSTATIN 500,000 UNIT ORAL TAB
VERAPAMIL 120 MG CAP PELLET
TORSEMIDE 5 MG TABLET
MIRTAZAPINE 15 MG TABLET
MEXILETINE 150 MG CAPSULE
MEGESTROL ACET 40 MG/ML SUSP
TERBUTALINE SULF 2.5 MG TAB
ANAGRELIDE HCL 0.5 MG CAPSULE
CHLOROTHIAZIDE 500 MG TABLET

DOSE FORM DRUG STRENGTH


TA
SO
SO
SO
SO
HH
HH
HV
HV
TA
SO
SO
SO
HH
CA
CA
TC
TA
PV
PV
PV
PV
PV
PV
PV
PV
PV
PV
TC
PV
PV
PV
PV
PV
PV
PV
PV
PV
PV
PV
PV
CP
UL
TA
TA
CP
TA
TA
CA
SC
TA
CA
TA

UNIT PRICE
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16

NDC
00145247406
00172295060
00172295080
00172480560
00172480570
00172524160
00172541000
00172541010
00172541046
00172541060
00172567500
00172567510
00172567546
00172567570
00182709911
00185002010
00185002030
00185015501
00193259610
00228206910
00228206950
00228306911
00245015560
00247020401
00247020402
00247020404
00247020406
00247020412
00247062407
00247062412
00247062420
00247062421
00247065430
00247101004
00247123630
00314001030
00338002048
00338036761
00338047703
00338934202
00364288830
00378007001
00378016201
00378021501
00378021505
00378044201
00378044205
00378251493
00378351593
00378632001
00378686801
00378910293
00378910493

NAME
BREVOXYL-4 CREAMY WASH
TRIAMTERENE/HCTZ 50/25 CAP
TRIAMTERENE/HCTZ 50/25 CAP
OXAZEPAM 15 MG CAPSULE
OXAZEPAM 15 MG CAPSULE
ANAGRELIDE HCL 0.5 MG CAPSULE
FLUCONAZOLE 50 MG TABLET
FLUCONAZOLE 50 MG TABLET
FLUCONAZOLE 50 MG TABLET
FLUCONAZOLE 50 MG TABLET
MIRTAZAPINE 15 MG TABLET
MIRTAZAPINE 15 MG TABLET
MIRTAZAPINE 15 MG TABLET
MIRTAZAPINE 15 MG TABLET
PROMETHAZINE 12.5 MG SUPPOS
MIRTAZAPINE 15 MG TABLET
MIRTAZAPINE 15 MG TABLET
ANAGRELIDE HCL 0.5 MG CAPSULE
HEMA-CHEK DEVELOPER
OXAZEPAM 15 MG CAPSULE
OXAZEPAM 15 MG CAPSULE
CLORAZEPATE 15 MG TABLET
FOLGARD OS TABLET
PHENERGAN 12.5 MG SUPPOS
PHENERGAN 12.5 MG SUPPOS
PHENERGAN 12.5 MG SUPPOS
PHENERGAN 12.5 MG SUPPOS
PHENERGAN 12.5 MG SUPPOS
DEXAMETHASONE 0.75 MG TABLET
DEXAMETHASONE 0.75 MG TABLET
DEXAMETHASONE 0.75 MG TABLET
DEXAMETHASONE 0.75 MG TABLET
PROCAINE HCL 2% VIAL
DEXAMETHASONE 0.75 MG TABLET
MEXITIL 150 MG CAPSULE
B-JECT-100 VIAL
TICAR 4 GM/D5W 100 ML IVPB
MANGANESE 0.1 MG/ML VIAL
BRANCHAMIN 4% IV SOLUTION
FENTA/BUPIVA/NS 10 MCG/0.1%
HYDROXOCOBALAMIN 1,000 MCG/ML
CLORAZEPATE 15 MG TABLET
CHLOROTHIAZIDE 500 MG TABLET
TOLBUTAMIDE 500 MG TABLET
TOLBUTAMIDE 500 MG TABLET
AMITRIP/PERPHEN 25-2 TABLET
AMITRIP/PERPHEN 25-2 TABLET
FLUCONAZOLE 50 MG TABLET
MIRTAZAPINE 15 MG TABLET
VERAPAMIL 120 MG CAP PELLET
ANAGRELIDE HCL 0.5 MG CAPSULE
NITROGLYCERIN 0.1 MG/HR PTCH
NITROGLYCERIN 0.2 MG/HR PTCH

DOSE FORM DRUG STRENGTH


SL
CA
CA
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
QA
TA
TA
CA
SA
CA
CA
TA
TA
QA
QA
QA
QA
QA
TA
TA
TA
TA
HV
TA
CA
HV
HP
HV
HM
HZ
HV
TA
TA
TA
TA
TA
TA
TA
TA
CP
CA
PV
PV

UNIT PRICE
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16

NDC
00378911293
00378911693
00406007101
00406036501
00406036505
00406036562
00406054034
00409409101
00421131701
00440757860
00440757890
00501286024
00516009126
00527131801
00527131810
00527155201
00535001201
00551018101
00555010102
00555077101
00574723612
00591036501
00591049101
00591111730
00591288001
00591288830
00591320201
00591321901
00597006601
00603254021
00603254621
00603255021
00603770192
00642045516
00642047016
00677061301
00677143901
00682080401
00682140001
00713053612
00781139701
00781139710
00781139713
00781171801
00781171810
00781171813
00781192731
00781271501
00781281001
00785230501
00832030300
00832030310
00884289301

NAME
NITROGLYCERIN 0.4 MG/HR PTCH
NITROGLYCERIN 0.6 MG/HR PTCH
ANAGRELIDE HCL 0.5 MG CAPSULE
HYDROCODONE/APAP 5/325 TAB
HYDROCODONE/APAP 5/325 TAB
HYDROCODONE-APAP 5/325 TABLET
METHADOSE 40 MG TABLET DISPR
MANGANESE 0.1 MG/ML VIAL
NESTABS RX TABLET
HALOPERIDOL 10 MG TABLET
HALOPERIDOL 10 MG TABLET
CHILDS SUDAFED 15 MG TAB CHW
YODOXIN POWDER
TERBUTALINE SULFATE 2.5 MG TAB
TERBUTALINE SULFATE 2.5 MG TAB
BUTALBITAL COMPOUND CAPSULE
ESGIC CAPSULE
TENAKE CAPSULE
ANAGRELIDE HCL 0.5 MG CAPSULE
FLUCONAZOLE 50 MG TABLET
PHENADOZ 12.5 MG SUPPOSITORY
CLORAZEPATE 15 MG TABLET
MEXILETINE 150 MG CAPSULE
MIRTAZAPINE 15 MG TABLET
VERAPAMIL 120 MG CAP PELLET
HYDROXOCOBALAMIN 1,000 MCG/ML
HYDROCODONE-APAP 5-325 TAB
BUTALBITAL-ASP-CAFFEINE CAP
MEXITIL 150 MG CAPSULE
APAP/BUTALBITAL 325/50 TAB
BUTALBITAL/APAP/CAFF CAP
BUTALBITAL COMPOUND CAPSULE
ACIDIC VAGINAL JELLY
TUSSAFED-HCG SYRUP
TUSSALL SYRUP
NYSTATIN 500,000 UNIT ORAL TAB
BUTALBITAL COMPOUND CAPSULE
MARGESIC CAPSULE
MARTEN-TAB 325/50 TABLET
PROMETHEGAN 12.5 MG SUPPOS
HALOPERIDOL 10 MG TABLET
HALOPERIDOL 10 MG TABLET
HALOPERIDOL 10 MG TABLET
CHLORPROMAZINE 100 MG TABLET
CHLORPROMAZINE 100 MG TABLET
CHLORPROMAZINE 100 MG TABLET
FLUCONAZOLE 50 MG TABLET
TRIAMTERENE/HCTZ 50/25 CAP
OXAZEPAM 15 MG CAPSULE
TRIAD CAPSULE
CHLORPROMAZINE 100 MG TABLET
CHLORPROMAZINE 100 MG TABLET
CASTELLANI PAINT MODIFIED

DOSE FORM DRUG STRENGTH


PV
PV
CA
TA
TA
TA
TB
HV
TA
TA
TA
TC
PA
TA
TA
CA
CA
CA
CA
TA
SU
TA
CA
TA
CP
HV
TA
CA
CA
TA
CA
CA
JW
ST
ST
TA
CA
CA
TA
QA
TA
TA
TA
TA
TA
TA
TA
CA
CA
CA
TA
TA
SL

UNIT PRICE
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16

NDC
00884289316
00884299301
00884299316
00904219161
00904393460
00904549546
00904549646
00904549746
00904564412
00978062115
00978064115
00978066115
04142000003
08173500001
08173500101
08173500201
08173500301
08173500401
08173500701
08173500801
08214056717
08214057717
08214058717
08214352901
08214353001
08214998901
08214998921
08287126003
08287126004
08290005620
08290305620
08290320109
08333153701
08333153901
08881500105
10119002015
10119002068
10939001622
10939048822
10956061801
11822302810
11822302820
11822303970
11822311300
11822321580
11822361280
11822881100
11822985480
11822987730
11845013749
11845013855
11845099709
11845119805

NAME
CASTELLANI PAINT MODIFIED
CASTELLANI PAINT MODIFIED
CASTELLANI PAINT MODIFIED
CHLORPROMAZINE 100 MG TABLET
FARBITAL CAPSULE
NITROGLYCERIN 0.2 MG/HR PTCH
NITROGLYCERIN 0.4 MG/HR PTCH
NITROGLYCERIN 0.6 MG/HR PTCH
PROMETHAZINE 12.5 MG SUPPOS
HEMOCCULT DEVELOPER
HEMOCCULT SENSA DEVELOPER
GASTROCCULT DEVELOPER
ORNIDEX 300 MG CAPSULE
PENFINE 8MM 31G NEEDLES
PENFINE 6MM 31G NEEDLES
PENFINE 6MM 31G NEEDLES
PENFINE 8MM 31G NEEDLES
PENFINE 8MM 31G NEEDLES
PENFINE 12MM 29G NEEDLES
PENFINE 12MM 29G NEEDLES
PEN NEEDLES 12MM 29G
PEN NEEDLES 8MM 31G
PEN NEEDLES 6MM 31G
UNIFINE PENTIP 0.5CC NEEDLE
UNIFINE PENTIPS 8MM NEEDLES
PEN NEEDLES 29G
PEN NEEDLES 31G
EXEL INSULIN PEN NEEDLE
EXEL INSULIN PEN NEEDLE
TB 27G X 1/2" 1/2 ML SYRINGE
B-D TB SYRNGE 27GX1/2"
BD SHORT PEN NEEDLES
OPTICLUDE ORTHOPTIC EYE PCH
OPTICLUDE ORTHOPTIC EYE PCH
TUBERCULIN SYRINGES
ALL CLEAR EYE DROPS
ALL CLEAR AR EYE DROPS
GOLDEN SEAL ROOT 325 MG CAP
V-R FATIGUE REL COMPLEX CPL
REESE PINWORM 144 MG/ML SUSP
RA FLEXACIN TABLETS
RA FLEXACIN TABLET
RA ZINC-UP SPRAY PUMP
RA UNDERPADS 17"X22.5"
RA INSULIN SYRINGE U100 1 ML
RA DAIRY RELIEF 9,000 UNIT CHW
RA SAW PALMETTO COMPLEX
RA SAW PALMETTO COMPLEX
RA DRAW OUT SALVE OINTMENT
METABO-EPHEDRA FREE CAPLET
BURN CALORIES TABLET
SUPERIOR 35 VIT/MIN TAB SA
FAT BURNER TABLET

DOSE FORM DRUG STRENGTH


SL
SL
SL
TA
CA
PV
PV
PV
QA
SA
SA
SA
CA
YH
YH
YH
YH
YH
YH
YH
YH
YH
YH
YH
YH
YH
YH
YH
YH
YL
YL
YH
EA
EA
YL
SO
SO
CA
TA
SC
TA
TA
AT
EA
YL
TC
CA
CA
OA
TA
TA
TS
TA

UNIT PRICE
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16

NDC
11845125005
11845130808
11980016515
11980016530
12126010201
12333002549
17204057240
17317023901
17317023902
17317023904
17317189904
17317189906
19283041222
19283041223
19283041224
19458912001
19810005801
19810005802
19810006401
20221026003
20221026004
23185014505
23513061801
24385050612
30727030080
31604001253
36652020300
36652074020
37205041778
37205041878
38130032501
38396047001
38396047002
38415005129
38779020708
38779020710
38779020750
38779040004
38779040005
38779040008
38779040009
38779141305
38779141308
41163040348
45565031201
45802075830
45985057801
47046130000
47046400000
47046450000
47046450600
47113060630
48107001560

NAME
SUPERIOR 35 VIT/MIN TAB SA
FERA CAPS CAPLET SA
TEARS PLUS EYE DROPS
TEARS PLUS DROPS
IVY DRY CREAM
LONGS GLUCOS-CHOND-MSM TAB
L-CARNITINE 250 MG CAPSULE
CARAWAY OIL
CARAWAY OIL
CARAWAY OIL
IODOQUINOL POWDER
IODOQUINOL POWDER
PEN NEEDLES 12MM 29G
PEN NEEDLES 8MM 31G
PEN NEEDLES 6MM 31G
ECK DRAWING SALVE OINTMENT
4-WAY FAST ACT NASAL SPRAY
4-WAY FAST ACT NASAL SPRAY
NO DOZ 100 MG TABLET CHEW
EXEL INSULIN PEN NEEDLE
EXEL INSULIN PEN NEEDLE
EYE PATCH
REESE PINWORM 144 MG/ML SUSP
ANUSERT SUPPOSITORY
VITAMIN B COMPLEX 100 VIAL
TRIPLEFLEX CAPLET
SOY CARE PROSTATE CAPSULE
POSTURE-D TABLET
LEADER PEN NEEDLES 29G
LEADER PEN NEEDLES 31G
ARCET CAPSULE
RELION PEN 29G NEEDLE
RELION PEN 31G NEEDLE
INSULIN SYRINGE 0.5 ML
CHLORZOXAZONE POWDER
CHLORZOXAZONE POWDER
CHLORZOXAZONE POWDER
PROCAINAMIDE HCL POWDER
PROCAINAMIDE HCL POWDER
PROCAINAMIDE HCL POWDER
PROCAINAMIDE HCL POWDER
MANGANESE CHLORIDE 100% POWDER
MANGANESE CHLORIDE 100% POWDER
EQL GLUCOS-CHOND-MSM TABLET
SLOFED 60 CAPSULE SA
PROMETHAZINE 12.5 MG SUPPOS
EZOL CAPSULE
PROPALMEX SOFTGEL
MELATONEX TABLET
HARMONEX CAPLET
HARMONEX CAPLET
LENS DROPS
LUTEIN ESTERS 18.6 MG SFGL

DOSE FORM DRUG STRENGTH


TS
TS
SO
SO
KA
TA
CA
SQ
SQ
SQ
PA
PA
YH
YH
YH
OA
AS
AS
TC
YH
YH
EA
SC
QA
HV
TA
CA
TA
YH
YH
CA
YH
YH
YL
PA
PA
PA
PA
PA
PA
PA
PA
PA
TA
CS
QA
CA
CA
TA
TA
TA
SO
CA

UNIT PRICE
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16

NDC
48107001565
48107004168
48107004984
48107005032
48107005044
48879000606
49072005730
49072020830
49326018290
49348001609
49348031012
49452040801
49452040802
49452170201
49452170202
49452170203
49452246601
49452246602
49452246901
49452246902
49452247101
49452247102
49452247201
49452247202
49452247401
49452247402
49452247403
49452247501
49452247502
49452247601
49452247602
49452247701
49452247702
49452377001
49452377003
49452603001
49452603002
49452603003
49614038866
49730011130
49730011230
49730011330
49884008501
49884008510
49884065101
49884065110
49884065501
49884065511
49884090738
49884090761
49884090788
49884093511
49999033912

NAME
ENERGEL SOFTGEL CAPSULE
RED CLOVER 1,000 MG SOFTGEL
YOHIMBE 112.5 MG TABLET
CARDIOMEGA 100 MG SOFTGEL
GOLDMINDS DHA 100 MG SOFTGEL
SODIUM CHLORIDE 0.9% SOLN
B COMPLEX 100 MG/ML VIAL
HYDROXOCOBALAMIN 1,000 MCG/ML
MYOGESIC TABLET
GOLDEN SEAL ROOT 325 MG CAP
V-R FATIGUE REL COMPLEX CPL
AMINOBENZOATE SOD CRYSTALS
AMINOBENZOATE SOD CRYSTALS
CARAWAY OIL
CARAWAY OIL
CARAWAY OIL
DEXTRAN 3,000 AV M.W. POWDR
DEXTRAN 3,000 AV M.W. POWDR
DEXTRAN 40,000 AV M.W. POWD
DEXTRAN 40,000 AV M.W. POWD
DEXTRAN 70,000 AV. M.W. PWD
DEXTRAN 70,000 AV. M.W. PWD
DEXTRAN 20,000 AV. M.W. PWD
DEXTRAN 20,000 AV. M.W. PWD
DEXTRAN 75,000 AV. M.W. PWD
DEXTRAN 75,000 AV. M.W. PWD
DEXTRAN 75,000 AV. M.W. PWD
DEXTRAN 150,000 AV M.W. PWD
DEXTRAN 150,000 AV M.W. PWD
DEXTRAN 250,000 AV M.W. PWD
DEXTRAN 250,000 AV M.W. PWD
DEXTRAN 500,000 AV M.W. PWD
DEXTRAN 500,000 AV M.W. PWD
IODOQUINOL POWDER
IODOQUINOL POWDER
PROCAINAMIDE HCL POWDER
PROCAINAMIDE HCL POWDER
PROCAINAMIDE HCL POWDER
DAIRY DIGESTIVE TABLET CHEW
NITROGLYCERIN 0.2 MG/HR PTCH
NITROGLYCERIN 0.4 MG/HR PTCH
NITROGLYCERIN 0.6 MG/HR PTCH
DEXAMETHASONE 0.75 MG TABLET
DEXAMETHASONE 0.75 MG TABLET
TORSEMIDE 5 MG TABLET
TORSEMIDE 5 MG TABLET
MIRTAZAPINE 15 MG TABLET
MIRTAZAPINE 15 MG TABLET
MEGESTROL ACET 40 MG/ML SUSP
MEGESTROL ACET 40 MG/ML SUSP
MEGESTROL ACET 40 MG/ML SUSP
FLUCONAZOLE 50 MG TABLET
PROMETHAZINE 12.5 MG SUPPOS

DOSE FORM DRUG STRENGTH


CA
CA
TA
CA
CA
SA
HV
HV
TA
CA
TA
PC
PC
SQ
SQ
SQ
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
TC
PV
PV
PV
TA
TA
TA
TA
TA
TA
SC
SC
SC
TA
QA

UNIT PRICE
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16

NDC
49999055130
50111067501
50111067510
50111091501
50428277287
50486002501
51079006101
51079006120
51079008601
51079008620
51079027401
51079027421
51079051601
51079051620
51079056001
51079056020
51079063520
51079091701
51079091720
51655085424
51655085426
51672404401
51672406406
51674000901
51991017101
52083071301
52152014702
52152022630
52297099712
52544083701
52544091301
52544091348
52544095501
52569013045
52735054617
52747032160
52747060060
52959039212
52959039228
52959039515
52959056101
52959056104
52959064820
52959071990
52959073112
52959073702
52959073720
52959073725
52959073730
52959073740
52959073750
52959073760
52959120501

NAME
AMITRIP/PERPHEN 2/25 MG TABLET
FLUCONAZOLE 50 MG TABLET
FLUCONAZOLE 50 MG TABLET
TORSEMIDE 5 MG TABLET
CVS MENOPAUSE SUPPORT CAPLET
BLAIREX LENS LUBRICANT DRPS
CHLOROTHIAZIDE 500 MG TABLET
CHLOROTHIAZIDE 500 MG TABLET
MIRTAZAPINE 15 MG TABLET
MIRTAZAPINE 15 MG TABLET
HYDROCODONE-APAP 5/325 TABLET
HYDROCODONE-APAP 5/325 TABLET
CHLORPROMAZINE 100 MG TABLET
CHLORPROMAZINE 100 MG TABLET
TOLBUTAMIDE 500 MG TABLET
TOLBUTAMIDE 500 MG TABLET
CLORAZEPATE 15 MG TABLET
VERAPAMIL 120 MG CAP PELLET
VERAPAMIL 120 MG CAP PELLET
OXAZEPAM 15 MG CAPSULE
OXAZEPAM 15 MG CAPSULE
CLORAZEPATE 15 MG TABLET
FLUCONAZOLE 50 MG TABLET
ANOLOR-300 CAPSULE
NEOSOL 0.125 MG TABLET
GUMSOL SOLUTION
DIGOXIN 0.5 MG TABLET
MIRTAZAPINE 15 MG TABLET
HM FATIGUE RELIEF CPLX CPLT
CLORAZEPATE 15 MG TABLET
NORCO 5/325 TABLET
NORCO 5/325 TABLET
FIORINAL CAPSULE
HM FATIGUE RELIEF CPLX CPLT
FP ANUSERT SUPPOSITORY
MAGSAL 600/25 TABLET
MEDIGESIC CAPSULE
DEXAMETHASONE 0.75 MG TABLET
DEXAMETHASONE 0.75 MG TABLET
TRIAMTERENE/HCTZ 50/25 CAP
PHENERGAN 12.5 MG SUPPOS
PHENERGAN 12.5 MG SUPPOS
NYSTATIN 500,000 UNIT ORAL TAB
TRIAMTERENE-HCTZ 50/25 CAP
PROMETHAZINE 12.5 MG SUPPOS
HYDROCODONE-APAP 5/325 TAB
HYDROCODONE-APAP 5/325 TAB
HYDROCODONE-APAP 5/325 TAB
HYDROCODONE-APAP 5/325 TAB
HYDROCODONE-APAP 5/325 TAB
HYDROCODONE-APAP 5/325 TAB
HYDROCODONE-APAP 5/325 TAB
PHENERGAN 12.5 MG SUPPOS

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
SO
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CP
CP
CA
CA
TA
TA
CA
UL
SA
TA
TA
TA
TA
TA
TA
CA
TA
QA
TA
CA
TA
TA
CA
QA
QA
TA
CA
QA
TA
TA
TA
TA
TA
TA
TA
QA

UNIT PRICE
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16

NDC
53100054300
53191007301
53191015106
53191015125
53191016603
53265005010
53265034503
53265034510
53265034511
53265034550
53265076212
53335005510
53335007114
53489040001
54022106301
54022410001
54022440001
54022440002
54092006301
54391005009
54482014508
54569032200
54569032203
54569032205
54569036100
54569036101
54569036102
54569054301
54569552300
54569552301
54807082301
54859050301
54868012502
54868012503
54868012504
54868067200
54868091600
54868093200
54868093201
54868093204
54868093206
54868093207
54868103100
54868103102
54868128901
54868136101
54868193200
54868193201
54868193202
54868199201
54868218201
54868218202
54868218301

NAME
MASSENGILL TOWELETTE
SAM-E.P.A. SOFTGEL
BROMASE CAPSULE
BROMASE CAPSULE
CARNITINE 250 MG CAPSULE
CLORAZEPATE 15 MG TABLET
HYDROCODONE/APAP 5/325 TAB
HYDROCODONE/APAP 5/325 TAB
HYDROCODONE/APAP 5/325 TAB
HYDROCODONE/APAP 5/325 TAB
PROMETHAZINE 12.5 MG SUPPOS
CARNITINE 250 MG CAPSULE
GLYCINE 600 MG CAPSULE
NYSTATIN 500,000 UNIT ORAL TAB
ENVIRO STRESS TABLET SA
PANCREZYME 4X 2,400 MG TABLET
PANCREATIN 4X 2,400 MG TABLET
PANCREATIN 4X 2,400 MG TABLET
AGRYLIN 0.5 MG CAPSULE
L-CARNITINE 250 MG CAPSULE
CARNITOR 100 MG/ML ORAL SOLN
DEXAMETHASONE 0.75 MG TABLET
DEXAMETHASONE 0.75 MG TABLET
DEXAMETHASONE 0.75 MG TABLET
PHENERGAN 12.5 MG SUPPOS
PHENERGAN 12.5 MG SUPPOS
PHENERGAN 12.5 MG SUPPOS
TRIAMTERENE/HCTZ 50/25 CAP
HYDROCODONE-APAP 5-325 TAB
HYDROCODONE-APAP 5-325 TAB
CHLORPROMAZINE 100 MG TABLET
ORASEP SOLUTION
AMITRIP/PERPHEN 25-2 TABLET
AMITRIP/PERPHEN 25-2 TABLET
AMITRIP/PERPHEN 25-2 TABLET
CHLOROTHIAZIDE 500 MG TABLET
DEXAMETHASONE 0.75 MG TABLET
TRIAMTERENE/HCTZ 50/25 CAP
TRIAMTERENE/HCTZ 50/25 CAP
TRIAMTERENE/HCTZ 50/25 CAP
TRIAMTERENE/HCTZ 50/25 CAP
TRIAMTERENE-HCTZ 50/25 CAP
FIORINAL CAPSULE
FIORINAL CAPSULE
NITRO-DUR 0.2 MG/HR PATCH
TOLBUTAMIDE 500 MG TABLET
PHENERGAN 12.5 MG SUPPOS
PHENERGAN 12.5 MG SUPPOS
PHENERGAN 12.5 MG SUPPOS
NITROGLYCERIN 0.4 MG/HR PTCH
OXAZEPAM 15 MG CAPSULE
OXAZEPAM 15 MG CAPSULE
NITROGLYCERIN 0.2 MG/HR PTCH

DOSE FORM DRUG STRENGTH


ET
CA
CA
CA
CA
TA
TA
TA
TA
TA
QA
CA
CA
TA
TS
TA
TA
TA
CA
CA
SL
TA
TA
TA
QA
QA
QA
CA
TA
TA
TA
SA
TA
TA
TA
TA
TA
CA
CA
CA
CA
CA
CA
CA
PV
TA
QA
QA
QA
PV
CA
CA
PV

UNIT PRICE
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16

NDC
54868224800
54868230600
54868234700
54868271601
54868274400
54868284901
54868284902
54868309901
54868349200
54868363300
54868377600
54868377601
54868387800
54868455700
54868479400
54868479401
54868484800
54868508400
54868514600
55045121601
55045130804
55045130805
55045309801
55045309806
55111014330
55289012715
55289012725
55289013040
55289041404
55289041406
55289052240
55289057130
55289072530
55289090310
55289090320
55806002410
55806002411
55887025728
55887025730
55887025760
55887025790
55887054830
55887054860
57664049918
57664049983
57866318801
57866388001
57866388002
57866485701
57866697101
57866697102
57866697103
58016029300

NAME
BREVOXYL-4 CREAMY WASH
HALOPERIDOL 10 MG TABLET
CHLORPROMAZINE 100 MG TABLET
MINITRAN 0.2 MG/HR PATCH
NITROGLYCERIN 0.6 MG/HR PTCH
BRETHINE 2.5 MG TABLET
BRETHINE 2.5 MG TABLET
MEGACE 40 MG/ML ORAL SUSP
NYSTATIN 500,000 UNIT ORAL TAB
NITRO-DUR 0.1 MG/HR PATCH
MEXILETINE 150 MG CAPSULE
MEXILETINE 150 MG CAPSULE
CHILDS SUDAFED 15 MG TAB CHW
TERBUTALINE SULF 2.5 MG TAB
PROMETHAZINE 12.5 MG SUPPOS
PROMETHAZINE 12.5 MG SUPPOS
REMERON 15 MG TABLET
NITRO-DUR 0.8 MG/HR PATCH
HYDROCODONE-APAP 5/325 TABLET
TRIAMTERENE/HCTZ 50/25 CAP
DEXAMETHASONE 0.75 MG TABLET
DEXAMETHASONE 0.75 MG TABLET
HYDROCODONE-APAP 5-325 TAB
HYDROCODONE-APAP 5-325 TAB
FLUCONAZOLE 50 MG TABLET
PHRENILIN TABLET
PHRENILIN TABLET
NYSTATIN 500,000 UNIT ORAL TAB
PHENERGAN 12.5 MG SUPPOS
PHENERGAN 12.5 MG SUPPOS
MAGSAL 600/25 TABLET
CHLOROTHIAZIDE 500 MG TABLET
TRIAMTERENE-HCTZ 50/25 CAP
DEXAMETHASONE 0.75 MG TABLET
DEXAMETHASONE 0.75 MG TABLET
PIN-X 144 MG/ML SUSP
PIN-X 144 MG/ML SUSP
TETRA-MAG TABLET
TETRA-MAG TABLET
TETRA-MAG TABLET
TETRA-MAG TABLET
MIRTAZAPINE 15 MG TABLET
MIRTAZAPINE 15 MG TABLET
MIRTAZAPINE 15 MG TABLET
MIRTAZAPINE 15 MG TABLET
METHADOSE 40 MG TABLET DISPR
HALOPERIDOL 10 MG TABLET
HALOPERIDOL 10 MG TABLET
ASPIRIN-CAFFEIN-BUTAL TAB
OXAZEPAM 15 MG CAPSULE
OXAZEPAM 15 MG CAPSULE
OXAZEPAM 15 MG CAPSULE
DEXAMETHASONE 0.75 MG TABLET

DOSE FORM DRUG STRENGTH


SL
TA
TA
PV
PV
TA
TA
SC
TA
PV
CA
CA
TC
TA
QA
QA
TA
PV
TA
CA
TA
TA
TA
TA
TA
TA
TA
TA
QA
QA
TA
TA
CA
TA
TA
SC
SC
TA
TA
TA
TA
TA
TA
TA
TA
TB
TA
TA
CA
CA
CA
CA
TA

UNIT PRICE
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16

NDC
58016029312
58016029315
58016029320
58016029330
58016052000
58016052002
58016052012
58016052015
58016052020
58016052030
58016052060
58016062400
58016062430
58016062460
58016062490
58016066200
58016066202
58016066204
58016066206
58016066209
58016066210
58016066212
58016066214
58016066215
58016066216
58016066218
58016066220
58016066221
58016066224
58016066225
58016066228
58016066230
58016066240
58016066242
58016066245
58016066250
58016066256
58016066260
58016066275
58016066280
58016066284
58016066290
58016066292
58016066299
58016074000
58016074002
58016074004
58016074020
58016074030
58016074060
58016074090
58016074099
58016094900

NAME
DEXAMETHASONE 0.75 MG TABLET
DEXAMETHASONE 0.75 MG TABLET
DEXAMETHASONE 0.75 MG TABLET
DEXAMETHASONE 0.75 MG TABLET
TRIAMTERENE/HCTZ 50/25 CAP
TRIAMTERENE/HCTZ 50/25 CAP
TRIAMTERENE/HCTZ 50/25 CAP
TRIAMTERENE/HCTZ 50/25 CAP
TRIAMTERENE/HCTZ 50/25 CAP
TRIAMTERENE/HCTZ 50/25 CAP
TRIAMTERENE/HCTZ 50/25 CAP
REMERON 15 MG TABLET
REMERON 15 MG TABLET
REMERON 15 MG TABLET
REMERON 15 MG TABLET
NORCO 5/325 TABLET
NORCO 5/325 TABLET
NORCO 5/325 TABLET
NORCO 5/325 TABLET
NORCO 5/325 TABLET
NORCO 5/325 TABLET
NORCO 5/325 TABLET
NORCO 5/325 TABLET
NORCO 5/325 TABLET
NORCO 5/325 TABLET
NORCO 5/325 TABLET
NORCO 5/325 TABLET
NORCO 5/325 TABLET
NORCO 5/325 TABLET
NORCO 5/325 TABLET
NORCO 5/325 TABLET
NORCO 5/325 TABLET
NORCO 5/325 TABLET
NORCO 5/325 TABLET
NORCO 5/325 TABLET
NORCO 5/325 TABLET
NORCO 5/325 TABLET
NORCO 5/325 TABLET
NORCO 5/325 TABLET
NORCO 5/325 TABLET
NORCO 5/325 TABLET
NORCO 5/325 TABLET
NORCO 5/325 TABLET
NORCO 5/325 TABLET
MEXILETINE 150 MG CAPSULE
MEXILETINE 150 MG CAPSULE
MEXILETINE 150 MG CAPSULE
MEXILETINE 150 MG CAPSULE
MEXILETINE 150 MG CAPSULE
MEXILETINE 150 MG CAPSULE
MEXILETINE 150 MG CAPSULE
MEXILETINE 150 MG CAPSULE
HYDROCODONE-APAP 5-325 TAB

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
CA
CA
CA
CA
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
CA
CA
CA
CA
CA
CA
TA

UNIT PRICE
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16

NDC
58016094902
58016094910
58016094912
58016094915
58016094920
58016094925
58016094930
58016094940
58016094950
58016094960
58016094970
58016094980
58016094990
58177037626
58177042304
58864023630
58864067730
59441015301
59743000401
59762501501
60258010501
60258019309
60267012585
60429019030
60432012608
60505011901
61553014202
61553060902
61941022221
62022056301
62037075310
62037075330
62086014630
62451330535
62451331035
62451332035
62451333035
62451539113
62584055601
62584055680
62584055685
62794020293
62794020493
62794020693
63304055401
63304080330
63717020006
63717057004
63739035515
63857032810
64019053825
64543011401
64899054059

NAME
HYDROCODONE-APAP 5-325 TAB
HYDROCODONE-APAP 5-325 TAB
HYDROCODONE-APAP 5-325 TAB
HYDROCODONE-APAP 5-325 TAB
HYDROCODONE-APAP 5-325 TAB
HYDROCODONE-APAP 5-325 TAB
HYDROCODONE-APAP 5-325 TAB
HYDROCODONE-APAP 5-325 TAB
HYDROCODONE-APAP 5-325 TAB
HYDROCODONE-APAP 5-325 TAB
HYDROCODONE-APAP 5-325 TAB
HYDROCODONE-APAP 5-325 TAB
HYDROCODONE-APAP 5-325 TAB
NATATAB RX TABLET
HYOSCYAMINE SUL 0.125 MG TAB
TRIAMTERENE/HCTZ 50/25 CAP
VERAPAMIL 120 MG CAP PELLET
TENCET CAPSULE
GEONE CAPSULE
FLUCONAZOLE 50 MG TABLET
TETRA-MAG TABLET
PRENATABS RX TABLET
ACID JELLY
TRIAMTERNE/HCTZ 50/25 CAP
MEGESTROL ACET 40 MG/ML SUSP
FLUCONAZOLE 50 MG TABLET
FENTA/BUPIVA/NS 10 MCG/0.1%
FENTA/BUPIVA/NS 10 MCG/0.1%
COLD-EEZE NASAL SPRAY
ANEXSIA 5/325 MG TABLET
MIRTAZAPINE 15 MG TABLET
MIRTAZAPINE 15 MG TABLET
B-COMPLEX 100 INJECTION
NITROGLYCERIN 0.1 MG/HR PTCH
NITROGLYCERIN 0.2 MG/HR PTCH
NITROGLYCERIN 0.4 MG/HR PTCH
NITROGLYCERIN 0.6 MG/HR PTCH
CLORAZEPATE 15 MG TABLET
MIRTAZAPINE 15 MG TABLET
MIRTAZAPINE 15 MG TABLET
MIRTAZAPINE 15 MG TABLET
NITREK 0.2 MG/HR PATCH
NITREK 0.4 MG/HR PATCH
NITREK 0.6 MG/HR PATCH
CLORAZEPATE 15 MG TABLET
FLUCONAZOLE 50 MG TABLET
MAGGEL 600 MG SOFTGEL
DYTAN SUSPENSION
MIRTAZAPINE 15 MG TABLET
SERAX 15 MG CAPSULE
METHADONE HCL 40 MG DISKET
SYMAX FASTABS 0.125 MG TABLET
ARTIFICIAL TEARS DROPS

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
UL
CA
CP
CA
CA
TA
TA
TA
JW
CA
SC
TA
HZ
HZ
AT
TA
TA
TA
HV
PV
PV
PV
PV
TA
TA
TA
TA
PV
PV
PV
TA
TA
CA
SC
TA
CA
TB
UL
SO

UNIT PRICE
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16

NDC
64915014360
64915030360
64915040950
64915056012
64915056060
64915058090
64915071712
64980010101
64980050312
65234005010
65234005050
65862003101
65862003105
65862003130
66116027830
66267006612
66267006630
66591063141
66591063151
66689089840
66758000601
66825000303
67386030301
67457014630
68013000501
68084011906
68084011930
68094052861
68094052862
68115005512
68115005530
68115009612
68115009614
68115016850
68115029330
68115033530
68115039760
68115062700
68115079130
68308012204
68387036060
72058004085
72058004086
72140001360
72140001361
74300001253
74300003471
81306004701
81306004702
87701052962
91899099890
91899099892
93190008039

NAME
HI-B12/FOLIPLEX TABLET SL
BROMELAIN 375 MG CAPSULE
IMMUPLEX LOZENGE
ENTEROGENIC CONCENTRATE CAP
ENTEROGENIC CONCENTRATE CAP
MENO-BALANCE CAPSULE
LIPIDIN-HP CAPSULE
MAG-PHEN 600/25 TABLET
LEVOCARNITINE 100 MG/ML SOLN
PHRENILIN TABLET
PHRENILIN TABLET
MIRTAZAPINE 15 MG TABLET
MIRTAZAPINE 15 MG TABLET
MIRTAZAPINE 15 MG TABLET
VERAPAMIL 120 MG CAP PELLET
DEXAMETHASONE 0.75 MG TABLET
DEXAMETHASONE 0.75 MG TABLET
DARVON-N 100 MG TABLET
DARVON-N 100 MG TABLET
METHADONE HCL 40 MG TAB DISP
VITAMIN B-COMPLEX 100 VIAL
ORNIDEX 300 MG CAPSULE
TRANXENE T-TAB 15 MG
B-COMPLEX 100 INJECTION
HYOSCYAMINE 0.125 MG TB RPD DS
MIRTAZAPINE 15 MG TABLET
MIRTAZAPINE 15 MG TABLET
MEGESTROL ACET 40 MG/ML SUSP
MEGESTROL ACET 40 MG/ML SUSP
BUTALBITAL-ASP-CAFFEINE CAP
BUTALBITAL-ASA-CAFFEINE CAP
DEXAMETHASONE 0.75 MG TABLET
DEXAMETHASONE 0.75 MG TABLET
HYDROCODONE/APAP 5/325 TAB
MIRTAZAPINE 15 MG TABLET
TRIAMTERENE-HCTZ 50/25 CAP
HYDROCODONE/APAP 5/325 TAB
APAP-BUTALBITAL 325/50 TAB
MELATONEX TABLET
BEN-TANN SUSPENSION
MIRTAZAPINE 15 MG TABLET
DIAFOODS THICK-IT PACKET
DIAFOODS THICK-IT #2 PACKET
COVERLET EYE OCCLUSOR JR
COVERLET EYE OCCLUSOR REG
VISINE FOR CONTACTS DROPS
VISINE FOR CONTACTS DROPS
RELION PEN 29G NEEDLE
RELION PEN 31G NEEDLE
GNP ANUSERT SUPPOSITORY
PEN NEEDLES 29G
PEN NEEDLES 31G
VITASANA GELCAP

DOSE FORM DRUG STRENGTH


TU
CA
TL
CA
CA
CA
CA
TA
SL
TA
TA
TA
TA
TA
CP
TA
TA
TA
TA
TB
HV
CA
TA
HV
UL
TA
TA
SC
SC
CA
CA
TA
TA
TA
TA
CA
TA
TA
TA
SC
TA
PP
PP
EA
EA
SO
SO
YH
YH
QA
YH
YH
TA

UNIT PRICE
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16

NDC
93190008040
94542085200
96295011243
96295011244
97807019014
99429017963
00003037436
00003037443
00006023758
00006073061
00008021201
00008253501
00008253505
00008253601
00008253605
00013010201
00013010220
00023050601
00023050650
00024135105
00028010801
00029608522
00029608523
00029608539
00031868720
00043020118
00043021118
00043058024
00043058048
00049537050
00054001020
00054001021
00054001025
00054004641
00065012316
00065041625
00065041632
00065041928
00067020118
00067020818
00067027424
00067027448
00067029618
00068010261
00071080524
00071080540
00072760303
00074148202
00074183701
00074197601
00074303001
00074303002
00074340502

NAME
VITASANA GELCAP
SURESEAL XL 1-3/16" X2-7/8"
LEADER PEN NEEDLES 29G
LEADER PEN NEEDLES 31G
ARTIFICIAL TEARS DROPS
THICK & EASY FOOD THICKENER
ALLKARE ADHESIVE REMVR WIPE
ALLKARE ADHESIVE REMVR WIPE
PRINIVIL 40 MG TABLET
MEVACOR 10 MG TABLET
PHENERGAN 25 MG SUPPOSITORY
TRIPHASIL-21 TABLET
TRIPHASIL-21 TABLET
TRIPHASIL-28 TABLET
TRIPHASIL-28 TABLET
AZULFIDINE ENTAB 500 MG
AZULFIDINE ENTAB 500 MG
REFRESH EYE DROPS
REFRESH EYE DROPS
NEO-SYNEPHRINE 0.5% DROPS
LAMPRENE 50 MG CAPSULE
AUGMENTIN 125-31.25 SUSPEN
AUGMENTIN 125-31.25 SUSPEN
AUGMENTIN 125-31.25 SUSPEN
ROBITUSSIN COUGHGELS
TRIAMINIC SOFTCHEWS TABLET
TRIAMINIC SOFTCHEWS TABLET
TRIAMINICIN TABLET
TRIAMINICIN TABLET
SINEQUAN 150 MG CAPSULE
FLECAINIDE ACETATE 50 MG TAB
FLECAINIDE ACETATE 50 MG TAB
FLECAINIDE ACETATE 50 MG TAB
IPRATROPIUM 0.06% SPRAY
ALCON ENZYMATIC CLEANER
TEARS NATURALE FREE DROPS
TEARS NATURALE FREE DROPS
BION TEARS EYE DROPS
TRIAMINIC SOFTCHEWS TABLET
TRIAMINIC SOFTCHEWS TABLET
TRIAMINICIN TABLET
TRIAMINICIN TABLET
TRIAMINIC SOFTCHEWS TABLET
SINGLET TABLET
NEURONTIN 300 MG CAPSULE
NEURONTIN 300 MG CAPSULE
ESTAR 5% GEL
NTG 0.2 MG/ML IN D5W
SYRINGE FILTER 1.0 MICRON
LIFECARE 75 FLOW DETECTOR
METHYLDOPATE 250 MG/5 ML VIAL
METHYLDOPATE 250 MG/5 ML VIAL
METHYLDOPATE 250 MG/5 ML VIAL

DOSE FORM DRUG STRENGTH


TA
YE
YH
YH
SO
PP
PP
PP
TA
TA
QA
TA
TA
TA
TA
TE
TE
DP
DP
SO
CA
PD
PD
PD
CA
TC
TC
TA
TA
CA
TA
TA
TA
AS
TF
DP
DP
DP
TC
TC
TA
TA
TC
TA
CA
CA
JG
HB
YX
YX
HV
HV
HV

UNIT PRICE
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.16
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17

NDC
00074340602
00074440101
00074440201
00074440301
00074442948
00074605713
00074610202
00074610204
00074610210
00074791401
00074791501
00074807601
00074807801
00074807901
00074929248
00074929348
00074929401
00083006130
00083012417
00085133401
00085190002
00089010510
00089030510
00093092606
00093092610
00093103901
00093103905
00093111501
00093111505
00093515701
00093952401
00121034201
00131220086
00143127001
00143127010
00145248406
00168033215
00168033230
00168033260
00168033315
00168033330
00168033360
00172376100
00172376110
00172376160
00172376170
00172376180
00172376200
00172376210
00172376260
00172376270
00172438200
00172438210

NAME
METHYLDOPATE 250 MG/5 ML VIAL
4 LEG VENTED TRANSFER SET
4 LEG NONVENTED TRANSFR SET
3 LEG VENTED TRANSFER SET
EXTENSION SET
CYLERT 37.5 MG TABLET
FUROSEMIDE 10 MG/ML VIAL
FUROSEMIDE 10 MG/ML VIAL
FUROSEMIDE 10 MG/ML VIAL
NUTRI-CLAMP
NUTRI-CLAMP W/TRANSFER SET
SNAP LOCK DEVICE
VENI LOOP CONNECTOR
VENI LOOP CONNECTOR
LIFECARE 5000 SYRINGE ADAPT
LIFECARE 5000 VIAL ADAPTER
LIFECARE 5000 SEC CONTAINER
TEGRETOL XR 100 MG TABLET SA
SLOW FE + FOLIC ACID TABLET
CLARINEX 0.5 MG/ML SYRUP
DRIXORAL COUGH & CONGESTION
ALU-CAP 400 MG
TAMBOCOR 50 MG TABLET
LOVASTATIN 10 MG TABLET
LOVASTATIN 10 MG TABLET
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
LISINOPRIL 40 MG TABLET
LISINOPRIL 40 MG TABLET
LISINOPRIL 30 MG TABLET
PEMOLINE 37.5 MG TABLET
QUAL-TUSSIN PEDIATRIC DROPS
NIFEREX 50 MG TABLET
LISINOPRIL 40 MG TABLET
LISINOPRIL 40 MG TABLET
BREVOXYL-8 CREAMY WASH
FLUTICASONE PROP 0.05% CREAM
FLUTICASONE PROP 0.05% CREAM
FLUTICASONE PROP 0.05% CREAM
FLUTICASONE PROP 0.005% OINT
FLUTICASONE PROP 0.005% OINT
FLUTICASONE PROP 0.005% OINT
LISINOPRIL 40 MG TABLET
LISINOPRIL 40 MG TABLET
LISINOPRIL 40 MG TABLET
LISINOPRIL 40 MG TABLET
LISINOPRIL 40 MG TABLET
LISINOPRIL 30 MG TABLET
LISINOPRIL 30 MG TABLET
LISINOPRIL 30 MG TABLET
LISINOPRIL 30 MG TABLET
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE

DOSE FORM DRUG STRENGTH


HV
YX
YX
YX
YX
TA
HV
HV
HV
YX
YX
YX
YX
YX
YX
YX
YX
TM
TI
ST
CA
CA
TA
TA
TA
CA
CA
TA
TA
TA
TA
SO
TA
TA
TA
SL
KA
KA
KA
OA
OA
OA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA

UNIT PRICE
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17

NDC
00172438260
00172438270
00172438288
00173043000
00173043001
00173043002
00173043100
00173043101
00173043102
00173066300
00182710011
00185007001
00185007010
00185007060
00185009301
00185009305
00185009310
00185010301
00185010310
00185010401
00185010410
00224182211
00224182224
00224182235
00228263306
00228263350
00228266611
00228266650
00247013304
00247013307
00247013309
00247013310
00247013314
00247013315
00247013320
00247013321
00247013330
00247013360
00247013390
00247020501
00247020502
00247020503
00247020504
00247020506
00247020512
00247087230
00247109130
00247109160
00247142320
00256015001
00264900391
00264900550
00264900650

NAME
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
CUTIVATE 0.05% CREAM
CUTIVATE 0.05% CREAM
CUTIVATE 0.05% CREAM
CUTIVATE 0.005% OINTMENT
CUTIVATE 0.005% OINTMENT
CUTIVATE 0.005% OINTMENT
EPIVIR HBV 25 MG/5 ML SOLN
PROMETHAZINE 25 MG SUPPOSITORY
LOVASTATIN 10 MG TABLET
LOVASTATIN 10 MG TABLET
LOVASTATIN 10 MG TABLET
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
LISINOPRIL 30 MG TABLET
LISINOPRIL 30 MG TABLET
LISINOPRIL 40 MG TABLET
LISINOPRIL 40 MG TABLET
KONSYL-D PACKET
KONSYL-D PACKET
KONSYL-D PACKET
LOVASTATIN 10 MG TABLET
LOVASTATIN 10 MG TABLET
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
PHENERGAN 25 MG SUPPOSITORY
PHENERGAN 25 MG SUPPOSITORY
PHENERGAN 25 MG SUPPOSITORY
PHENERGAN 25 MG SUPPOSITORY
PHENERGAN 25 MG SUPPOSITORY
PHENERGAN 25 MG SUPPOSITORY
DONATUSSIN PEDIATRIC DROPS
ALTACE 5 MG CAPSULE
ALTACE 5 MG CAPSULE
IBUPROFEN 300 MG TABLET
AEROLATE 111 65 MG CAPS SA
PARTICULATE MATTER FILTR 5M
IV CATH PLUG,MALE LUER LOCK
IV CATH PLUG,MALE LUER LOCK

DOSE FORM DRUG STRENGTH


CA
CA
CA
KA
KA
KA
OA
OA
OA
SJ
QA
TA
TA
TA
CA
CA
CA
TA
TA
TA
TA
PP
PP
PP
TA
TA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
QA
QA
QA
QA
QA
QA
SO
CA
CA
TA
CB
YX
YX
YX

UNIT PRICE
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17

NDC
00264900750
00264900824
00264900950
00264902801
00264920750
00264920850
00264921350
00277010630
00277018641
00310013310
00310013410
00338002548
00338104902
00338205141
00338937548
00363044209
00378061401
00378061410
00378207601
00378207701
00378651091
00378850501
00392051868
00406155401
00407141216
00407141217
00407141249
00407141251
00407141252
00407141253
00407141260
00407141282
00407141284
00407141342
00407141343
00407141346
00407141347
00407141351
00407141352
00407141353
00407141355
00407141356
00407141360
00407141361
00407141362
00407141363
00407141365
00407141366
00407141368
00407141390
00409148202
00409610202
00409610204

NAME
IV CATHETER PLUG
SPIKE ADAPTER
SPIKE ADAPTER VENTED
ACCUFUSR PRESS ADMIN CUFF
STERILE STOPCOCK EXT SET
TOTALLY STERILE STOPCOCK
DUAL INJECTION SITE
DONATUSSIN PEDIATRIC DROPS
DALLERGY-JR SUSPENSION
ZESTRIL 30 MG TABLET
ZESTRIL 40 MG TABLET
TICAR 3 GM/D5W 100 ML IVPB
NTG 0.2 MG/ML IN D5W
MANDOL 1 GM/DEXTROSE 5%
MORPHINE/NS 10 MG/100 ML
WAL-TUSSIN COUGH 15 MG SOFTGEL
THIORIDAZINE 25 MG TABLET
THIORIDAZINE 25 MG TABLET
LISINOPRIL 40 MG TABLET
LISINOPRIL 30 MG TABLET
LOVASTATIN 10 MG TABLET
FLECAINIDE ACETATE 50 MG TAB
DRINEX TABLET
PEMOLINE 37.5 MG TABLET
OMNIPAQUE 240 MG/ML INFU BTL
OMNIPAQUE 240 MG/ML INFU BTL
OMNIPAQUE 240 MG/ML INFU BTL
OMNIPAQUE 240 MG/ML INFU BTL
OMNIPAQUE 240 MG/ML INFU BTL
OMNIPAQUE 240 MG/ML INFU BTL
OMNIPAQUE 240 MG/ML INFU BTL
OMNIPAQUE 240 MG/ML INFU BTL
OMNIPAQUE 240 MG/ML INFU BTL
OMNIPAQUE 300 MG/ML INFU BTL
OMNIPAQUE 300 MG/ML INFU BTL
OMNIPAQUE 300 MG/ML INFU BTL
OMNIPAQUE 300 MG/ML INFU BTL
OMNIPAQUE 300 MG/ML INFU BTL
OMNIPAQUE 300 MG/ML INFU BTL
OMNIPAQUE 300 MG/ML INFU BTL
OMNIPAQUE 300 MG/ML INFU BTL
OMNIPAQUE 300 MG/ML INFU BTL
OMNIPAQUE 300 MG/ML INFU BTL
IOHEXOL 647.1MG/ML INJ
IOHEXOL 647.1MG/ML INJ
IOHEXOL 647.1MG/ML INJ
IOHEXOL 647.1MG/ML INJ
IOHEXOL 647.1MG/ML INJ
IOHEXOL 647.1MG/ML INJ
OMNIPAQUE 300 MG/ML INFU BTL
NTG 0.2 MG/ML IN D5W
FUROSEMIDE 10 MG/ML VIAL
FUROSEMIDE 10 MG/ML VIAL

DOSE FORM DRUG STRENGTH


YX
YX
YX
YX
YX
YX
YX
SO
SC
TA
TA
HP
HB
HP
HZ
CA
TA
TA
TA
TA
TA
TA
TA
TA
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HV
HV

UNIT PRICE
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17

NDC
00409610210
00472009612
00482002006
00482018310
00517570225
00517570425
00517571025
00517890510
00527130101
00527130105
00548400100
00548400300
00548400500
00548402500
00555085902
00555904758
00573059510
00573254110
00573254120
00574703412
00574723412
00591040901
00591040905
00591088501
00597008676
00603505621
00603505628
00603536921
00603536928
00603537121
00603537128
00603580321
00603580325
00615250653
00615250663
00677082401
00677082406
00677082410
00677182633
00677182641
00713052612
00781132360
00781162401
00781162410
00781166801
00781167301
00781174101
00781204801
00781204805
00781506201
00781706903
00781706927
00781706935

NAME
FUROSEMIDE 10 MG/ML VIAL
PROMETHAZINE 25 MG SUPPOS
DIGEPEPSIN TABLET
DECONAMINE TABLET CHEW
FUROSEMIDE 10 MG/ML VIAL
FUROSEMIDE 10 MG/ML VIAL
FUROSEMIDE 10 MG/ML VIAL
METHYLDOPATE 250 MG/5 ML VIAL
PRIMIDONE 50 MG TABLET
PRIMIDONE 50 MG TABLET
TRANS-A-JET TRANSFER DEVICE
BAG-A-JET DECANT DEVICE BAG
VIAL-O-JET DECANTING DEVICE
ECON-O-VAC ASPIRATING SPIKE
FLECAINIDE ACETATE 50 MG TAB
ENPRESSE-28 TABLET
COMPOUND W PADS
OXIPOR VHC PSORIASIS LOTION
OXIPOR VHC PSORIASIS LOTION
ASPIRIN 300 MG SUPPOSITORY
PHENADOZ 25 MG SUPPOSITORY
LISINOPRIL 40 MG TABLET
LISINOPRIL 40 MG TABLET
LISINOPRIL 30 MG TABLET
ATROVENT 0.06% SPRAY
PEMOLINE 37.5 MG TABLET
PEMOLINE 37.5 MG TABLET
PRIMIDONE 50 MG TABLET
PRIMIDONE 50 MG TABLET
PRIMIDONE 50 MG TABLET
PRIMIDONE 50 MG TABLET
SULFAZINE EC 500 MG TAB
SULFAZINE EC 500 MG TAB
THIORIDAZINE 25 MG TABLET
THIORIDAZINE 25 MG TABLET
THIORIDAZINE 25 MG TABLET
THIORIDAZINE 25 MG TABLET
THIORIDAZINE 25 MG TABLET
P-EPD TAN/CHLOR-TAN SUSP
P-EPD TAN/CHLOR-TAN SUSP
PROMETHEGAN 25 MG SUPP
LOVASTATIN 10 MG TABLET
THIORIDAZINE 25 MG TABLET
THIORIDAZINE 25 MG TABLET
LISINOPRIL 40 MG TABLET
LISINOPRIL 30 MG TABLET
PEMOLINE 37.5 MG TABLET
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
FLECAINIDE ACETATE 50 MG TAB
FLUTICASONE PROP 0.05% CREAM
FLUTICASONE PROP 0.05% CREAM
FLUTICASONE PROP 0.05% CREAM

DOSE FORM DRUG STRENGTH


HV
QA
TA
TC
HV
HV
HV
HV
TA
TA
YX
YX
YX
YX
TA
TA
PS
SK
SK
QA
SU
TA
TA
TA
AS
TA
TA
TA
TA
TA
TA
TE
TE
TA
TA
TA
TA
TA
SC
SC
QA
TA
TA
TA
TA
TA
TA
CA
CA
TA
KA
KA
KA

UNIT PRICE
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17

NDC
00832101500
00832101550
00904325560
00904345952
00904345960
00904552046
00904555940
00904555960
00904558152
00904564161
00904564243
00904564246
00904564248
00904564252
00904564261
00904564293
00904564512
00944049003
00998010330
00998012008
00998012024
00998012036
00998012056
08021412000
08021412005
08021412006
08021412007
08021412008
08021412012
08021412014
08021415019
08021415060
08021415062
08021415067
08021415068
08021415069
08021415070
08021415075
08021415077
08021415079
08021415085
08021418015
08021418016
08080849010
08287126005
08287126062
08290305500
08290305901
08290305902
08290320119
08290550002
08290550003
08326300810

NAME
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
YOHIMBINE 5 MG TABLET
SIMPLET TABLET
SIMPLET TABLET
SOY ISOFLAVONES 102-40 MG TB
PRIMIDONE 50 MG TABLET
PRIMIDONE 50 MG TABLET
LOVASTATIN 10 MG TABLET
LISINOPRIL 30 MG TABLET
LISINOPRIL 40 MG TABLET
LISINOPRIL 40 MG TABLET
LISINOPRIL 40 MG TABLET
LISINOPRIL 40 MG TABLET
LISINOPRIL 40 MG TABLET
LISINOPRIL 40 MG TABLET
PROMETHAZINE 25 MG SUPPOS
BUMINATE 25% IV SOLUTION
ALCONEFRIN 0.5% DROPS
OPTI-ZYME ENZYMATIC CLEANER
OPTI-ZYME ENZYMATIC CLEANER
OPTI-ZYME ENZYMATIC CLEANER
OPTI-ZYME ENZYMATIC CLEANER
MINI-SPIKE DISPENSING PIN
STANDARD SPIKE DISPEN PIN
STANDARD SPIKE DISPEN PIN
STANDARD SPIKE DISPEN PIN
STANDARD SPIKE DISPEN PIN
MINI-SPIKE IV ADD DISP PIN
CHEMO DISPENSING PIN
MICRO-PIN DISPENSING PIN
BACKCHECK VALVE W/17G NEEDL
BACKCHECK VALVE
SAFSITE VALVE
SAFSITE VALVE
SAFSITE VALVE
VENTED NEEDLE
SAFSITE ACCESS PIN
SAFSITE ACCESS PIN W/VALVE
SAFSITE ACCESS PIN W/VALVE
SAFSITE ACCESS PIN W/VALVE
REPLACEMENT CAP-LUER LOCK
REPLACEMENT CAP-NON VENTED
TENDERSORB UNDERPAD
EXEL INSUL PEN NEEDLES 8MM
EXEL ALLERGY SYRINGE 28G-1 ML
BD ALLERGY SYR/NEEDLE 1 ML
BD SAFETYGLIDE NEEDLE
BD SAFETYGLIDE NEEDLE
BD SHORT PEN NEEDLES 5MM
BD ALLERGY SYRINGE
BD ALLERGY SYR/NEEDLE 1 ML
ULTILET PEN NEEDLE

DOSE FORM DRUG STRENGTH


CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
QA
HM
SO
TF
TF
TF
TF
YX
YX
YX
YX
YX
YX
YX
YX
YX
YX
YX
YX
YX
YX
YX
YX
YX
YX
YX
YX
EA
YH
YL
YL
YH
YH
YH
YL
YL
YH

UNIT PRICE
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17

NDC
08333150701
08380007760
08970100635
08970100636
08970100637
08970100638
08970100639
08970100640
08970100641
08970100642
08970100643
08970100644
08970100645
08970100646
08970100647
08970100648
08970100649
08970100650
08970100651
08970100652
08970202531
08970605001
08970605002
08970605003
08970605004
08970605005
08970605006
08970605007
08970605008
08970605009
08970605010
08970605011
08970605012
08970605013
08970605014
08970605015
08970605016
08970605017
08970605018
09001140500
10119002166
10119004204
10119004205
10119004218
10119004302
10119004304
10119004306
10337002151
10337002152
10481301003
10481301006
10481801002
10742005501

NAME
STOMASEAL DRESSING 4"X4"
ADHESIVE/BARRIER REMOV WIPE
TERUMO SURGUARD2 NEEDLE 18GX1"
TERUMO SURGUARD2 NEEDLE 18X1.5
TERUMO SURGUARD2 NEEDLE 19GX1"
TERUMO SURGUARD2 NEEDLE 19X1.5
TERUMO SURGUARD2 NEEDLE 20GX1"
TERUMO SURGUARD2 NEEDLE 20X1.5
TERUMO SURGUARD2 NEEDLE 21GX1"
TERUMO SURGUARD2 NDL 21GX1 1.5
TERUMO SURGUARD2 NEEDLE 22GX1"
TERUMO SURGUARD2 NDL 22X1 1/2"
TERUMO SURGUARD2 NEEDLE 23GX1"
TERUMO SURGUARD2 NDL 23X1 1/2"
TERUMO SURGUARD2 NEEDLE 25X5/8
TERUMO SURGUARD2 NEEDLE 25GX1"
TERUMO SURGUARD2 NEEDLE 25X1.5
TERUMO SURGUARD2 NEEDLE 26X1/2
TERUMO SURGUARD2 NEEDLE 27X1/2
TERUMO SURGUARD2 NEEDLE 30X1/2
TERUMO INS SYRNG U100-1/4 ML
TERUMO SURGUARD2 NEEDLE 18GX1"
TERUMO SURGUARD2 NEEDLE 18X1.5
TERUMO SURGUARD2 NEEDLE 19GX1"
TERUMO SURGUARD2 NEEDLE 19X1.5
TERUMO SURGUARD2 NEEDLE 20GX1"
TERUMO SURGUARD2 NEEDLE 20X1.5
TERUMO SURGUARD2 NEEDLE 21GX1"
TERUMO SURGUARD2 NDL 25GX1 1.5
TERUMO SURGUARD2 NEEDLE 22GX1"
TERUMO SURGUARD2 NDL 22X1 1/2"
TERUMO SURGUARD2 NEEDLE 23GX1"
TERUMO SURGUARD2 NDL 23X1 1/2"
TERUMO SURGUARD2 NEEDLE 25X5/8
TERUMO SURGUARD2 NEEDLE 25GX1"
TERUMO SURGUARD2 NEEDLE 25X1.5
TERUMO SURGUARD2 NEEDLE 26X1/2
TERUMO SURGUARD2 NEEDLE 27X1/2
TERUMO SURGUARD2 NEEDLE 30X1/2
CAT'S CLAW LIQUID
MOISTURE EYES PROTECT DROPS
RENU WEEKLY CLEANER TAB EFF
RENU WEEKLY CLEANER TAB EFF
RENU WEEKLY CLEANER TAB EFF
SENSITIVE EYES ENZYMATIC TB
SENSITIVE EYES ENZYMATIC TB
SENSITIVE EYES ENZYMATIC TB
SULPHO-LAC 5% CREAM
SULPHO-LAC 5% CREAM
GORDOCHOM SOLUTION
GORDOCHOM SOLUTION
GORDOCHOM SOLUTION
MENTHACIN ARTHRITIS PAIN CR

DOSE FORM DRUG STRENGTH


YE
PP
YH
YH
YH
YH
YH
YH
YH
YH
YH
YH
YH
YH
YH
YH
YH
YH
YH
YH
YL
YH
YH
YH
YH
YH
YH
YH
YH
YH
YH
YH
YH
YH
YH
YH
YH
YH
YH
SL
DP
TF
TF
TF
TF
TF
TF
KA
KA
SA
SA
SA
KA

UNIT PRICE
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17

NDC
10939069522
11017010002
11017011001
11017020400
11110033823
11110033824
11822031720
11822240050
11822317200
11822387740
11845012639
11845120205
11916000102
11916041210
11917005972
12333906601
12333906602
12539059110
15127038810
17317010601
17317010604
17317010605
17317011101
17317011104
17317011105
17317032601
17317032602
17317032604
17317057501
17317057504
17317057601
17317057604
19458982101
20221026005
24208039915
24385095625
28105015004
31604014234
38396070118
38396070218
38485086214
38779001204
38779001205
38779001208
38779008104
38779008105
38779008108
38779008109
41100008779
43292055840
45800023520
45800023530
45802022111

NAME
V-R SOY FORMULA CAPLET
CORN REMOVERS PAD
CLEAR AWAY PLANTAR SYSTEM
DUOFILM 40% PATCH
KROGER PEN NEEDLES 31G
KROGER PEN NEEDLES 29G
RA TUSSIN COUGH LIQUIDGELS
RA LUBRICANT EYE DROPS
RA TUSSIN COUGH LIQUIDGEL
RA ENZYMATIC CLEANER TB EFF
GLUCOSAMINE COMPLEX/MSM CAP
MEN'S POTENT FORMULA TABS
OPTICS MINI DROPS
OPTICS MINI DROPS
WAL-TUSSIN COUGH 15 MG SOFTGEL
COLD CAPSULE
COLD CAPSULE
DOLOREX ANALGESIC RUB CREAM
SB NON-DROWSY COLD/COUGH CP
CHLOROBUTANOL CRYSTALS
CHLOROBUTANOL CRYSTALS
CHLOROBUTANOL CRYSTALS
CHLOROBUTANOL CRYSTALS
CHLOROBUTANOL CRYSTALS
CHLOROBUTANOL CRYSTALS
LIDOCAINE BASE POWDER
LIDOCAINE BASE POWDER
LIDOCAINE BASE POWDER
THYME OIL
THYME OIL
THYME OIL WHITE
THYME OIL WHITE
ECK ENZYMATIC CLEANER TAB
EXEL INSUL PEN NEEDLES 8MM
IPRATROPIUM 0.06% SPRAY
GLUCOSAMINE-CHONDROIT CPLT
DERMA-SMOOTHE/FS ECZEMA OIL
SOY BALANCE TABLET
KROGER PEN NEEDLES 29G
KROGER PEN NEEDLES 31G
B.F.I ANTISEPTIC POWDER
5-AMINOSALICYLIC ACID POWD
5-AMINOSALICYLIC ACID POWD
5-AMINOSALICYLIC ACID POWD
LIDOCAINE POWDER
LIDOCAINE POWDER
LIDOCAINE POWDER
LIDOCAINE POWDER
ST. JOSEPH NOSE DECONGESTANT
BILBERRY PLUS 60 MG CAPSULE
CONTAC DAY & NIGHT CAPLET
CONTAC DAY & NIGHT TABLET
FLUTICASONE PROP 0.005% OINT

DOSE FORM DRUG STRENGTH


TA
PS
PS
PS
YH
YH
CA
DP
CA
TF
CA
TA
DP
DP
CA
CA
CA
KA
CA
PC
PC
PC
PC
PC
PC
PA
PA
PA
SQ
SQ
SQ
SQ
TF
YH
AS
TA
SQ
TA
YH
YH
PA
PA
PA
PA
PA
PA
PA
PA
AT
CA
TA
TA
OA

UNIT PRICE
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17

NDC
45802022135
45802022137
45802022211
45802022235
45802022237
45802075930
48107004792
48107004869
48107005027
48107005037
48107005070
48107005071
48107005074
49348040544
49452045001
49452045002
49452113001
49452113002
49452149001
49452149002
49452177601
49452177602
49452178001
49452178002
49452195001
49452195003
49452195004
49452196001
49452196003
49452196004
49452197802
49452197803
49452197804
49452338001
49452338002
49452338003
49452404001
49452404002
49452404003
49452493501
49452493502
49452493503
49452777001
49452777002
49452778001
49452778002
49452809101
49452809102
49452809103
49502078615
49614031866
49614043165
49614043465

NAME
FLUTICASONE PROP 0.005% OINT
FLUTICASONE PROP 0.005% OINT
FLUTICASONE PROP 0.05% CREAM
FLUTICASONE PROP 0.05% CREAM
FLUTICASONE PROP 0.05% CREAM
PROMETHAZINE 25 MG SUPPOS
EPHADRENE TABLET
BILBERRY 80 MG TABLET
MOODPLEX CAPSULE
VARICLEAR CAPSULE
ULTRA MEGA GOLD 100 MG TAB
ULTRA MEGA GOLD 100 MG TAB
MSM PLEX CAPSULE
V-R SOY FORMULA CAPLET
5-AMINOSALICYLIC ACID POWD
5-AMINOSALICYLIC ACID POWD
BISMUTH CITRATE POWDER
BISMUTH CITRATE POWDER
CALCIUM IODIDE LUMP
CALCIUM IODIDE LUMP
L-CARNITINE HCL POWDER
L-CARNITINE HCL POWDER
DL-CARNITINE HCL POWDER
DL-CARNITINE HCL POWDER
CHLOROBUTANOL CRYSTALS
CHLOROBUTANOL CRYSTALS
CHLOROBUTANOL CRYSTALS
CHLOROBUTANOL CRYSTALS
CHLOROBUTANOL CRYSTALS
CHLOROBUTANOL CRYSTALS
CHLOROXYLENOL POWDER
CHLOROXYLENOL POWDER
CHLOROXYLENOL POWDER
GLYCOLIC ACID CRYSTALS
GLYCOLIC ACID CRYSTALS
GLYCOLIC ACID CRYSTALS
LIDOCAINE POWDER
LIDOCAINE POWDER
LIDOCAINE POWDER
L-ORNITHINE MONOHCL POWDER
L-ORNITHINE MONOHCL POWDER
L-ORNITHINE MONOHCL POWDER
THYME OIL
THYME OIL
THYME OIL
THYME OIL
L-VALINE CRYSTAL
L-VALINE CRYSTAL
L-VALINE CRYSTAL
IPRATROPIUM 0.06% SPRAY
ARTIFICIAL TEARS DROPS
SOY FORMULA CAPLET
SOY FORMULA CAPLET

DOSE FORM DRUG STRENGTH


OA
OA
KA
KA
KA
QA
TA
TA
CA
CA
TS
TS
CA
TA
PA
PA
PA
PA
PM
PM
PA
PA
PA
PA
PC
PC
PC
PC
PC
PC
PA
PA
PA
PC
PC
PC
PA
PA
PA
PA
PA
PA
SQ
SQ
SQ
SQ
PC
PC
PC
AS
DP
TA
TA

UNIT PRICE
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17

NDC
49669521303
49884022201
49884022203
49884022205
49884056001
49884056010
49884063501
49884063510
49884069401
49884075401
49884075410
49938010201
49999025700
49999029330
49999032415
49999032420
49999034012
49999046910
49999055900
50419043203
50419043206
50419043303
50419043306
50419043312
50428139222
50428143702
50428232531
50428292347
50428314377
50428314468
50428538397
51079048101
51079048120
51079056601
51079056620
51079078601
51079078620
51079097401
51079097420
51079098401
51079098420
51079098701
51079098720
51119000245
51119000252
51285051428
51285072455
51285072457
51552027104
51552027116
51552039801
51552041001
51672521601

NAME
ALBUTEIN 25% IV SOLUTION
DOXEPIN 150 MG CAPSULE
DOXEPIN 150 MG CAPSULE
DOXEPIN 150 MG CAPSULE
LISINOPRIL 40 MG TABLET
LISINOPRIL 40 MG TABLET
LISINOPRIL 30 MG TABLET
LISINOPRIL 30 MG TABLET
FLECAINIDE ACETATE 50 MG TAB
LOVASTATIN 10 MG TABLET
LOVASTATIN 10 MG TABLET
DAPSONE 25 MG TABLET
NEURONTIN 300 MG CAPSULE
LOVASTATIN 10 MG TABLET
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
PROMETHAZINE 25 MG SUPPOS
LISINOPRIL 40 MG TABLET
PRIMIDONE 50 MG TABLET
TRI-LEVLEN 21 TABLET
TRI-LEVLEN 21 TABLET
TRI-LEVLEN 28 TABLET
TRI-LEVLEN 28 TABLET
TRI-LEVLEN 28 TABLET
CVS PLANTAR WART REMOVER
CVS WART REMOVER
CVS SEVERE COLD & FLU CAPLT
NUPRIN ARTHRITIS CLEAR GEL
CVS CALLUS REMOVER PAD
CVS CORN REMOVER PAD
CVS ARTIFICIAL TEARS DROPS
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
THIORIDAZINE 25 MG TABLET
THIORIDAZINE 25 MG TABLET
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
LOVASTATIN 10 MG TABLET
LOVASTATIN 10 MG TABLET
LISINOPRIL 40 MG TABLET
LISINOPRIL 40 MG TABLET
FLECAINIDE ACETATE 50 MG TAB
FLECAINIDE ACETATE 50 MG TAB
STOMASEAL DRESSING 4"X 4"
STOMASEAL DRESSING 4"X 4"
ENPRESSE-28 TABLET
DURAFED SUSPENSION
DURAFED SUSPENSION
BISMUTH CITRATE POWDER
BISMUTH CITRATE POWDER
L-VALINE POWDER
L-VALINE POWDER
FLUTICASONE PROP 0.05% CREAM

DOSE FORM DRUG STRENGTH


HM
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
CA
TA
CA
CA
QA
TA
TA
TA
TA
TA
TA
TA
PS
PS
TA
JC
PS
PS
DP
CA
CA
TA
TA
CA
CA
TA
TA
TA
TA
TA
TA
YE
YE
TA
SC
SC
PA
PA
PA
PA
KA

UNIT PRICE
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17

NDC
51672521602
51672521603
51672521701
51672521702
51672521703
51927103100
51927205700
51991002701
51991006304
51991006316
51991059506
52041002413
52041002509
52041003413
52041004415
52083013360
52083035230
52083051290
52152016102
52544029128
52735002715
52769025105
52769025110
52769045005
52769045105
52769045110
52959000710
52959000714
52959000715
52959000720
52959000730
52959043400
52959043420
52959043430
52959043435
52959043445
52959043460
52959043490
52959055512
52959055540
52959075402
52959075420
52959075430
52959075445
52959075460
52959075490
52959120601
52959120603
52959120606
53191005601
53265076312
53303001205
53303001220

NAME
FLUTICASONE PROP 0.05% CREAM
FLUTICASONE PROP 0.05% CREAM
FLUTICASONE PROP 0.005% OINT
FLUTICASONE PROP 0.005% OINT
FLUTICASONE PROP 0.005% OINT
LIDOCAINE POWDER
ORNITHINE HCL POWDER
USEPT TABLET
DUOTAN SUSPENSION
DUOTAN SUSPENSION
DRINEX TABLET
DAYTO-ANASE TABLET
DAYTO-ANASE CAPLET
VENIFLEX TABLET
SPACOL TABLET
PROZYEM 100,000 UNITS TABLET
APETIGEN TABLET
SIMETYL TABLET
PEMOLINE 37.5 MG TABLET
TRIVORA-28 TABLET
FP GLUCOS-CHONDROIT CAPLET
ALBUMIN 25% IV SOLUTION
ALBUMIN 25% IV SOLUTION
ALBUMARC 25% IV SOLUTION
ALBUMIN 25% IV SOLUTION
ALBUMIN 25% IV SOLUTION
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
NEURONTIN 300 MG CAPSULE
NEURONTIN 300 MG CAPSULE
NEURONTIN 300 MG CAPSULE
NEURONTIN 300 MG CAPSULE
NEURONTIN 300 MG CAPSULE
NEURONTIN 300 MG CAPSULE
NEURONTIN 300 MG CAPSULE
URINARY ANTISEPTIC F.C. TAB
URINARY ANTISEPTIC F.C. TAB
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
PHENERGAN 25 MG SUPPOSITORY
PHENERGAN 25 MG SUPPOSITORY
PHENERGAN 25 MG SUPPOSITORY
SAM-G.L.A. CAPSULE
PROMETHAZINE 25 MG SUPPOS
CARRASYN V GEL
CARRASYN V GEL

DOSE FORM DRUG STRENGTH


KA
KA
OA
OA
OA
PA
PA
TA
SC
SC
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
HM
HM
HM
HM
HM
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
TA
TA
CA
CA
CA
CA
CA
CA
QA
QA
QA
CA
QA
JG
JG

UNIT PRICE
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17

NDC
53489014901
53489014910
53746021101
54022109801
54022109802
54022215001
54569008402
54569008403
54569013700
54569036200
54569036201
54569036202
54569036203
54569069600
54569371300
54569371400
54569457700
54569457701
54569457702
54569511500
54569527000
54569534500
54569547200
54569563300
54859050401
54859070110
54868006700
54868006704
54868006705
54868019900
54868019902
54868019903
54868051801
54868060100
54868060101
54868060102
54868080000
54868080001
54868080002
54868080003
54868080004
54868080007
54868113900
54868135600
54868150100
54868150101
54868185101
54868193300
54868193301
54868193302
54868196800
54868244601
54868244602

NAME
THIORIDAZINE 25 MG TABLET
THIORIDAZINE 25 MG TABLET
DRINEX TABLET
BIOTIN FORTE 3 MG TABLET
BIOTIN FORTE 3 MG TABLET
S.O.D. 500 MG TAB EC
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
AUGMENTIN 125-31.25 SUSPEN
PHENERGAN 25 MG SUPPOSITORY
PHENERGAN 25 MG SUPPOSITORY
PHENERGAN 25 MG SUPPOSITORY
PHENERGAN 25 MG SUPPOSITORY
DONATUSSIN DROPS
ALTACE 2.5 MG CAPSULE
ALTACE 5 MG CAPSULE
NEURONTIN 300 MG CAPSULE
NEURONTIN 300 MG CAPSULE
NEURONTIN 300 MG CAPSULE
TRIVORA-28 TABLET
TANAFED SUSPENSION
LOVASTATIN 10 MG TABLET
LISINOPRIL 40 MG TABLET
GABAPENTIN 300 MG CAPSULE
ORASEP SPRAY
URIN D.S. TABLET
THIORIDAZINE 25 MG TABLET
THIORIDAZINE 25 MG TABLET
THIORIDAZINE 25 MG TABLET
AUGMENTIN 125-31.25 SUSPEN
AUGMENTIN 125-31.25 SUSPEN
AUGMENTIN 125-31.25 SUSPEN
TRIPHASIL-28 TABLET
PROMETHAZINE 25 MG SUPPOS
PROMETHAZINE 25 MG SUPPOS
PROMETHAZINE 25 MG SUPPOS
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
SULFASALAZINE 500 MG TAB EC
CYLERT 37.5 MG TABLET
PRINIVIL 40 MG TABLET
PRINIVIL 40 MG TABLET
MICRO-K 8 MEQ EXTENCAPS
PHENERGAN 25 MG SUPPOSITORY
PHENERGAN 25 MG SUPPOSITORY
PHENERGAN 25 MG SUPPOSITORY
MEVACOR 10 MG TABLET
CUTIVATE 0.05% CREAM
CUTIVATE 0.05% CREAM

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TE
CA
CA
PD
QA
QA
QA
QA
SO
CA
CA
CA
CA
CA
TA
SC
TA
TA
CA
AS
TA
TA
TA
TA
PD
PD
PD
TA
QA
QA
QA
CA
CA
CA
CA
CA
CA
TE
TA
TA
TA
CS
QA
QA
QA
TA
KA
KA

UNIT PRICE
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17

NDC
54868244701
54868244702
54868264400
54868264401
54868264402
54868264500
54868264501
54868264502
54868281702
54868332800
54868341700
54868353300
54868368900
54868368901
54868368902
54868368903
54868376801
54868376802
54868376803
54868376804
54868376805
54868406700
54868406701
54868423900
54868428400
54868459300
54868464600
54868464602
54868468600
54868478000
54868486000
54868499800
54868504900
54868506500
54868506501
54868506700
54868507400
54868507401
54868516600
54868516601
54868516602
54868516603
54868516604
55045129705
55045174902
55045261600
55045261605
55045261606
55045261608
55045261609
55045301102
55045323409
55289001206

NAME
CUTIVATE 0.005% OINTMENT
CUTIVATE 0.005% OINTMENT
ALTACE 2.5 MG CAPSULE
ALTACE 2.5 MG CAPSULE
ALTACE 2.5 MG CAPSULE
ALTACE 5 MG CAPSULE
ALTACE 5 MG CAPSULE
ALTACE 5 MG CAPSULE
DAPSONE 25 MG TABLET
TRI-LEVLEN 28 TABLET
LAMPRENE 50 MG CAPSULE
DOXEPIN 150 MG CAPSULE
MYSOLINE 50 MG TABLET
MYSOLINE 50 MG TABLET
MYSOLINE 50 MG TABLET
MYSOLINE 50 MG TABLET
NEURONTIN 300 MG CAPSULE
NEURONTIN 300 MG CAPSULE
NEURONTIN 300 MG CAPSULE
NEURONTIN 300 MG CAPSULE
NEURONTIN 300 MG CAPSULE
TEGRETOL XR 100 MG TABLET SA
TEGRETOL XR 100 MG TABLET SA
TRIVORA-28 TABLET
ATROVENT 0.06% SPRAY
LOVASTATIN 10 MG TABLET
LISINOPRIL 40 MG TABLET
LISINOPRIL 40 MG TABLET
PROMETHEGAN 25 MG SUPP
LISINOPRIL 30 MG TABLET
ENPRESSE-28 TABLET
FUROSEMIDE 10 MG/ML VIAL
IPRATROPIUM 0.06% SPRAY
TAMBOCOR 50 MG TABLET
TAMBOCOR 50 MG TABLET
PRIMIDONE 50 MG TABLET
FLECAINIDE ACETATE 50 MG TAB
FLECAINIDE ACETATE 50 MG TAB
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
AMANTADINE 100 MG CAPSULE
PHENERGAN 25 MG SUPPOSITORY
NEURONTIN 300 MG CAPSULE
NEURONTIN 300 MG CAPSULE
NEURONTIN 300 MG CAPSULE
NEURONTIN 300 MG CAPSULE
NEURONTIN 300 MG CAPSULE
PROMETHAZINE 25 MG SUPPOS
GABAPENTIN 300 MG CAPSULE
AMANTADINE 100 MG CAPSULE

DOSE FORM DRUG STRENGTH


OA
OA
CA
CA
CA
CA
CA
CA
TA
TA
CA
CA
TA
TA
TA
TA
CA
CA
CA
CA
CA
TM
TM
TA
AS
TA
TA
TA
QA
TA
TA
HV
AS
TA
TA
TA
TA
TA
CA
CA
CA
CA
CA
CA
QA
CA
CA
CA
CA
CA
QA
CA
CA

UNIT PRICE
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17

NDC
55289001210
55289001214
55289001220
55289018820
55289018840
55289041502
55289041504
55289041506
55289041579
55289057010
55289057030
55289057060
55422078001
55887033890
55887055120
55887055130
55887055160
55887055190
55887076710
55887076714
55887076720
57217952101
57664051018
57664051083
57866105302
57866105303
57866105304
57866464203
57866600001
57866798901
57866932001
57866932002
58016015300
58016015310
58016015314
58016015315
58016015320
58016015330
58016029800
58016029802
58016029803
58016029810
58016029814
58016029815
58016029820
58016029821
58016029828
58016029830
58016029840
58016029850
58016029860
58016029890
58016048100

NAME
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
DAPSONE 25 MG TABLET
DAPSONE 25 MG TABLET
PHENERGAN 25 MG SUPPOSITORY
PHENERGAN 25 MG SUPPOSITORY
PHENERGAN 25 MG SUPPOSITORY
PHENERGAN 25 MG SUPPOSITORY
NEURONTIN 300 MG CAPSULE
NEURONTIN 300 MG CAPSULE
NEURONTIN 300 MG CAPSULE
PHANASIN PEDIATRIC DROPS
GABAPENTIN 300 MG CAPSULE
NEURONTIN 300 MG CAPSULE
NEURONTIN 300 MG CAPSULE
NEURONTIN 300 MG CAPSULE
NEURONTIN 300 MG CAPSULE
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
ROSETS STRIPS
MIRTAZAPINE 7.5 MG TABLET
MIRTAZAPINE 7.5 MG TABLET
NEURONTIN 300 MG CAPSULE
NEURONTIN 300 MG CAPSULE
NEURONTIN 300 MG CAPSULE
THIORIDAZINE 25 MG TABLET
LISINOPRIL 30 MG TABLET
PRINIVIL 40 MG TABLET
PEMOLINE 37.5 MG TABLET
PEMOLINE 37.5 MG TABLET
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
NEURONTIN 300 MG CAPSULE

DOSE FORM DRUG STRENGTH


CA
CA
CA
TA
TA
QA
QA
QA
QA
CA
CA
CA
SO
CA
CA
CA
CA
CA
CA
CA
CA
YR
TA
TA
CA
CA
CA
TA
TA
TA
TA
TA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA

UNIT PRICE
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17

NDC
58016048110
58016048114
58016048115
58016048120
58016048121
58016048128
58016048130
58016048140
58016048150
58016048160
58016048190
58016064600
58016064630
58016064660
58016064690
58016100801
58016100901
58016500901
58177005204
58177080601
58177080602
58177080603
58864061830
58864067430
58864078130
58864079510
59528041605
59702080116
59741030812
59741030850
59762010401
59762010402
59762502701
60258030804
60258030816
60258051501
60429073901
60429073950
60429073990
60432019604
60432019616
60505011301
60505011308
60505018800
60505018801
60505018900
60505018901
60505082701
60527056701
60760003960
60760080560
61451218301
61553041041

NAME
DOSE FORM DRUG STRENGTH
NEURONTIN 300 MG CAPSULE
CA
NEURONTIN 300 MG CAPSULE
CA
NEURONTIN 300 MG CAPSULE
CA
NEURONTIN 300 MG CAPSULE
CA
NEURONTIN 300 MG CAPSULE
CA
NEURONTIN 300 MG CAPSULE
CA
NEURONTIN 300 MG CAPSULE
CA
NEURONTIN 300 MG CAPSULE
CA
NEURONTIN 300 MG CAPSULE
CA
NEURONTIN 300 MG CAPSULE
CA
NEURONTIN 300 MG CAPSULE
CA
PRINIVIL 40 MG TABLET
TA
PRINIVIL 40 MG TABLET
TA
PRINIVIL 40 MG TABLET
TA
PRINIVIL 40 MG TABLET
TA
AUGMENTIN 125-31.25 SUSPEN
PD
AUGMENTIN 125-31.25 SUSPEN
PD
PROMETHAZINE 25 MG SUPPOS
QA
ANEMAGEN OB SOFT-GEL CAPS
CA
FLUTICASONE PROP 0.05% CREAM
KA
FLUTICASONE PROP 0.05% CREAM
KA
FLUTICASONE PROP 0.05% CREAM
KA
LISINOPRIL 40 MG TABLET
TA
ALTACE 5 MG CAPSULE
CA
LOVASTATIN 10 MG TABLET
TA
AMANTADINE 100 MG CAPSULE
CA
MAGNEBIND 400 RX TABLET
TA
ATUSS-12 DX SUSPENSION
PJ
ASPIRIN 300 MG SUPPOSITORY
QA
ASPIRIN 300 MG SUPPOSITORY
QA
SULFASALAZINE DR 500 MG TAB
TE
SULFASALAZINE DR 500 MG TAB
TE
GABAPENTIN 300 MG CAPSULE
CA
CP-TANNIC SUSPENSION
SC
CP-TANNIC SUSPENSION
SC
MHP-A TABLETS
TA
GABAPENTIN CAPSULES 300MG 100'S
CA
GABAPENTIN CAPSULES 300MG, 10 "UNIT OF CA
USE" BOTTLES OF 50
GABAPENTIN 300 MG CAPSULE
CA
C-PHED TANNATE SUSPENSION
SC
C-PHED TANNATE SUSPENSION
SC
GABAPENTIN 300 MG CAPSULE
CA
GABAPENTIN 300 MG CAPSULE
CA
LISINOPRIL 30 MG TABLET
TA
LISINOPRIL 30 MG TABLET
TA
LISINOPRIL 40 MG TABLET
TA
LISINOPRIL 40 MG TABLET
TA
IPRATROPIUM 0.06% SPRAY
AS
SANTUSS PEDIATRIC DROPS
SO
GABAPENTIN 300 MG CAPSULE
CA
NEURONTIN 300 MG CAPSULE
CA
URISED TABLET
TA
MAGNESIUM-DW5 1 G/50 ML
HZ

UNIT PRICE
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17

NDC
61553041141
61570011101
61570011105
61570011156
61570011201
61570011205
61570011256
62037079101
62451008676
62584061233
62991100901
62991100902
62991100903
62991100904
62991109401
62991109402
62991109403
62991109404
62991109406
62991118201
62991131601
62991131602
62991163701
62991163702
62991163703
63275999104
63275999105
63275999108
63304053501
63304053510
63304079401
63323028002
63323028004
63323028010
63370003050
63717009901
63739001301
63739001302
63739001303
63739028015
64011001004
64011001008
64011001011
64108021212
64108021213
64376070730
64376080301
64915014160
64915063460
65224050116
65862000101
65862000105
65862000130

NAME
MAGNESIUM-DW5 2 G/50 ML
ALTACE 2.5 MG CAPSULE
ALTACE 2.5 MG CAPSULE
ALTACE 2.5 MG CAPSULE
ALTACE 5 MG CAPSULE
ALTACE 5 MG CAPSULE
ALTACE 5 MG CAPSULE
LOVASTATIN 10 MG TABLET
IPRATROPIUM 0.06% SPRAY
AMANTADINE 100 MG CAPSULE
5-AMINOSALICYLIC ACID POWD
5-AMINOSALICYLIC ACID POWD
5-AMINOSALICYLIC ACID POWD
5-AMINOSALICYLIC ACID POWD
LIDOCAINE POWDER
LIDOCAINE POWDER
LIDOCAINE POWDER
LIDOCAINE POWDER
LIDOCAINE POWDER
CHLOROBUTANOL CRYSTALS
BHT POWDER
BHT POWDER
ACETYL-L-CARNITINE HCL PWDR
ACETYL-L-CARNITINE HCL PWDR
ACETYL-L-CARNITINE HCL PWDR
LIDOCAINE POWDER
LIDOCAINE POWDER
LIDOCAINE POWDER
LISINOPRIL 40 MG TABLET
LISINOPRIL 40 MG TABLET
FLECAINIDE ACETATE 50 MG TAB
FUROSEMIDE 10 MG/ML VIAL
FUROSEMIDE 10 MG/ML VIAL
FUROSEMIDE 10 MG/ML VIAL
BISMUTH CITRATE POWDER
ICAR-C TABLET
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
LOVASTATIN 10 MG TABLET
MICRO-K 8 MEQ EXTENCAPS
MICRO-K 8 MEQ EXTENCAPS
MICRO-K 8 MEQ EXTENCAPS
OPTICS MINI DROPS
OPTICS MINI DROPS
P CHLOR GG PEDIATRIC DROPS
FE C TABLET
NIACINOL 500 MG CAPSULE
LACTASE CONCENTRATE-HP CAP
PEDIATEX 12 SUSPENSION
MIRTAZAPINE 7.5 MG TABLET
MIRTAZAPINE 7.5 MG TABLET
MIRTAZAPINE 7.5 MG TABLET

DOSE FORM DRUG STRENGTH


HZ
CA
CA
CA
CA
CA
CA
TA
AS
CA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PC
PA
PA
PA
PA
PA
PA
PA
PA
TA
TA
TA
HV
HV
HV
PA
TA
CA
CA
CA
TA
CS
CS
CS
DP
DP
SO
TA
CA
CA
SC
TA
TA
TA

UNIT PRICE
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17

NDC
66116025160
66239014604
66239014616
66267001514
66267001520
66267015530
66267015545
66267015560
66267015590
66267015592
66267016404
66424003201
66479057416
66490069010
66490069050
66685070501
66685070502
66685070601
66685070602
66685070603
66685070604
68071021230
68071021260
68084008001
68084008008
68084008065
68084008090
68115001814
68115001820
68115001830
68115020930
68115021830
68115025400
68115025430
68115025445
68115025460
68115048500
68115048560
68115048590
68115053000
68115068900
68115081200
68188088250
68387041045
68387041060
68387041090
68516521303
82468062059
86679002118
86679002309
86679003375
86679023470
86679023471

NAME
USEPT TABLET
TANA PSE SUSPENSION
TANA PSE SUSPENSION
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
NEURONTIN 300 MG CAPSULE
NEURONTIN 300 MG CAPSULE
NEURONTIN 300 MG CAPSULE
NEURONTIN 300 MG CAPSULE
NEURONTIN 300 MG CAPSULE
PHENERGAN 25 MG SUPPOSITORY
URISEPTIC TABLET
HYCET SOLUTION
MYSOLINE 50 MG TABLET
MYSOLINE 50 MG TABLET
LISINOPRIL 30 MG TABLET
LISINOPRIL 30 MG TABLET
LISINOPRIL 40 MG TABLET
LISINOPRIL 40 MG TABLET
LISINOPRIL 40 MG TABLET
LISINOPRIL 40 MG TABLET
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
AMANTADINE 100 MG CAPSULE
LISINOPRIL 40 MG TABLET
LOVASTATIN 10 MG TABLET
NEURONTIN 300 MG CAPSULE
NEURONTIN 300 MG CAPSULE
NEURONTIN 300 MG CAPSULE
NEURONTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
ALTACE 2.5 MG CAPSULE
DOXEPIN 150 MG CAPSULE
ALTACE 5 MG CAPSULE
METHYLIN 10 MG/5 ML SOLUTION
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
GABAPENTIN 300 MG CAPSULE
ALBUTEIN 25% IV SOLUTION
FP GLUCOS-CHONDROIT CAPLET
UNDERPAD STANDARD 30"X30"
SUPERSORB UNDERPAD 30"X30"
STASMOOTH UNDERPAD 30"X30"
EZ-SORB 30"X30" UNDERPAD
EZ-SORB 30"X30" UNDERPAD

DOSE FORM DRUG STRENGTH


TA
SC
SC
CA
CA
CA
CA
CA
CA
CA
QA
TA
SJ
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
CA
CA
CA
CA
CA
CA
CA
TA
TA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
SJ
CA
CA
CA
HM
TA
EA
EA
EA
EA
EA

UNIT PRICE
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17

NDC
86679023472
86679023552
86679023924
86679023925
86679023926
86679023931
86679023933
86679023935
86679023936
87701012387
87701082175
87701084799
87701095347
90891013100
90891013151
96295011286
00003325208
00003517805
00003517806
00003517875
00004026301
00004026349
00007336344
00009001011
00009001032
00009001038
00015302020
00015302097
00015302320
00015302397
00019132302
00019132304
00019132306
00019132311
00019132316
00019132321
00019132341
00023040330
00023040350
00023040370
00023548730
00023548750
00024033704
00032121001
00032121007
00034051610
00034051612
00034051690
00039022110
00049155066
00049155073
00049573066
00054007620

NAME
DOSE FORM DRUG STRENGTH
EZ-SORB 30"X30" UNDERPAD
EA
ATTENDS NIGHT PRESERVER PADS
EA
DRI-SORB UNDERPADS 30"X30"
EA
DRI-SORB PLUS UNDERPAD 30"X30"
EA
ULTIMA 30"X30" UNDERPAD
EA
ADHERES PAD 30"X30"
EA
ANTI-DRI PAD 30"X30"
EA
SUPERSORB 30"X30" UNDERPAD
EA
SUPERSORB 30"X30" UNDERPAD
EA
GNP GLUCOSA-CHONDROIT CPLT
TA
BL GLUCOSA-CHONDROIT CPLT
TA
GNP BILBERRY 60 MG CAPSULE
CA
BL BILBERRY 60 MG CAPSULE
CA
SUPER ABSORBENT UNDERPAD
EA
UNDERPAD 23" X 36"
EA
LIQUID CORN & CALLUS REMOVER
SL
ALOE VESTA 3-N-1 CLNSING FM
AF
PRAVACHOL 20 MG TABLET
TA
PRAVACHOL 20 MG TABLET
TA
PRAVACHOL 20 MG TABLET
TA
DEMADEX 10 MG TABLET
TA
DEMADEX 10 MG TABLET
TA
COMPAZINE 5 MG/5 ML SYRUP
ST
HALCION 0.125 MG TABLET
TA
HALCION 0.125 MG TABLET
TA
HALCION 0.125 MG TABLET
TA
AMIKIN 250 MG/ML VIAL
HV
AMIKIN 250 MG/ML VIAL
HV
AMIKIN 250 MG/ML VIAL
HV
AMIKIN 250 MG/ML VIAL
HV
OPTIRAY 320 (320 MG/ML) VIAL
VI
OPTIRAY 320 (320 MG/ML) VIAL
VI
OPTIRAY 320 (320 MG/ML) VIAL
VI
OPTIRAY 320 (320 MG/ML) VIAL
VI
OPTIRAY 320 (320 MG/ML) VIAL
VI
OPTIRAY 320 (320 MG/ML) VIAL
HV
OPTIRAY 320 (320 MG/ML) VIAL
HV
REFRESH PLUS 0.5% EYE DROPS
DP
REFRESH PLUS 0.5% EYE DROPS
DP
CARBOXYMETHYLCELLULOSE NA 0.5% SOLN,OPH,0.3ML
DP
REFRESH PLUS 0.5% EYE DROPS
DP
REFRESH PLUS 0.5% EYE DROPS
DP
DEMEROL 100 MG TABLET
TA
CREON 10 CAPSULE EC
CE
CREON 10 CAPSULE EC
CE
MS CONTIN 60 MG TABLET SA
TS
MS CONTIN 60 MG TABLET SA
TS
MS CONTIN 60 MG TABLET SA
TS
AMARYL 1 MG TABLET
TA
GLUCOTROL XL 5 MG TABLET SA
TZ
GLUCOTROL XL 5 MG TABLET SA
TZ
NAVANE 5 MG CAPSULE
CA
TORSEMIDE 10 MG TABLET
TA

UNIT PRICE
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.17
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18

NDC
00054007625
00054261725
00054452725
00054452731
00054459625
00054479225
00054485806
00054852825
00054859611
00054879211
00054885825
00062047542
00062047545
00064401114
00065011130
00071108807
00071108813
00074195601
00074195701
00074373513
00074493801
00074689203
00085065606
00091453815
00093012901
00093024831
00093024843
00093712801
00093874001
00093920031
00168017615
00169185255
00172366860
00172403660
00172423560
00172423570
00182118316
00182263289
00186033001
00186033036
00225052547
00247035030
00247047010
00247079707
00247079714
00247079730
00247079750
00247100030
00247109030
00247109060
00247113930
00247113960
00247123730

NAME
TORSEMIDE 10 MG TABLET
MEXILETINE 200 MG CAPSULE
LITHIUM CARBONATE 300 MG TAB
LITHIUM CARBONATE 300 MG TAB
MEPERIDINE 100 MG TABLET
ORAMORPH SR 60 MG TABLET SA
TRIAZOLAM 0.125 MG TABLET
LITHIUM CARBONATE 300 MG TAB
MEPERIDINE 100 MG TABLET
ORAMORPH SR 60 MG TABLET SA
TRIAZOLAM 0.125 MG TABLET
RETIN-A 0.025% GEL
RETIN-A 0.025% GEL
SALEX 6% LOTION
PREFLEX LIQUID
TUCKS SUPPOSITORY
TUCKS SUPPOSITORY
AMIKACIN 250 MG/ML VIAL
AMIKACIN 250 MG/ML VIAL
PROSOM 1 MG TABLET
POTASSIUM CL 2.4 MEQ/ML VIAL
LIPOSYN III 30% IV FAT EMUL
LOTRIMIN AF 1% SOLUTION
LEVSIN 0.125 MG/ML DROPS
ESTAZOLAM 1 MG TABLET
CLOTRIMAZOLE 1% SOLUTION
CLOTRIMAZOLE 1% SOLUTION
TORSEMIDE 10 MG TABLET
MEXILETINE 200 MG CAPSULE
LIDOCAINE HCL 2% JELLY
PILOCARPINE 6% EYE DROPS
NOVOFINE 31 NEEDLES
PERPHENAZINE 4 MG TABLET
ESTAZOLAM 1 MG TABLET
NADOLOL 20 MG TABLET
NADOLOL 20 MG TABLET
COLD MEDICINE PLUS SOFTGEL
NADOLOL 20 MG TABLET
XYLOCAINE 2% JELLY
XYLOCAINE 2% JELLY
AYR SALINE NASAL GEL
METAPROTERENOL 20 MG TABLET
ECONOPRED PLUS 1% EYE DROPS
PERPHENAZINE 4 MG TABLET
PERPHENAZINE 4 MG TABLET
PERPHENAZINE 4 MG TABLET
PERPHENAZINE 4 MG TABLET
LIDOCAINE HCL 2% JELLY
ALTACE 10 MG CAPSULE
ALTACE 10 MG CAPSULE
PRAVACHOL 20 MG TABLET
PRAVACHOL 20 MG TABLET
MEXITIL 200 MG CAPSULE

DOSE FORM DRUG STRENGTH


TA
CA
TA
TA
TA
TS
TA
TA
TA
TS
TA
JG
JG
SK
SL
QA
QA
HV
HV
TA
HV
SU
SA
SO
TA
SA
SA
TA
CA
JB
SO
YH
TA
TA
TA
TA
CA
TA
JB
JB
JG
TA
SN
TA
TA
TA
TA
JB
CA
CA
TA
TA
CA

UNIT PRICE
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18

NDC
00254921643
00256011401
00283056912
00283056931
00283056938
00283188631
00327001105
00338049503
00338052003
00338201341
00378002801
00378240101
00378300501
00378300510
00395160192
00406036601
00406036605
00406036662
00406711501
00406838001
00406838005
00406838032
00406838062
00421199990
00482044001
00482330020
00501202020
00501202120
00501204220
00501410612
00501410624
00501420212
00501420224
00548301100
00548301200
00548301300
00548301500
00555038202
00573022810
00574703612
00591049201
00591072701
00591074401
00591084401
00591084410
00591320301
00597004724
00597006701
00603131473
00603378121
00603388921
00603441621
00603509121

NAME
HYOSCYAMINE 0.125 MG/ML DROP
AEROLATE JR 130 MG CAPS SA
HURRICAINE 20% SOLUTION
HURRICAINE 20% LIQUID
HURRICAINE 20% SOLUTION
HURRICAINE 20% LIQUID
RENACIDIN IRRIGATION SOLN
INTRALIPID 30% IV FAT EMUL
INTRALIPID 30% IV FAT EMUL
PEN GK 1MM UNIT/50 ML D5W
NADOLOL 20 MG TABLET
TRIFLUOPERAZINE 1 MG TABLET
THIOTHIXENE 5 MG CAPSULE
THIOTHIXENE 5 MG CAPSULE
MAGNESIUM CARBONATE BLOCK
HYDROCODONE/APAP 7.5/325 TB
HYDROCODONE/APAP 7.5/325 TB
HYDROCODONE-APAP 7.5/325 TAB
MEPERIDINE 100 MG TABLET
MORPHINE SULF 60 MG TAB SA
MORPHINE SULF 60 MG TAB SA
MORPHINE SULF 60 MG TAB SA
MORPHINE SULF 60 MG TAB SA
VITELLE IROSPAN TABLET SA
BRONTEX TABLET
ENTSOL NASAL GEL
BENADRYL ALLERGY/COLD FASTMELT
BENADRYL ALLERGY/SINUS FASTMLT
BENADRYL-D FASTMELT TABLET
TUCKS SUPPOSITORY
TUCKS SUPPOSITORY
ANUSOL SUPPOSITORY
TUCKS SUPPOSITORY
LIDOCAINE HCL 2% JELLY
LIDOCAINE HCL 2% JELLY
LIDOCAINE HCL 2% JELLY
LIDOCAINE HCL 2% JELLY
MEPERIDINE 100 MG TABLET
ANBESOL MAX-STR LIQUID
ASPIRIN 600 MG SUPPOSITORY
MEXILETINE 200 MG CAPSULE
MEPERIDINE 100 MG TABLET
ESTAZOLAM 1 MG TABLET
GLIPIZIDE ER 5 MG TABLET
GLIPIZIDE ER 5 MG TABLET
HYDROCODONE-APAP 7.5-325 TB
VIRAMUNE 50 MG/5 ML SUSP
MEXITIL 200 MG CAPSULE
HYOSCYAMINE 0.125 MG/ML DROP
GUAIFENESIN/CODEINE TABLET
HYDROCODONE/APAP 7.5/325 TB
MEPERITAB 100 MG TABLET
PERPHENAZINE 4 MG TABLET

DOSE FORM DRUG STRENGTH


SO
CB
SA
SA
SA
SA
SW
SU
SU
HP
TA
TA
CA
CA
EC
TA
TA
TA
TA
TS
TS
TS
TS
TS
TA
GE
UL
UL
UL
QA
QA
QA
QA
JB
JB
JB
JB
TA
SA
QA
CA
TA
TA
TZ
TZ
TA
SC
CA
SO
TA
TA
TA
TA

UNIT PRICE
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18

NDC
00603509128
00603725741
00677193101
00689008201
00689008205
00703903203
00703904003
00713050512
00713050524
00781103001
00781103013
00781104701
00781104710
00781104713
00781222801
00781222810
00781222813
00998020815
00998063705
00998063710
08080620112
08080621100
08080621112
08080622112
08290009430
08290309300
08290328430
08290329430
08290843002
08290843003
08290844003
08881200011
08881200029
08881200060
08881200151
08881200441
08881200573
08881200755
08881200805
08881204005
08881516051
08881516135
08881516150
08881516259
09198013301
09198013303
09198013355
10223021001
10481104902
10481104903
10939018322
10939026722
10939049022

NAME
PERPHENAZINE 4 MG TABLET
PILOCARPINE 6% EYE DROPS
GLYCOPYRROLATE 1 MG TABLET
TUSSIGON TABLET
TUSSIGON TABLET
AMIKACIN 250 MG/ML VIAL
AMIKACIN 250 MG/ML VIAL
HEM-PREP SUPPOSITORY
HEM-PREP SUPPOSITORY
TRIFLUOPERAZINE 1 MG TABLET
TRIFLUOPERAZINE 1 MG TABLET
PERPHENAZINE 4 MG TABLET
PERPHENAZINE 4 MG TABLET
PERPHENAZINE 4 MG TABLET
THIOTHIXENE 5 MG CAPSULE
THIOTHIXENE 5 MG CAPSULE
THIOTHIXENE 5 MG CAPSULE
ISOPTO CARPINE 6% EYE DROPS
ECONOPRED PLUS 1% EYE DROPS
ECONOPRED PLUS 1% EYE DROPS
MONOJECT 6 ML SYRN 20GX11/2"
MONOJECT 6 ML SYRN 21GX1"
MONOJECT 6 ML SYRN 21GX11/2"
MONOJECT 6 ML SYRN 22GX11/2"
B-D INSULIN U100-3/10 ML SYR
B-D INSULIN U100-3/10 ML SYR
BD INSULIN U100 SYRINGE
B-D INSULIN U100-3/10 ML SYR
BD INSULIN U100 SYRINGE
BD INSULIN U100 SYRINGE
BD ULTRA FINE II 0.3 ML SYRN
HYPODERMIC NEEDLE,ALUM HUB
HYPODERMIC NEEDLE,ALUM HUB
HYPODERMIC NEEDLE,ALUM HUB
HYPODERMIC NEEDLE,ALUM HUB
HYPODERMIC NEEDLE,ALUM HUB
HYPODERMIC NEEDLE,ALUM HUB
HYPODERMIC NEEDLE,ALUM HUB
HYPODERMIC NEEDLE,ALUM HUB
MEDICATION TRANSFER NEEDLE
MONOJECT 6 ML SYRN 20GX11/2"
MONOJECT 6 ML SYRN 21GX1"
MONOJECT 6 ML SYRN 21GX11/2"
MONOJECT 6 ML SYRN 22GX11/2"
MAGINEX 615 MG TABLET
MAGINEX 615 MG TABLET
MAGINEX 615 MG TABLET
CETACAINE OINTMENT
MECHOLYL OINTMENT
MECHOLYL OINTMENT
SM CLOTRIMAZOLE 1% SOLUTION
MOUTH SORE MAX-STR LIQUID
V-R WOMEN'S COMPLEX CAPLET

DOSE FORM DRUG STRENGTH


TA
SO
TA
TA
TA
HV
HV
QA
QA
TA
TA
TA
TA
TA
CA
CA
CA
SO
SN
SN
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YH
YH
YH
YH
YH
YH
YH
YH
YH
YL
YL
YL
YL
TE
TE
TE
OA
OA
OA
SA
SA
TA

UNIT PRICE
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18

NDC
10939056733
10974007920
11298000250
11845011855
11845013865
11845108705
11845118505
11980018001
11980018005
11980018010
11980018015
12280001200
12280006100
12539031515
12539031530
12547017523
12547017524
12939034515
12939043030
12939077415
14654077105
14654094508
14654095412
15127039012
16500002410
16500005501
16500005502
17317073501
17317073502
17317073504
17478071110
17478071130
24208082115
28105019801
32849094005
37205042853
38415003528
38779008204
38779008205
38779008208
38779008209
38779188705
38779188708
41163025126
41163041702
41163086753
41163086758
41167075142
44184003002
48107003369
48107003390
48107003391
48107003991

NAME
SM CLOTRIMAZOLE 1% SOLUTION
DISODIUM EDETATE 150 MG VIAL
PLASTIC DISPOSABLE BAG
FAT BLOCKER PLUS TABLET
APPETITE CONTROL TABLET
GOLDENSEAL ROOT 538 MG CAP
CITRIMAX 500 PLUS TABLET
PRED FORTE 1% EYE DROPS
PRED FORTE 1% EYE DROPS
PRED FORTE 1% EYE DROPS
PRED FORTE 1% EYE DROPS
GLUCOTROL XL 5 MG TABLET SA
ALTACE 10 MG CAPSULE
COLIDROPS PEDIATRIC DROPS
COLIDROPS PEDIATRIC DROPS
BENADRYL-D FASTMELT TABLET
BENADRYL ALL-COLD FASTMELT TAB
HYOSCYAMINE 0.125 MG/ML DROP
MARDROPS-EX DROP
SPASDEL 0.125 MG/ML DROPS
Q-GEL FORTE SOFTSULE
Q-GEL FORTE SOFTSULE
Q-GEL FORTE SOFTSULE
SB COLD/FLU/COUGH LIQUIDGEL
MYCELEX 1% SOLUTION
ALKA-SELTZER PLS COLD SFTGL
ALKA-SELTZER PLS COLD SFTGL
LIDOCAINE HCL POWDER
LIDOCAINE HCL POWDER
LIDOCAINE HCL POWDER
LIDOCAINE HCL 2% JELLY
LIDOCAINE HCL 2% JELLY
PILOCARPINE 6% EYE DROPS
DERMA-CAS GEL
NOVOFINE 31 NEEDLES
DAY-TIME COLD/FLU SOFTGEL
INSULIN SYRINGE 0.3 ML
LIDOCAINE HCL POWDER
LIDOCAINE HCL POWDER
LIDOCAINE HCL POWDER
LIDOCAINE HCL POWDER
ZINC PYRITHIONE 48% LIQ
ZINC PYRITHIONE 48% LIQ
EQL DAYTIME COLD & FLU SOFTGEL
EQL DAYTIME COLD & FLU SOFTGEL
EQL DAYTIME COLD & FLU SOFTGEL
EQL DAYTIME COLD & FLU SOFTGEL
CAPZASIN-HP 0.1% CREAM
VESSELVITE TABLET
BILBERRY 1,000 MG SOFTGEL
SAW PALMETTO 1,000 MG SOFTGEL
SAW PALMETTO 1,000 MG SOFTGEL
PASSION FLOWER/VALERIAN CAP

DOSE FORM DRUG STRENGTH


SA
HV
ZP
TA
TA
CA
TA
SN
SN
SN
SN
TZ
CA
SO
SO
UL
UL
SO
SO
SO
CA
CA
CA
CA
SA
CA
CA
PA
PA
PA
JB
JB
SO
JC
YH
CA
YL
PA
PA
PA
PA
RL
RL
CA
CA
CA
CA
KA
TA
CA
CA
CA
CA

UNIT PRICE
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18

NDC
48107004955
48107005028
49072017720
49348016251
49348031212
49452184501
49452184502
49452184503
49452405001
49452405002
49452405003
49452776201
49452776202
49452776203
49614020653
49884025901
49884045305
49884045312
49884045362
49884065201
49884065210
49938010101
49999031715
50111091601
50383001215
50383029115
50428200639
50428200640
50428265587
51079002501
51079002520
51079029501
51079029521
51079057201
51079057220
51079058801
51079058820
51079081201
51079081220
51552010604
51552010605
51552089904
51552089906
51672126003
51672203701
51927121300
51927188500
51927286100
51991013501
51991018311
52041004626
52083051260
52152014002

NAME
GLUCOSAMINE/CHONDROITIN TAB
PRENATAL COMPANION SOFTGEL
EDETATE DISODIUM 150 MG/ML
SM CLOTRIMAZOLE 1% SOLUTION
V-R WOMEN'S COMPLEX CAPLET
CEDAR LEAF OIL
CEDAR LEAF OIL
CEDAR LEAF OIL
LIDOCAINE HCL POWDER
LIDOCAINE HCL POWDER
LIDOCAINE HCL POWDER
L-THREONINE CRYSTAL
L-THREONINE CRYSTAL
L-THREONINE CRYSTAL
DAY-TIME LIQUID CAPSULE
METAPROTERENOL 20 MG TABLET
TRIAZOLAM 0.125 MG TABLET
TRIAZOLAM 0.125 MG TABLET
TRIAZOLAM 0.125 MG TABLET
TORSEMIDE 10 MG TABLET
TORSEMIDE 10 MG TABLET
DAPSONE 100 MG TABLET
ESTAZOLAM 1 MG TABLET
TORSEMIDE 10 MG TABLET
PILOCARPINE 6% EYE DROPS
HYCO 0.125 MG/ML DROPS
CVS COLD PLUS LIQUID SFTGEL
CVS COUGH-COLD PLUS SOFTGEL
CVS DAYTIME LIQUID SOFTGEL
TORSEMIDE 10 MG TABLET
TORSEMIDE 10 MG TABLET
HYDROCODONE-APAP 7.5/325 TAB
HYDROCODONE-APAP 7.5/325 TAB
TRIFLUOPERAZINE 1 MG TABLET
TRIFLUOPERAZINE 1 MG TABLET
THIOTHIXENE 5 MG CAPSULE
THIOTHIXENE 5 MG CAPSULE
NADOLOL 20 MG TABLET
NADOLOL 20 MG TABLET
LIDOCAINE HCL POWDER
LIDOCAINE HCL POWDER
CHOLESTEROL POWDER
CHOLESTEROL POWDER
CLOTRIMAZOLE 1% SOLUTION
CLOTRIMAZOLE 1% SOLUTION
LIDOCAINE HCL POWDER
ZINC PYRITHIONE 48% LIQ
MAGNESIUM GLYCINATE 15% POWDER
HYOSPAZ 0.15 MG TABLET
FERROCITE-F TABLET
SPACOL I.D. 0.125 MG/ML DROP
SIMETYL TABLET
HYDROCODONE/HOMATROPINE TAB

DOSE FORM DRUG STRENGTH


TA
CA
HV
SA
TA
SQ
SQ
SQ
PA
PA
PA
PC
PC
PC
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
SO
SO
CA
CA
CA
TA
TA
TA
TA
TA
TA
CA
CA
TA
TA
PA
PA
PA
PA
SA
SA
PA
RL
PA
TA
TA
SO
TA
TA

UNIT PRICE
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18

NDC
52152015702
52152015704
52152017202
52238075615
52297099912
52544072901
52569013047
52747030630
52747030670
52959026505
52959026906
52959040130
52959040160
52959071400
52959071415
52959073500
52959073502
52959073530
52959073560
52959073590
52959123300
52959123301
53191000901
53191000910
53265033503
53265033510
53265033511
53265033550
54023695702
54023695704
54023695709
54092031016
54092031028
54092043016
54162095009
54569109000
54569201500
54569226300
54569286800
54569393700
54569407100
54569425800
54569429300
54569429301
54569430900
54569530500
54569554700
54569554701
54629008039
54738055101
54738055102
54838050615
54859050704

NAME
MEPERIDINE 100 MG TABLET
MEPERIDINE 100 MG TABLET
GUAIFENESIN/CODEINE TABLET
PILOPTIC-6 EYE DROPS
HM WOMEN'S COMPLEX CAPLET
NORCO 7.5/325 TABLET
HM WOMEN'S COMPLEX CAPLET
HEMOCYTE-F TABLET
HEMOCYTE-F TABLET
PREDNISOLONE AC 1% EYE DROP
FURACIN 0.2% SOLUBLE DRESS
TRIAZOLAM 0.125 MG TABLET
TRIAZOLAM 0.125 MG TABLET
GUAIFENESIN-CODEINE TABLET
GUAIFENESIN-CODEINE TABLET
HYDROCODONE-APAP 7.5/325 TB
HYDROCODONE-APAP 7.5/325 TB
HYDROCODONE-APAP 7.5/325 TB
HYDROCODONE-APAP 7.5/325 TB
HYDROCODONE-APAP 7.5/325 TB
RETIN-A 0.025% GEL
RETIN-A 0.025% GEL
BIO-STATIN 500,000 UNITS CAP
BIO-STATIN 500,000 UNITS CAP
HYDROCODONE/APAP 7.5/325 TB
HYDROCODONE/APAP 7.5/325 TB
HYDROCODONE/APAP 7.5/325 TB
HYDROCODONE/APAP 7.5/325 TB
Q-GEL FORTE SOFTSULE
Q-GEL FORTE SOFTSULE
Q-GEL FORTE SOFTSULE
FURACIN 0.2% SOLUBLE DRESS
FURACIN 0.2% SOLUBLE DRESS
FUROXONE 50 MG/15 ML LIQUID
DENT-O-KAIN 20% SOLUTION
RETIN-A 0.025% GEL
DAPSONE 100 MG TABLET
XYLOCAINE 2% JELLY
PRED FORTE 1% EYE DROPS
GLUCOTROL XL 5 MG TABLET SA
PRAVACHOL 20 MG TABLET
LIDOCAINE HCL 2% JELLY
PREDNISOLONE AC 1% EYE DROP
PREDNISOLONE AC 1% EYE DROP
PREDNISOLONE AC 1% EYE DROP
NORCO 7.5/325 TABLET
GLIPIZIDE ER 5 MG TABLET
GLIPIZIDE XL 5 MG TABLET
HEALTHY HEART FORMULA SFTGL
PERPHENAZINE 4 MG TABLET
PERPHENAZINE 4 MG TABLET
HYOSYNE 0.125 MG/ML DROP
CONEX PEDIATRIC SUSPENSION

DOSE FORM DRUG STRENGTH


TA
TA
TA
SO
TA
TA
TA
TA
TA
SN
OA
TA
TA
TA
TA
TA
TA
TA
TA
TA
JG
JG
CA
CA
TA
TA
TA
TA
CA
CA
CA
OA
OA
SC
SA
JG
TA
JB
SN
TZ
TA
JB
SN
SN
SN
TA
TZ
TZ
CA
TA
TA
SO
SC

UNIT PRICE
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18

NDC
54868027001
54868063600
54868063601
54868082801
54868082802
54868096300
54868115200
54868115201
54868120300
54868228800
54868228801
54868228802
54868235800
54868268600
54868281601
54868293100
54868293101
54868333500
54868333501
54868333502
54868333503
54868350300
54868378800
54868383500
54868384600
54868384601
54868384602
54868384603
54868419500
54868429300
54868429301
54868441200
54868441201
54868441202
54868505400
54868513300
54868516700
54868521000
54868529500
55045255008
55045305702
55045305704
55045305708
55289050020
55289077907
55289079002
55289086730
55289087130
55390022402
55390022404
55390022602
55390022604
55887044430

NAME
RETIN-A 0.025% GEL
PRED FORTE 1% EYE DROPS
PRED FORTE 1% EYE DROPS
HALCION 0.125 MG TABLET
HALCION 0.125 MG TABLET
LOTRIMIN 1% SOLUTION
ECONOPRED PLUS 1% EYE DROPS
ECONOPRED PLUS 1% EYE DROPS
PILOCARPINE 6% EYE DROPS
PRAVACHOL 20 MG TABLET
PRAVACHOL 20 MG TABLET
PRAVACHOL 20 MG TABLET
THIOTHIXENE 5 MG CAPSULE
PERPHENAZINE 4 MG TABLET
REFRESH PLUS 0.5% EYE DROPS
TRIAZOLAM 0.125 MG TABLET
TRIAZOLAM 0.125 MG TABLET
GLUCOTROL XL 5 MG TABLET SA
GLUCOTROL XL 5 MG TABLET SA
GLUCOTROL XL 5 MG TABLET SA
GLUCOTROL XL 5 MG TABLET SA
XYLOCAINE 2% JELLY
HEMOCYTE-F TABLET
DEMADEX 10 MG TABLET
ALTACE 10 MG CAPSULE
ALTACE 10 MG CAPSULE
ALTACE 10 MG CAPSULE
ALTACE 10 MG CAPSULE
LIDOCAINE HCL 2% JELLY
PREDNISOLONE AC 1% EYE DROP
PREDNISOLONE AC 1% EYE DROP
AMARYL 1 MG TABLET
AMARYL 1 MG TABLET
AMARYL 1 MG TABLET
MORPHINE SULF 60 MG TAB SA
TRIAZ 6% CLEANSER
HYDROCODONE-APAP 7.5/325 TAB
GLIPIZIDE ER 5 MG TABLET
NADOLOL 20 MG TABLET
TRIAZOLAM 0.125 MG TABLET
HYDROCODONE-APAP 7.5-325 TB
HYDROCODONE-APAP 7.5-325 TB
HYDROCODONE-APAP 7.5/325 TAB
GUAIFENESIN/CODEINE TABLET
GLIPIZIDE ER 5 MG TABLET
TRIAZOLAM 0.125 MG TABLET
ALTACE 10 MG CAPSULE
PRAVACHOL 20 MG TABLET
AMIKACIN 250 MG/ML VIAL
AMIKACIN 250 MG/ML VIAL
AMIKACIN 250 MG/ML VIAL
AMIKACIN 250 MG/ML VIAL
HYDROCODONE-APAP 7.5-325 TB

DOSE FORM DRUG STRENGTH


JG
SN
SN
TA
TA
SA
SN
SN
SO
TA
TA
TA
CA
TA
DP
TA
TA
TZ
TZ
TZ
TZ
JB
TA
TA
CA
CA
CA
CA
JB
SN
SN
TA
TA
TA
TS
PL
TA
TZ
TA
TA
TA
TA
TA
TA
TZ
TA
CA
TA
HV
HV
HV
HV
TA

UNIT PRICE
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18

NDC
55887044460
55887044490
56091006981
56091006991
56184012085
56184012105
57664036708
57664047108
57866413201
57866413202
57866413203
57866443701
57866443702
57866443703
57866633901
57866705201
57866705202
57866708001
57866902801
57866903501
57866903502
57866903503
57866931501
58016033812
58016033815
58016033820
58016033830
58016040330
58016042500
58016042530
58016042560
58016042590
58016063200
58016063202
58016063204
58016063206
58016063209
58016063210
58016063212
58016063214
58016063215
58016063216
58016063218
58016063220
58016063221
58016063224
58016063225
58016063228
58016063230
58016063240
58016063242
58016063245
58016063250

NAME
HYDROCODONE-APAP 7.5-325 TB
HYDROCODONE-APAP 7.5-325 TB
SOF-KLING CONFORMNG BANDAGE
SOF-KLING CONFORMNG BANDAGE
MEDADYNE ORAL PAIN RELF LIQ
LITTLE NOSES DECON NOSE DRP
GUAIFENESIN/CODEINE TABLET
MEPERIDINE 100 MG TABLET
PERPHENAZINE 4 MG TABLET
PERPHENAZINE 4 MG TABLET
PERPHENAZINE 4 MG TABLET
THIOTHIXENE 5 MG CAPSULE
THIOTHIXENE 5 MG CAPSULE
THIOTHIXENE 5 MG CAPSULE
NADOLOL 20 MG TABLET
MORPHINE SULF ER 60 MG TAB
MORPHINE SULF ER 60 MG TAB
MEPERIDINE 100 MG TABLET
HYOSCYAMINE 0.15 MG TABLET
TRIAZOLAM 0.125 MG TABLET
TRIAZOLAM 0.125 MG TABLET
TRIAZOLAM 0.125 MG TABLET
ESTAZOLAM 1 MG TABLET
TRIAZOLAM 0.125 MG TABLET
TRIAZOLAM 0.125 MG TABLET
TRIAZOLAM 0.125 MG TABLET
TRIAZOLAM 0.125 MG TABLET
METAPROTERENOL 20 MG TABLET
PRAVACHOL 20 MG TABLET
PRAVACHOL 20 MG TABLET
PRAVACHOL 20 MG TABLET
PRAVACHOL 20 MG TABLET
NORCO 7.5/325 TABLET
NORCO 7.5/325 TABLET
NORCO 7.5/325 TABLET
NORCO 7.5/325 TABLET
NORCO 7.5/325 TABLET
NORCO 7.5/325 TABLET
NORCO 7.5/325 TABLET
NORCO 7.5/325 TABLET
NORCO 7.5/325 TABLET
NORCO 7.5/325 TABLET
NORCO 7.5/325 TABLET
NORCO 7.5/325 TABLET
NORCO 7.5/325 TABLET
NORCO 7.5/325 TABLET
NORCO 7.5/325 TABLET
NORCO 7.5/325 TABLET
NORCO 7.5/325 TABLET
NORCO 7.5/325 TABLET
NORCO 7.5/325 TABLET
NORCO 7.5/325 TABLET
NORCO 7.5/325 TABLET

DOSE FORM DRUG STRENGTH


TA
TA
YE
YE
SL
SO
TA
TA
TA
TA
TA
CA
CA
CA
TA
TS
TS
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18

NDC
58016063256
58016063260
58016063275
58016063280
58016063284
58016063290
58016063292
58016063299
58016092800
58016092802
58016092830
58016092860
58016092890
58016307601
58016312501
58016317301
58016632701
58177022304
58177033004
58768010330
58768051915
58768051934
58864070530
59011026205
59011026210
59011026212
59440020809
59440021009
59441044715
59630020010
59741030912
59741030950
59762371704
59762503201
59762503202
59772246101
59930168601
60258018101
60258080215
60432010315
60758011905
60758011910
60758011915
60951065570
60951065585
61314020815
61314063705
61314063710
61314063715
61451030001
61451222501
61553041241
61553041341

NAME
NORCO 7.5/325 TABLET
NORCO 7.5/325 TABLET
NORCO 7.5/325 TABLET
NORCO 7.5/325 TABLET
NORCO 7.5/325 TABLET
NORCO 7.5/325 TABLET
NORCO 7.5/325 TABLET
NORCO 7.5/325 TABLET
HYDROCODONE/APAP 7.5/325 TB
HYDROCODONE/APAP 7.5/325 TB
HYDROCODONE/APAP 7.5/325 TB
HYDROCODONE/APAP 7.5/325 TB
HYDROCODONE/APAP 7.5/325 TB
RETIN-A 0.025% GEL
XYLOCAINE 2% JELLY
RETIN-A 0.025% GEL
PILOCARPINE 6% EYE DROP
GUAIFENESIN/CODEINE TABLET
MORPHINE SULF ER 60 MG TABLET
EYESCRUB CLEANSING PADS
PILOCAR 6% EYE DROPS
PILOCAR 6% EYE DROPS
GLUCOTROL XL 5 MG TABLET SA
MS CONTIN 60 MG TABLET SA
MS CONTIN 60 MG TABLET SA
MORPHINE SO4 60MG TAB,SA
MEDADYNE ORAL PAIN RELF LIQ
LITTLE NOSES DECON NOSE DRP
GASTROSED 0.125 MG/ML DROPS
ROBINUL 1 MG TABLET
ASPIRIN 600 MG SUPPOSITORY
ASPIRIN 600 MG SUPPOSITORY
TRIAZOLAM 0.125 MG TABLET
GLIPIZIDE XL 5 MG TABLET
GLIPIZIDE XL 5 MG TABLET
NADOLOL 20 MG TABLET
MEXILETINE 200 MG CAPSULE
HEMATINIC W/FOLIC ACID TAB
HYOSCYAMINE 0.125 MG/ML DROP
HYOSCYAMINE 0.125 MG/ML DROP
PREDNISOLONE AC 1% EYE DROP
PREDNISOLONE AC 1% EYE DROP
PREDNISOLONE AC 1% EYE DROP
MORPHINE SULF 60 MG TAB SA
MORPHINE SULF 60 MG TAB SA
PILOCARPINE 6% EYE DROPS
PREDNISOLONE AC 1% EYE DROP
PREDNISOLONE AC 1% EYE DROP
PREDNISOLONE AC 1% EYE DROP
ANESTACON 2% JEL
CYSTOSPAZ 0.15 MG TABLET
MAGNESIUM-DW5 4 G/50 ML
MAGNESIUM-DW5 6 G/50 ML

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
JG
JB
JG
SO
TA
TS
YM
SO
SO
TZ
TS
TS
TS
SL
SO
SO
TA
QA
QA
TA
TZ
TZ
TA
CA
TA
SO
SO
SN
SN
SN
TS
TS
SO
SN
SN
SN
JB
TA
HZ
HZ

UNIT PRICE
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18

NDC
61570007301
61570008101
61570008105
61570012001
61570012005
61570020001
62022066301
62037087201
62037087205
62086014720
62092011102
62092011201
62175010515
62269027824
62403000601
62794014002
62794014003
62991109501
62991109502
62991109503
62991109504
62991109505
63370014535
63370014550
63481004270
63739033015
63824017416
64731029501
64980013101
66116023830
66530024415
66530024445
66993040202
67457014720
68115029550
68115037830
68115043430
68115044860
68115044890
68115061600
68115064400
68115081405
68115081410
68115081415
73462268606
79854008039
92771095009
96295036258
99207011609
99207011612
99207020609
99207020612
00003077550

NAME
MENEST 0.625 MG TABLET
TUSSIGON TABLET
TUSSIGON TABLET
ALTACE 10 MG CAPSULE
ALTACE 10 MG CAPSULE
CORGARD 20 MG TABLET
ANEXSIA 7.5/325 MG TABLET
GLIPIZIDE ER 5 MG TABLET
GLIPIZIDE ER 5 MG TABLET
EDETATE DISOD 150 MG/ML VIAL
EXOREX 1% EMULSION
EXOREX 1% EMULSION
HYOSCYAMINE 0.125 MG/ML DROP
TRIFLUOPERAZINE 1 MG TABLET
AMINO PLUS TABLET
AVITA 0.025% GEL
AVITA 0.025% GEL
LIDOCAINE HCL POWDER
LIDOCAINE HCL POWDER
LIDOCAINE HCL POWDER
LIDOCAINE HCL POWDER
LIDOCAINE HCL POWDER
LIDOCAINE HCL POWDER
LIDOCAINE HCL POWDER
HYCODAN TABLET
TORSEMIDE 10 MG TABLET
ALLERX SUSPENSION
HYOSCYAMINE 0.15 MG TABLET
GLYCOPYRROLATE 1 MG TABLET
PRAVACHOL 20 MG TABLET
TRETINOIN 0.025% GEL
TRETINOIN 0.025% GEL
HYOSCYAMINE 0.15 MG TABLET
EDETATE DISOD 150 MG-ML VIAL
REFRESH PLUS 0.5% EYE DROPS
ALTACE 10 MG CAPSULE
TRIAZOLAM 0.125 MG TABLET
HYDROCODONE/APAP 7.5/325 TB
HYDROCODONE-APAP 7.5-325 TB
GLIPIZIDE ER 5 MG TABLET
HYDROCODONE-APAP 7.5-325 TB
PREDNISOLONE AC 1% EYE DROP
PREDNISOLONE AC 1% EYE DROP
PREDNISOLONE AC 1% EYE DROP
DERMAVITE TABLET
HEALTHY HEART FORMULA SFTGL
DENT-O-KAIN 20% SOLUTION
DAY-TIME COLD/FLU SOFTGEL
TRIAZ 6% CLEANSER
TRIAZ 6% CLEANSER
TRIAZ 3% CLEANSER
TRIAZ 3% CLEANSER
PRONESTYL-SR 500 MG TABLET

DOSE FORM DRUG STRENGTH


TA
TA
TA
CA
CA
TA
TA
TZ
TZ
HV
SU
SU
SO
TA
TA
JG
JG
PA
PA
PA
PA
PA
PA
PA
TA
TA
SC
TA
TA
TA
JG
JG
TA
HV
DP
CA
TA
TA
TA
TZ
TA
SN
SN
SN
TA
CA
SA
CA
PL
PL
PL
PL
TS

UNIT PRICE
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.18
$
0.19

NDC
00003083050
00003196801
00006094268
00007401020
00023076630
00023076660
00043013008
00043013024
00043013208
00043013224
00049350079
00054002025
00054005716
00054005746
00054005755
00054224725
00054319246
00054819216
00054819316
00054824725
00054828906
00062020604
00066006960
00067013008
00067013024
00067013208
00067013224
00074186601
00074186602
00074318101
00093720422
00093918801
00093918805
00095001601
00115700301
00115700305
00115703601
00115703605
00135015701
00135015702
00135015703
00135015706
00135015707
00135017001
00135017002
00135017006
00135017007
00135019701
00135019702
00135019707
00143127701
00168024215
00168024230

NAME
HYDREA 500 MG CAPSULE
ZERIT 1 MG/ML SOLUTION
CLINORIL 200 MG TABLET
ESKALITH CR 450 MG TABLET SA
MAXIFLOR 0.05% CREAM
MAXIFLOR 0.05% CREAM
GAS-X WITH MAALOX CHEW TAB
GAS-X WITH MAALOX CHEW TAB
GAS-X WITH MAALOX CHEW TAB
GAS-X WITH MAALOX CHEW TAB
DIFLUCAN 150 MG TABLET
LITHIUM ER 450 MG TABLET
DIGOXIN 50 MCG/ML ELIXIR
DIGOXIN 50 MCG/ML ELIXIR
DIGOXIN 50 MCG/ML ELIXIR
HYDROXYUREA 500 MG CAPSULE
DIGOXIN 50 MCG/ML ELIXIR
DIGOXIN 50 MCG/ML ELIX S/F
DIGOXIN 50 MCG/ML ELIX S/F
HYDROXYUREA 500 MG CAPSULE
FLUCONAZOLE 150 MG TABLET
GRIFULVIN V 125 MG/5 ML SUSP
PSORCON 0.05% CREAM
GAS-X WITH MAALOX CHEW TAB
GAS-X WITH MAALOX CHEW TAB
GAS-X WITH MAALOX CHEW TAB
GAS-X WITH MAALOX CHEW TAB
PONTOCAINE 2% SOLUTION
PONTOCAINE 2% SOLUTION
LIDOCAINE 1.5%/EPI 1:200,000
FLUCONAZOLE 150 MG TABLET
PROCAINAMIDE 500 MG TAB SA
PROCAINAMIDE 500 MG TAB SA
BENSULFOID CREAM
LIPRAM 10000 UNITS, USP, 100'S
LIPRAM 10000 UNITS, USP, 250'S
LIPRAM-CR 10 CAPSULE EC
LIPRAM-CR 10 CAPSULE EC
NICORETTE 2 MG CHEWING GUM
NICORETTE 2 MG CHEWING GUM
NICORETTE 2 MG CHEWING GUM
NICORETTE 2 MG CHEWING GUM
NICORETTE 2 MG CHEWING GUM
NICORETTE 2 MG CHEWING GUM
NICORETTE 2 MG CHEWING GUM
NICORETTE 2 MG CHEWING GUM
NICORETTE 2 MG CHEWING GUM
NICORETTE 2 MG CHEWING GUM
NICORETTE 2 MG CHEWING GUM
NICORETTE 2 MG CHEWING GUM
LITHIUM ER 450 MG TABLET
DIFLORASONE 0.05% CREAM
DIFLORASONE 0.05% CREAM

DOSE FORM DRUG STRENGTH


CA
PI
TA
TS
KA
KA
TC
TC
TC
TC
TA
TS
SE
SE
SE
CA
SE
SE
SE
CA
TA
SC
KA
TC
TC
TC
TC
SA
SA
HV
TA
TS
TS
KA
CE
CE
CE
CE
TG
TG
TG
TG
TG
TG
TG
TG
TG
TG
TG
TG
TS
KA
KA

UNIT PRICE
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19

NDC
00168024260
00172541211
00173026427
00185538076
00185538088
00186011701
00186011712
00186011791
00212225471
00247039214
00247039230
00247076501
00256013301
00256018501
00256018504
00256018505
00258363401
00264190955
00281428518
00338201741
00363042050
00363042062
00363042098
00363412250
00363412262
00363412298
00378053101
00378251896
00407141207
00407141210
00407141220
00407141230
00407141233
00407141234
00407141235
00407141250
00407141280
00407141281
00407141283
00409318101
00440843130
00440843160
00440843192
00456430201
00482001306
00501202220
00517400205
00517400225
00517401001
00536136206
00536136223
00536310606
00536310618

NAME
DIFLORASONE 0.05% CREAM
FLUCONAZOLE 150 MG TABLET
LANOXIN 50 MCG/ML ELIXIR
FOLTRIN CAPSULE
FOLTRIN CAPSULE
XYLOCAINE 1.5%/EPI 1:200,000
XYLOCAINE 1.5%/EPI 1:200,000
XYLOCAINE 1.5%/EPI 1:200,000
RESOURCE THICKENUP PACKET
CLINORIL 200 MG TABLET
CLINORIL 200 MG TABLET
DIFLUCAN 150 MG TABLET
EXTENDRYL CHEWABLE TABLET
NEPHROCAPS CAPSULE
NEPHROCAPS CAPSULE
NEPHROCAPS CAPSULE
THEOPHYLLINE 200 MG CAP SA
NEPHRAMINE 5.4% IV SOLUTION
CHROMAGEN CAPSULE
PEN GK 2MM UNIT/50 ML D5W
NICOTINE POLACRILEX 2 MG GUM
NICOTINE POLACRILEX 2 MG GUM
NICOTINE POLACRILEX 2 MG GUM
NICOTINE POLACRILEX 2 MG GUM
NICOTINE POLACRILEX 2 MG GUM
NICOTINE POLACRILEX 2 MG GUM
SULINDAC 200 MG TABLET
FLUCONAZOLE 150 MG TABLET
OMNIPAQUE 240 MG/ML VIAL
OMNIPAQUE 240 MG/ML VIAL
OMNIPAQUE 240 MG/ML VIAL
IOHEXOL 517.7MG/ML INJ
IOHEXOL 517.7MG/ML INJ
IOHEXOL 517.7MG/ML INJ
IOHEXOL 517.7MG/ML INJ
OMNIPAQUE 240 MG/ML VIAL
OMNIPAQUE 240 MG/ML VIAL
OMNIPAQUE 240 MG/ML VIAL
OMNIPAQUE 240 MG/ML VIAL
LIDOCAINE 1.5%/EPI 1:200,000
SULINDAC 200 MG TABLET
SULINDAC 200 MG TABLET
SULINDAC 200 MG TABLET
THEOCAP 200 MG CAPSULE
NEUROCHOL CAPSULE
BENADRYL ALLERGY FASTMELT TAB
PAPAVERINE 30 MG/ML VIAL
PAPAVERINE 30 MG/ML VIAL
PAPAVERINE 30 MG/ML VIAL
NICOTINE 2 MG GUM
NICOTINE 2 MG GUM
NICOTINE POLACRILEX 2 MG GUM
NICOTINE POLACRILEX 2 MG GUM

DOSE FORM DRUG STRENGTH


KA
TA
SE
CA
CA
HV
HV
HV
PP
TA
TA
TA
TC
CA
CA
CA
CB
HM
CA
HP
TG
TG
TG
TG
TG
TG
TA
TA
HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
TA
TA
TA
CB
CA
UL
HV
HV
HV
TG
TG
TG
TG

UNIT PRICE
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19

NDC
00536310623
00536310643
00555077373
00555088202
00574012225
00591566001
00591566005
00603595121
00642010260
00642076930
00677117401
00677117405
00677117406
00766004320
00766004330
00766004340
00766004350
00766004360
00766004508
00766004548
00766004560
00766784320
00766784330
00766784350
00766784508
00766784548
00781192106
00884199302
00904337960
00904559852
00904573411
00904573451
00904573495
00904573611
00904573651
00904573695
08080191400
08080218100
08080220112
08080221100
08080221112
08080222112
08080223000
08080223900
08080253100
08080314200
08080713800
08137004768
08137004769
08137004871
08137004881
08137004891
08137004893

NAME
NICOTINE POLACRILEX 2 MG GUM
NICOTINE POLACRILEX 2 MG GUM
FLUCONAZOLE 150 MG TABLET
HYDROXYUREA 500 MG CAPSULE
EZ CHAR PELLET
SULINDAC 200 MG TABLET
SULINDAC 200 MG TABLET
THEOPHYLLINE 200 MG CAP SA
ZE-PLUS SOFTGEL
TUSSAFED-EX DROPS
SULINDAC 200 MG TABLET
SULINDAC 200 MG TABLET
SULINDAC 200 MG TABLET
NICORETTE 2 MG CHEWING GUM
NICORETTE 2 MG CHEWING GUM
NICORETTE 2 MG CHEWING GUM
NICORETTE 2 MG CHEWING GUM
NICORETTE 2 MG CHEWING GUM
NICORETTE 2 MG CHEWING GUM
NICORETTE 2 MG CHEWING GUM
NICORETTE 2 MG CHEWING GUM
NICORETTE 2 MG CHEWING GUM
NICORETTE 2 MG CHEWING GUM
NICORETTE 2 MG CHEWING GUM
NICORETTE 2 MG CHEWING GUM
NICORETTE 2 MG CHEWING GUM
FLUCONAZOLE 150 MG TABLET
STYPTOCAINE 2% SOLUTION
SULINDAC 200 MG TABLET
GLUCOSAMINE 1,000 MG CAPSULE
NICORELIEF 2 MG GUM
NICORELIEF 2 MG GUM
NICORELIEF 2 MG GUM
NICORELIEF 2 MG GUM
NICORELIEF 2 MG GUM
NICORELIEF 2 MG GUM
TENDERSKIN PAPER TAPE
MONOJECT 12 ML SYRINGE 18GX1
MONOJECT 12 ML SYRN 20GX1.25
MONOJECT 12 ML SYRN 21GX1"
MONOJECT 12 ML SYRN 21GX1.5"
MONOJECT 12 ML SYRN 22GX1.5"
CONFORM STRETCH BANDAGE
CONFORM STRETCH BANDAGE
CURITY STANDARD POROUS TAPE
WET-PRUF WATERPROOF TAPE
CURASILK CLOTH TAPE
J & J LARGE ADHESIVE PADS
J & J LARGE ADHESIVE PADS
DERMICEL CLOTH TAPE 1"X10YDS
DERMILITE-II PAPER TAPE 1"
DERMICEL CLOTH TAPE 1"X10YDS
DERMILITE II PAPER TAPE 1"

DOSE FORM DRUG STRENGTH


TG
TG
TA
CA
QF
TA
TA
CB
CA
SO
TA
TA
TA
TG
TG
TG
TG
TG
TG
TG
TG
TG
TG
TG
TG
TG
TA
SA
TA
CA
TG
TG
TG
TG
TG
TG
YT
YL
YL
YL
YL
YL
YE
YE
YT
YT
YT
YE
YE
YT
YT
YT
YT

UNIT PRICE
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19

NDC
08137005051
08219191400
08219253100
08219314200
08219713800
08219763300
08219853400
08225703000
08333052701
08333053001
08333053801
08333152701
08333153001
08333153301
08333153501
08333153801
10119002102
10267046401
10356009350
10356009368
11026266202
11026270101
11026270402
11086000102
11701000720
11822309460
11822854120
11822872870
11822872880
11845012481
11845012488
11845012995
11845013505
11845013515
11845013608
11845013848
11845113705
11845113708
11845124808
11845125808
11917005377
11917005535
11917005537
11917005539
11917005964
11917005967
12280069901
12280069912
12547017519
12830082401
14654034505
14654034514
14654037505

NAME
J&J WATERPROOF TAPE 1"X10YDS
TENDERSKIN PAPER TAPE
CURITY STANDARD POROUS TAPE
WET-PRUF WATERPROOF TAPE
CURASILK CLOTH TAPE
CURITY PLAIN PACKING STRIPS
CURITY CLEAR TAPE
WET-PRUF 1 INCH X 10YD TAPE
TRANSPORE SURGICAL TAPE
MICROPORE SURGICAL TAPE
DURAPORE SURGICAL TAPE
TRANSPORE SURGICAL TAPE
MICROPORE SURGICAL TAPE
MICROPORE SURGICAL TAPE
MICROPORE SURGICAL TAPE
DURAPORE SURGICAL TAPE
COMPUTER EYE DROPS
FEROTRINSIC CAPSULE
LEUKOFIX SURGICAL TAPE
LEUKOPOR SURGICAL TAPE
PANATUSS DXP PEDIATRIC DROPS
BUCALCIDE ORAL SOLUTION
BUCALCIDE ORAL SPRAY
TYROSUM PACKET
SWEEN PREP 0.5% MED PADS
NICOTINE 2 MG CHEWING GUM
RA NICOTINE 2 MG GUM
RA NICOTINE 2 MG GUM
RA NICOTINE 2 MG GUM
GLUCOSAMINE-CHONDROITIN CAP
GLUCOS-CHOND 500 COMPLEX CP
MILK THISTLE 300 MG CAPSULE
SX-ENHANCER CAPSULE
LIVER/KIDNEY CLEANSER CAP
CHITOSAN-PLUS TABLET
THE TRAPPER TABLET
SUPER GINSENG MULTIVIT CAP
SUPER GINSENG MULTIVIT CAP
GLUCOSAMINE/CHONDROITIN CAP
CHONDROITIN SULF 400 MG CAP
NICOTINE POLACRILEX 2 MG GUM
NICOTINE POLACRILEX 2 MG GUM
NICOTINE POLACRILEX 2 MG GUM
NICOTINE POLACRILEX 2 MG GUM
NICOTINE POLACRILEX 2 MG GUM
NICOTINE POLACRILEX 2 MG GUM
FLUCONAZOLE 150 MG TABLET
FLUCONAZOLE 150 MG TABLET
BENADRYL ALLERGY FASTMELT TAB
EZFE 200 CAPSULE
CHEW Q 30 MG TABLET CHEWABLE
CHEW Q 30 MG TABLET CHEWABLE
CHEW Q 30 MG TABLET CHEWABLE

DOSE FORM DRUG STRENGTH


YT
YT
YT
YT
YT
YE
YT
YT
YT
YT
YT
YT
YT
YT
YT
YT
SO
CA
YT
YT
SO
SL
AU
PP
ET
TG
TG
TG
TG
CA
CA
CA
CA
CA
TA
TA
CA
CA
CA
CA
TG
TG
TG
TG
TG
TG
TA
TA
UL
CA
TC
TC
TC

UNIT PRICE
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19

NDC
16837029103
16837029105
16837029125
16837029128
16837029150
16837029152
16837088803
16837088805
16837088811
16837088815
16837088825
16837088828
16837088850
16837088854
16837088875
17317010902
17317010903
17317010906
17317020401
17317020402
17317020404
17317027503
17317027505
17317027506
19458964101
19458964102
19458964103
37205020323
37205020367
37205020371
37205020377
38485091161
38779003204
38779003205
38779010005
38779010008
38779028304
38779028305
38779078604
38779078605
38779078608
41100018069
41100023241
47028005506
47682025070
48107001575
48107004930
48107005060
48107005073
48107005099
49452198001
49452198002
49452198003

NAME
PEPCID COMPLETE TABLET CHEW
PEPCID COMPLETE TABLET CHEW
PEPCID COMPLETE TABLET CHEW
PEPCID COMPLETE TABLET CHEW
PEPCID COMPLETE TABLET CHEW
PEPCID COMPLETE TABLET CHEW
PEPCID COMPLETE TABLET CHEW
PEPCID COMPLETE TABLET CHEW
PEPCID COMPLETE TABLET CHEW
PEPCID COMPLETE TABLET CHEW
PEPCID COMPLETE TABLET CHEW
PEPCID COMPLETE TABLET CHEW
PEPCID COMPLETE TABLET CHEW
PEPCID COMPLETE TABLET CHEW
PEPCID COMPLETE TABLET CHEW
CHLORPHENIRAMINE POWDER
CHLORPHENIRAMINE POWDER
CHLORPHENIRAMINE POWDER
CLIOQUINOL POWDER
CLIOQUINOL POWDER
CLIOQUINOL POWDER
L-HISTIDINE MHC CRYSTALS
L-HISTIDINE MHC CRYSTALS
L-HISTIDINE MHC CRYSTALS
ECK NICOTINE 2 MG CHEW GUM
ECK NICOTINE 2 MG CHEW GUM
ECK NICOTINE 2 MG CHEW GUM
NICOTINE 2 MG GUM
NICOTINE 2 MG GUM
LDR NICOTINE 2 MG CHEWING GUM
LDR NICOTINE 2 MG CHEWING GUM
ACNOMEL CREAM
CLIOQUINOL POWDER
CLIOQUINOL POWDER
TRICHLOROACETIC ACID POWDER
TRICHLOROACETIC ACID POWDER
CHLORPHENIRAMINE POWDER
CHLORPHENIRAMINE POWDER
TINIDAZOLE POWDER
TINIDAZOLE POWDER
TINIDAZOLE POWDER
SARDOETTES TOWELETTES
DR SCHOLL'S CORN SALVE
CAROX PLUS TABLET SA
PMS RELIEF TABLET
GINSENG EDGE SOFTGEL
CHONDROITIN SULF 400 MG CAP
VIGRAPLEX TABLET
ULTRA MEGA GOLD 100 MG TB SA
RESISTANCE PLUS TABLET
CHLORPHENIRAMINE POWDER
CHLORPHENIRAMINE POWDER
CHLORPHENIRAMINE POWDER

DOSE FORM DRUG STRENGTH


TC
TC
TC
TC
TC
TC
TC
TC
TC
TC
TC
TC
TC
TC
TC
PA
PA
PA
PA
PA
PA
PC
PC
PC
TG
TG
TG
TG
TG
TG
TG
KA
PA
PA
PA
PA
PA
PA
PA
PA
PA
ZA
OA
TS
TA
CA
CA
TA
TS
TA
PA
PA
PA

UNIT PRICE
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19

NDC
49452214001
49452214002
49884072401
49884094099
49999015801
49999052001
50111067750
50428102202
50428139231
50474036423
50474036428
51079066701
51079066720
51119000153
51119000207
51131566583
51131566606
51138082550
51138082574
51285096102
51285096125
51552011904
51672129601
51672129602
51672129603
51672406607
51724000501
51724001901
51927239100
51991041001
51991041002
51991063511
52083026060
52083033690
52083071401
52380000806
52569013057
52735032426
52959019514
52959019515
52959019520
52959019528
52959019530
52959019560
52959027930
52959045501
53298023030
53298033030
53335005211
53489047901
53489047905
54023900902
54023900906

NAME
CLIOQUINOL POWDER
CLIOQUINOL POWDER
HYDROXYUREA 500 MG CAPSULE
FLUCONAZOLE 150 MG TABLET
DIFLUCAN 150 MG TABLET
FLUCONAZOLE 150 MG TABLET
FLUCONAZOLE 150 MG TABLET
CVS NICOTINE 2 MG GUM
CVS CORN/CALLUS REMOVER LIQ
TRINSICON CAPSULE
TRINSICON CAPSULE
SULINDAC 200 MG TABLET
SULINDAC 200 MG TABLET
MICROPORE PAPER SURG TAPE
DURAPORE CLOTH SURG TAPE
CLEAR FIRST AID TAPE
TRANSPORE SURGICAL TAPE
PAPER FIRST AID TAPE
CLOTH FIRST AID TAPE
PALPEON DR 10 CAPSULE EC
PALPEON DR 10 CAPSULE EC
SIMETHICONE LIQUID
DIFLORASONE 0.05% CREAM
DIFLORASONE 0.05% CREAM
DIFLORASONE 0.05% CREAM
FLUCONAZOLE 150 MG TABLET
NORTUSS-DE DROPS
TIRFUNGOL 10% LIQUID
TINIDAZOLE POWDER
PALCAPS 10 CAPSULE
PALCAPS 10 CAPSULE
FEROCON CAPSULE
BICARSIM TABLET
VASOFLEX FORTE CAPSULE
GUMSOL SPRAY
TINCTURE OF IODINE 2% SWABS
HM GOLDENSEAL ROOT 250 MG CP
FP ANTI-FUNGAL 10% LIQUID
SULINDAC 200 MG TABLET
SULINDAC 200 MG TABLET
SULINDAC 200 MG TABLET
SULINDAC 200 MG TABLET
SULINDAC 200 MG TABLET
SULINDAC 200 MG TABLET
THEOPHYLLINE 200 MG CAP SA
DIFLUCAN 150 MG TABLET
STERILE DILUENT VIAL
STERILE DILUENT VIAL
L-ASPARTIC ACID 600 MG CAP
SULINDAC 200 MG TABLET
SULINDAC 200 MG TABLET
CHEW Q 30 MG TABLET CHEWABLE
CHEW Q 30 MG TABLET CHEWABLE

DOSE FORM DRUG STRENGTH


PA
PA
CA
TA
TA
TA
TA
TG
SL
CA
CA
TA
TA
YT
YT
YT
YT
YT
YT
CE
CE
SL
KA
KA
KA
TA
SO
SL
PA
CE
CE
CA
TA
CA
AU
EL
TA
SL
TA
TA
TA
TA
TA
TA
CB
TA
HV
HV
CA
TA
TA
TC
TC

UNIT PRICE
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19

NDC
54023915702
54569173901
54569395400
54569403200
54569403201
54569403205
54569538700
54569558500
54569567700
54738054701
54738090301
54738090302
54868048600
54868048601
54868069401
54868111801
54868136700
54868205000
54868249401
54868255700
54868265800
54868265801
54868300801
54868344400
54868344401
54868477300
54868477301
54868512900
54868525300
54868525301
55045156509
55111014571
55289043415
55289075130
55289075160
55289093010
55289093014
55289093020
55390010710
56091005104
56091005132
56091005139
56091005144
56091005161
56091005181
56091008752
57866443601
57866462202
57866462203
57866462205
58016029400
58016029402
58016029403

NAME
CHEW Q 30 MG TABLET CHEWABLE
GRIFULVIN V 125 MG/5 ML SUSP
DIFLUCAN 150 MG TABLET
SULINDAC 200 MG TABLET
SULINDAC 200 MG TABLET
SULINDAC 200 MG TABLET
ZERIT 1 MG/ML SOLUTION
FLUCONAZOLE 150 MG TABLET
EZ CHAR PELLET
HYDROXYUREA 500 MG CAPSULE
SULINDAC 200 MG TABLET
SULINDAC 200 MG TABLET
CHROMAGEN CAPSULE
CHROMAGEN CAPSULE
PROCAINAMIDE 500 MG TAB SA
SULINDAC 200 MG TABLET
HYDREA 500 MG CAPSULE
GRIFULVIN V 125 MG/5 ML SUSP
HYDROCHLOROTHIAZIDE 100 MG
ESKALITH CR 450 MG TABLET SA
PSORCON 0.05% CREAM
PSORCON 0.05% CREAM
NEPHROCAPS CAPSULE
DIFLUCAN 150 MG TABLET
DIFLUCAN 150 MG TABLET
HYDROXYUREA 500 MG CAPSULE
HYDROXYUREA 500 MG CAPSULE
FLUCONAZOLE 150 MG TABLET
FEOGEN CAPSULE
FEOGEN CAPSULE
GRIFULVIN V 125 MG/5 ML SUSP
FLUCONAZOLE 150 MG TABLET
CLINORIL 200 MG TABLET
SLO-BID 200 GYROCAPS
SLO-BID 200 GYROCAPS
SULINDAC 200 MG TABLET
SULINDAC 200 MG TABLET
SULINDAC 200 MG TABLET
PAPAVERINE 30 MG/ML VIAL
ZONAS POROUS TAPE 1"X 10YDS
J & J WATERPROOF TAPE
DERMICEL CLOTH TAPE 1"X10YD
DERMICEL CLOTH TAPE
DERMIVIEW TRANSPARENT TAPE
DERMIFORM KNITTED TAPE 1"
NU-GAUZE PACK STRIPS
HYDROXYUREA 500 MG CAPSULE
SULINDAC 200 MG TABLET
SULINDAC 200 MG TABLET
SULINDAC 200 MG TABLET
SULINDAC 200 MG TABLET
SULINDAC 200 MG TABLET
SULINDAC 200 MG TABLET

DOSE FORM DRUG STRENGTH


TC
SC
TA
TA
TA
TA
PI
TA
QF
CA
TA
TA
CA
CA
TS
TA
CA
SC
TA
TS
KA
KA
CA
TA
TA
CA
CA
TA
CA
CA
SC
TA
TA
CB
CB
TA
TA
TA
HV
YT
YT
YT
YT
YT
YT
YE
CA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19

NDC
58016029412
58016029415
58016029420
58016029428
58016029430
58016029440
58016029460
58016029473
58016029489
58016079800
58016079830
58016079860
58177002904
58177004211
58177004403
58177004423
58211035802
58414080201
58552010702
58864048560
59196000301
59366290004
59702080216
59702080516
59762501701
59879011801
59879050501
60258016201
60429017260
60505012103
60760042440
61955060043
61955060062
62991103201
62991103202
62991103203
62991103204
62991103205
63044063119
63044063510
63304080512
63323092905
63369000101
64376053001
64376072030
64899055441
64915050690
64980011401
64980011501
65880094212
66267019715
66267019730
66267019740

NAME
SULINDAC 200 MG TABLET
SULINDAC 200 MG TABLET
SULINDAC 200 MG TABLET
SULINDAC 200 MG TABLET
SULINDAC 200 MG TABLET
SULINDAC 200 MG TABLET
SULINDAC 200 MG TABLET
SULINDAC 200 MG TABLET
SULINDAC 200 MG TABLET
D.A. CHEWABLE TABLET
D.A. CHEWABLE TABLET
D.A. CHEWABLE TABLET
PANGESTYME CN 10 CAPSULE EC
ANEMAGEN CAPSULE
CONISON CAPSULE
CONISON CAPSULE
RESURFIX CREAM
AGE SPOT/SKIN LIGHTNING GEL
GILTUSS PEDIATRIC DROPS
SULINDAC 200 MG TABLET
AH-CHEW TABLET CHEW
GRISEOFULVIN 125 MG/5 ML SUSP
ATUSS-12 DM SUSPENSION
SUDAL 12 ER SUSPENSION
FLUCONAZOLE 150 MG TABLET
FERRAGEN CAPSULE
PANCRON 10 CAPSULE EC
RENAL CAPS SOFTGEL
SULINDAC 200 MG TABLET
FLUCONAZOLE 150 MG TABLET
SULINDAC 200 MG TABLET
NICOTINE POLACRILEX 2 MG GUM
NICOTINE POLACRILEX 2 MG GUM
CHLORPHENIRAMINE POWDER
CHLORPHENIRAMINE POWDER
CHLORPHENIRAMINE POWDER
CHLORPHENIRAMINE POWDER
CHLORPHENIRAMINE POWDER
HEMATOGEN SOFTGEL
TRICON CAPSULE
FLUCONAZOLE 150 MG TABLET
HEPARIN 10 UNITS/ML SMARTAMP
PIC 200 CAPSULE
PCM CHEWABLE TABLET
PDM GG DROPS
ANTI-FUNGAL 10% LIQUID
ARTHRO-COMPLEX CAPSULE
RENAPHRO SOFTGEL
FEOGEN CAPSULE
PSORIACAP SOFTGEL
SULINDAC 200 MG TABLET
SULINDAC 200 MG TABLET
SULINDAC 200 MG TABLET

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TC
TC
TC
CE
CA
CA
CA
KA
JG
SO
TA
TC
SC
PJ
PJ
TA
CA
CE
CA
TA
TA
TA
TG
TG
PA
PA
PA
PA
PA
CA
CA
TA
HH
CA
TC
SO
SL
CA
CA
CA
CA
TA
TA
TA

UNIT PRICE
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19

NDC
66267097801
66758001401
66758001402
66758001501
68084006501
68084006580
68084006585
68115040514
68115040530
71114060042
71114060043
82468013383
93190016097
93190016098
96295011215
96295011275
99207020809
99207020812
00003025510
00006353904
00006354114
00006354149
00007507920
00008022701
00009311614
00009338202
00024135301
00024201505
00026884148
00026884151
00026884154
00029604512
00029604520
00037065504
00043046606
00043046612
00043047206
00046078781
00049344019
00054000285
00058015215
00058015230
00062313301
00064401013
00065008515
00065008542
00067546606
00067546612
00067547206
00067608806
00067608812
00067609006
00069544093

NAME
DIFLUCAN 150 MG TABLET
PAPAVERINE 30 MG/ML VIAL
PAPAVERINE 30 MG/ML VIAL
PAPAVERINE 30 MG/ML VIAL
NEPHROCAPS SOFTGEL
NEPHROCAPS SOFTGEL
NEPHROCAPS SOFTGEL
SULINDAC 200 MG TABLET
SULINDAC 200 MG TABLET
EQUATE NICOTINE 2 MG GUM
EQUATE NICOTINE 2 MG GUM
FP ANTI-FUNGAL 10% LIQUID
PRELIEVE PMS 20 MG TABLET
PRELIEVE PMS 20 MG TABLET
LDR NICOTINE 2 MG CHEWING GUM
LDR NICOTINE 2 MG CHEWING GUM
TRIAZ 9% CLEANSER
TRIAZ 9% CLEANSER
STOMAHESIVE PROTECTIVE POWD
PEPCID 10 MG/ML VIAL
PEPCID 10 MG/ML VIAL
PEPCID 10 MG/ML VIAL
THORAZINE 200 MG TABLET
PHENERGAN 50 MG TABLET
CLEOCIN T 1% PLEDGETS
CLEOCIN 900 MG/D5W/GALAXY
NEO-SYNEPHRINE 0.5% SPRAY
CAMPHO-PHENIQUE MAX OINT
ADALAT CC 30 MG TABLET
ADALAT CC 30 MG TABLET
ADALAT CC 30 MG TABLET
AMOXIL 400 MG TABLET CHEW
AMOXIL 400 MG TABLET CHEW
RYNA-12 S SUSPENSION
THERAFLU COLD & COUGH MED
THERAFLU COLD & COUGH MED
THERAFLU FLU/COLD/COUGH MED
LODINE 500 MG TABLET
DIFLUCAN 10 MG/ML SUSPENSION
FLUCONAZOLE 10 MG/ML SUSP
CLERZ-2 LUBRICAT/REWET DRPS
CLERZ-2 LUBRICAT/REWET DROP
DELFEN CONTRACEPTIVE FOAM
SALEX 6% CREAM
NAPHCON-A EYE DROPS
NAPHCON-A EYE DROPS
THERAFLU FLU/COLD/COUGH MED
THERAFLU FLU/COLD/COUGH MED
THERAFLU FLU/COLD/COUGH MED
THERAFLU COLD & COUGH MED
THERAFLU COLD & COUGH MED
THERAFLU FLU/COLD/COUGH MED
VISTARIL 25 MG/5 ML ORAL SUSP

DOSE FORM DRUG STRENGTH


TA
HV
HV
HV
CA
CA
CA
TA
TA
TG
TG
SL
TA
TA
TG
TG
PL
PL
PA
HV
HV
HV
TA
TA
EL
HP
AS
OA
TS
TS
TS
TC
TC
SC
PP
PP
PP
TA
PD
PD
SO
SO
AW
KA
SO
SO
PP
PP
PP
PP
PP
PP
SC

UNIT PRICE
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.19
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20

NDC
00069544097
00074118130
00074163010
00074373613
00074405712
00074407532
00074454102
00074454104
00074490619
00074490918
00074491015
00074491023
00074491034
00074491118
00074491123
00074491134
00074499101
00074499218
00074499419
00074770562
00074962313
00074962905
00085026103
00085026104
00085026109
00085075606
00085078902
00085078904
00085126001
00085170101
00085170102
00085170103
00091370701
00091370709
00093001701
00093013001
00093102101
00093527201
00093527255
00093721501
00145247280
00149071001
00168031315
00168031330
00168031390
00168036431
00172403760
00172741642
00172741660
00182101501
00182823200
00182823289
00185012201

NAME
VISTARIL 25 MG/5 ML ORAL SUSP
DEMEROL 50 MG/ML VIAL
ATROPINE 0.1 MG/ML SYRINGE
PROSOM 2 MG TABLET
MORPHINE 0.5 MG/ML AMPUL P/F
MAGNESIUM SULFATE 50% AMPUL
LEUCOVORIN CAL 10 MG/ML VIAL
LEUCOVORIN CAL 10 MG/ML VIAL
AMINOPHYLLINE 250 MG/10 ML
AMINOPHYLLINE 250 MG/10 ML
ATROPINE 0.1 MG/ML ABBOJECT
ATROPINE 0.1 MG/ML ABBOJECT
ATROPINE 0.1 MG/ML ABBOJECT
ATROPINE 0.1 MG/ML ABBOJECT
ATROPINE 0.1 MG/ML ABBOJECT
ATROPINE 0.1 MG/ML ABBOJECT
POTASSIUM CL 2 MEQ/ML SYRNG
POTASSIUM CL 2 MEQ/ML SYRNG
POTASSIUM CL 2 MEQ/ML SYRNG
THEOPHYLLINE 800 MG/D5W SOLN
CLINDAMYCIN 900 MG/D5W SOLN
ATROPINE 0.1 MG/ML SYRINGE
DRIXORAL COLD & FLU TAB SA
DRIXORAL COLD & FLU TAB SA
DRIXORAL COLD & FLU TAB SA
AFRIN 0.05% NOSE DROPS
DRIXORAL ALLRGY SINUS TB SA
DRIXORAL ALLRGY SINUS TB SA
GYNE-LOTRIMIN 3 DAY 2% CRM
ADALAT CC 30 MG TABLET
ADALAT CC 30 MG TABLET
ADALAT CC 30 MG TABLET
UNIVASC 7.5 MG TABLET
UNIVASC 7.5 MG TABLET
MOEXIPRIL HCL 7.5 MG TABLET
ESTAZOLAM 2 MG TABLET
NIFEDIAC CC 30 MG TABLET
NIFEDIAC CC 30 MG TABLET
NIFEDIAC CC 30 MG TABLET
METOLAZONE 2.5 MG TABLET
CLINDETS 1% PLEDGETS
MACROBID 100 MG CAPSULE
CICLOPIROX 0.77% CREAM
CICLOPIROX 0.77% CREAM
CICLOPIROX 0.77% CREAM
HYDROQUINONE 4% CREAM
ESTAZOLAM 2 MG TABLET
AMOXICILLIN 400 MG TAB CHEW
AMOXICILLIN 400 MG TAB CHEW
DEXCHLORPHENIRAMINE 6 MG TAB
NIFEDIPINE ER 30 MG TABLET
NIFEDIPINE ER 30 MG TABLET
NITROFURANTOIN-MACRO 100 MG

DOSE FORM DRUG STRENGTH


SC
HV
HQ
TA
HH
HH
HV
HV
HQ
HQ
HQ
HQ
HQ
HQ
HQ
HQ
HQ
HQ
HQ
HM
HP
HQ
TS
TS
TS
SO
TS
TS
KW
TS
TS
TS
TA
TA
TA
TA
TS
TS
TS
TA
EL
CA
KA
KA
KA
KA
TA
TC
TC
TS
TS
TS
CA

UNIT PRICE
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20

NDC
00185012210
00185013901
00185013905
00185013910
00185021001
00185021010
00185505001
00185505010
00186115002
00186115903
00187039431
00187039631
00221110001
00221120001
00221807002
00225052848
00228263211
00247070920
00247146730
00256011501
00258362501
00338044402
00378124201
00378342201
00378617201
00430022723
00456430301
00482013518
00548103900
00548203900
00548333800
00548333900
00591074501
00591319301
00591325001
00591400901
00591531901
00603319921
00603595221
00603778878
00603778978
00641111233
00689108501
00781171901
00781171910
00781171913
00781183201
00813020201
00832030400
00832030410
00904784960
08219223000
08219223900

NAME
NITROFURANTOIN-MACRO 100 MG
ETODOLAC 500 MG TABLET
ETODOLAC 500 MG TABLET
ETODOLAC 500 MG TABLET
METHIMAZOLE 10 MG TABLET
METHIMAZOLE 10 MG TABLET
METOLAZONE 2.5 MG TABLET
METOLAZONE 2.5 MG TABLET
ASTRAMORPH-PF 0.5 MG/ML AMP
ASTRAMORPH-PF 0.5 MG/ML AMP
ELDOQUIN FORTE 4% CREAM
SOLAQUIN FORTE 4% CREAM
FIBRE COOKIES
FIBRE COOKIES
FIBRE COOKIES
AYR SALINE NASAL GEL SPRAY
ETODOLAC 500 MG TABLET
PROSOM 2 MG TABLET
LODINE 500 MG TABLET
AEROLATE SR 260 MG CAPSULE
THEOPHYLLINE 300 MG CAP SA
THEOPHYLLINE 800 MG/D5W SOLN
ETODOLAC 500 MG TABLET
NITROFURANTOIN-MACRO 100 MG
METOLAZONE 2.5 MG TABLET
NATACHEW TABLET CHEW
THEOCAP 300 MG CAPSULE
APATATE TABLET
ATROPINE 0.1 MG/ML SYRINGE
ATROPINE 0.1 MG/ML SYRINGE
ATROPINE 0.1 MG/ML SYRINGE
ATROPINE 0.1 MG/ML SYRINGE
ESTAZOLAM 2 MG TABLET
AFEDITAB CR 30 MG TABLET
NITROFURANTOIN-MACRO 100 MG
DEXCHLOR 6 MG TABLET SA
PROMETHAZINE 50 MG TABLET
DEXCHLORPHENIRAMINE 6 MG TAB
THEOPHYLLINE 300 MG CAP SA
HYDROQUINONE 4% CREAM
HYDROQUINONE 4% CREAM
DURAMORPH 0.5 MG/ML AMPUL
METHIMAZOLE 10 MG TABLET
CHLORPROMAZINE 200 MG TABLET
CHLORPROMAZINE 200 MG TABLET
CHLORPROMAZINE 200 MG TABLET
PROMETHAZINE 50 MG TABLET
O-CAL PRENATAL TABLET
CHLORPROMAZINE 200 MG TABLET
CHLORPROMAZINE 200 MG TABLET
THEOPHYLLINE 300 MG CAP SA
CONFORM STRETCH BANDAGE
CONFORM STRETCH BANDAGE

DOSE FORM DRUG STRENGTH


CA
TA
TA
TA
TA
TA
TA
TA
HH
HH
KA
KA
EA
EA
EA
AU
TA
TA
TA
CB
CB
HM
TA
CA
TA
TC
CB
TA
HQ
HQ
HQ
HQ
TA
TS
CA
TS
TA
TS
CB
KA
KA
HH
TA
TA
TA
TA
TA
TA
TA
TA
CB
YE
YE

UNIT PRICE
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20

NDC
08225796000
08290009624
08290309621
08290309624
08380007906
09001140407
10019000673
10019004501
10019004502
10019004602
10019004603
10019004604
10019004701
10019004802
10019004803
10019015244
10019016001
10267131101
10356002075
10356002088
10939033533
10939057833
10939068922
10956065824
10956071310
11298000251
11298000252
11298000253
11822004890
11822357890
11822386560
11822880890
12280002515
12333934101
12830080001
12939030541
12939043530
14654039157
16500008150
16500008170
16500008180
16500008260
16500008290
19458868901
19810005601
20513001001
20513001005
20525012703
20525012704
23513065824
23513068420
23558068930
23900000802

NAME
CURAD 1" X 4.1YDS BANDAGE
TUBERCULIN 1 ML SYRINGE
B-D TB SYRINGE 22GX1"
B-D TB SYRINGE 21GX1"
PREMIUM POWDER-SYNTHETIC
ECHINACEA PREMIUM EXTRACT
DURAMORPH 0.5 MG/ML AMPUL
FAMOTIDINE 10 MG/ML VIAL
FAMOTIDINE 10 MG/ML VIAL
FAMOTIDINE 10 MG/ML VIAL
FAMOTIDINE 10 MG/ML VIAL
FAMOTIDINE 10 MG/ML VIAL
FAMOTIDINE 10 MG-ML VIAL
FAMOTIDINE 10 MG-ML VIAL
FAMOTIDINE 10 MG-ML VIAL
MEPERIDINE 50 MG/ML VIAL
MEPERIDINE 50 MG/ML VIAL
DEXCHLORPHENIRAMINE 6 MG TAB
ELASTOMULL GAUZE BANDAGE
ELASTOMULL GAUZE BANDAGE
SM FLU, COLD & COUGH PACKET
SUNMARK 3-DAY VAGINAL CREAM
V-R 3-DAY VAGINAL CREAM
REESE PINWORM 180 MG CAPLET
BI-ZETS LOZENGE
PLASTIC DISPOSABLE BAG
PLASTIC DISPOSABLE BAG
PLASTIC DISPOSABLE BAG
RA FLU,COLD & COUGH MED PKT
RA CLOTRIMAZOLE 3 CREAM
RA EYE ALLERGY RELIEF DROPS
RA GINSENG 100 MG SOFTGEL
ESTAZOLAM 2 MG TABLET
FLU, COLD & COUGH PACKET
M-VIT CAPLET
MARTINIC CAPSULE
MARDROPS-DX DROP
LIQ-10 SYRUP
ONE-A-DAY COLD SEASON TAB
ONE-A-DAY MEMORY TABLET
ONE-A-DAY CHOLESTEROL TAB
ONE-A-DAY MENOPAUSE TABLET
ONE-A-DAY TENSION&MOOD TAB
ECK N-D FLU SEV COLD-CONG P
4-WAY MENTHOL NASAL SPRAY
SIMPLYTHICK 10 GM PACKET
SIMPLYTHICK 10 GM PACKET
SHARK CARTILAGE 740 MG CAP
SHARK CARTILAGE 740 MG CAP
REESE PINWORM 180 MG CAPLET
ASTHMA TABLET
NOSE BETTER GEL
VICKS SINEX 0.5% SPRAY

DOSE FORM DRUG STRENGTH


YE
YL
YL
YL
PA
SL
HH
HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
TS
YE
YE
PP
KW
KW
TA
TL
ZP
ZP
ZP
PP
KW
SO
CA
TA
PP
TA
CA
SO
ST
TA
TA
TA
TA
TA
PP
AS
JP
JP
CA
CA
TA
TA
JC
AS

UNIT PRICE
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20

NDC
24385011009
29936095315
30142055591
35515095110
36800033245
36800050379
37000054005
37205021705
37205033091
38415001128
38415001129
38415001130
38415003128
38415003129
38415003130
38415003629
38415005128
38415005130
38415005629
41163023361
41163025159
41163033033
41163055591
41163086891
45802026337
45802026393
48107004210
48107005031
49326034608
49326034616
49348037954
49348040095
49452195401
49452195402
49452195403
49452246801
49452246802
49452246803
49452448001
49452448002
49452453001
49452453002
49452453003
49452732001
49452732002
49452732003
49614053691
49614099752
49756046710
49756046711
49756046712
49884059601
49884064101

NAME
BL 3 DAY VAGINAL 2% CREAM
A-FIL CREAM
FLU,COLD & COUGH MED PACKET
QC COUGH & SORE THROAT LOZ
FLU,COUGH&COLD MAX STRENGTH
FLU/COUGH/COLD MEDICINE
VICKS SINEX 0.5% SPRAY
EYE ALLERGY RELIEF DROPS
FLU,COLD & COUGH MED PACKET
INSULIN SYRINGE 1 ML
INSULIN SYRINGE 1 ML
INSULIN SYRINGE 1 ML
INSULIN SYRINGE 0.3 ML
INSULIN SYRINGE 0.3 ML
INSULIN SYRINGE 0.3 ML
INSULIN SYRINGE 0.3 ML
INSULIN SYRINGE 0.5 ML
INSULIN SYRINGE 0.5 ML
INSULIN SYRINGE 0.5 ML
EQL FLU-COLD-COUGH PACKET
EQL FLU COLD-CONGESTION PKT
FLU/COUGH/COLD MED PACKET
EQL FLU-COLD-COUGH PACKET
EQL FLU COLD-CONGESTION PKT
CLINDAMYCIN PHOS 1% PLEDGET
CLINDAMYCIN PHOS 1% PLEDGET
PAU D'ARCO 1,000 MG SOFTGEL
LIVER PRO SOFTGEL
PENTUSS SUSPENSION
PENTUSS SUSPENSION
SUNMARK 3-DAY VAGINAL CREAM
SM FLU, COLD & COUGH PACKET
CHLORAMPHENICOL PALM POWDER
CHLORAMPHENICOL PALM POWDER
CHLORAMPHENICOL PALM POWDER
DEXPANTHENOL LIQUID
DEXPANTHENOL LIQUID
DEXPANTHENOL LIQUID
MERCURIC CHLORIDE POWDER
MERCURIC CHLORIDE POWDER
MERCUROUS CHLORIDE POWDER
MERCUROUS CHLORIDE POWDER
MERCUROUS CHLORIDE POWDER
STREPTOMYCIN SULFATE POWDER
STREPTOMYCIN SULFATE POWDER
STREPTOMYCIN SULFATE POWDER
FLU, COLD & COUGH PACKET
COUGH & SORE THROAT LOZENGE
MULTIDEX GEL
MULTIDEX GEL
MULTIDEX GEL
ETODOLAC 500 MG TABLET
METHIMAZOLE 10 MG TABLET

DOSE FORM DRUG STRENGTH


KW
KA
PP
TL
PP
PP
AS
SO
PP
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
PP
PP
PP
PP
PP
EL
EL
CA
CA
SC
SC
KW
PP
PA
PA
PA
RL
RL
RL
PA
PA
PA
PA
PA
PA
PA
PA
PP
TL
JC
JC
JC
TA
TA

UNIT PRICE
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20

NDC
49884064174
49884096342
49884096442
49999031915
49999064615
50383086116
50383086404
50383086416
50428122397
50428142811
50428232556
51028000112
51079002301
51079002320
51079051701
51079051720
51234017504
51234051660
51318030003
51552057605
51672131801
51672131802
51672131808
51672403601
51672670800
51927322200
51991006121
52083014060
52152001502
52604109501
52735024325
52735043019
52735043790
52925031214
52959010703
52959040410
52959040414
52959040420
52959044520
52959044530
52959053014
52959053020
52959053028
52959053030
52959053045
52959053060
52959066812
52959085002
52959114600
53014054867
53014097571
53014097572
53014097590

NAME
METHIMAZOLE 10 MG TABLET
HYDROQUINONE 4% CREAM
HYDROQUINONE 4% CREAM
LOPROX 0.77% CREAM
CICLOPIROX 0.77% CREAM
TANNATE-12 SUSPENSION
RY-T-12 SUSPENSION
RY-T-12 SUSPENSION
CVS FLU/COLD/COUGH PACKET
CVS 3-DAY VAGINAL CREAM
CVS FLU,COLD&COUGH MED PCKT
HYDRA-AID 12 GM PACKET
METOLAZONE 2.5 MG TABLET
METOLAZONE 2.5 MG TABLET
CHLORPROMAZINE 200 MG TABLET
CHLORPROMAZINE 200 MG TABLET
RICOTUSS SUSPENSION
NERVIDOX-6 TABLET
STAR-OTIC EAR DROPS
CHLORAMPHENICOL PALM POWDER
CICLOPIROX 0.77% CREAM
CICLOPIROX 0.77% CREAM
CICLOPIROX 0.77% CREAM
ETODOLAC 500 MG TABLET
CLOTRIMAZOLE 3 DAY CREAM
BASE LECITHIN ISOPR PALMITATE
HYDROQUINONE 4% CREAM
KUINEK TABLET
DEXCHLORPHENIRAMINE 6 MG TAB
TAPAZOLE 10 MG TABLET
FP WART LIQUID
FP FLU/COLD/COUGH MED PKT
FP CLOTRIMAZOLE 3 CREAM
VCF CONTRACEPTIVE FOAM
NAPHCON-A EYE DROPS
MACROBID 100 MG CAPSULE
MACROBID 100 MG CAPSULE
MACROBID 100 MG CAPSULE
LODINE 500 MG TABLET
LODINE 500 MG TABLET
ETODOLAC 500 MG TABLET
ETODOLAC 500 MG TABLET
ETODOLAC 500 MG TABLET
ETODOLAC 500 MG TABLET
ETODOLAC 500 MG TABLET
ETODOLAC 500 MG TABLET
PROMETHAZINE 50 MG TABLET
HYDROQUINONE 4% CREAM
NAPHCON-A EYE DROPS
TUSSIONEX PENNKINETIC SUSP
ZAROXOLYN 2.5 MG TABLET
ZAROXOLYN 2.5 MG TABLET
ZAROXOLYN 2.5 MG TABLET

DOSE FORM DRUG STRENGTH


TA
KA
KA
KA
KA
SC
SC
SC
PP
KW
PP
JP
TA
TA
TA
TA
SC
TA
SO
PA
KA
KA
KA
TA
KW
SL
KA
TA
TS
TA
SL
PP
KW
AW
SO
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
KA
SO
PJ
TA
TA
TA

UNIT PRICE
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20

NDC
53265040710
53335004914
53335021014
53335022018
54022106201
54022107501
54022107502
54023929307
54569354400
54569354401
54569354402
54569354403
54569441600
54569451000
54569463000
54569463003
54569463004
54569463300
54569469000
54569479100
54569557600
54569562200
54807082401
54868000600
54868053402
54868061600
54868063700
54868095300
54868236600
54868236601
54868236602
54868236603
54868236604
54868236605
54868236606
54868236607
54868270700
54868270701
54868284400
54868286800
54868286801
54868286802
54868355900
54868385600
54868405900
54868419600
54868447000
54868453200
54868453201
54868453202
54868453203
54868461400
54868461401

NAME
PROMETHAZINE 50 MG TABLET
L-ARGININE BASE 700 MG CAP
L-ARGININE HCL 700 MG CAP
L-ARGININE HCL 700 MG CAP
ANTIOXIDANT FORMULA TABLET
BIOTIN FORTE 5 MG TABLET
BIOTIN FORTE 5 MG TABLET
LIQ-10 SYRUP
MACROBID 100 MG CAPSULE
MACROBID 100 MG CAPSULE
MACROBID 100 MG CAPSULE
MACROBID 100 MG CAPSULE
LODINE 500 MG TABLET
TUSSIONEX PENNKINETIC SUSP
ETODOLAC 500 MG TABLET
ETODOLAC 500 MG TABLET
ETODOLAC 500 MG TABLET
LUSTRA 4% CREAM
LOPROX 0.77% CREAM
AMOXIL 400 MG TABLET CHEW
NITROFURANTOIN-MACRO 100 MG
AMOXICILLIN 400 MG TAB CHEW
CHLORPROMAZINE 200 MG TABLET
ATROPINE 0.1 MG/ML SYRINGE
TUSSIONEX PENNKINETIC SUSP
DEMEROL 50 MG/ML VIAL
NAPHCON-A EYE DROPS
ELDOQUIN FORTE 4% CREAM
MACROBID 100 MG CAPSULE
MACROBID 100 MG CAPSULE
MACROBID 100 MG CAPSULE
MACROBID 100 MG CAPSULE
MACROBID 100 MG CAPSULE
MACROBID 100 MG CAPSULE
MACROBID 100 MG CAPSULE
MACROBID 100 MG CAPSULE
ZAROXOLYN 2.5 MG TABLET
ZAROXOLYN 2.5 MG TABLET
PROMETHAZINE 50 MG TABLET
ADALAT CC 30 MG TABLET
ADALAT CC 30 MG TABLET
ADALAT CC 30 MG TABLET
MEPERIDINE 50 MG/ML VIAL
LODINE 500 MG TABLET
ETODOLAC 500 MG TABLET
DELFEN CONTRACEPTIVE FOAM
AMOXIL 400 MG TABLET CHEW
NIFEDIPINE ER 30 MG TABLET
NIFEDIPINE ER 30 MG TABLET
NIFEDIPINE ER 30 MG TABLET
NIFEDIPINE ER 30 MG TABLET
AMOXICILLIN 400 MG TAB CHEW
AMOXICILLIN 400 MG TAB CHEW

DOSE FORM DRUG STRENGTH


TA
CA
CA
CA
TA
TA
TA
ST
CA
CA
CA
CA
TA
PJ
TA
TA
TA
KA
KA
TC
CA
TC
TA
HQ
PJ
HV
SO
KA
CA
CA
CA
CA
CA
CA
CA
CA
TA
TA
TA
TS
TS
TS
HV
TA
TA
AW
TC
TS
TS
TS
TS
TC
TC

UNIT PRICE
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20

NDC
54868510400
54868513500
54868524800
54868527000
55045234105
55045289401
55045289402
55045289403
55045289408
55045290006
55289003106
55289003110
55289003114
55289003120
55289019710
55289019720
55289041814
55289041820
55289072720
55289078860
55289079807
55390000901
55390002601
55390002701
55390002810
55390002910
57866010201
57866659004
57866671903
57866713701
57866728601
57866931601
58016037500
58016037514
58016037520
58016037521
58016037528
58016037530
58016037540
58016037560
58016037590
58016352701
58177035126
58177080102
58177080202
58864032314
58864066914
58980047205
58980047210
58980057405
58980057410
58980057420
59085026728

NAME
METOLAZONE 2.5 MG TABLET
METHIMAZOLE 10 MG TABLET
FLUCONAZOLE 10 MG/ML SUSP
CICLOPIROX 0.77% CREAM
MACROBID 100 MG CAPSULE
ETODOLAC 500 MG TABLET
ETODOLAC 500 MG TABLET
ETODOLAC 500 MG TABLET
ETODOLAC 500 MG TABLET
ETODOLAC 500 MG TABLET
MACROBID 100 MG CAPSULE
MACROBID 100 MG CAPSULE
MACROBID 100 MG CAPSULE
MACROBID 100 MG CAPSULE
LODINE 500 MG TABLET
LODINE 500 MG TABLET
ETODOLAC 500 MG TABLET
ETODOLAC 500 MG TABLET
AMOXICILLIN 400 MG TAB CHEW
SLO-BID 300 GYROCAPS
NIFEDIPINE ER 30 MG TABLET
LEUCOVORIN CAL 10 MG/ML VIAL
FAMOTIDINE 500 MG/50 ML VIAL
FAMOTIDINE 200 MG/20 ML VIAL
FAMOTIDINE 40 MG/4 ML VIAL
FAMOTIDINE 20 MG/2 ML VIAL
NIFEDIPINE ER 30 MG TABLET
MACROBID 100 MG CAPSULE
ADALAT CC 30 MG TABLET
ETODOLAC 500 MG TABLET
ATROPINE 0.1 MG/ML SYRINGE
ESTAZOLAM 2 MG TABLET
ETODOLAC 500 MG TABLET
ETODOLAC 500 MG TABLET
ETODOLAC 500 MG TABLET
ETODOLAC 500 MG TABLET
ETODOLAC 500 MG TABLET
ETODOLAC 500 MG TABLET
ETODOLAC 500 MG TABLET
ETODOLAC 500 MG TABLET
ETODOLAC 500 MG TABLET
ELDOQUIN FORTE 4% CREAM
NUTRINATE TABLET CHEW
HYDROQUINONE 4% CREAM
HYDROQUINONE 4% CREAM
MACROBID 100 MG CAPSULE
ADALAT CC 30 MG TABLET
MELQUIN HP 4% CREAM
MELQUIN HP 4% CREAM
NUQUIN HP 4% CREAM
NUQUIN HP 4% CREAM
NUQUIN HP 4% CREAM
FLU/COLD/COUGH PACKET

DOSE FORM DRUG STRENGTH


TA
TA
PD
KA
CA
TA
TA
TA
TA
TA
CA
CA
CA
CA
TA
TA
TA
TA
TC
CB
TS
HV
HV
HV
HV
HV
TS
CA
TS
TA
HQ
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
KA
TC
KA
KA
CA
TS
KA
KA
KA
KA
KA
PP

UNIT PRICE
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20

NDC
59196003004
59366278503
59366278703
59366285206
59366610001
59762372803
59762502901
59879050401
59911595002
59911595004
59911595102
59911595104
59911595202
59911595204
60258030016
60258030404
60432019104
60432019116
60505010201
60760071460
60793010501
60977001602
61787041030
62175017137
62436095315
62451884154
62451884172
62991121901
62991121902
63304051801
63304076101
63304076120
63304097505
63323073804
63323073820
63323073912
63370004525
63370004535
63370004550
63370004555
63868074910
64760008001
64899007910
64899008010
64915070190
65224051216
65580064371
66116021710
66116021714
66116021730
66116065420
66116067720
66239018004

NAME
ULTRATUSS 12 S SUSPENSION
HYDROQUINONE 4% CREAM
HYDROQUINONE 4% CREAM
CLINDAMYCIN PHOS 1% PLEDGET
CICLOPIROX 0.77% CREAM
CLINDAMYCIN PHOS 1% PLEDGET
FLUCONAZOLE 10 MG/ML SUSP
DEXCHLORPHENIRAMINE 6 MG TAB
FAMOTIDINE 10 MG/ML VIAL
FAMOTIDINE 10 MG/ML VIAL
FAMOTIDINE 10 MG/ML VIAL
FAMOTIDINE 10 MG/ML VIAL
FAMOTIDINE 10 MG/ML VIAL
FAMOTIDINE 10 MG/ML VIAL
TANNIC-12 SUSPENSION
R-TANNIC-S A/D SUSPENSION
PYRILAFEN TANNATE-12 SUSP
PYRILAFEN TANNATE-12 SUSP
ETODOLAC 500 MG TABLET
ETODOLAC 500 MG TABLET
TAPAZOLE 10 MG TABLET
DURAMORPH 0.5 MG/ML AMPUL
NASAL EASE SPRAY
MOEXIPRIL HCL 7.5 MG TABLET
A-FIL CREAM
NIFEDIPINE ER 30 MG TABLET
NIFEDIPINE ER 30 MG TABLET
BHA POWDER
BHA POWDER
NITROFURANTOIN-MACRO 100 MG
AMOXICILLIN 400 MG TAB CHEW
AMOXICILLIN 400 MG TAB CHEW
FLUCONAZOLE 10 MG/ML SUSP
FAMOTIDINE 10 MG/ML VIAL
FAMOTIDINE 10 MG/ML VIAL
FAMOTIDINE 10 MG/ML VIAL
CHLORAMPHENICOL PALM POWDER
CHLORAMPHENICOL PALM POWDER
CHLORAMPHENICOL PALM POWDER
CHLORAMPHENICOL PALM POWDER
QC COUGH & SORE THROAT LOZ
SKIN BLEACHING 4% CREAM
HCA THROAT LOZENGES
HCA SORE THROAT LOZENGES
CALCIUM D-GLUCARATE CAPSULE
PEDIATEX 12 D SUSPENSION
METOLAZONE 2.5 MG TABLET
MACROBID 100 MG CAPSULE
MACROBID 100 MG CAPSULE
MACROBID 100 MG CAPSULE
ETODOLAC 500 MG TABLET
AMOXICILLIN 400 MG TAB CHEW
TANA R-12 SUSPENSION

DOSE FORM DRUG STRENGTH


SC
KA
KA
EL
KA
EL
PD
TS
HV
HV
HV
HV
HV
HV
SC
SC
SC
SC
TA
TA
TA
HH
AU
TA
KA
TS
TS
PA
PA
CA
TC
TC
PD
HV
HV
HV
PA
PA
PA
PA
TL
KA
TL
TL
CA
SC
TA
CA
CA
CA
TA
TC
SC

UNIT PRICE
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20

NDC
66715083008
66715083035
66993052055
66993052155
66993052255
67336015616
68030728601
68115002830
68115022014
68115025630
68115066200
68115066230
68308073116
68453040016
68453050016
70501001790
74300000158
74300000328
74300001067
74300001069
82468061453
87701045401
87701045404
93190001001
93190001002
94688008460
97807007068
97807007076
99207000915
99207000930
99207001515
99207001530
99207001590
99207025010
99207025020
99207025402
00004026401
00004026449
00005534323
00006009268
00006072628
00006072631
00006072654
00006072661
00006072682
00009353101
00009353103
00009399008
00023438502
00023438505
00023438510
00023438515
00026068416

NAME
REPLENS VAGINAL APPLICATOR
REPLENS VAGINAL APPLICATOR
P-TANNA 12 SUSPENSION
K-TAN 4 SUSPENSION
K-TAN 4 SUSPENSION
RESPI-TANN SUSPENSION
ATROPINE 0.1 MG/ML SYRINGE
AMOXICILLIN 400 MG TAB CHEW
MACROBID 100 MG CAPSULE
NIFEDIPINE ER 30 MG TABLET
ESTAZOLAM 2 MG TABLET
ESTAZOLAM 2 MG TABLET
RE-TANN SUSPENSION
DURATUSS HD ELIXIR
DURATUSS DM ELIXIR
NEUTROGENA ON THE SPOT LOT
VISINE-A EYE DROPS
OCUHIST EYE DROPS
VISINE TEARS DROPS
VISINE TEARS DROPS
FP CLOTRIMAZOLE 3 CREAM
BL 3 DAY VAGINAL 2% CREAM
BL 3 DAY VAGINAL 2% CREAM
GINSANA 100 MG SOFTGEL
GINSANA 100 MG SOFTGEL
HYFIBER PACKETS
HCA SORE THROAT LOZENGES
HCA THROAT LOZENGES
LOPROX 0.77% CREAM
LOPROX 0.77% CREAM
LOPROX 0.77% CREAM
LOPROX 0.77% CREAM
LOPROX 0.77% CREAM
LUSTRA 4% CREAM
LUSTRA 4% CREAM
LUSTRA 4% CREAM
DEMADEX 20 MG TABLET
DEMADEX 20 MG TABLET
MINOCIN 50 MG PELLETIZED CAP
MIDAMOR 5 MG TABLET
ZOCOR 5 MG TABLET
ZOCOR 5 MG TABLET
ZOCOR 5 MG TABLET
ZOCOR 5 MG TABLET
ZOCOR 5 MG TABLET
VANTIN 50 MG/5 ML SUSPENSION
VANTIN 50 MG/5 ML SUSPENSION
CORTAID 1% FASTSTICK
BETAGAN 0.5% EYE DROPS
BETAGAN 0.5% EYE DROPS
BETAGAN 0.5% EYE DROPS
BETAGAN 0.5% EYE DROPS
PLASBUMIN-25 IV SOLUTION

DOSE FORM DRUG STRENGTH


JU
JU
SC
SC
SC
SC
HQ
TC
CA
TS
TA
TA
SC
SJ
SJ
SK
SO
SO
SO
SO
KW
KW
KW
CA
CA
PP
TL
TL
KA
KA
KA
KA
KA
KA
KA
KA
TA
TA
CA
TA
TA
TA
TA
TA
TA
PD
PD
RA
SO
SO
SO
SO
HV

UNIT PRICE
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.20
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21

NDC
00026068420
00026068471
00026069216
00026069220
00026069271
00028020501
00031224546
00031225620
00032192428
00032192482
00037910108
00037910112
00049162030
00049343030
00049343041
00053768001
00053768002
00053768003
00053768032
00053768033
00054007720
00054007725
00054007729
00054271925
00054429013
00054829025
00062016501
00062016502
00065064305
00071000724
00071000740
00071036524
00074183968
00074323001
00074323101
00074323201
00074323301
00074323401
00074323501
00074397201
00074397220
00074420101
00074432801
00074452301
00074452303
00074452304
00074452305
00074452306
00074452548
00074460702
00074479702
00074539501
00074539602

NAME
PLASBUMIN-25 IV SOLUTION
PLASBUMIN-25 IV SOLUTION
PLASBUMIN-25 IV SOLUTION
PLASBUMIN-25 IV SOLUTION
PLASBUMIN-25 IV SOLUTION
VOLTAREN-XR 100 MG TABLET SA
DIMETAPP DECONGESTANT CAP
DIMETAPP COLD/CONGEST CPLT
ROWASA 4 GM/60 ML ENEMA
ROWASA 4 GM/60 ML ENEMA
MALTSUPEX POWDER
MALTSUPEX POWDER
GLUCOTROL XL 2.5 MG TAB SA
DIFLUCAN 200 MG TABLET
DIFLUCAN 200 MG TABLET
ALBUMINAR-25 IV SOLUTION
ALBUMIN (HUMAN) 25% 50ML - ALBUMINAR
ALBUMIN (HUMAN) 25% 100ML - ALBUMINAR
ALBUMINAR-25 IV SOLUTION
ALBUMINAR-25 IV SOLUTION
TORSEMIDE 20 MG TABLET
TORSEMIDE 20 MG TABLET
TORSEMIDE 20 MG TABLET
PRELU-2 105 MG CAPSULE SA
FLUCONAZOLE 200 MG TABLET
FLUCONAZOLE 200 MG TABLET
RETIN-A 0.025% CREAM
RETIN-A 0.025% CREAM
TOBREX 0.3% EYE DROPS
DILANTIN 50 MG INFATAB
DILANTIN 50 MG INFATAB
DILANTIN 30 MG KAPSEAL
CVP UNIVERSAL SET
THREE-WAY STOPCOCK EXT 20SL
THREE-WAY STOPCOCK EXT 36SL
THREE-WAY STOPCOCK
THREE-WAY STOPCOCK W/L.LOCK
THREE-WAY STOPCOCK EXT 20SL
THREE-WAY STOPCOCK EXT 36SL
PHARMACY ADDITIVE TRANS SET
PHARMACY ADDITIVE TRANS SET
POTASSIUM PH 3MM/ML IV SOLN
LIFECARE SHELF STORAGE TRAY
VANISHPOINT 20GX1" 5 ML SYR
VANISHPOINT 21GX1" 5 ML SR
VANISHPOINT 21GX1.5" 5 ML SR
VANISHPOINT 22GX1" 5 ML SYR
VANISHPOINT 22GX1.5" 5 ML SR
S-A-I-F SET 1 MICRON
CVP MANOMETER
DOUBLE-NEEDLE TRANSF DEVICE
LOCKING MALE ADAPTER PLUG
LOCK LUER MALE ADAPTER PLUG

DOSE FORM DRUG STRENGTH


HV
HV
HV
HV
HV
TI
CA
TA
SF
SF
PA
PA
TZ
TA
TA
HV
HV
HV
HV
HV
TA
TA
TA
CS
TA
TA
KA
KA
SO
TC
TC
CA
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
HM
YQ
YL
YL
YL
YL
YL
YQ
YQ
YQ
YQ
YQ

UNIT PRICE
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21

NDC
00074587701
00074587801
00074588801
00074668003
00074767713
00074904701
00078000505
00085034004
00085063501
00088201046
00088201080
00093104101
00093106301
00093316501
00093688871
00093712901
00093720556
00115274401
00115701701
00144050501
00172541300
00172541310
00172541346
00172541360
00173047100
00185017401
00185081001
00185081052
00185081053
00185525401
00185525410
00187049801
00187049802
00210190801
00228271711
00245001501
00245001511
00247076420
00247076430
00247091905
00247091915
00247121307
00247121315
00264555731
00338040360
00338044541
00338049906
00338200548
00338935737
00338942037
00372004420
00378033001
00378033005

NAME
MALE ADAPTER PLUG - SHORT
MALE ADAPTER PLUG INJ SITE
MALE LUER CAP STERILE
PENTOTHAL DISPENSING CAP
THEOPHYLLINE 200 MG/D5W 50 ML
BUPIVACAINE/EPI 0.75%/0.0005
MELLARIL 100 MG TABLET
DISOPHROL TABLET
CLARITIN-D 12 HOUR TAB SA
PENTASA 250 MG CAPS
PENTASA 250 MG CAP
DICLOFENAC SOD 100 MG TAB SA
SOTALOL 240 MG TABLET
MINOCYCLINE 50 MG CAPSULE
MESALAMINE 4 GM/60 ML ENEMA
TORSEMIDE 20 MG TABLET
FLUCONAZOLE 200 MG TABLET
SOTALOL HCL 240 MG TABLET
MINOCYCLINE 50 MG CAPSULE
METHENAMINE MD 500 MG TABLET
FLUCONAZOLE 200 MG TABLET
FLUCONAZOLE 200 MG TABLET
FLUCONAZOLE 200 MG TABLET
FLUCONAZOLE 200 MG TABLET
EPIVIR 10 MG/ML ORAL SOLN
SOTALOL 240 MG TABLET
DOXYCYCLINE MONO 100 MG CAP
DOXYCYCLINE MONO 100 MG CAP
DOXYCYCLINE MONO 100 MG CAP
PHENDIMETRAZINE 105 MG CP SA
PHENDIMETRAZINE 105 MG CP SA
BONTRIL 105 MG CAPSULE SA
BONTRIL 105 MG CAPSULE SA
SINUSTAT NASAL SPRAY
DICLOFENAC SOD 100 MG TAB SA
SORINE 240 MG TABLET
SORINE 240 MG TABLET
DIFLUCAN 200 MG TABLET
DIFLUCAN 200 MG TABLET
LEVOBUNOLOL 0.5% EYE DROPS
LEVOBUNOLOL 0.5% EYE DROPS
CLARITIN-D 12 HOUR TAB SA
CLARITIN-D 12 HOUR TAB SA
THEOPHYLLINE 200 MG/D5W 50 ML
MULTIVITAMIN 12 VIAL
THEOPHYLLINE 200 MG/D5W 50 ML
PROSOL 20% INJECTION
PIPRACIL 3 GM/D5W 100 ML PB
HYDROMOR/BUPIVA 20 MCG/0.06%
HYDROMORP/BUPIVA 20 MCG/0.06%
SCOT-TUSSIN DM COUGH CHASER
AMITRIP/PERPHEN 10-2 TABLET
AMITRIP/PERPHEN 10-2 TABLET

DOSE FORM DRUG STRENGTH


YQ
YQ
YQ
YQ
HM
HH
TA
TA
TM
CS
CS
TI
TA
CA
SF
TA
TA
TA
CA
TA
TA
TA
TA
TA
SJ
TA
CA
CA
CA
CS
CS
CS
CS
AT
TI
TA
TA
TA
TA
SO
SO
TM
TM
HM
HV
HM
HM
HP
HZ
HZ
TL
TA
TA

UNIT PRICE
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21

NDC
00378035501
00378061801
00378061810
00378252093
00409420101
00430016624
00440782060
00472011720
00472011745
00517611025
00517621025
00555077401
00555077402
00573120020
00573120030
00573266012
00573266024
00591031050
00591041150
00591067601
00591569401
00603577221
00603734537
00677083201
00677083206
00677168101
00677171207
00677191441
00682010101
00781138101
00781164401
00781164410
00781193131
00904297005
00904567015
00944049001
00944049002
03466000224
05632083050
05632083055
08021000039
08021000040
08021000053
08195304230
08195704201
08225165100
08225258500
08290009412
08290305269
08290305271
08290309592
08290309593
08290309594

NAME
DICLOFENAC SOD 100 MG TAB SA
THIORIDAZINE 100 MG TABLET
THIORIDAZINE 100 MG TABLET
FLUCONAZOLE 200 MG TABLET
POTASSIUM PH 3MM/ML IV SOLN
MANDELAMINE 500 MG TABLET
MINOCYCLINE 50 MG CAPSULE
TRETINOIN 0.025% CREAM
TRETINOIN 0.025% CREAM
ZINC SULFATE 1 MG/ML VIAL
CUPRIC SULFATE 0.4 MG/ML VL
FLUCONAZOLE 200 MG TABLET
FLUCONAZOLE 200 MG TABLET
DRISTAN NOSE SPRAY
DRISTAN NOSE SPRAY
ALAVERT ALLERGY-SINUS TAB
ALAVERT ALLERGY-SINUS TAB
DOXYCYCLINE MONO 100 MG CAP
DOXYCYCLINE MONO 100 MG CAP
DICLOFENAC SOD ER 100 MG TAB
MINOCYCLINE 50 MG CAPSULE
SOTALOL 240 MG TABLET
TOBRAMYCIN 0.3% EYE DROPS
THIORIDAZINE 100 MG TABLET
THIORIDAZINE 100 MG TABLET
METHENAMINE MD 500 MG TABLET
SOTALOL 240 MG TABLET
DIPHENTANN-D SUSPENSION
PREHIST CAPSULE SA
DICLOFENAC SOD 100 MG TAB SA
THIORIDAZINE 100 MG TABLET
THIORIDAZINE 100 MG TABLET
FLUCONAZOLE 200 MG TABLET
TOBRAMYCIN 0.3% EYE DROPS
ALLERGY & CONGESTION REL TB
BUMINATE 25% IV SOLUTION
BUMINATE 25% IV SOLUTION
Y-ADAPTER
TRUSTEX-RIA CONDOM
TRUSTEX-RIA CONDOM
ACCESS PIN
ULTRASITE VALVE
ULTRASITE VALVE CONNECTOR
POLYMEM 4"X 2" DRESSING
POLYMEM 4"X 2" DRESSING
KERLIX SUPER SPONGES
KERLIX SUPER SPONGE
BD INSULIN U100-1 ML SYRNGE
BD INTEGRA 3 ML SYRINGE
BD INTEGRA 3 ML SYRINGE
SAFETY-LOK 3 ML SYRINGE
SAFETY-LOK 3 ML SYRINGE
SAFETY-LOK 3 ML SYRINGE

DOSE FORM DRUG STRENGTH


TI
TA
TA
TA
HM
TA
CA
KA
KA
HV
HV
TA
TA
AT
AT
TM
TM
CA
CA
TI
CA
TA
SO
TA
TA
TA
TA
SC
CS
TI
TA
TA
TA
SO
TM
HV
HV
YQ
EA
EA
YQ
YQ
YQ
YE
YE
YV
YV
YL
YL
YL
YL
YL
YL

UNIT PRICE
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21

NDC
08290309595
08290309596
08290309630
08290309631
08290309632
08290309633
08290309634
08290309635
08290309698
08290309699
08290328283
08290328412
08290329412
08290841201
08290841203
08317103213
08317103214
08317103223
08317103224
08317103233
08317103252
08317103253
08881533155
08881533239
08881533254
08881533338
08881533510
08970100656
08970100657
08970100658
08970100659
08970100660
08970100661
08970100662
08970100663
08970100664
08970705004
08970705005
08970705006
08970705007
08970705008
08970705009
08970705010
08970705011
08970705012
08970731001
08970731051
08970731061
08970731071
08970731091
08970731101
09001140408
10223021501

NAME
SAFETY-LOK 3 ML SYRINGE
SAFETY-LOK 3 ML SYRINGE
B-D 5 ML SYRINGE 22GX1"
B-D 5 ML SYRINGE 22GX1-1/2"
B-D 5 ML SYRINGE 21GX1"
B-D 5 ML SYRINGE 21GX1-1/2"
B-D 5 ML SYRINGE 20GX1"
B-D 5 ML SYRINGE 20GX1-1/2"
B-D 5 ML SYRINGE/NEEDLE
B-D 5 ML SYRINGE/NEEDLE
BD INSULIN 3/10 ML SYRINGE
BD INSULIN U100 SYRINGE
B-D INSULIN U100 1 ML SYRNGE
BD INSULIN U100-1 ML SYRNGE
BD INSULIN U100 SYRINGE
FUTURA SAFETY SYRINGE 3 ML
FUTURA SAFETY SYRINGE 3 ML
FUTURA SAFETY SYRINGE 3 ML
FUTURA SAFETY SYRINGE 3 ML
FUTURA SAFETY SYRINGE 3 ML
FUTURA SAFETY SYRINGE 3 ML
FUTURA SAFETY SYRINGE 3 ML
SAFETY SYRINGE W/SHIELD 3 ML
SAFETY SYRINGE W/SHIELD 3 ML
SAFETY SYRINGE W/SHIELD 3 ML
SAFETY SYRINGE W/SHIELD 3 ML
SAFETY SYRINGE W/SHIELD 3 ML
TERUMO SURGUARD2 SYR 20G-3 ML
TERUMO SURGUARD2 SYR 20G-3 ML
TERUMO SURGUARD2 SYR 21G-3 ML
TERUMO SURGUARD2 SYR 21G 3 ML
TERUMO SURGUARD2 SYR 22G 3 ML
TERUMO SURGUARD2 SYR 22G 3 ML
TERUMO SURGUARD2 SYR 23G 3 ML
TERUMO SURGUARD2 SYR 25G 3 ML
TERUMO SURGUARD2 SYR 25G 3 ML
TERUMO SURGUARD2 SYR 20G-3 ML
TERUMO SURGUARD2 SYR 20G-3 ML
TERUMO SURGUARD2 SYR 21G-3 ML
TERUMO SURGUARD2 SYR 21G 3 ML
TERUMO SURGUARD2 SYR 22G 3 ML
TERUMO SURGUARD2 SYR 22G 3 ML
TERUMO SURGUARD2 SYR 23G 3 ML
TERUMO SURGUARD2 SYR 25G 3 ML
TERUMO SURGUARD2 SYR 25G 3 ML
TERUMO HYPODERMIC NDL/SYRIN
TERUMO HYPODERMIC NDL/SYRIN
TERUMO HYPODERMIC NDL/SYRIN
TERUMO HYPODERMIC NDL/SYRIN
TERUMO HYPODERMIC NDL/SYRIN
TERUMO HYPODERMIC NDL/SYRIN
ECHINACEA/GOLDENSEAL EXTRCT
CETACAINE GEL

DOSE FORM DRUG STRENGTH


YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
SL
JG

UNIT PRICE
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21

NDC
10337050010
10481301201
11523716201
11523716202
11523716203
11694091201
11822330290
11822330300
12280008507
12280008514
15482013213
15482013214
15482013223
15482013224
15482013233
15482013252
15482013253
16169001003
16169001012
16169002003
16169002012
16169005003
16169005012
16169005024
17317058301
17317058304
17317071602
17317071603
17317071605
17478029010
22600064093
22600064096
22600090750
22600090950
22600091450
22600091750
22600091850
22600091950
22600092050
22600092950
22600094050
22600094750
22600094950
22600095000
22600096060
22600096760
22600099050
22600099750
24208029005
24208040319
24208050505
24208050510
24208050515

NAME
SELSEB 2.25% SHAMPOO
POTASSIUM HYDROXIDE 5% SOLN
CLARITIN-D 12 HOUR TAB SA
CLARITIN-D 12 HOUR TAB SA
CLARITIN-D 12 HOUR TAB SA
L-CYSTEINE 325 MG TABLET
RA NASAL STRIPS MED/LARGE
RA NASAL STRIPS MED/LARGE
PHENDIMETRAZINE 105 MG CP SA
PHENDIMETRAZINE 105 MG CP SA
FUTURA SAFETY SYRINGE 3 ML
FUTURA SAFETY SYRINGE 3 ML
FUTURA SAFETY SYRINGE 3 ML
FUTURA SAFETY SYRINGE 3 ML
FUTURA SAFETY SYRINGE 3 ML
FUTURA SAFETY SYRINGE 3 ML
FUTURA SAFETY SYRINGE 3 ML
KIMONO CONDOMS
KIMONO CONDOMS
MAXX CONDOM
MAXX CONDOM
KIMONO MICROTHIN CONDOM
KIMONO MICROTHIN CONDOM
KIMONO MICROTHIN CONDOM
TRAGACANTH GUM RIBBON LUMP
TRAGACANTH GUM RIBBON LUMP
PSEUDOEPHEDRINE HCL CRYSTAL
PSEUDOEPHEDRINE HCL CRYSTAL
PSEUDOEPHEDRINE HCL CRYSTAL
AKTOB 0.3% EYE DROPS
MENTOR CONDOM
MENTOR CONDOM
TROJAN REGULAR CONDOM
TROJAN REGULAR CONDOM
TROJAN PLUS CONDOM
TROJAN ENZ CONDOM
TROJAN PLUS CONDOM
TROJAN ENZ CONDOM
TROJAN REGULAR CONDOM
TROJAN PLUS CONDOM
TROJAN RIBBED CONDOM
TROJAN RIBBED CONDOM
TROJAN RIBBED CONDOM
TROJAN ASST PACK CONDOM
TROJAN PLUS 2 CONDOM
TROJAN PLUS 2 CONDOM
TROJAN XTRA STRENGTH CONDOM
TROJAN XTRA STRENGTH CONDOM
TOBRAMYCIN 0.3% EYE DROPS
OCUVITE LUTEIN CAPSULE
LEVOBUNOLOL 0.5% EYE DROPS
LEVOBUNOLOL 0.5% EYE DROPS
LEVOBUNOLOL 0.5% EYE DROPS

DOSE FORM DRUG STRENGTH


SH
SA
TM
TM
TM
TA
YR
YR
CS
CS
YL
YL
YL
YL
YL
YL
YL
EA
EA
EA
EA
EA
EA
EA
PM
PM
PC
PC
PC
SO
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
SO
CA
SO
SO
SO

UNIT PRICE
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21

NDC
37205037352
37205037360
37205043965
38779011404
38779011405
38779011408
41100080140
41100080208
41100080217
41100080319
41163041145
44206025105
44206025110
45802009828
45802009851
47682010513
47682010533
47682010570
49452170501
49452170502
49452611001
49452611002
49452650101
49452650102
49452650103
49452786001
49452786002
49614017152
49614017160
49614061652
49669521302
49884011701
49884011705
49884011710
49884058501
49884058510
49884065301
49884065310
49884072703
49884072704
49884094111
49884094174
49999014805
49999036030
49999051430
50111067801
50111067810
50111091701
50111091703
50114542109
50313006313
50313007213
50419010710

NAME
ALLERGY RELIEF D-12 TAB
ALLERGY RELIEF D-12 TAB
ACIDOPHILUS 16 MG CAPSULE
CARBAMAZEPINE POWDER
CARBAMAZEPINE POWDER
CARBAMAZEPINE POWDER
CORICIDIN HBP FLU TABLET
CLARITIN-D 12 HOUR TAB SA
CLARITIN-D 12 HOUR TAB SA
CLARITIN-D 12 HOUR TAB SA
EQL LUTEIN VISION FORM CAPSULE
ALBURX (HUMAN) 25% VIAL
ALBURX (HUMAN) 25% VIAL
MESALAMINE 4G/60 ML RECTL SUSP
MESALAMINE 4G/60 ML RECTL SUSP
CCP CAFFEINE FREE TABLET
CCP CAFFEINE FREE TABLET
CCP CAFFEINE FREE TABLET
CARBAMAZEPINE POWDER
CARBAMAZEPINE POWDER
PSEUDOEPHEDRINE HCL CRYSTAL
PSEUDOEPHEDRINE HCL CRYSTAL
L-SERINE POWDER
L-SERINE POWDER
L-SERINE POWDER
TRAGACANTH NO.1 RIBBON
TRAGACANTH NO. 1 RIBBON
ALLERGY RELIEF D12 TABLET
ALLERGY RELIEF D12 TABLET
SHEER ADHESIVE BANDAGE STRP
ALBUTEIN 25% VIAL
AMILORIDE HCL 5 MG TABLET
AMILORIDE HCL 5 MG TABLET
AMILORIDE HCL 5 MG TABLET
SOTALOL 240 MG TABLET
SOTALOL 240 MG TABLET
TORSEMIDE 20 MG TABLET
TORSEMIDE 20 MG TABLET
DOXYCYCLINE MONO 100 MG CAP
DOXYCYCLINE MONO 100 MG CAP
FLUCONAZOLE 200 MG TABLET
FLUCONAZOLE 200 MG TABLET
TOBRAMYCIN 0.3% EYE DROPS
PHENDIMETRAZINE 105 MG CP SA
GLIPIZIDE ER 2.5 MG TABLET
FLUCONAZOLE 200 MG TABLET
FLUCONAZOLE 200 MG TABLET
TORSEMIDE 20 MG TABLET
TORSEMIDE 20 MG TABLET
HAYFEVER NASAL SPRAY
GITRON CAPSULE
VENIPHLEX TABLET
BETAPACE 240 MG TABLET

DOSE FORM DRUG STRENGTH


TM
TM
CA
PA
PA
PA
TA
TM
TM
TM
CA
HV
HV
SF
SF
TA
TA
TA
PA
PA
PC
PC
PA
PA
PA
PM
PM
TM
TM
YE
HV
TA
TA
TA
TA
TA
TA
TA
CA
CA
TA
TA
SO
CS
TZ
TA
TA
TA
TA
AT
CA
TA
TA

UNIT PRICE
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21

NDC
50419010711
50428155052
50428155055
50428184706
50428277460
51004105002
51079002601
51079002620
51079026001
51079026003
51079058001
51079058020
51552065304
51552065305
51672406706
51709000730
51927217600
51991018904
51991018916
52083033560
52152011102
52152011105
52544070601
52735098108
52735098117
52735098217
52959010803
52959044315
52959044320
52959044330
52959047220
52959062828
52959062830
52959134003
53100061400
53100061410
53489050001
54092018980
54092018981
54569087800
54569179802
54569179803
54569179806
54569326900
54569326902
54569378100
54569409400
54569409401
54569409402
54569433300
54569471200
54569480800
54569480900

NAME
BETAPACE 240 MG TABLET
CVS NASAL STRIPS SMALL/MED
CVS NASAL STRIPS MED/LARGE
CVS MENOPAUSE SUPPORT CPLET
CVS ACIDOPHILUS 16 MG CAPSULE
SEPTOCAINE CARTRIDGE
TORSEMIDE 20 MG TABLET
TORSEMIDE 20 MG TABLET
FLUCONAZOLE 200 MG TABLET
FLUCONAZOLE 200 MG TABLET
THIORIDAZINE 100 MG TABLET
THIORIDAZINE 100 MG TABLET
CARBAMAZEPINE POWDER
CARBAMAZEPINE POWDER
FLUCONAZOLE 200 MG TABLET
AIMSCO 3 ML SAFETY SYRINGE
CARBAMAZEPINE POWDER
DUOTAN PD SUSPENSION
DUOTAN PD SUSPENSION
VASOFLEX TABLET
METHENAMINE MD 500 MG TABLET
METHENAMINE MD 500 MG TABLET
AMITRIP/PERPHEN 10-2 TABLET
FP NASAL STRIPS MED/LGE
FP NASAL STRIPS MED/LGE
FP NASAL STRIPS SML/MED
TOBRAMYCIN 0.3% EYE DROPS
CLARITIN-D 12 HOUR TAB SA
CLARITIN-D 12 HOUR TAB SA
CLARITIN-D 12 HOUR TAB SA
VOLTAREN-XR 100 MG TABLET SA
BONTRIL 105 MG CAPSULE SA
BONTRIL 105 MG CAPSULE SA
TOBRAMYCIN 0.3% EYE DROPS
ALLUNA SLEEP TABLET
ALLUNA SLEEP TABLET
THIORIDAZINE 100 MG TABLET
PENTASA 250 MG CAPSULE SA
PENTASA 250 MG CAPSULE SA
TOBREX 0.3% EYE DROPS
BONTRIL 105 MG CAPSULE SA
BONTRIL 105 MG CAPSULE SA
BONTRIL 105 MG CAPSULE SA
DIFLUCAN 200 MG TABLET
DIFLUCAN 200 MG TABLET
TOBRAMYCIN 0.3% EYE DROPS
CLARITIN-D 12 HOUR TAB SA
CLARITIN-D 12 HOUR TAB SA
CLARITIN-D 12 HOUR TAB SA
EPIVIR 10 MG/ML ORAL SOLN
MINOCYCLINE 50 MG CAPSULE
TRETINOIN 0.025% CREAM
TRETINOIN 0.025% CREAM

DOSE FORM DRUG STRENGTH


TA
YR
YR
TA
CA
HJ
TA
TA
TA
TA
TA
TA
PA
PA
TA
YL
PA
SC
SC
TA
TA
TA
TA
YR
YR
YR
SO
TM
TM
TM
TI
CS
CS
SO
TA
TA
TA
CS
CS
SO
CS
CS
CS
TA
TA
SO
TM
TM
TM
SJ
CA
KA
KA

UNIT PRICE
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21

NDC
54569496300
54569552000
54643564100
54643564101
54799051305
54868012402
54868012403
54868038901
54868062901
54868063800
54868103401
54868148600
54868176001
54868176002
54868182800
54868182802
54868239000
54868255100
54868262400
54868262401
54868311800
54868336300
54868336301
54868412600
54868412601
54868426100
54868426101
54868426102
54868429900
54868442000
54868468700
54868468701
54868468702
54868501100
54868501101
54868501102
54868514400
54868514401
54868514402
54868518000
54868518001
54868521400
54868521401
54868531400
55045174506
55045174508
55045211405
55045326608
55111014605
55111014630
55289014801
55289014879
55289020230

NAME
PEDIAMIST NASAL MIST
TANAFED DP SUSPENSION
MULTI-12 VIAL
MULTI-12 VIAL
TOBRASOL 0.3% EYE DROPS
AMITRIP/PERPHEN 10-2 TABLET
AMITRIP/PERPHEN 10-2 TABLET
AVC 15% CREAM
BETAGAN 0.5% EYE DROPS
TOBREX 0.3% EYE DROPS
DIFLUCAN 200 MG TABLET
DILANTIN 30 MG KAPSEAL
RETIN-A 0.025% CREAM
RETIN-A 0.025% CREAM
THIORIDAZINE 100 MG TABLET
THIORIDAZINE 100 MG TABLET
MINOCYCLINE 50 MG CAPSULE
DILANTIN 50 MG INFATAB
BETAGAN 0.5% EYE DROPS
BETAGAN 0.5% EYE DROPS
TOBRAMYCIN 0.3% EYE DROPS
LEVOBUNOLOL 0.5% EYE DROPS
LEVOBUNOLOL 0.5% EYE DROPS
TRETINOIN 0.025% CREAM
TRETINOIN 0.025% CREAM
CLARITIN-D 12 HOUR TAB SA
CLARITIN-D 12 HOUR TAB SA
CLARITIN-D 12 HOUR TAB SA
OCUVITE LUTEIN CAPSULE
GLUCOTROL XL 2.5 MG TAB SA
DEMADEX 20 MG TABLET
DEMADEX 20 MG TABLET
DEMADEX 20 MG TABLET
DICLOFENAC SOD 100 MG TAB SA
DICLOFENAC SOD 100 MG TAB SA
DICLOFENAC SOD 100 MG TAB SA
FLUCONAZOLE 200 MG TABLET
FLUCONAZOLE 200 MG TABLET
FLUCONAZOLE 200 MG TABLET
TORSEMIDE 20 MG TABLET
TORSEMIDE 20 MG TABLET
AMILORIDE HCL 5 MG TABLET
AMILORIDE HCL 5 MG TABLET
MESALAMINE 4G/60 ML RECT SUSP
BONTRIL 105 MG CAPSULE SA
BONTRIL 105 MG CAPSULE SA
TOBRAMYCIN 0.3% EYE DROPS
DICLOFENAC SOD 100 MG TAB SA
FLUCONAZOLE 200 MG TABLET
FLUCONAZOLE 200 MG TABLET
DIFLUCAN 200 MG TABLET
DIFLUCAN 200 MG TABLET
MINOCYCLINE 50 MG CAPSULE

DOSE FORM DRUG STRENGTH


AM
SC
HV
HV
SO
TA
TA
KW
SO
SO
TA
CA
KA
KA
TA
TA
CA
TC
SO
SO
SO
SO
SO
KA
KA
TM
TM
TM
CA
TZ
TA
TA
TA
TI
TI
TI
TA
TA
TA
TA
TA
TA
TA
SF
CS
CS
SO
TI
TA
TA
TA
TA
CA

UNIT PRICE
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21

NDC
55289030207
55289030214
55289030228
55289030230
55289053730
55289063610
55289063620
55495011001
55499108201
55515025904
55515025907
55887072805
56091002330
56091002331
56091002334
57866034102
57866034104
57866340102
57866351002
57866464401
57866692501
58016048900
58016048902
58016048903
58016048910
58016048914
58016048915
58016048920
58016048921
58016048930
58016048940
58016048950
58016048960
58016048973
58016048989
58016048990
58016087300
58016087315
58016087320
58016087330
58016307201
58016329901
58016556901
58016607401
58016648900
58864073930
59262024821
59439068901
59630046504
59630046516
59762501801
59762503101
60258031216

NAME
PHENDIMETRAZINE 105 MG CP SA
PHENDIMETRAZINE 105 MG CP SA
PHENDIMETRAZINE 105 MG CP SA
PHENDIMETRAZINE 105 MG CP SA
BONTRIL 105 MG CAPSULE SA
CLARITIN-D 12 HOUR TAB SA
CLARITIN-D 12 HOUR TAB SA
ATABEX PRENATAL TABLET
MELFIAT-105 UNICELLES
MONODOX 100 MG CAPSULE
MONODOX 100 MG CAPSULE
TOBRAMYCIN 0.3% EYE DROPS
KLING FLUFF 6"X6.75" SPONGE
KLING FLUFF 6"X6.75" SPONGE
KLING FLUFF 6"X6.75" SPONGE
DOXYCYCLINE MONO 100 MG CAP
DOXYCYCLINE MONO 100 MG CAP
CLARITIN-D 12 HOUR TAB SA
CLARITIN-D 12 HOUR TAB SA
THIORIDAZINE 100 MG TABLET
DICLOFENAC SOD 100 MG TAB SA
DICLOFENAC SOD 100 MG TAB SA
DICLOFENAC SOD 100 MG TAB SA
DICLOFENAC SOD 100 MG TAB SA
DICLOFENAC SOD 100 MG TAB SA
DICLOFENAC SOD 100 MG TAB SA
DICLOFENAC SOD 100 MG TAB SA
DICLOFENAC SOD 100 MG TAB SA
DICLOFENAC SOD 100 MG TAB SA
DICLOFENAC SOD 100 MG TAB SA
DICLOFENAC SOD 100 MG TAB SA
DICLOFENAC SOD 100 MG TAB SA
DICLOFENAC SOD 100 MG TAB SA
DICLOFENAC SOD 100 MG TAB SA
DICLOFENAC SOD 100 MG TAB SA
DICLOFENAC SOD 100 MG TAB SA
MINOCYCLINE 50 MG CAPSULE
MINOCYCLINE 50 MG CAPSULE
MINOCYCLINE 50 MG CAPSULE
MINOCYCLINE 50 MG CAPSULE
RETIN-A 0.025% CREAM
RETIN-A 0.025% CREAM
TRETINOIN 0.025% CREAM
TOBREX 0.3% EYE DROPS
TOBRAMYCIN 0.3% EYE DROPS
ZOCOR 5 MG TABLET
SIMILASAN NASAL SPRAY
PEDIAMIST NASAL MIST
TANAFED DP SUSPENSION
TANAFED DP SUSPENSION
FLUCONAZOLE 200 MG TABLET
GLIPIZIDE XL 2.5 MG TABLET
BROMATAN-DM SUSPENSION

DOSE FORM DRUG STRENGTH


CS
CS
CS
CS
CS
TM
TM
TA
CS
CA
CA
SO
YV
YV
YV
CA
CA
TM
TM
TA
TI
TI
TI
TI
TI
TI
TI
TI
TI
TI
TI
TI
TI
TI
TI
TI
CA
CA
CA
CA
KA
KA
KA
SO
SO
TA
AT
AM
SC
SC
TA
TZ
SC

UNIT PRICE
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21

NDC
60505008200
60505012201
60505055301
60505055302
60505055303
60505055800
60758006005
60758006010
60758006015
61314022905
61314022910
61314022915
61314064305
61553015737
61553062037
61570002001
61570007401
61941001211
61941001212
61941001311
61941001312
61941001411
61941001412
61941002511
61941002512
61941002611
61941002612
61941004317
61941027012
61941027111
61953000201
61953000202
62037087130
62451010710
62451438515
62794014102
62794014103
62991102701
62991102702
62991117501
62991117502
62991117503
63304069401
63304080601
63304080630
63546025105
63546025110
63717057604
63736066255
63739033115
64193022805
64193022810
65234004710

NAME
SOTALOL HCL 240 MG TABLET
FLUCONAZOLE 200 MG TABLET
LEVOBUNOLOL 0.5% EYE DROPS
LEVOBUNOLOL 0.5% EYE DROPS
LEVOBUNOLOL 0.5% EYE DROPS
TOBRAMYCIN 0.3% EYE DROPS
LEVOBUNOLOL 0.5% EYE DROPS
LEVOBUNOLOL 0.5% EYE DROPS
LEVOBUNOLOL 0.5% EYE DROPS
LEVOBUNOLOL 0.5% EYE DROPS
LEVOBUNOLOL 0.5% EYE DROPS
LEVOBUNOLOL 0.5% EYE DROPS
TOBRAMYCIN 0.3% EYE DROPS
HYDROMORP/BUPIVA 20 MCG/0.06%
HYDROMORP/BUPIVA 20 MCG/0.06%
QUIBRON-T 300 MG TABLET
MENEST 1.25 MG TABLET
COLD-EEZE LOZENGES
COLD-EEZE LOZENGES
COLD-EEZE LOZENGES
COLD-EEZE LOZENGES
COLD-EEZE LOZENGES
COLD-EEZE LOZENGES
COLD-EEZE LOZENGES
COLD-EEZE LOZENGES
COLD-EEZE LOZENGES
COLD-EEZE LOZENGES
COLD-EEZE LOZENGES
COLD-EEZE LOZENGES
COLD-EEZE LOZENGES
HUMAN ALBUMIN GRIFOLS 25% VIAL
HUMAN ALBUMIN GRIFOLS 25% VIAL
GLIPIZIDE ER 2.5 MG TABLET
SOTALOL HCL 240 MG TABLET
LEVOBUNOLOL 0.5% EYE DROPS
AVITA 0.025% CREAM
AVITA 0.025% CREAM
CARBAMAZEPINE POWDER
CARBAMAZEPINE POWDER
ASPARTAME POWDER
ASPARTAME POWDER
ASPARTAME POWDER
MINOCYCLINE 50 MG CAPSULE
FLUCONAZOLE 200 MG TABLET
FLUCONAZOLE 200 MG TABLET
ALBUMIN-ZLB (HUMAN) 25% VL
ALBUMIN-ZLB (HUMAN) 25% VL
DYTAN-D SUSPENSION
PRIVINE 0.05% NASAL SPRAY
TORSEMIDE 20 MG TABLET
ALBUMIN (HUMAN) 25% VIAL
ALBUMIN (HUMAN) 25% VIAL
BONTRIL 105 MG CAPSULE SA

DOSE FORM DRUG STRENGTH


TA
TA
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
HZ
HZ
TA
TA
TL
TL
TL
TL
TL
TL
TL
TL
TL
TL
TL
TL
TL
HV
HV
TZ
TA
SO
KA
KA
PA
PA
PA
PA
PA
CA
TA
TA
HV
HV
SC
AS
TA
HV
HV
CS

UNIT PRICE
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21

NDC
65234004790
65234004791
65234005210
65234005224
66116066505
66267093605
66500010304
66530024320
66530024345
66813027204
66869015210
68030739201
68115005130
68115005190
68115045760
68115093905
68308012604
68516521302
68752070660
93190009001
93190009002
96295011224
96295011225
96295011267
99207001010
99207049710
99207049711
00003017360
00006006568
00009007002
00009523301
00009523401
00015322022
00015322122
00029604712
00029604720
00029604725
00034237230
00039003705
00043020018
00043020218
00043021218
00049546074
00049574066
00054483413
00054483422
00054840211
00054840213
00054840221
00054840411
00054840413
00054840421
00054883425

NAME
DOSE FORM DRUG STRENGTH
BONTRIL 105 MG CAPSULE SA
CS
PHENDIMETRAZINE TARTRATE 105MG CAP,SA
CS
NOLAHIST 25 MG TABLET
TA
NOLAHIST 25 MG TABLET
TA
TOBRAMYCIN 0.3% EYE DROPS
SO
TOBRAMYCIN 0.3% EYE DROPS
SO
AVC 15% CREAM
KW
TRETINOIN 0.025% CREAM
KA
TRETINOIN 0.025% CREAM
KA
BROVEX 12 MG/5 ML SUSPENSION
SC
DURATAN DM SUSPENSION
SC
TOBRAMYCIN 0.3% EYE DROPS
SO
BONTRIL 105 MG CAPSULE SA
CS
BONTRIL 105 MG CAPSULE SA
CS
DICLOFENAC SOD ER 100 MG TAB
TI
TOBRAMYCIN 0.3% EYE DROPS
SO
D-TANN SUSPENSION
SC
ALBUTEIN 25% VIAL
HV
DURAFLEX TABLET
TA
VENASTAT 300 MG CAPSULE SA
CO
VENASTAT 300 MG CAPSULE SA
CO
ALLERGY RELIEF D-12 TAB
TM
ALLERGY RELIEF D-12 TAB
TM
ACIDOPHILUS 16 MG CAPSULE
CA
LOPROX 1% SHAMPOO
SS
DYNACIN 50 MG CAPSULE
CA
DYNACIN 50 MG CAPSULE
CA
KENALOG 0.025% LOTION
SK
EDECRIN 25 MG TABLET
TA
TOLINASE 100 MG TABLET
TA
PEDIACARE CHEWABLE TABLET
TC
PEDIACARE CHEWABLE TABLET
TC
PLATINOL-AQ 1 MG/ML VIAL
HV
PLATINOL-AQ 1 MG/ML VIAL
HV
AMOXIL 875 MG TABLET
TA
AMOXIL 875 MG TABLET
TA
AMOXIL 875 MG TABLET
TA
BETADINE MEDICATED GEL
JG
CLAFORAN 1 GM/50 ML GALAXY
HK
TRIAMINIC COUGH/COLD CHEW
TC
TRIAMINIC SOFTCHEW TABLET
TC
TRIAMINIC SOFTCHEWS TABLET
TC
VISTARIL 50 MG/ML VIAL
HV
NAVANE 10 MG CAPSULE
CA
TAMOXIFEN 20 MG TABLET
TA
TAMOXIFEN 20 MG TABLET
TA
IPRATROPIUM BR 0.02% SOLN
SA
IPRATROPIUM BR 0.02% SOLN
SA
IPRATROPIUM BR 0.02% SOLN
SA
IPRATROPIUM BR 0.02% SOLN
SA
IPRATROPIUM BR 0.02% SOLN
SA
IPRATROPIUM BR 0.02% SOLN
SA
TAMOXIFEN 20 MG TABLET
TA

UNIT PRICE
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.21
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22

NDC
00067020018
00067020218
00067024617
00067400001
00067400101
00067400130
00067400230
00067601418
00067601518
00067609718
00071080624
00071080640
00074120901
00074150503
00074316313
00074316350
00074318002
00074340001
00074340101
00074340201
00074490118
00074492118
00074492123
00074492134
00078032882
00083024517
00085018402
00085018405
00085018406
00085023815
00085088723
00088177747
00091371501
00091371509
00091412201
00093078201
00093078256
00093104001
00093104005
00093226401
00093515001
00115701103
00115702701
00143120201
00143314501
00168033660
00172297860
00172430300
00172430310
00172430346
00172430360
00172436560
00172436570

NAME
DOSE FORM DRUG STRENGTH
TRIAMINIC COUGH/COLD CHEW
TC
TRIAMINIC SOFTCHEWS TABLET
TC
DOAN'S P.M. CAPLET
TA
LAMISIL AT 1% SPRAY
AU
LAMISIL AT 1% SPRAY
AU
LAMISIL AT 1% SPRAY
AU
LAMISIL AT 1% SOLUTION
SA
TRIAMINIC SOFTCHEWS TABLET
TC
TRIAMINIC COUGH/COLD CHEW
TC
TRIAMINIC SOFTCHEWS TABLET
TC
NEURONTIN 400 MG CAPSULE
CA
NEURONTIN 400 MG CAPSULE
CA
LIDOCAINE 1.5%/EPI 1:200,000
HH
DEXTRAN 70 6%/NS IV SOLN.
HM
BIAXIN 125 MG/5 ML SUSPENSION
PD
BIAXIN 125 MG/5 ML SUSPENSION
PD
LIDOCAINE 1.5%/EPI 1:200,000
HH
GENTAMICIN 10 MG/ML VIAL
HV
GENTAMICIN 10 MG/ML VIAL
HV
GENTAMICIN 10 MG/ML VIAL
HV
EPINEPHRINE 0.1 MG/ML SYRN
HQ
EPINEPHRINE 0.1 MG/ML ABBJCT
HQ
EPINEPHRINE 0.1 MG/ML ABBJCT
HQ
EPINEPHRINE 0.1 MG/ML ABBJCT
HQ
LAMISIL 1% SOLUTION
AU
DOAN'S P.M. CAPLET
TA
CHLOR-TRIMETON DECON REPETAB
TM
CHLOR-TRIMETON DECON REPETAB
TM
CHLOR-TRIMETON DECON REPETAB
TM
CORICIDIN NOSE MIST
AM
GYNE-LOTRIMIN 1% CREAM
KV
CARDIZEM SR 60 MG CAPSULE
CB
UNIVASC 15 MG TABLET
TA
UNIVASC 15 MG TABLET
TA
KU-ZYME CAPSULE
CA
TAMOXIFEN 20 MG TABLET
TA
TAMOXIFEN 20 MG TABLET
TA
GABAPENTIN 400 MG CAPSULE
CA
GABAPENTIN 400 MG CAPSULE
CA
AMOXICILLIN 875 MG TABLET
TA
MOEXIPRIL HCL 15 MG TABLET
TA
AMINOBENZOATE POT 500 MG TAB
TA
MEPERIDINE/PROMETHAZINE 50/25MG, 100'SCA
CORTISONE 25 MG TABLET
TA
EPHEDRINE SU 25 MG CAPSULE
CA
TRIAMCINOLONE 0.025% LOTION
SK
TOLAZAMIDE 100 MG TABLET
TA
CLOZAPINE 12.5 MG TABLET
TA
CLOZAPINE 12.5 MG TABLET
TA
CLOZAPINE 12.5 MG TABLET
TA
CLOZAPINE 12.5 MG TABLET
TA
LABETALOL HCL 200 MG TABLET
TA
LABETALOL HCL 200 MG TABLET
TA

UNIT PRICE
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22

NDC
00172438300
00172438310
00172438360
00172438370
00172438378
00172480660
00172565746
00172565760
00172565770
00172565780
00172640744
00172640749
00172670749
00172741142
00172741160
00172741170
00173034743
00173034744
00182139601
00182820300
00182820389
00185009401
00185009405
00185009410
00185011701
00185011705
00186026502
00186026503
00186115403
00228207310
00228266711
00228266750
00245001611
00245018311
00247065765
00247065865
00247091510
00247134905
00264196010
00270070717
00270070725
00270070750
00270070755
00310060430
00314089605
00314089610
00314089630
00314089670
00314089675
00314140070
00338102141
00338935837
00338942137

NAME
GABAPENTIN 400 MG CAPSULE
GABAPENTIN 400 MG CAPSULE
GABAPENTIN 400 MG CAPSULE
GABAPENTIN 400 MG CAPSULE
GABAPENTIN 400 MG CAPSULE
OXAZEPAM 30 MG CAPSULE
TAMOXIFEN 20 MG TABLET
TAMOXIFEN 20 MG TABLET
TAMOXIFEN 20 MG TABLET
TAMOXIFEN 20 MG TABLET
IPRATROPIUM BR 0.02% SOLN
IPRATROPIUM BR 0.02% SOLN
IPRATROPRIUM BROMIDE .02% SOLN, 60
AMOXICILLIN 875 MG TABLET
AMOXICILLIN 875 MG TABLET
AMOXICILLIN 875 MG TABLET
TRANDATE 200 MG TABLET
TRANDATE 200 MG TABLET
TRIMETHOBENZAMIDE 250 MG CAP
LABETALOL HCL 200 MG TABLET
LABETALOL HCL 200 MG TABLET
GABAPENTIN 400 MG CAPSULE
GABAPENTIN 400 MG CAPSULE
GABAPENTIN 400 MG CAPSULE
LABETALOL HCL 200 MG TABLET
LABETALOL HCL 200 MG TABLET
XYLOCAINE 1.5%/EPI 1:200,000
XYLOCAINE 1.5%/EPI 1:200,000
ASTRAMORPH 4 MG/ML AMPUL
OXAZEPAM 30 MG CAPSULE
GABAPENTIN 400 MG CAPSULE
GABAPENTIN 400 MG CAPSULE
FOLGARD RX 2.2 TABLET
FA-CYANOCOB-PYRIDOXINE TAB
METAPROTERENOL 0.4% SOLN
METAPROTERENOL 0.6% SOLN
EPINEPHRINE 0.1 MG/ML SYRN
MAXITROL EYE DROPS
DEXTRAN 70 6%/NS IV SOLN.
RENOGRAFIN-60 52/8 VIAL
RENOGRAFIN-60 52/8 VIAL
RENOGRAFIN-60 52/8 VIAL
RENOGRAFIN-60 52/8 VIAL
NOLVADEX 20 MG TABLET
SOLUREX 4 MG/ML VIAL
SOLUREX 4 MG/ML VIAL
SOLUREX 4 MG/ML VIAL
SOLUREX 4 MG/ML VIAL
SOLUREX 4 MG/ML VIAL
HYZINE 50 MG/ML VIAL
PEN GK 1MM UNITS/50ML ISO-OSM
HYDROMOR/BUPIVA 20 MCG/0.125%
HYDROMOR/BUPIVA 20 MCG/0.125%

DOSE FORM DRUG STRENGTH


CA
CA
CA
CA
CA
CA
TA
TA
TA
TA
SA
SA
SA
TA
TA
TA
TA
TA
CA
TA
TA
CA
CA
CA
TA
TA
HH
HH
HH
CA
CA
CA
TA
TA
SA
SA
HQ
SN
HM
HV
HV
HV
HV
TA
HV
HV
HV
HV
HV
HV
HK
HZ
HZ

UNIT PRICE
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22

NDC
00338942248
00378027401
00378027493
00378501001
00378501010
00378606001
00440856190
00472075123
00472075130
00472075160
00472075323
00472075330
00472075360
00487980101
00487980125
00487980130
00487980160
00496072903
00496072904
00496072906
00516005401
00516005410
00516008101
00516009201
00516009210
00517490125
00517490525
00517493025
00517560125
00517560225
00517561025
00548101400
00548101600
00548201600
00548331600
00555090401
00555090405
00555090414
00575022801
00591060601
00591060605
00597008062
00603306221
00603442421
00641227641
00641451086
00641451088
00677004601
00677090020
00677170201
00677170205
00703574711
00703574811

NAME
HYDROMOR/BUPIVA 20 MCG/0.125%
TAMOXIFEN 20 MG TABLET
TAMOXIFEN 20 MG TABLET
THIOTHIXENE 10 MG CAPSULE
THIOTHIXENE 10 MG CAPSULE
DILTIAZEM ER 60 MG CAP SA
THIOTHIXENE 10 MG CAPSULE
IPRATROPIUM BR 0.02% SOLN
IPRATROPIUM BR 0.02% SOLN
IPRATROPIUM BR 0.02% SOLN
IPRATROPIUM BR 0.02% SOLN
IPRATROPIUM BR 0.02% SOLN
IPRATROPIUM BR 0.02% SOLN
IPRATROPIUM BR 0.02% SOLN
IPRATROPIUM BR 0.02% SOLN
IPRATROPIUM BR 0.02% SOLN
IPRATROPIUM BR 0.02% SOLN
PRAMOSONE 1% LOTION
PRAMOSONE 1% LOTION
PRAMOSONE 1% LOTION
POTABA 500 MG TABLET
POTABA 500 MG TABLET
RENOQUID 250 MG TABLET
YODOXIN 210 MG TABLET
YODOXIN 210 MG TABLET
DEXAMETHASONE SP 4 MG/ML VL
DEXAMETHASONE SP 4 MG/ML VL
DEXAMETHASONE SP 4 MG/ML VL
HYDROXYZINE 50 MG/ML VIAL
HYDROXYZINE 50 MG/ML VIAL
HYDROXYZINE 50 MG/ML VIAL
EPINEPHRINE 0.1 MG/ML SYRN
EPINEPHRINE 0.1 MG/ML SYRN
EPINEPHRINE 0.1 MG/ML SYRN
EPINEPHRINE 0.1 MG/ML SYRN
TAMOXIFEN 20 MG TABLET
TAMOXIFEN 20 MG TABLET
TAMOXIFEN 20 MG TABLET
NEUTRA-PHOS-K POWDER
LABETALOL HCL 200 MG TABLET
LABETALOL HCL 200 MG TABLET
ATROVENT 0.02% SOLUTION
CORTISONE 25 MG TABLET
MEPROZINE 50/25 CAPSULE
DEXAMETHASONE 4 MG/ML VIAL
OXAZEPAM 30 MG CAPSULE
OXAZEPAM 30 MG CAPSULE
CORTISONE 25 MG TABLET
DEXASPORIN1% OPHTH SUSP
LABETALOL HCL 200 MG TABLET
LABETALOL HCL 200 MG TABLET
CISPLATIN-AQ 1 MG/ML VIAL
CISPLATIN-AQ 1 MG/ML VIAL

DOSE FORM DRUG STRENGTH


HZ
TA
TA
CA
CA
CB
CA
SA
SA
SA
SA
SA
SA
SA
SA
SA
SA
SK
SK
SK
TA
TA
TA
TA
TA
HV
HV
HV
HV
HV
HV
HQ
HQ
HQ
HQ
TA
TA
TA
PA
TA
TA
SA
TA
CA
HV
CA
CA
TA
SN
TA
TA
HV
HV

UNIT PRICE
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22

NDC
00781222901
00781222910
00781222913
00781281101
00785550002
00884076304
00884670010
00904204360
00904300305
00998063006
08011740020
08026402300
08026403100
08137005544
08290305201
08333356201
08881305018
08881305117
10019091001
10019091002
10106899101
10119002003
10119002010
10939023722
10956060811
11026262606
11845113008
11845122508
11980021105
11980021110
11980021115
12280009430
17317144703
17317144708
17478023910
23513060811
23900000805
24208028805
24208028810
24208028815
24208034425
24208039083
24208083060
37000054105
41163041867
44733048010
44733048030
44733048060
47113060610
48107004345
49348018309
49452442001
49452442002

NAME
THIOTHIXENE 10 MG CAPSULE
THIOTHIXENE 10 MG CAPSULE
THIOTHIXENE 10 MG CAPSULE
OXAZEPAM 30 MG CAPSULE
ZONE-A-1% LOTION
GRIS-PEG 125 MG TABLET
NALFON 300 MG CAPSULE
CORTISONE 25 MG TABLET
METHADEX EYE DROPS
MAXITROL EYE DROPS
BARD ADHESIVE REMOVER WIPES
UNI-SOLVE ADH REMOVER WIPES
REMOVE WIPES
PROXI-STRIP SKIN CLOSURES
FILTER NEEDLE
SOFT CLOTH 2X2.75" DRESSING
FILTER NEEDLE 5 MICRON
FILTER NEEDLE 5 MICRON
CISPLATIN 1 MG/ML VIAL
CISPLATIN 1 MG/ML VIAL
EDTA (EDETIC ACID) POWDER
MOISTURE EYES DROPS
MOISTURE EYES DROPS
V-R KAVA KAVA 250 MG CAPLET
DENTAPAINE GEL
OBSTETRIX EC CAPLET
DHEA 50 MG CAPSULE
DHEA 50 MG CAPSULE
FML LIQUIFILM 0.1% EYE DROP
FML LIQUIFILM 0.1% EYE DROP
FML LIQUIFILM 0.1% EYE DROP
IPRATROPIUM BR 0.02% SOLN
MENADIONE NA BISULF CRYST
MENADIONE NA BISULF CRYST
AK-TROL EYE DROPS
DENTAPAINE GEL
VICKS SINEX ULTRA FINE MIST
FLUOROMETHOLONE 0.1% DROPS
FLUOROMETHOLONE 0.1% DROPS
FLUOROMETHOLONE 0.1% DROPS
FLUNISOLIDE 0.025% SPRAY
FLUOR-I-STRIP
NEO/POLYMYXIN/DEXAMETH DROP
VICKS SINEX ULTRA FINE MIST
EQL ESTRO VITAL NUTRIENTS CPLT
DAIRYCARE CAPSULE EC
DAIRYCARE CAPSULE EC
DAIRYCARE CAPSULE EC
CLEANER CONTACT LENS DROPS
ST. JOHN'S WRT 1,000 MG SFTGL
V-R KAVA KAVA 250 MG CAPLET
MENADIONE SOD BISULFITE CRY
MENADIONE SOD BISULFITE CRY

DOSE FORM DRUG STRENGTH


CA
CA
CA
CA
SK
TA
CA
TA
SN
SN
EA
EA
EA
YT
YH
YE
YH
YH
HV
HV
PA
SO
SO
TA
JG
TE
CA
CA
SN
SN
SN
SA
PC
PC
SN
JG
AM
SN
SN
SN
AS
YR
SN
AM
TA
CE
CE
CE
SO
CA
TA
PC
PC

UNIT PRICE
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22

NDC
49452833001
49452833002
49502067603
49502067624
49502067803
49502067824
49502068503
49502068524
49502068529
49502068530
49502068533
49502068560
49502068561
49999014105
49999038705
51079058901
51079058920
51079092401
51079092420
51079092901
51079092920
51655052353
51655085524
51991025201
52041004515
52083035260
52152016602
52152019002
52297101609
52569013064
52769043025
52769043050
52959008501
52959015806
52959022610
52959022612
52959047910
52959047912
52959047920
52959047930
52959066120
52959066130
53191012301
53489035501
53489035505
53809030601
54092018705
54391001308
54569208600
54569340700
54569389600
54569427600
54569435900

NAME
ZINC PEROXIDE POWDER
ZINC PEROXIDE POWDER
METAPROTERENOL 0.6% SOLN
METAPROTERENOL 0.6% SOLN
METAPROTERENOL 0.4% SOLN
METAPROTERENOL 0.4% SOLN
IPRATROPIUM BR 0.02% SOLN
IPRATROPIUM BR 0.02% SOLN
IPRATROPIUM BR 0.02% SOLN
IPRATROPIUM BR 0.02% SOLN
IPRATROPIUM BR 0.02% SOLN
IPRATROPIUM BR 0.02% SOLN
IPRATROPIUM BR 0.02% SOLN
NEO-POLYMYXIN-DEXAMETH DROP
NEO-POLYMYXIN-DEXAMETH DROP
THIOTHIXENE 10 MG CAPSULE
THIOTHIXENE 10 MG CAPSULE
DILTIAZEM 60 MG CAPSULE SA
DILTIAZEM 60 MG CAPSULE SA
LABETALOL HCL 200 MG TABLET
LABETALOL HCL 200 MG TABLET
TRIMETHOBENZAMIDE 250 MG CAP
OXAZEPAM 30 MG CAPSULE
FOLPLEX 2.2 TABLET
IROFOL 150-1 MG CAPLET
APTIGEN-PLUS TABLET
TRIMETHOBENZAMIDE 250 MG CAP
MEPERIDINE/PROMETHAZINE CAP
HM KAVA KAVA 250 MG CAPLET
HM KAVA KAVA 250 MG CAPLET
PLASMA PROTEIN 5% IV SOLN
PLASMA PROTEIN 5% IV SOLN
NEO/POLYMYXIN/DEXAMETH DROP
ALUPENT 0.6% SOLUTION
TIGAN 250 MG CAPSULE
TIGAN 250 MG CAPSULE
TRIMETHOBENZAMIDE 250 MG CAP
TRIMETHOBENZAMIDE 250 MG CAP
TRIMETHOBENZAMIDE 250 MG CAP
TRIMETHOBENZAMIDE 250 MG CAP
AMOXICILLIN 875 MG TABLET
AMOXICILLIN 875 MG TABLET
DNZ-2 250 MG CAPSULE
LABETALOL HCL 200 MG TABLET
LABETALOL HCL 200 MG TABLET
ENZYCAP CAPSULE
TIGAN CAPSULES 250 MG
NEPHRO-FER 350 MG TABLET
FLUOR-I-STRIP
TRIMETHOBENZAMIDE 250 MG CAP
BIAXIN 125 MG/5 ML SUSPENSION
UNIVASC 15 MG TABLET
NEO/POLYMYXIN/DEXAMETH DROP

DOSE FORM DRUG STRENGTH


PA
PA
SA
SA
SA
SA
SA
SA
SA
SA
SA
SA
SA
SN
SN
CA
CA
CB
CB
TA
TA
CA
CA
TA
TA
TA
CA
CA
TA
TA
HM
HM
SN
SA
CA
CA
CA
CA
CA
CA
TA
TA
CA
TA
TA
CA
CA
TA
YR
CA
PD
TA
SN

UNIT PRICE
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22

NDC
54569437100
54569457800
54569460800
54569491000
54569519300
54799052005
54868023100
54868085600
54868085601
54868087100
54868087106
54868100401
54868199900
54868297300
54868297302
54868297303
54868297304
54868317900
54868321400
54868321401
54868393100
54868393101
54868393102
54868401200
54868401201
54868401202
54868408200
54868408201
54868408800
54868408801
54868408802
54868428700
54868428701
54868428702
54868454300
54868454301
54868454302
54868484400
54868484401
54868488300
54868488301
54868488302
54868491900
54868515100
54868515101
54868515102
55045162803
55045254500
55045254508
55045990303
55289021920
55289042810
55289042817

NAME
FLUOROMETHOLONE 0.1% DROPS
NEURONTIN 400 MG CAPSULE
AMOXIL 875 MG TABLET
IPRATROPIUM BR 0.02% SOLN
AMOXICILLIN 875 MG TABLET
POLY-DEX EYE DROPS
HYDROXYZINE 50 MG/ML VIAL
NALFON 300 MG CAPSULE
NALFON 300 MG CAPSULE
DEXAMETHASONE 4 MG/ML VIAL
DEXAMETHASONE 4 MG/ML VIAL
NORMODYNE 200 MG TABLET
DEXACIDIN EYE DROPS
TRIMETHOBENZAMIDE 250 MG CAP
TRIMETHOBENZAMIDE 250 MG CAP
TRIMETHOBENZAMIDE 250 MG CAP
TRIMETHOBENZAMIDE 250 MG CAP
ALUPENT 0.6% SOLUTION
DILTIAZEM ER 60 MG CAP SA
DILTIAZEM ER 60 MG CAP SA
NEURONTIN 400 MG CAPSULE
NEURONTIN 400 MG CAPSULE
NEURONTIN 400 MG CAPSULE
FLUOROMETHOLONE 0.1% DROPS
FLUOROMETHOLONE 0.1% DROPS
FLUOROMETHOLONE 0.1% DROPS
IPRATROPIUM BR 0.02% SOLN
IPRATROPIUM BR 0.02% SOLN
UNIVASC 15 MG TABLET
UNIVASC 15 MG TABLET
UNIVASC 15 MG TABLET
TAMOXIFEN 20 MG TABLET
TAMOXIFEN 20 MG TABLET
TAMOXIFEN 20 MG TABLET
AMOXICILLIN 875 MG TABLET
AMOXICILLIN 875 MG TABLET
AMOXICILLIN 875 MG TABLET
LABETALOL HCL 200 MG TABLET
LABETALOL HCL 200 MG TABLET
MOEXIPRIL HCL 15 MG TABLET
MOEXIPRIL HCL 15 MG TABLET
MOEXIPRIL HCL 15 MG TABLET
BIAXIN 125 MG/5 ML SUSPENSION
MEPROZINE 50/25 CAPSULE
MEPROZINE 50/25 CAPSULE
MEPROZINE 50/25 CAPSULE
TRIMETHOBENZAMIDE 250 MG CAP
NEURONTIN 400 MG CAPSULE
NEURONTIN 400 MG CAPSULE
EPINEPHRINE 0.1 MG/ML SYRN
TRIMETHOBENZAMIDE 250 MG CAP
TIGAN 250 MG CAPSULE
TIGAN 250 MG CAPSULE

DOSE FORM DRUG STRENGTH


SN
CA
TA
SA
TA
SN
HV
CA
CA
HV
HV
TA
SN
CA
CA
CA
CA
SA
CB
CB
CA
CA
CA
SN
SN
SN
SA
SA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
PD
CA
CA
CA
CA
CA
CA
HQ
CA
CA
CA

UNIT PRICE
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22

NDC
55289070720
55390009901
55390011250
55390011299
55390018701
55390041450
55390041499
55726080730
55887025930
55887025960
55887025982
55887025990
55887082905
57866443801
57866443802
57866443803
57866472702
57866661801
57866662301
57866697201
58016013300
58016013302
58016013303
58016013310
58016013314
58016013315
58016013320
58016013321
58016013328
58016013330
58016013340
58016013350
58016013360
58016013390
58016043300
58016043310
58016043314
58016043315
58016043320
58016043321
58016043328
58016043330
58016043340
58016043350
58016043360
58016043390
58016064300
58016064302
58016064304
58016064309
58016064312
58016064315
58016064318

NAME
AMOXICILLIN 875 MG TABLET
CISPLATIN 1 MG/ML VIAL
CISPLATIN 1 MG/ML VIAL
CISPLATIN 1 MG/ML VIAL
CISPLATIN 1 MG/ML VIAL
CISPLATIN 1 MG/ML VIAL
CISPLATIN 1 MG/ML VIAL
CPC-CORT-D 4 MG/ML VIAL
LABETALOL HCL 200 MG TABLET
LABETALOL HCL 200 MG TABLET
LABETALOL HCL 200 MG TABLET
LABETALOL HCL 200 MG TABLET
NEO-POLYMYXIN-DEXAMETH DROP
THIOTHIXENE 10 MG CAPSULE
THIOTHIXENE 10 MG CAPSULE
THIOTHIXENE 10 MG CAPSULE
TRIMETHOBENZAMIDE 250 MG CAP
NOLVADEX 20 MG TABLET
LABETALOL HCL 200 MG TABLET
OXAZEPAM 30 MG CAPSULE
GABAPENTIN 400 MG CAPSULE
GABAPENTIN 400 MG CAPSULE
GABAPENTIN 400 MG CAPSULE
GABAPENTIN 400 MG CAPSULE
GABAPENTIN 400 MG CAPSULE
GABAPENTIN 400 MG CAPSULE
GABAPENTIN 400 MG CAPSULE
GABAPENTIN 400 MG CAPSULE
GABAPENTIN 400 MG CAPSULE
GABAPENTIN 400 MG CAPSULE
GABAPENTIN 400 MG CAPSULE
GABAPENTIN 400 MG CAPSULE
GABAPENTIN 400 MG CAPSULE
GABAPENTIN 400 MG CAPSULE
NEURONTIN 400 MG CAPSULE
NEURONTIN 400 MG CAPSULE
NEURONTIN 400 MG CAPSULE
NEURONTIN 400 MG CAPSULE
NEURONTIN 400 MG CAPSULE
NEURONTIN 400 MG CAPSULE
NEURONTIN 400 MG CAPSULE
NEURONTIN 400 MG CAPSULE
NEURONTIN 400 MG CAPSULE
NEURONTIN 400 MG CAPSULE
NEURONTIN 400 MG CAPSULE
NEURONTIN 400 MG CAPSULE
AMOXICILLIN 875 MG TABLET
AMOXICILLIN 875 MG TABLET
AMOXICILLIN 875 MG TABLET
AMOXICILLIN 875 MG TABLET
AMOXICILLIN 875 MG TABLET
AMOXICILLIN 875 MG TABLET
AMOXICILLIN 875 MG TABLET

DOSE FORM DRUG STRENGTH


TA
HV
HV
HV
HV
HV
HV
HV
TA
TA
TA
TA
SN
CA
CA
CA
CA
TA
TA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22

NDC
58016064320
58016064321
58016064324
58016064330
58016064340
58016064350
58016064360
58016064389
58016064390
58016064399
58016097300
58016097302
58016097303
58016097308
58016097310
58016097312
58016097315
58016097320
58016097324
58016097330
58016097350
58016097360
58016097373
58016097389
58016097390
58016604101
58016929901
58177002704
58177003704
58177044004
58768025005
58768035805
58768035810
58768035815
58864036801
59762502801
59879011501
59930163604
60258023516
60258081001
60429074001
60429074050
60429074090
60432056060
60505011401
60505011405
60505080601
60505080701
60505080801
60758088005
60758088010
60758088015
60976007501

NAME
DOSE FORM DRUG STRENGTH
AMOXICILLIN 875 MG TABLET
TA
AMOXICILLIN 875 MG TABLET
TA
AMOXICILLIN 875 MG TABLET
TA
AMOXICILLIN 875 MG TABLET
TA
AMOXICILLIN 875 MG TABLET
TA
AMOXICILLIN 875 MG TABLET
TA
AMOXICILLIN 875 MG TABLET
TA
AMOXICILLIN 875 MG TABLET
TA
AMOXICILLIN 875 MG TABLET
TA
AMOXICILLIN 875 MG TABLET
TA
TRIMETHOBENZAMIDE 250 MG CAP
CA
TRIMETHOBENZAMIDE 250 MG CAP
CA
TRIMETHOBENZAMIDE 250 MG CAP
CA
TRIMETHOBENZAMIDE 250 MG CAP
CA
TRIMETHOBENZAMIDE 250 MG CAP
CA
TRIMETHOBENZAMIDE 250 MG CAP
CA
TRIMETHOBENZAMIDE 250 MG CAP
CA
TRIMETHOBENZAMIDE 250 MG CAP
CA
TRIMETHOBENZAMIDE 250 MG CAP
CA
TRIMETHOBENZAMIDE 250 MG CAP
CA
TRIMETHOBENZAMIDE 250 MG CAP
CA
TRIMETHOBENZAMIDE 250 MG CAP
CA
TRIMETHOBENZAMIDE 250 MG CAP
CA
TRIMETHOBENZAMIDE 250 MG CAP
CA
TRIMETHOBENZAMIDE 250 MG CAP
CA
DEXASPORIN EYE DROPS
SN
HYDROXYZINE 50 MG/ML VIAL
HV
MEPERIDINE/PROMETHAZINE CAP
CA
TRIMETHOBENZAMIDE 250 MG CAP
CA
COMBGEN TABLET
TA
DEXACIDIN EYE DROPS
SN
FLUOR-OP 0.1% EYE DROPS
SN
FLUOR-OP 0.1% EYE DROPS
SN
FLUOR-OP 0.1% EYE DROPS
SN
NORMODYNE 200 MG TABLET
TA
GABAPENTIN 400 MG CAPSULE
CA
TRIMETHOBENZAMIDE 250 MG CAP
CA
LABETALOL HCL 200 MG TABLET
TA
DENAZE LIQUID
ST
LAPASE CAPSULE
CA
GABAPENTIN CAPSULES 400MG 100'S
CA
GABAPENTIN CAPSULES 400MG, 10 "UNIT OF CA
USE" BOTTLES OF 50 CAPSULES
GABAPENTIN 400 MG CAPSULE
CA
TRIAMCINOLONE 0.025% LOTION
SK
GABAPENTIN 400 MG CAPSULE
CA
GABAPENTIN 400 MG CAPSULE
CA
IPRATROPIUM BR 0.02% SOLN
SA
METAPROTERENOL SUL 0.4% SOL
SA
METAPROTERENOL SUL 0.6% SOL
SA
FLUOROMETHOLONE 0.1% DROPS
SN
FLUOROMETHOLONE 0.1% DROPS
SN
FLUOROMETHOLONE 0.1% DROPS
SN
CAPSIN 0.075% ANALGESIC LOT
SK

UNIT PRICE
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22

NDC
60976034747
61314032805
61314032810
61314032815
61314063006
61553015837
61553062137
61553062248
61553082041
61553082148
61570002201
61570002256
62175017737
63304060130
63304060190
63304068201
63304076301
63304076305
63304076320
63323005101
63323005102
63323010351
63323010364
63323010365
63323010391
63323010395
63323016501
63323016505
63323016530
63717055004
63717058004
63857032910
64661002016
65224052316
65271000112
65271000125
65271000130
65271000160
65483039210
65483039222
65483039250
65962000101
65962000201
65962000301
66116067520
66267020810
66267020820
66267095805
66440011002
66440011003
66758050122
66794000225
66794000230

NAME
LABETALOL HCL 200MG TAB
FLUOROMETHOLONE 0.1% DROPS
FLUOROMETHOLONE 0.1% DROPS
FLUOROMETHOLONE 0.1% DROPS
NEO/POLYMYXIN/DEXAMETH DROP
HYDROMOR/BUPIVA 20 MCG/0.125%
HYDROMOR/BUPIVA 20 MCG/0.125%
HYDROMOR/BUPIVA 20 MCG/0.125%
MORPHINE-NS 50 MG/50 ML
MORPHINE-NS 100 MG/100 ML
QUIBRON 90/150 CAPSULE
QUIBRON 90/150 CAPSULE
MOEXIPRIL HCL 15 MG TABLET
TAMOXIFEN 20 MG TABLET
TAMOXIFEN 20 MG TABLET
NALFON 300 MG CAPSULE
AMOXICILLIN 875 MG TABLET
AMOXICILLIN 875 MG TABLET
AMOXICILLIN 875 MG TABLET
HYDROXYZINE 50 MG/ML VIAL
HYDROXYZINE 50 MG/ML VIAL
CISPLATIN 1 MG/ML VIAL
CISPLATIN 1 MG/ML VIAL
CISPLATIN 1 MG/ML VIAL
CISPLATIN 1 MG/ML VIAL
CISPLATIN 1 MG/ML VIAL
DEXAMETHASONE 4 MG/ML VIAL
DEXAMETHASONE 4 MG/ML VIAL
DEXAMETHASONE 4 MG/ML VIAL
XIRATUSS SUSPENSION
DYTAN-CS SUSPENSION
SERAX 30 MG CAPSULE
J-TAN SUSPENSION
PEDIATEX 12 DM SUSPENSION
IPRATROPIUM BR 0.02% SOLN
IPRATROPIUM BR 0.02% SOLN
IPRATROPIUM BR 0.02% SOLN
IPRATROPIUM BR 0.02% SOLN
TRANDATE 200 MG TABLET
TRANDATE 200 MG TABLET
TRANDATE 200 MG TABLET
CHOCOBASE COMPOUND SUSP
CARACREAM COMPOUND SUSP
THERASOL LIQUID
AMOXICILLIN 875 MG TABLET
TRIMETHOBENZAMIDE 250 MG CAP
TRIMETHOBENZAMIDE 250 MG CAP
NEO/POLYMYXIN/DEXAMETH DROP
AEROKID SYRUP
AEROKID SYRUP
DEXAMETHASONE 4 MG/ML VIAL
IPRATROPIUM BR 0.02% SOLN
IPRATROPIUM BR 0.02% SOLN

DOSE FORM DRUG STRENGTH


TA
SN
SN
SN
SN
HZ
HZ
HZ
IR
IR
CA
CA
TA
TA
TA
CA
TA
TA
TA
HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
SC
SC
CA
SC
SC
SA
SA
SA
SA
TA
TA
TA
QF
QF
PI
TA
CA
CA
SN
ST
ST
HV
SA
SA

UNIT PRICE
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22

NDC
66794000260
68030304503
68030704601
68084008101
68084008108
68084008165
68084008190
68115003010
68115033920
68115062360
68115072300
68115095705
68308013004
68308032410
68308072904
68774030229
68774030235
76170040001
76170040020
00003011450
00003324908
00003324913
00009364301
00009364302
00023079815
00023079830
00025101131
00025101155
00029485120
00029485121
00029609424
00029609439
00029609445
00054455015
00054455025
00054855025
00062155201
00062313302
00065042615
00065042630
00069261066
00074453403
00074453404
00074712530
00078035752
00087078242
00093101501
00093101510
00093867574
00093867575
00093867578
00168027815
00168027830

NAME
IPRATROPIUM BR 0.02% SOLN
EPINEPHRINE 0.1 MG/ML SYRN
NEO-POLYMYXIN-DEXAMETH DROP
GABAPENTIN 400 MG CAPSULE
GABAPENTIN 400 MG CAPSULE
GABAPENTIN 400 MG CAPSULE
GABAPENTIN 400 MG CAPSULE
AMOXICILLIN 875 MG TABLET
TRIMETHOBENZAMIDE 250 MG CAP
TRIAMCINOLONE 0.025% LOTION
NEURONTIN 400 MG CAPSULE
NEO/POLYMYXIN/DEXAMETH DROP
D-TANN CT SUSPENSION
FOLCAPS TABLET
EXRATUSS SUSPENSION
CLARITHROMYCIN 125 MG/5 ML SUS
CLARITHROMYCIN 125 MG/5 ML SUS
AVOSIL OINTMENT
AVOSIL OINTMENT
VELOSEF 500 MG CAPSULE
ALOE VESTA 2-N-1 OINTMENT
ALOE VESTA 2-N-1 OINTMENT
DRAMAMINE 50 MG TABLET CHEW
DRAMAMINE 50 MG TABLET CHEW
REFRESH TEARS 0.5% DROPS
REFRESH TEARS 0.5% DROPS
ALDACTAZIDE 25/25 TABLET
ALDACTAZIDE 25/25 TABLET
RELAFEN 500 MG TABLET
RELAFEN 500 MG TABLET
AUGMENTIN ES-600 SUSPENSION
AUGMENTIN ES-600 SUSPENSION
AUGMENTIN ES-600 SUSPENSION
METHOTREXATE 2.5 MG TABLET
METHOTREXATE 2.5 MG TABLET
METHOTREXATE 2.5 MG TABLET
FLOXIN I.V. 4 MG/ML MINI-BAG
DELFEN CONTRACEPTIVE FOAM
TEARS NATURALE FORTE DROPS
TEARS NATURALE FORTE DROPS
PROCARDIA 20 MG CAPSULE
VANISHPOINT 21GX1" 10 ML SR
VANISHPOINT 21GX1.5 10 ML SR
IBERET-FOLIC 500 FILMTAB
TRILEPTAL 300 MG/5 ML SUSP
DURICEF 250 MG/5 ML ORAL SUSP
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
AMOX TR-K CLV 600-42.9/5 SUSP
AMOX TR-K CLV 600-42.9/5 SUSP
AMOX TR-K CLV 600-42.9/5 SUSP
AMCINONIDE 0.1% CREAM
AMCINONIDE 0.1% CREAM

DOSE FORM DRUG STRENGTH


SA
HQ
SN
CA
CA
CA
CA
TA
CA
SK
CA
SN
SC
TA
SC
PD
PD
OA
OA
CA
OA
OA
TC
TC
SO
SO
TA
TA
TA
TA
PD
PD
PD
TA
TA
TA
HP
AF
SO
SO
CA
YL
YL
TS
SC
PD
TA
TA
PD
PD
PD
KA
KA

UNIT PRICE
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.22
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23

NDC
00168027860
00172409800
00172409810
00172409860
00172409870
00172740714
00172740722
00172740726
00173027055
00185014501
00185014505
00228253010
00228253030
00245001760
00247023709
00247023710
00247023715
00247023720
00247023728
00247023730
00247023740
00256017701
00338102341
00378001401
00378001450
00378014101
00378014105
00386000304
00394013012
00430278215
00430278217
00440839030
00440839060
00440839091
00469705415
00469705430
00469705460
00485005101
00514008406
00525074201
00555057202
00555057235
00677062401
00677062405
00677062407
00677062410
00677099006
00677178901
00677184701
00682010001
00682033301
00682300101
00781130601

NAME
AMCINONIDE 0.1% CREAM
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
AMOX TR-K CLV 600-42.9/5 SUSP
AMOX TR-K CLV 600-42.9/5 SUSP
AMOX TR-K CLV 600-42.9/5 SUSP
LANOXICAPS 0.05 MG CAPSULE
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NIFEDIPINE 20 MG CAPSULE
NIFEDIPINE 20 MG CAPSULE
FOLGARD TABLET
CEPHRADINE 500 MG CAPSULE
CEPHRADINE 500 MG CAPSULE
CEPHRADINE 500 MG CAPSULE
CEPHRADINE 500 MG CAPSULE
CEPHRADINE 500 MG CAPSULE
CEPHRADINE 500 MG CAPSULE
CEPHRADINE 500 MG CAPSULE
EXTENDRYL JR CAPSULE SA
PEN GK 2MM UNITS/50ML ISO-OSM
METHOTREXATE 2.5 MG TABLET
METHOTREXATE 2.5 MG TABLET
SPIRONOLACT/HCTZ 25/25 TAB
SPIRONOLACT/HCTZ 25/25 TAB
FLUORI-METHANE 85/15 SPRAY
MERIBIN 5 MG CAPSULE
DURICEF 250 MG/5 ML ORAL SUSP
DURICEF 250 MG/5 ML ORAL SUSP
SPIRONOLACT/HCTZ 25/25 TAB
SPIRONOLACT/HCTZ 25/25 TAB
SPIRONOLACT/HCTZ 25/25 TAB
CYCLOCORT 0.1% CREAM
CYCLOCORT 0.1% CREAM
CYCLOCORT 0.1% CREAM
UROGESIC-BLUE TABLET
FLEXFILM 2"X3" DRESSING
PANMIST LA 800/80 TABLET SA
METHOTREXATE 2.5 MG TABLET
METHOTREXATE 2.5 MG TABLET
SPIRONOLACT/HCTZ 25/25 TAB
SPIRONOLACT/HCTZ 25/25 TAB
SPIRONOLACT/HCTZ 25/25 TAB
SPIRONOLACT/HCTZ 25/25 TAB
MULTI FERROUS FOLIC 500 TAB
P-EPHED W/GUAIFEN CAPLET LA
PHENYLEPH/CPMM/SCOP LA TAB
PREHIST D TABLET SA
URIMAR-T TABLET
BACMIN CAPLET
NABUMETONE 500 MG TABLET

DOSE FORM DRUG STRENGTH


KA
TA
TA
TA
TA
PD
PD
PD
CA
TA
TA
CA
CA
TA
CA
CA
CA
CA
CA
CA
CA
CS
HK
TA
TA
TA
TA
AS
CA
PD
PD
TA
TA
TA
KA
KA
KA
TA
YE
TM
TA
TA
TA
TA
TA
TA
TS
TM
TM
TM
TA
TA
TA

UNIT PRICE
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23

NDC
00781130605
00813003801
00813003833
00904040861
00904174960
00904527152
08021415030
08080604500
08080654500
08137005561
08137008403
08219604500
08219644500
08219654500
08219684500
08290305128
08290305200
08290309638
08290309639
08290309642
08290309643
08290328203
08884474001
10119002090
10356075100
10542001409
10939005622
10956060010
11017010140
11017010390
11026291001
11822313910
11822316470
11822316520
11822348010
11822361680
11822361690
11845013902
12333015306
12539072701
12539505060
14600037011
19458600901
20525012705
23731603003
23734094817
23734422009
23734849004
23734947007
23734948004
23734948011
24385067630
25382070002

NAME
NABUMETONE 500 MG TABLET
O-CAL FA TABLET
O-CAL FA TABLET
NIFEDIPINE 20 MG CAPSULE
METHOTREXATE 2.5 MG TABLET
DHEA TABLET
FILTER NEEDLE 5 MICRON
CURITY DISP LAP SPONGE TRAY
CURITY DISP LAP SPONGE PCH
BIOCLUSIVE DRESSING 2" X 3"
J & J UNDERPADS 27.5"X30"
CURITY DISP LAP SPONGE TRAY
CURITY DISP LAP SPONGE POUCH
CURITY DISP LAP SPONGE POUCH
CURITY DISP LAP SPONGE
BD NEEDLES 30GX1"
FILTER NEEDLE
B-D 10 ML SYRINGE/NEEDLE
B-D 10 ML SYRINGE/NEEDLE
B-D 10 ML SYRINGE 21GX1"
B-D 10 ML SYRINGE 21GX1-1/2"
BD ORIGINAL PEN NEEDLES
BLISTERFILM 2"X3" DRESSING
OPCON-A EYE DROPS
CUTIFILM PLUS DRESSING
DIALYVITE 3,000 TABLET
V-R CALLUS PADS
TETRA-FORMULA LOZENGE
CORN CUSHION
CALLUS CUSHION
OXICAL TABLET
RA WART REMOVER LIQUID
RA LADIES FOAM INSOLE
RA CUSHION INSOLE MENS
RA WOMEN'S CUSHION INSOLES
RA REVIVE TEARS 0.5% DROPS
RA REVIVE TEARS 0.5% DROPS
FLEXI JOINT REL PLUS TABLET
FOOT AND SHOE PADDING
DRYSEC TABLET SA
VIGOREX CAPSULE
ENVIGOR CAPLET
ECK WART LIQUID
PYCNOGENOL 30 MG CAPSULE
TRICITRASOL 46.7% VIAL
MAXICARE 28"X30" UNDERPAD
ECONOMY UNDERPAD
MAXICARE 28"X30" UNDERPAD
MAXICARE 28"X30" UNDERPAD
MAXICARE 28"X30" UNDERPAD
MAXICARE 28"X30" UNDERPAD
ANTI-FUNGAL LIQUID
DERMAFILM 2"X3" DRESSING

DOSE FORM DRUG STRENGTH


TA
TA
TA
CA
TA
TA
YH
YV
YV
YE
EA
YV
YV
YV
YV
YH
YH
YL
YL
YL
YL
YH
YE
SO
YE
TA
EA
TL
EA
EA
ZD
SL
EA
EA
EA
SO
SO
TA
EA
TM
CA
TA
SL
CA
HV
EA
EA
EA
EA
EA
EA
SL
YE

UNIT PRICE
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23

NDC
25382080002
30727033195
38472044001
38472044002
38472044003
38472044360
38472044361
38472044362
38472044363
38472044364
38472044365
38472044366
38472044400
38472044401
38472044402
38472044403
38472044404
38472044405
38472044406
38779017704
38779017705
38779017708
38779017709
41608000512
41608000532
48107003977
48107004076
48107004980
48107005029
48107005033
48107005040
48107005045
49452045901
49452045902
49452547301
49452740001
49452740002
49614010453
49614030505
49999010200
49999010214
49999010215
49999010220
49999010230
49999010260
49999012414
49999012430
49999038024
50428337956
50428343228
50428345280
51079010401
51079010420

NAME
DERMASITE 2"X3" DRESSING
HYDROCHLORIC ACID 2 MG/ML VL
HEEL CUSHION
HEEL CUSHION
HEEL CUSHION
ARCH SUPPORTS,ORTHOTIC
ARCH SUPPORTS,ORTHOTIC
ARCH SUPPORTS,ORTHOTIC
ARCH SUPPORTS,ORTHOTIC
ARCH SUPPORTS,ORTHOTIC
ARCH SUPPORTS,ORTHOTIC
ARCH SUPPORTS,ORTHOTIC
ARCH SUPPORTS,ORTHOTIC
ARCH SUPPORTS,ORTHOTIC
ARCH SUPPORTS,ORTHOTIC
ARCH SUPPORTS,ORTHOTIC
ARCH SUPPORTS,ORTHOTIC
ARCH SUPPORTS,ORTHOTIC
ARCH SUPPORTS,ORTHOTIC
PIRACETAM POWDER
PIRACETAM POWDER
PIRACETAM POWDER
PIRACETAM POWDER
NORFORMS UNSCENTED SUPPOS
NORFORMS HERBAL SUPPOSITORY
MULTI GINSENG&SAW PALMETTO
DONG QUAI 125 MG CAPSULE
SOY ISOFLAVONE 50 MG CAPSULE
Z-PLEX SOFTGEL
BONEPLEX TABLET
CARDIOFLOW SOFTGEL
CELLSURE SOFTGEL
AMINOSALICYLIC ACID POWDER
AMINOSALICYLIC ACID POWDER
PIRACETAM POWDER
SUCCINYLSULFATHIAZOLE POWDR
SUCCINYLSULFATHIAZOLE POWDR
COUGH & SORE THROAT LOZENGE
ARTIFICIAL TEARS DROPS
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
RELAFEN 500 MG TABLET
RELAFEN 500 MG TABLET
METHOTREXATE 2.5 MG TABLET
CVS CORN CUSHION
CVS CALLUS CUSHION
CVS MOLESKIN PLUS
SPIRONOLACT/HCTZ 25/25 TAB
SPIRONOLACT/HCTZ 25/25 TAB

DOSE FORM DRUG STRENGTH


YE
HV
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
PA
PA
PA
PA
QC
QC
CA
CA
CA
CA
TA
CA
CA
PA
PA
PA
PA
PA
TL
SO
TA
TA
TA
TA
TA
TA
TA
TA
TA
EA
EA
EA
TA
TA

UNIT PRICE
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23

NDC
51079067001
51079067005
51079098901
51079098920
51552062204
51552062205
51552062206
51552062207
51672405401
51672405402
51672405403
51927107800
51927221300
51991006204
51991006216
51991026604
51991026616
51991070001
52083026160
52152004814
52604012701
52604040601
52959003214
52959003220
52959003228
52959003240
52959003242
52959022714
52959022715
52959022720
52959022728
52959022730
52959022740
52959022760
52959024400
52959027720
52959027728
52959048830
52959065014
52959065020
52959065030
52959065040
52959065060
53329002639
53335003612
53335003615
53335010612
53489014401
53489014405
53489014410
53567070002
53567080002
54002009023

NAME
METHOTREXATE 2.5 MG TABLET
METHOTREXATE 2.5 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
PIRACETAM POWDER
PIRACETAM POWDER
PIRACETAM POWDER
PIRACETAM POWDER
AMCINONIDE 0.1% CREAM
AMCINONIDE 0.1% CREAM
AMCINONIDE 0.1% CREAM
AMINOSALICYLIC ACID POWDER
PIRACETAM POWDER
DUOTAN DM SUSPENSION
DUOTAN DM SUSPENSION
V-TANN SUSPENSION B.I.D
V-TANN SUSPENSION B.I.D.
DURADRYL JR CAPSULE SA
BICARSIM FORTE TABLET
MULTI-RET FOLIC 500 TABLET
VANEX FORTE-D TABLET SA
DRIZE-R TABLET SA
CEPHRADINE 500 MG CAPSULE
CEPHRADINE 500 MG CAPSULE
CEPHRADINE 500 MG CAPSULE
CEPHRADINE 500 MG CAPSULE
CEPHRADINE 500 MG CAPSULE
RELAFEN 500 MG TABLET
RELAFEN 500 MG TABLET
RELAFEN 500 MG TABLET
RELAFEN 500 MG TABLET
RELAFEN 500 MG TABLET
RELAFEN 500 MG TABLET
RELAFEN 500 MG TABLET
METHOTREXATE 2.5 MG TABLET
RELAFEN 500 MG TABLET
RELAFEN 500 MG TABLET
NIFEDIPINE 20 MG CAPSULE
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
SURESITE IV CATHETER DRESS
ISO-B CAPSULE
ISO-B CAPSULE
AMINO-CR 200 MCG CAPSULE
SPIRONOLACT/HCTZ 25/25 TAB
SPIRONOLACT/HCTZ 25/25 TAB
SPIRONOLACT/HCTZ 25/25 TAB
DERMAFILM 2"X3" DRESSING
DERMASITE 2"X3" DRESSING
HYPERION DRESSING

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
PA
PA
PA
PA
KA
KA
KA
PA
PA
SC
SC
SC
SC
CS
TA
TS
TM
TM
CA
CA
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
TA
TA
TA
TA
TA
YE
CA
CA
CA
TA
TA
TA
YE
YE
YE

UNIT PRICE
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23

NDC
54002010023
54569050200
54569063200
54569353500
54569353501
54569353502
54569353503
54569353504
54569353505
54569353506
54569353507
54569356700
54569530300
54569530301
54569530302
54569530304
54569530305
54569530307
54569531400
54569534400
54569551800
54569552200
54868069901
54868069902
54868139200
54868152100
54868152102
54868168600
54868201400
54868201402
54868201403
54868201404
54868222800
54868382603
54868382604
54868382605
54868382606
54868415600
54868448700
54868455600
54868455601
54868455602
54868455603
54868468000
54868468001
54868470200
54868516500
55045190805
55045190807
55045190808
55045300701
55045300707
55045300708

NAME
HYPERION DRESSING
SPIRONOLACT/HCTZ 25/25 TAB
EXTENDRYL JR CAPSULE SA
RELAFEN 500 MG TABLET
RELAFEN 500 MG TABLET
RELAFEN 500 MG TABLET
RELAFEN 500 MG TABLET
RELAFEN 500 MG TABLET
RELAFEN 500 MG TABLET
RELAFEN 500 MG TABLET
RELAFEN 500 MG TABLET
FLUORI-METHANE 85/15 SPRAY
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
AUGMENTIN ES-600 SUSPENSION
AUGMENTIN ES-600 SUSPENSION
AUGMENTIN ES-600 SUSPENSION
AUGMENTIN ES-600 SUSPENSION
SPIRONOLACT/HCTZ 25/25 TAB
SPIRONOLACT/HCTZ 25/25 TAB
DURICEF 250 MG/5 ML ORAL SUSP
NIFEDIPINE 20 MG CAPSULE
NIFEDIPINE 20 MG CAPSULE
REFRESH TEARS 0.5% DROPS
RELAFEN 500 MG TABLET
RELAFEN 500 MG TABLET
RELAFEN 500 MG TABLET
RELAFEN 500 MG TABLET
CYCLOCORT 0.1% CREAM
METHOTREXATE 2.5 MG TABLET
METHOTREXATE 2.5 MG TABLET
METHOTREXATE 2.5 MG TABLET
METHOTREXATE 2.5 MG TABLET
FLUORI-METHANE SPRAY
HISTA-VENT DA TABLET SA
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
AUGMENTIN ES-600 SUSPENSION
AUGMENTIN ES-600 SUSPENSION
P-EPHED W/GUAIFEN TABLET
AMOX TR-K CLV 600-42.9/5 SUSP
RELAFEN 500 MG TABLET
RELAFEN 500 MG TABLET
RELAFEN 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET

DOSE FORM DRUG STRENGTH


YE
TA
CS
TA
TA
TA
TA
TA
TA
TA
TA
AS
TA
TA
TA
TA
TA
TA
PD
PD
PD
PD
TA
TA
PD
CA
CA
SO
TA
TA
TA
TA
KA
TA
TA
TA
TA
AS
TM
TA
TA
TA
TA
PD
PD
TM
PD
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23

NDC
55289001510
55289001514
55289001520
55289001528
55289001530
55289001540
55289001560
55289059714
55289059720
55289059728
55289061120
55289061130
55860004575
55860561000
55887044060
55887074428
56091002461
56091006901
56091008453
56091008454
56091008456
57866611101
57866633301
57866633302
57866633303
57866633304
58016015510
58016015512
58016015515
58016015516
58016015518
58016015520
58016015528
58016015536
58016015540
58016061900
58016061902
58016061906
58016061910
58016061912
58016061914
58016061915
58016061920
58016061924
58016061928
58016061930
58016061940
58016061950
58016061960
58016061990
58016062090
58177022704
58177041304

NAME
RELAFEN 500 MG TABLET
RELAFEN 500 MG TABLET
RELAFEN 500 MG TABLET
RELAFEN 500 MG TABLET
RELAFEN 500 MG TABLET
RELAFEN 500 MG TABLET
RELAFEN 500 MG TABLET
CEPHRADINE 500 MG CAPSULE
CEPHRADINE 500 MG CAPSULE
CEPHRADINE 500 MG CAPSULE
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
OPSITE DRESSING 2" X 3"
UNIFLEX TRANSP DRESSING 2"X3"
NABUMETONE 500 MG TABLET
RELAFEN 500 MG TABLET
BIOCLUSIVE DRESSING 2" X 3"
KLING CONFORMING GAUZE BNDG
JOHNSON & JOHNSON UNDERPAD
JOHNSON & JOHNSON UNDERPAD
JOHNSON & JOHNSON UNDERPAD
SPIRONOLACTONE 25/25 TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
CEPHRADINE 500 MG CAPSULE
CEPHRADINE 500 MG CAPSULE
CEPHRADINE 500 MG CAPSULE
CEPHRADINE 500 MG CAPSULE
CEPHRADINE 500 MG CAPSULE
CEPHRADINE 500 MG CAPSULE
CEPHRADINE 500 MG CAPSULE
CEPHRADINE 500 MG CAPSULE
CEPHRADINE 500 MG CAPSULE
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NIFEDIPINE 20 MG CAPSULE
HISTA-VENT DA TABLET SA
GUAIFENEX PSE 80 TABLET

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
CA
CA
CA
TA
TA
YE
YE
TA
TA
YE
YE
EA
EA
EA
TA
TA
TA
TA
TA
CA
CA
CA
CA
CA
CA
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
TM
TM

UNIT PRICE
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23

NDC
58790000032
58864064020
58864079730
58864087520
58914001006
59196000201
59196006501
59390018513
59390018518
59762501401
60258017706
60267074230
60432022604
60432022616
60760001560
61470101401
61553082748
61598010010
61598020010
63370018035
63370018045
63370018050
63370018062
63717010306
63717081001
64661002216
64915075460
64980011006
66239021304
66239021316
66239030704
66239030716
66267018914
66267018920
66267018928
66267048220
66267048230
66267048240
66346003158
66346003165
66440237601
66479073292
66479073294
66813018004
66813027416
66993011002
66993054257
67555012508
68030604601
68030604602
68030604603
68030633301
68030633302

NAME
THERA TEARS 0.25% EYE DROPS
P-EPHED W/GUAIFEN TABLET LA
NIFEDIPINE 20 MG CAPSULE
GUAIFENEX PSE 80 TABLET
ADEKS
OMNIHIST L.A. TABLET SA
WE MIST II LA TABLET SA
ULTRA FRESH 0.5% EYE DROPS
ULTRA FRESH 0.5% EYE DROPS
SPIRONOLACT/HCTZ 25/25 TAB
CF VITE WITH ZINC TAB CHEW
SAL-TROPINE 0.4 MG TABLET
C-PHED DM TANNATE SUSP
C-PHED DM TANNATE SUSP
NABUMETONE 500 MG TABLET
AMERIGEL OINTMENT
MORPHINE-D5W 100 MG/100 ML
PELEVERUS OINTMENT
PELEVERUS GOLD OINTMENT
PIRACETAM POWDER
PIRACETAM POWDER
PIRACETAM POWDER
PIRACETAM POWDER
ICAR 15 MG TABLET CHEW
ATREZA 0.4 MG TABLET
J-TAN D SUSPENSION
BILBERRY EXTRACT 160 MG CAP
NIAFOL TABLET
TANA DM SUSPENSION
TANA DM SUSPENSION
TANAVAN SUSPENSION
TANAVAN SUSPENSION
RELAFEN 500 MG TABLET
RELAFEN 500 MG TABLET
RELAFEN 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
VIRAVAN-S SUSPENSION
VIRAVAN-S SUSPENSION
AEROHIST PLUS CAPLET
DEXALONE 30 MG GELCAP
DEXALONE 30 MG GELCAP
LEVALL-12 SUSPENSION
BROVEX-D SUSPENSION
DRIHIST SR TABLET
T-TANNA DM SUSPENSION
VI-CAL TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET

DOSE FORM DRUG STRENGTH


DP
TM
CA
TM
TC
TM
TM
SO
SO
TA
TC
TA
SC
SC
TA
OA
IR
OA
OA
PA
PA
PA
PA
TC
TA
SC
CA
TA
SC
SC
SC
SC
TA
TA
TA
TA
TA
TA
SC
SC
TM
CA
CA
SC
SC
TM
SC
ZD
TA
TA
TA
TA
TA

UNIT PRICE
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23

NDC
68030633303
68030633304
68115024400
68115024430
68115024440
68115024460
68115024499
68115063200
74312000165
75137018305
87701089282
87701089291
93190018001
96295011285
00003011350
00003050270
00003066345
00019132373
00019132375
00019132377
00019132381
00019132383
00019132391
00023452605
00023452610
00024120301
00024120302
00024120315
00024120325
00037381112
00054386150
00069097193
00074120301
00074125301
00074125401
00074125502
00074126601
00074126701
00074127102
00074163110
00074277602
00074277623
00074349201
00074453401
00074453402
00074453405
00074453406
00074490818
00074492818
00074492834
00091352501
00093090001
00093090005

NAME
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
NABUMETONE 500 MG TABLET
METHOTREXATE 2.5 MG TABLET
ACETYL L-CARNITINE 250 MG CAPS
MOSCO LIQ CALLUS/CORN REMVR
GNP ANTI-FUNGAL LIQUID
BL ANTI-FUNGAL LIQUID
PROBIATA TABLET
SUPER MOLESKIN
VELOSEF 250 MG CAPSULE
KENALOG 0.1% LOTION
SUMYCIN 250 MG TABLET
OPTIRAY 320 (320 MG/ML) SYRN
OPTIRAY 320 (320 MG/ML) SYRN
OPTIRAY 320 (320 MG/ML) SYRN
OPTIRAY 320 (320 MG/ML) SYRN
OPTIRAY 320(320 MG/ML) SYRN
OPTIRAY 320 (320 MG/ML) SYRN
BETAGAN 0.25% EYE DROPS
BETAGAN 0.25% EYE DROPS
PRIMACOR 0.2 MG/ML/D5W 100 ML
PRIMACOR 0.2 MG/ML/D5W 200 ML
PRIMACOR 0.2 MG/ML/D5W 100 ML
PRIMACOR 0.2 MG/ML/D5W 200 ML
VOSOL HC EAR DROPS
THIORIDAZINE 100 MG/ML CONC
VIBRAMYCIN 50 MG/5 ML SYRUP
DEMEROL 50 MG/ML AMPUL
DEMEROL 50 MG/ML AMPUL
DEMEROL 75 MG/1.5 ML AMPUL
DEMEROL 50 MG/ML AMPUL
DEMEROL 50 MG/ML AMPUL
DEMEROL 50 MG/ML AMPUL
DEMEROL 50 MG/ML AMPUL
CALCIUM CHLORIDE 10% SYRNG
MILRINONE 0.2 MG/ML IN D5W
MILRINONE 0.2 MG/ML IN D5W
CECON 90 MG/ML DROPS
VANISHPOINT 20GX1" 10 ML SR
VANISHPOINT 10 ML 20GX1.5 SR
VANISHPOINT 22GX1" 10 ML SR
VANISHPOINT 22GX1.5 10 ML SR
CALCIUM CHLORIDE 10% SYRNG
CALCIUM CHLORIDE 10% ABBJCT
CALCIUM CHLORIDE 10% ABBJCT
KU-ZYME HP CAPSULE
KETOCONAZOLE 200 MG TABLET
KETOCONAZOLE 200 MG TABLET

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
CA
SL
SL
SL
TA
EA
CA
SK
TA
HQ
HQ
DI
HQ
HQ
DI
SO
SO
HP
HP
HP
HP
SO
SY
ST
HH
HH
HH
HH
HH
HH
HH
HQ
HP
HP
SO
YL
YL
YL
YL
HQ
HQ
HQ
CA
TA
TA

UNIT PRICE
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.23
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24

NDC
00168031430
00168031460
00168033760
00172298060
00172366960
00172444160
00172444170
00173040200
00173040201
00173040206
00173051800
00173051801
00182271901
00185003201
00185003210
00245015001
00245015011
00245033601
00245033611
00247034404
00247034420
00247034421
00247034424
00247034428
00247034430
00247034440
00247079807
00247079814
00247079830
00247083324
00247083330
00247083336
00247083360
00247083390
00247091805
00247091810
00276310101
00338102541
00338200348
00338601048
00338601137
00338934502
00378026101
00378055101
00406115501
00406115503
00406115534
00407140151
00407140152
00430022640
00472088282
00485005401
00525075901

NAME
CICLOPIROX 0.77% TOPICAL SUSP
CICLOPIROX 0.77% TOPICAL SUSP
TRIAMCINOLONE 0.1% LOTION
TOLAZAMIDE 500 MG TABLET
PERPHENAZINE 8 MG TABLET
GABAPENTIN 300 MG TABLET
GABAPENTIN 300 MG TABLET
ACLOVATE 0.05% OINTMENT
ACLOVATE 0.05% OINTMENT
ACLOVATE 0.05% OINTMENT
DILUENT FOR FLOLAN VIAL
DILUENT FOR FLOLAN VIAL
GABARONE 300 MG TABLET
RESERPINE 0.1 MG TABLET
RESERPINE 0.1 MG TABLET
KLOR-CON M15 TABLET
KLOR-CON M15 TABLET
POTASSIUM CL 15 MEQ TAB
POTASSIUM CL 15 MEQ TAB
CEPHRADINE 250 MG CAPSULE
CEPHRADINE 250 MG CAPSULE
CEPHRADINE 250 MG CAPSULE
CEPHRADINE 250 MG CAPSULE
CEPHRADINE 250 MG CAPSULE
CEPHRADINE 250 MG CAPSULE
CEPHRADINE 250 MG CAPSULE
PERPHENAZINE 8 MG TABLET
PERPHENAZINE 8 MG TABLET
PERPHENAZINE 8 MG TABLET
MYAMBUTOL 100 MG TABLET
MYAMBUTOL 100 MG TABLET
MYAMBUTOL 100 MG TABLET
MYAMBUTOL 100 MG TABLET
MYAMBUTOL 100 MG TABLET
LEVOBUNOLOL 0.25% EYE DROPS
LEVOBUNOLOL 0.25% EYE DROPS
ALERSULE CAPLET
PEN GK 3MM UNITS/50ML ISO-OSM
PIPRACIL 4 GM/D5W 100 ML PB
MILRINONE 0.2 MG/ML IN D5W
MILRINONE 0.2 MG/ML IN D5W
FENTA/BUPIVA/NS 20 MCG/0.25%
KETOCONAZOLE 200 MG TABLET
TOLAZAMIDE 500 MG TABLET
THYMOL IODIDE POWDER
THYMOL IODIDE POWDER
THYMOL IODIDE POWDER
OMNIPAQUE 140 MG/ML INFU BTL
IOHEXOL 302MG/ML INJ
NATAFORT TABLET
ACETASOL HC EAR DROPS
ED A-HIST TABLET SA
PANMIST DM TABLET

DOSE FORM DRUG STRENGTH


SK
SK
SK
TA
TA
TA
TA
OA
OA
OA
HV
HV
TA
TA
TA
TQ
TQ
TQ
TQ
CA
CA
CA
CA
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
SO
SO
TS
HK
HP
HP
HP
HZ
TA
TA
PA
PA
PA
HB
HB
TA
SO
TS
TM

UNIT PRICE
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24

NDC
00548100400
00548200400
00548330400
00573014430
00573014440
00573240040
00573240045
00591553801
00591553805
00591553825
00603509221
00603509228
00641113035
00677067501
00677067503
00677067505
00677170001
00677170007
00677186101
00781104801
00781104810
00781104813
08290309640
08290309641
08290309644
08290309645
10019015668
10106413100
10106413101
11701004705
11701006205
11845014115
11845014205
12280007790
12539012501
12830082201
12939091760
16837087306
16837087330
16837087361
17317057801
17317057802
17317057804
17317057805
17317080402
17317080403
24208054505
24208054510
38779001903
38779001904
38779001905
38779001908
38779001909

NAME
CALCIUM CHLORIDE 10% SYRNG
CALCIUM CHLORIDE 10% SYRNG
CALCIUM CHLORIDE 10% SYRNG
FLEXAGEN CAPLET
FLEXAGEN CAPLET
AXID AR 75 MG TABLET
AXID AR 75 MG TABLET
QUINIDINE GLUC 324 MG TAB SA
QUINIDINE GLUC 324 MG TAB SA
QUINIDINE GLUC 324 MG TAB SA
PERPHENAZINE 8 MG TABLET
PERPHENAZINE 8 MG TABLET
MEPERIDINE 50 MG/ML AMPUL
QUINIDINE GLUC 324 MG TAB ER
QUINIDINE GLUC 324 MG TAB ER
QUINIDINE GLUC 324 MG TAB ER
KETOCONAZOLE 200 MG TABLET
KETOCONAZOLE 200 MG TABLET
GUAIFEN/DM HB/P-EPD TAB SA
PERPHENAZINE 8 MG TABLET
PERPHENAZINE 8 MG TABLET
PERPHENAZINE 8 MG TABLET
B-D 10 ML SYRINGE 22GX1"
B-D 10 ML SYRINGE 22GX1-1/2"
B-D 10 ML SYRINGE 20GX1"
B-D 10 ML SYRINGE 20GX1-1/2"
MEPERIDINE 50 MG/ML AMPUL
THYMOL IODIDE POWDER
THYMOL IODIDE POWDER
BAZA CLEANSE/PROTECT 2% LOT
BAZA CLEANSE & PROTECT LOTN
CO Q-10-VIT E-FISH OIL SFGL
POLICOSANOL-GARLIC-NIACIN CAP
GABAPENTIN 300 MG TABLET
OTOMYCET-HC EAR DROPS
EZFE 225 MG CAPLET
YOHIMAR DUOPACK TABLET
PEPCID AC 10 MG TABLET CHEW
PEPCID AC 10 MG TABLET CHEW
PEPCID AC 10 MG TABLET CHEW
THYMOL IODIDE POWDER PURIF
THYMOL IODIDE POWDER PURIF
THYMOL IODIDE POWDER PURIF
THYMOL IODIDE POWDER PURIF
N-ACETYL-L-CYSTEINE POWDER
N-ACETYL-L-CYSTEINE POWDER
LEVOBUNOLOL 0.25% EYE DROPS
LEVOBUNOLOL 0.25% EYE DROPS
CLOTRIMAZOLE POWDER
CLOTRIMAZOLE POWDER
CLOTRIMAZOLE POWDER
CLOTRIMAZOLE POWDER
CLOTRIMAZOLE POWDER

DOSE FORM DRUG STRENGTH


HQ
HQ
HQ
TA
TA
TA
TA
TS
TS
TS
TA
TA
HH
TS
TS
TS
TA
TA
TM
TA
TA
TA
YL
YL
YL
YL
HH
PA
PA
AU
AU
CA
CA
TA
SO
TA
TA
TC
TC
TC
PA
PA
PA
PA
PA
PA
SO
SO
PA
PA
PA
PA
PA

UNIT PRICE
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24

NDC
38779002404
38779002405
38779002409
38779014604
38779014605
38779014608
38779049504
38779049505
38779049508
38779049509
41100005819
41100008282
47046002000
47046430000
48107004861
48433027015
49158019743
49452009001
49452009002
49452009701
49452009702
49452009703
49452214801
49452214802
49452471701
49452471702
49452471703
49452472601
49452472602
49452472603
49452608301
49452608302
49452608303
49452780001
49452780002
49452780003
49884079701
49999030130
49999053960
50111062101
50111062102
50383003804
50383085616
50383086604
50383086616
50458022010
51079002701
51079002720
51234010530
51234015604
51234015704
51479004601
51552003803

NAME
ERYTHROMYCIN STEARATE POWDR
ERYTHROMYCIN STEARATE POWDR
ERYTHROMYCIN STEARATE POWDR
METRONIDAZOLE POWDER
METRONIDAZOLE POWDER
METRONIDAZOLE POWDER
ACETYLCYSTEINE POWDER
ACETYLCYSTEINE POWDER
ACETYLCYSTEINE POWDER
ACETYLCYSTEINE POWDER
AFTATE 1% GEL
AFTATE 1% GEL
REJUVEX CAPLET
REPOSE CAPLET
ECHINACEA 300 MG TABLET
THYMOL IODIDE POWDER
ACETIC ACID W/HC EAR DROPS
N-ACETYL-L-CYSTEINE POWDER
N-ACETYL-L-CYSTEINE POWDER
ACETYLCYSTEINE POWDER
ACETYLCYSTEINE POWDER
ACETYLCYSTEINE POWDER
CLOTRIMAZOLE CRYSTALLINE
CLOTRIMAZOLE CRYSTALLINE
METRONIDAZOLE POWDER
METRONIDAZOLE POWDER
METRONIDAZOLE POWDER
METRONIDAZOLE POWDER
METRONIDAZOLE POWDER
METRONIDAZOLE POWDER
L-PROLINE CRYSTAL
L-PROLINE CRYSTAL
L-PROLINE CRYSTAL
THYMOL IODIDE POWDER
THYMOL IODIDE POWDER
THYMOL IODIDE POWDER
SUMYCIN 250 MG TABLET
KETOCONAZOLE 200 MG TABLET
GABAPENTIN 300 MG TABLET
KETOCONAZOLE 200 MG TABLET
KETOCONAZOLE 200 MG TABLET
THIORIDAZINE 100 MG/ML CONC
TANNATE-V-DM SUSPENSION
TANNATE DMP-DEX SUSPENSION
TANNATE DMP-DEX SUSPENSION
NIZORAL 200 MG TABLET
QUINIDINE GLUC 324 MG TAB SA
QUINIDINE GLUC 324 MG TAB SA
PIROSAL 50 MG/ML VIAL
RICOBID-D SUSPENSION
RICOBID-H SUSPENSION
MYAMBUTOL 100 MG TABLET
METRONIDAZOLE POWDER

DOSE FORM DRUG STRENGTH


PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
JG
JG
TA
TA
TA
PA
SO
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PC
PC
PC
PA
PA
PA
TA
TA
TA
TA
TA
SY
SC
SC
SC
TA
TS
TS
HV
SC
SC
TA
PA

UNIT PRICE
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24

NDC
51552003804
51552003805
51552003806
51552013805
51672131601
51672131603
51672131606
51672300701
51672402601
51672402606
51927134800
51927144900
51991014601
52083047060
52959019714
52959019720
52959019730
52959030820
52959030840
52959031901
52959053220
52959069900
52959069902
52959069920
52959069930
53335002114
53335004414
53489014101
53489014103
53489014105
53489055401
53489055407
53746028701
53746028705
54022102601
54162040004
54162040015
54162040028
54569124200
54569523700
54738055201
54738055202
54738090102
54868069801
54868079901
54868094001
54868094002
54868094003
54868094004
54868094006
54868163700
54868199701
54868268701

NAME
METRONIDAZOLE POWDER
METRONIDAZOLE POWDER
METRONIDAZOLE POWDER
CLOTRIMAZOLE CRYSTALLINE
ALCLOMETASONE DIP 0.05% OINT
ALCLOMETASONE DIP 0.05% OINT
ALCLOMETASONE DIP 0.05% OINT
ACETIC ACID W/HC EAR DROPS
KETOCONAZOLE 200 MG TABLET
KETOCONAZOLE 200 MG TABLET
CLOTRIMAZOLE POWDER
METRONIDAZOLE POWDER
COLDMIST DM TABLET
DIETEX FORTE CAPSULE
NIZORAL 200 MG TABLET
NIZORAL 200 MG TABLET
NIZORAL 200 MG TABLET
CEPHRADINE 250 MG CAPSULE
CEPHRADINE 250 MG CAPSULE
ACETASOL HC EAR DROPS
AXID AR 75 MG TABLET
KETOCONAZOLE 200 MG TABLET
KETOCONAZOLE 200 MG TABLET
KETOCONAZOLE 200 MG TABLET
KETOCONAZOLE 200 MG TABLET
AMINOXIN 20 MG TABLET EC
RIBO-2 5 MG TABLET EC
QUINIDINE GLUC 324 MG TAB SA
QUINIDINE GLUC 324 MG TAB SA
QUINIDINE GLUC 324 MG TAB SA
KETOCONAZOLE 200 MG TABLET
KETOCONAZOLE 200 MG TABLET
TOLAZAMIDE 500 MG TABLET
TOLAZAMIDE 500 MG TABLET
BROMELAIN 500 MG TABLET
THYMOL IODIDE POWDER
THYMOL IODIDE POWDER
THYMOL IODIDE POWDER
ACETIC ACID W/HC EAR DROPS
KETOCONAZOLE 200 MG TABLET
PERPHENAZINE 8 MG TABLET
PERPHENAZINE 8 MG TABLET
QUINIDINE GLUC ER 324 MG TAB
QUINIDINE GLUC 324 MG TAB SA
ACETASOL HC EAR DROPS
NIZORAL 200 MG TABLET
NIZORAL 200 MG TABLET
NIZORAL 200 MG TABLET
NIZORAL 200 MG TABLET
NIZORAL 200 MG TABLET
BETAGAN 0.25% EYE DROPS
CEPHRADINE 250 MG CAPSULE
PERPHENAZINE 8 MG TABLET

DOSE FORM DRUG STRENGTH


PA
PA
PA
PA
OA
OA
OA
SO
TA
TA
PA
PA
TM
CA
TA
TA
TA
CA
CA
SO
TA
TA
TA
TA
TA
TE
TE
TS
TS
TS
TA
TA
TA
TA
TA
PA
PA
PA
SO
TA
TA
TA
TS
TS
SO
TA
TA
TA
TA
TA
SO
CA
TA

UNIT PRICE
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24

NDC
54868309700
54868323001
54868333600
54868379300
54868492600
54868492601
54868507100
54868508600
54868508601
55045126302
55215014630
55289060815
55289060821
55289060830
55370055807
55726000930
56091006982
56091006992
57866211070
57866413301
57866413302
57866413303
57866657001
58016015400
58016015410
58016015412
58016015414
58016015416
58016015418
58016015420
58016015424
58016015430
58016015436
58016015440
58016016820
58016016830
58016028500
58016028502
58016028503
58016028510
58016028514
58016028515
58016028520
58016028521
58016028528
58016028530
58016028540
58016028550
58016028560
58016028590
58016608101
58016608110
58177032220

NAME
TRIAMCINOLONE 0.1% LOTION
DEMEROL 50 MG/ML AMPUL
ACLOVATE 0.05% OINTMENT
COTAZYM CAPSULE
PSEUDO-GUAIFEN-DEX TABLET
PSEUDO-GUAIFEN-DEX TABLET
KETOCONAZOLE 200 MG TABLET
CHLOR-MAL-PHENYLEPHRINE HCL TB
CHLOR-MAL-PHENYLEPHRINE HCL TB
ACETIC ACID W/HC EAR DROPS
SOD THIOSALICYLATE 50 MG/ML
CEPHRADINE 250 MG CAPSULE
CEPHRADINE 250 MG CAPSULE
CEPHRADINE 250 MG CAPSULE
KETOCONAZOLE 200 MG TABLET
CPC-THIOSAL 50 MG/ML VIAL
SOF-KLING CONFORMNG BANDAGE
SOF-KLING CONFORMNG BANDAGE
ACETIC ACID W/HC EAR DROPS
PERPHENAZINE 8 MG TABLET
PERPHENAZINE 8 MG TABLET
PERPHENAZINE 8 MG TABLET
KETOCONAZOLE 200 MG TABLET
CEPHRADINE 250 MG CAPSULE
CEPHRADINE 250 MG CAPSULE
CEPHRADINE 250 MG CAPSULE
CEPHRADINE 250 MG CAPSULE
CEPHRADINE 250 MG CAPSULE
CEPHRADINE 250 MG CAPSULE
CEPHRADINE 250 MG CAPSULE
CEPHRADINE 250 MG CAPSULE
CEPHRADINE 250 MG CAPSULE
CEPHRADINE 250 MG CAPSULE
CEPHRADINE 250 MG CAPSULE
NIZORAL 200 MG TABLET
NIZORAL 200 MG TABLET
GABAPENTIN 300 MG TABLET
GABAPENTIN 300 MG TABLET
GABAPENTIN 300 MG TABLET
GABAPENTIN 300 MG TABLET
GABAPENTIN 300 MG TABLET
GABAPENTIN 300 MG TABLET
GABAPENTIN 300 MG TABLET
GABAPENTIN 300 MG TABLET
GABAPENTIN 300 MG TABLET
GABAPENTIN 300 MG TABLET
GABAPENTIN 300 MG TABLET
GABAPENTIN 300 MG TABLET
GABAPENTIN 300 MG TABLET
GABAPENTIN 300 MG TABLET
ACETASOL HC EAR DROPS
ACETASOL HC EAR DROPS
NATALCARE CFE 60 TABLET

DOSE FORM DRUG STRENGTH


SK
HH
OA
CA
TM
TM
TA
TS
TS
SO
HV
CA
CA
CA
TA
HV
YE
YE
SO
TA
TA
TA
TA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
SO
SO
TA

UNIT PRICE
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24

NDC
58177043804
58238020701
58552030501
58864007440
58864045430
58864064620
59366600003
59366600006
59630047004
59630047016
59911590702
59911590802
60258027601
60432056160
60505009200
60505009202
60758006305
60758006310
61553014502
61553061002
61748001101
62451010150
62451452610
62794067001
62794067093
62991100301
62991100302
62991100303
62991100304
62991100305
62991100306
62991103501
62991103502
62991168501
62991168502
62991168503
63370000525
63370000535
63370000545
63370000550
63370000555
63370000562
64915040260
64915055012
64915055060
66116044514
66267099610
66346014165
66825000101
66825000102
66825000103
66992012504
67253050010

NAME
PSEUDOVENT DM TABLET
TRISPEC-DM PEDIATRIC DROPS
PHENABID TABLET
CEPHRADINE 250 MG CAPSULE
QUINIDINE GL 324 MG TAB SA
GUAIFEN/DM HB/P-EPD TAB SA
CICLOPIROX 0.77% TOPICAL SUSP
CICLOPIROX 0.77% TOPICAL SUSP
TANAFED DMX SUSPENSION
TANAFED DMX SUSPENSION
MILRINONE 0.2 MG/ML IN D5W
MILRINONE 0.2 MG/ML IN D5W
GFN595/PSE48/DM32
TRIAMCINOLONE 0.1% LOTION
KETOCONAZOLE 200 MG TABLET
KETOCONAZOLE 200 MG TABLET
LEVOBUNOLOL 0.25% EYE DROPS
LEVOBUNOLOL 0.25% EYE DROPS
FENTA/BUPIVA/NS 20 MCG/0.25%
FENTA/BUPIVA/NS 20 MCG/0.25%
ETHAMBUTOL HCL 100 MG TABLET
QUINIDINE GLUC 324 MG TAB CR
LEVOBUNOLOL 0.25% EYE DROPS
PHENYTEK 200 MG CAPSULE
PHENYTEK 200 MG CAPSULE
ACETYLCYSTEINE POWDER
ACETYLCYSTEINE POWDER
ACETYLCYSTEINE POWDER
ACETYLCYSTEINE POWDER
ACETYLCYSTEINE POWDER
ACETYLCYSTEINE POWDER
CLOTRIMAZOLE POWDER
CLOTRIMAZOLE POWDER
METRONIDAZOLE POWDER
METRONIDAZOLE POWDER
METRONIDAZOLE POWDER
N-ACETYL-L-CYSTEINE POWDER
N-ACETYL-L-CYSTEINE POWDER
N-ACETYL-L-CYSTEINE POWDER
N-ACETYL-L-CYSTEINE POWDER
N-ACETYL-L-CYSTEINE POWDER
N-ACETYL-L-CYSTEINE POWDER
ECHINACEA EXTRACT 250 MG CAP
PARA-GARD CAPSULE
PARA-GARD CAPSULE
KETOCONAZOLE 200 MG TABLET
ACETASOL HC EAR DROPS
VIRAVAN DM SUSPENSION
FLORASTOR CAPSULE
FLORASTOR CAPSULE
FLORASTOR CAPSULE
BETATAN SUSPENSION
KETOCONAZOLE 200 MG TABLET

DOSE FORM DRUG STRENGTH


TM
SO
TS
CA
TS
TM
SK
SK
SC
SC
HP
HP
TM
SK
TA
TA
SO
SO
HZ
HZ
TA
TS
SO
CA
CA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
CA
CA
CA
TA
SO
SC
CA
CA
CA
SC
TA

UNIT PRICE
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24

NDC
68030657001
68047014004
68047014016
68047016001
68115099610
68850001001
99207002230
99207002260
00003022710
00003175611
00006005968
00008001901
00008002702
00008002707
00009332901
00024021201
00024021202
00034200005
00034200202
00043045306
00043047106
00043047112
00043048006
00052010730
00052010790
00054001120
00054001121
00054001125
00054261825
00054467713
00054867725
00067547106
00067547112
00067548006
00067608906
00067608912
00067609106
00067609206
00074574922
00085060005
00085094205
00087663241
00087663341
00087771840
00087771862
00087771864
00089030710
00093720756
00093874101
00095022501
00113057091
00121067304
00168007011

NAME
KETOCONAZOLE 200 MG TABLET
TANACOF-DM SUSPENSION
TANACOF-DM SUSPENSION
NOHIST CAPLET
ACETASOL HC EAR DROPS
MYAMBUTOL 100 MG TABLET
LOPROX 0.77% TOPICAL SUSP
LOPROX 0.77% TOPICAL SUSP
ACTIVE LIFE STOMA CAP OPAQ
ACTIVE LIFE 1-PC STOMA CAP
BLOCADREN 5 MG TABLET
PHENERGAN 12.5 MG TABLET
PHENERGAN 25 MG TABLET
PHENERGAN 25 MG TABLET
CLEOCIN T 1% LOTION
CAMPHO-PHENIQUE COLD SORE
CAMPHO-PHENIQUE ANTISEPTIC
BETADINE FIRST AID OINTMENT
BETADINE PLUS FIRST AID ONT
THERAFLU SEVERE COLD & COUGH
THERAFLU NIGHTTIME MEDICINE
THERAFLU NIGHTTIME MEDICINE
THERAFLU FLU/CONGESTION MED
REMERON 30 MG TABLET
REMERON 30 MG TABLET
FLECAINIDE ACETATE 100 MG TB
FLECAINIDE ACETATE 100 MG TB
FLECAINIDE ACETATE 100 MG TB
MEXILETINE 250 MG CAPSULE
MIRTAZAPINE 30 MG TABLET
MIRTAZAPINE 30 MG TABLET
THERAFLU NIGHTTIME MEDICINE
THERAFLU NIGHTTIME MEDICINE
THERAFLU FLU/CONGESTION MED
THERAFLU NIGHTTIME MEDICINE
THERAFLU NIGHTTIME MEDICINE
THERAFLU SEVERE COLD & COUGH
THERAFLU FLU/CONGESTION MED
BUPIVACAINE 0.25% SYRINGE
SEBIZON 10% LOTION
CELESTONE 0.6 MG/5 ML SYRUP
VIDEX 2 GM PEDIATRIC SOLN
VIDEX 4 GM PEDIATRIC SOLN
CEFZIL 125 MG/5 ML SUSPENSION
CEFZIL 125 MG/5 ML SUSPENSION
CEFZIL 125 MG/5 ML SUSPENSION
TAMBOCOR 100 MG TABLET
MIRTAZAPINE 30 MG TABLET
MEXILETINE 250 MG CAPSULE
NASATAB LA TABLET SA
FLU-COUGH-COLD PACKET
PERPHENAZINE ORAL SOLUTION
ERYTHROMYCIN EYE OINTMENT

DOSE FORM DRUG STRENGTH


TA
SC
SC
TS
SO
TA
SK
SK
EA
EA
TA
TA
TA
TA
SK
JG
JG
OA
OA
PP
PP
PP
PP
TA
TA
TA
TA
TA
CA
TA
TA
PP
PP
PP
PP
PP
PP
PP
HQ
SK
ST
PI
PI
PD
PD
PD
TA
TA
CA
TM
PP
SY
OA

UNIT PRICE
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.24
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25

NDC
00168007038
00168007039
00168020360
00172422760
00172567600
00172567610
00172567646
00172567670
00182822200
00182822289
00185008401
00185011101
00185021210
00185021230
00185040101
00185040401
00186086361
00186086369
00187041302
00187041335
00193238121
00247080807
00247080814
00247080830
00247085500
00247085550
00247085578
00247132212
00280603002
00280604010
00338935002
00378004201
00378005501
00378006001
00378353093
00378851001
00406216901
00406216903
00406216934
00406799201
00406799203
00406799234
00406888401
00406888501
00406888601
00406889101
00406889201
00406889301
00406889401
00462039160
00496080315
00496080345
00551017001

NAME
ERYTHROMYCIN EYE OINTMENT
ERYTHROMYCIN EYE OINTMENT
CLINDAMYCIN PHOSP 1% LOTION
GUANABENZ ACETATE 8 MG TAB
MIRTAZAPINE 30 MG TABLET
MIRTAZAPINE 30 MG TABLET
MIRTAZAPINE 30 MG TABLET
MIRTAZAPINE 30 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
AMPHETAMINE SALTS 5 MG TAB
AMPHETAMINE SALTS 10 MG TAB
MIRTAZAPINE 30 MG TABLET
MIRTAZAPINE 30 MG TABLET
AMPHETAMINE SALTS 20 MG TAB
AMPHETAMINE SALTS 30 MG TAB
NAROPIN 5 MG/ML VIAL
NAROPIN 5 MG/ML VIAL
VITADYE LOTION
VITADYE LOTION
ACETEST REAGENT TABLET
MAPROTILINE 25 MG TABLET
MAPROTILINE 25 MG TABLET
MAPROTILINE 25 MG TABLET
LORABID 100 MG/5 ML SUSP
LORABID 100 MG/5 ML SUSP
LORABID 100 MG/5 ML SUSP
PHENERGAN 25 MG TABLET
ALEVE COLD & SINUS CAPLET
ALEVE SINUS & HEADACHE CPLT
FENTA/ROPIVA 5 MCG/0.0625%
AMITRIP/PERPHEN 10-4 TABLET
TIMOLOL MALEATE 5 MG TABLET
MAPROTILINE 25 MG TABLET
MIRTAZAPINE 30 MG TABLET
FLECAINIDE ACETATE 100 MG TB
SILVER NITRATE AR CRYSTALS
SILVER NITRATE AR CRYSTALS
SILVER NITRATE AR CRYSTALS
SILVER NITRATE CRYSTALS
SILVER NITRATE CRYSTALS
SILVER NITRATE CRYSTALS
AMPHETAMINE SALTS 7.5 MG TAB
AMPHETAMINE SALTS 15 MG TAB
AMPHETAMINE SALTS 12.5 MG TB
AMPHETAMINE SALTS 5 MG TAB
AMPHETAMINE SALTS 10 MG TAB
AMPHETAMINE SALTS 20 MG TAB
AMPHETAMINE SALTS 30 MG TAB
CLINDAMAX 1% LOTION
LOCOID 0.1% OINTMENT
LOCOID 0.1% OINTMENT
V-DEC-M 500/120 TABLET SA

DOSE FORM DRUG STRENGTH


OA
OA
SK
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
HV
HV
SA
SA
TA
TA
TA
TA
PD
PD
PD
TA
TM
TM
HZ
TA
TA
TA
TA
TA
PC
PC
PC
PC
PC
PC
TA
TA
TA
TA
TA
TA
TA
SK
OA
OA
TM

UNIT PRICE
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25

NDC
00555077502
00555077602
00555077702
00555086002
00555097102
00555097202
00555097302
00555097402
00591049301
00591111830
00591530701
00591530710
00597006801
00603713770
00641403086
00642020410
00677183801
00677185101
00682050001
00781183001
00781183010
00781506301
00904792638
08290303346
08333150001
08380003184
08380003186
08380003404
08380007183
08380007188
08881533130
10106342600
10106342601
10106342604
10106342605
10106342900
10106342901
10106342904
10337041021
10337066311
10337066349
10939084333
11086001401
11298000276
11822031718
11822031719
11822317180
11822317190
11845011260
11845014015
11845014275
11845120108
16500005401

NAME
AMPHETAMINE SALTS 7.5 MG TAB
AMPHETAMINE SALTS 12.5 MG TB
AMPHETAMINE SALTS 15 MG TAB
FLECAINIDE ACETATE 100 MG TB
AMPHETAMINE SALTS 5 MG TAB
AMPHETAMINE SALTS 10 MG TAB
AMPHETAMINE SALTS 20 MG TAB
AMPHETAMINE SALTS 30 MG TAB
MEXILETINE 250 MG CAPSULE
MIRTAZAPINE 30 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
MEXITIL 250 MG CAPSULE
ERYTHROMYCIN EYE OINTMENT
TIMOLOL MALEATE 5 MG TABLET
STROVITE FORTE CAPLET
P-EPHED/CHLOR/SCOP SR TAB
GUAIFEN/P-EPHED HCL SR TAB
GP-500 TABLET SA
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
FLECAINIDE ACETATE 100 MG TB
ERYTHROMYCIN EYE OINTMENT
B-D SYRINGE W/CANNULA
STOMASEAL ADHESIVE DISC
STOMA CAP W/ADHESIVE 2"
STOMA CAP W/ADHESIVE 3"
STOMA CAP W/FILTER/FLANGE
STOMA CAP 2"
STOMA CAP 3"
SAFETY SYRINGE W/SHIELD 3 ML
SILVER NITRATE CRYSTALS
SILVER NITRATE CRYSTALS
SILVER NITRATE CRYSTALS
SILVER NITRATE CRYSTALS
SILVER NITRATE CRYSTAL
SILVER NITRATE CRYSTAL
SILVER NITRATE CRYSTAL
DOAK TAR DISTILLATE 20% LIQ
KERALAC LOTION
KERALAC LOTION
SUNMARK COLD & SINUS CAPLET
CHROMELIN COMPLEXION BLENDR
SPECIAL CAP WITH OPENING
RA COLD-SINUS RELIEF CAPLET
RA COLD-SINUS RELIEF CAPLET
RA COLD-SINUS RELIEF CAPLET
RA COLD-SINUS RELIEF CAPLET
GINKGO BILOBA TABLET
IMMUNE TRIO CAPLET
DIABETES TRIO CAPLET
YOHIMBE 800 MG TABLET
ALKA-SELTZ PLUS COLD COUGH

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
CA
TA
TA
TA
CA
OA
TA
TA
TM
TM
TM
TA
TA
TA
OA
YL
EA
EA
EA
EA
EA
EA
YL
PC
PC
PC
PC
PC
PC
PC
SL
LO
LO
TM
SA
EA
TM
TM
TM
TM
TA
TA
TS
TA
CA

UNIT PRICE
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25

NDC
16500005402
17204047015
17314931102
17317048702
17317093303
17317093305
17478007035
20525012758
24208091019
24208091055
25866004122
25866051138
30142057091
31604009610
37205043552
38779023605
38779023608
38779066105
38779066108
38779066109
41163033533
41163057091
47469000884
48107000150
48107004733
49348065401
49452508001
49452508002
49452652001
49452652002
49452652003
49452652501
49452652502
49452652503
49884065601
49884065611
49884069501
49999009005
49999009010
49999009012
49999009015
49999009020
49999009030
49999009060
49999013635
49999026906
49999029030
49999059405
50383069907
50383069911
50428316315
51079008701
51079008720

NAME
ALKA-SELTZ PLUS COLD COUGH
MIL-A-MULSION DROPS
NEUTRA-PHOS PACKET
SILVER NITRATE CRYSTALS
PENTYLENETETRAZOLE CRYSTALS
PENTYLENETETRAZOLE CRYSTALS
ERYTHROMYCIN EYE OINTMENT
GLUCOSAMINE COMPLEX CAPLET
ERYTHROMYCIN EYE OINTMENT
ERYTHROMYCIN EYE OINTMENT
ALEVE COLD & SINUS CAPLET
ALEVE SINUS & HEADACHE CPLT
NIGHT TIME FLU/COLD/COUGH
OLAY DAILY ENERGY PACK VITAMIN
ALL DAY COLD & SINUS CAPLET
MECLIZINE HCL POWDER
MECLIZINE HCL POWDER
SULFISOXAZOLE POWDER
SULFISOXAZOLE POWDER
SULFISOXAZOLE POWDER
FLU/COUGH/COLD MED PACKET
EQL FLU,COLD & CONGESTION PCKT
NATROL 5-HTP 50 MG CAPSULE
PRO CHROME II 500 MCG SFTGEL
KAVA KAVA ROOT 275 MG SFTGEL
SUNMARK COLD & SINUS CAPLET
PENTYLENETETRAZOLE CRYSTALS
PENTYLENETETRAZOLE CRYSTALS
SILVER NITRATE CRYSTALS
SILVER NITRATE CRYSTALS
SILVER NITRATE CRYSTALS
SILVER NITRATE CRYSTALS
SILVER NITRATE CRYSTALS
SILVER NITRATE CRYSTALS
MIRTAZAPINE 30 MG TABLET
MIRTAZAPINE 30 MG TABLET
FLECAINIDE ACETATE 100 MG TB
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
ERYTHROMYCIN EYE OINTMENT
PHENERGAN 12.5 MG TABLET
PROMETHAZINE 25 MG TABLET
PHENERGAN 25 MG TABLET
UREALAC 35% LOTION
UREALAC 35% LOTION
CVS FLU/COLD/COUGH MEDICINE
MIRTAZAPINE 30 MG TABLET
MIRTAZAPINE 30 MG TABLET

DOSE FORM DRUG STRENGTH


CA
SO
PP
PC
PC
PC
OA
TA
OA
OA
TM
TM
PP
ZD
TM
PA
PA
PA
PA
PA
PP
PP
CA
CA
CA
TM
PC
PC
PC
PC
PC
PC
PC
PC
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
OA
TA
TA
TA
SK
SK
PP
TA
TA

UNIT PRICE
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25

NDC
51079089501
51079089520
51079098801
51079098820
51234012990
51234015504
51655008427
51672408301
51672408306
51991006901
51991023701
52152022730
52544070801
52555035501
52959027801
52959030100
52959045102
52959045130
52959053401
52959053402
52959053410
52959053420
52959053430
52959053445
52959053490
53265040510
53265040610
53265040611
53489056401
53489056501
53489056601
53489056701
53489056801
53489056901
53489057001
54092037101
54092037201
54092037301
54092037401
54092037501
54092037601
54092037701
54569035803
54569119300
54569175400
54569175401
54569175406
54569175408
54569175409
54569374300
54569416800
54799051335
54799054035

NAME
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
FLECAINIDE ACETATE 100 MG TB
FLECAINIDE ACETATE 100 MG TB
CONPEC L.A. TABLET
RICOBID SUSPENSION
PROMETHAZINE 25 MG TABLET
HYDROCORTISONE BUTYR 0.1% OINT
HYDROCORTISONE BUTYR 0.1% OINT
HISTADE MX SR TABLET
MINDAL TABLET
MIRTAZAPINE 30 MG TABLET
AMITRIP/PERPHEN 10-4 TABLET
MAPROTILINE 25 MG TABLET
CLEOCIN T 1% LOTION
ERYTHROMYCIN EYE OINTMENT
PHENERGAN 25 MG TABLET
PHENERGAN 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 12.5 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
AMPHETAMINE SALTS 5 MG TAB
AMPHETAMINE SALTS 7.5 MG TAB
AMPHETAMINE SALTS 10 MG TAB
AMPHETAMINE SALTS 12.5 MG TAB
AMPHETAMINE SALTS 15 MG TAB
AMPHETAMINE SALTS 20 MG TAB
AMPHETAMINE SALTS 30 MG TAB
ADDERALL 5 MG TABLET
ADDERALL 7.5 MG TABLET
ADDERALL 10 MG TABLET
ADDERALL 12.5 MG TABLET
ADDERALL 15 MG TABLET
ADDERALL 20 MG TABLET
ADDERALL 30 MG TABLET
PHENERGAN 25 MG TABLET
ERYTHROMYCIN EYE OINTMENT
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
CEFZIL 125 MG/5 ML SUSPENSION
PROMETHAZINE 25 MG TABLET
ROMYCIN EYE OINTMENT
ROMYCIN EYE OINTMENT

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TM
SC
TA
OA
OA
TM
TM
TA
TA
TA
SK
OA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
OA
TA
TA
TA
TA
TA
PD
TA
OA
OA

UNIT PRICE
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25

NDC
54868064401
54868072100
54868094401
54868128500
54868128501
54868132300
54868132301
54868132302
54868132304
54868132305
54868132306
54868201600
54868304400
54868367400
54868397600
54868440700
54868449800
54868463100
54868463101
54868463102
54868463103
54868472800
54868472801
54868472802
54868472804
54868486300
54868510300
54868510301
54868510302
54868512100
55045135009
55045159603
55045159605
55045159606
55289008825
55289008879
55289020030
55289046402
55289046410
55289046412
55289046415
55289046420
55289046425
55289046430
55289046460
55289046479
55887054130
55887054160
55887054182
55887054190
55887093610
55887093612
55887093615

NAME
ERYTHROMYCIN EYE OINTMENT
PHENERGAN 12.5 MG TABLET
CLEOCIN T 1% LOTION
PHENERGAN 25 MG TABLET
PHENERGAN 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
CEFZIL 125 MG/5 ML SUSPENSION
LORABID 100 MG/5 ML SUSP
ADDERALL 10 MG TABLET
ADDERALL 5 MG TABLET
TAMBOCOR 100 MG TABLET
REMERON 30 MG TABLET
AMPHETAMINE SALTS 5 MG TAB
AMPHETAMINE SALTS 5 MG TAB
AMPHETAMINE SALTS 5 MG TAB
AMPHETAMINE SALTS 5 MG TAB
AMPHETAMINE SALTS 10 MG TAB
AMPHETAMINE SALTS 10 MG TAB
AMPHETAMINE SALTS 10 MG TAB
AMPHETAMINE SALTS 10 MG TAB
AMPHETAMINE SALTS 30 MG TAB
AMPHETAMINE SALTS 20 MG TAB
AMPHETAMINE SALTS 20 MG TAB
AMPHETAMINE SALTS 20 MG TAB
PROMETHAZINE 12.5 MG TABLET
ERYTHROMYCIN EYE OINTMENT
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PHENERGAN 25 MG TABLET
PHENERGAN 25 MG TABLET
TRIAPRIN CAPSULE
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
MIRTAZAPINE 30 MG TABLET
MIRTAZAPINE 30 MG TABLET
MIRTAZAPINE 30 MG TABLET
MIRTAZAPINE 30 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET

DOSE FORM DRUG STRENGTH


OA
TA
SK
TA
TA
TA
TA
TA
TA
TA
TA
PD
PD
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
OA
TA
TA
TA
TA
TA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25

NDC
55887093620
55887093628
55887093630
55887093660
55887093690
57664050018
57664050083
57866393401
57866393402
57866393501
57866393502
57866393601
57866393602
57866394901
57866394902
57866437901
57866437902
57866437903
57866437904
57866707101
57866707201
57866707301
58016028300
58016028302
58016028330
58016028360
58016028390
58016042400
58016042402
58016042403
58016042410
58016042412
58016042415
58016042420
58016042430
58016042450
58016042460
58016042473
58016042489
58016042490
58016072300
58016072330
58016072360
58016072390
58016200101
58016414801
58016608601
58177042604
58407037501
58521003101
58521003201
58521003301
58521012501

NAME
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
MIRTAZAPINE 30 MG TABLET
MIRTAZAPINE 30 MG TABLET
AMPHETAMINE SALTS 5 MG TAB
AMPHETAMINE SALTS 5 MG TAB
AMPHETAMINE SALTS 10 MG TAB
AMPHETAMINE SALTS 10 MG TAB
AMPHETAMINE SALTS 20 MG TAB
AMPHETAMINE SALTS 20 MG TAB
AMPHETAMINE SALTS 30 MG TAB
AMPHETAMINE SALTS 30 MG TAB
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
AMPHETAMINE SALTS 7.5 MG TAB
AMPHETAMINE SALTS 12.5 MG TB
AMPHETAMINE SALTS 15 MG TAB
PROMETHAZINE 12.5 MG TABLET
PROMETHAZINE 12.5 MG TABLET
PROMETHAZINE 12.5 MG TABLET
PROMETHAZINE 12.5 MG TABLET
PROMETHAZINE 12.5 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
REMERON 30 MG TABLET
REMERON 30 MG TABLET
REMERON 30 MG TABLET
REMERON 30 MG TABLET
ASPIRIN 125 MG SUPPOSITORY
CEFZIL 125 MG/5 ML SUSPENSION
ERYTHROMYCIN EYE OINTMENT
HISTA-VENT PSE TABLET
STAMOIST E TABLET SA
ADDERALL 5 MG TABLET
ADDERALL 10 MG TABLET
ADDERALL 20 MG TABLET
ADDERALL 12.5 MG TABLET

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
QA
PD
OA
TM
TM
TA
TA
TA
TA

UNIT PRICE
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25

NDC
58552010301
58864067110
58864067142
58864076125
58864076130
59085026628
59630015010
59702006001
59741030712
59741030750
59762374401
60258000601
60267030100
60951078270
61553015002
61553062802
61553088148
61553088248
61570013510
62037075410
62037075430
62584055701
63304070601
63304079501
63304090801
63304090901
63304091001
63304091101
63717050001
63717084001
63739035615
64376003201
64543008901
64980010201
65862000301
65862000305
65862000330
66116028412
66116048830
66267017720
66267097535
66993012402
67523090901
67767010101
67767010301
67767010601
67767010701
68030437902
68032012207
68032012211
68084012006
68084012030
68115030210

NAME
BUCALSEP SOLUTION
PHENERGAN 25 MG TABLET
PHENERGAN 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
FLU/COLD/COUGH NIGHTTIME
MESCOLOR TABLET
SUDAL 60/500 TABLET SA
ASPIRIN 125 MG SUPPOSITORY
ASPIRIN 125 MG SUPPOSITORY
CLINDAMYCIN PHOS TOP LOTION
PHOS-NAK PACKET
SCOPACE 0.4 MG TABLET
TIMOLOL MALEATE 5 MG TABLET
FENTA/ROPIVA 5 MCG/0.0625%
FENTA/ROPIVA 5 MCG/0.0625%
BUPIVACAINE HCL-NS 0.125%
BUPIVACAINE HCL-NS 0.125%
LORABID 100 MG/5 ML SUSP
MIRTAZAPINE 30 MG TABLET
MIRTAZAPINE 30 MG TABLET
MIRTAZAPINE 30 MG TABLET
MORPHINE SULFATE 10 MG TAB
FLECAINIDE ACETATE 100 MG TB
AMPHETAMINE SALTS 5 MG TAB
AMPHETAMINE SALTS 10 MG TAB
AMPHETAMINE SALTS 20 MG TAB
AMPHETAMINE SALTS 30 MG TAB
XIRAL TABLET SA
MALDEMAR 0.4 MG TABLET
MIRTAZAPINE 30 MG TABLET
PSEUDO CM TABLET TR
RESCON MX TABLET
VITA S FORTE CAPLET
MIRTAZAPINE 30 MG TABLET
MIRTAZAPINE 30 MG TABLET
MIRTAZAPINE 30 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
PROMETHAZINE 25 MG TABLET
ERYTHROMYCIN EYE OINTMENT
AMDRY-C TABLET
ABER-FED 60/500 SR TABLET
AMPHETAMINE SALTS 5 MG TAB
AMPHETAMINE SALTS 10 MG TAB
AMPHETAMINE SALTS 20 MG TAB
AMPHETAMINE SALTS 30 MG TAB
PROMETHAZINE 25 MG TABLET
UREA 35% LOTION
UREA 35% LOTION
MIRTAZAPINE 30 MG TABLET
MIRTAZAPINE 30 MG TABLET
PROMETHAZINE 25 MG TABLET

DOSE FORM DRUG STRENGTH


SA
TA
TA
TA
TA
PP
TM
TM
QA
QA
SK
PP
TA
TA
HZ
HZ
IR
IR
PD
TA
TA
TA
TH
TA
TA
TA
TA
TA
TM
TA
TA
TM
TM
TA
TA
TA
TA
TA
TA
TA
OA
TM
TM
TA
TA
TA
TA
TA
SK
SK
TA
TA
TA

UNIT PRICE
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25

NDC
68115030260
68115069530
68115097235
70030013420
74312013440
74312014090
93190007097
93190007098
96295011264
00006013568
00006073161
00006073182
00006073187
00006073194
00006073261
00006073282
00006073287
00006073294
00023455430
00029485220
00029601030
00043021816
00043021916
00056060128
00056060168
00062546001
00062546002
00062546003
00067614816
00067614916
00069265041
00069265066
00069265072
00074116901
00074117101
00074117102
00074117161
00074117162
00074164248
00074164848
00074165048
00074165148
00074167478
00074175302
00074176348
00074187768
00074230502
00074230505
00074230549
00074230550
00074242212
00074242222
00074242702

NAME
PROMETHAZINE HCL 25 MG TABLET
MIRTAZAPINE 30 MG TABLET
ERYTHROMYCIN EYE OINTMENT
FLU-COUGH-COLD PACKET
HYALURONIC ACID CAPSULE
ESTER-E 400 UNIT SOFTGEL
PROSTATONIN SOFTGEL
PROSTATONIN SOFTGEL
ALL DAY COLD & SINUS CAPLET
ALDOMET 125 MG TABLET
MEVACOR 20 MG TABLET
MEVACOR 20 MG TABLET
MEVACOR 20 MG TABLET
MEVACOR 20 MG TABLET
MEVACOR 40 MG TABLET
MEVACOR 40 MG TABLET
MEVACOR 40 MG TABLET
MEVACOR 40 MG TABLET
CELLUVISC 1% EYE DROPS
RELAFEN 750 MG TABLET
BACTOCILL 250 MG CAPSULE
TRIAMINIC COUGH STRIPS
TRIAMINIC CGH/RUNNY NOSE STRIP
SINEMET CR 25/100 TABLET SA
SINEMET CR 25/100 TABLET SA
SPECTAZOLE 1% CREAM
SPECTAZOLE 1% CREAM
SPECTAZOLE 1% CREAM
TRIAMINIC COUGH STRIPS
TRIAMINIC CGH/RUNNY NOSE STRIP
PROCARDIA XL 30 MG TABLET
PROCARDIA XL 30 MG TABLET
PROCARDIA XL 30 MG TABLET
PRIMARY PUMP SET
DILTIAZEM 5 MG/ML VIAL
DILTIAZEM 5 MG/ML VIAL
DILTIAZEM 5 MG/ML VIAL
DILTIAZEM 5 MG/ML VIAL
LS PLUM PRIMARY SET-OL 104"
PLUMSET PRIMARY SET-OL 104"
LS PLUM PRIMARY SET-OL 104"
PLUMSET PRIMARY SET-OL 104"
DIAL-A-FLO MICRODRP SET 78"
SOLUSET 150X15 I.V. SET-SL
FAT EMULSION IV SET, 108"
ANESTHESIA IV SET NON-VENT
MIDAZOLAM HCL 1 MG/ML VIAL
MIDAZOLAM HCL 1 MG/ML VIAL
MIDAZOLAM HCL 1 MG/ML VIAL
MIDAZOLAM HCL 1 MG/ML VIAL
PLUMSET SPECIALITY PUMP SET
PLUMSET SPECIALITY PUMP SET
PLUM LC 5000 NITROGLY SET

DOSE FORM DRUG STRENGTH


TA
TA
OA
PP
CA
CA
CA
CA
TM
TA
TA
TA
TA
TA
TA
TA
TA
TA
DP
TA
CA
YR
YR
TS
TS
KA
KA
KA
YR
YR
TZ
TZ
TZ
YQ
HV
HV
HV
HV
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
HV
HV
HV
HV
YQ
YQ
YQ

UNIT PRICE
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.25
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26

NDC
00074258702
00074258703
00074258705
00074258751
00074258752
00074258753
00074317701
00074355903
00074406568
00074481501
00074481502
00074481801
00074643202
00074644012
00074646201
00074648002
00074651601
00074651603
00074651701
00074651703
00074652101
00074664601
00074765062
00074924568
00074924668
00074924768
00074925268
00074928968
00078012605
00078012606
00078024305
00085360101
00093027501
00093057606
00093057610
00093081901
00093081955
00093092806
00093092810
00093101601
00093101610
00093911401
00093911405
00115392201
00126008188
00135015801
00135015802
00135015803
00135015806
00135015807
00135017101
00135017102
00135017106

NAME
MIDAZOLAM HCL 1 MG/ML VIAL
MIDAZOLAM HCL 1 MG/ML VIAL
MIDAZOLAM HCL 1 MG/ML VIAL
MIDAZOLAM HCL 1 MG/ML VIAL
MIDAZOLAM HCL 1 MG/ML VIAL
MIDAZOLAM HCL 1 MG/ML VIAL
LIDOCAINE 0.5%/EPI 1:200,000
PCA SET-OL W/INJ,M-BORE
FAT EMULSION SET
TRONOLANE SUPPOSITORIES
TRONOLANE SUPPOSITORIES
PROVIDER PUMP SET 72"
PLUM LC 5000 PRIMARY SET-SL
PLUMSET MICRODRIP PUMP SET
MANIFOLD 111-SL
PLUM LC 5000 PRIMARY SET
PCA SET-LONG MINI-BORE
PCA SET-LONG MINI BORE OL
PCA CONT INF MINI-BORE
PCA SET-CONT INF M-BORE OL
ACCESS SET,CONVERT PP 7"
VENOSET 100 SOLUSET
HEPARIN 25000U-1/2NS 250ML
SOLUSET 50X60 IV MICR PMP S
SOLUSET 50X60 IV MICR PMP S
SOLUSET 150X60 IV PUMP SET
NITROGLYCERIN MICRO PMP SET
MICRODRIP MICRO PUMP SET
CLOZARIL 25 MG TABLET
CLOZARIL 25 MG TABLET
FIORICET W/CODEINE CAPSULE
CORICIDIN COUGH & COLD TAB
CLOZAPINE 25 MG TABLET
LOVASTATIN 20 MG TABLET
LOVASTATIN 20 MG TABLET
NIFEDICAL XL 30 MG TABLET
NIFEDICAL XL 30 MG TABLET
LOVASTATIN 40 MG TABLET
LOVASTATIN 40 MG TABLET
NABUMETONE 750 MG TABLET
NABUMETONE 750 MG TABLET
PROCAINAMIDE 750 MG TAB SA
PROCAINAMIDE 750 MG TAB SA
CARBIDOPA-LEVO 25/100 TB SA
PEROXYL 1.5% ORAL GEL
NICORETTE 4 MG CHEWING GUM
NICORETTE 4 MG CHEWING GUM
NICORETTE 4 MG CHEWING GUM
NICORETTE 4 MG CHEWING GUM
NICORETTE 4 MG CHEWING GUM
NICORETTE 4 MG CHEWING GUM
NICORETTE 4 MG CHEWING GUM
NICORETTE 4 MG CHEWING GUM

DOSE FORM DRUG STRENGTH


HV
HV
HV
HV
HV
HV
HV
YQ
YQ
QA
QA
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
HM
YQ
YQ
YQ
YQ
YQ
TA
TA
CA
TA
TA
TA
TA
TZ
TZ
TA
TA
TA
TA
TS
TS
TS
JG
TG
TG
TG
TG
TG
TG
TG
TG

UNIT PRICE
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26

NDC
00135017107
00135019801
00135019802
00135019807
00143300001
00168031215
00168031230
00168031285
00172234760
00172409900
00172409910
00172409960
00172409970
00172435900
00172435910
00172435960
00172435970
00178085201
00182269301
00185007201
00185007210
00185007260
00185007401
00185007410
00185007460
00185014601
00185014605
00186014001
00228263406
00228263450
00228263506
00228263550
00247045101
00247045102
00247045103
00247045104
00247045110
00247045120
00247045130
00247045160
00247074315
00247084520
00247084525
00247112930
00247112960
00247113030
00247113060
00256017401
00258368790
00258368890
00258368990
00258369090
00258369190

NAME
NICORETTE 4 MG CHEWING GUM
NICORETTE 4 MG CHEWING GUM
NICORETTE 4 MG CHEWING GUM
NICORETTE 4 MG CHEWING GUM
BUTALBITAL/CAFF/APAP/COD CP
ECONAZOLE NITRATE 1% CREAM
ECONAZOLE NITRATE 1% CREAM
ECONAZOLE NITRATE 1% CREAM
PROCAINAMIDE 500 MG CAPSULE
NABUMETONE 750 MG TABLET
NABUMETONE 750 MG TABLET
NABUMETONE 750 MG TABLET
NABUMETONE 750 MG TABLET
CLOZAPINE 25 MG TABLET
CLOZAPINE 25 MG TABLET
CLOZAPINE 25 MG TABLET
CLOZAPINE 25 MG TABLET
CITRACAL PRENATAL RX TABLET
BUTALBITAL-CAFF-APAP-COD CP
LOVASTATIN 20 MG TABLET
LOVASTATIN 20 MG TABLET
LOVASTATIN 20 MG TABLET
LOVASTATIN 40 MG TABLET
LOVASTATIN 40 MG TABLET
LOVASTATIN 40 MG TABLET
NABUMETONE 750 MG TABLET
NABUMETONE 750 MG TABLET
XYLOCAINE 0.5%/EPI 1:200,000
LOVASTATIN 20 MG TABLET
LOVASTATIN 20 MG TABLET
LOVASTATIN 40 MG TABLET
LOVASTATIN 40 MG TABLET
PROCARDIA XL 30 MG TABLET
PROCARDIA XL 30 MG TABLET
PROCARDIA XL 30 MG TABLET
PROCARDIA XL 30 MG TABLET
PROCARDIA XL 30 MG TABLET
PROCARDIA XL 30 MG TABLET
PROCARDIA XL 30 MG TABLET
PROCARDIA XL 30 MG TABLET
SPECTAZOLE 1% CREAM
FIORICET W/CODEINE CAPSULE
FIORICET W/CODEINE CAPSULE
MEVACOR 20 MG TABLET
MEVACOR 20 MG TABLET
MEVACOR 40 MG TABLET
MEVACOR 40 MG TABLET
CONGESS JR CAPSULE SA
DILTIAZEM HCL 120 MG CAP SA
DILTIAZEM HCL 180 MG CAP SA
DILTIAZEM HCL 240 MG CAP SA
DILTIAZEM HCL 300 MG CAP SA
DILTIAZEM HCL 360 MG CAP SA

DOSE FORM DRUG STRENGTH


TG
TG
TG
TG
CA
KA
KA
KA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
TA
TA
TA
TA
TA
TA
TA
TA
HV
TA
TA
TA
TA
TZ
TZ
TZ
TZ
TZ
TZ
TZ
TZ
KA
CA
CA
TA
TA
TA
TA
CS
CS
CS
CS
CS
CS

UNIT PRICE
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26

NDC
00264904993
00264905295
00264908050
00264908150
00264908250
00264908350
00264908450
00264908750
00264908850
00264908950
00264909050
00264909150
00264909250
00264909350
00264909450
00264909550
00264909720
00264909820
00264910020
00264910120
00264910220
00264910550
00264910650
00264910750
00264910850
00264910950
00264911050
00264911150
00264911250
00264911350
00264911450
00264911550
00264911650
00264911850
00264911950
00264912050
00264912150
00264912250
00264912350
00264912450
00264912820
00264913850
00264914250
00264914650
00264914850
00264916320
00264916520
00264916620
00264928050
00264932840
00264932940
00264935395
00264935495

NAME
ADD-PRO VENTED NEEDLE
ADD-PRO ASPIRATING NEEDLE
IV ADMINISTRATION SET
BASIC IV SET/1 INJ SITE
BASIC IV SET/1 INJ SITE
IV ADMINISTRATION SET ADULT
BASIC IV SET/1 INJ SITE
BASIC IV SET/2 INJ SITES
BASIC IV SET/2 INJ SITES
BASIC IV SET/2 INJ SITES
BASIC IV SET/2 INJ SITES
MINI-DROP SET W/1 INJ SITE
IV ADMIN SET PEDIATRIC
MINI-DROP SET
MINI-DROP SET W/1 INJ SITE
MINI-DROP SET W/2 INJ SITES
METRISET MINIDROP SET/FLOAT
METRISET MINIDROP SET/FLOAT
METRISET W/FLOAT VALVE
METRISET MINIDROP SET
METRISET MINIDROP SET
ADDITIVE PRIMARY SET/VCLAMP
ADDITIVE PRIMARY SET/ROLLER
ADDITIVE PRIMARY SET/ROLLER
ADDITIVE PRIMARY SET/ROLLER
ADDITIVE PRIMARY SET/ROLLER
ADDITIVE PRIMARY SET/VCLAMP
ADDITIVE PRIMARY SET
ADDITIVE PRIMARY SET
ADDITIVE PRIMARY SET
ADDITIVE PRIMARY SET
ADDITIVE PRIMARY SET/VCLAMP
ADDITIVE PRIMARY SET/ROLLER
BASIC IV SET/1 INJ SITE
ADDITIVE PRIMARY SET/ROLLER
ADDITIVE PRIMARY SET
MINI-DROP SET W/1 INJ SITE
IV ADMININSTRATION SET
BASIC IV SET/1 INJ SITE
IV SET Y-TYPE/ROLLER CLAMPS
METRISET MINIDROP SET
ADDITIVE SECONDARY SET
ADDITIVE SECONDARY SET
ADDITIVE SECONDARY SET
ADDITIVE SECONDARY SET
METRISET ADD-ON SET
METRISET ADD-ON SET
METRISET ADD-ON SET
MINI-DROP SET W/1 INJ SITE
BASIC IV SET/1 INJ SITE
BASIC IV SET/2 INJ SITES
HYPERFORMER SEALER CLIPS
HAND SEALER CLIPS

DOSE FORM DRUG STRENGTH


YH
YH
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
EA
EA

UNIT PRICE
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26

NDC
00264942810
00264942910
00264943350
00264944150
00264945150
00264961193
00277016001
00338047102
00338047103
00363042150
00363042162
00363042198
00363414950
00363414962
00363414998
00378008801
00378082501
00378347501
00378347530
00378652005
00378652091
00378654005
00378654091
00407076901
00407076910
00407141446
00407141447
00407141448
00407141449
00407141461
00407141462
00407141465
00407141466
00407141467
00456261200
00456261230
00456261263
00456261290
00456261300
00456261330
00456261363
00456261390
00456261400
00456261430
00456261463
00456261490
00456261500
00456261530
00456261563
00456261590
00456261600
00456261630
00456261663

NAME
PERITONEAL DIALYSIS ADMN ST
PERITONEAL DIALYSIS ADMN ST
SECONDARY ST/PROTECTD NEEDL
SECONDARY ST/PROTECTD NEEDL
ADDITIVE PRIMARY SET/CLAMP
HYPERFORMER ADHESIVE LABEL
DALLERGY TABLET
RENAMIN 6.5% IV SOLUTION
RENAMIN 6.5% IV SOLUTION
NICOTINE POLACRILEX 4 MG GUM
NICOTINE POLACRILEX 4 MG GUM
NICOTINE POLACRILEX 4 MG GUM
NICOTINE POLACRILEX 4 MG GUM
NICOTINE POLACRILEX 4 MG GUM
NICOTINE POLACRILEX 4 MG GUM
CARBIDOPA/LEVO 25/100 TB SA
CLOZAPINE 25 MG TABLET
NIFEDIPINE ER 30 MG TABLET
NIFEDIPINE ER 30 MG TABLET
LOVASTATIN 20 MG TABLET
LOVASTATIN 20 MG TABLET
LOVASTATIN 40 MG TABLET
LOVASTATIN 40 MG TABLET
HYPAQUE SODIUM ORAL POWDER
HYPAQUE SODIUM ORAL POWDER
OMNIPAQUE 350 MG/ML FLEXIPAK
OMNIPAQUE 350 MG/ML FLEXIPAK
OMNIPAQUE 350 MG/ML FLEXIPAK
OMNIPAQUE 350 MG/ML FLEXIPAK
OMNIPAQUE 350 MG/ML FLEXIPAK
OMNIPAQUE 350 MG/ML FLEXIPAK
OMNIPAQUE 350 MG/ML FLEXIPAK
OMNIPAQUE 350 MG/ML FLEXIPAK
OMNIPAQUE 350 MG/ML FLEXIPAK
TIAZAC 120 MG CAPSULE SA
TIAZAC 120 MG CAPSULE SA
TIAZAC 120 MG CAPSULE SA
TIAZAC 120 MG CAPSULE SA
TIAZAC 180 MG CAPSULE SA
TIAZAC 180 MG CAPSULE SA
TIAZAC 180 MG CAPSULE SA
TIAZAC 180 MG CAPSULE SA
TIAZAC 240 MG CAPSULE SA
TIAZAC 240 MG CAPSULE SA
TIAZAC 240 MG CAPSULE SA
TIAZAC 240 MG CAPSULE SA
TIAZAC 300 MG CAPSULE SA
TIAZAC 300 MG CAPSULE SA
TIAZAC 300 MG CAPSULE SA
TIAZAC 300 MG CAPSULE SA
TIAZAC 360 MG CAPSULE SA
TIAZAC 360 MG CAPSULE SA
TIAZAC 360 MG CAPSULE SA

DOSE FORM DRUG STRENGTH


YQ
YQ
YQ
YQ
YQ
EA
TA
HM
HM
TG
TG
TG
TG
TG
TG
TS
TA
TZ
TZ
TA
TA
TA
TA
PA
PA
HZ
HZ
HZ
HZ
HZ
HZ
HZ
HZ
HZ
CS
CS
CS
CS
CS
CS
CS
CS
CS
CS
CS
CS
CS
CS
CS
CS
CS
CS
CS

UNIT PRICE
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26

NDC
00456261690
00469510115
00469510160
00516001601
00536137206
00536137223
00536310706
00536310718
00536310723
00536310743
00573018805
00573018810
00591322001
00603255321
00603784478
00766004420
00766004430
00766004440
00766004450
00766004460
00766004708
00766004748
00766004760
00766784420
00766784430
00766784450
00766784708
00766784748
00781121060
00781121360
00781130801
00781130805
00884439314
00891611000
00891611001
00891612000
00891612001
00891613000
00891613001
00891614000
00891614001
00891641000
00891642000
00891643000
00891644000
00904558252
00904558352
00904561846
00904573511
00904573551
00904573595
00904573711
00904573751

NAME
TIAZAC 360 MG CAPSULE SA
ARISTOCORT A 0.025% CREAM
ARISTOCORT A 0.025% CREAM
PALS 100 MG TABLET
NICOTINE 4 MG GUM
NICOTINE 4 MG GUM
NICOTINE POLACRILEX 4 MG GUM
NICOTINE POLACRILEX 4 MG GUM
NICOTINE POLACRILEX 4 MG GUM
NICOTINE POLACRILEX 4 MG GUM
ADVIL ALLERGY SINUS CAPLET
ADVIL ALLERGY SINUS CAPLET
BUTALBITAL-CAFF-APAP-COD CP
BUTALBITAL/CAFF/APAP/COD CP
SOD.SULFACET/SULFUR LOTION
NICORETTE 4 MG CHEWING GUM
NICORETTE 4 MG CHEWING GUM
NICORETTE 4 MG CHEWING GUM
NICORETTE 4 MG CHEWING GUM
NICORETTE 4 MG CHEWING GUM
NICORETTE 4 MG CHEWING GUM
NICORETTE 4 MG CHEWING GUM
NICORETTE 4 MG CHEWING GUM
NICORETTE 4 MG CHEWING GUM
NICORETTE 4 MG CHEWING GUM
NICORETTE 4 MG CHEWING GUM
NICORETTE 4 MG CHEWING GUM
NICORETTE 4 MG CHEWING GUM
LOVASTATIN 20 MG TABLET
LOVASTATIN 40 MG TABLET
NABUMETONE 750 MG TABLET
NABUMETONE 750 MG TABLET
SAL-ACID PLASTERS
SECURE LYCRA PANTS FEMALE
SECURE LYCRA PANTS FEMALE
SECURE SLIM STYLE PANTS FEM
SECURE LYCRA PANTS FEMALE
SECURE SLIM STYLE PANTS FEM
SECURE LYCRA PANTS FEMALE
SECURE SLIM STYLE PANTS FEM
SECURE LYCRA PANTS FEMALE
SECURE COTTON PANTS MALE
SECURE COTTON PANTS MALE
SECURE COTTON PANTS MALE
SECURE COTTON PANTS MALE
LOVASTATIN 20 MG TABLET
LOVASTATIN 40 MG TABLET
LYCOPENE 10 MG SOFTGEL
NICORELIEF 4 MG GUM
NICORELIEF 4 MG GUM
NICORELIEF 4 MG GUM
NICORELIEF 4 MG GUM
NICORELIEF 4 MG GUM

DOSE FORM DRUG STRENGTH


CS
KA
KA
TA
TG
TG
TG
TG
TG
TG
TA
TA
CA
CA
SZ
TG
TG
TG
TG
TG
TG
TG
TG
TG
TG
TG
TG
TG
TA
TA
TA
TA
EJ
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
TA
TA
CA
TG
TG
TG
TG
TG

UNIT PRICE
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26

NDC
00904573795
00998033105
00998033115
02120000300
02120000302
02120000304
02120000306
02120000308
03466010018
03466010025
03466010032
03466010049
03466010056
03466010063
03466010070
03466010087
03466010186
03466030016
03466030023
03466040008
03466040021
03466040046
03466060013
03466060020
07249022224
07249022225
08021351425
08021351501
08021352001
08021352050
08021352055
08021356005
08021356007
08021372025
08021415045
08021471995
08024390001
08080159600
08080223100
08080224200
08080230400
08080306300
08080603400
08080653400
08080713700
08137004810
08137004831
08137004853
08137005040
08137005050
08137005126
08219159600
08219230400

NAME
NICORELIEF 4 MG GUM
ISOPTO HYOSCINE 0.25% DROPS
ISOPTO HYOSCINE 0.25% DROPS
MICROPORE FIRST AID PAPER
MICROPORE FIRST AID SKINTON
MICROPORE FIRST AID PLASTIC
MICROPORE FIRST AID WATER-P
MICROPORE FIRST AID CLOTH
PARAGON ADMIN SET 0.5 ML/HR
PARAGON ADMIN SET 1 ML/HR
PARAGON ADMIN SET 2 ML/HR
PARAGON ADMIN SET 4 ML/HR
PARAGON ADMIN SET 25 ML/HR
PARAGON ADMIN SET 50 ML/HR
PARAGON ADMIN SET 100 ML/HR
PARAGON ADMIN SET 200 ML/HR
PARAGON ADMIN SET 4 ML/HR
BAND-IT ADMINISTRATION SET
BAND-IT ADMINISTRATION SET
FIXED FLOW GRAV SET 50 ML/HR
FIXED FLOW GRAV ST 100 ML/HR
FIXED FLOW GRAV ST 250 ML/HR
MEDI-SIS ADMIN SET-15 MIN
MEDI-SIS ADMIN SET-30 MIN
THIK & CLEAR PACKET
THIK & CLEAR PACKET
VENTED MINI-SPIKE IV SET
IV ADMINISTRATION SET
IV ADMINISTRATION SET
IV ADMINISTRATION SET
VENTED PRIMARY IV SET
VENTED SET W/EXACDROP
VENTED SET W/EXACDROP
EXACDROP FLOW CONTROL SET
TRANSFER NEEDLE WITH FILTER
EXACDROP FLOW CONTROL SET
INFUSION SET VENTED
TENDERSKIN PAPER TAPE
CONFORM STRETCH BANDAGE
CONFORM STRETCH BANDAGE
CURITY STANDARD POROUS TAPE
WET-PRUF WATERPROOF TAPE
CURITY DISP LAP SPONGE TRAY
CURITY DISP LAP SPONGE PCH
CURASILK CLOTH TAPE
J&J FIRST AID PAPER TAPE 1/2"
J&J FIRST AID CLOTH TAPE 1/2"
J&J FIRST AID CLEAR TAPE 1/2"
J&J WATERPROOF TAPE 0.5"X5 YDS
J&J WATERPROOF TAPE 0.5"X10 YD
DERMICLEAR TRANSPARENT TAPE
TENDERSKIN PAPER TAPE
CURITY STANDARD POROUS TAPE

DOSE FORM DRUG STRENGTH


TG
SO
SO
YT
YT
YT
YT
YT
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
PP
PP
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YH
YQ
YQ
YT
YE
YE
YT
YT
YV
YV
YT
YT
YT
YT
YT
YT
YT
YT
YT

UNIT PRICE
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26

NDC
08219306300
08219603400
08219643400
08219653400
08219683400
08219713700
08219763400
08219853300
08225691000
08225700000
08225701000
08287126702
08287126704
08287126706
08287126708
08287126709
08290305561
08290305564
08290387226
08317900225
08317900325
08317900425
08317900525
08317900615
08317900715
08317900810
08317900910
08317901215
08333053000
08333152500
08333152700
08333153000
08333153300
08333153500
08333153800
08462508216
08881305109
08970100665
08970100666
08970100667
08970100668
08970100669
08970100670
08970705013
08970705014
08970705015
08970705016
08970705017
08970705018
10019002802
10019002803
10019002805
10019002810

NAME
WET-PRUF WATERPROOF TAPE
CURITY DISP LAP SPONGE TRAY
CURITY DISP LAP SPONGE POUCH
CURITY DISP LAP SPONGE POUCH
CURITY DISP LAP SPONGE
CURASILK CLOTH TAPE
CURITY PLAIN PACKING STRIPS
CURITY CLEAR TAPE
CURITY SPORTS TPE 0.5"X10 YDS
WET-PRUF 1/2 IN X 5YDS TAPE
WET-PRUF 1/2 IN X 10YD TAPE
EXEL PSV SET 19GX3/4"
EXEL PSV SET 21GX3/4"
EXEL PSV SET 23GX3/4"
EXEL PSV SET 25GX3/4"
EXEL PSV SET 27GX3/4"
SAFETY-LOK 5 ML SYRINGE
SAFETY-LOK 10 ML SYRINGE
E-Z SET WINGED INFUSION SET
PURELINE BASIC INFUSION SET
PURELINE BASIC INFUSION SET
PURELINE BASIC INFUSION SET
PURELINE BASIC INFUSION SET
PURELINE CONTACT INFUS SET
PURELINE CONTACT INFUS SET
COMFORT INFUSION SET
COMFORT INFUSION SET
PURELINE CONTACT INFUS SET
MICROPORE SURGICAL TAPE
BLENDERM SURGICAL TAPE
TRANSPORE SURGICAL TAPE
MICROPORE SURGICAL TAPE
MICROPORE SURGICAL TAPE
MICROPORE SURGICAL TAPE
DURAPORE SURGICAL TAPE
SECUREGARD SAFETY SYRINGE 5 ML
FILTER ASPIRATOR NEEDLE
TERUMO SURGUARD2 SYR 20G-5 ML
TERUMO SURGUARD2 SYR 20G-5 ML
TERUMO SURGUARD2 SYR 21G-5 ML
TERUMO SURGUARD2 SYR 20G-10 ML
TERUMO SURGUARD2 SYR 20G-10 ML
TERUMO SURGUARD2 SYR 21G-10 ML
TERUMO SURGUARD2 SYR 20G-5 ML
TERUMO SURGUARD2 SYR 20G-5 ML
TERUMO SURGUARD2 SYR 21G-5 ML
TERUMO SURGUARD2 SYR 20G-10 ML
TERUMO SURGUARD2 SYR 20G-10 ML
TERUMO SURGUARD2 SYR 21G-10 ML
MIDAZOLAM HCL 1 MG/ML VIAL
MIDAZOLAM HCL 1 MG/ML VIAL
MIDAZOLAM HCL 1 MG/ML VIAL
MIDAZOLAM HCL 1 MG/ML VIAL

DOSE FORM DRUG STRENGTH


YT
YV
YV
YV
YV
YT
YE
YT
YT
YT
YT
YQ
YQ
YQ
YQ
YQ
YL
YL
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YT
YT
YT
YT
YT
YT
YT
YL
YH
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
HV
HV
HV
HV

UNIT PRICE
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26

NDC
10019051001
10019051002
10019051003
10019051004
10019051005
10019051010
10356001496
10356009349
10356009367
10939006433
10939058601
10939058611
10939058801
11026302003
11822032093
11822309470
11822312680
11822312690
11822320930
11822347990
11822854130
11822872890
11822872910
11917005374
11917005536
11917005538
11917005540
11917005965
11917005966
12333014605
12333014606
14654099105
17191000601
17317025501
17317025502
17317025504
19458964201
19458964202
21200000300
21200000324
21200000348
21200000362
21200000386
23734689006
23734691009
23734693010
23734694000
23734698008
23734699005
24208028015
24208036705
24208036710
24208036715

NAME
DILTIAZEM 5 MG/ML VIAL
DILTIAZEM 5 MG/ML VIAL
DILTIAZEM 5 MG/ML VIAL
DILTIAZEM 5 MG/ML VIAL
DILTIAZEM 5 MG/ML VIAL
DILTIAZEM 5 MG/ML VIAL
MEDIPLAST 40% PLASTER
LEUKOFIX SURGICAL TAPE
LEUKOPOR SURGICAL TAPE
SM ADHESIVE TAPE 1/2" X 10 YDS
ADHESIVE TAPE 1/2" X 10 YDS
SM ADHESIVE TAPE 1/2" X 10 YDS
STRETCH GAUZE BANDAGE 2X5YD
SUPERVITE TABLET
NICOTINE POLACRILEX 4 MG GUM
NICOTINE 4 MG CHEWING GUM
RA ADHESIVE TAPE 1/2"X5YD
RA ADHESIVE TAPE 1/2"X10YD
RA NICOTINE 4 MG GUM
RA WART REMOVER
RA NICOTINE 4 MG GUM
RA NICOTINE 4 MG GUM
RA NICOTINE 4 MG GUM
NICOTINE POLACRILEX 4 MG GUM
NICOTINE POLACRILEX 4 MG GUM
NICOTINE POLACRILEX 4 MG GUM
NICOTINE POLACRILEX 4 MG GUM
NICOTINE POLACRILEX 4 MG GUM
NICOTINE POLACRILEX 4 MG GUM
ADHESIVE TAPE 1/2" X 5YD
ADHESIVE TAPE 1/2" X 10YD
Q-GEL 30 MG SOFTSULE
DUAL RATE SYR INFUSR TUBING
CORIANDER OIL
CORIANDER OIL
CORIANDER OIL
ECK NICOTINE 4 MG CHEW GUM
ECK NICOTINE 4 MG CHEW GUM
FIRST AID PAPER TAPE
FIRST AID SKINTONE PAPER
FIRST AID PLASTIC TAPE
FIRST AID WATERPROOF TAPE
FIRST AID CLOTH TAPE
HANDICARE COTTON PANT
HANDICARE COTTON PANT
AIRFLO REUSABLE NYLON PANTS
HANDICARE COTTON PANT
HANDICARE COTTON PANT
HANDICARE COTTON PANT
MUROCEL 1% EYE DROPS
CARTEOLOL HCL 1% EYE DROPS
CARTEOLOL HCL 1% EYE DROPS
CARTEOLOL HCL 1% EYE DROPS

DOSE FORM DRUG STRENGTH


HV
HV
HV
HV
HV
HV
EJ
YT
YT
YT
YT
YT
YE
TA
TG
TG
YT
YT
TG
EJ
TG
TG
TG
TG
TG
TG
TG
TG
TG
YT
YT
CA
EA
SQ
SQ
SQ
TG
TG
YT
YT
YT
YT
YT
EA
EA
EA
EA
EA
EA
SO
SO
SO
SO

UNIT PRICE
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26

NDC
24385015410
36800018600
37205020423
37205020467
37205020471
37205020477
38341008188
38779021705
38779021710
38779037305
38779037308
38779037309
44156026900
44156026901
44156026902
44156026903
44156026904
44156026905
44156030105
44156030106
44156030107
44156030108
44156030201
44156030202
44156030203
44156030204
44156030205
44156030206
44156030207
44156030208
44156030211
44156030212
44156030213
44156030214
44156030216
44156030217
44156030218
45802046611
45802046635
45802046653
47028001901
47682040115
47682040170
48107003371
48107003372
48107003377
48107003378
49326027402
49326027477
49326041804
49348058686
49452144501
49452144502

NAME
ADHESIVE TAPE 1/2"X10 YARDS
TAPE 0.5"X10YDS
NICOTINE 4 MG GUM
NICOTINE 4 MG GUM
LDR NICOTINE 4 MG CHEWING GUM
LDR NICOTINE 4 MG CHEWING GUM
PEROXYL 1.5% ORAL GEL
DISOPYRAMIDE PHOSPHATE PWDR
DISOPYRAMIDE PHOSPHATE PWDR
GEMFIBROZIL POWDER
GEMFIBROZIL POWDER
GEMFIBROZIL POWDER
DIGNITY REG 20IN PANT
DIGNITY REG 24IN PANT
DIGNITY REG SMALL PANT
DIGNITY REG MEDIUM PANT
DIGNITY REG LARGE PANT
DIGNITY REG X-LARGE PANT
DIGNITY PLUS REG BRIEF SM
DIGNITY PLUS REG BRIEF MED
DIGNITY PLUS REG BRIEF LG
DIGNITY PLUS REG BRIEF X-LG
LADY DIGNITY PLUS BRIEF SM
LADY DIGNITY PLUS BRIEF MED
LADY DIGNITY PLUS BRIEF LRG
LADY DIGNITY PLUS BRIEF XLG
LADY DIGNITY PLUS BRIEF PLS
PREVENT PLUS TRAINING PANTY
PREVENT PLUS TRAINING PANTY
PREVENT PLUS TRAINING PANTY
SIR DIGNITY PLUS BRIEF SM
SIR DIGNITY PLUS BRIEF MED
SIR DIGNITY PLUS BRIEF LRG
SIR DIGNITY PLUS BRIEF X-LG
PREVENT PLUS TRAINING BRIEF
PREVENT PLUS TRAINING BRIEF
PREVENT PLUS TRAINING BRIEF
ECONAZOLE NITRATE 1% CREAM
ECONAZOLE NITRATE 1% CREAM
ECONAZOLE NITRATE 1% CREAM
LEMOHIST PLUS CAPSULE
GAS BAN CHEW TABLET
GAS BAN CHEW TABLET
KAVA KAVA ROOT 1,000 MG SFTGL
KAVA KAVA ROOT 1,000 MG SFTGL
GOLDENSEAL 1,000 MG SOFTGEL
GOLDENSEAL 1,000 MG SOFTGEL
ALBATUSSIN CF PEDIATRIC DRP
ALBATUSSIN CF PEDIATRIC DRP
RICOBID-D SUSPENSION
SM ADHESIVE TAPE 1/2" X 10 YDS
CALCIUM GLUCEPTATE POWDER
CALCIUM GLUCEPTATE POWDER

DOSE FORM DRUG STRENGTH


YT
YT
TG
TG
TG
TG
JG
PA
PA
PA
PA
PA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
KA
KA
KA
CA
TC
TC
CA
CA
CA
CA
SO
SO
SC
YT
PA
PA

UNIT PRICE
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26

NDC
49452144503
49614061800
49884075501
49884075510
49884075601
49884075610
49999010300
49999010314
49999010320
49999010330
49999010360
49999012514
49999012530
49999029915
49999035730
49999047060
49999047130
49999047160
49999049910
50428210120
50428999524
50474020001
50474020050
51079092101
51079092120
51079094001
51079094020
51079097501
51079097520
51079097601
51079097620
51079097801
51079097820
51079097857
51119000146
51131620960
51138082567
51285044102
51672130301
51672130302
51672130308
51991007301
52041004915
52041005013
52083084030
52544095801
52735081760
52959037320
52959037328
52959037330
52959037340
52959065620
52959065630

NAME
CALCIUM GLUCEPTATE POWDER
ADHESIVE TAPE 1/2" X 5YDS
LOVASTATIN 20 MG TABLET
LOVASTATIN 20 MG TABLET
LOVASTATIN 40 MG TABLET
LOVASTATIN 40 MG TABLET
NABUMETONE 750 MG TABLET
NABUMETONE 750 MG TABLET
NABUMETONE 750 MG TABLET
NABUMETONE 750 MG TABLET
NABUMETONE 750 MG TABLET
RELAFEN 750 MG TABLET
RELAFEN 750 MG TABLET
ECONAZOLE NITRATE 1% CREAM
NIFEDIPINE ER 30 MG TABLET
LOVASTATIN 20 MG TABLET
LOVASTATIN 40 MG TABLET
LOVASTATIN 40 MG TABLET
DILTIAZEM HCL 360 MG CAP SA
CVS ADHESIVE TAPE 1/2"X10YD
CVS ADHESIVE TAPE
THEO-24 200 MG CAPSULE SA
THEO-24 200 MG CAPSULE SA
CLOZAPINE 25 MG TABLET
CLOZAPINE 25 MG TABLET
NIFEDIPINE ER 30 MG TABLET
NIFEDIPINE ER 30 MG TABLET
LOVASTATIN 20 MG TABLET
LOVASTATIN 20 MG TABLET
LOVASTATIN 40 MG TABLET
LOVASTATIN 40 MG TABLET
CARBIDOPA/LEVO 25/100 TAB
CARBIDOPA/LEVO 25/100 TB SA
CARBIDOPA-LEVO ER 25-100 TB
MICROPORE PAPER SURG TAPE
WATERPROOF ADHESIVE TAPE
PAPER FIRST AID TAPE
CENESTIN 0.3 MG TABLET
ECONAZOLE NITRATE 1% CREAM
ECONAZOLE NITRATE 1% CREAM
ECONAZOLE NITRATE 1% CREAM
BUTALBITAL-CAFF-APAP-COD CAP
ENZYMAX 500 MG TABLET
PROVASMIN 300 MG CAPLET
LYSIPLEX TABLET
FIORICET W/CODEINE CAPSULE
FP ADHESIVE TAPE 1/2" X 10YDS
RELAFEN 750 MG TABLET
RELAFEN 750 MG TABLET
RELAFEN 750 MG TABLET
RELAFEN 750 MG TABLET
NABUMETONE 750 MG TABLET
NABUMETONE 750 MG TABLET

DOSE FORM DRUG STRENGTH


PA
YT
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
KA
TZ
TA
TA
TA
CS
YT
YT
CC
CC
TA
TA
TZ
TZ
TA
TA
TA
TA
TS
TS
TS
YT
YT
YT
TA
KA
KA
KA
CA
TA
TA
TA
CA
YT
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26

NDC
52959065640
52959065660
52959072030
53100051250
53191023701
53191023801
53191023805
53265024010
53335008214
53335008514
53335010214
53879020060
54000063401
54023694802
54569061302
54569162801
54569263900
54569384500
54569384501
54569384502
54569534600
54569534700
54569542900
54569542902
54859060001
54859070860
54868065801
54868068601
54868068602
54868068603
54868068604
54868100602
54868100603
54868108700
54868108701
54868116400
54868224100
54868224101
54868224103
54868320800
54868320801
54868320802
54868331700
54868346900
54868377400
54868395600
54868395601
54868395602
54868395800
54868441800
54868455800
54868455801
54868455802

NAME
NABUMETONE 750 MG TABLET
NABUMETONE 750 MG TABLET
LOVASTATIN 20 MG TABLET
MASSENGILL DOUCHE PWDR PKT
BILBERRY 150 MG CAPSULE
LIPOIC CAPSULE
LIPOIC CAPSULE
BUTALBITAL-CAFF-APAP-COD CP
L-ORNITHINE 600 MG CAPSULE
L-PHENYLALANINE 600 MG CAP
THIAMILATE 20 MG TABLET
VITACEL TABLET
PROMISE 2 PIECE PANTS SMALL
Q-GEL 30 MG SOFTSULE
MEVACOR 20 MG TABLET
SPECTAZOLE 1% CREAM
SPECTAZOLE 1% CREAM
RELAFEN 750 MG TABLET
RELAFEN 750 MG TABLET
RELAFEN 750 MG TABLET
LOVASTATIN 20 MG TABLET
LOVASTATIN 40 MG TABLET
NABUMETONE 750 MG TABLET
NABUMETONE 750 MG TABLET
COLYTROL PEDIATRIC DROPS
TROMBONEX CAPSULE
ISOPTO HYOSCINE 0.25% DROPS
MEVACOR 20 MG TABLET
MEVACOR 20 MG TABLET
MEVACOR 20 MG TABLET
MEVACOR 20 MG TABLET
PROCARDIA XL 30 MG TABLET
PROCARDIA XL 30 MG TABLET
MEVACOR 40 MG TABLET
MEVACOR 40 MG TABLET
CELLUVISC 1% EYE DROPS
SPECTAZOLE 1% CREAM
SPECTAZOLE 1% CREAM
SPECTAZOLE 1% CREAM
RELAFEN 750 MG TABLET
RELAFEN 750 MG TABLET
RELAFEN 750 MG TABLET
FIORICET W/CODEINE CAPSULE
PROCAINAMIDE 500 MG CAPSULE
TIAZAC 120 MG CAPSULE SA
TIAZAC 180 MG CAPSULE SA
TIAZAC 180 MG CAPSULE SA
TIAZAC 180 MG CAPSULE SA
TIAZAC 240 MG CAPSULE SA
TIAZAC 300 MG CAPSULE SA
NABUMETONE 750 MG TABLET
NABUMETONE 750 MG TABLET
NABUMETONE 750 MG TABLET

DOSE FORM DRUG STRENGTH


TA
TA
TA
PP
CA
CA
CA
CA
CA
CA
TA
TA
EA
CA
TA
KA
KA
TA
TA
TA
TA
TA
TA
TA
SO
CA
SO
TA
TA
TA
TA
TZ
TZ
TA
TA
DP
KA
KA
KA
TA
TA
TA
CA
CA
CS
CS
CS
CS
CS
CS
TA
TA
TA

UNIT PRICE
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26

NDC
54868458500
54868458501
54868458502
54868458503
54868477400
54868477401
54868477402
54868504200
54868520800
55045244008
55045305601
55045305606
55045305608
55289032301
55289032330
55289040030
55289044810
55289054830
55289060930
55289069214
55289072120
55289072130
55390012510
55390013702
55390013705
55390056505
55390056510
55390056530
55390056605
55390056610
55390056630
55887068328
55887068330
55887068360
55887068390
56091005103
56091005131
56091005143
56091005178
56091005180
56091008753
56643067001
57664034513
57664034588
57866393801
57866393802
57866393803
57866406801
57866633401
57866633402
57866633501
57866633502
57866673901

NAME
LOVASTATIN 20 MG TABLET
LOVASTATIN 20 MG TABLET
LOVASTATIN 20 MG TABLET
LOVASTATIN 20 MG TABLET
LOVASTATIN 40 MG TABLET
LOVASTATIN 40 MG TABLET
LOVASTATIN 40 MG TABLET
ECONAZOLE NITRATE 1% CREAM
DILTIAZEM HCL 360 MG CAP SA
RELAFEN 750 MG TABLET
NABUMETONE 750 MG TABLET
NABUMETONE 750 MG TABLET
NABUMETONE 750 MG TABLET
PROCARDIA XL 30 MG TABLET
PROCARDIA XL 30 MG TABLET
MEVACOR 20 MG TABLET
VERSED 1 MG/ML VIAL
MEVACOR 40 MG TABLET
NABUMETONE 750 MG TABLET
LOVASTATIN 40 MG TABLET
RELAFEN 750 MG TABLET
RELAFEN 750 MG TABLET
MIDAZOLAM HCL 1 MG/ML VIAL
MIDAZOLAM HCL 1 MG/ML VIAL
MIDAZOLAM HCL 1 MG/ML VIAL
DILTIAZEM 5 MG/ML VIAL
DILTIAZEM 5 MG/ML VIAL
DILTIAZEM 5 MG/ML VIAL
DILTIAZEM 5 MG/ML VIAL
DILTIAZEM 5 MG/ML VIAL
DILTIAZEM 5 MG/ML VIAL
NABUMETONE 750 MG TABLET
NABUMETONE 750 MG TABLET
NABUMETONE 750 MG TABLET
NABUMETONE 750 MG TABLET
ZONAS POROUS TAPE 1/2"X10YDS
J & J WATERPROOF TAPE
DERMICEL CLOTH TAPE
DERMIFORM KNITTED TAPE 1"
DERMIFORM KNITTED TAPE 1/2"
NU-GAUZE PACK STRIPS 2"X5YD
ENDURE CLIMAX CONTROL GEL
CLOZAPINE 25 MG TABLET
CLOZAPINE 25 MG TABLET
BUTALBITAL/CAFF/APAP/COD CP
BUTALBITAL-CAFF/APAP-COD CP
BUTALBITAL-CAFF-APAP-COD CP
NIFEDIPINE ER 30 MG TABLET
RELAFEN 750 MG TABLET
NABUMETONE 750 MG TABLET
RELAFEN 750 MG TABLET
RELAFEN 750 MG TABLET
CARBIDOPA/LEVO 25/100 TB SA

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
KA
CS
TA
TA
TA
TA
TZ
TZ
TA
HV
TA
TA
TA
TA
TA
HV
HV
HV
HV
HV
HV
HV
HV
HV
TA
TA
TA
TA
YT
YT
YT
YT
YT
YE
JG
TA
TA
CA
CA
CA
TZ
TA
TA
TA
TA
TS

UNIT PRICE
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26

NDC
58016054600
58016062800
58016062802
58016062803
58016062828
58016062830
58016062860
58016062873
58016062889
58016062890
58016647301
58177043904
58768000101
58768000102
58768000104
58864063514
58864071430
58864072430
58864078030
59366276205
59366276207
59911591102
59911591202
59911591302
59936023102
60267011930
60505013100
60505013101
60505070401
60505070402
60505071101
60505071102
60505071103
60505100101
60505100102
60505100103
61058025291
61058025307
61058025314
61314023805
61314023810
61314023815
61553086348
61553086948
61941025520
61955060143
61955060162
62037069630
62037069690
62037069730
62037069790
62037069830
62037069890

NAME
MEVACOR 20 MG TABLET
NABUMETONE 750 MG TABLET
NABUMETONE 750 MG TABLET
NABUMETONE 750 MG TABLET
NABUMETONE 750 MG TABLET
NABUMETONE 750 MG TABLET
NABUMETONE 750 MG TABLET
NABUMETONE 750 MG TABLET
NABUMETONE 750 MG TABLET
NABUMETONE 750 MG TABLET
ISOPTO HYOSCINE 0.25% DROPS
CAL-NATE TABLET
OCUPRESS 1% EYE DROPS
OCUPRESS 1% EYE DROPS
OCUPRESS 1% EYE DROPS
TIAZAC 180 MG CAPSULE
TIAZAC 240 MG CAPSULE SA
TIAZAC 120 MG CAPSULE SA
LOVASTATIN 20 MG TABLET
SOD.SULFACET/SULFUR LOTION
SOD.SULFACET/SULFUR LOTION
MIDAZOLAM HCL 1 MG/ML VIAL
MIDAZOLAM HCL 1 MG/ML VIAL
MIDAZOLAM HCL 1 MG/ML VIAL
BRONCAP CAPLET
SOD.SULFACET/SULFUR LOTION
CARBIDOPA-LEVO 25/100 TAB SR
CARBIDOPA-LEVO 25/100 TAB SR
DILTIAZEM 5 MG/ML VIAL
DILTIAZEM 5 MG/ML VIAL
MIDAZOLAM HCL 1 MG/ML VIAL
MIDAZOLAM HCL 1 MG/ML VIAL
MIDAZOLAM HCL 1 MG/ML VIAL
CARTEOLOL HCL 1% EYE DROPS
CARTEOLOL HCL 1% EYE DROPS
CARTEOLOL HCL 1% EYE DROPS
INFUSION CATHETER SET 23"
INFUSION CATHETER SET 43"
INFUSION CATHETER SET 31"
CARTEOLOL HCL 1% EYE DROPS
CARTEOLOL HCL 1% EYE DROPS
CARTEOLOL HCL 1% EYE DROPS
FENTA-BUPIVA-NS 2 MCG/0.1%
FENTA-BUPIVA-NS 2 MCG/0.1%
KIDZ-EEZE SORE THROAT POPS
NICOTINE POLACRILEX 4 MG GUM
NICOTINE POLACRILEX 4 MG GUM
TAZTIA XT 120 MG CAPSULE
TAZTIA XT 120 MG CAPSULE
TAZTIA XT 180 MG CAPSULE
TAZTIA XT 180 MG CAPSULE
TAZTIA XT 240 MG CAPSULE
TAZTIA XT 240 MG CAPSULE

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
SO
TA
SO
SO
SO
CS
CS
CS
TA
SZ
SZ
HV
HV
HV
TA
SZ
TS
TS
HV
HV
HV
HV
HV
SO
SO
SO
YQ
YQ
YQ
SO
SO
SO
IR
IR
LP
TG
TG
CS
CS
CS
CS
CS
CS

UNIT PRICE
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26

NDC
62037069930
62037069990
62037070030
62037070090
62037079201
62037079301
63010001190
63323041105
63323041110
63323041112
63323041125
63717010001
63739028115
64376080201
65234006110
65781021010
65781021110
65781021205
65781021305
65781022015
65781022115
65781022215
65781023012
65781023112
65781023212
65781023312
65781024025
65781024125
65781024225
65781024325
65781110610
65781118110
65781210610
65781218110
65781310610
65781318110
65781410610
65781418210
65781518210
65781618210
65781718310
65781818410
66116027730
66116045130
66267019030
66267052920
66267052930
66581000230
66581000430
66758001801
66758001802
68030633401
68030633402

NAME
TAZTIA XT 300 MG CAPSULE
TAZTIA XT 300 MG CAPSULE
TAZTIA XT 360 MG CAPSULE
TAZTIA XT 360 MG CAPSULE
LOVASTATIN 20 MG TABLET
LOVASTATIN 40 MG TABLET
VIRACEPT POWDER
MIDAZOLAM HCL 1 MG/ML VIAL
MIDAZOLAM HCL 1 MG/ML VIAL
MIDAZOLAM HCL 1 MG/ML VIAL
MIDAZOLAM HCL 1 MG/ML VIAL
ICAR-C PLUS TABLET
LOVASTATIN 20 MG TABLET
FE C PLUS TABLET
PHRENILIN W/CAFF/CODEINE CP
INFUSION SET 23"
INFUSION SET 43"
INFUSION SET 23"
INFUSION SET 43"
INFUSION SET 43" 10MM
INFUSION SET 23" 10MM
INFUSION SET 23" 8MM
INFUSION SET 24" 9MM
INFUSION SET 42" 9MM
INFUSION SET 24" 6MM
INFUSION SET 42" 6MM
INFUSION SET 23"
INFUSION SET 43"
INFUSION SET 23"
INFUSION SET 43"
INFUSION SET 23"
INFUSION SET 23" 9MM
INFUSION SET 43"
INFUSION SET 23" 9MM
INFUSION SET 23"
INFUSION SET 23" 9MM
INFUSION SET 43"
INFUSION SET 23" 6MM
INFUSION SET 23" 6MM
INFUSION SET 23" 6MM
INFUSION SET 43" 9MM
INFUSION SET 43" 6MM
LOVASTATIN 20 MG TABLET
LOVASTATIN 40 MG TABLET
RELAFEN 750 MG TABLET
NABUMETONE 750 MG TABLET
NABUMETONE 750 MG TABLET
SIMPLECHOICE EASY 23" SET
SIMPLECHOICE EASY 43" SET
MIDAZOLAM HCL 1 MG/ML VIAL
MIDAZOLAM HCL 1 MG/ML VIAL
NABUMETONE 750 MG TABLET
NABUMETONE 750 MG TABLET

DOSE FORM DRUG STRENGTH


CS
CS
CS
CS
TA
TA
PA
HV
HV
HV
HV
TA
TA
TA
CA
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
TA
TA
TA
TA
TA
YQ
YQ
HV
HV
TA
TA

UNIT PRICE
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26

NDC
68030978501
68030978602
68115005700
68115005715
68115021930
68115021960
68115024530
68115024560
68115024599
68115065800
68387027060
68702031101
68702031201
68702031301
68702031401
68702063200
68702063201
68702063202
68702063203
68702063501
68702063601
68702063800
70319002001
70319002002
70319002003
70319002004
70319002061
70319002062
70319002063
70319002064
71114060142
71114060143
72140001496
72140001743
76300011124
76300011224
76300011512
76300011612
76300031512
76300031612
76300031712
76300031812
76300032012
76300032112
76300032412
76300032512
76300037110
76300037310
76300037710
76300037810
76300038501
76300039010
76300039110

NAME
NABUMETONE 750 MG TABLET
NABUMETONE 750 MG TABLET
BUTALBITAL-CAFF-APAP-COD CAP
BUTALBITAL/CAF/APAP/COD CAP
LOVASTATIN 20 MG TABLET
LOVASTATIN 20 MG TABLET
NABUMETONE 750 MG TABLET
NABUMETONE 750 MG TABLET
NABUMETONE 750 MG TABLET
LOVASTATIN 40 MG TABLET
NABUMETONE 750 MG TABLET
TENA MESH PANTS SMALL
TENA MESH PANTS MEDIUM
TENA MESH PANTS LARGE
TENA MESH PANTS X-LARGE
TENA KNIT PANTS REGULAR
TENA KNIT PANTS PLUS
TENA KNIT PANTS REGULAR
TENA KNIT PANTS PLUS
TENA MESH PANTS MEDIUM
TENA MESH PANTS LARGE
TENA MESH PANTS X-LARGE
TRANQUILITY BRIEF SMALL
TRANQUILITY BRIEF MEDIUM
TRANQUILITY BRIEF LARGE
TRANQUILITY BRIEF X-LARGE
TRANQUILITY BRIEF SMALL
TRANQUILITY BRIEF MEDIUM
TRANQUILITY BRIEF LARGE
TRANQUILITY BRIEF X-LARGE
EQUATE NICOTINE 4 MG GUM
EQUATE NICOTINE 4 MG GUM
MEDIPLAST 40% PLASTER
MEDIPLAST 40% PLASTER
SOF-SET INFUSION SET
SOF-SET INFUSION SET
SOF-SET QR INFUSION SET
SOF-SET QR INFUSION SET
QUICK RELEASE TEFLN CANNULA
QUICK RELEASE TEFLN CANNULA
SOF-SET ULTIMATE QR SET
SOF-SET ULTIMATE QR SET
SOF-SET MICRO INFUSION SET
SOF-SET MICRO INFUSION SET
SOF-SET ULTIMATE QR SET
SOF-SET ULTIMATE QR SET
SILHOUETTE INFUSION SET 43"
SILHOUETTE INFUSION SET 23"
SILHOUETTE INFUSION SET 43"
SILHOUETTE INFUSION SET 23"
SIL-SERTER INFUSION SET
MINIMED INFUSION SET
MINIMED INFUSION SET

DOSE FORM DRUG STRENGTH


TA
TA
CA
CA
TA
TA
TA
TA
TA
TA
TA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
TG
TG
EJ
EJ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ

UNIT PRICE
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26

NDC
76300039210
76300039310
76300039501
76300039610
76300039710
76300039810
76300039910
76300359161
76300359191
76300359261
76300359291
82028010081
87701043053
87701048611
87900050010
90891000425
90891001425
90891002425
90891003425
90891004425
90891005425
90891006425
90891007425
90891008425
90891009425
90891010425
90891011425
96295011216
96295011276
00003059320
00003080110
00007351220
00009028603
00009028642
00009333101
00009333102
00023077030
00023077060
00025104131
00025104134
00037069304
00054408425
00054418125
00054808425
00054817425
00062542701
00062542705
00062542736
00066007160
00071035024
00074175030
00074321032
00074553401

NAME
MINIMED INFUSION SET
MINIMED INFUSION SET
MINIMED QUICK-SERTER
MINIMED INFUSION SET
MINIMED INFUSION SET
MINIMED INFUSION SET
MINIMED INFUSION SET
QUICKSET PLUS INFUSION SET
QUICKSET PLUS INFUSION SET
QUICKSET PLUS INFUSION SET
QUICKSET PLUS INFUSION SET
PROCEL SINGLES POWDER
BL ADHESIVE TAPE WP
GNP ADHESIVE TAPE WP
DERIFIL 100 MG TABLET
SNAP PANTS-2X-LARGE
MESH PANTS-SMALL
MESH PANTS-MEDIUM
MESH PANTS-LARGE
MESH PANTS-X-LARGE
MESH PANTS-2X-LARGE
SNAP PANTS-SMALL
SNAP PANTS-MEDIUM
SNAP PANTS-LARGE
SNAP PANTS- X-LARGE
SNAP PANTS-3X-LARGE
FQ SNAP PANTS 4X-LARGE
LDR NICOTINE 4 MG CHEWING GUM
LDR NICOTINE 4 MG CHEWING GUM
MYCOSTATIN 100,000 UNITS/GM PW
PROLIXIN 5 MG/ML ORAL CONC
DEXEDRINE SPANSULE 5 MG
PROVERA 5 MG TABLET
PROVERA 5 MG TABLET
CLEOCIN T 1% GEL
CLEOCIN T 1% GEL
MAXIFLOR 0.05% OINTMENT
MAXIFLOR 0.05% OINTMENT
ALDACTONE 50 MG TABLET
ALDACTONE 50 MG TABLET
TUSSI-12D S SUSPENSION
AZATHIOPRINE 50 MG TABLET
DEXAMETHASONE 1 MG TABLET
AZATHIOPRINE 50 MG TABLET
DEXAMETHASONE 1 MG TABLET
MONISTAT 7 100 MG VAG SUPP
MONISTAT 7 100 MG VAG SUPP
MONISTAT 7 100 MG VAG SUPP
PSORCON 0.05% OINTMENT
NARDIL 15 MG TABLET
MARCAINE W/EPI 0.75%/0.0005
DIAZEPAM 5 MG/ML AMPUL
SODIUM BICARB 4.25% ABBJCT

DOSE FORM DRUG STRENGTH


YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
PP
YT
YT
TA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
TG
TG
PA
SY
CS
TA
TA
JG
JG
OA
OA
TA
TA
SC
TA
TA
TA
TA
QC
QC
QC
OI
TA
HH
HH
HQ

UNIT PRICE
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.26
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27

NDC
00074553418
00074553423
00074553434
00074581916
00074910518
00078038005
00085047405
00091249123
00093084015
00093084030
00093084092
00093515301
00121065304
00135000504
00135000508
00168006538
00168009915
00168009930
00168009960
00168020230
00168020260
00168024315
00168024330
00168024360
00173059755
00186097166
00228267211
00228267250
00247003607
00247024615
00247041900
00247041903
00247041912
00247077400
00247077490
00247088281
00247115605
00273010410
00299450042
00299450077
00338001948
00338002041
00338101948
00378024301
00378644001
00406896001
00451450085
00456210108
00462039030
00462039060
00462039430
00462039460
00472173607

NAME
DOSE FORM DRUG STRENGTH
SODIUM BICARB 4.25% ABBJCT
HQ
SODIUM BICARB 4.25% ABBJCT
HQ
SODIUM BICARB 4.2% ABBJCT
HQ
DOPAMINE 40 MG/ML SYRINGE
HQ
DOPAMINE 40 MG/ML SYRINGE
HQ
FOCALIN 2.5 MG TABLET
TA
AFRIN MENTHOL SPRAY
AS
VERELAN 240 MG CAP PELLET
CP
KETOCONAZOLE 2% CREAM
KA
KETOCONAZOLE 2% CREAM
KA
KETOCONAZOLE 2% CREAM
KA
VERAPAMIL 240 MG CAP PELLET
CP
FLUPHENAZINE 5 MG/ML CONC
SY
CHLORPHENIRAMINE 12MG/PHENYLPROPANOLAMINE
CA
75MG TAB,SA
CHLORPHENIRAMINE 12MG/PHENYLPROPANOLAMINE
CA
75MG TAB,SA
ATROPINE 1% EYE OINTMENT
OA
KETOCONAZOLE 2% CREAM
KA
KETOCONAZOLE 2% CREAM
KA
KETOCONAZOLE 2% CREAM
KA
CLINDAMYCIN PH 1% GEL
JG
CLINDAMYCIN PH 1% GEL
JG
DIFLORASONE 0.05% OINTMENT
OA
DIFLORASONE 0.05% OINTMENT
OA
DIFLORASONE 0.05% OINTMENT
OA
IMURAN 50 MG TABLET
TA
NESACAINE 1% VIAL
HV
SPIRONOLACTONE 50 MG TABLET
TA
SPIRONOLACTONE 50 MG TABLET
TA
MONISTAT 7 100 MG VAG SUPP
QC
NIZORAL 2% CREAM
KA
ALUMINUM ACETATE POWDER PKT
PP
ALUMINUM ACETATE POWDER PKT
PP
ALUMINUM ACETATE POWDER PKT
PP
MEDROXYPROGESTERONE 5 MG TAB
TA
MEDROXYPROGESTERONE 5 MG TAB
TA
ATROPINE 1% EYE OINTMENT
OA
DOPAMINE 40 MG/ML SYRINGE
HQ
AMMONIA AROMATIC AMPUL
HH
CLINDAGEL 1% GEL
JG
CLINDAGEL 1% GEL
JG
NALLPEN 2 GM/D5W 100 ML IVPB
HP
TICAR 2 GM/D5W 50 ML IVPB
HP
NAFCILLIN 2 GM/ 50 ML INJ
HK
SPIRONOLACTONE 50 MG TABLET
TA
VERAPAMIL 240 MG CAP PELLET
CP
D-AMPHETAMINE 5 MG CAP SA
CS
SALINEX 0.4% NOSE DROPS
SO
LEXAPRO 5 MG/5 ML SOLUTION
SJ
CLINDAMAX 1% GEL
JG
CLINDAMAX 1% GEL
JG
APEXICON 0.05% OINTMENT
OA
APEXICON 0.05% OINTMENT
OA
MICONAZOLE 7 100 MG VAG SUPP
QC

UNIT PRICE
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27

NDC
00516012101
00516150101
00516150112
00525076801
00548333100
00555087302
00555087304
00555095402
00574100616
00574200802
00574200815
00574200830
00576010560
00591288401
00641140833
00677170701
00677170705
00677170706
00677170707
00677182901
00677188501
00677189101
00713019757
00781507501
00832046515
00832046530
00884039602
00884177310
00884177327
00884229601
00904522860
08080233200
08080958010
08137008058
08173500501
08173500601
08219223100
08219224200
08225797000
10019000567
10119002009
10356002076
10356002089
10592000101
10939003233
10939004633
10939083311
11026261401
11822347010
11845013805
12333016700
12333949701
15127073607

NAME
AMMONIA AROMATIC AMPUL
BOROPAK PACKETS
BOROPAK PACKETS
PANMIST JR 595/48 TABLET
SODIUM BICARB 4.2% SYRINGE
MEDROXYPROGESTERONE 5 MG TAB
MEDROXYPROGESTERONE 5 MG TAB
D-AMPHETAMINE 5 MG CAP SA
ALUMINUM PASTE
NYSTOP 100,000 UNITS/GM POWDER
NYSTOP 100,000 UNITS/GM POWDER
NYSTOP 100,000 UNITS/GM POWDER
AMINOBRAIN-PLUS CAPSULE
VERAPAMIL 240 MG CAP PELLET
DIAZEPAM 5 MG/ML AMPUL
SPIRONOLACTONE 50 MG TABLET
SPIRONOLACTONE 50 MG TABLET
SPIRONOLACTONE 50 MG TABLET
SPIRONOLACTONE 50 MG TABLET
GUAIFENESIN/D-METHOR TAB LA
GUAIF-PHENYLPHRINE HCL TAB
P-EPHEDRINE-GUAIFEN SR TAB
MICONAZOLE 100 MG VAG SUPP
AZATHIOPRINE 50 MG TABLET
NYAMYC 100,000 UNITS/GM POWDER
NYAMYC 100,000 UNITS/GM POWDER
PEDI-DRI TOPICAL POWDER
PEDI-BORO SOAK PAKS
PEDI-BORO SOAK PAKS
HYDRISALIC GEL
MEDROXYPROGESTERONE 5 MG TAB
CONFORM STRETCH BANDAGE
MAXICARE 30"X36" UNDERPAD
AMOPLY AMPUL
PENFINE 10MM 29G NEEDLES
PENFINE 10MM 29G NEEDLES
CONFORM STRETCH BANDAGE
CONFORM STRETCH BANDAGE
CURAD 2" X 4.1YDS BANDAGE
DIAZEPAM 5 MG/ML AMPUL
OPCON-A EYE DROPS
ELASTOMULL GAUZE BANDAGE
ELASTOMULL GAUZE BANDAGE
PONARIS NASAL EMOLLIENT
SM STRETCH GAUZE BANDGE 2"X4YD
SM MICONAZOLE 7 100 MG VAG SUP
SM MICONAZOLE 7 100 MG VAG SUP
GASTRINEX CAPSULE
RA MICONAZOLE 7 VAG SUPP
CARBO GRABBER TABLET
GAUZE STRETCH ROLL 2"X4.1YD
MICONAZOLE 7 100 MG VAG SUPP
SB MICONAZOLE 7 VAG SUPP

DOSE FORM DRUG STRENGTH


HH
PP
PP
TM
HQ
TA
TA
CS
KP
PO
PO
PO
CA
CP
HH
TA
TA
TA
TA
TM
TM
TM
QC
TA
PA
PA
PA
PP
PP
JG
TA
YE
EA
HH
YH
YH
YE
YE
YE
HH
SO
YE
YE
SA
YE
QC
QC
CA
QC
TA
YE
QC
QC

UNIT PRICE
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27

NDC
16500002322
16500002324
19458900301
24208082555
24385023553
30142054710
31604001015
31604001020
31604001025
31604001030
31604001033
31604001050
37205012712
38779025504
38779025505
38779025508
39822990001
39822990002
39822990007
41163025091
41163041149
45985065001
46672009310
46672009350
48107003383
48107003384
49348058883
49348083361
49452334201
49452334202
49452334203
49884098918
49884098960
49999028030
49999049410
50383084104
50474000148
51079091901
51079091908
51079097901
51079097920
51285054102
51285054104
51672129501
51672129502
51672129503
51672129801
51672129802
51672129803
51991009701
51991036801
52735025473
52769046001

NAME
DOMEBORO PACKET
DOMEBORO PACKET
ECK MICONAZOLE 7 VAG SUPP
ATROPINE 1% EYE OINTMENT
ASTRINGENT SOLN POWDER PKT
MICONAZOLE 7 100 MG VAG SUPP
WOMEN'S PACK
DIABETES HEALTH PACK
MEN'S PACK
MAXIMIN PACK
ANTIOXIDANT PACK
STRESS PACK
MICONAZOLE 100 MG VAG SUPP
PYRILAMINE MALEATE POWDER
PYRILAMINE MALEATE POWDER
PYRILAMINE MALEATE POWDER
AMMONIA AROMATIC AMPUL
AMMONIA AROMATIC AMPUL
AMMONIA AROMATIC AMPUL
MICONAZOLE 7 100 MG VAG SUPP
EQL ESTRO VITAL NUTRIENTS CPLT
CLORFED TABLET
TANAMINE TABLET
TANAMINE TABLET
CAT'S CLAW 1,000 MG CAPSULE
CAT'S CLAW 1,000 MG CAPSULE
SM STRETCH GAUZE BANDGE 2"X4YD
SM MICONAZOLE 7 100 MG VAG SUP
L-GLUTAMINE CRYSTALS
L-GLUTAMINE CRYSTALS
L-GLUTAMINE CRYSTALS
NYSTATIN 100,000 UNIT/GM POWD
NYSTATIN 100,000 UNIT/GM POWD
CLINDAMYCIN PH 1% GEL
MEDROXYPROGESTERONE 5 MG TAB
TANNATE 12D S SUSPENSION
KEPPRA 100 MG/ML ORAL SOLN
VERAPAMIL 240 MG CAP PELLET
VERAPAMIL 240 MG CAP PELLET
SPIRONOLACTONE 50 MG TABLET
SPIRONOLACTONE 50 MG TABLET
MEDROXYPROGESTERONE 5 MG TAB
MEDROXYPROGESTERONE 5 MG TAB
DIFLORASONE 0.05% OINTMENT
DIFLORASONE 0.05% OINTMENT
DIFLORASONE 0.05% OINTMENT
KETOCONAZOLE 2% CREAM
KETOCONAZOLE 2% CREAM
KETOCONAZOLE 2% CREAM
GUIA-D TABLET SA
COLDMIST JR TABLET
FP MICONAZOLE 7 VAG SUPP
MONARC-M VIAL 250-1,100 UNITS

DOSE FORM DRUG STRENGTH


PP
PP
QC
OA
PP
QC
ZD
ZD
ZD
ZD
ZD
ZD
QC
PA
PA
PA
HH
HH
HH
QC
TA
TM
TA
TA
CA
CA
YE
QC
PC
PC
PC
PA
PA
JG
TA
SC
SJ
CP
CP
TA
TA
TA
TA
OA
OA
OA
KA
KA
KA
TM
TM
QC
HS

UNIT PRICE
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27

NDC
52959007900
52959049715
52959109800
52959109802
52959109804
53191018303
53329097008
53489032801
53489032805
54569109300
54569110300
54569380700
54569522000
54569522100
54569535900
54738013101
54738013102
54799030230
54868020800
54868043401
54868092101
54868092102
54868092104
54868140001
54868187901
54868187902
54868187903
54868209100
54868218900
54868222201
54868298500
54868298501
54868298502
54868308700
54868340200
54868340201
54868358300
54868362100
54868367000
54868367800
54868444800
54868444801
54868444802
54868447700
54868447701
54868447702
54868465400
54868499600
54868521600
54868531000
54868531001
55289038815
55289045215

NAME
IMURAN 50 MG TABLET
KETOCONAZOLE 2% CREAM
NIZORAL 2% CREAM
NIZORAL 2% CREAM
NIZORAL 2% CREAM
BORAGE SOFTGEL
EPI-CLENZ FOAMING CLEANSER
SPIRONOLACTONE 50 MG TABLET
SPIRONOLACTONE 50 MG TABLET
DOMEBORO PACKET
NIZORAL 2% CREAM
MEDROXYPROGESTERONE 5 MG TAB
KETOCONAZOLE 2% CREAM
KETOCONAZOLE 2% CREAM
CLINDAMYCIN PH 1% GEL
SPIRONOLACTONE 50 MG TABLET
SPIRONOLACTONE 50 MG TABLET
OCUSOFT PREMOISTENED PADS
CLEOCIN T 1% GEL
MONISTAT 7 100 MG VAG SUPP
IMURAN 50 MG TABLET
IMURAN 50 MG TABLET
IMURAN 50 MG TABLET
KERALYT GEL
NIZORAL 2% CREAM
NIZORAL 2% CREAM
NIZORAL 2% CREAM
DOMEBORO PACKET
R-TANNAMINE TABLET
PSORCON 0.05% OINTMENT
MEDROXYPROGESTERONE 5 MG TAB
MEDROXYPROGESTERONE 5 MG TAB
MEDROXYPROGESTERONE 5 MG TAB
ALDACTONE 50 MG TABLET
DEXEDRINE SPANSULE 5 MG
DEXEDRINE SPANSULE 5 MG
DOPAMINE 40 MG/ML SYRINGE
MICONAZOLE 7 100 MG VAG SUPP
VALIUM 5 MG/ML AMPUL
FLORONE 0.05% OINTMENT
KETOCONAZOLE 2% CREAM
KETOCONAZOLE 2% CREAM
KETOCONAZOLE 2% CREAM
SPIRONOLACTONE 50 MG TABLET
SPIRONOLACTONE 50 MG TABLET
SPIRONOLACTONE 50 MG TABLET
CLINDAMYCIN PH 1% GEL
PEDI-BORO SOAK PAKS
NYSTOP 100,000 UNITS/MG POWDER
AZATHIOPRINE 50 MG TABLET
AZATHIOPRINE 50 MG TABLET
RYNATAN TABLET
TANAMINE TABLET

DOSE FORM DRUG STRENGTH


TA
KA
KA
KA
KA
CA
AV
TA
TA
PP
KA
TA
KA
KA
JG
TA
TA
ET
JG
QC
TA
TA
TA
JG
KA
KA
KA
PP
TA
OA
TA
TA
TA
TA
CS
CS
HQ
QC
HH
OA
KA
KA
KA
TA
TA
TA
JG
PP
PA
TA
TA
TA
TA

UNIT PRICE
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27

NDC
55289090830
55289090842
56121000008
57866393301
57866393302
57866902101
58016305201
58016315501
58016318101
58016324701
58016631701
58177044404
58552030260
58864074430
59011099710
59011099730
59310011910
59366500001
59390018650
59762374101
59762374104
59762374301
59762374302
59762501201
60258026701
60258028401
60258028501
60976059755
61553021048
61553082848
61553083148
61553086148
61553087048
61646018001
64011013411
64376003301
64376054101
64543014001
64543014201
65483059010
65615012060
66116045330
66177081749
66591022141
66993031202
66993031602
66993055355
67555015510
67767011215
67767011216
67767011217
73913121186
86679003368

NAME
MEDROXYPROGESTERONE 5 MG TAB
MEDROXYPROGESTERONE 5 MG TAB
GUAIDEX-TR TABLET
D-AMPHETAMINE 5 MG CAP SA
D-AMPHETAMINE 5 MG CAP SA
AZATHIOPRINE 50 MG TABLET
MONISTAT 7 100 MG VAG SUPP
MYCOSTATIN 100,000 UNITS/GM PW
NIZORAL 2% CREAM
PSORCON 0.05% OINTMENT
AMMONIA AROMATIC ASPIROL
PHENAVENT D TABLET
PROTECT PLUS SOFTGEL
MEDROXYPROGESTERONE 5 MG TAB
CHIROCAINE 2.5 MG/ML VIAL
CHIROCAINE 2.5 MG/ML VIAL
MUCO-FEN DM TABLET SA
NYSTATIN 100,000 UNIT/GM POWD
ATROPINE SULFATE 1% OINT
MEDROXYPROGESTERONE 5 MG TAB
MEDROXYPROGESTERONE 5 MG TAB
CLINDAMYCIN PH 1% GEL
CLINDAMYCIN PH 1% GEL
SPIRONOLACTONE 50 MG TABLET
GFN 1,000/DM 60 TAB
GFN1,200/PHENYLEPHRINE 40 TB
GFN 595/PSE 48
IMURAN 50 MG TABLET
FENTA-BUPIVA-NS 2.5 MCG/0.125%
FENTA-BUPIVA-NS 5 MCG/0.04%
FENTA-BUPIVA-NS 5 MCG/0.04%
FENTA-BUPIVA-NS 2 MCG/0.0125%
FENTA-BUPIVA-NS 2 MCG/0.0125%
GP-1,200 TABLET
NIFEREX CAPSULE
PSEUDO GG TR TABLET
GUAIPHEN-D 1,200 TR TABLET
LIQUIBID-D 1,200 TABLET
DUOMAX TABLET
IMURAN 50 MG TABLET
GENETECT PLUS SOFTGEL
MEDROXYPROGESTERONE 5 MG TAB
GUAIDEX-TR TABLET
AZATHIOPRINE 50 MG TABLET
GUAIFENESIN DM TABLET
WELLBID-D 1,200 TABLET SA
C-TANNA 12D SUSPENSION
DIGEX CAPSULE
NYSTATIN 100,000 UNIT/GM POWD
NYSTATIN 100,000 UNIT/GM POWD
NYSTATIN 100,000 UNIT/GM POWD
UNDERPADS 30" X 36"
STASMOOTH UNDERPAD 30"X36"

DOSE FORM DRUG STRENGTH


TA
TA
TM
CS
CS
TA
QC
PA
KA
OA
HH
TM
CA
TA
HV
HV
TM
PA
OA
TA
TA
JG
JG
TA
TM
TM
TM
TA
HZ
IR
IR
IR
IR
TM
CA
TM
TM
TM
TM
TA
CA
TA
TM
TA
TM
TM
SC
CA
PA
PA
PA
EA
EA

UNIT PRICE
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27

NDC
86679003399
86679023553
86679023694
86679023937
86679023938
86679023941
86679023942
86679023943
86679023946
86679023947
86679023948
86679024048
87701012406
87701066397
87701066405
90891013075
90891020010
90891070608
94731003001
00002306102
00002306115
00006073528
00006073531
00006073554
00006073561
00006073582
00006073587
00007508804
00009345801
00009345802
00013709173
00013710678
00019086207
00019086209
00023920515
00023920530
00032120501
00032120507
00034234505
00054006258
00062325001
00062325002
00074127404
00074127414
00074127424
00074127434
00074127502
00074127532
00074163910
00074206305
00074492415
00074605514
00074605617

NAME
STASMOOTH UNDERPAD 30"X36"
ATTENDS NIGHT PRESERVER PADS
DRI-SORB PLUS UNDERPAD 30"X36"
ULTIMA PAD 30"X30"
ULTIMA 30"X36" UNDERPAD
ADHERES PAD 30"X36"
ADHERES PAD 30"X36"
SUPERSORB 30"X36" UNDERPAD
ULTIMA PAD 30"X36"
ADHERES PAD 30"X36"
AIR-DRI PAD 30"X36"
ATTENDS NIGHT PRESERVER PADS
BL UNDERPADS 30"X36"
GNP ASTRINGENT SOLN PDW PKT
BL ASTRINGENT POWDER PKT
SUPER ABSORBENT UNDERPAD
FQ SUPER-ABS UNDERPAD LARGE
AIR PERMEABLE UNDERPAD
KERALYT GEL
CECLOR 250 MG PULVULE
CECLOR 250 MG PULVULE
ZOCOR 10 MG TABLET
ZOCOR 10 MG TABLET
ZOCOR 10 MG TABLET
ZOCOR 10 MG TABLET
ZOCOR 10 MG TABLET
ZOCOR 10 MG TABLET
TAZICEF 1 GM/50 ML BAG
KAOPECTATE 750 MG CAPLET
KAOPECTATE 750 MG CAPLET
TARABINE PFS 20 MG/ML VIAL
TARABINE PFS 20 MG/ML VIAL
CYSTO-CONRAY 17.2% VIAL
CYSTO-CONRAY 17.2% VIAL
REFRESH LIQUIGEL 1% EYE DRP
REFRESH LIQUIGEL 1% EYE DRP
CREON 5 CAPSULE EC
CREON 5 CAPSULE EC
BETADINE 5% CREAM
CITALOPRAM 10 MG/5 ML SOLUTION
CONCEPTROL GEL
CONCEPTROL GEL
FUROSEMIDE 10 MG/ML SYRINGE
FUROSEMIDE 10 MG/ML SYRINGE
FUROSEMIDE 10 MG/ML SYRINGE
FUROSEMIDE 10 MG/ML SYRINGE
FUROSEMIDE 10 MG/ML SYRINGE
FUROSEMIDE 10 MG/ML SYRINGE
FUROSEMIDE 10 MG/ML SYRINGE
LIDOCAINE HCL 1% SYRINGE
LIDOCAINE HCL 1% ABBOJECT
FUROSEMIDE 10 MG/ML SYRINGE
FUROSEMIDE 10 MG/ML SYRINGE

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
PP
PP
EA
EA
EA
JG
CA
CA
TA
TA
TA
TA
TA
TA
HK
TA
TA
HV
HV
HV
HV
SO
SO
CE
CE
KA
SJ
JU
JU
HQ
HQ
HQ
HQ
HQ
HQ
HQ
HQ
HQ
HQ
HQ

UNIT PRICE
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.27
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28

NDC
00074605618
00074802601
00074913705
00074963104
00085112802
00121075210
00168002638
00168002738
00168007938
00172439160
00172477060
00173038354
00173066400
00185002701
00185002705
00247002804
00247002808
00247002810
00247002815
00247002821
00247002830
00247054610
00247115230
00247115260
00283056901
00283056936
00283069301
00283069336
00338936375
00363031152
00363082453
00378041201
00395104391
00456413008
00548107800
00548107900
00548108000
00548108100
00548143100
00555096802
00573262006
00573262012
00573262024
00573262048
00576015250
00677178701
00677183001
00677190501
00677190507
00781504101
00884259215
00904569215
08021415025

NAME
FUROSEMIDE 10 MG/ML SYRINGE
LIDOCAINE HCL 1% ABBOJECT
LIDOCAINE HCL 1% SYRINGE
FUROSEMIDE 10 MG/ML SYRINGE
CLARITIN 10 MG REDITABS
ZANTAC 150 MG/10 ML SYRUP
BACITRACIN 500 UNITS/GM OINTMN
TRIPLE ANTIBIOTIC EYE OINT
SULFACETAMIDE 10% EYE OINT
FLUVOXAMINE MALEATE 50 MG TB
CEFACLOR 250 MG CAPSULE
ZANTAC 15 MG/ML SYRUP
ZIAGEN 20 MG/ML SOLUTION
FLUVOXAMINE MALEATE 50 MG TB
FLUVOXAMINE MALEATE 50 MG TB
CEFACLOR 250 MG CAPSULE
CEFACLOR 250 MG CAPSULE
CEFACLOR 250 MG CAPSULE
CEFACLOR 250 MG CAPSULE
CEFACLOR 250 MG CAPSULE
CEFACLOR 250 MG CAPSULE
LIDOCAINE HCL 1% SYRINGE
ZOCOR 10 MG TABLET
ZOCOR 10 MG TABLET
HURRICAINE LIQ SWAB APPL
HURRICAINE LIQ SWAB APPL
HURRICAINE 20% LIQUID
HURRICAINE 20% LIQUID
HYDROMORPHONE/NS 10 MG/50 ML
WAL-ITIN ALLER-MELTS TABLET
WAL-VERT 10 MG TABLET
FLUVOXAMINE MALEATE 50 MG TB
GOLDENSEAL POWDER
CELEXA 10 MG/5 ML SOLUTION
LIDOCAINE HCL 1% SYRINGE
LIDOCAINE HCL 1% SYRINGE
LIDOCAINE HCL 1% SYRINGE
LIDOCAINE HCL 1% SYRINGE
FUROSEMIDE 10 MG/ML SYRINGE
FLUVOXAMINE MALEATE 50 MG TB
ALAVERT 10 MG TABLET
ALAVERT 10 MG TABLET
ALAVERT 10 MG TABLET
ALAVERT 10 MG TABLET
DIGESPLEN-PLUS TABLET
P-EPHED W/GUAIFEN CAPLET LA
GUAIFENESIN/PSEUD TABLET SR
GUAIFENESIN-DM HB TABLET LA
GUAIFENESIN-DM HB TABLET LA
FLUVOXAMINE MALEATE 50 MG TB
SALACTIC FILM SOLUTION
ALLERGY RELIEF 10 MG TABLET
FILTER NEEDLE 5 MICRON

DOSE FORM DRUG STRENGTH


HQ
HQ
HQ
HQ
UL
ST
OA
OA
OA
TA
CA
ST
SJ
TA
TA
CA
CA
CA
CA
CA
CA
HQ
TA
TA
EL
EL
EL
EL
HO
UL
UL
TA
PA
SJ
HQ
HQ
HQ
HQ
HQ
TA
UL
UL
UL
UL
TA
TM
TM
TM
TM
TA
SL
UL
YH

UNIT PRICE
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28

NDC
08021415035
08021415040
08333152711
08333153011
08333153811
10337065805
10337065809
10939032433
10939079133
10939079333
10939079433
11523715701
11523715702
11523715704
11822319680
11822319800
11917005440
11917005667
12539040001
16728050000
17478023535
19458940201
24208078055
24385001591
24385051852
24385054053
37205038153
37205038752
38485006426
41100006066
41100006087
41100080293
41163031152
41163031160
41163041778
41163041779
41163041781
41163082453
41250031152
48107004681
48107005078
48107005110
49348052338
49348063501
49348063702
49348063804
49452627501
49452627502
49614017652
49614017653
49614065865
49999017335
49999018435

NAME
FILTER NEEDLE 5 MICRON
FILTER NEEDLE 5 MICRON
TRANSPORE SURGICAL TAPE
MICROPORE SURGICAL TAPE
DURAPORE SURGICAL TAPE
KERALAC CREAM
KERALAC CREAM
SM ESTROPLUS CAPLET
SM ALLERGY RELIEF 10 MG TB
SM ALLERGY RELIEF 10 MG TB
SM ALLERGY RELIEF 10 MG TB
CLARITIN 10 MG REDITABS
CLARITIN 10 MG REDITABS
CLARITIN 10 MG REDITABS
RA LORATADINE 10 MG TABLET
RA LORATADINE 10 MG TABLET
WAL-VERT 10 MG TABLET
WAL-ITIN ALLER-MELTS TABLET
MAREPA 2000 SOFTGEL
TINEACIDE CREAM
NEO-BACIT-POLY EYE OINTMENT
ECK ALLERGY RLF LORAT DIS TAB
NEO/BACIT/POLY EYE OINTMENT
PEPPERMINT OIL
ALLERGY RELIEF 10 MG TABLET
BL ALLERGY RELIEF 10 MG TABLET
ALLERGY RELIEF 10 MG TABLET
ALLERGY RELIEF 10 MG TABLET
BROMO SELTZER ANTACID PKTS
CLARITIN 10 MG REDITABS
CLARITIN 10 MG REDITABS
CLARITIN 10 MG REDITABS
EQL ALLERGY RELIEF DIS TAB
EQL ALLERGY RELIEF 10 MG TAB
EQL ALLERGY RELIEF DIS TAB
EQL ALLERGY RELIEF 10 MG TAB
EQL ALLERGY RELIEF 10 MG TAB
EQL ALLERGY RELIEF 10 MG TAB
ALLERGY RELIEF TABLET
GINKGO VIN 20-120 MG TABLET
NEUROSYN SOFTGEL
THERMOSYN TABLET
SM ESTROPLUS CAPLET
SM ALLERGY RELIEF 10 MG TB
SM ALLERGY RELIEF 10 MG TB
SM ALLERGY RELIEF 10 MG TB
RIBONUCLEIC ACID POWDER
RIBONUCLEIC ACID POWDER
ALLERGY RELIEF 10 MG TABLET
ALLERGY RELIEF 10 MG TABLET
ESTROPLUS CAPLET
SULFACETAMIDE 10% EYE OINT
TRIPLE ANTIBIOTIC EYE OINT

DOSE FORM DRUG STRENGTH


YH
YH
YT
YT
YT
CR
CR
TA
UL
UL
UL
UL
UL
UL
UL
UL
UL
UL
CA
KA
OA
UL
OA
SQ
UL
UL
UL
UL
PP
UL
UL
UL
UL
UL
UL
UL
UL
UL
UL
TA
CA
TA
TA
UL
UL
UL
PA
PA
UL
UL
TA
OA
OA

UNIT PRICE
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28

NDC
49999019930
49999032035
50428258877
50428258878
50428258880
50428258882
50428312505
50962020360
51079099201
51079099220
51927333700
51991006801
51991023801
52083024015
52083024130
52083033890
52083099260
52735036300
52735057417
52959002730
52959022803
52959023900
52959023903
52959036700
52959036714
52959036715
52959036720
52959036721
52959036730
52959036740
52959057203
52959061805
53335002214
53335010011
54569085900
54569119200
54569239100
54569390100
54569460900
54569499600
54868031501
54868031505
54868064901
54868195500
54868263901
54868297101
54868347800
54868347801
54868347802
54868347803
54868426000
54868469300
55039010606

NAME
CEFACLOR 250 MG CAPSULE
TINEACIDE CREAM
CVS ALLERGY RELIEF 10 MG TAB
CVS ALLERGY RELIEF 10 MG TAB
CVS LORATADINE 10 MG TABLET
CVS LORATADINE 10 MG DIS TAB
CVS POISON IVY CLEANSER
ZANTAC 15 MG/ML SYRUP
FLUVOXAMINE MALEATE 50 MG TB
FLUVOXAMINE MALEATE 50 MG TB
PCCA COSMETIC HRT BASE CREAM
COLDMIST JR TABLET SA
MINDAL DM TABLET SR
MYCO-NAIL LIQUID
MYCO NAIL LIQUID
VASOFLEX HD CAPLET
BIO-IMMUNEX CAPSULE
FP ALLERGY RELIEF 10 MG TABLET
FP ALLERGY RELIEF 10 MG TABLET
CECLOR 250 MG PULVULE
BACITRACIN 500 UNITS/GM OINTMN
NEO-BACIT-POLY EYE OINTMENT
NEO-BACIT-POLY EYE OINTMENT
CEFACLOR 250 MG CAPSULE
CEFACLOR 250 MG CAPSULE
CEFACLOR 250 MG CAPSULE
CEFACLOR 250 MG CAPSULE
CEFACLOR 250 MG CAPSULE
CEFACLOR 250 MG CAPSULE
CEFACLOR 250 MG CAPSULE
SULFACETAMIDE 10% EYE OINT
NEO/BACIT/POLY EYE OINTMENT
ATP 20 MG TABLET EC
L-VALINE 600 MG CAPSULE
BACITRACIN 500 UNITS/GM OINTMN
SULFACETAMIDE 10% EYE OINT
NEO/BACIT/POLY EYE OINTMENT
CEFACLOR 250 MG CAPSULE
CLARITIN 10 MG REDITABS
ZANTAC 15 MG/ML SYRUP
CECLOR 250 MG PULVULE
CECLOR 250 MG PULVULE
BACITRACIN 500 UNITS/GM OINTMN
SULFACETAMIDE 10% EYE OINT
ZOCOR 10 MG TABLET
NEO/BACIT/POLY EYE OINTMENT
CEFACLOR 250 MG CAPSULE
CEFACLOR 250 MG CAPSULE
CEFACLOR 250 MG CAPSULE
CEFACLOR 250 MG CAPSULE
CLARITIN 10 MG REDITABS
REFRESH LIQUIGEL 1% EYE DRP
ALLERMUNE CAPSULE

DOSE FORM DRUG STRENGTH


CA
KA
UL
UL
UL
UL
PL
ST
TA
TA
KA
TM
TM
SL
SL
TA
CA
UL
UL
CA
OA
OA
OA
CA
CA
CA
CA
CA
CA
CA
OA
OA
TE
CA
OA
OA
OA
CA
UL
ST
CA
CA
OA
OA
TA
OA
CA
CA
CA
CA
UL
SO
CA

UNIT PRICE
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28

NDC
55039011606
55039099606
55045155909
55289005115
55289005130
55289074930
55370089407
57866732001
57866798601
57866820602
58016036400
58016036430
58016036460
58016036490
58016087212
58016087215
58016087218
58016087220
58016087224
58016087230
58016600401
58016604701
58016606301
58552010401
59243001710
59310030710
59702030501
60258028601
60505016501
61553016375
61553087348
61553087448
61570004635
61703030346
61703030350
61703030425
61703030436
61703030509
61703030538
63304065801
63672105002
65473075401
66267026230
66267092935
66267094235
66267098735
66814061070
66870011501
67253022010
68030732001
68094020461
68094020462
68115006530

NAME
DIABEVITE TABLET
DURAVITE TABLET
SULFACETAMIDE 10% EYE OINT
CECLOR 250 MG PULVULE
CECLOR 250 MG PULVULE
CEFACLOR 250 MG CAPSULE
CEFACLOR 250 MG CAPSULE
SULFACETAMIDE 10% EYE OINT
ZOCOR 10 MG TABLET
CEFACLOR 250 MG CAPSULE
ZOCOR 10 MG TABLET
ZOCOR 10 MG TABLET
ZOCOR 10 MG TABLET
ZOCOR 10 MG TABLET
CEFACLOR 250 MG CAPSULE
CEFACLOR 250 MG CAPSULE
CEFACLOR 250 MG CAPSULE
CEFACLOR 250 MG CAPSULE
CEFACLOR 250 MG CAPSULE
CEFACLOR 250 MG CAPSULE
BACITRACIN 500 UNITS/GM OINTMN
TRIPLE ANTIBIOTIC EYE OINT
SULFACETAMIDE 10% EYE OINT
BUCALSEP SPRAY
RU-TUSS JR. TABLET
PROFEN II TABLET SA
SUDAL DM TABLET SA
GFN 500/DM 30 TABLET
FLUVOXAMINE MALEATE 50 MG TB
HYDROMORPHONE-NS 0.2 MG/ML
FENTA-BUPIVA-NS 5 MCG/0.075%
FENTA-BUPIVA-NS 5 MCG/0.075%
NEOSPORIN EYE OINTMENT
CYTARABINE 20 MG/ML VIAL
CYTARABINE 20 MG/ML VIAL
CYTARABINE 20 MG/ML VIAL
CYTARABINE 20 MG/ML VIAL
CYTARABINE 20 MG/ML VIAL
CYTARABINE 20 MG/ML VIAL
CEFACLOR 250 MG CAPSULE
FLUVOXAMINE MALEATE 50 MG TB
VOSPIRE ER 4 MG TABLET
CEFACLOR 250 MG CAPSULE
TRIPLE ANTIBIOTIC EYE OINT
SULFACETAMIDE 10% EYE OINT
BACITRACIN 500 UNITS/GM OINTMN
CEFACLOR 250 MG CAPSULE
AMBI 45/800 CAPLET
CEFACLOR 250 MG CAPSULE
SULFACETAMIDE 10% EYE OINT
ZANTAC 150 MG/10 ML SYRUP
ZANTAC 150 MG/10 ML SYRUP
CEFACLOR 250 MG CAPSULE

DOSE FORM DRUG STRENGTH


TA
TA
OA
CA
CA
CA
CA
OA
TA
CA
TA
TA
TA
TA
CA
CA
CA
CA
CA
CA
OA
OA
OA
AS
TM
TM
TM
TM
TA
HO
IR
IR
OA
HV
HV
HV
HV
HV
HV
CA
TA
TM
CA
OA
OA
OA
CA
TM
CA
OA
ST
ST
CA

UNIT PRICE
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28

NDC
68115072030
68115087635
68115094535
74300000431
82468062046
82468062103
87701039843
87701053868
87701093205
87701095602
96295011227
96295011228
00003187930
00028015101
00029604412
00029604420
00029609229
00029609239
00029609251
00037071792
00037071795
00037071796
00039022210
00039022211
00054418625
00054818325
00064310015
00064310045
00064310090
00065042005
00074121501
00074121901
00074127602
00074127605
00074127612
00074127615
00074127632
00074127635
00074611411
00074611413
00074621211
00074621213
00074909512
00093094801
00093094805
00093227973
00115704201
00143998201
00143998250
00143998275
00168015011
00168015038
00172740620

NAME
ZOCOR 10 MG TABLET
TRIPLE ANTIBIOTIC EYE OINT
SULFACETAMIDE 10% EYE OINT
WART-OFF WART REMOVER LIQ
FP ALLERGY RELIEF 10 MG TABLET
FP ALLERGY RELIEF 10 MG TABLET
BL PEPPERMINT OIL
BL PEPPERMINT OIL
BL ALLERGY RELIEF 10 MG TABLET
BL ALLERGY RELIEF 10 MG TABLET
ALLERGY RELIEF 10 MG TABLET
ALLERGY RELIEF 10 MG TABLET
DUODERM HYDROACTIVE PASTE
CATAFLAM 50 MG TABLET
AMOXIL 200 MG TABLET CHEW
AMOXIL 200 MG TABLET CHEW
AUGMENTIN 400-57 SUSPEN
AUGMENTIN 400-57 SUSPEN
AUGMENTIN 400-57 SUSPEN
RYNATUSS TABLET
RYNATUSS TABLET
RYNATUSS TABLET
AMARYL 2 MG TABLET
AMARYL 2 MG TABLET
DEXAMETHASONE 6 MG TABLET
DEXAMETHASONE 6 MG TABLET
CLODERM 0.1% CREAM
CLODERM 0.1% CREAM
CLODERM 0.1% CREAM
TEARS NATURALE PM EYE OINT
NALOXONE 0.4 MG/ML VIAL
NALOXONE 0.4 MG/ML VIAL
FENTANYL 0.05 MG/ML SYRINGE
FENTANYL 0.05 MG/ML SYRINGE
FENTANYL 0.05 MG/ML SYRINGE
FENTANYL 0.05 MG/ML SYRINGE
FENTANYL 0.05 MG/ML SYRINGE
FENTANYL 0.05 MG/ML SYRINGE
DEPAKOTE 125 MG SPRINKLE CAP
DEPAKOTE 125 MG SPRINKLE CAP
DEPAKOTE 125 MG TABLET EC
DEPAKOTE 125 MG TABLET EC
FENTANYL 0.05 MG/ML SYRINGE
DICLOFENAC POT 50 MG TABLET
DICLOFENAC POT 50 MG TABLET
AMOX TR-K CLV 400-57/5 SUSP
LIPRAM-UL12 CAPSULE EC
AMOCLAN 400-57/5 SUSPENSION
AMOCLAN 400-57/5 SUSPENSION
AMOCLAN 400-57/5 SUSPENSION
PURALUBE EYE OINTMENT
PURALUBE EYE OINTMENT
AMOX TR-K CLV 400-57/5 SUSP

DOSE FORM DRUG STRENGTH


TA
OA
OA
SL
UL
UL
SQ
SQ
UL
UL
UL
UL
KP
TA
TC
TC
PD
PD
PD
TA
TA
TA
TA
TA
TA
TA
KA
KA
KA
OA
HV
HV
HQ
HQ
HQ
HQ
HQ
HQ
CK
CK
TE
TE
HQ
TA
TA
PD
CE
PD
PD
PD
OA
OA
PD

UNIT PRICE
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.28
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29

NDC
00172740621
00172740622
00186086344
00186086354
00247045015
00247097721
00247097730
00256011101
00264311411
00363095235
00378247401
00407141403
00407141404
00407141441
00407141442
00407141444
00407141445
00407141451
00407141460
00407141475
00407141476
00407141477
00407141478
00407141479
00407141480
00407141481
00407141485
00407141489
00407141490
00407141491
00407141493
00407141494
00407141498
00486111401
00516009301
00516009310
00536041772
00573291020
00781501701
00781610446
00884029301
00884029316
00884029325
00884660010
00904166560
00904531435
08080200055
08080200077
08287126280
08290301031
08290301032
08290301625
08290305617

NAME
AMOX TR-K CLV 400-57/5 SUSP
AMOX TR-K CLV 400-57/5 SUSP
NAROPIN 5 MG/ML AMPULE
ROPIVACAINE HCL 5MG/ML INJ
PRIMATENE MIST INHALER
CATAFLAM 50 MG TABLET
CATAFLAM 50 MG TABLET
EXTENDRYL SR CAPSULE SA
CEFUROXIME 1.5G/50 ML BAG
LUBRICANT EYE OINTMENT
DICLOFENAC POT 50 MG TABLET
OMNIPAQUE 350 MG/ML INFU BTL
OMNIPAQUE 350 MG/ML INFU BTL
OMNIPAQUE 350 MG/ML INFU BTL
OMNIPAQUE 350 MG/ML INFU BTL
OMNIPAQUE 350 MG/ML INFU BTL
OMNIPAQUE 350 MG/ML INFU BTL
OMNIPAQUE 350 MG/ML INFU BTL
OMNIPAQUE 350 MG/ML INFU BTL
OMNIPAQUE 350 MG/ML INFU BTL
OMNIPAQUE 350 MG/ML INFU BTL
OMNIPAQUE 350 MG/ML INFU BTL
OMNIPAQUE 350 MG/ML INFU BTL
OMNIPAQUE 350 MG/ML INFU BTL
OMNIPAQUE 350 MG/ML INFU BTL
OMNIPAQUE 350 MG/ML INFU BTL
OMNIPAQUE 350 MG/ML INFU BTL
IOHEXOL 755MG/ML INJ
IOHEXOL 755MG/ML INJ
IOHEXOL 755MG/ML INJ
IOHEXOL 755MG/ML INJ
IOHEXOL 755MG/ML INJ
IOHEXOL 0.7MG/ML INJ
UROQID-ACID NO.2 500/500 TB
YODOXIN 650 MG TABLET
YODOXIN 650 MG TABLET
SODIUM CHLORIDE 5% EYE DROP
PRIMATENE MIST INHALER
DICLOFENAC POT 50 MG TABLET
AMOX TR-K CLV 400-57/5 SUSP
FUNGOID 2% TINCTURE
FUNGOID 2% TINCTURE
FUNGOID 2% TINCTURE
NALFON 200 MG PULVULE
RENTAMINE TABLET
SODIUM CHLORIDE 5% EYE DROP
MONOJECT SYRINGE 20 ML
MONOJECT SYRINGE 20 ML
EXEL SYRINGE 20 ML
B-D BULK SYRINGE 20 ML
B-D BULK SYRINGE 20 ML
B-D 20 ML SYRINGE
B-D 20 ML SYRINGE BULK

DOSE FORM DRUG STRENGTH


PD
PD
HH
HH
AH
TA
TA
CB
HP
OA
TA
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
TA
TA
TA
SO
AH
TA
PD
SX
SX
SX
CA
TA
SO
YL
YL
YL
YL
YL
YL
YL

UNIT PRICE
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29

NDC
08290309661
08290309669
08290309670
08290309694
08462508234
08881520251
08881520657
08881520673
10122011124
10939075111
11701041024
11701041040
11822347950
11822347970
11917004510
12333928401
14654010105
14654010112
14654010114
15127097099
17478006335
17478062312
24208027715
24208027730
37205010605
37205052505
38779049704
38779049705
38779049708
38779049709
48017137502
48017137506
48107005046
49348075129
49452528501
49452528502
49614040605
49884012901
49884012903
49884069301
49999059320
49999059330
49999059360
51927101100
51991081601
52238052315
52238052316
52959014242
52959034420
52959034421
52959034430
52959061700
52959065920

NAME
DOSE FORM DRUG STRENGTH
B-D 20 ML SYRINGE
YL
B-D 5 ML SYRINGE/NEEDLE
YL
B-D 5 ML SYRINGE/NEEDLE
YL
B-D 20 ML SYRINGE
YL
SECUREGARD SAFETY SYRINGE 5 ML
YL
SYRINGE 20ML, PHARM TRAY PK
YL
MONOJECT DISP SYRINGE 20 ML
YL
MONOJECT DISP SYRINGE 20 ML
YL
HUMIBID CS TABLET
TA
BRONCHIAL MIST INHALER
AH
COMFEEL PASTE
KP
COMFEEL PASTE
KP
RA BRONCHIAL MIST INHALER
AH
RA BRONCHIAL MIST INHALER
AH
LUBRICANT EYE OINTMENT
OA
BRONCHIAL MIST INHALER
AH
CARNI Q-GEL FORTE SOFTSULE
CA
CARNI Q-GEL FORTE SOFTSULE
CA
CARNI Q-GEL FORTE SOFTSULE
CA
SB BRONCHIAL MIST
AH
TEARS RENEWED EYE OINTMENT
OA
SODIUM CHLORIDE 5% EYE DROP
SO
MURO-128 5% EYE DROPS
SO
MURO-128 5% EYE DROPS
SO
EPINEPHRINE MIST INHALER
AH
SODIUM CHLORIDE 5% EYE DROP
SO
PHENYLBUTAZONE POWDER
PA
PHENYLBUTAZONE POWDER
PA
PHENYLBUTAZONE POWDER
PA
PHENYLBUTAZONE POWDER
PA
CLODERM CREAM 1% (CLOCORTOLONE PIVALATE)
KA
CLODERM CREAM 1% (CLOCORTOLONE PIVALATE)
KA
PROVENTRA 50 MG TABLET
TA
BRONCHIAL MIST INHALER
AH
PHENYLBUTAZONE POWDER
PA
PHENYLBUTAZONE POWDER
PA
SODIUM CHLORIDE 5% EYE DROP
SO
DEXAMETHASONE 6 MG TABLET
TA
DEXAMETHASONE 6 MG TABLET
TA
AKINETON 2 MG TABLET
TA
DICLOFENAC POT 50 MG TABLET
TA
DICLOFENAC POT 50 MG TABLET
TA
DICLOFENAC POT 50 MG TABLET
TA
PHENYLBUTAZONE POWDER
PA
QUAD TANN TABLET
TA
HYPERTON-5 EYE DROPS
SO
SODIUM CHLORIDE 5% EYE DROP
SO
DEPAKOTE 125 MG TABLET EC
TE
CATAFLAM 50 MG TABLET
TA
CATAFLAM 50 MG TABLET
TA
CATAFLAM 50 MG TABLET
TA
AUGMENTIN 400-57 SUSP
PD
DICLOFENAC POT 50 MG TABLET
TA

UNIT PRICE
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29

NDC
52959065928
52959065940
53809030701
54022480001
54022480002
54023787802
54023787806
54023787809
54092031128
54569382301
54569435300
54569467400
54569477000
54569477001
54569524700
54569548700
54799092515
54868052402
54868117200
54868243200
54868319900
54868319901
54868319902
54868329300
54868408000
54868420500
54868420501
54868420502
54868469400
54868517500
55045260107
55045262801
55045262807
55045262808
55289073221
55289078121
55289078130
55289081820
55289081821
55289081825
55289081879
57866692004
58016044400
58016044490
58177004804
58552011716
58676000001
58676000002
58768013136
58768013230
58768078815
58768078825
58768078915

NAME
DICLOFENAC POT 50 MG TABLET
DICLOFENAC POT 50 MG TABLET
DAFLONEX 600 MG CAPLET
PANCREATIN 8X 7,200 MG TABLET
PANCREATIN 8X 7,200 MG TABLET
CARNI Q-GEL FORTE SOFTSULE
CARNI Q-GEL FORTE SOFTSULE
CARNI Q-GEL FORTE SOFTSULE
FURACIN 0.2% TOPICAL CREAM
CATAFLAM 50 MG TABLET
AUGMENTIN 400-57 SUSPEN
PURALUBE EYE OINTMENT
DICLOFENAC POT 50 MG TABLET
DICLOFENAC POT 50 MG TABLET
NALOXONE 0.4 MG/ML VIAL
AMOX TR-K CLV 400-57/5 SUSP
SOCHLOR 5% EYE DROPS
EXTENDRYL SR CAPSULE SA
MURO-128 5% EYE DROPS
AKINETON 2 MG TABLET
CATAFLAM 50 MG TABLET
CATAFLAM 50 MG TABLET
CATAFLAM 50 MG TABLET
SODIUM CHLORIDE 5% EYE DROP
AUGMENTIN 400-57 SUSPEN
AMARYL 2 MG TABLET
AMARYL 2 MG TABLET
AMARYL 2 MG TABLET
GENTEAL EYE DROPS
AMOX TR-K CLV 400-57/5 SUSP
EXTENDRYL SR CAPSULE SA
DICLOFENAC POT 50 MG TABLET
DICLOFENAC POT 50 MG TABLET
DICLOFENAC POT 50 MG TABLET
DICLOFENAC POT 50 MG TABLET
DICLOFENAC POT 50 MG TABLET
DICLOFENAC POT 50 MG TABLET
CATAFLAM 50 MG TABLET
CATAFLAM 50 MG TABLET
CATAFLAM 50 MG TABLET
CATAFLAM 50 MG TABLET
DICLOFENAC POT 50 MG TABLET
DICLOFENAC POT 50 MG TABLET
DICLOFENAC POT 50 MG TABLET
PANGESTYME UL 12 CAPSULE EC
CARBAPHEN 12 SUSPENSION
ABDEK CAPSULE
ABDEK CAPSULE
HYPOTEARS EYE OINTMENT
HYPOTEARS-PF DROPS
GENTEAL EYE DROPS
GENTEAL EYE DROPS
GENTEAL PF EYE DROPS

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
CA
CA
CA
KA
TA
PD
OA
TA
TA
HV
PD
SO
CB
SO
TA
TA
TA
TA
SO
PD
TA
TA
TA
SO
PD
CB
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CE
SC
CA
CA
OA
DP
SO
SO
SO

UNIT PRICE
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29

NDC
58914000210
59390018313
59390018318
59390018950
59390019713
59390019718
59390019850
62305060101
63304068101
63304076020
63304097901
63304097903
63304097904
63370017525
63370017535
63370017545
63370017550
63481036505
64769030006
64769030205
66116063030
66116067620
66267004430
66267004442
66685101200
66685101201
66685101202
67555014560
68115010128
68212050060
68387028030
68552068315
68712000501
00028010501
00028010510
00065042915
00065042921
00065042930
00071425913
00071440210
00072380001
00074175410
00074491315
00074491418
00074962805
00085000901
00085000902
00085000903
00085000909
00085124701
00091350501
00095000601
00095064501

NAME
DOSE FORM DRUG STRENGTH
ULTRASE MT 12 CAPSULE EC
CE
ALTACHLORE 5% OPHTH SOLN
SO
ALTACHLORE 5% OPHTH SOLN
SO
FOR STY RELIEF EYE OINTMENT
OA
PURE & GENTLE EYE DROPS
SO
PURE & GENTLE EYE DROPS
SO
ALTALUBE EYE OINTMENT
OA
QUADRATUSS TABLET
TA
NALFON 200 MG PULVULE
CA
AMOXICILLIN 200 MG TAB CHEW
TC
AMOX TR-K CLV 400-57/5 SUSP
PD
AMOX TR-K CLV 400-57/5 SUSP
PD
AMOX TR-K CLV 400-57/5 SUSP
PD
PHENYLBUTAZONE POWDER
PA
PHENYLBUTAZONE POWDER
PA
PHENYLBUTAZONE POWDER
PA
PHENYLBUTAZONE POWDER
PA
NARCAN 0.4 MG/ML VIAL
HV
POLBAX TABLET
TA
POLBAX TABLET
TA
DICLOFENAC POT 50 MG TABLET
TA
AMOXICILLIN 200 MG TAB CHEW
TC
CATAFLAM 50 MG TABLET
TA
CATAFLAM 50 MG TABLET
TA
AMOX TR-K CLV 400-57/5 SUSP
PD
AMOX TR-K CLV 400-57/5 SUSP
PD
AMOX TR-K CLV 400-57/5 SUSP
PD
OBTREX PRENATAL CAPLET
TA
DICLOFENAC POT 50 MG TABLET
TA
ABDEK CAPSULE
CA
DICLOFENAC POT 50 MG TABLET
TA
SODIUM CHLORIDE 5% EYE DROP
SO
UMECTA 40% SUSPENSION
KC
BRETHINE 5 MG TABLET
TA
BRETHINE 5 MG TABLET
TA
SYSTANE 0.3-0.4% EYE DROPS
SO
PEG-400 0.4%/PROPYLENE GLYCOL 0.3% SOLN,OPH
SO
SYSTANE 0.3-0.4% EYE DROPS
SO
BENADRYL 50 MG/ML VIAL
VI
BENADRYL 50 MG/ML VIAL
VI
FOSTRIL LOTION
SK
MAGNESIUM SULFATE 50% SYRNG
HQ
MAGNESIUM SULFATE 50% SYRNG
HQ
MAGNESIUM SULFATE 50% SYRNG
HQ
MAGNESIUM SULFATE 50% SYRNG
HQ
CHLOR-TRIMETON REPETAB 12 MG
TS
CHLOR-TRIMETON REPETAB 12 MG
TS
CHLOR-TRIMETON REPETAB 12 MG
TS
CHLOR-TRIMETON REPETAB 12 MG
TS
AFRIN CHILDRENS 0.25% SPRAY
AT
LACTRASE 250 MG CAPSULE
CA
LODRANE 12HR TABLET SA
TM
LODRANE 12D TABLET SA
TM

UNIT PRICE
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.29
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30

NDC
00115262201
00173040100
00173040101
00173040106
00173040600
00173074000
00247028910
00247131104
00247131120
00247131160
00264935055
00270140640
00276449802
00277018101
00338931648
00406496534
00406496734
00485007402
00525085560
00525085590
00527131101
00527131110
00548103400
00641037625
00642007212
00677167621
00677167721
00677178801
00677193201
00781285505
00781285560
00904301710
00904314110
01000004606
08026562000
08290329485
10106196400
10106196500
10157940802
10432029301
10542019007
10742002101
10742002102
12539014001
12593004090
12939020410
12939020505
17314931302
17317008802
17317008804
17317015301
17317015302
17317015304

NAME
TERBUTALINE SULFATE 5 MG TAB
ACLOVATE 0.05% CREAM
ACLOVATE 0.05% CREAM
ACLOVATE 0.05% CREAM
CEFTIN 125 MG/5 ML ORAL SUSP
CEFTIN 125 MG/5 ML ORAL SUSP
DIPHENHYDRAMINE 50 MG/ML VIAL
ZANTAC 150 MG GELDOSE CAP
ZANTAC 150 MG GELDOSE CAP
ZANTAC 150 MG GELDOSE CAP
FREAMINE HBC 6.9% IV SOLN
RENOVUE-65% VIAL
MYCI CHLORPED PEDIATRIC DROPS
FUMATINIC CAPSULE SA
FENTANYL/NS 20 MCG/ML
EPHEDRINE POWDER
EPHEDRINE SULFATE POWDER
ED CHLORPED PEDIATRIC DROPS
FOLTX TABLET
FOLTX TABLET
TERBUTALINE SULFATE 5 MG TAB
TERBUTALINE SULFATE 5 MG TAB
MAGNESIUM SULFATE 50% SYRNG
DIPHENHYDRAMINE 50 MG/ML VIAL
VITAFOL CAPLET
ANTIBIOTIC EAR SOLUTION
ANTIBIOTIC EAR SUSPENSION
P-EPHED/GUAIFEN/DM CAPLET
GLYCOPYRROLATE 2 MG TABLET
RANITIDINE 150 MG CAPSULE
RANITIDINE 150 MG CAPSULE
CORTOMYCIN EAR SUSPENSION
CORTOMYCIN EAR SOLUTION
BELZER UW-CSS/VIASPAN BAG
UNIFLEX DRESSING 6CMX 8.5CM
B-D INSULIN U100-2 ML SYRNGE
EPHEDRINE HCL POWDER
EPHEDRINE SULFATE
KANK-A LIQUID
BIOTIN 10 MG TABLET
L-CARNITINE 250 MG TABLET
CALMOL-4 10% SUPPOSITORY
CALMOL-4 10% SUPPOSITORY
OTOCIDIN EAR SOLUTION
FOLBALIN TABLET
OTIMAR EAR SUSPENSION
OTIMAR EAR SOLUTION
NEUTRA-PHOS-K PACKET
CALOMEL POWDER MILD PURIFD
CALOMEL POWDER MILD PURIFD
EPHEDRINE HCL POWDER
EPHEDRINE HCL POWDER
EPHEDRINE HCL POWDER

DOSE FORM DRUG STRENGTH


TA
KA
KA
KA
PD
PD
HV
CA
CA
CA
HM
HV
SO
CS
HZ
PA
PA
SO
TA
TA
TA
TA
HQ
HV
TA
SA
SN
TM
TA
CA
CA
SN
SA
HZ
YE
YL
PA
PA
SL
TA
TA
QA
QA
SA
TA
SN
SA
PP
PA
PA
PA
PA
PA

UNIT PRICE
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30

NDC
17317015401
17317015402
17317015404
17317045602
17317045603
17317045605
24208063110
24208063562
24385094991
38779022100
38779022105
38779022108
38779022109
38779022110
38779022150
41383009507
41383009510
48107002686
49326044290
49452039001
49452269801
49452269802
49452269803
49452272001
49452272002
49452272003
49452273001
49452273002
49452273003
49452379301
49452379302
49452379303
49452615001
49452615002
49452615003
49452616601
49452616602
49452616603
49884064702
49884064705
49884075702
49999025410
49999052510
50991083001
51028000126
51234011410
51234011510
51552039901
51552041201
51724021401
51927147100
51927364000
51991005601

NAME
EPHEDRINE SULFATE POWDER
EPHEDRINE SULFATE POWDER
EPHEDRINE SULFATE POWDER
PYRILAMINE MALEATE CRYSTALS
PYRILAMINE MALEATE CRYSTALS
PYRILAMINE MALEATE CRYSTALS
NEO/POLYMYXIN/HC EAR SOLN
NEO/POLYMYXIN/HC EAR SUSP
CLOVE OIL
FENOPROFEN CALCIUM POWDER
FENOPROFEN CALCIUM POWDER
FENOPROFEN CALCIUM POWDER
FENOPROFEN CALCIUM POWDER
FENOPROFEN CALCIUM POWDER
FENOPROFEN CALCIUM POWDER
BEANO LIQUID
BEANO LIQUID
CLA CAPSULES
AMINOBRAIN TABLET
AMARANTH POWDER
ECHINACEA JUICE POWDER
ECHINACEA JUICE POWDER
ECHINACEA JUICE POWDER
EPHEDRINE HCL POWDER
EPHEDRINE HCL POWDER
EPHEDRINE HCL POWDER
EPHEDRINE SULFATE POWDER
EPHEDRINE SULFATE POWDER
EPHEDRINE SULFATE POWDER
L-ISOLEUCINE POWDER
L-ISOLEUCINE POWDER
L-ISOLEUCINE POWDER
PYRILAMINE MALEATE CRYSTAL
PYRILAMINE MALEATE CRYSTALS
PYRILAMINE MALEATE CRYSTALS
PYRUVIC ACID POWDER
PYRUVIC ACID POWDER
PYRUVIC ACID POWDER
RANITIDINE 150 MG CAP
RANITIDINE 150 MG CAPSULE
TALADINE 150 MG CAPSULE
NEO/POLYMYXIN/HC EAR SOLN
DIPHENHYDRAMINE 50 MG/ML VL
FLEXTRA-DS TABLET
HYDRA-AID 26 GM PACKET
OTICIN HC EAR SOLUTION
OTICIN HC EAR SUSPENSION
L-ISOLEUCINE POWDER
L-ISOLEUCINE POWDER
DECON-G DROPS
EPHEDRINE SULFATE POWDER
ISOLEUCINE POWDER
HYFLEX-DS TABLET

DOSE FORM DRUG STRENGTH


PA
PA
PA
PC
PC
PC
SA
SN
SQ
PA
PA
PA
PA
PA
PA
SL
SL
CA
TA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PC
PC
PC
PA
PA
PA
CA
CA
CA
SA
HV
TA
JP
SA
SN
PA
PA
SO
PA
PA
TA

UNIT PRICE
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30

NDC
51991008490
51991012611
52083041020
52604341401
52637070810
52959008400
52959009800
53335005711
54022210001
54022302001
54092017212
54569089100
54569296801
54569325900
54569334100
54569497300
54569546700
54868000700
54868021301
54868055400
54868070801
54868073601
54868097501
54868124000
54868124001
54868124002
54868204800
54868204801
54868462700
54868462701
54868505800
54868509800
54868509801
54868509802
54868522000
55045115602
55045207502
55111012905
55111012960
55499084001
55860005624
55860562000
56121000005
58016608701
58016609101
58487029301
58605051301
58676000021
59011099810
59011099830
59243000710
59310011810
59310031010

NAME
FOLBEE TABLET
MULTIFOL TABLET
PRICORT CREAM
CYTOMEL 5 MCG TABLET
CORT-BIOTIC EAR SUSPENSION
NEO/POLYMYXIN/HC EAR SUSP
NEO/POLYMYXIN/HC EAR SOLN
L-CYSTEINE 750 MG CAPSULE
L-CARNITINE 250 MG TABLET
THYMUS 200 MG TABLET
CARBATROL 200 MG CAPSULE SA
CORTISPORIN EAR SUSPENSION
CYTOMEL 5 MCG TABLET
NEO-POLYMYXIN-HC EAR SUSP
ANTIBIOTIC EAR SOLUTION
BENZODENT CREAM
P-EPHED/GUAIFEN/DM TABLET
BENADRYL 50 MG/ML VIAL
CORTISPORIN EAR SUSPENSION
BENADRYL 50 MG/ML VIAL
ANTIBIOTIC HC EAR SOLUTION
ANTIBIOTIC HC EAR SUSPEN
ACLOVATE 0.05% CREAM
BRETHINE 5 MG TABLET
BRETHINE 5 MG TABLET
BRETHINE 5 MG TABLET
DIPHENHYDRAMINE 50 MG/ML VIAL
DIPHENHYDRAMINE 50 MG/ML VL
FOLTX TABLET
FOLTX TABLET
CYTOMEL 5 MCG TABLET
FA-CYANCOBA-PYRIDOXINE TAB
FA-CYANCOBA-PYRIDOXINE TAB
FA-CYANCOBA-PYRIDOXINE TAB
LODRANE 12D TABLET SA
NEO/POLYMYXIN/HC EAR SOLN
NEO/POLYMYXIN/HC EAR SUSP
RANITIDINE 150 MG CAPSULE
RANITIDINE 150 MG CAPSULE
COLREX COMPOUND CAPSULE
OPSITE DRES 2 3/8" X 3 3/8"
UNIFLEX DRESSING 2 3/8"X3 3/8"
ALI-FLEX TABLET
NEO/POLYMYXIN/HC EAR SOLN
NEO/POLYMYXIN/HC EAR SUSP
BIOTIN 10 MG TABLET
ALLFEN 1,000 MG TABLET SA
SOURCECF CHEWABLE TABLET
CHIROCAINE 5 MG/ML VIAL
CHIROCAINE 5 MG/ML VIAL
RHINOFLEX 500 MG-50 MG TABLET
MUCO-FEN 1,000 MG TABLET SA
PROFEN II DM TABLET SA

DOSE FORM DRUG STRENGTH


TA
TA
KA
TA
SN
SN
SA
CA
TA
TE
CB
SN
TA
SN
SA
KA
TM
HV
SN
HV
SA
SN
KA
TA
TA
TA
HV
HV
TA
TA
TA
TA
TA
TA
TM
SA
SN
CA
CA
CA
YE
YE
TA
SA
SN
TA
TM
TC
HV
HV
TA
TM
TM

UNIT PRICE
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30

NDC
59528445601
59630020510
60258047001
60258047101
61314063810
61314063910
61314064510
61314064610
61553011648
61553060548
61553085148
61553085348
61570003310
61570003410
61570005901
61787005212
63323066401
64980012709
64980013201
66116063910
66177081649
66267095410
66267095710
66870011001
66870011601
66993032202
68047012101
68047012201
68115095410
68115095510
68212060090
68308051610
70418414000
87701039707
87701053866
00009004902
00026812151
00043049012
00043049112
00065905095
00065905195
00065905295
00065907095
00067614612
00067614712
00068069861
00068069862
00074190201
00074416901
00074607313
00087015846
00087015885
00087060942

NAME
NEPHRON FA TABLET
ROBINUL FORTE 2 MG TABLET
BIDHIST-D TABLET
BIDHIST 6 MG TABLET
NEO/POLYMYXIN/HC EAR SUSP
NEO/POLYMYXIN/HC EAR SOLN
NEO/POLYMYXIN/HC EAR SUSP
NEO/POLYMYXIN/HC EAR SOLN
FENTANYL-NS 20 MCG/ML
FENTANYL-NS 20 MCG/ML
FENTANYL-NS 10 MCG/ML
FENTANYL-NS 10 MCG/ML
CORTISPORIN EAR SUSPENSION
CORTISPORIN EAR SOLUTION
KEMADRIN 5 MG TABLET
DIABETIC TUSSIN GELCAP
DIPHENHYDRAMINE 50 MG/ML VL
NUFOL TABLET
GLYCOPYRROLATE 2 MG TABLET
CORTOMYCIN EAR SOLUTION
ALI-FLEX TABLET
NEO/POLYMYXIN/HC EAR SOLN
NEO/POLYMYXIN/HC EAR SUSP
AMBI 1,000 MG CAPLET
AMBI 45/800/30 CAPLET
GUAIFENESIN 1,000 MG TABLET
LOHIST 12HR TABLET SA
LOHIST 12D TABLET SA
NEO-POLYMYXIN-HC EAR SUSP
NEO/POLYMYXIN/HC EAR SOLN
SOURCECF CHEWABLE TABLET
FA-CYANCOBA-PYRIDOXINE TAB
CLOVE OIL
BL CLOVE OIL
BL CLOVE OIL
MEDROL 2 MG TABLET
DECHOLIN 250 MG TABLET
THERAFLU COUGH STRIPS
THERAFLU MULTI SYMPTOM STRIPS
NESTLE FLAVOR PACKET
NESTLE FLAVOR PACKET
NESTLE FLAVOR PACKET
NESTLE FLAVOR PACKET
THERAFLU COUGH STRIPS
THERAFLU MULTI SYMPTOM STRIPS
TENUATE DOSPAN 75 MG TAB SA
TENUATE DOSPAN 75 MG TAB SA
PROCAINAMIDE 100 MG/ML VIAL
CHLOROPROCAINE 2% VIAL
CYLERT 75 MG TABLET
MONOPRIL 10 MG TABLET
MONOPRIL 10 MG TABLET
MONOPRIL 20 MG TABLET

DOSE FORM DRUG STRENGTH


TA
TA
TM
TM
SN
SA
SN
SA
HZ
HZ
IR
IR
SN
SA
TA
CA
HV
TA
TA
SA
TA
SA
SN
TM
TM
TM
TM
TM
SN
SA
TC
TA
SQ
SQ
SQ
TA
TA
YR
YR
PP
PP
PP
PP
YR
YR
TS
TS
HV
HV
TA
TA
TA
TA

UNIT PRICE
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.30
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31

NDC
00087060945
00087060985
00087078305
00087078341
00087120213
00088179730
00088179742
00088179749
00093511898
00093722210
00093722298
00093722310
00093722398
00093722410
00093722498
00093947201
00095024001
00095024005
00173067900
00182822789
00185004109
00185004110
00185004209
00185004210
00185004709
00185004710
00186097266
00186099166
00186099366
00187052331
00193219121
00212712774
00212713774
00212714774
00212716774
00228257803
00228257809
00228257850
00245016012
00247075800
00247110130
00247110160
00259039201
00270079265
00281025918
00281038953
00338001841
00338933341
00378300001
00378300005
00378534001
00378534005
00396401000

NAME
DOSE FORM DRUG STRENGTH
MONOPRIL 20 MG TABLET
TA
MONOPRIL 20 MG TABLET
TA
DURICEF 500 MG/5 ML ORAL SUSP
PD
DURICEF 500 MG/5 ML ORAL SUSP
PD
MONOPRIL 40 MG TABLET
TA
CARDIZEM CD 240 MG CAPSULE
CC
CARDIZEM CD 240 MG CAPSULE
CC
CARDIZEM CD 240 MG CAPSULE
CC
DILTIAZEM HCL 240 MG CAP SA
CC
FOSINOPRIL SODIUM 10 MG TAB
TA
FOSINOPRIL SODIUM 10 MG TAB
TA
FOSINOPRIL SODIUM 20 MG TAB
TA
FOSINOPRIL SODIUM 20 MG TAB
TA
FOSINOPRIL SODIUM 40 MG TAB
TA
FOSINOPRIL SODIUM 40 MG TAB
TA
PEMOLINE 75 MG TABLET
TA
BUPAP TABLET
TA
BUPAP TABLET
TA
AGENERASE 50 MG CAPSULE
CA
DILTIAZEM (CARDIZEM CD) 240MG SA CAP,UDCC
FOSINOPRIL SODIUM 10 MG TAB
TA
FOSINOPRIL SODIUM 10 MG TAB
TA
FOSINOPRIL SODIUM 20 MG TAB
TA
FOSINOPRIL SODIUM 20 MG TAB
TA
FOSINOPRIL SODIUM 40 MG TAB
TA
FOSINOPRIL SODIUM 40 MG TAB
TA
NESACAINE 2% VIAL
HV
NESACAINE-MPF 2% VIAL
HV
NESACAINE-MPF 2% VIAL
HV
SOLAQUIN FORTE 4% GEL
JG
ALBUSTIX REAGENT STRIPS
YR
VIVONEX FLAVOR PACKET
PP
VIVONEX FLAVOR PACKET
PP
VIVONEX FLAVOR PACKET
PP
VIVONEX FLAVOR PACKET
PP
DILTIAZEM HCL 240 MG CAP SA
CC
DILTIAZEM HCL 240 MG CAP SA
CC
DILTIAZEM HCL 240 MG CAP SA
CC
RMS-SUPPOSITORY 5 MG
QA
CYLERT 75 MG TABLET
TA
CARDIZEM CD 240 MG CAPSULE
CC
CARDIZEM CD 240 MG CAPSULE
CC
SEDAPAP TABLET
TA
RENOVIST II 28.5/29.1 VIAL
HV
CHROMAGEN FA CAPSULE
CA
AXOCET TABLET
TA
NALLPEN 1 GM/D5W 50 ML IVPB
HP
FENTA/BUPIVA/NS 5 MCG/0.0375%
HZ
MECLOFENAMATE 100 MG CAPSULE
CA
MECLOFENAMATE 100 MG CAPSULE
CA
DILTIAZEM ER 240 MG CAP SA
CT
DILTIAZEM ER 240 MG CAP SA
CT
SHUR-SEAL PACKET
PP

UNIT PRICE
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31

NDC
00406155801
00430278316
00430278317
00456004001
00496072604
00496072606
00525080301
00551018701
00574043000
00574043001
00574043025
00574043100
00574043101
00574043125
00574043200
00574711012
00591078201
00603505721
00615134253
00615134263
00642016610
00781175101
00781508310
00781508392
00781508410
00781508492
00781508592
00785550202
00904538260
00904538261
08021415042
08021415080
08021415090
08021513000
08021513040
08021513041
08021513350
08021513400
08021513402
08021513500
08021513501
08021513502
08021513506
08021513508
08021513540
08021513541
08021513552
08021513553
08021513554
08021514900
08021515000
08026400700
08026401800

NAME
PEMOLINE 75 MG TABLET
DURICEF 500 MG/5 ML ORAL SUSP
DURICEF 500 MG/5 ML ORAL SUSP
THYROLAR-1/4 STRENGTH TAB
PRAMOSONE 2.5% LOTION
PRAMOSONE 2.5% LOTION
PANRITIS FORTE TABLET
LOBAC TABLET
PROGESTERONE PWD MICRONIZED
PROGESTERONE PWD MICRONIZED
PROGESTERONE PWD MICRONIZED
PROGESTERONE POWDER
PROGESTERONE POWDER
PROGESTERONE POWDER
PROGESTERONE POWDER MILLED
MORPHINE SULF 5 MG SUPPOS
DIETHYLPROPION 75 MG TAB ER
PEMOLINE 75 MG TABLET
DILTIAZEM XR 240 MG CAP SA
DILTIAZEM XR 240 MG CAP SA
REPAN-CF TABLET
PEMOLINE 75 MG TABLET
FOSINOPRIL SODIUM 10 MG TAB
FOSINOPRIL SODIUM 10 MG TAB
FOSINOPRIL SODIUM 20 MG TAB
FOSINOPRIL SODIUM 20 MG TAB
FOSINOPRIL SODIUM 40 MG TAB
ZONE-A FORTE 2.5% LOTION
DILTIAZEM XR 240 MG CAPSULE
DILTIAZEM XR 240 MG CAPSULE
FILTER NEEDLE II 5 MICRON 1
FLUID DISPENSING CONNECTOR
ORAL DISPENSING CONNECTOR
MULTI-AD FLUID DISPENS SYS
MULTI-AD FLUID DISPENS SYS
MULTI-AD FLUID DISPENS SYS
MULTI-AD FLUID DISPENS SYS
MULTI-AD FLUID DISPENS SYS
MULTI-AD FLUID DISPENS SYS
MULTI-AD FLUID DISPENS SYS
MULTI-AD FLUID DISPENS SYS
MULTI-AD FLUID DISPENS SYS
MULTI-AD FLUID DISPENS SYS
MULTI-AD FLUID DISPENS SYS
MULTI-AD FLUID DISPENS SYS
MULTI-AD FLUID DISPENS SYS
FIVE STOPCOCK MANIFOLD UNIT
MULTI-AD FLUID DISPENS SYS
MULTI-AD FLUID DISPENS SYS
100CC MULTI-AD PUMP ADAPTER
MULTI-AD PUMP
IV 3000 DRESSING
OPSITE IV 3000 DRESSING

DOSE FORM DRUG STRENGTH


TA
PD
PD
TA
SK
SK
TA
TA
PA
PA
PA
PA
PA
PA
PA
QA
TS
TA
CC
CC
TA
TA
TA
TA
TA
TA
TA
SK
CT
CT
YH
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
YE
YE

UNIT PRICE
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31

NDC
08026462800
08173901801
08290305554
08290309671
08330138601
08330138801
08333040001
08333162001
08333162405
08333162409
08333163401
08333950505
08333953401
08375004403
08881202033
08881566007
08970100653
08970705001
10475001388
10892015310
11584002901
11845013799
11845014375
11845014385
11845119408
12539059010
12539085010
17191000060
17191000078
17191000079
17317062600
17317062601
17317062602
17317062608
17317093400
17317093401
17317093402
17317093408
17478006412
19458907201
34575029319
37205045265
38779000704
38779000705
38779000708
38779004301
38779004304
38779004305
38779004308
38779004309
38779005704
38779005705
38779005708

NAME
OPSITE FLEXIGRID DRESSING
OPSITE IV 3000 DRESSING
SAFETY-LOK 1 ML TB SYRINGE
B-D 10 ML SYRINGE/NEEDLE
ANTI-STICK IMMUNIZATION SYR
ANTI-STICK IMMUNIZATION SYR
TEGADERM 2.375X2.75" DRSSNG
TEGADERM 2.375X2.75" DRSSNG
TEGADERM 2.375X2.75" DRSSNG
TEGADERM 2.375X2.75" DRSSNG
TEGADERM 2.375X2.75" DRSSNG
TEGADERM 2.375X2.75 DRESSNG
TEGADERM HP DRESSING
PROCYTE 2.375"X2.75" DRESS
LIFESHIELD BLUNT CANNULA
MONOJECT 6CC SAFETY SYRINGE
TERUMO SURGUARD2 SYR 25G-1 ML
TERUMO SURGUARD2 SYR 25G-1 ML
ANTI-STICK IMMUNIZATION SYR
ANABAR CAPLET
TENCON TABLET
FLEXI JOINT TABLET
4 SURE SLIM CAPSULE
MEN'S POTENT SUPREME CAPLET
L-CARNITINE W/CHROMIUM TAB
DOLOREX TABLET
FRENADOL TABLET
DUAL RATE SYRINGE INFUSER
GRAVITY MIXING SET
GRAVITY MIXING SET
PROGESTERONE PWD MICRONIZED
PROGESTERONE PWD MICRONIZED
PROGESTERONE PWD MICRONIZED
PROGESTERONE PWD MICRONIZED
PROGESTERONE POWD WETTABLE
PROGESTERONE POWD WETTABLE
PROGESTERONE POWD WETTABLE
PROGESTERONE POWD WETTABLE
GONAK 2.5% SOLUTION
ECK BABY ORAL PAIN GEL
ECK BABY ORAL PAIN GEL
COQ-10 & FISH OIL SOFTGEL
ERYTHROMYCIN POWDER
ERYTHROMYCIN POWDER
ERYTHROMYCIN POWDER
PROGESTERONE POWDER
PROGESTERONE POWDER
PROGESTERONE POWDER
PROGESTERONE POWDER
PROGESTERONE POWDER
PROGESTERONE POWDER
PROGESTERONE POWDER
PROGESTERONE POWDER

DOSE FORM DRUG STRENGTH


YE
YE
YL
YL
YL
YL
YE
YE
YE
YE
YE
YE
YE
YE
YL
YL
YL
YL
YL
TA
TA
TA
CA
TA
TA
TA
TA
EA
EA
EA
PA
PA
PA
PA
PA
PA
PA
PA
SO
JG
JG
CA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA

UNIT PRICE
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31

NDC
38779005709
39822080005
39822600001
39822600003
39822600005
39822600007
39822600009
39822610001
39822610003
39822610005
39822610007
39822610009
40565011562
40565011564
40565011808
40565011940
49452277001
49452485301
49452485302
49452485304
49452606001
49452606002
49452606003
49452606006
49452606101
49452606102
49452606103
49452606104
49452606105
49452607001
49452607002
49452607003
49452607004
49452608001
49452608002
49452608003
49452616001
49452616002
49452616003
49735010133
49735010158
49735010249
49963061530
49999045728
50428509810
50474010001
50600054098
50600054111
50600054135
50600054159
50600054173
50924014630
50924025012

NAME
PROGESTERONE POWDER
ERYTHRO-RX POWDER
PROGESTERONE PWD MICRONIZED
PROGESTERONE PWD MICRONIZED
PROGESTERONE PWD MICRONIZED
PROGESTERONE PWD MICRONIZED
PROGESTERONE PWD MICRONIZED
PROGESTERONE POWD WETTABLE
PROGESTERONE POWD WETTABLE
PROGESTERONE POWD WETTABLE
PROGESTERONE POWD WETTABLE
PROGESTERONE POWD WETTABLE
OPSITE IV 3000 DRESSING
OPSITE IV 3000 DRESSING
OPSITE IV 3000 FRAME DRESS
OPSITE IV 3000 DRESSING
ERYTHROMYCIN POWDER
NITROFURANTOIN POWDER
NITROFURANTOIN POWDER
NITROFURANTOIN POWDER
PROGESTERONE POWDER
PROGESTERONE POWDER
PROGESTERONE POWDER
PROGESTERONE POWDER
PROGESTERONE POWDER
PROGESTERONE POWDER
PROGESTERONE POWDER
PROGESTERONE POWDER
PROGESTERONE POWDER
PROGESTERONE POWDER
PROGESTERONE POWDER
PROGESTERONE POWDER
PROGESTERONE POWDER MILLED
PROGESTERONE POWDER
PROGESTERONE POWDER
PROGESTERONE POWDER
PYROGALLOL CRYSTALS
PYROGALLOL CRYSTALS
PYROGALLOL CRYSTALS
FLAVOR PACKET
FLAVOR PACKET
FLAVOR PACKET
DURAXIN CAPSULE
DIETHYLPROPION 75 MG TABLET ER
CVS HEARING AID BATTERIES
THEO-24 100 MG CAPSULE SA
FLAVOUR PAC
FLAVOUR PAC
FLAVOUR PAC
FLAVOUR PAC
FLAVOUR PAC
CHEMSTRIP MICRAL TEST STRIP
CHEMSTRIP MICRAL TEST STRIP

DOSE FORM DRUG STRENGTH


PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
YE
YE
YE
YE
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PC
PC
PC
PP
PP
PP
CA
TS
ZA
CC
PP
PP
PP
PP
PP
YR
YR

UNIT PRICE
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31

NDC
51079094901
51079094908
51138836506
51552000504
51552000505
51552000601
51552000603
51552000605
51552000606
51552000607
51552073805
51552073806
51552082901
51552082903
51552082904
51552082905
51552082906
51552082907
51552082908
51672527204
51674012601
51927104600
51927107600
51927134600
51927142300
51927144000
51927353000
51927901700
51991009001
51991014301
51991017801
52152016202
52297077684
52297077784
52297077884
52297077984
52544048401
52544048405
52959032928
52959032930
52959032990
53303000021
53303017260
53329002638
53335010112
53809030201
53879020210
54000065410
54162051002
54569039600
54569039601
54569039605
54569252605

NAME
DILTIAZEM ER 240 MG CAPSULE
DILTIAZEM ER 240 MG CAPSULE
TEGADERM 2 3/8"X 2 3/4"
PROGESTERONE PWD MICRONIZED
PROGESTERONE PWD MICRONIZED
PROGESTERONE POWD WETTABLE
PROGESTERONE POWD WETTABLE
PROGESTERONE POWD WETTABLE
PROGESTERONE POWD WETTABLE
PROGESTERONE POWD WETTABLE
PROGESTERONE PWD MICRONIZED
PROGESTERONE PWD MICRONIZED
PROGESTERONE PWD MICRONIZED
PROGESTERONE PWD MICRONIZED
PROGESTERONE PWD MICRONIZED
PROGESTERONE PWD MICRONIZED
PROGESTERONE PWD MICRONIZED
PROGESTERONE PWD MICRONIZED
PROGESTERONE PWD MICRONIZED
OVIDE 0.5% LOTION
PROLEX PD TABLET SA
PROGESTERONE POWDER
POVIDONE IODINE POWDER
CALCIUM CITRATE POWDER
METHYLCELLULOSE PWD 4,000 CPS
ERYTHROMYCIN POWDER
PROGESTERONE POWDER
PROGESTERONE PWD WETTABLE
GUIADEX PD TABLET
VINATE II TABLET
VINATE II TABLET
PEMOLINE 75 MG TABLET
HM HEARING AID BATTERIES
HM HEARING AID BATTERIES
HM HEARING AID BATTERIES
HM HEARING AID BATTERIES
DILACOR XR 240 MG CAPSULE SA
DILACOR XR 240 MG CAPSULE SA
DIETHYLPROPION 75 MG TAB SA
DIETHYLPROPION 75 MG TAB SA
DIETHYLPROPION 75 MG TAB SA
CARRA FILM DRESSING
CARRAVITE CAPLET
SURESITE WINDOW DRESSING
THREOSTAT 500 MG CAPSULE
PRENA-CAP CAPSULE
NEURIN-SL TABLET SL
NORMLGEL 0.9% GEL
HYDROPHOR GAUZE DRESSING
DIETHYLPROPION 75 MG TAB SA
DIETHYLPROPION 75 MG TAB SA
DIETHYLPROPION 75 MG TAB SA
MECLOFENAMATE 100 MG CAPSULE

DOSE FORM DRUG STRENGTH


CT
CT
YE
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
SK
TM
PA
PA
PA
PA
PA
PA
PA
TM
TA
TA
TA
ZA
ZA
ZA
ZA
CT
CT
TS
TS
TS
YE
TA
YE
CA
CA
TU
JG
YE
TS
TS
TS
CA

UNIT PRICE
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31

NDC
54569316200
54569380400
54569380800
54569380900
54569491400
54569494800
54569562100
54799050315
54868214902
54868236800
54868236801
54868236802
54868254200
54868291000
54868297503
54868313600
54868327900
54868327902
54868327903
54868418400
54868418401
54868420900
54868486800
54868486801
54868492500
54868495200
54868495201
54868505500
54868506400
54868506401
54868518200
55289027221
55289027240
55289027260
55289036807
55289036830
55289077414
55289077818
55390040320
55860004628
56091002455
56091002474
56091002476
56091006902
56091006922
56184012095
57866612701
57866612702
58016083607
58016083614
58016083615
58016083630
58016201301

NAME
DURICEF 500 MG/5 ML ORAL SUSP
CARDIZEM CD 240 MG CAPSULE
MONOPRIL 10 MG TABLET
MONOPRIL 20 MG TABLET
DILTIAZEM HCL 240 MG CAP SA
MONOPRIL 40 MG TABLET
FOSINOPRIL 10 MG TABLET
GONIOSOFT 2.5% EYE DROPS
CARDIZEM CD 240 MG CAPSULE
MONOPRIL 10 MG TABLET
MONOPRIL 10 MG TABLET
MONOPRIL 10 MG TABLET
CYLERT 75 MG TABLET
DURICEF 500 MG/5 ML ORAL SUSP
DILACOR XR 240 MG CAPSULE SA
PROCAINAMIDE 100 MG/ML VIAL
MONOPRIL 20 MG TABLET
MONOPRIL 20 MG TABLET
MONOPRIL 20 MG TABLET
DILTIAZEM ER 240 MG CAP SA
DILTIAZEM HCL 240 MG CAP SA
MONOPRIL 40 MG TABLET
DILTIAZEM HCL 240 MG CAP
DILTIAZEM HCL CD 240 MG CAP
NESACAINE 2% VIAL
MEDROL 2 MG TABLET
MEDROL 2 MG TABLET
FOSINOPRIL SODIUM 20 MG TABLET
FOSINOPRIL SODIUM 10 MG TAB
FOSINOPRIL SODIUM 10 MG TAB
FOSINOPRIL SODIUM 40 MG TAB
MECLOFENAMATE 100 MG CAPSULE
MECLOFENAMATE 100 MG CAPSULE
MECLOFENAMATE 100 MG CAPSULE
DIETHYLPROPION 75 MG TAB SA
DIETHYLPROPION 75 MG TAB SA
DILTIAZEM ER 240 MG CAPSULE
SEDAPAP TABLET
CHLOROPROCAINE 2% VIAL
OPSITE DRESSING 2 3/8"X2 3/4"
BIOCLUSIVE SELECT DRESSING
BIOCLUSIVE SELECT DRESSING
BIOCLUSIVE SELECT MVP DRESS
KLING CONFORMING GAUZE BNDG
KLING CONFORMING GAUZE BNDG
LITTLE TEETHERS RELIEF GEL
DILTIAZEM HCL 240 MG CAP SA
DILTIAZEM HCL 240 MG CAP SA
DIETHYLPROPION 75 MG TAB SA
DIETHYLPROPION 75 MG TAB SA
DIETHYLPROPION 75 MG TAB SA
DIETHYLPROPION 75 MG TAB SA
ASPIRIN 120 MG SUPPOSITORY

DOSE FORM DRUG STRENGTH


PD
CC
TA
TA
CC
TA
TA
SO
CC
TA
TA
TA
TA
PD
CT
HV
TA
TA
TA
CT
CC
TA
CC
CC
HV
TA
TA
TA
TA
TA
TA
CA
CA
CA
TS
TS
CT
TA
HV
YE
YE
YE
YE
YE
YE
JG
CC
CC
TS
TS
TS
TS
QA

UNIT PRICE
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31

NDC
58177004311
58605052401
58676000031
58768070115
58864010430
58864051015
58864066730
58864077430
58980047505
58980047510
59366278303
59390018213
59440020903
59702065001
60258024201
60505000904
60505001606
60505001608
60505251002
60505251102
60505251202
61553013341
61553086548
61553087248
61924025223
62022007301
62037055001
62037055010
62037059905
62037059990
62584097601
62584097630
62584097680
62584097685
62584097690
62991112401
62991112402
62991112403
62991112404
62991112405
62991112406
62991154701
62991154702
62991218401
62991218402
62991218403
62991218404
62991218405
62991218406
63044063217
63275998105
63275998108
63275998109

NAME
ANEMAGEN FA CAPSULE
PROMACET TABLET
SOURCECF PEDIATRIC DROPS
GONIOSOL 2.5% EYE DROPS
MONOPRIL 10 MG TABLET
MONOPRIL 40 MG TABLET
MONOPRIL 20 MG TABLET
FOSINOPRIL SODIUM 10 MG TAB
NUQUIN HP 4% GEL
NUQUIN HP 4% GEL
HYDROQUINONE 4% GEL
GONIOTAIRE 2.5% EYE DROP
LITTLE TEETHERS RELIEF GEL
CEPHADYN TABLET
PENDEX TABLET
DILT-CD 240 MG CAPSULE ER
DILT-XR 240 MG CAP SA
DILTIAZEM ER 240 MG CAP SA
FOSINOPRIL SODIUM 10 MG TAB
FOSINOPRIL SODIUM 20 MG TAB
FOSINOPRIL SODIUM 40 MG TAB
FENTA/BUPIVA/NS 5 MCG/0.0375%
FENTA/BUPIVA/NS 5 MCG/0.1%
FENTA/BUPIVA/NS 5 MCG/0.1%
DERMAVIEW II DRESSING
DOLGIC TABLET
DILTIA XT 240 MG CAPSULE SA
DILTIA XT 240 MG CAPSULE SA
CARTIA XT 240 MG CAPSULE SA
CARTIA XT 240 MG CAPSULE SA
DILTIAZEM HCL 240 MG CAP SA
DILTIAZEM HCL 240 MG CAP SA
DILTIAZEM HCL 240 MG CAP SA
DILTIAZEM HCL 240 MG CAP SA
DILTIAZEM HCL 240 MG CAP SA
PROGESTERONE POWDER
PROGESTERONE POWDER
PROGESTERONE POWDER
PROGESTERONE POWDER
PROGESTERONE POWDER
PROGESTERONE POWDER
NITROFURANTOIN POWDER
NITROFURANTOIN POWDER
PROGESTERONE PWD MICRONIZED
PROGESTERONE PWD MICRONIZED
PROGESTERONE PWD MICRONIZED
PROGESTERONE PWD MICRONIZED
PROGESTERONE PWD MICRONIZED
PROGESTERONE PWD MICRONIZED
HEMATOGEN FA SOFTGEL
PROGESTERONE POWDER
PROGESTERONE POWDER
PROGESTERONE POWDER

DOSE FORM DRUG STRENGTH


CA
TA
SO
SO
TA
TA
TA
TA
JG
JG
JG
SO
JG
TA
TM
CC
CT
CT
TA
TA
TA
HZ
IR
IR
YE
TA
CT
CT
CC
CC
CC
CC
CC
CC
CC
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
CA
PA
PA
PA

UNIT PRICE
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31

NDC
63304077510
63304077590
63304077610
63304077690
63304077710
63304077790
63370020025
63370020035
63370020045
63370020050
63370020055
63370020150
63370020435
63370020445
63370020450
63370020455
63370020462
63739028515
64455079749
64731082001
64731082801
64980011601
65880079260
66116043330
66983035010
66983035020
68047015001
68115011028
68115061290
68212030060
68552068215
75537017146
75537017250
83750004403
87701024872
87701024912
96295011272
99207065002
00006006312
00009045003
00029609022
00029609023
00029609039
00037180904
00037630204
00052010930
00054209725
00054467813
00074113303
00074113304
00074113321
00074113322
00085193502

NAME
FOSINOPRIL SODIUM 10 MG TAB
FOSINOPRIL SODIUM 10 MG TAB
FOSINOPRIL SODIUM 20 MG TAB
FOSINOPRIL SODIUM 20 MG TAB
FOSINOPRIL SODIUM 40 MG TAB
FOSINOPRIL SODIUM 40 MG TAB
PROGESTERONE POWDER
PROGESTERONE POWDER
PROGESTERONE POWDER
PROGESTERONE POWDER
PROGESTERONE POWDER
PROGESTERONE POWDER
PROGESTERONE POWDER
PROGESTERONE POWDER
PROGESTERONE POWDER
PROGESTERONE POWDER
PROGESTERONE POWDER
DILTIAZEM HCL 240 MG CAP SA
CARDIZEM CD 240 MG CAPSULE
DUET TABLET
DUET TABLET
FEOGEN FA CAPSULE
NICOMIDE TABLET
DILTIAZEM ER 240 MG CAPSULE
THYROSAFE 65 MG TABLET
THYROSAFE 65 MG TABLET
EXEFEN-PD TABLET
DIETHYLPROPION 75 MG TAB ER
DILTIAZEM ER 240 MG CAP SA
SOURCECF PEDIATRIC DROPS
HYDROXYPROPYL 2.5% EYE DROP
CHEMSTRIP MICRAL TEST STRIP
CHEMSTRIP MICRAL TEST STRIP
PROCYTE 2.375"X2.75" DRESS
BL BABY ORARELIEF GEL
GNP BABY ORARELIEF GEL
COQ-10 & FISH OIL SOFTGEL
OVIDE 0.5% LOTION
DECADRON 0.75 MG TABLET
COLESTID 1 GM TABLET
AUGMENTIN 250-62.5 SUSPEN
AUGMENTIN 250-62.5 SUSPEN
AUGMENTIN 250-62.5 SUSPEN
RYNA-12X ORAL SUSPENSION
SINA-12X ORAL SUSPENSION
REMERON 45 MG TABLET
ANAGRELIDE HCL 1 MG CAPSULE
MIRTAZAPINE 45 MG TABLET
MORPHINE SULFATE 25 MG/ML VL
MORPHINE SULFATE 25 MG/ML VL
MORPHINE SULFATE 25 MG/ML VL
MORPHINE SULFATE 25 MG/ML VL
DRIXORAL COUGH/SORE THROAT

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
CC
CC
TA
TA
CA
UB
CT
TA
TA
TM
TS
CT
SO
SO
YR
YR
YE
JG
JG
CA
SK
UD
TA
PD
PD
PD
SC
SC
TA
CA
TA
HV
HV
HV
HV
CA

UNIT PRICE
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.31
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32

NDC
00093720856
00115462201
00172219360
00172367060
00172439260
00172524060
00172569500
00172569510
00172569546
00172569570
00173036238
00173036300
00173036301
00185015601
00185015701
00185015705
00185022210
00185022230
00185104701
00185104710
00224187124
00224187224
00247079907
00247079914
00247079930
00247101012
00259033101
00281034330
00281034353
00283067902
00283067960
00338934848
00338935202
00338937041
00338937248
00338937348
00378041401
00378354593
00378522001
00378522005
00378686901
00378904001
00378904005
00406007201
00406142301
00496080215
00496080245
00517013125
00525090690
00551016801
00555010202
00555096902
00591111930

NAME
MIRTAZAPINE 45 MG TABLET
ANAGRELIDE HCL 1 MG CAPSULE
COL-PROBENECID TABLET
PERPHENAZINE 16 MG TABLET
FLUVOXAMINE MAL 100 MG TAB
ANAGRELIDE HCL 1 MG CAPSULE
MIRTAZAPINE 45 MG TABLET
MIRTAZAPINE 45 MG TABLET
MIRTAZAPINE 45 MG TABLET
MIRTAZAPINE 45 MG TABLET
ZANTAC 25 MG/ML VIAL
ZANTAC 25 MG/ML VIAL
ZANTAC 25 MG/ML VIAL
ANAGRELIDE HCL 1 MG CAPSULE
FLUVOXAMINE MAL 100 MG TAB
FLUVOXAMINE MAL 100 MG TAB
MIRTAZAPINE 45 MG TABLET
MIRTAZAPINE 45 MG TABLET
QUINIDINE SULFATE 300 MG TAB
QUINIDINE SULFATE 300 MG TAB
KONSYL EFFERVESCENT PACKET
KONSYL EFFERVESCENT PACKET
PERPHENAZINE 16 MG TABLET
PERPHENAZINE 16 MG TABLET
PERPHENAZINE 16 MG TABLET
DEXAMETHASONE 0.75 MG TABLET
NU-IRON-V TABLET
STRONGSTART CAPLET
STRONGSTART CAPLET
HURRICAINE 20% SPRAY
HURRICAINE 20% SPRAY
FENTA/ROPIVA 2 MCG/0.2% INJ
FENTA/ROPIVA 5 MCG/0.1% INJ
MEPERIDINE/NS 500 MG/50 ML
MEPERIDINE/NS 1,000 MG/100 ML
MEPERIDINE 1,000 MG/100 ML NS
FLUVOXAMINE MAL 100 MG TAB
MIRTAZAPINE 45 MG TABLET
DILTIAZEM ER 120 MG CAP SA
DILTIAZEM ER 120 MG CAP SA
ANAGRELIDE HCL 1 MG CAPSULE
CYSTAGON 50 MG CAPSULE
CYSTAGON 50 MG CAPSULE
ANAGRELIDE HCL 1 MG CAPSULE
METHYLIN ER 10 MG TABLET SA
LOCOID 0.1% CREAM
LOCOID 0.1% CREAM
DEXPANTHENOL 250 MG/ML VIAL
FOLTX TABLET
MENI-D 25 MG CAPSULE
ANAGRELIDE HCL 1 MG CAPSULE
FLUVOXAMINE MAL 100 MG TAB
MIRTAZAPINE 45 MG TABLET

DOSE FORM DRUG STRENGTH


TA
CA
TA
TA
TA
CA
TA
TA
TA
TA
HV
HV
HV
CA
TA
TA
TA
TA
TA
TA
PP
PP
TA
TA
TA
UD
TA
TA
TA
AS
AS
HZ
HZ
HZ
HZ
HM
TA
TA
CT
CT
CA
CA
CA
CA
TS
KA
KA
HV
TA
CA
CA
TA
TA

UNIT PRICE
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32

NDC
00591532501
00591545401
00603319111
00603509321
00677120901
00781104901
00781104913
00781504201
08080223200
08080224400
08137005521
08290309637
08290325647
08290329652
08290329653
08380009850
08380009851
08380009856
08380009857
08380009858
08380009859
08881202025
08884680100
10939058901
10974026010
11822311310
12593004790
14654095414
14654098905
14654098912
17191013501
17191013601
17191067030
17191067031
17191067034
17317055402
17317055403
17317057002
17317057004
17317057005
23558068310
38779007804
38779007805
38779007808
38779007809
38779056604
38779056605
38779056609
49452217301
49452217302
49452391602
49452391603
49452391604

NAME
PROBENECID/COLCHICINE TABS
QUINIDINE SULFATE 300 MG TAB
DEXAMETHASONE 0.75 MG TABLET
PERPHENAZINE 16 MG TABLET
QUINIDINE SULFATE 300 MG TAB
PERPHENAZINE 16 MG TABLET
PERPHENAZINE 16 MG TABLET
FLUVOXAMINE MAL 100 MG TAB
CONFORM STRETCH BANDAGE
CONFORM STRETCH BANDAGE
KLING BANDAGE 3" X 5YDS
B-D LUER-LOK INSULIN SYRNG
B-D INSULIN U-40 1 ML SYRINGE
B-D INSULIN U100 1 ML SYRNGE
B-D INSULIN U-40 1 ML SYRINGE
FEMALE URINARY SIZING DEV
SILICONE LUBRICANT
SUPPORT PANTS SMALL
SUPPORT PANTS MEDIUM
SUPPORT PANTS LARGE
SUPPORT PANTS X-LARGE
LIFESHIELD BLUNT CANNULA
INTERSORB GAUZE 3"X 8"
STRETCH GAUZE BANDAGE 3X5YD
DEXPANTHENOL 250 MG/ML VIAL
RA UNDERPADS 22.5"X35.5"
FOLBALIN PLUS TABLET
Q-GEL ULTRA SOFTSULE
Q-GEL ULTRA SOFTSULE
Q-GEL ULTRA SOFTSULE
LUER TO URETHRAL TIP ADAPTR
LUER TO CATH TIP ADAPTER
CATHETER TIP CAP,WINGED
CATHETER TIP CAP,LOCKING
CATHETER TIP CAP,LOCKING
SULFISOXAZOLE CRYSTALS
SULFISOXAZOLE CRYSTALS
TETRACAINE HCL POWDER
TETRACAINE HCL POWDER
TETRACAINE HCL POWDER
DR. HAND'S TEETHING GEL
KETOPROFEN POWDER
KETOPROFEN POWDER
KETOPROFEN POWDER
KETOPROFEN POWDER
TETRACAINE HCL POWDER
TETRACAINE HCL POWDER
TETRACAINE HCL POWDER
COBALT GLUCONATE POWDER
COBALT GLUCONATE POWDER
KETOPROFEN POWDER
KETOPROFEN POWDER
KETOPROFEN POWDER

DOSE FORM DRUG STRENGTH


TA
TA
UD
TA
TA
TA
TA
TA
YE
YE
YE
YL
YL
YL
YL
EA
EA
EA
EA
EA
EA
YL
YE
YE
HV
EA
TA
CA
CA
CA
EA
EA
EA
EA
EA
PC
PC
PA
PA
PA
JG
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA

UNIT PRICE
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32

NDC
49452391606
49452391702
49452391703
49452391704
49452391705
49452441001
49452441002
49452496201
49452496202
49452496203
49452496204
49452755001
49452755002
49452768001
49452768002
49452768003
49756010038
49884087301
49884087311
49999036550
50474030001
50474030050
50474030060
51079008801
51079008820
51079094701
51079094708
51079099301
51079099320
51552030704
51552030705
51552030706
51552030707
51927124100
51927138500
51927235200
51991018211
51991022901
51991038490
52152010402
52152022830
52544048201
52544048205
52747030830
52747030870
52959039221
52959061600
52959061601
52959061602
53014037616
53014037662
53014059307
53489046001

NAME
KETOPROFEN POWDER
KETOPROFEN POWDER
KETOPROFEN POWDER
KETOPROFEN POWDER
KETOPROFEN POWDER
MENADIONE POWDER
MENADIONE POWDER
KETOPROFEN POWDER
KETOPROFEN POWDER
KETOPROFEN POWDER
KETOPROFEN POWDER
SULFISOXAZOLE CRYSTALS
SULFISOXAZOLE CRYSTALS
TETRACAINE HCL POWDER
TETRACAINE HCL POWDER
TETRACAINE HCL CRYST POWDER
DRY GAUZE BANDAGE,FINE MESH
MIRTAZAPINE 45 MG TABLET
MIRTAZAPINE 45 MG TABLET
AUGMENTIN 250-62.5 SUSPEN
THEO-24 300 MG CAPSULE SA
THEO-24 300 MG CAPSULE SA
THEO-24 300 MG CAPSULE SA
MIRTAZAPINE 45 MG TABLET
MIRTAZAPINE 45 MG TABLET
DILTIAZEM ER 120 MG CAPSULE
DILTIAZEM ER 120 MG CAPSULE
FLUVOXAMINE MAL 100 MG TAB
FLUVOXAMINE MAL 100 MG TAB
KETOPROFEN CRYSTALLINE PWDR
KETOPROFEN CRYSTALLINE PWDR
KETOPROFEN CRYSTALLINE PWDR
KETOPROFEN CRYSTALLINE PWDR
TETRACAINE HCL POWDER
PHENOLSULFONIC ACID 65% LIQ
KETOPROFEN POWDER
FERROCITE PLUS TABLET
MINTEX CT 8 MG TABLET
FOLBIC TABLET
PRENATAL START TABLET
MIRTAZAPINE 45 MG TABLET
DILACOR XR 120 MG CAPSULE SA
DILACOR XR 120 MG CAPSULE SA
HEMOCYTE PLUS TABULE
HEMOCYTE PLUS TABULE
DEXAMETHASONE 0.75 MG TABLET
AUGMENTIN 250-62.5 SUSP
AUGMENTIN 250-62.5 SUSP
AUGMENTIN 250-62.5 SUSP
AMERICAINE LUBRICANT
AMERICAINE LUBRICANT
METADATE ER 10 MG TABLET SA
QUINIDINE SULFATE 300 MG TAB

DOSE FORM DRUG STRENGTH


PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PC
PC
PA
PA
PA
YE
TA
TA
PD
CC
CC
CC
TA
TA
CT
CT
TA
TA
PA
PA
PA
PA
PA
SL
PA
TA
TM
TA
TA
TA
CT
CT
TA
TA
UD
PD
PD
PD
KL
KL
TS
TA

UNIT PRICE
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32

NDC
54023766002
54023766006
54023766009
54092006401
54569011700
54569117100
54569311000
54738055301
54738055302
54868020000
54868020001
54868089801
54868217900
54868217901
54868223100
54868310300
54868489900
54868489901
54868509600
54868509601
55390061601
55390061610
55887027530
56091006983
56091006993
56091097992
56091097995
57664050118
57664050183
57929022100
57929096000
58016060000
58016060030
58016060060
58016060090
58016101101
58016101201
58016603101
58177042004
58238021201
58238021401
58768010124
58768079115
58768079125
58768087505
58768087510
58768088115
60258018001
60258019601
60505001406
60505001408
60505016601
60569005312

NAME
Q-GEL ULTRA SOFTSULE
Q-GEL ULTRA SOFTSULE
Q-GEL ULTRA SOFTSULE
AGRYLIN 1 MG CAPSULE
AUGMENTIN 250-62.5 SUSPEN
VASOCON-A EYE DROPS
DEXAMETHASONE 0.75 MG TABLET
PERPHENAZINE 16 MG TABLET
PERPHENAZINE 16 MG TABLET
AUGMENTIN 250-62.5 SUSPEN
AUGMENTIN 250-62.5 SUSPEN
QUINIDINE SULFATE 300 MG TAB
PROBENECID/COLCHICINE TABS
PROBENECID/COLCHICINE TABS
LOCOID 0.1% CREAM
DILTIAZEM ER 120 MG CAPSULE
NIASPAN 500 MG TABLET SA
NIASPAN 500 MG TABLET SA
FOLTX TABLET
FOLTX TABLET
RANITIDINE HCL 25 MG/ML VIAL
RANITIDINE HCL 25 MG/ML VIAL
MIRTAZAPINE 45 MG TABLET
SOF-KLING CONFORMNG BANDAGE
SOF-KLING CONFORMNG BANDAGE
BIOVUE SECURING WING 24G
BIOVUE SECURING WING
MIRTAZAPINE 45 MG TABLET
MIRTAZAPINE 45 MG TABLET
QUIK-PLACE 1" CATH STRAP
CATHETER CLAMP
REMERON 45 MG TABLET
REMERON 45 MG TABLET
REMERON 45 MG TABLET
REMERON 45 MG TABLET
AUGMENTIN 250-62.5 SUSPEN
AUGMENTIN 250-62.5 SUSPEN
PREDNISOLONE SOD 0.125% DRO
NATALFIRST CAPLET
TRISPEC DMX PEDIATRIC DROPS
TRISPEC PSE PEDIATRIC DROPS
AQUASITE LUBRICANT EYE DROP
GENTEAL MILD EYE DROPS
GENTEAL MILD EYE DROPS
INFLAMASE MILD 0.125% DROPS
INFLAMASE MILD 0.125% DROPS
VASOCON-A EYE DROPS
HEMATINIC PLUS VIT/MIN TAB
PRENATAL 19 TABLET
DILT-XR 120 MG CAP SA
DILT-XR 120 MG CAP SA
FLUVOXAMINE MAL 100 MG TAB
DIABETIC TUSSIN COLD-FLU GELCP

DOSE FORM DRUG STRENGTH


CA
CA
CA
CA
PD
SO
UD
TA
TA
PD
PD
TA
TA
TA
KA
CT
TS
TS
TA
TA
HV
HV
TA
YE
YE
EA
EA
TA
TA
EA
EA
TA
TA
TA
TA
PD
PD
SO
TA
SO
SO
DP
SO
SO
SO
DR
SO
TA
TA
CT
CT
TA
CA

UNIT PRICE
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32

NDC
60598000101
60904008527
61553014848
61553015202
61553017041
61553017248
61553017348
61553062648
61553063002
61553087548
61553087648
61703022321
61787005312
62037054801
62037054810
62037075510
62037075530
62991108801
62991108802
62991108805
63275999605
63275999608
63275999609
63370013025
63370013035
63370013045
63370013050
63672110002
65862003201
65862003205
65862003230
66116068015
67336025801
68084012130
68115011530
68115064800
68115073230
68115083100
00003050162
00003095015
00006013668
00009026812
00029321548
00054253125
00054368344
00054853125
00065010706
00065010712
00065010718
00065041130
00065063136
00074338603
00074338604

NAME
NIASPAN 500 MG TABLET SA
DEXAMETHASONE 0.75 MG TABLET
FENTA/ROPIVA 2 MCG/0.2% INJ
FENTA/ROPIVA 5 MCG/0.1% INJ
MEPERIDINE-NS 500 MG/50 ML
MEPERIDINE-NS 1,000 MG/100 ML
MEPERIDINE-NS 1,000 MG/100 ML
FENTA/ROPIVA 2 MCG/0.2% INJ
FENTA/ROPIVA 5 MCG/0.1% INJ
FENTA/BUPIVA/NS 5 MCG/0.125%
FENTA/BUPIVA/NS 5 MCG/0.125%
MORPHINE SULFATE 25 MG/ML VL
DIABETIC TUSSIN C/F GELCAP
DILTIA XT 120 MG CAPSULE SA
DILTIA XT 120 MG CAPSULE SA
MIRTAZAPINE 45 MG TABLET
MIRTAZAPINE 45 MG TABLET
KETOPROFEN POWDER
KETOPROFEN POWDER
KETOPROFEN POWDER
KETOPROFEN POWDER
KETOPROFEN POWDER
KETOPROFEN POWDER
KETOPROFEN POWDER
KETOPROFEN POWDER
KETOPROFEN POWDER
KETOPROFEN POWDER
FLUVOXAMINE MAL 100 MG TAB
MIRTAZAPINE 45 MG TABLET
MIRTAZAPINE 45 MG TABLET
MIRTAZAPINE 45 MG TABLET
AUGMENTIN 250-62.5 SUSPEN
HISTEX CT 8 MG TABLET
MIRTAZAPINE 45 MG TABLET
DILT-XR 120 MG CAP SA
NIASPAN 500 MG TABLET SA
MIRTAZAPINE 45 MG TABLET
FLUVOXAMINE MAL 100 MG TAB
KENALOG AEROSOL SPRAY
TUBOCURARINE CL 3 MG/ML VIAL
BLOCADREN 10 MG TABLET
HEPARIN NA 1,000 UNITS/ML VIAL
PAXIL 10 MG/5 ML SUSPENSION
LITHIUM CARBONATE 600 MG CAP
ROXICODONE INTENSOL 20 MG/ML
LITHIUM CARBONATE 600 MG CAP
OPTI-FREE ENZYMATIC CLEANER
OPTI-FREE ENZYMATIC CLEANER
OPTI-FREE ENZYMATIC CLEANER
BETADINE 5% EYE SOLUTION
MAXITROL EYE OINTMENT
TUBOCURARINE CL 3 MG/ML VIAL
TUBOCURARINE CL 3 MG/ML VIAL

DOSE FORM DRUG STRENGTH


TS
UD
HZ
HZ
HZ
HZ
HZ
HZ
HZ
IR
IR
HV
CA
CT
CT
TA
TA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
TA
TA
TA
TA
PD
TM
TA
CT
TS
TA
TA
AB
HV
TA
HV
SC
CA
SY
CA
EA
EA
EA
SA
OA
HV
HV

UNIT PRICE
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.32
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33

NDC
00085078901
00085123301
00085123302
00086006210
00086006250
00088177847
00113016513
00113016552
00115421101
00168022138
00172438960
00185001701
00185004001
00187310010
00245021111
00247061006
00247061015
00247061016
00247061020
00247061021
00247061030
00247061032
00247061040
00247061042
00247061060
00247080907
00247080914
00247080930
00247081401
00247081412
00363016513
00363016532
00363016552
00378008701
00378022101
00378040701
00378190101
00378609001
00406855830
00436070211
00482011501
00555096702
00781504001
00891301002
00891302009
00891810603
00891810801
00891811000
00891820008
00904562415
00904562466
00904572615
00904572648

NAME
DRIXORAL ALLRGY SINUS TB SA
CLARITIN-D 24 HOUR TAB SA
CLARITIN-D 24 HOUR TAB SA
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
CARDIZEM SR 90 MG CAPSULE
ALLERGY & CONGEST RELIEF TB
ALLERGY & CONGEST RELIEF TB
MIDODRINE HCL 2.5 MG TABLET
NEO/POLY/DEXAMET EYE OINT
FLUVOXAMINE MALEATE 25 MG TB
FLUVOXAMINE MALEATE 25 MG TB
MIDODRINE HCL 2.5 MG TABLET
PROSTIGMIN 15 MG TABLET
ORVATEN 2.5 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
MAPROTILINE 50 MG TABLET
MAPROTILINE 50 MG TABLET
MAPROTILINE 50 MG TABLET
ALUMINUM ACETATE TABLET EFF
ALUMINUM ACETATE TABLET EFF
WAL-ITIN D 24 HOUR TABLET
WAL-ITIN D 24 HOUR TABLET
WAL-ITIN D 24 HOUR TABLET
MAPROTILINE 50 MG TABLET
TIMOLOL MALEATE 10 MG TABLET
FLUVOXAMINE MALEATE 25 MG TB
MIDODRINE HCL 2.5 MG TABLET
DILTIAZEM ER 90 MG CAP SA
OXYCODONE HCL 20 MG/ML SOL
POTASSIUM CL 200 MEQ PACKET
ADEFLOR M TABLET
FLUVOXAMINE MALEATE 25 MG TB
FLUVOXAMINE MALEATE 25 MG TB
SECURE DISPOSABLE DRAWSHEET
SECURE DISPOSABLE DRAWSHEET
SECURE SHEETING 60"X80"X7"
SECURE SHEETING 78"X80"X7"
SECURE MATT. COVER 39X75X7
SECURE SHEETING 36"X54"
ALLERGY & CONGESTION REL TB
ALLERGY & CONGESTION REL TB
CLEAR-ATADINE-D TABLET
CLEAR-ATADINE-D TABLET

DOSE FORM DRUG STRENGTH


TS
TI
TI
TA
TA
CB
TI
TI
TA
OA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TF
TF
TI
TI
TI
TA
TA
TA
TA
CB
SY
PP
TA
TA
TA
EA
EA
EA
EA
EA
EA
TA
TI
TI
TI

UNIT PRICE
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33

NDC
00904793838
08080805200
08080805300
08080805400
08080805600
08080807200
08080959000
08219805200
08219807200
08290320096
08333334601
08462108290
08462108295
08462508225
10542005530
10542005590
10939002633
10939002733
11523716101
11523716102
11822313930
11822331540
11822331550
11822331560
11917005204
11917005205
11917005219
12830030101
16500002311
16500002312
16500002314
17191019002
17191019020
19458701101
19458989701
19458989702
19458989703
20513002001
20513002005
23734095900
23734957006
23734958003
23734984002
24208079535
24385035152
35089000100
35089000200
35089000300
35089000500
35089000900
35089003300
35089003700
35089004100

NAME
NEO/POLY/DEXAMET EYE OINT
KERLIX LITE GAUZE BANDAGE
KERLIX LITE GAUZE BANDAGE
KERLIX LITE GAUZE BANDAGE
KERLIX LITE GAUZE BANDAGE
KERLIX LITE GAUZE BANDAGE
STA-PUT UNDERPAD 28"X36"
KERLIX LITE GAUZE BANDAGE
KERLIX LITE GAUZE BANDAGE
B-D INSULIN U100 2 ML SYRNGE
NO STING BARRIER FILM SPRAY
SECUREGARD SAFETY SYR 1 ML
SECUREGARD SAFETY SYR 1 ML
SECUREGARD SAFETY SYRINGE 5 ML
PROFERRIN ES 12 MG TABLET
PROFERRIN ES 12 MG TABLET
SUNMARK ALLERGY RELIEF D TB
SUNMARK ALLERGY RELIEF D TB
CLARITIN-D 24 HOUR TAB SA
CLARITIN-D 24 HOUR TAB SA
RA UNDERPADS 28"X36"
RA LORATA-D 24 HOUR TAB SA
RA LORATA-D 24-HOUR TABLET
RA LORATA-D 24 HOUR TABLET
WAL-ITIN D 24 HOUR TABLET
WAL-ITIN D 24 HOUR TABLET
WAL-ITIN D 24 HOUR TABLET
URO BLUE TABLET
DOMEBORO TABLET EFF
DOMEBORO TABLET EFF
DOMEBORO TABLET EFF
STERILE TWO-FER NEEDLE
STERILE TWO-FER NEEDLE
ECK HEMORRHOIDAL SUPPOSITORY
ECK LORATADINE D-24HR TAB
ECK LORATADINE D-24HR TAB
ECK LORATADINE D-24HR TAB
SIMPLYTHICK 25 GM PACKET
SIMPLYTHICK 25 GM PACKET
STA-PUT UNDERPAD 28"X36"
MAXICARE 28"X36" UNDERPAD
MAXICARE UNDERPAD
MAXIFLO BREATHABLE UNDERPAD
NEO/POLY/DEXAMET EYE OINT
LORATADINE-D 24HR TABLET
MATTRESS COVER PLASTIBAK
MATTRESS COVER FOLD OVER
MATTRESS COVER BOXED END
MATTRESS COVER PLASTITUFF
MATTRESS COVER PLASTISUEDE
MATTRESS COVER PLASTIBAK
MATTRESS COVER PLASTITUFF
MATTRESS COVER PLASTISUEDE

DOSE FORM DRUG STRENGTH


OA
YE
YE
YE
YE
YE
EA
YE
YE
YL
AS
YL
YL
YL
TA
TA
TI
TI
TI
TI
EA
TI
TI
TI
TI
TI
TI
TA
TF
TF
TF
YH
YH
QA
TI
TI
TI
JP
JP
EA
EA
EA
EA
OA
TI
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33

NDC
35089006500
35089009700
35089010100
35089010500
35089012900
35089013300
35089013700
35089019500
35089022200
35089022400
35089030100
35089030300
35089030500
35089030700
35515095373
35515095383
36800016513
36800016552
37205034852
37205034888
37205034894
41100008043
41100008049
41163016513
41163016522
41163016552
41163041141
41163041142
41250016522
41250016552
41250016652
44156030096
45130005602
45130005701
45985063901
45985064101
47113068701
49348054301
49348054337
49614017213
49614017252
49738016513
49738016552
49999007020
49999007030
49999007040
49999007042
49999007060
50428242129
50428242134
50428242136
51079092501
51079092520

NAME
MATTRESS COVER PLASTITAFF II
MATTRESS COVER PLASTIBAK
MATTRESS COVER PLASTITUFF
MATTRESS COVER PLASTISUEDE
MATTRESS COVER PLASTIBAK
MATTRESS COVER PLASTITUFF
MATTRESS COVER PLASTISUEDE
MATTRESS COVER PLASTITAFF II
MATTRESS COVER PLASTIGARD I
MATTRESS COVER PLASTIGARD I
MATTRESS COVER PLASTIPREEM
MATTRESS COVER PLASTIPREEM
MATTRESS COVER PLASTIPREEM
MATTRESS COVER PLASTIPREEM
QC LORATADINE-D TABLET
QC LORATADINE-D TABLET
ALLERGY RELIEF D-24 TABLET
ALLERGY RELIEF D-24 TABLET
ALLERGY RELIEF D-24 TABLET
ALLERGY RELIEF D-24 TABLET
ALLERGY RELIEF D-24 TABLET
CLARITIN-D 24 HOUR TAB SA
CLARITIN-D 24 HOUR TAB SA
EQL ALLERGY & CONGEST RLF TAB
EQL ALLERGY & CONGEST RLF TAB
EQL ALLERGY & CONGEST RLF TAB
EQL ALLERGY & CONGEST RLF TAB
EQL ALLERGY & CONGEST RLF TAB
ALLERGY CONGESTION RELIEF TAB
ALLERGY CONGESTION RELIEF TAB
ALLERGY CONGESTION REL TAB
DIGNITY UNDERPAD
PROFERRIN ES 12 MG TABLET
PROFERRIN ES 12 MG TABLET
CARDIOTEK TABLET
MEDENT DM TABLET SA
AODISC
SUNMARK ALLERGY RELIEF D TB
SUNMARK ALLERGY RELIEF D TB
ALLERGY RELIEF D-24 TABLET
ALLERGY RELIEF D-24 TABLET
AF-LORATADINE-D 24HR TAB
AF-LORATADINE-D 24HR TAB
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
CVS LORATADINE-D 24HR TAB
CVS LORATADINE-D 24HR TAB
CVS LORATADINE-D 24HR TAB
DILTIAZEM 90 MG CAPSULE SA
DILTIAZEM 90 MG CAPSULE SA

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
TI
TI
TI
TI
TI
TI
TI
TI
TI
TI
TI
TI
TI
TI
TI
TI
TI
EA
TA
TA
TA
TM
EA
TI
TI
TI
TI
TI
TI
TA
TA
TA
TA
TA
TI
TI
TI
CB
CB

UNIT PRICE
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33

NDC
51660072401
51660072411
51660072469
52735058000
52959040701
52959041003
52959041008
52959041009
52959041010
52959041011
52959041014
52959041015
52959041018
52959041020
52959041028
52959041030
52959041040
52959041042
52959041045
52959041050
52959041060
52959041090
52959046828
53265035610
53335010414
53335010418
54092000301
54569085500
54569085501
54569085504
54569085505
54569085506
54569085507
54569085508
54569085509
54569215300
54569436000
54569438200
54569438201
54569498602
54799051935
54859070360
54868119201
54868294300
54868295600
54868295601
54868295603
54868295604
54868295605
54868310200
54868310203
54868325500
54868426200

NAME
ALLERGY RELIEF & NASAL DECO TB
ALLERGY RELIEF & NASAL DECO TB
ALLERGY RELIEF & NASAL DECO TB
FP ALLERGY-CONGEST RELIEF TAB
NEO/POLY/DEXAMET EYE OINT
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
CLOXACILLIN 250 MG CAPSULE
LITHIUM CARBONATE 600 MG CAP
RXOSINE 800 MG CAPSULE
RXOSINE 800 MG CAPSULE
PROAMATINE 2.5 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
KENALOG AEROSOL SPRAY
NEO/POLY/DEXAMET EYE OINT
CLARITIN-D 24 HOUR TAB ER
CLARITIN-D 24 HOUR TAB ER
SKELAXIN 400 MG TABLET
POLY-DEX EYE OINTMENT
NUTRICAP CAPLET
NEO/POLY/DEXAMET EYE OINT
AK-TROL EYE OINTMENT
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
DILTIAZEM ER 90 MG CAP
DILTIAZEM ER 90 MG CAP SA
KENALOG AEROSOL SPRAY
CLARITIN-D 24 HOUR TAB SA

DOSE FORM DRUG STRENGTH


TI
TI
TI
TI
OA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
AB
OA
TI
TI
TA
OA
TA
OA
OA
TA
TA
TA
TA
TA
CB
CB
AB
TI

UNIT PRICE
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33

NDC
54868426201
54868426202
54868426203
54868509000
55045159800
55045159803
55045159805
55045159806
55045159807
55045159808
55045159809
55289031620
55289031625
55289031630
55289031640
55289031656
55289031660
55289035110
55289037040
55860004252
55887089010
55887089015
55887089020
55887089030
55887089040
55887089060
56156002121
57866463702
57866463704
57866463705
57866799001
58016068200
58016068210
58016068212
58016068215
58016068220
58016068228
58016068230
58016068240
58016068242
58016068250
58016068260
58016068290
58016603901
58177046326
58177091401
58768025236
59011022520
60258017609
60258017809
60258029101
60505016401
60760006230

NAME
CLARITIN-D 24 HOUR TAB SA
CLARITIN-D 24 HOUR TAB SA
CLARITIN-D 24 HOUR TAB SA
CARDIOTEK TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
CLARITIN-D 24 HOUR TAB SA
CLOXACILLIN 250 MG CAPSULE
OPSITE DRESSING 2" X 4"
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SHEET PROTECTOR 34"X35"
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
CLARITIN-D 24 HOUR TAB SA
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
DEXASPORIN EYE OINTMENT
NUTRISPIRE TABLET
OXYDOSE 20 MG/ML SOLUTION
DEXACINE EYE OINTMENT
OXYFAST 20 MG/ML SOLUTION
PRENATABS OBN TABLET
PRENAFIRST TABLET
GFN 800/PSE 60/DM 30 TABLET
FLUVOXAMINE MALEATE 25 MG TB
SKELAXIN 400 MG TABLET

DOSE FORM DRUG STRENGTH


TI
TI
TI
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TI
CA
YE
TA
TA
TA
TA
TA
TA
EA
TA
TA
TA
TI
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
OA
TA
SY
OA
SY
TA
TA
TM
TA
TA

UNIT PRICE
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33

NDC
60760006245
60760006290
60793013501
61314063136
63304070701
63323090490
63672102502
63868015405
63868015410
65086052205
65086052210
65086052215
66116070120
66267019307
66267019310
66267019314
66267019320
66267019328
66267019330
66267019340
66500009201
66500010201
67181020130
67181020190
68030309509
68030463702
68030463704
68030463705
68030605801
68115031830
68115031840
68669052205
68669052210
68669052215
70030014659
70030014660
82468061918
86679003177
86679007564
87701073918
87701078747
96295011197
96295011198
96295011199
00007351320
00009770901
00009770902
00025145120
00025145134
00025145160
00025275231
00025275252
00037011016

NAME
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
NEO/POLY/DEXAMET EYE OINT
MORPHINE SULFATE 15 MG TAB
FLOW-EZE VENTED NEEDLE
FLUVOXAMINE MALEATE 25 MG TB
QC LORATADINE-D TABLET
QC LORATADINE-D TABLET
BETIMOL 0.25% EYE DROPS
BETIMOL 0.25% EYE DROPS
BETIMOL 0.25% EYE DROPS
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
NOVASTART TABLET
NOVANATAL TABLET
PROFERRIN ES 12 MG TABLET
PROFERRIN ES 12 MG TABLET
NEO-POLY-DEXAMET EYE OINT
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
SKELAXIN 400 MG TABLET
BETIMOL 0.25% EYE DROPS
BETIMOL 0.25% EYE DROPS
BETIMOL 0.25% EYE DROPS
ALLERGY & CONGEST RELIEF TB
ALLERGY & CONGEST RELIEF TB
FP ALLERGY-CONGEST RELIEF TAB
SUPERSORB DRAWSHEET 30"X68"
TUCKIN DRAWSHEET 30"X68"
GNP LORATADINE-D 24HR TAB
BL LORATADINE D 24HR TABLET
ALLERGY RELIEF D-24 TABLET
ALLERGY RELIEF D-24 TABLET
ALLERGY RELIEF D-24 TABLET
DEXEDRINE SPANSULE 10 MG
NASALCROM 4% SPRAY
NASALCROM 4% SPRAY
CYTOTEC 100 MCG TABLET
CYTOTEC 100 MCG TABLET
CYTOTEC 100 MCG TABLET
NORPACE 100 MG CAPSULE
NORPACE 100 MG CAPSULE
BUTISOL SODIUM 30 MG/5 ML ELX

DOSE FORM DRUG STRENGTH


TA
TA
TA
OA
TH
YH
TA
TI
TI
SO
SO
SO
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
OA
TA
TA
TA
TA
TA
TA
SO
SO
SO
TI
TI
TI
EA
EA
TI
TI
TI
TI
TI
CS
AT
AT
TA
TA
TA
CA
CA
SE

UNIT PRICE
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.33
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34

NDC
00046086881
00046086891
00074162812
00074162814
00074499301
00078000131
00085087206
00087076641
00087076643
00087076741
00087076743
00093107334
00093312701
00093312705
00113055591
00168027930
00168027960
00172436660
00172443049
00172443059
00173020155
00173034844
00173038700
00173038701
00173038742
00178090001
00182268915
00182268926
00185011801
00185011805
00247026204
00247026208
00247026210
00247026214
00247026216
00247026220
00247048515
00247122630
00338200341
00406896101
00430016724
00440817230
00440817260
00440817290
00447018230
00447018250
00447018260
00451406050
00469510215
00469510260
00469711515
00469711530
00469711560

NAME
PREMARIN 0.3 MG TABLET
PREMARIN 0.3 MG TABLET
RYTHMOL 150 MG TABLET
RYTHMOL 150 MG TABLET
POTASSIUM CL 1.5 MEQ/ML SYRN
MELLARIL 30 MG/ML ORAL CONC
LOTRIMIN AF 1% LOTION
K-LYTE/CL 25 MEQ TABLET EFF
K-LYTE/CL 25 MEQ TABLET EFF
K-LYTE/CL 25 MEQ TABLET EFF
K-LYTE/CL 25 MEQ TABLET EFF
CEFUROXIME AXETIL 250 MG TAB
DISOPYRAMIDE 100 MG CAPSULE
DISOPYRAMIDE 100 MG CAPSULE
FLU/COUGH/COLD MED PACKET
AMCINONIDE 0.1% OINTMENT
AMCINONIDE 0.1% OINTMENT
LABETALOL HCL 300 MG TABLET
MISOPROSTOL 100 MCG TABLET
MISOPROSTOL 100 MCG TABLET
DARAPRIM 25 MG TABLET
TRANDATE 300 MG TABLET
CEFTIN 250 MG TABLET
CEFTIN 250 MG TABLET
CEFTIN 250 MG TABLET
THIOLA 100 MG TABLET
CEFUROXIME AXETIL 250 MG TAB
CEFUROXIME AXETIL 250 MG TAB
LABETALOL HCL 300 MG TABLET
LABETALOL HCL 300 MG TABLET
CEFTIN 250 MG TABLET
CEFTIN 250 MG TABLET
CEFTIN 250 MG TABLET
CEFTIN 250 MG TABLET
CEFTIN 250 MG TABLET
CEFTIN 250 MG TABLET
PILOCARPINE 0.5% EYE DROPS
PREMARIN 0.3 MG TABLET
PIPRACIL 2 GM/D5W 50 ML IVPB
D-AMPHETAMINE 10 MG CAP SA
MANDELAMINE 1 GM TABLET
PREMARIN 0.3 MG TABLET
PREMARIN 0.3 MG TABLET
PREMARIN 0.3 MG TABLET
DISPOSA-TEMP THERMOMETER
DISPOSA-TEMP THERMOMETER
DISPOSA-TEMP THERMOMETER
BROMFED TABLET
ARISTOCORT A 0.1% CREAM
ARISTOCORT A 0.1% CREAM
CYCLOCORT 0.1% OINTMENT
CYCLOCORT 0.1% OINTMENT
CYCLOCORT 0.1% OINTMENT

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
HQ
SY
SK
TF
TF
TF
TF
TA
CA
CA
PP
OA
OA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
SO
TA
HP
CS
TA
TA
TA
TA
EA
EA
EA
TA
KA
KA
OA
OA
OA

UNIT PRICE
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34

NDC
00472007513
00472007536
00516005110
00516005125
00555095502
00591058201
00591060701
00591322415
00591556001
00603350816
00603544821
00603544825
00642020810
00677168201
00677170301
00677181501
00677181503
00781506520
08011120614
08011165814
08011277714
08011806514
08021315000
08080161400
08080254000
08080255200
08080355800
08080400200
08080602200
08080652200
08080841400
08219161400
08219254000
08219255200
08219355800
08219400200
08219441400
08219602200
08219642200
08219652200
08219682200
08219840300
08219841400
08287126290
08290030965
08290301033
08290301034
08290301626
08290305618
08290309484
08290309650
08290309662
08380090142

NAME
CROMOLYN SODIUM NASAL SPRAY
CROMOLYN SODIUM NASAL SPRAY
POTABA 500 MG CAPSULE
POTABA 500 MG CAPSULE
D-AMPHETAMINE 10 MG CAP SA
PROPAFENONE HCL 150 MG TAB
LABETALOL HCL 300 MG TABLET
CEFUROXIME AXETIL 250 MG TAB
DISOPYRAMIDE 100 MG CAPSULE
POTASSIUM CL 25 MEQ TAB EFF
PROPAFENONE HCL 150 MG TAB
PROPAFENONE HCL 150 MG TAB
STROVITE ADVANCE CAPLET
METHENAMINE MD 1 GM TABLET
LABETALOL HCL 300 MG TABLET
PROPAFENONE HCL 150 MG TAB
PROPAFENONE HCL 150 MG TAB
CEFUROXIME AXETIL 250 MG TAB
BARD CATHETER 14FR
BARDEX SILICON FOLEY CATHET
BARD RUBBER UTILITY CATHETR
DAVOL SILICONE FOLEY CATH
BIG TAB ADDITIVE CAP STERIL
CURITY ULTRAMER 2-WAY CATH
CURITY URETHRAL CATHETER
CURITY URETHRAL CATHETER
FOLEY CATHETER
FOLEY CATH SILICON RETN 5 ML
CURITY DISP LAP SPONGE TRAY
CURITY DISP LAP SPONGE PCH
CURITY ULTRAMER URETH CATH
CURITY ULTRAMER CATH 14FR
CURITY URETHRAL CATHETER
CURITY URETHRAL CATHETER
KENGUARD FOLEY CATHETER
CURITY FOLEY CATHETER 14FR
CURITY URETHRAL CATHETER
CURITY DISP LAP SPONGE TRAY
CURITY DISP LAP SPONGE POUCH
CURITY DISP LAP SPONGE POUCH
CURITY DISP LAP SPONGE
CURITY ULTRAMER URETH CATH
CURITY ULTRAMER URETH CATH
EXEL SYRINGE 30 ML
BD 30 ML SYRINGE
B-D BULK SYRINGE 30 ML
B-D BULK SYRINGE 30 ML
B-D 30 ML SYRINGE LUERSLIP
B-D 30 ML SYRINGE BULK
B-D 30 ML SYRINGE
BD 30 ML SYRINGE
B-D 30 ML SYRINGE
INCARE INTERMITTEN CATHETER

DOSE FORM DRUG STRENGTH


AT
AT
CA
CA
CS
TA
TA
TA
CA
TF
TA
TA
TA
TA
TA
TA
TA
TA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
YV
YV
EA
EA
EA
EA
EA
EA
EA
YV
YV
YV
YV
EA
EA
YL
YL
YL
YL
YL
YL
YL
YL
YL
EA

UNIT PRICE
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34

NDC
08380090144
08887605148
08887625146
08887626144
08887635145
08887655143
08887660143
08887660333
08887660903
08887685140
08970761001
08970762001
08970763001
10939040001
10939075133
10939081722
10939081822
11822004880
11822351840
11822351850
11845013195
11845013198
11845014435
12333950105
12539012010
12830030501
15127033533
15127033541
15127052346
15127099346
17204045036
17317040100
19458980801
24208080615
24385022436
31604001616
37205022355
37205040465
38779042304
38779042305
38779043304
38779043305
38779043308
38779066904
38779066905
38779066908
41163026672
44184002502
44184002504
44184002506
45800023324
45985064701
48107004203

NAME
INCARE INTERMITTEN CATHETER
SILICONE FOLEY CATHETER
LATEX TEFLON COATED CATH
LATEX TEFLON COATED CATH
LATEX TEFLN COAT FOLEY CATH
LATEX TEFLN COAT FOLEY CATH
RED RUBBER ROBINSON CATH
ROB-NEL STRAIGHT CATHETER
INTERMITTENT FEMALE CATH
LATEX TEFLON COAT FOLEY KIT
TERUMO SYRINGE 30 ML
TERUMO SYRINGE 30 ML
TERUMO SYRINGE 30 ML
FLU, COUGH & COLD MED PKT
SM COENZYME Q-10 100 MG SFTGL
V-R NASAL ALLERGY SYM SPRAY
V-R NASAL ALLERGY SYM SPRAY
RA NIGHT FLU,COLD,COUGH PKT
RA CROMOLYN SOD NASAL SOLN
RA CROMOLYN SOD NASAL SOLN
CO Q-10 100 MG SOFTGEL
CO Q-10 100 MG SOFTGEL
PROSTATE THERAPY SOFTGEL
FLU,COLD,COUGH EX-STRN PCKT
URETRON D/S TABLET
URO BLUE TABLET
SB FLU/COLD/COUGH NIGHTTIME
SB FLU/COLD/COUGH NIGHTTIME
SB FLU/COLD/COUGH PACKET
SB FLU/COLD/COUGH PACKET
CO-ENZYME Q-10 100 MG CAP
PARALDEHYDE LIQUID
ECK CROMOLYN SODIUM SPRAY
PILOCARPINE 0.5% EYE DROPS
CROMOLYN SODIUM NASAL SPRAY
CO Q10 100 MG SOFTGEL
NASAL ALLERGY 4% SPRAY
CO Q-10 100 MG SOFTGEL
CHLORPROMAZINE HCL POWDER
CHLORPROMAZINE HCL POWDER
DIFLUNISAL POWDER
DIFLUNISAL POWDER
DIFLUNISAL POWDER
MEFENAMIC ACID POWDER
MEFENAMIC ACID POWDER
MEFENAMIC ACID POWDER
EQL COENZYME Q-10 100 MG SFTGL
POTASSIUM CL 25 MEQ TAB EFF
POTASSIUM CL 25 MEQ TAB EFF
POTASSIUM CL 25 MEQ TAB EFF
CONTAC SEVERE COLD/FLU PKT
DIFIL-G TABLET
GOLDENSEAL ROOT 200 MG SFTGL

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
YL
YL
YL
PP
CA
AT
AT
PP
AT
AT
CA
CA
CA
PP
TA
TA
PP
PP
PP
PP
CA
SL
AT
SO
AT
CA
AT
CA
PA
PA
PA
PA
PA
PA
PA
PA
CA
TF
TF
TF
PP
TA
CA

UNIT PRICE
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34

NDC
48107005059
48107005124
49348002099
49348043248
49348043253
49348060544
49452003601
49452003602
49452199001
49452199002
49452199003
49452502101
49452502102
49614025165
49999030920
49999030930
50111070801
50428173722
50428184708
51079001601
51079001620
51079099601
51079099620
51672406001
51672406002
51672406003
52041002409
52152011202
52152011205
52238075015
52735040025
52959002920
52959002924
52959035312
52959035328
52959035330
52959035340
52959035360
52959069212
52959069228
52959069230
52959069240
52959069260
53489035601
53489035605
53489055101
53489055103
54022205501
54022205502
54162092502
54569179204
54569538600
54859080160

NAME
JOINT FORMULA TABLET
COENZYME Q-10 100 MG CAPSULE
FLU/COLD/COUGH NIGHT PACK
V-R NASAL ALLERGY SYM SPRAY
V-R NASAL ALLERGY SYM SPRAY
SM COENZYME Q-10 100 MG SFTGL
BUTALBITAL POWDER
BUTALBITAL POWDER
CHLORPROMAZINE HCL POWDER
CHLORPROMAZINE HCL POWDER
CHLORPROMAZINE HCL POWDER
PARALDEHYDE LIQUID
PARALDEHYDE LIQUID
CO Q-10 100 MG SOFTGEL
CEFUROXIME AXETIL 250 MG TAB
CEFUROXIME AXETIL 250 MG TAB
PROPAFENONE HCL 150 MG TAB
CVS SOY MENOPAUSE TABLET
CVS COENZYME Q10 100 MG SFTGEL
CEFUROXIME AXETIL 250 MG TAB
CEFUROXIME AXETIL 250 MG TAB
PROPAFENONE HCL 150 MG TAB
PROPAFENONE HCL 150 MG TAB
AMCINONIDE 0.1% OINTMENT
AMCINONIDE 0.1% OINTMENT
AMCINONIDE 0.1% OINTMENT
DAYTO ANASE CAPLET
METHENAMINE MD 1 GM TABLET
METHENAMINE MD 1 GM TABLET
PILOCARPINE 0.5% EYE DROPS
FP NASAL ALLERGY SYMP SPRAY
CEFTIN 250 MG TABLET
CEFTIN 250 MG TABLET
CYTOTEC 100 MCG TABLET
CYTOTEC 100 MCG TABLET
CYTOTEC 100 MCG TABLET
CYTOTEC 100 MCG TABLET
CYTOTEC 100 MCG TABLET
MISOPROSTOL 100 MCG TABLET
MISOPROSTOL 100 MCG TABLET
MISOPROSTOL 100 MCG TABLET
MISOPROSTOL 100 MCG TABLET
MISOPROSTOL 100 MCG TABLET
LABETALOL HCL 300 MG TABLET
LABETALOL HCL 300 MG TABLET
PROPAFENONE HCL 150 MG TAB
PROPAFENONE HCL 150 MG TAB
COENZYME Q10 25 MG TABLET
COENZYME Q10 25 MG TABLET
BENZ-O-STHETIC 20% PUMP SPRAY
CEFTIN 250 MG TABLET
CEFUROXIME AXETIL 250 MG TAB
TUSNEL CAPSULE

DOSE FORM DRUG STRENGTH


TA
CA
PP
AT
AT
CA
PA
PA
PA
PA
PA
SL
SL
CA
TA
TA
TA
TA
CA
TA
TA
TA
TA
OA
OA
OA
TA
TA
TA
SO
AT
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
BD
TA
TA
CA

UNIT PRICE
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34

NDC
54868096601
54868108000
54868108001
54868108003
54868188800
54868188801
54868211000
54868217600
54868217603
54868270200
54868270201
54868270202
54868270203
54868323801
54868323802
54868330902
54868381100
54868477000
54868477001
54868477002
54868490300
54868490301
54868498700
54868498701
55289012330
55289024828
55289031730
55289031760
55289037210
55289037214
55289037220
55289080720
57782039726
57866393201
57866393202
57866668002
57929020052
57929023051
57929023301
57929023501
57929023522
57929023540
58016011410
58016011414
58016011420
58016011430
58016011460
58016034700
58016034710
58016034712
58016034714
58016034715
58016034720

NAME
ARISTOCORT A 0.1% CREAM
CEFTIN 250 MG TABLET
CEFTIN 250 MG TABLET
CEFTIN 250 MG TABLET
CLORPRES 0.1/15 TABLET
CLORPRES 0.1/15 TABLET
PILOCARPINE 0.5% EYE DROPS
CYTOTEC 100 MCG TABLET
CYTOTEC 100 MCG TABLET
PREMARIN 0.3 MG TABLET
PREMARIN 0.3 MG TABLET
PREMARIN 0.3 MG TABLET
PREMARIN 0.3 MG TABLET
K-LYTE/CL 25 MEQ TABLET EFF
K-LYTE/CL 25 MEQ TABLET EFF
DARAPRIM 25 MG TABLET
DEXEDRINE SPANSULE 10 MG
PROPAFENONE HCL 150 MG TAB
PROPAFENONE HCL 150 MG TAB
PROPAFENONE HCL 150 MG TAB
LABETALOL HCL 300 MG TABLET
LABETALOL HCL 300 MG TABLET
CEFUROXIME AXETIL 250 MG TAB
CEFUROXIME AXETIL 250 MG TAB
PREMARIN 0.3 MG TABLET
CYTOTEC 100 MCG TABLET
SLO-BID 50 GYROCAPS
SLO-BID 50 GYROCAPS
CEFTIN 250 MG TABLET
CEFTIN 250 MG TABLET
CEFTIN 250 MG TABLET
BROMFED TABLET
CROMOLYN SODIUM NASAL SPRAY
D-AMPHETAMINE 10 MG CAP SA
D-AMPHETAMINE 10 MG CAP SA
PREMARIN 0.3 MG TABLET
FOLEY CATHETER-100%SILICONE
FOLEY CATH SILICONE COATED
FOLEY CATH SILICONE COATED
URETHRAL CATH RED RUBBER
URETHRAL CATHETER-PLASTIC
SHORT FEMALE CATHETER 14 FR
CEFTIN 250 MG TABLET
CEFTIN 250 MG TABLET
CEFTIN 250 MG TABLET
CEFTIN 250 MG TABLET
CEFTIN 250 MG TABLET
CYTOTEC 100 MCG TABLET
CYTOTEC 100 MCG TABLET
CYTOTEC 100 MCG TABLET
CYTOTEC 100 MCG TABLET
CYTOTEC 100 MCG TABLET
CYTOTEC 100 MCG TABLET

DOSE FORM DRUG STRENGTH


KA
TA
TA
TA
TA
TA
SO
TA
TA
TA
TA
TA
TA
TF
TF
TA
CS
TA
TA
TA
TA
TA
TA
TA
TA
TA
CB
CB
TA
TA
TA
TA
AT
CS
CS
TA
EA
EA
EA
EA
EA
EA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34

NDC
58016034728
58016034730
58016034760
58016063600
58016063630
58016063660
58016063690
58016074400
58016074410
58016074412
58016074414
58016074415
58016074420
58016074430
58016078300
58016078302
58016078303
58016078330
58016078360
58016078373
58016078389
58016078390
58177033104
58177033111
58768051415
58809028101
58864069020
59075068110
59762500701
59762500702
59930165303
60258084025
60267095325
60505120200
60505120203
60976034847
61553085248
61553085448
62794000101
62856068110
63304075120
63304075160
65483039310
65483039333
65483039350
65726026525
66814060120
66814060160
67253078002
68115038160
82468061454
87701095493
87701095570

NAME
CYTOTEC 100 MCG TABLET
CYTOTEC 100 MCG TABLET
CYTOTEC 100 MCG TABLET
ZONEGRAN 25 MG CAPSULE
ZONEGRAN 25 MG CAPSULE
ZONEGRAN 25 MG CAPSULE
ZONEGRAN 25 MG CAPSULE
PREMARIN 0.3 MG TABLET
PREMARIN 0.3 MG TABLET
PREMARIN 0.3 MG TABLET
PREMARIN 0.3 MG TABLET
PREMARIN 0.3 MG TABLET
PREMARIN 0.3 MG TABLET
PREMARIN 0.3 MG TABLET
MISOPROSTOL 100 MCG TABLET
MISOPROSTOL 100 MCG TABLET
MISOPROSTOL 100 MCG TABLET
MISOPROSTOL 100 MCG TABLET
MISOPROSTOL 100 MCG TABLET
MISOPROSTOL 100 MCG TABLET
MISOPROSTOL 100 MCG TABLET
MISOPROSTOL 100 MCG TABLET
PROPAFENONE HCL 150 MG TAB
PROPAFENONE HCL 150 MG TAB
PILOCAR 0.5% EYE DROPS
PHENA-PLUS TABLET
CEFTIN 250 MG TABLET
ZONEGRAN 25 MG CAPSULE
MISOPROSTOL 100 MCG TABLET
MISOPROSTOL 100 MCG TABLET
LABETALOL HCL 300 MG TABLET
AMINOBENZOATE POT 500 MG CAP
AMINOBENZOATE POT 500 MG CAP
CEFUROXIME AXETIL 250 MG TAB
CEFUROXIME AXETIL 250 MG TAB
LABETALOL HCL 300MG TAB
FENTANYL-NS 20 MCG/ML
FENTANYL-NS 20 MCG/ML
CLORPRES 0.1/15 TABLET
ZONEGRAN 25 MG CAPSULE
CEFUROXIME AXETIL 250 MG TAB
CEFUROXIME AXETIL 250 MG TAB
TRANDATE 300 MG TABLET
TRANDATE 300 MG TABLET
TRANDATE 300 MG TABLET
RYTHMOL 150 MG TABLET
CEFUROXIME AXETIL 250 MG TAB
CEFUROXIME AXETIL 250 MG TAB
CEFUROXIME AXETIL 250 MG TAB
MISOPROSTOL 100 MCG TABLET
FP NASAL ALLERGY SYMP SPRAY
BL FLU/COUGH/COLD PACKET
GNP FLU/COUGH/COLD PACKET

DOSE FORM DRUG STRENGTH


TA
TA
TA
CA
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
SO
TA
TA
CA
TA
TA
TA
CA
CA
TA
TA
TA
IR
IR
TA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
AT
PP
PP

UNIT PRICE
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34

NDC
89269000100
89269000101
91899025165
92771092502
92771092545
93190006005
93190006009
93190015005
93190015006
94542050180
94542050190
94542050200
94542050210
94542050220
94542050230
94542050240
94542050250
94542050270
94542052190
94542052210
94542052230
94688001169
96295011248
00003075850
00023031204
00023031207
00024193704
00026286351
00026885148
00026885151
00026885154
00026886148
00026886151
00034120112
00034120163
00058016950
00065018002
00065041435
00074131701
00074131702
00074337704
00074707626
00074716001
00083006230
00085171601
00085171602
00085171603
00085172201
00085172202
00087665001
00093102201
00093102255
00093102301

NAME
COROMEGA DIETARY SUPPLEMENT
COROMEGA DIETARY SUPPLEMENT
CO Q-10 100 MG SOFTGEL
BENZ-O-STHETIC 20% PUMP SPRAY
DRESSING,FOAM 4IN X 5IN
GINKOBA M/E CAPSULE
GINKOBA M/E CAPSULE
GINSANA SPORT 200 MG SOFTGEL
GINSANA SPORT 200 MG SOFTGEL
SUREWING REG INF SET 18G
SUREWING REG INF SET 19G
SUREWING REG INF SET 20G
SUREWING REG INF SET 21G
SUREWING REG INF SET 22G
SUREWING REG INF SET 23G
SUREWING REG INF SET 24G
SUREWING REG INF SET 25G
SUREWING REG INF SET 27G
SUREWING INTMT INF SET 19G
SUREWING INTMT INF SET 21G
SUREWING INTMT INF SET 23G
PROSOURCE PACKETS
CO Q-10 100 MG SOFTGEL
PRONESTYL 250 MG CAPSULE
LACRI-LUBE S.O.P. OINTMENT
LACRI-LUBE S.O.P. OINTMENT
TALACEN CAPLET
PRECOSE 25 MG TABLET
ADALAT CC 60 MG TABLET
ADALAT CC 60 MG TABLET
ADALAT CC 60 MG TABLET
ADALAT CC 90 MG TABLET
ADALAT CC 90 MG TABLET
SENOKOTXTRA TABLET
SENOKOTXTRA TABLET
MIRASEPT LENS HOLDER & CUP
OPTI-FREE LENS CASE
DURATEARS EYE OINTMENT
PHENYTOIN 50 MG/ML AMPUL
PHENYTOIN 50 MG/ML AMPUL
DESOXYN 5 MG TABLET
POTASSIUM CL 30 MEQ/0.1L SOL
CYSTEINE HCL 0.5 GM VIAL
TEGRETOL XR 200 MG TABLET SA
ADALAT CC 60 MG TABLET
ADALAT CC 60 MG TABLET
ADALAT CC 60 MG TABLET
ADALAT CC 90 MG TABLET
ADALAT CC 90 MG TABLET
VIDEX 25 MG TABLET CHEWABLE
NIFEDIAC CC 60 MG TABLET
NIFEDIAC CC 60 MG TABLET
NIFEDIAC CC 90 MG TABLET

DOSE FORM DRUG STRENGTH


JH
JH
CA
BD
BD
CA
CA
CA
CA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
PP
CA
CA
OA
OA
TA
TA
TS
TS
TS
TS
TS
TA
TA
EA
EA
OA
HH
HH
TA
HP
HV
TM
TS
TS
TS
TS
TS
TC
TS
TS
TS

UNIT PRICE
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.34
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35

NDC
00093721601
00115705701
00115705705
00172234560
00172444260
00172444270
00182272001
00182505631
00182823300
00182823389
00182823400
00182823489
00185005501
00185005510
00264600003
00338070748
00378617301
00409131701
00409131702
00456004501
00517205005
00517206425
00517920325
00525674801
00525674805
00536655091
00591039601
00591066101
00591319401
00703532403
00703532803
11026261603
11026274701
11822170610
11822170620
12280007590
17478006235
23734059991
38779022604
38779022605
38779022608
38779026704
38779026705
38779026708
38779026709
44156030080
47113060520
47113060709
49100036374
49326028777
49452694501
49452694502
49452694503

NAME
METOLAZONE 5 MG TABLET
LIPRAM-CR5 CAPSULE EC
LIPRAM-CR5 CAPSULE EC
PROCAINAMIDE 250 MG CAPSULE
GABAPENTIN 400 MG TABLET
GABAPENTIN 400 MG TABLET
GABARONE 400 MG TABLET
EYE LUBRICANT OINTMENT
NIFEDIPINE ER 60 MG TABLET
NIFEDIPINE ER 60 MG TABLET
NIFEDIPINE ER 90 MG TABLET
NIFEDIPINE ER 90 MG TABLET
METOLAZONE 5 MG TABLET
METOLAZONE 5 MG TABLET
CYSTEINE HCL 0.5 GM VIAL
POTASSIUM CL 30 MEQ/0.1L SOL
METOLAZONE 5 MG TABLET
PHENYTOIN 50 MG/ML AMPUL
PHENYTOIN 50 MG/ML AMPUL
THYROLAR-1/2 STRENGTH TAB
L-CYSTEINE 50 MG/ML VIAL
L-CYSTEINE 50 MG/ML VIAL
MULTITRACE-4 VIAL
PALGIC 4 MG TABLET
PALGIC 4 MG TABLET
ARTIFICIAL TEARS EYE OINT
PENTAZOCINE/ACETAMIN TABLET
NIFEDIPINE ER 60 MG TABLET
AFEDITAB CR 60 MG TABLET
L-CYSTEINE 50 MG/ML VIAL
L-CYSTEINE 50 MG/ML VIAL
OBSTETRIX-100 CAPLET
HEMATRON DROPS
RA OVER NITES UNDERPANTS
RA OVER NITES UNDERPANTS
GABAPENTIN 400 MG TABLET
AKWA TEARS OINTMENT
BRIEF YOUTH
FUROSEMIDE POWDER
FUROSEMIDE POWDER
FUROSEMIDE POWDER
TRIAMTERENE POWDER
TRIAMTERENE POWDER
TRIAMTERENE POWDER
TRIAMTERENE POWDER
DIGNITY PLUS YOUTH BRIEF
AOSEPT LENS HOLDER & CUP
LENSCUP
CULTURELLE CAPSULE
ALBA-LYBE PEDIATRIC DROPS
SODIUM POLYSTYRENE SULF PWD
SODIUM POLYSTYRENE SULF PWD
SODIUM POLYSTYRENE SULF PWD

DOSE FORM DRUG STRENGTH


TA
CE
CE
CA
TA
TA
TA
OA
TS
TS
TS
TS
TA
TA
HV
HP
TA
HH
HH
TA
HV
HV
HV
TA
TA
OA
TA
TS
TS
HV
HV
TA
SO
EA
EA
TA
OA
EA
PA
PA
PA
PA
PA
PA
PA
EA
EA
EA
CA
SO
PA
PA
PA

UNIT PRICE
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35

NDC
49452791201
50419034005
50486009704
50486009705
50486009706
50600054357
50600054371
51079002401
51079002420
52152021302
52959052300
53014085071
53014085072
53014085090
53265039610
54000095850
54569122100
54799090635
54868047600
54868047601
54868047602
54868165000
54868166300
54868286900
54868286901
54868286903
54868287000
54868336700
54868346800
54868453100
54868453101
54868453102
54868505600
54868505601
54868505602
54868513600
54868514900
54868514901
54868516400
55045303708
55289054330
55289054530
55289088915
55289088920
55887027630
55887027660
55887027690
57844015101
57866671702
58016029500
58016029502
58016029503
58016029510

NAME
TRIAMTERENE POWDER
ULTRAVIST 150 MG/ML VIAL
LENS HOLDER
LENS CASE
LENS CASE
PPA/MMA GEL PACKET
PPA/MMA EXPRESS PACKET
METOLAZONE 5 MG TABLET
METOLAZONE 5 MG TABLET
PENTAZOCINE/ACETAMIN TABLET
TALACEN CAPLET
ZAROXOLYN 5 MG TABLET
ZAROXOLYN 5 MG TABLET
ZAROXOLYN 5 MG TABLET
METHAMPHETAMINE HCL 5 MG TAB
PROVIDE REGULAR BRIEF YOUTH
PETROLATUM/MO/LANOLIN OINT
TEARS AGAIN EYE OINTMENT
ZAROXOLYN 5 MG TABLET
ZAROXOLYN 5 MG TABLET
ZAROXOLYN 5 MG TABLET
ARTIFICIAL TEARS EYE OINT
LACRI-LUBE S.O.P. OINTMENT
ADALAT CC 60 MG TABLET
ADALAT CC 60 MG TABLET
ADALAT CC 60 MG TABLET
ADALAT CC 90 MG TABLET
PRONESTYL 250 MG CAPSULE
PROCAINAMIDE 250 MG CAPSULE
NIFEDIPINE ER 60 MG TABLET
NIFEDIPINE ER 60 MG TABLET
AFEDITAB CR 60 MG TABLET
METOLAZONE 5 MG TABLET
METOLAZONE 5 MG TABLET
METOLAZONE 5 MG TABLET
METHAMPHETAMINE HCL 5 MG TAB
PALGIC 4 MG TABLET
PALGIC 4 MG TABLET
GABAPENTIN 400 MG TABLET
PENTAZOCINE-ACETAMIN TABLET
ADALAT CC 60 MG TABLET
ADALAT CC 90 MG TABLET
TALACEN CAPLET
TALACEN CAPLET
GABAPENTIN 400 MG TABLET
GABAPENTIN 400 MG TABLET
GABAPENTIN 400 MG TABLET
ORAP 1 MG TABLET
ADALAT CC 90 MG TABLET
GABAPENTIN 400 MG TABLET
GABAPENTIN 400 MG TABLET
GABAPENTIN 400 MG TABLET
GABAPENTIN 400 MG TABLET

DOSE FORM DRUG STRENGTH


PA
VI
EA
EA
EA
PP
PP
TA
TA
TA
TA
TA
TA
TA
TA
EA
OA
OA
TA
TA
TA
OA
OA
TS
TS
TS
TS
CA
CA
TS
TS
TS
TA
TA
TA
TA
TA
TA
TA
TA
TS
TS
TA
TA
TA
TA
TA
TA
TS
TA
TA
TA
TA

UNIT PRICE
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35

NDC
58016029514
58016029515
58016029520
58016029521
58016029528
58016029530
58016029540
58016029550
58016029560
58016029590
58016046100
58016046120
58016046130
58016046160
58016046190
58016621101
58016643701
58980058010
58980058020
59366272103
59390019050
59390020713
60575008719
61553021302
61553071622
61553071802
62451885154
62451885172
62451886151
62991206901
63304057301
63304057340
64011001531
64769010203
64769040002
64769070002
64769070203
64899056951
65144031000
65580064471
66663031701
66758000401
66758000402
66758000501
66758000502
67386010201
68220001890
68220002710
68220009090
68702061120
70319002160
70319002166
74312013731

NAME
GABAPENTIN 400 MG TABLET
GABAPENTIN 400 MG TABLET
GABAPENTIN 400 MG TABLET
GABAPENTIN 400 MG TABLET
GABAPENTIN 400 MG TABLET
GABAPENTIN 400 MG TABLET
GABAPENTIN 400 MG TABLET
GABAPENTIN 400 MG TABLET
GABAPENTIN 400 MG TABLET
GABAPENTIN 400 MG TABLET
PENTAZOCINE/ACETAMIN CAPLET
PENTAZOCINE/ACETAMIN CAPLET
PENTAZOCINE/ACETAMIN CAPLET
PENTAZOCINE/ACETAMIN CAPLET
PENTAZOCINE/ACETAMIN CAPLET
EYE LUBRICANT OINTMENT
NU-TEARS EYE OINTMENT
ALPHAQUIN HP 4% CREAM
ALPHAQUIN HP 4% CREAM
NAVA-SC 4% CREAM
ULTRA FRESH PM OINTMENT
STERILE LUBRICANT EYE DROPS
RESPA-1ST TABLET SA
FENTA/ROPIVA 2 MCG/0.125%
DILTIAZEM-D5W 125 MG/125 ML
DILTIAZEM-D5W 250 MG/250 ML
NIFEDIPINE ER 60 MG TABLET
NIFEDIPINE ER 60 MG TABLET
NIFEDIPINE 90 MG TABLET
TRIAMTERENE POWDER
PANIXINE 125 MG TABLET-SUSP
PANIXINE 125 MG TABLET SUSP
PRIMACARE COMBO PACK
PROSTAT TABLET
PROFEMME TABLET
PROFEMME TABLET
PROSTAT TABLET
HCA DRY EYES P.M. OINTMENT
PROCTOZONE H 1% CREAM
METOLAZONE 5 MG TABLET
NATELLE TABLET
L-CYSTEINE 50 MG/ML VIAL
L-CYSTEINE 50 MG/ML VIAL
L-CYSTEINE 50 MG/ML VIAL
L-CYSTEINE 50 MG/ML VIAL
DESOXYN 5 MG TABLET
FOLPACE RX TABLET
HEXAFED TABLET
CALAFOL RX TABLET
TENA BRIEF-YOUTH
TRANQ SLIMLINE BRIEF YOUTH
TRANQ SLIMLINE BRIEF YOUTH
L-CARNIT-ALPHA LIPOIC ACID CAP

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
OA
OA
KA
KA
KA
OA
SO
TM
HZ
HZ
HZ
TS
TS
TS
PA
TJ
TJ
ZD
TA
TA
TA
TA
OA
KA
TA
TA
HV
HV
HV
HV
TA
TA
TM
TA
EA
EA
EA
CA

UNIT PRICE
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35
$
0.35

NDC
97807019019
00006069761
00009377401
00009377417
00032122001
00032122007
00037052192
00037052197
00037052198
00039003805
00049156066
00049156073
00054465825
00054865824
00062547001
00062547003
00066002825
00066902825
00074120703
00074372201
00074372301
00085006904
00091371201
00091372001
00091372501
00093075501
00093075505
00093075506
00126006545
00145298103
00185013401
00185013410
00186045028
00186045058
00187053934
00187053935
00187310350
00187310460
00247032005
00247032010
00247032012
00247032015
00247032016
00247032020
00247032030
00247085600
00247085650
00247085678
00247113530
00247113560
00281111553
00378528001
00378528005

NAME
HCA DRY EYES P.M. OINTMENT
DOLOBID 500 MG TABLET
OGEN 2.5 TABLET
OGEN 2.5 TABLET
CREON 20 CAPSULE SA
CREON 20 CAPSULE SA
LUFYLLIN 200 MG TABLET
LUFYLLIN 200 MG TABLET
LUFYLLIN 200 MG TABLET
CLAFORAN 2 GM/50 ML GALAXY
GLUCOTROL XL 10 MG TABLET SA
GLUCOTROL XL 10 MG TABLET SA
ROXICODONE 15 MG TABLET
ROXICODONE 15 MG TABLET
MONISTAT 7 CREAM
MONISTAT 7 CREAM
SULFACET-R LOTION
SULFACET-R TF LOTION
GENTAMICIN 40 MG/ML VIAL
NEOSTIGMINE MS 1:2,000 VIAL
NEOSTIGMINE MS 1:1,000 VIAL
GARAMYCIN 40 MG/ML VIAL
UNIRETIC 7.5/12.5 TABLET
UNIRETIC 15/12.5 TABLET
UNIRETIC 15/25 TABLET
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
ORABASE-B 20% PASTE
ZETACET LOTION
RESERPINE 0.25 MG TABLET
RESERPINE 0.25 MG TABLET
PLENDIL 2.5 MG TABLET SA
PLENDIL 2.5 MG TABLET SA
RVPAQUE CREAM
RVPAQUE CREAM
PROSTIGMIN 1:1,000 VIAL
PROSTIGMIN 1:2,000 VIAL
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
LORABID 200 MG/5 ML SUSP
LORABID 200 MG/5 ML SUSP
LORABID 200 MG/5 ML SUSP
PLENDIL 2.5 MG TABLET SA
PLENDIL 2.5 MG TABLET SA
DILOR 200 MG TABLET
DILTIAZEM ER 180 MG CAP SA
DILTIAZEM ER 180 MG CAP SA

DOSE FORM DRUG STRENGTH


OA
TA
TA
TA
CE
CE
TA
TA
TA
HK
TZ
TZ
TA
TA
KV
KV
SZ
SZ
HV
HV
HV
HV
TA
TA
TA
TA
TA
TA
KP
SZ
TA
TA
TI
TI
KA
KA
HV
HV
TA
TA
TA
TA
TA
TA
TA
PD
PD
PD
TI
TI
TA
CT
CT

UNIT PRICE
$
0.35
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36

NDC
00406851501
00517003325
00517003425
00525031690
00525078801
00527123101
00527123105
00527123110
00555072902
00573152010
00591041601
00591084501
00591084510
00591532101
00591532110
00603537021
00603537221
00603537228
00641233143
00642065010
00642745310
00677035401
00677176801
00677184801
00677190101
00904056060
00904056080
08290305553
08881202116
08884680200
08970100655
08970705003
10019027010
10019027102
10019027110
11086002601
11845013689
11845013785
11845013789
11917001927
17236054701
17236054710
38341006345
38341006388
38341006545
38341006588
38779005304
38779005305
38779005308
38779008603
38779008604
38779008605
38779027004

NAME
OXYCODONE HCL 15 MG TABLET
NEOSTIGMINE MS 1:1,000 VIAL
NEOSTIGMINE MS 1:2,000 VIAL
DIATX TABLET
PANNAZ TABLET
PRIMIDONE 250 MG TABLET
PRIMIDONE 250 MG TABLET
PRIMIDONE 250 MG TABLET
ESTROPIPATE 2.5(3 MG) TAB
FREEZONE CORN REMOVER LOT
ESTROPIPATE 2.5(3 MG) TAB
GLIPIZIDE ER 10 MG TABLET
GLIPIZIDE ER 10 MG TABLET
PRIMIDONE 250 MG TABLET
PRIMIDONE 250 MG TABLET
PRIMIDONE 250 MG TABLET
PRIMIDONE 250 MG TABLET
PRIMIDONE 250 MG TABLET
GENTAMICIN 40 MG/ML VIAL
TUSSAFED-LA CAPLET SA
QUALA-TLA CAPLET
PRIMIDONE 250 MG TABLET
FELODIPINE ER 2.5 MG TABLET
P-EPHED HCL/CPMM/SCOP SR TB
GFN600-PSE60-DM30 TABLET SR
PRIMIDONE 250 MG TABLET
PRIMIDONE 250 MG TABLET
SAFETY-LOK 1 ML TB SYRINGE
LIFESHIELD BLUNT CANNULA
INTERSORB GAUZE 3"X18"
TERUMO SURGUARD2 SYR 27G-1 ML
TERUMO SURGUARD2 SYR 27G-1 ML
NEOSTIGMINE MS 1:1,000 VIAL
NEOSTIGMINE MS 1:2,000 VIAL
NEOSTIGMINE MS 1:2,000 VIAL
DERMANAIL CONDITIONER
FLEXI JOINT TABLET
GLUCOSAMINE CHONDROITIN TAB
GLUCOSAMINE CHONDROITIN TAB
ORAL ANALGESIC 20% PASTE
PRIMIDONE 250 MG TABLET
PRIMIDONE 250 MG TABLET
ORABASE PLAIN PASTE
ORABASE PLAIN PASTE
ORABASE-B 20% PASTE
ORABASE-B 20% PASTE
TETRACYCLINE HCL POWDER
TETRACYCLINE HCL POWDER
TETRACYCLINE HCL POWDER
METHYLTESTOSTERONE POWDER
METHYLTESTOSTERONE POWDER
METHYLTESTOSTERONE POWDER
TRIMETHOPRIM POWDER

DOSE FORM DRUG STRENGTH


TA
HV
HV
TA
TM
TA
TA
TA
TA
SL
TA
TZ
TZ
TA
TA
TA
TA
TA
HV
TM
TM
TA
TI
TM
TM
TA
TA
YL
YL
YE
YL
YL
HV
HV
HV
SL
TA
TA
TA
KP
TA
TA
KP
KP
KP
KP
PA
PA
PA
PA
PA
PA
PA

UNIT PRICE
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36

NDC
38779027005
38779027008
38779077004
38779077005
38779077008
45985064201
49452000301
49452000302
49452000303
49452471001
49452471002
49452471003
49452471102
49452769001
49452769002
49452769901
49452769902
49452770001
49452770002
49452770101
49452811701
49452811702
49452811703
49452811801
49756010318
49884014301
49884014305
51079094801
51079094808
51552003101
51552003102
51552003103
51552003104
51552003105
51552003109
51674500106
51927102800
51927194500
51927244900
51991008290
51991024301
51991028401
52083052201
52152021402
52544048301
52544048305
52604341601
52959007201
52959035110
52959035115
52959035120
52959035124
52959037915

NAME
TRIMETHOPRIM POWDER
TRIMETHOPRIM POWDER
TRIMETHOPRIM POWDER
TRIMETHOPRIM POWDER
TRIMETHOPRIM POWDER
MEDENT LD 800/60 TABLET SA
METHYLTESTOSTERONE POWDER
METHYLTESTOSTERONE POWDER
METHYLTESTOSTERONE POWDER
METHYLTESTOSTERONE POWDER
METHYLTESTOSTERONE POWDER
METHYLTESTOSTERONE POWDER
METHYLTESTOSTERONE POWDER
TETRACYCLINE POWDER
TETRACYCLINE POWDER
TETRACYCLINE POWDER
TETRACYCLINE POWDER
TETRACYCLINE HCL POWDER
TETRACYCLINE HCL POWDER
TETRACYCLINE HCL POWDER
VITAMIN A PALMITATE LIQUID
VITAMIN A PALMITATE LIQUID
VITAMIN A PALMITATE LIQUID
VITAMIN A PALMITATE LIQUID
DRY GAUZE BANDAGE,FINE MESH
HYDRA-ZIDE 25/25 CAPSULE
HYDRA-ZIDE 25/25 CAPSULE
DILTIAZEM ER 180 MG CAPSULE
DILTIAZEM ER 180 MG CAPSULE
METHYLTESTOSTERONE POWDER
METHYLTESTOSTERONE POWDER
METHYLTESTOSTERONE POWDER
METHYLTESTOSTERONE POWDER
METHYLTESTOSTERONE POWDER
METHYLTESTOSTERONE POWDER
NUTRACARE CHEWABLE TABLET
METHYLTESTOSTERONE POWDER
TETRACYCLINE HCL POWDER
TETRACYCLINE POWDER
FOLBEE PLUS TABLET
HYDRO PRO DM TABLET SR
COLDAMINE TABLET SA
BANQUIN 4% CREAM
OXYCODONE HCL 15 MG TABLET
DILACOR XR 180 MG CAPSULE SA
DILACOR XR 180 MG CAPSULE SA
CYTOMEL 25 MCG TABLET
DILTIAZEM ER 180 MG CAP SA
DOLOBID 500 MG TABLET
DOLOBID 500 MG TABLET
DOLOBID 500 MG TABLET
DOLOBID 500 MG TABLET
DIFLUNISAL 500 MG TABLET

DOSE FORM DRUG STRENGTH


PA
PA
PA
PA
PA
TM
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
SL
SL
SL
SL
YE
CA
CA
CT
CT
PA
PA
PA
PA
PA
PA
TC
PA
PA
PA
TA
TM
TM
KA
TA
CT
CT
TA
CT
TA
TA
TA
TA
TA

UNIT PRICE
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36

NDC
52959037920
52959037930
53335005411
53489036801
54569205300
54569365800
54569365801
54569365802
54569393800
54569393801
54569554800
54569554801
54738090401
54868169102
54868169103
54868175000
54868175001
54868175002
54868232201
54868232202
54868292600
54868304900
54868333400
54868333401
54868333402
54868333403
54868333404
54868347500
54868347501
54868365300
54868410300
54868418600
54868418601
54868418602
54868447900
54868447901
54868447902
54868470100
54868472200
54868472201
54868472202
54868472203
54868472204
54868476101
54868476102
54868498000
54868498800
54868498801
54868498802
54868506900
54868506901
55045330001
55289046010

NAME
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
L-CITRULLINE 600 MG CAPSULE
FELODIPINE ER 2.5 MG TABLET
CYTOMEL 25 MCG TABLET
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
GLUCOTROL XL 10 MG TABLET SA
GLUCOTROL XL 10 MG TABLET SA
GLIPIZIDE ER 10 MG TABLET
GLIPIZIDE XL 10 MG TABLET
FELODIPINE ER 2.5 MG TABLET
PRIMIDONE 250 MG TABLET
PRIMIDONE 250 MG TABLET
CYTOMEL 25 MCG TABLET
CYTOMEL 25 MCG TABLET
CYTOMEL 25 MCG TABLET
DILACOR XR 180 MG CAPSULE SA
DILACOR XR 180 MG CAPSULE SA
LORABID 200 MG/5 ML SUSP
DIFLUNISAL 500 MG TABLET
GLUCOTROL XL 10 MG TABLET SA
GLUCOTROL XL 10 MG TABLET SA
GLUCOTROL XL 10 MG TABLET
GLUCOTROL XL 10 MG TABLET SA
GLUCOTROL XL 10 MG TABLET SA
CREON 20 CAPSULE SA
CREON 20 CAPSULE SA
OGEN 2.5 TABLET
GENTAMICIN 40 MG/ML VIAL
DILTIAZEM ER 180 MG CAP SA
DILTIAZEM ER 180 MG CAP
DILTIAZEM ER 180 MG CAP SA
UNIRETIC 15/25 TABLET
UNIRETIC 15/25 TABLET
UNIRETIC 15/25 TABLET
PSE 90/CPM 8/MSC 2.5 TAB
ROXICODONE 15 MG TABLET
ROXICODONE 15 MG TABLET
ROXICODONE 15 MG TABLET
ROXICODONE 15 MG TABLET
ROXICODONE 15 MG TABLET
ESTROPIPATE 2.5(3 MG) TAB
ESTROPIPATE 2.5(3 MG) TAB
OXYCODONE HCL 15 MG TABLET
GLIPIZIDE ER 10 MG TABLET
GLIPIZIDE ER 10 MG TABLET
GLIPIZIDE ER 10 MG TABLET
PRENATE ELITE TABLET
PRENATE ELITE TABLET
GLIPIZIDE ER 10 MG TABLET
DIFLUNISAL 500 MG TABLET

DOSE FORM DRUG STRENGTH


TA
TA
CA
TI
TA
TA
TA
TA
TZ
TZ
TZ
TZ
TI
TA
TA
TA
TA
TA
CT
CT
PD
TA
TZ
TZ
TZ
TZ
TZ
CE
CE
TA
HV
CT
CT
CT
TA
TA
TA
TM
TA
TA
TA
TA
TA
TA
TA
TA
TZ
TZ
TZ
TA
TA
TZ
TA

UNIT PRICE
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36

NDC
55289046015
55289046020
55289046030
55289057410
55289057415
57866318201
57866318202
57866318501
57866318502
57866556302
58016019400
58016019402
58016019403
58016019410
58016019412
58016019414
58016019415
58016019420
58016019421
58016019424
58016019428
58016019430
58016019440
58016019450
58016019460
58016019470
58016019473
58016019480
58016019489
58016019490
58016035315
58016069100
58016069130
58016069160
58016069190
58016317701
58552011602
58864066130
58864068930
58864068960
58864072330
58864087330
59366273103
59366274003
59630016010
59630041190
59762503301
59762503302
60258003301
60258025401
60258026401
60258028201
60505001506

NAME
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
DOLOBID 500 MG TABLET
DOLOBID 500 MG TABLET
OXYCODONE HCL 15 MG TABLET
OXYCODONE HCL 15 MG TABLET
ROXICODONE 15 MG TABLET
ROXICODONE 15 MG TABLET
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
GLIPIZIDE ER 10 MG TABLET
GLIPIZIDE ER 10 MG TABLET
GLIPIZIDE ER 10 MG TABLET
GLIPIZIDE ER 10 MG TABLET
ADRENALIN 1:1,000 NASAL SOL
GILTUSS PED-C LIQUID
UNIRETIC 15/12.5 TABLET
GLUCOTROL XL 10 MG TABLET SA
GLUCOTROL XL 10 MG TABLET SA
PLENDIL 2.5 MG TABLET SA
DILTIAZEM ER 180 MG CAPSULE
SOD.SULFACET/SULFUR LOTION
SOD.SULFACET/SULFUR TF LOT
PROTUSS DM TABLET SA
PRENATE ELITE TABLET
GLIPIZIDE XL 10 MG TABLET
GLIPIZIDE XL 10 MG TABLET
SODIUM SULF-SULFUR LOTION
GFN 800/PSE 60 TABLET
GFN600/PSE60/DM30 TABLET SA
CPM 8/PSE 90/MSC 2.5 TAB SA
DILT-XR 180 MG CAP SA

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TZ
TZ
TZ
TZ
SA
SL
TA
TZ
TZ
TI
CT
SZ
SZ
TM
TA
TZ
TZ
SZ
TM
TM
TM
CT

UNIT PRICE
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36

NDC
60505001508
60760019660
60951076985
61570013610
61570030031
62037054901
62037054910
62037087301
62037087305
62991140901
62991140902
62991140903
63323001002
63323001020
63323038210
63323038310
63370094025
63370094035
64980012809
65162054710
65162054711
65880021745
65883044011
65883044014
66116043230
66490069110
66490069111
66490069181
66869012210
66993051402
68030556302
68115042214
68115067460
68115079000
68712000401
68712000403
70501005510
83268010440
83268010441
87701024877
87701024927
00009501201
00009501301
00024039102
00025276231
00025276252
00026286148
00026286151
00032110201
00045034360
00046048881
00054815524
00074113403

NAME
DILT-XR 180 MG CAP SA
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
LORABID 200 MG/5 ML SUSP
ADRENALIN 1:1,000 NASAL SOLN
DILTIA XT 180 MG CAPSULE SA
DILTIA XT 180 MG CAPSULE SA
GLIPIZIDE ER 10 MG TABLET
GLIPIZIDE ER 10 MG TABLET
METHYLTESTOSTERONE POWDER
METHYLTESTOSTERONE POWDER
METHYLTESTOSTERONE POWDER
GENTAMICIN 40 MG/ML VIAL
GENTAMICIN 40 MG/ML VIAL
NEOSTIGMINE 1:2,000 VIAL
NEOSTIGMINE 1:1,000 VIAL
METHYLTESTOSTERONE POWDER
METHYLTESTOSTERONE POWDER
DEXFOL TABLET
PRIMIDONE 250 MG TABLET
PRIMIDONE 250 MG TABLET
NICOSYN LOTION
PURE L-CITRULLINE 600 MG CAP
PURE L-CITRULLINE 600 MG CAP
DILTIAZEM ER 180 MG CAPSULE
MYSOLINE 250 MG TABLET
MYSOLINE 250 MG TABLET
MYSOLINE 250 MG TABLET
FOLTRATE TABLET
P-TUSS DM TABLET
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
DIFLUNISAL 500 MG TABLET
PLENDIL 2.5 MG TABLET SA
UMECTA 40% EMULSION
UMECTA 40% EMULSION
NEUTROGENA EYE CREAM
PURE L-CITRULLINE 600 MG CAP
PURE L-CITRULLINE 600 MG CAP
BL ORAHEAL ANALGESIC PASTE
GNP ORAHEAL ANALGESIC PASTE
GLYSET 25 MG TABLET
GLYSET 50 MG TABLET
DRISDOL 8,000 UNITS/ML DROPS
NORPACE 150 MG CAPSULE
DISOPYRAMIDE PO4 150MG CAP
PRECOSE 50 MG TABLET
PRECOSE 50 MG TABLET
ACEON 4 MG TABLET
PANCREASE MT 16 CAPSULE EC
INDERIDE-80/25 TABLET
CODEINE SULFATE 15 MG TABLET
MORPHINE SULFATE 50 MG/ML VL

DOSE FORM DRUG STRENGTH


CT
TA
TA
PD
SA
CT
CT
TZ
TZ
PA
PA
PA
HV
HV
HV
HV
PA
PA
TA
TA
TA
SZ
CA
CA
CT
TA
TA
TA
TA
TM
TA
TA
TA
TI
RB
RB
KA
CA
CA
KP
KP
TA
TA
SO
CA
CA
TA
TA
TA
CE
TA
TA
HV

UNIT PRICE
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.36
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37

NDC
00074113405
00074113422
00074141204
00074141210
00074150703
00074184402
00074184405
00074184415
00074184432
00074574801
00078000805
00089020025
00091415060
00093312901
00093312905
00095006601
00115702301
00168028060
00186045128
00186045158
00186086744
00186086754
00228236010
00247066870
00247113703
00247121270
00264918210
00264918310
00270078255
00378034701
00407141344
00407141345
00407141380
00407141383
00407141384
00407141385
00409184432
00469740420
00469740460
00482015806
00482480020
00496082115
00496082145
00525079201
00591556101
00597003928
00597004028
00597004037
00597004128
00597004137
00597004228
00597004237
00597004328

NAME
MORPHINE SULFATE 50 MG/ML VL
MORPHINE SULFATE 50 MG/ML VL
BUMETANIDE 0.25 MG/ML VIAL
BUMETANIDE 0.25 MG/ML VIAL
DEXTRAN 70 6%/D5W IV SOLN
PHENYTOIN 50 MG/ML SYRINGE
PHENYTOIN 50 MG/ML SYRINGE
PHENYTOIN 50 MG/ML SYRINGE
PHENYTOIN 50 MG/ML SYRINGE
BUPIVACAINE 0.5% SYRINGE
MELLARIL 15 MG TABLET
METROGEL-VAGINAL 0.75% GEL
CALCIFEROL 8,000 UNIT/ML DROPS
DISOPYRAMIDE 150 MG CAPSULE
DISOPYRAMIDE 150 MG CAPSULE
PNEUMOTUSSIN TABLET
LIPRAM-PN16 CAPSULE EC
AMCINONIDE 0.1% LOTION
PLENDIL 5 MG TABLET SA
PLENDIL 5 MG TABLET SA
NAROPIN 7.5 MG/ML AMPULE
ROPIVACAINE HCL 7.5MG/ML INJ
PROPRANOLOL/HCTZ 80/25 TAB
METROGEL-VAGINAL 0.75% GEL
PLENDIL 5 MG TABLET SA
METROGEL-VAGINAL 0.75% GEL
TROCATH PERIT DIALYSIS CATH
TROCATH PERIT DIALYSIS CATH
RENOVIST 34.3/35 VIAL
PROPRANOLOL/HCTZ 80/25 TAB
OMNIPAQUE 300 MG/ML FLEXIPAK
OMNIPAQUE 300 MG/ML FLEXIPAK
OMNIPAQUE 300 MG/ML FLEXIPAK
OMNIPAQUE 300 MG/ML FLEXIPAK
OMNIPAQUE 300 MG/ML FLEXIPAK
OMNIPAQUE 300 MG/ML FLEXIPAK
PHENYTOIN 50 MG/ML SYRINGE
CYCLOCORT 0.1% LOTION
CYCLOCORT 0.1% LOTION
GLUTOFAC-ZX CAPLET
ANAMANTLE HC CREAM KIT
LOCOID 0.1% LIPOCREAM
LOCOID 0.1% LIPOCREAM
PANMIST LA 795/85 TABLET
DISOPYRAMIDE 150 MG CAPSULE
MICARDIS 20 MG TABLET
MICARDIS 40 MG TABLET
MICARDIS 40 MG TABLET
MICARDIS 80 MG TABLET
MICARDIS 80 MG TABLET
MICARDIS HCT 80/25 MG TABLET
MICARDIS HCT 80/25 MG TABLET
MICARDIS HCT 40/12.5 MG TAB

DOSE FORM DRUG STRENGTH


HV
HV
HV
HV
HM
HQ
HQ
HQ
HQ
HQ
TA
JV
SO
CA
CA
TA
CE
SK
TI
TI
HH
HH
TA
JV
TI
JV
EA
EA
HV
TA
HZ
HZ
HZ
HZ
HZ
HZ
HQ
SK
SK
TA
KI
KA
KA
TM
CA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37

NDC
00597004337
00597004428
00597004437
00641254745
00677176901
00677179001
00677188306
00677189001
00703280403
00781161401
00813079955
00884599902
08011421010
08021331250
08021333500
08021333510
08021333520
08021333530
08026000086
08380009811
08380009860
08380009873
08881511110
08881511201
08884730200
08884732000
08884732200
08884732400
08884732500
08884732900
08884733000
08884734600
10019028001
10019050602
10019050610
10019050645
11026266101
11584104001
12136000910
12136000911
12539086560
19810002501
21406001506
21406003001
38779018303
38779018304
38779018305
38779018308
38779049603
38779049604
38779049605
49452608901
49452608902

NAME
MICARDIS HCT 40/12.5 MG TAB
MICARDIS HCT 80/12.5 MG TAB
MICARDIS HCT 80/12.5 MG TAB
PANCURONIUM 1 MG/ML VIAL
FELODIPINE ER 5 MG TABLET
GUAIFEN/PHENYLEPHRINE SA TB
UNI-FAC ZX TABLET
P-EPHEDRINE-GUAIFEN LA TAB
PANCURONIUM 1 MG/ML VIAL
THIORIDAZINE 15 MG TABLET
FEM PH VAGINAL JELLY
CITRADERM FACIAL CREAM
BARD CLEAN-CATH 10FR-10"
INFUSION CATHETER
PERIFIX EPIDURAL CATHETER
PERIFIX EPIDURAL CATHETER
PERIFIX EPIDURAL CATHETER
PERIFIX EPIDURAL CATHETER
OPSITE POST-OP DRESSING
RETRACTED PENIS POUCH
STRESSCATH FEMALE DIAG CATH
RETRACTED PENIS POUCH
MONOJECT INSULIN SYR U-100
MONOJECT TB SAFETY SYRINGE
TEXAS CATHETER
MED CATHETER W/AHD STRAP
STANDARD CATHETER
STANDARD CATHETER W/STRAP
STANDARD CATH W/STRAP +WIPE
P/G CATHETER W/1" FOAM STP
P/G CATHETER W/ADH STRAP
MEDIUM CATHETER W/1" STRAP
PANCURONIUM 1 MG/ML VIAL
BUMETANIDE 0.25 MG/ML VIAL
BUMETANIDE 0.25 MG/ML VIAL
BUMETANIDE 0.25 MG/ML VIAL
PANATUSS PEDIATRIC DROPS
DESPEC DROPS
MICRONEFRIN 1.125% SOLUTION
MICRONEFRIN 1.125% SOLUTION
CARDIOVID SOFTGEL
PAZO HEMORRHOIDAL SUPPOS
ADVANTAGE-S CONTRACEPTIVE GEL
ADVANTAGE-S CONTRACEPTIVE GEL
PROPRANOLOL HCL POWDER
PROPRANOLOL HCL POWDER
PROPRANOLOL HCL POWDER
PROPRANOLOL HCL POWDER
LEVAMISOLE HCL POWDER
LEVAMISOLE HCL POWDER
LEVAMISOLE HCL POWDER
PROPRANOLOL HCL POWDER
PROPRANOLOL HCL POWDER

DOSE FORM DRUG STRENGTH


TA
TA
TA
HV
TI
TM
TA
TM
HV
TA
JW
KA
EA
EA
EA
EA
EA
EA
YE
EA
EA
EA
YL
YL
EA
EA
EA
EA
EA
EA
EA
EA
HV
HV
HV
HV
SO
SO
SA
SA
CA
QA
JU
JU
PA
PA
PA
PA
PA
PA
PA
PA
PA

UNIT PRICE
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37

NDC
49452608903
49999029630
50111047401
51285091802
51285091825
51552091004
51674013005
51927160600
51991014106
51991036701
51991040701
53489036901
53809030401
53809030801
53879020110
54000065450
54569366000
54569371800
54569450100
54569485701
54569560100
54569566500
54738090501
54859070760
54868216700
54868216702
54868311000
54868381600
54868382301
54868394400
54868453900
54868453901
54868454000
54868454001
54868460500
54868512300
54868513800
54868519700
54868519701
55390050002
55390050005
55390050010
55390050102
55390050105
55390050110
55532031530
55970080825
55970080826
55970080841
55970080843
55970080850
55970080872
57844021552

NAME
PROPRANOLOL HCL POWDER
PLENDIL 5 MG TABLET
PROPRANOLOL/HCTZ 80/25 TAB
PALIPASE MT 16 CAPSULE EC
PALIPASE MT 16 CAPSULE EC
PROPRANOLOL HCL POWDER
RELAGARD VAGINAL GEL
PROPRANOLOL HCL POWDER
VITATAB ZX TABLET
COLDMIST LA TABLET
PANOCAPS MT 16 CAPSULE
FELODIPINE ER 5 MG TABLET
IRO-PLEX CAPLET
BTREX TABLET
FERRO-PLEX HEMATINIC CAPLET
HYPERGEL 20% GEL
METROGEL-VAGINAL 0.75% GEL
PLENDIL 5 MG TABLET SA
PRECOSE 50 MG TABLET
LIQUIBID-D TABLET SA
MICARDIS HCT 80/12.5 MG TAB
MICARDIS HCT 80/12.5 MG TAB
FELODIPINE ER 5 MG TABLET
UROSEX TABLET
PLENDIL 5 MG TABLET SA
PLENDIL 5 MG TABLET SA
METROGEL-VAGINAL 0.75% GEL
DISOPYRAMIDE 150 MG CAPSULE
PRECOSE 50 MG TABLET
COSAMIN DS CAPSULE
MICARDIS 40 MG TABLET
MICARDIS 40 MG TABLET
MICARDIS HCT 80/12.5 MG TAB
MICARDIS HCT 80/12.5 MG TAB
MICARDIS 80 MG TABLET
P-EPHEDRINE-GUAIFEN LA TAB
GUAIFEN-PHENYLEPHRINE SA TAB
FELODIPINE ER 5 MG TABLET
FELODIPINE ER 5 MG TABLET
BUMETANIDE 0.25 MG/ML VIAL
BUMETANIDE 0.25 MG/ML VIAL
BUMETANIDE 0.25 MG/ML VIAL
BUMETANIDE 0.25 MG/ML VIAL
BUMETANIDE 0.25 MG/ML VIAL
BUMETANIDE 0.25 MG/ML VIAL
VITA-PREN TABLET
COSAMIN DS CAPSULE
COSAMIN DS CAPSULE
COSAMIN DS CAPSULE
COSAMIN DS CAPSULE
COSAMIN DS CAPSULE
COSAMIN DS CAPSULE
GALZIN 25 MG CAPSULE

DOSE FORM DRUG STRENGTH


PA
TI
TA
CE
CE
PA
JW
PA
TA
TM
CE
TI
TA
TA
TA
JG
JV
TI
TA
TM
TA
TA
TI
TA
TI
TI
JV
CA
TA
CA
TA
TA
TA
TA
TA
TM
TM
TI
TI
HV
HV
HV
HV
HV
HV
TA
CA
CA
CA
CA
CA
CA
CA

UNIT PRICE
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37

NDC
58016099900
58016099902
58016099930
58016099960
58016099980
58016099990
58016351700
58016463101
58177002804
58768013425
58864010220
58864010230
58864081030
59879012201
60258011260
60258025301
60258027401
60575045719
61703022521
61703022543
62991109101
62991109102
62991109104
62991109105
62991109106
62991173801
62991173802
62991173803
63717030101
64376054001
64543014101
64980011806
64980031920
66663033001
66663051701
66663066801
66993031502
67181021630
67181021660
67181021690
68032012420
68115079689
70074050158
70074051358
70074051360
70074051362
70074051364
70074051366
81317044200
87900001011
87900001012
94688008470
00002314433

NAME
COSAMIN DS CAPSULE
COSAMIN DS CAPSULE
COSAMIN DS CAPSULE
COSAMIN DS CAPSULE
COSAMIN DS CAPSULE
COSAMIN DS CAPSULE
METROGEL-VAGINAL 0.75% GEL
MICARDIS HCT 80/12.5 MG TAB
PANGESTYME MT 16 CAPSULE EC
HYPOTEARS SELECT DROPS
PLENDIL 5 MG TABLET SA
PLENDIL 5 MG TABLET SA
FELODIPINE ER 5 MG TABLET
PANCRELIPASE MT-16 CAP EC
VITAMIN D 8,000 UNIT/ML DROPS
GFN 795/PSE 85
GFN 600/PHENYLEPHRINE 40 TB
TRIKOF-D TABLET SA
MORPHINE SULFATE 50 MG/ML VL
MORPHINE SULFATE 50 MG/ML VL
LEVAMISOLE HCL POWDER
LEVAMISOLE HCL POWDER
LEVAMISOLE HCL POWDER
LEVAMISOLE HCL POWDER
LEVAMISOLE HCL POWDER
PROPRANOLOL HCL POWDER
PROPRANOLOL HCL POWDER
PROPRANOLOL HCL POWDER
H 9600 SR TABLET SA
GUAIPHEN-D TR TABLET
LIQUIBID-D TABLET SA
NUTRIFAC ZX CAPLET
LIDAZONE HC 3-0.5% CREAM KIT
NATELLE PREFER TABLET
FEMTABS
NATELLE-EZ TABLET
WELLBID-D 600 MG-40 MG TAB SA
PROFERRIN-FORTE TABLET
PROFERRIN-FORTE TABLET
PROFERRIN-FORTE TABLET
LIDOCAINE-HC 3-0.5% CREAM KIT
COSAMIN DS CAPSULE
FLEXIFLO GASTROSTOMY TUBE
FLEXIFLO MAGNA-PORT TUBE
FLEXIFLO MAGNA-PORT TUBE
FLEXIFLO MAGNA-PORT TUBE
FLEXIFLO MAGNA-PORT TUBE
FLEXIFLO MAGNA-PORT TUBE
SELF-CATH 12FR-6" CATHETER
ASTHMANEFRIN 1.125% SOLUTION
ASTHMANEFRIN 1.125% SOLUTION
BANATROL PACKETS
NIZATIDINE 150MG CAP

DOSE FORM DRUG STRENGTH


CA
CA
CA
CA
CA
CA
JV
TA
CE
SO
TI
TI
TI
CE
SO
TM
TM
TM
HV
HV
PA
PA
PA
PA
PA
PA
PA
PA
TM
TM
TM
TA
YK
TA
TA
TA
TM
TA
TA
TA
YK
CA
EA
EA
EA
EA
EA
EA
EA
SA
SA
PP
CA

UNIT PRICE
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.37
$
0.38

NDC
00002314482
00049343826
00054001220
00054001221
00054001225
00065028115
00072140015
00072140050
00072145015
00072145050
00072820015
00072820030
00072820060
00074227712
00074227714
00074227754
00074468402
00089031410
00093106505
00093106506
00093516101
00168035515
00168035550
00168035615
00168035650
00172562300
00172562310
00172562360
00172562370
00185015005
00185015060
00186045228
00186045258
00193242621
00193259021
00193323501
00193388501
00193390101
00193395201
00193611701
00193715101
00217040901
00245016212
00247049803
00247049820
00247049828
00247049830
00247049860
00259039301
00277017401
00281034430
00281034453
00338101341

NAME
NIZATIDINE 150MG CAP
DIFLUCAN/DEXTRSE 400 MG/200 ML
FLECAINIDE ACETATE 150 MG TB
FLECAINIDE ACETATE 150 MG TB
FLECAINIDE ACETATE 150 MG TB
OPTI-SOAK SOOTHING DROPS
ULTRAVATE 0.05% CREAM
ULTRAVATE 0.05% CREAM
ULTRAVATE 0.05% OINTMENT
ULTRAVATE 0.05% OINTMENT
EXELDERM 1% CREAM
EXELDERM 1% CREAM
EXELDERM 1% CREAM
VICOPROFEN 200/7.5 TABLET
VICOPROFEN 200/7.5 TABLET
VICOPROFEN 200/7.5 TABLET
FLUCONAZOLE-DEXT 400 MG/200 ML
TAMBOCOR 150 MG TABLET
NIZATIDINE 150 MG CAPSULE
NIZATIDINE 150 MG CAPSULE
HYDROCODONE BT-IBUPROFEN TB
HALOBETASOL PROP 0.05% CREAM
HALOBETASOL PROP 0.05% CREAM
HALOBETASOL PROP 0.05% OINT
HALOBETASOL PROP 0.05% OINT
NIZATIDINE 150 MG CAPSULE
NIZATIDINE 150 MG CAPSULE
NIZATIDINE 150 MG CAPSULE
NIZATIDINE 150 MG CAPSULE
NIZATIDINE 150 MG CAPSULE
NIZATIDINE 150 MG CAPSULE
PLENDIL 10 MG TABLET SA
PLENDIL 10 MG TABLET SA
HEMATEST REAGENT TABLET
ICTOTEST TABLET
ASCENSIA BRIO METER
GLUCOMETER ELITE SYSTEM
ASCENSIA ELITE XL KIT
ASCENSIA DEX2 CARE SYSTEM
ASCENSIA BREEZE MONITOR
ASCENSIA CONTOUR SYSTEM
COPHENE #2 TR CAPSULE
RMS-SUPPOSITORY 20 MG
AXID 150 MG PULVULE
AXID 150 MG PULVULE
AXID 150 MG PULVULE
AXID 150 MG PULVULE
AXID 150 MG PULVULE
ELDERCAPS CAPSULE
RESPAIRE-60 SR CAPSULE
STRONGSTART TAB CHEW
STRONGSTART TAB CHEW
OXACILLIN 1 GM/ 50 ML INJ

DOSE FORM DRUG STRENGTH


CA
HP
TA
TA
TA
SO
KA
KA
OA
OA
KA
KA
KA
TA
TA
TA
HP
TA
CA
CA
TA
KA
KA
OA
OA
CA
CA
CA
CA
CA
CA
TI
TI
TA
TA
YK
YK
YK
YK
YK
YK
CB
QA
CA
CA
CA
CA
CA
CA
CS
TC
TC
HK

UNIT PRICE
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38

NDC
00338101741
00338269165
00338269175
00378515005
00378515091
00378851501
00406036401
00433043305
00496082904
00517501901
00555086102
00574711412
00591313705
00591313760
00591316801
00591322801
00677177001
00713019512
00781506401
00832011100
00832011150
08026420900
08054010001
08054010006
08054010007
08054010008
08080241900
08080326700
08080661300
08080713900
08137004872
08137004882
08137004892
08137004894
08219241900
08219326700
08219661300
08219665100
08219713900
08219853500
08238049001
08290322025
08290322026
08290322029
08290322050
08290322051
08312370007
08312373006
08317221101
08317222101
08317222201
08317222301
08317330001

NAME
NAFCILLIN 1 GM/ 50 ML INJ
MEDERIDINE HCI SYRINGE 50ML
MEPERIDINE 10 MG/ML SYRINGE
NIZATIDINE 150 MG CAPSULE
NIZATIDINE 150 MG CAPSULE
FLECAINIDE ACETATE 150 MG TB
HYDROCODONE/APAP 10/750 TABLET
RIMSO-50 SOLUTION
ANALPRAM-HC 2.5% LOTION
SODIUM THIOSULFATE 25% VIAL
FLECAINIDE ACETATE 150 MG TB
MORPHINE SULF 20 MG SUPPOS
NIZATIDINE 150 MG CAPSULE
NIZATIDINE 150 MG CAPSULE
HYDROCODONE BT-IBUPROFEN TB
HYDROCODONE/APAP 10/750 TABLET
FELODIPINE ER 10 MG TABLET
MORPHINE SULF 20 MG SUPPOS
FLECAINIDE ACETATE 150 MG TB
AMANTADINE 100 MG TABLET
AMANTADINE 100 MG TABLET
HYPAFIX TAPE 2" X 10YD
DUET SYSTEM KIT
DUET PROPAK
INCHARGE SYSTEM KIT
EXPRESS VIEW BLOOD GLUC KIT
TENDERSKIN PAPER TAPE
WET-PRUF WATERPROOF TAPE
CURITY STANDARD POROUS TAPE
CURASILK CLOTH TAPE
DERMICEL CLOTH TAPE 2"X10YDS
DERMILITE-II PAPER TAPE 2"
DERMICEL CLOTH TAPE 2"X10YDS
DERMILITE II PAPER TAPE 2"
TENDERSKIN PAPER TAPE
WET-PRUF WATERPROOF TAPE
CURITY STANDARD POROUS TAPE
POLYSKIN II TRANSPRNT DRESS
CURASILK CLOTH TAPE
CURITY CLEAR TAPE
AT-LAST BLOOD GLUCOSE SYSTM
BD LOGIC GLUCOSE MONITOR
BD LATITUDE DIABETES SYSTEM
BD LOGIC GLUCOSE MONITOR
BD LATITUDE DIABET SYSTEM
BD LOGIC GLUCOSE MONITOR
CHECKMATE PLUS STARTER KIT
CHECKMATE PLUS CONTROL SOLN
ASSURE II BLOOD GLUCOSE SYS
ASSURE II COMPLIANCE PKG
ASSURE II COMPLIANCE PKG
ASSURE II COMPLIANCE PKG
QUICKTEK METER

DOSE FORM DRUG STRENGTH


HK
HQ
HQ
CA
CA
TA
TA
SA
SK
HV
TA
QA
CA
CA
TA
TA
TI
QA
TA
TA
TA
YT
YK
YK
YK
YK
YT
YT
YT
YT
YT
YT
YT
YT
YT
YT
YT
YE
YT
YT
YK
YK
YK
YK
YK
YK
YK
ZD
YK
YK
YK
YK
YK

UNIT PRICE
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38

NDC
08317331100
08317333101
08317333201
08317333301
08317421100
08317550101
08317660602
08317770502
08317771101
08317882501
08327048609
08333052702
08333053002
08333053802
08333152702
08333153002
08333153302
08333153502
08333153802
08333162205
08333296201
08368300310
08368300401
08456100101
08463000301
08463010301
08463310301
08468431100
08471054101
08471054201
08476005101
08480450100
08480491100
08884730300
08884731300
08884732100
08884732300
10106153101
10337070510
10356009351
10481100201
10939040011
11026274530
11098007620
11822659840
11822659850
12539037530
15482022016
15482022026
15482022036
15482022110
15482033110
15482033301

NAME
QUICKTEK KIT
QUICKTEK COMPLIANCE PACK
QUICKTEK COMPLIANCE REFILL
QUICKTEK COMPLIANCE REFILL
ADVANCE BLOOD GLUCOSE KIT
ASSURE 3 METER
SELECT GT CONTROL SOLUTION
ASSURE CONTROL SOLUTION
ASSURE BLOOD GLUC METER KIT
SUPREME II CONTROL SOLUTION
EVENCARE MONITORING SYSTEM
TRANSPORE SURGICAL TAPE
MICROPORE SURGICAL TAPE
DURAPORE SURGICAL TAPE
TRANSPORE SURGICAL TAPE
MICROPORE SURGICAL TAPE
MICROPORE SURGICAL TAPE
MICROPORE SURGICAL TAPE
DURAPORE SURGICAL TAPE
TEGADERM 1.75X1.75" DRSSNG
MEDIPORE SURGICAL TAPE
A1C NOW TEST KIT
A1C NOW TEST KIT
SENOVA BLOOD GLUCOSE SYSTEM
EASYGLUCO MONITORING SYSTEM
EASYGLUCO METER
CONTROL MONITORING SYSTEM
NEXGEN BLOOD GLUCOSE METER KIT
SPATONE IRON+ PACKET
SPATONE IRON+ PACKET
GLUCOLEADER ENHANCE SYSTEM
NEWTEK BLOOD GLUCOSE SYSTEM
EASYPRO BLOOD GLUCOSE SYSTEM
TEXAS CATHETER W/1" STRAP
TEXAS CATHETER W/1" STRAP
STANDARD CATHETER 1" STRAP
STANDARD CATHETER 1" STRAP
CELLULOSE CM GRANULES
LIDAMANTLE LOTION
LEUKOFIX SURGICAL TAPE
ANACAINE OINTMENT
FLU, COUGH & COLD MED PKT
HEMATRON P.O. CAPLET
PROMIT 150 MG/ML IV SOLUTION
RA SMITHFIELD DIABETIC I
RA SMITHFIELD DIABETIC II
DRANOCHOL SOFTGEL
ASSURE II COMPLIANCE PKG
ASSURE II COMPLIANCE PKG
ASSURE II COMPLIANCE PKG
ASSURE II BLOOD GLUCOSE SYS
QUICKTEK KIT
QUICKTEK COMPLIANCE PACK

DOSE FORM DRUG STRENGTH


YK
YK
YK
YK
YK
YK
ZD
ZD
YK
ZD
YK
YT
YT
YT
YT
YT
YT
YT
YT
YE
YT
YK
YK
YK
YK
YK
YK
YK
PP
PP
YK
YK
YK
EA
EA
EA
EA
PG
LO
YT
OA
PP
TA
HM
YK
YK
CA
YK
YK
YK
YK
YK
YK

UNIT PRICE
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38

NDC
15482033302
15482033303
15482042110
15482045010
15482055001
15482077005
15482077011
15482088205
19458976801
24385053691
38502055000
41218037000
45802012932
45802012935
45802013132
45802013135
49326044390
49326044490
49452073501
49452073502
49452130601
49452130602
49452130603
49452606004
49614000113
49756046301
49884069601
49884076601
49884076602
49884076605
49884076610
49999057210
49999058815
50428147524
50924001901
50924030201
50924030202
50924035706
50924040303
50924041102
50924047602
50924047701
50924051501
50924055001
50924055201
50924066601
50924068101
50924076601
50924080201
50924085201
50924086001
50924091401
50924091802

NAME
QUICKTEK COMPLIANCE REFILL
QUICKTEK COMPLIANCE REFILL
ADVANCE BLOOD GLUCOSE KIT
NEWTEK BLOOD GLUCOSE SYSTEM
ASSURE 3 METER
ASSURE CONTROL SOLUTION
ASSURE BLOOD GLUC METER KIT
SUPREME II CONTROL SOLUTION
ECK ECKERD STARTER KIT
FLU, COLD & COUGH PACKET
SWIFTCHECK BLOOD GLUCOSE METER
CHECKMATE PLUS STARTER KIT
HALOBETASOL PROP 0.05% CREAM
HALOBETASOL PROP 0.05% CREAM
HALOBETASOL PROP 0.05% OINTMNT
HALOBETASOL PROP 0.05% OINTMNT
AMINOBRAIN PLUS TABLET
DIGESPLEN PLUS TABLET EC
ARSENIC TRIOXIDE POWDER
ARSENIC TRIOXIDE POWDER
BROMELAIN POWDER
BROMELAIN POWDER
BROMELAIN POWDER
PROGESTERONE CRYST MICRONIZ
BLOOD GLUCOSE SYSTEM PAK
TRANSEAL WOUND DRESSING
FLECAINIDE ACETATE 150 MG TB
NIZATIDINE 150 MG CAPSULE
NIZATIDINE 150 MG CAPSULE
NIZATIDINE 150 MG CAPSULE
NIZATIDINE 150 MG CAPSULE
FELODIPINE ER 10 MG TABLET
HYDROCODONE BT-IBUPROFEN TAB
CVS BLOOD GLUCOSE MONITOR
ACCU-CHEK COMPACT CARE KIT
ACCU-CHEK SIMPLICITY KIT
ACCU-CHEK COMPA GLUCOSE SOL
ACCU-CHEK CMFRT CURVE SOLN
ACCU-CHEK CMFRT CURVE SOLN
ACCU-CHEK CMFRT CURVE SOLN
ACCU-CHEK ACTVE GLUCOSE SOL
ACCU-CHEK ACTIVE CARE KIT
ACCU-CHEK COMPLETE CARE KIT
ACCU-CHEK GLUCOSE SOLUTION
ACCU-CHEK ADVAN GLUCOSE SOL
ACCU-CHEK VOICEMATE SYSTEM
ACCU-CHEK ACTIVE KIT
ACCU-CHEK III DIABETES KIT
ACCU-CHEK VOICEMATE SYSTEM
ACCU-CHEK EASY GLUCOSE SOLN
ACCU-CHEK ADVANTAGE KIT
ACCU-CHEK INSTANT CARE KIT
ACCU-CHEK INSTANTPLUS SOLN

DOSE FORM DRUG STRENGTH


YK
YK
YK
YK
YK
ZD
YK
ZD
YK
PP
YK
YK
KA
KA
OA
OA
TA
TE
PA
PA
PA
PA
PA
PC
YK
YE
TA
CA
CA
CA
CA
TI
TA
YK
YK
YK
ZD
ZD
ZD
ZD
ZD
YK
YK
ZD
ZD
YK
YK
YK
YK
ZD
YK
YK
ZD

UNIT PRICE
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38

NDC
50924091901
50924097601
50924098601
50924098901
51079099001
51079099020
51119000160
51119000214
51131566552
51131566569
51131566590
51131566613
51672132201
51672132203
51927118600
51991015101
51991017001
52544063401
52735069501
52959036630
52959036650
52959036660
52959052212
52959052215
52959052220
52959052230
52959052240
52959073802
52959073812
52959073815
52959073820
52959073830
52959073840
52959073850
52959073860
52959073890
53191019201
53191019210
53459000071
53489037001
53885007501
53885024701
53885032501
53885034101
53885037201
53885043501
53885052401
53885053810
53885063702
53885073102
53885079805
54162015002
54569371900

NAME
ACCU-CHEK CONTROL SOLUTION
ACCU-CHEK INSTANTPLUS KIT
ACCU-CHEK ADVAN GLUCOSE SOL
ACCU-CHEK ADVAN GLUCOSE SOL
NIZATIDINE 150 MG CAPSULE
NIZATIDINE 150 MG CAPSULE
MICROPORE PAPER SURG TAPE
DURAPORE CLOTH SURG TAPE
PAPER FIRST AID TAPE
CLOTH FIRST AID TAPE
CLEAR FIRST AID TAPE
TRANSPORE SURGICAL TAPE
HALOBETASOL PROP 0.05% OINT
HALOBETASOL PROP 0.05% OINT
METHOCEL E 4 M GRAN
VINATE GOOD START CHEW TAB
HISTADE CAPSULE SA
MAXIDONE 10/750 MG TABLET
FP BLOOD GLUCOSE SYSTEM
AXID 150 MG PULVULE
AXID 150 MG PULVULE
AXID 150 MG PULVULE
VICOPROFEN 200/7.5 TABLET
VICOPROFEN 200/7.5 TABLET
VICOPROFEN 200/7.5 TABLET
VICOPROFEN 200/7.5 TABLET
VICOPROFEN 200/7.5 TABLET
HYDROCODONE BT-IBUPROFEN TB
HYDROCODONE BT-IBUPROFEN TB
HYDROCODONE BT-IBUPROFEN TB
HYDROCODONE BT-IBUPROFEN TB
HYDROCODONE BT-IBUPROFEN TB
HYDROCODONE BT-IBUPROFEN TB
HYDROCODONE BT-IBUPROFEN TB
HYDROCODONE BT-IBUPROFEN TB
HYDROCODONE BT-IBUPROFEN TB
BIO-STATIN 1,000,000 UNITS CAP
BIO-STATIN 1,000,000 UNITS CAP
EZ SMART SYSTEM KIT
FELODIPINE ER 10 MG TABLET
ONE TOUCH ULTRASMART SYSTEM
ONE TOUCH ULTRA SYSTEM KIT
ONE TOUCH BASIC SYSTEM KIT
SURESTEP SYSTEM
ONE TOUCH PROFILE SYSTEM KT
FAST TAKE MONITORING SYSTEM
ONE TOUCH ULTRA SMART METER
ONE TOUCH ULTRA BONUS PACK
SURESTEP GLUC CONTROL SOLN
ONE TOUCH COMBO PACK
SURESTEP PRO LINEARITY KIT
GRX SALINE WET DRESSING
PLENDIL 10 MG TABLET SA

DOSE FORM DRUG STRENGTH


ZD
YK
ZD
ZD
CA
CA
YT
YT
YT
YT
YT
YT
OA
OA
PG
TC
CB
TA
YK
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
YK
TI
YK
YK
YK
YK
YK
YK
YK
YK
ZD
ZD
YK
YE
TI

UNIT PRICE
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38

NDC
54569420600
54569480600
54569480601
54738090601
54868082600
54868082601
54868113000
54868113001
54868113002
54868216802
54868216803
54868238200
54868329200
54868400600
54868400601
54868403500
54868403501
54868403502
54868403503
54868403504
54868464300
54868486700
54868486701
54868497600
54868497601
54891000101
55045252200
55045252206
55045252207
55045306501
55045306506
55045306508
55045306509
55289034815
55289063720
55289078530
55289078560
55860004209
56091002460
56091005106
56091005140
56091005145
56091005162
56091005182
56151002502
56151020101
56151020201
56151020401
56151020601
56151020701
56151020801
56151020901
56151021001

NAME
ULTRAVATE 0.05% CREAM
VICOPROFEN 200/7.5 TABLET
VICOPROFEN 200/7.5 TABLET
FELODIPINE ER 10 MG TABLET
FELODIPINE ER 10 MG TABLET
FELODIPINE ER 10 MG TABLET
AXID 150 MG PULVULE
AXID 150 MG PULVULE
AXID 150 MG PULVULE
PLENDIL 10 MG TABLET SA
PLENDIL 10 MG TABLET SA
ULTRAVATE 0.05% CREAM
EXELDERM 1% CREAM
ULTRAVATE 0.05% OINTMENT
ULTRAVATE 0.05% OINTMENT
VICOPROFEN 200/7.5 TABLET
VICOPROFEN 200/7.5 TABLET
VICOPROFEN 200/7.5 TABLET
VICOPROFEN 200/7.5 TABLET
VICOPROFEN 200/7.5 TABLET
NIZATIDINE 150 MG CAPSULE
NIASPAN 750 MG TABLET SA
NIASPAN 750 MG TABLET SA
HYDROCODONE BT-IBUPROFEN TB
HYDROCODONE BT-IBUPROFEN TB
VIVA-DROPS EYE DROPS
VICOPROFEN 200-7.5 TABLET
VICOPROFEN 200-7.5 TABLET
VICOPROFEN 200-7.5 TABLET
HYDROCODONE BT-IBUPROFEN TB
HYDROCODONE BT-IBUPROFEN TB
HYDROCODONE BT-IBUPROFEN TB
HYDROCODONE BT-IBUPROFEN TB
VICOPROFEN 200/7.5 TABLET
AXID 150 MG PULVULE
SLO-BID 75 GYROCAPS
SLO-BID 75 GYROCAPS
HYPAFIX TAPE 2" X 10 YDS
BIOCLUSIVE DRESSING 1.5X1.5
ZONAS POROUS TAPE 2"X10YDS
DERMICEL CLOTH TAPE 2"X10YD
DERMICEL CLOTH TAPE
DERMIVIEW TRANSPARENT TAPE
DERMIFORM KNITTED TAPE 2"
DISCOUNT DRUG MART VALUE PK
WALGREENS STARTER KIT
LEADER STARTER KIT
KERR STARTER KIT
DUANE READE STARTER KIT
CVS STARTER KIT
NAVARRO STARTER KIT
EXPRESS MED STARTER KIT
BRITE LIFE STARTER KIT

DOSE FORM DRUG STRENGTH


KA
TA
TA
TI
TI
TI
CA
CA
CA
TI
TI
KA
KA
OA
OA
TA
TA
TA
TA
TA
CA
TS
TS
TA
TA
SO
TA
TA
TA
TA
TA
TA
TA
TA
CA
CB
CB
YT
YE
YT
YT
YT
YT
YT
YK
YK
YK
YK
YK
YK
YK
YK
YK

UNIT PRICE
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38

NDC
56151021101
56151021201
56151021301
56151021302
56151021401
56151021601
56151021701
56151021801
56151021901
56151022101
56151022201
56151022401
56151022602
56151022702
56151050401
56151050501
56151050550
56151052701
56151057801
56151077770
56151078880
56151088801
56151088880
56151092002
56151099901
56151099902
56151099990
57599013801
57599013901
57599031201
57599034001
57599055001
57599055101
57599055201
57599710601
57599744301
57599843602
57599912801
57599957501
57866309002
58016042200
58016042202
58016042215
58016042220
58016042230
58016042240
58016042260
58016072600
58016072602
58016072603
58016072630
58016072660
58016072690

NAME
DOSE FORM DRUG STRENGTH
GOOD NEIGH STARTER KIT
YK
LONG STARTER KIT
YK
W-D STARTER KIT
YK
WINN DIXIE MEDIC VALUE PACK
YK
LIFE MEDICAL STARTER KIT
YK
DIABETIC.COM STARTER KIT
YK
TRUE CARE STARTER KIT
YK
DRUG EMP STARTER KIT
YK
MEIJER STARTER KIT
YK
ALBERTSONS STARTER KIT
YK
SENTRY STARTER KIT
YK
SHOPRITE VALUE PACK
YK
GIANT EAGLE PHARM VALU PACK
YK
KINRAY VALUE PACK
YK
PRESTIGE METER
YK
PRESTIGE STARTER KIT
YK
DIASCAN BLOOD GLUCOSE MONITORING TEST
YKSRIPS (VIAL OF 50)
PRESTIGE LX BLOOD GLUC METR
YK
PRESTIGE VALUE PACK
YK
TRUETRACK SMART SYSTEM
YK
TRACKEASE STARTER KIT
YK
SUNMARK TRUETRACK SMART SYST
YK
TRUETRACK SMART SYSTEM
YK
PRESTIGE SMART SYS VALUE PK
YK
PRESTIGE SMART SYS IQ METER
YK
PRESTIGE SMART SYS TEST STP
YK
PRESTIGE SMART SYS IQ KIT
YK
MEDISENSE GLUC-KET CONT SOL
ZD
MEDISENSE GLUC-KET CONT SOL
ZD
MEDISENSE GLUC-KET CONT SOL
ZD
PRECISION SOF-TACT MONITOR
YK
MEDISENSE H/L CONTROL SOLUTION
ZD
MEDISENSE H/M/L CONTROL SOLU
ZD
MEDISENSE MID CONTROL SOLUTION
ZD
EXACTECH CONTROLS SOLN KIT
ZD
PRECISION LINK DATA SYSTEM
YK
MEDISENSE 2 (GLUCOSE) CONTROLS NORMAL
ZD
OPTIUM BLOOD GLUCOSE SYSTEM
YK
PRECISION SOF-TACT MONITOR
YK
AMANTADINE 100 MG TABLET
TA
VICOPROFEN 200/7.5 TABLET
TA
VICOPROFEN 200/7.5 TABLET
TA
VICOPROFEN 200/7.5 TABLET
TA
VICOPROFEN 200/7.5 TABLET
TA
VICOPROFEN 200/7.5 TABLET
TA
VICOPROFEN 200/7.5 TABLET
TA
VICOPROFEN 200/7.5 TABLET
TA
NIZATIDINE 150 MG CAPSULE
CA
NIZATIDINE 150 MG CAPSULE
CA
NIZATIDINE 150 MG CAPSULE
CA
NIZATIDINE 150 MG CAPSULE
CA
NIZATIDINE 150 MG CAPSULE
CA
NIZATIDINE 150 MG CAPSULE
CA

UNIT PRICE
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38

NDC
58016094400
58016094415
58016094420
58016094430
58016094440
58016094450
58016094460
58016094490
58468002001
58864071330
59366300001
59366300005
59366310001
59366310005
59702015201
59762503702
60258003906
60258019701
60258029501
60505023004
60505073402
60575078719
60598000201
61570006901
61570006970
62037052401
62037052405
62086014550
62794075001
62794075093
62991148401
62991148402
62991148403
63304079601
63481010870
63739033915
64011001411
64011001419
64376053201
64543008701
65615022060
65726014415
65726014435
65726014475
65726014486
65726014490
65726014496
66004013201
66004084718
66267032012
66267032030
66852000490
68032010517

NAME
HYDROCODONE BT-IBUPROFEN TB
HYDROCODONE BT-IBUPROFEN TB
HYDROCODONE BT-IBUPROFEN TB
HYDROCODONE BT-IBUPROFEN TB
HYDROCODONE BT-IBUPROFEN TB
HYDROCODONE BT-IBUPROFEN TB
HYDROCODONE BT-IBUPROFEN TB
HYDROCODONE BT-IBUPROFEN TB
RENAGEL 400 MG TABLET
PLENDIL 10 MG TABLET SA
HALOBETASOL PROP 0.05% OINT
HALOBETASOL PROP 0.05% OINT
HALOBETASOL PROP 0.05% CREAM
HALOBETASOL PROP 0.05% CREAM
PEDIOX CHEWABLE TABLET
FLUCONAZOLE-DEXT 400 MG/200 ML
LIDOCAINE 3% LOTION
PRENATAL 19 CHEWABLE TABLET
PSE 15/CPM 2 CHEWABLE TAB
NIZATIDINE 150 MG CAPSULE
FLUCONAZOLE-DEXT 400 MG/200 ML
RESPA-PE TABLET
NIASPAN 750 MG TABLET SA
PROCANBID 500 MG TABLET SA
PROCANBID 500 MG TABLET SA
HYDROCODONE BT-IBUPROFEN TB
HYDROCODONE BT-IBUPROFEN TB
DIMETHYL SULFOXIDE 50% SOLN
PHENYTEK 300 MG CAPSULE
PHENYTEK 300 MG CAPSULE
BROMELAIN POWDER
BROMELAIN POWDER
BROMELAIN POWDER
FLECAINIDE ACETATE 150 MG TB
SYMMETREL 100 MG TABLET
NIZATIDINE 150 MG CAPSULE
PRECARE CONCEIVE TABLET
PRECARE CONCEIVE TABLET
PSE CPM CHEWABLE TABLET
RESCON 120/12 CAPSULE
GENHEMAT CAPLET
AXID 150 MG PULVULE
AXID 150 MG PULVULE
AXID 150 MG PULVULE
AXID 150 MG PULVULE
AXID 150 MG PULVULE
AXID 150 MG PULVULE
RELION START KIT
KROGER BLOOD GLUCOSE KIT
VICOPROFEN 200/7.5 TABLET
VICOPROFEN 200/7.5 TABLET
AT-LAST BLOOD GLUCOSE SYSTM
LIDOCAINE HCL 3% LOTION

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TI
OA
OA
KA
KA
TC
HP
SK
TC
TC
CA
HP
TM
TS
TM
TM
TA
TA
SA
CA
CA
PA
PA
PA
TA
TA
CA
TA
TA
TC
CB
TA
CA
CA
CA
CA
CA
CA
YK
YK
TA
TA
YK
SK

UNIT PRICE
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38

NDC
68115028330
68115042012
68115042090
68188013201
75537000550
75537000552
75537000555
75537000598
75537000766
75537000788
75537000852
75537000860
75537000914
75537000919
75537000986
75537000989
75537016515
75537023231
75537030250
75537030357
75537030403
75537030411
75537030802
75537031465
75537031845
75537049070
75537080200
80196073413
82468061504
87279000541
87279000542
87701051829
87701051831
93815070550
93815070551
93815070552
93815080138
93815080139
93815080312
93815080340
93815097106
93815097230
93815097238
93815097432
93815097443
93815098411
93815099121
93815099128
93815099575
93815974116
96295010948
99073011001
99073011003

NAME
PLENDIL 10 MG TABLET SA
HYDROCODONE BT-IBUPROFEN TB
HYDROCODONE BT-IBUPROFEN TB
METHYLIN 2.5 MG CHEWABLE TAB
ACCU-CHEK GLUCOSE SOLUTION
ACCU-CHEK ADVAN GLUCOSE SOL
ACCU-CHEK EASY GLUCOSE SOLN
ACCU-CHEK GLUCOSE SOLUTION
ACCU-CHEK III DIABETES KIT
ACCU-CHEK EASY DIABETES KIT
ACCU-CHEK EASY GLUCOSE SOLN
ACCU-CHEK ADVANTAGE KIT
ACCU-CHEK INSTANT CARE KIT
ACCU-CHEK CONTROL SOLUTION
ACCU-CHEK ADVAN GLUCOSE SOL
ACCU-CHEK ADVAN GLUCOSE SOL
ACCU-CHEK COMPLETE CARE KIT
ACCU-CHEK VOICEMATE SYSTEM
ACCU-CHEK SIMPLICITY KIT
ACCU-CHEK CMFRT CURVE SOLN
ACCU-CHEK CMFRT CURVE SOLN
ACCU-CHEK CMFRT CURVE SOLN
ACCU-CHEK VOICEMATE SYSTEM
ACCU-CHEK ACTVE GLUCOSE SOL
ACCU-CHEK ACTIVE CARE KIT
ACCU-CHEK COMPACT CARE KIT
ACCU-CHEK COMPA GLUCOSE SOL
EVENCARE MONITORING SYSTEM
FP BLOOD GLUCOSE SYSTEM
SPATONE IRON+ PACKET
SPATONE IRON+ PACKET
GNP FLU,COLD & COUGH PACKET
BL FLU, COLD & COUGH PACKET
MEDISENSE H/L CONTROL SOLUTION
MEDISENSE H/M/L CONTROL SOLU
MEDISENSE MID CONTROL SOLUTION
MEDISENSE GLUC-KET CONT SOL
MEDISENSE GLUC-KET CONT SOL
MEDISENSE GLUC-KET CONT SOL
PRECISION SOF-TACT MONITOR
EXACTECH CONTROLS SOLN KIT
PEN 2 SENSOR KIT
PEN2/COMPAN2 CONTROLS KIT
MEDISENSE CONTROL SOLUTION
PRECISION LINK DATA SYSTEM
PRECISION CONTROL SOLUTION
PRECISION CONTROL SOLUTION
OPTIUM BLOOD GLUCOSE SYSTEM
PRECISION SOF-TACT MONITOR
PRECISION CONTROL SOLUTION
LEADER STARTER KIT
FREESTYLE SYSTEM KIT
FREESTYLE SYSTEM KIT

DOSE FORM DRUG STRENGTH


TI
TA
TA
TC
ZD
ZD
ZD
ZD
YK
YK
ZD
YK
YK
ZD
ZD
ZD
YK
YK
YK
ZD
ZD
ZD
YK
ZD
YK
YK
ZD
YK
YK
PP
PP
PP
PP
ZD
ZD
ZD
ZD
ZD
ZD
YK
ZD
YK
ZD
ZD
YK
ZD
ZD
YK
YK
ZD
YK
YK
YK

UNIT PRICE
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38

NDC
99073011004
99073012051
99073016000
99073016005
99073016010
99073017001
99073041001
00006004368
00006339511
00015058011
00015944214
00056051168
00074113501
00074113502
00074113503
00074113504
00074202802
00074381412
00074417001
00074707930
00074753101
00078038105
00085052503
00085052505
00085052506
00093712005
00093712086
00093811167
00093938001
00168032346
00172496058
00172496070
00173042300
00173042301
00173042304
00185093998
00185094098
00185112505
00185112518
00185112588
00186099266
00186099466
00186115212
00245003642
00245003660
00245016312
00247008200
00247008216
00247008220
00270131535
00270131537
00270131541
00270131547

NAME
FREESTYLE SYSTEM KIT
FREESTYLE SIDEKICK II VALPK
FREESTYLE TRACKER SYSTEM KT
FREESTYLE TRACKER SYSTEM KT
FREESTYLE TRACKER KIT
FREESTYLE FLASH SYSTEM KIT
FREESTYLE SYSTEM KIT
MEPHYTON 5 MG TABLET
AMINOHIPPURATE 20% VIAL
QUESTRAN PACKET
QUESTRAN LIGHT PACKET
LODOSYN 25 MG TABLET
MORPHINE SULFATE 25 MG/ML VL
MORPHINE SULFATE 25 MG/ML VL
MORPHINE SULFATE 25 MG/ML VL
MORPHINE SULFATE 25 MG/ML VL
MORPHINE 0.5 MG/ML VIAL P/F
MORPHINE 0.5 MG/ML VIAL P/F
CHLOROPROCAINE 3% VIAL
FERO-FOLIC-500 FILMTAB
IOPAMIDOL 61% INFUS. BOTTLE
FOCALIN 5 MG TABLET
EULEXIN 125 MG CAPSULE
EULEXIN 125 MG CAPSULE
EULEXIN 125 MG CAPSULE
FLUTAMIDE 125 MG CAPSULE
FLUTAMIDE 125 MG CAPSULE
CHOLESTYRAMINE LIGHT PACKET
URSODIOL 300 MG CAPSULE
METRONIDAZOLE 0.75% CREAM
FLUTAMIDE 125 MG CAPSULE
FLUTAMIDE 125 MG CAPSULE
OXISTAT 1% CREAM
OXISTAT 1% CREAM
OXISTAT 1% CREAM
CHOLESTYRAMINE LIGHT PACKET
CHOLESTYRAMINE PACKET
FLUTAMIDE 125 MG CAPSULE
FLUTAMIDE 125 MG CAPSULE
FLUTAMIDE 125 MG CAPSULE
NESACAINE-MPF 3% VIAL
NESACAINE-MPF 3% VIAL
ASTRAMORPH-PF 0.5 MG/ML VIAL
PREVALITE PACKET
PREVALITE PACKET
RMS-SUPPOSITORY 30 MG
MEPHYTON 5 MG TABLET
MEPHYTON 5 MG TABLET
MEPHYTON 5 MG TABLET
ISOVUE-300 61% INFUS BOTTLE
ISOVUE-300 61% INFUS BOTTLE
ISOVUE MULTIPK-300 61% BTLE
ISOVUE-300 61% INFUS BOTTLE

DOSE FORM DRUG STRENGTH


YK
YK
YK
YK
YK
YK
YK
TA
HV
PP
PP
TA
HV
HV
HV
HV
HV
HV
HV
TS
HB
TA
CA
CA
CA
CA
CA
PP
CA
KA
CA
CA
KA
KA
KA
PP
PP
CA
CA
CA
HV
HV
HV
PP
PP
QA
TA
TA
TA
HB
HB
HB
HB

UNIT PRICE
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.38
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39

NDC
00270131550
00270131598
00277018201
00299383645
00338938775
00409417001
00482006101
00496071603
00496071604
00555087004
00555087063
00574711612
00591315901
00677179901
00713019612
00785551004
08011421614
08026561000
08080664000
08219664000
08219665200
08333358201
08380080108
08380080128
08380080148
08380080168
08380080188
08380094164
08380094184
08380095124
08380095144
08380095164
08380096084
08380096104
08380096124
08380096144
08380096164
08380096184
08888492017
08888492025
08888492033
08888492041
08888492058
08888492066
10119004201
10119004202
10337042020
10337042520
10337042906
11530000401
11530000402
11530000405
11530000408

NAME
ISOVUE-300 61% INFUS BOTTLE
ISOVUE-300 MULTIPCK BTL
DALLERGY CAPLET SA
METROCREAM 0.75% CREAM
MORPHINE 100 MG/50 ML D5W SYR
CHLOROPROCAINE 3% VIAL
PAMINE 2.5 MG TABLET
PRAMOSONE 1% CREAM
PRAMOSONE 1% CREAM
FLUTAMIDE 125 MG CAPSULE
FLUTAMIDE 125 MG CAPSULE
MORPHINE SULF 30 MG SUPPOS
URSODIOL 300 MG CAPSULE
ASPIRIN 800 MG TABLET SA
MORPHINE SULF 30 MG SUPPOS
ENZONE 1% CREAM
BARD CLEAN-CATH 14FR-16"
UNIFLEX DRESSING 5CM X 7CM
POLYSKIN II TRANSPRNT DRESS
POLYSKIN II TRANSPRNT DRESS
POLYSKIN M.R. TRNSPRNT DRSS
TEGADERM 2"X2.75" DRESSING
ADVANCE HYDRO SOFT CATHETER
ADVANCE HYDRO SOFT CATHETER
ADVANCE HYDRO SOFT CATHETER
ADVANCE HYDRO SOFT CATHETER
ADVANCE HYDRO SOFT CATHETER
ADVANCE PLUS INTER CATHETER
ADVANCE PLUS INTER CATHETER
ADVANCE PLUS INTER CATHETER
ADVANCE PLUS INTER CATHETER
ADVANCE PLUS INTER CATHETER
ADVANCE PLUS INTER CATHETER
ADVANCE PLUS INTER CATHETER
ADVANCE PLUS INTER CATHETER
ADVANCE PLUS INTER CATHETER
ADVANCE PLUS INTER CATHETER
ADVANCE PLUS INTER CATHETER
ROB-NEL PVC CATHETER 8FR
ROB-NEL CATHETER 10FR
ROB-NEL PVC CATHETER 12FR
ROB-NEL PVC CATHETER 14FR
ROB-NEL PVC CATHETER 16FR
ROB-NEL PVC CATHETER 18FR
RENU WEEKLY CLEANER TABLET
RENU WEEKLY CLEANER TABLET
OMIDERM DRESSING 5X7CM
OMIDERM MESH DRESSING 5X7CM
OMIDERM DRESSING 5X7CM
CHAP-ET LIP CONDITIONER
CHAP-ET LIP CONDITIONER
CHAP-ET LIP CONDITIONER
CHAP-ET LIP CONDITIONER

DOSE FORM DRUG STRENGTH


HB
HB
TM
KA
HO
HV
TA
KA
KA
CA
CA
QA
CA
TS
QA
KA
EA
YE
YE
YE
YE
YE
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
TA
TA
YE
YE
YE
EH
EH
EH
EH

UNIT PRICE
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39

NDC
11530000501
11530000502
11530000503
11530000505
11530000507
11530000510
11530000533
11530000555
11530000596
11530000701
11530000708
11530001201
11530001202
11530001205
11530001208
11530001233
11530001601
11530001701
11530005596
11845011248
19458507201
38779012105
38779012108
38779045204
38779045205
38779045208
38779067104
38779067105
38779067108
45985063801
49452010001
49452010002
49452439501
49452439502
49884065701
49884079165
49884079265
49999057302
51079097001
51079097020
51927287300
51927363800
52152006002
52544093001
52959042410
54092014101
54569147603
54569466301
54569531700
54868382500
54868462800
54868503300
55289079302

NAME
CHAP-ET LIP CONDITIONER
CHAP-ET LIP CONDITIONER
CHAP-ET LIP CONDITIONER
CHAP-ET LIP CONDITIONER
CHAP-ET LIP CONDITIONER
CHAP-ET LIP CONDITIONER
CHAP-ET LIP CONDITIONER
CHAP-ET LIP CONDITIONER
CHAP-ET LIP CONDITIONER
CHAP-ET LIP CONDITIONER
CHAP-ET LIP CONDITIONER
CHAP-ET LIP CONDITIONER
CHAP-ET LIP CONDITIONER
CHAP-ET LIP CONDITIONER
CHAP-ET LIP CONDITIONER
CHAP-ET LIP CONDITIONER
CHAP-ET LIP CONDITIONER
CHAP-ET LIP CONDITIONER
CHAP-ET LIP CONDITIONER
SAW PALMETTO 250 MG CAPSULE
ECK LIPBALM STICK
MEBENDAZOLE POWDER
MEBENDAZOLE POWDER
ORPHENADRINE CITRATE POWDER
ORPHENADRINE CITRATE POWDER
ORPHENADRINE CITRATE POWDER
L-TRYPTOPHAN POWDER
L-TRYPTOPHAN POWDER
L-TRYPTOPHAN POWDER
BIDEX DM TABLET SA
N-ACETYL-DL-TRYPTOPHAN POWD
N-ACETYL-DL-TRYPTOPHAN POWD
MEBENDAZOLE POWDER
MEBENDAZOLE POWDER
ZORPRIN 800 MG TABLET SA
QUESTRAN PACKET
QUESTRAN LIGHT PACKET
MEPHYTON 5 MG TABLET
URSODIOL 300 MG CAPSULES
URSODIOL 300 MG CAPSULES
TRYPTOPHAN (L) POWDER
PYGEUM BARK POWDER
URSODIOL 300 MG CAPSULE
ACTIGALL 300 MG CAPSULE
MEPHYTON 5 MG TABLET
ENTUSS TABLET
MEPHYTON 5 MG TABLET
CHOLESTYRAMINE PACKET
LODOSYN 25 MG TABLET
METROCREAM 0.75% CREAM
FLUTAMIDE 125 MG CAPSULE
URSODIOL 300 MG CAPSULE
MEPHYTON 5 MG TABLET

DOSE FORM DRUG STRENGTH


EH
EH
EH
EH
EH
EH
EH
EH
EH
EH
EH
EH
EH
EH
EH
EH
EH
EH
EH
CA
EH
PA
PA
PA
PA
PA
PA
PA
PA
TM
PA
PA
PA
PA
TS
PP
PP
TA
CA
CA
PA
PA
CA
CA
TA
TA
TA
PP
TA
KA
CA
CA
TA

UNIT PRICE
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39

NDC
55289079310
55289079312
55289079314
55289079320
55390040420
56091000905
57866810101
58016911101
58407049601
58573900001
59366287605
59772558501
59772558901
59930163801
60258005201
60258029201
61553018775
61553084148
61570001101
61703031121
61703031143
62584006100
62991154401
62991154402
62991154403
63370015035
63370015045
63370015050
63370015055
64125010601
64376003601
64980010503
68030810101
75137070505
76300013450
76300017400
81317002516
81317011000
81317011200
81317011400
81317011600
81317040800
81317041000
81317041200
81317041400
81317041600
81317041800
81317045000
81317046000
81317046100
81317048600
81317058200
81317058600

NAME
MEPHYTON 5 MG TABLET
MEPHYTON 5 MG TABLET
MEPHYTON 5 MG TABLET
MEPHYTON 5 MG TABLET
CHLOROPROCAINE 3% VIAL
BARRIER STERILE FIELD
PAMINE 2.5 MG TABLET
QUESTRAN LIGHT PACKET
ZTUSS ZT CAPLET
INNOGEL PLUS
METRONIDAZOLE 0.75% CREAM
CHOLESTYRAMINE PACKET
CHOLESTYRAMINE LIGHT PACKET
CHOLESTYRAMINE LIGHT PACKET
ZERO-ORDER ASPIRIN 800 MG TB
GFN 800/DM 30 TABLET
MORPHINE 100 MG/50 ML D5W SYR
MEPERIDINE-NS 1,000 MG/100 ML
TUSSEND TABLET
ACYCLOVIR SOD 500 MG/20 ML
ACYCLOVIR SOD 1,000 MG/40 ML
ASPIRIN 800 MG TABLET SA
MEBENDAZOLE POWDER
MEBENDAZOLE POWDER
MEBENDAZOLE POWDER
L-TRYPTOPHAN POWDER
L-TRYPTOPHAN POWDER
L-TRYPTOPHAN POWDER
L-TRYPTOPHAN POWDER
ASPIRIN 800 MG TABLET SA
PCM ALLERGY TABLET
FOLITAB 500 CAPLET
PAMINE 2.5 MG TABLET
MOSCO-CAIN LIQUID
POLYSKIN II TRANSPRNT DRESS
IV 3000 TRANSPARENT DRESSNG
UROLOGICAL CATH 16FR-16"
SELF-CATH 10FR-16" CATHETER
SELF-CATH 12FR-16" CATHETER
SELF-CATH 14FR-16" CATHETER
SELF-CATH 16FR-16" CATHETER
SELF-CATH 8FR-16" CATHETER
SELF-CATH 10FR-16" CATHETER
SELF-CATH 12FR-16" CATHETER
SELF-CATH 14FR-16" CATHETER
SELF-CATH 16FR-16" CATHETER
SELF-CATH 18FR-16" CATHETER
SELF-CATH 14FR-16" CATHETER
SELF-CATH 12FR-16" CATHETER
SELF-CATH 12FR-16" CATHETER
SELF-CATH 14FR-16" CATHETER
SELF-CATH 12FR-16" CATHETER
SELF-CATH 10FR-16" CATHETER

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
HV
EA
TA
PP
TA
JG
KA
PP
PP
PP
TS
TM
HO
IR
TA
HV
HV
TS
PA
PA
PA
PA
PA
PA
PA
TS
TM
TS
TA
SL
YE
YE
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39

NDC
81317058800
81317060800
81317061000
81317061200
81317061400
81317070800
81317071000
81317071200
81317071400
81317071600
81317071800
81317080800
81317081000
81317081200
81317081400
81317081600
81317081800
00006045668
00006045682
00007447120
00019654404
00019654474
00045034160
00046086481
00053765605
00054415625
00054815624
00064300025
00068001901
00072800060
00074217332
00074377113
00074377160
00074707426
00087608131
00168002938
00185072201
00185072205
00187042046
00193219050
00247024900
00247024930
00281015315
00281015346
00281015380
00299590030
00338070948
00338936775
00378071101
00378071110
00409707426
00525428190
00641040025

NAME
SELF-CATH 8FR-16" CATHETER
SELF-CATH 8FR-16" CATHETER
SELF-CATH 10FR-16" CATHETER
SELF-CATH 12FR-16" CATHETER
SELF-CATH 14FR-16" CATHETER
URETHRAL CATHETER 8FR-16"
URETHRAL CATHETER 10FR-16"
URETHRAL CATHETER 12FR-16"
URETHRAL CATHETER 14FR-16"
URETHRAL CATHETER 16FR-16"
URETHRAL CATHETER 18FR-16"
SELF-CATH 8FR-16" CATHETER
SELF-CATH 10FR-16" CATHETER
SELF-CATH 12FR-16" CATHETER
SELF-CATH 14FR-16" CATHETER
SELF-CATH 16FR-16" CATHETER
SELF-CATH 18FR-16" CATHETER
ALDORIL-25 TABLET
ALDORIL-25 TABLET
PARNATE 10 MG TABLET
PARALDEHYDE LIQUID
PARALDEHYDE LIQUID
PANCREASE MT 4 CAPSULE EC
PREMARIN 0.9 MG TABLET
MONOCLATE-P 1,500 UNITS KIT
CODEINE SULFATE 30 MG TABLET
CODEINE SULFATE 30 MG TABLET
AKNE-MYCIN 2% OINTMENT
NORPRAMIN 75 MG TABLET
STATICIN 1.5% SOLUTION
METOCLOPRAMIDE 5 MG/ML SYR
OMNICEF 125 MG/5 ML SUSP
OMNICEF 125 MG/5 ML SUSP
POTASSIUM CL 10 MEQ/0.1L SOL
METAGLIP 2.5/250 MG TABLET
NEO/BACIT/POLY/HC EYE OINT
DESIPRAMINE 75 MG TABLET
DESIPRAMINE 75 MG TABLET
GLYQUIN CREAM
HEMASTIX STRIPS
PREMARIN 0.9 MG TABLET
PREMARIN 0.9 MG TABLET
PANDEL 0.1% CREAM
PANDEL 0.1% CREAM
PANDEL 0.1% CREAM
CANDERMYL CREAM
POTASSIUM CL 10 MEQ/0.1L SOL
HYDROMORPHONE/NS 50 MG/50 ML
METHYLDOPA/HCTZ 250-25 TAB
METHYLDOPA/HCTZ 250-25 TAB
POTASSIUM CL 10 MEQ/0.1L SOL
DIATX ZN TABLET
HEPARIN NA 5,000 UNITS/ML VIAL

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
TA
TA
TA
SL
SL
CE
TA
YK
TA
TA
OA
TA
SA
HQ
PD
PD
HP
TA
OA
TA
TA
KA
YR
TA
TA
KA
KA
KA
KA
HP
HO
TA
TA
HP
TA
HV

UNIT PRICE
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.39
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40

NDC
00641246045
00781197401
00904299538
08026446300
08333954501
10106283004
10337065319
10742005401
10974001010
17191019010
17317058802
17317058803
17317058808
23185019559
24208078555
31604001117
48017350101
48107010240
49999013535
50419034205
50419034210
50419034215
50419034220
50419034221
51285044202
51285044205
52959023803
52959029203
53014040410
53335007211
54569487700
54569521500
54569538900
54868036500
54868036502
54868036503
54868131001
54868468200
54868468201
54868487900
55045118409
57866798701
57866798702
58016601601
58552030701
59196000701
59243002710
59366278903
60575017719
61553016775
61553086748
61553086848
61570003535

NAME
DOSE FORM DRUG STRENGTH
HEPARIN NA 5,000 UNITS/ML VIAL
HV
DESIPRAMINE 75 MG TABLET
TA
CORTOMYCIN EYE OINTMENT
OA
OPSITE POST-OP DRESSING
YE
TEGADERM HP DRESSING
YE
PARALDEHYDE LIQUID
SL
CARMOL 10% SCALP LOTION
LO
RED CROSS CANKER SORE OINT
OA
HEPARIN NA 5,000 UNITS/ML VIAL
HV
IV ADDITIVE TRANSFER NEEDLE
YH
L-TRYPTOPHAN CRYSTALS
PC
L-TRYPTOPHAN CRYSTALS
PC
L-TRYPTOPHAN CRYSTALS
PC
STYPTIC POWDER
PA
NEO/BACIT/POLY/HC EYE OINT
OA
TRIPLE FLEX MOOD & JOINT TAB
TA
AKNE-MYCIN (ERYTHROMYCIN) 2% TOPICAL OINTMENT
OA
RA GLUCOSAMIN-CHONDROIT TB
TA
CORTISPORIN EYE OINTMENT
OA
ULTRAVIST 240 MG/ML VIAL
VI
ULTRAVIST 240 MG/ML VIAL
VI
ULTRAVIST 240 MG/ML VIAL
VI
ULTRAVIST 240 MG/ML VIAL
VI
ULTRAVIST 240 MG/ML VIAL
VI
CENESTIN 0.625 MG TABLET
TA
CENESTIN 0.625 MG TABLET
TA
NEO-BACIT-POLY-HC EYE OINT
OA
CORTISPORIN EYE OINTMENT
OA
SEMPREX-D 60 MG/8 MG CAPSULE
CA
L-HISTIDINE 600 MG CAPSULE
CA
OMNICEF 125 MG/5 ML SUSP
PD
OMNICEF 125 MG/5 ML SUSP
PD
NEO/BACIT/POLY/HC EYE OINT
OA
PREMARIN 0.9 MG TABLET
TA
PREMARIN 0.9 MG TABLET
TA
PREMARIN 0.9 MG TABLET
TA
METHYLDOPA/HCTZ 250-25 TAB
TA
OMNICEF 125 MG/5 ML SUSP
PD
OMNICEF 125 MG/5 ML SUSP
PD
CENESTIN 0.625 MG TABLET
TA
NEO/BACIT/POLY/HC EYE OINT
OA
PREMARIN 0.9 MG TABLET
TA
PREMARIN 0.9 MG TABLET
TA
TRIPLE ANTIBIOT/HC EYE OINT
OA
GILCHEW IR TABLET CHEW
TC
AH-CHEW D TABLET CHEW
TC
RU-TUSS TABLET
TM
HYDROQUINONE 4% CREAM
KA
RESPA A.R. TABLET SA
TM
HYDROMORPHONE-NS 1 MG/ML
HO
FENTA/BUPIVA/NS 10 MCG/0.1%
IR
FENTA/BUPIVA/NS 10 MCG/0.1%
IR
CORTISPORIN EYE OINTMENT
OA

UNIT PRICE
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40

NDC
62161000420
63304020301
63304020302
63323004710
63323026201
64543008501
64682020015
64682020045
64682020080
66267095535
67204006401
68030798701
68115095635
87701051830
87701051832
00032110101
00046086781
00046086791
00046086799
00046386781
00054364963
00067099012
00067099024
00067399724
00067399842
00067399885
00067399942
00067617185
00074405812
00074690201
00078001705
00078001715
00088110647
00121075908
00135020801
00135020803
00135020901
00135020903
00186115102
00186116003
00247025100
00247025130
00247025190
00277018301
00378204201
00378204293
00395228191
00406770001
00406770034
00440817030
00440817060
00440817090
00482320010

NAME
CYSTADANE POWDER
OPIUM TINCTURE
OPIUM TINCTURE
HEPARIN NA 5,000 UNITS/ML VIAL
HEPARIN NA 5,000 UNITS/ML VIAL
RESCON-JR TABLET SR
PANDEL 0.1% CREAM
PANDEL 0.1% CREAM
PANDEL 0.1% CREAM
NEO/BACIT/POLY/HC EYE OINT
SITREX TABLET SR
PREMARIN 0.9 MG TABLET
NEO-BACIT-POLY-HC EYE OINT
GNP FLU & COLD MEDICINE PKT
BL FLU & COLD MEDICINE PACK
ACEON 2 MG TABLET
PREMARIN 0.625 MG TABLET
PREMARIN 0.625 MG TABLET
PREMARIN 0.625 MG TABLET
PREMARIN 0.625 MG TABLET
ORLAAM ORAL SOLUTION
DESENEX MAX 1% CREAM
DESENEX MAX 1% CREAM
LAMISIL AT 1% CREAM
LAMISIL AT 1% CREAM
LAMISIL AT 1% CREAM
LAMISIL AT 1% CREAM
LAMISIL AT 1% CREAM
MORPHINE 1 MG/ML AMPUL P/F
PEGANONE 250 MG TABLET
PARLODEL 2.5 MG TABLET
PARLODEL 2.5 MG TABLET
ALLEGRA 30 MG TABLET
PREDNISOLONE 15 MG/5 ML SOLN
COMMIT 2 MG LOZENGE
COMMIT 2 MG LOZENGE
COMMIT 4 MG LOZENGE
COMMIT 4 MG LOZENGE
ASTRAMORPH-PF 1 MG/ML AMPUL
ASTRAMORPH-PF 1 MG/ML AMPUL
PREMARIN 0.625 MG TABLET
PREMARIN 0.625 MG TABLET
PREMARIN 0.625 MG TABLET
DALLERGY-JR CAPSULE
BROMOCRIPTINE 2.5 MG TABLET
BROMOCRIPTINE 2.5 MG TABLET
PODOPHYLLUM RESIN POWDER
PODOPHYLLUM RESIN POWDER
PODOPHYLLUM RESIN POWDER
PREMARIN 0.625 MG TABLET
PREMARIN 0.625 MG TABLET
PREMARIN 0.625 MG TABLET
ENTSOL NASAL WASH PACKETS

DOSE FORM DRUG STRENGTH


PA
SX
SX
HV
HV
TS
KA
KA
KA
OA
TM
TA
OA
PP
PP
TA
TA
TA
TA
TA
SJ
KA
KA
KA
KA
KA
KA
KA
HH
TA
TA
TA
TA
SJ
TL
TL
TL
TL
HH
HH
TA
TA
TA
CB
TA
TA
PA
PA
PA
TA
TA
TA
PA

UNIT PRICE
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.40
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41

NDC
00514008420
00525088001
00525613101
00573291030
00573291040
00641111433
00677184201
00766150010
00766150020
00766150030
00766150040
00781181701
00781181731
00978060151
00978060152
00978061100
00978061130
00978061200
00978061300
00978063202
00978064130
00978064151
00978064152
00978066000
08026492500
08026497300
08080500555
08080500777
08080500888
08137005562
08881135068
08881135084
08881522018
08881522026
08881535101
08881535762
08881535796
08884474035
10019000773
10106289800
10106289804
10337071510
10939002522
11584102901
11822348350
12333947701
15127097015
16500002527
16500002529
17191016004
17191016045
17191019003
17191019035

NAME
FLEXFILM 4"X5" DRESSING
PANNAZ TABLET
PALGIC D TABLET
PRIMATENE MIST INH REFILL
PRIMATENE MIST INH REFILL
DURAMORPH 1 MG/ML AMPUL
PHENYLEPHRINE/GG TABLET LA
COMMIT 2 MG LOZENGE
COMMIT 4 MG LOZENGE
COMMIT 2 MG LOZENGE
COMMIT 4 MG LOZENGE
BROMOCRIPTINE 2.5 MG TABLET
BROMOCRIPTINE 2.5 MG TABLET
HEMOCCULT SINGLE SLIDES
HEMOCCULT 2-HOLE SINGL SLID
HEMOCCULT II DISPENSAPAK
HEMOCCULT II DISPENSAPAK
HEMOCCULT II SLIDES/DEVLOPR
HEMOCCULT II SPECIMEN UNIT
HEMOCCULT TAPE KIT
HEMOCCULT II SENSA PLUS
HEMOCCULT SENSA SLIDES
HEMOCCULT SENSA SLIDES
GASTROCCULT KIT
IV 3000 DRESSING 5"X5"
IV 3000 DRESSING 4"X5"
MONOJECT SYRINGE 35 ML
MONOJECT SYRINGE 35 ML
MONOJECT SYRINGE 35 ML
BIOCLUSIVE DRESSING 4" X 5"
SYRINGE W/O NDL 35ML,NONSTR
SYRINGE W/O NDL 35ML,NONSTR
MONOJECT SAFETY SYRINGE
MONOJECT SAFETY SYRINGE
SYRINGE 35ML, PHARM TRAY PK
SYRINGE 35 ML
MONOJECT SYRINGE 35 ML
BLISTERFILM 4"X5" DRESSING
DURAMORPH 1 MG/ML AMPUL
PODOPHYLLUM RESIN POWDER
PODOPHYLLUM RESIN POWDER
LIDAMANTLE HC LOTION
BRONCHIAL MIST INH REFILL
TENCON CAPSULE
RA BRONCHIAL MIST INH REFILL
BRONCHIAL MIST INH REFILL
SB BRONCHIAL MIST REFILL
MYCELEX-3 2% CREAM
MYCELEX-3 2% CREAM
STERILE TWO-FER NEEDLE
STERILE TWO-FER NEEDLE
STERILE TWO-FER NEEDLE
STERILE TWO-FER NEEDLE

DOSE FORM DRUG STRENGTH


YE
TM
TM
AD
AD
HH
TM
TL
TL
TL
TL
TA
TA
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YE
YE
YL
YL
YL
YE
YL
YL
YL
YL
YL
YL
YL
YE
HH
PA
PA
LO
AD
CA
AD
AD
AD
KW
KW
YH
YH
YH
YH

UNIT PRICE
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41

NDC
17204044920
17317042501
17317042502
17317042504
19458900101
25382070004
25382080004
25866005206
25866005208
37205010705
38779004604
38779004605
38779042403
38779042404
38779042405
38779042408
38779042409
38779073300
38779073303
38779073304
38779073308
38779073309
38779073315
38779073325
38779073350
49348002529
49452177501
49452177502
49452245401
49452245402
49452245403
49452245404
49452548001
49452548002
49452549001
49452549002
49452549003
49452550001
49452550002
49999010990
49999050612
50383017708
51234015970
51285005866
51552001604
51552006804
51552064905
51552064907
51674012401
51674012701
51927186500
51927296000
51991009101

NAME
COENZYME Q10 60 MG CAPSULE
PODOPHYLLUM RESIN POWDER
PODOPHYLLUM RESIN POWDER
PODOPHYLLUM RESIN POWDER
ECK EPINEPHRINE MIST INH
DERMAFILM 4"X5" DRESSING
DERMASITE 4"X5" DRESSING
FEMSTAT 3 CREAM
FEMSTAT 3 CREAM
EPINEPHRINE MIST INH REFILL
PODOPHYLLUM RESIN POWDER
PODOPHYLLUM RESIN POWDER
DEHYDROEPIANDROSTERONE POWD
DEHYDROEPIANDROSTERONE POWD
DEHYDROEPIANDROSTERONE POWD
DEHYDROEPIANDROSTERONE POWD
DEHYDROEPIANDROSTERONE POWD
DEHYDROEPIANDROSTERONE POWD
DEHYDROEPIANDROSTERONE POWD
DEHYDROEPIANDROSTERONE POWD
DEHYDROEPIANDROSTERONE POWD
DEHYDROEPIANDROSTERONE POWD
DEHYDROEPIANDROSTERONE POWD
DEHYDROEPIANDROSTERONE POWD
DEHYDROEPIANDROSTERONE POWD
BRONCHIAL MIST INH REFILL
L-CARNITINE POWDER
L-CARNITINE POWDER
DEHYDROEPIANDROSTERONE POWD
DEHYDROEPIANDROSTERONE POWD
DEHYDROEPIANDROSTERONE POWD
DEHYDROEPIANDROSTERONE POWD
PODOPHYLLUM RESIN POWDER
PODOPHYLLUM RESIN POWDER
PODOPHYLLUM RESIN POWDER
PODOPHYLLUM RESIN POWDER
PODOPHYLLUM RESIN POWDER
PODOPHYLLUM RESIN POWDER
PODOPHYLLUM RESIN POWDER
PREMARIN 0.625 MG TABLET
LAMISIL AT 1% CREAM
PREDNISOLONE 15 MG/5 ML SOLN
NUMONYL PEDIATRIC DROPS
SEASONALE 0.15/0.03 MG TAB
PODOPHYLLUM RESIN POWDER
PODOPHYLLUM RESIN POWDER
L-CARNITINE POWDER
L-CARNITINE POWDER
PROLEX D TABLET SA
PROSET D SR TABLET
LEVOCARNITINE POWDER
DEHYDROEPIANDROSTERONE POWD
GUIADEX D TABLET

DOSE FORM DRUG STRENGTH


CA
PA
PA
PA
AD
YE
YE
KW
KW
AD
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
AD
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
TA
KA
SJ
SO
UH
PA
PA
PA
PA
TM
TM
PA
PA
TM

UNIT PRICE
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41

NDC
51991036601
52959022300
52959022330
52959063212
53303014040
53329002645
53567070004
53567080004
54002009045
54002010045
54022207501
54022207502
54022207505
54569081200
54569081205
54569475500
54569520400
54569520401
54569535500
54868045100
54868045101
54868045102
54868045103
54868045106
54868095400
54868110900
54868231600
54868240002
54868322701
54868468500
54868524200
55045272307
55289094307
55289094325
55289094328
55289094330
55515005215
55515005260
56091002457
56091002463
56091002478
57866668101
57866668102
57866668103
57866902401
58016092130
58016094800
58016094810
58016094812
58016094814
58016094815
58016094820
58016094830

NAME
COLDEC D TABLET
PREMARIN 0.625 MG TABLET
PREMARIN 0.625 MG TABLET
LAMISIL AT 1% CREAM
CARRASMART FILM DRESSING
SURESITE DRESSING 4"X5"
DERMAFILM 4"X5" DRESSING
DERMASITE 4"X5" DRESSING
HYPERION DRESSING
HYPERION DRESSING
COENZYME Q10 60 MG SOFTGEL
COENZYME Q10 60 MG SOFTGEL
COENZYME Q10 60 MG SOFTGEL
PREMARIN 0.625 MG TABLET
PREMARIN 0.625 MG TABLET
LAMISIL AT 1% CREAM
ORAPRED 15 MG/5 ML SOLUTION
ORAPRED 15 MG/5 ML SOLUTION
ALLEGRA 30 MG TABLET
PREMARIN 0.625 MG TABLET
PREMARIN 0.625 MG TABLET
PREMARIN 0.625 MG TABLET
PREMARIN 0.625 MG TABLET
PREMARIN 0.625 MG TABLET
ORAPRED 15 MG/5 ML SOLUTION
PHRENILIN FORTE CAPSULE
SEASONALE 0.15/0.03 MG TAB
PRIMATENE MIST INH REFILL
CORDRAN 0.05% LOTION
PHENYLEPHRINE/GG TABLET
PREDNISOLONE 15 MG/5 ML SOLN
LAMISIL AT 1% CREAM
PREMARIN 0.625 MG TABLET
PREMARIN 0.625 MG TABLET
PREMARIN 0.625 MG TABLET
PREMARIN 0.625 MG TABLET
CORDRAN 0.05% LOTION
CORDRAN 0.05% LOTION
BIOCLUSIVE SELECT DRESSING
BIOCLUSIVE DRESSING 4" X 5"
BIOCLUSIVE DRESSING 4"X5"
PREMARIN 0.625 MG TABLET
PREMARIN 0.625 MG TABLET
PREMARIN 0.625 MG TABLET
PARLODEL 2.5 MG TABLET
PARLODEL 2.5 MG TABLET
PREMARIN 0.625 MG TABLET
PREMARIN 0.625 MG TABLET
PREMARIN 0.625 MG TABLET
PREMARIN 0.625 MG TABLET
PREMARIN 0.625 MG TABLET
PREMARIN 0.625 MG TABLET
PREMARIN 0.625 MG TABLET

DOSE FORM DRUG STRENGTH


TM
TA
TA
KA
YE
YE
YE
YE
YE
YE
CA
CA
CA
TA
TA
KA
SJ
SJ
TA
TA
TA
TA
TA
TA
SJ
CA
UH
AD
SK
TM
SJ
KA
TA
TA
TA
TA
SK
SK
YE
YE
YE
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41

NDC
58016094850
58016341601
58864042201
58864042228
59439045502
60258004206
60258026901
60258035101
60432021208
60977001701
60977001703
61924025144
61924025145
62991133901
62991133902
62991164301
62991164302
63370006015
63370006025
63370006035
63370006045
63370006050
63370006055
63370006062
63717011201
65234005610
65234005650
66116028530
66267017430
66685590500
66685590503
67386060101
68030668101
68030668102
68030668103
68030996001
68032010617
68115053300
68135045502
00015301520
00015301597
00015568810
00034051710
00034051712
00034051790
00054479325
00054879311
00065080050
00074195501
00074707726
00076050103
00081073101
00085037001

NAME
PREMARIN 0.625 MG TABLET
LAMISIL 1% CREAM
PREMARIN 0.625 MG TABLET
PREMARIN 0.625 MG TABLET
ORAPRED 15 MG/5 ML SOLUTION
LIDOCAINE-HC 3-0.5% LOTION
GFN/PHENYLEPHRINE TAB SA
NACON TABLET
PREDNISOLONE 15 MG/5 ML SOLN
DURAMORPH 1 MG/ML AMPUL
DURAMORPH 1 MG/ML AMPUL
DERMAVIEW 4"X5" DRESSING
DERMAVIEW 4"X5" DRESSING
DEHYDROEPIANDROSTERONE POWD
DEHYDROEPIANDROSTERONE POWD
ASPARAGINE MONOHYDRATE PWDR
ASPARAGINE MONOHYDRATE PWDR
DEHYDROEPIANDROSTERONE POWD
DEHYDROEPIANDROSTERONE POWD
DEHYDROEPIANDROSTERONE POWD
DEHYDROEPIANDROSTERONE POWD
DEHYDROEPIANDROSTERONE POWD
DEHYDROEPIANDROSTERONE POWD
DEHYDROEPIANDROSTERONE POWD
ICAR-C PLUS SR CAPSULE
PHRENILIN FORTE CAPSULE
PHRENILIN FORTE CAPSULE
PREMARIN 0.625 MG TABLET
PREMARIN 0.625 MG TABLET
BROMOCRIPTINE 2.5 MG TABLET
BROMOCRIPTINE 2.5 MG TABLET
PEGANONE 250 MG TABLET
PREMARIN 0.625 MG TABLET
PREMARIN 0.625 MG TABLET
PREMARIN 0.625 MG TABLET
PREMARIN 0.625 MG TABLET
LIDOCAINE-HC 3-0.5% LOTION
ALLEGRA 30 MG TABLET
ORAPRED 15 MG/5 ML SOLUTION
AMIKIN 50 MG/ML VIAL
AMIKIN PEDIATRIC 50 MG/ML VIAL
NALDECON DX LIQUI-GELS
MS CONTIN 100 MG TABLET SA
MS CONTIN 100 MG TABLET SA
MS CONTIN 100 MG TABLET SA
ORAMORPH SR 100 MG TABLET SA
ORAMORPH SR 100 MG TABLET SA
BSS PLUS EYE SOLUTION
AMIKACIN 50 MG/ML VIAL
POTASSIUM CL 40 MEQ/0.1L SOL
UROLENE BLUE 65 MG TABLET
NEOSPORIN LT LIP TREATMENT
ELOCON 0.1% OINTMENT

DOSE FORM DRUG STRENGTH


TA
KA
TA
TA
SJ
SK
TM
TM
SJ
HH
HH
YE
YE
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
CM
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
SK
TA
SJ
HV
HV
CA
TS
TS
TS
TS
TS
SW
HV
HP
TA
OA
OA

UNIT PRICE
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.41
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42

NDC
00085037002
00087077141
00087077142
00087078446
00087082481
00093520005
00093520006
00093721701
00168027115
00168027146
00168035730
00168035755
00172405843
00172405848
00172405860
00185560001
00186151601
00245016901
00247006402
00247006407
00247006410
00247006412
00247006414
00247006415
00247006420
00247006430
00247048315
00247081007
00247081014
00247081030
00259412604
00259412615
00259412630
00259412660
00314069530
00338070348
00378009201
00378117591
00378617401
00406839001
00406839005
00406839062
00409195501
00430078019
00456333001
00456333060
00482015706
00496077804
00496085904
00516005301
00517741025
00555058202
00555058210

NAME
ELOCON 0.1% OINTMENT
K-LYTE DS TABLET EFF
K-LYTE DS TABLET EFF
DURICEF 500 MG CAPSULE
BUSPAR 30 MG TABLET
BUSPIRONE HCL 30 MG TABLET
BUSPIRONE HCL 30 MG TABLET
METOLAZONE 10 MG TABLET
MOMETASONE FUROATE 0.1% OINT
MOMETASONE FUROATE 0.1% OINT
LIDOCAINE-PRILOCAINE CREAM
LIDOCAINE-PRILOCAINE CREAM
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
METOLAZONE 10 MG TABLET
EMLA CREAM
CLENIA EMOLLIENT CREAM
DURICEF 500 MG CAPSULE
DURICEF 500 MG CAPSULE
DURICEF 500 MG CAPSULE
DURICEF 500 MG CAPSULE
DURICEF 500 MG CAPSULE
DURICEF 500 MG CAPSULE
DURICEF 500 MG CAPSULE
DURICEF 500 MG CAPSULE
PILOCARPINE 3% EYE DROPS
MAPROTILINE 75 MG TABLET
MAPROTILINE 75 MG TABLET
MAPROTILINE 75 MG TABLET
NAFTIN 1% CREAM
NAFTIN 1% CREAM
NAFTIN 1% CREAM
NAFTIN 1% CREAM
KEY-PRED 25 25 MG/ML VIAL
POTASSIUM CL 40 MEQ/0.1L SOL
MAPROTILINE 75 MG TABLET
BUSPIRONE HCL 30 MG TABLET
METOLAZONE 10 MG TABLET
MORPHINE SULF 100 MG TAB SA
MORPHINE SULF 100 MG TAB SA
MORPHINE SULF 100 MG TAB SA
AMIKACIN 50 MG/ML VIAL
DURICEF 500 MG CAPSULE
CAMPRAL 333 MG DR TABLET
CAMPRAL 333 MG DOSE PAK
GLUTOFAC-MX CAPLET
ANALPRAM-HC 1% CREAM
HYDROCORTISONE 2.5% CREAM
POTABA POWDER
MULTITRACE-4 VIAL
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE

DOSE FORM DRUG STRENGTH


OA
TF
TF
CA
TA
TA
TA
TA
OA
OA
KA
KA
CA
CA
CA
TA
KA
KA
CA
CA
CA
CA
CA
CA
CA
CA
SO
TA
TA
TA
KA
KA
KA
KA
HV
HP
TA
TA
TA
TS
TS
TS
HV
CA
TE
UD
TA
KA
KW
PA
HV
CA
CA

UNIT PRICE
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42

NDC
00573330109
00573330118
00591061701
00603725141
00781705803
00781705805
00781705839
00781706819
00781706827
05461010100
08011120608
08011120610
08011120612
08011120616
08011120618
08011165816
08011165818
08011166816
08011166818
08011277708
08011277710
08011277712
08011277716
08011277718
08011806316
08011806318
08011806516
08011806518
08080141600
08080141900
08080161200
08080161600
08080161900
08080271800
08080281900
08080356000
08080356300
08080360100
08080360700
08080400000
08080401200
08080401300
08080407100
08080407400
08080841200
08080841600
08080841800
08219141600
08219141900
08219161200
08219161600
08219161900
08219271800

NAME
SEMICID SUPPOSITORY
SEMICID SUPPOSITORY
MORPHINE SULF 100 MG TAB SA
PILOCARPINE 3% EYE DROPS
LIDOCAINE-PRILOCAINE CREAM
LIDOCAINE-PRILOCAINE CREAM
LIDOCAINE-PRILOCAINE CREAM
MOMETASONE FUROATE 0.1% ONT
MOMETASONE FUROATE 0.1% ONT
INJEX 30 AMPULE
BARD CATHETER 8FR
BARD CATHETER 10FR
BARD CATHETER 12FR
BARD CATHETER 16FR
BARD CATHETER 18FR
BARDEX SILICON FOLEY CATHET
BARDEX SILICON FOLEY CATHET
BARDEX SILICON FOLEY CATHET
BARDEX SILICON FOLEY CATHET
BARD RUBBER UTILITY CATHETR
BARD RUBBER UTILITY CATHETR
BARD RUBBER UTILITY CATHETR
BARD RUBBER UTILITY CATHETR
BARD RUBBER UTILITY CATHETR
DAVOL SILICONE FOLEY CATH
DAVOL SILICONE FOLEY CATH
DAVOL SILICONE FOLEY CATH
DAVOL SILICONE FOLEY CATH
CURITY ULTRAMER 2-WAY CATH
CURITY ULTRAMER 2-WAY CATH
CURITY ULTRAMER 2-WAY CATH
CURITY ULTRAMER 2-WAY CATH
CURITY ULTRAMER 2-WAY CATH
CURITY ULTRMR IRRG 3WY CATH
CURITY ULTRMR IRRG 3WY CATH
FOLEY CATHETER
FOLEY CATHETER
FOLEY CATHETER
FOLEY CATHETER
FOLEY CATH SILICON RETN 5 ML
FOLEY CATH SILICON RETN 5 ML
FOLEY CATH SILICON RET 30 ML
CURITY FOLEY 2-WAY PED CATH
CURITY FOLEY 2-WAY PED CATH
CURITY ULTRAMER URETH CATH
CURITY ULTRAMER URETH CATH
CURITY ULTRAMER URETH CATH
CURITY ULTRAMER CATH 16FR
CURITY ULTRAMER CATH 18FR
CURITY ULTRAMER CATH 12FR
CURITY ULTRAMER CATH 16FR
CURITY ULTRAMER CATH 18FR
CURITY ULTRMR IRRIGATN CATH

DOSE FORM DRUG STRENGTH


QC
QC
TS
SO
KA
KA
KA
OA
OA
HR
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42

NDC
08219281900
08219356000
08219356300
08219360100
08219360700
08219400000
08219400300
08219401200
08219401300
08219407100
08219407400
08219411600
08219411800
08219440800
08219441000
08219441200
08219441600
08219441800
08219452000
08219840400
08219840800
08219841000
08219841200
08219841600
08219841800
08327030909
08380080085
08380080103
08380080105
08380080123
08380080163
08380080183
08380090082
08380090102
08380090104
08380090122
08380090124
08380090164
08380090184
08380094104
08380094124
08380096064
08887605122
08887605163
08887605189
08887625120
08887625161
08887625187
08887626169
08887626185
08887630187
08887635160
08887635186

NAME
CURITY ULTRMR IRRIGATN CATH
KENGUARD FOLEY CATHETER
KENGUARD FOLEY CATHETER
KENGUARD FOLEY CATHETER
KENGUARD FOLEY CATHETER
CURITY FOLEY CATHETER 16FR
CURITY FOLEY CATHETER 12FR
CURITY FOLEY CATHETER 18FR
CURITY FOLEY CATHETER 18FR
CURITY FOLEY CATHETER 8FR
CURITY FOLEY CATHETER 10FR
CURITY FOLEY CATHETER 16FR
CURITY FOLEY CATHETER 18FR
CURITY URETHRAL CATHETER
CURITY URETHRAL CATHETER
CURITY URETHRAL CATHETER
CURITY URETHRAL CATHETER
CURITY URETHRAL CATHETER
CURITY FOLEY CATHETER 16FR
CURITY ULTRAMER URETH CATH
CURITY ULTRAMER URETH CATH
CURITY ULTRAMER URETH CATH
CURITY ULTRAMER URETH CATH
CURITY ULTRAMER URETH CATH
CURITY ULTRAMER URETH CATH
SILVASORB GEL
ADVANCE HYDRO SOFT CATHETER
ADVANCE HYDRO SOFT CATHETER
ADVANCE HYDRO SOFT CATHETER
ADVANCE HYDRO SOFT CATHETER
ADVANCE HYDRO SOFT CATHETER
ADVANCE HYDRO SOFT CATHETER
INCARE INTERMITTEN CATHETER
INCARE INTERMITTEN CATHETER
INCARE INTERMITTEN CATHETER
INCARE INTERMITTEN CATHETER
INCARE INTERMITTEN CATHETER
INCARE INTERMITTEN CATHETER
INCARE INTERMITTEN CATHETER
ADVANCE PLUS INTER CATHETER
ADVANCE PLUS INTER CATHETER
ADVANCE PLUS INTER CATHETER
SILICONE FOLEY CATHETER
SILICONE FOLEY CATHETER
SILICONE FOLEY CATHETER
LATEX TEFLON COATED CATH
LATEX TEFLON COATED CATH
LATEX TEFLON COATED CATH
LATEX TEFLON COATED CATH
LATEX TEFLON COATED CATH
SILICONE FOLEY CATHETER
LATEX TEFLN COAT FOLEY CATH
LATEX TEFLN COAT FOLEY CATH

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
JC
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42

NDC
08887645169
08887645185
08887655127
08887655168
08887655184
08887660085
08887660101
08887660127
08887660168
08887660184
08887660309
08887660317
08887660325
08887660341
08887660358
08887666165
08887666181
08887685165
08887685181
10892011410
11584047601
18270010030
24208081115
45802011937
45802011942
48723000111
48723000333
48723000666
49197000001
49197001001
49326043290
49452007001
49452007002
49999002114
49999002120
50383066730
50419034405
50419034407
50419034410
50419034412
50419034415
50419034421
50419034450
50419034458
50486022112
51079099401
51079099420
51672131101
51672131106
52238075315
52747080030
52747080060
52925011201

NAME
LATEX TEFLN COAT 3-WAY CATH
LATEX TEFLN COAT 3-WAY CATH
LATEX TEFLN COAT FOLEY CATH
LATEX TEFLN COAT FOLEY CATH
LATEX TEFLN COAT FOLEY CATH
RED RUBBER ROBINSON CATH
RED RUBBER ROBINSON CATH
RED RUBBER ROBINSON CATH
RED RUBBER ROBINSON CATH
RED RUBBER ROBINSON CATH
ROB-NEL STRAIGHT CATHETER
ROB-NEL STRAIGHT CATHETER
ROB-NEL STRAIGHT CATHETER
ROB-NEL STRAIGHT CATHETER
ROB-NEL STRAIGHT CATHETER
LATEX TEFLN COAT 3-WAY CATH
LATEX TEFLN COAT 3-WAY CATH
LATEX TEFLON COAT FOLEY KIT
LATEX TEFLON COAT FOLEY KIT
FETRIN CAPSULE SA
RELAGESIC TABLET
INJEX 30 AMPULE
PILOCARPINE 3% EYE DROPS
MOMETASONE FUROATE 0.1% ONT
MOMETASONE FUROATE 0.1% ONT
VCF CONTRACEPTIVE FILM
VCF CONTRACEPTIVE FILM
VCF CONTRACEPTIVE FILM
PROMENSIL TABLET
TRINOVIN TABLET
ANANA 50,000 UNITS TABLET
ACETYLCHOLINE CL POWDER
ACETYLCHOLINE CL POWDER
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
LIDOCAINE-PRILOCAINE CREAM
ULTRAVIST 300 MG/ML VIAL
ULTRAVIST 300 MG/ML VIAL
ULTRAVIST 300 MG/ML VIAL
ULTRAVIST 300 MG/ML VIAL
ULTRAVIST 300 MG/ML VIAL
ULTRAVIST 300 MG/ML VIAL
ULTRAVIST 300 MG/ML VIAL
ULTRAVIST 300 MG/ML VIAL
ENCARE SUPPOSITORY
BUSPIRONE HCL 30 MG TABLET
BUSPIRONE HCL 30 MG TABLET
MOMETASONE FUROATE 0.1% OINT
MOMETASONE FUROATE 0.1% OINT
PILOPTIC-3 EYE DROPS
HEMOCYTE PLUS CAPSULE
HEMOCYTE PLUS CAPSULE
VCF CONTRACEPTIVE FILM

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
CS
TA
HR
SO
OA
OA
FI
FI
FI
TA
TA
TA
PA
PA
CA
CA
KA
VI
VI
VI
VI
VI
VI
VI
VI
QC
TA
TA
OA
OA
SO
CA
CA
FI

UNIT PRICE
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42

NDC
52925011202
52925011203
52925011204
52959005610
52959005614
52959005620
52959042810
52959042814
52959042816
52959042818
52959042820
52959050001
52959068760
53014083571
53014083572
53014083590
53809030260
53879030530
54569010801
54569010802
54569432300
54569439100
54569439101
54569439102
54569520800
54569520900
54569526101
54868001700
54868001701
54868040701
54868040704
54868222500
54868251000
54868374201
54868374202
54868374203
54868511900
54868511901
54868511902
54868519400
54868529300
55045242601
55045242602
55045242607
55289005606
55289005610
55289005614
55289005620
55289040510
55289040514
55289040520
55289058910
55289058914

NAME
VCF CONTRACEPTIVE FILM
VCF CONTRACEPTIVE FILM
VCF CONTRACEPTIVE FILM
DURICEF 500 MG CAPSULE
DURICEF 500 MG CAPSULE
DURICEF 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
ANALPRAM-HC 1% CREAM
BUSPAR 30 MG TABLET
ZAROXOLYN 10 MG TABLET
ZAROXOLYN 10 MG TABLET
ZAROXOLYN 10 MG TABLET
LIPEX 10 MG TABLET
FERRO-PLEX VIAL
DURICEF 500 MG CAPSULE
DURICEF 500 MG CAPSULE
EMLA CREAM
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
ELOCON 0.1% OINTMENT
ELOCON 0.1% OINTMENT
NIASPAN 1,000 MG TABLET SA
NIASPAN 1,000 MG TABLET SA
NIASPAN 1,000 MG TABLET SA
DURICEF 500 MG CAPSULE
DURICEF 500 MG CAPSULE
ELOCON 0.01% OINTMENT
PROCTOCREAM-HC 1% CREAM
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
METOLAZONE 10 MG TABLET
METOLAZONE 10 MG TABLET
METOLAZONE 10 MG TABLET
LIDOCAINE-PRILOCAINE CREAM
CAMPRAL 333 MG DOSE PAK
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
DURICEF 500 MG CAPSULE
DURICEF 500 MG CAPSULE
DURICEF 500 MG CAPSULE
DURICEF 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE

DOSE FORM DRUG STRENGTH


FI
FI
FI
CA
CA
CA
CA
CA
CA
CA
CA
KA
TA
TA
TA
TA
TA
HV
CA
CA
KA
CA
CA
CA
OA
OA
TS
TS
TS
CA
CA
OA
KA
CA
CA
CA
TA
TA
TA
KA
UD
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA

UNIT PRICE
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42

NDC
55289058920
55390022302
55390022502
55887020930
55887089310
55887089312
55887089315
55887089320
55887089330
56091006903
56091006923
57866705301
57866705302
57866713103
57929020051
57929020053
57929020054
57929020304
57929023050
57929023052
57929023053
57929023300
57929023302
57929023303
57929023502
57929023503
57929023521
57929023523
57929023524
58016011900
58016011902
58016011903
58016011910
58016011912
58016011914
58016011915
58016011920
58016011925
58016011930
58016011940
58016011960
58016011973
58016011989
58016011990
58016058300
58016058330
58016058360
58016058390
58016328801
58864063620
58869042101
59011026305
59011026310

NAME
CEFADROXIL 500 MG CAPSULE
AMIKACIN 50 MG/ML VIAL
AMIKACIN 50 MG/ML VIAL
LIDOCAINE-PRILOCAINE CREAM
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
KLING CONFORMING GAUZE BNDG
KLING CONFORMING GAUZE BNDG
MORPHINE SULF ER 100 MG TAB
MORPHINE SULF ER 100 MG TAB
CEPHADROXIL 500 MG CAPSULE
FOLEY CATHETER-100%SILICONE
FOLEY CATHETER-100%SILICONE
FOLEY CATHETER-100%SILICONE
FOLEY CATHETER-100%SILICONE
FOLEY CATH SILICONE COATED
FOLEY CATH SILICONE COATED
FOLEY CATH SILICONE COATED
FOLEY CATH SILICONE COATED
FOLEY CATH SILICONE COATED
FOLEY CATH SILICONE COATED
URETHRAL CATH RED RUBBER
URETHRAL CATH RED RUBBER
URETHRAL CATHETER-PLASTIC
URETHRAL CATHETER-PLASTIC
URETHRAL CATHETER-PLASTIC
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
NIASPAN 1,000 MG TABLET SA
NIASPAN 1,000 MG TABLET SA
NIASPAN 1,000 MG TABLET SA
NIASPAN 1,000 MG TABLET SA
NAFTIN 1% CREAM
CEFADROXIL 500 MG CAPSULE
TOURO EX 575 MG CAPLET SA
MS CONTIN 100 MG TABLET SA
MS CONTIN 100 MG TABLET SA

DOSE FORM DRUG STRENGTH


CA
HV
HV
KA
CA
CA
CA
CA
CA
YE
YE
TS
TS
CA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
TS
TS
TS
TS
KA
CA
TS
TS
TS

UNIT PRICE
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42

NDC
59011026312
59243065010
59741013630
59772727103
59772727104
60575007819
60598000301
60951065870
60951065885
61553071448
61787005412
63304058201
63304058250
63323008103
63323008110
63323008730
63717003704
64011013611
65580064571
65880040045
65880040245
66267004510
66267004514
66267004520
66267004524
66267004528
68115006724
68115073560
68115078000
68220003610
70074050112
70074050114
81317000308
81317000310
81317030800
81317031000
81317040500
81317040600
81317062500
81317065000
81317070500
81317070600
81317072000
81317072200
81317080600
81317082000
81317082200
81317086000
81317702600
81317702800
99207074404
00004028022
00007351420

NAME
MORPHINE SO4 100MG TAB,SA
RHINOFLEX-650 TABLET
BIODEC DROPS
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
RESPA-DM TABLET SA
NIASPAN 1,000 MG TABLET SA
MORPHINE SULF 100 MG TAB SA
MORPHINE SULF 100 MG TAB SA
DILTIAZEM-D5W 100 MG/100 ML
DIABETIC TUSSIN DM SOFTGEL
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
M.T.E.-4 VIAL
M.T.E.-4 VIAL
M.T.E.-4 VIAL
SUPHERA CREAM
NIFEREX-150 FORTE CAPSULE
METOLAZONE 10 MG TABLET
AVAR-E EMOLLIENT CREAM
AVAR-E GREEN CREAM
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
CEFADROXIL 500 MG CAPSULE
BUSPIRONE HCL 30 MG TABLET
NIFEREX-150 FORTE CAPSULE
HEXAFLU TABLET
FLEXIFLO EASY-FEED TUBE
FLEXIFLO EASY-FEED TUBE
SELF-CATH PEDI 8FR-10" CATH
SELF-CATH 10FR-10" CATHETER
SELF-CATH 8FR-10" PEDI CATH
SELF-CATH 10FR-10" PED CATH
SELF-CATH 5FR-16" CATHETER
SELF-CATH 6FR-16" CATHETER
FEMALE SPECIMEN 8FR CATHETR
SELF-CATH TELE-CATH
URETHRAL CATHETER 5FR-16"
URETHRAL CATHETER 6FR-16"
URETHRAL CATHETER 20FR-16"
URETHRAL CATHETER 22FR-16"
SELF-CATH 6FR-16" CATHETER
SELF-CATH 20FR-16" CATHETER
SELF-CATH 22FR-16" CATHETER
SELF-CATH 6FR-16" CATHETER
CONTINENT URINARY CATH 16FR
CONTINENT URINARY CATH 18FR
PLEXION SCT CREAM
KLONOPIN WAFERS 0.25 MG
DEXEDRINE SPANSULE 15 MG

DOSE FORM DRUG STRENGTH


TS
TA
SO
CA
CA
TM
TS
TS
TS
HZ
CA
CA
CA
HV
HV
HV
KA
CA
TA
KA
KA
CA
CA
CA
CA
CA
CA
TA
CA
TA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
KA
UL
CS

UNIT PRICE
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.42
$
0.43
$
0.43

NDC
00023024004
00023066704
00026060130
00026060135
00029321113
00029321120
00029321121
00043046706
00046082981
00053720102
00067546706
00067608706
00074318813
00074318850
00074427301
00089034210
00093112201
00115702401
00115702405
00115705801
00186103391
00186108805
00186108839
00186109005
00186109039
00228267111
00228267150
00270083260
00281026218
00281736339
00310011710
00378206401
00406896201
00447022000
00555095602
00573058507
00591578301
00603724073
00641036725
00677148101
00703352401
00703352403
00781199101
00884519215
00904516838
00904567761
00904788260
08137005551
08195503301
08219110900
08219611200
08219939000
08380009911

NAME
REFRESH P.M. OINTMENT
REFRESH P.M. OINTMENT P/F
PROLASTIN 500 MG VIAL
PROLASTIN 1,000 MG VIAL
PAXIL 20 MG TABLET
PAXIL 20 MG TABLET
PAXIL 20 MG TABLET
THERAFLU COLD & SORE THROAT
LODINE XL 400 MG TABLET SA
ZEMAIRA 1,000 MG VIAL
THERAFLU FLU/COLD MEDICINE
THERAFLU COLD & SORE THROAT
BIAXIN 250 MG/5 ML SUSPENSION
BIAXIN 250 MG/5 ML SUSPENSION
BUPIVACAINE 0.5% AMPUL
THEOLAIR 125 MG TABLET
ETODOLAC 400 MG TABLET SA
LIPRAM-CR20 CAPSULE SA
LIPRAM-CR20 CAPSULE SA
PANCRELIPASE 16,000 UNITS TAB
SENSORCAINE 0.5% AMPUL
TOPROL XL 25 MG TABLET SA
TOPROL XL 25 MG TABLET SA
TOPROL XL 50 MG TABLET SA
TOPROL XL 50 MG TABLET SA
ETODOLAC 400 MG TABLET SA
ETODOLAC 400 MG TABLET SA
DIATRIZOATE MEGLUM 76% VIAL
CHROMAGEN FORTE CAPSULE
TYMPAGESIC EAR DROPS
TENORETIC 100 TABLET
ATENOLOL/CHLORTHAL 100/25
D-AMPHETAMINE 15 MG CAP SA
TEMCON FEVER INDICATOR STRP
D-AMPHETAMINE 15 MG CAP SA
COMPOUND W GEL
ATENOLOL/CHLORTHAL 100/25
EAR-GESIC DROPS
DEXAMETHASONE 10 MG/ML VIAL
ATENOLOL/CHLORTHAL 100/25
DEXAMETHASONE 10 MG/ML VIAL
DEXAMETHASONE 10 MG/ML VIAL
PAROXETINE HCL 20 MG TABLET
SAL-PLANT 17% GEL
LUBRIFRESH PM OINTMENT
PAROXETINE HCL 20 MG TABLET
ATENOLOL/CHLORTHAL 100/25
ADAPTIC NON-ADHER DRESS 3"X3"
POLYMEM 3"X 3" DRESSING
TELFA CLEAR WOUND DRESSING
CURITY NON-ADHERING DRESS
CURAFOAM 2" X 2" DRESSING
WOUND EXUDATE ABSORBR GRANL

DOSE FORM DRUG STRENGTH


OA
OA
HS
HS
TA
TA
TA
PP
TI
HS
PP
PP
PD
PD
HH
TA
TI
CE
CE
TA
HH
TI
TI
TI
TI
TI
TI
HV
CA
SO
TA
TA
CS
EA
CS
JG
TA
SO
HV
TA
HV
HV
TA
JG
OA
TA
TA
YE
YE
YE
YE
YE
PG

UNIT PRICE
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43

NDC
08380009914
09958008940
10337020106
10337020115
10337020203
10337020206
10337020302
10337020305
10939073711
11017020420
11017023523
11017023525
11017023532
11298000150
11298000300
11298000301
11298000302
11298000303
12280005000
12333902101
12333902201
12333902301
15127052446
15127099946
19458906901
37205013479
38703007970
38779020304
38779020305
38779020308
38779020310
38779020315
38779020325
38779169804
38779169805
38779169808
41163011891
41163032533
48107004975
49326029877
49326037704
49348073701
49614030808
49614040205
49614050181
49669580001
49669580002
49756046011
49756046109
49884087701
49884087705
49884087711
51234016315

NAME
WOUND EXUDATE ABSORBR GRANL
COMPDRESS ISLAND 2"X2" DRES
TRANS-VER-SAL PEDIA PTCH KT
TRANS-VER-SAL PEDIA PTCH KT
TRANS-VER-SAL ADULT PTCH KT
TRANS-VER-SAL ADULT PTCH KT
TRANS-VER-SAL PLANTAR PTCH
TRANS-VER-SAL PLANTAR PTCH
FOREHEAD THERMOMETER
DUOPLANT 17% GEL
LOTRIMIN ULTRA 1% CREAM
LOTRIMIN ULTRA 1% CREAM
LOTRIMIN ULTRA 1% CREAM
A-D-S, ADHESIVE DISCS 4"
ADHESIVE DISC DOUBLE-SIDED
ADHESIVE DISCS 4" OPENING
ADHESIVE FOAM PADS 3 1/2"
ADHESIVE FOAM PADS 4" OD
TOPROL XL 50 MG TABLET SA
LIP BALM
LIP BALM
LIP BALM
SB FLU & COLD PACKET
SB FLU & COLD PACKET
ECK FOREHEAD THERMOMETER
DRY EYES OINTMENT
THERMOMETER FEVER STRIP
CHLORAMPHENICOL POWDER
CHLORAMPHENICOL POWDER
CHLORAMPHENICOL POWDER
CHLORAMPHENICOL POWDER
CHLORAMPHENICOL POWDER
CHLORAMPHENICOL POWDER
DICLOFENAC SODIUM POWDER
DICLOFENAC SODIUM POWDER
DICLOFENAC SODIUM POWDER
FLU & COLD MEDICINE PACKET
FLU & COLD MEDICINE PACKET
PYCNOGENOL 50 MG CAPSULE
ALBATUSSIN DM PEDIATRIC DRP
RICOTUSS SUSPENSION
FOREHEAD THERMOMETER
ARTIFICIAL TEAR OINTMENT
MEDI-CHAP LIP BALM
DISPOSABLE THERMOMETER
ARALAST 500 MG VIAL
ARALAST 1,000 MG VIAL
MULTIPAD DRESSING 2"X2"
SOFSORB WOUND DRESSING 3X3"
PAROXETINE HCL 20 MG TABLET
PAROXETINE HCL 20 MG TABLET
PAROXETINE HCL 20 MG TABLET
OTOGESIC EAR DROPS

DOSE FORM DRUG STRENGTH


PG
YE
KI
KI
KI
KI
KI
KI
EA
JG
KA
KA
KA
ZP
ZP
ZP
ZP
ZP
TI
EH
EH
EH
PP
PP
EA
OA
EA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PP
PP
CA
SO
SC
EA
OA
EH
EA
HS
HS
YE
YE
TA
TA
TA
SO

UNIT PRICE
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43

NDC
51234016977
51284046880
51285096202
51285096225
51552046104
51552048204
51552048205
51552048206
51552048216
51672405101
51672405104
51927148400
51927185900
51991041101
51991041102
51991065401
52604050601
52604050602
52959036012
52959036015
52959036020
52959036030
52959036060
52959046714
52959046730
53489053201
54569124700
54569381000
54569389700
54569444100
54569446400
54569554100
54569554101
54569560600
54868116200
54868145901
54868197800
54868297600
54868297602
54868306400
54868338400
54868358700
54868358701
54868358702
54868358703
54868358704
54868390100
54868390101
54868390102
54868466100
54868466101
54868466102
54868475800

NAME
NUMONYL PEDIATRIC DROPS
ZILACTIN LIP BALM
PALPEON DR 20 CAPSULE SA
PALPEON DR 20 CAPSULE SA
CHLORAMPHENICOL POWDER
DICLOFENAC SODIUM POWDER
DICLOFENAC SODIUM POWDER
DICLOFENAC SODIUM POWDER
DICLOFENAC SODIUM POWDER
ETODOLAC 400 MG TABLET SA
ETODOLAC 400 MG TABLET SA
CHLORAMPHENICOL POWDER
DICLOFENAC SODIUM POWDER
PALCAPS 20 CAPSULE
PALCAPS 20 CAPSULE
PANOKASE-16 TABLET
PANTHODERM CREAM
PANTHODERM CREAM
PAXIL 20 MG TABLET
PAXIL 20 MG TABLET
PAXIL 20 MG TABLET
PAXIL 20 MG TABLET
PAXIL 20 MG TABLET
LODINE XL 400 MG TABLET SA
LODINE XL 400 MG TABLET SA
ATENOLOL/CHLORTHAL 100/25
NYSTATIN VAGINAL TABLET
PAXIL 20 MG TABLET
BIAXIN 250 MG/5 ML SUSPENSION
TOPROL XL 50 MG TABLET SA
LODINE XL 400 MG TABLET SA
PAROXETINE HCL 20 MG TABLET
PAROXETINE HCL 20 MG TABLET
BENICAR 20 MG TABLET
REFRESH P.M. OINTMENT
NYSTATIN VAGINAL TABLET
ETODOLAC 400 MG TABLET SA
PAXIL 20 MG TABLET
PAXIL 20 MG TABLET
ATENOLOL/CHLORTHAL 100/25
BIAXIN 250 MG/5 ML SUSPENSION
TOPROL XL 50 MG TABLET SA
TOPROL XL 50 MG TABLET SA
TOPROL XL 50 MG TABLET SA
TOPROL XL 50 MG TABLET
TOPROL XL 50 MG TABLET SA
LODINE XL 400 MG TABLET SA
LODINE XL 400 MG TABLET SA
LODINE XL 400 MG TABLET SA
TOPROL XL 25 MG TABLET SA
TOPROL XL 25 MG TABLET SA
TOPROL XL 25 MG TABLET SA
DEXEDRINE SPANSULE 15 MG

DOSE FORM DRUG STRENGTH


SO
EH
CE
CE
PA
PA
PA
PA
PA
TI
TI
PA
PA
CE
CE
TA
KA
KA
TA
TA
TA
TA
TA
TI
TI
TA
TA
TA
PD
TI
TI
TA
TA
TA
OA
TA
TI
TA
TA
TA
PD
TI
TI
TI
TI
TI
TI
TI
TI
TI
TI
TI
CS

UNIT PRICE
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43

NDC
54868475801
54868493700
54868493701
54868498600
54868498601
54868519100
55289021630
55289023720
55289085530
55289098830
55887054930
55887054960
56091002012
57866004508
57866561402
58016033100
58016033130
58016033160
58016033190
58016037300
58016037302
58016037330
58016037360
58016037390
58016048500
58016048502
58016048510
58016048512
58016048515
58016048520
58016048525
58016048530
58016048540
58016048550
58016048560
58016048570
58016048580
58016048590
58016086700
58016086702
58016086730
58016086760
58016086790
58016097400
58016097430
58016097460
58016097490
58016323301
58016323401
58016642301
58016900501
58177003004
58177027717

NAME
DEXEDRINE SPANSULE 15 MG
PAROXETINE HCL 20 MG TABLET
PAROXETINE HCL 20 MG TABLET
BENICAR 20 MG TABLET
BENICAR 20 MG TABLET
PRIMACARE COMBO PACK
PAXIL 20 MG TABLET
LODINE XL 400 MG TABLET SA
TOPROL XL 50 MG TABLET SA
ATENOLOL/CHLORTHAL 100/25
PAXIL 20 MG TABLET
PAXIL 20 MG TABLET
ADAPTIC DRESSING 3" X 3"
PAXIL 20 MG TABLET
PAXIL 20 MG TABLET
ATENOLOL-CHLORTHALIDONE 100/25
ATENOLOL-CHLORTHALIDONE 100/25
ATENOLOL-CHLORTHALIDONE 100/25
ATENOLOL-CHLORTHALIDONE 100/25
TOPROL XL 50 MG TABLET SA
TOPROL XL 50 MG TABLET SA
TOPROL XL 50 MG TABLET SA
TOPROL XL 50 MG TABLET SA
TOPROL XL 50 MG TABLET SA
PAXIL 20 MG TABLET
PAXIL 20 MG TABLET
PAXIL 20 MG TABLET
PAXIL 20 MG TABLET
PAXIL 20 MG TABLET
PAXIL 20 MG TABLET
PAXIL 20 MG TABLET
PAXIL 20 MG TABLET
PAXIL 20 MG TABLET
PAXIL 20 MG TABLET
PAXIL 20 MG TABLET
PAXIL 20 MG TABLET
PAXIL 20 MG TABLET
PAXIL 20 MG TABLET
ETODOLAC 400 MG TABLET SA
ETODOLAC 400 MG TABLET SA
ETODOLAC 400 MG TABLET SA
ETODOLAC 400 MG TABLET SA
ETODOLAC 400 MG TABLET SA
TOPROL XL 25 MG TABLET SA
TOPROL XL 25 MG TABLET SA
TOPROL XL 25 MG TABLET SA
TOPROL XL 25 MG TABLET SA
TRANS-VER-SAL 15% PATCH KIT
TRANS-VER-SAL 15% PATCH KIT
TYMPAGESIC EAR DROPS
NYSTATIN VAGINAL TABLET
PANGESTYME CN 20 CAPSULE EC
GUAIFENEX-RX DM TABLET SA

DOSE FORM DRUG STRENGTH


CS
TA
TA
TA
TA
ZD
TA
TI
TI
TA
TA
TA
YE
TA
TA
TA
TA
TA
TA
TI
TI
TI
TI
TI
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TI
TI
TI
TI
TI
TI
TI
TI
TI
YK
YK
SO
TA
CE
TO

UNIT PRICE
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43

NDC
58790000115
58864037215
58864037230
58864074115
58864074130
58864076530
58914011610
58914011650
59879012601
60258018901
60429073501
60429073505
60429073530
60505008301
60505008302
60505008304
61553063375
61553082441
61553082548
62037084601
62037084610
62037084630
62794015102
62794015103
62991202401
62991202402
62991202403
63044063321
63323050601
64011002411
64011002419
64011014628
64376071515
64980010901
65473070509
65473071801
65597010310
65597010330
65597010390
68084004500
68084004501
68084004505
68084004530
68084004580
68084004585
68084004590
68115026730
68115041930
68115074000
68115074030
68115074100
68774030329
68774030335

NAME
THERA TEARS 0.25% EYE DROPS
PAXIL 20 MG TABLET
PAXIL 20 MG TABLET
PAROXETINE HCL 20 MG TABLET
PAROXETINE HCL 20 MG TABLET
TOPROL XL 50 MG TABLET SA
VIOKASE 16 TABLET
VIOKASE 16 TABLET
PANCRON 20 CAPSULE SA
FERROGELS FORTE SOFTGEL
PAROXETINE HCL 20 MG TABLET
PAROXETINE HCL 20 MG TABLET
PAROXETINE HCL 20 MG TABLET
PAROXETINE HCL 20 MG TABLET
PAROXETINE HCL 20 MG TABLET
PAROXETINE HCL 20 MG TABLET
HYDROMORPHONE-NS 0.5 MG/ML SYR
MORPHINE-NS 500 MG/50 ML
MORPHINE-NS 1,000 MG/100 ML
PAROXETINE HCL 20 MG TABLET
PAROXETINE HCL 20 MG TABLET
PAROXETINE HCL 20 MG TABLET
MENTAX 1% CREAM
MENTAX 1% CREAM
DICLOFENAC SODIUM POWDER
DICLOFENAC SODIUM POWDER
DICLOFENAC SODIUM POWDER
HEMATOGEN FORTE SOFTGEL
DEXAMETHASONE 10 MG/ML VIAL
PRECARE CHEWABLE TABLET
PRECARE CHEWABLE TABLET
PRIMACARE COMBO PACK
T-OTIC EAR DROPS
FEOGEN FORTE SOFTGEL
NYSTATIN VAGINAL TABLET
SURMONTIL 25 MG CAPSULE
BENICAR 20 MG TABLET
BENICAR 20 MG TABLET
BENICAR 20 MG TABLET
PAROXETINE HCL 20 MG TABLET
PAROXETINE HCL 20 MG TABLET
PAROXETINE HCL 20 MG TABLET
PAROXETINE HCL 20 MG TABLET
PAROXETINE HCL 20 MG TABLET
PAROXETINE HCL 20 MG TABLET
PAROXETINE HCL 20 MG TABLET
PAXIL 20 MG TABLET
TOPROL XL 25 MG TABLET SA
PAROXETINE HCL 20 MG TABLET
PAROXETINE HCL 20 MG TABLET
TOPROL XL 25 MG TABLET SA
CLARITHROMYCIN 250 MG/5 ML SUS
CLARITHROMYCIN 250 MG/5 ML SUS

DOSE FORM DRUG STRENGTH


SO
TA
TA
TA
TA
TI
TA
TA
CE
CA
TA
TA
TA
TA
TA
TA
HQ
IR
IR
TA
TA
TA
KA
KA
PA
PA
PA
CA
HV
TC
TC
ZD
SO
CA
TA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TI
TA
TA
TI
PD
PD

UNIT PRICE
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43

NDC
70501002200
87701012884
87701033193
87701033197
87701033198
87701056586
00006042368
00009072809
00009072816
00009077526
00009077535
00009087026
00009087033
00009090211
00009090218
00009090220
00009501401
00019480601
00019480603
00034700470
00034700480
00037015392
00064100001
00064100007
00069266041
00069266066
00069266072
00074109712
00074109732
00074173212
00074173214
00074405001
00074405101
00074405201
00074419701
00074608813
00086007405
00086007410
00093517301
00093517355
00093911701
00093957701
00186086844
00186086854
00186086857
00221180001
00221180002
00221180003
00221180005
00245016112
00247111703
00247111730
00247111760

NAME
NEUT INTENSE EYE MOISTURE
GNP LIP BALM
BL LIP BALM
BL LIP BALM
GNP LIP BALM
GNP FOREHEAD THERMOMETER
ALDORIL-15 TABLET
CLEOCIN PHOS 150 MG/ML VIAL
CLEOCIN PHOS 150 MG/ML VIAL
CLEOCIN PHOS 150 MG/ML VIAL
CLEOCIN PHOS 150 MG/ML VIAL
CLEOCIN PHOS 150 MG/ML VIAL
CLEOCIN PHOS 150 MG/ML VIAL
CLEOCIN PHOS 150 MG/ML VIAL
CLEOCIN PHOS 150 MG/ML VIAL
CLEOCIN PHOS 150 MG/ML VIAL
GLYSET 100 MG TABLET
MD-GASTROVIEW 66/10 SOLN
MD-GASTROVIEW 66/10 SOLN
UNIPHYL 400 MG TABLET SA
UNIPHYL 400 MG TABLET SA
AQUATENSEN 5 MG TABLET
ACCUZYME OINTMENT
ACCUZYME OINTMENT
PROCARDIA XL 60 MG TABLET
PROCARDIA XL 60 MG TABLET
PROCARDIA XL 60 MG TABLET
CODEINE PH 15 MG/ML SYRINGE
CODEINE PH 15 MG/ML SYRINGE
RYTHMOL 225 MG TABLET
RYTHMOL 225 MG TABLET
CLINDAMYCIN PH 150 MG/ML VL
CLINDAMYCIN PH 150 MG/ML VL
CLINDAMYCIN PH 150 MG/ML VL
CLINDAMYCIN PH 150 MG/ML VL
CYLERT 37.5 MG TABLET CHEW
MOTOFEN TABLET
MOTOFEN TABLET
NIFEDICAL XL 60 MG TABLET
NIFEDICAL XL 60 MG TABLET
PROCAINAMIDE 1,000 MG TAB SA
PEMOLINE 37.5 MG TABLET CHEW
ROPIVACAINE HCL 10MG/ML INJ
NAROPIN 10 MG/ML AMPULE
NAROPIN 10 MG/ML AMPULE
PROTEIN FORTIFIED COOKIE
PROTEIN FORTIFIED COOKIE
PROTEIN FORTIFIED COOKIE
CALCIUM FORTIFIED COOKIE
RMS-SUPPOSITORY 10 MG
PROCARDIA XL 60 MG TABLET
PROCARDIA XL 60 MG TABLET
PROCARDIA XL 60 MG TABLET

DOSE FORM DRUG STRENGTH


KA
EH
EH
EH
EH
EA
TA
HV
HV
HV
HV
HV
HV
HV
HV
HV
TA
SJ
SJ
TS
TA
TA
OA
OA
TZ
TZ
TZ
HQ
HQ
TA
TA
HV
HV
HV
HV
TC
TA
TA
TZ
TZ
TS
TC
HH
HH
HH
EA
EA
EA
EA
QA
TZ
TZ
TZ

UNIT PRICE
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.43
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44

NDC
00258361401
00270044540
00378016001
00378050701
00378348201
00378348230
00396390000
00406885401
00406992301
00406992303
00409405001
00409405101
00409419701
00456068301
00456434501
00496071703
00496071704
00574711212
00591058301
00603544921
00677181601
00677181603
00703133501
00713019412
00884109601
08080000444
08080000555
08080000777
08080605600
08080655600
08219605600
08219645000
08219655600
08219685500
08290301035
08290301036
08290301037
08290301627
08290309653
08290309660
08290309663
08290309664
08290309680
08881560125
08881560141
08881560182
08881560224
08881560232
08881560265
10019013301
10019013302
10019013304
10139005003

NAME
THEOPHYLLINE 450 MG TAB SA
GASTROGRAFIN 66/10 SOLUTION
METHYCLOTHIAZIDE 5 MG TABLET
METHYLDOPA/HCTZ 250-15 TAB
NIFEDIPINE ER 60 MG TABLET
NIFEDIPINE ER 60 MG TABLET
PROCEPTION SPERM NUTRIENT
PEMOLINE 37.5 MG TABLET CHEW
TOFRANIL-PM 75 MG CAPSULE
TOFRANIL-PM 75 MG CAPSULE
CLINDAMYCIN PH 150 MG/ML VIAL
CLINDAMYCIN PH 150 MG/ML VIAL
CLINDAMYCIN PH 150 MG/ML VL
NITROGARD 3 MG BUCCAL TABLET
THEOCHRON 450 MG TABLET SA
PRAMOSONE 2.5% CREAM
PRAMOSONE 2.5% CREAM
MORPHINE SULF 10 MG SUPPOS
PROPAFENONE HCL 225 MG TAB
PROPAFENONE HCL 225 MG TAB
PROPAFENONE HCL 225 MG TAB
PROPAFENONE HCL 225 MG TAB
AMIODARONE HCL 50 MG/ML VIAL
MORPHINE SULF 10 MG SUPPOS
TI-SCREEN LIP PROTECTANT
MONOJECT SYRINGE 60 ML
MONOJECT SYRINGE 60 ML
MONOJECT SYRINGE 60 ML
CURITY DISP LAP SPONGE TRAY
CURITY DISP LAP SPONGE PCH
CURITY DISP LAP SPONGE TRAY
CURITY DISP LAP SPONGE POUCH
CURITY DISP LAP SPONGE POUCH
CURITY DISP LAP SPONGE
B-D BULK SYRINGE 60 ML
B-D BULK SYRINGE 60 ML
B-D BULK SYRINGE 60 ML
B-D 50/60 ML SYRINGE
BD 60 ML SYRINGE
B-D 60 ML SYRINGE
B-D 60 ML SYRINGE
BD 50/60 ML SYRINGE
B-D 60 ML SYRINGE BULK
SYRINGE W/OUT NEEDLE 60 ML
SYRINGE W/OUT NEEDLE 60 ML
SYRINGE W/OUT NEEDLE 60 ML
SYRINGE W/OUT NEEDLE 60 ML
SYRINGE 60ML, PHARM TRAY PK
SYRINGES W/O NEEDLES 60 ML
AMIODARONE HCL 50 MG/ML VIAL
AMIODARONE HCL 50 MG/ML VIAL
AMIODARONE HCL 50MG/ML INJ,9ML
AMIODARONE HCL 50 MG/ML VIAL

DOSE FORM DRUG STRENGTH


TM
SJ
TA
TA
TZ
TZ
SA
TC
CA
CA
HV
HV
HV
TY
TM
KA
KA
QA
TA
TA
TA
TA
HV
QA
EG
YL
YL
YL
YV
YV
YV
YV
YV
YV
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
YL
HV
HV
HV
HV

UNIT PRICE
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44

NDC
10139005009
10139005010
10139005011
10139005028
11845013435
11845109008
11845123008
31604001091
31604001092
38779057804
38779057805
38779057808
41163026663
41163026666
49452471802
50111051801
50111070901
50428155185
50484010030
51079096801
51079096820
52152018602
52959068030
53265038010
53265038050
53265038110
53489055201
53489055203
53799034611
54569278100
54868100800
54868100801
54868100802
54868143800
54868143801
54868351000
54868369500
54868378500
54868378700
54868378701
54868415400
54868416900
54868483900
55289035701
55289035730
55289078930
55390005701
55390005710
55390005810
55390010901
55946018505
55946024405
55946027205

NAME
AMIODARONE HCL 50 MG/ML VIAL
AMIODARONE HCL 50 MG/ML VIAL
AMIODARONE HCL 50 MG/ML VIAL
AMIODARONE HCL 50 MG/ML VIAL
BLOOD SUGAR BALANCE TABLET
PYCNOGENOL 25 MG TABLET
PYCNOGENOL 25 MG CAPSULE
SAM-E 200 MG TABLET
SAM-E 200 MG TABLET
METOPROLOL TARTRATE POWDER
METOPROLOL TARTRATE POWDER
METOPROLOL TARTRATE POWDER
EQL SAM-E 200 MG TABLET
EQL SAM-E 200 MG TABLET
METOPROLOL TARTRATE POWDER
THEOPHYLLINE 450 MG TAB SA
PROPAFENONE HCL 225 MG TAB
CVS SAM-E 200 MG TABLET
GLADASE OINTMENT
NIFEDIPINE ER 60 MG TABLET
NIFEDIPINE ER 60 MG TABLET
PEMOLINE 37.5 MG TABLET CHEW
ACCUZYME OINTMENT
THEOPHYLLINE ER 400 MG TABLET
THEOPHYLLINE ER 400 MG TABLET
THEOPHYLLINE ER 450 MG TABLET
PROPAFENONE HCL 225 MG TAB
PROPAFENONE HCL 225 MG TAB
SIMILASAN EYE DROPS #2
PROCARDIA XL 60 MG TABLET
PROCARDIA XL 60 MG TABLET
PROCARDIA XL 60 MG TABLET
PROCARDIA XL 60 MG TABLET
UNIPHYL 400 MG TABLET SA
UNIPHYL 400 MG TABLET SA
MOTOFEN TABLET
CLINDAMYCIN PH 150 MG/ML VL
ENDURON 5 MG TABLET
PRECARE TABLET
PRECARE PRENATAL CAPLET
CLEOCIN PHOS 150 MG/ML VIAL
CLEOCIN PHOS 150 MG/ML VIAL
PREMESIS RX TABLET
PROCARDIA XL 60 MG TABLET
PROCARDIA XL 60 MG TABLET
UNIPHYL 400 MG TABLET SA
AMIODARONE 900 MG/18 ML VIAL
AMIODARONE HCL 150 MG/3 ML VL
AMIODARONE HCL 150 MG/3 ML VL
CLINDAMYCIN PH 150 MG/ML VIAL
CINERARIA 3X EYE DROPS
EUPHRASIA 3X EYE DROPS
GENCYDO EYEDROPS

DOSE FORM DRUG STRENGTH


HV
HV
HV
HV
TA
TA
CA
TA
TA
PA
PA
PA
TA
TA
PA
TA
TA
TA
OA
TZ
TZ
TC
OA
TS
TS
TM
TA
TA
SO
TZ
TZ
TZ
TZ
TS
TS
TA
HV
TA
TA
TA
HV
HV
UB
TZ
TZ
TS
HV
HV
HV
HV
SO
SO
SO

UNIT PRICE
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44

NDC
57866406901
57866465301
58177033204
58177081602
58914011508
58980071111
58980071135
59262034511
59366287903
60258002930
60505072200
61553022148
62086015303
63323061603
63323061609
63323061613
63323061618
64011001904
64011001919
64011011811
64011011819
64731084030
65234007405
65234007410
66479084030
66500015801
66813092201
66992014010
67457015303
67457015309
67457015318
67781025101
67781025105
67887010130
68115025730
68115076400
00004025652
00006009068
00023642210
00062540101
00074241421
00074612290
00074897510
00074897518
00085063401
00085063403
00085080901
00087771940
00087771962
00087771964
00089091312
00093138943
00093716001

NAME
NIFEDIPINE ER 60 MG TABLET
THEOPHYLLINE 450 MG TAB SA
PROPAFENONE HCL 225 MG TAB
ETHEZYME 830 OINTMENT
VIOKASE POWDER
KOVIA OINTMENT
KOVIA OINTMENT
SIMILASAN EYE DROPS #1
GLADASE OINTMENT
PAP-UREA DEBRIDING OINTMENT
AMIODARONE HCL 50 MG/ML VIAL
FENTA/ROPIVA 3 MCG/0.1% INJ
AMIODARONE HCL 50 MG/ML VIAL
AMIODARONE HCL INJECTION
AMIODARONE HCL 50 MG/ML VIAL
AMIODARONE HCL 50 MG/ML VIAL
AMIODARONE HCL 50 MG/ML VIAL
PREMESIS RX TABLET
PREMESIS RX TABLET
PRECARE PRENATAL CAPLET
PRECARE PRENATAL CAPLET
DUET DHA
MOTOFEN TABLET
MOTOFEN TABLET
DUET DHA
GYNODIOL 1.5 MG TABLET
VOPAC TABLET
LUSONEX TABLET
AMIODARONE HCL 50 MG/ML VIAL
AMIODARONE HCL 50 MG/ML VIAL
AMIODARONE HCL 50 MG/ML VIAL
UNIPHYL 400 MG TABLET
UNIPHYL 400 MG TABLET
HC PRAMOXINE 2.5% CREAM
NIFEDIPINE ER 60 MG TABLET
TOFRANIL-PM 75 MG CAPSULE
XENICAL 120 MG CAPSULE
EDECRIN 50 MG TABLET
OPTICROM 4% EYE DROPS
MONISTAT 3 CREAM
DILAUDID 2 MG/ML VIAL
TRICOR 48 MG TABLET
CYSTEINE HCL 50MG/ML INJ
L-CYSTEINE 50 MG/ML SYRINGE
DIPROLENE 0.05% GEL
DIPROLENE 0.05% GEL
LOTRISONE LOTION
CEFZIL 250 MG/5 ML SUSPENSION
CEFZIL 250 MG/5 ML SUSPENSION
CEFZIL 250 MG/5 ML SUSPENSION
BUF ACNE CLEANSING BAR
CROMOLYN 4% EYE DROPS
PERGOLIDE MESYL 0.05 MG TAB

DOSE FORM DRUG STRENGTH


TZ
TM
TA
OA
PA
OA
OA
SO
OA
OA
HV
HZ
VI
HV
HV
HV
HV
UB
UB
TA
TA
ZD
TA
TA
ZD
TA
TA
UF
HV
HV
HV
TA
TS
KA
TZ
CA
CA
TA
SO
KW
HV
TA
HQ
HQ
JG
JG
SK
PD
PD
PD
EB
SO
TA

UNIT PRICE
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.44
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45

NDC
00115704101
00145101205
00145101207
00168026615
00168026650
00172452060
00173055400
00173055500
00173074100
00173074110
00187083901
00205415434
00299392304
00338935448
00338936541
00338939341
00462041815
00462041850
00472097015
00517851025
00517931025
00641012125
00641234141
00642274690
08137003262
08137003454
08137003455
08333356401
10939039911
11822306880
11822306890
11822372930
11822484530
12333934001
17317088502
17317088503
17317088508
17478029111
22170086001
22170086101
24208030010
24385013395
24385013495
33261011635
34672010611
37205017851
37205017951
45985065130
49326042504
49452518001
49452518002
49614019151
49999043215

NAME
LIPRAM-UL18 CAPSULE EC
ACNE-AID CLEANSING BAR
ACNE-AID CLEANSING BAR
BETAMETHASONE DP 0.05% GEL
BETAMETHASONE DP 0.05% GEL
PERGOLIDE MESYL 0.05 MG TAB
CEFTIN 250 MG/5 ML ORAL SUSP
CEFTIN 250 MG/5 ML ORAL SUSP
CEFTIN 250 MG/5 ML ORAL SUSP
CEFTIN 250 MG/5 ML ORAL SUSP
PERMAX 0.05 MG TABLET
FOLVITE 5 MG/ML VIAL
CETAPHIL CLEANSING BAR
FENTA/ROPIVA 6 MCG/0.1% INJ
HYDROMORPHONE/NS 50 MG/50 ML
BUPIVACAINE/NS 0.25%
ALPHATREX 0.05% GEL
ALPHATREX 0.05% GEL
EPINEPHRINE 0.3 MG MIST
MULTITRACE-5 VIAL
TRACE ELEMENTS-4 VIAL
HYDROMORPHONE 2 MG/ML VIAL
HYDROMORPHONE 2 MG/ML VIAL
RENAX CAPLET
JOHNSON'S BABY BAR
PURPOSE SOAP
PURPOSE SOAP
SOFT CLOTH 2.375X4" DRESSNG
FLU & COLD MEDICINE PACKET
RA DEODORANT SOAP
RA DEODORANT SOAP
RA BEAUTY W/BATH OIL BAR
RA DEODORANT SOAP
FLU & COLD MEDICINE PACKET
PHENIRAMINE MALEATE CRYSTAL
PHENIRAMINE MALEATE CRYSTAL
PHENIRAMINE MALEATE CRYSTAL
CROMOLYN SODIUM 4% EYE DROP
VIRACTIN 2% GEL
VIRACTIN 2% CREAM
CROLOM 4% EYE DROPS
OATMEAL BATH PACKET REGULAR
OATMEAL BATH PACKET OILATED
EXTRA GENTLE FACIAL BAR
LOBOB GLYCERINE SOAP
OATMEAL BATH PACKET REGULAR
OATMEAL BATH PACKET OILATED
CARDIOTEK RX TABLET
RICOTUSS ORAL SUSPENSION
PHENIRAMINE MALEATE CRYSTAL
PHENIRAMINE MALEATE CRYSTAL
OATMEAL BATH REGULAR PACKET
XENICAL 120 MG CAPSULE

DOSE FORM DRUG STRENGTH


CE
EB
EB
JG
JG
TA
PD
PD
PD
PD
TA
HV
EB
HZ
HZ
HZ
JG
JG
AD
HV
HV
HV
HV
TA
EB
EB
EB
YE
PP
EB
EB
EB
EB
PP
PC
PC
PC
SO
JG
KA
SO
PP
PP
EB
EB
PP
PP
TA
SC
PC
PC
PP
CA

UNIT PRICE
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45

NDC
49999043290
51672130803
51672130901
51672130903
51674011702
51991028101
52152024602
52735024416
52735024816
54569108100
54569363000
54569473700
54569474200
54569474201
54569474202
54569474205
54868201700
54868201701
54868415800
54868415801
54868415802
54868448500
54868462200
54868513400
54868513401
54868522400
54868523200
54868526700
54868526701
55289084830
55390041010
55515003430
55515003460
58016036100
58016036130
58016036160
58016036190
58016414701
58177004904
58914001810
59011099910
59011099930
59075061530
59930154201
60258026301
60505081102
60758045810
61314023710
61553015448
61553016541
61553019341
61553061841
61553063248

NAME
XENICAL 120 MG CAPSULE
CLOTRIMAZOLE-BETAMETHASONE LOT
BETAMETHASONE DP 0.05% GEL
BETAMETHASONE DP 0.05% GEL
CORTANE-B LOTION
MINTAB DM TABLET SA
GUAIFENESIN/DM TABLET SA
FP OATMEAL BATH PACKET
FP OATMEAL BATH PACKET
CORDRAN SP 0.025% CREAM
CEFZIL 250 MG/5 ML SUSPENSION
CEFTIN 250 MG/5 ML ORAL SUSP
XENICAL 120 MG CAPSULE
XENICAL 120 MG CAPSULE
XENICAL 120 MG CAPSULE
XENICAL 120 MG CAPSULE
CEFZIL 250 MG/5 ML SUSPENSION
CEFZIL 250 MG/5 ML SUSPENSION
XENICAL 120 MG CAPSULE
XENICAL 120 MG CAPSULE
XENICAL 120 MG CAPSULE
AQUATAB DM TABLET SA
LOTRISONE LOTION
GFN 1,200/DM 60 TABLET SA
GFN 1,200/DM 60 TABLET SA
TRICOR 48 MG TABLET
CLOTRIMAZOLE-BETAMETHASONE LOT
CLORPRES 0.2/15 TABLET
CLORPRES 0.2/15 TABLET
XENICAL 120 MG CAPSULE
FOLIC ACID 5 MG/ML VIAL
CORDRAN SP 0.025% CREAM
CORDRAN SP 0.025% CREAM
XENICAL 120 MG CAPSULE
XENICAL 120 MG CAPSULE
XENICAL 120 MG CAPSULE
XENICAL 120 MG CAPSULE
CEFZIL 250 MG/5 ML SUSPENSION
PANGESTYME UL 18 CAPSULE EC
ULTRASE MT 18 CAPSULE EC
CHIROCAINE 7.5 MG/ML VIAL
CHIROCAINE 7.5 MG/ML VIAL
PERMAX 0.05 MG TABLET
CLOTRIMAZOLE-BETAMETHASONE LOT
GFN 1,200/DM 60 TABLET SA
CROMOLYN 4% EYE DROPS
CROMOLYN 4% EYE DROPS
CROMOLYN 4% EYE DROPS
FENTA/ROPIVA 6 MCG/0.1% INJ
HYDROMORPHONE/NS 50 MG/50 ML
BUPIVACAINE-NS 0.25%
BUPIVACAINE-NS 0.25%
FENTA/ROPIVA 6 MCG/0.1% INJ

DOSE FORM DRUG STRENGTH


CA
SK
JG
JG
SK
TM
TM
PP
PP
KA
PD
PD
CA
CA
CA
CA
PD
PD
CA
CA
CA
TM
SK
TM
TM
TA
SK
TA
TA
CA
HV
KA
KA
CA
CA
CA
CA
PD
CE
CE
HV
HV
TA
SK
TM
SO
SO
SO
HZ
HZ
HZ
HZ
HZ

UNIT PRICE
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45

NDC
61553076272
61646017001
61703024615
62794002701
63323001810
63323011272
63323018410
63824000210
64125012601
64376054201
64543017101
64980010801
65234002430
68084011500
68115044242
68115083490
70501001010
70501001120
70501001210
70501001220
70501001240
70501001250
70501001330
70501001350
70501001410
70501001450
70501001460
70501001470
70501001480
70501002040
87701091930
87701091935
87701091937
87701091938
87900010326
00003042950
00003060343
00006057062
00006095128
00006095154
00006095158
00006095182
00006095187
00037044217
00037044267
00046086681
00046086691
00046086699
00046110481
00046110491
00069430066
00071022023
00071022223

NAME
FAMOTIDINE-NS 20 MG/10 ML SYRG
TUSSITAB TABLET
HYDROMORPHONE 2 MG/ML VIAL
CLORPRES 0.2/15 TABLET
M.T.E.-5 VIAL
TRANSFER NEEDLE
FOLIC ACID 5 MG/ML VIAL
AQUATAB DM TABLET SA
GUAIFENESIN/D-METHORPHAN TAB
G-BID DM TR TABLET
TUSSI-BID TABLET SA
ENTAB-DM TABLET SA
PERMAX 0.05 MG TABLET
GUAIFENESIN/D-METHORPHAN TAB
XENICAL 120 MG CAPSULE
XENICAL 120 MG CAPSULE
NEUTROGENA ORIGINAL FORM
NEUTROGENA OILY SKIN FORM
NEUTROGENA ORIGINAL FORMULA
NEUTROGENA ORIGINAL FORMULA
NEUTROGENA BAR ORIG FORM
NEUTROGENA BAR ORIG FORM
NEUTROGENA ACNE-PRONE SKIN
NEUTROGENA ORIGINAL FORM
NEUTROGENA BABY FORMULA BAR
NEUTROGENA DRY SKIN FORMULA
NEUTROGENA DRY SKIN FORMULA
NEUTROGENA DRY SKIN FORMULA
NEUTROGENA BAR DRY SKIN
NEUTROGENA RAINBAR
BL OATMEAL BATH PACKET REG
BL OATMEAL BATH PACKET OIL
GNP OATMEAL BATH PACKET REG
GNP OATMEAL BATH PACKET REG
ASTHMAHALER MIST REFILL
FLORINEF ACETATE 0.1 MG TABS
SUMYCIN 500 MG TABLET
CRIXIVAN 100 MG CAPSULE
COZAAR 25 MG TABLET
COZAAR 25 MG TABLET
COZAAR 25 MG TABLET
COZAAR 25 MG TABLET
COZAAR 25 MG TABLET
FELBATOL 600 MG/5 ML SUSP
FELBATOL 600 MG/5 ML SUSP
PREMARIN 1.25 MG TABLET
PREMARIN 1.25 MG TABLET
PREMARIN 1.25 MG TABLET
PREMARIN 1.25 MG TABLET
PREMARIN 1.25 MG TABLET
MINIZIDE 1 CAPSULE
ACCURETIC 20-12.5 MG TABLET
ACCURETIC 10-12.5 MG TABLET

DOSE FORM DRUG STRENGTH


HQ
TM
HV
TA
HV
YA
HV
TM
TM
TM
TM
TM
TA
TM
CA
CA
EB
EB
EB
EB
EB
EB
EB
EB
EB
EB
EB
EB
EB
EB
PP
PP
PP
PP
AD
TA
TA
CA
TA
TA
TA
TA
TA
SC
SC
TA
TA
TA
TA
TA
CA
TA
TA

UNIT PRICE
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.45
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46

NDC
00071022323
00074401101
00085085401
00085085402
00088177947
00093527056
00093527156
00115703301
00173044801
00185077101
00185077130
00185077401
00185077430
00187039531
00212598375
00212598475
00212598575
00221902001
00221902002
00247025000
00247025030
00378007301
00378612001
00407222202
00407222203
00407222204
00407222216
00407222217
00407222219
00407222221
00407222222
00407222223
00407222302
00407222303
00407222304
00407222316
00407222317
00407222319
00407222321
00407222323
00409401101
00440817130
00440817160
00440817190
00517029925
00517040525
00555099702
00677187301
08011015914
08011150501
08011150502
08011150503
08011150702

NAME
ACCURETIC 20-25 MG TABLET
VERAPAMIL 2.5 MG/ML AMPUL
ELOCON 0.1% LOTION
ELOCON 0.1% LOTION
CARDIZEM SR 120 MG CAPSULE
BISOPROLOL FUMARATE 5 MG TAB
BISOPROLOL FUMARATE 10 MG TAB
FLUDROCORTISONE 0.1 MG TAB
OXISTAT 1% LOTION
BISOPROLOL FUMARATE 5 MG TAB
BISOPROLOL FUMARATE 5 MG TAB
BISOPROLOL FUMARATE 10 MG TB
BISOPROLOL FUMARATE 10 MG TB
ELDOPAQUE FORTE 4% CREAM
RESOURCE ARGINAID PACKET
RESOURCE ARGINAID PACKET
RESOURCE ARGINAID PACKET
NONFAT DRY MILK POWDER
NONFAT DRY MILK POWDER
PREMARIN 1.25 MG TABLET
PREMARIN 1.25 MG TABLET
AMITRIP/PERPHEN 50-4 TABLET
DILTIAZEM ER 120 MG CAP SA
VISIPAQUE 270 MG/ML INFU BTL
VISIPAQUE 270 MG/ML INFU BTL
VISIPAQUE 270 MG/ML INFU BTL
IODIXANOL 270MGI/ML INJ
IODIXANOL 270MGI/ML INJ
IODIXANOL 270MGI/ML INJ
IODIXANOL 270MGI/ML INJ
IODIXANOL 270MGI/ML INJ
IODIXANOL 270MGI/ML INJ
VISIPAQUE 320 MG/ML INFU BTL
VISIPAQUE 320 MG/ML INFU BTL
VISIPAQUE 320 MG/ML INFU BTL
IODIXANOL 320MGI/ML INJ
IODIXANOL 320MGI/ML INJ
IODIXANOL 320MGI/ML INJ
IODIXANOL 320MGI/ML INJ
IODIXANOL 640MGI/ML INJ
VERAPAMIL 2.5 MG/ML AMPUL
PREMARIN 1.25 MG TABLET
PREMARIN 1.25 MG TABLET
PREMARIN 1.25 MG TABLET
PHENYLEPHRINE 10 MG/ML VIAL
PHENYLEPHRINE 10 MG/ML VIAL
FLUDROCORTISONE 0.1 MG TAB
COLDEX-A SR TABLET
BARD FEM INTERMITT CATHETER
BARD MALE EXTERNAL CATH PED
BARD MALE EXTERNAL CATH MED
BARD MALE EXTERNAL CATH STD
BARD MALE EXT CATHETER-MED

DOSE FORM DRUG STRENGTH


TA
HH
SK
SK
CB
TA
TA
TA
SK
TA
TA
TA
TA
KA
PP
PP
PP
PP
PP
TA
TA
TA
CB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HB
HH
TA
TA
TA
HV
HV
TA
TA
EA
EA
EA
EA
EA

UNIT PRICE
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46

NDC
08011150703
08011420614
08021415017
08380009606
08380009607
08380009608
08380009609
08380009826
08380009897
08380009898
08380080143
09001260001
09001260004
09001262001
09001262003
09001262005
10019016301
10019016312
10356045582
10481300401
12280000590
32252003003
32252003004
32252003007
32252003008
32252003034
32252003099
32252006577
32252030337
33413020000
38779193001
38779193004
38779193005
38779193008
40565012155
45802011846
45802011859
49735002311
49735002312
49735010685
49735011047
49735011467
49735011910
49735012311
49735012312
49884079801
50486008224
51079092601
51079092620
51285006001
51285006101
51674000801
51674005801

NAME
BARD MALE EXT CATHETER-STD
BARD CLEAN-CATH 14FR-6"
TRANSFER NEEDLE DOUBLE-END
EVERYDAY SELF-ADHES CATH
EVERYDAY SELF-ADHES CATH
EVERYDAY SELF-ADHES CATH
EVERYDAY SELF-ADHES CATH
SELF-ADHESIVE CATH 25MM
EXT WEAR SELF-ADHES CATH
EXT WEAR SELF-ADHES CATH
ADVANCE HYDRO SOFT CATHETER
FUNCTIONALL POWDER PACKET
FUNCTIONALL POWDER PACKET
GLYCEMIC BALANCE POWDER PKT
GLYCEMIC BALANCE POWDER PKT
GLYCEMIC BALANCE POWDER PKT
PHENYLEPHRINE 10 MG/ML VIAL
PHENYLEPHRINE 10 MG/ML VIAL
AQUAPHOR GAUZE 3"X3"
GORDO-UREA 22% OINTMENT
COZAAR 25 MG TABLET
REPLACEMENT FILTER
REPLACEMENT FILTER
WICK REPLACEMENT
WICK REPLACEMENT
REPLACEMENT AIR FILTER
REPLACEMENT AIR FILTER
REPLACEMENT CARTRIDGE
CHARCOAL FILTER
HEALTHGUARD CHARCOAL FILTER
STEVIA POWDER
STEVIA POWDER
STEVIA POWDER
STEVIA POWDER
AQUAPHOR GAUZE 3"X3"
MOMETASONE FUROATE 0.1% LOTION
MOMETASONE FUROATE 0.1% LOTION
XPHE MAXAMUM PACKET
XPHE MAXAMUM PACKET
PHLEXY-VITS POWDER
NEOCATE ONE+ POWDER PACKET
PHLEXY-10 DRINK MIX POWDER
PHLEXY-10 DRINK MIX POWDER
XPHE MAXAMUM PACKET
XPHE MAXAMUM PACKET
SUMYCIN 500 MG TABLET
HUMIDIFIER ADAPTER
DILTIAZEM 120 MG CAPSULE SA
DILTIAZEM 120 MG CAPSULE SA
ZEBETA 5 MG TABLET
ZEBETA 10 MG TABLET
NALEX-A TABLET
BLANEX-A TABLET

DOSE FORM DRUG STRENGTH


EA
EA
YH
EA
EA
EA
EA
EA
EA
EA
EA
PP
PP
PP
PP
PP
HV
HV
YE
OA
TA
EA
EA
EA
EA
EA
EA
EA
EA
EA
PA
PA
PA
PA
YE
SK
SK
PP
PP
PP
PP
PP
PP
PP
PP
TA
EA
CB
CB
TA
TA
TA
TA

UNIT PRICE
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46

NDC
51991013801
52152023808
52152023830
52152023908
52152023930
52152024008
52152024030
52959022200
53489055501
53489055507
53489055601
53489055607
54569081301
54868045300
54868045302
54868045304
54868045305
54868100500
54868174202
54868222400
54868284700
54868392700
54868462100
54868501300
54868507700
54868509500
55289004725
55289004730
55289004742
55289004790
55946008080
55946018280
55946027480
57866668201
57866668202
57929022000
57929022020
57929022150
57929022160
57929022250
57929022260
57929022300
57929022310
57929022320
57929022350
58016098300
58016098310
58016098312
58016098314
58016098315
58016098320
58016098330
58016630401

NAME
RHINACON A TABLET
QUINARETIC 10-12.5 MG TABLET
QUINARETIC 10-12.5 MG TABLET
QUINARETIC 20-12.5 MG TABLET
QUINARETIC 20-12.5 MG TABLET
QUINARETIC 20-25 MG TABLET
QUINARETIC 20-25 MG TABLET
PREMARIN 1.25 MG TABLET
BISOPROLOL FUMARATE 5 MG TAB
BISOPROLOL FUMARATE 5 MG TAB
BISOPROLOL FUMARATE 10 MG TB
BISOPROLOL FUMARATE 10 MG TB
PREMARIN 1.25 MG TABLET
PREMARIN 1.25 MG TABLET
PREMARIN 1.25 MG TABLET
PREMARIN 1.25 MG TABLET
PREMARIN 1.25 MG TABLET
CARDIZEM SR 120 MG CAPSULE
FLORINEF ACETATE 0.1 MG TABS
ELOCON 0.1% LOTION
QUINARETIC 20/12.5 MG TABLET
AMITRIP/PERPHEN 50-4 TABLET
ZEBETA 5 MG TABLET
BISOPROLOL FUMARATE 10 MG TB
COZAAR 25 MG TABLET
BISOPROLOL FUMARATE 5 MG TAB
PREMARIN 1.25 MG TABLET
PREMARIN 1.25 MG TABLET
PREMARIN 1.25 MG TABLET
PREMARIN 1.25 MG TABLET
ARGENTUM 2X VAGINAL SUPP
CHILDRENS FEVER SUPPOSITORY
HEMORRHOIDAL RECTAL SUPP
PREMARIN 1.25 MG TABLET
PREMARIN 1.25 MG TABLET
MALE EXTERNAL UNIT CATHETER
MALE EXTERNAL UNIT CATHETER
UNIT MALE EXTERNAL CATHETER
UNIT MALE EXTERNAL CATHETER
UNIT MALE EXTERNAL CATHETER
UNIT MALE EXTERNAL CATHETER
UNIT MALE EXTERNAL CATHETER
UNIT MALE EXTERNAL CATHETER
UNIT MALE EXTERNAL CATHETER
UNIT MALE EXTERNAL CATHETER
PREMARIN 1.25 MG TABLET
PREMARIN 1.25 MG TABLET
PREMARIN 1.25 MG TABLET
PREMARIN 1.25 MG TABLET
PREMARIN 1.25 MG TABLET
PREMARIN 1.25 MG TABLET
PREMARIN 1.25 MG TABLET
NAPHCON-A EYE DROPS

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CB
TA
SK
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
QC
QA
QA
TA
TA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
TA
TA
TA
TA
TA
TA
TA
SO

UNIT PRICE
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46

NDC
58177005704
58864080730
58980047305
58980047310
58980047520
59781020864
59781020865
59781022550
59781022551
60258028301
61570001860
61570019001
61678012416
63717026001
65726014758
65726014762
66758001601
66758001602
66758001701
68030668201
68115029430
70074050631
81317000214
81317024000
81317044000
81317044500
81317082050
81317082350
81317083050
81317083350
81317610000
81317613000
81317620000
81317623000
81317630000
81317633000
81317640000
81317643000
81317650000
81317653000
81317720000
81317725000
81317727500
81317780000
81317780030
81317785000
81317785030
81317787500
81317787530
81317800000
81317803000
81317810000
81317813000

NAME
QUADRA-HIST D PED CAP SA
COZAAR 25 MG TABLET
MELPAQUE HP 4% CREAM
MELPAQUE HP 4% CREAM
NUQUIN HP 4% GEL
JUVEN PACKET
JUVEN PACKET
JUVEN PACKET
JUVEN PACKET
CHLOREX-A TABLET
NUCOFED CAPSULE
FLORINEF ACETATE 0.1 MG TAB
L-EMENTAL HEPATIC PWDR PKT
NASOP 10 MG TABLET
AXID 15 MG/ML ORAL SOLUTION
AXID 15 MG/ML ORAL SOLUTION
PHENYLEPHRINE 10 MG/ML VIAL
PHENYLEPHRINE 10 MG/ML VIAL
PHENYLEPHRINE 10 MG/ML VIAL
PREMARIN 1.25 MG TABLET
PREMARIN 1.25 MG TABLET
ALITRAQ W/GLUTAMINE PKT VAN
SELF-CATH 14FR-6" CATHETER
SELF-CATH 14FR-6" CATHETER
SELF-CATH 14FR-6" CATHETER
SELF-CATH 14FR-6" CATHETER
FREEDOM CATH CATHETER INTRM
FREEDOM CATH CATHETER INTRM
ACTIVE CATH CATHETER INTERM
ACTIVE CATH CATHETER INTERM
CLEAR ADVANTAGE CATH SMALL
CLEAR ADVANTAGE CATH SMALL
CLEAR ADVANTAGE CATH MEDIUM
CLEAR ADVANTAGE CATH MEDIUM
CLEAR ADVANTAGE CATH INTERM
CLEAR ADVANTAGE CATH INTERM
CLEAR ADVANTAGE CATH LARGE
CLEAR ADVANTAGE CATH LARGE
CLEAR ADVANTAGE CATH X-LRG
CLEAR ADVANTAGE CATH X-LRG
GIZMO TWO PIECE CATH LARGE
GIZMO TWO PIECE CATH MEDIUM
GIZMO TWO PIECE CATH SMALL
URO-SAN PLUS CATHETER LARGE
URO-SAN PLUS CATHETER LRG
URO-SAN PLUS CATHETER MED
URO-SAN PLUS CATHETER MED
URO-SAN PLUS CATHETER SMALL
URO-SAN PLUS CATHETER SMALL
FREEDOM CATH CATHETER SMALL
FREEDOM CATH CATHETER SMALL
ACTIVE CATH CATHETER SMALL
ACTIVE CATH CATHETER SMALL

DOSE FORM DRUG STRENGTH


CS
TA
KA
KA
JG
PP
PP
PP
PP
TA
CA
TA
PP
UL
SJ
SJ
HV
HV
HV
TA
TA
PP
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46

NDC
81317820000
81317823000
81317830000
81317833000
81317840000
81317843000
81317850000
81317853000
96502057171
96502057181
96502057190
00004028122
00006071728
00006071731
00006071754
00006071758
00006071782
00006071786
00006074028
00006074031
00006074054
00006074061
00006074082
00006074087
00006074728
00006074731
00006074754
00006074758
00006074781
00006074782
00006095228
00006095231
00006095254
00006095258
00006095282
00006095287
00006096028
00006096031
00006096054
00006096058
00006096082
00006096086
00032170801
00049052083
00049345019
00054000385
00056052128
00056052168
00056052185
00074227811
00074227813
00074227911
00074227913

NAME
FREEDOM CATH CATHETER MED
FREEDOM CATH CATHETER MED
ACTIVE CATH CATHETER MEDIUM
ACTIVE CATH CATHETER MEDIUM
FREEDOM CATH CATHETER LRG
FREEDOM CATH CATHETER LRG
ACTIVE CATH CATHETER LARGE
ACTIVE CATH CATHETER LARGE
METAFORM PACKET
METAFORM PACKET
METAFORM PACKET
KLONOPIN WAFERS 0.5 MG
HYZAAR 50-12.5 TABLET
HYZAAR 50-12.5 TABLET
HYZAAR 50-12.5 TABLET
HYZAAR 50-12.5 TABLET
HYZAAR 50-12.5 TABLET
HYZAAR 50-12.5 TABLET
ZOCOR 20 MG TABLET
ZOCOR 20 MG TABLET
ZOCOR 20 MG TABLET
ZOCOR 20 MG TABLET
ZOCOR 20 MG TABLET
ZOCOR 20 MG TABLET
HYZAAR 100-25 TABLET
HYZAAR 100-25 TABLET
HYZAAR 100-25 TABLET
HYZAAR 100-25 TABLET
HYZAAR 100-25 TABLET
HYZAAR 100-25 TABLET
COZAAR 50 MG TABLET
COZAAR 50 MG TABLET
COZAAR 50 MG TABLET
COZAAR 50 MG TABLET
COZAAR 50 MG TABLET
COZAAR 50 MG TABLET
COZAAR 100 MG TABLET
COZAAR 100 MG TABLET
COZAAR 100 MG TABLET
COZAAR 100 MG TABLET
COZAAR 100 MG TABLET
COZAAR 100 MG TABLET
PROMETRIUM 100 MG CAPSULE
PFIZERPEN 5 MILLION UNITS VIAL
DIFLUCAN 40 MG/ML SUSPENSION
FLUCONAZOLE 40 MG/ML SUSP
SINEMET CR 50/200 TABLET SA
SINEMET CR 50/200 TABLET SA
SINEMET CR 50/200 TABLET SA
MAVIK 1 MG TABLET
MAVIK 1 MG TABLET
MAVIK 2 MG TABLET
MAVIK 2 MG TABLET

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
PP
PP
PP
UL
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
HS
PD
PD
TS
TS
TS
TA
TA
TA
TA

UNIT PRICE
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.46
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47

NDC
00074228011
00074228013
00074382611
00074382613
00074781022
00078005405
00093521101
00093521110
00093521156
00093917501
00093917552
00115391101
00186074228
00186074231
00186074282
00247050903
00247050904
00247050908
00247050910
00247050920
00247050930
00247104003
00247104015
00247104020
00247104030
00247115330
00247115360
00256021001
00338100902
00338937848
00378009401
00378615001
00378615093
00517030110
00517031010
00603241921
00615456853
00615456863
00642066110
00781613595
00904568461
00904571589
10106408204
11098050401
11098050410
49452240201
49452240202
49452240203
49884051101
49884051110
49999026530
49999026560
49999029430

NAME
MAVIK 4 MG TABLET
MAVIK 4 MG TABLET
DEPAKOTE ER 250 MG TABLET
DEPAKOTE ER 250 MG TAB SA
DOPAMINE 800 MG/D5W 250 ML
METHERGINE 0.2 MG TABLET
OMEPRAZOLE 20 MG CAPSULE DR
OMEPRAZOLE 20 MG CAPSULE DR
OMEPRAZOLE 20 MG CAPSULE DR
QUINIDINE SULF 300 MG TAB SA
QUINIDINE SULF 300 MG TAB SA
CARBIDOPA-LEVO 50/200 TB SA
PRILOSEC 20 MG CAPSULE DR
PRILOSEC 20 MG CAPSULE DR
PRILOSEC 20 MG CAPSULE DR
DONNATAL EXTENTABS
DONNATAL EXTENTABS
DONNATAL EXTENTABS
DONNATAL EXTENTABS
DONNATAL EXTENTABS
DONNATAL EXTENTABS
PRILOSEC 20 MG CAPSULE DR
PRILOSEC 20 MG CAPSULE DR
PRILOSEC 20 MG CAPSULE DR
PRILOSEC 20 MG CAPSULE DR
ZOCOR 20 MG TABLET
ZOCOR 20 MG TABLET
THYROSHIELD 65 MG/ML SOLUTION
DOPAMINE 800 MG/D5W 250 ML
MORPHINE 100 MG/100 ML NS BAG
CARBIDOPA/LEVO 50/200 TB SA
OMEPRAZOLE 20 MG CAPSULE DR
OMEPRAZOLE 20 MG CAPSULE DR
METHYLENE BLUE 1% VIAL
METHYLENE BLUE 1% VIAL
BELLATAL ER TABLET
CARBIDOPA/LEVO 50/200 TB SA
CARBIDOPA/LEVO 50/200 TB SA
TRITUSS-ER CAPLET
PENICILLIN G POT 5MM UNITS VIA
OMEPRAZOLE 20 MG CAPSULE DR
OMEPRAZOLE 20 MG CAPSULE DR
SULFATHIAZOLE POWDER
METHYLENE BLUE 1% VIAL
METHYLENE BLUE 1% VIAL
CYCLANDELATE POWDER
CYCLANDELATE POWDER
CYCLANDELATE POWDER
MINOCYCLINE HCL 50 MG TABLET
MINOCYCLINE HCL 50 MG TABLET
OMEPRAZOLE 20 MG CAPSULE DR
OMEPRAZOLE 20 MG CAPSULE DR
MAVIK 4 MG TABLET

DOSE FORM DRUG STRENGTH


TA
TA
TI
TI
HZ
TA
CE
CE
CE
TS
TS
TS
CE
CE
CE
TS
TS
TS
TS
TS
TS
CE
CE
CE
CE
TA
TA
SJ
HZ
HM
TS
CE
CE
HV
HV
TS
TS
TS
TM
HS
CE
CE
PA
HV
HV
PA
PA
PA
TA
TA
CE
CE
TA

UNIT PRICE
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47

NDC
49999030630
51079000701
51079000720
51079092301
51079092317
51079092319
51079092320
51079092357
52959053604
52959053610
52959053614
52959053615
52959053628
52959053660
52959064606
52959072210
52959072215
52959072218
52959072230
53014040210
54092007301
54569097300
54569097301
54569097302
54569097303
54569097306
54569097308
54569326700
54569392001
54569440300
54569443800
54569548200
54569548202
54868188200
54868188201
54868216900
54868216901
54868216903
54868233500
54868246900
54868246901
54868274001
54868274003
54868310400
54868310401
54868348000
54868372600
54868372601
54868386600
54868386601
54868425000
54868434100
54868434101

NAME
ZOCOR 20 MG TABLET
OMEPRAZOLE 20 MG CAPSULE DR
OMEPRAZOLE 20 MG CAPSULE DR
CARBIDOPA/LEVO 50/200 TB SA
CARBIDOPA-LEVO 50/200 TB SA
CARBIDOPA-LEVO 50/200 TB SA
CARBIDOPA/LEVO 50/200 TB SA
CARBIDOPA-LEVO ER 50-200 TB
PRILOSEC 20 MG CAPSULE DR
PRILOSEC 20 MG CAPSULE DR
PRILOSEC 20 MG CAPSULE DR
PRILOSEC 20 MG CAPSULE DR
PRILOSEC 20 MG CAPSULE DR
PRILOSEC 20 MG CAPSULE DR
METHERGINE 0.2 MG TABLET
OMEPRAZOLE 20 MG CAPSULE DR
OMEPRAZOLE 20 MG CAPSULE DR
OMEPRAZOLE 20 MG CAPSULE DR
OMEPRAZOLE 20 MG CAPSULE DR
HUMIBID PEDIATRIC CAPSULE
PRO-BANTHINE 7.5 MG TABLET
METHERGINE 0.2 MG TABLET
METHERGINE 0.2 MG TABLET
METHERGINE 0.2 MG TABLET
METHERGINE 0.2 MG TABLET
METHERGINE 0.2 MG TABLET
METHERGINE 0.2 MG TABLET
PRILOSEC 20 MG CAPSULE DR
METHERGINE 0.2 MG TABLET
ZOCOR 20 MG TABLET
COZAAR 50 MG TABLET
OMEPRAZOLE 20 MG CAPSULE DR
OMEPRAZOLE 20 MG CAPSULE DR
SINEMET CR 50/200 TABLET SA
SINEMET CR 50/200 TABLET SA
PRILOSEC 20 MG CAPSULE DR
PRILOSEC 20 MG CAPSULE DR
PRILOSEC 20 MG CAPSULE DR
COZAAR 100 MG TABLET
DYNACIRC 2.5 MG CAPSULE
DYNACIRC 2.5 MG CAPSULE
QUINIDEX EXTENTABS 300 MG
QUINIDEX EXTENTABS 300 MG
ZOCOR 20 MG TABLET
ZOCOR 20 MG TABLET
PENICILLIN G POT 5MM UNITS VIA
COZAAR 50 MG TABLET
COZAAR 50 MG TABLET
HYZAAR 50-12.5 TABLET
HYZAAR 50-12.5 TABLET
PROMETRIUM 100 MG CAPSULE
HYZAAR 100-25 TABLET
HYZAAR 100-25 TABLET

DOSE FORM DRUG STRENGTH


TA
CE
CE
TS
TS
TS
TS
TS
CE
CE
CE
CE
CE
CE
TA
CE
CE
CE
CE
CK
TA
TA
TA
TA
TA
TA
TA
CE
TA
TA
TA
CE
CE
TS
TS
CE
CE
CE
TA
CA
CA
TS
TS
TA
TA
HS
TA
TA
TA
TA
CA
TA
TA

UNIT PRICE
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47

NDC
54868471400
54868488000
54868509900
54868509901
55045170702
55045170704
55045170705
55045170709
55045307101
55289039428
55289070803
55289070804
55289070806
55289070808
55289070809
55289070810
55289070812
55289070817
55289070818
55289070820
55289070828
55289071410
55289071428
55887039620
55887039630
55887039660
55887039690
56091006984
56091006994
57866669003
57866673801
57866798201
58016032700
58016032730
58016032760
58016038500
58016038530
58016038560
58016038590
58016092500
58016092502
58016092530
58016092560
58016092590
58016092599
58177038304
58864065930
58864066230
58864076030
59366733801
59762503001
60258024801
60258029801

NAME
OMEPRAZOLE 20 MG CAPSULE DR
METHERGINE 0.2 MG TABLET
MAVIK 4 MG TABLET
MAVIK 4 MG TABLET
METHERGINE 0.2 MG TABLET
METHERGINE 0.2 MG TABLET
METHERGINE 0.2 MG TABLET
METHERGINE 0.2 MG TABLET
OMEPRAZOLE 20 MG CAPSULE DR
PRILOSEC 20 MG CAPSULE DR
METHERGINE O.2 MG TABLET
METHERGINE 0.2 MG TABLET
METHERGINE 0.2 MG TABLET
METHERGINE 0.2 MG TABLET
METHERGINE 0.2 MG TABLET
METHERGINE 0.2 MG TABLET
METHERGINE 0.2 MG TABLET
METHERGINE 0.2 MG TABLET
METHERGINE 0.2 MG TABLET
METHERGINE 0.2 MG TABLET
METHERGINE 0.2 MG TABLET
PRILOSEC 20 MG CAPSULE DR
PRILOSEC 20 MG CAPSULE DR
OMEPRAZOLE 20 MG CAPSULE DR
OMEPRAZOLE 20 MG CAPSULE DR
OMEPRAZOLE 20 MG CAPSULE DR
OMEPRAZOLE 20 MG CAPSULE DR
SOF-KLING CONFORMNG BANDAGE
SOF-KLING CONFORMNG BANDAGE
PRILOSEC 20 MG CAPSULE DR
CARBIDOPA/LEVO 50/200 TB SA
ZOCOR 20 MG TABLET
PRILOSEC 20 MG CAPSULE DR
PRILOSEC 20 MG CAPSULE DR
PRILOSEC 20 MG CAPSULE DR
ZOCOR 20 MG TABLET
ZOCOR 20 MG TABLET
ZOCOR 20 MG TABLET
ZOCOR 20 MG TABLET
OMEPRAZOLE 20 MG CAPSULE DR
OMEPRAZOLE 20 MG CAPSULE DR
OMEPRAZOLE 20 MG CAPSULE DR
OMEPRAZOLE 20 MG CAPSULE DR
OMEPRAZOLE 20 MG CAPSULE DR
OMEPRAZOLE 20 MG CAPSULE DR
CARBIDOPA-LEVO 50/200 ER TAB
HYZAAR 100-25 TABLET
COZAAR 50 MG TABLET
ZOCOR 20 MG TABLET
MYRAC 50 MG TABLET
FLUCONAZOLE 40 MG/ML SUSP
DACEX-PE CAPLET
DEXCON-PE CAPLET

DOSE FORM DRUG STRENGTH


CE
TA
TA
TA
TA
TA
TA
TA
CE
CE
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CE
CE
CE
CE
CE
CE
YE
YE
CE
TS
TA
CE
CE
CE
TA
TA
TA
TA
CE
CE
CE
CE
CE
CE
TS
TA
TA
TA
TA
PD
TM
TM

UNIT PRICE
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47

NDC
60258029901
60258080401
60267040044
60267050055
60505006500
60505006501
60505006502
60505013200
60505013201
61553083041
61703040232
61703040242
61748004408
61748004416
62175011832
62175011837
62175011841
62175011843
62991123101
62991123102
62991123103
62991123104
62991200601
62991200602
62991200603
62991200604
62991200605
63304056520
63304097605
64011012811
64011012822
64376053901
64455077701
64455077702
64455077703
64455077704
64543014601
64731083090
65628002001
65628002101
65726022615
65726022625
65726023510
65726023525
65726023610
65726023625
66213042110
66213042150
66479002356
66685042200
66685042201
66685042203
67204053101

NAME
NESCON-PD TABLET
ALKABEL-SR TABLET
METHYLENE BLUE 1% VIAL
METHYLENE BLUE 1% VIAL
OMEPRAZOLE 20 MG CAPSULE DR
OMEPRAZOLE 20 MG CAPSULE DR
OMEPRAZOLE 20 MG CAPSULE DR
CARBIDOPA-LEVO 50/200 TAB SR
CARBIDOPA-LEVO 50/200 TAB SR
HYDROMORPHONE-NS 10 MG/50 ML
METHYLENE BLUE 1% VIAL
METHYLENE BLUE 1% VIAL
AMINOCAPROIC ACID 25% SYRUP
AMINOCAPROIC ACID 25% SYRUP
OMEPRAZOLE 20 MG CAPSULE DR
OMEPRAZOLE 20 MG CAPSULE DR
OMEPRAZOLE 20 MG CAPSULE DR
OMEPRAZOLE 20 MG CAPSULE DR
CYCLANDELATE POWDER
CYCLANDELATE POWDER
CYCLANDELATE POWDER
CYCLANDELATE POWDER
AMPICILLIN TRIHYDRATE POWDR
AMPICILLIN TRIHYDRATE POWDR
AMPICILLIN TRIHYDRATE POWDR
AMPICILLIN TRIHYDRATE POWDR
AMPICILLIN TRIHYDRATE POWDR
DISPERMOX 200 MG TABLET-SUSP
FLUCONAZOLE 40 MG/ML SUSP
STRONGSTART CAPLET
STRONGSTART CAPLET
GUAIPHEN-PD TR TABLET
CEDAX 90 MG/5 ML SUSPENSION
CEDAX 90 MG/5 ML SUSPENSION
CEDAX 90 MG/5 ML SUSPENSION
CEDAX 90 MG/5 ML SUSPENSION
LIQUIBID-PD TABLET
DUET CHEWABLE TABLET
FIRST 2% TESTOSTERONE OINT
FIRST-TESTOSTERONE MC 2% CR
DYNACIRC 2.5 MG CAPSULE
DYNACIRC 2.5 MG CAPSULE
DYNACIRC CR 5 MG TABLET SA
DYNACIRC CR 5 MG TABLET SA
DYNACIRC CR 10 MG TABLET SA
DYNACIRC CR 10 MG TABLET SA
DONNATAL EXTENTABS
DONNATAL EXTENTABS
AMICAR 25% SYRUP
OMEPRAZOLE 20 MG CAPSULE DR
OMEPRAZOLE 20 MG CAPSULE DR
OMEPRAZOLE 20 MG CAPSULE DR
URISYM CAPSULE

DOSE FORM DRUG STRENGTH


TM
TS
HV
HV
CE
CE
CE
TS
TS
IR
HV
HV
ST
ST
CE
CE
CE
CE
PA
PA
PA
PA
PA
PA
PA
PA
PA
TJ
PD
TA
TA
TM
PD
PD
PD
PD
TM
TC
OA
KA
CA
CA
TZ
TZ
TZ
TZ
TS
TS
ST
CE
CE
CE
CA

UNIT PRICE
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47

NDC
68025000210
68115040600
68115040630
68115067230
68115073300
68115073390
68115086530
68387037030
99207049010
00006006768
00006067268
00007316618
00007316620
00009361501
00009361503
00019318309
00019318311
00025103131
00025103134
00025146131
00025146134
00025146160
00029152544
00029601530
00043047906
00054356699
00062161001
00062161003
00067547906
00067609306
00068022630
00068050830
00068050860
00068050861
00074110212
00074125601
00074202902
00074204601
00074307331
00074381512
00074492315
00074802701
00093004103
00093004156
00093101042
00172295960
00172443149
00172443160
00185079901
00185079905
00185079930
00185079960
00186115312

NAME
ZOTEX-LA CAPLET
OMEPRAZOLE 20 MG CAPSULE DR
OMEPRAZOLE 20 MG CAPSULE DR
ZOCOR 20 MG TABLET
COZAAR 50 MG TABLET
COZAAR 50 MG TABLET
HYZAAR 100-25 TABLET
OMEPRAZOLE 20 MG CAPSULE
DYNACIN 50 MG TABLET
TIMOLIDE 10/25 TABLET
CUPRIMINE 125 MG CAPSULE
AVANDAMET 1 MG/500 MG TABLET
AVANDAMET 1 MG/500 MG TABLET
VANTIN 100 MG/5 ML SUSPENSION
VANTIN 100 MG/5 ML SUSPENSION
CONRAY-43 INFUSION BOTTLE
CONRAY-43 INFUSION BOTTLE
ALDACTONE 100 MG TABLET
ALDACTONE 100 MG TABLET
CYTOTEC 200 MCG TABLET
CYTOTEC 200 MCG TABLET
CYTOTEC 200 MCG TABLET
BACTROBAN 2% OINTMENT
BACTOCILL 500 MG CAPSULE
THERAFLU FLU & SORE THROAT
MIDAZOLAM HCL 2 MG/ML SYRUP
CENTANY 2% OINTMENT
CENTANY 2% OINTMENT
THERAFLU FLU/COLD MEDICINE
THERAFLU FLU & SORE THROAT
CLOMID 50 MG TABLET
RIFADIN 300 MG CAPSULE
RIFADIN 300 MG CAPSULE
RIFADIN 300 MG CAPSULE
CODEINE PH 30 MG/ML SYRINGE
DEMEROL 100 MG/ML AMPUL
MORPHINE 1 MG/ML VIAL P/F
DEMEROL 100 MG/ML AMPUL
EPHEDRINE 50 MG/ML AMPUL
MORPHINE 1 MG/ML VIAL P/F
LIDOCAINE HCL 2% ABBOJECT
LIDOCAINE HCL 2% ABBOJECT
CLOMIPHENE CITRATE 50 MG TAB
CLOMIPHENE CITRATE 50 MG TAB
MUPIROCIN 2% OINTMENT
ERGOLOID MESYL 1 MG TAB SL
MISOPROSTOL 200 MCG TABLET
MISOPROSTOL 200 MCG TABLET
RIFAMPIN 300 MG CAPSULE
RIFAMPIN 300 MG CAPSULE
RIFAMPIN 300 MG CAPSULE
RIFAMPIN 300 MG CAPSULE
ASTRAMORPH-PF 1 MG/ML VIAL

DOSE FORM DRUG STRENGTH


TM
CE
CE
TA
TA
TA
TA
CE
TA
TA
CA
TA
TA
PD
PD
HB
HB
TA
TA
TA
TA
TA
OA
CA
PP
ST
OA
OA
PP
PP
TA
CA
CA
CA
HQ
HH
HV
HH
HH
HV
HQ
HQ
TA
TA
OA
TU
TA
TA
CA
CA
CA
CA
HV

UNIT PRICE
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.47
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48

NDC
00228267311
00228267350
00247041640
00247041660
00281412117
00310089110
00310089139
00310089210
00310089239
00310089310
00310089339
00310089410
00338939648
00378043701
00469510515
00469510560
00517820125
00517821025
00591078130
00641115035
00642006630
00677170801
00677170805
00677170806
00677170807
00677191701
00677191707
00781207731
00785630101
00904324860
08080233300
08080807300
08219223200
08219224400
08219805300
08219807300
08225798000
10019015868
10356002070
10939003133
10939058911
11098051501
11584104801
11898000020
11898000060
11898000120
12333016905
14654025205
14654025314
14654025412
17478070412
44087809001
44087809006

NAME
SPIRONOLACTONE 100 MG TABLET
SPIRONOLACTONE 100 MG TABLET
CYTOTEC 200 MCG TABLET
CYTOTEC 200 MCG TABLET
MAGAN 545 MG TABLET
SULAR 10 MG TABLET SA
SULAR 10 MG TABLET SA
SULAR 20 MG TABLET SA
SULAR 20 MG TABLET SA
SULAR 30 MG TABLET SA
SULAR 30 MG TABLET SA
SULAR 40 MG TABLET SA
MIDAZOLAM/NACL 1 MG/ML INJ
SPIRONOLACTONE 100 MG TABLET
ARISTOCORT A 0.1% OINTMENT
ARISTOCORT A 0.1% OINTMENT
MULTITRACE-5 CONC VIAL
MULTITRACE-5 CONC VIAL
CLOMIPHENE CITRATE 50 MG TAB
MEPERIDINE 100 MG/ML AMPUL
CALCIFOL CHEWABLE WAFER
SPIRONOLACTONE 100 MG TABLET
SPIRONOLACTONE 100 MG TABLET
SPIRONOLACTONE 100 MG TABLET
SPIRONOLACTONE 100 MG TABLET
UNI-TEX 120-10 ER CAPSULE
UNI-TEX 120-10 ER CAPSULE
RIFAMPIN 300 MG CAPSULE
EUDAL-SR TABLET SA
RONDAMINE TABLET
CONFORM STRETCH BANDAGE
KERLIX LITE GAUZE BANDAGE
CONFORM STRETCH BANDAGE
CONFORM STRETCH BANDAGE
KERLIX LITE GAUZE BANDAGE
KERLIX LITE GAUZE BANDAGE
CURAD 3" X 4.1YDS BANDAGE
MEPERIDINE 100 MG/ML AMPUL
ELASTOMULL GAUZE BANDAGE
SM STRETCH GAUZE BAND 3"X4.1YD
STRETCH GAUZE BAND 3"X4.1YD
EPHEDRINE 50 MG/ML AMPUL
DESPEC DROPS
SB-NORMAL STOOL FORMULA TAB
SB-NORMAL STOOL FORMULA TAB
SB-NORMAL STOOL FORMULA TAB
GAUZE STRETCH ROLL 3"X4.1YD
Q-GEL MEGA 100 MG SOFTGEL
Q-GEL MEGA 100 MG SOFTGEL
Q-GEL MEGA 100 MG SOFTGEL
PAREMYD EYE DROPS
SEROPHENE 50 MG TABLET
SEROPHENE 50 MG TABLET

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TI
TI
TI
TI
TI
TI
TI
HZ
TA
OA
OA
HV
HV
TA
HH
TW
TA
TA
TA
TA
CB
CB
CA
TM
TA
YE
YE
YE
YE
YE
YE
YE
HH
YE
YE
YE
HH
SO
TA
TA
TA
YE
CA
CA
CA
SO
TA
TA

UNIT PRICE
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48

NDC
45802011222
49348058983
49756046302
49884070154
49884070155
49999027815
49999027822
49999058960
49999064422
50991041301
51079089001
51079089017
51079089019
51079089020
51079098001
51079098020
51234017177
51991005001
52747077070
52959035401
52959035412
52959035430
52959035440
52959064710
52959065310
52959065330
52959069312
52959069316
52959069320
52959069328
52959069330
52959069340
52959074322
52959101422
53489032901
53489032905
54022208501
54022208502
54022208503
54023858702
54023858706
54023858709
54569276502
54569462200
54569496000
54569559100
54569564400
54738013201
54738013202
54868020200
54868020201
54868020202
54868248400

NAME
MUPIROCIN 2% OINTMENT
SM STRETCH GAUZE BAND 3"X4.1YD
TRANSEAL WOUND DRESSING
CLOMIPHENE CITRATE 50 MG TAB
CLOMIPHENE CITRATE 50 MG TAB
BACTROBAN 2% OINTMENT
BACTROBAN 2% OINTMENT
MISOPROSTOL 200 MCG TABLET
MUPIROCIN 2% OINTMENT
DILEX-G 400 TABLET
RIFAMPIN 300 MG CAPSULE
RIFAMPIN 300 MG CAPSULE
RIFAMPIN 300 MG CAPSULE
RIFAMPIN 300 MG CAPSULE
SPIRONOLACTONE 100 MG TABLET
SPIRONOLACTONE 100 MG TABLET
NUMONYL DX PEDIATRIC DROPS
COLDEC TABLET
NOVASAL 600 MG TABLET
CYTOTEC 200 MCG TABLET
CYTOTEC 200 MCG TABLET
CYTOTEC 200 MCG TABLET
CYTOTEC 200 MCG TABLET
RIFADIN 300 MG CAPSULE
RIFAMPIN 300 MG CAPSULE
RIFAMPIN 300 MG CAPSULE
MISOPROSTOL 200 MCG TABLET
MISOPROSTOL 200 MCG TABLET
MISOPROSTOL 200 MCG TABLET
MISOPROSTOL 200 MCG TABLET
MISOPROSTOL 200 MCG TABLET
MISOPROSTOL 200 MCG TABLET
MUPIROCIN 2% OINTMENT
BACTROBAN 2% OINTMENT
SPIRONOLACTONE 100 MG TABLET
SPIRONOLACTONE 100 MG TABLET
COENZYME Q10 60 MG WAFER
COENZYME Q10 60 MG WAFER
COENZYME Q10 60 MG WAFER
Q-GEL MEGA 100 MG SOFTGEL
Q-GEL MEGA 100 MG SOFTGEL
Q-GEL MEGA 100 MG SOFTGEL
CYTOTEC 200 MCG TABLET
SULAR 20 MG TABLET SA
BACTROBAN 2% OINTMENT
COENZYME Q10 60 MG WAFER
MUPIROCIN 2% OINTMENT
SPIRONOLACTONE 100 MG TABLET
SPIRONOLACTONE 100 MG TABLET
BACTROBAN 2% OINTMENT
BACTROBAN 2% OINTMENT
BACTROBAN 2% OINTMENT
RIMACTANE 300 MG CAPSULE

DOSE FORM DRUG STRENGTH


OA
YE
YE
TA
TA
OA
OA
TA
OA
TA
CA
CA
CA
CA
TA
TA
SO
TA
TA
TA
TA
TA
TA
CA
CA
CA
TA
TA
TA
TA
TA
TA
OA
OA
TA
TA
TW
TW
TW
CA
CA
CA
TA
TI
OA
TW
OA
TA
TA
OA
OA
OA
CA

UNIT PRICE
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48

NDC
54868290101
54868290102
54868305900
54868305901
54868401100
54868401101
54868401102
54868420000
54868420001
54868447400
54868468300
54868468301
54868475100
54868475101
54868476600
54868476601
54868495800
54868501500
54868501501
55045156107
55289036620
55289038608
55289058330
55289064002
55289064004
55289064006
55289064008
55289069802
55289069804
55289069808
55289069830
55499105001
58016019002
58016034800
58016034820
58016076600
58016076602
58016076603
58016076630
58016076660
58016076673
58016076689
58016076690
58016086900
58016086930
58016086960
58016086990
58016315401
58016557101
58196001011
59630044010
59630044110
59630044210

NAME
RIFADIN 300 MG CAPSULE
RIFADIN 300 MG CAPSULE
CLOMIPHENE CITRATE 50 MG TAB
CLOMIPHENE CITRATE 50 MG TAB
SULAR 10 MG TABLET
SULAR 10 MG TABLET
SULAR 10 MG TABLET
SULAR 20 MG TABLET
SULAR 20 MG TABLET
WELCHOL 625 MG TABLET
RIFAMPIN 300 MG CAPSULE
RIFAMPIN 300 MG CAPSULE
DEMEROL 100 MG/ML AMPUL
DEMEROL 100 MG/ML AMPUL
MISOPROSTOL 200 MCG TABLET
MISOPROSTOL 200 MCG TABLET
MUPIROCIN 2% OINTMENT
SPIRONOLACTONE 100 MG TABLET
SPIRONOLACTONE 100 MG TABLET
BACTROBAN 2% OINTMENT
EUDAL-SR TABLET SA
RIFAMPIN 300 MG CAPSULE
SULAR 20 MG TABLET SA
MISOPROSTOL 200 MCG TABLET
MISOPROSTOL 200 MCG TAB
MISOPROSTOL 200 MCG TABLET
MISOPROSTOL 200 MCG TABLET
CYTOTEC 200 MCG TABLET
CYTOTEC 200 MCG TABLET
CYTOTEC 200 MCG TABLET
CYTOTEC 200 MCG TABLET
HISTALET X TABLET SA
CYTOTEC 200 MCG TABLET
CYTOTEC 200 MCG TABLET
CYTOTEC 200 MCG TABLET
MISOPROSTOL 200 MCG TABLET
MISOPROSTOL 200 MCG TABLET
MISOPROSTOL 200 MCG TABLET
MISOPROSTOL 200 MCG TABLET
MISOPROSTOL 200 MCG TABLET
MISOPROSTOL 200 MCG TABLET
MISOPROSTOL 200 MCG TABLET
MISOPROSTOL 200 MCG TABLET
WELCHOL 625 MG TABLET
WELCHOL 625 MG TABLET
WELCHOL 625 MG TABLET
WELCHOL 625 MG TABLET
BACTROBAN 2% OINTMENT
BACTROBAN 2% OINTMENT
EPHEDRINE 50 MG/ML AMPUL
SULAR 10 MG TABLET
SULAR 20 MG TABLET
SULAR 30 MG TABLET

DOSE FORM DRUG STRENGTH


CA
CA
TA
TA
TI
TI
TI
TI
TI
TA
CA
CA
HH
HH
TA
TA
OA
TA
TA
OA
TM
CA
TI
TA
TA
TA
TA
TA
TA
TA
TA
TM
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
OA
OA
HH
TI
TI
TI

UNIT PRICE
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48

NDC
59630044310
59743062004
59762500801
59762500802
59762501301
60258010601
60258023201
60258029301
61553019648
61553082241
61748001801
61748001811
61748001830
61748001860
63304020518
63323002801
63323002910
64455002201
64543009001
65086052505
65086052510
65086052515
65224010501
65597070118
65597070154
66267042840
66267098615
66267098622
66358010060
67336008901
68030309306
68115064697
68611006215
68669052505
68669052510
68669052515
00009519501
00009519508
00026286251
00026855136
00054472125
00054472131
00054873725
00062325501
00071041624
00071051324
00074127522
00074621702
00074624801
00074625401
00078010705
00078037606
00078037615

NAME
SULAR 40 MG TABLET
MIDAZOLAM HCL 2 MG/ML SYRUP
MISOPROSTOL 200 MCG TABLET
MISOPROSTOL 200 MCG TABLET
SPIRONOLACTONE 100 MG TABLET
MST 600 TABLET
RALIX TABLET
EXTUSS LA TABLET
MIDAZOLAM-NACL 1 MG/ML INJ
MORPHINE-NS 250 MG/50 ML
RIFAMPIN 300 MG CAPSULE
RIFAMPIN 300 MG CAPSULE
RIFAMPIN 300 MG CAPSULE
RIFAMPIN 300 MG CAPSULE
MIDAZOLAM HCL 2 MG/ML SYRUP
M.T.E.-5 CONCENTRATED VIAL
M.T.E.-5 CONCENTRATED VIAL
RONDEC TABLET
RESCON-MX TABLET SR
BETIMOL 0.5% EYE DROPS
BETIMOL 0.5% EYE DROPS
BETIMOL 0.5% EYE DROPS
Z-COF LA TABLET
WELCHOL 625 MG TABLET
WELCHOL 625 MG TABLET
CYTOTEC 200 MCG TABLET
BACTROBAN 2% OINTMENT
BACTROBAN 2% OINTMENT
AXSAIN 0.25% CREAM
HISTEX SR CAPSULE SA
MUPIROCIN 2% OINTMENT
WELCHOL 625 MG TABLET
SOOTHE EYE DROPS
BETIMOL 0.5% EYE DROPS
BETIMOL 0.5% EYE DROPS
BETIMOL 0.5% EYE DROPS
NICOTROL CARTRIDGE INHALER
NICOTROL CARTRIDGE INHALER
PRECOSE 100 MG TABLET
CIPRO 5% SUSPENSION
PROPANTHELINE 15 MG TABLET
PROPANTHELINE 15 MG TABLET
PROPANTHELINE 15 MG TABLET
CONCEPTROL 150 MG INSERT
NEURONTIN 600 MG TABLET
NEURONTIN 600 MG TABLET
FUROSEMIDE 10 MG/ML CARTRG
LIDOCAINE HCL 20% VIAL
LIDOCAINE HCL 20% VIAL
LIDOCAINE HCL 10% VIAL
FIORINAL/CODEINE #3 CAPSULE
DIOVAN 40 MG TABLET
DIOVAN 40 MG TABLET

DOSE FORM DRUG STRENGTH


TI
ST
TA
TA
TA
TA
TM
TM
HZ
IR
CA
CA
CA
CA
ST
HV
HV
TA
TM
SO
SO
SO
TM
TA
TA
TA
OA
OA
KA
CB
OA
TA
SO
SO
SO
SO
HI
HI
TA
RG
TA
TA
TA
QB
TA
TA
HJ
HV
HV
HV
CA
TA
TA

UNIT PRICE
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.48
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49

NDC
00085177701
00093717301
00093717305
00172423860
00172444300
00172444310
00172444360
00172444370
00172444380
00228263611
00228263650
00247033700
00247033706
00247033710
00247033712
00247033715
00247033716
00247033720
00247033724
00247033725
00247033730
00247033750
00482400030
00527131201
00555037987
00573021615
00573021820
00591042501
00591042505
00904514060
08080223600
08080224700
08137005522
11980077905
11980077910
17478071310
17478071311
24208043405
24208043410
38779022804
38779022805
38779023801
38779023804
38779023805
38779023808
49326043190
49452365901
49452365902
49452471901
49452471902
49452471903
49452472702
49452472704

NAME
CIPRO 5% SUSPENSION
GABAPENTIN 600 MG TABLET
GABAPENTIN 600 MG TABLET
NADOLOL 120 MG TABLET
GABAPENTIN 600 MG TABLET
GABAPENTIN 600 MG TABLET
GABAPENTIN 600 MG TABLET
GABAPENTIN 600 MG TABLET
GABAPENTIN 600 MG TABLET
GABAPENTIN 600 MG TABLET
GABAPENTIN 600 MG TABLET
FIORINAL/CODEINE #3 CAPSULE
FIORINAL/CODEINE #3 CAPSULE
FIORINAL/CODEINE #3 CAPSULE
FIORINAL/CODEINE #3 CAPSULE
FIORINAL/CODEINE #3 CAPSULE
FIORINAL/CODEINE #3 CAPSULE
FIORINAL/CODEINE #3 CAPSULE
FIORINAL/CODEINE #3 CAPSULE
FIORINAL/CODEINE #3 CAPSULE
FIORINAL/CODEINE #3 CAPSULE
FIORINAL/CODEINE #3 CAPSULE
FLORA-Q CAPSULE
BUTALBITAL COMP/COD #3 CAP
CIPROFLOXACIN 5% SUSP
BABY ANBESOL GEL
ANBESOL GEL
BUTALBITAL COMP/COD #3 CAP
BUTALBITAL COMP/COD #3 CAP
BUTALBITAL COMP/COD #3 CAP
CONFORM STRETCH BANDAGE
CONFORM STRETCH BANDAGE
KLING BANDAGE 4" X 5YDS
OCUFLOX 0.3% EYE DROPS
OCUFLOX 0.3% EYE DROPS
OFLOXACIN 0.3% EYE DROPS
OFLOXACIN 0.3% EYE DROPS
OFLOXACIN 0.3% EYE DROPS
OFLOXACIN 0.3% EYE DROPS
HYDROXYZINE PAMOATE POWDER
HYDROXYZINE PAMOATE POWDER
METRONIDAZOLE BENZ POWDER
METRONIDAZOLE BENZ POWDER
METRONIDAZOLE BENZ POWDER
METRONIDAZOLE BENZ POWDER
LIPOCHOL CAPSULE
HYDROXYZINE PAMOATE POWDER
HYDROXYZINE PAMOATE POWDER
METRONIDAZOLE BENZ POWDER
METRONIDAZOLE BENZ POWDER
METRONIDAZOLE BENZ POWDER
METRONIDAZOLE BENZ POWDER
METRONIDAZOLE BENZ POWDER

DOSE FORM DRUG STRENGTH


RG
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
RG
JG
JG
CA
CA
CA
YE
YE
YE
SO
SO
SO
SO
SO
SO
PA
PA
PA
PA
PA
PA
CA
PA
PA
PA
PA
PA
PA
PA

UNIT PRICE
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49

NDC
49452654001
49452654002
49452654003
49999035805
50383002405
50383002410
50419034605
50419034607
50419034610
50419034612
50419034615
50419034620
50419034625
50419034650
50419034658
50991065001
51285044302
51285044305
51552046502
51552046504
51552046505
51552046506
51552046507
51927155900
51927231600
51991006401
51991007401
51991007405
52544095601
52959011915
52959011930
52959060705
52959064030
54569033702
54569034104
54569416000
54569562400
54868053000
54868053002
54868053003
54868053004
54868103700
54868103701
54868103703
54868103704
54868103705
54868364500
54868390000
54868390001
54868449100
54868449102
54868449103
54868449104

NAME
SILVER PROTEIN POWDER
SILVER PROTEIN POWDER
SILVER PROTEIN POWDER
OCUFLOX 0.3% EYE DROPS
OFLOXACIN 0.3% EYE DROPS
OFLOXACIN 0.3% EYE DROPS
ULTRAVIST 370 MG/ML VIAL
ULTRAVIST 370 MG/ML VIAL
ULTRAVIST 370 MG/ML VIAL
ULTRAVIST 370 MG/ML VIAL
ULTRAVIST 370 MG/ML VIAL
ULTRAVIST 370 MG/ML VIAL
ULTRAVIST 370 MG/ML VIAL
ULTRAVIST 370 MG/ML VIAL
ULTRAVIST 370 MG/ML VIAL
FLEXTRA-650 TABLET
CENESTIN 0.9 MG TABLET
CENESTIN 0.9 MG TABLET
METRONIDAZOLE BENZ POWDER
METRONIDAZOLE BENZ POWDER
METRONIDAZOLE BENZ POWDER
METRONIDAZOLE BENZ POWDER
METRONIDAZOLE BENZ POWDER
METRONIDAZOLE BENZ POWDER
HYDROXYZINE PAMOATE POWDER
HYFLEX-650 TABLET
ASCOMP W/CODEINE CAPSULE
ASCOMP W/CODEINE CAPSULE
FIORINAL W/CODEINE #3 CAPSULE
FIORINAL/CODEINE #3 CAPSULE
FIORINAL/CODEINE #3 CAPSULE
OCUFLOX 0.3% EYE DROPS
NEURONTIN 600 MG TABLET
BUTALBITAL COMP/COD #3 CAP
FIORINAL/CODEINE #3 CAPSULE
OCUFLOX 0.3% EYE DROPS
OFLOXACIN 0.3% EYE DROPS
FIORINAL/CODEINE #3 CAPSULE
FIORINAL/CODEINE #3 CAPSULE
FIORINAL/CODEINE #3 CAPSULE
FIORINAL/CODEINE #3 CAPSULE
BUTALBITAL COMP/COD #3 CAP
BUTALBITAL COMP/COD #3 CAP
BUTALBITAL COMP/COD #3 CAP
BUTALBITAL COMP-COD #3 CAP
BUTALBITAL COMP-COD #3 CAP
FUROSEMIDE 10 MG/ML CARTRG
OCUFLOX 0.3% EYE DROPS
OCUFLOX 0.3% EYE DROPS
NEURONTIN 600 MG TABLET
NEURONTIN 600 MG TABLET
NEURONTIN 600 MG TABLET
NEURONTIN 600 MG TABLET

DOSE FORM DRUG STRENGTH


PA
PA
PA
SO
SO
SO
VI
VI
VI
VI
VI
VI
VI
VI
VI
TA
TA
TA
PA
PA
PA
PA
PA
PA
PA
TA
CA
CA
CA
CA
CA
SO
TA
CA
CA
SO
SO
CA
CA
CA
CA
CA
CA
CA
CA
CA
HJ
SO
SO
TA
TA
TA
TA

UNIT PRICE
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49

NDC
54868505200
54868521900
54868521901
55289002620
55289085030
55289097420
55887028290
55887040605
55887053930
55887053960
55887053982
55887053990
57866393901
57866393902
57866393903
58016031200
58016031202
58016031203
58016031210
58016031214
58016031215
58016031220
58016031221
58016031228
58016031230
58016031240
58016031250
58016031260
58016031290
58016048200
58016048210
58016048214
58016048215
58016048220
58016048221
58016048228
58016048230
58016048240
58016048250
58016048260
58016048290
58016649801
58016871101
59762502301
59772246401
60258025001
60258028001
60505056000
60505056001
60758092905
60758092910
60951067570
61314001205

NAME
NICOTROL CARTRIDGE INHALER
GABAPENTIN 600 MG TABLET
GABAPENTIN 600 MG TABLET
FIORINAL/CODEINE #3 CAPSULE
NEURONTIN 600 MG TABLET
FIORINAL/CODEINE #3 CAPSULE
GABAPENTIN 600 MG TABLET
OFLOXACIN 0.3% EYE DROPS
NEURONTIN 600 MG TABLET
NEURONTIN 600 MG TABLET
NEURONTIN 600 MG TABLET
NEURONTIN 600 MG TABLET
ASA-BUTALB-CAFF-COD #3 TAB
ASA-BUTALB-CAFF-COD #3 TAB
ASA-BUTALB-CAFF-COD #3 TAB
GABAPENTIN 600 MG TABLET
GABAPENTIN 600 MG TABLET
GABAPENTIN 600 MG TABLET
GABAPENTIN 600 MG TABLET
GABAPENTIN 600 MG TABLET
GABAPENTIN 600 MG TABLET
GABAPENTIN 600 MG TABLET
GABAPENTIN 600 MG TABLET
GABAPENTIN 600 MG TABLET
GABAPENTIN 600 MG TABLET
GABAPENTIN 600 MG TABLET
GABAPENTIN 600 MG TABLET
GABAPENTIN 600 MG TABLET
GABAPENTIN 600 MG TABLET
NEURONTIN 600 MG TABLET
NEURONTIN 600 MG TABLET
NEURONTIN 600 MG TABLET
NEURONTIN 600 MG TABLET
NEURONTIN 600 MG TABLET
NEURONTIN 600 MG TABLET
NEURONTIN 600 MG TABLET
NEURONTIN 600 MG TABLET
NEURONTIN 600 MG TABLET
NEURONTIN 600 MG TABLET
NEURONTIN 600 MG TABLET
NEURONTIN 600 MG TABLET
OCUFLOX 0.3% EYE DROPS
OCUFLOX 0.3% EYE DROPS
GABAPENTIN 600 MG TABLET
NADOLOL 120 MG TABLET
CPM 8/PE 20/MSC 1.25 MG TAB
PCM LA TABLET
OFLOXACIN 0.3% EYE DROPS
OFLOXACIN 0.3% EYE DROPS
OFLOXACIN 0.3% EYE DROPS
OFLOXACIN 0.3% EYE DROPS
BUTALBITAL COMP/COD #3 CAP
OFLOXACIN 0.3% EYE DROPS

DOSE FORM DRUG STRENGTH


HI
TA
TA
CA
TA
CA
TA
SO
TA
TA
TA
TA
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
SO
SO
TA
TA
TM
TM
SO
SO
SO
SO
CA
SO

UNIT PRICE
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49

NDC
61314001210
61570020301
62436029301
62991110301
62991110302
62991110303
62991110304
62991110305
63010002036
63370015525
63370015535
63370015550
65880029301
66267003815
66825000201
66825000202
66869042410
66869042510
66993017001
68084011400
68084011405
68084012285
68115038500
68115038560
68115050190
79511040001
87701024874
87701024913
00003043150
00005509323
00005509331
00023923520
00046083981
00069163066
00074117801
00074117802
00074117811
00074117821
00074117830
00074117831
00074426618
00074646332
00078024615
00078031405
00078031406
00078031434
00078035805
00078035806
00078035834
00087033163
00087201448
00093521001
00093717201

NAME
OFLOXACIN 0.3% EYE DROPS
CORGARD 120 MG TABLET
HYDROCORTISONE 2.5% SOLN,TOP
METRONIDAZOLE BENZ POWDER
METRONIDAZOLE BENZ POWDER
METRONIDAZOLE BENZ POWDER
METRONIDAZOLE BENZ POWDER
METRONIDAZOLE BENZ POWDER
RESCRIPTOR 100 MG TABLET
METRONIDAZOLE BENZ POWDER
METRONIDAZOLE BENZ POWDER
METRONIDAZOLE BENZ POWDER
TEXACORT 2.5% SOLUTION
BUTALBITAL COMP/COD #3 CAP
FLORASTOR 250 MG CAPSULE
FLORASTOR 250 MG CAPSULE
DURAHIST TABLET SA
DURAHIST PE TABLET
OFLOXACIN 0.3% EYE DROPS
ASA-BUTALB-CAFF-COD #3 CAPSULE
ASA-BUTALB-CAFF-COD #3 CAPSULE
GABAPENTIN 600 MG TABLET
NEURONTIN 600 MG TABLET
NEURONTIN 600 MG TABLET
GABAPENTIN 600 MG TABLET
RETRE-GEL
BL ORARELIEF GEL
GNP ORARELIEF GEL
PRONESTYL 250 MG TABLET
PYRAZINAMIDE 500 MG TABLET
PYRAZINAMIDE 500 MG TABLET
REFRESH ENDURA EYE DROPS
LODINE XL 500 MG TABLET SA
ZYRTEC-D TABLET
DEMEROL 50 MG/ML SYRINGE
DEMEROL 50 MG/ML SYRINGE
DEMEROL 50 MG/ML SYRINGE
DEMEROL 50 MG/ML SYRINGE
DEMEROL 50 MG/ML SYRINGE
DEMEROL 50 MG/ML SYRINGE
DOPAMINE 80 MG/ML SYRINGE
GENGRAF 25 MG CAPSULE
NEORAL 25 MG GELATIN CAPSULE
DIOVAN HCT 80/12.5 MG TABLET
DIOVAN HCT 80/12.5 MG TABLET
DIOVAN HCT 80/12.5 MG TABLET
DIOVAN 80 MG TABLET
DIOVAN 80 MG TABLET
DIOVAN 80 MG TABLET
ENFAMIL W/IRON PACKET
ENFAMIL POWDER PACKET
OMEPRAZOLE 10 MG CAPSULE DR
ETODOLAC 500 MG TABLET SA

DOSE FORM DRUG STRENGTH


SO
TA
SA
PA
PA
PA
PA
PA
TA
PA
PA
PA
SA
CA
CA
CA
TM
TM
SO
CA
CA
TA
TA
TA
TA
JG
JG
JG
TA
TA
TA
DP
TI
TM
HQ
HQ
HQ
HQ
HQ
HQ
HQ
CA
CA
TA
TA
TA
TA
TA
TA
PP
PP
CE
TI

UNIT PRICE
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.49
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50

NDC
00115704301
00115704302
00169185275
00172731046
00185093230
00186060628
00186060631
00186060668
00186060682
00247074815
00247083400
00247083410
00247083430
00247083436
00247083448
00247083452
00247083460
00247083470
00247083478
00247083490
00378521193
00406991501
00456005501
00501241308
00501241408
00573253110
00603723873
00904571489
10337074921
11845014028
11845014288
12333950107
12547060011
12547060012
15127033033
17317017500
17317017501
17317017502
17317017503
17317017505
49452318001
49452318002
49452318003
49669320002
49669320003
49999061130
49999061160
50111090943
51285093402
51285093425
51552041803
51552041804
51552041805

NAME
LIPRAM-UL20 CAPSULE EC
LIPRAM-UL20 CAPSULE EC
NOVOFINE AUTOCOVER 30G NEEDLE
CYCLOSPORINE 25 MG SOFTGEL
CYCLOSPORINE 25 MG SOFTGEL
PRILOSEC 10 MG CAPSULE DR
PRILOSEC 10 MG CAPSULE DR
PRILOSEC 10 MG CAPSULE DR
PRILOSEC 10 MG CAPSULE DR
AMERICAINE 20% EAR DROPS
PYRAZINAMIDE 500 MG TABLET
PYRAZINAMIDE 500 MG TABLET
PYRAZINAMIDE 500 MG TABLET
PYRAZINAMIDE 500 MG TABLET
PYRAZINAMIDE 500 MG TABLET
PYRAZINAMIDE 500 MG TABLET
PYRAZINAMIDE 500 MG TABLET
PYRAZINAMIDE 500 MG TABLET
PYRAZINAMIDE 500 MG TABLET
PYRAZINAMIDE 500 MG TABLET
OMEPRAZOLE 10 MG CAPSULE DR
RESTORIL 7.5 MG CAPSULE
THYROLAR-2 STRENGTH TABLET
PEDIA CARE FREEZER POPS
PEDIA CARE FREEZER POPS
OUTGRO LIQUID
OTICAINE 20% EAR DROPS
OMEPRAZOLE 10 MG CAPSULE DR
ZODERM 6.5% GEL
LUTEIN 20 MG SOFTGEL
BLACK COHOSH/FLAXSEED/SOY CPLT
FLU,COLD,COUGH EX-STRN PCKT
PEDIA CARE FREEZER POPS
PEDIA CARE FREEZER POPS
SB FLU/COLD/COUGH MEDICINE
FOLIC ACID POWDER
FOLIC ACID POWDER
FOLIC ACID POWDER
FOLIC ACID POWDER
FOLIC ACID POWDER
FOLIC ACID POWDER
FOLIC ACID POWDER
FOLIC ACID POWDER
PROFILNINE SD 500 UNITS VIAL
PROFILNINE SD 1,000-1,500 UNIT
OMEPRAZOLE 10 MG CAPSULE DR
OMEPRAZOLE 10 MG CAPSULE DR
CYCLOSPORINE 25 MG SOFTGEL
PALPEON MT 20 CAPSULE EC
PALPEON MT 20 CAPSULE EC
FOLIC ACID POWDER
FOLIC ACID POWDER
FOLIC ACID POWDER

DOSE FORM DRUG STRENGTH


CE
CE
YH
CA
CA
CE
CE
CE
CE
SO
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CE
CA
TA
SJ
SJ
SL
SO
CE
GE
CA
TS
PP
SJ
SJ
PP
PA
PA
PA
PA
PA
PA
PA
PA
HS
HS
CE
CE
CA
CE
CE
PA
PA
PA

UNIT PRICE
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50

NDC
51672405201
51672405204
51927134100
51991040901
51991040902
52604021805
52959003815
52959009528
52959009530
52959064930
54569395000
54569476600
54569498000
54569536100
54868160902
54868185200
54868248701
54868418500
54868442500
54868442501
54868442502
54868465200
54868465201
54868465202
54868471600
54868473700
54868473701
54868473702
54868475500
54868479600
55289081530
55289082530
55887043130
57866280301
57866290102
58016051500
58016051512
58016051515
58016051520
58016051530
58016051560
58016059700
58016059730
58016059760
58016059790
58016064700
58016064702
58016064730
58016064760
58016064790
58016077600
58016077630
58016077660

NAME
ETODOLAC 500 MG TABLET SA
ETODOLAC 500 MG TABLET SA
FOLIC ACID POWDER
ULTRACAPS MT 20 CAPSULE
ULTRACAPS MT 20 CAPSULE
OTOCAIN 20% EAR DROPS
AMERICAINE 20% EAR DROPS
LODINE XL 500 MG TABLET SA
LODINE XL 500 MG TABLET SA
ETODOLAC 500 MG TABLET SA
PYRAZINAMIDE 500 MG TABLET
DIOVAN HCT 80/12.5 MG TABLET
ACIPHEX 20 MG TABLET EC
DIOVAN 80 MG TABLET
AMERICAINE 20% EAR DROPS
ETODOLAC 500 MG TABLET SA
PYRAZINAMIDE 500 MG TABLET
ACIPHEX 20 MG TABLET EC
DIOVAN HCT 80/12.5 MG TABLET
DIOVAN HCT 80/12.5 MG TABLET
DIOVAN HCT 80/12.5 MG TABLET
DIOVAN 80 MG TABLET
DIOVAN 80 MG TABLET
DIOVAN 80 MG TABLET
METHOTREXATE 25 MG/ML VIAL
ZYRTEC-D TABLET
ZYRTEC-D TABLET
ZYRTEC-D TABLET
REFRESH ENDURA EYE DROPS
METHOTREXATE 25 MG/ML VIAL
DIOVAN HCT 80-12.5 MG TABLET
DIOVAN 80 MG TABLET
ETODOLAC 500 MG TABLET SA
ZYRTEC-D TABLET
DIOVAN 80 MG TABLET
TEMAZEPAM 7.5 MG CAPSULE
TEMAZEPAM 7.5 MG CAPSULE
TEMAZEPAM 7.5 MG CAPSULE
TEMAZEPAM 7.5 MG CAPSULE
TEMAZEPAM 7.5 MG CAPSULE
TEMAZEPAM 7.5 MG CAPSULE
ACIPHEX 20 MG TABLET EC
ACIPHEX 20 MG TABLET EC
ACIPHEX 20 MG TABLET EC
ACIPHEX 20 MG TABLET EC
ETODOLAC 500 MG TABLET SA
ETODOLAC 500 MG TABLET SA
ETODOLAC 500 MG TABLET SA
ETODOLAC 500 MG TABLET SA
ETODOLAC 500 MG TABLET SA
PRILOSEC 10 MG CAPSULE DR
PRILOSEC 10 MG CAPSULE DR
PRILOSEC 10 MG CAPSULE DR

DOSE FORM DRUG STRENGTH


TI
TI
PA
CE
CE
SO
SO
TI
TI
TI
TA
TA
TE
TA
SO
TI
TA
TE
TA
TA
TA
TA
TA
TA
HV
TM
TM
TM
DP
HV
TA
TA
TI
TM
TA
CA
CA
CA
CA
CA
CA
TE
TE
TE
TE
TI
TI
TI
TI
TI
CE
CE
CE

UNIT PRICE
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50

NDC
58016077690
58177005004
58552011802
58605051401
58605061401
58864068130
58914000410
58914000450
60258027901
60258029701
60505014500
60505014501
60505014502
61703040822
61703040841
61703040858
61748001201
61748001205
61748001206
61748001209
61748001211
62022016815
62175011432
62856024330
62856024341
62856024390
62991203002
63323012302
63323012310
63323017302
63323051302
65224065001
66267052030
66479013501
66479013509
66685042100
66685042101
66870012101
66992016050
67253066010
67253066050
68030280301
68032011912
68115066900
68115066990
68115081630
68115081690
68115085400
68516320002
68516320003
68722017302
70074055553
00024123105

NAME
PRILOSEC 10 MG CAPSULE DR
PANGESTYME UL 20 CAPSULE EC
CARBAPHEN 12 PED SUSPENSION
MAXIFED-G TABLET SA
MAXIFED-G TABLET
DIOVAN 80 MG TABLET
ULTRASE MT 20 CAPSULE EC
ULTRASE MT 20 CAPSULE EC
GFN 550/PSE 60 TABLET
NASEX TABLET
OMEPRAZOLE 10 MG CAPSULE DR
OMEPRAZOLE 10 MG CAPSULE DR
OMEPRAZOLE 10 MG CAPSULE DR
METHOTREXATE 25 MG/ML VIAL
METHOTREXATE 25 MG/ML VIAL
METHOTREXATE 25 MG/ML VIAL
PYRAZINAMIDE 500 MG TABLET
PYRAZINAMIDE 500 MG TABLET
PYRAZINAMIDE 500 MG TABLET
PYRAZINAMIDE 500 MG TABLET
PYRAZINAMIDE 500 MG TABLET
OMEDIA OTIC 20% EAR DROPS
OMEPRAZOLE 10 MG CAPSULE DR
ACIPHEX 20 MG TABLET EC
ACIPHEX 20 MG TABLET EC
ACIPHEX 20 MG TABLET EC
FOLIC ACID POWDER
METHOTREXATE 25 MG/ML VIAL
METHOTREXATE 25 MG/ML VIAL
GENTAMICIN PED 10 MG/ML VIAL
GENTAMICIN PED 10 MG/ML VIAL
ALDEX TABLET
ETODOLAC 500 MG TABLET SA
METHOTREXATE 25 MG/ML VIAL
METHOTREXATE 25 MG/ML VIAL
OMEPRAZOLE 10 MG CAPSULE DR
OMEPRAZOLE 10 MG CAPSULE DR
AMBI 60/580 TABLET
LEVACET CAPLET
PYRAZINAMIDE 500 MG TABLET
PYRAZINAMIDE 500 MG TABLET
ZYRTEC-D TABLET
BENZOYL PEROXIDE 6.5% GEL
DIOVAN HCT 80/12.5 MG TABLET
DIOVAN HCT 80/12.5 MG TABLET
ACIPHEX 20 MG TABLET EC
ACIPHEX 20 MG TABLET EC
DIOVAN 80 MG TABLET
PROFILNINE SD 500 UNITS VIAL
PROFILNINE SD 1,000-1,500 UNIT
GENTAMICIN PED 10 MG/ML VIAL
SIMILAC POWDER PACKET
MEBARAL 32 MG TABLET

DOSE FORM DRUG STRENGTH


CE
CE
SC
TM
TA
TA
CE
CE
TM
TM
CE
CE
CE
HV
HV
HV
TA
TA
TA
TA
TA
SO
CE
TE
TE
TE
PA
HV
HV
HV
HV
TM
TI
HV
HV
CE
CA
TA
TA
TA
TA
TM
JC
TA
TA
TE
TE
TA
HS
HS
HV
PP
TA

UNIT PRICE
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.50
$
0.51

NDC
00029321013
00049343726
00051102858
00074113948
00074164348
00074172573
00074173073
00074181848
00074183258
00074183268
00074186048
00074186158
00074191148
00074192648
00074199278
00074258102
00074308248
00074425068
00074429348
00074449601
00074468423
00074480048
00074574248
00074709768
00074808248
00074896178
00074896548
00085025104
00087061663
00087149201
00087149301
00087310163
00115700505
00173039400
00173039401
00173039442
00182269015
00182269026
00247093520
00247093530
00247093540
00247094120
00259045030
00259477020
00259477040
00259477060
00264914550
00264914750
00264952650
00264952750
00276449901
00406217801
00406217803

NAME
DOSE FORM DRUG STRENGTH
PAXIL 10 MG TABLET
TA
DIFLUCAN/DEXTRSE 200 MG/100 ML
HP
ESTROGEL 0.06% GEL
JR
MIDLENGTH SECONDARY SET 40"
YQ
LS PLUM SECOND SET-OL 32"
YQ
VENOSET-100 PIGGYBK W/CLAMP
YQ
VENOSET-100 PRIM PB/IVEX-HP
YQ
VENOSET PIGGYBACK/CAIR CLMP
YQ
VENOSET SECONDARY PIGGYBACK
YQ
IV SET SECONDARY/TRANSFER
YQ
NONVENTED PRIM.PG-BK W/CAIR
YQ
NONVENTED SEC. PGBK IV SET
YQ
VENOSET SEC PGBK/5 MIC FLTR
YQ
VENOSET NV SECONDARY PIGBK
YQ
VENOSET SECONDARY
YQ
HEPARIN NA 2,000 UNITS/ML VIAL
HV
VENOSET NV PGBK/MB PIN,CLMP
YQ
VENOSET NV PGBK MCRDRP/FLTR
YQ
VENOSET 78/IVEX-2 NONVENTED
YQ
PRIMARY PGGBCK NV IB SET-SL
YQ
FLUCONAZOLE-DEXT 200 MG/100 ML
HP
VENOSET SURGICAL W/IVEX-RF
YQ
VENOSET PIGGYBACK ANESTHES
YQ
VENOSET NV PIGGYBK MICRDRP
YQ
VENOSET 100-SL PIGGYBACK NV
YQ
VENOSET SL SURGICAL PIGGYBACK-VENTEDYQ
NONVENTED IV SURG.PIGGYBACK
YQ
PAXIPAM 20 MG TABLET
TA
LACTOFREE PACKET
PP
MONOPRIL HCT 10/12.5 MG TABLET
TA
MONOPRIL HCT 20/12.5 MG TABLET
TA
PROSOBEE PACKET
PP
MEPHOBARBITAL 32MG, 250'S
TA
CEFTIN 500 MG TABLET
TA
CEFTIN 500 MG TABLET
TA
CEFTIN 500 MG TABLET
TA
CEFUROXIME AXETIL 500 MG TAB
TA
CEFUROXIME AXETIL 500 MG TAB
TA
ERYPED 200 MG TABLET CHEW
TC
ERYPED 200 MG TABLET CHEW
TC
ERYPED 200 MG TABLET CHEW
TC
CEFTIN 500 MG TABLET
TA
APPEAREX 2.5 MG TABLET
TA
NAFTIN 1% GEL
JG
NAFTIN 1% GEL
JG
NAFTIN 1% GEL
JG
CLAVE SECONDARY SET 40"
YQ
CLAVE SECONDARY SET 40"
YQ
SAFELINE SECONDARY SET 50"
YQ
SAFELINE SECONDARY SET 50"
YQ
MYCI CHLOR-TAN 8 MG CAPLET
TA
SILVER PROTEIN MILD POWDER
PA
SILVER PROTEIN MILD POWDER
PA

UNIT PRICE
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51

NDC
00472097099
00485007201
00496076304
00525030501
00555032402
00591322515
00781196731
00781506620
00847035501
00904567661
10106270400
10106270401
10106270404
10337074821
38779048404
38779048405
38779048408
38779148101
38779148104
38779148105
38779148108
38779148109
49326043790
49326045690
49452481401
49452481402
49452611801
49452611802
49452653001
49452653002
49452653003
49884087605
49884087611
49963052760
49999003612
49999003660
49999059730
50111032501
50111032502
51079001701
51079001720
52152027002
52604341701
52959063930
53265033810
53809030901
54022208001
54022208002
54022208101
54092017112
54569277802
54569478700
54569541800

NAME
EPINEPHRINE 0.3 MG MIST
ED-CHLOR-TAN CAPLET
PRAMOSONE 1% OINTMENT
PANFIL G CAPSULE
HYDROXYZINE PAM 100 MG CAP
CEFUROXIME AXETIL 500 MG TAB
PAROXETINE HCL 10 MG TABLET
CEFUROXIME AXETIL 500 MG TAB
PREKUNIL TABLET
PAROXETINE HCL 10 MG TABLET
SILVER PROTEIN MILD POWDER
SILVER PROTEIN MILD POWDER
SILVER PROTEIN MILD POWDER
ZODERM 6.5% CREAM
NAPROXEN SODIUM POWDER
NAPROXEN SODIUM POWDER
NAPROXEN SODIUM POWDER
PANTHENOL POWDER
PANTHENOL POWDER
PANTHENOL POWDER
PANTHENOL POWDER
PANTHENOL POWDER
RUTIPLEN-C TABLET
RUTIPLEN-C TABLET
NAPROXEN SODIUM POWDER
NAPROXEN SODIUM POWDER
PSEUDOEPHEDRINE SULF POWDER
PSEUDOEPHEDRINE SULF POWDER
SILVER PROTEIN POWDER
SILVER PROTEIN POWDER
SILVER PROTEIN POWDER
PAROXETINE HCL 10 MG TABLET
PAROXETINE HCL 10 MG TABLET
FORTAVIT SOFTGEL
HYDROXYZINE PAM 100 MG CAP
HYDROXYZINE PAM 100 MG CAP
PAXIL 10 MG TABLET
BETHANECHOL 25 MG TABLET
BETHANECHOL 25 MG TABLET
CEFUROXIME AXETIL 500 MG TAB
CEFUROXIME AXETIL 500 MG TAB
BETHANECHOL 25 MG TABLET
CYTOMEL 50 MCG TABLET
PAXIL 10 MG TABLET
BETHANECHOL 25 MG TABLET
STONEX SOFTGEL
COENZYME Q10 60 MG TABLET
COENZYME Q10 60 MG TABLET
COENZYME Q10 60 MG TABLET
CARBATROL 100 MG CAPSULE SA
CEFTIN 500 MG TABLET
PAXIL 10 MG TABLET
CEFUROXIME AXETIL 500 MG TAB

DOSE FORM DRUG STRENGTH


AH
TA
OA
CA
CA
TA
TA
TA
TA
TA
PA
PA
PA
CR
PA
PA
PA
PA
PA
PA
PA
PA
TA
TA
PA
PA
PA
PA
PA
PA
PA
TA
TA
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
TA
TA
TA
CB
TA
TA
TA

UNIT PRICE
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51

NDC
54868162501
54868162502
54868171000
54868301500
54868406500
54868407200
54868410900
54868502200
54868508000
55289017712
55289051728
55289051740
55289054210
57844018701
58016011510
58016011514
58016011520
58016011530
58016011560
58016066100
58016066130
58016066160
58016066190
58768010415
59762503602
60429073430
60505009701
60505009704
60505073401
60505120100
60505120103
62022057460
62037084530
62991124401
62991124402
62991124403
62991124404
63304040301
63304040401
63304075220
63304075260
63304099501
64679096701
64980012603
65473070401
66814060220
66814060260
67253078102
67336091101
67386080102
67767014501
68084001001
68084004401

NAME
BETHANECHOL 25 MG TABLET
BETHANECHOL 25 MG TABLET
CEFTIN 500 MG TABLET
EPINEPHRINE 0.3 MG MIST
PAXIL 10 MG TABLET
MEBARAL 32 MG TABLET
HYDROXYZINE PAM 100 MG CAP
CEFUROXIME AXETIL 500 MG TAB
PAROXETINE HCL 10 MG TABLET
BETHANECHOL 25 MG TABLET
CLOXACILLIN 500 MG CAPSULE
CLOXACILLIN 500 MG CAPSULE
CEFTIN 500 MG TABLET
ORAP 2 MG TABLET
CEFTIN 500 MG TABLET
CEFTIN 500 MG TABLET
CEFTIN 500 MG TABLET
CEFTIN 500 MG TABLET
CEFTIN 500 MG TABLET
PAXIL 10 MG TABLET
PAXIL 10 MG TABLET
PAXIL 10 MG TABLET
PAXIL 10 MG TABLET
AQUASITE LUBRICANT EYE DROP
FLUCONAZOLE-DEXT 200 MG/100 ML
PAROXETINE HCL 10 MG TABLET
PAROXETINE HCL 10 MG TABLET
PAROXETINE HCL 10 MG TABLET
FLUCONAZOLE-DEXT 200 MG/100 ML
CEFUROXIME AXETIL 500 MG TAB
CEFUROXIME AXETIL 500 MG TAB
FORTAMET ER 500 MG TABLET
PAROXETINE HCL 10 MG TABLET
NAPROXEN SODIUM POWDER
NAPROXEN SODIUM POWDER
NAPROXEN SODIUM POWDER
NAPROXEN SODIUM POWDER
FOSINOPRIL-HCTZ 10/12.5 MG TAB
FOSINOPRIL-HCTZ 20/12.5 MG TAB
CEFUROXIME AXETIL 500 MG TAB
CEFUROXIME AXETIL 500 MG TAB
BETHANECHOL 25 MG TABLET
BETHANECHOL 25 MG TABLET
NAIL-EX 2.5 MG TABLET
URECHOLINE 25 MG TABLET
CEFUROXIME AXETIL 500 MG TAB
CEFUROXIME AXETIL 500 MG TAB
CEFUROXIME AXETIL 500 MG TAB
XODOL TABLET
MEBARAL 32 MG TABLET
BETHANECHOL 25 MG TABLET
BETHANECHOL 25 MG TABLET
PAROXETINE HCL 10 MG TABLET

DOSE FORM DRUG STRENGTH


TA
TA
TA
AH
TA
TA
CA
TA
TA
TA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
SO
HP
TA
TA
TA
HP
TA
TA
UI
TA
PA
PA
PA
PA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51

NDC
68084004405
68084004430
68084004480
68084004485
68084004490
68115073830
70074055557
87900009226
99207001301
99207001330
99207001345
00002149925
00002738216
00002898925
00003024815
00003024820
00003024830
00003024840
00003148215
00003148220
00003148230
00003148240
00003272510
00003272530
00004028222
00007508904
00013305116
00026858231
00045065010
00045065060
00054474825
00071014423
00071014445
00074357801
00074359002
00074803622
00078031505
00078031506
00078031534
00078035905
00078035906
00078035934
00078038305
00078038306
00078038334
00087277131
00087277132
00087277215
00087277231
00087277232
00087277235
00087277315
00087277331

NAME
PAROXETINE HCL 10 MG TABLET
PAROXETINE HCL 10 MG TABLET
PAROXETINE HCL 10 MG TABLET
PAROXETINE HCL 10 MG TABLET
PAROXETINE HCL 10 MG TABLET
PAROXETINE HCL 10 MG TABLET
ISOMIL POWDER PACKET
ASTHMAHALER MIST
LOPROX 0.77% GEL
LOPROX 0.77% GEL
LOPROX 0.77% GEL
NEBCIN 40 MG/ML VIAL
TOBRAMYCIN 40 MG/ML VIAL
TOBRAMYCIN 40 MG/ML VIAL
HALOG 0.1% OINTMENT
HALOG 0.1% OINTMENT
HALOG 0.1% OINTMENT
HALOG 0.1% OINTMENT
HALOG 0.1% CREAM
HALOG 0.1% CREAM
HALOG 0.1% CREAM
HALOG 0.1% CREAM
TOBRAMYCIN 40 MG/ML VIAL
TOBRAMYCIN 40 MG/ML VIAL
KLONOPIN WAFERS 1 MG
TAZICEF 2 GM/50 ML BAG
KAOCHLOR-EFF 20 MEQ TABLET
AVELOX IV 400 MG/250 ML
ULTRACET TABLET
ULTRACET TABLET
TORECAN 10 MG TABLET
FEMHRT 1/5 TABLET
FEMHRT 1/5 TABLET
TOBRAMYCIN 40 MG/ML VIAL
TOBRAMYCIN 40 MG/ML VIAL
ZYFLO 600 MG FILMTAB
DIOVAN HCT 160/12.5 MG TAB
DIOVAN HCT 160/12.5 MG TAB
DIOVAN HCT 160/12.5 MG TAB
DIOVAN 160 MG TABLET
DIOVAN 160 MG TABLET
DIOVAN 160 MG TABLET
DIOVAN HCT 160/25 MG TABLET
DIOVAN HCT 160/25 MG TABLET
DIOVAN HCT 160/25 MG TABLET
AVAPRO 75 MG TABLET
AVAPRO 75 MG TABLET
AVAPRO 150 MG TABLET
AVAPRO 150 MG TABLET
AVAPRO 150 MG TABLET
AVAPRO 150 MG TABLET
AVAPRO 300 MG TABLET
AVAPRO 300 MG TABLET

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
PP
AH
JG
JG
JG
HV
HV
HV
OA
OA
OA
OA
KA
KA
KA
KA
HV
HV
UL
HK
TF
HP
TA
TA
TA
TA
TA
HV
HV
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.51
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52

NDC
00087277332
00087277531
00087277532
00087277631
00087277632
00149000705
00172635900
00172635910
00172635960
00186000431
00186000831
00186001628
00186001631
00186001654
00186003228
00186003231
00186003254
00186016228
00186016254
00186032228
00186032254
00299383802
00409357801
00430054414
00430054423
00591037901
00591571301
00677187601
00703940204
00703941601
08011120620
08011120622
08011165820
08011165822
08011166820
08011166822
08011277720
08011806320
08011806322
08011806520
08011806522
08026465400
08080142000
08080142200
08080162100
08080162200
08080272000
08080272200
08080282100
08080282200
08080356500
08080356700
08080361100

NAME
AVAPRO 300 MG TABLET
AVALIDE 150-12.5 MG TABLET
AVALIDE 150-12.5 MG TABLET
AVALIDE 300-12.5 MG TABLET
AVALIDE 300-12.5 MG TABLET
MACRODANTIN 25 MG CAPSULE
TRAMADOL HCL-ACETAMINOPHEN TAB
TRAMADOL HCL-ACETAMINOPHEN TAB
TRAMADOL HCL-ACETAMINOPHEN TAB
ATACAND 4 MG TABLET
ATACAND 8 MG TABLET
ATACAND 16 MG TABLET
ATACAND 16 MG TABLET
ATACAND 16 MG TABLET
ATACAND 32 MG TABLET
ATACAND 32 MG TABLET
ATACAND 32 MG TABLET
ATACAND HCT 16/12.5 MG TAB
ATACAND HCT 16/12.5 MG TAB
ATACAND HCT 32/12.5 MG TAB
ATACAND HCT 32/12.5 MG TAB
METROLOTION TOPICAL 0.75%
TOBRAMYCIN 40 MG/ML VIAL
FEMHRT 1/5 TABLET
FEMHRT 1/5 TABLET
AMOXAPINE 25 MG TABLET
AMOXAPINE 25 MG TABLET
GUAIFEN-PSEUDOEPHE TAB TR
TOBRAMYCIN 40 MG/ML VIAL
TOBRAMYCIN 40 MG/ML VIAL
BARD CATHETER 20FR
BARD CATHETER 22FR
BARDEX SILICON FOLEY CATHET
BARDEX SILICON FOLEY CATHET
BARDEX SILICON FOLEY CATHET
BARDEX SILICON FOLEY CATHET
BARD RUBBER UTILITY CATHETR
DAVOL SILICONE FOLEY CATH
DAVOL SILICONE FOLEY CATH
DAVOL SILICONE FOLEY CATH
DAVOL SILICONE FOLEY CATH
IV 3000 DRESSING 2"X1 1/2"
CURITY ULTRAMER 2-WAY CATH
CURITY ULTRAMER 2-WAY CATH
CURITY ULTRAMER 2-WAY CATH
CURITY ULTRAMER 2-WAY CATH
CURITY ULTRMR IRRG 3WY CATH
CURITY ULTRMR IRRG 3WY CATH
CURITY ULTRMR IRRG 3WY CATH
CURITY ULTRMR IRRG 3WY CATH
FOLEY CATHETER
FOLEY CATHETER
FOLEY CATHETER

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
SK
HV
TA
TA
TA
TA
TM
HV
HV
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
YE
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52

NDC
08080361400
08080401900
08080402500
08080404800
08080415300
08080421500
08080842000
08080842200
08219142000
08219142200
08219162100
08219162200
08219272000
08219272200
08219282100
08219282200
08219356500
08219356700
08219361100
08219361400
08219401900
08219402500
08219421500
08219442000
08219842000
08219842200
08290005761
08887605205
08887605221
08887625203
08887625229
08887626201
08887626227
08887630203
08887630229
08887635202
08887635228
08887645201
08887645227
08887655200
08887655226
08887660200
08887666207
08887666223
08887685207
09198013403
09198013455
10356002072
10481300901
11086002701
11845013238
12280000800
12280000990

NAME
FOLEY CATHETER
FOLEY CATH SILICON RET 30 ML
FOLEY CATH SILICON RET 30 ML
KERLIX DISPOSABLE LAP SPNGE
FOLEY CATH SILICON RETN 5 ML
FOLEY CATH SILICON RETN 5 ML
CURITY ULTRAMER URETH CATH
CURITY ULTRAMER URETH CATH
CURITY ULTRAMER CATH 20FR
CURITY ULTRAMER CATH 22FR
CURITY ULTRAMER CATH 20FR
CURITY ULTRAMER CATH 22FR
CURITY ULTRMR IRRIGATN CATH
CURITY ULTRMR IRRIGATN CATH
CURITY ULTRMR IRRIGATN CATH
CURITY ULTRMR IRRIGATN CATH
KENGUARD FOLEY CATHETER
KENGUARD FOLEY CATHETER
KENGUARD FOLEY CATHETER
KENGUARD FOLEY CATHETER
CURITY FOLEY CATHETER 20FR
CURITY FOLEY CATHETER 22FR
CURITY FOLEY CATHETER 22FR
CURITY URETHRAL CATHETER
CURITY ULTRAMER URETH CATH
CURITY ULTRAMER URETH CATH
YALE CLEANER PAC
SILICONE FOLEY CATHETER
SILICONE FOLEY CATHETER
LATEX TEFLON COATED CATH
LATEX TEFLON COATED CATH
LATEX TEFLON COATED CATH
LATEX TEFLON COATED CATH
SILICONE FOLEY CATHETER
SILICONE FOLEY CATHETER
LATEX TEFLN COAT FOLEY CATH
LATEX TEFLN COAT FOLEY CATH
LATEX TEFLN COAT 3-WAY CATH
LATEX TEFLN COAT 3-WAY CATH
LATEX TEFLN COAT FOLEY CATH
LATEX TEFLN COAT FOLEY CATH
RED RUBBER ROBINSON CATH
LATEX TEFLN COAT 3-WAY CATH
LATEX TEFLN COAT 3-WAY CATH
LATEX TEFLON COAT FOLEY KIT
MAGINEX DS GRANULES
MAGINEX DS GRANULES
ELASTOMULL GAUZE BANDAGE
GORDOFILM SOLUTION
LOROXIDE 5.5% LOTION
CO Q-10 150 MG SOFTGEL
DIOVAN 160 MG TABLET
DIOVAN HCT 160/25 MG TABLET

DOSE FORM DRUG STRENGTH


EA
EA
EA
YV
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
PP
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
PP
PP
YE
SA
SK
CA
TA
TA

UNIT PRICE
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52

NDC
12280006390
12280006790
17478070510
17478070511
17478070512
37000035905
37000035906
37000035907
37000045502
37000045503
37000045504
41163041178
49326044890
49884094601
49884094605
49999011830
49999030530
50428247315
52959066600
52959066602
52959066620
52959066628
52959066630
52959066656
52959066660
52959066690
52959081420
52959081430
52959081460
52959081490
53191023001
53335007511
54482014407
54569457200
54569476700
54569530800
54569530801
54569530802
54569536200
54569558200
54569566700
54569566701
54569568000
54569568001
54868108400
54868108401
54868108402
54868196300
54868196301
54868410600
54868419900
54868419901
54868441300

NAME
AVAPRO 150 MG TABLET
DIOVAN HCT 160/12.5 MG TAB
BETAXOLOL HCL 0.5% EYE DROP
BETAXOLOL HCL 0.5% EYE DROP
BETAXOLOL HCL 0.5% EYE DROP
PRILOSEC OTC 20 MG TABLET
PRILOSEC OTC 20 MG TABLET
PRILOSEC OTC 20 MG TABLET
PRILOSEC OTC 20 MG TABLET
PRILOSEC OTC 20 MG TABLET
PRILOSEC OTC 20 MG TABLET
EQL COENZYME Q-10 150 MG SFTGL
OXIPLEN RX TABLET
TRAMADOL HCL-ACETAMINOPHEN TAB
TRAMADOL HCL-ACETAMINOPHEN TAB
ULTRACET TABLET
ATACAND 16 MG TABLET
CVS COENZYME Q10 150 MG SOFTGL
ULTRACET TABLET
ULTRACET TABLET
ULTRACET TABLET
ULTRACET TABLET
ULTRACET TABLET
ULTRACET TABLET
ULTRACET TABLET
ULTRACET TABLET
TRAMADOL HCL-ACETAMINOPHEN TAB
TRAMADOL HCL-ACETAMINOPHEN TAB
TRAMADOL HCL-ACETAMINOPHEN TAB
TRAMADOL HCL-ACETAMINOPHEN TAB
COQ10 150 MG CAPSULE
L-ISOLEUCINE 600 MG CAPSULE
CARNITOR 330 MG TABLET
AVAPRO 150 MG TABLET
DIOVAN HCT 160/12.5 MG TAB
ULTRACET TABLET
ULTRACET TABLET
ULTRACET TABLET
DIOVAN 160 MG TABLET
PRILOSEC OTC 20 MG TABLET
DIOVAN HCT 160/25 MG TABLET
DIOVAN HCT 160/25 MG TABLET
TRAMADOL HCL-ACETAMINOPHEN TAB
TRAMADOL HCL-ACETAMINOPHEN TAB
HALOG 0.1% CREAM
HALOG 0.1% CREAM
HALOG 0.1% CREAM
TORECAN 10 MG TABLET
TORECAN 10 MG TABLET
TOBRAMYCIN 40 MG/ML VIAL
AVAPRO 150 MG TABLET
AVAPRO 150 MG TABLET
ATACAND 16 MG TABLET

DOSE FORM DRUG STRENGTH


TA
TA
SO
SO
SO
TE
TE
TE
TE
TE
TE
CA
TA
TA
TA
TA
TA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TE
TA
TA
TA
TA
KA
KA
KA
TA
TA
HV
TA
TA
TA

UNIT PRICE
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52

NDC
54868441400
54868442800
54868442801
54868442802
54868445400
54868449400
54868452600
54868452601
54868461200
54868464500
54868464501
54868464502
54868467900
54868470300
54868470301
54868470302
54868470303
54868470304
54868470305
54868470306
54868472900
54868480700
54868480701
54868480702
54868486900
54868529100
55045291805
55045291806
55045291807
55045291808
55045291809
55289061720
55289081730
55289082030
55289083830
55887021140
55887052130
55887052145
55887052160
55887052182
55887052190
57929020055
57929020056
57929020305
57929020306
57929023054
57929023055
57929023304
57929023305
57929023525
57929023526
58016061700
58016061702

NAME
AVAPRO 300 MG TABLET
DIOVAN HCT 160/12.5 MG TAB
DIOVAN HCT 160/12.5 MG TAB
DIOVAN HCT 160/12.5 MG TAB
METROLOTION TOPICAL 0.75%
AVALIDE 150-12.5 MG TABLET
AVALIDE 300-12.5 MG TABLET
AVALIDE 300-12.5 MG TABLET
ATACAND 32 MG TABLET
DIOVAN 160 MG TABLET
DIOVAN 160 MG TABLET
DIOVAN 160 MG TABLET
FEMHRT 1/5 TABLET
ULTRACET TABLET
ULTRACET TABLET
ULTRACET TABLET
ULTRACET TABLET
ULTRACET TABLET
ULTRACET TABLET
ULTRACET TABLET
ATACAND HCT 16/12.5 MG TAB
ADVICOR 500 MG/20 MG TABLET
ADVICOR 500 MG/20 MG TABLET
ADVICOR 500 MG/20 MG TABLET
ATACAND HCT 32/12.5 MG TAB
TRAMADOL HCL-ACETAMINOPHEN TAB
ULTRACET TABLET
ULTRACET TABLET
ULTRACET TABLET
ULTRACET TABLET
ULTRACET TABLET
ULTRACET TABLET
DIOVAN 160 MG TABLET
DIOVAN HCT 160-25 MG TABLET
DIOVAN HCT 160/12.5 MG TAB
TRAMADOL HCL-ACETAMINOPHEN TAB
ULTRACET TABLET
ULTRACET TABLET
ULTRACET TABLET
ULTRACET TABLET
ULTRACET TABLET
FOLEY CATHETER-100%SILICONE
FOLEY CATHETER-100%SILICONE
FOLEY CATHETER-100%SILICONE
FOLEY CATHETER-100%SILICONE
FOLEY CATH SILICONE COATED
FOLEY CATH SILICONE COATED
FOLEY CATH SILICONE COATED
FOLEY CATH SILICONE COATED
URETHRAL CATHETER-PLASTIC
URETHRAL CATHETER-PLASTIC
TRAMADOL HCL-ACETAMINOPHEN TAB
TRAMADOL HCL-ACETAMINOPHEN TAB

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
SK
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
UB
UB
UB
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
TA
TA

UNIT PRICE
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52

NDC
58016061730
58016061760
58016061790
58016062900
58016062930
58016062960
58016062990
58864072615
58864072630
58864077115
59310031510
60505055602
60505055603
60505055604
60598000690
61314024501
61314024502
61314024503
62794007201
63323030602
63323030630
63323030655
63323030656
63323030751
64011013511
64980013009
66267046820
66267046840
66267046860
68115034315
68115034360
68115068660
68115070390
68115087900
70074050116
70074050118
81317702200
81317702300
94542085300
00026037230
00046093681
00053813002
00054418325
00054817625
00066050715
00066050760
00066050815
00066050860
00066750004
00074497718
00074497815
00074621411
00074621413

NAME
TRAMADOL HCL-ACETAMINOPHEN TAB
TRAMADOL HCL-ACETAMINOPHEN TAB
TRAMADOL HCL-ACETAMINOPHEN TAB
ULTRACET TABLET
ULTRACET TABLET
ULTRACET TABLET
ULTRACET TABLET
AVAPRO 150 MG TABLET
AVAPRO 150 MG TABLET
AVAPRO 300 MG TABLET
PROFEN FORTE TABLET SA
BETAXOLOL HCL 0.5% EYE DROP
BETAXOLOL HCL 0.5% EYE DROP
BETAXOLOL HCL 0.5% EYE DROP
ADVICOR 500 MG/20 MG TABLET
BETAXOLOL HCL 0.5% EYE DROP
BETAXOLOL HCL 0.5% EYE DROP
BETAXOLOL HCL 0.5% EYE DROP
CLORPRES 0.3/15 TABLET
TOBRAMYCIN 40 MG/ML VIAL
TOBRAMYCIN 40 MG/ML VIAL
TOBRAMYCIN SULF 40 MG/ML VIAL
TOBRAMYCIN SULF 40 MG/ML VIAL
TOBRAMYCIN 40 MG/ML VIAL
NIFEREX-150 CAPSULE
LEVOCARNITINE 330 MG TABLET
ULTRACET TABLET
ULTRACET TABLET
ULTRACET TABLET
ULTRACET TABLET
ULTRACET TABLET
KLONOPIN WAFERS 1 MG TAB
ATACAND HCT 32/12.5 MG TAB
ULTRACET TABLET
FLEXIFLO EASY-FEED TUBE
FLEXIFLO EASY-FEED TUBE
CONTINENT URINARY CATH 22FR
CONTINENT URINARY CATH 20FR
SURESEAL K 2-3/4"X2-3/4"
KOGENATE FS 500 UNIT VIAL
PREMARIN 0.45 MG TABLET
HELIXATE FS 500 UNIT VIAL
DEXAMETHASONE 2 MG TABLET
DEXAMETHASONE 2 MG TABLET
DERMATOP 0.1% CREAM
DERMATOP 0.1% CREAM
DERMATOP 0.1% OINTMENT
DERMATOP 0.1% OINTMENT
KLARON 10% LOTION
ISOPROTERENOL 0.2 MG/ML SYRN
ISOPROTERENOL 0.2 MG/ML SYRN
DEPAKOTE 250 MG TABLET EC
DEPAKOTE 250 MG TABLET EC

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TM
SO
SO
SO
UB
SO
SO
SO
TA
HV
HV
HV
HV
HV
CA
TA
TA
TA
TA
TA
TA
UL
TA
TA
EA
EA
EA
EA
YE
YK
TA
YK
TA
TA
KA
KA
OA
OA
SK
HQ
HQ
TE
TE

UNIT PRICE
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.52
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53

NDC
00074621453
00074744401
00074744501
00083016702
00083016774
00085056701
00085056702
00085140101
00085140201
00088179530
00088179542
00088179549
00093511298
00168027015
00168027046
00172462660
00172462670
00182822589
00228258803
00228258809
00228258850
00247046315
00247109960
00456005001
00576016050
00944294002
00998040815
02120000301
02120000303
02120000305
02120000307
02120000309
08011150525
08026597644
08137004811
08137004832
08137004856
08137005041
08137005127
08137005516
08137005525
08195504401
08219939100
08219939200
08225702000
08287126300
08333053101
08333152501
09958008890
09958008970
10939006333
10939058701
10939058711

NAME
DOSE FORM DRUG STRENGTH
DEPAKOTE 250 MG TABLET EC
TE
CIMETIDINE 150 MG/ML VIAL
HV
CIMETIDINE 150 MG/ML VIAL
HV
FORADIL AEROLIZER 12 MCG CAP
CD
FORADIL AEROLIZER 12 MCG CAP
CD
ELOCON 0.1% CREAM
KA
ELOCON 0.1% CREAM
KA
FORADIL AEROLIZER 12 MCG CAP
CD
FORADIL AEROLIZER 12 MCG CAP
CD
CARDIZEM CD 120 MG CAPSULE
CC
CARDIZEM CD 120 MG CAPSULE
CC
CARDIZEM CD 120 MG CAPSULE
CC
DILTIAZEM HCL 120 MG CAP SA
CC
MOMETASONE FUROATE 0.1% CREAM
KA
MOMETASONE FUROATE 0.1% CREAM
KA
DOXYCYCLINE 20 MG TABLET
TA
DOXYCYCLINE 20 MG TABLET
TA
DILTIAZEM (CARDIZEM CD) 120MG SA CAP,UDCC
DILTIAZEM HCL 120 MG CAP SA
CC
DILTIAZEM HCL 120 MG CAP SA
CC
DILTIAZEM HCL 120 MG CAP SA
CC
ELOCON 0.1% CREAM
KA
CARDIZEM CD 120 MG CAPSULE
CC
THYROLAR-1 STRENGTH TABLET
TA
DIGESPLEN-PLUS CAPSULE
CA
ADVATE 500 UNIT KIT
YK
ISOPTO TEARS 0.5% EYE DROPS
SO
MICROPORE FIRST AID PAPER
YT
MICROPORE FIRST AID SKINTON
YT
MICROPORE FIRST AID PLASTIC
YT
MICROPORE FIRST AID WATER-P
YT
MICROPORE FIRST AID CLOTH
YT
BARD TWO-SIDE ADHESIV STRIP
YR
ALLEVYN ISLAND DRESS 4"X4"
YE
J&J FIRST AID PAPER TAPE 1"
YT
J&J FIRST AID CLOTH TAPE 1"
YT
J&J FIRST AID CLEAR TAPE 1"
YT
J&J WATERPROOF TAPE 1" X5YDS
YT
DERMICLEAR TRANSPARENT TAPE
YT
J&J ULCER DRESSING 4" X 4"
YE
DERMICLEAR TAPE 1" X 5YDS
YT
POLYMEM 4"X 4" DRESSING
YE
CURAFOAM 4" X 4" DRESSING
YE
CURAFOAM 4" X 4" DRESSING
YE
WET-PRUF 1 INCH X 5YDS TAPE
YT
EXEL SYRINGE 50 ML
YL
BLENDERM SURGICAL TAPE
YT
BLENDERM SURGICAL TAPE
YT
DUDRESS ISLAND 4"X4" DRESS
YE
COMPDRESS ISLAND 4"X4" DRES
YE
SM ADHESIVE TAPE 1" X 5 YDS
YT
ADHESIVE TAPE 1" X 5 YDS
YT
SM ADHESIVE TAPE 1" X 5 YDS
YT

UNIT PRICE
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53

NDC
11822985660
14654034105
14654034114
14654037405
21200000317
21200000331
21200000355
21200000379
21200000393
35515090897
36800018609
45802025735
45802025742
49348058783
49756046012
49884014401
49884014405
50428208850
51119000191
51138082963
51672131501
51672131506
52735081661
52747070070
52769062120
52959073601
52959073602
53489055001
54023900802
54023900806
54023915802
54092017312
54569026100
54569033601
54569261900
54569363900
54569462700
54868120801
54868120803
54868120804
54868120805
54868120806
54868222300
54868222301
54868445700
54868486500
54868497000
54868497001
54868497200
54868497201
54868526900
55045157205
55370020202

NAME
RA ADHESIVE TAPE 1" X5YDS
CHEW Q 100 MG CHEWABLE TAB
CHEW Q 100 MG CHEWABLE TAB
CHEW Q 100 MG CHEWABLE TABLET
FIRST AID PAPER TAPE
FIRST AID SKINTONE PAPER
FIRST AID PLASTIC TAPE
FIRST AID WATERPROOF TAPE
FIRST AID CLOTH TAPE
QC ADHESIVE TAPE 1"
TAPE 1"X5YDS
MOMETASONE FUROATE 0.1% CREAM
MOMETASONE FUROATE 0.1% CREAM
SM ADHESIVE TAPE 1" X 5 YDS
MULTIPAD DRESSING 4"X4"
HYDRA-ZIDE 50/50 CAPSULE
HYDRA-ZIDE 50/50 CAPSULE
CVS ADHESIVE TAPE 1"X5 YDS
BLENDERM WATERPRF SURG TAPE
FOAM SPORTS TAPE
MOMETASONE FUROATE 0.1% CREAM
MOMETASONE FUROATE 0.1% CREAM
FP ADHESIVE TAPE 1" X 5YDS
NOVASAL TABLET
PLAS+SD PLASMA
ELOCON 0.1% CREAM
ELOCON 0.1% CREAM
DOXYCYCLINE 20 MG TABLET
CHEW Q 100 MG CHEWABLE TAB
CHEW Q 100 MG CHEWABLE TAB
CHEW Q 100 MG CHEWABLE TABLET
CARBATROL 300 MG CAPSULE SA
DEPAKOTE 250 MG TABLET EC
DEXAMETHASONE 2 MG TABLET
ELOCON 0.1% CREAM
THYROLAR-1 STRENGTH TABLET
TEARISOL 0.5% EYE DROPS
DEPAKOTE 250 MG TABLET EC
DEPAKOTE 250 MG TABLET EC
DEPAKOTE 250 MG TABLET EC
DEPAKOTE 250 MG TABLET EC
DEPAKOTE 250 MG TABLET EC
ELOCON 0.1% CREAM
ELOCON 0.1% CREAM
DERMATOP 0.1% CREAM
PREMARIN 0.45 MG TABLET
DILTIAZEM HCL 120 MG CAP
DILTIAZEM HCL 120 MG CAP SA
FORADIL AEROLIZER 12 MCG CAP
FORADIL AEROLIZER 12 MCG CAP
DOXYCYCLINE 20 MG TABLET
ELOCON 0.1% CREAM
CIMETIDINE 150 MG/ML VIAL

DOSE FORM DRUG STRENGTH


YT
TC
TC
TC
YT
YT
YT
YT
YT
YT
YT
KA
KA
YT
YE
CA
CA
YT
YT
YT
KA
KA
YT
TA
HZ
KA
KA
TA
TC
TC
TC
CB
TE
TA
KA
TA
SO
TE
TE
TE
TE
TE
KA
KA
KA
TA
CC
CC
CD
CD
TA
KA
HV

UNIT PRICE
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53

NDC
55370020204
55887070130
55887070160
55887070182
55887070190
56091005172
56091005179
58016050400
58016050420
58016050430
58016050460
58016068700
58016068730
58016068760
58016068790
58016095500
58016095530
58016095560
58016095590
58016324101
58016473801
58016560501
58196024539
58196024618
58196024619
58394000601
58394000602
58605052001
58605062001
58605062101
58768072515
58864063030
58864063060
58864063098
59930152601
59930152602
60505000704
60951063757
60951063769
61703042381
61703042383
62037059705
62037059790
62584097401
62584097430
62584097480
62584097485
62584097490
63304070801
63739028315
63868089715
64011013711
64011013722

NAME
CIMETIDINE 150 MG/ML VIAL
DILTIAZEM HCL 120 MG CAP SA
DILTIAZEM HCL 120 MG CAP SA
DILTIAZEM HCL 120 MG CAP SA
DILTIAZEM HCL 120 MG CAP SA
ELASTIKON ELASTIC TAPE
DERMIFORM KNITTED TAPE 2"
DILTIAZEM HCL 120 MG CAP SA
DILTIAZEM HCL 120 MG CAP SA
DILTIAZEM HCL 120 MG CAP SA
DILTIAZEM HCL 120 MG CAP SA
DEPAKOTE 250 MG TABLET EC
DEPAKOTE 250 MG TABLET EC
DEPAKOTE 250 MG TABLET EC
DEPAKOTE 250 MG TABLET EC
PERIOSTAT 20 MG TABLET
PERIOSTAT 20 MG TABLET
PERIOSTAT 20 MG TABLET
PERIOSTAT 20 MG TABLET
ELOCON 0.1% CREAM
MOMETASONE FUROATE 0.1% CREAM
ELOCON 0.1% CREAM
CIMETIDINE 150 MG/ML VIAL
CIMETIDINE 150 MG/ML VIAL
CIMETIDINE 150 MG/ML VIAL
REFACTO 500 UNIT VIAL
REFACTO 500 UNITS VIAL
MAXIFED 700/80 TABLET SA
MAXIFED 780/80 TABLET
ALLFEN-DM TABLET SA
TEARISOL 0.5% EYE DROPS
DEPAKOTE 250 MG TABLET EC
DEPAKOTE 250 MG TABLET EC
DEPAKOTE 250 MG TABLET EC
MOMETASONE FUROATE 0.1% CREAM
MOMETASONE FUROATE 0.1% CREAM
DILT-CD 120 MG CAPSULE ER
CIMETIDINE 150 MG/ML VIAL
CIMETIDINE 150 MG/ML VIAL
M.V.I.-12 VIAL
M.V.I.-12 VIAL
CARTIA XT 120 MG CAPSULE SA
CARTIA XT 120 MG CAPSULE SA
DILTIAZEM HCL 120 MG CAP SA
DILTIAZEM HCL 120 MG CAP SA
DILTIAZEM HCL 120 MG CAP SA
DILTIAZEM HCL 120 MG CAP SA
DILTIAZEM HCL 120 MG CAP SA
MORPHINE SULFATE 30 MG TAB
DILTIAZEM HCL 120 MG CAP SA
QC ADHESIVE TAPE 1"
STRONGSTART TAB CHEW
STRONGSTART TAB CHEW

DOSE FORM DRUG STRENGTH


HV
CC
CC
CC
CC
YT
YT
CC
CC
CC
CC
TE
TE
TE
TE
TA
TA
TA
TA
KA
KA
KA
HV
HV
HV
YK
YK
TM
TM
TM
SO
TE
TE
TE
KA
KA
CC
HV
HV
HV
HV
CC
CC
CC
CC
CC
CC
CC
TH
CC
YT
TC
TC

UNIT PRICE
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53

NDC
64376053801
64455079542
64455079549
64682000802
65880000145
65880000245
66591019938
66591019941
66591019971
66869022010
66869082010
66870011801
66870012001
66870021801
68030750401
68047015101
68115065160
68115078115
68134061330
87701043052
87701048610
00003056915
00006063468
00024135901
00039022310
00039022311
00054317644
00074121201
00074176201
00074176202
00074176221
00074176230
00074201302
00074449201
00074450601
00074455002
00074456501
00074457301
00074459001
00074472102
00074481901
00074482101
00074486701
00074486802
00074487102
00074498902
00074499002
00074499501
00074558801
00074582702
00074724101
00074738601
00193364201

NAME
PSEUDO MAX TABLET
CARDIZEM CD 120 MG CAPSULE
CARDIZEM CD 120 MG CAPSULE
PERIOSTAT 20 MG TABLET
AVAR GEL
AVAR GREEN GEL
M.V.I. 12 COMBO PACKAGE
M.V.I.-12 VIAL
M.V.I.-12 COMBO PACKAGE
UDAMIN CAPLET
UDAMIN SP CAPLET
AMBI 80/700 CAPLET
AMBI 1,000/55 TABLET
AMBI 80/780 TABLET
ELOCON 0.1% CREAM
EXEFEN-DM TABLET
FORADIL AEROLIZER 12 MCG CAP
TEARISOL 0.5% EYE DROPS
DMAX PEDIATRIC DROPS
BL ADHESIVE TAPE WP
GNP ADHESIVE TAPE WP
PROLIXIN DECANOATE 25 MG/ML
ALDOCLOR-250 TABLET
NEO-SYNEPHRINE 10% EYE DROP
AMARYL 4 MG TABLET
AMARYL 4 MG TABLET
DEXAMETHASONE 0.5 MG/0.5 ML
NALOXONE 0.4 MG/ML AMPUL
MORPHINE 2 MG/ML SYRINGE
MORPHINE 2 MG/ML SYRINGE
MORPHINE 2 MG/ML SYRINGE
MORPHINE 2 MG/ML SYRINGE
EMPTY CARPUJECT SYRINGE/NDL
BUTTERFLY 21G X 3/4"
BUTTERFLY 25G X 3/4"
BUTTERFLY INT 19G X 7/8"
BUTTERFLY 23G X 3/4"
BUTTERFLY 25G X 3/8" SHORT
BUTTERFLY 19G X 7/8"
BUTTERFLY INT 21GX3/4"
BUTTERFLY ST 19X7/8,3.5 TBG
BUTTERFLY ST 21X3/4,3.5 TBG
BUTTERFLY ST 23GX3/4"
BUTTERFLY ST 16GX1"
BUTTERFLY INT 23GX3/4"
BUTTERFLY 19GX1 1/4"
BUTTERFLY 21GX1 1/4"
BUTTERFLY 27GX3/8"
BUTTERFLY 25GX3/8",8" TUBING
BUTTERFLY INT 25GX3/4"
EPINEPHRINE 1 MG/ML AMPUL
AMINOPHYLLINE 500 MG/20 ML
GLUCOMETER DEX CONTROL SOLN

DOSE FORM DRUG STRENGTH


TM
CC
CC
TA
JG
JG
HV
HV
HV
TS
TS
TM
TM
TM
KA
TM
CD
SO
SO
YT
YT
HV
TA
SO
TA
TA
SO
HH
HQ
HQ
HQ
HQ
YL
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
HH
HH
SA

UNIT PRICE
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.53
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54

NDC
00193364302
00193394002
00193397201
00193506002
00193506102
00193506202
00193545002
00193545102
00193545202
00193547002
00193547102
00193547602
00193710001
00193710102
00247025901
00270131607
00270131630
00270131647
00338101541
00338101941
00378701001
00409176230
00517107125
00517661025
00525801990
00591037001
00677189901
00677189907
00703500301
08054020004
08054020007
08054020010
08054030004
08054030007
08080511100
08080754100
08195704801
08219511100
08219754100
08238115301
08290322028
08312361803
08317220501
08317220602
08317330501
08317410501
08317410602
08317420005
08317550602
08317660501
08333334401
08333335109
08468430505

NAME
ASCENSIA AUTODISC CTRL SOLN
ASCENSIA ELITE CNTRL SOLN
GLUCOMETER ELITE CNTRL SOLN
GLUCOMETER ENCORE CNTRL SOL
GLUCOMETER ENCORE CNTRL SOL
GLUCOMETER ENCORE CNTRL SOL
GLUCOFILM CONTROL - LOW
GLUCOFILM CONTROL - NORMAL
GLUCOFILM CONTROL - HIGH
GLUCO LOW CONTROL SOLUTION
GLUCO NORMAL CONTROL SOL
GLUCO HIGH CONTROL SOLUTION
ASCENSIA MICROFILL SOLN
ASCENSIA MICROFILL SOLN
EPINEPHRINE 1 MG/ML AMPUL
ISOVUE-370 76% VIAL
ISOVUE-370 76% VIAL
ISOVUE-370 76% VIAL
OXACILLIN 2 GM/ 50 ML INJ
NALLPEN 2 GM/50 ML 2.4% DEX
LOXAPINE SUCCINATE 10 MG CAP
MORPHINE 2 MG/ML SYRINGE
EPINEPHRINE 1 MG/ML AMPUL
AMMONIUM MOLYBDATE 25 MCG/ML
METANX TABLET
LOXAPINE SUCCINATE 10 MG CAP
GUAIFENESIN-P-EPD HCL TB SR
GUAIFENESIN-P-EPD HCL TB SR
FLUPHENAZINE DEC 25 MG/ML VL
DUET GLUCOSE CONTROL SOLN
GLUCOSE CONTROL SOLUTION
EXPRESS VIEW CONTROL SOLN
GLUCOPROTEIN CONTROL SOLN
GLUCOPROTEIN CONTROL SOLN
CURAD SURGICAL DRESSING
TELFA ISLAND DRESSING
POLYMEM 4"X 8" DRESSING
CURAD SURGICAL DRESSING
TELFA ISLAND DRESSING
AT LAST CONTROL SOLUTION
BD CONTROL SOLUTION
CHECKMATE CONTROL SOLUTION
ASSURE II CONTROL SOLUTION
ASSURE II CONTROL SOLUTION
QUICKTEK CONTROL SOLUTION
ADVANCE MICRO-DRAW CONTRL SOLN
ADVANCE MICRO-DRAW CNTRL SOLN
ADVANCE NORMAL CONTROL SOLN
ASSURE 3 CONTROL SOLUTION
SELECT GT CONTROL SOLUTION
NO STING BARRIER FILM WIPE
NO STING BARRIER FILM WIPE
NEXGEN NORMAL CONTROL SOLUTION

DOSE FORM DRUG STRENGTH


SA
SA
SA
SA
SA
SA
SA
SA
SA
SA
SA
SA
SA
SA
HH
HV
HV
HV
HK
HK
CA
HQ
HH
HV
TA
CA
TM
TM
HV
SA
SA
SA
SA
SA
YE
YE
YE
YE
YE
SA
SA
SA
SA
SA
SA
SA
SA
SA
SA
SA
ET
ET
SA

UNIT PRICE
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54

NDC
08476005401
10019003968
10223020201
10337074221
10356022407
11026275003
11026275509
15482022050
15482022060
15482033005
15482041005
15482041006
15482042005
15482055006
17317013601
17317013602
17317013603
17478020510
21292000105
21292000106
23900010303
38779053604
38779053605
38779053607
38779053608
38779053609
41218036140
49452621204
49756046003
50924026801
50924039002
50924054501
51079090101
51079090120
51552012103
51552012104
51552012105
51552012107
51552062002
51927302300
52544049501
53265030110
53265064456
53459000770
53459000780
53459000790
53885025725
53885025825
53885027202
53885028425
53885035702
53885045802
53885079325

NAME
GLUCOLEADER CONTROL SOLUTION
NALOXONE 0.4 MG/ML AMPUL
CETACAINE LIQUID
ZODERM 4.5% GEL
COVERLET O.R. ADH DRESSING
HEMATRON-AF CAPLET SA
HEMATRON-AF CAPLET SR
ASSURE II CONTROL SOLUTION
ASSURE II CONTROL SOLUTION
QUICKTEK CONTROL SOLUTION
ADVANCE MICRO-DRAW CONTRL SOLN
ADVANCE MICRO-DRAW CNTRL SOLN
ADVANCE NORMAL CONTROL SOLN
ASSURE 3 CONTROL SOLUTION
DEXTROMETHORPHAN HBR CRYST
DEXTROMETHORPHAN HBR CRYST
DEXTROMETHORPHAN HBR CRYST
AK-DILATE 10% EYE DROPS
TRUETRACK GLUCOSE CONTROL
TRUETRACK GLUCOSE CONTROL
VICKS NYQUIL HOT THERAPY
RANITIDINE HCL POWDER
RANITIDINE HCL POWDER
RANITIDINE HCL POWDER
RANITIDINE HCL POWDER
RANITIDINE HCL POWDER
CHECKMATE CONTROL SOLUTION
RANITIDINE HCL POWDER
COVADERM ISLAND DRESSING
ACCU-CHEK SIMPLICITY SOLN
ACCU-CHEK CMFRT CURVE SOLN
TRACER GLUCOSE CONTROL SOLN
LOXAPINE 10 MG CAPSULE
LOXAPINE 10 MG CAPSULE
DEXTROMETHORPHAN HBR CRYST
DEXTROMETHORPHAN HBR CRYST
DEXTROMETHORPHAN HBR CRYST
DEXTROMETHORPHAN HBR CRYST
RANITIDINE HCL POWDER
RANITIDINE HCL POWDER
LOXITANE 10 MG CAPSULE
FLUPHENAZINE 25 MG/ML VIAL
FLUPHENAZINE DEC 25 MG/ML VL
EZ SMART NORMAL CONTROL SOLN
EZ SMART LOW CONTROL SOLUTION
EZ SMART HIGH CONTROL SOLUTION
ONE TOUCH CONTROL SOLN HIGH
ONE TOUCH CONTROL SOLN LOW
ONE TOUCH GLUC-CONTROL SOLN
ONE TOUCH CONTROL SOLN NORM
ONE TOUCH CONTROL SOLUTION
OT ULTRA/FAST TK CNTRL SOLN
SURESTEP PRO CONTROL SOLN

DOSE FORM DRUG STRENGTH


SA
HH
SL
GE
YE
TI
TI
SA
SA
SA
SA
SA
SA
SA
PC
PC
PC
SO
SA
SA
PP
PA
PA
PA
PA
PA
SA
PA
YE
SA
SA
SA
CA
CA
PC
PC
PC
PC
PA
PA
CA
HV
HV
SA
SA
SA
SA
SA
SA
SA
SA
SA
SA

UNIT PRICE
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54

NDC
53885079425
53885079525
53885085002
53885085102
54799053105
54868011400
54868017301
54868136300
54868206200
54868206500
54868206501
54868232700
54868409900
54868409901
54868420600
54868420601
54868420603
55390003110
55390003210
55390003310
55390003410
55390046505
56151056301
56151056601
56151076001
56151076101
56151076301
56151086001
56151086101
56151086301
58869063601
59059000502
59390019405
59702005001
60258025501
60505066402
61570041881
63323004910
63323012102
63323012104
63323012108
63323012110
63323012140
63323027205
63323027255
63370021825
63370021835
63481035810
63481066870
64376053101
65224011001
66479013611
66479013613

NAME
SURESTEP PRO CONTROL SOLN
SURESTEP PRO CONTROL SOLN
SURESTEP PRO CONTROL SOLN
SURESTEP PRO CONTROL SOLN
NEOFRIN 10% EYE DROPS
NARCAN 0.4 MG/ML AMPUL
METHOTREXATE 25 MG/ML VIAL
ADRENALIN 1 MG/ML AMPUL
NALOXONE 0.4 MG/ML AMPUL
EPINEPHRINE 1 MG/ML AMPUL
EPINEPHRINE 1 MG/ML AMPUL
LOXAPINE SUCCINATE 10 MG CAP
ZYDONE 5/400 MG TABLET
ZYDONE 5/400 MG TABLET
AMARYL 4 MG TABLET
AMARYL 4 MG TABLET
AMARYL 4 MG TABLET
METHOTREXATE 25 MG/ML VIAL
METHOTREXATE 25 MG/ML VIAL
METHOTREXATE 25 MG/ML VIAL
METHOTREXATE 25 MG/ML VIAL
FLUPHENAZINE DEC 25 MG/ML VL
PRESTIGE GLUCOSE CONTROL
PRESTIGE GLUCOSE CONTROL
TRACKEASE GLUCOSE CONTROL
TRACKEASE GLUCOSE CONTROL
TRACKEASE GLUCOSE CONTROL
TRUETRACK GLUCOSE CONTROL
TRUETRACK GLUCOSE CONTROL
TRUETRACK GLUCOSE CONTROL
TOURO LA CAPLET SA
SUPREME GLUCOSE CONT LOW/HI
ALTAFRIN 10% EYE DROPS
SUDAL SR TABLET
GFN 1,200/PSE 50 TABLET
FLUPHENAZINE DEC 25 MG/ML
ADRENALIN 1 MG/ML AMPUL
MOLYPEN 25 MCG/ML VIAL
METHOTREXATE 25 MG/ML VIAL
METHOTREXATE 25 MG/ML VIAL
METHOTREXATE 25 MG/ML VIAL
METHOTREXATE 25 MG/ML VIAL
METHOTREXATE 25 MG/ML VIAL
FLUPHENAZINE DEC 25 MG/ML VL
FLUPHENAZINE DEC 25 MG/ML VL
RANITIDINE HCL POWDER
RANITIDINE HCL POWDER
NARCAN 0.4 MG/ML AMPUL
ZYDONE 5/400 MG TABLET
GUAIFENESIN PSE SR TABLET
Z-COF LAX TABLET
METHOTREXATE LPF 25 MG/ML VL
METHOTREXATE LPF 25 MG/ML VL

DOSE FORM DRUG STRENGTH


SA
SA
SA
SA
SO
HH
HV
HH
HH
HH
HH
CA
TA
TA
TA
TA
TA
HV
HV
HV
HV
HV
SA
SA
SA
SA
SA
SA
SA
SA
TM
SA
SO
TM
TM
HV
HH
HV
HV
HV
HV
HV
HV
HV
HV
PA
PA
HH
TA
TM
TM
HV
HV

UNIT PRICE
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54

NDC
66479013619
66860002102
67555013530
68025000410
68032011312
68115084000
68552069403
75537000545
75537030268
75537030390
99073014001
99073014002
99073014003
00004027922
00008091202
00008257601
00008257602
00024120010
00024120020
00024120025
00024120050
00054356444
00065008315
00074277501
00074277502
00074581611
00074581631
00074582910
00074582930
00074802102
00074802105
00074802110
00169008181
00169008281
00169008481
00186902100
00186903100
00264947950
00264949450
00264949589
00264953094
00264953194
00264953294
00264966050
00310027510
00310027534
00310027539
00338936267
00409277502
00482006206
00555901458
00555904558
00641276443

NAME
METHOTREXATE LPF 25 MG/ML VL
EPINEPHRINE 1 MG/ML AMPUL
HEMAX SR CAPLET
ACUFLEX CAPLET
BENZOYL PEROXIDE 4.5% GEL
AMARYL 4 MG TABLET
PHENYLEPHRINE 10% EYE DROPS
TRACER GLUCOSE CONTROL SOLN
ACCU-CHEK SIMPLICITY SOLN
ACCU-CHEK CMFRT CURVE SOLN
FREESTYLE CONTROL SOLUTION
FREESTYLE CONTROL SOLUTION
FREESTYLE CONTROL SOLUTION
KLONOPIN WAFERS 0.125 MG
ALESSE-21 TABLET
ALESSE-28 TABLET
ALESSE-28 TABLET
PRIMACOR 1 MG/ML VIAL
PRIMACOR 1 MG/ML VIAL
PRIMACOR 1 MG/ML VIAL
PRIMACOR 1 MG/ML VIAL
METOCLOPRAMIDE 10 MG/ML SOLN
ENUCLENE DROPS
MILRINONE LACTATE 1 MG/ML VL
MILRINONE LACTATE 1 MG/ML VL
STERILE EMPTY 10 ML VIAL
STERILE EMPTY 30 ML VIAL
STERILE EMPTY 10 ML VIAL
STERILE EMPTY 30 ML VIAL
ADI STERILE EMPTY VIAL 20 ML
ADI STERILE EMPTY VIAL 50 ML
ADI STERILE EMPTY VL 100 ML
PRANDIN 0.5 MG TABLET
PRANDIN 1 MG TABLET
PRANDIN 2 MG TABLET
CARTRIDGE DISPENSER DENTAL
CARTRIDGE DISPENS DENTAL TR
CLAVE NEEDLE FREE INJ SITE
CLAVE SPIKE IV ACCESS DVICE
CLAVE LUER ADAPTER
SAFELINE NEEDLE FREE INJ ST
SAFELINE CLIP LOCK CANNULA
SAFELINE BLUNT CANNULA
CLAVE Y SITE ACCESS SPIKE
SEROQUEL 25 MG TABLET
SEROQUEL 25 MG TABLET
SEROQUEL 25 MG TABLET
HYDROMORPHONE/NS 5 MG/25 ML
MILRINONE LACTATE 1 MG/ML VL
PAMINE FORTE 5 MG TABLET
LESSINA-28 TABLET
AVIANE-28 TABLET
SULFAMETHOXAZOLE W/TMP VIAL

DOSE FORM DRUG STRENGTH


HV
HH
TI
TA
JC
TA
SO
SA
SA
SA
SA
SA
SA
UL
TA
TA
TA
HV
HV
HV
VI
SY
SO
HV
HV
HS
HS
HS
HS
HS
HS
HS
TA
TA
TA
ZT
ZT
EA
EA
EA
EA
EA
EA
EA
TA
TA
TA
HO
HV
TA
TA
TA
HV

UNIT PRICE
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.54
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55

NDC
00641276543
00641276641
00677142501
00703800503
00703800603
00703800801
00703952601
00781286505
00781286531
00944058101
08021333455
08080201200
08164100125
08290305257
08290305291
08881111036
10019007001
10019007002
10019007003
10139005710
10139005720
10337070019
10337070052
10337074021
12280003015
38779011504
38779011505
38779011508
38779011509
38779045804
38779045805
49326042477
49326043990
49452597201
49452597202
49452622101
49452622102
49452622103
49452622104
49884064801
49884064811
49884075811
49999060315
50419040803
50991090701
51285001728
51552037305
51927167100
51927258600
52544094928
53489050601
54569471000
54868395100

NAME
SULFAMETHOXAZOLE W/TMP VIAL
SULFAMETHOXAZOLE W/TMP VIAL
TOLMETIN SODIUM 200 MG TAB
MILRINONE LACTATE 1 MG/ML VL
MILRINONE LACTATE 1 MG/ML VL
MILRINONE LACTATE 1 MG/ML VL
SULFAMETHOXAZOLE W/TMP VIAL
RANITIDINE 300 MG CAPSULE
RANITIDINE 300 MG CAPSULE
PROPLEX T 300-1,200 UNITS VIAL
PORT ACCESS TRAY
DRESSING CHANGE/POV-IOD TR
J-TIP NEEDLE/FREE INJECTOR
B-D GLASPAK 2.5 ML SYRINGE
B-D GLASPAK 2.5 ML SYRINGE
INDIVID COMBO MED TRAY
MILRINONE LACTATE 1 MG/ML VL
MILRINONE LACTATE 1 MG/ML VL
MILRINONE LACTATE 1 MG/ML VL
MILRINONE LACTATE 1 MG/ML VL
MILRINONE LACTATE 1 MG/ML VL
LIDAMANTLE 3% CREAM
LIDAMANTLE 3% CREAM
ZODERM 4.5% CREAM
SEROQUEL 25 MG TABLET
CHLOROQUINE PHOSPHATE POWDR
CHLOROQUINE PHOSPHATE POWDR
CHLOROQUINE PHOSPHATE POWDR
CHLOROQUINE PHOSPHATE POWDR
PRAMOXINE HCL POWDER
PRAMOXINE HCL POWDER
ALBATUSSIN PEDI NR DROPS
LIPOCHOL PLUS TABLET
PRAMOXINE HCL POWDER
PRAMOXINE HCL POWDER
RIBAVIRIN POWDER
RIBAVIRIN POWDER
RIBAVIRIN POWDER
RIBAVIRIN POWDER
RANITIDINE 300 MG CAPSULE
RANITIDINE 300 MG CAPSULE
TALADINE 300 MG CAPSULE
SEROQUEL 25 MG TABLET
LEVLITE-28 TABLET
POLY-VENT JR. 650/45 CAP SA
AVIANE-28 TABLET
CHLOROQUINE PHOSPHATE POWDR
RIBAVIRIN POWDER
CHLOROQUINE PHOSPHATE POWDER
LUTERA-28 TABLET
TOLMETIN SODIUM 200 MG TAB
LEVLITE-28 TABLET
ALESSE-28 TABLET

DOSE FORM DRUG STRENGTH


HV
HV
TA
HV
HV
HV
HV
CA
CA
HS
ZT
ZT
EA
YL
YL
ZT
HV
HV
HV
HV
HV
CR
KA
CR
TA
PA
PA
PA
PA
PA
PA
SO
TA
PA
PA
PA
PA
PA
PA
CA
CA
CA
TA
TA
TM
TA
PA
PA
PA
TA
TA
TA
TA

UNIT PRICE
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55

NDC
54868436800
54868485500
55111013001
55111013030
55289087230
55390001910
55390002010
55390002101
55390007410
55390007510
55390007601
58768089015
58768089515
58809074790
58809747890
58864073830
59911590502
59911590602
60258004001
60258004003
60505071800
60505071801
61553016267
61703024221
61703024232
61703024250
62991207701
62991207702
62991207703
63323000100
63323000105
63323000110
63323000130
63323061710
63323061720
63323061750
63370021950
63370021955
65649010102
65781012410
67457016020
68032010503
68115084200
68188013501
76300030001
00004193306
00024030306
00029321213
00071052723
00071052740
00072840030
00074126101
00074126102

NAME
LEVLITE-28 TABLET
COLAZAL 750 MG CAPSULE
RANITIDINE 300 MG CAPSULE
RANITIDINE 300 MG CAPSULE
SEROQUEL 25 MG TABLET
MILRINONE LACTATE 1 MG/ML VL
MILRINONE LACTATE 1 MG/ML VL
MILRINONE LACTATE 1 MG/ML VL
MILRINONE LACTATE 1 MG/ML VL
MILRINONE LACTATE 1 MG/ML VL
MILRINONE LACTATE 1 MG/ML VL
VASOCLEAR 0.02% EYE DROPS
VASOCLEAR-A 0.02% EYE DROPS
VANACHOL SOFTGEL CAPSULE
VANACHOL SOFTGEL CAPSULE
SEROQUEL 25 MG TABLET
MILRINONE LACTATE 1 MG/ML VL
MILRINONE LACTATE 1 MG/ML VL
LIDOCAINE 3% CREAM
LIDOCAINE 3% CREAM
MILRINONE LACTATE 1 MG/ML VIAL
MLRINONE LACTATE 1 MG/ML VIAL
HYDROMORPHONE-NS 0.2 MG/ML
MILRINONE LACTATE 1 MG/ML VL
MILRINONE LACTATE 1 MG/ML VL
MILRINONE LACTATE 1 MG/ML VL
RIBAVIRIN POWDER
RIBAVIRIN POWDER
RIBAVIRIN POWDER
VIAL 100 ML EMPTY, STERILE
VIAL 5 ML EMPTY, STERILE
VIAL 10 ML EMPTY, STERILE
VIAL 30 ML EMPTY, STERILE
MILRINONE LACTATE 1 MG/ML VL
MILRINONE LACTATE 1 MG/ML VL
MILRINONE LACTATE 1 MG/ML VL
RIBAVIRIN POWDER
RIBAVIRIN POWDER
COLAZAL 750 MG CAPSULE
CARTRIDGE STAMPED IR 1200
MILRINONE LACTATE 1 MG/ML VL
LIDOCAINE 3% CREAM
SEROQUEL 25 MG TABLET
METHYLIN 5 MG CHEWABLE TABLET
SOF-SERTER INJECTION DEVICE
VALIUM 5 MG/ML SYRINGE
DANOCRINE 50 MG CAPSULE
PAXIL 30 MG TABLET
ACCUPRIL 5 MG TABLET
ACCUPRIL 5 MG TABLET
EXELDERM 1% SOLUTION
MORPHINE 10 MG/ML SYRINGE
MORPHINE 10 MG/ML SYRINGE

DOSE FORM DRUG STRENGTH


TA
CA
CA
CA
TA
HV
HV
HV
HV
HV
HV
SO
SO
CA
CA
TA
HV
HV
KA
KA
HV
HV
HO
HV
HV
HV
PA
PA
PA
HS
HS
HS
HS
HV
HV
HV
PA
PA
CA
ZT
HV
KA
TA
TC
EA
HQ
CA
TA
TA
TA
SA
HQ
HQ

UNIT PRICE
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.55
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56

NDC
00074126130
00074126131
00074126301
00074126321
00074127312
00074127322
00074127332
00074128301
00074128331
00074723830
00078038205
00093545698
00270131701
00270131702
00270131703
00270131709
00270131739
00270131741
00310030011
00310030022
00310030050
00310030061
00310030064
00310030065
00378001777
00525080590
00555063302
00597002504
00781199231
00904567861
08080180100
08080672000
08219180100
08219672000
08225301200
08225672000
10019001301
10019001302
10019001303
10019001306
10019021301
10019021302
10019021303
10023030070
10337074321
49452021202
49452021203
49884087805
49884087811
49884099209
51285044402
51285044405
54868011500

NAME
MORPHINE 10 MG/ML SYRINGE
MORPHINE 10 MG/ML CARPUJECT
MORPHINE 10 MG/ML SYRINGE
MORPHINE 10 MG/ML SYRINGE
DIAZEPAM 5 MG/ML SYRINGE
DIAZEPAM 5 MG/ML SYRINGE
DIAZEPAM 5 MG/ML SYRINGE
HYDROMORPHONE HCL 1MG/ML INJ
HYDROMORPHONE 1 MG/ML SYRIN
FERO-GRAD-500 FILMTAB
FOCALIN 10 MG TABLET
QUINAPRIL 5 MG TABLET
ISOVUE-250 51% INFUS BOTTLE
ISOVUE-250 51% INFUS BOTTLE
ISOVUE-250 51% INFUS BOTTLE
ISOVUE-250 51% INFUS BOTTLE
ISOVUE-250 51% INFUS BOTTLE
ISOVUE MULTIPK-250 51% BTLE
DIPRIVAN 10 MG/ML VIAL
DIPRIVAN 10 MG/ML VIAL
DIPRIVAN 10 MG/ML VIAL
DIPRIVAN 10 MG/ML VIAL
DIPRIVAN 10 MG/ML VIAL
DIPRIVAN 10 MG/ML VIAL
QUINAPRIL 5 MG TABLET
DIATX FE
DANAZOL 50 MG CAPSULE
SERENTIL 25 MG/ML ORAL CONC
PAROXETINE HCL 30 MG TABLET
PAROXETINE HCL 30 MG TABLET
KERLIX GAUZE ROLL
KERLIX GAUZE ROLL
KERLIX GAUZE ROLL
KERLIX GAUZE ROLL
KERLIX 2 1/4"X 108" BANDAGE
KERLIX GAUZE ROLL
PROPOFOL 10 MG/ML VIAL
PROPOFOL 10 MG/ML VIAL
PROPOFOL 10 MG/ML VIAL
PROPOFOL 10 MG/ML VIAL
PROPOFOL 10 MG/ML VIAL
PROPOFOL 10 MG/ML VIAL
PROPOFOL 10 MG/ML VIAL
ALBATUSSIN CF PEDI DROPS
ZODERM 8.5% GEL
L-ALANINE POWDER
L-ALANINE POWDER
PAROXETINE HCL 30 MG TABLET
PAROXETINE HCL 30 MG TABLET
QUINAPRIL 5 MG TABLET
CENESTIN 1.25 MG TABLET
CENESTIN 1.25 MG TABLET
MORPHINE 10 MG/ML TUBEX

DOSE FORM DRUG STRENGTH


HQ
HQ
HQ
HQ
HQ
HQ
HQ
HQ
HQ
TS
TA
TA
HB
HB
HB
HB
HB
HB
HV
HV
HV
HV
HV
HV
TA
TA
CA
SY
TA
TA
YE
YE
YE
YE
YE
YE
HV
HV
HV
HV
HV
HV
HV
SO
GE
PA
PA
TA
TA
TA
TA
TA
HQ

UNIT PRICE
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56

NDC
54868330700
54868330701
54868352600
54868458600
54868462900
54868493800
55289055230
57866442301
58016080600
58016080630
58016080660
58016080690
59762501901
60429073630
60505008401
60505008404
62037084730
63323022905
63323022930
65224064001
65473075801
66591066241
66758002501
66758002502
66758002503
66758002504
68030442301
68032011612
68084004601
68084004605
68084004630
68084004680
68084004685
68084004690
68115080130
00003633517
00003633617
00003633717
00004018022
00004018091
00019550506
00024195104
00026037220
00026855336
00026856665
00053813001
00068051030
00069432066
00074114401
00074114402
00074381712
00085176101
00085177301

NAME
ACCUPRIL 5 MG TABLET
ACCUPRIL 5 MG TABLET
PAXIL 30 MG TABLET
DIAZEPAM 5 MG/ML SYRINGE
PROPOFOL 10 MG/ML VIAL
PAROXETINE HCL 30 MG TABLET
ACCUPRIL 5 MG TABLET
ACCUPRIL 5 MG TABLET
PAXIL 30 MG TABLET
PAXIL 30 MG TABLET
PAXIL 30 MG TABLET
PAXIL 30 MG TABLET
QUINAPRIL HCL 5 MG TABLET
PAROXETINE HCL 30 MG TABLET
PAROXETINE HCL 30 MG TABLET
PAROXETINE HCL 30 MG TABLET
PAROXETINE HCL 30 MG TABLET
PROTAMINE 10 MG/ML VIAL
PROTAMINE 10 MG/ML VIAL
ALDEX G SR TABLET
VOSPIRE ER 8 MG TABLET
DARVON COMPOUND 32 PULVULE
PROPOFOL 1% EMULSION VIAL
PROPOFOL 1% EMULSION VIAL
PROPOFOL 1% EMULSION VIAL
PROPOFOL 1% EMULSION VIAL
ACCUPRIL 5 MG TABLET
BENZOYL PEROXIDE 8.5% GEL
PAROXETINE HCL 30 MG TABLET
PAROXETINE HCL 30 MG TABLET
PAROXETINE HCL 30 MG TABLET
PAROXETINE HCL 30 MG TABLET
PAROXETINE HCL 30 MG TABLET
PAROXETINE HCL 30 MG TABLET
PAROXETINE HCL 30 MG TABLET
DROXIA 200 MG CAPSULE
DROXIA 300 MG CAPSULE
DROXIA 400 MG CAPSULE
CARDENE SR 30 MG CAPSULE SA
CARDENE SR 30 MG CAPSULE SA
HEXABRIX 39.3/19.6 VIAL
TALWIN NX TABLET
KOGENATE FS 250 UNIT VIAL
CIPRO 10% SUSPENSION
CIPRO I.V. 10 MG/ML VIAL
HELIXATE FS 250 UNIT VIAL
RIFADIN 150 MG CAPSULE
MINIZIDE 2 CAPSULE
VERAPAMIL 2.5 MG/ML VIAL
VERAPAMIL 2.5 MG/ML VIAL
MORPHINE 10 MG/ML VIAL
CIPRO I.V. 10 MG/ML VIAL
CIPRO 10% SUSPENSION

DOSE FORM DRUG STRENGTH


TA
TA
TA
HQ
HV
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
HV
HV
TM
TM
CA
HV
HV
HV
HV
TA
JC
TA
TA
TA
TA
TA
TA
TA
CA
CA
CA
CS
CS
VI
TA
YK
RG
HV
YK
CA
CA
HV
HV
HV
HV
RG

UNIT PRICE
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.56
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57

NDC
00091332101
00132018582
00145351807
00149000805
00149000867
00149075202
00149075215
00172213060
00172213080
00178050001
00182194400
00182194489
00185080101
00185080130
00378165001
00378165005
00409114401
00409114402
00456067901
00496077704
00517540205
00517540225
00517540405
00555038087
00591039501
00591325301
00641018025
00641234341
00944294001
08333152712
08333153012
08333153812
10019017844
10019017862
10337074121
10939035822
24208027615
31604001321
48107005105
50428277450
51284046802
52152021102
52152021104
52959034010
52959034012
52959034024
52959034030
52959034040
52959040630
52959046110
52959054510
52959054512
52959054515

NAME
NIRAVAM 0.25 MG TABLET
FLEET GLYCERIN LIQUID SUPP
SULFOXYL REGULAR LOTION
MACRODANTIN 50 MG CAPSULE
MACRODANTIN 50 MG CAPSULE
ASACOL 400 MG TABLET EC
ASACOL 400 MG TABLET EC
NITROFURANTOIN MCR 50 MG CAP
NITROFURANTOIN MCR 50 MG CAP
LITHOSTAT 250 MG TABLET
NITROFURANTOIN MCR 50 MG CAP
NITROFURANTOIN MCR 50 MG CAP
RIFAMPIN 150 MG CAPSULE
RIFAMPIN 150 MG CAPSULE
NITROFURANTOIN MCR 50 MG CAP
NITROFURANTOIN MCR 50 MG CAP
VERAPAMIL 2.5 MG/ML VIAL
VERAPAMIL 2.5 MG/ML VIAL
ESGIC PLUS CAPSULE
PRAMOSONE 2.5% OINTMENT
VERAPAMIL 2.5 MG/ML VIAL
VERAPAMIL 2.5 MG/ML VIAL
VERAPAMIL 2.5 MG/ML VIAL
CIPROFLOXACIN 10% SUSP
PENTAZOCINE/NALOXONE TABLET
NITROFURANTOIN MCR 50 MG CAP
MORPHINE 10 MG/ML VIAL
MORPHINE 10 MG/ML VIAL
ADVATE 250 UNIT KIT
TRANSPORE SURGICAL TAPE
MICROPORE SURGICAL TAPE
DURAPORE SURGICAL TAPE
MORPHINE 10 MG/ML VIAL
MORPHINE 10 MG/ML VIAL
ZODERM 8.5% CREAM
COLD SORE GEL
MURO-128 2% EYE DROPS
COQ10 200 MG SOFTGEL
JOINTGEL SOFTGEL
CVS COENZYME Q10 200 MG SOFTGL
ZILACTIN MEDICATED GEL
PENTAZOCINE/NALOXONE TABLET
PENTAZOCINE/NALOXONE TABLET
TALWIN NX TABLET
TALWIN NX TABLET
TALWIN NX TABLET
TALWIN NX TABLET
TALWIN NX TABLET
NITROFURANTOIN MCR 50 MG CAP
RIFADIN 150 MG CAPSULE
PENTAZOCINE/NALOXONE TABLET
PENTAZOCINE/NALOXONE TABLET
PENTAZOCINE/NALOXONE TABLET

DOSE FORM DRUG STRENGTH


UL
JY
SK
CA
CA
TE
TE
CA
CA
TA
CA
CA
CA
CA
CA
CA
HV
HV
CA
OA
HV
HV
HV
RG
TA
CA
HV
HV
YK
YT
YT
YT
HV
HV
CR
JG
SO
CA
CA
CA
JG
TA
TA
TA
TA
TA
TA
TA
CA
CA
TA
TA
TA

UNIT PRICE
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57

NDC
52959054520
52959054524
52959054530
52959054540
52959054560
54569018100
54569018101
54569018102
54643564900
54643564901
54643564902
54868010700
54868010702
54868010705
54868010706
54868042903
54868146501
54868251500
54868251503
54868304202
54868380900
54868380901
54868381700
54868400000
54868475200
54868478800
55045203803
55045309904
55045309908
55289017912
55289017928
55289017940
55289018420
55289018612
55289018614
55289018620
55289018621
55289018628
55289018640
55289083330
57866932101
57866932102
58016014200
58016014210
58016014214
58016014215
58016014220
58016014224
58016014228
58016014230
58016014240
58016026340
58016039212

NAME
PENTAZOCINE/NALOXONE TABLET
PENTAZOCINE/NALOXONE TABLET
PENTAZOCINE/NALOXONE TABLET
PENTAZOCINE/NALOXONE TABLET
PENTAZOCINE-NALOXONE TABLET
NITROFURANTOIN MCR 50 MG CAP
NITROFURANTOIN MCR 50 MG CAP
NITROFURANTOIN MCR 50 MG CAP
INFUVITE ADULT VIAL
INFUVITE ADULT VIAL
INFUVITE ADULT VIAL
NITROFURANTOIN MCR 50 MG CAP
NITROFURANTOIN MCR 50 MG CAP
NITROFURANTOIN MCR 50 MG CAP
NITROFURANTOIN MCR 50 MG CAP
MACRODANTIN 50 MG CAPSULE
TALWIN NX TABLET
ASACOL 400 MG TABLET EC
ASACOL 400 MG TABLET EC
ANBESOL GEL
VERAPAMIL 2.5 MG/ML VIAL
VERAPAMIL 2.5 MG/ML VIAL
CARDENE SR 30 MG CAPSULE SA
MURO-128 2% EYE DROPS
MORPHINE SULFATE 10 MG/ML VL
PENTAZOCINE-NALOXONE TABLET
TALWIN NX TABLET
PENTAZOCINE-NALOXONE TABLET
PENTAZOCINE-NALOXONE TABLET
MACRODANTIN 50 MG CAPSULE
MACRODANTIN 50 MG CAPSULE
MACRODANTIN 50 MG CAPSULE
TALWIN NX TABLET
NITROFURANTOIN MCR 50 MG CAP
NITROFURANTOIN MCR 50 MG CAP
NITROFURANTOIN MCR 50 MG CAP
NITROFURANTOIN MCR 50 MG CAP
NITROFURANTOIN MCR 50 MG CAP
MACRODANTIN 50 MG CAPSULE
ASACOL 400 MG TABLET EC
PENTAZOCINE-NALOXONE TABLET
PENTAZOCINE-NALOXONE TABLET
NITROFURANTOIN MCR 50 MG CAP
NITROFURANTOIN MCR 50 MG CAP
NITROFURANTOIN MCR 50 MG CAP
NITROFURANTOIN MCR 50 MG CAP
NITROFURANTOIN MCR 50 MG CAP
NITROFURANTOIN MCR 50 MG CAP
NITROFURANTOIN MCR 50 MG CAP
NITROFURANTOIN MCR 50 MG CAP
NITROFURANTOIN MCR 50 MG CAP
TALWIN NX TABLET
PENTAZOCINE/NALOXONE TABLET

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
CA
CA
CA
HV
HV
HV
CA
CA
CA
CA
CA
TA
TE
TE
PP
HV
HV
CS
SO
HV
TA
TA
TA
TA
CA
CA
CA
TA
CA
CA
CA
CA
CA
CA
TE
TA
TA
CA
CA
CA
CA
CA
CA
CA
CA
CA
TA
TA

UNIT PRICE
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57

NDC
58394000701
58394000702
58552030960
58605052601
58869063501
59630017010
60258028701
61570002401
61570011001
61570011056
61748001511
61748001530
63304050601
66116025030
66267048730
66591018432
66591018442
66591018452
68025000510
68032011512
68115025928
68115060500
68728004305
00006043768
00007336203
00028420133
00074118001
00074118002
00074118021
00074118031
00074118069
00074228505
00074302401
00074602804
00078040001
00145237406
00145237408
00182709611
00378071501
00496080004
00574722612
00641016825
00641403286
00677184901
00713013512
00781307075
00781307095
00904556412
08021000800
08021050556
08021333325
08219990200
08290005161

NAME
REFACTO 250 UNIT VIAL
REFACTO 250 UNITS VIAL
PROTECT PLUS NR SOFTGEL
MAXIFED DM TABLET SA
TOURO LA-LD CAPLET
ZEBUTAL CAPSULE
GFN550/PSE60/DM30 TABLET
THALITONE 15 MG TABLET
ALTACE 1.25 MG CAPSULE
ALTACE 1.25 MG CAPSULE
RIFAMPIN 150 MG CAPSULE
RIFAMPIN 150 MG CAPSULE
PENTAZOCINE/NALOXONE TABLET
NITROFURANTOIN MCR 50 MG CAP
PENTAZOCINE/NALOXONE TABLET
M.V.I. ADULT VIAL
M.V.I. ADULT VIAL
M.V.I. ADULT VIAL
ZOTEX-GP CAPLET
BENZOYL PEROXIDE 8.5% CREAM
NITROFURANTOIN MCR 50 MG CAP
PENTAZOCINE-NALOXONE TABLET
OSTIGEN WAFER
BLOCADREN 20 MG TABLET
COMPAZINE 25 MG SUPPOSITORY
LOPRESSOR 1 MG/ML AMPUL
DEMEROL 100 MG/ML SYRINGE
DEMEROL 100 MG/ML SYRINGE
DEMEROL 100 MG/ML SYRINGE
DEMEROL 100 MG/ML SYRINGE
DEMEROL 100 MG/ML SYRINGE
METOPROLOL 1 MG/ML AMPUL
NITROPRESS 25 MG/ML VIAL
MORPHINE 5 MG/ML VIAL
LOPRESSOR 1 MG/ML AMPUL
BREVOXYL-4 GEL
BREVOXYL-4 GEL
PROCHLORPERAZINE 25 MG SUPP
TIMOLOL MALEATE 20 MG TABLET
ANALPRAM-HC 2.5% CREAM
COMPRO 25 MG SUPPOSITORY
MORPHINE 5 MG/ML VIAL
TIMOLOL MALEATE 20 MG TABLET
P-EPHED HCL/CHLOR-MAL LA TB
PROCHLORPERAZINE 25 MG SUPP
METOPROLOL 1 MG/ML AMPUL
METOPROLOL 1 MG/ML AMPUL
PROCHLORPERAZINE 25 MG SUPP
TRANSORBENT 8"X 8" DRESSING
THINSITE 8" X 8" DRESSING
SPINOCAN SPINAL NEEDLE
CURAGEL HYDROGEL WOUND DRESS
YALE SPINAL NDL 22GX11/2"

DOSE FORM DRUG STRENGTH


YK
YK
CA
TM
TM
CA
TM
TA
CA
CA
CA
CA
TA
CA
TA
HV
HV
HV
TA
KM
CA
TA
TL
TA
QA
HH
HQ
HQ
HQ
HQ
HQ
HH
HV
HV
HH
JG
JG
QA
TA
KA
QA
HV
TA
TM
QA
HH
HH
QA
YE
YE
YH
YE
YH

UNIT PRICE
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.57
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58

NDC
08290005162
08881202314
08881202322
08881202330
08881202348
08881202355
08881202363
08881202371
08881202389
08881202397
08881305208
08884700108
08884700116
08884700124
10019008202
10019017644
17314932001
38779019704
38779019705
49326044990
49452130901
49452130902
49452245501
49452245503
49452245504
52959029100
52959035506
52959035512
52959106500
53191025101
53191025106
53191025175
53265024512
54569035301
54569035302
54569472000
54569472002
54868062200
54868062202
54868311200
54868311201
55045240002
55289011902
55289011906
55860007429
58016650612
58605051501
58605061501
58605062601
59310011210
59767000201
60232852608
60258000501

NAME
YALE SPINAL NDL 20GX11/2"
BLUNT NEEDLE
BLUNT NEEDLE
BLUNT NEEDLE
BLUNT NEEDLE
BLUNT NEEDLE
BLUNT NEEDLE
BLUNT NEEDLE
BLUNT NEEDLE
BLUNT NEEDLE
FILTER NEEDLE W/INFUS PLUG
KANGAROO ENTRL/FEED/IRRG KT
KANGAROO ENTRL/FEED/IRRG KT
KANGAROO ENTRL/FEED/IRRG KT
NITROPRUSSIDE 25 MG/ML VIAL
MORPHINE 5 MG/ML VIAL
POLYCITRA-K CRYSTALS PACKET
BROMPHENIRAMINE MALEATE PWD
BROMPHENIRAMINE MALEATE PWD
LIPOCHOL CAPSULE
BROMPHENIRAMINE MALEATE PWD
BROMPHENIRAMINE MALEATE PWD
DEOXYRIBONUCLEIC ACID POWD
DEOXYRIBONUCLEIC ACID POWDR
DEOXYRIBONUCLEIC ACID POWDR
COMPAZINE 25 MG SUPPOSITORY
PROCHLORPERAZINE 25 MG SUPP
PROCHLORPERAZINE 25 MG SUPP
COMPAZINE 25 MG SUPPOSITORY
TRYPTOPHAN 500 MG CAPSULE
TRYPTOPHAN 500 MG CAPSULE
TRYPTOPHAN 500 MG CAPSULE
PROCHLORPERAZINE 25 MG SUPP
COMPAZINE 25 MG SUPPOSITORY
COMPAZINE 25 MG SUPPOSITORY
PROCHLORPERAZINE 25 MG SUPP
PROCHLORPERAZINE 25 MG SUPP
COMPAZINE 25 MG SUPPOSITORY
COMPAZINE 25 MG SUPPOSITORY
PROCHLORPERAZINE 25 MG SUPP
PROCHLORPERAZINE 25 MG SUPP
PROCHLORPERAZINE 25 MG SUPP
PROCHLORPERAZINE 25 MG SUPP
PROCHLORPERAZINE 25 MG SUPP
INTRASITE DRESSING 8" X 8"
PROCHLORPERAZINE 25 MG SUPP
MAXIFED DMX TABLET
MAXIFED DMX TABLET
MAXIFED DM TABLET
BIOHIST-LA TABLET
PANCRECARB MS-4 CAPSULE EC
ELTA DERMAL 8"X8" DRESSING
CYTRA-K CRYSTALS PACKET

DOSE FORM DRUG STRENGTH


YH
YH
YH
YH
YH
YH
YH
YH
YH
YH
YH
EA
EA
EA
HV
HV
PP
PA
PA
CA
PA
PA
PA
PA
PA
QA
QA
QA
QA
CA
CA
CA
QA
QA
QA
QA
QA
QA
QA
QA
QA
QA
QA
QA
YE
QA
TM
TM
TM
TM
CE
YE
PP

UNIT PRICE
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58

NDC
62991163401
62991163402
63304056720
64376053301
65197000201
66267017602
66869082610
66870011901
66870012201
66870021901
67546021221
67887010030
68115069112
76170010881
76170010883
76170012881
76170012883
00024159601
00029321313
00049494023
00064360045
00074445602
00074445604
00074445651
00074445661
00132018001
00247101514
00247128530
00406056201
00517037510
00591082501
00781196931
00904567961
11098050805
38779025304
38779025305
38779025308
46581080005
49452205001
49452608701
49452608702
49884087905
49884087911
51552014701
51552014704
51552086604
51552086605
51552086606
51552086607
51927901800
54569490100
54868349400
54868396200

NAME
BROMPHENIRAMINE MALEATE PWD
BROMPHENIRAMINE MALEATE PWD
DISPERMOX 400 MG TABLET-SUSP
PSEUDO MAX DMX TABLET
DYRENIUM 50 MG CAPSULE
PROCHLORPERAZINE 25 MG SUPP
DURABAC CAPSULE
AMBI 80/700/40 CAPLET
AMBI 60/580/30 TABLET
AMBI 80/780/40 TABLET
ALINIA 100 MG/5 ML SUSPENSION
HC PRAMOXINE 2.5% RECTAL CREAM
PROCHLORPERAZINE 25 MG SUPP
AVOGEL 8"X8" DRESSING
AVOGEL 8"X8" DRESSING
AVOGEL 8"X8" DRESSING
AVOGEL 8"X8" DRESSING
PRIMAQUINE 26.3 MG TABLET
PAXIL 40 MG TABLET
ZOLOFT 20 MG/ML ORAL CONC
PRUDOXIN 5% CREAM
ULTANE VOLATILE LIQUID
ULTANE 250 ML PEN BOTTLE
ULTANE 250 ML PEN BOTTLE
ULTANE 250 ML PEN BOTTLE
FLEET BABYLAX ENEMA
PRIMAQUINE 26.3 MG TABLET
ZONALON 5% CREAM
OXYCODONE HCL-APAP 10/650 TAB
INDIGO CARMINE 0.8% AMPUL
OXYCODONE/APAP 10/650 TAB
PAROXETINE HCL 40 MG TABLET
PAROXETINE HCL 40 MG TABLET
INDIGO CARMINE 0.8% AMPUL
PROMETHAZINE HCL POWDER
PROMETHAZINE HCL POWDER
PROMETHAZINE HCL POWDER
SALONSIP AQUA-PATCH
CHRYSIN POWDER
PROMETHAZINE HCL POWDER
PROMETHAZINE HCL POWDER
PAROXETINE HCL 40 MG TABLET
PAROXETINE HCL 40 MG TABLET
PROMETHAZINE HCL POWDER
PROMETHAZINE HCL POWDER
CHRYSIN POWDER
CHRYSIN POWDER
CHRYSIN POWDER
CHRYSIN POWDER
PROMETHAZINE HCL POWDER
PAXIL 40 MG TABLET
ZONALON 5% CREAM
PAXIL 40 MG TABLET

DOSE FORM DRUG STRENGTH


PA
PA
TJ
TM
CA
QA
CA
TM
TM
TM
PD
KA
QA
YE
YE
YE
YE
TA
TA
SY
KA
SL
SL
SL
SL
SF
TA
KA
TA
HH
TA
TA
TA
HH
PA
PA
PA
PS
PA
PA
PA
TA
TA
PA
PA
PA
PA
PA
PA
PA
TA
KA
TA

UNIT PRICE
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.58
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59

NDC
54868460400
54868460401
54868460402
54868460403
54868481700
54868500400
54868500401
54868500402
54868500403
54868500404
55045317308
57866707601
57866707602
58016073100
58016073130
58016073160
58016073190
58016871001
58407003301
58552030401
58864062815
58864071630
58869040101
58869041101
59243001210
60258029401
60267062210
60429073730
60505010101
60505010104
60951079770
62037084830
62436052330
62436052345
62991112501
62991112502
62991112504
63032002100
63032002101
63032002150
63481062270
65628003001
66869082210
66870001201
68084004701
68084004705
68084004730
68084004780
68084004785
68084004790
68115048360
68115075130
00019095211

NAME
PERCOCET 10/650 MG TABLET
PERCOCET 10/650 MG TABLET
PERCOCET 10/650 MG TABLET
PERCOCET 10/650 MG TABLET
PAROXETINE HCL 40 MG TABLET
OXYCODONE-APAP 10-650 TAB
OXYCODONE-APAP 10-650 TAB
OXYCODONE-APAP 10-650 TAB
OXYCODONE-APAP 10-650 TAB
OXYCODONE-APAP 10-650 TAB
PAROXETINE HCL 40 MG TABLET
OXYCODONE-APAP 10-650 TAB
OXYCODONE-APAP 10-650 TAB
PAXIL 40 MG TABLET
PAXIL 40 MG TABLET
PAXIL 40 MG TABLET
PAXIL 40 MG TABLET
ZONALON 5% CREAM
STAGESIC-10 CAPLET
GILPHEX TR TABLET
PAXIL 40 MG TABLET
PAROXETINE HCL 40 MG TABLET
TOURO ALLERGY CAPSULE SA
TOURO DM TABLET SA
RU-TUSS 800 DM TABLET SA
GFN 800/PE 25 TABLET
INDIGO CARMINE 0.8% AMPUL
PAROXETINE HCL 40 MG TABLET
PAROXETINE HCL 40 MG TABLET
PAROXETINE HCL 40 MG TABLET
ENDOCET 10/650 MG TABLET
PAROXETINE HCL 40 MG TABLET
ZONALON 5% CREAM
ZONALON 5% CREAM
PROMETHAZINE HCL POWDER
PROMETHAZINE HCL POWDER
PROMETHAZINE HCL POWDER
LUXIQ 0.12% FOAM
LUXIQ 0.12% FOAM
LUXIQ 0.12% FOAM
PERCOCET 10/650 MG TABLET
FIRST-PROGESTERONE MC 5% CR
DURAPHEN II TABLET
AMBIFED-G CAPLET
PAROXETINE HCL 40 MG TABLET
PAROXETINE HCL 40 MG TABLET
PAROXETINE HCL 40 MG TABLET
PAROXETINE HCL 40 MG TABLET
PAROXETINE HCL 40 MG TABLET
PAROXETINE HCL 40 MG TABLET
PAROXETINE HCL 40 MG TABLET
PAROXETINE HCL 40 MG TABLET
CONRAY-30 INFUSION BOTTLE

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
KA
TA
TM
TA
TA
CS
TM
TM
TM
HH
TA
TA
TA
TA
TA
KA
KA
PA
PA
PA
AF
AF
AF
TA
KA
TM
TM
TA
TA
TA
TA
TA
TA
TA
TA
HB

UNIT PRICE
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.59
$
0.60

NDC
00032110301
00064390060
00074121101
00074125801
00074125802
00074125811
00074125821
00074125830
00078033605
00078033606
00085126401
00085126402
00085126403
00085126404
00145238406
00145238408
00193274121
08021332000
08021332001
08021332010
08021332015
08021332017
08021454320
08021455980
08021455991
08021456003
08021456005
08021456006
08021456025
08021456027
08021456029
08021456030
08021456032
08080141800
08080228300
08080266600
08080296300
08080409500
08219141800
08219228300
08219266600
08219296300
08219409500
08219624200
08423112706
08423112708
08423112710
10337071019
10337071052
10541049250
11845109208
49999041010
49999041014

NAME
ACEON 8 MG TABLET
XENADERM OINTMENT
NALOXONE 0.02 MG/ML AMPUL
MORPHINE 4 MG/ML SYRINGE
MORPHINE 4 MG/ML SYRINGE
MORPHINE 4 MG/ML SYRINGE
MORPHINE 4 MG/ML SYRINGE
MORPHINE 4 MG/ML SYRINGE
TRILEPTAL 150 MG TABLET
TRILEPTAL 150 MG TABLET
CLARINEX 5 MG TABLET
CLARINEX 5 MG TABLET
CLARINEX 5 MG TABLET
CLARINEX 5 MG TABLET
BREVOXYL-8 GEL
BREVOXYL-8 GEL
MULTISTIX SG DIP/READ TEST
PLEXUFIX B-PLEX NDL/EXT SET
PLEXUFIX B-PLEX NDL/EXT SET
PLEXUFIX B-PLEX NDL/EXT SET
PLEXUFIX B-PLEX NDL/EXT SET
PLEXUFIX B-PLEX NDL/EXT SET
ANESTH STOPCOCK SET-4 WAY
DISCOFIX STOPCOCK-1 WAY
DISCOFIX STOPCOCK-3 WAY
DISCOFIX STOPCOCK-3 WAY
DISCOFIX STOPCOCK-4 WAY
DISCOFIX STOPCOCK-4 WAY
ANESTH STOPCOCK SET-4 WAY
ANESTH STOPCOCK SET-4 WAY
ANESTH STOPCOCK SET-4 WAY
ANESTH STOPCOCK SET-4 WAY
ANESTH STOPCOCK SET-4 WAY
WEBRIL UNDERCAST PADDING
WEBRIL UNDERCAST PADDING
WEBRIL II UNDERCAST PADDING
CURITY GAUZE BURN DRESSING
WEBRIL II UNDERCAST PADDING
WEBRIL UNDERCAST PADDING
WEBRIL UNDERCAST PADDING
WEBRIL II UNDERCAST PADDING
CURITY GAUZE BURN DRESSING
WEBRIL II UNDERCAST PADDING
TENDEROL UNDERCAST PADDING
CLINIPUR 27G INFUSION SET
CLINIPUR 27G INFUSION SET
CLINIPUR 27G INFUSION SET
LIDAMANTLE HC 0.5-3% CREAM
LIDAMANTLE HC 0.5-3% CREAM
SARAPIN VIAL
SHARK FIN CARTILAGE CAPSULE
CLARINEX 5 MG TABLET
CLARINEX 5 MG TABLET

DOSE FORM DRUG STRENGTH


TA
OA
HH
HQ
HQ
HQ
HQ
HQ
TA
TA
TA
TA
TA
TA
JG
JG
ZA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
EA
EA
EA
CR
KA
HV
CA
TA
TA

UNIT PRICE
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60

NDC
50991040801
51991009301
52959064430
52959064460
52959068510
52959068530
52959068590
54022212001
54022270001
54162051001
54569535200
54569535202
54868409700
54868409701
54868455500
54868455501
54868462400
54868462401
54868472000
54868472001
54868472002
54868472003
54868483600
54868483601
56091006904
56091006924
58177007604
58407003401
58864070330
58869010101
58869010103
59630041230
60258004101
60258004103
63481066970
64455013001
66870001501
67000020110
68030014501
68030606801
68032010603
68115008300
68115086900
00005534418
00006338060
00069312019
00069313019
00069314019
00071023724
00071052524
00074788623
00091417501
00093316753

NAME
POLY-VENT 650/90 CAPLET SA
RHINABID PD CAPSULE
ZYDONE 7.5/400 MG TABLET
ZYDONE 7.5/400 MG TABLET
CLARINEX 5 MG TABLET
CLARINEX 5 MG TABLET
CLARINEX 5 MG TABLET
L-CARNITINE 500 MG CAPLET
L-CARNITINE 500 MG WAFER
HYDROPHOR GAUZE DRESSING
CLARINEX 5 MG TABLET
CLARINEX 5 MG TABLET
ZYDONE 7.5/400 MG TABLET
ZYDONE 7.5/400 MG TABLET
ACEON 8 MG TABLET
ACEON 8 MG TABLET
CLARINEX 5 MG TABLET
CLARINEX 5 MG TABLET
TEVETEN 400 MG TILTAB
TEVETEN 400 MG TILTAB
TEVETEN 400 MG TILTAB
TEVETEN 400 MG TILTAB
TRILEPTAL 150 MG TABLET
TRILEPTAL 150 MG TABLET
KLING CONFORMING GAUZE BNDG
KLING CONFORMING GAUZE BNDG
BROMFENEX PE PEDIATRIC CAP
STAFLEX TABLET
CLARINEX 5 MG TABLET
ELON NAIL CONDITIONER
ELON NAIL CONDITIONER
OPTINATE COMBO PACK
LIDOCAINE-HC 0.5-3% CREAM
LIDOCAINE-HC 0.5-3% CREAM
ZYDONE 7.5/400 MG TABLET
TEVETEN 400 MG TILTAB
AMBIFED-G DM CAPLET
BROMFED-PD CAPSULE
CLARINEX 5 MG TABLET
CLARINEX 5 MG TABLET
LIDOCAINE-HC 3-0.5% CREAM
CLARINEX 5 MG TABLET
TRILEPTAL 150 MG TABLET
MINOCIN 100 MG PELLETIZED CP
LACRISERT 5 MG EYE INSERT
ZITHROMAX 200 MG/5 ML SUSP
ZITHROMAX 200 MG/5 ML SUSP
ZITHROMAX 200 MG/5 ML SUSP
ZARONTIN 250 MG CAPSULE
CELONTIN 300 MG KAPSEAL
GENTAMICIN 90 MG/NS 100 ML PB
KUTRASE CAPSULE
MINOCYCLINE 100 MG CAPSULE

DOSE FORM DRUG STRENGTH


TM
CB
TA
TA
TA
TA
TA
TA
TW
YE
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
YE
YE
CB
TA
TA
OA
OA
ZD
KA
KA
TA
TA
TM
CB
TA
TA
KA
TA
TA
CA
QB
PD
PD
PD
CA
CA
HP
CA
CA

UNIT PRICE
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.60
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61

NDC
00115701806
00145351907
00193259221
00193259234
00247148915
00247149092
00247149130
00283076309
00406058201
00440782160
00496084502
00591082401
00591569550
00677187937
08080279800
08137008807
08213010040
08219279800
08219631100
08219631300
08884431302
08884433301
08884437201
10356045547
10892012710
10939058811
11822312920
16500002600
16500002610
25866005205
25866005207
36800018820
45985064601
49072001110
49884014501
49999026015
50111032301
50111032302
50111090101
51803000101
51927362100
51991016203
52152026802
52297066800
52297069500
52569087343
52959065703
52959065706
53265033910
53329002635
53329002650
54569423000
54569423100

NAME
MINOCYCLINE 100 MG CAPSULE
SULFOXYL STRONG LOTION
HEMA-CHEK SLIDE TEST
HEMA-CHEK PATIENT DISP PAK
ZITHROMAX 200 MG/5 ML SUSP
ZITHROMAX 200 MG/5 ML SUSP
ZITHROMAX 200 MG/5 ML SUSP
CEO-TWO SUPPOSITORY
OXYCODONE HCL-APAP 7.5/500 TAB
MINOCYCLINE 100 MG CAPSULE
DECUBITENE SPRAY
OXYCODONE/APAP 7.5/500 TAB
MINOCYCLINE 100 MG CAPSULE
UNI-HIST DM PEDIATRIC DROP
CURITY READY-CUT GAUZE
KLING SOF-GZ BANDAGE 2"X2YD
IODOSORB GEL
CURITY READY-CUT GAUZE
XEROFORM PETROLATUM DRESS
XEROFORM PETROLATUM DRESS
XEROFORM PETROLATUM DRESS
XEROFORM PETROLATUM DRESS
XEROFLO GAUZE DRESSING
COVER-ROLL STRETCH BANDAGE
PROTID TABLET SA
STRETCH GAUZE BANDGE 2"X2YD
RA GAUZE BANDAGE 2"X2YD
MYCELEX-3 2% CREAM
MYCELEX-3 2% CREAM
FEMSTAT 3 CREAM
FEMSTAT 3 CREAM
GAUZE ROLL 2"X4.1YD
UTA CAPSULE
ADENOSINE PHOS 25 MG/ML VIAL
HYDRA-ZIDE 100/50 CAPSULE
ZITHROMAX 200 MG/5 ML SUSP
BETHANECHOL 5 MG TABLET
BETHANECHOL 5 MG TABLET
ETHOSUXIMIDE 250 MG CAPSULE
IOSAT 130 MG TABLET
PROPYL GALLATE POWDER
HISTACOL DM PEDIATRIC DROPS
BETHANECHOL 5 MG TABLET
FV GAUZE BANDAGE 2"X2YD
HM GAUZE BANDAGE 2"X72"
HM GAUZE BANDAGE 2"X72"
ZITHROMAX 200 MG/5 ML SUSP
ZITHROMAX 200 MG/5 ML SUSP
BETHANECHOL 5 MG TABLET
SURESITE WINDOW DRESSING
SURESITE DRESSING 4"X4.75"
ZITHROMAX 200 MG/5 ML SUSP
ZITHROMAX 200 MG/5 ML SUSP

DOSE FORM DRUG STRENGTH


CA
SK
ZA
ZA
PD
PD
PD
QA
TA
CA
AU
TA
CA
SO
YE
YE
JG
YE
YE
YE
YE
YE
YE
YE
TS
YE
YE
KV
KV
KV
KV
YE
CA
HV
CA
PD
TA
TA
CA
TA
PA
SO
TA
YE
YE
YE
PD
PD
TA
YE
YE
PD
PD

UNIT PRICE
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61

NDC
54569441700
54569471300
54868239100
54868239101
54868239102
54868239103
54868407800
54868407801
54868407802
54868457400
54868457401
54868457402
54868469900
54868500300
54868500301
54868507600
54868507601
54868507602
54868507603
54868507604
54868508700
55045237305
55045237306
55045237308
55289020130
57844020852
57866403401
57866707401
58768079035
58768079036
60258043330
60258044730
60258081101
60598000890
60951079670
61924025344
63304069605
63304069650
63304099301
63481062170
64376072230
64679096501
65473069701
65628003101
66346009130
66346010130
66934010001
66934010040
81317400400
99207048805
99207048811
99207049811
99207049850

NAME
ZITHROMAX 200 MG/5 ML SUSP
MINOCYCLINE 100 MG CAPSULE
MINOCYCLINE 100 MG CAPSULE
MINOCYCLINE 100 MG CAPSULE
MINOCYCLINE 100 MG CAPSULE
MINOCYCLINE 100 MG CAPSULE
ZITHROMAX 200 MG/5 ML SUSP
ZITHROMAX 200 MG/5 ML SUSP
ZITHROMAX 200 MG/5 ML SUSP
PERCOCET 7.5/500 MG TABLET
PERCOCET 7.5-500 MG TABLET
PERCOCET 7.5-500 MG TABLET
GENTEAL LUBRICANT EYE GEL
UTA CAPSULE
UTA CAPSULE
OXYCODONE-APAP 7.5-500 TAB
OXYCODONE-APAP 7.5-500 TAB
OXYCODONE-APAP 7.5-500 TAB
OXYCODONE-APAP 7.5-500 TAB
OXYCODONE/APAP 7.5/500 TAB
ADVICOR 1,000 MG/20 MG TABLET
ZITHROMAX 200 MG/5 ML SUSP
ZITHROMAX 200 MG/5 ML SUSP
ZITHROMAX 200 MG/5 ML SUSP
MINOCYCLINE 100 MG CAPSULE
GALZIN 50 MG CAPSULE
MINOCYCLINE 100 MG CAPSULE
OXYCODONE-APAP 7.5-500 TAB
GENTEAL LUBRICANT EYE GEL
GENTEAL LUBRICANT EYE GEL
BROMHIST PEDIATRIC DROPS
BROMHIST-DM DROPS
DYGASE CAPSULE
ADVICOR 1,000 MG/20 MG TABLET
ENDOCET 7.5/500 MG TABLET
DERMAVIEW II 4"X5.5" DRESS
MINOCYCLINE 100 MG CAPSULE
MINOCYCLINE 100 MG CAPSULE
BETHANECHOL 5 MG TABLET
PERCOCET 7.5/500 MG TABLET
PEDIAHIST DM DROPS
BETHANECHOL 5 MG TABLET
URECHOLINE 5 MG TABLET
FIRST-PROGESTERONE MC10% CR
ACCUHIST PEDIATRIC DROPS
ACCUHIST DM PEDIATRIC DROPS
VISICOL TABLET
VISICOL TABLET
DOUBLE-HESIVE 1 1/2" DISC
DYNACIN 100 MG CAPSULE
DYNACIN 100 MG CAPSULE
DYNACIN 100 MG CAPSULE
DYNACIN 100 MG CAPSULE

DOSE FORM DRUG STRENGTH


PD
CA
CA
CA
CA
CA
PD
PD
PD
TA
TA
TA
JC
CA
CA
TA
TA
TA
TA
TA
UB
PD
PD
PD
CA
CA
CA
TA
JC
JC
SO
SO
CA
UB
TA
YE
CA
CA
TA
TA
SO
TA
TA
KA
SO
SO
TA
TA
EA
CA
CA
CA
CA

UNIT PRICE
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61
$
0.61

NDC
00009000202
00028003501
00045151501
00074125960
00074126001
00074126011
00074126021
00074126069
00074317901
00078036005
00078036006
00078036034
00087607731
00115441101
00149003005
00186026002
00186026092
00247112130
00247112160
00378042401
00406052201
00456006001
00591093301
00597008353
00884478902
24208027507
24208027509
24208040205
24208040210
38779003804
38779003805
38779003808
38779025404
38779025405
38779025408
49452040501
49452040502
49452477501
49452477502
49452477503
49756010039
49756010040
50428265285
50428265301
51552012205
54092005501
54569566600
54868302700
54868460300
54868460301
54868491200
54868491201
54868508200

NAME
MIRAPEX 0.125 MG TABLET
LOPRESSOR HCT 50/25 TABLET
LEVAQUIN 25 MG/ML SOLUTION
MORPHINE 8 MG/ML SYRINGE
MORPHINE 8 MG/ML SYRINGE
MORPHINE 8 MG/ML SYRINGE
MORPHINE 8 MG/ML SYRINGE
MORPHINE 8 MG/ML SYRINGE
LIDOCAINE 1%/EPI 1:200,000
DIOVAN 320 MG TABLET
DIOVAN 320 MG TABLET
DIOVAN 320 MG TABLET
METAGLIP 2.5/500 MG TABLET
DANTROLENE SODIUM 25 MG CAP
DANTRIUM 25 MG CAPSULE
XYLOCAINE 1%/EPI 1:200,000
XYLOCAINE 1%/EPI 1:200,000
LOPRESSOR HCT 50/25 TABLET
LOPRESSOR HCT 50/25 TABLET
METOPROLOL-HCTZ 50/25MG TAB
OXYCODONE-APAP 7.5/325 MG TAB
THYROLAR-3 STRENGTH TABLET
OXYCODONE-APAP 7.5-325 MG TB
MIRAPEX 0.125 MG TABLET
FORMALYDE-10 SPRAY
OPTIPRANOLOL 0.3% EYE DROPS
OPTIPRANOLOL 0.3% EYE DROPS
METIPRANOLOL 0.3% EYE DROPS
METIPRANOLOL 0.3% EYE DROPS
MICONAZOLE NITRATE POWDER
MICONAZOLE NITRATE POWDER
MICONAZOLE NITRATE POWDER
PSEUDOEPHEDRINE HCL POWDER
PSEUDOEPHEDRINE HCL POWDER
PSEUDOEPHEDRINE HCL POWDER
AMINOHIPPURIC ACID POWDER
AMINOHIPPURIC ACID POWDER
MICONAZOLE NITRATE POWDER
MICONAZOLE NITRATE POWDER
MICONAZOLE NITRATE POWDER
DRY GAUZE BANDAGE,FINE MESH
DRY GAUZE BANDAGE,FINE MESH
CVS GAUZE PAD 8"X10"
CVS COTTON GAUZE BANDAGE 8"X4"
MICONAZOLE NITRATE POWDER
SALURON 50 MG TABLET
DIOVAN 320 MG TABLET
OPTIPRANOLOL 0.3% EYE DROPS
PERCOCET 7.5/325 MG TABLET
PERCOCET 7.5/325 MG TABLET
MIRAPEX 0.125 MG TABLET
MIRAPEX 0.125 MG TABLET
DIOVAN 320 MG TABLET

DOSE FORM DRUG STRENGTH


TA
TA
SJ
HQ
HQ
HQ
HQ
HQ
HH
TA
TA
TA
TA
CA
CA
HH
HH
TA
TA
TA
TA
TA
TA
TA
AS
SO
SO
SO
SO
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
YE
YE
YE
YE
PA
TA
TA
SO
TA
TA
TA
TA
TA

UNIT PRICE
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62

NDC
54868514700
55289087630
56091002280
56091002282
58177007904
59879071906
60258043730
60951070070
61314044705
61314044710
62991110401
62991110402
62991110403
63481062870
63481062875
66591069141
67000030103
67000030110
68453030103
68453030110
00009002401
00009002402
00025273231
00025273234
00025273251
00045041460
00054005625
00054005629
00078035105
00093881501
00093881505
00093881510
00228280111
00247017005
00247017015
00247060408
00247060414
00247060420
00247060430
00299384704
00378520001
00440856524
00440856530
00472120006
00472120050
00517420125
00555044202
00641112035
00641117035
00641118035
00781510001
08080406900
08333356601

NAME
DARVOCET A500 TABLET
DIOVAN 320 MG TABLET
DEBRISAN BEADS
DEBRISAN BEADS
PHENAVENT PED CAPSULE
ARTHX SS CAPSULE
ANDEHIST DROPS
ENDOCET 7.5/325 MG TABLET
METIPRANOLOL 0.3% EYE DROPS
METIPRANOLOL 0.3% EYE DROPS
MICONAZOLE NITRATE POWDER
MICONAZOLE NITRATE POWDER
MICONAZOLE NITRATE POWDER
PERCOCET 7.5/325 MG TABLET
PERCOCET 7.5/325 MG TABLET
DARVOCET A500 TABLET
GUAIFED-PD CAPSULE
GUAIFED-PD CAPSULE
GUAIFED-PD CAPSULE
GUAIFED-PD CAPSULE
DIDREX 50 MG TABLET
DIDREX 50 MG TABLET
NORPACE CR 100 MG CAPSULE SA
NORPACE CR 100 MG CAPSULE SA
NORPACE CR 100 MG CAPSULE SA
TOLECTIN DS 400 MG CAPSULE
PILOCARPINE HCL 5 MG TABLET
PILOCARPINE HCL 5 MG TABLET
STARLIX 60 MG TABLET
TOLMETIN SODIUM 400 MG CAP
TOLMETIN SODIUM 400 MG CAP
TOLMETIN SODIUM 400 MG CAP
PILOCARPINE HCL 5 MG TABLET
PONSTEL 250 MG KAPSEALS
PONSTEL 250 MG KAPSEALS
PROVENTIL 4 MG REPETABS
PROVENTIL 4 MG REPETABS
PROVENTIL 4 MG REPETABS
PROVENTIL 4 MG REPETABS
CLOBEX 0.05% SHAMPOO
TOLMETIN SODIUM 400 MG CAP
TOLMETIN SODIUM 400 MG CAP
TOLMETIN SODIUM 400 MG CAP
FEVERALL 80 MG SUPPOSITORY
FEVERALL 80 MG SUPPOSITORY
HYDROXYZINE 25 MG/ML VIAL
ACETOHEXAMIDE 250 MG TABLET
MEPERIDINE 25 MG/ML AMPUL
MORPHINE 8 MG/ML AMPUL
MORPHINE 10 MG/ML AMPUL
PILOCARPINE HCL 5 MG TABLET
KERLIX DISPOSABLE LAP SPNGE
SOFT CLOTH 3.5"X4" DRESSING

DOSE FORM DRUG STRENGTH


TA
TA
JE
JE
CB
CA
SO
TA
SO
SO
PA
PA
PA
TA
TA
TA
CB
CB
CB
CB
TA
TA
CS
CS
CS
CA
TA
TA
TA
CA
CA
CA
TA
CA
CA
UB
UB
UB
UB
SS
CA
CA
CA
QA
QA
HV
TA
HH
HH
HH
TA
YV
YE

UNIT PRICE
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.62
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63

NDC
10019015344
10019015568
10019016101
10019017768
10019017837
10019017868
47469000870
48107004676
49452627101
49452627102
51927159800
52959034200
52959034230
54092024701
54569038900
54569038901
54569038905
54569038906
54569038908
54569294903
54569294904
54569373002
54868044901
54868044902
54868085800
54868344701
54868364400
54868418900
54868515600
54868515601
55289043228
55289043256
55289043260
55289043290
55289063415
55289063460
55289075908
55289075930
55289075936
58016061400
58016061430
58016061460
58016061490
58063070510
59630040010
63304074801
63323002101
64803003201
00003024915
00003024920
00006383334
00007316718
00007316720

NAME
MEPERIDINE 75 MG/ML VIAL
MEPERIDINE 25 MG/ML AMPUL
MEPERIDINE 75 MG/ML VIAL
MORPHINE 8 MG/ML AMPULE
MORPHINE 10 MG/ML AMPUL
MORPHINE 10 MG/ML AMPUL
ENADA NADH TABLET
WOMEN'S VITA PAK
RIBOFLAVIN-5-PHOS SOD POWDR
RIBOFLAVIN-5-PHOS SOD POWDR
RIBOFLAVIN-5-PHOS SOD POWDER
TOLMETIN SODIUM 400 MG CAP
TOLMETIN SODIUM 400 MG CAP
FOSRENOL 250 MG TABLET CHEW
DIDREX 50 MG TABLET
DIDREX 50 MG TABLET
DIDREX 50 MG TABLET
DIDREX 50 MG TABLET
DIDREX 50 MG TABLET
DIDREX 50 MG TABLET
DIDREX 50 MG TABLET
TOLMETIN SODIUM 400 MG CAP
PONSTEL 250 MG KAPSEALS
PONSTEL 250 MG KAPSEALS
HYDROXYZINE 25 MG/ML VIAL
SALAGEN 5 MG TABLET
DIPHENHYDRAMINE 10 MG/ML VL
MORPHINE 10 MG/ML AMPUL
STARLIX 60 MG TABLET
STARLIX 60 MG TABLET
DIDREX 50 MG TABLET
DIDREX 50 MG TABLET
DIDREX 50 MG TABLET
DIDREX 50 MG TABLET
PROVENTIL 4 MG REPETABS
PROVENTIL 4 MG REPETAB
PONSTEL 250 MG KAPSEALS
PONSTEL 250 MG KAPSEALS
PONSTEL 250 MG KAPSEALS
TOLMETIN SODIUM 400 MG CAP
TOLMETIN SODIUM 400 MG CAP
TOLMETIN SODIUM 400 MG CAP
TOLMETIN SODIUM 400 MG CAP
SALAGEN 5 MG TABLET
PONSTEL 250 MG KAPSEALS
CODEINE PHOSPHATE 30 MG TAB
HYDROXYZINE 25 MG/ML VIAL
MARPLAN 10 MG TABLET
HALOG 0.1% SOLUTION
HALOG 0.1% SOLUTION
FOSAMAX 70 MG ORAL SOLUTION
AVANDAMET 2 MG/500 MG TABLET
AVANDAMET 2 MG/500 MG TABLET

DOSE FORM DRUG STRENGTH


HV
HH
HV
HH
HH
HH
TA
ZD
PA
PA
PA
CA
CA
TC
TA
TA
TA
TA
TA
TA
TA
CA
CA
CA
HV
TA
HV
HH
TA
TA
TA
TA
TA
TA
UB
UB
CA
CA
CA
CA
CA
CA
CA
TA
CA
TB
HV
TA
SA
SA
SJ
TA
TA

UNIT PRICE
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.63
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64

NDC
00026037250
00034700680
00037030192
00053813004
00069267041
00069267066
00071053023
00071053040
00071053223
00071053240
00074205310
00074226932
00087607831
00093545798
00093545898
00155039690
00186000131
00186000168
00186109205
00186109239
00247111803
00247111830
00247127400
00247127460
00310030020
00338050748
00378022677
00378025477
00378349501
00409205310
00447001234
00447012345
00447012900
00447012901
00447012902
00447012903
00447023456
00447024000
00447034567
00485007301
00517101905
00944294003
08290004040
08290004060
08290004061
08290004337
08290329650
08290370200
08290370400
08290370600
08290370700
08290374300
08290374700

NAME
KOGENATE FS 1,000 UNITS VIAL
UNIPHYL 600 MG TABLET SA
BARBIDONNA TABLET
HELIXATE FS 1,000 UNITS VIAL
PROCARDIA XL 90 MG TABLET
PROCARDIA XL 90 MG TABLET
ACCUPRIL 10 MG TABLET
ACCUPRIL 10 MG TABLET
ACCUPRIL 20 MG TABLET
ACCUPRIL 20 MG TABLET
KETAMINE 50 MG/ML VIAL
DROPERIDOL 2.5 MG/ML CARPJT
METAGLIP 5/500 MG TABLET
QUINAPRIL 10 MG TABLET
QUINAPRIL 20 MG TABLET
PLUMBUM MEL 6X INJ AMPULE
LEXXEL 5-5 MG TABLET SA
LEXXEL 5-5 MG TABLET SA
TOPROL XL 100 MG TABLET SA
TOPROL XL 100 MG TABLET SA
PROCARDIA XL 90 MG TABLET
PROCARDIA XL 90 MG TABLET
TOPROL XL 100 MG TABLET SA
TOPROL XL 100 MG TABLET SA
DIPRIVAN 10 MG/ML AMPUL
ISO GENTAMICIN 120 MG/100 ML
QUINAPRIL 10 MG TABLET
QUINAPRIL 20 MG TABLET
NIFEDIPINE ER 90 MG TABLET
KETAMINE 50 MG/ML VIAL
TEM-CON ORAL THERMOMETER
TEM-CON BABY THERMOMETER
TEM-CON ORAL THERMOMETER
TEM-CON BABY THERMOMETER
TEM-CON RECTAL THERMOMETER
TEM-CON YLW BACK ORAL THERM
TEM-CON RECTAL THERMOMETER
TEM-CON YLW BACK ORAL THERM
TEM-CON BABY/RECTAL THERM
ED-DM CHEWABLE TABLET
SODIUM THIOSULFATE 10% VIAL
ADVATE 1,000 UNITS KIT
FEVER THERMOMETER (ORAL)
FEVER THERMOMETER
FEVER THERMOMETER (RECTAL)
FEVER THERMOMETER-HYPOTHERM
B-D INSULIN U100 1 ML SYRNGE
B-D BRITE SIGHT THERM KIT
B-D BRITE SIGHT THERM KIT
B-D BRITE SIGHT THERM KIT
B-D BRITE SIGHT THERM KIT
B-D BRITE SIGHT THERM KIT
B-D BRITE SIGHT THERM KIT

DOSE FORM DRUG STRENGTH


YK
TA
TA
YK
TZ
TZ
TA
TA
TA
TA
HV
HQ
TA
TA
TA
HH
TS
TS
TI
TI
TZ
TZ
TI
TI
HH
HP
TA
TA
TZ
HV
EA
EA
EA
EA
EA
EA
EA
EA
EA
TC
HV
YK
EA
EA
EA
EA
YL
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64

NDC
08290523905
08290523906
08290524015
08290524025
08290524061
08290524141
08290524469
08290524471
10139005510
10139005512
10157960801
10157971301
10157982201
10939073811
11822314700
11822314710
11822314720
11822394700
11980080103
12280004900
12280005990
12333904301
12333904401
24208031425
36800036721
36800055878
38703007610
38703007710
38703007810
38703007910
38703007920
38779029804
38779029805
38779029808
38779029809
41250083575
41388022021
49348073801
49452365201
49452365202
49614050141
49614050151
49884099009
49884099309
50991043601
51079096901
51079096920
51885050906
51885051006
51885323706
51927140000
52297070800
52297073400

NAME
BD SENTINEL THERMOMETER
BD SENTINEL THERMOMETER
BD FEVER THERMOMETER, ORAL
BD FEVER THERMOMETR,RECTAL
FEVER THERMOMETER (ORAL)
BD FEVER THERMOMETER,BABY
FEVER THERMOMETER (ORAL)
FEVER THERMOMETER (RECTAL)
KETAMINE 50 MG/ML VIAL
KETAMINE 50 MG/ML VIAL
BLISTEX LIP BALM
BLISTEX LIP BALM
BLISTEX LIP BALM
THERMOMETER UNIVERSAL GLASS
RA THERMOMETER, ORAL
RA THERMOMETER, BABY
RA THERMOMETER, RECTAL
RA THERMOMETER ORAL
OCUFEN 0.03% EYE DROPS
TOPROL XL 100 MG TABLET SA
ACCUPRIL 10 MG TABLET
THERMOMETER, ORAL
THERMOMETER, RECTAL
FLURBIPROFEN 0.03% EYE DROP
BABY/RECTAL THERMOMETER
THERMOMETER ORAL
THERMOMETER, ORAL
THERMOMETER, RECTAL
THERMOMETER, BABY
THERMOMETER, ORAL
THERMOMETER, BABY
HYDROXYZINE HCL POWDER
HYDROXYZINE HCL POWDER
HYDROXYZINE HCL POWDER
HYDROXYZINE HCL POWDER
REALITY ORAL THERMOMETER
BLISTIK LIP BALM
THERMOMETER UNIVERSAL GLASS
HYDROXYZINE HCL POWDER
HYDROXYZINE HCL POWDER
ORAL FEVER THERMOMETER
FEVER THERMOMETER
QUINAPRIL 20 MG TABLET
QUINAPRIL 10 MG TABLET
FLEXTRA CAPSULE
NIFEDIPINE ER 90 MG TABLET
NIFEDIPINE ER 90 MG TABLET
CEREBRUM COMPOSITUM AMPULE
CARBO-COMPOSITUM AMPULE
ZEEL AMPULE
HYDROXYZINE HCL POWDER
HM THERMOMETER, BABY RECTAL
HM THERMOMETER ORAL

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
HV
HV
EH
EH
EH
EA
EA
EA
EA
EA
SO
TI
TA
EA
EA
SO
EA
EA
EA
EA
EA
EA
EA
PA
PA
PA
PA
EA
EH
EA
PA
PA
EA
EA
TA
TA
CA
TZ
TZ
HH
HH
HH
PA
EA
EA

UNIT PRICE
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64

NDC
52297074000
53265038210
54569305502
54569398400
54569398500
54569444200
54569462600
54569560300
54868115800
54868144303
54868266500
54868266501
54868266601
54868266602
54868266603
54868266604
54868422300
54868422301
54868422302
54868439900
54868487500
54868487501
54868487502
54868496500
54868496501
54868496502
54868524100
54868524101
54868524500
54868528800
54868528801
55289055330
55289055430
55390047510
55860007136
55860007185
57866407001
57866442001
57866442101
58016113101
58394000501
58394000502
58864075930
58864085930
58864086930
59762502001
59762502101
60758091003
61570058210
62037078701
62086000110
64543011890
67457000110

NAME
HM THERMOMETER ORAL
THEOPHYLLINE ER 600 MG TABLET
PROCARDIA XL 90 MG TABLET
ACCUPRIL 10 MG TABLET
ACCUPRIL 20 MG TABLET
TOPROL XL 100 MG TABLET SA
FLURBIPROFEN 0.03% EYE DROP
AVANDAMET 2 MG/500 MG TABLET
OCUFEN 0.03% EYE DROPS
PROCARDIA XL 90 MG TABLET
ACCUPRIL 10 MG TABLET
ACCUPRIL 10 MG TABLET
ACCUPRIL 20 MG TABLET
ACCUPRIL 20 MG TABLET
ACCUPRIL 20 MG TABLET
ACCUPRIL 20 MG TABLET
TOPROL XL 100 MG TABLET SA
TOPROL XL 100 MG TABLET SA
TOPROL XL 100 MG TABLET SA
KETAMINE 50 MG/ML VIAL
NIFEDIPINE ER 90 MG TABLET
NIFEDIPINE ER 90 MG TABLET
NIFEDIPINE ER 90 MG TABLET
AVANDAMET 2 MG/500 MG TABLET
AVANDAMET 2 MG/500 MG TABLET
AVANDAMET 2 MG/500 MG TABLET
QUINAPRIL 20 MG TABLET
QUINAPRIL 20 MG TABLET
QUINAPRIL 10 MG TABLET
METAGLIP 5/500 MG TABLET
METAGLIP 5/500 MG TABLET
ACCUPRIL 10 MG TABLET
ACCUPRIL 20 MG TABLET
KETAMINE 50 MG/ML VIAL
PRIMAPORE 4 3/4" X 3 1/4"
AIRSTRIP 4 3/4" X 3 1/4"
NIFEDIPINE ER 90 MG TABLET
ACCUPRIL 10 MG TABLET
ACCUPRIL 20 MG TABLET
OCUFEN 0.03% EYE DROP
REFACTO 1,000 UNITS VIAL
REFACTO 1,000 UNITS VIAL
TOPROL XL 100 MG TABLET SA
ACCUPRIL 10 MG TABLET
ACCUPRIL 20 MG TABLET
QUINAPRIL HCL 10 MG TABLET
QUINAPRIL HCL 20 MG TABLET
FLURBIPROFEN 0.03% EYE DROP
KETALAR 50 MG/ML VIAL
NIFEDIPINE ER 90 MG TABLET
KETAMINE 50 MG/ML VIAL
SYMAX DUOTAB
KETAMINE 50 MG-ML VIAL

DOSE FORM DRUG STRENGTH


EA
TS
TZ
TA
TA
TI
SO
TA
SO
TZ
TA
TA
TA
TA
TA
TA
TI
TI
TI
HV
TZ
TZ
TZ
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
HV
YE
YE
TZ
TA
TA
SO
YK
YK
TI
TA
TA
TA
TA
SO
HV
TZ
HV
UB
HV

UNIT PRICE
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64

NDC
67781025201
68030442001
68030442101
68115088990
68115089160
78764730001
87701012873
87701012874
87701039172
87701039173
87701056510
87701056522
87701056581
87701088810
87701088812
87701088814
87701088816
00008025901
00011936712
00067545306
00071040124
00071042624
00074120120
00074141001
00074141005
00074229532
00074229535
00074229536
00074230662
00078035205
00088179630
00088179642
00088179649
00088179690
00093511798
00093717401
00093717405
00115191101
00149000905
00149000967
00172213160
00172213170
00172444400
00172444410
00172444460
00172444470
00182194500
00182194589
00182822689
00228257703
00228257709
00228257750
00228263711

NAME
DOSE FORM DRUG STRENGTH
UNIPHYL 600 MG TABLET
TA
ACCUPRIL 10 MG TABLET
TA
ACCUPRIL 20 MG TABLET
TA
ACCUPRIL 20 MG TABLET
TA
AVANDAMET 2 MG/500 MG TABLET
TA
TRAUMEEL AMPULE
HH
BL ORAL THERMOMETER
EA
BL BABY THERMOMETER
EA
GNP ORAL THERMOMETER
EA
GNP BABY THERMOMETER
EA
BL THERMOMETER,ORAL/RECTAL
EA
BL FEVER SCAN INDICATOR
EA
GNP BABY THERMOMETER, ORAL
EA
GNP ORAL THERMOMETER
EA
GNP BABY THERMOMETER
EA
GNP ORAL THERMOMETER
EA
GNP BABY THERMOMETER
EA
MEPERIDINE 100 MG/ML VIAL
HV
LACTINEX PACKET
PP
THERAFLU NIGHTTIME MEDICINE
PP
NEURONTIN 800 MG TABLET
TA
NEURONTIN 800 MG TABLET
TA
DEMEROL 100 MG/ML VIAL
HV
ISUPREL 0.2 MG/ML AMPUL
HH
ISUPREL 0.2 MG/ML AMPUL
HH
MIDAZOLAM HCL 1 MG/ML SYRING
HQ
MIDAZOLAM HCL 1 MG/ML SYRING
HQ
MIDAZOLAM HCL 1 MG/ML SYRING
HQ
MIDAZOLAM HCL 1 MG/ML SYRING
HQ
STARLIX 120 MG TABLET
TA
CARDIZEM CD 180 MG CAPSULE
CC
CARDIZEM CD 180 MG CAPSULE
CC
CARDIZEM CD 180 MG CAPSULE
CC
CARDIZEM CD 180 MG CAPSULE
CC
DILTIAZEM HCL 180 MG CAP SA
CC
GABAPENTIN 800 MG TABLET
TA
GABAPENTIN 800 MG TABLET
TA
RIMANTADINE HCL 100 MG TAB
TA
MACRODANTIN 100 MG CAPSULE
CA
MACRODANTIN 100 MG CAPSULE
CA
NITROFURANTOIN MCR 100 MG CP
CA
NITROFURANTOIN MCR 100 MG CP
CA
GABAPENTIN 800 MG TABLET
TA
GABAPENTIN 800 MG TABLET
TA
GABAPENTIN 800 MG TABLET
TA
GABAPENTIN 800 MG TABLET
TA
NITROFURANTOIN MCR 100 MG CP
CA
NITROFURANTOIN MCR 100 MG CP
CA
DILTIAZEM (CARDIZEM CD) 180MG SA CAP,UDCC
DILTIAZEM HCL 180 MG CAP SA
CC
DILTIAZEM HCL 180 MG CAP SA
CC
DILTIAZEM HCL 180 MG CAP SA
CC
GABAPENTIN 800 MG TABLET
TA

UNIT PRICE
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.64
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65

NDC
00228263750
00247083014
00247083020
00247110030
00247110060
00258371101
00338931841
00378170001
00378170005
00409230662
00440786614
00440786640
00456052101
00482480014
00525003201
00525003205
00525003210
00591325401
00615134153
00615134163
00641143835
00781502901
00904325060
08080989500
08219989500
10019015444
10019016201
10356001400
10356002881
49999021014
49999021028
51284047012
51991006001
52152018502
52959040500
52959040510
52959040514
52959040515
52959040516
52959040520
52959040521
52959040530
52959040540
52959049010
52959049014
52959049020
52959077260
53489037601
53489037605
54569196900
54569196901
54569196902
54569491300

NAME
GABAPENTIN 800 MG TABLET
FLUMADINE 100 MG TABLET
FLUMADINE 100 MG TABLET
CARDIZEM CD 180 MG CAPSULE
CARDIZEM CD 180 MG CAPSULE
RIMANTADINE 100 MG TABLET
FENTANYL CITRATE 50 MCG/ML
NITROFURANTOIN MCR 100 MG CP
NITROFURANTOIN MCR 100 MG CP
MIDAZOLAM HCL 1 MG/ML SYRINGE
NITROFURANTOIN MCR 100 MG CP
NITROFURANTOIN MCR 100 MG CP
FLUMADINE 100 MG TABLET
ANAMANTLE HC CREAM
PANLOR SS TABLET
PANLOR SS TABLET
PANLOR SS TABLET
NITROFURANTOIN MCR 100 MG CP
DILTIAZEM XR 180 MG CAP SA
DILTIAZEM XR 180 MG CAP SA
ISOPROTERENOL 0.2 MG/ML AMP
RIMANTADINE 100 MG TABLET
RONDAMINE TABLET SA
CURI-STRIP WOUND CLOSURE
CURI-STRIP WOUND CLOSURE
MEPERIDINE 100 MG/ML VIAL
MEPERIDINE 100 MG/ML VIAL
CUTIPLAST STERIL DRESSING
COVER-STRIP CLOSURE STRIP
NITROFURANTOIN 100 MG CAPS
NITROFURANTOIN 100 MG CAPS
ZILACTIN-L MEDICATED LIQUID
COLDEC TR TABLET SA
TRIMETHOBENZAMIDE 300 MG CAP
NITROFURANTOIN MCR 100 MG CP
NITROFURANTOIN MCR 100 MG CP
NITROFURANTOIN MCR 100 MG CP
NITROFURANTOIN MCR 100 MG CP
NITROFURANTOIN MCR 100 MG CP
NITROFURANTOIN MCR 100 MG CP
NITROFURANTOIN MCR 100 MG CP
NITROFURANTOIN MCR 100 MG CP
NITROFURANTOIN MCR 100 MG CP
FLUMADINE 100 MG TABLET
FLUMADINE 100 MG TABLET
FLUMADINE 100 MG TABLET
GABAPENTIN 800 MG TABLET
TRIMETHOBENZAMIDE 300 MG CAP
TRIMETHOBENZAMIDE 300 MG CAP
NITROFURANTOIN MCR 100 MG CP
NITROFURANTOIN MCR 100 MG CP
NITROFURANTOIN MCR 100 MG CP
DILTIAZEM HCL 180 MG CAP SA

DOSE FORM DRUG STRENGTH


TA
TA
TA
CC
CC
TA
HZ
CA
CA
HQ
CA
CA
TA
CR
TA
TA
TA
CA
CC
CC
HH
TA
TM
YR
YR
HV
HV
YE
YR
CA
CA
SL
TM
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
TA
TA
TA
TA
CA
CA
CA
CA
CA
CC

UNIT PRICE
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65

NDC
54569558900
54868047300
54868047301
54868047302
54868047303
54868047304
54868047305
54868047306
54868214803
54868344100
54868361000
54868361100
54868460000
54868460001
54868508100
54868515000
54868518100
55289020310
55289020312
55289020314
55289020320
55289020328
55289020330
55289020340
55289041714
55289077014
55289091412
55289091414
55289091415
55289091428
55289091430
55289091440
55887028190
55887045630
55887045640
55887045660
55887045682
55887045690
57866659003
57866659005
58016014100
58016014110
58016014114
58016014115
58016014120
58016014121
58016014124
58016014128
58016014130
58016032000
58016032002
58016032003
58016032010

NAME
TRIMETHOBENZAMIDE 300 MG CAP
NITROFURANTOIN MCR 100 MG CP
NITROFURANTOIN MCR 100 MG CP
NITROFURANTOIN MCR 100 MG CP
NITROFURANTOIN MCR 100 MG CP
NITROFURANTOIN MCR 100 MG CP
NITROFURANTOIN MCR 100 MG CP
NITROFURANTOIN MCR 100 MG CP
CARDIZEM CD 180 MG CAPSULE
FLUMADINE 100 MG TABLET
DEMEROL 100 MG/ML VIAL
MEPERIDINE 100 MG/ML VIAL
NEURONTIN 800 MG TABLET
NEURONTIN 800 MG TABLET
DILTIAZEM HCL CD 180 MG CAP
CARTIA XT 180 MG CAPSULE
TIGAN 300 MG CAPSULE
NITROFURANTOIN MCR 100 MG CP
NITROFURANTOIN MCR 100 MG CP
NITROFURANTOIN MCR 100 MG CP
NITROFURANTOIN MCR 100 MG CP
NITROFURANTOIN MCR 100 MG CP
NITROFURANTOIN MCR 100 MG CP
NITROFURANTOIN MCR 100 MG CP
FLUMADINE 100 MG TABLET
DILTIAZEM HCL 180 MG CAP SA
MACRODANTIN 100 MG CAPSULE
MACRODANTIN 100 MG CAPSULE
MACRODANTIN 100 MG CAPSULE
MACRODANTIN 100 MG CAPSULE
MACRODANTIN 100 MG CAPSULE
MACRODANTIN 100 MG CAPSULE
GABAPENTIN 800 MG TABLET
PANLOR SS TABLET
PANLOR SS TABLET
PANLOR SS TABLET
PANLOR SS TABLET
PANLOR SS TABLET
NITROFURANTOIN MCR 100 MG CP
NITROFURANTOIN MCR 100 MG CP
NITROFURANTOIN MCR 100 MG CP
NITROFURANTOIN MCR 100 MG CP
NITROFURANTOIN MCR 100 MG CP
NITROFURANTOIN MCR 100 MG CP
NITROFURANTOIN MCR 100 MG CP
NITROFURANTOIN MCR 100 MG CP
NITROFURANTOIN MCR 100 MG CP
NITROFURANTOIN MCR 100 MG CP
NITROFURANTOIN MCR 100 MG CP
GABAPENTIN 800 MG TABLET
GABAPENTIN 800 MG TABLET
GABAPENTIN 800 MG TABLET
GABAPENTIN 800 MG TABLET

DOSE FORM DRUG STRENGTH


CA
CA
CA
CA
CA
CA
CA
CA
CC
TA
HV
HV
TA
TA
CC
CC
CA
CA
CA
CA
CA
CA
CA
CA
TA
CC
CA
CA
CA
CA
CA
CA
TA
TA
TA
TA
TA
TA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
TA
TA
TA
TA

UNIT PRICE
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65

NDC
58016032014
58016032015
58016032020
58016032021
58016032028
58016032030
58016032040
58016032050
58016032060
58016032090
58016048300
58016048310
58016048320
58016048330
58016048340
58016048350
58016048360
58016048390
58468470901
58605052101
58864037114
58864037120
58864037128
58864065114
59630019012
59630019112
59630019212
59630019312
59762502401
60258028801
60505000804
61553011841
61553060641
61570007901
61570007905
62037059805
62037059890
62584097501
62584097530
62584097580
62584097585
62584097590
63739018802
63739028415
64455002501
64455079630
64455079642
64455079649
64455079650
64759000501
64980031914
65628001001
66116020830

NAME
GABAPENTIN 800 MG TABLET
GABAPENTIN 800 MG TABLET
GABAPENTIN 800 MG TABLET
GABAPENTIN 800 MG TABLET
GABAPENTIN 800 MG TABLET
GABAPENTIN 800 MG TABLET
GABAPENTIN 800 MG TABLET
GABAPENTIN 800 MG TABLET
GABAPENTIN 800 MG TABLET
GABAPENTIN 800 MG TABLET
NEURONTIN 800 MG TABLET
NEURONTIN 800 MG TABLET
NEURONTIN 800 MG TABLET
NEURONTIN 800 MG TABLET
NEURONTIN 800 MG TABLET
NEURONTIN 800 MG TABLET
NEURONTIN 800 MG TABLET
NEURONTIN 800 MG TABLET
RENAGEL 403 MG CAPSULE
ALLFEN-DM TABLET SA
NITROFURANTOIN MCR 100 MG CP
NITROFURANTOIN MCR 100 MG CP
NITROFURANTOIN MCR 100 MG CP
MACRODANTIN 100 MG CAPSULE
COGNEX 10 MG CAPSULE
COGNEX 20 MG CAPSULE
COGNEX 30 MG CAPSULE
COGNEX 40 MG CAPSULE
GABAPENTIN 800 MG TABLET
GFN 1,000/DM 50 TABLET
DILT-CD 180 MG CAPSULE ER
FENTANYL CITRATE 50 MCG/ML
FENTANYL CITRATE 50 MCG/ML
TIGAN 300 MG CAPSULE
TIGAN 300 MG CAPSULE
CARTIA XT 180 MG CAPSULE SA
CARTIA XT 180 MG CAPSULE SA
DILTIAZEM HCL 180 MG CAP SA
DILTIAZEM HCL 180 MG CAP SA
DILTIAZEM HCL 180 MG CAP SA
DILTIAZEM HCL 180 MG CAP SA
DILTIAZEM HCL 180 MG CAP SA
NITROFURANTOIN MCR 100 MG CP
DILTIAZEM HCL 180 MG CAP SA
RONDEC-TR TABLET SA
CARDIZEM CD 180 MG CAPSULE
CARDIZEM CD 180 MG CAPSULE
CARDIZEM CD 180 MG CAPSULE
CARDIZEM CD 180 MG CAPSULE
EX-DEC-TR TABLET SA
LIDAZONE HC 3-0.5% CREAM
FIRST HYDROCORT 10% GEL
NITROFURANTOIN MCR 100 MG CP

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
TM
CA
CA
CA
CA
CA
CA
CA
CA
TA
TM
CC
HZ
HZ
CA
CA
CC
CC
CC
CC
CC
CC
CC
CA
CC
TM
CC
CC
CC
CC
TM
KW
JG
CA

UNIT PRICE
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65

NDC
66116046220
66267015614
66267015628
66267015640
68032011101
68084012385
68115025828
68115029200
68115050230
68115050290
68115058800
00003149421
00003149431
00062540201
00064410050
00064410100
00068050960
00078034905
00143212001
00187301330
00187380510
00270131415
00270131434
00270131440
00299590516
00378021101
00378021105
00407140150
00641114035
00677184101
08195020312
08195720301
08219404800
08219784100
08219784800
08884417601
08884427601
10019015768
10742000901
38779044304
38779044305
49326033810
49452011001
49452011002
49452012001
49452012002
49452045201
49452045202
49452366501
49452366502
50428144168
51552093904
51927242300

NAME
NITROFURANTOIN 100 MG CAPS
NITROFURANTOIN 100 MG CAPS
NITROFURANTOIN 100 MG CAPS
NITROFURANTOIN 100 MG CAPS
LIDOCAINE-HC 3-0.5% CREAM
GABAPENTIN 800 MG TABLET
NITROFURANTOIN MCR 100 MG CP
NEURONTIN 800 MG TABLET
GABAPENTIN 800 MG TABLET
GABAPENTIN 800 MG TABLET
TRIMETHOBENZAMIDE 300 MG CAP
HALOG-E 0.1% CREAM
HALOG-E 0.1% CREAM
MONISTAT 3 CREAM
OVACE 10% FOAM
OVACE 10% FOAM
RIFAMATE CAPSULE
CAFERGOT TABLET
ERGOTAMINE-CAFFEINE TABLET
MESTINON 180 MG TIMESPAN
LIMBITROL TABLET
ISOVUE-200 41% INFUS BOTTLE
ISOVUE-200 41% INFUS BOTTLE
ISOVUE-200 41% INFUS BOTTLE
DIFFERIN 0.1% PLEDGETS
AMITRIP/CDP 12.5-5 TABLET
AMITRIP/CDP 12.5-5 TABLET
OMNIPAQUE 140 MG/ML VIAL
MEPERIDINE 75 MG/ML AMPUL
P-EPD HCL/GUAIFEN TABLET LA
POLYMEM 2" DOT DRESSING
POLYMEM 2" DRESSING
KERLIX DISPOSABLE LAP SPNGE
CURITY PETROLATUM GAUZE
CURITY PETROLATUM GAUZE
PETROLATUM GAUZE 1"X 8"
PETROLATUM GAUZE 1" X 8"
MEPERIDINE 75 MG/ML AMPUL
RED CROSS TOOTHACHE KIT
IMIPRAMINE HCL POWDER
IMIPRAMINE HCL POWDER
ERITROGEN TABLET
ACRIFLAVINE HCL POWDER
ACRIFLAVINE HCL POWDER
ACRIFLAVINE POWDER
ACRIFLAVINE POWDER
4-AMINOPYRIDINE POWDER
4-AMINOPYRIDINE POWDER
IMIPRAMINE HCL POWDER
IMIPRAMINE HCL POWDER
CVS SELF-ADH BANDAGE 2"
4-AMINOPYRIDINE POWDER
4-AMINOPYRIDINE POWDER

DOSE FORM DRUG STRENGTH


CA
CA
CA
CA
KW
TA
CA
TA
TA
TA
CA
KA
KA
KV
AF
AF
CA
TA
TA
TS
TA
HB
HB
HB
EL
TA
TA
HV
HH
TM
YE
YE
YV
YE
YE
YE
YE
HH
SL
PA
PA
TA
PA
PA
PA
PA
PA
PA
PA
PA
YE
PA
PA

UNIT PRICE
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.65
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66

NDC
51991009201
51991028201
52297102943
52569013107
54569267900
54868050100
54868138401
54868138402
54868220600
54868220601
54868347700
54868347701
54868406400
54868406401
55289050814
58177007704
58552030301
60258024101
60258027201
62991116901
62991116902
62991116903
62991116904
62991116905
62991163901
62991163902
62991163903
62991163904
62991163905
64543017501
65726022715
65726022725
66594099905
67000020010
68180020201
68180020202
68180020203
00003515405
00004014301
00004014323
00006066168
00037920101
00068003701
00074146401
00074228415
00078012705
00078012706
00087665101
00089034410
00093027601
00093027605
00093065701
00115422201

NAME
RHINABID CAPSULE
MINTAB D TABLET SA
HM MICONAZOLE 3 CREAM
HM MICONAZOLE 3 CREAM
SUPRAX 100 MG/5 ML SUSPENSION
LIMBITROL TABLET
SUPRAX 100 MG/5 ML SUSPENSION
SUPRAX 100 MG/5 ML SUSPENSION
AMITRIP/CDP 12.5-5 TABLET
AMITRIP/CDP 12.5-5 TABLET
MESTINON 180 MG TIMESPAN
MESTINON 180 MG TIMESPAN
DYNACIRC 5 MG CAPSULE
DYNACIRC 5 MG CAPSULE
LIMBITROL TABLET
BROMFENEX PE CAPSULE
GILTUSS TR TABLET
ANEXTUSS TABLET
G/P 1,200/60 TABLET SA
ACETYL-D-GLUCOSAMINE POWDER
ACETYL-D-GLUCOSAMINE POWDER
ACETYL-D-GLUCOSAMINE POWDER
ACETYL-D-GLUCOSAMINE POWDER
ACETYL-D-GLUCOSAMINE POWDER
4-AMINOPYRIDINE POWDER
4-AMINOPYRIDINE POWDER
4-AMINOPYRIDINE POWDER
4-AMINOPYRIDINE POWDER
4-AMINOPYRIDINE POWDER
CERTUSS-D TABLET
DYNACIRC 5 MG CAPSULE
DYNACIRC 5 MG CAPSULE
MAXIMUM D3 10,000 UNITS CAP
BROMFED CAPSULE
SUPRAX 100 MG/5 ML SUSPENSION
SUPRAX 100 MG/5 ML SUSPENSION
SUPRAX 100 MG/5 ML SUSPENSION
PRAVACHOL 10 MG TABLET
ROCALTROL 0.25 MCG CAPSULE
ROCALTROL 0.25 MCG CAPSULE
SYPRINE 250 MG CAPSULE
MALTSUPEX TABLET
CANTIL 25 MG TABLET
NALBUPHINE 10 MG/ML VIAL
EDROPHONIUM 10 MG/ML VIAL
CLOZARIL 100 MG TABLET
CLOZARIL 100 MG TABLET
VIDEX 50 MG TABLET CHEWABLE
THEOLAIR 250 MG TABLET
CLOZAPINE 100 MG TABLET
CLOZAPINE 100 MG TABLET
CALCITRIOL 0.25 MCG CAPSULE
MIDODRINE HCL 5 MG TABLET

DOSE FORM DRUG STRENGTH


CB
TM
KV
KV
PD
TA
PD
PD
TA
TA
TS
TS
CA
CA
TA
CB
TM
TM
TM
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
TM
CA
CA
CA
CB
PD
PD
PD
TA
CA
CA
CA
TA
TA
HV
HV
TA
TA
TC
TA
TA
TA
CA
TA

UNIT PRICE
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.66
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67

NDC
00172436000
00172436010
00172436060
00172436070
00173042702
00185004301
00185004305
00187320020
00245021201
00245021211
00299383545
00310040239
00310040260
00378086001
00378086005
00378190201
00521083400
00521083500
00521083600
00521088060
00521088160
00521088260
00591319578
00904569401
08884680000
10019087315
10158006187
10158006188
10158006509
10158006602
10158006605
10158006612
10158006702
10158006706
10158006709
10158007302
10158007312
10158007502
10158007504
10158007506
10158009302
10939045311
10939045411
10939063611
10939063811
10939072311
10939072411
11822312910
11822989480
11822989490
11822989500
13453010011
17317039801

NAME
CLOZAPINE 100 MG TABLET
CLOZAPINE 100 MG TABLET
CLOZAPINE 100 MG TABLET
CLOZAPINE 100 MG TABLET
ZANTAC 150 MG EFFERDOSE TAB
MIDODRINE HCL 5 MG TABLET
MIDODRINE HCL 5 MG TABLET
TENSILON 10 MG/ML VIAL
ORVATEN 5 MG TABLET
ORVATEN 5 MG TABLET
METROGEL TOPICAL 0.75% GEL
ACCOLATE 20 MG TABLET
ACCOLATE 20 MG TABLET
CLOZAPINE 100 MG TABLET
CLOZAPINE 100 MG TABLET
MIDODRINE HCL 5 MG TABLET
PEPSODENT BASE TOOTHBRUSH
PEPSODENT BASE TOOTHBRUSH
PEPSODENT BASE TOOTHBRUSH
PEPSODENT PROF TOOTHBRUSH
PEPSODENT PROF TOOTHBRUSH
PEPSODENT PROF TOOTHBRUSH
METOPROLOL 5 MG/5 ML VIAL
COLD & HOT PAIN REL PATCH
INTERSORB GAUZE 4"X 25"
ENLON 10 MG/ML VIAL
PY-CO-PAY SOFTEX TOOTHBRUSH
PY-CO-PAY SOFTEX TOOTHBRUSH
PY-CO-TWIN INTER TOOTHBRUSH
PY-CO-PAY SOFTEX TOOTHBRUSH
PY-CO-PAY SOFTEX TOOTHBRUSH
PY-CO-PAY SOFTEX TOOTHBRUSH
PY-CO-PAY TOOTHBRUSH
PY-CO-PAY TOOTHBRUSH
PY-CO-PAY TOOTHBRUSH
SENSODYNE TOOTHBRUSH
SENSODYNE NYLON TOOTHBRUSH
SENSODYNE SEARCH TOOTHBRUSH
SENSODYNE SEARCH TOOTHBRUSH
SENSODYNE SEARCH TOOTHBRUSH
WERNET'S DENTURE BRUSH
TOOTHBRUSH PRECISION HEAD
TOOTHBRUSH PRECISION HEAD
TOOTHBRUSH ADULT DELUXE
TOOTHBRUSH ADULT DELUXE
TOOTHBRUSH, TOTAL
TOOTHBRUSH, TOTAL
RA CONFORMED BANDAGE 1"X4YD
RA LIP BALM
RA LIP BALM
RA LIP BALM MEDICATED
ATOPICLAIR CREAM
PAPAVERINE HCL POWDER

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TF
TA
TA
HV
TA
TA
JG
TA
TA
TA
TA
TA
EA
EA
EA
EA
EA
EA
HV
PS
YE
HV
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
YE
EH
EH
EH
KA
PA

UNIT PRICE
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67

NDC
17317039802
17317039804
17317081402
17317081403
17478032010
23558068340
31604001100
31604041107
37205031694
38779045403
38779045404
38779045405
41167000841
49452130001
49452130002
49452500001
49452500002
49452500003
49614019013
49756010425
49999042610
50428174703
50428270567
50428270568
51079092201
51079092220
51552041601
51552041605
51927177500
53100053121
53100053141
53100053151
53100053161
53100053171
53100531211
53100531221
53100531231
53100531261
53100531271
53100531281
54092000401
54569434601
54569463900
54868094300
54868094301
54868228701
54868228702
54868346100
54868347100
54868417200
54868417201
55289010430
55289053220

NAME
PAPAVERINE HCL POWDER
PAPAVERINE HCL POWDER
BRILLIANT GREEN CRYSTALS
BRILLIANT GREEN CRYSTALS
FLUORACAINE EYE DROPS
BRUSH 'N FLOSS
SAM-E 400 MG TABLET
SAM-E 400 MG TABLET
HOT & COLD EX-STR PATCH
PAPAVERINE HCL POWDER
PAPAVERINE HCL POWDER
PAPAVERINE HCL POWDER
ICY HOT MEDICATED PATCH
BRILLIANT GREEN CRYSTALS
BRILLIANT GREEN CRYSTALS
PAPAVERINE HCL POWDER
PAPAVERINE HCL POWDER
PAPAVERINE HCL POWDER
COLD & HOT PATCH
DRY GAUZE BANDAGE,FINE MESH
NUBAIN 10 MG/ML VIAL
CVS SAM-E 400 MG TABLET
NUPRIN MUSCLE & JOINT PATCH
NUPRIN MUSCLE & JOINT PATCH
CLOZAPINE 100 MG TABLET
CLOZAPINE 100 MG TABLET
PAPAVERINE HCL CRYSTAL PWDR
PAPAVERINE HCL CRYSTAL PWDR
PAPAVERINE HCL POWDER
AQUAFRESH FLEX TOOTHBRUSH
AQUAFRESH FLX DIR TOOTHBRSH
AQUAFRESH FLX DIR TOOTHBRSH
AQUAFRESH FLX DIR TOOTHBRSH
AQUAFRESH FLX DIR TOOTHBRSH
AQUAFRESH FLEX TOOTHBRUSH
AQUAFRESH FLEX TOOTHBRUSH
AQUAFRESH FLEX TOOTHBRUSH
AQUAFRESH FLEX TOOTHBRUSH
AQUAFRESH FLEX TOOTHBRUSH
AQUAFRESH FLEX TOOTHBRUSH
PROAMATINE 5 MG TABLET
PRAVACHOL 10 MG TABLET
METROGEL TOPICAL 0.75% GEL
METROGEL TOPICAL 0.75% GEL
METROGEL TOPICAL 0.75% GEL
PRAVACHOL 10 MG TABLET
PRAVACHOL 10 MG TABLET
ROCALTROL 0.25 MCG CAPSULE
NUBAIN 10 MG/ML VIAL
ACCOLATE 20 MG TABLET
ACCOLATE 20 MG TABLET
PRAVACHOL 10 MG TABLET
P-V-TUSSIN TABLET

DOSE FORM DRUG STRENGTH


PA
PA
PC
PC
SO
EA
TA
TA
PS
PA
PA
PA
PS
PC
PC
PA
PA
PA
PS
YE
HV
TA
PS
PS
TA
TA
PA
PA
PA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
TA
TA
JG
JG
JG
TA
TA
CA
HV
TA
TA
TA
TA

UNIT PRICE
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67

NDC
55390007310
55499109101
57664034713
57664034788
58016938401
58864065330
63370016515
63370016525
63370016535
63370016545
63370016550
63481050805
68115063860
68552060503
74300008149
74300008150
94688001180
94688001184
96295011152
00002831501
00004200278
00009039502
00009039513
00009039514
00013733691
00013734694
00013735688
00015306120
00015306220
00015308420
00015309520
00015309595
00025274231
00025274234
00025274251
00054121842
00071053523
00074148501
00074148502
00074148503
00081079399
00093545998
00169183411
00173051100
00217040408
00247078415
00247078420
00247078430
00310040160
00378027277
00407141270
00407141272
00407141275

NAME
METOPROLOL 5 MG/5 ML VIAL
P-V-TUSSIN TABLET
CLOZAPINE 100 MG TABLET
CLOZAPINE 100 MG TABLET
NALBUPHINE 10 MG/ML VIAL
PRAVACHOL 10 MG TABLET
PAPAVERINE HCL POWDER
PAPAVERINE HCL POWDER
PAPAVERINE HCL POWDER
PAPAVERINE HCL POWDER
PAPAVERINE HCL POWDER
NUBAIN 10 MG/ML VIAL
ACCOLATE 20 MG TABLET
PROPARACAINE-FLUOR EYE DROP
BENGAY ULTRA STRENGTH PATCH
BENGAY ULTRA STRENGTH PATCH
RENAMENT PACKETS
RENAMENT PACKETS
HOT & COLD EX-STR PATCH
HUMULIN N 100 UNITS/ML VIAL
ROCEPHIN 1 GM/DEXTROSE 2.4%
CLEOCIN HCL 300 MG CAPSULE
CLEOCIN HCL 300 MG CAPSULE
CLEOCIN HCL 300 MG CAPSULE
TOPOSAR 20 MG/ML VIAL
TOPOSAR 20 MG/ML VIAL
TOPOSAR 20 MG/ML VIAL
VEPESID 20 MG/ML VIAL
VEPESID 20 MG/ML VIAL
VEPESID 20 MG/ML VIAL
VEPESID 20 MG/ML VIAL
VEPESID 20 MG/ML VIAL
NORPACE CR 150 MG CAPSULE SA
NORPACE CR 150 MG CAPSULE SA
NORPACE CR 150 MG CAPSULE SA
DOLOPHINE HCL 10 MG/ML VIAL
ACCUPRIL 40 MG TABLET
ETOPOSIDE 20 MG/ML VIAL
ETOPOSIDE 20 MG/ML VIAL
ETOPOSIDE 20 MG/ML VIAL
POLYSPORIN POWDER
QUINAPRIL 40 MG TABLET
NOVOLIN N 100 UNITS/ML VIAL
FLOVENT 50 MCG ROTADISK
COPHENE-B VIAL
CLEOCIN HCL 300 MG CAPSULE
CLEOCIN HCL 300 MG CAPSULE
CLEOCIN HCL 300 MG CAPSULE
ACCOLATE 10 MG TABLET
QUINAPRIL 40 MG TABLET
OMNIPAQUE 240 MG/ML FLEXIPAK
OMNIPAQUE 240 MG/ML FLEXIPAK
OMNIPAQUE 240 MG/ML FLEXIPAK

DOSE FORM DRUG STRENGTH


HV
TA
TA
TA
HV
TA
PA
PA
PA
PA
PA
HV
TA
SO
PS
PS
PP
PP
PS
HV
HK
CA
CA
CA
HV
HV
HV
HV
HV
HV
HV
HV
CS
CS
CS
HV
TA
HV
HV
HV
PA
TA
HV
GK
HV
CA
CA
CA
TA
TA
HZ
HZ
HZ

UNIT PRICE
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.67
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68

NDC
00407141285
00407141286
00501379310
00517720125
00517721025
00591312001
00591312016
00641119035
00703564301
00703565301
00703565601
00703565701
00781211301
00781211317
00884077304
00884077350
08021418019
08021418020
08021418025
08021418030
08021654237
08080403400
10019093001
18029053052
18029092066
18029092067
18029092068
18029094085
18029094087
18029094088
32849070601
38779045904
38779045905
38779045908
38779045909
47679760799
47679760899
47679760999
48107004673
49326035490
49452615201
49452615202
49452615203
49884099109
49999029020
49999029021
49999037360
50991030601
51552035804
51552035805
51927219300
54569180601
54569231800

NAME
OMNIPAQUE 240 MG/ML FLEXIPAK
OMNIPAQUE 240 MG/ML FLEXIPAK
POLYSPORIN POWDER
MULTITRACE-4 CONC VIAL
MULTITRACE-4 CONC VIAL
CLINDAMYCIN HCL 300 MG CAPS
CLINDAMYCIN HCL 300 MG CAPS
MORPHINE 15 MG/ML AMPUL
ETOPOSIDE 20 MG/ML VIAL
ETOPOSIDE 20 MG/ML VIAL
ETOPOSIDE 20 MG/ML VIAL
ETOPOSIDE 20 MG/ML VIAL
CLINDAMYCIN HCL 300 MG CAP
CLINDAMYCIN HCL 300 MG CAP
GRIS-PEG 250 MG TABLET
GRIS-PEG 250 MG TABLET
INTERMITTENT INJECT PORT
INTERMITTENT INJECTION CAP
INTERMITTENT INJECTION CAP
INTERMITTENT INJECTION CAP
INTERMITTENT INJECTION CAP
KERLIX DISPOSABLE LAP SPNGE
ETOPOSIDE 20 MG/ML VIAL
PERSONNEL PROTECTION GOWN
P2 HI RISK GOWN
P2 HI RISK GOWN
P2 HI RISK GOWN
CHEMO PLUS GOWN
CHEMO PLUS GOWN
CHEMO PLUS GOWN
NOVOLIN N 100 UNITS/ML VIAL
QUINACRINE HCL POWDER
QUINACRINE HCL POWDER
QUINACRINE HCL POWDER
QUINACRINE HCL POWDER
INTERLINK INJECTION SITE
INTERLINK DRUG VIAL ADAPTER
INTERLINK INJECTION SITE
WOMENS MENOPAUSE VITA PAK
ANANA 66,666 UNITS TABLET
QUINACRINE HCL POWDER
QUINACRINE HCL POWDER
QUINACRINE HCL POWDER
QUINAPRIL 40 MG TABLET
CLINDAMYCIN HCL 300 MG CAPS
CLINDAMYCIN HCL 300 MG CAP
GRIS-PEG 250 MG TABLET
DECONEX TABLET
QUINACRINE HCL POWDER
QUINACRINE HCL POWDER
QUINACRINE HCL POWDER
POLYSPORIN POWDER
HUMULIN N 100 UNITS/ML VIAL

DOSE FORM DRUG STRENGTH


HZ
HZ
PA
HV
HV
CA
CA
HH
HV
HV
HV
HV
CA
CA
TA
TA
EA
EA
EA
EA
EA
YV
HV
EA
EA
EA
EA
EA
EA
EA
HV
PA
PA
PA
PA
EA
EA
EA
ZD
TA
PA
PA
PA
TA
CA
CA
TA
TM
PA
PA
PA
PA
HV

UNIT PRICE
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68

NDC
54569445400
54868069200
54868142901
54868256000
54868344500
54868344501
54868363601
54868381300
54868381301
54868381302
54868521100
54868521101
54868524600
55045326806
55289035830
55289055530
55390029101
55390029201
55390029301
55390049101
55390049201
55390049301
55970055501
55970055521
56091002290
57866442401
58016063400
58016316501
58177000204
58864086330
59011010010
59011010025
59060183402
59196003301
59762501001
59762501002
59762502201
62991205601
63304067901
63304067980
63304069301
63304069316
63323009401
63323009810
63323010405
63323010425
63323010450
63323010465
63370021525
63370021535
63370021545
63370021550
64915070860

NAME
ACCUPRIL 40 MG TABLET
NORPACE CR 150 MG CAPSULE SA
HUMULIN N 100 UNITS/ML VIAL
GRIS-PEG 250 MG TABLET
ACCUPRIL 40 MG TABLET
ACCUPRIL 40 MG TABLET
GRISEOFULVIN ULTRA 250 MG TB
OXYCONTIN 10 MG TABLET SA
OXYCONTIN 10 MG TABLET SA
OXYCONTIN 10 MG TABLET SA
CLINDAMYCIN HCL 300 MG CAP
CLINDAMYCIN HCL 300 MG CAP
QUINAPRIL 40 MG TABLET
CLINDAMYCIN HCL 300 MG CAPSULE
GRIS-PEG 250 MG TABLET
ACCUPRIL 40 MG TABLET
ETOPOSIDE 20 MG/ML VIAL
ETOPOSIDE 20 MG/ML VIAL
ETOPOSIDE 20 MG/ML VIAL
ETOPOSIDE 20 MG/ML VIAL
ETOPOSIDE 20 MG/ML VIAL
ETOPOSIDE 20 MG/ML VIAL
SENIOR MOMENT CAPSULE
SENIOR MOMENT CAPSULE
DEBRISAN PASTE
ACCUPRIL 40 MG TABLET
CLINDAMYCIN HCL 300 MG CAPS
POLYSPORIN POWDER
DISOPYRAMIDE 150 MG CAP SA
ACCUPRIL 40 MG TABLET
OXYCONTIN 10 MG TABLET SA
OXYCONTIN 10 MG TABLET SA
RELION N 100 UNITS/ML VIAL
AH-CHEW II CHEWABLE TABLET
CLINDAMYCIN HCL 300 MG CAPS
CLINDAMYCIN HCL 300 MG CAPS
QUINAPRIL HCL 40 MG TABLET
QUINACRINE HCL POWDER
SECONAL SODIUM 100 MG PULVUL
SECONAL SODIUM 100 MG PULVUL
CLINDAMYCIN HCL 300 MG CAPS
CLINDAMYCIN HCL 300 MG CAPS
M.T.E.-4 CONCENTRATED VIAL
M.T.E.-4 CONCENTRATED VIAL
ETOPOSIDE 20 MG/ML VIAL
ETOPOSIDE 20 MG/ML VIAL
ETOPOSIDE 20 MG/ML VIAL
ETOPOSIDE 20 MG/ML VIAL
QUINACRINE HCL POWDER
QUINACRINE HCL POWDER
QUINACRINE HCL POWDER
QUINACRINE HCL POWDER
Q-MAX CAPSULE

DOSE FORM DRUG STRENGTH


TA
CS
HV
TA
TA
TA
TA
TM
TM
TM
CA
CA
TA
CA
TA
TA
HV
HV
HV
HV
HV
HV
CA
CA
KP
TA
CA
PA
CS
TA
TM
TM
HV
TC
CA
CA
TA
PA
CA
CA
CA
CA
HV
HV
HV
HV
HV
HV
PA
PA
PA
PA
CA

UNIT PRICE
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68
$
0.68

NDC
66591081551
68030442401
68115042109
00006060268
00007334301
00007335216
00008084181
00008084199
00037011360
00037011380
00043056306
00043056406
00054414622
00054414623
00054415725
00054466525
00054814622
00054815724
00054866524
00067021006
00067120906
00068027761
00074117602
00074117611
00074117621
00074117630
00074229111
00085094803
00088178917
00093550101
00173094755
00185041001
00185041005
00185041060
00247029110
00247130410
00247141060
00299450040
00299450075
00406853001
00591085860
00641049125
00677187501
00703717104
00703717501
08333295401
08333358401
10019004301
10019004344
10337055019
10337055052
10356075101
10742004902

NAME
METHADONE HCL 10 MG/ML VIAL
ACCUPRIL 40 MG TABLET
CLINDAMYCIN HCL 300 MG CAPS
CUPRIMINE 250 MG CAPSULE
COMPAZINE 5 MG/ML VIAL
COMPAZINE 5 MG/ML VIAL
PROTONIX 40 MG TABLET EC
PROTONIX 40 MG TABLET EC
BUTISOL SODIUM 30 MG TABLET
BUTISOL SODIUM 30 MG TABLET
TRIAMINIC VAPOR PATCH
TRIAMINIC VAPOR PATCH
CLOTRIMAZOLE 10 MG TROCHE
CLOTRIMAZOLE 10 MG TROCHE
CODEINE SULFATE 60 MG TABLET
ROXICODONE 30 MG TABLET
CLOTRIMAZOLE 10 MG TROCHE
CODEINE SULFATE 60 MG TABLET
ROXICODONE 30 MG TABLET
TRIAMINIC VAPOR PATCH
TRIAMINIC VAPOR PATCH
HIPREX 1 GM TABLET
DEMEROL 25 MG/ML SYRINGE
DEMEROL 25 MG/ML SYRINGE
DEMEROL 25 MG/ML SYRINGE
DEMEROL 25 MG/ML SYRINGE
DILTIAZEM 5 MG/ML CARPUJECT
FULVICIN UNITS/F 250 MG TABLET
CARDIZEM 5 MG/ML LYO-JECT
BUDEPRION SR 100 MG TABLET
WELLBUTRIN SR 100 MG TABLET
BUPROPION HCL ER 100 MG TAB
BUPROPION HCL ER 100 MG TAB
BUPROPION HCL ER 100 MG TAB
COMPAZINE 5 MG/ML VIAL
PROCHLORPERAZINE 5 MG/ML VL
GRIFULVIN V 250 MG TABLET
CLINDAGEL 1% GEL
CLINDAGEL 1% GEL
OXYCODONE HCL 30 MG TABLET
BUPROPION HCL SR 100 MG TAB
PROCHLORPERAZINE 5 MG/ML VL
GUAIF-DEXTROM-PSEUDO TAB TR
PROCHLORPERAZINE 5 MG/ML VL
PROCHLORPERAZINE 5 MG/ML VL
MEDIPORE DRESS-IT COVER PAD
TEGADERM 2.375"X4" DRESSING
PROCHLORPERAZINE 5 MG/ML VL
PROCHLORPERAZINE 5 MG/ML VL
CARMOL HC 1% CREAM
CARMOL HC 1% CREAM
CUTIFILM PLUS DRESSING
MENTHOLATUM PAIN PATCH

DOSE FORM DRUG STRENGTH


HV
TA
CA
CA
HV
HV
TE
TE
TA
TA
PS
PS
TT
TT
TA
TA
TT
TA
TA
PS
PS
TA
HQ
HQ
HQ
HQ
HQ
TA
HQ
TS
TS
TS
TS
TS
HV
HV
TA
JC
JC
TA
TS
HV
TM
HV
HV
YE
YE
HV
HV
CR
KA
YE
PS

UNIT PRICE
$
0.68
$
0.68
$
0.68
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69

NDC
17314940001
17314940002
17314940003
38779018903
38779018904
38779018905
49452046001
49452046002
49452046003
49884051201
49884051210
49999034960
50428014951
50428122641
51552046404
51552046406
51672300902
51927160300
51991038201
52152021502
54569511800
54569534000
54569556800
54868026100
54868249801
54868249802
54868427100
54868427101
54868450500
54868450501
54868478300
54868478301
54868478302
54868478303
54868478304
54868488500
55045307709
55390007701
55390007710
55887040960
57866308305
57866318301
57866318302
57866318601
57866318602
57866908101
58016065000
58016065030
58016065060
58016065090
58407020301
58407037001
58864060130

NAME
MYCELEX 10 MG TROCHE
MYCELEX 10 MG TROCHE
MYCELEX 10 MG TROCHE
AMITRIPTYLINE HCL POWDER
AMITRIPTYLINE HCL POWDER
AMITRIPTYLINE HCL POWDER
AMITRIPTYLINE HCL POWDER
AMITRIPTYLINE HCL POWDER
AMITRIPTYLINE HCL POWDER
MINOCYCLINE HCL 75 MG TABLET
MINOCYCLINE HCL 75 MG TABLET
BUPROPION HCL ER 100 MG TAB
CVS PAIN PADS
CVS PAIN PADS
AMITRIPTYLINE HCL POWDER
AMITRIPTYLINE HCL POWDER
U-CORT 1% CREAM
AMITRIPTYLINE HCL POWDER
MINTAB D TABLET
OXYCODONE HCL 30 MG TABLET
PROTONIX 40 MG TABLET EC
WELLBUTRIN SR 100 MG TABLET
BUPROPION SR 100 MG TABLET
PROCHLORPERAZINE 5 MG/ML VL
MYCELEX 10 MG TROCHE
MYCELEX 10 MG TROCHE
PROTONIX 40 MG TABLET EC
PROTONIX 40 MG TABLET EC
WELLBUTRIN SR 100 MG TABLET
WELLBUTRIN SR 100 MG TAB
ROXICODONE 30 MG TABLET
ROXICODONE 30 MG TABLET
ROXICODONE 30 MG TABLET
ROXICODONE 30 MG TABLET
ROXICODONE 30 MG TABLET
BENICAR 40 MG TABLET
PROTONIX 40 MG TABLET EC
PROCHLORPERAZIN 50 MG/10 ML VL
PROCHLORPERAZINE 10 MG/2 ML VL
BUPROPION HCL ER 100 MG TAB
WELLBUTRIN SR 100 MG TABLET
OXYCODONE HCL 30 MG TABLET
OXYCODONE HCL 30 MG TABLET
ROXICODONE 30 MG TABLET
ROXICODONE 30 MG TABLET
PROTONIX 40 MG TABLET EC
ZONEGRAN 50 MG CAPSULE
ZONEGRAN 50 MG CAPSULE
ZONEGRAN 50 MG CAPSULE
ZONEGRAN 50 MG CAPSULE
STA-D
STAHIST TABLET SA
PROTONIX 40 MG TABLET EC

DOSE FORM DRUG STRENGTH


TT
TT
TT
PA
PA
PA
PA
PA
PA
TA
TA
TS
PS
PS
PA
PA
KA
PA
TM
TA
TE
TS
TS
HV
TT
TT
TE
TE
TS
TS
TA
TA
TA
TA
TA
TA
TE
HV
HV
TS
TS
TA
TA
TA
TA
TE
CA
CA
CA
CA
TM
TM
TE

UNIT PRICE
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69

NDC
58864071530
59075068210
59310031610
59366733901
60258027701
61703031922
62856068210
62991200401
62991200402
62991200403
63304057401
63304057420
63304057440
63323012020
63824006810
64980011901
65199120101
65597010130
65597010410
65597010430
65597010490
65726025010
65726025025
65726025110
65726025125
66116024130
66870002501
68030908101
68115067600
68115085390
68115092660
99207049110
99207049111
00002821501
00002871501
00006074928
00006074931
00006074954
00006074961
00006074982
00025102131
00029607112
00065065605
00065065610
00065065625
00074426501
00083006030
00091450015
00093227034
00093715901
00169183311
00169183711
00172452160

NAME
WELLBUTRIN SR 100 MG TABLET
ZONEGRAN 50 MG CAPSULE
PROFEN FORTE DM TABLET SA
MYRAC 75 MG TABLET
G-P 1,200-75 TABLET
CYTARABINE 100 MG/ML VIAL
ZONEGRAN 50 MG CAPSULE
AMITRIPTYLINE HCL POWDER
AMITRIPTYLINE HCL POWDER
AMITRIPTYLINE HCL POWDER
PANIXINE 250 MG TABLET-SUSP
PANIXINE 250 MG TABLET-SUSP
PANIXINE 250 MG TABLET-SUSP
CYTARABINE 100 MG/ML VIAL
AQUATAB D TABLET
METHENAMINE HIPP 1 GM TABLET
UREX 1 GM TABLET
BENICAR 5 MG TABLET
BENICAR 40 MG TABLET
BENICAR 40 MG TABLET
BENICAR 40 MG TABLET
INNOPRAN XL 80 MG CAPSULE SA
INNOPRAN XL 80 MG CAPSULE SA
INNOPRAN XL 120 MG CAP SA
INNOPRAN XL 120 MG CAP SA
PROTONIX 40 MG TABLET EC
MAXIPHEN G TABLET
PROTONIX 40 MG TABLET EC
BUPROPION HCL ER 100 MG TAB
PROTONIX 40 MG TABLET EC
WELLBUTRIN SR 100 MG TABLET
DYNACIN 75 MG TABLET
DYNACIN 75 MG TABLET
HUMULIN R 100 UNITS/ML VIAL
HUMULIN 70/30 VIAL
ZOCOR 40 MG TABLET
ZOCOR 40 MG TABLET
ZOCOR 40 MG TABLET
ZOCOR 40 MG TABLET
ZOCOR 40 MG TABLET
ALDACTAZIDE 50/50 TABLET
AUGMENTIN 200-28.5 TAB CHEW
CILOXAN 0.3% EYE DROPS
CILOXAN 0.3% EYE DROPS
CILOXAN 0.3% EYE DROPS
DOPAMINE 80 MG/ML VIAL
TEGRETOL XR 400 MG TABLET SA
LEVATOL 20 MG TABLET
AMOX TR-K CLV 200-28.5 TAB CHW
PERGOLIDE MESYL 0.25 MG TAB
NOVOLIN R 100 UNITS/ML VIAL
NOVOLIN 70/30 100 UNITS/ML VIA
PERGOLIDE MESYL 0.25 MG TAB

DOSE FORM DRUG STRENGTH


TS
CA
TM
TA
TM
HV
CA
PA
PA
PA
TJ
TJ
TJ
HV
TM
TA
TA
TA
TA
TA
TA
CC
CC
CC
CC
TE
TM
TE
TS
TE
TS
TA
TA
HV
HV
TA
TA
TA
TA
TA
TA
TC
SO
SO
SO
HV
TM
TA
TC
TA
HV
HV
TA

UNIT PRICE
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.69
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70

NDC
00172740128
00187084002
00245014501
00245014530
00517190525
00603554521
00603554528
00677190701
00781161966
17478071410
24208044405
24208044410
24208044425
32849070701
32849070801
49452489101
49452489102
49452489103
49452489104
49999039820
50383028210
51079014301
51079014320
51552105002
51552105004
51552105005
51672405700
51672405706
51927344500
52959001300
52959011230
52959055705
52959121900
54569231900
54569291800
54569291801
54569329600
54569346700
54569410300
54569440400
54569554200
54569561200
54569561300
54868274600
54868278200
54868278201
54868347400
54868361900
54868386200
54868415700
54868513000
54868513001
55045203602

NAME
AMOX TR-K CLV 200-28.5 TAB CHW
PERMAX 0.25 MG TABLET
PACERONE 400 MG TABLET
PACERONE 400 MG TABLET
DOPAMINE 80 MG/ML VIAL
Q-BID LA TABLET
Q-BID LA TABLET
UNI-GUAIFEN 600-300 LA TAB
AMOX TR-K CLV 200-28.5 TAB CHW
CIPROFLOXACIN 0.3% EYE DROP
CIPROFLOXACIN 0.3% EYE DROP
CIPROFLOXACIN 0.3% EYE DROP
CIPROFLOXACIN 0.3% EYE DROP
NOVOLIN R 100 UNITS/ML VIAL
NOVOLIN 70/30 100 UNITS/ML VIA
OMEPRAZOLE POWDER
OMEPRAZOLE POWDER
OMEPRAZOLE POWDER
OMEPRAZOLE POWDER
ENTEX PSE 400-120 CAPSULE
CIPROFLOXACIN 0.3% EYE DROP
PERGOLIDE MESYL 0.25 MG TAB
PERGOLIDE MESYL 0.25 MG TAB
OMEPRAZOLE POWDER
OMEPRAZOLE POWDER
OMEPRAZOLE POWDER
AMIODARONE HCL 400 MG TABLET
AMIODARONE HCL 400 MG TABLET
OMEPRAZOLE POWDER
CILOXAN 0.3% EYE DROPS
ZOCOR 40 MG TABLET
CIPROFLOXACIN 0.3% EYE DROP
CILOXAN 0.3% EYE DROPS
HUMULIN R 100 UNITS/ML VIAL
NOVOLIN 70/30 VIAL
NOVOLIN 70/30 VIAL
CILOXAN 0.3% EYE DROPS
HUMULIN 70/30 VIAL
CILOXAN 0.3% EYE DROPS
ZOCOR 40 MG TABLET
ENTEX PSE 400-120 CAPSULE
CIPROFLOXACIN 0.3% EYE DROP
CIPROFLOXACIN 0.3% EYE DROP
HUMULIN 70/30 VIAL
CILOXAN 0.3% EYE DROPS
CILOXAN 0.3% EYE DROPS
NOVOLIN 70/30 100 UNITS/ML VIA
HUMULIN R 100 UNITS/ML VIAL
TEGRETOL XR 400 MG TABLET SA
ZOCOR 40 MG TABLET
CIPROFLOXACIN 0.3% EYE DROP
CIPROFLOXACIN 0.3% EYE DROP
CILOXAN 0.3% EYE DROPS

DOSE FORM DRUG STRENGTH


TC
TA
TA
TA
HV
TM
TM
TM
TC
SO
SO
SO
SO
HV
HV
PA
PA
PA
PA
CB
SO
TA
TA
PA
PA
PA
TA
TA
PA
SO
TA
SO
SO
HV
HV
HV
SO
HV
SO
TA
CB
SO
SO
HV
SO
SO
HV
HV
TM
TA
SO
SO
SO

UNIT PRICE
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70

NDC
55289087430
57866798301
58016036500
58016036530
58016036560
58016036590
58016628501
58177009604
58864065620
58864068230
59060183302
59060183702
59075062510
59196001504
59196003201
60258025201
60258029601
60505100001
61314065605
61314065610
61314065625
62022013201
62991240002
63304075320
63370021425
63370021435
63370021450
64011012911
64011013011
64011013111
65234002510
65473071901
65726040110
65726040125
66116067820
66869061420
68115060005
68115063500
68115072810
68115077790
68249020010
68249020015
00006067561
00009344801
00024230110
00046047181
00074126201
00074126421
00074126431
00085053804
00087075841
00187037231
00187051831

NAME
ZOCOR 40 MG TABLET
ZOCOR 40 MG TABLET
ZOCOR 40 MG TABLET
ZOCOR 40 MG TABLET
ZOCOR 40 MG TABLET
ZOCOR 40 MG TABLET
CILOXAN 0.3% EYE DROPS
PSEUDOVENT 400 CAPSULE
HUMIBID L.A. TABLET
ZOCOR 40 MG TABLET
RELION R 100 UNITS/ML VIAL
RELION 70/30 100 UNITS/ML VIAL
PERMAX 0.25 MG TABLET
AH-CHEW SUSPENSION
OMNIHIST II LA TABLET
GFN 1,200/DM 20/PE 40 TAB
CYPEX-LA TABLET
CIPROFLOXACIN 0.3% EYE DROP
CIPROFLOXACIN 0.3% EYE DROP
CIPROFLOXACIN 0.3% EYE DROP
CIPROFLOXACIN 0.3% EYE DROP
ENTEX PSE 400-120 CAPSULE
OMEPRAZOLE POWDER
AMOX TR-K CLV 200-28.5 TAB CHW
OMEPRAZOLE POWDER
OMEPRAZOLE POWDER
OMEPRAZOLE POWDER
CHROMAGEN CAPSULE
CHROMAGEN FA CAPSULE
CHROMAGEN FORTE CAPSULE
PERMAX 0.25 MG TABLET
SURMONTIL 50 MG CAPSULE
ANTARA 43 MG CAPSULE
ANTARA 43 MG CAPSULE
AUGMENTIN 200-28.5 TAB CHEW
DURAPHEN DM TABLET
CILOXAN 0.3% EYE DROPS
HUMIBID L.A. TABLET
HUMULIN R 100 UNITS/ML VIAL
ZOCOR 40 MG TABLET
HUMIBID L.A. TABLET
HUMIBID L.A. TABLET
DOLOBID 250 MG TABLET
CLEOCIN 2% VAGINAL CREAM
KERLONE 10 MG TABLET
INDERAL LA 80 MG CAPSULE SA
MORPHINE 15 MG/ML SYRINGE
MORPHINE 15 MG/ML SYRINGE
MORPHINE 15 MG/ML SYRINGE
PAXIPAM 40 MG TABLET
K-LYTE/CL 50 MEQ CITRUS TAB
SOLAQUIN 2% CREAM
ELDOPAQUE 2% CREAM

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
SO
CB
TM
TA
HV
HV
TA
SC
TM
TM
TM
SO
SO
SO
SO
CB
PA
TC
PA
PA
PA
CA
CA
CA
TA
CA
CA
CA
TC
TM
SO
TM
HV
TA
TM
TM
TA
KW
TA
CR
HQ
HQ
HQ
TA
TF
KA
KA

UNIT PRICE
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.70
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71

NDC
00187051835
00247095840
00462027740
00642047110
08021050566
08021050567
08225003020
08225004020
08290007336
08290207460
08290207602
08290742000
10106489101
10742000401
10742004802
17317046101
17317046109
35515094454
38779011304
38779011305
38779011308
38779043404
38779043405
38779078908
44156030220
46581070001
49452269901
49452269902
49452269903
49452621001
49452621002
49756107101
49756107102
49756107103
49756107104
49756107105
49756107106
49756107107
49756107108
49756107109
49756107110
49756107111
49756107112
49756107113
49756107114
49756107125
49756107126
49756107127
49756107128
49756107129
49756107130
49756107131
49756107132

NAME
ELDOPAQUE 2% CREAM
CLEOCIN 2% VAGINAL CREAM
CLINDAMAX 2% VAGINAL CREAM
TUSSALL-ER TABLET
TRANSORBENT 1.5" DRESSING
THINSITE 1.5" DRESSING
ELASTIC BANDAGE 2"
ELASTIC BANDAGE 2"
ACE RUBBER ELASTIC BANDAGE
ACE ATHLETIC BANDAGE 2"
ACE VELCRO BANDAGE 2"
PEG ELASTIC BANDAGE 2"
QUININE SULFATE POWD ULTREX
MENTHOLATUM LIPBALM STICK
MENTHOLATUM LIPBALM
QUININE SULFATE POWDER
QUININE SULFATE POWDER
QC GAUZE BANDAGE 2"X140"
BISACODYL POWDER
BISACODYL POWDER
BISACODYL POWDER
DOXYCYCLINE HYCLATE POWDER
DOXYCYCLINE HYCLATE POWDER
ECONAZOLE NITRATE POWDER
BRIEFMATES PANTS
SALONPAS-HOT PATCH
ECONAZOLE NITRATE POWDER
ECONAZOLE NITRATE POWDER
ECONAZOLE NITRATE POWDER
QUININE SULFATE POWDER
QUININE SULFATE POWDER
STRETCH NET SIZE 1, 10 YDS
STRETCH NET SIZE 2, 10 YDS
STRETCH NET SIZE 3, 10 YDS
STRETCH NET SIZE 4, 10 YDS
STRETCH NET SIZE 5, 10 YDS
STRETCH NET SZ 5-1/2,10 YDS
STRETCH NET SIZE 6, 10 YDS
STRETCH NET SIZE 7, 10 YDS
STRETCH NET SIZE 8, 10 YDS
STRETCH NET SIZE 9, 10 YDS
STRETCH NET SIZE 10, 10 YDS
STRETCH NET SIZE 11, 10 YDS
STRETCH NET SIZE 12, 10 YDS
STRETCH NET SIZE 13, 10 YDS
STRETCH NET SIZE 1, 25 YDS
STRETCH NET SIZE 2, 25 YDS
STRETCH NET SIZE 3, 25 YDS
STRETCH NET SIZE 4, 25 YDS
STRETCH NET SIZE 5, 25 YDS
STRETCH NET SZ 5-1/2,25 YDS
STRETCH NET SIZE 6, 25 YDS
STRETCH NET SIZE 7, 25 YDS

DOSE FORM DRUG STRENGTH


KA
KW
KW
TM
YE
YE
YE
YE
YE
YE
YE
YE
PA
EH
EH
PA
PA
YE
PA
PA
PA
PA
PA
PA
EA
PS
PA
PA
PA
PA
PA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71

NDC
49756107133
49756107134
49756107135
49756107136
49756107137
49756107138
50991020101
51234015290
51234019490
51927312900
52152017902
52959024730
54000063156
54569056300
54569372300
54868068000
54868068001
54868107801
54868107803
54868107805
54868298800
54868305100
54868493200
54868493201
54868515500
54868530700
55390087501
57866491201
58016060400
58016085900
58016085930
58016085960
58016085990
58016645701
58196002039
59196003501
61570007101
61570007170
63868045424
66758000801
66758000802
66758000901
66813007401
66869072330
66934020030
87701057024
87701057032
00074419403
00074483148
00081960026
00091332201
00182262901
00264938720

NAME
DOSE FORM DRUG STRENGTH
STRETCH NET SIZE 8, 25 YDS
EA
STRETCH NET SIZE 9, 25 YDS
EA
STRETCH NET SIZE 10, 25 YDS
EA
STRETCH NET SIZE 11, 25 YDS
EA
STRETCH NET SIZE 12, 25 YDS
EA
STRETCH NET SIZE 13, 25 YDS
EA
POLY HIST FORTE TABLET SA
TS
NUMONYL SR TABLET SA
TS
CONPEC LA CAPLET SA
TS
DOXYCYCLINE HYCLATE POWDER
PA
BETAXOLOL 10 MG TABLET
TA
PROPRANOLOL 80 MG CAPSULE SA
CR
DRESSING HOLDER-PANT LARGE
EA
INDERAL LA 80 MG CAPSULE SA
CR
CLEOCIN 2% VAGINAL CREAM
KW
INDERAL LA 80 MG CAPSULE SA
CR
INDERAL LA 80 MG CAPSULE SA
CR
PROPRANOLOL 80 MG CAPSULE SA
CR
PROPRANOLOL 80 MG CAPSULE SA
CR
PROPRANOLOL 80 MG CAPSULE SA
CR
CLEOCIN 2% VAGINAL CREAM
KW
DIFLUNISAL 250 MG TABLET
TA
BETAXOLOL 10 MG TABLET
TA
BETAXOLOL 10 MG TABLET
TA
DURAFLU TABLET
TA
CLINDAMAX 2% VAGINAL CREAM
KW
EPHEDRINE SU 50 MG/ML VIAL
HV
INDERAL LA 80 MG CAPSULE
CR
PROPRANOLOL 80 MG CAPSULE SA
CR
INDERAL LA 80 MG CAPSULE SA
CR
INDERAL LA 80 MG CAPSULE SA
CR
INDERAL LA 80 MG CAPSULE SA
CR
INDERAL LA 80 MG CAPSULE SA
CR
CLEOCIN 2% VAGINAL CREAM
KW
EPHEDRINE SU 50 MG/ML VIAL
HV
SINUVENT PE TABLET SA
TS
PROCANBID 1,000 MG TABLET SA
TM
PROCANBID 1,000 MG TABLET SA
TM
QC GAUZE BANDAGE 2"X140"
YE
EPHEDRINE SU 50 MG/ML VIAL
HV
EPHEDRINE SU 50 MG/ML VIAL
HV
EPHEDRINE SU 50 MG/ML VIAL
HV
DOLGIC PLUS TABLET
TA
DURAFLU TABLET
TA
IB-STAT ORAL SPRAY
AU
BL ELASTIC BANDAGE 2"
YE
GNP ELASTIC BANDAGE 2"
YE
500 ML PRESSURE INFUSN CUFF
EA
PCA INJECTOR
EA
SUDAFED 24 HOUR TABLET
TI
NIRAVAM 0.5 MG TABLET
UL
ACEBUTOLOL HCL 200MG CAPSULE BOTTLE/100
CA
READYMED CARRYING POUCH
EA

UNIT PRICE
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.71
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72

NDC
00264938820
00264938920
00264939020
00264939120
00264944001
00264956924
00338938667
00378120001
00496085745
00501279005
00517101025
00548400900
00548400920
00591043701
08011740042
08080403100
08080989000
08080989100
08080989200
08219403100
08219989000
08219989100
08219989200
08333154001
08333154101
08333154201
10019025112
10356002878
10356045503
10356045581
12280001300
24208041105
24208041110
24208041115
40565012157
40565012159
49756046201
49756046202
49756046205
49756046211
49756046212
49756046215
49884058701
49999027421
50580028010
52747042070
52959000610
52959000620
53014072671
53014072682
54092004601
54092006801
54569553800

NAME
DOSE FORM DRUG STRENGTH
READYMED CARRYING POUCH
EA
READYMED CARRYING POUCH
EA
READYMED CARRYING POUCH
EA
READYMED CARRYING POUCH
EA
IV POLE CLAMP
EA
READYMED DISPENSING UNITS
EA
MORPHINE 50 MG/25 ML D5W SYR
HO
ACEBUTOLOL 200 MG CAPSULE
CA
CLINAC BPO 7% GEL
JG
SUDAFED 24 HOUR TABLET
TI
ATROPINE 1 MG/ML VIAL
HV
PATIENT CONTROLLED ANALGESIA INJECTOR
EA(IMS)
PCA INJECTOR
EA
ACEBUTOLOL 200 MG CAPSULE
CA
VIGILON WOUND DRESS 3X8"
YE
KERLIX DISPOSABLE LAP SPNGE
YV
CURI-STRIP WOUND CLOSURE
YR
CURI-STRIP WOUND CLOSURE
YR
CURI-STRIP WOUND CLOSURE
YR
KERLIX DISPOSABLE LAP SPNGE
YV
CURI-STRIP WOUND CLOSURE
YR
CURI-STRIP WOUND CLOSURE
YR
CURI-STRIP WOUND CLOSURE
YR
STERI-STRIP 1/8"X3",STERILE
YR
STERI-STRIP 1/4"X3",STERILE
YR
STERI-STRIP 1/4"X1-1/2"STRL
YR
ATROPINE 1 MG/ML VIAL
HV
COVER-STRIP CLOSURE STRIP
YR
AQUAPHOR GAUZE 3"X8"
YE
AQUAPHOR GAUZE 3"X8"
YE
AMINOCAPROIC ACID 500 MG TAB
TA
BRIMONIDINE 0.2% EYE DROP
SO
BRIMONIDINE 0.2% EYE DROP
SO
BRIMONIDINE 0.2% EYE DROP
SO
AQUAPHOR GAUZE 3"X8"
YE
AQUAPHOR GAUZE 3"X8"
YE
EPISEAL WOUND CLOSURE STRIP
YR
EPISEAL WOUND CLOSURE STRIP
YR
EPISEAL WOUND CLOSURE STRIP
YR
EPISEAL WOUND CLOSURE STRIP
YR
EPISEAL WOUND CLOSURE STRIP
YR
EPISEAL WOUND CLOSURE STRIP
YR
ACEBUTOLOL 200 MG CAPSULE
CA
FLEXERIL 5 MG TABLET
TA
FLEXERIL 5 MG TABLET
TA
NOREL SR TABLET
TM
FLEXERIL 5 MG TABLET
TA
FLEXERIL 5 MG TABLET
TA
DIPENTUM 250 MG CAPSULE
CA
DIPENTUM 250 MG CAPSULE
CA
ETHMOZINE 200 MG TABLET
TA
QUIBRON-300 CAPSULE
CA
FLEXERIL 5 MG TABLET
TA

UNIT PRICE
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72

NDC
54868389300
55289074510
55566722500
55887043520
55887043530
55887043560
55887043590
58016098700
58016098702
58016098703
58016098730
58016098760
58016098790
60758086605
60758086610
60758086615
61314014305
61314014310
61314014315
61553018667
61748004501
61748004511
63323024601
66479002182
66870001901
67286417701
00024123205
00085067004
00085067005
00085098901
00093117701
00115700605
00187038034
00338936667
00406052301
00430018215
00430018224
00591093201
00677183706
10267292903
10267292905
10939079411
12333948702
15127020102
16500002501
16500002505
19458900801
34575052736
49348079436
49452194001
49452194002
49452258301
49452258302

NAME
ATROPINE 1 MG/ML VIAL
FLEXERIL 5 MG TABLET
LUTREPULSE PUMP ELASTIC BLT
FLEXERIL 5 MG TABLET
FLEXERIL 5 MG TABLET
FLEXERIL 5 MG TABLET
FLEXERIL 5 MG TABLET
FLEXERIL 5 MG TABLET
FLEXERIL 5 MG TABLET
FLEXERIL 5 MG TABLET
FLEXERIL 5 MG TABLET
FLEXERIL 5 MG TABLET
FLEXERIL 5 MG TABLET
BRIMONIDINE 0.2% EYE DROP
BRIMONIDINE 0.2% EYE DROP
BRIMONIDINE 0.2% EYE DROP
BRIMONIDINE 0.2% EYE DROP
BRIMONIDINE 0.2% EYE DROP
BRIMONIDINE 0.2% EYE DROP
MORPHINE 50 MG/25 ML D5W SYR
AMINOCAPROIC ACID 500 MG TAB
AMINOCAPROIC ACID 500 MG TAB
ATROPINE 1 MG/ML VIAL
AMICAR 500 MG TABLET
MAXIPHEN TABLET
SECTRAL 200 MG CAPSULE
MEBARAL 50 MG TABLET
GYNE-LOTRIMIN INSERT
GYNE-LOTRIMIN INSERT
FEMCARE INSERTS
NEOMYCIN 500 MG TABLET
MEPHOBARBITAL 50MG, 250'S
BENOQUIN 20% CREAM
HYDROMORPHONE/NS 25 MG/25 ML
OXYCODON HCL-APAP 10/325 MG TB
PYRIDIUM PLUS TABLET
PYRIDIUM PLUS TABLET
OXYCODONE-APAP 10-325 MG TAB
P-EPHED/METHSCOPOL SR TAB
PHENAZOPYRIDINE PLUS TABLET
PHENAZOPYRIDINE PLUS TABLET
CLOTRIMAZOLE INSERT
CLOTRIMAZOLE-7 100 MG INSERT
SB CLOTRIMAZOLE INSERT
MYCELEX-7 100 MG VAGINAL TAB
MYCELEX-7 100 MG VAGINAL TAB
ECK CLOTRIMAZOLE INSERT
ECK CLOTRIMAZOLE INSERT
CLOTRIMAZOLE INSERT
CHLORAMPHENICOL CRYSTALS
CHLORAMPHENICOL CRYSTALS
DICLOFENAC SODIUM CRYSTAL
DICLOFENAC SODIUM CRYSTAL

DOSE FORM DRUG STRENGTH


HV
TA
EA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
SO
SO
SO
SO
SO
SO
HO
TA
TA
HV
TA
TM
CA
TA
TA
TA
TA
TA
TA
KA
HO
TA
TA
TA
TA
TM
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
PC
PC
PC
PC

UNIT PRICE
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.72
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73

NDC
51079001501
51079001520
51079015201
51991016401
51991025133
51991028301
52747043570
52959064330
52959064360
54868041702
54868108600
54868156000
54868335700
54868409800
54868409801
54868471000
54868471001
54868502400
54868502401
54868502402
54868502403
54868502404
54868515300
55289064830
56091006986
56091006996
57844032201
58177042703
60258027301
60258028106
60258044901
60258051303
60951071270
61553016667
63304017620
63481062970
63481062975
63481069870
63824000660
66346008223
66346008231
66346015223
66346015231
66993012060
67386080202
00003060650
00003516811
00003516911
00046047081
00064341007
00064341030
00074121601
00074203602

NAME
NEOMYCIN 500 MG TABLET
NEOMYCIN 500 MG TABLET
NEOMYCIN 500 MG TABLET
HISTACOL LA TABLET
PHENAZOPYRIDINE PLUS TABLET
MINTAB C TABLET SA
NOREL LA TABLET
ZYDONE 10/400 MG TABLET
ZYDONE 10/400 MG TABLET
GYNE-LOTRIMIN 100 MG VAG TAB
MYCELEX-7 100 MG VAGINAL TAB
NEOMYCIN 500 MG TABLET
CLOTRIMAZOLE INSERT
ZYDONE 10/400 MG TABLET
ZYDONE 10/400 MG TABLET
PERCOCET 10/325 MG TABLET
PERCOCET 10-325 MG TABLET
OXYCODONE-APAP 10-325 MG TAB
OXYCODONE-APAP 10-325 MG TAB
OXYCODONE-APAP 10-325 MG TAB
OXYCODONE-APAP 10-325 MG TAB
OXYCODONE-APAP 10-325 MG TAB
URELIEF PLUS TABLET
ZYDONE 10/400 MG TABLET
SOF-KLING CONFORMNG BANDAGE
SOF-KLING CONFORMNG BANDAGE
LOFIBRA 67 MG CAPSULE
HISTACLEAR D TABLET
GFN1,200/DM60/PSE120 TAB SA
PSE 120/MSC 2.5 TAB SA
BELLAHIST-D LA TABLET
URELIEF PLUS TABLET
ENDOCET 10/325 MG TABLET
HYDROMORPHONE-NS 25 MG/25 ML
DISPERMOX 600 MG TABLET-SUSP
PERCOCET 10/325 MG TABLET
PERCOCET 10/325 MG TABLET
ZYDONE 10/400 MG TABLET
ALLERX-D TABLET SA
ACCUHIST LA TABLET
ACCUHIST LA TABLET
ACCUHIST LA TABLET
ACCUHIST LA TABLET
AMDRY-D TABLET
MEBARAL 50 MG TABLET
NATURETIN-5 TABLET
PRAVIGARD PAC 81-20 MG TAB
PRAVIGARD PAC 325-20 MG TAB
INDERAL LA 60 MG CAPSULE SA
PANAFIL OINTMENT
PANAFIL OINTMENT
NALOXONE 0.02 MG/ML VIAL
KETOROLAC 30 MG/ML SYRINGE

DOSE FORM DRUG STRENGTH


TA
TA
TA
TM
TA
TM
TM
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
YE
YE
CA
TM
TM
TM
TM
TA
TA
HO
TJ
TA
TA
TA
TM
TM
TM
TM
TM
TM
TA
TA
TA
TA
CR
OA
OA
HV
HJ

UNIT PRICE
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.73
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74

NDC
00074203902
00074228701
00074228731
00074228749
00074228754
00074228761
00074325403
00074325503
00085061403
00087606413
00088110747
00088110749
00088110755
00093550201
00093721201
00173013555
00173032198
00185041501
00185041505
00185041560
00186023203
00228272811
00247023601
00247023610
00407193103
00409228731
00409228761
00409325503
00555010702
00591083925
00591083960
00641046925
00641254625
00641254645
00703281204
00703282304
08080754000
08195040501
08195740501
08219754000
10019002209
10019028102
10019028105
17317092602
38779004204
38779004205
49452784001
49452784002
49452784003
49999019620
50111080132
50484022030
51991008801

NAME
KETOROLAC 30 MG/ML SYRINGE
KETOROLAC 30 MG/ML CARPUJECT
KETOROLAC 30 MG/ML CARPUJECT
KETOROLAC 30 MG/ML CARPUJECT
KETOROLAC 30 MG/ML CARPUJECT
KETOROLAC 30 MG/ML CARPUJECT
TOBRAMYCIN 10 MG/ML VIAL
TOBRAMYCIN 10 MG/ML VIAL
PROVENTIL 90 MCG INH REFILL
GLUCOPHAGE XR 750 MG TAB SA
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
BUDEPRION SR 150 MG TABLET
METFORMIN HCL 750 MG ER TABLET
WELLBUTRIN SR 150 MG TABLET
VENTOLIN 90 MCG INH REFILL
BUPROPION SR 150 MG TABLET
BUPROPION SR 150 MG TABLET
BUPROPION SR 150 MG TABLET
XYLOCAINE IV 2% AMPUL
METFORMIN HCL 750 MG ER TABLET
TORADOL IV/IM 30 MG/ML TUBEX
TORADOL IV/IM 30 MG/ML TUBEX
TELEPAQUE 500 MG TABLET
KETOROLAC 30 MG/ML CARPUJECT
KETOROLAC TROMETHAMINE 30MG/ML INJ
TOBRAMYCIN 10 MG/ML VIAL
METFORMIN HCL 750 MG ER TABLET
BUPROPION SR 150 MG TABLET
BUPROPION SR 150 MG TABLET
PANCURONIUM 2 MG/ML VIAL
PANCURONIUM 2 MG/ML VIAL
PANCURONIUM 2 MG/ML VIAL
PANCURONIUM 2 MG/ML VIAL
PANCURONIUM 2 MG/ML VIAL
TELFA ISLAND DRESSING
POLYMEM 4"X 5" DRESSING
POLYMEM 4"X 5" DRESSING
TELFA ISLAND DRESSING
KETOROLAC 30 MG/ML SYRINGE
PANCURONIUM 2 MG/ML VIAL
PANCURONIUM 2 MG/ML VIAL
TOLUIDINE BLUE O POWDER
OXYTETRACYCLINE HCL POWDER
OXYTETRACYCLINE HCL POWDER
TOLUIDINE BLUE O POWDER
TOLUIDINE BLUE O POWDER
TOLUIDINE BLUE O POWDER
ALLEGRA 60 MG TABLET
ALBUTEROL 90 MCG INH REFILL
GLADASE-C OINTMENT
TUSSBID CAPSULE

DOSE FORM DRUG STRENGTH


HJ
HJ
HJ
HJ
HJ
HJ
HV
HV
AG
TI
TA
TA
TA
TS
TI
TS
AG
TS
TS
TS
HH
TI
HJ
HJ
TA
HJ
HJ
HV
TI
TS
TS
HV
HV
HV
HV
HV
YE
YE
YE
YE
HJ
HV
HV
PA
PA
PA
PA
PA
PA
TA
AG
OA
CB

UNIT PRICE
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74

NDC
52959028530
52959028560
52959069800
52959069810
52959069814
52959069820
52959069828
52959069830
52959069840
52959069860
54569452101
54569537800
54569537801
54569537802
54569537803
54569556900
54868144100
54868144101
54868151701
54868151702
54868176300
54868190300
54868248901
54868373900
54868384300
54868389400
54868398400
54868398401
54868463200
54868463201
54868463202
54868489200
55045263108
55045304801
55045304808
55289062806
55289062814
55289062828
55289062860
55887049660
57866090102
57866124901
57866124902
57866124903
57866124904
57866124905
57866491101
58016059900
58016059930
58016059960
58016059990
58016069200
58016069202

NAME
WELLBUTRIN SR 150 MG TABLET
WELLBUTRIN SR 150 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
WELLBUTRIN SR 150 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
BUPROPION SR 150 MG TABLET
INDERAL LA 60 MG CAPSULE SA
INDERAL LA 60 MG CAPSULE SA
PROPRANOLOL 60 MG CAPSULE SA
PROPRANOLOL 60 MG CAPSULE SA
TORADOL IV/IM 30 MG/ML TUBEX
VENTOLIN 90 MCG INH REFILL
THIAMINE 100 MG/ML VIAL
ALBUTEROL 90 MCG INH REFILL
TORADOL IV/IM 30 MG/ML TUBEX
XYLOCAINE IV 2% AMPUL
WELLBUTRIN SR 150 MG TABLET
WELLBUTRIN SR 150 MG TAB
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
BUPROPION SR 150 MG TABLET
WELLBUTRIN SR 150 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
BUPROPION SR 150 MG TABLET
WELLBUTRIN SR 150 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
INDERAL LA 60 MG CAPSULE
WELLBUTRIN SR 150 MG TABLET
WELLBUTRIN SR 150 MG TABLET
WELLBUTRIN SR 150 MG TABLET
WELLBUTRIN SR 150 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET

DOSE FORM DRUG STRENGTH


TS
TS
TA
TA
TA
TA
TA
TA
TA
TA
TS
TA
TA
TA
TA
TS
CR
CR
CR
CR
HJ
AG
HV
AG
HJ
HH
TS
TS
TA
TA
TA
TS
TS
TA
TA
TA
TA
TA
TA
TS
TS
TA
TA
TA
TA
TA
CR
TS
TS
TS
TS
TA
TA

UNIT PRICE
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74

NDC
58016069210
58016069212
58016069215
58016069220
58016069225
58016069230
58016069240
58016069250
58016069260
58016069270
58016069280
58016069290
58177007804
58177007819
58605071301
58864051460
58864062560
58864084060
58869044101
58980076511
58980076535
60258003130
60258044330
62037057701
62037057710
63323001302
63481007270
66870002601
67000030003
67000030010
68030124901
68030124902
68030124904
68115001220
68115001230
68115001260
68115001290
68115053100
68115090160
68453031003
68453031010
00003075650
00004081095
00006090736
00007489214
00007489220
00024128704
00025016109
00025016124
00025016184
00026856464
00056047030
00065923081

NAME
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
PHENAVENT CAPSULE
PHENAVENT CAPSULE
ALLFEN C CAPLET
ALLEGRA 60 MG TABLET
WELLBUTRIN SR 150 MG TAB
BUPROPION SR 150 MG TABLET
TOURO CC CAPLET SA
ZIOX OINTMENT
ZIOX OINTMENT
PAPAIN-UREA-CHLORO OINTMENT
ANDEHIST-DM DROPS
METFORMIN HCL 750 MG ER TABLET
METFORMIN HCL 750 MG ER TABLET
THIAMINE 100 MG/ML VIAL
MOBAN 5 MG TABLET
MAXIPHEN-G DM TABLET
GUAIFED CAPSULE
GUAIFED CAPSULE
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
ALLEGRA 60 MG TABLET
WELLBUTRIN SR 150 MG TABLET
GUAIFED CAPSULE
GUAIFED CAPSULE
PRONESTYL 375 MG CAPSULE
TAMIFLU ORAL SUSPENSION
MINTEZOL 500 MG TAB CHEW
REQUIP 1 MG TABLET
REQUIP 1 MG TABLET
MYTELASE 10 MG CAPLET
DEMULEN 1/35-28 TABLET
DEMULEN 1/35-28 TABLET
DEMULEN 1/35-28 TABLET
CIPRO I.V. 10 MG/ML VIAL
SUSTIVA 50 MG CAPSULE
NUBASICS BAR

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CB
CB
TM
TA
TS
TS
TM
OA
OA
OA
SO
TI
TI
HV
TA
TM
CB
CB
TA
TA
TA
TA
TA
TA
TA
TA
TS
CB
CB
CA
PD
TC
TA
TA
TA
TA
TA
TA
HV
CA
EB

UNIT PRICE
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.74
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75

NDC
00065923181
00065925581
00087064541
00087064543
00087064545
00087066643
00087066644
00087066743
00087066744
00091249523
00186011401
00186011412
00186011491
00372176053
00482476030
00525001601
00555906467
00591288601
00641017025
00677185001
08026714000
08026714100
08026715000
10019017744
10023030190
10356022405
10791024117
11298000256
11298000263
38779024704
38779024705
49452529001
49452529002
49452529003
49669360002
49669460001
49669460002
49669521201
49735010077
49756046001
51927122500
51991017401
52544038328
53329000640
54569481700
54569497900
54569561500
54868037201
54868037202
54868037203
54868040400
54868424000
54868454700

NAME
DOSE FORM DRUG STRENGTH
NUBASICS BAR
EB
NUBASICS BAR
EB
BOOST NUTRITION ENERGY BAR
EB
BOOST NUTRITIONAL ENERGY BAR CHOCOLATE
EB CRUNCH
BOOST NUTRITION ENERGY BAR
EB
CHOICE DM NUTRITION BAR
EB
CHOICE DM NUTRITION BAR
EB
CHOICE DM NUTRITION BAR
EB
CHOICE DM NUTRITION BAR
EB
VERELAN 360 MG CAP PELLET
CP
XYLOCAINE 1%/EPI 1:200,000
HV
XYLOCAINE 1%/EPI 1:200,000
HV
XYLOCAINE 1%/EPI 1:200,000
HV
VITALIZE HIGH ENERGY BAR
EB
TYZINE 0.1% NOSE DROPS
DR
PANLOR DC CAPSULE
CA
KELNOR 1/35 28 TABLET
TA
VERAPAMIL 360 MG CAP PELLET
CP
MORPHINE 8 MG/ML VIAL
HV
GUAIFEN/P-EPHED HCL TABLET
TM
COVRSITE 4"X4" DRESSING
YE
COVRSITE 4"X4" DRESSING
YE
COVRSITE PLUS 4"X4" DRESS
YE
MORPHINE 8 MG/ML VIAL
HV
ALBATUSSIN SR CAPLET SA
TS
COVERLET O.R. ADH DRESSING
YE
TENDRA MEPILEX 4"X4" DRESSING
YE
O-RINGS,VARIOUS SIZES
EA
TINY "O" RING
EA
PHENYLEPHRINE HCL POWDER
PA
PHENYLEPHRINE HCL POWDER
PA
PHENYLEPHRINE HCL POWDER
PA
PHENYLEPHRINE HCL POWDER
PA
PHENYLEPHRINE HCL POWDER
PA
ALPHANINE SD 250-1,500 UNIT VL
HS
ALPHANATE 250-500 UNIT VIAL
HS
ALPHANATE 1,000-1,500 UNITS VL
HS
ALBUTEIN 20% IV SOLUTION
HM
PHLEXY-10 BAR
EB
COVADERM ISLAND DRESSING
YE
PHENYLEPHRINE HCL POWDER
PA
PSEUDATEX TABLET
TM
ZOVIA 1/35E TABLET
TA
STRATASORB ISLAND DRESSING
YE
ZOVIA 1/35E TABLET
TA
PANLOR DC CAPSULE
CA
TAMIFLU 12 MG/ML SUSPENSION
PD
LOPROX 1% CREAM
KA
LOPROX 1% CREAM
KA
LOPROX 1% CREAM
KA
DEMULEN 1/35-28 TABLET
TA
ZOVIA 1/35E TABLET
TA
CIPRO I.V. 10 MG/ML VIAL
HV

UNIT PRICE
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75

NDC
54868468400
54868480800
55515002660
55887045730
55887045740
55887045760
55887045782
55887045790
59196004501
62991204601
64455010010
64455010030
64455010090
66813003301
66977050025
66977050044
67537003301
68516360002
68516460001
68516460002
68516521201
70074056003
70074056006
70074056009
70074056012
00003153504
00007489014
00007489020
00015050401
00045006555
00045006951
00046087293
00054412925
00054808925
00068002150
00074169810
00074926718
00076010803
00115181101
00185076053
00247025285
00316012301
00501373138
00574011501
00781197650
08179002810
08179002827
08179002834
08179002841
08179010204
08179010303
08179015209
08179041208

NAME
TAMIFLU ORAL SUSPENSION
CARDIZEM LA 120 MG TABLET
CORDRAN 0.05% OINTMENT
PANLOR DC CAPSULE
PANLOR DC CAPSULE
PANLOR DC CAPSULE
PANLOR DC CAPSULE
PANLOR DC CAPSULE
SINUTUSS DM TABLET SA
PHENYLEPHRINE HCL POWDER
CARDIZEM LA 120 MG TABLET
CARDIZEM LA 120 MG TABLET
CARDIZEM LA 120 MG TABLET
DYNEX TABLET
MPM FOAM 4"X4" DRESSING
MPM FOAM 4"X4" DRESSING
D-PSE/GG TABLET
ALPHANINE SD 250-1,500 UNIT VL
ALPHANATE 250-500 UNIT VIAL
ALPHANATE 1,000-1,500 UNITS VL
ALBUTEIN 20% IV SOLUTION
ENSURE BAR
ENSURE BAR
ENSURE BAR
ENSURE BAR
SETOPRESS HIGH COMPRSS BNDG
REQUIP 0.25 MG TABLET
REQUIP 0.25 MG TABLET
CYTOXAN 25 MG TABLET
LEVAQUIN I.V. 25 MG/ML VIAL
LEVAQUIN 25 MG/ML VIAL
PREMARIN VAGINAL CREAM/APPL
CYCLOPHOSPHAMIDE 25 MG TAB
CYCLOPHOSPHAMIDE 25 MG TAB
NORPRAMIN 150 MG TABLET
BRETYLIUM 50 MG/ML SYRINGE
BRETYLIUM 50 MG/ML ABBOJECT
PROSED/DS TABLET
FLAVOXATE HCL 100 MG TABLET
DESIPRAMINE 150 MG TABLET
PREMARIN VAGINAL CREAM/APPL
ALA-QUIN 3/0.5% CREAM
NEOSPORIN SCAR SOLUTION SHEETS
FLAVOXATE HCL 100 MG TABLET
DESIPRAMINE 150 MG TABLET
REJUVENESS SILICONE SHEET
REJUVENESS SILICONE SHEET
REJUVENESS SILICONE SHEET
REJUVENESS SILICONE SHEET
REJUVENESS SILICONE SHEET
REJUVENESS SILICONE SHEET
REJUVENESS SILICONE SHEET
REJUVENESS SILICONE SHEET

DOSE FORM DRUG STRENGTH


PD
TI
OA
CA
CA
CA
CA
CA
TS
PA
TI
TA
TA
TM
YE
YE
TM
HS
HS
HS
HM
EB
EB
EB
EB
YE
TA
TA
TA
HV
HV
KW
TA
TA
TA
HQ
HQ
TA
TA
TA
KW
KA
ZD
TA
TA
ZD
ZD
ZD
ZD
ZD
ZD
ZD
ZD

UNIT PRICE
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.75
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76

NDC
08179041802
08179042502
08179050101
08179071205
08179072509
08179090008
08884433400
08884436400
12547023800
17314922001
23558550900
35515094424
38779007604
38779007605
49452367001
49452367002
49452367003
49999030315
51234015040
51234015090
51927108300
51991023201
51991038301
54569098100
54569565700
54868045400
54868046700
54868046701
54868508300
54868521800
55289061930
58016077800
58016077830
58016077860
58016077890
58177080402
58468002101
60258026801
60258051601
62022033401
62991123901
62991123902
63824006310
63868042434
68115058445
00007489120
00007489314
00007489320
00025201131
00025201134
00054318544
00065009205
00091334101

NAME
REJUVENESS SILICONE SHEET
REJUVENESS SILICONE SHEET
REJUVENESS SILICONE SHEET
REJUVENESS SILICONE SHEET
REJUVENESS SILICONE SHEET
REJUVENESS SILICONE SHEET
XEROFORM PETROLATUM DRESS
XEROFLO GAUZE DRESSING
NEOSPORIN SCAR SOLUTION SHEETS
URISPAS 100 MG TABLET
COMHIST TABLET
QC GAUZE 3"X140" BANDAGE
INDOMETHACIN POWDER
INDOMETHACIN POWDER
INDOMETHACIN POWDER
INDOMETHACIN POWDER
INDOMETHACIN POWDER
PREMARIN VAGINAL CREAM/APPL
EPHEX SR CAPLET SA
EPHEX SR CAPLET SA
INDOMETHACIN POWDER
CRANTEX ER CAPSULE
MINTAB C TABLET
PREMARIN VAGINAL CREAM/APPL
PROSED-DS TABLET
PREMARIN VAGINAL CREAM/APPL
URISPAS 100 MG TABLET
URISPAS 100 MG TABLET
AQUATAB C TABLET
CYCLOPHOSPHAMIDE 25 MG TAB
URISPAS 100 MG TABLET
RENAGEL 800 MG TABLET
RENAGEL 800 MG TABLET
RENAGEL 800 MG TABLET
RENAGEL 800 MG TABLET
ETHEZYME OINTMENT
RENAGEL 800 MG TABLET
GFN 1,200-DM 60-PSE 60 TAB
URITACT DS TABLET
ENTEX ER CAPSULE
INDOMETHACIN POWDER
INDOMETHACIN POWDER
AQUATAB C TABLET
QC GAUZE 3"X140" BANDAGE
PREMARIN VAGINAL CREAM
REQUIP 0.5 MG TABLET
REQUIP 2 MG TABLET
REQUIP 2 MG TABLET
COVERA-HS 180 MG TABLET SA
COVERA-HS 180 MG TABLET SA
DIAZEPAM 5 MG/ML ORAL CONC
FLUORESCITE 10% AMPUL
PARCOPA 10 MG/100 MG TABLET

DOSE FORM DRUG STRENGTH


ZD
ZD
ZD
ZD
ZD
ZD
YE
YE
ZD
TA
TA
YE
PA
PA
PA
PA
PA
KW
TS
TS
PA
CB
TM
KW
TA
KW
TA
TA
TM
TA
TA
TA
TA
TA
TA
OA
TA
TM
TA
CB
PA
PA
TM
YE
KW
TA
TA
TA
TZ
TZ
SY
HH
UL

UNIT PRICE
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.76
$
0.77
$
0.77
$
0.77
$
0.77
$
0.77
$
0.77
$
0.77
$
0.77

NDC
00487990130
00496082305
00496082306
00496082315
00496082330
00496088215
00496088230
10356002876
11530001402
11530001408
11530001416
17478025410
49326040430
49756046207
49756046217
50962040951
54569474800
54868440900
54868461600
58605061301
58768030205
63402051224
64193024402
66794000330
68032010215
68032010230
68322000101
68322000102
68322000103
68322000104
75137007040
00009033102
00029607347
00051848888
00091408501
00131100805
00145297103
00270215310
00314223670
00338268975
00548191125
00548193110
00548290100
00548290125
00548339110
00677191237
08290741900
10481105101
10952003513
52959047030
55289024015
58016183712
58016183715

NAME
ALBUTEROL 5 MG/ML SOLUTION
ELA-MAX 4% CREAM
ELA-MAX 4% CREAM
LMX 4 4% CREAM
LMX 4 4% CREAM
LMX 4 4% CREAM
LMX 4 4% CREAM
COVER-STRIP CLOSURE STRIP
STAY MOIST LIP CONDITIONER
STAY MOIST LIP CONDITIONER
STAY MOIST LIP CONDITIONER
AK-FLUOR 10% AMPUL
VG CAPSULE
EPISEAL WOUND CLOSURE STRIP
EPISEAL WOUND CLOSURE STRIP
ALBUTEROL 5 MG/ML SOLUTION
XOPENEX 0.63 MG/3 ML SOLUTION
XOPENEX 0.63 MG/3 ML SOLUTION
ELA-MAX 4% CREAM
ALLFEN TABLET
ANGISCEIN 10% AMPUL
XOPENEX 0.63 MG/3 ML SOLUTION
BEBULIN VH IMMUNO 200-1,200 UN
ALBUTEROL 5 MG/ML SOLUTION
LIDOSENSE 4 CREAM
LIDOSENSE 4 CREAM
FAZACLO 25 MG TABLET
FAZACLO 25 MG TABLET
FAZACLO 25 MG TABLET
FAZACLO 25 MG TABLET
NEW SKIN LIQUID
CLEOCIN HCL 75 MG CAPSULE
AUGMENTIN 125-31.25 TAB CHEW
ANDROGEL 1%(12.5MG) GEL PUM
VERELAN PM 100 MG CAP PELLET
CODIMAL-A 10 MG/ML VIAL
ZETACET TOPICAL SUSPENSION
ISOVUE-128 26% VIAL
ND-STAT 10 MG/ML VIAL
MORPHINE 1 MG/ML SYRINGE
MORPHINE 1 MG/ML SYRINGE
MORPHINE 1 MG/ML SYRINGE
MORPHINE 1 MG/ML SYRINGE
MORPHINE 1 MG/ML SYRINGE
MORPHINE 1 MG/ML SYRINGE
UNI-HIST DROPS
PEG ELASTIC BANDAGE 1"
SILVER NITRATE 10% SOLUTION
CRESYLATE EAR DROPS
AUGMENTIN 125-31.25 TAB CHEW
AUGMENTIN 125-31.25 TAB CHEW
AUGMENTIN 125-31.25 TAB CHEW
AUGMENTIN 125-31.25 TAB CHEW

DOSE FORM DRUG STRENGTH


BE
KA
KA
KA
KA
KA
KA
YR
EH
EH
EH
HH
CA
YR
YR
BE
SA
SA
KA
TM
HH
SA
HS
BE
KA
KA
UL
UL
UL
UL
JG
CA
TC
JR
CP
HV
KC
HV
HV
HQ
HQ
HQ
HQ
HQ
HQ
SO
YE
SA
SO
TC
TC
TC
TC

UNIT PRICE
$
0.77
$
0.77
$
0.77
$
0.77
$
0.77
$
0.77
$
0.77
$
0.77
$
0.77
$
0.77
$
0.77
$
0.77
$
0.77
$
0.77
$
0.77
$
0.77
$
0.77
$
0.77
$
0.77
$
0.77
$
0.77
$
0.77
$
0.77
$
0.77
$
0.77
$
0.77
$
0.77
$
0.77
$
0.77
$
0.77
$
0.77
$
0.78
$
0.78
$
0.78
$
0.78
$
0.78
$
0.78
$
0.78
$
0.78
$
0.78
$
0.78
$
0.78
$
0.78
$
0.78
$
0.78
$
0.78
$
0.78
$
0.78
$
0.78
$
0.78
$
0.78
$
0.78
$
0.78

NDC
58016183730
59366272405
60258042730
63032006100
63032006150
66346016130
67336005060
68047001130
68188013701
99207074330
00003063441
00009000402
00009000406
00026066520
00026066530
00026066550
00032102301
00053765601
00053765602
00053765604
00066057760
00074131201
00074131202
00074131230
00074183448
00074183502
00074185002
00074269448
00074269468
00074322903
00074390302
00074409401
00074411601
00074452258
00074461002
00074461204
00074461602
00074462002
00074473002
00074645701
00074645801
00074645901
00074646001
00074646101
00074646401
00085096201
00085096202
00088109047
00088109049
00088109055
00093730001
00095008651
00115705401

NAME
AUGMENTIN 125-31.25 TAB CHEW
SOD.SULFACET-SULFUR SUSP
BROMHIST-NR DROPS
EVOCLIN 1% FOAM
EVOCLIN 1% FOAM
ACCUHIST DROPS
HISTEX IE CAPSULE
LOHIST-PD DROPS
METHYLIN 10 MG CHEWABLE TABLET
PLEXION TS TOPICAL SUSP
PENICILLIN G POT 1MM UNITS VIA
MIRAPEX 0.25 MG TABLET
MIRAPEX 0.25 MG TABLET
KOATE-DVI 250 UNIT KIT
KOATE-DVI 500 UNIT KIT
KOATE-DVI 1,000 UNITS KIT
ESTRATEST H.S. TABLET
MONOCLATE-P 250 UNIT KIT
MONOCLATE-P 500AHFU KIT
MONOCLATE-P 1,000 UNITS KIT
BENZAMYCINPAK GEL
HYDROMORPHONE 2 MG/ML SYRIN
HYDROMORPHONE 2 MG/ML SYRIN
HYDROMORPHONE 2 MG/ML SYRIN
EXTENSION SET WITH STOPCOCK
ANESTHESIA EXTENSION SET
BACKCHECK EXTENSION SET
IVEX HP PEDIATRIC EXTEN SET
IVEX-HP PEDIATRIC EXTENSION SET
EXTENSION SET 30-SL
I.V. EXTENSION SET 20-SL
Y-TYPE CONNECTING SET
EXTENSION SET INT-SL
EXTENSION SET, TWIN SITE
EXTENSION SET 30" STERILE PK
EXTENSION SET W/T CONNECTOR
EXTENSON SET/LOCK LUER T
EXTENSION SET 20" STERILE PK
CHECK VALVE EXTENSION W/T
12 MICROBORE EXTEN SET-SL
20 MICROBORE EXTEN SET-SL
20 MICRO EXT SET-SL W/Y-INJ
36 MICROBORE EXTEN SET-SL
72 MICROBORE EXTENSN SET-SL
72 MICROBORE FAT EM SET-SL
DIPROLENE 0.05% LOTION
DIPROLENE 0.05% LOTION
ALLEGRA-D 12 HOUR TABLET
ALLEGRA-D 12 HOUR TABLET
ALLEGRA-D 12 HOUR TABLET
MINOCYCLINE 75 MG CAPSULE
DEXPAK 1.5 MG TABLET
MINOCYCLINE 75 MG CAPSULE

DOSE FORM DRUG STRENGTH


TC
KC
SO
AF
AF
SO
CM
SO
TC
KC
HS
TA
TA
YK
YK
YK
TA
YK
YK
YK
JF
HQ
HQ
HQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
SK
SK
TM
TM
TM
CA
UD
CA

UNIT PRICE
$
0.78
$
0.78
$
0.78
$
0.78
$
0.78
$
0.78
$
0.78
$
0.78
$
0.78
$
0.78
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79

NDC
00168027338
00264918650
00264918750
00264918850
00264918950
00264919050
00264919150
00264919350
00264919650
00264920150
00264920250
00264920550
00264920650
00264945450
00591315301
00597008461
00597008490
00944293501
08021000032
08021000033
08021000041
08021000042
08021000044
08021000045
08021000046
08021000047
08021000048
08021000049
08021000050
08021000051
08021000052
08021000059
08021000062
08021471905
08021471949
08021471950
08021471952
08021471953
08021471954
08021471957
08021471959
08021471960
08021471962
08021471972
08021471976
08021471977
08021471979
08021471980
08021471990
08021471991
08021471993
08021471994
08021471998

NAME
BACIT/POLYMYXIN EYE OINT
TOTALLY STERILE EXT SET
TOTALLY STERILE EXT SET
TOTALLY STERILE EXT SET
TOTALLY STERILE EXT SET
TOTALLY STERILE EXT SET
ANESTHESIA EXTENS SET
TOTALLY STERILE EXT SET
TOTALLY STERILE EXT SET
TOTALLY STER T-CONNECT SET
TOTALLY STER T-CONNECT SET
STERILE STOPCOCK EXT SET
STERILE STOPCOCK EXT SET
PEDIATRIC IV SET/RATE FLOW
MINOCYCLINE 75 MG CAPSULE
MIRAPEX 0.25 MG TABLET
MIRAPEX 0.25 MG TABLET
HEMOFIL-M 200-1,500 UNITS VIAL
BI-FUSE SMALLBORE INJ SET
BI-FUSE EXTENSION SET
ULTRASITE T-PORT EXT SET
SMALLBORE Y-EXTENSION SET
EXTENSION SET CSE33SL
SMALLBORE EXTENSION SET
SMALLBORE EXTENSION SET
SMALLBORE EXTENSION SET
SMALLBORE EXTENSION SET
SMALLBORE EXTENSION SET
EXTENSION SET CSE8TSL
EXTENSION SET CSE8SL
SMALLBORE EXTENSION SET
RATE FLOW REGULATOR EXT SET
RATE FLOW REGULATOR EXT SET
SMALL BORE EXTENSION SET,5"
T-PORT STAND BORE EXT SET
T-PORT SMALL BORE EXT SET
T-PORT SMALL BORE EXT SET
STANDARD BORE EXTEN SET,5"
T-PORT SMALL BORE EXT SET
SMALL BORE"Y"TYPE EXTEN SET
SMALL BORE"Y"TYPE EXTEN SET
SMALL BORE EXTENSION SET
T-PORT SMALL BORE EXT SET
SMALL BORE EXTENSION SET
SMALL BORE Y-EXT SET/SAFSITE
STANDARD BORE"Y"EXTENSN,SET
Y-TYPE EXTENSION SET
Y-TYPE EXTEN SET W/CLAMP
STANDARD BORE EXTEN SET,12"
SMALL BORE EXTENSION SET
SMALL BORE Y-EXT SET/SAFSITE
SMALL BORE Y-EXT SET/SAFSITE
SMALL BORE EXTENSION SET,5"

DOSE FORM DRUG STRENGTH


OA
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
CA
TA
TA
HS
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ

UNIT PRICE
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79

NDC
08021472000
08021472010
08021472020
08021472022
08021472036
08021472038
08021472060
08021472062
08021472064
08021472066
08021472068
08021472070
08021472071
08021472072
08021473000
08021473005
08021473007
08021473009
08021473010
08021473012
08021473017
08021473020
08021473021
08021473022
08021473025
08021473041
08021473042
08021473045
08021473052
08021473109
08021473110
08021473111
08021473112
08021473113
08021473114
08021473115
08021474014
08080223800
08080224900
08219783700
08219784400
08881200235
08884413605
08884423600
10019015901
17478023835
24208055555
38779224508
38779224509
49999019514
49999019520
49999019530
49999020935

NAME
STANDARD BORE EXTEN SET,20"
STANDARD BORE EXTEN SET 20"
STANDARD BORE EXTEN SET,20"
STANDARD BORE EXTEN SET,23"
ANESTHESIA EXTEN SET
ANESTHESIA EXTEN SET
SMALL BORE EXT SET/SAFSITE
SMALL BORE EXTENSION SET,8"
SMALL BORE EXT SET/SAFSITE
SMALL BORE T-PORT W/SAFSITE
SMALL BORE T-PORT W/SAFSITE
STANDARD BORE EXTEN SET,6"
STANDARD BORE EXTEN SET,7"
STANDARD BORE EXTEN SET,8"
STANDARD BORE EXTEN SET,30"
STANDARD BORE EXTEN SET,30"
ANTI-REFLUX"Y"EXTENSION SET
T-PORT SMALL BORE EXT SET
STANDARD BORE EXTEN SET,30"
STANDARD BORE EXTEN SET,30"
STANDARD BORE EXTEN SET,35"
STANDARD BORE EXTEN SET,40"
MICROBORE LUERLK EXTEN SET
T-PORT SMALL BORE EXT SET
MICROBORE LUERLK EXTEN SET
SML BORE TRIPLE-LEG EXT SET
SMALL BORE EXTEN SET,13"
SMALL BORE EXT SET/SAFSITE
SMALL BORE T-PORT W/SAFSITE
SMALL BORE EXTENSION SET,4"
SMALL BORE EXTENSION SET,4"
STANDARD BORE EXTEN SET,4"
STANDARD BORE EXTEN SET,4"
SMALL BORE EXTENSION SET,4"
SMALL BORE EXTENSION SET,4"
SMALL BORE EXTENSION SET,4"
STANDARD BORE EXTEN SET,15"
CONFORM STRETCH BANDAGE
CONFORM STRETCH BANDAGE
CURITY PETROLATUM GAUZE
CURITY PETROLATUM GAUZE
HYPODERMIC NEEDLE,ALUM HUB
PETROLATUM GAUZE 3" X 9"
PETROLATUM GAUZE 3"X 9"
MEPERIDINE 25 MG/ML VIAL
AK-POLY-BAC EYE OINTMENT
BACIT/POLYMYXIN EYE OINT
VALPROIC ACID LIQUID
VALPROIC ACID LIQUID
ALLEGRA-D 12 HOUR TABLET
ALLEGRA-D 12 HOUR TABLET
ALLEGRA-D 12 HOUR TABLET
POLYSPORIN EYE OINTMENT

DOSE FORM DRUG STRENGTH


YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YE
YE
YE
YE
YH
YE
YE
HV
OA
OA
RL
RL
TM
TM
TM
OA

UNIT PRICE
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79

NDC
49999040635
49999041901
49999041930
50474040001
51991007801
52959069430
52959122403
54569087700
54569357000
54569465800
54569465801
54569465802
54569546900
54569547800
54799051535
54868119900
54868356400
54868356401
54868356402
54868414600
54868421100
54868425800
54868425801
54868425802
54868425803
54868475300
54868504000
54868504001
55045306000
55289078330
55289078360
55887048530
57866125001
57866125002
58016300501
58016555601
58016561101
58864085560
61570004935
62022062830
62022077030
63304069501
63481068706
66267092535
66576023001
66870002001
68030125001
68030125002
68115091420
68115091430
94688001245
99207048910
99207048911

NAME
BACIT-POLYMYXIN EYE OINT
LIDODERM 5% PATCH
LIDODERM 5% PATCH
THEO-24 400 MG CAPSULE SA
SYNTEST H.S. TABLET
LIDODERM 5% PATCH
BACIT/POLYMYXIN EYE OINT
POLYSPORIN EYE OINTMENT
BACIT/POLYMYXIN EYE OINT
ALLEGRA-D 12 HOUR TABLET
ALLEGRA-D 12 HOUR TABLET
ALLEGRA-D 12 HOUR TABLET
LIDODERM 5% PATCH
BENZAMYCINPAK GEL
POLYCIN-B EYE OINTMENT
BACIT/POLYMYXIN EYE OINT
ESTRATEST H.S. TABLET
ESTRATEST H.S. TABLET
ESTRATEST H.S. TABLET
LIDODERM 5% PATCH
MIRAPEX 0.25 MG TABLET
ALLEGRA-D 12 HOUR TABLET
ALLEGRA-D 12 HOUR TABLET
ALLEGRA-D 12 HOUR TABLET
ALLEGRA-D 12 HOUR TABLET
DIPROLENE 0.05% LOTION
MINOCYCLINE 75 MG CAPSULE
MINOCYCLINE 75 MG CAPSULE
LIDODERM 5% PATCH
ALLEGRA-D 12 HOUR TABLET
ALLEGRA-D 12 HOUR TABLET
LIDODERM 5% PATCH
ALLEGRA-D 12 HOUR TABLET
ALLEGRA-D 12 HOUR TABLET
HEMORRHOIDAL W/HC CREAM
BACIT/POLYMYXIN EYE OINT
LIDODERM 5% PATCH
ALLEGRA-D 12 HOUR TABLET
POLYSPORIN EYE OINTMENT
ALTOPREV 20 MG TABLET
ALTOCOR 20 MG TABLET
MINOCYCLINE 75 MG CAPSULE
LIDODERM 5% PATCH
BACIT/POLYMYXIN EYE OINT
SYNTEST H.S. TABLET
MAXIPHEN DM CAPLET
ALLEGRA-D 12 HOUR TABLET
ALLEGRA-D 12 HOUR TABLET
LIDODERM 5% PATCH
LIDODERM 5% PATCH
ARGITEIN PACKETS
DYNACIN 75 MG CAPSULE
DYNACIN 75 MG CAPSULE

DOSE FORM DRUG STRENGTH


OA
PS
PS
CC
TA
PS
OA
OA
OA
TM
TM
TM
PS
JF
OA
OA
TA
TA
TA
PS
TA
TM
TM
TM
TM
SK
CA
CA
PS
TM
TM
PS
TM
TM
KA
OA
PS
TM
OA
TI
TI
CA
PS
OA
TA
TM
TM
TM
PS
PS
PP
CA
CA

UNIT PRICE
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79
$
0.79

NDC
99207049905
99207049910
99207049911
00006378464
00006378564
00049214066
00074707514
00086009010
00093719856
00172434610
00172434646
00172434660
00172434670
00173026010
00173026035
00247027401
00338070541
00574086201
00603749639
00641141035
00641296545
00777310730
00781282401
08080807400
08219223600
08219224700
08219805400
08219807400
08225799000
08333158101
08333158109
08884662001
10019011501
10019012601
10356002071
10356002593
10356002598
17317162903
17317162906
24208031705
24208031710
49452269501
49452269502
49452269503
49884074301
49884074305
49884074311
49999052405
51552025105
51674011801
51674037501
51927109400
52959056703

NAME
DYNACIN 75 MG CAPSULE
DYNACIN 75 MG CAPSULE
DYNACIN 75 MG CAPSULE
VIOXX 12.5 MG/5 ML ORAL SUSP
VIOXX 25 MG/5 ML ORAL SUSP
ANTIVERT 50 MG TABLET
POTASSIUM CL 10 MEQ/50 ML SOL
NAPRELAN 375 TABLET SA
FLUOXETINE HCL 40 MG CAPSULE
FLUOXETINE HCL 40 MG CAPSULE
FLUOXETINE HCL 40 MG CAPSULE
FLUOXETINE HCL 40 MG CAPSULE
FLUOXETINE HCL 40 MG CAPSULE
LANOXIN 0.25 MG/ML AMPUL
LANOXIN 0.25 MG/ML AMPUL
LANOXIN 0.25 MG/ML AMPUL
POTASSIUM CL 10 MEQ/50 ML SOL
ESMOLOL HCL 10 MG/ML VIAL
ZOTANE HC AQUEOUS DROPS
DIGOXIN 0.25 MG/ML AMPUL
ESMOLOL HCL 10 MG/ML VIAL
PROZAC 40 MG PULVULE
FLUOXETINE 40 MG CAPSULE
KERLIX LITE GAUZE BANDAGE
CONFORM STRETCH BANDAGE
CONFORM STRETCH BANDAGE
KERLIX LITE GAUZE BANDAGE
KERLIX LITE GAUZE BANDAGE
CURAD 4" X 4.1YDS BANDAGE
COBAN WRAP 1" X 5 YARDS
COBAN WRAP 1" X 5 YARDS
EXPANDOVER BANDAGE 1"X5YDS
BREVIBLOC 10 MG/ML VIAL
BREVIBLOC 10 MG/ML VIAL
ELASTOMULL GAUZE BANDAGE
ELASTOPLAST ELASTIC BANDAGE
ELASTOPLAST ELASTIC BANDAGE
DOXYLAMINE SUCCINATE POWDER
DOXYLAMINE SUCCINATE POWDER
SULF-PRED 0.25% EYE DROPS
SULF-PRED 0.25% EYE DROPS
DOXYLAMINE SUCCINATE POWDER
DOXYLAMINE SUCCINATE POWDER
DOXYLAMINE SUCCINATE POWDER
FLUOXETINE 40 MG CAPSULE
FLUOXETINE HCL 40 MG CAPSULE
FLUOXETINE HCL 40 MG CAPSULE
SULF-PRED 0.25% EYE DROPS
DOXYLAMINE SUCCINATE POWDER
CORTANE-B AQUEOUS DROPS
NAPRELAN 375 TABLET SA
DOXYLAMINE SUCCINATE POWDER
SULF-PRED 10-0.25% EYE DROP

DOSE FORM DRUG STRENGTH


CA
CA
CA
SC
SC
TA
HP
TS
CA
CA
CA
CA
CA
HH
HH
HH
HP
HV
SO
HH
HV
CA
CA
YE
YE
YE
YE
YE
YE
YE
YE
YE
HV
HV
YE
YE
YE
PA
PA
SO
SO
PA
PA
PA
CA
CA
CA
SO
PA
SO
TS
PA
SO

UNIT PRICE
$
0.79
$
0.79
$
0.79
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80

NDC
52959071730
52959120701
54569117700
54569532000
54868000900
54868000901
54868184001
54868184002
54868397400
54868456200
54868471300
55111014901
55111014930
55289059620
55390006210
56091006931
56091006937
56091007031
58016070400
58016070402
58016070403
58016070430
58016070460
58016070473
58016070489
58016070490
58016556601
58016622201
58016657101
58768088705
58768088710
59630048090
61314029705
61314029710
61480025505
63162050930
63323065210
64022272805
64455013101
64455013301
66860008002
68030013301
68030728101
68115014530
68115054430
00037043001
00037043011
00062133215
00062133220
00187015206
00187015230
00187015306
00187015330

NAME
FLUOXETINE HCL 40 MG CAPSULE
VASOCIDIN 0.25% EYE DROPS
VASOCIDIN 0.25% EYE DROPS
FLUOXETINE HCL 40 MG CAPSULE
TEVETEN HCT 600-25 MG TAB
TEVETEN HCT 600-25 MG TAB
VASOCIDIN 0.25% EYE DROPS
VASOCIDIN 0.25% EYE DROPS
NAPRELAN 375 TABLET SA
FLUOXETINE 40 MG CAPSULE
SPEED TRAUMA FORMULA GEL
FLUOXETINE HCL 40 MG CAPSULE
FLUOXETINE HCL 40 MG CAPSULE
NAPRELAN 375 TABLET SA
ESMOLOL HCL 10 MG/ML VIAL
KLING FLUFF ROLL
KLING FLUFF ROLL
DYNA-FLEX COMPRESSION BNDGE
FLUOXETINE HCL 40 MG CAPSULE
FLUOXETINE HCL 40 MG CAPSULE
FLUOXETINE HCL 40 MG CAPSULE
FLUOXETINE HCL 40 MG CAPSULE
FLUOXETINE HCL 40 MG CAPSULE
FLUOXETINE HCL 40 MG CAPSULE
FLUOXETINE HCL 40 MG CAPSULE
FLUOXETINE HCL 40 MG CAPSULE
SULF-PRED 0.25% EYE DROPS
VASOCIDIN 0.25% EYE DROPS
SULF-PRED 10-0.25% EYE DROP
VASOCIDIN 0.25% EYE DROPS
VASOCIDIN 0.25% EYE DROPS
TRIGLIDE 50 MG TABLET
SULF-PRED 10-0.25% EYE DROP
SULF-PRED 10-0.25% EYE DROP
PSORIZIDE FORTE TABLET
BALAMINE DM DROPS
ESMOLOL HCL 10 MG/ML VIAL
SPEED TRAUMA FORMULA GEL
TEVETEN 600 MG TABLET
TEVETEN HCT 600-25 MG TAB
DIGOXIN 0.25 MG/ML AMPUL
SULF-PRED 10-0.25% EYE DROP
SULF-PRED 10-0.25% EYE DROP
FLUOXETINE 40 MG CAPSULE
FLUOXETINE 40 MG CAPSULE
FELBATOL 400 MG TABLET
FELBATOL 400 MG TABLET
ORTHO-NOVUM 1/50-28 TABLET
ORTHO-NOVUM 1/50-28 TABLET
NITEBITE BAR
NITEBITE BAR
NITEBITE BAR
NITEBITE BAR

DOSE FORM DRUG STRENGTH


CA
SO
SO
CA
TA
TA
SO
SO
TS
CA
JC
CA
CA
TS
VI
YE
YE
YE
CA
CA
CA
CA
CA
CA
CA
CA
SO
SO
SO
SO
SO
TA
SO
SO
TC
SO
HV
JC
TA
TA
HH
SO
SO
CA
CA
TA
TA
TA
TA
EB
EB
EB
EB

UNIT PRICE
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.80
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81

NDC
00187152188
00187152720
00187153185
00187153727
00212164714
00212165714
00212166714
00212354712
00212355712
00212356712
00212357712
00270045520
00270045550
00270045551
00316014001
00482011812
00482011819
00482012001
00904561746
08080676500
08219406900
08219676500
38779040301
38779040304
38779040305
38779041004
38779041005
38779088403
38779088404
38779088405
38779088408
49452159102
49452471501
49452471502
49452471503
51927108200
51927301200
52544026528
52544026531
52544055628
54569515800
58869044501
60258051201
62991204201
62991204202
62991204203
63370021225
63370021235
63370021250
63717051201
64731086001
66479086001
00004024648

NAME
NITEBITE BAR
NITEBITE BAR
NITEBITE BAR
NITEBITE BAR
OPTIFAST 800 POWDER PACKET
OPTIFAST 800 POWDER PACKET
OPTIFAST 800 POWDER PACKET
OPTIFAST 70 POWDER PACKET
OPTIFAST 70 POWDER PACKET
OPTIFAST 70 POWDER PACKET
OPTIFAST 70 POWDER PACKET
ORAGRAFIN SODIUM 500 MG CAPS
ORAGRAFIN SODIUM 500 MG CAPS
ORAGRAFIN SODIUM 500 MG CAPS
ALA-SCALP HP 2% LOTION
LUBRIN VAGINAL INSERTS
LUBRIN VAGINAL INSERTS
LUBRIN VAGINAL INSERTS
COENZYME Q-10 75 MG SOFTGEL
KERLIX BURN DRESSING
KERLIX DISPOSABLE LAP SPNGE
KERLIX BURN DRESSING
METOCLOPRAMIDE HCL POWDER
METOCLOPRAMIDE HCL POWDER
METOCLOPRAMIDE HCL POWDER
ACETAZOLAMIDE POWDER
ACETAZOLAMIDE POWDER
PYRIMETHAMINE POWDER
PYRIMETHAMINE POWDER
PYRIMETHAMINE POWDER
PYRIMETHAMINE POWDER
PENTOXIFYLLINE POWDER
METOCLOPRAMIDE HCL POWDER
METOCLOPRAMIDE HCL POWDER
METOCLOPRAMIDE HCL POWDER
METOCLOPRAMIDE HCL POWDER
PENTOXIFYLINE POWDER
NORINYL 1+50-28 TABLET
NORINYL 1+50-28 TABLET
NECON 1/50-28 TABLET
URIMAX TABLET SA
TOURO CC-LD CAPLET
MSP-BLU TABLET
METOCLOPRAMIDE HCL POWDER
METOCLOPRAMIDE HCL POWDER
METOCLOPRAMIDE HCL POWDER
PYRIMETHAMINE POWDER
PYRIMETHAMINE POWDER
PYRIMETHAMINE POWDER
UTIRA TABLET
URIMAX TABLET SA
URIMAX TABLET SA
FORTOVASE 200 MG SOFTGEL CAP

DOSE FORM DRUG STRENGTH


EB
EB
EB
EB
PP
PP
PP
PP
PP
PP
PP
CA
CA
CA
SK
IN
IN
QB
CA
YE
YV
YE
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
TA
TA
TA
TE
TM
TE
PA
PA
PA
PA
PA
PA
TE
TE
TE
CA

UNIT PRICE
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.81
$
0.82

NDC
00054004421
00054004429
00054449613
00054449625
00054849619
00093723106
00095120006
00172584100
00172584110
00172584149
00172584170
00185022305
00185022360
00185072001
00185072005
00185072060
00247032110
00247032114
00378702501
00521451600
00525050390
00555048401
00555048402
00591037101
00781166401
00781509660
00904558452
00904558460
08080672500
08080673500
08219672500
08219673500
08219783800
08219784500
08290329622
08884414600
08884424600
10144060215
10961000262
10961000272
38779015504
38779015505
49452247803
49452247804
49452247901
49452247902
49452247903
49452248101
49452248102
49452248103
49452248201
49452248202
49452248203

NAME
CILOSTAZOL 100 MG TABLET
CILOSTAZOL 100 MG TABLET
LEUCOVORIN CALCIUM 5 MG TAB
LEUCOVORIN CALCIUM 5 MG TAB
LEUCOVORIN CALCIUM 5 MG TAB
CILOSTAZOL 100 MG TABLET
LODRANE 24 ER CAPSULE
CILOSTAZOL 100 MG TABLET
CILOSTAZOL 100 MG TABLET
CILOSTAZOL 100 MG TABLET
CILOSTAZOL 100 MG TABLET
CILOSTAZOL 100 MG TABLET
CILOSTAZOL 100 MG TABLET
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
LOXAPINE SUCCINATE 25 MG CAP
ACTIN-N SOLUBLE DRESSING
CEREFOLIN TABLET
LEUCOVORIN CALCIUM 5 MG TAB
LEUCOVORIN CALCIUM 5 MG TAB
LOXAPINE SUCCINATE 25 MG CAP
THIORIDAZINE 150 MG TABLET
CILOSTAZOL 100 MG TABLET
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
KERLIX GAUZE ROLL
KERLIX GAUZE ROLL
KERLIX GAUZE ROLL
KERLIX GAUZE ROLL
CURITY PETROLATUM GAUZE
CURITY PETROLATUM GAUZE
B-D INSULIN U100-1 ML SYRNGE
PETROLATUM GAUZE 3"X 18"
PETROLATUM GAUZE 3" X 18"
ZANAFLEX 2 MG CAPSULE
PUMICE STONES
PUMICE STONES
PRILOCAINE HCL POWDER
PRILOCAINE HCL POWDER
DEXTRAN SULF SOD 12,000 PWD
DEXTRAN SULF SOD 12,000 PWD
DEXTRAN SULF SOD LIGHT POWD
DEXTRAN SULF SOD LIGHT POWD
DEXTRAN SULF SOD LIGHT POWD
DEXTRAN SULF SOD 8,000 POWD
DEXTRAN SULF SOD 8,000 POWD
DEXTRAN SULF SOD 8,000 POWD
DEXTRAN SULF SODIUM POWDER
DEXTRAN SULF SODIUM POWDER
DEXTRAN SULF SODIUM POWDER

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
CC
TA
TA
TA
TA
TA
TA
CS
CS
CS
CS
CS
CA
YE
TA
TA
TA
CA
TA
TA
CS
CS
YE
YE
YE
YE
YE
YE
YL
YE
YE
CA
EA
EA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA

UNIT PRICE
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82

NDC
49452248301
49452248302
49452248303
49452601001
49452601002
49884051303
49884051310
49999037130
51079058101
51079058106
51079090201
51079090220
51927172000
52152025001
52544049601
52959008207
52959008214
52959008215
52959008220
52959008221
52959008230
52959008260
53265026910
53265026911
53265026960
54569151800
54569151802
54569151803
54569456300
54569456301
54868087800
54868092200
54868092201
54868092202
54868092203
54868092206
54868092207
54868331000
54868331001
54868368000
54868411000
54868442700
54868525200
55045143708
55289046910
55289046914
55289046915
55289046920
55289046930
57866493902
58016023707
58016023710
58016023712

NAME
DEXTRAN SULF SODIUM POWDER
DEXTRAN SULF SODIUM POWDER
DEXTRAN SULF SODIUM POWDER
PRILOCAINE HCL POWDER
PRILOCAINE HCL POWDER
MINOCYCLINE HCL 100 MG TABLET
MINOCYCLINE HCL 100 MG TABLET
INDOMETHACIN 75 MG CAPSULE
LEUCOVORIN CALCIUM 5 MG TAB
LEUCOVORIN CALCIUM 5 MG TAB
LOXAPINE 25 MG CAPSULE
LOXAPINE 25 MG CAPSULE
PRILOCAINE HCL POWDER
CILOSTAZOL 100 MG TABLET
LOXITANE 25 MG CAPSULE
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
FORTOVASE 200 MG SOFTGEL CAP
FORTOVASE 200 MG SOFTGEL CAP
INDOCIN SR 75 MG CAPSULE SA
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
LEUCOVORIN CALCIUM 5 MG TAB
LEUCOVORIN CALCIUM 5 MG TAB
ORTHO-DIENESTROL 0.01% CREAM
FORTOVASE 200 MG SOFTGEL CAP
PLETAL 100 MG TABLET
LODRANE 24 ER CAPSULE
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA

DOSE FORM DRUG STRENGTH


PA
PA
PA
PA
PA
TA
TA
CS
TA
TA
CA
CA
PA
TA
CA
CS
CS
CS
CS
CS
CS
CS
CS
CS
CS
CS
CS
CS
CA
CA
CS
CS
CS
CS
CS
CS
CS
TA
TA
KA
CA
TA
CC
CS
CS
CS
CS
CS
CS
CS
CS
CS
CS

UNIT PRICE
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82

NDC
58016023714
58016023715
58016023720
58016023721
58016023724
58016023728
58016023730
58016023740
58016023760
59148000216
59148000235
59366734005
60505252201
60760060714
61570007550
62022062930
62022078030
62037054160
62584031260
62584076601
64814069560
66267012114
66267012115
66267012120
66993000960
68115018530
99207049211
99207049250
00003324403
00008078101
00008078102
00009002201
00045064765
00064107060
00247085306
00247085330
00247085360
00247085390
00366019022
00496051348
10223020101
49326037610
49999059530
54569202800
54569413101
54868341400
54868341401
54868341402
54868341403
54868498100
54868507500
54868507501
54868507800

NAME
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
PLETAL 100 MG TABLET
PLETAL 100 MG TABLET
MYRAC 100 MG TABLET
CILOSTAZOL 100 MG TABLET
INDOMETHACIN 75 MG CAP SA
MENEST 2.5 MG TABLET
ALTOPREV 40 MG TABLET
ALTOCOR 40 MG TABLET
CILOSTAZOL 100 MG TABLET
INDOMETHACIN 75 MG CAP SA
LEUCOVORIN CALCIUM 5 MG TAB
INDOCIN SR 75 MG CAPSULE SA
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
INDOMETHACIN 75 MG CAP SA
CILOSTAZOL 100 MG TABLET
INDOMETHACIN 75 MG CAP SA
DYNACIN 100 MG TABLET
DYNACIN 100 MG TABLET
SENSI-CARE MOISTURIZING CRM
EFFEXOR 37.5 MG TABLET
EFFEXOR 37.5 MG TABLET
MEDROL 8 MG TABLET
TOPAMAX 15 MG SPRINKLE CAP
EXACTACAIN SPRAY
EFFEXOR 37.5 MG TABLET
EFFEXOR 37.5 MG TABLET
EFFEXOR 37.5 MG TABLET
EFFEXOR 37.5 MG TABLET
POVIDONE-IODINE 7.5%/BRUSH
DETACHOL ADHESIVE REMOVER
CETACAINE SPRAY
ALBAFORT TABLET
EFFEXOR 37.5 MG TABLET
CETACAINE SPRAY
EFFEXOR 37.5 MG TABLET
EFFEXOR 37.5 MG TABLET
EFFEXOR 37.5 MG TABLET
EFFEXOR 37.5 MG TABLET
EFFEXOR 37.5 MG TABLET
KADIAN 30 MG CAPSULE SR
BENICAR HCT 40-12.5 MG TAB
BENICAR HCT 40-12.5 MG TAB
BENICAR HCT 40-25 MG TABLET

DOSE FORM DRUG STRENGTH


CS
CS
CS
CS
CS
CS
CS
CS
CS
TA
TA
TA
TA
CS
TA
TI
TI
TA
CS
TA
CS
CS
CS
CS
TA
CS
TA
TA
KA
TA
TA
TA
CK
AS
TA
TA
TA
TA
YV
DP
AS
TA
TA
AS
TA
TA
TA
TA
TA
CP
TA
TA
TA

UNIT PRICE
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.82
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83

NDC
54868509400
54868509401
54868517000
54868528100
54868528101
55887044530
55887044560
55887044582
55887044590
55887054425
58016034900
58016034910
58016034914
58016034915
58016034920
58016034921
58016034930
58016034940
58016034950
58016034960
58016034990
58016062600
58016062630
58016062660
58016062690
58016471901
59702011201
59746000204
59746000206
63395020113
63857032506
63857032511
64455010110
64455010130
64455010190
64455013201
65597010530
65597010590
65597010630
65597010690
65597010730
65597010790
66993084225
68115039100
00023869430
00023869450
00024030406
00034051310
00034051312
00069153041
00069153068
00069153072
00072150030

NAME
QDALL CAPSULE
QDALL CAPSULE
BENICAR HCT 20-12.5 MG TABLET
TEVETEN HCT 600-12.5 MG TAB
TEVETEN HCT 600-12.5 MG TAB
EFFEXOR 37.5 MG TABLET
EFFEXOR 37.5 MG TABLET
EFFEXOR 37.5 MG TABLET
EFFEXOR 37.5 MG TABLET
MEDROL 8 MG TABLET
EFFEXOR 37.5 MG TABLET
EFFEXOR 37.5 MG TABLET
EFFEXOR 37.5 MG TABLET
EFFEXOR 37.5 MG TABLET
EFFEXOR 37.5 MG TABLET
EFFEXOR 37.5 MG TABLET
EFFEXOR 37.5 MG TABLET
EFFEXOR 37.5 MG TABLET
EFFEXOR 37.5 MG TABLET
EFFEXOR 37.5 MG TABLET
EFFEXOR 37.5 MG TABLET
TOPAMAX 15 MG SPRINKLE CAP
TOPAMAX 15 MG SPRINKLE CAP
TOPAMAX 15 MG SPRINKLE CAP
TOPAMAX 15 MG SPRINKLE CAP
METHYLPREDNISOLONE 8 MG TAB
QDALL CAPSULE
METHYLPREDNISOLONE 8 MG TAB
METHYLPREDNISOLONE 8 MG TAB
EVOXAC 30 MG CAPSULE
KADIAN 30 MG CAPSULE SR
KADIAN 30 MG CAPSULE SR
CARDIZEM LA 180 MG TABLET
CARDIZEM LA 180 MG TABLET
CARDIZEM LA 180 MG TABLET
TEVETEN HCT 600-12.5 MG TAB
BENICAR HCT 20-12.5 MG TAB
BENICAR HCT 20-12.5 MG TAB
BENICAR HCT 40-12.5 MG TAB
BENICAR HCT 40-12.5 MG TAB
BENICAR HCT 40-25 MG TABLET
BENICAR HCT 40-25 MG TABLET
METHYLPREDNISOLONE 8 MG TAB
EFFEXOR 37.5 MG TABLET
AZELEX 20% CREAM
AZELEX 20% CREAM
DANOCRINE 100 MG CAPSULE
MS CONTIN 200 MG TABLET SA
MS CONTIN 200 MG TABLET SA
NORVASC 5 MG TABLET
NORVASC 5 MG TABLET
NORVASC 5 MG TABLET
VANIQA 13.9% CREAM

DOSE FORM DRUG STRENGTH


CC
CC
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CK
CK
CK
CK
TA
CC
TA
TA
CA
CP
CP
TI
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
KA
KA
CA
TS
TS
TA
TA
TA
KA

UNIT PRICE
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.83
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84

NDC
00074119301
00074453526
00074453584
00074707714
00310030054
00314077270
00338070341
00378700501
00406832001
00555063402
00591036901
08080403700
08219783600
08219784300
08287126731
08287126738
08287126741
08287126742
08287126743
08287126746
08287126751
08884412600
08884422600
12333902401
38779035501
38779035504
38779035505
38779055703
38779055704
38779055705
38779198001
38779198004
38779198005
49452120001
49452120002
49452249501
49452249502
49452249503
49452250001
49452250002
49452250003
49452324002
49452324003
49452324004
49452324005
49452445501
49452445502
49452445503
51552090204
51552090206
51927133900
51927330100
52544049401

NAME
NYLON EPIDURAL CATHETER
ABBOCATH-T 26GX3/4"
ABBOCATH-T(SUBCLAV)14GX5 1/2"
POTASSIUM CL 20 MEQ/50 ML SOL
DIPRIVAN 10 MG/ML SYRINGE
TESTOSTERONE PROP 100 MG/ML
POTASSIUM CL 20 MEQ/50 ML SOL
LOXAPINE SUCCINATE 5 MG CAP
MORPHINE SULF 200 MG TAB SA
DANAZOL 100 MG CAPSULE
LOXAPINE SUCCINATE 5 MG CAP
KERLIX DISPOSABLE LAP SPNGE
CURITY PETROLATUM GAUZE
CURITY PETROLATUM GAUZE
EXEL IV CATHETER 16G X 2"
EXEL IV CATHETER 18G X 2"
EXEL IV CATHETER 20G X 1"
EXEL IV CATHETER 20GX1 1/4"
EXEL IV CATHETER 20G X 2"
EXEL IV CATHETER 22G X 1"
EXEL IV CATHETER 24G X 3/4"
PETROLATUM GAUZE 1" X 36"
PETROLATUM GAUZE 1"X36"
LIP BALM SPF 15
DEXTROMETHORPHAN HBR POWDER
DEXTROMETHORPHAN HBR POWDER
DEXTROMETHORPHAN HBR POWDER
MEPIVACAINE HCL POWDER
MEPIVACAINE HCL POWDER
MEPIVACAINE HCL POWDER
GABAPENTIN POWDER
GABAPENTIN POWDER
GABAPENTIN POWDER
BISMUTH TRIBROMOPHENATE PWD
BISMUTH TRIBROMOPHENATE PWD
DEXTROMETHORPHAN POWDER
DEXTROMETHORPHAN POWDER
DEXTROMETHORPHAN POWDER
DEXTROMETHORPHAN HBR POWDER
DEXTROMETHORPHAN HBR POWDER
DEXTROMETHORPHAN HBR POWDER
GABAPENTIN POWDER
GABAPENTIN POWDER
GABAPENTIN POWDER
GABAPENTIN POWDER
MEPIVACAINE HCL POWDER
MEPIVACAINE HCL POWDER
MEPIVACAINE HCL POWDER
GABAPENTIN POWDER
GABAPENTIN POWDER
DEXTROMETHORPHAN HBR POWDER
GABAPENTIN POWDER
LOXITANE 5 MG CAPSULE

DOSE FORM DRUG STRENGTH


EA
EA
EA
HP
HQ
HV
HP
CA
TS
CA
CA
YV
YE
YE
EA
EA
EA
EA
EA
EA
EA
YE
YE
EH
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
CA

UNIT PRICE
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84

NDC
53303014215
54092004701
54092004752
54569386600
54569386601
54569463500
54569513000
54868287300
54868287301
54868287303
54868287304
54868287305
54868512400
54868530100
55289010330
55566721500
55566722000
56091003070
56091003072
56091003073
56091003075
56091003076
56091003077
56091003078
56091003080
56091003082
56091003083
56091003085
56091003086
56091003087
56091003088
57866662501
57866705401
58864062014
58864062030
59011026410
59011026412
59702080901
60951065970
62991104201
62991104202
62991104203
62991104204
62991220401
62991220402
62991220403
63275997004
63275997005
63275997008
63275997009
63370007225
63370007235
63370007245

NAME
RADIABLOCK LIP BALM
ETHMOZINE 250 MG TABLET
ETHMOZINE 250 MG TABLET
NORVASC 5 MG TABLET
NORVASC 5 MG TABLET
AZELEX 20% CREAM
VANIQA 13.9% CREAM
NORVASC 5 MG TABLET
NORVASC 5 MG TABLET
NORVASC 5 MG TABLET
NORVASC 5 MG TABLET
NORVASC 5 MG TABLET
VANIQA 13.9% CREAM
CARDIZEM LA 240 MG TABLET
NORVASC 5 MG TABLET
LUTREPULSE PUMP RESRV CATH
LUTREPULSE PUMP EXT CATHETR
PROTECTIV-W CATH 22GX1"
PROTECTIV-W CATH 16GX1 1/4"
PROTECTIV-W CATH 24GX 5/8"
PROTECTIV-W CATH 18GX1 1/4"
PROTECTIV-W CATH 20GX1 1/4"
PROTECTIV-W CATH 20GX1"
PROTECTIV-W CATH 14GX1 1/4"
PROTECTIV PLUS-W 22GX1"
PROTECTIV PLUS-W 16GX1 1/4"
PROTECTIV PLUS-W 24GX 5/8"
PROTECTIV PLUS-W 18GX1 1/4"
PROTECTIV PLUS-W 20GX1 1/4"
PROTECTIV PLUS-W 20GX1"
PROTECTIV PLUS-W 14GX1 1/4"
NORVASC 5 MG TABLET
MORPHINE SULF ER 200 MG TAB
NORVASC 5 MG TABLET
NORVASC 5 MG TABLET
MS CONTIN 200 MG TABLET SA
MORPHINE SO4 200MG TAB,SA
SUDAL-12 CHEWABLE TABLET
MORPHINE SULF 200 MG TAB SA
DEXTROMETHORPHAN HBR POWDER
DEXTROMETHORPHAN HBR POWDER
DEXTROMETHORPHAN HBR POWDER
DEXTROMETHORPHAN HBR POWDER
GABAPENTIN POWDER
GABAPENTIN POWDER
GABAPENTIN POWDER
GABAPENTIN POWDER
GABAPENTIN POWDER
GABAPENTIN POWDER
GABAPENTIN POWDER
DEXTROMETHORPHAN HBR POWDER
DEXTROMETHORPHAN HBR POWDER
DEXTROMETHORPHAN HBR POWDER

DOSE FORM DRUG STRENGTH


EH
TA
TA
TA
TA
KA
KA
TA
TA
TA
TA
TA
KA
TI
TA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
TA
TS
TA
TA
TS
TS
TC
TS
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA

UNIT PRICE
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84

NDC
63370007250
63370009925
63370009935
64248015030
64455010210
64455010230
64455010290
64760008301
64909010407
65473070101
67402004030
68030662501
68115089060
68115089090
87701047072
87701047073
00024225304
00032171101
00037043101
00037043111
00037110101
00049389028
00053762005
00053762010
00053762020
00053766801
00053766802
00053766804
00074130401
00074130431
00217681208
00217840408
00264948650
00264949650
00264949750
00264949850
00314069770
00314077170
00406883003
00406883005
00456315467
00517810525
00555027102
00574042001
00574042010
00574042025
00591523901
00591523910
00591571401
00677191037
00802395318
00802395319
00802395321

NAME
DEXTROMETHORPHAN HBR POWDER
GABAPENTIN POWDER
GABAPENTIN POWDER
VANIQA 13.9% CREAM
CARDIZEM LA 240 MG TABLET
CARDIZEM LA 240 MG TABLET
CARDIZEM LA 240 MG TABLET
SKIN BLEACHING 4% CRM/SUNSC
GLYCRON 4.5 MG TABLET
VIVACTIL 5 MG TABLET
VANIQA 13.9% CREAM
NORVASC 5 MG TABLET
NORVASC 5 MG TABLET
NORVASC 5 MG TABLET
BL SUNBLOCK SPF 20 STICK
BL LIP BALM SPF 15
WINSTROL 2 MG TABLET
PROMETRIUM 200 MG CAPSULE
FELBATOL 600 MG TABLET
FELBATOL 600 MG TABLET
MILTOWN 200 MG TABLET
TROVAN I.V. 5 MG/ML VIAL
HUMATE-P 500 UNITS KIT
HUMATE-P 1,000 UNITS KIT
HUMATE-P 2,000 UNITS KIT
MONONINE 250 UNITS VIAL
MONONINE 500 UNITS VIAL
MONONINE 1,000 UNITS VIAL
HYDROMORPHONE 4 MG/ML SYRIN
HYDROMORPHONE 4 MG/ML SYRIN
TESAMONE-100 MG/ML VIAL
PREDICORT-50 50 MG/ML VIAL
CLAVE MDV ADAPTER
CLAVE AMPULE STRAW
CLAVE SDV ACCESS SPIKE
CLAVE MDV ACCESS SPIKE
KEY-PRED 50 MG/ML VIAL
TESTOSTERONE 100 MG/ML VIAL
HYDROCORTISONE POWDER
HYDROCORTISONE POWDER
AEROCHAMBER
ZINC SULFATE 5 MG/ML VIAL
SULFINPYRAZONE 100 MG TABLET
HYDROCORTISONE POWDER
HYDROCORTISONE POWDER
HYDROCORTISONE POWDER
MEPROBAMATE 200 MG TABLET
MEPROBAMATE 200 MG TABLET
AMOXAPINE 50 MG TABLET
UNI-HIST PDX DROPS
HYDROCORTISONE POWDER MICRO
HYDROCORTISONE POWDER MICRO
HYDROCORTISONE POWDER MICRO

DOSE FORM DRUG STRENGTH


PA
PA
PA
KA
TI
TA
TA
KA
TA
TA
KA
TA
TA
TA
EH
EH
TA
CA
TA
TA
TA
HV
YK
YK
YK
HS
HS
HS
HQ
HQ
HV
HV
EA
EA
EA
EA
HV
HV
PA
PA
GI
HV
TA
PA
PA
PA
TA
TA
TA
SO
PA
PA
PA

UNIT PRICE
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.84
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85

NDC
04351079510
04351079710
04351085750
04351098510
05461020201
08021412002
08021412013
08021413500
08021413501
08373055300
08373073000
08373073500
08373076510
08373076550
08373080010
08373080030
08373080050
08439060050
08439122015
08439620101
08439620110
08439620150
08439620201
08439620210
08439620250
08462104039
08462104044
08462109912
08462122015
12539036060
17191000049
17317019801
17317019802
17317019803
17317019808
18029094133
18029094134
18270020110
18270020301
38779000901
38779000904
38779000905
38779000908
38779000909
38779023503
38779023504
38779023505
39822500001
39822500003
39822500005
39822500007
39822500009
41100017566

NAME
AEROCHAMBER W/FLOWSIGNAL
AEROCHAMBER PLUS W/FLOWSIG
AEROVENT II HOLDING CHAMBER
AEROCHAMBER MV HOLD CHAMBER
INJEX 30 VIAL ADAPTER
DISPENSING PIN
DISPENSING PIN
DISPENSING PIN NON-VENTED
DISPENSING PIN NON-VENTED
PFLEX INSPIRATORY TRAINER
THRESHOLD IMT TRAINER
THRESHOLD PEP DEVICE
OPTIHALER
OPTIHALER
OPTICHAMBER ADVANTAGE
ZOEY OPTICHAMBER ADVANTAGE
OPTICHAMBER ADVANTAGE
WINDMILL TRAINER
WINDMILL TRAINER
POCKET SPACER
POCKET SPACER
POCKET SPACER
POCKET CHAMBER
POCKET CHAMBER
POCKET CHAMBER
WINDMILL TRAINER
WINDMILL TRAINER
IN-CHECK DIAL TRAINING DEVICE
WINDMILL TRAINER
SIDEROL TABLET
CYTOSAFE DISPENSING PIN
HYDROCORTISONE POWDER
HYDROCORTISONE POWDER
HYDROCORTISONE POWDER
HYDROCORTISONE POWDER
CHEMOPLUS DISPENSING PIN
CHEMOPLUS DISPENSING PIN
INJEX 30 VIAL ADAPTER
INJEX 30 VIAL ADAPTER
HYDROCORTISONE POWDER
HYDROCORTISONE POWDER
HYDROCORTISONE POWDER
HYDROCORTISONE POWDER
HYDROCORTISONE POWDER
LEVODOPA POWDER
LEVODOPA POWDER
LEVODOPA POWDER
HYDROCORTISONE POWDER
HYDROCORTISONE POWDER
HYDROCORTISONE POWDER
HYDROCORTISONE POWDER
HYDROCORTISONE POWDER
ARTRA BEAUTY BAR

DOSE FORM DRUG STRENGTH


GI
GI
GI
GI
EA
EA
EA
EA
EA
GI
GI
GI
GI
GI
GI
GI
GI
GI
GI
GI
GI
GI
GI
GI
GI
GI
GI
GI
GI
TA
EA
PA
PA
PA
PA
EA
EA
EA
EA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
EB

UNIT PRICE
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85

NDC
44229044020
47360017201
47360017202
47360017203
48433031005
49452039501
49452039502
49452268001
49452268002
49452268003
49452358001
49452358002
49452358003
49452358004
49502020301
49502020701
49502020725
50486008420
50914773003
51552002001
51552002003
51552002004
51552002005
51927213900
51927902800
54868423000
54868423001
54868451900
58016300401
60258042830
62991167301
62991167302
62991167303
62991167304
62991167305
62991167306
62991203901
62991203902
62991203903
62991203904
63323090390
63323090590
63323090790
63370010020
63370010025
63370010035
63370010045
63370010050
63370010055
63370010062
63717024001
63717070501
66346017130

NAME
SPACE CHAMBER HOLDING CHMBR
MICROSPACER AEROSOL DEVICE
MICROCHAMBER
INHALER COMPANIONS
HYDROCORTISONE POWDER
AMANTADINE HCL POWDER
AMANTADINE HCL POWDER
L-DOPA POWDER
L-DOPA POWDER
L-DOPA POWDER
HYDROCORTISONE POWDER
HYDROCORTISONE POWDER
HYDROCORTISONE POWDER
HYDROCORTISONE POWDER
ACE AEROSOL CLOUD ENHANCER
EASIVENT HOLDING CHAMBER
EASIVENT HOLDING CHAMBER
OPTIHALER DRUG DELIV SYSTEM
INULIN 100 MG/ML AMPUL
HYDROCORTISONE MICRO POWDER
HYDROCORTISONE POWD MICRON
HYDROCORTISONE MICRO POWDER
HYDROCORTISONE POWD MICRON
LEVODOPA POWDER
HYDROCORTISONE POWDER
PROMETRIUM 200 MG CAPSULE
PROMETRIUM 200 MG CAPSULE
AEROCHAMBER
ANUSOL-HC CREAM
BROMHIST PDX DROPS
HYDROCORTISONE POWDER
HYDROCORTISONE POWDER
HYDROCORTISONE POWDER
HYDROCORTISONE POWDER
HYDROCORTISONE POWDER
HYDROCORTISONE POWDER
LEVODOPA POWDER
LEVODOPA POWDER
LEVODOPA POWDER
LEVODOPA POWDER
CHEMO TRANSFER PIN
MINI TRANSFER PIN
TRANSFER PIN
HYDROCORTISONE POWDER
HYDROCORTISONE POWDER
HYDROCORTISONE POWDER
HYDROCORTISONE POWDER
HYDROCORTISONE POWDER
HYDROCORTISONE POWDER
HYDROCORTISONE POWDER
XPECT-AT CAPLET
XPECT-HC TABLET
ACCUHIST PDX DROPS

DOSE FORM DRUG STRENGTH


GI
GI
GI
GI
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
GI
GI
GI
GI
HH
PA
PA
PA
PA
PA
PA
CA
CA
GI
KA
SO
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
EA
EA
EA
PA
PA
PA
PA
PA
PA
PA
TM
TM
SO

UNIT PRICE
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85

NDC
66869061610
68047001030
68115063901
68115081900
83490031024
83490044020
83490051001
83490051002
83490051003
83490051004
00002314530
00004028322
00069152068
00069580043
00069580060
00074712611
00074712613
00074712653
00093106656
00172562460
00185030001
00185030030
00247094420
00247094430
00247094460
00314064470
00378530093
00591313830
08219403400
10356001401
49884076701
49884076705
49884076711
50111036401
52047004110
52959068400
52959068414
54022209001
54022209005
54092019112
54092019180
54569537000
54868113101
54868385301
54868385302
54868454500
54868454501
54868454502
54868495900
54868495901
54868514500
54868514501
54868514502

NAME
DURADEX TABLET
ENDACOF-PD DROPS
AEROCHAMBER PLUS
PROMETRIUM 200 MG CAPSULE
AIRZONE PEAK FLOW METER
SPACE CHAMBER HOLDING CHMBR
VORTEX HOLDING CHAMBER
VORTEX HOLDING CHAMBER
VORTEX HOLDING CHAMBER
VORTEX HOLDING CHAMBER
AXID 300 MG PULVULE
KLONOPIN WAFERS 2 MG
NORVASC 2.5 MG TABLET
TIKOSYN 0.125 MG CAPSULE
TIKOSYN 0.125 MG CAPSULE
DEPAKOTE ER 500 MG TAB SA
DEPAKOTE ER 500 MG TAB SA
DEPAKOTE ER 500 MG TAB SA
NIZATIDINE 300 MG CAPSULE
NIZATIDINE 300 MG CAPSULE
NIZATIDINE 300 MG CAPSULE
NIZATIDINE 300 MG CAPSULE
AXID 300 MG PULVULE
AXID 300 MG PULVULE
AXID 300 MG PULVULE
KESTRONE-5 5 MG/ML VIAL
NIZATIDINE 300 MG CAPSULE
NIZATIDINE 300 MG CAPSULE
KERLIX DISPOSABLE LAP SPNGE
CUTIPLAST STERIL DRESSING
NIZATIDINE 300 MG CAPSULE
NIZATIDINE 300 MG CAPSULE
NIZATIDINE 300 MG CAPSULE
CHLORTHALIDONE 100 MG TABLET
ESTRO-5 5 MG/ML VIAL
GABITRIL 4 MG TABLET
GABITRIL 4 MG TABLET
COENZYME Q10 100 MG WAFER
COENZYME Q10 100 MG WAFER
PENTASA 500 MG CAPSULE
PENTASA 500 MG CAPSULE
NORVASC 2.5 MG TABLET
AXID 300 MG PULVULE
NORVASC 2.5 MG TABLET
NORVASC 2.5 MG TABLET
GABITRIL 4 MG TABLET
GABITRIL 4 MG TABLET
GABITRIL 4 MG TABLET
DEPAKOTE ER 500 MG TAB SA
DEPAKOTE ER 500 MG TAB SA
GABITRIL 2 MG TABLET
GABITRIL 2 MG TABLET
GABITRIL 2 MG TABLET

DOSE FORM DRUG STRENGTH


TM
SO
GI
CA
GI
GI
GI
GI
GI
GI
CA
UL
TA
CA
CA
TI
TI
TI
CA
CA
CA
CA
CA
CA
CA
HV
CA
CA
YV
YE
CA
CA
CA
TA
HV
TA
TA
TW
TW
CS
CS
TA
CA
TA
TA
TA
TA
TA
TI
TI
TA
TA
TA

UNIT PRICE
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.85
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86

NDC
55289060230
55887049930
55887049960
55887049982
55887049990
58016066000
58016066002
58016066003
58016066030
58016066060
58016066090
58016073900
58016073930
58016073960
58016073990
58016075300
58016075330
58016075360
58016075390
60505023101
63323027810
63459040201
63459040401
64011014219
65473098004
65726014510
68115074500
68115089200
00007550040
00062021460
00071091345
00071091348
00074615113
00074615160
00091334201
00247083224
00247083230
00247083236
00247083248
00247083252
00247083260
00247083290
00247141120
00456520001
00555092302
00555902658
00574042101
00574042125
00802395418
00802395419
00802395421
17317019901
17317019902

NAME
NORVASC 2.5 MG TABLET
GABITRIL 4 MG TABLET
GABITRIL 4 MG TABLET
GABITRIL 4 MG TABLET
GABITRIL 4 MG TABLET
NIZATIDINE 300 MG CAPSULE
NIZATIDINE 300 MG CAPSULE
NIZATIDINE 300 MG CAPSULE
NIZATIDINE 300 MG CAPSULE
NIZATIDINE 300 MG CAPSULE
NIZATIDINE 300 MG CAPSULE
GABITRIL 2 MG TABLET
GABITRIL 2 MG TABLET
GABITRIL 2 MG TABLET
GABITRIL 2 MG TABLET
GABITRIL 4 MG TABLET
GABITRIL 4 MG TABLET
GABITRIL 4 MG TABLET
GABITRIL 4 MG TABLET
NIZATIDINE 300 MG CAPSULE
VINBLASTINE 1 MG/ML VIAL
GABITRIL 2 MG TABLET
GABITRIL 4 MG TABLET
PRIMACARE ONE SOFTGEL
SANCTURA 20 MG TABLET
AXID 300 MG PULVULE
GABITRIL 2 MG TABLET
GABITRIL 4 MG TABLET
ALBENZA 200 MG TABLET
GRIFULVIN V 500 MG TABLET
LOESTRIN FE 1/20 TABLET
LOESTRIN FE 1/20 TABLET
OMNICEF 250 MG/5 ML SUSPENSION
OMNICEF 250 MG/5 ML SUSPENSION
PARCOPA 25 MG/100 MG TABLET
MYAMBUTOL 400 MG TABLET
MYAMBUTOL 400 MG TABLET
MYAMBUTOL 400 MG TABLET
MYAMBUTOL 400 MG TABLET
MYAMBUTOL 400 MG TABLET
MYAMBUTOL 400 MG TABLET
MYAMBUTOL 400 MG TABLET
GRIFULVIN V 500 MG TABLET
COMBUNOX TABLET
ETHAMBUTOL HCL 400 MG TABLET
JUNEL FE 1/20 TABLET
HYDROCORTISONE ACET POWDER
HYDROCORTISONE ACET POWDER
HYDROCORTISONE ACET POWDER
HYDROCORTISONE ACET POWDER
HYDROCORTISONE ACET POWDER
HYDROCORTISONE ACETATE POWD
HYDROCORTISONE ACETATE POWD

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
CA
CA
CA
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
CA
HV
TA
TA
CA
TA
CA
TA
TA
TA
TA
TA
TA
PD
PD
UL
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
PA
PA
PA
PA
PA
PA
PA

UNIT PRICE
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.86
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87

NDC
17317019903
17317019908
38779000801
38779000804
38779000805
38779000808
38779000809
39822509001
39822509003
39822509005
39822509009
48433032005
49452359001
49452359002
49452359003
51285008070
51285008198
51479004701
51479004704
51479004710
51552002101
51927111000
51927154600
52544063028
52959113900
54569307000
54569325401
54569564900
54569565000
54868124301
54868151200
54868287602
54868287604
54868381800
54868457100
54868474400
55289085742
58016609200
58016609201
61748001401
61748001406
61748001409
61748001410
61748001411
62991107801
62991107802
62991107803
62991107804
62991107805
62991107806
62991107807
63032003100
63032003150

NAME
HYDROCORTISONE ACETATE POWD
HYDROCORTISONE ACETATE POWD
HYDROCORTISONE ACETATE PWDR
HYDROCORTISONE ACETATE PWDR
HYDROCORTISONE ACETATE PWDR
HYDROCORTISONE ACETATE PWDR
HYDROCORTISONE ACETATE PWDR
HYDROCORTISONE ACETATE POWD
HYDROCORTISONE ACETATE POWD
HYDROCORTISONE ACETATE POWD
HYDROCORTISONE ACETATE POWD
HYDROCORTISONE ACETATE POWD
HYDROCORTISONE ACETATE POWD
HYDROCORTISONE ACETATE POWD
HYDROCORTISONE ACETATE POWD
LOESTRIN FE 1/20 TABLET
LOESTRIN FE 1/20 TABLET
MYAMBUTOL 400 MG TABLET
MYAMBUTOL 400 MG TABLET
MYAMBUTOL 400 MG TABLET
HYDROCORTISONE AC POWDER
HYDROCORTISONE ACETATE PWDR
CELLACEFATE NF POWDER
MICROGESTIN FE 1/20 TABLET
VANCENASE 42 MCG POCKETHALER
MYAMBUTOL 400 MG TABLET
LOESTRIN FE 1/20 TABLET
OMNICEF 250 MG/5 ML SUSPENSION
OMNICEF 250 MG/5 ML SUSPENSION
BECONASE 42 MCG INHALER
LOESTRIN FE 1/20 TABLET
MYAMBUTOL 400 MG TABLET
MYAMBUTOL 400 MG TABLET
GRISEOFULVIN 500 MG TABLET
KADIAN 20 MG CAPSULE SR
MICROGESTIN FE 1/20 TABLET
GRIFULVIN V 500 MG TABLET
BECONASE 42 MCG INHALER
BECONASE 42 MCG INHALER
ETHAMBUTOL HCL 400 MG TABLET
ETHAMBUTOL HCL 400 MG TABLET
ETHAMBUTOL HCL 400 MG TABLET
ETHAMBUTOL HCL 400 MG TABLET
ETHAMBUTOL HCL 400 MG TAB
HYDROCORTISONE ACET POWDER
HYDROCORTISONE ACET POWDER
HYDROCORTISONE ACET POWDER
HYDROCORTISONE ACET POWDER
HYDROCORTISONE ACET POWDER
HYDROCORTISONE ACET POWDER
HYDROCORTISONE ACET POWDER
OLUX 0.05% FOAM
OLUX 0.05% FOAM

DOSE FORM DRUG STRENGTH


PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
TA
TA
TA
TA
TA
PA
PA
PA
TA
AJ
TA
TA
PD
PD
AJ
TA
TA
TA
TA
CP
TA
TA
AJ
AJ
TA
TA
TA
TA
TA
PA
PA
PA
PA
PA
PA
PA
AF
AF

UNIT PRICE
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87

NDC
63857032206
63857032211
68850001201
68850001202
68850001203
00006057143
00045063965
00056001130
00056001170
00071091745
00071091748
00074629060
00173052000
00173052100
00185003901
00185003930
00193283025
00247146903
00300154607
00300154630
00366018922
00406009201
00406009203
00406117001
00406117003
00407222212
00407222213
00407222214
00469512430
00469512471
00555090201
00555090202
00555902858
00677078201
00677078205
00904033660
49326011675
49326011690
49999030028
51234015190
51285008370
51285008498
51285027501
51285027502
52152010502
52152010504
52152010530
52544063128
53489028101
53489028105
53489028110
54092049170
54569483100

NAME
KADIAN 20 MG CAPSULE SR
KADIAN 20 MG CAPSULE SR
MYAMBUTOL 400 MG TABLET
MYAMBUTOL 400 MG TABLET
MYAMBUTOL 400 MG TABLET
CRIXIVAN 200 MG CAPSULE
TOPAMAX 25 MG TABLET
REVIA 50 MG TABLET
REVIA 50 MG TABLET
LOESTRIN FE 1.5/30 TABLET
LOESTRIN FE 1.5/30 TABLET
PCE 333 MG DISPERTAB
SEREVENT DISKUS 50 MCG
SEREVENT DISKUS 50 MCG
NALTREXONE 50 MG TABLET
NALTREXONE 50 MG TABLET
AZOSTIX REAGENT STRIPS
ERGOLOID MESYLATES 1 MG TAB
PREVACID NAPRAPAC 500
PREVACID NAPRAPAC 500
CHLORHEXIDINE 4%SCRUB/BRUSH
DEPADE 50 MG TABLET
DEPADE 50 MG TABLET
NALTREXONE 50 MG TABLET
NALTREXONE 50 MG TABLET
VISIPAQUE 270 MG/ML FLEXIPAK
VISIPAQUE 270 MG/ML FLEXIPAK
VISIPAQUE 270 MG/ML FLEXIPAK
ARISTOCORT 4 MG TABLET
ARISTOCORT 4 MG TABLET
NALTREXONE 50 MG TABLET
NALTREXONE 50 MG TABLET
JUNEL FE 1.5/30 TABLET
ERGOLOID MESYLATES 1 MG TAB
ERGOLOID MESYLATES 1 MG TAB
ERGOLOID MESYLATES 1 MG TAB
MIGRALAM CAPSULE
MIGRALAM CAPSULE
SEREVENT DISKUS 50 MCG
NUMOBID 675 MG TABLET SA
LOESTRIN FE 1.5/30 TABLET
LOESTRIN FE 1.5/30 TABLET
REVIA 50 MG TABLET
REVIA 50 MG TABLET
NALTREXONE 50 MG TABLET
NALTREXONE 50 MG TABLET
NALTREXONE 50 MG TABLET
MICROGESTIN FE 1.5/30 TAB
ERGOLOID MESYLATES 1 MG TAB
ERGOLOID MESYLATES 1 MG TAB
ERGOLOID MESYLATES 1 MG TAB
COLACE 200 MG/5 ML MICROENEMA
TOPAMAX 25 MG TABLET

DOSE FORM DRUG STRENGTH


CP
CP
TA
TA
TA
CA
TA
TA
TA
TA
TA
TR
GK
GK
TA
TA
YR
TA
ZD
ZD
PP
TA
TA
TA
TA
HZ
HZ
HZ
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
GK
TS
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
SF
TA

UNIT PRICE
$
0.87
$
0.87
$
0.87
$
0.87
$
0.87
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88

NDC
54868050200
54868448100
54868467200
54868474500
54868520500
55045307606
55289042621
55289042630
55887051730
55887051760
55887051782
55887051790
58016014518
58016047800
58016047810
58016047830
58016047840
58016047860
58016047890
65694010003
65694010010
65880000330
65880040630
66213054060
68115045615
68115068030
68115091860
00003043850
00003054320
00008070401
00008070402
00024132103
00029315818
00069436066
00074390703
00074393402
00086009175
00093111801
00247103560
00247103590
00300154507
00300154530
00409390703
08021333370
08080205900
08080239400
08080275400
08080415200
08219205900
08219239400
08219275400
08219415200
08219624300

NAME
LOESTRIN FE 1.5/30 TABLET
SEREVENT DISKUS 50 MCG
TOPAMAX 25 MG TABLET
MICROGESTIN FE 1.5/30 TAB
PREVACID NAPRAPAC 500
TOPAMAX 25 MG TABLET
PCE 333 MG DISPERTAB
PCE 333 MG DISPERTAB
TOPAMAX 25 MG TABLET
TOPAMAX 25 MG TABLET
TOPAMAX 25 MG TABLET
TOPAMAX 25 MG TABLET
PCE 333 MG DISPERTAB
TOPAMAX 25 MG TABLET
TOPAMAX 25 MG TABLET
TOPAMAX 25 MG TABLET
TOPAMAX 25 MG TABLET
TOPAMAX 25 MG TABLET
TOPAMAX 25 MG TABLET
NALTREXONE 50 MG TABLET
NALTREXONE 50 MG TABLET
NICOMIDE-T 4% GEL
NICOMIDE-T 4% CREAM
ANIMI-3 CAPSULE
TOPAMAX 25 MG TABLET
NALTREXONE 50 MG TABLET
TOPAMAX 25 MG TABLET
PRONESTYL 500 MG TABLET
MYCOSTATIN PASTILLES
EFFEXOR 75 MG TABLET
EFFEXOR 75 MG TABLET
NEGGRAM 250 MG CAPLET
AVANDIA 2 MG TABLET
MINIZIDE 5 CAPSULE
POTASSIUM CL 2 MEQ/ML AMPUL
POTASSIUM CL 2 MEQ/ML AMPUL
NAPRELAN 500 TABLET SA
ETODOLAC 600 MG TABLET SA
EFFEXOR 75 MG TABLET
EFFEXOR 75 MG TABLET
PREVACID NAPRAPAC 375
PREVACID NAPRAPAC 375
POTASSIUM CL 2 MEQ/ML AMPUL
SPINOCAN INTRODUCER NEEDLE
WEBRIL UNDERCAST PADDING
WEBRIL UNDERCAST PADDING
WEBRIL II UNDERCAST PADDING
WEBRIL II UNDERCAST PADDING
WEBRIL UNDERCAST PADDING
WEBRIL UNDERCAST PADDING
WEBRIL II UNDERCAST PADDING
WEBRIL II UNDERCAST PADDING
TENDEROL UNDERCAST PADDING

DOSE FORM DRUG STRENGTH


TA
GK
TA
TA
ZD
TA
TR
TR
TA
TA
TA
TA
TR
TA
TA
TA
TA
TA
TA
TA
TA
JG
KA
CA
TA
TA
TA
TA
TL
TA
TA
TA
TA
CA
HH
HH
TS
TI
TA
TA
ZD
ZD
HH
YH
YE
YE
YE
YE
YE
YE
YE
YE
YE

UNIT PRICE
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.88
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89

NDC
12280001100
17317041702
17317041703
17478064010
24208073205
49326044090
49884072001
49884072005
49884072501
49884072505
49999059630
51552023205
51672405301
51672405304
52959048514
52959048515
52959048520
52959048521
52959048530
52959048540
52959048560
54569436400
54569436401
54799050805
54868352300
54868352301
54868352302
54868352303
54868380200
54868397300
54868397301
54868397302
54868465900
54868524900
54868524901
55289022014
55289030414
55289030430
55289083030
55887066030
55887066060
55887066082
55887066090
58016032300
58016032310
58016032314
58016032315
58016032320
58016032321
58016032328
58016032330
58016032340
58016032350

NAME
EFFEXOR 75 MG TABLET
PHENYLEPHRINE HCL CRYSTALS
PHENYLEPHRINE HCL CRYSTALS
FLURESS EYE DROPS
FLURATE EYE DROPS
NERVO B-12 TABLET SL
VANSPAR 7.5 MG TABLET
VANSPAR 7.5 MG TABLET
BUSPIRONE HCL 7.5 MG TABLET
BUSPIRONE HCL 7.5 MG TABLET
EFFEXOR 75 MG TABLET
PHENYLEPHRINE HCL CRYSTALS
ETODOLAC 600 MG TABLET SA
ETODOLAC 600 MG TABLET SA
NAPRELAN 500 TABLET SA
NAPRELAN 500 TABLET SA
NAPRELAN 500 TABLET SA
NAPRELAN 500 TABLET SA
NAPRELAN 500 TABLET SA
NAPRELAN 500 TABLET SA
NAPRELAN 500 TABLET SA
NAPRELAN 500 TABLET SA
NAPRELAN 500 TABLET SA
FLUROX EYE DROPS
EFFEXOR 75 MG TABLET
EFFEXOR 75 MG TABLET
EFFEXOR 75 MG TABLET
EFFEXOR 75 MG TABLET
FLURESS EYE DROPS
NAPRELAN 500 TABLET SA
NAPRELAN 500 TABLET SA
NAPRELAN 500 TABLET SA
PREVACID NAPRAPAC 375
AVANDIA 2 MG TABLET
AVANDIA 2 MG TABLET
LODINE XL 600 MG TABLET SA
NAPRELAN 500 TABLET SA
NAPRELAN 500 TABLET SA
EFFEXOR 75 MG TABLET
EFFEXOR 75 MG TABLET
EFFEXOR 75 MG TABLET
EFFEXOR 75 MG TABLET
EFFEXOR 75 MG TABLET
EFFEXOR 75 MG TABLET
EFFEXOR 75 MG TABLET
EFFEXOR 75 MG TABLET
EFFEXOR 75 MG TABLET
EFFEXOR 75 MG TABLET
EFFEXOR 75 MG TABLET
EFFEXOR 75 MG TABLET
EFFEXOR 75 MG TABLET
EFFEXOR 75 MG TABLET
EFFEXOR 75 MG TABLET

DOSE FORM DRUG STRENGTH


TA
PC
PC
SO
SO
TL
TA
TA
TA
TA
TA
PC
TI
TI
TS
TS
TS
TS
TS
TS
TS
TS
TS
SO
TA
TA
TA
TA
SO
TS
TS
TS
ZD
TA
TA
TI
TS
TS
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89

NDC
58016032360
58016032390
58016038810
58016038820
58016038830
58016038840
58016038860
58016038875
58016038890
59081065103
59390020605
61553076070
62037082675
62794050117
62794050193
63717057106
66663021901
68115025290
68115071260
68552060603
00003164845
00003175500
00003175507
00003325614
00037011460
00045041660
00062057544
00062057546
00062165003
00062176115
00069581043
00069581060
00074140201
00074140231
00378031301
00409140231
00496052348
00555900942
00555900957
00555901058
08026764300
08219631200
08219631400
08380003774
08380007298
08380007299
08380007300
08884431605
08884433605
08884437100
09958008830
11298000435
11298000436

NAME
EFFEXOR 75 MG TABLET
EFFEXOR 75 MG TABLET
NAPRELAN 500 TABLET SA
NAPRELAN 500 TABLET SA
NAPRELAN 500 TABLET SA
NAPRELAN 500 TABLET SA
NAPRELAN 500 TABLET SA
NAPRELAN 500 TABLET SA
NAPRELAN 500 TABLET SA
BAROS GRANULES EFF
ALTAFLUOR EYE DROPS
FAMOTIDINE-NS 20 MG/5 ML SYRNG
NAPROXEN SOD 500 MG ER TAB
KRISTALOSE 10 GM PACKET
KRISTALOSE 10 GM PACKET
DYTAN 25 MG TABLET CHEWABLE
URELLE TABLET
NAPROXEN SODIUM 550 MG TABLET
AVANDIA 2 MG TABLET
FLUORESCEIN-BENOX EYE DROP
LYOFOAM A DRESS 2"X2"
LITTLE ONES SUR-FIT BELT
OSTOMY APPLIANCE BELT
SENSI-CARE PROTECT BARRIER
BUTISOL SODIUM 50 MG TABLET
TOLECTIN 600 MG TABLET
RETIN-A 0.01% GEL
RETIN-A 0.01% GEL
ERTACZO 2% CREAM
ORTHO-NOVUM 1/35-28 TABLET
TIKOSYN 0.250 MG CAPSULE
TIKOSYN 0.250 MG CAPSULE
HEPARIN NA 5,000 UNIT/ML SYRIN
HEPARIN NA 5,000 UNIT/ML SYRIN
TOLMETIN SODIUM 600 MG TAB
HEPARIN NA 5,000 UNIT/ML SYRIN
MASTISOL ADHESIVE LIQUID
NORTREL 1/35 TABLET
NORTREL 1/35 TABLET
NORTREL 1/35 TABLET
ALLEVYN DRESSING 2"X2"
XEROFORM PETROLATUM DRESS
XEROFORM PETROLATUM DRESS
POUCHKINS PED OSTOMY BELT
OSTOMY BELT 17-26" SMALL
OSTOMY BELT 29-49" LARGE
OSTOMY BELT 26-43" MEDIUM
XEROFORM PETROLATUM DRESS
XEROFORM PETROLATUM DRESS
XEROFLO GAUZE DRESSING
SORBACELL FOAM 2"X2" DRESS
RELIABELT
PLAIN BELT

DOSE FORM DRUG STRENGTH


TA
TA
TS
TS
TS
TS
TS
TS
TS
SV
SO
HQ
TS
PP
PP
TC
TA
TS
TA
SO
YE
EA
EA
OA
TA
TA
JG
JG
KA
TA
CA
CA
HQ
HQ
TA
HQ
DP
TA
TA
TA
YE
YE
YE
EA
EA
EA
EA
YE
YE
YE
YE
EA
EA

UNIT PRICE
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.89
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90

NDC
11298000437
11298000438
11298000439
11298000440
11298000442
11298000443
11298000627
11701082510
11701083510
52544025928
52544055228
54569499900
54868026902
54868044200
54868044300
54868242100
54868242101
54868404500
54868477600
58016307501
66530024515
66530024545
66977050022
81317050040
99207020901
00054449425
00062018503
00062018505
00074444005
00074446810
00074723530
00074737601
00074737649
00074737901
00074737949
00113033082
00187325110
00496082415
00496082430
00496088315
00496088330
08004541001
10019000110
10019000205
11822360510
19810100401
24385037482
37205029603
38779017501
38779017504
38779017505
38779017508
41163033082

NAME
ADJUSTABLE BELT
RUBBER ADJUSTABLE BELT
EXTRA BELT ENDS OR SLIDES
BELL-HORN OSTOMY SUPPORT 6"
DALE BINDER 6" WIDTH
DALE BINDER MALE 6" WIDTH
DISPOSIT BELT
OSTOMY BELT
ASSURA OSTOMY BELT
NORINYL 1+35-28 TABLET
NECON 1/35-28 TABLET
NECON 1/35-28 TABLET
RETIN-A 0.01% GEL
NORINYL 1+35-28 TABLET
ORTHO-NOVUM 1/35-28 TABLET
TOLMETIN SODIUM 600 MG TAB
TOLMETIN SODIUM 600 MG TAB
NECON 1/35-28 TABLET
NORTREL 1/35 TABLET
RETIN-A 0.01% GEL
TRETINOIN 0.01% GEL
TRETINOIN 0.01% GEL
MPM FOAM 2"X2" DRESSING
ELASTIC BELT
TRIAZ 3% GEL
LEVORPHANOL 2 MG TABLET
RENOVA 0.05% CREAM
RENOVA 0.05% CREAM
TRACRIUM 10 MG/ML VIAL
TRACRIUM 10 MG/ML VIAL
IBERET-500 FILMTAB
ATRACURIUM 10 MG/ML VIAL
ATRACURIUM 10 MG/ML VIAL
ATRACURIUM 10 MG/ML VIAL
ATRACURIUM 10 MG/ML VIAL
TIOCONAZOLE 1 6.5% OINTMENT
LEVO-DROMORAN 2 MG TABLET
LMX 5 5% CREAM
LMX 5 5% CREAM
LMX 5 5% CREAM
LMX 5 5% CREAM
MONISTAT 1 6.5% OINTMENT
ATRACURIUM 10 MG/ML VIAL
ATRACURIUM 10 MG/ML VIAL
RA TIOCONAZOLE 1 6.5% OINT
VAGISTAT-1 6.5% OINTMENT
TIOCONAZOLE 1 6.5% OINTMENT
TIOCONAZOLE 1 6.5% OINTMENT
SULINDAC POWDER
SULINDAC POWDER
SULINDAC POWDER
SULINDAC POWDER
SOBA TIOCONAZOLE 1 6.5% OINT

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
TA
TA
TA
JG
TA
TA
TA
TA
TA
TA
JG
JG
JG
YE
EA
JG
TA
KA
KA
HV
HV
TS
HV
HV
HV
HV
OV
TA
KA
KA
KA
KA
OV
HV
HV
OV
OV
OV
OV
PA
PA
PA
PA
OV

UNIT PRICE
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.90
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91

NDC
49452758301
49452758302
49452758303
49614059094
49614059594
49738033082
50428180841
52735069726
53191014201
53191014203
54569426100
54569426200
54868371000
54868371001
55390010205
55390010310
55390017910
55390018005
56091004317
61703031253
61703031332
62991158801
62991158802
63304055520
63304055530
68032010315
68032010330
70030014578
82468061530
87701034279
87701034280
00004018122
00004018191
00006093568
00008070101
00008070102
00045034260
00069154041
00069154068
00074180802
00074180806
00074808501
00115704001
00186070768
00407141310
00407141330
00407141340
00407141341
00407141350
00407222312
00407222313
00407222314
00440704860

NAME
SULINDAC POWDER
SULINDAC POWDER
SULINDAC POWDER
TIOCONAZOLE-1 6.5% OINT
TIOCONAZOLE-1 6.5% OINT
AF-TIOCONAZOLE 1 DAY OINT
CVS TIOCONAZOLE 1 6.5% OINTMNT
FP TIOCONAZOLE-1 6.5% OINT
GE-150 CAPSULE
GE-150 CAPSULE
RENOVA 0.05% CREAM
RENOVA 0.05% CREAM
RENOVA 0.05% CREAM
RENOVA 0.05% CREAM
ATRACURIUM 10 MG/ML VIAL
ATRACURIUM 10 MG/ML VIAL
ATRACURIUM 10 MG/ML VIAL
ATRACURIUM 10 MG/ML VIAL
BAND-AID ISLAND SURG DRESS
ATRACURIUM 10 MG/ML VIAL
ATRACURIUM 10 MG/ML VIAL
CHONDROITIN SULFATE POWDER
CHONDROITIN SULFATE POWDER
RANICLOR 125 MG CHEWABLE TAB
RANICLOR 125 MG CHEWABLE TAB
LIDOSENSE 5 5% CREAM
LIDOSENSE 5 5% CREAM
TIOCONAZOLE 1 6.5% OINTMENT
FP TIOCONAZOLE-1 6.5% OINT
BL TIOCONAZOLE 1 6.5% OINT
GNP TIOCONAZOLE 1 6.5% OINT
CARDENE SR 45 MG CAPSULE SA
CARDENE SR 45 MG CAPSULE SA
ALDORIL-D50 TABLET
EFFEXOR 25 MG TABLET
EFFEXOR 25 MG TABLET
PANCREASE MT 10 CAPSULE EC
NORVASC 10 MG TABLET
NORVASC 10 MG TABLET
NOVOCAIN 1% AMPUL
NOVOCAIN 1% AMPUL
DEXTRAN 70 32%/D10W VIAL
LIPRAM-PN10 CAPSULE EC
TONOCARD 400 MG TABLET
OMNIPAQUE 300 MG/ML VIAL
OMNIPAQUE 300 MG/ML VIAL
OMNIPAQUE 300 MG/ML VIAL
OMNIPAQUE 300 MG/ML VIAL
OMNIPAQUE 300 MG/ML VIAL
VISIPAQUE 320 MG/ML FLEXIPAK
VISIPAQUE 320 MG/ML FLEXIPAK
VISIPAQUE 320 MG/ML FLEXIPAK
ALLEGRA 60 MG CAPSULE

DOSE FORM DRUG STRENGTH


PA
PA
PA
OV
OV
OV
OV
OV
CA
CA
KA
KA
KA
KA
HV
HV
HV
HV
YE
HV
HV
PA
PA
TC
TC
KA
KA
OV
OV
OV
OV
CS
CS
TA
TA
TA
CE
TA
TA
HH
HH
HV
CE
TA
HV
HV
HV
HV
HV
HZ
HZ
HZ
CA

UNIT PRICE
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.91
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92

NDC
00521451500
00603749539
00642001101
00642001215
00682908015
00813039311
12539022615
12539062310
12830078110
12830078112
19458911801
38779053405
38779053408
38779053409
49452271001
49452271002
49614061900
49999019614
50114220103
51674011601
51991067171
52735082562
52959054310
52959054314
52959054320
52959054330
54569447200
54569479800
54868346401
54868346402
54868436400
55045308808
55289045606
55289045614
55289045628
55289054930
55289085110
57866662601
58016013100
58016013110
58016013112
58016013115
58016013120
58016013130
58016013160
58016035000
58016035010
58016035014
58016035015
58016035020
58016035021
58016035028
58016035030

NAME
ACTIN-N SOLUBLE DRESSING
ZOLENE HC EAR DROPS
CORTIC EAR DROPS
CORTIC-ND EAR DROPS
OTOMAR-HC EAR DROPS
TRI-OTIC EAR DROPS
OTOMAX-HC EAR DROPS
EXOTIC-HC EAR DROP
OTOZONE EAR DROP
OTOZONE EAR DROP
ECK STRETCH CONFORMS BANDAG
CIPROFLOXACIN HCL POWDER
CIPROFLOXACIN HCL POWDER
CIPROFLOXACIN HCL POWDER
EPHEDRINE POWDER
EPHEDRINE POWDER
GAUZE 2"X 2 YARDS
ALLEGRA 60 MG CAPSULE
HEMORRHOID SUPPOSITORY
CORTANE-B OTIC DROPS
OTIRX EAR DROPS
FP STRETCH GAUZE BANDAGE 2"
ALLEGRA 60 MG CAPSULE
ALLEGRA 60 MG CAPSULE
ALLEGRA 60 MG CAPSULE
ALLEGRA 60 MG CAPSULE
NORVASC 10 MG TABLET
ZOTO-HC EAR DROPS
NORVASC 10 MG TABLET
NORVASC 10 MG TABLET
ZOTO-HC EAR DROPS
EFFEXOR 25 MG TABLET
ALLEGRA 60 MG CAPSULE
ALLEGRA 60 MG CAPSULE
ALLEGRA 60 MG CAPSULE
NORVASC 10 MG TABLET
LORTAB ASA TABLET
NORVASC 10 MG TABLET
ALLEGRA 60 MG CAPSULE
ALLEGRA 60 MG CAPSULE
ALLEGRA 60 MG CAPSULE
ALLEGRA 60 MG CAPSULE
ALLEGRA 60 MG CAPSULE
ALLEGRA 60 MG CAPSULE
ALLEGRA 60 MG CAPSULE
EFFEXOR 25 MG TABLET
EFFEXOR 25 MG TABLET
EFFEXOR 25 MG TABLET
EFFEXOR 25 MG TABLET
EFFEXOR 25 MG TABLET
EFFEXOR 25 MG TABLET
EFFEXOR 25 MG TABLET
EFFEXOR 25 MG TABLET

DOSE FORM DRUG STRENGTH


YE
SO
SO
SO
SO
SO
SO
SO
SO
SO
YE
PA
PA
PA
PA
PA
YE
CA
QA
SO
SO
YE
CA
CA
CA
CA
TA
SO
TA
TA
SO
TA
CA
CA
CA
TA
TA
TA
CA
CA
CA
CA
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92

NDC
58016035040
58016035050
58016035060
58016035090
58864065730
59630013501
60258045110
60760010220
65615043010
66116022930
66267001220
66440376701
66813003501
67336015701
67537003501
68030662601
68115026328
68115026390
68115071600
68249020103
68249020110
00006069468
00008058113
00008058115
00052026106
00062179615
00074198501
00074198510
00074428201
00074428202
00074677801
00074677802
00074677861
00074677862
00074678001
00074678002
00115442201
00149003105
00173045301
00186021503
00186024044
00187380610
00247125316
00247125405
00378027701
00378027705
00409198501
00409198530
00451039850
00555904358
00591336545
00591336570
08380003112

NAME
EFFEXOR 25 MG TABLET
EFFEXOR 25 MG TABLET
EFFEXOR 25 MG TABLET
EFFEXOR 25 MG TABLET
NORVASC 10 MG TABLET
ZOTO-HC EAR DROPS
CYOTIC EAR DROPS
ALLEGRA 60 MG CAPSULE
GENEXOTIC HC EAR DROPS
ALLEGRA 60 MG CAPSULE
ALLEGRA 60 MG CAPSULE
AERO OTIC HC EAR DROPS
LEVALL G CAPSULE
RESPI-TANN CHEW TABLET
LEV/PSE/GG CAPSULE
NORVASC 10 MG TABLET
NORVASC 10 MG TABLET
NORVASC 10 MG TABLET
EFFEXOR 25 MG TABLET
HUMIBID DM CAPSULE
HUMIBID DM CAPSULE
ALDORIL-D30 TABLET
ATIVAN 2 MG/ML VIAL
ATIVAN 2 MG/ML VIAL
DESOGEN 28 DAY TABLET
ORTHO-CEPT 28 DAY TABLET
LORAZEPAM 2 MG/ML VIAL
LORAZEPAM 2 MG/ML VIAL
LIDOCAINE HCL 2% AMPUL
LIDOCAINE HCL 2% AMPUL
LORAZEPAM 2 MG/ML VIAL
LORAZEPAM 2 MG/ML VIAL
LORAZEPAM 2 MG/ML VIAL
LORAZEPAM 2 MG/ML VIAL
LORAZEPAM 2 MG/ML VIAL
LORAZEPAM 2 MG/ML VIAL
DANTROLENE SODIUM 50 MG CAP
DANTRIUM 50 MG CAPSULE
FLONASE 0.05% NASAL SPRAY
XYLOCAINE-MPF 2% AMPUL
XYLOCAINE-MPF 2% AMPUL
LIMBITROL DS TABLET
FLONASE 0.05% NASAL SPRAY
LIDOCAINE HCL 2% AMPUL
AMITRIP/CDP 25-10 TABLET
AMITRIP/CDP 25-10 TABLET
LORAZEPAM 2 MG/ML VIAL
LORAZEPAM 2MG/ML INJ,CARPUJECT,1ML
VOLMAX 4 MG TABLET SA
APRI 28 DAY TABLET
LORAZEPAM 2 MG/ML VIAL
LORAZEPAM 2 MG/ML VIAL
KARAYA DRAIN OSTOMY POUCH

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
SO
SO
CA
SO
CA
CA
SO
CB
TC
CB
TA
TA
TA
TA
CB
CB
TA
HV
HV
TA
TA
HV
HV
HH
HH
HV
HV
HV
HV
HV
HV
CA
CA
SP
HH
HH
TA
AQ
HH
TA
TA
HV
HV
TZ
TA
HV
HV
EA

UNIT PRICE
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.92
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93

NDC
08380003113
08380003114
08380003115
08380003116
08380003118
08380003119
08380003132
08380003133
08380003134
08380003138
08380003139
08380003142
08380003143
08380003144
08380003145
08380003148
08380003149
08380003222
08380003223
08380003224
08380003225
08380003226
08380003228
08380003229
08380003232
08380003233
08380003234
08380003238
08380003239
08380003272
08380003273
08380003274
08380003275
08380003276
08380003278
08380003279
08380003322
08380003323
08380003324
08380003325
08380003326
08380003328
08380003329
08380003450
08380003452
08380003453
08380003454
08380003455
08380003458
08380003459
08380003492
08380003494
08380003496

NAME
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
FILTER SECURITY BAG/ADHESV
FILTER SECURITY BAG/ADHESV
FILTER SECURITY BAG/ADHESV
FILTER SECURITY BAG/ADHESV
FILTER SECURITY BAG/ADHESV
FILTER SECURITY BAG/ADHESV
KARAYA SEAL DRAIN OSTOMY
KARAYA SEAL DRAIN OSTOMY
KARAYA SEAL DRAIN OSTOMY
KARAYA SEAL DRAIN OSTOMY
KARAYA SEAL DRAIN OSTOMY
KARAYA SEAL DRAIN OSTOMY
KARAYA SEAL DRAIN OSTOMY
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA SEAL CLOSED BG/FILTR
KARAYA SEAL CLOSED BG/FILTR
KARAYA SEAL CLOSED BG/FILTR
KARAYA SEAL CLOSED BG/FILTR
KARAYA SEAL CLOSED BG/FILTR
KARAYA SEAL CLOSED BG/FILTR
KARAYA SEAL CLOSED BG/FILTR
FIRSTCHOICE CLOSED POUCH
FIRSTCHOICE CLOSED POUCH
FIRSTCHOICE CLOSED POUCH
FIRSTCHOICE CLOSED POUCH
FIRSTCHOICE CLOSED POUCH
FIRSTCHOICE CLOSED POUCH
FIRSTCHOICE CLOSED POUCH
FIRSTCHOICE CLOSED POUCH
FIRSTCHOICE CLOSED POUCH
FIRSTCHOICE CLOSED POUCH

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93

NDC
08380003498
08380003499
08380003520
08380003522
08380003523
08380003524
08380003525
08380003528
08380003529
08380003552
08380003553
08380003554
08380003555
08380003556
08380003558
08380003559
08380003602
08380003603
08380003604
08380003605
08380003606
08380003608
08380003609
08380003612
08380003614
08380003616
08380003618
08380003619
08380003632
08380003633
08380003634
08380003635
08380003638
08380003639
08380003662
08380003663
08380003664
08380003665
08380003668
08380003669
08380003682
08380003684
08380003686
08380003688
08380003689
08380003872
08380004123
08380004124
08380004125
08380004126
08380004128
08380004129
08380007132

NAME
FIRSTCHOICE CLOSED POUCH
FIRSTCHOICE CLOSED POUCH
FIRSTCHOICE CLOSED POUCH
FIRSTCHOICE CLOSED POUCH
FIRSTCHOICE CLOSED POUCH
FIRSTCHOICE CLOSED POUCH
FIRSTCHOICE CLOSED POUCH
FIRSTCHOICE CLOSED POUCH
FIRSTCHOICE CLOSED POUCH
PREMIUM CLOSED OSTOMY POUCH
PREMIUM CLOSED OSTOMY POUCH
PREMIUM CLOSED OSTOMY POUCH
PREMIUM CLOSED OSTOMY POUCH
PREMIUM CLOSED OSTOMY POUCH
PREMIUM CLOSED OSTOMY POUCH
PREMIUM CLOSED OSTOMY POUCH
PREMIUM DRAIN POUCH 1"
PREMIUM DRAIN POUCH 1.5"
PREMIUM DRAIN POUCH 2"
PREMIUM DRAIN POUCH 2.5"
PREMIUM DRAIN POUCH 3"
PREMIUM DRAIN POUCH 1.25"
PREMIUM DRAIN POUCH 1.75"
FIRSTCHOICE DRAIN PCH 1"
FIRSTCHOICE DRAIN PCH 1.25"
FIRSTCHOICE DRAIN PCH 1.5"
FIRSTCHOICE DRAIN PCH 1.75"
FIRSTCHOICE DRAIN PCH 2"
FIRSTCHOICE DRAIN PCH 1"
FIRSTCHOICE DRAIN PCH 1.5"
FIRSTCHOICE DRAIN PCH 2"
FIRSTCHOICE DRAIN PCH 2.5"
FIRSTCHOICE DRAIN PCH 1.25"
FIRSTCHOICE DRAIN PCH 1.75"
PREMIUM DRAIN POUCH 1"
PREMIUM DRAIN POUCH 1.5"
PREMIUM DRAIN POUCH 2"
PREMIUM DRAIN POUCH 2.5"
PREMIUM DRAIN POUCH 1.25"
PREMIUM DRAIN POUCH 1.75"
FIRSTCHOICE DRAIN PCH 1"
FIRSTCHOICE DRAIN PCH 1.25"
FIRSTCHOICE DRAIN PCH 1.5"
FIRSTCHOICE DRAIN PCH 1.75"
FIRSTCHOICE DRAIN PCH 2"
CPL DRAINABLE POUCH
HOLLIGARD SEAL STOMA POUCH
HOLLIGARD SEAL STOMA POUCH
HOLLIGARD SEAL STOMA POUCH
HOLLIGARD SEAL STOMA POUCH
HOLLIGARD SEAL STOMA POUCH
HOLLIGARD SEAL STOMA POUCH
CLOSED MINI OSTOMY POUCH

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93

NDC
08380007133
08380007134
08380007135
08380007136
08380007138
08380007139
08380007162
08380007163
08380007164
08380007165
08380007166
08380007168
08380007169
08380007212
08380007213
08380007214
08380007215
08380007216
08380007218
08380007219
08380007222
08380007223
08380007224
08380007225
08380007226
08380007228
08380007229
08380007282
08380007283
08380007284
08380007285
08380007286
08380007288
08380007289
08380007422
08380007423
08380007424
08380007425
08380007426
08380007428
08380007429
08380007432
08380007433
08380007434
08380007435
08380007436
08380007438
08380007439
08380008474
08380008478
08380008612
08380008614
08380008616

NAME
CLOSED MINI OSTOMY POUCH
CLOSED MINI OSTOMY POUCH
CLOSED MINI OSTOMY POUCH
CLOSED MINI OSTOMY POUCH
CLOSED MINI OSTOMY POUCH
CLOSED MINI OSTOMY POUCH
KARAYA SEAL CLOSED STOMA BG
KARAYA SEAL CLOSED STOMA BG
KARAYA SEAL CLOSED STOMA BG
KARAYA SEAL CLOSED STOMA BG
KARAYA SEAL CLOSED STOMA BG
KARAYA SEAL CLOSED STOMA BG
KARAYA SEAL CLOSED STOMA BG
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
KARAYA DRAIN OSTOMY POUCH
ADHESIVE DRAIN OSTOMY POUCH
ADHESIVE DRAIN OSTOMY POUCH
ADHESIVE DRAIN OSTOMY POUCH
ADHESIVE DRAIN OSTOMY POUCH
ADHESIVE DRAIN OSTOMY POUCH
ADHESIVE DRAIN OSTOMY POUCH
ADHESIVE DRAIN OSTOMY POUCH
ADHESIVE DRAIN OSTOMY POUCH
ADHESIVE DRAIN OSTOMY POUCH
ADHESIVE DRAIN OSTOMY POUCH
ADHESIVE DRAIN OSTOMY POUCH
ADHESIVE DRAIN OSTOMY POUCH
ADHESIVE DRAIN OSTOMY POUCH
ADHESIVE DRAIN OSTOMY POUCH
PREMIER UROSTOMY POUCH 1"
PREMIER UROSTOMY POUCH 1.5"
PREMIER DRAIN POUCH 1"
PREMIER DRAIN POUCH 1.25"
PREMIER DRAIN POUCH 1.5"

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93

NDC
08380008618
08380008619
08380008624
08380008628
08380008632
08380008633
08380008634
08380008635
08380008638
08380008639
08380008642
08380008643
08380008644
08380008648
08380008649
08380018102
08380018112
08380018122
08380018132
08380018142
08380018162
08380018182
08380018192
08380018202
10019010201
10019010210
10019010501
10019010502
10019010544
10019010571
11701080912
17478004001
38779021803
38779021804
38779021805
38779021810
38779021815
38779021825
38779141205
49452269201
49452269202
49452269203
49884096201
51285057628
51285075402
51552080604
51552080605
51552080607
51552098202
51552098204
51552098205
54569412000
54569422201

NAME
PREMIER DRAIN POUCH 1.75"
PREMIER DRAIN POUCH 2"
PREMIER DRAIN POUCH 1"
PREMIER DRAIN POUCH 1.5"
PREMIER DRAIN POUCH 1"
PREMIER DRAIN POUCH 1.5"
PREMIER DRAIN POUCH 2"
PREMIER DRAIN POUCH 2.5"
PREMIER DRAIN POUCH 1.25"
PREMIER DRAIN POUCH 1.75"
PREMIER DRAINABLE MINI-PCH
PREMIER DRAINABLE MINI-PCH
PREMIER DRAINABLE MINI-PCH
PREMIER DRAINABLE MINI-PCH
PREMIER DRAINABLE MINI-PCH
NEW IMAGE DRAINABLE POUCH
NEW IMAGE DRAINABLE POUCH
NEW IMAGE DRAINABLE POUCH
NEW IMAGE DRAINABLE POUCH
NEW IMAGE DRAINABLE POUCH
NEW IMAGE DRAINABLE POUCH
NEW IMAGE DRAINABLE POUCH
NEW IMAGE DRAINABLE POUCH
NEW IMAGE DRAINABLE POUCH
LORAZEPAM 2 MG/ML VIAL
LORAZEPAM 2 MG/ML VIAL
ATIVAN 2 MG/ML VIAL
ATIVAN 2 MG/ML VIAL
ATIVAN 2 MG/ML VIAL
ATIVAN 2 MG/ML VIAL
COLOPLAST CLOSED POUCH 1PC
LORAZEPAM 2 MG/ML VIAL
DOXEPIN HCL POWDER
DOXEPIN HCL POWDER
DOXEPIN HCL POWDER
DOXEPIN HCL POWDER
DOXEPIN HCL POWDER
DOXEPIN HCL POWDER
MANDELIC ACID POWDER
DOXEPIN HCL POWDER
DOXEPIN HCL POWDER
DOXEPIN HCL POWDER
AMITRIP-CDP 25-10 TABLET
APRI TABLET
DIAMOX SEQUELS 500 MG CAP SA
INDOLE-3-CARBINOL POWDER
INDOLE-3-CARBINOL POWDER
INDOLE-3-CARBINOL POWDER
DOXEPIN HCL POWDER
DOXEPIN HCL POWDER
DOXEPIN HCL POWDER
FLONASE 0.05% NASAL SPRAY
DESOGEN 28 DAY TABLET

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
HV
HV
HV
HV
HV
HV
EA
HV
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
TA
TA
CS
PA
PA
PA
PA
PA
PA
AQ
TA

UNIT PRICE
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93

NDC
54868042600
54868153400
54868240701
54868270100
54868356600
54868356601
54868371800
54868386300
54868475400
55289049830
58016653301
60977011201
60977011202
66993061128
99207005101
00002721701
00006054328
00006054331
00006054354
00006054382
00046257305
00046257306
00049075077
00064100133
00078000705
00314091270
00338030199
00501750605
00501750704
00576026910
00641041025
00641247045
00781167401
00998041215
08026118384
08026118568
09958008980
10356002877
10974000805
17317054502
17317054507
17317054509
38779012304
38779012305
38779012308
38779012309
38779027504
38779027505
38779027508
40565011840
40565011956
49326015410
49452811302

NAME
LIMBITROL DS TABLET
AMITRIP-CDP 25-10 TABLET
ATIVAN 2 MG/ML VIAL
ORTHO-CEPT 28 DAY TABLET
LORAZEPAM 2 MG/ML VIAL
LORAZEPAM 2 MG/ML VIAL
FLONASE 0.05% NASAL SPRAY
DESOGEN 28 DAY TABLET
APRI 28 DAY TABLET
VOLMAX 4 MG TABLET SA
FLONASE 0.05% NASAL SPRAY
ATIVAN 2 MG/ML VIAL
ATIVAN 2 MG/ML VIAL
SOLIA TABLET
TRIAZ 6% GEL
HEPARIN NA 10,000 UNITS/ML VIA
ZOCOR 80 MG TABLET
ZOCOR 80 MG TABLET
ZOCOR 80 MG TABLET
ZOCOR 80 MG TABLET
PREMPHASE 0.625/5 MG TABLET
PREMPHASE 0.625/5 MG TABLET
TERRAMYCIN IM 50 MG/ML VIAL
ACCUZYME SPRAY
MELLARIL 200 MG TABLET
KEY-PLEX UNIVIAL
VI-CERT C1,000 W/B12 VIAL
BENGAY PAIN RELIEVING PATCH
BENGAY PAIN RELIEVING PATCH
NEURODEP VIAL
HEPARIN NA 10,000 UNITS/ML VIA
HEPARIN NA 10,000 UNITS/ML VIA
THIORIDAZINE 200 MG TABLET
ULTRA-TEARS 1% EYE DROPS
EXU-DRY WOUND DRESS 4"X6"
EXU-DRY DRESSING 4"X6"
COMPDRESS ISLAND 4"X6" DRES
COVER-STRIP CLOSURE STRIP
HEPARIN NA 10,000 UNITS/ML VIA
STRYCHNINE SULFATE POWDER
STRYCHNINE SULFATE POWDER
STRYCHNINE SULFATE POWDER
RIFAMPIN POWDER
RIFAMPIN POWDER
RIFAMPIN POWDER
RIFAMPIN POWDER
VERAPAMIL HCL POWDER
VERAPAMIL HCL POWDER
VERAPAMIL HCL POWDER
EXU-DRY DRESSING 4"X6"
EXU-DRY DRESSING 4"X6"
NEURO B12 FORTE VIAL
VERAPAMIL HCL POWDER

DOSE FORM DRUG STRENGTH


TA
TA
HV
TA
HV
HV
AQ
TA
TA
TZ
AQ
HV
HV
TA
JG
HV
TA
TA
TA
TA
UA
UA
HV
AU
TA
HV
HV
PS
PS
HV
HV
HV
TA
SO
YE
YE
YE
YR
HV
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
YE
YE
HV
PA

UNIT PRICE
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.93
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94

NDC
49756046101
51927192100
51927195600
54092004801
54569564000
54868380000
54868418100
54868418101
56091006906
56091006926
62991116101
63323054201
63323054207
63370035525
63370035535
63370035545
68115075930
74300008120
74300008121
00062190115
00074647301
00091332301
00093531628
00093531681
00264921850
00264922150
00264945250
00264945350
00378904501
00378904505
00555901658
08021471975
08021473058
08021473075
08021473082
08219330200
08219420200
17191000065
17191071101
17191711018
24385018906
52544052628
54569427300
54569427301
54868260600
54868482800
65483049514
87701043054
87701048612
99207061001
00003153505
00007316318
00028005301

NAME
SOFSORB WOUND DRESSING 4X6"
VERAPAMIL HCL POWDER
RIFAMPIN POWDER
ETHMOZINE 300 MG TABLET
ZOCOR 80 MG TABLET
PREMPHASE 0.625/5 MG TABLET
ZOCOR 80 MG TABLET
ZOCOR 80 MG TABLET
KLING CONFORMING GAUZE BNDG
KLING CONFORMING GAUZE BNDG
VERAPAMIL HCL POWDER
HEPARIN NA 10,000 UNITS/ML VIA
HEPARIN NA 10,000 UNITS/ML VIA
VERAPAMIL HCL POWDER
VERAPAMIL HCL POWDER
VERAPAMIL HCL POWDER
ZOCOR 80 MG TABLET
BENGAY PAIN RELIEVING PATCH
BENGAY PAIN RELIEVING PATCH
ORTHO-CYCLEN 28 TABLET
EX SET MINIBORE 36/LUER LOK
NIRAVAM 1 MG TABLET
PREVIFEM TABLET
PREVIFEM TABLET
BARD MICROBORE EXTENSION ST
BARD MICROBORE EXTENSION ST
EXTENSION SET/RATE FLOW REG
ADULT IV SET/RATE FLOW REG
CYSTAGON 150 MG CAPSULE
CYSTAGON 150 MG CAPSULE
SPRINTEC 28 DAY TABLET
STANDARD BORE EXTENSION SET
DISTAL SMALL BORE EXTEN SET
Y-SITE W/2 REFLUX VALVE,20"
Y-SITE W/2 REFLUX VALVE,50"
TENSOR ELASTIC BANDAGE 2"
TENSOR ELASTIC BANDAGE 2"
EXACTA-MIX CONNECTOR
EXACTA-MIX TUBE SET EXTENSION
EXACTA-MIX CONNECTOR
BANDAGE STRETCH 2"X4.1YD
MONONESSA 28 TABLET
ORTHO-CYCLEN 28 TABLET
ORTHO-CYCLEN 28 TABLET
ORTHO-CYCLEN 28 TABLET
SPRINTEC 28 DAY TABLET
HELIDAC THERAPY
BL BANDAGE STRETCH 2"X4.1YD
GNP BANDAGE STRETCH 2"X4.1Y
ONYPLEX LIQUID
SETOPRESS HIGH COMPRSS BNDG
AVANDAMET 2 MG/1,000 MG TAB
LOPRESSOR HCT 100/25 TABLET

DOSE FORM DRUG STRENGTH


YE
PA
PA
TA
TA
UA
TA
TA
YE
YE
PA
HV
HV
PA
PA
PA
TA
PS
PS
TA
EA
UL
TA
TA
EA
EA
EA
EA
CA
CA
TA
EA
EA
EA
EA
YE
YE
EA
EA
EA
YE
TA
TA
TA
TA
TA
ZD
YE
YE
SL
YE
TA
TA

UNIT PRICE
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.94
$
0.95
$
0.95
$
0.95
$
0.95
$
0.95
$
0.95
$
0.95
$
0.95
$
0.95
$
0.95
$
0.95
$
0.95
$
0.95
$
0.95
$
0.95
$
0.95
$
0.95
$
0.95
$
0.95
$
0.95
$
0.95
$
0.95
$
0.95
$
0.95
$
0.95
$
0.95
$
0.95
$
0.95
$
0.95
$
0.95
$
0.95
$
0.96
$
0.96
$
0.96

NDC
00032102601
00032102610
00037240301
00054372144
00062018702
00078037540
00078037546
00078037549
00078037563
00173050900
00185074901
00247112230
00247112260
00338939941
00366019122
00378043401
00603258421
00904558560
12280007930
35515094455
38779017604
38779017605
38779017608
38779030103
38779030104
38779030105
38779030108
38779030109
49452000604
49452233901
49452233902
49452233903
49452752301
49452752302
51552042305
51927104500
51991007901
51991023601
52152013802
52152013804
52152025302
52152025305
54569520700
54569542800
54569542802
54569550200
54868356500
54868356501
54868356502
54868464100
54868477100
54868477101
54868487800

NAME
ESTRATEST TABLET
ESTRATEST TABLET
SOMA COMPOUND W/CODEINE TAB
PREDNISONE 5 MG/ML SOLUTION
RENOVA 0.02% CREAM
ELIDEL 1% CREAM
ELIDEL 1% CREAM
ELIDEL 1% CREAM
ELIDEL 1% CREAM
FLOVENT 100 MCG ROTADISK
CARISOPRODOL CPD/CODEINE TB
LOPRESSOR HCT 100/25 TABLET
LOPRESSOR HCT 100/25 TABLET
MIDAZOLAM/NACL 2 MG/ML INJ
P-CL-M-XYENOL SCRUB/BRUSH
METOPROLOL-HCTZ 100/25MG TAB
CARISOPRODOL CPD/CODEINE TB
GUAIF/PHENYLPHRINE HCL TAB
ELIDEL 1% CREAM
QC GAUZE BANDAGE 4"X140"
SULFASALAZINE POWDER
SULFASALAZINE POWDER
SULFASALAZINE POWDER
CROMOLYN SODIUM POWDER
CROMOLYN SODIUM POWDER
CROMOLYN SODIUM POWDER
CROMOLYN SODIUM POWDER
CROMOLYN SODIUM POWDER
CROMOLYN SODIUM POWDER
CROMOLYN SODIUM POWDER
CROMOLYN SODIUM POWDER
CROMOLYN SODIUM POWDER
SULFASALAZINE POWDER
SULFASALAZINE POWDER
CROMOLYN SODIUM POWDER
SULFASALAZINE POWDER
SYNTEST D.S. TABLET
CRANTEX LA TABLET
CARISOPRODOL CPD/CODEINE TB
CARISOPRODOL CPD/CODEINE TB
AMI-TEX LA TABLET
AMI-TEX LA TABLET
RENOVA 0.02% CREAM
ENTEX LA TABLET SA
ENTEX LA TABLET SA
ELIDEL 1% CREAM
ESTRATEST TABLET
ESTRATEST TABLET
ESTRATEST TABLET
RENOVA 0.02% CREAM
SYNTEST D.S TABLET
SYNTEST D.S. TABLET
ELIDEL 1% CREAM

DOSE FORM DRUG STRENGTH


TA
TA
TA
SY
KA
KA
KA
KA
KA
GK
TA
TA
TA
HZ
PL
TA
TA
TM
KA
YE
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
TA
TM
TA
TA
TM
TM
KA
TM
TM
KA
TA
TA
TA
KA
TA
TA
KA

UNIT PRICE
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96

NDC
54868487801
55289047220
58177044304
61553019941
62022033001
62037092901
62991103801
62991103802
63370005015
63370005025
63370005035
63370005045
63370005050
63868045544
66116069130
66288130001
66424060101
66576023101
66869071510
66869080510
99207020701
00004026501
00004026549
00009026001
00009026004
00054419019
00054817225
00054818225
00074146301
00078034642
00078034645
00078034662
00083232008
00083232062
00083232801
00083232808
00093713001
00406369234
00406369237
00409146301
08219111100
10106093302
10361307500
17317003602
17317003605
17317003607
38779001401
38779001404
38779001405
38779224608
38779224609
49452078001
49452078002

NAME
ELIDEL 1% CREAM
SOMA COMPOUND W/CODEINE TAB
PHENAVENT LA TABLET
MIDAZOLAM-NACL 2 MG/ML INJ
ENTEX LA TABLET SA
PHENYLEPHRINE/GUAIF TAB SA
CROMOLYN SODIUM POWDER
CROMOLYN SODIUM POWDER
CROMOLYN SODIUM POWDER
CROMOLYN SODIUM POWDER
CROMOLYN SODIUM POWDER
CROMOLYN SODIUM POWDER
CROMOLYN SODIUM POWDER
QC GAUZE BANDAGE 4"X140"
AMI-TEX LA TABLET
CEFAZOLIN SOD 300 GM BULK BAG
G P TEX TABLET
SYNTEST D.S. TABLET
DURAPHEN II DM TABELT
DURAPHEN FORTE TABLET
TRIAZ 9% GEL
DEMADEX 100 MG TABLET
DEMADEX 100 MG TABLET
COLESTID GRANULES PACKET
COLESTID GRANULES PACKET
DHT 0.125 MG TABLET
DHT 0.125 MG TABLET
DHT 0.2 MG TABLET
NALBUPHINE 10 MG/ML AMPUL
VIVELLE-DOT 0.1 MG PATCH
VIVELLE-DOT 0.1 MG PATCH
VIVELLE-DOT 0.1 MG PATCH
ESTRADERM 0.1 MG PATCH
ESTRADERM 0.1 MG PATCH
VIVELLE 0.1 MG PATCH
VIVELLE 0.1 MG PATCH
TORSEMIDE 100 MG TABLET
ATROPINE SULFATE POWDER
ATROPINE SULFATE POWDER
NALBUPHINE 10 MG/ML AMPUL
TELFA CLEAR WOUND DRESSING
ATROPINE SULFATE POWDER
MAGNESIUM CITRATE PACKET
ATROPINE SULFATE POWDER
ATROPINE SULFATE POWDER
ATROPINE SULFATE POWDER
ATROPINE SULFATE POWDER
ATROPINE SULFATE POWDER
ATROPINE SULFATE POWDER
AZITHROMYCIN POWDER
AZITHROMYCIN POWDER
ATROPINE SULFATE POWDER
ATROPINE SULFATE POWDER

DOSE FORM DRUG STRENGTH


KA
TA
TM
HZ
TM
TM
PA
PA
PA
PA
PA
PA
PA
YE
TM
HL
TM
TA
TM
TM
JG
TA
TA
PP
PP
TA
TA
TA
HH
PQ
PQ
PQ
PQ
PQ
PQ
PQ
TA
PA
PA
HH
YE
PA
PP
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA

UNIT PRICE
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.96
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97

NDC
49452078003
49884065401
49884065410
50111091801
51927100100
52544047308
52959041830
52959041831
53014090371
53014090384
54569229000
54569558100
54868123400
54868123401
54868123402
54868123403
54868360800
54868368600
54868368601
54868379600
54868424400
55289098715
58394000101
58394000201
58394000301
62991101201
62991101202
62991101203
62991101204
63481043210
64248035001
00008069001
00008070301
00008070302
00019131715
00019318307
00019318315
00024123305
00052028106
00062171415
00062178115
00062178120
00062178122
00115700705
00186023903
00270086020
00310027110
00310027139
00378820001
00407077604
00456100910
00555900858
00555900867

NAME
ATROPINE SULFATE POWDER
TORSEMIDE 100 MG TABLET
TORSEMIDE 100 MG TABLET
TORSEMIDE 100 MG TABLET
ATROPINE SULFATE POWDER
ALORA 0.1 MG PATCH
IONAMIN 15 MG CAPSULE SA
IONAMIN 15 MG CAPSULE SA
IONAMIN 15 MG CAPSULE SA
IONAMIN 15 MG CAPSULE SA
IONAMIN 15 MG CAPSULE SA
VIVELLE-DOT 0.1 MG PATCH
TORSEMIDE 100 MG TABLET
TORSEMIDE 100 MG TABLET
TORSEMIDE 100 MG TABLET
TORSEMIDE 100 MG TABLET
NALBUPHINE 10 MG/ML AMPUL
NUBAIN 10 MG/ML AMPUL
NUBAIN 10 MG/ML AMPUL
VIVELLE 0.1 MG PATCH
VIVELLE-DOT 0.1 MG PATCH
IONAMIN 15 MG CAPSULE SA
BENEFIX 1,000 UNITS VIAL
BENEFIX 500 UNIT VIAL
BENEFIX 250 UNIT VIAL
ATROPINE SULFATE POWDER
ATROPINE SULFATE POWDER
ATROPINE SULFATE POWDER
ATROPINE SULFATE POWDER
NUBAIN 10 MG/ML AMPUL
ESCLIM 0.1 MG PATCH
ORUVAIL 200 MG CAPSULE SA
EFFEXOR 50 MG TABLET
EFFEXOR 50 MG TABLET
MD-76 R 66/10 VIAL
CONRAY-43 VIAL
CONRAY-43 VIAL
MEBARAL 100 MG TABLET
MIRCETTE 28 DAY TABLET
MODICON 28 TABLET
ORTHO-NOVUM 7/7/7-28 TABLET
ORTHO-NOVUM 7/7/7-28 TABLET
ORTHO-NOVUM 7/7/7-28 TABLET
MEPHOBARBITAL 100MG, 250'S
XYLOCAINE IM 10% AMPUL
RENOCAL-76 66/10 VIAL
SEROQUEL 100 MG TABLET
SEROQUEL 100 MG TABLET
KETOPROFEN 200 MG CAPSULE SA
HYPAQUE-76 VIAL
ANERGAN 50 MG/ML VIAL
NORTREL 0.5/35 TABLET
NORTREL 0.5/35 TABLET

DOSE FORM DRUG STRENGTH


PA
TA
TA
TA
PA
PQ
CS
CS
CS
CS
CS
PQ
TA
TA
TA
TA
HH
HH
HH
PQ
PQ
CS
YK
YK
YK
PA
PA
PA
PA
HH
PQ
CP
TA
TA
HV
HV
HV
TA
TA
TA
TA
TA
TA
TA
HH
HV
TA
TA
CP
HV
HV
TA
TA

UNIT PRICE
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.97
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98

NDC
00555901258
00555905058
00641092925
00641095625
00642070130
00703220104
02120001626
02120016008
02120163601
08026000087
08026400800
08026462900
08026463000
08080330200
08080664100
08219664100
08219665400
08290207310
08333158201
08333158209
08333162601
08333162605
08333162609
08333356901
08333950605
08333953601
08380009305
08380009306
08380009307
08380009308
08380009309
08380009315
08380009316
08380009317
08380009318
08380009319
08380009325
08380009326
08380009327
08380009328
08380009329
08380009335
08380009336
08380009337
08380009338
08380009339
08380009626
08380009627
08380009628
08380009629
08380009636
08380009637
08380009638

NAME
NORTREL 7/7/7-28 TABLET
KARIVA 28 DAY TABLET
PROMETHAZINE 50 MG/ML VIAL
PROMETHAZINE 50 MG/ML VIAL
TRITUSS-A ORAL DROPS
PROMETHAZINE 50 MG/ML VIAL
TEGADERM 4" X 4 3/4 "
COBAN ACTION WRAP 2"X 5YDS
TEGADERM 4 X 4 3/4" DRESSING
OPSITE PLUS DRESSING
OPSITE IV 3000 DRESSING
OPSITE FLEXIGRID DRESSING
OPSITE FLEXIGRID DRESSING
TENSOR ELASTIC BANDAGE 2"
POLYSKIN II TRANSPRNT DRESS
POLYSKIN II TRANSPRNT DRESS
POLYSKIN M.R. TRNSPRNT DRSS
ACE ELASTIC BANDAGE 2"
COBAN WRAP 2" X 5 YARDS
COBAN WRAP 2" X 5 YARDS
TEGADERM 4"X4.75" DRESSING
TEGADERM 4"X4.75" DRESSING
TEGADERM 4"X4.75" DRESSING
SOFT CLOTH 3.5"X6" DRESSING
TEGADERM 4"X4.75" DRESSING
TEGADERM HP DRESSING
POLYTECH SLF-ADHSV CATH 41MM
POLYTECH SLF-ADHSV CATH 25MM
POLYTECH SLF-ADHSV CATH 29MM
POLYTECH SLF-ADHSV CATH 36MM
POLYTECH SLF-ADHSV CATH 32MM
POLYTECH BRIEF CATH 41MM
POLYTECH BRIEF CATH 25MM
POLYTECH BRIEF CATH 29MM
POLYTECH BRIEF CATH 36MM
POLYTECH BRIEF CATH 32MM
POLYTECH SLF-ADHSV CATH 41MM
POLYTECH SLF-ADHSV CATH 25MM
POLYTECH SLF-ADHSV CATH 29MM
POLYTECH SLF-ADHSV CATH 36MM
POLYTECH SLF-ADHSV CATH 32MM
POLYTECH BRIEF CATH 41MM
POLYTECH BRIEF CATH 25MM
POLYTECH BRIEF CATH 29MM
POLYTECH BRIEF CATH 36MM
POLYTECH BRIEF CATH 32MM
EVERYDAY SLF-ADHV CATH 25MM
EVERYDAY SLF-ADHV CATH 29MM
EVERYDAY SLF-ADHV CATH 36MM
EVERYDAY SLF-ADHV CATH 32MM
ADVANCE EX SELF-ADHES CATH
ADVANCE EX SELF-ADHES CATH
ADVANCE EX SELF-ADHES CATH

DOSE FORM DRUG STRENGTH


TA
TA
HV
HV
SO
HV
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98

NDC
08380009639
08380009656
08380009657
08380009658
08380009659
08380009806
08380009807
08380009808
08380009809
08380009827
08380009828
08380009829
08380097425
08380097429
08380097432
08380097436
08380097441
08380097525
08380097529
08380097532
08380097536
08380097541
08380097625
08380097629
08380097632
08380097636
08380097641
08380097725
08380097729
08380097732
08380097736
08380097741
08380097825
08380097829
08380097832
08380097836
08380097841
08380097925
08380097929
08380097932
08380097936
08380097941
08884662019
10356002594
10356002599
12280002015
40565011563
40565011810
40565011951
49452794001
49452794002
49452794102
49756046303

NAME
ADVANCE EX SELF-ADHES CATH
ADVANCE EX SELF-ADHES CATH
ADVANCE EX SELF-ADHES CATH
ADVANCE EX SELF-ADHES CATH
ADVANCE EX SELF-ADHES CATH
SELF-ADHESV CATH PED-GERIAT
SELF-ADHESIVE CATHETER-MED.
SELF-ADHESIVE CATHETER-STND
SELF-ADHESIVE CATHETER-INTM
SELF-ADHESIVE CATH 29MM
SELF-ADHESIVE CATH 36MM
SELF-ADHESIVE CATH 32MM
INCARE INVIEW SPECIAL 25MM
INCARE INVIEW SPECIAL 29MM
INCARE INVIEW SPECIAL 32MM
INCARE INVIEW SPECIAL 36MM
INCARE INVIEW SPECIAL 41MM
INCARE INVIEW STANDARD 25MM
INCARE INVIEW STANDARD 29MM
INCARE INVIEW STANDARD 32MM
INCARE INVIEW STANDARD 36MM
INCARE INVIEW STANDARD 41MM
INCARE INVIEW EXTRA 25MM
INCARE INVIEW EXTRA 29MM
INCARE INVIEW EXTRA 32MM
INCARE INVIEW EXTRA 36MM
INCARE INVIEW EXTRA 41MM
INCARE INVIEW SPECIAL 25MM
INCARE INVIEW SPECIAL 29MM
INCARE INVIEW SPECIAL 32MM
INCARE INVIEW SPECIAL 36MM
INCARE INVIEW SPECIAL 41MM
INCARE INVIEW STANDARD 25MM
INCARE INVIEW STANDARD 29MM
INCARE INVIEW STANDARD 32MM
INCARE INVIEW STANDARD 36MM
INCARE INVIEW STANDARD 41MM
INCARE INVIEW EXTRA 25MM
INCARE INVIEW EXTRA 29MM
INCARE INVIEW EXTRA 32MM
INCARE INVIEW EXTRA 36MM
INCARE INVIEW EXTRA 41MM
EXPANDOVER BANDAGE 2"X5YDS
ELASTOPLAST ELASTIC BANDAGE
ELASTOPLAST ELASTIC BANDAGE
SEROQUEL 100 MG TABLET
OPSITE IV 3000 1-HAND DRESSNG
OPSITE IV 3000 FRAME DRESS
OPSITE IV 3000 1-HAND DRESS
TRIPELENNAMINE HCL POWDER
TRIPELENNAMINE HCL POWDER
TRIPELENNAMINE POWDER
TRANSEAL WOUND DRESSING

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
YE
YE
YE
TA
YE
YE
YE
PA
PA
PA
YE

UNIT PRICE
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98

NDC
49999060215
52544025428
52544055028
52544093628
52959034715
52959034720
52959034730
52959052010
52959052015
52959052020
52959052030
54569068900
54569489000
54569535800
54868026200
54868050800
54868050801
54868052500
54868338000
54868338001
54868338002
54868338003
54868453800
54868473100
54868482600
54868482601
54868482602
55289036910
55860004629
55860004630
56091007016
56091007033
58016035100
58016035110
58016035114
58016035115
58016035120
58016035121
58016035128
58016035130
58016035140
58016035150
58016035160
58016035190
58016075430
60258023630
60977000204
60977000244
62037052001
67386080302
68115038430
68115088600
00025152031

NAME
SEROQUEL 100 MG TABLET
BREVICON 28 TABLET
NECON 0.5/35-28 TABLET
NECON 7/7/7-28 TABLET
ORUVAIL 200 MG CAPSULE SA
ORUVAIL 200 MG CAPSULE SA
ORUVAIL 200 MG CAPSULE SA
KETOPROFEN 200 MG CAPSULE
KETOPROFEN 200 MG CAPSULE
KETOPROFEN 200 MG CAPSULE
KETOPROFEN 200 MG CAPSULE
ORTHO-NOVUM 7/7/7-28 TAB
MIRCETTE 28 DAY TABLET
NECON 0.5/35-28 TABLET
PROMETHAZINE 50 MG/ML VIAL
ORTHO-NOVUM 7/7/7-21 TABLET
ORTHO-NOVUM 7/7/7-28 TABLET
MODICON 28 TABLET
ORUVAIL 200 MG CAPSULE SA
ORUVAIL 200 MG CAPSULE SA
ORUVAIL 200 MG CAPSULE SA
ORUVAIL 200 MG CAPSULE SA
NECON 0.5/35-28 TABLET
MIRCETTE 28 DAY TABLET
KETOPROFEN 200 MG CAPSULE SA
KETOPROFEN 200 MG CAPSULE
KETOPROFEN ER 200 MG CAPSULE
ORUVAIL 200 MG CAPSULE SA
OPSITE DRESSING 4" X 4 3/4"
OPSITE DRESSING 4" X 4 3/4"
DYNA-FLEX ELASTIC BANDAGE
DYNA-FLEX COMPRESSION BNDGE
EFFEXOR 50 MG TABLET
EFFEXOR 50 MG TABLET
EFFEXOR 50 MG TABLET
EFFEXOR 50 MG TABLET
EFFEXOR 50 MG TABLET
EFFEXOR 50 MG TABLET
EFFEXOR 50 MG TABLET
EFFEXOR 50 MG TABLET
EFFEXOR 50 MG TABLET
EFFEXOR 50 MG TABLET
EFFEXOR 50 MG TABLET
EFFEXOR 50 MG TABLET
KETOPROFEN 200 MG CAPSULE SA
DACEX-A ORAL DROPS
PHENERGAN 50 MG/ML VIAL
PHENERGAN 50 MG/ML VIAL
KETOPROFEN 200 MG CAPSULE SA
MEBARAL 100 MG TABLET
EFFEXOR 50 MG TABLET
SEROQUEL 100 MG TABLET
CELEBREX 100 MG CAPSULE

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
CP
CP
CP
CP
CP
CP
CP
TA
TA
TA
HV
TA
TA
TA
CP
CP
CP
CP
TA
TA
CP
CP
CP
CP
YE
YE
YE
YE
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CP
SO
HV
HV
CP
TA
TA
TA
CA

UNIT PRICE
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.98
$
0.99

NDC
00025152034
00025152051
00026069102
00066985030
00066985060
00069550066
00069551066
00074118701
00074171848
00074640248
00078024015
00085119403
00085132704
00085135105
00085138507
00093722758
00093722763
00093722772
00093722777
00193222920
00193223021
00247147820
00247147920
00264913950
00270005110
00703504001
00703504303
00703504601
00781204304
00781204316
00781204342
00781204367
08021356043
08021356048
08021356049
08021356050
08021356051
08021356052
08021356053
08021356054
08021356055
08021356057
08021356058
08021358000
08021372100
08021412015
08021513548
08026496300
08026497500
08026563000
08333162101
08333563401
08375004203

NAME
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
PLASBUMIN-20 IV SOLUTION
NORITATE 1% CREAM
NORITATE 1% CREAM
ZYRTEC 5 MG TABLET
ZYRTEC 10 MG TABLET
DROPERIDOL 2.5 MG/ML AMPUL
TRANSFER SET
TRANSFER (HVY DEXTROSE)
SANDIMMUNE 25 MG CAPSULE
REBETOL 200 MG CAPSULE
REBETOL 200 MG CAPSULE
REBETOL 200 MG CAPSULE
REBETOL 200 MG CAPSULE
RIBAVIRIN 200 MG CAPSULE
RIBAVIRIN 200 MG CAPSULE
RIBAVIRIN 200 MG CAPSULE
RIBAVIRIN 200 MG CAPSULE
MICRO-BUMINTEST KIT
MICRO-BUMINTEST KIT
ZYRTEC 5 MG TABLET
ZYRTEC 10 MG TABLET
TRANSFER SET
SOLUTION TRANSFER DEVICE
DOXORUBICIN 2 MG/ML VIAL
DOXORUBICIN 2 MG/ML VIAL
DOXORUBICIN 2 MG/ML VIAL
RIBAVIRIN 200 MG CAPSULE
RIBAVIRIN 200 MG CAPSULE
RIBAVIRIN 200 MG CAPSULE
RIBAVIRIN 200 MG CAPSULE
FLUID TRANS SET VENTED
FLUID TRANSFER SET VENTED
FLUID TRANS SET NON-VENTED
FLUID TRANS SET-VENTED
FLUID TRANSFER SET,NON-VENT
HYPERAL TRANSFER Y SET
FLUID TRANSFER SET
FLUID TRANSFER SET VENTED
FLUID TRANSFER SET W/FILTER
FLUID TRANSFER SET W/FILTER
FLUID TRANSFER SET W/FILTER
FLUID TRANSFER SET W/FILTER
MULTI-AD TRI-AD TRANSF SET
VACUUM TRANS TUBE W/NEEDLE
MULTI-AD TRANSFER SET
OPSITE ADHESIVE DRESSING
OPSITE ADHESIVE DRESSING
UNIFLEX DRESSING 10CMX14CM
TEGADERM 4"X 5.5" DRESSING
TEGAPORE 3"X4" DRESSING
PROCYTE 4"X5.5" DRESSING

DOSE FORM DRUG STRENGTH


CA
CA
HV
KA
KA
TA
TA
HH
EA
EA
CA
CA
CA
CA
CA
CA
CA
CA
CA
YK
YK
TA
TA
EA
EA
HV
HV
HV
CA
CA
CA
CA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
YE
YE
YE
YE
YE
YE

UNIT PRICE
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99

NDC
10144060415
10337042120
10337042620
10481300501
11098001001
11098001002
49884085656
49884085692
49884085693
49884085694
49999027515
49999027530
49999038310
49999038314
49999038320
49999038330
49999038360
51285044602
52959048207
52959048210
52959048215
52959048230
52959054014
52959054015
52959054020
52959054021
52959054028
52959054030
52959054040
53303000018
54569429000
54569429001
54569429002
54569467100
54569467101
54569467102
54569467104
54569559600
54569561100
54868156201
54868387600
54868387601
54868387602
54868387603
54868387604
54868387605
54868387606
54868387607
54868389000
54868401000
54868401001
54868410700
54868410701

NAME
ZANAFLEX 4 MG CAPSULE
OMIDERM DRESSING 8X10CM
OMIDERM MESH DRESS 8X10CM
GORDO-UREA 40% OINTMENT
INAPSINE 2.5 MG/ML AMPUL
INAPSINE 2.5 MG/ML AMPUL
RIBASPHERE 200 MG CAPSULE
RIBASPHERE 200 MG CAPSULE
RIBASPHERE 200 MG CAPSULE
RIBASPHERE 200 MG CAPSULE
ZYRTEC 10 MG TABLET
ZYRTEC 10 MG TABLET
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
CENESTIN 0.45 MG TABLET
ZYRTEC 10 MG TABLET
ZYRTEC 10 MG TABLET
ZYRTEC 10 MG TABLET
ZYRTEC 10 MG TABLET
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
CARRA FILM DRESSING 4"X5.5"
ZYRTEC 10 MG TABLET
ZYRTEC 10 MG TABLET
ZYRTEC 10 MG TABLET
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
HUMATIN 250 MG CAPSULE
PAROMOMYCIN 250 MG CAPSULE
HUMATIN 250 MG CAPSULE
ZYRTEC 10 MG TABLET
ZYRTEC 10 MG TABLET
ZYRTEC 10 MG TABLET
ZYRTEC 10 MG TABLET
ZYRTEC 10 MG TABLET
ZYRTEC 10 MG TABLET
ZYRTEC 10 MG TABLET
ZYRTEC 10 MG TABLET
DROPERIDOL 2.5 MG/ML AMPUL
ZYRTEC 5 MG TABLET
ZYRTEC 5 MG TABLET
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE

DOSE FORM DRUG STRENGTH


CA
YE
YE
OA
HH
HH
CA
CA
CA
CA
TA
TA
CA
CA
CA
CA
CA
TA
TA
TA
TA
TA
CA
CA
CA
CA
CA
CA
CA
YE
TA
TA
TA
CA
CA
CA
CA
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
HH
TA
TA
CA
CA

UNIT PRICE
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99

NDC
54868410702
54868410703
54868444900
54868481500
54868503500
55045239901
55045239905
55045267101
55045267107
55045267108
55289010807
55289010814
55289010825
55289010830
55289045114
55289045120
55289045130
55390023510
55390023610
55390023701
55390023801
55390024510
55390024610
55390024701
55390024801
55860004925
55860004963
55860004975
55860563000
55887041260
56091002475
56091002477
57664017508
57866280101
57866280102
57866280103
57866280201
57866780101
57866780102
57866780103
57866780104
57866780105
58016016900
58016016910
58016016912
58016016920
58016016921
58016016928
58016016930
58016016960
58016036720
58016036730
58407020201

NAME
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
NORITATE 1% CREAM
PAROMOMYCIN 250 MG CAPSULE
REBETOL 200 MG CAPSULE
ZYRTEC 10 MG TABLET
ZYRTEC 10 MG TABLET
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
ZYRTEC 10 MG TABLET
ZYRTEC 10 MG TABLET
ZYRTEC 10 MG TABLET
ZYRTEC 10 MG TABLET
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
ADRIAMYCIN 2 MG/ML VIAL
ADRIAMYCIN 2 MG/ML VIAL
ADRIAMYCIN 2 MG/ML VIAL
ADRIAMYCIN 2 MG/ML VIAL
DOXORUBICIN 2 MG/ML VIAL
DOXORUBICIN 2 MG/ML VIAL
DOXORUBICIN 2 MG/ML VIAL
DOXORUBICIN 2 MG/ML VIAL
OPSITE IV 3000 DRES 4X5 1/2"
OPSITE DRESSING 5 1/2" X 4"
OPSITE DRESSING 5 1/2" X 4"
UNIFLEX DRESSING 4" X 5 1/2"
CELEBREX 100 MG CAPSULE
BIOCLUSIVE SELECT DRESSING
BIOCLUSIVE SELECT MVP DRESS
PAROMOMYCIN 250 MG CAPSULE
ZYRTEC 10 MG TABLET
ZYRTEC 10 MG TABLET
ZYRTEC 10 MG TABLET
ZYRTEC 5 MG TABLET
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
ZYRTEC 10 MG TABLET
ZYRTEC 10 MG TABLET
ZTUSS TABLET

DOSE FORM DRUG STRENGTH


CA
CA
KA
CA
CA
TA
TA
CA
CA
CA
TA
TA
TA
TA
CA
CA
CA
HV
HV
HV
HV
HV
HV
HV
HV
YE
YE
YE
YE
CA
YE
YE
CA
TA
TA
TA
TA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
TA
TA
TA

UNIT PRICE
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99

NDC
58864068630
58864069130
59930152301
59930152302
59930152303
59930152304
60505013300
61570052910
63304040601
66116011730
66116013730
66116070414
66267004620
66267004630
66435010118
68030280101
68030280102
68030280201
68030606601
68030780101
68030780103
68030780104
68030780106
68115006900
68115006920
68115006930
68115006960
68115036700
68115036715
68115036730
83750004203
00006007131
00006007154
00006007161
00028007301
00074400990
00083002430
00091475020
00247112330
00247112360
00300154111
00300154119
00300154130
00300304611
00300304613
00300304619
00378044501
00407141443
00407141450
00456201001
00456201063
00456202001
00456202063

NAME
ZYRTEC 10 MG TABLET
CELEBREX 100 MG CAPSULE
RIBAVIRIN 200 MG CAPSULE
RIBAVIRIN 200 MG CAPSULE
RIBAVIRIN 200 MG CAPSULE
RIBAVIRIN 200 MG CAPSULE
CYCLOSPORINE 25 MG CAPSULE
HUMATIN 250 MG CAPSULE
PROCTO-KIT 2.5% CREAM
CELEBREX 100 MG CAPSULE
ZYRTEC 5 MG TABLET
ZYRTEC 10 MG TABLET
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
RIBASPHERE 200 MG CAPSULE
ZYRTEC 10 MG TABLET
ZYRTEC 10 MG TABLET
ZYRTEC 5 MG TABLET
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
CELEBREX 100 MG CAPSULE
ZYRTEC 10 MG TABLET
ZYRTEC 10 MG TABLET
ZYRTEC 10 MG TABLET
PROCYTE 4"X5.5" DRESSING
PROPECIA 1 MG TABLET
PROPECIA 1 MG TABLET
PROPECIA 1 MG TABLET PRO-PAK
LOPRESSOR HCT 100/50 TABLET
TRICOR 54 MG TABLET
CYTADREN 250 MG TABLET
PROCTOFOAM
LOPRESSOR HCT 100/50 TABLET
LOPRESSOR HCT 100/50 TABLET
PREVACID 15 MG CAPSULE DR
PREVACID 15 MG CAPSULE DR
PREVACID 15 MG CAPSULE DR
PREVACID 30 MG CAPSULE DR
PREVACID 30 MG CAPSULE DR
PREVACID 30 MG CAPSULE DR
METOPROLOL-HCTZ 100/50MG TAB
OMNIPAQUE 350 MG/ML VIAL
OMNIPAQUE 350 MG/ML VIAL
LEXAPRO 10 MG TABLET
LEXAPRO 10 MG TABLET
LEXAPRO 20 MG TABLET
LEXAPRO 20 MG TABLET

DOSE FORM DRUG STRENGTH


TA
CA
CA
CA
CA
CA
CA
CA
KW
CA
TA
TA
CA
CA
CA
TA
TA
TA
CA
CA
CA
CA
CA
CA
CA
CA
CA
TA
TA
TA
YE
TA
TA
TA
TA
TA
TA
AW
TA
TA
CA
CE
CE
CA
CE
CE
TA
HV
HV
TA
TA
TA
TA

UNIT PRICE
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
0.99
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00

NDC
00487650101
00555906658
00597000160
08333358601
08333358701
08333954601
08884474019
10122030110
10457032510
17317045901
17317045909
48107004837
49452618001
49452618002
49999027630
49999060015
50474059140
52544021928
52544027428
52959030720
52959030730
52959070330
52959070430
54569445000
54569445100
54569454400
54569464200
54569548300
54569548400
54569568100
54868051600
54868340100
54868386700
54868407900
54868407901
54868407902
54868412000
54868412001
54868416200
54868459500
54868470000
54868470001
54868470002
54868470003
54868470004
54868477500
54868477501
54868477502
54868477503
54868514300
55045256008
55045274008
55045298508

NAME
RAPHON 2.25% SOLUTION
ARANELLE 28 TABLET
AGGRENOX CAPSULE SA
TEGADERM 3.5" X 4" DRESSING
TEGADERM 3.5"X4.125" DRESS
TEGADERM HP DRESSING
BLISTERFILM 3 1/2"X4" DRESS
BALACET 325 TABLET
TRYCET 100/325 MG TABLET
QUINIDINE SULFATE CRYSTALS
QUINIDINE SULFATE CRYSTALS
COENZYME Q-10 120 MG SOFTGEL
QUINIDINE SULFATE CRYSTALS
QUINIDINE SULFATE CRYSTALS
PROPECIA 1 MG TABLET
LEXAPRO 10 MG TABLET
KEPPRA 250 MG TABLET
LEENA 28 TABLET
TRI-NORINYL 28 TABLET
PREVACID 30 MG CAPSULE DR
PREVACID 30 MG CAPSULE DR
LEXAPRO 10 MG TABLET
LEXAPRO 20 MG TABLET
PREVACID 15 MG CAPSULE DR
PREVACID 30 MG CAPSULE DR
PROPECIA 1 MG TABLET
PROPECIA 1 MG TABLET PRO-PAK
LEXAPRO 10 MG TABLET
LEXAPRO 20 MG TABLET
PROPECIA 1 MG TABLET
TRI-NORINYL 28 TABLET
ISOPTO CARPINE 0.25% DROPS
PREVACID 15 MG CAPSULE DR
PREVACID 30 MG CAPSULE DR
PREVACID 30 MG CAPSULE DR
PREVACID 30 MG CAPSULE DR
PROPECIA 1 MG TABLET
PROPECIA 1 MG TABLET
NASAREL 0.025% SPRAY
TRICOR 54 MG TABLET
LEXAPRO 10 MG TABLET
LEXAPRO 10 MG TABLET
LEXAPRO 10 MG TABLET
LEXAPRO 10 MG TABLET
LEXAPRO 10 MG TABLET
LEXAPRO 20 MG TABLET
LEXAPRO 20 MG TABLET
LEXAPRO 20 MG TABLET
LEXAPRO 20 MG TABLET
AGGRENOX CAPSULE SA
PREVACID 30 MG CAPSULE DR
PREVACID 15 MG CAPSULE DR
LEXAPRO 20 MG TABLET

DOSE FORM DRUG STRENGTH


SA
TA
CM
YE
YE
YE
YE
TA
TA
PC
PC
CA
PC
PC
TA
TA
TA
TA
TA
CE
CE
TA
TA
CE
CE
TA
TA
TA
TA
TA
TA
SO
CE
CE
CE
CE
TA
TA
AS
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CM
CE
CE
TA

UNIT PRICE
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00

NDC
55289070430
55289076830
55289082830
55887048630
55887048660
55887048682
55887048690
57866661401
57866661402
57866661403
58016068300
58016068330
58016068360
58016068390
58016097700
58016097702
58016097730
58016097760
58016097790
58864061430
59310003725
64980031250
64980060115
65880041550
66267031730
68030661401
68030661402
68115037130
68115042730
68115050615
68115050630
68115082230
68115086600
68115090800
00007313116
00008419102
00015733899
00045064565
00052028306
00062017512
00062017513
00065039702
00065039705
00065039715
00071425945
00074188032
00074229031
00074233934
00085036208
00085036209
00091408601
00143992390
00299591045

NAME
PREVACID 30 MG CAPSULE DR
LEXAPRO 10 MG TABLET
LEXAPRO 20 MG TABLET
LEXAPRO 10 MG TABLET
LEXAPRO 10 MG TABLET
LEXAPRO 10 MG TABLET
LEXAPRO 10 MG TABLET
PREVACID 30 MG CAPSULE DR
PREVACID 30 MG CAPSULE DR
PREVACID 30 MG CAPSULE DR
PREVACID 30 MG CAPSULE DR
PREVACID 30 MG CAPSULE DR
PREVACID 30 MG CAPSULE DR
PREVACID 30 MG CAPSULE DR
LEXAPRO 10 MG TABLET
LEXAPRO 10 MG TABLET
LEXAPRO 10 MG TABLET
LEXAPRO 10 MG TABLET
LEXAPRO 10 MG TABLET
PREVACID 30 MG CAPSULE DR
NASAREL 29 MCG-0.025% SPRAY
ANTHRALIN 1% CREAM
RECTAFOAM
PSORIATEC 1% CREAM
PREVACID 30 MG CAPSULE DR
PREVACID 30 MG CAPSULE
PREVACID 30 MG CAPSULE
LEXAPRO 20 MG TABLET
PREVACID 30 MG CAPSULE DR
LEXAPRO 10 MG TABLET
LEXAPRO 10 MG TABLET
PREVACID 15 MG CAPSULE DR
LEXAPRO 10 MG TABLET
PREVACID 30 MG CAPSULE
ANCEF 500 MG VIAL
SYNALGOS-DC CAPSULE
CEFAZOLIN 500 MG VIAL
TOPAMAX 25 MG SPRINKLE CAP
CYCLESSA 28 DAY TABLET
RETIN-A 0.05% CREAM
RETIN-A 0.05% CREAM
CYCLOGYL 2% EYE DROPS
CYCLOGYL 2% EYE DROPS
CYCLOGYL 2% EYE DROPS
BENADRYL 50 MG/ML SYRINGE
PROCHLORPERAZINE 5 MG/ML SYR
DIPHENHYDRAMINE 50 MG/ML SYN
LABETALOL HCL 5 MG/ML CRPJ
NORMODYNE 5 MG/ML SYRINGE
NORMODYNE 5 MG/ML SYRINGE
VERELAN PM 200 MG CAP PELLET
CEFAZOLIN 500 MG VIAL
DIFFERIN 0.1% GEL

DOSE FORM DRUG STRENGTH


CE
TA
TA
TA
TA
TA
TA
CE
CE
CE
CE
CE
CE
CE
TA
TA
TA
TA
TA
CE
AS
KA
AW
KA
CE
CE
CE
TA
CE
TA
TA
CE
TA
CE
HS
CA
HS
CK
TA
KA
KA
SO
SO
SO
HQ
HQ
HQ
HQ
HQ
HQ
CP
HS
JG

UNIT PRICE
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.00
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01

NDC
00299591545
00409229031
00548139000
00555905158
00641039125
00641244045
00641245045
00781333885
00781333895
10019061001
51927232400
54569115200
54569443100
54569464000
54569560200
54868026701
54868026702
54868180100
54868180101
54868413700
54868437800
54868452000
54868465100
54868491100
54868503000
54868503100
54868527100
55289033915
58016307301
58016314201
58016556801
63010002118
63323023610
63323027602
63323054001
63323054011
63323054031
64248041910
64248041912
66288110001
66530024220
66530024245
66860000103
66993061528
67781018160
00009055501
00009055502
00053811002
00053811004
00247130810
00430058214
00430058311
00521451700

NAME
DIFFERIN 0.1% CREAM
DIPHENHYDRAMINE 50 MG/ML SYN
DIPHENHYDRAMINE 50 MG/ML SYN
VELIVET 28 DAY TABLET
HEPARIN NA 1,000 UNITS/ML VIAL
HEPARIN NA 1,000 UNITS/ML VIAL
HEPARIN NA 1,000 UNITS/ML VIAL
CEFAZOLIN 500 MG VIAL
CEFAZOLIN 500 MG VIAL
CEFAZOLIN 500 MG VIAL
DEXPANTHENOL USP POWDER
RETIN-A 0.05% CREAM
CEFAZOLIN 500 MG VIAL
DIFFERIN 0.1% GEL
RESCRIPTOR 200 MG TABLET
RETIN-A 0.05% CREAM
RETIN-A 0.05% CREAM
CYCLOGYL 2% EYE DROPS
CYCLOGYL 2% EYE DROPS
PROCHLORPERAZINE 5 MG/ML SYR
TRETINOIN 0.05% CREAM
RESCRIPTOR 200 MG TABLET
CEFAZOLIN 500 MG VIAL
CYCLESSA 28 DAY TABLET
DIFFERIN 0.1% GEL
VELIVET 28 DAY TABLET
DIFFERIN 0.1% CREAM
SYNALGOS-DC CAPSULE
RETIN-A 0.05% CREAM
RETIN-A 0.05% CREAM
TRETINOIN 0.05% CREAM
RESCRIPTOR 200 MG TABLET
CEFAZOLIN 500 MG VIAL
HEPARIN NA 1,000 UNITS/ML VIAL
HEPARIN NA 1,000 UNITS/ML VIAL
HEPARIN NA 1,000 UNITS/ML VIAL
HEPARIN NA 1,000 UNITS/ML VIAL
SYNALGOS-DC CAPSULE
SYNALGOS-DC CAPSULE
CEFAZOLIN SOD 100 GM BULK BAG
TRETINOIN 0.05% CREAM
TRETINOIN 0.05% CREAM
CEFAZOLIN 500 MG VIAL
CESIA 28 DAY TABLET
SPECTRACEF 200 MG TABLET
LINCOCIN 300 MG/ML VIAL
LINCOCIN 300 MG/ML VIAL
BIOCLATE 401-800 UNIT VL
BIOCLATE 801-1,240 UNITS VIAL
LINCOMYCIN 300 MG/ML VIAL
OVCON-35 28 TABLET
OVCON-35 21 TABLET
ACTIN-N SOLUBLE DRESSING

DOSE FORM DRUG STRENGTH


KA
HQ
HQ
TA
HV
HV
HV
HS
HS
HS
PA
KA
HS
JG
TA
KA
KA
SO
SO
HQ
KA
TA
HS
TA
JG
TA
KA
CA
KA
KA
KA
TA
HS
HV
HV
HV
HV
CA
CA
HL
KA
KA
HS
TA
TA
HV
HV
HS
HS
HV
TA
TA
YE

UNIT PRICE
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.01
$
1.02
$
1.02
$
1.02
$
1.02
$
1.02
$
1.02
$
1.02
$
1.02

NDC
00944293801
00944293802
00944293803
30727033580
51991008051
51991008052
52769046402
52769046405
52769046410
54859040210
54868050901
54868219500
55860007137
58914078510
58914078550
68115033705
00024420010
00066027517
00066027531
00066027560
00430375411
00430375414
00555021110
00597002101
10122020110
10481102801
10481301101
38779002304
38779002305
38779002308
38779049905
38779049908
51234015390
51285042410
51927316900
54569557100
54868049600
54868479000
54868482900
54868482901
54868482902
54868504600
54868504601
58016338901
60258023301
62991202701
62991202702
62991202703
62991202704
63370007925
65473072001
66440008251
68249020203

NAME
RECOMBINATE 220-400 UNIT VL
RECOMBINATE 401-800 UNIT VL
RECOMBINATE 801-1,240 UNITS VL
LIVER 2 MCG/ML VIAL
SOMNOTE 500 MG SOFTGEL
SOMNOTE 500 MG SOFTGEL
GENARC 220-400 UNIT VIAL
GENARC 401-800 UNIT VIAL
GENARC 801-1,240 UNITS VIAL
LINCOJECT 300 MG/ML VIAL
OVCON-35 28 TABLET
TRIMETHOBENZAMIDE 100 MG SUP
PRIMAPORE 7" X 3 1/4"
URSO 250 MG TABLET
URSO 250 MG TABLET
TRIMETHOBENZAMIDE 100 MG SUP
UROXATRAL 10 MG TABLET
PSORCON E 0.05% OINTMENT
PSORCON E 0.05% OINTMENT
PSORCON E 0.05% OINTMENT
ESTRACE 0.01% CREAM
ESTRACE 0.01% CREAM
NORETHINDRONE 5 MG TABLET
SERENTIL 25 MG TABLET
DECONSAL II CAPSULE
PYROGALLIC ACID 25% OINTMENT
SILVER NITRATE 10% OINTMENT
ERYTHROMYCIN E.S. POWDER
ERYTHROMYCIN E.S. POWDER
ERYTHROMYCIN E.S. POWDER
CARISOPRODOL POWDER
CARISOPRODOL POWDER
NUMOBID DX TABLET SA
AYGESTIN 5 MG TABLET
CARISOPRODOL POWDER
UROXATRAL 10 MG TABLET
ESTRACE 0.01% CREAM
PSORCON E 0.05% OINTMENT
NORETHINDRONE 5 MG TABLET
NORETHINDRONE 5 MG TABLET
NORETHINDRONE 5 MG TABLET
UROXATRAL 10 MG TABLET
UROXATRAL 10 MG TABLET
ESTRACE 0.01% CREAM
BIDNASE CAPLET
ERYTHROMYCIN E.S. POWDER
ERYTHROMYCIN E.S. POWDER
ERYTHROMYCIN E.S. POWDER
ERYTHROMYCIN E.S. POWDER
ERYTHROMYCIN E.S. POWDER
SURMONTIL 100 MG CAPSULE
AEROHIST CAPLET
DECONSAL II CAPSULE

DOSE FORM DRUG STRENGTH


HS
HS
HS
HV
CA
CA
HS
HS
HS
HV
TA
QA
YE
TA
TA
QA
TI
OA
OA
OA
KW
KW
TA
TA
CB
OA
OA
PA
PA
PA
PA
PA
TM
TA
PA
TI
KW
OA
TA
TA
TA
TI
TI
KW
TM
PA
PA
PA
PA
PA
CA
TM
CB

UNIT PRICE
$
1.02
$
1.02
$
1.02
$
1.02
$
1.02
$
1.02
$
1.02
$
1.02
$
1.02
$
1.02
$
1.02
$
1.02
$
1.02
$
1.02
$
1.02
$
1.02
$
1.03
$
1.03
$
1.03
$
1.03
$
1.03
$
1.03
$
1.03
$
1.03
$
1.03
$
1.03
$
1.03
$
1.03
$
1.03
$
1.03
$
1.03
$
1.03
$
1.03
$
1.03
$
1.03
$
1.03
$
1.03
$
1.03
$
1.03
$
1.03
$
1.03
$
1.03
$
1.03
$
1.03
$
1.03
$
1.03
$
1.03
$
1.03
$
1.03
$
1.03
$
1.03
$
1.03
$
1.03

NDC
68249020210
00062020402
00062020403
00074114315
00074400001
00074621511
00074621513
00074621553
00074963305
00078023405
00078023415
00378705001
00591037201
10157984301
10157986001
10157986801
10157987701
10157987901
10157988303
10157994701
10356075102
11701041141
17317037602
17317037603
38779023201
38779023202
38779023205
38779032505
38779032508
38779032509
49756046700
51079090301
51079090320
51552053105
51927275000
52544049701
53014057407
53014057507
53014057572
53014057607
54868254401
54868254403
54868254404
54868422400
54868422401
54868471800
55289047630
58016077430
58016077460
58016077490
58864080560
59767000101
59767000102

NAME
DECONSAL II CAPSULE
RETIN-A MICRO 0.04% GEL
RETIN-A MICRO 0.04% GEL
VERAPAMIL 2.5 MG/ML SYRINGE
VERAPAMIL 2.5 MG/ML SYRINGE
DEPAKOTE 500 MG TABLET EC
DEPAKOTE 500 MG TABLET EC
DEPAKOTE 500 MG TABLET EC
VERAPAMIL 2.5 MG/ML SYRINGE
LESCOL 40 MG CAPSULE
LESCOL 40 MG CAPSULE
LOXAPINE SUCCINATE 50 MG CAP
LOXAPINE SUCCINATE 50 MG CAP
BLISTEX LIP TONE BALM
BLISTEX ULTRA PROTECT BALM
BLISTEX HERBAL ANSWER STICK
BLISTEX COMPLETE MOIST BALM
BLISTEX SILK & SHINE BALM
BLISTEX FRUIT SMOOTH BALM
BLISTEX HERBAL ANSWER OINT
CUTIFILM PLUS DRESSING
COMFEEL POWDER
NAPHAZOLINE HCL CRYSTALS
NAPHAZOLINE HCL CRYSTALS
ISOPROPAMIDE IODIDE POWDER
ISOPROPAMIDE IODIDE POWDER
ISOPROPAMIDE IODIDE POWDER
CIMETIDINE POWDER
CIMETIDINE POWDER
CIMETIDINE POWDER
MULTIDEX POWDER WOUND DRESS
LOXAPINE 50 MG CAPSULE
LOXAPINE 50 MG CAPSULE
CIMETIDINE POWDER
CIMETIDINE POWDER
LOXITANE 50 MG CAPSULE
METADATE CD 10 MG CAPSULE
METADATE CD 20 MG CAPSULE
METADATE CD 20 MG CAPSULE
METADATE CD 30 MG CAPSULE
DEPAKOTE 500 MG TABLET EC
DEPAKOTE 500 MG TABLET
DEPAKOTE 500 MG TABLET EC
LESCOL 40 MG CAPSULE
LESCOL 40 MG CAPSULE
METADATE CD 20 MG CAPSULE
LESCOL 40 MG CAPSULE
DEPAKOTE 500 MG TABLET EC
DEPAKOTE 500 MG TABLET EC
DEPAKOTE 500 MG TABLET EC
DEPAKOTE 500 MG TABLET EC
PANCRECARB MS-8 CAPSULE EC
PANCRECARB MS-8 CAPSULE EC

DOSE FORM DRUG STRENGTH


CB
JG
JG
HQ
HQ
TE
TE
TE
HQ
CA
CA
CA
CA
EH
EH
EH
EH
EH
EH
OC
YE
PA
PC
PC
PA
PA
PA
PA
PA
PA
PA
CA
CA
PA
PA
CA
CG
CG
CG
CG
TE
TE
TE
CA
CA
CG
CA
TE
TE
TE
TE
CE
CE

UNIT PRICE
$
1.03
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04

NDC
62991108401
62991108402
68115037300
68115037330
68115037390
00003025542
00007414020
00007414055
00007414120
00007414155
00009454101
00009454102
00009454103
00062019002
00062019003
00062184015
00078017605
00078017615
00089022110
00115201101
00115201102
00185002201
00185002210
00378335801
00378335805
00781164901
00781164905
08137008107
08137008109
08137008110
08137008123
08137008124
08137008151
08137008155
08137008161
08137008162
08137008163
08137008171
08137008172
08137008173
08137008176
08137008181
08137008182
08137008183
08137008198
08137008199
08225087430
08225087440
08225087450
38779011105
38779011108
38779011109
38779043104

NAME
ISOPROPAMIDE IODIDE POWDER
ISOPROPAMIDE IODIDE POWDER
DEPAKOTE 500 MG TABLET EC
DEPAKOTE 500 MG TABLET EC
DEPAKOTE 500 MG TABLET EC
STOMAHESIVE STRIPS
COREG 6.25 MG TABLET
COREG 6.25 MG TABLET
COREG 12.5 MG TABLET
COREG 12.5 MG TABLET
DETROL 1 MG TABLET
DETROL 1 MG TABLET
DETROL 1 MG TABLET
RETIN-A MICRO 0.1% GEL
RETIN-A MICRO 0.1% GEL
ORTHO-PREFEST TABLET
LESCOL 20 MG CAPSULE
LESCOL 20 MG CAPSULE
NORFLEX 100 MG TABLET SA
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
J&J COMPACT FIRST AID KIT
J&J REGULAR FIRST AID KIT
J&J FIRST AID PAC
J&J LARGE FIRST AID KIT
J&J BOATING FIRST AID KIT
J&J FIRST AID AUTOPAC
J & J FIRST AID KIT
J&J INDUSTRIAL FIRST AID KIT
J&J INDUSTRIAL FIRST AID KIT
J&J INDUSTRIAL FIRST AID KIT
J&J INDUSTRIAL FIRST AID KIT
J&J INDUSTRIAL FIRST AID KIT
J&J INDUSTRIAL FIRST AID KIT
J&J FIRST AID REFILL PACK
J&J CAMPING FIRST AID KIT
J&J CAMPING FIRST AID KIT
J&J AUTO FIRST AID KIT
J&J COLLEGE FIRST AID KIT
J&J NEW PARENT FIRST AID KT
CURITY HOME FIRST AID KIT
CURITY MINI FIRST AID KIT
CURITY FIRST AID AUTO KIT
THIABENDAZOLE POWDER
THIABENDAZOLE POWDER
THIABENDAZOLE POWDER
DIBUCAINE HCL POWDER

DOSE FORM DRUG STRENGTH


PA
PA
TE
TE
TE
YR
TA
TA
TA
TA
TA
TA
TA
JG
JG
TA
CA
CA
TS
TS
TS
TS
TS
TS
TS
TS
TS
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
PA
PA
PA
PA

UNIT PRICE
$
1.04
$
1.04
$
1.04
$
1.04
$
1.04
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05

NDC
38779043105
49452256001
49452256002
49452256003
49999004614
49999004620
50428270578
51285008890
52959017810
52959017814
52959017815
52959017820
52959017830
52959052710
52959052714
52959052715
52959052720
52959052730
54569083800
54569083801
54569083802
54569083900
54569382100
54569450600
54569543900
54868105600
54868105601
54868105603
54868105604
54868105605
54868332900
54868410200
54868410201
54868410202
54868410203
54868410204
54868426900
54868439000
54868439600
54868439601
54868439602
54868442400
54868442401
54868442402
54868449700
54868449701
54868509200
54868509201
55045132505
55045132507
55045132508
55289064614
55289064615

NAME
DIBUCAINE HCL POWDER
DIBUCAINE HCL POWDER
DIBUCAINE HCL POWDER
DIBUCAINE HCL POWDER
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
NUPRIN ARTHRITIS PATCH
PREFEST TABLET
NORFLEX 100 MG TABLET SA
NORFLEX 100 MG TABLET SA
NORFLEX 100 MG TABLET SA
NORFLEX 100 MG TABLET SA
NORFLEX 100 MG TABLET SA
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE CI 100 MG TB SA
ORPHENADRINE CI 100 MG TB SA
ORPHENADRINE CI 100 MG TB SA
NORFLEX 100 MG TABLET SA
LESCOL 20 MG CAPSULE
RETIN-A MICRO 0.1% GEL
RETIN-A MICRO 0.1% GEL
NORFLEX 100 MG TABLET SA
NORFLEX 100 MG TABLET SA
NORFLEX 100 MG TABLET SA
NORFLEX 100 MG TABLET SA
NORFLEX 100 MG TABLET SA
LESCOL 20 MG CAPSULE
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
ORTHO-PREFEST TABLET
DETROL 1 MG TABLET
COREG 12.5 MG TABLET
COREG 12.5 MG TABLET
COREG 12.5 MG TABLET
COREG 6.25 MG TABLET
COREG 6.25 MG TABLET
COREG 6.25 MG TABLET
RETIN-A MICRO 0.1% GEL
RETIN-A MICRO 0.1% GEL
DYRENIUM 100 MG CAPSULE
DYRENIUM 100 MG CAPSULE
ORPHENADRINE 100 MG TAB ER
ORPHENADRINE 100 MG TAB ER
ORPHENADRINE 100 MG TAB ER
NORFLEX 100 MG TABLET SA
NORFLEX 100 MG TABLET SA

DOSE FORM DRUG STRENGTH


PA
PA
PA
PA
TS
TS
PS
TA
TS
TS
TS
TS
TS
TS
TS
TS
TS
TS
TS
TS
TS
TS
CA
JG
JG
TS
TS
TS
TS
TS
CA
TS
TS
TS
TS
TS
TA
TA
TA
TA
TA
TA
TA
TA
JG
JG
CA
CA
TS
TS
TS
TS
TS

UNIT PRICE
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05

NDC
55289064620
55289074060
55289087714
55887067012
55887067014
55887067015
55887067020
55887067028
55887067030
55887067060
55887067082
55887067090
56091008161
56091008162
56091008163
56091008172
56091008173
56091008176
57866760102
57866760103
57866760104
57866760105
58016024800
58016024807
58016024810
58016024812
58016024814
58016024815
58016024820
58016024821
58016024828
58016024830
58016024840
58016024850
58016024860
58016024890
58864073730
60760081030
61570012563
62436000301
62436000350
63481004870
63481007370
65197000301
66116062420
66267015714
66267015720
66267015814
66267015815
66267015820
66267015830
66267015860
68030604801

NAME
NORFLEX 100 MG TABLET SA
LESCOL 20 MG CAPSULE
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB
ORPHENADRINE 100 MG TAB
ORPHENADRINE 100 MG TAB
ORPHENADRINE 100 MG TAB ER
ORPHENADRINE 100 MG TAB ER
ORPHENADRINE 100 MG TAB ER
ORPHENADRINE 100 MG TABLET
ORPHENADRINE 100 MG TABLET
ORPHENADRINE 100 MG TABLET
J&J FIRST AID KIT-STANDARD
J&J FIRST AID KIT-STANDARD
J&J FIRST AID KIT-STANDARD
J & J FIRST AID KIT
J & J FIRST AID KIT
J & J FIRST AID REFILL PACK
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
COREG 6.25 MG TABLET
ORPHENADRINE 100 MG TAB SA
PREFEST TABLET
SOLARAZE 3% GEL
SOLARAZE 3% GEL
HYCOMINE COMPOUND TABLET
MOBAN 10 MG TABLET
DYRENIUM 100 MG CAPSULE
ORPHENADRINE 100 MG TAB SA
NORFLEX 100 MG TABLET SA
NORFLEX 100 MG TABLET SA
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA
ORPHENADRINE 100 MG TAB SA

DOSE FORM DRUG STRENGTH


TS
CA
TS
TS
TS
TS
TS
TS
TS
TS
TS
TS
YK
YK
YK
YK
YK
YK
TS
TS
TS
TS
TS
TS
TS
TS
TS
TS
TS
TS
TS
TS
TS
TS
TS
TS
TA
TS
TA
JG
JG
TA
TA
CA
TS
TS
TS
TS
TS
TS
TS
TS
TS

UNIT PRICE
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05
$
1.05

NDC
68115026460
70074054599
87701060147
87701095889
00002149825
00003049420
00006069068
00007313016
00007313076
00007414220
00007414255
00015733912
00015733999
00037024110
00037024130
00037067310
00064420030
00064420060
00064430030
00064430060
00066027217
00066027231
00066027260
00074377804
00074377805
00074789715
00074963005
00143992490
00186580012
00247100101
00247100110
00409963005
00462039530
00462039560
00517010125
00591236569
00591236579
00597005801
00781315770
00781315796
08026597646
08080333700
08080360600
08219333700
08219360600
08219403700
08333334301
08333334501
09958008920
09958018000
10019061103
11298000619
25382019220

NAME
ORPHENADRINE 100 MG TAB SA
SIMILAC MILK FORTIFIER PCKT
GNP POISON FIRST AID KIT
BL POISON FIRST AID KIT
KEFZOL 1 GM VIAL
KENALOG-10 10 MG/ML VIAL
DEMSER 250 MG CAPSULE
ANCEF 1 GM VIAL
ANCEF 1 GM VIAL
COREG 25 MG TABLET
COREG 25 MG TABLET
CEFAZOLIN 1 GM VIAL
CEFAZOLIN 1 GM VIAL
ASTELIN 137 MCG NASAL SPRAY
ASTELIN 137 MCG NASAL SPRAY
RYNA-12 TABLET
OVACE 10% GEL
OVACE 10% GEL
OVACE 10% CREAM
OVACE 10% CREAM
PSORCON E 0.05% CREAM
PSORCON E 0.05% CREAM
PSORCON E 0.05% CREAM
NEMBUTAL SODIUM 50 MG/ML VIAL
NEMBUTAL SODIUM 50 MG/ML VIAL
ATROPINE 0.05 MG/ML ABBOJECT
ATROPINE 0.05 MG/ML SYRINGE
CEFAZOLIN 1 GM VIAL
AQUASOL E 50 UNIT/ML DROPS
KEFZOL 1 GM VIAL
KEFZOL 1 GM VIAL
ATROPINE 0.05 MG/ML SYRINGE
APEXICON E 0.05% CREAM
APEXICON E 0.05% CREAM
ATROPINE 1 MG/ML AMPUL
CEFAZOLIN 1 GM VIAL
CEFAZOLIN 1 GM VIAL
FLOMAX 0.4 MG CAPSULE SA
CEFAZOLIN 1 GM VIAL
CEFAZOLIN 1 GM VIAL
ALLEVYN ISLAND DRESS 6"X6"
CURITY WET DRESSING
CURITY WET DRESSING
CURITY WET DRESSING
CURITY WET DRESSING
KERLIX DISPOSABLE LAP SPNGE
NO STING BARRIER FILM
NO STING BARRIER FILM
DUDRESS ISLAND 6"X6" DRESS
COMPDRESS ISLAND 6"X6" DRES
CEFAZOLIN 1 GM VIAL
SQUEEZE BOTTLE EMPTY 30 ML
DERMAGRAN WET DRESS 8" X 4"

DOSE FORM DRUG STRENGTH


TS
PP
YK
YK
HS
HV
CA
HS
HS
TA
TA
HS
HS
AT
AT
TA
JG
JG
KA
KA
KA
KA
KA
HV
HV
HQ
HQ
HS
SO
HS
HS
HQ
KA
KA
HH
HS
HS
CC
HS
HS
YE
YE
YE
YE
YE
YV
EL
EL
YE
YE
HS
EA
YE

UNIT PRICE
$
1.05
$
1.05
$
1.05
$
1.05
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06

NDC
25382019510
38779011805
38779011808
38779037403
38779037404
38779037405
38779037409
38779038004
38779038005
49452767501
49452767502
49452767503
51552032305
51927265200
54569476800
54569489700
54569562500
54838000530
54868023400
54868055900
54868395700
54868435600
54868435601
54868435602
54868435603
54868439500
54868439501
54868507200
54868519800
57866016001
58864072730
58864088230
60258011130
63304094025
63323023710
63370025525
63370025609
63370025625
63370025635
63824000610
63824000710
63824006720
66116014530
66591080012
66591080030
66860000203
66860090203
66993052402
66993052502
67386050152
67386050155
68030016001
68115072700

NAME
DERMAGRAN WET DRESS 8" X 4"
ETHAMBUTOL HCL POWDER
ETHAMBUTOL HCL POWDER
TETRACAINE POWDER
TETRACAINE POWDER
TETRACAINE POWDER
TETRACAINE POWDER
CHLORTETRACYCLINE HCL POWDR
CHLORTETRACYCLINE HCL POWDR
TETRACAINE POWDER
TETRACAINE POWDER
TETRACAINE POWDER
TETRACAINE POWDER
TETRACAINE POWDER
FLOMAX 0.4 MG CAPSULE SA
ASTELIN 137 MCG NASAL SPRAY
ASTELIN 137 MCG NASAL SPRAY
VITAMIN E 50 UNIT/ML DROPS
KENALOG-10 10 MG/ML VIAL
CEFAZOLIN 1 GM VIAL
ASTELIN 137 MCG NASAL SPRAY
FLOMAX 0.4 MG CAPSULE SA
FLOMAX 0.4 MG CAPSULE SA
FLOMAX 0.4 MG CAPSULE SA
FLOMAX 0.4 MG CAPSULE SA
COREG 25 MG TABLET
COREG 25 MG TABLET
ASTELIN 137 MCG NASAL SPRAY
ALLERX DOSE PACK TABLET
CEFAZOLIN 1 GM VIAL
COREG 25 MG TABLET
FLOMAX 0.4 MG CAPSULE SA
AQUAVIT-E 50 UNIT/ML DROPS
CEFAZOLIN 1 GM VIAL
CEFAZOLIN 1 GM VIAL
TETRACAINE POWDER
TETRACAINE POWDER
TETRACAINE POWDER
TETRACAINE POWDER
ALLERX DOSE PACK TABLET
ALLERX DOSE PACK TABLET
ALLERX DOSE PACK TABLET
FLOMAX 0.4 MG CAPSULE SA
AQUASOL E 50 UNIT/ML DROPS
AQUASOL E 50 UNIT/ML DROPS
CEFAZOLIN 1 GM VIAL
CEFAZOLIN 1 GM VIAL
K-TAN TABLET
K-TAN TABLET
NEMBUTAL SODIUM 50 MG/ML VIA
NEMBUTAL SODIUM 50 MG/ML VIA
CEFAZOLIN 1 GM VIAL
COREG 25 MG TABLET

DOSE FORM DRUG STRENGTH


YE
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
CC
AT
AT
SO
HV
HS
AT
CC
CC
CC
CC
TA
TA
AT
TO
HS
TA
CC
SO
HS
HS
PA
PA
PA
PA
TO
TO
TO
CC
SO
SO
HS
HS
TA
TA
HV
HV
HS
TA

UNIT PRICE
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06
$
1.06

NDC
00003125257
00003125259
00003125262
00003125264
00003125273
00003125277
00003125333
00003125335
00003125340
00003125342
00003125356
00003125359
00003125367
00003175763
00003175765
00003175770
00003175772
00003175781
00003175784
00003175796
00003401306
00003401430
00003401453
00003401463
00003401500
00003401502
00003401505
00003401507
00003401510
00003401512
00003401522
00003401526
00003401529
00003401531
00003401533
00003401535
00003401538
00003401540
00003401542
00003401544
00003401547
00003401549
00003401551
00003401553
00003401557
00003401573
00003401575
00003401618
00003401673
00003401678
00003401687
00003401918
00003401925

NAME
SUR-FIT NATURA STOMAHESIVE
SUR-FIT NATURA STOMAHESIVE
SUR-FIT NATURA STOMAHESIVE
SUR-FIT NATURA STOMAHESIVE
SUR-FIT NATURA STOMAHESIVE
SUR-FIT NATURA STOMAHESIVE
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE UROSTOMY POUCH
ACTIVE LIFE 32MM POUCH
ACTIVE LIFE 45MM POUCH
ACTIVE LIFE 32MM POUCH
ACTIVE LIFE 45MM POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE 32MM POUCH
SUR-FIT AUTOLOCK DURAHESIVE
SUR-FIT AUTOLCK STOMAHESIVE
SUR-FIT AUTOLOCK POUCH
SUR-FIT AUTOLOCK POUCH
SUR-FIT NAT DRAINABLE POUCH
SUR-FIT NAT DRAINABLE POUCH
SUR-FIT NAT DRAINABLE POUCH
SUR-FIT NAT DRAINABLE POUCH
SUR-FIT NAT DRAINABLE POUCH
SUR-FIT NAT DRAINABLE POUCH
SUR-FIT NATURA CLSD-END PCH
SUR-FIT NATURA CLSD-END PCH
SUR-FIT NATURA MINI POUCH
SUR-FIT NATURA MINI POUCH
SUR-FIT NATURA UROSTOMY PCH
SUR-FIT NATURA UROSTOMY PCH
SUR-FIT NATURA UROSTOMY PCH
SUR-FIT NATURA UROSTOMY PCH
SUR-FIT NATURA UROSTOMY PCH
SUR-FIT NATURA UROSTOMY PCH
SUR-FIT NATURA UROSTOMY PCH
SUR-FIT NATURA UROSTOMY PCH
SUR-FIT NATURA UROSTOMY PCH
SUR-FIT NATURA UROSTOMY PCH
SUR-FIT NAT HIGH OUTPUT PCH
SUR-FIT NATURA STOMAHESIVE
SUR-FIT NATURA STOMAHESIVE
SUR-FIT AUTOLOCK INSERTS
SUR-FIT AUTOLCK STOMAHESIVE
SUR-FIT AUTOLOCK POUCH
SUR-FIT AUTOLOCK DURAHESIVE
SUR-FIT NAT IRRIG FACEPLATE
SUR-FIT NATURA WAFER

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07

NDC
00003401926
00003401927
00003401928
00003401929
00003401930
00003401931
00003401932
00003401934
00003404010
00003404014
00003404016
00003404025
00003404027
00003404030
00003404032
00003404592
00003404593
00003404594
00003405478
00003405482
00003411263
00003411265
00003411288
00003411290
00003411489
00003411491
00003413143
00003413145
00003413149
00003413151
00003413153
00003413155
00003413159
00003413161
00003413164
00003413166
00003413170
00003413174
00003413177
00003413178
00003413179
00003413180
00003413181
00003413182
00003413183
00003413184
00003413312
00003413334
00003650478
00003650480
00003650832
00024230020
00025520131

NAME
SUR-FIT NATURA WAFER
SUR-FIT NATURA DRAIN POUCH
SUR-FIT NATURA DRAIN POUCH
SUR-FIT NAT UROSTOMY POUCH
SUR-FIT NATURA MINI POUCH
SUR-FIT NATURA MINI POUCH
SUR-FIT NAT DRAINABLE POUCH
SUR-FIT NAT DRAINABLE POUCH
SUR-FIT NATURA CONVEX INSRT
SUR-FIT NATURA DRAIN POUCH
SUR-FIT NATURA DRAIN POUCH
SUR-FIT NATURA DRAIN POUCH
SUR-FIT NATURA DRAIN POUCH
SUR-FIT NATURA DRAIN POUCH
SUR-FIT NATURA DRAIN POUCH
SUR-FIT NATURA DURAHESIVE
SUR-FIT NATURA DURAHESIVE
SUR-FIT NATURA DURAHESIVE
STOMAHESIVE SKIN BARRIER
STOMAHESIVE SKIN BARRIER
SUR-FIT NATURA DRAINABLE POUCH
SUR-FIT NATURA DRAINABLE POUCH
SUR-FIT NATURA DRAINABLE POUCH
SUR-FIT NATURA DRAINABLE POUCH
SUR-FIT NATURA DRAINABLE POUCH
SUR-FIT NATURA DRAINABLE POUCH
ACTIVE LIFE CLOSED-END PCH
ACTIVE LIFE CLOSED-END PCH
ACTIVE LIFE CLOSED-END PCH
ACTIVE LIFE CLOSED-END PCH
SUR-FIT NATURA DURAHESIVE
SUR-FIT NATURA DURAHESIVE
SUR-FIT NATURA DURAHESIVE
SUR-FIT NATURA DURAHESIVE
SUR-FIT NATURA DURAHESIVE
SUR-FIT NATURA DURAHESIVE
SUR-FIT NATURA CLSD-END PCH
SUR-FIT NATURA CLSD-END PCH
SUR-FIT NATURA DURAHESIVE
SUR-FIT NATURA DURAHESIVE
SUR-FIT NATURA DURAHESIVE
SUR-FIT NATURA DURAHESIVE
SUR-FIT NATURA DURAHESIVE
SUR-FIT NATURA DURAHESIVE
SUR-FIT NATURA DURAHESIVE
SUR-FIT NATURA DURAHESIVE
SUR-FIT NATURA DRAIN POUCH
SUR-FIT NATURA DRAIN POUCH
ACTIVE LIFE 32MM POUCH
ACTIVE LIFE 45MM POUCH
ACTIVE LIFE 1-PIECE UROSTMY
KERLONE 20 MG TABLET
KERLONE 20 MG TABLET

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
TA
TA

UNIT PRICE
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07

NDC
00029152722
00029152725
00067021307
00067021314
00067021407
00067021414
00067503607
00067503614
00067503707
00067503714
00074181948
00074185548
00074185748
00074185948
00074277400
00074304701
00074308448
00074326048
00074482901
00074649101
00135014602
00135014603
00135014702
00135014703
00135019502
00135019602
00264948350
00264948450
00264948550
00264951550
00264951650
00264951750
00264961950
00364289030
00364289330
00516006060
00591289030
00591289330
00766143020
00766144020
00766146020
00766147010
00766147012
08011121400
08021351450
08021351500
08021351555
08021351559
08021351990
08021352000
08021352008
08021352019
08021352020

NAME
BACTROBAN 2% CREAM
BACTROBAN 2% CREAM
NICOTINE 7 MG/24HR PATCH
NICOTINE 7 MG/24HR PATCH
NICOTINE 14 MG/24HR PATCH
NICOTINE 14 MG/24HR PATCH
NICOTINE 7 MG/24HR PATCH
NICOTINE 7 MG/24HR PATCH
NICOTINE 14 MG/24HR PATCH
NICOTINE 14 MG/24HR PATCH
VENOSET TWIN-SITE/CAIR CLMP
NONVENTED IV SET 100 W/CAIR
NONVENTED IV SET 72 W/CAIR
NONVENTED I.V. SET 78 W/CAI
FAULTLESS INSTANT COLD PACK
NONVENTED SECONDARY IV SET
VENOSET 78 NV W/MB PIN
PLUM LC 5000 IV SET-SL NV
PROVIDER PUMP SET NV 72"
PLUM LC 5000 MICRO SET-NV
NICODERM CQ 14 MG/24HR PATCH
NICODERM CQ 14 MG/24HR PATCH
NICODERM CQ 7 MG/24HR PATCH
NICODERM CQ 7 MG/24HR PATCH
NICODERM CQ 14 MG/24HR PATCH
NICODERM CQ 7 MG/24HR PATCH
CLAVE ADDTV PRIMARY ST 100"
CLAVE ADDTV PRIMARY SET 84"
CLAVE ADDTV SURGICAL 102"
SAFELINE BASIC ADMIN ST 94"
SAFELINE ADDTV PRIMARY 112"
SAFELINE ADDTV PRIMARY 88"
CLAVE ADULT ADDITIV SET
NICOTINE 7 MG/24HR PATCH
NICOTINE 14 MG/24HR PATCH
CALPHOSAN VIAL
NICOTINE 7 MG/24HR PATCH
NICOTINE 14 MG/24HR PATCH
NICODERM CQ 14 MG/24HR PATCH
NICODERM CQ 7 MG/24HR PATCH
NICODERM CQ 14 MG/24HR PATCH
NICODERM CQ 7 MG/24HR PATCH
NICODERM CQ 7 MG/24HR PATCH
RELIASEAL ADH DSC 100MM DIA
NONVENT ANESTHESIA SET,120"
IV ADMINISTRATION SET
NONVENT ANESTHESIA SET,119"
SAFSITE NEEDLE-FREE IV SET
NON-VENT SET W/EXACDROP
IV ADMINISTRATION SET
NONVENT PRIMARY ANESTH SET
NONVENT ANESTHESIA SET,119"
NONVENT ANESTHESIA SET,110"

DOSE FORM DRUG STRENGTH


KA
KA
PV
PV
PV
PV
PV
PV
PV
PV
YQ
YQ
YQ
YQ
EA
YQ
YQ
YQ
YQ
YQ
PV
PV
PV
PV
PV
PV
YQ
YQ
YQ
YQ
YQ
YQ
YQ
PV
PV
HV
PV
PV
PV
PV
PV
PV
PV
EA
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ

UNIT PRICE
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07

NDC
08021352057
08021352060
08021352062
08021352065
08021352066
08021352067
08021352068
08021352069
08021352071
08021352072
08021352073
08021352074
08021352075
08021352076
08021352077
08021352078
08021352079
08021352087
08021352088
08080189200
08080332400
08080671500
08080673000
08219189200
08219332400
08219671500
08219673000
08225671500
08290207513
08290207516
08290207518
08290207519
08380001438
08380001439
08380001468
08380001469
08380001486
08380001489
08380003332
08380003342
08380003352
08380003702
08380003722
08380003736
08380003748
08380003749
08380003762
08380003763
08380003770
08380003802
08380003812
08380003822
08380003832

NAME
IV ADMINISTRATION SET
NON-VENT SET W/EXACDROP
SAFSITE NEEDLE-FREE IV SET
SAFSITE NEEDLE-FREE IV SET
SAFSITE NEEDLE-FREE IV SET
SAFSITE NEEDLE-FREE IV SET
SAFSITE NEEDLE-FREE IV SET
SAFSITE NEEDLE-FREE IV SET
SAFSITE NEEDLE-FREE IV SET
SAFSITE NEEDLE-FREE IV SET
SAFSITE NEEDLE-FREE IV SET
SAFSITE NEEDLE-FREE IV SET
SAFSITE NEEDLE-FREE IV SET
SAFSITE NEEDLE-FREE IV SET
SAFSITE NEEDLE-FREE IV SET
SAFSITE NEEDLE-FREE IV SET
SAFSITE NEEDLE-FREE IV SET
NON-VENT SET W/EXACDROP
NONVENT ANESTHESIA SET,119"
KERLIX GAUZE ROLL
KERLIX GAUZE ROLL
KERLIX GAUZE ROLL
KERLIX GAUZE ROLL
KERLIX GAUZE ROLL
KERLIX GAUZE ROLL
KERLIX GAUZE ROLL
KERLIX GAUZE ROLL
KERLIX GAUZE ROLL
ACE INSTANT COLD COMPRESS
ACE REUSABLE COLD COMPRESS
ACE HOT/COLD COMPRESS
ACE HOT/COLD COMPRESS WRAP
LO-PROFILE UROSTOMY POUCH
LO-PROFILE UROSTOMY POUCH
1STCHOICE UROSTOMY PCH 1.25"
1STCHOICE UROSTOMY PCH 1.75"
1STCHOICE URO POUCH 1.25"
1STCHOICE URO POUCH 1.75"
CLOSED POUCH/FLANGE 1.75"
CLOSED POUCH WITH FLANGE
CLOSED MINI-POUCH W/FLANGE
SKIN BARRIER/FLANGE 1.75"
SKIN BARRIER/FLANGE 1.75"
CONVEX SYN BARR/FLNGE 1.25"
PRE-SIZED BARR-FLOAT FLNGE
PRE-SIZED BARR-FLOAT FLNGE
SKIN BARRIER/FLANGE 1.25"
SKIN BARRIER/FLANGE 1.75"
POUCHKINS 2PC SKIN BARRIER
DRAINABLE PCH/FLANGE 1.75"
DRAINABLE PCH/FLANGE 1.75"
STOMA IRRIG DRAIN W/FLANGE
DRAIN POUCH/FILTER/FLANGE

DOSE FORM DRUG STRENGTH


YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YE
YE
YE
YE
YE
YE
YE
YE
YE
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07

NDC
08380003842
08380003892
08380003902
08380007458
08380007459
08380007478
08380007479
08380007488
08380007489
08380008342
08380008468
08380008469
08380008486
08380008489
08380008514
08380008538
08380008539
08380008558
08380008559
08380008594
08380008722
08380008736
08380008746
08380008752
08380008768
08380008769
08380008842
08380008902
08380014202
08380014301
08380014302
08380014303
08380014304
08380014305
08380014306
08380014402
08380014503
08380014504
08380014602
08380014701
08380014702
08380014703
08380014704
08380014705
08380014706
08380014802
08380014903
08380014904
08380015202
08380015503
08380015504
08380015602
08380015903

NAME
DRAINABLE MINI-POUCH W/FLNG
DRAINABLE POUCH 1.75"
UROSTOMY POUCH WITH FLANGE
UROSTOMY POUCH-MED.16"
UROSTOMY POUCH-MED.16"
UROSTOMY POUCH-SHORT 12"
UROSTOMY POUCH-SHORT 12"
UROSTOMY POUCH/KARAYA SEAL
UROSTOMY POUCH/KARAYA SEAL
PREMIER CLOSED POUCH 1.75"
PREMIER UROSTOMY PCH 1.25"
PREMIER UROSTOMY PCH 1.75"
PREMIER UROSTOMY PCH 1.25"
PREMIER UROSTOMY PCH 1.75"
PREMIER LNR DRAINABLE POUCH
PREMIER LNR DRAINABLE POUCH
PREMIER LNR DRAINABLE POUCH
PREMIER LNR DRAINABLE POUCH
PREMIER LNR DRAINABLE POUCH
PREMIER LNR DRAINABLE POUCH
PREMIER SKN BARR/FLNG 1.75"
PREMIER SKN BARR/FLNG 1.25"
PREMIER SKN BARR/FLNG 1.25"
PREMIER SKN BARR/FLNG 1.75"
PREMIER SKN BARR/FLNG 1.25"
PREMIER SKN BARR/FLNG 1.75"
PREMIER DRAIN POUCH 1.75"
PREMIER UROSTOMY POUCH/FLNG
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXWEAR-FLANGE 1.75
NEW IMAGE FLEXWEAR-FLANGE 1.75
NEW IMAGE FLEXWEAR-FLANGE 1.75
NEW IMAGE FLEXWEAR-FLANGE 1.75
NEW IMAGE FLEXWEAR-FLANGE 1.75
NEW IMAGE FLEXWEAR-FLANGE 1.75
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXTEND BARRIER
NEW IMAGE FLEXTEND-FLANGE 1.75
NEW IMAGE FLEXTEND-FLANGE 1.75
NEW IMAGE FLEXTEND-FLANGE 1.75
NEW IMAGE FLEXTEND-FLANGE 1.75
NEW IMAGE FLEXTEND-FLANGE 1.75
NEW IMAGE FLEXTEND-FLANGE 1.75
NEW IMAGE FLEXTEND BARRIER
NEW IMAGE FLEXTEND BARRIER
NEW IMAGE FLEXTEND BARRIER
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXTEND BARRIER
NEW IMAGE FLEXTEND BARRIER

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07

NDC
08380015904
08380016101
08380016102
08380016103
08380016104
08380016105
08380016106
08380016202
08380016306
08380016401
08380016402
08380016403
08380016404
08380016405
08380016406
08380016602
08380016706
08380018152
08380018302
08380018312
08380018402
08380018412
08395041350
08395048350
08395048450
08395058100
08395078350
08395078450
08395081350
08471060801
08471060901
10939070733
10939070833
11110035558
11110035559
11110035560
11701083435
11701084525
11701084930
11701088675
11701088694
11701090485
11822328800
11822452600
11822452620
11822452630
11917001342
11917001343
11917003194
12333099771
12333099772
12333099781
17191000173

NAME
NEW IMAGE FLEXTEND BARRIER
NEW IMAGE FLEXTEND-FLANGE 1.75
NEW IMAGE FLEXTEND BARRIER
NEW IMAGE FLEXTEND BARRIER
NEW IMAGE FLEXTEND BARRIER
NEW IMAGE FLEXTEND BARRIER
NEW IMAGE FLEXTEND BARRIER
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXTEND BARRIER
NEW IMAGE FLEXTEND BARRIER
NEW IMAGE IRRIGATION SLEEVE
NEW IMAGE CLOSED POUCH
NEW IMAGE CLOSED POUCH
NEW IMAGE UROSTOMY POUCH
NEW IMAGE UROSTOMY POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
TWO-PIECE ADHESIVE BARRIER
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
FEME PAD
BREAST SOOTHER GEL PADS
SM NICOTINE 14 MG/24HR PATCH
SM NICOTINE 7 MG/24HR PATCH
NICOTINE 14 MG/24HR PATCH
NICOTINE 14 MG/24HR PATCH
NICOTINE 7 MG/24HR PATCH
ASSURA FLANGE CONVEX
ASSURA FLANGE STANDARD
ASSURA CONVEX STANDARD
ASSURA 2PC CONVEX LIGHT FLANGE
ASSURA EXTRA CONVEX FLANGE
ASSURA AC CONVEX BASEPLATE
RA INSTANT COLD COMPRESS
RA NICOTINE 14 MG/24HR PATCH
RA NICOTINE 14 MG/24HR PATCH
RA NICOTINE 7 MG PATCH
NICOTINE 7 MG/24HR PATCH
NICOTINE 14 MG/24HR PATCH
NICOTINE 14 MG/24HR PATCH
NICOTINE 14 MG/24HR PATCH
NICOTINE 14 MG/24HR PATCH
NICOTINE 7 MG/24HR PATCH
EXACTA-MIX NON-VENTED INLET

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
PV
PV
PV
PV
PV
EA
EA
EA
EA
EA
EA
EA
PV
PV
PV
PV
PV
PV
PV
PV
PV
YQ

UNIT PRICE
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07

NDC
17191000174
19458945703
19458945704
23185019545
24208027805
32252017490
32252017500
32252017510
32252017520
32252017530
34575074457
34575074471
37205036174
37205036374
38472048905
38472048908
41163021636
41163021640
49614050062
49999036420
49999052115
49999052130
50428000775
50428000776
50428003053
50428133246
50428133267
50428173013
50458039910
51552102502
51552102504
51552102505
51927101400
51991033601
52152018002
52735094173
52735094273
52959072315
54569466400
54569483501
54569555200
54569556600
54569565800
54868201201
54868464200
54868464201
54868497800
55887070915
55887070930
56091006930
58016564501
58177009504
58177009519

NAME
EXACTA-MIX VENTED INLET
ECK NICOTINE 7 MG/24HR PATCH
ECK NICOTINE 14 MG/24HR PATCH
BREAST COMFORT PACK
MUROCOLL-2 EYE DROPS
HOT N COLD ICE PACK
INSTANT COLD PACK
INSTANT COLD PACK LRG
INSTANT COLD PACK DUO
ELASTIC WRAP/COLD PACK
ECK NICOTINE 7 MG/24HR PATCH
ECK NICOTINE 14 MG/24HR PATCH
NICOTINE 14 MG-24HR PATCH
NICOTINE 7 MG/24HR PATCH
THERMA WRAP COMPRESS
THERMA WRAP COMPRESS
NICOTINE 14 MG/24HR PATCH
NICOTINE 7 MG/24HR PATCH
HOT & COLD PACK
ENTEX LA 400-30 CAPSULE
BACTROBAN 2% CREAM
BACTROBAN 2% CREAM
NICOTINE 7 MG/24HR PATCH
NICOTINE 14 MG/24HR PATCH
NICOTINE 14 MG/24HR PATCH
CVS NTS 7 MG/24HR PATCH
CVS NTS 14 MG/24HR PATCH
CVS NICOTINE 14 MG/24HR PTCH
REMINYL 4 MG/ML ORAL SOL
DIAZEPAM POWDER
DIAZEPAM POWDER
DIAZEPAM POWDER
DIAZEPAM POWDER
CRANTEX LAC CAPSULE
BETAXOLOL 20 MG TABLET
FP NICOTINE 14 MG/24HR PATCH
FP NICOTINE 7 MG/24HR PATCH
BACTROBAN 2% CREAM
BACTROBAN 2% CREAM
NICODERM CQ 14 MG/24HR PATCH
BACTROBAN 2% CREAM
ENTEX LA 400-30 CAPSULE
NICODERM CQ 7 MG/24HR PATCH
HABITROL 14 MG/24HR PATCH
BACTROBAN 2% CREAM
BACTROBAN 2% CREAM
NICODERM CQ 7 MG/24HR PATCH
BACTROBAN 2% CREAM
BACTROBAN 2% CREAM
KLING FLUFF ROLL
BACTROBAN 2% CREAM
PHENAVENT LA CAPSULE
PHENAVENT LA CAPSULE

DOSE FORM DRUG STRENGTH


YQ
PV
PV
EA
SO
EA
EA
EA
EA
EA
PV
PV
PV
PV
EA
EA
PV
PV
EA
CB
KA
KA
PV
PV
PV
PV
PV
PV
SJ
PA
PA
PA
PA
CB
TA
PV
PV
KA
KA
PV
KA
CB
PV
PV
KA
KA
PV
KA
KA
YE
KA
CB
CB

UNIT PRICE
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07

NDC
62022033301
62022057560
62037082701
68030741001
68115064914
68115098515
82468061513
82468061514
87279000548
87279000549
91899044074
91899068474
00003405446
00003405447
00003405448
00003405449
00003405450
00003405451
00003405452
00003405453
00003405454
00003405455
00006968960
00009007301
00046047381
00062535601
00074146701
00074673013
00299384801
00299384802
00299384804
00462034720
00591319752
08011150101
08011150102
08011150103
08011150319
08011150332
08011150419
08011150432
08011150619
08011150632
08011150719
08011150732
08011150819
08011150832
08011150919
08011150932
08011151919
08011151932
08011153504
08011153509
08011154002

NAME
ENTEX LA 400-30 CAPSULE
FORTAMET ER 1,000 MG TABLET
GENERIC ENTEX LA 30 MG/400 MG
BACTROBAN 2% CREAM
NICOTINE 14 MG/24HR PATCH
BACTROBAN 2% CREAM
FP NICOTINE 14 MG/24HR PATCH
FP NICOTINE 7 MG/24HR PATCH
FEME PAD
BREAST SOOTHER GEL PADS
NICOTINE 7 MG/24HR PATCH
NICOTINE 14 MG/24HR PATCH
ESTEEM SYNERGY UROSTOMY POUCH
ESTEEM SYNERGY UROSTOMY POUCH
ESTEEM SYNERGY UROSTOMY POUCH
ESTEEM SYNERGY UROSTOMY POUCH
ESTEEM SYNERGY UROSTOMY POUCH
ESTEEM SYNERGY UROSTOMY POUCH
ESTEEM SYNERGY UROSTOMY POUCH
ESTEEM SYNERGY UROSTOMY POUCH
ESTEEM SYNERGY UROSTOMY POUCH
ESTEEM SYNERGY UROSTOMY POUCH
TIMOPTIC 0.25% OCUDOSE DROP
MEDROL 16 MG TABLET
INDERAL LA 120 MG CAPSULE SA
TERAZOL 3 CREAM
NALBUPHINE 20 MG/ML VIAL
MAGNESIUM SULF 8% IV SOLN
CLOBEX 0.05% TOPICAL LOTION
CLOBEX 0.05% TOPICAL LOTION
CLOBEX 0.05% TOPICAL LOTION
ZAZOLE 0.8% VAGINAL CREAM
TERCONAZOLE 0.8% CREAM
DISPOZ-A-BAG LEG BAG 9OZ
DISPOZ-A-BAG LEG BAG 19OZ
DISPOZ-A-BAG LEG BAG 32OZ
DISPOZ-A-BAG LEG BAG 19OZ
DISPOZ-A-BAG LEG BAG 32OZ
DISPOZ-A-BAG LEG BAG 19OZ
DISPOZ-A-BAG LEG BAG 32OZ
DISPOZ-A-BAG LEG BAG 19OZ
DISPOZ-A-BAG LEG BAG 32OZ
DISPOZ-A-BAG LEG BAG 19OZ
DISPOZ-A-BAG LEG BAG 32OZ
DISPOZ-A-BAG LEG BAG 19OZ
DISPOZ-A-BAG LEG BAG 32OZ
DISPOZ-A-BAG LEG BAG 19OZ
DISPOZ-A-BAG LEG BAG 32OZ
DISPOZ-A-BAG LEG BAG 19OZ
DISPOZ-A-BAG LEG BAG 32OZ
BARD URINARY DRAINAGE BAG
BARD URINARY DRAINAGE BAG
BARD URINARY DRAINAGE BAG

DOSE FORM DRUG STRENGTH


CB
UI
CB
KA
PV
KA
PV
PV
EA
EA
PV
PV
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
DP
TA
CR
KW
HV
HB
SK
SK
SK
KW
KW
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.07
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08

NDC
08011802001
08011802002
08011960601
08080343300
08380007501
08380007503
08380007505
08380007507
08380007511
08380007513
08380007515
08380007517
08380007521
08380007523
08380007525
08380007527
08380007531
08380007533
08380007535
08380007537
08380007540
08380007541
08380007543
08380007545
08380007547
08380009805
08380009814
08380009836
08380009839
08380009840
08380009843
08884732600
08884732700
08884733100
08884733200
08884733900
08887601121
08887601139
10119041028
10337043200
11298000285
11298000901
11298001044
11298001045
11298001046
11298001047
11298001048
11298001049
11298001064
11701087870
23185014515
38779023904
38779023905

NAME
DAVOL URINARY DRAIN BAG
DAVOL URINARY DRAIN BAG
BABY URINE COLLECTOR
URINARY LEG MEDIUM BAG
U-BAG PEDIATRIC NON STERILE
U-BAG PEDIATRIC NONSTERILE
U-BAG NEWBORN NON STERILE
U-BAG NEWBORN NONSTERILE
U-BAG PEDIATRIC STERILE
U-BAG PEDIATRIC STERILE
U-BAG NEWBORN STERILE
U-BAG NEWBORN STERILE
U-BAG URINE COLLEC/MCR ADHS
U-BAG URINE COLLEC/MCR ADHS
U-BAG URINE COLLEC/MCR ADHS
U-BAG URINE COLLEC/MCR ADHS
U-BAG URINE COLLEC/MCR ADHS
U-BAG URINE COLLEC/MCR ADHS
U-BAG URINE COLLEC/MCR ADHS
U-BAG URINE COLLEC/MCR ADHS
PREMIE U-BAG REGULAR STYLE
FIRST-TIME URINE COLLECTOR
FIRST-TIME URINE COLLECTOR
FIRST-TIME URINE COLLECTOR
FIRST-TIME URINE COLLECTOR
URINARY LEG BAG
URINARY LEG BAG-MED. 19OZ.
BEDSIDE DRAIN COLLECTION
BEDSIDE DRAIN COLLECTION
FEMALE URINARY POUCH
VENTED FEMALE THIGH BAG
URI-DRAIN LEG BAGS MEDIUM
URI-DRAIN LEG BAGS LARGE
URI-DRAIN LEG BAG - SMALL
URI-DRAIN LEG BAG - MEDIUM
URI-DRAIN LEG BAG - LARGE
EXT URINARY LEG BAG MED
EXT URINARY LEG BAG LARGE
LENS CUP
OMIDERM DRESSING 5.1X3.2CM
BEDSIDE DRAINING BAG
PEDIATRIC URINAL POUCH
DISPOSABLE BAG OUTFIT
DISPOSABLE BAG OUTFIT
DISPOSABLE BAG OUTFIT
DISPOSABLE BAG OUTFIT
DISPOSABLE BAG OUTFIT
DISPOSABLE BAG OUTFIT
LEG BAG OUTFIT
UROSTOMY NIGHT BAG 2L
EYE CUP
MICONAZOLE POWDER
MICONAZOLE POWDER

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
YE
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
PA
PA

UNIT PRICE
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08

NDC
38779030404
38779030405
49452472301
49452472302
49452472303
51672130200
54092041912
54092042112
54092042312
54569319500
54868144200
54868144201
54868144202
54868151800
54868151801
54868168701
54868503400
54868503401
54868503402
54868518300
55887055450
57866491301
58016202101
62022063030
62022078130
63481050905
65473070601
70074056958
70074056961
70074056964
70074056967
70074057604
70074057607
70074057610
70074057617
70074057719
81317707500
81317707700
81317708500
81317709500
00025141134
00025141160
00025141190
00115544513
00173067601
00173072200
00407141107
00407141108
00407141110
00407141120
00407141130
00407141140
00591338560

NAME
PROPANTHELINE BROMIDE POWDR
PROPANTHELINE BROMIDE POWDR
MICONAZOLE POWDER
MICONAZOLE POWDER
MICONAZOLE POWDER
TERCONAZOLE 0.8% VAGINAL CR
EQUETRO 100 MG CAPSULE
EQUETRO 200 MG CAPSULE
EQUETRO 300 MG CAPSULE
TERAZOL 3 CREAM
INDERAL LA 120 MG CAPSULE SA
INDERAL LA 120 MG CAPSULE SA
INDERAL LA 120 MG CAPSULE SA
PROPRANOLOL 120 MG CAP SA
PROPRANOLOL 120 MG CAP SA
TERAZOL 3 CREAM
ANTABUSE 250 MG TABLET
ANTABUSE 250 MG TABLET
ANTABUSE 250 MG TABLET
TERCONAZOLE 0.8% VAGINAL CRM
MEDROL 16 MG TABLET
INDERAL LA 120 MG CAPSULE
TERAZOL 3 CREAM
ALTOPREV 60 MG TABLET
ALTOCOR 60 MG TABLET
NUBAIN 20 MG/ML VIAL
ANTABUSE 250 MG TABLET
GLUCERNA SNACK BAR
GLUCERNA SNACK BAR
GLUCERNA BAR
GLUCERNA BAR
GLUCERNA MEAL BAR
GLUCERNA MEAL BAR
GLUCERNA SNACK BAR
GLUCERNA MEAL BAR
GLUCERNA MEAL BAR
FREEDOM 500 ML LEG BAG/STRAP
FREEDOM 500 ML T-TAP LEG BAG
FREEDOM 1,000 ML LEG BAG/STRP
FREEDOM URINARY DRAIN BAG
ARTHROTEC 50 TABLET EC
ARTHROTEC 50 TABLET EC
ARTHROTEC 50 TABLET EC
BUPROPION HCL ER 200 MG TAB
MALARONE 62.5-25 MG PED TAB
WELLBUTRIN SR 200 MG TABLET
OMNIPAQUE 180 MG/ML VIAL
OMNIPAQUE 180 MG/ML VIAL
OMNIPAQUE 180 MG/ML VIAL
OMNIPAQUE 180 MG/ML VIAL
OMNIPAQUE 180 MG/ML VIAL
OMNIPAQUE 180 MG/ML VIAL
BUPROPION HCL SR 200 MG TABLET

DOSE FORM DRUG STRENGTH


PA
PA
PA
PA
PA
KW
CM
CM
CM
KW
CR
CR
CR
CR
CR
KW
TA
TA
TA
KW
TA
CR
KW
TI
TI
HV
TA
EB
EB
EB
EB
EB
EB
EB
EB
EB
EA
EA
EA
EA
TE
TE
TE
TS
TA
TS
HV
HV
HV
HV
HV
HV
TS

UNIT PRICE
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.08
$
1.09
$
1.09
$
1.09
$
1.09
$
1.09
$
1.09
$
1.09
$
1.09
$
1.09
$
1.09
$
1.09
$
1.09
$
1.09

NDC
08333357001
39822090004
52959053120
52959053130
52959053142
52959053160
54868476300
55289040615
55289040630
58016057700
58016057702
58016057703
58016057730
58016057760
58016057773
58016057789
58016057790
68115083560
00003177901
00004018222
00009454401
00009454402
00009454403
00025007124
00025008109
00025008124
00049076009
00074328813
00185075701
00185075710
00247148404
08026004464
08884711915
09958008360
09958008790
25382020020
38673055001
38673055003
50486008227
50486008298
52544038428
53567020020
54002006022
54569563400
54868282400
54868282401
54868379000
54868477800
56091006954
56091006964
56091006974
63481062770
63717057706

NAME
SOFT CLOTH 3.5"X8" DRESSING
NYSTATIN 2000MM UNITS POWDER
ARTHROTEC 50 TABLET EC
ARTHROTEC 50 TABLET EC
ARTHROTEC 50 TABLET EC
ARTHROTEC 50 TABLET EC
WELLBUTRIN SR 200 MG TAB
ARTHROTEC 50 TABLET EC
ARTHROTEC 50 TABLET EC
ARTHROTEC 50 TABLET
ARTHROTEC 50 TABLET
ARTHROTEC 50 TABLET
ARTHROTEC 50 TABLET
ARTHROTEC 50 TABLET
ARTHROTEC 50 TABLET
ARTHROTEC 50 TABLET
ARTHROTEC 50 TABLET
WELLBUTRIN SR 200 MG TABLET
AQUACEL HYDROFIBER DRESSING
CARDENE SR 60 MG CAPSULE SA
DETROL 2 MG TABLET
DETROL 2 MG TABLET
DETROL 2 MG TABLET
DEMULEN 1/50-21 TABLET
DEMULEN 1/50-28 TABLET
DEMULEN 1/50-28 TABLET
TERRAMYCIN IM 100 MG/2 ML AMP
TARKA 1/240 MG TABLET SA
SULFADIAZINE 500 MG TABLET
SULFADIAZINE 500 MG TABLET
MEPROBAMATE/ASA 200/325 TAB
OPSITE POST-OP DRESSING
KANGAROO PVC FEEDING TUBE
PRIMACOL BORDERED 2"X2" DRS
PRIMACOL THIN 2"X2" DRESS
DERMAGRAN DRESSING 2"X2"
REPLACEMENT NEBULIZER KIT
PEDIATRIC NEBULIZER MASK KT
PARI BABY ADAPTER KIT
PARI BABY ADAPTER KIT
ZOVIA 1/50E TABLET
DERMAGRAN DRESSING 2"X2"
HYPERION WOUND DRESSING
SULFADIAZINE 500 MG TABLET
DETROL 2 MG TABLET
DETROL 2 MG TABLET
DEMULEN 1/50-28 TABLET
ZOVIA 1/50E TABLET
SOF-BAND BULKY BNDG 4"X84"
SOF-BAND BULKY BNDG 4"X84"
SOF-BAND BULKY BNDG 4"X84"
PERCOCET 2.5/325 MG TABLET
DYTAN-D TABLET CHEWABLE

DOSE FORM DRUG STRENGTH


YE
PA
TE
TE
TE
TE
TS
TE
TE
TE
TE
TE
TE
TE
TE
TE
TE
TS
YE
CS
TA
TA
TA
TA
TA
TA
HH
UB
TA
TA
TA
YE
EA
YE
YE
YE
YK
YK
YK
YK
TA
YE
YE
TA
TA
TA
TA
TA
YE
YE
YE
TA
TC

UNIT PRICE
$
1.09
$
1.09
$
1.09
$
1.09
$
1.09
$
1.09
$
1.09
$
1.09
$
1.09
$
1.09
$
1.09
$
1.09
$
1.09
$
1.09
$
1.09
$
1.09
$
1.09
$
1.09
$
1.10
$
1.10
$
1.10
$
1.10
$
1.10
$
1.10
$
1.10
$
1.10
$
1.10
$
1.10
$
1.10
$
1.10
$
1.10
$
1.10
$
1.10
$
1.10
$
1.10
$
1.10
$
1.10
$
1.10
$
1.10
$
1.10
$
1.10
$
1.10
$
1.10
$
1.10
$
1.10
$
1.10
$
1.10
$
1.10
$
1.10
$
1.10
$
1.10
$
1.10
$
1.10

NDC
63857033210
64248009110
66116019630
73796009911
73796009920
73796099110
80196735660
00003187932
00006373943
00006373955
00006373996
00072116006
00074159304
00074328713
00074328913
00074329013
00078033705
00078033706
00091334301
47682051173
54868483700
54868483701
58016633501
61570003875
61570017501
64661001001
68115073400
00007316818
00007316820
00008070501
00008070502
00009037003
00023081230
00062141116
00066051046
00071092815
00071092847
00314078270
00430057014
00555034458
00555071558
00781705449
00781705459
12280000460
40565011945
45802008302
45802008386
47682003013
47682003033
49756105108
49756105130
52544023528
52544062928

NAME
SERAX 15 MG TABLET
EQUAGESIC TABLET
DETROL 2 MG TABLET
A.I.R.S. NEBULIZER REPLACE KIT
ADULT MASK
A.I.R.S. NEBULIZER REPLACE KIT
EXUDERM SATIN 2X2 DRESSING
DUODERM XTHIN CGF SPOT DRES
AGGRASTAT 25 MG/500 ML PREMIX
AGGRASTAT 5 MG/100 ML IV SOLN
AGGRASTAT 12.5 MG/250 ML
DOVONEX 0.005% SOLUTION
THAM IV SOLUTION
TARKA 2/180 MG TABLET SA
TARKA 2/240 MG TABLET SA
TARKA 4/240 MG TABLET SA
TRILEPTAL 300 MG TABLET
TRILEPTAL 300 MG TABLET
PARCOPA 25 MG/250 MG TABLET
ANTISEPTIC BIO-HAND CLEANER
TRILEPTAL 300 MG TABLET
TRILEPTAL 300 MG TABLET
PEDIOTIC EAR SUSPENSION
PEDIOTIC EAR SUSPENSION
CORZIDE 40/5 TABLET
J-MAX TABLET
TRILEPTAL 300 MG TABLET
AVANDAMET 4 MG/500 MG TABLET
AVANDAMET 4 MG/500 MG TABLET
EFFEXOR 100 MG TABLET
EFFEXOR 100 MG TABLET
COLESTID FLAVORED GRANULES
FLUOROPLEX 1% CREAM
ORTHO MICRONOR TABLET
BENZAMYCIN GEL
ESTROSTEP FE-28 TABLET
ESTROSTEP FE-28 TABLET
VALERGEN-20 VIAL
ESTROSTEP FE-28 TABLET
ERRIN TABLET
CAMILA TABLET
ERYTHROMYCIN-BENZOYL GEL
ERYTHROMYCIN-BENZOYL GEL
AVANDAMET 4 MG/500 MG TABLET
DRYNET WOUND VEIL 36"X36"
ERYTHROMYCIN-BENZOYL GEL
ERYTHROMYCIN-BENZOYL GEL
MEDI-LYTE TABLET
MEDI-LYTE TABLET
DRY BURN DRESSING,WIDE MESH
DRY BURN DRESSING,WIDE MESH
NOR-Q-D TABLET
NORA-BE TABLET

DOSE FORM DRUG STRENGTH


TA
TA
TA
YK
YK
YK
YE
YE
HM
HM
HM
SA
HM
UB
UB
UB
TA
TA
UL
JO
TA
TA
SN
SN
TA
TM
TA
TA
TA
TA
TA
PP
KA
TA
JG
TA
TA
HV
TA
TA
TA
GE
GE
TA
YE
JG
JG
TA
TA
YE
YE
TA
TA

UNIT PRICE
$
1.10
$
1.10
$
1.10
$
1.10
$
1.10
$
1.10
$
1.10
$
1.11
$
1.11
$
1.11
$
1.11
$
1.11
$
1.11
$
1.11
$
1.11
$
1.11
$
1.11
$
1.11
$
1.11
$
1.11
$
1.11
$
1.11
$
1.11
$
1.11
$
1.11
$
1.11
$
1.11
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12

NDC
52544089228
52959126601
54868224600
54868224601
54868306100
54868394800
54868436900
54868471200
54868481400
54868515700
58016035200
58016035210
58016035214
58016035215
58016035220
58016035221
58016035228
58016035230
58016035240
58016035250
58016035260
58016035290
61570018101
68025000330
00025142134
00025142160
00078032705
00087278831
00087278832
00406992401
00406992403
08219511300
08333158701
08333295501
08333295601
08884433500
10791024138
52959052514
52959052520
52959052530
53329000646
54569457900
54868416500
54868416501
55045304709
55887054330
55887054360
55887054382
55887054390
56091004313
56091007032
58016049800
58016049830

NAME
JOLIVETTE TABLET
BENZAMYCIN GEL
BENZAMYCIN GEL
BENZAMYCIN GEL
COLESTID FLAVORED GRANULES
ESTROSTEP FE-28 TABLET
MICRONOR TABLET
NOR-Q-D TABLET
CAMILA TABLET
AVANDAMET 4 MG/500 MG TABLET
EFFEXOR 100 MG TABLET
EFFEXOR 100 MG TABLET
EFFEXOR 100 MG TABLET
EFFEXOR 100 MG TABLET
EFFEXOR 100 MG TABLET
EFFEXOR 100 MG TABLET
EFFEXOR 100 MG TABLET
EFFEXOR 100 MG TABLET
EFFEXOR 100 MG TABLET
EFFEXOR 100 MG TABLET
EFFEXOR 100 MG TABLET
EFFEXOR 100 MG TABLET
DELESTROGEN 20 MG/ML VIAL
ZOTEX PEDIATRIC DROPS
ARTHROTEC 75 TABLET EC
ARTHROTEC 75 TABLET EC
COMTAN 200 MG TABLET
AVALIDE 300-25 MG TABLET
AVALIDE 300-25 MG TABLET
TOFRANIL-PM 100 MG CAPSULE
TOFRANIL-PM 100 MG CAPSULE
CURAD SURGICAL DRESSING
COBAN WRAP 1.5" X 5 YARDS
MEDIPORE DRESS-IT COVER PAD
MEDIPORE DRESS-IT COVER PAD
XEROFORM PETROLATUM DRESS
TENDRA MEPILEX 6"X8" DRESSING
ARTHROTEC 75 TABLET EC
ARTHROTEC 75 TABLET EC
ARTHROTEC 75 TABLET EC
STRATASORB ISLAND DRESSING
ARTHROTEC 75 TABLET EC
ARTHROTEC 75 TABLET EC
ARTHROTEC 75 TABLET EC
ARTHROTEC 75 TABLET EC
ARTHROTEC 75 TABLET
ARTHROTEC 75 TABLET
ARTHROTEC 75 TABLET
ARTHROTEC 75 TABLET
BAND-AID ADH SURGICAL DRESS
DYNA-FLEX COMPRESSION BNDGE
ARTHROTEC 75 TABLET EC
ARTHROTEC 75 TABLET EC

DOSE FORM DRUG STRENGTH


TA
JG
JG
JG
PP
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
HV
SO
TE
TE
TA
TA
TA
CA
CA
YE
YE
YE
YE
YE
YE
TE
TE
TE
YE
TE
TE
TE
TE
TE
TE
TE
TE
YE
YE
TE
TE

UNIT PRICE
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.12
$
1.13
$
1.13
$
1.13
$
1.13
$
1.13
$
1.13
$
1.13
$
1.13
$
1.13
$
1.13
$
1.13
$
1.13
$
1.13
$
1.13
$
1.13
$
1.13
$
1.13
$
1.13
$
1.13
$
1.13
$
1.13
$
1.13
$
1.13
$
1.13
$
1.13
$
1.13
$
1.13
$
1.13
$
1.13

NDC
58016049860
58016049890
00006322210
00008417901
00026852763
00026855463
00051845030
00054002821
00088057641
00093723006
00187303001
00378140001
00555044302
00591043801
00781509560
08080989400
08219989400
08333154701
10356002880
10572081005
11584044201
49756046204
49756046214
49884058801
50111032401
50111032402
52152026902
52268080005
53265034010
54569533900
54569559500
54868162400
54868369200
54868481000
54868498900
54868502700
54868502701
59148000316
60505252101
62037054060
62175044214
63304099401
64679096601
65473070301
66887000105
66993000860
67286417901
67767014401
00037070710
00072026006
00072026012
00072254006
00072254012

NAME
ARTHROTEC 75 TABLET EC
ARTHROTEC 75 TABLET EC
ARAMINE 10 MG/ML VIAL
SECTRAL 400 MG CAPSULE
CIPRO I.V. 400 MG/200 ML D5W
CIPRO I.V. 400 MG/200 ML D5W
ANDROGEL 1%(50MG) GEL PCKT
CILOSTAZOL 50 MG TABLET
RIFATER TABLET
CILOSTAZOL 50 MG TABLET
DERMATIX SILICONE GEL
ACEBUTOLOL 400 MG CAPSULE
ACETOHEXAMIDE 500 MG TABLET
ACEBUTOLOL 400 MG CAPSULE
CILOSTAZOL 50 MG TABLET
CURI-STRIP WOUND CLOSURE
CURI-STRIP WOUND CLOSURE
STERI-STRIP 1/2"X4",STERILE
COVER-STRIP CLOSURE STRIP
POLYETHYLENE GLYCOL 3350 POWD
DESPEC SR TABLET SA
EPISEAL WOUND CLOSURE STRIP
EPISEAL WOUND CLOSURE STRIP
ACEBUTOLOL 400 MG CAPSULE
BETHANECHOL 10 MG TABLET
BETHANECHOL 10 MG TABLET
BETHANECHOL 10 MG TABLET
MIRALAX PACKET
BETHANECHOL 10 MG TABLET
ANDROGEL 1%(50MG) GEL PCKT
TESTIM 1%(50MG) GEL
BETHANECOL 10 MG TABLET
ARAMINE 10 MG/ML VIAL
ANDROGEL 1%(50MG) GEL PKT
TESTIM 1%(50MG) GEL
PLETAL 50 MG TABLET
PLETAL 50 MG TABLET
PLETAL 50 MG TABLET
CILOSTAZOL 50 MG TABLET
CILOSTAZOL 50 MG TABLET
GLYCOLAX PACKET
BETHANECHOL 10 MG TABLET
BETHANECHOL 10 MG TABLET
URECHOLINE 10 MG TABLET
TESTIM 1%(50MG) GEL
CILOSTAZOL 50 MG TABLET
SECTRAL 400 MG CAPSULE
BETHANECHOL 10 MG TABLET
RYNATAN TABLET
DOVONEX 0.005% CREAM
DOVONEX 0.005% CREAM
DOVONEX 0.005% OINTMENT
DOVONEX 0.005% OINTMENT

DOSE FORM DRUG STRENGTH


TE
TE
HV
CA
HP
HP
JP
TA
TA
TA
JG
CA
TA
CA
TA
YR
YR
YR
YR
PP
TM
YR
YR
CA
TA
TA
TA
PP
TA
JP
JP
TA
HV
JP
JP
TA
TA
TA
TA
TA
PP
TA
TA
TA
JP
TA
CA
TA
TA
KA
KA
OA
OA

UNIT PRICE
$
1.13
$
1.13
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.14
$
1.15
$
1.15
$
1.15
$
1.15
$
1.15

NDC
00074176102
00074361301
00074471201
00186102603
00409361301
08021332165
08021332166
08021332167
08021333310
08021333320
08021333322
08021333335
08021333340
08021333350
08164100725
08290005171
08290005180
08290005181
08290005182
08290005183
08290005184
20513001004
20513001006
54868324000
54868324001
58394001101
58394001102
58869058101
61570041601
63672201001
63717058106
66993053202
68115085099
68115085199
00003125258
00003125260
00003125263
00003125265
00003125275
00003125334
00003125341
00003125358
00003125369
00003175764
00003175771
00003175783
00003175798
00003401307
00003401431
00003401450
00003401460
00003401464
00003401501

NAME
MARCAINE SPINAL AMPUL
BUPIVACAINE/DEXTR 0.75% AMP
LIDOCAINE 5% IN D7.5W AMPUL
SENSORCAINE/DEXTR 0.75% AMP
BUPIVACAINE/DEXTR 0.75% AMP
PERIFIX HUSTEAD EPIDURAL NDL
PERIFIX TUOHY EPIDURAL NDL
PERIFIX TUOHY EPIDURAL NDL
SPINOCAN SPINAL NEEDLE
SPINOCAN SPINAL NEEDLE
SPINOCAN SPINAL NEEDLE
SPINOCAN SPINAL NEEDLE
SPINOCAN SPINAL NEEDLE
SPINOCAN SPINAL NEEDLE
J-TIP KIT W/VIAL ADAPTERS
YALE SPINAL NEEDLE 22GX3"
YALE SPINAL NDL 25GX31/2"
YALE SPINAL NDL 22GX31/2"
YALE SPINAL NDL 20GX31/2"
YALE SPINAL NDL 19GX31/2"
YALE SPINAL NDL 18GX31/2"
SIMPLYTHICK 80 GM PACKET
SIMPLYTHICK 80 GM PACKET
DOVONEX 0.005% OINTMENT
DOVONEX 0.005% OINTMENT
REFACTO 2,000 UNITS VIAL
REFACTO 2,000 UNITS VIAL
TOURO HC CAPLET
PITOCIN 10 UNITS/ML AMPUL
PEXEVA 10 MG TABLET
DYTAN-CS TABLET
R-TANNA TABLET
DOVONEX 0.005% CREAM
DOVONEX 0.005% OINTMENT
SUR-FIT NATURA STOMAHESIVE
SUR-FIT NATURA STOMAHESIVE
SUR-FIT NATURA STOMAHESIVE
SUR-FIT NATURA STOMAHESIVE
SUR-FIT NATURA STOMAHESIVE
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE UROSTOMY POUCH
ACTIVE LIFE 38MM POUCH
ACTIVE LIFE 38MM POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE 38MM POUCH
SUR-FIT AUTOLOCK DURAHESIVE
SUR-FIT AUTOLCK STOMAHESIVE
SUR-FIT AUTOLOCK DURAHESIVE
SUR-FIT AUTOLOCK POUCH
SUR-FIT AUTOLOCK POUCH
SUR-FIT NAT DRAINABLE POUCH

DOSE FORM DRUG STRENGTH


HH
HH
HH
HH
HH
YH
YH
YH
YH
YH
YH
YH
YH
YH
YK
YH
YH
YH
YH
YH
YH
JP
JP
OA
OA
YK
YK
TM
HH
TA
TA
TA
KA
OA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
1.15
$
1.15
$
1.15
$
1.15
$
1.15
$
1.15
$
1.15
$
1.15
$
1.15
$
1.15
$
1.15
$
1.15
$
1.15
$
1.15
$
1.15
$
1.15
$
1.15
$
1.15
$
1.15
$
1.15
$
1.15
$
1.15
$
1.15
$
1.15
$
1.15
$
1.15
$
1.15
$
1.15
$
1.15
$
1.15
$
1.15
$
1.15
$
1.15
$
1.15
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16

NDC
00003401503
00003401506
00003401508
00003401511
00003401513
00003401521
00003401523
00003401525
00003401527
00003401530
00003401532
00003401534
00003401536
00003401539
00003401541
00003401543
00003401545
00003401548
00003401550
00003401552
00003401554
00003401558
00003401574
00003401576
00003401621
00003401674
00003401679
00003401933
00003401935
00003404012
00003404015
00003404017
00003404026
00003404028
00003404031
00003404033
00003405472
00003405480
00003411264
00003411266
00003411289
00003411291
00003411490
00003411492
00003413144
00003413150
00003413154
00003413156
00003413160
00003413162
00003413165
00003413167
00003413169

NAME
SUR-FIT NAT DRAINABLE POUCH
SUR-FIT NAT DRAINABLE POUCH
SUR-FIT NAT DRAINABLE POUCH
SUR-FIT NAT DRAINABLE POUCH
SUR-FIT NAT DRAINABLE POUCH
SUR-FIT NATURA CLSD-END PCH
SUR-FIT NATURA CLSD-END PCH
SUR-FIT NATURA CLSD-END PCH
SUR-FIT NATURA CLSD-END PCH
SUR-FIT NATURA MINI POUCH
SUR-FIT NATURA MINI POUCH
SUR-FIT NATURA UROSTOMY PCH
SUR-FIT NATURA UROSTOMY PCH
SUR-FIT NATURA UROSTOMY PCH
SUR-FIT NATURA UROSTOMY PCH
SUR-FIT NATURA UROSTOMY PCH
SUR-FIT NATURA UROSTOMY PCH
SUR-FIT NATURA UROSTOMY PCH
SUR-FIT NATURA UROSTOMY PCH
SUR-FIT NATURA UROSTOMY PCH
SUR-FIT NATURA UROSTOMY PCH
SUR-FIT NAT HIGH OUTPUT PCH
SUR-FIT NATURA STOMAHESIVE
SUR-FIT NATURA STOMAHESIVE
SUR-FIT AUTOLOCK INSERTS
SUR-FIT AUTOLCK STOMAHESIVE
SUR-FIT AUTOLOCK POUCH
SUR-FIT NAT DRAINABLE POUCH
SUR-FIT NAT DRAINABLE POUCH
SUR-FIT NATURA CONVEX INSRT
SUR-FIT NATURA DRAIN POUCH
SUR-FIT NATURA DRAIN POUCH
SUR-FIT NATURA DRAIN POUCH
SUR-FIT NATURA DRAIN POUCH
SUR-FIT NATURA DRAIN POUCH
SUR-FIT NATURA DRAIN POUCH
STOMAHESIVE SKIN BARRIER
STOMAHESIVE SKIN BARRIER
SUR-FIT NATURA DRAINABLE POUCH
SUR-FIT NATURA DRAINABLE POUCH
SUR-FIT NATURA DRAINABLE POUCH
SUR-FIT NATURA DRAINABLE POUCH
SUR-FIT NATURA DRAINABLE POUCH
SUR-FIT NATURA DRAINABLE POUCH
ACTIVE LIFE CLOSED-END PCH
ACTIVE LIFE CLOSED-END PCH
SUR-FIT NATURA DURAHESIVE
SUR-FIT NATURA DURAHESIVE
SUR-FIT NATURA DURAHESIVE
SUR-FIT NATURA DURAHESIVE
SUR-FIT NATURA DURAHESIVE
SUR-FIT NATURA DURAHESIVE
SUR-FIT NATURA CLSD-END PCH

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16

NDC
00003413171
00003413173
00003413175
00003413185
00003413186
00003413187
00003413188
00003413313
00003413335
00003650479
00003650833
00049577066
00069582043
00069582060
00071091548
00074230801
00074230802
00074230849
00074230850
00074259601
00074259602
00074259603
00074259605
00074259649
00074259651
00074259652
00074259653
00115443301
00149003305
00469060773
00469520111
00469520130
00469520160
00555902557
04174550380
08011121500
08380001413
08380001433
08380001463
08380001488
08380003333
08380003337
08380003343
08380003347
08380003353
08380003357
08380003703
08380003723
08380003738
08380003743
08380003764
08380003803
08380003807

NAME
SUR-FIT NATURA CLSD-END PCH
SUR-FIT NATURA CLSD-END PCH
SUR-FIT NATURA CLSD-END PCH
SUR-FIT NATURA DURAHESIVE
SUR-FIT NATURA DURAHESIVE
SUR-FIT NATURA DURAHESIVE
SUR-FIT NATURA DURAHESIVE
SUR-FIT NATURA DRAIN POUCH
SUR-FIT NATURA DRAIN POUCH
ACTIVE LIFE 38MM POUCH
ACTIVE LIFE 1-PIECE UROSTMY
NAVANE 20 MG CAPSULE
TIKOSYN 0.5 MG CAPSULE
TIKOSYN 0.5 MG CAPSULE
LOESTRIN 21 1/20 TABLET
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
DANTROLENE SODIUM 100 MG CAP
DANTRIUM 100 MG CAPSULE
PROGRAF 0.5 MG CAPSULE
PROTOPIC 0.03% OINTMENT
PROTOPIC 0.03% OINTMENT
PROTOPIC 0.03% OINTMENT
JUNEL 1/20 TABLET
MARLEN ULTRALITE POUCH
RELIASEAL ADH DSC 100MM DIA
LO-PROFILE UROSTOMY POUCH
LO-PROFILE UROSTOMY POUCH
1STCHOICE UROSTOMY PCH 1.5"
1STCHOICE URO POUCH 1.5"
CLOSED POUCH/FLANGE 2.25"
CLOSED POUCH/FLANGE 1.5"
CLOSED POUCH WITH FLANGE
CLOSED POUCH WITH FLANGE
CLOSED MINI-POUCH W/FLANGE
CLOSED MINI-POUCH W/FLANGE
SKIN BARRIER/FLANGE 2.25"
SKIN BARRIER/FLANGE 2.25"
CONVEX SYN BARR/FLNGE 1.5"
PRE-SIZED BARR-FLOAT FLNGE
SKIN BARRIER/FLANGE 2.25"
DRAINABLE PCH/FLANGE 2.25"
DRAINABLE PCH/FLANGE 1.5"

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
CA
CA
CA
TA
HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
CA
CA
CA
OA
OA
OA
TA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16

NDC
08380003813
08380003817
08380003823
08380003833
08380003837
08380003843
08380003847
08380003873
08380003877
08380003893
08380003897
08380003903
08380004203
08380007453
08380007473
08380007483
08380008343
08380008463
08380008488
08380008508
08380008528
08380008533
08380008553
08380008723
08380008738
08380008748
08380008753
08380008763
08380008766
08380008778
08380008813
08380008817
08380008843
08380008847
08380008903
08380009767
08380014203
08380014307
08380014308
08380014403
08380014505
08380014506
08380014603
08380014707
08380014708
08380014905
08380014906
08380015203
08380015403
08380015505
08380015506
08380015603
08380015803

NAME
DRAINABLE PCH/FLANGE 2.25"
DRAINABLE PCH/FLANGE 1.5"
STOMA IRRIG DRAIN W/FLANGE
DRAIN POUCH/FILTER/FLANGE
DRAIN POUCH/FILTER/FLANGE
DRAINABLE MINI-POUCH W/FLNG
DRAINABLE MINI-POUCH W/FLNG
CPL DRAINABLE POUCH
DRAINABLE PCH FLANGE 1.5"
DRAINABLE POUCH 2.25"
DRAINABLE POUCH 1.5"
UROSTOMY POUCH WITH FLANGE
HOLLISTER BELT ADAPTER
UROSTOMY POUCH-MED.16"
UROSTOMY POUCH-SHORT 12"
UROSTOMY POUCH/KARAYA SEAL
PREMIER CLOSED POUCH 2.25"
PREMIER UROSTOMY PCH 1.5"
PREMIER UROSTOMY PCH 1.5"
PREMIER LNR DRAINABLE POUCH
PREMIER LNR DRAINABLE POUCH
PREMIER LNR DRAINABLE POUCH
PREMIER LNR DRAINABLE POUCH
PREMIER SKN BARR/FLNG 2.25"
PREMIER SKN BARR/FLNGE 1.5"
PREMIER SKIN BARR/FLNG 1.5"
PREMIER SKN BARR/FLNG 2.25"
PREMIER SKN BARR/FLNG 1.5"
PREMIER SKN BARR/FLNG 2.25"
PREMIER SKN BARR/FLNGE 1.5"
PREMIER DRAIN POUCH 2.25"
PREMIER DRAIN POUCH 1.5"
PREMIER DRAIN POUCH 2.25"
PREMIER DRAIN POUCH 1.5"
PREMIER UROSTOMY POUCH/FLNG
POUCHKINS 1PC DRAINABLE PCH
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXWEAR-FLANGE 2.25
NEW IMAGE FLEXWEAR-FLANGE 2.25
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXTEND BARRIER
NEW IMAGE FLEXTEND-FLANGE 2.25
NEW IMAGE FLEXTEND-FLANGE 2.25
NEW IMAGE FLEXTEND BARRIER
NEW IMAGE FLEXTEND BARRIER
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXTEND BARRIER
NEW IMAGE FLEXTEND BARRIER

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16

NDC
08380015905
08380015906
08380016107
08380016108
08380016203
08380016308
08380016407
08380016408
08380016603
08380016708
08380018103
08380018133
08380018143
08380018153
08380018193
08380018203
08380018313
08380018403
08380018413
08395041300
08395041370
08395048300
08395048370
08395048400
08395048470
08395078300
08395078370
08395078400
08395078470
08395081300
08395081370
10019002701
10019002702
10019002703
10019002704
10019002705
10019002710
11701083440
11701084530
11701088677
11701088696
17478052402
17478052405
17478052410
18867000001
24385019106
28770097001
38779020203
38779020204
38779020205
38779020215
38779020225
51285007997

NAME
NEW IMAGE FLEXTEND BARRIER
NEW IMAGE FLEXTEND BARRIER
NEW IMAGE FLEXTEND BARRIER
NEW IMAGE FLEXTEND BARRIER
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXTEND BARRIER
NEW IMAGE FLEXTEND BARRIER
NEW IMAGE DRAINABLE POUCH
NEW IMAGE DRAINABLE POUCH
NEW IMAGE DRAINABLE POUCH
NEW IMAGE IRRIGATION SLEEVE
NEW IMAGE DRAINABLE POUCH
NEW IMAGE DRAINABLE POUCH
NEW IMAGE CLOSED POUCH
NEW IMAGE UROSTOMY POUCH
NEW IMAGE UROSTOMY POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
ASSURA FLANGE CONVEX
ASSURA FLANGE STANDARD
ASSURA CONVEX FLANGE
ASSURA EXTRA CONVEX FLANGE
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
IMUPLUS PACKET
STRETCH BANDAGE 3"X4.1 YD
IMMUNOCAL PACKET
CARBIDOPA POWDER
CARBIDOPA POWDER
CARBIDOPA POWDER
CARBIDOPA POWDER
CARBIDOPA POWDER
LOESTRIN 21 1/20 TABLET

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
HV
HV
HV
HV
HV
HV
EA
EA
EA
EA
HV
HV
HV
PP
YE
PP
PA
PA
PA
PA
PA
TA

UNIT PRICE
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16

NDC
51927248000
52544095021
52735082663
53014084771
54868458000
55289044402
55289044405
55289044410
55390012605
55390012610
55390013801
55390013802
59911591402
59911591502
59911591602
60505071201
60505071202
60505071203
60505071204
61703032107
61703032132
61703032142
61703032153
62991201801
62991201802
62991201803
63304074901
63323041201
63323041202
63323041205
63323041210
63323041225
63459041201
66288320001
66758000119
66758001901
66758001902
87701043055
87701048613
00004014401
00044502302
00071091648
00074183112
00074183114
00093065801
00186070968
00555902757
00603545021
00677181701
08881260406
08881265124
08884703904
08884706204

NAME
CARBIDOPA POWDER
MICROGESTIN 21 1/20 TABLET
FP STRETCH GAUZE BANDAGE 3"
MYKROX 0.5 MG TABLET
MIDAZOLAM HCL 5 MG/ML VIAL
VERSED 5 MG/ML VIAL
VERSED 5 MG/ML VIAL
VERSED 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
CARBIDOPA POWDER
CARBIDOPA POWDER
CARBIDOPA POWDER
CODEINE PHOSPHATE 60 MG TAB
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
GABITRIL 12 MG TABLET
NAFCILLIN SOD 200 GM BULK BAG
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
MIDAZOLAM HCL 5 MG/ML VIAL
BL STRECH BANDAGE 3"X.4.1YD
GNP STRECH BANDAGE 3"X.4.1Y
ROCALTROL 0.5 MCG CAPSULE
RYTHMOL 300 MG TABLET
LOESTRIN 21 1.5/30 TABLET
RYTHMOL 300 MG TABLET
RYTHMOL 300 MG TABLET
CALCITRIOL 0.5 MCG CAPSULE
TONOCARD 600 MG TABLET
JUNEL 1.5/30 TABLET
PROPAFENONE HCL 300 MG TAB
PROPAFENONE HCL 300 MG TAB
ARGYLE FEED TUBE/X-RAY LINE
ARGYLE SUMP TUBE/X-RAY LINE
KANGAROO 1,000 ML GRAVITY BAG
KANGAROO 1,200 ML RIGID CNTNR

DOSE FORM DRUG STRENGTH


PA
TA
YE
TA
HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
PA
PA
PA
TB
HV
HV
HV
HV
HV
TA
HL
HV
HV
HV
YE
YE
CA
TA
TA
TA
TA
CA
TA
TA
TA
TA
EA
EA
EA
EA

UNIT PRICE
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.16
$
1.17
$
1.17
$
1.17
$
1.17
$
1.17
$
1.17
$
1.17
$
1.17
$
1.17
$
1.17
$
1.17
$
1.17
$
1.17
$
1.17

NDC
08884706212
08884706220
08884706238
08884716100
09958008930
09958018010
10481105201
11086003501
11298000428
11298000429
11701080210
11701080215
11701080220
11701080225
11701080230
11701080240
11701080250
50111071001
51285008297
52544046960
52544095121
52544096960
53489055301
54868370400
58177033304
65726026725
70074055389
00003125261
00003125266
00003401308
00003401432
00003401448
00003401461
00003401465
00003401504
00003401509
00003401514
00003401524
00003401528
00003401537
00003401546
00003401555
00003401559
00003401577
00003401680
00003401919
00003401936
00003404018
00003404029
00003404034
00003411267
00003411292
00003411493

NAME
KANGAROO 1,200 ML RIGID CNTNR
KANGAROO 600 ML RIGID CONTNR
KANGAROO 600 ML RIGID CONTNR
KANGAROO 100 ML BURETTE SET
DUDRESS ISLAND 6"X8" DRESS
COMPDRESS ISLAND 6"X8" DRES
SILVER NITRATE 25% SOLUTION
DRITHO-SCALP 0.5% CREAM
HEALSKIN WASHERS 1/2-1 1/4"
HEALSKIN WASHERS
COLOPLAST BARRIER RING 3/8"
COLOPLAST BARRIER RING 5/8"
COLOPLAST BARRIER RING 3/4"
COLOPLAST BARRIER RING 1"
COLOPLAST BARRIER RING
COLOPLAST BARRIER RING
COLOPLAST BARRIER RING 2"
PROPAFENONE HCL 300 MG TAB
LOESTRIN 21 1.5/30 TABLET
ANDRODERM 2.5 MG/24HR PATCH
MICROGESTIN 21 1.5/30 TAB
REPREXAIN 5-200 MG TABLET
PROPAFENONE HCL 300 MG TAB
ANDRODERM 2.5 MG/24HR PATCH
PROPAFENONE HCL 300 MG TAB
RYTHMOL 300 MG TABLET
FLEXIFLO TOPTAINER
SUR-FIT NATURA STOMAHESIVE
SUR-FIT NATURA STOMAHESIVE
SUR-FIT AUTOLOCK DURAHESIVE
SUR-FIT AUTOLCK STOMAHESIVE
SUR-FIT AUTOLCK STOMAHESIVE
SUR-FIT AUTOLOCK POUCH
SUR-FIT AUTOLOCK POUCH
SUR-FIT NAT DRAINABLE POUCH
SUR-FIT NAT DRAINABLE POUCH
SUR-FIT NAT DRAINABLE POUCH
SUR-FIT NATURA CLSD-END PCH
SUR-FIT NATURA CLSD-END PCH
SUR-FIT NATURA UROSTOMY PCH
SUR-FIT NATURA UROSTOMY PCH
SUR-FIT NATURA UROSTOMY PCH
SUR-FIT NAT HIGH OUTPUT PCH
SUR-FIT NATURA STOMAHESIVE
SUR-FIT AUTOLOCK POUCH
SUR-FIT NAT IRRIG FACEPLATE
SUR-FIT NAT DRAINABLE POUCH
SUR-FIT NATURA DRAIN POUCH
SUR-FIT NATURA DRAIN POUCH
SUR-FIT NATURA DRAIN POUCH
SUR-FIT NATURA DRAINABLE POUCH
SUR-FIT NATURA DRAINABLE POUCH
SUR-FIT NATURA DRAINABLE POUCH

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
YE
YE
SA
KW
EA
EA
EA
EA
EA
EA
EA
EA
EA
TA
TA
PV
TA
TA
TA
PV
TA
TA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
1.17
$
1.17
$
1.17
$
1.17
$
1.17
$
1.17
$
1.17
$
1.17
$
1.17
$
1.17
$
1.17
$
1.17
$
1.17
$
1.17
$
1.17
$
1.17
$
1.17
$
1.17
$
1.17
$
1.17
$
1.17
$
1.17
$
1.17
$
1.17
$
1.17
$
1.17
$
1.17
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18

NDC
00003413157
00003413163
00003413168
00003413172
00003413176
00003413314
00003413336
00029608012
00029608031
00062027501
00062027523
00074788113
00085113601
00093227434
00172740300
00172740310
00172740342
00247002704
00247002709
00247002714
00247002715
00247002720
00247002721
00430058114
00781183120
08080250200
08080284700
08080317500
08080422100
08219250200
08219284700
08219317500
08219422100
08219624400
08380003334
08380003344
08380003354
08380003704
08380003714
08380003724
08380003804
08380003814
08380003824
08380003834
08380003844
08380003874
08380003894
08380003904
08380008344
08380008724
08380008754
08380008814
08380008844

NAME
SUR-FIT NATURA DURAHESIVE
SUR-FIT NATURA DURAHESIVE
SUR-FIT NATURA DURAHESIVE
SUR-FIT NATURA CLSD-END PCH
SUR-FIT NATURA CLSD-END PCH
SUR-FIT NATURA DRAIN POUCH
SUR-FIT NATURA DRAIN POUCH
AUGMENTIN 500-125 TABLET
AUGMENTIN 500-125 TABLET
RETIN-A 0.1% CREAM
RETIN-A 0.1% CREAM
GENTAMICIN 70 MG/NS 50 ML PB
INTEGRILIN 75 MG/100 ML VIAL
AMOX TR-K CLV 500-125 MG TAB
AMOX TR-K CLV 500-125 MG TAB
AMOX TR-K CLV 500-125 MG TAB
AMOX TR-K CLV 500-125 MG TAB
AUGMENTIN 500-125 TABLET
AUGMENTIN 500-125 TABLET
AUGMENTIN 500-125 TABLET
AUGMENTIN 500-125 TABLET
AUGMENTIN 500-125 TABLET
AUGMENTIN 500-125 TABLET
OVCON-35 28 CHEWABLE TABLET
AMOX TR-K CLV 500-125 MG TAB
WEBRIL UNDERCAST PADDING
WEBRIL II UNDERCAST PADDING
WEBRIL UNDERCAST PADDING
WEBRIL II UNDERCAST PADDING
WEBRIL UNDERCAST PADDING
WEBRIL II UNDERCAST PADDING
WEBRIL UNDERCAST PADDING
WEBRIL II UNDERCAST PADDING
TENDEROL UNDERCAST PADDING
CLOSED POUCH/FLANGE 2.75"
CLOSED POUCH WITH FLANGE
CLOSED MINI-POUCH W/FLANGE
SKIN BARRIER/FLANGE 2.75"
DRAINABLE OSTOMY SET,STR
SKIN BARRIER/FLANGE 2.75"
DRAINABLE PCH/FLANGE 2.75"
DRAINABLE PCH/FLANGE 2.75"
STOMA IRRIG DRAIN W/FLANGE
DRAIN POUCH/FILTER/FLANGE
DRAINABLE MINI-POUCH W/FLNG
DRAINABLE PCH FLANGE 2.75"
DRAINABLE POUCH 2.75"
UROSTOMY POUCH WITH FLANGE
PREMIER CLOSED POUCH 2.75"
PREMIER SKN BARR/FLNG 2.75"
PREMIER SKN BARR/FLNG 2.75"
PREMIER DRAIN POUCH 2.75"
PREMIER DRAIN POUCH 2.75"

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
TA
TA
KA
KA
HP
HV
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TC
TA
YE
YE
YE
YE
YE
YE
YE
YE
YE
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18

NDC
08380008904
08380014204
08380014404
08380014604
08380014803
08380014804
08380015204
08380015404
08380015604
08380015804
08380016204
08380016604
08380018154
08380018304
08380018314
08380018404
08380018414
49452606501
49452606502
49452606503
49452620001
49452620002
49999016345
49999021320
49999024620
50419040203
51552075705
51927247500
52959002104
52959002114
52959002115
52959002120
52959002121
52959002130
52959070204
52959070209
52959070212
52959070214
52959070215
52959070220
52959070221
52959070230
52959070240
54569013603
54569114700
54569195901
54569195904
54569195906
54569534900
54569547000
54569547001
54868026801
54868026802

NAME
PREMIER UROSTOMY POUCH/FLNG
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXTEND BARRIER
NEW IMAGE FLEXTEND BARRIER
NEW IMAGE FLEXTEND BARRIER
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXTEND BARRIER
NEW IMAGE FLEXTEND BARRIER
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXTEND BARRIER
NEW IMAGE IRRIGATION SLEEVE
NEW IMAGE CLOSED POUCH
NEW IMAGE CLOSED POUCH
NEW IMAGE UROSTOMY POUCH
NEW IMAGE UROSTOMY POUCH
PREGNENOLONE POWDER
PREGNENOLONE POWDER
PREGNENOLONE POWDER
QUININE HCL CRYSTALS
QUININE HCL CRYSTALS
RETIN-A 0.1% CREAM
AUGMENTIN 500-125 TABLET
AMOX TR-K CLV 500-125 MG TAB
YASMIN 28 TABLET
PREGNENOLONE POWDER
PREGNENOLONE POWDER
AUGMENTIN 500-125 TABLET
AUGMENTIN 500-125 TABLET
AUGMENTIN 500-125 TABLET
AUGMENTIN 500-125 TABLET
AUGMENTIN 500-125 TABLET
AUGMENTIN 500-125 TABLET
AMOX TR-K CLV 500-125 MG TAB
AMOX TR-K CLV 500-125 MG TAB
AMOX TR-K CLV 500-125 MG TAB
AMOX TR-K CLV 500-125 MG TAB
AMOX TR-K CLV 500-125 MG TAB
AMOX TR-K CLV 500-125 MG TAB
AMOX TR-K CLV 500-125 MG TAB
AMOX TR-K CLV 500-125 MG TAB
AMOX TR-K CLV 500-125 MG TAB
AUGMENTIN 500-125 TABLET
RETIN-A 0.1% CREAM
AUGMENTIN 500-125 TABLET
AUGMENTIN 500-125 TABLET
AUGMENTIN 500-125 TABLET
YASMIN 28 TABLET
AMOX TR-K CLV 500-125 MG TAB
AMOX TR-K CLV 500-125 MG TAB
RETIN-A 0.1% CREAM
RETIN-A 0.1% CREAM

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
PA
PA
PA
PC
PC
KA
TA
TA
TA
PA
PA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
KA
TA
TA
TA
TA
TA
TA
KA
KA

UNIT PRICE
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18

NDC
54868038800
54868038801
54868038802
54868038804
54868459000
54868474300
54868474301
55045125807
55045295302
55045295304
55045295305
55045295307
55045295308
55045319104
55289029615
55289029630
55289084521
55289084530
55887063720
55887063730
57866605101
57866605102
57866605103
57866605104
58016010720
58016100201
58016307401
58016903901
58864074030
58864077730
63304071320
66116024030
66116068130
66267044415
66267085703
66267085704
66267099220
66267100101
66530024120
66530024145
66685100200
66685100202
68030604201
68030605002
68071006330
68115038620
68115048840
68115099120
00008006201
00008006202
00009082501
00024030506
00024030560

NAME
AUGMENTIN 500-125 TABLET
AUGMENTIN 500-125 TABLET
AUGMENTIN 500-125 TABLET
AUGMENTIN 500-125 TABLET
YASMIN 28 TABLET
AMOX TR-K CLV 500-125 MG TAB
AMOX TR-K CLV 500-125 MG TAB
AUGMENTIN 500-125 TABLET
AMOX TR-K CLV 500-125 MG TAB
AMOX TR-K CLV 500-125 MG TAB
AMOX TR-K CLV 500-125 MG TAB
AMOX TR-K CLV 500-125 MG TAB
AMOX TR-K CLV 500-125 MG TAB
TRETINOIN 0.1% CREAM
AUGMENTIN 500-125 TABLET
AUGMENTIN 500-125 TABLET
AMOX TR-K CLV 500-125 MG TAB
AMOX TR-K CLV 500-125 MG TAB
AMOX TR-K CLV 500-125 MG TAB
AMOX TR-K CLV 500-125 MG TAB
AUGMENTIN 500-125 TABLET
AUGMENTIN 500-125 TABLET
AUGMENTIN 500-125 TABLET
AUGMENTIN 500-125 TABLET
AUGMENTIN 500-125 TABLET
AMOX TR-K CLV 500-125 MG TAB
RETIN-A 0.1% CREAM
RETIN-A 0.1% CREAM
AUGMENTIN 500-125 TABLET
AMOX TR-K CLV 500-125 MG TAB
AMOX TR-K CLV 500-125 MG TAB
AUGMENTIN 500-125 TABLET
AUGMENTIN 500-125 TABLET
AUGMENTIN 500-125 TABLET
AMOX TR-K CLV 500-125 MG TAB
AMOX TR-K CLV 500-125 MG TAB
AUGMENTIN 500-125 TABLET
AMOX TR-K CLV 500-125 MG TAB
TRETINOIN 0.1% CREAM
TRETINOIN 0.1% CREAM
AMOX TR-K CLV 500-125 MG TAB
AMOX TR-K CLV 500-125 MG TAB
AUGMENTIN 500-125 TABLET
AUGMENTIN 500-125 TABLET
AMOX TR-K CLV 500-125 MG TAB
AMOX TR-K CLV 500-125 MG TAB
AMOX TR-K CLV 500-125 MG TAB
AUGMENTIN 500-125 TABLET
OVRETTE TABLET
OVRETTE TABLET
SOLU-CORTEF 100 MG VIAL
DANOCRINE 200 MG CAPSULE
DANOCRINE 200 MG CAPSULE

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
KA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
KA
KA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
KA
KA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
HS
CA
CA

UNIT PRICE
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.18
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19

NDC
00026852736
00026855236
00054458111
00054458127
00062190315
00076090990
00088179830
00088179842
00088179849
00093511998
00093531528
00093531581
00093551006
00173080725
00173080765
00228257903
00228257909
00228257950
00247110230
00247110260
00258367801
00456069801
00516013001
00555063502
00555063509
00555901858
08219783900
08219784600
08884415600
08884425600
38779212604
38779212605
38779212608
49884092202
49884092204
49999036301
49999036315
49999036318
49999036330
49999036360
49999036390
49999055230
51927318600
52544093528
52959070900
52959070914
52959070915
52959070918
52959070920
52959070928
52959070930
52959070940
52959070942

NAME
CIPRO I.V. 200 MG/100 ML D5W
CIPRO I.V. 200 MG/100 ML D5W
MERCAPTOPURINE 50 MG TABLET
MERCAPTOPURINE 50 MG TABLET
ORTHO TRI-CYCLEN 28 TABLET
PROSED EC TABLET
CARDIZEM CD 300 MG CAPSULE
CARDIZEM CD 300 MG CAPSULE
CARDIZEM CD 300 MG CAPSULE
DILTIAZEM HCL 300 MG CAP SA
TRI-PREVIFEM TABLET
TRI-PREVIFEM TABLET
MERCAPTOPURINE 50 MG TABLET
PURINETHOL 50 MG TABLET
PURINETHOL 50 MG TABLET
DILTIAZEM HCL 300 MG CAP SA
DILTIAZEM HCL 300 MG CAP SA
DILTIAZEM HCL 300 MG CAP SA
CARDIZEM CD 300 MG CAPSULE
CARDIZEM CD 300 MG CAPSULE
BENZONATATE 200 MG CAPSULE
TESSALON 200 MG CAPSULE
BAR-TEST TABLET
DANAZOL 200 MG CAPSULE
DANAZOL 200 MG CAPSULE
TRI-SPRINTEC TABLET
CURITY PETROLATUM GAUZE
CURITY PETROLATUM GAUZE
PETROLATUM GAUZE 3"X 36"
PETROLATUM GAUZE 3" X 36"
METFORMIN HCL CRYSTALS
METFORMIN HCL CRYSTALS
METFORMIN HCL CRYSTALS
MERCAPTOPURINE 50 MG TABLET
MERCAPTOPURINE 50 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
BENZONATATE 200 MG CAPSULE
SECRETIN-MANNITOL POWDER
TRINESSA TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET

DOSE FORM DRUG STRENGTH


HP
HP
TA
TA
TA
TE
CC
CC
CC
CC
TA
TA
TA
TA
TA
CC
CC
CC
CC
CC
CA
CA
TA
CA
CA
TA
YE
YE
YE
YE
PC
PC
PC
TA
TA
TA
TA
TA
TA
TA
TA
CA
PA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19

NDC
52959070945
52959070950
52959070960
52959070990
54569426900
54569547700
54569547701
54569547702
54569547703
54569547706
54569555100
54569559000
54868021500
54868215001
54868409300
54868448200
54868448201
54868473300
54868473301
54868473302
54868473303
54868473304
54868473305
54868473306
54868499200
54868502800
54868528200
54868528201
55045297205
55045297206
55045297207
55045297208
55289073610
55289073620
55289073630
55887063120
55887063130
55887063160
55887063182
55887063190
57844052206
57844052207
57844052252
58016092700
58016092702
58016092703
58016092730
58016092760
58016092773
58016092789
58016092790
58864084620
58864085430

NAME
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
ORTHO TRI-CYCLEN 28 TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
TRI-SPRINTEC TABLET
BENZONATATE 200 MG CAPSULE
DANOCRINE 200 MG CAPSULE
CARDIZEM CD 300 MG CAPSULE
ORTHO TRI-CYCLEN 28 TABLET
BENZONATATE 200 MG CAPSULE
BENZONATATE 200 MG CAPSULE
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
DILTIAZEM HCL 300 MG CAP SA
TRI-SPRINTEC TABLET
MERCAPTOPURINE 50 MG TABLET
MERCAPTOPURINE 50 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
PURINETHOL 50 MG TABLET
PURINETHOL 50 MG TABLET
PURINETHOL 50 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
BENZONATATE 200 MG CAPSULE

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
CC
TA
CA
CA
TA
TA
TA
TA
TA
TA
TA
CC
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA

UNIT PRICE
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19

NDC
59075006810
60505001004
60760013630
60793013601
60793013605
62037060005
62037060090
62584097701
62584097730
62584097790
63739028615
64455079849
66267061108
66267061115
66267061120
66267061121
66267061130
66267061142
68115031900
68115031915
68115031930
68115031999
00004200378
00023833503
00023833510
00074166413
00074166513
00145261705
00407140215
00766501001
00998022515
00998022530
08373000456
08373000626
08373000650
08373000800
08373000860
08373062630
22600098050
22600098750
33413000040
33413000045
33413000180
33413000644
33413000646
33413000800
33413000998
33413004620
33413005500
33413046200
39822090007
44229012008
44229014014

NAME
SKELAXIN 800 MG TABLET
DILT-CD 300 MG CAPSULE ER
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
CARTIA XT 300 MG CAPSULE SA
CARTIA XT 300 MG CAPSULE SA
DILTIAZEM HCL 300 MG CAP SA
DILTIAZEM HCL 300 MG CAP SA
DILTIAZEM HCL 300 MG CAP SA
DILTIAZEM HCL 300 MG CAP SA
CARDIZEM CD 300 MG CAPSULE
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
SKELAXIN 800 MG TABLET
ROCEPHIN 2 GM/DEXTROSE 2.4%
TAZORAC 0.05% GEL
TAZORAC 0.05% GEL
CARTROL 2.5 MG TABLET
CARTROL 5 MG TABLET
ROSAC CREAM
OMNIPAQUE 210 MG/ML VIAL
ASTHMANEFRIN NEBULIZER
ISOPTO CARBACHOL 3% DROPS
ISOPTO CARBACHOL 3% DROPS
INSPIRATION ELITE NEBULIZER
INSPIRATION NEBULIZER SYSTM
VENTSTREAM NEBULIZER
SIDESTREAM DISPOS NEBULIZER
SIDESTREAM REUSEA NEBULIZER
ZOEY INSPIRATION NEB SYSTEM
TROJAN NATURALAMB CONDOM
TROJAN NATURALAMB CONDOM
NEBULIZER, HAND BLOWN GLASS
POCKET NEBULIZER, PLASTIC
NEBULIZER, GLASS
NEBULIZER, UPDRAFT-STYLE
NEBULIZER, T-PIECE STYLE
DEVILBISS NEBULIZER
ULTRA-NEB 99 NEBULIZER
DEVILBISS DISP NEBULIZER
PULMOSONIC ULTRA NEBULIZER
DEVILBISS NEBULIZER DISP
NYSTATIN 1000MM UNITS POWDER
PARI LL JET NEBULIZER SET
PARI JET NEBULIZER SET

DOSE FORM DRUG STRENGTH


TA
CC
TA
TA
TA
CC
CC
CC
CC
CC
CC
CC
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
HK
JG
JG
TA
TA
KA
HV
EA
SO
SO
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
PA
EA
EA

UNIT PRICE
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.19
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20

NDC
44229018008
44229022014
44229022036
44229022037
44229022038
44229061004
44229061007
49326031760
49326032560
50486008229
50486008232
50486008239
50486008254
50486008257
50486008258
50486008259
50486008273
50486008274
50486008299
52238052815
54868063002
63672202001
73796045103
73796045122
00025153001
00025153002
00029315913
00029315918
00029315920
00074195202
00074195232
00074205105
00074231650
00074231660
00093570301
00173055601
00173055602
00230010005
00409205105
00591086760
00591086776
10139005610
10139005612
12280006200
38779005204
38779005205
38779023704
38779023705
49452783501
49452783502
49452783503
49452783504
49452783505

NAME
PARI PEP NEBULIZER
PARI LC NEBULIZER SET
PARI BABY NEBULIZER
PARI BABY NEBULIZER
PARI BABY NEBULIZER
IS-2 NEBULIZER SET
IS-2 NEBULIZER/FILTER SET
NEURODEP NR TABLET SA
NERVIDOX-6 NR TABLET SA
NEBULIZER/PEDIATRIC MASK
PRONEB TURBO W/LC STAR NEB
NEBULIZER WITH ADULT MASK
PRONEB W/LC PLUS NEBULIZER
PARI BABY NEBULIZER
PARI BABY NEBULIZER
PARI LC PLUS NEBULIZER
PARI LC STAR NEBULIZER
PARI BABY NEBULIZER
PRONEB TURBO W/LC STAR NEB
CARBOPTIC 3% EYE DROPS
ISOPTO CARBACHOL 3% DROPS
PEXEVA 20 MG TABLET
MICROAIR ULTRASONIC NEBULZR
MICRO AIR NEBULIZER SYSTEM
CELEBREX 400 MG CAPSULE
CELEBREX 400 MG CAPSULE
AVANDIA 4 MG TABLET
AVANDIA 4 MG TABLET
AVANDIA 4 MG TABLET
TRIMETHOBENZAMIDE 100 MG/ML
TRIMETHOBENZAMIDE 100 MG/ML
KETAMINE 100 MG/ML VIAL
SANTYL OINTMENT
SANTYL OINTMENT
BUPROBAN 150 MG TABLET
ZYBAN 150 MG TABLET SA
ZYBAN 150 MG TABLET SA
NASALGUARD GEL
KETAMINE 100 MG/ML VIAL
BUPROPION HCL SR 150 MG TABLET
BUPROPION HCL SR 150 MG TABLET
KETAMINE 100 MG/ML VIAL
KETAMINE 100 MG/ML VIAL
AVANDIA 4 MG TABLET
TOLNAFTATE POWDER
TOLNAFTATE POWDER
MECLOFENAMATE SODIUM POWDER
MECLOFENAMATE SODIUM POWDER
TOLNAFTATE POWDER
TOLNAFTATE POWDER
TOLNAFTATE POWDER
TOLNAFTATE POWDER
TOLNAFTATE POWDER

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
TS
TS
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
SO
SO
TA
EA
EA
CA
CA
TA
TA
TA
HQ
HQ
HV
OA
OA
TS
TS
TS
JG
HV
TS
TS
HV
HV
TA
PA
PA
PA
PA
PA
PA
PA
PA
PA

UNIT PRICE
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.20
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21

NDC
49999030430
50474059240
50484052715
50484052730
52959026801
52959048730
54092054202
54569385400
54569449600
54569480200
54868402500
54868419800
54868494100
54868494101
54868494700
54868509300
55887050130
55887050160
55887050182
55887050190
57866006908
57866006909
57866126402
58864068730
58864068760
58864082730
61570058510
62086010810
64365050503
64455010330
64455010390
65483009306
67457010810
00009090013
00009090020
00074567102
00173069500
00173069502
00186109405
00338051141
00482476015
00597008214
11086003201
51552000201
51552000220
51927356400
54569100600
54569524100
54868060500
54868143901
54868451800
54868506800
54868506801

NAME
AVANDIA 4 MG TABLET
KEPPRA 500 MG TABLET
SANTYL OINTMENT
SANTYL OINTMENT
SANTYL OINTMENT
ZYBAN 150 MG TABLET SA
TIGAN THERA-JECT 100 MG/ML
SANTYL OINTMENT
ZYBAN 150 MG TABLET SA
AVANDIA 4 MG TABLET
ZYBAN 150 MG TABLET SA
AVANDIA 4 MG TABLET
AVINZA 30 MG CAPSULE
AVINZA 30 MG CAPSULE
KEPPRA 500 MG TABLET
KETAMINE 100 MG/ML VIAL
KEPPRA 500 MG TABLET
KEPPRA 500 MG TABLET
KEPPRA 500 MG TABLET
KEPPRA 500 MG TABLET
AVANDIA 4 MG TABLET
AVANDIA 4 MG TABLET
AVANDIA 4 MG TABLET
AVANDIA 4 MG TABLET
AVANDIA 4 MG TABLET
AVANDIA 4 MG TABLET
KETALAR 100 MG/ML VIAL
KETAMINE 100 MG/ML VIAL
AVINZA 30 MG CAPSULE
CARDIZEM LA 300 MG TABLET
CARDIZEM LA 300 MG TABLET
RIDAURA 3 MG CAPSULE
KETAMINE 100 MG/ML VIAL
SOLU-CORTEF 100 MG ACT-O-VL
SOLU-CORTEF 100 MG ACT-O-VL
A-HYDROCORT 100 MG UNIVIAL
ADVAIR 100/50 DISKUS
ADVAIR 100/50 DISKUS
TOPROL XL 200 MG TABLET SA
ISOTON GENTAMICIN 100 MG/50 ML
TYZINE 0.1% NOSE SPRAY
ATROVENT INHALER
VANOXIDE-HC LOTION
COCOA BUTTER BAR
COCOA BUTTER STICK
THREONINE POWDER
ATROVENT INHALER
ADVAIR 100/50 DISKUS
SOLU-CORTEF 100 MG VIAL
ATROVENT INHALER
ADVAIR 100/50 DISKUS
TOPROL XL 200 MG TABLET SA
TOPROL XL 200 MG TABLET SA

DOSE FORM DRUG STRENGTH


TA
TA
OA
OA
OA
TS
HQ
OA
TS
TA
TS
TA
CM
CM
TA
HV
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
HV
HV
CM
TA
TA
CA
HV
HS
HS
HS
GK
GK
TI
HP
SP
AJ
SK
EB
EB
PA
AJ
GK
HS
AJ
GK
TI
TI

UNIT PRICE
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.21
$
1.22
$
1.22
$
1.22
$
1.22
$
1.22
$
1.22
$
1.22
$
1.22
$
1.22
$
1.22
$
1.22
$
1.22
$
1.22
$
1.22
$
1.22
$
1.22
$
1.22
$
1.22
$
1.22
$
1.22

NDC
55860007193
55946051392
65473070201
68040070213
68115071500
68115076001
68115077114
00008092581
00069311019
00173010855
00173010856
00173063535
00247148815
00574046005
00574046025
00677090621
00851000001
00851000002
00851000003
00851000004
00851000005
00851000006
00851000007
00851009007
00851091007
00904301610
08219355000
08219420300
10356001402
17317056702
17317056703
17317056708
24208079062
38779004703
38779004704
38779004705
38779016303
38779016304
38779016305
38779016308
38779016309
49452001201
49452001202
49452001203
49452042102
49452764501
49452764502
49452764503
49452765001
49452765002
49452765003
49452765201
49452765202

NAME
AIRSTRIP 7 1/2" X 3 1/4"
ARGENTUM METALLICUM 8X AMP
VIVACTIL 10 MG TABLET
ALCORTIN GEL
TOPROL XL 200 MG TABLET SA
ADVAIR 100/50 DISKUS
ATROVENT INHALER
SONATA 5 MG CAPSULE
ZITHROMAX 100 MG/5 ML SUSP
RETROVIR 100 MG CAPSULE
RETROVIR 100 MG CAPSULE
LEUKERAN 2 MG TABLET
ZITHROMAX 100 MG/5 ML SUSP
TESTOSTERONE POWDER
TESTOSTERONE POWDER
NEOMYCI/POLY/GRAM OPHTH SOL
CERALYTE-70 POWDER PACKET
CERALYTE-90 POWDER PACKET
CERALYTE-70 POWDER PACKET
CERALYTE-90 POWDER PACKET
CERALYTE-70 POWDER PACKET
CERALYTE-90 POWDER PACKET
CERALYTE-50 POWDER PACKET
CERALYTE-50 POWDER PACKET
CERALYTE-50 POWDER PACKET
NEOCIDIN EYE DROPS
TENSOR ELASTIC BANDAGE 3"
TENSOR ELASTIC BANDAGE 3"
CUTIPLAST STERIL DRESSING
TESTOSTERONE POWDER
TESTOSTERONE POWDER
TESTOSTERONE POWDER
NEOMYCIN/POLY/GRAM EYE DROP
TESTOSTERONE POWDER
TESTOSTERONE POWDER
TESTOSTERONE POWDER
TESTOSTERONE POWDER
TESTOSTERONE POWDER
TESTOSTERONE POWDER
TESTOSTERONE POWDER
TESTOSTERONE POWDER
TESTOSTERONE POWDER
TESTOSTERONE POWDER
TESTOSTERONE POWDER
MAFENIDE HCL POWDER
TESTOSTERONE POWDER
TESTOSTERONE POWDER
TESTOSTERONE POWDER
TESTOSTERONE POWDER
TESTOSTERONE POWDER
TESTOSTERONE POWDER
TESTOSTERONE POWDER
TESTOSTERONE POWDER

DOSE FORM DRUG STRENGTH


YE
HH
TA
JP
TI
GK
AJ
CA
PD
CA
CA
TA
PD
PA
PA
SO
PP
PP
PP
PP
PP
PP
PP
PP
PP
SO
YE
YE
YE
PA
PA
PA
SO
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA

UNIT PRICE
$
1.22
$
1.22
$
1.22
$
1.22
$
1.22
$
1.22
$
1.22
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23

NDC
49452765203
49999038618
49999059110
51552002901
51552002902
51552002904
51552002905
51552002906
51552002907
51552002908
51552002909
51552056404
51927102600
51927102700
52959025400
52959031315
52959050906
52959050912
52959050918
52959050920
52959050924
52959050928
52959050930
54569087400
54569118800
54569177200
54569423200
54569556300
54569556400
54569556500
54799051210
54868059300
54868112600
54868197400
54868197402
54868197403
54868407600
54868666201
55045119402
55045237205
55045303407
55860007138
58016069000
58016069018
58016069030
58016069060
58016069090
58016604801
58864046230
58864046260
58864046293
61570004510
62991215001

NAME
TESTOSTERONE POWDER
RETROVIR 100 MG CAPSULE
NEOMYCIN-POLY-GRAM EYE DROP
TESTOSTERONE POWDER MICRON
TESTOSTERONE POWDER MICRON
TESTOSTERONE POWDER MICRON
TESTOSTERONE POWDER MICRON
TESTOSTERONE POWDER MICRON
TESTOSTERONE POWDER MICRON
TESTOSTERONE POWDER MICRON
TESTOSTERONE POWDER MICRON
TESTOSTERONE POWDER MICRON
TESTOSTERONE POWDER
TESTOSTERONE POWDER
NEOMYCIN/POLY/GRAM EYE DROP
ZITHROMAX 100 MG/5 ML SUSP
RETROVIR 100 MG CAPSULE
RETROVIR 100 MG CAPSULE
RETROVIR 100 MG CAPSULE
RETROVIR 100 MG CAPSULE
RETROVIR 100 MG CAPSULE
RETROVIR 100 MG CAPSULE
RETROVIR 100 MG CAPSULE
NEOSPORIN EYE DROPS
NEOMYCIN/POLY/GRAM EYE DROP
RETROVIR 100 MG CAPSULE
ZITHROMAX 100 MG/5 ML SUSP
CERALYTE-70 POWDER PACKET
CERALYTE-70 POWDER PACKET
CERALYTE-50 POWDER PACKET
NEOCIN-PG EYE DROPS
NEOSPORIN EYE DROPS
LEUKERAN 2 MG TABLET
RETROVIR 100 MG CAPSULE
RETROVIR 100 MG CAPSULE
RETROVIR 100 MG CAPSULE
ZITHROMAX 100 MG/5 ML SUSP
OCUTRICIN EYE DROPS
OCUTRICIN EYE DROPS
ZITHROMAX 100 MG/5 ML SUSP
SONATA 5 MG CAPSULE
PRIMAPORE 10" X 3 1/4"
RETROVIR 100 MG CAPSULE
RETROVIR 100 MG CAPSULE
RETROVIR 100 MG CAPSULE
RETROVIR 100 MG CAPSULE
RETROVIR 100 MG CAPSULE
TRIPLE ANTIBIOTIC EYE DROPS
RETROVIR 100 MG CAPSULE
RETROVIR 100 MG CAPSULE
RETROVIR 100 MG CAPSULE
NEOSPORIN EYE DROPS
TESTOSTERONE POWDER

DOSE FORM DRUG STRENGTH


PA
CA
SO
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
SO
PD
CA
CA
CA
CA
CA
CA
CA
SO
SO
CA
PD
PP
PP
PP
SO
SO
TA
CA
CA
CA
PD
SO
SO
PD
CA
YE
CA
CA
CA
CA
CA
SO
CA
CA
CA
SO
PA

UNIT PRICE
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23

NDC
62991215002
62991215003
63275998304
63275998305
63275998308
63275998309
63370097025
63370097035
63370097045
63370097050
63370097125
63370097135
63370097145
63370097150
63370098035
63370098050
66267095610
68030605901
68030606501
68030715101
68115095310
00074146501
00074187405
00083225530
00409146501
00469520211
00469520230
00469520260
17314585302
38779026204
38779026205
51927246700
54569481900
54868360900
54868406600
54868406601
54868495700
54868495701
63481043310
00009517401
00009517402
00066049425
00066049450
00085113201
00145237105
00169517401
00169517402
00173068200
00187310240
00482477015
08137007912
08380090062
17314930001

NAME
TESTOSTERONE POWDER
TESTOSTERONE POWDER
TESTOSTERONE POWDER
TESTOSTERONE POWDER
TESTOSTERONE POWDER
TESTOSTERONE POWDER
TESTOSTERONE POWDER
TESTOSTERONE POWDER
TESTOSTERONE POWDER
TESTOSTERONE POWDER
TESTOSTERONE POWDER
TESTOSTERONE POWDER
TESTOSTERONE POWDER
TESTOSTERONE POWDER
TESTOSTERONE POWDER
TESTOSTERONE CYP POWDER
NEOMYCIN/POLY/GRAM EYE DROP
RETROVIR 100 MG CAPSULE
RETROVIR 100 MG CAPSULE
NEOMYCI-POLY-GRAM OPHTH SOL
NEOMYCI-POLY-GRAM OPHTH SOL
NALBUPHINE 20 MG/ML AMPUL
PONTOCAINE 0.3%/DEXTROS AMP
LOTREL 2.5/10 MG CAPSULE
NALBUPHINE 20 MG/ML AMPUL
PROTOPIC 0.1% OINTMENT
PROTOPIC 0.1% OINTMENT
PROTOPIC 0.1% OINTMENT
CONCERTA 27 MG TABLET SA
ATENOLOL POWDER
ATENOLOL POWDER
ATENOLOL POWDER
NUBAIN 20 MG/ML AMPUL
NUBAIN 20 MG/ML AMPULE
LOTREL 2.5/10 MG CAPSULE
LOTREL 2.5/10 MG CAPSULE
CONCERTA 27 MG TABLET SA
CONCERTA 27 MG TABLET SA
NUBAIN 20 MG/ML AMPUL
ACTIVELLA TABLET
ACTIVELLA TABLET
BENZACLIN GEL
BENZACLIN GEL
PROVENTIL HFA 90 MCG INHALER
DUAC GEL
ACTIVELLA TABLET
ACTIVELLA TABLET
VENTOLIN HFA 90 MCG INHALER
PROSTIGMIN 1:4,000 AMPUL
TYZINE PEDIATRIC 0.05% DROP
J&J ELASTIC BANDAGE 2"X4YDS
INCARE INTERMITTEN CATHETER
ELMIRON 100 MG CAPSULE

DOSE FORM DRUG STRENGTH


PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
SO
CA
CA
SO
SO
HH
HH
CA
HH
OA
OA
OA
TZ
PA
PA
PA
HH
HH
CA
CA
TZ
TZ
HH
TA
TA
JG
JG
AJ
JG
TA
TA
AJ
HH
DR
YE
EA
CA

UNIT PRICE
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.23
$
1.24
$
1.24
$
1.24
$
1.24
$
1.24
$
1.24
$
1.24
$
1.24
$
1.24
$
1.24
$
1.24
$
1.24
$
1.24
$
1.24
$
1.24
$
1.24
$
1.24
$
1.24
$
1.25
$
1.25
$
1.25
$
1.25
$
1.25
$
1.25
$
1.25
$
1.25
$
1.25
$
1.25
$
1.25
$
1.25
$
1.25
$
1.25

NDC
50428215517
52959146701
54092024901
54569462100
54569512300
54569525900
54868060800
54868075600
54868452500
54868465000
54868483000
54868502900
58063077510
59310057920
61570054120
63672203001
66870003001
68040060116
68115076917
00003403946
00003405406
00003405430
00003405431
00003405432
00003405436
00003405437
00003405441
00003405442
00003409231
00003409232
00003409233
00003409237
00003409238
00003409239
00003409282
00003409283
00003409284
00003410348
00003410349
00003410350
00003410825
00003410826
00003410827
00003410828
00003410829
00003410830
00026858141
00026858169
00026858188
00046097505
00046097506
00062007507
00085173301

NAME
CVS STRETCH BANDAGE
PROVENTIL HFA 90 MCG INHALER
FOSRENOL 500 MG TABLET CHEW
PROVENTIL HFA 90 MCG INHALER
ELMIRON 100 MG CAPSULE
BENZACLIN GEL
TRIMETHOBENZAMIDE 100 MG/ML
TIGAN 100 MG/ML VIAL
ELMIRON 100 MG CAPSULE
BENZACLIN GEL
ACTIVELLA TABLET
DUAC GEL
SALAGEN 7.5 MG TABLET
ALBUTEROL SULF HFA 90 MCG INH
TIGAN 100 MG/ML VIAL
PEXEVA 30 MG TABLET
MAXIPHEN ADT TABLET
LIMBREL 250 MG CAPSULE
VENTOLIN HFA 90 MCG INHALER
ESTEEM SYNERGY CLOSE POUCH
ESTEEM SYNERGY DRAIN POUCH
ESTEEM SYNERGY CLOSED POUCH
ESTEEM SYNERGY CLOSED POUCH
ESTEEM SYNERGY CLOSED POUCH
ESTEEM SYNERGY CLOSE POUCH
ESTEEM SYNERGY CLOSE POUCH
ESTEEM SYNERGY CLOSED POUCH
ESTEEM SYNERGY CLOSED POUCH
ESTEEM SYNERGY CLOSED POUCH
ESTEEM SYNERGY CLOSED POUCH
ESTEEM SYNERGY CLOSED POUCH
ESTEEM SYNERGY CLOSED POUCH
ESTEEM SYNERGY CLOSED POUCH
ESTEEM SYNERGY CLOSED POUCH
ESTEEM SYNERGY CLOSE POUCH
ESTEEM SYNERGY CLOSED POUCH
ESTEEM SYNERGY CLOSED POUCH
ESTEEM SYNERGY CLOSED POUCH
ESTEEM SYNERGY CLOSED POUCH
ESTEEM SYNERGY CLOSE POUCH
ESTEEM SYNERGY CLOSED POUCH
ESTEEM SYNERGY CLOSED POUCH
ESTEEM SYNERGY CLOSED POUCH
ESTEEM SYNERGY CLOSED POUCH
ESTEEM SYNERGY CLOSED POUCH
ESTEEM SYNERGY CLOSED POUCH
AVELOX ABC PACK 400 MG TAB
AVELOX 400 MG TABLET
AVELOX 400 MG TABLET
PREMPRO 0.625/5 MG TABLET
PREMPRO 0.625/5 MG TABLET
RETIN-A 0.05% LIQUID
AVELOX 400 MG TABLET

DOSE FORM DRUG STRENGTH


YE
AJ
TC
AJ
CA
JG
HV
HV
CA
JG
TA
JG
TA
AE
HV
TA
TA
CA
AJ
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
TA
TA
TA
TA
TA
SL
TA

UNIT PRICE
$
1.25
$
1.25
$
1.25
$
1.25
$
1.25
$
1.25
$
1.25
$
1.25
$
1.25
$
1.25
$
1.25
$
1.25
$
1.25
$
1.25
$
1.25
$
1.25
$
1.25
$
1.25
$
1.25
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26

NDC
00085173302
00085173303
00169706101
00998022315
00998022330
08011960001
08011960002
08011960003
08011960004
08011960101
08011960102
08011960103
08011960401
08011960406
08011960414
08011961002
08011961016
08011961017
08011961020
08011971015
08080302700
08080807600
08137007902
08219223800
08219224900
08219302700
08219805600
08219807600
08290207464
08290207465
08333357101
08380003611
08380003613
08380003615
08380003630
08380003631
08380003681
08380003683
08380003685
08380003687
08380008611
08380008613
08380008615
08380008631
08380008641
08395035690
08395041100
08395041101
08395041390
08395041400
08395041420
08395041430
08395041440

NAME
AVELOX 400 MG TABLET
AVELOX ABC PACK 400 MG TAB
NOVOSEVEN 2,400 MCG VIAL
ISOPTO CARBACHOL 1.5% DROPS
ISOPTO CARBACHOL 1.5% DROPS
REGULAR COLOSTOMY POUCH #1
REGULAR COLOSTOMY POUCH #2
REGULAR COLOSTOMY POUCH #3
REGULAR COLOSTOMY POUCH #4
EXTRA COLOSTOMY POUCH #1
EXTRA COLOSTOMY POUCH #2
EXTRA COLOSTOMY POUCH #3
DRAINABLE ADHESIVE POUCH
DRAINABLE ADHESIVE POUCH
DRAINABLE ADHESIVE POUCH
EXTRA SECURITY POUCH-PLAIN
STOMA URINE BAG-MEDIUM
STOMA URINE BAG-PEDIATRIC
EXTRA SECURITY POUCH-WIDE
STOMA URINE BG ADLT POST-OP
CURITY STANDARD POROUS TAPE
KERLIX LITE GAUZE BANDAGE
J&J SPORTS TAPE 1.5"X10YDS
CONFORM STRETCH BANDAGE
CONFORM STRETCH BANDAGE
CURITY STANDARD POROUS TAPE
KERLIX LITE GAUZE BANDAGE
KERLIX LITE GAUZE BANDAGE
ACE SPORTS TAPE 1 1/2"X10YD
ACE SPORTS TAPE 1 1/2"X10YD
SOFT CLOTH 3.5X10" DRESSING
FIRSTCHOICE DRAINABLE POUCH
FIRSTCHOICE DRAINABLE POUCH
FIRSTCHOICE DRAINABLE POUCH
FIRSTCHOICE DRAINABLE POUCH
FIRSTCHOICE DRAINABLE POUCH
FIRSTCHOICE DRAINABLE POUCH
FIRSTCHOICE DRAINABLE POUCH
FIRSTCHOICE DRAINABLE POUCH
FIRSTCHOICE DRAINABLE POUCH
PREMIER DRAIN POUCH 0.875"
PREMIER DRAIN POUCH 1.125"
PREMIER DRAIN POUCH 1.375"
PREMIER DRAIN POUCH
PREMIER DRAINABLE MINI-PCH
TWO PIECE CLOSED-END POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRA
TWO-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH

DOSE FORM DRUG STRENGTH


TA
TA
HS
SO
SO
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
YT
YE
YT
YE
YE
YT
YE
YE
YT
YT
YE
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26

NDC
08395041450
08395041460
08395041470
08395041490
08395051390
08395051490
08395055690
08395078390
08395078490
08395078500
08395078501
08395081100
08395081101
08395081301
08395081400
08395081401
08395081420
08395081430
08395081440
08395081450
08395081460
08395081470
08395081500
08395081501
08395081504
08395081505
08395085400
08395085401
08395085421
08395085431
08395085441
08395085451
08395085461
08395085471
11701080310
11701080510
11701080910
11701080911
11701080919
11701080920
11822313000
24385018206
32849020138
52735084102
52959000405
54569492200
54569492201
54569492500
54569514900
54868436700
54868436701
54868436702
55045284304

NAME
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
TWO-PIECE DRAINABLE POUCH
TWO-PIECE DRAINABLE POUCH
TWO-PIECE DRAINABLE POUCH
TWO PIECE CLOSED-END POUCH
TWO-PIECE DRAINABLE POUCH
TWO-PIECE DRAINABLE POUCH
ONE-PIECE MINI DRAIN POUCH
ONE-PIECE MINI DRAIN POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE MINI DRAIN POUCH
ONE-PIECE MINI DRAIN POUCH
ONE-PIECE MINI DRAIN POUCH
ONE-PIECE MINI DRAIN POUCH
ONE-PIECE CLOSED-END POUCH
ONE-PIECE CLOSED-END POUCH
ONE-PIECE CLOSED-END POUCH
ONE-PIECE CLOSED-END POUCH
ONE-PIECE CLOSED-END POUCH
ONE-PIECE CLOSED-END POUCH
ONE-PIECE CLOSED-END POUCH
ONE-PIECE CLOSED-END POUCH
COLOPLAST POST OP POUCH
COLOPLAST POST OP POUCH
COLOPLAST CLOSED POUCH 1PC
COLOPLAST CLOSED POUCH 1PC
COLOPLAST CLOSED POUCH 1PC
COLOPLAST CLOSED POUCH 1PC
RA PRO SPORTS TAPE
SPORTS TAPE 1.5"X10 YARDS
NOVOSEVEN 2,400 MCG VIAL
FP SPORTS ADHESIVE TAPE
AVELOX 400 MG TABLET
AVELOX 400 MG TABLET
AVELOX 400 MG TABLET
PREMPRO 0.625/5 MG TABLET
AVELOX ABC PACK 400 MG TAB
AVELOX 400 MG TABLET
AVELOX 400 MG TABLET
AVELOX 400 MG TABLET
AVELOX 400 MG TABLET

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
YT
YT
HS
YT
TA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26

NDC
55860251100
55860256400
56091005105
58016327728
58864062105
58864062110
63323002010
68115092505
82468013336
87701082166
87701082169
00009513601
00024540110
00024540131
00024540134
00024540150
00025202131
00025202134
00045034660
00054317044
00074121301
00074178201
00074178221
00074178269
00074193802
00083226030
00115705501
00173044100
00247131210
00548146600
00548336600
08080754200
08195341001
08219754200
08219779100
08327050709
08884711923
10356022408
38779003404
38779003405
38779003408
38779024205
49326038890
49452346001
49452346002
49452346003
49452487002
49756046004
49999045315
49999045330
50484045104
51285091902
51285091925

NAME
FEATHER-LITE ILEOSTOMY POUCH
FEATHER-LITE ILEOSTOMY POUCH
ZONAS POROUS TAPE 1.5"X10YDS
RETIN-A 0.05% LIQUID
AVELOX 400 MG TABLET
AVELOX 400 MG TABLET
M.T.E.-6 VIAL
AVELOX ABC PACK 400 MG TAB
FP SPORTS ADHESIVE TAPE
SPORTS TAPE 1.5"X10 YARDS
SPORTS TAPE 1.5"X10 YARDS
ZYVOX 100 MG/5 ML SUSPENSION
AMBIEN PAK 5 MG TABLET
AMBIEN 5 MG TABLET
AMBIEN 5 MG TABLET
AMBIEN 5 MG TABLET
COVERA-HS 240 MG TABLET SA
COVERA-HS 240 MG TABLET SA
PANCREASE MT 20 CAPSULE EC
DHT 0.2 MG/ML INTENSOL DROPS
NALOXONE 0.4 MG/ML SYRINGE
NALOXONE 0.4 MG/ML SYRINGE
NALOXONE 0.4 MG/ML SYRINGE
NALOXONE 0.4 MG/ML SYRINGE
TALWIN 30 MG/ML SYRINGE
LOTREL 5/10 MG CAPSULE
LIPRAM-PN20 CAPSULE EC
ZANTAC 50 MG/50 ML PLAST-BAG
AMBIEN 5 MG TABLET
NALOXONE 0.4 MG/ML SYRINGE
NALOXONE 0.4 MG/ML SYRINGE
TELFA ISLAND DRESSING
POYLMED 4"X10" DRESSING
TELFA ISLAND DRESSING
VENTEX WOUND DRESSING
STRATASORB COMPOSITE DRESSING
KANGAROO PVC FEEDING TUBE
COVERLET O.R. ADH DRESSING
LINCOMYCIN HCL POWDER
LINCOMYCIN HCL POWDER
LINCOMYCIN HCL POWDER
NYSTATIN 500 MILLION UNITS PWD
ALBATUSSIN CAPLET SA
HEXACHLOROPHENE POWDER
HEXACHLOROPHENE POWDER
HEXACHLOROPHENE POWDER
NYSTATIN 500 MILLION UNITS PWD
COVADERM ISLAND DRESSING
AMBIEN 5 MG TABLET
AMBIEN 5 MG TABLET
COVERLET O.R. ADH DRESSING
PALIPASE MT 20 CAPSULE EC
PALIPASE MT 20 CAPSULE EC

DOSE FORM DRUG STRENGTH


EA
EA
YT
SL
TA
TA
HV
TA
YT
YT
YT
PD
TA
TA
TA
TA
TZ
TZ
CE
SJ
HQ
HQ
HQ
HQ
HQ
CA
CE
HP
TA
HQ
HQ
YE
YE
YE
YE
YE
EA
YE
PA
PA
PA
PA
TS
PA
PA
PA
PA
YE
TA
TA
YE
CE
CE

UNIT PRICE
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.26
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27

NDC
51991040801
52959036210
52959036215
52959036220
52959036230
52959036260
54569382700
54569382701
54569382703
54569409500
54569469600
54868074800
54868264200
54868264201
54868264202
54868264203
54868264204
54868407300
54868407301
54868407302
54868407303
55045281206
55045281207
55045281208
55289072906
55289072912
55887051420
55887051430
55887051460
55887051490
56091004318
57866340201
57866340202
58016034200
58016034210
58016034220
58016034230
58016034240
58016034260
58016034290
58552020110
58864089106
62991160301
62991160302
63323008203
63323013803
63323013810
65649023141
66267001730
66591023141
68030340201
68030340202
68115002010

NAME
PANOCAPS MT 20 CAPSULE
AMBIEN 5 MG TABLET
AMBIEN 5 MG TABLET
AMBIEN 5 MG TABLET
AMBIEN 5 MG TABLET
AMBIEN 5 MG TABLET
AMBIEN 5 MG TABLET
AMBIEN 5 MG TABLET
AMBIEN 5 MG TABLET
TALWIN 30 MG/ML SYRINGE
LOTREL 5/10 MG CAPSULE
NALOXONE 0.4 MG/ML SYRINGE
AMBIEN 5 MG TABLET
AMBIEN 5 MG TABLET
AMBIEN 5 MG TABLET
AMBIEN 5 MG TABLET
AMBIEN 5 MG TABLET
LOTREL 5/10 MG CAPSULE
LOTREL 5/10 MG CAPSULE
LOTREL 5/10 MG CAPSULE
LOTREL 5-10 MG CAPSULE
AMBIEN 5 MG TABLET
AMBIEN 5 MG TABLET
AMBIEN 5 MG TABLET
AMBIEN 5 MG TABLET
AMBIEN 5 MG TABLET
AMBIEN 5 MG TABLET
AMBIEN 5 MG TABLET
AMBIEN 5 MG TABLET
AMBIEN 5 MG TABLET
BAND-AID ISLAND SURG DRESS
AMBIEN 5 MG TABLET
AMBIEN 5 MG TABLET
AMBIEN 5 MG TABLET
AMBIEN 5 MG TABLET
AMBIEN 5 MG TABLET
AMBIEN 5 MG TABLET
AMBIEN 5 MG TABLET
AMBIEN 5 MG TABLET
AMBIEN 5 MG TABLET
VITAJECT INJECTION VIAL
AMBIEN 5 MG TABLET
LINCOMYCIN HCL POWDER
LINCOMYCIN HCL POWDER
P.T.E.-4 VIAL
PEDTRACE-4 VIAL
PEDTRACE-4 VIAL
AZASAN 75 MG TABLET
AMBIEN 5 MG TABLET
AZASAN 75 MG TABLET
AMBIEN 5 MG TABLET
AMBIEN 5 MG TABLET
AMBIEN 5 MG TABLET

DOSE FORM DRUG STRENGTH


CE
TA
TA
TA
TA
TA
TA
TA
TA
HQ
CA
HQ
TA
TA
TA
TA
TA
CA
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
YE
TA
TA
TA
TA
TA
TA
TA
TA
TA
HV
TA
PA
PA
HV
HV
HV
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27
$
1.27

NDC
68115002015
68115002030
68115077800
68115083000
00006070520
00006070528
00006070568
00006353892
00007316418
00009005707
00074179768
00074188948
00074395646
00074420748
00338930972
02120016009
08080355000
08219779300
08219779400
08219779600
08219779700
08290207314
08333158301
08333158309
08333158310
08333318320
08333318330
08333318360
08884662027
09958008950
09958008960
10356002595
10356002600
12280000360
40565011862
40565011863
40565011867
40565011868
40565011869
40565011871
40565011872
40565011873
40565011874
40565011876
40565011878
40565011879
40565011881
40565011882
40565011883
40565011884
40565011886
40565011888
40565011889

NAME
AMBIEN 5 MG TABLET
AMBIEN 5 MG TABLET
LOTREL 5/10 MG CAPSULE
AMBIEN 5 MG TABLET
NOROXIN 400 MG TABLET
NOROXIN 400 MG TABLET
NOROXIN 400 MG TABLET
PEPCID 40 MG/5 ML ORAL SUSP
AVANDAMET 4 MG/1,000 MG TABLET
XANAX XR 0.5 MG TABLET
VENOSET 100 PIGBK NV/CLAMP
VENOSET NV SECONDARY PB SET
KALETRA ORAL SOLUTION
VENO DUAL-RATE PGBK/IVEX-2
FENTANYL 50 MCG/10 ML NS SYR
COBAN ACTION WRAP 3"X 5YDS
TENSOR ELASTIC BANDAGE 3"
VENTEX WOUND DRESSING SYSTM
VENTEX WOUND DRESSING
VENTEX WOUND DRESSING SYSTM
VENTEX WOUND DRESSING
ACE ELASTIC BANDAGE 3"
COBAN WRAP 3" X 5 YARDS
COBAN WRAP 3" X 5 YARDS
COBAN WRAP 3" X 5 YARDS
COBAN SELF-ADHERENT WRAP
COBAN SELF-ADHERENT WRAP
COBAN SELF-ADHERENT WRAP
EXPANDOVER BANDAGE 3"X5YDS
COMPDRESS ISLAND 4"X10" DRS
COMPDRESS ISLAND 4"X14" DRE
ELASTOPLAST ELASTIC BANDAGE
ELASTOPLAST ELASTIC BANDAGE
AVANDAMET 4 MG/1,000 MG TABLET
EXU-DRY SCALP DRESSING
EXU-DRY FACE DRESSING
EXU-DRY NECK DRESSING
EXU-DRY ARM DRESSING
EXU-DRY ARM DRESSING
EXU-DRY ELBOW-KNEE-HEEL
EXU-DRY HAND DRESSING,LARGE
EXU-DRY HAND DRESSING
EXU-DRY HAND DRESSING,SMALL
EXU-DRY BURN JACKET-LARGE
EXU-DRY BURN JACKET-MEDIUM
EXU-DRY BURN JACKET-SMALL
EXU-DRY BURN VEST-LARGE
EXU-DRY BURN VEST-MEDIUM
EXU-DRY BURN VEST-SMALL
EXU-DRY ADULT DRESSING
EXU-DRY LEG DRESSING
EXU-DRY BOOT/FOOT DRESSING
EXU-DRY BOOT/FOOT DRESSING

DOSE FORM DRUG STRENGTH


TA
TA
CA
TA
TA
TA
TA
SC
TA
TI
EA
EA
SJ
EA
HQ
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
TA
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE

UNIT PRICE
$
1.27
$
1.27
$
1.27
$
1.27
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28

NDC
40565011890
40565011893
40565011915
40565011921
49756046111
49756046112
49756046113
49756046114
49756046115
49756046116
49756046121
49756046122
49756046123
49756046124
51131566514
51131566521
51131566538
51131566545
51131567863
54092009701
54092009720
54569552500
54868088900
54868088901
54868088903
54868088905
55289045510
55289045514
56091007018
56091007034
58016065804
58016065820
60432067630
61553010972
63323014403
66813027360
00046087505
00046087506
00046093708
00046093709
00046093808
00046093809
00074318301
00078040805
00186012201
00186012212
00186012291
00998051215
08011802055
08011802065
38703010090
38703010100
38703010160

NAME
EXU-DRY BOOT-FOOT DRESSING
EXU-DRY BREAST VEST DRESS
EXU-DRY BOOT/FOOT DRESSING
EXU-DRY BURN VEST-PLUS LARGE
SOFSORB LIMB DRESSING
SOFSORB LIMB DRESSING
SOFSORB LIMB DRESSING
SOFSORB LIMB DRESSING
SOFSORB LIMB DRESSING
SOFSORB LIMB DRESSING
SOFSORB ARM DRESSING
SOFSORB LEG DRESSING
SOFSORB CHEST DRESSING
SOFSORB BOOT DRESSING
COBAN WRAP 3" X 5YDS BLUE
COBAN WRAP 3" X 5YDS RED
COBAN WRAP 3" X 5YDS GREEN
COBAN WRAP 3" X 5YDS YLW
COBAN WRAP 3" X 5YDS WHITE
NOROXIN 400 MG
NOROXIN 400 MG
KALETRA ORAL SOLUTION
NOROXIN 400 MG TABLET
NOROXIN 400 MG TABLET
NOROXIN 400 MG TABLET
NOROXIN 400 MG TABLET
NOROXIN 400 MG TABLET
NOROXIN 400 MG TABLET
DYNA-FLEX ELASTIC BANDAGE
DYNA-FLEX COMPRESSION BNDGE
NOROXIN 400 MG TABLET
NOROXIN 400 MG TABLET
METAPROTERENOL 5% SOLUTION
FENTANYL 50 MCG/10 ML NS SYR
P.T.E.-5 VIAL
BROVEX CT 12 MG TABLET CHEW
PREMPRO 0.625/2.5 MG TABLET
PREMPRO 0.625/2.5 MG TABLET
PREMPRO 0.45/1.5 MG TABLET
PREMPRO 0.45/1.5 MG TABLET
PREMPRO 0.3 MG/1.5 MG TABLET
PREMPRO 0.3 MG/1.5 MG TABLET
LIDOCAINE 2%/EPI 1:200,000
STALEVO 100 TABLET
XYLOCAINE 2%/EPI 1:200,000
XYLOCAINE 2%/EPI 1:200,000
XYLOCAINE 2%/EPI 1:200,000
ZINCFRIN EYE DROPS
DAVOL IRRIG SYRINGE 50 ML
DAVOL IRRIG SYRINGE 60 ML
EAR SYRINGE 1OZ
EAR SYRINGE 3OZ
EAR SYRINGE 2OZ

DOSE FORM DRUG STRENGTH


YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
TA
TA
SJ
TA
TA
TA
TA
TA
TA
YE
YE
TA
TA
SA
HQ
HV
TC
TA
TA
TA
TA
TA
TA
HV
TA
HV
HV
HV
SO
YL
YL
EA
EA
EA

UNIT PRICE
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.28
$
1.29
$
1.29
$
1.29
$
1.29
$
1.29
$
1.29
$
1.29
$
1.29
$
1.29
$
1.29
$
1.29
$
1.29
$
1.29
$
1.29
$
1.29
$
1.29
$
1.29

NDC
54569461800
54868379900
54868486600
54868504700
58016407401
63672204001
81317040350
87701047280
87701047285
87701047286
00006969060
00046087201
00049490041
00049490066
00049490073
00049490094
00049563066
00062125115
00069145003
00074177510
00074789818
00078038566
00078040705
00078040905
00247067507
00247067514
00247067530
00247067590
00299386060
00314067430
00430058514
00456320014
00548101500
00548331500
00781154101
00781154110
00781155101
00781155110
00781156101
00781156110
00781157101
00781157110
38779032105
38779032108
38779032109
49999029215
49999029230
51927308400
52959036100
52959036114
52959036130
54569372400
54569372402

NAME
PREMPRO 0.625/2.5 MG TABLET
PREMPRO 0.625/2.5 MG TABLET
PREMPRO 0.45/1.5 MG TABLET
PREMPRO 0.3 MG/1.5 MG TABLET
PREMPRO 0.625/2.5 MG TABLET
PEXEVA 40 MG TABLET
IRRIGATION SYRINGE
BL EAR SYRINGE
BL EAR SYRINGE
BL EAR SYRINGE
TIMOPTIC 0.5% OCUDOSE DROP
PREMARIN VAGINAL CREAM REFL
ZOLOFT 50 MG TABLET
ZOLOFT 50 MG TABLET
ZOLOFT 50 MG TABLET
ZOLOFT 50 MG TABLET
ATARAX 100 MG TABLET
ORTHO TRI-CYCLEN LO TABLET
ZYRTEC 10 MG CHEWABLE TABLET
DEXTROSE 25%/WATER SYRINGE
DEXTROSE 25%/WATER SYRINGE
MYFORTIC 180 MG TABLET
STALEVO 50 TABLET
STALEVO 150 TABLET
ZOLOFT 50 MG TABLET
ZOLOFT 50 MG TABLET
ZOLOFT 50 MG TABLET
ZOLOFT 50 MG TABLET
ROZEX 0.75% EMULSION
LIVER,IRON & VITAMINS VIAL
OVCON-50 28 TABLET
NAMENDA 5-10 MG TITRATION PK
DEXTROSE 25%/WATER SYRINGE
DEXTROSE 25%/WATER SYRINGE
TERAZOSIN HCL 10 MG TABLET
TERAZOSIN HCL 10 MG TABLET
TERAZOSIN HCL 1 MG TABLET
TERAZOSIN HCL 1 MG TABLET
TERAZOSIN HCL 2 MG TABLET
TERAZOSIN HCL 2 MG TABLET
TERAZOSIN HCL 5 MG TABLET
TERAZOSIN HCL 5 MG TABLET
GRISEOFULVIN POWDER
GRISEOFULVIN POWDER
GRISEOFULVIN POWDER
ZOLOFT 50 MG TABLET
ZOLOFT 50 MG TABLET
GRISEOFULVIN POWDER
ZOLOFT 50 MG TABLET
ZOLOFT 50 MG TABLET
ZOLOFT 50 MG TABLET
ZOLOFT 50 MG TABLET
ZOLOFT 50 MG TABLET

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
YL
EA
EA
EA
DP
KA
TA
TA
TA
TA
TA
TA
TC
HQ
HQ
TE
TA
TA
TA
TA
TA
TA
RB
HV
TA
UD
HQ
HQ
TA
TA
TA
TA
TA
TA
TA
TA
PA
PA
PA
TA
TA
PA
TA
TA
TA
TA
TA

UNIT PRICE
$
1.29
$
1.29
$
1.29
$
1.29
$
1.29
$
1.29
$
1.29
$
1.29
$
1.29
$
1.29
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30

NDC
54569549302
54868219200
54868219201
54868219203
54868219204
54868219205
54868339101
54868377200
54868470700
54868473000
54868527800
55045222400
55045222402
55045222407
55045222408
55289040930
55289040960
55887048730
55887048760
55887048782
55887048790
57866630401
58016036600
58016036630
58016036660
58016036690
58864070730
62991107401
62991107402
62991107403
62991107404
66116048930
66116049030
68030630401
68115036600
68115036630
94688001340
00003517311
00003517411
00003519410
00003519433
00037073192
00037073199
00069144003
00074453202
00074453206
00074453208
00074453214
00074453216
00074453218
00074453220
00074453222
00074453232

NAME
ORTHO TRI-CYCLEN LO TABLET
ZOLOFT 50 MG TABLET
ZOLOFT 50 MG TABLET
ZOLOFT 50 MG TABLET
ZOLOFT 50 MG TABLET
ZOLOFT 50 MG TABLET
PREMARIN VAGINAL CREAM REFL
OVCON-50 28 TABLET
TIMOPTIC 0.5% OCUDOSE DROP
ORTHO TRI-CYCLEN LO TABLET
ZYRTEC 10 MG CHEWABLE TABLET
ZOLOFT 50 MG TABLET
ZOLOFT 50 MG TABLET
ZOLOFT 50 MG TABLET
ZOLOFT 50 MG TABLET
ZOLOFT 50 MG TABLET
ZOLOFT 50 MG TABLET
ZOLOFT 50 MG TABLET
ZOLOFT 50 MG TABLET
ZOLOFT 50 MG TABLET
ZOLOFT 50 MG TABLET
ZOLOFT 50 MG TABLET
ZOLOFT 50 MG TABLET
ZOLOFT 50 MG TABLET
ZOLOFT 50 MG TABLET
ZOLOFT 50 MG TABLET
ZOLOFT 50 MG TABLET
GRISEOFULVIN POWDER
GRISEOFULVIN POWDER
GRISEOFULVIN POWDER
GRISEOFULVIN POWDER
TERAZOSIN HCL 1 MG TABLET
TERAZOSIN HCL 2 MG TABLET
ZOLOFT 50 MG TABLET
ZOLOFT 50 MG TABLET
ZOLOFT 50 MG TABLET
VITAMENT PACKETS
PRAVIGARD PAC 81-40 MG TAB
PRAVIGARD PAC 325-40 MG TAB
PRAVACHOL 40 MG TABLET
PRAVACHOL 40 MG TABLET
LUFYLLIN-400 TABLET
LUFYLLIN-400 TABLET
ZYRTEC 5 MG CHEWABLE TABLET
CLEAR-CATH 20GX 2"
CLEAR-CATH 16GX1 1/4"
CLEAR-CATH 18GX1 1/4"
CLEAR-CATH 14GX2"
CLEAR-CATH 16GX 2"
CLEAR-CATH 18GX 2"
CLEAR-CATH 20GX1 1/4"
CLEAR-CATH 22GX1 1/4"
CLEAR-CATH 22GX1"

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
KA
TA
DP
TA
TC
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
PA
PA
PA
PA
TA
TA
TA
TA
TA
PP
TA
TA
TA
TA
TA
TA
TC
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ

UNIT PRICE
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.30
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31

NDC
00074453274
00074453502
00074453506
00074453508
00074453514
00074453516
00074453518
00074453520
00074453522
00074453524
00074453532
00074453576
00074453608
00074453616
00074453618
00074453620
00074453622
00083226530
00173073400
00247114030
00247114060
00247127630
00281111653
00456200501
08021425207
08021425407
08290005160
39822090002
54569461000
54569523200
54868327000
54868327001
54868327002
54868381400
54868381401
54868381402
54868407400
54868407401
54868407402
54868407403
54868407404
55289087330
55887037120
55887037130
55887037160
55887037190
58864074315
58864074330
59011010310
59011010325
62453010390
63717055106
68115066490

NAME
CLEAR-CATH(SUBCLA)14GX5 1/2"
ABBOCATH-T 20GX2"
ABBOCATH-T 16GX1 1/4"
ABBOCATH-T 18GX1 1/4"
ABBOCATH-T 14GX2"
ABBOCATH-T 16GX2"
ABBOCATH-T 18GX2"
ABBOCATH-T 20GX1 1/4"
ABBOCATH-T 22GX1 1/4"
ABBOCATH-T 24GX3/4"
ABBOCATH-T 22GX1"
ABBOCATH-T(SUBCLA)16GX5 1/2"
ABBOCATH-T W/SYRN 18GX1 1/4"
ABBOCATH-T W/SYRINGE 16GX2"
ABBOCATH-T W/SYRINGE 18GX2"
ABBOCATH-T W/SYRN 20GX1 1/4"
ABBOCATH-T W/SYRN 22GX1 1/4"
LOTREL 5/20 MG CAPSULE
ZANTAC 25 EFFERDOSE TABLET
PRAVACHOL 40 MG TABLET
PRAVACHOL 40 MG TABLET
PRAVACHOL 40 MG TABLET
DILOR 400 MG TABLET
LEXAPRO 5 MG TABLET
INTROCAN PEDI IV CATHETER
INTROCAN PEDI IV CATHETER
YALE SPINAL NDL 20GX11/4"
NYSTATIN 500,000,000 UNITS PWD
PRAVACHOL 40 MG TABLET
LOTREL 5/20 MG CAPSULE
PRAVACHOL 40 MG TABLET
PRAVACHOL 40 MG TABLET
PRAVACHOL 40 MG TABLET
OXYCONTIN 20 MG TABLET SA
OXYCONTIN 20 MG TABLET SA
OXYCONTIN 20 MG TABLET SA
LOTREL 5/20 MG CAPSULE
LOTREL 5/20 MG CAPSULE
LOTREL 5/20 MG CAPSULE
LOTREL 5/20 MG CAPSULE
LOTREL 5/20 MG CAPSULE
PRAVACHOL 40 MG TABLET
XIRATUSS TABLET
XIRATUSS TABLET
XIRATUSS TABLET
XIRATUSS TABLET
PRAVACHOL 40 MG TABLET
PRAVACHOL 40 MG TABLET
OXYCONTIN 20 MG TABLET SA
OXYCONTIN 20 MG TABLET SA
RICOTUSS TABLET
XIRATUSS TABLET
PRAVACHOL 40 MG TABLET

DOSE FORM DRUG STRENGTH


YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
CA
TF
TA
TA
TA
TA
TA
YQ
YQ
YH
PA
TA
CA
TA
TA
TA
TM
TM
TM
CA
CA
CA
CA
CA
TA
TA
TA
TA
TA
TA
TA
TM
TM
TA
TA
TA

UNIT PRICE
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31
$
1.31

NDC
68115067300
00003069050
00003519510
00003519533
00031740994
00054353244
00074216931
00074216932
00078037005
00087665201
00264900589
00264900689
00264900789
08021331200
08021331205
08021331254
08021331257
08021331822
08021331830
08021331835
08021331837
08021332240
08021332242
08290007161
08290007171
08290007182
08290007183
08290007184
08333040101
10337066145
10337066410
10356075103
11822300630
11822314900
11822315590
28785020105
28785020106
28785020260
28785020350
28785020400
28785023000
28785023300
28785023400
28785023500
28785024220
28785025100
32252000694
32252003021
32252003022
32252003023
32252003024
32252003025
32252003026

NAME
LOTREL 5/20 MG CAPSULE
TESLAC 50 MG TABLET
PRAVACHOL 80 MG TABLET
PRAVACHOL 80 MG TABLET
ROBAXIN 100 MG/ML VIAL
LORAZEPAM INTENSOL 2 MG/ML
DIGOXIN 0.25 MG/ML SYRINGE
DIGOXIN 0.25 MG/ML SYRINGE
RITALIN LA 20 MG CAPSULE
VIDEX 100 MG TABLET CHEWABLE
EXTENDED IV CATHETER PLUG
IV CATHETER PLUG
IV CATHETER PLUG
GUIDEWIRE STAINLESS STEEL
GUIDEWIRE STAINLESS STEEL
GUIDEWIRE STAINLESS STEEL
GUIDEWIRE STAINLESS STEEL
CATH CONTAMINATION GUARD
OBTURATOR CAP
OBTURATOR
OBTURATOR
PERIFIX CATHETER CONNECTOR
PLEUROCERT CATH CONNECTOR
PIPETTE 30 ML CATHETER
PIPETTE 45 ML CATHETER
ASEPTO BULB SYRINGE 60 ML
PIPETTE 90 ML CATHETER
PIPETTE 120 ML CATHETER
TEGADERM 4" X 4" DRESSING
ROSULA AQUEOUS GEL
ROSULA NS MEDICATED PADS
CUTIFILM PLUS DRESSING
RA COOL MIST HUMIDIFIER
RA COOL MIST HUMIDIFIER
RA COOL MIST HUMIDIFIER
DYNAMIST 370-F HUMIDIFIER
HOSPITAL HUMIDIFIER
DYNAMIST 1800 HUMIDIFIER
DYNAMIST 2000 HUMIDIFIER
VICKS COOL MIST HUMIDIFIER
EVAPORATIVE HUMIDIFIER
EVAPORATIVE HUMIDIFIER 3300
EVAPORATIVE HUMIDIFIER
VICKS EVAPORATIVE HUMIDIFR
HEALTH MIST HUMIDIFIER
VICKS ULTRASONIC HUMIDIFIER
SUNBEAM HUMIDIFIER
SUNBEAM HUMIDIFIER
SUNBEAM HUMIDIFIER
SUNBEAM HUMIDIFIER
SUNBEAM HUMIDIFIER
SUNBEAM HUMIDIFIER
SUNBEAM HUMIDIFIER

DOSE FORM DRUG STRENGTH


CA
TA
TA
TA
HV
SY
HQ
HQ
CH
TC
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
YE
GE
ME
YE
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
1.31
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32

NDC
32252003100
32252030146
32252030153
32252030160
32252063800
32252064800
32252065800
38703000415
38703000502
38703000644
38703000646
38703000661
38703000901
38779017301
38779017304
38779017305
38779024101
38779024104
38779024105
38779049804
38779049805
48879000103
48879000104
51138836603
51927299400
51991017245
52297074600
52297074700
52735035702
52735035802
52735038202
54868250200
54868440600
54868463400
56091097996
56091097997
56091097998
56091097999
60977015001
62991100401
62991100402
62991100403
62991100404
63370000725
66378025040
82468014454
82468014455
82468014457
92926008031
00003164650
00009011312
00009011319
00023004203

NAME
SUNBEAM HUMIDIFIER
HANKSCRAFT HUMIDIFIER
HANKSCRAFT HUMIDIFIER
HANKSCRAFT HUMIDIFIER
COOL SPRAY HUMIDIFIER
COOL SPRAY HUMIDIFIER
COOL SPRAY HUMIDIFIER
HUMIDIFIER, ULTRASONIC
HUMIDIFIER, EVAPORATIVE
COOL MIST HUMIDIFIER
COOL MIST HUMIDIFIER
HUMIDIFIER
HUMIDIFIER
ACYCLOVIR POWDER
ACYCLOVIR POWDER
ACYCLOVIR POWDER
NALIDIXIC ACID POWDER
NALIDIXIC ACID POWDER
NALIDIXIC ACID POWDER
PROBUCOL POWDER
PROBUCOL POWDER
PREFILL HUMIDIFIER 600 ML
PREFILL HUMIDIFIER 300 ML
TEGADERM 4"X 4" DRESSING
ACYCLOVIR POWDER
SULFATOL GEL
HM HUMIDIFIER
HM HUMIDIFIER
FP HUMIDIFIER COOL MIST
FP HUMIDIFIER WARM MIST
FP HUMIDIFIER ULTRASONIC
VIDEX 100 MG TABLET CHEWABLE
DIOVAN 160 MG CAPSULE
PRAVACHOL 80 MG TABLET
PROTECTIV SAFETY INTRODUCER
PROTECTIV SAFETY INTRODUCER
PROTECTIV SAFETY INTRODUCER
PROTECTIV SAFETY INTRODUCER
ROBAXIN 100 MG/ML VIAL
ACYCLOVIR POWDER
ACYCLOVIR POWDER
ACYCLOVIR POWDER
ACYCLOVIR POWDER
ACYCLOVIR POWDER
TINDAMAX 250 MG TABLET
FP HUMIDIFIER COOL MIST
FP HUMIDIFIER WARM MIST
FP HUMIDIFIER ULTRASONIC
HUMIDIFIER, COOL MIST
LYOFOAM WOUND DRESS 3"X3"
SOLU-MEDROL 40 MG VIAL
SOLU-MEDROL 40 MG VIAL
TAZORAC 0.1% GEL

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
PA
PA
PA
PA
PA
PA
PA
PA
EA
EA
YE
PA
JC
EA
EA
EA
EA
EA
TC
CA
TA
EA
EA
EA
EA
HV
PA
PA
PA
PA
PA
TA
EA
EA
EA
EA
YE
HS
HS
JG

UNIT PRICE
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.32
$
1.33
$
1.33
$
1.33
$
1.33

NDC
00023004210
00029607212
00029657131
00031484983
00074568401
00093227234
00172740228
00173050400
00781164366
08026000043
08080676000
08195573301
10019014302
10019014363
17478025310
54569433800
54569563800
54868076800
54868445600
54868447100
55390003501
56091002590
59390018805
60977014402
63304075420
63323025503
67402001006
68552068803
00004022001
00006093628
00006093631
00006093658
00006093672
00006093682
00007413920
00007413955
00009519001
00009519002
00009519003
00009519004
00037361110
00078037105
00299590530
00603703841
08327051009
25382020024
38779048904
38779048905
38779048908
49158019542
49756010410
49756104108
49999057720

NAME
TAZORAC 0.1% GEL
AUGMENTIN 400-57 TAB CHEW
TIMENTIN 3.1 GM/100 ML ISO
DOPRAM 20 MG/ML VIAL
A-METHAPRED 40 MG UNIVIAL
AMOX TR-K CLV 400-57 TAB CHEW
AMOX TR-K CLV 400-57 TAB CHEW
FLOVENT 250 MCG ROTADISK
AMOX TR-K CLV 400-57 TAB CHEW
ALLEVYN ADHESIVE DRESS 3X3"
KERLIX BURN PACK 4.5"X4.1YD
POLYWIC 3"X3" WOUND FILLER
DOPRAM 20 MG/ML VIAL
DOPRAM 20 MG/ML VIAL
AK-FLUOR 10% VIAL
AUGMENTIN 400-57 TAB CHEW
AMOX TR-K CLV 400-57 TAB CHEW
SOLU-MEDROL 40 MG VIAL
TAZORAC 0.1% GEL
AUGMENTIN 400-57 TAB CHEW
DOXAPRAM HCL 20 MG/ML VIAL
SOF-FOAM 3"X3" DRESSING
FLUORESCEIN LITE 10% VIAL
DOPRAM 20 MG/ML VIAL
AMOX TR-K CLV 400-57 TAB CHEW
METHYLPREDNISOLONE 40 MG VIAL
EPIQUIN MICRO XD 4% CRM PACKT
FLUORESCEIN LITE 10% VIAL
HIVID 0.375 MG TABLET
FOSAMAX 10 MG TABLET
FOSAMAX 10 MG TABLET
FOSAMAX 10 MG TABLET
FOSAMAX 10 MG TABLET
FOSAMAX 10 MG TABLET
COREG 3.125 MG TABLET
COREG 3.125 MG TABLET
DETROL LA 2 MG CAPSULE SA
DETROL LA 2 MG CAPSULE SA
DETROL LA 2 MG CAPSULE SA
DETROL LA 2 MG CAPSULE SA
VOSOL 2% EAR SOLUTION
RITALIN LA 30 MG CAPSULE
DIFFERIN 0.1% SOLUTION
ACETIC ACID 2% EAR SOLUTION
BORDERED GAUZE 4"X10"
DERMAGRAN DRESSING 4"X8"
ACEBUTOLOL HCL POWDER
ACEBUTOLOL HCL POWDER
ACEBUTOLOL HCL POWDER
ACETIC ACID 2% EAR SOLUTION
DRY GAUZE BANDAGE,FINE MESH
DRY GAUZE BANDAGE,FINE MESH
COREG 3.125 MG TABLET

DOSE FORM DRUG STRENGTH


JG
TC
HK
HV
HS
TC
TC
GK
TC
YE
YE
YE
HV
HV
HV
TC
TC
HS
JG
TC
HV
YE
HV
HV
TC
HS
PP
HV
TA
TA
TA
TA
TA
TA
TA
TA
CC
CC
CC
CC
SA
CH
SA
SA
YE
YE
PA
PA
PA
SA
YE
YE
TA

UNIT PRICE
$
1.33
$
1.33
$
1.33
$
1.33
$
1.33
$
1.33
$
1.33
$
1.33
$
1.33
$
1.33
$
1.33
$
1.33
$
1.33
$
1.33
$
1.33
$
1.33
$
1.33
$
1.33
$
1.33
$
1.33
$
1.33
$
1.33
$
1.33
$
1.33
$
1.33
$
1.33
$
1.33
$
1.33
$
1.34
$
1.34
$
1.34
$
1.34
$
1.34
$
1.34
$
1.34
$
1.34
$
1.34
$
1.34
$
1.34
$
1.34
$
1.34
$
1.34
$
1.34
$
1.34
$
1.34
$
1.34
$
1.34
$
1.34
$
1.34
$
1.34
$
1.34
$
1.34
$
1.34

NDC
53567020024
54002006048
54569231100
54868249901
54868385700
54868442100
54868442101
54868512600
54868512601
58016078800
58016078830
58016078860
58016078890
58016608215
60432074115
62991100101
62991100102
62991100103
68115079300
00002140701
00015111750
00015111780
00015117721
00015117760
00015117780
00049143066
00049491041
00049491066
00049491073
00049491094
00078033931
00187040147
00187040148
00187040354
00187040355
00247037106
00247037107
00247037110
00247037114
00247037128
00247037130
00247037150
00247037160
00677188281
49452628501
49452628502
49999036601
49999036610
49999037500
49999037515
49999037530
54569357502
54569357503

NAME
DERMAGRAN DRESSING 4"X8"
HYPERION WOUND DRESSING
ACETIC ACID 2% EAR SOLUTION
HIVID 0.375 MG TABLET
FOSAMAX 10 MG TABLET
COREG 3.125 MG TABLET
COREG 3.125 MG TABLET
DETROL LA 2 MG CAPSULE SA
DETROL LA 2 MG CAPSULE
FOSAMAX 10 MG TABLET
FOSAMAX 10 MG TABLET
FOSAMAX 10 MG TABLET
FOSAMAX 10 MG TABLET
ACETASOL 2% EAR SOLUTION
ACETIC ACID 2% EAR SOLUTION
ACEBUTOLOL HCL POWDER
ACEBUTOLOL HCL POWDER
ACEBUTOLOL HCL POWDER
FOSAMAX 10 MG TABLET
QUINIDINE GLUC 80 MG/ML VIAL
TEQUIN 200 MG TABLET
TEQUIN 200 MG TABLET
TEQUIN 400 MG TEQ-PAQ TABLET
TEQUIN 400 MG TABLET
TEQUIN 400 MG TABLET
GEOCILLIN 382 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
EXELON 2 MG/ML ORAL SOLUTION
KINERASE 0.1% CREAM
KINERASE 0.1% CREAM
KINERASE 0.1% LOTION
KINERASE 0.1% LOTION
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
UNI-OTIC EAR DROPS
ROSE BENGAL POWDER
ROSE BENGAL POWDER
TEQUIN 400 MG TABLET
TEQUIN 400 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET

DOSE FORM DRUG STRENGTH


YE
YE
SA
TA
TA
TA
TA
CC
CC
TA
TA
TA
TA
SA
SA
PA
PA
PA
TA
HV
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
SJ
KA
KA
SZ
SZ
TA
TA
TA
TA
TA
TA
TA
TA
SO
PA
PA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
1.34
$
1.34
$
1.34
$
1.34
$
1.34
$
1.34
$
1.34
$
1.34
$
1.34
$
1.34
$
1.34
$
1.34
$
1.34
$
1.34
$
1.34
$
1.34
$
1.34
$
1.34
$
1.34
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35

NDC
54569492101
54569492103
54868263700
54868263701
54868263703
54868263704
54868263705
54868263706
54868263707
54868263708
54868433000
54868433001
54868433002
54868448300
54868509100
55045220801
55045220803
55045220807
55045220808
55289055015
55289070915
55887096715
55887096730
55887096760
55887096790
57866630500
57866630501
58016066800
58016066830
58016066860
58016066890
58864036615
58864036630
58864062715
58864062730
58864074210
63717040010
64455010410
64455010430
64455010490
66116027507
66116027510
68030630500
68030630501
68115036500
68115036515
00003650944
00006354524
00009519101
00009519102
00009519103
00009519104
00074316511

NAME
TEQUIN 400 MG TABLET
TEQUIN 400 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
TEQUIN 400 MG TABLET
TEQUIN 400 MG TEQ-PAQ TABLET
TEQUIN 400 MG TABLET
TEQUIN 200 MG TABLET
PRAMOTIC EAR DROPS
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
TEQUIN 400 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
TEQUIN 400 MG TABLET
PRAMOTIC EAR DROPS
CARDIZEM LA 360 MG TABLET
CARDIZEM LA 360 MG TABLET
CARDIZEM LA 360 MG TABLET
TEQUIN 400 MG TABLET
TEQUIN 400 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
ZOLOFT 100 MG TABLET
UNNA-FLEX PLUS KIT
MEFOXIN 1 GM/50 ML PIGGYBACK
DETROL LA 4 MG CAPSULE SA
DETROL LA 4 MG CAPSULE SA
DETROL LA 4 MG CAPSULE SA
DETROL LA 4 MG CAPSULE SA
BIAXIN XL 500 MG TABLET SA

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
SO
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
SO
TI
TA
TA
TA
TA
TA
TA
TA
TA
YK
HK
CC
CC
CC
CC
TI

UNIT PRICE
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.35
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36

NDC
00074316514
00074316541
00074316560
00074612390
00078035405
00078035415
00173071200
00173071201
00173071204
00173071215
00173071325
00212728490
00264916920
00270026520
00456320560
00456320563
00456321060
00456321063
00597002901
08021333450
08021333483
08080624300
08214210001
08214215001
08225279900
08290204300
08290204310
08290286000
08290286100
08290287400
08290287500
08290400434
08290402864
08290402865
08290402873
08290404051
08290430000
08290430600
08290432000
08290433000
08290433700
08290433900
08290434800
08290435800
08290524030
08290524034
08333154901
08470210001
08470215001
10939000070
10939073911
11701011696
11701013496

NAME
BIAXIN XL 500 MG TABLET SA
BIAXIN XL 500 MG TABLET SA
BIAXIN XL 500 MG TABLET SA
TRICOR 145 MG TABLET
LESCOL XL 80 MG TABLET SA
LESCOL XL 80 MG TABLET SA
AVODART 0.5 MG SOFTGEL
AVODART 0.5 MG SOFTGEL
AVODART 0.5 MG SOFTGEL
AVODART 0.5 MG CAPSULE
MYLERAN 2 MG TABLET
VIVONEX JEJUNOSTOMY KIT
POST-TUR PAK/DRAINAGE BAG
CHOLOGRAFIN MEGLUMINE 52%
NAMENDA 5 MG TABLET
NAMENDA 5 MG TABLET
NAMENDA 10 MG TABLET
NAMENDA 10 MG TABLET
MOBIC 7.5 MG TABLET
IMPLANTOFIX INTRODUCER KIT
CELSITE VENOUS DRUG KIT
TENDEROL UNDERCAST PADDING
AMIELLE VAGINAL TRAINER
AMIELLE VAGINAL TRAINER
SHOWER EXTENSION
B-D FEVER THERMOM-IMPRINTED
B-D FEVER THERMOM-IMPRINTED
B-D FEVER THERMOMETER
B-D FEVER THERMOMETER
B-D FEVER THERMOMETER
B-D FEVER THERMOMETER
B-D FEVER THERMOM-IMPRINTED
B-D DIGITAL THERMOMETER KIT
B-D DIGITAL THERMOMETER KIT
B-D FEVER THERMOMETER
B-D FEVER THERMOMETER
BRITE SIGHT THERMOMETER
BRITE SIGHT THERMOMETER
BRITE SIGHT THERMOMETER
BRITE SIGHT THERMOMETER
HYPOTHERM THERMOMETER
HYPOTHERM THERMOMETER
BRITE SIGHT THERMOMETER
BRITE SIGHT THERMOMETER
FEVER THERMOMETER, DIGITAL
BD DIGITAL THERMOMETER
STERI-STRIP 1/2"X2"
AMIELLE VAGINAL TRAINER
AMIELLE VAGINAL TRAINER CARE
SM DIGITAL THERMOMETER
DIGITAL THERMOMETER
PERI-WASH SKIN CARE PK KIT
CRITIC-AID HOSPITAL PK KIT

DOSE FORM DRUG STRENGTH


TI
TI
TI
TA
TI
TI
CA
CA
CA
CA
TA
YK
YK
HV
TA
TA
TA
TA
TA
YK
YK
YK
YK
YK
YK
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
YR
YK
YK
EA
EA
YK
YK

UNIT PRICE
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36

NDC
11701085710
11701085715
11822324050
11822453540
11822604230
12333951007
18029094067
18029094073
18029094074
19458906601
36800002620
38673000008
38673000009
38673000089
38673020109
38673022104
38673022142
38673022159
38673030101
38703000070
38703000250
38703084072
39822090003
40565011930
49348000070
49348073901
49614050171
49999042314
50428155912
50428155913
50428193592
52297075900
52959062300
52959062320
52959062330
52959062360
53014090471
53014090484
54569039300
54569039302
54569495300
54569512100
54569512101
54569512102
54569520501
54569537500
54569549800
54868419100
54868419101
54868449000
54868449001
54868449002
54868449003

NAME
CIRCAID THERA-BOOT KIT
CIRCAID THERA-BOOT KIT
RA DIGITAL THERMOMETER
RA FINGER SPLINT
RA DIGITAL THERMOMETER
DIGITAL THERMOMETER
CHEMO SPILL KIT
CHEMOSAFETY PREP ADMIN KIT
CHEMOSAFETY PREP ADMIN KIT
ECK DIGITAL THERMOMETER
DIGITAL THERMOMETER
DIGITAL THERMOMETER
DIGITAL THERMOMETER
DIGITAL THERMOMETER
BABYTHERM PACIFIER THRMOMTR
DUAL SCALE DIGITAL THERMOMETER
DUAL SCALE DIGITAL THERMOMETER
DIGITAL EAR THERMOMETER
SALT DETECTOR
DIGITAL THERMOMETER
CRUTCH ACCESSORY KIT
DIGITAL THERMOMETER
NYSTATIN 150,000,000 UNITS PWD
CONFORMANT 2 4"X4" SHEET
SM DIGITAL THERMOMETER
DIGITAL THERMOMETER
DIGITAL THERMOMETER
MOBIC 7.5 MG TABLET
CVS DIGITAL THERMOMETER
CVS DIGITAL THERMOMETER
CVS DIGITAL THERMOMETER
HM DIGITAL THERMOMETER
MOBIC 7.5 MG TABLET
MOBIC 7.5 MG TABLET
MOBIC 7.5 MG TABLET
MOBIC 7.5 MG TABLET
IONAMIN 30 MG CAPSULE SA
IONAMIN 30 MG CAPSULE SA
IONAMIN 30 MG CAPSULE SA
IONAMIN 30 MG CAPSULE SA
BIAXIN XL 500 MG TABLET SA
MOBIC 7.5 MG TABLET
MOBIC 7.5 MG TABLET
MOBIC 7.5 MG TABLET
DETROL LA 4 MG CAPSULE SA
BIAXIN XL 500 MG TABLET SA
LESCOL XL 80 MG TABLET SA
BIAXIN XL 500 MG TABLET SA
BIAXIN XL 500 MG TABLET SA
MOBIC 7.5 MG TABLET
MOBIC 7.5 MG TABLET
MOBIC 7.5 MG TABLET
MOBIC 7.5 MG TABLET

DOSE FORM DRUG STRENGTH


YK
YK
EA
YK
EA
EA
YK
YK
YK
EA
EA
EA
EA
EA
EA
EA
EA
EA
YK
EA
YK
EA
PA
FS
EA
EA
EA
TA
EA
EA
EA
EA
TA
TA
TA
TA
CS
CS
CS
CS
TI
TA
TA
TA
CC
TI
TI
TI
TI
TA
TA
TA
TA

UNIT PRICE
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36

NDC
54868451400
54868451401
54868460100
54868511400
54868516100
54868520300
55045308202
55045308206
55045308208
55289061814
55289073115
55289073130
55289075715
55887037220
55887037230
55887037260
55887037290
55887045420
55887045430
55887045460
55887045482
55887045490
57866889101
58016059200
58016059215
58016059220
58016059230
58016059260
58016059290
58016084600
58016084630
58016084660
58016084690
58552030601
58864086430
60760002830
61059215011
63304055620
64894082550
68030889101
68115004814
68115043714
68115043830
68115069890
68115075700
68115080500
70074050190
70074051544
70074051546
70074055354
70074056739
73796000336
81317070920

NAME
DETROL LA 4 MG CAPSULE
DETROL LA 4 MG CAPSULE
LESCOL XL 80 MG TABLET SA
AVODART 0.5 MG CAPSULE
NAMENDA 10 MG TABLET
TRICOR 145 MG TABLET
MOBIC 7.5 MG TABLET
MOBIC 7.5 MG TABLET
MOBIC 7.5 MG TABLET
MOBIC 7.5 MG TABLET
IONAMIN 30 MG CAPSULE SA
IONAMIN 30 MG CAPSULE SA
IONAMIN 30 MG CAPSULE SA
BIAXIN XL 500 MG TABLET SA
BIAXIN XL 500 MG TABLET SA
BIAXIN XL 500 MG TABLET SA
BIAXIN XL 500 MG TABLET SA
MOBIC 7.5 MG TABLET
MOBIC 7.5 MG TABLET
MOBIC 7.5 MG TABLET
MOBIC 7.5 MG TABLET
MOBIC 7.5 MG TABLET
MOBIC 7.5 MG TABLET
MOBIC 7.5 MG TABLET
MOBIC 7.5 MG TABLET
MOBIC 7.5 MG TABLET
MOBIC 7.5 MG TABLET
MOBIC 7.5 MG TABLET
MOBIC 7.5 MG TABLET
AVODART 0.5 MG SOFTGEL
AVODART 0.5 MG SOFTGEL
AVODART 0.5 MG SOFTGEL
AVODART 0.5 MG SOFTGEL
PHENABID DM TABLET
DETROL LA 4 MG CAPSULE SA
MOBIC 7.5 MG TABLET
AMIELLE VAGINAL TRAINER
RANICLOR 187 MG CHEWABLE TAB
HECTOROL 2.5 MCG CAPSULE
MOBIC 7.5 MG TABLET
BIAXIN XL 500 MG TABLET SA
MOBIC 7.5 MG TABLET
MOBIC 7.5 MG TABLET
DETROL LA 4 MG CAPSULE SA
IONAMIN 30 MG CAPSULE SA
MOBIC 7.5 MG TABLET
FLEXIFLO INTRODUCER KIT
FLEXIFLO T-FASTENER SET
FLEXIFLO T-FASTENER SET
EMBRACE AC ADAPTER-CHARGER
EMBRACE POLE CLAMP
OMRON DIGITAL THERMOMETER
TUBE & CONNECTOR KIT

DOSE FORM DRUG STRENGTH


CC
CC
TI
CA
TA
TA
TA
TA
TA
TA
CS
CS
CS
TI
TI
TI
TI
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
CA
CA
TM
CC
TA
YK
TC
CA
TA
TI
TA
TA
CC
CS
TA
YK
YK
YK
YK
YK
EA
YK

UNIT PRICE
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36

NDC
81317707200
81317708200
81317709000
87701012826
87701039130
92771026501
00007489420
00149047101
00149047103
00173067200
08333954301
08395078920
08395078930
08395078940
08395078950
08395078960
08395078970
08395089400
08395089420
08395089430
08395089440
08395089450
08395089460
08395089470
54569481300
54868438600
00007489620
00071015523
00071015534
00071015540
00074744602
00406992501
00406992503
00517130525
11298000626
49999039230
54569446600
54569446601
54868393400
54868393401
54868393402
55045307506
55289087030
55887054630
55887054660
55887054682
55887054690
57866861501
58864060830
59075068010
62856068010
66116027630
68030861501

NAME
TUBE & CONNECTOR KIT
TUBE & CONNECTOR KIT
COMFORT 1" LEG BAG STRAPS
BL DIGITAL THERMOMETER
GNP DIGITAL THERMOMETER
SAFE KLEAN KIT
REQUIP 5 MG TABLET
ACTONEL 5 MG TABLET
ACTONEL 5 MG TABLET
AGENERASE 150 MG CAPSULE
TEGADERM HP 4.5"X4.75" DRSS
MICRODERM PLUS WASHER 7/8"
MICRODERM PLUS WASHER 1"
MICRODERM PLUS WASHER 1 1/8
MICRODERM PLUS WASHER 1 1/4
MICRODERM PLUS WASHER 1 3/8
MICRODERM PLUS WASHER 1 1/2
MICRODERM WASHER 1 1/2"
MICRODERM WASHER 7/8"
MICRODERM WASHER 1"
MICRODERM WASHER 1 1/8"
MICRODERM WASHER 1 1/4"
MICRODERM WASHER
MICRODERM WASHER
AGENERASE 150 MG CAPSULE
ACTONEL 5 MG TABLET
REQUIP 4 MG TABLET
LIPITOR 10 MG TABLET
LIPITOR 10 MG TABLET
LIPITOR 10 MG TABLET
CIMETIDINE 150 MG/ML VIAL
TOFRANIL-PM 125 MG CAPSULE
TOFRANIL-PM 125 MG CAPSULE
DOPAMINE 160 MG/ML VIAL
ODORPROOF BAG DISPOSIT
LIPITOR 10 MG TABLET
LIPITOR 10 MG TABLET
LIPITOR 10 MG TABLET
LIPITOR 10 MG TABLET
LIPITOR 10 MG TABLET
LIPITOR 10 MG TABLET
ZONEGRAN 100 MG CAPSULE
LIPITOR 10 MG TABLET
ZONEGRAN 100 MG CAPSULE
ZONEGRAN 100 MG CAPSULE
ZONEGRAN 100 MG CAPSULE
ZONEGRAN 100 MG CAPSULE
LIPITOR 10 MG TABLET
LIPITOR 10 MG TABLET
ZONEGRAN 100 MG CAPSULE
ZONEGRAN 100 MG CAPSULE
LIPITOR 10 MG TABLET
LIPITOR 10 MG TABLET

DOSE FORM DRUG STRENGTH


YK
YK
YK
EA
EA
YK
TA
TA
TA
CA
YE
ZA
ZA
EA
ZP
EA
ZA
ZA
ZA
ZA
EA
ZP
EA
ZA
CA
TA
TA
TA
TA
TA
HV
CA
CA
HV
ZP
TA
TA
TA
TA
TA
TA
CA
TA
CA
CA
CA
CA
TA
TA
CA
CA
TA
TA

UNIT PRICE
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.36
$
1.37
$
1.37
$
1.37
$
1.37
$
1.37
$
1.37
$
1.37
$
1.37
$
1.37
$
1.37
$
1.37
$
1.37
$
1.37
$
1.37
$
1.37
$
1.37
$
1.37
$
1.37
$
1.37
$
1.37
$
1.38
$
1.38
$
1.38
$
1.38
$
1.38
$
1.38
$
1.38
$
1.38
$
1.38
$
1.38
$
1.38
$
1.38
$
1.38
$
1.38
$
1.38
$
1.38
$
1.38
$
1.38
$
1.38
$
1.38
$
1.38
$
1.38
$
1.38
$
1.38
$
1.38
$
1.38
$
1.38

NDC
68115083690
68115090900
00003650948
00007489520
00009000602
00009000606
00009000802
00009000803
00009003702
00009003706
00023915515
00023915530
00023915560
00078037205
00091074010
00247117030
00247137410
00597008561
00597008590
00597009061
00597009090
00597009161
00597009190
08333163501
09958008620
49326034650
53303014220
54569545800
54868464900
54868530000
62794008506
62794050217
62794050293
00003125271
00003125332
00003125339
00003125354
00003125365
00003175762
00003175769
00003175779
00003175794
00003401616
00003401909
00003401910
00003404008
00003405476
00003413142
00003413148
00003650477
00003650830
00074338913
00078032506

NAME
LIPITOR 10 MG TABLET
ZONEGRAN 100 MG CAPSULE
SUREPRESS ABSORBENT PADDING
REQUIP 3 MG TABLET
MIRAPEX 1 MG TABLET
MIRAPEX 1 MG TABLET
MIRAPEX 0.5 MG TABLET
MIRAPEX 0.5 MG TABLET
MIRAPEX 1.5 MG TABLET
MIRAPEX 1.5 MG TABLET
TAZORAC 0.05% CREAM
TAZORAC 0.05% CREAM
TAZORAC 0.05% CREAM
RITALIN LA 40 MG CAPSULE
EPIFOAM FOAM
XYLOCAINE 10% ORAL SPRAY
EPIFOAM FOAM
MIRAPEX 0.5 MG TABLET
MIRAPEX 0.5 MG TABLET
MIRAPEX 1 MG TABLET
MIRAPEX 1 MG TABLET
MIRAPEX 1.5 MG TABLET
MIRAPEX 1.5 MG TABLET
TEGADERM I.V. 3.5"X4.25"
HYDROCELL THIN 2"X3" DRESS
ANANA FORTE TABLET
CARRASMART FOAM DRESSING
TAZORAC 0.05% CREAM
TAZORAC 0.05% CREAM
KRISTALOSE 20 GM PACKET
FLEXZAN ADHESIVE DRESSING
KRISTALOSE 20 GM PACKET
KRISTALOSE 20 GM PACKET
SUR-FIT NATURA STOMAHESIVE
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE UROSTOMY POUCH
ACTIVE LIFE 25MM POUCH
ACTIVE LIFE 25MM POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE 25MM POUCH
SUR-FIT AUTOLOCK INSERTS
SUR-FIT NATURA FLANGE CAP
SUR-FIT NATURA FLANGE CAP
SUR-FIT NATURA CONVEX INSRT
STOMAHESIVE SKIN BARRIER
ACTIVE LIFE CLOSED-END PCH
ACTIVE LIFE CLOSED-END PCH
ACTIVE LIFE 25MM POUCH
ACTIVE LIFE 1-PIECE UROSTMY
PCE 500 MG DISPERTAB
EXELON 4.5 MG CAPSULE

DOSE FORM DRUG STRENGTH


TA
CA
YE
TA
TA
TA
TA
TA
TA
TA
KA
KA
KA
CH
AF
AS
AF
TA
TA
TA
TA
TA
TA
YE
YE
TA
YE
KA
KA
PP
YE
PP
PP
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
TR
CA

UNIT PRICE
$
1.38
$
1.38
$
1.39
$
1.39
$
1.39
$
1.39
$
1.39
$
1.39
$
1.39
$
1.39
$
1.39
$
1.39
$
1.39
$
1.39
$
1.39
$
1.39
$
1.39
$
1.39
$
1.39
$
1.39
$
1.39
$
1.39
$
1.39
$
1.39
$
1.39
$
1.39
$
1.39
$
1.39
$
1.39
$
1.39
$
1.39
$
1.39
$
1.39
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40

NDC
00078032544
00186070210
00430083620
00597002301
00597003001
04174770340
08011121200
08195784201
08219783500
08219784200
08380001432
08380001462
08380001484
08380003402
08380003403
08380003734
08380003742
08380003767
08380004202
08380007452
08380007472
08380007482
08380008462
08380008484
08380008504
08380008512
08380008524
08380008532
08380008552
08380008592
08380008734
08380008744
08380008762
08380008774
08380015402
08380015802
08380016304
08380016704
08395041330
08395048330
08395048430
08395078330
08395078430
08395081330
08884411600
08884421600
11701083425
11701084520
11701088673
11701088692
11701088732
11701090612
11701092066

NAME
EXELON 4.5 MG CAPSULE
ENTOCORT EC 3 MG CAPSULE
DORYX 75 MG CAPSULE EC
SERENTIL 100 MG TABLET
MOBIC 15 MG TABLET
MARLEN ULTRALITE POUCH
RELIASEAL ADH DSC 100MM DIA
POLYMEM 2"X4" DRESSING
CURITY PETROLATUM GAUZE
CURITY PETROLATUM GAUZE
LO-PROFILE UROSTOMY POUCH
1STCHOICE UROSTOMY POUCH 1"
1STCHOICE URO POUCH 1"
STOMA CAP W/FILTER/FLANGE
STOMA CAP W/FILTER/FLANGE
CONVEX SYN BARR/FLNGE 1"
PRE-SIZED BARR-FLOAT FLNGE
SKIN BARRIER/FLANGE 1"
HOLLISTER BELT ADAPTER
UROSTOMY POUCH-MED.16"
UROSTOMY POUCH-SHORT 12"
UROSTOMY POUCH/KARAYA SEAL
PREMIER UROSTOMY POUCH 1"
PREMIER UROSTOMY POUCH 1"
PREMIER LNR DRAINABLE POUCH
PREMIER LNR DRAINABLE POUCH
PREMIER LNR DRAINABLE POUCH
PREMIER LNR DRAINABLE POUCH
PREMIER LNR DRAINABLE POUCH
PREMIER LNR DRAINABLE POUCH
PREMIER SKN BARR/FLANGE 1"
PREMIER SKN BARR/FLANGE 1"
PREMIER SKN BARR/FLANGE 1"
PREMIER SKN BARR/FLANGE 1"
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXTEND BARRIER
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXTEND BARRIER
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
PETROLATUM GAUZE 0.5"X 72"
PETROLATUM GAUZE 0.5"X72"
ASSURA FLANGE CONVEX
ASSURA FLANGE STANDARD
ASSURA 2PC CONVEX LIGHT FLANGE
ASSURA EXTRA CONVEX FLANGE
ASSURA CONVEX EASICLOSE PCH
EASICLOSE WIDE OUTLET 1-PC
ASSURA CONVEX STANDARD

DOSE FORM DRUG STRENGTH


CA
CC
CE
TA
TA
EA
EA
YE
YE
YE
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
YE
YE
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40

NDC
38779054804
38779054805
38779054808
51927271500
52959024010
52959066330
54569517900
54569517901
54569517902
54868177400
54868177402
54868331100
54868515800
54868515801
54868515802
54868515803
54868524000
55045295008
55289002720
55289073914
55887045520
55887045530
55887045560
55887045582
55887045590
57844032301
57866889001
58016063800
58016063802
58016063815
58016063820
58016063830
58016063860
58016063890
59365606500
60760003030
62161000820
62991135401
62991135402
62991135403
62991135404
68030889001
68030889002
68115043730
00003064927
00003125336
00003125337
00003125343
00003125344
00003125360
00003175766
00003175773
00003175785

NAME
NAPROXEN POWDER
NAPROXEN POWDER
NAPROXEN POWDER
NAPROXEN POWDER
PCE 500 MG DISPERTAB
MOBIC 15 MG TABLET
MOBIC 15 MG TABLET
MOBIC 15 MG TABLET
MOBIC 15 MG TABLET
PCE 500 MG DISPERTAB
PCE 500 MG DISPERTAB
SERENTIL 100 MG TABLET
MOBIC 15 MG TABLET
MOBIC 15 MG TABLET
MOBIC 15 MG TABLET
MOBIC 15 MG TABLET
EXELON 4.5 MG CAPSULE
MOBIC 15 MG TABLET
PCE 500 MG DISPERTAB
MOBIC 15 MG TABLET
MOBIC 15 MG TABLET
MOBIC 15 MG TABLET
MOBIC 15 MG TABLET
MOBIC 15 MG TABLET
MOBIC 15 MG TABLET
LOFIBRA 134 MG CAPSULE
MOBIC 15 MG TABLET
MOBIC 15 MG TABLET
MOBIC 15 MG TABLET
MOBIC 15 MG TABLET
MOBIC 15 MG TABLET
MOBIC 15 MG TABLET
MOBIC 15 MG TABLET
MOBIC 15 MG TABLET
ASTRINGYN SOLUTION
MOBIC 15 MG TABLET
XYREM 500 MG/ML ORAL SOLN
NAPROXEN POWDER
NAPROXEN POWDER
NAPROXEN POWDER
NAPROXEN POWDER
MOBIC 15 MG TABLET
MOBIC 15 MG TABLET
MOBIC 15 MG TABLET
ACTIVE LIFE 1-PC UROSTOMY PCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE 50MM POUCH
ACTIVE LIFE 50MM POUCH
ACTIVE LIFE DRAINABLE POUCH

DOSE FORM DRUG STRENGTH


PA
PA
PA
PA
TR
TA
TA
TA
TA
TR
TR
TA
TA
TA
TA
TA
CA
TA
TR
TA
TA
TA
TA
TA
TA
CA
TA
TA
TA
TA
TA
TA
TA
TA
RA
TA
SJ
PA
PA
PA
PA
TA
TA
TA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.40
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41

NDC
00003401304
00003401449
00003401905
00003401906
00003401907
00003401908
00003413146
00003413152
00003650481
00046047981
00078032306
00078032344
00078032406
00078032444
00245011212
00245011224
00574709312
00603813611
00603813618
08380001434
08380003706
08380003726
08380003806
08380003826
08380004204
08380004205
08380004206
08380007454
08380007474
08380007484
08380008464
08380008531
08380008551
08380008726
08380008756
08380008764
08380008816
08380009763
08380009764
08380084711
08380085011
08380085211
08380086211
10356001403
10356045504
10939080711
11822302940
11822320030
12333015000
15127056250
19458304201
23900001002
37000053607

NAME
SUR-FIT AUTOLCK STOMAHESIVE
SUR-FIT AUTOLOCK STOMAHESIVE
SUR-FIT NATURA DURAHESIVE
SUR-FIT NATURA STOMAHESIVE
SUR-FIT NATURA UROSTOMY PCH
SUR-FIT NATURA FLANGE CAP
ACTIVE LIFE CLOSED-END PCH
ACTIVE LIFE CLOSED-END PCH
ACTIVE LIFE 50MM POUCH
INDERAL LA 160 MG CAPSULE SA
EXELON 1.5 MG CAPSULE
EXELON 1.5 MG CAPSULE
EXELON 3 MG CAPSULE
EXELON 3 MG CAPSULE
HEMRIL-30 30 MG SUPPOSITORY
HEMRIL-30 30 MG SUPPOSITORY
ENCORT 30 MG SUPPOSITORY
PROCTOSERT HC 30 MG SUPP
PROCTOSERT HC 30 MG SUPP
LO-PROFILE UROSTOMY POUCH
SKIN BARRIER/FLANGE 4"
SYN SKIN BARR/FLANGE 4"
DRAINABLE PCH/FLANGE 4"
STOMA IRRIG DRAIN W/FLANGE
HOLLISTER BELT ADAPTER
HOLLISTER BELT ADAPTER
HOLLISTER BELT ADAPTER
UROSTOMY POUCH-MED.16"
UROSTOMY POUCH-SHORT 12"
UROSTOMY POUCH/KARAYA SEAL
PREMIER UROSTOMY POUCH 2"
PREMIER LNR DRAINABLE POUCH
PREMIER LNR DRAINABLE POUCH
PREMIER SKN BARR/FLANGE 4"
PREMIER SKN BARR/FLANGE 4"
PREMIER SKN BARR/FLANGE 2"
PREMIER DRAIN POUCH 4"
FIRSTCHOICE POSTOP DRAIN
FIRSTCHOICE POSTOP DRAIN
PREMIER UROSTOMY POUCH 2"
PREMIER LNR DRAINABLE POUCH
PREMIER LNR DRAINABLE POUCH
PREMIER DRAINABLE POUCH 2"
CUTIPLAST STERIL DRESSING
AQUAPHOR GAUZE 3"X16"
DECONGESTANT INHALER
RA DECONGESTANT INHALER
RA DECONGESTANT INHALER
DECONGESTANT INHALER
SB DECONGESTANT INHALER
ECK DECONGESTANT INHALER
VICKS INHALER
VICKS INHALER

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
CR
CA
CA
CA
CA
QA
QA
QA
QA
QA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
YE
YE
GI
GI
GI
GI
GI
GI
GI
GI

UNIT PRICE
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41

NDC
37205056359
38703010110
40565012161
49614043612
50428159734
54868257200
54868257201
54868417800
54868451200
54868451201
57866491401
61570002512
61570002525
65649051112
65649051124
72140044865
72140044866
72140085061
72140085062
72140085065
72140085066
87701012852
87701012885
87701091941
87701091942
00003401920
00003401921
00003401922
00003401923
00003401924
00003402239
00078032606
00078032644
00091408701
00247058841
00591571501
00597007017
08026442600
08026442900
08026447200
08026447300
08026447600
08380001466
08380003636
11298000623
11701080410
11701080415
52959100300
54569548900
54569559300
54868104301
54868471900
54868471901

NAME
DECONGESTANT INHALER
NASAL ASPIRATOR
AQUAPHOR GAUZE 3"X16"
DECONGESTANT INHALER
CVS DECONGESTANT INHALER
INDERAL LA 160 MG CAPSULE SA
INDERAL LA 160 MG CAPSULE SA
DIOVAN 80 MG CAPSULE
EXELON 1.5 MG CAPSULE
EXELON 1.5 MG CAPSULE
INDERAL LA 160 MG CAPSULE
PROCTOCORT 30 MG SUPPOSITORY
PROCTOCORT 30 MG SUPPOSITORY
PROCTOCORT 30 MG SUPPOSITORY
PROCTOCORT 30 MG SUPPOSITORY
NIVEA DAILY CARE STICK
NIVEA UV CARE SPF 18 STICK
NIVEA DAILY CARE STICK
NIVEA UV CARE SPF 18 STICK
NIVEA DAILY CARE STICK
NIVEA UV CARE SPF 18 STICK
BL MENTHOL INHALER
GNP MENTHOL INHALER
BL MENTHOL INHALER
GNP MENTHOL INHALER
SUR-FIT NATURA POST OP KIT
SUR-FIT NATURA POST OP KIT
SUR-FIT NATURA POST OP KIT
SUR-FIT NATURA POST OP KIT
SUR-FIT NATURA POST OP KIT
SUR-FIT NATURA POST OP KIT
EXELON 6 MG CAPSULE
EXELON 6 MG CAPSULE
VERELAN PM 300 MG CAP PELLET
ALUPENT 650 MCG INHALER COMP
AMOXAPINE 100 MG TABLET
ALUPENT 650 MCG INHALER COMP
PERSONAL SKIN CARE KIT
NURSING CARE KIT
TRIPLE CARE KIT
TRIPLE CARE STARTER KIT
ECONOMY INCONT 2-STEP KIT
FIRSTCHOICE UROSTOMY KIT
FIRSTCHOICE DRAIN PCH KIT
POST-OP APPLIANCE 5"X12"
COLOPLAST POST OP SET
COLOPLAST POST OP SET
ALUPENT 650 MCG INHALER COMP
ZETIA 10 MG TABLET
COENZYME Q-10 100 MG WAFER
ALUPENT 650 MCG INHALER COMP
ZETIA 10 MG TABLET
ZETIA 10 MG TABLET

DOSE FORM DRUG STRENGTH


GI
EA
YE
GI
GI
CR
CR
CA
CA
CA
CR
QA
QA
QA
QA
EH
EH
EH
EH
EH
EH
GI
GI
GI
GI
YK
YK
YK
YK
YK
YK
CA
CA
CP
AJ
TA
AJ
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
AJ
TA
TW
AJ
TA
TA

UNIT PRICE
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.41
$
1.42
$
1.42
$
1.42
$
1.42
$
1.42
$
1.42
$
1.42
$
1.42
$
1.42
$
1.42
$
1.42
$
1.42
$
1.42
$
1.42
$
1.42
$
1.42
$
1.42
$
1.42
$
1.42
$
1.42
$
1.42
$
1.42
$
1.42
$
1.42
$
1.42
$
1.42
$
1.42
$
1.42

NDC
58016653701
66582041428
66582041431
66582041454
66582041474
68115076700
68115082130
81317020020
81317062200
00024132203
00024132206
00026819636
00026819763
00310075139
00310075190
00338917791
00338917891
00536041891
00904531538
08884700207
08884705008
17478062235
24208038555
24208038556
37205052683
49614041008
49999043103
52959028930
54569454303
54569454306
54569560000
54799092635
54868210700
54868394700
54868496300
54868496301
54868496302
54868496303
55289047727
59390018450
60760001018
60760001063
63010001030
68030728401
68552068435
00004026129
00006092531
00006092558
00071425903
00186502031
00186502054
00186502082
00186502228

NAME
ALUPENT 650 MCG INHALER COMP
ZETIA 10 MG TABLET
ZETIA 10 MG TABLET
ZETIA 10 MG TABLET
ZETIA 10 MG TABLET
AMOXAPINE 100 MG TABLET
ZETIA 10 MG TABLET
3 STEP SKIN CARE KIT
COLOSTOMY BARIUM ENEMA KIT
NEGGRAM 500 MG CAPLET
NEGGRAM 500 MG CAPLET
TRASYLOL 10,000 UNITS/ML VIAL
TRASYLOL 10,000 UNITS/ML VIAL
CRESTOR 10 MG TABLET
CRESTOR 10 MG TABLET
SYMPT-X G.I. PACKET
SYMPT-X G.I. PACKET
SODIUM CHLORIDE 5% EYE OINT
SODIUM CHLORIDE 5% EYE OINT
KANGAROO PUMP EXTENSION ST
KANGAROO Y-SITE EXTNSN SET
SODIUM CHLORIDE 5% EYE OINT
MURO-128 5% EYE OINTMENT
MURO-128 5% EYE OINTMENT
SODIUM CHLORIDE 5% EYE OINT
SODIUM CHLORIDE 5% EYE OINT
VIRACEPT 250 MG TABLET
VIRACEPT 250 MG TABLET
VIRACEPT 250 MG TABLET
VIRACEPT 250 MG TABLET
CRESTOR 10 MG TABLET
SOCHLOR 5% EYE OINTMENT
AK-NACL 5% EYE OINTMENT
VIRACEPT 250 MG TABLET
CRESTOR 10 MG TABLET
CRESTOR 10 MG TABLET
CRESTOR 10 MG TABLET
CRESTOR 10 MG TABLET
VIRACEPT 250 MG TABLET
ALTACHLORE 5% OINTMENT
VIRACEPT 250 MG TABLET
VIRACEPT 250 MG TABLET
VIRACEPT 250 MG TABLET
VIRACEPT 250 MG TABLET
SODIUM CHLORIDE 5% EYE OINT
CELLCEPT 200 MG/ML ORAL SUSP
FOSAMAX 5 MG TABLET
FOSAMAX 5 MG TABLET
BENADRYL 50 MG/ML AMPUL
NEXIUM 20 MG CAPSULE
NEXIUM 20 MG CAPSULE
NEXIUM 20 MG CAPSULE
NEXIUM 20 MG CAPSULE

DOSE FORM DRUG STRENGTH


AJ
TA
TA
TA
TA
TA
TA
YK
YK
TA
TA
HV
HV
TA
TA
PP
PP
OA
OA
EA
EA
OA
OA
OA
OA
OA
TA
TA
TA
TA
TA
OA
OA
TA
TA
TA
TA
TA
TA
OA
TA
TA
TA
TA
OA
PD
TA
TA
HH
CE
CE
CE
CE

UNIT PRICE
$
1.42
$
1.42
$
1.42
$
1.42
$
1.42
$
1.42
$
1.42
$
1.42
$
1.42
$
1.43
$
1.43
$
1.43
$
1.43
$
1.43
$
1.43
$
1.43
$
1.43
$
1.43
$
1.43
$
1.43
$
1.43
$
1.43
$
1.43
$
1.43
$
1.43
$
1.43
$
1.43
$
1.43
$
1.43
$
1.43
$
1.43
$
1.43
$
1.43
$
1.43
$
1.43
$
1.43
$
1.43
$
1.43
$
1.43
$
1.43
$
1.43
$
1.43
$
1.43
$
1.43
$
1.43
$
1.44
$
1.44
$
1.44
$
1.44
$
1.44
$
1.44
$
1.44
$
1.44

NDC
17314585002
54569527300
54868107001
54868279000
54868438400
54868448900
54868448901
54868448902
54868463500
57866705601
57866705602
57866728801
58016082400
58016082430
58016082460
58016082490
58016604901
66479013721
00009517303
00009517304
00025171001
00025171002
00025171003
00085131801
00169517303
00169517304
00310075239
00310075290
00456261700
00456261730
00456261790
00469510415
00641047625
08333160401
08380009790
54569567200
54868483300
54868505300
54868505301
54868508500
54868508501
54868508502
68453061510
00003125274
00003125357
00003125368
00003175782
00003175797
00003401305
00003401429
00003401452
00003401462
00003401619

NAME
CONCERTA 18 MG TABLET SA
NEXIUM 20 MG CAPSULE
NEOMYCIN/DEXAMETH EYE DROPS
NEODECADRON EYE DROPS
FOSAMAX 5 MG TABLET
CONCERTA 18 MG TABLET SA
CONCERTA 18 MG TABLET SA
CONCERTA 18 MG TABLET SA
NEXIUM 20 MG CAPSULE
CONCERTA 18 MG TABLET SA
CONCERTA 18 MG TABLET SA
DIPHENHYDRAMINE 50 MG/ML AMP
NEXIUM 20 MG CAPSULE
NEXIUM 20 MG CAPSULE
NEXIUM 20 MG CAPSULE
NEXIUM 20 MG CAPSULE
NEOMYCIN/DEXAMETH EYE DROPS
METHOTREXATE SOD 20 MG VIAL
VAGIFEM 25 MCG VAGINAL TAB
VAGIFEM 25 MCG VAGINAL TAB
INSPRA 25 MG TABLET
INSPRA 25 MG TABLET
INSPRA 25 MG TABLET
REBETOL 40 MG/ML SOLUTION
VAGIFEM 25 MCG VAGINAL TAB
VAGIFEM 25 MCG VAGINAL TAB
CRESTOR 20 MG TABLET
CRESTOR 20 MG TABLET
TIAZAC 420 MG CAPSULE SA
TIAZAC 420 MG CAPSULE SA
TIAZAC 420 MG CAPSULE SA
ARISTOCORT A 0.5% CREAM
PHENOBARBITAL 65 MG/ML VIAL
MICRODON 2X4 SURGICAL DRSNG
STERILE WOUND CARE SKIN BAR
CRESTOR 20 MG TABLET
VAGIFEM 25 MCG VAGINAL TAB
TIAZAC 420 MG CAPSULE SA
TIAZAC 420 MG CAPSULE SA
CRESTOR 20 MG TABLET
CRESTOR 20 MG TABLET
CRESTOR 20 MG TABLET
DURATUSS TABLET
SUR-FIT NATURA STOMAHESIVE
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE UROSTOMY POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE 35MM POUCH
SUR-FIT AUTOLOCK DURAHESIVE
SUR-FIT AUTOLCK STOMAHESIVE
SUR-FIT AUTOLOCK POUCH
SUR-FIT AUTOLOCK POUCH
SUR-FIT AUTOLOCK INSERTS

DOSE FORM DRUG STRENGTH


TZ
CE
SO
SO
TA
TZ
TZ
TZ
CE
TZ
TZ
HH
CE
CE
CE
CE
SO
HS
TA
TA
TA
TA
TA
SJ
TA
TA
TA
TA
CS
CS
CS
KA
HV
YE
EA
TA
TA
CS
CS
TA
TA
TA
TM
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
1.44
$
1.44
$
1.44
$
1.44
$
1.44
$
1.44
$
1.44
$
1.44
$
1.44
$
1.44
$
1.44
$
1.44
$
1.44
$
1.44
$
1.44
$
1.44
$
1.44
$
1.44
$
1.45
$
1.45
$
1.45
$
1.45
$
1.45
$
1.45
$
1.45
$
1.45
$
1.45
$
1.45
$
1.45
$
1.45
$
1.45
$
1.45
$
1.45
$
1.45
$
1.45
$
1.45
$
1.45
$
1.45
$
1.45
$
1.45
$
1.45
$
1.45
$
1.45
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46

NDC
00003401677
00003404011
00003405479
00049496050
00052010630
00052010693
00186025002
00314078670
00555024171
08380008515
08380008595
08380008747
08380016307
08380016707
08395041360
08395048360
08395048460
08395078360
08395078460
08395081360
11701088676
11701088695
11701090486
11701090614
11701092072
54002014913
54002014915
54002014918
54868422700
54868437200
54868437201
55887051920
55887051930
55887051960
55887051990
58016066400
58016066430
58016066460
58016066490
66993070930
68071004060
68115076550
68115092030
00004024515
00029607447
00186000231
00247007730
08080391300
49326041490
49326050390
50486001010
50486001012
50486001313

NAME
SUR-FIT AUTOLOCK POUCH
SUR-FIT NATURA CONVEX INSRT
STOMAHESIVE SKIN BARRIER
ZOLOFT 25 MG TABLET
REMERON 15 MG SOLTAB
REMERON 15 MG SOLTAB
XYLOCAINE 2%/EPI 1:200,000
ESTRADIOL/TESTOSTERONE VIAL
MIRTAZAPINE 15 MG RPD DISLV TB
PREMIER LNR DRAINABLE POUCH
PREMIER LNR DRAINABLE POUCH
PREMIER SKN BARR/FLNG 1.375
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXTEND BARRIER
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ASSURA 2PC CONVEX LIGHT FLANGE
ASSURA EXTRA CONVEX FLANGE
ASSURA AC CONVEX BASEPLATE
EASICLOSE WIDE OUTLET 1-PC
ASSURA CONVEX STANDARD
HYPERION TAPELESS DRESSING
HYPERION TAPELESS DRESSING
HYPERION TAPELESS DRESSING
REMERON 15 MG SOLTAB
ZOLOFT 25 MG TABLET
ZOLOFT 25 MG TABLET
ZOLOFT 25 MG TABLET
ZOLOFT 25 MG TABLET
ZOLOFT 25 MG TABLET
ZOLOFT 25 MG TABLET
ZOLOFT 25 MG TABLET
ZOLOFT 25 MG TABLET
ZOLOFT 25 MG TABLET
ZOLOFT 25 MG TABLET
MIRTAZAPINE 15 MG RPD DISLV TB
ZOLOFT 25 MG TABLET
ZOLOFT 25 MG TABLET
REMERON 15 MG SOLTAB
INVIRASE 200 MG CAPSULE
AUGMENTIN 250-62.5 TAB CHEW
LEXXEL 5-2.5 MG TABLET SA
AUGMENTIN 250-62.5 TAB CHEW
HEAVY DRAINAGE DRESSNG STRL
ALBATUSSIN SR CAPLET
ALBATUSSIN SR F CAPLET SA
CLEAN SIGHTS TISSUE MINIPAK
CLEAN SIGHTS TISSUE MINIPAK
CLEAN SIGHTS TISSUE DISPNSR

DOSE FORM DRUG STRENGTH


EA
EA
EA
TA
UL
UL
HH
HV
UL
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
YE
YE
YE
UL
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
UL
TA
TA
UL
CA
TC
TS
TC
ZP
TM
TM
ZP
ZP
ZP

UNIT PRICE
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.46
$
1.47
$
1.47
$
1.47
$
1.47
$
1.47
$
1.47
$
1.47
$
1.47
$
1.47
$
1.47

NDC
52959002230
54092038101
54569424201
54868170901
54868369900
54868369901
54868369902
54868500700
55045137308
58016178012
58016178015
58016178030
63323001410
64894080550
66116067930
00002841501
00002861501
00002951501
00003161412
00004015549
00008083601
00008083603
00046086581
00046086591
00065025915
00085128001
00169183511
00173038879
00206882202
00407076604
00516005250
00555093456
00555093486
08026118353
08026118575
08026732600
08080796000
08219791100
08219796000
11584010501
32849070501
49756101818
49756105106
49756105107
49756105125
49999059915
50458039060
50458039660
52959038830
54569172901
54569523100
54868017501
54868045203

NAME
AUGMENTIN 250-62.5 TAB CHEW
ADDERALL XR 5 MG CAPSULE SA
INVIRASE 200 MG CAPSULE
AUGMENTIN 250-62.5 TAB CHEW
INVIRASE 200 MG CAPSULE
INVIRASE 200 MG CAPSULE
INVIRASE 200 MG CAPSULE
ADDERALL XR 5 MG CAPSULE SA
AUGMENTIN 250-62.5 TAB CHEW
AUGMENTIN 250-62.5 TAB CHEW
AUGMENTIN 250-62.5 TAB CHEW
AUGMENTIN 250-62.5 TAB CHEW
M.T.E.-7 VIAL
HECTOROL 0.5 MCG CAPSULE
AUGMENTIN 250-62.5 TAB CHEW
HUMULIN L 100 UNITS/ML VIAL
HUMULIN U 100 UNITS/ML VIAL
HUMULIN 50/50 VIAL
BARACLUDE 0.05 MG/ML SOLUTION
ACCUTANE 10 MG CAPSULE
EFFEXOR XR 150 MG CAPSULE SA
EFFEXOR XR 150 MG CAPSULE SA
PREMARIN 2.5 MG TABLET
PREMARIN 2.5 MG TABLET
GONIOSCOPIC PRISM SOLN
CLARINEX 5 MG REDITABS
NOVOLIN L 100 UNITS/ML VIAL
BECONASE AQ 0.042% SPRAY
ZOSYN 4/0.5 GRAM PRE-MIX BAG
HYPAQUE 50% VIAL
POTABA ENVULE 2 GM
CLARAVIS 10 MG CAPSULE
CLARAVIS 10 MG CAPSULE
EXU-DRY WOUND DRESS 2"
EXU-DRY DRESSING 2"
ALLEVYN CAVITY DRESSING 2"
CURITY GAUZE BURN DRESSING
CURITY GAUZE BURN DRESSING
CURITY GAUZE BURN DRESSING
DESPEC DM TABLET
NOVOLIN L 100 UNITS/ML VIAL
DRY GAUZE BANDAGE,FINE MESH
DRY BURN DRESSING,WIDE MESH
DRY BURN DRESSING,WIDE MESH
DRY BURN DRESSING,WIDE MESH
EFFEXOR XR 150 MG CAPSULE SA
REMINYL 4 MG TABLET
RAZADYNE 4 MG TABLET
EFFEXOR XR 150 MG CAPSULE SA
BECONASE AQ 0.042% SPRAY
EFFEXOR XR 150 MG CAPSULE SA
BECONASE AQ 0.042% SPRAY
PREMARIN 2.5 MG TABLET

DOSE FORM DRUG STRENGTH


TC
CC
CA
TC
CA
CA
CA
CC
TC
TC
TC
TC
HV
CA
TC
HV
HV
HV
SJ
CA
CC
CC
TA
TA
SO
UL
HV
AQ
HK
HV
PP
CA
CA
YE
YE
YE
YE
YE
YE
TM
HV
YE
YE
YE
YE
CC
TA
TA
CC
AQ
CC
AQ
TA

UNIT PRICE
$
1.47
$
1.47
$
1.47
$
1.47
$
1.47
$
1.47
$
1.47
$
1.47
$
1.47
$
1.47
$
1.47
$
1.47
$
1.47
$
1.47
$
1.47
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48

NDC
54868425200
54868425201
54868425202
54868425203
54868503200
54868530500
55860007326
55887081125
58016061600
58016061630
58016061660
58016061690
58016645101
58864075630
60258084150
61570017601
62794061188
62794061193
63304058431
63304058477
68115047815
68115087800
00006057465
00074401801
00074419409
00264902410
00264902510
00264902601
00264902701
00264904401
00264904501
00264904601
00264904701
00264904801
03466050137
03466050144
08021333026
08021333290
08021333300
08193100576
08193120001
08193120101
08193120501
08193121002
08193122001
08193160001
08193160101
08193160501
08193161002
08193162001
08290005081
08290005164
08333358901

NAME
EFFEXOR XR 150 MG CAPSULE SA
EFFEXOR XR 150 MG CAPSULE SA
EFFEXOR XR 150 MG CAPSULE SA
EFFEXOR XR 150 MG CAPSULE
REMINYL 4 MG TABLET
AMNESTEEM 10 MG CAPSULE
ALLEVYN CAV 5CM CIRC DRESS
BECONASE AQ 0.042% SPRAY
EFFEXOR XR 150 MG CAPSULE SA
EFFEXOR XR 150 MG CAPSULE SA
EFFEXOR XR 150 MG CAPSULE SA
EFFEXOR XR 150 MG CAPSULE SA
BECONASE AQ 0.042% SPRAY
EFFEXOR XR 150 MG CAPSULE SA
AMINOBENZOATE POT ENVULE 2 GM
CORZIDE 80/5 TABLET
AMNESTEEM 10 MG CAPSULE
AMNESTEEM 10 MG CAPSULE
SOTRET 10 MG CAPSULE
SOTRET 10 MG CAPSULE
EFFEXOR XR 150 MG CAPSULE SA
EFFEXOR XR 150 MG CAPSULE SA
CRIXIVAN 333 MG CAPSULE
BATTERIES, SIX VOLT (PAIR)
PRESSURE INFUSION CUFF
CARRYING POUCH 100 ML SIZE
CARRYING POUCH 200 ML SIZE
FILLING TRAY
HAND FILLER(FILLING DEVICE)
MCGAW CUST PAT PAL IV STAND
MCGAW CUSTOM IV STAND
MCGAW CUST MULTI-DEV STAND
MCGAW CUSTOM UTILITY STAND
MCGAW HOME CARE IV STAND
LIBERTY 100 CARRYING CASE
LIBERTY 100 INFUSER CRANK
ATRAUCAN SPINAL NEEDLE
SPINOCAN NDL/QUINCKE BEVEL
SPINOCAN SPINAL NEEDLE
PTS PANELS TEST STRIP
BIOSCANNER CHOLESTEROL STRP
BIOSCANNER CHOLESTEROL STRP
BIOSCANNER CHOLESTEROL STRP
BIOSCANNER CHOLESTEROL STRP
BIOSCANNER CHOLESTEROL STRP
BIOSCANNER KETONE STRIPS
BIOSCANNER KETONE STRIPS
BIOSCANNER KETONE STRIPS
BIOSCANNER KETONE STRIPS
BIOSCANNER KETONE STRIPS
YALE SPINAL NEEDLE 27GX31/2"
YALE SPINAL NEEDLE 26GX31/2"
TEGADERM 3.5"X 6" DRESSING

DOSE FORM DRUG STRENGTH


CC
CC
CC
CC
TA
CA
YE
AQ
CC
CC
CC
CC
AQ
CC
PP
TA
CA
CA
CA
CA
CC
CC
CA
ZA
ZA
ZA
ZA
ZA
ZA
ZA
ZA
ZA
ZA
ZA
ZA
ZA
YH
YH
YH
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YR
YH
YH
YE

UNIT PRICE
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.48
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49

NDC
11298000620
17191000602
17191000607
17191000608
17191000609
17191000610
17191000611
17191000612
17191000621
17191000627
17317009502
17317057401
17317057404
49452176001
49452176002
49452736001
49452736002
49452736003
49452775001
49452775002
49452775003
50458039160
50458039760
54868511100
57599881508
57599969608
63395010111
76300010401
93815098815
93815099879
00052010830
00052010893
00054003621
00054003721
00074258611
00074258660
00074336811
00074336860
00247011502
00247011508
00247011510
00247011514
00247011520
00247045810
00247045820
00270131705
00555024271
00904300605
08080339400
08080704600
08080714000
08137007913
08219339400

NAME
DOSE FORM DRUG STRENGTH
SQUEEZE BOTTLE EMPTY 90 ML
EA
MINIBORE ADMINSTRATION SET
ZA
MINIBORE ADMINSTRATION SET
ZA
MINIBORE ADMIN Y-SITE SET
ZA
MICROFUSE MINIBORE ADMIN SET
ZA
MICROFUSE MINIBORE ADMIN SET
ZA
MICROFUSE MINIBORE ADMIN SET
ZA
MICROFUSE MINIBORE ADMIN SET
ZA
WAIST PACK FOR INFUSER
ZA
POLE CLAMP FOR INFUSER
ZA
CARMINE #40 POWDER
PA
THIMEROSAL POWDER
PA
THIMEROSAL POWDER
PA
CARMINE (NAT RED 4) POWDER
PA
CARMINE (NAT RED 4) POWDER
PA
STRYCHNINE HCL POWDER
PA
STRYCHNINE HCL POWDER
PA
STRYCHNINE HCL POWDER
PA
THIMEROSAL POWDER
PA
THIMEROSAL POWDER
PA
THIMEROSAL POWDER
PA
REMINYL 8 MG TABLET
TA
RAZADYNE 8 MG TABLET
TA
REMINYL 8 MG TABLET
TA
PRECISION XTR B-KETONE STRP
YR
PRECISION XTRA BLOOD KETONE TEST STRIP
ST
FLOXIN OTIC SINGLES
DP
1.5 VOLT BATTERIES #357
ZA
PRECISION XTR B-KETONE STRP
YR
PRECISION XTR B-KETONE STRP
YR
REMERON 30 MG SOLTAB
UL
REMERON 30 MG SOLTAB
UL
CLARITHROMYCIN 250 MG TABLET
TA
CLARITHROMYCIN 500 MG TABLET
TA
BIAXIN 500 MG TABLET
TA
BIAXIN 500 MG TABLET
TA
BIAXIN 250 MG TABLET
TA
BIAXIN 250 MG TABLET
TA
BIAXIN 500 MG TABLET
TA
BIAXIN 500 MG TABLET
TA
BIAXIN 500 MG TABLET
TA
BIAXIN 500 MG TABLET
TA
BIAXIN 500 MG TABLET
TA
BIAXIN 250 MG TABLET
TA
BIAXIN 250 MG TABLET
TA
ISOVUE-250 51% VIAL
HV
MIRTAZAPINE 30 MG RPD DISLV TB
UL
DEXAMETHASONE 0.1% EYE DROP
SO
TENDERSKIN PAPER TAPE
YT
CURITY STANDARD POROUS TAPE
YT
CURASILK CLOTH TAPE
YT
J&J ELASTIC BANDAGE 3"X4YDS
YE
TENDERSKIN PAPER TAPE
YT

UNIT PRICE
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.49
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50

NDC
08219611400
08219704600
08219714000
08219853600
08333053003
08333152703
08333153003
08333153503
08333153803
10356009352
12280006460
24208072002
49999040720
50428125930
50458039260
50458039860
51119000177
52959023010
52959023020
52959028803
52959044210
52959044214
52959044220
54022800201
54022800202
54092038901
54569122400
54569343900
54569343901
54569343903
54569355600
54799052505
54868233800
54868233801
54868233803
54868233806
54868233807
54868312900
54868382000
54868488900
55289000810
55289000820
55289002110
55289002114
55289002120
55289002128
55390013110
55390080610
56091002014
56091005107
56091005146
56091005163
56091005183

NAME
CURITY NON-ADHERING DRESS
CURITY STANDARD POROUS TAPE
CURASILK CLOTH TAPE
CURITY CLEAR TAPE
MICROPORE SURGICAL TAPE
TRANSPORE SURGICAL TAPE
MICROPORE SURGICAL TAPE
MICROPORE SURGICAL TAPE
DURAPORE SURGICAL TAPE
LEUKOFIX SURGICAL TAPE
BIAXIN 500 MG TABLET
DEXAMETHASONE 0.1% EYE DROP
BIAXIN 500 MG TABLET
CVS STRETCH BANDAGE 3"X4YDS
REMINYL 12 MG TABLET
RAZADYNE 12 MG TABLET
MICROPORE PAPER SURG TAPE
BIAXIN 500 MG TABLET
BIAXIN 500 MG TABLET
DEXAMETHASONE 0.1% EYE DROP
BIAXIN 250 MG TABLET
BIAXIN 250 MG TABLET
BIAXIN 250 MG TABLET
COENZYME Q10 200 MG TABLET
COENZYME Q10 200 MG TABLET
ADDERALL XR 25 MG CAPSULE SA
DEXAMETHASONE 0.1% EYE DROP
BIAXIN 500 MG TABLET
BIAXIN 500 MG TABLET
BIAXIN 500 MG TABLET
BIAXIN 250 MG TABLET
DEXASOL 0.1% EYE DROPS
BIAXIN 500 MG TABLET
BIAXIN 500 MG TABLET
BIAXIN 500 MG TABLET
BIAXIN 500 MG TABLET
BIAXIN 500 MG TABLET
AK-DEX 0.1% EYE DROPS
BIAXIN 250 MG TABLET
REMERON 30 MG SOLTAB
BIAXIN 250 MG TABLET
BIAXIN 250 MG TABLET
BIAXIN 500 MG TABLET
BIAXIN 500 MG TABLET
BIAXIN 500 MG TABLET
BIAXIN 500 MG TABLET
CYTARABINE 100 MG VIAL
CYTARABINE 100 MG VIAL
ADAPTIC DRESSING 3" X 16"
ZONAS POROUS TAPE 3"X10YDS
DERMICEL CLOTH TAPE
DERMIVIEW TRANSPARENT TAPE
DERMIFORM KNITTED TAPE 3"

DOSE FORM DRUG STRENGTH


YE
YT
YT
YT
YT
YT
YT
YT
YT
YT
TA
SO
TA
YE
TA
TA
YT
TA
TA
SO
TA
TA
TA
TA
TA
CC
SO
TA
TA
TA
TA
SO
TA
TA
TA
TA
TA
SO
TA
UL
TA
TA
TA
TA
TA
TA
HS
HS
YE
YT
YT
YT
YT

UNIT PRICE
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50

NDC
57866800101
57866800102
57866800103
58016055012
58016055014
58016602401
58864006720
61314029405
63304072501
63304072560
63304072601
63304072660
65628006101
66116016320
66116027320
66116068320
66267003414
66267003420
66993071130
68030800101
68030800102
68030800103
68115004714
68115004720
68115084730
68774012060
68774012260
96295010934
00023915615
00023915630
00023915660
00023923630
00037170803
00037170810
00037630103
00037630110
00074170248
00074172378
00074172602
00074172858
00074187958
00074188148
00074496568
00074496668
00074896748
00264907950
00264908550
00264909620
00264909920
00264910320
00264910420
00264942250
00300154330

NAME
BIAXIN 500 MG TABLET
BIAXIN 500 MG TABLET
BIAXIN 500 MG TABLET
BIAXIN 500 MG TABLET
BIAXIN 500 MG TABLET
DEXAMETHASONE 0.1% EYE DROP
BIAXIN 500 MG TABLET
DEXAMETHASONE 0.1% EYE DROP
CLARITHROMYCIN 250 MG TABLET
CLARITHROMYCIN 250 MG TABLET
CLARITHROMYCIN 500 MG TABLET
CLARITHROMYCIN 500 MG TABLET
FIRST-PROGESTERONE VGS 50 SUPP
BIAXIN 250 MG TABLET
BIAXIN 500 MG TABLET
BIAXIN 500 MG TABLET
BIAXIN 500 MG TABLET
BIAXIN 500 MG TABLET
MIRTAZAPINE 30 MG RPD DISLV TB
BIAXIN 500 MG TABLET
BIAXIN 500 MG TABLET
BIAXIN 500 MG TABLET
BIAXIN 500 MG TABLET
BIAXIN 500 MG TABLET
REMERON 30 MG SOLTAB
CLARITHROMYCIN 250 MG TABLET
CLARITHROMYCIN 500 MG TABLET
ELASTIC BANDAGE 3"
TAZORAC 0.1% CREAM
TAZORAC 0.1% CREAM
TAZORAC 0.1% CREAM
AVAGE 0.1% CREAM
RYNA-12X TABLET
RYNA-12X TABLET
SINA-12X TABLET
SINA-12X TABLET
VENOSET SECONDARY
VENOSET 100 MICRODIP W/CAIR NVAMP
SOLUSET 100X15 W/CAIR CLAMP
NONVENTED IV SET 100 W/CLMP
VENOSET T-TYPE W/CAIR CLAMP
VENOSET 78 WITH CIAR CLAMP
SOLUSET 100X60 W/CAIR CLAMP
SOLUSET 150X60 W/CAIR CLAMP
VENOSET 90 WITH CAIR CLAMP
LIPID ADMINISTRATION SET
IV ADMIN SET W/ACCUCLAMP
METRISET MINIDROP SET/FLOAT
METRISET MINIDROP SET/FLOAT
METRISET MINIDROP SET/FLOAT
METRISET MINIDROP/FILTER
METRISET MINI-DROP SET
PREVACID 15 MG SOLUTAB

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
SO
TA
SO
TA
TA
TA
TA
QC
TA
TA
TA
TA
TA
UL
TA
TA
TA
TA
TA
UL
TA
TA
YE
KA
KA
KA
KA
TA
TA
TA
TA
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
UJ

UNIT PRICE
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.50
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51

NDC
00300154430
00300730930
00300731130
00713053301
00713053325
08021000013
08021000014
08021000015
08021000016
08021000017
08021000018
08021000019
08021000020
08021000021
08021000023
08021000024
08021000025
08021000026
08021000035
08021000036
08021000037
08021000038
08021000058
08021000060
08021000061
08021351510
08021351511
54569545900
58864067930
64455010510
64455010530
64455010590
66346014123
66346014223
00003518311
00003518411
00008092681
00075001600
00212283378
00310075430
00310075590
12280002115
12280002130
49999060415
51234015490
52959072700
52959072710
52959072730
54092038301
54092038501
54569483700
54868189000
54868443100

NAME
PREVACID 30 MG SOLUTAB
PREVACID 15 MG SUSPENSION DR
PREVACID 30 MG SUSPENSION DR
CHLORAL HYDRATE 500 MG SUPP
CHLORAL HYDRATE 500 MG SUPP
IV ADMINSTRATION SET
ULTRASITE IV ADMIN SET
IV ADMINSTRATION SET
IV ADMINSTRATION SET
IV ADMINSTRATION SET
ANESTHESIA IV SET
IV ADMINSTRATION SET
ANESTHESIA IV ADMIN SET
ULTRASITE FILTERFLOW IV SET
PRIMARY IV SET
ULTRASITE PRIMARY IV SET
METRISET ADD-ON BURETTE SET
METRISET BURETTE SET
ULTRASITE ADDITIV IV SET
ULTRASITE ADDITIV IV SET
IV ADMINSTRATION SET
IV ADMINSTRATION SET
ULTRASITE HORIZON PUMP SET
ULTRASITE NDL-FREE IV SET
ULTRASITE PRIMARY IV SET
VENTED ANESTHESIA SET,114"
VENTED ANESTHESIA SET,123"
TAZORAC 0.1% CREAM
PREVACID 15 MG SOLUTAB
CARDIZEM LA 420 MG TABLET
CARDIZEM LA 420 MG TABLET
CARDIZEM LA 420 MG TABLET
VIRAVAN DM TABLET CHEWABLE
VIRAVAN DM TABLET CHEWABLE
PRAVIGARD PAC 81-80 MG TAB
PRAVIGARD PAC 325-80 MG TAB
SONATA 10 MG CAPSULE
DDAVP 0.1 MG TABLET
RESOURCE GLUTASOLVE PACKET
CRESTOR 40 MG TABLET
CRESTOR 5 MG TABLET
SONATA 10 MG CAPSULE
SONATA 10 MG CAPSULE
SONATA 10 MG CAPSULE
RICOBID TABLET SA
SONATA 10 MG CAPSULE
SONATA 10 MG CAPSULE
SONATA 10 MG CAPSULE
ADDERALL XR 10 MG CAPSULE SA
ADDERALL XR 15 MG CAPSULE SA
SONATA 10 MG CAPSULE
CRESTOR 40 MG TABLET
SONATA 10 MG CAPSULE

DOSE FORM DRUG STRENGTH


UJ
DS
DS
QA
QA
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
KA
UJ
TI
TA
TA
TC
TC
TA
TA
CA
TA
PP
TA
TA
CA
CA
CA
TS
CA
CA
CA
CC
CC
CA
TA
CA

UNIT PRICE
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.51
$
1.52
$
1.52
$
1.52
$
1.52
$
1.52
$
1.52
$
1.52
$
1.52
$
1.52
$
1.52
$
1.52
$
1.52
$
1.52
$
1.52
$
1.52
$
1.52
$
1.52
$
1.52
$
1.52

NDC
54868443101
54868443102
54868476000
54868476001
54868476002
54868514000
54868514001
58016059600
58016059630
58016059660
58016059690
60793014656
68115083300
00004592001
00056047330
00074347023
00187093801
08219361600
08219420400
17314585102
38779022701
38779022704
38779022705
49452488101
49452488102
49452488103
51552074002
51552074004
54092038701
54092039101
54868464000
54868464001
54868475900
54868475901
54868475902
54868475903
54868514200
54868514201
57866705701
57866705702
62991104601
62991104603
63370008515
63370008525
63370008535
65628006201
00008083701
00008083703
00015050301
00015050302
00054413025
00054813025
00074212201

NAME
SONATA 10 MG CAPSULE
SONATA 10 MG CAPSULE
ADDERALL XR 10 MG CAPSULE
ADDERALL XR 10 MG CAPSULE SA
ADDERALL XR 10 MG CAPSULE
ADDERALL XR 15 MG CAPSULE SA
ADDERALL XR 15 MG CAPSULE SA
SONATA 10 MG CAPSULE
SONATA 10 MG CAPSULE
SONATA 10 MG CAPSULE
SONATA 10 MG CAPSULE
SONATA 10 MG CAPSULE
SONATA 10 MG CAPSULE
TASMAR 100 MG TABLET
SUSTIVA 100 MG CAPSULE
TOBRAMYCIN 80 MG/0.9% NACL
TASMAR 100 MG TABLET
TENSOR ELASTIC BANDAGE 4"
TENSOR ELASTIC BANDAGE 4"
CONCERTA 36 MG TABLET SA
DILTIAZEM HCL POWDER
DILTIAZEM HCL POWDER
DILTIAZEM HCL POWDER
DILTIAZEM HCL POWDER
DILTIAZEM HCL POWDER
DILTIAZEM HCL POWDER
DILTIAZEM HCL POWDER
DILTIAZEM HCL POWDER
ADDERALL XR 20 MG CAPSULE SA
ADDERALL XR 30 MG CAPSULE SA
ADDERALL XR 20 MG CAPSULE SA
ADDERALL XR 20 MG CAPSULE SA
CONCERTA 36 MG TABLET SA
CONCERTA 36 MG TABLET SA
CONCERTA 36 MG TABLET SA
CONCERTA 36 MG TABLET SA
ADDERALL XR 30 MG CAPSULE
ADDERALL XR 30 MG CAPSULE
CONCERTA 36 MG TABLET SA
CONCERTA 36 MG TABLET SA
DILTIAZEM HCL POWDER
DILTIAZEM HCL POWDER
DILTIAZEM HCL POWDER
DILTIAZEM HCL POWDER
DILTIAZEM HCL POWDER
FIRST-PROGESTERONE VGS 100 SUP
EFFEXOR XR 37.5 MG CAP SA
EFFEXOR XR 37.5 MG CAP SA
CYTOXAN 50 MG TABLET
CYTOXAN 50 MG TABLET
CYCLOPHOSPHAMIDE 50 MG TAB
CYCLOPHOSPHAMIDE 50 MG TAB
ENALAPRILAT 1.25 MG/ML VIAL

DOSE FORM DRUG STRENGTH


CA
CA
CC
CC
CC
CC
CC
CA
CA
CA
CA
CA
CA
TA
CA
HP
TA
YE
YE
TZ
PA
PA
PA
PA
PA
PA
PA
PA
CC
CC
CC
CC
TZ
TZ
TZ
TZ
CC
CC
TZ
TZ
PA
PA
PA
PA
PA
QC
CC
CC
TA
TA
TA
TA
HV

UNIT PRICE
$
1.52
$
1.52
$
1.52
$
1.52
$
1.52
$
1.52
$
1.52
$
1.52
$
1.52
$
1.52
$
1.52
$
1.52
$
1.52
$
1.53
$
1.53
$
1.53
$
1.53
$
1.53
$
1.53
$
1.53
$
1.53
$
1.53
$
1.53
$
1.53
$
1.53
$
1.53
$
1.53
$
1.53
$
1.53
$
1.53
$
1.53
$
1.53
$
1.53
$
1.53
$
1.53
$
1.53
$
1.53
$
1.53
$
1.53
$
1.53
$
1.53
$
1.53
$
1.53
$
1.53
$
1.53
$
1.53
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54

NDC
00074212202
00074436505
00074436510
00074437520
00074437550
00074806615
00078042405
00173069600
00173069602
00409212213
00409212288
00574704512
00998022115
10019009203
10019009204
10019009503
10019009504
10939052322
10939052422
10939052522
10939052622
11822243680
11822243690
11822243700
11822243710
24385044010
24385044074
24385068410
24385068474
36800033604
36800033605
36800033617
37205003612
37205003674
37205003712
37205003774
38779017101
38779017104
38779017105
38779017108
38779017109
38779055903
38779055904
38779055905
41163044010
41163044074
41163068410
41163068474
49452455501
49452455502
49452455503
51552007905
51927214800

NAME
ENALAPRILAT 1.25 MG/ML VIAL
MIVACRON 2 MG/ML VIAL
MIVACRON 2 MG/ML VIAL
MIVACRON 2 MG/ML VIAL
MIVACRON 2 MG/ML VIAL
TUBOCURARINE CL 3 MG/ML SYRN
RITALIN LA 10 MG CAPSULE
ADVAIR 250/50 DISKUS
ADVAIR 250/50 DISKUS
ENALAPRILAT 1.25 MG/ML VIAL
ENALAPRILAT 1.25 MG/ML VIAL
BELLADONNA & OPIUM SUPPOS
ISOPTO CARBACHOL 0.75% DROPS
ENALAPRILAT 1.25 MG/ML VIAL
ENALAPRILAT 1.25 MG/ML VIAL
ENALAPRILAT 1.25 MG/ML VIAL
ENALAPRILAT 1.25 MG/ML VIAL
NICOTINE 11 MG/24HR PATCH
NICOTINE 11 MG/24HR PATCH
NICOTINE 22 MG/24HR PATCH
NICOTINE 22 MG/24HR PATCH
RA NICOTINE 11 MG/24HR PATCH
RA NICOTINE 22 MG/24HR PATCH
RA NICOTINE 11 MG/24HR PATCH
RA NICOTINE 22 MG/24HR PATCH
NICOTINE 11 MG/24HR PATCH
NICOTINE 11 MG/24HR PATCH
NICOTINE 22 MG/24HR PATCH
NICOTINE 22 MG/24HR PATCH
NICOTINE 22 MG/24HR PATCH
NICOTINE 22 MG/24HR PATCH
NICOTINE 11 MG/24HR PATCH
NICOTINE 11 MG/24HR PATCH
NICOTINE 11 MG/24HR PATCH
NICOTINE 22 MG/24HR PATCH
NICOTINE 22 MG/24HR PATCH
METAPROTERENOL SULFATE PWDR
METAPROTERENOL SULFATE PWDR
METAPROTERENOL SULFATE PWDR
METAPROTERENOL SULFATE PWDR
METAPROTERENOL SULFATE PWDR
TRAZODONE HCL POWDER
TRAZODONE HCL POWDER
TRAZODONE HCL POWDER
SOBA NICOTINE 11 MG/24HR PAT
SOBA NICOTINE 11 MG/24HR PAT
SOBA NICOTINE 22 MG/24HR PAT
SOBA NICOTINE 22 MG/24HR PAT
METAPROTERENOL SULFATE PWDR
METAPROTERENOL SULFATE PWDR
METAPROTERENOL SULFATE PWDR
METAPROTERENOL SULFATE PWDR
TRAZODONE HCL POWDER

DOSE FORM DRUG STRENGTH


HV
HV
HV
HV
HV
HQ
CH
GK
GK
HV
HV
QA
SO
HV
HV
HV
HV
PV
PV
PV
PV
PV
PV
PV
PV
PV
PV
PV
PV
PV
PV
PV
PV
PV
PV
PV
PA
PA
PA
PA
PA
PA
PA
PA
PV
PV
PV
PV
PA
PA
PA
PA
PA

UNIT PRICE
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54

NDC
54022209101
54022209105
54569524200
54868450400
54868450401
54868451700
55289086930
55390001010
55390001110
56039044010
56039044074
56039068410
56039068474
58016076500
58016076530
58016076560
58016076590
58016460401
58864069530
58864069630
61451501507
61451501508
61703023716
61703023744
62991109901
62991109902
62991109903
62991109904
62991109905
62991109906
63370015320
63370015325
63370015335
63459041601
68040070426
68115092460
68115097400
87701089455
87701089458
87701089459
87701089466
87701089467
87701089468
87701089469
87701089471
00002050101
00002898801
00003151437
00003151451
00003154579
00003650074
00003650075
00026060320

NAME
COENZYME Q10 200 MG WAFER
COENZYME Q10 200 MG WAFER
ADVAIR 250/50 DISKUS
EFFEXOR XR 37.5 MG CAPSULE
EFFEXOR XR 37.5 MG CAPSULE
ADVAIR 250/50 DISKUS
EFFEXOR XR 37.5 MG CAPSULE
ENALAPRILAT 1.25 MG/ML VIAL
ENALAPRILAT 1.25 MG/ML VIAL
NICOTINE 11 MG/24HR PATCH
NICOTINE 11 MG/24HR PATCH
NICOTINE 22 MG/24HR PATCH
NICOTINE 22 MG/24HR PATCH
EFFEXOR XR 37.5 MG CAP SA
EFFEXOR XR 37.5 MG CAP SA
EFFEXOR XR 37.5 MG CAP SA
EFFEXOR XR 37.5 MG CAP SA
ADVAIR 250/50 DISKUS
EFFEXOR XR 37.5 MG CAP SA
EFFEXOR XR 37.5 MG CAP SA
B & O SUPPRETTES NO.15-A
B & O SUPPRETTES NO.15-A
ENALAPRILAT 1.25 MG/ML VIAL
ENALAPRILAT 1.25 MG/ML VIAL
METAPROTERENOL SULFATE PWDR
METAPROTERENOL SULFATE PWDR
METAPROTERENOL SULFATE PWDR
METAPROTERENOL SULFATE PWDR
METAPROTERENOL SULFATE PWDR
METAPROTERENOL SULFATE PWDR
METAPROTERENOL SULFATE PWDR
METAPROTERENOL SULFATE PWDR
METAPROTERENOL SULFATE PWDR
GABITRIL 16 MG TABLET
NOVACORT GEL
ADVAIR 250/50 DISKUS
EFFEXOR XR 37.5 MG CAP SA
GNP NICOTINE 11 MG/24HR PTCH
GNP NICOTINE 11 MG/24HR PTCH
GNP NICOTINE 22 MG/24HR PTCH
GNP NICOTINE 22 MG/24HR PTCH
BL NICOTINE 11 MG/24HR PATCH
BL NICOTINE 11 MG/24HR PATCH
BL NICOTINE 22 MG/24HR PATCH
BL NICOTINE 22 MG/24HR PATCH
NEBCIN PED 10 MG/ML VIAL
TOBRAMYCIN 10 MG/ML VIAL
TUBIGRIP ELASTIC BANDAGE
TUBIGRIP ELASTIC BANDAGE
TUBIPAD LIMB BANDAGE,SMALL
LITTLE ONES URINE COLLECTOR
LITTLE ONES URINE COLLECTOR
THROMBATE III 500 UNIT VIAL

DOSE FORM DRUG STRENGTH


TW
TW
GK
CC
CC
GK
CC
HV
HV
PV
PV
PV
PV
CC
CC
CC
CC
GK
CC
CC
QA
QA
HV
HV
PA
PA
PA
PA
PA
PA
PA
PA
PA
TA
JG
GK
CC
PV
PV
PV
PV
PV
PV
PV
PV
HV
HV
YE
YE
YE
EA
EA
HS

UNIT PRICE
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.54
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55

NDC
00026060330
00054340840
00074357701
00074448148
00074651401
00078036405
00263514801
00270131525
00270131530
00409357701
00766109214
00832008600
08011165824
08011166824
08011806324
08011806524
08021471973
08080142400
08080142600
08080142700
08080143100
08080162400
08080162600
08080162800
08080163100
08080272300
08080282400
08080282600
08080357000
08080357300
08080357500
08080357700
08080361800
08080361900
08080362300
08080363100
08080404000
08080434000
08080842400
08219142400
08219142600
08219142700
08219143100
08219162400
08219162600
08219162800
08219163100
08219272300
08219282400
08219282600
08219357000
08219357300
08219357500

NAME
THROMBATE III 1,000 UNITS VIAL
ISOETHARINE 1% SOLUTION
TOBRAMYCIN 10 MG/ML VIAL
EXTENSION SET
PCA EXTENSION SET
LOTREL 10/20 MG CAPSULE
PANAFIL-WHITE OINTMENT
ISOVUE-300 61% VIAL
ISOVUE-300 61% VIAL
TOBRAMYCIN 10 MG/ML VIAL
ESOTERICA DRY SKIN BAR
ANDROXY 10 MG TABLET
BARDEX SILICON FOLEY CATHET
BARDEX SILICON FOLEY CATHET
DAVOL SILICONE FOLEY CATH
DAVOL SILICONE FOLEY CATH
SMALL BORE EXTENSION SET
CURITY ULTRAMER 2-WAY CATH
CURITY ULTRAMER 2-WAY CATH
CURITY ULTRAMER 2-WAY CATH
CURITY ULTRAMER 2-WAY CATH
CURITY ULTRAMER 2-WAY CATH
CURITY ULTRAMER 2-WAY CATH
CURITY ULTRAMER 2-WAY CATH
CURITY ULTRAMER 2-WAY CATH
CURITY ULTRMR IRRG 3WY CATH
CURITY ULTRMR IRRG 3WY CATH
CURITY ULTRMR IRRG 3WY CATH
FOLEY CATHETER
FOLEY CATHETER
FOLEY CATHETER
FOLEY CATHETER
FOLEY CATHETER
FOLEY CATHETER
FOLEY CATHETER
FOLEY CATHETER
FOLEY CATH SILICON RET 30 ML
FOLEY CATH SILICON RETN 5 ML
CURITY ULTRAMER URETH CATH
CURITY ULTRAMER CATH 24FR
CURITY ULTRAMER CATH 26FR
CURITY ULTRAMER CATH 28FR
CURITY ULTRAMER CATH 30FR
CURITY ULTRAMER CATH 24FR
CURITY ULTRAMER CATH 26FR
CURITY ULTRAMER CATH 28FR
CURITY ULTRAMER CATH 30FR
CURITY ULTRMR IRRIGATN CATH
CURITY ULTRMR IRRIGATN CATH
CURITY ULTRMR IRRIGATN CATH
KENGUARD FOLEY CATHETER
KENGUARD FOLEY CATHETER
KENGUARD FOLEY CATHETER

DOSE FORM DRUG STRENGTH


HS
SA
HV
YX
YX
CA
OA
HV
HV
HV
EB
TA
EA
EA
EA
EA
YX
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55

NDC
08219357700
08219361800
08219361900
08219362300
08219363100
08219404000
08219434000
08219754400
08219842400
08225003030
08225004030
08225264600
08225265600
08290007337
08290207461
08290207603
08290742200
08327050809
08887605247
08887605262
08887625245
08887625260
08887625286
08887625302
08887626243
08887626268
08887626284
08887626300
08887630245
08887630260
08887635244
08887635269
08887635285
08887635301
08887645243
08887645268
08887655242
08887655267
08887655283
08887655309
08887666249
08887666264
10356022409
10356047401
10356047501
10356047505
10939008933
10939009033
12280001090
17314850001
49348040891
49348041291
49756046005

NAME
KENGUARD FOLEY CATHETER
KENGUARD FOLEY CATHETER
KENGUARD FOLEY CATHETER
KENGUARD FOLEY CATHETER
KENGUARD FOLEY CATHETER
CURITY FOLEY CATHETER 24FR
CURITY FOLEY CATHETER 24FR
TELFA ISLAND DRESSING
CURITY ULTRAMER URETH CATH
ELASTIC BANDAGE 3"
ELASTIC BANDAGE 3"
URINAL,FEMALE
URINAL,MALE
ACE RUBBER ELASTIC BANDAGE
ACE ATHLETIC BANDAGE 3"
ACE VELCRO BANDAGE 3"
PEG ELASTIC BANDAGE 3"
STRATASORB WOUND DRESS 4"X14"
SILICONE FOLEY CATHETER
SILICONE FOLEY CATHETER
LATEX TEFLON COATED CATH
LATEX TEFLON COATED CATH
LATEX TEFLON COATED CATH
LATEX TEFLON COATED CATH
LATEX TEFLON COATED CATH
LATEX TEFLON COATED CATH
LATEX TEFLON COATED CATH
LATEX TEFLON COATED CATH
SILICONE FOLEY CATHETER
SILICONE FOLEY CATHETER
LATEX TEFLN COAT FOLEY CATH
LATEX TEFLN COAT FOLEY CATH
LATEX TEFLN COAT FOLEY CATH
LATEX TEFLN COAT FOLEY CATH
LATEX TEFLN COAT 3-WAY CATH
LATEX TEFLN COAT 3-WAY CATH
LATEX TEFLN COAT FOLEY CATH
LATEX TEFLN COAT FOLEY CATH
LATEX TEFLN COAT FOLEY CATH
LATEX TEFLN COAT FOLEY CATH
LATEX TEFLN COAT 3-WAY CATH
LATEX TEFLN COAT 3-WAY CATH
COVERLET O.R. ADH DRESSING
CUTINOVA HYDRO 2" X 2-3/8"
CUTINOVA THIN DRESSING
CUTINOVA FOAM DRESSING
SUNMARK ELASTIC BANDAGE 3"
SUNMARK ELASTIC BANDAGE 3"
DITROPAN XL 5 MG TABLET SA
DITROPAN XL 5 MG TABLET SA
SUNMARK ELASTIC BANDAGE 3"
SUNMARK ELASTIC BANDAGE 3"
COVADERM ISLAND DRESSING

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
YE
EA
YE
YE
EA
EA
YE
YE
YE
YE
YE
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
YE
YE
YE
YE
YE
YE
TZ
TZ
YE
YE
YE

UNIT PRICE
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55

NDC
49884068955
50428160044
50428160093
50484045107
52735084202
54569546100
54868368200
54868461000
54868461001
54868461002
54868487000
54868487001
56091001425
56091001426
56091004319
57929020057
57929020307
57929020308
57929023056
57929023057
57929023058
57929023059
57929023306
57929023307
57929023308
57929023309
58016631801
63323030502
66116021330
68115065000
76300012824
81317702500
82468011412
82468013339
87701057025
87701057037
00002416502
00002416507
00002416530
00006007228
00006007231
00006007258
00006007282
00029608612
00029608621
00093227534
00172740400
00172740410
00172740442
00247106190
00378215001
00781185220
49999017720

NAME
METHIMAZOLE 20 MG TABLET
CVS SELF-ADHERING BANDAGE
CVS ELASTIC BANDAGE 3"
COVERLET O.R. 4"X14" DRESSING
FP ATHLETIC BANDAGE 3"
DITROPAN XL 5 MG TABLET SA
ISOETHARINE 1% SOLUTION
DITROPAN XL 5 MG TABLET SA
DITROPAN XL 5 MG TABLET SA
DITROPAN XL 5 MG TABLET SA
LOTREL 10/20 MG CAPSULE
LOTREL 10/20 MG CAPSULE
PREPTIC SHAVE PREP PAK
PREPTIC 2 SHAVE PREP PAK
BAND-AID ISLAND SURG DRESS
FOLEY CATHETER-100%SILICONE
FOLEY CATHETER-100%SILICONE
FOLEY CATHETER-100%SILICONE
FOLEY CATH SILICONE COATED
FOLEY CATH SILICONE COATED
FOLEY CATH SILICONE COATED
FOLEY CATH SILICONE COATED
FOLEY CATH SILICONE COATED
FOLEY CATH SILICONE COATED
FOLEY CATH SILICONE COATED
FOLEY CATH SILICONE COATED
BRONKOSOL 1% SOLUTION
TOBRAMYCIN 10 MG/ML VIAL
DITROPAN XL 5 MG TABLET SA
LOTREL 10/20 MG CAPSULE
POLYFIN EXTENSION SET
CONTINENT URINARY CATH 30FR
FP ELASTIC BANDAGE 3"
FP ATHLETIC BANDAGE 3"
BL ELASTIC BANDAGE 3"
GNP ELASTIC BANDAGE 3"
EVISTA 60 MG TABLET
EVISTA 60 MG TABLET
EVISTA 60 MG TABLET
PROSCAR 5 MG TABLET
PROSCAR 5 MG TABLET
PROSCAR 5 MG TABLET
PROSCAR 5 MG TABLET
AUGMENTIN 875-125 TABLET
AUGMENTIN 875-125 TABLET
AMOX TR-K CLV 875-125 MG TAB
AMOX TR-K CLV 875-125 MG TAB
AMOX TR-K CLV 875-125 MG TAB
AMOX TR-K CLV 875-125 MG TAB
PROSCAR 5 MG TABLET
MECLOFENAMATE 50 MG CAPSULE
AMOX TR-K CLV 875-125 MG TAB
AMOX TR-K CLV 875-125 MG TAB

DOSE FORM DRUG STRENGTH


TA
YE
YE
YE
YE
TZ
SA
TZ
TZ
TZ
CA
CA
ZD
ZD
YE
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
SA
HV
TZ
CA
YX
EA
YE
YE
YE
YE
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
TA
TA

UNIT PRICE
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.55
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56

NDC
51079026701
51079026720
52959047810
52959047814
52959047815
52959047820
52959070710
52959070714
52959070715
52959070720
54569432500
54569445800
54569445802
54569462800
54569547100
54569547101
54868271901
54868271902
54868390300
54868390301
54868390302
54868390303
54868417000
54868417001
54868495100
54868495101
55045244607
55045296603
55045296607
55289051210
55289051214
55289051228
57866000201
57866126103
57866126104
58016051220
58016100001
58864069720
58864076720
58864088130
59390020505
62436073001
62436073005
63304050901
63304050920
66116015214
66116068220
66267071203
66267071210
66267085903
66267085904
66267099120
66267100201

NAME
AMOX TR-K CLV 875-125 MG TAB
AMOX TR-K CLV 875-125 MG TAB
AUGMENTIN 875-125 TABLET
AUGMENTIN 875-125 TABLET
AUGMENTIN 875-125 TABLET
AUGMENTIN 875-125 TABLET
AMOX TR-K CLV 875-125 MG TAB
AMOX TR-K CLV 875-125 MG TAB
AMOX TR-K CLV 875-125 MG TAB
AMOX TR-K CLV 875-125 MG TAB
AUGMENTIN 875-125 TABLET
AUGMENTIN 875-125 TABLET
AUGMENTIN 875-125 TABLET
EVISTA 60 MG TABLET
AMOX TR-K CLV 875-125 MG TAB
AMOX TR-K CLV 875-125 MG TAB
PROSCAR 5 MG TABLET
PROSCAR 5 MG TABLET
AUGMENTIN 875-125 TABLET
AUGMENTIN 875-125 TABLET
AUGMENTIN 875-125 TABLET
AUGMENTIN 875-125 TABLET
EVISTA 60 MG TABLET
EVISTA 60 MG TABLET
AMOX TR-K CLV 875-125 MG TAB
AMOX TR-K CLV 875-125 MG TAB
AUGMENTIN 875-125 TABLET
AMOX TR-K CLV 875-125 MG TAB
AMOX TR-K CLV 875-125 MG TAB
AUGMENTIN 875-125 TABLET
AUGMENTIN 875-125 TABLET
AUGMENTIN 875-125 TABLET
EVISTA 60 MG TABLET
AUGMENTIN 875-125 TABLET
AUGMENTIN 875-125 TABLET
AUGMENTIN 875-125 TABLET
AMOX TR-K CLV 875-125 MG TAB
AUGMENTIN 875-125 TABLET
AMOX TR-K CLV 875-125 MG TAB
PROSCAR 5 MG TABLET
FLUCAINE EYE DROPS
ADOXA 75 MG TABLET
ADOXA 75 MG TABLET
AMOX TR-K CLV 875-125 MG TAB
AMOX TR-K CLV 875-125 MG TAB
AUGMENTIN 875-125 TABLET
AUGMENTIN 875-125 TABLET
AMOX TR-K CLV 875-125 MG TAB
AMOX TR-K CLV 875-125 MG TAB
AMOX TR-K CLV 875-125 MG TAB
AMOX TR-K CLV 875-125 MG TAB
AUGMENTIN 875-125 TABLET
AMOX TR-K CLV 875-125 MG TAB

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
SO
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56

NDC
66685100100
66685100101
68030126103
68030126104
68115046320
68115099020
81262020001
81262020002
81262020010
81262020011
81262020012
81262020013
81262020020
81262020021
81262020022
81262020023
00006015030
00015740418
00015740489
00024542110
00024542131
00024542134
00024542150
00029661007
00029661040
00074453224
00173045101
00212182023
00212458072
00212713176
00212727873
00212729818
08021000080
08021332150
08021332152
08021990065
08021990066
12280006030
38779055603
38779055604
38779055605
49452013001
49452013002
49452014001
49452014002
49999003710
49999003715
49999003720
49999003730
49999003790
52959036310
52959036315
52959036320

NAME
AMOX TR-K CLV 875-125 MG TAB
AMOX TR-K CLV 875-125 MG TAB
AUGMENTIN 875-125 TABLET
AUGMENTIN 875-125 TABLET
AMOX TR-K CLV 875-125 MG TAB
AUGMENTIN 875-125 TABLET
NUTRAMINE PACKET
NUTRAMINE T PACKET
NUTRAMINE AMINO BITES
NUTRAMINE AMINO BITES
NUTRAMINE AMINO BITES
NUTRAMINE AMINO BITES
NUTRAMINE T AMINO BITES
NUTRAMINE T AMINO BITES
NUTRAMINE T AMINO BITES
NUTRAMINE T AMINO BITES
INDOCIN 50 MG SUPPOSITORY
AMPICILLIN 1 GM A/V VIAL
AMPICILLIN 1 GM A/V VIAL
AMBIEN PAK 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
TOTACILLIN-N 1 GM ADD-VNT VL
TOTACILLIN-N 1 GM ADD-VNT VL
CLEAR-CATH 24GX3/4"
ZANTAC 150 MG GRANULES
ISOTEIN HN POWDER
TOLEREX PACKET
VIVONEX PEDIATRIC PACKET
VIVONEX T.E.N. POWDER PKT
VIVONEX PLUS PACKET
INTROCAN SAFETY IV CATHETER
PERIFIX LOSS-OF-RESISTANCE
PERIFIX LOSS-OF-RESISTANCE
INTROCAN SAFETY IV CATHETER
INTROCAN-W SAFETY CATHETER
ACTOS 15 MG TABLET
ADENOSINE-5 MONOPHOSPHATE
ADENOSINE-5 MONOPHOSPHATE
ADENOSINE-5 MONOPHOSPHATE
ADENOSINE POWDER
ADENOSINE POWDER
ADENOSINE-5 MONOPHOSPHATE
ADENOSINE-5 MONOPHOSPHATE
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
PP
PP
PP
PP
PP
PP
PP
PP
PP
PP
QA
HS
HS
TA
TA
TA
TA
HS
HS
YQ
PP
PP
PP
PP
PP
PP
YQ
YL
YL
YQ
YQ
TA
PA
PA
PA
PA
PA
PA
PA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.56
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57

NDC
52959036321
52959036330
52959036360
54569382801
54569382803
54569382808
54569488000
54868264300
54868264301
54868264302
54868264304
54868264305
54868264306
54868264307
54868434300
55045227100
55045227102
55045227106
55045227109
55289011415
55289079206
55289079210
55289079212
55289079220
55887080610
55887080620
55887080630
55887080660
55887080682
55887080690
57866340301
57866340303
58016034100
58016034110
58016034120
58016034130
58016034140
58016034160
58016034190
58864067014
58864070015
58914080044
58914080084
58914080144
58914080184
58914080244
58914080284
58914081044
58914081084
58914081144
58914081184
61678013607
61678013615

NAME
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
ACTOS 15 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
ACTOS 15 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
INDOMETHACIN 50 MG SUPPOS
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
ACTOS 15 MG TABLET
AMBIEN 10 MG TABLET
SCANDISHAKE SINGLE-SERV ENV
SCANDISHAKE SINGLE-SERV ENV
SCANDISHAKE SINGLE-SERV ENV
SCANDISHAKE SINGLE-SERV ENV
SCANDISHAKE SINGLE-SERV ENV
SCANDISHAKE SINGLE-SERV ENV
SCANDISHAKE SINGLE-SERV ENV
SCANDISHAKE SINGLE-SERV ENV
SCANDISHAKE SINGLE-SERV ENV
SCANDISHAKE SINGLE-SERV ENV
L-EMENTAL PLUS PACKET
L-EMENTAL PEDIATRIC PACKET

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
QA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
PP
PP
PP
PP
PP
PP
PP
PP
PP
PP
PP
PP

UNIT PRICE
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57

NDC
61678016001
62991117001
62991117002
62991117003
62991216201
62991216202
62991216203
64764015104
64764015105
64764015106
66116017620
66267001610
66267001612
66267001630
68030340301
68030340303
68115001900
68115001910
68115001915
68115001930
68115001990
70074040766
00006761504
00037069210
00338917991
00766700130
08026421500
08327051709
47682020513
47682020533
52959043508
58016602201
63481007470
68115071000
00009005907
00045025549
00045064165
00074138902
00074138932
00078035580
00187065142
00270131430
00270141111
00270141125
00406992601
00406992603
00703704103
00703704501
08220169001
08220169012
08220169034
08220169134
08220169143

NAME
L-EMENTAL PACKET
ADENOSINE-5 MONOPHOSPHATE
ADENOSINE-5 MONOPHOSPHATE
ADENOSINE-5 MONOPHOSPHATE
ADENOSINE POWDER
ADENOSINE POWDER
ADENOSINE POWDER
ACTOS 15 MG TABLET
ACTOS 15 MG TABLET
ACTOS 15 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
AMBIEN 10 MG TABLET
VITAL HIGH NITROGEN PACKET
DECADRON 0.05% EYE OINTMENT
TUSSI-12D TABLET
SYMPT-X PLUS PACKET
OXY BALANCE CLEANSING BAR
HYPAFIX TAPE 2" X 2YD
MEDFIX EZ DRESSING 2" ROLL
MEDI-PHENYL 5 MG TABLET
MEDI-PHENYL 5 MG TABLET
DEXAMETHASONE 0.05% EYE OINT
DEXAMETHASONE 0.05% EYE OINT
MOBAN 25 MG TABLET
MOBAN 25 MG TABLET
XANAX XR 1 MG TABLET
HALDOL 5 MG/ML VIAL
TOPAMAX 100 MG TABLET
HEP-PAK CVC 100 UNITS/ML KIT
HEP-PAK LKFL 100 UNITS/ML KIT
ZELNORM 2 MG TABLET
8-MOP 10 MG CAPSULE
ISOVUE-200 41% VIAL
ISOVUE-M 200 41% VIAL
ISOVUE-M 200 41% VIAL
TOFRANIL-PM 150 MG CAPSULE
TOFRANIL-PM 150 MG CAPSULE
HALOPERIDOL LAC 5 MG/ML VIAL
HALOPERIDOL LAC 5 MG/ML VIAL
HELISTAT 1/2" X 1" SPONGE
HELISTAT 1" X 2" SPONGE
HELISTAT 3" X 4" SPONGE
HELISTAT 3" X 4" SPONGE
NEUROCOL 3" X 4" SPONGE

DOSE FORM DRUG STRENGTH


PP
PA
PA
PA
PA
PA
PA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
PP
OA
TA
PP
EB
YT
YT
TA
TA
OA
OA
TA
TA
TI
HV
TA
YK
YK
TA
CA
HV
HV
HV
CA
CA
HV
HV
YV
YV
YV
YV
YV

UNIT PRICE
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.57
$
1.58
$
1.58
$
1.58
$
1.58
$
1.58
$
1.58
$
1.58
$
1.58
$
1.58
$
1.58
$
1.58
$
1.58
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59

NDC
08290041003
08290042005
10119002013
12280002215
38779018404
38779018405
49452022501
49452022502
49452022503
49999060515
51927285900
54569547300
54868345900
54868467400
54868467401
54868467402
55045312406
55390014701
55390014710
55390044701
55390044710
55887048930
55887048960
55887048990
58016096100
58016096130
58016096160
58016096190
59148001215
63323047401
63323047410
63323047491
64054300003
64054300202
64054300206
64054300301
64054300402
64054300406
64054300902
68115092760
00338030999
00944294004
50419082501
50419082502
54868523600
68453064510
00074683801
00093571501
00093716101
00172452260
00173052600
00187084102
00264310311

NAME
HEP-LOCK FLUSH 100 UNITS/ML KI
HEP-LOCK FLUSH 100 UNITS/ML KI
MOISTURE EYES PM OPTH OINT
TOPAMAX 100 MG TABLET
ALBUTEROL POWDER
ALBUTEROL POWDER
ALBUTEROL POWDER
ALBUTEROL POWDER
ALBUTEROL POWDER
TOPAMAX 100 MG TABLET
ALBUTEROL POWDER
TOPAMAX 100 MG TABLET
HALOPERIDOL LAC 5 MG/ML VIAL
TOPAMAX 100 MG TABLET
TOPAMAX 100 MG TABLET
TOPAMAX 100 MG TABLET
TOPAMAX 100 MG TABLET
HALOPERIDOL LAC 5 MG/ML VIAL
HALOPERIDOL LAC 5 MG/ML VIAL
HALOPERIDOL LAC 5 MG/ML VIAL
HALOPERIDOL LAC 5 MG/ML VIAL
TOPAMAX 100 MG TABLET
TOPAMAX 100 MG TABLET
TOPAMAX 100 MG TABLET
TOPAMAX 100 MG TABLET
TOPAMAX 100 MG TABLET
TOPAMAX 100 MG TABLET
TOPAMAX 100 MG TABLET
ABILIFY 1 MG/ML SOLUTION
HALOPERIDOL LAC 5 MG/ML VIAL
HALOPERIDOL LAC 5 MG/ML VIAL
HALOPERIDOL LAC 5 MG/ML VIAL
HEPARIN FLUSH 100 UNITS/ML KIT
HEPARIN FLUSH 100 UNITS/ML KIT
HEPARIN FLUSH 100 UNITS/ML KIT
HEPARIN FLUSH 100 UNITS/ML KIT
HEPARIN FLUSH 100 UNITS/ML KIT
HEPARIN FLUSH 100 UNITS/ML KIT
HEPARIN FLUSH 100 UNITS/ML KIT
TOPAMAX 100 MG TABLET
SUX-CERT 500 ADDITIVE VIAL
ADVATE 1,500 UNITS KIT
FINACEA 15% GEL
FINACEA 15% GEL
FINACEA 15% GEL
DURATUSS GP TABLET
ENDURONYL TABLET
LAMOTRIGINE 5 MG DISPER TABLET
PERGOLIDE MESYL 1 MG TAB
PERGOLIDE MESYL 1 MG TAB
LAMICTAL 5 MG DISPER TABLET
PERMAX 1 MG TABLET
CEFAZOLIN 1 GM-DEXTROSE BAG

DOSE FORM DRUG STRENGTH


YK
YK
OA
TA
PA
PA
PA
PA
PA
TA
PA
TA
HV
TA
TA
TA
TA
HV
HV
HV
HV
TA
TA
TA
TA
TA
TA
TA
SJ
HV
HV
HV
YK
YK
YK
YK
YK
YK
YK
TA
SW
YK
GE
GE
JG
TM
TA
TJ
TA
TA
TJ
TA
HP

UNIT PRICE
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.59
$
1.60
$
1.60
$
1.60
$
1.60
$
1.60
$
1.60
$
1.61
$
1.61
$
1.61
$
1.61
$
1.61
$
1.61
$
1.61

NDC
10019064124
49452811501
49452811502
51079014401
51079014420
59075063010
65234002610
66346003223
00003125269
00003125270
00003125272
00003125276
00003125331
00003125338
00003125352
00003125353
00003125355
00003125363
00003125364
00003125366
00003175761
00003175768
00003175777
00003175778
00003175780
00003175792
00003175793
00003175795
00003401614
00003401615
00003401617
00003401622
00003404006
00003404007
00003404009
00003404013
00003405474
00003405475
00003405477
00003405481
00003413141
00003650828
00003650829
00003650831
00009019009
00009019016
00009027401
00074245351
00074568502
00088210003
00091332401
00574704012
04174550350

NAME
SUPRANE INHALATION LIQUID
VITAMIN A ACETATE CRYSTALS
VITAMIN A ACETATE CRYSTALS
PERGOLIDE MESYL 1 MG TABLET
PERGOLIDE MESYL 1 MG TABLET
PERGOLIDE MESYLATE 1MG TAB
PERMAX 1 MG TABLET
VIRAVAN-T TABLET CHEWABLE
SUR-FIT NATURA STOMAHESIVE
SUR-FIT NATURA STOMAHESIVE
SUR-FIT NATURA STOMAHESIVE
SUR-FIT NATURA STOMAHESIVE
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE UROSTOMY POUCH
ACTIVE LIFE UROSTOMY POUCH
ACTIVE LIFE UROSTOMY POUCH
ACTIVE LIFE 19MM POUCH
ACTIVE LIFE 19MM POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE DRAINABLE POUCH
ACTIVE LIFE 19MM POUCH
ACTIVE LIFE 22MM POUCH
ACTIVE LIFE 28MM POUCH
SUR-FIT AUTOLOCK INSERTS
SUR-FIT AUTOLOCK INSERTS
SUR-FIT AUTOLOCK INSERTS
SUR-FIT AUTOLOCK INSERTS
SUR-FIT NATURA CONVEX INSRT
SUR-FIT NATURA CONVEX INSRT
SUR-FIT NATURA CONVEX INSRT
SUR-FIT NATURA CONVEX INSRT
STOMAHESIVE SKIN BARRIER
STOMAHESIVE SKIN BARRIER
STOMAHESIVE SKIN BARRIER
STOMAHESIVE SKIN BARRIER
ACTIVE LIFE CLOSED-END PCH
ACTIVE LIFE 1-PIECE UROSTMY
ACTIVE LIFE 1-PIECE UROSTMY
ACTIVE LIFE 1-PIECE UROSTMY
SOLU-MEDROL 125 MG VIAL
SOLU-MEDROL 125 MG VIAL
DEPO-MEDROL 20 MG/ML VIAL
DILAUDID-HP 10 MG/ML VIAL
A-METHAPRED 125 MG UNIVIAL
PRIFTIN 150 MG TABLET
NIRAVAM 2 MG TABLET
BELLADONNA & OPIUM SUPPOS
MARLEN ULTRALITE POUCH

DOSE FORM DRUG STRENGTH


SL
PC
PC
TA
TA
TA
TA
TC
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
HS
HS
HV
HV
HS
TA
UL
QA
EA

UNIT PRICE
$
1.61
$
1.61
$
1.61
$
1.61
$
1.61
$
1.61
$
1.61
$
1.61
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62

NDC
08011121000
08380001417
08380001482
08380001483
08380001485
08380003732
08380003733
08380003735
08380003739
08380007477
08380007487
08380008482
08380008483
08380008485
08380008510
08380008511
08380008513
08380008590
08380008591
08380008593
08380008732
08380008733
08380008735
08380008743
08380008745
08380008767
08380016302
08380016303
08380016305
08380016702
08380016703
08380016705
08395041320
08395041340
08395048320
08395048340
08395048420
08395048440
08395078320
08395078340
08395078420
08395078440
08395081320
08395081340
11701083320
11701083415
11701083420
11701083430
11701083445
11701084515
11701084535
11701088671
11701088672

NAME
RELIASEAL ADH DSC 100MM DIA
LO-PROFILE UROSTOMY POUCH
1STCHOICE URO POUCH 0.75"
1STCHOICE URO POUCH 0.875"
1STCHOICE URO POUCH 1.125"
CONVEX SYN BARR/FLNGE 0.75"
CONVEX SYN BARR/FLNGE 0.875"
CONVEX SYN BARR/FLNG 1.125"
CONVEX SYN BARR/FLNG 1.625"
UROSTOMY POUCH-SHORT 12"
UROSTOMY POUCH/KARAYA SEAL
PREMIER UROSTOMY PCH 0.75"
PREMIER UROSTOMY PCH 0.875"
PREMIER UROSTOMY PCH 1.125"
PREMIER LNR DRAINABLE POUCH
PREMIER LNR DRAINABLE POUCH
PREMIER LNR DRAINABLE POUCH
PREMIER LNR DRAINABLE POUCH
PREMIER LNR DRAINABLE POUCH
PREMIER LNR DRAINABLE POUCH
PREMIER SKN BARR/FLNG 0.75"
PREMIER SKN BARR/FLOAT FLNG
PREMIER SKN BARR/FLOAT FLNG
PREMIER SKN BARR/FLNG 0.875"
PREMIER SKN BARR/FLNG 1.125
PREMIER SKN BARR/FLNG 0.75"
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXTEND BARRIER
NEW IMAGE FLEXTEND BARRIER
NEW IMAGE FLEXTEND BARRIER
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ONE-PIECE DRAINABLE POUCH
ASSURA CONVEX UROPOUCHE
ASSURA FLANGE CONVEX
ASSURA FLANGE CONVEX
ASSURA FLANGE CONVEX
ASSURA FLANGE CONVEX
ASSURA FLANGE STANDARD
ASSURA FLANGE STANDARD
ASSURA 2PC CONVEX LIGHT FLANGE
ASSURA 2PC CONVEX LIGHT FLANGE

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62

NDC
11701088674
11701088678
11701088690
11701088691
11701088693
11701088697
11701088731
11701090484
11701090488
38779024209
54868363700
54868363701
58337130101
61451501607
61451501608
61703024345
61703024350
61703024353
63304055720
63304055730
63370016080
64193022203
64193022204
00003164655
00003164755
00003164855
00003165655
00173042500
00519162001
02120016100
08026763700
08080361600
08290207313
08333158401
08333158430
08884662035
09958008580
09958008630
09958008680
09958008840
10144060615
10356002596
10356002601
10481105301
11701088180
53303014240
53329045040
53329045140
55860007637
56091007017
56091007019
56091007035
61924028044

NAME
ASSURA 2PC CONVEX LIGHT FLANGE
ASSURA CONVEX FLANGE
ASSURA EXTRA CONVEX FLANGE
ASSURA EXTRA CONVEX FLANGE
ASSURA EXTRA CONVEX FLANGE
ASSURA EXTRA CONVEX FLANGE
ASSURA CONVEX EASICLOSE PCH
ASSURA AC CONVEX BASEPLATE
ASSURA AC CONVEX BASEPLATE
NYSTATIN 5B UNITS POWDER
SOLU-MEDROL 125 MG VIAL
SOLU-MEDROL 125 MG VIAL
TE ANATOXAL BERNA VIAL
B & O SUPPRETTES NO.16-A
B & O SUPPRETTES NO.16-A
HYDROMORPHONE 10 MG/ML VIAL
HYDROMORPHONE 10 MG/ML VIAL
HYDROMORPHONE 10 MG/ML VIAL
RANICLOR 250 MG CHEWABLE TAB
RANICLOR 250 MG CHEWABLE TAB
NYSTATIN 5B UNITS POWDER
FEIBA VH IMMUNO 400-650 UNITS
FEIBA VH IMMUNO 651-1,200 UNIT
LYOFOAM WOUND DRESS 4"X4"
LYOFOAM C DRESS 4"X4"
LYOFOAM A DRESS 4"X4"
LYOFOAM EXTRA DRESS 4"X4"
ZINACEF/WATER 1.5 GM/50 ML
EPI-LOCK SYNTH DRESS 4"X4"
COBAN ACTION WRAP 4"X 5YDS
ALLEVYN DRESSING 4"X4"
TENSOR ELASTIC BANDAGE 4"
ACE ELASTIC BANDAGE 4"
COBAN WRAP 4" X 5 YARDS
COBAN WRAP 4" X 5 YARDS
EXPANDOVER BANDAGE 4"X5YDS
HYDROCELL ADHESIVE 4X4" DRS
HYDROCELL THIN 4"X4" DRESS
HYDROCELL 4"X4" DRESSING
SORBACELL FOAM 4"X4" DRESS
ZANAFLEX 6 MG CAPSULE
ELASTOPLAST ELASTIC BANDAGE
ELASTOPLAST ELASTIC BANDAGE
SILVER NITRATE 50% SOLUTION
BIATAIN FOAM DRESSING
CARRASMART FOAM DRESSING
OPTIFOAM 4"X4" DRESSING
OPTIFOAM 4"X4" DRESSING
ALLEVYN DRESSING 4" X 4"
DYNA-FLEX ELASTIC BANDAGE
DYNA-FLEX ELASTIC BANDAGE
DYNA-FLEX COMPRESSION BNDGE
DERMALEVIN 4"X4" DRESSING

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
PA
HS
HS
HV
QA
QA
HV
HV
HV
TC
TC
PA
HS
HS
YE
YE
YE
YE
HK
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
CA
YE
YE
SA
YE
YE
YE
YE
YE
YE
YE
YE
YE

UNIT PRICE
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.62
$
1.63
$
1.63
$
1.63
$
1.63
$
1.63
$
1.63
$
1.63
$
1.63
$
1.63
$
1.63
$
1.63
$
1.63
$
1.63
$
1.63
$
1.63
$
1.63
$
1.63
$
1.63
$
1.63
$
1.63
$
1.63
$
1.63
$
1.63
$
1.63
$
1.63
$
1.63
$
1.63
$
1.63
$
1.63
$
1.63

NDC
62794008518
64727987603
64727987703
66977050024
80196073314
00004592101
00067021507
00067021514
00067021528
00067503807
00067503814
00067503828
00074163401
00074163449
00135014501
00135014502
00135014503
00135019402
00338918091
00338919091
00364290130
00430083819
00516000301
00517306501
00591290130
00703292503
00766142020
00766142050
00766145010
00766145020
08137008808
10939070633
11110035556
11110035557
11822312940
11822452590
11822452610
11917001338
11917001339
12333099761
12333099762
19458945701
19458945702
34575074447
37205035874
41163021630
41163021632
50428000773
50428000774
50428133177
50428133190
52735094052
52735094373

NAME
FLEXZAN ADHESIVE DRESSING
ENEMEEZ MINI ENEMA
ENEMEEZ PLUS ENEMA
MPM FOAM 4"X4" DRESSING
OPTIFOAM 4"X4" DRESSING
TASMAR 200 MG TABLET
NICOTINE 21 MG/24HR PATCH
NICOTINE 21 MG/24HR PATCH
NICOTINE 21 MG/24HR PATCH
NICOTINE 21 MG/24HR PATCH
NICOTINE 21 MG/24HR PATCH
NICOTINE 21 MG/24HR PATCH
VECURONIUM 20 MG VIAL
VECURONIUM 20 MG VIAL
NICODERM CQ 21 MG/24HR PATCH
NICODERM CQ 21 MG/24HR PATCH
NICODERM CQ 21 MG/24HR PATCH
NICODERM CQ 21 MG/24HR PATCH
SYST-AMUNE PACKET
PREVENT-X PACKET
NICOTINE 21 MG/24HR PATCH
DORYX 100 MG CAPSULE EC
SCLEROMATE 50 MG/ML VIAL
MORRHUATE SODIUM 50 MG/ML
NICOTINE 21 MG/24HR PATCH
VECURONIUM 20 MG VIAL
NICODERM CQ 21 MG/24HR PATCH
NICODERM CQ 21 MG/24HR PATCH
NICODERM CQ 21 MG/24HR PATCH
NICODERM CQ 21 MG/24HR PATCH
KLING SOF-GZ BANDAGE 3"X2YD
SM NICOTINE 21 MG/24HR PATCH
NICOTINE 21 MG/24HR PATCH
NICOTINE 21 MG/24HR PATCH
RA GAUZE BANDAGE 3"X2YD
RA NICOTINE 21 MG/24HR PATCH
RA NICOTINE 21 MG/24HR PATCH
NICOTINE 21 MG/24HR PATCH
NICOTINE 21 MG/24HR PATCH
NICOTINE 21 MG/24HR PATCH
NICOTINE 21 MG/24HR PATCH
ECK NICOTINE 21 MG/24HR PATCH
ECK NICOTINE 21 MG/24HR PATCH
ECK NICOTINE 21 MG/24HR PATCH
NICOTINE 21 MG/24HR PATCH
NICOTINE 21 MG/24HR PATCH
NICOTINE 21 MG/24HR PATCH
NICOTINE 21 MG/24HR PATCH
NICOTINE 21 MG/24HR PATCH
CVS NTS 21 MG/24HR PATCH
CVS NTS 21 MG/24HR PATCH
FP NICOTINE 21 MG/24HR PATCH
FP NICOTINE 21 MG/24HR PATCH

DOSE FORM DRUG STRENGTH


YE
SG
SG
YE
YE
TA
PV
PV
PV
PV
PV
PV
HS
HS
PV
PV
PV
PV
PP
PP
PV
CE
HV
HV
PV
HS
PV
PV
PV
PV
YE
PV
PV
PV
YE
PV
PV
PV
PV
PV
PV
PV
PV
PV
PV
PV
PV
PV
PV
PV
PV
PV
PV

UNIT PRICE
$
1.63
$
1.63
$
1.63
$
1.63
$
1.63
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64

NDC
54569438901
54868201101
54868459600
54868518700
55390003910
66582031228
66582031231
66582031254
66582031282
82468061509
82468061512
91899068410
00003177903
00003187659
00003187661
00003187957
00003187972
00015740420
00015740499
00029661025
00052011030
00074379601
00074379649
00074379661
00187040231
00517041010
00517051025
00517102025
08026483200
08327051342
08333900050
08333900250
08884475602
09958008320
09958008380
09958008800
10356001404
11701040590
11701040690
11701040990
20513002004
20513002006
40565012073
49452335201
49452335202
49452335203
49452526001
49452526002
49756046916
49999041602
53303002360
53303014360
53329051742

NAME
NICODERM CQ 21 MG/24HR PATCH
HABITROL 21 MG/24HR PATCH
MORRHUATE SODIUM 50 MG/ML
VYTORIN 10/20 TABLET
VECURONIUM 20 MG VIAL
VYTORIN 10/20 TABLET
VYTORIN 10/20 TABLET
VYTORIN 10/20 TABLET
VYTORIN 10/20 TABLET
FP NICOTINE 21 MG/24HR PATCH
FP NICOTINE 21 MG/24HR PATCH
NICOTINE 21 MG/24HR PATCH
AQUACEL HYDROFIBER DRESSING
DUODERM CGF 6"X6" DRESSING
DUODERM CGF 6"X6" DRESSING
DUODERM XTHIN CGF 6X6" DRES
DUODERM CGF 6"X 6" DRESS
AMPICILLIN 1 GM VIAL
AMPICILLIN 1 GM VIAL
TOTACILLIN-N 1 GM VIAL
REMERON 45 MG SOLTAB
KETOROLAC 30 MG/ML VIAL
KETOROLAC 30 MG/ML VIAL
KETOROLAC 30 MG/ML VIAL
OXSORALEN 1% LOTION
VASOPRESSIN 20 UNITS/ML VIAL
VASOPRESSIN 10 UNIT/0.5 ML VL
VASOPRESSIN 20 UNITS/ML VIAL
REPLICARE 6"X6" DRESSING
EXUDERM SATIN 6X6 DRESSING
TEGASORB 6" X 6" DRESSING
TEGASORB THIN 6"X6" DRESSNG
ULTEC 6" X 6" DRESSING
PRIMACOL 6"X6" DRESSING
PRIMACOL BORDERED 6"X6" DRS
PRIMACOL 6"X6" DRESSING
CUTIPLAST STERIL DRESSING
COMFEEL PLUS ULCER DRESSING
COMFEEL PLUS CLEAR DRESSING
COMFEEL ULCER CARE DRESSING
SIMPLYTHICK 200 GM PACKET
SIMPLYTHICK 200 GM PACKET
REPLICARE WOUND DRESSING 6"X6"
GLUTATHIONE CRYSTALS
GLUTATHIONE CRYSTALS
GLUTATHIONE CRYSTALS
D-PHENYLALANINE POWDER
D-PHENYLALANINE POWDER
POLYDERM BORDER DRESS 6"X6"
KETOROLAC 30 MG/ML VIAL
CARRACOLLOID 6"X6" DRESSING
CARRASMART DRESSING 6"X6"
EXUDERM RCD 6"X6"DRESSING

DOSE FORM DRUG STRENGTH


PV
PV
HV
TA
HS
TA
TA
TA
TA
PV
PV
PV
YE
YE
YE
YE
YE
HS
HS
HS
UL
HV
HV
HV
SK
HV
HV
HV
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
JP
JP
YE
PC
PC
PC
PA
PA
YE
HV
YE
YE
YE

UNIT PRICE
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.64
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65

NDC
53329051942
54868348100
55390048102
55860483200
60505070601
61570042003
61924027766
62794008736
62794008936
63323016202
63323030201
63323038910
66993071230
68030015901
00264948050
00264948150
00264948250
00264949950
00264950950
00264951050
00264951850
00264951950
00264952050
00264952150
00264952250
00264952350
00264952450
08021000028
08021000034
08021000043
17314585202
54569564800
54868478900
54868478901
54868518900
57866705801
57866705802
66582031331
66582031352
66582031354
66582031374
00009514001
00025152531
00025152534
00025152551
00054372844
00074265501
00074265701
00074268101
00074424901
00074641458
00075002600
08195512401

NAME
EXUDERM LP 6"X6" DRESSING
AMPICILLIN 1 GM VIAL
KETOROLAC 30 MG/ML VIAL
REPLICARE 6"X6" DRESSING
KETOROLAC 30 MG/ML VIAL
PITRESSIN 20 UNITS/ML VIAL
DERMADRESS 6"X6" DRESSING
HYDROCOL THIN 6X6" DRESSING
HYDROCOL II THIN 6"X6" DRESSNG
KETOROLAC 30 MG/ML VIAL
VASOPRESSIN 20 UNITS/ML VIAL
AMPICILLIN 1 GM VIAL
MIRTAZAPINE 45 MG RPD DISLV TB
KETOROLAC 30 MG/ML VIAL
CLAVE EXTENSION SET 7"
CLAVE EXTENSION SET 7"
CLAVE EXTENSION SET 32"
CLAVE EXTENSION SET 7"
CLAVE EXTENSION SET 6"
CLAVE EXTENSION SET 7"
SAFELINE EXTENSION SET 7"
SAFELINE EXTENSION SET 7"
SAFELINE EXTENSION SET 6"
SAFELINE EXTENSION SET 7"
SAFELINE EXTENSION SET 7"
SAFELINE EXTENSION SET 17"
SAFELINE EXTENSION SET 35"
SMALLBORE EXTENSION SET
EXTENSION SET
SMALLBORE EXTENSION SET
CONCERTA 54 MG TABLET SA
VYTORIN 10/40 TABLET
CONCERTA 54 MG TABLET SA
CONCERTA 54 MG TABLET SA
VYTORIN 10/40 TABLET
CONCERTA 54 MG TABLET SA
CONCERTA 54 MG TABLET SA
VYTORIN 10/40 TABLET
VYTORIN 10/40 TABLET
VYTORIN 10/40 TABLET
VYTORIN 10/40 TABLET
ZYVOX 600 MG/300 ML IV SOLN
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
PROPRANOLOL 80 MG/ML DROPS
SITE-CARE KIT
VENI-PREP II KIT
VENI-PREP I KIT
CVC KIT
NV CARDIAC CATHETER SET
DDAVP 0.2 MG TABLET
POLYMEM 4"X 12" DRESSING

DOSE FORM DRUG STRENGTH


YE
HS
HV
YE
HV
HV
YE
YE
YE
HV
HV
HS
UL
HV
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
TZ
TA
TZ
TZ
TA
TZ
TZ
TA
TA
TA
TA
HM
CA
CA
CA
SO
YQ
YQ
YQ
YQ
YQ
TA
YE

UNIT PRICE
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.65
$
1.66
$
1.66
$
1.66
$
1.66
$
1.66
$
1.66
$
1.66
$
1.66
$
1.66
$
1.66
$
1.66
$
1.66
$
1.66
$
1.66
$
1.66
$
1.66
$
1.66
$
1.66
$
1.66
$
1.66
$
1.66
$
1.66
$
1.66
$
1.66
$
1.66
$
1.66
$
1.66
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67

NDC
08219111200
08327051109
08333160601
38779024403
38779024404
38779024405
45749010030
49999000410
49999000414
49999000420
49999000430
52959053905
52959053907
52959053910
52959053914
52959053915
52959053920
52959053921
52959053928
52959053930
52959053940
52959053945
52959053960
54569467200
54569467201
54569467202
54569467204
54569467205
54569467206
54868410100
54868410101
54868410102
54868410103
54868410104
54868410105
55045268001
55045268002
55045268006
55045268007
55045268008
55045268009
55289047510
55289047514
55289047520
55289047528
55289047560
55887073610
55887073614
55887073615
55887073620
55887073621
55887073628
55887073630

NAME
TELFA CLEAR WOUND DRESSING
BORDERED GAUZE 4"X14"
MICRODON 2X6 SURGICAL DRSNG
PENICILLAMINE(D-) POWDER
PENICILLAMINE(D-) POWDER
PENICILLAMINE(D-) POWDER
PROXEED PACKET
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE

DOSE FORM DRUG STRENGTH


YE
YE
YE
PA
PA
PA
PP
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA

UNIT PRICE
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67

NDC
55887073640
55887073660
55887073682
55887073690
57866760202
57866760205
57866760206
57866760207
57866760208
58016022300
58016022310
58016022312
58016022314
58016022315
58016022320
58016022321
58016022328
58016022330
58016022360
58864070930
60760052520
60760052530
66116011830
66116025260
66267004710
66267004715
66267004807
66267004810
66267004815
66267004820
66267004830
68030014603
68030014604
68030760202
68030760203
68030760205
68030760206
68030760207
68115007000
68115007010
68115007015
68115007020
68115007030
68115007060
00003401916
00003401917
00004022101
00029607527
00029607531
00065082650
00074131614
00074131632
00074131666

NAME
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
DDAVP 0.2 MG TABLET
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
CELEBREX 200 MG CAPSULE
SUR-FIT VISI-FLOW IRRIG SET
SUR-FIT VISI-FLOW IRRIG SET
HIVID 0.750 MG TABLET
AUGMENTIN 250-125 TABLET
AUGMENTIN 250-125 TABLET
IRRIGATION ADMINISTRATN SET
HEPARIN NA 10,000 UNITS/ML SYR
HEPARIN NA 5,000 UNITS/0.5 ML
HEPARIN NA 5,000 UNITS/0.5 ML

DOSE FORM DRUG STRENGTH


CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
TA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
YU
YU
TA
TA
TA
YU
HQ
HQ
HQ

UNIT PRICE
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.67
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68

NDC
00074469301
00074469302
00074469401
00247002603
00247002604
00247002615
00247002621
00247002630
00264917020
00264917120
00264917220
00264917320
00264917420
00264917520
00264917620
00264917720
00264917810
00264917920
00264918020
00409131632
00409131666
08026118360
08026118582
08026714300
08026714400
08026715100
08195060601
08195760601
08219784000
08219784700
08380003771
08380003772
08380007721
08380007724
08380007728
08884416600
08884426600
10337065715
10791024120
11701082015
11701082025
50383069715
51991026915
52959034309
52959034315
52959034321
52959034330
53329000642
54569014201
54569497400
54868038700
54868038701
54868038702

NAME
EXTENSION SET
EXTENSION SET
Y CONNECTOR
AUGMENTIN 250-125 TABLET
AUGMENTIN 250-125 TABLET
AUGMENTIN 250-125 TABLET
AUGMENTIN 250-125 TABLET
AUGMENTIN 250-125 TABLET
CYSTO SET
CONT OH IRRIG SET/UNISPIKE
CONT OH IRRIG SET/UNISPIKE
CONT OH IRRIG SET/UNISPIKE
T.U.R. SET W/SPIKE
SUPERSET ARTHROSCOPY IRRIG
T.U.R. SUPERSET
UNIVERSAL 2 BTL IRRIG SET
UNIVERSAL 2 BTL IRRIG SET
SUPERSET ARTHRO IRRIG SET
T.U.R. SUPERSET
HEPARIN NA 5,000 UNITS/0.5 ML
HEPARIN NA 5,000 UNITS/0.5 ML
EXU-DRY WOUND DRESS 3" DISC
EXU-DRY DRESSING 3" DISC
COVRSITE 6"X6" DRESSING
COVRSITE 6"X6" DRESSING
COVRSITE PLUS 6"X6" DRESS
POLYMEM 6"X 6" DRESSING
POLYMEM 6"X 6" DRESSING
CURITY PETROLATUM GAUZE
CURITY PETROLATUM GAUZE
POUCHKINS 2PC DRAINABLE PCH
POUCHKINS 2PC UROSTOMY PCH
STOMA COMBO CONE/TUBE IRRIG
STOMA COMBO CONE,TUBE DRAIN
STOMA COMBO CONE,TUBE DRAIN
PETROLATUM GAUZE 6"X 36"
PETROLATUM GAUZE 6"X 36"
CARMOL 40 GEL
TENDRA MEPILEX 6"X6" DRESSING
COLOPLAST IRRIGATION SET
ASSURA IRRIGATION SET
UREA 40% GEL
KERATOL 40 GEL
AUGMENTIN 250-125 TABLET
AUGMENTIN 250-125 TABLET
AUGMENTIN 250-125 TABLET
AUGMENTIN 250-125 TABLET
STRATASORB ISLAND DRESSING
AUGMENTIN 250-125 TABLET
NITROLINGUAL 0.4 MG SPRAY
AUGMENTIN 250-125 TABLET
AUGMENTIN 250-125 TABLET
AUGMENTIN 250-125 TABLET

DOSE FORM DRUG STRENGTH


YU
YU
YU
TA
TA
TA
TA
TA
YU
YU
YU
YU
YU
YU
YU
YU
YU
YU
YU
HQ
HQ
YE
YE
YE
YE
YE
YE
YE
YE
YE
ZP
ZP
YU
YU
YU
YE
YE
GE
YE
YU
YU
JC
JC
TA
TA
TA
TA
YE
TA
BD
TA
TA
TA

UNIT PRICE
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68

NDC
54868216500
54868250001
54868250002
55289024209
55289024215
55289024221
57866605002
58016010612
58016010630
59366244602
59630030020
59630030065
63717003830
66977050066
68030907501
68032010115
00002306215
00006057318
00006057340
00006057342
00006057354
00006057362
00029320613
00172477160
00173052700
00173063302
00187090101
00187090201
00247019615
00247019630
10106406100
10106406102
17317034802
17317034807
38703010070
38703010080
38703010140
49452353001
49452353002
49452735001
49452735003
49999055742
52959036810
52959036814
52959036820
52959036821
52959036830
52959050712
52959050718
52959050724
52959050730
54569390200
54569862000

NAME
NITROLINGUAL 0.4 MG SPRAY
HIVID 0.750 MG TABLET
HIVID 0.750 MG TABLET
AUGMENTIN 250-125 TABLET
AUGMENTIN 250-125 TABLET
AUGMENTIN 250-125 TABLET
AUGMENTIN 250-125 TABLET
AUGMENTIN 250-125 TABLET
AUGMENTIN 250-125 TABLET
UREA 40% GEL
NITROLINGUAL 0.4 MG SPRAY
NITROLINGUAL 0.4 MG SPRAY
CEROVEL 40% GEL
MPM FOAM 6"X6" DRESSING
NITROLINGUAL 0.4 MG SPRAY
RE 40 GEL
CECLOR 500 MG PULVULE
CRIXIVAN 400 MG CAPSULE
CRIXIVAN 400 MG CAPSULE
CRIXIVAN 400 MG CAPSULE
CRIXIVAN 400 MG CAPSULE
CRIXIVAN 400 MG CAPSULE
PAXIL CR 12.5 MG TABLET
CEFACLOR 500 MG CAPSULE
LAMICTAL 25 MG DISPER TABLET
LAMICTAL 25 MG TABLET
TESTRED 10 MG CAPSULE
ANDROID 10 MG CAPSULE
CEFACLOR 500 MG CAPSULE
CEFACLOR 500 MG CAPSULE
STRYCHNINE POWDER PURIFIED
STRYCHNINE POWDER PURIFIED
HOMATROPINE HBR CRYSTALS
HOMATROPINE HBR CRYSTALS
ENEMA SYRINGE 1OZ
ENEMA SYRINGE 3OZ
RECTAL SYRINGE 8OZ
HOMATROPINE HBR CRYSTALS
HOMATROPINE HBR CRYSTALS
STRYCHNINE FREE BASE CRYST
STRYCHNINE FREE BASE CRYST
CEFACLOR 500 MG CAPSULE
CEFACLOR 500 MG CAPSULE
CEFACLOR 500 MG CAPSULE
CEFACLOR 500 MG CAPSULE
CEFACLOR 500 MG CAPSULE
CEFACLOR 500 MG CAPSULE
CRIXIVAN 400 MG CAPSULE
CRIXIVAN 400 MG CAPSULE
CRIXIVAN 400 MG CAPSULE
CRIXIVAN 400 MG CAPSULE
CEFACLOR 500 MG CAPSULE
CRIXIVAN 400 MG CAPSULE

DOSE FORM DRUG STRENGTH


BD
TA
TA
TA
TA
TA
TA
TA
TA
JC
BD
BD
JC
YE
BD
JC
CA
CA
CA
CA
CA
CA
TI
CA
TJ
TA
CA
CA
CA
CA
PC
PC
PC
PC
YC
YC
YC
PC
PC
PC
PC
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA

UNIT PRICE
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.68
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69

NDC
54868047201
54868351100
54868351101
54868351102
54868351104
54868411300
55045233701
55370089507
55887023030
55887023060
55887023090
57866820501
58016033930
58016069900
58016069930
58016069960
58016069990
58016089700
58016089730
58016089760
58016089790
58016096700
58016096730
58016096760
58016096790
63304065901
66267025621
66267025630
66814061170
67253022110
68115006630
68115064500
68115065630
00074806515
00132874302
00574040415
00591312879
50383058915
53191010303
54868339600
63323026110
65649024141
66591024141
72140085731
00009361701
00009361702
00085131701
00115398401
00115703701
00173073001
00406991403
00998020915
52959062710

NAME
CECLOR 500 MG PULVULE
CEFACLOR 500 MG CAPSULE
CEFACLOR 500 MG CAPSULE
CEFACLOR 500 MG CAPSULE
CEFACLOR 500 MG CAPSULE
CRIXIVAN 400 MG CAPSULE
CEFACLOR 500 MG CAPSULE
CEFACLOR 500 MG CAPSULE
CRIXIVAN 400 MG CAPSULE
CRIXIVAN 400 MG CAPSULE
CRIXIVAN 400 MG CAPSULE
CEFACLOR 500 MG CAPSULE
CEFACLOR 500 MG CAPSULE
CRIXIVAN 400 MG CAPSULE
CRIXIVAN 400 MG CAPSULE
CRIXIVAN 400 MG CAPSULE
CRIXIVAN 400 MG CAPSULE
PAXIL CR 12.5 MG TABLET
PAXIL CR 12.5 MG TABLET
PAXIL CR 12.5 MG TABLET
PAXIL CR 12.5 MG TABLET
TESTRED 10 MG CAPSULE
TESTRED 10 MG CAPSULE
TESTRED 10 MG CAPSULE
TESTRED 10 MG CAPSULE
CEFACLOR 500 MG CAPSULE
CEFACLOR 500 MG CAPSULE
CEFACLOR 500 MG CAPSULE
CEFACLOR 500 MG CAPSULE
CEFACLOR 500 MG CAPSULE
CEFACLOR 500 MG CAPSULE
LAMICTAL 25 MG TABLET
PAXIL CR 12.5 MG TABLET
QUELICIN 20 MG/ML SYRINGE
SUMMER'S EVE DOUCHE-MED
NYSTATIN 150,000,000 UNITS PWD
PROGESTERONE OIL 50 MG/ML VL
NYSTATIN 150,000,000 UNITS PWD
BIO-STATIN 150,000,000 UNITS
PROGESTERONE OIL 50 MG/ML VL
PROGESTERONE OIL 50 MG/ML VL
AZASAN 100 MG TABLET
AZASAN 100 MG TABLET
BASIS ALL CLEAR BAR
VANTIN 100 MG TABLET
VANTIN 100 MG TABLET
CLARINEX-D 24 HOUR TABLET
METHYLTESTOSTORONE 10MG ORAL, 100'S
METHITEST 10 MG TABLET
WELLBUTRIN XL 150 MG TABLET
RESTORIL 22.5 MG CAPSULE
ISOPTO CARPINE 8% EYE DROPS
VANTIN 100 MG TABLET

DOSE FORM DRUG STRENGTH


CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
TI
TI
TI
TI
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
TA
TI
HQ
YK
PA
HV
PA
PA
HV
HV
TA
TA
EB
TA
TA
TI
TA
TA
TI
CA
SO
TA

UNIT PRICE
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.69
$
1.70
$
1.70
$
1.70
$
1.70
$
1.70
$
1.70
$
1.70
$
1.70
$
1.70
$
1.70
$
1.70
$
1.71
$
1.71
$
1.71
$
1.71
$
1.71
$
1.71
$
1.71
$
1.71
$
1.71

NDC
52959062720
54868501000
55887028430
55887028460
55887028490
58016202301
63304052001
63304052020
68115081030
00006011728
00006011731
00006011754
00006011780
00006355331
00006355348
00023024001
00037440101
00074341301
00187042146
00409341301
37000034562
37000034563
37000034564
37000034565
37000044892
49756010912
49999053330
54569460500
54868328300
54868328301
54868328302
58864065830
68032010801
68115092390
00006071128
00006071131
00006071154
00008083301
00008083303
00074177835
00173068101
00641047725
24208029905
24208029910
24208029915
24208029925
41100007069
49999024915
49999024930
50474059340
52959055030
54569465900
54868425300

NAME
VANTIN 100 MG TABLET
WELLBUTRIN XL 150 MG TABLET
WELLBUTRIN XL 150 MG TABLET
WELLBUTRIN XL 150 MG TABLET
WELLBUTRIN XL 150 MG TABLET
HEMORRHOIDAL W/HC SUPPOS
CEFPODOXIME 100 MG TABLET
CEFPODOXIME 100 MG TABLET
WELLBUTRIN XL 150 MG TABLET
SINGULAIR 10 MG TABLET
SINGULAIR 10 MG TABLET
SINGULAIR 10 MG TABLET
SINGULAIR 10 MG TABLET
PEPCID RPD 20 MG TABLET
PEPCID RPD 20 MG TABLET
LACRI-LUBE NP OINTMENT
DEPEN 250 MG TITRATAB
METOCLOPRAMIDE 5 MG/ML AMPUL
GLYQUIN XM 4% CREAM
METOCLOPRAMIDE 5 MG/ML AMPUL
THERMACARE HEATWRAP
THERMACARE HEATWRAP
THERMACARE HEATWRAP
THERMACARE HEATWRAP
THERMACARE HEATWRAP
DRY GAUZE BANDAGE,FINE MESH
SINGULAIR 10 MG TABLET
SINGULAIR 10 MG TABLET
SINGULAIR 10 MG TABLET
SINGULAIR 10 MG TABLET
SINGULAIR 10 MG TABLET
SINGULAIR 10 MG TABLET
HYDROQUINONE 4% CREAM
SINGULAIR 10 MG TABLET
SINGULAIR 4 MG TABLET CHEW
SINGULAIR 4 MG TABLET CHEW
SINGULAIR 4 MG TABLET CHEW
EFFEXOR XR 75 MG CAPSULE SA
EFFEXOR XR 75 MG CAPSULE SA
METOPROLOL 1 MG/ML CARPUJECT
RELENZA 5 MG DISKHALER
PHENOBARBITAL 130 MG/ML VIAL
LOTEMAX 0.5% EYE DROPS
LOTEMAX 0.5% EYE DROPS
LOTEMAX 0.5% EYE DROPS
LOTEMAX 0.5% EYE DROPS
LIPKOTE STICK
EFFEXOR XR 75 MG CAPSULE SA
EFFEXOR XR 75 MG CAPSULE
KEPPRA 750 MG TABLET
EFFEXOR XR 75 MG CAPSULE SA
EFFEXOR XR 75 MG CAPSULE SA
EFFEXOR XR 75 MG CAPSULE SA

DOSE FORM DRUG STRENGTH


TA
TI
TI
TI
TI
QA
TA
TA
TI
TA
TA
TA
TA
UL
UL
PP
TA
HH
KA
HH
YE
YE
YE
YE
YE
YE
TA
TA
TA
TA
TA
TA
KA
TA
TC
TC
TC
CC
CC
HQ
GK
HV
SN
SN
SN
SN
EH
CC
CC
TA
CC
CC
CC

UNIT PRICE
$
1.71
$
1.71
$
1.71
$
1.71
$
1.71
$
1.71
$
1.71
$
1.71
$
1.71
$
1.72
$
1.72
$
1.72
$
1.72
$
1.72
$
1.72
$
1.72
$
1.72
$
1.72
$
1.72
$
1.72
$
1.72
$
1.72
$
1.72
$
1.72
$
1.72
$
1.72
$
1.72
$
1.72
$
1.72
$
1.72
$
1.72
$
1.72
$
1.72
$
1.72
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73

NDC
54868425301
54868425302
54868427800
54868427801
54868437700
54868463000
54868525900
54868526600
55887066530
55887066560
55887066582
55887066590
58016061500
58016061530
58016061560
58016061590
58864062930
63857032606
63857032611
66582031531
66582031552
66582031554
66582031574
68115029600
68115029615
68115076699
00006027528
00006027531
00006027554
00469511805
08026446600
17317054402
17317054407
54569473600
54643105400
54868457200
54868457201
54868484700
58864069430
63857032306
63857032311
67402001030
00008005601
00008005602
00008251101
00008251102
00023916332
08884474027
17314850101
25382070006
25382080006
52544084828
52959046004

NAME
EFFEXOR XR 75 MG CAPSULE SA
EFFEXOR XR 75 MG CAPSULE SA
LOTEMAX 0.5% EYE DROPS
LOTEMAX 0.5% EYE DROPS
RELENZA INHALER
SINGULAIR 4 MG TABLET CHEW
VYTORIN 10/80 TABLET
KEPPRA 750 MG TABLET
EFFEXOR XR 75 MG CAPSULE SA
EFFEXOR XR 75 MG CAPSULE SA
EFFEXOR XR 75 MG CAPSULE SA
EFFEXOR XR 75 MG CAPSULE SA
EFFEXOR XR 75 MG CAPSULE SA
EFFEXOR XR 75 MG CAPSULE SA
EFFEXOR XR 75 MG CAPSULE SA
EFFEXOR XR 75 MG CAPSULE SA
EFFEXOR XR 75 MG CAPSULE
KADIAN 60 MG CAPSULE SR
KADIAN 60 MG CAPSULE SR
VYTORIN 10/80 TABLET
VYTORIN 10/80 TABLET
VYTORIN 10/80 TABLET
VYTORIN 10/80 TABLET
EFFEXOR XR 75 MG CAPSULE
EFFEXOR XR 75 MG CAPSULE SA
KEPPRA 750 MG TABLET
SINGULAIR 5 MG TABLET CHEW
SINGULAIR 5 MG TABLET CHEW
SINGULAIR 5 MG TABLET CHEW
ARISTOSPAN 5 MG/ML VIAL
OPSITE POST-OP DRESSING
STRYCHNINE POWDER FREE BASE
STRYCHNINE POWDER FREE BASE
SINGULAIR 5 MG TABLET CHEW
ARISTOSPAN 5 MG/ML VIAL
KADIAN 50 MG CAPSULE SR
KADIAN 50 MG CAPSULE SR
SINGULAIR 5 MG TABLET CHEW
SINGULAIR 5 MG TABLET CHEW
KADIAN 50 MG CAPSULE SR
KADIAN 50 MG CAPSULE SR
EPIQUIN MICRO 4% CREAM
OVRAL-21 TABLET
OVRAL-21 TABLET
OVRAL-28 TABLET
OVRAL-28 TABLET
RESTASIS 0.05% EYE EMULSION
BLISTERFILM 5 1/2"X6" DRESS
DITROPAN XL 10 MG TABLET SA
DERMAFILM 6"X7" DRESSING
DERMASITE 6"X7" DRESSING
OGESTREL TABLET
OVRAL-21 TABLET

DOSE FORM DRUG STRENGTH


CC
CC
SN
SN
GK
TC
TA
TA
CC
CC
CC
CC
CC
CC
CC
CC
CC
CP
CP
TA
TA
TA
TA
CC
CC
TA
TC
TC
TC
HV
YE
PA
PA
TC
HV
CP
CP
TC
TC
CP
CP
KB
TA
TA
TA
TA
DP
YE
TZ
YE
YE
TA
TA

UNIT PRICE
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73
$
1.73
$
1.74
$
1.74
$
1.74
$
1.74
$
1.74
$
1.74
$
1.74
$
1.74
$
1.74
$
1.74
$
1.74
$
1.74
$
1.74
$
1.74
$
1.74
$
1.74
$
1.75
$
1.75
$
1.75
$
1.75
$
1.75
$
1.75
$
1.75
$
1.75
$
1.75
$
1.75
$
1.75

NDC
53303014060
53567070006
53567080006
54868127600
54868450200
54868450201
54868479300
54868525000
55289024504
66116016230
66582031128
66582031131
66582031154
66582031182
00004016949
00004025901
00004025905
00004025943
00029609628
00029609640
00029609648
00029609660
00078035680
00078042620
00149040560
00555093556
00555093586
00574040402
00597001314
54569460000
54569549900
54868422500
54868473500
54868473501
54868473502
54868512000
54868516300
62794061288
62794061293
63304058531
63304058577
68115070660
68115077615
00029320713
00054419119
00064351033
08026713900
17317020802
17317020804
38779000304
38779000305
40565011931
49999060115

NAME
CARRASMART 6"X7" DRESSING
DERMAFILM 6"X7" DRESSING
DERMASITE 6"X7" DRESSING
OVRAL-28 TABLET
DITROPAN XL 10 MG TABLET
DITROPAN XL 10 MG TABLET
RESTASIS 0.05% EYE EMULSION
VYTORIN 10/10 TABLET
OVRAL-4 TABLET
DITROPAN XL 10 MG
VYTORIN 10/10 TABLET
VYTORIN 10/10 TABLET
VYTORIN 10/10 TABLET
VYTORIN 10/10 TABLET
ACCUTANE 20 MG CAPSULE
CELLCEPT 250 MG CAPSULE
CELLCEPT 250 MG CAPSULE
CELLCEPT 250 MG CAPSULE
AUGMENTIN XR 1000-62.5 TAB
AUGMENTIN XR 1000-62.5 TAB
AUGMENTIN XR 1000-62.5 TAB
AUGMENTIN XR 1000-62.5 TAB
ZELNORM 6 MG TABLET
ZELNORM 6 MG TABLET
DIDRONEL 200 MG TABLET
CLARAVIS 20 MG CAPSULE
CLARAVIS 20 MG CAPSULE
NYSTATIN 2000MM UNITS POWDER
COMBIVENT INHALER
COMBIVENT INHALER
AUGMENTIN XR 1,000-62.5 TAB
COMBIVENT INHALER
AUGMENTIN XR 1,000-62.5 TAB
AUGMENTIN XR 1,000-62.5 TAB
AUGMENTIN XR 1000-62.5 TAB
ZELNORM 6 MG TABLET
SOTRET 20 MG CAPSULE
AMNESTEEM 20 MG CAPSULE
AMNESTEEM 20 MG CAPSULE
SOTRET 20 MG CAPSULE
SOTRET 20 MG CAPSULE
ZELNORM 6 MG TABLET
COMBIVENT INHALER
PAXIL CR 25 MG TABLET
DHT 0.4 MG TABLET
PANAFIL SPRAY
PRIMAPORE DRESSING
ANTHRALIN POWDER
ANTHRALIN POWDER
ANTHRALIN POWDER
ANTHRALIN POWDER
CONFORMANT 2 4"X12" SHEET
PAXIL CR 25 MG TABLET

DOSE FORM DRUG STRENGTH


YE
YE
YE
TA
TZ
TZ
DP
TA
TA
TZ
TA
TA
TA
TA
CA
CA
CA
CA
TM
TM
TM
TM
TA
TA
TA
CA
CA
PA
AJ
AJ
TM
AJ
TM
TM
TM
TA
CA
CA
CA
CA
CA
TA
AJ
TI
TA
AU
YE
PA
PA
PA
PA
FS
TI

UNIT PRICE
$
1.75
$
1.75
$
1.75
$
1.75
$
1.75
$
1.75
$
1.75
$
1.75
$
1.75
$
1.75
$
1.75
$
1.75
$
1.75
$
1.75
$
1.76
$
1.76
$
1.76
$
1.76
$
1.76
$
1.76
$
1.76
$
1.76
$
1.76
$
1.76
$
1.76
$
1.76
$
1.76
$
1.76
$
1.76
$
1.76
$
1.76
$
1.76
$
1.76
$
1.76
$
1.76
$
1.76
$
1.76
$
1.76
$
1.76
$
1.76
$
1.76
$
1.76
$
1.76
$
1.77
$
1.77
$
1.77
$
1.77
$
1.77
$
1.77
$
1.77
$
1.77
$
1.77
$
1.77

NDC
51927344400
54569559800
54868479100
55860007139
56091002591
58016076100
58016076130
58016076160
58016076190
68115029730
00585068502
08080348900
08080451900
08219255400
08219294400
08219348900
08219451900
08219624600
08479012301
08479012401
08479021101
08479021201
11822242740
22600040706
22600090054
33472000333
33472000450
33472002220
33472002225
35515095040
50428789396
52735036602
60793012001
63868092907
68712000301
82468015978
96295011218
08333156201
08395078900
41100031680
49452481001
49452481002
00006384130
00026851106
00085175201
00145251603
00145251605
00173064255
08380018104
08380018113
08380018114
08380018123
08380018124

NAME
ANTHRALIN POWDER
PAXIL CR 25 MG TABLET
PAXIL CR 25 MG TABLET
PRIMAPORE 13 3/4"X 4 3/4"
SOF-FOAM 4"X5" DRESSING
PAXIL CR 25 MG TABLET
PAXIL CR 25 MG TABLET
PAXIL CR 25 MG TABLET
PAXIL CR 25 MG TABLET
PAXIL CR 25 MG TABLET
TILADE INHALER
WEBRIL UNDERCAST PADDING
WEBRIL II UNDERCAST PADDING
WEBRIL UNDERCAST PADDING
WEBRIL II UNDERCAST PADDING
WEBRIL UNDERCAST PADDING
WEBRIL II UNDERCAST PADDING
TENDEROL UNDERCAST PADDING
CLEARBLUE FERTILITY MONITOR
CLEARBLUE FERTILITY STICKS
CLEARBLUE EASY OVULATION TEST
CLEARBLUE DIGITAL OVULATION KT
RA OVULATION PREDICTOR KIT
ANSWER OVULATION TEST KIT
FIRST RESPONSE OVULATION KT
CLEARBLUE EASY OVULATION TEST
CLEARBLUE DIGITAL OVULATION KT
CLEARBLUE FERTILITY MONITOR
CLEARBLUE FERTILITY STICKS
QC OVULATION PREDICTOR KIT
CVS OVULATION TEST KIT
FP OVULATION PREDICTOR KIT
TILADE INHALER
OVULATION PREDICTOR TEST KIT
ACLARO 4% EMULSION
FP OVULATION PREDICTOR KIT
OVULATION PREDICTOR KIT
MICROFOAM 4X7 SURGICAL TAPE
MICRODERM PLUS WASHER 1 1/2
ZINKA STICK
NAPHAZOLINE HCL POWDER
NAPHAZOLINE HCL POWDER
SINGULAIR 4 MG GRANULES
CIPRO 100 MG TABLET
CIPRO 100 MG TABLET
CLARIPEL 4% CREAM
CLARIPEL 4% CREAM
LAMICTAL 100 MG TABLET
NEW IMAGE DRAINABLE POUCH
NEW IMAGE DRAINABLE POUCH
NEW IMAGE DRAINABLE POUCH
NEW IMAGE DRAINABLE POUCH
NEW IMAGE DRAINABLE POUCH

DOSE FORM DRUG STRENGTH


PA
TI
TI
YE
YE
TI
TI
TI
TI
TI
AJ
YE
YE
YE
YE
YE
YE
YE
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
AJ
YK
RB
YK
YK
YT
ZP
EH
PA
PA
JQ
TA
TA
KA
KA
TA
EA
EA
EA
EA
EA

UNIT PRICE
$
1.77
$
1.77
$
1.77
$
1.77
$
1.77
$
1.77
$
1.77
$
1.77
$
1.77
$
1.77
$
1.78
$
1.78
$
1.78
$
1.78
$
1.78
$
1.78
$
1.78
$
1.78
$
1.78
$
1.78
$
1.78
$
1.78
$
1.78
$
1.78
$
1.78
$
1.78
$
1.78
$
1.78
$
1.78
$
1.78
$
1.78
$
1.78
$
1.78
$
1.78
$
1.78
$
1.78
$
1.78
$
1.79
$
1.79
$
1.79
$
1.79
$
1.79
$
1.80
$
1.80
$
1.80
$
1.80
$
1.80
$
1.80
$
1.80
$
1.80
$
1.80
$
1.80
$
1.80

NDC
08380018134
08380018144
08380018163
08380018164
08380018183
08380018184
08380018194
08380018204
12547048950
39822995002
54569436300
55111012506
61570003150
68115037060
08388940305
11423007000
11423007070
11845014108
16169040303
16169040305
17317047701
17317047705
17317047708
38779015003
38779015004
38779015005
38779015205
49452598001
49452598002
49452598003
51927114800
51927143500
99207052530
99207052560
00002322730
00002322830
00002322930
00002323830
00002323930
00029320813
00037900001
00067503956
00067604556
00299595030
00299597030
00327000110
08193145001
08193145101
08193145501
08193146001
08193147001
54868474000
54868474100

NAME
NEW IMAGE DRAINABLE POUCH
NEW IMAGE DRAINABLE POUCH
NEW IMAGE DRAINABLE POUCH
NEW IMAGE DRAINABLE POUCH
NEW IMAGE DRAINABLE POUCH
NEW IMAGE DRAINABLE POUCH
NEW IMAGE DRAINABLE POUCH
NEW IMAGE DRAINABLE POUCH
LUBRIDERM BODY BAR
AMYL NITRITE AMPUL
CIPRO 100 MG TABLET
CIPROFLOXACIN HCL 100 MG TAB
CORTISPORIN OINTMENT
LAMICTAL 100 MG TABLET
FC CONDOM, FEMALE
FC CONDOM, FEMALE
FC CONDOM, FEMALE
CO Q-10 300 MG SOFTGEL
FC CONDOM, FEMALE
FC CONDOM, FEMALE
PREDNISOLONE POWDER
PREDNISOLONE POWDER
PREDNISOLONE POWDER
PREDNISOLONE POWDER
PREDNISOLONE POWDER
PREDNISOLONE POWDER
PREDNISOLONE POWDER
PREDNISOLONE POWDER
PREDNISOLONE POWDER
PREDNISOLONE POWDER
PREDNISOLONE POWDER
PREDNISOLONE POWDER
VANOS 0.1% CREAM
VANOS 0.1% CREAM
STRATTERA 10 MG CAPSULE
STRATTERA 25 MG CAPSULE
STRATTERA 40 MG CAPSULE
STRATTERA 18 MG CAPSULE
STRATTERA 60 MG CAPSULE
PAXIL CR 37.5 MG TABLET
DORAL 7.5 MG TABLET
NICOTINE TRANSDERMAL SYSTEM
NICOTINE TRANSDERMAL SYSTEM
TRI-LUMA CREAM
SOLAGE TOPICAL SOLUTION
CLORPACTIN WCS-90 POWDER
BIOSCANNER HDL CHOLEST STRP
BIOSCANNER HDL CHOLEST STRP
BIOSCANNER HDL CHOLEST STRP
BIOSCANNER HDL CHOLEST STRP
BIOSCANNER HDL CHOLEST STRP
STRATTERA 25 MG CAPSULE
STRATTERA 40 MG CAPSULE

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EB
HH
TA
TA
OA
TA
EA
EA
EA
CA
EA
EA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
KA
KA
CA
CA
CA
CA
CA
TI
TA
QH
QH
KA
SA
PA
YR
YR
YR
YR
YR
CA
CA

UNIT PRICE
$
1.80
$
1.80
$
1.80
$
1.80
$
1.80
$
1.80
$
1.80
$
1.80
$
1.80
$
1.80
$
1.80
$
1.80
$
1.80
$
1.80
$
1.81
$
1.81
$
1.81
$
1.81
$
1.81
$
1.81
$
1.81
$
1.81
$
1.81
$
1.81
$
1.81
$
1.81
$
1.81
$
1.81
$
1.81
$
1.81
$
1.81
$
1.81
$
1.81
$
1.81
$
1.82
$
1.82
$
1.82
$
1.82
$
1.82
$
1.82
$
1.82
$
1.82
$
1.82
$
1.82
$
1.82
$
1.82
$
1.82
$
1.82
$
1.82
$
1.82
$
1.82
$
1.82
$
1.82

NDC
54868488400
68115091330
00074132305
00074490315
00074490334
00247107905
00548119000
00548219000
00548339000
00054306844
00074283300
00074283500
00074283800
00074283900
00074284000
00074284001
00074284301
00132021101
00132021201
08333357301
10481300801
49326051090
54868317700
00008411701
00008413001
08026000088
08026464800
08375004103
38779042903
38779042904
38779042905
50458030101
50458030104
50458030150
53303000020
68115069460
83750004103
00029637025
00451039950
00517620225
00574046105
00574046125
10939012511
17317056802
17317056803
17317056808
17478021910
17478021912
19810006901
19810007901
19810073201
19810073301
19810073401

NAME
STRATTERA 60 MG CAPSULE
PAXIL CR 37.5 MG TABLET
LIDOCAINE HCL 2% SYRINGE
LIDOCAINE HCL 2% ABBOJECT
LIDOCAINE HCL 2% ABBOJECT
LIDOCAINE HCL 2% SYRINGE
LIDOCAINE HCL 2% SYRINGE
LIDOCAINE HCL 2% MIN-I-JET
LIDOCAINE HCL 2%
ALPRAZOLAM 1 MG/ML ORAL CONC
ROSS ENEMA SYRINGE 1 OZ
ROSS ENEMA SYRINGE 3 OZ
ROSS EAR SYRINGE 1 OZ
ROSS EAR SYRINGE 2 OZ
FAULTLESS ADULT EAR SYRN 3OZ
ADULT EAR SYRINGE
FAULTLESS ADULT RECTAL SYRN
FLEET PREP KIT #1
FLEET PREP KIT #3
SOFT CLOTH 3.5X13.75" DRESS
TRI-CHLOR 80% SOLUTION
ALBATUSSIN SR SENIOR CAPSULE
FLEET PREP KIT #1
TRECATOR 250 MG TABLET
TRECATOR-SC 250 MG TABLET
OPSITE PLUS DRESSING
IV 3000 DRESSING 6"X6"
PROCYTE 6"X6" DRESSING
DESIPRAMINE HCL POWDER
DESIPRAMINE HCL POWDER
DESIPRAMINE HCL POWDER
RISPERDAL 0.25 MG TABLET
RISPERDAL 0.25 MG TABLET
RISPERDAL 0.25 MG TABLET
CARRA FILM DRESSING 6"X6"
RISPERDAL 0.25 MG TABLET
PROCYTE 6"X6" DRESSING
NALLPEN 500 MG VIAL
VOLMAX 8 MG TABLET SA
MULTITRACE-4 VIAL
TESTOSTERONE PROPIONATE PWD
TESTOSTERONE PROPIONATE PWD
STICK DEODORANT
TESTOSTERONE PROPIONATE PWD
TESTOSTERONE PROPIONATE PWD
TESTOSTERONE PROPIONATE PWD
AK-PRED 1% EYE DROPS
AK-PRED 1% EYE DROPS
BAN SOLID ANTIPERS/DEOD STK
BAN SOLID ANTIPERS/DEOD STK
BAN SOLID ANTIPERS/DEOD STK
BAN SOLID ANTIPERS/DEOD STK
BAN SOLID ANTIPERS/DEOD STK

DOSE FORM DRUG STRENGTH


CA
TI
HQ
HQ
HQ
HQ
HQ
HQ
HQ
SY
ZA
ZA
ZA
ZA
ZA
ZA
ZA
YK
YK
YE
SA
CA
YK
TA
TA
YE
YE
YE
PA
PA
PA
TA
TA
TA
YE
TA
YE
HS
TZ
HV
PA
PA
EH
PA
PA
PA
SO
SO
EH
EH
EH
EH
EH

UNIT PRICE
$
1.82
$
1.82
$
1.83
$
1.83
$
1.83
$
1.83
$
1.83
$
1.83
$
1.83
$
1.84
$
1.84
$
1.84
$
1.84
$
1.84
$
1.84
$
1.84
$
1.84
$
1.84
$
1.84
$
1.84
$
1.84
$
1.84
$
1.84
$
1.85
$
1.85
$
1.85
$
1.85
$
1.85
$
1.85
$
1.85
$
1.85
$
1.85
$
1.85
$
1.85
$
1.85
$
1.85
$
1.85
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86

NDC
22600019442
24208071502
24208071506
24208071510
38779005403
38779005404
38779016503
38779016504
38779016505
49452001101
49452001102
49452001103
49452767001
49452767002
49452767003
51552003001
51552030003
51552030005
51552030006
51927102900
54799055010
54799055012
54868281000
58016602901
58016655705
58768087705
58768087710
58768087715
63323014102
63370098525
63370098535
63370098545
63370098550
00074245712
00074245713
00088179942
08380007392
08380007393
08380007394
08380007395
08380007396
08380007397
08380007398
08380007399
49999042130
50458030201
50458030206
50458030250
52959010514
54569455500
54569455503
54868402700
54868402701

NAME
ARRID XX GLIDE ON ANTI-PERS
PREDNISOLONE SOD 1% EYE DROP
PREDNISOLONE SOD 1% EYE DROP
PREDNISOLONE SOD 1% EYE DROP
TESTOSTERONE PROPIONATE PWD
TESTOSTERONE PROPIONATE PWD
TESTOSTERONE PROPIONATE PWD
TESTOSTERONE PROPIONATE PWD
TESTOSTERONE PROPIONATE PWD
TESTOSTERONE PROPIONATE PWD
TESTOSTERONE PROPIONATE PWD
TESTOSTERONE PROPIONATE PWD
TESTOSTERONE PROPIONATE PWD
TESTOSTERONE PROPIONATE PWD
TESTOSTERONE PROPIONATE PWD
TESTOSTERONE PROPIONATE PWD
TESTOSTERONE PROPIONATE PWD
TESTOSTERONE PROPIONATE PWD
TESTOSTERONE PROPIONATE PWD
TESTOSTERONE PROPIONATE PWD
PREDNISOL 1% EYE DROPS
PREDNISOL 1% EYE DROPS
P6E1 EYE DROPS
PREDNISOLONE SOD 1% EYE DROP
PREDNISOLONE SOD 1% DROPS
INFLAMASE FORTE 1% EYE DROP
INFLAMASE FORTE 1% EYE DROP
INFLAMASE FORTE 1% EYE DROP
NEOTRACE-4 VIAL
TESTOSTERONE PROPIONATE PWD
TESTOSTERONE PROPIONATE PWD
TESTOSTERONE PROPIONATE PWD
TESTOSTERONE PROPIONATE PWD
MERIDIA 10 MG CAPSULE
MERIDIA 10 MG CAPSULE
CARDIZEM CD 360 MG CAPSULE
KARAYA SEAL RING-5/8IN
KARAYA SEAL RING 1-1/8IN
KARAYA SEAL RING 1-1/2IN
KARAYA SEAL RING 2IN
KARAYA SEAL RING 2-1/2IN
KARAYA SEAL RING-1/2IN
KARAYA SEAL RING-7/8IN
KARAYA SEAL RING 1-3/8IN
MERIDIA 10 MG CAPSULE
RISPERDAL 0.5 MG TABLET
RISPERDAL 0.5 MG TABLET
RISPERDAL 0.5 MG TABLET
MERIDIA 10 MG CAPSULE
MERIDIA 10 MG CAPSULE
MERIDIA 10 MG CAPSULE
MERIDIA 10 MG CAPSULE
MERIDIA 10 MG CAPSULE

DOSE FORM DRUG STRENGTH


EH
SO
SO
SO
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
SO
SO
SO
SO
SO
SO
SO
SO
HV
PA
PA
PA
PA
CA
CA
CC
EA
EA
EA
EA
EA
EA
EA
EA
CA
TA
TA
TA
CA
CA
CA
CA
CA

UNIT PRICE
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.86
$
1.87
$
1.87
$
1.87
$
1.87
$
1.87
$
1.87
$
1.87
$
1.87
$
1.87
$
1.87
$
1.87
$
1.87
$
1.87
$
1.87
$
1.87
$
1.87
$
1.87
$
1.87
$
1.87
$
1.87

NDC
54868487400
55289037507
55289037514
55289037528
64455079942
68115022807
68115082760
00062725101
00062725102
00062728001
00062728004
00065078112
00247046815
00247101725
00998061505
00998061515
08290498024
08290498025
10939016233
10939016333
10939016433
10939087011
11822004710
11822301670
11822396970
15127045601
15127045602
19458920201
19458920202
22600040306
22600040312
22600040412
22600040512
22600040612
22600040812
22600040912
22600090125
22600090127
34575053180
34575053327
35515090048
35515090049
38779024208
49348023200
49348023257
49348087000
49614019510
50428545061
50428713594
52297079000
52297094457
52735036902
52735036936

NAME
RISPERDAL 0.5 MG TABLET
MERIDIA 10 MG CAPSULE
MERIDIA 10 MG CAPSULE
MERIDIA 10 MG CAPSULE
CARDIZEM CD 360 MG CAPSULE
MERIDIA 10 MG CAPSULE
RISPERDAL 0.5 MG TABLET
FACT PLUS PREG TEST KIT
FACT PLUS PREGNANCY TEST
ADVANCE PREGNANCY TEST KIT
ADVANCE DOUBLE PREG TEST
FLUORESCEIN 2% STERI-UNIT
MAXIDEX 0.1% EYE DROPS
PREGNANCY TEST KIT
MAXIDEX 0.1% EYE DROPS
MAXIDEX 0.1% EYE DROPS
PRECISE PREGNANCY KIT
PRECISE PREGNANCY KIT
SUNMARK PREGNANCY TEST KIT
SUNMARK PREGNANCY TEST KIT
SM PREGNANCY TEST KIT
SM PREGNANCY TEST KIT
RA PREGNANCY TEST KIT
RA EARLY PREGNANCY TEST KIT
RA PREGNANCY TEST KIT
SB PREGNANCY TEST KIT
SB PREGNANCY TEST KIT
ECK EARLY PREGNANCY TEST KIT
ECK EARLY PREGNANCY TEST KIT
ANSWER HOME PREGNANCY TEST
ANSWER HOME PREGNANCY TEST
ANSWER 2 PREGNANCY TEST KIT
ANSWER PLUS PREGNANCY TEST
ANSWER PLUS 2 PREGNANCY TST
ANSWER QUICK & SIMPLE KIT
ANSWER QUICK & SIMPLE TEST
FIRST RESPONSE TEST KIT
FIRST RESPONSE TEST
ECK EARLY PREGNANCY TEST KIT
ECK EARLY PREGNANCY TEST KIT
QC PREGNANCY TEST KIT
QC PREGNANCY TEST KIT
NYSTATIN 2B UNITS POWDER
SUNMARK PREGNANCY TEST KIT
SUNMARK PREGNANCY TEST KIT
SM PREGNANCY TEST KIT
ONE STEP PREGNANCY TEST KIT
CVS PREGNANCY TEST KIT
PREGNANCY TEST KIT
HM PREGNANCY TEST STRIP
HM PREGNANCY TEST KIT
FP PREGNANCY TEST
FP ONE STEP PREGNANCY KIT

DOSE FORM DRUG STRENGTH


TA
CA
CA
CA
CC
CA
TA
YK
YK
YK
YK
SO
SN
YK
SN
SN
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
PA
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK

UNIT PRICE
$
1.87
$
1.87
$
1.87
$
1.87
$
1.87
$
1.87
$
1.87
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88

NDC
52735037002
52800032957
52800032962
52800032981
52800032982
55860007195
58016628601
63868093001
63868093002
70030013488
70030013489
82468011853
82468011903
82468061461
87701027278
87701054396
87701055262
87701091939
96295010313
96295010470
00054975085
00054975088
00074245612
00074245613
00173064360
00406151056
00406151057
00406151059
00406151061
00469061711
00469061773
38779010403
38779010404
38779010405
49452455301
49452455302
49452455303
51552072804
51927101700
52959010414
55289037707
55289037714
59767000301
62991140801
62991140802
62991140803
66689068155
00002323560
00023010602
00023010605
00023010610
00641092825
00641095525

NAME
FP ONE STEP PREGNANCY KIT
E.P.T. STICK TEST KIT
E.P.T. STICK TEST DOUBLE KT
E.P.T. CERTAINTY KIT
E.P.T. CERTAINTY KIT
AIRSTRIP 10 1/4" X 3 1/4"
FLUORESCEIN 2% DROPTAINER
QC PREGNANCY TEST KIT
QC PREGNANCY TEST KIT
PREGNANCY TEST KIT
PREGNANCY TEST KIT
FP ONE STEP PREGNANCY KIT
FP PREGNANCY TEST
FP ONE STEP PREGNANCY KIT
GNP HOME PREGNANCY TEST
BL PREGNANCY TEST KIT
GNP PREGNANCY TEST KIT
BL HOME PREGNANCY TEST KIT
ONE STEP PREGNANCY TEST KIT
ONE STEP PREGNANCY TEST KIT
METHADONE HCL POWDER
METHADONE HCL POWDER
MERIDIA 5 MG CAPSULE
MERIDIA 5 MG CAPSULE
LAMICTAL 150 MG TABLET
METHADONE HCL POWDER
METHADONE HCL POWDER
METHADONE HCL POWDER
METHADONE HCL POWDER
PROGRAF 1 MG CAPSULE
PROGRAF 1 MG CAPSULE
METHADONE HCL POWDER
METHADONE HCL POWDER
METHADONE HCL POWDER
METHADONE HCL POWDER
METHADONE HCL POWDER
METHADONE HCL POWDER
METHADONE HCL POWDER
METHADONE HCL POWDER
MERIDIA 5 MG CAPSULE
MERIDIA 5 MG CAPSULE
MERIDIA 5 MG CAPSULE
PANCRECARB MS-16 CAPSULE EC
METHADONE HCL POWDER
METHADONE HCL POWDER
METHADONE HCL POWDER
METHADONE HCL POWDER
CYMBALTA 20 MG CAPSULE
PRED-G 1% EYE DROPS
PRED-G 1% EYE DROPS
PRED-G 1% EYE DROPS
PROMETHAZINE 25 MG/ML VIAL
PROMETHAZINE 25 MG/ML VIAL

DOSE FORM DRUG STRENGTH


YK
YK
YK
YK
YK
YE
SO
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
PA
PA
CA
CA
TA
PA
PA
PA
PA
CA
CA
PA
PA
PA
PA
PA
PA
PA
PA
CA
CA
CA
CE
PA
PA
PA
PA
CE
SN
SN
SN
HV
HV

UNIT PRICE
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.88
$
1.89
$
1.89
$
1.89
$
1.89
$
1.89
$
1.89
$
1.89
$
1.89
$
1.89
$
1.89
$
1.89
$
1.89
$
1.89
$
1.89
$
1.89
$
1.89
$
1.89
$
1.89
$
1.89
$
1.89
$
1.89
$
1.89
$
1.89
$
1.89
$
1.89
$
1.89
$
1.89
$
1.90
$
1.90
$
1.90
$
1.90
$
1.90
$
1.90

NDC
00703219104
08333162701
10019009701
10019009744
49756046304
52959062903
53303000023
54868064001
54868269500
54868521500
56091001440
56091001441
56091001442
56091001444
56091002459
56091002467
60977000103
60977000144
62086015410
66758060119
67457015410
00074685401
00514008448
00517881001
02120163801
08026463100
08080664200
08080724400
08219664200
08219665500
08327002646
08333162801
12280001915
49452485102
49452485103
49452485104
49452485105
49452485106
49756046305
50458030001
50458030006
50458030050
54002009068
54868351200
55860004631
58864003815
58864086630
62991173901
62991173902
62991173903
62991173904
62991173905
62991173906

NAME
PROMETHAZINE 25 MG/ML VIAL
TEGADERM 4" X 10" DRESSING
PROMETHAZINE 25 MG/ML VIAL
PROMETHAZINE 25 MG/ML VIAL
TRANSEAL WOUND DRESSING
PRED-G 1% EYE DROPS
CARRA FILM DRESSING 4"X10"
PRED-G 1% EYE DROPS
PROMETHAZINE 25 MG/ML VIAL
CYMBALTA 20 MG CAPSULE
LISTER'S SUTURE REMOVAL KIT
LISTER'S SUTURE REMOVAL KIT
LISTER'S SUTURE REMOVAL KIT
LISTER'S SUTURE REMOVAL KIT
BIOCLUSIVE DRESSING 4"X10"
BIOCLUSIVE DRESSING 4"X10"
PHENERGAN 25 MG/ML VIAL
PHENERGAN 25 MG/ML VIAL
PROMETHAZINE 25 MG/ML VIAL
PROMETHAZINE 25 MG/ML VIAL
PROMETHAZINE 25 MG/ML VIAL
ENDURONYL FORTE TABLET
FLEXFILM 6"X8" DRESSING
BRETYLIUM 50 MG/ML VIAL
TEGADERM 6" X 8" DRESSING
OPSITE FLEXIGRID DRESSING
POLYSKIN II TRANSPRNT DRESS
POLYSKIN ADHESIVE DRESSING
POLYSKIN II TRANSPRNT DRESS
POLYSKIN M.R. TRNSPRNT DRSS
SURESITE MATRIX TRANSPRNT DRES
TEGADERM 6" X 8" DRESSING
RISPERDAL 1 MG TABLET
NICOTINAMIDE ADENINE POWDER
NICOTINAMIDE ADENINE POWDER
NICOTINAMIDE ADENINE POWDER
NICOTINAMIDE ADENINE POWDER
NICOTINAMIDE ADENINE POWDER
TRANSEAL WOUND DRESSING
RISPERDAL 1 MG TABLET
RISPERDAL 1 MG TABLET
RISPERDAL 1 MG TABLET
HYPERION DRESSING
RISPERDAL 1 MG TABLET
OPSITE DRESSING 6" X 8"
RISPERDAL 1 MG TABLET
RISPERDAL 1 MG TABLET
MAFENIDE ACETATE POWDER
MAFENIDE ACETATE POWDER
MAFENIDE ACETATE POWDER
MAFENIDE ACETATE POWDER
MAFENIDE ACETATE POWDER
MAFENIDE ACETATE POWDER

DOSE FORM DRUG STRENGTH


HV
YE
HV
HV
YE
SN
YE
SN
HV
CE
YK
YK
YK
YK
YE
YE
HV
HV
HV
HV
HV
TA
YE
HV
YE
YE
YE
YE
YE
YE
YE
YE
TA
PA
PA
PA
PA
PA
YE
TA
TA
TA
YE
TA
YE
TA
TA
PA
PA
PA
PA
PA
PA

UNIT PRICE
$
1.90
$
1.90
$
1.90
$
1.90
$
1.90
$
1.90
$
1.90
$
1.90
$
1.90
$
1.90
$
1.90
$
1.90
$
1.90
$
1.90
$
1.90
$
1.90
$
1.90
$
1.90
$
1.90
$
1.90
$
1.90
$
1.91
$
1.91
$
1.91
$
1.91
$
1.91
$
1.91
$
1.91
$
1.91
$
1.91
$
1.91
$
1.91
$
1.91
$
1.91
$
1.91
$
1.91
$
1.91
$
1.91
$
1.91
$
1.91
$
1.91
$
1.91
$
1.91
$
1.91
$
1.91
$
1.91
$
1.91
$
1.91
$
1.91
$
1.91
$
1.91
$
1.91
$
1.91

NDC
00008082101
00026064612
00026064620
00026064624
00026064625
00026064671
00066715030
00074161401
00074161402
00074161403
00074161405
00074441701
00074441801
00074441901
00074442501
00074443001
00074443201
00074792708
00074792709
00074792720
00074792721
00093108701
00172419460
00264901650
08026989100
10337080001
17191000137
17191000138
17191000139
17191000140
17191000141
17191000142
17191000143
17191050001
49669161201
49669161301
49669161401
58016049600
58016049615
58016049620
58016049630
58016049640
58016049650
58016049660
61953000301
61953000302
61953000303
61953000304
62436072801
67467084301
67467084302
67467084303
67467084304

NAME
ORUVAIL 100 MG CAPSULE SA
GAMIMUNE N 5% VIAL
GAMIMUNE N 5% VIAL
GAMIMUNE N 5% VIAL
GAMIMUNE N 5% VIAL
GAMIMUNE N 5% VIAL
CARAC CREAM
EVACUATED CONTAINER 150 ML
EVACUATED CONTAINER 250 ML
EVACUATED CONTAINER 500 ML
EVACUATED CONTAINER 1,000 ML
NUTRIMIX IV EMPTY CONTAINER
NUTRIMIX IV EMPTY CONTAINER
NUTRIMIX IV EMPTY CONTAINER
NUTRIMIX IV EMPTY CONTAINER
NUTRIMIX IV EMPTY CONTAINER
NUTRIMIX IV EMPTY CONTAINER
CONTAINER 3,000 ML W/TRANSFER
CONTAINER 1,000 ML W/TRANSFER
CONTAINER 3,000 ML W/TRANSFER
CONTAINER 1,000 ML W/TRANSFER
CEFACLOR ER 500 MG TABLET SA
CEFACLOR ER 500 MG TABLET SA
PROTECTED NEEDLE 18G
UNLABELED REFILL BOTTLE
ADOXA 50 MG TABLET
EXACTA-MIX EVA CONTAINER
EXACTA-MIX EVA CONTAINER
EXACTA-MIX EVA CONTAINER
EXACTA-MIX EVA CONTAINER
EXACTA-MIX EVA CONTAINER
EXACTA-MIX EVA CONTAINER
EXACTA-MIX EVA CONTAINER
CYTOSAFE SHORT CHEMO NEEDLE
VENOGLOBULIN-S 5% VIAL
VENOGLOBULIN-S 5% VIAL
VENOGLOBULIN-S 5% VIAL
KETOPROFEN 100 MG CAPSULE SA
KETOPROFEN 100 MG CAPSULE SA
KETOPROFEN 100 MG CAPSULE SA
KETOPROFEN 100 MG CAPSULE SA
KETOPROFEN 100 MG CAPSULE SA
KETOPROFEN 100 MG CAPSULE SA
KETOPROFEN 100 MG CAPSULE SA
FLEBOGAMMA 5% VIAL
FLEBOGAMMA 5% VIAL
FLEBOGAMMA 5% VIAL
FLEBOGAMMA 5% VIAL
ADOXA 50 MG TABLET
OCTAGAM 5% VIAL
OCTAGAM 5% VIAL
OCTAGAM 5% VIAL
OCTAGAM 5% VIAL

DOSE FORM DRUG STRENGTH


CP
HV
HV
HV
HV
HV
KA
ZC
ZC
ZC
ZC
ZC
ZC
ZC
ZC
ZC
ZC
ZC
ZC
ZC
ZC
TM
TM
YH
ZC
TA
ZC
ZC
ZC
ZC
ZC
ZC
ZC
YH
HV
HV
HV
CP
CP
CP
CP
CP
CP
CP
HV
HV
HV
HV
TA
HV
HV
HV
HV

UNIT PRICE
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92
$
1.92

NDC
68516161201
68516161301
68516161401
00003029305
00003029320
00003029328
00131101504
00314340075
08333152801
17314850201
38779016409
49452766001
49452766002
49452766003
49999041505
51552010405
51927270600
53303000019
54868023500
54868023501
54868023502
54868483500
54868483501
56091002458
56091002465
56091002479
58016979901
62991170701
62991170702
62991170703
62991170704
62991170705
63275998204
63275998205
63275998209
00074233411
00074245311
00074245327
00145055707
00145055807
00145105705
00145105805
00186198904
00409217201
00409217205
08137005556
10641000300
54569516300
54868513700
62991163801
62991163802
62991163803
00019117704

NAME
VENOGLOBULIN-S 5% VIAL
VENOGLOBULIN-S 5% VIAL
VENOGLOBULIN-S 5% VIAL
KENALOG-40 40 MG/ML VIAL
KENALOG-40 40 MG/ML VIAL
KENALOG-40 40 MG/ML VIAL
CENOCORT A-40 40 MG/ML VIAL
TRIAM-A 40 MG/ML VIAL
MICROFOAM SURGICAL TAPE
DITROPAN XL 15 MG TABLET SA
TESTOSTERONE CYPIONATE POWD
TESTOSTERONE CYPIONATE POWD
TESTOSTERONE CYPIONATE POWD
TESTOSTERONE CYPIONATE POWD
KENALOG-40 40 MG/ML VIAL
TESTOSTERONE CYPIONATE POWD
TESTOSTERONE CYPIONATE PWD
CARRA FILM DRESSING 5"X7"
KENALOG-40 40 MG/ML VIAL
KENALOG-40 40 MG/ML VIAL
KENALOG-40 40 MG/ML VIAL
DITROPAN XL 15 MG TABLET
DITROPAN XL 15 MG TABLET
BIOCLUSIVE DRESSING 5"X7"
BIOCLUSIVE DRESSING 5" X 7"
BIOCLUSIVE DRESSING 5"X7"
KENALOG 40 MG/ML VIAL
TESTOSTERONE CYPIONATE POWD
TESTOSTERONE CYPIONATE POWD
TESTOSTERONE CYPIONATE POWD
TESTOSTERONE CYPIONATE POWD
TESTOSTERONE CYPIONATE POWD
TESTOSTERONE CYPIONATE POWD
TESTOSTERONE CYPIONATE POWD
TESTOSTERONE CYPIONATE POWD
DILAUDID 4 MG/ML AMPUL
DILAUDID-HP 10 MG/ML AMPUL
DILAUDID-HP 10 MG/ML AMPUL
OILATUM UNSCENTED SOAP
OILATUM SCENTED SOAP
OILATUM UNSCENTED SOAP
OILATUM SCENTED SOAP
PULMICORT 0.5 MG/2 ML RESPULE
HYDROMORPHONE HCL 10 MG/ML AMP
HYDROMORPHONE HCL 10 MG/ML AMP
SOF-BAND BULKY BNDG 4"X4YDS
DERMALAB SUPERFATTED SOAP
PULMICORT 0.5 MG/2 ML RESPULE
DILAUDID 4 MG/ML AMPUL
ALOE VERA POWDER
ALOE VERA POWDER
ALOE VERA POWDER
OPTIMARK 330.9 MG/ML VIAL

DOSE FORM DRUG STRENGTH


HV
HV
HV
HV
HV
HV
HV
HV
YT
TZ
PA
PA
PA
PA
HV
PA
PA
YE
HV
HV
HV
TZ
TZ
YE
YE
YE
HV
PA
PA
PA
PA
PA
PA
PA
PA
HH
HH
HH
EC
EC
EC
EC
AL
HH
HH
YE
EC
AL
HH
PA
PA
PA
HV

UNIT PRICE
$
1.92
$
1.92
$
1.92
$
1.93
$
1.93
$
1.93
$
1.93
$
1.93
$
1.93
$
1.93
$
1.93
$
1.93
$
1.93
$
1.93
$
1.93
$
1.93
$
1.93
$
1.93
$
1.93
$
1.93
$
1.93
$
1.93
$
1.93
$
1.93
$
1.93
$
1.93
$
1.93
$
1.93
$
1.93
$
1.93
$
1.93
$
1.93
$
1.93
$
1.93
$
1.93
$
1.94
$
1.94
$
1.94
$
1.94
$
1.94
$
1.94
$
1.94
$
1.94
$
1.94
$
1.94
$
1.94
$
1.94
$
1.94
$
1.94
$
1.94
$
1.94
$
1.94
$
1.95

NDC
00131109504
00314077575
00396396000
00447021000
00469511601
00469511605
08290004009
08290524005
08290524550
19458908001
34575057898
36800002621
38703002010
52297073900
54569482600
54868092600
87701056521
87701056584
87701081453
99207025510
99207025520
99207025602
00003187774
00003187901
00015350320
00015350399
00025194234
00025194250
00083013311
08011750101
08011750107
08011750301
08011750307
08011802050
08011802060
08080368500
08333160801
08375003403
25382050003
25382051003
38779024206
50111088405
53265035305
53567050003
53567051003
54002014921
54002014922
54643564601
54643564700
62794008609
62794008709
62794008809
62794008909

NAME
CENOCORT FORTE 40 MG/ML VIAL
TRIAM FORTE 40 MG/ML VIAL
PRO-CEPTION BASAL THERMOMET
TEM-CON BASAL THERMOMETER
ARISTOCORT FORTE 40 MG/ML VL
ARISTOCORT FORTE 40 MG/ML VL
FEVER THERMOMETER (BASAL)
BASAL THERMOMETER
BD BASAL GLASS THERMOMETER
ECK BASAL THERMOMETER
ECK BASAL THERMOMETER
BASAL THERMOMETER
BASAL THERMOMETER
HM BASAL THERMOMETER
LUSTRA-AF 4% CREAM
ARISTOCORT FORTE 40 MG/ML VL
BL BASAL THERMOMETER
GNP BASAL THERMOMETER
BL BASAL THERMOMETER
LUSTRA-AF 4% CREAM
LUSTRA-AF 4% CREAM
LUSTRA-AF 4% CREAM
COMBIDERM ACD DRESSING
DUODERM XTHIN CGF 3X3" DRES
KANTREX 1 GM/3 ML VIAL
KANTREX 1 GM/3 ML VIAL
FLAGYL 375 CAPSULE
FLAGYL 375 CAPSULE
METOPIRONE 250 MG CAPSULE
BARD IRRIGATION TRAY
BARD BASIC IRRIGATION TRAY
BARD IRRIGATION TRAY
BARD BASIC IRRIGATION TRAY
DAVOL IRRIGATION TRAY
DAVOL IRRIGATION TRAY
CURITY IRRIGATION TRAY
MICRODON 2X8 SURGICAL DRSNG
OSMOCYTE PILLOW WOUND DRESS
DERMACOL 3"X3" DRESSING
NUTRACOL 3"X3" DRESSING
NYSTATIN 1B UNITS POWDER
METRONIDAZOLE 375 MG CAPSULE
METRONIDAZOLE 375 MG CAPSULE
DERMACOL 3"X3" DRESSING
NUTRACOL 3"X3" DRESSING
HYPERION TAPELESS DRESSING
HYPERION TAPELESS DRESSING
INFUVITE PEDIATRIC VIAL
INFUVITE PEDIATRIC VIAL
HYDROCOL 3" X 3" DRESSING
HYDROCOL THIN 3X3" DRESSING
HYDROCOL II 3" X 3" DRESSING
HYDROCOL II THIN 3"X3" DRESSNG

DOSE FORM DRUG STRENGTH


HV
HV
EA
EA
HV
HV
EA
EA
EA
EA
EA
EA
EA
EA
KA
HV
EA
EA
EA
KA
KA
KA
YE
YE
HV
HV
CA
CA
CA
ZT
ZT
ZT
ZT
ZT
ZT
ZT
YE
YE
YE
YE
PA
CA
CA
YE
YE
YE
YE
HV
HV
YE
YE
YE
YE

UNIT PRICE
$
1.95
$
1.95
$
1.95
$
1.95
$
1.95
$
1.95
$
1.95
$
1.95
$
1.95
$
1.95
$
1.95
$
1.95
$
1.95
$
1.95
$
1.95
$
1.95
$
1.95
$
1.95
$
1.95
$
1.95
$
1.95
$
1.95
$
1.96
$
1.96
$
1.96
$
1.96
$
1.96
$
1.96
$
1.96
$
1.96
$
1.96
$
1.96
$
1.96
$
1.96
$
1.96
$
1.96
$
1.96
$
1.96
$
1.96
$
1.96
$
1.96
$
1.96
$
1.96
$
1.96
$
1.96
$
1.96
$
1.96
$
1.96
$
1.96
$
1.96
$
1.96
$
1.96
$
1.96

NDC
63323035903
63370016075
63713800202
83750003403
83750003497
00019117706
00049077009
00310027210
00310027239
00641139735
00641139835
38779028004
38779028005
49452485201
49452485202
51552072002
51552072004
51552072005
51927231100
54868427200
54868427201
62991110601
62991110602
62991110603
68115091200
00074647932
00075006037
00078024815
00087667117
00172731246
00173064460
00185093330
00998031505
00998031515
11980017405
11980017410
49281075221
49281075222
49999025505
49999043005
49999053405
50111092043
52959028603
54569005300
54569175001
54868126801
54868232801
54868279600
54868297201
54868335601
54868491600
55887072620
58016605701

NAME
KANAMYCIN 1 GM/3 ML VIAL
NYSTATIN 1B UNITS POWDER
SILVERCEL 2"X2" DRESSING
OSMOCYTE PILLOW WOUND DRESS
OSMOCYTE PILLOW WOUND DRESS
OPTIMARK 330.9 MG/ML VIAL
TERRAMYCIN 250 MG/2 ML AMPUL
SEROQUEL 200 MG TABLET
SEROQUEL 200 MG TABLET
CHLORPROMAZINE 25 MG/ML AMP
CHLORPROMAZINE 25 MG/ML AMP
NIFEDIPINE POWDER
NIFEDIPINE POWDER
NIFEDIPINE POWDER
NIFEDIPINE POWDER
NIFEDIPINE POWDER
NIFEDIPINE POWDER
NIFEDIPINE POWDER
NIFEDIPINE POWDER
SEROQUEL 200 MG TABLET
SEROQUEL 200 MG TABLET
NIFEDIPINE POWDER
NIFEDIPINE POWDER
NIFEDIPINE POWDER
SEROQUEL 200 MG TABLET
GENGRAF 100 MG CAPSULE
AZMACORT INHALER
NEORAL 100 MG GELATN CAPSULE
VIDEX EC 125 MG CAP SA
CYCLOSPORINE 100 MG SOFTGEL
LAMICTAL 200 MG TABLET
CYCLOSPORINE 100 MG SOFTGEL
ISOPTO HOMATROPINE 5% DROPS
ISOPTO HOMATROPINE 5% DROPS
PRED MILD 0.12% EYE DROPS
PRED MILD 0.12% EYE DROPS
TUBERSOL 5T UNITS/0.1 ML VIAL
TUBERSOL 5T UNITS/0.1 ML VIAL
HOMATROPINE HBR 5% EYE DROP
TUBERSOL 5TU/0.1 ML VIAL
ISOPTO HOMATROPINE 5% DROPS
CYCLOSPORINE 100 MG SOFTGEL
AZMACORT INHALER
AZMACORT INHALER
HOMATROPINE HBR 5% EYE DROP
AZMACORT INHALER
APLISOL 5T UNITS/0.1 ML VIAL
HOMATROPINE 5% EYE DROPS
TUBERSOL 5T UNITS/0.1 ML VIAL
TUBERSOL 5T UNITS/0.1 ML VIAL
LAMICTAL 200 MG TABLET
AZMACORT INHALER
PRED MILD 0.12% EYE DROPS

DOSE FORM DRUG STRENGTH


HV
PA
YE
YE
YE
HV
HH
TA
TA
HH
HH
PA
PA
PA
PA
PA
PA
PA
PA
TA
TA
PA
PA
PA
TA
CA
AJ
CA
CE
CA
TA
CA
SO
SO
SN
SN
HV
HV
SO
HV
SO
CA
AJ
AJ
SO
AJ
HV
SO
HV
HV
TA
AJ
SN

UNIT PRICE
$
1.96
$
1.96
$
1.96
$
1.96
$
1.96
$
1.97
$
1.97
$
1.97
$
1.97
$
1.97
$
1.97
$
1.97
$
1.97
$
1.97
$
1.97
$
1.97
$
1.97
$
1.97
$
1.97
$
1.97
$
1.97
$
1.97
$
1.97
$
1.97
$
1.97
$
1.98
$
1.98
$
1.98
$
1.98
$
1.98
$
1.98
$
1.98
$
1.98
$
1.98
$
1.98
$
1.98
$
1.98
$
1.98
$
1.98
$
1.98
$
1.98
$
1.98
$
1.98
$
1.98
$
1.98
$
1.98
$
1.98
$
1.98
$
1.98
$
1.98
$
1.98
$
1.98
$
1.98

NDC
58016653201
58016947401
58768046705
59390019205
60598006160
64029452501
64029452502
68115054720
68115085260
70501001510
00003403995
00003403997
00003405400
00003405401
00003405402
00003405403
00003405404
00003405405
00003410342
00003410343
00003410344
00003410345
00003410346
00003410347
00003410800
00003410801
00003410802
00003410803
00003410804
00003410805
00003410810
00003410811
00003410812
00003410813
00003410814
00003410815
00003413353
00003413354
00009017601
00025197531
00025197534
00025197551
00078041915
00078042015
00091069520
08333359001
11298000201
11298000204
11298000208
11298000212
11298000216
11298000220
52959066710

NAME
ISOPTO HOMATROPINE 5% DROPS
TUBERSOL 5T UNITS/0.1 ML VIAL
HOMATROPINE 5% EYE DROPS
HOMATROPAIRE 5% EYE DROPS
AZMACORT INHALER
APLISOL 5T UNITS/0.1 ML VIAL
APLISOL 5T UNITS/0.1 ML VIAL
AZMACORT INHALER
LAMICTAL 200 MG TABLET
NEUTROGENA SOLID SHAMPOO
ESTEEM SYNERGY DRAIN POUCH
ESTEEM SYNERGY DRAIN POUCH
ESTEEM SYNERGY DRAIN POUCH
ESTEEM SYNERGY DRAIN POUCH
ESTEEM SYNERGY DRAIN POUCH
ESTEEM SYNERGY DRAIN POUCH
ESTEEM SYNERGY DRAIN POUCH
ESTEEM SYNERGY DRAIN POUCH
ESTEEM SYNERGY DRAIN POUCH
ESTEEM SYNERGY DRAIN POUCH
ESTEEM SYNERGY DRAIN POUCH
ESTEEM SYNERGY DRAIN POUCH
ESTEEM SYNERGY DRAIN POUCH
ESTEEM SYNERGY DRAIN POUCH
ESTEEM SYNERGY DRAIN POUCH
ESTEEM SYNERGY DRAIN POUCH
ESTEEM SYNERGY DRAIN POUCH
ESTEEM SYNERGY DRAIN POUCH
ESTEEM SYNERGY DRAIN POUCH
ESTEEM SYNERGY DRAIN POUCH
ESTEEM SYNERGY DRAINABLE POUCH
ESTEEM SYNERGY DRAINABLE POUCH
ESTEEM SYNERGY DRAINABLE POUCH
ESTEEM SYNERGY DRAINABLE POUCH
ESTEEM SYNERGY DRAINABLE POUCH
ESTEEM SYNERGY DRAINABLE POUCH
ESTEEM SYNERGY DRAINABLE POUCH
ESTEEM SYNERGY DRAINABLE POUCH
MEDROL 32 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
ENABLEX 7.5 MG TABLET
ENABLEX 15 MG TABLET
CORTIFOAM 10% AEROSOL
TEGADERM 3.5"X8" DRESSING
SANI ODORPROOF ILEOST POUCH
RUBBER ILEOST POUCH 600 ML
RUBBER ILEOST POUCH 600 ML
RUBBER ILEOST POUCH 600 ML
RUBBER ILEOST POUCH 600 ML
RUBBER ILEOST POUCH 600 ML
BEXTRA 10 MG TABLET

DOSE FORM DRUG STRENGTH


SO
HV
SO
SO
AJ
HV
HV
AJ
TA
EB
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
TA
TA
TA
TA
TI
TI
AF
YE
EA
EA
EA
EA
EA
EA
TA

UNIT PRICE
$
1.98
$
1.98
$
1.98
$
1.98
$
1.98
$
1.98
$
1.98
$
1.98
$
1.98
$
1.98
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99

NDC
52959066714
52959066715
52959066720
52959066730
52959066760
54569536300
54569536301
54868460800
54868460801
54868460802
54868460803
54868460804
54868460805
54868460806
55045295501
55045295508
55289064107
55289064114
55289064128
55887067410
55887067414
55887067420
55887067421
55887067428
55887067430
55887067440
55887067460
55887067482
55887067490
58016067000
58016067020
58016067025
58016067030
58016067060
58016067090
58864086530
68030604301
68030733201
00006354725
00007336003
00037900201
00037900202
00045064065
00245014001
00245014030
00245014401
00245014430
00703514001
08290005070
08290005071
08290005074
08290005170
08290005172

NAME
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
BEXTRA 10 MG TABLET
MEFOXIN 2 GM/50 ML PIGGYBACK
COMPAZINE 2.5 MG SUPPOSITORY
DORAL 15 MG TABLET
DORAL 15 MG TABLET
TOPAMAX 50 MG TABLET
PACERONE 300 MG TABLET
PACERONE 300 MG TABLET
PACERONE 100 MG TABLET
PACERONE 100 MG TABLET
LEUCOVORIN CALCIUM 100 MG VL
YALE SPINAL NDL 18GX21/2"
YALE SPINAL NDL 20GX21/2"
YALE SPINAL NDL 22GX21/2"
YALE SPINAL NEEDLE 25GX3"
YALE SPINAL NEEDLE 20GX3"

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
HK
QA
TA
TA
TA
TA
TA
TA
TA
HS
YH
YH
YH
YH
YH

UNIT PRICE
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
1.99
$
2.00
$
2.00
$
2.00
$
2.00
$
2.00
$
2.00
$
2.00
$
2.00
$
2.00
$
2.00
$
2.00
$
2.00
$
2.00
$
2.00
$
2.00

NDC
08290005173
08290005174
53265024312
54868282601
55390005210
55390081810
55688010602
00003151438
00003151452
00003154581
08225003040
08225004040
08290007338
08290207462
08290207604
08290742300
10939009133
10939009233
19810350004
49348041393
49348041493
50428143345
50428143371
50428216812
50428580365
82468011413
87701057026
87701057041
00015321030
00015321076
00015321130
00015321176
00015321230
00015321276
00015321630
00015323011
00015323111
00015323211
00015323311
00078033805
00078033806
00270080445
00574040450
00703324411
00703324611
00703324811
10019091201
10019091202
10019091203
50383058950
55390015301
55390015401
55390015501

NAME
YALE SPINAL NEEDLE 19GX3"
YALE SPINAL NEEDLE 18GX3"
PROCHLORPERAZINE 2.5 MG SUPP
DORAL 15 MG TABLET
LEUCOVORIN CALCIUM 100 MG VL
LEUCOVORIN CALCIUM 100 MG VL
HYATE:C 400-700 UNIT VIAL
TUBIGRIP ELASTIC BANDAGE
TUBIGRIP ELASTIC BANDAGE
TUBIPAD LIMB BANDAGE,LARGE
ELASTIC BANDAGE 4"
ELASTIC BANDAGE 4"
ACE RUBBER ELASTIC BANDAGE
ACE ATHLETIC BANDAGE 4"
ACE VELCRO BANDAGE 4"
PEG ELASTIC BANDAGE 4"
SUNMARK ELASTIC BANDAGE 4"
SUNMARK ELASTIC BANDAGE 4"
ALPHA KERI BAR
SUNMARK ELASTIC BANDAGE 4"
SUNMARK ELASTIC BANDAGE 4"
CVS STRETCH BANDAGE 4"
CVS BANDAGE ROLL
CVS SELF-ADHERING BANDAGE
CVS ELASTIC BANDAGE 4"
FP ELASTIC BANDAGE 4"
BL ELASTIC BANDAGE 4"
GNP ELASTIC BANDAGE 4"
PARAPLATIN 50 MG/5 ML VIAL
PARAPLATIN 50 MG/5 ML VIAL
PARAPLATIN 150 MG/15 ML VIAL
PARAPLATIN 150 MG/15 ML VIAL
PARAPLATIN 450 MG/45 ML VIAL
PARAPLATIN 450 MG/45 ML VIAL
PARAPLATIN 600 MG/60 ML VIAL
CARBOPLATIN 50 MG/5 ML VIAL
CARBOPLATIN 150 MG/15 ML VIAL
CARBOPLATIN 450 MG/45 ML VIAL
CARBOPLATIN 600 MG/60 ML VIAL
TRILEPTAL 600 MG TABLET
TRILEPTAL 600 MG TABLET
RENO-30 30% VIAL
NYSTATIN 500,000,000 UNITS PWD
CARBOPLATIN 50 MG/5 ML VIAL
CARBOPLATIN 150 MG/15 ML VIAL
CARBOPLATIN 450 MG/45 ML VIAL
CARBOPLATIN 50 MG/5 ML VIAL
CARBOPLATIN 150 MG/15 ML VIAL
CARBOPLATIN 450 MG/45 ML VIAL
NYSTATIN 500,000,000 UNITS PWD
CARBOPLATIN 50 MG/5 ML VIAL
CARBOPLATIN 150 MG/15 ML VIAL
CARBOPLATIN 450 MG/45 ML VIAL

DOSE FORM DRUG STRENGTH


YH
YH
QA
TA
HS
HS
HS
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
EB
YE
YE
YE
YE
YE
YE
YE
YE
YE
HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
TA
TA
HV
PA
HV
HV
HV
HV
HV
HV
PA
VI
VI
VI

UNIT PRICE
$
2.00
$
2.00
$
2.00
$
2.00
$
2.00
$
2.00
$
2.00
$
2.01
$
2.01
$
2.01
$
2.01
$
2.01
$
2.01
$
2.01
$
2.01
$
2.01
$
2.01
$
2.01
$
2.01
$
2.01
$
2.01
$
2.01
$
2.01
$
2.01
$
2.01
$
2.01
$
2.01
$
2.01
$
2.02
$
2.02
$
2.02
$
2.02
$
2.02
$
2.02
$
2.02
$
2.02
$
2.02
$
2.02
$
2.02
$
2.02
$
2.02
$
2.02
$
2.02
$
2.02
$
2.02
$
2.02
$
2.02
$
2.02
$
2.02
$
2.02
$
2.02
$
2.02
$
2.02

NDC
55390022001
55390022101
55390022201
61703033918
61703033922
61703033950
61703033956
63323016905
63323016915
63323016945
63323024301
68115072400
00002873001
00002873059
00002877001
00002877059
00008006301
00069215030
00169231421
00169231721
00264901750
00264920420
00574083625
00591315754
00591315783
00641094835
00641149535
11980022805
11980022810
11980022815
11980042205
11980042210
38779048203
38779048204
38779048206
49452231001
49452231002
49452232001
49452232002
49452232003
49452232101
49452232102
49452232103
49452365601
49452365602
51552003501
51552003599
51927182900
54868059700
54868328700
54868402100
58016609601
59060023144

NAME
CARBOPLATIN 50 MG/5 ML VIAL
CARBOPLATIN 150 MG/15 ML VIAL
CARBOPLATIN 450 MG/45 ML VIAL
CARBOPLATIN 50 MG/5 ML VIAL
CARBOPLATIN 150 MG/15 ML VIAL
CARBOPLATIN 450 MG/45 ML VIAL
CARBOPLATIN 600 MG/60 ML VIAL
CARBOPLATIN 50 MG/5 ML VIAL
CARBOPLATIN 150 MG/15 ML VIAL
CARBOPLATIN 450 MG/45 ML VIAL
ATROPINE 0.5 MG/ML VIAL
TRILEPTAL 600 MG TABLET
HUMULIN N 100 UNITS/ML PEN
HUMULIN N 100 UNITS/ML PEN
HUMULIN 70/30 PEN
HUMULIN 70/30 PEN
PHENERGAN 25 MG/ML AMPUL
CADUET 5 MG/10 MG TABLET
NOVOLIN N 100 UNITS/ML INNOLET
NOVOLIN 70/30 INNOLET
BLOOD BAG MED INJECT SITE
BLOOD WARM COIL/WATER BATH
PROMETHAZINE 25 MG/ML AMPUL
PROMETHAZINE 25 MG/ML AMPUL
PROMETHAZINE 25 MG/ML AMPUL
PROMETHAZINE 25 MG/ML AMPUL
PROMETHAZINE 25 MG/ML AMPUL
FML FORTE 0.25% EYE DROPS
FML FORTE 0.25% EYE DROPS
FML FORTE 0.25% EYE DROPS
FML-S LIQUIFILM EYE DROPS
FML-S LIQUIFILM EYE DROPS
CORTISONE ACETATE POWDER
CORTISONE ACETATE POWDER
CORTISONE ACETATE POWDER
CORTISONE POWDER
CORTISONE POWDER
CORTISONE ACETATE POWDER
CORTISONE ACETATE POWDER
CORTISONE ACETATE POWDER
CORTISONE ACETATE POWDER
CORTISONE ACETATE POWDER
CORTISONE ACETATE POWDER
HYOSCYAMINE SULFATE POWDER
HYOSCYAMINE SULFATE POWDER
CORTISONE POWDER MICRONIZED
CORTISONE ACETATE POWDER
CORTISONE ACETATE POWDER
PHENERGAN 25 MG/ML AMPUL
CADUET 5 MG/10 MG TABLET
PROMETHAZINE 25 MG/ML AMPUL
FML-S LIQUIFILM EYE DROPS
RELION N 100 UNITS/ML INNOLET

DOSE FORM DRUG STRENGTH


HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
TA
IO
IO
IO
IO
HH
TA
IO
IO
YX
YX
HH
HH
HH
HH
HH
SN
SN
SN
SN
SN
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
HH
TA
HH
SN
IO

UNIT PRICE
$
2.02
$
2.02
$
2.02
$
2.02
$
2.02
$
2.02
$
2.02
$
2.02
$
2.02
$
2.02
$
2.02
$
2.02
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03

NDC
59060023174
59060231404
59060231704
60977000101
62991118501
62991118502
62991118503
62991203601
62991203602
62991203603
68115072905
94688001201
00004015649
00078034442
00078034445
00078034462
00083231008
00083231062
00083232601
00083232608
00555093656
00555093686
12539035005
12539035010
52544047108
54569048200
54868095500
54868379500
54868424200
54868512801
58016318201
62794061488
62794061493
63304058631
63304058677
64248033001
08011000538
08137008809
10356045548
11701085410
11701085421
00019117750
00071015823
00071015873
00074490415
00074490434
00173073101
00264943250
00264943289
00548119200
11098051002
12280002315
38779024201

NAME
RELION 70/30 INNOLET
RELION N 100 UNITS/ML INNOLET
RELION 70/30 INNOLET
PHENERGAN 25 MG/ML AMPUL
CORTISONE ACETATE POWDER
CORTISONE ACETATE POWDER
CORTISONE ACETATE POWDER
HYOSCYAMINE SULFATE POWDER
HYOSCYAMINE SULFATE POWDER
HYOSCYAMINE SULFATE POWDER
HUMULIN N 100 UNITS/ML PEN
ARGIMENT PACKETS
ACCUTANE 40 MG CAPSULE
VIVELLE-DOT 0.05 MG PATCH
VIVELLE-DOT 0.05 MG PATCH
VIVELLE-DOT 0.05 MG PATCH
ESTRADERM 0.05 MG PATCH
ESTRADERM 0.05 MG PATCH
VIVELLE 0.05 MG PATCH
VIVELLE 0.05 MG PATCH
CLARAVIS 40 MG CAPSULE
CLARAVIS 40 MG CAPSULE
SIDEROL VIAL
SIDEROL VIAL
ALORA 0.05 MG PATCH
ACCUTANE 40 MG CAPSULE
ACCUTANE 40 MG CAPSULE
VIVELLE 0.05 MG PATCH
VIVELLE-DOT 0.05 MG PATCH
SOTRET 40 MG CAPSULE
ESTRADERM 0.05 MG PATCH
AMNESTEEM 40 MG CAPSULE
AMNESTEEM 40 MG CAPSULE
SOTRET 40 MG CAPSULE
SOTRET 40 MG CAPSULE
ESCLIM 0.05 MG PATCH
BARDIC ADAPTER/TUBING
KLING SOF-GZ BANDAGE 4"X2YD
COVER-ROLL STRETCH BANDAGE
ASSURA PEDIATRIC POUCH 8.5"
ASSURA PEDIATRIC POUCH 8.5"
OPTIMARK 330.9 MG/ML VIAL
LIPITOR 80 MG TABLET
LIPITOR 80 MG TABLET
LIDOCAINE HCL 1% ABBOJECT
LIDOCAINE HCL 1% ABBOJECT
WELLBUTRIN XL 300 MG TABLET
PROTECTED NEEDLE 22G
PROTECTED NEEDLE 22G
LIDOCAINE HCL 1% SYRINGE
PHYSOSTIGMINE 1 MG/ML AMPUL
WELLBUTRIN XL 300 MG TABLET
NYSTATIN 50 MILLION UNITS PWD

DOSE FORM DRUG STRENGTH


IO
IO
IO
HH
PA
PA
PA
PA
PA
PA
IO
PP
CA
PQ
PQ
PQ
PQ
PQ
PQ
PQ
CA
CA
HV
HV
PQ
CA
CA
PQ
PQ
CA
PQ
CA
CA
CA
CA
PQ
EA
YE
YE
EA
EA
HV
TA
TA
HQ
HQ
TI
YH
YH
HQ
HH
TI
PA

UNIT PRICE
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.03
$
2.04
$
2.04
$
2.04
$
2.04
$
2.04
$
2.04
$
2.04
$
2.04
$
2.04
$
2.04
$
2.04
$
2.04
$
2.04
$
2.04
$
2.04
$
2.04
$
2.04
$
2.04
$
2.04
$
2.04
$
2.04
$
2.04
$
2.04
$
2.04
$
2.05
$
2.05
$
2.05
$
2.05
$
2.05
$
2.06
$
2.06
$
2.06
$
2.06
$
2.06
$
2.06
$
2.06
$
2.06
$
2.06
$
2.06
$
2.06
$
2.06

NDC
49452487001
54569559900
54868369600
54868493400
54868493500
55887028330
55887028360
55887028390
60267060066
68115082530
00019117702
00025172001
00025172003
00074312948
00074806101
00074806201
00074913648
00131102604
00314089775
08225305100
49072015505
54868397700
54868505100
63481007670
68115068530
00045068230
00045068233
00071015623
00071015640
00071015694
00074173648
00074284100
00074483901
00074496878
00173069700
00173069702
00264927605
11822313580
17317019702
17317019707
17317030201
17317030202
54569446700
54569524300
54868394600
54868394601
54868394602
54868394603
54868451600
55289080030
58864068530
62991167201
62991167202

NAME
NYSTATIN 50 MILLION UNITS PWD
WELLBUTRIN XL 300 MG TABLET
AK-CIDE 0.5% EYE OINTMENT
LIPITOR 80 MG TABLET
WELLBUTRIN XL 300 MG TABLET
WELLBUTRIN XL 300 MG TABLET
WELLBUTRIN XL 300 MG TABLET
WELLBUTRIN XL 300 MG TABLET
PHYSOSTIGMINE 1 MG/ML AMPUL
WELLBUTRIN XL 300 MG TABLET
OPTIMARK 330.9 MG/ML VIAL
INSPRA 50 MG TABLET
INSPRA 50 MG TABLET
HEMA ACCESS PORT ADMIN SET
AMIDATE 2 MG/ML AMPUL
AMIDATE 2 MG/ML AMPUL
PEDIATR MICROAGG BLOOD FILT
DEXACEN LA-8 8 MG/ML VIAL
SOLUREX LA 8 MG/ML VIAL
KERLIX 4 1/2"X 144" BANDAGE
DEXAMETHASONE AC 8 MG/ML VL
DEXAMETHASONE 8 MG/ML VIAL
INSPRA 50 MG TABLET
MOBAN 50 MG TABLET
INSPRA 50 MG TABLET
VASCOR 200 MG TABLET
VASCOR 200 MG TABLET
LIPITOR 20 MG TABLET
LIPITOR 20 MG TABLET
LIPITOR 20 MG TABLET
NITROGLYCERIN PATIENT LINE
ROSS NASAL ASPIRATOR
PUMP SET W/PROX MALE ADAPT
PRIMARY PB/CONV PIN SET
ADVAIR 500/50 DISKUS
ADVAIR 500/50 DISKUS
BARD MINI-INFUS MOUNT CLAMP
RA NASAL ASPIRATOR,INFANT
HOMATROPINE MBR CRYSTALS
HOMATROPINE MBR CRYSTALS
ISOPROTERENOL HCL CRYSTALS
ISOPROTERENOL HCL CRYSTALS
LIPITOR 20 MG TABLET
ADVAIR 500/50 DISKUS
LIPITOR 20 MG TABLET
LIPITOR 20 MG TABLET
LIPITOR 20 MG TABLET
LIPITOR 20 MG TABLET
ADVAIR 500/50 DISKUS
LIPITOR 20 MG TABLET
LIPITOR 20 MG TABLET
HOMATROPINE MBR CRYSTALS
HOMATROPINE MBR CRYSTALS

DOSE FORM DRUG STRENGTH


PA
TI
OA
TA
TI
TI
TI
TI
HH
TI
HV
TA
TA
YZ
HH
HH
YZ
HV
HV
YE
HV
HV
TA
TA
TA
TA
TA
TA
TA
TA
YX
ZA
YX
YX
GK
GK
YX
ZA
PC
PC
PC
PC
TA
GK
TA
TA
TA
TA
GK
TA
TA
PC
PC

UNIT PRICE
$
2.06
$
2.06
$
2.06
$
2.06
$
2.06
$
2.06
$
2.06
$
2.06
$
2.06
$
2.06
$
2.07
$
2.07
$
2.07
$
2.07
$
2.07
$
2.07
$
2.07
$
2.07
$
2.07
$
2.07
$
2.07
$
2.07
$
2.07
$
2.07
$
2.07
$
2.08
$
2.08
$
2.08
$
2.08
$
2.08
$
2.08
$
2.08
$
2.08
$
2.08
$
2.08
$
2.08
$
2.08
$
2.08
$
2.08
$
2.08
$
2.08
$
2.08
$
2.08
$
2.08
$
2.08
$
2.08
$
2.08
$
2.08
$
2.08
$
2.08
$
2.08
$
2.08
$
2.08

NDC
68115065701
68115080090
87701047292
00002323730
00002323733
00002324030
00002324033
08011782100
08011782102
08011802010
08011802011
08011802015
08011802030
08011802031
08011802035
08011802100
08011802110
08011802130
08011896300
08011899100
08080248000
08080305700
08080314100
08080317000
08080321700
08080330500
08080341000
08080345000
08080350400
08080350500
08080351500
08080353100
08080361000
08080363000
08080502700
08080502900
08080617500
08080620800
08080625500
08080710000
08080832400
08219202000
08219351500
08219353100
08219353200
08219617500
08219625500
08219625600
08219832400
08887600057
08887600065
08887600073
08887601220

NAME
ADVAIR 500/50 DISKUS
LIPITOR 20 MG TABLET
BL NASAL ASPIRATOR, INFANT
CYMBALTA 60 MG CAPSULE
CYMBALTA 60 MG CAPSULE
CYMBALTA 30 MG CAPSULE
CYMBALTA 30 MG CAPSULE
BARD UNIVERS CATH-PAC TRAY
BARD UNIVRS FOLEY CATH TRAY
DAVOL FOLEY CATH INSRT TRAY
DAVOL FOLEY CATH INSRT TRAY
DAVOL UNIVERSAL CATH TRAY
DAVOL FOLEY CATH INSRT TRAY
DAVOL FOLEY CATH INSRT TRAY
DAVOL UNIVERSAL CATH TRAY
DAVOL URETHRAL CATH TRAY
DAVOL FOLEY CATH INSRT TRAY
DAVOL FOLEY CATH INSRT TRAY
BARDEX CLSE SYS CATH TRAY
BARD INFECTION CONTROL TRAY
CURITY URET CATH CLOSE SYST
CURITY BEDSIDE DRAINAGE SET
CURITY URETH CATH OPEN SYST
CURITY URETH CATH CLSD SYST
CURITY URETH CATH OPEN SYST
CURITY URETH CATH OPEN SYST
CURITY URET CATH CLOSE SYST
CURITY URET CATH CLOSE SYST
INSERTION TRAY W/PVP
INSERTION TRAY W/PVP
ADD-A-FOLEY TRAY
ADD-A-FOLEY TRAY
INSERTION TRAY W/BZK
INSERTION TRAY W/BZK
KENLINE AD-A-FOLY TRAY 30CC
ADD-A-FOLY CATH/PRE-FIL SYR
ADD-A-FOLEY CATH/MONO-FLO
CURITY BEDSIDE/MONO-FLO DRN
FOLEY CATHETER TRAY
ADD-A-FOLY CATH/PRE-FIL SYR
CURITY 8000 URINE MTR FOLEY
CURITY URINE MTR FOLEY TRAY
KENGUARD ADD-A-FOLEY TRAY
KENGUARD ADD-A-FOLEY TRAY
KENGUARD ADD-A-FOLEY TRAY
CURITY FOLEY CATHETER TRAY
CURITY FOLEY CATHETER TRAY
CURITY FOLEY CATHETER TRAY
CURTIY URINE MTR FOLEY TRAY
URETHRAL CATHETER TRAY
URETHRAL CATH TRAY W/O CATH
URETHRAL CATH TRAY W/ROBNEL
UNIVERSAL FOLEY CATH TRAY

DOSE FORM DRUG STRENGTH


GK
TA
ZA
CE
CE
CE
CE
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT

UNIT PRICE
$
2.08
$
2.08
$
2.08
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09

NDC
08887601261
54569567800
54868519200
55887027015
55887027030
55887027060
55887027090
55887027115
55887027130
55887027160
55887027190
56091097994
57929024010
57929024070
57929024100
57929024160
57929024290
57929024300
63481044501
65649030103
68322000201
68322000202
68322000203
68322000204
00406152153
00406152155
00406152156
00406152157
00574200625
08137005526
08137005548
08333152502
38779042603
38779042604
38779042605
38779067303
38779067304
38779067305
38779067307
39822090005
49452002801
49452002802
49452002803
51248015001
51248015003
51248015052
51248015101
51248015103
51248015152
51552067804
51552067805
51552067806
51927100000

NAME
UNIVERSAL FOLEY CATH TRAY
CYMBALTA 60 MG CAPSULE
CYMBALTA 60 MG CAPSULE
CYMBALTA 60 MG CAPSULE
CYMBALTA 60 MG CAPSULE
CYMBALTA 60 MG CAPSULE
CYMBALTA 60 MG CAPSULE
CYMBALTA 30 MG CAPSULE
CYMBALTA 30 MG CAPSULE
CYMBALTA 30 MG CAPSULE
CYMBALTA 30 MG CAPSULE
BIOVUE CATH PROCEDURAL TRAY
STANDARD FOLEY CATH TRAY
STANDARD FOLEY CATH TRAY
STANDARD FOLEY CATH TRAY
STANDARD FOLEY CATH TRAY
CLOSED SYS FOLEY CATH TRAY
CLOSED SYS FOLEY CATH TRAY
NUMORPHAN 1.5 MG/ML VIAL
XIFAXAN 200 MG TABLET
FAZACLO 100 MG TABLET
FAZACLO 100 MG TABLET
FAZACLO 100 MG TABLET
FAZACLO 100 MG TABLET
MORPHINE SULFATE POWDER
MORPHINE SULFATE POWDER
MORPHINE SULFATE POWDER
MORPHINE SULFATE POWDER
MORPHINE SULFATE POWDER
DERMICLEAR TAPE 2" X 5YDS
ELASTIKON ELASTIC TAPE 2"X5YDS
BLENDERM SURGICAL TAPE
DEMECLOCYCLINE HCL POWDER
DEMECLOCYCLINE HCL POWDER
DEMECLOCYCLINE HCL POWDER
MORPHINE SULFATE POWDER
MORPHINE SULFATE POWDER
MORPHINE SULFATE POWDER
MORPHINE SULFATE POWDER
NYSTATIN 50,000,000 UNITS PWD
MORPHINE SULFATE POWDER
MORPHINE SULFATE POWDER
MORPHINE SULFATE POWDER
VESICARE 5 MG TABLET
VESICARE 5 MG TABLET
VESICARE 5 MG TABLET
VESICARE 10 MG TABLET
VESICARE 10 MG TABLET
VESICARE 10 MG TABLET
MORPHINE SULFATE POWDER
MORPHINE SULFATE POWDER
MORPHINE SULFATE POWDER
MORPHINE SULFATE POWDER

DOSE FORM DRUG STRENGTH


ZT
CE
CE
CE
CE
CE
CE
CE
CE
CE
CE
ZT
ZT
ZT
ZT
ZT
ZT
ZT
HV
TA
UL
UL
UL
UL
PA
PA
PA
PA
PA
YT
YT
YT
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
TA
TA
TA
TA
TA
TA
PA
PA
PA
PA

UNIT PRICE
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.09
$
2.10
$
2.10
$
2.10
$
2.10
$
2.10
$
2.10
$
2.10
$
2.10
$
2.10
$
2.10
$
2.10
$
2.10
$
2.10
$
2.10
$
2.10
$
2.10
$
2.10
$
2.10
$
2.10
$
2.10
$
2.10
$
2.10
$
2.10
$
2.10
$
2.10
$
2.10
$
2.10
$
2.10
$
2.10

NDC
54868405000
56091005174
58298054501
58298054510
62991140301
62991140302
62991140303
62991140304
62991140305
62991140306
63370095025
63370095035
63370095050
65726040310
65726040325
00008084381
08333295701
49452065001
49452065002
49756101318
54868478600
54868478601
58864089230
68115068790
70501004200
99207022130
99207022230
99207022330
00003049620
00003401434
00003401435
00003401436
00003401437
00003401439
00003401440
00003401441
00003401442
00013530117
00019117715
00074192010
00074266501
00074379501
00074379549
00074379561
00173054700
00173066518
00517080525
08021332200
08021332201
08021332202
08021332204
08021332205
08021332210

NAME
MORPHINE SULFATE POWDER
ELASTIKON ELASTIC TAPE
MORPHINE SULFATE POWDER
MORPHINE SULFATE POWDER
MORPHINE SULFATE POWDER
MORPHINE SULFATE POWDER
MORPHINE SULFATE POWDER
MORPHINE SULFATE POWDER
MORPHINE SULFATE POWDER
MORPHINE SULFATE POWDER
MORPHINE SULFATE POWDER
MORPHINE SULFATE POWDER
MORPHINE SULFATE POWDER
ANTARA 130 MG CAPSULE
ANTARA 130 MG CAPSULE
PROTONIX 20 MG TABLET EC
MEDIPORE DRESS-IT COVER PAD
ANTHRALIN FLAKES
ANTHRALIN FLAKES
DRY GAUZE BANDAGE,FINE MESH
PROTONIX 20 MG TABLET EC
PROTONIX 20 MG TABLET EC
PROTONIX 20 MG TABLET EC
PROTONIX 20 MG TABLET EC
NEUTROGENA LIP MOISTURIZER
TRIAZ 3% PAD
TRIAZ 6% PAD
TRIAZ 9% PAD
KENALOG-ORABASE 0.1% PASTE
SUR-FIT AUTOLOCK POUCH
SUR-FIT AUTOLOCK POUCH
SUR-FIT AUTOLOCK POUCH
SUR-FIT AUTOLOCK POUCH
SUR-FIT AUTOLOCK POUCH
SUR-FIT AUTOLOCK POUCH
SUR-FIT AUTOLOCK POUCH
SUR-FIT AUTOLOCK POUCH
MYCOBUTIN 150 MG CAPSULE
OPTIMARK 0.5 MMOL/ML SYRINGE
TALWIN 30 MG/ML VIAL
VENI-PREP 3/SITE-CARE DRSNG
KETOROLAC 30 MG/ML VIAL
KETOROLAC 30 MG/ML VIAL
KETOROLAC 30 MG/ML VIAL
MEPRON 750 MG/5 ML SUSPENSION
MEPRON 750 MG/5 ML SUSPENSION
ATROPINE 0.4 MG/0.5 ML AMPUL
PERIFIX CONT EPI CATH SET
PERIFIX CONT EPI CATH SET
PERIFIX CONT EPI CATH SET
PERIFIX CONT EPI CATH SET
PERIFIX CONT EPI CATH SET
PERIFIX CONT EPI CATH SET

DOSE FORM DRUG STRENGTH


PA
YT
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
CA
CA
TE
YE
PF
PF
YE
TE
TE
TE
TE
EH
ET
ET
ET
KP
EA
EA
EA
EA
EA
EA
EA
EA
CA
HQ
HV
EA
HV
HV
HV
SC
SC
HH
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
2.10
$
2.10
$
2.10
$
2.10
$
2.10
$
2.10
$
2.10
$
2.10
$
2.10
$
2.10
$
2.10
$
2.10
$
2.10
$
2.10
$
2.10
$
2.11
$
2.11
$
2.11
$
2.11
$
2.11
$
2.11
$
2.11
$
2.11
$
2.11
$
2.11
$
2.11
$
2.11
$
2.11
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12

NDC
08380007048
10019003003
10019003004
11701083110
11701083115
11701083120
11701083125
11701083130
11701083135
17317030301
17317030302
24208039407
38779092701
38779092703
38779092704
38779092705
38779092706
38779092708
49452001601
49452001602
49452001603
49452001604
49452414001
49452414002
49452414003
49452414004
51552072901
51552072905
51672126705
51927100500
54569347300
54868253000
54868274200
54868284100
54868284101
54868284102
54868370500
54868527600
55390048101
55390048110
58063097909
60505070600
60505071001
62991167801
62991168201
62991168202
62991168204
63323016201
63370093510
63370093515
63370093525
63370093535
63370093550

NAME
COMFORT WEAR POUCH COVER
KETOROLAC 30 MG/ML VIAL
KETOROLAC 30 MG/ML VIAL
ASSURA WOUND MANAGERS
ASSURA WOUND MANAGERS
ASSURA WOUND MANAGERS
ASSURA WOUND MANAGERS
ASSURA WOUND MANAGERS
ASSURA WOUND MANAGERS
ISOPROTERENOL SULFATE CRYST
ISOPROTERENOL SULFATE CRYST
REV-EYES 0.5% EYE DROPS
LORAZEPAM POWDER
LORAZEPAM POWDER
LORAZEPAM POWDER
LORAZEPAM POWDER
LORAZEPAM POWDER
LORAZEPAM POWDER
KOJIC ACID POWDER
KOJIC ACID POWDER
KOJIC ACID POWDER
KOJIC ACID POWDER
LORAZEPAM POWDER
LORAZEPAM POWDER
LORAZEPAM POWDER
LORAZEPAM POWDER
LORAZEPAM POWDER
LORAZEPAM POWDER
TRIAMCINOLONE 0.1% PASTE
LORAZEPAM POWDER
TRIAMCINOLONE 0.1% PASTE
TALWIN 30 MG/ML VIAL
TRIAMCINOLONE 0.1% PASTE
MYCOBUTIN 150 MG CAPSULE
MYCOBUTIN 150 MG CAPSULE
MYCOBUTIN 150 MG CAPSULE
MEPRON 750 MG/5 ML SUSPENSION
KENALOG-ORABASE 0.1% PASTE
KETOROLAC 30 MG/ML VIAL
KETOROLAC 30 MG/ML VIAL
MYLOCEL 1,000 MG TABLET
KETOROLAC 30 MG/ML VIAL
KETOROLAC 30 MG/ML VIAL
KOJIC ACID POWDER
LORAZEPAM POWDER
LORAZEPAM POWDER
LORAZEPAM POWDER
KETOROLAC 30 MG/ML VIAL
LORAZEPAM POWDER
LORAZEPAM POWDER
LORAZEPAM POWDER
LORAZEPAM POWDER
LORAZEPAM POWDER

DOSE FORM DRUG STRENGTH


EA
HV
HV
EA
EA
EA
EA
EA
EA
PC
PC
SO
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
KP
PA
KP
HV
KP
CA
CA
CA
SC
KP
HV
HV
TA
HV
HV
PA
PA
PA
PA
HV
PA
PA
PA
PA
PA

UNIT PRICE
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12
$
2.12

NDC
68115089505
00004016103
00009006607
00009039601
00009039604
00069216030
00185014901
00245021311
00378190301
54092000701
54868419701
67871001104
81421002301
00008022901
00019117710
00078036615
00182710111
00247065101
00247065104
00247065106
00264943450
00264943489
00713013212
00781139801
00904129012
08021000027
17191050000
53265076412
54569453300
54868140601
54868161300
54868161301
54868388200
54868388201
55289063906
57866388101
00065009605
00065009610
00087665301
00173063310
38779051404
38779051405
49452077001
49452077002
49452077003
51552094404
51552094405
51552094406
51927333600
54868499900
54868499901
58768010705
58768010710

NAME
TRIAMCINOLONE 0.1% PASTE
FANSIDAR 500/25 TABLET
XANAX XR 2 MG TABLET
GELFOAM DENTAL PACKS SIZE 4
GELFOAM DENTAL SPONGE SZ 4
CADUET 10 MG/10 MG TABLET
MIDODRINE HCL 10 MG TABLET
ORVATEN 10 MG TABLET
MIDODRINE HCL 10 MG TABLET
PROAMATINE 10 MG TABLET
GELFOAM DENTAL SPONGE SZ 4
SUCRAID 8,500 UNITS/ML SOLN
DULCOLAX BOWEL PREP KIT
PHENERGAN 50 MG SUPPOSITORY
OPTIMARK 0.5 MMOL/ML SYRINGE
FAMVIR 125 MG TABLET
PROMETHAZINE 50 MG SUPPOSITORY
PHENERGAN 50 MG SUPPOSITORY
PHENERGAN 50 MG SUPPOSITORY
PHENERGAN 50 MG SUPPOSITORY
PROTECTED NEEDLE 19G
PROTECTED NEEDLE 19G
PROMETHEGAN 50 MG SUPPOS
HALOPERIDOL 20 MG TABLET
PROMETHAZINE 50 MG SUPPOS
PROTECTED NEEDLE 19G
CYTOSAFE CHEMO NEEDLE
PROMETHAZINE 50 MG SUPPOS
FAMVIR 125 MG TABLET
PHENERGAN 50 MG SUPPOSITORY
PROMETHEGAN 50 MG SUPPOS
PROMETHEGAN 50 MG SUPPOS
FAMVIR 125 MG TABLET
FAMVIR 125 MG TABLET
PHENERGAN 50 MG SUPPOSITORY
HALOPERIDOL 20 MG TABLET
FLAREX 0.1% EYE DROPS
FLAREX 0.1% EYE DROPS
VIDEX 150 MG TABLET CHEWABLE
LAMICTAL 25 MG TAB STARTER KIT
ENALAPRIL MALEATE POWDER
ENALAPRIL MALEATE POWDER
ATROPINE POWDER
ATROPINE POWDER
ATROPINE POWDER
ENALAPRIL MALEATE POWDER
ENALAPRIL MALEATE POWDER
ENALAPRIL MALEATE POWDER
ENALAPRIL MALEATE POWDER
ADVICOR 750 MG/20 MG TABLET
ADVICOR 750 MG/20 MG TABLET
EFLONE 0.1% EYE DROPS
EFLONE 0.1% EYE DROPS

DOSE FORM DRUG STRENGTH


KP
TA
TI
YV
YV
TA
TA
TA
TA
TA
YV
SJ
YK
QA
HQ
TA
QA
QA
QA
QA
YH
YH
QA
TA
QA
YH
YH
QA
TA
QA
QA
QA
TA
TA
QA
TA
SN
SN
TC
UD
PA
PA
PC
PC
PC
PA
PA
PA
PA
UB
UB
SN
SN

UNIT PRICE
$
2.12
$
2.13
$
2.13
$
2.13
$
2.13
$
2.13
$
2.13
$
2.13
$
2.13
$
2.13
$
2.13
$
2.13
$
2.13
$
2.14
$
2.14
$
2.14
$
2.14
$
2.14
$
2.14
$
2.14
$
2.14
$
2.14
$
2.14
$
2.14
$
2.14
$
2.14
$
2.14
$
2.14
$
2.14
$
2.14
$
2.14
$
2.14
$
2.14
$
2.14
$
2.14
$
2.14
$
2.15
$
2.15
$
2.15
$
2.15
$
2.15
$
2.15
$
2.15
$
2.15
$
2.15
$
2.15
$
2.15
$
2.15
$
2.15
$
2.15
$
2.15
$
2.15
$
2.15

NDC
60598000790
00005921823
00008058105
00008058107
00069296030
00074198530
00074198531
00074677601
00115211101
00555070102
50458039528
50458039530
59366281902
00029316013
00029316020
00574060115
00641113131
08021322010
08021322015
08021322210
08021322215
08287126904
08880820064
12280007830
17205062601
38779057403
38779057404
38779057405
38779057408
38779057409
49452004501
49452004502
49452004503
49452478001
49452478002
49452478003
51552053605
51927288500
54569480300
54868280500
54868300301
54868340400
54868340401
54868422100
55289003210
55390005110
57866136403
58016113201
60977011401
62991110501
62991110502
62991110503
62991110504

NAME
ADVICOR 750 MG/20 MG TABLET
DECLOMYCIN 150 MG TABLET
ATIVAN 2 MG/ML TUBEX SYRINGE
ATIVAN 2 MG/ML TUBEX SYRINGE
CADUET 2.5 MG/10 MG TABLET
LORAZEPAM 2 MG/ML CARPUJECT
LORAZEPAM 2 MG/ML CARPUJECT
LORAZEPAM 2 MG/ML HYPAK SYRN
DEMECLOCYCLINE 150 MG TABLET
DEMECLOCYCLINE 150 MG TABLET
RISPERDAL 0.5 M-TAB
RISPERDAL 0.5 M-TAB
DEMECLOCYCLINE 150 MG TABLET
AVANDIA 8 MG TABLET
AVANDIA 8 MG TABLET
PODOCON-25 LIQUID
INFUMORPH 10 MG/ML AMPUL P/F
HUBER POINT NEEDLE STRAIGHT
HUBER POINT NEEDLE STRAIGHT
HUBER POINT NEEDLE STRAIGHT
HUBER POINT NEEDLE STRAIGHT
EXEL HUBER NEEDLE 22GX1"
SCARLET RED 5% OINT DRESSNG
AVANDIA 8 MG TABLET
INVERSINE 2.5 MG TABLET
MINOXIDIL POWDER
MINOXIDIL POWDER
MINOXIDIL POWDER
MINOXIDIL POWDER
MINOXIDIL POWDER
MINOXIDIL POWDER
MINOXIDIL POWDER
MINOXIDIL POWDER
MINOXIDIL POWDER
MINOXIDIL POWDER
MINOXIDIL POWDER
MINOXIDIL POWDER
MINOXIDIL POWDER
AVANDIA 8 MG TABLET
CEFTIN 125 MG TABLET
PODOCON-25 LIQUID
PODODERM 25% LIQUID
PODODERM 25% LIQUID
AVANDIA 8 MG TABLET
CEFTIN 125 MG TABLET
LEUCOVORIN CALCIUM 50 MG VL
AVANDIA 8 MG TABLET
PODOBEN RESIN LIQUID
INFUMORPH 10 MG/ML AMPUL P/F
MINOXIDIL POWDER
MINOXIDIL POWDER
MINOXIDIL POWDER
MINOXIDIL POWDER

DOSE FORM DRUG STRENGTH


UB
TA
HQ
HQ
TA
HQ
HQ
HQ
TA
TA
UL
UL
TA
TA
TA
SL
HH
YH
YH
YH
YH
YH
YE
TA
TA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
TA
TA
SL
SL
SL
TA
TA
HS
TA
SL
HH
PA
PA
PA
PA

UNIT PRICE
$
2.15
$
2.16
$
2.16
$
2.16
$
2.16
$
2.16
$
2.16
$
2.16
$
2.16
$
2.16
$
2.16
$
2.16
$
2.16
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17

NDC
63370015725
63370015735
63370015750
63402019310
68115068430
00024008401
00074245107
00143212522
00574722406
54569523800
54569523801
54569523802
54569523803
54868395300
54868527300
54868527301
55289071010
55289085610
63402019110
54092013001
54092013020
54868454100
57844032401
63402019010
00015564415
00015564420
00015564615
00015564620
00015564820
00015564897
00071015723
00071015773
00074162601
00074162602
00074162649
00074162651
00186190501
00186190601
08080536000
08219536000
10019005561
10019046201
38779030704
38779030705
38779031304
38779031305
52959004630
54569310900
54569458700
54868018600
54868422900
54868422901
54868422902

NAME
MINOXIDIL POWDER
MINOXIDIL POWDER
MINOXIDIL POWDER
LUNESTA 3 MG TABLET
AVANDIA 8 MG TABLET
ARALEN PHOSPHATE 500 MG TAB
DILAUDID 3 MG SUPPOSITORY
CHLOROQUINE PH 500 MG TABLET
HYDROMORPHONE 3 MG SUPPOS
CHLOROQUINE PH 500 MG TABLET
CHLOROQUINE PH 500 MG TABLET
CHLOROQUINE PH 500 MG TABLET
CHLOROQUINE PH 500 MG TABLET
ARALEN PHOSPHATE 500 MG TAB
LUNESTA 2 MG TABLET
LUNESTA 2 MG TABLET
ARALEN PHOSPHATE 500 MG TAB
CHLOROQUINE PH 500 MG TABLET
LUNESTA 2 MG TABLET
FUROXONE 100 MG TABLET
FUROXONE 100 MG TABLET
TRICOR 200 MG CAPSULE
LOFIBRA 200 MG CAPSULE
LUNESTA 1 MG TABLET
STADOL 2 MG/ML VIAL
STADOL 2 MG/ML VIAL
STADOL 2 MG/ML VIAL
STADOL 2 MG/ML VIAL
STADOL 2 MG/ML VIAL
STADOL 2 MG/ML VIAL
LIPITOR 40 MG TABLET
LIPITOR 40 MG TABLET
BUTORPHANOL 2 MG/ML VIAL
BUTORPHANOL 2 MG/ML VIAL
BUTORPHANOL 2 MG/ML VIAL
BUTORPHANOL 2 MG/ML VIAL
FOSCAVIR 24 MG/ML INFUS BTTL
FOSCAVIR 24 MG/ML INFUS BTTL
KERLIX PACKING SPONGES
KERLIX PACKING SPONGES
BREVIBLOC 10 MG/ML IV BAG
BUTORPHANOL 2 MG/ML VIAL
PRAZOSIN HCL POWDER
PRAZOSIN HCL POWDER
CICLOPIROX OLAMINE POWDER
CICLOPIROX OLAMINE POWDER
LIPITOR 40 MG TABLET
STADOL 2 MG/ML VIAL
LIPITOR 40 MG TABLET
STADOL 2 MG/ML VIAL
LIPITOR 40 MG TABLET
LIPITOR 40 MG TABLET
LIPITOR 40 MG TABLET

DOSE FORM DRUG STRENGTH


PA
PA
PA
TA
TA
TA
QA
TA
QA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
CA
CA
TA
HV
HV
HV
HV
HV
HV
TA
TA
HV
HV
HV
HV
HB
HB
YV
YV
HM
HV
PA
PA
PA
PA
TA
HV
TA
HV
TA
TA
TA

UNIT PRICE
$
2.17
$
2.17
$
2.17
$
2.17
$
2.17
$
2.18
$
2.18
$
2.18
$
2.18
$
2.18
$
2.18
$
2.18
$
2.18
$
2.18
$
2.18
$
2.18
$
2.18
$
2.18
$
2.18
$
2.19
$
2.19
$
2.19
$
2.19
$
2.19
$
2.20
$
2.20
$
2.20
$
2.20
$
2.20
$
2.20
$
2.20
$
2.20
$
2.20
$
2.20
$
2.20
$
2.20
$
2.20
$
2.20
$
2.20
$
2.20
$
2.20
$
2.20
$
2.20
$
2.20
$
2.20
$
2.20
$
2.20
$
2.20
$
2.20
$
2.20
$
2.20
$
2.20
$
2.20

NDC
55045253300
55289086130
55390018401
55390018402
55390018510
58864062315
58864062330
60505065900
60505065901
60505066000
61703031845
66479002282
68115066890
00015308060
00187320426
00187320447
08333154801
49756046206
49756046216
54868095101
61570041603
00007336103
00075150616
49326042315
49999056716
53265024412
54569447600
54868420700
63481037710
68115066717
00009090908
00009090916
00009361801
00009361802
00074567202
00078034342
00078034345
00078034362
00083232501
00083232508
00168004438
00212144217
00212144317
00212144417
00574040405
17314283603
17314460803
17314460903
17478028435
49999015935
50383058905
52959007803
52959065820

NAME
STADOL 2 MG/ML VIAL
LIPITOR 40 MG TABLET
BUTORPHANOL 2 MG/ML VIAL
BUTORPHANOL 2 MG/ML VIAL
BUTORPHANOL 2 MG/ML VIAL
LIPITOR 40 MG TABLET
LIPITOR 40 MG TABLET
BUTORPHANOL 2 MG/ML VIAL
BUTORPHANOL 2 MG/ML VIAL
BUTORPHANOL 2 MG/ML VIAL
BUTORPHANOL TARTRAT 2 MG/ML VL
AMICAR 1,000 MG TABLET
LIPITOR 40 MG TABLET
LYSODREN 500 MG TABLET
EFUDEX 5% CREAM
EFUDEX 5% CREAM
STERI-STRIP 1" X 5",STERILE
EPISEAL WOUND CLOSURE STRIP
EPISEAL WOUND CLOSURE STRIP
EFUDEX 5% CREAM
PITOCIN 10 UNITS/ML SYRINGE
COMPAZINE 5 MG SUPPOSITORY
NASACORT AQ NASAL SPRAY
ALBA-3 EAR DROPS
NASACORT AQ NASAL SPRAY
PROCHLORPERAZINE 5 MG SUPP
NASACORT AQ NASAL SPRAY
NASACORT AQ NASAL SPRAY
NARCAN 1 MG/ML AMPUL
NASACORT AQ NASAL SPRAY
SOLU-CORTEF 250 MG ACT-O-VL
SOLU-CORTEF 250 MG ACT-O-VL
VANTIN 200 MG TABLET
VANTIN 200 MG TABLET
A-HYDROCORT 250 MG UNIVIAL
VIVELLE-DOT 0.0375 MG PATCH
VIVELLE-DOT 0.0375 MG PATCH
VIVELLE-DOT 0.0375 MG PATCH
VIVELLE 0.0375 MG PATCH
VIVELLE 0.0375 MG PATCH
GENTAMICIN 3 MG/GM EYE OINT
IMPACT RECOVER PACKET
IMPACT RECOVER PACKET
IMPACT RECOVER PACKET
NYSTATIN 50,000,000 UNITS PWD
TESTODERM 6 MG/24HR PATCH
TESTODERM 4 MG/24HR PATCH
TESTODERM 6 MG/24HR PATCH
GENTAK 3 MG/GM EYE OINTMENT
GENTAK 3 MG/GM EYE OINTMENT
NYSTATIN 50,000,000 UNITS PWD
GENTAMICIN 3 MG/GM EYE OINT
VANTIN 200 MG TABLET

DOSE FORM DRUG STRENGTH


HV
TA
HV
HV
HV
TA
TA
HV
HV
HV
HV
TA
TA
TA
KA
KA
YR
YR
YR
KA
HQ
QA
AQ
SO
AQ
QA
AQ
AQ
HH
AQ
HS
HS
TA
TA
HS
PQ
PQ
PQ
PQ
PQ
OA
PP
PP
PP
PA
PV
PV
PV
OA
OA
PA
OA
TA

UNIT PRICE
$
2.20
$
2.20
$
2.20
$
2.20
$
2.20
$
2.20
$
2.20
$
2.20
$
2.20
$
2.20
$
2.20
$
2.20
$
2.20
$
2.21
$
2.21
$
2.21
$
2.21
$
2.21
$
2.21
$
2.21
$
2.21
$
2.22
$
2.22
$
2.22
$
2.22
$
2.22
$
2.22
$
2.22
$
2.22
$
2.22
$
2.23
$
2.23
$
2.23
$
2.23
$
2.23
$
2.23
$
2.23
$
2.23
$
2.23
$
2.23
$
2.23
$
2.23
$
2.23
$
2.23
$
2.23
$
2.23
$
2.23
$
2.23
$
2.23
$
2.23
$
2.23
$
2.23
$
2.23

NDC
52959119500
54569122900
54868104001
54868166000
54868437100
54868492000
55045126709
55289039002
55289039010
55289039020
55289039028
55289039079
55887087035
58016602601
58016643301
63304052101
63304052120
64248032001
66267097235
68115096935
68453041010
00074184602
00074395977
00173048900
00409184602
00591571630
08011154004
08080350200
08080625100
08080626100
08080630000
08080631000
08080650000
08080800000
08219200000
08380009701
08380009702
08380009703
08380009772
08380009773
08380009775
08380009776
08380009777
08380009778
08395099030
08887600404
08887601634
11098004532
11298000239
54569514200
54868381500
54868381501
54868381502

NAME
GARAMYCIN 3 MG/GM EYE OINT
GENTAMICIN 3 MG/GM EYE OINT
GENTAMICIN 3 MG/GM EYE OINT
GENOPTIC 3 MG/GM EYE OINT
VIVELLE 0.0375 MG PATCH
VIVELLE-DOT 0.0375 MG PATCH
GENTAMICIN 3 MG/GM EYE OINT
VANTIN 200 MG TABLET
VANTIN 200 MG TABLET
VANTIN 200 MG TABLET
VANTIN 200 MG TABLET
VANTIN 200 MG TABLET
GENTAMICIN 3 MG/GM EYE OINT
GENTAMICIN 0.3% EYE OINT
GARAMYCIN 3 MG/GM EYE OINT
CEFPODOXIME 200 MG TABLET
CEFPODOXIME 200 MG TABLET
ESCLIM 0.0375 MG PATCH
GENTAMICIN 3 MG/GM EYE OINT
GENTAMICIN 3 MG/GM EYE OINT
LIBRAX CAPSULE
PONTOCAINE 1% AMPUL
KALETRA SOFTGEL
ZOFRAN 4 MG/5 ML ORAL SOLN
PONTOCAINE 1% AMPUL
AMOXAPINE 150 MG TABLET
BARD INFECTION CONTROL BAG
URINARY DRAINAGE BAG
CURITY URETERAL DRAIN SET
CURITY 4000CC BED DRAIN BAG
CURITY 2000CC BED DRAIN BAG
CURITY 2000CC BED DRAIN BAG
CURITY URINE METER
CURITY URINE METER
CURITY PRECISION 400 METER
WOUND DRAIN COLLECT/BARR SM
WOUND DRAIN COLLECT/BARR MD
WOUND DRAINAGE COLLECT/BARR
WOUND DRAINAGE COLLECTR 3IN
WOUND DRAIN COLLEC/BARR 3IN
STERILE WOUND DRAINAGE COLL
WOUND DRAIN COLLC/BARR 3.75
WOUND DRAINAGE COLLEC 4X8IN
WOUND DRAIN COLLC/BARR 4X8
URINARY DRAINAGE BAG
ECONOMY DRAINAGE BAG
UNIVERSAL DRAIN TRAY/HYGARD
TETRACAINE HCL 1% AMPUL
RUBBER UROSTOMY POUCH 240 ML
KALETRA SOFTGEL
OXYCONTIN 40 MG TABLET SA
OXYCONTIN 40 MG TABLET SA
OXYCONTIN 40 MG TABLET SA

DOSE FORM DRUG STRENGTH


OA
OA
OA
OA
PQ
PQ
OA
TA
TA
TA
TA
TA
OA
OA
OA
TA
TA
PQ
OA
OA
CA
HH
CA
SJ
HH
TA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
HH
EA
CA
TM
TM
TM

UNIT PRICE
$
2.23
$
2.23
$
2.23
$
2.23
$
2.23
$
2.23
$
2.23
$
2.23
$
2.23
$
2.23
$
2.23
$
2.23
$
2.23
$
2.23
$
2.23
$
2.23
$
2.23
$
2.23
$
2.23
$
2.23
$
2.23
$
2.24
$
2.24
$
2.24
$
2.24
$
2.24
$
2.24
$
2.24
$
2.24
$
2.24
$
2.24
$
2.24
$
2.24
$
2.24
$
2.24
$
2.24
$
2.24
$
2.24
$
2.24
$
2.24
$
2.24
$
2.24
$
2.24
$
2.24
$
2.24
$
2.24
$
2.24
$
2.24
$
2.24
$
2.24
$
2.24
$
2.24
$
2.24

NDC
54868452400
57929062200
57929062201
57929062211
57929062500
57929062510
59011010510
59011010525
00641147635
49756046014
55390004210
00074226602
00074226605
00074226649
00074226651
00085119701
00085128801
08021990067
08021990068
08021990069
08021990070
08021990071
08021990072
08021990073
08021990074
08021990075
08021990076
08021990077
08021990078
08021990079
08021990082
08021990083
08021990084
08021990085
08021990086
08021990087
08021990089
08021990090
08021990091
08021990092
10019006001
10019006002
11098006002
11098006005
11098006010
11098006020
18029092082
18029092083
18029092086
18029092087
18029092088
38779067004
38779067005

NAME
KALETRA SOFTGEL
URINARY DRAINAGE BAG
URINARY DRAINAGE BAG
URINARY DRAINAGE BAG
HOSPITAL SPECIALTY DRAIN BG
HOSPITAL SPECIALTY DRAIN BG
OXYCONTIN 40 MG TABLET SA
OXYCONTIN 40 MG TABLET SA
PANCURONIUM 2 MG/ML AMPUL
MULTIPAD DRESSING 7.5"X7.5"
INAMRINONE 100 MG/20 ML VIAL
ALFENTANIL 500 MCG/ML AMP
ALFENTANIL 500 MCG/ML AMP
ALFENTANIL 500 MCG/ML AMP
ALFENTANIL 500 MCG/ML AMP
NASONEX 50 MCG NASAL SPRAY
NASONEX 50 MCG NASAL SPRAY
INTROCAN SAFETY IV CATHETER
INTROCAN W-SAFETY CATHETER
INTROCAN SAFETY IV CATHETER
INTROCAN W-SAFETY CATHETER
INTROCAN SAFETY IV CATHETER
INTROCAN SAFETY IV CATHETER
INTROCAN 20GX11/4" CATHETER
INTROCAN SAFETY IV CATHETER
INTROCAN SAFETY IV CATHETER
INTROCAN W-SAFETY CATHETER
INTROCAN 16GX11/4" CATHETER
INTROCAN SAFETY IV CATHETER
INTROCAN SAFETY IV CATHETER
INTROCAN SAFETY IV CATHETER
INTROCAN W-SAFETY CATHETER
INTROCAN SAFETY IV CATHETER
INTROCAN W-SAFETY CATHETER
INTROCAN SAFETY IV CATHETER
INTROCAN W-SAFETY CATHETER
INTROCAN 18GX11/4" CATHETER
INTROCAN W-SAFETY CATHETER
INTROCAN SAFETY IV CATHETER
INTROCAN 16GX2" CATHETER
ALFENTANIL 500 MCG/ML AMP
ALFENTANIL 500 MCG/ML AMP
ALFENTA 500 MCG/ML AMPUL
ALFENTA 500 MCG/ML AMPUL
ALFENTA 500 MCG/ML AMPUL
ALFENTA 500 MCG/ML AMPUL
MULTI-MIX SMOCK
MULTI-MIX SMOCK
DESIGNER SMOCK
DESIGNER SMOCK
DESIGNER SMOCK
FLURBIPROFEN POWDER
FLURBIPROFEN POWDER

DOSE FORM DRUG STRENGTH


CA
EA
EA
EA
EA
EA
TM
TM
HH
YE
HV
HH
HH
HH
HH
BD
BD
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
HH
HH
HH
HH
HH
HH
EA
EA
EA
EA
EA
PA
PA

UNIT PRICE
$
2.24
$
2.24
$
2.24
$
2.24
$
2.24
$
2.24
$
2.24
$
2.24
$
2.25
$
2.25
$
2.25
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27
$
2.27

NDC
54569460100
54868417400
61470500201
00004018523
00026856220
00173059401
00173059402
87701047267
87701047269
87701047270
00019095215
10356075104
65231002101
65231002112
00187355410
00338919291
08080674000
08219674000
12496128302
49999039515
54569549600
58914079010
58914079050
62991142301
62991142302
87651003267
00074617814
10356045805
38779030204
38779030205
38779030208
40565012163
49452547601
49452547602
49756046501
49756046511
49756046515
51552045705
51927169900
61118088001
61118088005
61118088025
61118088501
61118088505
61118088525
61118098001
61118098050
62991111301
62991111302
62991111303
62991111305
00003022355
00003022356

NAME
NASONEX 50 MCG NASAL SPRAY
NASONEX 50 MCG NASAL SPRAY
AMERIGEL 2"X2" GAUZE DRESSING
BONIVA 2.5 MG TABLET
CIPRO I.V. 10 MG/ML VIAL
LAMICTAL TABLET STARTER KIT
LAMICTAL TABLET STARTER KIT
BL ENEMA SYRINGE 8OZ
BL ENEMA SYRINGE 1OZ
BL ENEMA SYRINGE 3OZ
CONRAY-30 VIAL
CUTIFILM PLUS DRESSING
GELCLAIR CONCENTRATED GEL
GELCLAIR CONCENTRATED GEL
ANCOBON 250 MG CAPSULE
RESTORE-X PACKETS
KERLIX LITE GAUZE BANDAGE
KERLIX LITE GAUZE BANDAGE
SUBOXONE 2 MG-0.5 MG TABLET
SUBOXONE 2 MG-0.5 MG TABLET
SUBOXONE 2 MG-0.5 MG TABLET
URSO FORTE 500 MG TABLET
URSO FORTE 500 MG TABLET
BASIC FUCHSIN POWDER
BASIC FUCHSIN POWDER
AZO TEST STRIP
MORPHINE SULFATE 10 MG/ML VL
AQUAPHOR GAUZE 8"X16"
PIROXICAM POWDER
PIROXICAM POWDER
PIROXICAM POWDER
AQUAPHOR GAUZE 8"X16"
PIROXICAM POWDER
PIROXICAM POWDER
AQUASORB HYDROGEL WOUND DRS
AQUASORB BORDER WOUND DRESS
AQUASORB HYDROGEL WOUND DRS
PIROXICAM POWDER
PIROXICAM POWDER
ELASTO-GEL DRESSING 8"X16"
ELASTO-GEL DRESSING 8"X16"
ELASTO-GEL DRESSING 8"X16"
ELASTO-GEL PLUS DRSSNG 8X16
ELASTO-GEL PLUS DRSSNG 8X16
ELASTO-GEL PLUS DRSSNG 8X16
ELASTO-GEL BOLUS MATERIAL
ELASTO-GEL BOLUS MATERIAL
PIROXICAM POWDER
PIROXICAM POWDER
PIROXICAM POWDER
PIROXICAM POWDER
SUR-FIT LOOP OSTOMY ROD
SUR-FIT LOOP OSTOMY ROD

DOSE FORM DRUG STRENGTH


BD
BD
YE
TA
HV
UD
UD
EA
EA
EA
HV
YE
PP
PP
CA
PP
YE
YE
TU
TU
TU
TA
TA
PA
PA
YR
HV
YE
PA
PA
PA
YE
PA
PA
YE
YE
YE
PA
PA
YE
YE
YE
YE
YE
YE
YE
YE
PA
PA
PA
PA
EA
EA

UNIT PRICE
$
2.27
$
2.27
$
2.27
$
2.28
$
2.28
$
2.28
$
2.28
$
2.28
$
2.28
$
2.28
$
2.29
$
2.29
$
2.29
$
2.29
$
2.30
$
2.30
$
2.30
$
2.30
$
2.30
$
2.30
$
2.30
$
2.30
$
2.30
$
2.30
$
2.30
$
2.30
$
2.31
$
2.31
$
2.31
$
2.31
$
2.31
$
2.31
$
2.31
$
2.31
$
2.31
$
2.31
$
2.31
$
2.31
$
2.31
$
2.31
$
2.31
$
2.31
$
2.31
$
2.31
$
2.31
$
2.31
$
2.31
$
2.31
$
2.31
$
2.31
$
2.31
$
2.32
$
2.32

NDC
00023905504
00049398041
00049398060
00091069010
00173042400
00247145310
54868122500
54868470400
66977021205
00004110020
00004110051
00172731146
08219393000
08219420600
50474065040
54868414300
54868494200
64365050603
00049399041
00049399060
00074144304
00074704101
00078036715
00247120004
00574085410
08333156001
08333156101
17317066300
17317066301
17317066308
38779015403
38779015404
38779015405
49452600001
49452600002
49452600003
54868396900
54868396901
68115067060
00074603004
00173093308
00173093356
02120285901
08021990080
08021990081
08026464900
08219664700
08333285101
10361037640
10361307000
10361307100
10361307200
10361307300

NAME
ACULAR PF 0.5% EYE DROPS
GEODON 60 MG CAPSULE
GEODON 60 MG CAPSULE
PROCTOFOAM-HC FOAM
ZINACEF/DEXTROSE 750 MG/50 ML
PROCTOFOAM-HC FOAM
PROCTOFOAM-HC FOAM
ACULAR PF 0.5% EYE DROPS
MAGIC LIP BALM
XELODA 150 MG TABLET
XELODA 150 MG TABLET
CYCLOSPORINE 50 MG SOFTGEL
TENSOR ELASTIC BANDAGE 6"
TENSOR ELASTIC BANDAGE 6"
DURATUSS AM/PM PACK
XELODA 150 MG TABLET
AVINZA 60 MG CAPSULE
AVINZA 60 MG CAPSULE
GEODON 80 MG CAPSULE
GEODON 80 MG CAPSULE
LEVOPHED 1 MG/ML AMPUL
NOREPINEPHRINE 1 MG/ML AMPUL
FAMVIR 250 MG TABLET
LEVOPHED 1 MG/ML AMPULE
NOREPINEPHRINE 4 MG/4 ML AMP
RESTON FOAM PAD,MED SUPPORT
RESTON FOAM PAD,HIGH SUPPRT
PREDNISONE POWDER
PREDNISONE POWDER
PREDNISONE POWDER
PREDNISONE POWDER
PREDNISONE POWDER
PREDNISONE POWDER
PREDNISONE POWDER
PREDNISONE POWDER
PREDNISONE POWDER
FAMVIR 250 MG TABLET
FAMVIR 250 MG TABLET
GEODON 80 MG CAPSULE
MEPERIDINE 10 MG/ML CARTRDGE
VALTREX 500 MG CAPLET
VALTREX 500 MG CAPLET
RESTON 6 1/4" X 7 7/8" PAD
INTROCAN SAFETY IV CATHETER
INTROCAN W-SAFETY CATHETER
IV 3000 DRESSING 4"X8"
POLYSKIN II TRANSPRNT DRESS
RESTON-2 6.25"X 7.875" PAD
LO-SO PREP KIT
E-Z-EM PREP KIT
E-Z-EM PREP(W/O SUPPOS) KIT
E-Z-EM PREP II KIT(NO SUPP)
E-Z-EM PREP II KIT

DOSE FORM DRUG STRENGTH


DP
CA
CA
AF
HK
AF
AF
DP
EH
TA
TA
CA
YE
YE
TO
TA
CM
CM
CA
CA
HH
HH
TA
HH
HH
EA
EA
PA
PA
PA
PA
PA
PA
PA
PA
PA
TA
TA
CA
HJ
TA
TA
EA
EA
EA
YE
YE
EA
YK
YK
YK
YK
YK

UNIT PRICE
$
2.32
$
2.32
$
2.32
$
2.32
$
2.32
$
2.32
$
2.32
$
2.32
$
2.32
$
2.33
$
2.33
$
2.33
$
2.33
$
2.33
$
2.33
$
2.33
$
2.33
$
2.33
$
2.34
$
2.34
$
2.34
$
2.34
$
2.34
$
2.34
$
2.34
$
2.34
$
2.34
$
2.34
$
2.34
$
2.34
$
2.34
$
2.34
$
2.34
$
2.34
$
2.34
$
2.34
$
2.34
$
2.34
$
2.34
$
2.35
$
2.35
$
2.35
$
2.35
$
2.35
$
2.35
$
2.35
$
2.35
$
2.35
$
2.35
$
2.35
$
2.35
$
2.35
$
2.35

NDC
50458030503
52959064110
52959064114
52959064130
52959064142
54569428000
54569428001
54868380400
54868380401
54868380402
54868380403
54868380404
55289092604
55289092606
55289092607
55289092608
55289092610
55289092614
81421002401
00003151436
00003151449
08219664800
08290743100
08333564001
08375004303
53303000022
54868395200
54868424500
56091002469
62856024530
62856024541
62856024590
62856024630
62856024641
62856024690
83750004303
00045064265
00187040944
00469722001
11822307480
49452354501
49452354502
51552080205
54868039900
54868519000
58016610505
64029314101
00051842530
00074129901
00074147902
00074643702
00264918120
00597007506

NAME
RISPERDAL 1 MG/ML SOLUTION
VALTREX 500 MG CAPLET
VALTREX 500 MG CAPLET
VALTREX 500 MG CAPLET
VALTREX 500 MG CAPLET
VALTREX 500 MG CAPLET
VALTREX 500 MG CAPLET
VALTREX 500 MG CAPLET
VALTREX 500 MG CAPLET
VALTREX 500 MG CAPLET
VALTREX 500 MG CAPLET
VALTREX 500 MG CAPLET
VALTREX 500 MG CAPLET
VALTREX 500 MG CAPLET
VALTREX 500 MG CAPLET
VALTREX 500 MG CAPLET
VALTREX 500 MG CAPLET
VALTREX 500 MG CAPLET
DULCOLAX BOWEL CLEANS KIT
TUBIGRIP ELASTIC BANDAGE
TUBIGRIP ELASTIC BANDAGE
POLYSKIN II TRANSPRNT DRESS
ACE ELASTIC BANDAGE 2-1/2"
TEGAPORE 8"X10" DRESSING
PROCYTE 8"X10" DRESSING
CARRA FILM DRESSING 8"X10"
ARICEPT 5 MG TABLET
ARICEPT 10 MG TABLET
BIOCLUSIVE DRESSING 8"X10"
ARICEPT 5 MG TABLET
ARICEPT 5 MG TABLET
ARICEPT 5 MG TABLET
ARICEPT 10 MG TABLET
ARICEPT 10 MG TABLET
ARICEPT 10 MG TABLET
PROCYTE 8"X10" DRESSING
TOPAMAX 200 MG TABLET
KINERASE 0.125% CREAM
CEFIZOX 1 GM IN D5W 50 ML
RA DENTAL TRAVEL PACK
HYDRALAZINE HCL POWDER
HYDRALAZINE HCL POWDER
HYDRALAZINE HCL POWDER
COLY-MYCIN S OTIC DROPS
TOPAMAX 200 MG TABLET
COLY-MYCIN S EAR DROPS
COLY-MYCIN S EAR DROPS
ANDROGEL 1%(25MG) GEL PCKT
ENTERAL PUMP SET/NV PIN
PLUM LC 5000 ENTERAL SET
PLUM LC 5000 ENTERAL SET
GAVAGE ADMINISTRATION SET
SPIRIVA 18 MCG CP-HANDIHALER

DOSE FORM DRUG STRENGTH


SJ
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
YK
YE
YE
YE
YE
YE
YE
YE
TA
TA
YE
TA
TA
TA
TA
TA
TA
YE
TA
KA
HK
YK
PA
PA
PA
SN
TA
SN
SN
JP
EA
EA
EA
EA
CD

UNIT PRICE
$
2.35
$
2.35
$
2.35
$
2.35
$
2.35
$
2.35
$
2.35
$
2.35
$
2.35
$
2.35
$
2.35
$
2.35
$
2.35
$
2.35
$
2.35
$
2.35
$
2.35
$
2.35
$
2.35
$
2.36
$
2.36
$
2.36
$
2.36
$
2.36
$
2.36
$
2.36
$
2.36
$
2.36
$
2.36
$
2.36
$
2.36
$
2.36
$
2.36
$
2.36
$
2.36
$
2.36
$
2.37
$
2.37
$
2.37
$
2.37
$
2.37
$
2.37
$
2.37
$
2.37
$
2.37
$
2.37
$
2.37
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38

NDC
00597007537
08021050583
08026454200
08137007914
08219923100
08333901200
08333902200
08380009940
08884704405
08884704605
08884704705
08884706800
08884714600
17317089001
17317089005
17317089008
38673012345
38673040001
38673040205
38779015201
38779015204
49452599001
49452599002
49452599003
51927132500
51927233900
53303000010
54002008012
54482092201
54868479200
54868510900
55860004542
56091002493
61924027512
62794009347
63370019725
63370019735
63370019745
63370019750
68115080930
70074050601
70074050603
70074050605
70074050619
70074052041
70074055360
70074055362
73796049400
73796099490
96295010935
00049053028
00074442701
00074442749

NAME
SPIRIVA 18 MCG CP-HANDIHALER
FYBRON DRESSING 12"
OPSITE ADHESIVE DRESSING
J&J ELASTIC BANDAGE 4"X4YDS
CURASORB DRESSING
TEGAGEN HI 12" DRESSING
TEGAGEN HG 12" DRESSING
RESTORE CALCICARE 12" ROPE
KANGAROO PUMP SET
KANGAROO SPIKE PUMP SET
KANGAROO SCREW CAP PUMP SET
KANGAROO SCREW CAP PUMP SET
KANGAROO SPIKE PUMP SET
PREDNISOLONE ACETATE POWDER
PREDNISOLONE ACETATE POWDER
PREDNISOLONE ACETATE POWDER
STETHOSCOPE-DUAL HEAD
STETHOSCOPE-SINGLE HEAD
STETHOSCOPE-MEDICAL SPRAGUE
PREDNISOLONE ACETATE POWDER
PREDNISOLONE POWDER
PREDNISOLONE ACETATE POWDER
PREDNISOLONE ACETATE POWDER
PREDNISOLONE ACETATE POWDER
PREDNISOLONE ACETATE POWDER
PRIMIDONE POWDER
CARRA SORB H 12" DRESSING
HYPERION ADVANCED DRESSING
VSL#3 PACKET
ANDROGEL 1%(25MG) GEL PKT
SPIRIVA 18 MCG CP-HANDIHALER
OPSITE DRESSING 11" X 4"
ALGOSTERIL DRESSING 12"
DERMAGINATE 12" DRESSING
SORBSAN PACKING
PRIMIDONE POWDER
PRIMIDONE POWDER
PRIMIDONE POWDER
PRIMIDONE POWDER
ANDROGEL 1%(25MG) GEL PCKT
FLEXIFLO QUANTUM PUMP SET
FLEXIFLO QUANTUM PUMP SET
FLEXIFLO QUANTUM PUMP SET
FLEXIFLO PUMP SET
FLEXIFLO PATROL PUMP SET
EMBRACE PUMP SET
EMBRACE ENTERAL PUMP SET
STETHOSCOPE-SINGLE HEAD
OMRON STETHOSCOPE
ELASTIC BANDAGE 4"
PFIZERPEN 20 MILLION UNITS VL
ACYCLOVIR SODIUM 500 MG VIAL
ACYCLOVIR SODIUM 500 MG VIAL

DOSE FORM DRUG STRENGTH


CD
YE
YE
YE
YE
YE
YE
YE
EA
EA
EA
EA
EA
PA
PA
PA
EA
EA
EA
PA
PA
PA
PA
PA
PA
PA
YE
YE
PP
JP
CD
YE
YE
YE
YE
PA
PA
PA
PA
JP
EA
EA
EA
EA
EA
EA
EA
EA
EA
YE
HS
HS
HS

UNIT PRICE
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.38
$
2.39
$
2.39
$
2.39

NDC
00173099501
00781613694
08327048692
54868448800
55045308606
55390061210
57866931701
57866931702
59630048590
63323003610
63323010510
63459010001
63459010101
68030931701
68030931702
68115082000
80196073405
00045025346
00051002121
00065039515
00144044451
00144044456
00169368512
00169750111
00703701103
00703701301
08026496700
32849050081
53265044451
53265044456
54868308400
54868308401
54868520100
55390041201
55390041205
55390042201
55390042205
55860004967
60505070201
63323046901
63323046905
63323046951
00003401443
00024136201
00093910729
00247074406
29936004433
38779198704
38779198705
38779198708
49452808501
49452808502
50580007012

NAME
ZOVIRAX 500 MG VIAL
PENICILLIN G POT 20MM UNIT VIA
EVENCARE CONTROL SOLUTION
PENICILLIN G POT-20MIL UNIT
PROVIGIL 100 MG TABLET
ACYCLOVIR SODIUM 500 MG VIAL
PROVIGIL 100 MG TABLET
PROVIGIL 100 MG TABLET
TRIGLIDE 160 MG TABLET
M.T.E.-6 CONCENTRATED VIAL
ACYCLOVIR SODIUM 500 MG VIAL
PROVIGIL 100 MG TABLET
PROVIGIL 100 MG TABLET
PROVIGIL 100 MG TABLET
PROVIGIL 100 MG TABLET
PROVIGIL 100 MG TABLET
EVENCARE CONTROL SOLUTION
HALDOL DECANOATE 50 VIAL
MARINOL 2.5 MG CAPSULE
CYCLOGYL 0.5% EYE DROPS
HALOPERIDOL DEC 50 MG/ML VL
HALOPERIDOL DEC 50 MG/ML VL
NOVOLOG MIX 70/30 VIAL
NOVOLOG 100 UNITS/ML VIAL
HALOPERIDOL DEC 50 MG/ML VL
HALOPERIDOL DEC 50 MG/ML VL
OPSITE ADHESIVE DRESSING
NOVOLOG 100 UNITS/ML VIAL
HALOPERIDOL DEC 50 MG/ML VL
HALOPERIDOL DEC 50 MG/ML VL
MARINOL 2.5 MG CAPSULE
MARINOL 2.5 MG CAPSULE
NOVOLOG MIX 70/30 VIAL
HALOPERIDOL DEC 50 MG/ML VL
HALOPERIDOL DEC 50 MG/ML VL
HALOPERIDOL DEC 50 MG/ML VL
HALOPERIDOL DEC 50 MG/ML VL
OPSITE DRESSING 5 1/2"X 10"
HALOPERIDOL DEC 50 MG/ML VL
HALOPERIDOL DEC 50 MG/ML VL
HALOPERIDOL DEC 50 MG/ML VL
HALOPERIDOL DEC 50 MG/ML VL
SUR-FIT AUTOLOCK POUCH
NEO-SYNEPHRINE 10% EYE DROP
MEBENDAZOLE 100 MG TAB CHEW
VERMOX 100 MG TABLET CHEW
PACKER'S PINE TAR SOAP
URSODIOL POWDER
URSODIOL POWDER
URSODIOL POWDER
URSODIOL POWDER
URSODIOL POWDER
VERMOX 100 MG TABLET CHEW

DOSE FORM DRUG STRENGTH


HS
HS
SA
HS
TA
HS
TA
TA
TA
HV
HS
TA
TA
TA
TA
TA
SA
HV
CA
SO
HV
HV
HV
HV
HV
HV
YE
HV
HV
HV
CA
CA
HV
HV
HV
HV
HV
YE
HV
HV
HV
HV
EA
RH
TC
TC
EC
PA
PA
PA
PA
PA
TC

UNIT PRICE
$
2.39
$
2.39
$
2.39
$
2.39
$
2.39
$
2.39
$
2.39
$
2.39
$
2.39
$
2.39
$
2.39
$
2.39
$
2.39
$
2.39
$
2.39
$
2.39
$
2.39
$
2.40
$
2.40
$
2.40
$
2.40
$
2.40
$
2.40
$
2.40
$
2.40
$
2.40
$
2.40
$
2.40
$
2.40
$
2.40
$
2.40
$
2.40
$
2.40
$
2.40
$
2.40
$
2.40
$
2.40
$
2.40
$
2.40
$
2.40
$
2.40
$
2.40
$
2.41
$
2.41
$
2.41
$
2.41
$
2.41
$
2.41
$
2.41
$
2.41
$
2.41
$
2.41
$
2.41

NDC
51552090604
51552090605
51552090606
51927290900
52959016002
52959016006
52959038301
54868373200
55289041679
63370032525
00015740518
00015740589
00029661207
00029661240
00074245812
00074245813
08026483000
11701040973
38779036303
38779036304
38779036305
49452039701
52959010614
52959010630
54569455600
54569455603
54868489600
54868489601
55289038007
55289038014
55860004632
66213070015
68115022900
99207025110
00074151748
00074172901
00074177148
00074178701
00074186468
00074649802
00074895878
00074924468
00264912750
00264913020
00264913150
00264913550
00264913650
00264913750
00264914150
00264914450
00519162114
03466000026
03466000033

NAME
DOSE FORM DRUG STRENGTH
URSODIOL POWDER
PA
URSODIOL POWDER
PA
URSODIOL POWDER
PA
URSODIOL POWDER
PA
VERMOX 100 MG TABLET CHEW
TC
VERMOX 100 MG TABLET CHEW
TC
MEBENDAZOLE 100 MG TAB CHEW
TC
MEBENDAZOLE 100 MG TAB CHEW
TC
VERMOX 100 MG TABLET CHEW
TC
URSODIOL POWDER
PA
AMPICILLIN 2 GM A/V VIAL
HS
AMPICILLIN 2 GM A/V VIAL
HS
TOTACILLIN-N 2 GM ADD-VNT VL
HS
TOTACILLIN-N 2 GM ADD-VNT VL
HS
MERIDIA 15 MG CAPSULE
CA
MERIDIA 15 MG CAPSULE
CA
REPLICARE 1.5"X2.5"DRESSING
YE
COMFEEL ULCER CARE DRESSING
YE
AMILORIDE HCL POWDER
PA
AMILORIDE HCL POWDER
PA
AMILORIDE HCL POWDER
PA
AMILORIDE HCL POWDER
PA
MERIDIA 15 MG CAPSULE
CA
MERIDIA 15 MG CAPSULE
CA
MERIDIA 15 MG CAPSULE
CA
MERIDIA 15 MG CAPSULE
CA
MERIDIA 15 MG CAPSULE
CA
MERIDIA 15 MG CAPSULE
CA
MERIDIA 15 MG CAPSULE
CA
MERIDIA 15 MG CAPSULE
CA
OPSITE DRESSING 5" X 10"
YE
BRIGHT BEGINNINGS PRENATAL BAR
EB
MERIDIA 15 MG CAPSULE
CA
ALUSTRA 4% CREAM
KA
IVEX-RF FILTER
YQ
IVEX-HP ADMINISTRATION SET
YQ
PRIMARY IV SET-SL W/IVEX-HP
YQ
SOLUSET W/PEDIATRIC IVEX SL
YQ
NONVENTED FILTER SOLUSET
YQ
PLUM LC 5000 W/IVEX
YQ
VENOSET 90 SL W/IVEX-2 FILTER AND CAIR CLAMP
YQ
MICRDRP MICRO PMP SET/FILTR
YQ
FILTERED SET FOR IV SOLN
YQ
ADDITIV PRIM FLT/2NDARY SET
YQ
ADDITIVE MINI-DROP SET
YQ
ADDITIVE MINI-DROP SET
YQ
ADDITIVE MINI-DROP SET
YQ
FILTERED SET FOR TPN SOLN
YQ
ADDITIVE MINI-DROP SET
YQ
ADDITIV FILTERED 2NDARY SET
YQ
EPI-LOCK SYNTH DRESS 4"X8"
YE
SIDEKICK ADMIN SET 50 ML
YQ
SIDEKICK ADMIN SET 50 ML
YQ

UNIT PRICE
$
2.41
$
2.41
$
2.41
$
2.41
$
2.41
$
2.41
$
2.41
$
2.41
$
2.41
$
2.41
$
2.42
$
2.42
$
2.42
$
2.42
$
2.42
$
2.42
$
2.42
$
2.42
$
2.42
$
2.42
$
2.42
$
2.42
$
2.42
$
2.42
$
2.42
$
2.42
$
2.42
$
2.42
$
2.42
$
2.42
$
2.42
$
2.42
$
2.42
$
2.42
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43

NDC
03466000040
03466000057
03466000064
03466000071
03466000088
03466000095
03466000101
03466000118
03466000125
03466000132
03466000163
03466000170
03466000187
03466000194
03466000200
03466000217
03466040015
03466040039
03466040053
03466050021
03466050038
03466050045
03466050052
03466050069
03466050076
03466050083
03466050090
03466050106
03466050113
03466050120
08021351513
08021351517
08021351550
08021352052
08290207311
38779018004
38779018005
38779018008
49452605301
49452605302
49452605303
50111032601
50111032602
51927213400
52152027102
53265034110
54868515400
56091002592
61825300201
61825300301
61825300701
61825301001
61825301101

NAME
SIDEKICK ADMIN SET 50 ML
SIDEKICK ADMIN SET 100 ML
SIDEKICK ADMIN SET 100 ML
SIDEKICK ADMIN SET 100 ML
SIDEKICK ADMIN SET 50 ML
SIDEKICK ADMIN SET 50 ML
SIDEKICK ADMIN SET 50 ML
SIDEKICK ADMIN SET 100 ML
SIDEKICK ADMIN SET 100 ML
SIDEKICK ADMIN SET 100 ML
SIDEKICK MULTI-USE SET
SIDEKICK MULTI-USE SET
SIDEKICK MULTI-USE SET
SIDEKICK MULTI-USE SET
SIDEKICK MULTI-USE SET
SIDEKICK MULTI-USE SET
FIXED FLOW GRAV SET 50 ML/HR
FIXED FLOW GRAV ST 100 ML/HR
FIXED FLOW GRAV ST 250 ML/HR
LIBERTY ADMIN SET 50 ML/HR
LIBERTY ADMIN SET 50 ML/HR
LIBERTY ADMIN SET 100 ML/HR
LIBERTY ADMIN SET 100 ML/HR
LIBERTY ADMIN SET 250 ML/HR
LIBERTY ADMIN SET 250 ML/HR
LIBERTY ADMIN SET 0.5 ML/HR
LIBERTY ADMIN SET 1 ML/HR
LIBERTY ADMIN SET 2 ML/HR
LIBERTY ADMIN SET 4 ML/HR
LIBERTY ADMIN SET 10 ML/HR
NON-VENT SET W/0.22 FILTER
VENT SET W/0.22 MCR FILTER
VENT SET W/5 MICRON FILTER
VENTED SECONDARY IV SET
ACE ELASTIC BANDAGE 2 1/2"
PROCHLORPERAZINE MAL POWDER
PROCHLORPERAZINE MAL POWDER
PROCHLORPERAZINE MAL POWDER
PROCHLORPERAZINE MAL POWDER
PROCHLORPERAZINE MAL POWDER
PROCHLORPERAZINE MAL POWDER
BETHANECHOL 50 MG TABLET
BETHANECHOL 50 MG TABLET
PROCHLORPERAZINE MAL POWDER
BETHANECHOL 50 MG TABLET
BETHANECHOL 50 MG TABLET
BETHANECHOL 50 MG TABLET
SOF-FOAM 4"X8" DRESSING
SMARTDOSE ADMINISTRATION ST
SMARTDOSE ADMINISTRATION ST
SMARTDOSE ADMINISTRATION ST
SMARTDOSE ADMINISTRATION ST
SMARTDOSE ADMINISTRATION ST

DOSE FORM DRUG STRENGTH


YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YE
PA
PA
PA
PA
PA
PA
TA
TA
PA
TA
TA
TA
YE
YQ
YQ
YQ
YQ
YQ

UNIT PRICE
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43

NDC
61825301301
61825302401
62794008532
63304055820
63304099601
64679096801
65473070001
67767014601
00078034842
00078034862
00078036542
00078036545
00451505015
08333359101
52544088408
54868486200
64248031001
00085110901
00085110902
00338050341
51672205701
00006007428
00006007431
00006007468
00006007480
00006007482
00006011028
00006011031
00006011068
00006011080
00006011082
00045152010
00045152050
00045152510
00045152550
00187301110
00781304095
49999000514
49999000520
49999000530
49999040230
49999041710
49999041802
49999041807
49999041810
52959049201
52959049206
52959049207
52959049210
52959049212
52959049230
52959054815
52959054820

NAME
SMARTDOSE ADMINISTRATION ST
SMARTDOSE NON-DEHP ADMIN ST
FLEXZAN ADHESIVE DRESSING
RANICLOR 375 MG CHEWABLE TAB
BETHANECHOL 50 MG TABLET
BETHANECHOL 50 MG TABLET
URECHOLINE 50 MG TABLET
BETHANECHOL 50 MG TABLET
VIVELLE 0.025 MG PATCH
VIVELLE 0.025 MG PATCH
VIVELLE-DOT 0.025 MG PATCH
VIVELLE-DOT 0.025 MG PATCH
TRI-NASAL 50 MCG NASAL SPRAY
TEGADERM 3.5"X 10" DRESSING
ALORA 0.025 MG PATCH
VIVELLE-DOT 0.025 MG PATCH
ESCLIM 0.025 MG PATCH
GYNE-LOTRIMIN 3 VAG INSERT
GYNE-LOTRIMIN 3 VAG INSERT
ISOTON GENTAMICIN 40 MG/50 ML
CLOTRIMAZOLE VAG 3DAY INSRT
VIOXX 12.5 MG TABLET
VIOXX 12.5 MG TABLET
VIOXX 12.5 MG TABLET
VIOXX 12.5 MG TABLET
VIOXX 12.5 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
LEVAQUIN 250 MG TABLET
LEVAQUIN 250 MG TABLET
LEVAQUIN 500 MG TABLET
LEVAQUIN 500 MG TABLET
MESTINON 5 MG/ML AMPUL
REGONOL 5 MG/ML AMPUL
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
PLAVIX 75 MG TABLET
LEVAQUIN 250 MG TABLET
LEVAQUIN 500 MG TABLET
LEVAQUIN 500 MG TABLET
LEVAQUIN 500 MG TABLET
LEVAQUIN 500 MG TABLET
LEVAQUIN 500 MG TABLET
LEVAQUIN 500 MG TABLET
LEVAQUIN 500 MG TABLET
LEVAQUIN 500 MG TABLET
LEVAQUIN 500 MG TABLET
VIOXX 12.5 MG TABLET
VIOXX 12.5 MG TABLET

DOSE FORM DRUG STRENGTH


YQ
YQ
YE
TC
TA
TA
TA
TA
PQ
PQ
PQ
PQ
AU
YE
PQ
PQ
PQ
TA
TA
HP
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
HH
HH
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.43
$
2.44
$
2.44
$
2.44
$
2.44
$
2.44
$
2.44
$
2.44
$
2.44
$
2.44
$
2.45
$
2.45
$
2.45
$
2.45
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46

NDC
52959054821
52959054828
52959054830
52959054910
52959054914
52959054915
52959054920
52959054921
52959054930
52959054940
52959054960
52959069005
52959069007
52959069014
52959069030
54569448900
54569448902
54569448903
54569448905
54569470000
54569475800
54569475801
54569475900
54569475901
54569475902
54569475903
54569475904
54569491500
54569491501
54643582000
54868392300
54868392301
54868392302
54868392303
54868392305
54868407000
54868407001
54868411600
54868411601
54868411602
54868411603
54868411604
54868411605
54868411607
54868414800
54868414801
54868417500
54868417501
54868417502
55045259701
55045259702
55045259705
55045259706

NAME
VIOXX 12.5 MG TABLET
VIOXX 12.5 MG TABLET
VIOXX 12.5 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
LEVAQUIN 250 MG TABLET
LEVAQUIN 250 MG TABLET
LEVAQUIN 250 MG TABLET
LEVAQUIN 250 MG TABLET
LEVAQUIN 500 MG TABLET
LEVAQUIN 500 MG TABLET
LEVAQUIN 500 MG TABLET
LEVAQUIN 500 MG TABLET
PLAVIX 75 MG TABLET
VIOXX 12.5 MG TABLET
VIOXX 12.5 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
LEVAQUIN 250 MG TABLET
LEVAQUIN 250 MG TABLET
REGONOL 5 MG/ML AMPOULE
LEVAQUIN 500 MG TABLET
LEVAQUIN 500 MG TABLET
LEVAQUIN 500 MG TABLET
LEVAQUIN 500 MG TABLET
LEVAQUIN 500 MG TABLET
PLAVIX 75 MG TABLET
PLAVIX 75 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 12.5 MG TABLET
VIOXX 12.5 MG TABLET
LEVAQUIN 250 MG TABLET
LEVAQUIN 250 MG TABLET
LEVAQUIN 250 MG TABLET
LEVAQUIN 500 MG TABLET
LEVAQUIN 500 MG TABLET
LEVAQUIN 500 MG TABLET
LEVAQUIN 500 MG TABLET

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
HH
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46

NDC
55045259708
55045272001
55045272007
55045272008
55045274802
55045274806
55045274808
55045274809
55289048010
55289048014
55289048020
55289048028
55289048030
55289048060
55289071107
55289071114
55289084103
55887070710
55887070714
55887070720
55887070728
55887070730
55887070760
57866125601
57866658401
57866658402
57866658403
57866658501
57866658502
57866658503
58016044900
58016044910
58016044914
58016044915
58016044940
58016044960
58016044980
58016044990
58016057300
58016057307
58016057310
58016057320
58016057330
58016057360
58016057390
58016065500
58016065530
58016065560
58016065590
58016092400
58016092430
58016092460
58016092490

NAME
LEVAQUIN 500 MG TABLET
VIOXX 12.5 MG TABLET
VIOXX 12.5 MG TABLET
VIOXX 12.5 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
LEVAQUIN 500 MG TABLET
LEVAQUIN 500 MG TABLET
LEVAQUIN 250 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
LEVAQUIN 250 MG TABLET
LEVAQUIN 250 MG TABLET
LEVAQUIN 250 MG TABLET
LEVAQUIN 500 MG TABLET
LEVAQUIN 500 MG TABLET
LEVAQUIN 500 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
LEVAQUIN 500 MG TABLET
LEVAQUIN 500 MG TABLET
LEVAQUIN 500 MG TABLET
LEVAQUIN 500 MG TABLET
LEVAQUIN 500 MG TABLET
LEVAQUIN 500 MG TABLET
LEVAQUIN 500 MG TABLET
VIOXX 12.5 MG TABLET
VIOXX 12.5 MG TABLET
VIOXX 12.5 MG TABLET
VIOXX 12.5 MG TABLET
LEVAQUIN 250 MG TABLET
LEVAQUIN 250 MG TABLET
LEVAQUIN 250 MG TABLET
LEVAQUIN 250 MG TABLET

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46

NDC
58864003410
58864003414
58864074830
60760001120
60760001130
63653117101
63653117103
63653117105
63653117106
66116013830
66116020007
66116020107
66116020114
66116070230
66267033307
66267033310
66267033314
66267033320
66267033321
66267033330
66267033340
66267036310
66267039621
68030009901
68030009902
68030125601
68030658401
68030658402
68030658403
68030658501
68030658502
68030658503
68030978701
68115019610
68115019710
68115035400
68115035430
68115085590
00009513701
00074231231
00078010205
00078010215
00378709601
00378709693
00409231231
38779046503
38779046504
54396011111
54569536900
57866931901
57866931902
68030931901
68030931902

NAME
LEVAQUIN 500 MG TABLET
LEVAQUIN 500 MG TABLET
PLAVIX 75 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
PLAVIX 75 MG TABLET
PLAVIX 75 MG TABLET
PLAVIX 75 MG TABLET
PLAVIX 75 MG TABLET
VIOXX 25 MG TABLET
LEVAQUIN 250 MG TABLET
LEVAQUIN 500 MG TABLET
LEVAQUIN 500 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
LEVAQUIN 500 MG TABLET
VIOXX 12.5 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
LEVAQUIN 250 MG TABLET
LEVAQUIN 250 MG TABLET
LEVAQUIN 250 MG TABLET
LEVAQUIN 500 MG TABLET
LEVAQUIN 500 MG TABLET
LEVAQUIN 500 MG TABLET
VIOXX 25 MG TABLET
LEVAQUIN 250 MG TABLET
LEVAQUIN 500 MG TABLET
VIOXX 25 MG TABLET
VIOXX 25 MG TABLET
PLAVIX 75 MG TABLET
ZYVOX 200 MG/100 ML IV SOLN
PROMETHAZINE 25 MG/ML SYRING
PARLODEL 5 MG CAPSULE
PARLODEL 5 MG CAPSULE
BROMOCRIPTINE 5 MG CAPSULE
BROMOCRIPTINE 5 MG CAPSULE
PROMETHAZINE 25 MG/ML SYRING
TRIFLUOPERAZINE HCL POWDER
TRIFLUOPERAZINE HCL POWDER
OXANDRIN 2.5 MG TABLET
OXANDRIN 2.5 MG TABLET
OXANDRIN 2.5 MG TABLET
OXANDRIN 2.5 MG TABLET
OXANDRIN 2.5 MG TABLET
OXANDRIN 2.5 MG TABLET

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
HM
HQ
CA
CA
CA
CA
HQ
PA
PA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.46
$
2.47
$
2.47
$
2.47
$
2.47
$
2.47
$
2.47
$
2.47
$
2.47
$
2.47
$
2.47
$
2.47
$
2.47
$
2.47
$
2.47
$
2.47

NDC
00049397041
00049397060
00310010810
68115093060
00029661021
08026117783
11399000501
11399000530
50458031528
50458031530
54092017001
54092017030
00270000431
00270000475
00703115303
11980002205
11980002210
49756046106
49999040805
52959006800
52959006801
52959119200
52959119201
54569086000
54569117500
54868063401
54868063402
55390000210
58016623401
58016623801
65086071110
66267098305
68030733301
68115098205
68669071110
00002060440
00247026120
00247026130
08195583301
38779208503
38779208504
38779208505
38779208508
51479001901
51927228400
52544047030
53335006927
54868292700
61570017001
62022062730
62022076030
62794009209
00049396041

NAME
GEODON 40 MG CAPSULE
GEODON 40 MG CAPSULE
TENORMIN I.V. 0.5 MG/ML AMP
GEODON 40 MG CAPSULE
TOTACILLIN-N 1 GM VIAL
ALLEVYN DRESS 6"X5 3/8"
FARESTON 60 MG TABLET
FARESTON 60 MG TABLET
RISPERDAL 1 MG M-TAB
RISPERDAL 1 MG M-TAB
FARESTON 60 MG TABLET
FARESTON 60 MG TABLET
SOLUTION ADMINISTRATION SET
FLUID ADMINISTRATION SET
NOREPINEPHRINE 1 MG/ML VIAL
BLEPHAMIDE EYE DROPS
BLEPHAMIDE EYE DROPS
SOFSORB WOUND DRESS 4"X9"
BLEPHAMIDE EYE DROPS
BLEPHAMIDE EYE DROPS
BLEPHAMIDE EYE DROPS
BLEPHAMIDE EYE DROPS
BLEPHAMIDE EYE DROPS
BLEPHAMIDE EYE DROPS
BLEPHAMIDE EYE DROPS
BLEPHAMIDE EYE DROPS
BLEPHAMIDE EYE DROPS
NOREPINEPHRINE 1 MG/ML VIAL
BLEPHAMIDE EYE DROPS
BLEPHAMIDE EYE DROPS
ALAMAST 0.1% DROPS
BLEPHAMIDE EYE DROPS
BLEPHAMIDE EYE DROPS
BLEPHAMIDE EYE DROPS
ALAMAST 0.1% DROPS
SEROMYCIN 250 MG PULVULE
LORABID 200 MG PULVULE
LORABID 200 MG PULVULE
POLYMEM 3"X 3" DRESSING
GLUTATHIONE-L REDUCED PWDR
GLUTATHIONE-L REDUCED PWDR
GLUTATHIONE-L REDUCED PWDR
GLUTATHIONE-L REDUCED PWDR
SEROMYCIN 250 MG PULVULE
GLUTATHIONE (L) REDUCED POWDER
ANDRODERM 5 MG/24HR PATCH
GLUTATHIONE REDUCED PWDR
LORABID 200 MG PULVULE
LORABID 200 MG PULVULE
ALTOPREV 10 MG TABLET
ALTOCOR 10 MG TABLET
SORBSAN 3"X 3" WOUND DRESS
GEODON 20 MG CAPSULE

DOSE FORM DRUG STRENGTH


CA
CA
HH
CA
HN
YE
TA
TA
UL
UL
TA
TA
ZA
ZA
HV
SN
SN
YE
SN
SN
SN
SN
SN
SN
SN
SN
SN
HV
SN
SN
SO
SN
SN
SN
SO
CA
CA
CA
YE
PA
PA
PA
PA
CA
PA
PV
PA
CA
CA
TI
TI
YE
CA

UNIT PRICE
$
2.48
$
2.48
$
2.48
$
2.48
$
2.49
$
2.49
$
2.49
$
2.49
$
2.49
$
2.49
$
2.49
$
2.49
$
2.50
$
2.50
$
2.50
$
2.50
$
2.50
$
2.50
$
2.50
$
2.50
$
2.50
$
2.50
$
2.50
$
2.50
$
2.50
$
2.50
$
2.50
$
2.50
$
2.50
$
2.50
$
2.50
$
2.50
$
2.50
$
2.50
$
2.50
$
2.51
$
2.51
$
2.51
$
2.51
$
2.51
$
2.51
$
2.51
$
2.51
$
2.51
$
2.51
$
2.51
$
2.51
$
2.51
$
2.51
$
2.51
$
2.51
$
2.51
$
2.52

NDC
00049396060
08137005549
49452000801
49452000802
56091005175
68115081860
00045025446
00074201201
00074201232
00144054451
00144054456
00703702103
00703702301
53265054451
53265054456
55390041301
55390041305
55390042301
55390042305
60505070301
63323047101
63323047105
63323047151
63323047155
00045068330
00045068333
49452244603
49756046502
56091002497
66977020633
00008074601
00008252850
00025198031
00025198034
00025198051
00074737701
00145098605
00193300925
00591315854
00591315883
00641094935
00641149635
08290040003
38344000101
38485029420
49999019320
49999019330
52959068310
52959068314
52959068315
52959068320
52959068321
52959068328

NAME
GEODON 20 MG CAPSULE
ELASTIKON ELASTIC TAPE 3"X5YDS
ALLOPURINOL POWDER
ALLOPURINOL POWDER
ELASTIKON ELASTIC TAPE
GEODON 20 MG CAPSULE
HALDOL DECANOATE 100 VIAL
BUPRENORPHINE 0.3 MG/ML SYRN
BUPRENORPHINE 0.3 MG/ML SYRN
HALOPERIDOL DEC 100 MG/ML VL
HALOPERIDOL DEC 100 MG/ML VL
HALOPERIDOL DEC 100 MG/ML VL
HALOPERIDOL DEC 100 MG/ML VL
HALOPERIDOL DEC 100 MG/ML VL
HALOPERIDOL DEC 100 MG/ML VL
HALOPERIDOL DEC 100 MG/ML VL
HALOPERIDOL DEC 100 MG/ML VL
HALOPERIDOL DEC 100 MG/ML VL
HALOPERIDOL DEC 100 MG/ML VL
HALOPERIDOL DEC 100 MG/ML VL
HALOPERIDOL DEC 100 MG/ML VL
HALOPERIDOL DEC 100 MG/ML VL
HALOPERIDOL DEC 100 MG/ML VL
HALOPERIDOL DEC 100 MG/ML VL
VASCOR 300 MG TABLET
VASCOR 300 MG TABLET
DHEA ACETATE POWDER
AQUASORB HYDROGEL WOUND DRS
NU-GEL DRESSING 3.75"X3.75"
COOLMAGIC GEL SHEET
PHENERGAN 50 MG/ML AMPUL
HEPARIN FLUSH 10 UNITS/ML KIT
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
ATRACURIUM 10 MG/ML AMPUL
ZNP 2% BAR
MICROSTIX 3 STRIPS
PROMETHAZINE 50 MG/ML AMPUL
PROMETHAZINE 50 MG/ML AMPUL
PROMETHAZINE 50 MG/ML AMPUL
PROMETHAZINE 50 MG/ML AMPUL
HEP-LOCK FLUSH 10 UNITS/ML KIT
DERMAZINC 2% BAR SOAP
ONE STEP AT A TIME FILTER
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET

DOSE FORM DRUG STRENGTH


CA
YT
PA
PA
YT
CA
HV
HQ
HQ
HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
TA
TA
PA
YE
YE
YE
HH
YK
TA
TA
TA
HH
EB
YR
HH
HH
HH
HH
YK
EB
EA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
2.52
$
2.52
$
2.52
$
2.52
$
2.52
$
2.52
$
2.53
$
2.53
$
2.53
$
2.53
$
2.53
$
2.53
$
2.53
$
2.53
$
2.53
$
2.53
$
2.53
$
2.53
$
2.53
$
2.53
$
2.53
$
2.53
$
2.53
$
2.53
$
2.54
$
2.54
$
2.54
$
2.54
$
2.54
$
2.54
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55

NDC
52959068330
52959068340
52959068360
54569537600
54569537601
54569537602
54868461900
54868461901
54868461902
54868461903
54868461904
54868461905
55045294301
55045294302
55045294303
55045294305
55045294306
55045294307
55045294308
55289063210
55289063220
55887067310
55887067314
55887067320
55887067321
55887067328
55887067330
55887067340
55887067360
55887067390
58016066500
58016066520
58016066525
58016066530
58016066560
58016066590
60760019830
60977000202
61451600507
64054300103
64054300203
64054300302
64054300306
64054300502
64054300506
64054301002
66267054120
66267054130
68030733101
68115004510
00008082201
00074376930
00074376960

NAME
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
PHENERGAN 50 MG/ML AMPUL
AQUACHLORAL 324 MG SUPPRETTE
HEPARIN FLUSH 10 UNITS/ML KIT
HEPARIN FLUSH 10 UNITS/ML KIT
HEPARIN FLUSH 10 UNITS/ML KIT
HEPARIN FLUSH 10 UNITS/ML KIT
HEPARIN FLUSH 10 UNITS/ML KIT
HEPARIN FLUSH 10 UNITS/ML KIT
HEPARIN FLUSH 10 UNITS/ML KIT
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
BEXTRA 20 MG TABLET
ORUVAIL 150 MG CAPSULE SA
OMNICEF 300 MG OMNI-PAC CAP
OMNICEF 300 MG CAPSULE

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
HH
QA
YK
YK
YK
YK
YK
YK
YK
TA
TA
TA
TA
CP
CA
CA

UNIT PRICE
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.55
$
2.56
$
2.56
$
2.56

NDC
08290001211
24208035305
24208035310
38779079405
38779079409
51552103101
51552103102
51552103104
51552103105
54569521400
54569521401
54868383100
54868427700
54868436600
54868436601
55887043005
08080196700
08219196700
08884472104
54002014920
00062154002
00074164448
00074164548
00074164748
00074164948
00074199168
00074267948
00074452458
00093718001
00247068802
00247068803
00247068804
00247068806
00247068808
00247068814
00247068820
00247068821
00247068830
00264912950
00264919720
00264919850
00264919920
00264920050
00264920350
00264920920
00264921050
00264921150
00264921250
00264928150
00264952550
00516101005
08021000029
08021000030

NAME
YALE NEEDLE HUBER BEVEL
ALREX 0.2% EYE DROPS
ALREX 0.2% EYE DROPS
FLUCONAZOLE POWDER
FLUCONAZOLE POWDER
FLUCONAZOLE POWDER
FLUCONAZOLE POWDER
FLUCONAZOLE POWDER
FLUCONAZOLE POWDER
OMNICEF 300 MG CAPSULE
OMNICEF 300 MG CAPSULE
ORUVAIL 150 MG CAPSULE SA
ALREX 0.2% EYE DROPS
OMNICEF 300 MG CAPSULE
OMNICEF 300 MG CAPSULE
ALREX 0.2% EYE DROPS
CURITY MULTI-TRAUMA DRESSNG
CURITY MULTI-TRAUMA DRESSNG
VIASORB 3"X10" DRESSING
HYPERION TAPELESS DRESSING
FLOXIN 200 MG TABLET
LS PLUM PRIMARY SET-OL 112"
LS PLUM PRIMARY SET-OL
LS PLUM PRIMARY SET-OL
PLUMSET PRIMARY SET-OL
SOLUSET/IVEX-2 FLTR & CAIR
IVEX-2 FILTERSET W/Y-SITE
IVEX H.P. FILTERSET
OFLOXACIN 200 MG TABLET
FLOXIN 200 MG TABLET
FLOXIN 200 MG TABLET
FLOXIN 200 MG TABLET
FLOXIN 200 MG TABLET
FLOXIN 200 MG TABLET
FLOXIN 200 MG TABLET
FLOXIN 200 MG TABLET
FLOXIN 200 MG TABLET
FLOXIN 200 MG TABLET
ADDITIV ADULT PRIMARY FLTR
IV EXTENSION SET W/FILTER
IV EXTENSION SET W/FILTER
IV EXTENSION SET W/FILTER
IV EXTENSION SET W/FILTER
IV EXTENSION SET W/FILTER
IV EXTENSION SET W/FILTER
IV EXTENSION SET W/FILTER
IV EXTENSION SET W/FILTER
IV EXTENSION SET W/FILTER
STERILE ADD-ON FLTR EXT SET
SAFELINE FILTR EXT SET 16"
BICHLORACETIC ACID KIT
ULTRASITE FILTERED EXTE SET
ULTRASITE FILTERED EXTE SET

DOSE FORM DRUG STRENGTH


YA
SN
SN
PA
PA
PA
PA
PA
PA
CA
CA
CP
SN
CA
CA
SN
YE
YE
YE
YE
TA
YQ
YQ
YQ
YQ
YQ
YQ
YQ
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YK
YQ
YQ

UNIT PRICE
$
2.56
$
2.56
$
2.56
$
2.56
$
2.56
$
2.56
$
2.56
$
2.56
$
2.56
$
2.56
$
2.56
$
2.56
$
2.56
$
2.56
$
2.56
$
2.56
$
2.57
$
2.57
$
2.57
$
2.57
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58

NDC
08021000031
08021352205
08021352207
08021352212
08021473030
08021473034
08021473035
08021473037
49326050915
49756105121
49884068201
54868264100
54868264102
54868264103
55289003006
63304071650
00015722518
00015722589
00029637207
00029637240
00781312492
08219753200
48532029901
53329030409
00052044115
00074163201
00074163249
00078038666
00703291403
10019048101
55390003710
00009028002
00009028003
00009028051
00009028052
00009307301
00009307303
00703003101
00703003104
08026446700
08080393000
08290207315
08333158601
08333158610
08884662043
10356002597
10356002602
54868389600
54868389601
56091007020
56091007021
56091007036
00087772060

NAME
FILTERFLOW SMALLBORE SET
SUPOR FILTER LOW VOL EXT ST
SUPOR FILTER LOW VOL EXT ST
SUPOR FILTER LOW VOL EXT ST
FILTERED EXTENSION SET
SUPOR FILTER EXTENSION SET
SUPOR FILTER EXTENSION SET
SUPOR FILTER EXTENSION SET
OTILAM EAR DROPS
DRY BURN DRESSING,WIDE MESH
OFLOXACIN 200 MG TABLET
FLOXIN 200 MG TABLET
FLOXIN 200 MG TABLET
FLOXIN 200 MG TABLET
FLOXIN 200 MG TABLET
OFLOXACIN 200 MG TABLET
NAFCILLIN 1 GM ADD-VAN VIAL
NAFCILLIN 1 GM ADD-VAN VIAL
NALLPEN 1 GM ADD-VANTG VIAL
NALLPEN 1 GM ADD-VANTG VIAL
NAFCILLIN 1 GM ADD-VAN VIAL
TELFA XTRA ISLAND DRESSING
STAPHAGE LYSATE (SPL) VIAL
ARGLAES POWDER
NORCURON 10 MG VIAL
VECURONIUM 10 MG VIAL
VECURONIUM 10 MG VIAL
MYFORTIC 360 MG TABLET
VECURONIUM 10 MG VIAL
VECURONIUM 10 MG VIAL
VECURONIUM 10 MG VIAL
DEPO-MEDROL 40 MG/ML VIAL
DEPO-MEDROL 40 MG/ML VIAL
DEPO-MEDROL 40 MG/ML VIAL
DEPO-MEDROL 40 MG/ML VIAL
DEPO-MEDROL 40 MG/ML VIAL
DEPO-MEDROL 40 MG/ML VIAL
METHYLPREDNISOLONE 40 MG/ML VL
METHYLPREDNISOLONE 40 MG/ML VL
OPSITE POST-OP DRESSING
TENSOR ELASTIC BANDAGE 6"
ACE ELASTIC BANDAGE 6"
COBAN WRAP 6" X 5 YARDS
COBAN WRAP 6" X 5 YARDS
EXPANDOVER BANDAGE 6"X5YDS
ELASTOPLAST ELASTIC BANDAGE
ELASTOPLAST ELASTIC BANDAGE
DEPO-MEDROL 40 MG/ML VIAL
DEPO-MEDROL 40 MG/ML VIAL
DYNA-FLEX ELASTIC BANDAGE
DYNA-FLEX ELASTIC BANDAGE
DYNA-FLEX COMPRESSION BNDGE
CEFZIL 250 MG TABLET

DOSE FORM DRUG STRENGTH


YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
SO
YE
TA
TA
TA
TA
TA
TA
HS
HS
HS
HS
HS
YE
HV
PA
HS
HS
HS
TE
HS
HS
HS
HV
HV
HV
HV
HV
HV
HV
HV
YE
YE
YE
YE
YE
YE
YE
YE
HV
HV
YE
YE
YE
TA

UNIT PRICE
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.58
$
2.59
$
2.59
$
2.59
$
2.59
$
2.59
$
2.59
$
2.59
$
2.59
$
2.60
$
2.60
$
2.60
$
2.60
$
2.60
$
2.60
$
2.60
$
2.61
$
2.61
$
2.61
$
2.61
$
2.61
$
2.61
$
2.61
$
2.61
$
2.61
$
2.61
$
2.61
$
2.61
$
2.61
$
2.61
$
2.61
$
2.61
$
2.61
$
2.61
$
2.61
$
2.61
$
2.61
$
2.62

NDC
00186504031
00186504054
00186504082
00186504228
00247066220
08173000625
08173000725
08173000825
08173000925
08173001025
08173001125
08173001225
08173001325
08173001425
08173001510
08173001610
08173001720
08173001820
08173002120
08173002724
08173002820
08173002824
08173002924
08173004520
08173004625
08173004725
08173004825
08173004925
08173005025
08173005125
08173005310
08173005410
08173005510
08173005610
08173005710
08173005810
08173005920
08173006020
08173006120
08173006220
08173006320
08173006420
08173006515
08173006615
08173006715
08173006815
08173006915
08173007015
08173007115
08173007215
08173007315
08173904910
08173905020

NAME
NEXIUM 40 MG CAPSULE
NEXIUM 40 MG CAPSULE
NEXIUM 40 MG CAPSULE
NEXIUM 40 MG CAPSULE
CEFZIL 250 MG TABLET
CLASSIC INFUSION SET 31"
CLASSIC INFUSION SET 43"
CLASSIC INFUS SET/WING 31"
CLASSIC INFUS SET/WING 43"
RAPID 8MM INFUSION SET 31"
RAPID 8MM INFUSION SET 43"
RAPID 10MM INFUSION SET 31"
RAPID 10MM INFUSION SET 43"
RAPID 12MM INFUSION SET 43"
ACCU-CHEK TENDER 1 INFUS SET
ACCU-CHEK TENDER 1 INFUS SET
ACCU-CHEK TENDER 2 INFUS SET
ACCU-CHEK TENDER 2 INFUS SET
TENDER INFUSION SET 21"
POLYLINED EXTENSION SET 21"
TENDER INFUSION SET 31"
POLYLINED EXTENSION SET 31"
POLYLINED EXTENSION SET 43"
TENDER INFUSION SET 43"
RAPID 6MM INFUSION SET 21"
RAPID 6MM INFUSION SET 31"
RAPID 6MM INFUSION SET 43"
RAPID 8MM INFUSION SET 21"
RAPID 10MM INFUSION SET 21"
RAPID 12MM INFUSION SET 31"
ACCU-CHEK ULTRAFLEX-1 INFU SET
ACCU-CHEK ULTRAFLEX-1 INFU SET
ACCU-CHEK ULTRAFLEX-1 INFU SET
ACCU-CHEK ULTRAFLEX-1 INFU SET
ACCE-CHEK ULTRAFLEX-1 INFU SET
ACCE-CHEK ULTRAFLEX-1 INFU SET
ACCE-CHEK ULTRAFLEX-2 INFU SET
ACCE-CHEK ULTRAFLEX-2 INFU SET
ACCU-CHEK ULTRAFLEX-2 INFU SET
ACCU-CHEK ULTRAFLEX-2 INFU SET
ACCU-CHEK ULTRAFLEX-2 INFU SET
ACCU-CHEK ULTRAFLEX-2 INFU SET
ACCU-CHEK RAPID D INFUSION SET
ACCU-CHEK RAPID D INFUSION SET
ACCU-CHEK RAPID D INFUSION SET
ACCU-CHEK RAPID D INFUSION SET
ACCU-CHEK RAPID D INFUSION SET
ACCU-CHEK RAPID D INFUSION SET
ACCU-CHEK RAPID D INFUSION SET
ACCU-CHEK RAPID D INFUSION SET
ACCU-CHEK RAPID D INFUSION SET
ACCU-CHEK TENDER 1 INFUS SET
ACCU-CHEK TENDER 2 INFUS SET

DOSE FORM DRUG STRENGTH


CE
CE
CE
CE
TA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62

NDC
08317990002
12280001515
15630039982
15630039999
15630040001
15630040025
15630040032
15630040049
15630045938
15630045945
15630045952
15630045969
15630045976
15630045983
15630045990
15630046003
15630046607
15630046614
15630046621
15630046638
15630046645
15630046706
15630046713
15630046720
15630046737
15630046744
15630046751
15630046768
15630046775
15630046782
15630048021
15630048045
15630048069
15630048090
15630048717
15630048731
15630048755
15630048762
15630048779
15630048786
15630048793
47679808130
47679808230
49999030715
49999030730
52959064230
54569365200
54569527400
54868334300
54868334301
54868334302
54868334303
54868451000

NAME
INSUFLON INJECTION AID
NEXIUM 40 MG CAPSULE
ACCU-CHEK TENDER 1 INFUS SET
ACCU-CHEK TENDER 1 INFUS SET
ACCU-CHEK TENDER 1 INFUS SET
ACCU-CHEK TENDER 2 INFUS SET
ACCU-CHEK TENDER 2 INFUS SET
ACCU-CHEK TENDER 2 INFUS SET
ACCU-CHEK TENDER 1 INFUS SET
ACCU-CHEK TENDER 1 INFUS SET
ACCU-CHEK TENDER 1 INFUS SET
ACCU-CHEK TENDER 1 INFUS SET
ACCU-CHEK TENDER 1 INFUS SET
ACCU-CHEK TENDER 1 INFUS SET
ACCU-CHEK TENDER 2 INFUS SET
ACCU-CHEK ULTRAFLEX-2 INFU SET
ACCU-CHEK TENDER 2 INFUS SET
ACCU-CHEK TENDER 2 INFUS SET
ACCU-CHEK TENDER 2 INFUS SET
ACCU-CHEK TENDER 2 INFUS SET
ACCU-CHEK TENDER 2 INFUS SET
ACCU-CHEK RAPID D INFUSION SET
ACCU-CHEK RAPID D INFUSION SET
ACCU-CHEK RAPID D INFUSION SET
ACCU-CHEK RAPID D INFUSION SET
ACCU-CHEK RAPID D INFUSION SET
ACCU-CHEK RAPID D INFUSION SET
ACCU-CHEK RAPID D INFUSION SET
ACCU-CHEK RAPID D INFUSION SET
ACCU-CHEK RAPID D INFUSION SET
ACCU-CHEK ULTRAFLEX-1 INFU SET
ACCE-CHEK ULTRAFLEX-1 INFU SET
ACCE-CHEK ULTRAFLEX-1 INFU SET
ACCU-CHEK ULTRAFLEX-1 INFU SET
ACCU-CHEK ULTRAFLEX-1 INFU SET
ACCU-CHEK ULTRAFLEX-1 INFU SET
ACCE-CHEK ULTRAFLEX-2 INFU SET
ACCE-CHEK ULTRAFLEX-2 INFU SET
ACCU-CHEK ULTRAFLEX-2 INFU SET
ACCU-CHEK ULTRAFLEX-2 INFU SET
ACCU-CHEK ULTRAFLEX-2 INFU SET
SUB-Q SET INFUSION SET
SUB-Q SET INFUSION SET
NEXIUM 40 MG CAPSULE
NEXIUM 40 MG CAPSULE
NEXIUM 40 MG CAPSULE
CEFZIL 250 MG TABLET
NEXIUM 40 MG CAPSULE
CEFZIL 250 MG TABLET
CEFZIL 250 MG TABLET
CEFZIL 250 MG TABLET
CEFZIL 250 MG TABLET
NEXIUM 40 MG CAPSULE

DOSE FORM DRUG STRENGTH


EA
CE
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
CE
CE
CE
TA
CE
TA
TA
TA
TA
CE

UNIT PRICE
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62

NDC
54868451001
54868451002
55289020420
58016066900
58016066930
58016066960
58016066990
58016081000
58016081012
58016081015
58016081030
66116030120
66581020235
66581020435
66581021239
66581021439
66581022435
66581023239
66581023439
68115086730
00074774501
00310027439
00310027460
08225002300
08225003302
08225003303
08225003305
08225003382
08225003383
08225003385
08225003386
08225003392
08225003393
08225003395
08225003396
08225004202
08225004203
08225004205
08225004206
08225004302
08225004303
08225004305
08225004306
08225034202
08225034203
08225034205
08225520202
08225520203
08225520205
08225520206
08225582400
08290201209
08290201210

NAME
NEXIUM 40 MG CAPSULE
NEXIUM 40 MG CAPSULE
CEFZIL 250 MG TABLET
NEXIUM 40 MG CAPSULE
NEXIUM 40 MG CAPSULE
NEXIUM 40 MG CAPSULE
NEXIUM 40 MG CAPSULE
CEFZIL 250 MG TABLET
CEFZIL 250 MG TABLET
CEFZIL 250 MG TABLET
CEFZIL 250 MG TABLET
CEFZIL 250 MG TABLET
SIMPLECHOICE QUICK Q-23-5 SET
SIMPLECHOICE QUICK Q-43-5
SIMPLECHOICE QUICK Q-23-9
SIMPLECHOICE QUICK Q-43-9 SET
SIMPLECHOICE QUICK PRO QP-43-5
SIMPLECHOICE QUICK PRO QP-23-9
SIMPLECHOICE QUICK PRO 43" SET
NEXIUM 40 MG CAPSULE
INAMRINONE 5 MG/ML AMPUL
SEROQUEL 300 MG TABLET
SEROQUEL 300 MG TABLET
WRIST BRACE
WRIST BRACE REVERSIBLE SML
WRIST BRACE REVERSIBLE MED
WRIST BRACE REVERSIBLE LRG
WRIST BRACE SPLINT,LEFT-SM
WRIST BRACE SPLINT,LEFT-MED
WRIST BRACE SPLINT,LEFT-LR
WRIST BRACE SPLINT,LEFT-XLR
WRIST BRACE SPLINT,RIGHT-SM
WRIST BRACE SPLINT,RIGHT-M
WRIST BRACE SPLINT,RIGHT-LR
WRIST BRACE SPLINT,RIGHT-XL
ELBOW BRACE-SMALL
ELBOW BRACE-MEDIUM
ELBOW BRACE-LARGE
ELBOW BRACE-XLARGE
WRIST BRACE-SMALL
WRIST BRACE-MEDIUM
WRIST BRACE-LARGE
WRIST BRACE-XLARGE
ELBOW COMFORTER-SMALL
ELBOW COMFORTER-MEDIUM
ELBOW COMFORTER-LARGE
NEOPRENE ELBOW SUPPORT-SM
NEOPRENE ELBOW SUPPORT-MED
NEOPRENE ELBOW SUPPORT-LAR
NEOPRENE ELBOW SUPPORT-XL
TENNIS ELBOW SUPPORT
WRIST BRACE,RIGID-SMALL
WRIST BRACE,RIGID-MEDIUM

DOSE FORM DRUG STRENGTH


CE
CE
TA
CE
CE
CE
CE
TA
TA
TA
TA
TA
EA
EA
EA
EA
EA
EA
EA
CE
HH
TA
TA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.62
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63

NDC
08290201211
08290202824
08290203050
08290203051
08290203052
08290203257
08290205200
08290205201
08290205202
08290206390
08290207004
08290207005
08290207006
08290207007
08290207220
08290207225
08290207226
08290207227
08290207228
08290207249
08290207306
08290207308
08290207309
08290207317
08290207318
08290207319
08290207320
08290207321
08290207322
08290207360
11980011915
52735031502
52735031702
52735031802
72140090983
72140090986
72140090993
72140090996
82468012065
82468012069
82468016107
87701059479
87701059489
87701059496
87701059503
00074405601
00074477601
38779023303
38779023304
38779210203
38779210204
38779210205
49452386001

NAME
WRIST BRACE,RIGID-LARGE
ELBOW BRACE, CONTOUR-MEDIUM
ARTHRITIS RELIEF GLOVES
ARTHRITIS RELIEF GLOVES
ARTHRITIS RELIEF GLOVES
ELBOW BRACE, CONTOUR-LARGE
ELBOW BRACE, NYLON-SMALL
ELBOW BRACE,NYLON-MEDIUM
ELBOW BRACE, NYLON-LARGE
ELBOW BRACE, CONTOUR-SMALL
CARPAL TUNNEL BRACE
CARPAL TUNNEL BRACE
CARPAL TUNNEL BRACE
CARPAL TUNNEL BRACE
ACE NEOPRENE WRIST BRACE
ACE NEOPRENE ELBOW BRACE-SM
ACE NEOPRENE ELBOWBRACE-MED
ACE NEOPRENE ELBOW BRACE LG
ACE NEOPRENE ELBOWBRACE-XLG
ACE NEOPRENE ELBOW BRACE
ACE WRIST BRACE
ACE TENNIS ELBOW BRACE REG
ACE TENNIS ELBOW BRACE LARG
ACE ELBOW BRACE SMALL
ACE ELBOW BRACE MEDIUM
ACE ELBOW BRACE LARGE
ACE PLUS RIGID WRIST BRACE
ACE PLUS RIGID WRIST BRACE
ACE PLUS RIGID WRIST BRACE
ACE ELBOW STRAP
EPIFRIN 0.5% EYE DROPS
FP NEOPRENE ELBOW SUPPORT
FP NEOPRENE WRIST SUPPORT
FP ADJUSTABLE WRIST BRACE
DELUXE WRIST STABILIZER,LFT
DELUXE WRIST STABILIZER,LFT
DELUXE WRIST STABILIZER,RT
DELUXE WRIST STABILIZER,RT
FP ADJUSTABLE WRIST BRACE
FP NEOPRENE WRIST SUPPORT
FP NEOPRENE ELBOW SUPPORT
BL TENNIS ELBOW BRACE
BL WRIST BRACE-MEDIUM
BL ELBOW SUPPORT-MEDIUM
BL NEOPRENE ELBOW SUPPORT-M
LIDOCAINE HCL 1.5% AMPUL
LIDOCAINE HCL 1.5% AMPUL
ISOPROTERENOL SULFATE POWDR
ISOPROTERENOL SULFATE POWDR
HYDROXYPROGESTERONE CAP PWD
HYDROXYPROGESTERONE CAP PWD
HYDROXYPROGESTERONE CAP PWD
ISOPROTERENOL SULFATE POWDR

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
SO
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
HH
HH
PA
PA
PA
PA
PA
PA

UNIT PRICE
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.63
$
2.64
$
2.64
$
2.64
$
2.64
$
2.64
$
2.64
$
2.64
$
2.64

NDC
49452386002
51927273300
62991203403
63370010515
63370010525
63370010535
63370010545
63370010550
00173099341
00247003915
00247068403
08333295801
54569079200
54569204700
54868016501
54868016502
57866107802
58016310301
64455099394
66378050020
66378050060
00003410806
00003410807
00003410808
00003410809
00015740220
00015740299
00641256944
00703165202
00703165402
08395086302
08395086322
08395086332
08395086342
08395086352
08395086362
08395086372
11298000200
11298000202
11298000203
11298000205
11298000206
11298000207
11298000209
11298000210
11298000211
11298000213
11298000214
11298000215
11298000217
11298000218
11298000219
11298000221

NAME
ISOPROTERENOL SULFATE POWDR
HYDROXYPROGESTERONE CAP PWD
HYDROXYPROGESTERONE CAP PWD
HYDROXYPROGESTERONE CAP PWD
HYDROXYPROGESTERONE CAP PWD
HYDROXYPROGESTERONE CAP PWD
HYDROXYPROGESTERONE CAP PWD
HYDROXYPROGESTERONE CAP PWD
ZOVIRAX 5% OINTMENT
ZOVIRAX 5% OINTMENT
ZOVIRAX 5% OINTMENT
MEDIPORE DRESS-IT COVER PAD
ZOVIRAX 5% OINTMENT
ZOVIRAX 5% OINTMENT
ZOVIRAX 5% OINTMENT
ZOVIRAX 5% OINTMENT
ZOVIRAX 5% OINTMENT
ZOVIRAX 5% OINTMENT
ZOVIRAX 5% OINTMENT
TINDAMAX 500 MG TABLET
TINDAMAX 500 MG TABLET
ESTEEM SYNERGY DRAIN POUCH
ESTEEM SYNERGY DRAIN POUCH
ESTEEM SYNERGY DRAIN POUCH
ESTEEM SYNERGY DRAIN POUCH
AMPICILLIN 250 MG VIAL
AMPICILLIN 250 MG VIAL
DIPYRIDAMOLE 5 MG/ML VIAL
DIPYRIDAMOLE 5 MG/ML VIAL
DIPYRIDAMOLE 5 MG/ML VIAL
PLATINUM UROSTOMY POUCH
PLATINUM UROSTOMY POUCH
PLATINUM UROSTOMY POUCH
PLATINUM UROSTOMY POUCH
PLATINUM UROSTOMY POUCH
PLATINUM UROSTOMY POUCH
PLATINUM UROSTOMY POUCH
SANI ODORPROOF ILEOST POUCH
RUBBER ILEOST POUCH 360 ML
RUBBER ILEOST POUCH 480 ML
RUBBER ILEOST POUCH 240 ML
RUBBER ILEOST POUCH 360 ML
RUBBER ILEOST POUCH 480 ML
RUBBER ILEOST POUCH 240 ML
RUBBER ILEOST POUCH 360 ML
RUBBER ILEOST POUCH 480 ML
RUBBER ILEOST POUCH 240 ML
RUBBER ILEOST POUCH 360 ML
RUBBER ILEOST POUCH 480 ML
RUBBER ILEOST POUCH 240 ML
RUBBER ILEOST POUCH 360 ML
RUBBER ILEOST POUCH 480 ML
RUBBER ILEOST POUCH 240 ML

DOSE FORM DRUG STRENGTH


PA
PA
PA
PA
PA
PA
PA
PA
OA
OA
OA
YE
OA
OA
OA
OA
OA
OA
OA
TA
TA
EA
EA
EA
EA
HS
HS
HV
HV
HV
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
2.64
$
2.64
$
2.64
$
2.64
$
2.64
$
2.64
$
2.64
$
2.64
$
2.65
$
2.65
$
2.65
$
2.65
$
2.65
$
2.65
$
2.65
$
2.65
$
2.65
$
2.65
$
2.65
$
2.65
$
2.65
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66

NDC
11298000240
11298000241
11298000242
11298000245
11298000246
11298000247
11298000248
11701080710
11701080711
11701080720
11701080721
11701080722
11701080723
11701080724
11701080725
11701080726
11701080727
11701080728
11701080729
11701080812
11701080813
11701080814
11701080815
11701080816
11701080819
11701080820
11701080821
11701080822
11701080823
11701084211
11701084216
11701084221
55390055501
55390055510
55390055590
59911706902
60505071500
60505071501
63323038710
63323061302
63323061310
00006335645
00006354845
00088222033
00089081521
10019066001
54569560500
54868282101
54868462600
59911596302
63323034120
68115083910
00193300425

NAME
ILEOSTOMY PLASTIC PCH 360 ML
ILEOSTOMY PLASTIC PCH 480 ML
ILEOSTOMY PLASTIC PCH 240 ML
UROSTOMY PLASTIC PCH 360 ML
UROSTOMY PLASTIC PCH 480 ML
UROSTOMY PLASTIC PCH 240 ML
UROSTOMY PLASTIC PCH 180 ML
COLOPLAST DRAIN POUCH STD
COLOPLAST DRAIN POUCH STD
COLOPLAST DRAIN POUCH STD
COLOPLAST DRAIN POUCH STD
COLOPLAST DRAINABLE POUCH
COLOPLAST DRAINABLE POUCH
COLOPLAST DRAINABLE POUCH
COLOPLAST DRAINABLE POUCH
COLOPLAST DRAINABLE POUCH
COLOPLAST DRAINABLE POUCH
COLOPLAST DRAINABLE POUCH
COLOPLAST DRAINABLE POUCH
COLOPLAST DRAINABLE POUCH
COLOPLAST DRAINABLE POUCH
COLOPLAST DRAINABLE POUCH
COLOPLAST DRAINABLE POUCH
COLOPLAST DRAINABLE POUCH
COLOPLAST DRAINABLE POUCH
COLOPLAST DRAINABLE POUCH
COLOPLAST DRAINABLE POUCH
COLOPLAST DRAINABLE POUCH
COLOPLAST DRAINABLE POUCH
ASSURA 2PC UROSTOMY POUCH
ASSURA 2PC UROSTOMY POUCH
ASSURA 2PC UROSTOMY POUCH
DIPYRIDAMOLE 5 MG/ML VIAL
DIPYRIDAMOLE 5 MG/ML VIAL
DIPYRIDAMOLE 50 MG/10 ML VIAL
DIPYRIDAMOLE 5 MG/ML VIAL
DIPYRIDAMOLE 5 MG/ML VIAL
DIPYRIDAMOLE 5 MG/ML VIAL
AMPICILLIN 250 MG VIAL
DIPYRIDAMOLE 5 MG/ML VIAL
DIPYRIDAMOLE 5 MG/ML VIAL
MEFOXIN 1 GM VIAL
MEFOXIN 1 GM VIAL
LANTUS 100 UNITS/ML VIAL
MAXAIR AUTOHALER 0.2 MG AERO
CEFOXITIN 1 GM VIAL
LANTUS 100 UNITS/ML VIAL
MAXAIR AUTOHALER 0.2 MG AERO
LANTUS 100 UNITS/ML VIAL
CEFOXITIN 1 GM VIAL
CEFOXITIN 1 GM VIAL
LANTUS 100 UNITS/ML VIAL
MICROSTIX CANDIDA STRIPS

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
HV
HV
HV
HV
HV
HV
HS
HV
HV
HS
HS
HV
AO
HS
HV
AO
HV
HS
HS
HV
YR

UNIT PRICE
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.66
$
2.67
$
2.67
$
2.67
$
2.67
$
2.67
$
2.67
$
2.67
$
2.67
$
2.67
$
2.67
$
2.67
$
2.68

NDC
08195533501
08219990000
09958018040
61118082001
61118082002
61118082005
61118082050
61118082099
61118082501
61118082505
61118082599
61118082701
61118082755
61118082799
00074471602
00015347530
00015347630
00015347911
00015740520
00015740599
00029661222
00074433501
00074433502
00074433504
00172375377
00172375396
00172375473
00172375494
00172375531
00172375576
00172375675
00172375695
49452619001
49452619002
51079096101
51079096201
51079096301
55390011405
55390011420
55390011450
55390031405
55390031420
55390031450
61703034209
61703034222
61703034250
63323039923
63801010701
63801010705
63801010709
11822315950
38779033603
38779033604

NAME
POLYMEM 3.5"X3.5" DRESSING
CURAGEL HYDROGEL WOUND DRESS
AQUASITE SHEET 2"X3" DRESS
ELASTO-GEL DRESSING 2"X3"
ELASTO-GEL DRESSING 2"X3"
ELASTO-GEL DRESSING 2"X3"
ELASTO-GEL PLUS DRSSNG 2X3
ELASTO-GEL DRESSING 2"X3"
ELASTO-GEL PLUS DRSSNG 2X3
ELASTO-GEL PLUS DRSSNG 2X3
ELASTO-GEL PLUS DRSSNG 2X3
ELASTO-GEL DRESSING 2"X3"
ELASTO-GEL DRESSING 2"X3"
ELASTO-GEL DRESSING 2"X3"
BUTTERFLY 16G X 1"
TAXOL 30 MG/5 ML VIAL
TAXOL 100 MG/16.7 ML VIAL
TAXOL 300 MG/50 ML VIAL
AMPICILLIN 2 GM VIAL
AMPICILLIN 2 GM VIAL
TOTACILLIN-N 2 GM VIAL
PACLITAXEL 30 MG/5 ML VIAL
PACLITAXEL 100 MG/16.7 ML VL
PACLITAXEL 300 MG/50 ML VIAL
ONXOL 300 MG/50 ML VIAL
ONXOL 300 MG/50 ML VIAL
ONXOL 30 MG/5 ML VIAL
ONXOL 30 MG/5 ML VIAL
ONXOL 100 MG/16.7 ML VL
ONXOL 100 MG/16.7 ML VIAL
ONXOL 150 MG/25 ML VIAL
ONXOL 150 MG/25 ML VIAL
QUININE ANHYDROUS POWDER
QUININE ANHYDROUS POWDER
PACLITAXEL 30 MG/5 ML VIAL
PACLITAXEL 100 MG/16.7 ML VL
PACLITAXEL 300 MG/50 ML VIAL
PACLITAXEL 30 MG/5 ML VIAL
PACLITAXEL 100 MG/16.7 ML VL
PACLITAXEL 300 MG/50 ML VIAL
PACLITAXEL 30 MG/5 ML VIAL
PACLITAXEL 100 MG/16.7 ML VL
PACLITAXEL 300 MG/50 ML VIAL
PACLITAXEL 6 MG/ML VIAL
PACLITAXEL 6 MG/ML VIAL
PACLITAXEL 6 MG/ML VIAL
AMPICILLIN 2 GM VIAL
BENSAL HP OINTMENT
BENSAL HP OINTMENT
BENSAL HP OINTMENT
RA SELFGRIP BANDAGE 2"X66"
METHYCLOTHIAZIDE POWDER
METHYCLOTHIAZIDE POWDER

DOSE FORM DRUG STRENGTH


YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YQ
HV
HV
HV
HS
HS
HS
HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
PA
PA
HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
HS
OA
OA
OA
YE
PA
PA

UNIT PRICE
$
2.68
$
2.68
$
2.68
$
2.68
$
2.68
$
2.68
$
2.68
$
2.68
$
2.68
$
2.68
$
2.68
$
2.68
$
2.68
$
2.68
$
2.69
$
2.70
$
2.70
$
2.70
$
2.70
$
2.70
$
2.70
$
2.70
$
2.70
$
2.70
$
2.70
$
2.70
$
2.70
$
2.70
$
2.70
$
2.70
$
2.70
$
2.70
$
2.70
$
2.70
$
2.70
$
2.70
$
2.70
$
2.70
$
2.70
$
2.70
$
2.70
$
2.70
$
2.70
$
2.70
$
2.70
$
2.70
$
2.70
$
2.70
$
2.70
$
2.70
$
2.71
$
2.71
$
2.71

NDC
00074470048
00074473648
00088109547
00264915050
00338031199
08187570021
08187570022
10974000205
18757000211
18757000221
38779027903
38779027904
38779027905
38779027908
49452391301
49452391302
49452391303
49452760801
49452760802
51552062705
51927319400
62991146101
62991146102
62991146103
62991146104
62991146105
62991146106
99207074530
00056047492
00338269075
38779070903
38779070904
38779070905
51927220000
54569461100
00039001710
00407069011
00407069016
00407069021
00407069031
00407069041
00407069051
00407069055
00407069062
00407069063
08024190001
08024192001
08024194001
08026421600
08327051809
48532029902
49614048213
63323033510

NAME
BLOOD COLLECTION SET 24"
BLOOD COLLECTION SET 36"
ALLEGRA-D 24 HOUR TABLET
BLOOD DONOR SET
SUX-CERT 1,000 ADDITIVE VIAL
RESURGEX POWDER PACKET
RESURGEX POWDER PACKET
HEPARIN NA 40,000 UNITS/ML VIA
RESURGEX POWDER PACKET
RESURGEX POWDER PACKET
KETOCONAZOLE POWDER
KETOCONAZOLE POWDER
KETOCONAZOLE POWDER
KETOCONAZOLE POWDER
KETOCONAZOLE POWDER
KETOCONAZOLE POWDER
KETOCONAZOLE POWDER
KETOCONAZOLE POWDER
KETOCONAZOLE POWDER
KETOCONAZOLE POWDER
KETOCONAZOLE POWDER
KETOCONAZOLE POWDER
KETOCONAZOLE POWDER
KETOCONAZOLE POWDER
KETOCONAZOLE POWDER
KETOCONAZOLE POWDER
KETOCONAZOLE POWDER
PLEXION CLEANSING CLOTHS
SUSTIVA 200 MG CAPSULE
MORPHINE SULF 5 MG/ML SYRN
GLYBURIDE POWDER
GLYBURIDE POWDER
GLYBURIDE POWDER
ISOMETHEPTENE MUCATE PWD
SUSTIVA 200 MG CAPSULE
CLAFORAN 500 MG VIAL
OMNISCAN SAFEPAK KIT
OMNISCAN SAFEPAK KIT
OMNISCAN SAFEPAK KIT
OMNISCAN PRE PAK KIT
OMNISCAN PRE PAK KIT
OMNISCAN PRE PAK KIT
GADODIAMIDE 287MG/ML INJ
GADODIAMIDE 287MG/ML INJ
GADODIAMIDE 287MG/ML INJ
OMNISCAN PRE PAK KIT
OMNISCAN PRE PAK KIT
OMNISCAN PRE PAK KIT
HYPAFIX TAPE 4" X 2YD
MEDFIX EZ DRESSING 4" ROLL
STAPHAGE LYSATE (SPL) AMPUL
NATURAL COLD SORE CREAM
CEFOTAXIME 500 MG VIAL

DOSE FORM DRUG STRENGTH


YZ
YZ
TI
YZ
SW
PP
PP
HV
PP
PP
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
ET
CA
HQ
PA
PA
PA
PA
CA
HS
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YT
YT
HH
KA
HS

UNIT PRICE
$
2.72
$
2.72
$
2.72
$
2.72
$
2.72
$
2.72
$
2.72
$
2.72
$
2.72
$
2.72
$
2.72
$
2.72
$
2.72
$
2.72
$
2.72
$
2.72
$
2.72
$
2.72
$
2.72
$
2.72
$
2.72
$
2.72
$
2.72
$
2.72
$
2.72
$
2.72
$
2.72
$
2.72
$
2.75
$
2.75
$
2.75
$
2.75
$
2.75
$
2.75
$
2.75
$
2.76
$
2.76
$
2.76
$
2.76
$
2.76
$
2.76
$
2.76
$
2.76
$
2.76
$
2.76
$
2.76
$
2.76
$
2.76
$
2.76
$
2.76
$
2.76
$
2.76
$
2.76

NDC
68012005401
68012005430
00006325503
53303000016
53303000204
53303000304
54868126901
38779027803
38779027804
38779027805
49452826001
49452826002
53329030509
54868153101
61570003275
00069217030
08173000425
08173000525
08173003110
08173003201
08173003301
08173101101
08173102101
08173106401
08173901025
08173901124
08173901225
08173906102
54868120700
65781005210
65781031010
76300016524
76300016624
76300016724
76300031221
76300031222
76300036524
76300036624
76300036724
00009519702
00009519707
00009519708
00009526901
00009527001
00078034542
00078034545
00078034562
00083232701
00083232708
00087667217
00555058801
08375003603
10337066041

NAME
ZEGERID 40 MG PACKET
ZEGERID 40 MG PACKET
HUMORSOL 0.125% EYE DROPS
CARRA SORB M 4" DRESSING
DIAB F.D.G. 4" DRESSING
RADIAFDG DRESSING
BECLOVENT INHALER
YOHIMBINE HCL POWDER
YOHIMBINE HCL POWDER
YOHIMBINE HCL POWDER
YOHIMBINE HCL POWDER
YOHIMBINE HCL POWDER
ARGLAES POWDER
CORTISPORIN CREAM
CORTISPORIN CREAM
CADUET 5 MG/20 MG TABLET
GLASS INSULIN CARTRIDGE
PLASTIC INSULIN CARTRIDGE
H-TRON POWER PACK
CARTRIDGE FILLING AID
PISTON ROD
D-TRON FILLING SET
D-TRON CARTRIDGE GLASS
D-TRON POWER PACK
PLASTIC CARTRIDGE 5 ML
GLASS CARTRIDGE 5 ML
PLASTIC CARTRIDGE 10 ML
H-TRON POWER PACK
CADUET 5 MG/20 MG TABLET
CARTRIDGE PUMP STAMP IR1000
CARTRIDGE PUMP
POLYFIN QR INFUSION SET
POLYFIN QR INFUSION SET
POLYFIN QR INFUSION SET
PARADIGM INFUSION 24" SET
PARADIGM INFUSION 42" SET
POLYFIN QR INFUSION SET
POLYFIN QR INFUSION SET
POLYFIN QR INFUSION SET
NICOTROL 15 MG/16HR PATCH
NICOTROL 15 MG/16HR PATCH
NICOTROL 15 MG/16HR PATCH
NICOTROL 5 MG/16HR PATCH
NICOTROL 10 MG/16HR PATCH
VIVELLE-DOT 0.075 MG PATCH
VIVELLE-DOT 0.075 MG PATCH
VIVELLE-DOT 0.075 MG PATCH
VIVELLE 0.075 MG PATCH
VIVELLE 0.075 MG PATCH
VIDEX EC 200 MG CAP SA
DIDANOSINE 200 MG DR CAPSULE
OSMOCYTE PILLOW WOUND DRESS
PETRO-PHYLIC SOAP

DOSE FORM DRUG STRENGTH


PP
PP
SO
YE
YE
YE
AJ
PA
PA
PA
PA
PA
PA
KA
KA
TA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
TA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
PV
PV
PV
PV
PV
PQ
PQ
PQ
PQ
PQ
CE
CE
YE
ER

UNIT PRICE
$
2.76
$
2.76
$
2.77
$
2.77
$
2.77
$
2.77
$
2.77
$
2.78
$
2.78
$
2.78
$
2.78
$
2.78
$
2.78
$
2.78
$
2.78
$
2.79
$
2.79
$
2.79
$
2.79
$
2.79
$
2.79
$
2.79
$
2.79
$
2.79
$
2.79
$
2.79
$
2.79
$
2.79
$
2.79
$
2.79
$
2.79
$
2.79
$
2.79
$
2.79
$
2.79
$
2.79
$
2.79
$
2.79
$
2.79
$
2.80
$
2.80
$
2.80
$
2.80
$
2.80
$
2.80
$
2.80
$
2.80
$
2.80
$
2.80
$
2.80
$
2.80
$
2.80
$
2.80

NDC
52544047208
54569488100
54868379700
54868424300
54868435400
54868435401
54868519900
55289086230
58864074515
58864074530
58914050018
58914050056
63323032510
63323032520
64248034001
64764030114
64764030115
64764030116
68115067130
83750003603
83750003697
00006355703
00006355732
00006355735
00173049100
00173049700
00173071800
00225065523
54569486300
54569567100
54868326300
54868426400
55045305401
61314022405
61570040571
63323001115
00074269913
08026118414
11980007405
11980007410
11980012215
40565011842
49756046102
67386040401
00045006601
00074275100
00074275200
00074275300
11822000710
11822000720
11822313590
14654038105
32252017400

NAME
ALORA 0.075 MG PATCH
ACTOS 30 MG TABLET
VIVELLE 0.075 MG PATCH
VIVELLE-DOT 0.075 MG PATCH
ACTOS 30 MG TABLET
ACTOS 30 MG TABLET
CANASA 500 MG SUPPOSITORY
ACTOS 30 MG TABLET
ACTOS 30 MG TABLET
ACTOS 30 MG TABLET
CANASA 500 MG SUPPOSITORY
CANASA 500 MG SUPPOSITORY
ACYCLOVIR SOD 50 MG/ML VIAL
ACYCLOVIR SOD 50 MG/ML VIAL
ESCLIM 0.075 MG PATCH
ACTOS 30 MG TABLET
ACTOS 30 MG TABLET
ACTOS 30 MG TABLET
ACTOS 30 MG TABLET
OSMOCYTE PILLOW WOUND DRESS
OSMOCYTE PILLOW WOUND DRESS
TIMOPTIC-XE 0.25% EYE SOLN
TIMOPTIC-XE 0.25% EYE SOLN
TIMOPTIC-XE 0.25% EYE SOLN
FLOVENT 44 MCG INHALER
FLOVENT 44 MCG INHALER
FLOVENT HFA 44 MCG INHALER
AYR INHALER
FLOVENT 44 MCG INHALER
FLOVENT HFA 44 MCG INHALER
TIMOPTIC-XE 0.25% EYE SOLN
FLOVENT 44 MCG INHALER
FLOVENT 44 MCG INHALER
TIMOLOL 0.25% GEL /SOLUTION
CHLOROMYCETIN 1 GM VIAL
CHLORAMPHEN NA SUCC 1 GM VL
TRANXENE SD 11.25 MG TAB SA
EXU-DRY WOUND DRESS 6"X9"
HMS LIQUIFILM 1% EYE DROPS
HMS LIQUIFILM 1% EYE DROPS
EPIFRIN 1% EYE DROPS
EXU-DRY WOUND DRESSING 6"X9"
SOFSORB WOUND DRESSING 6X9"
TRANXENE SD 11.25 MG TABLET
LEVAQUIN I.V. MINIBAG
FAULTLESS ICE BAG 6" FOLDING
FAULTLESS ICE BAG 9" FOLDING
FAULTLESS ICE BAG 11" FOLD
RA ICE BAG 11"
RA ICE BAG 6"
RA ICE CAP, 9"
CHEW Q 600 MG WAFER
COLD THERAPY ICE BAG

DOSE FORM DRUG STRENGTH


PQ
TA
PQ
PQ
TA
TA
QA
TA
TA
TA
QA
QA
HV
HV
PQ
TA
TA
TA
TA
YE
YE
JS
JS
JS
AJ
AJ
AJ
GI
AJ
AJ
JS
AJ
AJ
JS
HS
HS
TS
YE
SN
SN
SO
YE
YE
TS
HP
EA
EA
EA
EA
EA
EA
TW
EA

UNIT PRICE
$
2.80
$
2.80
$
2.80
$
2.80
$
2.80
$
2.80
$
2.80
$
2.80
$
2.80
$
2.80
$
2.80
$
2.80
$
2.80
$
2.80
$
2.80
$
2.80
$
2.80
$
2.80
$
2.80
$
2.80
$
2.80
$
2.81
$
2.81
$
2.81
$
2.81
$
2.81
$
2.81
$
2.81
$
2.81
$
2.81
$
2.81
$
2.81
$
2.81
$
2.81
$
2.81
$
2.81
$
2.82
$
2.82
$
2.82
$
2.82
$
2.82
$
2.82
$
2.82
$
2.82
$
2.83
$
2.83
$
2.83
$
2.83
$
2.83
$
2.83
$
2.83
$
2.83
$
2.83

NDC
32252017410
32252017420
38703010050
38703010120
38703010150
49614050302
49735010131
50428324111
51234018910
51234018930
54023913702
63256010030
87701047263
87701047264
87701047265
00087078543
00172405948
00247061206
00247061210
00247061220
00430078119
00548193000
08881114014
08881114030
08881114055
12496127802
52959020405
52959020407
52959020410
63304051250
68012005201
68012005230
00074346913
00407141325
00409346913
00998031105
08026118537
54868340000
55860007190
58016632401
00002726601
00002726625
00069218030
00069219030
00069226030
00074473203
08290007339
08290742500
38779000503
38779000504
49452795001
49452795003
51552039401

NAME
COLD THERAPY ICE BAG
COLD THERAPY ICE BAG
ICE BAG 9"
ICE BAG 11"
ICE BAG 6"
ICE BAG
TARVIL PACKET
CVS COLD PACK
NEOTRON-S VIAL
NEOTRON-S VIAL
CHEW Q 600 MG WAFER
SCLEROSOL INTRAPLEURAL AERO
BL ICE BAG 6"
BL ICE BAG 9"
BL ICE BAG 11"
DURICEF 1 GM TABLET
CEFADROXIL 1 GM TABLET
DURICEF 1 GM TABLET
DURICEF 1 GM TABLET
DURICEF 1 GM TABLET
DURICEF 1 GM TABLET
PCA SYRINGE W/INJECTOR
SYRINGE W/OUT NEEDLE 140 ML
SYRINGE W/OUT NEEDLE 140 ML
SYRINGE W/OUT NEEDLE 140 ML
SUBUTEX 2 MG TABLET
DURICEF 1 GM TABLET
DURICEF 1 GM TABLET
DURICEF 1 GM TABLET
CEFADROXIL 1 GM TABLET
ZEGERID 20 MG PACKET
ZEGERID 20 MG PACKET
TOBRAMYCIN 60 MG/0.9% NACL
OMNIPAQUE 300 MG/ML SYRINGE
TOBRAMYCIN 60 MG/0.9% NACL
ISOPTO HOMATROPINE 2% DROPS
EXU-DRY DRESS 1 3/4"X2 1/2"
ISOPTO HOMATROPINE 2% DROPS
AIRSTRIP 14 3/4" X 4 3/4"
ISOPTO HOMATROPINE 2% DROPS
KEFZOL 1 GM ADD-VANTAGE VIAL
KEFZOL 1 GM ADD-VANTAGE VIAL
CADUET 10 MG/20 MG TABLET
CADUET 5 MG/40 MG TABLET
CADUET 5 MG/80 MG TABLET
CEFAZOLIN 1 GM ADD-VAN VIAL
ACE RUBBER ELASTIC BANDAGE
PEG ELASTIC BANDAGE 6"
CLINDAMYCIN HCL POWDER
CLINDAMYCIN HCL POWDER
TRIPROLIDINE HCL CRYSTALS
TRIPROLIDINE HCL CRYSTALS
CLINDAMYCIN HCL POWDER

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
PP
EA
HV
HV
TW
AP
EA
EA
EA
TA
TA
TA
TA
TA
TA
YL
YL
YL
YL
TU
TA
TA
TA
TA
PP
PP
HP
HQ
HP
SO
YE
SO
YE
SO
HS
HS
TA
TA
TA
HS
YE
YE
PA
PA
PC
PC
PA

UNIT PRICE
$
2.83
$
2.83
$
2.83
$
2.83
$
2.83
$
2.83
$
2.83
$
2.83
$
2.83
$
2.83
$
2.83
$
2.83
$
2.83
$
2.83
$
2.83
$
2.84
$
2.84
$
2.84
$
2.84
$
2.84
$
2.84
$
2.84
$
2.84
$
2.84
$
2.84
$
2.84
$
2.84
$
2.84
$
2.84
$
2.84
$
2.84
$
2.84
$
2.85
$
2.85
$
2.85
$
2.85
$
2.85
$
2.85
$
2.85
$
2.85
$
2.86
$
2.86
$
2.86
$
2.86
$
2.86
$
2.86
$
2.86
$
2.86
$
2.86
$
2.86
$
2.86
$
2.86
$
2.86

NDC
51552039402
51927222200
54868517900
54868520900
62991103401
62991103402
62991103403
00069227030
00074406401
00264915150
00264915250
00264915320
00264915450
00264915620
00264915750
00264915950
00264916150
00264916250
00264916750
08011740033
49326038410
49326038430
49756046702
49756046703
49756046704
00087666515
00407141426
38779039303
38779039304
38779039306
49452108302
51552087902
51552087904
51927209700
62991153001
62991153002
00062177115
08021333308
08021333318
08021333332
49452006401
51927213600
52544055428
56091001910
56091003801
63370010425
63370010435
63370010445
00069225030
54868520000
08333158405
08380003490
08380003491

NAME
CLINDAMYCIN HCL POWDER
CLINDAMYCIN HCL POWDER
CADUET 5 MG/40 MG TABLET
CADUET 10-20 MG TABLET
CLINDAMYCIN HCL POWDER
CLINDAMYCIN HCL POWDER
CLINDAMYCIN HCL POWDER
CADUET 10 MG/80 MG TABLET
Y-TYPE CONNECTING SET-SL
BLOOD ADMINISTRATION SET
BLOOD ADMINISTRATION SET
METRISET BLOOD SET 10DRP/ML
BLOOD PUMP SET 10DROPS/ML
HI FLOW BLOOD SET 10DRP/ML
BLOOD ADMINISTRATION SET
BLOOD PUMP SET 10DROPS/ML
BLOOD PUMP SET 10DROPS/ML
BLOOD COMPONENT SET
ADD-ON BLOOD FILTER SET
BARD ABSORP DRESS 3 GM PACKT
ALBAFORT S 40 MG/ML VIAL
ALBAFORT S 40 MG/ML VIAL
MULTIDEX POWDER WOUND DRESS
MULTIDEX POWDER WOUND DRESS
MULTIDEX POWDER WOUND DRESS
VIDEX 200 MG TABLET CHEWABLE
OMNIPAQUE 350 MG/ML SYRINGE
BETHANECHOL CHLORIDE POWDR
BETHANECHOL CHLORIDE POWDR
BETHANECHOL CHLORIDE POWDR
BETHANECHOL CHLORIDE POWDER
BETHANECHOL CHLORIDE POWDR
BETHANECHOL CHLORIDE POWDR
BETHANECHOL CHLORIDE POWDR
BETHANECHOL CHLORIDE POWDR
BETHANECHOL CHLORIDE POWDR
ORTHO-NOVUM 10/11-28 TABLET
SPINOCAN PROCEDURAL NEEDLE
SPINOCAN PROCEDURAL NEEDLE
SPINOCAN PROCEDURAL NEEDLE
HYDROXYCHLOROQUINE SULF PWD
HYDROXYCHLOROQUINE SULF PWD
NECON 10/11-28 TABLET
THROMBOGEN 1,000 UNITS VIAL
THROMBOGEN 1,000 UNITS VIAL
HYDROXYCHLOROQUINE SULF PWD
HYDROXYCHLOROQUINE SULF PWD
HYDROXYCHLOROQUINE SULF PWD
CADUET 10 MG/40 MG TABLET
CADUET 10 MG/40 MG TABLET
COBAN WRAP 4" X 6.5 YARDS
FIRSTCHOICE CLOSED POUCH
FIRSTCHOICE CLOSED POUCH

DOSE FORM DRUG STRENGTH


PA
PA
TA
TA
PA
PA
PA
TA
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
PP
HV
HV
PP
PP
PP
TC
HQ
PA
PA
PA
PA
PA
PA
PA
PA
PA
TA
YH
YH
YH
PA
PA
TA
HS
HS
PA
PA
PA
TA
TA
YE
EA
EA

UNIT PRICE
$
2.86
$
2.86
$
2.86
$
2.86
$
2.86
$
2.86
$
2.86
$
2.87
$
2.87
$
2.87
$
2.87
$
2.87
$
2.87
$
2.87
$
2.87
$
2.87
$
2.87
$
2.87
$
2.87
$
2.87
$
2.87
$
2.87
$
2.87
$
2.87
$
2.87
$
2.88
$
2.88
$
2.88
$
2.88
$
2.88
$
2.88
$
2.88
$
2.88
$
2.88
$
2.88
$
2.88
$
2.89
$
2.89
$
2.89
$
2.89
$
2.89
$
2.89
$
2.89
$
2.89
$
2.89
$
2.89
$
2.89
$
2.89
$
2.90
$
2.90
$
2.91
$
2.91
$
2.91

NDC
08380003493
08380003495
08380003497
08380003610
08380003680
08380008610
00045006701
00049080108
08290001000
08290001001
08290001002
08290001005
08290001011
08290001012
08290001013
08290001015
08290001017
08290001019
08290001021
08290001025
08290001027
08290001032
08290001034
08290001035
08290001037
08290001042
08290001045
08290001047
08290001048
08290001168
08290511005
17478023035
52959008620
54868111201
54868111202
55289033310
55289033320
55289033324
00003839004
00575620030
00904437102
08380007700
08380007704
08380007708
08380007800
08380008800
10337080203
10337080205
10337080206
10337080225
11701080080
17317158601
38779044703

NAME
FIRSTCHOICE CLOSED POUCH
FIRSTCHOICE CLOSED POUCH
FIRSTCHOICE CLOSED POUCH
FIRSTCHOICE DRAIN PCH 0.75"
FIRSTCHOICE DRAIN PCH 0.75"
PREMIER DRAIN POUCH 0.75"
LEVAQUIN 250 MG/50 ML D5W
TERRAMYCIN/POLYMYX EYE OINT
YALE NEEDLE REGULAR BEVEL
YALE NEEDLE REGULAR BEVEL
YALE NEEDLE REGULAR BEVEL
YALE NEEDLE REGULAR BEVEL
YALE NEEDLE REGULAR BEVEL
YALE NEEDLE REGULAR BEVEL
YALE NEEDLE REGULAR BEVEL
YALE NEEDLE REGULAR BEVEL
YALE NEEDLE REGULAR BEVEL
YALE NEEDLE INTRADERM BEVEL
YALE NEEDLE REGULAR BEVEL
YALE NEEDLE REGULAR BEVEL
YALE NEEDLE REGULAR BEVEL
YALE NEEDLE REGULAR BEVEL
YALE NEEDLE REGULAR BEVEL
YALE NEEDLE REGULAR BEVEL
YALE NEEDLE REGULAR BEVEL
YALE NEEDLE REGULAR BEVEL
YALE NEEDLE REGULAR BEVEL
YALE NEEDLE REGULAR BEVEL
YALE NEEDLE REGULAR BEVEL
SPECIAL NEEDLE, TONSIL
BD YALE REGULAR BEVEL NEEDLE
TERAK EYE OINTMENT
KEFTAB 500 MG TABLET
KEFTAB 500 MG TABLET
KEFTAB 500 MG TABLET
KEFTAB 500 MG TABLET
KEFTAB 500 MG TABLET
KEFTAB 500 MG TABLET
EAKIN SKIN BARRIER 4"X4"
PROGLYCEM 50 MG/ML ORAL SUSP
MAJOR COMFORT WRAP 2" BAND
HOLLIHESIVE SKIN BARRIER
HOLLIHESIVE SKIN BARRIER
HOLLISEAL SKIN BARRIER
PREMIUM SKIN BARRIER 4"X4"
FLEXTEND SKIN BARRIER 4"X4"
ADOXA PAK 100 MG TABLET
ADOXA 100 MG TABLET
ADOXA PAK 100 MG TABLET
ADOXA 100 MG TABLET
COLOPLAST SKIN BARRIER
EPINEPHRINE POWDER
METHAZOLAMIDE POWDER

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
HP
OA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
OA
TA
TA
TA
TA
TA
TA
EA
SC
YE
EA
EA
EA
EA
EA
TA
TA
TA
TA
EA
PA
PA

UNIT PRICE
$
2.91
$
2.91
$
2.91
$
2.91
$
2.91
$
2.91
$
2.92
$
2.92
$
2.92
$
2.92
$
2.92
$
2.92
$
2.92
$
2.92
$
2.92
$
2.92
$
2.92
$
2.92
$
2.92
$
2.92
$
2.92
$
2.92
$
2.92
$
2.92
$
2.92
$
2.92
$
2.92
$
2.92
$
2.92
$
2.92
$
2.92
$
2.92
$
2.92
$
2.92
$
2.92
$
2.92
$
2.92
$
2.92
$
2.93
$
2.93
$
2.93
$
2.93
$
2.93
$
2.93
$
2.93
$
2.93
$
2.93
$
2.93
$
2.93
$
2.93
$
2.93
$
2.93
$
2.93

NDC
38779044704
49452274001
62436072903
62436072904
00034549006
00034549012
49999013406
52959028700
52959028701
52959105800
52959105801
54569088600
54569215200
54868020700
54868020701
58016601201
58016609501
62856083130
62856083230
65726026125
65726026190
00069297030
00069298030
00173067501
00173067502
00206882002
08026484000
11701040674
54569512900
54569512901
54569512902
54569512908
54868486100
55289074720
55860484000
00002536225
00003187900
00003187961
00173043600
51927340800
00006326703
00045006801
00065062703
00065062707
00074379301
00074379349
08333900210
10019002902
54868376600
55056306001
55390048001
60505070500
63323016101

NAME
METHAZOLAMIDE POWDER
EPINEPHRINE POWDER
ADOXA 100 MG TABLET
ADOXA 100 MG TABLET
CERUMENEX 10% EAR DROPS
CERUMENEX 10% EAR DROPS
CERUMENEX 10% EAR DROPS
CERUMENEX 10% EAR DROPS
CERUMENEX 10% EAR DROPS
CERUMENEX 10% EAR DROPS
CERUMENEX 10% EAR DROPS
CERUMENEX 10% EAR DROPS
CERUMENEX 10% EAR DROPS
CERUMENEX 10% EAR DROPS
CERUMENEX 10% EAR DROPS
CERUMENEX 10% EAR DROPS
CERUMENEX 10% EAR DROPS
ARICEPT ODT 5 MG TABLET
ARICEPT ODT 10 MG TABLET
RYTHMOL SR 225 MG CAPSULE
RYTHMOL SR 225 MG CAPSULE
CADUET 2.5 MG/20 MG TABLET
CADUET 2.5 MG/40 MG TABLET
MALARONE 250-100 MG TABLET
MALARONE 250-100 MG TABLET
ZOSYN 2/0.25 GRAM PRE-MIX BAG
REPLICARE 2"X2.75" DRESSING
COMFEEL PLUS CLEAR DRESSING
MALARONE 250-100 MG TABLET
MALARONE 250-100 MG TABLET
MALARONE 250-100 MG TABLET
MALARONE 250-100 MG TABLET
MALARONE 250-100 MG TABLET
MALARONE 250-100 MG TABLET
REPLICARE 2"X2.75" DRESSING
KEFUROX ADD-VANTAGE 750 MG
DUODERM XTHIN CGF 2X4" DRES
DUODERM XTHIN CGF 2X4" DRES
ZINACEF 750 MG ADD-VANT VIAL
FAMOTIDINE POWDER
HUMORSOL 0.25% EYE DROPS
LEVAQUIN 500 MG/100 ML D5W
VEXOL 1% EYE DROPS
VEXOL 1% EYE DROPS
KETOROLAC 15 MG/ML VIAL
KETOROLAC 15 MG/ML VIAL
TEGASORB THIN 2.75X3.5 DRSS
KETOROLAC 15 MG/ML VIAL
VEXOL 1% EYE DROPS
STRIANT 30 MG MUCOADHESIVE
KETOROLAC 15 MG/ML VIAL
KETOROLAC 15 MG/ML VIAL
KETOROLAC 15 MG/ML VIAL

DOSE FORM DRUG STRENGTH


PA
PA
TA
TA
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
SO
UL
UL
CB
CB
TA
TA
TA
TA
HK
YE
YE
TA
TA
TA
TA
TA
TA
YE
HS
YE
YE
HS
PA
SO
HP
SN
SN
HV
HV
YE
HV
SN
MA
HV
HV
HV

UNIT PRICE
$
2.93
$
2.93
$
2.93
$
2.93
$
2.94
$
2.94
$
2.94
$
2.94
$
2.94
$
2.94
$
2.94
$
2.94
$
2.94
$
2.94
$
2.94
$
2.94
$
2.94
$
2.94
$
2.94
$
2.94
$
2.94
$
2.95
$
2.95
$
2.95
$
2.95
$
2.95
$
2.95
$
2.95
$
2.95
$
2.95
$
2.95
$
2.95
$
2.95
$
2.95
$
2.95
$
2.96
$
2.96
$
2.96
$
2.96
$
2.96
$
2.97
$
2.97
$
2.97
$
2.97
$
2.97
$
2.97
$
2.97
$
2.97
$
2.97
$
2.97
$
2.97
$
2.97
$
2.97

NDC
68030013101
00078037742
00078037745
08375003703
54868457300
54868457301
54868483100
63857032406
63857032411
83750003703
83750003797
00002831101
00074401390
00310037851
12280005190
54868459700
00002821101
00074232601
00074232701
08380009348
08380009349
08380009354
08380009355
08380009356
08380009357
11298001040
11298001041
11298001042
11298001043
11298001050
11298001051
11298001052
11298001053
11298001054
11298001055
11298001056
11298001057
11298001058
11298001059
11298001060
11298001061
55390088010
55390088110
63323024710
63323024810
81317070880
81317070890
81317070940
81317070960
81317707100
81317707600
81317707800
81317707900

NAME
KETOROLAC 15 MG/ML VIAL
COMBIPATCH 0.05/0.14 MG PTCH
COMBIPATCH 0.05/0.14 MG PTCH
OSMOCYTE PILLOW WOUND DRESS
KADIAN 100 MG CAPSULE SR
KADIAN 100 MG CAPSULE SR
COMBIPATCH 0.05/0.14 MG PTCH
KADIAN 100 MG CAPSULE SR
KADIAN 100 MG CAPSULE SR
OSMOCYTE PILLOW WOUND DRESS
OSMOCYTE PILLOW WOUND DRESS
ILETIN II PORK NPH 100 UNITS/M
TRICOR 160 MG TABLET
CEFOTAN 1 GM/50 ML PIGGYBACK
TRICOR 160 MG TABLET
TRICOR 160 MG TABLET
ILETIN II PORK REG 100 UNITS/M
SYNTHROID 500 MCG VIAL
SYNTHROID 200 MCG VIAL
URINARY LEG BAG COMB PACK
URINARY LEG BAG COMB PACK
BAG & STRAP SYSTEM
BAG & STRAP SYSTEM
BAG & TUBING SYSTEM
BAG & TUBING SYSTEM
DISPOSABLE BAG OUTFIT
DISPOSABLE BAG OUTFIT
DISPOSABLE BAG OUTFIT
DISPOSABLE BAG OUTFIT
URINAL POUCH OUTFIT KIT
URINAL POUCH OUTFIT KIT
URINAL POUCH OUTFIT KIT
URINAL POUCH OUTFIT KIT
RUBBER POUCH OUTFIT KIT
RUBBER POUCH OUTFIT KIT
RUBBER POUCH OUTFIT KIT
RUBBER POUCH OUTFIT KIT
PLASTIC POUCH OUTFIT KIT
PLASTIC POUCH OUTFIT KIT
PLASTIC POUCH OUTFIT KIT
PLASTIC POUCH OUTFIT KIT
LEVOTHYROXINE 200 MCG VIAL
LEVOTHYROXINE 500 MCG VIAL
LEVOTHYROXINE 200 MCG VIAL
LEVOTHYROXINE 500 MCG VIAL
FREEDOM T-TAP LEG BAG KIT
FREEDOM 320Z T-TAP LEG BAG
FREEDOM TWIST PORT BAG KIT
FREEDOM TWIST PORT BAG KIT
URO-SAN 19OZ LEG BAG KIT
FREEDOM 500 ML LEG BAG KIT
FREEDOM T-TAP LEG BAG KIT
FREEDOM T-TAP LEG BAG KIT

DOSE FORM DRUG STRENGTH


HV
PQ
PQ
YE
CP
CP
PQ
CP
CP
YE
YE
HV
TA
HK
TA
TA
HV
HS
HS
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
HS
HS
HS
HS
YK
YK
YK
YK
YK
YK
YK
YK

UNIT PRICE
$
2.97
$
2.98
$
2.98
$
2.98
$
2.98
$
2.98
$
2.98
$
2.98
$
2.98
$
2.98
$
2.98
$
2.99
$
2.99
$
2.99
$
2.99
$
2.99
$
3.00
$
3.00
$
3.00
$
3.00
$
3.00
$
3.00
$
3.00
$
3.00
$
3.00
$
3.00
$
3.00
$
3.00
$
3.00
$
3.00
$
3.00
$
3.00
$
3.00
$
3.00
$
3.00
$
3.00
$
3.00
$
3.00
$
3.00
$
3.00
$
3.00
$
3.00
$
3.00
$
3.00
$
3.00
$
3.00
$
3.00
$
3.00
$
3.00
$
3.00
$
3.00
$
3.00
$
3.00

NDC
81317708600
81317708700
00024079202
08080114300
08137008751
08219111300
08219114300
08219763200
49756101360
49756101824
56091008751
66116064710
00009034702
00013013202
00023002805
00023002810
08884682000
11822313670
38703008010
38703008030
38703008040
38703010010
38703010030
38703010040
38703010200
54569213300
54868079600
87701047253
87701047259
87701047295
87701047296
87701047298
00003021712
00003021901
00003196501
00085056605
00173088025
08219350200
08219351200
08887600602
08887601402
08887601600
08887601709
54569548000
54868020600
54868335300
58016919101
00145108605
00145108703
00145108705
19810058001
73462010873
00005450704

NAME
FREEDOM 1,000 ML LEG BAG KIT
FREEDOM 1LTR T-TAP LEG BAG
HYTAKEROL 0.125 MG CAPSULE
CURITY GAUZE BANDAGE ROLL
NU-GAUZE PACK STRIPS 1/2"X5YDS
TELFA CLEAR WOUND DRESSING
CURITY GAUZE BANDAGE ROLL
CURITY PLAIN PACKING STRIPS
DRY GAUZE BANDAGE ROLL
DRY GAUZE BANDAGE ROLL
NU-GAUZE PACK STRIPS
NEO/POLYMYXIN/HC EAR SUSP
DEPO-TESTOSTERONE 100 MG/ML
EMCYT 140 MG CAPSULE
POLY-PRED EYE DROPS
POLY-PRED EYE DROPS
INTERSORB PAD 18"X 24"
RA FEMININE BULB SYRINGE
FEMININE COMBO SYRINGE
FEMININE FOLDING SYRINGE
FEMININE BULB SYRINGE
FEMININE COMPACT TRAVEL SYR
FEMININE FOLDING SYRINGE
FEMININE BULB SYRINGE
FEMININE COMPACT TRAVEL SYR
POLY-PRED EYE DROPS
DEPO-TESTOSTERONE 100 MG/ML VL
BL FOUNTAIN SYRINGE
BL FOUNTAIN SYRINGE
BL DOUCHE SYRINGE
BL DOUCHE SYRINGE
BL DOUCHE BULB SYRINGE
STOMAHESIVE 4"X4" WAFER
STOMAHESIVE WAFER 4"X4"
ZERIT 20 MG CAPSULE
CELESTONE SOLUSPAN 6 MG/ML
THIOGUANINE TABLOID 40 MG TB
KENGUARD URINARY DRAIN BAG
KENGUARD URINARY DRAIN BAG
HY-GARD DRAINAGE BAG VENTED
HY-GARD ANTI-REFLUX DRN BAG
HY-GARD ANTI-REFLUX DRN BAG
HY-GARD ANTI-REFLUX DRN BAG
ZERIT 20 MG CAPSULE
CELESTONE SOLUSPAN 6 MG/ML
ZERIT 20 MG CAPSULE
CELESTONE SOLUSPAN 6 MG/ML
SASTID SOAP
SASTID SOAP
SALICYLIC ACID/SULFUR SOAP
FOSTEX MED. CLEANSING BAR
SASTID SOAP
RHEUMATREX 2.5 MG TABLET

DOSE FORM DRUG STRENGTH


YK
YK
CA
YE
YE
YE
YE
YE
YE
YE
YE
SN
HV
CA
SN
SN
YE
YC
YC
YC
YC
YC
YC
YC
YC
SN
HV
YC
YC
YC
YC
YC
TW
TW
CA
HV
TA
EA
EA
EA
EA
EA
EA
CA
HV
CA
HV
EC
EC
EC
EC
EC
UD

UNIT PRICE
$
3.00
$
3.00
$
3.01
$
3.01
$
3.01
$
3.01
$
3.01
$
3.01
$
3.01
$
3.01
$
3.01
$
3.01
$
3.02
$
3.02
$
3.02
$
3.02
$
3.02
$
3.02
$
3.02
$
3.02
$
3.02
$
3.02
$
3.02
$
3.02
$
3.02
$
3.02
$
3.02
$
3.02
$
3.02
$
3.02
$
3.02
$
3.02
$
3.03
$
3.03
$
3.03
$
3.03
$
3.03
$
3.03
$
3.03
$
3.03
$
3.03
$
3.03
$
3.03
$
3.03
$
3.03
$
3.03
$
3.03
$
3.04
$
3.04
$
3.04
$
3.04
$
3.04
$
3.05

NDC
00005450705
00005450707
00005450709
00005450791
00078037842
00078037845
00597004660
54569456100
54868382600
54868382601
54868382602
54868384400
54868384401
55289039203
67253058042
67253058043
67253058044
67253058045
67253058046
00003196701
00013745686
00013746686
00039001810
00039001825
00039001849
00039001850
00039001861
00062154102
00093718101
00247068704
00247068714
00247068720
00247068724
00247068750
00247068760
00703440211
00703441211
08187570031
08187570032
18757000311
18757000321
49884068301
51991007512
54569405400
54868177200
54868177202
54868335200
54868335201
54868342900
54868342901
55289026306
55289026314
59741031512

NAME
RHEUMATREX 2.5 MG TABLET
RHEUMATREX 2.5 MG TABLET
RHEUMATREX 2.5 MG TABLET
RHEUMATREX 2.5 MG TABLET
COMBIPATCH 0.05/0.25 MG PTCH
COMBIPATCH 0.05/0.25 MG PTCH
VIRAMUNE 200 MG TABLET
VIRAMUNE 200 MG TABLET
METHOTREXATE 2.5 MG TABLET
METHOTREXATE 2.5 MG TABLET
METHOTREXATE 2.5 MG TABLET
VIRAMUNE 200 MG TABLET
VIRAMUNE 200 MG TABLET
VIRAMUNE 200 MG TABLET
RHEUMATREX 2.5 MG TABLET
RHEUMATREX 2.5 MG TABLET
RHEUMATREX 2.5 MG TABLET
RHEUMATREX 2.5 MG TABLET
RHEUMATREX 2.5 MG TABLET
ZERIT 40 MG CAPSULE
VINCASAR PFS 1 MG/ML VIAL
VINCASAR PFS 1 MG/ML VIAL
CLAFORAN 1 GM VIAL
CLAFORAN 1 GM VIAL
CLAFORAN 1 GM VIAL
CLAFORAN 1 GM VIAL
CLAFORAN 1 GM VIAL
FLOXIN 300 MG TABLET
OFLOXACIN 300 MG TABLET
FLOXIN 300 MG TABLET
FLOXIN 300 MG TABLET
FLOXIN 300 MG TABLET
FLOXIN 300 MG TABLET
FLOXIN 300 MG TABLET
FLOXIN 300 MG TABLET
VINCRISTINE 1 MG/ML VIAL
VINCRISTINE 1 MG/ML VIAL
RESURGEX PLUS POWDER PACKET
RESURGEX PLUS POWDER PACKET
RESURGEX PLUS POWDER PACKET
RESURGEX PLUS POWDER PACKET
OFLOXACIN 300 MG TABLET
BELCOMP PB SUPPOSITORY
ZERIT 40 MG CAPSULE
FLOXIN 300 MG TABLET
FLOXIN 300 MG TABLET
ZERIT 40 MG CAPSULE
ZERIT 40 MG CAPSULE
CLAFORAN 1 GM VIAL
CLAFORAN 1 GM VIAL
FLOXIN 300 MG TABLET
FLOXIN 300 MG TABLET
ERGOCAFF-PB SUPPOSITORY

DOSE FORM DRUG STRENGTH


UD
UD
UD
UD
PQ
PQ
TA
TA
UD
UD
UD
TA
TA
TA
UD
UD
UD
UD
UD
CA
HV
HV
HS
HS
HS
HS
HS
TA
TA
TA
TA
TA
TA
TA
TA
HV
HV
PP
PP
PP
PP
TA
QA
CA
TA
TA
CA
CA
HS
HS
TA
TA
QA

UNIT PRICE
$
3.05
$
3.05
$
3.05
$
3.05
$
3.05
$
3.05
$
3.05
$
3.05
$
3.05
$
3.05
$
3.05
$
3.05
$
3.05
$
3.05
$
3.05
$
3.05
$
3.05
$
3.05
$
3.05
$
3.06
$
3.06
$
3.06
$
3.06
$
3.06
$
3.06
$
3.06
$
3.06
$
3.06
$
3.06
$
3.06
$
3.06
$
3.06
$
3.06
$
3.06
$
3.06
$
3.06
$
3.06
$
3.06
$
3.06
$
3.06
$
3.06
$
3.06
$
3.06
$
3.06
$
3.06
$
3.06
$
3.06
$
3.06
$
3.06
$
3.06
$
3.06
$
3.06
$
3.06

NDC
61703030906
61703030916
63304071550
63323033115
66424031512
68722033115
00145102105
00145102403
00145102405
00145109205
38779040403
38779040404
73462010243
00008057013
00008057015
00015740120
00015740199
00074153901
00074153910
00074677901
00074677902
00074678101
00074678102
00781340095
10019010301
10019010310
10019010601
10019010602
10019010644
10019010671
11980005815
54569488200
54868439100
60977011301
60977011302
64764045124
64764045125
64764045126
68115084130
00407222201
00407222206
10791024109
38779039703
38779039704
38779039705
38779053704
38779053705
51927259600
00003196401
00006351935
00006351936
00074358201
00074358301

NAME
VINCRISTINE 1 MG/ML VIAL
VINCRISTINE 1 MG/ML VIAL
OFLOXACIN 300 MG TABLET
CEFOTAXIME SODIUM 1 GM VIAL
ERGOCAFF-PB SUPPOSITORY
CEFOTAXIME SODIUM 1 GM VIAL
SALICYLIC ACID 2% BAR
SULFUR-SOAP 10%
SULFUR-SOAP 10%
POLYTAR SOAP
TRIMIPRAMINE MALEATE POWDER
TRIMIPRAMINE MALEATE POWDER
SULFUR-SOAP 10%
ATIVAN 4 MG/ML VIAL
ATIVAN 4 MG/ML VIAL
AMPICILLIN 125 MG VIAL
AMPICILLIN 125 MG VIAL
LORAZEPAM 4 MG/ML VIAL
LORAZEPAM 4 MG/ML VIAL
LORAZEPAM 4 MG/ML VIAL
LORAZEPAM 4 MG/ML VIAL
LORAZEPAM 4 MG/ML VIAL
LORAZEPAM 4 MG/ML VIAL
AMPICILLIN 125 MG VIAL
LORAZEPAM 4 MG/ML VIAL
LORAZEPAM 4 MG/ML VIAL
ATIVAN 4 MG/ML VIAL
ATIVAN 4 MG/ML VIAL
ATIVAN 4 MG/ML VIAL
ATIVAN 4 MG/ML VIAL
EPIFRIN 2% EYE DROPS
ACTOS 45 MG TABLET
ACTOS 45 MG TABLET
ATIVAN 4 MG/ML VIAL
ATIVAN 4 MG/ML VIAL
ACTOS 45 MG TABLET
ACTOS 45 MG TABLET
ACTOS 45 MG TABLET
ACTOS 45 MG TABLET
VISIPAQUE 270 MG/ML VIAL
VISIPAQUE 270 MG/ML VIAL
TENDRA MEPILEX 3"X3" DRESSING
NYLIDRIN HCL POWDER
NYLIDRIN HCL POWDER
NYLIDRIN HCL POWDER
CHLORCYCLIZINE HCL POWDER
CHLORCYCLIZINE HCL POWDER
NYLIDRIN HCL POWDER
ZERIT 15 MG CAPSULE
TRUSOPT 2% EYE DROPS
TRUSOPT 2% EYE DROPS
TOBRAMYCIN 40 MG/ML SYRINGE
TOBRAMYCIN 40 MG/ML SYRINGE

DOSE FORM DRUG STRENGTH


HV
HV
TA
HS
QA
HS
ED
EC
EC
EC
PA
PA
EC
HV
HV
HS
HS
HV
HV
HV
HV
HV
HV
HS
HV
HV
HV
HV
HV
HV
SO
TA
TA
HV
HV
TA
TA
TA
TA
HV
HV
YE
PA
PA
PA
PA
PA
PA
CA
SO
SO
HQ
HQ

UNIT PRICE
$
3.06
$
3.06
$
3.06
$
3.06
$
3.06
$
3.06
$
3.07
$
3.07
$
3.07
$
3.07
$
3.07
$
3.07
$
3.07
$
3.08
$
3.08
$
3.08
$
3.08
$
3.08
$
3.08
$
3.08
$
3.08
$
3.08
$
3.08
$
3.08
$
3.08
$
3.08
$
3.08
$
3.08
$
3.08
$
3.08
$
3.08
$
3.08
$
3.08
$
3.08
$
3.08
$
3.08
$
3.08
$
3.08
$
3.08
$
3.09
$
3.09
$
3.09
$
3.09
$
3.09
$
3.09
$
3.09
$
3.09
$
3.09
$
3.10
$
3.10
$
3.10
$
3.10
$
3.10

NDC
00074433201
00074433249
00074653401
00074653449
00409433201
08225272700
08225280800
08225281600
08225283500
08225284000
08225284100
08225284200
08225284500
08225284600
08225284700
08290001022
08290001023
08333954801
23601074900
23601074901
23601087130
49452015501
49452015502
54569415900
54569541200
54868336000
54868359300
54868359301
63323022110
87701047307
00008030401
00065027505
00065027510
00065027515
00074234931
49502064015
49502064115
54868428100
54868428101
00085117701
00085117702
50458032001
50458032006
50458032050
54868351301
54868351302
61058025352
68115085660
76300010310
76300010324
76300033210
54868489700
54868489701

NAME
VANCOMYCIN 500 MG VIAL
VANCOMYCIN 500 MG VIAL
VANCOMYCIN 500 MG A/V VIAL
VANCOMYCIN 500 MG A/V VIAL
VANCOMYCIN 500 MG VIAL
CERVICAL PILLOW
WHEELCHR LUMBAR SUP CUSHION
WHEELCHAIR CUSHION
BED WEDGE 7"
FOAM BEDDING 2"
FOAM BEDDING 2"
FOAM BEDDING 2"
FOAM BEDDING 3"
FOAM BEDDING 3"
FOAM BEDDING 3"
YALE NEEDLE REGULAR BEVEL
YALE NEEDLE REGULAR BEVEL
TEGADERM HP DRESSING
VINYL INVALID RING 14"X16"
VINYL INVALID RING 14"X16"
CERVICAL PILLOW
ADONITOL POWDER
ADONITOL POWDER
TRUSOPT 2% EYE DROPS
ZERIT 15 MG CAPSULE
ZERIT 15 MG CAPSULE
TRUSOPT 2% EYE DROPS
TRUSOPT 2% EYE DROPS
VANCOMYCIN 500 MG VIAL
BL INFLATABLE VINYL CUSHION
PHENOBARBITAL 130 MG/ML TUBEX
AZOPT 1% EYE DROPS
AZOPT 1% EYE DROPS
AZOPT 1% EYE DROPS
LUMINAL 130 MG/ML CARPUJECT
SODIUM CHLORIDE 3% VIAL
SODIUM CHLORIDE 10% VIAL
AZOPT 1% EYE DROPS
AZOPT 1% EYE DROPS
INTEGRILIN 20 MG/10 ML VIAL
INTEGRILIN 200 MG/100 ML VIAL
RISPERDAL 2 MG TABLET
RISPERDAL 2 MG TABLET
RISPERDAL 2 MG TABLET
RISPERDAL 2 MG TABLET
RISPERDAL 2 MG TABLET
INSULIN CARTRIDGE 3 ML
RISPERDAL 2 MG TABLET
MINIMED RESERVOIR 3 ML
MINIMED RESERVOIR 3 ML
PARADIGM RESERVOIR 3 ML
PROVIGIL 200 MG TABLET
PROVIGIL 200 MG TABLET

DOSE FORM DRUG STRENGTH


HS
HS
HS
HS
HS
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
YA
YA
YE
EA
EA
EA
PA
PA
SO
CA
CA
SO
SO
HS
EA
HQ
SN
SN
SN
HQ
AN
AN
SN
SN
HV
HV
TA
TA
TA
TA
TA
EA
TA
EA
EA
EA
TA
TA

UNIT PRICE
$
3.10
$
3.10
$
3.10
$
3.10
$
3.10
$
3.10
$
3.10
$
3.10
$
3.10
$
3.10
$
3.10
$
3.10
$
3.10
$
3.10
$
3.10
$
3.10
$
3.10
$
3.10
$
3.10
$
3.10
$
3.10
$
3.10
$
3.10
$
3.10
$
3.10
$
3.10
$
3.10
$
3.10
$
3.10
$
3.10
$
3.11
$
3.11
$
3.11
$
3.11
$
3.11
$
3.11
$
3.11
$
3.11
$
3.11
$
3.12
$
3.12
$
3.12
$
3.12
$
3.12
$
3.12
$
3.12
$
3.12
$
3.12
$
3.12
$
3.12
$
3.12
$
3.13
$
3.13

NDC
55045308506
55887049430
55887049460
55887049482
55887049490
57866931801
57866931802
63459020001
63459020101
68030931801
68030931802
68115037615
68115037630
68115087300
00074636502
00074647644
00074648201
11822314750
11822314760
32252017730
38703008000
38703010000
49326032710
49326032750
66581001300
87701047252
87701047257
00003196601
00072230001
49452617001
49452617002
51927192900
54569405300
54868344800
76300032610
76300032620
00004026001
00004026043
00173047001
38779019103
38779019104
38779019105
38779019108
38779019109
49452002302
49452060501
49452060502
49452060503
49452060504
49452060602
49999011906
51552030401
51552030402

NAME
PROVIGIL 200 MG TABLET
PROVIGIL 200 MG TABLET
PROVIGIL 200 MG TABLET
PROVIGIL 200 MG TABLET
PROVIGIL 200 MG TABLET
PROVIGIL 200 MG TABLET
PROVIGIL 200 MG TABLET
PROVIGIL 200 MG TABLET
PROVIGIL 200 MG TABLET
PROVIGIL 200 MG TABLET
PROVIGIL 200 MG TABLET
PROVIGIL 200 MG TABLET
PROVIGIL 200 MG TABLET
PROVIGIL 200 MG TABLET
ERYTHROCIN LACT 500 MG VIAL
ERYTHROCIN 500 MG ADDVNT VL
ERYTHROCIN 500 MG VIAL
RA WATER BOTTLE
RA WATER BOTTLE
WATER BOTTLE
WATER BOTTLE
WATER BOTTLE
MIGRAL 130 MG TABLET
MIGRAL 130 MG TABLET
RESERVOIR 3 ML
BL WATER BOTTLE
BL WATER BOTTLE
ZERIT 30 MG CAPSULE
LOWILA CAKE
QUINIDINE HCL POWDER
QUINIDINE HCL POWDER
VALPROATE SODIUM POWDER
ZERIT 30 MG CAPSULE
ZERIT 30 MG CAPSULE
PARADIGM RESERVOIR 1.8 ML
PARADIGM RESERVOIR 1.8 ML
CELLCEPT 500 MG TABLET
CELLCEPT 500 MG TABLET
EPIVIR 150 MG TABLET
AMPHOTERICIN B POWDER
AMPHOTERICIN B POWDER
AMPHOTERICIN B POWDER
AMPHOTERICIN B POWDER
AMPHOTERICIN B POWDER
AMPHOTERICIN B POWDER
AMPHOTERICIN B POWDER
AMPHOTERICIN B POWDER
AMPHOTERICIN B POWDER
AMPHOTERICIN B POWDER
AMPHOTERICIN B POWDER
EPIVIR 150 MG TABLET
AMPHOTERICIN B POWDER
AMPHOTERICIN B POWDER

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
HS
HS
HS
EA
EA
EA
EA
EA
TA
TA
EA
EA
EA
CA
EC
PA
PA
PA
CA
CA
EA
EA
TA
TA
TA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
TA
PA
PA

UNIT PRICE
$
3.13
$
3.13
$
3.13
$
3.13
$
3.13
$
3.13
$
3.13
$
3.13
$
3.13
$
3.13
$
3.13
$
3.13
$
3.13
$
3.13
$
3.15
$
3.15
$
3.15
$
3.15
$
3.15
$
3.15
$
3.15
$
3.15
$
3.15
$
3.15
$
3.15
$
3.15
$
3.15
$
3.16
$
3.16
$
3.16
$
3.16
$
3.16
$
3.16
$
3.16
$
3.16
$
3.16
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17

NDC
51552030403
51552030405
51552030406
51552030407
51552030409
51927172600
52959050802
52959050804
52959050806
52959050808
52959050814
52959050815
52959050860
54569422100
54868369300
58016068900
58016068930
58016068960
58016068990
62991117301
62991117302
62991117303
62991117304
62991117305
62991117306
63370002015
63370002025
63370002035
63370002050
68030606001
68030606401
00009006807
00039002325
00039002349
00039002350
00039002361
00054823301
49938010704
00002535725
00002727101
00002727125
00143997990
00173035210
00173035231
00247116401
00247116405
00781391870
00781391896
00781920570
00781920596
08214010401
08214010501
08219890100

NAME
AMPHOTERICIN B POWDER
AMPHOTERICIN B POWDER
AMPHOTERICIN B POWDER
AMPHOTERICIN B POWDER
AMPHOTERICIN B POWDER
AMPHOTERICIN B POWDER
EPIVIR 150 MG TABLET
EPIVIR 150 MG TABLET
EPIVIR 150 MG TABLET
EPIVIR 150 MG TABLET
EPIVIR 150 MG TABLET
EPIVIR 150 MG TABLET
EPIVIR 150 MG TABLET
EPIVIR 150 MG TABLET
EPIVIR 150 MG TABLET
EPIVIR 150 MG TABLET
EPIVIR 150 MG TABLET
EPIVIR 150 MG TABLET
EPIVIR 150 MG TABLET
AMPHOTERICIN B POWDER
AMPHOTERICIN B POWDER
AMPHOTERICIN B POWDER
AMPHOTERICIN B POWDER
AMPHOTERICIN B POWDER
AMPHOTERICIN B POWDER
AMPHOTERICIN B POWDER
AMPHOTERICIN B POWDER
AMPHOTERICIN B POWDER
AMPHOTERICIN B POWDER
EPIVIR 150 MG TABLET
EPIVIR 150 MG TABLET
XANAX XR 3 MG TABLET
CLAFORAN 1 GM ADD-VANTAGE VL
CLAFORAN 1 GM ADD-VANTAGE VL
CLAFORAN 1 GM ADD-VANTAGE VL
CLAFORAN 1 GM ADD-VANTAGE VL
DURACLON 0.1 MG/ML VIAL
PASER GRANULES 4 GM PACKET
KEFUROX 750 MG VIAL
KEFUROX 750 MG VIAL
KEFUROX 750 MG VIAL
CEFUROXIME SOD 750 MG VIAL
ZINACEF 750 MG VIAL
ZINACEF 750 MG VIAL
ZINACEF 750 MG VIAL
ZINACEF 750 MG VIAL
CEFUROXIME SOD 750 MG VIAL
CEFUROXIME SOD 750 MG VIAL
CEFUROXIME SOD 750 MG VIAL
CEFUROXIME SOD 750 MG VIAL
NEUROPEN MONOFILAMENTS 10 GM
NEUROPEN MONOFILAMENTS 15G
CURADERM 4" X 4" DRESSING

DOSE FORM DRUG STRENGTH


PA
PA
PA
PA
PA
PA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
TA
TA
TI
HS
HS
HS
HS
HV
PP
HS
HS
HS
HS
HS
HS
HS
HS
HS
HS
HS
HS
EA
EA
YE

UNIT PRICE
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.17
$
3.18
$
3.18
$
3.18
$
3.18
$
3.18
$
3.18
$
3.18
$
3.19
$
3.19
$
3.19
$
3.19
$
3.19
$
3.19
$
3.19
$
3.19
$
3.19
$
3.19
$
3.19
$
3.19
$
3.19
$
3.19
$
3.19

NDC
08470010401
08470010501
08884472500
10019062001
11298000621
50484045432
63323035210
66860003003
68722035210
12496075701
00225061023
08333359301
61570009010
00009027101
00093121501
38779033001
38779033003
38779033004
38779033005
38779033006
49452004401
49452344601
49452344602
49452350101
49452350102
49756046803
49756046804
51552051901
51927143300
51927307800
54868172900
62991203101
62991203102
62991203103
62991203104
00029661221
00037720920
00037721020
00037721125
00037721321
00310020920
00310021020
00310021125
00310021321
08080133400
08080305300
08219133400
08219305300
10356002034
10356045552
49756102360
54569461200
54868008500

NAME
NEUROPEN MONOFILAMENTS 10 GM
NEUROPEN MONOFILAMENTS 15 GM
VIASORB 7"X7" DRESSING
CEFUROXIME SOD 750 MG VIAL
METAL CAN/BRUSH TOP APPLIC
ALLEVYN PLUS ADHESIVE 7"X7"
CEFUROXIME SOD 750 MG VIAL
CEFUROXIME SOD 750 MG VIAL
CEFUROXIME SOD 750 MG VIAL
BUPRENEX 0.3 MG/ML AMPUL
BENZEDREX INHALER
TEGADERM 3.5"X13.75" DRESS
CORTISPORIN-TC EAR SUSP
DEPO-ESTRADIOL 5 MG/ML VIAL
CEFACLOR ER 375 MG TABLET SA
HALOPERIDOL POWDER
HALOPERIDOL POWDER
HALOPERIDOL POWDER
HALOPERIDOL POWDER
HALOPERIDOL POWDER
HISTAMINE DIPHOSPHATE CRYST
HALOPERIDOL POWDER
HALOPERIDOL POWDER
HISTAMINE DIPHOSPHATE CRYST
HISTAMINE DIPHOSPHATE CRYST
KALGINATE DRESSING 6"
KALGINATE DRESSING 6"
HALOPERIDOL POWDER
HALOPERIDOL POWDER
HISTAMINE DIPHOSPHATE CRYST
DEPO-ESTRADIOL 5 MG/ML VIAL
HALOPERIDOL POWDER
HALOPERIDOL POWDER
HALOPERIDOL POWDER
HALOPERIDOL POWDER
TOTACILLIN-N 2 GM VIAL
ZOMIG ZMT 2.5 MG TABLET
ZOMIG 2.5 MG TABLET
ZOMIG 5 MG TABLET
ZOMIG ZMT 5 MG TABLET
ZOMIG ZMT 2.5 MG TABLET
ZOMIG 2.5 MG TABLET
ZOMIG 5 MG TABLET
ZOMIG ZMT 5 MG TABLET
CURITY GAUZE BANDAGE ROLL
CURITY GAUZE BANDAGE ROLL
CURITY GAUZE BANDAGE ROLL
CURITY GAUZE BANDAGE ROLL
COVER-ROLL ADHESIVE GAUZE
COVER-ROLL STRETCH BANDAGE
DRY GAUZE BANDAGE ROLL
ZOMIG 2.5 MG TABLET
ZOMIG ZMT 5 MG TABLET

DOSE FORM DRUG STRENGTH


EA
EA
YE
HS
EA
YE
HS
HS
HS
HH
GI
YE
SN
HV
TM
PA
PA
PA
PA
PA
PC
PA
PA
PC
PC
YE
YE
PA
PA
PC
HV
PA
PA
PA
PA
HN
UL
TA
TA
UL
UL
TA
TA
UL
YE
YE
YE
YE
YE
YE
YE
TA
UL

UNIT PRICE
$
3.19
$
3.19
$
3.19
$
3.19
$
3.19
$
3.19
$
3.19
$
3.19
$
3.19
$
3.20
$
3.21
$
3.21
$
3.21
$
3.22
$
3.22
$
3.22
$
3.22
$
3.22
$
3.22
$
3.22
$
3.22
$
3.22
$
3.22
$
3.22
$
3.22
$
3.22
$
3.22
$
3.22
$
3.22
$
3.22
$
3.22
$
3.22
$
3.22
$
3.22
$
3.22
$
3.23
$
3.23
$
3.23
$
3.23
$
3.23
$
3.23
$
3.23
$
3.23
$
3.23
$
3.23
$
3.23
$
3.23
$
3.23
$
3.23
$
3.23
$
3.23
$
3.23
$
3.23

NDC
54868008501
54868334900
00003027060
00006003220
00074178302
00074183858
00074184558
00074184568
00074187164
00074187168
00074187364
00074187368
00074451058
00074460258
00074466301
00074881058
00074894802
00074895458
00074895468
00074896464
00074896664
00074914368
00074914458
00074914558
00074914958
00074915158
00074915258
00074915358
00074915568
00074916558
00074916658
00264915550
00264932124
11298000319
11298000320
00173041200
00281029776
53303010004
53303010005
53303010204
53303010205
59081062924
00003187970
00396391000
10023010010
11026263905
50600054302
50600054333
00173066200
00407141224
00998063505
00998063510
11701088171

NAME
ZOMIG ZMT 5 MG TABLET
BICILLIN LA 300,000 UNITS/ML V
SUR-FIT DRAINAGE CONTAINER
STROMECTOL 3 MG TABLET
HEMA BLOOD SECONDARY PUMP
BLOOD SET 64 W/CAIR CLAMP
BLOOD SET 78 W/CAIR CLAMP
BLOOD SET 78-SL
BLOOD Y-TYPE SET 78 NV/CLMP
BLOOD SET 78-SL, Y-TYPE
BLOOD Y-TYPE SET NV/PUMP
BLOOD SET 82-SL, Y-TYPE
PLATELET CONC. INFUSION SET
BLOOD SECONDARY SET
BLOOD WARMING COIL 24 FOOT
BLOOD SET 64/CAIR & NEEDLE
HEMOSET 100X10 W/CAIR CLAMP
BLOOD SET/PUMP P CAIR CLAMP
BLOOD SET W/PUMP-SL 84"
BLOOD SURG Y-TYPE SET/CLAMP
BLOOD Y-TYPE SET 66/CLAMP
HEMA BLOOD SET
HEMA BLOOD SET
HEMA BLOOD 30 SET
HEMA Y-TYPE BLOOD SET
HEMA Y-TYPE BLOOD SET
HEMA Y-TYPE BLOOD SET
HEMA Y-TYPE BLOOD SET
HEMA Y-TYPE BLOOD SET
HEMA Y-TYPE BLOOD SET
HEMA T-TYPE BLD SET 100-SL
Y-TYPE BLOOD ADMIN SET
HORIZON PUMP BLOOD SET
STOMAHESIVE 4"X4" WAFER
STOMAHESIVE 4"X4" WAFER
FORTAZ/ISO-OSMOTIC 1 GM/50 ML
EVAC-Q-KWIK KIT
CARRINGTON FOAM INCONT KIT
CARRINGTON FOAM INCONT KIT
CARRAFOAM SKIN CARE KIT
CARRAFOAM SKIN CARE KIT
TRIDRATE BOWEL EVACUANT KIT
DUODERM CGF 2.5"X2.5" DRESS
PRO-CEPTION FERTILITY PAK
ALBAFORT VIAL
HEMATRON 50 VIAL
ISOLEUCINE PACKET
VALINE PACKET
EPIVIR HBV 100 MG TABLET
OMNIPAQUE 240 MG/ML SYRINGE
ECONOPRED 0.125% EYE DROPS
ECONOPRED 0.125% EYE DROPS
BIATAIN FOAM DRESSING

DOSE FORM DRUG STRENGTH


UL
HV
ZA
TA
YZ
YZ
YZ
YZ
YZ
YZ
YZ
YZ
YZ
YZ
YZ
YZ
YZ
YZ
YZ
YZ
YZ
YZ
YZ
YZ
YZ
YZ
YZ
YZ
YZ
YZ
YZ
YZ
YZ
ZA
ZA
HK
ZD
ZD
ZD
ZD
ZD
ZD
YE
EA
HV
HV
PP
PP
TA
HQ
SN
SN
YE

UNIT PRICE
$
3.23
$
3.23
$
3.24
$
3.24
$
3.24
$
3.24
$
3.24
$
3.24
$
3.24
$
3.24
$
3.24
$
3.24
$
3.24
$
3.24
$
3.24
$
3.24
$
3.24
$
3.24
$
3.24
$
3.24
$
3.24
$
3.24
$
3.24
$
3.24
$
3.24
$
3.24
$
3.24
$
3.24
$
3.24
$
3.24
$
3.24
$
3.24
$
3.24
$
3.24
$
3.24
$
3.25
$
3.25
$
3.25
$
3.25
$
3.25
$
3.25
$
3.25
$
3.26
$
3.26
$
3.26
$
3.26
$
3.26
$
3.26
$
3.27
$
3.27
$
3.27
$
3.27
$
3.27

NDC
49756101207
54569547900
62991122601
00029655022
00451049010
00451049060
00517857110
00517857510
08884702500
08884712300
08884712400
54569517500
60267010011
60267020022
70074050231
70074052049
70074055378
70074055379
70074055388
00007313705
63323023765
00002411204
00002411233
00002411260
00074653601
00074654101
00074654301
00074654302
54868425500
54868425501
58864070430
68115075860
00065009402
00074303444
00169007011
17478025020
17478025120
32849072701
54868358200
56091002439
59390018702
68552068702
00088222507
00088222541
00088222549
49326040015
54569558700
54868517100
54868517101
00006355803
00006355832
00006355835
54569430300

NAME
DRY BURN DRESSING,WIDE MESH
EPIVIR HBV 100 MG TABLET
CEFADROXIL POWDER
TICAR 1 GM VIAL
DYNABAC D5-PAK 250 MG TAB EC
DYNABAC 250 MG TABLET EC
ETHANOL 98% AMPUL
ETHANOL 98% AMPUL
KANGAROO 1,000 ML GRAVITY SET
KANGAROO 1,000 ML FEEDING SET
KANGAROO 1,000 ML FEEDING SET
DYNABAC D5-PAK 250 MG TAB EC
ALCOHOL,DEHYDRATED 98% AMP
ALCOHOL,DEHYDRATED 98% AMP
FLEXIFLO EASY-FEED BAG SET
FLEXIFLO EASY-FEED ENTRL BG
FLEXIFLO EASY-FEED BAG SET
FLEXIFLO EASY-FEED BAG SET
FLEXIFLO TOPTAINER FEED SET
ANCEF 1 GM PIGGYBACK
CEFAZOLIN 1 GM PIGGYBACK VL
ZYPREXA 2.5 MG TABLET
ZYPREXA 2.5 MG TABLET
ZYPREXA 2.5 MG TABLET
CATHETER IRR SET W/CAIR N-V
SECONDARY IRRIGATION SET
NONVENTED T-U-R Y-SET
NONVENTED T-U-R SET
ZYPREXA 2.5 MG TABLET
ZYPREXA 2.5 MG TABLET
ZYPREXA 2.5 MG TABLET
ZYPREXA 2.5 MG TABLET
FLUORESCITE 25% AMPUL
NITROPRESS 50 MG ADD-VANT VL
VELOSULIN HUMAN BR 100 UNITS V
AK-FLUOR 25% VIAL
AK-FLUOR 25% AMPUL
VELOSULIN HUMAN BR 100 UNITS V
NITROPRESS 50 MG ADD-VANT VL
TIELLE HYDROPOLYMER DRESS
FLUORESCEIN LITE 25% VIAL
FLUORESCEIN LITE 25% VIAL
KETEK PAK 400 MG TABLET
KETEK 400 MG TABLET
KETEK 400 MG TABLET
OTICIN HC EAR DROPS
KETEK PAK 400 MG TABLET
KETEK PAK 400 MG TABLET
KETEK 400 MG TABLET
TIMOPTIC-XE 0.5% EYE SOLN
TIMOPTIC-XE 0.5% EYE SOLN
TIMOPTIC-XE 0.5% EYE SOLN
TIMOPTIC-XE 0.5% EYE SOLN

DOSE FORM DRUG STRENGTH


YE
TA
PA
HS
TE
TE
HH
HH
EA
EA
EA
TE
HH
HH
EA
EA
EA
EA
EA
HN
HN
TA
TA
TA
EA
EA
EA
EA
TA
TA
TA
TA
HH
HS
HV
HV
HH
HV
HS
YE
HV
HV
TA
TA
TA
SO
TA
TA
TA
JS
JS
JS
JS

UNIT PRICE
$
3.27
$
3.27
$
3.27
$
3.29
$
3.29
$
3.29
$
3.29
$
3.29
$
3.29
$
3.29
$
3.29
$
3.29
$
3.29
$
3.29
$
3.29
$
3.29
$
3.29
$
3.29
$
3.29
$
3.30
$
3.30
$
3.31
$
3.31
$
3.31
$
3.31
$
3.31
$
3.31
$
3.31
$
3.31
$
3.31
$
3.31
$
3.31
$
3.32
$
3.32
$
3.32
$
3.32
$
3.32
$
3.32
$
3.32
$
3.32
$
3.32
$
3.32
$
3.33
$
3.33
$
3.33
$
3.33
$
3.33
$
3.33
$
3.33
$
3.34
$
3.34
$
3.34
$
3.34

NDC
54868326400
54868469100
61314022505
61314022525
00024033301
00469511901
00469511905
08333900010
08333900230
54643105500
54643105600
54868334400
67386020111
00003151011
00003151012
00003151013
00003151014
00003151015
00003151434
00003151435
00003151439
00003151440
00003151441
00003151442
00003151443
00003151448
00003151450
00003151453
00003151472
00003151473
00003151474
00003151542
00003151585
00003151586
00003151587
00003151588
00003151589
00003152434
00003152436
00003152438
00003152440
00003152442
00003152443
00003154580
00004194701
00074229631
00074229632
00074230760
00074230762
00409230760
08327060209
08327060309
08327060409

NAME
TIMOPTIC-XE 0.5% EYE SOLN
TIMOLOL 0.5% GEL/SOLUTION
TIMOLOL 0.5% GEL/SOLUTION
TIMOLOL 0.5% GEL/SOLUTION
CHEMET 100 MG CAPSULE
ARISTOSPAN 20 MG/ML VIAL
ARISTOSPAN 20 MG/ML VIAL
TEGASORB 4"X4.75" DRESSING
TEGASORB THIN 4X4.75 DRSSNG
ARISTOSPAN 20 MG/ML VIAL
ARISTOSPAN 20 MG/ML VIAL
ARISTOSPAN 20 MG/ML VIAL
CHEMET 100 MG CAPSULE
TUBIGRIP UNIT DOSE BANDAGE
TUBIGRIP UNIT DOSE BANDAGE
TUBIGRIP UNIT DOSE BANDAGE
TUBIGRIP UNIT DOSE BANDAGE
TUBIGRIP UNIT DOSE BANDAGE
TUBIGRIP ELASTIC BANDAGE
TUBIGRIP ELASTIC BANDAGE
TUBIGRIP ELASTIC BANDAGE
TUBIGRIP ELASTIC BANDAGE
TUBIGRIP ELASTIC BANDAGE
TUBIGRIP ELASTIC BANDAGE
TUBIGRIP ELASTIC BANDAGE
TUBIGRIP ELASTIC BANDAGE
TUBIGRIP ELASTIC BANDAGE
TUBIGRIP ELASTIC BANDAGE
TUBIGRIP SUPPORT BANDAGE
TUBIGRIP SUPPORT BANDAGE
TUBIGRIP SUPPORT BANDAGE
TUBIGRIP STARTER KIT
TUBIGRIP ARTHROPAD BANDAGE
TUBIGRIP ARTHROPAD BANDAGE
TUBIGRIP ARTHROPAD BANDAGE
TUBIGRIP ARTHROPAD BANDAGE
TUBIGRIP ARTHROPAD BANDAGE
TUBIFAST RETENTION BANDAGE
TUBIFAST RETENTION BANDAGE
TUBIFAST RETENTION BANDAGE
TUBIFAST RETENTION BANDAGE
TUBIFAST RETENTION BANDAGE
TUBIFAST STARTER KIT
TUBIPAD LIMB BANDAGE,MEDIUM
VERSED 5 MG/ML DISP SYRINGE
MIDAZOLAM HCL 5 MG/ML SYRING
MIDAZOLAM HCL 5 MG/ML SYRING
MIDAZOLAM HCL 5 MG/ML SYRING
MIDAZOLAM HCL 5 MG/ML SYRING
MIDAZOLAM HCL 5 MG/ML SYRING
MEDIGRIP TUBULAR BANDAGE
MEDIGRIP SUPPORT BANDAGE
MEDIGRIP SUPPORT BANDAGE

DOSE FORM DRUG STRENGTH


JS
JS
JS
JS
CA
HV
HV
YE
YE
HV
HV
HV
CA
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
HQ
HQ
HQ
HQ
HQ
HQ
YE
YE
YE

UNIT PRICE
$
3.34
$
3.34
$
3.34
$
3.34
$
3.35
$
3.35
$
3.35
$
3.35
$
3.35
$
3.35
$
3.35
$
3.35
$
3.35
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36

NDC
08327060509
08327060609
08327060709
08327060809
49452385001
49452385002
56091007025
87701059485
00062154201
00074335301
00074624301
00074642001
00074742701
00093718201
00187307210
00247026001
00247026002
00247026003
00247026004
00247026006
00247026014
00247026020
00247026021
00247026050
00247026052
00247026060
49884068401
52959021610
52959021614
52959021620
54569329300
54868220101
54868469200
55289005928
55289005979
58016155501
63304071701
65086013505
68669013505
00003164875
00004008694
52959049101
53303014420
54799090335
54868488800
61570058110
00074188268
00085460202
08373080110
08373080210
08373080310
08373081111
08373081211

NAME
MEDIGRIP SUPPORT BANDAGE
MEDIGRIP SUPPORT BANDAGE
MEDIGRIP SUPPORT BANDAGE
MEDIGRIP TUBULAR BANDAGE
ISOPROTERENOL HCL POWDER
ISOPROTERENOL HCL POWDER
DYNA-FLEX COMPRESSION BANDG
BL FLEXI-TEMP COMPRESS
FLOXIN 400 MG TABLET
PENTOTHAL 500 MG DISP SYRINGE
PENTOTHAL 500 MG SYRINGE
PENTOTHAL 500 MG SYRINGE
PENTOTHAL 500 MG DISP SYRING
OFLOXACIN 400 MG TABLET
LEVO-DROMORAN 2 MG/ML AMPUL
FLOXIN 400 MG TABLET
FLOXIN 400 MG TABLET
FLOXIN 400 MG TABLET
FLOXIN 400 MG TABLET
FLOXIN 400 MG TABLET
FLOXIN 400 MG TABLET
FLOXIN 400 MG TABLET
FLOXIN 400 MG TABLET
FLOXIN 400 MG TABLET
FLOXIN 400 MG TABLET
FLOXIN 400 MG TABLET
OFLOXACIN 400 MG TABLET
FLOXIN 400 MG TABLET
FLOXIN 400 MG TABLET
FLOXIN 400 MG TABLET
FLOXIN 400 MG TABLET
FLOXIN 400 MG TABLET
QUIXIN 0.5% EYE DROPS
FLOXIN 400 MG TABLET
FLOXIN 400 MG TABLET
QUIXIN 0.5% EYE DROPS
OFLOXACIN 400 MG TABLET
QUIXIN 0.5% EYE DROPS
QUIXIN 0.5% EYE DROPS
LYOFOAM T DRESSING
COPEGUS 200 MG TABLET
PRED-SULF 0.5% EYE DROPS
CARRAGINATE DRESSING 2"X2"
TEARS AGAIN EYE GEL
COPEGUS 200 MG TABLET
KETALAR 10 MG/ML VIAL
SOLUSET W/CAIR CLAMP
INSPIREASE DRUG DLVRY SYSTEM
OPTICHAMBER ADV W/SML MASK
OPTICHAMBER ADV W/MED MASK
OPTICHAMBER ADV W/LG MASK
PEDIATRIC SMALL MASK
PEDIATRIC MEDIUM MASK

DOSE FORM DRUG STRENGTH


YE
YE
YE
YE
PA
PA
YE
YE
TA
HX
HX
HX
HX
TA
HH
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
SO
TA
TA
SO
TA
SO
SO
YE
TA
SN
YE
JG
TA
HV
EA
YK
YK
YK
YK
YK
YK

UNIT PRICE
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.36
$
3.37
$
3.37
$
3.37
$
3.37
$
3.37
$
3.37
$
3.37
$
3.37
$
3.37
$
3.37
$
3.37
$
3.37
$
3.37
$
3.37
$
3.37
$
3.37
$
3.37
$
3.37
$
3.37
$
3.37
$
3.37
$
3.37
$
3.37
$
3.37
$
3.37
$
3.37
$
3.37
$
3.37
$
3.37
$
3.37
$
3.37
$
3.38
$
3.38
$
3.38
$
3.38
$
3.38
$
3.38
$
3.38
$
3.39
$
3.39
$
3.39
$
3.39
$
3.39
$
3.39
$
3.39

NDC
08439620206
08439620216
11822315940
47360017204
50458038730
50458038830
50458038930
59196002901
00074726950
00078027422
00172731320
10337002361
45565071020
49735012167
49735012169
50111088542
56091002481
63713650220
00039001811
00074252901
00074253001
00074435402
00074435403
00074437902
00074437920
00074478601
00074482301
00074482501
00187310130
00407140001
08080501400
08080501600
08080501900
08080740200
08080740500
08219740200
08219740500
08219753300
08884472005
53303010010
08219763100
49756010618
56091008750
08080152200
08080325000
08219152200
08219325000
08225200600
08225203600
08225206600
08225207600
08225210400
08225210500

NAME
ACTIVITY PACK
ACTIVITY PACK
RA SELFGRIP BANDAGE 3"X66"
ASTHMA CONTROL KIT
RAZADYNE ER 8 MG CAPSULE
RAZADYNE ER 16 MG CAPSULE
RAZADYNE ER 24 MG CAPSULE
E-Z SPACER & MASK
GENGRAF 100 MG/ML SOLUTION
NEORAL 100 MG/ML SOLUTION
CYCLOSPORINE 100 MG/ML SOLN
SULPHO-LAC 5% MED. SOAP
SULFO-LO 5% SOAP
LOPHLEX PACKET
LOPHLEX PACKET
CYCLOSPORINE 100 MG/ML SOLN
FIBRACOL DRESSING
ACTISORB SILVER 220 2.5"X3.75"
CLAFORAN 1 GM INFUSION BTL
AMNIOCENTESIS TRAY
TIDAL JOINT IRRIGATN TRAY
INPERSOL PERITONL DIALY TRY
INPERSOL PERITONEAL TRAY
AMNIOCENTESIS TRAY
AMNIOCENTESIS TRAY W/DRUGS
LOCAL INFILT W/LIDOCAINE
LUMBAR PUNCTURE 18GX3 1/2"
LUMBAR PUNCTURE 22GX3.5"
PROSTIGMIN 1:2,000 AMPUL
MYELOGRAM TRAY
CURITY THORACENTESIS TRAY
CURITY THORACENTESIS/CATH
CURITY THORACENTS/VACUM BTL
CURITY SKIN SCRUB TRAY
CURITY SKIN SCRUB TRAY
CURITY SKIN SCRUB TRAY
CURITY SKIN SCRUB TRAY
TELFA XTRA ISLAND DRESSING
VIASORB 6"X10" DRESSING
CARRINGTON PRIMARY DRESSING
CURITY PLAIN PACKING STRIPS
DRY GAUZE BANDAGE,FINE MESH
NU-GAUZE PACK STRIPS
CURITY GAUZE BANDAGE ROLL
CURITY GAUZE BANDAGE ROLL
CURITY GAUZE BANDAGE ROLL
CURITY GAUZE BANDAGE ROLL
CANE,WOOD,WALNUT
CANE,WOOD,LADIES T-HANDLE
CANE,WOOD,ROSEWOOD
CANE,WOOD,T-HANDLE,WALNUT
CANE,ALUMINUM,FOLDING/ORTHO
CANE,ALUMINUM/ORTHO HANDLE

DOSE FORM DRUG STRENGTH


YK
YK
YE
YK
CP
CP
CP
YK
SJ
SJ
SJ
ED
ED
PP
PP
SO
YE
YE
HA
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
HH
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
YE
YE
ZT
YE
YE
YE
YE
YE
YE
YE
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
3.39
$
3.39
$
3.39
$
3.39
$
3.39
$
3.39
$
3.39
$
3.39
$
3.40
$
3.40
$
3.40
$
3.40
$
3.40
$
3.40
$
3.40
$
3.40
$
3.40
$
3.40
$
3.41
$
3.41
$
3.41
$
3.41
$
3.41
$
3.41
$
3.41
$
3.41
$
3.41
$
3.41
$
3.41
$
3.41
$
3.41
$
3.41
$
3.41
$
3.41
$
3.41
$
3.41
$
3.41
$
3.41
$
3.41
$
3.41
$
3.42
$
3.42
$
3.42
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43

NDC
08225210600
08225210800
08225211600
08225211800
08225212000
08225212100
08225212500
08225212600
08225212700
08225218100
08225218200
08225218400
23601006150
23601006250
23601006533
23601006536
23601007601
23601007703
23601010000
23601011000
23601011100
23601011101
23601011120
23601011220
23601011300
23601011400
23601011500
23601011501
23601011520
23601011540
23601011550
23601011700
23601011800
23601012000
23601012030
23601012040
23601012100
23601012300
23601012340
23601012400
23601012450
23601012451
23601012460
23601012461
23601012480
23601012500
23601012510
23601012530
23601012550
23601012560
23601012570
23601014000
23601014001

NAME
CANE,ALUMINUM,TELESCOPIC
CANE,ALUMINUM/ORTHO HANDLE
CANE,ADJUSTABLE TELESCOPIC
CANE,ALUMINUM MEDIUM
CANE,ALUMINUM ADJUSTABLE
CANE,ALUMINUM ADJUSTABLE
CANE,ALUMINUM ADJUSTABLE
CANE,ALUMINUM ADJUSTABLE
CANE,ALUMINUM ADJUSTABLE
CANE,QUAD-ALUMINUM,SMALL
CANE,QUAD-BRONZE,SMALL
CANE,QUAD-ALUMINUM,LARGE
CANE FOR THE BLIND
CANE FOR THE BLIND
CANE FOR THE BLIND 33"
CANE FOR THE BLIND 36"
CANE,5/8" ADJUSTABLE ALUMIN
ADJUSTABLE FOLDING CANE
CANE, LADIES W/NEOPRENE HAND
CANE,7/8"X36" NATURAL
CANE,7/8"X36" WALNUT
CANE,7/8"X42" WALNUT,X-LONG
CANE,7/8"X36" MAHOGANY
CANE,7/8"X36" BLACK
CANE,1"X36" NATURAL ASH
CANE,1"X36" WALNUT
CANE,1"X36" MAHOGANY
CANE,1"X42"MAHOGANY,X-LONG
CANE,1"X36" BLACK
CANE,1"X42"WALNUT X-LONG
CANE,1"X36" TAN
CANE,MEN'S
CANE,MEN'S
CANE,MEN'S
CANE,MEN'S
CANE,MEN'S
CANE,MEN'S
CANE,LADIES
CANE,LADIES,DERBY DELUXE
CANE,LADIES,DERBY
HANDI-CANE, RIGHT HAND
HANDI-CANE, LEFT HAND
HANDI-CANE, RIGHT HAND
HANDI-CANE, LEFT HAND
CANE,BRONZE ADJUSTABLE
CANE,DEVON HANDLE
CANE,DEVON HANDLE
CANE,SILVER DEVON HANDLE
CANE,DEVON HANDLE ADJUST
CANE,DEVON HANDLE ADJUST
CANE,DEVON HANDLE ADJUST
CANE,MEN'S
CANE,MEN'S

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43

NDC
23601014002
23601014020
23601014030
23601014050
23601014090
23601014100
23601014110
23601014120
23601014200
23601014240
23601014250
23601014260
23601014270
23601014280
23601014300
23601014310
23601014320
23601014400
23601014410
23601014430
23601014440
23601015000
23601015001
23601015120
23601015500
23601015520
23601015540
23601015560
23601016000
23601016001
23601016002
23601016030
23601016090
23601016100
23601016101
23601016102
23601016140
23601016200
23601016300
23601016400
23601016520
23601017300
23601017350
23601017550
23601017600
23601018600
23601018620
23601019450
23601019460
23601019550
23601019560
23601019650
23601019660

NAME
CANE,MEN'S
CANE,MEN'S
CANE,MEN'S
CANE,MEN'S
CANE,MEN'S, DELUXE
CANE,MEN'S
CANE,MEN'S, DELUXE
CANE,IMITATION RATTAN
CANE,MEN'S, 36"
CANE,WALNUT TWIST
CANE,WALNUT CARVED HANDLE
CANE,IMITATION BAMBOO
CANE,DELUXE IMITN BAMBOO
CANE,SPIRAL POST
CANE,MEN'S, STEPPED
CANE,LADIES,CARVED NOSE
CANE,PARTRIDGE
CANE,BULB NOSE
CANE,BULB NOSE
CANE,BULB NOSE
CANE,BULB NOSE
CANE FOR BLIND,7/8"X42"
CANE FOR BLIND
CANE,CHESHIRE
CANE,BRASS KNOB HANDLE
CANE,MEN'S
CANE,BRASS KNOB HANDLE
CANE,HAND CARVED DOGS HEAD
CANE,LADIES WALNUT
CANE,LADIES MAHOGANY
CANE,LADIES BLACK
CANE,LADIES
CANE,LADIES DELUXE MAPLE
CANE,LADIES STEPPED WALNUT
CANE,LADIES STEPPED MAHOGAN
CANE,LADIES STEPPED TAN
CANE,LADIES
CANE,LADIES MANILA
CANE,LADIES
CANE,LADIES
CANE,LADIES DELUXE, MANILA
CANE,ADJUSTABLE FOLDING
CANE,ADJUSTABLE FOLDING
CANE,ADJUSTABLE FOLDING
CANE,ADJUSTABLE FOLDING
CANE,MEN'S,SPRIRAL POST
CANE,MEN'S, SPIRAL POST
CANE,BRASS HEAD TAPERED
CANE,BRASS HEAD TAPERED
CANE,BRASS HEAD TAPERED
CANE,BRASS HEAD TAPERED
CANE,BRASS HEAD TAPERED
CANE,BRASS HEAD TAPERED

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43

NDC
23601019750
23601019760
23601022500
23601022540
23601022550
23601022560
23601022570
23601022780
23601022790
23601022791
23601022800
23601022810
23601022811
23601022820
23601022831
23601022841
23601022850
23601022851
23601022861
23601022871
23601022890
23601022900
23601022901
23601042400
23601042410
23601042420
23601045400
23601046500
23601052600
23601052700
23601052800
23601052900
23601074600
23601121042
23601142033
23601170033
23601170036
23601171033
23601171036
23601172033
23601172036
23601174033
23601174036
23601225601
23601225610
23601225611
23601228311
23601228511
38703000128
38703000420
38703000421
38703000423
38703000435

NAME
CANE,BRASS HEAD TAPERED
CANE,BRASS HEAD TAPERED
CANE,ANODIZED ALUMINUM
CANE,MEN'S ADJUSTABLE
CANE,LADIES ADJUSTABLE
CANE,MEN'S ADJUSTABLE
CANE,X-LONG ADJUST 35"-44"
CANE,OFFSET HANDLE
CANE,OFFSET ORTHO GRIP
CANE,OFFSET ORTHO GRIP
CANE,OFFSET HANDLE
CANE,OFFSET W/ORTHO GRIP
CANE,OFFSET W/ORTHO GRIP
CANE,OFFSET HANDLE
CANE,OFFSET HYPALON HANDL
CANE,ADJUSTA-GRIP
CANE,ALUMINUM W/HYPALON
CANE,OFFSET HYPALON HANDL
CANE,YORK BRONZE
CANE,OFFSET HYPALON HANDL
CANE,HYPALON GRIP
CANE,FOLDING ALUMINUM SEAT
CANE,FOLDING ALUMINUM SEAT
CANE,MEN'S IMPORTED DERBY
CANE,LADIES IMPORTED DERBY
CANE,MEN'S IMPORTED DERBY
CANE,MEN'S CHESTNUT
CANE,MEN'S SPIRAL POST
CANE,MEN'S FLAMED STEPS
CANE,MAPLE BAMBOO
CANE,BULB NOSE
CANE,MENS STEPPED & CARVED
ADJUSTABLE FOLDING CANE
CANE,1"X42", DERBY,X-LONG
CANE,LADIES, 33"
CANE,MENS PISTOL GRIP 33"
CANE,MENS PISTOL GRIP 36"
CANE,LADIES,PISTOL GRIP 33"
CANE,LADIES,PISTOL GRIP 36"
CANE,MENS,CURVED HANDLE 33"
CANE,MENS,CURVED HANDLE 36"
CANE, ROUND HANDLE, 33"
CANE, ROUND HANDLE, 36"
CANE,MEN'S ICE
CANE,LADIES ADJUSTABLE
CANE,LADIES ICE
CANE,HYPALON HANDLE ICE
CANE,HYPALON HANDLE ICE
CANE,QUAD,ORTHO GRIP
CANE,WOOD,STANDARD,7/8"
CANE,WOOD,STANDARD,1"
CANE,ALUMINUM,ADJUSTABLE
CANE,QUAD,SHOVEL HANDLE

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43

NDC
38703000436
38703000523
38703001260
38703001270
38703001290
38703002110
38703002170
38703002227
38703002414
38703002415
38703002430
38703002464
38703002468
38703002630
38703002690
38703002700
38703002702
38703002703
38703002704
38703004230
38703004231
38703004390
38703004394
38703006150
38703006370
38703012800
38703012850
38703021000
38703024630
38703027900
49756103360
00469725101
08021050584
00173035332
08026498600
55860004986
63323028110
00026888950
00026888951
00085177501
00085177502
08026421000
08080361500
08219361500
08333296401
54569551000
54868473400
54868473401
54868473402
54868473403
54868473404
55860004210
49326039610

NAME
CANE,QUAD,SHOVEL HANDLE
CANE,ALUMINUM,ADJUSTABLE
CANE,QUAD,DEVON HANDLE
CANE,QUAD,DEVON HANDLE
CANE,QUAD,ORTHO GRIP
CANE,WOOD,STANDARD,7/8"
CANE,MENS STANDARD HANDLE
CANE,WOOD,LADIES STANDARD
CANE,WOOD,LADIES T-HANDLE
CANE,WOOD,MENS T-HANDLE,1"
CANE,WOOD,STANDARD,7/8"
CANE,WOOD,STANDARD,42" LONG
CANE,MENS STANDARD HANDLE
CANE,WOOD,LADIES STANDARD
SEATING CANE
CANE,FOLDING,BLACK,36"
CANE,FOLDING,ADJUSTABLE
CANE,FOLDING,ADJUSTABLE
CANE,FOLDING,ADJUSTABLE
CANE,ALUMINUM,ADJUSTABLE
CANE,ALUMINUM,ADJUSTABLE
CANE,ALUMINUM,BRONZE-TONE
CANE,ALUMINUM,W/ORTHO GRIP
CANE,BLIND
CANE,QUAD,ORTHO GRIP
CANE,QUAD,ORTHO GRIP
CANE,QUAD,SMALL BASE
CANE,ALUMINUM,ORTHO
CANE,WOOD,STANDARD,1"
CANE,OFFSET ALUMINUM ORTHO
DRY GAUZE BANDAGE ROLL
CEFIZOX 1 GM VIAL
FYBRON DRESSING 4"X5"
ZINACEF 750 MG INFUSION BTL
OPSITE ADHESIVE DRESSING
OPSITE DRESSING 11" X 6"
FLUPHENAZINE 2.5 MG/ML VIAL
CIPRO XR 500 MG TABLET
CIPRO XR 500 MG TABLET
CIPRO XR 500 MG TABLET
CIPRO XR 500 MG TABLET
HYPAFIX TAPE 4" X 10YD
CURITY STANDARD POROUS TAPE
CURITY STANDARD POROUS TAPE
MEDIPORE SOFT CLOTH TAPE
CIPRO XR 500 MG TABLET
CIPRO XR 500 MG TABLET
CIPRO XR 500 MG TABLET
CIPRO XR 500 MG TABLET
CIPRO XR 500 MG TABLET
CIPRO XR 500 MG TABLET
HYPAFIX TAPE 4" X 10 YDS
NEURO-B12 FORTE VIAL

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
YE
HS
YE
HA
YE
YE
HV
TI
TI
TI
TA
YT
YT
YT
YT
TI
TI
TI
TI
TI
TI
YT
HV

UNIT PRICE
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.43
$
3.44
$
3.44
$
3.45
$
3.45
$
3.45
$
3.45
$
3.46
$
3.46
$
3.46
$
3.46
$
3.46
$
3.46
$
3.46
$
3.46
$
3.46
$
3.46
$
3.46
$
3.46
$
3.46
$
3.46
$
3.46
$
3.47

NDC
61451601007
00006327516
00006327538
00074443705
54868242901
00074270000
00074280101
00074280102
00074280301
00074280302
00074280801
00074281001
00074281201
00074281202
11822314770
11822314780
11822314830
11822314850
11822314870
38703008020
38703010020
00024007401
38779036003
38779036004
38779036005
59310017540
64067021601
00149040660
54868298100
54868298101
54868494300
64365050702
10158005901
49452268901
49452268902
67404010005
38779044603
38779044604
51927235700
00087667317
00555058901
51927194600
54569550400
54569564200
00003125267
00003125361
00003175790
08011120000
08011120200
08380001480
08380003730
08380008480
11701083410

NAME
AQUACHLORAL 648 MG SUPPRETTE
COGENTIN 1 MG/ML AMPUL
COGENTIN 1 MG/ML AMPUL
NUROMAX 1 MG/ML VIAL
COGENTIN 1 MG/ML AMPULE
FAULTLESS TINYKIT SYRINGE
FAULTLESS DELUXE FOLDING SYRN
SPECTRA FOLDING SYRINGE
FAULTLESS FOLDING SYRINGE
GOODHEALTH FOLDING SYRINGE
FAULTLESS COMBINATION SYINGE
FAULTLESS DELUXE FOUNTAIN SYRN
FAULTLESS FOUNTAIN SYRINGE
GOODHEALTH FOUNTAIN SYRINGE
RA WTR BTL/FOUNTAIN SYRINGE
RA WTR BTL/FOUNTAIN SYRINGE
RA SYRINGE, FOUNTAIN
RA SYRINGE, FOUNTAIN
RA SYRINGE, FOLDING
FOUNTAIN SYRINGE
FOUNTAIN SYRINGE
ARALEN 50 MG/ML AMPUL
METHIMAZOLE POWDER
METHIMAZOLE POWDER
METHIMAZOLE POWDER
QVAR 40 MCG INHALER
UVADEX 20 MCG/ML VIAL
DIDRONEL 400 MG TABLET
DIDRONEL 400 MG TABLET
DIDRONEL 400 MG TABLET
AVINZA 90 MG CAPSULE
AVINZA 90 MG CAPSULE
APHTHASOL 5% PASTE
DOPAMINE HCL POWDER
DOPAMINE HCL POWDER
APHTHASOL 5% PASTE
LOPERAMIDE HCL POWDER
LOPERAMIDE HCL POWDER
LOPERAMIDE HCL POWDER
VIDEX EC 250 MG CAP SA
DIDANOSINE 250 MG DR CAPSULE
SODIUM BUTYRATE POWDER
VIDEX EC 250 MG CAP SA
DIDANOSINE 250 MG DR CAPSULE
SUR-FIT NATURA STOMAHESIVE
ACTIVE LIFE UROSTOMY POUCH
ACTIVE LIFE 13MM POUCH
RELIASEAL ADH DSC 100MM DIA
RELIASEAL ADHESIVE DSC OVAL
1STCHOICE URO POUCH 0.5"
CONVEX SYN BARR/FLNGE 0.5"
PREMIER UROSTOMY POUCH 0.5"
ASSURA FLANGE CONVEX

DOSE FORM DRUG STRENGTH


QA
HH
HH
HV
HH
ZA
ZA
ZA
ZA
ZA
ZA
ZA
ZA
ZA
ZA
ZA
ZA
ZA
ZA
ZA
ZA
HH
PA
PA
PA
AJ
HV
TA
TA
TA
CM
CM
KP
PA
PA
KP
PA
PA
PA
CE
CE
PA
CE
CE
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
3.48
$
3.50
$
3.50
$
3.50
$
3.50
$
3.51
$
3.51
$
3.51
$
3.51
$
3.51
$
3.51
$
3.51
$
3.51
$
3.51
$
3.51
$
3.51
$
3.51
$
3.51
$
3.51
$
3.51
$
3.51
$
3.52
$
3.52
$
3.52
$
3.52
$
3.52
$
3.53
$
3.54
$
3.54
$
3.54
$
3.54
$
3.54
$
3.55
$
3.55
$
3.55
$
3.55
$
3.56
$
3.56
$
3.56
$
3.57
$
3.57
$
3.57
$
3.57
$
3.57
$
3.58
$
3.58
$
3.58
$
3.58
$
3.58
$
3.58
$
3.58
$
3.58
$
3.58

NDC
11701084510
56091002150
56091002151
56091002152
00002751001
00074196848
54868510800
57665010141
61799010141
68115074610
00009519401
00009519402
60267007902
60267007910
00006021231
00087079641
00555073302
54868506100
58016070100
58016070112
58016070115
58016070120
58016070130
58016070150
58016070160
58016070190
63010002770
00002751101
54868438100
08026009300
08219783100
09958008600
09958008700
11701088190
53329045042
53329045142
56091008755
61924028566
80196073315
00514008496
00597008717
02120163901
08333162901
10337042405
10337042805
10337043004
40565011932
49452622205
49452628001
49452628002
49756046306
61570017101
00074299713

NAME
ASSURA FLANGE STANDARD
BIOPATCH DRESSING 1"
BIOPATCH DRESSING 3/4"
BIOPATCH DRESSING 1"
HUMALOG 100 UNITS/ML VIAL
NUTRIMIX MACRO VENT ADAPTER
HUMALOG 100 UNITS/ML VIAL
ABELCET 5 MG/ML VIAL P/F
ABELCET 5 MG/ML VIAL P/F
HUMALOG 100 UNITS/ML VIAL
NICOTROL NS 10 MG/ML SPRAY
NICOTROL NS 10 MG/ML SPRAY
SODIUM NITRITE 30 MG/ML VIAL
SODIUM NITRITE 30 MG/ML AMP
FOSAMAX 40 MG TABLET
DESYREL 300 MG TABLET
TRAZODONE 300 MG TABLET
VIRACEPT 625 MG TABLET
TRAZODONE 300 MG TABLET
TRAZODONE 300 MG TABLET
TRAZODONE 300 MG TABLET
TRAZODONE 300 MG TABLET
TRAZODONE 300 MG TABLET
TRAZODONE 300 MG TABLET
TRAZODONE 300 MG TABLET
TRAZODONE 300 MG TABLET
VIRACEPT 625 MG TABLET
HUMALOG MIX 75/25 VIAL
HUMALOG MIX 75/25 VIAL
ALLEVYN DRESSING 6"X6"
CURITY IODOFORM PACKING STRP
HYDROCELL ADHESIVE 6X6" DRS
HYDROCELL 6"X6" DRESSING
BIATAIN FOAM DRESSING
OPTIFOAM 6"X6" DRESSING
OPTIFOAM 6"X6" DRESSING
NU-GAUZE PACK STRIPS
DERMALEVIN 6"X6" DRESSING
OPTIFOAM 6"X6" DRESSING
FLEXFILM 8"X12" DRESSING
ATROVENT HFA INHALER
TEGADERM 8" X 12" DRESSING
TEGADERM 8" X 12" DRESSING
OMIDERM DRESSING 21X31CM
OMIDERM MESH DRESS 21X31CM
OMIDERM MESH FACE MASK
CONFORMANT 2 12"X12" SHEET
RIFAMPIN CRYSTALS
RIFAMPIN CRYSTALS
RIFAMPIN CRYSTALS
TRANSEAL WOUND DRESSING
LORABID 400 MG PULVULE
TRANXENE SD 22.5 MG TAB SA

DOSE FORM DRUG STRENGTH


EA
YE
YE
YE
HV
EA
HV
HV
HV
HV
AU
AU
HV
HH
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
HV
HV
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
AJ
YE
YE
YE
YE
YE
FS
PC
PC
PC
YE
CA
TS

UNIT PRICE
$
3.58
$
3.58
$
3.58
$
3.58
$
3.60
$
3.60
$
3.60
$
3.60
$
3.60
$
3.60
$
3.61
$
3.61
$
3.61
$
3.61
$
3.62
$
3.62
$
3.62
$
3.62
$
3.62
$
3.62
$
3.62
$
3.62
$
3.62
$
3.62
$
3.62
$
3.62
$
3.62
$
3.63
$
3.63
$
3.64
$
3.64
$
3.64
$
3.64
$
3.64
$
3.64
$
3.64
$
3.64
$
3.64
$
3.64
$
3.65
$
3.65
$
3.65
$
3.65
$
3.65
$
3.65
$
3.65
$
3.65
$
3.65
$
3.65
$
3.65
$
3.65
$
3.65
$
3.66

NDC
08213009005
08213009010
11086003101
38779017403
38779017404
38779017405
49326020210
67386040501
00074204302
00074204310
00074228702
00074228711
00074228751
00074228755
00247012402
00247012420
00409204302
00641113834
00641113931
10019002232
11994000525
54868413300
56091005134
00173069005
00884629730
66220010730
66220010734
00173050100
52959038706
54569453800
58016086400
58016086430
58016086460
58016086490
81317050020
10019008501
00004026948
00015740320
00015740399
00173049400
00173049800
00173071900
54569460200
54569566300
54868350700
54868404700
54868418200
55045281900
63304063628
63323038810
00006011428
00006011431
00006011468

NAME
IODOFLEX GEL PAD
IODOFLEX GEL PAD
ACCU-SOOTHE LIP BALM
DANAZOL POWDER
DANAZOL POWDER
DANAZOL POWDER
OCTRON VIAL
TRANXENE SD 22.5 MG TAB
DYPRIDAMOLE 5 MG/ML AMPUL
DYPRIDAMOLE 5 MG/ML AMPUL
KETOROLAC 30 MG/ML CARPUJECT
KETOROLAC 30 MG/ML CARPUJECT
KETOROLAC 30 MG/ML CARPUJECT
KETOROLAC 30 MG/ML CARPUJECT
TORADOL IM 30 MG/ML TUBEX
TORADOL IM 30 MG/ML TUBEX
DYPRIDAMOLE 5 MG/ML AMPUL
DIPYRIDAMOLE 5 MG/ML AMPUL
DIPYRIDAMOLE 5 MG/ML AMPUL
KETOROLAC IM 30 MG/ML SYRING
PERSANTINE I.V. 5 MG/ML AMP
TORADOL IM 30 MG/ML TUBEX
J & J WATERPROOF TAPE 2"
LOTRONEX 1 MG TABLET
PHENOL EZ SWABS
ACETADOTE 200 MG/ML VIAL
ACETADOTE 200 MG/ML VIAL
RETROVIR 300 MG TABLET
RETROVIR 300 MG TABLET
RETROVIR 300 MG TABLET
RETROVIR 300 MG TABLET
RETROVIR 300 MG TABLET
RETROVIR 300 MG TABLET
RETROVIR 300 MG TABLET
MOUNTING RING
BREVIBLOC 20 MG/ML VIAL
CYTOVENE 250 MG CAPSULE
AMPICILLIN 500 MG VIAL
AMPICILLIN 500 MG VIAL
FLOVENT 110 MCG INHALER
FLOVENT 110 MCG INHALER
FLOVENT HFA 110 MCG INHALER
FLOVENT 110 MCG INHALER
FLOVENT HFA 110 MCG INHALER
CYTOVENE 250 MG CAPSULE
AMPICILLIN 500 MG VIAL
FLOVENT 110 MCG INHALER
FLOVENT 110 MCG INHALER
GANCICLOVIR 250 MG CAPSULE
AMPICILLIN 500 MG VIAL
VIOXX 50 MG TABLET
VIOXX 50 MG TABLET
VIOXX 50 MG TABLET

DOSE FORM DRUG STRENGTH


ET
ET
EH
PA
PA
PA
HV
TS
HH
HH
HJ
HJ
HJ
HJ
HJ
HJ
HH
HH
HH
HJ
HH
HJ
YT
TA
EL
HV
HV
TA
TA
TA
TA
TA
TA
TA
EA
HV
CA
HS
HS
AJ
AJ
AJ
AJ
AJ
CA
HS
AJ
AJ
CA
HS
TA
TA
TA

UNIT PRICE
$
3.66
$
3.66
$
3.66
$
3.66
$
3.66
$
3.66
$
3.66
$
3.66
$
3.67
$
3.67
$
3.67
$
3.67
$
3.67
$
3.67
$
3.67
$
3.67
$
3.67
$
3.67
$
3.67
$
3.67
$
3.67
$
3.67
$
3.67
$
3.68
$
3.68
$
3.68
$
3.68
$
3.69
$
3.69
$
3.69
$
3.69
$
3.69
$
3.69
$
3.69
$
3.69
$
3.70
$
3.71
$
3.71
$
3.71
$
3.71
$
3.71
$
3.71
$
3.71
$
3.71
$
3.71
$
3.71
$
3.71
$
3.71
$
3.71
$
3.71
$
3.72
$
3.72
$
3.72

NDC
00006011474
00006011481
08219990300
17317063101
49999024805
49999024821
49999024830
52959049500
52959049505
52959049507
52959049510
52959049514
52959049515
52959049530
54569494000
54569494001
54569494003
54868421000
54868421001
55045277602
55045277607
55045277608
55289053810
55289053815
55289053828
58016048700
58016048710
58016048715
58016048720
58016048730
58016048740
58016048760
58016048790
66116014005
66116014030
68030016701
68030978801
68115035530
00004024451
08290001055
08290001057
08290001058
08290001065
08290001067
08290001075
08290001077
08290001078
08290001087
08290001095
08290001097
08290001098
08290001100
54569566400

NAME
VIOXX 50 MG TABLET
VIOXX 50 MG TABLET
CURAGEL HYDROGEL WOUND DRESS
EPINEPHRINE BITARTRATE CRYS
VIOXX 50 MG TABLET
VIOXX 50 MG TABLET
VIOXX 50 MG TABLET
VIOXX 50 MG TABLET
VIOXX 50 MG TABLET
VIOXX 50 MG TABLET
VIOXX 50 MG TABLET
VIOXX 50 MG TABLET
VIOXX 50 MG TABLET
VIOXX 50 MG TABLET
VIOXX 50 MG TABLET
VIOXX 50 MG TABLET
VIOXX 50 MG TABLET
VIOXX 50 MG TABLET
VIOXX 50 MG TABLET
VIOXX 50 MG TABLET
VIOXX 50 MG TABLET
VIOXX 50 MG TABLET
VIOXX 50 MG TABLET
VIOXX 50 MG TABLET
VIOXX 50 MG TABLET
VIOXX 50 MG TABLET
VIOXX 50 MG TABLET
VIOXX 50 MG TABLET
VIOXX 50 MG TABLET
VIOXX 50 MG TABLET
VIOXX 50 MG TABLET
VIOXX 50 MG TABLET
VIOXX 50 MG TABLET
VIOXX 50 MG TABLET
VIOXX 50 MG TABLET
VIOXX 50 MG TABLET
VIOXX 50 MG TABLET
VIOXX 50 MG TABLET
INVIRASE 500 MG TABLET
YALE NEEDLE REGULAR BEVEL
YALE NEEDLE REGULAR BEVEL
YALE NEEDLE REGULAR BEVEL
YALE NEEDLE REGULAR BEVEL
YALE NEEDLE REGULAR BEVEL
YALE NEEDLE
YALE NEEDLE
YALE NEEDLE
YALE NEEDLE
YALE NEEDLE
YALE NEEDLE
YALE NEEDLE
YALE NEEDLE
INVIRASE 500 MG TABLET

DOSE FORM DRUG STRENGTH


TA
TA
YE
PC
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
TA

UNIT PRICE
$
3.72
$
3.72
$
3.72
$
3.72
$
3.72
$
3.72
$
3.72
$
3.72
$
3.72
$
3.72
$
3.72
$
3.72
$
3.72
$
3.72
$
3.72
$
3.72
$
3.72
$
3.72
$
3.72
$
3.72
$
3.72
$
3.72
$
3.72
$
3.72
$
3.72
$
3.72
$
3.72
$
3.72
$
3.72
$
3.72
$
3.72
$
3.72
$
3.72
$
3.72
$
3.72
$
3.72
$
3.72
$
3.72
$
3.73
$
3.73
$
3.73
$
3.73
$
3.73
$
3.73
$
3.73
$
3.73
$
3.73
$
3.73
$
3.73
$
3.73
$
3.73
$
3.73
$
3.73

NDC
00003403205
00074100101
00074122401
00074122420
00074122501
00074122503
00074122520
00074198601
00074264405
00074309305
00074309308
00074309701
00074309708
00074309805
00074371601
00074371701
00074371703
00074403705
00074403710
00074412201
00074412220
00074476705
00074477302
00074477303
00074477403
00074478201
00074478802
00074479002
00074479003
00074479203
00074479503
00074480401
00074480403
00074481005
00074481008
00074564801
00074575220
00074575605
00074802405
00074802408
00074802410
00074828405
08021331700
08021332100
08021332197
08021332199
08021332203
08021332215
08021332216
08021332217
08021332218
08021332219
08021332220

NAME
VERSIVA 3.5"X3.5" DRESSING
LTA II KIT
SPINAL-22/BUPIV,EPI,EPHED
SPINAL-22/BUPIV,EPI,EPHED
SPINAL-22/BUPIV,EPI,EPHED
SPINAL/ANESTHESIA TRAY
SPINAL-25/BUPIV,EPI,EPHED
SNGL SHOT EPIDURAL/LIDOCAIN
CONT EPID W/BUPIV 0.5%/EPI
CONT EPIDURAL/LIDOCAINE/EPI
CONT EPIDURAL TRAY W/DRUGS
CONT EPIDURAL/LIDO/EPI TEST
CONT EPIDURAL W/O DRUGS
CONT EPIDURAL W/BUPIV/EPI
SPINAL-22/BUPIV/DX/EPHD/EPI
SPINAL-25/BUPIV/DX/EPHD/EPI
SPINAL/ANESTHESIA TRAY
CONT EPIDURAL W/BUPIV/LIDO
CONT EPID W/0.25% BUPIV/LID
BRACHIAL PLEXUS TRAY
BRACHIAL PLEXUS TRAY
CAUDAL W/LIDOCAINE/EPINEPH
SPINAL-22/TET,EPHED,EPI,IOD
SPINAL/ANESTHESIA TRAY
SPINAL/ANESTHESIA TRAY
NERVE BLOCK TRAY W/LIDOCAIN
SPINAL/ANESTHESIA TRAY
SPINAL-25 W/TETRA,EPHED,EPI
SPINAL/ANESTHESIA TRAY
SADDLE BLOCK ANESTHESIA TRAY
SADDLEBLOCK ANESTHESIA TRAY
SPINAL-22 WHITACRE/LIDO DEX
SPINAL WHITACRE ANES TRAY
CONT EPIDURAL/EPI/LIDOCAINE
CONT EPIDURAL W/POV.IODINE
PEDIATRIC LTA KIT
CONTINUOUS PEDIATRIC CAUDAL
CONT EPIDURAL/BUPIV/EPI/LID
CONT EPIDURAL/LIDOCAINE/EPI
CONT EPIDURIL/LIDO/EPI/IODI
CONT EPIDURAL/LIDOCAINE/EPI
CONT EPIDURAL/LIDOCAINE/EPI
CONTIPLEX NERVE BLOCK TRAY
NERVE BLOCK SUPPORT TRAY
PERIFIX CONT EPI/CATH TRAY
PERIFIX CONT EPI/CATH TRAY
PERIFIX BASIC CONT EPI TRAY
PERIFIX CONT EPI/CATH TRAY
PERIFIX CONT EPI CATH TRAY
PERIFIX CONT EPI CATH TRAY
PERIFIX CONT EPI/CATH TRAY
PERIFIX BASIC CONT EPI TRAY
PERIFIX CONT EPIDURAL TRAY

DOSE FORM DRUG STRENGTH


YE
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT

UNIT PRICE
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74

NDC
08021332221
08021332222
08021332223
08021332224
08021332225
08021332230
08021332235
08021332236
08021332248
08021332249
08021332250
08021332251
08021332254
08021333027
08021333028
08021333029
08021333030
08021333200
08021333201
08021333202
08021333203
08021333210
08021333211
08021333212
08021333213
08021333224
08021333230
08021333231
08021333232
08021333233
38779038101
38779038104
38779038105
56643033333
56643060001
10119040307
10119041012
58337130102
61570030141
65197000101
66288222501
50458033001
50458033006
50458033050
68115078360
08011771215
08011772414
08011772415
08011802115
38779038803
38779038804
38779038805
38779038809

NAME
PERIFIX CONT EPIDURAL TRAY
PERIFIX BASIC CONT EPI TRAY
PERIFIX BASIC CONT EPI TRAY
PERIFIX BASIC CONT EPI TRAY
PERIFIX CONT EPIDURAL TRAY
PERIFIX CONT EPIDURAL TRAY
PERIFIX INTER EPIDURAL TRAY
PERIFIX INTER EPIDURAL TRAY
PERIFIX SINGLE DOSE EPI TRY
PERIFIX SINGLE DOSE EPI TRY
PERIFIX SINGLE DOSE EPI TRY
PERIFIX SINGLE DOSE EPI TRY
PERIFIX SINGLE DOSE EPI TRY
ATRAUCAN SPINAL TRAY
ATRAUCAN SPINAL TRAY
ATRAUCAN SPINAL TRAY
ATRAUCAN SPINAL TRAY
SPINOCAN SPINAL/NEEDLE TRAY
SPINOCAN SPINAL/NEEDLE TRAY
SPINOCAN SPINAL/NEEDLE TRAY
SPINOCAN SPINAL/NEEDLE TRAY
SPINOCAN SPINAL/NEEDLE TRAY
SPINOCAN SPINAL/NEEDLE TRAY
SPINOCAN SPINAL/NEEDLE TRAY
SPINOCAN SPINAL/NEEDLE TRAY
SPINOCAN CONT SPINAL TRAY
SPINOCAN SPINAL/NEEDLE TRAY
SPINOCAN SPINAL/NEEDLE TRAY
SPINOCAN SPINAL/NEEDLE TRAY
SPINOCAN SPINAL/NEEDLE TRAY
TERBUTALINE SULFATE POWDER
TERBUTALINE SULFATE POWDER
TERBUTALINE SULFATE POWDER
REJOYN SUPPORT SLEEVE
ENDURE CLIMAX CONTRL SLEEVE
LENS CARRYING CASE
FASHION CASE
TE ANATOXAL BERNA SYRINGE
ADRENALIN CHLORIDE 1:100
DIBENZYLINE 10 MG CAPSULE
CEFUROXIME 225 GRAM BULK BAG
RISPERDAL 3 MG TABLET
RISPERDAL 3 MG TABLET
RISPERDAL 3 MG TABLET
RISPERDAL 3 MG TABLET
BARD URETHRAL CATHETER TRAY
BARD URETHRAL CATHETER TRAY
BARD URETHRAL CATHETER TRAY
DAVOL URETHRAL CATH TRAY
BACLOFEN POWDER
BACLOFEN POWDER
BACLOFEN POWDER
BACLOFEN POWDER

DOSE FORM DRUG STRENGTH


ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
PA
PA
PA
EA
EA
ZA
ZA
HQ
SA
CA
HL
TA
TA
TA
TA
ZT
ZT
ZT
ZT
PA
PA
PA
PA

UNIT PRICE
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.74
$
3.75
$
3.75
$
3.75
$
3.75
$
3.75
$
3.78
$
3.78
$
3.78
$
3.78
$
3.78
$
3.78
$
3.80
$
3.80
$
3.80
$
3.80
$
3.81
$
3.81
$
3.81
$
3.81
$
3.81
$
3.81
$
3.81
$
3.81

NDC
38779175404
38779175405
38779175407
49452009401
49452009402
49452080701
49452080702
49452080703
51552061302
51552061304
51552061305
51552069704
51927200700
51927279000
62991101301
62991101302
62991101303
62991101304
62991101305
62991108701
62991108702
62991108703
62991108704
63275998004
63275998005
63275998009
63370002635
63370012525
63370012535
63370012550
00703127104
10337065915
50383069815
52959023100
54569086300
54868056501
54868325001
54868525400
55390010110
55390019310
58016644301
61314064175
61570003675
62991207101
62991207102
62991207104
63323066501
66591043511
68032012118
00173056502
08219778900
08219779000
48879000108

NAME
KETAMINE HCL POWDER
KETAMINE HCL POWDER
KETAMINE HCL POWDER
KETAMINE HCL POWDER
KETAMINE HCL POWDER
BACLOFEN POWDER
BACLOFEN POWDER
BACLOFEN POWDER
BACLOFEN POWDER
BACLOFEN POWDER
BACLOFEN POWDER
KETAMINE HCL POWDER
BACLOFEN POWDER
KETAMINE HCL POWDER
BACLOFEN POWDER
BACLOFEN POWDER
BACLOFEN POWDER
BACLOFEN POWDER
BACLOFEN POWDER
KETAMINE HCL POWDER
KETAMINE HCL POWDER
KETAMINE HCL POWDER
KETAMINE HCL POWDER
KETAMINE HCL POWDER
KETAMINE HCL POWDER
KETAMINE HCL POWDER
BACLOFEN POWDER
KETAMINE HCL POWDER
KETAMINE HCL POWDER
KETAMINE HCL POWDER
TERBUTALINE SULF 1 MG/ML VL
KERALAC NAIL GEL
UREALAC 50% NAIL GEL
CORTISPORIN EYE DROPS
CORTISPORIN EYE DROPS
CORTISPORIN EYE DROPS
NEOMYCIN/POLY/HC EYE DROPS
KERALAC NAIL GEL
TERBUTALINE SULF 1 MG/ML VL
TERBUTALINE SULF 1 MG/ML VL
CORTISPORIN EYE DROPS
NEOMYCIN/POLY/HC EYE DROPS
CORTISPORIN EYE DROPS
TRICHLORMETHIAZIDE POWDER
TRICHLORMETHIAZIDE POWDER
TRICHLORMETHIAZIDE POWDER
TERBUTALINE SULF 1 MG/ML VL
BRETHINE 1 MG/ML VIAL
UREA 50% NAIL GEL
VALTREX 1 GM CAPLET
VENTEX WOUND DRESSING
VENTEX WOUND DRESSING SYSTM
PREFILLED NEB W/F1 OXY ADP

DOSE FORM DRUG STRENGTH


PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
HV
GE
JC
SN
SN
SN
SN
JC
VI
HV
SN
SN
SN
PA
PA
PA
HV
HV
JC
TA
YE
YE
YK

UNIT PRICE
$
3.81
$
3.81
$
3.81
$
3.81
$
3.81
$
3.81
$
3.81
$
3.81
$
3.81
$
3.81
$
3.81
$
3.81
$
3.81
$
3.81
$
3.81
$
3.81
$
3.81
$
3.81
$
3.81
$
3.81
$
3.81
$
3.81
$
3.81
$
3.81
$
3.81
$
3.81
$
3.81
$
3.81
$
3.81
$
3.81
$
3.82
$
3.82
$
3.82
$
3.82
$
3.82
$
3.82
$
3.82
$
3.82
$
3.82
$
3.82
$
3.82
$
3.82
$
3.82
$
3.82
$
3.82
$
3.82
$
3.82
$
3.82
$
3.82
$
3.83
$
3.83
$
3.83
$
3.83

NDC
48879000109
52959038421
54569532400
54868399300
54868399301
54868399302
54868399303
54868399304
58016085501
58864068320
61570004820
65726026225
65726026290
08021471698
08021471700
08021471701
08021471702
08021471703
08021471705
08021471706
08021471707
08021471708
08021471709
08021471710
08021471711
08021471712
08021471713
08021471714
08021471715
08021471716
08021471718
08021471719
08021471720
08021471722
08021471723
08021471724
08021471725
08021471726
08021471727
08021471728
08021471729
08021471730
08021471731
08021471732
08021471733
08021471734
08021471735
08021471736
08021471737
08021471738
08021471739
08021471964
08021471965

NAME
PREFILLED NEB W/F1 OXY ADP
VALTREX 1 GM CAPLET
VALTREX 1 GM CAPLET
VALTREX 1 GM CAPLET
VALTREX 1 GM CAPLET
VALTREX 1 GM CAPLET
VALTREX 1 GM CAPLET
VALTREX 1 GM CAPLET
VALTREX 1 GM CAPLET
VALTREX 1 GM CAPLET
NEOSPORIN G.U. IRRIG VIAL
RYTHMOL SR 325 MG CAPSULE
RYTHMOL SR 325 MG CAPSULE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE

DOSE FORM DRUG STRENGTH


YK
TA
TA
TA
TA
TA
TA
TA
TA
TA
HV
CB
CB
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ

UNIT PRICE
$
3.83
$
3.83
$
3.83
$
3.83
$
3.83
$
3.83
$
3.83
$
3.83
$
3.83
$
3.83
$
3.83
$
3.83
$
3.83
$
3.84
$
3.84
$
3.84
$
3.84
$
3.84
$
3.84
$
3.84
$
3.84
$
3.84
$
3.84
$
3.84
$
3.84
$
3.84
$
3.84
$
3.84
$
3.84
$
3.84
$
3.84
$
3.84
$
3.84
$
3.84
$
3.84
$
3.84
$
3.84
$
3.84
$
3.84
$
3.84
$
3.84
$
3.84
$
3.84
$
3.84
$
3.84
$
3.84
$
3.84
$
3.84
$
3.84
$
3.84
$
3.84
$
3.84
$
3.84

NDC
08021471966
08021471967
08021471968
00004023709
08225260600
08225261600
08333152802
65726026325
65726026390
00003187726
00004191106
11701083620
25382040116
25382041116
25382050005
25382051005
53567040116
53567041116
53567050005
53567051005
08219783200
56091008756
00074666402
08225001402
08225001403
08225001405
08225001406
08225003402
08225003403
08225003405
08225003406
08225003407
08225004402
08225004403
08225004405
08225004406
08225004502
08225004503
08225004505
08225004506
08225004507
08225034402
08225034403
08225034405
08225034406
08225034502
08225034503
08225034505
08225520402
08225520403
08225520405
08225520406
08225520502

NAME
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
WHIN WINGED HUBER 90 DEGREE
KYTRIL 2 MG/10 ML SOLUTION
BEDPAN,ADULT,HOSPITAL SIZE
BEDPAN,FRACTURE STYLE
MICROFOAM SURGICAL TAPE
RYTHMOL SR 425 MG CAPSULE
RYTHMOL SR 425 MG CAPSULE
SIGNADRESS STERILE DRESSING
LEVO-DROMORAN 2 MG/ML VIAL
COMFEEL SEASORB DRESSING
DERMASTAT 16" ROPE DRESSING
NUTRASTAT 16" ROPE DRESSING
DERMACOL 5"X5" DRESSING
NUTRACOL 5"X5" DRESSING
DERMASTAT 16" ROPE DRESSING
NUTRASTAT 16" ROPE DRESSING
DERMACOL 5"X5" DRESSING
NUTRACOL 5"X5" DRESSING
CURITY IODOFORM PACKING STRP
NU-GAUZE PACK STRIPS
SODIUM LACTATE 5 MEQ/ML VIAL
KNEE BRACE, HINGED-SMALL
KNEE BRACE, HINGED-MEDIUM
KNEE BRACE, HINGED-LARGE
KNEE BRACE, HINGED-XLARGE
KNEE BRACE-SMALL
KNEE BRACE-MEDIUM
KNEE BRACE-LARGE
KNEE BRACE-XLARGE
KNEE BRACE-VERY LARGE
KNEE BRACE-SMALL
KNEE BRACE-MEDIUM
KNEE BRACE-LARGE
KNEE BRACE-XLARGE
ANKLE BRACE-SMALL
ANKLE BRACE-MEDIUM
ANKLE BRACE-LARGE
ANKLE BRACE-XLARGE
ANKLE BRACE-VERY LARGE
KNEE COMFORTER-SMALL
KNEE COMFORTER-MEDIUM
KNEE COMFORTER-LARGE
KNEE COMFORTER-XLARGE
ANKLE COMFORTER-SMALL
ANKLE COMFORTER-MEDIUM
ANKLE COMFORTER-LARGE
NEOPRENE KNEE SUPPORT-SMALL
NEOPRENE KNEE SUPPORT-MED
NEOPRENE KNEE SUPPORT-LARGE
NEOPRENE KNEE SUPPORT-XL
NEOPRENE ANKLE SUPPORT-SM

DOSE FORM DRUG STRENGTH


YQ
YQ
YQ
SJ
EA
EA
YT
CB
CB
YE
HV
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
HV
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
3.84
$
3.84
$
3.84
$
3.85
$
3.85
$
3.85
$
3.85
$
3.85
$
3.85
$
3.86
$
3.86
$
3.86
$
3.86
$
3.86
$
3.86
$
3.86
$
3.86
$
3.86
$
3.86
$
3.86
$
3.87
$
3.87
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88

NDC
08225520503
08225520505
08225520506
08225520602
08225520603
08225520605
08225521502
08225521503
08225521505
08290201090
08290201206
08290201207
08290201208
08290201212
08290201493
08290202328
08290202495
08290202657
08290202838
08290203031
08290203224
08290206006
08290206161
08290206338
08290207221
08290207222
08290207223
08290207224
08290207229
08290207230
08290207231
08290207233
08290207234
08290207235
08290207237
08290207238
08290207239
08290207241
08290207242
08290207243
08290207246
08290207247
08290207248
08290207300
08290207301
08290207302
08290207303
08290207304
08290207305
08290207353
08290207354
08290207355
08290207359

NAME
NEOPRENE ANKLE SUPPORT-MED
NEOPRENE ANKLE SUPPORT-LAR
NEOPRENE ANKLE SUPPORT-XL
NEOPRENE THIGH SUPPORT-SM
NEOPRENE THIGH SUPPORT-MED
NEOPRENE THIGH SUPPORT-LAR
NEOPRENE KNEE STABILIZER
NEOPRENE KNEE STABILIZER
NEOPRENE KNEE STABILIZER
KNEE BRACE, NYLON-SMALL
KNEE BRACE W/SUPPORTS-SMALL
KNEE BRACE W/SUPPORTS-MED.
KNEE BRACE W/SUPPORTS-LARGE
KNEE BRACE, NYLON-MEDIUM
KNEE BRACE, NYLON-LARGE
KNEE BRACE, ELASTIC-SMALL
KNEE BRACE, ELASTIC-MEDIUM
KNEE BRACE, ELASTIC-LARGE
ANKLE BRACE,WHITE,ELAST-SM
ANKLE BRACE, ELASTIC-MEDIUM
ANKLE BRACE, ELASTIC-LARGE
ANKLE BRACE, NYLON-SMALL
ANKLE BRACE, NYLON-MEDIUM
ANKLE BRACE, NYLON-LARGE
ACE NEOPRENE THIGH BRACE-SM
ACE NEOPRENE THIGHBRACE-MED
ACE NEOPRENE THIGH BRACE-LG
ACE NEOPRENE THIGHBRACE-XLG
ACE NEOPRENE ANKLE BRACE-SM
ACE NEOPRENE ANKLEBRACE-MED
ACE NEOPRENE ANKLE BRACE-LG
ACE NEOPRENE KNEE BRACE-SML
ACE NEOPRENE KNEE BRACE-MED
ACE NEOPRENE KNEE BRACE-LRG
ACE NEOPRENE KNEE BRACE-SML
ACE NEOPRENE KNEE BRACE-MED
ACE NEOPRENE KNEE BRACE-LRG
ACE NEOPRENE PLS KNEE BRACE
ACE NEOPRENE PLS KNEE BRACE
ACE NEOPRENE PLS KNEE BRACE
ACE NEOPRENE KNEE BRACE
ACE NEOPRENE KNEE BRACE
ACE NEOPRENE ANKLE WRAP
ACE ANKLE BRACE SMALL
ACE ANKLE BRACE MEDIUM
ACE ANKLE BRACE LARGE
ACE KNEE BRACE SMALL
ACE KNEE BRACE MEDIUM
ACE KNEE BRACE LARGE
ACE PLUS KNEE BRACE SMALL
ACE PLUS KNEE BRACE MEDIUM
ACE PLUS KNEE BRACE LARGE
ACE KNEE STRAP

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88

NDC
08380079530
08380079540
52735031302
52735031402
52735031602
54569545200
54868483800
63323037510
64011000108
82468012070
82468016108
82468016109
87701059495
87701059499
87701059504
87701059509
00026064512
00026064515
00026064520
00026064524
00026064571
00074289000
38673006043
38703009010
87701047294
08026421700
08327051909
53329030355
66288207501
00002411504
00002411533
00002411560
00407222301
00407222306
00641113231
12280002415
54868425400
54868425401
58864076815
60977011501
68115092160
00002729801
00002729810
00074653301
00074653349
00074653501
00074653549
00247066708
00247067441
00409653301
00409653349
00409653501
00409653549

NAME
ADAPT BARRIER RING 1-3/16"
ADAPT BARRIER RING 1-9/16"
FP NEOPRENE ANKLE SUPPORT
FP NEOPRENE CLOSE KNEE SUPT
FP NEOPRENE OPEN KNEE SUPRT
GYNAZOLE-1 CREAM
GYNAZOLE-1 CREAM
SODIUM LACTATE 5 MEQ/ML VIAL
GYNAZOLE-1 CREAM
FP NEOPRENE OPEN KNEE SUPRT
FP NEOPRENE CLOSE KNEE SUPT
FP NEOPRENE ANKLE SUPPORT
BL ANKLE SUPPORT-MEDIUM
BL KNEE SUPPORT-MEDIUM
BL NEOPRENE ANKLE SUPPORT-M
BL NEOPRENE KNEE SUPPORT-M
GAMUNEX 10% VIAL
GAMUNEX 10% VIAL
GAMUNEX 10% VIAL
GAMUNEX 10% VIAL
GAMUNEX 10% VIAL
ROSS DELUXE BREAST PUMP SYS
GENTLE EXPRESSIONS BREAST PUMP
BREAST PUMP
BL BREAST PUMP
HYPAFIX TAPE 6" X 2YD
MEDFIX EZ DRESSING 6" ROLL
ARGLAES 3.25"X 14" FILM
CEFUROXIME SOD 75 GM BULK BAG
ZYPREXA 5 MG TABLET
ZYPREXA 5 MG TABLET
ZYPREXA 5 MG TABLET
VISIPAQUE 320 MG/ML VIAL
VISIPAQUE 320 MG/ML VIAL
INFUMORPH 25 MG/ML AMPUL P/F
ZYPREXA 5 MG TABLET
ZYPREXA 5 MG TABLET
ZYPREXA 5 MG TABLET
ZYPREXA 5 MG TABLET
INFUMORPH 25 MG/ML AMPUL P/F
ZYPREXA 5 MG TABLET
VANCOCIN HCL 1 GM ADD-VNTAGE
VANCOCIN HCL 1 GM ADD-VNTAGE
VANCOMYCIN 1 GM VIAL
VANCOMYCIN 1 GM VIAL
VANCOMYCIN 1 GM ADD-VAN VIAL
VANCOMYCIN 1 GM ADD-VAN VIAL
INTAL INHALER
INTAL INHALER
VANCOMYCIN 1 GM VIAL
VANCOMYCIN 1 GM VIAL
VANCOMYCIN 1 GM ADD-VAN VIAL
VANCOMYCIN 1 GM ADD-VAN VIAL

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
KB
KB
HV
KB
EA
EA
EA
EA
EA
EA
EA
HV
HV
HV
HV
HV
EA
EA
EA
EA
YT
YT
YE
HL
TA
TA
TA
HV
HV
HH
TA
TA
TA
TA
HH
TA
HS
HS
HS
HS
HS
HS
AB
AB
HS
HS
HS
HS

UNIT PRICE
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.88
$
3.89
$
3.89
$
3.89
$
3.89
$
3.89
$
3.89
$
3.89
$
3.89
$
3.89
$
3.90
$
3.90
$
3.90
$
3.90
$
3.91
$
3.91
$
3.91
$
3.91
$
3.91
$
3.91
$
3.91
$
3.91
$
3.91
$
3.91
$
3.91
$
3.91
$
3.92
$
3.92
$
3.92
$
3.92
$
3.92
$
3.92
$
3.92
$
3.92
$
3.92
$
3.92
$
3.92
$
3.92

NDC
00585067501
00585067502
54868189402
54868282200
60793001108
60793001114
63323028420
00078024115
60505013400
58016645201
58016645301
00002445301
00002445385
00003125268
00003175791
00003405473
08219990400
08380001481
08380003731
08380008481
08380008731
08380016301
08380016701
10023018510
38779049303
38779049304
38779049306
49326011410
51234010010
53303001022
61118085001
61118085005
61118085099
61118085501
61118085505
61118085525
61118085599
00006778433
00074915701
00089091606
00186074328
00186074331
00186074368
00186074382
00469511705
00890916017
54868443400
54868449500
55045309708
58016038400
58016038402
58016038430
58016038460

NAME
INTAL INHALER
INTAL INHALER
INTAL INHALER
INTAL INHALER
INTAL INHALER
INTAL INHALER
VANCOMYCIN 1 GM VIAL
SANDIMMUNE 100 MG CAPSULE
CYCLOSPORINE 100 MG CAPSULE
PONTOCAINE 0.5% EYE OINT
PONTOCAINE 0.5% EYE OINT
ZYPREXA ZYDIS 5 MG TABLET
ZYPREXA ZYDIS 5 MG TABLET
SUR-FIT NATURA STOMAHESIVE
ACTIVE LIFE 16MM POUCH
STOMAHESIVE SKIN BARRIER
CURAGEL HYDROGEL WOUND DRESS
1ST CHOICE URO POUCH 0.625"
CONVEX SYN BARR/FLNGE 0.625"
PREMIER UROSTOMY PCH 0.625"
PREMIER SKN BARR/FLNG 0.625"
NEW IMAGE FLEXWEAR BARRIER
NEW IMAGE FLEXTEND BARRIER
TIA DOCE B12/THIAMINE VIAL
NADOLOL POWDER
NADOLOL POWDER
NADOLOL POWDER
NEURO B12 VIAL
NERVIDOX INJECTION
GEL PAD 5"X5" DRESSING
ELASTO-GEL DRESSING 5"X5"
ELASTO-GEL DRESSING 5"X5"
ELASTO-GEL DRESSING 5"X5"
ELASTO-GEL PLUS DRSSNG 5X5
ELASTO-GEL PLUS DRSSNG 5X5
ELASTO-GEL PLUS DRSSNG 5X5
ELASTO-GEL PLUS DRSSNG 5X5
AQUA-MEPHYTON 1 MG/0.5 ML AMP
VITAMIN K 1 MG/0.5 ML AMPUL
BUF BODY SCRUB
PRILOSEC 40 MG CAPSULE DR
PRILOSEC 40 MG CAPSULE DR
PRILOSEC 40 MG CAPSULE DR
PRILOSEC 40 MG CAPSULE DR
ARISTOCORT IL 25 MG/ML VIAL
BUF BODY SCRUB
VITAMIN K 1 MG/0.5 ML AMPUL
PRILOSEC 40 MG CAPSULE
PRILOSEC 40 MG CAPSULE DR
PRILOSEC 40 MG CAPSULE DR
PRILOSEC 40 MG CAPSULE DR
PRILOSEC 40 MG CAPSULE DR
PRILOSEC 40 MG CAPSULE DR

DOSE FORM DRUG STRENGTH


AB
AB
AB
AB
AB
AB
HS
CA
CA
OA
OA
UL
UL
EA
EA
EA
YE
EA
EA
EA
EA
EA
EA
HV
PA
PA
PA
HV
HV
YE
YE
YE
YE
YE
YE
YE
YE
HH
HH
EA
CE
CE
CE
CE
HV
EA
HH
CE
CE
CE
CE
CE
CE

UNIT PRICE
$
3.92
$
3.92
$
3.92
$
3.92
$
3.92
$
3.92
$
3.92
$
3.93
$
3.93
$
3.94
$
3.94
$
3.95
$
3.95
$
3.95
$
3.95
$
3.95
$
3.95
$
3.95
$
3.95
$
3.95
$
3.95
$
3.95
$
3.95
$
3.95
$
3.95
$
3.95
$
3.95
$
3.95
$
3.95
$
3.95
$
3.95
$
3.95
$
3.95
$
3.95
$
3.95
$
3.95
$
3.95
$
3.96
$
3.96
$
3.96
$
3.96
$
3.96
$
3.96
$
3.96
$
3.96
$
3.96
$
3.96
$
3.96
$
3.96
$
3.96
$
3.96
$
3.96
$
3.96

NDC
58016038490
00072200004
00145098305
11701013096
11701013396
19810058301
38779039603
38779039604
38779039605
51927217500
00187320010
51927108400
62991250004
00074335201
00074624603
00074641901
00074742601
11298000233
11298000235
38779086903
38779086904
38779086905
38779086906
49452278001
49452278002
49452278003
49452278004
49452278501
49452278502
51552038401
51552038402
51552038404
51552038405
51927177800
62991104901
62991104902
62991104906
62991119001
63275998701
63275998702
63275998704
63275998705
63370007810
63370007825
63370007835
63370007850
00065024605
00065024610
00065024615
00065024620
00074408902
00409408902
54868163901

NAME
PRILOSEC 40 MG CAPSULE DR
DESQUAM-X 10% BAR
PANOXYL 10 BAR
BAZA CREAM SKIN CARE PACK
BAZA CREAM HOSPITAL CARE PK
FOSTEX 10% BAR
NORTRIPTYLINE HCL POWDER
NORTRIPTYLINE HCL POWDER
NORTRIPTYLINE HCL POWDER
NORTRIPTYLINE HCL POWDER
TENSILON 10 MG/ML AMPUL
NYSTATIN POWDER
NYSTATIN POWDER
PENTOTHAL 400 MG DISP SYRINGE
PENTOTHAL 400 MG SYRINGE
PENTOTHAL 400 MG SYRINGE
PENTOTHAL 400 MG DISP SYRING
ILEOSTOMY PLASTIC POUCH
UROSTOMY PLASTIC POUCH
ESTRADIOL POWDER
ESTRADIOL POWDER
ESTRADIOL POWDER
ESTRADIOL POWDER
ESTRADIOL POWDER
ESTRADIOL POWDER
ESTRADIOL POWDER
ESTRADIOL POWDER
ESTRADIOL POWDER
ESTRADIOL POWDER
ESTRADIOL POWDER
ESTRADIOL POWDER
ESTRADIOL POWDER
ESTRADIOL POWDER
ESTRADIOL POWDER
ESTRADIOL POWDER
ESTRADIOL POWDER
ESTRADIOL POWDER
ESTRADIOL POWDER
ESTRADIOL POWDER
ESTRADIOL POWDER
ESTRADIOL POWDER
ESTRADIOL POWDER
ESTRADIOL POWDER
ESTRADIOL POWDER
ESTRADIOL POWDER
ESTRADIOL POWDER
BETOPTIC S 0.25% EYE DROPS
BETOPTIC S 0.25% EYE DROPS
BETOPTIC S 0.25% EYE DROPS
BETOPTIC S 0.25% EYE DROPS
DEXTROSE 10% AMPUL
DEXTROSE 10% AMPUL
BETOPTIC S 0.25% EYE DROPS

DOSE FORM DRUG STRENGTH


CE
EB
EB
ZD
ZD
EB
PA
PA
PA
PA
HH
PA
PA
HX
HX
HX
HX
EA
EA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
SN
SN
SN
SN
HH
HH
SN

UNIT PRICE
$
3.96
$
3.97
$
3.97
$
3.97
$
3.97
$
3.97
$
3.97
$
3.97
$
3.97
$
3.97
$
3.98
$
3.98
$
3.98
$
3.99
$
3.99
$
3.99
$
3.99
$
3.99
$
3.99
$
3.99
$
3.99
$
3.99
$
3.99
$
3.99
$
3.99
$
3.99
$
3.99
$
3.99
$
3.99
$
3.99
$
3.99
$
3.99
$
3.99
$
3.99
$
3.99
$
3.99
$
3.99
$
3.99
$
3.99
$
3.99
$
3.99
$
3.99
$
3.99
$
3.99
$
3.99
$
3.99
$
4.00
$
4.00
$
4.00
$
4.00
$
4.00
$
4.00
$
4.00

NDC
54868163902
54868163903
00078003302
00173004535
00300395425
00713016612
59572030250
00026871069
00026872069
00026873069
00026874069
00085190101
00085192301
00085193401
00085194501
00247090105
08380009622
08380009623
08380009645
08380009655
08380009824
08380009825
08380009834
08380009835
08380009845
08380009855
08380009878
08884731000
54569394800
54569552800
54569552900
54569552902
54569552903
54569552904
54569553400
54868337600
54868496700
54868496701
54868496702
54868496703
54868496704
54868496705
54868498400
54868498401
54868498402
54868498403
58768061005
58768061010
68115081330
00008033903
00026889750
00026889751
00026889769

NAME
BETOPTIC S 0.25% EYE DROPS
BETOPTIC S 0.25% EYE DROPS
CAFERGOT SUPPOSITORY
ALKERAN 2 MG TABLET
PREVACID IV 30 MG VIAL
MIGERGOT SUPPOSITORY
ALKERAN 2 MG TABLET
LEVITRA 2.5 MG TABLET
LEVITRA 5 MG TABLET
LEVITRA 10 MG TABLET
LEVITRA 20 MG TABLET
LEVITRA 10 MG TABLET
LEVITRA 2.5 MG TABLET
LEVITRA 20 MG TABLET
LEVITRA 5 MG TABLET
LIVOSTIN 0.05% EYE DROPS
URINARY LEG BAG KIT MEDIUM
URINARY LEG BAG KT STANDARD
VENT URIN LEG BAG SYS, COMB
VENT URIN LEG BAG SYS, COMB
URINARY LEG BAG PACK-MEDIUM
URINARY LEG BAG PACK-STNDRD
URINARY LEG BAG 4-PK MEDIUM
URINARY LEGBAG 4PK STANDARD
VENTED URINARY LEG BAG SYS
VENTED URINARY LEG BAG SYS
BEDSIDE DRAIN COLLECT SYS
URI-DRAIN COMBINATION KIT
LIVOSTIN 0.05% EYE DROPS
LEVITRA 10 MG TABLET
LEVITRA 20 MG TABLET
LEVITRA 20 MG TABLET
LEVITRA 20 MG TABLET
LEVITRA 20 MG TABLET
LEVITRA 5 MG TABLET
LIVOSTIN 0.05% EYE DROPS
LEVITRA 20 MG TABLET
LEVITRA 20 MG TABLET
LEVITRA 20 MG TABLET
LEVITRA 20 MG TABLET
LEVITRA 20 MG TABLET
LEVITRA 20 MG TABLET
LEVITRA 10 MG TABLET
LEVITRA 10 MG TABLET
LEVITRA 10 MG TABLET
LEVITRA 10 MG TABLET
LIVOSTIN 0.05% EYE DROPS
LIVOSTIN 0.05% EYE DROPS
LEVITRA 20 MG TABLET
TETANUS TOXOID ADSORBED VL
CIPRO XR 1,000 MG TABLET
CIPRO XR 1,000 MG TABLET
CIPRO XR 1,000 MG TABLET

DOSE FORM DRUG STRENGTH


SN
SN
QA
TA
HS
QA
TA
TA
TA
TA
TA
TA
TA
TA
TA
SN
ZD
ZD
ZD
ZD
ZD
ZD
ZD
ZD
ZD
ZD
ZD
ZD
SN
TA
TA
TA
TA
TA
TA
SN
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
SN
SN
TA
HV
TI
TI
TI

UNIT PRICE
$
4.00
$
4.00
$
4.01
$
4.01
$
4.01
$
4.01
$
4.01
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.02
$
4.04
$
4.04
$
4.04
$
4.04

NDC
00074153921
00074153931
00074677701
00085177801
00085177802
00085177803
00281111231
00338086960
08026463200
10019010346
38779147903
38779147904
38779147905
49281080083
54868504400
54868504401
54868504402
54868504403
00074154001
00004691106
00004691206
00065034510
00703208403
00703208503
10019032101
10019032102
55390009210
55390009310
60505066701
60505066702
63323042405
63323042410
00005927029
00078011022
00115212214
00555070284
08080182400
08080602100
08219182400
08219602100
10356002035
10356045553
49756104360
59366282904
60432014050
00002841101
00074338031
00074338032
00074338035
00074338049
00074338050
00074338051
00641114133

NAME
LORAZEPAM 4 MG/ML CARPUJECT
LORAZEPAM 4 MG/ML CARPUJECT
LORAZEPAM 4 MG/ML HYPAK SYRN
CIPRO XR 1,000 MG TABLET
CIPRO XR 1,000 MG TABLET
CIPRO XR 1,000 MG TABLET
DILOR 250 MG/ML AMPUL
CERNEVIT MULTIVITAMIN VIAL
OPSITE FLEXIGRID DRESSING
ATIVAN 4 MG/ML TUBEX SYRINGE
OXYPHENCYCLIMINE HCL POWDER
OXYPHENCYCLIMINE HCL POWDER
OXYPHENCYCLIMINE HCL POWDER
TETANUS TOXOID ADSORBED VL
CIPRO XR 1,000 MG TABLET
CIPRO XR 1,000 MG TABLET
CIPRO XR 1,000 MG TABLET
CIPRO XR 1,000 MG TABLET
LUMINAL SODIUM 130 MG/ML AMP
ROMAZICON 0.1 MG/ML VIAL
ROMAZICON 0.1 MG/ML VIAL
ALOMIDE 0.1% EYE DROPS
FLUMAZENIL 0.1 MG/ML VIAL
FLUMAZENIL 0.1 MG/ML VIAL
FLUMAZENIL 0.1 MG/ML VIAL
FLUMAZENIL 0.1 MG/ML VIAL
FLUMAZENIL 0.1 MG/ML VIAL
FLUMAZENIL 0.1 MG/ML VIAL
FLUMAZENIL 0.1 MG/ML VIAL
FLUMAZENIL 0.1 MG/ML VIAL
FLUMAZENIL 0.1 MG/ML VIAL
FLUMAZENIL 0.1 MG/ML VIAL
DECLOMYCIN 300 MG TABLET
SANDIMMUNE 100 MG/ML SOLN
DEMECLOCYCLINE 300 MG TABLET
DEMECLOCYCLINE 300 MG TABLET
CURITY GAUZE BANDAGE ROLL
CURITY GAUZE BANDAGE ROLL
CURITY GAUZE BANDAGE ROLL
CURITY GAUZE BANDAGE ROLL
COVER-ROLL ADHESIVE GAUZE
COVER-ROLL STRETCH BANDAGE
DRY GAUZE BANDAGE ROLL
DEMECLOCYCLINE 300 MG TABLET
CYCLOSPORINE 100 MG/ML SOLN
ILETIN II PORK LEN 100 UNITS/M
SUFENTANIL 50 MCG/ML AMPUL
SUFENTANIL 50 MCG/ML AMPUL
SUFENTANIL 50 MCG/ML AMPUL
SUFENTANIL 50 MCG/ML AMPUL
SUFENTANIL 50 MCG/ML AMPUL
SUFENTANIL 50 MCG/ML AMPUL
SUFENTANIL 50 MCG/ML AMPUL

DOSE FORM DRUG STRENGTH


HQ
HQ
HQ
TI
TA
TA
HH
HS
YE
HQ
PA
PA
PA
HV
TI
TI
TI
TI
HH
HV
HV
SO
HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
TA
SJ
TA
TA
YE
YE
YE
YE
YE
YE
YE
TA
SJ
HV
HH
HH
HH
HH
HH
HH
HH

UNIT PRICE
$
4.04
$
4.04
$
4.04
$
4.04
$
4.04
$
4.04
$
4.04
$
4.04
$
4.04
$
4.04
$
4.04
$
4.04
$
4.04
$
4.04
$
4.04
$
4.04
$
4.04
$
4.04
$
4.05
$
4.06
$
4.06
$
4.06
$
4.06
$
4.06
$
4.06
$
4.06
$
4.06
$
4.06
$
4.06
$
4.06
$
4.06
$
4.06
$
4.07
$
4.07
$
4.07
$
4.07
$
4.07
$
4.07
$
4.07
$
4.07
$
4.07
$
4.07
$
4.07
$
4.07
$
4.07
$
4.08
$
4.08
$
4.08
$
4.08
$
4.08
$
4.08
$
4.08
$
4.08

NDC
00641114233
00641114333
00904437203
10019005006
10019005021
10019005043
11098005001
11098005002
11098005005
49326011510
51234010110
40565012196
50484034300
00173073800
11098050502
49756046505
49756046512
49756046516
60505072602
00023921805
54868479700
63481036805
08333563801
54868494400
54868494401
64365050802
00004080085
00074669501
00074669502
49999029810
54569488800
54868447600
55390005301
55390076210
55390076320
55390082401
57866800201
59081005550
61703041050
68030800201
76300010624
76300010724
76300013324
76300030624
76300030724
50458032528
54569468700
54868432700
55860007640
63395010105
63395010110
81317050160
00187320210

NAME
SUFENTANIL 50 MCG/ML AMPUL
SUFENTANIL 50 MCG/ML AMPUL
MAJOR COMFORT WRAP 3" BAND
SUFENTANIL 50 MCG/ML AMPUL
SUFENTANIL 50 MCG/ML AMPUL
SUFENTANIL 50 MCG/ML AMPUL
SUFENTA 50 MCG/ML AMPUL
SUFENTA 50 MCG/ML AMPUL
SUFENTA 50 MCG/ML AMPUL
NEURO-B12 FORTE NR VIAL
NERVIDOX-6 NR VIAL
SECURA SKIN CARE KIT
SECURA SKIN CARE KIT
LOTRONEX 0.5 MG TABLET
CAFF/SOD BENZOATE 500 MG AMP
AQUASORB HYDROGEL WOUND DRS
AQUASORB BORDER WOUND DRESS
AQUASORB HYDROGEL WOUND DRS
KETOROLAC 60 MG/2 ML SYRINGE
ZYMAR 0.3% EYE DROPS
ZYMAR 0.3% EYE DROPS
NARCAN 1 MG/ML VIAL
TEGAPORE 3"X8" DRESSING
AVINZA 120 MG CAPSULE
AVINZA 120 MG CAPSULE
AVINZA 120 MG CAPSULE
TAMIFLU 75 MG GELCAP
AMIDATE 2 MG/ML VIAL
AMIDATE 2 MG/ML VIAL
TAMIFLU 75 MG GELCAP
TAMIFLU 75 MG GELCAP
TAMIFLU 75 MG GELCAP
LEUCOVORIN CALCIUM 200 MG VL
ETOMIDATE 2 MG/ML VIAL
ETOMIDATE 2 MG/ML VIAL
LEUCOVORIN CALCIUM 200 MG VL
TAMIFLU 75 MG GELCAP
SPARKLES GRANULES EFF PCKT
LEUCOVORIN CALCIUM 200 MG VL
TAMIFLU 75 MG GELCAP
POLYFIN INFUSION SET
POLYFIN INFUSION SET
POLYFIN INFUSION SET
POLYFIN INFUSION SET W/WING
POLYFIN INFUSION SET
RISPERDAL 2 MG M-TAB
FLOXIN 0.3% EAR DROPS
FLOXIN 0.3% EAR DROPS
ALLEVYN DRESSING 3 1/2"X3 1/2"
FLOXIN 0.3% EAR DROPS
FLOXIN 0.3% EAR DROPS
MOUNTING RING
EFUDEX 2% SOLUTION

DOSE FORM DRUG STRENGTH


HH
HH
YE
HH
HH
HH
HH
HH
HH
HV
HV
ZD
ZD
TA
HH
YE
YE
YE
HQ
SO
SO
HV
YE
CM
CM
CM
CA
HV
HV
CA
CA
CA
HS
HV
HV
HS
CA
PP
HS
CA
YQ
YQ
YQ
YQ
YQ
UL
SO
SO
YE
SO
SO
EA
SA

UNIT PRICE
$
4.08
$
4.08
$
4.08
$
4.08
$
4.08
$
4.08
$
4.08
$
4.08
$
4.08
$
4.08
$
4.08
$
4.09
$
4.09
$
4.12
$
4.12
$
4.12
$
4.12
$
4.12
$
4.12
$
4.13
$
4.13
$
4.14
$
4.15
$
4.15
$
4.15
$
4.15
$
4.16
$
4.16
$
4.16
$
4.16
$
4.16
$
4.16
$
4.16
$
4.16
$
4.16
$
4.16
$
4.16
$
4.16
$
4.16
$
4.16
$
4.16
$
4.16
$
4.16
$
4.16
$
4.16
$
4.17
$
4.17
$
4.17
$
4.17
$
4.17
$
4.17
$
4.18
$
4.19

NDC
51672406201
00186151270
00186151271
00447002009
38673000408
52268070001
00574045005
00574045010
17317071901
17317071907
38779001101
38779001103
38779001104
38779001105
39822530005
49452790001
49452790002
49452790003
49452790004
51552003301
51552003303
51927132600
63370030015
63370030020
63370030025
63370030035
00007507103
00009031503
54868419700
63713001972
54868380600
00009023301
00132021001
00173066100
00173066101
00574020001
00641236641
08225007002
08225007003
08225007005
08225007202
08225007203
08225007205
08225007290
08290207340
08290207341
08290207342
08290207343
08290207347
08290207348
08380094064
08380094084
39822025505

NAME
FLUOROURACIL 2% SOLUTION
EMLA ANESTHETIC DISC
EMLA ANESTHETIC DISC
TEM-CON DIGITAL CLIN THERM
ELECTRONIC THERMOMETER
GOLYTELY PACKET
TRIAMCINOLONE POWDER
TRIAMCINOLONE POWDER
TRIAMCINOLONE ACETONIDE PWD
TRIAMCINOLONE ACETONIDE PWD
TRIAMCINOLONE ACETONIDE PWD
TRIAMCINOLONE ACETONIDE PWD
TRIAMCINOLONE ACETONIDE PWD
TRIAMCINOLONE ACETONIDE PWD
TRIAMCINOLONE ACETONIDE POWD
TRIAMCINOLONE ACETONIDE PWD
TRIAMCINOLONE ACETONIDE PWD
TRIAMCINOLONE ACETONIDE PWD
TRIAMCINOLONE ACETONIDE PWD
TRIAMCINOLONE ACETONIDE PWD
TRIAMCINOLONE ACETONIDE PWD
TRIAMCINOLONE ACETONIDE PWD
TRIAMCINOLONE ACETONIDE POW
TRIAMCINOLONE ACETONIDE POW
TRIAMCINOLONE ACETONIDE POW
TRIAMCINOLONE ACETONIDE POW
THORAZINE 100 MG SUPPOSITORY
GELFOAM 12/7MM SPONGE
GELFOAM 12/7MM SPONGE
SURGIFOAM SPONGE SIZE 12-7
AQUA-MEPHYTON 10 MG/ML VIAL
BACITRACIN STER POWD 50M UNITS
FLEET PREP KIT #2
ZIAGEN 300 MG TABLET
ZIAGEN 300 MG TABLET
BACITRACIN STRL 50,000 UNITS V
HYDROCORTISONE SS 250 MG VL
ATHLETIC SUPPORTER,SWIMMERS
ATHLETIC SUPPORTER,SWIMMERS
ATHLETIC SUPPORTER,SWIMMERS
ATHLETIC SUPPORTER-SMALL
ATHLETIC SUPPORTER-MEDIUM
ATHLETIC SUPPORTER-LARGE
ATHLETIC SUPPORTER-YOUTH
ACE ATHLETIC SUPP ADULT SM
ACE ATHLETIC SUPP ADULT MED
ACE ATHLETIC SUPP ADULT LG
ACE ATHLETIC SUPP YOUTH SM
ACE CUP SUPPORTER YOUTH
ACE CUP SUPPORTER ADULT
ADVANCE PLUS INTER CATHETER
ADVANCE PLUS INTER CATHETER
BACI-IM 50,000 UNITS VIAL

DOSE FORM DRUG STRENGTH


SA
PS
PS
YK
YK
PP
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
QA
YV
YV
YV
HV
HS
YK
TA
TA
HS
HS
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
ZD
ZD
HS

UNIT PRICE
$
4.19
$
4.20
$
4.20
$
4.20
$
4.20
$
4.20
$
4.21
$
4.21
$
4.21
$
4.21
$
4.21
$
4.21
$
4.21
$
4.21
$
4.21
$
4.21
$
4.21
$
4.21
$
4.21
$
4.21
$
4.21
$
4.21
$
4.21
$
4.21
$
4.21
$
4.21
$
4.23
$
4.23
$
4.23
$
4.23
$
4.24
$
4.25
$
4.25
$
4.25
$
4.25
$
4.25
$
4.25
$
4.25
$
4.25
$
4.25
$
4.25
$
4.25
$
4.25
$
4.25
$
4.25
$
4.25
$
4.25
$
4.25
$
4.25
$
4.25
$
4.25
$
4.25
$
4.25

NDC
39822027702
39822027705
54569488300
54868452200
63323032930
00187065042
00006778064
00006778066
00074915801
00264921550
00264921650
00264940994
38779024003
38779024004
38779024005
51927219700
51927317800
63323025402
63323025410
00002312542
00069306030
00069306075
00069306086
49999009606
54569449700
54569452200
54569452201
54569452202
54868418300
54868464400
54868464401
55045249206
55289031004
55289031006
55289031014
55887093306
57866044607
57866906601
57866906602
57866906603
57866906604
58016039100
58016039101
58016039106
58016039110
58016039115
58016039118
58016039120
58016039128
58016039130
58016039160
58016039190
58864065504

NAME
BAC-IM STRL 50,000 UNITS VIAL
BAC-IM STRL 50,000 UNITS VIAL
ZIAGEN 300 MG TABLET
ZIAGEN 300 MG TABLET
BACITRACIN 50,000 UNITS VIAL
OXSORALEN-ULTRA 10 MG CAP
AQUA-MEPHYTON 10 MG/ML AMPUL
AQUA-MEPHYTON 10 MG/ML AMPUL
VITAMIN K 10 MG/ML AMPUL
BARD MICROBORE EXTENSION ST
BARD MICROBORE EXTENSION ST
BD MICROBORE EXTENSION SET
MINOCYCLINE HCL POWDER
MINOCYCLINE HCL POWDER
MINOCYCLINE HCL POWDER
MINOCYCLINE HCL POWDER
TRANILAST POWDER
MURI-LUBE MINERAL OIL VIAL
MURI-LUBE MINERAL OIL VIAL
VANCOCIN HCL 125 MG PULVULE
ZITHROMAX 250 MG TABLET
ZITHROMAX 250 MG Z-PAK TAB
ZITHROMAX 250 MG TABLET
ZITHROMAX 250 MG TABLET
ZITHROMAX 250 MG Z-PAK TAB
ZITHROMAX 250 MG TABLET
ZITHROMAX 250 MG TABLET
ZITHROMAX 250 MG TABLET
ZITHROMAX 250 MG Z-PAK TAB
ZITHROMAX 250 MG TABLET
ZITHROMAX 250 MG TABLET
ZITHROMAX 250 MG Z-PAK TAB
ZITHROMAX 250 MG TABLET
ZITHROMAX 250 MG TABLET
ZITHROMAX 250 MG TABLET
ZITHROMAX 250 MG Z-PAK TAB
ZITHROMAX 250 MG Z-PAK TAB
ZITHROMAX 250 MG TABLET
ZITHROMAX 250 MG TABLET
ZITHROMAX 250 MG TABLET
ZITHROMAX 250 MG TABLET
ZITHROMAX 250 MG TABLET
ZITHROMAX 250 MG Z-PAK TAB
ZITHROMAX 250 MG Z-PAK TAB
ZITHROMAX 250 MG TABLET
ZITHROMAX 250 MG TABLET
ZITHROMAX 250 MG TABLET
ZITHROMAX 250 MG TABLET
ZITHROMAX 250 MG TABLET
ZITHROMAX 250 MG TABLET
ZITHROMAX 250 MG TABLET
ZITHROMAX 250 MG TABLET
ZITHROMAX 250 MG TABLET

DOSE FORM DRUG STRENGTH


HS
HS
TA
TA
HS
CA
HH
HH
HH
EA
EA
EA
PA
PA
PA
PA
PA
HV
HV
CA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
4.25
$
4.25
$
4.25
$
4.25
$
4.25
$
4.26
$
4.27
$
4.27
$
4.27
$
4.27
$
4.27
$
4.27
$
4.28
$
4.28
$
4.28
$
4.28
$
4.28
$
4.28
$
4.28
$
4.29
$
4.29
$
4.29
$
4.29
$
4.29
$
4.29
$
4.29
$
4.29
$
4.29
$
4.29
$
4.29
$
4.29
$
4.29
$
4.29
$
4.29
$
4.29
$
4.29
$
4.29
$
4.29
$
4.29
$
4.29
$
4.29
$
4.29
$
4.29
$
4.29
$
4.29
$
4.29
$
4.29
$
4.29
$
4.29
$
4.29
$
4.29
$
4.29
$
4.29

NDC
58864065506
58864065514
58864079106
66116070306
66267092806
68030044607
68030906601
68030906603
68115036404
68115093106
00003401911
00003401912
00003401913
00003401914
00025550101
00051165102
00051165132
00074194101
00074194111
00247086607
00247086620
00187355510
00469722102
12496130602
55056040601
00002411604
00002411633
00002411660
00093003301
00115164401
00496080506
54868398600
54868398601
59011010710
59011010725
68115079460
00074180001
00409180001
08011177994
56091002492
00004017202
00015356302
00015356303
00054002511
00075150543
00085124801
00085124802
00247064305
00247064306
00247064307
00247064308
00247064309
00247064310

NAME
ZITHROMAX 250 MG TABLET
ZITHROMAX 250 MG TABLET
ZITHROMAX 250 MG TABLET
ZITHROMAX 250 MG Z-PAK
ZITHROMAX 250 MG TABLET
ZITHROMAX 250 MG Z-PAK TAB
ZITHROMAX 250 MG TABLET
ZITHROMAX 250 MG TABLET
ZITHROMAX 250 MG TABLET
ZITHROMAX 250 MG TABLET
SUR-FIT NATURA IRRIG SLEEVE
SUR-FIT NATURA IRRIG SLEEVE
SUR-FIT NATURA IRRIG SLEEVE
SUR-FIT NATURA IRRIG SLEEVE
MAXAQUIN 400 MG TABLET
MAXAQUIN 400 MG TABLET
MAXAQUIN 400 MG TABLET
TALWIN 30 MG/ML AMPUL
TALWIN 30 MG/ML AMPUL
MAXAQUIN 400 MG TABLET
MAXAQUIN 400 MG TABLET
ANCOBON 500 MG CAPSULE
CEFIZOX 2 GM IN D5W 50 ML
SUBOXONE 8 MG-2 MG TABLET
PROCHIEVE 4% GEL
ZYPREXA 7.5 MG TABLET
ZYPREXA 7.5 MG TABLET
ZYPREXA 7.5 MG TABLET
OXYCODONE HCL ER 80 MG TAB
OXYCODONE HCL ER 80 MG TAB
TOPICLUDE DRESSING 3"X9"
OXYCONTIN 80 MG TABLET SA
OXYCONTIN 80 MG TABLET SA
OXYCONTIN 80 MG TABLET SA
OXYCONTIN 80 MG TABLET SA
ZYPREXA 7.5 MG TABLET
NEO-SYNEPHRINE 10 MG/ML AMP
NEO-SYNEPHRINE 10 MG/ML AMP
ALGIDERM WOUND PACKING
ALGOSTERIL DRESSING
LARIAM 250 MG TABLET
MESNEX 100 MG/ML VIAL
MESNEX 100 MG/ML VIAL
MEFLOQUINE HCL 250 MG TABLET
NASACORT NASAL INHALER
TEMODAR 5 MG CAPSULE
TEMODAR 5 MG CAPSULE
LARIAM 250 MG TABLET
LARIAM 250 MG TABLET
LARIAM 250 MG TABLET
LARIAM 250 MG TABLET
LARIAM 250 MG TABLET
LARIAM 250 MG TABLET

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
EA
EA
EA
EA
TA
TA
TA
HH
HH
TA
TA
CA
HK
TU
JU
TA
TA
TA
TM
TM
YE
TM
TM
TM
TM
TA
HH
HH
YE
YE
TA
HV
HV
TA
AJ
CA
CA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
4.29
$
4.29
$
4.29
$
4.29
$
4.29
$
4.29
$
4.29
$
4.29
$
4.29
$
4.29
$
4.30
$
4.30
$
4.30
$
4.30
$
4.30
$
4.30
$
4.30
$
4.30
$
4.30
$
4.30
$
4.30
$
4.31
$
4.31
$
4.31
$
4.31
$
4.32
$
4.32
$
4.32
$
4.32
$
4.32
$
4.32
$
4.32
$
4.32
$
4.32
$
4.32
$
4.32
$
4.33
$
4.33
$
4.33
$
4.33
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34

NDC
00247064311
00247064312
00247064313
00247064314
00247064315
00247064320
00247064325
00555017178
00703480503
00781507686
08026118438
10019095301
10019095302
40565011844
49756046103
52959058300
54569296500
54569296502
54569296503
54569296504
54569296505
54569540701
54569540702
54868216301
54868317800
55289078005
55390004501
57866125503
57866907401
63323073310
63323073311
63323073312
68030907401
08219111400
00145098205
00023917705
00023917710
00023917715
00067434504
00067434624
10019055301
10019055302
10019055388
54569543000
54868280301
54868469000
54868469001
54868469002
58016456601
00074335101
00074624103
00074641801
00074742501

NAME
LARIAM 250 MG TABLET
LARIAM 250 MG TABLET
LARIAM 250 MG TABLET
LARIAM 250 MG TABLET
LARIAM 250 MG TABLET
LARIAM 250 MG TABLET
LARIAM 250 MG TABLET
MEFLOQUINE HCL 250 MG TABLET
MESNA 100 MG/ML VIAL
MEFLOQUINE HCL 250 MG TABLET
EXU-DRY WOUND DRESS 9"X15"
MESNA 100 MG/ML VIAL
MESNA 100 MG/ML VIAL
EXU-DRY WOUND DRESS 9"X15"
SOFSORB WOUND DRESS 9"X15"
LARIAM 250 MG TABLET
LARIAM 250 MG TABLET
LARIAM 250 MG TABLET
LARIAM 250 MG TABLET
LARIAM 250 MG TABLET
LARIAM 250 MG TABLET
MEFLOQUINE HCL 250 MG TABLET
MEFLOQUINE HCL 250 MG TABLET
NASACORT NASAL INHALER
LARIAM 250 MG TABLET
LARIAM 250 MG TABLET
MESNA 100 MG/ML VIAL
NASACORT NASAL INHALER
LARIAM 250 MG TABLET
MESNA 100 MG/ML VIAL
MESNA 100 MG/ML VIAL
MESNA 100 MG/ML VIAL
LARIAM 250 MG TABLET
TELFA CLEAR WOUND DRESSING
PANOXYL 5 BAR
ALPHAGAN P 0.15% EYE DROPS
ALPHAGAN P 0.15% EYE DROPS
ALPHAGAN P 0.15% EYE DROPS
TRANSDERM-SCOP 1.5 MG/72HR
TRANSDERM-SCOP 1.5 MG/72HR
TRANSDERM-SCOP 1.5 MG/72HR
TRANSDERM-SCOP 1.5 MG/72HR
TRANSDERM-SCOP 1.5 MG/72HR
ALPHAGAN P 0.15% EYE DROPS
TRANSDERM-SCOP 1.5 MG/72HR
ALPHAGAN P 0.15% EYE DROPS
ALPHAGAN P 0.15% EYE DROPS
ALPHAGAN P 0.15% EYE DROPS
ALPHAGAN P 0.15% EYE DROPS
PENTOTHAL 250 MG DISP SYRINGE
PENTOTHAL 250 MG SYRINGE
PENTOTHAL 250 MG SYRINGE
PENTOTHAL 250 MG DISP SYRING

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
HV
TA
YE
HV
HV
YE
YE
TA
TA
TA
TA
TA
TA
TA
TA
AJ
TA
TA
HV
AJ
TA
HV
HV
HV
TA
YE
EB
SO
SO
SO
PR
PR
PR
PR
PR
SO
PR
SO
SO
SO
SO
HX
HX
HX
HX

UNIT PRICE
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.34
$
4.35
$
4.36
$
4.37
$
4.37
$
4.37
$
4.37
$
4.37
$
4.37
$
4.37
$
4.37
$
4.37
$
4.37
$
4.37
$
4.37
$
4.37
$
4.37
$
4.39
$
4.39
$
4.39
$
4.39

NDC
00264921750
00264921950
00264922050
00264940894
00264941091
00264943650
00264943750
08219783300
56091008757
00074281401
00074281601
00074281602
00074281700
00264906112
00264928440
70074055381
08021050557
11822315930
11822452780
38779000603
38779000604
38779000605
49452275001
49452275002
50419018801
50419018802
50419018805
50419018810
50419018811
50419018815
50419018858
50428144652
51552045405
51927168300
52735036436
82468012922
00074174903
54868334500
59011031260
00019550508
00019550510
00019550521
00015303020
00026285548
00026285570
00469725201
10157103101
38779048803
38779048804
38779048805
38779048806
49452005601
49452005602

NAME
BARD MICROBORE EXTENSION ST
BARD MICROBORE EXTENSION ST
BARD MICROBORE EXTENSION ST
BD MICROBORE EXTENSION SET
BD MICROBORE EXTENSION SET
BD MICROBORE EXTN ST/NEEDLE
BARD MICROBORE EXTENSION ST
CURITY IODOFORM PACKING STRP
NU-GAUZE PACK STRIPS
FAULTLESS WATER BOTTLE
FAULTLESS WATER BOTTLE
GOODHEALTH WATER BOTTLE
ROSS BABY WATER BOTTLE
EVAC IV CONT/GLASS TUBE 0.5L
MCGAW MIXING CONT 500 ML
FLEXITAINER CONTAINER
THINSITE 2" X 8" DRESSING
RA SELFGRIP BANDAGE 4"X66"
RA LICE EGG REMOVER GEL KIT
CLINDAMYCIN PHOSPHATE POWDR
CLINDAMYCIN PHOSPHATE POWDR
CLINDAMYCIN PHOSPHATE POWDR
EPINEPHRINE BITARTRATE POWD
EPINEPHRINE BITARTRATE POWD
MAGNEVIST VIAL
MAGNEVIST VIAL
MAGNEVIST VIAL
MAGNEVIST VIAL
MAGNEVIST PBP
MAGNEVIST VIAL
MAGNEVIST PBP
CVS LICE EGG REMOVER GEL KT
EPINEPHRINE BITARTRATE POWD
CLINDAMYCIN PHOSPHATE POWDR
FP LICE EGG REMOVER GEL KIT
FP LICE EGG REMOVERGEL KIT
MARCAINE W/EPI 0.5%/0.0005
PALLADONE 12 MG CAPSULE
PALLADONE 12 MG CAPSULE
HEXABRIX 39.3/19.6 BOTTLE
HEXABRIX 39.3/19.6 BOTTLE
HEXABRIX 39.3/19.6 BOTTLE
CEENU 10 MG CAPSULE
NIMOTOP 30 MG CAPSULE
NIMOTOP 30 MG CAPSULE
CEFIZOX 1 GM PIGGYBACK
STRI-DEX DAY/NIGHT COMBO PK
CAPTOPRIL POWDER
CAPTOPRIL POWDER
CAPTOPRIL POWDER
CAPTOPRIL POWDER
CAPTOPRIL POWDER
CAPTOPRIL POWDER

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
YE
YE
ZA
ZA
ZA
ZA
ZC
ZC
ZC
YE
YE
YK
PA
PA
PA
PA
PA
VI
VI
VI
VI
HP
VI
HP
YK
PA
PA
YK
YK
HH
CP
CP
HB
HB
HB
CA
CA
CA
HN
ZD
PA
PA
PA
PA
PA
PA

UNIT PRICE
$
4.39
$
4.39
$
4.39
$
4.39
$
4.39
$
4.39
$
4.39
$
4.39
$
4.39
$
4.40
$
4.40
$
4.40
$
4.40
$
4.40
$
4.40
$
4.40
$
4.41
$
4.41
$
4.41
$
4.41
$
4.41
$
4.41
$
4.41
$
4.41
$
4.41
$
4.41
$
4.41
$
4.41
$
4.41
$
4.41
$
4.41
$
4.41
$
4.41
$
4.41
$
4.41
$
4.41
$
4.42
$
4.42
$
4.42
$
4.43
$
4.43
$
4.43
$
4.45
$
4.46
$
4.46
$
4.46
$
4.46
$
4.46
$
4.46
$
4.46
$
4.46
$
4.46
$
4.46

NDC
49452005603
51927290700
59310017780
62991102601
62991102602
62991102603
68115077507
00003410500
00003410501
00003651029
08380009959
09958008350
62794008675
62794008875
00078024915
54868415100
00023006604
00023031304
08219753400
38779002504
38779002505
49452317501
49452317502
49452317503
51927108500
52959027603
52959123600
54569086100
54868115700
58016642801
58016644501
00049317030
00703407519
55390013210
55390020401
55390060401
55390080710
63323073410
63323073435
00310020130
11298000234
11298000236
54868500000
00173045003
00173045900
00173046002
00173073500
00173073601
00173073602
00173073701
00173073702
00548907100
52959042209

NAME
CAPTOPRIL POWDER
CAPTOPRIL POWDER
QVAR 80 MCG INHALER
CAPTOPRIL POWDER
CAPTOPRIL POWDER
CAPTOPRIL POWDER
QVAR 80 MCG INHALER
DUODERM SIGNAL DRESSING
DUODERM SIGNAL DRESSING
COMBIDERM ACD DRESSING
RESTORE PLUS DRESSING
PRIMACOL SPECIALTY DRESSING
HYDROCOL SACRAL DRESSING
HYDROCOL II SACRAL DRESSING
FEMARA 2.5 MG TABLET
FEMARA 2.5 MG TABLET
PRED-G S.O.P. EYE OINTMENT
BLEPHAMIDE EYE OINTMENT
TELFA XTRA ISLAND DRESSING
FLUOROURACIL POWDER
FLUOROURACIL POWDER
FLUOROURACIL POWDER
FLUOROURACIL POWDER
FLUOROURACIL POWDER
FLUOROURACIL POWDER
BLEPHAMIDE EYE OINTMENT
BLEPHAMIDE EYE OINTMENT
BLEPHAMIDE EYE OINTMENT
BLEPHAMIDE EYE OINTMENT
BLEPHAMIDE EYE OINTMENT
PRED-G S.O.P. EYE OINT
VFEND 50 MG TABLET
PAMIDRONATE 30 MG/10 ML VIAL
CYTARABINE 500 MG VIAL
PAMIDRONATE 30 MG/10 ML VIAL
PAMIDRONATE 30 MG/10 ML VIAL
CYTARABINE 500 MG VIAL
PAMIDRONATE 30 MG/10 ML VIAL
OTN PAMIDRONATE 3 MG/ML VIAL
ARIMIDEX 1 MG TABLET
ILEOSTOMY PLASTIC POUCH
UROSTOMY PLASTIC POUCH
ARIMIDEX 1 MG TABLET
IMITREX 100 MG TABLET
IMITREX 50 MG TABLET
IMITREX 25 MG TABLET
IMITREX 25 MG TABLET
IMITREX 50 MG TABLET
IMITREX 50 MG TABLET
IMITREX 100 MG TABLET
IMITREX 100 MG TABLET
DUOCAINE 1%-0.375% VIAL
IMITREX 25 MG TABLET

DOSE FORM DRUG STRENGTH


PA
PA
AJ
PA
PA
PA
AJ
YE
YE
YE
YE
YE
YE
YE
TA
TA
OA
OA
YE
PA
PA
PA
PA
PA
PA
OA
OA
OA
OA
OA
OA
TA
HV
HS
HV
HV
HS
HV
HV
TA
EA
EA
TA
TA
TA
TA
TA
TA
TA
TA
TA
HV
TA

UNIT PRICE
$
4.46
$
4.46
$
4.46
$
4.46
$
4.46
$
4.46
$
4.46
$
4.47
$
4.47
$
4.47
$
4.47
$
4.47
$
4.47
$
4.47
$
4.48
$
4.48
$
4.49
$
4.49
$
4.49
$
4.49
$
4.49
$
4.49
$
4.49
$
4.49
$
4.49
$
4.49
$
4.49
$
4.49
$
4.49
$
4.49
$
4.49
$
4.50
$
4.50
$
4.50
$
4.50
$
4.50
$
4.50
$
4.50
$
4.50
$
4.51
$
4.51
$
4.51
$
4.51
$
4.52
$
4.52
$
4.52
$
4.52
$
4.52
$
4.52
$
4.52
$
4.52
$
4.52
$
4.52

NDC
52959047709
54569419100
54868377700
54868385200
54868511800
55045304009
55887044109
58016024609
58016557409
66288410001
68115069609
68115090709
00186107008
00264914950
54569524800
54868441101
11822314790
11822314810
11822314980
19458943501
19458943601
19458943701
28785060110
28785060310
28785060440
28785060710
28785060910
32252017600
32252017610
32252017620
32252017630
32252051400
32252059400
32252059620
32252060100
32252073480
32252074000
32252074780
32252074880
32252074980
32252075080
32252075180
32252075200
32252075680
32252076280
32252076380
32252076480
32252076500
32252076670
32252076820
32252079000
32252082700
32252085400

NAME
IMITREX 50 MG TABLET
IMITREX 50 MG TABLET
IMITREX 25 MG TABLET
IMITREX 50 MG TABLET
IMITREX 100 MG TABLET
IMITREX 50 MG TABLET
IMITREX 100 MG TABLET
IMITREX 25 MG TABLET
IMITREX 50 MG TABLET
CEFOXITIN 100 GM BULK BAG
IMITREX 50 MG TABLET
IMITREX 100 MG TABLET
RHINOCORT AQUA NASAL SPRAY
PLASMA TRANSFER SET
RHINOCORT AQUA NASAL SPRAY
RHINOCORT AQUA NASAL SPRAY
RA HEATING PAD,THERMAL DIAL
RA HEATING PAD, MOIST
RA HEATING PAD,LEVER CONTRL
ECK HEAT PAD MOIST
ECK HEAT PAD MOIST-DRY
ECK HEAT PAD STANDARD
DRY HEAT HEATING PAD HP110
DRY HEAT HEATING PAD HP310
MOIST & DRY HEAT PAD HP440
MOIST & DRY HEAT PAD HP710
MOIST & DRY HEAT PAD HP910
HEAT TO GO HEATING PAD
HEAT TO GO HEATNG PAD
HEAT TO GO HEATNG PAD
HEAT TO GO HEATNG PAD
HEATING PAD,STANDARD
HEATING PAD, HOT/COLD WRAP
HEATING PAD, HEAT WRAP
HEATING PAD, ARTHRO MUFF
HEATING PAD, STANDARD
HEATING PAD, FITTED HEAT
HEATING PAD, STANDARD
HEATING PAD, STANDARD
HEATING PAD, STANDARD
HEATING PAD, KING SIZE
HEATING PAD, KING SIZE
HEATING PAD, SINUS MASK
HEATING PAD, STANDARD
HEATING PAD, STANDARD
HEATING PAD, MOIST
HEATING PAD, KING SIZE
HEATING PAD, KING SIZE
HEATING PAD, KING SIZE
HEATING PAD, KING SIZE
HEATING PAD, SOFT TOUCH
HEATING PAD, MOIST
HEATING PAD, HOSPITAL SIZE

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
HL
TA
TA
BD
YQ
BD
BD
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
4.52
$
4.52
$
4.52
$
4.52
$
4.52
$
4.52
$
4.52
$
4.52
$
4.52
$
4.52
$
4.52
$
4.52
$
4.53
$
4.53
$
4.53
$
4.53
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54

NDC
40337000550
40337000560
40337000740
40337000750
40337000760
40337000770
49614050414
49614050614
52297069600
52297069700
52735035402
52735035502
52735035602
82468011815
82468011816
82468012954
87701047308
87701047309
87701047310
87701047311
87701047312
87701047313
00049001383
00074275600
00074281901
00074281902
00074282101
00074282102
10019063001
59911590102
63481076106
00078036815
00078036864
49999030821
49999030830
54569453401
68115040930
47682046303
47682046350
00469087120
00469087130
49756105126
00065035902
00065035905
00206882102
00052031510
00314061870
10106289400
10106289402
44087801003
49072012710
54868391000
54868499700

NAME
THERMOPHORE PACK STANDARD
THERMOPHORE PACK MEDIUM
THERMOPHORE PACK - MUFF
THERMOPHORE PACK ETL STD
THERMOPHORE PACK ETL MEDIUM
THERMOPHORE PACK PETITE
HEATING PAD
HEATING PAD
HM HEATING PAD
HM HEATING PAD
FP HEATING PAD, DRY
FP HEATING PAD
FP HEATING PAD
FP HEATING PAD, DRY
FP HEATING PAD
FP HEATING PAD
BL HEATING PAD, DRY
BL HEATING PAD, DRY/MOIST
BL HEATING PAD, DRY
BL HEATING PAD, DRY
BL HEATING PAD, DRY/MOIST
BL HEATING PAD, DRY/MOIST
UNASYN 1.5 GM VIAL
FAULTLESS SONATA DELUXE SYRN
FAULTLESS DELUXE BULB SYRINGE
SPECTRA FEMININE BULB SYRING
FAULTLESS BULB SYRINGE
GOODHEALTH FEMIN BULB SYRNG
AMPICILLIN-SULBACTAM 1.5 GM
AMPICILLIN/SULBACTAM 1.5 GM
NUMORPHAN 5 MG SUPPOSITORY
FAMVIR 500 MG TABLET
FAMVIR 500 MG TABLET
FAMVIR 500 MG TABLET
FAMVIR 500 MG TABLET
FAMVIR 500 MG TABLET
FAMVIR 500 MG TABLET
TROCAL COUGH LOZENGE
TROCAL COUGH LOZENGE
ADENOSCAN 3 MG/ML VIAL
ADENOSCAN 3 MG/ML VIAL
DRY BURN DRESSING,WIDE MESH
CYCLOMYDRIL EYE DROPS
CYCLOMYDRIL EYE DROPS
ZOSYN 3/0.375 GM PRE-MIX BAG
PREGNYL 10,000 UNITS VIAL
CHOREX-10 VIAL
PILOCARPINE NITRATE POWDER
PILOCARPINE NITRATE POWDER
PROFASI 10,000 UNITS VIAL
CHORIONIC GONAD 10,000 UNIT VL
PROFASI 10,000 UNITS VIAL
PREGNYL 10,000 UNITS VIAL

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
HS
ZA
ZA
ZA
ZA
ZA
HS
HS
QA
TA
TA
TA
TA
TA
TA
TL
TL
HV
HV
YE
SO
SO
HK
HS
HS
PA
PA
HS
HS
HS
HS

UNIT PRICE
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.54
$
4.56
$
4.56
$
4.56
$
4.56
$
4.56
$
4.56
$
4.56
$
4.56
$
4.56
$
4.58
$
4.58
$
4.58
$
4.58
$
4.58
$
4.58
$
4.59
$
4.59
$
4.61
$
4.61
$
4.61
$
4.62
$
4.62
$
4.62
$
4.64
$
4.64
$
4.64
$
4.64
$
4.64
$
4.64
$
4.64
$
4.64

NDC
55566150101
63323002510
00002751501
00002751559
00002751659
08333900030
70501009770
00185055030
00185055083
10147170003
10147170030
50458029001
50458029004
50458029028
54868370600
54868511700
08219611100
10023021302
10023022602
51234010402
51234010410
56091002001
00065853110
52959072510
54569472300
57866625201
58016871601
00008103004
00008103006
00008103105
00008103110
00002323130
00002323133
00002323330
00002323333
00025196130
53265035203
53265035210
00075245153
00703505103
00703505401
10356002041
10356045554
49756106360
54868388900
55566504001
00074445201
00074445249
00173095201
00548632800
00548635100
50419018836
50419018837

NAME
NOVAREL 10,000 UNITS VIAL
CHORIONIC GONAD 10,000 UNIT VL
HUMALOG 100 UNITS/ML CARTRIDGE
HUMALOG 100 UNITS/ML CARTRIDGE
HUMALOG 100 UNITS/ML CARTRIDGE
TEGASORB 5"X 6" DRESSING
NEUTROGENA SUNBLOCK STICK
ITRACONAZOLE 100 MG CAPSULE
ITRACONAZOLE 100 MG CAPSULE
ITRACONAZOLE 100 MG CAPSULE
ITRACONAZOLE 100MG CAP
SPORANOX 100 MG CAPSULE
SPORANOX 100 MG CAPSULE
SPORANOX 100 MG CAPSULE
SPORANOX 100 MG CAPSULE
SPORANOX 100 MG CAPSULE
CURITY NON-ADHERING DRESS
THIOCYL 50 MG/ML AMPUL
THIOCYL 50 MG/ML AMPUL
PIROSAL 50 MG/ML AMPUL
PIROSAL 50 MG/ML AMPUL
ADAPTIC DRESSING 1/2" X 4YD
CIPRO HC OTIC SUSPENSION
CIPRO HC OTIC SUSPENSION
CIPRO HC OTIC SUSPENSION
CIPRO HC OTIC SUSPENSION
CIPRO HC OTIC SUSPENSION
RAPAMUNE 1 MG/ML ORAL SOLN
RAPAMUNE 1 MG/ML ORAL SOLN
RAPAMUNE 1 MG TABLET
RAPAMUNE 1 MG TABLET
SYMBYAX 6-25 MG CAPSULE
SYMBYAX 6-25 MG CAPSULE
SYMBYAX 6-50 MG CAPSULE
SYMBYAX 6-50 MG CAPSULE
FLAGYL ER 750 MG TABLET SA
METRONIDAZOLE ER 750 MG TAB
METRONIDAZOLE ER 750 MG TAB
DDAVP 4 MCG/ML VIAL
DESMOPRESSIN AC 4 MCG/ML VL
DESMOPRESSIN AC 4 MCG/ML VL
COVER-ROLL ADHESIVE GAUZE
COVER-ROLL STRETCH BANDAGE
DRY GAUZE BANDAGE ROLL
DDAVP 4 MCG/ML VIAL
DESMOPRESSIN AC 4 MCG/ML VL
ACYCLOVIR SODIUM 1 GM VIAL
ACYCLOVIR SODIUM 1 GM VIAL
ZOVIRAX 1,000 MG VIAL
MORPHINE 25 MG/ML SYRINGE
MORPHINE 25 MG/ML SYRINGE
MAGNEVIST SYRINGE
MAGNEVIST SYRINGE

DOSE FORM DRUG STRENGTH


HS
HS
HJ
CA
HJ
YE
EH
CA
CA
CA
CA
CA
CA
CA
CA
CA
YE
HH
HH
HH
HH
YE
SN
SN
SN
SN
SN
SJ
SJ
TA
TA
CA
CA
CA
CA
TS
TS
TS
HV
HV
HV
YE
YE
YE
HV
HV
HS
HS
HS
HQ
HQ
DI
DI

UNIT PRICE
$
4.64
$
4.64
$
4.66
$
4.66
$
4.66
$
4.66
$
4.66
$
4.67
$
4.67
$
4.67
$
4.67
$
4.67
$
4.67
$
4.67
$
4.67
$
4.67
$
4.68
$
4.68
$
4.68
$
4.68
$
4.68
$
4.68
$
4.69
$
4.69
$
4.69
$
4.69
$
4.69
$
4.72
$
4.72
$
4.72
$
4.72
$
4.74
$
4.74
$
4.74
$
4.74
$
4.75
$
4.75
$
4.75
$
4.77
$
4.77
$
4.77
$
4.77
$
4.77
$
4.77
$
4.77
$
4.77
$
4.78
$
4.78
$
4.78
$
4.78
$
4.78
$
4.78
$
4.78

NDC
50419018838
55390061320
61703022471
61703022472
61703022480
00074192801
00074649202
00813009900
08884702005
08884702105
08884703600
08884704305
08884704805
08884712004
08884712100
08884713600
08884714300
08884714500
08884714800
08884714900
08884773600
70074050431
70074050607
70074050609
70074050611
70074050615
70074052043
70074052047
70074055390
70074055391
70074055392
00904437406
08225270602
08225270603
08225270605
08225272602
08225272603
08225272605
08225272606
38703004645
87701059477
00247089081
59417012020
67754012020
00049003183
11701083450
11701084540
58914050118
58914050156
00904437304
00003168212
00003168242
56091001955

NAME
MAGNEVIST SYRINGE
ACYCLOVIR SODIUM 1 GM VIAL
MORPHINE 25 MG/ML RAPI-JECT
MORPHINE 25 MG/ML RAPI-JECT
MORPHINE 25 MG/ML RAPI-JECT
ENTERAL SET W/CONTAINER
PLUM LC 5000 ENTERAL SET
O-CAL-ETTE NURSING CUP
KANGAROO 500 ML PUMP SET
KANGAROO 500 ML PUMP SET
KANGAROO 1,000 ML PUMP SET
KANGAROO 1,200 ML PUMP SET
KANGAROO 1,600 ML PUMP SET
KANGAROO 500 ML PUMP SET
KANGAROO 500 ML PUMP SET
KANGAROO 1,000 ML PUMP SET
KANGAROO 1,200 ML PUMP SET
KANGAROO 1,000 ML PUMP SET
KANGAROO 1,600 ML PUMP SET
KANGAROO 1,000 ML PUMP SET
KANGAROO 1,000 ML PUMP SET
FLEXIFLO BAG W/PUMP SET
FLEXIFLO TOP-FILL PUMP SET
FLEXIFLO TOP-FILL PUMP SET
FLEXIFLO TOPTAINER PUMP SET
FLEXIFLO TOPTAINER PUMP SET
FLEXIFLO TOP-FILL ENTRL BAG
FLEXIFLO TOPTAINER ENTRL BG
FLEXIFLO TOPTAINER PUMP SET
FLEXIFLO TOPTAINER PUMP SET
FLEXIFLO FEEDING BAG W/PUMP
MAJOR COMFORT WRAP 6" BAND
CERVICAL COLLAR-SMALL
CERVICAL COLLAR-MEDIUM
CERVICAL COLLAR-LARGE
CERVICAL SOFT COLLAR-SMALL
CERVICAL SOFT COLLAR-MED
CERVICAL SOFT COLLAR-LARGE
CERVICAL SOFT COLLAR-XLARGE
CERVICAL COLLAR-LARGE
BL CERVICAL COLLAR
CETAPRED 0.25% EYE OINT
ERGOMAR 2 MG TABLET SL
ERGOMAR 2 MG TABLET SL
UNASYN 1.5 GM ADD-VANTAGE VL
ASSURA FLANGE CONVEX
ASSURA FLANGE STANDARD
CANASA 1,000 MG SUPPOSITORY
CANASA 1,000 MG SUPPOSITORY
MAJOR COMFORT WRAP 4" BAND
KALTOSTAT DRESS 7.5CM X12CM
KALTOSTAT DRESS 7.5CM X12CM
SURGICEL HEMOSTAT 1/2" X 2"

DOSE FORM DRUG STRENGTH


DI
HS
HQ
HQ
HQ
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
YE
EA
EA
EA
EA
EA
EA
EA
EA
EA
OA
TU
TU
HS
EA
EA
QA
QA
YE
YE
YE
EA

UNIT PRICE
$
4.78
$
4.78
$
4.78
$
4.78
$
4.78
$
4.79
$
4.79
$
4.79
$
4.79
$
4.79
$
4.79
$
4.79
$
4.79
$
4.79
$
4.79
$
4.79
$
4.79
$
4.79
$
4.79
$
4.79
$
4.79
$
4.79
$
4.79
$
4.79
$
4.79
$
4.79
$
4.79
$
4.79
$
4.79
$
4.79
$
4.79
$
4.80
$
4.81
$
4.81
$
4.81
$
4.81
$
4.81
$
4.81
$
4.81
$
4.81
$
4.81
$
4.82
$
4.82
$
4.82
$
4.83
$
4.84
$
4.84
$
4.84
$
4.84
$
4.85
$
4.86
$
4.86
$
4.86

NDC
08219631500
08884432000
49756046503
63459050230
00009041701
00009041702
00591322379
54868021600
54868021601
54868361800
55045302902
66977020504
00062543701
00247051403
00472173803
08026597645
08195505501
54868043600
00045153005
00045153010
00045153020
00045153050
54868497100
58016097500
58016097530
58016097560
58016097590
62942010102
08026764000
08225220600
08225221600
08225222600
08225224600
08225227600
23601009750
23601023100
23601023200
23601023300
23601023401
23601033000
23601033005
23601033100
23601033105
23601033200
23601033205
23601033300
23601033305
23601033401
23601033450
23601033451
23601033500
23601033501
23601033550

NAME
XEROFORM PETROLATUM DRESS
XEROFORM PETROLATUM DRESS
AQUASORB HYDROGEL WOUND DRS
ACTIQ 200 MCG LOZENGE
DEPO-TESTOSTERONE 200 MG/ML
DEPO-TESTOSTERONE 200 MG/ML
TESTOSTERONE CYP 200 MG/ML
DEPO-TESTOSTERONE 200 MG/ML
DEPO-TESTOSTERONE 200 MG/ML
TESTOSTERONE CYP 200 MG/ML
DEPO-TESTOSTERONE 200 MG/ML
ORAMAGIC PATCH
MONISTAT 3 200 MG VAG SUPP
MONISTAT 3 200 MG VAG SUPP
MICONAZOLE 3 200 MG VAG SUPP
ALLEVYN ISLAND DRESS 5"X5"
POLYMEM 5"X 5" DRESSING
MONISTAT 3 200 MG VAG SUPP
LEVAQUIN 750 MG LEVA-PAK TAB
LEVAQUIN 750 MG TABLET
LEVAQUIN 750 MG TABLET
LEVAQUIN 750 MG TABLET
LEVAQUIN 750 MG TABLET
LEVAQUIN 750 MG TABLET
LEVAQUIN 750 MG TABLET
LEVAQUIN 750 MG TABLET
LEVAQUIN 750 MG TABLET
DEBACTEROL SWABSTICK
ALLEVYN TRACHEOSTOMY DRESS
CRUTCH-WOOD, ADULT
CRUTCH-WOOD, MEDIUM
CRUTCH-WOOD, YOUTH
CRUTCH-ALUMINUM, ADULT
CRUTCH-FOREARM, ADULT
CRUTCH,TALL ADULT 52"-60"
CRUTCH,TALL ADULT 52"-60"
CRUTCH,ADULT 44"-52"
CRUTCH,YOUTH 37"-45"
UNIVERSAL CRUTCH 46"-60"
CRUTCH,ADULT 48"-60"
CRUTCH,ADULT 48"-60"
CRUTCH,MEDIUM 42"-52"
CRUTCH,MEDIUM 42"-52"
CRUTCH,CHILD 26"-33"
CRUTCH,CHILD 26"-33"
CRUTCH,YOUTH 34"-42"
CRUTCH,YOUTH 34"-42"
CRUTCH,TALL ADULT 54"-63"
CRUTCH,ALUMINUM 47"-56"
CRUTCH,ADULT 47"-56"
CRUTCH,ALUMINUM 39"-48"
CRUTCH,YOUTH 39"-48"
CRUTCH,ALUMINUM 31"-40"

DOSE FORM DRUG STRENGTH


YE
YE
YE
LP
HV
HV
HV
HV
HV
HV
HV
FI
QC
QC
QC
YE
YE
QC
TA
TA
TA
TA
TA
TA
TA
TA
TA
EL
YE
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
4.88
$
4.88
$
4.89
$
4.89
$
4.90
$
4.90
$
4.90
$
4.90
$
4.90
$
4.90
$
4.90
$
4.90
$
4.91
$
4.91
$
4.91
$
4.91
$
4.91
$
4.91
$
4.92
$
4.92
$
4.92
$
4.92
$
4.92
$
4.92
$
4.92
$
4.92
$
4.92
$
4.92
$
4.93
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94

NDC
23601033551
23601033600
23601033610
23601033620
23601033700
23601033710
23601033800
23601033810
23601033900
23601033910
38703000424
38703000425
38703000426
38703000427
38703000437
38703000438
38703003261
38703003265
38703004241
38703004251
38703004261
38703004271
00026063504
00026063512
00051002211
14362011502
52769011502
52769057622
52959060805
54569527500
54868413200
54868419300
58016095100
58016095130
58016095160
58016095190
58768010205
68115069225
00517104525
00703040402
00703040502
54482014701
55390013605
55390043605
08195585501
08195741201
49452622001
49452622002
55860150000
00009766304
55860004347
00407069005
00407069010

NAME
CRUTCH,CHILD 31"-40"
CRUTCH,ADULT 29"-35"
CRUTCH,ADULT 29"-35"
CRUTCH,ADULT 30"-40"
CRUTCH,TALL ADULT 35"-41"
CRUTCH,TALL ADULT 35"-41"
CRUTCH,JUNIOR 25"-30"
CRUTCH,JUNIOR 25"-30"
CRUTCH,CHILD 19"-26"
CRUTCH,CHILD 19"-26"
CRUTCH-WOOD,ADULT 48"-60"
CRUTCH-WOOD,YOUTH 34"-42"
CRUTCH-ALUMINUM, ADULT
CRUTCH-ALUMINUM, YOUTH
CRUTCH, FOREARM, ADULT
CRUTCH, FOREARM, YOUTH
CRUTCH-ALUMINUM, ADULT
CRUTCH-ALUMINUM, TALL
CRUTCH-WOOD,ADULT W/ARMPAD
CRUTCH-WOOD,YOUTH W/ARMPAD
CRUTCH-ALUM,ADULT,W/ARMPAD
CRUTCH-ALUM,YOUTH,W/ARMPAD
BAYGAM VIAL
BAYGAM VIAL
MARINOL 5 MG CAPSULE
IMMUNE GLOBULIN VIAL
IMMUNE GLOBULIN VIAL
IMMUNE GLOBULIN VIAL
ZADITOR 0.025% EYE DROPS
BAYGAM VIAL
ZADITOR 0.025% EYE DROPS
BAYGAM VIAL
MARINOL 5 MG CAPSULE
MARINOL 5 MG CAPSULE
MARINOL 5 MG CAPSULE
MARINOL 5 MG CAPSULE
ZADITOR 0.025% EYE DROPS
MARINOL 5 MG CAPSULE
LEVOCARNITINE 200 MG/ML VIAL
LEVOCARNITINE 200 MG/ML VIAL
LEVOCARNITINE 200 MG/ML VIAL
CARNITOR 1 GM/5 ML VIAL
LEVOCARNITINE 1 GM/5 ML VIAL
LEVOCARNITINE 200 MG/ML VIAL
POLYMEM 5"X5" DRESSING
POLYMEM 4"X12.5" DRESSING
RESERPINE POWDER
RESERPINE POWDER
ALGISITE 5"X5" DRESSING
AROMASIN 25 MG TABLET
TENSOPRESS BANDAGE 3"X3.2YDS
OMNISCAN 287 MG/ML VIAL
OMNISCAN 287 MG/ML VIAL

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
HV
HV
CA
HV
HV
HV
SO
HV
SO
HV
CA
CA
CA
CA
SO
CA
HV
HV
HV
HV
HV
HV
YE
YE
PA
PA
YE
TA
YE
HV
HV

UNIT PRICE
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.94
$
4.95
$
4.95
$
4.95
$
4.95
$
4.95
$
4.95
$
4.95
$
4.95
$
4.95
$
4.95
$
4.95
$
4.95
$
4.95
$
4.95
$
4.95
$
4.95
$
4.96
$
4.96
$
4.96
$
4.96
$
4.96
$
4.96
$
4.97
$
4.97
$
4.97
$
4.97
$
4.97
$
4.99
$
4.99
$
5.00
$
5.00

NDC
00407069015
00407069020
00407069030
00407069040
00407069050
00407069060
50458035001
50458035006
54868351500
56091005177
00469727101
49735011766
49735011780
00074421401
00074583101
00074644603
08021374000
10019007587
49452201101
49452201103
56091002440
56091005440
00003168214
00062543001
00062543002
00062543004
00062543005
00113008100
00113060500
00472731003
00904541501
00904569368
08011187992
08021050582
08219923800
08333901140
08333902140
08380009939
09958008270
10939038333
10939038433
10939080033
11822358240
12333098442
15127073103
19458961601
24385060502
24385060602
24385060714
35515095023
36800003436
37205058303
37205058903

NAME
OMNISCAN 287 MG/ML VIAL
OMNISCAN 287 MG/ML VIAL
OMNISCAN 287 MG/ML VIAL
OMNISCAN 287 MG/ML VIAL
OMNISCAN 287 MG/ML VIAL
OMNISCAN 287 MG/ML VIAL
RISPERDAL 4 MG TABLET
RISPERDAL 4 MG TABLET
RISPERDAL 4 MG TABLET
ELASTIKON ELASTIC TAPE
CEFIZOX 1 GM ADDVANTAGE VIAL
PEPDITE ONE+ POWDER PACKET
PEPDITE ONE+ POWDER PACKET
IN-LINE BURETT NON-VENTED
IN-LINE BURETTE SET 150
PLUM MICRODRIP SOLUSET
MINI-BURETTE SET, 50ML, 90"
BREVIBLOC 20 MG/ML IV BAG
CHOLESTYRAMINE RESIN POWDER
CHOLESTYRAMINE RESIN POWDER
TIELLE HYDROPOLYMER DRESS
TIELLE PLUS HYDROPOLYMER
KALTOSTAT DRESS 10CM X 20CM
MONISTAT 3 COMBO PACK
MONISTAT 3 COMBO PACK
MONISTAT 3 COMBO PACK
MONISTAT 3 COMBO PACK
MICONAZOLE 3 COMBO PACK
MICONAZOLE 3 COMBO PACK
M-ZOLE 3 COMBINATION PACK
MICONAZOLE 3 COMBO PACK
MICONAZOLE 3 COMBO PACK
ALGIDERM WOUND PACKING
FYBRON DRESSING 4"X8"
CURASORB 8"X4" DRESSING
TEGAGEN HI 4"X8" DRESSING
TEGAGEN HG 4"X8" DRESSING
RESTORE CALCICARE 4X8 DRESS
ALGICELL 4"X8" DRESSING
SUNMARK MICONAZOLE 3 COMBO PK
SUNMARK MICONAZOLE 3 COMBO PK
SM MICONAZOLE 3 COMBO PACK
MICONAZOLE 3 COMBO PACK
LONGS MICONAZOLE 3 COMBO PK
SB MICONAZOLE 3-DAY COMBO
ECK MICONAZOLE 3 COMBO PAK
MICONAZOLE 3 COMBO PACK
MICONAZOLE 3 COMBO PACK
MICONAZOLE 3 COMBO PACK
M-ZOLE 3 COMBO PACK
MICONAZOLE 3 COMPBO PACK
MICONAZOLE 3 COMBO PACK
M-ZOLE 3 COMBINATION PACK

DOSE FORM DRUG STRENGTH


HV
HV
HV
HV
HV
HV
TA
TA
TA
YT
HS
PP
PP
YQ
YQ
YQ
YQ
HM
PA
PA
YE
YE
YE
ZD
ZD
ZD
ZD
ZD
ZD
ZD
ZD
ZD
YE
YE
YE
YE
YE
YE
YE
ZD
ZD
ZD
ZD
ZD
ZD
ZD
ZD
ZD
ZD
ZD
ZD
ZD
ZD

UNIT PRICE
$
5.00
$
5.00
$
5.00
$
5.00
$
5.00
$
5.00
$
5.01
$
5.01
$
5.01
$
5.01
$
5.02
$
5.03
$
5.03
$
5.05
$
5.05
$
5.05
$
5.05
$
5.05
$
5.06
$
5.06
$
5.06
$
5.06
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07

NDC
41163008100
41163060500
49348035443
49348035543
49348064573
49614059194
49738008100
49756046802
50428370080
52297102843
52569013106
52735055773
54002008048
54868433300
58016304701
62794009232
63868002303
70030013881
70030013882
87701092123
87701092131
87701092149
87701092168
00049316044
00023031604
00169183317
00169183717
00169347318
00169347718
32849070702
32849070707
32849070802
32849070807
38779029503
38779029504
38779029505
38779052403
38779052404
38779052405
38779052408
49452131301
49452131302
49452131303
51552045601
51552045605
51927235800
58016656101
62991200201
62991200202
62991200204
62991200206
62991201401
62991201402

NAME
SOBA MICONAZOLE 3 COMBO PACK
SOBA MICONAZOLE 3 COMBO PAK
SUNMARK MICONAZOLE 3 COMBO PK
SUNMARK MICONAZOLE 3 COMBO PK
SM MICONAZOLE 3 COMBO PACK
M-ZOLE COMBO PACK
AF-MICONAZOLE 3 COMBO PACK
KALGINATE DRESSING 4"X8"
CVS MICONAZOLE 3-DAY COMBO
HM MICONAZOLE 3 COMBO PACK
HM MICONAZOLE 3 COMBO PACK
FP M-ZOLE 3 COMBO PACK
HYPERION 4"X8" DRESSING
MICONAZOLE 3 COMBO PACK
MONISTAT DUAL-PAK
SORBSAN 4"X 8" WOUND DRESS
M-ZOLE 3 COMBO PACK
MICONAZOLE 3 COMBO PACK
MICONAZOLE 3 COMBO PACK
GNP MICONAZOLE 3 COMBO PACK
GNP MICONAZOLE 3 COMBO PACK
BL MICONAZOLE 3 COMBO PACK
BL MICONAZOLE 3 COMBO PACK
VFEND 40 MG/ML SUSPENSION
FML S.O.P. 0.1% OINTMENT
NOVOLIN R 100 UNITS/ML CARTRDG
NOVOLIN 70/30 U100 CARTRIDGE
NOVOLIN R 100 UNITS/ML CARTRDG
NOVOLIN 70/30 U100 CARTRIDGE
NOVOLIN R 100 UNITS/ML CARTRDG
NOVOLIN R 100 UNITS/ML CARTRDG
NOVOLIN 70/30 U100 CARTRIDG
NOVOLIN 70/30 U100 CARTRIDGE
AMIKACIN SULFATE POWDER
AMIKACIN SULFATE POWDER
AMIKACIN SULFATE POWDER
BUPIVACAINE HCL POWDER
BUPIVACAINE HCL POWDER
BUPIVACAINE HCL POWDER
BUPIVACAINE HCL POWDER
BUPIVACAINE HCL POWDER
BUPIVACAINE HCL POWDER
BUPIVACAINE HCL POWDER
BUPIVACAINE HCL POWDER
BUPIVACAINE HCL POWDER
BUPIVACAINE HCL POWDER
FML S.O.P.0.1% OINTMENT
AMIKACIN SULFATE POWDER
AMIKACIN SULFATE POWDER
AMIKACIN SULFATE POWDER
AMIKACIN SULFATE POWDER
BUPIVACAINE HCL POWDER
BUPIVACAINE HCL POWDER

DOSE FORM DRUG STRENGTH


ZD
ZD
ZD
ZD
ZD
ZD
ZD
YE
ZD
ZD
ZD
ZD
YE
ZD
ZD
YE
ZD
ZD
ZD
ZD
ZD
ZD
ZD
PD
OA
HJ
HJ
HJ
HJ
HJ
HJ
HJ
HJ
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
OA
PA
PA
PA
PA
PA
PA

UNIT PRICE
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.07
$
5.09
$
5.10
$
5.10
$
5.10
$
5.10
$
5.10
$
5.10
$
5.10
$
5.10
$
5.10
$
5.10
$
5.10
$
5.10
$
5.10
$
5.10
$
5.10
$
5.10
$
5.10
$
5.10
$
5.10
$
5.10
$
5.10
$
5.10
$
5.10
$
5.10
$
5.10
$
5.10
$
5.10
$
5.10
$
5.10

NDC
62991201403
62991201404
66233071101
68115070905
00182616799
10939055533
37205051903
49348023587
49348048719
56091001940
58573000501
96295011099
49756010918
51552061902
51552061904
51552061905
51552061906
47113060544
00074191401
00074191503
00074191601
00074191703
00074192401
00074195003
00074195005
00074195007
00074250501
00074250603
00074250707
00074250709
00074250711
00074355901
00074355955
00264901824
00264901924
00264902096
00264902196
00264902296
00264902348
00264904301
00264927101
00264927201
00264927301
00264927401
00264927501
00264927701
00264927801
00264939712
00264939824
00264939924
00264940024
00264944212
00264944312

NAME
BUPIVACAINE HCL POWDER
BUPIVACAINE HCL POWDER
MENASTIL OIL ROLL-ON
NOVOLIN R 100 UNITS/ML CARTRDG
LICE TREAMENT KIT
SUNMARK LICE SOLUTION KIT
LICE SOLUTION KIT
LICE TREATMENT KIT
SUNMARK LICE SOLUTION KIT
SURGICEL NU-KNIT HEMOSTAT
A-200 LICE TREATMENT KIT
LICE SOLUTION KIT
DRY GAUZE BANDAGE,FINE MESH
IVERMECTIN POWDER
IVERMECTIN POWDER
IVERMECTIN POWDER
IVERMECTIN POWDER
INDRODUCTORY PACK
LIFECARE MOD 4A MACRO PUMP
LIFECARE MDL 4B MACRO PUMP
LIFECARE MICRO PUMP 1A
LIFECARE MICRO PUMP
CONTROLLER LIFECARE MOD 75
PCA PLUS 2 (ENHANCED)
PCA PLUS 2
PCA PLUS 2
PIGGYBACK PUMP W/O IO PORT
LIFECARE MDL4 PIGGYBCK PUMP
PLUM LIFECARE 5000 INSUSER
PLUM LIFECARE 5000 INSUSER
PLUM LIFECARE 5000 INFUSER
PCA MINI-BORE SET
PCA MINI-BORE SET
HOMEPUMP DISP ELASTOMETRIC
HOMEPUMP DISP ELASTOMETRIC
HOMEPUMP DISP ELASTOMETRIC
HOMEPUMP DISP ELASTOMETRIC
HOMEPUMP DISP ELASTOMETRIC
HOMEPUMP DISP ELASTOMETRIC
ACCUPRO VOLUMETRIC INF PUMP
PROFILE 521 PLUS INTEL PUMP
MICRORATE PLUS INTEL PUMP
MCGAW INTELL INFUSOR PUMP
MCGAW 522 INTELLIGENT PUMP
BARD 400 MINI-INFUSER PUMP
BARD 150XL MINI-INFUSE PUMP
BARD 300XL MINI-INFUSE PUMP
ELASTOMERIC INFUSION DEVICE
ELASTOMERIC INFUSION DEVICE
ELASTOMERIC INFUSION DEVICE
ELASTOMERIC INFUSION DEVICE
ELASTOMERIC INFUSION DEVICE
ELASTOMERIC INFUSION DEVICE

DOSE FORM DRUG STRENGTH


PA
PA
SQ
HJ
YK
YK
YK
YK
YK
EA
YK
YK
YE
PA
PA
PA
PA
YK
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
5.10
$
5.10
$
5.10
$
5.10
$
5.11
$
5.11
$
5.11
$
5.11
$
5.11
$
5.11
$
5.11
$
5.11
$
5.12
$
5.12
$
5.12
$
5.12
$
5.12
$
5.13
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14

NDC
08173900101
08173900201
08173900301
08173900401
08173900501
08173900601
08173900701
08173900801
08173900901
08173911001
08173911101
17191006001
17191006004
55566721000
76300040713
76300051211
76300051212
76300051213
76300051214
76300071211
76300071212
76300071213
76300071214
39822070601
39822070602
54868522300
59011031360
00019095415
00009091205
00074567304
08011968604
08011968624
08327050609
53329055251
08026498700
53329052240
53329052249
55860004987
00087772150
00087772160
00247066306
00247066307
00247066320
52959034920
54569365300
54868244400
55289023230
55860004948
87900003074
00009030602
00009030612
00009347501
00009347503

NAME
PANOMAT C-3 INFUSION PUMP
PANOMAT C-5 INFUSION PUMP
PANOMAT C-10 INFUSION PUMP
PANOMAT V-3 INFUSION PUMP
PANOMAT V-5 INFUSION PUMP
PANOMAT V-10 INFUSION PUMP
PANOMAT T-3 INFUSION PUMP
PANOMAT T-5 INFUSION PUMP
PANOMAT T-10 INFUSION PUMP
PANOMAT P-5 INFUSION PUMP
PANOMAT P-10 INFUSION PUMP
MICROFUSE RAP RATE INFUSER
MICROFUSE EXT RATE INFUSER
LUTREPULSE PUMP
MINIMED INFUSION PUMP
MEDTRONIC INSULIN PUMP
MEDTRONIC INSULIN PUMP
MEDTRONIC INSULIN PUMP
MEDTRONIC INSULIN PUMP
MEDTRONIC INSULIN PUMP
MEDTRONIC INSULIN PUMP
MEDTRONIC INSULIN PUMP
MEDTRONIC INSULIN PUMP
STREPTOMYCIN SULF 1 GM VIAL
STREPTOMYCIN SULF 1 GM VIAL
PALLADONE 16 MG CAPSULE
PALLADONE 16 MG CAPSULE
CONRAY-400 VIAL
SOLU-CORTEF 500 MG ACT-O-VL
A-HYDROCORT 500 MG UNIVIAL
SCANPOR TAPE 2" W/DISPENSR
SCANPOR TAPE REFILL 2"
MEDFIX EX DRESSING 2" ROLL
MEDFIX 2" TAPE
OPSITE ADHESIVE DRESSING
DRESSING,HYDROCOLLOID 4IN X 3.6IN
EXUDERM SACRUM DRESSING
OPSITE DRESSING 11" X 11 3/4"
CEFZIL 500 MG TABLET
CEFZIL 500 MG TABLET
CEFZIL 500 MG TABLET
CEFZIL 500 MG TABLET
CEFZIL 500 MG TABLET
CEFZIL 500 MG TABLET
CEFZIL 500 MG TABLET
CEFZIL 500 MG TABLET
CEFZIL 500 MG TABLET
VISCOPASTE PB7 ZINC BANDAGE
ACRYLINE 2 KIT
DEPO-MEDROL 80 MG/ML VIAL
DEPO-MEDROL 80 MG/ML VIAL
DEPO-MEDROL 80 MG/ML VIAL
DEPO-MEDROL 80 MG/ML VIAL

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
HS
HS
CP
CP
HV
HS
HS
YT
YT
YT
YT
YE
YE
YE
YE
TA
TA
TA
TA
TA
TA
TA
TA
TA
YE
YK
HV
HV
HV
HV

UNIT PRICE
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.14
$
5.15
$
5.15
$
5.15
$
5.15
$
5.17
$
5.18
$
5.18
$
5.18
$
5.18
$
5.18
$
5.18
$
5.19
$
5.19
$
5.19
$
5.19
$
5.20
$
5.20
$
5.20
$
5.20
$
5.20
$
5.20
$
5.20
$
5.20
$
5.20
$
5.20
$
5.20
$
5.21
$
5.21
$
5.21
$
5.21

NDC
00703005101
00703005104
52544092008
54868118500
54868199400
54868483400
58016993401
00004028857
00062192001
00062192015
00496082307
00496082308
00496088207
00496088208
54569541300
54868467000
63032009025
00078017905
00078017915
38779012703
38779012704
38779012705
38779012708
38779012709
51552064604
51927184700
54569440600
54868400800
55289051314
62991134301
62991134302
62991134303
00264906006
70074055382
00049002283
08225004102
08225004103
08225004105
08225004106
08290203952
08290203953
08290203954
08290203955
08290203956
08290203957
08290207330
08290207331
08290207332
70074052440
70074052442
70074054972
70074054976
00054315440

NAME
METHYLPREDNISOLONE 80 MG/ML VL
METHYLPREDNISOLONE 80 MG/ML VL
OXYTROL 3.9 MG/24HR PATCH
DEPO-MEDROL 80 MG/ML VIAL
METHYLPRED AC 80 MG/ML VIAL
OXYTROL 3.9 MG/24HR PATCH
DEPO-MEDROL 80 MG/ML VIAL
SORIATANE 10 MG CAPSULE
ORTHO EVRA PATCH
ORTHO EVRA PATCH
LMX 4 PLUS KIT
LMX 4 PLUS KIT
LMX 4 PLUS KIT
LMX 4 PLUS KIT
ORTHO EVRA PATCH
ORTHO EVRA PATCH
SORIATANE 10 MG CAPSULE
LAMISIL 250 MG TABLET
LAMISIL 250 MG TABLET
COENZYME Q 10 POWDER
COENZYME Q 10 POWDER
COENZYME Q 10 POWDER
COENZYME Q 10 POWDER
COENZYME Q 10 POWDER
CO-ENZYME Q 10 POWDER
COENZYME Q-10 POWDER
LAMISIL 250 MG TABLET
LAMISIL 250 MG TABLET
LAMISIL 250 MG TABLET
COENZYME Q-10 POWDER
COENZYME Q-10 POWDER
COENZYME Q-10 POWDER
EVAC IV CONT/GLASS TUBE 1L
FLEXITAINER CONTAINER
UNASYN 1.5 GM PIGGYBACK VIAL
SURGICAL BINDER ABDOM SUPRT
SURGICAL BINDER ABDOM SUPRT
SURGICAL BINDER ABDOM SUPRT
SURGICAL BINDER ABDOM SUPRT
RIB BELT - FEMALE SMALL
RIB BELT - FEMALE MEDIUM
RIB BELT - FEMALE LARGE
RIB BELT - MALE SMALL
RIB BELT - MALE MEDIUM
RIB BELT - MALE LARGE
ACE UNIBODY SUPPORTER SMALL
ACE UNIBODY SUPPORTER MED
ACE UNIBODY SUPPORTER LARGE
MAGNA-PORT ADAPTER
MAGNA-PORT ADAPTER
HIDE-A-PORT EXTENSION TUBE
HIDE-A-PORT EXTENSION TUBE
COCAINE 4% SOLUTION

DOSE FORM DRUG STRENGTH


HV
HV
PQ
HV
HV
PQ
HV
CA
PK
PK
YK
YK
YK
YK
PK
PK
CA
TA
TA
PA
PA
PA
PA
PA
PA
PA
TA
TA
TA
PA
PA
PA
ZC
ZC
HN
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
SA

UNIT PRICE
$
5.21
$
5.21
$
5.21
$
5.21
$
5.21
$
5.21
$
5.21
$
5.23
$
5.23
$
5.23
$
5.23
$
5.23
$
5.23
$
5.23
$
5.23
$
5.23
$
5.23
$
5.24
$
5.24
$
5.24
$
5.24
$
5.24
$
5.24
$
5.24
$
5.24
$
5.24
$
5.24
$
5.24
$
5.24
$
5.24
$
5.24
$
5.24
$
5.27
$
5.27
$
5.28
$
5.28
$
5.28
$
5.28
$
5.28
$
5.28
$
5.28
$
5.28
$
5.28
$
5.28
$
5.28
$
5.28
$
5.28
$
5.28
$
5.28
$
5.28
$
5.28
$
5.28
$
5.29

NDC
00054816302
00054816303
08011770715
08011772416
08011772514
08011775516
08011802016
08011899616
08080210100
08080601400
08080614000
08080615300
08080615500
08080812200
08080833900
08219200600
08219201600
08219202600
08219601400
08219614000
08219615300
08219615500
08219694600
08219812200
08219833900
08884682100
08884682700
08887600776
08887640665
12496131002
57929024030
57929024120
57929024250
57929024260
00065064435
00074175701
00074176501
00074176978
00074200601
00074200602
00074924348
00264922324
00264922424
00264922524
00264922624
00264922724
00264922824
00264922924
00264923024
00264923100
00264923224
00264923324
00264923424

NAME
COCAINE 4% SOLUTION
COCAINE 4% SOLUTION
BARD URETHRAL CATHETER TRAY
BARD URETHRAL CATHETER TRAY
BARD URETHRAL CATHETER TRAY
BARDEX URETHRAL CATH TRAY
DAVOL CLSD SYS FOLEY CATH
BARDEX LUBRICATH FOLEY TRAY
CURITY UNIVERS W/O DRAINAGE
FOLEY CATHETER TRAY
FOLEY CATHETER TRAY
CURITY PREMIUM CATHET TRAY
CURITY PREMIUM CATHET TRAY
CURITY 8000 URINE MTR FOLEY
CURITY 8000 URINE MTR FOLEY
CURITY URINE MTR FOLEY TRAY
CURITY URINE MTR FOLEY TRAY
CURITY URINE MTR FOLEY TRAY
CURITY FOLEY CATHETER TRAY
CURITY FOLEY CATHETER TRAY
CURITY FOLEY CATHETER TRAY
CURITY FOLEY CATHETER TRAY
CURITY FOLEY CATHETER TRAY
CURTIY URINE MTR FOLEY TRAY
CURTIY URINE MTR FOLEY TRAY
INTERSORB PAD 24"X 36"
INTERSORB PAD 24"X 36"
SILICONE FOLEY CATH TRAY
SILICONE CLS SYS FOLEY TRAY
SUBUTEX 8 MG TABLET
STANDARD FOLEY CATH TRAY
STANDARD FOLEY CATH TRAY
CLOSED SYS FOLEY CATH TRAY
CLOSED SYS FOLEY CATH TRAY
TOBREX 0.3% EYE OINTMENT
SCREW CAP SET 38MM
SCREW CAP SET 40MM
IV PUMP SET/IVEX-HP 0.22
I.V. STAND/POLE ASSEMBLY
I.V. STAND/BASE ASSEMBLY
LC MICRODRIP PUMP SET 102"
INTELLIGENT INFUSOR IV SET
INTEL INFUSOR PRIM ADD SET
INTEL INFUSOR PRIM ADD SET
INTEL INFUSOR PRIM ADD SET
INTEL INFUSOR MINI-DROP SET
INTEL INFUS FLT PRIM ADD ST
INTELLIGENT INFUSOR IV SET
INTEL INFUSOR PRIM ADD SET
INTEL INFUSOR PRIM ADD SET
INTEL INFUSOR MINI-DROP SET
INTEL INFUS FLT PRIM ADD ST
INTEL INFUSOR NITRO SET

DOSE FORM DRUG STRENGTH


SA
SA
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
YE
YE
ZT
ZT
TU
ZT
ZT
ZT
ZT
OA
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ

UNIT PRICE
$
5.29
$
5.29
$
5.30
$
5.30
$
5.30
$
5.30
$
5.30
$
5.30
$
5.30
$
5.30
$
5.30
$
5.30
$
5.30
$
5.30
$
5.30
$
5.30
$
5.30
$
5.30
$
5.30
$
5.30
$
5.30
$
5.30
$
5.30
$
5.30
$
5.30
$
5.30
$
5.30
$
5.30
$
5.30
$
5.30
$
5.30
$
5.30
$
5.30
$
5.30
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31

NDC
00264923524
00264923624
00264923724
00264923824
00264923924
00264924020
00264924124
00264924224
00264924324
00264924420
00264924524
00264924624
00264924724
00264924824
00264924924
00264925020
00264925124
00264925224
00264925324
00264925424
00264925524
00264925624
00264925724
00264925824
00264925924
00264926020
00264926120
00264926224
00264926324
00264926424
00264926524
00264926624
00264926724
00264926824
00264926924
00264928210
00264930840
00264931040
00264931140
00264931240
00264931340
00264931440
00264931540
00264931640
00264938124
00264938224
00264938324
00264938420
00264938520
00264938620
00264939350
00264942324
00264942724

NAME
INTELLIGENT PUMP ADD-ON SET
INTELLIGENT PUMP SET/IV ADM
INTELLIGENT PUMP SET/IV ADM
INTELL PUMP PRIMARY SET
INTELL PUMP FLTR PRIM SET
INTEL PUMP MINI-DROP SET
INTELL PUMP PRIMARY SET
INTELL PUMP FLTR PRIM SET
INTEL PUMP SET/BALL-VALVE
INTEL PUMP MINI-DROP SET
INTELL PUMP NITRO SET
INTELL PUMP PRIMARY ADD SET
INTELL PUMP MINI-DROP SET
INTELL PMP FLTR PRIM ADD ST
INTELL PMP FLTR PRIM ADD ST
INTEL PUMP MEAS VOL ADM SET
INTELL PUMP PRIMARY ADD SET
INTELL PUMP PRIMARY ADD SET
INTELL PMP FLTR PRIM ADD ST
INTELLIGENT PUMP BLOOD SET
ACCUPRO PUMP YTYPE BLD SET
ACCUPRO MINI-DROP NITRO SET
ACCUPRO PUMP FAT EMUL SET
ACCUPRO PUMP SET FOR IV ADM
ACCUPRO PUMP MINI-DROP SET
ACCUPRO PUMP MINI-DROP SET
ACCUPRO PUMP MINI-DROP SET
ACCUPRO PUMP EXTENSION SET
ACCUPRO PUMP PRIM ADD SET
ACCUPRO PUMP PRIM ADD SET
ACCUPRO PUMP MINI-DROP SET
ACCUPRO PUMP PRIM ADD SET
ACCUPRO PUMP FILTER ADD SET
ACCUPRO PUMP MINIDRP FLT ST
ACCUPRO PUMP FLITER ADD SET
HYPERFORMER PUMP DISPEN SET
HORIZON PUMP SET
HORIZON PUMP PRIM ADDTV SET
HORIZON PUMP PRIM ADDTV SET
HORIZON PUMP PRIM ADDTV SET
HORIZON PUMP MINI-DROP SET
HORIZON PUMP PRIM ADDTV SET
HORIZON PUMP PRIMARY SET
HORIZON PUMP PRIM ADDTV SET
HORIZON PUMP ADD-ON SET
HORIZON PUMP SET FOR IV SOL
HORIZON PMP NITROGLYERIN ST
HORIZON PUMP MINI-DROP SET
HORIZON PUMP MEASURED VOLME
HORIZON PUMP MEASURED VOLME
INTELL PUMP FILTER PRIM ST
INTELLIGENT INFUSOR IV SET
INTELLIGENT PMP PRIM ADD ST

DOSE FORM DRUG STRENGTH


YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ

UNIT PRICE
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31

NDC
08395086400
08395086401
17191000069
17191000071
17191000693
17191000706
17191000713
49999025935
52959005101
52959005103
52959121800
52959121803
54569118200
54868168200
55887072535
58016501301
76300036824
00065853302
08380003766
54569556000
54868492800
49452408301
49452408302
49452408303
51927278100
00169001771
00169004471
32849070803
00003168117
00003168132
00519168102
08011187993
08219924300
08219924400
55860170000
64455069101
64455069102
49756105105
10019019515
58063000170
00088216030
00088216130
54868438500
54868490200
68115081730
00003187903
00003187974
00003403332
00003651027
00310037951
25382050101
25382051101
53567050101

NAME
MINI UROSTOMY POUCH
MINI UROSTOMY POUCH
EXACTA-MIX VALVE SET
EXACTA-MIX VALVE SET
EXACTA-MIX VALVE SET
EXACTA-MIX VALVE SET
EXACTA-MIX VALVE SET
TOBREX 0.3% EYE OINTMENT
TOBREX 0.3% EYE OINTMENT
TOBREX 0.3% EYE OINTMENT
TOBREX 0.3% EYE OINTMEMT
TOBREX 0.3% EYE OINTMENT
TOBREX 0.3% EYE OINTMENT
TOBREX 0.3% EYE OINTMENT
TOBREX 0.3% EYE OINTMENT
TOBREX 0.3% EYE OINTMENT
POLYFIN QR INFUSION SET
CIPRODEX OTIC SUSPENSION
SKIN BARRIER/FLANGE 3.5"
CIPRODEX OTIC SUSPENSION
CIPRODEX OTIC SUSPENSION
LIPOIC ACID POWDER
LIPOIC ACID POWDER
LIPOIC ACID POWDER
LIPOIC ACID POWDER
NOVOLIN 70/30 150 UNITS/1.5 ML
NOVOLIN R 100 UNITS/ML SYRINGE
NOVOLIN 70/30 150 UNITS/1.5 ML
KALTOSTAT WOUND PACKING
KALTOSTAT WOUND PACKING
KALTOSTAT WOUND PACKING
ALGIDERM WOUND PACKING
CURASORB 24" DRESSING
CURASORB 36" DRESSING
ALGISITE WOUND PACKING
CEDAX 400 MG CAPSULE
CEDAX 400 MG CAPSULE
DRY BURN DRESSING,WIDE MESH
ENLON-PLUS MULTI-DOSE VIAL
HEXALEN 50 MG CAPSULE
ARAVA 10 MG TABLET
ARAVA 20 MG TABLET
ARAVA 20 MG TABLET
ARAVA 10 MG TABLET
ARAVA 20 MG TABLET
DUODERM XTHIN CGF 6X7" DRES
DUODERM CGF 6"X 7" DRESS
DUODERM SIGNAL 6"X7" DRES
COMBIDERM ACD DRESSING
CEFOTAN 2 GM/50 ML PIGGYBACK
DERMACOL 6"X7" DRESSING
NUTRACOL 6"X7" DRESSING
DERMACOL 6"X7" DRESSING

DOSE FORM DRUG STRENGTH


EA
EA
YQ
YQ
YQ
YQ
YQ
OA
OA
OA
OA
OA
OA
OA
OA
OA
YQ
SN
EA
SN
SN
PA
PA
PA
PA
HQ
HQ
HQ
YE
YE
YE
YE
YE
YE
YE
CA
CA
YE
HV
CA
TA
TA
TA
TA
TA
YE
YE
YE
YE
HK
YE
YE
YE

UNIT PRICE
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.31
$
5.33
$
5.33
$
5.33
$
5.33
$
5.34
$
5.34
$
5.34
$
5.34
$
5.35
$
5.35
$
5.35
$
5.36
$
5.36
$
5.36
$
5.36
$
5.36
$
5.36
$
5.36
$
5.36
$
5.36
$
5.38
$
5.39
$
5.39
$
5.41
$
5.41
$
5.41
$
5.41
$
5.41
$
5.45
$
5.45
$
5.45
$
5.45
$
5.45
$
5.45
$
5.45
$
5.45

NDC
53567051101
00029152611
54868432500
58016456801
08011802018
08011899618
08080304400
08080608000
08080615400
08080615600
08080621000
08080822300
08080844000
08219200800
08219201800
08219202800
08219608000
08219615400
08219615600
08219621000
08219694800
08219822300
08219844000
08219890200
08887600784
08887640681
57929024050
57929024140
57929024270
57929024280
00006362835
00006362836
00007506201
40565011859
54569474400
54868427900
54868427901
61570042001
00006487600
00006498000
00006498100
00085020105
54569562800
54569562900
56091005135
00006371350
61379012005
00013236695
00548604225
00548604325
00548604525
08026484100
11701040675

NAME
NUTRACOL 6"X7" DRESSING
BACTROBAN NASAL 2% OINTMENT
BACTROBAN NASAL 2% OINTMENT
BACTROBAN NASAL 2% OINTMENT
DAVOL CLSD SYS FOLEY CATH
BARDEX LUBRICATH FOLEY TRAY
CURITY UNIVERS W/O DRAINAGE
FOLEY CATHETER TRAY
CURITY PREMIUM CATHET TRAY
CURITY PREMIUM CATHET TRAY
FOLEY CATHETER TRAY
CURITY 8000 URINE MTR FOLEY
CURITY 8000 URINE MTR FOLEY
CURITY URINE MTR FOLEY TRAY
CURITY URINE MTR FOLEY TRAY
CURITY URINE MTR FOLEY TRAY
CURITY FOLEY CATHETER TRAY
CURITY FOLEY CATHETER TRAY
CURITY FOLEY CATHETER TRAY
CURITY FOLEY CATHETER TRAY
CURITY FOLEY CATHETER TRAY
CURTIY URINE MTR FOLEY TRAY
CURTIY URINE MTR FOLEY TRAY
CURADERM 6" X 6" DRESSING
SILICONE FOLEY CATH TRAY
SILICONE CLS SYS FOLEY TRAY
STANDARD FOLEY CATH TRAY
STANDARD FOLEY CATH TRAY
CLOSED SYS FOLEY CATH TRAY
CLOSED SYS FOLEY CATH TRAY
COSOPT EYE DROPS
COSOPT EYE DROPS
THORAZINE 25 MG/ML VIAL
EXU-DRY INCISION DRES 3"X9"
COSOPT EYE DROPS
COSOPT EYE DROPS
COSOPT EYE DROPS
PITRESSIN 20 UNITS/ML AMPUL
RECOMBIVAX HB 5 MCG/0.5 ML VL
RECOMBIVAX HB 5 MCG/0.5 ML VL
RECOMBIVAX HB 5 MCG/0.5 ML VL
HYPERSTAT 300 MG/20 ML AMPUL
RECOMBIVAX HB 5 MCG/0.5 ML VL
RECOMBIVAX HB 5 MCG/0.5 ML VL
J & J WATERPROOF TAPE 3"
AGGRASTAT 250 MCG/ML VIAL
AGGRASTAT 250 MCG/ML VIAL
ILOPAN 250 MG/ML SYRINGE
MORPHINE 25 MG/ML SYRINGE
MORPHINE 25 MG/ML SYRINGE
MORPHINE 25 MG/ML SYRINGE
REPLICARE 3.5"X5.5"DRESSING
COMFEEL PLUS CLEAR DRESSING

DOSE FORM DRUG STRENGTH


YE
OA
OA
OA
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
ZT
YE
ZT
ZT
ZT
ZT
ZT
ZT
SO
SO
HV
YE
SO
SO
SO
HH
HV
HV
HV
HH
HV
HV
YT
HV
HV
HQ
HQ
HQ
HQ
YE
YE

UNIT PRICE
$
5.45
$
5.47
$
5.47
$
5.47
$
5.48
$
5.48
$
5.48
$
5.48
$
5.48
$
5.48
$
5.48
$
5.48
$
5.48
$
5.48
$
5.48
$
5.48
$
5.48
$
5.48
$
5.48
$
5.48
$
5.48
$
5.48
$
5.48
$
5.48
$
5.48
$
5.48
$
5.48
$
5.48
$
5.48
$
5.48
$
5.49
$
5.49
$
5.49
$
5.49
$
5.49
$
5.49
$
5.49
$
5.49
$
5.50
$
5.50
$
5.50
$
5.50
$
5.50
$
5.50
$
5.50
$
5.51
$
5.51
$
5.52
$
5.52
$
5.52
$
5.52
$
5.52
$
5.52

NDC
55860484100
61118050005
61118050099
00406154832
00406154835
08021332161
08021332162
08021332163
08021332164
11822314840
11822315570
28785010100
28785010150
28785010310
28785022100
32252003017
32252003018
32252003019
32252003020
32252013580
32252013680
32252013780
32252030108
32252030115
32252030122
32252030139
38703000951
38703000952
38703007501
49452002703
52297074800
52297074900
52735038302
52735038402
63275810003
63275810004
63275810005
63713105220
82468014450
82468014451
87701076250
87701076259
87701076265
92926007125
92926007225
00006335753
00006354953
10019066102
10019066127
59911596402
63323034220
00074806019
00074806029

NAME
REPLICARE 3.5"X5.5"DRESSING
ELASTO-GEL CAST/SPLINT 4X4
ELASTO-GEL CAST/SPLINT 4X4
CODEINE PHOSPHATE POWDER
CODEINE PHOSPHATE POWDER
PERIFIX TUOHY EPIDURAL NDL
PERIFIX TUOHY EPIDURAL NDL
PERIFIX TUOHY EPIDURAL NDL
PERIFIX TUOHY EPIDURAL NDL
RA STEAM VAPORIZER 1.2 GAL
RA VAPORIZER,STEAM #1600
SAFEGUARD 76 VAPORIZER
VICKS VAPORIZER
SAFEGUARD 285 VAPORIZER
VAPORIZER 1 GALLON
SUNBEAM VAPORIZER
SUNBEAM VAPORIZER
SUNBEAM VAPORIZER
SUNBEAM VAPORIZER
WARM STEAM VAPORIZER
WARM STEAM VAPORIZER
WARM STEAM VAPORIZER
HANKSCRAFT VAPORIZER-TRAVEL
HANKSCRAFT VAPORIZER
HANKSCRAFT VAPORIZER
HANKSCRAFT VAPORIZER
VAPORIZER 1.7 GALLON
VAPORIZER 3 GALLON
VAPORIZER 1.2 GALLON
CODEINE PHOSPHATE POWDER
HM VAPORIZER
HM VAPORIZER
FP VAPORIZER 1 GALLON
FP VAPORIZER 2 GALLON
CODEINE PHOSPHATE POWDER
CODEINE PHOSPHATE POWDER
CODEINE PHOSPHATE POWDER
ACTISORB SILVER 220 4.125X4.12
FP VAPORIZER 1 GALLON
FP VAPORIZER 2 GALLON
BL VAPORIZER 1.2 GALLON
BL VAPORIZER 1.7 GALLON
BL VAPORIZER 2.2 GALLON
VAPORIZER 1.1 GALLON
VAPORIZER, 2.1 GALLON
MEFOXIN 2 GM VIAL
MEFOXIN 2 GM VIAL
CEFOXITIN 2 GM VIAL
CEFOXITIN 2 GM VIAL
CEFOXITIN 2 GM VIAL
CEFOXITIN 2 GM VIAL
AMIDATE 2 MG/ML ABBOJECT
AMIDATE 2 MG/ML ABBOJECT

DOSE FORM DRUG STRENGTH


YE
YE
YE
PA
PA
YH
YH
YH
YH
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
PA
EA
EA
EA
EA
PA
PA
PA
YE
EA
EA
EA
EA
EA
EA
EA
HS
HS
HS
HS
HS
HS
HQ
HQ

UNIT PRICE
$
5.52
$
5.52
$
5.52
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.53
$
5.54
$
5.54
$
5.54
$
5.54
$
5.54
$
5.54
$
5.55
$
5.55

NDC
38779076403
38779076404
38779076405
38779076406
38779076408
49452003301
49452003302
49452003303
49452003304
51552067701
51552067702
51552067704
51927101000
58298053501
58298053510
62991140601
62991140602
62991140603
63275410002
63275410004
63275410005
63370092525
63370092535
00002729001
00002729025
00074509216
00087667417
00173038032
00173043400
00378334999
00378335099
00378335199
00378335299
00555059001
50419045104
50419045204
50419045304
50419045404
54569517600
54569564300
54868408900
54868424100
54868466600
54868481100
54868481300
54868500800
00002723101
00002723125
00074428301
00074508216
00173037810
00173037835
00186023503

NAME
HYDROCODONE BITARTRATE PWDR
HYDROCODONE BITARTRATE PWDR
HYDROCODONE BITARTRATE PWDR
HYDROCODONE BITARTRATE PWDR
HYDROCODONE BITARTRATE PWDR
HYDROCODONE BITARTRATE PWDR
HYDROCODONE BITARTRATE PWDR
HYDROCODONE BITARTRATE PWDR
HYDROCODONE BITARTRATE PWDR
HYDROCODONE BITARTRATE PWDR
HYDROCODONE BITARTRATE PWDR
HYDROCODONE BITARTRATE PWDR
HYDROCODONE BITARTRATE PWDR
HYDROCODONE BITARTRATE PWDR
HYDROCODONE BITARTRATE PWDR
HYDROCODONE BITARTRATE PWDR
HYDROCODONE BITARTRATE PWDR
HYDROCODONE BITARTRATE PWDR
HYDROCODONE BITARTRATE PWDR
HYDROCODONE BITARTRATE PWDR
HYDROCODONE BITARTRATE PWDR
HYDROCODONE BITARTRATE PWDR
HYDROCODONE BITARTRATE PWDR
TAZIDIME 1 GM ADD-VANTAGE
TAZIDIME 1 GM ADD-VANTAGE
TAZICEF 1 GM ADD-VANTAGE
VIDEX EC 400 MG CAP SA
FORTAZ 1 GM VIAL
FORTAZ 1 GM ADD-VANTAGE VIAL
ESTRADIOL TDS 0.025 MG/DAY
ESTRADIOL 0.05 MG/DAY PATCH
ESTRADIOL TDS 0.075 MG/DAY
ESTRADIOL 0.1 MG/DAY PATCH
DIDANOSINE 400 MG DR CAPSULE
CLIMARA 0.05 MG/DAY PATCH
CLIMARA 0.1 MG/DAY PATCH
CLIMARA 0.075 MG/DAY PATCH
CLIMARA 0.025 MG/DAY PATCH
VIDEX EC 400 MG CAP SA
DIDANOSINE 400 MG DR CAPSULE
CLIMARA 0.05 MG/DAY PATCH
CLIMARA 0.1 MG/DAY PATCH
VIDEX EC 400 MG CAP SA
ESTRADIOL 0.05 MG/DAY PATCH
ESTRADIOL 0.1 MG/DAY PATCH
CLIMARA 0.025 MG/DAY PATCH
TAZIDIME 1 GM VIAL
TAZIDIME 1 GM VIAL
LIDOCAINE HCL 4% AMPUL
TAZICEF 1 GM VIAL
FORTAZ 1 GM VIAL
FORTAZ 1 GM VIAL
XYLOCAINE-MPF 4% AMPUL

DOSE FORM DRUG STRENGTH


PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
HS
HS
HS
CE
HS
HS
PK
PK
PK
PK
CE
PA
PA
PA
PA
CE
CE
PK
PK
CE
PK
PK
PK
HS
HS
HH
HS
HS
HS
HH

UNIT PRICE
$
5.55
$
5.55
$
5.55
$
5.55
$
5.55
$
5.55
$
5.55
$
5.55
$
5.55
$
5.55
$
5.55
$
5.55
$
5.55
$
5.55
$
5.55
$
5.55
$
5.55
$
5.55
$
5.55
$
5.55
$
5.55
$
5.55
$
5.55
$
5.58
$
5.58
$
5.58
$
5.58
$
5.58
$
5.58
$
5.58
$
5.58
$
5.58
$
5.58
$
5.58
$
5.58
$
5.58
$
5.58
$
5.58
$
5.58
$
5.58
$
5.58
$
5.58
$
5.58
$
5.58
$
5.58
$
5.58
$
5.59
$
5.59
$
5.59
$
5.59
$
5.59
$
5.59
$
5.59

NDC
00409428301
00173035632
08290001059
11701088191
54569405900
54868355300
00003066805
00054449705
00054449710
00054849706
00169231321
00766080100
00781615395
00781615397
51927279300
63370028025
63370028035
00029637427
49452010301
49452010302
17317046207
17317046208
40079010402
40079010403
44156026937
44156026938
44156026939
44156026947
44156026948
44156026949
70319002010
70319002011
70319002012
70319002013
70319002014
70319002016
70319002060
70319002066
00003403206
00003403327
62794001111
62794001155
00069421030
00069421066
00069422030
00069422066
49999031615
49999031630
54569456900
54569456901
54569456906
54569457000
54569457001

NAME
LIDOCAINE HCL 4% AMPUL
ZINACEF 1.5 GM VIAL
YALE NEEDLE REGULAR BEVEL
BIATAIN FOAM DRESSING
RHINOCORT NASAL INHALER
RHINOCORT NASAL INHALER
PENICILLIN G SOD 5MM UNITS VIA
LEUCOVORIN CALCIUM 10 MG TAB
LEUCOVORIN CALCIUM 10 MG TAB
LEUCOVORIN CALCIUM 10 MG TAB
NOVOLIN R 100 UNITS/ML INNOLET
ABREVA 10% CREAM
PENICILLIN G SOD 5MM UNITS VIA
PENICILLIN G SOD 5MM UNITS VIA
TRANEXAMIC ACID POWDER
TRANEXAMIC ACID POWDER
TRANEXAMIC ACID POWDER
NALLPEN 2 GM VIAL
ALPHA-ACETYLMANDELIC AC PWD
ALPHA-ACETYLMANDELIC AC PWD
RESERPINE CRYSTALS
RESERPINE CRYSTALS
LICE B GONE KIT
LICE B GONE CAP
FREE & ACT MALE MED BRIEF
FREE & ACT MALE LG BRIEF
FREE & ACT MALE XL BRIEF
FREE & ACT FEMALE MED PANT
FREE & ACT FEMALE LG PANTY
FREE & ACT FEMALE XL PANTY
TRANQ STARTER KIT ASSORTMT
TRANQUILITY STARTER KIT SM
TRANQUILITY STARTER KIT MED
TRANQUILITY STARTER KIT LG
TRANQUILITY STARTER KIT X-LG
TRANQ STARTER KIT ASSORTMT
TRANQ WASH BRIEF ASSORTMT
TRANQ WASH BRIEF ASSORTMT
VERSIVA 5.5"X5.5" DRESSING
DUODERM SIGNAL 5.5"X5.5"
ZAGAM 200 MG TABLET
ZAGAM 200 MG TABLET
VIAGRA 50 MG TABLET
VIAGRA 50 MG TABLET
VIAGRA 100 MG TABLET
VIAGRA 100 MG TABLET
VIAGRA 100 MG TABLET
VIAGRA 100 MG TABLET
VIAGRA 50 MG TABLET
VIAGRA 50 MG TABLET
VIAGRA 50 MG TABLET
VIAGRA 100 MG TABLET
VIAGRA 100 MG TABLET

DOSE FORM DRUG STRENGTH


HH
HA
YA
YE
AJ
AJ
HS
TA
TA
TA
IO
KA
HS
HS
PA
PA
PA
HS
PA
PA
PC
PC
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YE
YE
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA

UNIT PRICE
$
5.59
$
5.60
$
5.60
$
5.60
$
5.60
$
5.60
$
5.61
$
5.61
$
5.61
$
5.61
$
5.61
$
5.61
$
5.61
$
5.61
$
5.61
$
5.61
$
5.61
$
5.62
$
5.64
$
5.64
$
5.65
$
5.65
$
5.66
$
5.66
$
5.67
$
5.67
$
5.67
$
5.67
$
5.67
$
5.67
$
5.67
$
5.67
$
5.67
$
5.67
$
5.67
$
5.67
$
5.67
$
5.67
$
5.68
$
5.68
$
5.68
$
5.68
$
5.72
$
5.72
$
5.72
$
5.72
$
5.72
$
5.72
$
5.72
$
5.72
$
5.72
$
5.72
$
5.72

NDC
54569457002
54569457003
54569457004
54569457005
54868408400
54868408401
54868408402
54868470600
54868470601
54868470602
54868470603
54868470604
55289052410
57866798001
57866798002
57866798101
58016035500
58016035530
58016035560
58016035590
58016037100
58016037130
58016037160
58016037190
66116020506
66116020706
66267040610
68030798001
68030798002
68030798101
68115035115
68115081130
68115092230
00003403202
00015564515
00015564520
00015564533
00074162301
00074162349
10019046101
51479004801
55390018301
58337000301
60505065800
61703031745
00004692106
00074202302
00074202349
00074228801
00074228811
00074228831
00169183417
00169347418

NAME
VIAGRA 100 MG TABLET
VIAGRA 100 MG TABLET
VIAGRA 100 MG TABLET
VIAGRA 100 MG TABLET
VIAGRA 50 MG TABLET
VIAGRA 50 MG TABLET
VIAGRA 50 MG TABLET
VIAGRA 100 MG TABLET
VIAGRA 100 MG TABLET
VIAGRA 100 MG TABLET
VIAGRA 100 MG TABLET
VIAGRA 100 MG TABLET
VIAGRA 100 MG TABLET
VIAGRA 50 MG TABLET
VIAGRA 50 MG TABLET
VIAGRA 100 MG TABLET
VIAGRA 50 MG TABLET
VIAGRA 50 MG TABLET
VIAGRA 50 MG TABLET
VIAGRA 50 MG TABLET
VIAGRA 100 MG TABLET
VIAGRA 100 MG TABLET
VIAGRA 100 MG TABLET
VIAGRA 100 MG TABLET
VIAGRA 100 MG TABLET
VIAGRA 50 MG TABLET
VIAGRA 100 MG TABLET
VIAGRA 50 MG TABLET
VIAGRA 50 MG TABLET
VIAGRA 100 MG TABLET
VIAGRA 100 MG TABLET
VIAGRA 50 MG TABLET
VIAGRA 100 MG TABLET
CARBOFLEX 4"X4" DRESSING
STADOL 1 MG/ML VIAL
STADOL 1 MG/ML VIAL
STADOL 1 MG/ML VIAL
BUTORPHANOL 1 MG/ML VIAL
BUTORPHANOL 1 MG/ML VIAL
BUTORPHANOL 1 MG/ML VIAL
AZACTAM/ISO-OSMOT 1 GM/50 ML
BUTORPHANOL 1 MG/ML VIAL
VIVOTIF BERNA CAPSULE EC
BUTORPHANOL 1 MG/ML VIAL
BUTORPHANOL TARTRAT 1 MG/ML VL
TORADOL IV/IM 15 MG/ML TUBEX
KETOROLAC 15 MG/ML SYRINGE
KETOROLAC 15 MG/ML SYRINGE
KETOROLAC 15 MG/ML CARPUJECT
KETOROLAC 15 MG/ML CARPUJECT
KETOROLAC 15 MG/ML CARPUJECT
NOVOLIN N 100 UNITS/ML CARTRDG
NOVOLIN N 100 UNITS/ML CARTRDG

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
YE
HV
HV
HV
HV
HV
HV
HK
HV
CE
HV
HV
HJ
HJ
HJ
HJ
HJ
HJ
HJ
HJ

UNIT PRICE
$
5.72
$
5.72
$
5.72
$
5.72
$
5.72
$
5.72
$
5.72
$
5.72
$
5.72
$
5.72
$
5.72
$
5.72
$
5.72
$
5.72
$
5.72
$
5.72
$
5.72
$
5.72
$
5.72
$
5.72
$
5.72
$
5.72
$
5.72
$
5.72
$
5.72
$
5.72
$
5.72
$
5.72
$
5.72
$
5.72
$
5.72
$
5.72
$
5.72
$
5.74
$
5.74
$
5.74
$
5.74
$
5.74
$
5.74
$
5.74
$
5.74
$
5.74
$
5.74
$
5.74
$
5.74
$
5.75
$
5.75
$
5.75
$
5.75
$
5.75
$
5.75
$
5.75
$
5.75

NDC
10019002109
32849070602
32849070607
08137006726
38779009601
38779009603
38779009604
38779009605
49452722001
49452722002
49452722003
51552027601
51552027602
51552027604
51552027605
51927137700
62991121101
38779039503
38779039504
38779039505
51552048302
51552048304
51552048305
51927250100
62991104001
62991104002
62991104003
63370005815
63370005825
63370005835
08333152803
00003187902
00074795119
00264907540
00264928340
00264928740
00264929840
00264930240
00264932440
00264941340
00264941540
17191000051
17191000341
17191005100
47679804648
08380009791
00069420030
00516010003
00516140530
38779018203
38779018204
54868478400
68115088030

NAME
KETOROLAC 15 MG/ML SYRINGE
NOVOLIN N 100 UNITS/ML CARTRDG
NOVOLIN N 100 UNITS/ML CARTRDG
STERIPAK GAUZE STERILE 5YD
SPIRONOLACTONE POWDER
SPIRONOLACTONE POWDER
SPIRONOLACTONE POWDER
SPIRONOLACTONE POWDER
SPIRONOLACTONE POWDER
SPIRONOLACTONE POWDER
SPIRONOLACTONE POWDER
SPIRONOLACTONE POWDER
SPIRONOLACTONE POWDER
SPIRONOLACTONE POWDER
SPIRONOLACTONE POWDER
SPIRONOLACTONE POWDER
SPIRONOLACTONE POWDER
CYCLOBENZAPRINE HCL POWDER
CYCLOBENZAPRINE HCL POWDER
CYCLOBENZAPRINE HCL POWDER
CYCLOBENZAPRINE HCL POWDER
CYCLOBENZAPRINE HCL POWDER
CYCLOBENZAPRINE HCL POWDER
CYCLOBENZAPRINE HCL POWDER
CYCLOBENZAPRINE HCL POWDER
CYCLOBENZAPRINE HCL POWDER
CYCLOBENZAPRINE HCL POWDER
CYCLOBENZAPRINE HCL POWDER
CYCLOBENZAPRINE HCL POWDER
CYCLOBENZAPRINE HCL POWDER
MICROFOAM SURGICAL TAPE
DUODERM XTHIN CGF 4X6" DRES
LIFECARE CONTAINER 1,000 ML
MCGAW MIXING CONT 1,000 ML
MCGAW MIXING CONT 1,000 ML
MCGAW MIXING CONT 1,000 ML
MCGAW MIXING CONT 1,000 ML
MCGAW MIXING CONT 1,000 ML
MCGAW MIXING CONT 1,000 ML
MCGAW MIXING CONT 1,000 ML
MCGAW MIXING CONT 1,000 ML
EXACTA-MED EMPTY COLLE BAG
EXACTA-MIX EVA HOLOBAG
STERIL EMPTY COLLECTION BAG
EMPTY VIAFLEX CONTAINER
STERILE WOUND CARE SKIN BAR
VIAGRA 25 MG TABLET
FLEXOPLAST ELASTIC BNDGE 3"
FLEXOPLAST ADHESIVE BANDAGE
PILOCARPINE HCL POWDER
PILOCARPINE HCL POWDER
VIAGRA 25 MG TABLET
VIAGRA 25 MG TABLET

DOSE FORM DRUG STRENGTH


HJ
HJ
HJ
YE
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
YT
YE
HU
HU
HU
HU
HU
HU
HU
HU
HU
HU
HU
HU
HU
EA
TA
YE
YE
PA
PA
TA
TA

UNIT PRICE
$
5.75
$
5.75
$
5.75
$
5.76
$
5.76
$
5.76
$
5.76
$
5.76
$
5.76
$
5.76
$
5.76
$
5.76
$
5.76
$
5.76
$
5.76
$
5.76
$
5.76
$
5.77
$
5.77
$
5.77
$
5.77
$
5.77
$
5.77
$
5.77
$
5.77
$
5.77
$
5.77
$
5.77
$
5.77
$
5.77
$
5.78
$
5.79
$
5.80
$
5.80
$
5.80
$
5.80
$
5.80
$
5.80
$
5.80
$
5.80
$
5.80
$
5.80
$
5.80
$
5.80
$
5.80
$
5.81
$
5.82
$
5.82
$
5.82
$
5.82
$
5.82
$
5.82
$
5.82

NDC
00074617714
00074617914
53329056049
53329056062
08011968602
08011968622
00024180016
63713800112
00173049500
00173049900
00173072000
54569460300
54868439200
55045291901
68115063713
00065064705
00065064710
00065064725
49999014705
52959009200
52959009201
52959119900
54569228500
54569440000
54569449300
54868278900
54868278901
54868278902
55045218702
55045218705
55887073205
55887073225
58016501401
58016652700
58016652701
66267093705
68115094005
00065066505
00065066510
54868400200
58016650801
00054449911
00555048527
51079058201
51079058205
62584076701
00173041300
00002411704
00002411733
00002411760
00517037271
00517037370
33413000015

NAME
MORPHINE SULFATE 25 MG/ML VL
MORPHINE SULFATE 25 MG/ML VL
MAXORB 12" ROPE DRESSING
MAXORB EXTRA 12" DRESSING
SCANPOR TAPE 1" W/DISPENSR
SCANPOR TAPE REFILL 1"
SKELID 200 MG TABLET
SILVERCEL 1"X12" DRESSING
FLOVENT 220 MCG INHALER
FLOVENT 220 MCG INHALER
FLOVENT HFA 220 MCG INHALER
FLOVENT 220 MCG INHALER
FLOVENT 220 MCG INHALER
FLOVENT 220 MCG INHALER
FLOVENT 220 MCG INHALER
TOBRADEX EYE DROPS
TOBRADEX EYE DROPS
TOBRADEX EYE DROPS
TOBRADEX EYE DROPS
TOBRADEX EYE DROPS
TOBRADEX EYE DROPS
TOBRADEX EYE DROPS
TOBRADEX EYE DROPS
TOBRADEX EYE DROPS
TOBRADEX EYE DROPS
TOBRADEX EYE DROPS
TOBRADEX EYE DROPS
TOBRADEX EYE DROPS
TOBRADEX EYE DROPS
TOBRADEX EYE DROPS
TOBRADEX EYE DROPS
TOBRADEX EYE DROPS
TOBRADEX EYE DROPS
TOBRADEX EYE DROPS
TOBRADEX EYE DROPS
TOBRADEX EYE DROPS
TOBRADEX EYE DROPS
IOPIDINE 0.5% EYE DROPS
IOPIDINE 0.5% EYE DROPS
IOPIDINE 0.5% EYE DROPS
IOPIDINE 0.5% EYE DROPS
LEUCOVORIN CALCIUM 25 MG TAB
LEUCOVORIN CALCIUM 25 MG TAB
LEUCOVORIN CALCIUM 25 MG TAB
LEUCOVORIN CALCIUM 25 MG TAB
LEUCOVORIN CALCIUM 25 MG TAB
FORTAZ/ISO-OSMOT 2 GM/50 ML
ZYPREXA 10 MG TABLET
ZYPREXA 10 MG TABLET
ZYPREXA 10 MG TABLET
METHYLENE BLUE 1% AMPUL
METHYLENE BLUE 1% AMPUL
ATOMIZER, GLASS W/METAL TOP

DOSE FORM DRUG STRENGTH


HV
HV
YE
YE
YT
YT
TA
YE
AJ
AJ
AJ
AJ
AJ
AJ
AJ
SN
SN
SN
SN
SN
SN
SN
SN
SN
SN
SN
SN
SN
SN
SN
SN
SN
SN
SN
SN
SN
SN
SO
SO
SO
SO
TA
TA
TA
TA
TA
HK
TA
TA
TA
HH
HH
EA

UNIT PRICE
$
5.84
$
5.84
$
5.84
$
5.84
$
5.86
$
5.86
$
5.87
$
5.87
$
5.88
$
5.88
$
5.88
$
5.88
$
5.88
$
5.88
$
5.88
$
5.89
$
5.89
$
5.89
$
5.89
$
5.89
$
5.89
$
5.89
$
5.89
$
5.89
$
5.89
$
5.89
$
5.89
$
5.89
$
5.89
$
5.89
$
5.89
$
5.89
$
5.89
$
5.89
$
5.89
$
5.89
$
5.89
$
5.90
$
5.90
$
5.90
$
5.90
$
5.91
$
5.91
$
5.91
$
5.91
$
5.91
$
5.93
$
5.95
$
5.95
$
5.95
$
5.95
$
5.95
$
5.95

NDC
33413000151
33413000152
33413000163
33413000251
33413000286
33413006300
49452646001
49452646002
49452646003
49999060615
51552044401
51927137200
54868394100
59148000713
59148000735
62991113401
62991113402
68115070860
00003020929
00003020930
00003020931
00003020932
00003020934
00003020935
00003020936
00003020937
00003020938
00003020939
08080072030
08080176250
08080712080
08080712100
08080712120
08080712150
08080712170
08080712200
08080712230
08080712250
08080712270
08080712300
08080712350
08080712400
08080712450
08080712500
08080714080
08080714120
08080714150
08080714170
08080714230
08080714250
08080714270
08080714300
08080714350

NAME
ATOMIZER, GLASS W/METAL TOP
ATOMIZER, GLASS W/METAL TOP
ATOMIZER, GLASS W/METAL TOP
ATOMIZER,GLASS W/PLASTIC TP
ATOMIZER,GLASS W/PLASTIC TP
POWER SPRAY DISP ATOMIZER
SCOPOLAMINE HBR POWDER
SCOPOLAMINE HBR POWDER
SCOPOLAMINE HBR POWDER
ZYPREXA 10 MG TABLET
SCOPOLAMINE HBR POWDER
SCOPOLAMINE HBR POWDER
ZYPREXA 10 MG TABLET
ABILIFY 5 MG TABLET
ABILIFY 5 MG TABLET
SCOPOLAMINE HBR POWDER
SCOPOLAMINE HBR POWDER
ZYPREXA 10 MG TABLET
G/T UROSTOMY POST-OP SYS
G/T UROSTOMY POST-OP SYS
G/T COLOSTOMY POST-OP SYS
G/T COLOSTOMY POST-OP SYS
G/T LOOP OSTOMY SYSTEM 4IN
G/T UROSTOMY DISCHARGE SYS
G/T UROSTOMY DISCHARGE SYS
G/T COLO/ILEO DISCHARGE SYS
G/T COLO/ILEO DISCHARGE SYS
G/T COLOSTOMY DISCHARGE SYS
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
PA
PA
PA
TA
PA
PA
TA
TA
TA
PA
PA
TA
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK

UNIT PRICE
$
5.95
$
5.95
$
5.95
$
5.95
$
5.95
$
5.95
$
5.95
$
5.95
$
5.95
$
5.95
$
5.95
$
5.95
$
5.95
$
5.95
$
5.95
$
5.95
$
5.95
$
5.95
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96

NDC
08080714450
08080714500
08080716080
08080716100
08080716120
08080716150
08080716170
08080716200
08080716230
08080716270
08080716350
08080716400
08080716450
08080716500
08080718080
08080718100
08080718120
08080718150
08080718170
08080718200
08080718230
08080718250
08080718270
08080718300
08080718350
08080718400
08080718450
08080718500
08080720080
08080720100
08080720120
08080720150
08080720170
08080720200
08080720230
08080720250
08080720270
08080720350
08080720400
08080720450
08080720500
08080724080
08080724100
08080724120
08080724150
08080724170
08080724200
08080724230
08080724250
08080724270
08080724300
08080724350
08080724450

NAME
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT
NUTRIPORT BALLOON KIT

DOSE FORM DRUG STRENGTH


YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK

UNIT PRICE
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96

NDC
08080724500
08380003710
08380003715
08380003716
08380003718
08380003915
08380003916
08380003917
11298000254
11298001010
11298001011
11298001012
11298001013
11298001014
11298001020
11298001021
11298001022
11298001023
11298001024
11298001030
11298001031
11298001032
11298001033
11298001034
11298001035
11298001036
11298001037
11298001038
11298001039
11701082010
11701082235
00406888901
04351096510
08373071000
08373071800
08373071900
08373074000
08373074200
08373074230
08373075000
08373075500
08373075530
08373075600
08373075630
08439103001
08439104001
08439109750
08439130025
08439345010
08439345011
08439345012
08439345013
08439600101

NAME
NUTRIPORT BALLOON KIT
OSTOMY/WOUND CARE KIT,STERL
CENTERPOINT 2PC KIT 1&3/4"
CENTERPOINT 2PC KIT 2&3/4"
CENTERPOINT 2PC KIT 2&1/4"
CENTERPOINT 2PC KIT 1&3/4"
CENTERPOINT 2PC KIT 2&3/4"
CENTERPOINT 2PC KIT 2&1/4"
NOVA OSTOMY OUTFIT
SANI ODORPROOF OUTFIT
SANI ODORPROOF OUTFIT KIT
SANI ODORPROOF OUTFIT KIT
SANI ODORPROOF OUTFIT KIT
SANI ODORPROOF OUTFIT KIT
RUBBER POUCH OUTFIT KIT
RUBBER POUCH OUTFIT KIT
RUBBER POUCH OUTFIT KIT
RUBBER POUCH OUTFIT KIT
RUBBER POUCH OUTFIT KIT
VINYL PLASTIC POUCH OUTFIT
VINYL PLASTIC POUCH OUTFIT
VINYL PLASTIC POUCH OUTFIT
VINYL PLASTIC POUCH OUTFIT
VINYL PLASTIC POUCH OUTFIT
ALMOUNT ODORPROOF OUTFIT
ALMOUNT ODORPROOF OUTFIT
ALMOUNT ODORPROOF OUTFIT
ALMOUNT ODORPROOF OUTFIT
ALMOUNT ODORPROOF OUTFIT
COLOPLAST IRRIGATION SET
ASSURA 2PC IRRIGATION SLEEV
WHISTLEWATCH PEAK FLOW MTR
TRUZONE PEAK FLOW METER
ASSESS PEAK FLOW METER
ASSESS PEAK FLOW METER
ASSESS PEAK FLOW METER
ASTHMA CHECK PEAK FLOW MTR
ASTHMAMENTOR PEAK FLOW MTR
ZOEY ASTHMAMENTOR METER
ASSESS PEAK FLOW METER
PERSONAL BEST PEAK FLOW MTR
ZOEY PERSONAL BEST PEAK MTR
PERSONAL BEST PEAK FLOW MTR
ZOEY PERSONAL BEST PEAK MTR
MINI WRIGHT PEAK FLOW METER
MINI WRIGHT PEAK FLOW METER
INCHECK INSPIRATORY FLW MTR
AIRZONE PEAK FLOW METER
PIKO 1 FLOW METER
PIKO 1 FLOW METER
PIKO 1 FLOW METER
PIKO 1 FLOW METER
POCKET PEAK FLOW METER

DOSE FORM DRUG STRENGTH


YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.96
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97

NDC
08439600112
08439905092
08439905093
08439905094
08462103104
08462104001
08462109750
08462109751
08462130045
08462141000
08462141002
08462141007
31253060207
33413058016
33413058023
42632073200
44229031001
44229031008
44229031016
44229031017
49502020001
50486008320
50486008321
50486008410
50486008413
50486008415
65845000100
65845000101
73796069940
00004692006
00003650947
00013264902
17317048102
17317048107
55860004348
00002445401
00002445485
00009075801
00039001910
00039001925
00039001949
00039001950
00067315510
00067602415
00078036964
00135031551
00135031552
08290001103
08290001104
08290001106
08290001107
08290001109
54569494700

NAME
POCKET PEAK FLOW METER
MINI WRIGHT PEAK FLOW METER
MINI WRIGHT PEAK FLOW METER
AIRZONE PEAK FLOW METER
MINI WRIGHT PEAK FLOW METER
MINI WRIGHT PEAK FLOW METER
IN-CHECK ORAL FLOW METER
IN-CHECK NASAL WITH MASK
AIRZONE PEAK FLOW METER
ONE FLOW FVC MEMO SPIROMETER
ONE FLOW FEV6 SPIROMETER
ONE FLOW FVC SCREEN SPIROMETER
POCKETPEAK PEAK FLOW METER
PULMO-GRAPH PEAK FLOW METER
PULMO-GRAPH PEAK FLOW METER
MICROLIFE PEAK FLOW METER
MINI-WRIGHT PEAK FLOW METER
MINI-WRIGHT PEAK FLOW METER
MINI-WRIGHT PEAK FLOW METER
TRUZONE PEAK FLOW METER
ASTECH PEAK FLOW METER
PEAK FLOW METER
PEAK FLOW METER
ASSESS PEAK FLOW METER
PERSONAL BEST PEAK FLOW METER
ASSESS PEAK FLOW METER
POCKETPEAK PEAK FLOW METER
POCKETPEAK PEAK FLOW METER
PEAK-AIR PEAK FLOW METER
TORADOL IV 15 MG/ML CARTRIDGE
SUREPRESS BANDAGE 4"X3.2YDS
GENOTROPIN MINIQUICK 0.2 MG
SCOPOLAMINE HBR CRYSTALS
SCOPOLAMINE HBR CRYSTALS
TENSOPRESS BANDAGE 4"X3.2YDS
ZYPREXA ZYDIS 10 MG TABLET
ZYPREXA ZYDIS 10 MG TABLET
SOLU-MEDROL 500 MG VIAL
CLAFORAN 2 GM VIAL
CLAFORAN 2 GM INJECTION
CLAFORAN 2 GM VIAL
CLAFORAN 2 GM VIAL
DENAVIR 1% CREAM
DENAVIR 1% CREAM
DENAVIR 1% CREAM
DENAVIR(PENCYCLOVIR)CREAM 1%
PENCICLOVIR 1% CREAM.TOP
YALE NEEDLE SHORT BEVEL
YALE NEEDLE SHORT BEVEL
YALE NEEDLE SHORT BEVEL
YALE NEEDLE SHORT BEVEL
YALE NEEDLE SHORT BEVEL
DENAVIR 1% CREAM

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
HJ
YE
HI
PC
PC
YE
UL
UL
HS
HS
HS
HS
HS
KA
KA
KA
KA
KA
YA
YA
YA
YA
YA
KA

UNIT PRICE
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.97
$
5.98
$
5.99
$
5.99
$
5.99
$
5.99
$
5.99
$
6.00
$
6.00
$
6.00
$
6.00
$
6.00
$
6.00
$
6.00
$
6.00
$
6.00
$
6.00
$
6.00
$
6.00
$
6.00
$
6.00
$
6.00
$
6.00
$
6.00
$
6.00

NDC
54868362300
54868495600
55390009110
63323033215
68722033215
54569385500
54868370200
00516020003
00516030001
00516141510
52604144605
54868369400
61570009501
61570009525
00002727301
00002727310
00088111114
00173037710
00173037731
54569552100
54868485300
61958060101
00264919250
00264919450
55513007330
00002446330
00074454801
00074454849
08021000600
08021050555
54569554400
54868466500
54868466501
55860007428
63323011310
00065064515
00169004571
60574310101
00069305107
00069305175
00247128801
00247128806
08011740040
54569456700
00004027848
00008034001
63304063728
00074171702
16500002510
16500002511
38779078003
38779078004
38779078005

NAME
SOLU-MEDROL 500 MG VIAL
DENAVIR 1% CREAM
VINBLASTINE SULF 10 MG VIAL
CEFOTAXIME SODIUM 2 GM VIAL
CEFOTAXIME SODIUM 2 GM VIAL
SEREVENT 21 MCG INHALER
SEREVENT 21 MCG INHALER
UNNA-PAK 2LAYER BOOT SYS 3"
PRIMER MODIFIED UNNA BOOT 3"
UNNA-PAK BANDAGE SYSTEM
BREVITAL SODIUM 500 MG VIAL
BREVITAL SODIUM 500 MG VIAL
BREVITAL SODIUM 500 MG VIAL
METHOHEXITAL NA 500MG/VIL INJ
KEFUROX 750 MG VIAL
KEFUROX 750 MG VIAL
NILANDRON 150 MG TABLET
FORTAZ 500 MG VIAL
FORTAZ 500 MG VIAL
EMTRIVA 200 MG CAPSULE
EMTRIVA 200 MG CAPSULE
EMTRIVA 200 MG CAPSULE
TOTALLY STERILE EXT SET
TOTALLY STERILE EXT SET
SENSIPAR 30 MG TABLET
CIALIS 10 MG TABLET
PENTAMIDINE 300 MG VIAL
PENTAMIDINE 300 MG VIAL
TRANSORBENT 6"X 6" DRESSING
THINSITE 6" X 6" DRESSING
CIALIS 10 MG TABLET
CIALIS 10 MG TABLET
CIALIS 10 MG TABLET
INTRASITE DRESSING 6" X 6"
PENTAM 300 VIAL
NATACYN EYE DROPS
NOVOLIN N 100 UNITS/ML SYRINGE
CYTOGAM 2.5 GM VIAL
ZITHROMAX 1 GM POWDER PACKET
ZITHROMAX 1 GM POWDER PACKET
ZITHROMAX 1 GM POWDER PACKET
ZITHROMAX 1 GM POWDER PACKET
VIGILON WOUND DRESS 3X6"
ZITHROMAX 1 GM POWDER PACKET
CYTOVENE 500 MG CAPSULE
TETANUS TOXOID 5LF UNITS TUBEX
GANCICLOVIR 500 MG CAPSULE
SOLUSET 250X15 W/CAIR CLAMP
MYCELEX-7 COMBINATION-PACK
MYCELEX-7 COMBINATION-PACK
DMSA POWDER
DMSA POWDER
DMSA POWDER

DOSE FORM DRUG STRENGTH


HS
KA
HS
HS
HS
AJ
AJ
YE
YE
YE
HS
HS
HS
HS
HN
HN
TA
HS
HS
CA
CA
CA
YX
YX
TA
TA
HS
HS
YE
YE
TA
TA
TA
YE
HS
SN
HQ
HV
PP
PP
PP
PP
YE
PP
CA
HQ
CA
YQ
ZD
ZD
PA
PA
PA

UNIT PRICE
$
6.00
$
6.00
$
6.00
$
6.00
$
6.00
$
6.01
$
6.01
$
6.03
$
6.03
$
6.03
$
6.03
$
6.03
$
6.03
$
6.03
$
6.04
$
6.04
$
6.05
$
6.05
$
6.05
$
6.05
$
6.05
$
6.05
$
6.06
$
6.06
$
6.06
$
6.07
$
6.07
$
6.07
$
6.07
$
6.07
$
6.07
$
6.07
$
6.07
$
6.07
$
6.07
$
6.08
$
6.08
$
6.08
$
6.09
$
6.09
$
6.09
$
6.09
$
6.09
$
6.09
$
6.10
$
6.10
$
6.10
$
6.12
$
6.12
$
6.12
$
6.12
$
6.12
$
6.12

NDC
49326090002
49452005901
49452005902
51927218000
54482014609
63370007515
63370007525
63370007535
63370007550
63370007555
00002446230
08219783400
56091008758
00004196201
00004196202
54868093400
58016945301
00029637421
00206845216
00206845217
00187320310
51672406301
00074233311
00074233326
00074282901
00074283001
00074285201
00002446430
54569554500
54569554502
54868496800
54868496801
54868496802
54868496803
54868496804
54868496805
65044996500
65044996600
00173072100
54569555000
54868495400
00074654202
00074654401
00074654402
62592049603
00039002425
00039002449
00039002450
59148000913
59148000935
68115080430
47679804548
00003403203

NAME
ALBATUSSIN NN VIAL
DMSA POWDER
DMSA POWDER
DMSA POWDER
CARNITOR 1 GM/5 ML AMPULE
DMSA POWDER
DMSA POWDER
DMSA POWDER
DMSA POWDER
DMSA POWDER
CIALIS 5 MG TABLET
CURITY IODOFORM PACKING STRP
NU-GAUZE PACK STRIPS
ROCEPHIN 250 MG VIAL
ROCEPHIN 250 MG VIAL
ROCEPHIN 250 MG VIAL
ROCEPHIN 250 MG VIAL
NALLPEN 2 GM PIGGYBACK VIAL
ZOSYN 2/0.25 GRAM VIAL
ZOSYN 2/0.25 GRAM ADD-VANTAGE
EFUDEX 5% SOLUTION
FLUOROURACIL 5% SOLUTION
DILAUDID 2 MG/ML AMPUL
DILAUDID 2 MG/ML AMPUL
FAULTLESS FOAM CUSHION MED
FAULTLESS FOAM CUSHION LARGE
FAULTLESS VINYL INFLAT CUSH
CIALIS 20 MG TABLET
CIALIS 20 MG TABLET
CIALIS 20 MG TABLET
CIALIS 20 MG TABLET
CIALIS 20 MG TABLET
CIALIS 20 MG TABLET
CIALIS 20 MG TABLET
CIALIS 20 MG TABLET
CIALIS 20 MG TABLET
CANDIDA ALBICANS EXTRACT
ASPERGILLUS ALLERGEN EXTRACT
LEXIVA 700 MG TABLET
LEXIVA 700 MG TABLET
LEXIVA 700 MG TABLET
T-U-R SYSTEM W/FLOW POUCH
CYSTOSCOPY/IRRIGATION SET
CYSTOSCOPY/IRRIGATION SET
BUPHENYL 500 MG TABLET
CLAFORAN 2 GM ADD-VANTAGE VL
CLAFORAN 2 GM ADD-VANTAGE VL
CLAFORAN 2 GM ADD-VANTAGE VL
ABILIFY 15 MG TABLET
ABILIFY 15 MG TABLET
ABILIFY 15 MG TABLET
EMPTY VIAFLEX CONTAINER
CARBOFLEX 3"X6" DRESSING

DOSE FORM DRUG STRENGTH


HV
PA
PA
PA
HH
PA
PA
PA
PA
PA
TA
YE
YE
HS
HS
HS
HS
HN
HS
HS
SA
SA
HH
HH
ZA
ZA
ZA
TA
TA
TA
TA
TA
TA
TA
TA
TA
HE
HE
TA
TA
TA
YU
YU
YU
TA
HS
HS
HS
TA
TA
TA
HU
YE

UNIT PRICE
$
6.12
$
6.12
$
6.12
$
6.12
$
6.12
$
6.12
$
6.12
$
6.12
$
6.12
$
6.12
$
6.13
$
6.13
$
6.13
$
6.14
$
6.14
$
6.14
$
6.14
$
6.15
$
6.15
$
6.15
$
6.16
$
6.16
$
6.17
$
6.17
$
6.17
$
6.17
$
6.17
$
6.18
$
6.18
$
6.18
$
6.18
$
6.18
$
6.18
$
6.18
$
6.18
$
6.18
$
6.19
$
6.19
$
6.20
$
6.20
$
6.20
$
6.21
$
6.21
$
6.21
$
6.21
$
6.23
$
6.23
$
6.23
$
6.23
$
6.23
$
6.23
$
6.24
$
6.25

NDC
00469087202
00703877103
00703877301
10019006303
55390006710
55390006801
63459050430
00004692206
00847059806
00847095706
00847095806
00847095906
00002535801
00143997790
00173035410
00173035435
00781392280
00781392296
00781920680
00781920696
08380007049
08395086300
08395086301
08395086310
08395086320
08395086321
08395086330
08395086331
08395086340
08395086341
08395086350
08395086351
08395086361
08395086371
10019062103
63323035320
66860003103
68722035320
00074795112
00074795113
00264928840
00264929140
00264930340
00264932540
00264941640
47679804748
47679804848
47679804948
54868457900
56091002018
61825100301
12280001415
49999059815

NAME
ADENOCARD IV 3 MG/ML VIAL
ADENOSINE 3 MG/ML VIAL
ADENOSINE 3 MG/ML VIAL
ADENOSINE 3 MG/ML VIAL
ADENOSINE 3 MG/ML VIAL
ADENOSINE 3 MG/ML VIAL
ACTIQ 400 MCG LOZENGE
TORADOL IV 30 MG/ML CARTRIDGE
COMPLEX MSUD AMINO ACID BAR
PHENYLADE AMINO ACID BAR
PHENYLADE AMINO ACID BAR
PHENYLADE AMINO ACID BAR
KEFUROX 1.5 GM VIAL
CEFUROXIME SOD 1.5 GM VIAL
ZINACEF 1.5 GM VIAL
ZINACEF 1.5 GM VIAL
CEFUROXIME SOD 1.5 GM VIAL
CEFUROXIME SOD 1.5 GM VIAL
CEFUROXIME SOD 1.5 GM VIAL
CEFUROXIME SOD 1.5 GM VIAL
COMFORT WEAR POUCH COVER
UROSTOMY POUCH
UROSTOMY POUCH-INTEGRAL MIC
UROSTOMY POUCH
UROSTOMY POUCH
UROSTOMY POUCH-INTEGRAL MIC
UROSTOMY POUCH
UROSTOMY POUCH-INTEGRAL MIC
UROSTOMY POUCH
UROSTOMY POUCH-INTEGRAL MIC
UROSTOMY POUCH
UROSTOMY POUCH-INTEGRAL MIC
UROSTOMY POUCH-INTEGRAL MIC
UROSTOMY POUCH-INTEGRAL MIC
CEFUROXIME SOD 1.5 GM VIAL
CEFUROXIME SOD 1.5 GM VIAL
CEFUROXIME SOD 1.5 GM VIAL
CEFUROXIME SOD 1.5 GM VIAL
LIFECARE CONTAINER 250 ML
LIFECARE CONTAINER 500 ML
MCGAW MIXING CONT 500 ML
MCGAW MIXING CONT 500 ML
MCGAW MIXING CONT 500 ML
MCGAW MIXING CONT 500 ML
MCGAW MIXING CONT 500 ML
EMPTY VIAFLEX CONTAINER
EMPTY VIAFLEX CONTAINER
EMPTY VIAFLEX CONTAINER
TORECAN 5 MG/ML AMPUL
ADAPTIC DRESSING 3" X 60"
SMARTDOSE EMPTY CONTAINER
ABILIFY 10 MG TABLET
ABILIFY 10 MG TABLET

DOSE FORM DRUG STRENGTH


HV
HV
HV
HV
HV
HV
LP
HJ
EB
EB
EB
EB
HS
HS
HS
HS
HS
HS
HS
HS
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
HS
HS
HS
HS
HU
HU
HU
HU
HU
HU
HU
HU
HU
HU
HH
YE
HU
TA
TA

UNIT PRICE
$
6.25
$
6.25
$
6.25
$
6.25
$
6.25
$
6.25
$
6.25
$
6.26
$
6.26
$
6.26
$
6.26
$
6.26
$
6.27
$
6.27
$
6.27
$
6.27
$
6.27
$
6.27
$
6.27
$
6.27
$
6.27
$
6.27
$
6.27
$
6.27
$
6.27
$
6.27
$
6.27
$
6.27
$
6.27
$
6.27
$
6.27
$
6.27
$
6.27
$
6.27
$
6.27
$
6.27
$
6.27
$
6.27
$
6.30
$
6.30
$
6.30
$
6.30
$
6.30
$
6.30
$
6.30
$
6.30
$
6.30
$
6.30
$
6.30
$
6.30
$
6.30
$
6.32
$
6.32

NDC
59148000813
59148000835
68115071330
00173071400
54569550100
58016079500
58016079530
58016079560
58016079590
00002536310
00065401303
00173043700
54569556100
54868117500
54868475700
54868479800
55045326703
58016645901
61314004475
61570003775
00021058002
00264928540
00264928940
00264930040
00264930440
00264932340
00264932640
00264939240
00264941740
00280304011
10956059545
11822315240
17191000052
38779014203
38779014204
38779014206
49452468601
49452468602
49452468603
50428181257
51552060302
52735020502
87701056903
87701056997
00555092701
08884711501
38779056803
38779056804
38779056806
49452279101
49452279102
51927169800
55946050095

NAME
ABILIFY 10 MG TABLET
ABILIFY 10 MG TABLET
ABILIFY 10 MG TABLET
EPIVIR 300 MG TABLET
EPIVIR 300 MG TABLET
EPIVIR 300 MG TABLET
EPIVIR 300 MG TABLET
EPIVIR 300 MG TABLET
EPIVIR 300 MG TABLET
KEFUROX ADD-VANTAGE 1.5 GM
VIGAMOX 0.5% EYE DROPS
ZINACEF 1.5 GM ADD-VANT VIAL
VIGAMOX 0.5% EYE DROPS
VIROPTIC 1% EYE DROPS
TRIFLURIDINE 1% EYE DROPS
VIGAMOX 0.5% EYE DROPS
VIGAMOX 0.5% EYE DROPS
VIROPTIC 1% EYE DROPS
TRIFLURIDINE 1% EYE DROPS
VIROPTIC 1% EYE DROPS
R & C LICE TREATMENT KIT
MCGAW MIXING CONT 2,000 ML
MCGAW MIXING CONT 2,000 ML
MCGAW MIXING CONT 2,000 ML
MCGAW MIXING CONT 2,000 ML
MCGAW MIXING CONT 2,000 ML
MCGAW MIXING CONT 2,000 ML
MCGAW MIXING CONT 2,000 ML
MCGAW MIXING CONT 2,000 ML
RID COMPLETE LICE ELIM KIT
LICIDE TREATMENT KIT
RA PEDICULICIDE 11 LICE KIT
EXACTA-MED EMPTY COLLE BAG
METHYLPREDNISOLONE POWDER
METHYLPREDNISOLONE POWDER
METHYLPREDNISOLONE POWDER
METHYLPREDNISOLONE POWDER
METHYLPREDNISOLONE POWDER
METHYLPREDNISOLONE POWDER
CVS LICE SOLUTION KIT
METHYLPREDNISOLONE POWDER
FP LICE COMBINATION KIT
BL LICE TREATMENT COMBO KIT
GNP LICE TREATMENT COMBO KT
TREXALL 5 MG TABLET
KANGAROO ENTERAL FEED TUBE
ESTRADIOL VALERATE POWDER
ESTRADIOL VALERATE POWDER
ESTRADIOL VALERATE POWDER
ESTRADIOL VALERATE POWDER
ESTRADIOL VALERATE POWDER
ESTRADIOL VALERATE POWDER
ISCAR MALI SERIES 0 AMPULE

DOSE FORM DRUG STRENGTH


TA
TA
TA
TA
TA
TA
TA
TA
TA
HS
SO
HS
SO
SO
SO
SO
SO
SO
SO
SO
YK
HU
HU
HU
HU
HU
HU
HU
HU
YK
YK
YK
HU
PA
PA
PA
PA
PA
PA
YK
PA
YK
YK
YK
TA
EA
PA
PA
PA
PA
PA
PA
HH

UNIT PRICE
$
6.32
$
6.32
$
6.32
$
6.33
$
6.33
$
6.33
$
6.33
$
6.33
$
6.33
$
6.34
$
6.34
$
6.34
$
6.34
$
6.34
$
6.34
$
6.34
$
6.34
$
6.34
$
6.34
$
6.34
$
6.35
$
6.35
$
6.35
$
6.35
$
6.35
$
6.35
$
6.35
$
6.35
$
6.35
$
6.35
$
6.35
$
6.35
$
6.35
$
6.35
$
6.35
$
6.35
$
6.35
$
6.35
$
6.35
$
6.35
$
6.35
$
6.35
$
6.35
$
6.35
$
6.38
$
6.38
$
6.38
$
6.38
$
6.38
$
6.38
$
6.38
$
6.38
$
6.38

NDC
55946050195
55946050295
55946050495
55946050595
55946050695
55946050895
55946050995
55946051095
55946051595
55946051695
55946051795
55946051995
55946052095
55946052295
55946052395
55946052495
55946052595
55946052695
55946052795
55946052995
55946053095
55946053195
55946053295
55946053395
55946053495
55946053695
55946053795
55946081895
70074050125
00054309036
00087565041
00378963943
54868320900
54868458300
60505081301
00088120632
00088120806
00088120926
40565011860
00065021535
49452259601
49452259602
49452259603
51552059001
51552059005
51552059025
51927309900
54569365500
54868063100
00039001911
00002850101
60505072703
00025208006

NAME
ISCAR MALI SERIES 1 AMPULE
ISCAR MALI SERIES II AMPULE
ISCAR PINI SERIES O AMPULE
ISCAR PINI SERIES I AMPULE
ISCAR PINI SERIES II AMPULE
ISCAR QUERCUS SERIES O AMP
ISCAR QUERCUS SERIES I AMP
ISCAR QUERCUS SERIES II AMP
ISCAR MALI 0.005 MG/ML AMPUL
ISCAR MALI 0.05 MG/ML AMPULE
ISCAR MALI 0.5 MG/ML AMPULE
ISCAR MALI 50 MG/ML AMPULE
ISCAR MALI 100 MG/ML AMPULE
ISCAR PINI 0.005 MG/ML AMPUL
ISCAR PINI 0.05 MG/ML AMPUL
ISCAR PINI 0.5 MG/ML AMPUL
ISCAR PINI 5 MG/ML AMPULE
ISCAR PINI 50 MG/ML AMPULE
ISCAR PINI 100 MG/ML AMPULE
ISCAR QUERCU 0.005 MG/ML AMP
ISCAR QUERCUS 0.05 MG/ML AMP
ISCAR QUERCUS 0.5 MG/ML AMP
ISCAR QUERCUS 5 MG/ML AMPULE
ISCAR QUERCUS 50 MG/ML AMP
ISCAR QUERCUS 100 MG/ML AMP
ISCAR MALI SPEC 25 MG/ML AMP
ISCAR QUERCUS 25 MG/ML AMP
ISCAR MALI 5 MG/ML AMPULE
FLEXIFLO 12-FR FEEDING TUBE
BUTORPHANOL 10 MG/ML SPRAY
STADOL NS 10 MG/ML SPRAY
BUTORPHANOL 10 MG/ML SPRAY
STADOL NS 10 MG/ML SPRAY
BUTORPHANOL 10 MG/ML SPRAY
BUTORPHANOL 10 MG/ML SPRAY
ANZEMET 20 MG/ML VIAL
ANZEMET 20 MG/ML VIAL
ANZEMET 20 MG/ML VIAL
EXU-DRY DRESSING 3"X12"
PILOPINE HS 4% EYE GEL
DIETHYLSTILBESTROL POWDER
DIETHYLSTILBESTROL POWDER
DIETHYLSTILBESTROL POWDER
DIETHYLSTILBESTROL POWDER
DIETHYLSTILBESTROL POWDER
DIETHYLSTILBESTROL POWDER
DIETHYLSTILBESTROL POWDER
PILOPINE HS 4% EYE GEL
PILOPINE HS 4% EYE GEL
CLAFORAN 2 GM INFUSION BTL
HUMULIN R 500 UNITS/ML VIAL
HALOPERIDOL LAC 5 MG/ML SYRN
AXERT 6.25 MG TABLET

DOSE FORM DRUG STRENGTH


HH
HH
HH
HH
HH
HH
HH
HH
HH
HH
HH
HH
HH
HH
HH
HH
HH
HH
HH
HH
HH
HH
HH
HH
HH
HH
HH
HH
EA
AS
AS
AS
AS
AS
AS
HV
HV
HV
YE
JG
PA
PA
PA
PA
PA
PA
PA
JG
JG
HA
HV
HQ
TA

UNIT PRICE
$
6.38
$
6.38
$
6.38
$
6.38
$
6.38
$
6.38
$
6.38
$
6.38
$
6.38
$
6.38
$
6.38
$
6.38
$
6.38
$
6.38
$
6.38
$
6.38
$
6.38
$
6.38
$
6.38
$
6.38
$
6.38
$
6.38
$
6.38
$
6.38
$
6.38
$
6.38
$
6.38
$
6.38
$
6.38
$
6.40
$
6.40
$
6.40
$
6.40
$
6.40
$
6.40
$
6.41
$
6.41
$
6.41
$
6.42
$
6.44
$
6.44
$
6.44
$
6.44
$
6.44
$
6.44
$
6.44
$
6.44
$
6.44
$
6.44
$
6.45
$
6.46
$
6.46
$
6.47

NDC
00062208006
51234013302
00023927705
54868491300
00074634205
00074647844
00074648101
00456067299
00703514501
52959013100
52959119800
54868188301
55390005401
55390082501
66479024725
68115065201
00037702560
00451702506
52959071006
54868469600
00025208506
00062208506
25294088600
25294088650
68115070506
08021332160
53303014440
00456067099
11701040777
54868529400
68115065301
00006361932
08026118452
08290001108
40565011846
49756046104
00023218103
00023218105
00023218110
00065066010
00173044200
00173044202
00247129020
00247130302
52959011405
54569408300
54569457300
54868395000
54868395001
54868450900
55045216803
55045216805
58016459801

NAME
AXERT 6.25 MG TABLET
VITA-NUMONYL ADULT VIAL
ACULAR LS 0.4% OPHTH SOL
ACULAR LS 0.4% OPHTH SOL
ERYTHROCIN 1 GM VIAL
ERYTHROCIN 1 GM ADDVANT VIAL
ERYTHROCIN 1 GM VIAL
AEROBID AEROSOL W/ADAPTER
LEUCOVORIN CALCIUM 350 MG VL
AEROBID AEROSOL W/ADAPTER
AEROBID AEROSOL W/ADAPTER
AEROBID AEROSOL W/ADAPTER
LEUCOVORIN CALCIUM 350 MG VL
LEUCOVORIN CALCIUM 350 MG VL
LEUCOVORIN CALCIUM 350 MG VL
AEROBID AEROSOL W/ADAPTER
OPTIVAR 0.05% DROPS
OPTIVAR 0.05% DROPS
OPTIVAR 0.05% DROPS
OPTIVAR 0.05% DROPS
AXERT 12.5 MG TABLET
AXERT 12.5 MG TABLET
INSUL-EZE 100 UNIT #IZ600
INSUL-EZE 50 UNIT #IZ-650
AXERT 12.5 MG TABLET
PERIFIX TUOHY EPIDURAL NDL
CARRAGINATE DRESSING 4"X4"
AEROBID-M AEROSOL W/ADAPTER
COMFEEL PLUS CONTOUR DRESS
AEROBID-M AEROSOL W/ADAPTER
AEROBID-M AEROSOL W/ADAPTER
DIURIL SODIUM 500 MG VIAL
EXU-DRY WOUND DRESS 15"X18"
YALE NEEDLE
EXU-DRY DRESSING 15"X18"
SOFSORB WOUND DRESS 15"X18"
ACULAR 0.5% EYE DROPS
ACULAR 0.5% EYE DROPS
ACULAR 0.5% EYE DROPS
IOPIDINE 1% EYE DROPS
ZOFRAN 2 MG/ML VIAL
ZOFRAN 2 MG/ML VIAL
ZOFRAN 2 MG/ML VIAL
ZOFRAN 2 MG/ML VIAL
ACULAR 0.5% EYE DROPS
ACULAR 0.5% EYE DROPS
ACULAR 0.5% EYE DROPS
ACULAR 0.5% EYE DROPS
ACULAR 0.5% EYE DROPS
ZOFRAN 2 MG/ML VIAL
ACULAR 0.5% EYE DROPS
ACULAR 0.5% EYE DROPS
ACULAR 0.5% EYE DROPS

DOSE FORM DRUG STRENGTH


TA
HV
SO
SO
HS
HS
HS
AJ
HS
AJ
AJ
AJ
HS
HS
HS
AJ
SO
SO
SO
SO
TA
TA
YK
YK
TA
YH
YE
AJ
YE
AJ
AJ
HS
YE
YA
YE
YE
SO
SO
SO
DP
HV
HV
HV
HV
SO
SO
SO
SO
SO
HV
SO
SO
SO

UNIT PRICE
$
6.47
$
6.48
$
6.49
$
6.49
$
6.50
$
6.50
$
6.50
$
6.50
$
6.50
$
6.50
$
6.50
$
6.50
$
6.50
$
6.50
$
6.50
$
6.50
$
6.51
$
6.51
$
6.51
$
6.51
$
6.52
$
6.52
$
6.52
$
6.52
$
6.52
$
6.55
$
6.55
$
6.56
$
6.56
$
6.56
$
6.56
$
6.57
$
6.57
$
6.57
$
6.57
$
6.57
$
6.59
$
6.59
$
6.59
$
6.59
$
6.59
$
6.59
$
6.59
$
6.59
$
6.59
$
6.59
$
6.59
$
6.59
$
6.59
$
6.59
$
6.59
$
6.59
$
6.59

NDC
58016646101
58016646102
00406665601
00406665630
00406665634
00406666203
08011771114
08080607000
08219200400
08219201400
08219607000
08219616200
49452540001
49452540002
49452540003
49452541001
49452541002
49452541003
51552047701
08011800316
08011800318
08011800516
08011800518
08080181400
08080181700
08080181800
08080182000
08080182200
08380009816
08380009817
08380009818
08884711519
08887606146
08887606161
08887606187
08887606203
70074050072
70074050080
70074050082
70074050090
70074050092
70074050100
70074050102
70074050520
70074050728
70074050738
70074051174
00516020004
00516040001
00516141520
44087080806
44087081808
55056081801

NAME
ACULAR 0.5% EYE DROPS
ACULAR 0.5% EYE DROPS
PILOCARPINE HCL CRYSTALS
PILOCARPINE HCL CRYSTALS
PILOCARPINE HCL CRYSTALS
PILOCARPINE NITRATE CRYSTAL
BARD URETHRAL CATHETER TRAY
CURITY STRM CATH W/MONO-FLO
CURITY URINE MTR FOLEY TRAY
CURITY URINE MTR FOLEY TRAY
CURITY FOLEY CATHETER TRAY
CURITY FOLEY CATHETER TRAY
PILOCARPINE HCL CRYSTALS
PILOCARPINE HCL CRYSTALS
PILOCARPINE HCL CRYSTALS
PILOCARPINE NITRATE CRYSTAL
PILOCARPINE NITRATE CRYSTAL
PILOCARPINE NITRATE CRYSTAL
PILOCARPINE HCL CRYSTALS
DAVOL COMPLETE FOLEY KIT
DAVOL COMPLETE FOLEY KIT
DAVOL COMPLETE FOLEY KIT
DAVOL COMPLETE FOLEY KIT
CURITY FOLEY CATH 2-WAY KIT
CURITY FOLEY CATH 2-WAY KIT
CURITY FOLEY CATH 2-WAY KIT
CURITY FOLEY CATH 2-WAY KIT
CURITY FOLEY CATH 2-WAY KIT
CATHETER STARTER KIT 22MM
CATHETER STARTER KIT 26MM
CATHETER STARTER KIT 34MM
KANGAROO ENTERAL FEED TUBE
SILICONE FOLEY STERILE KIT
SILICONE FOLEY STERILE KIT
SILICONE FOLEY STERILE KIT
SILICONE FOLEY STERILE KIT
FLEXIFLO STOMATE GASTRO KIT
FLEXIFLO STOMATE GASTRO KIT
FLEXIFLO STOMATE GASTRO KIT
FLEXIFLO STOMATE GASTRO KIT
FLEXIFLO STOMATE GASTRO KIT
FLEXIFLO STOMATE GASTRO KIT
FLEXIFLO STOMATE GASTRO KIT
FLEXIFLO VERSA-PEG KIT
FLEXIFLO OVER-GUIDEWIRE KIT
FLEXIFLO OVER-GUIDEWIRE KIT
FLEXIFLO LAP G GASTROSTOMY
UNNA-PAK 2LAYER BOOT SYS 4"
PRIMER MODIFIED UNNA BOOT 4"
UNNA-PAK BANDAGE SYSTEM
CRINONE 8% GEL
CRINONE 8% GEL
PROCHIEVE 8% GEL

DOSE FORM DRUG STRENGTH


SO
SO
PC
PC
PC
PC
ZT
ZT
ZT
ZT
ZT
ZT
PC
PC
PC
PC
PC
PC
PC
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
EA
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YE
YE
YE
JU
GE
JU

UNIT PRICE
$
6.59
$
6.59
$
6.63
$
6.63
$
6.63
$
6.63
$
6.63
$
6.63
$
6.63
$
6.63
$
6.63
$
6.63
$
6.63
$
6.63
$
6.63
$
6.63
$
6.63
$
6.63
$
6.63
$
6.64
$
6.64
$
6.64
$
6.64
$
6.64
$
6.64
$
6.64
$
6.64
$
6.64
$
6.64
$
6.64
$
6.64
$
6.64
$
6.64
$
6.64
$
6.64
$
6.64
$
6.64
$
6.64
$
6.64
$
6.64
$
6.64
$
6.64
$
6.64
$
6.64
$
6.64
$
6.64
$
6.64
$
6.65
$
6.65
$
6.65
$
6.65
$
6.65
$
6.65

NDC
00015798120
00015798199
00173010793
00781309995
00004028957
63032009125
00247116201
55390000310
63323060401
66860009002
00003187725
00003187773
00264928640
00264929040
00264930140
00264930540
00264932240
00264932740
00264941240
00264941840
17191000053
17191005300
53303014414
00516010004
00516140540
00062542201
00062542202
00062542236
11822302000
38779083703
38779083705
38779083706
49452005401
49452005402
49452167501
49452167502
49452167603
51552012901
63713800404
08333900240
00378912198
00781711155
24208035805
24208035810
24208035825
50458003305
54868307400
63713004434
67253094054
00074187568
00074187668
40565012194
50484034100

NAME
OXACILLIN 1 GM VIAL
OXACILLIN 1 GM VIAL
RETROVIR IV INFUSION VIAL
OXACILLIN 1 GM VIAL
SORIATANE 25 MG CAPSULE
SORIATANE 25 MG CAPSULE
INDERAL 1 MG/ML AMPUL
PROPRANOLOL 1 MG/ML VIAL
PROPRANOLOL 1 MG/ML VIAL
PROPRANOLOL 1 MG/ML VIAL
COMBIDERM ACD DRESSING
COMBIDERM ACD DRESSING
MCGAW MIXING CONT 3,000 ML
MCGAW MIXING CONT 3,000 ML
MCGAW MIXING CONT 3,000 ML
MCGAW MIXING CONT 3,000 ML
MCGAW MIXING CONT 3,000 ML
MCGAW MIXING CONT 3,000 ML
MCGAW MIXING CONT 3,000 ML
MCGAW MIXING CONT 3,000 ML
EXACTA-MED EMPTY COLLE BAG
STERIL EMPTY COLLECTION BAG
CARRAGINATE ROPE 14"
FLEXOPLAST ELASTIC BNDGE 4"
FLEXOPLAST ADHESIVE BANDAGE
MONISTAT 7 COMBINATION PACK
MONISTAT 7 COMBINATION PACK
MONISTAT 7 COMBINATION PACK
RA M-ZOLE COMBINATION PACK
CAPSAICIN POWDER
CAPSAICIN POWDER
CAPSAICIN POWDER
CAPSAICIN POWDER
CAPSAICIN POWDER
CAPSAICIN POWDER
CAPSAICIN POWDER
CAPSICUM EXTRACT POWDER
CAPSAICIN POWDER SYNTHETIC
SILVERCEL 4.25"X4.25" DRESSING
TEGASORB THIN 5.5X6.75 DRSS
FENTANYL 25 MCG/HR PATCH
FENTANYL 25 MCG/HR PATCH
ZYLET EYE DROPS
ZYLET EYE DROPS
ZYLET EYE DROPS
DURAGESIC 25 MCG/HR PATCH
DURAGESIC 25 MCG/HR PATCH
PROMOGRAN MATRIX DRESSING
FENTANYL 25 MCG/HR PATCH
VENOSET MICRODRIP NV
SOLUSET NV W/CLAMP
SECURA EPC STARTER KIT
SECURA EPC STARTER KIT

DOSE FORM DRUG STRENGTH


HS
HS
HV
HS
CA
CA
HV
HV
HV
HV
YE
YE
HU
HU
HU
HU
HU
HU
HU
HU
HU
HU
YE
YE
YE
ZD
ZD
ZD
ZD
PA
PA
PA
PA
PA
PA
PA
PA
PA
YE
YE
PR
PR
SN
SN
SN
PR
PR
YE
PR
EA
EA
ZD
ZD

UNIT PRICE
$
6.67
$
6.67
$
6.67
$
6.67
$
6.69
$
6.69
$
6.70
$
6.70
$
6.70
$
6.70
$
6.71
$
6.71
$
6.72
$
6.72
$
6.72
$
6.72
$
6.72
$
6.72
$
6.72
$
6.72
$
6.72
$
6.72
$
6.72
$
6.78
$
6.78
$
6.79
$
6.79
$
6.79
$
6.79
$
6.80
$
6.80
$
6.80
$
6.80
$
6.80
$
6.80
$
6.80
$
6.80
$
6.80
$
6.80
$
6.81
$
6.82
$
6.82
$
6.82
$
6.82
$
6.82
$
6.82
$
6.82
$
6.82
$
6.82
$
6.83
$
6.83
$
6.83
$
6.83

NDC
53329052340
00173059500
00173059502
00591671702
00591671747
08026498800
49999006206
49999006210
52959054602
52959054603
52959054604
52959054606
52959054608
52959054610
52959054614
52959054628
54569452400
54569452401
54569452402
54569452403
54868411400
55289038904
55289038906
55289038920
55860004988
55887023130
55887023160
55887023190
58016069800
58016069830
58016069860
58016069890
60760059504
60760059514
66267050906
68030728301
68115009006
00065043132
00065043156
00074233211
40565012197
50484034400
00574061105
00591320413
54569541500
54868364900
55515010101
00074167102
08884711550
08884711568
11298000280
11298000281
11298000282

NAME
EXUDERM SACRUM DRESSING
COMBIVIR TABLET
COMBIVIR TABLET
NANDROLONE DE 100 MG/ML VIAL
NANDROLONE DE 100 MG/ML VIAL
OPSITE ADHESIVE DRESSING
COMBIVIR TABLET
COMBIVIR TABLET
COMBIVIR TABLET
COMBIVIR TABLET
COMBIVIR TABLET
COMBIVIR TABLET
COMBIVIR TABLET
COMBIVIR TABLET
COMBIVIR TABLET
COMBIVIR TABLET
COMBIVIR TABLET
COMBIVIR TABLET
COMBIVIR TABLET
COMBIVIR TABLET
COMBIVIR TABLET
COMBIVIR TABLET
COMBIVIR TABLET
COMBIVIR TABLET
OPSITE DRES 11" X 17 3/4"
COMBIVIR TABLET
COMBIVIR TABLET
COMBIVIR TABLET
COMBIVIR TABLET
COMBIVIR TABLET
COMBIVIR TABLET
COMBIVIR TABLET
COMBIVIR TABLET
COMBIVIR TABLET
COMBIVIR TABLET
COMBIVIR TABLET
COMBIVIR TABLET
SYSTANE 0.3-0.4% EYE DROPS
SYSTANE 0.3-0.4% EYE DROPS
DILAUDID 1 MG/ML AMPUL
SECURA TWO-STEP KIT
SECURA TWO-STEP KIT
PODOFILOX 0.5% TOPICAL SOLN
PODOFILOX 0.5% TOPICAL SOLN
PODOFILOX 0.5% TOPICAL SOLN
CONDYLOX 0.5% TOPICAL SOLN
CONDYLOX 0.5% TOPICAL SOLN
DIAL-A-FLO IV EXTEN SET 18"
KANGAROO ENTERAL FEED TUBE
KANGAROO ENTERAL FEED TUBE
LEG BAG, PLASTIC, SMALL
LEG BAG, PLASTIC, MEDIUM
LEG BAG, PLASTIC, LARGE

DOSE FORM DRUG STRENGTH


YE
TA
TA
HV
HV
YE
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
YE
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
DP
DP
HH
ZD
ZD
SA
SA
SA
SA
SA
YQ
EA
EA
EA
EA
EA

UNIT PRICE
$
6.83
$
6.86
$
6.86
$
6.86
$
6.86
$
6.86
$
6.86
$
6.86
$
6.86
$
6.86
$
6.86
$
6.86
$
6.86
$
6.86
$
6.86
$
6.86
$
6.86
$
6.86
$
6.86
$
6.86
$
6.86
$
6.86
$
6.86
$
6.86
$
6.86
$
6.86
$
6.86
$
6.86
$
6.86
$
6.86
$
6.86
$
6.86
$
6.86
$
6.86
$
6.86
$
6.86
$
6.86
$
6.87
$
6.87
$
6.87
$
6.88
$
6.88
$
6.89
$
6.89
$
6.89
$
6.89
$
6.89
$
6.91
$
6.91
$
6.91
$
6.91
$
6.91
$
6.91

NDC
40565011933
53276105002
00003164663
00003164763
00003165663
00519162204
08021333690
08021333694
53303014260
00065032505
38779071903
38779071904
38779071905
38779071908
49452365101
49452365102
49452365103
51552063005
51927202400
62991133301
62991133302
62991133303
62991133304
62991133305
40565012195
50484034200
10019092001
52604710201
55390023110
55390024110
56091001911
56091003905
00003403706
59011010910
59011010925
51927335800
00074190301
00023884205
00062535101
10356045549
12280011338
52959114300
54569201200
54868051501
58016314901
00074449803
11701040860
08026000044
11701088085
00003187643
00516141030
08026484200
08380009923

NAME
CONFORMANT 2 12"X24" SHEET
ULTRAFOAM 2X6.25X7CM SPONGE
LYOFOAM WOUND DRESS 8"X6"
LYOFOAM C DRESS 8"X6"
LYOFOAM EXTRA DRESS 8"X6"
EPI-LOCK SYNTH DRESS 6"X8"
TEFLON COATED NDL/EXTEN SET
TEFLON COATED NDL/EXTEN SET
CARRASMART FOAM DRESSING
EMADINE 0.05% EYE DROPS
HYDROXYTRYPTOPHAN POWDER
HYDROXYTRYPTOPHAN POWDER
HYDROXYTRYPTOPHAN POWDER
HYDROXYTRYPTOPHAN POWDER
HYDROXYTRYPTOPHAN POWDER
HYDROXYTRYPTOPHAN POWDER
HYDROXYTRYPTOPHAN POWDER
HYDROXYTRYPTOPHAN POWDER
HYDROXYTRYPTOPHAN POWDER
HYDROXYTRYPTOPHAN POWDER
HYDROXYTRYPTOPHAN POWDER
HYDROXYTRYPTOPHAN POWDER
HYDROXYTRYPTOPHAN POWDER
HYDROXYTRYPTOPHAN POWDER
SECURA STARTER KIT
SECURA STARTER KIT
DOXORUBICIN 10 MG VIAL
THROMBIN-JMI 5,000 UNITS VIAL
ADRIAMYCIN 10 MG VIAL
DOXORUBICIN 10 MG VIAL
THROMBOGEN 5,000 UNITS VIAL
THROMBOGEN 5,000 UNITS VIAL
AQUACEL-AG W/HYDROFIBER DRS
OXYCONTIN 160 MG TABLET SA
OXYCONTIN 160 MG TABLET SA
BUPROPION HYDROCHLORIDE POWDER
PROCAINAMIDE 500 MG/ML VIAL
ALOCRIL 2% EYE DROPS
TERAZOL 3 80 MG SUPPOSITORY
COVER-ROLL STRETCH BANDAGE
TERAZOL 3 80 MG SUPPOSITORY
TERAZOL 3 80 MG SUPPOSITORY
TERAZOL 3 80 MG SUPPOSITORY
TERAZOL 3 80 MG SUPPOSITORY
TERAZOL 3 80 MG SUPPOSITORY
ULTIVA 1 MG VIAL
COMFEEL PLUS DRESSING
ALLEVYN ADHESIVE DRESS 5X5"
BIATAIN ADH FOAM DRESSING
DUODERM CGF 6"X8" DRESSING
PRIMER BANDAGE
REPLICARE 6"X8" DRESSING
RESTORE EX THIN DRSG STRL

DOSE FORM DRUG STRENGTH


FS
YV
YE
YE
YE
YE
YH
YH
YE
SO
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
ZD
ZD
HS
HS
HS
HS
HS
HS
YE
TM
TM
PA
HV
SO
QC
YE
QC
QC
QC
QC
QC
HS
YE
YE
YE
YE
YE
YE
YE

UNIT PRICE
$
6.93
$
6.96
$
6.97
$
6.97
$
6.97
$
6.97
$
6.97
$
6.97
$
6.97
$
6.98
$
6.98
$
6.98
$
6.98
$
6.98
$
6.98
$
6.98
$
6.98
$
6.98
$
6.98
$
6.98
$
6.98
$
6.98
$
6.98
$
6.98
$
6.99
$
6.99
$
7.00
$
7.00
$
7.00
$
7.00
$
7.00
$
7.00
$
7.01
$
7.02
$
7.02
$
7.04
$
7.05
$
7.07
$
7.07
$
7.07
$
7.07
$
7.07
$
7.07
$
7.07
$
7.07
$
7.08
$
7.08
$
7.09
$
7.09
$
7.10
$
7.10
$
7.10
$
7.10

NDC
08380009932
08380009933
08380009954
08380009957
08884475800
10356047403
10356047507
10356047509
11701040685
62794008648
00074118612
00268024805
11701090483
11701090487
61570018001
00004911500
00054312041
66733094823
81317050000
00002323230
00002323233
00002323430
00002323433
00074280601
00074280602
87701047254
63402051324
67546011111
67546011132
00091151021
00089061012
00517090125
00517091125
00703820194
49452244401
49452244402
49452244403
54569489400
54868455400
63323061401
08327003082
08327003182
00003187973
67286081203
00089054006
00591322247
52959017906
61570041605
63323001201
63323001210
66288510001
00015722520
00015722599

NAME
RESTORE WND CARE 6"X8" DRES
RESTORE CX 6"X 8" DRESSING
RESTORE PLUS 6"X8" DRESSING
RESTORE PLUS 6"X8" DRESSING
ULTEC 6" X 8" DRESSING
CUTINOVA HYDRO DRESS 6"X 8"
CUTINOVA THIN DRESSING
CUTINOVA FOAM DRESSING
COMFEEL PLUS CLEAR DRESSING
HYDROCOL 6" X 8" DRESSING
FENTANYL/DROPERIDOL AMPUL
HISTATROL 1:10,000 VIAL
ASSURA AC CONVEX BASEPLATE
ASSURA AC CONVEX BASEPLATE
DELESTROGEN 10 MG/ML VIAL
ROCALTROL 1 MCG/ML ORAL SOLN
CALCITRIOL 1 MCG/ML SOLUTION
ERBITUX 100 MG/50 ML VIAL
ENEMA BAG W/CATHETER
SYMBYAX 12-25 MG CAPSULE
SYMBYAX 12-25 MG CAPSULE
SYMBYAX 12-50 MG CAPSULE
SYMBYAX 12-50 MG CAPSULE
FAULTLESS DELUXE COMBO SYRINGE
SPECTRA COMBINATION SYRINGE
BL COMBO DOUCHE/ENEMA SYRNG
XOPENEX 1.25 MG/3 ML SOLUTION
ALINIA 500 MG TABLET
ALINIA 500 MG TABLET
KUTAPRESSIN VIAL
ALDARA 5% CREAM
HYDRALAZINE 20 MG/ML VIAL
HYDRALAZINE 20 MG/ML VIAL
HYDRALAZINE 20 MG/ML VIAL
DEHYDROEPIANDROSTERONE CRYS
DEHYDROEPIANDROSTERONE CRYS
DEHYDROEPIANDROSTERONE CRYS
ALDARA 5% CREAM
ALDARA 5% CREAM
HYDRALAZINE 20 MG/ML VIAL
TENDERWET ACTIVE DRESSING
TENDERWET ACTIVE CAVITY DRESS
DUODERM CGF 4"X 5" DRESS
CARDENE I.V. 2.5 MG/ML AMPUL
NORFLEX 30 MG/ML AMPUL
ORPHENADRINE 30 MG/ML AMPULE
NORFLEX 30 MG/ML AMPUL
PITOCIN 10 UNITS/ML VIAL
OXYTOCIN 10 UNITS/ML VIAL
OXYTOCIN 10 UNITS/ML VIAL
CEFTAZIDIME 100 GM BULK BAG
NAFCILLIN 1 GM VIAL
NAFCILLIN 1 GM VIAL

DOSE FORM DRUG STRENGTH


YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
HH
HV
ZA
ZA
HV
SJ
SJ
HV
EA
CA
CA
CA
CA
ZD
ZD
ZD
SA
TA
TA
HV
PP
HV
HV
HV
PC
PC
PC
PP
PP
HV
YE
YE
YE
HH
HH
HH
HH
HV
HV
HV
HL
HS
HS

UNIT PRICE
$
7.10
$
7.10
$
7.10
$
7.10
$
7.10
$
7.10
$
7.10
$
7.10
$
7.10
$
7.10
$
7.12
$
7.14
$
7.14
$
7.14
$
7.14
$
7.15
$
7.15
$
7.18
$
7.19
$
7.20
$
7.20
$
7.20
$
7.20
$
7.20
$
7.20
$
7.20
$
7.21
$
7.21
$
7.21
$
7.22
$
7.24
$
7.24
$
7.24
$
7.24
$
7.24
$
7.24
$
7.24
$
7.24
$
7.24
$
7.24
$
7.28
$
7.28
$
7.29
$
7.31
$
7.32
$
7.32
$
7.32
$
7.32
$
7.32
$
7.32
$
7.32
$
7.34
$
7.34

NDC
00221911002
00781312495
00009377804
00009377805
00009518101
00026252106
00085174701
00091101006
00091102722
00091111011
00091111016
00091111020
00091141044
49502069203
08327031089
51927315800
63370012420
57599013401
57599710101
93815080134
93815097101
00054449805
00054449810
59011031460
60505072501
63004773003
00469725302
63323002605
00074184906
49072005910
51234012010
53879030310
54859040110
58768010314
00007313505
00007313576
00015734639
00015734697
00143998391
00591236657
00591236668
00781334646
00781334695
63304094110
63323023861
66860000302
66860090302
00026064812
00026064815
00026064820
00026064824
00026064871
49669162201

NAME
EGG/PRO POWDER PACKETS
NAFCILLIN 1 GM VIAL
CAVERJECT 10 MCG VIAL
CAVERJECT 10 MCG VIAL
CAVERJECT IMPULSE 10 MCG KIT
BILTRICIDE 600 MG TABLET
BILTRICIDE 600 MG TABLET
EDEX 10 MCG VIAL
EDEX 10 MCG REFILL PACK
EDEX 10 MCG STARTER PACK
EDEX 10 MCG CARTRIDGE KIT
EDEX 10 MCG CARTRIDGE KIT
EDEX 10 MCG KIT
ACCUNEB 0.63 MG/3 ML INH SOLN
SILVASORB 2"X2" DRESSING
KANAMYCIN SULFATE POWDER
KANAMYCIN SULFATE POWDER
AUTOLANCET DEVICE W-LANCETS
ULTRATLC LANCETS-DEVICE
AUTOLANCET DEVICE W-LANCETS
ULTRATLC LANCETS-DEVICE
LEUCOVORIN CALCIUM 15 MG TAB
LEUCOVORIN CALCIUM 15 MG TAB
PALLADONE 24 MG CAPSULE
KETOROLAC 15 MG/ML SYRINGE
INULIN 5G/50 ML VIAL
CEFIZOX 2 GM VIAL
SODIUM BICARB 4.2% VIAL
PONTOCAINE 20 MG AMPUL
B-COMPLEX/VITAMIN C/B-12 VL
NERVIDOX 6 MONOVIAL
NEURIN BC VIAL
NUTRIJECT LYOPHILIZED VIAL
EYESCRUB LID CLEANSER KIT
ANCEF 10 GM VIAL
ANCEF 10 GM VIAL
CEFAZOLIN 10 GM BULK VIAL
CEFAZOLIN 10 GM BULK VIAL
CEFAZOLIN 10 GM VIAL
CEFAZOLIN 10 GM VIAL
CEFAZOLIN 10 GM VIAL
CEFAZOLIN 10 GM BULK VIAL
CEFAZOLIN 10 GM BULK VIAL
CEFAZOLIN 10 GM VIAL
CEFAZOLIN 10 GM BULK VIAL
CEFAZOLIN 10 GM VIAL
CEFAZOLIN 10 GM VIAL
GAMIMUNE N 10% VIAL
GAMIMUNE N 10% VIAL
GAMIMUNE N 10% VIAL
GAMIMUNE N 10% VIAL
GAMIMUNE N 10% VIAL
VENOGLOBULIN-S 10% VIAL

DOSE FORM DRUG STRENGTH


PP
HS
HS
HS
YK
TA
TA
HS
YK
YK
YK
YK
YK
SA
YE
PA
PA
YK
YK
YK
YK
TA
TA
CP
HQ
HV
HS
HV
HR
HS
HS
HS
HS
YK
HS
HS
HS
HS
HS
HS
HS
HS
HS
VI
HS
HS
HS
HV
HV
HV
HV
HV
HV

UNIT PRICE
$
7.34
$
7.34
$
7.37
$
7.37
$
7.37
$
7.37
$
7.37
$
7.37
$
7.37
$
7.37
$
7.37
$
7.37
$
7.37
$
7.39
$
7.40
$
7.40
$
7.40
$
7.41
$
7.41
$
7.41
$
7.41
$
7.42
$
7.42
$
7.43
$
7.43
$
7.44
$
7.45
$
7.45
$
7.46
$
7.47
$
7.47
$
7.47
$
7.47
$
7.48
$
7.49
$
7.49
$
7.49
$
7.49
$
7.49
$
7.49
$
7.49
$
7.49
$
7.49
$
7.49
$
7.49
$
7.49
$
7.49
$
7.50
$
7.50
$
7.50
$
7.50
$
7.50
$
7.50

NDC
49669162301
49669162401
68516162201
68516162301
68516162401
10356010301
00006775331
00487990401
49502069303
00310070510
00310070530
00310070539
54868450300
66116021230
38779019403
38779019406
62991201201
62991201202
63459050630
38779089103
38779089104
38779089106
49452279501
49452279502
51927170900
51927197800
62991105101
62991105102
63275998601
63275998602
63275998604
63370009015
63370009025
63370009035
55505012109
56184012151
59440021599
00009076502
00074563004
08317900010
08317900110
08317901110
76300037205
76300037405
76300037905
76300037910
76300038005
76300038010
00002706101
00002706125
08333152804
55515001424
55515001480

NAME
VENOGLOBULIN-S 10% VIAL
VENOGLOBULIN-S 10% VIAL
VENOGLOBULIN-S 10% VIAL
VENOGLOBULIN-S 10% VIAL
VENOGLOBULIN-S 10% VIAL
GELOCAST UNNA'S BOOT
MUSTARGEN 10 MG VIAL
ALBUTEROL SUL 1.25 MG/3 ML SOL
ACCUNEB 1.25 MG/3 ML INH SOLN
CASODEX 50 MG TABLET
CASODEX 50 MG TABLET
CASODEX 50 MG TABLET
CASODEX 50 MG TABLET
CASODEX 50 MG TABLET
BENZTROPINE MESYLATE POWDER
BENZTROPINE MESYLATE POWDER
BENZTROPINE MESYLATE POWDER
BENZTROPINE MESYLATE POWDER
ACTIQ 600 MCG LOZENGE
ESTRONE POWDER
ESTRONE POWDER
ESTRONE POWDER
ESTRONE POWDER
ESTRONE POWDER
ESTRONE POWDER
ESTRONE POWDER
ESTRONE POWDER
ESTRONE POWDER
ESTRONE POWDER
ESTRONE POWDER
ESTRONE POWDER
ESTRONE POWDER
ESTRONE POWDER
ESTRONE POWDER
UROFEMME COMBO PACK
LITTLE REMEDIES POISON KIT
LITTLE REMEDIES POISON KIT
SOLU-MEDROL 500 MG VIAL
A-METHAPRED 500 MG UNIVIAL
COMFORT INFUSION SET
COMFORT INFUSION SET
PURELINE COMFORT INFUS SET
SILHOUETTE INFUSION SET 43"
SILHOUETTE INFUSION SET 23"
SILHOUETTE COMBO SET 43"
SILHOUETTE COMBO SET 43"
SILHOUETTE COMBO SET 23"
SILHOUETTE COMBO SET 23"
MANDOL 1 GM/10 ML VIAL
MANDOL 1 GM/10 ML VIAL
MICROFOAM SURGICAL TAPE
CORDRAN 4 MCG/SQ CM TAPE
CORDRAN 4 MCG/SQ CM TAPE

DOSE FORM DRUG STRENGTH


HV
HV
HV
HV
HV
YE
HS
SA
SA
TA
TA
TA
TA
TA
PA
PA
PA
PA
LP
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
ZD
YK
YK
HS
HS
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
YQ
HS
HS
YT
EN
EN

UNIT PRICE
$
7.50
$
7.50
$
7.50
$
7.50
$
7.50
$
7.51
$
7.52
$
7.54
$
7.54
$
7.56
$
7.56
$
7.56
$
7.56
$
7.56
$
7.58
$
7.58
$
7.58
$
7.58
$
7.60
$
7.62
$
7.62
$
7.62
$
7.62
$
7.62
$
7.62
$
7.62
$
7.62
$
7.62
$
7.62
$
7.62
$
7.62
$
7.62
$
7.62
$
7.62
$
7.65
$
7.65
$
7.65
$
7.68
$
7.68
$
7.68
$
7.68
$
7.68
$
7.68
$
7.68
$
7.68
$
7.68
$
7.68
$
7.68
$
7.71
$
7.71
$
7.71
$
7.71
$
7.71

NDC
00074602103
00004110116
00004110150
00062729001
00062729004
60505072601
11701013296
10337042225
10337042710
00003164658
00003165658
00074258402
00087601142
00516141040
00597006011
49502067230
49502067231
49502067260
00003187662
00003401848
00003403328
08026483300
08327051343
08380009925
08380009928
08380009935
08380009936
08380009955
08380009958
08884475826
09958008330
09958008390
11701040591
11701040691
11701040991
40565012075
53329051743
53329051843
62794008664
08026732800
55860007328
00169330312
32849050087
53303001009
53303001110
08011740043
09958018080
56091002498
61118086001
61118086005
61118086025
61118086501
61118086505

NAME
STERILE EMPTY VIAL/INJECTOR
XELODA 500 MG TABLET
XELODA 500 MG TABLET
ADVANCED CARE CHOLEST TEST
ADVANCED CARE CHOLEST TEST
KETOROLAC 30 MG/ML SYRINGE
CRITIC-AID SKIN CARE PACK
OMIDERM DRESSING 18X10CM
OMIDERM MESH DRESS 18X10CM
LYOFOAM WOUND DRESS 7"X4"
LYOFOAM EXTRA DRESS 7"X4"
HEPARIN NA 2,500 UNITS/ML VIAL
CAFCIT 20 MG/ML VIAL
PRIMER BANDAGE
CAFCIT 20 MG/ML VIAL
DUONEB 2.5-0.5 MG/3 ML SOLN
DUONEB 2.5-0.5 MG/3 ML SOLN
DUONEB 2.5-0.5 MG/3 ML SOLN
DUODERM CGF 8"X8" DRESSING
COMBIDERM ACD DRESSING
DUODERM SIGNAL 8"X8" DRES
REPLICARE 8"X8" DRESSING
EXUDERM SATIN 8X8 DRESSING
RESTORE EX THIN DRSG STRL
RESTORE DRES/PSORIASIS 8X8"
RESTORE WND CARE 8"X8" DRES
RESTORE CX 8"X 8" DRESSING
RESTORE PLUS 8"X8" DRESSING
RESTORE PLUS 8"X8" DRESSING
ULTEC 8" X 8" DRESSING
PRIMACOL 8"X8" DRESSING
PRIMACOL BORDERED 8"X8" DRS
COMFEEL PLUS ULCER DRESSING
COMFEEL PLUS CLEAR DRESSING
COMFEEL ULCER CARE DRESSING
REPLICARE 8"X8" DRESSING
EXUDERM RCD 8"X8" DRESSING
EXUDERM 8"X8" DRESSING
HYDROCOL 8" X 8" DRESSING
ALLEVYN CAVITY DRESSING
ALLEVYN CAV TUBULAR DRESS
NOVOLOG 100 UNITS/ML CARTRIDGE
NOVOLOG 100 UNITS/ML CARTRIDGE
CARRINGTON PACKING STRIPS
CARRA GAUZE STRIPS
VIGILON WOUND DRESS 6X8"
AQUASITE SHEET 6"X8" DRESS
NU-GEL WOUND DRESSING 6"X8"
ELASTO-GEL DRESSING 6"X8"
ELASTO-GEL DRESSING 6"X8"
ELASTO-GEL DRESSING 6"X8"
ELASTO-GEL PLUS DRSSNG 6X8
ELASTO-GEL PLUS DRSSNG 6X8

DOSE FORM DRUG STRENGTH


EA
TA
TA
YK
YK
HQ
ZD
YE
YE
YE
YE
HV
HV
YE
HV
SA
SA
SA
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
HJ
HJ
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE

UNIT PRICE
$
7.72
$
7.75
$
7.75
$
7.75
$
7.75
$
7.77
$
7.79
$
7.81
$
7.81
$
7.82
$
7.82
$
7.82
$
7.82
$
7.82
$
7.82
$
7.83
$
7.83
$
7.83
$
7.86
$
7.86
$
7.86
$
7.86
$
7.86
$
7.86
$
7.86
$
7.86
$
7.86
$
7.86
$
7.86
$
7.86
$
7.86
$
7.86
$
7.86
$
7.86
$
7.86
$
7.86
$
7.86
$
7.86
$
7.86
$
7.87
$
7.87
$
7.89
$
7.89
$
7.89
$
7.89
$
7.90
$
7.90
$
7.90
$
7.90
$
7.90
$
7.90
$
7.90
$
7.90

NDC
61118086525
66977020868
11498017301
00517250210
08197100110
08197100116
55390078410
63304044731
11098053301
11098053310
54643100600
54643100700
66758001101
66758001102
66758001103
00074156410
40565012198
50484034500
55390000710
63323049405
64365050401
00003363112
54569553200
54868485400
00003177904
00003362412
08423162126
54569553000
54868485700
00074162401
00074230101
00074325001
49452817001
64365050201
00046106505
00008081401
00074434835
10019013101
61703024103
38779076503
38779076504
38779076506
61958030101
08290524560
11822990540
87701071372
87701071374
00013562693
00015050241
00015054741
08380009973
10019095501
00002872501

NAME
ELASTO-GEL PLUS DRSSNG 6X8
COOLMAGIC GEL SHEET
CHEWABLE PRENATAL TABLET
CAFF/SOD BENZOATE 500 MG VL
GLUCOWATCH AUTOSENSOR
GLUCOWATCH AUTOSENSOR
CAFF/SOD BENZOATE 500 MG VL
SOTRET 30 MG CAPSULE
MYOCHRYSINE 50 MG/ML VIAL
MYOCHRYSINE 50 MG/ML VIAL
GOLD SOD THIOMALATE 50 MG/ML
GOLD SOD THIOMALATE 50 MG/ML
GOLD SOD THIOMALAT 50 MG/ML VL
GOLD SOD THIOMALAT 50 MG/ML VL
GOLD SOD THIOMALAT 50 MG/ML VL
DEPACON 500 MG VIAL
SECURA DIMETHICONE KIT
SECURA DIMETHICONE KIT
VALPROATE SOD 500 MG/5 ML VL
VALPROATE SOD 500 MG/5 ML VL
TARGRETIN 1% GEL
REYATAZ 200 MG CAPSULE
REYATAZ 200 MG CAPSULE
REYATAZ 200 MG CAPSULE
AQUACEL HYDROFIBER DRESSING
REYATAZ 150 MG CAPSULE
INSUFLON 25G SET
REYATAZ 150 MG CAPSULE
REYATAZ 150 MG CAPSULE
BUTORPHANOL 1 MG/ML SYRINGE
BUTORPHANOL 1 MG/ML SYRINGE
NITROPRESS 50 MG ADDVANT KIT
PARAFFIN WAX CAKE
TARGRETIN 75 MG SOFTGEL
PHOSPHOLINE IODIDE 0.125%
CORDARONE I.V. AMPUL
AMIODARONE HCL 50 MG/ML AMP
AMIODARONE HCL 50 MG/ML AMP
AMIODARONE HCL AMPUL
GLIPIZIDE POWDER
GLIPIZIDE POWDER
GLIPIZIDE POWDER
DAUNOXOME 2 MG/ML VIAL
BD BASAL DIGITAL THERMOMTR
RA HIGH ENERGY PACK
BL ACTIVE DAILY PAK
BL WOMEN'S DAILY PAK
NEOSAR 500 MG VIAL
CYTOXAN 500 MG VIAL
CYTOXAN LYOPHILIZED 500 MG
RESTORE HYDROGEL GAUZE STRP
CYCLOPHOSPHAMIDE 500 MG VIAL
HUMALOG 100 UNITS/ML PEN

DOSE FORM DRUG STRENGTH


YE
YE
ZD
HV
EA
EA
HV
CA
HV
HV
HV
HV
HV
HV
HV
HV
ZD
ZD
HV
HV
JG
CA
CA
CA
YE
CA
EA
CA
CA
HQ
HQ
YK
EC
CA
SO
HH
HH
HH
HH
PA
PA
PA
HV
EA
ZD
ZD
ZD
HS
HS
HS
YE
HS
IO

UNIT PRICE
$
7.90
$
7.90
$
7.91
$
7.97
$
7.97
$
7.97
$
7.97
$
7.97
$
7.99
$
7.99
$
7.99
$
7.99
$
7.99
$
7.99
$
7.99
$
8.00
$
8.00
$
8.00
$
8.00
$
8.00
$
8.04
$
8.05
$
8.05
$
8.05
$
8.06
$
8.07
$
8.07
$
8.07
$
8.07
$
8.08
$
8.08
$
8.08
$
8.08
$
8.08
$
8.09
$
8.10
$
8.10
$
8.10
$
8.10
$
8.11
$
8.11
$
8.11
$
8.12
$
8.16
$
8.16
$
8.16
$
8.16
$
8.19
$
8.19
$
8.19
$
8.19
$
8.19
$
8.20

NDC
00002872559
00591322126
54396032840
54868501600
00056051030
54569537400
00003362312
54868385901
00065065435
54868469500
08021333285
11701040861
38779040501
38779040503
38779040504
38779040505
38779040506
49452246501
49452246502
49452246503
51552043001
51927108100
62991202201
62991202202
62991202203
62991202204
00088120869
00088120876
51552082102
00026815120
00703507501
00703507503
55390009010
61703032722
63323012812
63323012820
08219181400
08219181800
38779016601
38779016603
38779016604
38779016605
49452791001
49452791002
49452791003
51552027801
51927337000
10019018005
00007419518
00074643102
00074643501
38779015303
38779015304

NAME
HUMALOG 100 UNITS/ML PEN
TESTOSTERONE ENAN 200 MG/ML
DELATESTRYL 200 MG/ML VIAL
DELATESTRYL 200 MG/ML VIAL
SUSTIVA 600 MG TABLET
SUSTIVA 600 MG TABLET
REYATAZ 100 MG CAPSULE
PHENOBARBITAL 30 MG/ML TUBEX
CILOXAN 0.3% OINTMENT
CILOXAN 0.3% OINTMENT
SPINOCAN SPINAL NEEDLE
COMFEEL PLUS DRESSING
DEXAMETHASONE POWDER
DEXAMETHASONE POWDER
DEXAMETHASONE POWDER
DEXAMETHASONE POWDER
DEXAMETHASONE POWDER
DEXAMETHASONE POWDER
DEXAMETHASONE POWDER
DEXAMETHASONE POWDER
DEXAMETHASONE POWDER
DEXAMETHASONE POWDER
DEXAMETHASONE POWDER
DEXAMETHASONE POWDER
DEXAMETHASONE POWDER
DEXAMETHASONE POWDER
ANZEMET 12.5 MG CARPUJECT
ANZEMET 12.5 MG CARPUJECT
BUSPIRONE HCL POWDER
DTIC-DOME IV 200 MG VIAL
DACARBAZINE 200 MG VIAL
DACARBAZINE 200 MG VIAL
DACARBAZINE 200 MG VIAL
DACARBAZINE 200 MG VIAL
DACARBAZINE 200 MG VIAL
DACARBAZINE 200 MG VIAL
CURITY ULTRMR CATH 14FR KIT
CURITY ULTRMR CATH 18FR KIT
TRIAMCINOLONE DIACETATE PWD
TRIAMCINOLONE DIACETATE PWD
TRIAMCINOLONE DIACETATE PWD
TRIAMCINOLONE DIACETATE PWD
TRIAMCINOLONE DIACETATE PWD
TRIAMCINOLONE DIACETATE PWD
TRIAMCINOLONE DIACETATE PWD
TRIAMCINOLONE DIACETATE PWD
TRIAMCINOLONE DIACETATE PWD
ENLON-PLUS AMPUL
HALFAN 250 MG TABLET
PENTOTHAL 1 GM KIT
PENTOTHAL 1 GM W/DILUENT
PREDNISOLONE SOD PH POWDER
PREDNISOLONE SOD PH POWDER

DOSE FORM DRUG STRENGTH


IO
HV
HV
HV
TA
TA
CA
HQ
OA
OA
YH
YE
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
HJ
HJ
PA
HS
HS
HS
HS
HS
HS
HS
ZD
ZD
PA
PA
PA
PA
PA
PA
PA
PA
PA
HH
TA
HS
HS
PA
PA

UNIT PRICE
$
8.20
$
8.21
$
8.21
$
8.21
$
8.24
$
8.24
$
8.25
$
8.25
$
8.27
$
8.27
$
8.29
$
8.29
$
8.29
$
8.29
$
8.29
$
8.29
$
8.29
$
8.29
$
8.29
$
8.29
$
8.29
$
8.29
$
8.29
$
8.29
$
8.29
$
8.29
$
8.30
$
8.30
$
8.33
$
8.35
$
8.35
$
8.35
$
8.35
$
8.35
$
8.35
$
8.35
$
8.36
$
8.36
$
8.37
$
8.37
$
8.37
$
8.37
$
8.37
$
8.37
$
8.37
$
8.37
$
8.37
$
8.38
$
8.39
$
8.42
$
8.42
$
8.42
$
8.42

NDC
38779015305
49452599501
51552073505
51927129600
51927155000
59148001013
59148001035
00006351458
00006355158
10356010302
52959066405
52959066410
54868138300
00074311831
00074339732
54569533400
54868466900
61958040101
49452200001
49452200002
00006013910
38779014403
38779014404
38779014406
49452468801
49452468802
49452468803
62991163501
62991163502
62991163503
00065027105
52959076205
54569447000
54868452800
55887060905
58016871901
00074162701
00074230201
00049001483
10019063002
59911590202
00023920105
00069307030
00069307075
00069307086
50419045604
50419045904
50419049104
53303010001
53303010101
54569544800
54868324400
54868490000

NAME
PREDNISOLONE SOD PH POWDER
PREDNISOLONE SOD PH POWDER
PREDNISOLONE SOD PH POWDER
HYDROCORTISONE HEMISUCC PWD
PREDNISOLONE SOD PH POWDER
ABILIFY 20 MG TABLET
ABILIFY 20 MG TABLET
PRIMAXIN I.V. 250 MG VIAL
PRIMAXIN 250 MG VIAL
GELOCAST UNNA'S BOOT
SUPRAX 400 MG TABLET
SUPRAX 400 MG TABLET
SUPRAX 400 MG TABLET
CENOLATE 500 MG AMPUL
CENOLATE 1 GM AMPUL
VIREAD 300 MG TABLET
VIREAD 300 MG TABLET
VIREAD 300 MG TABLET
CHOLECALCIFEROL CRYSTALS
CHOLECALCIFEROL CRYSTALS
STROMECTOL 6 MG TABLET
METHYLPREDNISOLONE AC POWDR
METHYLPREDNISOLONE AC POWDR
METHYLPREDNISOLONE AC POWDR
METHYLPREDNISOLONE AC POWDR
METHYLPREDNISOLONE AC POWDR
METHYLPREDNISOLONE AC POWDR
METHYLPREDNISOLONE AC POWDR
METHYLPREDNISOLONE AC POWDR
METHYLPREDNISOLONE AC POWDR
PATANOL 0.1% EYE DROPS
PATANOL 0.1% EYE DROPS
PATANOL 0.1% EYE DROPS
PATANOL 0.1% EYE DROPS
PATANOL 0.1% EYE DROPS
PATANOL 0.1% EYE DROPS
BUTORPHANOL 2 MG/ML SYRINGE
BUTORPHANOL 2 MG/ML SYRINGE
UNASYN 3 GM VIAL
AMPICILLIN-SULBACTAM 3 GM VL
AMPICILLIN/SULBACTAM 3 GM VL
ELESTAT 0.05% EYE DROPS
ZITHROMAX 500 MG TABLET
ZITHROMAX 500 MG TABLET
ZITHROMAX 500 MG TABLET
CLIMARA 0.0375 MG/DAY PATCH
CLIMARA 0.06/MG DAY PATCH
CLIMARA PRO PATCH
CARRINGTON INCONT CARE KIT
INCONTINENCE SKIN CARE KIT
ZITHROMAX 500 MG TABLET
ZITHROMAX 500 MG TABLET
CLIMARA 0.0375 MG/DAY PATCH

DOSE FORM DRUG STRENGTH


PA
PA
PA
PA
PA
TA
TA
HS
HS
YE
TA
TA
TA
HH
HH
TA
TA
TA
PC
PC
TA
PA
PA
PA
PA
PA
PA
PA
PA
PA
SO
SO
SO
SO
SO
SO
HQ
HQ
HS
HS
HS
SO
TA
TA
TA
PA
PA
PA
ZD
ZD
TA
TA
PK

UNIT PRICE
$
8.42
$
8.42
$
8.42
$
8.42
$
8.42
$
8.43
$
8.43
$
8.44
$
8.44
$
8.45
$
8.45
$
8.45
$
8.45
$
8.46
$
8.46
$
8.46
$
8.46
$
8.46
$
8.47
$
8.47
$
8.48
$
8.50
$
8.50
$
8.50
$
8.50
$
8.50
$
8.50
$
8.50
$
8.50
$
8.50
$
8.54
$
8.54
$
8.54
$
8.54
$
8.54
$
8.54
$
8.58
$
8.58
$
8.59
$
8.59
$
8.59
$
8.62
$
8.62
$
8.62
$
8.62
$
8.62
$
8.62
$
8.62
$
8.62
$
8.62
$
8.62
$
8.62
$
8.62

NDC
54868490100
00002312642
59148001113
59148001135
00006329822
08290001256
08290001258
00469725402
00085110201
51672670701
58768096105
00004026706
00004026806
00051863333
54868485600
08219939400
00015798118
00015798189
08317220001
08317410001
08317411100
08317661001
08317661101
08317770101
08317882001
11822801460
15482022000
15482041001
15482041110
15482077001
43820000006
43820000007
43820000008
50924076501
56151022290
56151052501
56151078801
56151090090
57599740201
57599832801
57599873101
57599881401
57599892901
57599913201
57599969301
57599983701
59059010001
66004005501
66004953801
75537000765
93815097402
93815098228
93815098328

NAME
CLIMARA 0.06/MG DAY PATCH
VANCOCIN HCL 250 MG PULVULE
ABILIFY 30 MG TABLET
ABILIFY 30 MG TABLET
COSMEGEN 0.5 MG VIAL
YALE NEEDLE REGULAR BEVEL
YALE NEEDLE REGULAR BEVEL
CEFIZOX 2 GM PIGGYBACK
GYNE-LOTRIMIN 3 COMBO PKG
VAGINAL 3-DAY COMBO PKG
RESCULA 0.15% EYE DROPS
DEMADEX 10 MG/ML AMPUL
DEMADEX 10 MG/ML AMPUL
ANADROL-50 TABLET
ANADROL-50 TABLET
CURAFOAM 8" X 8" DRESSING
OXACILLIN 1 GM ADD-VAN VIAL
OXACILLIN 1 GM ADD-VAN VL
ASSURE II BLOOD GLUCOSE MTR
ADVANCE MICRO-DRAW METER
ADVANCE MICRO-DRAW GLUCOSE SYS
SELECT GT BLOOD GLUCOSE KIT
SELECT GT BLOOD GLUCOSE MTR
ASSURE BLOOD GLUCOSE METER
SUPREME II GLUCOSE METER
RA BLOOD GLUCOSE MONITOR
ASSURE II BLOOD GLUCOSE MTR
ADVANCE MICRO-DRAW METER
ADVANCE MICRO-DRAW GLUCOSE SYS
ASSURE BLOOD GLUCOSE METER
ULTILET OPERATING DEVICE
ULTI-LANCE ADJUSTBLE DEVICE
ULTI-LANCE AUTO-AD DEVICE
ACCU-CHEK III DIABETES METR
SENTRY BLOOD GLUCOSE METER
PRESTIGE BLOOD GLUCOSE METR
TRACKEASE GLUCOSE MONITOR
PRESTIGE SMART SYSTEM METER
PRECISION Q-I-D MONITOR
PRECISION Q-I-D MONITOR
PRECISION Q-I-D MONITOR
PRECISION XTRA MONITOR
PRECISION LINK DIRECT MONIT
OPTIUM BLOOD GLUCOSE SYSTEM
PRECISION XTRA MONITOR
PRECISION XTRA MONITOR
SUPREME METER
ULTIMA MONITOR KIT
RELI ON BLOOD GLUCOSE METER
ACCU-CHEK III DIABETES METR
PRECISION Q-I-D MONITOR
PRECISION Q-I-D PEN
PRECISION QID MONITOR

DOSE FORM DRUG STRENGTH


PK
CA
TA
TA
HS
YA
YA
HN
ZD
ZD
SO
HH
HH
TA
TA
YE
HS
HS
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
8.62
$
8.63
$
8.63
$
8.63
$
8.67
$
8.68
$
8.68
$
8.70
$
8.72
$
8.72
$
8.76
$
8.78
$
8.78
$
8.79
$
8.79
$
8.80
$
8.81
$
8.81
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83

NDC
93815098573
93815098574
93815098575
93815098576
93815098731
93815098814
93815098929
93815099132
93815099693
93815099837
00002441504
00002441533
00002441560
68115080360
10356045550
54868075300
54868075301
61570014710
00132011500
00049003283
00013830301
00013830304
54569440800
54868388100
00045025501
66860010002
08881240009
08881240017
63713190220
00406158555
51927101800
00009766701
54868342700
00002445501
00002445585
00009329501
55390013301
55390080801
00574040810
17317186302
17317186308
38779007101
38779007103
38779007104
49452247001
49452247002
49452247003
51552002501
51927143000
63370007015
63370007020
63370007025
63370007035

NAME
PRECISION COLORED METER
PRECISION COLORED METER
PRECISION COLORED METER
PRECISION COLORED METER
PRECISION QID MONITOR
PRECISION XTRA MONITOR
PRECISION LINK DIRECT MONIT
OPTIUM BLOOD GLUCOSE SYSTEM
PRECISION XTRA MONITOR
PRECISION XTRA MONITOR
ZYPREXA 15 MG TABLET
ZYPREXA 15 MG TABLET
ZYPREXA 15 MG TABLET
ZYPREXA 15 MG TABLET
COVER-ROLL STRETCH BANDAGE
BICILLIN LA 600,000 UNIT/ML TB
BICILLIN LA 600,000 UNIT/ML TB
BICILLIN LA 600,000 UNIT/ML TB
FLEET P-S ACCU-PREP KIT
UNASYN 3 GM ADD-VANTAGE VIAL
XALATAN 0.005% EYE DROPS
XALATAN 0.005% EYE DROPS
XALATAN 0.005% EYE DROPS
XALATAN 0.005% EYE DROPS
HALDOL 5 MG/ML AMPUL
HALOPERIDOL LAC 5 MG/ML AMP
BONE MARROW ASPIRAT NEEDLE
BONE MARROW ASPIRAT NEEDLE
ACTISORB SILVER 220 4.125"X7.5
MEPERIDINE HCL POWDER
MEPERIDINE HCL POWDER
CLEOCIN 100 MG VAGINAL OVULE
CLEOCIN 100 MG VAGINAL OVULE
ZYPREXA ZYDIS 15 MG TAB
ZYPREXA ZYDIS 15 MG TAB
CYTOSAR-U 1 GM VIAL
CYTARABINE 1 GM VIAL
CYTARABINE 1 GM VIAL
DEXAMETHASONE SOD PH POWDER
DEXAMETHASONE SOD PH POWDER
DEXAMETHASONE SOD PH POWDER
DEXAMETHASONE SOD PH POWDER
DEXAMETHASONE SOD PH POWDER
DEXAMETHASONE SOD PH POWDER
DEXAMETHASONE SOD PH POWDER
DEXAMETHASONE SOD PH POWDER
DEXAMETHASONE SOD PH POWDER
DEXAMETHASONE SOD PH POWDER
DEXAMETHASONE SOD PH POWDER
DEXAMETHASONE SOD PH POWDER
DEXAMETHASONE SOD PH POWDER
DEXAMETHASONE SOD PH POWDER
DEXAMETHASONE SOD PH POWDER

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
TA
TA
TA
TA
YE
HQ
HQ
HQ
YK
HS
SO
SO
SO
SO
HH
HH
YH
YH
YE
PA
PA
QC
QC
UL
UL
HS
HS
HS
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA

UNIT PRICE
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83
$
8.83
$
8.84
$
8.84
$
8.84
$
8.84
$
8.85
$
8.85
$
8.85
$
8.85
$
8.87
$
8.88
$
8.89
$
8.89
$
8.89
$
8.89
$
8.91
$
8.91
$
8.93
$
8.93
$
8.93
$
8.94
$
8.94
$
8.97
$
8.97
$
9.00
$
9.00
$
9.00
$
9.00
$
9.00
$
9.01
$
9.01
$
9.01
$
9.01
$
9.01
$
9.01
$
9.01
$
9.01
$
9.01
$
9.01
$
9.01
$
9.01
$
9.01
$
9.01
$
9.01

NDC
63370007045
63370007050
56091002494
17191005400
00469065711
00469065773
63459050830
00054315540
00054816402
00054816403
08021333686
90205083200
00006473900
00006473950
00006494300
54868070700
54868333901
64455099442
64455099445
49452770501
49452770502
00024120005
00024120006
00003650940
00206845406
00206845411
00206845417
00206845455
00884348210
08026495600
00075770060
38779013903
38779013904
38779013905
49452440001
49452440002
38779031203
38779031204
38779031206
49452078201
49452078202
49452078203
49452078302
58768077353
00074195801
00074795123
00264905748
61825100201
00074233610
00083380104
00409233610
00281706237
00006458900

NAME
DEXAMETHASONE SOD PH POWDER
DEXAMETHASONE SOD PH POWDER
FIBRACOL DRESSING
STERIL EMPTY COLLECTION BAG
PROGRAF 5 MG CAPSULE
PROGRAF 5 MG CAPSULE
ACTIQ 800 MCG LOZENGE
COCAINE 10% SOLUTION
COCAINE 10% SOLUTION
COCAINE 10% SOLUTION
TEFLON COATED NDL/EXTEN SET
ELTA FOAM/INCONTINENCE KIT
PNEUMOVAX 23 VIAL
PNEUMOVAX 23 VIAL
PNEUMOVAX 23 VIAL
PNU-IMUNE 23 VIAL
PNEUMOVAX 23 VIAL
ZOVIRAX 5% CREAM
ZOVIRAX 5% CREAM
TETRAHYDROZOLINE HCL POWDER
TETRAHYDROZOLINE HCL POWDER
PRIMACOR 1 MG/ML CARPUJECT
PRIMACOR 1 MG/ML CARPUJECT
UNNA-FLEX ELASTIC UNNABOOT
ZOSYN 3/0.375 GRAM VIAL
ZOSYN 3/0.375 GM ADD-VANTAGE
ZOSYN 3/0.375 GM ADD-VANTAGE
ZOSYN 3/0.375 GRAM VIAL
PNS UNNA BOOT GAUZE MED
VISCOPASTE PB7 ZINC BANDAGE
RILUTEK 50 MG TABLET
MEGESTROL ACETATE POWDER
MEGESTROL ACETATE POWDER
MEGESTROL ACETATE POWDER
MEGESTROL ACETATE POWDER
MEGESTROL ACETATE POWDER
AZATHIOPRINE POWDER
AZATHIOPRINE POWDER
AZATHIOPRINE POWDER
AZATHIOPRINE POWDER
AZATHIOPRINE POWDER
AZATHIOPRINE POWDER
AZATHIOPRINE POWDER
MIOCHOL-E SYSTEM PACK
AMIKACIN 250 MG/ML DISP SYR
EMPTY LIFECARE CONTNR 100 ML
PAB MIXING CONTAINER 100 ML
SMARTDOSE EMPTY CONTAINER
DEFEROXAMINE 500 MG VIAL
DESFERAL MESYLATE 500 MG VL
DEFEROXAMINE 500 MG VIAL
ETHIODOL AMPUL
ATTENUVAX VACCINE W/DILUENT

DOSE FORM DRUG STRENGTH


PA
PA
YE
HU
CA
CA
LP
SA
SA
SA
YH
ZD
HV
HV
HV
HV
HV
KA
KA
PA
PA
HQ
HQ
YE
HS
HS
HS
HS
YE
YE
TA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
YK
HQ
HU
HU
HU
HS
HS
HS
HH
HS

UNIT PRICE
$
9.01
$
9.01
$
9.04
$
9.05
$
9.06
$
9.06
$
9.06
$
9.07
$
9.07
$
9.07
$
9.10
$
9.14
$
9.16
$
9.16
$
9.16
$
9.16
$
9.16
$
9.19
$
9.19
$
9.21
$
9.21
$
9.23
$
9.23
$
9.25
$
9.25
$
9.25
$
9.25
$
9.25
$
9.25
$
9.25
$
9.26
$
9.26
$
9.26
$
9.26
$
9.26
$
9.26
$
9.27
$
9.27
$
9.27
$
9.27
$
9.27
$
9.27
$
9.27
$
9.28
$
9.30
$
9.31
$
9.31
$
9.31
$
9.32
$
9.32
$
9.32
$
9.33
$
9.34

NDC
00006470900
00247040801
12333935001
08290001110
17317035907
38779199003
38779199004
38779199005
38779199008
38779199009
49452004301
49452004302
49452004303
49452455001
49452455002
49452455003
51552030101
51552095901
51552095902
51552095904
51552095905
51552095906
51927352900
00009092003
54868450800
00065064835
49999017435
52959059203
54569259000
54868278800
55887070035
58016607301
55390010801
55390010810
55390014210
63323012404
00008103205
00049002383
38779193101
38779193104
38779193105
38779193109
51552092002
51927330600
61553019879
63275996302
63275996304
63275996305
63275996309
63370012215
00003164660
00078018001
00781916695

NAME
ATTENUVAX VACCINE W/DILUENT
ATTENUVAX VACCINE W/DILUENT
LICE TREATMENT KIT
YALE NEEDLE
METHACHOLINE CHLORIDE CRYST
DOMPERIDONE POWDER
DOMPERIDONE POWDER
DOMPERIDONE POWDER
DOMPERIDONE POWDER
DOMPERIDONE POWDER
DOMPERIDONE POWDER
DOMPERIDONE POWDER
DOMPERIDONE POWDER
METHACHOLINE CHLORIDE CRYST
METHACHOLINE CHLORIDE CRYST
METHACHOLINE CHLORIDE CRYST
METHACHOLINE CHLORIDE CRYST
DOMPERIDONE POWDER
DOMPERIDONE POWDER
DOMPERIDONE POWDER
DOMPERIDONE POWDER
DOMPERIDONE POWDER
DOMPERIDONE BP POWDER
SOLU-CORTEF 1,000 MG ACT-O-VL
SOLU-CORTEF 1,000 MG ACT-O-VL
TOBRADEX EYE OINTMENT
TOBRADEX EYE OINTMENT
TOBRADEX EYE OINTMENT
TOBRADEX EYE OINTMENT
TOBRADEX EYE OINTMENT
TOBRADEX EYE OINTMENT
TOBRADEX EYE OINTMENT
DAUNORUBICIN 5 MG/ML VIAL
DAUNORUBICIN 5 MG/ML VIAL
DAUNORUBICIN 5 MG/ML VIAL
DAUNORUBICIN 5 MG/ML VIAL
RAPAMUNE 2 MG TABLET
UNASYN 3 GM PIGGYBACK VIAL
ITRACONAZOLE POWDER
ITRACONAZOLE POWDER
ITRACONAZOLE POWDER
ITRACONAZOLE POWDER
ITRACONAZOLE POWDER
ITRACONAZOLE POWDER
MIDAZOLAM-NS 2 MG/ML SYRINGE
ITRACONAZOLE POWDER
ITRACONAZOLE POWDER
ITRACONAZOLE POWDER
ITRACONAZOLE POWDER
ITRACONAZOLE POWDER
LYOFOAM WOUND DRESS 10"X4"
SANDOSTATIN 0.05 MG/ML AMPUL
OCTREOTIDE ACET 50 MCG/ML AMP

DOSE FORM DRUG STRENGTH


HS
HS
YK
YA
PC
PA
PA
PA
PA
PA
PA
PA
PA
PC
PC
PC
PC
PA
PA
PA
PA
PA
PA
HS
HS
OA
OA
OA
OA
OA
OA
OA
HV
HV
HV
HV
TA
HN
PA
PA
PA
PA
PA
PA
HQ
PA
PA
PA
PA
PA
YE
HH
HH

UNIT PRICE
$
9.34
$
9.34
$
9.34
$
9.35
$
9.35
$
9.35
$
9.35
$
9.35
$
9.35
$
9.35
$
9.35
$
9.35
$
9.35
$
9.35
$
9.35
$
9.35
$
9.35
$
9.35
$
9.35
$
9.35
$
9.35
$
9.35
$
9.35
$
9.37
$
9.37
$
9.39
$
9.39
$
9.39
$
9.39
$
9.39
$
9.39
$
9.39
$
9.40
$
9.40
$
9.40
$
9.40
$
9.41
$
9.43
$
9.44
$
9.44
$
9.44
$
9.44
$
9.44
$
9.44
$
9.44
$
9.44
$
9.44
$
9.44
$
9.44
$
9.44
$
9.46
$
9.49
$
9.49

NDC
08327051409
53329055252
63304030310
63304030325
00051002321
61703022672
61703022676
61703022680
62541021006
00555092801
56091005444
59011031560
00149047201
54569546200
54868467100
64011012408
68115068104
00149047001
56091001981
00006336871
11701040778
54396011060
00009370105
00009370108
00009518201
00091102006
00091102922
00091112011
00091112016
00091112020
00091142044
54868489000
62436060704
99207060704
44604003210
44604003215
62653021002
62653021004
00006007721
00006007744
00074653801
00074659901
00074659902
00264943020
00264943120
00264943810
00264943920
54868446300
56091001953
00006026606
00006026609
58016093800
58016093806

NAME
MEDFIX EZ DRESSING 4" ROLL
MEDFIX 4" TAPE
AMYTAL SODIUM 500 MG VIAL
AMYTAL SODIUM 500 MG VIAL
MARINOL 10 MG CAPSULE
MORPHINE 50 MG/ML RAPI-JECT
MORPHINE 50 MG/ML RAPI-JECT
MORPHINE 50 MG/ML RAPI-JECT
ACTIS VENOUS FLOW CONTROLLR
TREXALL 7.5 MG TABLET
TIELLE PLUS HYDROPOLYMER
PALLADONE 32 MG CAPSULE
ACTONEL 35 MG TABLET
ACTONEL 35 MG TABLET
ACTONEL 35 MG TABLET
CLINDESSE 2% VAGINAL CREAM
ACTONEL 35 MG TABLET
ACTONEL 30 MG TABLET
INSTAT COLLAGEN HEMOSTAT
MEFOXIN 1 GM VIAL
COMFEEL PLUS CONTOUR DRESS
OXANDRIN 10 MG TABLET
CAVERJECT 20 MCG VIAL
CAVERJECT 20 MCG VIAL
CAVERJECT IMPULSE 20 MCG KIT
EDEX 20 MCG VIAL
EDEX 20 MCG REFILL PACK
EDEX 20 MCG STARTER PACK
EDEX 20 MCG CARTRIDGE KIT
EDEX 20 MCG CARTRIDGE KIT
EDEX 20 MCG KIT
CAVERJECT IMPULSE 20 MCG KIT
ZOSTRIX-HP 0.075% STICK
ZOSTRIX-HP 0.075% STICK
CLEAR TOTAL LICE SYSTEM
CLEAR TOTAL LICE SYSTEM
CLEAR TOTAL LICE SYSTEM
CLEAR TOTAL LICE SYSTEM
FOSAMAX 35 MG TABLET
FOSAMAX 35 MG TABLET
CYSTOMANOMETER SET
NV LG BORE Y-IRRIGATION SET
NV LG BORE Y-IRRIGATION SET
T.U.R./CYSTO UNIV SPIKE SET
UNIVERSAL SPIKE IRRIG. SET
UNIVERSAL SPIKE IRRIG. SET
UNIVERSAL SPIKE IRRIG. SET
FOSAMAX 35 MG TABLET
SURGICEL HEMOSTAT 2" X 3"
MAXALT 5 MG TABLET
MAXALT 5 MG TABLET
MAXALT 5 MG TABLET
MAXALT 5 MG TABLET

DOSE FORM DRUG STRENGTH


YT
YT
HS
HS
CA
HQ
HQ
HQ
EA
TA
YE
CP
TA
TA
TA
KB
TA
TA
EA
HA
YE
TA
HS
HS
YK
HS
YK
YK
YK
YK
YK
YK
EH
EH
YK
YK
YK
YK
TA
TA
EA
EA
EA
EA
EA
EA
EA
TA
EA
TA
TA
TA
TA

UNIT PRICE
$
9.49
$
9.49
$
9.52
$
9.52
$
9.56
$
9.56
$
9.56
$
9.56
$
9.56
$
9.57
$
9.57
$
9.58
$
9.62
$
9.62
$
9.62
$
9.62
$
9.62
$
9.64
$
9.69
$
9.70
$
9.74
$
9.80
$
9.82
$
9.82
$
9.82
$
9.82
$
9.82
$
9.82
$
9.82
$
9.82
$
9.82
$
9.82
$
9.82
$
9.82
$
9.83
$
9.83
$
9.83
$
9.83
$
9.87
$
9.87
$
9.87
$
9.87
$
9.87
$
9.87
$
9.87
$
9.87
$
9.87
$
9.87
$
9.89
$
9.90
$
9.90
$
9.90
$
9.90

NDC
58016093830
58016093860
58016093890
00469727202
08195507701
00270111101
00270111102
00270111103
00270111104
00006003121
00006003144
54569521800
54868446200
58016061304
68115075504
00069308030
00247146601
12280005730
51552044501
55390046001
67425000450
87701028423
00015321330
00703326401
10019091501
50111096576
63323016610
00173046100
40565011895
40565011896
40565011897
40565012081
49756046107
50458029515
00029655207
00173044600
00173044602
00173044604
54868350800
54868350801
54868350802
58016082600
58016082630
58016082660
58016082690
68115080230
49452539001
49452539002
51479004901
10223080001
10223080101
10223080201
00006467300

NAME
MAXALT 5 MG TABLET
MAXALT 5 MG TABLET
MAXALT 5 MG TABLET
CEFIZOX 2 GM ADDVANTAGE VIAL
POLYMEM 7"X 7" DRESSING
PROHANCE 279.3 MG/ML VIAL
PROHANCE 279.3 MG/ML VIAL
PROHANCE 279.3 MG/ML VIAL
PROHANCE 279.3 MG/ML VIAL
FOSAMAX 70 MG TABLET
FOSAMAX 70 MG TABLET
FOSAMAX 70 MG TABLET
FOSAMAX 70 MG TABLET
FOSAMAX 70 MG TABLET
FOSAMAX 70 MG TABLET
ZITHROMAX 600 MG TABLET
ZITHROMAX 600 MG TABLET
ZITHROMAX 600 MG TABLET
ESTRONE CRYSTAL
ACETAZOLAMIDE SOD 500 MG VL
XIBROM 0.09% EYE DROPS
BL DAILY PAK FOR MEN &WOMEN
PARAPLATIN 50 MG VIAL
CARBOPLATIN 50 MG VIAL
CARBOPLATIN 50 MG VIAL
CARBOPLATIN 50 MG VIAL
CARBOPLATIN 50 MG VIAL
ZOFRAN 32 MG/50 ML BAG
EXU-DRY DRESSING 24"X36"
EXU-DRY DRESSING 24"X36"
EXU-DRY DRESSING 24"X36"
EXU-DRY DRESSING 24"X36"
SOFSORB WOUND DRESS 24"X36"
SPORANOX 10 MG/ML SOLUTION
TICAR 3 GM ADD-VANTAGE VIAL
ZOFRAN 4 MG TABLET
ZOFRAN 4 MG TABLET
ZOFRAN 4 MG TABLET
ZOFRAN 4 MG TABLET
ZOFRAN 4 MG TABLET
ZOFRAN 4 MG TABLET
ZOFRAN 4 MG TABLET
ZOFRAN 4 MG TABLET
ZOFRAN 4 MG TABLET
ZOFRAN 4 MG TABLET
ZOFRAN 4 MG TABLET
PHYTONADIONE CRYSTAL
PHYTONADIONE CRYSTALS
AZACTAM/ISO-OSMOT 2 GM/50 ML
ZAROSEN DESENSITIZER
VARNAL CAVITY VARNISH
VARNAL-F CAVITY VARNISH
MERUVAX II VACCINE/DILUENT

DOSE FORM DRUG STRENGTH


TA
TA
TA
HS
YE
HV
HV
HV
HV
TA
TA
TA
TA
TA
TA
TA
TA
TA
PC
HS
SO
ZD
HS
HS
HS
HS
HS
HZ
YE
YE
YE
YE
YE
SJ
HS
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
TA
PC
PC
HK
SL
SL
SL
HS

UNIT PRICE
$
9.90
$
9.90
$
9.90
$
9.91
$
9.92
$
9.94
$
9.94
$
9.94
$
9.94
$
9.96
$
9.96
$
9.96
$
9.96
$
9.96
$
9.96
$
9.97
$
9.97
$
9.97
$
10.00
$
10.00
$
10.05
$
10.06
$
10.10
$
10.10
$
10.10
$
10.10
$
10.10
$
10.13
$
10.15
$
10.15
$
10.15
$
10.15
$
10.15
$
10.15
$
10.17
$
10.17
$
10.17
$
10.17
$
10.17
$
10.17
$
10.17
$
10.17
$
10.17
$
10.17
$
10.17
$
10.17
$
10.18
$
10.18
$
10.19
$
10.20
$
10.20
$
10.20
$
10.24

NDC
00006474700
00052060202
00052060302
00006026706
00006026709
58016571206
68115077906
00003650941
08026118483
40565011849
49756046105
00074437805
00074438010
08219890300
63402051124
00310037610
00310037660
54868384700
56091002496
00029655221
55390016010
00074178173
00074303948
63323001910
49756046504
58016083801
59075074089
63481002509
17317081203
17317081207
17317081208
49452112001
49452112002
49452112003
51285003893
51552065401
51552065402
51927132300
54569534300
54868489400
55045283902
62991122001
62991122002
62991122003
64836000001
00169185242
00169185258
00169185259
00169185290
08214120001
08214123001
08214130001
08214131001

NAME
MERUVAX II VACCINE/DILUENT
TICE BCG VIAL
TICE BCG VACCINE VIAL
MAXALT 10 MG TABLET
MAXALT 10 MG TABLET
MAXALT 10 MG TABLET
MAXALT 10 MG TABLET
UNNA-FLEX ELASTIC UNNABOOT
EXU-DRY WOUND DRESS 15"X24"
EXU-DRY DRESSING 15"X24"
SOFSORB WOUND DRESS 15"X24"
NIMBEX 2 MG/ML VIAL
NIMBEX 2 MG/ML VIAL
CURADERM 8" X 8" DRESSING
XOPENEX 0.31 MG/3 ML SOLUTION
CEFOTAN 1 GM VIAL
CEFOTAN 1 GM VIAL
CEFOTAN 1 GM VIAL
FIBRACOL WOUND PACKING
TICAR 3 GM VIAL
OCTREOTIDE ACET 50 MCG/ML VIAL
BLOOD Y-TYPE PUMP SET-SL
BLOOD SET W/CAIR CLAMP-SL
IODOPEN 100 MCG/ML VIAL
AQUASORB HYDROGEL WOUND DRS
FROVA 2.5 MG TABLET
FROVA 2.5 MG TABLET
FROVA 2.5 MG TABLET
D-BIOTIN POWDER
D-BIOTIN POWDER
D-BIOTIN POWDER
BIOTIN POWDER
BIOTIN POWDER
BIOTIN POWDER
PLAN B 0.75 MG TABLET
BIOTIN POWDER
BIOTIN POWDER
BIOTIN POWDER
PLAN B 0.75 MG TABLET
PLAN B 0.75 MG TABLET
PLAN B 0.75 MG TABLET
BIOTIN POWDER
BIOTIN POWDER
BIOTIN POWDER
PLAN B 0.75 MG TABLET
NOVOPEN 3 PENMATE DEVICE
NOVOPEN JR INSULIN DEVICE
NOVOPEN JR INSULIN DEVICE
NOVOPEN 3 INSULIN DEVICE
AUTOJECT
AUTOJECT-ANDROLOGY MODEL
AUTOJECT 2 INJECTION DEVICE
AUTOJECT 2 INJECTION DEVICE

DOSE FORM DRUG STRENGTH


HS
HS
HS
TA
TA
TA
TA
YE
YE
YE
YE
HV
HV
YE
SA
HS
HS
HS
YE
HN
HV
EA
EA
HV
YE
TA
TA
TA
PA
PA
PA
PA
PA
PA
TA
PA
PA
PA
TA
TA
TA
PA
PA
PA
TA
IP
IP
IP
IP
IP
IP
IP
IP

UNIT PRICE
$
10.24
$
10.27
$
10.27
$
10.34
$
10.34
$
10.34
$
10.34
$
10.38
$
10.39
$
10.39
$
10.39
$
10.42
$
10.42
$
10.46
$
10.51
$
10.54
$
10.54
$
10.54
$
10.54
$
10.55
$
10.55
$
10.57
$
10.57
$
10.58
$
10.60
$
10.60
$
10.60
$
10.60
$
10.62
$
10.62
$
10.62
$
10.62
$
10.62
$
10.62
$
10.62
$
10.62
$
10.62
$
10.62
$
10.62
$
10.62
$
10.62
$
10.62
$
10.62
$
10.62
$
10.62
$
10.63
$
10.63
$
10.63
$
10.63
$
10.63
$
10.63
$
10.63
$
10.63

NDC
08214131101
08214300001
08214310001
08214380001
08214381001
08290321951
08290328204
08470130001
08470131001
08470131101
08470300001
08470310001
08470380001
08470381001
25294087400
32849099005
49452240701
49452240702
49452240703
55948003610
55948012310
61059015116
61059015512
61059017110
61059017516
61059038001
61059038101
61059130017
61059131014
61059131113
00173056900
00002723401
00002723410
00074508411
00173037934
00270111116
00270111145
00003403207
17317187002
17317187008
49452246001
49452246002
49452246003
51552002401
51552002405
51927223100
51927251000
00049234034
00049234045
68115073712
00002729101
00002729110
00074509311

NAME
AUTOJECT 2 INJECTION DEVICE
AUTOPEN 2 TO 32 UNITS
AUTOPEN 1 TO 16 UNITS
AUTOPEN 2 TO 42 UNITS
AUTOPEN 1 TO 21 UNITS
BD PEN MINI INSULIN DEVICE
BD PEN INSULIN DEVICE
AUTOJECT 2 INJECTION DEVICE
AUTOJECT 2 INJECTION DEVICE
AUTOJECT 2 INJECTION DEVICE
AUTOPEN 2 TO 32 UNITS
AUTOPEN 1 TO 16 UNITS
AUTOPEN 2 TO 42 UNITS
AUTOPEN 1 TO 21 UNITS
INJECT-EASE DEVICE #IE-400
NOVOPEN 3 INSULIN DEVICE
CYCLOBENZAPRINE HCL CRYSTAL
CYCLOBENZAPRINE HCL CRYSTAL
CYCLOBENZAPRINE HCL CRYSTAL
MEDI-JECTOR CHOICE
MEDI-JECTOR VISION
AUTOPEN 2 TO 32 UNITS
AUTOPEN 1 TO 16 UNITS
AUTOJECT
AUTOJECT-ANDROLOGY MODEL
AUTOPEN 2 TO 42 UNITS
AUTOPEN 1 TO 21 UNITS
AUTOJECT 2 INJECTION DEVICE
AUTOJECT 2 INJECTION DEVICE
AUTOJECT 2 INJECTION DEVICE
ZOFRAN ODT 4 MG TABLET
TAZIDIME 2 GM VIAL
TAZIDIME 2 GM VIAL
TAZICEF 2 GM VIAL
FORTAZ 2 GM VIAL
PROHANCE 279.3 MG/ML SYRINGE
PROHANCE 279.3 MG/ML SYRINGE
VERSIVA 7.5"X7.5" DRESSING
DEXAMETHASONE ACETATE POWD
DEXAMETHASONE ACETATE POWD
DEXAMETHASONE ACETATE POWD
DEXAMETHASONE ACETATE POWD
DEXAMETHASONE ACETATE POWD
DEXAMETHASONE POWDER MICRON
DEXAMETHASONE POWDER MICRON
DEXAMETHASONE ACETATE POWD
HISTAMINE DI-HCL POWDER
RELPAX 40 MG TABLET
ELETRIPTAN 40MG TAB,PKG,6
RELPAX 40 MG TABLET
TAZIDIME 2 GM ADD-VANTAGE
TAZIDIME 2 GM ADD-VANTAGE
TAZICEF 2 GM ADD-VANTAGE

DOSE FORM DRUG STRENGTH


IP
IP
IP
IP
IP
IP
IP
IP
IP
IP
IP
IP
IP
IP
IP
IP
PC
PC
PC
IP
IP
IP
IP
IP
IP
IP
IP
IP
IP
IP
UL
HS
HS
HS
HS
HQ
HQ
YE
PA
PA
PA
PA
PA
PA
PA
PA
PC
TA
TA
TA
HS
HS
HS

UNIT PRICE
$
10.63
$
10.63
$
10.63
$
10.63
$
10.63
$
10.63
$
10.63
$
10.63
$
10.63
$
10.63
$
10.63
$
10.63
$
10.63
$
10.63
$
10.63
$
10.63
$
10.63
$
10.63
$
10.63
$
10.63
$
10.63
$
10.63
$
10.63
$
10.63
$
10.63
$
10.63
$
10.63
$
10.63
$
10.63
$
10.63
$
10.64
$
10.66
$
10.66
$
10.66
$
10.66
$
10.68
$
10.68
$
10.70
$
10.71
$
10.71
$
10.71
$
10.71
$
10.71
$
10.71
$
10.71
$
10.71
$
10.71
$
10.73
$
10.73
$
10.73
$
10.74
$
10.74
$
10.74

NDC
00173038132
00173043500
08327003095
53329099537
00641049325
00641255545
08195587701
00074435003
00409435003
00029655226
40565012165
63713800408
62291013404
66346001158
12333002867
22319765200
37205000503
37205000603
37205000703
37205002603
38673000101
38673000109
38673000201
38673001080
38673001091
38673001092
38673001093
38673001094
38673001095
38673001096
38673001097
38673004021
38673010001
38673010600
38673010605
38673010607
38673010803
38673010805
38673010807
38673010808
38673011009
38673011306
38673011313
38673011405
38673040201
38673050200
38703000161
49614019610
49614019710
49614019810
50419045504
50428001819
50428001820

NAME
FORTAZ 2 GM VIAL
FORTAZ 2 GM ADD-VANTAGE VIAL
TENDERWET ACTIVE CAVITY DRESS
TENDERWET ACTIVE DRESSING
PHENYTOIN 50 MG/ML VIAL
PHENYTOIN 50 MG/ML VIAL
POYLMED 6.5"X7.5" DRESSING
DILTIAZEM HCL 100 MG VIAL
DILTIAZEM HCL 100 MG VIAL
TICAR 3 GM VIAL
ACTICOAT 4"X8" DRESSING
SILVERCEL 4"X8" DRESSING
KLOUT SHAMPOO
KLOUT HEAD LICE TRTMENT KIT
LONGS BLOOD PRESR MONITOR
SUNBEAM BLOOD PRESR MONITOR
BLOOD PRESSURE KIT MANUAL
BLOOD PRESSURE MONITOR
BLOOD PRESSURE MONITOR
WRIST BLOOD PRESSURE KIT
DESK TOP SPHYGMOMANOMETER
BLOOD PRESSURE MONITOR
MANUAL BLOOD PRESSURE KIT
BLOOD PRESSURE MONITOR
WRIST BLOOD PRESSURE KIT
WRIST BLOOD PRESSURE KIT
BLOOD PRESSURE MONITOR
BLOOD PRESSURE MONITOR
BLOOD PRESSURE MONITOR
BLOOD PRESSURE MONITOR
BLOOD PRESSURE MONITOR
WRIST BLOOD PRESSURE KIT
SPHYGMOMANOMETER-ANEROID
DIGITAL BLOOD PRESSURE KIT
DIGITAL BLOOD PRESSURE KIT
DIGITAL BLOOD PRESSURE KIT
FINGER BLOOD PRESSURE KIT
DIGITAL BLOOD PRESSURE KIT
DIGITAL BLOOD PRESSURE KIT
WRIST BLOOD PRESSURE KIT
BLOOD PRESSURE MONITOR
BLOOD PRESSURE MONITOR
BLOOD PRESSURE MONITOR
WRIST BLOOD PRESSURE KIT
WRIST BLOOD PRESSURE KIT
WRIST WATCH BLOOD PRESSURE
BLOOD PRESSURE KIT
BLOOD PRESSURE MONITOR
BLOOD PRESSURE MONITOR
BLOOD PRESSURE MONITOR
MENOSTAR 14 MCG/DAY PATCH
CVS SEMI-AUTO PRESS MONITOR
CVS MANUAL BLOOD PRESS KIT

DOSE FORM DRUG STRENGTH


HS
HS
YE
YE
HV
HV
YE
HS
HS
HS
YE
YE
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
PA
YK
YK

UNIT PRICE
$
10.74
$
10.74
$
10.80
$
10.80
$
10.85
$
10.85
$
10.91
$
10.92
$
10.92
$
10.95
$
10.97
$
10.97
$
11.04
$
11.04
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05

NDC
50428001821
50428271243
50428271244
50428271245
50428271248
50428271249
52735066402
52735066502
73796000018
73796000629
73796001040
73796001160
73796004122
73796004322
73796007115
73796007122
73796007124
73796008066
73796042223
73796063700
73796070536
73796077313
73796078000
81306061111
81306061112
81306061113
81306061117
93764000767
93764008779
93764024767
93764036779
93764081779
93764082779
96295011108
54569560400
61958050101
00173069100
00173069120
38779068703
38779068706
49452440701
49452440702
49452440703
51552084401
54569519100
62991130001
62991130002
62991130003
62991130004
00004025001
00703731104
66591031512
66591033512

NAME
CVS AUTO PRESSURE MONITOR
CVS BLOOD PRESR MANUAL MONITOR
CVS BLOOD PRESSURE AUTO MONITR
CVS BLOOD PRESR AUTO MONITOR
CVS BLOOD PRESR WRIST MONITOR
CVS BLOOD PRESR WRIST MONITOR
FP BLOOD PRESSURE KIT
FP BLOOD PRESSURE KIT
SELF-TAKING BLOOD PRESR KIT
BLOOD PRESSURE MONITOR
BLOOD PRESSURE MONITOR
BLOOD PRESSURE MONITOR
DIGITAL BLOOD PRESSURE KIT
BLOOD PRESSURE MONITOR
DIGITAL BLOOD PRESR MONITOR
DIGITAL BLOOD PRESR MONITOR
BLOOD PRESSURE MONITOR
BLOOD PRESSURE MONITOR
MANUAL BLOOD PRESR MONITOR
BLOOD PRESSURE MONITOR
BLOOD PRESSURE MONITOR
AUTO BLOOD PRESSURE MONITOR
BLOOD PRESSURE MONITOR
RELION BLOOD PRESSURE MONITOR
RELION BLOOD PRESSURE MONITOR
RELION BLOOD PRESSURE MONITOR
RELION BLOOD PRESSURE MONITOR
ONE-STEP BLOOD PRESSURE MON
A&D BLOOD PRESSURE MONITOR
BLOOD PRESSURE MONITOR KIT
A&D BLOOD PRESSURE MONITOR
A&D BLOOD PRESSURE MONITOR
A&D BLOOD PRESSURE MONITOR
WRIST BLOOD PRESSURE KIT
HEPSERA 10 MG TABLET
HEPSERA 10 MG TABLET
TRIZIVIR TABLET
TRIZIVIR TABLET
MELATONIN POWDER
MELATONIN POWDER
MELATONIN POWDER
MELATONIN POWDER
MELATONIN POWDER
MELATONIN POWDER
TRIZIVIR TABLET
MELATONIN POWDER
MELATONIN POWDER
MELATONIN POWDER
MELATONIN POWDER
VESANOID 10 MG CAPSULE
CALCITRIOL 1 MCG/ML VIAL
CALCITRIOL 1 MCG/ML VIAL
CALCITRIOL 1 MCG/ML VIAL

DOSE FORM DRUG STRENGTH


YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
TA
TA
TA
TA
PA
PA
PA
PA
PA
PA
TA
PA
PA
PA
PA
CA
HV
HV
HV

UNIT PRICE
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.05
$
11.08
$
11.08
$
11.11
$
11.11
$
11.11
$
11.11
$
11.11
$
11.11
$
11.11
$
11.11
$
11.11
$
11.11
$
11.11
$
11.11
$
11.11
$
11.12
$
11.13
$
11.13
$
11.13

NDC
08333156301
00066800802
12280009366
54569559700
54868463300
54868463301
08327031094
08327031194
08021333680
08214221001
08470221001
56643040001
61059221012
81317080020
81317082020
81317084020
50458003705
00074404101
00003052620
00004196301
00004196302
54569137700
54868322100
54868322101
58016955101
64248020101
64248020201
68030721001
68030737201
62541011001
62541011006
60574210101
66780011001
40565011936
40565011937
40565011938
08380003712
08380003912
10356045551
00469823412
00469823414
10019006307
10019006308
38779001703
38779001704
38779001706
49452107501
49452107502
51552002201
51927145400
62991102301
62991102302
62991102303

NAME
RESTON FOAM ROLL,LT SUPPORT
PENLAC 8% SOLUTION
PENLAC 8% SOLUTION
PENLAC 8% SOLUTION
PENLAC 8% SOLUTION
PENLAC 8% SOLUTION
SILVASORB 4.25"X4.25" DRESSING
SILVASORB 4.25"X4.25" DRESSING
TEFLON COATED NDL/EXTEN SET
RAPPORT RING LOADING SYSTEM
RAPPORT RING LOADING SYSTEM
REJOYN CONSTRICT RING KIT
RAPPORT RING LOADING SYSTEM
FREEDOM PAK SEVEN CATH KIT
FREEDOM PAK SEVEN CATH KIT
FREEDOM PAK SEVEN CATH KIT
DURAGESIC 12 MCG/HR PATCH
AMINOSYN 8.5% IV SOLUTION
NITRATEST PAPER W/DISPENSER
ROCEPHIN 500 MG VIAL
ROCEPHIN 500 MG VIAL
ROCEPHIN 500 MG VIAL
ROCEPHIN 500 MG VIAL
ROCEPHIN 500 MG VIAL
ROCEPHIN 500 MG VIAL
WFHC PH PAPER
WFHC PH PAPER
ROCEPHIN 500 MG VIAL
ROCEPHIN 500 MG VIAL
MUSE 125 MCG URETHRAL SUPPOS
MUSE 125 MCG URETHRAL SUPPOS
RESPIGAM 50 MG/ML VIAL
SYMLIN 0.6 MG/ML VIAL
CONFORMANT 2 3"X5YARDS ROLL
CONFORMANT 2 4"X3YD ROLL
CONFORMANT 2 6"X2YARDS ROLL
DRAINABLE OSTOMY SET,STERL
UROSTOMY SET, STERILE
COVER-ROLL STRETCH BANDAGE
ADENOCARD 3 MG/ML SYRINGE
ADENOCARD 3 MG/ML SYRINGE
ADENOSINE 3 MG/ML SYRINGE
ADENOSINE 3 MG/ML SYRINGE
BETAMETHASONE DP POWDER
BETAMETHASONE DP POWDER
BETAMETHASONE DP POWDER
BETAMETHASONE DP POWDER
BETAMETHASONE DP POWDER
BETAMETHASONE DP POWDER
BETAMETHASONE DP POWDER
BETAMETHASONE DP POWDER
BETAMETHASONE DP POWDER
BETAMETHASONE DP POWDER

DOSE FORM DRUG STRENGTH


EA
SA
SA
SA
SA
SA
YE
YE
YH
YK
YK
YK
YK
YK
YK
YK
PR
YK
EA
HS
HS
HS
HS
HS
HS
EA
EA
HS
HS
QD
QD
HV
VI
YE
YE
YE
EA
EA
YE
HQ
HQ
HQ
HQ
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA

UNIT PRICE
$
11.14
$
11.19
$
11.19
$
11.19
$
11.19
$
11.19
$
11.20
$
11.20
$
11.22
$
11.26
$
11.26
$
11.26
$
11.26
$
11.26
$
11.26
$
11.26
$
11.29
$
11.35
$
11.37
$
11.37
$
11.37
$
11.37
$
11.37
$
11.37
$
11.37
$
11.37
$
11.37
$
11.37
$
11.37
$
11.38
$
11.38
$
11.41
$
11.41
$
11.48
$
11.48
$
11.48
$
11.50
$
11.50
$
11.50
$
11.56
$
11.56
$
11.56
$
11.56
$
11.56
$
11.56
$
11.56
$
11.56
$
11.56
$
11.56
$
11.56
$
11.56
$
11.56
$
11.56

NDC
00009069801
63323026530
47679805148
40565011934
51234013201
61570013910
00206845517
00206845525
00186423921
66591023921
63459051230
38779041303
00002442004
00002442033
00002442060
00074418301
08021331100
08021331105
08021331110
08021331401
08021331402
08021331403
08021331404
08021331405
08021331406
08021331560
08021331563
08021331564
08021331565
08021331567
08021331570
08021331572
08021331575
08021331576
08021331577
08021331578
08021331580
08021331581
08021331582
08021331583
08021331584
08021331585
08021331587
08021331589
08021331592
08021331612
08021331712
08021331806
08021331812
08021331815
08021331839
08021331840
08021331850

NAME
SOLU-MEDROL 1,000 MG VIAL
METHYLPREDNISOLONE 1 GM VIAL
EMPTY VIAFLEX/Y-TRANS SET
CONFORMANT 2 24"X36" SHEET
VITA-NUMONYL PEDIATRIC VIAL
BICILLIN CR 600,000 UNIT/ML TB
ZOSYN 4/0.5 GM ADD-VANTAGE VL
ZOSYN 4/0.5 GRAM VIAL
AQUASOL A 50,000 UNITS/ML VIAL
AQUASOL A 50,000 UNITS/ML VIAL
ACTIQ 1,200 MCG LOZENGE
BENDROFLUMETHIAZIDE POWDER
ZYPREXA 20 MG TABLET
ZYPREXA 20 MG TABLET
ZYPREXA 20 MG TABLET
AMINOSYN 8.5%-ELECTROLYTES
SINGLE LUMEN CATHETER KIT
SINGLE LUMEN CATHETER KIT
SINGLE LUMEN CATHETER KIT
MULTI-LUMEN CATHETER KIT
MULTI-LUMEN CATHETER KIT
MULTI-LUMEN CATHETER KIT
MULTI-LUMEN CATHETER KIT
MULTI-LUMEN CATHETER KIT
MULTI-LUMEN CATHETER KIT
MULTI-LUMEN CATHETER KIT
MULTI-LUMEN CATHETER KIT
MULTI-LUMEN CATHETER KIT
MULTI-LUMEN CATHETER KIT
MULTI-LUMEN CATHETER KIT
MULTI-LUMEN CATHETER KIT
MULTI-LUMEN CATHETER KIT
MULTI-LUMEN CATHETER KIT
MULTI-LUMEN CATHETER KIT
MULTI-LUMEN CATHETER KIT
MULTI-LUMEN CATHETER KIT
MULTI-LUMEN CATHETER KIT
MULTI-LUMEN CATHETER KIT
MULTI-LUMEN CATHETER KIT
MULTI-LUMEN CATHETER KIT
MULTI-LUMEN CATHETER KIT
MULTI-LUMEN CATHETER KIT
MULTI-LUMEN CATHETER KIT
MULTI-LUMEN CATHETER KIT
MULTI-LUMEN CATHETER KIT
PERCUTANEOUS CATH INTRO KIT
PERCUTANEOUS CATH INTRO KIT
PERCUTANEOUS CATH INTRO KIT
PERCUTANEOUS CATH INTRO KIT
BI-LINE PERCUTANEOUS KIT
SINGLE LUMEN CATHETER KIT
SINGLE LUMEN CATHETER KIT
SINGLE LUMEN CATHETER KIT

DOSE FORM DRUG STRENGTH


HS
HS
HU
FS
HV
HQ
HS
HS
HV
HV
LP
PA
TA
TA
TA
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK

UNIT PRICE
$
11.60
$
11.60
$
11.69
$
11.71
$
11.73
$
11.73
$
11.75
$
11.75
$
11.76
$
11.76
$
11.80
$
11.81
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82

NDC
08021331899
08021331900
08021331901
08021331902
08021331903
08021331904
08021331905
08021331908
08021331909
08021331910
08021331912
08021331914
08021331915
08021331921
08021331922
08021331925
08021331926
08021331927
08021331928
08021331935
08021331936
08021331937
08021331938
08021331939
08021333490
12280005860
08380007701
08380007705
08380007801
08380008801
11701080091
56091002441
56091005441
00006071044
00514009801
62794009525
62794009625
08080703900
08080750000
00270141215
50484045429
00013265002
00006458400
00006475300
00002445601
00002445685
00003021715
00003187775
00173056200
55513007430
08219923900
00173056100
00009338901

NAME
SINGLE LUMEN CATHETER KIT
SINGLE LUMEN CATHETER KIT
SINGLE LUMEN CATHETER KIT
SINGLE LUMEN CATHETER KIT
SINGLE LUMEN CATHETER KIT
SINGLE LUMEN CATHETER KIT
SINGLE LUMEN CATHETER KIT
PERCUTANEOUS CATH INTRO KIT
PERCUTANEOUS CATH INTRO KIT
PERCUTANEOUS CATH INTRO KIT
PERCUTANEOUS CATH INTRO KIT
PERCUTANEOUS CATH INTRO KIT
BI-LINE PERCUTANEOUS KIT
BI-LINE PERCUTANEOUS KIT
BI-LINE PERCUTANEOUS KIT
PERCUTANEOUS CATH INTRO KIT
PERCUTANEOUS CATH INTRO KIT
PERCUTANEOUS CATH INTRO KIT
PERCUTANEOUS CATH INTRO KIT
PERCUTANEOUS CATH INTRO KIT
BI-LINE PERCUTANEOUS KIT
BI-LINE PERCUTANEOUS KIT
BI-LINE PERCUTANEOUS KIT
BI-LINE PERCUTANEOUS KIT
CELSITE INTRODUCER KIT
ZYPREXA 20 MG TABLET
HOLLIHESIVE SKIN BARRIER
HOLLIHESIVE SKIN BARRIER
PREMIUM SKIN BARRIER 8"X8"
FLEXTEND SKIN BARRIER 8"X8"
COLOPLAST SKIN BARRIER
TIELLE HYDROPOLYMER DRESS
TIELLE PLUS HYDROPOLYMER
FOSAMAX PLUS D 70 MG/2,800 IU
BIOBRANE II 5"X 5"
BIOBRANE 5" X 5" DRESSING
BIOBRANE-L 5" X 5" DRESSING
CURITY LUMBAR TRAY 1 1/2"
CURITY LUMBAR TRAY 1 1/2"
ISOVUE-M 300 61% VIAL
ALLEVYN PLUS ADHESIVE 5"X5"
GENOTROPIN MINIQUICK 0.4 MG
MUMPSVAX VACCINE W/DILUENT
MUMPSVAX VACCINE W/DILUENT
ZYPREXA ZYDIS 20 MG TABLET
ZYPREXA ZYDIS 20 MG TAB
STOMAHESIVE 8"X8" WAFER
COMBIDERM ACD DRESSING
AMERGE 2.5 MG TABLET
SENSIPAR 60 MG TABLET
CURASORB 6"X10" DRESSING
AMERGE 1 MG TABLET
SOLU-MEDROL 1,000 MG VIAL

DOSE FORM DRUG STRENGTH


YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
TA
EA
EA
EA
EA
EA
YE
YE
TA
YE
YE
YE
ZT
ZT
HV
YE
HI
HS
HS
UL
UL
TW
YE
TA
TA
YE
TA
HS

UNIT PRICE
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.82
$
11.83
$
11.83
$
11.83
$
11.83
$
11.83
$
11.85
$
11.85
$
11.88
$
11.90
$
11.90
$
11.90
$
11.92
$
11.92
$
11.93
$
11.96
$
11.97
$
11.98
$
11.98
$
12.00
$
12.00
$
12.01
$
12.01
$
12.05
$
12.05
$
12.11
$
12.19
$
12.20

NDC
00074563108
00074660902
00300370201
08466092100
08466093100
33413000500
38673065000
38673066009
38673066108
44229022028
44229022082
50486008292
54569459200
73796019912
73796053211
83490022028
83490022082
62541012001
62541012006
00004196402
00378912298
00781711255
50458003405
54868307600
67253094154
62592018864
00310037611
00052045015
00052045016
00264922224
00078040105
55390011010
63323013010
63323013011
00078014923
66977020612
00074434301
53303014480
00264912550
08026000700
08327031276
00065026617
00065026625
00065026634
08333900040
54868468800
54868468801
08021333541
08021333545
10116100101
10116100102
10116100103
00555092901

NAME
A-METHAPRED 1,000 MG UNIVIAL
NEUT 4% VIAL
PREVPAC PATIENT PACK
COMPACT ULTRASON NEBUL KIT
COMPACT COMPRESS NEBUL KIT
AEROSONIC NEBULIZER W/CASE
ULTRASONIC NEBULIZER KIT
ULTRASONIC NEBULIZER KIT
ULTRASONIC NEBULIZER KIT
LC PLUS NEBULIZER SET
PARI LC STAR NEBULIZER SET
PARI LC PLUS PEDIATRIC KIT
PREVPAC PATIENT PACK
AIRS DISPOSABLE NEBULIZER
ELITE NEBULIZER SYSTEM
PARI LC PLUS NEBULIZER SET
PARI LC STAR NEBULIZER SET
MUSE 250 MCG URETHRAL SUPPOS
MUSE 250 MCG URETHRAL SUPPOS
ROCEPHIN 1 GM PIGGYBACK
FENTANYL 50 MCG/HR PATCH
FENTANYL 50 MCG/HR PATCH
DURAGESIC 50 MCG/HR PATCH
DURAGESIC 50 MCG/HR PATCH
FENTANYL 50 MCG/HR PATCH
BUPHENYL POWDER
CEFOTAN 1 GM PIGGYBACK
ZEMURON 10 MG/ML VIAL
ZEMURON 10 MG/ML VIAL
INTEL INFUSOR ADD-ON SET
GLEEVEC 100 MG TABLET
DOXYCYCLINE 100 MG VIAL
DOXYCYCLINE 100 MG VIAL
DOXYCYCLINE 100 MG VIAL
MIACALCIN 200 UNIT/ML VIAL
COOLMAGIC GEL SHEET
AMINOSYN 7%-ELECTROLYTES
CARRAGINATE DRESSING 4"X8"
HYPODERMOCLYSIS SET
ALLEVYN SACRUM 6.75X6.75"
SILVASORB CAVITY DRESSING
TRAVATAN 0.004% EYE DROP
TRAVATAN 0.004% EYE DROP
TRAVATAN 0.004% EYE DROP
TEGASORB 6.5"X7.875" DRSSNG
TRAVATAN 0.004% EYE DROP
TRAVATAN 0.004% EYE DROP
STIMUPLEX ELECTRODE CABLE
CONTIPLEX CONNECTING CABLE
TESTOPEL 75 MG PELLETS
TESTOPEL 75 MG PELLETS
TESTOPEL 75 MG PELLETS
TREXALL 10 MG TABLET

DOSE FORM DRUG STRENGTH


HS
HV
ZD
YK
YK
YK
YK
YK
YK
YK
YK
YK
ZD
YK
YK
YK
YK
QD
QD
HN
PR
PR
PR
PR
PR
PA
HN
HV
HV
YQ
TA
HS
HS
HS
HV
YE
YK
YE
YQ
YE
YE
SO
SO
SO
YE
SO
SO
EA
EA
TP
TP
TP
TA

UNIT PRICE
$
12.20
$
12.20
$
12.28
$
12.28
$
12.28
$
12.28
$
12.28
$
12.28
$
12.28
$
12.28
$
12.28
$
12.28
$
12.28
$
12.28
$
12.28
$
12.28
$
12.28
$
12.30
$
12.30
$
12.40
$
12.41
$
12.41
$
12.41
$
12.41
$
12.41
$
12.42
$
12.44
$
12.46
$
12.46
$
12.50
$
12.53
$
12.54
$
12.54
$
12.54
$
12.62
$
12.64
$
12.65
$
12.67
$
12.70
$
12.73
$
12.73
$
12.74
$
12.74
$
12.74
$
12.74
$
12.74
$
12.74
$
12.75
$
12.75
$
12.75
$
12.75
$
12.75
$
12.76

NDC
00003403208
08026498900
00002300475
00026261301
00085180802
52959063804
54569523900
00264908650
61118056005
61118056025
00310037631
08026000045
11701088089
56091002442
56091002443
63323012250
66479013929
00015797020
00015797099
00781310195
08026763800
11701088170
55860007638
62794008564
00074811031
00517013225
61703023429
63323073101
00590032435
00002759701
08219990500
08004541100
08380007047
62541013001
62541013006
00074471902
00074489501
00074694702
00009379401
38779031901
38779031903
38779031904
38779031905
38779031906
38779031908
38779031909
38779203203
38779203204
38779203205
51552078902
51927237500
51927302400
63370027515

NAME
VERSIVA 7.5"X9.5" DRESSING
OPSITE ADHESIVE DRESSING
PROZAC WEEKLY 90 MG CAPSULE
DOME-PASTE BANDAGE 3"
DOME-PASTE BANDAGE 3"
PROZAC WEEKLY 90 MG CAPSULE
PROZAC WEEKLY 90 MG CAPSULE
POSITIVE PRESSURE ADMIN SET
ELASTO-GEL CAST/SPLINT 6X8
ELASTO-GEL CAST/SPLINT 6X8
CEFOTAN 1 GM ADD-VANTAGE VL
ALLEVYN ADHESIVE DRESS 7X7"
BIATAIN ADH FOAM DRESSING
TIELLE HYDROPOLYMER DRESS
TIELLE HYDROPOLYMER DRESS
METHOTREXATE 1 GM VIAL
METHOTREXATE 1 GM VIAL
OXACILLIN 2 GM VIAL
OXACILLIN 2 GM VIAL
OXACILLIN 2 GM VIAL
ALLEVYN DRESSING 8"X8"
BIATAIN FOAM DRESSING
ALLEVYN DRESSING 8" X 8"
FLEXZAN ADHESIVE DRESSING
CALCIJEX 1 MCG/ML AMPUL
CALCITRIOL 1 MCG/ML AMPUL
CALCITRIOL 1 MCG/ML AMPUL
CALCITRIOL 1 MCG/ML AMPUL
COUMADIN 5 MG VIAL
ZYPREXA 10 MG VIAL
CURAGEL HYDROGEL WOUND DRESS
MONISTAT 1 COMBINATION PACK
COMFORT WEAR POUCH COVER
MUSE 500 MCG URETHRAL SUPPOS
MUSE 500 MCG URETHRAL SUPPOS
DRUM-CARTRIDGE CATHETER
VENOUS CANNULATION TRAY
CATHETER ADAPTER/LUER PLUG
CORVERT 0.1 MG/ML VIAL
TOBRAMYCIN SULFATE POWDER
TOBRAMYCIN SULFATE POWDER
TOBRAMYCIN SULFATE POWDER
TOBRAMYCIN SULFATE POWDER
TOBRAMYCIN SULFATE POWDER
TOBRAMYCIN SULFATE POWDER
TOBRAMYCIN SULFATE POWDER
CLOMIPRAMINE HCL POWDER
CLOMIPRAMINE HCL POWDER
CLOMIPRAMINE HCL POWDER
TOBRAMYCIN SULFATE POWDER
TOBRAMYCIN SULFATE POWDER
CLOMIPRAMINE HCL POWDER
TOBRAMYCIN SULFATE POWDER

DOSE FORM DRUG STRENGTH


YE
YE
CE
YE
YE
CE
CE
YQ
YE
YE
HS
YE
YE
YE
YE
HS
HS
HS
HS
HS
YE
YE
YE
YE
HH
HH
HH
HH
HS
HS
YE
ZD
EA
QD
QD
YQ
YQ
YQ
HV
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA

UNIT PRICE
$
12.77
$
12.80
$
12.84
$
12.84
$
12.84
$
12.84
$
12.84
$
12.86
$
12.88
$
12.88
$
12.89
$
12.89
$
12.89
$
12.89
$
12.89
$
12.92
$
12.92
$
12.95
$
12.95
$
12.95
$
12.96
$
12.96
$
12.96
$
12.96
$
12.99
$
12.99
$
12.99
$
12.99
$
13.07
$
13.08
$
13.13
$
13.24
$
13.29
$
13.33
$
13.33
$
13.34
$
13.34
$
13.34
$
13.49
$
13.49
$
13.49
$
13.49
$
13.49
$
13.49
$
13.49
$
13.49
$
13.49
$
13.49
$
13.49
$
13.49
$
13.49
$
13.49
$
13.49

NDC
00009312403
00009344703
00074405303
00074405403
00074405503
00409405303
00409405403
00409405503
53329056240
00088120305
00088120329
00088120343
54868413800
56091002495
00029657126
00029657140
00029657156
00029657157
38779038403
38779038406
49452495301
49452495302
00003403204
49756046108
49756046110
08026118513
40565011852
40565011901
65976010024
00015303120
00074450405
08026732900
55860007329
00015303410
00023918703
00023918705
00023918707
54868457500
00169369619
00169633910
08011150201
08011150202
08011150203
08290007150
00013109694
55390013401
55390023210
55390080901
11701004722
00264906212
00009032301
00026261401
00085181102

NAME
CLEOCIN 150 MG/ML ADDVN VIAL
CLEOCIN PHOS 150 MG/ML VIAL
CLINDAMYCIN 150 MG/ML ADDVAN
CLINDAMYCIN 150 MG/ML ADDVAN
CLINDAMYCIN 150 MG/ML ADDVAN
CLINDAMYCIN 150 MG/ML ADDVAN
CLINDAMYCIN 150 MG/ML ADDVAN
CLINDAMYCIN 150 MG/ML ADDVAN
MAXORB 4"X4" DRESSING
ANZEMET 100 MG TABLET
ANZEMET 100 MG TABLET
ANZEMET 100 MG TABLET
ANZEMET 100 MG TABLET
FIBRACOL DRESSING
TIMENTIN 3.1 GM VIAL
TIMENTIN 3.1 GM ADD-VANT VL
TIMENTIN 3.1 GM VIAL
TIMENTIN 3.1 GM ADD-VANT VL
OXYBUTYNIN CHLORIDE POWDER
OXYBUTYNIN CHLORIDE POWDER
OXYBUTYNIN CHLORIDE POWDER
OXYBUTYNIN CHLORIDE POWDER
CARBOFLEX 6"X8" DRESSING
SOFSORB WOUND DRESS 33"X36"
SOFSORB WOUND DRESS 33"X36"
EXU-DRY WOUND DRESS 20"X28"
EXU-DRY DRESSING 20"X28"
EXU-DRY WOUND DRESS 20"X28"
ARESTIN 1 MG MICROSPHERE
CEENU 40 MG CAPSULE
ULTIVA 2 MG VIAL
ALLEVYN CAVITY DRESSING
ALLEVYN CAV TUBULAR DRESS
CEENU DOSE PACK
LUMIGAN 0.03% EYE DROPS
LUMIGAN 0.03% EYE DROPS
LUMIGAN 0.03% EYE DROPS
LUMIGAN 0.03% EYE DROPS
NOVOLOG MIX 70/30 FLEXPEN SYRN
NOVOLOG FLEXPEN SYRINGE
BARDIC URO SHEATH VINYL SM
BARDIC URO SHEATH VINYL MED
BARDIC URO SHEATH VINYL LRG
ASEPTO BULB SYRINGES GLASS
ADRIAMYCIN RDF 20 MG VIAL
CYTARABINE 2 GM VIAL
ADRIAMYCIN 20 MG VIAL
CYTARABINE 2 GM VIAL
BAZA CLEANSE/PROTECT 2% LOT
EVAC IV CONT/GLASS TB 250 ML
GELFOAM SIZE 50 SPONGE
DOME-PASTE BANDAGE 4"
DOME-PASTE BANDAGE 4"

DOSE FORM DRUG STRENGTH


HV
HV
HV
HV
HV
HV
HV
HV
YE
TA
TA
TA
TA
YE
HS
HS
HS
HS
PA
PA
PA
PA
YE
YE
YE
YE
YE
YE
HI
CA
HS
YE
YE
CA
SO
SO
SO
SO
IO
IO
EA
EA
EA
YC
HS
HS
HS
HS
SZ
ZC
YV
YE
YE

UNIT PRICE
$
13.50
$
13.50
$
13.50
$
13.50
$
13.50
$
13.50
$
13.50
$
13.50
$
13.50
$
13.53
$
13.53
$
13.53
$
13.53
$
13.55
$
13.56
$
13.56
$
13.56
$
13.56
$
13.57
$
13.57
$
13.57
$
13.57
$
13.59
$
13.59
$
13.59
$
13.63
$
13.63
$
13.63
$
13.63
$
13.64
$
13.64
$
13.73
$
13.73
$
13.76
$
13.76
$
13.76
$
13.76
$
13.76
$
13.87
$
13.87
$
13.89
$
13.89
$
13.89
$
13.91
$
14.00
$
14.00
$
14.00
$
14.00
$
14.02
$
14.04
$
14.06
$
14.06
$
14.06

NDC
63713001973
00074602202
38779039903
38779039904
38779039906
44087400501
00004196405
00003401849
00003403333
00006362050
00247093001
00574085005
00574085010
66490004101
00015722618
00015722620
00015722689
00015722699
00781312592
00781312595
51927166900
51927350900
56091001941
49452282501
49452282502
51927185600
00008098701
00364218646
00591218653
00591218654
54868489300
54868489301
56091001912
56091004005
00078031154
00078031190
54868382700
54868382701
62541014001
62541014006
11701040772
40565012080
54569558800
54868514100
61958070101
38779021203
38779021206
38779021211
38779021215
63459051630
00015710028
00015710098
00029661321

NAME
SURGIFOAM SPONGE SIZE 50
MORPHINE 2 MG/ML VIAL
PINDOLOL POWDER
PINDOLOL POWDER
PINDOLOL POWDER
GEREF 0.5 MG VIAL
ROCEPHIN ADD-VANTAGE 1 GM VL
COMBIDERM ACD DRESSING
DUODERM SIGNAL 8"X9" DRES
EDECRIN SODIUM 50 MG VIAL
D.H.E.45 1 MG/ML AMPUL
DIHYDROERGOTAMINE 1 MG/ML AM
DIHYDROERGOTAMINE 1 MG/ML AM
D.H.E.45 1 MG/ML AMPUL
NAFCILLIN 2 GM ADD-VANT VIAL
NAFCILLIN 2 GM VIAL
NAFCILLIN 2 GM ADD-VANT VIAL
NAFCILLIN 2 GM VIAL
NAFCILLIN 2 GM ADD-VANT VIAL
NAFCILLIN 2 GM VIAL
BACITRACIN POWDER
SALSALATE POWDER
SURGICEL NU-KNIT HEMOSTAT
ETHINYL ESTRADIOL POWDER
ETHINYL ESTRADIOL POWDER
ETHINYL ESTRADIOL POWDER
FLUSHIELD INFLUENZA VACCINE
NANDROLONE DE 200 MG/ML VIAL
NANDROLONE DE 200 MG/ML VIAL
NANDROLONE DE 200 MG/ML VIAL
NANDROLONE DE 200 MG/ML VIAL
NANDROLONE DE 200 MG/ML VIAL
THROMBOGEN 10,000 UNITS VIAL
THROMBOGEN 10,000 UNITS VIAL
MIACALCIN 200 UNITS NASAL SPRA
MIACALCIN 200 UNITS NASAL SPRA
MIACALCIN 200 UNITS NASAL SPRA
MIACALCIN 200 UNITS NASAL SP
MUSE 1,000 MCG URETHRAL SUPP
MUSE 1,000 MCG URETHRAL SUPP
COMFEEL PLUS TRIANGLE DRESS
REPLICARE 7"X8" DRESSING
TRUVADA TABLET
TRUVADA TABLET
TRUVADA TABLET
DACARBAZINE POWDER
DACARBAZINE POWDER
DACARBAZINE POWDER
DACARBAZINE POWDER
ACTIQ 1,600 MCG LOZENGE
AMPICILLIN 10 GM VIAL
AMPICILLIN 10 GM VIAL
TOTACILLIN-N 10 GM VIAL

DOSE FORM DRUG STRENGTH


YV
HV
PA
PA
PA
HS
HS
YE
YE
HS
HH
HH
HH
HH
HS
HS
HS
HS
HS
HS
PA
PA
EA
PA
PA
PA
HV
HV
HV
HV
HV
HV
HS
HS
AT
AT
AT
AT
QD
QD
YE
YE
TA
TA
TA
PA
PA
PA
PA
LP
HS
HS
HS

UNIT PRICE
$
14.06
$
14.08
$
14.10
$
14.10
$
14.10
$
14.12
$
14.13
$
14.15
$
14.15
$
14.18
$
14.18
$
14.18
$
14.18
$
14.18
$
14.24
$
14.24
$
14.24
$
14.24
$
14.24
$
14.24
$
14.28
$
14.28
$
14.29
$
14.31
$
14.31
$
14.31
$
14.34
$
14.45
$
14.45
$
14.45
$
14.45
$
14.45
$
14.45
$
14.45
$
14.46
$
14.46
$
14.46
$
14.46
$
14.47
$
14.47
$
14.49
$
14.49
$
14.51
$
14.51
$
14.51
$
14.54
$
14.54
$
14.54
$
14.54
$
14.56
$
14.58
$
14.58
$
14.58

NDC
00781340995
00074420501
00074894862
00074624401
00074626001
00074659001
00003161112
00003161113
00003161212
38779021903
38779021906
38779021911
38779021915
49452276301
51552018101
51927195500
62991123701
40565012135
40565012164
49452263101
49452263102
51552094301
51552094302
00173074200
54569559400
00406886553
38779072503
38779072504
38779072505
49452003401
51552068501
51552068502
51552068504
51552068506
51927100800
58298055210
63275300502
63275302504
63275310005
63370096015
63370096025
63370096035
00517970225
00003403708
00013563670
00015050541
00015054841
10019095601
00173052300
00173052400
54868460600
54868476400
58016123101

NAME
AMPICILLIN 10 GM VIAL
BURETTE NV IN-LINE SET/PORT
BURETTE 100 ML HEMOSET NV
PENTOTHAL 1 GM (2.5%) KIT
PENTOTHAL 2.5 GM (2.5%) KIT
PENTOTHAL 2.5 GM (2.5%) KIT
BARACLUDE 0.5 MG TABLET
BARACLUDE 0.5 MG TABLET
BARACLUDE 1 MG TABLET
ERGOTAMINE TARTRATE POWDER
ERGOTAMINE TARTRATE POWDER
ERGOTAMINE TARTRATE POWDER
ERGOTAMINE TARTRATE POWDER
ERGOTAMINE TARTRATE POWDER
ERGOTAMINE TARTRATE POWDER
ERGOTAMINE TARTRATE POWDER
ERGOTAMINE TARTRATE POWDER
ACTICOAT 4"X4" DRESSING
ACTICOAT 4"X4" DRESSING
DIPHENYLCYCLOPROPENONE PWDR
DIPHENYLCYCLOPROPENONE PWDR
DIPHENYLCYCLOPROPENONE PWDR
DIPHENYLCYCLOPROPENONE PWDR
EPZICOM TABLET
EPZICOM TABLET
OXYCODONE HCL POWDER
OXYCODONE HCL POWDER
OXYCODONE HCL POWDER
OXYCODONE HCL POWDER
OXYCODONE HCL POWDER
OXYCODONE HCL POWDER
OXYCODONE HCL POWDER
OXYCODONE HCL POWDER
OXYCODONE HCL POWDER
OXYCODONE HCL POWDER
OXYCODONE HCL POWDER
OXYCODONE HCL POWDER
OXYCODONE HCL POWDER
OXYCODONE HCL POWDER
OXYCODONE HCL POWDER
OXYCODONE HCL POWDER
OXYCODONE HCL POWDER
DROPERIDOL 2.5 MG/ML VIAL
AQUACEL-AG W/HYDROFIBER DRS
NEOSAR 1 GM VIAL
CYTOXAN 1 GM VIAL
CYTOXAN LYOPHILIZED 1 GM
CYCLOPHOSPHAMIDE 1 GM VIAL
IMITREX 20 MG NASAL SPRAY
IMITREX 5 MG NASAL SPRAY
IMITREX 20 MG NASAL SPRAY
IMITREX 5 MG NASAL SPRAY
IMITREX 20 MG NASAL SPRAY

DOSE FORM DRUG STRENGTH


HS
YP
YP
YK
YK
YK
TA
TA
TA
PA
PA
PA
PA
PA
PA
PA
PA
YE
YE
PA
PA
PA
PA
TA
TA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
HV
YE
HS
HS
HS
HS
AX
AX
AX
AX
AX

UNIT PRICE
$
14.58
$
14.59
$
14.59
$
14.71
$
14.75
$
14.75
$
14.77
$
14.77
$
14.77
$
14.79
$
14.79
$
14.79
$
14.79
$
14.79
$
14.79
$
14.79
$
14.79
$
14.81
$
14.81
$
14.82
$
14.82
$
14.82
$
14.82
$
14.83
$
14.83
$
14.88
$
14.88
$
14.88
$
14.88
$
14.88
$
14.88
$
14.88
$
14.88
$
14.88
$
14.88
$
14.88
$
14.88
$
14.88
$
14.88
$
14.88
$
14.88
$
14.88
$
14.92
$
14.96
$
15.01
$
15.01
$
15.01
$
15.01
$
15.02
$
15.02
$
15.02
$
15.02
$
15.02

NDC
00597003112
54868053701
38779056101
38779056103
38779056104
38779056106
49452214701
49452214702
49452214703
51552048001
51552048002
51927237900
62991142201
63275997401
63275997402
63275997403
00234013100
00234013150
00234013155
00234013160
00234013165
00234013170
00234013175
00234013180
00234013185
00234013190
00234013195
00234013600
00234013660
00234013665
00234013670
00234013675
00234013680
00234013685
00234013690
00234013695
51927340400
00069315014
00069315083
54868452700
51479005410
00037720860
00310020860
68115072506
00002706401
00002706410
00597003334
38779073200
38779073201
38779073203
38779073204
38779073205
38779073206

NAME
CATAPRES-TTS 1 PATCH
CATAPRES-TTS 1 PATCH
CLONIDINE HCL POWDER
CLONIDINE HCL POWDER
CLONIDINE HCL POWDER
CLONIDINE HCL POWDER
CLONIDINE HCL POWDER
CLONIDINE HCL POWDER
CLONIDINE HCL POWDER
CLONIDINE HCL POWDER
CLONIDINE HCL POWDER
CLONIDINE HCL POWDER
CLONIDINE HCL POWDER
CLONIDINE HCL POWDER
CLONIDINE HCL POWDER
CLONIDINE HCL POWDER
KOROMEX COIL SPRING DIAPHRAGM
KOROMEX COIL SPRING 50MM
KOROMEX COIL SPRING 55MM
KOROMEX COIL SPRING 60MM
KOROMEX COIL SPRING 65MM
KOROMEX COIL SPRING 70MM
KOROMEX COIL SPRING 75MM
KOROMEX COIL SPRING 80MM
KOROMEX COIL SPRING 85MM
KOROMEX COIL SPRING 90MM
KOROMEX COIL SPRING 95MM
KORO-FLEX ARCING DIAPHRAGM
KORO-FLEX ARCING 60MM
KORO-FLEX ARCING 65MM
KORO-FLEX ARCING 70MM
KORO-FLEX ARCING 75MM
KORO-FLEX ARCING 80MM
KORO-FLEX ARCING 85MM
KORO-FLEX ARCING 90MM
KORO-FLEX ARCING 95MM
TRAMADOL HYDROCHLORIDE POWDER
ZITHROMAX I.V. 500 MG VIAL
ZITHROMAX I.V. 500 MG VIAL
ZITHROMAX I.V. 500 MG VIAL
MAXIPIME 1 GM PIGGYBACK VIAL
ZOMIG 5 MG NASAL SPRAY
ZOMIG 5 MG NASAL SPRAY
ZOMIG 5 MG NASAL SPRAY
MANDOL 2 GM/20 ML VIAL
MANDOL 2 GM/20 ML VIAL
CATAPRES-TTS 3 PATCH
ESTRIOL POWDER
ESTRIOL POWDER
ESTRIOL POWDER
ESTRIOL POWDER
ESTRIOL POWDER
ESTRIOL POWDER

DOSE FORM DRUG STRENGTH


PK
PK
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
YD
YD
YD
YD
YD
YD
YD
YD
YD
YD
YD
YD
YD
YD
YD
YD
YD
YD
YD
YD
PA
HS
HS
HS
HN
AX
AX
AX
HS
HS
PK
PA
PA
PA
PA
PA
PA

UNIT PRICE
$
15.04
$
15.04
$
15.15
$
15.15
$
15.15
$
15.15
$
15.15
$
15.15
$
15.15
$
15.15
$
15.15
$
15.15
$
15.15
$
15.15
$
15.15
$
15.15
$
15.30
$
15.30
$
15.30
$
15.30
$
15.30
$
15.30
$
15.30
$
15.30
$
15.30
$
15.30
$
15.30
$
15.30
$
15.30
$
15.30
$
15.30
$
15.30
$
15.30
$
15.30
$
15.30
$
15.30
$
15.30
$
15.34
$
15.34
$
15.34
$
15.37
$
15.40
$
15.40
$
15.40
$
15.41
$
15.41
$
15.41
$
15.41
$
15.41
$
15.41
$
15.41
$
15.41
$
15.41

NDC
49452279401
49452279402
49452279403
49452279404
49452279405
51552038101
51552038102
51552038104
51552038105
51552038109
51927171400
54868053300
62991105001
62991105004
62991215901
62991215902
62991215903
62991215904
63275998501
63275998502
63275998504
63275998505
63370008010
63370008015
63370008025
63370008035
63370008050
63370008710
63370008715
63370008725
63370008735
63370008750
63481044410
08327051509
53329055253
00264913250
00264913350
00264913450
00003403240
38779064403
38779064406
63370022010
63370022015
63370022025
00597003212
52959067912
54868053201
54868113300
00193212801
10148010100
10148010101
10148010130
08026421100

NAME
ESTRIOL POWDER
ESTRIOL POWDER
ESTRIOL POWDER
ESTRIOL POWDER
ESTRIOL POWDER
ESTRIOL POWDER
ESTRIOL POWDER
ESTRIOL POWDER
ESTRIOL POWDER
ESTRIOL POWDER
ESTRIOL POWDER
CATAPRES-TTS 3 PATCH
ESTRIOL POWDER
ESTRIOL POWDER
ESTRIOL POWDER
ESTRIOL POWDER
ESTRIOL POWDER
ESTRIOL POWDER
ESTRIOL POWDER
ESTRIOL POWDER
ESTRIOL POWDER
ESTRIOL POWDER
ESTRIOL POWDER
ESTRIOL POWDER
ESTRIOL POWDER
ESTRIOL POWDER
ESTRIOL POWDER
ESTRIOL POWDER
ESTRIOL POWDER
ESTRIOL POWDER
ESTRIOL POWDER
ESTRIOL POWDER
NUMORPHAN 1 MG/ML AMPUL
MEDFIX EZ DRESSING 6" ROLL
MEDFIX 6" TAPE
ADDITIV PRIM FILTERED SET
ADDITIV PRIMARY FILTER SET
ADDITIV PRIMARY FILTER SET
VERSIVA 7.25"X7.5" DRESSING
SELEGILINE HCL POWDER
SELEGILINE HCL POWDER
SELEGILINE HCL POWDER
SELEGILINE HCL POWDER
SELEGILINE HCL POWDER
CATAPRES-TTS 2 PATCH
CATAPRES-TTS 2 PATCH
CATAPRES-TTS 2 PATCH
SOLGANAL SUSPENSION 50 MG/ML
CLINITEST ANALYSIS SET
VENTAVIS 20 MCG/2 ML SOLUTION
VENTAVIS 20 MCG/2 ML SOLUTION
VENTAVIS 20 MCG/2 ML SOLUTION
HYPAFIX TAPE 6" X 10YD

DOSE FORM DRUG STRENGTH


PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PK
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
HH
YT
YT
YQ
YQ
YQ
YE
PA
PA
PA
PA
PA
PK
PK
PK
HV
YK
AL
AL
AL
YT

UNIT PRICE
$
15.41
$
15.41
$
15.41
$
15.41
$
15.41
$
15.41
$
15.41
$
15.41
$
15.41
$
15.41
$
15.41
$
15.41
$
15.41
$
15.41
$
15.41
$
15.41
$
15.41
$
15.41
$
15.41
$
15.41
$
15.41
$
15.41
$
15.41
$
15.41
$
15.41
$
15.41
$
15.41
$
15.41
$
15.41
$
15.41
$
15.41
$
15.41
$
15.42
$
15.45
$
15.45
$
15.47
$
15.47
$
15.47
$
15.50
$
15.51
$
15.51
$
15.51
$
15.51
$
15.51
$
15.52
$
15.52
$
15.52
$
15.54
$
15.56
$
15.60
$
15.60
$
15.60
$
15.65

NDC
55860004211
49452261702
08026000040
00054823401
61570054002
00046326510
10019014501
00006351659
00006351775
00006355259
00006366659
64116002501
38779001801
38779001803
38779001804
38779001806
38779046803
38779046806
51552005601
51927161600
51927166200
62991103901
62991103902
62991103903
00264915850
00264916050
08026007630
00003403241
00002148501
00268043202
08884782213
51479001801
66019010101
70074054820
08026480300
00517013410
00517023410
52544093102
54569384600
54868471500
08080101700
08080103200
66500032517
00264921420
00074435103
00074435203
00074471101
00264918510
00009768601
00009768604
00074610801
00074643103
00074650401

NAME
HYPAFIX TAPE 6" X 10YDS
DIHYDROTESTOSTERONE POWDER
OPSITE FLEXIFIX FILM ROLL
DURACLON 500 MCG/ML VIAL
TIGAN 100 MG/ML AMPUL
INDERAL 1 MG/ML AMPUL
INDERAL 1 MG/ML AMPUL
PRIMAXIN I.V. 500 MG VIAL
PRIMAXIN 500 MG VIAL
PRIMAXIN 500 MG VIAL
PRIMAXIN I.V. 500 MG VIAL
AMPHOTEC 50 MG VIAL
FLUOCINONIDE POWDER
FLUOCINONIDE POWDER
FLUOCINONIDE POWDER
FLUOCINONIDE POWDER
CYANOCOBALAMIN POWDER
CYANOCOBALAMIN POWDER
FLUOCINONIDE POWDER
FLUOCINONIDE POWDER
CYANOCOBALAMIN POWDER
CYANOCOBALAMIN POWDER
CYANOCOBALAMIN POWDER
CYANOCOBALAMIN POWDER
BLOOD ADMINISTRATION SET
BLOOD PUMP SET 10DROPS/ML
ALLEVYN HEEL DRESSING
VERSIVA 8.25"X9" DRESSING
CAPASTAT SULFATE 1 GM VIAL
TRICHOPHYTON SKIN TEST 1:200
KANGAROO GASTRO FEED TUBE
CAPASTAT SULFATE 1 GM VIAL
FLUMIST NASAL 2004-05 VACCINE
DURA-G GASTROSTOMY TUBE
ALGISITE M 6"X8" DRESSING
DEXFERRUM 50 MG/ML VIAL
DEXFERRUM 50 MG/ML VIAL
INFED 50 MG/ML VIAL
INFED 50 MG/ML VIAL
IRON DEXTRAN COMP 50 MG/ML
CURITY LUMBAR TRAY 3 1/2"
CURITY LUMBAR TRAY 3 1/2"
ESTRASORB PACKET
CVP MONITOR
INPERSOL W/O AUTO S/OFF VAL
INPERSOL/AUTO SHUTOFF VALVE
INPERSOL PERITON.CATH. 11FR
TROCATH PERIT DIALYSIS TRAY
CAVERJECT 40 MCG VIAL
CAVERJECT 40 MCG VIAL
PENTOTHAL 5 GM (2%) KIT
PENTOTHAL 5 GM KIT
PENTOTHAL 5 GM (2.5%) KIT

DOSE FORM DRUG STRENGTH


YT
PA
YE
HV
HH
HH
HH
HS
HS
HS
HS
HS
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
YZ
YZ
YE
YE
HS
HE
EA
HS
AX
EA
YE
HV
HV
HV
HV
HV
ZT
ZT
JN
ZA
YP
YP
YP
YP
HS
HS
YK
YK
YK

UNIT PRICE
$
15.65
$
15.68
$
15.69
$
15.70
$
15.70
$
15.78
$
15.78
$
15.81
$
15.81
$
15.81
$
15.81
$
15.84
$
15.87
$
15.87
$
15.87
$
15.87
$
15.87
$
15.87
$
15.87
$
15.87
$
15.87
$
15.87
$
15.87
$
15.87
$
15.90
$
15.90
$
15.90
$
15.93
$
15.94
$
15.94
$
15.94
$
15.94
$
15.94
$
15.94
$
16.01
$
16.02
$
16.02
$
16.02
$
16.02
$
16.02
$
16.06
$
16.06
$
16.06
$
16.12
$
16.13
$
16.13
$
16.13
$
16.13
$
16.17
$
16.17
$
16.17
$
16.17
$
16.17

NDC
00091103222
00091104006
00091114011
00091114016
00091114020
00091144044
50242006201
49281054505
00003403712
38779047603
38779047606
62991108201
62991108202
61570018201
58768077352
00034999700
08080104800
00003043730
00003043732
00013140544
00173044700
00173044702
00173044704
39822105505
54868350900
00574085801
39822061501
61570041451
67707032005
67707032007
38779000401
38779000403
38779000406
38779012601
38779012603
38779012604
38779012606
38779012903
38779012906
38779019501
38779019503
38779019506
49452107201
49452107202
49452107701
49452107702
49452108001
49452108002
49452315501
49452315502
51552002301
51552006401
51552006405

NAME
EDEX 40 MCG REFILL PACK
EDEX 40 MCG VIAL
EDEX 40 MCG STARTER PACK
EDEX 40 MCG CARTRIDGE KIT
EDEX 40 MCG CARTRIDGE KIT
EDEX 40 MCG KIT
TARCEVA 25 MG TABLET
ACTHIB VACCINE VIAL
AQUACEL-AG W/HYDROFIBER DRS
INDAPAMIDE POWDER
INDAPAMIDE POWDER
INDAPAMIDE POWDER
INDAPAMIDE POWDER
DELESTROGEN 40 MG/ML VIAL
MIOCHOL-E EYE DROPS UNIVIAL
X-PREP BOWEL EVACUANT KIT-1
CURITY LUMBAR TRAY 2 1/2"
FUNGIZONE IV 50 MG VIAL
FUNGIZONE IV 50 MG VIAL
AMPHOCIN 50 MG VIAL
ZOFRAN 8 MG TABLET
ZOFRAN 8 MG TABLET
ZOFRAN 8 MG TABLET
AMPHOTERICIN B 50 MG VIAL
ZOFRAN 8 MG TABLET
COLISTIMETHATE 150 MG VIAL
COLISTIMETHATE 150 MG VIAL
COLY-MYCIN M 150 MG VIAL
FACTIVE 320 MG TABLET
FACTIVE 320 MG TABLET
BETAMETHASONE VALERATE POWD
BETAMETHASONE VALERATE POWD
BETAMETHASONE VALERATE POWD
BETAMETHASONE ACETATE POWD
BETAMETHASONE ACETATE POWD
BETAMETHASONE ACETATE POWD
BETAMETHASONE ACETATE POWD
FLUDROCORTISONE ACETATE PWD
FLUDROCORTISONE ACETATE PWD
BETAMETHASONE SOD PHOS POWD
BETAMETHASONE SOD PHOS POWD
BETAMETHASONE SOD PHOS POWD
BETAMETHASONE ACETATE POWD
BETAMETHASONE ACETATE POWD
BETAMETHASONE SOD PHOS POWD
BETAMETHASONE SOD PHOS POWD
BETAMETHASONE VALERATE PWD
BETAMETHASONE VALERATE PWD
FLUDROCORTISONE ACETATE PWD
FLUDROCORTISONE ACETATE PWD
BETAMETHASONE VAL POWDER
BETAMETHASONE SOD PHOS POWD
BETAMETHASONE SOD PHOS POWD

DOSE FORM DRUG STRENGTH


YK
HS
YK
YK
YK
YK
TA
HS
YE
PA
PA
PA
PA
HV
HV
YK
ZT
HS
HS
HS
TA
TA
TA
HS
TA
HS
HS
HS
TA
TA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA

UNIT PRICE
$
16.17
$
16.17
$
16.17
$
16.17
$
16.17
$
16.17
$
16.17
$
16.21
$
16.22
$
16.22
$
16.22
$
16.22
$
16.22
$
16.25
$
16.26
$
16.42
$
16.44
$
16.58
$
16.58
$
16.58
$
16.58
$
16.58
$
16.58
$
16.58
$
16.58
$
16.63
$
16.63
$
16.63
$
16.63
$
16.63
$
16.79
$
16.79
$
16.79
$
16.79
$
16.79
$
16.79
$
16.79
$
16.79
$
16.79
$
16.79
$
16.79
$
16.79
$
16.79
$
16.79
$
16.79
$
16.79
$
16.79
$
16.79
$
16.79
$
16.79
$
16.79
$
16.79
$
16.79

NDC
51927116000
51927195100
51927195400
62991102401
62991102402
62991102403
63370002806
63370002810
63370002815
63370002825
63370002835
32252003000
32252003001
32252003086
32252025850
52735031902
52735032002
52735032102
82468014458
82468014459
82468014460
92926005010
00004196401
00004196404
49999058601
49999058610
54868248801
58016943801
68030713901
08225002602
08225002603
08225002605
08290203071
08290203072
08290203073
08290209071
08290209072
08290209073
63955001001
40565011939
54569531100
54868323600
54868478100
58160085601
58160085611
58160085911
00407069510
10119040653
10119041039
14362011101
38779005101
38779005103
49452789001

NAME
BETAMETHASONE VALERATE POWD
BETAMETHASONE SOD PHOS POWD
BETAMETHASONE ACETATE POWD
BETAMETHASONE SOD PHOS POWD
BETAMETHASONE SOD PHOS POWD
BETAMETHASONE SOD PHOS POWD
BETAMETHASONE SOD PHOS POWD
BETAMETHASONE SOD PHOS POWD
BETAMETHASONE SOD PHOS POWD
BETAMETHASONE SOD PHOS POWD
BETAMETHASONE SOD PHOS POWD
SUNBEAM AIR CLEANER
SUNBEAM AIR CLEANER
SUNBEAM AIR CLEANER
SUNBEAM AIR CLEANER
FP AIR PURIFIER LOW PROFILE
FP AIR PURIFIER PERSONAL
FP AIR PURIFIER UPRIGHT
FP AIR PURIFIER PERSONAL
FP AIR PURIFIER UPRIGHT
FP AIR PURIFIER LOW PROFILE
HEPA AIR CLEANING SYSTEM
ROCEPHIN 1 GM VIAL
ROCEPHIN 1 GM VIAL
ROCEPHIN 1 GM VIAL
ROCEPHIN 1 GM VIAL
ROCEPHIN 1 GM VIAL
ROCEPHIN 1 GM VIAL
ROCEPHIN 1 GM VIAL
BACK SUPPORT SMALL/MEDIUM
BACK SUPPORT MEDIUM/LARGE
BACK SUPPORT LARGE/X-LARGE
BAUER & BLACK BACK SUPPORT
BAUER & BLACK BACK SUPPORT
BAUER & BLACK BACK SUPPORT
ACE BACK SUPPORT
ACE BACK SUPPORT
ACE BACK SUPPORT
PREVEN CONTRACEPTIVE KIT
CONFORMANT 2 6"X4YARDS ROLL
ENGERIX-B 10 MCG/0.5 ML PEDI
ENGERIX-B 10 MCG/0.5 ML PEDI
ENGERIX-B 10 MCG/0.5 ML
ENGERIX-B 10 MCG/0.5 ML PEDI
ENGERIX-B 10 MCG/0.5 ML PEDI
ENGERIX-B 10 MCG/0.5 ML PEDI
TESLASCAN 37.9 MG/ML VIAL
DISINFECTING UNIT
COMPACT DISINFECTING UNIT
TETANUS DIPHTHERIA TOXOIDS
TRIAMCINOLONE POWDER
TRIAMCINOLONE POWDER
TRIAMCINOLONE POWDER

DOSE FORM DRUG STRENGTH


PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
HS
HS
HS
HS
HS
HS
HS
EA
EA
EA
EA
EA
EA
EA
EA
EA
YK
YE
HV
HV
HV
HV
HV
HV
HV
UN
UN
HV
PA
PA
PA

UNIT PRICE
$
16.79
$
16.79
$
16.79
$
16.79
$
16.79
$
16.79
$
16.79
$
16.79
$
16.79
$
16.79
$
16.79
$
16.82
$
16.82
$
16.82
$
16.82
$
16.82
$
16.82
$
16.82
$
16.82
$
16.82
$
16.82
$
16.82
$
16.84
$
16.84
$
16.84
$
16.84
$
16.84
$
16.84
$
16.84
$
16.94
$
16.94
$
16.94
$
16.94
$
16.94
$
16.94
$
16.94
$
16.94
$
16.94
$
16.95
$
16.96
$
16.96
$
16.96
$
16.96
$
16.96
$
16.96
$
16.96
$
16.97
$
17.00
$
17.00
$
17.00
$
17.08
$
17.08
$
17.08

NDC
49452789002
49452789003
51552076801
51927104900
51927257500
62991115602
00015797018
00015797089
00026063105
00026063106
00562780806
00562780826
00085124401
00085124402
00407013403
54868494900
66521010610
08026732700
55860007327
11701040862
00009765002
00173057000
00173057004
54868508900
38779032003
38779032006
40565012139
66490024598
00006358275
00378912398
00781711355
50458003505
54868307300
67253094254
38779198603
38779198604
38779198605
38779198608
38779198609
51927340200
66521010710
00009056601
00006467700
00006475100
00091153605
47679805024
10019061306
63323044661
00013265102
49281037215
49281037415
00004003822
00052027301

NAME
TRIAMCINOLONE POWDER
TRIAMCINOLONE POWDER
TRIAMCINOLONE POWDER
TRIAMCINOLONE POWDER
TRIAMCINOLONE POWDER
TRIAMCINOLONE POWDER
OXACILLIN 2 GM ADD-VAN VIAL
OXACILLIN 2 GM ADD-VAN VIAL
BAYRHO-D SYRINGE
BAYRHO-D SYRINGE
MICRHOGAM ULTRA-FILTRD SYRN
MICRHOGAM ULTRA-FILTRD SYRN
TEMODAR 20 MG CAPSULE
TEMODAR 20 MG CAPSULE
BILOPAQUE 750 MG CAPSULE
FLUVIRIN VIAL
FLUVIRIN VIAL
ALLEVYN CAVITY DRESSING 4"
ALLEVYN CAV 10CM CIRC DRESS
COMFEEL PLUS DRESSING
CAVERJECT 40 MCG/2 ML AMPUL
ZOFRAN ODT 8 MG TABLET
ZOFRAN ODT 8 MG TABLET
ZOFRAN ODT 8 MG TABLET
BROMHEXINE HCL POWDER
BROMHEXINE HCL POWDER
ACTICOAT 3/4"X12" DRESSING
MIGRANAL 4 MG/ML NASAL SPRAY
PRIMAXIN I.M. 500 MG VIAL
FENTANYL 75 MCG/HR PATCH
FENTANYL 75 MCG/HR PATCH
DURAGESIC 75 MCG/HR PATCH
DURAGESIC 75 MCG/HR PATCH
FENTANYL 75 MCG/HR PATCH
STANOZOLOL POWDER
STANOZOLOL POWDER
STANOZOLOL POWDER
STANOZOLOL POWDER
STANOZOLOL POWDER
STANOZOLOL POWDER
FLUVIRIN 2004-05 VIAL
TROBICIN W/DILUENT 2 GM VIAL
M-R-VAX II VACCINE/DILUENT
M-R-VAX II VACCINE/DILUENT
LEVSIN 0.5 MG/ML AMPUL
EMPTY VIAFLEX/Y-TRANS SET
CEFAZOLIN 20 GM BULK VIAL
CEFAZOLIN 20 GM BULK VIAL
GENOTROPIN MINIQUICK 0.6 MG
FLUZONE SUBVIRION VIAL
FLUZONE 2004-05 VIAL
VALCYTE 450 MG TABLET
NUVARING VAGINAL RING

DOSE FORM DRUG STRENGTH


PA
PA
PA
PA
PA
PA
HS
HS
HX
HX
HX
HX
CA
CA
CA
HV
HV
YE
YE
YE
HH
UL
UL
UL
PA
PA
YE
HG
HS
PR
PR
PR
PR
PR
PA
PA
PA
PA
PA
PA
HV
HS
HS
HS
HH
HU
HS
HS
HI
HV
HV
TA
QV

UNIT PRICE
$
17.08
$
17.08
$
17.08
$
17.08
$
17.08
$
17.08
$
17.09
$
17.09
$
17.10
$
17.10
$
17.10
$
17.10
$
17.17
$
17.17
$
17.18
$
17.39
$
17.39
$
17.49
$
17.49
$
17.52
$
17.56
$
17.58
$
17.58
$
17.58
$
17.63
$
17.63
$
17.69
$
17.69
$
17.74
$
17.75
$
17.75
$
17.75
$
17.75
$
17.75
$
17.80
$
17.80
$
17.80
$
17.80
$
17.80
$
17.80
$
17.80
$
17.84
$
17.88
$
17.88
$
17.88
$
17.88
$
17.90
$
17.90
$
17.99
$
18.06
$
18.06
$
18.08
$
18.09

NDC
00169368213
54868483200
00078037366
55513007530
63713019191
00003020933
00028750701
00028750723
66591043411
65044994003
65044994103
65044994203
65044994303
65044994403
00009509101
00009509301
00548338000
08214010001
08470010001
61059001001
00049318030
00078018101
00781916795
61570008610
00004024126
00004024133
00006336973
49452220503
49999041201
54868405600
58160083501
58160083541
58160083546
54643100500
49281081284
00049233034
00074650901
00074650949
63323029561
50428016022
00173051700
00062338100
00062338200
00062338300
00062338400
00062338500
00062338600
00062338700
00062338800
00062338900
00555094501
40565012149
00006408400

NAME
NOVOLOG MIX 70/30 CARTRIDGE
NUVARING VAGINAL RING
GLEEVEC 100 MG CAPSULE
SENSIPAR 90 MG TABLET
PROMOGRAN MATRIX DRESSING
G/T LOOP OSTOMY SYS2.75IN
BRETHINE 1 MG/ML AMPUL
BRETHINE 1 MG/ML AMPUL
BRETHINE 1 MG/ML AMPUL
VENOMIL HONEY BEE VENOM VL
VENOMIL WH FACE HORNET VIAL
VENOMIL YELLOW HORNET VIAL
VENOMIL WASP VENOM VIAL
VENOMIL YELLOW JACKET VIAL
ELLENCE 2 MG/ML VIAL
ELLENCE 2 MG/ML VIAL
AMIODARONE HCL 50 MG/ML SYRN
NEUROPEN
NEUROPEN
NEUROPEN
VFEND 200 MG TABLET
SANDOSTATIN 0.1 MG/ML AMPUL
OCTREOTIDE ACET 100 MCG/ML AMP
PENICILLIN G 1.2MM UNITS/2 ML
KYTRIL 1 MG TABLET
KYTRIL 1 MG TABLET
MEFOXIN 2 GM VIAL
COLISTIN MSULF POWDER
HAVRIX 1,440 UNITS/ML VIAL
HAVRIX 1,440 UNITS/ML VIAL
HAVRIX 1,440 UNITS/ML VIAL
HAVRIX 1,440 UNITS/ML SYRINGE
HAVRIX 1,440 UNITS/ML SYRINGE
GOLD SOD THIOMALATE 50 MG/ML
TETANUS TOXOID (FLUID) VL
RELPAX 20 MG TABLET
VANCOMYCIN 5 GM VIAL
VANCOMYCIN 5 GM VIAL
VANCOMYCIN HCL 5 GM VIAL
CVS EAR THERMOMETER
FLOLAN 0.5 MG VIAL
DIAPHRAGM FLATSPRING 55MM
DIAPHRAGM FLATSPRING 60MM
DIAPHRAGM FLATSPRING 65MM
DIAPHRAGM FLATSPRING 70MM
DIAPHRAGM FLATSPRING 75MM
DIAPHRAGM FLATSPRING 80MM
DIAPHRAGM FLATSPRING 85MM
DIAPHRAGM FLATSPRING 90MM
DIAPHRAGM FLATSPRING 95MM
TREXALL 15 MG TABLET
ACTICOAT 4"X5" DRESSING
ANTIVENIN(LATRODECTUS) VIAL

DOSE FORM DRUG STRENGTH


HJ
QV
CA
TA
YE
EA
HH
HH
HH
HS
HS
HS
HS
HS
HV
HV
HQ
YK
YK
YK
TA
HH
HH
HQ
TA
TA
HA
PU
HV
HV
HV
DI
DI
HH
HV
TA
HS
HS
HS
EA
HS
YK
YK
YK
YK
YK
YK
YK
YK
YK
TA
YE
ZD

UNIT PRICE
$
18.09
$
18.09
$
18.10
$
18.11
$
18.16
$
18.17
$
18.17
$
18.17
$
18.17
$
18.19
$
18.19
$
18.19
$
18.19
$
18.19
$
18.33
$
18.33
$
18.33
$
18.33
$
18.33
$
18.33
$
18.36
$
18.42
$
18.42
$
18.42
$
18.50
$
18.50
$
18.52
$
18.53
$
18.59
$
18.59
$
18.59
$
18.59
$
18.59
$
18.60
$
18.63
$
18.68
$
18.69
$
18.69
$
18.69
$
18.86
$
18.91
$
19.07
$
19.07
$
19.07
$
19.07
$
19.07
$
19.07
$
19.07
$
19.07
$
19.07
$
19.14
$
19.24
$
19.25

NDC
50242010039
50242010040
00006340617
62942010101
00006380106
00006380109
54868449900
00006477300
00006477500
00006487200
00006487300
00006499500
00006499541
54569563000
54868221900
54868221901
00074226501
00075245101
00409226501
55566503001
04351089510
08373072000
08373072200
08373072400
08462141001
49452213804
49452213806
00013111410
00006380006
00006380009
00019117708
00075245201
49452345001
60505081500
53329056139
54868252800
63323087715
00074181002
00065002315
58768073512
56091001943
56091004350
81317060000
81317060040
81317060050
81317060070
81317060090
81317060460
81317060770
81317060900
00074419348
00074644503
08222072191

NAME
PULMOZYME 1 MG/ML AMPUL
PULMOZYME 1 MG/ML AMPUL
INDOCIN I.V. 1 MG VIAL
DEBACTEROL LIQUID
MAXALT MLT 10 MG TABLET
MAXALT MLT 10 MG TABLET
MAXALT MLT 10 MG TABLET
RECOMBIVAX HB 10 MCG/ML VIAL
RECOMBIVAX HB 10 MCG/ML VIAL
RECOMBIVAX HB 10 MCG/ML VIAL
RECOMBIVAX HB 10 MCG/ML VIAL
RECOMBIVAX HB 10 MCG/ML VIAL
RECOMBIVAX HB 10 MCG/ML VIAL
RECOMBIVAX HB 10 MCG/ML VIAL
RECOMBIVAX HB 10 MCG/ML VIAL
RECOMBIVAX HB 10 MCG/ML VIAL
DESMOPRESSIN AC 4 MCG/ML AMP
DDAVP 4 MCG/ML AMPUL
DESMOPRESSIN AC 4 MCG/ML AMP
DESMOPRESSIN AC 4 MCG/ML AMP
AEROGEAR ASTHMA ACTION KIT
ASTHMAPACK I
ASTHMAPACK II
ASTHMAPACK III
ONE FLOW FVC KIT SPIROMETER
CLINDAMYCIN PHOS CRYSTALS
CLINDAMYCIN PHOS CRYSTALS
CYKLOKAPRON 100 MG/ML AMPUL
MAXALT MLT 5 MG TABLET
MAXALT MLT 5 MG TABLET
OPTIMARK 330.9 MG/ML VIAL
DDAVP 0.01% NASAL SPRAY
HEPARIN SOD 25,000 UNITS POWDE
DESMOPRESSIN 0.1 MG/ML SPRAY
MAXORB 2"X2" DRESSING
NEBUPENT 300 MG INHAL POWDER
NEBUPENT 300 MG INHAL POWDER
NOVOCAIN 10% AMPUL
MIOSTAT VIAL
CARBASTAT VIAL
SURGICEL NU-KNIT HEMOSTAT
INTERCEED(TC7) BARRIER
COMPACT IRRIGATOR KIT
COMPACT IRRIGATOR KIT
COMPACT IRRIGATOR KIT
COMPACT IRRIGATOR KIT
COMPACT IRRIGATOR KIT
COLOSTOKIT IRRIGATOR
COLOSTOKIT IRRIGATOR
HOSPITAL PACK IRRIGATOR
PRIMARY IV SET-SL W/IVEX-HP
PLUM SOLUSET W/FILTER 130"
ULTIGUARD 29GX1 ML SYR KIT

DOSE FORM DRUG STRENGTH


SA
SA
HS
SA
UL
UL
UL
HV
HV
HV
HV
HV
HV
HV
HV
HV
HH
HH
HH
HH
YK
YK
YK
YK
YK
PC
PC
HH
UL
UL
HV
AT
PU
AT
YE
HS
HS
HH
HV
HV
EA
EA
YK
YK
YK
YK
YK
YK
YK
YK
EA
EA
YK

UNIT PRICE
$
19.25
$
19.25
$
19.27
$
19.27
$
19.30
$
19.30
$
19.30
$
19.45
$
19.45
$
19.45
$
19.45
$
19.45
$
19.45
$
19.45
$
19.45
$
19.45
$
19.46
$
19.46
$
19.46
$
19.46
$
19.51
$
19.51
$
19.51
$
19.51
$
19.51
$
19.52
$
19.52
$
19.75
$
19.88
$
19.88
$
19.88
$
19.89
$
19.89
$
19.89
$
19.96
$
19.97
$
19.97
$
19.99
$
20.03
$
20.03
$
20.07
$
20.07
$
20.10
$
20.10
$
20.10
$
20.10
$
20.10
$
20.10
$
20.10
$
20.10
$
20.15
$
20.15
$
20.19

NDC
08222072399
08222072597
08474721901
08474723901
08474725901
41520031420
41520031421
41520031422
57515007219
57515007239
57515007259
00270055615
10019031132
51927281200
50484045435
55390016110
00009034201
00009035301
63713001974
63713001975
00013243606
55390060502
44087800503
70074050138
70074050139
00013700112
00004201507
00004201509
00075245001
55566502001
55566502002
08290001319
08290001362
08290001364
00703408511
00703408591
63323073510
63323073535
00310037720
00310037762
54868385100
00019117730
49452240001
49452240002
49452240003
67871000710
49452213901
49452213902
00019117720
00548909000
00548909010
08884792436
70074055707

NAME
ULTIGUARD 29GX0.3 ML SYR KIT
ULTIGUARD 29GX0.5 ML SYR KIT
CARE ONE ULTIGUARD SYRINGE KIT
CARE ONE ULTIGUARD SYRINGE KIT
CARE ONE ULTIGUARD SYRINGE KIT
CARE ONE ULTIGUARD SYRINGE KIT
CARE ONE ULTIGUARD SYRINGE KIT
CARE ONE ULTIGUARD SYRINGE KIT
ULTIGUARD 29GX1 ML SYR KIT
ULTIGUARD 29GX0.3 ML SYR KIT
ULTIGUARD 29GX0.5 ML SYR KIT
KINEVAC 5 MCG VIAL
REVEX 1 MG/ML SYRINGE
DIPHENIDOL HCL POWDER
ALLEVYN PLUS ADHESIVE 5"X9"
OCTREOTIDE ACET 100 MCG/ML VL
GELFOAM SIZE 100 SPONGE
GELFOAM COMPRESSED SPONGE
SURGIFOAM SPONGE SIZE 100
SURGIFOAM SPONGE SIZE 100C
FRAGMIN 10,000 UNITS/ML VIAL
COLCHICINE 0.5 MG/ML VIAL
PROFASI 5,000 UNITS VIAL
FLEXIFLO 16-FR FEEDING TUBE
FLEXIFLO 16-FR FEEDING TUBE
DOSTINEX 0.5 MG TABLET
ROFERON-A 3MM UNITS/0.5ML KIT
ROFERON-A 3MM UNITS/0.5ML KIT
DDAVP 0.01% SOLUTION
DESMOPRESSIN 0.1 MG/ML SOL
DESMOPRESSIN 0.1 MG/ML SOL
PARASYMPATHETIC NERVE NEEDL
SECURITY BEAD NEEDLE, LOCAL
SECURITY BEAD NEEDLE, LOCAL
PAMIDRONATE 90 MG/10 ML VIAL
PAMIDRONATE 90 MG/10 ML VIAL
PAMIDRONATE 90 MG/10 ML VIAL
OTN PAMIDRONATE 9 MG/ML VIAL
CEFOTAN 2 GM VIAL
CEFOTAN 2 GM VIAL
CEFOTAN 2 GM VIAL
OPTIMARK 0.5 MMOL/ML SYRINGE
CYANOCOBALAMIN CRYSTAL
CYANOCOBALAMIN CRYSTALS
CYANOCOBALAMIN CRYSTALS
ELLIOTTS B SOLUTION AMPULE
CLINDAMYCIN HCL CRYSTALS
CLINDAMYCIN HCL CRYSTALS
OPTIMARK 0.5 MMOL/ML SYRINGE
AMPHADASE 150 UNITS/ML VIAL
AMPHADASE 150 UNITS/ML VIAL
KANGAROO FEED TUBE W/Y-PORT
HIDE-A-PORT CUSTOM KIT

DOSE FORM DRUG STRENGTH


YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
HS
HQ
PA
YE
HV
YV
YV
YV
YV
HV
HV
HS
EA
EA
TA
YK
YK
SA
SA
SA
YA
YA
YA
HV
HV
HV
HV
HS
HS
HS
HQ
PC
PC
PC
HH
PC
PC
HQ
HV
HV
EA
EA

UNIT PRICE
$
20.19
$
20.19
$
20.19
$
20.19
$
20.19
$
20.19
$
20.19
$
20.19
$
20.19
$
20.19
$
20.19
$
20.20
$
20.30
$
20.40
$
20.43
$
20.47
$
20.48
$
20.48
$
20.48
$
20.48
$
20.49
$
20.50
$
20.66
$
20.71
$
20.71
$
20.78
$
20.87
$
20.87
$
20.88
$
20.88
$
20.88
$
20.90
$
20.90
$
20.90
$
21.00
$
21.00
$
21.00
$
21.00
$
21.08
$
21.08
$
21.08
$
21.14
$
21.17
$
21.17
$
21.17
$
21.18
$
21.22
$
21.22
$
21.24
$
21.25
$
21.25
$
21.25
$
21.25

NDC
70074055710
70074055712
70074055714
70074055716
70074055718
70074055720
70074055722
70074055724
70074055726
00264906306
08327031037
40565012141
50484041680
50484042675
00045081015
63713001977
00003164670
00003165670
10356002042
10356045555
56091001760
00004029809
00062335100
00062335200
55390082601
63323071100
49281027183
54868057106
54868448400
00015055605
63323014210
63323014212
08222073198
08222073396
08222073594
08474731901
08474733901
08474735901
41520031423
41520031424
41520031425
57515007319
57515007339
57515007359
00074377204
55390011301
08290002019
08290002300
08290002310
08290002430
08290002440
08290002450
08290002460

NAME
HIDE-A-PORT CUSTOM KIT
HIDE-A-PORT CUSTOMM KIT
HIDE-A-PORT CUSTOM KIT
HIDE-A-PORT CUSTOM KIT
HIDE-A-PORT CUSTOM KIT
HIDE-A-PORT CUSTOM KIT
HIDE-A-PORT CUSTOM KIT
HIDE-A-PORT CUSTOM KIT
HIDE-A-PORT CUSTOM KIT
EVACUATED IV CONTAINER 2L
SILVASORB 4"X8" DRESSING
ACTICOAT 4"X8" DRESSING
ALLEVYN ADHESIVE DRESS 9"X9"
ALLEVYN SACRUM DRESSING 9"X9"
REGRANEX 0.01% GEL
SURGIFOAM SPONGE 8CMX3CM
LYOFOAM WOUND DRESS 12"X10"
LYOFOAM EXTRA DRESS 12"X10"
COVER-ROLL ADHESIVE GAUZE
COVER-ROLL STRETCH BANDAGE
NU-GAUZE UTERINE PACK STRIP
CELLCEPT 500 MG VIAL
DIAPHRAGM COILSPRING 100MM
DIAPHRAGM COILSPRING 105MM
LEUCOVORIN CALCIUM 500 MG VL
LEUCOVORIN CALCIUM 500 MG VL
TETANUS/DIPHTHERIA TOXOIDS
TETANUS DIPHTHERIA TOXOIDS
FLAGYL I.V. 500 MG VIAL
IFEX 1 GM VIAL
IFOSFAMIDE 1 GM VIAL
IFOSFAMIDE 1 GM VIAL
ULTIGUARD 30GX1 ML SYR KIT
ULTIGUARD 30GX0.3 ML SYR KIT
ULTIGUARD 30GX0.5 ML SYR KIT
CARE ONE ULTIGUARD SYRINGE KIT
CARE ONE ULTIGUARD SYRINGE KIT
CARE ONE ULTIGUARD SYRINGE KIT
CARE ONE ULTIGUARD SYRINGE KIT
CARE ONE ULTIGUARD SYRINGE KIT
CARE ONE ULTIGUARD SYRINGE KIT
ULTIGUARD 30GX1 ML SYR KIT
ULTIGUARD 30GX0.3 ML SYR KIT
ULTIGUARD 30GX0.5 ML SYR KIT
ETHANOL 95% AMPUL
PHENTOLAMINE 5 MG VIAL
YALE GLASS TB SYRINGE 2 ML
YALE SYRINGE 2 ML
YALE SYRINGE 2 ML
MULTIFIT 2 ML REUSABLE SYRN
MULTIFIT 2 ML REUSABLE SYRN
MULTIFIT 2 ML REUSABLE SYRN
MULTIFIT 2 ML REUSABLE SYRN

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
ZC
YE
YE
YE
YE
JG
YV
YE
YE
YE
YE
YE
HS
YK
YK
HS
HS
HV
HV
HS
HS
HS
HS
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
HH
HS
YC
YC
YC
YC
YC
YC
YC

UNIT PRICE
$
21.25
$
21.25
$
21.25
$
21.25
$
21.25
$
21.25
$
21.25
$
21.25
$
21.25
$
21.26
$
21.30
$
21.30
$
21.34
$
21.34
$
21.36
$
21.39
$
21.42
$
21.42
$
21.45
$
21.45
$
21.45
$
21.57
$
21.59
$
21.59
$
21.62
$
21.62
$
21.70
$
21.70
$
21.70
$
21.73
$
21.73
$
21.73
$
21.85
$
21.85
$
21.85
$
21.85
$
21.85
$
21.85
$
21.85
$
21.85
$
21.85
$
21.85
$
21.85
$
21.85
$
21.91
$
22.00
$
22.09
$
22.09
$
22.09
$
22.09
$
22.09
$
22.09
$
22.09

NDC
08290002470
08290002480
62942010103
61570008510
00173045701
00016031055
00016031085
00016031440
08065183004
08065183055
08065183085
17478089022
17478089121
00456430008
54868466200
66591032512
66591034512
00270052330
00187375574
54868236201
40565011898
40565011899
40565011900
00078018325
00781916575
55390016301
08290002136
08290002146
08290002156
08290002306
08290002316
00519162309
00519161907
53276105003
00003064350
75537000505
00062335000
38779142703
38779142704
38779142706
00004694003
17317136800
38779002203
38779002204
38779002206
49452315601
49452315602
49452315603
51552013401
51927105700
51927204400
51927270200
00003187644

NAME
MULTIFIT 2 ML REUSABLE SYRN
MULTIFIT 2 ML REUSABLE SYRN
DEBACTEROL SOLUTION
PENICILLIN G 600M UNITS/1 ML
T.R.U.E. TEST
HEALON 10 MG/ML DISP SYRINGE
HEALON 10 MG/ML DISP SYRINGE
HEALON 10 MG/ML DISP SYRINGE
PROVISC 10 MG/ML DISP SYRNG
PROVISC 10 MG/ML DISP SYRNG
PROVISC 10 MG/ML DISP SYRNG
BIOLON 10 MG/ML SYRINGE
BIOLON 10 MG/ML SYRINGE
MONUROL 3 GM SACHET
MONUROL 3 GM SACHET
CALCITRIOL 2 MCG/ML VIAL
CALCITRIOL 2 MCG/ML VIAL
SINOGRAFIN VIAL
LIBRIUM 100 MG AMPUL
LIBRIUM 100 MG AMPUL
EXU-DRY WOUND DRESS 36"X72"
EXU-DRY WOUND DRESS 36"X72"
EXU-DRY WOUND DRESS 36"X72"
SANDOSTATIN 0.2 MG/ML VIAL
OCTREOTIDE ACET 200 MCG/ML VL
OCTREOTIDE ACET 0.2 MG/ML VIAL
MULTIFIT SYRINGE 3 ML
MULTIFIT SYRINGE 3 ML
MULTIFIT SYRINGE 3 ML
YALE SYRINGE 3 ML
YALE SYRINGE 3 ML
EPI-LOCK SYNTH DRESS 8"X12"
EPI-LOCK SYNTH DRESS 4"X36"
ULTRAFOAM 8X6.25X1CM SPONGE
NYDRAZID 100 MG/ML VIAL
CHEMSTRIP BG TEST KIT
DIAPHRAGM COILSPRING 50MM
MERCAPTOPURINE POWDER
MERCAPTOPURINE POWDER
MERCAPTOPURINE POWDER
CYTOVENE 500 MG VIAL
FLUOCINOLONE ACETONIDE PWD
FLUOCINOLONE ACETONIDE PWDR
FLUOCINOLONE ACETONIDE PWDR
FLUOCINOLONE ACETONIDE PWDR
FLUOCINOLONE ACETONIDE PWDR
FLUOCINOLONE ACETONIDE PWDR
FLUOCINOLONE ACETONIDE PWDR
FLUOCINOLONE ACETONIDE PWD
FLUOCINOLONE ACETONIDE PWDR
PYRIDOXAL-5-PHOSPHATE POWDER
GLYCYRRHIZIC ACID LIQUID
DUODERM CGF 8"X12" DRESSING

DOSE FORM DRUG STRENGTH


YC
YC
SA
HQ
PS
DI
HQ
HQ
HQ
HQ
HQ
HQ
HQ
PP
PP
HV
HV
HV
HR
HR
YE
YE
YE
HV
HV
HV
YC
YC
YC
YC
YC
YE
YE
YV
HV
YK
YK
PA
PA
PA
HS
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
RL
YE

UNIT PRICE
$
22.09
$
22.09
$
22.10
$
22.13
$
22.16
$
22.17
$
22.17
$
22.17
$
22.17
$
22.17
$
22.17
$
22.17
$
22.17
$
22.22
$
22.22
$
22.25
$
22.25
$
22.34
$
22.37
$
22.37
$
22.40
$
22.40
$
22.40
$
22.46
$
22.46
$
22.46
$
22.47
$
22.47
$
22.47
$
22.47
$
22.47
$
22.49
$
22.53
$
22.57
$
22.60
$
22.64
$
22.65
$
22.74
$
22.74
$
22.74
$
22.77
$
22.92
$
22.92
$
22.92
$
22.92
$
22.92
$
22.92
$
22.92
$
22.92
$
22.92
$
22.95
$
22.95
$
23.03

NDC
08225230600
08225231600
23601040000
23601040100
23601040150
23601040500
23601040510
23601040600
23601041000
23601042000
23601043000
23601043001
23601043002
23601045005
23601049000
23601049030
23601049040
23601063250
23601405016
23601406016
23601430010
23601430012
23601430016
23601430017
23601430019
23601430020
23601430021
23601430022
23601440010
23601450010
23601450011
23601450017
23601450021
23601490021
38396096920
38396096925
38396096926
38396099020
38396099025
00015710128
00015710198
00029637621
00781312695
08290002131
08290002141
08290002151
08290002301
08290002311
08290002401
08290002421
08290002431
08290002441
08290002451

NAME
WALKER-ADJUSTABLE,REGULAR
WALKER, FOLDING ADJUSTABLE
ADULT RIGID WALKER
STANDARD ADULT RIGID WALKER
ECONOMY FOLDING WALKER
ADULT LIGHTWEIGHT WALKER
YOUTH LIGHTWEIGHT WALKER
ADULT LIGHTWEIGHT WALKER
YOUTH RIGID WALKER
CHILD RIGID WALKER
DELUXE ADULT WALKER
DELUXE ADULT WALKER
BRONZE ADULT WALKER
EXTENDA FRAME WALKER
STEP N'REST FOLDING WALKER
STEP N'REST FOLDING WALKER
STEP N'REST II FOLDING WALK
FOLDING HEMI WALKER
ADULT LIGHTWEIGHT WALKER
ADULT LIGHTWEIGHT WALKER
SINGLE BUTTON WALKER
ADULT FOLDING WALKER
ADULT FOLDING WALKER
ADULT FOLDING WALKER
FOLDING WALKER AUTO GLIDE
FOLDING WALKER AUTO GLIDE
FOLDING WALKER GLIDE WHEELS
FOLDING WALKER AUTO GLIDE
SINGLE BUTTON FOLDING WALKR
DOUBLE BUTTON FOLDING WALKR
DOUBLE BUTTON FOLDING WALKR
DOUBLE BUTTON FOLDING WALKR
DOUBLE BUTTON FOLDING WALKR
STEP N'REST FOLDING WALKER
HUGO ROLLING WALKER
HUGO ROLLING WALKER
HUGO ROLLING WALKER
HUGO ROLLING WALKER
HUGO ROLLING WALKER
NAFCILLIN 10 GM VIAL
NAFCILLIN 10 GM VIAL
NALLPEN 10 GM BULK VIAL
NAFCILLIN 10 GM VIAL
MULTIFIT SYRINGE 5 ML
MULTIFIT SYRINGE 5 ML
MULTIFIT SYRINGE 5 ML
YALE SYRINGE 5 ML
YALE SYRINGE 5 ML
MULTIFIT 5 ML REUSABLE SYRN
MULTIFIT 5 ML REUSABLE SYRN
MULTIFIT 5 ML REUSABLE SYRN
MULTIFIT 5 ML REUSABLE SYRN
MULTIFIT 5 ML REUSABLE SYRN

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
HS
HS
HS
HS
YC
YC
YC
YC
YC
YC
YC
YC
YC
YC

UNIT PRICE
$
23.09
$
23.09
$
23.09
$
23.09
$
23.09
$
23.09
$
23.09
$
23.09
$
23.09
$
23.09
$
23.09
$
23.09
$
23.09
$
23.09
$
23.09
$
23.09
$
23.09
$
23.09
$
23.09
$
23.09
$
23.09
$
23.09
$
23.09
$
23.09
$
23.09
$
23.09
$
23.09
$
23.09
$
23.09
$
23.09
$
23.09
$
23.09
$
23.09
$
23.09
$
23.09
$
23.09
$
23.09
$
23.09
$
23.09
$
23.15
$
23.15
$
23.15
$
23.15
$
23.29
$
23.29
$
23.29
$
23.29
$
23.29
$
23.29
$
23.29
$
23.29
$
23.29
$
23.29

NDC
08290002461
08290002471
08290002481
00186602001
00186604001
10019031521
00002879459
00009079601
58063079725
33413000119
33413000175
55513012601
55513012610
59676030201
59676030202
00013265202
66521010601
66521010701
00003056902
49281037211
49281037411
54396032816
38779003901
38779003906
51927168500
00074694003
24208034205
54868073400
55566501001
58160085701
58160085716
58160086001
58160086201
44087137501
00283018302
62991207601
62991207602
53014067870
00006468100
00006474900
00247040301
49999042201
49999042210
54569158800
54868098000
00088120205
00088120229
00088120243
38779037003
38779037004
38779037006
53329030034
00310037721

NAME
MULTIFIT 5 ML REUSABLE SYRN
MULTIFIT 5 ML REUSABLE SYRN
MULTIFIT 5 ML REUSABLE SYRN
NEXIUM I.V. 20 MG VIAL
NEXIUM I.V. 40 MG VIAL
REVEX 100 MCG/ML AMPULE
HUMALOG MIX 75/25 PEN
SOLU-MEDROL 2,000 MG VIAL
ALOXI 0.25 MG/5 ML VIAL
POWDER BLOWER, GLASS
POWDER BLOWER, GLASS
EPOGEN 2,000 UNITS/ML VIAL
EPOGEN 2,000 UNITS/ML VIAL
PROCRIT 2,000 UNITS/ML VIAL
PROCRIT 2,000 UNITS/ML VIAL
GENOTROPIN MINIQUICK 0.8 MG
FLUVIRIN SYRINGE
FLUVIRIN 2004-05 SYRINGE
PROLIXIN DECANOATE 25 MG/ML
FLUZONE SUBVIRION SYRINGE
FLUZONE 2004-05 SYRINGE
DELATESTRYL 200 MG/ML SYRING
METHOXSALEN POWDER
METHOXSALEN POWDER
METHOXSALEN POWDER
ENDRATE 150 MG/ML AMPUL
DESMOPRESSIN 0.1 MG/ML SPRAY
ENGERIX-B 20 MCG/ML VIAL
MINIRIN 0.1 MG/ML SPRAY
ENGERIX-B 20 MCG/ML VIAL
ENGERIX-B 20 MCG/ML VIAL
ENGERIX-B 20 MCG/ML VIAL
ENGERIX-B 20 MCG/ML VIAL
LUVERIS 75 UNITS VIAL
HURRICAINE ANETHESTIC KIT
SCOPOLAMINE MB POWDER
SCOPOLAMINE MB POWDER
GASTROCROM 100 MG/5 ML CONC
M-M-R II VACCINE W/DILUENT
M-M-R II VACCINE W/DILUENT
M-M-R II VACCINE W/DILUENT
M-M-R II VACCINE W/DILUENT
M-M-R II VACCINE W/DILUENT
M-M-R II VACCINE VIAL
M-M-R II VACCINE W/DILUENT
ANZEMET 50 MG TABLET
ANZEMET 50 MG TABLET
ANZEMET 50 MG TABLET
CHYMOTRYPSIN POWDER
CHYMOTRYPSIN POWDER
CHYMOTRYPSIN POWDER
ARGLAES 2-3/8"X3-1/8" DRESS
CEFOTAN 2 GM PIGGYBACK

DOSE FORM DRUG STRENGTH


YC
YC
YC
HS
HS
HH
IO
HS
HV
EA
EA
HV
HV
HV
HV
HI
HQ
HQ
HQ
HQ
HQ
HQ
PA
PA
PA
HH
AT
HV
AT
HV
HV
HV
HV
VI
YK
PA
PA
SJ
HS
HS
HS
HS
HS
HS
HS
TA
TA
TA
PA
PA
PA
YE
HN

UNIT PRICE
$
23.29
$
23.29
$
23.29
$
23.38
$
23.38
$
23.40
$
23.50
$
23.57
$
23.75
$
23.80
$
23.80
$
23.83
$
23.83
$
23.83
$
23.83
$
23.89
$
23.90
$
23.90
$
23.92
$
24.16
$
24.16
$
24.17
$
24.24
$
24.24
$
24.24
$
24.35
$
24.37
$
24.37
$
24.37
$
24.37
$
24.37
$
24.37
$
24.37
$
24.44
$
24.48
$
24.48
$
24.48
$
24.51
$
24.62
$
24.62
$
24.62
$
24.62
$
24.62
$
24.62
$
24.62
$
24.67
$
24.67
$
24.67
$
24.72
$
24.72
$
24.72
$
24.82
$
24.83

NDC
10361075401
55566717502
00009501601
00009501602
00009501603
49281027110
49281029110
00002536101
00143997691
00173040000
00781392646
00781392695
00781920746
00781920795
10019062205
63323035461
66860003202
00884549301
00378912498
00781711455
50458003605
54868307500
67253094354
08195524401
00407069012
00407069017
00407069022
00088120865
08026020016
00039002001
00039002049
63323033361
00264116755
00264116790
49452722501
49452722502
51552071201
00008092302
00008092303
00008092355
70074050768
70074050772
70074055042
38779066005
51552066301
51552066302
51552066304
51552066306
51927319600
56091005147
63370005710
83170024000
83170044855

NAME
ENTERO VU 13% PACKET
REPRONEX 75 UNIT VIAL
ROGAINE EX-STR STARTER KIT
ROGAINE EX-STR STARTER KIT
ROGAINE EX-STR STARTER KIT
TETANUS/DIPHTHERIA TOXOIDS
DECAVAC VACCINE
KEFUROX 7.5 GM VIAL
CEFUROXIME SOD 7.5 GM VIAL
ZINACEF 7.5 GM VIAL
CEFUROXIME SOD 7.5 GM VIAL
CEFUROXIME SOD 7.5 GM VIAL
CEFUROXIME SOD 7.5 GM VIAL
CEFUROXIME SOD 7.5 GM VIAL
CEFUROXIME SOD 7.5 GM VIAL
CEFUROXIME SOD 7.5 GM VIAL
CEFUROXIME SOD 7.5 GM VIAL
FUNGOID TINCTURE NAIL KIT
FENTANYL 100 MCG/HR PATCH
FENTANYL 100 MCG/HR PATCH
DURAGESIC 100 MCG/HR PATCH
DURAGESIC 100 MCG/HR PATCH
FENTANYL 100 MCG/HR PATCH
POLYMEM 4"X 24" DRESSING
OMNISCAN 287 MG/ML SYRINGE
OMNISCAN 287 MG/ML SYRINGE
OMNISCAN 287 MG/ML SYRINGE
ANZEMET 12.5/0.625 ML AMPUL
PROFORE BANDAGE SYSTEM
CLAFORAN 10 GM VIAL
CLAFORAN 10 GM VIAL
CEFOTAXIME SODIUM 10 GM VIAL
FREAMINE III 8.5%/DEXTROSE 50% KIT INJ
FREAMINE III 8.5% IV SOLN.
SQUARIC AC DIBUTYLESTER PWD
SQUARIC AC DIBUTYLESTER PWD
SQUARIC AC DIBUTYLESTER PWD
PROTONIX IV 40 MG VIAL
PROTONIX IV 40 MG VIAL
PROTONIX IV 40 MG VIAL
FLEXIFLO JEJUNAL FEED TUBE
FLEXIFLO OVER-GUIDEWIRE
NASOENTERIC TUBE NON-BOLUS
CYCLOSPORIN A POWDER
CYCLOSPORINE POWDER
CYCLOSPORINE POWDER
CYCLOSPORINE POWDER
CYCLOSPORINE POWDER
CYCLOSPORINE (A) POWDER
BAND-AID MOLESKIN ADHESIVE
CYCLOSPORINE POWDER
HOME ACCESS HIV-1 TEST SYS
HOME ACCESS HIV-1 TEST SYS

DOSE FORM DRUG STRENGTH


PP
HS
YK
YK
YK
HQ
HQ
HS
HS
HS
HS
HS
HS
HS
HS
HS
HS
YK
PR
PR
PR
PR
PR
YE
HQ
HQ
HQ
HH
ZD
HS
HS
HS
YK
YK
PA
PA
PA
HS
HS
HS
EA
EA
EA
PA
PA
PA
PA
PA
PA
YE
PA
YK
YK

UNIT PRICE
$
24.88
$
25.01
$
25.08
$
25.08
$
25.08
$
25.10
$
25.10
$
25.11
$
25.11
$
25.11
$
25.11
$
25.11
$
25.11
$
25.11
$
25.11
$
25.11
$
25.11
$
25.14
$
25.16
$
25.16
$
25.16
$
25.16
$
25.16
$
25.19
$
25.22
$
25.22
$
25.22
$
25.23
$
25.28
$
25.29
$
25.29
$
25.29
$
25.34
$
25.34
$
25.42
$
25.42
$
25.42
$
25.50
$
25.50
$
25.50
$
25.57
$
25.57
$
25.57
$
25.70
$
25.70
$
25.70
$
25.70
$
25.70
$
25.70
$
25.70
$
25.70
$
25.71
$
25.71

NDC
00015303220
00310037732
00003168215
64365050101
57459100201
63004773204
52268050201
52268052001
00009062601
54868334801
38779088703
38779088704
38779088705
38779088706
49452480801
49452480802
51552073701
51927275300
63370015810
63370015815
63370015825
63370015835
63370015845
00088222052
08011968625
55515010201
53329030134
00068080923
58914008052
00186021203
38344000030
38779037200
38779037201
38779037203
38779037204
38779037205
38779037206
38779037207
49452214101
49452214102
49452214103
49452214104
49452214401
49452214402
50909518503
51552060501
51927262700
60974112301
63370005509
63370005510
63370005515
63370005525
10337042310

NAME
CEENU 100 MG CAPSULE
CEFOTAN 2 GM ADD-VANTAGE VL
KALTOSTAT DRESS 15CM X 25CM
PANRETIN 0.1% GEL
NASCOBAL NASAL GEL
NASCOBAL NASAL GEL
HALFLYTELY BOWEL PREP KIT
HALFLYTELY W/FLAVOR PACKS KIT
DEPO-PROVERA 400 MG/ML VIAL
DEPO-PROVERA 400 MG/ML VIAL
NALTREXONE HCL POWDER
NALTREXONE HCL POWDER
NALTREXONE HCL POWDER
NALTREXONE HCL POWDER
NALTREXONE HCL POWDER
NALTREXONE HCL POWDER
NALTREXONE HCL POWDER
NALTREXONE HCL POWDER
NALTREXONE HCL POWDER
NALTREXONE HCL POWDER
NALTREXONE HCL POWDER
NALTREXONE HCL POWDER
NALTREXONE HCL POWDER
LANTUS 100 UNITS/ML CARTRIDGE
SCANPOR TAPE REFILL 3"
CONDYLOX 0.5% GEL
ARGLAES 2-3/8"X3-1/8" DRESS
BENTYL 10 MG/ML AMPUL
BENTYL 10 MG/ML AMPUL
XYLOCAINE/DEXTROSE 1.5% AMP
CLOBETASOL 17-PROP POWDER
CLOBETASOL 17 PROP POWDER
CLOBETASOL 17 PROP POWDER
CLOBETASOL 17 PROP POWDER
CLOBETASOL 17 PROP POWDER
CLOBETASOL 17 PROP POWDER
CLOBETASOL 17 PROP POWDER
CLOBETASOL 17 PROP POWDER
CLOBETASOL PROPIONATE POWD
CLOBETASOL PROPIONATE POWD
CLOBETASOL PROPIONATE POWD
CLOBETASOL PROPIONATE POWD
CLOBETASOL PROPIONATE POWD
CLOBETASOL PROPIONATE POWD
CLOBETASOL PROPIONATE POWD
CLOBETASOL PROPIONATE POWD
CLOBETASOL PROPIONATE POWD
CLOBETASOL 17-PROP POWDER
CLOBETASOL PROPIONATE POWD
CLOBETASOL PROPIONATE POWD
CLOBETASOL PROPIONATE POWD
CLOBETASOL PROPIONATE POWD
OMIDERM DRESSING 60X10CM

DOSE FORM DRUG STRENGTH


CA
HS
YE
JG
JC
JC
ZD
ZD
HV
HV
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
HJ
YT
JG
YE
HH
HH
HH
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
YE

UNIT PRICE
$
25.72
$
25.78
$
25.79
$
25.99
$
26.09
$
26.09
$
26.31
$
26.31
$
26.34
$
26.34
$
26.35
$
26.35
$
26.35
$
26.35
$
26.35
$
26.35
$
26.35
$
26.35
$
26.35
$
26.35
$
26.35
$
26.35
$
26.35
$
26.36
$
26.40
$
26.73
$
26.76
$
26.78
$
26.78
$
26.92
$
27.03
$
27.03
$
27.03
$
27.03
$
27.03
$
27.03
$
27.03
$
27.03
$
27.03
$
27.03
$
27.03
$
27.03
$
27.03
$
27.03
$
27.03
$
27.03
$
27.03
$
27.03
$
27.03
$
27.03
$
27.03
$
27.03
$
27.07

NDC
49281059705
00013564670
00015050641
00015054941
10019095701
08220169205
56091001984
08026000041
38779040703
38779040706
49452221001
49452221002
49452221003
62991122901
62991122902
62991122903
56091001914
56091004010
61118058005
61118058025
62794025513
62794025537
51927145700
58160083701
58160083711
08380009842
08380009844
38779003503
38779003504
38779003506
49452460001
49452460002
49452460003
62991120001
62991120002
63370015410
63370015415
63370015425
08495123401
33413000661
33413003650
33413004650
33413005650
33414000465
38673055000
44229020006
44229020007
44229020067
44229020068
44229020072
44229037031
44229037032
44229037040

NAME
TRIHIBIT PRESERVATIVE FREE
NEOSAR 2 GM VIAL
CYTOXAN 2 GM VIAL
CYTOXAN LYOPHILIZED 2 GM
CYCLOPHOSPHAMIDE 2 GM VIAL
HELITENE 0.5G MICROFIBRILLAR
INSTAT MCH 0.5 GM HEMOSTAT
OPSITE FLEXIFIX FILM ROLL
COLCHICINE POWDER
COLCHICINE POWDER
COLCHICINE POWDER
COLCHICINE POWDER
COLCHICINE POWDER
COLCHICINE POWDER
COLCHICINE POWDER
COLCHICINE POWDER
THROMBOGEN 10,000 UNIT SPR KIT
THROMBOGEN 10,000 UNIT SPR KIT
ELASTO-GEL CAST/SPLNT 8X16
ELASTO-GEL CAST/SPLINT 8X16
APOKYN 30 MG/3 ML CARTRIDGE
APOKYN 30 MG/3 ML CARTRIDGE
ESTRADIOL BENZOATE POWDER
HAVRIX 720 UNITS/0.5 ML VIAL
HAVRIX 720 UNITS/0.5 ML VIAL
FEMALE URINARY INCONT DEV
FEMALE URINARY INCONT DEV
METHOTREXATE POWDER
METHOTREXATE POWDER
METHOTREXATE POWDER
METHOTREXATE POWDER
METHOTREXATE POWDER
METHOTREXATE POWDER
METHOTREXATE POWDER
METHOTREXATE POWDER
METHOTREXATE POWDER
METHOTREXATE POWDER
METHOTREXATE POWDER
HL COMPRESSOR NEBULIZER
PULMO-AIDE W/PULMO-NEB
PULMO-AIDE NEBULIZER
PULMOMATE COMPRSSR/NEBULIZR
PULMO-AIDE W/PULMO-NEB
PULMOMATE COMPRESSOR
NEBULIZER W/COMPRESSOR
DURA-NEB 2000 COMPRESSOR
DURA-NEB 2000 COMPRESSOR
DURANEB/PARI LC PLUS NEB
DURANEB/PARI LC PLUS NEB
DURA-NEB 2000 AC W/LC PLUS
PRONEB COMPRESSOR W/LC PLUS
PRONEB COMPRESSOR W/PARI LC
PRONEB W/PARI LC PLUS NEB

DOSE FORM DRUG STRENGTH


YK
HS
HS
HS
HS
EA
EA
YE
PA
PA
PA
PA
PA
PA
PA
PA
YK
YK
YE
YE
HJ
HJ
PA
HV
HV
EA
EA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA

UNIT PRICE
$
27.29
$
27.30
$
27.30
$
27.30
$
27.30
$
27.41
$
27.41
$
27.47
$
27.50
$
27.50
$
27.50
$
27.50
$
27.50
$
27.50
$
27.50
$
27.50
$
27.58
$
27.58
$
27.58
$
27.58
$
27.63
$
27.63
$
28.05
$
28.10
$
28.10
$
28.13
$
28.13
$
28.21
$
28.21
$
28.21
$
28.21
$
28.21
$
28.21
$
28.21
$
28.21
$
28.21
$
28.21
$
28.21
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48

NDC
44229037041
44229037042
44229038005
44229038006
44229038012
44229038014
44229045000
44229084001
44229084006
44229085001
44229085002
44229085006
50486008255
50486008256
50486008275
73796045318
73796045325
83490020067
83490020075
83490037052
83490038005
83490038006
83490038012
83490038014
83490046001
83490046003
83490085001
83490085002
83490085005
83490085006
00016031955
00016031985
52604710503
56091001913
56091004105
56091001951
08380009846
08380009847
08380009848
08380009849
00004196505
00487590199
00641037406
60977014101
60977014127
00006483100
00006483138
00006483141
54569563100
00074338221
00074338222
00074338225
49452276101

NAME
PRONEB W/LC NEBULIZER
PRONEB COMPRESSOR W/LC PLUS
PRONEB TURBO DELUXE PACKAGE
PRONEB TURBO COMPRESSOR
PRONEB TURBO COMPRESSOR
PRONEB TURBO PHARMACY MODEL
WALKHALER CORDLESS SYSTEM
PARI MASTER/PARI LC PLUS
PARI MASTER W/IS-2 JET NEB
PRONEB ULTRA COMPRESSOR
PRONEB ULTRA COMPRESSOR
PRONEB ULTRA COMPRESSOR
DURA-NEB 1000 SYSTEM
DURA-NEB 2000 SYSTEM
WALKHALER SYSTEM
COMP-AIR XL COMPRESSOR SYSTEM
COMP-AIR XLT COMPRESSOR SYSTEM
DURANEB/PARI LC PLUS NEB
DURANEB 3000 COMPRESSOR
PRONEB COMPRESSOR
PRONEB TURBO DELUXE PACKAGE
PRONEB TURBO COMPRESSOR
PRONEB TURBO COMPRESSOR
PRONEB TURBO PHARMACY MODEL
PARI TREK COMPRESSOR
PARI TREK COMBO PACK
PRONEB ULTRA COMPRESSOR
PRONEB ULTRA COMPRESSOR
PRONEB ULT DELUX COMPRESSOR
PRONEB ULTRA COMPRESSOR
HEALON GV 14 MG/ML DISP SYRN
HEALON GV 14 MG/ML DISP SYRN
THROMBIN-JMI 20,000 UNITS VIAL
THROMBOGEN 20,000 UNITS VIAL
THROMBOGEN 20,000 UNITS VIAL
SURGICEL HEMOSTAT 2" X 14"
FEMALE URINARY DEV KIT SM
FEMALE URINARY DEV KIT MED
FEMALE URINARY DEV KIT LRG
FEMALE URINARY DEV KIT XLRG
ROCEPHIN ADD-VANTAGE 2 GM VL
S-2 2.25% SOLUTION
PROTOPAM CHLORIDE 1 GM VIAL
PROTOPAM CHLORIDE 1 GM VIAL
PROTOPAM CHLORIDE 1 GM VIAL
VAQTA 25 UNITS/0.5 ML VIAL
VAQTA 25 UNITS/0.5 ML VIAL
VAQTA 25 UNITS/0.5 ML VIAL
VAQTA 25 UNITS/0.5 ML VIAL
SUFENTANIL 50 MCG/ML VIAL
SUFENTANIL 50 MCG/ML VIAL
SUFENTANIL 50 MCG/ML VIAL
ERGOCALCIFEROL POWDER

DOSE FORM DRUG STRENGTH


EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
DI
HQ
HS
HS
HS
EA
YK
YK
YK
YK
HS
BE
HS
HS
HS
HV
HV
HV
HV
HV
HV
HV
PA

UNIT PRICE
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48
$
28.48
$
28.85
$
28.85
$
28.89
$
28.89
$
28.89
$
29.03
$
29.36
$
29.36
$
29.36
$
29.36
$
29.39
$
29.40
$
29.48
$
29.48
$
29.48
$
29.54
$
29.54
$
29.54
$
29.54
$
29.71
$
29.71
$
29.71
$
29.72

NDC
49452276102
00396401060
00396401065
00396401070
00396401075
00396401080
00396401085
00396401090
00396401095
11298000224
11298000225
11298000226
11298000227
11298000228
11298000229
11298000230
11298000231
11298000237
11298000238
38779029703
38779029706
51927194900
08290002132
08290002142
08290002152
08290002302
08290002312
55390000401
55390000410
00015307519
00015307597
00548146900
00548336900
55390013910
53329030035
08327031098
61118057005
61118057025
61118087001
61118087005
61118087025
61118087501
61118087505
61118087525
61118097001
61118097050
49452348001
49452348002
00013265302
00089051006
38779034101
38779034103
38779034104

NAME
ERGOCALCIFEROL POWDER
WIDE SEAL DIAPHRAGM 60MM
WIDE SEAL DIAPHRAGM 65MM
WIDE SEAL DIAPHRAGM 70MM
WIDE SEAL DIAPHRAGM 75MM
WIDE SEAL DIAPHRAGM 80MM
WIDE SEAL DIAPHRAGM 85MM
WIDE SEAL DIAPHRAGM 90MM
WIDE SEAL DIAPHRAGM 95MM
RUBBER UROSTOMY POUCH 360 ML
RUBBER UROSTOMY POUCH 480 ML
RUBBER UROSTOMY POUCH 600 ML
RUBBER UROSTOMY POUCH 240 ML
RUBBER UROSTOMY POUCH 360 ML
RUBBER UROSTOMY POUCH 480 ML
RUBBER UROSTOMY POUCH 600 ML
RUBBER UROSTOMY POUCH 240 ML
RUBBER UROSTOMY POUCH 360 ML
RUBBER UROSTOMY POUCH 480 ML
DESONIDE POWDER
DESONIDE POWDER
DESONIDE POWDER
MULTIFIT SYRINGE 10 ML
MULTIFIT SYRINGE 10 ML
MULTIFIT SYRINGE 10 ML
YALE SYRINGE 10 ML
YALE SYRINGE 10 ML
GLUCAGEN 1 MG VIAL
GLUCAGEN 1 MG VIAL
VUMON 10 MG/ML AMPUL
VUMON 10 MG/ML AMPUL
NALOXONE 1 MG/ML SYRINGE
NALOXONE 1 MG/ML SYRINGE
POLYMYXIN B SULFATE VIAL
ARGLAES 4"X4-3/4" DRESSING
SILVASORB 4"X10" DRESSING
ELASTO-GEL CAST/SPLNT 12X12
ELASTO-GEL CAST/SPLNT 12X12
ELASTO-GEL DRESSING 12"X12"
ELASTO-GEL DRESSING 12"X12"
ELASTO-GEL DRESSING 12"X12"
ELASTO-GEL PLUS DRSNG 12X12
ELASTO-GEL PLUS DRSNG 12X12
ELASTO-GEL PLUS DRSNG 12X12
ELASTO-GEL BOLUS MATERIAL
ELASTO-GEL BOLUS MATERIAL
HISTAMINE POWDER
HISTAMINE POWDER
GENOTROPIN MINIQUICK 1 MG
CAL DISOD VERSENAT 200 MG/ML
TAMOXIFEN CITRATE POWDER
TAMOXIFEN CITRATE POWDER
TAMOXIFEN CITRATE POWDER

DOSE FORM DRUG STRENGTH


PA
YD
YD
YD
YD
YD
YD
YD
YD
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
PA
PA
PA
YC
YC
YC
YC
YC
HS
HS
HH
HH
HQ
HQ
HS
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
YE
PA
PA
HI
HH
PA
PA
PA

UNIT PRICE
$
29.72
$
29.75
$
29.75
$
29.75
$
29.75
$
29.75
$
29.75
$
29.75
$
29.75
$
29.75
$
29.75
$
29.75
$
29.75
$
29.75
$
29.75
$
29.75
$
29.75
$
29.75
$
29.75
$
29.79
$
29.79
$
29.79
$
29.93
$
29.93
$
29.93
$
29.93
$
29.93
$
29.95
$
29.95
$
29.97
$
29.97
$
30.00
$
30.00
$
30.24
$
30.25
$
30.34
$
30.35
$
30.35
$
30.35
$
30.35
$
30.35
$
30.35
$
30.35
$
30.35
$
30.35
$
30.35
$
30.40
$
30.40
$
30.41
$
30.41
$
30.43
$
30.43
$
30.43

NDC
38779034105
38779034108
49452775301
08290002191
38779039003
38779039004
38779039006
51927180800
00015309145
00378326694
49643013801
51079096501
51079096505
38779044103
38779044106
66607100206
67211034208
67211034253
00091115005
59338070355
00173065601
00173065644
00703418201
00703418291
00703418301
00703418391
10019097001
10019097002
54569229400
55390006901
55390007001
59911595801
59911595901
49452261101
49452261102
11298000131
00002724101
00002724116
00074508611
00173038237
10356002043
10356045556
56091001952
17317042107
49452538001
49452538002
58160085001
58160085011
50242005121
50242005306
00178025545
66657030101
66657030105

NAME
TAMOXIFEN CITRATE POWDER
TAMOXIFEN CITRATE POWDER
TAMOXIFEN CITRATE POWDER
CORNWALL SYRINGES LUER-LOK
CLOMIPHENE CITRATE POWDER
CLOMIPHENE CITRATE POWDER
CLOMIPHENE CITRATE POWDER
CLOMIPHENE CITRATE POWDER
VEPESID 50 MG CAPSULE
ETOPOSIDE 50 MG CAPSULE
CANDIN SKIN TEST
ETOPOSIDE 50 MG CAPSULE
ETOPOSIDE 50 MG CAPSULE
HYDROCORTISONE SOD PHOS PWD
HYDROCORTISONE SOD PHOS PWD
ORFADIN 2 MG CAPSULE
INNOHEP 20,000 UNIT/ML VIAL
INNOHEP 20,000 UNIT/ML VIAL
CALCIFEROL 500,000 UNIT/ML AMP
FERIDEX I.V. 11.2 MG/ML VIAL
NAVELBINE 10 MG/ML VIAL
NAVELBINE 10 MG/ML VIAL
VINORELBINE 10 MG/ML VIAL
VINORELBINE 10 MG/ML VIAL
VINORELBINE 10 MG/ML VIAL
VINORELBINE 10 MG/ML VIAL
VINORELBINE 10 MG/ML VIAL
VINORELBINE 10 MG/ML VIAL
AEROSOL HOLDING CHAMBER
VINORELBINE 10 MG/ML VIAL
VINORELBINE 10 MG/ML VIAL
VINORELBINE 10 MG/ML VIAL
VINORELBINE 10 MG/ML VIAL
DIGITOXIN POWDER
DIGITOXIN POWDER
RUBBER DISC REGULAR SMALL
TAZIDIME 6 GM VIAL
TAZIDIME 6 GM VIAL
TAZICEF 6 GM/100 ML VIAL
FORTAZ 6 GM VIAL
COVER-ROLL ADHESIVE GAUZE
COVER-ROLL STRETCH BANDAGE
SURGICEL HEMOSTAT 4"X8"
PHYSOSTIGMINE SULFATE CRYST
PHYSOSTIGMINE SULFATE CRYST
PHYSOSTIGMINE SULFATE CRYST
TWINRIX VACCINE VIAL
TWINRIX VACCINE VIAL
RITUXAN 10 MG/ML VIAL
RITUXAN 10 MG/ML VIAL
CALCIBIND DIAGNOSTIC KIT
GANITE 25 MG/ML VIAL
GANITE 25 MG/ML VIAL

DOSE FORM DRUG STRENGTH


PA
PA
PA
YJ
PA
PA
PA
PA
CA
CA
HE
CA
CA
PA
PA
CA
HV
HV
HH
VI
HV
HV
HV
HV
HV
HV
HV
HV
GI
HV
HV
HV
HV
PA
PA
EA
HS
HS
HS
HS
YE
YE
EA
PC
PC
PC
HV
HV
HV
HV
YK
HV
HV

UNIT PRICE
$
30.43
$
30.43
$
30.43
$
30.57
$
30.57
$
30.57
$
30.57
$
30.57
$
30.60
$
30.60
$
30.60
$
30.60
$
30.60
$
30.85
$
30.85
$
30.96
$
31.00
$
31.00
$
31.03
$
31.10
$
31.20
$
31.20
$
31.20
$
31.20
$
31.20
$
31.20
$
31.20
$
31.20
$
31.20
$
31.20
$
31.20
$
31.20
$
31.20
$
31.31
$
31.31
$
31.35
$
31.49
$
31.49
$
31.49
$
31.49
$
31.54
$
31.54
$
31.57
$
31.59
$
31.59
$
31.59
$
31.65
$
31.65
$
31.66
$
31.66
$
31.88
$
31.88
$
31.88

NDC
08290002004
08290002027
00514009504
62794009579
49281086010
00074450710
38779000101
38779000103
38779000104
38779000106
49452624301
51552012001
08290001169
38779004503
25294080101
63323026801
00015321430
00703326601
10019091601
50111096676
63323016720
63323016721
00009074630
00009074635
00247059101
00703680101
00703680104
54569552700
54868361300
54868525700
59762453701
59762453702
00003403710
55390012210
00004196502
00026063600
00026063601
00026063605
49999042505
54569473900
59730420201
59730420301
59730420401
59730420501
49452460301
49452460302
53329030135
56091001983
00062330100
00062330200
00062330300
00062330400
00062330500

NAME
DOSE FORM DRUG STRENGTH
YALE GLASS TB SYRINGE 1 ML
YC
YALE GLASS TB SYRINGE 1 ML
YC
BIOBRANE 15"X20" DRESSING
YE
BIOBRANE 15"X20" DRESSING
YE
IPOL VIAL
HV
ULTIVA 5 MG VIAL
HS
TRETINOIN ACID POWDER
PA
TRETINOIN ACID POWDER
PA
TRETINOIN ACID POWDER
PA
TRETINOIN ACID POWDER
PA
RETINOIC ACID POWDER
PA
RETINOIC ACID POWDER
PA
SPECIAL NEEDLE, TONSIL
YA
POLYMYXIN B S 100,000 UNITS PW
PA
WET-STOP #WS-101
YK
SCOPOLAMINE 0.4 MG/ML VIAL
HV
PARAPLATIN 150 MG VIAL
HS
CARBOPLATIN 150 MG VIAL
HS
CARBOPLATIN 150 MG VIAL
HS
CARBOPLATIN 150 MG VIAL
HS
CARBOPLATIN 150 MG VIAL
HS
CARBOPLATIN 150 MG VIAL
HS
DEPO-PROVERA 150 MG/ML VIAL
HV
DEPO-PROVERA 150 MG/ML VIAL
HV
DEPO-PROVERA 150 MG/ML VIAL
HV
MEDROXYPROGESTERONE 150 MG/ML
HV
MEDROXYPROGESTERONE 150 MG/ML
HV
DEPO-PROVERA 150 MG/ML VIAL
HV
DEPO-PROVERA 150 MG/ML VIAL
HV
MEDROXYPROGESTERONE 150 MG/ML
HV
MEDROXYPROGESTERONE 150 MG/ML
HV
MEDROXYPROGESTERONE 150 MG/ML
HV
AQUACEL-AG W/HYDROFIBER DRS
YE
CYCLOSPORINE 50 MG/ML VIAL
HV
ROCEPHIN 2 GM PIGGYBACK
HN
HEPATITIS B IMMUNE GLOBULIN (HUMAN) - BAYHEP
HV
B .5ML SYRINGE
BAYHEP B VIAL
HV
BAYHEP B VIAL
HV
NABI-HB VIAL
HV
NABI-HB VIAL
HV
NABI-HB VIAL
HV
NABI-HB VIAL
HV
NABI-HB VIAL
HV
NABI-HB VIAL
HV
METHOXSALEN CRYSTAL
PC
METHOXSALEN CRYSTAL
PC
ARGLAES 4"X4-3/4" DRESSING
YE
INSTAT COLLAGEN HEMOSTAT
EA
ORTHO-DIAPHRAGM ALLFLEX 55MM
YK
ORTHO-DIAPHRAGM ALLFLEX 60MM
YK
ORTHO-DIAPHRAGM ALLFLEX 65MM
YK
ORTHO-DIAPHRAGM ALLFLEX 70MM
YK
ORTHO-DIAPHRAGM ALLFLEX 75MM
YK

UNIT PRICE
$
31.92
$
31.92
$
31.98
$
31.98
$
32.02
$
32.08
$
32.26
$
32.26
$
32.26
$
32.26
$
32.26
$
32.26
$
32.27
$
32.39
$
32.60
$
32.75
$
32.86
$
32.86
$
32.86
$
32.86
$
32.86
$
32.86
$
33.13
$
33.13
$
33.13
$
33.13
$
33.13
$
33.13
$
33.13
$
33.13
$
33.13
$
33.13
$
33.19
$
33.20
$
33.22
$
33.38
$
33.38
$
33.38
$
33.38
$
33.38
$
33.38
$
33.38
$
33.38
$
33.38
$
33.41
$
33.41
$
33.41
$
33.50
$
33.52
$
33.52
$
33.52
$
33.52
$
33.52

NDC
00062330600
00062330700
00062330800
00062330900
00062334100
00062334200
00062334300
00062334400
00062334500
00062334600
00062334700
00062334800
00062334900
52604710502
52604735502
56091001915
56091004110
10223020901
10223021301
38779036603
38779036606
51552043301
51927200300
53276105005
55390011501
55390012401
59676020101
63323014010
49452339501
49452339502
53276105004
49452409802
62991167101
62991167102
11298000132
00074287801
00074287901
00078010901
00574086610
08111120001
08111190001
08111610001
08111910001
10223030101
10223031201
52386962404
52386962804
52386962904
61168020003
61168060009
61168090006
61168120001
61168160007

NAME
ORTHO-DIAPHRAGM ALLFLEX 80MM
ORTHO-DIAPHRAGM ALLFLEX 85MM
ORTHO-DIAPHRAGM ALLFLEX 90MM
ORTHO-DIAPHRAGM ALLFLEX 95MM
DIAPHRAGM COILSPRING 55MM
DIAPHRAGM COILSPRING 60MM
DIAPHRAGM COILSPRING 65MM
DIAPHRAGM COILSPRING 70MM
DIAPHRAGM COILSPRING 75MM
DIAPHRAGM COILSPRING 80MM
DIAPHRAGM COILSPRING 85MM
DIAPHRAGM COILSPRING 90MM
DIAPHRAGM COILSPRING 95MM
THROMBIN-JMI 20,000 UNITS KIT
THROMBIN-JMI 20,000 UNITS KIT
THROMBOGEN 20,000 UNIT SPR KIT
THROMBOGEN 20,000 UNIT SPR KIT
CETACAINE MEDICAL KIT E
CETACAINE DENTAL KIT
TIMOLOL MALEATE POWDER
TIMOLOL MALEATE POWDER
TIMOLOL MALEATE POWDER
TIMOLOL MALEATE POWDER
ULTRAFOAM 8X12.5X3CM SPONGE
CLADRIBINE 1 MG/ML VIAL
CLADRIBINE 1 MG/ML VIAL
LEUSTATIN 1 MG/ML VIAL
CLADRIBINE 1 MG/ML VIAL
GRAMICIDIN D POWDER
GRAMICIDIN D POWDER
ULTRAFOAM 8X12.5X1CM SPONGE
GUANETHIDINE MONOSULF PWD
GUANETHIDINE MONOSULF PWD
GUANETHIDINE MONOSULF PWD
RUBBER DISC REGULAR LARGE
RELIEFBAND MODEL WB-DL
RELIEFBAND MODEL WB-RL
SANDIMMUNE 50 MG/ML AMPUL
CYCLOSPORINE 50 MG/ML AMP
RELIEFBAND MODEL RB-EL
RELIEFBAND MODEL RBR PLUS
RELIEFBAND MODEL WB-DL
RELIEFBAND MODEL WB-RL
PROTEXIN KIT
PROTEXIN KIT
PROTOCOL PAK
PRIMARY PAK
PRESERVE PAK
RELIEFBAND MODEL WB-2
RELIEFBAND MODEL WB-6
RELIEFBAND MODEL WB-R
RELIEFBAND MODEL RB-EL
RELIEFBAND MODEL RB6 PLUS

DOSE FORM DRUG STRENGTH


YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
PA
PA
PA
PA
YV
HV
HV
HV
HV
PA
PA
YV
PA
PA
PA
EA
EA
EA
HH
HH
EA
EA
EA
EA
YK
YK
YK
YK
YK
EA
EA
EA
EA
EA

UNIT PRICE
$
33.52
$
33.52
$
33.52
$
33.52
$
33.52
$
33.52
$
33.52
$
33.52
$
33.52
$
33.52
$
33.52
$
33.52
$
33.52
$
33.54
$
33.54
$
33.54
$
33.54
$
33.58
$
33.58
$
33.67
$
33.67
$
33.67
$
33.67
$
33.69
$
33.70
$
33.70
$
33.70
$
33.70
$
33.75
$
33.75
$
33.75
$
33.79
$
33.79
$
33.79
$
33.90
$
34.00
$
34.00
$
34.00
$
34.00
$
34.00
$
34.00
$
34.00
$
34.00
$
34.00
$
34.00
$
34.00
$
34.00
$
34.00
$
34.00
$
34.00
$
34.00
$
34.00
$
34.00

NDC
61168190004
00009737604
54868410000
54868410001
08290002133
08290002143
08290002153
08290002303
08290002313
51479005503
51479005530
00514009802
62794009576
62794009676
38779030303
38779030306
51552023301
51552023305
62991118901
62991118902
62991118903
52544092226
38779032403
38779032404
38779032406
00247078130
49502050001
49502050002
54569139200
54868280400
54868280401
68030906901
00075062603
17317042007
49452537001
49452537002
55390023301
55390024301
00009029701
38779041203
38779041206
40565012137
00045025301
00045025303
54868288900
54868288901
00074233725
00078034751
00409233725
55513026701
55513026710
59676030301
59676030302

NAME
RELIEFBAND MODEL RBR PLUS
DEPO-PROVERA 150 MG/ML SYRN
DEPO-PROVERA 150 MG/ML SYRN
DEPO-PROVERA 150 MG/ML SYRN
MULTIFIT SYRINGE 20 ML
MULTIFIT SYRINGE 20 ML
MULTIFIT SYRINGE 20 ML
YALE SYRINGE 20 ML
YALE SYRINGE 20 ML
MAXIPIME 2 GRAM VIAL
MAXIPIME 2 GRAM VIAL
BIOBRANE II 5"X 15"
BIOBRANE 5" X 15" DRESSING
BIOBRANE-L 5" X 15" DRSSING
DIHYDROERGOTAMINE POWDER
DIHYDROERGOTAMINE POWDER
DIHYDROERGOTAMINE POWDER
DIHYDROERGOTAMINE POWDER
DIHYDROERGOTAMINE POWDER
DIHYDROERGOTAMINE POWDER
DIHYDROERGOTAMINE POWDER
FERRLECIT 62.5 MG/5 ML AMPUL
DIAZOXIDE POWDER
DIAZOXIDE POWDER
DIAZOXIDE POWDER
EPIPEN 0.3 MG AUTO-INJECTOR
EPIPEN 0.3 MG AUTO-INJECTOR
EPIPEN 0.3 MG AUTO-INJECTOR
EPIPEN 0.3 MG AUTO-INJECTOR
EPIPEN 0.3 MG AUTO-INJECTOR
EPIPEN 0.3 MG AUTO-INJECTOR
EPIPEN 0.3 MG AUTO-INJECTOR
LOVENOX 300 MG VIAL
PHYSOSTIGMINE SALICYL CRYST
PHYSOSTIGMINE SALICYL CRYST
PHYSOSTIGMINE SALICYL CRYST
ADRIAMYCIN 50 MG VIAL
DOXORUBICIN 50 MG VIAL
GELFILM OPHTHALMIC 25X50MM
BUMETANIDE POWDER
BUMETANIDE POWDER
ACTICOAT 7 4"X5" DRESSING
HALDOL DECANOATE 50 AMPUL
HALDOL DECANOATE 50 AMPUL
HALDOL DECANOATE 50 AMPUL
HALDOL DECANOATE 50 AMPUL
DEFEROXAMINE 2 GRAM VIAL
DESFERAL 2 GRAM VIAL
DEFEROXAMINE 2 GRAM VIAL
EPOGEN 3,000 UNITS/ML VIAL
EPOGEN 3,000 UNITS/ML VIAL
PROCRIT 3,000 UNITS/ML VIAL
PROCRIT 3,000 UNITS/ML VIAL

DOSE FORM DRUG STRENGTH


EA
HQ
HQ
HQ
YC
YC
YC
YC
YC
HS
HS
YE
YE
YE
PA
PA
PA
PA
PA
PA
PA
HH
PA
PA
PA
IN
IN
IN
IN
IN
IN
IN
HV
PC
PC
PC
HS
HS
EA
PA
PA
YE
HH
HH
HH
HH
HS
HS
HS
HV
HV
HV
HV

UNIT PRICE
$
34.00
$
34.02
$
34.02
$
34.02
$
34.22
$
34.22
$
34.22
$
34.22
$
34.22
$
34.25
$
34.25
$
34.34
$
34.34
$
34.34
$
34.38
$
34.38
$
34.38
$
34.38
$
34.38
$
34.38
$
34.38
$
34.52
$
34.75
$
34.75
$
34.75
$
34.82
$
34.82
$
34.82
$
34.82
$
34.82
$
34.82
$
34.82
$
34.84
$
34.96
$
34.96
$
34.96
$
35.00
$
35.00
$
35.10
$
35.26
$
35.26
$
35.28
$
35.39
$
35.39
$
35.39
$
35.39
$
35.75
$
35.75
$
35.75
$
35.75
$
35.75
$
35.75
$
35.75

NDC
00004024208
51552059901
00013265402
00004196501
54569320700
00085118402
00006489400
00407141505
00407141506
00006358376
51479004005
08179048009
38779003103
38779003106
49452408201
49452408202
49452408203
51552035401
51552035402
51552035409
51927309000
62991109602
00009513502
00009513503
38779190103
38779190104
51927316300
63370008410
63370008415
63370008425
00046074905
00944262001
59572020514
59572020594
00071400705
00071400810
00406157155
49452468203
49452468204
49452468205
63370093815
63370093825
63370093835
00469725510
33413000732
58914091099
00003401814
00407141605
00003043760
63323091501
00019270703
00004023909
00004024009

NAME
KYTRIL 0.1 MG/ML VIAL
PHENOXYBENZAMINE HCL POWD
GENOTROPIN MINIQUICK 1.2 MG
ROCEPHIN 2 GM VIAL
ROCEPHIN 2 GM VIAL
INTRON A 3MM UNITS/0.5ML KIT
PNEUMOVAX 23 SYRINGE
MYELO-KIT 180 MG/ML
MYELO-KIT 180 MG/ML
PRIMAXIN I.M. 750 MG VIAL
AZACTAM 500 MG VIAL
REJUVENESS SILICONE KIT
LIOTHYRONINE SODIUM POWDER
LIOTHYRONINE SODIUM POWDER
LIOTHYRONINE SODIUM POWDER
LIOTHYRONINE SODIUM POWDER
LIOTHYRONINE SODIUM POWDER
LIOTHYRONINE SODIUM POWDER
LIOTHYRONINE SODIUM POWDER
LIOTHYRONINE SODIUM POWDER
TRIIODO-L-THYRONINE SOD PWD
LIOTHYRONINE SODIUM POWDER
ZYVOX 600 MG TABLET
ZYVOX 600 MG TABLET
ESTRADIOL CYPIONATE POWDER
ESTRADIOL CYPIONATE POWDER
ESTRADIOL CYPIONATE POWDER
ESTRADIOL CYPIONATE POWDER
ESTRADIOL CYPIONATE POWDER
ESTRADIOL CYPIONATE POWDER
PREMARIN 25 MG VIAL
GAMMAGARD S/D 0.5 GM VL W/ST
THALOMID 50 MG CAPSULE
THALOMID 50 MG CAPSULE
CEREBYX 50 MG PE/ML VIAL
CEREBYX 50 MG PE/ML VIAL
METHYLPHENIDATE HCL POWDER
METHYLPHENIDATE HCL POWDER
METHYLPHENIDATE HCL POWDER
METHYLPHENIDATE HCL POWDER
METHYLPHENIDATE HCL POWDER
METHYLPHENIDATE HCL POWDER
METHYLPHENIDATE HCL POWDER
CEFIZOX 10 GM VIAL
VACU-AIDE AC SUCTION PUMP
FLUTTER DEVICE
HYALOFILL-F DRESSING
MYELO-KIT 240 MG/ML
FUNGIZONE (LAB USE)50 MG VL
HEPARIN NA 20,000 UNITS/ML VIA
OPTISON VIAL
KYTRIL 1 MG/ML VIAL
KYTRIL 1 MG/ML VIAL

DOSE FORM DRUG STRENGTH


HV
PA
HI
HS
HS
YK
HQ
YK
YK
HS
HS
YK
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
TA
TA
PA
PA
PA
PA
PA
PA
HS
HS
CA
CA
HV
HV
PA
PA
PA
PA
PA
PA
PA
HS
EA
EA
YE
YK
HS
HV
HV
HV
HV

UNIT PRICE
$
35.85
$
36.00
$
36.02
$
36.06
$
36.06
$
36.23
$
36.48
$
36.71
$
36.71
$
36.72
$
36.84
$
36.98
$
37.02
$
37.02
$
37.02
$
37.02
$
37.02
$
37.02
$
37.02
$
37.02
$
37.02
$
37.02
$
37.06
$
37.06
$
37.40
$
37.40
$
37.40
$
37.40
$
37.40
$
37.40
$
37.42
$
37.50
$
37.52
$
37.52
$
37.68
$
37.68
$
37.93
$
37.93
$
37.93
$
37.93
$
37.93
$
37.93
$
37.93
$
38.10
$
38.25
$
38.25
$
38.30
$
38.45
$
38.66
$
38.75
$
38.96
$
39.05
$
39.05

NDC
00406152053
00406152055
38779072304
54868017800
00006461200
00247128910
00310048230
62794011117
62794011198
08290002001
53329030036
00173026210
49502050101
49502050102
54569139100
54868481900
54868481901
68030907901
08290001178
00703150102
55390050310
55390050610
00004201607
00004201609
10337065501
38779055500
38779055503
38779055506
65044994005
00205530594
00406158253
00074104004
00074104008
00003052650
00074242816
00406324552
00574201701
38779073103
38779073104
38779073105
38779073106
49452002901
49452002902
49452002904
51927100300
58298053401
58298053403
58298053405
62991140701
62991140702
62991140703
62991140704
62991140705

NAME
COCAINE HYDROCHLORIDE PWD
COCAINE HYDROCHLORIDE PWD
COCAINE HCL POWDER
COCAINE HYDROCHLORIDE PWD
ELSPAR 10,000 UNITS VIAL
ELSPAR 10,000 UNITS VIAL
IRESSA 250 MG TABLET
SULFAMYLON POWDER PACKET
SULFAMYLON POWDER PACKET
YALE GLASS TB SYR 0.25 ML
ARGLAES 4-3/4"X10" FILM DRESG
LANOXIN PED 0.1 MG/ML AMPUL
EPIPEN JR 0.15 MG AUTO-INJCT
EPIPEN JR 0.15 MG AUTO-INJCT
EPIPEN JR 0.15 MG AUTO-INJCT
EPIPEN JR 0.15 MG AUTO-INJCT
EPIPEN JR 0.15 MG AUTO-INJCT
EPIPEN JR 0.15 MG AUTO-INJCT
I.V.,ARTERIAL,BLOOD NEEDLE
ALPROSTADIL 500 MCG/ML VIAL
ALPROSTADIL 500 MCG/ML VIAL
ALPROSTADIL 500 MCG/ML VIAL
ROFERON-A 6MM UNITS/0.5ML KIT
ROFERON-A 6MM UNITS/0.5ML KIT
CARMOL SCALP TREATMENT KIT
NORETHINDRONE ACETATE POWDR
NORETHINDRONE ACETATE POWDR
NORETHINDRONE ACETATE POWDR
HONEY BEE VENOM PROTEIN VL
MINOCIN 100 MG VIAL
HYDROCODONE BITARTRATE CRYS
SURVANTA 25 MG/ML VIAL
SURVANTA 25 MG/ML VIAL
NITRATEST PAPER REFILLS
DILAUDID POWDER
HYDROMORPHONE HCL POWDER
HYDROMORPHONE HCL POWDER
HYDROMORPHONE HCL POWDER
HYDROMORPHONE HCL POWDER
HYDROMORPHONE HCL POWDER
HYDROMORPHONE HCL POWDER
HYDROMORPHONE HCL POWDER
HYDROMORPHONE HCL POWDER
HYDROMORPHONE HCL POWDER
HYDROMORPHONE HCL POWDER
HYDROMORPHONE HCL POWDER
HYDROMORPHONE HCL POWDER
HYDROMORPHONE HCL POWDER
HYDROMORPHONE HCL POWDER
HYDROMORPHONE HCL POWDER
HYDROMORPHONE HCL POWDER
HYDROMORPHONE HCL POWDER
HYDROMORPHONE HCL POWDER

DOSE FORM DRUG STRENGTH


PC
PC
PC
PC
HS
HS
TA
PP
PP
YC
YE
HH
IN
IN
IN
IN
IN
IN
YA
HV
HV
HV
YK
YK
KI
PA
PA
PA
HS
HS
PC
HV
HV
EA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA

UNIT PRICE
$
39.20
$
39.20
$
39.20
$
39.20
$
39.24
$
39.24
$
39.49
$
39.63
$
39.63
$
39.67
$
39.72
$
39.80
$
39.80
$
39.80
$
39.80
$
39.80
$
39.80
$
39.80
$
39.98
$
40.00
$
40.00
$
40.00
$
40.24
$
40.24
$
40.29
$
40.55
$
40.55
$
40.55
$
40.67
$
40.75
$
40.82
$
40.92
$
40.92
$
41.02
$
41.10
$
41.10
$
41.10
$
41.10
$
41.10
$
41.10
$
41.10
$
41.10
$
41.10
$
41.10
$
41.10
$
41.10
$
41.10
$
41.10
$
41.10
$
41.10
$
41.10
$
41.10
$
41.10

NDC
62991140706
63275200101
63275200502
63275201003
63275210005
63370093020
63370093025
63370093035
58160085635
58160085646
58160085650
58160085656
58160085657
58160085658
58160085905
58160085926
58160085927
58160085935
58160085936
00703503203
00703523313
55390028110
55390080510
63323011908
00015301020
00015301097
00703315401
00703315491
55390000501
61703033218
58160084046
58160084050
00006482600
00006482700
54868362400
49452004101
51479005310
00013265502
44087937501
44087937503
00186198804
56091001946
00049002428
10019063003
59911590001
08011740047
61570014010
61570014110
38779165706
51552074201
51552074202
51927187700
63370014010

NAME
HYDROMORPHONE HCL POWDER
HYDROMORPHONE HCL POWDER
HYDROMORPHONE HCL POWDER
HYDROMORPHONE HCL POWDER
HYDROMORPHONE HCL POWDER
HYDROMORPHONE HCL POWDER
HYDROMORPHONE HCL POWDER
HYDROMORPHONE HCL POWDER
ENGERIX-B 10 MCG/0.5 ML SYRN
ENGERIX-B 10 MCG/0.5 ML SYRN
ENGERIX-B 10 MCG/0.5 ML SYRN
ENGERIX-B 10 MCG/0.5 ML SYRN
ENGERIX-B 10 MCG/0.5 ML SYRN
ENGERIX-B 10 MCG/0.5 ML SYRN
ENGERIX-B 10 MCG/0.5 ML SYRN
ENGERIX-B 10 MCG/0.5 ML SYRN
ENGERIX-B 10 MCG/0.5 ML SYRN
ENGERIX-B 10 MCG/0.5 ML SYRN
ENGERIX-B 10 MCG/0.5 ML SYRN
DAUNORUBICIN 20 MG VIAL
DAUNORUBICIN 20 MG VIAL
CERUBIDINE 20 MG VIAL
CERUBIDINE 20 MG VIAL
DAUNORUBICIN HCL 20 MG VIAL
BLENOXANE 15 UNITS VIAL
BLENOXANE 15 UNITS VIAL
BLEOMYCIN SULFATE 15 UNITS VIA
BLEOMYCIN SULFATE 15 UNITS VIA
BLEOMYCIN SULFATE 15 UNITS VIA
BLEOMYCIN SULFATE 15 UNITS VIA
INFANRIX VACCINE SYRINGE
INFANRIX VACCINE SYRINGE
VARIVAX VACCINE W/DILUENT
VARIVAX VACCINE W/DILUENT
VARIVAX VACCINE W/DILUENT
ZINC BACITRAC 500,000 UNITS PW
MAXIPIME 500 MG VIAL
GENOTROPIN MINIQUICK 1.4 MG
GONAL-F 37.5 UNITS AMPULE
GONAL-F 37.5 UNITS AMPULE
PULMICORT 0.25 MG/2 ML RESPUL
SURGICEL NU-KNIT HEMOSTAT
UNASYN 15 GM VIAL
AMPICILLIN-SULBACTAM 15 GM
AMPICILLIN/SULBACTAM 15 GM
VIGILON WOUND DRESS 13X24"
BICILLIN C-R 1.2MM UNITS TUBEX
BICILLIN C-R 1.2MM UNITS TUBEX
LEVOTHYROXINE SODIUM POWDER
LEVOTHYROXINE SODIUM POWDER
LEVOTHYROXINE SODIUM POWDER
LEVOTHYROXINE SODIUM POWDER
LEVOTHYROXINE SODIUM POWDER

DOSE FORM DRUG STRENGTH


PA
PA
PA
PA
PA
PA
PA
PA
HQ
HQ
HQ
HQ
HQ
HQ
HQ
HQ
HQ
HQ
HQ
HS
HS
HS
HS
HS
HS
HS
HS
HS
HS
HS
HQ
HQ
HS
HS
HS
PA
HS
HI
HR
HR
AL
EA
HS
HS
HS
YE
HQ
HQ
PA
PA
PA
PA
PA

UNIT PRICE
$
41.10
$
41.10
$
41.10
$
41.10
$
41.10
$
41.10
$
41.10
$
41.10
$
41.14
$
41.14
$
41.14
$
41.14
$
41.14
$
41.14
$
41.14
$
41.14
$
41.14
$
41.14
$
41.14
$
41.50
$
41.50
$
41.50
$
41.50
$
41.50
$
41.74
$
41.74
$
41.74
$
41.74
$
41.74
$
41.74
$
41.76
$
41.76
$
41.84
$
41.84
$
41.84
$
42.08
$
42.18
$
42.19
$
42.19
$
42.19
$
42.66
$
42.90
$
42.97
$
42.97
$
42.97
$
42.98
$
43.09
$
43.09
$
43.19
$
43.19
$
43.19
$
43.19
$
43.19

NDC
63370014015
00026061802
00026061810
08290375846
66591083931
49281048901
49281048905
49281048991
00173051900
54569496900
58160084011
00005010432
00005020110
55566008105
08080267100
08080664600
08219267100
08219664600
63323031461
00009034901
56091097906
56091097907
56091097909
56091097910
56091097912
56091097913
56091097915
56091097916
56091097918
56091097919
56091097921
56091097922
56091097924
56091097925
38779027403
38779027404
38779027405
38779027406
49452809402
49452809403
49452809501
49452809502
49452809503
51552103601
51552103609
51927174200
50242006301
38779023003
38779023004
38779023005
38779023006
51552039301
51552039305

NAME
LEVOTHYROXINE SODIUM POWDER
BAYRAB VIAL
BAYRAB VIAL
OXYCEL COTTON-TYPE PLEDGET
M.V.I. PEDIATRIC VIAL
MENOMUNE-A/C/Y/W-135 VIAL
MENOMUNE-A/C/Y/W-135 VIAL
MENOMUNE-A/C/Y/W-135 VIAL
FLOLAN 1.5 MG VIAL
INFANRIX VACCINE VIAL
INFANRIX VACCINE VIAL
HIBTITER VACCINE VIAL
HIBTITER VACCINE VIAL
THYREL TRH 500 MCG/ML AMP
KERLIX WASHED GAUZE BOLT
CURITY DRESSING ROLL 4PLY
KERLIX WASHED GAUZE BOLT
CURITY DRESSING ROLL 4PLY
VANCOMYCIN HCL 10 GM VIAL
GELFOAM SIZE 200 SPONGE
BIOVUE PICC STARTER SET
BIOVUE PICC PROCEDURE KIT
BIOVUE PICC STARTER SET
BIOVUE PICC PROCEDURE KIT
BIOVUE PICC STARTER SET
BIOVUE PICC PROCEDURE KIT
BIOVUE PICC STARTER SET
BIOVUE PICC PROCEDURE KIT
BIOVUE MIDLINE STARTER KIT
BIOVUE MIDLINE PROCED KIT
BIOVUE MIDLINE STARTER KIT
BIOVUE MIDLINE PROCED KIT
BIOVUE MIDLINE STARTER KIT
BIOVUE MIDLINE PROCED KIT
VANCOMYCIN HCL POWDER
VANCOMYCIN HCL POWDER
VANCOMYCIN HCL POWDER
VANCOMYCIN HCL POWDER
VANCOMYCIN HCL POWDER
VANCOMYCIN HCL POWDER
VANCOMYCIN HCL POWDER
VANCOMYCIN HCL POWDER
VANCOMYCIN HCL POWDER
VANCOMYCIN HCL POWDER
VANCOMYCIN HCL POWDER
VANCOMYCIN HCL POWDER
TARCEVA 100 MG TABLET
IPRATROPIUM BROMIDE POWDER
IPRATROPIUM BROMIDE POWDER
IPRATROPIUM BROMIDE POWDER
IPRATROPIUM BROMIDE POWDER
IPRATROPIUM BROMIDE POWDER
IPRATROPIUM BROMIDE POWDER

DOSE FORM DRUG STRENGTH


PA
HV
HV
EA
HS
HS
HS
VI
HS
HV
HV
HV
HV
HH
YE
YE
YE
YE
HS
YV
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
TA
PA
PA
PA
PA
PA
PA

UNIT PRICE
$
43.19
$
43.32
$
43.32
$
43.32
$
43.32
$
43.51
$
43.51
$
43.51
$
43.55
$
43.58
$
43.58
$
43.66
$
43.66
$
43.66
$
43.70
$
43.70
$
43.70
$
43.70
$
43.90
$
43.98
$
44.20
$
44.20
$
44.20
$
44.20
$
44.20
$
44.20
$
44.20
$
44.20
$
44.20
$
44.20
$
44.20
$
44.20
$
44.20
$
44.20
$
44.21
$
44.21
$
44.21
$
44.21
$
44.21
$
44.21
$
44.21
$
44.21
$
44.21
$
44.21
$
44.21
$
44.21
$
44.48
$
44.50
$
44.50
$
44.50
$
44.50
$
44.50
$
44.50

NDC
51927164800
62991108501
62991108502
62991108503
62991108504
62991108505
62991108506
63370012010
63370012015
63370012025
63370012035
63370012050
00944295002
50242004163
50242004164
50242004165
60492002101
60492008101
00025016608
00013260694
00083260104
00703430102
55390003010
55390012701
55390015701
58406066201
58406066236
49452317702
08024072412
08024072420
08363776501
62092059909
08373000123
16958037472
16958068458
16958068781
16958068864
33413000702
33413006710
33413008650
67800010131
67800010132
00009348404
00009348405
49281028605
49281028610
62592072050
63402051530
54868372700
61570009625
58063045701
58160085746
58160085750

NAME
IPRATROPIUM BROMIDE POWDER
IPRATROPIUM BROMIDE POWDER
IPRATROPIUM BROMIDE POWDER
IPRATROPIUM BROMIDE POWDER
IPRATROPIUM BROMIDE POWDER
IPRATROPIUM BROMIDE POWDER
IPRATROPIUM BROMIDE POWDER
IPRATROPIUM BROMIDE POWDER
IPRATROPIUM BROMIDE POWDER
IPRATROPIUM BROMIDE POWDER
IPRATROPIUM BROMIDE POWDER
IPRATROPIUM BROMIDE POWDER
WINRHO SDF 600 UNITS VIAL
CATHFLO ACTIVASE 2 MG VIAL
CATHFLO ACTIVASE 2 MG VIAL
CATHFLO ACTIVASE 2 MG VIAL
WINRHO SDF 600 UNITS VIAL
WINRHO SD 600 UNITS VIAL
SYNAREL 2 MG/ML NASAL SPRAY
GENOTROPIN 1.5 MG CARTRIDGE
AREDIA 30 MG VIAL
THIOTEPA 15 MG VIAL
THIOTEPA 15 MG VIAL
PAMIDRONATE DISOD 30 MG VIAL
PAMIDRONATE DISOD 30 MG VIAL
THIOPLEX 15 MG VIAL
THIOPLEX 15 MG VIAL
FLUOXYMESTERONE POWDER
HYALGAN 10 MG/ML VIAL
HYALGAN 10 MG/ML SYRINGE
SUPARTZ 10 MG/ML SYRINGE
EXOREX BODY TREATMENT KIT
MISTERNEB COMPRESS NEB SYST
DEVILBISS PULMOMATE COMPRESSOR
PULMO-AIDE COMPACT COMPRESSOR
DEVILBISS COMPACT COMPRESSR
DEVILBISS PULMO-AIDE COMPRS
AP-50 50 PSI COMPRESSOR
PULMO-AIDE COMPRESSOR
DEVILBISS COMPRESSOR 50PSI
BEXXAR 14 MG/ML DOSIMETRIC
BEXXAR 14 MG/ML THERAPEUTIC
LUNELLE CONTRACEPTIVE VIAL
LUNELLE CONTRACEPTIVE VIAL
DAPTACEL VACCINE
DAPTACEL VACCINE
AMMONUL 10%/10% VIAL
XOPENEX 1.25 MG/0.5 ML SOLN
BREVITAL SODIUM 2.5 GM VIAL
BREVITAL SODIUM 2.5 GM VIAL
DIDRONEL 50 MG/ML AMPUL
ENGERIX-B 20 MCG/ML SYRN
ENGERIX-B 20 MCG/ML SYRINGE

DOSE FORM DRUG STRENGTH


PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
HS
HS
HS
HS
HS
HS
AS
HI
HS
HS
HS
HS
HS
HS
HS
PA
HV
HQ
HQ
ZD
EA
EA
EA
EA
EA
EA
EA
EA
HV
HV
HV
HV
HV
HV
HV
BE
HS
HS
HH
HQ
HQ

UNIT PRICE
$
44.50
$
44.50
$
44.50
$
44.50
$
44.50
$
44.50
$
44.50
$
44.50
$
44.50
$
44.50
$
44.50
$
44.50
$
44.54
$
44.54
$
44.54
$
44.54
$
44.54
$
44.54
$
44.56
$
44.89
$
45.00
$
45.00
$
45.00
$
45.00
$
45.00
$
45.00
$
45.00
$
45.05
$
45.08
$
45.08
$
45.08
$
45.53
$
45.64
$
45.64
$
45.64
$
45.64
$
45.64
$
45.64
$
45.64
$
45.64
$
45.84
$
45.84
$
45.88
$
45.88
$
45.88
$
45.88
$
46.16
$
46.51
$
46.67
$
46.67
$
46.74
$
46.84
$
46.84

NDC
58160086126
58160086135
00026063401
00026063402
17314960001
17314960002
00003403711
00407004401
55513014801
55513014810
59676030401
59676030402
53329056337
55390060020
60976059871
65483055101
00004018682
00013265602
00013220001
00013257691
00013258691
00013259691
00703415411
00703415511
00703415611
40565012143
00002803101
00002808501
00169706515
54569473400
54868507000
61772059051
61772059081
00013519101
49281019010
49281019020
66019010001
08137008707
49281079001
49281079051
54868317200
53298080101
53298090101
53298100101
53298110101
53298120101
62161000538
67286005308
00173068000
00085116801
00074245531
00169185274
32849093035

NAME
DOSE FORM DRUG STRENGTH
ENGERIX-B 20 MCG/ML SYRINGE
HQ
ENGERIX-B 20 MCG/ML SYRINGE
HQ
TETANUS IMMUNE GLOBULIN - BAYTET PFS PRE-FILLED
HX
SYRINGE
BAYTET 250 UNITS SYRINGE
HX
DOXIL 2 MG/ML VIAL
HV
DOXIL 2 MG/ML VIAL
HV
AQUACEL-AG W/HYDROFIBER DRS
YE
AMIPAQUE 3.75 GM VIAL
HS
EPOGEN 4,000 UNITS/ML VIAL
HV
EPOGEN 4,000 UNITS/ML VIAL
HV
PROCRIT 4,000 UNITS/ML VIAL
HV
PROCRIT 4,000 UNITS/ML VIAL
HV
MAXORB 4"X8" DRESSING
YE
AZATHIOPRINE SOD 100 MG VIAL
HS
IMURAN 100 MG VIAL
HS
IMURAN 100 MG VIAL
HS
BONIVA 150 MG TABLET
TA
GENOTROPIN MINIQUICK 1.6 MG
HI
IDAMYCIN PFS 1 MG/ML VIAL
HV
IDAMYCIN PFS 1 MG/ML VIAL
HV
IDAMYCIN PFS 1 MG/ML VIAL
HV
IDAMYCIN PFS 1 MG/ML VIAL
HV
IDARUBICIN HCL 1 MG/ML VIAL
HV
IDARUBICIN HCL 1 MG/ML VIAL
HV
IDARUBICIN HCL 1 MG/ML VIAL
HV
ACTICOAT 5"X5" DRESSING
YE
GLUCAGON 1 MG EMERGENCY KIT
YK
GLUCAGON 1 MG KIT
KI
GLUCAGEN 1 MG HYPOKIT
YK
GLUCAGON 1 MG EMERGENCY KIT
YK
GLUCAGON 1 MG KIT
YK
AMVISC 12 MG/ML SYRINGE
HQ
AMVISC 12 MG/ML SYRINGE
HQ
FRAGMIN 25,000 UNITS/ML VIAL
HV
IMOGAM RABIES-HT 150 UNIT/ML
HV
IMOGAM RABIES-HT 150 UNIT/ML
HV
FLUMIST NASAL 2003-04 VACCINE
AX
NU-GAUZE FOLDED PACKING
YE
TYPHIM VI 25 MCG/0.5 ML SYRNG
HQ
TYPHIM VI 25 MCG/0.5 ML SYRNG
HQ
TYPHOID VI 25 MCG/0.5MLSYR
HQ
HONEY BEE VENOM TREATMNT KT
YK
YELLOW JACKET TREATMENT KIT
YK
YELLOW HORNET TREATMENT KIT
YK
WHITE FACE HORNET TREATMENT
YK
MIXED VESPID TREATMNET KIT
YK
BUSULFEX 6 MG/ML AMPUL
HH
BUSULFEX 6 MG/ML AMPUL
HH
ZOFRAN 24 MG TABLET
TA
INTRON A 6MM UNITS/ML VIAL
HV
DILAUDID-HP 250 MG VIAL
HS
INNOVO INSULIN DOSER
EA
INNOVO INSULIN DOSER
EA

UNIT PRICE
$
46.84
$
46.84
$
46.95
$
46.95
$
47.20
$
47.20
$
47.50
$
47.53
$
47.67
$
47.67
$
47.67
$
47.67
$
47.80
$
48.00
$
48.00
$
48.00
$
48.11
$
48.29
$
48.35
$
48.35
$
48.35
$
48.35
$
48.35
$
48.35
$
48.35
$
48.38
$
48.43
$
48.43
$
48.43
$
48.43
$
48.43
$
48.64
$
48.64
$
48.83
$
48.85
$
48.85
$
48.88
$
49.12
$
49.65
$
49.65
$
49.65
$
49.73
$
49.73
$
49.73
$
49.73
$
49.73
$
49.95
$
49.95
$
49.99
$
50.00
$
50.03
$
50.15
$
50.15

NDC
08290002192
50242006401
00074438220
38779036102
38779036103
38779036104
51927177300
65044994205
65044994405
38779124003
38779124006
49452259101
49452259102
49452259103
51552056001
61703032518
00169776411
00169776413
32849012155
49281037125
49281037325
51927192500
53298140101
00009470901
00068059701
55390012301
00078005303
59390018107
58160083702
58160083705
58160083726
58160083746
58160083750
58160083756
58160083758
00006338867
10019066203
59911596502
63323034361
44087057107
44087507503
00074132401
00469305130
38779024303
38779024306
00026063101
00026063102
00562780701
00562780706
00562780710
00562780726
54569439500
08080126700

NAME
DOSE FORM DRUG STRENGTH
UNIT PRICE
CORNWALL SYRINGES LUER-LOK
YJ
$
50.34
TARCEVA 150 MG TABLET
TA
$
50.55
NIMBEX 10 MG/ML VIAL
HV
$
50.69
2-DEOXY-D-GLUCOSE POWDER
PA
$
50.72
2-DEOXY-D-GLUCOSE POWDER
PA
$
50.72
2-DEOXY-D-GLUCOSE POWDER
PA
$
50.72
DEOXY-D-GLUCOSE (2) POWDER
PA
$
50.72
YELLOW-HORNET VENOM VIAL
HS
$
50.88
YELLOW JACKET VENOM VIAL
HS
$
50.88
DIENESTROL POWDER
PA
$
50.95
DIENESTROL POWDER
PA
$
50.95
DIENESTROL POWDER
PA
$
50.95
DIENESTROL POWDER
PA
$
50.95
DIENESTROL POWDER
PA
$
50.95
DIENESTROL POWDER
PA
$
50.95
PAMIDRONATE 60 MG/10 ML VIAL
HV
$
50.98
NORDIPEN 5 DELIVERY SYSTEM
IN
$
51.00
NORDIPEN 15 DELIVERY SYSTEM
IN
$
51.00
NORDIPEN 15 DELIVERY SYSTEM
IN
$
51.00
FLUZONE SUBVIRION PEDI SYR
HQ
$
51.00
FLUZONE PEDI 2004-05 SYRINGE
HQ
$
51.00
PHYTONADIONE LIQUID
RL
$
51.00
DIAGNOSTIC KIT
YK
$
51.09
DEPO-SUBQ PROVERA 104 SYRINGE
HQ
$
51.19
RIFADIN IV 600 MG VIAL
HS
$
51.30
RIFAMPIN 600 MG VIAL
HS
$
51.30
METHERGINE 0.2 MG/ML AMPUL
HH
$
51.58
TETRACAINE HCL 0.5% EYE SOLN
DP
$
51.69
HAVRIX 720 UNIT/0.5 ML SYRINGE
HQ
$
51.82
HAVRIX 720 UNIT/0.5 ML SYRINGE
HQ
$
51.82
HAVRIX 720 UNIT/0.5 ML SYRINGE
HQ
$
51.82
HAVRIX 720 UNIT/0.5 ML SYRINGE
HQ
$
51.82
HAVRIX 720 UNIT/0.5 ML SYRINGE
HQ
$
51.82
HAVRIX 720 UNIT/0.5 ML SYRINGE
HQ
$
51.82
HAVRIX 720 UNIT/0.5 ML SYRINGE
HQ
$
51.82
MEFOXIN 10 GM VIAL
HS
$
51.99
CEFOXITIN 10 GM VIAL
HS
$
51.99
CEFOXITIN 10 GM VIAL
HS
$
51.99
CEFOXITIN 10 GM VIAL
HS
$
51.99
PERGONAL 75 UNIT AMPUL
HR
$
52.28
PERGONAL 75 UNIT AMPUL
HR
$
52.28
NITROGLYCERIN 5 MG/ML KIT
YK
$
52.47
AMBISOME 50 MG VIAL
HS
$
52.50
CLEMASTINE FUMARATE POWDER
PA
$
52.71
CLEMASTINE FUMARATE POWDER
PA
$
52.71
RHO (D) IMMUNE GLOBULIN - BAYRHO D S/D FULL
HX DOSE PFS PRE-FILLED SYRINGE
$
53.05
BAYRHO-D SYRINGE
HX
$
53.05
RHOGAM UF FULL DOSE PFS - RHO (D) IMMUNE
HX GLOBULIN PRE-FILLED SYRINGE$
53.05
RHOGAM ULTRA-FILTERED SYRNG
HX
$
53.05
RHOGAM ULTRA-FILTERED SYRNG
HX
$
53.05
RHOGAM ULTRA-FILTERED SYRNG
HX
$
53.05
BAYRHO-D SYRINGE
HX
$
53.05
CURITY ABSORBENT GAUZE BOLT
YE
$
53.13

NDC
08080147300
08080195200
08219126700
08219147300
08219195200
00456460003
00456460006
65044994004
65044994104
65044994204
65044994404
00026063202
00026063203
00026063602
00026063603
44206030001
44206030010
00004050109
49281079020
65044994105
00013265702
54868410500
49452536001
49452536002
10019002518
55513005801
55513005804
08220169210
56091001985
66215010106
66215010206
66302010101
61570014310
61570014410
00009043304
63713001978
63713001979
08290002134
08290002144
08290002154
08290002304
08290002314
00013215036
53329030136
65044994305
00064030025
00015300220
55390025201
55390045201
63323019140
55390006610
70074050766
70074051480

NAME
CURITY ABSORBENT GAUZE BOLT
CURITY ABSORBENT GAUZE BOLT
CURITY ABSORBENT GAUZE BOLT
CURITY ABSORBENT GAUZE BOLT
CURITY ABSORBENT GAUZE BOLT
INFASURF 35 MG/ML VIAL
INFASURF 35 MG/ML VIAL
VENOMIL HONEY BEE VENOM VL
VENOMIL WH-FACE HORNET VIAL
VENOMIL YEL HORNET VENOM VL
VENOMIL YELLOW JACKET VIAL
BAYHEP B SYRINGE
BAYHEP B SYRINGE
BAYHEP B SYRINGE
BAYHEP B NEONATAL SYRINGE
RHOPHYLAC 300 MCG/2 ML SYR
RHOPHYLAC 300 MCG/2 ML SYR
ZENAPAX 5 MG/ML VIAL
TYPHIM VI 25 MCG/0.5 ML VIAL
WHITE-FACED HORNET VENOM VL
GENOTROPIN MINIQUICK 1.8 MG
IPOL SINGLE DOSE SYRINGE
PHYSOSTIGMINE CRYSTALS
PHYSOSTIGMINE CRYSTALS
BREVIBLOC 250 MG/ML AMPUL
ARANESP 25 MCG/0.42 ML SYRING
ARANESP 25 MCG/0.42 ML SYRING
HELITENE 1 GM MICROFIBRILLAR
INSTAT MCH 1 GM HEMOSTAT
TRACLEER 62.5 MG TABLET
TRACLEER 125 MG TABLET
REMODULIN 1 MG/ML VIAL
BICILLIN C-R 900/300 TUBEX
BICILLIN C-R 900/300 TUBEX
GELFOAM POWDER
SURGIFOAM POWDER
SURGIFOAM POWDER KIT
MULTIFIT 30 ML REUSABLE SYRN
MULTIFIT 30 ML REUSABLE SYRN
MULTIFIT 30 ML REUSABLE SYRN
YALE SYRINGE 30 ML
YALE SYRINGE 30 ML
ESTRING 2 MG VAGINAL RING
ARGLAES ISLAND 4-3/4"X10" DRSG
WASP VENOM PROTEIN VIAL
PROSHIELD SKIN CARE KIT
MUTAMYCIN 20 MG VIAL
MITOMYCIN 20 MG VIAL
MITOMYCIN 20 MG VIAL
MITOMYCIN 20 MG VIAL
DICYCLOMINE 10 MG/ML VIAL
FLEXIFLO JEJUNAL FEED TUBE
FLEXIFLO OVER-GUIDEWIRE

DOSE FORM DRUG STRENGTH


YE
YE
YE
YE
YE
HV
HV
HS
HS
HS
HS
HQ
HQ
HQ
HQ
HQ
HQ
HV
HV
HS
HI
HQ
PC
PC
HH
HQ
DI
EA
EA
TA
TA
HV
HQ
HQ
PA
PA
PA
YC
YC
YC
YC
YC
QV
YE
HS
YK
HS
HS
HS
HS
HV
EA
EA

UNIT PRICE
$
53.13
$
53.13
$
53.13
$
53.13
$
53.13
$
53.22
$
53.22
$
53.39
$
53.39
$
53.39
$
53.39
$
53.44
$
53.44
$
53.44
$
53.44
$
53.50
$
53.50
$
53.52
$
53.52
$
53.62
$
53.84
$
53.84
$
54.20
$
54.20
$
54.44
$
54.86
$
54.86
$
55.04
$
55.04
$
55.04
$
55.04
$
55.25
$
55.94
$
55.94
$
56.07
$
56.07
$
56.07
$
56.24
$
56.24
$
56.24
$
56.24
$
56.24
$
56.30
$
56.44
$
56.63
$
56.88
$
57.28
$
57.28
$
57.28
$
57.28
$
57.50
$
57.61
$
57.61

NDC
17478070102
00430620140
61772060051
61772060081
55513001001
55513001004
00004201707
00004201709
00075062040
00075062160
49452005301
49452005302
49452005303
49452080201
49452080202
51927164100
62991102001
62991102002
63275996701
63275996702
63275996704
63275996705
68115074910
68115077410
38779064301
38779064303
38779064304
38779064305
38779064306
38779064308
49452261901
49452261902
51927321400
53276105006
00406149252
49452483603
51927333500
00013265802
00006046105
00006046130
49452345002
56091097900
56091097901
55390005910
24208042801
00078040215
00078043815
00944300610
64285300601
51479005430
63370095510
63370095515
63370095525

NAME
IC GREEN 25 MG VIAL
FEMRING 0.05 MG VAGINAL RING
AMVISC PLUS 16 MG/ML SYRINGE
AMVISC PLUS 16 MG/ML SYRINGE
ARANESP 25 MCG/ML VIAL
ARANESP 25 MCG/ML VIAL
ROFERON-A 9MM UNITS/0.5ML KIT
ROFERON-A 9MM UNITS/0.5ML KIT
LOVENOX 40 MG PREFILLED SYRN
LOVENOX 60 MG PREFILLED SYRN
BECLOMETHASONE DIPRO POWDER
BECLOMETHASONE DIPRO POWDER
BECLOMETHASONE DIPRO POWDER
BECLOMETHASONE DIPRO POWDER
BECLOMETHASONE DIPRO POWDER
BECLOMETHASONE DIPRO POWDER
BECLOMETHASONE DIPRO POWDER
BECLOMETHASONE DIPRO POWDER
SILDENAFIL CITRATE POWDER
SILDENAFIL CITRATE POWDER
SILDENAFIL CITRATE POWDER
SILDENAFIL CITRATE POWDER
LOVENOX 40 MG PREFILLED SYRN
LOVENOX 60 MG PREFILLED SYRN
DMPS CRYSTAL
DMPS CRYSTAL
DMPS CRYSTAL
DMPS CRYSTAL
DMPS CRYSTAL
DMPS CRYSTAL
DMPS CRYSTAL
DMPS CRYSTAL
DMPS CRYSTAL
ULTRAFOAM 8X25X1CM SPONGE
NALOXONE HCL POWDER
NALOXONE HCL POWDER
NALOXONE HCL POWDER
GENOTROPIN MINIQUICK 2 MG
EMEND 80 MG CAPSULE
EMEND 80 MG CAPSULE
HEPARIN SOD 100,000 UNITS PWDE
BIOVUE PICC STARTER SET
BIOVUE PICC PROCEDURE KIT
ORPHENADRINE 30 MG/ML VIAL
PROVIEW EYE PRESSURE KIT
GLEEVEC 400 MG TABLET
GLEEVEC 400 MG TABLET
TISSEEL VH KIT
HEMASEEL APR KIT
MAXIPIME 1 GRAM VIAL
NANDROLONE DECANOATE POWDER
NANDROLONE DECANOATE POWDER
NANDROLONE DECANOATE POWDER

DOSE FORM DRUG STRENGTH


HS
QV
HQ
HQ
HV
VI
YK
YK
HQ
HQ
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
HQ
HQ
PC
PC
PC
PC
PC
PC
PC
PC
PC
YV
PA
PA
PA
HI
CA
CA
PU
EA
EA
HV
YK
TA
TA
YK
YK
HS
PA
PA
PA

UNIT PRICE
$
58.07
$
58.72
$
58.80
$
58.80
$
59.12
$
59.12
$
59.36
$
59.36
$
59.50
$
59.50
$
59.50
$
59.50
$
59.50
$
59.50
$
59.50
$
59.50
$
59.50
$
59.50
$
59.50
$
59.50
$
59.50
$
59.50
$
59.50
$
59.50
$
59.63
$
59.63
$
59.63
$
59.63
$
59.63
$
59.63
$
59.63
$
59.63
$
59.63
$
59.82
$
60.27
$
60.27
$
60.27
$
60.30
$
60.37
$
60.37
$
60.39
$
60.78
$
60.78
$
61.00
$
61.08
$
61.15
$
61.15
$
61.15
$
61.15
$
61.16
$
61.20
$
61.20
$
61.20

NDC
63370095535
63370095545
49281068020
49281068030
55566718502
00015055741
00052030151
00052030161
55513017701
55513017707
55513017728
55390013501
55390043501
61703033109
63323014507
38779027303
38779027306
44087025001
08080111500
08219111500
00006386203
53885053701
00430620240
00247139401
00703463601
53905050101
00006484400
00006484438
00006484500
00006484538
40565012145
63323038020
00015710328
00015710398
00781310395
61570014210
00006484100
00006484138
00006484141
54569563200
51927188200
00009037101
08290002193
08080647400
08219647400
70074055164
38779208703
38779208706
51552004201
51927157500
00049319028
00006046205
00006046230

NAME
NANDROLONE DECANOATE POWDER
NANDROLONE DECANOATE POWDER
JE-VAX VACCINE
JE-VAX VACCINE
REPRONEX 75 UNIT VIAL
IFEX 3 GM VIAL
GANIRELIX ACET 250 MCG/0.5 ML
ANTAGON 250 MCG/0.5 ML INJ
KINERET 100 MG/0.67 ML SYR
KINERET 100 MG/0.67 ML SYR
KINERET 100 MG/0.67 ML SYR
FLOXURIDINE 500 MG VIAL
FLOXURIDINE 500 MG VIAL
FUDR 500 MG VIAL
FLOXURIDINE 500 MG VIAL
TROPICAMIDE POWDER
TROPICAMIDE POWDER
OVIDREL 250 MCG INJECTION
TELFA CLEAR WOUND DRESSING
TELFA CLEAR WOUND DRESSING
EMEND TRIFOLD PACK
ONE TOUCH INDUO KIT
FEMRING 0.10 MG VAGINAL RING
ZANOSAR 1 GM STERILE POWDER
ZANOSAR 1 GM VIAL
RABAVERT RABIES VACCINE KIT
VAQTA 50 UNITS/ML SYRINGE
VAQTA 50 UNITS/ML SYRINGE
VAQTA 25 UNITS/0.5 ML SYRINGE
VAQTA 25 UNITS/0.5 ML SYRINGE
ACTICOAT 7 6"X6" DRESSING
PIPERACILLIN 2 GM VIAL
OXACILLIN 10 GM VIAL
OXACILLIN 10 GM VIAL
OXACILLIN 10 GM VIAL
BICILLIN C-R 2.4MM UNITS TUBEX
VAQTA 50 UNITS/ML VIAL
VAQTA 50 UNITS/ML VIAL
VAQTA 50 UNITS/ML VIAL
VAQTA 50 UNITS/ML VIAL
BETAHISTINE DIHYDROCHL PWDR
GELFOAM PACKS SIZE 6CM
CORNWALL SYRINGES LUER-LOK
CURITY DRESSING ROLL 8PLY
CURITY DRESSING ROLL 8PLY
FLEXIFLO OVER-THE GUIDEWIRE
GLYCOPYRROLATE POWDER
GLYCOPYRROLATE POWDER
GLYCOPYRROLATE POWDER
GLYCOPYRROLATE POWDER
VFEND IV 200 MG VIAL
EMEND 125 MG CAPSULE
EMEND 125 MG CAPSULE

DOSE FORM DRUG STRENGTH


PA
PA
HS
HS
HS
HS
HQ
HQ
HQ
HQ
HQ
HS
HS
HS
HS
PA
PA
HS
YE
YE
UG
YK
QV
HS
HS
YK
HQ
HQ
HQ
HQ
YE
HS
HS
HS
HS
HQ
HV
HV
HV
HV
PA
YV
YJ
YE
YE
EA
PA
PA
PA
PA
HS
CA
CA

UNIT PRICE
$
61.20
$
61.20
$
61.53
$
61.53
$
61.57
$
61.68
$
61.86
$
61.86
$
61.93
$
61.93
$
61.93
$
62.00
$
62.00
$
62.00
$
62.00
$
62.14
$
62.14
$
62.18
$
62.20
$
62.20
$
62.37
$
62.40
$
62.55
$
62.74
$
62.74
$
62.92
$
62.94
$
62.94
$
62.96
$
62.96
$
63.23
$
63.30
$
63.44
$
63.44
$
63.44
$
63.46
$
63.58
$
63.58
$
63.58
$
63.58
$
63.75
$
63.76
$
63.95
$
64.01
$
64.01
$
64.08
$
64.14
$
64.14
$
64.14
$
64.14
$
65.15
$
65.22
$
65.22

NDC
53335070321
53335070821
61570004710
61570004750
00002714001
00469325010
00075062280
54868511200
54868511201
08217158222
08217158225
08217158228
08217158231
55566750102
55566850502
55566850506
11994001104
00074659101
08290001346
08290001349
44087907501
44087907503
44087907504
63323025803
68752074400
68752075200
00517234010
00006477600
00006499200
59572021015
59572021095
53298080102
53298090102
49452261601
49452261602
49452261603
70074054817
70074055891
67211010201
49281091501
49281091505
53298130101
00173047800
54868396000
58281056201
61570026010
08065183810
63256020004
76170010648
76170016483
08214200001
08470200001
56643043001

NAME
AMINOPLEX PLUS PACKETS
STASIS PACKETS
NEOSPORIN G.U. IRRIGANT AMP
NEOSPORIN G.U. IRRIGANT AMP
REOPRO 2 MG/ML VIAL
MYCAMINE 50 MG VIAL
LOVENOX 80 MG PREFILLED SYRN
LOVENOX 80 MG PREFILLED SYRN
LOVENOX 80 MG PREFILLED SYRN
PRENTIF CAVITY-RIM CERV CAP
PRENTIF CAVITY-RIM CERV CAP
PRENTIF CAVITY-RIM CERV CAP
PRENTIF CAVITY-RIM CERV CAP
MENOPUR 75 UNIT VIAL
BRAVELLE 75 UNIT VIAL
BRAVELLE 75 UNIT VIAL
DEFINITY 1.1 MG/ML VIAL
PENTOTHAL 6.25 GM (2.5%) KIT
ROSENTHAL NEEDLE
OSGOOD NEEDLE
GONAL-F 75 UNITS AMPULE
GONAL-F 75 UNITS AMPULE
GONAL-F 75 UNITS AMPULE
METHYLPRED SS 125 MG VIAL
Z-CLINZ 5 PAC
Z-CLINZ 10 PAC
VENOFER 20 MG/ML VIAL
RECOMBIVAX HB 40 MCG/ML VIAL
RECOMBIVAX HB 40 MCG/ML VIAL
THALOMID 100 MG CAPSULE
THALOMID 100 MG CAPSULE
HONEY BEE VENOM VIAL
YELLOW JACKET VENOM VIAL
DIHYDROERGOTAMINE MES CRYST
DIHYDROERGOTAMINE MES CRYST
DIHYDROERGOTAMINE MES CRYST
DURA-G GASTROSTOMY TUBE
DURA-G GASTROSTOMY TUBE
VIDAZA 100 MG VIAL
YF-VAX 1 DOSE VIAL/DILUENT
YF-VAX 5-DOSE VIAL/DILUENT
WASP VENOM TREATMENT KIT
IMITREX 6 MG/0.5 ML KIT REFLL
IMITREX 6 MG/0.5 ML KIT REFLL
LIORESAL IT 0.05 MG/1 ML AMP
SYNERCID 500 MG VIAL
CELLUGEL
STERILE TALC POWDER
AVOGEL 6"X48" DRESSING
AVOGEL 6"X48" DRESSING
RAPPORT VACUUM THRPY DEVICE
RAPPORT VACUUM THERAPY DEVICE
REVIGOR CLASSIC VACUUM SYS

DOSE FORM DRUG STRENGTH


ZD
ZD
HH
HH
HV
HS
HQ
HQ
HQ
EA
EA
EA
EA
HS
HS
HS
HV
YK
YA
YA
HR
HR
HR
HS
ZD
ZD
HV
HV
HV
CA
CA
HS
HS
PC
PC
PC
EA
EA
VI
VI
VI
YK
HI
HI
HH
HS
HQ
HS
YE
YE
YK
YK
YK

UNIT PRICE
$
65.45
$
65.45
$
65.70
$
65.70
$
66.02
$
66.09
$
66.16
$
66.16
$
66.16
$
66.30
$
66.30
$
66.30
$
66.30
$
66.30
$
66.30
$
66.30
$
66.40
$
66.53
$
66.70
$
66.70
$
66.97
$
66.97
$
66.97
$
67.00
$
67.79
$
67.79
$
68.60
$
68.84
$
68.84
$
68.85
$
68.85
$
68.98
$
68.98
$
69.62
$
69.62
$
69.62
$
69.65
$
69.65
$
69.84
$
70.20
$
70.20
$
70.47
$
71.10
$
71.10
$
71.40
$
72.12
$
72.25
$
72.25
$
72.25
$
72.25
$
73.10
$
73.10
$
73.10

NDC
56643045001
56643047001
61059200017
81317085001
81317085002
81317085003
00085057102
50419052315
50419052325
00015356512
00088500002
00088500008
67108356509
51479005420
53303001112
00053748601
00053748602
00053748605
00944262003
44206041501
44206050551
52769047175
64193025050
00052030631
00186900400
00052073112
00548590000
00173047900
54868318000
54868318100
54868395900
68115077002
00514009503
00514009803
62794009577
62794009677
63323036601
66780021008
64875000103
66607100506
65044994304
63323012710
00087611142
00597006111
44087900501
44087900506
00407004601
00015340420
00009517601
00053177001
00002704001
00002704016
39822041201

NAME
DOSE FORM DRUG STRENGTH
REJOYN VACUUM THERAPY SYS
YK
REVIGOR ELECTRA VACUUM SYS
YK
RAPPORT VACUUM THRPY DEVICE
YK
RESPONSE II VACUUM SYSTEM
YK
TOUCH II VACUUM SYSTEM
YK
PISTON II VACUUM SYSTEM
YK
INTRON A 10 MILLION UNITS VIAL
HS
BETASERON 0.3 MG VIAL
HS
BETASERON 0.3 MG VIAL
VI
MESNEX 400 MG TABLET
TA
ENVISAN TREATMENT MULTIPACK
YK
ENVISAN TREATMENT PAD PACK
YK
MESNEX 400 MG TABLET
TA
MAXIPIME 1 GM ADD-VANTAGE VL
HS
CARRA GAUZE STRIPS
YE
IMMUNE GLOBULIN INTRAVENOUS - GAMMAR-P
HS 1G
IMMUNE GLOBULIN INTRAVENOUS - GAMMAR-P
HS 2.5G
GAMMAR-P I.V. 5 GM VIAL
HS
GAMMAGARD S/D 5 GM VL W/SET
HS
CARIMUNE NF 1 GM VIAL
HS
CARIMUNE 1 GM VIAL
HS
POLYGAM S/D 5 GM VL W/DILUNT
HS
IVEEGAM EN 5 GM VIAL
HS
FOLLISTIM 75 UNITS VIAL
HS
ASTRA SELF-ASPIR DENTL SYRN
YC
CORTROSYN 0.25 MG VIAL
HS
CORTROSYN 0.25 MG VIAL
HS
IMITREX 6 MG/0.5 ML SYRNG KIT
IK
IMITREX 6 MG/0.5 ML SYRNG KIT
IK
IMITREX 6 MG/0.5 ML SYRNG KIT
IK
IMITREX 6 MG/0.5 ML SYRNG KIT
IK
IMITREX 6 MG/0.5 ML SYRNG KIT
IK
BIOBRANE 10" X 15" DRESSING
YE
BIOBRANE II 10"X 15"
YE
BIOBRANE 10" X 15" DRESSING
YE
BIOBRANE-L 10" X 15" DRSSNG
YE
DIMENHYDRINATE 50 MG/ML VIAL
HV
BYETTA 250 MCG/ML PEN INJECTOR
IJ
MIFEPREX 200 MG TABLET
TA
ORFADIN 5 MG CAPSULE
CA
VENOMIL WASP VENOM VIAL
HS
DACARBAZINE 100 MG VIAL
HS
CAFCIT 20 MG/ML ORAL SOLN
SJ
CAFCIT 20 MG/ML ORAL SOLN
SJ
GONAL-F RFF 75 UNITS VIAL
VI
GONAL-F RFF 75 UNITS VIAL
VI
AMIPAQUE 6.75 GM VIAL
HS
ETOPOPHOS 100 MG VIAL
HS
SOMAVERT 10 MG VIAL
HS
STREPTASE 250,000 UNITS VIAL
HS
NEBCIN 1.2 GM VIAL
HS
NEBCIN 1.2 GM VIAL
HS
TOBRAMYCIN 1.2 GM VIAL
HS

UNIT PRICE
$
73.10
$
73.10
$
73.10
$
73.10
$
73.10
$
73.10
$
73.37
$
74.27
$
74.27
$
74.38
$
74.38
$
74.38
$
74.38
$
74.74
$
74.85
$
75.00
$
75.00
$
75.00
$
75.00
$
75.00
$
75.00
$
75.00
$
75.00
$
75.20
$
75.44
$
75.51
$
75.51
$
75.61
$
75.61
$
75.61
$
75.61
$
75.61
$
75.99
$
75.99
$
75.99
$
75.99
$
76.25
$
76.37
$
76.50
$
77.39
$
77.77
$
78.90
$
78.93
$
78.93
$
79.11
$
79.11
$
79.21
$
79.32
$
79.69
$
79.69
$
79.90
$
79.90
$
79.90

NDC
39822041206
63323030351
63323030355
00015306301
00703315501
00703315591
55390000601
61703032322
40565012147
40565012166
00002750101
38779033700
38779033703
38779033706
38779033709
49452403601
49452403602
51927269200
00085117902
10223020103
10337043103
11701012096
58468007001
54569557800
58160085046
00075094502
00085113301
00149073402
49452279301
49452279302
00026816115
67800011110
00015301238
00015301297
44087707501
51774060400
00186091542
54569474100
54868429500
70074055603
70074055605
70074055607
70074055609
70074055611
70074055613
70074055615
70074055617
70074055619
70074055621
70074055623
70074055625
70074055627
70074055629

NAME
TOBRAMYCIN 1.2 GM VIAL
TOBRAMYCIN 1.2 GM VIAL
TOBRAMYCIN SULF 1.2 GM VIAL
BLENOXANE 30 UNITS VIAL
BLEOMYCIN SULFATE 30 UNITS VIA
BLEOMYCIN SULFATE 30 UNITS VIA
BLEOMYCIN SULFATE 30 UNITS VIA
BLEOMYCIN SULFATE 30 UNITS VIA
ACTICOAT 8"X16" DRESSING
ACTICOAT 8"X16" DRESSING
GEMZAR 200 MG VIAL
LEUCOVORIN CALCIUM POWDER
LEUCOVORIN CALCIUM POWDER
LEUCOVORIN CALCIUM POWDER
LEUCOVORIN CALCIUM POWDER
LEUCOVORIN CALCIUM POWDER
LEUCOVORIN CALCIUM POWDER
LEUCOVORIN CALCIUM POWDER
INTRON A 10MM UNITS/ML KIT
CETACAINE MEDICAL KIT E
OMIDERM ROLL DRESS 11X123CM
PERI-WASH II SKIN CARE PACK
ALDURAZYME 2.9 MG/5 ML VIAL
TWINRIX VACCINE SYRINGE
TWINRIX VACCINE SYRINGE
DDAVP 15 MCG/ML AMPUL
INTRON A 10MM UNITS/ML VIAL
DANTRIUM 20 MG VIAL
CONJUGATED ESTROGENS POWDER
CONJUGATED ESTROGENS POWDER
MITHRACIN 2,500 MCG VIAL
BEXXAR 131 IODINE DOSIMET
BICNU 100 MG VIAL
BICNU 100 MG VIAL
FERTINEX 75 UNIT AMPULE
BIOSELF FERTILITY INDICATOR
PULMICORT 200 MCG TURBUHALER
PULMICORT 200 MCG TURBUHALER
PULMICORT 200 MCG TURBUHALER
HIDE-A-PORT CUSTOM KIT
HIDE-A-PORT CUSTOM KIT
HIDE-A-PORT CUSTOM KIT
HIDE-A-PORT CUSTOM KIT
HIDE-A-PORT CUSTOM KIT
HIDE-A-PORT CUSTOM KIT
HIDE-A-PORT CUSTOM KIT
HIDE-A-PORT CUSTOM KIT
HIDE-A-PORT CUSTOM KIT
HIDE-A-PORT CUSTOM KIT
HIDE-A-PORT CUSTOM KIT
HIDE-A-PORT CUSTOM KIT
HIDE-A-PORT CUSTOM KIT
HIDE-A-PORT FLUSH TIP KIT

DOSE FORM DRUG STRENGTH


HS
HS
HS
HS
HS
HS
HS
HS
YE
YE
HS
PA
PA
PA
PA
PA
PA
PA
YK
YK
YE
ZD
HV
HQ
HQ
HH
HV
HS
PA
PA
HS
HV
HS
HS
HR
YK
AY
AY
AY
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK

UNIT PRICE
$
79.90
$
79.90
$
79.90
$
79.98
$
79.98
$
79.98
$
79.98
$
79.98
$
80.32
$
80.32
$
80.95
$
81.09
$
81.09
$
81.09
$
81.09
$
81.09
$
81.09
$
81.09
$
81.90
$
82.00
$
82.04
$
82.08
$
82.24
$
82.37
$
82.37
$
82.62
$
82.96
$
83.73
$
83.73
$
83.73
$
83.93
$
84.12
$
84.35
$
84.35
$
84.88
$
85.00
$
85.79
$
85.79
$
85.79
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80

NDC
70074055631
70074055633
70074055635
70074055637
70074055639
70074055641
70074055643
70074055645
70074055647
70074055649
70074055651
70074055653
70074055655
70074055657
70074055659
70074055661
70074055663
70074055665
70074055667
70074055669
70074055671
70074055673
70074055675
70074055677
70074055679
70074055681
70074055683
70074055685
70074055687
70074055689
70074055691
70074055693
70074055695
70074055697
70074055699
70074055701
70074055703
70074055705
00085125901
00085125902
00074469801
53276101015
65044994006
55513003701
55513003704
00024059010
00024059120
66215020118
66215020190
59572022016
59572022096
08290001336
00078018201

NAME
HIDE-A-PORT FLUSH TIP KIT
HIDE-A-PORT FLUSH TIP KIT
HIDE-A-PORT FLUSH TIP KIT
HIDE-A-PORT FLUSH TIP KIT
HIDE-A-PORT FLUSH TIP KIT
HIDE-A-PORT FLUSH TIP KIT
HIDE-A-PORT FLUSH TIP KIT
HIDE-A-PORT FLUSH TIP KIT
HIDE-A-PORT FLUSH TIP KIT
HIDE-A-PORT FLUSH TIP KIT
HIDE-A-PORT FLUSH TIP KIT
HIDE-A-PORT FLUSH TIP KIT
HIDE-A-PORT CUSTOM KIT
HIDE-A-PORT CUSTOM KIT
HIDE-A-PORT CUSTOM KIT
HIDE-A-PORT CUSTOM KIT
HIDE-A-PORT CUSTOM KIT
HIDE-A-PORT CUSTOM KIT
HIDE-A-PORT FLUSH TIP KIT
HIDE-A-PORT FLUSH TIP KIT
HIDE-A-PORT FLUSH TIP KIT
HIDE-A-PORT FLUSH TIP KIT
HIDE-A-PORT FLUSH TIP KIT
HIDE-A-PORT FLUSH TIP KIT
HIDE-A-PORT FLUSH TIP KIT
HIDE-A-PORT FLUSH TIP KIT
HIDE-A-PORT FLUSH TIP KIT
HIDE-A-PORT FLUSH TIP KIT
HIDE-A-PORT FLUSH TIP KIT
HIDE-A-PORT FLUSH TIP KIT
HIDE-A-PORT FLUSH TIP KIT
HIDE-A-PORT FLUSH TIP KIT
HIDE-A-PORT FLUSH TIP KIT
HIDE-A-PORT FLUSH TIP KIT
HIDE-A-PORT FLUSH TIP KIT
HIDE-A-PORT FLUSH TIP KIT
HIDE-A-PORT FLUSH TIP KIT
HIDE-A-PORT FLUSH TIP KIT
TEMODAR 100 MG CAPSULE
TEMODAR 100 MG CAPSULE
PRE-ATTACHED LTA KIT
ENDO-AVITENE 10MM SHEET
HONEY BEE VENOM PROTEIN VL
ARANESP 40 MCG/0.4 ML SYRINGE
ARANESP 40 MCG/0.4 ML SYRINGE
ELOXATIN 50 MG/10 ML VIAL
ELOXATIN 100 MG/20 ML VIAL
ZAVESCA 100 MG CAPSULE
ZAVESCA 100 MG CAPSULE
THALOMID 200 MG CAPSULE
THALOMID 200 MG CAPSULE
WHITACRE SPINAL NEEDLE
SANDOSTATIN 0.5 MG/ML AMPUL

DOSE FORM DRUG STRENGTH


YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
YK
CA
CA
YK
FS
HS
HQ
DI
HV
HV
CA
CA
CA
CA
YA
HH

UNIT PRICE
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
85.80
$
86.10
$
86.10
$
86.52
$
87.02
$
87.68
$
87.78
$
87.78
$
87.89
$
87.89
$
88.19
$
88.19
$
88.27
$
88.27
$
88.32
$
88.83

NDC
00781916895
00029655921
54746000101
61570026110
33413000177
49452245002
59075073015
54868478200
58406042534
58406042541
00009752901
00009752902
44087405001
67308010101
67308010106
44087122501
00006489800
54569521700
00015305920
55390025301
55390045301
58178002010
58178002050
67425000210
49281025010
49999041401
00003401816
55513001101
55513001104
00169776811
12280009215
32849011156
63323038120
00310095036
00173044902
54569370400
54868265200
00003168219
08219924200
75537007648
00519161806
55390016210
38779115600
38779115606
65044994505
61570014810
49281088001
65044999705
00548114000
00548124000
67919001101
00264918410
08290002135

NAME
OCTREOTIDE ACET 500 MCG/ML AMP
TICAR 30 GM BULK VIAL
ALFERON N 5 MILLION UNITS VIAL
SYNERCID 600 MG VIAL
GLASS SYRINGE
DESOXIMETASONE POWDER
TYSABRI 300 MG/15 ML VIAL
ENBREL 25 MG KIT
ENBREL 25 MG KIT
ENBREL 25 MG KIT
CAMPTOSAR 20 MG/ML VIAL
CAMPTOSAR 20 MG/ML VIAL
GEREF DIAGNOSTIC 50 MCG AMP
LEVULAN KERASTICK
LEVULAN KERASTICK
CETROTIDE 0.25 MG KIT
COMVAX VACCINE VIAL
COMVAX VACCINE VIAL
MUTAMYCIN 40 MG VIAL
MITOMYCIN 40 MG VIAL
MITOMYCIN 40 MG VIAL
NEUTREXIN 25 MG VIAL
NEUTREXIN 25 MG VIAL
VITRASE 200 UNITS/ML VIAL
IMOVAX RABIES VACCINE
IMOVAX RABIES VACCINE
HYALOFILL-R DRESSING
ARANESP 40 MCG/ML VIAL
ARANESP 40 MCG/ML VIAL
NORDITROPIN 5 MG/1.5 ML CRTG
NORDITROPIN 5 MG/1.5 ML CRTG
NORDITROPIN 5 MG/1.5 ML CRTG
PIPERACILLIN 3 GM VIAL
ZOLADEX 3.6 MG IMPLANT SYRN
IMITREX 6 MG/0.5 ML VIAL
IMITREX 6 MG/0.5 ML VIAL
IMITREX 6 MG/0.5 ML VIAL
KALTOSTAT DRESS 30CM X 60CM
CURASORB 12"X24" DRESSING
COAGUCHEK SYSTEM KIT
EPI-LOCK SYNTH DRESS 22"X36"
OCTREOTIDE ACET 500 MCG/ML VL
CHLORAMBUCIL POWDER
CHLORAMBUCIL POWDER
MIXED VESPID VENOM VIAL
BICILLIN LA 600,000 UNIT/ML TB
THERACYS 81 MG VIAL
PRE-PEN 0.25 MG AMPUL
PHYTONADIONE 1 MG DISP SYRN
PHYTONADIONE 1 MG DISP SYRN
CUBICIN 500 MG VIAL
TROCATH PERIT DIALYSIS TRAY
MULTIFIT 50 ML REUSABLE SYRN

DOSE FORM DRUG STRENGTH


HH
HS
HV
HS
EA
PA
HV
YK
YK
YK
HV
HV
HR
JY
JY
KI
HV
HV
HS
HS
HS
HS
HS
HV
HS
HS
YE
HV
VI
HJ
HJ
HJ
HS
IA
HV
HV
HV
YE
YE
YK
YE
HV
PA
PA
HS
HQ
HS
HH
HQ
HQ
HS
EA
YC

UNIT PRICE
$
88.83
$
88.98
$
89.16
$
89.16
$
89.25
$
89.25
$
89.71
$
90.02
$
90.02
$
90.02
$
90.17
$
90.17
$
90.23
$
90.31
$
90.31
$
90.44
$
90.64
$
90.64
$
90.89
$
90.89
$
90.89
$
91.11
$
91.11
$
93.62
$
93.88
$
93.88
$
94.60
$
94.60
$
94.60
$
94.71
$
94.71
$
94.71
$
94.90
$
94.97
$
95.04
$
95.04
$
95.04
$
95.63
$
95.63
$
95.63
$
96.71
$
98.71
$
98.72
$
98.72
$
98.80
$
99.63
$
99.76
$
99.80
$
100.00
$
100.00
$
100.67
$
101.29
$
101.33

NDC
08290002145
08290002155
08290002305
08290002315
00085124201
50242006001
50242006002
50242006101
00003401813
65044994406
00015321530
00703326801
10019091701
50111096776
63323016800
00008914901
00008914902
58468009001
66267092103
68115053503
00169770411
00009316906
55390050605
51479005520
00009045701
08290001403
00078018425
00781916475
55390016401
00245002166
63323039174
63370015912
00024059707
00024079375
61958010101
59676036001
61570014610
00574040005
17317185901
39822020005
49452080001
52919000103
52919000203
00310037510
00310037561
49502018003
54868419400
49502018001
62794009965
62794009966
62794009967
62794009968
00310072050

NAME
MULTIFIT 50 ML REUSABLE SYRN
MULTIFIT 50 ML REUSABLE SYRN
YALE SYRINGE 50 ML
YALE SYRINGE 50 ML
INTRON A 3MM UNITS INJECT PEN
AVASTIN 100 MG/4 ML VIAL
AVASTIN 400 MG/16 ML VIAL
AVASTIN 400 MG/16 ML VIAL
HYALOFILL-F DRESSING
YELLOW JACKET VENOM VIAL
PARAPLATIN 450 MG VIAL
CARBOPLATIN 450 MG VIAL
CARBOPLATIN 450 MG VIAL
CARBOPLATIN 450 MG VIAL
CARBOPLATIN 450 MG VIAL
SYNVISC SYRINGE
SYNVISC SYRINGE
SYNVISC SYRINGE
SYNVISC SYRINGE
SYNVISC SYRINGE
NORDITROPIN NORDIFLEX 5 MG/1.5
PROSTIN VR 500 MCG/ML AMPUL
ALPROSTADIL 500 MCG/ML AMPUL
MAXIPIME 2 GM PIGGYBACK VIAL
GELFOAM PROSTATECTOMY CONES
KLATSKIN NEEDLE
SANDOSTATIN 1 MG/ML VIAL
OCTREOTIDE 1,000 MCG/ML VIAL
OCTREOTIDE ACET 1 MG/ML VIAL
AMLACTIN 12% DISTRIBUTION PACK
PIPERACILLIN 40 GM BULK VIAL
MISOPROSTOL HPMC POWDER
ELIGARD 7.5 MG SYRINGE
ELIGARD 7.5 MG SYRINGE
VISTIDE 75 MG/ML VIAL
ORTHOVISC 30 MG/2 ML SYRINGE
BICILLIN LA 600,000 UNIT/ML TB
BACITRACIN 5 MILLION UNITS PWD
BACITRACIN 5MM UNITS POWDER
BACITRACIN 5 MILLION UNITS PWD
BACITRACIN 5 MILLION UNITS PWD
CA-DTPA 200 MG/ML AMPUL
ZN-DTPA 200 MG/ML AMPUL
CEFOTAN 10 GM VIAL
CEFOTAN 10 GM VIAL
CUROSURF 240 MG/3 ML VIAL
BREVITAL SODIUM 5 GM VIAL
CUROSURF 120 MG/1.5 ML VIAL
BIOBRANE GLOVES PEDIATRIC
BIOBRANE GLOVES SMALL
BIOBRANE GLOVES MEDIUM
BIOBRANE GLOVES LARGE
FASLODEX 250 MG/5 ML SYRINGE

DOSE FORM DRUG STRENGTH


YC
YC
YC
YC
HQ
HV
HV
HV
YE
HS
HS
HS
HS
HS
HS
HQ
HQ
HQ
HQ
HQ
IJ
HH
HH
HN
YV
YA
HV
HV
HV
YK
HS
PA
HX
DI
HV
HQ
HQ
PU
PU
PU
PU
HH
HH
HS
HS
HV
HS
HV
YE
YE
YE
YE
HQ

UNIT PRICE
$
101.33
$
101.33
$
101.33
$
101.33
$
102.07
$
102.92
$
102.92
$
102.92
$
103.37
$
103.86
$
104.02
$
104.02
$
104.02
$
104.02
$
104.02
$
104.30
$
104.30
$
104.30
$
104.30
$
104.30
$
104.57
$
106.25
$
106.25
$
106.32
$
106.70
$
106.75
$
107.90
$
107.90
$
107.90
$
109.38
$
109.95
$
110.50
$
110.55
$
110.55
$
110.57
$
111.08
$
111.09
$
111.56
$
111.56
$
111.56
$
111.56
$
111.72
$
111.72
$
111.82
$
111.82
$
111.87
$
112.00
$
112.05
$
112.20
$
112.20
$
112.20
$
112.20
$
112.37

NDC
59075072310
00206862011
51479004110
51479004115
00078038725
00002897101
08193000730
08193000744
08193100001
08193100101
50458029801
44087115001
00185740014
00300361224
00703402419
51927248100
00944295004
60492002301
60492008201
00085132301
00085132302
00085136801
00046050705
60977010393
54868252300
54868252301
55513014401
55513014410
55513028301
55513028310
59676031001
59676031002
59676031200
59676031201
58468010001
58468010002
00009517801
00182315499
00185740085
00300361228
00703401418
49281024010
00944300620
64285300602
49281058901
49281058905
38779047200
38779047206
49452006501
49452006502
49452362301
49452362302
49452362303

NAME
PRIALT 25 MCG/ML VIAL
ZOSYN 36/4.5 GRAM BULK VIAL
AZACTAM 1 GM VIAL
AZACTAM 1 GM VIAL
ZOMETA 4 MG/5 ML VIAL
FORTEO 750 MCG/3 ML PEN
CARDIO CHEK ANALYZER
CARDIO CHEK PA ANALYZER
BIOSCANNER 2000 KIT
BIOSCANNER 2000 KIT
SPORANOX 250 MG KIT
OVIDREL 250 MCG/0.5 ML SYRG
LEUPROLIDE 1 MG/0.2 ML VIAL
LUPRON 1 MG/0.2 ML VIAL
LEUPROLIDE 1 MG/0.2 ML VIAL
ERGOLOID MESYLATES POWDER
WINRHO SDF 1,500 UNITS VIAL
WINRHO SDF 1,500 UNITS VIAL
WINRHO SD 1,500 UNITS VIAL
PEG-INTRON REDIPEN 50 MCG
PEG-INTRON REDIPEN 50 MCG 4PK
PEG-INTRON 50 MCG KIT
FACTREL 100 MCG VIAL W/DILUENT
FACTREL 100 MCG VIAL
PROCRIT 10,000 UNITS/ML VIAL
PROCRIT 10,000 UNITS/ML VIAL
EPOGEN 10,000 UNITS/ML VIAL
EPOGEN 10,000 UNITS/ML VIAL
EPOGEN 10,000 UNITS/ML VIAL
EPOGEN 10,000 UNITS/ML VIAL
PROCRIT 10,000 UNITS/ML VIAL
PROCRIT 10,000 UNITS/ML VIAL
PROCRIT 10,000 UNITS/ML VIAL
PROCRIT 10,000 UNITS/ML VIAL
CLOLAR 1 MG/ML VIAL
CLOLAR 1 MG/ML VIAL
SOMAVERT 15 MG VIAL
LEUPROLIDE 1 MG/0.2 ML KIT
LEUPROLIDE 2WK 1 MG/0.2 ML KT
LUPRON 2-WK 1 MG/0.2 ML KIT
LEUPROLIDE 2WK 1 MG/0.2 ML KT
MSTA VIAL (10 TESTS)
TISSEEL VH KIT
HEMASEEL APR KIT
MENACTRA VIAL
MENACTRA VIAL
HYDROXOCOBALAMIN POWDER
HYDROXOCOBALAMIN POWDER
HYDROXOCOBALAMIN POWDER
HYDROXOCOBALAMIN POWDER
HYDROXOCOBALAMIN POWDER
HYDROXOCOBALAMIN POWDER
HYDROXOCOBALAMIN POWDER

DOSE FORM DRUG STRENGTH


HV
HS
HS
HS
HV
HQ
YK
YK
YK
YK
YK
DI
HV
HV
HV
PA
HS
HS
HS
IK
IK
YK
HS
HS
HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
HV
HS
YK
YK
YK
YK
HV
YK
YK
HV
HV
PA
PA
PA
PA
PA
PA
PA

UNIT PRICE
$
113.84
$
113.93
$
113.97
$
113.97
$
114.46
$
114.70
$
114.71
$
114.71
$
114.71
$
114.71
$
114.96
$
116.88
$
116.98
$
116.98
$
116.98
$
117.30
$
117.41
$
117.41
$
117.41
$
117.47
$
117.47
$
117.47
$
118.36
$
118.36
$
119.17
$
119.17
$
119.17
$
119.17
$
119.17
$
119.17
$
119.17
$
119.17
$
119.17
$
119.17
$
119.53
$
119.53
$
119.54
$
120.60
$
120.60
$
120.60
$
120.60
$
121.07
$
121.71
$
121.71
$
121.78
$
121.78
$
123.25
$
123.25
$
123.25
$
123.25
$
123.25
$
123.25
$
123.25

NDC
62991167401
62991167402
62991167403
66490065220
66490065120
66490065020
66490065420
66490065520
65044994306
51927252400
00085129101
00085131601
00085131602
00456412363
63323039050
00085129701
00085129702
00085130401
00173041800
63004773101
00085127901
00085137001
00085137002
54868503600
11098052603
00074332901
65044994106
00245002168
55566720800
00009335902
64116003101
64116003106
64116003124
66780021007
53329099054
53329099254
55513003901
55513003904
00013871562
55390001402
38779050100
38779050106
44087152001
44087152501
44087153001
00016031660
00029657921
00029657976
50242004314
50242002220
44087715001
55390007101
55390007201

NAME
HYDROXOCOBALAMIN POWDER
HYDROXOCOBALAMIN POWDER
HYDROXOCOBALAMIN POWDER
DIASTAT 10 MG UNIVERSAL SYST
DIASTAT 5 MG PEDI SYSTEM
DIASTAT 2.5 MG PEDI SYSTEM
DIASTAT 15 MG ADULT SYSTEM
DIASTAT 20 MG ADULT SYSTEM
WASP VENOM PROTEIN VIAL
4-DIHYDROTESTOSTERONE PWD
PEG-INTRON 80 MCG KIT
PEG-INTRON REDIPEN 80 MCG
PEG-INTRON REDIPEN 80 MCG 4PK
CERVIDIL 10 MG VAGINAL INSRT
PIPERACILLIN 4 GM VIAL
PEG-INTRON REDIPEN 120 MCG
PEG-INTRON REDIPEN 120 MCG 4PK
PEG-INTRON 120 MCG KIT
CEPTAZ 10 GM PHARM BULK VIAL
ACTHAR H.P. GEL 80 UNITS/ML VL
PEG-INTRON 150 MCG KIT
PEG-INTRON REDIPEN 150 MCG
PEG-INTRON REDIPEN 150 MCG 4PK
PEG-INTRON REDIPEN 150 MCG
BAL IN OIL 100 MG/ML AMPUL
PENTOTHAL 500 MG W/DILUENT
WHITE-FACED HORNET VIAL
AMLACTIN DISTRIBUTION PACK
LUTREPULSE 0.8 MG VIAL
PREPIDIL 0.5 MG/3 GM GEL
INFERGEN 15 MCG/0.5 ML VIAL
INFERGEN 15 MCG/0.5 ML VIAL
INFERGEN 15 MCG/0.5 ML VIAL
BYETTA 250 MCG/ML PEN INJECTOR
TENDERWET 1.6" SYSTEM
TENDERWET 1.6" SYSTEM
ARANESP 60 MCG/0.3 ML SYRINGE
ARANESP 60 MCG/0.3 ML SYRINGE
ZINECARD 250 MG VIAL
DEXRAZOXANE 250 MG VIAL
DROPERIDOL POWDER
DROPERIDOL POWDER
NOVANTRONE 2 MG/ML VIAL
NOVANTRONE 2 MG/ML VIAL
NOVANTRONE 2 MG/ML VIAL
HEALON5 23 MG/ML DISP SYRIN
TIMENTIN 31 GM BULK VIAL
TIMENTIN 31 GM BULK VIAL
NUTROPIN AQ PEN CARTRIDGE
NUTROPIN AQ 5 MG/ML VIAL
FERTINEX 150 UNIT AMPULE
FENOLDOPAM 10 MG/ML VIAL
FENOLDOPAM 10 MG/ML VIAL

DOSE FORM DRUG STRENGTH


PA
PA
PA
YK
YK
YK
YK
YK
HS
PA
YK
IK
IK
QC
HS
IK
IK
YK
HS
HV
YK
IK
IK
IK
HH
HS
HS
YK
HS
JU
HV
HV
HV
IJ
YK
YK
HQ
DI
HS
HS
PA
PA
VI
VI
VI
HQ
HS
HS
HJ
HV
HR
HV
HV

UNIT PRICE
$
123.25
$
123.25
$
123.25
$
123.42
$
123.63
$
124.21
$
124.22
$
124.58
$
124.78
$
124.95
$
125.26
$
125.26
$
125.26
$
126.50
$
126.50
$
126.53
$
126.53
$
126.53
$
126.68
$
127.41
$
127.68
$
127.68
$
127.68
$
127.68
$
128.08
$
128.09
$
128.67
$
128.88
$
129.36
$
129.86
$
129.98
$
129.98
$
129.98
$
130.16
$
131.25
$
131.25
$
131.67
$
131.67
$
132.08
$
132.08
$
132.22
$
132.22
$
132.47
$
132.47
$
132.47
$
132.82
$
133.18
$
133.18
$
133.80
$
134.24
$
134.43
$
135.00
$
135.00

NDC
44087000501
44087000507
44087100502
50242001902
50242007203
54569493000
57844071319
57844071341
65044994504
38779019800
38779019806
49452129101
49452129102
49452129103
49452192601
49452192602
51552066801
51927283400
62991117901
62991117902
62991117903
62991117904
62991117905
62991117906
63370003510
49281027810
66302010201
50419000201
50419000233
58406000201
58406000233
00009722402
55513001201
55513001204
00083260901
55390012901
55390015901
00074230401
00074230402
00409230402
10019014201
10019014202
62860000401
00169777411
44087000401
44087000407
00004197101
64894084050
44087915001
00004035009
54868488700
00002733501
00002733516

NAME
SEROSTIM 5 MG VIAL
SEROSTIM 5 MG VIAL
SAIZEN 5 MG VIAL
NUTROPIN 5 MG VIAL
NUTROPIN 5 MG VIAL
SAIZEN 5 MG VIAL
TEV-TROPIN 5 MG VIAL
TEV-TROPIN 5 MG VIAL
VENOMIL MIXED VESPID VIAL
BUDESONIDE POWDER
BUDESONIDE POWDER
BUDESONIDE POWDER
BUDESONIDE POWDER
BUDESONIDE POWDER
BUDESONIDE POWDER
BUDESONIDE POWDER
BUDESONIDE POWDER
BUDESONIDE POWDER
BUDESONIDE POWDER
BUDESONIDE POWDER
BUDESONIDE POWDER
BUDESONIDE POWDER
BUDESONIDE POWDER
BUDESONIDE POWDER
BUDESONIDE POWDER
DIPHTHERIA-TETANUS TOX-PED
REMODULIN 2.5 MG/ML VIAL
LEUKINE 250 MCG VIAL
LEUKINE 250 MCG VIAL
LEUKINE 250 MCG VIAL
LEUKINE 250 MCG VIAL
ATGAM 50 MG/ML AMPUL
ARANESP 60 MCG/ML VIAL
ARANESP 60 MCG/ML VIAL
AREDIA 90 MG VIAL
PAMIDRONATE DISOD 90 MG VIAL
PAMIDRONATE DISOD 90 MG VIAL
CORLOPAM 10 MG/ML AMPUL
CORLOPAM 10 MG/ML AMPUL
CORLOPAM 10 MG/ML AMPUL
FENOLDOPAM 10 MG/ML AMPULE
FENOLDOPAM 10 MG/ML AMPULE
CORLOPAM 10 MG/ML AMPUL
NORDITROPIN 4 MG VIAL
SEROSTIM 4 MG VIAL
SEROSTIM 4 MG VIAL
ROCEPHIN 10 GM VIAL
HECTOROL 4 MCG/2 ML AMPUL
GONAL-F 150 UNITS AMPULE
PEGASYS 180 MCG/ML VIAL
PEGASYS 180 MCG/ML VIAL
HUMATROPE 5 MG VIAL
HUMATROPE 5 MG VIAL

DOSE FORM DRUG STRENGTH


HS
VI
VI
HS
HS
HS
HS
HS
HS
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
HV
HV
HS
VI
HS
VI
HH
HV
VI
HS
HS
HS
HH
HH
HH
HH
HH
HH
HS
HS
VI
HS
HH
HR
HV
HV
HS
HS

UNIT PRICE
$
135.69
$
135.69
$
135.69
$
135.69
$
135.69
$
135.69
$
135.69
$
135.69
$
135.79
$
136.85
$
136.85
$
136.85
$
136.85
$
136.85
$
136.85
$
136.85
$
136.85
$
136.85
$
136.85
$
136.85
$
136.85
$
136.85
$
136.85
$
136.85
$
136.85
$
137.62
$
138.12
$
139.90
$
139.90
$
139.90
$
139.90
$
140.63
$
141.89
$
141.89
$
142.00
$
142.00
$
142.00
$
142.72
$
142.72
$
142.72
$
142.72
$
142.72
$
142.72
$
142.80
$
142.80
$
142.80
$
142.99
$
142.99
$
143.23
$
143.30
$
143.30
$
143.70
$
143.70

NDC
51479005510
00703485211
00703485291
08065183135
00085111001
49452366101
49452366103
00013261681
00013261694
00013262681
00013262694
50419015057
66607101006
52769011802
52769057411
53329099050
53329099250
08065183150
40565012151
40565012167
00300364101
54868282500
64116003901
64116003906
64116003924
00300364201
53329099024
53329099124
44206041706
52769041706
00009518001
49452317001
49452317002
00002755901
49452107001
49452107004
49452107005
58394000401
58394000402
10019031122
40565012153
40565012168
50458030611
00085123501
54868252200
55513053001
55513053010
59676010101
59627000103
59627000205
55566720805
00016031555
00016031585

NAME
MAXIPIME 2 GM ADD-VANTAGE VL
FLUDARABINE 50 MG/2 ML VIAL
FLUDARABINE 50 MG/2 ML VIAL
DUOVISC VISCOELASTIC SYSTEM
INTRON A 18 MILLION UNITS VIAL
IDOXURIDINE POWDER
IDOXURIDINE POWDER
GENOTROPIN 5.8 MG CARTRIDGE
GENOTROPIN 5.8 MG CARTRIDGE
GENOTROPIN 5.8 MG CARTRIDGE
GENOTROPIN 5.8 MG CARTRIDGE
REFLUDAN 50 MG VIAL
ORFADIN 10 MG CAPSULE
VARICELLA-ZOSTER IMM GLOBUL
VARICELLA-ZOSTER IMM GLOBUL
TENDERWET 3"X3" SYSTEM
TENDERWET 3"X3" SYSTEM
DUOVISC VISCOELASTIC SYSTEM
ACTICOAT 16"X16" DRESSING
ACTICOAT 16"X16" DRESSING
LUPRON DEPOT 3.75 MG KIT
LUPRON DEPOT 3.75 MG KIT
INFERGEN 9 MCG/0.3 ML VIAL
INFERGEN 9 MCG/0.3 ML VIAL
INFERGEN 9 MCG/0.3 ML VIAL
LUPRON DEPOT 7.5 MG KIT
TENDERWET 2.2" SYSTEM
TENDERWET 2.2" SYSTEM
CARIMUNE NF 6 GM VIAL
PANGLOBULIN NF 6 GM VIAL
SOMAVERT 20 MG VIAL
FLUOROMETHOLONE POWDER
FLUOROMETHOLONE POWDER
XIGRIS 5 MG VIAL
BETAMETHASONE POWDER
BETAMETHASONE POWDER
BETAMETHASONE POWDER
NEUMEGA 5 MG VIAL
NEUMEGA 5 MG VIAL
REVEX 1 MG/ML AMPULE
ACTICOAT 4"X48" ROLL DRESSING
ACTICOAT 4"X48" DRESSING
RISPERDAL CONSTA 25 MG SYR
INTRON A 5MM UNITS INJECT PEN
NEUPOGEN 300 MCG/ML VIAL
NEUPOGEN 300 MCG/ML VIAL
NEUPOGEN 300 MCG/ML VIAL
ORTHOCLONE OKT-3 5 MG/5 ML
AVONEX ADMIN PACK 30 MCG VL
AVONEX ADMIN PACK 30 MCG SYR
LUTREPULSE 0.8 MG KIT
HEALON YELLOW DISP SYRINGE
HEALON YELLOW DISP SYRINGE

DOSE FORM DRUG STRENGTH


HS
HV
HV
YK
HS
PA
PA
HI
HI
HI
HI
VI
CA
HS
HS
YK
YK
YK
YE
YE
YK
YK
HV
HV
HV
HX
YK
YK
HS
HS
HS
PA
PA
HS
PA
PA
PA
HS
HS
HH
YE
YE
HX
HQ
HV
HV
HV
HH
YK
YK
YK
HQ
HQ

UNIT PRICE
$
146.03
$
146.24
$
146.24
$
146.63
$
148.55
$
149.18
$
149.18
$
151.02
$
151.02
$
151.02
$
151.02
$
153.43
$
154.78
$
155.00
$
155.00
$
155.00
$
155.00
$
155.13
$
155.16
$
155.16
$
155.78
$
155.78
$
157.23
$
157.23
$
157.23
$
158.00
$
158.63
$
158.63
$
159.17
$
159.17
$
159.38
$
160.14
$
160.14
$
161.15
$
161.50
$
161.50
$
161.50
$
162.10
$
162.10
$
163.75
$
164.33
$
164.33
$
164.84
$
165.17
$
166.33
$
166.33
$
166.33
$
167.25
$
170.54
$
170.54
$
171.72
$
171.87
$
171.87

NDC
53298120102
00002808901
64281010006
64281010012
51479004210
51479004215
18968000101
18968000102
49452802001
51927141900
50914772902
63004772902
00212880093
00944262002
52769047172
60553011110
39822010001
49452560001
53329099240
53329099440
55513054601
55513054610
00007440701
08065183905
08065183975
62053053425
50907038006
50907038007
54765038001
54765038005
55390001310
65044994506
50242005801
50242005804
33413000731
00045025414
57665000202
44087000601
44087000607
00085125201
00085125202
38779055307
51927364200
62991154501
62991154502
62991154503
00006382210
00053245300
58281056001
58281056002
49281029810
05461010000
18270000030

NAME
MIXED VESPID VENOM VIAL
HUMATROPE 6 MG CARTRIDGE
PROVOCHOLINE 100 MG VIAL
PROVOCHOLINE 100 MG VIAL
AZACTAM 2 GM VIAL
AZACTAM 2 GM VIAL
RESPERATE 1.0 KIT
RESPERATE 1.1 KIT
TUBOCURARINE CHLORIDE POWDR
DIBUTYL SQUARATE LIQUID
GLOFIL 0.1% VIAL
GLOFIL-125 1 MG/ML VIAL
COMPAT SURGICAL FEED TUBE
GAMMAGARD S/D 2.5 GM VL W/ST
POLYGAM S/D 2.5 GM VL W/DIL
TRISENOX 10 MG/10 ML AMPULE
POLYMYXIN B SULF 100MM UNIT PW
POLYMYXIN B SULF 100MM UNIT PW
TENDERWET 4"X4" SYSTEM
TENDERWET 4"X4" SYSTEM
NEUPOGEN 480 MCG/1.6 ML VIAL
NEUPOGEN 480 MCG/1.6 ML VIAL
ARGATROBAN 100 MG/ML VIAL
VISCOAT SYRINGE
VISCOAT SYRINGE
THYMOGLOBULIN 25 MG VIAL
PARAGARD T 380-A IUD
PARAGARD T 380-A IUD
PARAGARD T 380-A IUD
PARAGARD T 380-A IUD
DIHYDROERGOTAMINE 1 MG/ML VL
MIXED VESPID VENOM VIAL
RAPTIVA 125 MG KIT
RAPTIVA 125 MG KIT
VACU-AIDE SUCTION PUMP KIT
HALDOL DECANOATE 100 AMPUL
ONCASPAR 750 UNIT/ML VIAL
SEROSTIM 6 MG VIAL
SEROSTIM 6 MG VIAL
TEMODAR 250 MG CAPSULE
TEMODAR 250 MG CAPSULE
MITOMYCIN POWDER
MITOMYCIN POWDER
MITOMYCIN POWDER
MITOMYCIN POWDER
MITOMYCIN POWDER
CANCIDAS IV 50 MG VIAL
STIMATE 1.5 MG/ML NASAL SPRAY
LIORESAL IT 10 MG/20 ML KIT
LIORESAL IT 10 MG/20 ML KIT
TRIPEDIA PRESERVATIVE FREE
INJEX 30 NEEDLE FREE SYST
INJEX 30 NEEDLE FREE SYST

DOSE FORM DRUG STRENGTH


HS
HI
HS
HS
HS
HS
YK
YK
PA
RL
HV
HV
YK
HS
HS
HH
EA
EA
YK
YK
HV
HV
HV
HQ
HQ
HS
EA
EA
EA
EA
HV
HS
YK
YK
YK
HH
HV
HS
VI
CA
CA
PA
PA
PA
PA
PA
HS
AT
YK
YK
HV
EA
EA

UNIT PRICE
$
172.34
$
173.40
$
175.20
$
175.20
$
176.15
$
176.15
$
177.91
$
177.91
$
178.50
$
178.50
$
183.02
$
183.02
$
185.64
$
187.50
$
187.50
$
189.64
$
191.25
$
191.25
$
192.36
$
192.36
$
193.71
$
193.71
$
194.07
$
195.51
$
195.51
$
196.20
$
199.00
$
199.00
$
199.00
$
199.00
$
200.00
$
202.37
$
205.79
$
205.79
$
206.55
$
207.46
$
211.10
$
214.20
$
214.20
$
215.11
$
215.11
$
216.75
$
216.75
$
216.75
$
216.75
$
216.75
$
217.96
$
218.88
$
219.30
$
219.30
$
219.94
$
221.00
$
221.00

NDC
17314480001
00310072025
50242001564
50242002849
38779038900
38779038903
38779038906
49452167401
49452167402
49452167403
51552030601
51927263800
58468106001
44206041603
00013519001
63004479006
11098050701
64116001101
64116001112
57665033101
44087002203
44087004403
00053177101
62991151301
62991151302
62991151303
62991151304
62991151305
50242004201
38779197400
38779197401
38779197403
38779197404
38779197405
38779197406
51927296300
58160084246
50458030711
38779150200
38779150203
38779150206
49452521702
51927266900
63370017005
63370017006
63370017008
63370017009
63370017010
63370017015
63370017025
59075071210
38779019603
38779019606

NAME
ACTISITE PERIODONTAL FIBER
FASLODEX 125 MG/2.5 ML SYRNGE
PROTROPIN 5 MG VIAL
PROTROPIN 5 MG VIAL
CANTHARIDIN POWDER
CANTHARIDIN POWDER
CANTHARIDIN POWDER
CANTHARIDIN POWDER
CANTHARIDIN POWDER
CANTHARIDIN POWDER
CANTHARIDIN BP POWDER
CANTHARIDIN POWDER
CEREDASE 80 UNITS/ML VIAL
CARIMUNE NF 3 GM VIAL
FRAGMIN 10,000 UNITS SYRINGE
ETHAMOLIN 5% AMPUL
CYANIDE ANTIDOTE PACKAGE
ACTIMMUNE 2MMI UNITS/0.5 VIAL
ACTIMMUNE 2MMI UNITS/0.5 VIAL
DEPOCYT 50 MG/5 ML VIAL
REBIF 22 MCG/0.5 ML SYRINGE
REBIF 44 MCG/0.5 ML SYRINGE
STREPTASE 750,000 UNITS VIAL
APOMORPHINE HCL POWDER
APOMORPHINE HCL POWDER
APOMORPHINE HCL POWDER
APOMORPHINE HCL POWDER
APOMORPHINE HCL POWDER
XOLAIR 75 MG VIAL
METHYLCOBALAMIN POWDER
METHYLCOBALAMIN POWDER
METHYLCOBALAMIN POWDER
METHYLCOBALAMIN POWDER
METHYLCOBALAMIN POWDER
METHYLCOBALAMIN POWDER
METHYLCOBALAMIN POWDER
BOOSTRIX VACCINE SYRINGE
RISPERDAL CONSTA 37.5 MG SYR
PHENTOLAMINE MESYLATE POWD
PHENTOLAMINE MESYLATE POWD
PHENTOLAMINE MESYLATE POWD
PHENTOLAMINE MESYLATE POWD
PHENTOLAMINE MESYLATE POWD
PHENTOLAMINE MESYLATE POWD
PHENTOLAMINE MESYLATE POWD
PHENTOLAMINE MESYLATE POWD
PHENTOLAMINE MESYLATE POWD
PHENTOLAMINE MESYLATE POWD
PHENTOLAMINE MESYLATE POWD
PHENTOLAMINE MESYLATE POWD
MYOBLOC 10,000 UNITS/2 ML VIAL
BROMOCRIPTINE MESYLATE POWD
BROMOCRIPTINE MESYLATE POWD

DOSE FORM DRUG STRENGTH


YK
HQ
HS
HS
PA
PA
PA
PA
PA
PA
PA
PA
HV
HS
HQ
HH
YK
HV
HV
HV
DI
DI
HS
PA
PA
PA
PA
PA
HS
PA
PA
PA
PA
PA
PA
PA
HQ
HX
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
HV
PA
PA

UNIT PRICE
$
223.38
$
224.71
$
224.72
$
224.72
$
224.91
$
224.91
$
224.91
$
224.91
$
224.91
$
224.91
$
224.91
$
224.91
$
224.96
$
225.00
$
225.18
$
230.96
$
233.38
$
234.46
$
234.46
$
236.19
$
237.40
$
237.40
$
239.06
$
239.70
$
239.70
$
239.70
$
239.70
$
239.70
$
241.54
$
242.75
$
242.75
$
242.75
$
242.75
$
242.75
$
242.75
$
242.75
$
247.02
$
247.11
$
248.04
$
248.04
$
248.04
$
248.04
$
248.04
$
248.04
$
248.04
$
248.04
$
248.04
$
248.04
$
248.04
$
248.04
$
249.36
$
250.75
$
250.75

NDC
49452130801
49452130802
00703430301
00053748610
00944262004
52769047180
55513047801
55513047810
59676032001
00049392083
00270131656
00270131657
00270131659
50242001821
50242002020
00006489700
38779220603
38779220606
51927296100
59075071010
59075071110
66203230001
66203230002
66302010501
00013872589
58178001701
58178001703
50419005014
50419005030
58406005014
58406005030
00006382310
00009766401
52544015302
52544015376
54868308500
65847020525
00310095130
08335005000
00169777011
00006384371
00074610905
00703585401
50419051106
00300210801
00075062430
00944300650
64285300605
55390010601
59730560101
52604710601
58160084146
58468184904

NAME
BROMOCRIPTINE MESYLATE POWD
BROMOCRIPTINE MESYLATE POWD
THIOTEPA 30 MG VIAL
GAMMAR-P I.V. 10 GM VIAL
GAMMAGARD S/D 10 GM VL W/ST
POLYGAM S/D 10 GM VL W/DILUNT
EPOGEN 20,000 UNITS/ML VIAL
EPOGEN 20,000 UNITS/ML VIAL
PROCRIT 20,000 UNITS/ML VIAL
GEODON 20 MG VIAL
ISOVUE-370 KIT
ISOVUE-370 KIT
ISOVUE-370 KIT
NUTROPIN 10 MG VIAL
NUTROPIN 10 MG VIAL
PEDVAXHIB VACCINE VIAL
VIDARABINE POWDER
VIDARABINE POWDER
VIDARABINE POWDER
MYOBLOC 2,500 UNIT/0.5 ML VIAL
MYOBLOC 5,000 UNITS/1 ML VIAL
ARIXTRA 2.5 MG SYRINGE
ARIXTRA 2.5 MG SYRINGE
REMODULIN 5 MG/ML VIAL
ZINECARD 500 MG VIAL
ETHYOL 500 MG VIAL
ETHYOL 500 MG VIAL
LEUKINE 500 MCG/ML VIAL
LEUKINE 500 MCG/ML VIAL
LEUKINE 500 MCG/ML VIAL
LEUKINE 500 MCG/ML VIAL
CANCIDAS IV 70 MG VIAL
TRELSTAR DEPOT 3.75 MG VIAL
TRELSTAR DEPOT 3.75 MG VIAL
TRELSTAR DEPOT 3.75 MG VIAL
INTRON A 3 MILLION UNITS VIAL
NATRECOR 1.5 MG VIAL
ZOLADEX 10.8 MG IMPLANT SYRN
EROS-CTD DEVICE
NORDITROPIN 15 MG/1.5 ML CRTG
INVANZ 1 GM VIAL
ABBOKINASE 250,000 UNITS VIAL
FLUDARABINE 50 MG VIAL
FLUDARA 50 MG VIAL
LUPRON DEPOT-PED 7.5 MG KIT
LOVENOX 30 MG PREFILLED SYRN
TISSEEL VH KIT
HEMASEEL APR KIT
ALLOPURINOL SODIUM 500 MG VIAL
ALOPRIM 500 MG VIAL
THROMBIN-JMI 50,000 UNITS VIAL
PEDIARIX 0.5 ML SYRINGE
THYROGEN 1.1 MG VIAL

DOSE FORM DRUG STRENGTH


PA
PA
HS
HS
HS
HS
HV
HV
HV
HS
YK
YK
YK
HS
HS
HV
PA
PA
PA
HV
HV
HQ
HQ
HV
HS
HS
HS
HV
VI
HV
VI
HS
HS
HS
HS
HS
HS
IA
EA
HJ
HS
HS
HS
VI
YK
HQ
YK
YK
HS
HS
HS
HQ
HS

UNIT PRICE
$
250.75
$
250.75
$
252.35
$
254.60
$
254.60
$
254.60
$
256.30
$
256.30
$
256.30
$
259.47
$
260.05
$
260.05
$
260.05
$
260.99
$
260.99
$
263.38
$
264.44
$
264.44
$
264.44
$
266.08
$
271.26
$
275.00
$
275.00
$
276.25
$
276.95
$
277.65
$
277.65
$
279.80
$
279.80
$
279.80
$
279.80
$
280.45
$
281.40
$
281.40
$
281.40
$
283.93
$
284.51
$
284.92
$
286.88
$
288.31
$
291.31
$
291.73
$
292.48
$
292.48
$
300.02
$
304.30
$
304.81
$
304.81
$
304.99
$
304.99
$
306.48
$
308.62
$
309.57

NDC
58406043501
58406043504
00023114501
00023923201
54868412300
00169770811
00075062300
44206041812
44206050862
52769041812
08290002317
00406073552
63275120001
63275120002
63275120004
63275120007
50242004062
50458030811
00024022205
00024059722
00009028301
00013264681
00013264694
49452345003
44087882201
00085125401
00169777812
00074379902
54569552400
54868482200
00270131743
67066000101
00002809001
63481012021
00270131557
00270131558
00270131559
55566723205
00009085608
53905006501
44087108001
44087108002
44087108801
44087338807
00052031301
00013240691
44087111401
00075800120
00015355427
00015355626
00703410048
00703410058
00703410948

NAME
ENBREL 50 MG/ML SYRINGE
ENBREL 50 MG/ML SYRINGE
BOTOX 100 UNITS VIAL
BOTOX COSMETIC 100 UNITS VIAL
BOTOX 100 UNITS VIAL
NORDITROPIN NORDIFLX 15 MG/1.5
LOVENOX 100 MG PREFILLED SYR
CARIMUNE NF 12 GM VIAL
CARIMUNE 12 GM VIAL
PANGLOBULIN NF 12 GM VIAL
YALE SYRINGE 100 ML
LEVORPHANOL TARTRATE POWDER
LEVORPHANOL TARTRATE POWDER
LEVORPHANOL TARTRATE POWDER
LEVORPHANOL TARTRATE POWDER
LEVORPHANOL TARTRATE POWDER
XOLAIR 150 MG VIAL
RISPERDAL CONSTA 50 MG SYR
ELIGARD 22.5 MG SYRINGE
ELIGARD 22.5 MG SYRINGE
GELFILM
GENOTROPIN 13.8 MG CARTRIDGE
GENOTROPIN 13.8 MG CARTRIDGE
HEPARIN SOD 1,000,000 UNIT PWD
REBIF TITRATION PACK
INTRON A 10MM UNITS INJ PEN
NORDITROPIN 8 MG VIAL
HUMIRA 40 MG/0.8 ML SYRINGE
HUMIRA 40 MG/0.8 ML SYRINGE
HUMIRA 40 MG/0.8 ML SYRINGE
ISOVUE-250 51% KIT
SECREFLO 16 MCG VIAL
HUMATROPE 12 MG CARTRIDGE
DEPODUR 20 MG/2 ML VIAL
ISOVUE-300 KIT
ISOVUE-300 KIT
ISOVUE-300 KIT
LUTREPULSE 3.2 MG KIT
HEMABATE 250 MCG/ML AMPUL
TOBI 300 MG/5 ML SOLUTION
SAIZEN 8.8 MG CLICK.EASY CARTG
SAIZEN 8.8 MG CLICK.EASY CARTG
SAIZEN 8.8 MG VIAL
ZORBTIVE 8.8 MG VIAL
FOLLISTIM AQ 437.5 UNIT CARTRG
FRAGMIN 2,500 UNITS SYRINGE
GONAL-F RFF 900 UNITS PEN
TAXOTERE 20 MG/0.5 ML VIAL
IFEX/MESNEX KIT
IFEX/MESNEX KIT
IFOSFAMIDE/MESNA KIT
IFOSFAMIDE/MESNA KIT
IFOSFAMIDE/MESNA KIT

DOSE FORM DRUG STRENGTH


HQ
HQ
HS
HS
HS
IJ
HQ
HS
HS
HS
YC
PA
PA
PA
PA
PA
HS
HX
HX
HX
EA
HI
HI
PU
DI
HQ
HS
YK
YK
YK
YK
HS
HI
HV
YK
YK
YK
YK
HH
AL
CA
CA
VI
VI
HJ
HQ
IJ
HV
YK
YK
YK
YK
YK

UNIT PRICE
$
311.77
$
311.77
$
313.19
$
313.19
$
313.19
$
313.73
$
314.04
$
318.33
$
318.33
$
318.33
$
322.15
$
326.40
$
326.40
$
326.40
$
326.40
$
326.40
$
326.72
$
330.55
$
331.65
$
331.65
$
332.00
$
335.84
$
335.84
$
338.09
$
339.16
$
340.61
$
342.46
$
343.87
$
343.87
$
343.87
$
344.31
$
345.31
$
346.50
$
347.70
$
349.33
$
349.33
$
349.33
$
349.56
$
353.43
$
362.43
$
365.16
$
365.16
$
365.16
$
365.16
$
368.90
$
370.35
$
370.57
$
371.62
$
372.80
$
372.80
$
372.80
$
372.80
$
372.80

NDC
00703410958
50242003235
00944295006
60492002401
00075800180
51927364500
57894003001
54092063875
54092063975
50419042101
00002750201
00085053901
54868334100
54569549100
60574411201
33413000120
33413001030
33413001040
33413001070
33413001351
33413001356
33413001358
33413001631
33413001632
33413001653
33413001654
33413002004
33413002030
33413002040
33413002050
33413002060
33413003030
33413003050
33413004020
33413004040
33413005004
33413005014
33413005015
33413005016
33413007351
33413007352
33413007353
55566723200
08021333542
63481011521
55513020901
55513020910
54868502000
55513092401
55513092410
00574041701
00052031601
55566030201

NAME
IFOSFAMIDE/MESNA KIT
NUTROPIN DEPOT 13.5 MG KIT
WINRHO SDF 5,000 UNITS VIAL
WINRHO SDF 5,000 UNITS VIAL
TAXOTERE 80 MG/2 ML VIAL
OXYPURINOL POWDER
REMICADE 100 MG VIAL
SUPPRELIN 500 MCG/ML KIT
SUPPRELIN 1,000 MCG/ML KIT
MIRENA SYSTEM
GEMZAR 1 GRAM VIAL
INTRON A 50 MILLION UNITS VIAL
INTRON A 50 MILLION UNITS VIAL
SYNAGIS 50 MG VIAL
SYNAGIS 50 MG VIAL
HIDEAWAY OXYGEN SYSTEM
WALKABOUT 1 OXYGEN SYSTEM
WALKABOUT 1 OXYGEN SYSTEM
WALKABOUT 1 OXYGEN SYSTEM
MC CLASSIC 5-L OXYGEN CONC
MC CLASSIC 5-L OXYGEN CONC
MC CLASSIC 5-L OXYGEN CONC
PV CLASSIC 3L OXYGEN CONC
PV CLASSIC 3L OXYGEN CONC
KEYSTONE PLUS OXYGEN CONC
KEYSTONE PLUS OXYGEN CONC
OMS 20 DEMAND OXYGEN DEL SY
WALKABOUT 2 OXYGEN SYSTEM
WALKABOUT 2 OXYGEN SYSTEM
WALKABOUT 2 OXYGEN SYSTEM
WALKABOUT 2 OXYGEN SYSTEM
WALKABOUT 3 OXYGEN SYSTEM
WALKABOUT 3 OXYGEN SYSTEM
WALKABOUT MINI OXYGEN SYST
WALKABOUT MINI OXYGEN SYST
OMS 50 DEMAND OXYGEN DEL SY
OMS 50 DEMAND OXYGEN DEL SY
OMS 50 DEMAND OXYGEN DEL SY
OMS 50 DEMAND OXYGEN DEL SY
REVITALIZER CLINICAL MODEL
REVITALIZER SOFT-START SYST
HORIZON NASAL CPAP SYSTEM
LUTREPULSE 3.2 MG VIAL
STIMUPLEX KIT
DEPODUR 15 MG/1.5 ML VIAL
NEUPOGEN 480 MCG/0.8 ML SYR
NEUPOGEN 480 MCG/0.8 ML SYR
NEUPOGEN 300 MCG/0.5 ML SYR
NEUPOGEN 300 MCG/0.5 ML SYR
NEUPOGEN 300 MCG/0.5 ML SYR
COLISTIN SULFATE POWDER
FOLLISTIM AQ 737.5 UNIT CARTRG
ACTHREL 100 MCG VIAL

DOSE FORM DRUG STRENGTH


YK
YK
HS
HS
HV
PA
HS
YK
YK
IU
HS
HS
HS
HS
HS
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
HS
YK
HV
HQ
HQ
HQ
HQ
HQ
PU
HJ
HS

UNIT PRICE
$
372.80
$
375.24
$
375.71
$
375.71
$
377.12
$
387.96
$
388.31
$
400.10
$
400.10
$
401.10
$
404.73
$
413.36
$
413.36
$
415.79
$
415.79
$
416.50
$
416.50
$
416.50
$
416.50
$
416.50
$
416.50
$
416.50
$
416.50
$
416.50
$
416.50
$
416.50
$
416.50
$
416.50
$
416.50
$
416.50
$
416.50
$
416.50
$
416.50
$
416.50
$
416.50
$
416.50
$
416.50
$
416.50
$
416.50
$
416.50
$
416.50
$
416.50
$
420.70
$
420.75
$
423.47
$
425.00
$
425.00
$
426.80
$
426.80
$
426.80
$
432.86
$
435.58
$
439.28

NDC
38779043700
38779043706
51927209900
62991123601
62991123602
00173023044
00024061030
50242001665
50242003050
44087120301
53905099101
59075072010
59075072210
00074163802
00409163802
58281056102
58281056104
58281056301
58281056302
55513001301
55513001304
00005197067
00300366301
00075291201
00075291501
00300228201
55513001401
55513001404
00300334601
44087903001
00053177301
66460089001
58160084211
08884322424
08884332423
08884350003
70074050596
70074052034
70074055335
50242003441
55513082301
55513082310
59676034001
00281036510
59730605907
00007420101
00007420105
00007323611
00015356415
00703410068
00703410968
68158014951
66302011001

NAME
ERGONOVINE MALEATE POWDER
ERGONOVINE MALEATE POWDER
ERGONOVINE MALEATE POWDER
ERGONOVINE MALEATE POWDER
ERGONOVINE MALEATE POWDER
DIGIBIND 38 MG VIAL
ELIGARD 30 MG SYRINGE
PROTROPIN 10 MG VIAL
PROTROPIN 10 MG VIAL
CETROTIDE 3 MG KIT
PROLEUKIN 22MILLION UNIT VIAL
PRIALT 100 MCG/ML VIAL
PRIALT 100 MCG/ML VIAL
PRECEDEX 200 MCG/2 ML VIAL
PRECEDEX 200 MCG/2 ML VIAL
LIORESAL IT 10 MG/5 ML KIT
LIORESAL IT 10 MG/5 ML KIT
LIORESAL IT 40 MG/20 ML KIT
LIORESAL IT 40 MG/20 ML KIT
ARANESP 100 MCG/ML VIAL
ARANESP 100 MCG/ML VIAL
PREVNAR VIAL
LUPRON DEPOT 11.25 MG 3MO KT
LOVENOX 120 MG PREFILLED SYR
LOVENOX 150 MG PREFILLED SYR
LUPRON DEPOT-PED 11.25 MG KT
ARANESP 200 MCG/ML VIAL
ARANESP 200 MCG/ML VIAL
LUPRON DEPOT 22.5 MG 3MO KIT
GONAL-F 450 UNITS VIAL
STREPTASE 1.5 MILLION UNITS VL
RES-Q-AIR GAS SYSTEM
BOOSTRIX VACCINE VIAL
KANGAROO ENTERAL FEED PUMP
KANGAROO ENTERAL FEED PUMP
KANGAROO PET ENTRL FEED PMP
FLEXIFLO QUANTUM ENTRL PUMP
FLEXIFLO PATROL ENTERAL PMP
EMBRACE FEEDING PUMP
NUTROPIN DEPOT 18 MG KIT
EPOGEN 40,000 UNITS/ML VIAL
EPOGEN 40,000 UNITS/ML VIAL
PROCRIT 40,000 UNITS/ML VIAL
DIGIFAB 40 MG VIAL
AUTOPLEX T 180-1,050 UNIT VIAL
HYCAMTIN 4 MG VIAL
HYCAMTIN 4 MG VIAL
ARIXTRA 10 MG SYRINGE
IFEX/MESNEX KIT
IFOSFAMIDE/MESNA KIT
IFOSFAMIDE/MESNA KIT
PLENAXIS 100 MG VIAL
REMODULIN 10 MG/ML VIAL

DOSE FORM DRUG STRENGTH


PA
PA
PA
PA
PA
HS
HX
HS
HS
KI
HS
HV
HV
HV
HV
YK
YK
YK
YK
HV
HV
HV
YK
HQ
HQ
YK
HV
HV
HX
VI
HS
YK
HV
EA
EA
EA
EA
EA
EA
YK
HV
HV
HV
HS
HS
HS
HS
HQ
YK
YK
YK
HS
HV

UNIT PRICE
$
439.45
$
439.45
$
439.45
$
439.45
$
439.45
$
440.90
$
442.20
$
449.43
$
449.43
$
452.20
$
454.47
$
455.35
$
455.35
$
455.72
$
455.72
$
459.00
$
459.00
$
459.00
$
459.00
$
463.04
$
463.04
$
463.34
$
467.33
$
467.88
$
467.88
$
468.26
$
472.97
$
472.97
$
474.00
$
474.87
$
478.13
$
481.09
$
494.02
$
499.38
$
499.38
$
499.38
$
499.38
$
499.38
$
499.38
$
500.05
$
502.91
$
502.91
$
502.91
$
510.00
$
513.00
$
517.80
$
517.80
$
518.75
$
532.57
$
532.57
$
532.57
$
533.31
$
552.50

NDC
00085123603
00085124103
00085125803
00300368301
51927363200
58468198301
08172020200
00004035039
00004035239
54868488701
59627002103
59627002104
63481011021
00013242691
00406066252
00406113052
38779175600
38779175601
38779175603
38779175604
38779175605
38779175606
38779175609
49452003201
49452003202
51552068702
51927101900
62991140501
62991140502
62991140503
62991140504
62991140505
63370092009
63370092015
00013242601
59627002001
59627002002
00024059602
00300244001
68817013450
00074463701
67425000101
67425000102
52769011801
52769057466
50242003654
44087111201
44087111301
38779040600
38779040606
57894004002
58468004101
00469301601

NAME
REBETRON 600 THERAPY PAK
REBETRON 600 THERAPY PAK
REBETRON 600 THERAPY PAK
LUPRON DEPOT-4 MONTH KIT
VIDARABINE MONOHYDRATE POWDER
CEREZYME 200 UNITS VIAL
DERMAGRAFT 2"X3" SHEET
PEGASYS 180 MCG/ML CONV.PACK
PEGASYS 180 MCG/0.5 ML CONV.PK
PEGASYS CONVENIENCE PACK
AMEVIVE 15 MG VIAL
AMEVIVE 15 MG VIAL
DEPODUR 10 MG/ML VIAL
FRAGMIN 5,000 UNITS SYRINGE
FENTANYL CITRATE POWDER
FENTANYL CITRATE POWDER
FENTANYL CITRATE POWDER
FENTANYL CITRATE POWDER
FENTANYL CITRATE POWDER
FENTANYL CITRATE POWDER
FENTANYL CITRATE POWDER
FENTANYL CITRATE POWDER
FENTANYL CITRATE POWDER
FENTANYL CITRATE POWDER
FENTANYL CITRATE POWDER
FENTANYL CITRATE POWDER
FENTANYL CITRATE POWDER
FENTANYL CITRATE POWDER
FENTANYL CITRATE POWDER
FENTANYL CITRATE POWDER
FENTANYL CITRATE POWDER
FENTANYL CITRATE POWDER
FENTANYL CITRATE POWDER
FENTANYL CITRATE POWDER
FRAGMIN 7,500 UNITS SYRINGE
AMEVIVE 7.5 MG VIAL
AMEVIVE 7.5 MG VIAL
ELOXATIN 50 MG VIAL
LUPRON DEPOT-PED 15 MG KIT
ABRAXANE 100 MG VIAL
ZEMPLAR 2 MCG/ML VIAL
VITRASE 6,200 UNITS VIAL
HYALURONIDASE 6200UNT/VIL INJ
VARICELLA-ZOSTER IMM GLOBUL
VARICELLA-ZOSTER IMM GLOBUL
NUTROPIN DEPOT 22.5 MG KIT
GONAL-F RFF 450 UNITS PEN
GONAL-F RFF 300 UNITS PEN
FLUNISOLIDE POWDER
FLUNISOLIDE POWDER
RETAVASE VIAL HALF-KIT
FABRAZYME 5 MG VIAL
PROGRAF 5 MG/ML AMPULE

DOSE FORM DRUG STRENGTH


YK
YK
IK
YK
PA
HS
FS
YK
YK
YK
HS
HS
HV
HQ
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
HQ
HS
HS
HS
YK
HS
HV
HS
HS
HS
HS
YK
PE
PE
PA
PA
YK
HS
HH

UNIT PRICE
$
559.90
$
559.90
$
559.90
$
560.00
$
561.00
$
562.40
$
569.50
$
573.21
$
573.21
$
573.21
$
580.29
$
580.29
$
586.62
$
590.60
$
592.20
$
592.20
$
592.20
$
592.20
$
592.20
$
592.20
$
592.20
$
592.20
$
592.20
$
592.20
$
592.20
$
592.20
$
592.20
$
592.20
$
592.20
$
592.20
$
592.20
$
592.20
$
592.20
$
592.20
$
592.63
$
595.00
$
595.00
$
595.25
$
600.05
$
601.87
$
603.06
$
603.31
$
603.31
$
625.00
$
625.00
$
625.80
$
633.16
$
633.54
$
634.64
$
634.64
$
636.80
$
637.50
$
637.80

NDC
00008033204
00002756101
00088115330
68115075030
00024515010
63020004901
00085123602
00085124102
00085125802
00007323411
58160084111
00002809101
55513001501
63323033461
54569549200
60574411101
08172001011
38779054200
38779054206
49452221701
49452221702
58178002101
67800012110
08197200101
00085123601
00085124101
00085125801
54569542700
00169706001
49452825301
49452825302
49452825303
51552076501
51927101200
62991158301
62991158302
62991158303
63370090506
63370090509
63370090510
63370090515
51927285800
00078039361
00173013093
59572030101
50242004413
00009521501
52544015402
52544015476
55513004101
55513004104
55513005401
55513005404

NAME
ANTIVENIN POLYVALENT CMB PK
XIGRIS 20 MG VIAL
COPAXONE 20 MG INJECTION KIT
COPAXONE 20 MG INJECTION KIT
ELITEK 1.5 MG VIAL
VELCADE 3.5 MG VIAL
REBETRON 1,000 THERAPY PAK
REBETRON 1,000 THERAPY PAK
REBETRON 1,000 THERAPY PAK
ARIXTRA 7.5 MG SYRINGE
PEDIARIX 0.5 ML VIAL
HUMATROPE 24 MG CARTRIDGE
ARANESP 300 MCG/ML VIAL
CEFOTAXIME SODIUM 20 GM VIAL
SYNAGIS 100 MG VIAL
SYNAGIS 100 MG VIAL
TRANSCYTE 5"X7.5" SHEET
COLLAGENASE POWDER
COLLAGENASE POWDER
COLLAGENASE POWDER
COLLAGENASE POWDER
NEUTREXIN 200 MG VIAL
BEXXAR 131 IODINE THERAP
GLUCOWATCH G2 BIOGRAPHER
REBETRON 1,200 THERAPY PAK
REBETRON 1,200 THERAPY PAK
REBETRON 1,200 THERAPY PAK
REBETRON 1,200 THERAPY PAK
NOVOSEVEN 1,200 MCG VIAL
BUPRENORPHINE HCL POWDER
BUPRENORPHINE HCL POWDER
BUPRENORPHINE HCL POWDER
BUPRENORPHINE HCL POWDER
BUPRENORPHINE HCL POWDER
BUPRENORPHINE HCL POWDER
BUPRENORPHINE HCL POWDER
BUPRENORPHINE HCL POWDER
BUPRENORPHINE HCL POWDER
BUPRENORPHINE HCL POWDER
BUPRENORPHINE HCL POWDER
BUPRENORPHINE HCL POWDER
D-AMPETAMINE SULFATE POWDER
SIMULECT 10 MG VIAL
ALKERAN 50 MG VIAL
ALKERAN 50 MG VIAL
ACTIVASE 50 MG VIAL
TRELSTAR LA 11.25 MG VIAL
TRELSTAR LA 11.25 MG VIAL
TRELSTAR LA 11.25 MG VIAL
ARANESP 100 MCG/0.5 ML SYR
ARANESP 100 MCG/0.5 ML SYR
ARANESP 150 MCG/0.75 ML VIAL
ARANESP 150 MCG/0.75 ML VIAL

DOSE FORM DRUG STRENGTH


ZD
HS
YK
YK
HS
HS
YK
YK
IK
HQ
HV
HI
HV
HS
HS
HS
FS
PA
PA
PA
PA
HS
HV
EA
YK
YK
IK
IK
HS
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
HS
HS
VI
HS
HS
HS
HS
HQ
HQ
HV
HV

UNIT PRICE
$
643.73
$
645.12
$
658.55
$
658.55
$
669.18
$
674.15
$
683.67
$
683.67
$
683.67
$
691.67
$
693.06
$
699.37
$
709.46
$
710.00
$
711.05
$
711.05
$
717.40
$
727.20
$
727.20
$
727.20
$
727.20
$
728.23
$
729.81
$
741.63
$
755.45
$
755.45
$
755.45
$
755.45
$
758.08
$
761.60
$
761.60
$
761.60
$
761.60
$
761.60
$
761.60
$
761.60
$
761.60
$
761.60
$
761.60
$
761.60
$
761.60
$
765.00
$
808.43
$
821.11
$
821.11
$
821.95
$
844.20
$
844.20
$
844.20
$
926.08
$
926.08
$
926.08
$
926.08

NDC
00008040703
11994000903
61379010001
00187000714
00281033010
00007323211
00078033184
38779199304
49452029501
49452029502
00078034061
00078034084
57665000101
55513004401
55513004601
55513004801
44087120001
58468466301
00024059704
00310032520
09978000199
00024060545
00004038039
00078034161
00078034184
62701080001
57894004001
62263041411
00008451001
58768015015
00002762301
00074200043
67386070154
55513052001
55513052006
50242003861
00074165801
00074165802
00026971101
51927364300
62991251603
50419035703
50242013460
50242013468
58914015575
50242008527
52604521006
00078034261
00078034284
00009082703
51927326500
64365050301
00074180401

NAME
ANTIVENIN MICRURUS FULVIUS
QUADRAMET VIAL
GLIADEL WAFER
VIRAZOLE 6 GM VIAL
CROFAB VIAL
ARIXTRA 5 MG SYRINGE
SIMULECT 20 MG VIAL
ALPRAZOLAM POWDER
ALPRAZOLAM POWDER
ALPRAZOLAM POWDER
SANDOSTATIN LAR 10 MG KIT
SANDOSTATIN LAR 10 MG KIT
ADAGEN 250 UNITS/ML VIAL
ARANESP 200 MCG/0.4 ML SYR
ARANESP 300 MCG/0.6 ML SYR
ARANESP 500 MCG/1 ML SYRINGE
GONAL-F 1,200 UNITS VIAL
CEREZYME 400 UNITS VIAL
ELOXATIN 100 MG VIAL
MERREM 500 MG VIAL
APLIGRAF DISK
ELIGARD 45 MG SYRINGE
FUZEON CONVENIENCE KIT
SANDOSTATIN LAR 20 MG KIT
SANDOSTATIN LAR 20 MG KIT
NIPENT 10 MG VIAL
RETAVASE VIAL KIT
AMPHOTERICIN B SOLUBILIZED POW
MYLOTARG 5 MG VIAL
VISUDYNE 15 MG VIAL
ALIMTA 500 MG VIAL
PANHEMATIN 313 MG VIAL
PANHEMATIN 313 MG VIAL
KEPIVANCE 6.25 MG VIAL
KEPIVANCE 6.25 MG VIAL
TNKASE 50 MG KIT
ZEMPLAR 5 MCG/ML VIAL
ZEMPLAR 5 MCG/ML VIAL
VIADUR IMPLANT KIT
FORMOTEROL FUMARATE POWDER
FORMOTEROL FUMARATE POWDER
CAMPATH 30 MG/ML VIAL
HERCEPTIN 440 MG VIAL
HERCEPTIN 440 MG VIAL
PHOTOFRIN 75 MG VIAL
ACTIVASE 100 MG VIAL
TRIOSTAT 10 MCG/ML VIAL
SANDOSTATIN LAR 30 MG KIT
SANDOSTATIN LAR 30 MG KIT
PROSTIN E2 VAGINAL 20 MG SUP
MIDAZOLAM POWDER
ONTAK 150 MCG/ML VIAL
LIFECARE CONTROL MODEL 1000

DOSE FORM DRUG STRENGTH


ZD
HV
TW
HS
HS
HQ
HS
PA
PA
PA
YK
YK
HV
HQ
HQ
HQ
KI
HS
HS
HS
TD
HX
YK
YK
YK
HS
YK
PA
HS
HS
HS
HS
HS
HS
HS
YK
HV
HV
YK
PA
PA
VI
HS
HS
HS
HS
HV
YK
YK
QC
PA
HV
ZA

UNIT PRICE
$
939.39
$
941.84
$
978.56
$ 1,022.66
$ 1,026.80
$ 1,037.50
$ 1,049.44
$ 1,062.50
$ 1,062.50
$ 1,062.50
$ 1,084.86
$ 1,084.86
$ 1,091.75
$ 1,097.25
$ 1,097.25
$ 1,097.25
$ 1,107.26
$ 1,124.80
$ 1,190.48
$ 1,201.90
$ 1,204.88
$ 1,217.63
$ 1,222.82
$ 1,241.30
$ 1,241.30
$ 1,244.93
$ 1,279.01
$ 1,292.00
$ 1,338.67
$ 1,434.38
$ 1,456.67
$ 1,460.38
$ 1,460.38
$ 1,460.94
$ 1,460.94
$ 1,487.61
$ 1,506.79
$ 1,506.79
$ 1,528.64
$ 1,530.00
$ 1,530.00
$ 1,569.02
$ 1,603.74
$ 1,603.74
$ 1,639.72
$ 1,650.69
$ 1,654.32
$ 1,668.40
$ 1,668.40
$ 1,699.40
$ 1,708.50
$ 1,869.78
$ 2,012.66

NDC
50633000008
59779001974
62161000334
51927352600
55513004301
55513004304
65293000101
54092054330
64406010404
00310032130
08173000101
08173000201
08173000301
08173100101
08173100201
08173200101
08173200201
08173905801
61058002582
65781011001
65781011101
65781011201
65781025001
65781025101
65781025201
76300050712
76300050713
76300050717
76300050812
76300050813
76300050818
76300050821
76300051111
76300051112
76300051113
76300051511
76300051512
76300051513
76300051514
76300071511
76300071512
76300071513
76300071514
55513019001
61772000201
58468004001
00169706201
58768090235
00074181301
00074181401
65781108101
65781117001
65781208101

NAME
HEARTSTART HOME DEFIBRILLAT
HEARTSTREAM FR2 DEFIBRILLAT
ANTIZOL 1 GM/ML VIAL
METHYSERGIDE MALEATE 100% PWD
ARANESP 150 MCG/0.3 ML SYRINGE
ARANESP 150 MCG/0.3 ML SYRINGE
ANGIOMAX 250 MG VIAL
EMINASE 30 UNIT VIAL
ZEVALIN IN-111 KIT
MERREM 1 GM VIAL
H-TRON + INSULIN INFUS PUMP
H-TRON + INSULIN INFUS PUMP
HTRON PLUS INSULIN PUMP
D-TRON INSULIN INFUS PUMP
D-TRON INSULIN INFUS PUMP
DAHEDI INSULIN INFUS PUMP
D-TRON PLUS INSULIN PUMP
H-TRON + INSULIN INFUS PUMP
DELTEC COZMO INSULIN PUMP
INSULIN PUMP KIT
INSULIN PUMP KIT
INSULIN PUMP KIT
INSULIN PUMP KIT
INSULIN PUMP KIT
INSULIN PUMP KIT
MINIMED INSULIN INFUS PUMP
MINIMED INSULIN INFUS PUMP
MINIMED INSULIN INFUS PUMP
MINIMED INSULIN INFUS PUMP
MINIMED INSULIN INFUS PUMP
MINIMED INSULIN INFUS PUMP
MINIMED INSULIN INFUS PUMP
MINIMED INSULIN INFUS PUMP
MINIMED INSULIN INFUS PUMP
MINIMED INSULIN INFUS PUMP
PARADIGM INSULIN PUMP
PARADIGM INSULIN PUMP
PARADIGM INSULIN PUMP
PARADIGM INSULIN PUMP
PARADIGM INSULIN PUMP
PARADIGM INSULIN PUMP
PARADIGM INSULIN PUMP
PARADIGM INSULIN PUMP
NEULASTA 6 MG/0.6 ML SYRINGE
VITRASERT 4.5 MG IMPLANT
FABRAZYME 35 MG VIAL
NOVOSEVEN 4,800 MCG VIAL
VITRAVENE 6.6 MG/ML VIAL
LIFECARE PUMP MODEL 3
LIFECARE MODEL 4 MACRO PUMP
INFUSION PUMP KIT IR 1000
INFUSION PUMP KIT IR 1200
INFUSION PUMP KIT IR 1000

DOSE FORM DRUG STRENGTH


YK
YK
HV
PA
HQ
HQ
HS
HS
YK
HS
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
HQ
IA
HS
HS
HV
YQ
YQ
YQ
YQ
YQ

UNIT PRICE
$ 2,035.75
$ 2,035.75
$ 2,080.32
$ 2,193.00
$ 2,315.20
$ 2,315.20
$ 2,391.30
$ 2,410.24
$ 2,478.09
$ 2,490.60
$ 2,547.45
$ 2,547.45
$ 2,547.45
$ 2,547.45
$ 2,547.45
$ 2,547.45
$ 2,547.45
$ 2,547.45
$ 2,547.45
$ 2,547.45
$ 2,547.45
$ 2,547.45
$ 2,547.45
$ 2,547.45
$ 2,547.45
$ 2,547.45
$ 2,547.45
$ 2,547.45
$ 2,547.45
$ 2,547.45
$ 2,547.45
$ 2,547.45
$ 2,547.45
$ 2,547.45
$ 2,547.45
$ 2,547.45
$ 2,547.45
$ 2,547.45
$ 2,547.45
$ 2,547.45
$ 2,547.45
$ 2,547.45
$ 2,547.45
$ 2,731.02
$ 2,866.77
$ 2,880.76
$ 2,989.90
$ 3,400.00
$ 3,453.76
$ 3,453.76
$ 3,453.76
$ 3,453.76
$ 3,453.76

NDC
65781217101
65781317201
55592050001
38779094406
38779094407
38779094409
51552049803
63370021003
63370021004
63370021006
63370021010
68782000101
00406067252
38779196806
38779196807
38779196809
38779230503
38779230506
24208041601
64406010303
63370004906
63370016203
63861102501

NAME
INFUSION PUMP KIT IR 1200
INFUSION PUMP KIT IR 1200
VANTAS 50 MG KIT
ALPROSTADIL POWDER
ALPROSTADIL POWDER
ALPROSTADIL POWDER
PROSTAGLANDIN E1 POWDER
PROSTAGLANDIN E1 POWDER
PROSTAGLANDIN E1 POWDER
PROSTAGLANDIN E1 POWDER
PROSTAGLANDIN E1 POWDER
MACUGEN 0.3 MG/90 MICROLITERS
SUFENTANIL CITRATE POWDER
SUFENTANIL CITRATE POWDER
SUFENTANIL CITRATE POWDER
SUFENTANIL CITRATE POWDER
SOMATROPIN POWDER
SOMATROPIN POWDER
RETISERT IMPLANT
ZEVALIN Y-90 KIT
CORTICOTROPIN POWDER
OXYTOCIN POWDER
CARTICEL VIAL

DOSE FORM DRUG STRENGTH


YQ
YQ
KI
PA
PA
PA
PA
PA
PA
PA
PA
HQ
PA
PA
PA
PA
PA
PA
IA
YK
PA
PA
HV

UNIT PRICE
$ 3,453.76
$ 3,453.76
$ 5,100.00
$ 5,933.92
$ 5,933.92
$ 5,933.92
$ 5,933.92
$ 5,933.92
$ 5,933.92
$ 5,933.92
$ 5,933.92
$ 8,444.22
$ 16,087.95
$ 16,087.95
$ 16,087.95
$ 16,087.95
$ 17,717.15
$ 17,717.15
$ 18,615.00
$ 21,453.02
$ 24,480.00
$ 38,250.00
$ 43,721.88

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