Procedure Description Department Chg Cat Std Chg Eff Date Charge 10600050 INTERRUPTED STAY ROOM 86424088106 180 1/1/2017 2006.37 10600400 INTERMEDIATE REHAB PRIVATE 86424088106 118 2/1/2017 2006.37 10600450 INTERMEDIATE REHAB SEMI-PRIV 86424088106 128 2/1/2017 2006.37 10600460 3/4 BED REHAB SEMI-PRIVATE 86424088106 138 2/1/2017 2006.37 10600470 DELUXE REHAB PRIVATE 86424088106 148 2/1/2017 2006.37 10600480 WARD REHAB SEMI-PRIVATE 86424088106 158 2/1/2017 2006.37 11000050 HOSPITAL HOLD 86424088110 180 1/1/2017 2006.37 11600110 CENTRAL LINE INSERTION 86424088116 360 8/1/2017 2321.12 33124457 "CONTROL, ACCU-CHEK, INFORM II " 86424088331 270 6/1/2017 2.03 33125001 STRAIGHT CATH 14 FR RED RUBBER 86424088331 270 1/1/2020 8.32 33125002 FOLEY CATHETER INSERTION KIT 86424088331 270 1/1/2020 8.32 33125003 CATH FOLEY 18FR 5CC BALLOON BA 86424088331 270 2/1/2017 36.14 33125004 CATH FOLEY 16FR 5CC BALLOON BA 86424088331 270 1/1/2020 30.01 33125005 FOLEY CATH TRAY W/16FR CATH BA 86424088331 270 2/1/2017 32.03 33125006 SET INTERLINK MICROBORE EXT 86424088331 270 2/1/2017 10.56 33125007 SET IV ADMIN SECONDARY UNIVERS 86424088331 270 1/1/2020 8.32 33125008 SET GRAVITY 2Y 86424088331 270 1/1/2020 11.11 33125009 SET EXT HEPARIN LOCK W/SMRTSIT 86424088331 270 2/1/2017 9.78 33125011 STERI STRIP CLOSURES 1/2 X 4 86424088331 270 2/1/2017 2.81 33125012 BAND ADH CURITY XL FABRIC 2X3 86424088331 270 2/1/2017 0.31 33125013 TAPE SURGICAL MICROPORE 2 X 10 86424088331 270 2/1/2017 1.98 33125014 TAPE SURGICAL DURAPORE 2 X 10Y 86424088331 270 2/1/2017 3.38 33125015 TELFA PAD NON-ADH STERILE 2X3 86424088331 270 2/1/2017 0.26 33125016 SPNGE EXCILON DRAIN 4X4 6PLY 86424088331 270 2/1/2017 1.14 33125017 SPNGES CURITY GAUZE 8PLY 2X2 86424088331 270 2/1/2017 0.05 33125018 BAND FLEXIBLE ADH BANDAGE 3/4 86424088331 270 2/1/2017 0.1 33125019 DERMACEA LOW PLY GAUZE ROLL 4X 86424088331 270 1/1/2018 0.81 33125020 SPONGE GAUZE STERILE 4X4 8PLY 86424088331 270 1/1/2018 0.16 33125021 XEROFORM OCC PETRO GAUZE PATCH 86424088331 270 1/1/2020 8.32 33125022 "MEDC BANDAGE ELASTIC 6"" " 86424088331 270 1/1/2020 8.32 33125023 TEST STRIP SURE STEP PRO 86424088331 270 2/1/2017 92.14 33125024 CALMOSEPTINE OINTMENT 4OZ TUBE 86424088331 270 1/1/2020 14.51 33125025 STETHOSCOPE NURSE BLUE 86424088331 270 2/1/2017 15.24 33125026 MEASURING GRADUATE 86424088331 270 2/1/2017 0.78 33125027 ENTERAL BAG TWIST CAP VNYL 100 86424088331 270 1/1/2018 10.48 33125028 STOCKING TED KNEE XL REG 86424088331 270 1/1/2019 8.32 33125029 STOCKING TED KNEE LG REG 86424088331 270 1/1/2019 8.32 33125030 STOCKING TED KNEE MEDIUM 86424088331 270 1/1/2019 8.32 33125031 BED SENSOR PAD 86424088331 270 1/1/2020 56.16 33125032 SYRINGE LUER LOCK TIP 60ML 86424088331 270 2/1/2017 1.56 33125033 LANCET SURGICAL LANCE SFTY GRA 86424088331 270 2/1/2017 0.36 33125034 TRAY IRRIGATION PISTON SYRINGE 86424088331 270 2/1/2017 3.69 33125035 KIT STAPLE REMOVAL 86424088331 270 2/1/2017 3.07 33125036 KIT SUTURE REMOVAL 86424088331 270 2/1/2017 3.48 33125037 KIT IV START STANDARD W/CHLORA 86424088331 270 2/1/2017 3.22 33125038 TRACH TRAY COVIDIEN 86424088331 270 2/1/2017 9.31 33125039 GOWN ISOLATION YELLOW PACK 86424088331 270 2/1/2017 20.59 33125040 BEDPAN FRACTURE FML URN ROSE 86424088331 270 2/1/2017 2.03 33125041 PITCHER WITH FLAP 28OZ 86424088331 270 2/1/2017 0.94 33125042 BASIN EMESIS 9 INCH DUSTY ROSE 86424088331 270 2/1/2017 0.21 33125043 STERILE SUBGILUBE 5GR 86424088331 270 2/1/2017 0.57 33125044 BETADINE SWABSTICK 200/BX 86424088331 270 2/1/2017 0.57 33125045 CLEANSING ENEMA BAG 86424088331 270 2/1/2017 3.12 33125046 PROTECTIVE UNDERWEAR SM/MED PA 86424088331 270 1/1/2020 15.91 33125047 PROTECTIVE UNDERWEAR LG PACK 86424088331 270 1/1/2020 15.91 33125048 PROTECTIVE UNDERWEAR XL PACK 86424088331 270 1/1/2020 17.66 33125049 PACK HOT INSTANT 7X9 86424088331 270 1/1/2018 4.37 33125050 BAG ICE SMALL 86424088331 270 1/1/2018 3.18 33125051 BATH IN A BAG 86424088331 270 1/1/2020 8.32 33125052 BEDPAN CONVENTIONAL MEDIGEN 86424088331 270 2/1/2017 8.11 33125053 GLOVE ESTEEM STRETCHY SYNTHTIC 86424088331 270 2/1/2017 0.1 33125054 GLOVE ESTEEM STRETCH STNTHTIC 86424088331 270 2/1/2017 0.1 33125055 CHLORAPREP 1-STEP 1.5 ML APPLI 86424088331 270 2/1/2017 2.39 33125056 PERI CARE WIPES 86424088331 270 1/1/2020 8.32 33125057 SODIUM CHLORIDE 0.9% 1000ML BA 86424088331 270 2/1/2017 6.19 33125058 CANNULA NASAL CVD FLARED ADLT 86424088331 270 2/1/2017 1.25 33125059 YANKAUER BULB TIP W/O VENT 86424088331 270 2/1/2017 2.44 33125060 NEBULIZER MISTY MAX 10 DISP 7F 86424088331 270 1/1/2020 8.32 33125061 KIT SUCTION CATHETER 14FR 86424088331 270 2/1/2017 2.29 33125062 KIT SUCTION CATHETER 12FR 86424088331 270 2/1/2017 2.29 33125063 SOLUTION IHALATION SOD CHLR 45 86424088331 270 2/1/2017 5.41 33125064 SPIROMETER INCENTIV 4000ML W/1 86424088331 270 1/1/2020 8.32 33125065 BAG LEG 19OZ W/FLIP ELASTIC BO 86424088331 270 2/1/2017 2.65 33125066 FOLEY 2WAY CATH STABILIZATION 86424088331 270 1/1/2020 10.17 33125067 DRAIN BAG URINARY COVER 86424088331 270 2/1/2017 2.29 33125068 URINARY DRAINAGE BAG BARD 86424088331 270 2/1/2017 23.12 33125069 DRESSING DUODERM HYDRO 4X4 SQ 86424088331 270 1/1/2019 8.32 33125070 DUODERM HYDROACTIVE GEL 30GM 86424088331 270 2/1/2017 2006.37 33125071 DRESSING TEGADERM 6X8 86424088331 270 1/1/2020 8.32 33125072 DRESSING MEDIPLEX WOUND FOAM 3 86424088331 270 1/1/2020 10.8 33125073 DRESSING TEGADREM TRANSPARENT 86424088331 270 1/1/2020 8.32 33125074 AQUACEL AG EXTRA HYDROFIBER DR 86424088331 270 1/1/2020 59.31 33125075 DRESSING MEDIPLEX BORDER 6X6 86424088331 270 1/1/2020 23.43 33125076 ISLAND DRESSING 5X9 COVIDIEN 86424088331 270 1/1/2020 8.32 33125077 WIPE SANI-CLOTH XL 8X14 DISPOS 86424088331 270 2/1/2017 18.3 33125078 BRIEFS WINGS CH PLUS QUILT MED 86424088331 270 1/1/2020 9.24 33125079 BRIEFS WINGS CH PLUS QUILT LG 86424088331 270 1/1/2020 15.91 33125080 BRIEFS WINGS CH PLUS QUILT XL 86424088331 270 1/1/2020 18.5 33125081 ABD PAD 5X9 COVIDIEN 86424088331 270 1/1/2020 8.32 33125082 WASH BASIN 86424088331 270 2/1/2017 1.3 33125083 MOUTH RINSE 86424088331 270 2/1/2017 0.99 33125084 TOOTHBRUSH 86424088331 270 2/1/2017 0.16 33125085 CREST TOOTHPASTE 86424088331 270 2/1/2017 1.14 33125086 SHAMPOO/CONDITIONER PACKET 86424088331 270 2/1/2017 0.31 33125087 COMB 86424088331 270 2/1/2017 0.31 33125088 HAND & BODY LOTION 86424088331 270 2/1/2017 0.88 33125089 WATER PITCHER W/ LID 86424088331 270 2/1/2017 0.94 33125090 DEODORANT ROLL-ON 86424088331 270 2/1/2017 0.99 33125091 SLIPPERS 86424088331 270 1/1/2020 8.32 33125092 SHAMPOO CAP 86424088331 270 1/1/2019 8.32 33125104 TENDERSORB ABD PAD 8X10 STERIL 86424088331 270 1/1/2017 1.09 33125105 "ELASTIC BANDAGE 4"" " 86424088331 270 3/1/2017 3.02 33125109 SPECULA OTOSCOPE DISP 4.25MM 86424088331 270 2/1/2017 0.1 33125141 IRRIGATION TRAY COVIDIEN 86424088331 270 3/1/2017 3.54 33125150 FLEET ENEMA ADULT 4.5OZ 86424088331 270 5/1/2017 3.64 33125177 TUBING VINYL OXYGEN 25FT 86424088331 270 1/1/2019 8.32 33125181 MASK ADULT 2% W/7FT TUBING 86424088331 270 2/1/2017 3.8 33125217 DRESSING ADAPTIC NON ADHERING 86424088331 270 6/1/2017 2.12 33125233 VISION BIPAP MACHINE DAILY REN 86424088331 270 2/1/2017 467.38 33125236 RENASYS WOUND VAC GO PUMP DAIL 86424088331 270 2/1/2017 973.44 33125238 BARIATRIC BED (1000LBS) DAILY 86424088331 270 2/1/2017 2044.22 33125239 STAGE IV 3000 LAL MATTRESS 86424088331 270 2/1/2017 2028 33125241 DOLPHIN MATTRESS FOAM (500LB L 86424088331 270 2/1/2017 1142.28 33125242 AIR 2 LAL PULSATE MATTRESS 86424088331 270 2/1/2017 389.38 33125243 BLOOD ADMINISTRATION SET 86424088331 270 2/1/2017 8.32 33125244 SET EXTENSION/HEPLOCK 86424088331 270 2/1/2017 2.08 33125245 SYRINGE KIT STELLANT INJ 86424088331 270 2/1/2017 43.68 33125246 TRANSFER SET FOR DUAL INJ 86424088331 270 2/1/2017 16.64 33125247 ADAPTER CUFF 22MM 86424088331 270 2/1/2017 1.66 33125248 BACTERIAL/VIRAL FILTER 86424088331 270 2/1/2017 6.24 33125249 FULL FACE CPAP MASK LRG 86424088331 270 2/1/2017 175.55 33125250 TUBING 6'6' FOR CPAP 86424088331 270 2/1/2017 1.14 33125251 DIS/EQ REG BLOOD GAS KIT 86424088331 270 2/1/2017 24.96 33125288 WOUND VAC CANNISTERS - FREEDOM 86424088331 270 1/1/2020 94.29 33125289 WOUND VAC CANNISTERS - ULTA 86424088331 270 1/1/2020 94.32 33125290 WOUND VAC DRESSINGS 86424088331 270 1/1/2020 122.12 33125291 BARIATRIC BEDPAN 86424088331 270 1/1/2020 25.58 33125292 SLEEP MASK EAR BUD KIT 86424088331 270 1/1/2019 8.32 33125293 FLUTTER VALVES - RESPIRATORY 86424088331 270 2/1/2017 51.25 33125294 ORAL SUCTION TOOTHBRUSH 86424088331 270 2/1/2017 2.34 33125295 T-PAD FOR K-PUMP 86424088331 270 1/1/2020 34.04 33125296 ABDOMINAL BINDER 86424088331 270 2/1/2017 8.39 33125297 PICC DRESSING CHANGE KIT 86424088331 270 2/1/2017 18 33125298 HEEL PRESSURE RELIEVING BOOT 86424088331 270 1/1/2020 238.96 33125322 PICC INSERTION - NON-POWER 86424088331 270 6/1/2017 546 33125323 PICC INSERTION - POWER 86424088331 270 6/1/2017 598 33125325 ACCU CHECK TEST STRIPS 86424088331 270 10/1/2017 2.03 33125326 HOYER LIFT SLING - MEDIUM 86424088331 270 7/1/2017 81.53 33125327 HOYER LIFT SLING - LARGE 86424088331 270 1/1/2020 101.4 33125328 HOYER LIFT SLING - X-LARGE 86424088331 270 1/1/2020 105.14 33125329 HOYER LIFT SLING - XX-LARGE 86424088331 270 7/1/2017 129.48 33125330 LOW AIR LOSS MATTRESS 86424088331 279 12/1/2018 117.94 33125363 BARI MATTRESS 86424088331 278 9/1/2018 36.4 33125368 GRANUFOAM DRESSING MEDIUM 86424088331 270 1/1/2019 673.73 33125369 LIFEVEST WEARABLE DEFIB 86424088331 279 1/1/2020 160.99 33125776 BARI SHUTTLE CHAIR 86424088331 279 1/1/2020 156 33125777 BARI HOYER LIFT WITH SCALE 86424088331 279 1/1/2020 93.6 33125778 BARI BEDSIDE COMMODE 86424088331 279 1/1/2020 21.84 33125779 BARI SLING XL USED WITH HOYER 86424088331 279 1/1/2020 105.14 33125780 PAIL USED WITH BEDSIDE COMMODE 86424088331 279 1/1/2020 62.4 33129578 ZAPPER CLOG UM # 1685200002 86424088331 270 3/1/2017 0.01 33129579 COLLAR TRACH LARGE 3 1/4 # 525 86424088331 270 3/1/2017 0.02 33129580 AIRWAY ORAL 12/BX 80MM 86424088331 270 3/1/2017 0.03 33129581 AIRWAY ORAL 12/BX 90MM 86424088331 270 3/1/2017 0.04 33129582 "PANEL BINDER 9"" 3 45-62"" #79-8" 86424088331 270 3/1/2017 0.05 33129583 "PANEL BINDER 12"" 4 45-62"" #79-" 86424088331 270 3/1/2017 0.06 33129584 CATH tRAY FOLEY 5CC 14FR # 898 86424088331 270 3/1/2017 0.07 33129585 "PANEL BINDER 12"" 4 30-45 # 79-" 86424088331 270 3/1/2017 0.08 33129586 M-CARE METAL CLEANING CLOTH # 86424088331 270 3/1/2017 0.09 33129784 WHFO DYN BAND/SPRING CUSTOM 86424088331 274 4/1/2018 253.34 33130001 LOW AIR LOSS MATT 36IN WIDE 86424088331 270 1/1/2020 28.08 33130002 LOW AIR LOSS MATT 42IN WIDE 86424088331 270 1/1/2019 43.68 33130003 BARIATRIC BED WITH SCALE 86424088331 270 1/1/2020 39 33130004 BARIATRIC LOW BED 86424088331 270 1/1/2019 71.76 33130005 BARIATRIC WALKER 500-750 LBS 86424088331 270 2/1/2017 7.8 33130006 FOAM MATTRESS 86424088331 270 2/1/2017 10.4 33130007 T-PUMP/K-PAD 86424088331 270 1/1/2020 8.32 33130008 C-PAP MACHINE - AUTO SET SPIRI 86424088331 270 1/1/2020 18.56 33130009 BI PAP MACHINE - FOCUS 86424088331 270 1/1/2020 38.38 33130010 BI PAT MACHINE - VISION 86424088331 270 2/1/2017 23.4 33130011 ACC PKG FOR C-PAP OR BI-PAP 86424088331 270 1/1/2020 389.81 33130012 CONTINUOUS PULSE OX MACHINE 86424088331 270 1/1/2018 42.12 33130013 REUSEABLE PULSE OX PROBE 86424088331 270 2/1/2017 2.6 33130014 WOUND VAC - FREEDOM RENTAL 86424088331 270 1/1/2020 164.99 33130015 WOUND VAC - ULTA RENTAL 86424088331 270 1/1/2020 169.1 33132506 SCD- SEQUENTIAL COMPRESSION 86424088331 270 1/1/2018 44.46 33140001 PILL SPLITTER/CRUSHER 67750 86424088331 270 7/1/2017 9.36 33140002 PADDED EYE PATCH 86424088320 270 7/1/2017 17.68 33140003 CREAM SKIN REMEDY REPAIR 4 OZ 86424088331 270 7/1/2017 10.66 33140004 CREAM SHAVING 1.5 OZ AEROSOL C 86424088331 270 7/1/2017 2.08 33140005 CUP DENTURE CLEAR 25/PKG 86424088331 270 7/1/2017 0.52 33140006 CUP MEDICINE 1OZ 1000/CASE 86424088331 270 7/1/2017 1.04 33140007 ACAPELLA DM W/MOUTH BLUE 1/EA 86424088331 270 7/1/2017 112.84 33140008 ACAPELLA W/MOUTH GREEN 10/CS 86424088331 270 7/1/2017 112.84 33140009 ACETONE CP LIQ HUMC 4 OZ EA 86424088331 270 7/1/2017 21.84 33140010 AEROCHAMBER PLUS VHC 10/CA 86424088331 270 7/1/2017 33.8 33140011 ALARM UNIT W/ACCESSORY EA 86424088331 270 7/1/2017 158.34 33140012 ALCOHOL ISO 70% 16 OZ 12/CA 86424088331 270 7/1/2017 3.9 33140013 ANEROID WALL UNT ADULT CUFF EA 86424088331 270 7/1/2017 481 33140014 ANTI TIP LONG STFH WHEELCHAIR 86424088331 270 7/1/2017 116.74 33140015 APP COTTON TIP 6 STR 200/BOX 86424088331 270 7/1/2017 0.26 33140016 ARMBOARD ADULT 18 DISP 100/CS 86424088331 270 7/1/2017 1.56 33140017 ARMBOARD WRIST 3X9 DISP 100/CS 86424088331 270 7/1/2017 1.3 33140018 BAND NARROW DNR PURPLE 500/BX 86424088331 270 7/1/2017 0.52 33140019 BAND BLOOD SECURELINE PLUS BLU 86424088331 270 7/1/2017 4.42 33140020 BAND ID ADULT ALERGY ALERT RD 86424088331 270 7/1/2017 0.52 33140021 BAND ID PINK ADULT 500/BX 86424088331 270 7/1/2017 0.52 33140022 BARRIER SKIN CUT TO FIT 2 1/4 86424088331 270 7/1/2017 6.24 33140023 BARRIER SKIN CUT TO FIT 2 3/4 86424088331 270 7/1/2017 6.24 33140024 BASIN EMESIS 10 DUSTY ROSE 250 86424088331 270 7/1/2017 0.26 33140025 BASIN WASH 7.5QT RECT GREY 50/ 86424088331 270 7/1/2017 1.3 33140026 BAG COLLECTION FLEXISEAL W/FLT 86424088331 270 7/1/2017 21.58 33140027 BASKET LG WHITE WA767007 86424088331 270 7/1/2017 76.44 33140028 BAG DRAIN URINE METER 2500ML 2 86424088331 270 7/1/2017 8.58 33140029 BATH BABY HEAD TO TOE 1 OZ 144 86424088331 270 7/1/2017 0.78 33140030 BAG FEEDING W/PUMP SET PATROL 86424088331 270 7/1/2017 6.24 33140031 BATH READY SCENTED 24/PK MEDMS 86424088331 270 7/1/2017 0.26 33140032 BAG LEG URINARY 32 OZ LG 10/BX 86424088331 270 7/1/2017 10.14 33140033 BEDPAN COMMODE STACKABLE 50/CA 86424088331 270 7/1/2017 2.08 33140034 BAG LEG URINARY 32 OZ LF LG 12 86424088331 270 7/1/2017 21.84 33140035 BEDPAN FRACTURE GREY 50/CS 86424088331 270 7/1/2017 2.08 33140036 BAG PATIENT 1.25ML 20X20X4 WHT 86424088331 270 7/1/2017 0.26 33140037 BINDER ABDOMINAL 3 PANEL 86424088331 270 7/1/2017 19.5 33140038 SPECIMEN 6X9 ZIP LOCK 1000/CS 86424088331 270 7/1/2017 0.1 33140039 BOTTLE PERI IRRIGATION 8 OZ 50 86424088331 270 7/1/2017 1.3 33140040 BAG TRASH .8ML 38X55 BROWN 200 86424088331 270 7/1/2017 0.52 33140041 BRIEF MESH PURPLE STRIPE XLG 2 86424088331 270 7/1/2017 1.3 33140042 BAG ZIPLOCK 2.0ML 5X8 CLEAR 10 86424088331 270 7/1/2017 0.05 33140043 BUCKET COMMODE LID HANDLE 9X11 86424088331 270 7/1/2017 16.38 33140044 BUCKET ENEMA DISPOSABLE 50/CS 86424088331 270 7/1/2017 5.2 33140045 BULB AND VALVE GRAY TRM1631 86424088331 270 7/1/2017 22.62 33140046 CAN SUCTION LINER 1000CC W/ON 86424088331 270 7/1/2017 33.02 33140047 CANISTER WALL THIN DISP 1500CC 86424088331 270 7/1/2017 3.9 33140048 CAP MALE FEMALE LUER LOCK 600/ 86424088331 270 7/1/2017 0.52 33140049 CAP SHAMPOO READY BATH SCENTED 86424088331 270 7/1/2017 5.2 33140052 CLEANSER BODY 4 N 1 REMEDY 9 O 86424088331 270 7/1/2017 13.78 33140053 CLOSURE SKIN 1/8X3 STERI STRIP 86424088331 270 7/1/2017 1.82 33140054 CLOTH CHG 2 PERCENT PREOP SKIN 86424088331 270 7/1/2017 21.84 33140055 BLACK COMB 7IN 1/EACH DONC7 86424088331 270 7/1/2017 0.07 33140056 HAIRBRUSH ADULT 24/BX NWIHB 86424088331 270 7/1/2017 1.04 33140057 HAMPER STEP ON W/LIP 2010 EA B 86424088331 270 7/1/2017 378.04 33516003 Dplx Scan Veins Extrem 86424088335 510 2/1/2017 253.08 34000042 PT EVALUATION LOW COMPLEXITY 86424088340 424 2/1/2017 188.76 34000043 PT EVALUATION MOD COMPLEXITY 86424088340 424 2/1/2017 188.76 34000044 PT EVAL HIGH COMPLEXITY 45 MIN 86424088340 424 2/1/2017 188.76 34000045 PT EVAL HIGH COMPLEXITY 60 MIN 86424088340 424 1/1/2017 188.76 34000046 PT INITIAL EVAL 15 MINUTE 86424088340 424 2/1/2017 188.76 34000050 GAIT TRAINING 15 MIN 86424088340 420 2/1/2017 70.82 34000100 MASSAGE 15 MIN 86424088340 420 2/1/2017 65.42 34000140 PHYSICAL THERAPY RE-EVALUATION 86424088340 424 7/1/2017 164.42 34000155 THERAPEUTIC PROCEDURE-GROUP 86424088340 423 3/1/2017 140.61 34000156 THERAPEUTIC PROCEDURE-GROUP 86424088340 420 2/1/2017 101.14 34000157 THERAPEUTIC PROCEDURE-GROUP 86424088340 420 3/1/2017 140.61 34000158 THERAPEUTIC PROC-GROUP 15 MIN 86424088340 420 3/1/2017 97.86 34000470 ORTHOTIC PROSTH CHECK 15 MIN 86424088340 420 10/1/2017 86.53 34000702 PROSTHETIC TRAIN - INITIAL 86424088340 420 2/1/2017 184.91 34000790 NEUROMUSCULAR RE-ED 15 MIN 86424088340 420 2/1/2017 84.34 34010020 MANUAL THERAPY 15 MIN 86424088340 420 2/1/2017 105.98 34010040 THERAPEUTIC EXERCISE 15 MIN 86424088340 420 2/1/2017 87.62 34010075 WHEELCHAIR TRAINING 15 MIN 86424088340 420 2/1/2017 71.92 34010076 PT EDUCAT/TRAINING 30/MIN 86424088340 420 2/1/2017 87.62 34010105 ELEC STIM ATTENDED 15 MIN 86424088340 420 2/1/2017 59.49 34010130 HOME MGT TRAINING 15 MIN 86424088340 420 2/1/2017 304.93 34010155 ORTHOTIC FIT/TRAIN -INITIAL 86424088340 420 3/1/2017 267.18 34010160 THER ACT DIRECT 15 MIN 86424088340 420 2/1/2017 86.53 34010270 ELEC STIM WOUND UNATTENDED 86424088340 420 6/1/2017 59.49 34010280 COMM/WORK REINTEG 15 MIN 86424088340 420 5/1/2017 70.82 34050220 ELEC STIM NOT WOUND UNATTENDED 86424088340 420 2/1/2017 59.49 34200011 SENSORY STIMULATION 15 MIN 86424088342 430 2/1/2017 67.6 34200030 NEUROMUSCULAR RE-ED 15 MIN 86424088342 430 2/1/2017 84.34 34200050 THER PROCEDURE-GROUP 30 MIN 86424088342 433 3/1/2017 83.3 34200051 THER PROCEDURE-GROUP 45 MIN 86424088342 433 2/1/2017 83.3 34200052 THER PROCEDURE-GROUP 60 MIN 86424088342 433 3/1/2017 122.77 34200053 THER PROCEDURE-GROUP 15 MIN 86424088342 433 3/1/2018 83.3 34200061 MANUAL THERAPY 15 MIN 86424088342 430 5/1/2019 188.76 34200070 MASSAGE 15 MIN 86424088342 430 2/1/2017 89.75 34200110 THERAPEUTIC EXERCISE 15 MIN 86424088342 430 2/1/2017 87.62 34210040 ULTRASOUND 15 MIN 86424088342 430 2/1/2017 86.53 34210055 COGNITIVE TRAINING 15 MIN 86424088342 430 2/1/2017 67.6 34210075 WHEELCHAIR TRAINING 15 MIN 86424088342 430 2/1/2017 71.92 34210090 COMM/WORK REINTEG 15 MIN 86424088342 430 2/1/2017 70.82 34210130 SELF CARE/HOME MGT 15 MIN 86424088342 430 2/1/2017 152.46 34210131 SELF CARE MGT TRAINING 15 MIN 86424088342 430 2/1/2017 76.23 34210150 THER ACT DIRECT 15 MIN 86424088342 430 2/1/2017 86.53 34210215 ELEC STIM ATTENDED 15 MIN 86424088342 430 3/1/2017 59.49 34210265 APPLY SPLINT SHORT ARM STATIC 86424088342 430 6/1/2019 130 34210315 ROM TESTING EXTREMITY/TRUNK 86424088342 430 3/1/2017 54.08 34250050 ORTHOTIC FIT/TRAIN -INITIAL 86424088342 430 6/1/2019 119.6 34250127 OT EVALUATION LOW COMPLEXITY 86424088342 434 2/1/2017 188.76 34250128 OT EVALUATION MOD COMPLEXITY 86424088342 434 2/1/2017 188.76 34250129 OT EVALUATION HIGH COMPLEXITY 86424088342 434 2/1/2017 188.76 34250136 OCCUPAT THERAPY EVAL 60 MIN 86424088342 434 2/1/2017 188.76 34299985 PT/FAMILY TRAINING EA 30 MIN 86424088342 430 2/1/2017 87.62 34600016 COGNITIVE TRAINING 15 MIN 86424088346 440 3/1/2017 67.6 34600032 EVAL SOUND PROD/LANG CMP EXP 86424088346 440 3/1/2019 287.72 34600120 TX SWALLOWING/ORAL DYSFUN 86424088346 440 2/1/2017 353.7 34600135 SPEECH GROUP TRTMT 30 MIN 86424088346 443 2/1/2017 22.72 34600136 SPEECH GROUP TRTMT 45 MIN 86424088346 443 8/1/2017 16.74 34600137 SPEECH GROUP TRTMT 60 MIN 86424088346 443 4/1/2017 22.72 34600145 SPEECH/HEARING EVAL 15 MIN 86424088346 440 2/1/2017 287.72 34600146 SPEECH/HEARING EVAL 30 MIN 86424088346 440 4/1/2017 287.72 34600147 SPEECH/HEARING EVAL 45 MIN 86424088346 440 3/1/2017 287.72 34600148 SPEECH/HEARING EVAL 60 MIN 86424088346 440 6/1/2017 287.72 34600290 SPEECH LANGUAGE TREATMENT 86424088346 440 2/1/2017 118.98 34600400 FIBEROPTIC EVAL SWALLOWING 86424088346 440 6/1/2017 858 34600420 EVAL SWALLOW/ORAL FUNC 15 MIN 86424088346 440 2/1/2017 321.78 34600422 EVAL SWALLOW/ORAL FUNC 30 MIN 86424088346 440 2/1/2017 321.78 34600423 EVAL SWALLOW/ORAL FUNC 45 MIN 86424088346 440 2/1/2017 321.78 34600424 EVAL SWALLOW/ORAL FUNC 60 MIN 86424088346 440 2/1/2017 321.78 34600450 THERAPY SPEECH GEN DEVICE 86424088346 440 4/1/2017 67.6 34600525 COMM/WORK REINTEG 15 MIN 86424088346 440 10/1/2017 70.82 34650016 MBS EVAL 86424088346 440 6/1/2017 858 34650017 SWALLOWING TREATMENT 86424088346 440 2/1/2017 230.88 34699985 PT/FAMILY TRAINING EA 30 MIN 86424088346 440 11/1/2017 35.62 36000016 ART LINE INSERTION 86424088360 300 2/1/2017 164.32 36000090 IPPB-INITIAL/EZPAP 86424088360 410 2/1/2017 188.24 38200472 LEVITIRACETAM 86424088382 301 2/1/2017 87.36 38200513 MICROALBUMIN 24 HOUR URINE 86424088382 301 5/1/2018 22.28 38200680 CORTISOL TOTAL 86424088382 301 5/1/2018 62.77 38201882 "SODIUM, URINE " 86424088382 301 5/1/2018 18.72 38201883 "CHLORIDE, URINE " 86424088382 301 5/1/2018 19.38 38201940 POTASSIUM URINE 86424088382 301 5/1/2018 16.6 38202151 PSA SCREENING 86424088382 300 2/1/2017 93.6 38202200 SODIUM SERUM 86424088382 301 5/1/2018 18.53 38202384 THYROID STIMULATING IMM GLOB 86424088382 301 5/1/2018 195.87 38202410 TRIGLYCERIDES 86424088382 301 6/1/2017 37.6 38202797 INF AGT AG DET EIA RSV 86424088382 300 3/1/2018 16.98 38250472 S/O SOLUBLE LIVER AG IGG 86424088382 301 1/1/2020 87.36 38251501 S/O GI PNL BIOFRE FLM ARR 86424088382 306 1/1/2019 24.9 38251511 VENIPUNCTURE FOR COLLECT 86424088382 300 2/1/2017 16.64 38251512 CYCLOSPORINE A 86424088382 300 2/1/2017 98.8 38251513 VANCOMYCIN TROUGH 86424088382 300 1/1/2020 46.96 38251514 AMIODARONE SERUM 86424088382 300 1/1/2018 45.3 38251515 "VITAMIN D, 25-HYDROXY " 86424088382 300 1/1/2020 102.62 38251516 VITAMIN B-12 86424088382 300 1/1/2020 50.7 38251517 FOLATE SERUM 86424088382 300 1/1/2020 50.98 38251518 LACTIC ACID 86424088382 300 1/1/2020 37.03 38251519 "TRIIODOTHYRONINE, REVERSE " 86424088382 300 1/1/2019 60.72 38251520 AB SCREEN IGG 86424088382 300 1/1/2020 30.48 38251521 ABO ONLY 86424088382 300 1/1/2018 12.79 38251522 RH TYPE ONLY 86424088382 300 1/1/2018 12.79 38251524 BASIC METABOLIC PANEL 86424088382 301 1/1/2020 29.33 38251525 COMP METABOLIC PANEL 86424088382 301 1/1/2020 36.63 38251526 LIPID PROFILE 86424088382 301 1/1/2019 51.57 38251527 RENAL PANEL 86424088382 301 1/1/2020 30.11 38251528 HEPATIC FUNCTION PANEL 86424088382 301 1/1/2020 28.33 38251529 DIGOXIN 86424088382 301 1/1/2020 46.02 38251530 PHENYTOIN TOTAL 86424088382 301 1/1/2019 51.04 38251531 THEOPHYLLINE 86424088382 301 1/1/2018 60.53 38251532 URINALYSIS MACRO ONLY 86424088382 301 1/1/2020 7.77 38251533 ALBUMIN SERUM 86424088382 301 1/1/2020 17.16 38251534 AMMONIA BLOOD 86424088382 301 1/1/2020 50.51 38251535 AMYLASE SERUM 86424088382 301 1/1/2018 29.27 38251536 BILIRUBIN TOT 86424088382 301 1/1/2020 11.14 38251537 BILIRUBIN DIR 86424088382 301 1/1/2020 17.38 38251538 OCCULT BLOOD 1-3 DETERMIN 86424088382 301 1/1/2020 55.13 38251539 IONIZED CALCIUM WHOLE BLD 86424088382 301 1/1/2018 58.13 38251540 CPK TOTAL 86424088382 301 1/1/2020 22.56 38251541 CK-MB 86424088382 301 2/1/2017 124.8 38251542 CREATININE SERU 86424088382 301 2/1/2017 73.84 38251543 CREAT URN RAND 86424088382 301 1/1/2020 17.94 38251544 FERRITIN 86424088382 301 1/1/2020 47.27 38251545 "BLOOD GASES, MIXED " 86424088382 301 1/1/2018 82.8 38251546 GGT 86424088382 301 1/1/2020 24.96 38251547 GLYCO HGB 86424088382 301 1/1/2020 33.66 38251548 IRON SERUM 86424088382 301 1/1/2020 22.43 38251549 IRON BINDING CAPACITY 86424088382 301 1/1/2020 30.3 38251550 LDH 86424088382 301 2/1/2017 62.4 38251551 LIPASE 86424088382 301 1/1/2018 29.27 38251552 MAGNESIUM 86424088382 301 1/1/2020 23.21 38251553 MYOGLOBIN 86424088382 301 2/1/2017 76.96 38251554 B-TYPE NATRIURETIC PEPTID 86424088382 301 1/1/2020 122.49 38251555 OSMOLALITY SERUM 86424088382 301 1/1/2019 25.46 38251556 OSMOLALITY URIN 86424088382 301 1/1/2019 26.27 38251557 INTACT PARATHYROID HORMON 86424088382 301 1/1/2020 159 38251558 PHOSPHATE INORG 86424088382 301 1/1/2020 16.44 38251559 POTASSIUM SERUM K 86424088382 301 1/1/2020 15.94 38251560 PREALBUMIN (FASTING) 86424088382 301 1/1/2020 50.58 38251561 PROSTATE SPECIFIC ANTIGEN 86424088382 301 2/1/2017 93.6 38251562 PROTEIN SERUM 86424088382 301 1/1/2020 58.16 38251563 URINE RANDOM TOTAL PROTEI 86424088382 301 1/1/2018 15.69 38251564 PROTEIN ELECTROPH FRAC/QT 86424088382 301 1/1/2018 45.96 38251565 VITAMIN B1 WHOLE BLOOD 86424088382 301 2/1/2017 113.36 38251566 T4 86424088382 301 1/1/2018 29.39 38251567 THYROXINE FREE (FREE T4) 86424088382 301 1/1/2018 38.59 38251568 TSH 86424088382 301 1/1/2020 58.25 38251569 AST 86424088382 301 1/1/2020 17.94 38251570 ALT 86424088382 301 1/1/2020 18.38 38251571 TROPONIN-I 86424088382 301 1/1/2020 77.81 38251572 URIC ACID SERUM 86424088382 301 1/1/2020 15.66 38251573 C REACTIVE PROTEIN 86424088382 302 1/1/2020 17.94 38251574 CRP HIGH SENSITIVITY RISK 86424088382 302 1/1/2018 55.41 38251575 HCT 86424088382 305 1/1/2018 10.14 38251576 HGB 86424088382 305 1/1/2018 10.14 38251577 CBC W/AUTO DIFF 86424088382 305 1/1/2020 26.93 38251578 AUTOMATED CBC 86424088382 305 1/1/2020 22.4 38251579 RETIC AUTO W/CELL PARAMS 86424088382 305 1/1/2018 23.84 38251580 D-DIMER ELISA 86424088382 305 1/1/2019 39.19 38251581 PROTHROMBIN TIME 86424088382 305 1/1/2020 13.63 38251582 SED RATE 86424088382 305 1/1/2020 13.32 38251583 APTT 86424088382 305 1/1/2019 23.15 38251584 BLOOD CULTURE 86424088382 306 1/1/2020 55.13 38251585 STOOL CULTURE 86424088382 306 1/1/2018 40.4 38251586 "CAMPYLOBACTER, ADD BILL " 86424088382 306 1/1/2018 40.4 38251587 "WOUND CULTURE,AEROBIC " 86424088382 306 1/1/2020 32.73 38251588 DEF ID CULTURE AEROBIC 86424088382 306 1/1/2020 27.99 38251589 URINE CULTURE 86424088382 306 1/1/2020 27.99 38251590 CULTURE IMMUNOLOGIC-LATX 86424088382 306 1/1/2018 19.5 38251591 MIC SENSITIVITY 86424088382 306 1/1/2020 29.98 38251592 GRAM STAIN SMEAR 86424088382 306 1/1/2020 14.82 38251593 CLOSTRIDIUM DIFF TOXIN AM 86424088382 306 1/1/2020 121.65 38251594 URINALYSIS AND MICROSCOPI 86424088382 307 1/1/2020 10.98 38251595 TACROLIMUS (FK506) 86424088382 300 2/1/2017 109.2 38251639 GLUCOSE BLOOD TEST 86424088382 301 1/1/2018 56.35 38251674 ZONISAMIDE/ZONRGRAN 86424088382 301 11/1/2017 235.04 38300095 "ALKALINE PHOSPHATASE, TOTAL " 86424088383 301 7/1/2019 68.78 38300116 BETA HYDROXYBUTYRATE 86424088383 301 1/1/2019 96.72 38300185 PROGRAF LEVEL (TACROLIMUS) 86424088383 301 1/1/2019 20.8 38300680 CORTISOL TOTAL 86424088383 301 1/1/2019 119.6 38300760 CREATINE 86424088383 301 5/1/2019 56.16 38300850 CULTURE ANAEROBIC 86424088383 306 1/1/2019 156 38301320 "GLUCOSE BLOOD, REAGENT STRIP " 86424088383 301 1/1/2019 10.67 38301460 HEPATITIS B SURFACE AB 86424088383 302 1/1/2019 124.8 38301470 HEPATITIS B SURFACE AG (HBSAG) 86424088383 306 1/1/2019 156 38301472 HEPATITIS B CORE ANTIBODY 86424088383 302 1/1/2019 114.4 38302200 SODIUM SERUM 86424088383 301 6/1/2019 18.53 38302215 RETICULOCYTE (AUTO) 86424088383 305 7/1/2019 28.51 38302290 T3 FREE 86424088383 301 1/1/2019 208 38302303 T3 TOTAL 86424088383 301 3/1/2018 54.63 38303885 COLUMN CHROMATOG/MASS SPECT QT 86424088383 301 5/1/2019 702 38305569 PLATELET FUNCTION ANALYSIS 86424088383 305 7/1/2019 323.21 38504086 HEMO/COMPOSITE 86424088385 761 2/1/2017 343.2 38504087 FRACTURE CARE INCL CAST - 86424088385 761 2/1/2017 709.28 38504088 ESTABLISHED PAT - LEVEL 2 86424088385 761 2/1/2017 202.8 38504089 DEBR SUBS TISS 1ST 20 86424088385 761 2/1/2017 891.28 38504090 DEBRID SUBC TISS/ADD 20 S 86424088385 761 2/1/2017 808.08 38504091 "DEBRIB, BONE, EACH ADD 20 " 86424088385 761 2/1/2017 2414.88 39200210 EKG TRACING ONLY 86424088392 730 2/1/2017 135.2 39228891 MENTHOL GEL 118ML 4% GEL 86424088320 250 4/1/2018 20.62 67001001 ER - IV 86424088670 450 2/1/2017 913.12 67001002 ER - V 86424088670 450 2/1/2017 1360.32 67001003 ER - V 86424088670 450 2/1/2017 1295.84 68000100 RENAL-HEMODIALYSIS 86424088680 801 1/1/2020 1095.12 72000540 ANTIGEN SCREENING (REAGENT) 86424088720 300 1/1/2019 30.48 72000900 TRANSFUSION BLOOD/COMPONENT 86424088720 391 2/1/2017 787.28 72060002 RBC LEUKOREDUCED-PROC ONLY 86424088720 390 5/1/2018 592.36 72060005 RED BLOOD CELL-PROC ONLY 86424088720 390 5/1/2018 460.26 73500110 "EEG, AWAKE AND DROWSY " 86424088735 740 1/1/2018 1248 73500328 NCB EA NERVE MOTOR W FW 7-8 86424088735 922 10/1/2018 6080.88 73570057 EMG ADD-ON 5 OR MORE MUSCLE 86424088735 922 10/1/2018 658.32 74000006 ABDOMEN SINGLE AP VIEW 86424088740 320 1/1/2020 312 74000010 ABD FLAT & ERECT &/OR DECUB 86424088740 320 1/1/2018 312 74000023 SHOULDER 1 VIEW BILATERAL 86424088740 320 1/1/2019 312 74000055 ANGIO RENAL UNILATERAL RT 86424088740 320 1/1/2019 312 74000060 ANKLE 2 VIEWS BILATERAL 86424088740 320 1/1/2019 312 74000070 ANKLE 3+ VIEWS BILATERAL 86424088740 320 1/1/2019 312 74000120 CERVICAL SP 2 OR 3 VIEWS 86424088740 320 7/1/2017 312 74000140 CHEST 2 VIEWS FRONTAL & LAT 86424088740 320 1/1/2018 312 74000271 SWALLOW FUNCTION W/VIDEORAD 86424088740 320 2/1/2017 1622.4 74000450 PELVIS & LATERAL BOTH HIPS 86424088740 320 2/1/2017 287.04 74000480 KNEE 1-2 VIEWS BILATERAL 86424088740 320 1/1/2018 312 74000500 LUMBOSACRAL SP 2-3 VIEWS 86424088740 320 1/1/2020 312 74000501 LUMBOSACRAL SP 4+ VIEWS 86424088740 320 1/1/2020 312 74000630 PELVIS 1-2 VIEWS 86424088740 320 1/1/2020 312 74000631 PELVIS 3+ VIEWS 86424088740 320 2/1/2017 367.12 74000670 RIBS BILATERAL 3 VIEWS 86424088740 320 1/1/2019 312 74000820 THORACIC SP 2 VIEWS 86424088740 320 1/1/2020 312 74000950 CERVICAL SP 4+ VIEWS 86424088740 320 1/1/2019 312 74001183 LUMBAR SPINE BEND ONLY 4+VIEWS 86424088740 320 1/1/2018 312 74010006 ANKLE 3+ VIEWS LT 86424088740 320 1/1/2020 312 74010010 ANTHROGRAM (LT) ELBOW 86424088740 320 1/1/2020 312 74010039 ELBOW 2 VIEWS RT 86424088740 320 1/1/2019 312 74010045 FEMUR 2+ VIEWS RT 86424088740 320 1/1/2018 312 74010059 FOOT 3+ VIEWS RT 86424088740 320 1/1/2019 312 74010060 FOOT 3+ VIEWS LT 86424088740 320 1/1/2020 312 74010061 FOREARM 2 VIEWS RT 86424088740 320 1/1/2018 312 74010063 HAND 3+ VIEWS RT 86424088740 320 1/1/2020 312 74010064 HAND 3+ VIEWS LT 86424088740 320 1/1/2020 312 74010069 HIP 2+ VIEWS UNILATERAL RT 86424088740 320 1/1/2018 312 74010070 HIP 2+ VIEWS UNILATERAL LT 86424088740 320 1/1/2020 312 74010071 HUMERUS 2+ VIEWS RT 86424088740 320 1/1/2020 312 74010072 HUMERUS 2+ VIEWS LT 86424088740 320 1/1/2018 312 74010073 KNEE 1-2 VIEWS RT 86424088740 320 1/1/2020 312 74010074 KNEE 1-2 VIEWS LT 86424088740 320 1/1/2020 312 74010086 RIBS UNILATERAL 2 VIEWS RT 86424088740 320 1/1/2018 312 74010087 RIBS UNILATERAL 2 VIEWS LT 86424088740 320 1/1/2018 312 74010088 RIBS UNILATERAL W/PA CHEST RT 86424088740 320 1/1/2020 312 74010092 SHOULDER 1 VIEW RT 86424088740 320 1/1/2018 312 74010094 SHOULDER 2+ VIEWS RT 86424088740 320 1/1/2020 312 74010095 SHOULDER 2+ VIEWS LT 86424088740 320 1/1/2020 312 74010097 TIBIA/FIBULA LT 86424088740 320 1/1/2019 312 74010112 WRIST 3+ VIEWS RT 86424088740 320 1/1/2020 312 74010113 WRIST 3+ VIEWS LT 86424088740 320 1/1/2020 312 74010114 CLAVICLE COMPLETE LT 86424088740 320 2/1/2017 290.16 74010115 WRIST 2 VIEW LT 86424088740 320 2/1/2017 237.12 74010116 WRIST LESS THAN 3 VIEW LT 86424088740 320 2/1/2017 237.12 74010117 HIP UNILATERAL WITH PELVI 86424088740 320 2/1/2017 189.28 74010118 KNEE LESS THAN 3 VIEWS RT 86424088740 320 2/1/2017 268.32 74010119 Femur 2 views 86424088740 320 2/1/2017 162.24 74010120 Knee 1 Or 2 Views 86424088740 320 1/1/2020 312 74010121 Hip Unilate cmplt 2 Vws 86424088740 320 1/1/2020 312 74010122 Shoulder Cmplt 2 Vws 86424088740 320 1/1/2018 312 74010123 Hand Min 3 Views 86424088740 320 2/1/2017 162.24 74010124 XRAY WRIST 3+ VIEWS 86424088740 320 1/1/2018 312 74010125 FOOT COMPLETE RT 86424088740 320 2/1/2017 286.57 74010126 73600 ANKLE AP&LAT 2V 86424088740 320 2/1/2017 162.24 74010127 73620 FOOT AP&LAT 2V 86424088740 320 2/1/2017 162.24 74010150 US EXT VEIN DUPLEX COMPLETE BI 86424088740 921 1/1/2020 390 74010160 EXT VEIN DUPLEX STUDY LIMIT LT 86424088740 921 1/1/2020 390 74010170 US RETROPERITONEAL COMPLETE 86424088740 402 1/1/2020 390 74010171 US VASCULAR DUP VISCERAL COMP 86424088740 921 2/1/2017 572.26 74010172 US ABDOMEN LIMITED 86424088740 402 1/1/2018 312 74010173 US CHEST 86424088740 402 1/1/2020 312 74020009 LOCM 300-399MG/ML IODINE/1ML 86424088740 255 2/1/2017 78 74020012 "XRAY ANKLE, COMPLETE " 86424088740 320 1/1/2020 312 74020014 CLAVICLE X RAY 86424088740 320 1/1/2019 312 74020022 HIP RGHT 86424088740 320 6/1/2017 312 74020036 TIBIA/FIBULA 2 VIEWS 86424088740 320 1/1/2018 312 74020103 US EXTREM NONVASCULA 86424088740 402 1/1/2019 390 74020133 CHEST 2 VIEWS 86424088740 320 1/1/2020 312 74020135 "SPINE, THORACIC, 1 VIEW " 86424088740 320 1/1/2019 312 74020151 ABDOMEN 3 OR MORE VIEWS 86424088740 320 1/1/2020 312 74071010 CHEST 1 VIEW FRONTAL 86424088740 320 6/1/2017 312 74076010 FLUORO GUIDE FOR CV ACCESS 86424088740 320 1/1/2018 939.12 74080453 RENAL CYST ASP/INJ PERC 86424088740 361 1/1/2019 312 74080454 RENAL ENDO W URET CTH EST 86424088740 361 1/1/2019 312 74080455 RENAL PEL/URET THER INSTL 86424088740 361 1/1/2019 312 74080557 CAROTID STNT TRANSC ANTEG 86424088740 361 1/1/2020 312 74200014 MRI LUMBAR SPINE WO CONTRAST 86424088742 612 2/1/2017 2637.44 74200040 MRI BRAIN W/O CONTRAST 86424088742 611 2/1/2017 2524.08 74200060 MRI CERVICAL WO CONTRAST 86424088742 612 2/1/2017 2589.6 74200220 MRI THORACIC WO CONTRAST 86424088742 612 2/1/2017 2564.64 74200260 MRI LUMBAR SPINE W/WO CONTRAST 86424088742 612 2/1/2017 3546.4 74200270 MRI THORACIC W/WO CONTRAST 86424088742 612 2/1/2017 3480.88 74200411 MRA HEAD WITHOUT CONTRAST 86424088742 610 2/1/2017 1849.12 75000010 US ABDOMEN COMPLETE 86424088750 402 1/1/2020 785.2 75000028 US GUIDE FOR VASCULAR ACCESS 86424088750 402 8/1/2017 1379.04 75000080 US RETROPERITONEAL LIMITED 86424088750 402 1/1/2019 390 75000115 US VASCULAR DUP VISCERAL COMP 86424088750 921 2/1/2017 572.26 75000140 US RETROPERITONEAL COMPLETE 86424088750 402 2/1/2017 203.53 75000170 US CHEST 86424088750 402 2/1/2017 393.12 75000200 US EXT VEIN STUDY COMPLETE BIL 86424088750 921 1/1/2020 782.08 75000220 US EXT VEIN DUPLEX COMPLETE BI 86424088750 921 1/1/2020 968.24 75000250 US ABDOMEN LIMITED 86424088750 402 2/1/2017 338 75010014 LOW EXT ART DUPLEX COMP LT 86424088750 921 1/1/2020 724.88 75010015 EXT VEIN DUPLEX STUDY LIMIT RT 86424088750 921 1/1/2019 390 76085095 PRIMARY IV TPD EACH 86424088760 335 1/1/2019 826.8 77000030 CT ABDOMEN W/O CONTRAST 86424088770 352 2/1/2018 5512 77000040 CT CERVICAL SPINE W/O CONTRAST 86424088770 352 1/1/2018 7768.8 77000050 CT THORAX W/CONTRAST 86424088770 352 2/1/2017 1824.16 77000070 CT THORAX W/O CONTRAST 86424088770 352 1/1/2018 6367.92 77000120 CT BRAIN/HEAD WO CONTRAST 86424088770 351 1/1/2018 4283.76 77000130 CT LUMBAR SPINE W/O CONTRAST 86424088770 352 1/1/2018 6601.92 77000195 CT MAXILLOFACIAL W/O CONTRAST 86424088770 351 1/1/2018 4115.28 77010006 CT LOWER EXT W/O CONTRAST LT 86424088770 352 10/1/2018 4374.24 77010015 CT ABD & PELVIS WO CONTRAST 86424088770 352 1/1/2018 11544 79500160 OP VISIT EST PT LEVEL I 86424088795 510 2/1/2017 160.16 79500162 OP VISIT EST PT LEVEL III 86424088795 510 2/1/2017 119.6 79500170 OP VISIT NEW PT LEVEL I 86424088795 510 2/1/2017 162.24 92000307 ACEPHEN 650MG SUP 86424088320 250 6/1/2017 4.32 92000308 ACEPHEN 650MG SUP 86424088320 250 6/1/2017 2.7 92000372 ACETAMINOPHEN 160MG/5ML SOL 86424088320 250 6/1/2017 2.7 92000690 ACETAMINOPHEN-COD #3 TAB 86424088320 250 6/1/2017 2.7 92000836 ACETYLCYSTEINE 20% VL 86424088320 250 6/1/2017 22.15 92001019 ADVAIR 100-50 DISKUS 86424088320 250 1/1/2020 568.09 92001021 ADVAIR 250-50 DISKUS 86424088320 250 6/1/2017 460.77 92001095 AGGRENOX CAP SA 86424088320 250 6/1/2017 9.2 92001569 ALREX 0.2% EYE DROPS 86424088320 250 6/1/2017 534.89 92001901 AMITRIPTYLINE HCL 25MG TAB 86424088320 250 6/1/2017 2.7 92002182 AMPHETAMINE SALTS 10MG TAB 86424088320 250 6/1/2017 67.6 92002190 AMPHETAMINE SALTS 5MG TAB 86424088320 250 6/1/2017 4.89 92002747 ARMOUR THYROID 60MG TAB 86424088320 250 6/1/2017 2.7 92003019 ASPIRIN 325MG TAB EC 86424088320 250 6/1/2017 0.52 92003119 ASPIRIN 81MG TAB CHEW 86424088320 250 6/1/2017 0.52 92003143 ASPIRIN 81MG TAB EC 86424088320 250 6/1/2017 0.52 92003583 AZOPT 1% EYE DROPS 86424088320 250 6/1/2017 445.64 92003681 BACITRACIN ZINC OINT 86424088320 250 6/1/2017 18.93 92003874 BAZA ANTIFUNGAL 2% CREAM 86424088320 250 6/1/2017 24.34 92004169 BETAMETHASONE DP 0.05% CREAM 86424088320 250 6/1/2017 33.54 92004189 BETAMETHASONE DP 0.05PCT LOT 86424088320 250 6/1/2017 53.56 92004202 BETAMETHASONE VA 0.1% CREAM 86424088320 250 6/1/2017 22.15 92004243 BETOPTIC S 0.25% EYE DROPS 86424088320 250 6/1/2017 180.08 92004337 BISAC-EVAC 10MG SUP 86424088320 250 6/1/2017 4.32 92004397 BISACODYL 5MG TAB EC 86424088320 250 6/1/2017 2.7 92004421 BISMATROL SUSP 86424088320 250 6/1/2017 2.7 92004496 BOTOX 100 UNITS VL 86424088320 250 6/1/2017 889.1 92004985 CALCIUM ANTACID TAB 86424088320 250 6/1/2017 0.52 92005189 CANCIDAS IV 50MG VL 86424088320 250 6/1/2017 1746.78 92005432 CARBIDOPA/LEVO 10/100 TAB 86424088320 250 6/1/2017 3.22 92005437 CARBIDOPA/LEVO 25/100 TAB 86424088320 250 1/1/2020 5.2 92005676 CATAPRES-TTS 2 PATCH 86424088320 250 6/1/2017 106.55 92005779 CEFAZOLIN 1GM-DEXTROSE BAG 86424088320 250 6/1/2017 16.33 92005873 CELEBREX 100MG CAP 86424088320 250 6/1/2017 8.11 92006172 CHILDS IBUPROFEN SUSP 86424088320 250 6/1/2017 8.63 92006219 CHLORHEXIDINE 0.12% RINSE 86424088320 250 6/1/2017 47.06 92006251 CHLOROTHIAZIDE 250 MG TABLET 86424088320 250 6/1/2017 2.7 92006750 CITRATE OF MAGNESIA SOL 86424088320 250 6/1/2017 7.59 92006906 CLEOCIN PHOS 150 MG/ML VIAL 86424088320 250 6/1/2017 35.15 92007048 CLOBETASOL 0.05PCT OINTMENT 86424088320 250 6/1/2017 190.89 92007575 CYANOCOBALAMIN 1000MCG/ML 86424088320 250 6/1/2017 13.52 92007669 CYPROHEPTADINE 4MG TAB 86424088320 250 6/1/2017 2.7 92007726 D-AMPHETAMINE 15 MG CAP SA 86424088320 250 6/1/2017 11.34 92007802 DEEP SEA 0.65% NOSE SPRAY 86424088320 250 6/1/2017 12.43 92007999 DEPO-MEDROL 40MG/ML VL 86424088320 250 6/1/2017 36.24 92008223 DEXAMETHASONE 0.75MG TAB 86424088320 250 6/1/2017 2.7 92008242 DEXAMETHASONE 1MG TAB 86424088320 250 6/1/2017 2.7 92008246 DEXAMETHASONE 4MG TAB 86424088320 250 6/1/2017 2.7 92008575 DIAZEPAM 5 MG/5 ML SOLUTION 86424088320 250 6/1/2017 7.59 92008688 DICLOXACILLIN 250MG CAP 86424088320 250 6/1/2017 3.22 92008873 DILANTIN 50MG INFATAB 86424088320 250 6/1/2017 2.7 92009317 DIPHENHYDRAMINE ELX 86424088320 250 6/1/2017 2.7 92009414 DIPYRIDAMOLE 25MG TAB 86424088320 250 6/1/2017 2.7 92009559 DOCUSATE SOD 150MG/15ML LIQ 86424088320 250 6/1/2017 2.7 92009629 DOK 100MG CAP 86424088320 250 1/1/2020 5.2 92009668 DOMEBORO PACKET 86424088320 250 6/1/2017 12.43 92009991 DOXYCYCLINE 50 MG CAPSULE 86424088320 250 6/1/2017 3.8 92010484 ENEMA 86424088320 250 6/1/2017 4.32 92010736 ERYTHROMYCIN EYE OINTMENT 86424088320 250 6/1/2017 25.95 92010802 ESTRADIOL 0.5MG TAB 86424088320 250 6/1/2017 2.7 92010981 EVISTA 60MG TAB 86424088320 250 6/1/2017 13 92010990 EXELON 3 MG CAPSULE 86424088320 250 6/1/2017 13 92011011 FAMOTIDINE 20MG TAB 86424088320 250 1/1/2020 5.43 92011215 FERREX-150 CAP 86424088320 250 6/1/2017 2.7 92011236 FERROUS GLUCONATE 324MG TAB 86424088320 250 6/1/2017 2.7 92011268 FERROUS SULF 300MG/5ML LIQ 86424088320 250 6/1/2017 2.7 92011326 FERROUS SULFATE 325MG TAB 86424088320 250 6/1/2017 2.7 92011436 FLECAINIDE ACETATE 50MG TAB 86424088320 250 6/1/2017 9.72 92011455 FLEET MINERAL OIL ENEMA 86424088320 250 6/1/2017 8.11 92011809 FLURAZEPAM 15MG CAP 86424088320 250 6/1/2017 2.7 92011836 FLURBIPROFEN 0.03% EYE DROPS 86424088320 250 6/1/2017 11.91 92011885 FLUVOXAMINE MALEATE 25 MG TB 86424088320 250 6/1/2017 10.3 92011920 FML S.O.P. 0.1% OINT 86424088320 250 6/1/2017 139.72 92011941 FOLIC ACID 0.4MG TAB 86424088320 250 6/1/2017 2.7 92012285 GENTAMICIN 0.1% CREAM 86424088320 250 6/1/2017 9.72 92012296 GENTAMICIN 0.1% OINT 86424088320 250 6/1/2017 16.22 92012344 GEODON 20MG CAP 86424088320 250 6/1/2017 22.15 92012352 GEODON 80MG CAP 86424088320 250 6/1/2017 34.06 92012686 GUAIFENESIN DM SYRUP 86424088320 250 1/1/2019 5.2 92012884 HALOPERIDOL 1MG TAB 86424088320 250 6/1/2017 2.7 92012907 HALOPERIDOL 5MG TAB 86424088320 250 6/1/2017 4.32 92013346 HYDRALAZINE 50MG TAB 86424088320 250 6/1/2017 2.7 92013458 HYDROCODONE-APAP 10-325 TAB 86424088320 250 6/1/2017 3.22 92013767 HYDROCORTISONE 1PCT CREAMHYDRO 86424088320 250 6/1/2017 18.41 92013830 HYDROCORTISONE 1PCT OINTMENT 86424088320 250 6/1/2017 18.41 92013876 HYDROCORTISONE 2.5% CREAM 86424088320 250 6/1/2017 40.04 92014011 HYDROMORPHONE 4MG TAB 86424088320 250 6/1/2017 3.22 92014402 IBUPROFEN 200MG TAB 86424088320 250 6/1/2017 0.52 92014770 IMIPRAMINE HCL 25MG TAB 86424088320 250 6/1/2017 3.22 92015111 IPRATROPIUM 0.06% SPRAY 86424088320 250 6/1/2017 232.02 92015360 ISOSORBIDE DN 10MG TAB 86424088320 250 6/1/2017 2.7 92015435 ISOSORBIDE MN 20MG TAB 86424088320 250 2/1/2018 3.37 92015589 KENALOG-40 40MG/ML VL 86424088320 250 6/1/2017 31.36 92015645 KETOROLAC 10MG TAB 86424088320 250 6/1/2017 4.32 92015721 KLOR-CON 20 MEQ PACKET 86424088320 250 6/1/2017 2.7 92015732 KLOR-CON M20 TAB 86424088320 250 1/1/2020 5.2 92016076 LEUCOVORIN CALCIUM 5 MG TAB 86424088320 250 6/1/2017 10.82 92016311 LEVOTHYROXINE 88MCG TAB 86424088320 250 6/1/2017 2.7 92016357 LEXAPRO 10MG TAB 86424088320 250 1/1/2020 13.67 92016541 LIDOCAINE HCL 2% JELLY 86424088320 250 6/1/2017 36.24 92016548 LIDOCAINE HCL 2% JELLY 86424088320 250 6/1/2017 186.42 92016573 LIDOCAINE HCL 4% SOL 86424088320 250 6/1/2017 30.84 92016723 LISINOPRIL 5MG TAB 86424088320 250 6/1/2017 4.32 92016783 LITHIUM CARBONATE 150MG CAP 86424088320 250 6/1/2017 2.7 92016854 LODOSYN 25MG TAB 86424088320 250 6/1/2017 2.7 92017181 LOVENOX 100MG PREFILLED SYRING 86424088320 250 1/1/2020 278.65 92017182 LOVENOX 120MG PREFILLED SYRING 86424088320 250 6/1/2017 368.26 92017183 LOVENOX 150MG PREFILLED SYR 86424088320 250 6/1/2017 460.2 92017188 LOVENOX 60MG PREFILLED SYRINGE 86424088320 250 1/1/2020 167.17 92017189 LOVENOX 80MG PREFILLED SYRINGE 86424088320 250 1/1/2020 24.77 92017237 LUMIGAN 0.03% EYE DROPS 86424088320 250 6/1/2017 251.99 92017701 MEGESTROL 40MG TAB 86424088320 250 6/1/2017 5.41 92017775 MEPERIDINE 50MG TAB 86424088320 250 6/1/2017 3.22 92017860 MERREM 1GM VL 86424088320 250 1/1/2020 112.32 92017863 MERREM 500MG VL 86424088320 250 1/1/2020 37.44 92017878 MESTINON 180 MG TIMESPAN 86424088320 250 6/1/2017 5.41 92017892 METAMUCIL PACKET 86424088320 250 6/1/2017 2.7 92017997 METHADONE 10MG/5ML SOL 86424088320 250 6/1/2017 2.18 92018017 METHADOSE 40 MG TABLET DISPR 86424088320 250 6/1/2017 1.09 92018032 METHAZOLAMIDE 50MG TAB 86424088320 250 6/1/2017 3.22 92018396 METRO IV 500MG/100ML 86424088320 250 6/1/2017 36.24 92018442 METRONIDAZOLE 250MG TAB 86424088320 250 6/1/2017 2.7 92018526 MICONAZOLE 100MG VAG SUPP 86424088320 250 6/1/2017 51.9 92018571 MICONAZOLE NITRATE 2% CREAM 86424088320 250 6/1/2017 14.61 92018699 MILK OF MAGNESIA SUSP 86424088320 250 6/1/2017 2.7 92020045 NEO/BACIT/POLY EYE OINT 86424088320 250 6/1/2017 70.82 92020056 NEO/POLYMYXIN/DEXAMETH DROPS 86424088320 250 6/1/2017 142.79 92020169 NEXIUM 40MG CAP 86424088320 250 6/1/2017 21.11 92020251 NIACIN 500MG CAP SA 86424088320 250 6/1/2017 2.7 92020525 NITROGLYCERIN 0.2MG/HR PTCH 86424088320 250 6/1/2017 12.43 92020593 NITROSTAT 0.4MG TAB SL 86424088320 250 6/1/2017 20.54 92020657 NORMAL SALINE FLUSH 86424088320 250 6/1/2017 13.52 92020836 NOVOLIN R 100U/ML VL 86424088320 250 6/1/2017 0.05 92020842 NOVOLOG FLEXPEN SYRINGE 86424088320 250 1/1/2020 418.45 92020844 NOVOLOG MIX 70/30 FLEXPEN SYRI 86424088320 250 6/1/2017 343.86 92020845 NOVOLOG MIX 70/30 VL 86424088320 250 6/1/2017 420.21 92020894 "NYSTATIN 100,000 U/GM CREAM " 86424088320 250 6/1/2017 17.84 92021038 OPTI-CLEAR EYE DROPS 86424088320 250 6/1/2017 12.43 92021085 ORPHENADRINE 100MG TAB SA 86424088320 250 6/1/2017 9.72 92021248 OXYCODONE HCL 5MG TAB 86424088320 250 1/1/2020 5.2 92021257 OXYCODONE-APAP 5-325 TAB 86424088320 250 1/1/2020 5.2 92021364 OYSTER SHELL W/VIT D TAB 86424088320 250 1/1/2020 5.2 92021415 PACERONE 200MG TAB 86424088320 250 1/1/2019 5.2 92021780 PEPCID 40MG/5ML ORAL SUSP 86424088320 250 6/1/2017 484.54 92021858 PERPHENAZINE 2MG TAB 86424088320 250 6/1/2017 3.22 92021910 PETROLATUM JELLY 86424088320 250 6/1/2017 12.43 92021948 PFIZERPEN 5 MILLION UNITS VL 86424088320 250 6/1/2017 15.7 92022334 PHENYTOIN 50MG/ML VL 86424088320 250 6/1/2017 17.84 92022861 PRANDIN 1MG TAB 86424088320 250 6/1/2017 5.41 92022883 PRAZOSIN 1MG CAPSULE 86424088320 250 6/1/2017 2.7 92022934 PREDNISOLONE 15MG/5ML SOL 86424088320 250 6/1/2017 33.54 92023013 PREDNISONE 1MG TAB 86424088320 250 6/1/2017 2.7 92023065 PREDNISONE 5MG TAB 86424088320 250 6/1/2017 2.7 92023121 PREDNISONE 5MG/5ML SOLUTION 86424088320 250 6/1/2017 2.7 92023152 PREMARIN VAGINAL CREAM 86424088320 250 6/1/2017 325.57 92023210 PRIMAXIN IV 250MG VL 86424088320 250 6/1/2017 78.42 92023211 PRIMAXIN IV 500MG VL 86424088320 250 6/1/2017 147.11 92023442 PROMETHAZINE 25MG/ML VL 86424088320 250 6/1/2017 13.52 92023489 PROMETHAZINE/CODEINE SYRUP 86424088320 250 6/1/2017 10.3 92023704 PROPRANOLOL 10MG TAB 86424088320 250 6/1/2017 2.7 92024058 PYRIDOXINE 50MG TAB 86424088320 250 6/1/2017 2.7 92024714 SANI-SUPP ADULT SUPPOS 86424088320 250 6/1/2017 4.32 92024810 SENNA TAB 86424088320 250 1/1/2020 5.2 92024908 SEREVENT DISKUS 50MCG 86424088320 250 6/1/2017 13.52 92024913 SEROQUEL 100MG TAB 86424088320 250 6/1/2017 14.61 92024918 SEROQUEL 25MG TAB 86424088320 250 1/1/2020 5.2 92025006 SINGULAIR 10MG TAB 86424088320 250 6/1/2017 14.61 92025061 SOD CITRATE/CITRIC ACID SOL 86424088320 250 6/1/2017 2.7 92025106 SODIUM BICARB 650MG TAB 86424088320 250 6/1/2017 0.26 92025231 SODIUM CHLORIDE 1GM TAB 86424088320 250 6/1/2017 2.7 92025293 SOLU-MEDROL 1000MG VL 86424088320 250 6/1/2017 95.16 92025351 SORBITOL 70% SOL 86424088320 250 6/1/2017 2.7 92025375 SOTALOL 120MG TAB 86424088320 250 6/1/2017 15.13 92025388 SOTALOL 80MG TAB 86424088320 250 1/1/2019 5.2 92025463 SPS 15GM/60ML SUSP 86424088320 250 6/1/2017 28.65 92025624 SUCRALFATE 1GM TAB 86424088320 250 6/1/2017 3.22 92025683 SULFACETAMIDE 10% EYE DROPS 86424088320 250 6/1/2017 22.72 92025984 TAMIFLU 75MG GELCAP 86424088320 250 6/1/2017 34.63 92026516 THERA-DERM LOTION 86424088320 250 6/1/2017 21.11 92026819 TIKOSYN .125MG CAPSULE 86424088320 250 6/1/2017 10.82 92026821 TIKOSYN .250MG CAP 86424088320 250 6/1/2017 13 92026913 TOBRADEX EYE OINT 86424088320 250 6/1/2017 308.26 92027272 TRAZODONE 50MG TAB 86424088320 250 6/1/2017 2.7 92027284 TRIAMCINOLONE 0.025% CREAM 86424088320 250 6/1/2017 16.22 92027315 TRIAMCINOLONE 0.025% OINT 86424088320 250 6/1/2017 13.52 92027363 TRIAMCINOLONE 0.1% OINT 86424088320 250 6/1/2017 16.22 92027406 TRIAMTERENE/HCTZ 37.5/25 CP 86424088320 250 6/1/2017 3.22 92027468 TRIAZOLAM 0.25MG TABLET 86424088320 250 6/1/2017 3.22 92027532 TRIHEXYPHENIDYL 2MG TAB 86424088320 250 6/1/2017 2.7 92027612 TRIMETHOPRIM 100MG TAB 86424088320 250 6/1/2017 3.22 92027645 TRIPLE ANTIBIOTIC OINT 86424088320 250 6/1/2017 25.43 92027701 TRIXAICIN 0.025% CREAM 86424088320 250 6/1/2017 31.36 92027911 UROCIT-K 5MEQ TAB SA 86424088320 250 6/1/2017 2.7 92027919 URSODIOL 300MG CAP 86424088320 250 1/1/2019 27.58 92028116 VENOFER 20MG/ML VL 86424088320 250 6/1/2017 309.35 92028166 VERAPAMIL 120MG TAB SA 86424088320 250 6/1/2017 3.22 92028237 VERAPAMIL 80MG TAB 86424088320 250 6/1/2017 2.7 92028271 VFEND 200MG TAB 86424088320 250 1/1/2020 224.64 92028363 VIGAMOX 0.5% EYE DROPS 86424088320 250 6/1/2017 248.25 92028458 "VITAMIN A 10,000 UNIT CAP " 86424088320 250 6/1/2017 2.7 92028569 VITAMIN B-12 100MCG TAB 86424088320 250 6/1/2017 2.7 92028596 VITAMIN B-12 500MCG TAB 86424088320 250 6/1/2017 2.7 92028734 VITAMIN C 250MG TAB 86424088320 250 6/1/2017 2.7 92028805 VITAMIN C 500MG TAB 86424088320 250 6/1/2017 2.7 92028908 VITAMIN E 1000 UNIT CAPSULE 86424088320 250 6/1/2017 2.7 92028971 VITAMIN E 200 UNIT CAP 86424088320 250 6/1/2017 2.7 92029470 ZEMPLAR 2MCG/ML VL 86424088320 250 6/1/2017 24.86 92029471 ZEMPLAR 5MCG/ML VL 86424088320 250 6/1/2017 131.4 92029580 ZINC-220 CAP 86424088320 250 6/1/2017 2.7 92029790 ZYVOX 600MG TAB 86424088320 250 1/1/2019 5.2 92030467 ACIDOPHILUS CAP 86424088320 250 6/1/2017 2.7 92030513 ACTOS 15MG TAB 86424088320 250 1/1/2019 5.2 92030643 ACYCLOVIR SOD 50MG/ML VL 86424088320 250 6/1/2017 208.73 92030644 ACYCLOVIR SOD 50MG/ML VL 86424088320 250 6/1/2017 25.95 92030974 ALLOPURINOL 100MG TAB 86424088320 250 6/1/2017 2.7 92031579 AMITRIPTYLINE HCL 10MG TAB 86424088320 250 6/1/2017 2.7 92031808 AMOX TR-K CLV 500-125MG TAB 86424088320 250 6/1/2017 20.54 92031815 AMOX TR-K CLV 875-125MG TAB 86424088320 250 1/1/2019 5.2 92032567 ASCOMP W/CODEINE CAPSULE 86424088320 250 6/1/2017 7.02 92033592 BENICAR 40MG TAB 86424088320 250 6/1/2017 27.58 92034154 BUMETANIDE 1MG TAB 86424088320 250 6/1/2017 2.7 92034181 BUPROPION HCL 75MG TAB 86424088320 250 6/1/2017 3.22 92034244 BUSPIRONE HCL 15MG TAB 86424088320 250 6/1/2017 9.2 92036033 CHLORDIAZEPOXIDE 5MG CAP 86424088320 250 6/1/2017 2.7 92036147 CHLORPROMAZINE 10MG TAB 86424088320 250 6/1/2017 1.09 92036195 CHLORTHALIDONE 25MG TAB 86424088320 250 6/1/2017 2.7 92036911 CLIMARA 0.1MG/DAY PATCH 86424088320 250 6/1/2017 39.47 92036988 CLOBETASOL 0.05% CREAM 86424088320 250 6/1/2017 104.36 92037040 CLONAZEPAM 0.5MG TAB 86424088320 250 6/1/2017 3.8 92037235 CLONIDINE HCL 0.2MG TAB 86424088320 250 6/1/2017 2.7 92037352 CLOTRIMAZOLE/BETAMETH CREAM 86424088320 250 6/1/2017 221.73 92038208 DESOXIMETASONE 0.05PCT GEL 86424088320 250 6/1/2017 131.4 92038481 DIAZEPAM 2MG TAB 86424088320 250 6/1/2017 2.7 92038837 DICYCLOMINE 10MG CAP 86424088320 250 6/1/2017 2.7 92038875 DICYCLOMINE 20MG TAB 86424088320 250 6/1/2017 2.7 92039172 DILTIAZEM 30MG TAB 86424088320 250 6/1/2017 2.7 92039284 DILTIAZEM HCL 180MG CAP SA 86424088320 250 6/1/2017 6.5 92039532 DIPHENHYDRAMINE 50MG/ML VL 86424088320 250 6/1/2017 13.52 92039572 DIPHENOXYLATE/ATROPINE TAB 86424088320 250 6/1/2017 2.7 92040010 DOXEPIN 25MG CAP 86424088320 250 6/1/2017 2.7 92040048 DOXEPIN 50MG CAP 86424088320 250 6/1/2017 11.34 92040264 DOXYCYCLINE 100MG VL 86424088320 250 6/1/2017 66.51 92040467 ECONAZOLE NITRATE 1% CREAM 86424088320 250 6/1/2017 94.12 92040871 EPIPEN 0.3 MG 2-PAK AUTO-INJEC 86424088320 250 6/1/2017 235.25 92040896 "EPOGEN 20,000U/ML VL " 86424088320 250 1/1/2020 2001.17 92041518 ETODOLAC 400MG TAB 86424088320 250 6/1/2017 6.5 92041569 ETODOLAC 500MG TABLET 86424088320 250 6/1/2017 1.77 92042011 FLUOCINONIDE 0.05PCT SOLUTION 86424088320 250 6/1/2017 121.68 92042032 FLUOROMETHOLONE 0.1% DROPS 86424088320 250 6/1/2017 70.82 92042168 FLUPHENAZINE 5MG TAB 86424088320 250 6/1/2017 4.32 92042418 FUROSEMIDE 20MG TAB 86424088320 250 6/1/2017 2.7 92042622 GENTAMICIN 3MG/ML EYE DROPS 86424088320 250 6/1/2017 42.74 92042731 GLUCAGEN 1MG VL 86424088320 250 6/1/2017 334.78 92042827 GLYBURIDE 2.5MG TAB 86424088320 250 6/1/2017 2.7 92042968 GOLYTELY SOL 86424088320 250 6/1/2017 83.3 92043331 HALOPERIDOL LAC 5MG/ML VL 86424088320 250 6/1/2017 49.76 92043492 HEPARIN IV FLUSH 10U/ML SYRING 86424088320 250 6/1/2017 13.52 92043680 HYDRALAZINE 20MG/ML VL 86424088320 250 6/1/2017 67.6 92044550 HYDROXYUREA 500MG CAP 86424088320 250 6/1/2017 5.93 92044807 HYOSCYAMINE 0.375MG TAB SA 86424088320 250 6/1/2017 2.7 92045400 IBUPROFEN 600MG TAB 86424088320 250 6/1/2017 2.7 92045623 IMIPRAMINE HCL 10MG TAB 86424088320 250 6/1/2017 2.7 92045760 INDAPAMIDE 2.5MG TAB 86424088320 250 6/1/2017 3.8 92046422 KETOCONAZOLE 200MG TAB 86424088320 250 6/1/2017 14.04 92046811 LEVOBUNOLOL 0.5% EYE DROPS 86424088320 250 6/1/2017 74.62 92047009 LIDOCAINE 2% VISCOUS SOL 86424088320 250 6/1/2017 12.43 92047046 LIDODERM 5% PATCH 86424088320 250 1/1/2020 29.2 92047307 LOPERAMIDE 2MG CAP 86424088320 250 6/1/2017 3.22 92047901 MAGNESIUM SULFATE 50% VL 86424088320 250 6/1/2017 13.52 92047909 MAGNESIUM-OXIDE 400MG TAB 86424088320 250 1/1/2020 5.2 92048588 METHOTREXATE 2.5MG TAB 86424088320 250 6/1/2017 17.84 92048632 METHYLDOPA 250MG TAB 86424088320 250 6/1/2017 2.7 92048645 METHYLDOPA 500MG TAB 86424088320 250 6/1/2017 3.22 92048722 METHYLPREDNISOLONE 4MG TAB 86424088320 250 6/1/2017 2.7 92048859 METOPROLOL 50MG TAB 86424088320 250 1/1/2020 5.2 92048992 METRONIDAZOLE 500MG TAB 86424088320 250 6/1/2017 5.41 92049123 MICONAZOLE NITRATE 2% CREAM 86424088320 250 6/1/2017 32.45 92049327 MINOCYCLINE 50MG CAP 86424088320 250 6/1/2017 7.59 92049387 MISOPROSTOL 200MCG TAB 86424088320 250 6/1/2017 5.41 92049732 NADOLOL 20MG TAB 86424088320 250 6/1/2017 4.32 92049940 NAPROXEN 375MG TAB 86424088320 250 6/1/2017 4.89 92050426 NEO/POLYMYXIN/HC EAR SOL 86424088320 250 6/1/2017 100.05 92050516 NEUPOGEN 300MCG/ML VL 86424088320 250 6/1/2017 933.4 92050658 NIACIN 250MG TABLET SA 86424088320 250 6/1/2017 2.7 92050859 NITROFURANTOIN MCR 50MG CAP 86424088320 250 6/1/2017 4.89 92050891 NITROGLYCERIN 0.4MG/HR PTCH 86424088320 250 6/1/2017 12.43 92050894 NITROGLYCERIN 0.6MG/HR PTCH 86424088320 250 6/1/2017 12.43 92051289 NYSTATIN/TRIAMCINOLONE CREAM 86424088320 250 6/1/2017 29.74 92051679 OXYTROL 3.9MG/24HR PATCH 86424088320 250 6/1/2017 48.15 92052050 PENTASA 250MG CAP SA 86424088320 250 6/1/2017 3.22 92052078 PENTOXIFYLLINE 400MG TAB SA 86424088320 250 6/1/2017 3.22 92052808 PHOS-NAK PACKET 86424088320 250 6/1/2017 2.7 92052809 PHOSPHA 250 NEUTRAL TAB 86424088320 250 6/1/2017 0.52 92052848 PILOCARPINE 1% EYE DROPS 86424088320 250 6/1/2017 41.65 92052854 PILOCARPINE 2% EYE DROPS 86424088320 250 6/1/2017 52.99 92053358 PREDNISOLONE AC 1% EYE DROPS 86424088320 250 6/1/2017 56.78 92053957 PROCHLORPERAZINE 5MG TAB 86424088320 250 6/1/2017 2.7 92053981 PROCRIT 10000U/ML VL 86424088320 250 1/1/2020 1000.58 92053986 PROCRIT 2000U/ML VL 86424088320 250 6/1/2017 120.07 92053988 PROCRIT 3000U/ML VL 86424088320 250 6/1/2017 180.08 92054016 PROCTOZONE-HC 2.5% CRM 86424088320 250 6/1/2017 23.82 92054083 PROMETHAZINE 6.25MG/5ML SYRING 86424088320 250 6/1/2017 32.97 92054426 PROPRANOLOL 20MG TAB 86424088320 250 6/1/2017 2.7 92055233 RIFAMPIN 300MG CAPSULE 86424088320 250 6/1/2017 8.63 92055234 RIFAMPIN 600MG VL 86424088320 250 6/1/2017 348.82 92055493 SELENIUM SULF 2.5PCT SHAMPOO 86424088320 250 6/1/2017 51.38 92055592 SILVADENE 1PCT CREAM 86424088320 250 6/1/2017 23.24 92055868 SODIUM CHLORIDE 0.9PCT VIAL 86424088320 250 1/1/2020 13.51 92056296 SULFASALAZINE 500MG TAB 86424088320 250 6/1/2017 2.7 92056628 TEMAZEPAM 15MG CAP 86424088320 250 6/1/2017 3.22 92057149 FOLIC ACID 1MG TAB 86424088320 250 6/1/2017 2.7 92057167 THIOTHIXENE 5MG CAP 86424088320 250 6/1/2017 2.7 92057382 TIMOLOL 0.5% EYE DROPS 86424088320 250 6/1/2017 76.23 92057498 TOBRAMYCIN 0.3% EYE DROPS 86424088320 250 6/1/2017 67.6 92058607 VALPROATE SOD 500MG/5ML VL 86424088320 250 6/1/2017 55.69 92058849 VERAPAMIL 180MG TAB SA 86424088320 250 6/1/2017 5.41 92060017 ZETIA 10MG TAB 86424088320 250 6/1/2017 11.91 92060215 ZOVIRAX 5PCT CREAM 86424088320 250 6/1/2017 385.58 92060289 COMTAN 200MG TAB 86424088320 250 6/1/2017 9.2 92060293 S-2 2.25% SOL 86424088320 250 6/1/2017 84.34 92060328 CATHFLO ACTIVASE 2MG VL 86424088320 250 1/1/2020 573.05 92060374 MAPAP 325MG TAB 86424088320 250 6/1/2017 0.52 92060384 THERA-PLUS LIQUID 86424088320 250 6/1/2017 19.45 92060389 ABILIFY 5MG TAB 86424088320 250 6/1/2017 9.72 92060621 CIPRODEX OTIC SUSP 86424088320 250 6/1/2017 372.06 92060684 CRESTOR 5MG TAB 86424088320 250 6/1/2017 13.52 92060984 LIDOCAINE-PRILOCAINE CREAM 86424088320 250 6/1/2017 41.65 92061636 ABILIFY 15MG TAB 86424088320 250 6/1/2017 58.97 92061726 TAB-A-VITE TAB 86424088320 250 6/1/2017 2.7 92062618 CUBICIN 500MG VL 86424088320 250 1/1/2020 1667.92 92063002 MORPHINE SULF 15MG TAB SA 86424088320 250 6/1/2017 3.8 92063004 MORPHINE SULF 30MG TAB SA 86424088320 250 6/1/2017 7.59 92063235 THERA M PLUS TAB 86424088320 250 6/1/2017 2.7 92063303 VALPROIC ACID 250MG/5ML SYRUP 86424088320 250 6/1/2017 20.54 92063452 FLORASTOR 250MG CAP 86424088320 250 6/1/2017 2.7 92063465 GLYBURIDE MICRO 3MG TAB 86424088320 250 6/1/2017 2.7 92063534 MUPIROCIN 2% OINT 86424088320 250 6/1/2017 191.98 92063665 BENEFIBER POWDER 86424088320 250 6/1/2017 57.3 92064332 DOK PLUS TAB 86424088320 250 6/1/2017 2.7 92064486 NAMENDA 5MG TAB 86424088320 250 6/1/2017 11.91 92064679 ALLOPURINOL 300MG TAB 86424088320 250 6/1/2017 3.22 92065825 MAG-AL PLUS XS SUSP 86424088320 250 6/1/2017 12.43 92065879 MYFORTIC 180MG TAB 86424088320 250 6/1/2017 12.43 92066080 ZYPREXA 10MG VL 86424088320 250 6/1/2017 113.57 92066085 SENSIPAR 30MG TAB 86424088320 250 1/1/2020 65.21 92066304 CIPROFLOXACIN 0.3% EYE DROPS 86424088320 250 6/1/2017 216.84 92066461 JANTOVEN 1MG TAB 86424088320 250 6/1/2017 3.8 92066462 JANTOVEN 2.5MG TAB 86424088320 250 6/1/2017 3.8 92066463 JANTOVEN 2MG TAB 86424088320 250 6/1/2017 3.8 92066464 JANTOVEN 3MG TAB 86424088320 250 6/1/2017 3.8 92066465 JANTOVEN 4MG TAB 86424088320 250 6/1/2017 3.8 92066466 JANTOVEN 5MG TAB 86424088320 250 6/1/2017 3.8 92066468 JANTOVEN 7.5MG TAB 86424088320 250 6/1/2017 5.41 92066476 KETOCONAZOLE 2PCT CREAM 86424088320 250 6/1/2017 124.38 92066510 METRONIDAZOLE 0.75% CREAM 86424088320 250 6/1/2017 212.52 92066528 NORTRIPTYLINE HCL 10MG CAP 86424088320 250 6/1/2017 2.7 92066579 PROTONIX IV 40MG VL 86424088320 250 6/1/2017 135.2 92066616 TORSEMIDE 20MG TAB 86424088320 250 6/1/2017 3.8 92066618 TRANSDERM-SCOP 1.5MG/72HR 86424088320 250 6/1/2017 30.84 92066693 FLUCONAZOLE 100MG TAB 86424088320 250 1/1/2020 30.3 92066721 FLUCONAZOLE-NS 400MG/200ML 86424088320 250 1/1/2020 77.91 92066888 CLOTRIMAZOLE 10MG TROCHE 86424088320 250 6/1/2017 8.11 92066895 CYMBALTA 20MG CAP 86424088320 250 6/1/2017 16.22 92066896 CYMBALTA 30MG CAP 86424088320 250 1/1/2019 5.2 92066959 FLUCONAZOLE 150 MG TABLET 86424088320 250 6/1/2017 69.78 92067025 CIPROFLOXACIN HCL 250MG TAB 86424088320 250 1/1/2019 5.2 92067102 FLUOCINONIDE 0.05PCT CREAM 86424088320 250 6/1/2017 106.55 92067160 MESALAMINE 4G/60ML RECTL SUSP 86424088320 250 6/1/2017 232.56 92067161 METHYLPRED SS 125MG VL 86424088320 250 6/1/2017 16.74 92067163 METOPROLOL 25MG TAB 86424088320 250 1/1/2020 5.2 92067193 PREDNISONE 20MG TAB 86424088320 250 6/1/2017 2.7 92067222 NAFCILLIN 2GM VL 86424088320 250 6/1/2017 68.69 92067224 AVODART 0.5MG CAP 86424088320 250 6/1/2017 15.13 92067266 HYDROCODONE-APAP 5-325 TAB 86424088320 250 6/1/2017 1.09 92067286 MIRTAZAPINE 15MG RPD DISLV TB 86424088320 250 6/1/2017 8.63 92067295 PREDNISONE 50MG TAB 86424088320 250 6/1/2017 2.7 92067319 MYTAB GAS 80MG TAB CHEW 86424088320 250 6/1/2017 2.7 92067323 XIFAXAN 200MG TAB 86424088320 250 6/1/2017 15.13 92067329 ASACOL 400MG TAB EC 86424088320 250 6/1/2017 4.89 92067359 TRICOR 145MG TAB 86424088320 250 6/1/2017 14.04 92067360 TRICOR 48MG TAB 86424088320 250 6/1/2017 4.32 92067367 ABELCET 5MG/ML VL P-F 86424088320 250 6/1/2017 1035.11 92067404 ARIXTRA 5 MG SYRINGE 86424088320 250 6/1/2017 340.18 92067768 MYAMBUTOL 400MG TAB 86424088320 250 6/1/2017 8.11 92067774 NASAL DECONGESTANT SPRAY 86424088320 250 6/1/2017 17.84 92067871 SELEGILINE HCL 5MG CAP 86424088320 250 6/1/2017 10.3 92067915 TRIAMCINOLONE 0.1% CREAM 86424088320 250 6/1/2017 16.22 92068046 BUSPIRONE HCL 5MG TAB 86424088320 250 6/1/2017 3.22 92068090 FUROSEMIDE 10MG/ML VL 86424088320 250 6/1/2017 13.52 92068128 METHADONE HCL 10MG TAB 86424088320 250 6/1/2017 2.7 92068129 METHADONE HCL 5MG TAB 86424088320 250 6/1/2017 2.7 92068132 METOCLOPRAMIDE 10MG TAB 86424088320 250 6/1/2017 2.7 92068155 NEPHRO-VITE RX TAB 86424088320 250 6/1/2017 2.7 92068208 TIZANIDINE HCL 2MG TAB 86424088320 250 6/1/2017 5.41 92068214 VANCOMYCIN 1GM VL 86424088320 250 1/1/2020 59.53 92068299 GUAIFENESIN 100MG/5ML SYRUP 86424088320 250 6/1/2017 29.22 92068351 PREDNISONE 10MG TAB 86424088320 250 6/1/2017 2.7 92068575 VANCOMYCIN 500MG VL 86424088320 250 6/1/2017 17.84 92068662 ATROVENT HFA INHALER 86424088320 250 6/1/2017 389.9 92069238 PRIMIDONE 250MG TAB 86424088320 250 6/1/2017 4.32 92069513 BETHANECHOL 10MG TAB 86424088320 250 6/1/2017 5.93 92069515 BETHANECHOL 25MG TAB 86424088320 250 6/1/2017 2.7 92069579 CEFTRIAXONE 1GM VL 86424088320 250 1/1/2019 5.2 92069594 CEFTRIAXONE 2GM VL 86424088320 250 6/1/2017 8.22 92069687 CLOTRIMAZOLE-BETAMETHASONE LOT 86424088320 250 1/1/2019 116.97 92070018 LIDOCAINE HCL 2% VL 86424088320 250 6/1/2017 1.61 92070050 LORAZEPAM 2MG/ML CARPUJECT 86424088320 250 6/1/2017 16.74 92070158 NALOXONE 0.4MG/ML VL 86424088320 250 6/1/2017 13.52 92070308 REVATIO 20MG TAB 86424088320 250 6/1/2017 48.15 92070471 LUBRIFRESH PM OINT 86424088320 250 6/1/2017 12.43 92070514 ATROPINE 0.1 MG/ML ABBOJECT 86424088320 250 6/1/2017 22.72 92070642 DIAZEPAM 5MG/ML SYRINGE 86424088320 250 6/1/2017 14.61 92070757 GENTAMICIN 40MG/ML VL 86424088320 250 6/1/2017 13.52 92070852 LIDOCAINE HCL 1% VL 86424088320 250 6/1/2017 13.52 92070878 LYRICA 100MG CAP 86424088320 250 6/1/2017 8.63 92070882 LYRICA 25MG CAP 86424088320 250 6/1/2017 9.2 92070980 "NYSTATIN 100,000 U/ML SUSP " 86424088320 250 1/1/2020 5.2 92071373 DIASTAT ACUDIAL 10 MG KIT2PK 86424088320 250 6/1/2017 501.8 92071545 LEFLUNOMIDE 10 MG TABLET 86424088320 250 6/1/2017 58.4 92071849 VANDAZOLE VAGINAL 0.75PCT GEL 86424088320 250 6/1/2017 296.35 92071883 FIBER TAB 86424088320 250 6/1/2017 2.7 92072225 GLIMEPIRIDE 1MG TAB 86424088320 250 6/1/2017 2.7 92072610 VITAMIN K 10MG/ML AMPULE 86424088320 250 6/1/2017 25.43 92072640 STALEVO 50 TABLET 86424088320 250 6/1/2017 10.3 92072689 AMPICILLIN 1GM VL 86424088320 250 6/1/2017 22.15 92072694 AMPICILLIN-SULBACTAM 3 GM VL 86424088320 250 6/1/2017 69.21 92072900 FOSRENOL 1000MG TAB CHEW 86424088320 250 6/1/2017 25.43 92073044 MORPHINE SULFATE 20 MG/ML SOLN 86424088320 250 1/1/2019 39.31 92073079 OMEPRAZOLE 20MG CAP DR 86424088320 250 1/1/2020 9.95 92073090 PAROXETINE HCL 10MG TAB 86424088320 250 6/1/2017 11.91 92073223 ENABLEX 7.5MG TAB 86424088320 250 6/1/2017 11.34 92073228 FOLBIC TAB 86424088320 250 6/1/2017 1.61 92073283 CALCIUM CHLORIDE 10% ABBJCT 86424088320 250 6/1/2017 13.52 92073431 EPINEPHRINE 0.1MG/ML ABBJCT 86424088320 250 6/1/2017 13.52 92073756 SODIUM BICARB 8.4% ABBOJECT 86424088320 250 6/1/2017 15.13 92073830 MELATONIN 1MG TAB 86424088320 250 6/1/2017 0.52 92074319 METOCLOPRAMIDE 5MG/ML VL 86424088320 250 6/1/2017 13.52 92074479 PREMARIN 0.3MG TAB 86424088320 250 6/1/2017 4.32 92074482 PREMARIN 0.625MG TAB 86424088320 250 6/1/2017 4.89 92074619 ZONISAMIDE 100MG CAP 86424088320 250 6/1/2017 10.3 92074654 ALPHAGAN P 0.1% DROPS 86424088320 250 6/1/2017 222.25 92074681 ARIXTRA 10 MG SYRINGE 86424088320 250 6/1/2017 174.67 92074682 ARIXTRA 2.5MG SYR 86424088320 250 6/1/2017 172.54 92074684 ARIXTRA 7.5MG SYR 86424088320 250 6/1/2017 324.48 92074821 DESMOPRESSIN ACETATE 0.1 MG TB 86424088320 250 6/1/2017 11.91 92074883 FENOFIBRATE 67MG CAP 86424088320 250 6/1/2017 3.8 92074980 LEVEMIR 100 UNITS/ML VL 86424088320 250 6/1/2017 396.4 92074981 LEVEMIR FLEXPEN 100 UNITS/ML 86424088320 250 1/1/2020 346.1 92075389 AZITHROMYCIN IV 500MG VL 86424088320 250 6/1/2017 125.48 92075424 CALCITRIOL 0.25MCG CAP 86424088320 250 6/1/2017 3.8 92077402 FENOFIBRATE 54MG TAB 86424088320 250 6/1/2017 4.89 92077432 FLUCONAZOLE-DEXT 200MG/100ML 86424088320 250 6/1/2017 520.26 92077668 METFORMIN HCL 850MG TAB 86424088320 250 6/1/2017 5.41 92077746 RAPAMUNE 1MG TAB 86424088320 250 6/1/2017 31.36 92077937 MOUTHKOTE SOL 86424088320 250 6/1/2017 40.04 92077985 EXTRA STRENGTH MUSCLE RUB 86424088320 250 6/1/2017 17.32 92078010 ARANESP 100MCG/0.5ML SYRINGE 86424088320 250 6/1/2017 892.84 92078020 ARANESP 25MCG/0.42ML SYRINGE 86424088320 250 6/1/2017 507.26 92078026 ARANESP 40MCG/0.4ML SYRINGE 86424088320 250 6/1/2017 897.73 92078030 ARANESP 60MCG/0.3ML SYRINGE 86424088320 250 6/1/2017 1346.59 92078098 VENLAFAXINE HCL 75MG TAB 86424088320 250 7/18/2017 6.83 92078102 AZILECT 1MG TAB 86424088320 250 6/1/2017 29.74 92078107 NICOTINE 21MG/24HR PATCH 86424088320 250 1/1/2020 6.46 92078108 NICOTINE 14MG/24HR PATCH 86424088320 250 6/1/2017 28.13 92078173 JANUVIA 25MG TAB 86424088320 250 6/1/2017 25.95 92078174 JANUVIA 50MG TAB 86424088320 250 1/1/2020 16.88 92078175 JANUVIA 100MG TAB 86424088320 250 6/1/2017 26.52 92078212 VESICARE 10MG TAB 86424088320 250 6/1/2017 16.74 92078222 DIAZEPAM 5MG TAB 86424088320 250 6/1/2017 2.7 92078284 MAGNESIUM SULF 4% IV SOL 86424088320 250 6/1/2017 27.04 92078344 POTASSIUM CHLORIDE 10% LIQUI 86424088320 250 6/1/2017 2.7 92078359 ITRACONAZOLE 100MG CAP 86424088320 250 6/1/2017 43.26 92078360 ACYCLOVIR 200MG CAP 86424088320 250 6/1/2017 4.89 92078363 ATENOLOL 25MG TAB 86424088320 250 6/1/2017 3.8 92078365 FLUOXETINE HCL 10MG CAP 86424088320 250 8/1/2017 11.91 92078366 FLUOXETINE HCL 20MG CAP 86424088320 250 1/1/2019 5.2 92078368 LEVOTHYROXINE 100MCG TAB 86424088320 250 6/1/2017 2.7 92078370 LEVOTHYROXINE 125MCG TAB 86424088320 250 6/1/2017 2.7 92078372 LEVOTHYROXINE 50MCG TAB 86424088320 250 6/1/2017 2.7 92078374 LEVOTHYROXINE 75MCG TAB 86424088320 250 6/1/2017 2.7 92078487 CHANTIX 1MG TAB 86424088320 250 6/1/2017 7.59 92078584 LYRICA 50MG CAP 86424088320 250 6/1/2017 10.82 92078601 TAMOXIFEN 10MG TAB 86424088320 250 6/1/2017 8.63 92078645 FLOVENT HFA 44MCG INHALER 86424088320 250 6/1/2017 286.1 92078655 INVANZ 1GM A/V VL 86424088320 250 1/1/2020 481.7 92078661 MINOXIDIL 10MG TAB 86424088320 250 6/1/2017 5.93 92078663 MINOXIDIL 2.5MG TAB 86424088320 250 6/1/2017 2.7 92078682 PROPRANOLOL 80MG CAP SA 86424088320 250 6/1/2017 5.93 92078762 TEKTURNA 150MG TAB 86424088320 250 6/1/2017 9.2 92078767 VENLAFAXINE HCL 25MG TAB 86424088320 250 6/1/2017 8.11 92078783 SPIRIVA 18MCG CP-HANDIHALER 86424088320 250 1/1/2020 318.46 92078789 FLOVENT HFA 110MCG INHALER 86424088320 250 6/1/2017 402.38 92078905 BROVANA 15MCG/2ML SOL 86424088320 250 1/1/2019 54.35 92078918 ASPERCREME 10% CREAM 86424088320 250 6/1/2017 27.04 92079216 NIFEDIPINE ER 30MG TAB 86424088320 250 6/1/2017 5.93 92079289 SEROQUEL XR 200 MG TABLET 86424088320 250 6/1/2017 61.15 92079365 FLOVENT HFA 220MCG INHALER 86424088320 250 6/1/2017 594.88 92079794 EXELON 4.6MG/24HR PATCH 86424088320 250 6/1/2017 23.24 92079796 EXELON 9.5MG/24HR PATCH 86424088320 250 6/1/2017 24.34 92080032 KETOROLAC 30 MG/ML ISECURE 86424088320 250 6/1/2017 17.84 92080328 ONDANSETRON ODT 4MG TAB 86424088320 250 6/1/2017 93.55 92080747 VENLAFAXINE HCL 100MG TAB 86424088320 250 6/1/2017 7.59 92080781 CARVEDILOL 12.5MG TAB 86424088320 250 1/1/2020 6.65 92080785 CARVEDILOL 6.25MG TAB 86424088320 250 1/1/2019 5.2 92080787 CARVEDILOL 3.125MG TAB 86424088320 250 6/1/2017 8.11 92081727 FENTANYL 100MCG/HR PATCH 86424088320 250 1/1/2020 245.58 92081882 GABAPENTIN 100 MG CAPSULE 86424088320 250 1/1/2020 5.2 92083204 NITROFURANTOIN-MACRO 100MG 86424088320 250 6/1/2017 10.82 92083270 ADULT DELSYM 30 MG/5 ML SUSP 86424088320 250 6/1/2017 32.97 92084222 OCTREOTIDE ACET 50 MCG/ML AMP 86424088320 250 6/1/2017 13.52 92084255 OXCARBAZEPINE 300MG TAB 86424088320 250 6/1/2017 10.3 92084614 AMITIZA 24MCG CAP 86424088320 250 6/1/2017 13 92084934 MEPHYTON 5MG TAB 86424088320 250 6/1/2017 2.7 92085037 OXCARBAZEPINE 150MG TAB 86424088320 250 6/1/2017 5.41 92085234 PHENADOZ 25MG SUPPOS 86424088320 250 6/1/2017 19.45 92085529 BYSTOLIC 5MG TAB 86424088320 250 6/1/2017 6.5 92085807 ETIDRONATE DISODIUM 200MG TAB 86424088320 250 6/1/2017 15.13 92085848 GYNE-LOTRIMIN 3 DAY 2% CRM 86424088320 250 6/1/2017 63.8 92085858 HYDRALAZINE 10MG TAB 86424088320 250 6/1/2017 2.7 92085963 LISINOPRIL 20MG TAB 86424088320 250 1/1/2020 5.2 92086147 RENVELA 800MG TAB 86424088320 250 1/1/2020 57.03 92086260 ISENTRESS 400MG TAB 86424088320 250 6/1/2017 65.42 92086539 CALCIDOL DROPS 86424088320 250 6/1/2017 2.7 92086818 DEMECLOCYCLINE 300MG TAB 86424088320 250 6/1/2017 41.08 92087200 FLUTICASONE 50MCG/ACT AER 86424088320 250 1/1/2020 266.01 92087361 IPRATR-ALBUTEROL 0.5-3MG/3ML 86424088320 250 1/1/2020 6.86 92087407 LORATADINE 10MG TAB 86424088320 250 6/1/2017 3.8 92087543 PANTOPRAZOLE SOD 20MG TAB EC 86424088320 250 1/1/2020 11.86 92087869 ALENDRONATE SODIUM 70MG TAB 86424088320 250 6/1/2017 82.73 92088807 NEO-POLYMYXIN-HC EAR SUSP 86424088320 250 6/1/2017 103.84 92089002 SULFAMETHOXAZOLE-TMP DS TAB 86424088320 250 6/1/2017 5.41 92089111 AZILECT 0.5MG TAB 86424088320 250 6/1/2017 31.36 92089172 NORTRIPTYLINE HCL 25MG CAP 86424088320 250 6/1/2017 3.8 92089318 CIPROFLOXACIN 400MG/200ML 86424088320 250 6/1/2017 10.3 92089423 HYDRALAZINE 25MG TAB 86424088320 250 6/1/2017 2.7 92089517 MAGONATE 54MG/5ML LIQUID 86424088320 250 6/1/2017 2.18 92089676 NABUMETONE 500MG TAB 86424088320 250 6/1/2017 6.5 92089701 NICOTROL CARTRIDGE INHALER 86424088320 250 6/1/2017 378.56 92090265 FENTANYL 12MCG/HR PATCH 86424088320 250 6/1/2017 60.58 92090324 APLISOL 5T UNITS/0.1ML VL 86424088320 250 6/1/2017 13.52 92090381 CEFEPIME HCL 1 GM VIAL 86424088320 250 6/1/2017 85.44 92090691 MIDODRINE HCL 2.5MG TAB 86424088320 250 6/1/2017 5.41 92090739 NIMODIPINE 30MG CAP 86424088320 250 1/1/2020 57.44 92090990 SILVER SULFADIAZINE 1% CRM 86424088320 250 6/1/2017 157.92 92091205 AMITIZA 8MCG CAP 86424088320 250 6/1/2017 14.04 92091285 CLINDAMYCIN HCL 150MG CAP 86424088320 250 6/1/2017 5.41 92091325 FELODIPINE ER 5MG TAB 86424088320 250 6/1/2017 5.93 92091549 PROMETHAZINE HCL 25 MG TABLET 86424088320 250 6/1/2017 2.7 92091577 ROPINIROLE HCL 0.25 MG TABLET 86424088320 250 6/1/2017 6.5 92092373 RESTASIS 0.05% EYE EMULSION 86424088320 250 6/1/2017 12.43 92092814 DIVALPROEX SOD 125 MG TAB EC 86424088320 250 6/1/2017 3.22 92092854 DRONABINOL 2.5MG CAP 86424088320 250 6/1/2017 962.1 92093123 MORPHINE SULFATE 15MG TAB 86424088320 250 6/1/2017 2.7 92093426 VENLAFAXINE HCL 37.5MG TAB 86424088320 250 6/1/2017 8.63 92093430 VENTOLIN HFA 90MCG INHALER 86424088320 250 6/1/2017 170.35 92093565 BENZONATATE 100MG CAP 86424088320 250 6/1/2017 4.32 92093592 CARBIDOPA-LEVO 25/100 TAB SA 86424088320 250 6/1/2017 4.32 92093680 DAPSONE 100MG TAB 86424088320 250 6/1/2017 2.7 92093751 FLORANEX GRANULES PACKET 86424088320 250 6/1/2017 2.7 92093844 HYDROXYCHLOROQUINE 200MG TAB 86424088320 250 6/1/2017 5.41 92093855 IBUPROFEN 400MG TAB 86424088320 250 6/1/2017 2.7 92093925 METHIMAZOLE 10MG TAB 86424088320 250 6/1/2017 3.22 92094464 FLUCONAZOLE 40 MG/ML SUSP 86424088320 250 6/1/2017 653.85 92094465 FLUDROCORTISONE 0.1MG TAB 86424088320 250 6/1/2017 3.22 92094690 PHENAZOPYRIDINE 100MG TAB 86424088320 250 6/1/2017 2.7 92094823 OXYBUTYNIN CL ER 5MG TAB 86424088320 250 1/1/2019 5.2 92094852 AMANTADINE 100 MG CAPSULE 86424088320 250 6/1/2017 2.7 92094901 CALCIUM ACETATE 667MG CAP 86424088320 250 6/1/2017 2.7 92094957 DANTROLENE SODIUM 25MG CAP 86424088320 250 6/1/2017 5.41 92094971 DORZOLAMIDE-TIMOLOL EYE DROPS 86424088320 250 6/1/2017 226.62 92095162 ONDANSETRON HCL 4MG/2ML VL 86424088320 250 6/1/2017 120.07 92095290 THEOPHYLLINE 200MG TAB SA 86424088320 250 6/1/2017 3.22 92095291 THEOPHYLLINE 300MG TAB SA 86424088320 250 6/1/2017 2.7 92095344 VITAMIN D 400 UNITS TAB 86424088320 250 6/1/2017 0.26 92095348 ERYTHROCIN 1 GM ADDVANT VIAL 86424088320 250 6/1/2017 34.63 92095395 BUDESONIDE 0.25MG/2ML SUSP 86424088320 250 6/1/2017 21.63 92095396 BUDESONIDE 0.5MG/2ML SUSP 86424088320 250 1/1/2020 34.85 92095453 GLUTOSE 15 GEL 86424088320 250 6/1/2017 16.72 92095487 MIRTAZAPINE 15 MG TABLET 86424088320 250 1/1/2019 5.2 92095523 RISPERIDONE 0.25MG TAB 86424088320 250 6/1/2017 14.61 92095529 RISPERIDONE 1MG TAB 86424088320 250 1/1/2020 14.35 92095836 DOXAZOSIN MESYLATE 2MG TAB 86424088320 250 6/1/2017 4.32 92096373 GUAIFENESIN-CODEINE SYRUP 86424088320 250 6/1/2017 2.7 92096536 FENOFIBRATE 160MG TAB 86424088320 250 6/1/2017 15.13 92096571 HYDROXYZINE HCL 10MG TAB 86424088320 250 6/1/2017 2.7 92096909 SEROQUEL XR 50MG TAB 86424088320 250 6/1/2017 20.02 92096998 TOBRAMYCIN-DEXAMETH OPTH SUSP 86424088320 250 6/1/2017 279.6 92097067 CALCITONIN-SALMON 200 UNITS SP 86424088320 250 6/1/2017 175.76 92097172 CLINDAMYCIN 2PCT VAGINAL CREAM 86424088320 250 6/1/2017 304.36 92097537 RAPAFLO 4 MG CAPSULE 86424088320 250 6/1/2017 15.13 92097619 TERBINAFINE HCL 1% CREAM 86424088320 250 6/1/2017 57.3 92097628 TOVIAZ 4MG ER TAB 86424088320 250 6/1/2017 18.93 92097629 TOVIAZ 8 MG ER TABLET 86424088320 250 6/1/2017 20.18 92097642 ULORIC 40MG TAB 86424088320 250 6/1/2017 33.9 92097726 LIOTHYRONINE SOD 5MCG TAB 86424088320 250 6/1/2017 2.7 92097727 LEVETIRACETAM 500MG TAB 86424088320 250 1/1/2020 9.86 92098352 NITRO-BID 2% OINT 86424088320 250 6/1/2017 81.12 92098613 IPRATROPIUM BR 0.02% SOL 86424088320 250 6/1/2017 8.11 92098657 AMILORIDE HCL 5MG TAB 86424088320 250 6/1/2017 2.7 92098935 GLIMEPIRIDE 2MG TAB 86424088320 250 6/1/2017 2.7 92099278 REQUIP XL 6 MG TABLET 86424088320 250 6/1/2017 29.9 92099301 SAVELLA 50MG TAB 86424088320 250 6/1/2017 7.85 92099326 SPIRONOLACTONE 25MG TAB 86424088320 250 6/1/2017 2.7 92099491 TOPIRAMATE 50MG TAB 86424088320 250 1/1/2019 39.97 92100010 PROCTOFOAM HC FOAM 86424088320 250 6/1/2017 187.1 92100354 CEFAZOLIN 1GM VL 86424088320 250 6/1/2017 13.52 92100687 HYOSCYAMINE SULF 0.125MG TAB 86424088320 250 6/1/2017 2.7 92100717 LAMOTRIGINE 100MG TAB 86424088320 250 6/1/2017 16.22 92100720 LAMOTRIGINE 150 MG TABLET 86424088320 250 6/1/2017 0.52 92100727 LAMOTRIGINE 25MG TAB 86424088320 250 6/1/2017 15.13 92100738 LEVETIRACETAM 250MG TAB 86424088320 250 1/1/2020 5.2 92100925 MULTAQ 400MG TAB 86424088320 250 6/1/2017 14.61 92101022 PENICILLIN VK 250 MG TABLET 86424088320 250 6/1/2017 2.7 92101033 POTASSIUM GLUC 595MG TAB 86424088320 250 4/1/2019 0.12 92101112 ROPINIROLE HCL 1MG TAB 86424088320 250 6/1/2017 6.5 92101262 VANCOMYCIN HCL 750MG VL 86424088320 250 6/1/2017 18.93 92101306 VIMPAT 100MG TAB 86424088320 250 1/1/2020 59.34 92101324 VIMPAT 50MG TAB 86424088320 250 6/1/2017 16.22 92101503 DILANTIN 30 MG CAPSULE 86424088320 250 6/1/2017 1.09 92101785 ONGLYZA 5 MG TABLET 86424088320 250 6/1/2017 27.56 92101912 TACROLIMUS ANHYDROUS 5MG CAP 86424088320 250 6/1/2017 88.71 92101996 CARISOPRODOL 350MG TAB 86424088320 250 6/1/2017 2.7 92102123 DIGOXIN 125MCG TAB 86424088320 250 6/1/2017 2.7 92102260 LEVALBUTEROL 1.25MG/0.5ML 86424088320 250 6/1/2017 11.91 92102261 LEVAQUIN 25MG/ML SOL 86424088320 250 6/1/2017 205.5 92102302 NATEGLINIDE 60MG TAB 86424088320 250 7/1/2017 5.41 92102306 "NYSTATIN 100,000 U/GM POWDER " 86424088320 250 1/1/2020 85.68 92102309 OXYBUTYNIN 5MG TAB 86424088320 250 6/1/2017 2.7 92102358 PHENYTOIN SOD EXT 100MG CAP 86424088320 250 6/1/2017 2.7 92102422 TORSEMIDE 100MG TAB 86424088320 250 6/1/2017 10.3 92102424 TORSEMIDE 5 MG TABLET 86424088320 250 6/1/2017 2.7 92102451 DIVALPROEX SOD DR 250MG TAB 86424088320 250 6/1/2017 5.41 92102476 ALBUTEROL 0.083PCT INHAL SOLN 86424088320 250 6/1/2017 5.93 92102530 BRIMONIDINE TARTRATE 0.15% D 86424088320 250 6/1/2017 545.12 92102671 CYCLOBENZAPRINE 10MG TAB 86424088320 250 6/1/2017 5.41 92102705 DIVALPROEX SOD DR 500MG TAB 86424088320 250 6/1/2017 48.67 92102755 FLUMAZENIL 0.1MG/ML VL 86424088320 250 6/1/2017 443.98 92102775 FUROSEMIDE 40MG TAB 86424088320 250 6/1/2017 2.7 92103033 NAPROXEN 250MG TAB 86424088320 250 6/1/2017 3.8 92103187 DIVALPROEX SOD ER 500MG TAB 86424088320 250 6/1/2017 10.82 92103196 SUMATRIPTAN SUCC 25MG TAB 86424088320 250 6/1/2017 5.15 92103198 SUMATRIPTAN SUCC 50MG TAB 86424088320 250 6/1/2017 84.34 92103451 GALANTAMINE HBR 4 MG TABLET 86424088320 250 6/1/2017 11.91 92103612 RIFAMPIN 150MG CAP 86424088320 250 6/1/2017 5.93 92103625 SERTRALINE HCL 50MG TAB 86424088320 250 1/1/2020 5.2 92103725 ADVAIR HFA 115-21 MCG INHALER 86424088320 250 6/1/2017 325.57 92103794 CITALOPRAM HBR 20MG TAB 86424088320 250 1/1/2019 5.2 92104135 ZOLPIDEM TARTRATE 5MG TAB 86424088320 250 6/1/2017 12.43 92104138 NICOTINE 7MG/24HR PATCH 86424088320 250 6/1/2017 12.43 92104161 BACITRACIN 500 UNIT/GM OINT 86424088320 250 6/1/2017 21.63 92104213 BENZTROPINE MES 1MG TAB 86424088320 250 6/1/2017 2.7 92104306 DORZOLAMIDE HCL 2% EYE DROPS 86424088320 250 1/1/2019 208.26 92104522 TERAZOSIN 5MG CAP 86424088320 250 6/1/2017 7.02 92104615 SENEXON LIQUID 86424088320 250 6/1/2017 13.52 92104619 RISAMINE OINT 86424088320 250 6/1/2017 22.72 92104625 "CREON DR 12,000 UNITS CAP " 86424088320 250 6/1/2017 6.5 92104632 TAMSULOSIN HCL 0.4MG CAP 86424088320 250 1/1/2020 5.2 92104637 ANIT-ITCH 2% CREAM 86424088320 250 6/1/2017 12.43 92104662 LABETALOL HCL 100MG TAB 86424088320 250 6/1/2017 2.7 92104666 AZTREONAM 2GM VL 86424088320 250 6/1/2017 169.83 92104668 AZTREONAM 1GM VL 86424088320 250 6/1/2017 97.34 92104674 RANEXA 500MG TAB 86424088320 250 6/1/2017 13 92104678 "HEPARIN SOD 5,000 UNIL/ML VIAL" 86424088320 250 1/1/2020 9.73 92104702 TRAVATAN Z 0.004% EYE DROPS 86424088320 250 6/1/2017 280.12 92104708 "VITAMIN D3 5,000 UNIT CAP " 86424088320 250 6/1/2017 2.18 92104714 PHENYTOIN 100MG/4ML SUSP 86424088320 250 6/1/2017 8.63 92104726 AZATHIOPRINE 50MG TAB 86424088320 250 6/1/2017 5.93 92104728 FENTANYL 75MCG/HR PATCH 86424088320 250 6/1/2017 201.19 92104753 FENTANYL 25MCG/HR PATCH 86424088320 250 6/1/2017 72.49 92104755 OXYCONTIN 20MG TAB 86424088320 250 6/1/2017 14.61 92104759 COLCRYS 0.6MG TAB 86424088320 250 6/1/2017 2.7 92104770 OXYCONTIN 40MG TAB 86424088320 250 6/1/2017 25.43 92104777 PRADAXA 150MG CAP 86424088320 250 6/1/2017 14.04 92104798 ZINC SULFATE 220MG TAB 86424088320 250 1/1/2019 0.25 92104827 LOSARTAN POTASSIUM 50MG TAB 86424088320 250 1/1/2020 6.3 92104833 CLONIDINE 0.1MG/DAY PATCH 86424088320 250 6/1/2017 63.28 92104874 PRADAXA 75MG CAP 86424088320 250 6/1/2017 14.04 92104878 GERI-HYDROLAC 12% CREAM 86424088320 250 6/1/2017 48.67 92104879 PANTOPRAZOLE SOD DR 40MG TAB 86424088320 250 1/1/2020 16.44 92104906 CARBAMAZEPINE 200MG TAB 86424088320 250 6/1/2017 2.7 92104909 PIPERACIL-TAZOBACT 3.375GM VL 86424088320 250 1/1/2020 51.79 92104915 PYRIDOSTIGMINE BR 60MG TAB 86424088320 250 6/1/2017 2.7 92104919 NUCYNTA 40MG TAB 86424088320 250 6/1/2017 7.02 92104924 METOPROLOL SUCC ER 50MG TAB 86424088320 250 1/1/2020 5.2 92104939 ACETAZOLAMIDE ER 500 MG CAP 86424088320 250 6/1/2017 7.02 92104970 MUCINEX ER 600MG TAB 86424088320 250 6/1/2017 2.7 92104975 PROVIGIL 100MG TAB 86424088320 250 6/1/2017 21.63 92105097 LATANOPROST 0.005% EYE DROPS 86424088320 250 1/1/2020 296.4 92105206 SOLU-CORTEF PF 100MG VL 86424088320 250 6/1/2017 13.52 92105281 MELATONIN 3MG TAB 86424088320 250 1/1/2020 5.2 92105326 PRECOSE 50 MG TABLET 86424088320 250 6/1/2017 3.22 92105335 HYDROXYZINE HCL 25MG TAB 86424088320 250 6/1/2017 4.32 92105361 COLESTIPOL HCL 1GM TAB 86424088320 250 6/1/2017 2.7 92105400 TRAMADOL HCL 50MG TAB 86424088320 250 1/1/2020 5.2 92105409 OXYCONTIN 10MG TAB 86424088320 250 6/1/2017 8.11 92105412 METFORMIN HCL 500MG TAB 86424088320 250 1/1/2020 5.2 92105427 HYDROXYZINE PAM 25MG CAP 86424088320 250 6/1/2017 2.7 92105430 BUPROPION HCL SR 100MG TAB 86424088320 250 6/1/2017 8.63 92105432 METAXALONE 800MG TAB 86424088320 250 6/1/2017 13 92105443 "VITAMIN D 1,000 UNIT TAB " 86424088320 250 6/1/2017 0.52 92105450 BACLOFEN 10MG TAB 86424088320 250 6/1/2017 2.7 92105455 ISOSORBIDE MN ER 30MG TAB 86424088320 250 1/1/2020 5.2 92105476 TRIAMCINOLONE 0.1PCT PASTE 86424088320 250 6/1/2017 70.82 92105477 TACROLIMUS 1 MG CAPSULE 86424088320 250 6/1/2017 17.84 92105478 TACROLIMUS 0.5MG CAPS 86424088320 250 6/1/2017 10.3 92105481 METFORMIN HCL ER 500MG TAB 86424088320 250 6/1/2017 3.22 92105494 METOPROLOL SUCC ER 25MG TAB 86424088320 250 6/1/2017 4.89 92105506 TEMAZEPAM 7.5MG CAP 86424088320 250 6/1/2017 2.7 92105509 GEMFIBROZIL 600MG TAB 86424088320 250 6/1/2017 4.89 92105511 GABAPENTIN 300 MG CAPSULE 86424088320 250 1/1/2020 5.2 92105521 AMPICILLIN 2 GM VL 86424088320 250 6/1/2017 21.11 92105524 BUPROPION SR 150MG TAB 86424088320 250 6/1/2017 9.2 92105532 FENTANYL 50MCG/HR PATCH 86424088320 250 6/1/2017 131.98 92105559 METHENAMIN HIPP 1GM TAB 86424088320 250 6/1/2017 5.41 92105573 CIPROFLOXACIN HCL 500MG TAB 86424088320 250 1/1/2019 5.2 92105654 ASACOL HD 800 MG TAB 86424088320 250 6/1/2017 12.79 92105674 AZITHROMYCIN 250MG TAB 86424088320 250 6/1/2017 37.34 92105839 COLY-MYCIN M PARENTERAL 150MG 86424088320 250 6/1/2017 289.85 92106426 PRAMIPEXOLE DI-HCL 0.25MG TAB 86424088320 250 6/1/2017 6.5 92106794 LEVOFLAXIN-D5W 250MG/50ML 86424088320 250 6/1/2017 205.5 92106823 ZENPEP 10000-55000UN CAP 86424088320 250 6/1/2017 8.42 92106827 ALPRAZOLAM 0.25MG TAB 86424088320 250 6/1/2017 2.7 92106836 METOPROLOL SUCC ER 100 MG TAB 86424088320 250 6/1/2017 5.93 92106848 HYDROCHLOROTHIAZIDE 25MG TAB 86424088320 250 6/1/2017 2.7 92106865 VITAMIN D2 50000U CAP 86424088320 250 6/1/2017 2.7 92106888 DALIRESP TAB 86424088320 250 7/1/2017 23.24 92106894 TERAZOSIN HCL 1 MG CAP 86424088320 250 6/1/2017 7.02 92106913 CLOZAPINE 100MG TAB 86424088320 250 6/1/2017 11.34 92106916 LEFOFLOXACIN 250MG TAB 86424088320 250 1/1/2019 5.2 92106931 DONEPEZIL HCL 10MG TAB 86424088320 250 1/1/2019 5.2 92107034 NP THYROID 30MG TAB 86424088320 250 6/1/2017 2.7 92107085 OLANZAPINE 2.5MG TAB 86424088320 250 6/1/2017 25.95 92107105 PAROXETINE HCL 20MG TAB 86424088320 250 6/1/2017 12.43 92107115 XARELTO 10MG TAB 86424088320 250 1/1/2020 55.91 92107122 ATORVASTATIN 40MG TAB 86424088320 250 1/1/2020 5.2 92107135 OLANZAPINE 10MG TAB 86424088320 250 6/1/2017 46.49 92107160 TRADJENTA 5MG TAB 86424088320 250 6/1/2017 26.26 92107168 URSODIOL 300MG CAP 86424088320 250 6/1/2017 27.58 92107231 VIIBRYD 10MG TAB 86424088320 250 6/1/2017 18.88 92107439 GABAPENTIN 400MG CAP 86424088320 250 1/1/2020 5.2 92107444 VELAFAXINE ER 75MG CAP 86424088320 250 6/1/2017 15.13 92107477 CEFAZOLIN 2GM/50ML INJ 86424088320 250 6/1/2017 28.44 92107582 VENLAFAXINE ER 37.5MG CAP 86424088320 250 6/1/2017 13.52 92107659 VENLAFAXINE ER 150MG CAP 86424088320 250 6/1/2017 16.74 92107687 X-VIATE 40% CREAM 86424088320 250 6/1/2017 190.37 92107688 ESTRADOIL 0.05MG/24HR PATCH 86424088320 250 6/1/2017 39.47 92107791 PROPRANOLOL 60MG ER CAP 86424088320 250 6/1/2017 5.93 92107814 CEPACOL LOZENGE 86424088320 250 6/1/2017 2.7 92107819 LEVETIRACETAM 500MG/ML SOL 86424088320 250 6/1/2017 11.91 92107826 GABAPENTIN 250MG/5ML SOLN 86424088320 250 6/1/2017 5.41 92107843 NUCYNTA ER 50MG TAB 86424088320 250 6/1/2017 8.63 92107891 DEXTROAMPHETAMINE 30MG CAP 86424088320 250 6/1/2017 12.01 92108080 XARELTO 15MG TAB 86424088320 250 1/1/2020 53.98 92108164 CLOPIDOGREL 86424088320 250 1/1/2020 13.6 92108173 LINZESS 145MCG CAP 86424088320 250 6/1/2017 34.57 92108348 ELIQUIS 5MG TAB 86424088320 250 1/1/2020 27.74 92108353 VALACYCLOVIR 500MG TAB 86424088320 250 6/1/2017 22.15 92108358 NEUPRO 1MG/24HR TDM PATCH 86424088320 250 6/1/2017 13.16 92108667 BISOPROLOL HTZ 5-6.5MG TAB 86424088320 250 6/1/2017 5.41 92108787 CHLORZOXAZONE 500MG TAB 86424088320 250 6/1/2017 2.7 92108794 CLOPIDOGREL 75MG TAB 86424088320 250 6/1/2017 20.54 92108812 PRIMIDONE 50MG TAB 86424088320 250 6/1/2017 2.7 92120147 AMPHOTERICIN B 50MG INJ 86424088320 636 6/1/2017 49.19 92120314 CEFTAROLINE 400MG INJ 86424088320 636 6/1/2017 168.74 92120388 DENOSUMAB 120MG/1.7ML INJ 86424088320 636 6/1/2017 5469.64 92120635 HEPARIN 10KU/10ML INJ 86424088320 636 1/1/2019 6.68 92120712 INSULIN LISP 75/25 PEN3ML 86424088320 637 1/1/2020 396.86 92120805 MICAFUNGIN 100MG INJ 86424088320 636 6/1/2019 421.82 92121263 CLINDAMYCIN 600MG 50ML PB 86424088320 636 7/1/2017 65.33 92125048 VALPROIC ACID 250MG CAP 86424088320 250 6/1/2017 3.8 92125062 GALANTAMINE ER 8MG CAP 86424088320 250 6/1/2017 11.91 92125068 CLARITHROMYCIN 250MG TAB 86424088320 250 6/1/2017 21.63 92125092 CLOPIDOGREL 75MG TAB 86424088320 250 8/1/2017 20.54 92125097 CEFDINIR 300MG CAP 86424088320 250 6/1/2017 20.54 92125124 FAT EMULSION 20PCT 250ML IN 86424088320 250 1/1/2019 154.07 92125165 DOCOSANOL 10PCT 2GM TOP 86424088320 250 6/1/2017 59.49 92125200 PRASUGREL 10MG TAB 86424088320 250 6/1/2017 22.15 92125301 BUPROPION WELLBUTRIN XL ORAL 1 86424088320 250 1/1/2020 14.54 92125302 HYDROMORPHONE ORAL 2 MG TAB 86424088320 250 6/1/2017 2.7 92125303 OCULAR LUBRICANT OPTHALMIC SOL 86424088320 250 6/1/2017 77.32 92125304 PIPERACILLIN-TAZOBACTAM 4 G-0. 86424088320 250 6/1/2017 102.23 92125305 PNEUMOCOCCAL 23-POLYVALENT VAC 86424088320 250 6/1/2017 83.82 92125306 PHENOBARBITAL ORAL 32.4 MG TAB 86424088320 250 6/1/2017 2.7 92125307 METOPROLOL ORAL 100 MG TAB 86424088320 250 6/1/2017 3.8 92125308 BISOPROLOL-HYDROCHLOROTHIAZIDE 86424088320 250 6/1/2017 5.41 92125309 CARBIDOPA-LEVODOPA 25 MG-250 M 86424088320 250 6/1/2017 3.8 92125310 MYCOPHENOLATE MOFETIL ORAL 250 86424088320 250 1/1/2020 12.36 92125311 GLUCOSAMINE ORAL 500 MG CAP 86424088320 250 6/1/2017 2.7 92125312 ENOXAPARIN SUBCUTANEOUS 30 MG/ 86424088320 250 1/1/2020 83.49 92125313 BRIMONIDINE OPHTHALMIC 0.2% OP 86424088320 250 6/1/2017 163.33 92125314 THIAMINE ORAL 100 MG TAB 86424088320 250 6/1/2017 2.7 92125315 KETOCONAZOLE TOPICAL 2% TOPICA 86424088320 250 6/1/2017 139 92125316 FLUOXETINE ORAL 20 MG/5 ML SOL 86424088320 250 6/1/2017 22.15 92125317 OXYCODONE ORAL 5 MG/5 ML SOLN 86424088320 250 6/1/2017 3.8 92125318 BUDESONIDE ORAL 3 MG ERC 86424088320 250 6/1/2017 11.34 92125319 HYDROCORTISONE ORAL 5 MG TAB 86424088320 250 6/1/2017 2.7 92125320 MIDODRINE ORAL 5 MG TAB 86424088320 250 1/1/2020 14.01 92125321 ALBUTEROL 90 MCG ORAL 2 MG TAB 86424088320 250 6/1/2017 2.7 92125322 LEVOTHYROXINE ORAL 25 MCG TAB 86424088320 250 6/1/2017 2.7 92125323 CHLORDIAZEPOXIDE ORAL 10 MG CA 86424088320 250 6/1/2017 2.7 92125324 GLIPIZIDE ORAL 5 MG ERT 86424088320 250 6/1/2017 2.7 92125325 CALCIUM-VITAMIN D 600 MG-400 I 86424088320 250 6/1/2017 2.7 92125326 PRAVASTATIN ORAL 20 MG TAB 86424088320 250 1/1/2019 5.2 92125327 DILTIAZEM ORAL 120 MG ERC 86424088320 250 6/1/2017 5.41 92125328 FINASTERIDE ORAL 5 MG TAB 86424088320 250 1/1/2019 5.2 92125329 ALBUTEROL 90 MCG ORAL 4 MG TAB 86424088320 250 6/1/2017 4.89 92125330 VITAMIN E ORAL 400 UNITS CAP 86424088320 250 6/1/2017 2.7 92125331 ANASTROZOLE ORAL 1 MG TAB 86424088320 250 6/1/2017 35.15 92125332 AMLODIPINE ORAL 10 MG TAB 86424088320 250 1/1/2019 5.2 92125333 METOLAZONE ORAL 2.5 MG TAB 86424088320 250 6/1/2017 5.93 92125334 ATORVASTATIN ORAL 20 MG TAB 86424088320 250 1/1/2019 5.2 92125335 LOSARTAN ORAL 25 MG TAB 86424088320 250 6/1/2017 8.11 92125336 ATORVASTATIN ORAL 10 MG TAB 86424088320 250 1/1/2020 5.2 92125337 AMLODIPINE ORAL 2.5 MG TAB 86424088320 250 6/1/2017 7.02 92125338 CEPHALEXIN ORAL 500 MG CAP 86424088320 250 6/1/2017 7.59 92125339 POLYETHYLENE GLYCOL 3350 ORAL 86424088320 250 1/1/2020 5.83 92125340 LORAZEPAM ORAL 1 MG TAB 86424088320 250 6/1/2017 4.32 92125341 AMLODIPINE ORAL 5 MG TAB 86424088320 250 1/1/2020 5.2 92125342 ASPIRIN ORAL 325 MG TAB 86424088320 250 6/1/2017 0.52 92125343 FUROSEMIDE ORAL 10 MG/ML LIQ 86424088320 250 6/1/2017 47.06 92125344 NITROGLYCERIN TRANSDERMAL 0.1 86424088320 250 6/1/2017 12.43 92125345 SULFAMETHOXAZOLE-TRIMETHOPRIM 86424088320 250 6/1/2017 3.22 92125346 CHOLESTYRAMINE ORAL 4 G/9 G PW 86424088320 250 6/1/2017 9.72 92125347 SODIUM CHLORIDE 0.9% INTRAVENO 86424088320 250 1/1/2020 18.6 92125348 HYDROCORTISONE TOPICAL RECTAL 86424088320 250 6/1/2017 4.32 92125349 ARIPIPRAZOLE ORAL 10 MG TAB 86424088320 250 6/1/2017 49.19 92125350 POTASSIUM CHLORIDE ORAL 10 MEQ 86424088320 250 6/1/2017 2.7 92125351 PROMETHAZINE RECTAL 12.5 MG SU 86424088320 250 6/1/2017 55.24 92125352 CLOTRIMAZOLE TOPICAL 1% TOPICA 86424088320 250 6/1/2017 26.52 92125353 "NYSTATIN TOPICAL TOPICAL 100,0" 86424088320 250 6/1/2017 12.43 92125354 MYCOPHENOLATE MOFETIL ORAL 200 86424088320 250 6/1/2017 1941.47 92125355 NAPROXEN ORAL 500 MG TAB 86424088320 250 6/1/2017 5.93 92125356 "HEPARIN INJECTABLE 10,000 UNIT" 86424088320 250 6/1/2017 13.52 92125357 MECLIZINE ORAL 25 MG TAB 86424088320 250 6/1/2017 2.7 92125358 ACETAMINOPHEN-BUTALBITAL-CAFFE 86424088320 250 6/1/2017 2.7 92125359 MELOXICAM ORAL 7.5 MG TAB 86424088320 250 6/1/2017 13.52 92125360 "EMOLLIENTS, TOPICAL TOPICAL CR" 86424088320 250 6/1/2017 34.06 92125361 LOSARTAN ORAL 100 MG TAB 86424088320 250 6/1/2017 10.82 92125362 SODIUM CHLORIDE 0.9% INTRAVENO 86424088320 250 1/1/2020 12.57 92125363 CALCIUM-VITAMIN D 500 MG-200 I 86424088320 250 6/1/2017 2.7 92125364 UBIQUINONE ORAL 100 MG CAP 86424088320 250 6/1/2017 2.7 92125365 MULTIVITAMIN VITAMIN B COMPLEX 86424088320 250 6/1/2017 0.26 92125366 OMEGA-3 POLYUNSATURATED FATTY 86424088320 250 6/1/2017 0.26 92125367 TROSPIUM ORAL 20 MG TAB 86424088320 250 6/1/2017 7.59 92125368 GLUCOSE ORAL 4 G TC 86424088320 250 6/1/2017 0.52 92125369 LACTULOSE ORAL 10 G/15 ML SYR 86424088320 250 6/1/2017 10.3 92125370 LEVETIRACETAM ORAL 500 MG ERT 86424088320 250 6/1/2017 14.61 92125371 TICAGRELOR ORAL 90 MG TAB 86424088320 250 1/1/2020 15.54 92125372 PHENOL TOPICAL 1.4% TOPICAL SP 86424088320 250 6/1/2017 4.89 92125373 LEVOFLOXACIN ORAL 750 MG TAB 86424088320 250 6/1/2017 66.51 92125374 ROPINIROLE ORAL 2 MG ERT 86424088320 250 6/1/2017 10.3 92125375 SULFAMETHOXAZOLE-TRIMETHOPRIM 86424088320 250 6/1/2017 111.38 92125376 TESTOSTERONE TRANSDERMAL 4 MG/ 86424088320 250 6/1/2017 43.26 92125377 MULTIVITAMIN ICAPS ORAL TAB 86424088320 250 6/1/2017 1.09 92125378 MESALAMINE ORAL 400 MG DRC 86424088320 250 6/1/2017 6.81 92125379 CANAGLIFLOZIN ORAL 300 MG TAB 86424088320 250 6/1/2017 33.75 92125380 HEP-LOCK FLUSH INTRAVENOUS 100 86424088320 250 6/1/2017 1.77 92125381 PRAMIPEXOLE ORAL 0.5 MG TAB 86424088320 250 7/1/2017 9.61 92125382 SERTRALINE ORAL 25 MG TAB 86424088320 250 10/1/2017 1.25 92125383 LISINOPRIL ORAL 30 MG TAB 86424088320 250 6/1/2017 2.33 92125384 OXYCODONE ORAL 10 MG TAB 86424088320 250 1/1/2020 5.2 92125385 GABAPENTIN ORAL 600 MG TAB 86424088320 250 1/1/2019 5.2 92125386 BRIMONIDINE OPHTHALMIC 0.2% OP 86424088320 250 6/1/2017 305.51 92125387 CYCLOBENZAPRINE ORAL 5 MG TAB 86424088320 250 6/1/2017 3.84 92125388 OCULAR LUBRICANT OPTHALMIC GEL 86424088320 250 6/1/2017 1.56 92125389 RED YEAST RICE ORAL 600 MG CAP 86424088320 250 6/1/2017 0.16 92125390 DILTIAZEM CARDIZEM LA ORAL 120 86424088320 250 6/1/2017 14.23 92125391 BIFIDOBACTERIUM INFANTIS ORAL 86424088320 250 6/1/2017 3.84 92125392 PYRIDOXINE ORAL 100 MG TAB 86424088320 250 6/1/2017 0.22 92125393 "CYANOCOBALAMIN SUBLINGUAL 2,50" 86424088320 250 6/1/2017 0.43 92125394 BALSAM PERU-CASTOR OIL TOPICAL 86424088320 250 6/1/2017 96.46 92125395 HEP-LOCK FLUSH INTRAVENOUS 100 86424088320 250 6/1/2017 1.75 92125396 PANTOPRAZOLE ORAL 40 MG ECGR 86424088320 250 1/1/2020 56.38 92125397 "INFLUENZA VIRUS VACCINE, INACT" 86424088320 250 6/1/2017 39.72 92125398 GUANFACINE ORAL 1 MG ERT 86424088320 250 6/1/2017 32.73 92125399 METHYLPHENIDATE ERT ORAL 36 MG 86424088320 250 6/1/2017 20.54 92125400 METHYLPREDNISOLONE INJECTABLE 86424088320 250 6/1/2017 18.38 92125401 "INFLUENZA VIRUS VACCINE, INACT" 86424088320 250 6/1/2017 59.49 92125402 PREGABALIN ORAL 75 MG CAP 86424088320 250 1/1/2020 5.2 92125403 CEFEPIME INJECTABLE 2 G/50 ML 86424088320 250 6/1/2017 161.15 92125404 ALPRAZOLAM ORAL 0.5 MG TAB 86424088320 250 6/1/2017 3.22 92125405 LEFLUNOMIDE ORAL 20 MG TAB 86424088320 250 6/1/2017 58.4 92125406 DOXAZOSIN ORAL 4 MG TAB 86424088320 250 6/1/2017 4.32 92125407 LEVOTHYROXINE ORAL 137 MCG TAB 86424088320 250 6/1/2017 2.7 92125408 THEOPHYLLINE ORAL 400 MG ERT 86424088320 250 6/1/2017 5.41 92125409 MYCOPHENOLATE MOFETIL ORAL 500 86424088320 250 6/1/2017 27.56 92125410 OLOPATADINE OPHTHALMIC 0.1% OP 86424088320 250 6/1/2017 347.72 92125411 METHYLPHENIDATE ORAL 10 MG TAB 86424088320 250 6/1/2017 2.7 92125412 LIDOCAINE TOPICAL 5% TOPICAL O 86424088320 250 6/1/2017 68.12 92125413 DOXAZOSIN ORAL 1 MG TAB 86424088320 250 6/1/2017 4.32 92125414 CELECOXIB ORAL 200 MG CAP 86424088320 250 6/1/2017 13.52 92125415 METHIMAZOLE ORAL 5 MG TAB 86424088320 250 6/1/2017 2.7 92125416 DOXYCYCLINE HYCLATE ORAL 100 M 86424088320 250 6/1/2017 2.7 92125417 LISINOPRIL ORAL 40 MG TAB 86424088320 250 6/1/2017 7.02 92125418 CEVIMELINE ORAL 30 MG CAP 86424088320 250 6/1/2017 7.02 92125419 DILTIAZEM ORAL 60 MG TAB 86424088320 250 6/1/2017 3.22 92125420 GUANFACINE ORAL 1 MG TAB 86424088320 250 6/1/2017 3.8 92125421 CLONIDINE ORAL 0.1 MG TAB 86424088320 250 6/1/2017 2.7 92125422 ONDANSETRON ORAL 4 MG TAB 86424088320 250 1/1/2019 5.2 92125423 CETIRIZINE ORAL 10 MG TAB 86424088320 250 6/1/2017 9.72 92125424 IPRATROPIUM NASAL NASAL 21 MCG 86424088320 250 6/1/2017 230.36 92125425 BACITRACIN-POLYMYXIN B OPHTHAL 86424088320 250 6/1/2017 115.75 92125426 TIZANIDINE ORAL 4 MG TAB 86424088320 250 6/1/2017 6.5 92125427 LEVOFLOXACIN ORAL 500 MG TAB 86424088320 250 6/1/2017 48.15 92125428 DONEPEZIL ORAL 5 MG TAB 86424088320 250 1/1/2019 5.2 92125429 DICLOFENAC SODIUM ORAL 25 MG D 86424088320 250 6/1/2017 2.7 92125430 AZELASTINE NASAL NASAL 137 MCG 86424088320 250 6/1/2017 280.12 92125431 AMOXICILLIN ORAL 500 MG CAP 86424088320 250 6/1/2017 2.7 92125432 ALPRAZOLAM ORAL 1 MG TAB 86424088320 250 6/1/2017 4.89 92125433 LEVOTHYROXINE ORAL 112 MCG TAB 86424088320 250 6/1/2017 2.7 92125434 ENOXAPARIN INJECTABLE 40 MG/0. 86424088320 250 1/1/2020 111.07 92125435 LEVOTHYROXINE ORAL 150 MCG TAB 86424088320 250 6/1/2017 3.22 92125436 TRAZODONE ORAL 100 MG TAB 86424088320 250 6/1/2017 3.8 92125437 RIVASTIGMINE ORAL 1.5 MG CAP 86424088320 250 6/1/2017 13 92125438 LORAZEPAM ORAL 0.5 MG TAB 86424088320 250 6/1/2017 3.22 92125439 CARVEDILOL ORAL 25 MG TAB 86424088320 250 6/1/2017 8.11 92125440 ACETAMINOPHEN ORAL 500 MG TAB 86424088320 250 6/1/2017 0.52 92125441 TOPIRAMATE ORAL 100 MG TAB 86424088320 250 6/1/2017 20.54 92125442 DIPHENHYDRAMINE ORAL 25 MG CAP 86424088320 250 6/1/2017 2.7 92125443 DOXEPIN ORAL 10 MG CAP 86424088320 250 6/1/2017 2.7 92125444 METHOCARBAMOL ORAL 500 MG TAB 86424088320 250 6/1/2017 2.7 92125445 DICLOFENAC SODIUM ORAL 75 MG D 86424088320 250 6/1/2017 6.5 92125446 GLIPIZIDE ORAL 5 MG TAB 86424088320 250 6/1/2017 2.7 92125447 LABETALOL ORAL 200 MG TAB 86424088320 250 6/1/2017 3.22 92125448 CHLORPROMAZINE ORAL 25 MG TAB 86424088320 250 6/1/2017 2.7 92125449 ATENOLOL ORAL 50 MG TAB 86424088320 250 6/1/2017 3.8 92125450 ISOSORBIDE MONONITRATE ORAL 60 86424088320 250 6/1/2017 5.93 92125451 "CYANOCOBALAMIN ORAL 1,000 MCG " 86424088320 250 6/1/2017 2.7 92125452 ACETAZOLAMIDE ORAL 250 MG TAB 86424088320 250 6/1/2017 2.7 92125453 MULTIVITAMIN VITAMIN B COMPLEX 86424088320 250 6/1/2017 2.7 92125454 PROPRANOLOL ORAL 40 MG TAB 86424088320 250 6/1/2017 2.7 92125455 ESCITALOPRAM ORAL 20 MG TAB 86424088320 250 6/1/2017 11.34 92125456 HYDROCODONE/APAP 325 MG-7.5 MG 86424088320 250 6/1/2017 2.18 92125457 CITALOPRAM ORAL 10 MG TAB 86424088320 250 6/1/2017 1.09 92125458 HYDROMORPHONE INJECTABLE 1 MG/ 86424088320 250 6/1/2017 3.8 92125459 MEMANTINE ORAL 10 MG TAB 86424088320 250 1/1/2019 5.2 92125460 TOPIRAMATE ORAL 25 MG TAB 86424088320 250 6/1/2017 9.2 92125461 DULOXETINE ORAL 60 MG DRC 86424088320 250 6/1/2017 15.7 92125462 CARBAMAZEPINE ORAL 200 MG ERT 86424088320 250 6/1/2017 3.22 92125463 OXYCODONE ORAL 15 MG TAB 86424088320 250 6/1/2017 2.7 92125464 TOLVAPTAN ORAL 15 MG TAB 86424088320 250 6/1/2017 521.87 92125465 HYDROCHLOROTHIAZIDE ORAL 12.5 86424088320 250 6/1/2017 14.04 92125466 ARIPIPRAZOLE ORAL 2 MG TAB 86424088320 250 6/1/2017 67.6 92125467 NEBIVOLOL ORAL 10 MG TAB 86424088320 250 6/1/2017 7.02 92125468 OXYCODONE-APAP 10-325 MG ORAL 86424088320 250 6/1/2017 5.93 92125469 MELATONIN ORAL 5 MG TAB 86424088320 250 6/1/2017 0.26 92125470 PHENYLEPHRINE TOPICAL 0.25% RE 86424088320 250 6/1/2017 17.84 92125471 APIXABAN ORAL 2.5 MG TAB 86424088320 250 1/1/2020 27.71 92125472 "METFORMIN ORAL 1,000 MG TAB " 86424088320 250 6/1/2017 4.42 92125473 EPLERENONE ORAL 25 MG TAB 86424088320 250 6/1/2017 5.98 92125474 VANCOMYCIN ORAL 250 MG/5 ML SO 86424088320 250 6/1/2017 13 92125475 OXYCODONE-APAP 7.5-325 MG ORAL 86424088320 250 6/1/2017 8.84 92125476 ROTIGOTINE TRANSDERMAL 6 MG/24 86424088320 250 6/1/2017 66.82 92125477 BIOTIN ORAL 10 MG TAB 86424088320 250 6/1/2017 27.4 92125478 OXYCODONE ORAL 30 MG ERT 86424088320 250 6/1/2017 19.78 92125479 "PANCRELIPASE ORAL 6,000 UNITS " 86424088320 250 6/1/2017 4.77 92125480 CALCIUM CARBONATE ORAL 500 MG 86424088320 250 6/1/2017 0.67 92125482 AZITHROMYCIN ORAL 500 MG TAB 86424088320 250 6/1/2017 43.34 92125483 HYDROCHLOROTHIAZIDE-LISINOPRIL 86424088320 250 6/1/2017 2.7 92125484 HYDROCHLOROTHIAZIDE-LISINOPRIL 86424088320 250 6/1/2017 2.01 92125485 HYDROCHLOROTHIAZIDE-LISINOPRIL 86424088320 250 6/1/2017 1.62 92125486 MICONAZOLE TOPICAL TOPICAL 2% 86424088320 250 6/1/2017 33.07 92125487 OMEPRAZOLE ORAL 40 MG DRC 86424088320 250 1/1/2019 5.2 92125488 INDOMETHACIN ORAL 50 MG CAP 86424088320 250 6/1/2017 2.13 92125489 MELOXICAM ORAL 15 MG TAB 86424088320 250 6/1/2017 14.55 92125490 NIACIN ORAL 500 MG ERC 86424088320 250 6/1/2017 0.21 92125491 OXYCODONE ORAL 30 MG TAB 86424088320 250 6/1/2017 11.13 92125492 ALPRAZOLAM ORAL 0.5 MG TAB 86424088320 250 6/1/2017 3.22 92125493 LEFLUNOMIDE ORAL 20 MG TAB 86424088320 250 6/1/2017 58.4 92125494 LEVOTHYROXINE ORAL 137 MCG TAB 86424088320 250 6/1/2017 2.7 92125495 DOXYCYCLINE HYCLATE ORAL 100 M 86424088320 250 6/1/2017 2.7 92125496 LISINOPRIL ORAL 40 MG TAB 86424088320 250 6/1/2017 7.02 92125497 DILTIAZEM ORAL 60 MG TAB 86424088320 250 6/1/2017 3.22 92125498 ONDANSETRON ORAL 4 MG TAB 86424088320 250 6/1/2017 99.53 92125499 CETIRIZINE ORAL 10 MG TAB 86424088320 250 6/1/2017 9.72 92125500 ALPRAZOLAM ORAL 1 MG TAB 86424088320 250 6/1/2017 4.89 92125501 LEVOTHYROXINE ORAL 112 MCG TAB 86424088320 250 6/1/2017 2.7 92125502 LEVOTHYROXINE ORAL 150 MCG TAB 86424088320 250 6/1/2017 3.22 92125503 TRAZODONE ORAL 100 MG TAB 86424088320 250 6/1/2017 3.8 92125504 LORAZEPAM ORAL 0.5 MG TAB 86424088320 250 6/1/2017 3.22 92125505 LORAZEPAM ORAL 0.5 MG TAB 86424088320 250 6/1/2017 3.22 92125506 ACETAMINOPHEN ORAL 500 MG TAB 86424088320 250 6/1/2017 0.52 92125507 DIPHENHYDRAMINE ORAL 25 MG CAP 86424088320 250 6/1/2017 2.7 92125508 DOXEPIN ORAL 10 MG CAP 86424088320 250 6/1/2017 2.7 92125509 CHLORPROMAZINE ORAL 25 MG TAB 86424088320 250 6/1/2017 2.7 92125510 ACETAZOLAMIDE ORAL 250 MG TAB 86424088320 250 6/1/2017 2.7 92125511 PROPRANOLOL ORAL 40 MG TAB 86424088320 250 6/1/2017 2.7 92125512 ESCITALOPRAM ORAL 20 MG TAB 86424088320 250 6/1/2017 11.34 92125513 CITALOPRAM ORAL 10 MG TAB 86424088320 250 6/1/2017 1.09 92125514 HYDROMORPHONE INJECTABLE 1 MG/ 86424088320 250 6/1/2017 3.8 92125515 DULOXETINE ORAL 60 MG DRC 86424088320 250 6/1/2017 15.7 92125516 OXYCODONE ORAL 15 MG TAB 86424088320 250 6/1/2017 2.7 92125517 MELATONIN ORAL 5 MG TAB 86424088320 250 6/1/2017 0.26 92125518 OXYCODONE ORAL 30 MG ERT 86424088320 250 6/1/2017 19.78 92125519 CALCIUM CARBONATE ORAL 500 MG 86424088320 250 6/1/2017 0.67 92125520 HYDROCHLOROTHIAZIDE-LISINOPRIL 86424088320 250 6/1/2017 2.7 92125521 HYDROCHLOROTHIAZIDE-LISINOPRIL 86424088320 250 6/1/2017 2.01 92125522 HYDROCHLOROTHIAZIDE-LISINOPRIL 86424088320 250 6/1/2017 1.62 92125523 MICONAZOLE TOPICAL TOPICAL 2% 86424088320 250 6/1/2017 33.07 92125524 NIACIN ORAL 500 MG ERC 86424088320 250 6/1/2017 0.21 92125525 OXYCODONE ORAL 30 MG TAB 86424088320 250 6/1/2017 11.13 92125534 INSULIN NPH 100 VL 86424088320 250 6/1/2017 0.05 92125535 SOD FERRIC GLUC/SU 86424088320 250 6/1/2017 193.6 92125536 VALSARTAN 160MG C 86424088320 250 6/1/2017 7.02 92125537 CYCLOSPORINE 25MG 86424088320 250 6/1/2017 6.5 92125538 CYCLOSPORINE 100MG 86424088320 250 6/1/2017 24.86 92125539 METHYLPREDNISOLON 86424088320 250 6/1/2017 60.01 92125540 REPAGLINIDE 0.5MG T 86424088320 250 6/1/2017 5.41 92125541 SIMVASTATIN 20MG T 86424088320 250 6/1/2017 21.63 92125542 VITAMIN B COMPLEX 86424088320 250 6/1/2017 2.7 92125543 TESTOSTERONE CYPR 86424088320 250 6/1/2017 26.52 92125544 LISINOPRIL 10MG TAB 86424088320 250 1/1/2020 5.2 92125545 CEFUROXIME AXETIL 2 86424088320 250 6/1/2017 20.02 92125546 BENAZEPRIL 20MG TAB 86424088320 250 6/1/2017 5.41 92125547 ENALAPRIL MALEATE 86424088320 250 6/1/2017 4.89 92125548 WARFARIN NA 4MG TAB 86424088320 250 6/1/2017 5.41 92125549 OLMESARTAN MEDOX 86424088320 250 6/1/2017 7.02 92125550 MECLIZINE 12.5MG TAB 86424088320 250 6/1/2017 2.7 92125551 PRAVASTATIN NA 10M 86424088320 250 6/1/2017 10.3 92125552 SIMVASTATIN 10MG 86424088320 250 1/1/2020 5.2 92125553 CANDESARTAN CILEXE 86424088320 250 6/1/2017 7.02 92125554 CULTURELLE L CAP 86424088320 250 6/1/2017 2.7 92125555 FOSRENOL 500MG CH 86424088320 250 6/1/2017 9.72 92125556 INS REG/NPH HUMAN 86424088320 250 6/1/2017 0.05 92125557 LIDOCAINE/PRILOCAIN 86424088320 250 6/1/2017 155.22 92125558 SYMBICORT INHALER 86424088320 250 6/1/2017 428.84 92125559 BONIVA 150MG 86424088320 250 6/1/2017 596.49 92125560 SUBOXONE FILMTAB 8 86424088320 250 6/1/2017 21.63 92125561 ATOVAQUONE S 750M 86424088320 250 6/1/2017 65.43 92125562 OYSTCAL+D TAB 500M 86424088320 250 6/1/2017 0.69 92125563 ZIOPTAN OPTH 86424088320 250 6/1/2017 20.9 92125564 ZOCOR 5MG TAB 86424088320 250 6/1/2017 0.78 92125566 NIVEA CREAM 56GM 86424088320 250 6/1/2017 0.16 92125567 COMPOUND MAGIC 86424088320 250 6/1/2017 2.78 92125568 FOCALIN XR 15MG CA 86424088320 250 6/1/2017 23.12 92125569 LOVAZA CAP 1GM 86424088320 250 6/1/2017 6.45 92125570 RENVELA SUSPENSION 86424088320 250 1/1/2020 19.03 92125571 GUAIFENESIN SYR SUG 86424088320 250 6/1/2017 5.21 92125575 LEVOFLOXACIN 500MG/100ML 86424088320 250 6/1/2017 12.86 92125576 LORAZEPAM 2MG 1ML ING-REF 86424088320 250 6/1/2017 6.76 92125577 HYDROMORPHONE 1MG/1ML INJ 86424088320 250 6/1/2017 6.76 92125578 ONDANSETRON 4MG ING 86424088320 250 6/1/2017 75.19 92125579 FLUTIC/SALME 250/50MCG 86424088320 250 6/1/2017 140.87 92125580 FUROSEMIDE 40MG INJECTION 86424088320 250 6/1/2017 6.76 92125581 OXYCODONE/ACETAMINOPHEN 86424088320 250 6/1/2017 4.68 92125582 ZIPRASIDONE 10 MG 86424088320 250 6/1/2017 80.7 92125583 CEFTRIAXONE 1GM INJ 86424088320 250 6/1/2017 6.76 92125584 AZITHROMYCIN 500G/DSW 250 86424088320 250 6/1/2017 9.33 92125586 "IV PUSH-INITIAL, SINGLE " 86424088320 250 6/1/2017 166.4 92125587 "THER/PRO/DIAG IV INF,INIT " 86424088320 250 6/1/2017 450.32 92125588 TX/PROPH/DG ADDL SEQ IV I 86424088320 250 6/1/2017 453.44 92125589 THER/PROPH/DIAG INJ IV PU 86424088320 250 6/1/2017 174.72 92125590 IV PUSH/DRIP NEW DRUG 15 86424088320 250 6/1/2017 166.4 92125591 THER/PROPH/DIAG INJ IV PU 86424088320 250 6/1/2017 166.4 92125592 IV PUSH/DRIP NEW DRUG 15 86424088320 250 6/1/2017 499.2 92125593 DEX 5% 1L 86424088320 250 6/1/2017 36.24 92125594 DEX 5% 0.9% NS 1L BAG 86424088320 250 6/1/2017 36.24 92125595 VITAMIN B12 500MCG TAB 86424088320 250 6/1/2017 2.7 92125596 SENSIPAR 30MG TAB 86424088320 250 6/1/2017 47.58 92125597 SIMVASTATIN 40MG TAB 86424088320 250 6/1/2017 21.63 92125598 COLLAGENASE 250U OIN 86424088320 250 6/1/2017 150.33 92125599 WARFARIN NA 5MG TAB 86424088320 250 6/1/2017 3.8 92125600 TOLTERODINE TART 2MG TAB 86424088320 250 6/1/2017 8.63 92125601 CABERGOLINE 0.5MG TAB 86424088320 250 6/1/2017 157.92 92125602 HYDROCORTISONE 10MG TAB 86424088320 250 6/1/2017 2.7 92125603 LISINOPRIL 2.5MG TAB 86424088320 250 6/1/2017 2.7 92125604 PILOCARPINE HCL 5MG TAB 86424088320 250 6/1/2017 7.59 92125605 NALTREXONE HCL 50MG TAB 86424088320 250 6/1/2017 19.45 92125606 SODIUM POLYSTYRENE 0.25GM 86424088320 250 6/1/2017 28.65 92125609 ARIPIPRAZOLE/ABILIFY 5MG 86424088320 250 6/1/2017 60.01 92125610 DERMAPHOR OINT 4oz 86424088320 250 6/1/2017 16.22 92125611 METROGEL 1% 60GM GEL 86424088320 250 6/1/2017 338 92125612 CRESTOR 5MG TAB 86424088320 250 6/1/2017 13.52 92125613 CRESTOR 10MG TAB 86424088320 250 6/1/2017 13.52 92125614 VOLTAREN 1% 100GM 86424088320 250 6/1/2017 292.03 92125615 TESSALON 200MG CAP 86424088320 250 6/1/2017 6.18 92125616 GLUCOSAMINE/CHONDROITIN 86424088320 250 6/1/2017 19.66 92125617 NORETHISTERONE 5MG TAB 86424088320 250 6/1/2017 82.68 92125618 SODIUM CHLORIDE SOLUTION 86424088320 250 6/1/2017 5.2 92125625 CLONIDINE TRANSDERMAL 0.3MG 86424088320 250 6/1/2017 147.63 92125626 BISOPROLOL ORAL 5MG TAB 86424088320 250 6/1/2017 5.41 92125627 ARGININE 500MG TAB 86424088320 250 6/1/2017 3.12 92125629 CLOZAPINE 25MG TABS 86424088320 250 6/1/2017 5.93 92125630 SPIRIVA 18MCG 86424088320 250 6/1/2017 566.75 92125631 LANSOPRAZOLE 30MG DR SOLU 86424088320 250 7/1/2017 14.98 92125632 MIRACLE MOUTHWASH 120ML 86424088320 250 6/1/2017 18.41 92125633 ACTONEL 35MG TAB 86424088320 250 6/1/2017 94.64 92125634 MIACALCIN 200IU 86424088320 250 6/1/2017 446.16 92125635 LEVAQUIN IV 750MG 86424088320 250 6/1/2017 272.58 92125636 DEPAKOTE ER 250MG 86424088320 250 6/1/2017 6.5 92125637 STALEVO 100MG 86424088320 250 6/1/2017 8.63 92125638 TOPAMAX 50MG 86424088320 250 6/1/2017 17.84 92125639 UROXATRAL 10MG 86424088320 250 6/1/2017 11.34 92125640 DESIPRAMINE 50MG 86424088320 250 6/1/2017 3.8 92125641 VESICARE 5MG 86424088320 250 6/1/2017 16.74 92125642 DEX 5% - MB+ 1ML SOL 86424088320 250 6/1/2017 36.24 92125643 ATROPINE SO4 1% O/S 86424088320 250 6/1/2017 13.52 92125644 METHYLPHENIDATE HCL 5MG T 86424088320 250 6/1/2017 2.7 92125645 HYDROMORPHONE HCL 2MG INJ 86424088320 250 6/1/2017 14.61 92125646 ESTRADIOL VAG 0.01% CRM 86424088320 250 6/1/2017 305.03 92125647 GLYCOPYRROLATE 1MG TAB 86424088320 250 6/1/2017 3.8 92125648 CARBAMAZEPINE 100MG TAB 86424088320 250 7/1/2017 2.7 92125649 VERAPAMIL HCL 40MG TAB 86424088320 250 6/1/2017 2.7 92125650 DAPSONE 25MG TAB 86424088320 250 6/1/2017 2.7 92125651 ACETYLCYSTEINE 20% 200MG 86424088320 250 6/1/2017 68.69 92125652 CYCLOPHOSPHAMIDE 25MG TAB 86424088320 250 6/1/2017 9.2 92125653 MEGESTROL ACET 40MG SUS 86424088320 250 6/1/2017 23.24 92125654 FLUTICASONE/SALMETER 500/ 86424088320 250 6/1/2017 648.44 92125655 FAMCICLOVIR 250MG TAB 86424088320 250 6/1/2017 20.02 92125656 ACYCLOVIR 400MG TAB 86424088320 250 6/1/2017 9.72 92125657 FLUPHENAZINE DECANOAT 25M 86424088320 250 6/1/2017 112.48 92125658 CILOSTAZOL 100MG TAB 86424088320 250 6/1/2017 9.2 92125659 POTASSIUM CHL 2MEQ VL 86424088320 250 6/1/2017 13.52 92125660 DESOXIMETASONE 0.25% ONT 86424088320 250 6/1/2017 116.27 92125661 TETRACYCLINE HCL 250MG CA 86424088320 250 6/1/2017 2.7 92125662 AMOXICILLIN 250MG CAP 86424088320 250 6/1/2017 2.7 92125663 FLUVOXAMINE MALEATE 100MG 86424088320 250 6/1/2017 11.91 92125664 BUDESONIDE 32MCG INH 86424088320 250 6/1/2017 207.69 92125665 DRONABINOL 2.5MG CAP 86424088320 250 6/1/2017 21.11 92125666 GLYBURIDE 5MG TAB 86424088320 250 6/1/2017 2.7 92125667 LITHIUM CARBONATE ER 450M 86424088320 250 6/1/2017 2.7 92125668 LITHIUM CARBONATE 300MG C 86424088320 250 6/1/2017 2.7 92125669 GLIPIZIDE 2.5MG TAB 86424088320 250 6/1/2017 2.7 92125670 CARBAMIDE PEROXIDE 6.5% D 86424088320 250 6/1/2017 12.43 92125671 IPRATROPIUM/ALBUTER 200AC 86424088320 250 6/1/2017 312.57 92125672 BENZOCAINE 20% GEL 86424088320 250 6/1/2017 27.04 92125673 POT BICARB/CA EFF 25MEQ T 86424088320 250 6/1/2017 2.7 92125674 MENTHOL/CAMPHOR 0.5% LOT 86424088320 250 6/1/2017 23.82 92125675 FOSPHENYTOIN 50MG VL 86424088320 250 6/1/2017 104.94 92125676 PROPAFENONE HCL 150MG TAB 86424088320 250 6/1/2017 7.59 92125677 TRIAMCINOLONE ACETON 0.5% 86424088320 250 6/1/2017 25.95 92125678 PRIMIDONE 50MG TAB 86424088320 250 6/1/2017 2.7 92125679 VANCOMYCIN HCL 125MG CAP 86424088320 250 6/1/2017 36.24 92125680 SUCRALFATE UD 100MG SUS 86424088320 250 6/1/2017 9.72 92125681 PRAMOXINE HCL 1% AER 86424088320 250 6/1/2017 144.4 92125682 MAGNESIUM CHL 64MG TAB 86424088320 250 6/1/2017 2.7 92125683 CLARITHROMYCIN 500MG TAB 86424088320 250 6/1/2017 21.63 92125684 PRAZOSIN HCL 5MG CAP 86424088320 250 6/1/2017 2.7 92125685 AMPICILLIN TRIHYDRAT 250M 86424088320 250 6/1/2017 2.7 92125686 TRIAMCINOLONE ACETONI 40M 86424088320 250 6/1/2017 31.36 92125716 LETROZOLE 2.5MG TAB 86424088320 250 1/1/2020 56.57 92125724 CYCLOPENTOLATE HCL 1% DRP 86424088320 250 5/1/2019 50.95 92125750 ACETAZOLAMIDE 125MG TAB 86424088320 250 2/1/2018 2.7 92125784 CEPHALEXIN 250MG CAP 86424088320 250 6/1/2017 3.8 92125818 ISONIAZID 300MG TAB 86424088320 250 2/1/2019 1.59 92125823 ZINC OXIDE 20% OIN 86424088320 250 2/1/2019 13.52 92125861 EPOETIN ALFA 4M VL 86424088320 250 8/1/2017 918.03 92125882 DANTROLENE NA 25MG CAP 86424088320 250 5/1/2019 3.34 92125905 AMANTADINE HCL 10MG SYR 86424088320 250 1/1/2019 8.02 92125909 NATEGLINIDE 60MG TAB 86424088320 250 7/1/2017 16.22 92125912 FELODIPINE SR 2.5MG TAB 86424088320 250 7/1/2017 5.93 92125923 TERBINAFINE 250MG 86424088320 250 1/1/2018 40.62 92125984 BIOTIN 1MG TAB 86424088320 250 1/1/2020 5.2 92126006 BRINTELLIX 5MG TAB 86424088320 250 6/1/2017 32.85 92126051 UREA CREAM 85GM 20% 86424088320 250 2/1/2018 24.65 92126064 URSODIOL 300 MG CAP 86424088320 250 6/1/2017 13 92126065 SUMATRIPTAN SUCCINATE 100MG TA 86424088320 250 6/1/2017 78.44 92126068 HYDROCORTISONE 10MG TAB 86424088320 250 6/1/2017 2.7 92126069 ROSUVASTATIN(CRESTOR) 10MGTAB 86424088320 250 6/1/2017 3.8 92126070 SACUBITRIL-VALSARTAN 24MG 86424088320 250 2/1/2018 27.02 92126071 CHONTROITIN-GLUCOSAMINE 400MG 86424088320 250 6/1/2017 3.12 92126094 DICLOFENAC GEL 1% (VOLTAREN) 1 86424088320 250 6/1/2017 292.03 92127105 NALOXEGOL 25MG TAB 86424088320 250 6/1/2017 31.15 92127108 RIFAXIMIN 550MG TAB (XIFAXAN) 86424088320 250 6/1/2017 45.97 92127151 MORPHINE SO4 IR (MORPHINE 86424088320 250 8/1/2017 180.08 92127204 DONEPEZIL HCL (ARICEPT) 1 86424088320 250 7/1/2017 40.19 92127278 DEX 50% (DEXTROSE 50%) 1M 86424088320 250 8/1/2017 36.24 92127286 MICONAZOLE NITRATE CREAM 2% 86424088320 250 1/1/2019 14.94 92127287 CARBIDOPA/LEVODOPA 25/100MG OD 86424088320 250 1/1/2019 4.27 92128315 AMYLASE/LIPASE/PROTEASE 86424088320 250 4/1/2019 15.66 92128333 NADOLOL (NADOLOL) 40MG TA 86424088320 250 6/1/2017 4.89 92128440 HEPARIN SOD (PORC) (HEP-L 86424088320 250 1/1/2019 5.2 92128560 CEPHALEXIN 25MG SUS 86424088320 250 1/1/2019 5.2 92128561 ATOMOZETINE CAP 40MG 86424088320 250 6/1/2017 23.82 92128562 VILAZODONE TAB 40MG 86424088320 250 6/1/2017 21.37 92128563 FESOTERODINE FUMARATE 8 MG TAB 86424088320 250 6/1/2017 73.98 92128564 PRAVASTATIN 80MG TAB 86424088320 250 6/1/2017 15.69 92128569 MIRABEGRON 25MG TAB 86424088320 250 2/1/2019 29.48 92128571 WARFARIN NA 7.5MG TAB 86424088320 250 2/1/2018 5.41 92128572 MICONAZOLE NITRATE CREAM 2% 86424088320 250 6/1/2017 14.94 92128573 CARBIDOPA/LEVODAPA 25/100MG OD 86424088320 250 6/1/2017 4.27 92128574 KETOROLAC TROMETH OPHT 0.4% 5M 86424088320 250 1/1/2019 208.67 92128584 PAROXETINE 20MG TAB 86424088320 250 1/1/2020 8.52 92128626 BUSPIRONE HCL (BUSPIRONE) 86424088320 250 4/1/2019 4.93 92128725 TROLAMINE SALICYLATE 10% 86424088320 250 6/1/2017 45736.08 92128739 SACUBITRIL/VALSARTAN TAB 49-51 86424088320 250 10/1/2018 28.92 92128753 LACTASE CPL 86424088320 250 2/1/2019 0.41 92128775 MICONAZOLE NITRATE COMBO 4-2 86424088320 250 1/1/2019 46.14 92128778 ATOMOZETINE CAP 40MG 86424088320 250 6/1/2017 23.82 92128779 CAPSAICIN .075% CRM 86424088320 250 6/1/2017 47.06 92128780 DILTIAZEM HCL 90MG TAB 86424088320 250 6/1/2017 3.8 92128781 FLUCONAZOLE/HACL 400MG BA 86424088320 250 6/1/2017 760.34 92128782 NALOXEGOL 25MG TAB 86424088320 250 6/1/2017 31.15 92128783 STERILE WATER VL 86424088320 250 6/1/2017 36.24 92128815 MISC PHARMACY COMMENT/INSTRUCT 86424088320 250 1/1/2019 175.28 92128816 NAPHAZOLINE/PHENIRAM DRP 86424088320 250 1/1/2019 28.92 92128875 PALIPERIDONE 3MG TAB 86424088320 250 1/1/2019 95.25 92128877 PALIPERIDONE ER 3MG TAB 86424088320 250 6/1/2017 42.74 92128878 NYSTATIN 100U/MG OIN - 15GM 86424088320 250 1/1/2019 52.42 92128879 NYSTATIN 100U/GM OIN - 30GM 86424088320 250 1/1/2019 81.9 92128880 INSULIN LISPRO RCMB 100U/ML 86424088320 250 1/1/2019 308.54 92128881 DARUNAVIR/COBICISTAT 800-150MG 86424088320 250 1/1/2019 208.95 92128882 EMTRICITABINE/TEN/ALA 200-25 86424088320 250 1/1/2019 195.62 92128904 MEXILATINE HCL 150MG TAB 86424088320 250 6/1/2017 3.22 92128905 LANSOPRAZOLE 3MGT/ML 86424088320 250 1/1/2019 5.2 92128910 LACTOSE-FREE FOOD PWD 86424088320 250 6/1/2017 4.32 92129288 SODIUM CHLORIDE 0.9 % INJ 86424088320 250 1/1/2019 5.2 92129337 FLU VACCINE QUADRIVALENT 86424088320 250 1/1/2019 45.33 92129482 ISONIAZID 100MG TAB 86424088320 250 7/1/2017 4.32 92129585 VORTIOXETINE HBR 5 MG PO 86424088320 250 1/1/2018 47.17 92129666 NEOMYCIN-POLYMYXIN-DEXAME 86424088320 250 5/1/2019 137.28 92129683 SODIUM HYPOCHLORITE 0.5 PCT 86424088320 250 8/1/2017 18.41 92129737 MOISTURE MOUTH SPRAY 45ML 86424088320 250 8/1/2017 22.15 92129883 CARBIDOPA-LEVODOPA 36.25/145 86424088320 250 1/1/2019 9.67 92129961 FLU VACC QV2017-18 >6MO 60MCG 86424088320 250 1/1/2019 62.49 92129983 INFLUENZA VACC (FLUZONE) 17-18 86424088320 250 1/1/2019 160.99 92130620 IVABRADINE (COLANOR) 5 MG 86424088320 250 1/1/2019 26.8 92130621 IVABRADINE (CORLANOR) 7.5MG 86424088320 250 1/1/2019 26.8 92130886 LIDOCAINE TOPICAL 5PCT OINT 86424088320 250 5/1/2018 0.01 92130887 MAGNESIUM SULFATE AND TOP 100P 86424088320 250 5/1/2018 0.02 92130888 MANNITOL-SORB 540 MG-2.7 G/100 86424088320 250 5/1/2018 0.03 92130889 MEDROXYPROGESTER INTRA 400MG S 86424088320 250 5/1/2018 0.04 92130890 MENTHOL-METHYL SALIC 6-14PCT O 86424088320 250 5/1/2018 0.05 92130891 METHOHEXITAL INTRA 500 MG PWD 86424088320 250 5/1/2018 0.06 92130892 METHYLENE BLUE INJ 10 MG SOL 86424088320 250 5/1/2018 0.07 92130893 METHYLNALTREXONE SUB 12MG/0.6M 86424088320 250 5/1/2018 0.08 92130894 MORPHINE INJ 0.5 MG/ML SOL 86424088320 250 5/1/2018 0.09 92130895 MULTIVIT WITH MINERALS TAB 86424088320 250 5/1/2018 0.1 92130896 MULTIVITAMIN WITH MINERALS TAB 86424088320 250 5/1/2018 0.11 92130897 MULTIVITAMIN WITH MINERALS LIQ 86424088320 250 5/1/2018 0.12 92130898 MULTIVIT PRENAT WITH FOLIC 0.8 86424088320 250 5/1/2018 0.14 92130899 PAMIDRONATE INTRA 3 MG SOL 86424088320 250 5/1/2018 0.15 92130900 PENICILLIN G BENZ INTRA 120000 86424088320 250 5/1/2018 0.16 92130901 PENICILLIN G BENZ INTRA 600000 86424088320 250 5/1/2018 0.17 92130902 PETROLATUM TOPICAL 100PCT OINT 86424088320 250 5/1/2018 0.18 92130903 PETROLATUM TOPICAL 100PCT OINT 86424088320 250 5/1/2018 0.19 92130904 PHENYLEPHRINE 100 MCG/ML-NACL 86424088320 250 5/1/2018 0.2 92130905 PHYSIOLOGICAL IRR 15MG SOL 86424088320 250 5/1/2018 0.21 92130906 POVIDONE IODINE TOP 0.3PCT VAG 86424088320 250 5/1/2018 0.22 92130907 PRAMIPEXOLE 0.75 MG TAB 86424088320 250 5/1/2018 0.23 92130908 PROCAINE PENICILL INTRA 120000 86424088320 250 5/1/2018 0.24 92130909 PROGESTERONE INTRA 50MG SOL 86424088320 250 5/1/2018 0.25 92130910 PSEUDOEPHEDRINE-TRIP 60-2.5MG 86424088320 250 5/1/2018 0.26 92130911 PYRIDOSTIGMINE INJ 5 MG/ML 86424088320 250 5/1/2018 0.27 92130912 ROPIVACAINE 0.5PCT INJ SOL 86424088320 250 5/1/2018 0.28 92130913 SILDENAFIL 10 MG TAB 86424088320 250 5/1/2018 0.29 92130914 SODIUM BIPH-SOD PHOS 3.5G ENEM 86424088320 250 5/1/2018 0.3 92130915 SODIUM CHL 0.9PCT WITH KCL 40M 86424088320 250 5/1/2018 0.31 92130916 SODIUM FERRIC GLUC INTRA 12.5 86424088320 250 5/1/2018 0.32 92130917 "STREPTOMYCIN INTRA 1,000PWD " 86424088320 250 5/1/2018 0.33 92130918 TETANUS-DIPHTH-PERTUSS TDAP 86424088320 250 5/1/2018 0.34 92130919 TETRACAINE TOPICAL 2PCT SOL 86424088320 250 5/1/2018 0.35 92130920 TIAGABINE 2 MG TAB 86424088320 250 5/1/2018 0.36 92130921 TPN ADULT TOTAL PARENTERAL N 86424088320 250 5/1/2018 0.37 92130922 VALPROIC ACID INTRA 100MG SOL 86424088320 250 5/1/2018 0.38 92130923 VANCOMYCIN INTRA 10 G PWD 86424088320 250 5/1/2018 0.4 92131259 OSELTAMIVIR 30 MG ORAL CAP 86424088320 250 2/1/2019 38.66 92131551 MULTIVIT AND MINERALS-FERROUS 86424088320 250 6/1/2019 24.34 92131725 ACETAMINOPHEN/ASPRIN 250/65 MG 86424088320 250 8/1/2018 7.8 92131740 FLU VACC CURR YR IM SYRG 86424088320 250 10/1/2018 45.33 92132015 FLU VACC CURR YR HIGH-DOSE 86424088320 250 10/1/2018 175.28 92132026 BUSPIRONE HCL 10MG TAB 86424088320 250 2/1/2019 5.93 92132045 SALIVA GEL - BIOTENE 86424088320 250 1/1/2019 22.03 92132046 MAFERIDE TOP CREAM 85MG 86424088320 250 1/1/2019 1561.28 92132047 AMPHETAMINE SALTS 20MG TAB 86424088320 250 1/1/2019 5.34 92132193 RIVAROXABAN 2.5MG TAB 86424088320 250 9/1/2019 27.96 92132330 FLU VACC 2019-20 INAC AFLURIA 86424088320 250 10/1/2019 66.77 92132331 FLU VACC 2019-20 INAC QUAD PF 86424088320 250 10/1/2019 195.41 92210119 ACETAMINOPHEN ASPIRIN CAFF TAB 86424088320 250 1/1/2019 0.66 92210364 BACITRACIN/POLYMYXIN B OIN 86424088320 250 6/1/2019 38.95 92210392 RAMIPRIL 5MG CAP 86424088320 250 2/1/2019 7.02 92210445 DIPHENHYDRAMINE HCL 12.5MG/5 S 86424088320 250 1/1/2019 5.34 92210471 THEOPHYLLINE 100MG C24 86424088320 250 1/1/2019 6.8 92210548 BUPROPION HCL 100MG TAB 86424088320 250 2/1/2019 4.32 92210661 ACETYLCYSTEINE 10% SOL 86424088320 250 1/1/2018 23.82 92210790 PREDNISOLONE ACETATE 1% SUS 86424088320 250 2/1/2019 172.6 92210829 HYOSCYAMINE SULF 0.375MG TER 86424088320 250 6/1/2017 2.7 92210985 NEOMYCIN SULF/POLYMYX B/HC SOL 86424088320 250 1/1/2019 49.73 92211094 TROLAMINE SALICYLATE 10% CRE 86424088320 250 6/1/2017 23.46 92211151 KETOCONAZOLE 2% CRE 86424088320 250 5/1/2019 409.75 92211246 VITAMIN A/D OIN 86424088320 250 1/1/2018 10.05 92211312 GUAIFENESIN 200MG TAB 86424088320 250 1/1/2019 1.81 92211432 MEROPENEM 1GM INJ 86424088320 250 2/1/2019 66.64 92211482 ALENDRONATE NA 10MG TAB 86424088320 250 2/1/2019 11.91 92211577 DEXTROAMPHETAMINE SUL 10MG TAB 86424088320 250 1/1/2019 9.83 92211750 VERAPAMIL HCL 120MG CER 86424088320 250 1/1/2019 6.05 92212576 NADOLOL 40MG TAB 86424088320 250 6/1/2017 17.19 92212878 POTASSIUM CITRATE 10MEQ TER 86424088320 250 10/1/2017 8.61 92212973 HYDRALAZINE HCL 50MG TAB 86424088320 250 6/1/2017 2.7 92212993 BUPRENORPHINE NAOLXONE 2-0.5 T 86424088320 250 1/1/2019 13.85 92213214 ERYTHROMYCIN 250MG TAB 86424088320 250 10/1/2019 26.15 92213618 COD LIVER OIL CAP 86424088320 250 1/1/2019 0.12 92213784 LIDOCAINE HCL 2% VISCOUS SOL 86424088320 250 1/1/2018 8.17 92213803 DESMOPRESSIN ACET 0.01% SOL 86424088320 250 5/1/2019 768.33 92214044 POTASSIUM CL 20MEQ SOL 86424088320 250 1/1/2019 17.16 92214094 MEDROXYPROGESTERONE 10MG TAB 86424088320 250 8/1/2017 1.53 92214482 CLINDAMYCIN PHOS 900MG/D5W INJ 86424088320 250 1/1/2018 81.03 92214501 LACTATED RINGERS IVS 86424088320 258 1/1/2019 16.57 92214570 CANDESARTAN CILEXETIL 16MG TAB 86424088320 250 5/1/2019 13.29 92214757 AMYLASE/LIPASE/PROTEASE CAP 86424088320 250 1/1/2020 23.09 92214930 EXEMESTANE 25MG TAB 86424088320 250 10/1/2017 63.12 92215009 AMPHETAMINE SALTS 10MG CER 86424088320 250 6/1/2017 67.6 92215134 SALIVA SUBSTITUTES SPR 86424088320 250 8/1/2017 22.15 92215323 BISOPROLOL/HCTZ 10/6.25 TAB 86424088320 250 7/1/2017 5.41 92215370 DESMOPRESSIN ACET 0.2MG TAB 86424088320 250 11/1/2017 3.8 92215642 ROSUVASTATIN CA 20MG TAB 86424088320 250 1/1/2019 22.28 92216545 EFAVIRENZ EMTRICITABINE TENO T 86424088320 250 1/1/2019 28.3 92216674 PALIPERIDONE 3MG TER 86424088320 250 6/1/2017 42.74 92216978 BRIMONIDINE TIMOLOL 0.2-0.5% S 86424088320 250 5/1/2019 660.19 92217048 NEBIVOLOL HCL 2.5MG TAB 86424088320 250 1/1/2019 16.32 92217130 CIPROFLOXACIN 200MG/100ML INJ 86424088320 250 8/1/2017 4.31 92217260 AMINO ACIDS 5% D20W IVS 86424088320 258 1/1/2019 284.48 92217305 DIVALPROEX NA 500MG TCP 86424088320 250 1/1/2018 47.89 92217447 SILODOSIN 8MG CAP 86424088320 250 10/1/2017 14.04 92217505 TOLVAPTAN 30MG TAB 86424088320 250 1/1/2020 1750.88 92217649 SALIVA SUBSTITUTES SOL 86424088320 250 1/1/2019 30.2 92217782 LURASIDONE HCL 40MG TAB 86424088320 250 2/1/2018 152.69 92217815 COENZYME Q10 100MG SGL 86424088320 250 11/1/2017 1.19 92217943 DEXTROMETHORPHAN QUINIDINE 86424088320 250 2/1/2019 35.67 92218200 MEMANTINE 28MG CAP 86424088320 250 7/1/2017 40.19 92218245 CIPROFLOXACIN 500MG TAB 86424088320 250 8/1/2017 0.37 92218272 MIRABEGRON 50MG TAB 86424088320 250 2/1/2019 47.95 92218331 INDOMETHACIN 75MG ER CAP 86424088320 250 2/1/2018 9.61 92218373 ESTRADIOL 1 MG TABLET 86424088320 250 2/1/2019 2.76 92218385 WHITE PETROLATUM . OINT 86424088320 250 6/1/2017 12.43 92218693 CEFOXITIN 2 GM INJ 86424088320 250 1/1/2019 47.74 92218715 VITAMIN D3 5000 IU TAB 86424088320 250 6/1/2019 0.52 92218813 BUPRENOR/NALOXONE 4MG-1MG FILM 86424088320 250 1/1/2020 27.46 92218873 DICLOFENAC POTASSIUM 50MG TAB 86424088320 250 1/1/2019 8.61 92219059 AMINO ACIDS/DEXT 2.75%-5% SOL 86424088320 258 5/1/2019 262.95 92219627 LIDOCAINE 1% SOL 86424088320 250 10/1/2019 7.8 92219628 CLOBAZAM 10 MG TAB 86424088320 250 10/1/2019 7.8 92219629 VANCOMYCIN 2GM/400 ML INJ 86424088320 250 11/1/2019 34.09 92219630 SIROLIMUS 1 MG TAB 86424088320 250 11/1/2019 8.32 92219631 POTASSIUM CHLORIDE 20 MEG TAB 86424088320 250 11/1/2019 0.31 92219632 SOD ZIRCON CYCLOSI 5GM/PAC PDR 86424088320 250 11/1/2019 16.48 92219633 SOD ZIRCON CYCLOSI 10GM/PACPDR 86424088320 250 11/1/2019 16.48 92219634 SOD ZIRCON CYCLOSI 5GM/PAC PDR 86424088320 250 11/1/2019 16.48 92219647 MIN OIL/WHITE PETRO20%-80%OINT 86424088320 250 11/1/2019 7.81 92219648 INSUL HUM REG100UNITS/100MLSOL 86424088320 250 11/1/2019 36.4 92219649 "HEP SOD,PORC5000UNITS/0.5MLINJ" 86424088320 250 11/1/2019 6.94 92219650 NAFTIFINE HCL 1% CRE 86424088320 250 11/1/2019 2.67 92219651 SOLIFENACIN SUCCINATE 5 MG TAB 86424088320 250 11/1/2019 1.21 92219652 DEXTROSE 5% SOL 86424088320 250 11/1/2019 6.39 92219653 BUMETANIDE 0.5 MG TAB 86424088320 250 11/1/2019 0.84 92219654 COLCHICINE 0.6 MG TAB 86424088320 250 11/1/2019 7.1 93000665 SALINE 0.9% SOL/EXCEL CONT 86424088320 250 1/1/2020 48.67 93000666 SALINE 0.9% SOL/EXCEL CONT 86424088320 250 4/1/2017 36.24 93000684 SODIUM CHLORIDE 0.45% SOL 86424088320 250 2/1/2017 437.84 93000732 SODIUM CHLORIDE 0.9% SOL 86424088320 250 2/1/2017 65.42 93000900 "KCL 20MEQ/NS 1,000ML IV SOL " 86424088320 250 1/1/2018 11.11 93000946 DEXTROSE 5%/WATER IV SOL 86424088320 250 2/1/2017 36.24 93000980 DEXTROSE 5%/ WATER IV SOL 86424088320 250 2/1/2017 36.24 93001043 ALBUMIN (HUMAN) 25% IV SOL 86424088320 250 1/1/2020 172.26