location-name: Noland Hospital Anniston source-page-url: https://nolandhospitals.com/price-transparency/ mrf-url: https://nolandhospitals.com/wp-content/uploads/2023/12/472862505_Noland_Hospital_Anniston_standardcharges.txt contact-name: Matthew Hall contact-email: pricetransparency@nolandhealth.com Noland Hospital Anniston,,,,,,,,,,,,,,, Last updated: 09/01/2023,,,,,,,,,,,,,,, LTACH's are inpatient only hospitals (no outpatient services),,,,,,,,,,,,,,, ,,,,,,,,,,,,,,, Item,Item/Service Description,Billing Code,CPT,Gross Charge,Discounted Cash Price ,Minimum Negotiated Charge,Maximum Negotiated Charge,Viva Negotiated Charge,BC/BS Negotiated Charge,UHC Negotiated Charge,Work Comp Negotiated Charge,AlaMed WC Negotiated Charge,Blue Adv Negotiated Charge,Healthspring Negotiated Charge,VA CCN Negotiated Charge 110,PRIVATE ROOM CHARGE,110,,"$2,395.00 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day",N/A,N/A,N/A 1,ETHAMBUTOL (MYAMBUTOL) 400 MG TABS,250,,$766.70 ,$766.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2,FLUOXETINE (PROZAC) CAP 40MG,250,,$1.00 ,$1.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6638,DAPTOmycin (CUBICIN) /50 ML NS,250,,$963.64 ,$963.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 30684,DESMOPRESSIN 0.2MG,250,,$5.60 ,$5.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 36899,TEARS RENEWED,250,,$10.00 ,$10.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300001,RX ACTHAR HP 80 UNITS/ML INJ,250,,$195.55 ,$195.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300002,RX ADENOCARD 6MG/2ML INJ,250,,$250.75 ,$250.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300003,RX AMPICILLIN 1GM INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300004,RX AMPICILLIN 500MG,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300005,RX ARISTOCORT FORTE 40MG/ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300006,RX ARISTOSPAN INTRALES 5MG/ML INJ,250,,$96.76 ,$96.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300007,RX ATIVAN 1MG/0.5ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300008,RX ATROPINE SULFATE .1MG/ML SYRIN,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300009,RX ATROPINE SULFATE 1MG/ML AMP,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300010,RX BENADRYL 50MG/ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300011,RX BERTYLIUM 50MG/ML INJ,250,,$175.06 ,$175.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300012,RX CALCIUM CHLORIDE 10% 10ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300013,RX CALCIUM GLUCONATE 10% 10ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300014,RX CARDIZEM 50MG/10ML INJ,250,,$193.12 ,$193.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300015,RX CELESTONE SOLUSPAN (5ML INJ),250,,$182.83 ,$182.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300016,RX CLAFORAN VIAL 1G (INJECTION),250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300017,RX COMPAZINE 10MG/2ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300018,RX DDAVP 4MCG/ML,250,,$159.27 ,$159.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300019,RX DECADRON 10MG/ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300020,RX DECADRON 4MG/ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300021,RX DECADRON LA 8MG/ML INJ,250,,$167.30 ,$167.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300022,RX DEMEROL 100MG/ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300023,RX DEMEROL 50MG/ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300024,RX DEXTROSE 50% 50ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300025,RX DOPAMINE 800MG/5ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300026,RX DOPAMINE-DEXTROSE 800MG/500ML,250,,$301.16 ,$301.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300027,RX EPINEPHRINE 1-1000 INJ 30ML,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300028,RX EPINEPHRINE 1-10000 SYRINGE,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300029,RX GENTAMYCIN 80MG/2ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300030,RX HEPARIN 5000U/ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300031,RX HEPARIN LCK FLSH 10U/ML 1MLINJ,250,,$5.18 ,$5.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300032,RX HEPARIN LCK FLSH10U/ML 10MLINJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300033,RX HEPARIN LOCK FLUSH 100U/ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300034,RX INFED 50MG/ML INJ 2ML,250,,$262.39 ,$262.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300035,RX ISUPREL 1MG/5ML INJ,250,,$110.55 ,$110.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300036,RX LASIX 20MG/2ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300037,RX LASIX 40MG/4ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300038,RX LEVOPHED 1MG/ML INJ,250,,$164.69 ,$164.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300039,RX LIDOCAIN 2GM/500ML DEXTROS INJ,250,,$159.61 ,$159.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300040,RX MAGESIUM SULFATE 1GRAM/2ML IN,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300041,RX MANDOL 2GM INJ,250,,$125.93 ,$125.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300042,RX MARCAINE 0.25% INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300043,RX MARCAINE 0.5% INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300044,RX MEPERGAN 2ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300045,RX MORPHINE 2MG/ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300046,RX MORPHINE SULFATE 10MG/ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300047,RX NARCAN 0.4MG/ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300048,RX NEUPOGEN 300MG,250,,"$1,150.36 ","$1,150.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300049,RX NIPRIDE 50MG/2ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300050,RX PHENERGAN 25MG/ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300051,RX PHENERGAN 50MG/ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300052,RX POTASSIUM CHLOR 20MEQ/10ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300053,RX PRONESTYL 100MG/ML INJ,250,,$187.86 ,$187.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300054,RX PRONESTYL 500MG/ML INJ,250,,$187.86 ,$187.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300055,RX PYRIDOXINE 100MG/ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300056,RX REGLAN 10MG/2ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300057,RX ROCEPHIN VIAL 1GM INJ,250,,$323.97 ,$323.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300058,RX ROCEPHIN VIAL 250MG (INJECT),250,,$104.53 ,$104.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300059,RX ROCEPHIN VIAL 500MG (INJECT),250,,$188.01 ,$188.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300060,RX ROMAZICON 0.1MG/ML INJ,250,,$352.53 ,$352.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300061,RX SARAPIN DOSE CHARGE/3ML,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300062,RX SECRETIN 75 UNIT VIAL,250,,"$1,487.43 ","$1,487.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300063,RX SODIUM BICARBONATE 8.4% INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300064,RX SOLU MEDROL 40MG (INJECTION),250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300065,RX SOLUCORTEF 100MG INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300066,RX SOLUMEDROL 125MG INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300067,RX TORADOL 30MG/ML (1ML INJ CART),250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300068,RX TORADOL 60MG/2ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300069,RX VALIUM 10MG/2ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300070,RX VANCOMYCIN 1GM INJ,250,,$532.85 ,$532.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300071,RX VERAPAMIL 10MG/4ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300072,RX VERSED 10MG/2ML INJ,250,,$208.40 ,$208.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300073,RX VISTARIL IM 100MG/2ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300074,RX VITAMIN B-12 1000MCG/ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300075,RX XYLOCAINE 0.5% INJ (MFP),250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300076,RX XYLOCAINE 1% INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300077,RX XYLOCAINE 100MG INJ (5ML SYRNG),250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300078,RX XYLOCAINE 2% (20ML INJ),250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300079,RX ADENOCARD 6MG IV,250,,$250.75 ,$250.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300080,RX AMINOPHYLLINE 500MG AMPULE,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300081,RX ANTILIRIUM 1MG AMPULE,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300082,RX ARAMINE 10ML VIAL,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300083,RX ATROPINE 1MG SYRINGE,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300084,RX ATROPINE 1MG VIAL,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300085,RX BENADRYL 50MG IV,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300086,RX BRETYLIUM 500MG/10ML SYRINGE,250,,$175.06 ,$175.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300087,RX BUMEX 0.5MG/2ML,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300088,RX BUMEX 1MG/4ML AMPULE,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300089,RX CALCIUM CHLORIDE 10% 10ML INJE,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300090,RX CALCIUM CHLORIDE 10% VIAL,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300091,RX CALCIUM GLUCONATE 10% 10ML,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300092,RX CARDIZEM (5MG/ML) 25MG VIAL,250,,$100.35 ,$100.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300093,RX COMPAZINE 10MG IV,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300094,RX CONVERT 0.1MG/ML,250,,"$1,616.97 ","$1,616.97 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300095,RX D50 25GM/50ML,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300096,RX DEMEROL HCL 50MG/ML 1ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300097,RX DILANTIN 100MG IV,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300098,RX DOBUTAMINE 250MG IV,250,,$378.29 ,$378.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300099,RX DOPAMINE 800MG BAG,250,,$301.16 ,$301.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300100,RX DOPAMINE HCL 400MG/5ML 5ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300101,RX EPHEDRINE 50MG/ML,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300102,RX EPINEPHRINE 1-10000IV,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300103,RX EPINEPHRINE 1-1000 1ML,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300104,RX EPINEPHRINE 1-1000 30ML VIAL,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300105,RX FENTANYL CITRATE 250MCG 5ML IN,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300106,RX GLUCAGON 1MG IV,250,,$334.58 ,$334.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300107,RX HEPARIN 1000U/ML,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300108,RX HEPARIN 5000U/ML,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300109,RX HEPARIN SODIUM 10000U/ML 1MLIN,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300110,RX HEPARIN SODIUM 1000U/ML10MLIN,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300111,RX HEPLOCK FLUSH 10CC VIAL,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300112,RX HYDRALAZINE 20MG/ML IV,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300113,RX INDERAL 1MG,250,,$131.27 ,$131.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300114,RX INOCOR 100MG IV,250,,$561.12 ,$561.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300115,RX ISUPREL 1-5000,250,,$110.55 ,$110.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300116,RX KCL DRIP MEQ D51/2 NS 1000ML,250,,$118.33 ,$118.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300117,RX KCL DRIP 40 MEQ D5 1/2 NS 1000,250,,$118.33 ,$118.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300118,RX LANOXIN 0.5MG PER 2ML,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300119,RX LASIX 100MG IV,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300120,RX LASIX 20MG IV,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300121,RX LASIX 40MG IV,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300122,RX LEVOPHED 4ML AMPULE,250,,$164.69 ,$164.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300123,RX LIDOCAINE IV 100MG SYRINGE,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300124,RX LIDOCAINE IV 2GM/500ML,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300125,RX LINCOCIN 600MG,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300126,RX LOPRESSOR 5MG,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300127,RX MAG SULFATE 1GM VIAL,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300128,RX MARCAINE 30ML VIAL 0.5%,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300129,RX MARCAINE HCL .75% 30ML INJECT,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300130,RX MORPHINE SULFATE 10MG/ML 1MLIN,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300131,RX NARCAN 0.4MG AMPULE,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300132,RX NEOSYNEPHRINE 10MG/ML,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300133,RX NIPRIDE 50MG VIAL,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300134,RX NORMODYNE 100MG IV,250,,$241.91 ,$241.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300135,RX NTG 50MG IV DRIP 250ML DEXT,250,,$115.80 ,$115.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300136,RX NTG SPRAY 0.4MG PER,250,,$218.70 ,$218.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300137,RX PHENERGAN 25MG IV,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300138,RX PROCAINAMIDE HCL 500MG/ML 2ML,250,,$187.86 ,$187.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300139,RX PROCAINE 2% 30ML,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300140,RX PRONESTYL 1GM (100MG/ML),250,,$187.86 ,$187.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300141,RX PROTAMINE SULFATE 10MG/ML 5ML,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300142,RX REGLAN 10MG IV,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300143,RX REGLAN 10MG PO,250,,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300144,RX ROMAZICON .5MG/5ML 5ML INJECT,250,,$352.53 ,$352.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300145,RX ROMAZICON 1MG/10ML,250,,$558.44 ,$558.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300146,RX SODIUM BICARBONATE 50MEQ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300147,RX SOLU CORTEF,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300148,RX SOLU CORTEF 250 MG,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300149,RX SOLU CORTEF 500MG,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300150,RX SOLU MEDROL 125MG,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300151,RX VALIUM 5MG/ML (2ML INJECTION),250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300152,RX VERAPAMIL 5MG/2ML,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300153,RX VERSED 10MG/2ML (2ML INJECT),250,,$208.40 ,$208.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300154,RX XYLOCAINE .5% (50ML INJECT),250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300155,RX XYLOCAINE 1 GM (25ML INJECT),250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300156,RX XYLOCAINE 1% EPI 1-100000 50ML,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300157,RX XYLOCAINE 1% PLAIN 50 ML,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300158,RX XYLOCAINE 2% PLAIN 50ML,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300159,RX XYLOCAINE .5%-EPI 1-200000 50ML,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300160,RX A-HYDROCORT 250MG INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300161,RX ADENOCARD 3MG/ML INJ,250,,$250.75 ,$250.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300162,RX ALCOHOL DEHYDRATED 100% INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300163,RX AMPICILLIN 2GM INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300164,RX AMPILLICIN 1GM INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300165,RX ARISTOCORT FORTE 40MG/ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300166,RX ARISTOSPAN INTRALES 5MG/ML INJ,250,,$96.76 ,$96.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300167,RX ATROPINE SULFATE 1MG/ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300168,RX BENADRYL 50MG/ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300169,RX BRETYLIUM 50MG/ML INJ,250,,$175.06 ,$175.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300170,RX CALCIUM CHLORIDE 10% 10ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300171,RX CALCIUM GLUCONATE 10% 10ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300172,RX CARDIZEM 50MG/ML INJ,250,,$193.12 ,$193.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300173,RX CEFADYL 1GM INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300174,RX CEFAZOLIN SODIUM VIAL 1GM INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300176,RX COMPAZINE 5MG/ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300177,RX DECADRON 10MG/ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300178,RX DECADRON 4MG/ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300179,RX DEMEROL 50MG/ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300180,RX DEXTROSE 50% (50 ML INJECTION),250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300181,RX DOPAMIN-DEXTROS 5% 800MG/500ML,250,,$301.16 ,$301.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300182,RX DOPAMINE 800MG/5ML 5ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300183,RX DROPERIDOL 2.5 MG/ML- 2ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300184,RX EPINEPHRINE 1-1000 INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300185,RX EPINEPHRINE 1-10000 INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300186,RX FENTANYL 100MCG/2ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300189,RX GENTAMICIN 100MG-PYX INJ 100ML,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300190,RX GENTAMICIN 120MG-PYX INJ 100ML,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300191,RX GENTAMICIN 80MG-PXY 100ML/IV,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300192,RX GENTAMICIN 80MG/2ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300193,RX GENTAMICIN SUL 60 INJ 50ML/IV,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300194,RX GLUCAGON 1MG INJ,250,,$334.58 ,$334.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300196,RX HEP LOCK FLUSH 100U/ML 10MLINJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300197,RX HEP LOCK FLUSH 10U/CC 10ML VIA,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300198,RX HEP LOCK FLUSH 10U/ML 1ML INJ,250,,$5.18 ,$5.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300199,RX HEPARIN 1000 UNITS/ML 10ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300200,RX HEPARIN 1000 UNITS/ML 1ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300201,RX HEPARIN 10000 UNITS/ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300202,RX HEPARIN 5000 UNITS/ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300203,RX HYDRALAZINE 20MG/ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300204,RX HYDROCHLORIC ACID SOLUTION,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300205,RX HYSKON IRRAGATING 32% 100MLINJ,250,,$203.32 ,$203.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300206,RX ISUPREL 1MG/5ML INJ,250,,$110.55 ,$110.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300207,RX KENALOG 40 40MG/ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300208,RX KINEVAC 5MCG INJ,250,,$187.86 ,$187.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300209,RX LASIX 20MG/2ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300210,RX LEVOPHED 1MG/ML INJ,250,,$164.69 ,$164.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300211,RX LIDOCAINE 2% 100MG (5ML SYRIN),250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300212,RX LIDOCAINE-DEXTROSE (2GM/500ML),250,,$159.61 ,$159.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300213,RX MAGNESIUM SULFATE 50% 2ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300214,RX MARCAINE 0.25% PLAIN 30 ML,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300215,RX MARCAINE 0.25% W/EPI 1-200000,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300216,RX MARCAINE 0.5% PLAIN,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300217,RX MARCAINE 0.5% W/EPI 1-200000,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300218,RX MARCAINE 0.75% PLAIN,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300219,RX MARCAINE 0.75% W/EPI 1-200000,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300220,RX MEFOXIN 1GM INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300221,RX MEPERGAN 2ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300222,RX METHYLENE BLUE 1% INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300223,RX METOCLOPRAMIDE 10MG/2ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300224,RX MORPHINE 10MG/ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300225,RX MORPHINE 2MG/ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300226,RX MORRHUATE SODIUM50MG/ML INJ,250,,$434.93 ,$434.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300227,RX NARCAN 0.4MG/ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300228,RX NARCAN 1MG/ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300229,RX NIPRIDE 50MG/2ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300230,RX PEPCID 10MG/ML-2ML,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300231,RX PHENERGAN 25MG/ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300232,RX PITRESSIN 20U/ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300233,RX POTASSIUM CHLOR 20MEQ/10ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300234,RX PROCAINAMIDE 100MG/ML INJ,250,,$187.86 ,$187.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300235,RX PROCAINAMIDE 500MG/ML INJ,250,,$187.86 ,$187.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300236,RX ROCEPHIN VIAL 1GM INJ,250,,$323.97 ,$323.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300237,RX ROMAZICON 0.5MG/5ML INJ,250,,$352.53 ,$352.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300238,RX SODIUM BICARB 7.5% 50ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300239,RX SODIUM BICARBONATE 8.4% INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300240,RX SOLUMEDROL 125MG INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300241,RX STADOL 2MG/ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300242,RX TAGAMENT 300MG/2ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300243,RX TENSILON 10MG/ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300244,RX THROMBOSTAT POWDER 10000 UNITS,250,,$278.02 ,$278.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300245,RX THROMBOSTAT POWDER 5000 UNITS,250,,$151.85 ,$151.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300246,RX TUBERSOL 5TU/0.1ML INJ,250,,$172.42 ,$172.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300247,RX VALIUM 10MG/ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300248,RX VANCOCIN 500MG INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300249,RX VANCOMYCIN 1GM INJ,250,,$532.85 ,$532.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300250,RX VERAPAMIL 2.5MG/ML INJ,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300251,RX VERSED 10MG/2ML INJ,250,,$208.40 ,$208.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300252,RX VERSED INS 5MG/ML,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300253,RX WYDASE LYOPHILIZED 150U INJ,250,,$151.85 ,$151.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300254,RX XYLOCAINE 0.5% 50ML,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300255,RX XYLOCAINE 0.5% EPI 1-200000,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300256,RX XYLOCAINE 1% 50ML,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300257,RX XYLOCAINE 1% EPI 1-100000,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300258,RX XYLOCAINE 2% 20ML,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300259,RX XYLOCAINE 2% 50ML,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300260,RX XYLOCAINE 2% EPI 1-100000,250,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300261,RX XYLOCAINE 2% W/EPI CARPULE INJ,250,,$5.18 ,$5.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300262,RX XYLOCAINE DENTAL CART 2% (INJ),250,,$5.18 ,$5.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300263,RX ZANTAC 50MG/2ML INJ,250,,$81.00 ,$81.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300264,"SURGICEL 2"" X 14""",250,,$237.50 ,$237.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300267,BLADE GIGLI SAW NEURO,250,,$61.09 ,$61.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300268,TYLENOL 325MG TAB,250,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300269,ALBUTEROL SULF 2MG TAB,250,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300270,ALLOPURINOL 300MG TAB,250,,$0.57 ,$0.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300271,SYNTHROID 200MCG TAB,250,,$0.62 ,$0.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300272,METHYLPREDNISONE TAB 4MG,250,J7509,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300273,LOTENSIN 5MG TAB,250,,$1.15 ,$1.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300274,PROSTIN 20 MG,250,,$920.30 ,$920.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300275,ALBUMIN 25% 50ML,250,P9047,$3.30 ,$3.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300276,CIPROFLOXACIN 750 MG TAB,250,,$10.50 ,$10.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300277,SSI STARTS AT 151,250,,$2.91 ,$2.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300278,PLASMANATE 250 CC,250,,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300279,PLASMANATE 500 CC,250,,$0.57 ,$0.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300280,GAMMIMUNE 10GM,250,J1562,$24.58 ,$24.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300281,HEPATITIS B (H BIG) IG 5ML INJ,250,,$217.91 ,$217.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300282,CERVIDIL 10MG VAG SUPP,250,,$366.46 ,$366.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300283,CORVERT 1 MG / 10 ML INJECTION,250,J1742,$46.05 ,$46.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300284,PANHEMATIN 313MG,250,Q2011,"$4,073.49 ","$4,073.49 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300285,RECOMBIVAX,250,,$124.71 ,$124.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300286,VARICELLA ZOSTER IMMUNE GLOB VZIG,250,,$208.92 ,$208.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300287,WINRHO 1500 UNITS,250,J2790,$511.38 ,$511.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300288,CHYMEX LIQUID,250,,$14.34 ,$14.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300289,DIGIBIND,250,Q2006,$854.48 ,$854.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300290,GAMIMUNE N 20GM,250,J1562,$23.34 ,$23.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300291,VERSED 5MG/ML 10ML INJ,250,J2250,$5.19 ,$5.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300292,CYTOVENE 500MG IV,250,J1570,$64.59 ,$64.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300293,AREDIA 30MG,250,J2430,$467.70 ,$467.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300294,LEUKINE 500MCG,250,J2820,$404.40 ,$404.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300295,LEUKINE 250MG,250,J2820,$255.60 ,$255.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300296,MESNA 1GM,250,J9209,$35.19 ,$35.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300297,INDOMETHACIN 25MG CAP,250,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300298,SINEMET 50-200 CR TAB,250,,$2.69 ,$2.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300299,TIAZAC 120 MG CAP CR,250,,$1.31 ,$1.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300300,TIAZAC 180 MG CR CAP,250,,$1.60 ,$1.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300301,ISOPTIN 180 MG TAB CR,250,,$2.14 ,$2.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300302,VERELAN 120 MG CAP,250,,$1.94 ,$1.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300303,NIMOTOP 30 MG CAP,250,,$13.98 ,$13.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300304,RENACIDIN IRRIG SOLUTION 500 ML,250,Q2004,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300305,HYDROCORTISONE POWDER 25 GM,250,,$5.03 ,$5.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300306,SODIUM POLYSTYRENE ENEMA 120 ML,250,,$0.29 ,$0.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300307,SODIUM POLYSTYRENE SUSP 60 ML,250,,$0.26 ,$0.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300308,SODIUM POLYSTYRENE SUSP,250,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300309,TRIAMCINOLONE ACET CR 0.1% 15 GM,250,,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300310,DEXAMETHASONE OPHTH SOL 5 ML,250,,$1.66 ,$1.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300311,METHYLCELLULOSE POWDER,250,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300312,ROBITUSSIN-CF ELIX,250,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300313,TYLENOL ES ELIX 167 MG/5ML,250,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300314,DIAMOX INJECTION 500 MG/VIAL,250,J1120,$66.64 ,$66.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300315,ALCOHOL DEHYDRATED INJ/100%-1ML,250,,$13.60 ,$13.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300316,ALFENTA 500MCG/ML-10 ML INJ,250,,$3.91 ,$3.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300317,ALFENTA 500 MCG/ML 2 ML AMP,250,,$6.76 ,$6.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300318,ETHYOL 500 MG INJ-10 ML,250,J0207,$52.14 ,$52.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300319,CORDARONE IV 150 MG/ 3 ML AMP,250,J0282,$58.90 ,$58.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300320,FUNGIZONE 50 MG INJECTION,250,J0285,$3.45 ,$3.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300321,AMPICILLIN 2 GM VIAL,250,J0290,$7.66 ,$7.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300322,AMPICILLIN 1 GM PB INJ,250,J0290,$4.13 ,$4.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300323,AMPICILLIN PB INJ 2 GM,250,J0290,$5.78 ,$5.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300324,AMPICILLIN PB INJ 500 MG,250,J0290,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300325,ANTIVENIN LACTRO MACTANS (SPIDER,250,,$54.14 ,$54.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300326,TRACRIUM 10 MG/ML - 10 ML MDV,250,,$8.80 ,$8.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300327,AZACTAM 1 GRAM VIAL,250,,$31.57 ,$31.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300328,AZACTAM 500 MG INJ,250,,$16.54 ,$16.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300329,AZACTAM 2 GRAM PB,250,,$66.39 ,$66.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300330,AZACTAM 1 GM PB,250,,$31.57 ,$31.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300331,COGENTIN 1 MG/ ML - 2ML INJECT,250,J0515,$6.87 ,$6.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300332,CELESTONE PHOS INJ 4MG/ML-5ML,250,J0704,$6.82 ,$6.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300333,BRETYLIUM TOSY INJ 50 MG/ML-10ML,250,,$4.16 ,$4.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300334,BUMETANIDE 2.5 MG/10 ML INJ,250,,$1.62 ,$1.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300335,MARCAINE 0.25% W/ EPI 1-200M-10ML,250,Z1078,$0.57 ,$0.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300336,MARCAINE 0.5% W/ EPI 1-200M -10ML,250,,$0.62 ,$0.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300337,MARCAINE 0.75% W/ EPI 1-200M-30ML,250,Z2739,$0.52 ,$0.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300338,STADOL 1 MG/ML INJ,250,,$14.08 ,$14.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300339,STADOL 2 MG/ML - 2 ML VIAL,250,,$12.49 ,$12.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300340,MIACALCIN 200 UNITS/ML - 2 ML VL,250,J0630,$35.19 ,$35.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300341,CALCIUM CHLORIDE 10% INJ-10ML SYR,250,,$0.75 ,$0.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300342,CALCIUM GLUCEP INJ 0.45MEQ/ML-5ML,250,,$0.79 ,$0.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300343,CALCIUM GLUCONATE 10% INJ - 50ML,250,J0610,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300344,PARAPLATIN 450 MG INJECTION,250,J9045,"$2,566.75 ","$2,566.75 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300345,MANDOL 2 GRAM INJECTION,250,,$30.32 ,$30.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300346,MANDOL 1 GM INJECTION,250,,$15.15 ,$15.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300347,CEFAZOLIN 1 GM PB INJ,250,J0690,$15.17 ,$15.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300348,ANCEF 500 MG VIAL,250,J0690,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300349,ANCEF-DEXTROSE 1 G/50ML MINI-BAG,250,J0694,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300350,ANCEF-DEXTROSE 500MG/50ML MINIBAG,250,J0694,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300351,CEFOBID PB INJECTION 1 GM,250,Z2105,$29.33 ,$29.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300352,CEFOBID 2 GRAM PB,250,,$60.55 ,$60.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300353,CLAFORAN 1 GRAM PB,250,J0698,$18.83 ,$18.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300354,CLAFORAN 2 GRAM PB,250,J0698,$35.36 ,$35.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300355,CLAFORAN 1 GM VIAL,250,J0698,$17.90 ,$17.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300356,CLAFORAN 500 MG VIAL,250,J0698,$12.05 ,$12.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300357,CLAFORAN 1 GRAM FROZEN IVPB,250,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300358,CLAFORAN 2 GRAM IVPB FROZEN,250,,$0.72 ,$0.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300359,MEFOXIN 1 G-D5W 50ML FROZ PB,250,J0694,$0.53 ,$0.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300360,CEFTAZIDIME 500 MG VIAL,250,J0713,$11.89 ,$11.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300361,CEFTAZIDIME 1 GRAM VIAL,250,J0713,$23.77 ,$23.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300362,CEFTAZIDIME 1 GRAM PB,250,J0713,$24.38 ,$24.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300363,CEFTAZIDIME 2 GRAM PB,250,J0713,$48.14 ,$48.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300364,CEFTAZIDIME 2 GRAM VIAL,250,J0713,$47.56 ,$47.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300365,CEFIZOX 1 GRAM PB,250,J0715,$21.40 ,$21.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300366,ROCEPHIN 2 GRAM PB,250,J0696,$125.57 ,$125.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300367,ROCEPHIN W/DEXTROSE 1G/50ML FROPB,250,J0696,$1.33 ,$1.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300368,ZINACEF 750 MG INFUS,250,J0697,$11.88 ,$11.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300369,ZINACEF 1.5 GRAM PB,250,J0697,$23.07 ,$23.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300370,ZINACEF 1.5 GRAM VIAL,250,J0697,$22.50 ,$22.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300371,ZINACEF 750 MG VIAL,250,,$10.57 ,$10.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300372,KEFLIN VIAL 2 GM,250,J1890,$11.46 ,$11.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300373,KEFLIN NEUTRAL VIAL 1 GRAM,250,J1890,$5.72 ,$5.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300374,CHLORAMPHENICOL 1 GRAM VIAL,250,J0720,$9.15 ,$9.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300375,NESACAINE-MPF 3% INJ,250,J2400,$1.04 ,$1.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300376,DIURIL 500 MG INJECTION,250,J1205,$16.94 ,$16.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300377,THORAZINE 25 MG INJECTION,250,J3230,$16.10 ,$16.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300378,CIPRO 400 MG VIAL,250,,$1.20 ,$1.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300379,CIPRO 200 MG VIAL,250,J0744,$1.20 ,$1.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300380,CIPRO IV W/ D5W 400 MG/200 ML,250,J0744,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300381,CIPRO-D5W IV 200 MG/ 100 ML,250,J0744,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300382,NIMBEX 2 MG/ ML INJECTION,250,,$2.93 ,$2.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300383,CLEOCIN PREMIXED BAG 900 MG,250,,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300384,CLEOCIN 600 MG PREMIXED,250,,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300385,CLINDAMYCIN 300 MG PREMIXED IV,250,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300386,CLINDAMYCIN 300 MG VIAL,250,Z2913,$8.93 ,$8.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300387,CLINDAMYCIN VIAL 600 MG,250,,$10.42 ,$10.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300388,COLCHICINE INJECTION 1 MG PER 2ML,250,,$6.45 ,$6.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300389,UNASYN 3 GRAM PB,250,J0295,$24.22 ,$24.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300390,UNASYN 1.5 GM PB,250,J0295,$13.67 ,$13.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300391,UNASYN 1.5 GRAM VIAL,250,J0295,$13.60 ,$13.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300392,CORTROSYN 0.25 MG INJ,250,J7190,$32.10 ,$32.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300393,SANDIMMUNE 50 MG/ML INJECT-5 ML,250,J7516,$9.76 ,$9.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300394,ACTHAR HP 40 U/ML REPOSITORY,250,J0800,$27.21 ,$27.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300395,DESMOPRESSIN ACET 4 MCG/ML - 1 ML,250,,$38.27 ,$38.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300396,DEXAMETHASONE INJ 10 MG/ ML,250,J1100,$3.88 ,$3.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300397,DECADRON 24 MG/ML INJECTION,250,,$38.55 ,$38.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300398,DECADRON 24 MG/ML INJECTION,250,,$42.72 ,$42.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300399,DECADRON 10 MG/ ML INJ 10 ML MDV,250,J1100,$0.86 ,$0.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300400,DECADRON INJ 4 MG/ML - 30 ML MDV,250,J1100,$0.70 ,$0.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300401,DECADRON INJ 4 MG/ML - 5 ML,250,J1100,$0.49 ,$0.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300402,LANOXIN PED 0.1 MG/ML INJ-1 ML,250,J1160,$11.19 ,$11.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300403,DOPAMINE 400 MG/10 ML SYRINGE,250,,$1.12 ,$1.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300404,DOPAMINE 400 MG/ 5 ML VIAL,250,Z2477,$1.89 ,$1.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300405,DOPAMINE INJ 400 MG/ 10 ML VIAL,250,,$4.58 ,$4.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300406,DOPRAM 20 MG/ML - 20 ML INJ,250,,$8.16 ,$8.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300407,DOXYCYCLINE 100 MG INJ VIAL,250,,$24.65 ,$24.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300408,DROPERIDOL 2.5 MG/ML - 10 ML,250,J1790,$2.01 ,$2.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300409,TENSILON INJECTION 10MG/ML-10ML,250,,$3.55 ,$3.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300410,TENSILON 10MG/ML-1ML INJ,250,,$7.83 ,$7.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300411,VASOTEC IV 1.25MG/ML-1ML,250,,$26.56 ,$26.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300412,VASOTEC I V 1.25MG/ML-2ML,250,,$27.93 ,$27.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300413,LOVENOX 30 MG/0.3 ML INJECT,250,J1650,$113.81 ,$113.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300414,EPHEDRINE SULF INJ 50MG/ML-1ML,250,,$3.09 ,$3.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300415,ERYTHROCIN LACT INJ 500 MG VIAL,250,J1364,$18.82 ,$18.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300416,ERYTHROCIN PIGGYBACK 500MG,250,J1364,$19.58 ,$19.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300417,ERYTHOMYCIN INJ 1GRAM VIAL,250,,$38.50 ,$38.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300418,BREVIBLOC 2.5 GRAM/10 ML INJ,250,,$19.30 ,$19.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300419,DELESTROGEN 20 MG/ML INJ REPOS,250,,$25.95 ,$25.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300420,AMIDATE 2 MG/ML ABBOJECT 20ML,250,,$2.64 ,$2.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300421,PEPCID 10MG/ML INJ MDV,250,,$3.93 ,$3.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300422,PEPCID 10MG/2ML SDV INJ,250,,$3.94 ,$3.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300423,PEPCID PREMIXED 20MG/50ML,250,,$0.29 ,$0.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300424,ROMAZICON 0.1 MG/ML-10ML MDV,250,,$20.18 ,$20.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300425,PROLIXIN DECANOATE INJ 25 MG/ML,250,J2680,$47.04 ,$47.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300426,FLUPHENAZINE MDV 2.5MG/ML-10ML,250,Z1387,$5.55 ,$5.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300427,FOLIC ACID 5MG/ML-10ML,250,,$2.10 ,$2.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300428,FUROSEMIDE 40MG/4ML SYRINGE,250,J1940,$2.46 ,$2.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300429,GENTAMICIN INJ 40 MG/ML,250,J1580,$1.29 ,$1.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300430,GENTAMICIN PED INJ 20MG/2ML,250,J1580,$1.26 ,$1.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300431,GENTAMICIN PREMIX INJ 80 MG,250,,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300432,GENTAMICIN PREMIX INJ 60MG,250,,$227.30 ,$227.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300433,GENTAMICIN PREMIX INJ 90 MG,250,,$0.25 ,$0.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300434,GLUCAGON 1MG INJECTION,250,J1610,$80.22 ,$80.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300435,GLYCOPYRROLATE 0.2MG/ML-5ML INJ,250,J7642,$1.04 ,$1.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300436,GLYCOPYRROLATE 0.2MG/ML-1ML INJ,250,J7642,$1.48 ,$1.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300437,HALDOL DECANOATE 50 MG/ML-1ML INJ,250,J1631,$73.87 ,$73.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300438,HEP LOCK U/P 10 UNITS/ML-1ML,250,J1642,$1.73 ,$1.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300439,HEPARIN INJ 1000 UNITS/ML-10ML,250,J1644,$0.26 ,$0.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300440,HISTOPLASMIN SKIN TEST,250,,$177.57 ,$177.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300441,RECOMBIVAX HB ADULT 3ML INJ,250,,$117.48 ,$117.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300442,VISTARIL 100MG/2ML INJ,250,J3410,$0.59 ,$0.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300443,HUMAN IMMUNE GLOBULIN I M INJ,250,J1561,$4.35 ,$4.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300444,VENOGLOBULIN-S 5% 5GRAM/100ML INJ,250,J1563,$10.45 ,$10.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300445,VENOGLOBULIN-S 5% 10GRAM/200ML IV,250,J1561,$12.28 ,$12.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300446,PRIMAXIN 500 MG IV VIAL,250,J0743,$54.64 ,$54.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300447,PRIMAXIN 500 MG PB INJECTION,250,Z2435,$47.49 ,$47.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300448,INDIGO CARMINE INJ,250,,$3.01 ,$3.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300449,GAMMAR IMMUNE HUM GLOBULIN 2ML IM,250,J1470,$11.09 ,$11.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300450,INFED INJECTION 50MG/ML-2ML,250,J1750,$31.51 ,$31.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300451,ISUPREL 0.2MG/ML INJECTIN -1ML,250,Z2519,$9.04 ,$9.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300452,KETALAR 100MG/ML INJECTION 5ML,250,,$7.43 ,$7.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300453,NORMOYDNE 5MG/ML INJECTIOON 40ML,250,Z2875,$3.58 ,$3.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300454,LUPRON DEPOT 7.5 MG/ML KIT,250,J9217,$993.78 ,$993.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300455,LUPRON DEPOT 22.5MG INJ,250,J9217,"$2,981.31 ","$2,981.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300456,LUPRON DEPOT 3.75 MG INJ,250,J1950,$736.35 ,$736.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300457,LEVOTHYROXINE SOD INJ 200MCG,250,Z2935,$58.40 ,$58.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300458,LEVOTHYROXINE SODIUM INJ 500MCG,250,Z2934,$64.23 ,$64.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300459,XYLOCAINE 2% INJ SDV-10ML,250,J2000,$1.15 ,$1.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300460,XYLOCAINE 1% INJ MDV 10 ML,250,J2000,$0.35 ,$0.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300461,XYLOCAINE 2% INJ AMP 10 ML,250,J2000,$1.12 ,$1.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300462,XYLOCAINE 1.5% INJ 20 ML AMP,250,J2000,$0.87 ,$0.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300463,XYLOCAINE 1% INJ SDV 10 ML,250,J2000,$0.90 ,$0.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300464,XYLOCAINE 1% INJECT AMP-5 ML,250,J2000,$0.88 ,$0.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300465,XYLOCAINE 1% INJECT SDV 2 ML,250,J2000,$1.58 ,$1.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300466,XYLOCAINE 1.5% INJECT SDV 20 ML,250,Z2730,$0.96 ,$0.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300467,XYLOCAINE 0.5% INJECT 50 ML,250,J2000,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300468,XYLOCAINE 2% EPI 1-200M SDV 20ML,250,J2000,$1.31 ,$1.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300469,XYLOCAINE 2% EPI 1-100M MDV 50ML,250,J2000,$0.26 ,$0.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300470,LINCOCIN INJECTION 300MG/ML-2ML,250,J2010,$8.42 ,$8.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300471,ATIVAN 2MG/ML TUBEX 0.5 ML,250,J2060,$42.42 ,$42.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300472,LOXITANE IM 50 MG/ML INJECT 10ML,250,Z1056,$21.44 ,$21.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300473,MAGNESIUM CHLORIDE 200MG/ML INJ,250,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300474,MAGNESIUM SUFATE 50% SDV 20 ML,250,J3475,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300475,MAGNESIUM SUFATE 10% SDV 20 ML,250,J3475,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300476,DEPO-PROVERA 150 MG/ML 1 ML INJ,250,J1055,$96.61 ,$96.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300477,MEPERIDINE 300MG/ 30 ML PREF SYR,250,J2175,$0.81 ,$0.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300478,CARBOCAINE 1% INJECTION 30 ML,250,J0670,$0.58 ,$0.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300479,SERENTIL 25 MG/ML INJECTION 1 ML,250,,$11.35 ,$11.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300480,BREVITAL SODIUM 500 MG MDV INJECT,250,,$54.16 ,$54.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300481,METHERGINE 0.2 MG/ML ING 1 ML,250,J2210,$7.96 ,$7.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300482,SOLU-MEDROL 1 GRAM INJECTION,250,,$99.95 ,$99.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300483,DEPO-MEDROL 40 MG/ML INJ 5 ML,250,J1030,$8.32 ,$8.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300484,DEPO-MEDROL 80 MG/ML INJ 5 ML,250,J1040,$6.41 ,$6.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300485,METRONIDAZOLE 500 MG/100ML PREMIX,250,,$0.57 ,$0.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300486,MEZLIN 2 GRAM INJECTION,250,,$14.94 ,$14.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300487,PRIMACOR 1MG/ML INJECT 20 ML,250,J2260,$14.25 ,$14.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300488,MINOCIN 100 MG IV INJECTION,250,,$80.11 ,$80.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300489,MIVACRON 2 MG/ML INJECT 10 ML,250,Z3163,$2.72 ,$2.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300490,CANDIDA SKIN TEST 1-500,250,,$26.74 ,$26.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300491,TRICHOPHYTON SKIN TEST,250,,$35.11 ,$35.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300492,MORPHINE SULFATE 1 MG/ML 30 ML PCA,250,J2270,$0.84 ,$0.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300493,DEXTROSE 5% INJ 50 ML MINI BAG,250,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300494,DEXTROSE 5% INJ 100 ML MINI BAG,250,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300495,DURAMORPH PF 5 MG/10 ML AMP,250,J2275,$1.44 ,$1.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300496,DEXTROSE 5% INJ 250 ML MINI BAG,250,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300497,MUMPS SKIN TEST,250,,$177.14 ,$177.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300498,NAFCILLIN SOD 1 GM INJ,250,,$8.46 ,$8.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300499,DEXTROSE 5% INJ 500 ML BOTTLE,250,J7060,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300500,NAFCIL 2 GRAM VIAL,250,,$9.19 ,$9.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300501,NAFCIL 1 GM PB,250,,$5.28 ,$5.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300502,NAFCILLIN 2 GM PB,250,Z2184,$15.88 ,$15.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300503,NAFCILLIN 500 MG VIAL,250,,$5.19 ,$5.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300504,DEXTROSE 5% INJ 500 ML BAG,250,J7060,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300505,NUBAIN 10 MG/ML AMP 1 ML,250,J2300,$2.53 ,$2.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300506,DEXTROSE 5% INJ 1000 ML BAG,250,J7070,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300507,NEOSTIGMINE INJECTION 1MG/ML-10ML,250,J2710,$1.48 ,$1.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300508,CARDENE IV 25 MG INJ 20 ML AMP,250,,$11.20 ,$11.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300509,DEXTROSE 5% 50 ML MINI BAG PLUS,250,J7060,$0.51 ,$0.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300510,DEXTROSE 5% 100 ML MINI BAG PLUS,250,J7060,$0.26 ,$0.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300511,LACTATED RINGERS INJ 500 ML BAG,250,J7120,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300512,LACTATED RINGERS INJ 1000 ML BAG,250,J7120,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300513,FLOXIN INJ VIAL 40MG/ML - 10ML,250,Z3194,$4.42 ,$4.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300514,FLOXIN PREMIX INJ 400 MG/100 ML,250,,$0.49 ,$0.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300515,FLOXIN/DEXTROSE PREMIX INJ 400MG/100 ML,250,,$0.49 ,$0.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300516,ZOFRAN 2 MG/ML INJ SDV 2ML,250,J2405,$22.30 ,$22.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300517,SODIUM CHLORIDE 0.45% 1000 ML BAG,250,J7030,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300518,DEXTROSE 5%-NS 0.9% INJ 1000 ML,250,J7042,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300519,DEXTROSE 5%-1/2 NS 1000 ML INJ,250,J7042,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300520,ZOFRAN PREMIXED BAG 32 MG/ 50 ML,250,,$7.21 ,$7.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300521,TAXOTERE 40 MG/ML SDV 0.5 ML,250,J9170,"$1,259.23 ","$1,259.23 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300522,SODIUM CHLORIDE 0.9% 50 ML BAG,250,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300523,PROSTAPHLIN PB 2 GM,250,,$10.15 ,$10.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300524,PROSTAPHLIN 2 GRAM INJ VIAL,250,J2700,$10.73 ,$10.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300525,NACL 0.9% 100 ML MINI BAGS PLUS,250,J7051,$0.26 ,$0.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300526,SODIUM CHLORIDE 0.9% 50 ML BAG,250,J7051,$0.51 ,$0.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300527,PAPAVERINE 30MG/ML INJ 10ML,250,J2440,$2.83 ,$2.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300528,SODIUM CHLORIDE 0.9% 250 ML ADV BAG,250,J7050,$7.37 ,$7.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300529,SODIUM CHLORIDE 0.9% 500 ML BAG,250,J7040,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300530,DEXTROSE 70% INJECTION,250,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300531,PEPTAVLON 0.25 MG/ML AMP 2 ML,250,,$31.22 ,$31.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300532,TALWIN INJECTION 30 MG/ 1 ML,250,J3070,$7.00 ,$7.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300533,REGITINE MESYLATE INJECTION 5 MG,250,J2760,$50.86 ,$50.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300534,ARDUAN 10 MG INJECTION,250,,$90.55 ,$90.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300535,PIPRACIL 2 GRAM VIAL,250,,$24.64 ,$24.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300536,PIPRACIL 3 GRAM INJECTION,250,,$36.97 ,$36.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300537,PIPRACIL 3 GRAM IVPB BTL,250,,$33.23 ,$33.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300538,ZOSYN 3.375 GRAM VIAL,250,J2543,$28.38 ,$28.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300539,ZOSYN 4.5 GRAM VIAL,250,J2543,$35.95 ,$35.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300540,ZOSYN 2.25 GRAM VIAL,250,J2543,$18.92 ,$18.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300541,POTASSIUM ACETATE INJ 40 MEQ/20ML,250,,$0.51 ,$0.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300542,INTRALIPID 20%,250,,$0.30 ,$0.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300543,TRAVASOL 10% INJECTION,250,,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300544,POTASSIUM PHOSPHATE 3MMOL/ML,250,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300545,WATER FOR INJECTION,250,J7051,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300546,POTASSIUM PHOSPHATE 3 MMOL/ML-5ML,250,,$1.41 ,$1.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300547,PROCAINE 2% INJECTION 30ML,250,Z2248,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300548,HEPATAMINE 8%,250,,$0.35 ,$0.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300549,PROGESTERONE INJ 50 MG/ML,250,J2675,$6.45 ,$6.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300550,SPARINE 50 MG/ML INJECTION 2 ML,250,J2950,$5.89 ,$5.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300551,DIPRIVAN 200MG/ML AMP,250,,$1.26 ,$1.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300552,DIPRIVAN 500 MG/50 ML VIAL,250,,$1.21 ,$1.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300553,PROTAMINE SULF INJ 50 MG/5 ML,250,J2720,$1.35 ,$1.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300554,THYREL TRH INJECT 0.5 MG/ML - 1ML,250,J2725,$85.87 ,$85.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300555,ZANTAC 25 MG/ML VIAL 6 ML,250,J2780,$2.58 ,$2.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300556,ZANTAC/NACL PREMIX 50 MG/ 50 ML,250,J2780,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300557,RIFADIN 600 MG INJECTION,250,,$150.88 ,$150.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300558,ZEMURON 10 MG/ML - 5 ML VIAL,250,,$5.55 ,$5.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300559,ZEMURON 10 MG/ML INJECTION 10 ML,250,,$5.34 ,$5.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300560,SCOPOLAMINE HBR 0.4 MG/ML INJ,250,Z1531,$2.02 ,$2.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300561,BACTERIOSTAT SODIUM CHLORIDE 10ML,250,,$0.30 ,$0.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300562,BACTERIOSTAT WATER INJECTION 30ML,250,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300563,STERILE WATER INJECTION 50 ML,250,J7051,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300564,KINEVAC INJECTION 5 MCG/ML-10ML,250,Z3015,$44.94 ,$44.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300565,SODIUM ACETATE INJECTION 2 MEQ/ML,250,,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300566,SODIUM BICARBONATE 7.5% INJECTION,250,Z2685,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300567,SODIUM BICARB PED SYRINGE 8.4%,250,Z2507,$2.87 ,$2.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300568,SODIUM BICARBONATE 4.2% INJ 10 ML,250,Z2506,$2.64 ,$2.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300569,SODIUM CHLORIDE 23.4% INJ 50 ML,250,J2912,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300570,BACTERIOSTAT NORMAL SALINE 30 ML,250,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300571,MORRHUATE SODIUM INJECTION 30ML,250,,$3.46 ,$3.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300572,SODIUM PHOSPHATE INJ 45 MMOL/15ML,250,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300573,ANECTINE FLO-PACK 500 MG,250,,$15.40 ,$15.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300574,SEPTRA IV 400-800 MG/5ML-10 ML,250,Z2470,$1.74 ,$1.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300575,TESTOSTERONE ENAT INJ 200 MG/ML,250,J3130,$2.77 ,$2.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300576,TETANUS TOXOID FLUID 0.5 ML,250,90703,$12.02 ,$12.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300577,PENTOTHAL 500 MG INJECTION,250,,$24.96 ,$24.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300578,TIMENTIN INJ IVPB 3.1 GM,250,Z2361,$25.75 ,$25.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300579,TIMENTIN 3.1 GRAM VIAL,250,,$26.24 ,$26.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300580,TOBRAMYCIN PREMIX 60 MG/50 ML,250,,$0.88 ,$0.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300581,TOBRAMYAIN PREMIX 80 MG/100 ML,250,,$0.51 ,$0.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300582,TOBRAMYCIN 40 MG/ML INJECTION,250,J3260,$4.10 ,$4.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300583,PRISCOLINE 25 MG/ML INJECT 4 ML,250,J2670,$6.93 ,$6.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300584,CHROMIUM CHLORIDE INJ 4MCG/ML,250,,$0.38 ,$0.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300585,MANGANESE TRACE METAL 0.1 MG/ML,250,,$0.86 ,$0.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300586,SELENIUM 40 MCG/ML INJECT,250,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300587,ZINC SULFATE 1 MG/ML INJECTION,250,,$0.38 ,$0.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300588,COPPER TRACE METAL 0.4MG/ML,250,,$1.29 ,$1.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300589,M T E 4 INJ (TRACE METALS-4),250,,$0.84 ,$0.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300590,KENALOG 40 MG/ML 5ML,250,J3301,$11.51 ,$11.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300591,ARISTOSPAN INTRALESIONAL 5MG/ML,250,J3303,$4.61 ,$4.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300592,ARISTOSPAN INJ 20 MG/ML,250,J3303,$15.72 ,$15.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300593,STELAZINE 2 MG/ML INJECTION,250,,$11.32 ,$11.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300594,TUBOCURARINE CL INJ 3 MG/ML,250,,$1.00 ,$1.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300595,VANCOMYCIN 1 GRAM INJECTION,250,J3370,$127.70 ,$127.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300596,VANCOCIN 500 MG INJ,250,J3370,$13.03 ,$13.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300597,VANCOCIN 500 MG PREMIXED,250,J3370,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300598,VERAPAMIL INJ 10 MG/ 4ML,250,,$1.13 ,$1.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300599,AQUASOL A INJ 100000 U/2 ML,250,,$18.51 ,$18.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300600,PYRIDOXINE INJ 100 MG/ML,250,,$3.14 ,$3.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300601,ASCORBIC ACID INJ 500 MG/2ML,250,,$2.17 ,$2.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300602,CALCIJEX INJECTION 1 MCG/ML,250,J0635,$22.55 ,$22.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300603,VITAMIN K INJ 1 MG/0.5 ML,250,,$16.72 ,$16.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300604,M V I 12 INJECTION 10 ML,250,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300605,WATER FOR INJECTION SDV 5 ML,250,J7051,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300606,RETROVIR 10 MG/ML INJECTION 20 ML,250,J3485,$1.84 ,$1.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300607,TESTOSTERONE PROPRIONATE 100MG/ML,250,J3150,$2.91 ,$2.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300608,VALIUM 5 MG/ML INJECTION 10 ML,250,J3360,$4.07 ,$4.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300609,ULTIVA 5 MG INJECTION,250,,$90.25 ,$90.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300610,ULTIVA 2 MG INJECTION,250,,$38.08 ,$38.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300611,HEMABATE INJ 250 MCG/ 1 ML AMP,250,,$52.57 ,$52.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300612,MERUVAX II INJ (RUBELLA VACCINE),250,,$34.50 ,$34.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300613,PNU-IMUNE 23 VACCINE,250,,$62.18 ,$62.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300614,SPHERULIN INJECTION 1-100,250,,$58.49 ,$58.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300615,PRE-PEN 0.06 MMO INJ 0.25 ML,250,,$133.32 ,$133.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300616,CEFIZOX 1 GRAM VIAL,250,J0715,$19.34 ,$19.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300617,PROSTAPHLIN 1 GRAM VIAL,250,J2700,$5.58 ,$5.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300618,PENICILLIN G POT 1 MILLION UNITS,250,J2540,$7.97 ,$7.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300619,PENICILLIN G POT 5 MILLION UNITS,250,J2540,$16.78 ,$16.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300620,PIPRACIL 4 GRAM VIAL,250,,$49.29 ,$49.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300621,STAPHCILLIN 1 GRAM VIAL,250,,$9.24 ,$9.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300622,AMMONIUM CHLORIDE INJ 100MEQ/20ML,250,Z2823,$0.52 ,$0.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300623,TPN ELECTROLYTES,250,,$0.79 ,$0.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300624,GENTAMICIN PREMIX INJECTION 100MG,250,J1580,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300625,GENTAMICIN PREMIX INJECTION 120MG,250,J1580,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300626,DANTRIUM 20 MG INJECTION,250,,$152.19 ,$152.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300627,CYANIDE ANTIDOTE KIT,250,,$334.25 ,$334.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300628,ACTHAR 40 UNIT INJECTION,250,J0800,$55.89 ,$55.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300629,RETAVASE 10.8 UNITS/VIAL-2 VL/KIT,250,J2993,"$4,595.73 ","$4,595.73 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300630,ADENOCARD 3MG/ML VIAL INJ -2 ML,250,J0150,$34.24 ,$34.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300631,PLASBUMIN-5 IV 5% 50 ML VIAL,250,P9041,$0.53 ,$0.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300632,ARAMINE 1% INJECTION 10 ML,250,J0380,$2.24 ,$2.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300633,BAL IN OIL INJECT 100MG/ML -3ML,250,J0470,$41.64 ,$41.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300634,CAFFEINE/SOD BENZOATE 500MG/2ML,250,,$11.51 ,$11.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300635,CALCIUM DISODIUM VERSENATE,250,J0600,$16.18 ,$16.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300636,COUMADIN 5 MG INJECTION,250,,$37.73 ,$37.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300637,ESTRADIOL VALERATE 20 MG/ML MDV,250,J1390,$7.62 ,$7.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300638,DESFERAL 500 MG INJECTION,250,J0895,$31.21 ,$31.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300639,DIDRONEL 300MG/6 ML INJECTION,250,J1436,$22.55 ,$22.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300640,DEXTROSE 10% INJECTION 5 ML,250,,$1.13 ,$1.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300641,ELAVIL 10 MG/ML INJECTION,250,J1320,$2.18 ,$2.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300642,HYPERSTAT IV 15MG/ML - 20 ML,250,J1730,$10.82 ,$10.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300643,ISUPREL INJECTION 1 MG/5 ML AMP,250,Z2482,$6.56 ,$6.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300644,MARCAINE 0.75% VIAL 30 ML,250,Z1084,$0.46 ,$0.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300645,MESTINON 10 MG/2 ML AMP,250,,$4.85 ,$4.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300646,NAVANE 10 MG/ 2 ML INJECTION,250,,$5.89 ,$5.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300647,NEBCIN 1.2 GM POWDER INJ,250,J3260,$620.72 ,$620.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300648,PLASMANATE 5% INJECTION 50 ML,250,,$1.04 ,$1.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300649,PRIMACOR 1 MG/ML INJECTION 10ML,250,J2260,$15.75 ,$15.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300650,PROTOPAM CHLORIDE 1 GRAM INJECT,250,J2730,$181.11 ,$181.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300651,SODIUM THIOSULFATE 25% INJ 50 ML,250,,$0.79 ,$0.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300652,SOLGANAL INJECTION 50 MG/ML,250,J2910,$28.04 ,$28.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300653,SOTRADECOL INJ 3% - 2 ML,250,Z2446,$21.51 ,$21.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300654,STILPHOSTROL 250 MG/ 5ML INJECT,250,J9165,$5.08 ,$5.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300655,TOFRANIL INJECTION 25 MG/ 2 ML,250,J3270,$2.04 ,$2.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300656,XYLOCAINE 1% AMP 30 ML,250,J2000,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300657,XYLOCAINE 1% EPI 1-200000 SDV,250,J2000,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300658,YUTOPAR 150 MG INJ SYRINGE,250,Z2824,$30.04 ,$30.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300659,BACTERIOSTAT WATER INJECT 10 ML,250,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300660,PARAPLATIN 150 MG INJECTION,250,J9045,$855.59 ,$855.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300661,MESNEX 400 MG/4 ML INJECTION,250,J9209,$12.39 ,$12.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300662,DEXTROSE 25% MINI JET 10 ML,250,,$1.13 ,$1.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300663,BENADRYL 50 MG/ML INJECTION 1 ML,250,J1200,$2.82 ,$2.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300664,XYLOCAINE 1 GRAM/25 ML VIAL,250,J2000,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300665,LIDOCAINE 100 MG SYRINGE -10ML,250,J2000,$0.88 ,$0.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300666,CYTOSAR 2 GRAM INJECTION,250,J1745,$83.55 ,$83.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300667,ETHYL CHLORIDE 100% SPRAY,250,,$0.29 ,$0.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300668,PENICILLIN GK INJ 20 MILLION UNIT,250,,$0.87 ,$0.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300669,NAROPIN 2 MG/ML 100 ML VIAL,250,,$0.33 ,$0.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300670,ARISTOCORT FORTE 40 MG/ML INJ 5ML,250,J3302,$4.79 ,$4.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300671,LIDOCAINE/DEXTROSE PREMIX 4%,250,J2000,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300672,ATROPINE SULF INJ 0.4MG/ML-20 ML,250,J0460,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300673,MUMPS SKIN TEST- 1 DOSE,250,,$177.14 ,$177.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300674,CERNEVITE INJECTION 5ML,250,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300675,LIDEX 0.05% CREAM 15 GM,250,,$3.75 ,$3.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300676,ROCEPHIN/DEXTROSE FROZ 2 GM/50ML,250,,$2.36 ,$2.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300677,CLEOCIN PREMIXED 300MG/50 ML,250,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300678,CLEOCIN PREMIX 600MG/50ML,250,,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300679,VERSED 1 MG/ML INJ,250,J2250,$1.50 ,$1.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300680,ZITHROMAX 500 MG IV,250,J0456,$46.52 ,$46.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300681,LEVAQUIN 500 MG VIAL,250,J1956,$3.83 ,$3.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300682,LEVAQUIN-D5W 500MG/100 ML,250,,$0.79 ,$0.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300683,ETHYL CHLORIDE DOSE CHARGE-2 SPR,250,,$0.29 ,$0.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300684,CETACAINE DOSE CHARGE,250,,$1.56 ,$1.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300685,SARAPIN INJECTION,250,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300686,SARAPIN INJECTION DOSE CHARGE,250,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300687,HYDROCHLORIC ACID 0.1 N-BERSTEIN,250,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300688,AZACTAM 2GM INJ,250,,$47.91 ,$47.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300689,HEPARIN/D5W 25000 UNITS/250 ML,250,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300690,DEPACON 500 MG/5 ML INJ,250,,$4.66 ,$4.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300691,ALBUTEROL ORAL INHALER,250,,$2.12 ,$2.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300692,INFLUENZA VACCINE INJECTION,250,,$17.32 ,$17.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300693,CADD CASSETTE,250,,$25.75 ,$25.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300694,DELTEC EXTENSION SET,250,,$5.55 ,$5.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300695,GAMIMUNE N 10% IV 10 GM/100ML,250,J1564,$23.34 ,$23.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300696,GAMIMUNE N 10% 20 GM / 200 ML IV,250,J1562,$15.04 ,$15.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300697,CAPOZIDE 25/25 TABLET,250,,$2.25 ,$2.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300698,VARICELLA ZOSTER IMMUNE GLOB 625U,250,,$940.04 ,$940.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300699,LUPRON DEPOT PED 11.25 MG INJ,250,,"$2,070.35 ","$2,070.35 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300700,NEUMEGA 5 MG INJECTION,250,J2355,$303.67 ,$303.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300701,STERILE TALC 4 GM,250,,$20.89 ,$20.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300702,LOVENOX 40 MG/ 0.4 ML INJECTION,250,J1650,$113.74 ,$113.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300703,PRIMACOR PREMIX 200MCG/ML-200ML,250,,$2.63 ,$2.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300704,DOBUTAMINE/D5W PREMIX 250MG/250ML,250,J1250,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300705,D5W/KCL 20 MEQ 1000 ML PREMIX,250,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300706,NS/KCL 20 MEQ/L PREMIXED,250,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300707,D5W/LR-KCL 20MEQ PREMIXED,250,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300708,D5W-NACL 0.2%-KCL 20 MEQ PREMIX,250,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300709,D5W/0.45% NACL-KCL 10 MEQ PREMIX,250,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300710,D5 0.45NACL-KCL 20EQ/L PREMIX,250,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300711,D5-0.45 NACL-KCL 30 MEQ/L PREMIX,250,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300712,D5 1/2 NS-KCL 40 MEQ/L PREMIX,250,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300713,NACL 0.9% - KCL 40 MEQ INJ 1L,250,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300714,TROVAN INJECTION 200 MG,250,J0200,$1.54 ,$1.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300715,TROVAN INJECTION 300 MG,250,,$1.56 ,$1.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300716,D5 1/4 NS 1000 ML,250,J7042,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300717,MEFOXIN-DEXTROSE 2 GM/50ML,250,,$0.83 ,$0.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300718,SODIUM BICARBONATE 4% INJ (NEUT),250,,$2.26 ,$2.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300719,CLAFORAN 1 GM/NS 50 ML MBP-PYXIS,250,J0698,$17.90 ,$17.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300720,ANCEF 1 GM/NS 50 ML MBP-PYXIS,250,,$31.19 ,$31.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300721,MEFOXIN 1 GM/NS 50 ML MBP-PYX,250,,$20.02 ,$20.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300722,MEFOXIN 2 MG/NS 100 ML MBP-PYXIS,250,,$39.90 ,$39.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300723,ZOSYN 3.375 MG/NS 100 ML MBP-PYX,250,,$28.38 ,$28.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300724,ROCEPHIN 1 GM/NS 50 ML MBP-PYXIS,250,,$109.67 ,$109.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300725,ROCEPHIN 2 GM/NS 100 ML MBP-PYXIS,250,J0696,$162.95 ,$162.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300726,AMPICILLIN 1 GM 1ST DOSE PYX,250,,$3.94 ,$3.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300727,AMPICILLIN 2 GM/NS 100 ML MBP-PYX,250,,$7.66 ,$7.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300728,SODIUM BICARBONATE POWDER,250,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300729,UNASYN 1.5 GM/NS 50 ML MBP-PYX,250,,$12.11 ,$12.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300730,UNASYN 1.5 GM MBP FIRST DOSE,250,,$13.60 ,$13.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300731,UNASYN 3 GM/NS 100 ML MBP - PYX,250,,$25.66 ,$25.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300732,TIMENTIN 3.1 GM/NS 100ML MBP-PYX,250,,$26.24 ,$26.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300733,PROSTIN VR PEDIATRIC 500MCG/ML,250,,$328.14 ,$328.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300734,CEFOTAN 1 GM/NS 100 ML MBP - PYX,250,,$22.88 ,$22.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300735,LEVAQUIN-DEXTROSE 5% 250MG/50 ML,250,,$0.79 ,$0.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300736,COCAINE HCL FLAKES,250,,$114.38 ,$114.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300737,AQ ACTIVATED CHARCOAL 25GM/120ML,250,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300738,AQ ACTIVATED CHARCOAL 50GM/240ML,250,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300739,FENTANYL CITRATE 5ML,250,J3010,$1.15 ,$1.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300740,FENTANYL CITRATE 1 MG/20 ML,250,J3010,$1.15 ,$1.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300741,ANZEMET 12.5 MG/ 0.625 ML AMP,250,J1260,$31.01 ,$31.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300742,ANZEMET 100 MG/ 5 ML INJECTION,250,J1260,$57.90 ,$57.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300743,ANESTHESIA TRAY,250,,$73.70 ,$73.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300744,COCAINE FLAKES 240 MG,250,,$114.38 ,$114.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300745,COCAINE FLAKES 150 MG,250,,$114.38 ,$114.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300747,ATIVAN 4 MG/ML MDV,250,J2060,$15.56 ,$15.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300748,VERSED SYRUP 5 MG/ 2.5 ML,250,,$5.03 ,$5.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300749,VERSED SYRUP 118 ML,250,,$5.03 ,$5.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300750,DURAMORPH PF INJ 10 MG/10 ML,250,J2275,$1.56 ,$1.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300751,INFUMORPH 200 MG/20 ML,250,J2275,$13.03 ,$13.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300752,REMICADE INJECTION,250,J1745,$977.62 ,$977.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300753,INFUMORPH 500 MG/20 ML,250,J2275,$23.46 ,$23.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300754,MERREM 1 GM INJECTION,250,,$95.65 ,$95.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300755,VERSED SYRUP 10 MG/ 5 ML,250,,$2.02 ,$2.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300756,TISSEEL VH KIT 2 ML,250,,$551.50 ,$551.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300757,ATENOLOL IV INJECTION,250,,$6.94 ,$6.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300758,AGGRASTAT 250 MCG/ML INJECTION,250,J3245,$16.60 ,$16.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300759,ANTIZOL INJECTION,250,Q2008,"$1,415.76 ","$1,415.76 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300760,GAMIMUNE 5 GRAM IN 50 ML,250,J1562,$23.34 ,$23.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300761,ACTIVASE 2 MG/ 2 ML INJECTION,250,J2997,$44.12 ,$44.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300762,TORECAN 5MG/ML 2ML INJECTION,250,J3280,$3.83 ,$3.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300763,SEROQUEL 100MG TABLET,250,,$5.18 ,$5.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300764,MONUROL PACKET 3GM GRANULE,250,,$58.62 ,$58.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300765,DEPO TESTOSTERONE INJ 100 MG/ ML,250,J1070,$9.08 ,$9.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300766,PURINETHOL 50MG TAB,250,,$7.00 ,$7.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300767,CIPRO HC OTIC SUSPENSION 10ML,250,,$13.82 ,$13.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300768,BETADINE 10% SOLUTION TOPICAL,250,A4246,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300769,DIOVAN HCT 80-12.5MG TABLET,250,,$3.00 ,$3.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300770,DIOVAN HCT 160/12.5MG TABLET,250,,$3.27 ,$3.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300771,SONATA 10MG CAPSULE,250,,$4.67 ,$4.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300772,VIOXX 25MG TABLET,250,,$4.05 ,$4.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300773,ORTH-DIENESTROL VAGINAL CREAM,250,,$0.75 ,$0.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300774,DETROL 2MG TABLET U/D,250,,$3.14 ,$3.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300775,RAPLON INJ 100MG,250,,$5.55 ,$5.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300776,HELISTAT 3 IN X 4 IN SPONGE,250,,$47.02 ,$47.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300777,SYNAGIS INJECTION,250,,"$2,288.32 ","$2,288.32 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300778,VERSED 1 MG PER ML,250,J2250,$1.31 ,$1.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300779,ZYPREXA 7.5MG TABLET,250,,$13.87 ,$13.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300780,SEROQUEL 200MG TABLET,250,,$9.78 ,$9.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300781,AUGMENTIN 125MG/5ML 75ML,250,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300782,TRIMOX 125MG/5ML SUSPENSION,250,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300783,TRIMOX 250MG/5ML SUSPENSION,250,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300784,PROVIGIL 100MG TABLET,250,,$7.34 ,$7.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300785,MORPHINE SULFATE CONC 20MG/ML,250,,$1.14 ,$1.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300787,ACTIVASE SYRINGE 5MG/5ML,250,J2997,$17.64 ,$17.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300788,FLOMAX 0.4MG CAPSULE,250,,$2.55 ,$2.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300789,POLYGAM S/D 10 G,250,J1564,$802.16 ,$802.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300790,LOVENOX 100 MG/ML INJECTION,250,J1650,$113.92 ,$113.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300791,HUMALOG 75/25 INSULIN PEN,250,J1820,$11.24 ,$11.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300792,BOTOX INJECTION,250,,$871.12 ,$871.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300793,FERRLECIT 125 MG/100 ML NS,250,J2915,$14.36 ,$14.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300794,NESACAINE MPF 2% INJ 20 ML,250,J2400,$2.15 ,$2.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300795,NESACAINE-MPF 3% INJ 20 ML,250,J2400,$2.26 ,$2.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300796,KCL/STERILE WATER 40 MEQ/100 ML,250,J3480,$0.26 ,$0.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300797,KCL/STERILE WATER 20 MEQ/50 ML,250,J3480,$0.51 ,$0.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300798,DIPHTHERIA & TETANUS TOXOID ADULT,250,,$31.01 ,$31.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300799,CORLOPAM 10 MG/1 ML AMP,250,,$396.91 ,$396.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300800,TNKASE 50 MG KIT,250,J2997,"$4,733.63 ","$4,733.63 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300801,TOPAMAX 100 MG TABLET,250,,$6.95 ,$6.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300802,ZOSYN 2.25 GM,250,J2543,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300803,ZOSYN 3.375 GM,250,J2543,$0.62 ,$0.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300804,NAFCILLIN/D5W 2 GM/100ML,250,,$0.54 ,$0.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300805,NAFCILLIN/D5W 1 GM/50 ML,250,,$0.76 ,$0.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300806,PCN G POTASSIUM-DEX 1 MIL U/50ML,250,,$0.46 ,$0.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300807,CEFOTAN 1G/50 ML FROZEN,250,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300808,TEQUIN 200 MG/100 ML INJECTION,250,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300809,TEQUIN 400 MG/200 ML INJECTION,250,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300810,PENICILLIN G POTASS/DEX 2 MIL UN,250,,$0.49 ,$0.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300811,MONOCLATE-P (FACTOR VIII) 1000 UN,250,J7190,"$1,504.06 ","$1,504.06 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300812,DEXTROSE 5%- NACL 0.9% 500ML BAG,250,J7042,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300813,LOVENOX 60MG/0.6ML INJECTION,250,J1650,$102.34 ,$102.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300814,LOVENOX 80MG/0.8ML INJECTION,250,J1650,$102.33 ,$102.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300815,ATGAM 50MG/ML 5ML AMP,250,J7504,$87.65 ,$87.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300816,PRIMACOR 200MCG/ML 100ML BAG,250,,$2.32 ,$2.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300817,MARCAINE/FENTANYL EPID PREMIXED,250,J3010,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300818,SUFFENTANIL 50MCG/ML 1 ML,250,,$18.81 ,$18.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300819,RAPLON 200 MG INJECTION,250,,$48.43 ,$48.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300820,MARCAINE/FENTANYL PREMIXED 250ML,250,J3010,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300821,DEXTROSE 5%-LACTATES RINGERS INJ,250,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300822,RECOMBIVAX HB PED INJ 5 MCG/0.5 M,250,90744,$76.14 ,$76.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300823,DILTIAZEM 125 MG/25 ML INJ,250,,$1.60 ,$1.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300824,CELLCEPT 500MG INJECTION,250,,$50.24 ,$50.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300825,DEXTROSE 5% LACTATED RINGERS 1000,250,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300826,MAXIPIME 2G INJECTION 20ML VIAL,250,J0692,$52.87 ,$52.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300827,INTEGRILIN 2MG/ML 10ML VIAL,250,J1327,$9.54 ,$9.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300828,INTEGRILIN 75MG/100ML VIAL,250,J1327,$3.71 ,$3.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300829,MORPHINE PCA 30 MG/30 ML-PHAR PRE,250,J2270,$0.84 ,$0.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300830,ASCORBIC ACID 500MG/ML 50ML VIAL,250,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300831,LANTUS 100 UNIT/ML INJECTION,250,J1815,$9.34 ,$9.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300832,ZYVOX 600 MG INTRAVENOUS,250,J2020,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300833,MORPHINE 10MG/10ML VIAL,250,J2275,$0.86 ,$0.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300834,ALFENTANIL 500MCG/ML 5ML AMPULE,250,J1250,$5.23 ,$5.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300835,ROCEPHIN 1GM/50ML BAG,250,,$1.33 ,$1.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300836,ROCEPHIN 2GM/50ML BAG,250,,$2.36 ,$2.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300837,DEMEROL 50MG/ML 30ML VIAL,250,J2175,$1.19 ,$1.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300838,RECOMBIVAX HB ADULT 10MCG/ML 1ML,250,,$118.68 ,$118.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300839,CELESTONE SOLUSPAN DOSE CHARGE,250,J0702,$8.75 ,$8.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300840,PROTONIX IV 40MG INJECTION,250,,$40.12 ,$40.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300841,METROGEL VAGINAL 0.75% 70GM,250,,$1.16 ,$1.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300842,MAGNESIUM SULFATE INJ 50% 50ML,250,J3475,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300843,ENLON 10 MG/ML INJECTION,250,,$1.20 ,$1.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300844,RECOMBIVAX PED VACCINE-NO CHARGE,250,,$96.95 ,$96.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300845,SURGICEL 2 IN X 14 IN,250,,$57.09 ,$57.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300846,HAVRIX VACCINE ADULT,250,,$109.45 ,$109.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300847,MENOMUNE-A/C/Y/W-135,250,,$145.67 ,$145.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300848,MUMPS VACCINE,250,,$37.98 ,$37.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300849,CATHFLO ACTIVASE 2MG,250,J9355,$129.08 ,$129.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300850,MAXIPIME 1G INJECTION,250,J0692,$28.54 ,$28.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300851,SODIUM BICARBONATE 7.5% INJ,250,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300852,XIGRIS 5 MG INJ,250,,$421.14 ,$421.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300853,XIGRIS 20 MG INJECTION,250,,"$1,684.54 ","$1,684.54 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300854,FRAGMIN SYRINGE 5000 UNIT,250,J1645,$208.06 ,$208.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300855,LUMIGAN OPTH DROPS 0.03%,250,,$39.54 ,$39.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300856,HUMALOG MIX 75/25 10ML VIAL,250,J1815,$11.20 ,$11.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300857,LIORESAL INTRATHECAL 10MG/5ML AMP,250,J0475,"$1,514.08 ","$1,514.08 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300858,ACYCLOVIR SODIUM 1 GRAM INJECTION,250,J2912,$54.78 ,$54.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300859,ACYCLOVIR SODIUM 500 MG INJECTION,250,,$7.96 ,$7.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300860,R-GENE 10% INJECTION 300ML,250,,$0.57 ,$0.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300861,CENTRUM TABS,250,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300862,FLOXIN EAR DROPS 0.3% SOLUTION,250,,$12.85 ,$12.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300863,ANGIOMAX 250MG VIAL,250,,$762.48 ,$762.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300864,MEPERIDINE 300 MG/30 ML,250,J2175,$0.81 ,$0.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300865,QUICK MIX W/ LYTES 1000 ML,250,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300866,THIAMINE 100 MG/ ML INJECTION,250,,$2.01 ,$2.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300867,FLUPHENAZINE DECONATE 25MG/ML 5ML,250,J2680,$8.03 ,$8.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300868,ASPERCREME W/ALOE VERA,250,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300869,INVANZ 1 GRAM,250,C9116,$79.68 ,$79.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300870,LORAZEPAM 2MG/ML 10ML VIAL,250,J2060,$5.42 ,$5.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300871,ZANAFLEX 2MG TAB,250,,$1.92 ,$1.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300872,RETAVASE VIAL-HALF-KIT,250,J2993,"$2,400.24 ","$2,400.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300873,UNASYN 3G VIAL,250,J0295,$25.66 ,$25.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300874,HEPARIN SODIUM 2000 UNITS/2ML,250,J1644,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300875,ARIXTRA SYRINGE 2.5MG,250,J1652,$145.40 ,$145.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300876,NATRECOR 1.5MG INJECTION,250,J2324,$848.31 ,$848.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300877,WINRHO SDF 1000MCG VIAL,250,J2790,"$1,807.38 ","$1,807.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300878,CROFAB INJECTION,250,,"$1,796.53 ","$1,796.53 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300879,DELATESTRYL IN OIL 200MG/ML-1ML,250,J3130,$47.50 ,$47.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300880,MORPHINE/NS BAG 100MG/100ML,250,,$0.90 ,$0.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300881,MEPERIDINE 1000 MG/100 ML PCA BAG,250,,$0.62 ,$0.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300882,DEMEROL HCL 100MG/ML-20ML VIAL,250,,$2.35 ,$2.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300883,GEODON INJECTION 20MG VIAL,250,,$73.12 ,$73.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300884,SECREFLO INJECTABLE,250,,$662.64 ,$662.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300885,FENTANYL CIT/BUPIVACAINE EPID,250,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300886,DEXAMETHASONE DOSE CHG 10MG INJ,250,,$0.83 ,$0.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300887,CHIROCAINE 0.5% INJ,250,,$0.57 ,$0.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300888,KYTRIL DOSE CHARGE 0.1ML,250,J1626,$313.18 ,$313.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300889,DEPO MEDRO DOSE CHG 80 MG,250,J1040,$15.15 ,$15.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300890,LEVAQUIN 750MG PREMIXED,250,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300891,TUBERSOL DOSE CHARGE 0.1ML,250,,$38.02 ,$38.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300892,PRIMAXIN 250 MG INTRAVENOUS,250,J0743,$26.35 ,$26.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300893,PRECEDEX 200MCG/2ML INJ,250,,$59.78 ,$59.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300894,TRASYLOL 100ML INJECTION,250,,$4.37 ,$4.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300895,TPN CENTRAL FORMULA 2 LITER,250,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300896,TPN CENTRAL 3 LITER,250,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300897,PERIPHERAL TPN 2 LITER,250,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300898,PERIPHERAL TPN 3 LITER,250,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300899,LEVAQUIN-DEXTROSE 5% 250MG/50ML,250,,$0.79 ,$0.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300900,CARDIOPLEGIA AA ENRICHED,250,,$230.63 ,$230.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300901,CARDIOPLEGIA NON-AMINO,250,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300902,GELFOAM SPONGE SIZE 100,250,,$71.81 ,$71.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300903,ALBUMIN 5% 250ML,250,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300904,ALBUMIN 5% 500ML,250,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300905,POTASSIUM CHLORIDE 20MEQ/100ML,250,,$0.26 ,$0.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300906,POTASSIUM CHLORIDE 10MEQ/100ML,250,,$0.26 ,$0.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300907,DIPRIVAN 10MG/ML-100ML,250,,$1.50 ,$1.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300908,METRONIDAZOLE 500MG/100ML,250,,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300909,CYTARABINE 1 GRAM INJECTION,250,,$33.43 ,$33.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300910,HEPARIN LOCK FLUSH 10UNIT/ML-10ML,250,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300911,KCL 20MEQ IN 50ML STERILE WATER,250,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300912,PENTASPAN 10%-500ML,250,,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300914,PROTAMINE SULFATE 10MG/ML 25ML,250,,$1.33 ,$1.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300915,TRAYSYLOL 200ML,250,,$4.37 ,$4.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300916,,250,,$4.50 ,$4.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300917,SODIUM CHLORIDE 0.45% 500ML,250,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300918,RX BRETHINE 1MG INJ (RESP THER),250,,$51.71 ,$51.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300919,RX METAPROTERNOL INHL SOL 0.6%,250,,$0.83 ,$0.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300920,RX ALBUTEROL 0.083% INHL SOL,250,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300921,RX ALBUTEROL 0.5% INHL SOL,250,,$1.04 ,$1.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300922,CROMOLYN SODIUM INHL SOL 20 MG,250,,$0.57 ,$0.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300923,RX IPRATROPIUM BR INHL SOL,250,,$1.50 ,$1.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300924,RX ACETYLCYSTEINE 10% INHL SOL,250,,$2.15 ,$2.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300925,RX MUCOMYST 20% SOLN UD 4 ML,250,,$2.20 ,$2.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300926,RX MICRONEFRIN 2.25%,250,,$2.44 ,$2.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300927,RX PULMICORT 0.5MG/2ML INHL,250,,$3.96 ,$3.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300929,RX XOPENEX 0.63 MG INHL SOL,250,,$1.30 ,$1.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300930,RX XYLOCAINE 2% INJ MDV 20 ML,250,,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300931,RX ISOETHARINE 1% INHL SOL,250,,$3.05 ,$3.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300932,HEPARIN SODIUM 1000 UNITS/ML,250,,$1.80 ,$1.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300933,NEUPOGEN 300 MCG/ML,250,,$345.34 ,$345.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300934,MAGNESIUM SULF BAG 20 G/500 ML,250,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300935,MIACALCIN NASAL 3.7 ML,250,,$40.68 ,$40.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300936,RABAVERT RABIES VACCINE,250,,$240.75 ,$240.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300937,ABBOKINASE 5000 UNIT INJ,250,J3364,$94.59 ,$94.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300938,ABBOKINASE 250000 UNIT INJ,250,J3365,$902.09 ,$902.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300939,DIFLUCAN 400 MG PB,250,,$1.30 ,$1.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300940,GAMIMUN 5 GM,250,J1561,$20.89 ,$20.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300941,IV FAT EMULSION 10,250,,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300942,HEPARIN LOCK FLUSH 10U/ML INJ,250,J1642,$1.30 ,$1.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300943,STREPTASE 250000 U,250,J2995,$232.11 ,$232.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300944,STREPTASE 750000 U,250,,$512.36 ,$512.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300945,HESPAN 500 ML,250,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300946,AVITENE WEB 70 X 35 MM,250,A6020,$166.93 ,$166.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300947,AVITENE 1 GM POWDER,250,A6020,$181.05 ,$181.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300948,AMINOSYN RF 300 ML,250,,$0.62 ,$0.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300949,FACTOR VIII,250,J7190,$1.50 ,$1.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300950,HYPERHEP 1 ML,250,Q3023,$279.92 ,$279.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300951,SECRETIN KABI,250,Z3158,$357.43 ,$357.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300952,HYPERAB (RABIES IG) 10ML INJ,250,,$125.36 ,$125.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300953,HYPERAB 2 ML,250,,$108.62 ,$108.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300954,THROMBIN KIT 20000 UNIT,250,,$119.10 ,$119.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300955,THROMBOSTAT 10000 U,250,,$66.35 ,$66.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300956,THROMBOSTAT 5000 U,250,,$36.08 ,$36.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300957,ANTIVENOM POLYVALENT,250,,"$1,796.53 ","$1,796.53 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300958,ACTIVASE 50MG,250,J2997,"$2,485.14 ","$2,485.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300959,ALBUMIN 25% 100ML,250,J1564,$159.50 ,$159.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300960,AMIKIN 1 GM VIAL,250,,$28.31 ,$28.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300961,AMIKIN 500MG VIAL,250,Z3192,$6.78 ,$6.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300962,ENGERIX B PEDIATRIC,250,Z3013,$80.90 ,$80.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300963,ACTIVASE (TPA) 100MG INJ,250,J9355,"$4,970.31 ","$4,970.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300964,IMOVAX RABIES VACCINE,250,,$276.42 ,$276.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300965,PENTAMIDINE 300MG,250,,$230.63 ,$230.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300966,ENGERIX B ADULT,250,Z3014,$92.08 ,$92.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300967,SANDOGLOBULIN 6 GM,250,J3490,$508.91 ,$508.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300968,SANDOGLOBULIN 3 GM,250,J3490,$222.61 ,$222.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300969,DIFLUCAN 200 MG PB,250,J1450,$1.79 ,$1.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300970,ZOVIRAX 500 MG VIAL,250,,$9.46 ,$9.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300971,ZOVIRAX 1000 MG VIAL,250,,$10.87 ,$10.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300972,METHYLEN BLUE INJ 10ML,250,,$1.96 ,$1.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300973,PITRESSIN 20 UNITS/ML,250,,$9.04 ,$9.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300974,HYSKON FOR IRRIG 100ML,250,,$0.51 ,$0.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300975,0.9% NACL FOR INJ 100ML,250,J7051,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300976,AMINOPHYLLINE INJ 250 MG/ 10 ML,250,J0280,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300977,CEFOTAN 2GM INJ,250,,$46.94 ,$46.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300978,BACITRACIN INJ,250,Z2389,$15.40 ,$15.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300979,POLYMYXIN B INJ,250,,$8.89 ,$8.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300980,PAPAVERINE HCL 60MG/2ML INJ,250,J2440,$0.57 ,$0.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300981,COCAINE 4% SOLN,250,,$10.50 ,$10.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300982,ADRENALIN 1-1000 TOPICAL SOLN,250,,$0.98 ,$0.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300983,ARISTOSPAN 20MG/ML INJ,250,J3303,$7.04 ,$7.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300984,DECADRON 4MG/ML INJ,250,J1100,$1.81 ,$1.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300985,EPINEPHRINE 1-1000 1ML AMP,250,J0170,$0.83 ,$0.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300986,SUS-PHRINE 1/200 AMP 0.3ML,250,J0170,$30.93 ,$30.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300987,PREMARIN 25MG INJ,250,J1410,$108.22 ,$108.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300988,KANAMYCIN 1GM INJ 10ML VIAL,250,J1840,$5.56 ,$5.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300989,ARISTOCORT FORTE 40MG/ML INJ,250,J3302,$12.07 ,$12.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300990,MARCAINE 0.5% W/EPI CARPULES 2ML,250,,$0.79 ,$0.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300991,MARCAINE 0.5% W/EPI 30ML,250,,$0.51 ,$0.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300992,XYLOCAINE 2% W/EPI 1-100000 CARP,250,,$0.36 ,$0.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300993,XYLOCAINE 1% 50ML INJ,250,J2000,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300994,COCAINE CRRYSTALS 200MG,250,,$114.38 ,$114.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300995,GELFOAM SIZE 100,250,,$71.67 ,$71.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300996,ATROPINE 1MG/ML INJ,250,J7635,$0.83 ,$0.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300997,MARCAINE 0.25% W/EPI 30ML INJ,250,,$0.32 ,$0.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300998,MARCAINE 0.25% 30ML INJ,250,,$0.30 ,$0.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300999,WYDASE LYOPH INJ 150 UNITS-1 ML,250,J3470,$36.21 ,$36.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301000,XYLOCAINE 0.5% MPF 50ML INJ,250,J2000,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301001,XYLOCAINE 1% 30ML STERIPAK INJ,250,J2000,$0.62 ,$0.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301002,KYTRIL INJECTION,250,J1626,$326.22 ,$326.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301003,AMINOPHYLLINE 500MG INJ,250,J0280,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301004,BRETHINE 1MG INJ,250,J3105,$5.29 ,$5.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301005,VITAMIN B12 1000 MCG INJ,250,J3420,$1.35 ,$1.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301006,CEFADYL 1GM INJ,250,J0710,$2.72 ,$2.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301007,CEFOBID 1GM INJ,250,,$30.07 ,$30.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301008,CEFOBID 2GM INJ,250,,$60.15 ,$60.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301009,DEPO MEDROL 40MG INJ,250,J1030,$13.46 ,$13.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301010,DEPO MEDROL 80MG INJ,250,J1040,$22.27 ,$22.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301011,DILANTIN 250MG/5ML INJ,250,J1165,$1.41 ,$1.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301012,DRAMAMINE 50MG INJ,250,J1240,$5.51 ,$5.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301013,GARAMYCIN INJ 80 MG,250,J1580,$1.92 ,$1.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301014,CLAFORAN 2GM INJ,250,J0698,$37.15 ,$37.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301015,CEFAZOLIN 1 GM VIAL (ANCEF/KEFZOL),250,J0694,$6.96 ,$6.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301016,POTASSIUM CL 20 MEQ INJ,250,J3480,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301017,POTASSIUM CL 40MEQ INJ,250,J3480,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301018,MAGNESIUM SULFATE 1GM/2ML INJ,250,J3475,$1.00 ,$1.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301019,MEFOXIN 1GM INJ,250,J0694,$20.02 ,$20.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301020,MEFOXIN 2GM INJ,250,J0694,$39.90 ,$39.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301021,NARCAN 2MG/2ML INJ,250,J2310,$3.96 ,$3.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301022,NEBCIN 80MG/2ML INJ,250,J3260,$6.09 ,$6.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301023,NITROGLYCERIN 50MG/10ML INJ,250,,$2.13 ,$2.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301024,NORFLEX INJ,250,J2360,$2.85 ,$2.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301025,NUBAIN 20MG INJ,250,J2300,$3.83 ,$3.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301026,ROCEPHIN 250MG INJ,250,J0696,$26.43 ,$26.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301027,ROCEPHIN 500MG INJ,250,J0696,$49.94 ,$49.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301028,ROCEPHIN 1GM INJ,250,J0696,$85.39 ,$85.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301029,SOLUCORTEF 500MG INJ,250,J1720,$21.78 ,$21.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301030,CELESTONE SOLUSPAN 5L INJ,250,J0702,$9.59 ,$9.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301031,COMPAZINE 10MG/2ML INJ,250,J0780,$2.16 ,$2.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301032,DECADRON LA 8MG/ML INJ,250,J1095,$8.03 ,$8.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301033,HEPARIN INJ 1000 UNITS/ML-1ML,250,J1644,$1.65 ,$1.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301034,HEPARIN SOD INJ 5000 UNITS/ML-1ML,250,J1644,$2.05 ,$2.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301035,HEPARIN INJ 10000 UNITS/ML-1ML,250,J1644,$2.68 ,$2.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301036,HALDOL 5MG INJ,250,J1630,$17.53 ,$17.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301037,HEPARIN LOCK FLUSH 10U/ML 10ML,250,J1642,$0.29 ,$0.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301038,LANOXIN 0.5MG INJ,250,J1160,$1.91 ,$1.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301039,LASIX INJ 20MG/2ML,250,J1940,$0.76 ,$0.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301040,LASIX 40MG INJ,250,J1940,$2.14 ,$2.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301041,LASIX 100MG INJECTION,250,J1940,$0.35 ,$0.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301042,LOPRESSOR 5MG/5ML INJ,250,,$1.64 ,$1.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301043,NARCAN 0.02MG/ML INJ,250,Z1179,$1.63 ,$1.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301044,NARCAN 0.4MG/ML INJ,250,J2310,$5.46 ,$5.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301045,PHENERGAN 25MG/ML IV/IM/INJ,250,J2550,$2.26 ,$2.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301046,PHENERGAN 50MG/ML IM INJ,250,J2550,$5.01 ,$5.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301047,PITOCIN 10U/ML INJ,250,J2590,$2.01 ,$2.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301048,REGLAN 10MG INJ,250,J2765,$1.65 ,$1.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301049,METHOCARBAMOL 1000 MG VIAL (ROBAXIN),250,J2800,$75.33 ,$75.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301050,ROCEPHIN 2GM INJ,250,J0696,$162.95 ,$162.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301051,ROMAZICON 0.5MG/5ML INJ,250,,$25.39 ,$25.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301052,SOLU CORTEF 100MG INJECTION,250,J1720,$3.63 ,$3.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301053,SOLUCORTEF 250MG INJ,250,J1720,$11.21 ,$11.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301054,STADOL 2MG/ML INJ,250,,$14.66 ,$14.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301055,TAGAMET 300MG INJ,250,Z2667,$3.32 ,$3.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301056,THIAMINE 100MG INJ,250,Z1671,$1.66 ,$1.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301057,THORAZINE 50MG INJ,250,J3230,$3.87 ,$3.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301058,TIGAN 200MG INJ,250,J3250,$2.13 ,$2.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301059,VERAPAMIL 5MG INJ,250,,$2.04 ,$2.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301060,ZANTAC 50MG/2ML INJ,250,J2780,$3.34 ,$3.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301061,SOLU MEDROL 40MG INJ,250,J2920,$3.42 ,$3.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301062,SOLU MEDROL 125MG INJ,250,J2930,$15.08 ,$15.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301063,SOLU MEDROL 500MG INJ,250,J2930,$58.72 ,$58.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301064,TORADOL 60MG INJ,250,J1885,$6.20 ,$6.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301065,TORADOL 30MG INJ,250,,$11.84 ,$11.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301066,TORADOL 15MG INJ,250,J1885,$11.29 ,$11.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301067,BREVIBLOC 100MG/10ML INJ,250,,$3.57 ,$3.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301068,VITAMIN K 10MG INJ,250,J3430,$10.07 ,$10.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301069,DEMADEX 20MG/2ML INJ,250,J3265,$3.60 ,$3.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301070,DEMADEX 50MG/5ML INJ,250,J3265,$2.02 ,$2.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301071,ISOPROTERENOL 1MG INJ,250,,$5.25 ,$5.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301072,INDERAL 1MG INJ,250,J1800,$31.02 ,$31.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301073,DOPAMINE 800MG/5ML INJ,250,,$2.70 ,$2.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301074,DOBUTREX 250MG INJ,250,J1250,$4.52 ,$4.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301075,DEXTROSE 50% (25GM/50ML) INJ,250,Z3202,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301076,INOCOR 100MG/20ML INJ,250,,$6.73 ,$6.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301077,LIDOCAINE 100MG INJ,250,J2000,$0.84 ,$0.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301078,MANNITOL 25% 50ML INJ,250,J2150,$0.25 ,$0.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301079,NEOSYNEPHRINE 10MG INJ,250,J2370,$5.35 ,$5.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301080,NITROPRUSSIDE 50MG/2ML INJ,250,,$4.00 ,$4.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301081,PROCAINAMIDE 100MG INJ,250,J2690,$22.45 ,$22.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301082,PROCAINAMIDE 1GM INJ,250,J2690,$4.49 ,$4.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301083,TRANDATE 5MG/ML 20ML INJ,250,,$1.57 ,$1.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301084,SODIUM BICARB 1MEQ/ML 50ML INJ,250,Z2509,$0.26 ,$0.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301085,POTASSIUM PHOSPHATE 15ML INJ,250,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301086,PAVULON 10ML INJ,250,,$2.35 ,$2.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301087,CARDIZEM 50MG INJ,250,,$4.78 ,$4.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301088,CARDIZEM 25MG INJ,250,,$5.17 ,$5.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301089,TRANSDERM NITRO 0.2MG/HR PATCH,250,,$2.69 ,$2.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301090,CODEINE 30MG/2 ML INJ,250,J0745,$0.79 ,$0.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301091,ADRENALIN 1MG/ML 30ML INJ,250,,$0.53 ,$0.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301092,ALDOMET 250MG/5ML INJ,250,J0210,$4.17 ,$4.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301093,ANTILIRIUM INJ,250,Z0112,$7.70 ,$7.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301094,APRESOLINE 20MG INJ,250,J0360,$16.30 ,$16.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301095,AMPICILLIN 125MG INJ,250,J0290,$2.64 ,$2.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301096,AMPICILLIN 250MG INJ,250,J0290,$2.69 ,$2.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301097,AMPICILLIN 500MG INJ,250,J0290,$2.91 ,$2.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301098,AMPICILLIN 1GM INJ,250,J0290,$3.94 ,$3.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301099,BUMEX 1MG/4ML INJ,250,,$0.75 ,$0.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301100,CALCUIM CL 1GM/10ML INJ,250,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301101,CALCIUM GLUCONATE 10% INJ,250,J0610,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301102,ATIVAN 2MG/ML TUBEX INJ,250,J2060,$21.18 ,$21.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301103,ATIVAN 4MG/ML TUBEX INJ,250,J2060,$21.18 ,$21.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301104,BUPRENEX 0.3MG INJ,250,J0592,$5.42 ,$5.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301105,COCAINE 10% TOPICAL SOLN,250,,$17.96 ,$17.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301106,CODEINE 60MG/2ML INJ,250,J0745,$0.79 ,$0.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301107,DILAUDID 2MG INJ,250,J1170,$2.35 ,$2.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301108,MEPERGAN 2ML TUBES INJ,250,J2180,$6.94 ,$6.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301109,MEPERIDINE 25MG CARPUJECT,250,J2175,$0.88 ,$0.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301110,MEPERIDINE 50 MG CARPUJECT,250,J2175,$0.98 ,$0.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301111,MEPERIDINE 75MG CARPUJECT,250,J2175,$1.04 ,$1.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301112,MEPERIDINE 100MG CARPUJECT,250,J2175,$1.14 ,$1.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301113,MORPHINE SULFATE 2MG/ML INJ,250,J2270,$1.14 ,$1.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301114,MORPHINE SULFATE 4MG/ML INJ,250,J2270,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301115,MORPHINE SULFATE 8MG/ML INJ,250,J2270,$1.21 ,$1.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301116,MORPHINE SULFATE 10MG/ML INJ,250,J2275,$1.30 ,$1.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301117,MORPHINE SULFATE 15MG/ML INJ,250,,$1.39 ,$1.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301118,NEMBUTAL 100MG INJ,250,,$2.10 ,$2.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301119,PEDIATRIC PROCED MIX 1ML INJ,250,,$69.44 ,$69.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301120,TALWIN 30MG INJ,250,J3070,$4.74 ,$4.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301121,ULTIVA 1MG INJ,250,,$19.56 ,$19.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301122,VERSED 10MG SYRINGE,250,J2250,$24.78 ,$24.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301123,VERSED 5MG/ML 2ML VIAL,250,J2250,$5.89 ,$5.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301124,CPD SOLUTION (OR ONLY),250,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301125,ACTIFED SYRUP 10ML,250,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301126,ALUPENT SYRUP 10ML,250,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301127,BICILLIN CR 600000 UNIT INJ,250,,$10.24 ,$10.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301128,BICILLIN CR 1.2 MILLION UNIT INJ,250,J0540,$10.05 ,$10.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301129,BICILLIN CR 2.4 MILLION UNIT INJ,250,J0550,$19.68 ,$19.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301130,BICILLIN CR 900.300 INJ,250,Z0252,$10.46 ,$10.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301131,BICILLIN LA 6000000 UNIT INJ,250,J0560,$15.08 ,$15.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301132,BICILLIN LA 1.2 MILLION U INJ,250,J0570,$13.04 ,$13.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301133,BICILLIN LA 2.4 MILLION U INJ,250,J0580,$21.86 ,$21.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301134,WYCILLIN 600000 UNIT INJ,250,J2510,$5.51 ,$5.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301135,WYCILLIN 1.2 MILLION U INJ,250,J2510,$4.61 ,$4.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301136,WYCILLIN 2.4 MILLION U INJ,250,J2510,$4.89 ,$4.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301137,TETANUS & DIPTHERIA TOX ADULT,250,90718,$25.51 ,$25.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301138,TETANUS TOXOID 0.5ML ADULT,250,90703,$12.02 ,$12.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301139,TETANUS & DIPTHERIA TOX PED,250,,$17.90 ,$17.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301140,HYPERTET (HOMOTET) 250 U INJ,250,J1670,$200.54 ,$200.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301141,PPD (INTERMEDIATE 5 U/0.1ML INJ,250,,$41.43 ,$41.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301142,ANECTINE 20MG/ML 10ML INJ,250,J0330,$0.59 ,$0.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301143,NEOSPORIN GU IRRIGANT AMP,250,,$14.59 ,$14.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301144,DHE 45 INJ,250,J1110,$60.52 ,$60.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301145,GAMMA GLOBULIN (IG) 10ML INJ,250,J1550,$4.35 ,$4.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301146,ACTHAR GEL 80 UNIT INJ,250,,$46.76 ,$46.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301147,NACL 0.9% 10ML INJ,250,J2912,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301148,STERILE WATER 10ML INJ,250,J7051,$0.30 ,$0.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301149,XYLOCAINE 1% 20ML INJ,250,J2000,$0.25 ,$0.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301150,XYLOCAINE 1% W/WPI 20ML INJ,250,J2000,$0.30 ,$0.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301151,XYLOCAINE 2% 20ML INJ,250,J2000,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301152,XYLOCAINE 2% W/EPI 20 ML INJ,250,J2000,$0.30 ,$0.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301153,MARCAINE 0.5% 10ML INJ,250,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301154,MARCAINE 0.25% 10ML INJ,250,,$0.53 ,$0.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301155,EPINEPHRINE 1-10000 SYRINGE,250,J0170,$0.85 ,$0.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301156,ATROPINE 1MG SYRINGE,250,J0460,$0.84 ,$0.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301157,DOPamine 800MG/500ML IVPB,250,,$87.37 ,$87.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301158,NITROGLYCERIN 50MG/250ML INJ,250,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301159,ADENOCARD 6MG/2ML INJ,250,J0150,$25.43 ,$25.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301160,BENADRYL 50MG 1ML INJ,250,J1200,$2.02 ,$2.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301161,CETACAINE ORAL TOP SPRAY,250,,$1.56 ,$1.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301162,ATROVENT ORAL INHALER,250,,$6.49 ,$6.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301163,DILAUDID 1MG/ML INJ,250,J1170,$2.13 ,$2.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301164,MORPHINE 10MG/ML 10ML INJ,250,J2275,$1.94 ,$1.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301165,BUMEX 0.5MG/2ML INJ,250,,$1.41 ,$1.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301166,PHENYTOIN 100 MG/ 2 ML INJ,250,J1165,$1.00 ,$1.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301167,LEVOPHED 1MG/ML 4ML INJ,250,,$9.90 ,$9.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301168,AMICAR 250MG/ML 20ML INJ,250,,$0.25 ,$0.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301169,XYLOCAINE 2GM INJ,250,J2000,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301170,HEPARIN 1000 UNIT/500ML,250,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301171,FENTANYL INJ 100 MCG/2 ML,250,J3010,$1.73 ,$1.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301172,FENTANYL INJ 250 MCG/5ML,250,J3010,$1.15 ,$1.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301173,PHENOBARBITAL 65MG INJ,250,J2560,$2.85 ,$2.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301174,PHENOBARBITAL 130MG INJ,250,J2560,$3.39 ,$3.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301175,LIBRIUM 100MG INJ,250,J1990,$13.48 ,$13.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301176,FENTANYL AMP 1000 MCG/20 ML,250,J3010,$1.15 ,$1.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301177,CEFOTAN 1GM INJ,250,,$22.88 ,$22.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301178,VALIUM 10MG SYRINGE,250,J3360,$5.84 ,$5.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301179,KENALOG-10 10MG/ML INJ,250,J3301,$2.93 ,$2.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301180,KENALOG-40 40MG/ML INJ,250,J3301,$11.33 ,$11.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301181,XYLOCAINE 2% WITH EPI STERIPAK,250,J2000,$1.30 ,$1.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301182,XYLOCAINE 1% WITH EPI 50ML,250,J2000,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301183,XYLOCAINE 2% 50ML INJ,250,J2000,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301184,XYLOCAINE 1% W/EPI STERIPAK,250,J2000,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301185,CEREBYX 50MG/ML 1ML INJ,250,Q2009,$18.37 ,$18.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301186,CEREBYX 500MG/10ML INJ,250,Q2009,$11.01 ,$11.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301187,MARCAINE 0.5% 30ML INJ,250,Z2738,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301188,XYLOCAINE 0.5% W/EPI 50ML,250,J2000,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301189,CONSCIOUS SEDATION RESCUE KIT,250,,$132.25 ,$132.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301190,BENTYL 10MG/ML INJ,250,J0500,$14.99 ,$14.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301191,HEPARIN LOCK FLUSH 100 U/ML 10ML,250,J1642,$0.30 ,$0.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301192,XYLOCAINE 2% CARPULE,250,,$0.36 ,$0.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301193,CLEOCIN 900 MG/6 ML INJ,250,,$2.85 ,$2.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301194,NORCURON 10 MG IV INJ,250,Z3228,$45.65 ,$45.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301195,DROPERIDOL 2.5 MG/ML-2 ML INJ,250,J1790,$3.57 ,$3.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301196,UNASYN 3 GM IV INJECTION,250,J0295,$25.66 ,$25.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301197,SOL 10MEQ KCL 0.2%NS 1000ML,250,,$147.65 ,$147.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301198,SOL 20MEQ KCL 0.2%NS 1000ML,250,,$147.65 ,$147.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301199,SOL 20MEQ KCL 5% DEX,250,,$147.65 ,$147.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301200,SOL 20MEQ POTASSIUM,250,,$147.65 ,$147.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301201,SOL 30MEQ KCL 0.2%NS 1000ML,250,,$147.65 ,$147.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301202,SOL 40MEQ KCL 0.2%NS 1000ML,250,,$147.65 ,$147.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301203,SOL DEX 10% & SC .9% 1000ML,250,,$147.65 ,$147.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301204,SOL DEX 10% 1000ML,250,,$147.65 ,$147.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301205,SOL DEX 2.5% IN LRS 1000ML,250,,$147.65 ,$147.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301206,SOL DEX 5% & LIDO/HC .4% 500ML,250,,$147.65 ,$147.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301207,SOL DEX 5% & LRS 1000ML,250,,$147.65 ,$147.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301208,SOL DEX 5% & LRS 500ML,250,,$147.65 ,$147.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301209,SOL DEX 5% & SC .33% 1000ML,250,,$147.65 ,$147.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301210,SOL DEX 5% & SC .45% 1000ML,250,,$147.65 ,$147.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301211,SOL DEX 5% & SC .9% 1000ML,250,,$147.65 ,$147.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301212,SOL DEX 5% & SC 0.2% 1000ML,250,,$147.65 ,$147.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301213,SOL DEX 5% & SC 0.2% 250ML,250,,$147.65 ,$147.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301214,SOL DEX 5% /W MINI BAG 100ML,250,,$147.65 ,$147.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301215,SOL DEX 5% /W MINI BAG 50ML,250,,$147.65 ,$147.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301216,SOL DEX 5% IN WATER 1000ML,250,,$147.65 ,$147.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301217,SOL DEX 5% IN WATER 100ML,250,,$147.65 ,$147.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301218,SOL DEX 5% IN WATER 250ML,250,,$135.19 ,$135.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301219,SOL DEX 5% IN WATER 250ML (BOTTLE),250,,$147.65 ,$147.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301220,SOL DEX % IN WATER 500ML,250,,$147.65 ,$147.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301221,SOL DEX 5% IN WATER 50ML,250,,$147.65 ,$147.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301222,SOL DIANEAL 1.5 2L ULTRA,250,,$147.84 ,$147.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301223,SOL DIANEAL 1.5% 2.5L,250,,$147.65 ,$147.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301224,SOL DIANEAL 2.5 2L ULTRA,250,,$147.84 ,$147.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301327,RX BETADINE 10% OINTMENT,250,,$61.84 ,$61.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301328,RX BETHANECOL CHLORIDE 25MG TAB,250,,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301329,RX BISACODYL 5MG TAB,250,,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301330,RX BSS OPHTH SOLUTION,250,,$43.74 ,$43.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301331,RX CEFTIN 250MG TAB,250,,$28.35 ,$28.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301332,RX CEPACOL .05% (120ML MOUTHWASH),250,,$5.18 ,$5.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301333,RX CETACAINE DOSE CHARGE AEROSOL,250,,$15.40 ,$15.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301334,RX CIPRO 500MG TAB,250,,$34.02 ,$34.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301335,RX DARVOCET-N 100 TAB,250,,$5.25 ,$5.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301336,RX DULCOLAX 10MG SUPPOSITORY,250,,$5.18 ,$5.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301337,RX DURICEF 500MG CAP,250,,$20.56 ,$20.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301338,RX ELASE OINTMENT,250,,$262.39 ,$262.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301339,RX EMILA W/TEGADERM KIT,250,,$56.66 ,$56.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301340,RX ESTRATEST 1.25-2.5MG (TABLET),250,,$10.51 ,$10.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301341,RX GELFOAM 12X7 (DRESSING),250,,$52.25 ,$52.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301342,RX GENTAMICIN 0.1% OINTMENT 15G,250,,$25.75 ,$25.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301343,RX GENTAMICIN OPHTH 0.3% OINT,250,,$105.54 ,$105.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301344,RX HURRICAINE AEROSOL DOSE CHARGE,250,,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301345,RX KEFLEX 500MG CAP,250,,$12.97 ,$12.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301346,RX LACRI-LUBE NP OPHTH OINTMENT,250,,$15.40 ,$15.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301347,RX LIDOCAINE 2% VISC LIQ CHG ONLY,250,,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301348,RX LIDOCAINE 4% TOPICAL,250,,$51.46 ,$51.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301349,RX LUGOL'S SOLUTION,250,,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301350,RX METOCLOPRAMIDE 10MG TAB,250,,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301351,RX MONSEL'S SOLUTION,250,,$10.37 ,$10.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301352,RX MYLANTA DOSE CHARGE 30ML,250,,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301353,RX MYLICON LIQUID DROPS DOSE CHRG,250,,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301354,RX NEO-SYNEPHRIN MILD DROPS 0.25%,250,,$25.75 ,$25.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301355,RX NEO-SYNEPHRINE DROPS 0.5%,250,,$25.75 ,$25.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301356,RX NEOMYCIN-POLYMYX-B/HYD OPH SUS,250,,$239.24 ,$239.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301357,RX NIFEDIPINE 10MG CAP,250,,$5.18 ,$5.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301358,RX NITROSTAT 0.4MG TAB,250,,$33.52 ,$33.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301359,RX PEROCODAN (TABLET),250,,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301360,RX PETROLATUM (30GM OINTMENT),250,,$7.81 ,$7.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301361,RX POLYSPORIN OINTMENT,250,,$20.56 ,$20.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301362,RX TETRACAINE OPHTH 0.5% SOLUTION,250,,$38.59 ,$38.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301363,RX THROMBOSTAT KIT 20000UNIT PWDR,250,,$496.67 ,$496.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301364,RX TRIPLE ANTIBIOTIC OINTMENT,250,,$12.97 ,$12.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301367,RX VISTARIL 50MG CAP,250,,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301368,RX XYLOCAINE 2% (30ML JELLY),250,,$123.58 ,$123.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301369,RX ACCUZYME NO-REP,250,,$272.82 ,$272.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301370,RX ACETIC ACID .25% NO-REP,250,,$185.33 ,$185.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301371,RX CLORPACTIN NO-REP,250,,$36.09 ,$36.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301372,RX COLLAGENASE NO-REP,250,,$208.40 ,$208.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301373,RX ELASE NO-REP,250,,$262.39 ,$262.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301374,RX LOTRIZONE NO-REP,250,,$180.16 ,$180.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301375,RX POLYSPORIN POWDER NO-REP,250,,$64.44 ,$64.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301376,RX PROPHYLLIN OINTMENT NO-REP,250,,$41.29 ,$41.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301377,RX SILVADENE-LARGE NO-REP,250,,$110.55 ,$110.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303894,PET FDG PER DOSE (4-40 MCI/ML),250,A9552,$752.02 ,$752.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 304646,CEFDINIR (OMNICEF) 300 MG CAP,250,,$27.56 ,$27.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305000,A&D OINTMENT: 5GM,250,,$22.51 ,$22.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305001,ABILIFY TAB : 5MG,250,,$41.13 ,$41.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305002,ACCUZYME OINT : 30GM,250,,$236.78 ,$236.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305003,ACEBUTOLOL (SECTRAL) 200 MG CAPS,250,,$3.70 ,$3.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305004,ACET/BUTALBITAL (FIORICET) TAB : 1 TAB,250,,$5.77 ,$5.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305005,ACETAMINOPHEN (TYLENOL W/COD) EL: 12.5ML,250,,$8.68 ,$8.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305006,ACETAMINOPHEN (TYLENOL) SUPP : 650MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305007,ACETAMINOPHEN 650MG/20.3ML LIQ,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305008,ACETAMINOPHEN W COD #3 300MG/30MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305009,RENAGEL CAP : 800MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305010,acetaZOLAMIDE(DIAMOX)TAB : 250MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305011,ACETAZOLAMIDE INJ: 500MG,250,,$94.98 ,$94.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305012,ACETIC ACID (VOSOL) OTIC SOL : 15ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305013,ACETIC ACID SOL 0.25%: 500ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305014,ACETYLCYSTEINE 10% INJ: 10ML,250,,$37.15 ,$37.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305015,ACETYLCYSTEINE(MUCOMYST)20% : 10ML,250,,$32.07 ,$32.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305016,ACTICIN 5% CREAM,250,,$88.58 ,$88.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305017,ACTIMMUNE INJ: 100MCQ,250,,"$1,519.26 ","$1,519.26 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305018,ACTIVASE CATHFLO: 2MG/2ML,250,,$315.92 ,$315.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305019,ACTONEL (RISEDRONATE) TAB : 30MG,250,,$72.72 ,$72.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305020,PIOGLITAZONE (ACTOS) 30 MG TABLET,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305021,ACYCLOVIR (ZOVIRAX) CAP : 200MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305022,ACYCLOVIR (ZOVIRAX) INJ : 1GM,250,,$342.40 ,$342.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305023,ACYCLOVIR (ZOVIRAX) INJ : 500MG,250,,$171.20 ,$171.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305024,ACYCLOVIR (ZOVIRAX) OINT : 15GM,250,,$297.27 ,$297.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305025,ACYCLOVIR (ZOVIRAX) CREAM 2 GM TUBE,250,,$178.41 ,$178.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305026,ACYCLOVIR (ZOVIRAX) SUSP : 200MG/5ML,250,,$111.56 ,$111.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305027,ACYCLOVIR TAB : 400MG,250,,$7.88 ,$7.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305028,ACYCLOVIR (ZOVIRAX)5% OINT: 15GM,250,,$260.38 ,$260.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305029,ACYCLOVIR IV : 500MG,250,,$303.87 ,$303.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305030,ACYCLOVIR SOD INJ : 25MG/ML,250,,$14.89 ,$14.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305031,NIFEDIPINE(PROCARDIA) ER 60MG,250,,$10.48 ,$10.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305032,ADENOSINE(ADENOCARD)INJ: 6MG/2ML,250,,$65.62 ,$65.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305033,ADVAIR 100/50 DISKUS,250,,$300.24 ,$300.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305034,ADVAIR 250/50 DISKUS,250,,$578.76 ,$578.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305035,ADVAIR 500/50 DISKUS,250,,$656.60 ,$656.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305036,AFRIN (OXYMETHAZOLINE) SPRAY 0.5% :15ML,250,,$8.68 ,$8.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305037,AGGRENOX CAPSULE 25/200,250,,$8.90 ,$8.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305038,ALBUMIN 25 GM:100ML (25%),250,,$262.46 ,$262.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305039,ALBUTEROL 3 ML 0.083% NOT THIS ONE,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305040,ALBUTEROL INH 2.5MG/3ML IF USED ALONE,250,,$4.05 ,$4.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305041,ALBUTEROL SYRUP 2MG/5ML (4 OZ EACH ),250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305042,ALBUTEROL(VENTOLIN)INHALER: 17GM,250,,$90.38 ,$90.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305043,ALENDRONATE (FOSAMAX) TAB : 10MG,250,,$10.42 ,$10.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305044,ALLERGEN EAR DROPS,250,,$5.01 ,$5.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305045,ALLOPURINOL (ZYLOPRIM) TAB : 300MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305046,ALLOPURINOL(ZYLOPRIM)TAB : 100MG,250,,$5.77 ,$5.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305047,ALPHAGAN (BRIMONIDINE) 0.2% SOL : 5ML,250,,$99.23 ,$99.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305048,ALPHAGAN P 0.15% (BRIMONIDINE) : 5ML,250,,$122.62 ,$122.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305049,ALPRAZOLAM (XANAX) TAB : 0.25MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305050,ALPRAZOLAM (XANAX) TAB : 0.5MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305051,ALPRAZOLAM (XANAX) 1MG TAB,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305052,ALUMINUM CARB SUSP:400MG/5ML 360ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305053,ALUMINUM HYDROXIDE(ALTERNAGEL)GEL: 12 OZ,250,,$23.72 ,$23.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305054,AMANTADINE 50MG/5ML (PER 4 OZ BOTTLE),250,,$16.42 ,$16.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305055,AMANTADINE (SYMMETREL) CAP : 100MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305056,GLIMEPIRIDE (AMARYL) 2 MG TABLETS,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305057,ZOLPIDEM (AMBIEN) 10 MG TABLET,250,,$13.46 ,$13.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305058,ZOLPIDEM (AMBIEN) 5 MG TABLET,250,,$19.52 ,$19.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305059,AMBISOME INJ: 50MG (AMPHOTERICIN),250,,$596.34 ,$596.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305060,AMIKACIN : 500 MG VIAL,250,,$18.99 ,$18.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305061,AMINOCAPROIC ACID(AMICAR)INJ: 5GM,250,,$14.89 ,$14.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305062,AMINOPHYLLINE INJ 25MG/ML 10ML,250,,$3.94 ,$3.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305063,AMINOSYN 10% 500ML,250,,$48.10 ,$48.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305064,AMINOSYN 8.5% INJ: 500ML,250,,$168.49 ,$168.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305065,AMIODARONE(CORDARONE)AMP: 150MG/3ML,250,,$9.54 ,$9.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305066,AMIODARONE(CORDARONE)TAB : 200MG,250,,$11.93 ,$11.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305067,AMITRIPTYLINE (ELAVIL) TAB : 10MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305068,AMITRIPTYLINE (ELAVIL) TAB : 25MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305069,AMITRIPTYLINE (ELAVIL) TAB : 50MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305070,AMMONIA VAPOROLES AMP:,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305071,AMOXICILLIN (TRIMOX) CAP : 500MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305072,AMBISOME IV DRIP(AMPHO B LIPOSOMAL),250,,$868.15 ,$868.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305073,AMPICILLIN-SULBACTAM 1.5 GM/ 100ML NS,250,,$32.77 ,$32.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305074,AMPICILLIN 1 GM/ 100 NS,250,,$26.44 ,$26.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305075,AMPICILLIN 2 GM/NS 100ML Q4H,250,,$87.21 ,$87.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305076,AMPICILLIN INJ 1GM/50ML NS,250,,$26.83 ,$26.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305077,AMPICILLIN INJ 2GM/100 ML NS,250,,$87.21 ,$87.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305078,AMPICILLIN INJ 500MG,250,,$14.62 ,$14.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305079,AMPICILLIN/ SULBACTAM (UNASYN) INJ : 3GM,250,,$61.80 ,$61.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305081,ANTIPYRINE/BENZOCAINE OTIC SOL : 15ML,250,,$23.14 ,$23.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305082,ANTISPASMOTIC ELIXER 4 OZ BOTTLE,250,,$13.70 ,$13.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305083,HYDROCORTISONE SUPPOSITORY (ANUSOL-HC),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305084,ANUSOL OINT 1OZ.,250,,$22.90 ,$22.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305085,APAP #2 (TYLENOL W/COD) TAB : 15MG,250,,$7.23 ,$7.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305086,APAP #4 (TYLENOL W/COD) TAB : 60MG,250,,$7.23 ,$7.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305087,ACETAMINOPHEN 325 MG UNIT DOSE,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305088,APAP EX STR (TYLENOL) CAPLET : 500MG,250,,$5.77 ,$5.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305089,ARAVA (LEFLUNOMIDE) TAB: 20MG,250,,$39.18 ,$39.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305090,AREDIA (PAMIDRONATE) 90MG INJECTION,250,,"$3,037.07 ","$3,037.07 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305091,ARIPIPRAZOLE(ABILIFY)TAB:10MG,250,,$43.56 ,$43.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305092,ARTIFICIAL TEARS OPTH OINT : 3.5GM,250,,$11.70 ,$11.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305093,ARTIFICIAL TEARS OPTH SOL : 15ML,250,,$13.32 ,$13.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305094,ARTIFICIAL TEARS: 15ML,250,,$15.85 ,$15.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305095,ASPIRIN (ASA) TAB :325MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305096,ASPIRIN (ASA) UD TAB : 81MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305097,ASPIRIN SUPP : 300MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305098,ASPIRIN ENTERIC COATED TAB:325MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305099,ASPIRIN ENTERIC COATED TAB : 81MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305100,AZELASTINE (ASTELIN) NOSE SPRAY 30ML,250,,$272.88 ,$272.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305101,ASTELIN NASAL SPRAY,250,,$196.88 ,$196.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305102,ASTELIN NASAL SPRAY,250,,$196.88 ,$196.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305103,ATENOLOL (TENORMIN) TAB : 25MG,250,,$5.50 ,$5.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305104,ATENOLOL (TENORMIN) TAB : 50MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305105,LORAZEPAM (ATIVAN) 2 MG/ML VIAL,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305106,ATROPINE 1% EYE DROPS 15 ML,250,,$16.15 ,$16.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305107,ATROPINE ABBOJECT: 0.1MG/ML 10ML,250,,$12.96 ,$12.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305108,ATROPINE INJ: 1MG/ML 1ML,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305109,IPRATROPIUM (ATROVENT) INHALER 14GM,250,,$318.83 ,$318.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305110,AUGMENTIN ORAL SUSP: 400MG/5ML 5ML,250,,$12.02 ,$12.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305111,AUGMENTIN TAB : 500MG,250,,$13.52 ,$13.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305112,AUGMENTIN TAB : 875MG,250,,$24.29 ,$24.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305113,AVAPRO(IRBESARTAN)TAB : 150MG,250,,$23.68 ,$23.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305114,AZITHROMYCIN 500 MG VIAL (ZITHROMAX),250,,$117.55 ,$117.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305115,AZITHROMYCIN (ZITHROMAX) TAB : 250MG,250,,$24.92 ,$24.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305116,AZMACORT INHALER,250,,$348.87 ,$348.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305117,AZTREONAM(AZACTAM)INJ: 1GM,250,,$112.92 ,$112.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305118,AZTREONAM(AZACTAM)INJ: 2GM,250,,$217.56 ,$217.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305119,B & O SUPPOSITORY:15A,250,,$8.96 ,$8.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305120,BACITRACIN OINT: 15GM,250,,$8.68 ,$8.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305121,BACITRACIN OPTH OINT : 3.5GM,250,,$20.70 ,$20.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305122,BACITRACIN/ZINC OINTMENT :,250,,$13.78 ,$13.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305123,BECLOMETHASONE (VANCERIL) INHALER,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305124,BECLOMETHASONE AQ NASAL SPRAY 0.042%,250,,$170.77 ,$170.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305125,BECLOMETHASONE(BECLOVENT)INH 42MCG,250,,$95.12 ,$95.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305126,BENADRYL CREAM 1OZ.,250,,$12.38 ,$12.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305127,BENZOCAINE SPRAY(HURRICAINE): 20% 60ML,250,,$104.93 ,$104.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305128,BENZONATATE (TESSALON PERLES)CAP : 100MG,250,,$3.70 ,$3.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305129,BENZTROPINE TAB : 1MG (COGENTIN),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305130,BETAMETHASONE DIP AUG OINT 45GM,250,,$224.99 ,$224.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305131,BETAXOLOL OPTH SOLN 0.25% (5ML),250,,$184.50 ,$184.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305132,BETHANECHOL (URECHOL) INJ : 5MG/ML 1ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305133,BETHANECHOL (URECHOLINE) TAB : 25MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305134,BETHANECHOL CHLORIDE TAB: 25MG,250,,$5.95 ,$5.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305135,BEXTRA TAB : 10MG,250,,$10.18 ,$10.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305136,BICILLIN LA 600MU : BENZATHINE PCN,250,,$63.20 ,$63.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305137,BISACODYL SUPP:10MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305138,BISACODYL (DULCOLAX) 5 MG TABLET,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305139,BISOPROLOL/HCTZ 2.5 MG/6.25MG (ZIAC 2.5),250,,$4.42 ,$4.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305140,BISOPROLOL/HCTZ(5 MG/6.25 MG) TAB ZIAC 5,250,,$4.13 ,$4.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305141,BUTORPHANOL 2 MG/ML VIAL (STADOL),250,,$203.51 ,$203.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305142,BLISTEX LIP OINT,250,,$5.60 ,$5.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305143,BOTULINUM TOXIN INJ: 100U,250,,"$1,701.59 ","$1,701.59 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305144,BRETYLIUM INJ : 50MG/ML 10ML,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305145,BROMOCRIPTINE TAB : 2.5MG,250,,$6.25 ,$6.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305146,BUMETANIDE INJ : 0.25MG/ML 2ML VIAL,250,,$5.21 ,$5.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305147,BUMETANIDE TAB : 1MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305148,buPROPion (WELLBUTRIN) SR TAB : 100MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305149,buPROPion XL (WELLBUTRIN) 150 MG TAB,250,,$9.47 ,$9.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305150,BUSPIRONE (BUSPAR) 15 MG TAB,250,,$7.32 ,$7.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305151,busPIRone (BUSPAR) 10 MG TAB,250,,$4.93 ,$4.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305152,CAL CARB SUSP: 1250MG/5ML 5ML,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305153,CAL CARBONATE TAB : 650MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305154,CALAMINE LOTION: 4OZ,250,,$4.69 ,$4.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305155,CALC W VIT D TAB: 250MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305157,CALCITONIN INJ 400U/2ML,250,,$198.80 ,$198.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305158,CALCITRIOL(ROCALTROL) CAP : 0.25MCG,250,,$4.42 ,$4.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305159,CALCIUM ACETATE (PHOS LO) CAP : 667MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305160,CALCIUM CARBONATE LIQ : 500MG,250,,$72.18 ,$72.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305161,CALCIUM CHLORIDE 13.6MEQ/10ML VIAL,250,,$17.92 ,$17.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305162,CALCIUM GLUC 10% 1GM VIAL (10 ML),250,,$12.15 ,$12.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305163,CALTRATE D TAB : 600MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305164,CANASA 500MG (MESALAMINE) SUPPOSITORY,250,,$13.82 ,$13.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305165,CASPOFUNGIN (CANCIDAS) 70 MG VIAL,250,,"$1,489.72 ","$1,489.72 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305167,CANDIDA SKIN TEST: 0.1ML DOSE,250,,$28.93 ,$28.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305168,CAPTOPRIL (CAPOTEN) TAB : 25MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305169,CAPTOPRIL TAB : 12.5MG,250,,$6.30 ,$6.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305170,carBAMazepine (TEGRETOL)100 MG/5ML /(OZ),250,,$7.09 ,$7.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305171,carBAMazepine (TEGRETOL) TAB : 100MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305172,carBAMazepine (TEGRETOL) TAB : 200MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305173,carBAMazepine XR (TEGRETOL) TAB : 100MG,250,,$139.20 ,$139.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305174,CARBAMIDE PEROXIDE OTIC SOL 6.5% : 15ML,250,,$8.96 ,$8.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305175,CARBIDOPA/LEVO (SINEMET CR) TAB 50/200MG,250,,$8.04 ,$8.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305176,DOXAZOSIN TAB : 1MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305177,CARISOPRODOL(SOMA)TAB : 350MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305178,HYDROGEL (CARRASYN IS FLOOR STOCK ITEM),250,,$67.34 ,$67.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305179,CARVEDILOL(COREG)TAB: 12.5MG,250,,$7.32 ,$7.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305180,CARVIDOPA/LEV (SINEMET CR) TAB 25/100MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305181,CARVIDOPA/LEVOD (SINEMET) TAB 25/100MG,250,,$4.86 ,$4.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305182,"CASCARA SAGRADA,AROMATIC 5ML UD",250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305183,CASODEX (BICALUTAMIDE) TAB : 50MG,250,,$60.84 ,$60.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305184,CATAPRES TTS-2 PATCH (CLONIDINE),250,,$116.31 ,$116.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305185,CATAPRES TTS-3 PATCH (cloNIDine),250,,$169.51 ,$169.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305186,cloNIDine-TTS-1 PATCH (CATAPRES),250,,$69.10 ,$69.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305187,CEFADROXIL CAP: 500MG,250,,$9.29 ,$9.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305188,ceFAZolin 1 GM VIAL (ANCEF),250,,$27.56 ,$27.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305189,CEFAZOLIN 1 GM VIAL,250,,$13.78 ,$13.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305192,CEFOTAXIME INJ : 1GM,250,,$36.24 ,$36.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305193,CEFOTAXIME INJ : 2GM,250,,$75.97 ,$75.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305194,CEFTAZIDIME (TAZICEF) 1 GM VIAL,250,,$42.23 ,$42.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305195,ceFTAZidime 2 GM IV (FORTAZ OR TAZICEF),250,,$104.06 ,$104.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305196,ceFTRIAXone (ROCEPHIN) INJ : 1GM,250,,$184.93 ,$184.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305197,ceFTRIAXone (ROCEPHIN) INJ : 2GM VIAL,250,,$367.45 ,$367.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305198,CEFTRIAXONE (ROCEPHIN) INJ : 500MG,250,,$108.09 ,$108.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305199,CEFUROXIME (ZINACEF) 1.5GM/NS 100ML,250,,$48.61 ,$48.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305200,CEFUROXIME (ZINACEF) 750MG INJ,250,,$21.88 ,$21.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305202,CEFUROXIME (ZINACEF) INJ : 1.5GM,250,,$27.56 ,$27.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305203,CEFUROXIME TAB : 250MG (CEFTIN),250,,$27.56 ,$27.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305204,CELECOXIB CAP : 100MG,250,,$7.66 ,$7.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305205,CELESTONE SOLUSPAN INJ: 1ML,250,,$15.80 ,$15.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305206,celeXA (CITALOPRAM)TAB : 20MG,250,,$8.06 ,$8.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305207,CELLCEPT (MYCOPHENOLATE) CAP: 250MG,250,,$9.29 ,$9.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305208,CEPACOL REG-STR LOZG : 18/BOX,250,,$6.30 ,$6.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305209,CETIRIZINE (ZYRTEC) TAB : 10MG,250,,$6.69 ,$6.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305210,CHLORAL HYDRATE 500MG/5ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305211,CHLORAMPHENICOL INJ: 1GM,250,,$37.52 ,$37.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305212,CHLORASEPTIC : 180ML,250,,$20.84 ,$20.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305213,CHLORDIAZEPOXIDE CAPS :25MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305214,chlorproMAZINE (THORAZINE) INJ: 50MG/2ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305215,CHLORPROMAZINE (THORAZINE) SPAN : 30MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305216,chlorproMAZINE (THORAZINE) TAB : 25MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305217,CHLORPROMAZINE (THORAZINE) TAB : 50MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305218,CHOLESTYRAM (QUESTRAN LITE) PWD : PKT,250,,$6.39 ,$6.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305219,CIPRO (CILOXAN) OPTH 0.3% OINTMENT,250,,$146.30 ,$146.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305220,CIPRO TAB : 250MG,250,,"$1,606.57 ","$1,606.57 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305221,CIPRO PREMIX 400MG/200ML,250,,$108.59 ,$108.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305222,CIPROFLOXACIN (CIPRO) TAB : 500MG,250,,$22.51 ,$22.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305223,CITRUCEL PACKET,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305224,CLAFORAN 1GM/NS 100ML Q8H,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305225,CLARITHROMYCIN (BIAXIN) 500 MG TAB,250,,$20.70 ,$20.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305226,LORATADINE (CLARITIN) 10 MG TABLETS,250,,$14.97 ,$14.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305227,CLEOCIN 2% VAG. CREAM :40GM,250,,$144.34 ,$144.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305228,CLINDAMYCIN CAP : 150MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305229,CLINDAMYCIN : 900 MG/50 ML NS,250,,$22.70 ,$22.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305230,CIPROFLOXACIN 200 MG/100 D5W PREMIX BAG,250,,$58.80 ,$58.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305231,clonazePAM (klonoPIN) 1 MG TABLET,250,,$9.85 ,$9.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305232,cloNIDine (CATAPRES) 0.1 MG TABLET,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305233,CLOPIDOGREL (PLAVIX) TAB : 75MG,250,,$17.64 ,$17.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305234,CLORAZEPATE (TRANXENE) 3.75 MG TABS,250,,$4.69 ,$4.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305235,CLORPACTIN WCS: 2GM,250,,$15.49 ,$15.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305236,CLOTRIMAZOLE CREAM 1%: 30GM,250,,$19.90 ,$19.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305237,CODIENE INJ : 60MG/ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305238,COLCHICINE INJ : 1MG/2ML,250,,$23.54 ,$23.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305239,COLCHICINE TAB : 0.6MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305240,COLLAGENASE OINT(SANTYL)30 GM,250,,$314.97 ,$314.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305241,COMBIVENT INHALER,250,,$191.11 ,$191.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305242,ENTACAPONE 200 MG TAB (COMTAN),250,,$9.77 ,$9.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305243,CARVEDIOLOL (COREG) 6.25 MG TAB,250,,$7.60 ,$7.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305244,CORTISONE ACETATE TAB : 25MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305245,CORTISPORIN OPHTH: 7.5ML,250,,$182.30 ,$182.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305246,CORTISPORIN OTIC SUSP 10ML,250,,$93.60 ,$93.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305247,COSYNTROPIN INJ : 0.25MG/ML,250,,$642.65 ,$642.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305248,WARFARIN 2 MG TABLET,250,,$6.44 ,$6.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305249,LOSARTAN (COZAAR) 50 MG TABLET,250,,$6.66 ,$6.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305250,CYANOCOBALAMIN (VIT B-12) TAB : 500 MCG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305251,CYANOCOBALAMIN (VIT B-12)INJ:1000MCG/1ML,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305252,CYCLOBENZAPRINE (FLEXERIL) TAB : 10MG,250,,$4.42 ,$4.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305253,CYCLOPHOSPHAMIDE TABS : 50MG,250,,$11.25 ,$11.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305254,cycloSPORINE (SANDIMMUNE) CAP : 25MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305255,CYCLOSPORINE CAP : 100MG,250,,$16.41 ,$16.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305256,CYCLOSPORINE INJ: 250MG/5ML,250,,$85.09 ,$85.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305257,CYPROHEPTADINE (PERIACTIN) TAB : 4MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305258,D10W 1000ML FLOOR STOCK IV FLUID,250,,$28.93 ,$28.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305259,D5 0.2NS 1000 ML (D5W 1/4NS LITER),250,,$75.97 ,$75.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305260,D5 0.45NS : 1000ML,250,,$47.37 ,$47.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305261,D5 0.45NS : 500ML +,250,,$15.85 ,$15.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305262,D5NS 1000 ML,250,,$63.38 ,$63.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305263,D5 LR : 1000ML,250,,$59.31 ,$59.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305264,D50W : 500ML PARTIAL FILL,250,,$59.31 ,$59.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305265,D5W : 1000ML,250,,$39.11 ,$39.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305266,D5W : 100ML,250,,$39.11 ,$39.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305267,D5W : 250ML,250,,$18.06 ,$18.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305268,D5W 500 ML (BAG OR BOTTLE),250,,$36.18 ,$36.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305269,D70W PARTIAL-FILL: 500ML,250,,$71.41 ,$71.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305270,DACRIOSE OPTH SOLN: 4OZ,250,,$10.93 ,$10.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305271,SODIUM HYPOCHLORITE 0.25%(HS)DAKINS 16OZ,250,,$28.36 ,$28.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305272,DANTROLENE CAP : 25MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305273,DDAVP: 4 MCG/ML SOLN 10 ML VIAL(SPRAY,250,,$525.23 ,$525.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305274,DEBROX OTIC DROPS (WAX REMOVAL AID),250,,$12.92 ,$12.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305275,DECLOMYCIN TAB : 300MG,250,,$57.58 ,$57.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305276,DEMADEX (TORSEMIDE) INJ 10MG/ML 5ML,250,,$28.29 ,$28.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305277,TORSEMIDE 20 MG TAB (DEMADEX),250,,$4.42 ,$4.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305278,DEMOCLOCYCLINE : 150MG,250,,$28.58 ,$28.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305279,MEPERIDINE (DEMEROL) INJ : 100MG,250,,$10.15 ,$10.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305280,MEPERIDINE INJ: 50 MG/ML,250,,$21.69 ,$21.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305281,DEPAKOTE ER TABS : 500MG,250,,$9.85 ,$9.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305282,DEPO-PROVERA 150 MG INJECTION,250,,$187.17 ,$187.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305283,DEPO-TESTOSTERONE 100MG/ML INJ: 1ML,250,,$17.92 ,$17.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305284,DESMOPRESSIN NASAL SPRAY:10MCG (DDAVP),250,,$518.50 ,$518.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305285,TOLTERODINE 2 MG,250,,$7.66 ,$7.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305286,DEXAMETHASONE(DECADRON)INJ:4MG/ML (1ML),250,,$3.98 ,$3.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305287,DEXAMETHASONE (DECADRON) 4 MG TAB,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305288,DEXAMETHASONE TABLET : 1MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305289,DEXTROAMPHETAMINE TAB : 5MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305290,DEXTROSE 50% ABBOJECT : 25GM/50ML,250,,$11.35 ,$11.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305291,DEXTROSE 50%/50 ML VIAL (FLOOR STOCK),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305292,DIAPER RASH OINTMENT: 120GM,250,,$11.23 ,$11.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305293,DIATX TABLETS,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305294,diazePAM (VALIUM) INJ 10MG/2ML : 2ML,250,,$9.17 ,$9.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305295,diazePAM (VALIUM) TAB : 10 MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305296,diazePAM (VALIUM) TAB : 2MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305297,diazePAM (VALIUM) TAB : 5MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305298,DICLOFENAC TAB : 50MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305299,DICLOXACILLIN SODIUM CAP : 250MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305300,DICYCLOMINE (BENTYL) TAB : 20MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305301,FLUCONAZOLE IV 400MG/200ML,250,,$641.70 ,$641.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305302,DIGIBIND INJ: 40MG,250,,"$2,742.76 ","$2,742.76 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305303,DIGOXIN(LANOXIN)LIQ 50MCG/ML 2.5ML UD,250,,$4.86 ,$4.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305304,DILANTIN (PHENYTOIN) INFATAB :50MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305305,PHENYTOIN (DILANTIN) 100 MG CAP,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305306,dilTIAZem (CARDIZEM) CD CAP : 240 MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305307,dilTIAZem 120 MG ER CAP (CARDIZEM),250,,$4.98 ,$4.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305308,CARBIDOP/LEVOD/ENTACAPONE 37.5/150/200,250,,$9.04 ,$9.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305309,dilTIAZem (TIAZAC) CAPSULE : 300MG,250,,$8.06 ,$8.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305310,dilTIAZem 25MG/5ML VIAL,250,,$13.60 ,$13.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305311,dilTIAZem 50MG/10ML VIAL,250,,$41.00 ,$41.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305312,DILTIAZEM CD CAP : 120MG NOT THIS ONE,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305313,dilTIAZem(CARDIZEM)TAB : 60MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305314,DIMENHYDRINATE(DRAMAMINE)TAB : 50MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305315,amLODIPine (NORVASC) TAB : 10MG,250,,$8.90 ,$8.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305316,diphenhydraAMINE (BENADRYL) CAP : 25MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305317,DIPHENHYDRAMINE 12.5MG/5ML (4OZ)BENADRYL,250,,$6.96 ,$6.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305318,DIPHENHYDRAMINE (BENADRYL) INJ : 50MG/ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305319,diphenhydrAMINE LIQ 10ML: 25 MG BENADRYL,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305320,DIPYRIDAMOLE(PERSANTINE)TAB: 75MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305321,DOBUTamine 250MG/250ML D5W (1000MCG/ML),250,,$36.54 ,$36.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305322,DOBUTamine INJ : 250MG/20ML VIAL,250,,$142.52 ,$142.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305323,DOCUSATE (COLACE) CAP : 100MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305324,DOCUSATE CAL : 240MG,250,,$30.67 ,$30.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305325,DOCUSATE LIQ (COLACE) : 100MG/10ML,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305326,DOCUSATE NA/SENNA CON CAP (PERICOLACE),250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305327,DOCUSATE SODIUM(PERI COLACE) SYRUP : 5ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305328,DONEPEZIL (ARICEPT) TAB : 5MG,250,,$19.61 ,$19.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305329,DOPAMINE 400 MG/250 ML PREMIX BAG,250,,$60.06 ,$60.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305330,DOPamine DOUBLE STRETH: 800MG/250ML D5W,250,,$234.09 ,$234.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305331,DOPamine INJ: 800 MG/5 ML VIAL,250,,$29.46 ,$29.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305332,DORZOLAMIDE (TRUSOPT) 2% OPTH SOL : 5ML,250,,$88.25 ,$88.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305333,DOXAZOSIN TAB : 2MG,250,,$56.37 ,$56.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305334,DOXCYCLINE (VIBRAMYCIN) CAP : 50MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305335,DOXEPIN (SINEQUAN) CAP : 10MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305336,DOXEPIN CAP 25MG (SINEQUAN),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305337,DOXEPIN (SINEQUAN) CAP : 50MG,250,,$3.18 ,$3.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305338,DOXEPIN (ZONALON) 5% CREAM : 30MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305339,DOXEPIN ORAL CONC:10MG/ML 120ML,250,,$55.46 ,$55.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305340,DOXYCYCLINE(VIBRAMYCIN)CAP : 100MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305341,DYNACIRC CAPS : 2.5MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305342,EFAVIRENZ (SUSTIVA) TAB : 600MG,250,,$46.94 ,$46.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305343,VENLAFAXINE (EFFEXOR) 37.5 MG TABLET,250,,$7.66 ,$7.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305344,VENLAFAXINE 75 MG TABLET (EFFEXOR),250,,$8.32 ,$8.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305345,VENLAFAXINE (EFFEXOR) 37.5 MG XR CAPS,250,,$11.51 ,$11.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305346,ELECTROLYTE LAVAGE (GOLYTELY) : 4000ML,250,,$77.95 ,$77.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305347,EMPTY EVAC CONTAINER : 1000ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305348,ENALAPRIL(VASOTEC)INJ: 1.25MG/1ML,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305349,ENALAPRIL(VASOTEC)TAB : 10MG,250,,$3.90 ,$3.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305350,ENALAPRIL(VASOTEC)TABLET : 5MG,250,,$3.70 ,$3.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305351,ENOXAPARIN (LOVENOX) INJ : 30MG/0.3ML,250,,$88.13 ,$88.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305352,ENOXAPARIN (LOVENOX) 40 MG/ 0.4 ML SYR,250,,$117.42 ,$117.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305353,ENOXAPARIN (LOVENOX) 100 MG/ML SYRINGE,250,,$293.94 ,$293.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305354,ENOXAPARIN(LOVENOX)INJ: 60MG,250,,$176.37 ,$176.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305355,EPHEDRINE INJ 50MG/1ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305356,EPI 1MG/250ML D5W,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305357,EPINEPHRine INJ : 1MG/ML,250,,$10.39 ,$10.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305358,EPINEPHRINE SYG : 1MG/10ML,250,,$9.41 ,$9.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305359,LAMIVUDINE (EPIVIR) 150 MG TABLET,250,,$15.95 ,$15.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305360,"EPOETIN ALPHA 10,000 UNITS PER VIAL",250,,$566.10 ,$566.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305361,"EPOETIN ALPHA INJ : 4,000 UNITS/ML",250,,$289.55 ,$289.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305362,ERGOCALCIF (VIT D-2) SOL : 8000U/ML60ML,250,,$383.94 ,$383.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305363,CHROMIUM PICOLINATE 200 MCG TAB,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305364,"ERGOCALCIFEROL (VITAMIN D2) CAP: 50,000U",250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305365,ERYTHROMYCIN (ERY-TAB) TAB : 250MG,250,,$5.51 ,$5.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305367,ERYTHROMYCIN INJ : 1 GM,250,,$51.21 ,$51.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305368,ERYTHROMYCIN INJ : 500MG,250,,$20.70 ,$20.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305369,ERYTHROMYCIN OPHTH OINTMENT,250,,$27.56 ,$27.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305370,ERYTHROMYCIN ORAL SUSP 400MG/5ML (4OZ),250,,$61.70 ,$61.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305371,ESTRADIOL(ESTRACE)TAB : 1MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305372,ETODOLAC(LODINE)TAB : 400MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305373,EUCERIN CREAM: 4OZ,250,,$15.38 ,$15.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305374,FAMOTIDINE (PEPCID) INJ : 20MG/2ML,250,,$6.87 ,$6.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305375,FAMOTIDINE (PEPCID) TAB : 20MG,250,,$6.30 ,$6.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305376,FAMVIR (FAMCICLOVIR) TAB : 500MG,250,,$29.63 ,$29.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305377,FELODIPINE (PLENDIL) TAB : 5MG,250,,$5.15 ,$5.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305378,FENOFIBRATE (TRICOR) TAB : 54MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305379,FENOFIBRATE (TRICOR) TABLET : 160MG,250,,$962.15 ,$962.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305380,fentaNYL (DURAGESIC) PATCH : 100 MCG/HR,250,,$225.19 ,$225.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305381,fentaNYL (DURAGESIC) PATCH : 25 MCG/HR,250,,$60.84 ,$60.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305382,fentaNYL (DURAGESIC) PATCH : 50 MCG/HR,250,,$95.51 ,$95.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305383,fentaNYL (DURAGESIC) PATCH : 75 MCG/HR,250,,$169.75 ,$169.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305384,FERRLECIT AMP: 12.5 MG/ML 5 ML,250,,$130.68 ,$130.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305385,FERROUS GLUCONATE TAB:325MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305386,FERROUS SULFATE ELIXIR 300MG/5ML UD CUP,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305387,FERROUS SULFATE TAB : 325MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305388,FEXOFENADINE (ALLEGRA) TAB 180 MG,250,,$10.72 ,$10.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305389,FLAVOXATE (URISPAS) TAB : 100MG,250,,$5.28 ,$5.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305390,FLECAINIDE (TAMBOCOR) TAB : 50MG,250,,$5.77 ,$5.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305391,FLEET ENEMA 4.5 OZ,250,,$11.58 ,$11.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305392,FLONASE NASAL SPRAY : 50MG,250,,$207.41 ,$207.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305393,FLUDROCORTISONE 0.1 MG TAB (FLORINEF),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305394,FLUTICASONE PRO.(FOLVENT) 110 MCG/INHAL,250,,$272.29 ,$272.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305395,FLUTICASONE PRO. (FLOVENT) 220 MCG INH.,250,,$380.17 ,$380.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305396,FLUTICASONE PRO.(FLOVENT) 44 MCG INHALER,250,,$193.73 ,$193.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305397,FLOXIN OTIC DROPS:0.3% 10ML,250,,$218.31 ,$218.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305398,FLUCONAZOLE (DIFLUCAN) TAB : 100MG,250,,$31.83 ,$31.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305399,FLUCONAZOLE (DIFLUCAN)TAB : 200MG,250,,$42.10 ,$42.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305400,FLUCONAZOLE IV 200MG/100ML,250,,$135.66 ,$135.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305401,FLUMAZENIL (ROMAZ) INJ : 0.1MG/ML 5ML,250,,$374.69 ,$374.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305402,FLUNISOLIDE (AEROBID) INH : 7 GM,250,,$233.80 ,$233.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305403,FLUoxetine(PROZAC)CAP : 20MG,250,,$9.92 ,$9.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305404,FLUOXETINE(PROZAC)LIQ: 20 MG/5 ML,250,,$11.14 ,$11.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305405,FLUTICASONE (FLONASE) NASAL SPRAY 50MCG,250,,$302.55 ,$302.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305406,FOLIC ACID INJ : 5MG/ML 1ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305407,FOLIC ACID TAB : 1MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305408,DULoxetine(CYMBALTA) HCL 20 MG CAP,250,,$12.21 ,$12.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305409,cefTAZidime(FORTAZ) 1GM VIAL,250,,$51.49 ,$51.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305411,ALENDRONATE (FOSAMAX) 70 MG TAB,250,,$55.61 ,$55.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305412,FOSCAVIR(FOSCARNET NA)INJ: 24MG/ML,250,,$463.67 ,$463.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305413,FOSPHENYTOIN 500MG PE VIALS 10 ML,250,,$325.54 ,$325.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305414,FUNGIZONE 50MG INJECTION,250,,$74.02 ,$74.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305415,FUROSEMIDE(LASIX)SOL 40MG/4ML,250,,$5.86 ,$5.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305416,GATIFLOXACIN (TEQUIN) VIAL: 400MG/40ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305417,GENGRAF (CYCLOSPORINE) CAP : 25MG,250,,$4.13 ,$4.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305418,GENTAMICIN: 80 MG/2 ML VIAL,250,,$5.24 ,$5.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305419,GENTAMICIN(GARAMYCIN)OPTH OINT : 3.5GM,250,,$71.17 ,$71.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305420,GENTAMYCIN OPTH SOLN 0.3% : 5ML,250,,$24.78 ,$24.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305421,CENTRUM VITAMIN LIQUID (CEROVITE),250,,$28.93 ,$28.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305422,glipiZIDE (GLUCOTROL) TAB : 10MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305423,glipiZIDE (GLUCOTROL) TAB : 5MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305424,glipiZIDE XL (GLUCOTROL XL) TAB : 5 MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305425,GLUCAGON INJ : 1MG,250,,"$1,122.10 ","$1,122.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305426,GLUCERNA,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305427,GLUCOSE CHEWABLE TABS : 5GM,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305428,GLYBURIDE TAB : 2.5MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305429,glyBURIDE(DIABETA)TAB : 5MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305430,GLYCERIN SUPPOSITORY ADULT,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305431,GLYCOPYRROLATE (ROBINUL) INJ :0.2MG/ML,250,,$23.09 ,$23.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305432,GOLD BOND POWDER MEDICATED 4 OZ.,250,,$10.34 ,$10.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305433,GUAIFENESIN 200 MG/10 ML,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305434,guaiFENesin & DEXTROMETHORPHAN PER 4 OZ,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305435,GUANABENZ (WYTENSIN) TAB : 4MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305436,guanFACINE (TENEX) TAB : 1MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305437,HALDOL DECANOATE 50MG/ML MDV,250,,$671.66 ,$671.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305438,HALOPERIDOL (HALDOL) INJ : 5MG/ML,250,,$41.74 ,$41.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305439,HALOPERIDOL DECANOATEINJ: 100MG/ML,250,,$115.47 ,$115.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305440,HALOPERIDOL(HALDOL)2MG/1ML LIQ:5ML,250,,$5.31 ,$5.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305441,HALOPERIDOL(HALDOL)TAB : 1MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305442,HALOPERIDOL(HALDOL)TAB : 2MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305443,HALOPERIDOL(HALDOL)TAB : 5MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305444,HEMATINIC VIT(FOLTRIN)CAP,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305445,HEMOCYTE TAB:,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305446,HEPARIN DRIP: 25OOO UNITS/250 D5W PREMIX,250,,$27.11 ,$27.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305447,HEPARIN FLUSH : 10 UNITS PER ML 3ML,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305448,HEPARIN 100 UNITS/ML DO NOT USE-USE NSF,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305449,"HEPARIN INJ: 1,000U/ML 10ML",250,,$4.25 ,$4.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305450,"HEPARIN SODIUM INJ : 1,000U/ML",250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305451,HEPARIN SODIUM 5000 UNIT /ML VIAL,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305452,HEPATAMINE 8% SOLN: 500ML,250,,$264.66 ,$264.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305453,HESPAN (HETASTARCH) IV:500ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305454,HOME MED'S,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305455,NOVOLOG 75/25 PER UNIT (HumaLOG75/25),250,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305456,HUMULIN 50/50 INSULIN : 10ML +,250,,$0.18 ,$0.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305457,HUMULIN R 500U/ML CONC NOT STOCKED !!,250,,$666.79 ,$666.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305458,HUMULIN U INSULIN : 10ML,250,,$80.68 ,$80.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305459,BENZOCAINE (HURRICAINE) SPRAY : 60ML,250,,$93.60 ,$93.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305460,hyDRALAzine INJ 20MG/ML (APRESSOLINE),250,,$54.28 ,$54.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305461,hyDRALAzine TAB : 10MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305462,hyDRALAzine TAB : 25MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305463,HYDREA (HYDROXYUREA) CAP: 500MG,250,,$3.94 ,$3.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305464,hydroCLOROthiazide TABLET : 25MG,250,,$4.07 ,$4.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305465,HYDROcodone/APAP (NORCO) 10 MG/325 MG,250,,$4.07 ,$4.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305466,HYDROCODONE/APAP (LORTAB) 5 MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305467,HYDROCORTISONE (SOLU CORTEF) INJ : 250MG,250,,$16.21 ,$16.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305468,HYDROCORTISONE (SOLU-CORTEF) INJ : 100MG,250,,$9.17 ,$9.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305469,HYDROCORTISONE CR 1% : 30GM,250,,$8.36 ,$8.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305470,HYDROCORTISONE ENEMA : 100MG/60ML +,250,,$29.63 ,$29.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305471,HYDROCORTISONE TAB : 20MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305472,HYDROCORTISONE VAL (WESTCORT) 0.2% : CR,250,,$41.79 ,$41.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305473,FERROUS FUMARATE (FERRO-SEQUELS) 50MG,250,,$10.86 ,$10.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305474,HYDROmorphone INJ : 4MG,250,,$7.82 ,$7.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305475,HYDROmorphone INJ: 2MG/ML,250,,$4.98 ,$4.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305476,HYDROmorphone TAB : 2MG,250,,$7.23 ,$7.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305477,HYDROMORPHONE(DILAUDID) PCA : 30MG/30ML,250,,$61.53 ,$61.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305478,HYDROXYCHLOROQUINE TAB : 200MG,250,,$9.12 ,$9.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305479,HYDROXYZINE SYR 10MG/5ML 5ML +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305480,HydrOXYzine (VISTARIL) 25 MG TAB,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305481,hydrOXYzine (VISTARIL) 50MG/ML (2ML VIAL,250,,$80.52 ,$80.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305482,HYDROXYZINE (VISTARIL)SUS:25MG/5ML PERML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305483,HydrOXYzine HCL TAB : 10MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305484,hyDROXYzine HCL TAB : 25MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305485,HYDROXYZINE HCL: 25 MG/ML SOLN 1 ML S,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305486,HYOSCYAMINE ER TAB: 0.375MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305487,HYPOTEARS OPTH OINT : 3.5GM +,250,,$37.42 ,$37.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305488,TERAZOSIN (HYTRIN) 1 MG CAPSULE,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305489,TERAZOSIN CAP 2MG (HYTRIN),250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305490,TERAZOSIN CAP 5MG (HYTRIN),250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305491,HYOSCYAMINE TAB : 0.15 MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305492,IBUPROFEN TAB : 200MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305493,IBUPROFEN SUSP: 100MG/5ML 5ML UD,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305494,IBUPROFEN(MOTRIN)TAB: 400MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305495,IBUPROFEN(MOTRIN)TABLETS : 800MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305496,IBUTILIDE INJ : 0.1MG/ML 10ML +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305497,ICAR-C PLUS,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305498,ISOSORBIDE MONONITRATE 60 MG (IMDUR),250,,$4.34 ,$4.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305499,IMDUR(ISOSORBIDE MONO)TAB : 30MG,250,,$4.05 ,$4.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305500,IMIPRAMINE (TOFRANIL) PM CAP : 125MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305501,IMIPRAMINE (TOFRANIL) PM CAP : 150MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305502,IMIPRAMINE (TOFRANIL) PM CAP : 75MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305503,IMIPRAMINE (TOFRANIL) TAB : 10MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305504,IMIPRAMINE (TOFRANIL) TAB : 50MG,250,,$4.42 ,$4.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305505,IMIPRAMINE PM (TOFRANIL) CAP : 100MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305506,IMITREX (SUMATRIPTAN) INJ : 6MG/0.5ML,250,,$628.62 ,$628.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305507,SUMATRIPTAN (IMITREX) TAB : 25MG,250,,$80.37 ,$80.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305508,IMITREX (SUMATRIPTAN)NASAL INHALER,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305509,IMMU GLOBULIN (IVIG) PER GRAM,250,,$344.51 ,$344.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305510,IMMUNE GLOBULIN (SANDOGLOBULIN) INJ: 6GM,250,,"$1,736.29 ","$1,736.29 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305511,IMODIUM (LOPERAMIDE) AD CAPLET:,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305512,IMPRAMINE (TOFRANIL) TAB : 25MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305513,IMURAN (azaTHIOprine) : 50MG,250,,$3.94 ,$3.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305514,INAPSINE(DROPERIDOL) INJ:2.5MG/ML 2ML,250,,$16.10 ,$16.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305515,PROPRANOLOL (INDERAL) 20 MG TAB,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305516,INDERAL (PROPRANOLOL) INJ 1MG/ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305517,INDERAL (PROPRANOLOL) LA CAP : 60MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305518,INDERAL (PROPRANOLOL) TAB : 80MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305519,INDOMETHACIN (INDOCIN) CAP : 25MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305520,IRON DEXTRAN (INFED) 100 MG/2 ML VIAL,250,,$136.36 ,$136.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305521,INFLUENZA VIRUS VACCINE PER DOSE,250,,$72.35 ,$72.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305522,INTAL (CROMOLYN) INHALER :,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305523,INTAL (CROMOLYN) NEB SOL : 20MG/2ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305524,INTERFERON B-1A INJ : 30 MCG,250,,"$1,441.28 ","$1,441.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305525,INTRON-A (INTERFERON ALFA-2B) INJ : 5MIU,250,,"$1,104.56 ","$1,104.56 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305526,ERTAPENEM (INVanz) 1 GM VIAL,250,,$212.91 ,$212.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305527,IODOFLEX PAD: 5GM,250,,$18.53 ,$18.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305528,IODOSORB GEL DRESSING: 40GM,250,,$136.75 ,$136.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305529,IOPIDINE (APRACLONIDIN)OPTH S0L 0.5%:5ML,250,,$131.78 ,$131.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305530,"IOPIDINE OPHTH SOLN 0.5% {0.5%, SOLUTION",250,,$222.88 ,$222.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305531,IPRATROPBROM 0.06% NASAL SPRAY,250,,$133.38 ,$133.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305532,IPRATROPIUM INH SOLN: 2.5ML,250,,$3.94 ,$3.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305533,ISOSORBIDE MONONITRATE 20 MG TAB (ISMO),250,,$0.35 ,$0.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305534,ISONIAZID (INH) TAB : 100MG +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305535,ISONIAZID (INH) TAB : 300MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305536,ISOPTO ATROPINE OPTH SOL 1% : 5ML +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305537,ISOPTO CARPINE OPTH SOL 1% : 15ML +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305538,ISOPTO CARPINE OPTH SOL 2% : 15ML +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305539,ISOSORBIDE DINITRATE 20 MG TAB,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305540,ISORDIL (ISOSORBIDE) ORAL TAB : 5MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305541,ISOSORBIDE DINITRATE 40 MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305542,ISOVUE 250 50ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305543,ISOXSUPRINE (VASODILAN) TAB : 10MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305544,ISUPREL(ISOPROTERENOL)ABBOJECT : 1MG/5ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305545,IRON SUCROSE INJ 100 MG/ 5ML (VENOFER),250,,$248.73 ,$248.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305546,IVPB,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305548,POTASSIUM 10 MEQ CAP OR TAB,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305549,POTASSIUM 20 MEQ TAB (K-DUR),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305550,K-PHOS (PHOSPHORUS) NEUTRAL TAB +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305551,KAOPECTATE = PEPTOBISMOL (BISMUTH) 30 ML,250,,$16.15 ,$16.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305552,KAYEXALATE ENEMA : 30GM/120ML +,250,,$71.17 ,$71.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305553,SODIUM POLSTRINE (KAYEXALATE) 15GM/60ML,250,,$31.31 ,$31.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305554,CEPHALEXIN (KEFLEX) CAP : 250MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305555,KEFLEX (CEPHALEXIN) CAP : 500MG,250,,$4.98 ,$4.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305556,LEVETIRACETAM 500 MG TABLET,250,,$9.69 ,$9.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305557,KETAMINE 50MG/ML INJ: 10ML,250,,$30.53 ,$30.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305558,KETOROLAC (TORADOL) INJ :30MG/ML,250,,$11.56 ,$11.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305559,KETOROLAC TAB : 10MG,250,,$179.11 ,$179.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305560,clonazePAM (klonoPIN) 0.5 MG TAB,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305561,PAPAVERIN/UREA OINT.(KOVIA/ACCUZYME)EQU.,250,,$161.41 ,$161.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305562,LABETALOL(NORMODYNE)SYR:20MG/4ML,250,,$14.45 ,$14.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305563,AMLACTIN 12% LOTION(LACTIC ACID),250,,$47.51 ,$47.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305564,LACRI-LUBE OPTH OINT : 3.5GM,250,,$11.56 ,$11.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305565,LACTATED RINGERS: 1000ML,250,,$28.12 ,$28.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305566,LACTOBACILLIS ACIDOPHILUS TABS/OR CAPS,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305567,LACTULOSE SYRUP : 30ML (20 GM/ 30 ML),250,,$8.50 ,$8.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305568,lamoTRIgine (LaMICTal) 100 MG TABS,250,,$15.25 ,$15.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305569,LAMISIL CREAM 1%,250,,$177.44 ,$177.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305570,DIGOXIN (LANOXIN) 0.5MG/2 ML INJ,250,,$10.86 ,$10.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305571,DIGOXIN (LANOXIN) 0.125 MG TAB,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305572,DIGOXIN 0.25 MG TAB (LANOXIN),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305573,LANTUS INSULIN PER UNIT (IN MED DISP),250,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305574,FUROSEMIDE (LASIX) 100 MG VIAL (10ML),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305575,FUROSEMIDE (LASIX) 40 MG VIAL (4 ML),250,,$5.21 ,$5.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305576,FUROSEMIDE (LASIX) 20 MG VIAL,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305577,FUROSEMIDE (LASIX) 20 MG TABLET,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305578,FUROSEMIDE (LASIX) TAB : 40MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305579,LATANOPROST (XALATAN) OS 0.005%: 2.5ML,250,,$244.45 ,$244.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305580,LATANOPROST(XALATAN) 0.005% SOLN:2.500ML,250,,$177.30 ,$177.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305581,LEUKINE (SARGRAMOSTIM) INJ : 250MCG +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305582,LEVOFLOXACIN (LEVAQUIN) 250 MG TAB,250,,$39.08 ,$39.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305583,LEVOFLOXACIN (LEVAQUIN)250MG/50ML PREMIX,250,,$82.65 ,$82.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305584,LEVOFLOXACIN (LEVAQUIN) 500 MG PREMIX IV,250,,$165.16 ,$165.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305585,LEVOFLOXACIN (LEVAQUIN) 500 MG TAB,250,,$46.46 ,$46.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305586,LEVOPHED 1MG/ML INJ 4 ML AMP (4 MG AMP),250,,$26.05 ,$26.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305588,LEVOTHYROXINE 125 MCG TABLET,250,,$4.14 ,$4.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305589,LEVOTHYROXINE INJ : 200MCG,250,,$27.11 ,$27.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305590,LEVOTHYROXINE 0.025MG TAB,250,,$4.14 ,$4.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305591,LEVOTHYROXINE 0.05MG TABS,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305592,LEVOTHYROXINE 75 MCG,250,,$4.14 ,$4.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305593,LEVOTHYROXINE TAB : 0.088MG,250,,$4.14 ,$4.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305594,LEVOTHYROXINE 100MCG TABS,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305595,LEVOTHYROXINE TAB : 0.112MG,250,,$4.14 ,$4.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305596,LEVOTHYROXINE TAB : 0.150MG,250,,$4.14 ,$4.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305597,LEVOTHYROXINE 175 MCG TAB,250,,$4.14 ,$4.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305598,LEVOTHYROXINE TAB : 0.200MG,250,,$4.14 ,$4.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305599,LEVOTHYROXINE TAB : 0.300MG,250,,$4.14 ,$4.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305600,LEVOTHYROXINE ORAL LIQ: 5ML,250,,$6.09 ,$6.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305601,LEVSIN (HYOSCYAMINE) SL TAB : 0.125MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305602,ESCITALOPRAM 10 MG TAB (LEXAPRO),250,,$9.63 ,$9.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305603,LIDOCAINE (XYLOCAINE) JELLY 2% : 5ML +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305604,LIDOCAINE (XYLOCAINE) 4% TOP SOL : 50ML,250,,$27.82 ,$27.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305605,LIDOCAINE (XYLOCAINE) INJ 0.5% : 50ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305606,LIDOCAINE (XYLOCAINE) INJ 0.5% : 50MLSDV,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305607,LIDOCAINE (XYLOCAINE) INJ 1% : 20ML MDV,250,,$7.43 ,$7.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305608,LIDOCAINE (XYLOCAINE) INJ 2% : 10ML SDV,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305609,LIDOCAINE (XYLOCAINE) INJ 2% : 20ML MDV,250,,$8.36 ,$8.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305610,LIDOCAINE (XYLOCAINE) INJ 2% : 50ML MDV,250,,$23.14 ,$23.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305611,LIDOCAINE (XYLOCAINE) JELLY 2% : 30ML,250,,$62.58 ,$62.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305612,LIDOCAINE (XYLOCAINE) OINT 2.5% : 35GM,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305613,LIDOCAINE (XYLOCAINE) CREAM 5% : 35GM,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305614,LIDOCAINE (XYLOCAINE) VISCOUS 2% : 100ML,250,,$12.38 ,$12.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305615,LIDOCAINE .5% (XYLOCAINE) INJ: 50ML MDV,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305616,LIDOCAINE 1% W/EPI INJ : 20ML MDV,250,,$9.43 ,$9.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305617,LIDOCAINE 1% W/EPI INJ : 30ML SDV,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305618,LIDOCAINE 2% ABBOJECT 100MG/5ML,250,,$6.39 ,$6.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305619,LIDOCAINE 2% W/EPI INJ : 20ML SDV,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305620,LIDOCAINE DRIP 4MG/ML (2GM/500ML),250,,$110.23 ,$110.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305621,LIDOCAINE JELLY 2% : 30ML,250,,$62.58 ,$62.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305622,LIDOCAINE W/EPINEPHRINE 2% INJ: 20ML MDV,250,,$43.15 ,$43.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305623,LIDOCAINE(XYLOCAINE) 1% VIAL,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305624,LIDODERM PATCH 5%: EA,250,,$21.63 ,$21.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305625,LIMBITROL TAB 5/12.5MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305626,LINEZOLID (ZYVOX) 600 MG PREMIX IV BAG,250,,$379.83 ,$379.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305627,LINEZOLID (ZYVOX) SUSP: 100MG/5ML,250,,"$1,645.88 ","$1,645.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305628,LINEZOLID (ZYVOX) TAB : 600MG,250,,$279.78 ,$279.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305629,BACLOFEN (LIORESAL)INTRATHECAL 50MCG INJ,250,,$434.08 ,$434.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305630,BACLOFEN (LIORESAL) 10 MG TABLET,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305631,LIOTHYRONINE(CYTOMEL)TAB: 0.05MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305632,ATROVASTATIN (LIPITOR) 10 MG TABLET,250,,$11.59 ,$11.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305633,LIPOSYN II 10%: 500ML,250,,$63.66 ,$63.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305634,LIPOSYN III 20%: 500ML,250,,$214.38 ,$214.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305635,"LISINOPRIL (ZESTRIL,PRINIVIL)20 MG TAB",250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305636,LISINOPRIL (ZESTRIL PRINIVIL) TAB : 5MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305637,LISINOPRIL(PRINVIL)TAB: 10MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305638,LOMOTIL LIQ,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305639,LOMOTIL TAB 2.5 MG (DIPHENOX/ATROPINE),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305640,LOPERAMIDE(IMODIUM AD)SOL 2MG/10ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305641,LOPERAMIDE(IMODIUM)CAPS : 2MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305642,GEMFIBROZIL(LOPID) 600 MG TAB,250,,$3.98 ,$3.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305643,METOPROLOL 5 MG/5 ML AMP (1 MG/ML),250,,$7.53 ,$7.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305644,METOPROLOL (LOPRESSOR) 50 MG TAB,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305645,LORAZEPAM (ATIVAN) TAB : 0.5MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305646,LORAZEPAM (ATIVAN) TAB : 1MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305647,LORAZEPAM 4MG/ML INJ: 10ML (ATIVAN),250,,$11.93 ,$11.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305648,LORCET PLUS 7.5MG/650MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305649,BENAZEPRIL (LOTENSIN) 10 MG TAB,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305650,LOTREL 2.5/10 CAPSULE,250,,$8.24 ,$8.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305651,LOTRIMIN (CLOTRIMAZOLE) AF CR : 30GM,250,,$58.17 ,$58.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305652,LOTRISONE CR 45 GM(CLOTRIMAZOLE/BETAMET),250,,$149.65 ,$149.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305653,LOW OSMOLAR CONTRAST 300: 100ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305654,LOZOL (INDAPAMIDE) TAB : 1.25 MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305655,LUBRIDERM S/S LOTION,250,,$6.99 ,$6.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305656,LUMIGAN OPTH SOL 0.03%: 2.5 ML,250,,$504.74 ,$504.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305657,FLUVOXAMINE (LUVOX) 50 MG TAB,250,,$9.34 ,$9.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305658,LV-COMP,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305659,LV-NON-COMP,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305660,MAALOX EXTRA STRENGTH TAB,250,,$4.33 ,$4.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305661,MACROBID (NITROFURANTION) CAP : 100MG,250,,$6.82 ,$6.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305662,MAG TAB (SLOW-MAG) 64 MG TABLETS,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305663,MAG OX TAB : 400MG,250,,$5.77 ,$5.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305664,MAGNESIUM CITRATE 300ML,250,,$4.58 ,$4.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305666,MAGNESIUM SULFATE 50% 1GM/2ML VIAL,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305667,MAGNESIUM SULFATE 1 GM/100 D5W PREMIX IV,250,,$24.90 ,$24.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305668,MANNITOL INJ 25%: 12.5GM/50ML,250,,$4.42 ,$4.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305669,MARCAINE(BUPIVICAINE)INJ: 0.5% 30ML,250,,$210.75 ,$210.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305670,MARINOL (DRONABINOL) : 2.5MG,250,,$13.97 ,$13.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305671,MAXAIR (PIRBUTEROL) INHALER +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305674,CEFEPIME (MAXIPIME) 1 GM VIAL,250,,$77.14 ,$77.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305675,CEFEPIME (MAXIPIME) 2 GM VIAL,250,,$153.02 ,$153.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305676,MAXZIDE TAB 75MG/50MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305677,MAXZIDE-25 TAB 37.5MG/25MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305678,MECLIZINE TAB : 25MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305679,MEDROXYPROGESTERONE TABLET : 2.5MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305680,MEDROXYPROGESTERONE(PROVERA)TAB : 10MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305681,MEGESTROL ACETATE( MEGACE) TAB : 40MG,250,,$3.90 ,$3.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305682,MEGACE(MEGESTROL)SUSP 40MG/ML 10ML,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305683,MELLARIL (THIORIDAZINE) TAB : 10MG +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305684,MELLARIL (THIORIDAZINE) TAB : 15MG +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305685,MELLARIL (THIORIDAZINE) TAB : 25MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305686,MELLARIL (THIORIDAZINE) TAB : 50MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305687,MEPERIDINE 75 MG INJ,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305689,MEPERIDINE INJ: 25MG/ML,250,,$4.27 ,$4.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305690,MEPERIDINE TAB : 50MG,250,,$5.77 ,$5.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305691,MEPHYTON (PHYTONADIONE) TAB : 5MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305692,MEPRON(ATOVAQUONE)SUSP: 5ML,250,,$53.33 ,$53.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305693,MEROPENEM 1 GM/NS 100ML,250,,$165.58 ,$165.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305694,MEROPENEM: 1GM,250,,$173.79 ,$173.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305695,MESALAMINE (ROWASA) ENEMA : 4MG/6OML,250,,$468.22 ,$468.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305696,MESALAMINE TAB : 400MG,250,,$3.98 ,$3.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305697,MESALAMINE (ROWASA)RECTAL SUSP : 4G/60ML,250,,$66.93 ,$66.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305698,PYRIDOSTIGMINE (MESTINON) TAB :60MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305699,METAMUCIL POWDER : PKT,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305700,METAPROTERENOL INH SOL 0.6% : UD +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305701,METAPROTERENOL INH SOL 5% : 10ML +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305702,METAPROTERENOL INHALER +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305703,METFORMIN (GLUCOPHAGE) TAB : 500MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305704,METFORMIN (GLUCOPHAGE) TAB : 850MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305705,METHADONE TABLET : 10MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305706,METHIMAZOLE (TAPAZOLE) TAB : 10MG,250,,$4.34 ,$4.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305707,METHIMAZOLE (TAPAZOLE) TAB : 5MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305708,METHOCARBAMOL (ROBAXIN) TAB : 500MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305709,METHOCARBAMOL (ROBAXIN) TAB : 750MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305710,METHOTREX (RHEUMATREX) TAB : 2.5MG 4X3,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305711,METHOTREXATE TAB : 2.5 MG,250,,$10.93 ,$10.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305712,METHYLCELLULOSE POWDER : 19GM PKT,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305713,METHYLDOPA INJ 250MG/5ML,250,,$9.04 ,$9.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305714,METHYLDOPA 500 MG TAB,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305715,METHYLPHENIDATE (RITALIN) TAB : 10MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305716,METHYLPHENIDATE(RITALIN)TAB : 5MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305717,methylPREDNISolone NA SUCC 40MG/ML VIAL,250,,$7.53 ,$7.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305718,methylPREDNISolone 4MG DOSEPAK (6 DAYS),250,,$33.92 ,$33.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305719,METHYLPREDNISOLONE INJ 40MG/ML,250,,$6.99 ,$6.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305720,methylPREDNISolone INJ 125MG PER 2 ML,250,,$15.78 ,$15.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305721,METHYLPREDNISONE (SOLU MEDROL) INJ : 1GM,250,,$79.75 ,$79.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305722,methylPREDNISone (SOLU MEDROL) INJ:500MG,250,,$53.72 ,$53.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305723,METOCLOPRAMIDE(REGLAN) 10MG/2ML INJ,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305724,METOCLOPRAMIDE (REGLAN) TAB : 10MG,250,,$8.04 ,$8.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305725,METOCLOPRAMIDE (REGLAN)SOL: 10MG/10ML,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305726,METOLAZONE (ZAROXOLYN) TAB : 2.5MG,250,,$5.01 ,$5.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305727,METOLAZONE (ZAROXOLYN) TAB : 5MG,250,,$7.43 ,$7.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305728,METOPROLOL (LOPRESSOR) TAB : 100MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305729,METOPROLOL (TOPROL XL) TAB : 25MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305730,METOPROLOL LIQ: 2.5MG/ML 10ML,250,,$4.58 ,$4.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305731,METRO-CREAM (METRONIDAZOLE) 0.75% :45GM,250,,$275.61 ,$275.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305732,METROGEL (METRONIDAZOLE)VAG GEL : 70GM +,250,,$275.61 ,$275.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305733,METRONIDAZOLE (FLAGYL) 500 MG IVPB,250,,$20.70 ,$20.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305734,METRONIDAZOLE (FLAGYL) TAB : 250MG,250,,$4.14 ,$4.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305735,METHYLTESTOSTERONE CAP : 10MG +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305736,CALCITONIN (MIACALCIN) NASAL SPRAY,250,,$198.80 ,$198.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305737,MICON/ZINC OINTMENT:120 GM,250,,$21.28 ,$21.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305738,MICONAZOLE CREAM: 30GM,250,,$14.59 ,$14.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305739,MICRONASE (GLYBURIDE) TAB : 2.5MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305740,MIDAZOLAM(VERSED)10 ML NOT IN MD,250,,$82.08 ,$82.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305741,MIDRIN CAP +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305742,MILK OF MAGNESIA SUSP: 30ML UD,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305743,MILK OF MAGNESIA/CASC SUSP UD,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305744,MILRINONE(PRIMACOR)PREMIX: 20MG/100ML,250,,$298.25 ,$298.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305745,MINERAL OIL: 30ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305746,MINIPRESS (PRAZOSIN) CAP : 1MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305747,MINIPRESS (PRAZOSIN) CAP : 2MG +,250,,$5.17 ,$5.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305748,MINOCIN (MINOCYCLINE) CAP : 50MG,250,,$5.01 ,$5.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305749,MINOCIN (MINOCYCLINE) INJ 100MG,250,,$140.22 ,$140.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305750,MINOCYCLINE PELLET-FILLED CAP : 100MG,250,,$6.99 ,$6.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305751,MINOXIDIL (LONITEN) 10 MG TAB,250,,$7.60 ,$7.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305752,MIRALAX 17GM (POLYETHYLENE GLYCOL),250,,$7.66 ,$7.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305753,PRAMIPEXOLE (MIRAPEX)0.125 MG TAB,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305754,PRAMIPEXOLE 0.25 MG TAB (MIRAPEX),250,,$5.15 ,$5.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305755,MIRTAZAPINE (REMERON) TAB : 15MG,250,,$3.98 ,$3.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305757,MISOPROSTOL(CYTOTEC)TAB 200MCG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305758,MOMETASONE 0.1% LOTION (ELOCON),250,,$126.09 ,$126.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305759,MONISTAT (MICONAZOLE) 3 VAG CREAM,250,,$68.92 ,$68.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305760,MONISTAT (MICONAZOLE) 7 VAG CR : 1.59 OZ,250,,$33.43 ,$33.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305761,MONISTAT (MICONAZOLE) 7 VAG SUPP,250,,$41.89 ,$41.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305762,MONOPRIL (FOSINOPRIL) TAB 10MG,250,,$4.25 ,$4.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305763,MONTELUKAST (SINGULAIR) TAB : 10MG,250,,$3.75 ,$3.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305764,"MORPHINE INJ : 4MG/ML, 1 ML VIAL",250,,$4.21 ,$4.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305765,"MORPHINE INJ : 2MG/ML, 1 ML VIAL",250,,$4.05 ,$4.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305766,"MORPHINE INJ :10 MG/ML, 1 ML VIAL",250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305767,MORPHINE ORAL SOL 10MG/5ML,250,,$5.16 ,$5.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305768,MORPHINE 100 MG ADV (MUST ADD TO 100 NS),250,,$42.53 ,$42.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305769,MORPHINE 1MG/ML PFS FOR PCA PUMP 30ML,250,,$454.36 ,$454.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305770,MORPHINE SULFATE ER TAB : 15MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305771,MOTRIN (IBUPROFEN) TAB : 600MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305772,MORPHINE ER 100 MG TAB,250,,$20.76 ,$20.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305773,MORPHINE ER TAB 15 MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305774,MORPHINE ER TAB 30 MG (MS CONTIN),250,,$6.14 ,$6.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305775,MORPHINE ER 60 MG TAB (MS CONTIN),250,,$12.02 ,$12.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305776,MSIR 20MG/1ML CONC: 1ML,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305777,guaiIFENesin (MUCINEX) LA TAB : 600 MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305778,ACETYLCYSTEINE SOL 20% : 30ML (MUCOMYST),250,,$35.22 ,$35.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305779,ACTEYLCYSTINE (MUCOMYST) 4 ML VIAL 10%,250,,$19.24 ,$19.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305780,MULTIVITAMIN (THERAPEUTIC VITAMIN) TAB,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305781,MUPIROCIN OINT.(BACTROBAN) 1GM UD TUBE,250,,$5.51 ,$5.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305782,MUPIROCIN CREAM 2% 30GM TUBE NOT STOCKED,250,,$264.12 ,$264.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305783,MUPIROCIN OINTMENT 22GM,250,,$162.26 ,$162.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305784,MVI-12 INJ : 10ML,250,,$35.00 ,$35.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305785,MYAMBUTOL (ETHAMBUTOL) TAB : 100MG +,250,,$13.78 ,$13.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305786,MYAMBUTOL (ETHAMBUTOL) TAB : 400MG,250,,$13.78 ,$13.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305787,CLOTRIMAZOLE (MYCELEX) TROCHE : 10MG,250,,$6.22 ,$6.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305788,MYCOLOG OINT : 15GM +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305789,MYCOSTATIN (NYSTATIN) VAG TAB PER BOX 15,250,,$152.78 ,$152.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305790,ALUMINUN HYD/MAG HYD(ALAMAG),250,,$8.83 ,$8.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305791,MYLANTA DOUBLE STRENGTH TAB,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305792,SIMETHICONE (MYLICON) TAB : 80MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305793,"MYOBLOC INJ: 10,000 U",250,,"$3,445.46 ","$3,445.46 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305794,MYSOLINE (PRIMIDONE) TAB : 50MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305795,NABUMETONE (RELAFEN) TAB : 500MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305796,NADOLOL TAB 40 MG,250,,$4.14 ,$4.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305797,NADOLOL TAB : 80MG +,250,,$512.57 ,$512.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305800,NAFCILLIN INJ: 1GM,250,,$39.42 ,$39.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305801,NAFCILLIN SODIUM VL: 2GM,250,,$72.78 ,$72.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305802,SOD. CHLORIDE OPT. SOLUTION 5% (15ML),250,,$43.85 ,$43.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305803,NALFON (FENOPROFEN) CAP : 300MG +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305804,NALFON (FENOPROFEN) TAB : 600MG +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305805,MEMANTINE (NAMENDA) 10 MG,250,,$19.68 ,$19.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305806,NAPROXEN TAB 250 MG TAB,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305807,NARCAN (NALOXONE) INJ : 0.4 MG/1ML,250,,$19.30 ,$19.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305808,NASACORT (TRIAMCINOLONE) INHALER,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305809,NASACORT AQ (TRIAMCINOLONE) NASAL SPRAY,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305810,NASALCROM (CROMOLYN) INHALER +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305811,NASALCROM (CROMOLYN) NASAL SPRAY : 26ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305812,NASONEX NASAL SPRAY: 50MCG,250,,$306.47 ,$306.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305813,NATEGLINIDE (STARLIX) TAB :120MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305814,NATEGLINIDE (STARLIX) TAB : 60MG,250,,$5.06 ,$5.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305815,NAVANE (THIOTHIXENE) CAPS : 2MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305816,NAVANE (THIOTHIXENE) CAP : 1MG +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305817,NAVANE (THIOTHIXENE) CAP : 5MG +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305818,NEFAZODONE (SERZONE) TAB : 100MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305819,NEFAZODONE (SERZONE) TAB : 150MG,250,,$4.13 ,$4.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305820,NEO CALGLUCON (CA GLUBIONATE) SYR : 5ML,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305821,NEO/POLYB/HC OTIC SOLN: 10ML,250,,$93.60 ,$93.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305822,NEOMYCIN SULFATE TAB : 500MG,250,,$9.59 ,$9.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305823,NEOMYCIN/P-MIXIN B/H-CORTISONE CR :7.5GM,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305824,NEORAL CAP : 100MG,250,,$18.53 ,$18.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305825,NEORAL LIQUID 100MG/ML,250,,$20.21 ,$20.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305826,NEOSPORIN GU 1ML IRRIGANT,250,,$44.20 ,$44.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305827,PHENYLEPHRINE 10MG/ML VIAL(NEOSYNEP,250,,$14.50 ,$14.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305828,NEOSYNEPHRINE (PHENYLE) ND 0.5% : 15ML +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305829,NEOSYNEPHRINE (PHENYLE) ND 1% : 15ML +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305830,NEOSYNEPHRINE (PHENYLE) NS 0.25% : 15ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305831,NEOSYNEPHRINE (PHENYLE) NS 0.5% : 15ML +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305832,NEOSYNEPHRINE (PHENYLE) NS 1% : 15ML +,250,,$14.32 ,$14.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305833,NEOSYNEPHRINE (PHENYLE) OS 10% : 5ML +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305834,NEOSYNEPHRINE (PHENYLE) OS 10% VIS : 5ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305835,NEOSYNEPHRINE (PHENYLE) OS 2.5% : 5ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305836,NEPHRO-VITE TAB +,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305837,NEPHRON FA TABLET,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305838,NEPRO LIQ,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305839,NEULASTA (PEGFILGRASTIM) 6MG/0.6ML,250,,"$8,963.64 ","$8,963.64 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305840,FILGRASTIM 300 MCG/ML VIAL,250,,$931.87 ,$931.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305841,NEURONTIN (GABAPENTIN) 250MG/5ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305842,GABAPENTIN 100 MG CAP (NEURONTIN),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305843,GABAPENTIN 300 MG CAP (NEURONTIN),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305844,PHOS- NAK PACKET 1.5GM,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305845,NIACIN : 500MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305846,NICARDIPINE CAP : 30MG +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305847,NIACIN 250 MG SR CAPSULE,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305848,NICOTINE PATCH 14MG/24HR,250,,$9.12 ,$9.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305849,NICOTINE PATCH 21MG/24HR,250,,$4.58 ,$4.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305850,NICOTINE PATCH 7MG/24HR,250,,$7.60 ,$7.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305851,NICOTROL INHALER 10MG,250,,$129.15 ,$129.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305852,NIFEDIPINE CAPSULE : 10MG,250,,$40.56 ,$40.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305853,NIFEdipine ER : 30MG,250,,$4.21 ,$4.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305854,NIFEREX 150 FORTE CAP +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305855,NIFEREX: 100 MG/5ML ELIXIR 240ML BOTTLE,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305856,NIMODIPINE (NIMOTOP) 30 MG CAPS,250,,$24.16 ,$24.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305857,NIPRIDE 50MG/250ML D5W,250,,$5.47 ,$5.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305858,NISOLDIPINE (SULAR) TAB : 8.5MG ER,250,,$7.88 ,$7.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305859,NITRO-BID (NITROGLYCERIN) CAP : 2.5MG +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305860,NITRO-BID (NITROGLYCERIN) CAP : 6.5MG +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305861,NITROGLYCERIN OINT 2% PACKS 1GM/INCH,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305862,"NITRO-DUR: 0.8 MG/HR, PT24, 30 EA, BOX",250,,$8.50 ,$8.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305863,NITROFURANTOIN(MACRODANTIN)CAP : 50MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305864,NITROGLYCERIN DRIP : 200MCG/ML 250ML,250,,$25.18 ,$25.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305865,NITROGLYCERIN PATCH 0.1MG/HR (2.5MG),250,,$4.70 ,$4.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305866,NITROGLYCERIN PATCH 0.2MG/HR (5MG),250,,$9.41 ,$9.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305867,NITROGLYCERIN PATCH 0.3MG/HR (7.5MG),250,,$7.78 ,$7.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305868,NITROGLYCERIN PATCH 0.4MG/HR (10MG),250,,$10.57 ,$10.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305869,NITROGLYCERIN PATCH 0.6MG/HR (15MG),250,,$7.37 ,$7.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305870,NITROLINGUAL SPRAY +,250,,$279.05 ,$279.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305871,NITROPRUSSIDE INJ : 25MG/ML 2ML,250,,$4.87 ,$4.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305872,NITROSTAT TAB 0.4MG (1/150GR) # 25,250,,$16.48 ,$16.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305873,KETOCONAZOLE (NIZORAL) 2% CREAM PER 30GM,250,,$100.20 ,$100.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305874,NIZORAL (KETOCONAZOLE) TAB : 200MG +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305875,NIZORAL (KETOCONAZOLE)2% SHAMPOO,250,,$84.31 ,$84.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305876,TAMOXIFEN (NOLVADEX) TAB : 10MG,250,,$8.24 ,$8.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305877,NORCURON 100MG/NS100ML,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305878,NORFLEX 30MG/ML 2ML AMP,250,,$68.37 ,$68.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305879,NORMODYNE (LABETALOL) TAB : 300MG +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305880,LABETALOL (TRANDATE) 5 MG/ML VIAL MDV,250,,$11.01 ,$11.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305881,LABETOLOL 100 MG TAB (NORMODYNE),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305882,LABETALOL 200 MG TAB (NORMODYNE),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305883,NORPRAMIN (DESIPRAMINE) TAB : 10MG +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305884,NORPRAMIN (DESIPRAMINE) TAB : 25MG +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305885,NORTRIPTYLINE (PAMELOR) TAB : 10MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305886,amLODIPine (NORVASC 5 MG TAB,250,,$7.01 ,$7.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305887,NOVOLIN 70/30 INJ VIAL CHARGE PER UNIT,250,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305888,NOVOLIN L INS: 10ML,250,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305889,NOVOLIN N INSULIN PER UNIT,250,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305890,NOVOLIN R INSULIN PER UNIT,250,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305891,PERPHENAZINE 4 MG TAB (TRILAFON),250,,$12.50 ,$12.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305892,NOVOLOG INSULIN PER UNIT,250,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305893,NOVOLOG MIX 70/30: 10ML,250,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305894,NS 0.45% 1000ML,250,,$60.74 ,$60.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305895,NS 100 ML BAG,250,,$13.87 ,$13.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305896,NS 0.9 500ML,250,,$30.38 ,$30.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305897,NS 0.9% 1000ML,250,,$59.31 ,$59.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305898,NS 0.9% 250ML,250,,$17.35 ,$17.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305899,NS 0.9% IRRIGATION SOL: 1000ML BOTTLE,250,,$59.31 ,$59.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305900,NS 0.9% IRRIGATION SOL: 3000ML,250,,$177.94 ,$177.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305901,NTG PATCH REMOVAL NOTICE,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305902,NALBUPHINE (NUBAIN)10 MG/ML AMP,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305903,PRIMIDONE (MYSOLINE) 250 MG TABLET,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305904,NYST/TRIAM(MYCOLOG)CREAM: 30GM,250,,$20.05 ,$20.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305905,NYSTATIN ORAL SUSP 120CC,250,,$25.07 ,$25.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305906,"NYSTATIN SOLN:100,000 U/ML 5ML UD",250,,$8.40 ,$8.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305907,NYSTATIN CREAM 15 GM TUBE (MYCOSTATIN),250,,$10.86 ,$10.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305908,NYSTATIN(MYCOSTATIN)TOP POWDER: 15GM,250,,$99.32 ,$99.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305909,SALINE NASAL SPRAY (OCEAN) 45 ML BOTTLE,250,,$6.52 ,$6.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305910,OCTREOTIDE(SANDOSTATIN) 500 MCG/ML(1ML),250,,$296.59 ,$296.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305911,OCUPRESS 1% OPHTH SOLN: 5ML,250,,$118.51 ,$118.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305913,OLANZAPINE (ZYPREXA) TAB : 2.5MG,250,,$14.06 ,$14.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305914,OLANZAPINE (ZYPREXA) TAB : 5MG,250,,$30.91 ,$30.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305915,ONDANSETRON (ZOFRAN) INJ : 4MG/2ML SDV,250,,$5.51 ,$5.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305916,ONDANSETRON (ZOFRAN) TAB : 4MG,250,,$90.24 ,$90.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305917,OPCON-A OPTH SOL : 15ML +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305918,OPTIMENTAL LIQ: 8OZ,250,,$20.98 ,$20.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305919,OXAZEPAM (SERAX) CAP : 15MG,250,,$3.98 ,$3.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305920,ORABASE W BENZOCAINE PASTE: 6GM,250,,$12.76 ,$12.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305921,ORACIT (SHOHLS) SOLN : 30ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305922,ORAJEL : 3/16 OZ.,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305923,CALCIUM CARBONATE 500 MG TAB CHEW (TUMS),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305924,CAL CARBONATE 1.25 GM (500 MG ELEMENTAL),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305925,OTOMAR-HC OTIC DROPS,250,,$84.78 ,$84.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305926,OXANDRIN(OXANDROLONE)TAB : 2.5MG,250,,$15.38 ,$15.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305927,OXAZEPEM (SERAX) CAP : 10MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305928,OXCARBAZEPINE (TRILEPTAL) 150MG TAB,250,,$5.35 ,$5.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305929,OXEPA LIQ: 8OZ,250,,$40.75 ,$40.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305930,OXYBUTYNIN SYRUP : 5MG/5ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305931,OXYBUTYNIN (DITROPAN) 5 MG TAB REG. REL,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305932,OXYBUTYNIN (DITROPAN XL) 5 MG XL TABLET,250,,$13.24 ,$13.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305933,OXYCODONE/APAP 5/325 MG TAB,250,,$4.13 ,$4.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305934,OXYCODONE HCL (PERCODAN) TAB,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305935,OXYCODONE TAB : 5MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305936,OXYCONTIN CR(OXYCODONE)TAB :20MG,250,,$8.36 ,$8.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305937,OXYCODONE(OXYCONTIN) 10 MG CR TABLET,250,,$5.95 ,$5.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305939,NORTRIPTYLLINE TAB OR CAP : 25MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305940,PANCREASE MT-10 CAP +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305941,PANCRELIPASE (PANCREASE) CAP,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305942,PANMIST - S SYRUP: 5ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305943,PAREGORIC LIQ: 15ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305944,PAROXETINE (PAXIL) TAB : 20MG,250,,$10.65 ,$10.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305945,PATANOL 0.1% OPHTH SOLN,250,,$293.72 ,$293.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305946,PATIENTS MED DRAWER 551-565,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305947,PATIENTS MED DRAWER 566-579,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305948,PATIENTS OWN MEDICATION,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305949,PENICILLIN G POT INJ: 5MMU,250,,$152.58 ,$152.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305950,PENTAZOCINE (TALWIN-NX) TAB : 50MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305951,PENTOXIFYLLINE ER (TRENTAL) TAB : 400MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305952,PERATIVE LIQ NUTRITION 8OZ,250,,$7.43 ,$7.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305953,PERDIEM LAXATIVE : 250GM,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305954,PERIDEX ORAL RINSE : 480ML,250,,$33.57 ,$33.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305955,PEROXYL ANTISEPTIC RINSE 8OZ,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305956,PETROLATUM OPTH OINT:3.5GM,250,,$11.56 ,$11.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305957,PHARMACY-GENERAL,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305958,PHENOBARBITAL ELIXIR 20MG/5ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305959,PHENOBARBITAL INJ : 130MG,250,,$16.84 ,$16.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305960,PHENOBARBITAL TAB : 100MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305961,PHENOBARBITAL TAB : 15MG +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305962,PHENOBARBITAL TAB 30 MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305963,PHENTOLAMINE (REGITINE) INJ : 5MG,250,,$190.88 ,$190.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305964,PHENYLEPHRINE(NEO-SYNPRN)VL: 10MG/ML 5ML,250,,$24.59 ,$24.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305965,PHENYTOIN (DILANTIN) CAP : 30MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305966,PHENYTOIN SUSP 100 MG/4 ML UNIT DOSE,250,,$6.92 ,$6.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305967,PHOSPHO SODA : 45ML,250,,$11.79 ,$11.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305968,PHRENILIN FORTE CAP :,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305969,PHRENILIN TAB,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305970,PHYSOSTIGMINE INJ : 2MG/2ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305971,PHYTONADIONE (VIT K-1) INJ : 10MG/1ML,250,,$25.12 ,$25.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305972,PILOCARPINE 1% OPHTHALMIC,250,,$27.97 ,$27.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305973,PINDOLOL (VISKEN) TAB : 5MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305974,PIPERACILLIN (PIPRACIL) INJ : 3GM,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305975,PIPERACILLIN (PIPRACIL) INJ : 4GM,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305976,PIPERA/TAZOB (ZOSYN) 2.25GM/50 NS,250,,$96.39 ,$96.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305977,PIPERACILLIN (ZOSYN) 3.375 GM/NS 100ML,250,,$83.92 ,$83.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305978,PIPERACILLIN/TAZO (ZOSYN) 3.375GM/ 50 NS,250,,$102.27 ,$102.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305980,PIPERACILLIN (ZOSYN) 2.25 GM VIAL,250,,$45.00 ,$45.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305981,PIPERACILLIN (ZOSYN): 3.375 GM VIAL,250,,$67.44 ,$67.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305982,PIPERACILLIN (ZOSYN) 4.5 GM VIAL,250,,$85.46 ,$85.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305983,PLASMATEIN (PLASMA PROT FRAC) 5% :250ML,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305984,CILOSTAZOL (PLETAL) 100 MG,250,,$7.43 ,$7.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305985,PNEUMOVAX VACCINE : 0.5ML,250,,$536.01 ,$536.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305986,POLY PRED OPTH SOL : 5ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305987,POLYCARBOPHIL (FIBERCON) TAB,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305988,"POLYMYXIN B INJ : 500,000U",250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305989,POLYSPORIN OINT : 30GM,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305990,POLYTRIM OPTH SOL :10ML(TRIMTHOP/POLY B),250,,$52.88 ,$52.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305991,POT CHLORIDE LIQ: 20MEQ/15 **DO NOT USE*,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305992,POTASSIUM CL 20 MEQ/100 ML SW IVPB,250,,$19.53 ,$19.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305993,POT CITRATE (UROCIT K) TAB : 5MEQ,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305994,POT PHOSPHATE INJ: 45MM/15ML,250,,$6.69 ,$6.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305995,POTASSIUM ACETATE 2 MEQ/ML 20 ML VIAL,250,,$8.96 ,$8.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305997,POTASSIUM CHLORIDE 20MEQ/100ML PREMIX IV,250,,$10.20 ,$10.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305998,POTASSIUM CL INJ :40 MEQ/20 ML VIAL,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 305999,POTASSIUM CL 10% :(15 ML) NOT STOCKED,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306000,POTASSIUM IODIDE SAT SOL (SSKI) : 30ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306001,PRANDIN (REPAGLINIDE) 1MG : TAB,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306002,PRANDIN(REPAGLINDINE)TAB : 0.5MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306003,PRAVACHOL (PRAVASTATIN) TAB : 20MG,250,,$9.90 ,$9.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306004,PRECOSE (ACARBOSE) TAB : 50MG +,250,,$44.68 ,$44.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306005,PRED FORTE OPTH SOL 1% : 5ML,250,,$38.29 ,$38.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306006,PREDNISOLONE OPTH SOL 0.12% ( 5ML),250,,$57.89 ,$57.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306007,PREDNISONE 1MG : TAB,250,,$70.82 ,$70.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306008,PREDNISONE 5MG/5ML ORAL SUSP: 5ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306009,PREDNISONE DOSEPAK : 5MG (PAK OF 21) +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306010,PREDNISONE TAB : 10MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306011,predniSONE TAB 20MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306012,predniSONE TAB 5MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306013,PREMARIN (CONG ESTROGEN) INJ : 25MG/5ML,250,,$463.24 ,$463.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306014,PREMARIN (CONG ESTROGEN) TAB : 0.3MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306015,PREMARIN (CONG ESTROGEN) TAB 0.625MG,250,,$4.63 ,$4.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306016,PREMARIN (CONG ESTROGEN) TAB : 0.9MG +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306017,CONGEGATED ESTROGENS 1.25 MG (PREMARIN),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306018,PREMARIN (CONG ESTROGEN) VAG CR : 45GM +,250,,$283.96 ,$283.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306019,PRENATAL VITAMIN,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306020,PREPARATION-H OINT,250,,$15.68 ,$15.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306021,PREVACID (LANSOPRAZOLE) CAP : 30MG,250,,$14.45 ,$14.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306022,PREVACID CAP : 15MG,250,,$13.80 ,$13.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306023,PREVACID ORAL SUSP: 30MG,250,,$18.22 ,$18.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306024,PRILOSEC CAPSULE : 20MG,250,,$17.24 ,$17.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306025,IMIPENEM /CILASTATIN 250 MG (PRIMAXIN),250,,$71.92 ,$71.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306028,IMIPENEM/CILASTATIN (PRIMAXIN) 500 MG,250,,$147.65 ,$147.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306029,PRO SOM (ESTAZOLAM) TAB 2MG +,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306030,MIDODRINE 5 MG TAB (PROAMATINE),250,,$11.14 ,$11.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306031,PROBENECID TAB : 500MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306032,PROCAINAMIDE 500MG/ML INJ: 2ML,250,,$5.47 ,$5.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306033,PROCAINE PEN G (WYCILLIN) INJ : 1200MU,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306034,PROCALAMINE SOL 3%: 1000ML GLASS,250,,$127.47 ,$127.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306035,PROCHLORPERAZINE 10 MG/2 ML(COMPAZINE)IV,250,,$21.69 ,$21.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306036,PROCHLORPERAZINE SPANSULE : 10MG +,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306037,PROCHLORPERAZINE SUPP : 25MG,250,,$9.12 ,$9.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306038,PROCHLORPERAZINE TAB : 10MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306039,"EPOETIN 20,000 UNIT VIAL(EPO/PROCRIT)",250,,"$1,132.22 ","$1,132.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306040,HYDROCORTI SONE 2.5 % CREAM,250,,$216.08 ,$216.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306041,CETIRIZINE/PSEUDOEPH 5/120 (ZYRTEC D),250,,$460.46 ,$460.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306042,HYDROCORTISONE 2.5% & PRAMOXINE 1% CRM.,250,,$90.30 ,$90.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306043,PROGRAF (TACROLIMUS) 1 MG,250,,$15.49 ,$15.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306044,PROGRAF (TACROLIMUS): 5MG,250,,$55.91 ,$55.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306045,PROLIXIN (FLUPHENAZINE) TAB : 1MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306046,PROLIXIN (FLUPHENAZINE) TAB : 2.5MG +,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306047,PROMETHAZINE (PHENERGAN) SUPP : 25MG,250,,$13.05 ,$13.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306048,PROMETHAZINE (PHENERGAN) TAB : 25MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306049,PROMETHAZINE DM SYRUP 10ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306050,PROMETHAZINE VC W/COD (PHENERGAN) : 5ML,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306051,PROMETHAZINE 25MG/ML INJECTION,250,,$8.69 ,$8.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306052,PROMOD PROTEIN SUPPLEMENT PWD : 275GM,250,,$6.73 ,$6.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306053,PROPARACAINE OPTH SOL 0.5% : 15ML +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306054,PROPINE (DIPIVEFRIN)OPTH SOL 0.1% : 5ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306055,PROPOFOL 10MG/ML INJ: 20ML,250,,$49.23 ,$49.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306056,PROPOXYPHENE (DARVON)CAP : 65MG +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306057,PROPOXYPHENE NAP/APAP TAB 100/650MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306058,FINASTERIDE (PROSCAR) 5 MG TABLETS,250,,$11.59 ,$11.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306059,PROSOM TAB : 1MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306060,PROTAMINE SULFATE INJ:10MG/ML 25ML,250,,$60.63 ,$60.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306061,PANTOPRAZOLE (PROTONIX) 40 MG VIAL,250,,$108.51 ,$108.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306062,PANTOPRAZOLE (PROTONIX) 40 MG TAB,250,,$13.32 ,$13.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306063,ALBUTEROL 4 MG TABLETS (REG. RELEASE),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306064,PROVENTIL (ALBUTEROL) TAB : 2MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306065,MODAFINIL (PROVIGIL) 100 MG TABLET,250,,$22.44 ,$22.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306066,PSEUDOEPHED (SUDAFED) TAB : 30MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306067,PSEUDOEPHED LA (SUDAFED) TAB : 120MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306068,DIFLORASONE(PSORCON)OINT 0.05% 15GM,250,,$144.90 ,$144.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306069,PSORCON (DIFLORASONE) OINT 0.05% : 30GM,250,,$199.11 ,$199.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306070,PTU (PROPYLTHIOURACIL) TAB : 50MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306071,BUDESONIDE (RHINOCORT) NASAL SPRAY 32MCG,250,,$316.30 ,$316.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306072,BUDESONIDE (PULMICORT) 0.25 MG/2ML UD IN,250,,$19.90 ,$19.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306073,BUDESONIDE (PULMICORT) 0.5/2ML UD INH,250,,$22.81 ,$22.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306074,PULMOCARE LIQ: 8OZ,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306075,PYRIDIUM (PHENAZOPYIDINE) TAB : 100MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306076,PYRIDOXIDE (B-6) INJ : 100MG/ML,250,,$20.84 ,$20.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306077,PYRIDOXIDE (B-6) TAB : 100MG +,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306078,PYRIDOXINE(VIT B6)TAB : 50MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306079,PHENAZOPYRIDINE (PYRIDIUM) 200 MG TAB,250,,$6.01 ,$6.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306080,QUETIAPINE (SEROQUEL) TAB : 100MG,250,,$13.24 ,$13.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306081,QUINIDINE (QUINIDEX) EX TAB : 300MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306082,QUINIDINE DURATAB (QUINAGLUTE) : 324MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306083,QUINIDINE SULFATE TAB : 200MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306084,QUINIDINE SULFATE TAB : 300MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306085,QUININE SULFATE TAB : 260MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306086,QUININE SULFATE TAB : 325MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306087,RALOXIFENE (EVISTA) TAB : 60MG,250,,$8.20 ,$8.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306088,RAMIPRIL (ALTACE) CAP : 2.5MG,250,,$6.14 ,$6.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306089,RAMIPRIL (ALTACE) CAP : 5MG,250,,$6.58 ,$6.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306092,RANITIDINE (ZANTAC) 50MG/50ML,250,,$17.92 ,$17.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306093,RANITIDINE (ZANTAC) EFFERDOSE : 150MG,250,,$6.39 ,$6.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306094,RANITIDINE (ZANTAC) INJ 25MG/ML: 6ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306095,RANITIDINE (ZANTAC) TAB : 150MG,250,,$4.70 ,$4.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306096,RANITIDINE (ZANTAC) LIQ: 150MG/10ML,250,,$13.56 ,$13.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306097,REFLUDAN 0.5MG/ML (DIALYSIS DOSE),250,,$652.94 ,$652.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306098,REGRANEX 0.01% GEL : 15GM,250,,"$2,207.26 ","$2,207.26 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306099,ROPINIROLE 0.25 MG TAB (REQUIP),250,,$7.66 ,$7.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306100,RIFABUTIN CAP : 150MG,250,,$28.70 ,$28.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306101,RIFAMPIN (RIFADIN) CAP : 150MG,250,,$4.86 ,$4.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306102,RIFAMPIN (RIFADIN) CAP : 300MG,250,,$7.19 ,$7.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306103,RIMEXOLONE 1% (VEXOL) OPTH SOL : 5ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306104,RISPERIDONE (RisperDAL) TAB : 0.25MG,250,,$12.50 ,$12.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306105,RISPERIDONE (RisperDAL) TAB : 1MG,250,,$8.75 ,$8.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306106,RITALIN SR (METHYLPHENIDATE) TAB : 20MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306107,RIVASTIGMINE (EXELON) CAP : 1.5MG,250,,$11.14 ,$11.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306108,RIVASTIGMINE (EXELON) TAB : 3MG,250,,$7.89 ,$7.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306109,RMS (MORPHINE) SUPP : 10MG,250,,$11.02 ,$11.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306110,ceFTRIAXone: 1 GM/ 50 NS (ROCEPHIN),250,,$184.93 ,$184.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306111,DUTASTERIDE 0.5 MG TABLET (AVODART),250,,$11.51 ,$11.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306112,ROFECOXIB TAB : 25MG,250,,$11.45 ,$11.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306113,ROSIGLITAZONE (AVANDIA) TAB : 2MG,250,,$7.23 ,$7.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306114,ROSIGLITAZONE (AVANDIA) TAB : 4MG,250,,$13.09 ,$13.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306115,MORPHINE ORAL DOLUTION 20 MG/ML(ROXANOL),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306116,RP-TC 99M INJ: 1 DOSE,250,,$309.45 ,$309.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306117,S2 INHALATION SOL 2.25% : 15ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306118,SAIZEN INJ : 5MG,250,,"$1,019.84 ","$1,019.84 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306119,SALIVART 75G (2.48OZ),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306120,OCTREOTIDE 1000 MCG/5ML VIAL (SANDOSTATI,250,,$871.04 ,$871.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306121,SCOPOLAMINE (TRANSDERM SCOP) PATCH,250,,$31.31 ,$31.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306122,SECOBARBITAL (SECONAL) CAP : 100MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306123,SECOBARBITAL (SECONAL) 100 MG/2ML TUBEX,250,,$11.63 ,$11.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306124,SENNA/DOC (SENOKOT S) TAB (PERICOLACE),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306125,SENOKOT TAB 8.6MG,250,,$0.11 ,$0.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306126,SALMETEROL (SEREVENT) 50 MCG DISKUS INH,250,,$415.85 ,$415.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306127,QUETIAPINE (SEROQUEL) 25 MG TABLET,250,,$8.17 ,$8.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306128,SERTRALINE (ZOLOFT) TAB : 50MG,250,,$11.51 ,$11.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306129,SEVELAMER (RENAGEL) CAP : 400MG,250,,$5.50 ,$5.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306130,SILVADENE (SILVER SULFADIAZ) CR 85GM,250,,$76.17 ,$76.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306131,SILVER NITRATE APPLICATOR,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306132,SILVER SULFADIAZ (SILVADENE) CR : 400GM,250,,$106.51 ,$106.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306133,SIMETHICONE (MYLICON) DROPS: 30ML,250,,$11.09 ,$11.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306134,SIMVASTATIN (ZOCOR) TAB : 10MG,250,,$11.35 ,$11.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306135,SIMVASTATIN (ZOCOR) TAB : 20MG,250,,$19.83 ,$19.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306136,SIMVASTATIN(ZOCOR) TABLET: 40MG,250,,$5.95 ,$5.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306137,SINEMET TAB 10/100MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306138,CARBIDOPA/LEVADOPA 25/250 (SINEMET),250,,$4.58 ,$4.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306139,METAXALONE (SKELAXIN) 800 MG TAB,250,,$11.59 ,$11.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306140,SMZ/TMP (BACTRIM) INJ : 800MG-160ML/10ML,250,,$7.09 ,$7.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306141,SMZ/TMP (BACTRIM) TAB : 400MG/ 80MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306142,SMZ/TMP DS (BACTRIM DS) TAB: 800MG/160MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306143,SMZ/TMP PED (BACTRIM) SUSP 5 ML,250,,$13.09 ,$13.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306144,SOD BICARB 4.2% INJ: 5ML,250,,$9.27 ,$9.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306145,SOD CITRATE/CITRIC ACID(BICITRA)30ML UD,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306146,SODIUM ACETATE INJ : 40MEQ/20ML(2MEQ/ML),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306147,SODIUM BICARB 8.4% IV 50MEQ/50ML PFS,250,,$18.09 ,$18.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306148,SODIUM BICARB TABLET 10 GR (650 MG),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306149,SALINE 10 ML VIAL FLOOR STOCK ITEM,250,,$5.77 ,$5.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306150,SODIUM CHLORIDE 23.4% INJ: 4MEQ/ML 30ML,250,,$5.47 ,$5.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306151,SODIUM CHLORIDE 3% INF : 500ML,250,,$17.92 ,$17.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306152,SODIUM CHLORIDE INJ (0.9%) : 10ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306153,SODIUM CHLORIDE TAB : 1GM,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306154,SODIUM PHOSPHATE INJ : 45MMP&6OMQNA/15ML,250,,$9.43 ,$9.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306155,SODIUM PHOSPHATE VIALS,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306156,CREON (PANCRELIPACE 12) CAPSULES,250,,$11.25 ,$11.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306157,SONATA CAPSULES : 5MG,250,,$6.82 ,$6.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306158,SORBITROL SOL 70%: 30ML,250,,$7.37 ,$7.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306159,SOTALOL (BETAPACE) TAB : 80MG,250,,$9.27 ,$9.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306160,SPIRONOLACTONE (ALDACTONE) TAB : 25MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306161,SPONGE GAUZE 4 X 4 16,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306162,STAVUDINE (ZERIT) 40MG: CAP,250,,$18.09 ,$18.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306163,SUBLIMAZE (FENTANYL) INJ : 0.05MG/ML 2ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306164,SUCRALFATE (CARAFATE) SUSP : 1GM/10ML UD,250,,$8.17 ,$8.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306165,SUCRALFATE (CARAFATE) TAB : 1GM,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306166,SUCRALFATE SUSP : 1GM/10ML 14OZ BOTTLE,250,,$195.33 ,$195.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306167,SUCRETS THOART LOZ : BOX OF 18,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306168,PSEUDOEPHEDRINE(15 MG/5 ML) PER 5 ML,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306169,SUFENTANIL (SUFENTA) INJ : 50MCG/ML 1ML,250,,$4.13 ,$4.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306170,SULFASALAZINE (AZULFIDINE) TAB : 500MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306171,BACTRIM DS TAB(SULFA/TRIM 800/160 MG),250,,$6.92 ,$6.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306172,SULFATRIM INJ: 10ML,250,,$25.03 ,$25.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306173,SULFATRIM SUSP 200/40MG:5ML (DISP 30 ML),250,,$13.09 ,$13.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306174,SULTRIN TRIPLE SULFA VAG CR : 78GM,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306175,SUPLENA LIQ: 8OZ VANILLA,250,,$6.69 ,$6.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306176,MAALOX 30ML UD (ALUM/MAG HYD),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306177,SYNVISC INJECTION: 1 SYRINGE,250,,$887.74 ,$887.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306178,T-H-N MOUTHWASH: 120ML,250,,$60.79 ,$60.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306179,TALC POWDER STERILE : 4GM,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306180,TALWIN (PENTAZOCIN) INJ : 30MG/ML,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306181,TAMSULOSIN (FLOMAX) CAP : 0.4MG,250,,$9.77 ,$9.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306182,TAZAROTENE TOPICAL GEL 0.05% : 30GM,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306183,TEGASEROD (ZELNORM) TAB : 6MG,250,,$13.46 ,$13.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306184,TEMAZEPAM (RESTORIL) CAP : 15MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306185,TEMAZEPAM (RESTORIL) CAP : 30MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306186,TERAZOL VAG SUPP: EACH,250,,$34.17 ,$34.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306187,TERBUTALINE (BRETHINE) TAB : 2.5MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306188,TERBUTALINE INHALER : 0.2MG/PUFF,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306189,TERBUTALINE INJ : 1MG/ML 1ML +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306190,TERCONAZOLE 3 (TERAZOL 3) VAG CREAM:,250,,$125.78 ,$125.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306191,TETANUS IMMUNE GLOBULIN INJ : 250 UNITS,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306192,TETANUS TOXOID INJ : 0.5 ML,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306193,TETANUS/DIP TOXOID (ADULT) INJ : 0.5ML,250,,$79.59 ,$79.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306194,TETRACYCLINE (SUMYCIN) CAP : 250MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306195,TETRACYCLINE (SUMYCIN) CAP : 500MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306196,TETRAHYDROZOLINE (VISINE) EYE DROPS,250,,$5.95 ,$5.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306197,THEOPHYLLINE (THEO-DUR) 200 MG TAB,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306198,THEOPHYLLINE 24HR (THEO DUR) TAB: 100MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306199,THEOPHYLLINE (THEO-DUR) 300 MG TAB,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306200,THEOPHYLLINE 8-12HR (THE-DUR) TAB: 125MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306201,THEOPHYLLINE 8-12HR (THEO DUR) TAB:75MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306202,THEOPHYLLINE (THEO-24) 200 MG NOT IN MD,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306203,THEOPHYLLINE 400 MG ER (UNIPHYL) 24HR,250,,$4.34 ,$4.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306204,THEOPHYLLINE (THEO-24) 300 MG NOT IN MD,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306205,THEOPHYLLINE 8-12HR(THEO DUR) TAB: 450MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306206,THEOPHYLLINE 8-12HR(THEO DUR)TAB :100MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306207,THEOPHYLLINE ELIXIR 100MG/18.75ML (4OZ),250,,$78.54 ,$78.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306208,MULTIVITAMIN WITH IRON (THERA M PLUS),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306209,MULTIVITAMIN LIQUID PER 8 OZ BOTTLE,250,,$15.54 ,$15.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306210,THIAMINE (B-1) HCL 100 MG/ML (2 ML VIAL),250,,$24.90 ,$24.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306211,THIAMINE (B-1) 100 MG TABLET,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306212,TICARCILLIN (TIMENTIN) INJ : 3.1GM,250,,$59.69 ,$59.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306213,TICARCILLIN(TIMENTIN) 3.1 GM/100 NS,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306214,TICLOPIDINE (TICLID) TAB : 250MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306215,TIGAN (TRIMETHOBENZANIDE) SUPP : 200MG +,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306216,TILADE (NEDOCROMIL) INHALER,250,,$154.51 ,$154.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306217,TIMOLOL (TIMOPTIC) OCUDOSE 0.5% : 0.45ML,250,,$106.50 ,$106.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306218,TIMOLOL (BLOCADREN)TAB : 5MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306219,TIMOPTIC (TIMOLOL) 0.5% OPTH SOL : 5ML,250,,$51.67 ,$51.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306220,TIMOPTIC (TIMOLOL) OPTH SOL 0.25% : 15ML,250,,$127.63 ,$127.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306221,TIMOPTIC (TIMOLOL) XE OP SOL 0.5% : 5ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306222,TIZANIDINE (ZANAFLEX) TAB : 4MG,250,,$5.60 ,$5.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306223,TOBRADEX OPHTHALMIC OINTMENT: 3.5GM,250,,$189.47 ,$189.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306225,TOBRAMYCIN (TOBREX )3.5GM OINT,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306226,TOBRAMYCIN 0.3% EYE DROPS (5 ML),250,,$54.28 ,$54.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306227,TOBRAMYCIN/DEXAMETHA EYE DROPS- TOBRADEX,250,,$274.92 ,$274.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306228,TOBRAMYCIN INJ: 40 MG/ML (2ML VIAL),250,,$8.90 ,$8.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306229,TOCAINIDE (TONOCARD) TAB : 400MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306230,TOLTERODINE (DETROL LA) CAP: 2 MG,250,,$13.70 ,$13.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306231,TOPIRAMATE (TOPAMAX) TAB : 100MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306232,TOPIRAMATE (TOPAMAX) TAB : 25MG,250,,$5.17 ,$5.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306233,METOPROLOL (TOPROL XL) 50 MG TABLET,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306234,TORSEMIDE (DEMADEX) INJ : 20MG/2ML,250,,$40.67 ,$40.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306235,TORSEMIDE (DEMADEX) TAB : 100MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306236,TPN CENTRAL,250,,"$1,033.51 ","$1,033.51 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306237,TPN PERIPHERAL,250,,$964.59 ,$964.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306238,TPN FILTER,250,,$25.07 ,$25.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306239,TPN MIX + LIPIDS: 3000ML,250,,$868.15 ,$868.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306240,TRACE ELEMENTS 4 INJ : 5ML,250,,$7.43 ,$7.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306241,TRAMADOL (ULTRAM) TAB : 50MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306242,CLORAZEPATE 15 MG TAB (TRANZENE),250,,$5.78 ,$5.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306243,TRAVATAN(TRAVOPROST)0.004% OPTH:,250,,$179.58 ,$179.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306244,TRAZODONE (DESYREL) TAB : 100MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306245,TRAZODONE (DESYREL) TAB : 50MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306246,TRIAMCINOLONE (ARISTOCORT )0.1% CR 15GM,250,,$13.02 ,$13.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306247,TRIAMCINOLONE (AZMACORT) 0.1% LOT : 60ML,250,,$41.32 ,$41.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306248,TRIAMCINOLONE (ARISTOCORT) 0.025% CR.,250,,$10.86 ,$10.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306249,TRIAMCINOLONE (AZMACORT) AEROSOL : 63GM,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306250,TRIAMCINOLONE CR 0.5% : 15GM,250,,$12.02 ,$12.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306251,TRIAMCINOLONE NASAL SPRAY 30 GM (55MCG),250,,$216.53 ,$216.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306252,TRIAMCINOLONE (KENALOG) 40 MG/ML VIAL,250,,$27.07 ,$27.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306253,TRIAMTERENE (DYAZIDE) 37.5/25 CAPS,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306254,TRIAMTERENE/ HCTZ 50/75 TABS,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306255,TRIFLUOP (STELAZINE) CONC : 10MG/ML 60ML,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306256,TRIFLUOPERAZINE (STELAZINE) TAB : 1MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306257,TRIFLUOPERAZINE (STELAZINE) TAB : 2MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306258,TRIFLUOPERAZINE (STELAZINE) TAB : 5MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306259,TRIMETHOBENZAMIDE (TIGAN) CAP : 100MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306260,TRIMETHOBENZAMIDE (TIGAN) INJ :200MG/2ML,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306261,TRIMETHOPRIM (TRIMPEX) TAB : 100MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306262,TRIPLE ANTIBIOTIC OINT.(NEOSPORIN) 30 GM,250,,$27.56 ,$27.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306263,TUBERCULIN SKIN TEST (PPD)INJ : 5ML,250,,$32.99 ,$32.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306264,HEMORRHOIDAL PADS (TUCKS)(WITCH HAZEL),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306265,TUMS EX TAB : 750MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306266,TUMS TAB,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306267,TUSSIONEX SUSP : 5ML,250,,$6.39 ,$6.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306268,TRAMADOL/TYLENOL(ULTRACET)37.5MG/325MG,250,,$4.58 ,$4.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306269,URISED TAB,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306270,VAGIFEM VAG TABS : 25MCG,250,,$7.89 ,$7.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306271,VALACYCLOVIR TAB 500MG,250,,$13.82 ,$13.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306272,VALGANCYCLOVIR TAB : 450MG,250,,$77.49 ,$77.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306273,VALPROATE INJ : 500MG/5ML VIAL (DEPACON),250,,$45.30 ,$45.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306274,VALPROIC ACID CAP : 250MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306275,VALPROIC ACID SYP: 250MG/5ML (PER OZ),250,,$16.42 ,$16.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306276,VALSARTAN (DIOVAN): 80MG,250,,$5.31 ,$5.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306277,VANCOCIN (VANCOMYCIN) CAP : 250MG,250,,$100.93 ,$100.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306278,VANCOMYCIN INJ 500MG,250,,$14.26 ,$14.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306280,VANCOMYCIN :500 MG/ 100 NS,250,,$14.26 ,$14.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306282,VANCOMYCIN :1 GM VIAL,250,,$25.34 ,$25.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306283,VASOPRESSIN (PITRESSIN) INJ : 20U/ML 1ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306284,VASOSULF OPTH SOL : 5ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306285,VENLAFAXINE ER (EFFEXOR) CAP : 75MG,250,,$13.87 ,$13.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306286,VERAPAMIL (CALAN) INJ : 5MG/2ML,250,,$3.75 ,$3.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306287,VERAPAMIL HCI (CALAN) TAB : 80MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306288,VERAPAMIL HS (CALAN SR) TAB : 240MG,250,,$4.42 ,$4.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306289,VERAPAMIL HS (COVERA HS) TAB : 180MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306290,VERAPAMIL PM (VERELAN PM) CAP : 200MG,250,,$7.75 ,$7.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306291,VERAPAMIL PM (VERELAN) CAP : 100MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306292,VERAPAMIL SR (CALAN SR) TAB : 120MG,250,,$6.66 ,$6.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306293,VERAPAMIL SR (CALAN SR) TAB : 240MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306294,VERAPAMIL SR (CALAN) TAB : 180MG,250,,$4.93 ,$4.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306295,VERAPAMIL TAB : 40MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306296,MIDAZOLAM 1 MG/ML (5 ML VIAL) VERSED,250,,$12.89 ,$12.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306297,MIDAZOLAM (VERSED) 1 MG/ML(2 ML VIAL),250,,$12.66 ,$12.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306298,MIDAZOLAM (VERSED) 5 MG/ML 10 ML VIAL,250,,$101.80 ,$101.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306299,MIDAZOLAM 1 MG/ML (2 ML VIAL) NOT IN MD,250,,$5.06 ,$5.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306300,VORICONAZOLE 200 MG TABLETS (VFEND),250,,$139.92 ,$139.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306301,VIBRAMYCIN (DOXYCYCLINE) INJ : 100MG,250,,$44.81 ,$44.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306302,VIBRAMYCIN 100MG/D5W 250ML Q12H,250,,$72.17 ,$72.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306303,VIOXX TAB : 12.5MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306304,VIOXX TAB : 25MG,250,,$9.12 ,$9.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306305,VIRA-A (VIDARABINE) OPTH OINT : 3.5GM,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306306,ACYCLOVIR :800 MG (ZOVIRAX),250,,$5.24 ,$5.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306307,VIROPTIC (TRIFLURIDINE) OP SOL 1%: 7.5ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306308,"VIT A CAP : 10,000 UNITS",250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306309,VIT C INJ : 500 MG/ ML 50 ML VIAL,250,,$45.21 ,$45.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306310,ASCORBIC ACID 500 MG TAB,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306311,VIT E CAP: 400 UNITS,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306312,VITAMIN A&D OINTMENT 45 GM TUBE,250,,$11.93 ,$11.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306313,VIVONEX FLAVOR PACKETS : EACH PKT,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306314,VIVONEX T E N : PACKET,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306315,ALBUTEROL 4 MG ER TABS (VOLMAX),250,,$3.98 ,$3.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306316,VOSOL HC OTIC SOL : 10ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306317,WARFARIN TAB : 1MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306318,WARFARIN TAB : 2.5MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306319,WARFARIN TAB : 5MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306320,WARFARIN TAB : 7.5MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306321,WATER (STERILE) : 1000ML,250,,$6.82 ,$6.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306322,WATER (STERILE) INJ : 50ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306323,WATER STERILE IRRIGATION : 1000ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306324,WATER STERILE IRRIGATION : 3000ML,250,,$60.49 ,$60.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306325,HYDROCORTISONE VALERATE (WESTCORT) 60GM,250,,$139.99 ,$139.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306326,HYDROCORTISONE VAL.(0.2%) WESTCORT 60 GM,250,,$140.12 ,$140.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306327,VASOLEX OR XENADERM: 60GM,250,,$173.50 ,$173.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306328,LEVALBUTEROL (XOPENEX) 1.25 MG/3 ML UD,250,,$11.35 ,$11.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306329,LEVALBUTEROL (XOPENEX) 0.63 MG/ 3 ML UD,250,,$11.35 ,$11.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306330,XYLOCAINE 5% IN GLUCOSE INJ : 100MG/2ML,250,,$36.54 ,$36.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306331,ZINC OXIDE OINT : 60GM,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306332,ZINC SULFATE 10MG/10ML,250,,$188.86 ,$188.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306333,ZINC SULFATE CAP : 220MG (50MG ZINC),250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306334,PAPAIN/UREA/CHLORO OINT./PANAFIL GENERIC,250,,$289.26 ,$289.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306335,ZOLMITRIPTAN (ZOMIG) TAB : 5MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306336,ZONISAMIDE (ZONEGRAN) CAP : 100MG,250,,$9.63 ,$9.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306337,ZOSTRIX CREAM,250,,$36.18 ,$36.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306338,TIAZEM(CARDIZEM)TAB : 30MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306339,CALCIUM GLUCONATE TAB : 10 GR. TABS,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306342,ROSUVASTATIN (CRESTOR) 10 MG TABS,250,,$11.87 ,$11.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306343,PANAFIL SPRAY 33 ML (PAPAIN-UREA-CHLOR),250,,$13.70 ,$13.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306344,PEPCID 20MG/50ML PREDEFINE,250,,$15.18 ,$15.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306345,ACTIGALL CAP : 300MG,250,,$4.78 ,$4.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306346,dilTIAZem 180 MG CD (CARDIZEM CD),250,,$6.44 ,$6.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306348,IPRATOPIUM Br 0.5MG/2.5 ML FOR INH.,250,J7644,$4.69 ,$4.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306349,QUESTRAN POWDER PKT,250,,$3.96 ,$3.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306350,VALSARTAN (DIOVAN) TAB 160 MG UD,250,,$7.82 ,$7.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306351,TIOTROPIUM BR (SPIRIVA) CAPS/INH 18 MCG,250,,$526.70 ,$526.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306352,PRENATAL (MATERNA) TAB,250,,$117.55 ,$117.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306353,BETADINE 10% SOLUTION PT. BOTTLE,250,,$7.25 ,$7.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306354,NITROGLYCERIN PASTE,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306356,GUAIFENESIN DM (MUCO FREE DM) CAP,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306357,HumaLOG INSULIN PER UNIT,250,K0548,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306358,MAALOX 5OZ,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306359,ENDAL HD UNIT DOSE 10 ML ORAL SYRINGE/UD,250,,$8.69 ,$8.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306360,HYDROCO/APAP 7.5(LORCET PLUS/LORTAB 7.5),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306361,PRAVASTATIN(PRAVACHOL) 10MG TABLET,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306362,TRYPSIN/BAL/PERU/CAST OIL(XENADERM)OINT,250,,$173.59 ,$173.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306364,AMIODARONE 900MG/D5W 500ML,250,,$67.86 ,$67.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306365,FLEXTRA CAPS (PHENYLTOLOXAMINE/APAP/CAF),250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306366,AMPICILLIN 500MG CAP,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306368,HYDROCO/APAP 5MG + 333MG/10ML(LORTAB),250,,$4.49 ,$4.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306369,CORTENEMA (GENERIC),250,,$37.08 ,$37.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306370,KERI LOTION 8OZ,250,,$20.59 ,$20.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306372,TRYPSIN/BAL/PERU/CAST OIL(GRANULEXSPRAY),250,,$70.25 ,$70.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306373,METIPRANOLOL 0.3%,250,,$51.67 ,$51.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306374,CALC W VIT D TAB: 500MG (OYST-CAL + D),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306375,ALL-B W/C (GENERIC),250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306376,ENOXAPARIN (LOVENOX) INJ : 80MG/0.8ML,250,,$235.19 ,$235.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306378,POTASSIUM CL ORAL: 20%(40 MEQ/15ML) LIQ.,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306379,QUETIAPINE (SEROQUEL) TAB : 25MG,250,,$5.68 ,$5.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306380,AURODEX OTIC SOL : 10ML,250,,$15.18 ,$15.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306381,***ALPRAZOLAM(XANAX( 1 MG TABS,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306382,"LISINOPRIL (ZESTRIL,PRINIVIL) TAB :2.5MG",250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306383,DEPAKOTE ER TABS : 250MG,250,,$5.67 ,$5.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306384,PROMOD PROTEIN POWDER 9.7OZ(DIETARY ),250,,$50.22 ,$50.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306385,DULoxetine 30 MG CAPS (CYMBALTA),250,,$14.50 ,$14.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306387,cloNIDine (CATAPRES) 0.2 MG TABLET,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306388,PRAVASTATIN (PRAVACOL) 40 MG TABLET,250,,$17.26 ,$17.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306389,ZIPRASIDONE (GEODON) 20 MG/ML IM VIAL,250,,$44.35 ,$44.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306390,NITAZOXANIDE 500 MG TAB (ALINIA)PER TAB,250,,$56.49 ,$56.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306391,OXYTROL 3.9MG PATCH,250,,$27.03 ,$27.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306392,GLIMEPIRIDE (AMARYL) 4 MG TABLET,250,,$4.69 ,$4.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306393,INFLIXIMAB (REMICADE) 100 MG VIAL,250,,"$2,599.27 ","$2,599.27 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306394,NORVASC (AMLODIPINE) TAB : 10MG,250,,$6.10 ,$6.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306396,PEPPERMINT OIL SOLUTION,250,,$29.78 ,$29.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306397,GERI-TONIC LIQ (MULTIVITAMIN LIQ) PER OZ,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306398,TOPIRAMATE (TOPAMAX) TAB : 200MG,250,,$22.86 ,$22.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306399,SERTRALINE (ZOLOFT) TAB :100MG,250,,$10.92 ,$10.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306400,OLANZAPINE (ZYPREXA) TAB : 10MG,250,,$41.62 ,$41.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306404,lamoTRIgine (LAMICTAL) 200 MG TABLETS,250,,$11.28 ,$11.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306405,ESCITALOPRAM 20 MG TAB (LEXAPRO 20 MG),250,,$10.86 ,$10.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306406,risperDONE (RisperDAL) TAB : 2MG,250,,$23.21 ,$23.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306407,CARVEDILOL(COREG)TAB: 25 MG,250,,$5.79 ,$5.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306408,HYDROcodone/GUAIF 5/100=5ML,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306409,"HEPARIN SODIUM INJ : 10,000U/ML",250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306411,MORPHINE SULFATE TAB : 10MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306412,RISPERIDONE (RisperDAL) TAB : 0.5 MG,250,,$13.70 ,$13.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306413,FUROSEMIDE(LASIX)SOL 10MG/ML(4OZ),250,,$43.38 ,$43.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306414,POLYETHYLENE GLYCOL 255 GM (MIRALAX),250,,$66.03 ,$66.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306415,RAMIPRIL (ALTACE) CAP : 1.25MG,250,,$4.58 ,$4.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306416,GALANTAMINE (REMINYL) 4 MG TAB,250,,$9.12 ,$9.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306417,DONEPEZIL 10MG TAB,250,,$6.22 ,$6.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306418,MELOXICAM (MOBIC) 7.5MG: TAB,250,,$12.73 ,$12.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306419,BISOPROLOL FUMARATE TAB : 5MG (ZEBETA),250,,$4.42 ,$4.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306420,carBAMazepine (TEGRETOL) 200 MG XR,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306421,COLLAGEN & CALCIUM ALGINATE (FIBRACOL +),250,,$66.34 ,$66.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306422,ZINC SULFATE TAB : 50MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306423,FLUOCINONIDE CREAM (LIDEX) :0.05%/15GM,250,,$32.50 ,$32.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306424,CHLORPROMAZINE TAB (THORAZINE) :10MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306425,NIFEREX CAP : 150MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306426,PEPTO-BISMOL SUSP,250,,$15.18 ,$15.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306427,DILTIAZEM 125 MG/25 ML VIAL ONLY,250,,$19.10 ,$19.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306428,CARVEDILOL (COREG) 3.125 MG TABLET,250,,$7.32 ,$7.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306429,PROPRANOLOL LA 80 MG CAP,250,,$6.09 ,$6.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306430,NS 0.9% 50 ML BAG,250,,$11.58 ,$11.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306431,OFLOXACIN 0.3% OPHT SOL (OCUFLOX),250,,$369.03 ,$369.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306432,KETOROLAC (TORADOL) INJ : 60MG/2ML,250,,$25.83 ,$25.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306433,WARFARIN 3 MG TABLET (COUMADIN),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306434,METRONIDAZOLE 500 MG TAB,250,,$6.92 ,$6.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306435,LOXAPINE,250,,$5.06 ,$5.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306436,BAZA CREAM (MICONAZOLE) : 2%,250,,$42.53 ,$42.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306437,BAZA OINTMENT,250,,$24.29 ,$24.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306438,TARCEVA TAB (ERLOTINIB) : 25MG,250,,$103.31 ,$103.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306439,SPORANOX (ITRACONAZOLE) CAP : 100MG,250,,$27.35 ,$27.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306440,CASPOFUNGIN (CANCIDAS) 50 MG VIAL,250,,"$1,489.72 ","$1,489.72 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306442,CALCITRIOL (ROCALTROL) CAP : 0.5MCG,250,,$7.01 ,$7.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306443,CALCITRIOL INJ 1MCG/ML,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306445,AMITRIPTYLINE (ELAVIL) TAB : 75MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306446,INSPRA (EPLERENONE) TAB : 25MG,250,,$15.18 ,$15.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306447,SIBUTRAMINE 10 MG CAP (MERIDIA),250,,$13.75 ,$13.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306448,NORPACE CR (DISOPYRAMIDE)CAP : 150MG,250,,$7.60 ,$7.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306449,LOTEMAX OPHT SUSP (LOTEPREDNOL) : 0.5%,250,,$66.85 ,$66.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306450,LMX-4 (LIDOCAINE 4%) CRM : 15GM,250,,$93.32 ,$93.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306451,FLURAZEPAM 15 MG,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306453,DAPTOmycin INJ (CUBICIN): 500MG,250,,$963.64 ,$963.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306454,ENOXAPARIN INJ (LOVENOX): 120MG,250,,$352.92 ,$352.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306455,SEVELAMER 800 MG TABS (RENAGEL),250,,$6.73 ,$6.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306456,EZETIMIBE TAB (ZETIA) : 10MG,250,,$10.82 ,$10.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306457,URSODIOL (ACTIGALL) 300 MG CAPSULE,250,,$9.34 ,$9.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306458,CLARINEX TAB :5MG,250,,$10.89 ,$10.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306459,CONJUGATED ESTROGENS 0.45 MG TAB,250,,$8.27 ,$8.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306460,QUINAPRIL (ACCUPRIL) 10 MG TAB,250,,$3.98 ,$3.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306461,PHENYTOIN 250MG MG/ 5 ML VIAL,250,,$118.72 ,$118.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306462,ALBUMIN 12.5GM:50 ML (25 %),250,,$110.83 ,$110.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306463,LEVETIRACETAM (KEPPRA) 100 MG/ ML (4 OZ),250,,$241.48 ,$241.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306465,CHLORDIAZEPOXIDE 5 MG CAPS (LIBRIUM),250,,$69.44 ,$69.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306466,CALCIUM ALIGNATGE 4X4 (ALGISITE M)SHEET,250,,$11.74 ,$11.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306467,BETASEPT(HIBICLENS(CHLORHEXIDINE))4% W/V,250,,$23.51 ,$23.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306469,TOBRAMYCIN INHALTION 300 MG/5 ML AMPS,250,,$231.56 ,$231.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306470,HYDROCORTISONE (ANUSOL-HC CREAM ),250,,$28.93 ,$28.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306471,SARNA LOTION(MENTHOL/CAMPHOR)MENTHOR GEN,250,,$29.46 ,$29.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306472,METHADONE(METHADOSE)40 MG TABS,250,,$119.36 ,$119.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306473,LOVASTATIN 20 MG TAB,250,,$8.27 ,$8.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306474,CLINDAMYCIN:300 MG/2 ML VIAL,250,,$27.56 ,$27.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306475,CLINDAMYCIN : 600 MG/4 ML VIAL,250,,$27.56 ,$27.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306476,ORTHO NOVUM 777,250,,$116.49 ,$116.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306477,CHLORDIAXEPOXIDE + CLIDINIUM CAP 5/2.5MG,250,,$12.07 ,$12.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306478,CHLORHEXIDINE (PERIDEX) 0.12% ORAL RINSE,250,,$60.27 ,$60.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306479,BELLAMINE-S TABLETS,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306480,MORPHINE SULFATE 15MG TAB,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306481,CEPHALEXIN SUSP(KEFLEX)250/5ML,250,,$68.37 ,$68.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306482,GENTAMICIN SULFATE OINT.0.1% 15GM,250,,$13.46 ,$13.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306483,DICYCLOMINE HCL INJ 20MG/2ML,250,,$64.68 ,$64.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306484,ESZOPICLONE (LUNESTA) 2 MG TAB,250,,$14.62 ,$14.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306486,NESIRITIDE 1.5 MG VIAL(NATRECOR),250,,"$1,916.92 ","$1,916.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306487,LESCOL XL 80 MG TAB,250,,$11.01 ,$11.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306488,LANSOPRAZOLE (PREVACID SOLUTAB) 30 MG,250,,$13.52 ,$13.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306489,THIOSULFATE SOD. 12.5 GM/50 ML VIAL,250,,$81.38 ,$81.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306490,dilTIAZem 100 MG ADD-VANTAGE VIAL,250,,$41.55 ,$41.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306491,CINACALCET 30 MG (SENSIPAR) TABS,250,,$42.31 ,$42.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306492,FOSRENOL(LANTHANUM CARBONATE)500 MG,250,,$17.64 ,$17.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306493,SODIUM THIOSUL 10% VL 10ML,250,,$27.11 ,$27.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306494,"ACCUZYME SPRAY(PAPAIN,UREA)",250,,$197.36 ,$197.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306495,COPAXONE 20MG INJ (GLATIRAMER),250,,$206.69 ,$206.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306496,DY-G LIQUID(DYPHYLLINE/GUAIFENSIN)PER OZ,250,,$5.86 ,$5.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306497,TIGECYCLINE 50 MG(TYGACIL VIAL),250,,$431.58 ,$431.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306498,hydrALAzine 50 MG TAB,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306499,TYLENOL ARTHRITIS 650 MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306500,DARBEPOETIN 200 MCG/ML(ARANESP)(ALFA),250,,"$4,020.60 ","$4,020.60 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306501,DEPO-MEDROL 80 MG(METHYLPREDNIS..ACETATE,250,,$53.60 ,$53.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306502,DEPRO MEDROL 40 MG(METHYLPRENISOLONE),250,,$30.91 ,$30.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306503,MVD (GI COCKTAIL) PER 30 ML,250,,$20.25 ,$20.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306506,DEMOCLOCYCLINE 300 MG,250,,$33.43 ,$33.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306507,FOSAMAX PLUS D,250,,$72.72 ,$72.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306508,HYOSCYAMINE SULFATE ER 0.375 MG,250,,$5.01 ,$5.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306509,DEXTROMETHORPHAN ER (DELSYM LIQ)30MG/5ML,250,,$44.06 ,$44.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306510,PYRIDOSTIGMINE BROMIDE 180 MG,250,,$5.21 ,$5.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306511,ATROVENT 0.06% NASAL SPRAY (15 ML),250,,$215.47 ,$215.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306512,GLUTOSE 15 (ORAL GLUCOSE GEL),250,,$11.79 ,$11.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306513,OXYCONTIN CR 40 MG TABS,250,,$21.78 ,$21.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306514,NUTRAPLUS THERAPEUTIC 10% UREA CREAM 1LB,250,,$98.10 ,$98.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306515,MEGESTROL SUSPENSION 40 MG/ML (OZ EACH),250,,$72.35 ,$72.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306516,SIBUTRAMINE HCL(MERIDIA) 15MG,250,,$19.75 ,$19.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306517,TRANDOLAPRIL (MAVIK) 4 MG TABS,250,,$4.98 ,$4.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306518,HYDRALAZINE 37.5MG/ISOSORBIDE DIN 20MG,250,,$14.67 ,$14.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306519,RIFAMPIN 600 MG VIAL,250,,$280.35 ,$280.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306520,FOSINOPRIL SODIUM(MONOPRIL) 40 MG,250,,$4.34 ,$4.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306521,ATORVASTATIN CALCIUM(LIPITOR) 80MG TABS,250,,$14.92 ,$14.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306522,PREGABALIN(LYRICA) 75 MG CAPSULE,250,,$7.43 ,$7.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306523,PAROXETINE(PAXIL XR) 12.5 MG TABLETS,250,,$3.84 ,$3.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306524,NEOMYCIN/POLYMYXIN B SUL/GRAMICIDIN O/S,250,,$108.67 ,$108.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306525,EPTIFIBATIDE(INTEGRILIN)DRIP VL 0.75MG/M,250,,$969.01 ,$969.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306526,EPTIFIBATIDE(INTEGRILIN) INJ. 2MG/ML,250,,$309.65 ,$309.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306527,lamoTRIgine(LaMICtal) 25 MG TABS,250,,$17.36 ,$17.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306528,ETODOLAC(LODINE) 500MG TABLET,250,,$5.44 ,$5.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306529,METOPRLOL SUCCINATE(TOPROL) XL 200MG,250,,$8.40 ,$8.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306530,FEOGEN (CHROMAGEN)GEL CAPS,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306531,PREGABALIN (LYRICA) 25 MG CAPSULES,250,,$7.43 ,$7.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306532,TRINSICON CAPSULE VITAMIN(IRON &C&B&),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306533,DOXERCALCIFEROL (HECTOROL) 0.5 MCG,250,,$10.65 ,$10.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306534,CHROMAGEN FORTE GELATIN CAPS,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306535,"BACIIM INJECTION 50,000 UNITS VIAL/ FRIG",250,,$71.61 ,$71.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306536,ZIPRASIDONE HCL(GEODON) 20 MG CAPSULE,250,,$20.76 ,$20.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306537,MOMETASONE FUROATE 0.1% CR (ELOCON) 15GM,250,,$96.80 ,$96.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306538,METOPROLOL 25 MG TABLETS (LOPRESSOR),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306539,CYCLOPENTOLATE HCL 1% EYE DROPS (5ML),250,,$96.09 ,$96.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306541,AUGMENTIN 250MG/5ML(AMOXIL/CLAV.),250,,$174.57 ,$174.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306542,glipiIZIDE XL(GLUCOTROL) 2.5MG TABLET,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306543,DEXAMETHASONE(DECADRON) ORAL SOL 0.5MG/5,250,,$5.44 ,$5.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306544,ESOMEPRAZOLE(NEXIUM) 40 MG,250,,$19.75 ,$19.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306545,DESMOPRESSIN ACETATE INJ 4MCG/ML,250,,$82.84 ,$82.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306546,PREGABALIN (LYRICA) 100 MG(NOT STOCKED),250,,$6.73 ,$6.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306547,ORLISTAT (XENICAL)120 MG CAPSULES,250,,$8.69 ,$8.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306548,FLEETS MINERAL OIL ENEMA 4.5FL OZ.,250,,$6.96 ,$6.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306549,GALANTAMINE (RAZADYNE ER) 8 MG,250,,$20.72 ,$20.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306550,AVEENO ANITI-ITCH LOTION 118ML,250,,$23.37 ,$23.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306551,AVEENO DAILY MOSITURE LOTION 71G,250,,$9.04 ,$9.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306552,REFRESH LIQUIGEL EYE DROPS,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306554,SODIUM HYPOCHLORITE 0.5% (FS)DAKINS 16OZ,250,,$14.62 ,$14.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306555,FENOFIBRATE(TRICOR) 145MG TABLETS,250,,$14.32 ,$14.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306556,METHYPHENIDATE 10 MG (RITALIN/METHYLIN),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306557,GLIMEPIRIDE (AMARYL) 1 MG TAB,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306558,SILVASORB GEL 1.5 OZ TUBE,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306559,FLUOCINOLONE ACET.(SYNALAR) 0.01% SOLU.,250,,$39.78 ,$39.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306600,ALENDRONATE SODIUM(FOSAMAX) 35MG TABS,250,,$290.71 ,$290.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306601,CEFPODOXIME PROXETIL(VANTIN) 200MG TABS,250,,$27.56 ,$27.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306602,MINERIN(EUCERIN) CREAM 16 OZ.,250,,$27.35 ,$27.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306603,TERBINAFINE(LAMISIL) 250MG TABLETS,250,,$45.66 ,$45.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306604,ORPHENADRINE CITRATE(NORFLEX)100MG TAB,250,,$7.96 ,$7.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306605,RAMIPRIL(ALTACE) 2.5 MG CAPSULES,250,,$5.86 ,$5.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306606,CILOSTAZOL(PLETAL) 50 MG TABLETS,250,,$6.66 ,$6.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306607,LEVOFLOXACIN 750 MG/150 D5W PREMIX BAG,250,,$219.22 ,$219.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306608,BALSALAZIDE DISODIUM(COLAZAL) 750 MG CAP,250,,$5.89 ,$5.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306609,SILVERCEL DRESSING 1in.x12in. ROPE,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306610,CARBIDOPA/LEVODO/ENTACAPONE 12.5/50/200,250,,$9.04 ,$9.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306611,VERAPAMIL HYDROCHLORIDE(VERELAN)PM 300MG,250,,$11.23 ,$11.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306612,EXENATIDE(BYETTA)5MCG/DOSE MULTIDOSE PEN,250,,$664.71 ,$664.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306613,DICYCLOMINE HCL CAP 10MG (BENTYL),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306614,PIMECROLIMUS(ELIDEL) CREAM 1% 30GM TUBE,250,,$254.01 ,$254.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306615,HYDRON EX LIQ 60ML,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306616,GUAIFENESIN 400 MG TABLETS,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306617,ESOMEPRAZOLE SODIUM(NEXIUM) 40MG IV,250,,"$1,029.50 ","$1,029.50 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306618,AUGMENTIN XR 1000 MG TABLETS,250,,$11.93 ,$11.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306619,AMIODARONE 900 MG/18ML VIAL,250,,$54.28 ,$54.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306620,FOSPHENYTOIN SOD.(CEREBRYX)INJ.100MG/2ML,250,,$108.46 ,$108.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306621,PRISMA 10/28cm/4.34in,250,,$36.19 ,$36.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306622,SURGICELL ABSORBABLE HEMOSTAT 2x3in,250,,$133.05 ,$133.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306623,PILOCARPINE HCL 5 MG TABLET,250,,$5.50 ,$5.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306624,MOXIFLOXACIN(AVELOX) 400MG/250ML PREMIX,250,,"$1,899.07 ","$1,899.07 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306625,WARFARIN SOD. 4 MG TABS,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306627,CANDESARTAN CILEXETIL(ATACAND)8MG TABS,250,,$6.58 ,$6.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306628,MOXIFLOXACIN HCL(AVELOX)400MG TABS,250,,$42.31 ,$42.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306630,KETOPROFEN 50 MG CAPSULE,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306631,DARIFENACIN (ENABLEX) ER 7.5 MG TAB,250,,$12.81 ,$12.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306632,REPLIVA 21/7 TABLETS IRON TAB PER PACK,250,,$270.87 ,$270.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306633,SULFACETAMIDE SOD. OPTH. SOL. 10%,250,,$18.38 ,$18.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306634,CANCIDAS 50 MG/100 ML NS,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306635,CANCIDAS 70 MG/ 250 ML NS,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306636,VORICONAZOLE 200 MG VIAL (VFEND),250,,$436.45 ,$436.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306637,VFEND IV BAG VARIABLE DOSE,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306639,TELITHROMYCIN (KETEK) 400 MG TABLET,250,,$21.69 ,$21.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306640,CARDIZEM DRIP 1MG/ML IV DRIP,250,,$55.29 ,$55.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306641,TELMISARTAN/HCTZ 40MG/12.5MG TAB(MICARDI,250,,$7.43 ,$7.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306643,QUINUPRISTIN/DALFOPRISTIN 500MG(SYNERCID,250,,$575.17 ,$575.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306644,INVanz 1 GM /100 ML NS IV BAG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306645,ACETIC ACID 1000 ML 0.25% TOPICAL USE,250,,$130.23 ,$130.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306646,MOXIFLOXACN(VIGAMOX)HCL OPTH. SOL. 0.5%,250,,$204.17 ,$204.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306647,CORTANE-B(HYDROCORISONE-PRAMOXIN)OTIC,250,,$75.82 ,$75.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306648,RIFAXIMAN(XIFAXAN)200 MG TABS,250,,$15.70 ,$15.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306649,SILVERCELL(ANTIMICROBIAL ALGINATE)SHEET,250,,$45.58 ,$45.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306650,LORAZEPAM 2MG/ML 10ML IV,250,,$108.51 ,$108.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306651,CRRBIDOPA/LEVO/ENTACAPAONE(STALEVO 100),250,,$9.04 ,$9.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306652,GUAIFENESIN 600MG/PSEU 120MG TABS,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306654,ceFOXitin 1GM INJ. VIAL,250,,$40.67 ,$40.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306655,dilTIAZem CHL (TIAZAC) 360 MG CAPSULE,250,,$11.23 ,$11.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306656,UREA 40% CREAM (CARMOL),250,,$94.70 ,$94.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306657,OLMESARTAN MEDOXOMIL(BENICAR) 40 MG TABS,250,,$6.87 ,$6.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306658,QUINAPRIL(ACCUPRIL) 20MG TABLETS,250,,$4.93 ,$4.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306659,PRAMOXINE (PROCTOFOAM 1%) PLAIN,250,,$135.43 ,$135.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306660,SUCCINYLCHOLINE CL. INJ. 200MG(20MG/ML),250,,$10.48 ,$10.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306661,TUBE FEEDING,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306662,FEXOFENADINE HCL(ALLEGRA) 60 MG TABLETS,250,,$6.14 ,$6.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306663,ANIDULAFUNGIN (ERAXIS) INJ 50MG VIAL,250,,$406.93 ,$406.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306665,PERINDOPRIL ERBUMINE(ACEON) 4MG TABS,250,,$6.22 ,$6.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306667,PAPAVERINE HCL 150MG CAPSULE,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306668,METHYLDOPA/HCTZ(ALDORIL 25MG)250/25MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306669,PARCOPA 25/10OMG TABS,250,,$3.90 ,$3.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306670,"AQUASOL A INJ. 50,000U/ML 2ML VIAL",250,,$99.82 ,$99.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306671,"FOLBIC(FOLTX)VIT B6, VIT B12, FOLIC ACID",250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306672,PANCURONIUM BROMIDE INJ. 1MG/ML 10ML,250,,$6.96 ,$6.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306673,PROPASS PACKETS PROTIEN SUPPLEMENT-DIET,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306674,ENSURE,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306675,FREE WATER FOR TUBE FLUSHING,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306676,AMIODARONE DRIP 1.8 MG/ML (IN D5W 500ML),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306677,COSOPT EYE DROPS (10 ML) OCCUMETER,250,,$403.49 ,$403.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306678,LEVOBUNOLOL O/S 0.5% DRP 5ML,250,,$60.20 ,$60.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306679,PREGABALIN(LYRICA) 50MG CAPSULES,250,,$7.96 ,$7.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306680,0.45% SOD. CHLORIDE 250 ML BAG,250,,$30.38 ,$30.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306681,ZEGERID (OMEPRAZOLE/SOD. BICARB)40/100MG,250,,$16.78 ,$16.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306682,REPALINIDE (PRANDIN) 2MG TABLETS,250,,$5.06 ,$5.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306683,LOPINAVIR/RITONAVIR(KALETRA)200/50MG TAB,250,,$24.03 ,$24.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306684,LAMIVUDINE(EPIVAR) 300MG TABLET,250,,$44.14 ,$44.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306685,TENOFOVIR DISOPROXIL(VIREAD) 300MG TAB,250,,$62.78 ,$62.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306686,DEFEROXAMINE MESYLATE 2G VIAL INJ,250,,$254.57 ,$254.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306687,FONDAPARINUX SODIUM 2.5MG 0.5ML VIAL,250,,$165.88 ,$165.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306688,ESTRADIOL TRANDERMAL(CLIMARA)0.1MG/DAY,250,,$39.66 ,$39.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306689,EPZICOM(ABACAVIR SUL./LAMIVUDINE) TABS,250,,$103.46 ,$103.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306690,AZITHROMYCIN (ZITHROMAX)200mg/5ML ORAL,250,,$132.53 ,$132.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306691,DIVALPROEX SODIUM(DEPAKOTE)125MG TABLETS,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306692,AZITHROMYCIN(ZITHROMAX)SUSP 200mg/5ml,250,,$140.35 ,$140.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306694,"THROMBIN TOPICAL 5,000U",250,,$243.07 ,$243.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306695,GABAPENTIN 800 MG TABLET,250,,$10.48 ,$10.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306696,PRAMIPEXOLE DIHYDROCHLORIDE(MIRAPEX)1MG,250,,$8.17 ,$8.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306697,ZAFIRLUKAST(ACCOLATE)20MG TABLETS,250,,$5.78 ,$5.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306698,VIAGRA 50MG TABLETS,250,,$45.36 ,$45.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306699,"EPOETIN ALFA (PROCRIT) 40,000 UNITS VIAL",250,,"$2,201.11 ","$2,201.11 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306701,PHENOBARBITAL 60 MG/ML INJ (CARPU),250,,$12.96 ,$12.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306702,AMINOCAPROIC ACID 500 MG TAB (AMICAR),250,,$9.92 ,$9.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306703,AMCINONIDE (CYCLOCORT) 0.1% 60gm,250,,$166.82 ,$166.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306704,MICONAZOLE NITRATE 2%(MICRO-GUARD)POWDER,250,,$32.14 ,$32.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306705,NS PREMIX W/20MEQ KCL 1000ML,250,,$66.56 ,$66.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306706,NS PREMIX W/40MEQ KCL 1000ML,250,,$66.56 ,$66.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306707,D5 NS PREMIX W/20MEQ KCL 1000ML,250,,$63.00 ,$63.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306708,D5 NS W/40MEQ KCL 1000ML PREMIX,250,,$60.66 ,$60.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306709,D5 1/2 NS PREMIX W/10MEQ KCL 1000ML,250,,$50.06 ,$50.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306710,D5 1/2 NS PREMIX W/20MEQ KCL 1000ML,250,,$64.83 ,$64.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306711,D5 1/2 NS PREMIX W/40MEQ KCL 1000ML,250,,$64.84 ,$64.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306712,1/2 NS PREMIX W/20MEQ KCL 1000ML,250,,$66.56 ,$66.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306713,ROPINIROLE (REQUIP) 2 MG TAB,250,,$7.66 ,$7.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306714,ROPINIROLE (REQUIP)0.5mg,250,,$7.66 ,$7.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306715,VERSED DRIP 1 MG/ML DRIP (100MG/100 NS),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306716,OCTREOTIDE DRIP 1 MCG/ML PER PROTOCAL,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306718,PARICALCITOL CAPSULES 2 MCG (ZEMPLAR),250,,$51.49 ,$51.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306719,KCL 40 MEQ/100 ML SW PREMIX BAG IN MD,250,,$10.20 ,$10.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306720,"HEPARIN 25,000 UNIT/250 ML 0.45NS PREMIX",250,,$19.68 ,$19.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306721,ACTICOAT ANTIMICROBIAL DRESSING 7DAYS,250,,$97.96 ,$97.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306722,L-ALL 12 SUSPENSION(CARBETAPENTANE/PHEN),250,,$111.92 ,$111.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306723,PROTEINEX PROTEIN SUPPLEMENT 8 OZ BOTTLE,250,,$91.66 ,$91.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306724,INSULIN DETEMIR (LEVEMIR) 100 UNITS/ML:,250,,$1.30 ,$1.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306725,THYROID 65MG (1GRAIN) TABS,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306726,TROLAMINE SALICYLATE 10% CR.(ASPERCREAM),250,,$7.75 ,$7.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306727,CANDESARTAN CILEXETIL(ATACAND)32 MG TABS,250,,$8.90 ,$8.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306728,CLARITHROMYCIN 250 MG TABS (BIAXIN),250,,$15.34 ,$15.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306729,PARICALCITROL 2 MCG/ML VIALS (ZEMPLAR),250,,$42.23 ,$42.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306730,EMERGENCY MED KEY,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306731,LAMIVUDINE(EPIVIR) HBV 100MG TABS,250,,$32.64 ,$32.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306732,CARMEX LIP OINTMENT OR STICK,250,,$8.27 ,$8.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306733,cloNIDine HCL 0.3 MG TAB (CATAPRESS),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306734,CALMOSEPTINE OINTMENT PER TUBE,250,,$25.34 ,$25.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306735,NEOSPORIN ONIT. PACKET UD 0.9 GM,250,,$84.34 ,$84.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306736,POVIDINE OINTMENT 30GM TUBE,250,,$8.69 ,$8.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306737,HEMOCYTE PLUS(IRON-VITAMIN) CAPSULES,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306738,ALLEGRA-D (FEOXFEN/PSEUDO) 60/120 ER,250,,$6.30 ,$6.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306739,NADOLOL(CORGARD) 20MG TABS,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306740,PROTONIX DRIP 80 MG/100 NS,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306741,NADOLOL 20 MG TAB,250,,$3.90 ,$3.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306742,"AMIODARONE HY 150 MG/3ML, 3M",250,,$96.22 ,$96.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306743,MAGIC MOUTH WASH 4 OZ BOTTLE 1:1:1:1 MIX,250,,$43.41 ,$43.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306744,ALFUZOSIN (UROXATRAL) 10 MG TAB,250,,$9.65 ,$9.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306745,ALBUMIN 5% 500 ML BOTTLE (25GM/500ML),250,,$723.44 ,$723.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306746,COLESTIPOL(COLESTID) 5GM PACKETS,250,,$7.25 ,$7.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306748,L-LYSINE 500MG TABLETS,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306749,"PCA SET WITH INJECTOR, MINI-BORE",250,,$16.42 ,$16.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306750,"SPIRIVA IN 18MCG,POWD CAPS W",250,,$39.69 ,$39.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306751,REFRESH CELLUVISC,250,,$74.08 ,$74.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306752,HYDROmorphone 4MG TABS,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306753,RANOLAZINE 500 MG TABS (RANEXA),250,,$23.77 ,$23.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306754,NEUMEGA 5MG (OPRELVEKIN) INJECTION,250,,"$1,106.89 ","$1,106.89 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306755,hydrOXYzine PAMOATE 50 MG CAPSULE,250,,$26.14 ,$26.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306756,COENZYME Q-10 CAPSULES,250,,$17.82 ,$17.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306757,CLORPRESS 0.2 (CHLORTHALIDONE/CLONIDINE),250,,$33.13 ,$33.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306758,SITAGLIPTIN 25 MG TAB (JANUVIA),250,,$42.03 ,$42.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306759,FLUNISOLIDE NASAL SOLUTION 0.025%,250,,$168.20 ,$168.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306760,MICONAZOLE ANTIFUNGAL OINT(ALOEVESTA)2OZ,250,,$28.12 ,$28.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306761,BUTORPHANOL (STADOL) 1MG/ML VIAL,250,,$114.15 ,$114.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306762,DIGOXIN IMMUNE FAB (DIGIFAB) 40 MG VIAL,250,,"$2,170.38 ","$2,170.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306763,FLORASTOR CAPS :250MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306765,PARICALCITOL(ZEMPLAR) 1 MCG CAPSULE,250,,$32.29 ,$32.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306766,BENEFIBER PKT SINGLES 14OZ,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306767,BREVIBLOC INJ.(ESMOLOL HCL) 100MG/10ML,250,,$207.92 ,$207.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306768,ETOMIDATE 20MG AMP (2MG/ML) TO INTUBATE,250,,$56.27 ,$56.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306769,LINDANE LOTION 1% 60ML,250,,$471.11 ,$471.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306770,TERCONAZOLE(TERAZOLE)VAGINAL CREAM 0.8%,250,,$148.10 ,$148.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306771,"ADENOSINE 3MG/ML,2 ML",250,,$286.43 ,$286.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306772,"CLAFORAN 1G,INJECTION",250,,$96.38 ,$96.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306773,"LIDOCAINE VISC DOSE CH 2%,1 M",250,,$2.66 ,$2.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306774,WELLBUTRIN XL 150MG(BUPROPION HCL),250,,$15.63 ,$15.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306775,ZOLPIDEM (AMBIEN) 12.5 MG CR TABS,250,,$14.67 ,$14.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306777,SOLIFENACIN (VESICARE) 5MG TABS,250,,$14.55 ,$14.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306778,MORPHINE 1 MG/ML IV (100 ML BAG)PROTOCAL,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306779,TOLTERODINE(DETROL LA) 4 MG CAP,250,,$13.75 ,$13.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306780,AVANDARYL(ROSIGLITAZONE/GLIMEPIRIDE)4MG,250,,$15.34 ,$15.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306781,GLUTAMINE POWDER DIETARY SUPPLIMENT,250,,$144.56 ,$144.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306782,NATRECOR 6 MCG/ML 250 ML NS DRIP,250,,"$2,170.01 ","$2,170.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306783,TEMOZOLOMIDE 20 MG CAPSULES,250,,$131.15 ,$131.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306784,OLMESARTAN MEDOXOMIL 20 MG TAB,250,,$6.73 ,$6.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306785,POTASSIUM CITRATE ORAL SOL. (30 ML EACH),250,,$142.45 ,$142.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306787,"CIMETIDINE TAB 300MG {300MG, TABLET",250,,$5.77 ,$5.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306788,D.H.E. 45(DIHYDROERGOTAMINE MES.) INJ,250,,$126.59 ,$126.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306789,TEMODOR(TEMOZOLOMIDE) 100 MG CAPS,250,,$655.89 ,$655.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306790,VALPROIC ACID 500 MG/ 50 ML NS (DEPACON),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306791,PERMETHRIN CREAM 5% (ELIMITE)60 GM TUBE,250,,$105.83 ,$105.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306792,STROMECTOL 3MG TABLET,250,,$19.52 ,$19.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306793,ALBUTEROL SULFATE SOL 0.5% 2.5MG/0.5ML,250,,$5.72 ,$5.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306794,PEN G SODIUM 5 MILLIOM UNITS/VIAL,250,,$258.44 ,$258.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306795,AMPHOTERICIN B (ABELCET)100MG/20 ML VIAL,250,,$868.15 ,$868.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306796,CARVEDILOL (COREG)CR 20 MG CAPSULES,250,,$15.13 ,$15.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306798,TRIAMCINOLONE 0.1% OINTMENT(PER 15GM),250,,$22.63 ,$22.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306799,TELMISARTIN(MICARDIS)80 MG TABLET,250,,$7.88 ,$7.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306800,ALBUTEROL SULFATE 2.5mg/0.5ml,250,,$97.67 ,$97.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306801,PERPHENAZINE(TRILAFON)4MG UD TABLETS,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306803,FOSCARNET 24MG/ML 250ML BOTTLE,250,,$297.54 ,$297.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306804,FOSCARNET 12 MG/ML IVPB (DILUTED IN NS),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306805,OMACOR CAPSULES (OMEGA 3 ACID),250,,$4.69 ,$4.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306806,FLUoxetine 10 MG TABLETS (PROZAC),250,,$9.92 ,$9.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306807,"AZOPT OPHTH SUSP 1% {1%, SUSPENSION, 5 M",250,,$331.28 ,$331.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306808,"BETIMOL OPHTH SOLN 0.5% {0.5%, SOLUTION,",250,,$122.10 ,$122.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306809,WARFARIN SODIUM 10 MG TABS,250,,$3.84 ,$3.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306810,MESALAMINE(PENTASA) 500MG CAPSULES,250,,$6.09 ,$6.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306811,NYSTATIN OINTMENT 15GM TUBE,250,,$10.86 ,$10.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306812,ROCURONIUM (ZEMURON) 5 ML VIAL,250,,$60.20 ,$60.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306813,RISPERDAL CONSTA 50 GM DOSE PACK,250,,"$2,157.78 ","$2,157.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306814,CARVEDILOL 10 MG CR CAP (COREG),250,,$14.50 ,$14.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306815,PRIMAQUINE PHOSPHATE 26.3 MG 100 TABS,250,,$4.49 ,$4.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306816,DESONIDE 0.05% CREAM 60 GM TUBE,250,,$144.25 ,$144.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306817,DOCOSANOL 10% CREAM (ABREVA) 2GM TUBE,250,,$64.68 ,$64.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306818,AMITIZA 24 MCG GELCAPS,250,,$13.02 ,$13.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306819,TEMAZEPAM 7.5 MG CAPSULES,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306820,OXYCODONE 30 MG IR TABLETS,250,,$5.15 ,$5.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306821,ZADITOR 0.025% OPTHALMIC DROPS,250,,$44.14 ,$44.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306822,GAVISCON TABLETS,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306823,TELMISARTAN 20 MG TAB (MICARDIS),250,,$6.87 ,$6.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306824,MEXILETINE 150 MG TABLET,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306825,AROMASIN(EXEMESTANE) 25 MG TABLETS,250,,$37.77 ,$37.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306826,LAMPRENE 50 MG CAPSULES,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306827,"LIDOCAINE HCL VISCOU 2%,100 M",250,,$34.80 ,$34.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306828,"VANCOMYCIN 1G ADD-VANTAGE,INJ",250,,$96.38 ,$96.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306829,PRIMAXIN IM 500MG VIAL (IMIPEN/CELASTIN),250,,$147.65 ,$147.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306830,VITAMIN D 400 IU TABS,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306831,SPIRONOLACTONE 100MG TABS,250,,$5.35 ,$5.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306832,"NYSTATIN 500,000 UNITS ORAL TABS",250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306833,MEROPENEM 500 MG VIAL,250,,$142.15 ,$142.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306835,rOPINIRole 1MG TAB (REQUIP),250,,$9.34 ,$9.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306836,BREVIBLOC 2500 MG/250 ML NS,250,,$651.12 ,$651.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306837,ERAXIS 100 MG VIAL,250,,$813.89 ,$813.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306838,NITROGLYCERIN 0.1 MG PATCH,250,,$5.71 ,$5.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306839,BENZOCAINE TOP SPR-AMERICAINE/HURRICAINE,250,,$20.51 ,$20.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306840,PEPTO BISMOL TABS(PINK BISMUTH) 262 MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306841,"MUPIROCIN 2%,22 GM",250,,$313.19 ,$313.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306842,PIOGLITAZONE(ACTOS) 45 MG TABS 30 CT.,250,,$27.07 ,$27.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306843,PROPOFOL 1% 100ML BOTTLE (DIPRIVAN),250,,$43.41 ,$43.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306844,ENBREL DS 50MG/ML INJ.,250,,"$1,492.13 ","$1,492.13 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306845,TINDAMAX (TINIDAZOLE) 500MG TABS,250,,$21.28 ,$21.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306846,FOSAMAX D 70 MG TABLETS,250,,$82.38 ,$82.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306847,DESMOPRESSIN 0.1 MG TABS,250,,$10.92 ,$10.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306848,LITHIUM CARBONATE 300MG ER,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306849,SITAGLIPTIN (JANUVIA) 50 MG TABS,250,,$22.89 ,$22.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306850,MINOXIDIL (LONITEN)2.5MG TAB,250,,$6.14 ,$6.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306851,RILUTEK 50MG,250,,$48.61 ,$48.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306852,CLOBETASOL PROPIONATE 0.05% CREAM,250,,$129.70 ,$129.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306853,CHLORTHALIDONE 25 MG TABLETS,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306854,QUETIAPINE (SEROQUEL) 200 MG TABS,250,,$27.76 ,$27.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306855,METOPROLOL SUCCINATE ER 100 MG TABS,250,,$4.89 ,$4.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306856,OCUVITE VITAMIN TABLET,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306857,MOLINDONE HYDROCHLORIDE(MOBAN) 25 MG,250,,$11.35 ,$11.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306858,HYDROCORTISONE LOTION 1% 4OZ,250,,$18.92 ,$18.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306859,MEPERDINE 300MG/30ML (10MG/ML) PCA,250,,$370.91 ,$370.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306860,CETACAINE TOPICAL ANESTHETIC SPRAY,250,,$285.77 ,$285.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306861,PREDNISOLONE LIQUID 15MG/5ML,250,,$18.20 ,$18.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306862,AMPHOTERICIN B 50MG VIAL (NOT LIPHO),250,,$42.83 ,$42.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306864,CYCLOSPORIN 0.5% (RESTATIS) EYE DROPS,250,,$13.19 ,$13.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306865,"TRICHOPHYTON 1,000 PNU/ML MDV 2ML",250,,$108.51 ,$108.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306866,MEDIUM CHAIN TRIGYLERIDES(MTC) OIL 1 QT.,250,,$205.94 ,$205.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306867,METHADONE 5 MG TABLET,250,,$13.87 ,$13.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306868,"CUBICIN IV 500MG,INJ POWDER",250,,"$1,504.45 ","$1,504.45 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306869,"POLYCILLIN-N ADD- 2G,INJECTIO",250,,$141.89 ,$141.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306872,ESTRACE(ESTRADIOL)VAGINAL CREAM 0.1%,250,,$363.04 ,$363.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306873,DOXAZOSIN TAB : 4 MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306874,APIDRA INSULIN PER UNIT,250,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306875,VFEND VORICONAZOLE 50MG,250,,$8.65 ,$8.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306876,ESTRADIOL TRANSDERMAL(CLIMARA) 0.05 MG,250,,$43.01 ,$43.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306877,ZEGERID(OMEPRAZOLE/SODIUM BICARB) SUSP.,250,,$21.00 ,$21.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306878,ALISKIREN ( TEKTURNA) 300 MG TABLETS,250,,$11.32 ,$11.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306879,PYRAZINAMIDE 500 MG TABLET,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306880,DORIPENEM : 500 MG IV (DORIBAX),250,,$168.16 ,$168.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306881,COREG CR 40MG (CARVEDILOL CR),250,,$15.08 ,$15.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306882,CIPRO 0.2% & HYDROCORTISONE 1% OTIC,250,,$295.17 ,$295.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306883,BUPROPION (WELLBUTRIN) 75 MG TABLET,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306884,METFORMIN HCL(GLUCOPHAGE) XR 500MG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306885,VICKS VAPORUB 50GM SMALL,250,,$16.41 ,$16.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306886,VENLAFAXINE(EFFEXOR) XR 150 MG CAPSULES,250,,$23.15 ,$23.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306887,VIAGRA 25MG (SILDENAFIL CITRATE),250,,$37.52 ,$37.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306888,RIVASTIGIMINE (EXELON) 9.5 MG PATCH,250,,$25.51 ,$25.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306889,SMZ/TMP(BACTRIM) INJ.160MG,250,,$34.43 ,$34.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306890,ESTROPIATE 1.5MG(OGEN 1.25MG)TABLETS,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306891,ENALAPRIL 2.5 MG TAB (VASOTEC),250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306892,VITAMIN D-3 1000 UNIT (25 MCG)TAB,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306893,PANTOPRAZOLE(PROTONIX) 40MG SUSP. PACKS,250,,$16.42 ,$16.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306894,ZOLEDRONIC 4MG VIAL 5ML (ZOMETA) INJ,250,,"$3,388.58 ","$3,388.58 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306895,VANCOMYCIN 500 MG ADD-VANTAGE,250,,$96.38 ,$96.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306896,PHISOHEX(HEXACHLORPHENE) 3% CLEANSER,250,,$140.73 ,$140.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306897,MAGNESIUM GLUCONATE 500 MG TABLETS,250,,$7.60 ,$7.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306898,HC CREAM 2.5%(hydrocortisone),250,,$11.56 ,$11.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306900,TEGRETOL XL 100MG TABLET,250,,$9.61 ,$9.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306901,EXELON 4.6 MG PATCHES,250,,$25.47 ,$25.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306902,CALCIPOTRIENE 0.005% CR 60 GM,250,,$832.08 ,$832.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306903,DEPAKOTE SPRINKLES 125 MG CAPS,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306904,FLAVOCOXID 500MG CAPS (LIMBREL),250,,$6.44 ,$6.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306905,MALATHION (OVIDE) 0.5% LOTION,250,,$483.74 ,$483.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306906,AYR SALINE NASAL GEL,250,,$7.25 ,$7.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306908,FENOFIBRATE (TRICOR) 48 MG,250,,$3.94 ,$3.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306910,ADVAIR HFA 45/21 MCG INH,250,,$477.50 ,$477.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306911,CODEINE SULFATE 15MG TABLET,250,,$5.74 ,$5.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306912,RISPERODONE 37.5 MG IM (RISPERDAL IM),250,,"$1,650.78 ","$1,650.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306913,SYMBICORT 160/4.5MCG INH. 6 GM,250,,$423.22 ,$423.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306914,INVEGA(PALIPERIDONE 24 HR) 3 MG TABS,250,,$45.21 ,$45.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306915,ALTABAX 1% OINTMENT 10 GM TUBE,250,,$252.17 ,$252.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306916,ARGINAID NUTRITIONAL SUPPLEMENT,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306917,BACITRACIN 500 UN/GM O/O 3.5GM TUBE,250,,$17.16 ,$17.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306918,ZINC GLUCONATE 50 MG TABS,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306919,VALGANCICLOVIR 450 MG(VALCYTE) TABS,250,,$147.54 ,$147.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306920,CYTOVENE 500 MG(GANCICLOVIR) INJ,250,,$230.16 ,$230.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306921,GALZIN 50MG (ZINC ACETATE) CAPSULE,250,,$8.78 ,$8.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306922,RESPI-TANN D SUS (PER 16OZ),250,,$444.08 ,$444.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306923,GARLIC 500MG CAPSULES,250,,$3.59 ,$3.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306924,ROPINIROLE (REQUIP)XL 2MG,250,,$9.35 ,$9.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306925,SYPRINE(TRIENTINE) 250MG CAPSULE,250,,$16.38 ,$16.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306926,GLYCOPRROLATE 1 MG TABLET,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306927,PROSED / DS TAB,250,,$4.78 ,$4.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306928,AMILoride HYDROCHLORIDE 5 MG TABS,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306929,VARENICLINE (CHANTIX) 1 MG TAB,250,,$6.66 ,$6.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306930,OCTREOTIDE 0.1MG/ML(100MCG/ML),250,,$21.72 ,$21.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306931,QUETIAPINE FUMARATE 50 MG (SEROQUEL),250,,$14.89 ,$14.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306932,DESVENLAFAXINE (PRISTIQ) ER 50 MG TAB,250,,$14.66 ,$14.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306933,guaiFENesin WITH CODEINE SYRUP 5ML,250,,$5.50 ,$5.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306935,ARIPIRAZOLE (ABILIFY): 30 MG TAB,250,,$71.08 ,$71.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306936,RACEPINEPHRINE 2.25% INHALATION SOL.,250,,$4.31 ,$4.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306937,ASMANEX(MOMETASONE FUROATE) 220MCG INH,250,,$318.50 ,$318.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306938,FEMARA 2.5MG TABLETS,250,,$42.74 ,$42.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306939,CETIRIZINE HCL 5MG/5ML (PER 16OZ.),250,,$502.87 ,$502.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306940,MELATONIN 5 MG TABLETS,250,,$3.44 ,$3.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306941,RELISTOR INJ. 12 MG/0.6 ML PER VIAL,250,,$412.06 ,$412.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306943,DESOXIMETASONE 0.05% CREAM 15 GM,250,,$80.59 ,$80.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306944,MEGESTROL 625 MG/5 ML LIQ.(150ML BOTTLE),250,,"$2,271.02 ","$2,271.02 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306945,BUMETANIDE 10 ML VIAL (0.25MG/ML),250,,$21.55 ,$21.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306946,DESIPRAMINE 100 MG,250,,$5.17 ,$5.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306947,COLISTIMETHATE BY INHALATION:150 MG VIAL,250,,$261.93 ,$261.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306948,MESALAMINE 1000 MG SUPP.(CANASA PR),250,,$40.88 ,$40.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306949,STRATTERA 40 MG CAPSULE,250,,$17.48 ,$17.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306950,PULMOZYME AMPULES 30X2.5 ML,250,,$232.27 ,$232.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306951,FLUTAMIDE (EULEXIN) 125MG CAPSULES,250,,$3.44 ,$3.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306952,GLYBURIDE 6MG MICRONIZED,250,,$0.25 ,$0.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306953,SANCTURA XR 60 MG CAPSULES,250,,$13.94 ,$13.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306955,AMOXICILLIN 250MG/5ML SUSPENSION,250,,$33.80 ,$33.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306959,PHENYLTOLOXAMINE/ACETAMINOPHEN 60/650 MG,250,,$1.40 ,$1.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306960,CHLOROTHIAZIDE 250MG TAB,250,,$0.52 ,$0.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306961,PANCREASE MT 20 CAPSULES,250,,$4.72 ,$4.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306962,ABILIFY(ARIPIPRAZOLE) 2 MG TABLET,250,,$54.77 ,$54.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306963,MELOXICAM 15 MG TABLET,250,,$16.26 ,$16.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306964,ESZOPICLONE (LUNESTA) 1 MG TABLET,250,,$11.37 ,$11.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306965,GLYCINE 3000ML IRRIGANT,250,,$34.62 ,$34.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306966,ENABLEX (DARIFENACIN) 15 MG TABLETS,250,,$15.16 ,$15.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306967,VIT E ACETATE CAPSULES 1000 IU,250,,$3.44 ,$3.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306969,MICAFUNGIN 50 MG VIAL (MYCAMINE),250,,$130.80 ,$130.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306970,ATROVASTIN 40MG (LIPITOR),250,,$12.97 ,$12.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306972,SILDENAFIL CITRATE 20 MG TAB (REVATIO),250,,$59.91 ,$59.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306974,LOCOID LIPOCREAM 1% 15GM TUBE,250,,$211.53 ,$211.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306975,DAKINS 0.125% (QUARTER STRENGTH),250,,$30.31 ,$30.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306976,SUMATRIPATAN IMITREX 50MG,250,,$75.17 ,$75.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306977,MICAFUNGIN SODIUM 100MG VIAL,250,,$805.29 ,$805.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306978,Z -VANCOMYCIN 1 GM/ 200 ML FROZEN INJ,250,,$124.03 ,$124.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306979,MYCAMINE 100 MG/100 NS,250,,$261.52 ,$261.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306981,AMPICILLIN 250 MG/ 5ML SUSP 200ML,250,,$51.20 ,$51.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306983,PREGABALIN 150 MG (LYRICA),250,,$9.17 ,$9.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306984,HYDROCORTISONE CRM 0.5% 30GM,250,,$10.34 ,$10.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306985,DICLOFENAC (FLECTOR) PATCH 1.3% /EACH,250,,$19.29 ,$19.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306986,MAXITROL OPT OINT 3.5 GM EYE OINTMENT,250,,$27.56 ,$27.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306987,VANCOCIN (VANCOMYCIN) CAPSULES 125MG,250,,$48.74 ,$48.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306988,DUONEB (IPRATROPIUM 0.5MG / ALBUT 3MG),250,,$7.62 ,$7.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306989,GEODON (ZIPRASIDONE) 80MG CAP,250,,$29.81 ,$29.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306990,DERMOPLAST SPRAY 2.75OZ,250,,$19.81 ,$19.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306992,DICLOFENAC 1% GEL 100 GM TUBE,250,,$131.24 ,$131.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306993,HYDROCORTISONE TABS 5MG,250,,$0.59 ,$0.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306995,STALEVO 75MG TABS: 18.75/75/200 MG,250,,$10.52 ,$10.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306996,DULoxetine 60 MG CAPSULE,250,,$16.32 ,$16.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306997,FAMOTIDINE 20MG/50ML NS PREMIX BAG,250,,$32.81 ,$32.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306998,LIDOCAINE OINT 5% 35GM,250,,$40.78 ,$40.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306999,guaiFENesin DM 10 ML:200MG/20MG- 10 ML,250,,$8.20 ,$8.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307000,FLORA-Q 2 CAP,250,,$5.51 ,$5.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307001,FILGRASTIM (NEUPOGEN) 480MCG 1.6ML VL,250,,"$1,484.14 ","$1,484.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307002,PHENYTEK 200MG CAP (EXTENDED PHENYTOIN),250,,$2.81 ,$2.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307003,VIOKASE POWDER 8 OZ,250,,"$1,011.04 ","$1,011.04 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307005,LIDOCAINE UROJET GEL 2 %,250,,$26.58 ,$26.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307006,CRANBERRY 405 MG CAPSULES,250,,$3.29 ,$3.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307007,BUPROPION (APLENZIN) 522 MG TAB,250,,$520.09 ,$520.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307008,SENSI-CARE PROTECTANT 4 OZ,250,,$35.05 ,$35.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307009,CHLORPROmazine 200MG TAB (THORAZINE),250,,$3.93 ,$3.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307010,FLUCONAZOLE 100MG/50ML,250,,$21.95 ,$21.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307011,ERYPED 400MG/5ML LIQ - 100ML,250,,$46.27 ,$46.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307012,FISH OIL OMEGA-3 FATTY ACIDS 1000MG,250,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307013,LOVAZA CAP OMEGA-3 FATTY ACID,250,,$4.98 ,$4.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307015,OLANZAPINE (ZYPREXA) IM 10MG/VIAL,250,,$101.78 ,$101.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307017,INTELENCE (ETRAVIRINE) 100MG TAB,250,,$23.63 ,$23.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307018,ATAZANAVIR(REYATAZ): 300MG CAP,250,,$117.00 ,$117.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307019,RITONAVIR (NORVIR): 100MG CAP,250,,$35.17 ,$35.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307020,ISENTRESS (RALTEGRAVIR) 400MG TAB,250,,$58.61 ,$58.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307023,"MORPHINE INJ :5 MG/ML, 1 ML VIAL",250,,$1.99 ,$1.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307024,PROCHLORPERAZINE 25 MG SUPP,250,,$12.16 ,$12.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307025,"MORPHINE INJ: 8 MG/ ML, 1 ML VIAL",250,,$2.90 ,$2.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307027,BUDESONIDE (ENTOCORT) 3 MG CAPSULES,250,,$30.89 ,$30.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307028,VANCOMYCIN 750MG VIAL,250,,$21.59 ,$21.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307030,NATAMYCIN 5% OPTH SOL 15 ML (NATACYN),250,,$691.29 ,$691.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307031,WELCHOL 625MG TAB (COLESEVELAM),250,,$13.19 ,$13.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307032,KEPPRA (LEVETIRACETAM) INJ 5ML,250,,$144.16 ,$144.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307033,ERYTHROMYCIN ETHYLSUCCINATE 200MG/5ML,250,,$56.41 ,$56.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307035,GABITRIL (TIAGABINE) 4MG TAB,250,,$15.11 ,$15.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307036,BETASERON(interferon) BETA 1b 0.3MG VL,250,,$720.51 ,$720.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307037,FML OPTH SUSP 0.1% 10ML,250,,$173.27 ,$173.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307038,TRANDOLAPRIL (MAVIK) 2MG TABS,250,,$4.07 ,$4.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307039,ARGATROBAN 100MG/ML VL 2.5ML,250,,"$4,646.41 ","$4,646.41 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307040,NICARdipine HCL 20 MG CAPSULES,250,,$3.29 ,$3.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307041,FASLODEX (FULVESTRANT) INJ 250 MG/5 ML,250,,"$3,160.56 ","$3,160.56 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307046,MAGNESIUM SULF 2 GM / 50ML,250,,$65.62 ,$65.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307048,CIPRODEX OTIC SUSPENSION,250,,$380.60 ,$380.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307049,ADVAIR HFA INH 115/21 MCG,250,,$749.56 ,$749.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307053,DIHYDRO-PE SYP 4 OZ BOTTLE,250,,$68.87 ,$68.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307054,celeXA (CITALOPRAM) 10MG,250,,$3.08 ,$3.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307056,SAVELLA TITR 4 WEEK PACK,250,,$6.66 ,$6.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307057,MEDIHONEY FOR WOUND CARE,250,,$65.62 ,$65.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307058,DRONEDARONE (MULTAQ): 400 MG TAB,250,,$14.16 ,$14.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307059,SITAGLIPTIN (JANUVIA) 100 MG TABLETS,250,,$22.51 ,$22.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307060,LITHIUM CARBONATE 300 MG TAB,250,,$0.85 ,$0.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307061,TOVIAZ (FESOTERODINE) ER 8 MG TABS,250,,$15.80 ,$15.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307062,HYDROCODONE/APAP ORAL 7.5MG/500MG 15ML,250,,$13.14 ,$13.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307063,UREALAC CREAM 50% (urea),250,,$329.07 ,$329.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307064,UREA LOTION 35%,250,,$291.26 ,$291.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307065,NIASPAN 500 MG TAB,250,,$8.32 ,$8.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307066,COLISTIMETHATE INJ.: 150 MG VIAL,250,,$179.52 ,$179.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307067,celeBREX 200 MG CAPS,250,,$14.58 ,$14.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307069,CERTA-VITE W/IRON 8 OZ BOTTLE,250,,$20.01 ,$20.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307070,BIOTIN 300 MCG TABS,250,,$8.20 ,$8.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307071,ESTRADIOL 0.5 MG TABS,250,,$3.29 ,$3.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307072,CEFAZOLIN SODIUM-DEXTROSE 1G INJ,250,,$16.78 ,$16.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307073,TYGACIL 50 MG INJECTION,250,,$431.58 ,$431.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307074,LIDOCAINE VISCOUS 2% 20ML,250,,$4.99 ,$4.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307076,DIURIL SODIUM 0.5 GRAM VIAL,250,,"$1,420.73 ","$1,420.73 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307077,CELLCEPT LIQUID 200 MG/ML 175 ML BOTTLE,250,,"$2,240.41 ","$2,240.41 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307080,LACTULOSE SOL 10 G/15ML 1 QT BOTTLE,250,,$221.14 ,$221.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307081,CICLOPIROX CREAM 0.77% 15 GM,250,,$116.38 ,$116.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307082,ceFAZolin (ANCEF): 500 MG VIAL (FTV),250,,$7.56 ,$7.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307084,TOBRAMYCIN FOR INHALATION 40MG/ML 30 ML,250,,$65.62 ,$65.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307085,ZYPREXA (ZYDIS) 5MG OD TAB,250,,$40.55 ,$40.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307087,"VITAMIN D-3 10,000IU MAX",250,,$18.47 ,$18.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307088,KCL 40MEQ/ 250 NS PREMIX BAG IN MD,250,,$69.73 ,$69.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307089,KCL 20MEQ/NS 250ML PREMIX BAG,250,,$65.23 ,$65.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307090,PHENYLEPHRINE 80 MG/250 NS PREMIX BAG,250,,$106.24 ,$106.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307091,GLUCAGON INJ,250,,$597.14 ,$597.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307093,PERFOROMIST INH SOL 20MCG/2ML VIAL,250,,$22.21 ,$22.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307094,Beano Tablets,250,,$0.98 ,$0.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307095,DILTIAZEM DRIP PREMIX BAG 1MG/ML,250,,$65.62 ,$65.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307096,NEO/POLY/DEX OPTH SOLUTION 5ML,250,,$73.50 ,$73.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307098,NICOTINE GUM 2MG,250,,$91.37 ,$91.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307099,TRIHEXYPHENIDYL (ARTANE) HCL 2MG TAB,250,,$0.57 ,$0.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307100,MERCAPTOPURINE 50 MG TAB,250,,$13.43 ,$13.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307101,"MIDAZOLAM DRIP(AMERIDOSE): 1MG/ML,100 ML",250,,$47.26 ,$47.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307102,ABACAVIR (ZIAGEN) 300 MG TAB,250,,$33.68 ,$33.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307103,ROPINIROLE (REQUIP): 5 MG,250,,$3.93 ,$3.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307108,DOBUTamine 500 MG/250 D5W (DOUBLE STR),250,,$59.05 ,$59.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307109,METHYLPREDNISOLONE 4 MG TAB,250,,$5.01 ,$5.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307111,RIFAXIMIN (XIFAXAN) 550 MG TAB,250,,$59.71 ,$59.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307116,EFFIENT 10 MG TAB (PRASUGREL),250,,$42.66 ,$42.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307123,Citalopram(Celexa) 40mg tablet,250,,$11.68 ,$11.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307124,CITALOPRAM (CELEXA) 40MG TAB,250,,$11.68 ,$11.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307125,HYDROCodone/APAP(NORCO) 5/325MG TAB,250,,$2.51 ,$2.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307126,HYDROCODONE/APAP(NORCO) 7.5/325MG TAB,250,,$2.51 ,$2.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307128,POTASSIUM CHLORIDE 20MEQ/10ML VIAL,250,,$4.10 ,$4.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307130,SODIUM CHLORIDE 0.9% MB+ IVSL 50ML,250,,$34.84 ,$34.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307131,SODIUM CHLORIDE 0.9% MB+ IV 100ML,250,,$35.12 ,$35.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307134,FUROSEMIDE(LASIX) 80MG TAB,250,,$0.44 ,$0.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307136,busPIRone(BUSPAR) TAB 5MG,250,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307141,busPIRone(BUSPAR) TAB 8.5MG,250,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307142,ACETAMINOPHEN(TYLENOL) 160MG/5ML SOLN,250,,$4.28 ,$4.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307143,VIT B12 TAB 1000MCG,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307144,hydroCHLORthiazide CAP 12.5MG,250,,$7.01 ,$7.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307145,LOSARTAN(COZAAR) TAB 25MG,250,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307146,Hydrocortisone 10mg Tab,250,,$3.91 ,$3.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307147,TRIAMTERENE/HCTZ 37.5/25 MG TAB,250,,$0.97 ,$0.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307148,METOCLOPRAMIDE(REGLAN) 5MG TAB,250,,$7.01 ,$7.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307149,GABAPENTIN(NEURONTIN)400MG CAP,250,,$7.57 ,$7.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307150,POTASSIUM CHL 20MEQ/15ML 20 MEQ LIQUID,250,,$4.16 ,$4.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307151,CHOLESTYRAMINE(QUESTRAN) 4 GM PACKET,250,,$12.66 ,$12.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307152,CALCIUM(OYSTER)500MG TAB,250,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307153,POTASSIUM CHL 40MEQ/30ML LIQUID,250,,$4.54 ,$4.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307155,ASCORBIC ACID(VITAMIN C)250MG TAB,250,,$0.07 ,$0.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307156,MAALOX(MAG/ALUM/HYD) SUSPENSION,250,,$4.62 ,$4.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307157,CHLORHEXIDINE GLUONATE(PERIDEX) 15ML,250,,$1.78 ,$1.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307158,LEVOFLOXACIN(LEVAQUIN)750MG TAB,250,,$2.74 ,$2.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307159,INVEGA(PALIPERIDONE)3MG TAB,250,,$184.68 ,$184.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307160,TUMS(ANTACID) TAB,250,,$0.07 ,$0.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307161,MOTRIN(IBUPROFEN)800MG TAB,250,,$7.01 ,$7.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307162,HYDROMET(HYDRO/HOMATR)5-1.5MG SUSP,250,,$7.59 ,$7.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307163,XARELTO 10MG TAB,250,,$72.47 ,$72.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307164,XARELTO 15MG TAB,250,,$72.47 ,$72.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307165,XARELTO 20MG TAB,250,,$72.47 ,$72.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307166,VITAMIN E 200IU,250,,$0.12 ,$0.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307167,ELIQUIS(APIXABAN) 5MG TAB,250,,$33.64 ,$33.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307168,ATORVASTATIN(LIPITOR)10MG TAB,250,,$1.62 ,$1.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307169,ATORVASTATIN(LIPITOR)20MG TAB,250,,$1.97 ,$1.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307170,ZIPRASIDONE(GEODON)40MG,250,,$2.10 ,$2.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307173,LEVOFLOXCIN(LEVAQUIN)750MG TAB,250,,$2.74 ,$2.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307174,HYDROC/ACETAM 7.5/325MG TAB,250,,$2.40 ,$2.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307175,OLANZAPINE(ZYPREXA)10MG TAB,250,,$2.65 ,$2.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307176,PAROXETINE(PAXIL)20MG,250,,$1.26 ,$1.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307177,NAMENDA(MEMANTINE)5MG TAB,250,,$35.96 ,$35.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307179,CATHFLO(ACTIVASE)2MG,250,,$803.83 ,$803.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307180,HYDROmorphone (DILAUDID)1MG/ ML,250,,$13.69 ,$13.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307181,MUCINEX DM(GUAIFENESIN DM)600/30MG TAB,250,,$3.63 ,$3.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307182,fentaNYL 12MCG/H PATCH,250,,$71.20 ,$71.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307185,guaiFENesin ORAL100MG/5ML,250,,$1.97 ,$1.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307186,LOSARTAN(COZAAR)25MG TAB,250,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307187,PAROXETINE (PAXIL) 10MG TAB,250,,$3.91 ,$3.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307188,GENTAMICIN 80MG/50ML,250,,$5.60 ,$5.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307189,MORPHINE SULFATE 2MG/ML INJ,250,,$12.06 ,$12.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307190,MORPHINE SULFATE 10MG/ML INJ,250,,$12.06 ,$12.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307191,MORPHINE SULFATE 8MG/ML,250,,$12.06 ,$12.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307192,MORPHINE SULFATE 4MG/ML INJ,250,,$12.06 ,$12.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307193,AMIODARONE/DEXTROSE(NEXTERONE)360MG/200M,250,,$300.83 ,$300.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307194,MESALAMINE(DELZICOL)400MG CAP,250,,$29.17 ,$29.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307195,SODIUM CITRATE& CITRIC ACID 1.5G/1G 15M,250,,$4.85 ,$4.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307197,ATORVASTATIN(LIPITOR)40MG TAB,250,,$7.01 ,$7.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307198,METOPROLOL TARTRATE(LOPRESSOR)5MG/5ML,250,,$3.78 ,$3.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307199,dilTIAZem(CARDIZEM) HCL 125MG/25ML INJ,250,,$23.49 ,$23.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307201,dilTIAZem 125MG/25ML INJ,250,,$24.75 ,$24.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307202,OFIRMEV(ACETAMINOPHEN)1000MG/100ML,250,,$244.62 ,$244.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307203,TOBRAMYCIN INHALATION 300MG/5ML,250,,$554.12 ,$554.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307206,ACETYLCYSTEINE(MUCOMYST)20% INHALATION,250,,$36.81 ,$36.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307207,ROXICODONE(OXYCODONE)15MG TAB,250,,$7.91 ,$7.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307213,DARBEPOETIN(ARANESP)100MCG/ML,250,,"$1,685.65 ","$1,685.65 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307220,CLINIMIX 4.25/25,250,,$416.67 ,$416.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307225,cefOXitin (MEFOXIN) 2GM,250,,$65.41 ,$65.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307228,MELATONIN 3MG TAB,250,,$1.19 ,$1.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307229,HEMORRHOIDAL OINTMENT,250,,$3.48 ,$3.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307231,SOTALOL(BETAPACE) TAB 120MG,250,,$0.62 ,$0.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307232,VENOFER(IRON SUCROSE COMPLEX) 20MG/ML,250,,$266.19 ,$266.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307234,PROBENECID TAB 500MG,250,,$3.48 ,$3.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307235,MAGNESIUM SULFATE 4 GRAMS,250,,$43.02 ,$43.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307237,VIGAMOX(MOXIFLOXACIN) OPHT SOLN 0.5%,250,,$300.79 ,$300.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307238,RESTASIS(CYCLOSPORINE) OPHT DROPS,250,,$37.14 ,$37.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307239,IMDUR(ISOSORBIDE MONONITRATE 30MG TAB),250,,$1.68 ,$1.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307240,OXYCODONE/APAP(PERCOCET) 10/325MG TAB,250,,$9.61 ,$9.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307241,ANTIPYRINE/BENZOCCAINE(AURALGAN) OTIC DR,250,,$38.28 ,$38.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307242,OXYCODONE(ROXICODONE) 10MG IR TAB,250,,$2.16 ,$2.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307243,OXYCODONE 10MG IR TABLET,250,,$7.01 ,$7.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307244,CLINIMIX E 2.75%/5 %DW,250,,$185.45 ,$185.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307246,VITAMIN B-COMPLEX 100 INJECTION,250,,$43.15 ,$43.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307247,PHENYTOIN(DILANTIN) 100MG/2ML VIAL,250,,$5.03 ,$5.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307248,FLUOCINONIDE(LIDEX) 0.05% CR,250,,$46.72 ,$46.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307252,PHENYLEPHRINE 100MG/10ML,250,,$93.36 ,$93.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307253,GENTAMICIN (GENTAK) TOPICAL OINTMENT,250,,$37.43 ,$37.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307254,BACITRACIN OPTHALMIC OINT,250,,$84.09 ,$84.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307257,MICONAZOLE(MONISTAT) 2% TOPICAL CR,250,,$7.01 ,$7.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307259,TRAZODONE(DESYREL) 150MG TAB,250,,$3.48 ,$3.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307262,LINEZOLID(ZYVOX) 200MG/100ML INJ,250,,$340.91 ,$340.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307269,ESOMEPRAZOLE(NEXIUM) 40MG VIAL,250,,$264.99 ,$264.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307272,WELLBUTRIN (BUPROPION) 75MG TAB,250,,$3.02 ,$3.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307274,cycloSPORINE(SANDIMMUNE) 100MG CAP,250,,$13.69 ,$13.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307280,KEYS,250,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307281,OXYMETAZOLINE(AFRIN) NASAL SPRAY,250,,$7.01 ,$7.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307284,FIDAXOMICIN(DIFICID) 200MG TABLET,250,,$799.47 ,$799.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307287,OXYCODONE(OXYCONTIN) 15MG ER TAB,250,,$11.52 ,$11.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307288,OXYCONTIN 15MG ER TABLET,250,,$11.52 ,$11.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307289,OXYCONTIN 15MG,250,,$11.52 ,$11.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307290,DORNASE(PULMOZYME) ALFA 1MG/ML 2.5ML,250,,$136.62 ,$136.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307291,ceFTAZidime 1GM/DW 50ML P-MIX,250,,$69.25 ,$69.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307297,CEFTOLOZANE/TAZOBACTAM(ZERBAXA)1-0.5GM,250,,$408.15 ,$408.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307301,LIOTHYRONINE(CYTOMEL) 25MCG TAB,250,,$4.76 ,$4.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307302,VILAZODONE(VIIBRYD) 40MG TAB,250,,$42.52 ,$42.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307303,LACOSAMIDE(VIMPAT)10MG/ML 20ML SDV,250,,$196.44 ,$196.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307304,diphenhydrAMINE(BENADRYL) CREAM,250,,$7.01 ,$7.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307308,LETREZOLE(FEMERA) 2.5MG TAB,250,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307309,GANCICLOVIR(ZIRGAN)0.15% OPHT GEL 5GM,250,,$434.48 ,$434.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307311,LACOSAMIDE(VIMPAT) 100MG TAB,250,,$82.20 ,$82.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307315,CEFTAROLINE FOSAMIL(TEFLARO) 400MG/ML,250,,$216.54 ,$216.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307323,AMPICILLIN/SULBACTAM(UNASYN) 3GM/100MLNS,250,,$82.95 ,$82.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307326,VANCOMYCIN ORAL SUSP 50MG/ML 150ML,250,,$102.23 ,$102.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307333,MAVIK(TRANDOLAPRIL) 4MG TAB,250,,$7.01 ,$7.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307340,PERCOCET (OXYCODONE/APAP 7.5/325MG TAB),250,,$8.09 ,$8.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307344,ceFTAZidime/AVIBACTAM(AVYCAZ) 2/0.5GM VI,250,,$636.63 ,$636.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307354,"PENICILLIN G (BICILLIN LA) 2,400,000U SY",250,,$339.32 ,$339.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307357,TRANXENE(CLORAZEPATE)7.5MG,250,,$24.60 ,$24.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307371,LEVOTHYROXINE100MCG IV VIAL,250,,$158.53 ,$158.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307374,BALSAM PERU/CASTOR OIL(VENELEX) OINT,250,,$71.83 ,$71.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307377,PREVNAR-13 PNEUMONIA VACCINE,250,,$350.44 ,$350.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307380,CLINDAMYCIN IN 5%DEXTROSE 600MG/50ML IV,250,,$76.87 ,$76.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307381,ZOHYDRO ER (HYDROCODONE BIT) 10MG CAP,250,,$36.50 ,$36.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307384,FERROUS SULFATE 220MG/5ML ELIXIR,250,,$52.56 ,$52.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307385,SODIUM THIOSULFATE 12.5GM INJ 50ML,250,,$196.25 ,$196.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307386,TADALAFIL(CIALIS) 5MG TABLET,250,,$24.78 ,$24.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307390,ROFLUMILAST(DALIRESP)500MCG TABLETS,250,,$21.81 ,$21.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307395,FOSFOMYCIN(MONUROL) 3GM PK,250,,$448.57 ,$448.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307396,AMIKACIN SULFATE 1GM/4ML INJ,250,,$101.25 ,$101.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307398,MORPHINE SULFATE 25MG/ML X 10ML VIAL,250,,$7.01 ,$7.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307399,MORPHINE SULFATE 25MG/ML X10ML VIAL,250,,$70.09 ,$70.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307400,HEPARIN FLUSH 100UNITS/ML SYRINGE 5ML,250,,$7.43 ,$7.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307403,ceFTRIAXone 1GM/DEXTROSE ISO IV 50ML,250,,$81.95 ,$81.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307407,MINOCIN 100MG,250,,$267.26 ,$267.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307408,THEOPHYLLINE 200MG(THEO-24) 200MG ER,250,,$15.19 ,$15.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307423,AMPICILLIN/SULBACTAM(UNASYN) 3GM VIAL,250,,$82.95 ,$82.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307424,PHENOBARBITAL 65MG/ML SDV 1ML,250,,$63.08 ,$63.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307425,ACYCLOVIR 800MG TAB,250,,$8.80 ,$8.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307426,FERRICCARBOXYMALTOSE(INJECTAFER) 750MG,250,,"$1,822.27 ","$1,822.27 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307439,FERUMOXYTOL(FERAHEME) 30MG/ML 17ML,250,,"$1,103.51 ","$1,103.51 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307445,TICAGRELOR(BRILINTA) 90MG TAB,250,,$17.51 ,$17.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307453,PROPRANOLOL LA 120MG CAPSULE,250,,$7.22 ,$7.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307455,ANASTROZOLE(ARIMADEX)1MG TAB,250,,$2.12 ,$2.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307457,DOBUTamine 1000MG/250ML,250,,$214.58 ,$214.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307462,MEROPENEM 1GM/50ML NS PREMIX,250,,$147.72 ,$147.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307468,BATTERY CHANGE,250,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307470,TACROLIMUS(PROGRAF) 0.5MG CAPS,250,,$8.06 ,$8.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307479,ceFAZolin (ANCEF) 2 GM/50 ML PREMIX,250,,$30.85 ,$30.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307481,DOCOSANOL(ABREVA)10% CR 2GM,250,,$51.65 ,$51.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307484,MILNACIPRAN (SAVELLA) TAB 12.5MG,250,,$19.73 ,$19.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307503,ETHAMBUTOL (MYAMBUTOL) 400 MG TABS,250,,$4.21 ,$4.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307509,RIFABUTIN 150MG CAPSULE,250,,$50.08 ,$50.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307516,ETHAMBUTOL (MYAMBUTOL) 400 MG TABS,250,,$766.70 ,$766.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307517,ETHAMBUTOL (MYAMBUTOL) 400 MG TABS,250,,$3.41 ,$3.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307519,CARBIDOPA-LEVEDOPA (SINEMET)TAB 25-250MG,250,,$0.82 ,$0.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307524,VISINE-A(PHENIRAMIE0.3%NAPHAZOLINE0.025%,250,,$25.81 ,$25.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307526,VISINE A,250,,$25.81 ,$25.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307527,ADDERALL 15MG,250,,$185.87 ,$185.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307534,ELIQUIS TABLET 2.5MG,250,,$26.69 ,$26.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307537,CYCLOBENZAPRINE(FLEXERIL) 5MG TAB,250,,$1.80 ,$1.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307538,ELIQUIS (APIXABA) 2.5MG TABLET,250,,$24.68 ,$24.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307539,LOXAPINE (LOXITANE) 50MG CAP,250,,$3.64 ,$3.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307541,FML(FLUOROMETHOLONE) 0.1%,250,,$949.80 ,$949.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307545,ETHAMBUTOL (MYAMBUTOL) 400 MG TABS,250,,$766.70 ,$766.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307550,VISINE MAX STRENGTH,250,,$25.80 ,$25.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307554,ETHAMBUTOL (MYAMBUTOL) 400 MG TABS,250,,$766.70 ,$766.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307555,LIDOCAINE/PRILOCAINE CREAM (2.5%/2.5%),250,,$138.68 ,$138.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307556,LIDOCAINE/PRILOCAINE CREAM 2.5%/2.5%,250,,$138.68 ,$138.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307558,C0ENZYME Q-10 (CO Q-10) CAPSULE 100 MG,250,,$35.74 ,$35.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307560,PRIMAQUINE TAB 26.3 MG,250,,$6.98 ,$6.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307572,ACETAMINOPHEN SUPPOSITORIES 325 MG,250,,$3.41 ,$3.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307573,THEOPHYLLINE ANHYD.ER (THEO-24)CAP 100MG,250,,$6.80 ,$6.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307577,MEMENTINE HCL XR (NAMENDA XR) 14 MG CAPS,250,,$48.08 ,$48.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307581,FENOFIBRATE (TRICOR) TAB 160 MG,250,,$2.97 ,$2.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307590,FENOFIBRATE (LOFIBRA) 54 MG,250,,$1.65 ,$1.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307591,MILNACIPRAN HCL (SAVELLA) TAB 50MG,250,,$19.75 ,$19.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307596,REFRESH TEARS (0.5 %),250,,$31.00 ,$31.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307600,PANTOPRAZOLE (PROTONIX) 20 MG TABS,250,,$0.40 ,$0.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307602,VALPROIC ACID (DEPACON) CAP 250 MG,250,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307603,IMMUNE GLOBULIN IV (CARIMUNE) PWD 12GM,250,,"$2,964.85 ","$2,964.85 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307604,IMMUNE GLOBULIN IV (CARIMUNE) PWD 6GM,250,,"$1,481.78 ","$1,481.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307609,GLIPIXIDE XL (GLUCOTOL XL) 10MG TAB,250,,$0.87 ,$0.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307610,SODIUM BICARBONATE INJ 8.4% VIAL,250,,$823.48 ,$823.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307614,PRAVASTATIN (PRAVACHOL) TAB 20MG,250,,$2.13 ,$2.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307615,BIOFREEZE GEL 4%,250,,$80.51 ,$80.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307622,LOTEMAX 0.5% GEL OPTHALMIC,250,,$679.43 ,$679.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307624,"VIT.D3 5,000 IU CAP",250,,$0.07 ,$0.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307627,TOBRAMYCIN INJ 1.2 G/30 ML (40 MG/ML),250,,$46.50 ,$46.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307634,VITAMIN B COMPLEX TABS,250,,$0.89 ,$0.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307636,MEROPENEM 500 MG/50 ML NS PREMIX,250,,$64.34 ,$64.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307643,ARTIFICIAL TEARS OPTH. OINT 15%-83%,250,,$10.33 ,$10.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307663,SUBOXONE 8MG-2MG,250,,$31.93 ,$31.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307664,ARANESP (DARBEPOETIN ALFA) 150 MCG/0.3ML,250,,"$4,587.43 ","$4,587.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307665,FLUPHENAZINE DECANOATE 25MG/ML 5ML VIAL,250,,$59.99 ,$59.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307666,TRAVATAN (TRAVOPROST OPHTH. SOL) 0.004%,250,,$641.69 ,$641.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307667,GLIMEPIRIDE (AMARYL) TAB 1MG,250,,$3.45 ,$3.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307668,PROBENECID-COLCHICINE TAB 500MG - 0.5MG,250,,$2.07 ,$2.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307669,JANUMET(SITAGLIPTI/METFORMI)TAB 50/500MG,250,,$26.15 ,$26.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307670,PRESERVISION EYE VITAMIN,250,,$1.35 ,$1.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307675,TORSEMIDE (DEMADEX) TAB 100MG,250,,$1.30 ,$1.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307676,UCERIS (BUDESONIDE ER) TAB 9MG,250,,$225.66 ,$225.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307677,MESALAMINE DR (ASACOL HD) TAB 800MG,250,,$21.07 ,$21.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307681,SERTALINE (ZOLOFT) 25 MG TAB,250,,$0.53 ,$0.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307685,NABUMETONE (RELAFEN) TAB 750 MG,250,,$0.62 ,$0.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307686,"BIOTIN (B COMPLEX) TAB 10,000MCG",250,,$0.29 ,$0.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307687,HYDROcod/ACETAM (NORCO) 2.5-108 MG/5ML,250,,$10.31 ,$10.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307688,DILITIAZEM (CARDIZEM) INJ 125MG/25ML VIA,250,,$14.35 ,$14.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307698,LIDOCAIN (CURACAINE) CREAM 4%,250,,$38.56 ,$38.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307711,ARANESP (DARBEPOETIN) 60 MCG/ML,250,,"$1,834.75 ","$1,834.75 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307712,NF-GLYCOPYRROLATE ORAL TABLET 1MG,250,,$47.58 ,$47.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307725,LIOTHYRONINE (CYTOMEL) TAB 5 MCG,250,,$6.58 ,$6.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307728,TRIAZOLAM (HALCIO) 0.25MG TAB,250,,$5.56 ,$5.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307731,TUBERCULIN (PPD) INJ. 1 ML,250,,$27.73 ,$27.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307732,GLYCOPYRROLATE (ROBINUL) TAB 1 MG,250,,$1.57 ,$1.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307734,AMITRIPTYLINE (ELAVIL) TAB 150MG,250,,$6.78 ,$6.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307737,LEVOCETRIZINE (XYZAL) 5MG TAB,250,,$0.69 ,$0.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307747,CLINIMIX 5/15 X 2000 ML,250,,$260.75 ,$260.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307749,"PANCREALIPASE 10,000 (CREON 10) CAPSULES",250,,$11.51 ,$11.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307753,SILODOSIN (RAPAFLO) CAPS 4MG,250,,$31.27 ,$31.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307755,LETROZOLE (FEMARA) TAB 2.5 MG,250,,$0.37 ,$0.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307756,PIMECROLIMUS (ELIDEL) CREAM 1%,250,,"$1,066.66 ","$1,066.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307757,PERCOCET (OXYCODONE/APAP) 7.5 MG,250,,$2.87 ,$2.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307765,DEXTROMETH/QUINIDINE(NUEDEXTA) 20/10 MG,250,,$51.94 ,$51.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307779,ALENDRONATE (FOSAMAX) TAB 5 MG,250,,$0.56 ,$0.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307780,INTRALIPID 20% 250 ML,250,,$162.00 ,$162.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307781,OCREOTIDE INJ. 5000 MCG/5ML,250,,$493.92 ,$493.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307783,SODIUM PHOSPHATE 15 MMOL/5 ML,250,,$34.76 ,$34.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307789,CLINIMIX 4.25%/D10W,250,,$135.53 ,$135.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307790,BICALUTAMIDE (CASODEX) TAB 50MG,250,,$2.97 ,$2.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307792,BIMATOPROST (LUMIGAN) 0.01% OPTH. SOLUTI,250,,$676.63 ,$676.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307796,METHYLNALTREXONE (RELISTOR) 12MG/0.6ML,250,,$412.06 ,$412.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307800,CICLOPIROX OLAMINE (LOPROX) 0.77% CREAM,250,,$39.30 ,$39.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307801,LOTEPREDNOL ETABONATE 0.2% OPTHAL. SUSP.,250,,$804.64 ,$804.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307804,PANCREALIPASE 5000 U (CREON) CAPS,250,,$5.83 ,$5.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307807,LOSARTAN/HCTZ (HYZAAR) 50/12.5 MG TAB,250,,$0.28 ,$0.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307809,CEFTAROLINE (TEFLARO) INJ 600MG,250,,$637.21 ,$637.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307810,ceFTRIAXone (ROCEPHINE) INJ. 2GM PGBK,250,,$79.64 ,$79.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307812,OLANZAPINE (ZYPREXA ZYDIS) TAB TDIS 5MG,250,,$6.05 ,$6.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307816,ceFTRIAXone (ROCEPHINE) INJ. 2MG/50ML DE,250,,$79.64 ,$79.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307826,ESTRADIOL (ESTRACE) TAB 2MG,250,,$0.66 ,$0.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307827,FELBAMATE (FELBATOL) TAB 600MG,250,,$13.94 ,$13.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307828,VERAPAMIL TAB 120MG,250,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307832,NOREPINEPHRINE 8MG/D5W 250ML PREMIX,250,,$215.96 ,$215.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307833,PHENYLEPHRINE PREMIX 40MG/NS 250ML,250,,$135.89 ,$135.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307840,DICLOFENAC SODIUM 0.1% OPTH. SOLUTION,250,,$19.21 ,$19.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307846,"FIORINAL (BUTALBITAL,ASP.CAFFEINE) CAP",250,,$20.54 ,$20.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307847,FLUPHENAZINE HCL (PROLIXIN) TAB 5MG,250,,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307851,DIFLUCAN TAB 150MG,250,,$218.80 ,$218.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307861,LACTASE ENZYMES CAPLETS,250,,$2.22 ,$2.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307862,SILDENAFIL (VIAGRA) TAB 20MG,250,,$2.69 ,$2.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307865,PROTAMINE SULFATE INJECTION 250MG/25ML,250,,$97.39 ,$97.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307866,ARMOUR THYROID TAB 60MG,250,,$2.80 ,$2.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307872,HEPARIN 100 UNITS/ML 1 ML VIAL,250,,$4.70 ,$4.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307881,ISOSOBIDE DINITRATE 10 MG TAB,250,,$3.10 ,$3.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307884,CARBIDOPA/LEVODOPA TAB 10/100MG(SINEMET),250,,$0.57 ,$0.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307886,CULTURELLE CAP (LACTOBACILLUS),250,,$1.96 ,$1.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307889,FLORANEX GRANULES (LACTOBACILLUS),250,,$5.83 ,$5.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307891,CLINIMIX E 2.75 %/10 %,250,,$135.51 ,$135.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307892,HYDROmorphone INJ 0.5MG/0.5ML (DILAUDID),250,,$10.94 ,$10.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307894,"ASCOBIC ACID INJ 25,000MG",250,,$825.00 ,$825.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307902,CICLOPIROX CREAM 0.77% 30GM TUBE,250,,$141.11 ,$141.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307910,CLINIMIX 4.25/5 (4.25% AMINO ACID IN 5%D,250,,$127.91 ,$127.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307911,PENICILLIN G POTASSIUM 20MMU/BOTTLE,250,,$139.86 ,$139.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307916,CLINIMIX 5%/20% DEXTROSE 2000 ML,250,,$361.70 ,$361.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307922,NEUPOGEN (ZARXIO) 480MCG/0.8 ML,250,,"$1,333.17 ","$1,333.17 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307923,FLUCONAZOLE (DIFLUCAN) TAB 150MG,250,,$218.80 ,$218.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307924,MONISTAT VAGINAL CREAM (MICONAZOLE 2%),250,,$40.33 ,$40.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307928,CALCITRIOL 0.5MCG (ROCALTROL) CAP,250,,$2.66 ,$2.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307929,CHAPSTICK 1.5-44%,250,,$3.69 ,$3.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307930,VALPROIC ACID 500MG/ 10ML,250,,$2.87 ,$2.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307931,CHLORASEPTIC 20ML,250,,$8.84 ,$8.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307933,CARBIDOPA/LEVODOPA 25 MG/100 MG,250,,$0.63 ,$0.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307934,DESMOPRESSIN ACETATE TAB 0.1 MG,250,,$7.03 ,$7.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307935,ACETYLCYSTEINE 10% SOLUTION 30 ML VIAL,250,,$37.85 ,$37.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307937,TESTOSTERONE CYP. INJ. 200MG/ML,250,,$95.82 ,$95.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307939,BIFIDOBACTERIUM INFANTIS 4MG CAP (ALIGN),250,,$3.96 ,$3.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307942,HYDROCO/ACETAM SOLN. 7.5MG/325MG/15ML,250,,$4.30 ,$4.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307943,ARANESP 25 MCG/0.42ML,250,,$421.41 ,$421.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307948,SELENIUM 200MCG TAB,250,,$12.24 ,$12.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307949,CORLANOR (IVABRADINE) TAB 5MG,250,,$27.47 ,$27.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307950,guaiIFENesin TAB 400MG,250,,$1.01 ,$1.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307951,guaiFENesin SOLUTION 200MG/10ML,250,,$1.70 ,$1.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307952,MORPHINE SULFATE ORAL SOLUTION 10MG/0.5M,250,,$8.38 ,$8.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307953,CLOTRIMAZOLE/BETAMETHASONE CREAM 15GM,250,,$42.93 ,$42.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307955,LEVETIRACETAM PREMIX 500MG/100ML,250,,$110.91 ,$110.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307956,GARLIC 500MG CAPS.,250,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307957,PIPERACILLIN/TAZOBACTAM INJ. 13.5GM BOTT,250,,$79.10 ,$79.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307960,VAPORUB,250,,$5.40 ,$5.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307961,BETHANECOL (URECHOLINE) TAB 10MG,250,,$1.14 ,$1.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307970,MORPHINE INJ 0.5MG/0.5ML,250,,$12.45 ,$12.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307972,PHENYLEPHRINE 0.5% NASAL DECONGESTANT,250,,$15.96 ,$15.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307975,NEOMYCIN/POLYMYXIN B/DEXAMETH OPTH DROPS,250,,$501.14 ,$501.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307979,VITAMIN K 100MCG TAB,250,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307980,OCREOTIDE 50 MCG (SANDOSTATIN) SYRINGE,250,,$8.69 ,$8.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307982,ONDANSETRON ODT 8MG (ZOFRAN),250,,$0.97 ,$0.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307983,CLINIMIX 5/25%,250,,$146.61 ,$146.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307990,DOPamine INJ 200 MG/5 ML VIAL,250,,$10.11 ,$10.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307993,DARBEPOETIN ALFA 40MCG (ARANESP),250,,$676.49 ,$676.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307998,IMMUNE GLOBULIN IV 5% 10GM (FLEBOGAMMA),250,,"$3,261.66 ","$3,261.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307999,MIDODRINE (PROAMATINE) TAB 10MG,250,,$4.27 ,$4.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308002,ONDANSETRON ODT (ZOFRAN ODT) TAB 4MG,250,,$1.29 ,$1.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308003,SODIUM POLYSTYRENE (KAYEXALATE)30G/120ML,250,,$181.41 ,$181.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308005,METHYLPREDNISOLONE TAB 8MG,250,,$6.26 ,$6.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308008,ATROPINE INJ. 0.1MG/ML,250,,$34.72 ,$34.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308016,RIVASTIGMINE (EXELON) CAP 1.5MG,250,,$9.86 ,$9.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308018,POTASSIUM CHLORIDE 10 MEQ/100 ML,250,,$8.75 ,$8.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308019,POTASSIUM CHLORIDE 20MEQ/50ML PREMIX,250,,$19.12 ,$19.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308024,EYE STREAM OPTH. SOLUTION (BALANCED SALT,250,,$73.10 ,$73.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308029,buPROPion (WELLBUTRIN) TAB 100MG,250,,$53.09 ,$53.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308031,OXYBUTININ TRANSDERMAL PATCH 3.9 MG/DAY,250,,$14.51 ,$14.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308032,"CHOLECALCIFEROL (VIT.D3) 50,000 UNIT",250,,$2.92 ,$2.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308035,SILVADENE CREAM 1% 400GM,250,,$136.87 ,$136.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308037,LITHIUM CARBONATE TAB 450MG,250,,$0.82 ,$0.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308038,LEVOTHYROXINE CAP 25MCG,250,,$62.94 ,$62.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308053,TEMAZEPAM (RESTORIL) CAP 7.5MG,250,,$11.60 ,$11.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308055,LINAGLIPTIN (TRADJENTA) TAB 5MG,250,,$50.78 ,$50.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308060,FERROUS SULFATE (SLOW-FE) 45MG TABLETS,250,,$1.14 ,$1.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308061,ISONIAZID (NYDRAZID) TAB 300MG,250,,$3.24 ,$3.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308062,AZELASTINE HCL 137MCG NASA SPRAY (0.1%),250,,$97.93 ,$97.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308066,HYDROcodone/APAP 5/217MG/10ML ORAL SOLUT,250,,$18.63 ,$18.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308067,BusPIRone TAB (BUSPAR) 7.5MG,250,,$2.69 ,$2.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308068,FLUoxetine LIQUID (PROZAC) 20MG/5ML,250,,$18.82 ,$18.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308069,GLYCOPYRROLATE SOLN. (ROBINUL)1MG/5ML,250,,$20.62 ,$20.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308074,SOLIFENACIN TAB (VESICARE) 10MG,250,,$49.88 ,$49.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308076,ARIPiprazole (ABILIFY) TAB 2 MG,250,,$1.96 ,$1.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308077,SEVELAMER POWDER (RENAGEL) 800MG,250,,$40.99 ,$40.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308079,METHYLPHENIDATE (RITALIN) TAB 5MG,250,,$5.35 ,$5.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308081,GRANIX (TBO-FILGRASTIM) 480MCG/0.8ML,250,,"$1,179.12 ","$1,179.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308082,MILRINONE (PRIMACOR) 20MG/100ML,250,,$77.32 ,$77.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308084,EPINEPHRine INJ. 1MG/10ML SYRINGE,250,,$22.43 ,$22.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308085,GRANIX (TBO-FILGRASTIM) 300MCG/0.5ML,250,,$736.72 ,$736.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308087,ACARBOSE (PRECOSE) TABS 25MG,250,,$0.84 ,$0.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308088,DAPTOmycin (CUBICIN) INJ 350MG,250,,$263.82 ,$263.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308092,PERPHENAZINE TAB 4MG,250,,$3.12 ,$3.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308093,AZELASTINE HCL OPTH SOLN 0.05%,250,,$29.33 ,$29.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308094,PIOGLITAZONE (ACTOS) TAB 15MG,250,,$0.82 ,$0.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308095,ARIPiprazole (ABILIFY) TAB 10 MG,250,,$1.47 ,$1.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308096,GUAIFENESIN (MUCINEX) TAB 200MG,250,,$0.49 ,$0.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308097,VIMPAT (LACOSAMIDE) TAB 50MG,250,,$39.31 ,$39.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308098,busPIRone (BUSPAR) TAB 30MG,250,,$1.09 ,$1.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308099,MESALAMINE (ROWASA) ENEMA 4GM/60 ML,250,,$33.38 ,$33.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308101,TEMAZEPAM CAP (RESTORIL) 30MG,250,,$0.51 ,$0.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308106,LIDOCAINE 2.5 % SPRAY,250,,$22.32 ,$22.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308107,ACYCLOVIR TAB 200MG,250,,$0.51 ,$0.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308110,BIOTIN TAB 1000MCG,250,,$0.11 ,$0.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308113,levETIRAcetam 1000MG/100 ML IV PREMIX,250,,$79.07 ,$79.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308116,ACTIVATED CHARCOAL WITH SORBITOL 50GM/96,250,,$69.70 ,$69.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308119,ACETAZOLAMIDE INJ (DIAMOX) 500 MG,250,,$60.23 ,$60.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308121,GUAIFENESIN-DEXTROMETHORPHAN TAB600-30MG,250,,$1.45 ,$1.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308123,RILUZOLE (RILUTEK) TAB 50MG,250,,$3.99 ,$3.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308129,OXYQUINOLINE/SLS VAG JELY 0.025-0.10%,250,,$90.58 ,$90.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308135,CAPSAICIN 0.025% CREAM,250,,$13.17 ,$13.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308141,CHLORDIAZEPOXIDE HYDROCHLORIDE CAP 25MG,250,,$0.25 ,$0.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308146,FEBUXOSTAT TAB (ULORIC) 80MG,250,,$15.32 ,$15.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308147,DEXAMETHASONE TAB (DECADRON) 0.75MG,250,,$0.78 ,$0.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308148,REMERON ODT (MIRTAZAPINE) TAB 15MG,250,,$15.34 ,$15.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308153,ALOGLIPTIN (NESINA) TAB 6.25 MG,250,,$24.11 ,$24.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308154,CHLORTHALIDONE (THALITONE) TAB 25MG,250,,$2.00 ,$2.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308155,DILTIAZEM (CARDIZEM) TAB 90MG,250,,$1.01 ,$1.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308156,ERYTHROMYCIN TAB 500MG,250,,$28.86 ,$28.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308160,CLINIMIX E 4.25%/D10W,250,,$135.22 ,$135.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308166,BUSPIRONE TAB (BUSPAR) 15MG,250,,$1.59 ,$1.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308174,COLISTIMETHANE (COLISTIN) 150MG VIAL,250,,$108.08 ,$108.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308175,COPPER 2MG CAPS,250,,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308179,CLINIMIX E 4.25/D5W,250,,$126.47 ,$126.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308182,SULFAMETHOXAZOLE/TRIM TAB 400/80 MG,250,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308190,FAMOTIDINE (PEPCID) TAB 10MG,250,,$0.26 ,$0.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308199,RANITIDINE (ZANTAC) 150MG/10ML,250,,$13.56 ,$13.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308200,EPINEPHRine INJ : 1MG/ML 30ML MDV,250,,$931.09 ,$931.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308204,DOXEPIN HCL (SINEQUAN) TAB 3MG,250,,$37.22 ,$37.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308205,SIMETHICONE CHEWABLE TAB 125MG,250,,$0.23 ,$0.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308206,MIRTAZAPINE (REMERON) TAB 30MG,250,,$0.84 ,$0.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308224,FAMOTIDINE IV (PEPCID) 40MG/4ML,250,,$6.03 ,$6.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308228,MULTIVITAMIN LIQUID (CENTRUM),250,,$2.10 ,$2.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308230,LEVETIRACETAM (KEPPRA) 500MG/ 5ML,250,,$13.12 ,$13.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308237,AMLODIPINE/BENAZEPRIL 10/20MG TAB,250,,$0.51 ,$0.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308244,GUAIFENESIN 300MG/15ML,250,,$1.99 ,$1.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308273,PHENYTOIN SODIUN ER CAP 300MG,250,,$84.34 ,$84.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308278,DABIGATRAN (PRADAXA) CAP 75MG,250,,$24.75 ,$24.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308279,DEXAMETHAZOME (DECADRON) TAB 6MG,250,,$4.16 ,$4.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308281,NPLATE INJ (ROMIPLOSTIM) 125MCG,250,,"$3,618.23 ","$3,618.23 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308282,guaiFENesin DM 5 ML:100MG/10MG- 5 ML,250,,$5.73 ,$5.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308283,ACTIVATED CHARCOAL LIQUID 25GM/120ML,250,,$45.62 ,$45.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308284,ACTIVATED CHARCOAL CAP 260 MG,250,,$0.63 ,$0.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308287,MAGNESIUM LIQUID (MAGONATE) 54MG/5ML,250,,$38.23 ,$38.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308291,SMZ/TMP(BACTRIM) INJ. 400/80MG PER 5ML,250,,$9.35 ,$9.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308297,ESTRADIOL (ESTRACE) TAB 1MG,250,,$0.22 ,$0.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308298,DILTIAZEM SR (CARDIZEM) CAP 60MG,250,,$9.35 ,$9.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308303,DIVALPROEX NA (DEPAKOTE DR) TABS 250MG,250,,$0.45 ,$0.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308307,ZOLEDRONIC ACID (ZOMETA) 4MG/100ML,250,,$146.22 ,$146.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308310,IVERMECTIN (STROMECTOL) TABS 3MG,250,,$26.94 ,$26.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308312,MARINOL (DRONABINOL) CAPS 5MG,250,,$11.25 ,$11.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308317,DILTIAZEM (CARDIZEM) CAP 90MG,250,,$8.76 ,$8.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308318,OXCARBAZEPINE (TRILEPTAL) 600MG TAB,250,,$0.96 ,$0.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308319,LEVETIRACETAM (KEPPRA) TAB 750MG,250,,$0.56 ,$0.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308339,PHENOBARBITAL TAB 64.8MG,250,,$1.91 ,$1.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308359,TOPIRAMATE (TOPAMAX) 50MG TAB,250,,$1.05 ,$1.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308363,JEVITY 1.5 CAL,250,,$1.68 ,$1.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308366,FLUCONAZOLE ORAL SUSP 40MG/ML. 35 ML,250,,$68.31 ,$68.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308370,PHENYTOIN SODIUM ER CAP 100MG,250,,$1.32 ,$1.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308394,ROTIGOTINE (NEUPRO) PATCH 8MG/HR,250,,$85.47 ,$85.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308395,LEVOTHYROXINE SOL (SYNTHROID) 25MCG/ML,250,,$15.18 ,$15.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308401,TOLVAPTAN (SAMSCA) 15MG TAB,250,,"$1,355.46 ","$1,355.46 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308409,REMDESIVIR (VEKLURY) INJ 100MG,250,,"$1,930.27 ","$1,930.27 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308411,LOKELMA (SODIUM ZIRCONIUM CYCLOSILICATE),250,,$52.69 ,$52.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308427,FLUOXETINE (PROZAC) CAP 40MG,250,,$1.00 ,$1.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308428,FLUOXETINE (PROZAC) CAP 40MG,250,,$1.00 ,$1.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308429,ETHAMBUTOL (MYAMBUTOL) 400 MG TABS,250,,$766.70 ,$766.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308430,LOSARTAN POTASSIUM ORAL TABLET 100MG,250,,$0.38 ,$0.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308435,FLUOXETINE (PROZAC) CAP 40MG,250,,$1.00 ,$1.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308436,ETHAMBUTOL (MYAMBUTOL) 400 MG TABS,250,,$766.70 ,$766.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308438,FLUOXETINE (PROZAC) CAP 40MG,250,,$1.00 ,$1.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308439,ETHAMBUTOL (MYAMBUTOL) 400 MG TABS,250,,$766.70 ,$766.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308440,TIROSINT-SOL ORAL SOLUTION 75MCG/1ML,250,,$15.85 ,$15.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308449,BUPRENORPHINE PATCH ER 7.5MCG/1HR,250,,$161.30 ,$161.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308450,FAMCICLOVIR ORAL TABLET 250MG,250,,$0.96 ,$0.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308455,THEOPHYLLINE ORAL SOLUTION 80MG/15ML,250,,$29.54 ,$29.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308471,FLUOXETINE (PROZAC) CAP 40MG,250,,$1.00 ,$1.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308472,LEVETIRACETAM IV SOLN 1500MG/100ML,250,,$101.72 ,$101.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308485,ACTEMRA ACTPEN SUBQ SOLN 162MG/0.9ML,250,,"$3,744.64 ","$3,744.64 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308489,SPIRONOLACTONE ORAL TABLET 100MG,250,,$1.62 ,$1.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308501,COLESTIPOL HYDROCHLORIDE ORAL TABLET 1GM,250,,$3.68 ,$3.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308508,PRECEDEX INTRAVENOUS SOLN 4MCG/1ML-0.9%,250,,$283.90 ,$283.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308534,CLINIMIX 8%/D10 IV SOLN,250,,$253.82 ,$253.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308562,LINZESS (LINACLOTIDE) CAPSULE 145MCG,250,,$56.12 ,$56.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308593,PROPRANOLOL HCL TABLET 40MG,250,,$0.81 ,$0.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308599,ARIPIPRAZOLE ORAL TABLET 20MG,250,,$0.73 ,$0.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308601,OSELTAMIVIR PHOSPHATE PWDFORSUSP 6MG/1ML,250,,$240.24 ,$240.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308621,FENTANYL CITRATE INJECTION 500MCG/10ML,250,,$10.21 ,$10.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308629,FENTANYL TD PATCH ER 37.5MG,250,,$145.70 ,$145.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 308671,SODIUM CHLORIDE,250,,$2.34 ,$2.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 806863,ESTRATEST 1.25MG/2.5MG (EE & METHYLTEST),250,,$2.48 ,$2.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 925343,RISPERDAL CONSTA 25 MG SYRINGE,250,,"$1,100.51 ","$1,100.51 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300447,INDOMETHACIN 25 MG CAP,250,,$1.38 ,$1.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301062,NIMODIPINE 30 MG CAP,250,,$62.72 ,$62.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301110,DINOPROSTONE 10 MG SUPP,250,,"$1,509.11 ","$1,509.11 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301190,COCAINE HCL 10 % SOLN,250,,$218.07 ,$218.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301191,COCAINE HCL 4 % SOLN,250,,$409.75 ,$409.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301221,GELATIN ADSORBABLE 100 CM SPGE,250,,$141.00 ,$141.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301225,CITRIC ACID-D GLUCONIC ACID 6.602-0.198,250,Q2004,$243.65 ,$243.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301240,HYDROCORTISONE (BULK) (NULL) POWD,250,,$329.96 ,$329.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301305,SODIUM POLYSTYRENE SULFONATE 30 GRAM/120,250,,$188.53 ,$188.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301306,SODIUM POLYSTYRENE SULFONATE 15 G/60 ML,250,,$40.25 ,$40.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301307,SODIUM POLYSTYRENE SULFONATE 15 G/60 ML,250,,$43.27 ,$43.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301313,BUTAMBEN-TETRACAINE-BENZOCAINE 2 %-2 %-1,250,,$304.54 ,$304.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301315,"THROMBIN 20,000 UNIT KIT",250,,"$1,928.92 ","$1,928.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301316,"THROMBIN 5,000 UNIT SOLR",250,,$465.80 ,$465.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301361,MICROFIBRIL. COLLAGEN HEMOSTAT (NULL) PO,250,,"$1,059.97 ","$1,059.97 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301366,"NEOMYCIN-POLYMYXIN B GU 40-200,000 MG-UN",250,,$50.02 ,$50.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301904,ACETAZOLAMIDE 500 MG SOLR,250,J1120,$182.78 ,$182.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301908,ETHANOL (ETHYL ALCOHOL) 98 % SOLN,250,,$66.72 ,$66.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301912,ALTEPLASE 100 MG SOLR,250,J2997,"$33,428.74 ","$33,428.74 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301913,ALTEPLASE 50 MG SOLR,250,J2997,"$15,768.32 ","$15,768.32 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301917,AMINOCAPROIC ACID 250 MG/ML SOLN,250,,$16.07 ,$16.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301918,AMINOPHYLLINE 500 MG/20 ML SOLN,250,J0280,$2.08 ,$2.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301922,AMPICILLIN SODIUM 1 GRAM SOLR,250,J0290,$19.95 ,$19.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301923,AMPICILLIN SODIUM 2 GRAM SOLR,250,J0290,$168.26 ,$168.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301924,AMPICILLIN SODIUM 500 MG SOLR,250,J0290,$9.78 ,$9.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301938,AZTREONAM 1 GRAM SOLR,250,,$210.31 ,$210.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301942,"BACITRACIN 50,000 UNIT SOLR",250,,$37.95 ,$37.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301943,BENZTROPINE MESYLATE 2 MG/2 ML SOLN,250,J0515,$876.10 ,$876.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301945,BETAMETHASONE ACET & SOD PHOS 6 MG/ML SU,250,J0702,$255.65 ,$255.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301949,BUMETANIDE 0.25 MG/ML SOLN,250,J3490,$9.35 ,$9.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301950,BUMETANIDE 0.25 MG/ML SOLN,250,,$19.29 ,$19.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301951,BUPIVACAINE HCL (PF) 0.25 % SOLN,250,,$16.91 ,$16.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301952,BUPIVACAINE HCL (PF) 0.5 % SOLN,250,,$16.10 ,$16.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301953,BUPIVACAINE HCL (PF) 0.25 % SOLN,250,,$14.52 ,$14.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301954,BUPIVACAINE HCL (PF) 0.5 % SOLN,250,,$17.33 ,$17.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301955,"BUPIVACAINE-EPI 0.5%-1:200,000 SOLN",250,,$24.44 ,$24.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301956,BUPIVACAINE-EPI (PF) 0.25% SOLN,250,,$42.14 ,$42.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301962,BUTORPHANOL TARTRATE 1 MG/ML SOLN,250,J0595,$9.16 ,$9.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301964,CALCITONIN (SALMON) 200 UNIT/ML SOLN,250,J0630,$408.20 ,$408.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301965,CALCIUM CHLORIDE 10 % SOLN,250,,$10.15 ,$10.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301966,CALCIUM CHLORIDE 10 % (100 MG/ML) SYRG,250,,$33.86 ,$33.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301968,CALCIUM GLUCONATE 100 MG/ML (10%) SOLN,250,J0610,$13.04 ,$13.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301969,CALCIUM GLUCONATE 100 MG/ML (10%) SOLN,250,J0610,$6.45 ,$6.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301974,CEFAZOLIN 1 GRAM SOLR,250,J0690,$8.59 ,$8.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301984,CEFOTAXIME SODIUM 2 GRAM SOLR,250,J0698,$24.52 ,$24.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301985,CEFOTAXIME SODIUM 1 GRAM SOLR,250,J0698,$7.97 ,$7.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301987,CEFOTAXIME SODIUM 500 MG SOLR,250,J0698,$9.50 ,$9.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301992,"CEFOXITIN IN DEXTROSE, ISO-OSM 1 GRAM/50",250,J0694,$70.69 ,$70.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301994,"CEFOXITIN IN DEXTROSE, ISO-OSM 2 GRAM/50",250,J0694,$129.82 ,$129.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301997,CEFTAZIDIME 1 GRAM SOLR,250,J0713,$42.14 ,$42.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302000,CEFTAZIDIME 2 GRAM SOLR,250,J0713,$55.11 ,$55.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302017,CHLORAMPHENICOL SOD SUCCINATE 1 GRAM SOL,250,J0720,$173.33 ,$173.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302019,CHLOROPROCAINE HCL 3 % SOLN,250,J2400,$55.76 ,$55.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302020,CHLOROTHIAZIDE SODIUM 500 MG SOLR,250,J1205,"$3,140.23 ","$3,140.23 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302021,CHLORPROMAZINE 25 MG/ML SOLN,250,J3230,$47.14 ,$47.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302022,CHLORPROMAZINE 25 MG/ML SOLN,250,J3230,$52.20 ,$52.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302028,CISATRACURIUM BESYLATE 2 MG/ML SOLN,250,,$168.08 ,$168.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302034,CLINDAMYCIN PHOSPHATE 150 MG/ML SOLN,250,,$26.75 ,$26.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302035,CLINDAMYCIN PHOSPHATE 150 MG/ML SOLN,250,,$20.17 ,$20.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302036,CLINDAMYCIN PHOSPHATE 600 MG/4 ML SOLN,250,J3490,$24.15 ,$24.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302038,COLCHICINE 0.5 MG/ML SOLN,250,J0760,$32.03 ,$32.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302041,AMPICILLIN-SULBACTAM SODIUM 3 GRAM SOLR,250,J0295,$107.61 ,$107.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302042,AMPICILLIN-SULBACTAM SODIUM 1.5 GRAM SOL,250,J0295,$56.98 ,$56.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302054,DESMOPRESSIN ACETATE 4 MCG/ML SOLN,250,J2597,$144.88 ,$144.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302056,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML S,250,J1100,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302057,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML,250,J1100,$6.45 ,$6.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302061,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML S,250,J1100,$45.30 ,$45.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302063,DIAZEPAM 5 MG/ML SYRG,250,J3360,$17.63 ,$17.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302064,DICYCLOMINE 10 MG/ML SOLN,250,J0500,$185.03 ,$185.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302065,DIGOXIN 100 MCG/ML SOLN,250,J1160,$41.35 ,$41.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302066,DIGOXIN 250 MCG/ML SOLN,250,J1160,$4.70 ,$4.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302068,DIHYDROERGOTAMINE MESYLATE 1 MG/ML SOLN,250,J1110,$142.85 ,$142.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302069,DILTIAZEM HCL 5 MG/ML SOLN,250,,$10.91 ,$10.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302070,DILTIAZEM HCL 5 MG/ML SOLN,250,,$6.19 ,$6.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302072,DIPHENHYDRAMINE HCL 50 MG/ML SOLN,250,J1200,$7.09 ,$7.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302075,DOBUTAMINE 12.5 MG/ML SOLN,250,J1250,$24.65 ,$24.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302077,DOPAMINE 800 MG/5 ML (160 MG/ML) SOLN,250,J1265,$13.04 ,$13.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302078,DOPAMINE 80 MG/ML SOLN,250,J1265,$13.04 ,$13.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302079,DOPAMINE 40 MG/ML SOLN,250,J1265,$13.08 ,$13.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302085,DOXYCYCLINE HYCLATE 100 MG SOLR,250,,$565.69 ,$565.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302086,DROPERIDOL 2.5 MG/ML SOLN,250,J1790,$23.21 ,$23.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302090,ENALAPRILAT 1.25 MG/ML INJ,250,,$18.86 ,$18.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302092,ENOXAPARIN SODIUM 30 MG/0.3 ML SYRG,250,J1650,$88.32 ,$88.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302093,EPHEDRINE SULFATE 50 MG/ML SOLN,250,,$4.27 ,$4.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302095,EPINEPHRINE HCL 0.1 MG/ML SYRG,250,J0170,$16.18 ,$16.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302096,"EPINEPHRINE 1 MG/ML (1:1,000) SOLN",250,J0170,$19.22 ,$19.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302097,"EPINEPHRINE 1 MG/ML (1:1,000) SOLN",250,J0170,$15.58 ,$15.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302103,ERYTHROMYCIN LACTOBIONATE 500 MG SOLR,250,J1364,$58.68 ,$58.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302106,ESMOLOL 100 MG/10 ML SOLN,250,,$21.04 ,$21.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302108,ETOMIDATE 2 MG/ML SYRG,250,,$174.50 ,$174.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302111,FAMOTIDINE 20 MG/2 ML SOLN,250,,$4.59 ,$4.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302114,FENTANYL CITRATE (PF) 50 MCG/ML SOLN,250,J3010,$10.50 ,$10.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302115,FENTANYL CITRATE (PF) 50 MCG/ML SOLN,250,J3010,$2.46 ,$2.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302116,FENTANYL CITRATE (PF) 50 MCG/ML SOLN,250,J3010,$2.10 ,$2.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302128,FLUPHENAZINE HCL 2.5 MG/5 ML ELIX,250,,$9.34 ,$9.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302132,FUROSEMIDE 10 MG/ML SOLN,250,J1940,$3.55 ,$3.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302133,FUROSEMIDE 10 MG/ML SOLN,250,J1940,$2.41 ,$2.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302134,FUROSEMIDE 10 MG/ML SOLN,250,J1940,$2.83 ,$2.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302135,GANCICLOVIR 500 MG SOLR,250,J1570,$552.19 ,$552.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302138,GENTAMICIN (PEDIATRIC) 20 MG/2 ML SOLN,250,J1580,$12.11 ,$12.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302139,GENTAMICIN IN NORMAL SALINE 80 MG/100 ML,250,,$25.95 ,$25.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302143,GLYCOPYRROLATE 0.2 MG/ML SOLN,250,,$3.27 ,$3.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302144,GLYCOPYRROLATE 0.2 MG/ML SOLN,250,J3490,$3.48 ,$3.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302146,HALOPERIDOL DECANOATE 50 MG/ML SOLN,250,J1631,$388.30 ,$388.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302147,HALOPERIDOL LACTATE 5 MG/ML SOLN,250,J1630,$5.95 ,$5.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302148,HEPARIN LOCK FLUSH (PORCINE) 10 UNIT/ML,250,J1642,$7.84 ,$7.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302149,HEPARIN LOCK FLUSH (PORCINE) 10 UNIT/ML,250,J1642,$4.43 ,$4.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302152,"HEPARIN SODIUM 5,000 UNIT/ML SOLN",250,J1644,$10.02 ,$10.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302153,"HEPARIN SODIUM (PORCINE) 1,000 UNIT/ML S",250,J1644,$12.04 ,$12.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302154,"HEPARIN SODIUM (PORCINE) 10,000 UNIT/ML",250,J1644,$22.54 ,$22.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302155,"HEPARIN SODIUM (PORCINE) 1,000 UNIT/ML S",250,J1644,$22.19 ,$22.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302158,HETASTARCH IN NORMAL SALINE 6% SOLN,250,,$84.03 ,$84.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302161,HYDRALAZINE 20 MG/ML SOLN,250,J0360,$86.95 ,$86.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302162,HEPARIN (PORCINE) IN NS (PMX) 2 UNIT/ML,250,J1644,$19.96 ,$19.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302166,HYDROCORTISONE SOD SUCCINATE 100 MG/2 ML,250,J1720,$28.94 ,$28.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302168,HYDROCORTISONE SOD SUCCINATE 250 MG/2 ML,250,J1720,$103.03 ,$103.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302170,HYDROMORPHONE 1 MG/ML SOLN,250,J1170,$7.26 ,$7.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302171,HYDROXYZINE HCL 50 MG/ML SOLN,250,J3410,$23.57 ,$23.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302172,IBUTILIDE FUMARATE 0.1 MG/ML SOLN,250,J1742,"$1,065.74 ","$1,065.74 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302184,IMIPENEM-CILASTATIN 500 MG SOLR,250,J0743,$236.78 ,$236.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302186,INDIGOTINDISULFONATE SODIUM 8 MG/ML SOLN,250,,$53.86 ,$53.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302207,KETAMINE 100 MG/ML SOLN,250,,$67.36 ,$67.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302208,LABETALOL 5 MG/ML SOLN,250,J3490,$10.73 ,$10.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302211,LEUCOVORIN CALCIUM 100 MG SOLR,250,J0640,$19.67 ,$19.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302215,LEVOTHYROXINE SODIUM 200 MCG SOLR,250,,$210.72 ,$210.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302216,LEVOTHYROXINE SODIUM 500 MCG SOLR,250,,$165.36 ,$165.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302217,LIDOCAINE HCL 100 MG/5 ML (2 %) SYRG,250,,$29.09 ,$29.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302221,LIDOCAINE HCL LOCAL ANESTH 1% SOLN,250,J2001,$7.97 ,$7.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302225,LIDOCAINE HCL LOCAL ANESTH 1% SOLN,250,J2001,$8.42 ,$8.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302226,LIDOCAINE HCL LOCAL ANESTH 1% SOLN,250,J2001,$6.45 ,$6.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302227,LIDOCAINE HCL LOCAL ANESTH 1% SOLN,250,J2001,$7.49 ,$7.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302230,LIDOCAINE HCL SDV ANEST 0.5% SOLN,250,,$19.35 ,$19.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302231,LIDOCAINE HCL LOCAL ANESTH 1% SOLN,250,,$13.14 ,$13.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302232,LIDOCAINE HCL LOCAL ANESTH 2% SOLN,250,,$16.10 ,$16.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302234,LIDOCAINE HCL LOCAL ANESTH 1% SOLN,250,,$34.43 ,$34.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302235,"LIDOCAINE-EPI 0.5 %-1:200,000 SOLN",250,,$16.81 ,$16.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302236,"LIDOCAINE-EPI 1 %-1:100,000 SOLN",250,,$12.40 ,$12.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302237,"LIDOCAINE-EPI 1 %-1:100,000 SOLN",250,,$17.48 ,$17.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302239,"LIDOCAINE-EPI 2 %-1:100,000 SOLN",250,,$10.73 ,$10.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302240,"LIDOCAINE-EPI 2 %-1:200,000 SOLN",250,,$57.22 ,$57.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302241,"LIDOCAINE-EPI 2 %-1:100,000 SOLN",250,,$20.31 ,$20.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302242,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000",250,J2000,$1.73 ,$1.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302243,"LIDOCAINE-EPI 1 %-1:200,000 SOLN",250,,$43.51 ,$43.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302245,LINCOMYCIN 300 MG/ML SOLN,250,J2010,$120.88 ,$120.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302247,LORAZEPAM 2 MG/ML SOLN,250,J2060,$4.34 ,$4.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302253,MAGNESIUM SULFATE 50 % 4 MEQ/ML SOLN,250,J3475,$2.90 ,$2.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302254,MAGNESIUM SULFATE 50 % 4 MEQ/ML SOLN,250,J3475,$6.59 ,$6.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302255,MANNITOL 25 % SOLN,250,J2150,$5.95 ,$5.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302257,MEDROXYPROGEST ACE (CONTRACEP) 150 MG/ML,250,J1051,$222.06 ,$222.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302258,MEPERIDINE 50 MG/ML SYRG,250,J2175,$9.72 ,$9.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302260,MEPERIDINE 75 MG/ML SYRG,250,J2175,$9.29 ,$9.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302261,MEPERIDINE 25 MG/ML SYRG,250,J2175,$7.32 ,$7.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302262,MEPERIDINE 100 MG/ML SYRG,250,J2175,$9.43 ,$9.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302268,METHOCARBAMOL 100 MG/ML SOLN,250,J2800,$196.66 ,$196.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302272,METHYLDOPATE 250 MG/5 ML SOLN,250,J0210,$282.83 ,$282.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302273,METHYLENE BLUE (ANTIDOTE) 1 % SOLN,250,,$68.09 ,$68.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302274,METHYLERGONOVINE MALEATE 0.2 MG/ML (1 ML,250,J2210,$53.72 ,$53.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302275,METHYLPREDNISOLONE SODIUM SUCC 40 MG/ML,250,J2920,$12.40 ,$12.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302278,"METHYLPREDNISOLONE SODIUM SUCC 1,000 MG",250,,$94.05 ,$94.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302279,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSP,250,J1040,$35.55 ,$35.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302280,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSP,250,J1030,$22.94 ,$22.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302281,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSP,250,J1030,$77.69 ,$77.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302283,METOCLOPRAMIDE 5 MG/ML SOLN,250,J2765,$3.79 ,$3.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302284,METOPROLOL TARTRATE 5 MG/5 ML SOLN,250,,$4.14 ,$4.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302285,METRONIDAZOLE IN NACL (ISO-OS) 500 MG/10,250,,$8.68 ,$8.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302288,MIDAZOLAM 5 MG/ML SOLN,250,,$6.40 ,$6.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302289,MIDAZOLAM 5 MG/ML SOLN,250,J2250,$27.28 ,$27.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302300,DEXTROSE 5% IN WATER (D5W) (NULL) SOLP,250,J3490,$10.50 ,$10.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302301,MORPHINE 10 MG/ML SYRG,250,J2270,$7.20 ,$7.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302302,MORPHINE 2 MG/ML SYRG,250,J2270,$6.45 ,$6.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302303,DEXTROSE 5% IN WATER (D5W) (NULL) SOLP,250,J3490,$6.96 ,$6.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302304,MORPHINE 4 MG/ML SYRG,250,J2270,$6.59 ,$6.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302305,MORPHINE 8 MG/ML SYRG,250,J2270,$6.69 ,$6.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302309,DEXTROSE 5% IN WATER (D5W) (NULL) SOLP,250,J7060,$6.02 ,$6.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302311,NAFCILLIN SODIUM 1 GRAM SOLR,250,,$99.60 ,$99.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302313,NAFCILLIN ADV 2 GRAM SOLR,250,,$193.24 ,$193.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302317,DEXTROSE 5% IN WATER (D5W) (NULL) SOLP,250,J7060,$6.72 ,$6.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302318,NALBUPHINE 20 MG/ML SOLN,250,J2300,$11.81 ,$11.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302319,NALBUPHINE 10 MG/ML SOLN,250,J2300,$6.22 ,$6.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302320,NALOXONE 0.4 MG/ML SOLN,250,J2310,$18.05 ,$18.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302322,DEXTROSE 5% IN WATER (D5W) (NULL) SOLP,250,J7070,$7.66 ,$7.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302324,NEOSTIGMINE METHYLSULFATE 1 MG/ML SOLN,250,J2710,$0.90 ,$0.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302326,DEXTROSE 5% IN WATER (D5W) (NULL) PGBK,250,J3490,$27.11 ,$27.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302327,DEXTROSE 5% IN WATER (D5W) (NULL) PGBK,250,J3490,$27.11 ,$27.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302328,NITROGLYCERIN 5 MG/ML SOLN,250,,$26.12 ,$26.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302329,NITROPRUSSIDE SODIUM 25 MG/ML SOLN,250,,$70.35 ,$70.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302330,NOREPINEPHRINE BITARTRATE 1 MG/ML SOLN,250,,$34.96 ,$34.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302332,LACTATED RINGERS (NULL) SOLP,250,J7120,$10.17 ,$10.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302334,LACTATED RINGERS (NULL) SOLP,250,J7120,$7.84 ,$7.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302339,SODIUM CHLORIDE 0.45 % SOLP,250,,$7.56 ,$7.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302340,DEXTROSE 5% IN NORMAL SALINE (NULL) SOLP,250,J7042,$8.49 ,$8.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302341,DEXTROSE 5%-1/2 NORMAL SALINE (NULL) SOL,250,J7042,$8.13 ,$8.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302342,SODIUM CHLORIDE 0.9 % SOLP,250,,$11.02 ,$11.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302347,SODIUM CHLORIDE 0.9 % SOLP,250,,$6.97 ,$6.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302350,OXYTOCIN 10 UNIT/ML SOLN,250,J2590,$4.63 ,$4.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302351,SODIUM CHLORIDE 0.9 % PGBK,250,,$27.11 ,$27.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302355,SODIUM CHLORIDE 0.9 % PGBK,250,J7050,$27.11 ,$27.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302356,PAPAVERINE 30 MG/ML SOLN,250,J2440,$13.14 ,$13.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302357,"PEN G PROC/BENZATHINE 900/300 1,200,000U",250,J0540,$299.81 ,$299.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302359,"PENICILLIN G BENZATHINE 1,200,000 UNIT/2",250,J0570,$361.31 ,$361.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302360,SODIUM CHLORIDE 0.9 % SOLP,250,J7040,$6.10 ,$6.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302361,SODIUM CHLORIDE 0.9 % SOLP,250,J7040,$6.59 ,$6.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302362,"PENICILLIN G BENZATHINE 2,400,000 UNIT/4",250,J0580,$740.40 ,$740.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302363,"PENICILLIN G BENZATHINE 600,000 UNIT/ML",250,J0560,$208.60 ,$208.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302365,DEXTROSE 70% IN WATER (D70W) (NULL) SOLP,250,,$71.95 ,$71.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302366,"PENICILLIN G BENZATHINE & PROC 1,200,000",250,J0540,$144.03 ,$144.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302373,PHENOBARBITAL SODIUM 65 MG/ML SOLN,250,J2560,$9.56 ,$9.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302374,PHENTOLAMINE MESYLATE 5 MG SOLR,250,J2760,$477.94 ,$477.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302375,PHENYLEPHRINE HCL 10 MG/ML SOLN,250,J2370,$3.04 ,$3.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302376,PHYSOSTIGMINE SALICYLATE 1 MG/ML SOLN,250,,$25.23 ,$25.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302381,PIPERACILLIN-TAZOBACTAM 3.375 GRAM SOLR,250,J2543,$138.39 ,$138.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302382,PIPERACILLIN-TAZOBACTAM 4.5 GRAM SOLR,250,J2543,$175.26 ,$175.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302383,PIPERACILLIN-TAZOBACTAM 2.25 GRAM SOLR,250,J2543,$78.72 ,$78.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302385,"POLYMYXIN B SULFATE 500,000 UNIT SOLR",250,,$47.57 ,$47.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302387,FAT EMULSION 20 % EMUL,250,,$67.72 ,$67.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302388,POTASSIUM CHLORIDE 2 MEQ/ML SOLP,250,J3480,$2.46 ,$2.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302389,AMINO ACID INFUSION 10 % (NULL) SOLP,250,,$192.76 ,$192.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302390,POTASSIUM CHLORIDE 2 MEQ/ML SOLP,250,J3480,$2.04 ,$2.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302391,POTASSIUM PHOSPHATE DIBASIC 3 MMOLE/ML S,250,,$10.15 ,$10.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302392,POTASSIUM PHOSPHATE DIBASIC 3 MMOLE/ML S,250,,$16.67 ,$16.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302393,"WATER FOR INJECTION, STERILE (NULL) SOLP",250,,$8.85 ,$8.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302394,POTASSIUM PHOSPHATE DIBASIC 3 MMOLE/ML S,250,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302395,PROCAINAMIDE 500 MG/ML SOLN,250,J2690,$53.80 ,$53.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302396,PROCAINAMIDE 100 MG/ML SOLN,250,J2690,$53.80 ,$53.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302399,PROCHLORPERAZINE EDISYLATE 5 MG/ML SOLN,250,J0780,$14.52 ,$14.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302404,PROMETHAZINE 25 MG/ML SOLN,250,J2550,$5.44 ,$5.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302405,PROMETHAZINE 50 MG/ML SOLN,250,J2550,$116.10 ,$116.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302406,PROPOFOL 10 MG/ML EMUL,250,,$12.11 ,$12.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302407,PROPOFOL 10 MG/ML EMUL,250,J3490,$25.49 ,$25.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302408,PROPRANOLOL 1 MG/ML SOLN,250,J1800,$13.96 ,$13.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302409,PROTAMINE 10 MG/ML SOLN,250,J2720,$39.87 ,$39.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302413,RANITIDINE HCL 25 MG/ML SOLN,250,J2780,$29.01 ,$29.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302416,RANITIDINE IN 1/2 NS 50 MG/50 ML PGBK,250,J2780,$25.74 ,$25.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302417,RIFAMPIN 600 MG SOLR,250,J3490,$919.64 ,$919.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302418,ROCURONIUM BROMIDE 10 MG/ML SOLN,250,,$153.54 ,$153.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302419,ROCURONIUM BROMIDE 10 MG/ML SOLN,250,,$52.99 ,$52.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302423,SCOPOLAMINE HBR 0.4 MG/ML SOLN,250,,$35.03 ,$35.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302425,SODIUM CHLORIDE 0.9% SOLN,250,,$3.41 ,$3.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302426,SALINE BACTERIOSTATIC 0.9 % SOLN,250,J2912,$4.43 ,$4.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302427,WATER FOR INJECT BACTERIOSTAT (NULL) SOL,250,,$3.84 ,$3.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302428,"WATER FOR INJECTION, STERILE (NULL) SOLN",250,J7051,$3.46 ,$3.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302429,"WATER FOR INJECTION, STERILE (NULL) SOLN",250,,$8.70 ,$8.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302433,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) SYRG,250,,$44.96 ,$44.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302435,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) SYRG,250,,$25.23 ,$25.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302436,SODIUM CHLORIDE 23.4% 4 MEQ/ML SOLP,250,J2912,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302437,SALINE BACTERIOSTATIC 0.9 % SOLN,250,J2912,$4.49 ,$4.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302438,MORRHUATE SODIUM 5 % SOLN,250,J3490,$453.25 ,$453.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302446,TERBUTALINE 1 MG/ML SOLN,250,J3105,$11.91 ,$11.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302451,THIOPENTAL SODIUM 500 MG SYRG,250,,$202.48 ,$202.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302453,TICARCILLIN-POT CLAVULANATE 3.1 G SOLR,250,J3490,$87.00 ,$87.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302454,TOBRAMYCIN SULFATE 40 MG/ML SOLN,250,J3260,$233.02 ,$233.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302455,TOBRAMYCIN IN NS 60 MG/50 ML PGBK,250,J3260,$51.99 ,$51.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302456,TOBRAMYCIN IN NS 80 MG/100 ML PGBK,250,J3260,$44.44 ,$44.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302457,TOBRAMYCIN SULFATE 40 MG/ML SOLN,250,J3260,$194.39 ,$194.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302460,TORSEMIDE 10 MG/ML SOLN,250,J3265,$350.62 ,$350.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302462,CHROMIUM CHLORIDE 4 MCG/ML SOLN,250,,$7.26 ,$7.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302464,SELENIOUS ACID 40 MCG/ML SOLN,250,,$13.42 ,$13.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302465,ZINC SULFATE 1 MG/ML SOLN,250,,$6.92 ,$6.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302468,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSP,250,J3301,$301.11 ,$301.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302469,TRIAMCINOLONE ACETONIDE 10 MG/ML SUSP,250,J3301,$79.21 ,$79.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302475,TRIMETHOBENZAMIDE 100 MG/ML SOLN,250,J3250,$38.24 ,$38.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302476,TUBERCULIN PPD 5 UNIT/0.1 ML SOLN,250,,$21.90 ,$21.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302480,VANCOMYCIN IN D5W 1 GRAM/200 ML PGBK,250,J3370,$54.15 ,$54.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302483,VASOPRESSIN 20 UNIT/ML SOLN,250,J3490,$7.97 ,$7.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302484,VECURONIUM BROMIDE 10 MG SOLR,250,,$17.91 ,$17.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302485,VERAPAMIL 2.5 MG/ML SOLN,250,J3490,$9.65 ,$9.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302486,VERAPAMIL 2.5 MG/ML SOLN,250,,$17.33 ,$17.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302492,"VITAMIN A 50,000 UNIT/ML SOLN",250,,$172.02 ,$172.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302494,PYRIDOXINE 100 MG/ML SOLN,250,J3415,$46.04 ,$46.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302495,"CYANOCOBALAMIN 1,000 MCG/ML SOLN",250,J3420,$3.99 ,$3.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302497,CALCITRIOL 1 MCG/ML SOLN,250,J0636,$22.90 ,$22.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302498,PHYTONADIONE 1 MG/0.5 ML SYRG,250,J3430,$25.39 ,$25.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302499,PHYTONADIONE 10 MG/ML SOLN,250,J3430,$74.47 ,$74.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302500,"MVI, ADULT NO.1 WITH VIT K 1-5-10-200 MG",250,,$48.24 ,$48.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302501,"WATER FOR INJECTION, STERILE (NULL) SOLN",250,J7051,$5.79 ,$5.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302502,ZIDOVUDINE 10 MG/ML SOLN,250,J3485,$198.39 ,$198.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302503,KETOROLAC 60 MG/2 ML SOLN,250,J1885,$6.55 ,$6.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302504,KETOROLAC 30 MG/ML (1 ML) SOLN,250,J1885,$4.21 ,$4.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302505,KETOROLAC 15 MG/ML SOLN,250,J1885,$145.66 ,$145.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302507,PHENOBARBITAL SODIUM 130 MG/ML SOLN,250,J2560,$25.32 ,$25.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302513,CARBOPROST TROMETHAMINE 250 MCG/ML SOLN,250,,$479.72 ,$479.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302516,"RHO D IMMUNE GLOBULIN-MALTOSE 15,000 UNI",250,J2790,"$19,188.50 ","$19,188.50 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302527,PANCURONIUM BROMIDE 1 MG/ML SOLN,250,,$0.73 ,$0.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302529,CONJUGATED ESTROGENS 25 MG SOLR,250,J1410,$830.41 ,$830.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302542,AMMONIUM CHLORIDE 5 MEQ/ML SOLN,250,,$23.42 ,$23.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302543,PARENTERAL ELECTROLYTES 35-20-5-4.5-35 M,250,,$15.58 ,$15.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302545,GENTAMICIN IN NORMAL SALINE 100 MG/100 M,250,,$11.79 ,$11.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302546,GENTAMICIN IN NACL (ISO-OSM) 120 MG/100,250,,$11.79 ,$11.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302554,DIMERCAPROL 100 MG/ML SOLN,250,J0470,$608.93 ,$608.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302556,CAFFEINE-SODIUM BENZOATE 250 MG/ML (125,250,,$43.82 ,$43.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302558,WARFARIN SODIUM 5 MG SOLR,250,,$223.79 ,$223.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302567,ISOPROTERENOL HCL 0.2 MG/ML SOLN,250,J7658,$58.80 ,$58.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302568,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSP,250,J3301,$59.32 ,$59.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302572,TOBRAMYCIN SULFATE 1.2 G SOLR,250,J3260,$527.58 ,$527.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302573,ORPHENADRINE CITRATE 30 MG/ML SOLN,250,J2360,$31.90 ,$31.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302578,PRALIDOXIME CHLORIDE 1 GRAM SOLR,250,J2730,$630.72 ,$630.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302579,SODIUM THIOSULFATE 25 % SOLN,250,,$112.32 ,$112.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302584,LIDOCAINE HCL LOCAL ANESTH 1% SOLN,250,J2001,$15.16 ,$15.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302589,"DOPAMINE IN D5W (PMX) 1,600 MCG/ML SOLN",250,J1265,$73.09 ,$73.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302601,DEXTROSE 50% IN WATER (D50W) (NULL) SYRG,250,,$22.91 ,$22.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302624,NORFLURANE-HFC 245FA (NULL) SPRA,250,,$206.23 ,$206.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302641,NITROGLYCERIN IN D5W (PMX) 50 MG/250 ML,250,,$39.11 ,$39.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302645,PENICILLIN G POTASSIUM 20 MILL UNIT SOLR,250,J2540,"$1,087.18 ","$1,087.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302647,ROPIVACAINE 2 MG/ML SOLN,250,J2795,$124.94 ,$124.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302661,LIDOCAINE IN D5W (PMX) 4 MG/ML (0.4 %) S,250,J2001,$25.77 ,$25.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302690,PAPAVERINE 30 MG/ML SOLN,250,J2440,$18.13 ,$18.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302691,PHENYTOIN SODIUM 50 MG/ML SOLN,250,J1165,$10.17 ,$10.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302692,PHENYTOIN SODIUM 50 MG/ML SOLN,250,J1165,$13.46 ,$13.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302742,LEVOFLOXACIN IN D5W 500 MG/100 ML PGBK,250,J1956,$96.30 ,$96.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302745,ETHYL CHLORIDE 100 % SPRA,250,,$3.99 ,$3.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302754,AZTREONAM 2 GRAM SOLR,250,,$420.63 ,$420.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302758,"HEPARIN (PORCINE) IN D5W (PMX) 25,000 UN",250,,$42.20 ,$42.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302763,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML),250,J3490,$133.31 ,$133.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302802,ENOXAPARIN SODIUM 40 MG/0.4 ML SYRG,250,J1650,$117.75 ,$117.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302807,DOBUTAMINE IN D5W (PMX) 250 MG/250 ML SO,250,J1250,$55.87 ,$55.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302808,D5W WITH KCL 20 MEQ/L SOLP,250,,$12.76 ,$12.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302809,NS WITH KCL 20 MEQ/L SOLP,250,,$10.31 ,$10.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302810,D5-LR WITH KCL 20 MEQ/L SOLP,250,,$11.46 ,$11.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302811,D5-1/4 NS WITH KCL 20 MEQ/L SOLP,250,,$11.18 ,$11.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302812,D5-1/2 NS WITH KCL 10 MEQ/L SOLP,250,,$10.93 ,$10.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302813,D5-1/2 NS WITH KCL 20 MEQ/L SOLP,250,,$8.31 ,$8.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302814,D5-1/2 NS WITH KCL 30 MEQ/L SOLP,250,,$11.37 ,$11.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302815,D5-1/2 NS WITH KCL 40 MEQ/L SOLP,250,,$8.49 ,$8.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302816,NS WITH KCL 40 MEQ/L SOLP,250,,$10.22 ,$10.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302820,DEXTROSE 5%-1/4 NORMAL SALINE (NULL) SOL,250,J7042,$7.61 ,$7.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302835,SODIUM BICARBONATE (ANTACID) (NULL) POWD,250,,$19.35 ,$19.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302847,LEVOFLOXACIN IN D5W 250 MG/50 ML PGBK,250,J1956,$48.15 ,$48.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302870,ACTIVATED CHARCOAL 25 GRAM/120 ML SUSP,250,,$96.51 ,$96.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302912,MORPHINE (PF) 10 MG/ML SOLN,250,J2270,$914.46 ,$914.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302924,MEROPENEM 1000 MG SOLR,250,J2185,$109.01 ,$109.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302941,TESTOSTERONE CYPIONATE 100 MG/ML OIL,250,J1070,$335.29 ,$335.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302942,MERCAPTOPURINE 50 MG TAB,250,,$5.89 ,$5.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302945,CIPROFLOXACIN-HC 0.2-1 % DRPS,250,,$971.61 ,$971.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302946,POVIDONE-IODINE 10 % SOLN,250,A4246,$7.21 ,$7.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302955,TOLTERODINE TARTRATE 2 MG TAB,250,,$17.46 ,$17.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302981,OLANZAPINE 7.5 MG TAB,250,,$106.90 ,$106.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302986,AMOXICILLIN 250 MG/5 ML SUSR,250,,$13.27 ,$13.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302987,MODAFINIL 100 MG TAB,250,,$39.75 ,$39.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303002,ENOXAPARIN SODIUM 100 MG/ML SYRG,250,J1650,$294.74 ,$294.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303049,POTASSIUM CL (BOLUS) 40 MEQ/100 ML PGBK,250,J3480,$16.65 ,$16.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303050,POTASSIUM CL (BOLUS) 20 MEQ/50 ML PGBK,250,J3480,$13.29 ,$13.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303056,FENOLDOPAM 10 MG/ML SOLN,250,,$389.67 ,$389.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303063,PIPERACILLIN-TAZOBACTAM IN D5W 2.25 GRAM,250,J2543,$109.84 ,$109.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303064,PIPERACILLIN-TAZOBACTAM IN D5W 3.375 GRA,250,J2543,$164.79 ,$164.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303121,DEXTROSE 5% IN NORMAL SALINE (NULL) SOLP,250,J7042,$11.19 ,$11.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303125,ENOXAPARIN SODIUM 80 MG/0.8 ML SYRG,250,J1650,$235.77 ,$235.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303129,"LYMPHOCYTE,ANTI-THYMO IMM GLOB 50 MG/ML",250,J7504,"$4,236.81 ","$4,236.81 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303137,MILRINONE IN D5W 200 MCG/ML PGBK,250,J2260,$818.12 ,$818.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303167,HEPATITIS B VAC RECOMBINANT 5 MCG/0.5 ML,250,,$68.53 ,$68.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303171,DILTIAZEM HCL 5 MG/ML SOLN,250,J3490,$18.13 ,$18.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303181,CEFEPIME / D5%W 2 GRAM SOLR,250,J0692,$120.02 ,$120.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303198,ASCORBIC ACID 500 MG/ML SOLN,250,J3490,$50.78 ,$50.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303203,INSULIN GLARGINE 100 UNIT/ML SOLN,250,J1815,$655.69 ,$655.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303219,MEPERIDINE 50 MG/ML SOLN,250,J2175,$135.95 ,$135.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303224,PANTOPRAZOLE 40 MG SOLR,250,,$26.20 ,$26.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303226,METRONIDAZOLE 0.75% GEL,250,,$206.69 ,$206.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303228,MAGNESIUM SULFATE 50 % 4 MEQ/ML SOLN,250,J3475,$15.58 ,$15.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303231,EDROPHONIUM CHLORIDE 10 MG/ML SOLN,250,J3490,$61.89 ,$61.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303234,"CELLULOSE, OXIDIZED 2 X 14 "" PADS",250,,$446.89 ,$446.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303235,"HEPATITIS A VIRUS VACCINE 1,440 EL UNIT/",250,90632,$782.58 ,$782.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303236,"MENINGOCOCCAL VAC A,C,Y,W-135 50 MCG SOL",250,90734,$787.22 ,$787.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303242,CEFEPIME / D5%W 1 GRAM PGBK,250,J0692,$77.96 ,$77.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303243,SODIUM BICARBONATE 7.5 % SOLN,250,,$13.08 ,$13.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303249,DROTRECOGIN ALFA (ACTIVATED) 5 MG SOLR,250,,"$2,601.18 ","$2,601.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303250,DROTRECOGIN ALFA (ACTIVATED) 20 MG SOLR,250,,"$10,061.31 ","$10,061.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303253,"DALTEPARIN SOD(PORCINE) 5000 5,000 UNIT/",250,J1645,$121.95 ,$121.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303257,INSULIN LISP & LISP PROT (HUM) 100 UNIT/,250,J1815,$335.59 ,$335.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303272,ARGININE HCL (L-ARGININE) 10 % SOLP,250,J3490,$77.16 ,$77.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303296,AMINO ACID INF IN D5W 3.5 % (NULL) SOLP,250,,$124.50 ,$124.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303297,THIAMINE HCL 100 MG/ML SOLN,250,J3411,$49.88 ,$49.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303341,"HEPARIN SODIUM (PORCINE) 1,000 UNIT/ML S",250,J1644,$49.02 ,$49.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303394,MEPERIDINE 100 MG/ML SOLN,250,J2175,$145.56 ,$145.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303426,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML,250,,$10.50 ,$10.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303446,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSP,250,J1040,$31.04 ,$31.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303459,LEVOFLOXACIN IN D5W 750 MG/150 ML PGBK,250,J1956,$90.30 ,$90.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303460,TUBERCULIN PPD 5 UNIT/0.1 ML SOLN,250,,$15.92 ,$15.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303469,IMIPENEM-CILASTATIN 250 MG SOLR,250,J0743,$133.11 ,$133.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303475,DEXMEDETOMIDINE 200 MCG/2 ML SOLN,250,,$482.77 ,$482.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303505,GELATIN ADSORBABLE 100 SPGE,250,,$140.36 ,$140.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303508,POTASSIUM CL (BOLUS) 20 MEQ/100 ML PGBK,250,J3480,$17.18 ,$17.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303509,POTASSIUM CL (BOLUS) 10 MEQ/100 ML PGBK,250,J3480,$16.91 ,$16.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303510,PROPOFOL 10 MG/ML EMUL,250,J3490,$87.00 ,$87.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303515,HEPARIN LOCK FLUSH (PORCINE) 10 UNIT/ML,250,J1642,$41.33 ,$41.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303522,FERROUS SULFATE 220 MG/5 ML ELIX,250,,$1.78 ,$1.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303526,"HEPARIN SODIUM (PORCINE) 1,000 UNIT/ML S",250,J1644,$43.07 ,$43.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303527,PROTAMINE 10 MG/ML SOLN,250,J2720,$119.70 ,$119.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303529,OCTREOTIDE ACETATE 100 MCG/ML SOLN,250,J2354,$23.19 ,$23.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303532,TETRAHYDROZOLINE HCL 0.05 % DROP,250,,$8.17 ,$8.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303537,METAPROTERENOL SULFATE 0.6 % SOLN,250,J7669,$2.20 ,$2.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303539,ALBUTEROL SULFATE 5 MG/ML NEBU,250,J7611,$61.48 ,$61.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303540,CROMOLYN SODIUM 20 MG/2 ML NEBU,250,J7631,$9.34 ,$9.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303546,BUDESONIDE 0.5 MG/2 ML NBSP,250,J7626,$59.00 ,$59.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303548,LEVALBUTEROL HCL 0.63 MG/3 ML NEBU,250,Q4094,$34.00 ,$34.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303549,LIDOCAINE HCL LOCAL ANESTH 2% SOLN,250,,$10.78 ,$10.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303553,MAGNESIUM SULFATE 4 % SOLN,250,J3475,$20.88 ,$20.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303555,CALCITONIN 200 UNIT/ACT 200 UNIT/ACTUAT,250,,$400.30 ,$400.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303571,SINCALIDE 5 MCG SOLR,250,J2805,$540.44 ,$540.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303579,"WATER FOR INJECTION, STERILE (NULL) SOLP",250,,$27.20 ,$27.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303582,MAGNESIUM CHLORIDE 20 % SOLN,250,,$40.79 ,$40.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303586,TRACE ELEMENTS CR-CU-MN-ZN 0.004-0.4-0.1,250,,$18.13 ,$18.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303591,POTASSIUM ACETATE 2 MEQ/ML SOLN,250,J3490,$2.98 ,$2.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303592,SODIUM ACETATE 2 MEQ/ML SOLN,250,,$5.79 ,$5.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303597,HYDROCORTISONE 10 % GEL,250,,$400.10 ,$400.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303600,TRIMETHOPRIM-SULFAMETHOXAZOLE 400-80 MG/,250,,$31.68 ,$31.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303607,ENOXAPARIN SODIUM 120 MG/0.8 ML SYRG,250,J1650,$353.78 ,$353.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303652,ETOPOSIDE 20 MG/ML SOLN,250,J9182,$32.12 ,$32.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303654,FLUOROURACIL 50 MG/ML SOLN,250,J9190,$9.45 ,$9.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303655,OLOPATADINE HCL 0.1 % DROP,250,,$790.05 ,$790.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303666,FLUCONAZOLE IN NORMAL SALINE 200 MG/100,250,J1450,$36.25 ,$36.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303671,SODIUM CHLORIDE 3 % SOLP,250,J7040,$10.65 ,$10.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303699,DEXTROSE 10% IN WATER (D10W) (NULL) SOLP,250,,$17.82 ,$17.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303700,CEFAZOLIN IN DEXTROSE (ISO-OS) 1 GRAM/50,250,J0690,$27.91 ,$27.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303783,SODIUM CHLORIDE 0.45 % SOLP,250,,$10.50 ,$10.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303800,"ESMOLOL IN ISO-OSMOTIC SALINE 2,500 MG/2",250,,$974.06 ,$974.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303802,SODIUM CHLORIDE 0.45% SOLP,250,,$7.90 ,$7.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303812,CEFAZOLIN 1 GRAM SOLR,250,J0690,$14.70 ,$14.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303814,CEFOTAXIME SODIUM 1 GRAM SOLR,250,J0698,$500.74 ,$500.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303815,AMPICILLIN SODIUM 1 GRAM SOLR,250,J0290,$86.77 ,$86.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303836,STAVUDINE 20 MG CAP,250,,$38.34 ,$38.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303864,CIPROFLOXACIN-DEXAMET 0.3-0.1% DRPS,250,,$909.90 ,$909.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303867,CEFTRIAXONE SODIUM 250 MG SOLR,250,J0696,$15.08 ,$15.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303868,CEFTRIAXONE SODIUM 500 MG SOLR,250,J0696,$72.35 ,$72.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303869,CEFTRIAXONE SODIUM 1 GRAM SOLR,250,J0696,$38.14 ,$38.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303870,CEFTRIAXONE 2 GRAM SOLR,250,J0696,$20.70 ,$20.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303871,CEFTRIAXONE 1 GRAM SOLR,250,J0696,$378.56 ,$378.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303878,PROGESTERONE 50 MG/ML OIL,250,J2675,$25.12 ,$25.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303881,ESOMEPRAZOLE SODIUM 40 MG SOLR,250,,$32.57 ,$32.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303882,FOLIC ACID-VIT B6-VIT B12 2 MG TAB,250,,$5.05 ,$5.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303896,AZITHROMYCIN 500 MG SOLR,250,J0456,$60.69 ,$60.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303922,DEXTROSE 10% IN WATER (D10W) (NULL) SOLN,250,,$8.06 ,$8.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303923,"VANCOMYCIN ADV 1,000 MG SOLR",250,J3370,$29.29 ,$29.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303924,VANCOMYCIN 500 MG SOLR,250,J3370,$22.39 ,$22.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303930,ACETYLCYSTEINE 20 % (200 MG/ML) SOLN,250,,$16.67 ,$16.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303946,MILRINONE LACTATE 1 MG/ML SOLN,250,J2260,$728.35 ,$728.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303948,CIPROFLOXACIN 400 MG/40 ML SOLN,250,J0744,$35.91 ,$35.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303949,CIPROFLOXACIN 200 MG/20 ML SOLN,250,J0744,$61.85 ,$61.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304006,DEFEROXAMINE MESYLATE 500 MG SOLR,250,J0895,$115.75 ,$115.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304010,PENICILLIN G SODIUM 5 MILL UNIT SOLR,250,,$287.12 ,$287.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304059,CANDIDA ALBICANS SKIN TEST FDA STANDARD,250,,$892.40 ,$892.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304060,MAGNESIUM SULFATE PREMIX 2 GRAM/50 ML PG,250,J3475,$41.63 ,$41.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304062,DOXORUBICIN SOLN LIPOSOMAL 2 MG/ML INJ,250,,"$19,346.57 ","$19,346.57 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304064,BUDESONIDE 180 MCG/INHALATION AEPB,250,,"$1,005.38 ","$1,005.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304065,METHYLNALTREXONE 12 MG/0.6 ML SOLN,250,,$333.49 ,$333.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304067,LIDOCAINE HCL 2 % SOLN,250,,$3.35 ,$3.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304069,ALBUTEROL 90 MCG/ACTUATION HFAA,250,,$248.77 ,$248.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304071,HALOPERIDOL LACTATE 2 MG/ML CONC,250,,$6.41 ,$6.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304072,MOMETASONE 110 MCG AEPB,250,,$720.61 ,$720.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304073,TETRACAINE HCL 2 % SOLN,250,,$107.15 ,$107.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304074,THROMBN (HUM PLAS)-FIB-APRO-CA 10 ML KIT,250,,"$3,955.91 ","$3,955.91 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304076,TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5,250,,$775.29 ,$775.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304078,POSACONAZOLE 200 MG/5 ML (40 MG/ML) SUSP,250,,"$5,429.03 ","$5,429.03 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304079,MEMANTINE 10 MG TAB,250,,$22.93 ,$22.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304080,GOSERELIN 3.6 MG IMPL,250,,"$2,426.69 ","$2,426.69 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304082,PROPAFENONE 325 MG CP12,250,,$51.20 ,$51.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304090,ALBUTEROL SULFATE 1.25 MG/3 ML NEBU,250,,$6.50 ,$6.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304092,NICARDIPINE IN SALINE (ISO-OS) 20 MG/200,250,,$618.45 ,$618.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304093,HYOSCYAMINE SULFATE 0.375 MG TB12,250,,$8.68 ,$8.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304098,ALLOPURINOL SODIUM 500 MG SOLR,250,,"$2,175.58 ","$2,175.58 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304100,PREDNISOLONE 15 MG/5 ML SOLN,250,,$1.11 ,$1.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304103,HIBICLENS-BACTROBAN KIT (NULL) KIT,250,,$59.99 ,$59.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304104,COLISTIMETHATE 150 MG SOLR,250,,$228.90 ,$228.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304110,CHLORPHENIRAMINE-PHENYLEPH-DM 4-12.5-15,250,,$2.75 ,$2.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304113,CLINDAMYCIN IN D5W 300 MG/50 ML PGBK,250,,$59.47 ,$59.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304114,CLINDAMYCIN IN D5W 600 MG/50 ML PGBK,250,,$91.07 ,$91.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304115,CLINDAMYCIN IN D5W 900 MG/50 ML PGBK,250,,$111.28 ,$111.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304117,SODIUM CHL (FLUSH) 0.9 % SYRG,250,,$2.62 ,$2.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304121,MIDAZOLAM - NS 1 MG / ML BAG,250,,$202.10 ,$202.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304122,POTASSIUM CL-NS (PM) 40 MEQ/ 250 ML BAG,250,,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304124,DILTIAZEM - D5%W (PREMIX) 1 MG/ ML BAG,250,,$0.52 ,$0.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304126,CIPROFLOXACIN-D5W 400 MG/200 ML PGBK,250,J0744,$11.56 ,$11.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304130,KETAMINE 50 MG/ML SOLN,250,,$3.60 ,$3.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304131,MAGNESIUM SULFATE PREMIX 4 GRAM/100 ML P,250,,$14.23 ,$14.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304132,FORMOTEROL FUMARATE 20 MCG/2 ML NEBU,250,,$36.38 ,$36.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304145,ETOMIDATE 2 MG/ML SOLN,250,,$1.91 ,$1.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304146,FOSPROPOFOL 35MG/ML SOLN,250,,$6.05 ,$6.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304161,SODIUM BICARBONATE 8.4 % SOLN,250,,$5.23 ,$5.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304180,CLINDAMYCIN PHOSPHATE 150 MG/ML SOLN,250,,$10.40 ,$10.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304188,METHOHEXITAL 500 MG SOLR,250,,$280.17 ,$280.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304211,INSULIN REGULAR HUMAN 100 UNIT/ML SOLN,250,,$8.91 ,$8.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304218,FERUMOXYTOL 510 MG/17 ML (30 MG/ML) SOLN,250,,$169.25 ,$169.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304228,ONDANSETRON (PF) IN NACL (ISO) 32 MG/50,250,,$297.66 ,$297.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304247,LIDOCAINE (PF) 20 MG/ML (2 %) SOLN,250,,$20.37 ,$20.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304250,"BUPIVACAINE-EPINEPHRINE 0.5 %-1:200,000",250,,$18.26 ,$18.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304251,CHLORPHENIRAMINE-PHENYLEPHRINE 4-12.5 MG,250,,$2.75 ,$2.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304252,IBUPROFEN 400 MG/4 ML (100 MG/ML) SOLR,250,,$53.31 ,$53.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304253,IBUPROFEN 800 MG/8 ML (100 MG/ML) SOLR,250,,$7.19 ,$7.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304255,HETASTARCH 6 % IN 0.9 % NACL SOLN,250,,$331.27 ,$331.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304256,AZTREONAM IN DEXTROSE(ISO-OSM) 1 GRAM/50,250,S0073,$244.47 ,$244.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304260,FAT EMULSION 20 % EMUL,250,,$104.68 ,$104.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304264,ACETYLCYSTEINE 10 % (100 MG/ML) SOLN,250,,$27.20 ,$27.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304266,"ACETAMINOPHEN (INJ) 1,000 MG/100 ML (10",250,,$77.17 ,$77.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304275,"THROMBIN (RECOMBINANT) 20,000 UNIT SOLR",250,,"$1,968.88 ","$1,968.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304276,MEPIVACAINE (PF) 15 MG/ML (1.5 %) SOLN,250,,$32.12 ,$32.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304277,"TETANUS,DIPH,(A)PERTUSSI 2-5-3-5-5 LF-MC",250,,$226.69 ,$226.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304278,MAGNESIUM SULFATE IN D5W 1 GRAM/100 ML P,250,,$20.08 ,$20.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304279,DESVENLAFAXINE 50 MG TB24,250,,$31.93 ,$31.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304290,EXENATIDE 10 MCG/0.04 ML PNIJ,250,,$882.04 ,$882.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304301,HYOSCYAMINE SULFATE 0.125 MG TAB,250,,$3.79 ,$3.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304302,ARIPIPRAZOLE 2 MG TAB,250,,$121.43 ,$121.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304303,CLOZAPINE 50 MG TAB,250,,$6.77 ,$6.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304304,"LIPASE-PROTEASE-AMYLASE 5,000-17,000 -27",250,,$5.50 ,$5.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304305,LABETALOL 5 MG/ML SOLN,250,,$21.44 ,$21.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304306,DARBEPOETIN ALFA IN POLYSORBAT 60 MCG/0.,250,,"$7,557.92 ","$7,557.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304307,CHLORHEXIDINE GLUCONATE 0.12 % MWSH,250,,$0.34 ,$0.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304310,DARBEPOETIN ALFA IN POLYSORBAT 100 MCG/0,250,,"$3,778.93 ","$3,778.93 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304311,COLCHICINE 0.6 MG TAB,250,,$35.17 ,$35.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304312,LURASIDONE 40 MG TAB,250,,$98.49 ,$98.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304313,FIDAXOMICIN 200MG TAB,250,,"$1,015.27 ","$1,015.27 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304314,PENTOSTATIN 10 MG SOLR,250,,"$11,603.01 ","$11,603.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304315,BUPRENORPHINE-NALOXONE 2-0.5 MG FILM,250,,$26.37 ,$26.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304316,BUPRENORPHINE-NALOXONE 8-2 MG FILM,250,,$47.27 ,$47.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600001,PRECOSE 50 MG TABLET,250,,$2.93 ,$2.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600010,TYLENOL W/ CODEINE # 3 TABLET,250,,$0.62 ,$0.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600011,ZOVIRAX CAPSULE 200 MG,250,,$0.62 ,$0.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600012,ZOVIRAX TABLET 800 MG,250,,$85.92 ,$85.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600015,ALBUTEROL SULFATE TAB 2 MG,250,,$0.76 ,$0.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600019,ALLOPURINOL 300 MG TABLET,250,,$0.37 ,$0.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600021,ALLOPURINOL 100 MG TABLET,250,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600036,AMIODARONE 200 MG TABLET,250,,$0.84 ,$0.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600037,AMITRIPTYLINE TAB 10 MG,250,,$0.10 ,$0.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600038,AMITRIPTYLINE 25 MG TABLET,250,,$0.12 ,$0.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600039,AMITRIPTYLINE TABLET 50 MG,250,,$0.18 ,$0.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600040,AMITRIPTYLINE 75 MG TABLET,250,,$0.70 ,$0.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600042,AMLODIPINE 2.5 MG TABLET,250,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600043,AMLODIPINE 10 MG TABLET,250,,$0.18 ,$0.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600046,AUGMENTIN 500 MG TABLET,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600047,AUGMENTIN 875 MG TABLET,250,,$5.40 ,$5.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600049,AMOXAPINE 50 MG TABLET,250,,$2.52 ,$2.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600056,CREON-20 CAPSULE,250,,$6.45 ,$6.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600061,ANASTROZOLE 1 MG TABLET,250,,$1.16 ,$1.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600065,ASPIRIN 325 MG TABLET EC,250,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600071,ATENOLOL 50 MG TABLET,250,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600072,ATENOLOL 25 MG TABLET,250,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600073,ATENOLOL 100 MG TABLET,250,,$0.87 ,$0.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600077,ZITHROMAX 600 MG CAPSULE,250,,$48.68 ,$48.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600078,BACLOFEN 10 MG TABLET,250,,$0.32 ,$0.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600087,BENZONATATE 100 MG CAPSULE,250,,$0.54 ,$0.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600088,BENZTROPINE MESYLATE 0.5MG TAB,250,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600089,BENZTROPINE MESYLATE 1 MG TABLET,250,,$0.30 ,$0.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600092,BETHANECHOL 10 MG TABLET,250,,$1.56 ,$1.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600093,BETHANECHOL 25 MG TABLET,250,,$1.18 ,$1.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600095,PEPTO-BISMOL CHEW TABLET,250,,$0.51 ,$0.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600100,DDAVP NASAL SPRAY 5ML,250,,"$1,170.64 ","$1,170.64 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600104,BUMETANIDE 2 MG TABLET,250,,$1.48 ,$1.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600105,BUMETANIDE 0.5 MG TABLET,250,,$0.40 ,$0.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600106,WELLBUTRIN 75 MG TAB,250,,$2.26 ,$2.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600107,WELLBUTRIN 100 MG TAB,250,,$1.92 ,$1.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600109,BUSPAR 5 MG TAB,250,,$0.32 ,$0.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600110,BUSPAR 10 MG TAB,250,,$0.40 ,$0.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600112,FIORICET TAB,250,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600115,VIVARIN 200 MG TAB,250,,$1.04 ,$1.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600117,CALCIUM CARB 650 MG TAB,250,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600118,CALCIUM CARBONATE 500 MG TAB,250,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600119,TUMS 500 MG CHEW TAB,250,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600129,CARBAMAZEPINE 100 MG TAB,250,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600131,CARBIDOPA/LEVODOPA 10/100 TAB,250,,$1.11 ,$1.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600132,DOXORUBICIN 10 MG,250,J9000,$61.01 ,$61.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600133,CARBIDOPA/LEVODOPA 25/100 TAB,250,,$0.82 ,$0.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600134,SINEMET CR TAB 25/100,250,,$2.27 ,$2.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600135,SINEMET CR TAB 50/200,250,,$3.41 ,$3.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600136,CARISOPRODOL 350 MG TAB,250,,$0.89 ,$0.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600140,DOXORUBICIN 50 MG,250,J9000,$6.72 ,$6.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600148,LEUKERAN 2 MG TAB,250,,$66.71 ,$66.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600149,CLINDEX CAP,250,,$4.40 ,$4.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600153,CHLORPHENIRAMINE MAL TAB 4 MG,250,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600157,ALBUMIN 25% 50ML,250,P9047,$284.96 ,$284.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600158,CHLORPROMAZINE 25 MG TAB,250,Q0172,$5.16 ,$5.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600159,CHLORPROMAZINE TAB 50 MG,250,Q0171,$7.48 ,$7.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600180,CLEOCIN PED ORAL SUSPENSION,250,,$442.69 ,$442.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600182,CLINDAMYCIN 300 MG CAP,250,,$1.41 ,$1.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600185,ANAFRANIL 50 MG CAP,250,,$2.18 ,$2.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600199,PLASMANATE 250 CC,250,P9043,$244.19 ,$244.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600204,MYCELEX 10 MG ORAL LOZENGE,250,,$5.74 ,$5.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600206,COLCHICINE 0.6 MG TAB,250,,$35.20 ,$35.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600208,CYTOXAN 50 MG TAB,250,J8530,$7.87 ,$7.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600209,SANDIMMUNE 100 MG CAP,250,C9438,$72.22 ,$72.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600211,SANDIMMUNE 25 MG CAP,250,J7515,$17.52 ,$17.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600212,NEORAL 100 MG CAPSULE,250,J7502,$40.77 ,$40.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600213,NEORAL CAP 25 MG,250,J7515,$10.20 ,$10.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600214,CYPROHEPTADINE 4 MG TAB,250,,$0.52 ,$0.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600215,SILVER SULFADIAZINE CREAM 50GM,250,,$18.45 ,$18.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600216,DAPSONE 100 MG TAB,250,,$7.86 ,$7.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600218,DECLOMYCIN 150 MG TAB,250,,$10.40 ,$10.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600220,DESIPRAMINE 25 MG TAB,250,,$6.71 ,$6.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600221,DESIPRAMINE 10 MG TAB,250,,$5.37 ,$5.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600223,SILVADENE CREAM 400 GM,250,,$76.34 ,$76.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600225,DEXAMETHASONE 2 MG TAB,250,J8540,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600226,DEXAMETHASONE 0.5 MG TAB,250,J8540,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600230,VOLTAREN EC CR TAB 75 MG,250,,$2.56 ,$2.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600234,BENTYL 20 MG TAB,250,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600239,DILTIAZEM 60 MG TAB,250,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600240,DILTIAZEM 30 MG TAB,250,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600241,DILTIAZEM 90 MG TAB,250,,$1.19 ,$1.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600245,CARDIZEM CD 120 MG CAP,250,,$2.74 ,$2.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600247,CARDIZEM CD 240 MG,250,,$9.93 ,$9.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600248,CARDIZEM CD 300 MG CAP,250,,$12.85 ,$12.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600258,DIMENHYDRINATE 50 MG TAB,250,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600262,DIPYRIDAMOLE 25 MG TAB,250,,$0.35 ,$0.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600265,NORPACE CR 150 MG CAP,250,,$18.21 ,$18.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600266,NORPACE CR CAP 100 MG,250,,$15.42 ,$15.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600267,DEPAKOTE 500 MG TAB,250,,$31.61 ,$31.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600268,DEPAKOTE 250 MG TAB,250,,$17.70 ,$17.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600269,DEPAKOTE 125 MG TAB,250,,$9.02 ,$9.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600270,DEPAKOTE SPRINKLE 125 MG CAP,250,,$8.32 ,$8.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600271,DOCUSATE CA 240 MG CAP,250,,$0.36 ,$0.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600275,DOCUSATE SODIUM 100 MG CAP,250,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600276,DOCUSATE SODIUM 50 MG CAP,250,,$1.48 ,$1.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600283,DOXEPIN 10 MG CAP,250,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600284,DOXEPIN 25 MG CAP,250,,$1.18 ,$1.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600285,DOXEPIN 50 MG CAP,250,,$1.57 ,$1.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600286,DOXEPIN CAP 75 MG,250,,$2.52 ,$2.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600294,VASOTEC 2.5 MG TAB,250,,$0.10 ,$0.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600296,VASOTEC 10 MG TAB,250,,$0.11 ,$0.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600307,ERY-TAB 500 MG,250,,$16.29 ,$16.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600308,ERYC 250 MG CAP,250,,$15.13 ,$15.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600312,ERYTHROCIN 250 MG TAB,250,,$20.55 ,$20.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600315,ESTRACE 1 MG TAB,250,,$0.58 ,$0.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600317,PREMARIN 0.625 MG TAB,250,,$18.88 ,$18.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600318,PREMARIN 1.25 MG TAB,250,,$18.88 ,$18.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600319,PREMARIN 0.9 MG TAB,250,,$18.88 ,$18.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600321,PREMARIN 0.3 MG TAB,250,,$18.88 ,$18.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600325,OGEN 1.25 MG TAB,250,,$1.99 ,$1.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600326,MYAMBUTOL 400 MG TAB,250,,$8.11 ,$8.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600328,DIDRONEL 400 MG TAB,250,,$60.15 ,$60.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600329,DIDRONEL 200 MG TAB,250,,$21.32 ,$21.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600337,PEPCID 20 MG TAB,250,,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600340,NIFEREX FORTE 150 CAP,250,,$0.81 ,$0.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600341,NIFEREX-150 CAP,250,,$0.78 ,$0.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600343,FERATAB 300 MG,250,,$0.78 ,$0.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600345,PROSCAR 5 MG TAB,250,,$4.28 ,$4.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600346,URISPAS 100 MG TAB,250,,$5.05 ,$5.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600347,TAMBOCOR TAB 50 MG,250,,$1.04 ,$1.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600348,TAMBOCOR 100 MG TAB,250,,$1.58 ,$1.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600352,CLOZARIL 100MG TAB,250,,$8.54 ,$8.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600353,CLOZARIL 25MG TAB,250,,$3.03 ,$3.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600360,HEPATITIS B (H BIG) IG 5ML INJ,250,90746,$454.65 ,$454.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600368,CERVIDIL 10MG VAG SUPP,250,,"$1,510.66 ","$1,510.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600369,CORVERT 1 MG / 10 ML INJECTION,250,J1742,$620.87 ,$620.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600373,PANHEMATIN 313MG,250,J1640,$119.75 ,$119.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600379,ZITHROMAX 1GM FOR ORAL SUSP,250,Q0144,$102.79 ,$102.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600382,ZITHROMAX 100MG 15ML,250,,$63.45 ,$63.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600384,DIGOXIN IMMUNE FAB,250,,"$3,487.00 ","$3,487.00 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600385,EPOGEN 3000 UNITS,250,J0885,$94.33 ,$94.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600386,EPOGEN 2000 UNITS,250,J0885,$94.33 ,$94.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600387,EPOGEN 4000 UNITS,250,J0885,$94.33 ,$94.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600396,VERSED 5MG/ML 10ML INJ,250,J2250,$0.80 ,$0.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600401,ZOLADEX 3.6MG IMPLANT,250,J9202,"$2,429.19 ","$2,429.19 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600405,LEUKINE 250MG,250,J2820,$161.64 ,$161.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600406,REOPRO 10 MG INJ,250,J0130,"$5,889.62 ","$5,889.62 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600407,MESNA 1GM,250,J9209,$18.56 ,$18.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600414,HYDRALAZINE 50 MG TAB,250,,$2.26 ,$2.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600416,HYDRALAZINE 10 MG TAB,250,,$0.26 ,$0.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600422,LORTAB 5/500 TABLET,250,,$0.37 ,$0.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600425,CORTEF 5 MG TAB,250,,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600426,CORTEF 20 MG TAB,250,,$2.26 ,$2.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600427,CORTEF 10 MG TAB,250,,$5.24 ,$5.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600428,DILAUDID 2 MG TAB,250,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600429,HYDROXYCHLOROQUINE 200 MG TAB,250,,$1.44 ,$1.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600430,HYDROXYZINE HCL (ATARAX) 25MG TAB,250,,$0.40 ,$0.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600434,HYDROXYZINE HCL 10 MG TAB,250,,$1.06 ,$1.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600436,HYOSCYAMINE 0.125 MG TAB,250,,$1.96 ,$1.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600437,HYOSCYAMINE 0.125 MG TABLET SL,250,,$2.69 ,$2.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600438,ADVIL 200 MG TAB,250,,$0.11 ,$0.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600440,IBUPROFEN 600 MG TAB,250,,$0.30 ,$0.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600442,IMIPRAMINE 25 MG TAB,250,,$1.66 ,$1.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600444,IMIPRAMINE 50 MG TAB,250,,$2.42 ,$2.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600445,LOZOL 1.25 MG TAB,250,,$0.53 ,$0.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600446,LOZOL 2.5 MG TAB,250,,$1.02 ,$1.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600447,INDOMETHACIN 25 MG CAP,250,,$1.38 ,$1.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600453,MIDRIN CAP,250,,$14.25 ,$14.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600455,ISONIAZID 300 MG TAB,250,,$11.89 ,$11.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600457,ISOSORBIDE DINITRATE 5 MG TAB,250,,$4.76 ,$4.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600458,ISOSORBIDE DINITRATE 10 MG TAB,250,,$5.36 ,$5.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600459,ISOSORBIDE DINITRATE 20 MG TAB,250,,$6.20 ,$6.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600460,ISOSORBIDE DINITRATE 40 MG TAB CR,250,,$2.97 ,$2.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600461,SORBITRATE 30 MG TAB,250,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600462,IMDUR ER 60 MG TAB,250,,$2.14 ,$2.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600464,ISMO 20 MG TAB,250,,$2.38 ,$2.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600467,SPORANOX 100 MG CAP,250,,$116.22 ,$116.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600472,LABETALOL 200 MG TAB,250,,$3.04 ,$3.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600473,LABETALOL 100 MG TAB,250,,$1.94 ,$1.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600477,LEUCOVORIN CALCIUM TABL 25MG,250,,$66.18 ,$66.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600480,SYNTHROID 100 MCG TAB,250,,$0.62 ,$0.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600481,SYNTHROID 50 MCG TAB,250,,$0.69 ,$0.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600482,SYNTHROID 150 MCG TAB,250,,$1.24 ,$1.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600484,SYNTHROID 125 MCG TAB,250,,$1.13 ,$1.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600486,SYNTHROID 25 MCG TAB,250,,$0.58 ,$0.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600487,SYNTHROID 75 MCG TAB,250,,$1.00 ,$1.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600489,SYNTHROID 112 MCG TABLET,250,,$0.83 ,$0.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600491,SYNTHROID 88 MCG TAB,250,,$0.76 ,$0.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600492,LISINOPRIL 5 MG TAB,250,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600493,LISINOPRIL 10 MG TAB,250,,$0.18 ,$0.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600494,LISINOPRIL 20 MG TAB,250,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600500,LITHIUM CARBONATE 300 MG CAPSULE,250,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600506,COZAAR 50 MG TAB,250,,$0.49 ,$0.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600507,COZAAR 25 MG TAB,250,,$0.30 ,$0.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600512,LOXAPINE 5 MG CAP,250,,$2.09 ,$2.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600514,LOXITANE 25 MG CAP,250,,$5.92 ,$5.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600517,MAG-OX 400 MG TAB,250,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600523,ANTIVERT 12.5 MG TAB,250,,$2.13 ,$2.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600524,PROVERA 2.5 MG TAB,250,,$0.69 ,$0.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600525,PROVERA 5 MG TAB,250,,$0.46 ,$0.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600526,PROVERA 10 MG TAB,250,,$1.33 ,$1.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600527,MEGESTROL ACETATE 20 MG TAB,250,,$2.34 ,$2.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600528,MEGESTROL ACETATE 40 MG TAB,250,,$1.04 ,$1.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600530,CANTIL 25 MG TAB,250,,$14.02 ,$14.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600533,ASACOL 400 MG TABLET CR,250,,$1.28 ,$1.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600537,GLUCOPHAGE 500 MG TAB,250,,$0.12 ,$0.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600539,GLUCOPHAGE 850 MG TAB,250,,$11.88 ,$11.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600545,UROQID ACID # 2 TAB,250,,$3.63 ,$3.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600546,TAPAZOLE 10 MG TAB,250,,$1.28 ,$1.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600548,ROBAXIN 500 MG TAB,250,,$0.72 ,$0.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600550,METHOTREXATE 2.5 MG TAB,250,J8610,$5.49 ,$5.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600551,METHYDOPA TAB 500 MG,250,,$1.08 ,$1.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600553,METHERGINE 0.2 MG TAB,250,,$41.84 ,$41.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600558,METHYLPREDNISOLONE TAB 16 MG,250,J7509,$0.49 ,$0.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600561,ZAROXOLYN 10 MG TAB,250,,$7.40 ,$7.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600562,ZAROXOLYN TAB 5 MG,250,,$6.20 ,$6.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600563,ZAROXOLYN 2.5 MG TAB,250,,$2.24 ,$2.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600564,TOPROL XL 50 MG TAB,250,,$8.68 ,$8.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600565,TOPROL XL 100 MG TAB,250,,$13.04 ,$13.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600567,LOPRESSOR 100 MG TAB,250,,$0.53 ,$0.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600573,MINOXIDIL 10 MG TAB,250,,$1.56 ,$1.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600574,MINOCIN 50 MG CAPSULE,250,,$0.81 ,$0.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600575,LONITEN 2.5 MG TAB,250,,$0.92 ,$0.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600576,REMERON 15 MG TAB,250,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600578,CYTOTEC 100 MCG TAB,250,,$13.51 ,$13.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600579,CYTOTEC 200 MCG TAB,250,,$19.08 ,$19.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600593,CELLCEPT 250 MG CAP,250,J7517,$0.73 ,$0.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600594,RELAFEN 500 MG TAB,250,,$3.30 ,$3.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600595,RELAFEN 750 MG TAB,250,,$1.63 ,$1.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600608,SERZONE 100 MG TAB,250,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600609,NEOMYCIN 500 MG TAB,250,,$5.58 ,$5.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600612,NICORETTE GUM 4 MG,250,,$3.15 ,$3.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600619,PROCARDIA XL EXT REL 30 MG TAB,250,,$2.01 ,$2.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600620,PROCARDIA XL 90 MG TAB,250,,$17.41 ,$17.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600625,NITROFURANTOIN 100 MG CAP,250,,$14.86 ,$14.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600626,NITROFURANTOIN MCR 25 MG CAP,250,,$12.98 ,$12.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600627,MACROBID MCR CAP 100 MG,250,,$25.88 ,$25.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600629,NITROQUICK 0.4MG 25'S NITROGLYCERIN 0.4M,250,,$267.88 ,$267.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600634,OVRAL TAB,250,,$653.35 ,$653.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600635,PAMELOR 25 MG CAP,250,,$0.81 ,$0.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600636,PAMELOR 10 MG CAP,250,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600639,"NYSTATIN ORAL TAB 500,000 UNITS",250,,$2.64 ,$2.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600643,DIPENTUM 250 MG CAP,250,,$37.43 ,$37.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600647,NORFLEX 100 MG TAB CR,250,,$3.09 ,$3.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600660,PAXIL 20 MG TAB,250,,$0.59 ,$0.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600667,TRENTAL 400 MG TAB,250,,$1.06 ,$1.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600671,PERPHENAZINE TAB 2 MG,250,Q0175,$5.08 ,$5.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600674,ETRAFON 4-10 TAB,250,,$4.76 ,$4.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600675,ETRAFON 4/50 TAB,250,,$9.76 ,$9.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600676,ETRAFON 4/25 TAB,250,,$5.90 ,$5.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600678,PERPHENAZINE TAB 4 MG,250,Q0175,$0.26 ,$0.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600689,SALAGEN 5 MG TAB,250,,$1.44 ,$1.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600690,ORAP 2 MG TAB,250,,$14.38 ,$14.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600699,UROCIT-K 5 MEQ TAB,250,,$4.96 ,$4.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600702,PRAZOSIN 5 MG CAPSULE,250,,$2.88 ,$2.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600710,PREDNISONE 5 MG TAB,250,J7506,$0.11 ,$0.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600711,PREDNISONE 2.5 MG TAB,250,J7506,$0.85 ,$0.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600712,PREDNISONE 50 MG TAB,250,J7506,$0.11 ,$0.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600713,PRIMAQUINE PHOS TAB 26.3 MG,250,,$11.19 ,$11.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600714,MYSOLINE 250 MG TAB,250,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600715,MYSOLINE 50 MG TAB,250,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600724,COMPAZINE 10 MG TAB,250,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600725,COMPAZINE 5 MG TAB,250,Q0164,$0.29 ,$0.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600726,PHENERGAN 12.5 MG TABL,250,Q0169,$1.45 ,$1.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600737,INDERAL LA 60 MG CAP,250,,$3.03 ,$3.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600738,INDERAL LA 80 MG CAP,250,,$3.28 ,$3.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600739,INDERAL LA 120 MG,250,,$63.25 ,$63.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600741,PROPYLTHIOURACIL 50 MG TAB,250,,$2.77 ,$2.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600744,SUDAFED 12 HOUR 120 MG TAB,250,,$2.22 ,$2.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600746,PYRAZINAMIDE 500 MG TAB,250,,$4.30 ,$4.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600747,MESTINON 60 MG TAB,250,,$2.43 ,$2.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600748,MESTINON TIMESPAN 180 MG,250,,$32.19 ,$32.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600753,QUINAGLUTE DURATABS 324 MG,250,,$6.87 ,$6.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600754,QUINIDINE SULFATE 300 MG,250,,$1.31 ,$1.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600763,MYCOBUTIN 150 MG CAPSULE,250,,$102.71 ,$102.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600764,RIFADIN 300 MG CAPSULE,250,,$16.15 ,$16.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600766,RISPERDAL 1 MG TAB,250,,$0.59 ,$0.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600767,RISPERDAL 3 MG TAB,250,,$95.48 ,$95.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600768,RISPERDAL 2 MG TAB,250,,$0.81 ,$0.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600769,RISPERDAL 4 MG TAB,250,,$124.12 ,$124.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600770,DISALCID 500 MG TAB,250,,$1.68 ,$1.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600772,ELDEPRYL 5 MG CAP,250,,$10.21 ,$10.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600774,ZOLOFT 50 MG TAB,250,,$0.33 ,$0.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600775,ZOLOFT 100 MG TAB,250,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600778,SIMETHICONE 80 MG CHEW TAB,250,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600784,ALDACTONE 50 MG TAB,250,,$1.65 ,$1.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600786,SPIRONOLACTONE 25 MG TAB,250,,$0.54 ,$0.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600789,SULFADIAZINE 500 MG TAB,250,,$26.53 ,$26.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600792,AZULFIDINE 500 MG TAB,250,,$1.15 ,$1.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600793,AZULFIDINE EN-TABS 500 MG,250,,$1.31 ,$1.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600802,NOLVADEX 10 MG TABLET,250,,$1.41 ,$1.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600807,HYTRIN 5 MG CAPSULE,250,,$0.33 ,$0.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600808,HYTRIN 1 MG CAPSULE,250,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600809,HYTRIN 2 MG CAPSULE,250,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600810,LAMISIL 250 MG TAB,250,,$135.27 ,$135.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600812,BRETHINE 5 MG TAB,250,,$2.07 ,$2.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600815,TETRACYCLINE 250 MG CAPSULE,250,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600818,THEO-DUR 300 MG TAB,250,,$1.35 ,$1.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600821,UNIPHYL 400 MG TAB CR,250,,$5.95 ,$5.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600825,THEO-24 CAPSULE CR 100 MG,250,,$8.21 ,$8.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600826,THEO-24 300 MG CAPSULE,250,,$14.99 ,$14.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600827,THEO-24 200 MG CAPSULE,250,,$9.41 ,$9.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600829,MELLARIL 100 MG TAB,250,,$2.14 ,$2.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600832,MELLARIL 25 MG TAB,250,,$1.62 ,$1.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600834,MELLARIL 10 MG TAB,250,,$1.14 ,$1.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600835,THIOTHIXENE 1 MG CAPSULE,250,,$1.02 ,$1.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600837,THIOTHIXENE 5 MG CAPSULE,250,,$2.25 ,$2.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600838,THIOTHIXENE 10 MG CAPSULE,250,,$1.85 ,$1.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600840,ARMOUR THYROID 60 MG,250,,$0.90 ,$0.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600843,TICLID 250 MG TAB,250,,$4.93 ,$4.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600846,DEMADEX 10 MG TAB,250,,$0.72 ,$0.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600847,DEMADEX 20 MG TAB,250,,$0.53 ,$0.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600848,ULTRAM 50 MG TAB,250,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600850,TRAZODONE 50 MG TAB,250,,$0.18 ,$0.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600851,TRAZODONE 100 MG TAB,250,,$0.30 ,$0.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600852,TRIAMTERENE/HCTZ 75/50,250,,$1.18 ,$1.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600853,TRIAMTERENE/HCTZ 50/25,250,,$10.32 ,$10.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600854,TRIAMTERENE/HCTZ 37.5/25 CAP,250,,$1.47 ,$1.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600858,TRIFLUOPERAZINE 5 MG TAB,250,,$2.77 ,$2.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600861,TRIHEXIDYL 2 MG TAB,250,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600862,TRIHEXYDYL 5 MG TAB,250,,$0.59 ,$0.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600867,ACTIGALL 300 MG CAPSULE,250,,$1.77 ,$1.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600868,VALPROIC ACID 250 MG CAPSULE,250,,$0.86 ,$0.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600869,VANCOCIN 125 MG CAPSULE,250,,$210.66 ,$210.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600871,VANCOCIN 250 MG CAPSULE,250,,$388.38 ,$388.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600872,EFFEXOR 37.5 MG TAB,250,,$2.18 ,$2.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600873,EFFEXOR 75 MG TAB,250,,$2.41 ,$2.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600875,ISOPTIN 40 MG TAB,250,,$1.04 ,$1.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600876,ISOPTIN 120 MG TAB,250,,$0.80 ,$0.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600877,ISOPTIN 120 MG TAB CR,250,,$1.72 ,$1.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600878,ISOPTIN 180 MG TAB CR,250,,$1.21 ,$1.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600879,ISOPTIN 240 MG TAB CR,250,,$1.31 ,$1.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600881,VERELAN 180 MG CAPSULE PC,250,,$2.52 ,$2.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600885,CEFOL TAB,250,,$3.09 ,$3.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600890,B-6 (PYRIDOXINE) 50 MG TAB,250,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600892,ASCORBIC ACID 250 MG TAB,250,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600893,ROCALTROL 0.25 MCG CAP,250,,$3.27 ,$3.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600894,"VITAMIN D CAPSULE 50,000 UNITS",250,,$2.00 ,$2.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600896,MEPHYTON 5 MG TAB,250,,$69.39 ,$69.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600897,THERAPEUTIC MULTIVITAMIN TAB,250,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600898,THERAVEE-M VITAMIN TAB,250,,$0.34 ,$0.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600900,PRENATAL VIT-IRON FUMARATE-FA,250,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600902,COUMADIN 5 MG TAB,250,,$0.30 ,$0.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600903,COUMADIN 10 MG TAB,250,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600904,COUMADIN 1 MG TAB,250,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600905,COUMADIN 7.5 MG TAB,250,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600906,COUMADIN 2.5 MG TAB,250,,$0.54 ,$0.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600907,COUMADIN 2 MG TAB,250,,$0.54 ,$0.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600910,RETROVIR 100 MG CAPSULE,250,,$7.89 ,$7.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600911,ZINC SULFATE 220 MG CAPSULE,250,,$1.31 ,$1.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600916,SLOW-FE 160 MG TAB,250,,$1.54 ,$1.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600918,MELATONIN 3 MG TAB,250,,$0.53 ,$0.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600920,AMICAR 500 MG TAB,250,,$11.78 ,$11.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600921,HYDROXYUREA 500 MG CAP,250,,$2.52 ,$2.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600929,LUVOX 100 MG TAB,250,,$1.92 ,$1.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600935,NEUTRA-PHOS-K POWDER PACKET,250,,$2.29 ,$2.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600941,ALBUTEROL SULFATE 4 MG TAB,250,,$0.90 ,$0.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600949,THEO-24 CAP,250,,$21.08 ,$21.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600955,TORADOL 10 MG TAB,250,,$0.90 ,$0.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600961,VITAMIN B-12 100 MCG TAB,250,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600962,VITAMIN B-12 TAB 1000 MCG,250,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600965,ZINC CHELATED 50 MG TAB,250,,$0.10 ,$0.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600971,BUTISOL SODIUM 30 MG TAB,250,,$18.18 ,$18.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600980,ACCOLATE 20 MG TAB,250,,$6.45 ,$6.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600991,CASODEX 50 MG TAB,250,,$126.98 ,$126.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41600997,CORGARD 40 MG TAB,250,,$1.59 ,$1.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601001,CUPRIMINE 250 MG CAP,250,,$64.43 ,$64.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601003,DANTRIUM 25 MG CAP,250,,$6.27 ,$6.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601004,DANTRIUM 50 MG CAP,250,,$9.41 ,$9.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601005,DEMADEX 100 MG TAB,250,,$1.18 ,$1.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601006,DIAMOX 250 MG TAB,250,,$4.10 ,$4.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601008,DIFLUNISAL 500 MG TAB,250,,$8.18 ,$8.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601010,DISALCID 750 MG TAB,250,,$1.68 ,$1.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601011,DIURIL 500 MG TAB,250,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601014,DICLOXACILLIN 250 MG CAPSULE,250,,$1.35 ,$1.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601015,DICLOXACILLIN 500 MG CAP,250,,$2.68 ,$2.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601020,EPIVIR 150 MG TAB,250,,$50.29 ,$50.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601022,ESKALITH 450 MG TAB,250,,$1.60 ,$1.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601034,INVIRASE 200 MG CAPSULE,250,,$24.59 ,$24.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601036,LACTAID 3 MU TABLET,250,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601037,LAMICTAL 25 MG TAB,250,,$0.72 ,$0.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601038,LAMICTAL 100 MG TAB,250,,$0.90 ,$0.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601040,HYOSCYAMINE 0.375 MG CAP CR,250,,$3.74 ,$3.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601041,BACLOFEN 20 MG TAB,250,,$0.48 ,$0.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601045,MENEST 0.625 MG TAB,250,,$8.36 ,$8.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601046,MIDAMOR 5 MG TAB,250,,$2.87 ,$2.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601059,NIACIN 100 MG TAB,250,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601063,NIZORAL 200 MG TAB,250,,$1.18 ,$1.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601071,PARNATE 10 MG TAB,250,,$9.88 ,$9.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601072,PENTASA 250 MG CAP,250,,$11.46 ,$11.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601075,POTASSIUM GLUCONATE 500 MG TAB,250,,$0.25 ,$0.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601079,RESERPINE 0.1 MG TABLET,250,,$7.58 ,$7.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601081,ROBINUL 1 MG TAB,250,,$44.28 ,$44.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601083,RYTHMOL 150 MG TAB,250,,$1.97 ,$1.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601088,SODIUM CHLORIDE 1 GRAM TABLET,250,,$0.69 ,$0.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601089,STELAZINE 1 MG TAB,250,,$1.50 ,$1.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601095,TRIMPEX 100 MG TAB,250,,$1.56 ,$1.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601096,VANTIN 200 MG TAB,250,,$39.68 ,$39.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601097,CORGARD 20 MG TAB,250,,$19.36 ,$19.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601099,MODURETIC 5/50 TAB,250,,$1.62 ,$1.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601100,ACETAMINOPHEN SUPP 120MG,250,,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601103,ASPIRIN 300 MG SUPP,250,,$10.50 ,$10.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601104,ASPIRIN 600 MG SUPP,250,,$10.87 ,$10.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601106,CEFTIN 250 MG TAB,250,,$2.26 ,$2.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601107,CEFTIN 500 MG TAB,250,,$4.68 ,$4.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601112,GLYCERIN SUPPOSITORY ADULT,250,,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601114,GLYCERIN INFANT SUPPOSITORY,250,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601117,ANUSOL-HC 25 MG SUPPOSITORY,250,,$7.01 ,$7.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601119,MONISTAT 3 VAG SUPP 200 MG,250,,$93.17 ,$93.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601121,MYSTATIN VAG TAB,250,,$34.25 ,$34.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601128,COMPAZINE 25 MG SUPP,250,,$16.54 ,$16.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601136,TERAZOL 3 VAG SUPP 80 MG,250,,$87.29 ,$87.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601137,ZOVIRAX 5% OINT 15 GM,250,,"$1,213.24 ","$1,213.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601149,ORAJEL MOUTH-AID GEL 10 GM,250,,$5.44 ,$5.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601150,ORAJEL BABY 7.5% 10 GM,250,,$25.04 ,$25.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601151,HURRICAINE 20% AEROSOL 60 GM,250,,$175.54 ,$175.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601157,BENZOIN / BENZOIN COMPOUND TINCTURE,250,,$40.27 ,$40.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601158,DIPROLENE AF 0.05% CREAM 15 GM,250,,$172.10 ,$172.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601163,BETAMETHASONE VAL CR 0.1% 15 GM,250,,$70.42 ,$70.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601164,BETAMETHASONE VAL LOT 0.1% 60 ML,250,,$275.30 ,$275.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601165,BETAMETHASONE VAL OINT 0.1% 15 GM,250,,$117.88 ,$117.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601170,ZOSTRIX 0.25% CR 20 GM,250,,$24.97 ,$24.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601171,CETAPHIL LOTION 240 ML,250,,$38.96 ,$38.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601176,HIBICLENS 4% SOLN 120 ML,250,,$27.08 ,$27.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601184,TEMOVATE SCALP LOTION 0.05% 25 ML,250,,$154.63 ,$154.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601185,LOTRIMIN 1% CREAM 15 GM,250,,$7.87 ,$7.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601193,DESITIN OINTMENT 30 GM,250,,$21.22 ,$21.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601195,SANTYL OINT 15 GM,250,,$85.64 ,$85.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601199,DESONIDE 0.05% CREAM 15 GM,250,,$76.34 ,$76.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601200,TOPICORT 0.25% CREAM 15 GM,250,,$144.45 ,$144.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601206,BENADRYL MAX STR SPRAY 60 ML,250,,$30.38 ,$30.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601208,BENADRYL 1% CREAM 15 GM,250,,$22.43 ,$22.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601211,PREMARIN 0.625 MG/G CREAM,250,,"$1,252.91 ","$1,252.91 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601214,DERMA-SMOOTHE/FS OIL 120 ML,250,,$243.20 ,$243.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601219,EFUDEX 5% CREAM 25 GM,250,,"$1,360.77 ","$1,360.77 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601220,CUTIVATE 0.05% CR 15 GM,250,,$54.61 ,$54.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601225,RENACIDIN IRRIG SOLUTION 500 ML,250,Q2004,"$1,463.51 ","$1,463.51 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601228,ANUSOL-HC 2.5% CREAM 30 GM,250,,$24.66 ,$24.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601229,PHISOHEX 3% SOAP 150 ML,250,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601230,HYDROCORTISONE 2.5% CR 30 GM,250,,$19.35 ,$19.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601232,HYDROCORTISONE 1% OINT 15 GM,250,,$8.24 ,$8.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601237,HYDROCORTISONE 2.5% LOTION 59ML,250,,$202.10 ,$202.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601240,HYDROCORTISONE POWDER 25 GM,250,,$460.17 ,$460.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601246,NIZORAL SHAMPOO 2% 120 ML,250,,$348.20 ,$348.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601247,NIZORAL 2% CREAM 15 GM,250,,$36.22 ,$36.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601249,VALTREX 500 MG TAB,250,,$48.13 ,$48.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601255,LINDANE 1% SHAMPOO 60 ML,250,,$819.09 ,$819.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601257,LINDANE 1% LOTION 60 ML,250,,$819.09 ,$819.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601261,ANALGESIC BALM 30 GM,250,,$7.12 ,$7.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601266,MONISTAT 7 VAG CREAM 45 GM,250,,$17.32 ,$17.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601269,ELOCON 0.1% CREAM 15 GM,250,,$299.22 ,$299.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601272,BACTROBAN NASAL OINT 1 GM,250,,$75.66 ,$75.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601274,CORTISPORIN OINTMENT 15 GM,250,,$579.32 ,$579.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601278,MYCOSTATIN TOP PWDER 15 GM,250,,$142.11 ,$142.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601279,NYSTATIN TOPICAL CREAM 15 GM,250,,$69.38 ,$69.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601280,NYSTATIN OINT 15 GM,250,,$113.39 ,$113.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601281,NYSTATIN/TRIAMCINOLONE OINT 15GM,250,,$455.82 ,$455.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601283,CLORPACTIN WCS-90 PWDR 2 GM,250,,$36.49 ,$36.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601285,WITCH HAZEL WIPES 40'S,250,,$12.67 ,$12.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601286,ELIMITE CREAM 5% 60 GM,250,,$295.27 ,$295.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601287,PETROLATUM OINT 30 GM,250,,$13.67 ,$13.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601290,PROCTOFORAM AEROSOL 15 GM,250,,$285.96 ,$285.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601296,SELSUN 2.5% SHAMPOO 120 ML,250,,$62.99 ,$62.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601302,LUBRIDERM SCENTED LOTION 16 OZ,250,,$44.98 ,$44.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601305,SODIUM POLYSTYRENE ENEMA 120 ML,250,,$45.55 ,$45.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601306,SODIUM POLYSTYRENE SUSP 60 ML,250,,$42.48 ,$42.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601308,DAKIN'S 0.5% SOLUTION 480 ML,250,,$73.70 ,$73.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601309,LAMISIL CREAM 1% 15 GM,250,,$50.10 ,$50.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601318,TOLNAFTATE 1% CREAM 15 GM,250,,$13.49 ,$13.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601320,RETIN-A CREAM 20 GM,250,,$83.08 ,$83.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601321,RETIN-A 0.05% CREAM 20 GM,250,,$155.99 ,$155.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601323,TRIAMCINOLONE ACET 0.1% OINT 15GM,250,,$21.14 ,$21.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601324,KENALOG AEROSOL 63 GM,250,,"$1,224.14 ","$1,224.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601332,WINTERGREEN OIL 60 ML,250,,$28.11 ,$28.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601333,ZINC OXIDE OINT 30 GM,250,,$14.67 ,$14.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601337,NEUTROGENA NORW FORM CREAM 60 GM,250,,$22.27 ,$22.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601340,ACETIC ACID IRRIGATION 0.25% SOLN,250,,$13.73 ,$13.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601344,AMYL NITRITE INHALANT 0.3 ML,250,,$53.12 ,$53.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601345,BACITRACIN OPHTH OINT 3.5 GM,250,,$419.44 ,$419.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601349,CYCLOGYL OPHTH SOLN 1%,250,,$8.77 ,$8.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601358,EMLA CREAM 5 GM,250,,$78.59 ,$78.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601364,CORTISPORIN CREAM 7.5GM NEOMYCIN POLYMYX,250,,$423.66 ,$423.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601370,PILOPINE HS OPHTH GEL 4 GM,250,,$659.05 ,$659.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601371,MURO-128 OPHTH OINT 3.5 GM,250,,$82.71 ,$82.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601372,BLEPHAMIDES S.O.P. 10-0.2%,250,,$572.51 ,$572.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601373,TOBREX OPHTH OINT 3.5 GM,250,,$674.64 ,$674.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601374,TRIAMCINOLONE ACET CR. 0.1% 15 GM,250,,$19.66 ,$19.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601375,TRIAMCINOLONE ACET CR 0.5% 15 GM,250,,$50.85 ,$50.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601378,BECONASE AQ NASAL INHALER,250,,"$1,223.54 ","$1,223.54 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601389,NASALIDE NASAL INHALER 25 ML,250,,$341.60 ,$341.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601395,FLONASE NASAL SPRAY 0.05% 16 GM,250,,$612.03 ,$612.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601399,CLARITIN 10 MG TAB,250,,$1.31 ,$1.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601401,SULFAMYLON CR,250,,$243.89 ,$243.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601403,12-HOUR NASAL SPRAY 15 ML,250,,$17.48 ,$17.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601405,CLIMARA PATCH 0.05 MG/24 HR,250,,$156.18 ,$156.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601406,CLIMARA PATCH 0.1 MG/24 HR,250,,$156.18 ,$156.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601413,NITROGLYCERIN PATCH 0.1MG/HR,250,,$3.44 ,$3.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601414,NITROCLYCERIN PATCH 0.2MG/HR,250,,$3.16 ,$3.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601415,NITRO-DUR PATCH 0.3 MG/HR,250,,$27.80 ,$27.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601417,NITROGLYCERINE PATCH 0.4MG/HR,250,,$3.48 ,$3.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601418,NITRO-DUR PATCH 0.6 MG/HR,250,,$6.39 ,$6.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601422,ROWASA RECTAL SUSP 66.7 ML,250,,$645.70 ,$645.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601424,MUCOMYST 10% SOLN UD 4 ML,250,,$54.44 ,$54.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601426,MUCOMYST 20% SOLUTION,250,J7608,$5.65 ,$5.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601429,ALBUTEROL INH SOLN UD 3 ML,250,J7613,$5.16 ,$5.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601437,ACETIC ACID 2% HC1% OTIC SOL 10ML,250,,"$1,458.49 ","$1,458.49 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601439,IOPIDINE OPHTH SOLN 0.5% - 5 ML,250,,$827.04 ,$827.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601440,HYPOTEARS OPHTH SOL 15 ML,250,,$4.00 ,$4.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601441,ARTIFICIAL TEARS- 15 ML,250,,$11.02 ,$11.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601443,BETOPTIC OPHTH SOL 0.5%-5 ML,250,,$441.56 ,$441.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601444,SWIM EAR 30 ML,250,,$18.63 ,$18.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601445,ISOPTO CARBACHOL OPH SOL 1.5%-15M,250,,$435.94 ,$435.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601446,GLY-OXIDE LIQUID 10% 15 ML,250,,$21.66 ,$21.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601451,CATAPRES-TTS PATCH 0.3 MG,250,,$692.86 ,$692.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601452,CATAPRES-TTS PATCH 0.2 MG,250,,$225.45 ,$225.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601453,CATAPRES-TTS PATCH 0.1 MG,250,,$131.24 ,$131.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601457,VOLTAREN OPHTH SOL,250,,$21.60 ,$21.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601461,ATROVENT INHALATION SOLN 2.5 ML,250,,$1.20 ,$1.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601462,ACULAR OPHTH SOL 5 ML,250,,$46.12 ,$46.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601463,BETAGAN OPHTH SOL 0.5%-5 ML,250,,$45.53 ,$45.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601466,SARNA ANTI-ITCH LOTION,250,,$3.93 ,$3.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601467,OPTIPRANOLOL OPHTH SOLN 0.3%-5ML,250,,$26.62 ,$26.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601470,NAPHCON-A OPHTH DROPS 15 ML,250,,$54.61 ,$54.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601477,CHLORASEPTIC LOZENGE 18S,250,,$17.39 ,$17.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601485,NEO-SYNEPHRINE 0.25% NAS SPR 15ML,250,,$23.04 ,$23.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601486,NEO-SYNEPHRINE 0.5% SPRAY-15ML,250,,$23.04 ,$23.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601487,NEO-SYNEPHRINE 1% NAS SPRAY-15 ML,250,,$25.88 ,$25.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601488,ISOPTO CARPINE OPHTH VISC 4%-15ML,250,,$45.15 ,$45.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601497,ZOTO-HC EAR DROPS 10 ML,250,,$176.83 ,$176.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601503,AYR SALINE NASAL DROPS 50 ML,250,,$14.50 ,$14.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601505,BLEPH-10,250,,$38.25 ,$38.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601509,TETRACAINE OPHTH SOL 0.5%-15 ML,250,,$59.70 ,$59.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601512,BETIMOL OPHTH SOLN 0.25%-10ML,250,,$346.93 ,$346.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601515,TIMOPTIC-XE OPHTH GEL 2.5%-2.5ML,250,,$222.51 ,$222.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601516,KENALOG IN ORABASE 5 GM,250,,$267.96 ,$267.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601521,MYDRIACYL OPHTH SOL 0.5%-15 ML,250,,$38.02 ,$38.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601529,FUROSEMIDE 80 MG TAB,250,,$0.56 ,$0.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601530,PHOSLO TABLET 667 MG,250,,$4.00 ,$4.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601532,PROCTOFORAM-HC 1% AEROSOL 10GM,250,,$461.91 ,$461.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601534,NICODERM PATCH 7 MG/24 HR,250,,$12.11 ,$12.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601535,NICODERM PATCH 14 MG/ 24 HR,250,,$10.28 ,$10.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601540,BION TEARS LUBRICANT EYE DROPS,250,,$3.03 ,$3.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601543,ISOPTO CARBACHOL OPH SOL 2.25%-5M,250,,$499.09 ,$499.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601544,ISOPTO HOMATROPINE OP SOL 2%-5ML,250,,$51.96 ,$51.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601546,MURO-128 OPHTH SOL 5%-15 ML,250,,$79.21 ,$79.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601552,POLYTRIM OPHTH SOL 10 ML,250,,$32.54 ,$32.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601553,BACITRACIN/POLYMIXIN OPH OIN 3.5G,250,,$65.83 ,$65.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601558,TIMOLOL MAL OPH SOL 0.5%- 5 ML,250,,$19.35 ,$19.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601559,TOBRAMYCIN OPHTH SOL 0.3%- 5ML,250,,$35.85 ,$35.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601560,TOBRADEX OPHTH OINT 3.5 GM,250,,"$1,151.31 ","$1,151.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601561,TOBRADEX OPHTH SUSP 5 ML,250,,$655.51 ,$655.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601562,VEXOL OPHTH SUSP 1%-5 ML,250,,$334.77 ,$334.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601563,XALATAN 0.005% OPHTH SOL - 2.5 ML,250,,$121.28 ,$121.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601567,ESTRACE VAG CR 42.5 GM,250,,$952.88 ,$952.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601579,CHLORASEPTIC MINT LIQUID 180 ML,250,,$16.40 ,$16.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601583,ANALPRAM HC 1% CR W/ APP 30GM,250,,$377.68 ,$377.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601588,DERMOPLAST 20% AEROSOL 60 ML,250,,$29.78 ,$29.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601592,ELOCON 0.1% OINT 15 GM,250,,$56.18 ,$56.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601593,ELOCON 0.1% LOTION 60 ML,250,,$79.79 ,$79.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601598,GLYCERIN SOLUTION,250,,$4.77 ,$4.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601600,STRONG IODINE LIQ,250,,$12.10 ,$12.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601608,PEPPERMINT OIL,250,,$78.15 ,$78.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601610,PREPARATION-H CREAM 27 GM,250,,$15.31 ,$15.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601614,TEMOVATE 0.05% OINT 15 GM,250,,$37.80 ,$37.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601615,TOPICORT OINT 0.25% 15 GM,250,,$455.35 ,$455.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601616,BETAMETHASONE VAL OINT 0.1%-15 GM,250,,$15.16 ,$15.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601626,ZEASORB 60 GM POWDER,250,,$20.72 ,$20.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601627,"TYLENOL INF DROPS,80MG/0.8ML-15ML",250,,$18.76 ,$18.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601636,ACTIDOSE/SORBITOL SUSP 50 GRAM/240ML,250,,$16.78 ,$16.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601642,ALTERNAGEL ORAL SUSP 5 OZ,250,,$1.96 ,$1.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601655,BICITRA UD LIQ 15 ML,250,,$2.20 ,$2.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601656,NAUSETROL LIQUID 120 ML,250,,$4.89 ,$4.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601657,GLUTOSE 40% GEL 15 GM,250,,$66.07 ,$66.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601658,DIAZEPAM INTENSOL 5MG/ML-30 ML,250,,$165.45 ,$165.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601659,LANOXIN PED DROPS 0.05MG/ML-60 ML,250,,$195.35 ,$195.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601661,LOMOTIL LIQUID 60 ML,250,,$4.13 ,$4.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601667,FUROSEMIDE SOLUTION 10MG/ML-60ML,250,,$39.98 ,$39.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601669,GUAIFENESIN SYRUP 10 ML,250,,$1.77 ,$1.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601671,GUAIFENESIN 100 MG/5 ML ELIX 30ML,250,,$9.96 ,$9.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601680,IBUPROFEN 100MG/5ML - 5MLUD,250,,$4.14 ,$4.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601682,LACTULOSE SYR 20 GM PER 30 ML,250,,$3.50 ,$3.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601687,METOCLOPRAMIDE 10MG/10ML ELIX,250,,$2.48 ,$2.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601688,NICODERM PATCH 21 MG,250,,$10.28 ,$10.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601689,NITROLINGUAL AEROSOL SPRAY 14.49G,250,,"$1,367.51 ","$1,367.51 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601693,FIBERCON TABLET 500 MG UD,250,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601696,SSKI LIQUID 30 ML,250,,$75.44 ,$75.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601697,METAMUCIL ORANG POWDER PKT 3.4GM,250,,$1.68 ,$1.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601701,SORBITOL 70% LIQ 30 ML,250,,$5.79 ,$5.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601712,PREDNISONE INTENSOL 5MG/ML-30ML,250,J7506,$7.75 ,$7.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601713,PROLIXIN 2.5 MG/5ML ELIXIR 60ML,250,,$9.35 ,$9.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601714,VI-DAYLIN PLUS IRON DROPS 50 ML,250,,$20.02 ,$20.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601718,ZOVIRAX ORAL SUSP 200MG/5 ML,250,,$28.56 ,$28.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601720,ALBUTEROL LIQUID 2MG/5ML,250,,$1.99 ,$1.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601727,AUGMENTIN ORAL SUSP 250,250,,$342.13 ,$342.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601728,AUGMENTIN 125 ORAL SUSP,250,,$234.58 ,$234.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601735,AMPICILLIN ORAL SUSP 250MG/5ML,250,,$37.28 ,$37.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601736,AMPICILLIN ORAL SUSP 125MG/5 ML,250,,$19.86 ,$19.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601737,DONNATAL ELIXIR,250,,$166.95 ,$166.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601739,PEPTO BISMOL SUSP,250,,$10.51 ,$10.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601743,TEGRETOL ORAL SUSP 100MG/5ML,250,,$28.65 ,$28.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601744,CASTOR OIL,250,,$127.86 ,$127.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601751,CEFZIL ORAL SUSP 250 MG/ 5 ML,250,,$131.54 ,$131.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601752,CEFZIL ORAL SUSP 125 MG/5 ML,250,,$129.15 ,$129.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601754,CEPHALEXIN ORAL SUSP 250MG/5ML,250,,$4.54 ,$4.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601755,CHERRY SYRUP,250,,$3.60 ,$3.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601761,BIAXIN ORAL SUSP 50 MG/ML,250,,$244.64 ,$244.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601762,BIAXIN ORAL SUSP 125 MG/5ML,250,,$130.72 ,$130.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601764,DEXAMETHASONE ELIXIR 0.5 MG/5ML,250,J8540,$7.19 ,$7.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601766,BENTYL SYRUP 10 MG/ 5 ML,250,,$18.81 ,$18.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601768,DIOCTO 50 MG/5ML LIQUID,250,,$1.04 ,$1.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601771,PEDIAZOLE SUSP,250,,$345.57 ,$345.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601776,FER-GEN-SOL DROPS,250,,$18.06 ,$18.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601777,PROZAC LIQUID,250,,$6.02 ,$6.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601788,LACTINEX GRANULES,250,,$6.46 ,$6.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601791,LITHIUM CITRATE SYRUP 300MG/5ML,250,,$5.25 ,$5.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601796,MEGACE ORAL SUSP,250,,$18.96 ,$18.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601800,NEOMYCIN POLYMYXIN GRAMICIDIN OPTH DROPS,250,,$71.54 ,$71.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601804,BEEPEN-VK ORAL SUSP 250MG/5ML,250,,$1.28 ,$1.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601805,BEEPEN-VK ORAL SUSP 125MG/5ML,250,,$1.14 ,$1.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601808,DILANTIN SUSP 125 MG/ 5 ML,250,,$9.84 ,$9.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601809,POTASSIUM CHLORIDE 20% ORAL LIQ,250,,$6.18 ,$6.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601811,NEUTRA-PHOS POWDER PKT,250,,$1.60 ,$1.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601816,PHENERGAN ELIXIR 6.25 MG/ 5 ML,250,Q0169,$3.33 ,$3.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601823,MESTINON ELIXIR 60 MG/ 5 ML,250,,$87.43 ,$87.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601824,ZANTAC ELIXIR 15 MG/ ML,250,,$8.70 ,$8.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601827,SENOKOT SYRUP,250,,$7.52 ,$7.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601828,SIMPLE SYRUP,250,,$3.48 ,$3.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601829,SORBITOL LIQUID 70%,250,,$13.86 ,$13.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601831,SULFAMETHOXAZOLE W/ TMP SUSP,250,,$12.60 ,$12.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601842,VITAMIN C SYRUP 500 MG/ 5 ML,250,,$5.58 ,$5.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601845,RETROVIR SYRUP 50 MG/5 ML,250,,$18.75 ,$18.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601849,HYDROXYZINE HCL 10MG/5 ML ELIX,250,,$2.00 ,$2.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601855,DITROPAN 5 MG TABLET,250,,$0.59 ,$0.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601859,ERY-PED ORAL SUSP 200MG/5ML,250,,$42.97 ,$42.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601860,ERY-PED ORAL SUSP 400 MG/5ML,250,,$47.14 ,$47.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601861,FELBATOL ORAL SUSP 600 MG/ 5 ML,250,,$627.42 ,$627.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601878,PERIACTIN ELIXIR 2 MG/5 ML,250,,$19.71 ,$19.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601880,PROPRANOLOL LIQ 20 MG/ 5 ML,250,,$14.09 ,$14.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601886,THERAGRAN LIQUID,250,,$0.57 ,$0.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601888,THEOPHYLLINE LIQ 80 MG/ 15 ML,250,,$35.00 ,$35.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601893,VIBRAMYCIN ORAL SUSP 25MG/5ML,250,,$158.07 ,$158.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601896,MINERAL OIL HEAVY,250,,$1.45 ,$1.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601904,DIAMOX INJECTION 500 MG/VIAL,250,J1120,$181.56 ,$181.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601908,"ALCOHOL, DEHYDRATED INJ/100%-1ML",250,,$66.80 ,$66.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601921,FUNGIZONE 50 MG INJECTION,250,J0285,$72.61 ,$72.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601923,AMPICILLIN 2 GM VIAL,250,J0290,$7.55 ,$7.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601931,ANTIVENIN LACTRO. MACTANS (SPIDER,250,,$207.81 ,$207.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601938,AZACTAM 1 GRAM VIAL,250,,$189.48 ,$189.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601940,AZACTAM 2 GRAM PB,250,,$122.44 ,$122.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601941,AZACTAM 1 GM PB,250,,$122.27 ,$122.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601943,COGENTIN 1 MG/ ML - 2 ML INJECT,250,J0515,$156.59 ,$156.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601946,BLEOMYCIN 30 UNIT / BLEOMYCIN SOLR 30 UN,250,J9040,$365.50 ,$365.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601958,MARCAINE 0.5% W/ EPI 1-200M -10ML,250,,$23.43 ,$23.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601962,STADOL 1 MG/ML INJ,250,J0595,$18.94 ,$18.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601964,MIACALCIN 200 UNITS/ML - 2 ML VL,250,J0630,$493.46 ,$493.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601966,CALCIUM CHLORIDE 10% INJ-10ML SYR,250,,$50.84 ,$50.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601968,CALCIUM GLUCONATE 10% INJ - 50ML,250,J0610,$2.62 ,$2.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601970,PARAPLATIN 450 MG INJECTION,250,J9045,$28.82 ,$28.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601973,CEFAZOLIN 1 GM PB INJ,250,J0690,$5.15 ,$5.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601985,CLAFORAN 1 GM VIAL,250,J0698,$17.12 ,$17.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601987,CLAFORAN 500 MG VIAL,250,J0698,$19.46 ,$19.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601995,MEFOXIN 1 G-D5W 50ML FROZ PB,250,J0694,$70.77 ,$70.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41601997,CEFTAZIDIME 1 GRAM VIAL,250,J0713,$23.80 ,$23.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602000,CEFTAZIDIME 2 GRAM VIAL,250,J0713,$17.24 ,$17.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602012,ZINACEF 1.5 GRAM VIAL,250,J0697,$15.52 ,$15.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602017,CHLORAMPHENICOL 1 GRAM VIAL,250,J0720,$217.28 ,$217.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602020,DIURIL 500 MG INJECTION,250,J1205,$261.97 ,$261.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602021,THORAZINE 25 MG INJECTION,250,J3230,$225.32 ,$225.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602026,CIPRO IV W/ D5W 400 MG/200 ML,250,J0744,$6.75 ,$6.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602028,NIMBEX 2 MG/ ML INJECTION,250,,$76.06 ,$76.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602031,CLEOCIN PREMIXED BAG 900 MG,250,,$116.98 ,$116.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602035,CLINDAMYCIN 300 MG VIAL,250,,$20.19 ,$20.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602036,CLINDAMYCIN VIAL 600 MG,250,J3490,$24.16 ,$24.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602042,UNASYN 1.5 GRAM VIAL,250,J0295,$13.79 ,$13.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602043,CORTROSYN 0.25 MG INJ,250,J0834,$421.04 ,$421.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602048,SANDIMMUNE 50 MG/ML INJECT-5 ML,250,J7515,$140.72 ,$140.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602054,DESMOPRESSIN ACET 4 MCG/ML - 1 ML,250,J2597,$36.22 ,$36.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602057,DEXAMETHASONE INJ 10 MG/ ML,250,J1100,$1.06 ,$1.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602060,DECADRON 10 MG/ ML INJ 10 ML MDV,250,J1100,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602061,DECADRON INJ 4 MG/ML - 30 ML MDV,250,J1100,$0.36 ,$0.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602065,LANOXIN PED 0.1 MG/ML INJ-1 ML,250,J1160,$43.09 ,$43.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602067,DIGIFAB 40MG / DIGOXIN IMMUNE FAB SOLR40,250,J1162,"$8,674.98 ","$8,674.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602078,DOPAMINE 400 MG/ 5 ML VIAL,250,J1265,$1.30 ,$1.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602079,DOPAMINE INJ 200 MG/ 5 ML VIAL,250,J1265,$2.62 ,$2.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602085,DOXYCYCLINE 100 MG INJ VIAL,250,,$791.24 ,$791.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602090,VASOTEC I.V. 1.25 MG/ML - 1ML,250,,$11.25 ,$11.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602091,VASOTEC I.V. 1.25MG/ML - 2 ML,250,,$42.11 ,$42.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602092,LOVENOX 30 MG/ 0.3 ML INJECT,250,J1650,$11.25 ,$11.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602093,EPHEDRINE SULF INJ 50 MG/ML- 1 ML,250,,$15.95 ,$15.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602103,ERYTHROCIN PIGGYBACK 500 MG,250,J1364,$151.44 ,$151.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602108,AMIDATE 2 MG/ML ABBOJECT 20 ML,250,,$201.08 ,$201.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602111,PEPCID 10 MG/2 ML SDV INJ,250,,$6.18 ,$6.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602117,FERROUS GLUCONATE TAB 325 MG,250,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602124,ROMAZICON 0.1 MG/ ML - 10 ML MDV,250,J3490,$71.91 ,$71.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602128,FLUPHENAZINE MDV 2.5 MG/ML-10ML,250,,$628.46 ,$628.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602130,FOSCAVIR 24MG/ML 250ML,250,J1455,$251.71 ,$251.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602135,CYTOVENE 500MG GANCICLOVIR SOLR 500MG,250,J1570,$656.06 ,$656.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602137,GENTAMICIN INJ 40 MG/ML,250,J1580,$5.23 ,$5.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602138,GENTAMICIN PED INJ 20 MG/ 2 ML,250,J1580,$48.48 ,$48.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602139,GENTAMICIN PREMIX INJ 80 MG,250,J1580,$10.43 ,$10.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602142,GLUCAGON 1 MG INJECTION,250,J1610,"$1,008.89 ","$1,008.89 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602143,GLYCOPYRROLATE 0.2 MG/ML-5ML INJ,250,,$19.14 ,$19.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602144,GLYCOPYRROLATE 0.2MG/ML-1 ML INJ,250,J3490,$23.23 ,$23.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602146,HALDOL DECANOATE 50 MG/ML-1ML INJ,250,J1631,$469.00 ,$469.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602147,HALDOL 5MG VIAL HALOPERIDOLSOLN 5MG/ML,250,J1630,$6.18 ,$6.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602149,HEPARIN 10U/ML 10ML,250,J1642,$0.46 ,$0.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602155,"HEPARIN INJ 1,000 UNITS/ML-10ML",250,J1644,$2.20 ,$2.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602171,VISTARIL 100 MG/2 ML INJ,250,J3410,$11.79 ,$11.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602173,IFEX 1 GM IFOSFAMIDE SOLR 1MG,250,J9208,$303.78 ,$303.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602174,IFEX 3 GRAM INJECTION,250,J9208,$889.14 ,$889.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602184,PRIMAXIN 500 MG IV VIAL,250,J0743,$118.51 ,$118.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602186,INDIGO CARMINE INJ,250,,$23.31 ,$23.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602203,INFED INJECTION 50 MG/ML - 2 ML,250,J1750,$76.96 ,$76.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602207,KETALAR 100 MG/ML INJECTION 5 ML,250,,$52.99 ,$52.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602208,LABETALOL SOLN 5MG/ML 20ML,250,,$10.73 ,$10.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602209,NORMODYNE 5 MG/ ML INJECTION 40ML,250,Z2875,$21.55 ,$21.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602212,LUPRON DEPOT 7.5 MG/ML KIT,250,J9217,"$7,165.06 ","$7,165.06 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602213,LUPRON DEPOT 22.5MG INJ,250,,"$6,935.65 ","$6,935.65 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602214,LUPRON DEPOT 3.75 MG INJ,250,J1950,"$5,820.10 ","$5,820.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602215,LEVOTHYROXINE SOD INJ 200 MCG,250,,$79.49 ,$79.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602220,XYLOCAINE 2% INJ SDV - 10 ML,250,,$28.89 ,$28.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602221,LIDOCAINE HCL LOCAL ANESTH 1%,250,,$7.97 ,$7.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602224,XYLOCAINE 1% INJ SDV 10 ML,250,J2001,$17.50 ,$17.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602225,XYLOCAINE 1% INJECT AMP-5 ML,250,J2001,$1.30 ,$1.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602226,XYLOCAINE 1% INJECT SDV 2 ML,250,J2001,$3.26 ,$3.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602233,XYLOCAINE 0.5% INJECT 50 ML,250,,$21.39 ,$21.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602240,XYLOCAINE 2% EPI 1-200M SDV 20ML,250,,$48.87 ,$48.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602241,XYLOCAINE 2% EPI 1-100M MDV 50ML,250,,$20.33 ,$20.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602245,LINCOCIN INJECTION 300MG/ML -2ML,250,J2010,$2.92 ,$2.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602254,MAGNESIUM SULFATE 10% SDV 20 ML,250,J3475,$0.33 ,$0.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602257,DEPO-PROVERA 150 MG/ML 1 ML INJ,250,J1051,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602265,CARBOCAINE 1% INJECTION 30 ML,250,J0670,$3.14 ,$3.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602269,BREVITAL SODIUM 500 MG MDV INJECT,250,,$300.13 ,$300.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602274,METHERGINE 0.2 MG/ML INJ 1 ML,250,J2210,$27.88 ,$27.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602278,SOLU-MEDROL 1 GRAM INJECTION,250,J2930,$10.88 ,$10.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602281,DEPO-MEDROL 40 MG/ML INJ 5 ML,250,J1030,$15.54 ,$15.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602282,DEPO-MEDROL 80 MG/ML INJ 5 ML,250,J1040,$31.09 ,$31.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602285,METRONIDAZOLE 500 MG/100ML PREMIX,250,,$7.49 ,$7.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602293,NOVANTRON 2 MG/ML VIAL 10 ML,250,J9293,$223.48 ,$223.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602295,CANDIDA SKIN TEST 1-500,250,,$892.40 ,$892.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602300,DEXTROSE 5% INJ 50 ML MINI BAG,250,J3490,$7.68 ,$7.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602303,DEXTROSE 5% INJ 100 ML MINI BAG,250,J3490,$7.68 ,$7.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602308,DURAMORPH PF 5 MG/10 ML AMP,250,J2270,$119.98 ,$119.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602309,DEXTROSE 5% INJ 250 ML MINI BAG,250,J7060,$5.39 ,$5.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602311,NAFCILLIN SOD 1 GM INJ,250,,$78.92 ,$78.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602313,NAFCIL 2 GRAM VIAL,250,,$30.63 ,$30.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602315,NAFCILLIN 2 GM PB,250,Z2184,$156.35 ,$156.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602317,DEXTROSE 5% INJ 500 ML BAG,250,J7060,$5.49 ,$5.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602319,NUBAIN 10 MG/ML AMP 1 ML,250,J2300,$12.48 ,$12.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602322,DEXTROSE 5% INJ 1000 ML BAG,250,J7070,$6.74 ,$6.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602324,NEOSTIGMINE INJECTION 1MG/ML-10ML,250,J2710,$0.46 ,$0.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602325,CARDENE IV 25 MG INJ 20 ML AMP,250,,$61.70 ,$61.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602326,DEXTROSE 5% 50 ML MINI BAG PLUS,250,J3490,$17.22 ,$17.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602327,DEXTROSE 5% 100 ML MINI BAG PLUS,250,J3490,$17.22 ,$17.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602331,SANDOSTATIN 0.5MG/ML INJ 1 ML,250,J2354,$4.49 ,$4.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602332,LACTATED RINGERS INJ 500 ML BAG,250,J7120,$11.14 ,$11.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602333,SANDOSTATIN 0.05 MG/ML INJECT 1ML,250,J2354,$4.70 ,$4.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602334,LACTATED RINGERS INJ 1000 ML BAG,250,J7120,$7.14 ,$7.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602338,ZOFRAN 2 MG/ML INJ SDV 2 ML,250,J2405,$0.70 ,$0.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602339,SODIUM CHLORIDE 0.45% 1000 ML BAG,250,,$10.46 ,$10.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602340,DEXTROSE 5%-NS 0.9% INJ 1000 ML,250,J7042,$6.81 ,$6.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602341,DEXTROSE 5%-1/2 NS 1000 ML INJ,250,J7042,$6.84 ,$6.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602347,SODIUM CHLORIDE 0.9% 50 ML BAG,250,,$16.74 ,$16.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602351,NACL 0.9% 100 ML MINI BAG PLUS,250,,$16.74 ,$16.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602355,SODIUM CHLORIDE 0.9% 50 ML BAG,250,J7050,$7.68 ,$7.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602358,SODIUM CHLORIDE 0.9% INJ 1000 ML,250,J7030,$6.84 ,$6.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602360,SODIUM CHLORIDE 0.9% 250 ML BAG,250,J7040,$5.23 ,$5.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602361,SODIUM CHLORIDE 0.9% 500 ML BAG,250,J7040,$5.89 ,$5.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602365,DEXTROSE 70% INJECTION,250,,$57.65 ,$57.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602374,REGITINE MESYLATE INJECTION 5 MG,250,J2760,$871.14 ,$871.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602376,PHYSOTIGMINE 1MG/ML,250,,$31.71 ,$31.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602381,ZOSYN 3.375 GRAM VIAL,250,J2543,$12.27 ,$12.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602382,ZOSYN 4.5 GRAM VIAL,250,J2543,$12.70 ,$12.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602383,ZOSYN 2.25 GRAM VIAL,250,J2543,$13.46 ,$13.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602387,INTRALIPID 20%,250,,$92.14 ,$92.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602389,TRAVASOL 10% INJECTION,250,,$158.63 ,$158.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602392,POTASSIUM PHOSPHATE 3MMOL/ML,250,,$15.72 ,$15.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602393,WATER FOR INJECTION,250,,$11.75 ,$11.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602394,POTASSIUM PHOSPHATE 3 MMOL/ML-5ML,250,,$8.85 ,$8.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602401,PROGESTERONE INJ 50 MG/ML,250,J2675,$19.24 ,$19.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602406,DIPRIVAN 200MG/20 ML AMP,250,,$0.93 ,$0.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602407,DIPRIVAN 500 MG/50 ML VIAL,250,J3490,$44.71 ,$44.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602409,PROTAMINE SULF INJ 50 MG/ 5 ML,250,J2720,$9.41 ,$9.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602417,RIFADIN 600 MG INJECTION,250,J3490,$183.00 ,$183.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602418,ZEMURON 10 MG/ML - 5 ML VIAL,250,,$25.05 ,$25.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602419,ZEMURON 10 MG/ML INJECTION 10 ML,250,,$31.72 ,$31.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602423,SCOPOLAMINE HBR 0.4 MG/ML INJ,250,,$51.97 ,$51.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602427,BACTERIOSTAT WATER INJECTION 30ML,250,,$5.37 ,$5.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602429,STERILE WATER INJECTION 50 ML,250,,$10.39 ,$10.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602430,KINEVAC INJECTION 5 MCG/ML-10ML,250,J2805,$595.81 ,$595.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602431,SODIUM ACETATE INJECTION 2 MEQ/ML,250,,$5.83 ,$5.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602433,SODIUM BICARB PED SYRINGE 8.4%,250,,$60.20 ,$60.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602434,SODIUM BICARBONATE 4.2% INJ 10 ML,250,,$35.78 ,$35.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602435,SODIUM BICARBONATE 8.4% 50ML SYR,250,,$38.33 ,$38.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602436,SODIUM CHLORIDE 23.4% INJ 50 ML,250,J2912,$7.68 ,$7.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602438,MORRHUATE SODIUM INJECTION 30ML,250,J3490,$453.71 ,$453.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602439,SODIUM PHOSPHATE INJ 45 MMOL/15ML,250,,$4.59 ,$4.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602450,TETANUS TOXOID FLUID 0.5 ML,250,90703,$279.26 ,$279.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602456,TOBRAMYCIN PREMIX 80 MG/ 100 ML,250,,$72.35 ,$72.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602457,TOBRAMYCIN 40 MG/ML INJECTION,250,,$68.23 ,$68.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602459,HYCAMTIN 4 MG INJECTION,250,J9351,$29.31 ,$29.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602462,CHROMIUM CHLORIDE INJ 4MCG/ ML,250,,$7.27 ,$7.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602465,ZINC SULFATE 1 MG/ML INJECTION,250,,$10.88 ,$10.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602480,VANCOMYCIN 1 GRAM INJECTION,250,J3370,$107.99 ,$107.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602481,VANCOCIN 500 MG INJ,250,J3370,$24.39 ,$24.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602486,VERAPAMIL INJ 10 MG/ 4 ML,250,,$47.33 ,$47.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602487,"VINBLASTINE 1MG/ML, 10ML",250,J9360,$17.31 ,$17.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602492,"AQUASOL A INJ 100,000 U/ 2 ML",250,,$237.16 ,$237.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602494,PYRIDOXINE INJ 100 MG/ML,250,J3415,$58.74 ,$58.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602497,CALCIJEX INJECTION 1 MCG/ML,250,J0636,$2.29 ,$2.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602498,VITAMIN K INJ 1 MG/0.5 ML,250,J3430,$24.67 ,$24.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602500,M.V.I. 12 INJECTION 10 ML,250,,$31.53 ,$31.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602508,TESTOSTERONE PROPRIONATE 100MG/ML,250,J3150,$221.82 ,$221.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602509,VALIUM 5 MG/ML INJECTION 10 ML,250,J3360,$11.12 ,$11.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602513,HEMABATE INJ 250 MCG/ 1 ML AMP,250,,$946.42 ,$946.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602514,MERUVAX II INJ (RUBELLA VACCINE),250,,$18.89 ,$18.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602516,"WINRHO 15,000 UNITS/13ML IMMUNE GLOBULIN",250,J2792,$132.28 ,$132.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602519,OPHTHETIC OPHTH SOL 0.5% 15 ML,250,,$11.32 ,$11.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602528,PNU-IMUNE 23 VACCINE,250,90732,$453.63 ,$453.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602542,AMMONIUM CHLORIDE INJ 100MEQ/20ML,250,,$20.11 ,$20.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602544,MAGIC MOUTHWASH,250,,$26.25 ,$26.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602545,GENTAMICIN PREMIX INJECTION 100MG,250,J1580,$8.35 ,$8.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602546,GENTAMICIN PREMIX INJECTION 120MG,250,J1580,$6.97 ,$6.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602547,DANTRIUM 20 MG INJECTION,250,J3490,"$2,924.75 ","$2,924.75 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602554,BAL IN OIL INJECT 100MG/ML -3ML,250,J0470,$204.70 ,$204.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602556,CAFFEINE/SOD BENZOATE 500MG/2ML,250,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602558,COUMADIN 5 MG INJECTION,250,,$270.10 ,$270.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602564,HEP LOCK FLUSH 100 UNITS/ML -1ML,250,J1642,$0.73 ,$0.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602567,ISUPREL INJECTION 1 MG/5 ML AMP,250,J7658,$330.38 ,$330.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602572,NEBCIN 1.2 GM POWDER INJ,250,J3260,$5.31 ,$5.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602579,SODIUM THIOSULFATE 25% INJ 50 ML,250,,$112.42 ,$112.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602584,XYLOCAINE 1% AMP 30 ML,250,J2001,$0.53 ,$0.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602585,XYLOCAINE 1% EPI 1-200000 SDV,250,,$48.87 ,$48.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602594,CAMPTOSAR 20 MG/ML INJECTION 5ML,250,J9206,$34.92 ,$34.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602595,GEMZAR 1 GRAM INJECTION,250,J9201,"$1,111.33 ","$1,111.33 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602596,GEMZAR 200 MG INJECTION,250,J9201,$59.39 ,$59.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602597,PARAPLATIN 150 MG INJECTION,250,J9045,$57.22 ,$57.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602602,DEXTROSE 25% MINI JET 10 ML,250,,$34.61 ,$34.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602608,ABELCET 5 MG/ML LIPOSOME INJ 20ML,250,J0287,$50.84 ,$50.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602609,IOPIDINE OPHTH SOLN 1% 0.2 ML,250,,$274.97 ,$274.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602611,LIPITOR 10 MG TABLET,250,,$1.92 ,$1.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602613,ZITHROMAX 200 MG/5 ML ORAL SUSP,250,,$63.45 ,$63.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602617,TEGRETOL XR 200 MG TABLET,250,,$4.91 ,$4.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602618,CARNITOR 330 MG TAB,250,,$4.85 ,$4.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602619,CORTISONE ACETATE TABLET 25 MG,250,,$6.20 ,$6.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602620,CYTOSAR 2 GRAM INJECTION,250,J9100,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602623,ARICEPT 5 MG TABLET,250,,$0.58 ,$0.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602624,ETHYL CHLORIDE 100% SPRAY,250,,$206.23 ,$206.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602629,GRIFULVIN V ORAL SUSP 125MG/5 ML,250,,$33.71 ,$33.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602631,HALDOL 1 MG TABLET,250,,$0.53 ,$0.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602636,MAGNESIUM GLUCONATE 500 MG TABLET,250,,$1.20 ,$1.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602639,MORPHINE SULFATE ELIX 10MG/5 ML,250,,$3.29 ,$3.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602645,PENICILLIN GK INJ 20 MILLION UNIT,250,J2540,$25.88 ,$25.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602646,BETADINE OINTMENT 30 GM,250,,$8.68 ,$8.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602647,NAROPIN 2 MG/ML 100 ML VIAL,250,J2795,$0.83 ,$0.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602651,BETIMOL OPHTH SOLN 0.5% 5 ML,250,,$382.84 ,$382.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602661,LIDOCAINE/DEXTROSE PREMIX 4%,250,J2001,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602686,SILVER NITRATE APPLICATOR STICKS,250,,$2.81 ,$2.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602689,PAPAVERINE 30 MG PER ML 2 ML VIAL,250,,$18.15 ,$18.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602702,LIDEX 0.05% CREAM 15 GM,250,,$63.28 ,$63.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602704,CLEOCIN PREMIXED 300MG/50 ML,250,,$62.52 ,$62.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602705,CLEOCIN PREMIX 600MG/50ML,250,,$95.71 ,$95.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602711,VISTIDE 75 MG/ML INJECTION,250,J0740,"$5,549.51 ","$5,549.51 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602732,VERSED 1 MG/ML INJ,250,J2250,$1.84 ,$1.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602736,MIRAPEX 0.125 MG TAB,250,,$31.66 ,$31.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602738,SPORONOX ORAL SOLN 50 MG/5 ML,250,,$302.65 ,$302.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602739,HURRICAINE DOSE CHARGE- 1 ML,250,,$2.07 ,$2.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602742,LEVAQUIN-D5W 500MG/100 ML,250,J1956,$66.26 ,$66.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602743,MYLICON DOSE CHARGE 0.5 ML,250,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602745,ETHYL CHLORIDE DOSE CHARGE-2 SPR,250,,$206.23 ,$206.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602750,COREG 3.125 MG TABLET,250,,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602751,LIPITOR 20 MG TABLET,250,,$2.75 ,$2.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602754,AZACTAM 2GM INJ,250,,"$3,789.45 ","$3,789.45 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602755,ISORDIL TITRADOSE 40 MG TAB,250,,$16.24 ,$16.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602756,LEVAQUIN 500 MG TABLET,250,,$1.33 ,$1.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602758,"HEPARIN/D5W 25,000 UNITS/250 ML",250,,$2.15 ,$2.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602760,ZYPREXA 5 MG TAB,250,,$91.77 ,$91.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602761,IMDUR 30 MG CR TAB,250,,$3.08 ,$3.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602763,DEPACON 500 MG/5 ML INJ,250,J3490,$16.33 ,$16.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602764,ZANAFLEX 4 MG TAB,250,,$0.46 ,$0.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602768,ESTRATEST 1.25-2.5MG TAB,250,,$6.31 ,$6.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602769,CARNITOR ORAL LIQ 100MG/ML,250,,$7.23 ,$7.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602772,TEGRETOL XR 100 MG,250,,$4.86 ,$4.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602773,TEGRETOL XR 400 MG TAB,250,,$10.04 ,$10.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602774,INFLUENZA VACCINE INJECTION,250,90656,$82.86 ,$82.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602784,PAXIL 10 MG TABLET,250,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602787,VITAMIN E 200 UNITS CAPSULE,250,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602788,CENTRUM SILVER,250,,$0.57 ,$0.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602790,MULTIVITAMIN W/ IRON TAB,250,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602791,LUPRON DEPOT PED 11.25 MG INJ,250,J1950,"$4,377.26 ","$4,377.26 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602797,COMBIVENT AEROSOL 14.7 G W/ ADAP,250,,"$1,413.24 ","$1,413.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602799,STERILE TALC 4 GM,250,,$918.66 ,$918.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602801,ASTELIN NASAL SPRAY,250,,"$1,011.89 ","$1,011.89 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602802,LOVENOX 40 MG/ 0.4 ML INJECTION,250,J1650,$11.25 ,$11.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602807,DOBUTAMINE/D5W PREMIX 250MG/250ML,250,,$18.02 ,$18.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602808,D5W/KCL 20 MEQ 1000 ML PREMIX,250,,$9.53 ,$9.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602809,NS/KCL 20 MEQ/L PREMIXED,250,,$0.92 ,$0.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602810,D5W/LR-KCL 20MEQ PREMIXED,250,,$11.15 ,$11.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602811,D5W-NACL 0.2%-KCL 20 MEQ PREMIX,250,,$9.41 ,$9.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602812,D5W/0.45% NACL-KCL 10 MEQ PREMIX,250,,$11.56 ,$11.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602813,D5 0.45NACL-KCL 20EQ/L PREMIX,250,,$9.24 ,$9.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602814,D5-0.45 NACL-KCL 30 MEQ/L PREMIX,250,,$9.41 ,$9.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602815,D5 1/2 NS-KCL 40 MEQ/L PREMIX,250,,$9.41 ,$9.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602816,NACL 0.9% - KCL 40 MEQ. INJ 1L,250,,$0.51 ,$0.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602820,D5 1/4 NS 1000 ML,250,J7042,$7.11 ,$7.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602821,EFFEXOR XR 37.5 MG CAPSULE,250,,$1.19 ,$1.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602822,MEFOXIN-DEXTROSE 2 GM/50ML,250,,$64.98 ,$64.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602823,EFFEXOR XR 75 MG CAPSULE,250,,$1.23 ,$1.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602824,SODIUM BICARBONATE 4% INJ (NEUT),250,,$28.59 ,$28.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602835,SODIUM BICARBONATE POWDER,250,,$19.35 ,$19.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602840,LEVAQUIN TABLET 250 MG,250,,$0.83 ,$0.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602842,COREG 6.25 MG TABLET,250,,$1.15 ,$1.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602845,SEROQUEL 25 MG TABLET,250,,$29.15 ,$29.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602847,LEVAQUIN-DEXTROSE 5% 250MG/50 ML,250,J1956,$67.16 ,$67.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602865,VICOPROFEN TABLET,250,,$25.36 ,$25.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602866,MORPHINE SULFATE SUPPOSITORY 10MG,250,,$35.38 ,$35.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602870,AQ ACTIVATED CHARCOAL 25 G/120ML,250,,$23.68 ,$23.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602871,ACTIDOSE SORBITOL SUSP 50 GRAM/120ML,250,,$23.68 ,$23.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602873,NICORETTE GUM 2 MG,250,,$2.90 ,$2.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602886,HYCODAN SYRUP 5 ML,250,,$3.44 ,$3.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602891,PRANDIN 0.5 MG TABLET,250,,$22.43 ,$22.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602892,PRANDIN 1 MG TAB,250,,$22.43 ,$22.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602893,PRANDIN 2 MG TAB,250,,$22.43 ,$22.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602897,OXYCONTIN 40 MG,250,,$44.80 ,$44.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602898,OXYIR 5 MG CAPSULE,250,,$0.73 ,$0.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602901,LORTAB ELIXIR 15 ML,250,,$15.69 ,$15.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602909,NASONEX NASAL SPRAY,250,,$896.32 ,$896.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602913,ARTHROTEC 50/0.2MG,250,,$24.56 ,$24.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602914,CELEXA 20 MG TAB,250,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602918,ARTHROTEC 75/0.2 MG,250,,$24.56 ,$24.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602920,HERCEPTIN INJECTION,250,J9355,$546.19 ,$546.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602921,REMICADE INJECTION,250,J1745,$561.57 ,$561.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602924,MERREM 1 GM INJECTION,250,J2185,$10.90 ,$10.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602925,VERSED SYRUP 10 MG/ 5 ML,250,,$0.49 ,$0.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602928,DOXIL 2 MG/ ML LIPOSOME,250,J9001,"$4,041.78 ","$4,041.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602931,CELEBREX 200MG CAPSULE,250,,$3.46 ,$3.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602932,AGGRASTAT 250 MCG/ML INJECTION,250,J3246,$71.42 ,$71.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602933,ANTIZOL INJECTION,250,J1451,$42.12 ,$42.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602938,SEROQUEL 100MG TABLET,250,,$5.58 ,$5.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602941,TESTOSTERONE CYPIONATE,250,,$335.29 ,$335.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602942,PURINETHOL 50MG TAB,250,,$6.12 ,$6.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602945,CIPRO HC OTIC SUSPENSION 10ML,250,,"$1,144.86 ","$1,144.86 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602955,DETROL 2MG TABLET U/D,250,,$24.90 ,$24.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602958,SINGULAIR 10 MG TABLET,250,,$39.28 ,$39.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602961,RITUXAN 10MG/ML 10ML VIAL,250,J9310,"$4,717.58 ","$4,717.58 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602962,RITUXAN 10MG/ML 50ML VIAL,250,J9310,"$4,717.59 ","$4,717.59 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602964,TAMIFLU 75MG,250,,$73.67 ,$73.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602965,CYTOTEC 25 MCG,250,,$3.39 ,$3.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602968,BETADINE OPHTH 5% SOLUTION,250,,$50.39 ,$50.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602970,VERSED 1 MG PER ML,250,J2250,$187.48 ,$187.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602973,MICROZIDE 12.5 MG CAPSULE,250,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602976,ACTOS TABLET 30 MG,250,,$79.19 ,$79.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602977,ACTOS TABLET 15 MG,250,,$51.80 ,$51.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602980,LITHOBID 300MG TABLET,250,,$1.29 ,$1.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602982,ZYPREXA 2.5 MG TABLET,250,,$77.77 ,$77.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602983,SEROQUEL 200MG TABLET,250,,$94.33 ,$94.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602986,TRIMOX 250MG/5ML SUSPENSION,250,,$10.58 ,$10.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602987,PROVIGIL 100MG TABLET,250,,$84.82 ,$84.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602991,MORPHINE SULF CONC 20MG/ML 1ML,250,,$1.99 ,$1.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602992,FLOMAX 0.4MG CAPSULE,250,,$37.73 ,$37.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602994,ROSIGLITAZONE MALEATE,250,,$28.05 ,$28.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602995,DITROPAN XL 5MG TABLET,250,,$14.55 ,$14.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41602998,TOPAMAX 25MG TABLET,250,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603000,GLYSET 25 MG TABLET,250,,$8.89 ,$8.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603001,WELLBUTRIN CR 100 MG TABLET,250,,$1.38 ,$1.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603002,LOVENOX 100 MG/ML INJECTION,250,J1650,$11.25 ,$11.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603005,PLETAL 100 MG TABLET,250,,$0.76 ,$0.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603009,CALCIUM GLUCONATE 500MG TABLET,250,,$0.96 ,$0.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603011,SINGULAIR 5 MG TABLET,250,,$2.66 ,$2.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603014,ALLBEE W/C CAPSULE,250,,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603018,COMTAN 200MG,250,,$30.54 ,$30.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603023,SUSTIVA 200MG CAPSULE,250,,$52.82 ,$52.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603025,DANOCRINE 50MG CAPSULE,250,,$8.70 ,$8.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603029,COMBIVIR 150/300MG TABLET,250,,$109.08 ,$109.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603031,EVISTA 60MG TABLET,250,,$39.67 ,$39.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603032,COREG 12.5 MG TABLET,250,,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603034,BOTOX INJECTION,250,J0585,$39.38 ,$39.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603037,PROPANTHELINE BROMIDE 15MG TABLET,250,,$2.90 ,$2.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603039,FERRLECIT 62.5MG/5ML AMPULE,250,J2916,$24.10 ,$24.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603042,DDAVP 0.1MG TABLET,250,,$6.75 ,$6.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603043,PROAMATINE 5MG TABLET,250,,$2.09 ,$2.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603048,NESACAINE-MPF 3% INJ 20 ML,250,J2400,$38.16 ,$38.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603049,KCL/STERILE WATER 40 MEQ/100 ML,250,J3480,$0.57 ,$0.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603050,KCL/STERILE WATER 20 MEQ/50 ML,250,J3480,$1.18 ,$1.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603053,BIAXIN XL 500 MG TABLET CR,250,,$22.83 ,$22.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603054,CYTOMEL 25 MCG TABLET,250,,$0.37 ,$0.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603056,CORLOPAM 10 MG/1 ML AMP,250,,$525.56 ,$525.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603057,TNKASE 50 MG KIT,250,J3100,$553.14 ,$553.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603058,TOPAMAX 100 MG TABLET,250,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603060,AGGRENOX CAPSULE CR,250,,$31.39 ,$31.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603063,ZOSYN 2.25 GM,250,J2543,$28.08 ,$28.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603064,ZOSYN 3.375 GM,250,J2543,$22.54 ,$22.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603065,NAFCILLIN/D5W 2 GM/100ML,250,,$194.92 ,$194.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603066,NAFCILLIN/D5W 1 GM/50 ML,250,,$131.15 ,$131.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603069,PROTONIX 40 MG TABLET EC,250,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603074,STRESSTABS 600 W/ IRON TABLET,250,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603077,NEPHRO-VITE RX B&C MULTI VIT+FA,250,,$1.16 ,$1.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603084,REQUIP 1MG TABLET,250,,$1.08 ,$1.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603097,ALREX OPTH 0.2% SUSPENSION,250,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603098,MEPRON 750 MG/5 ML ORAL SUSP,250,,$16.72 ,$16.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603099,RISPERDAL 1MG/ML 30ML BOTTLE,250,,"$1,630.52 ","$1,630.52 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603102,NORVIR 100 MG CAPSULE,250,,$62.24 ,$62.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603103,EXELON 6 MG CAPSULE,250,,$35.60 ,$35.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603105,ZOMIG 5 MG TABLET,250,,$376.70 ,$376.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603109,TRILEPTAL 300MG TABLET,250,,$1.50 ,$1.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603110,MONOCLATE-P (FACTOR VIII) 1000 UN,250,J7190,"$16,423.62 ","$16,423.62 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603112,ACTONEL 5 MG TABLET,250,,$34.11 ,$34.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603114,FELBATOL 600 MG TABLET,250,,$46.22 ,$46.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603116,EXELON 1.5MG CAPSULE,250,,$16.06 ,$16.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603117,ELMIRON 100MG CAPSULE,250,,$38.91 ,$38.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603119,SODIUM BICARBONATE 650 MG TABLET,250,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603120,FELBATOL 400 MG TABLET,250,,$30.44 ,$30.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603121,DEXTROSE 5%- NACL 0.9% 500ML BAG,250,J7042,$6.01 ,$6.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603122,LOVENOX 60MG/0.6ML INJECTION,250,J1650,$11.25 ,$11.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603123,BETAPACE AF 80MG TABLET,250,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603124,HYDROCORTISONE 1% CREAM 28.4GM,250,,$5.92 ,$5.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603125,LOVENOX 80MG/0.8ML INJECTION,250,J1650,$11.25 ,$11.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603129,ATGAM 50MG/ML 5ML AMP,250,J7504,"$5,096.79 ","$5,096.79 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603133,NIASPAN 500 MG CR,250,,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603135,AMOXIL 400 MG/5ML UD ORAL SUSP,250,,$0.78 ,$0.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603137,PRIMACOR 200MCG/ML 100ML BAG,250,J2260,$27.58 ,$27.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603138,ICAR-C TABLET,250,,$0.88 ,$0.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603140,OMNICEF 300MG CAPSULE,250,,$6.54 ,$6.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603144,AMOXICILLIN 875 MG TABLET,250,,$0.90 ,$0.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603145,MOBIC 7.5 MG TABLET,250,,$0.79 ,$0.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603146,ZILEUTON 600 MG TABLET,250,,$93.75 ,$93.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603149,AUGMENTIN 400 80-11.4MG/ML 50ML,250,,$15.23 ,$15.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603151,ORTHO-NOVUM 7/7/7-28 TABLET,250,,$53.90 ,$53.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603153,SINGULAIR 4 MG CHEWABLE TAB,250,,$2.68 ,$2.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603156,GEODON 20MG,250,,$16.41 ,$16.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603157,HELIDAC THERAPY KIT,250,,$104.03 ,$104.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603158,DETROL LA 4MG CAPSULE,250,,$41.23 ,$41.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603161,DEXTRSOE 5%-LACTATES RINGERS INJ,250,,$30.63 ,$30.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603162,GEODON 40MG CAPSULE,250,,$20.54 ,$20.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603163,STARLIX 120MG TABLET,250,,$6.22 ,$6.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603165,CLARITIN 10MG/10ML SYRUP,250,,$13.32 ,$13.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603166,RISPERDAL 0.5MG TABLET,250,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603167,RECOMBIVAX HB PED INJ 5 MCG/0.5 M,250,,$70.64 ,$70.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603168,AUGMENTIN 200 MG/ 5ML ORAL SUSP,250,,$34.22 ,$34.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603169,ZYPREXA ZYDIS 10MG TABLET,250,,$145.66 ,$145.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603171,DILTIAZEM 125 MG/25 ML INJ,250,J3490,$33.90 ,$33.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603173,MIRAPEX 1.5MG TABLET,250,,$0.48 ,$0.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603176,TRANSDERM-SCOP PATCH 1.5MG/72HR,250,,$97.29 ,$97.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603177,COCAINE 4% 10ML VIAL,250,,"$1,952.31 ","$1,952.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603178,GLUCOPHAGE XR 500MG TABLET,250,,$6.93 ,$6.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603180,DEXTROSE 5% LACTATED RINGERS 1000,250,,$6.80 ,$6.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603181,MAXIPIME 2G INJECTION 20ML VIAL,250,J0692,$30.05 ,$30.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603182,ADVAIR DISKHALER 100/50MCG,250,,$51.39 ,$51.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603183,ADVAIR DISKHALER 250-50MCG,250,,$51.39 ,$51.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603188,ADIPEX-P 37.5MG CAPSULE,250,,$15.88 ,$15.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603189,REGRANEX 0.01% GEL 15GM TUBE,250,,"$4,910.88 ","$4,910.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603191,DEPAKOTE ER 500MG TABLET,250,,$27.44 ,$27.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603192,MIRAPEX 1MG TABLET,250,,$0.49 ,$0.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603193,KEPPRA 500 MG TABLET,250,,$4.50 ,$4.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603194,INTEGRILIN 2MG/ML 10ML VIAL,250,J1327,$213.90 ,$213.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603195,INTEGRILIN 75MG/100ML VIAL,250,J1327,$178.51 ,$178.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603198,ASCORBIC ACID 500MG/ML 50ML VIAL,250,J3490,$48.60 ,$48.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603200,LACTINEX TABLET CHEWABLE,250,,$0.54 ,$0.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603201,SUCRALFATE ORAL SUSP U.D. 10ML,250,,$26.50 ,$26.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603205,ZYVOX 600 MG INTRAVENOUS,250,J2020,$271.77 ,$271.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603208,MORPHINE 10MG/10ML VIAL,250,J2275,$82.23 ,$82.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603209,LIDODERM PATCH 5% PATCH,250,,$56.69 ,$56.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603210,OMNICEF 125MG/5ML SUSPENSION,250,,$8.83 ,$8.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603211,REMERON SOLTAB 30MG TABLET,250,,$7.62 ,$7.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603212,REMERON SOLTAB 15MG TABLET,250,,$14.70 ,$14.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603214,TOPROL XL 25MG TABLET,250,,$8.68 ,$8.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603215,ROCEPHIN 1GM/50ML BAG,250,J0696,$19.86 ,$19.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603216,ROCEPHIN 2GM/50ML BAG,250,J0696,$14.89 ,$14.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603218,OXYCONTIN 80MG TABLET,250,,$86.46 ,$86.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603220,ACCOLATE 10MG TABLET,250,,$7.02 ,$7.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603224,PROTONIX IV 40MG INJECTION,250,,$28.84 ,$28.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603225,ORAPRED 15MG/5ML LIQUID,250,,$1.19 ,$1.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603226,METROGEL VAGINAL 0.75% 70GM,250,,$176.45 ,$176.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603229,ZYVOX 600 MG TABLET,250,,$709.30 ,$709.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603230,ADVAIR DISKHALER 500/50 MCG.,250,,$40.94 ,$40.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603231,ENLON 10 MG/ML INJECTION,250,J3490,$160.50 ,$160.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603233,RENAGEL 800MG TABLET,250,,$22.43 ,$22.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603234,SURGICEL 2 IN X 14 IN,250,,$280.61 ,$280.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603235,HAVRIX VACCINE ADULT,250,,$462.60 ,$462.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603236,MENOMUNE-A/C/Y/W-135,250,,$851.85 ,$851.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603238,CATHFLO ACTIVASE 2 MG,250,J2997,$388.42 ,$388.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603240,ZOLOFT ORAL CONC 20MG/ML 60ML,250,,$768.54 ,$768.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603242,MAXIPIME 1G INJECTION,250,J0692,$39.02 ,$39.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603243,SODIUM BICARBONATE 7.5 %,250,,$6.52 ,$6.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603244,SANDOSTATIN LAR 30 MG KIT,250,J2353,$940.77 ,$940.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603246,LAC-HYDRIN 12% LOTION,250,,$34.95 ,$34.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603247,QVAR 40MCG INHALER,250,,$770.94 ,$770.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603255,LUMIGAN OPTH DROPS 0.03%,250,,$704.04 ,$704.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603259,ULTRACET TABLET,250,,$1.35 ,$1.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603260,GABITRIL 2MG TABLET,250,,$45.01 ,$45.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603262,CENESTIN 0.625 MG TABLET,250,,$24.16 ,$24.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603263,CELEXA 10 MG TABLET,250,,$0.18 ,$0.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603265,ACYCLOVIR SODIUM 1 GRAM INJECTION,250,J0133,$0.29 ,$0.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603267,PREDNISOLONE ACETATE OPHTH SUSP,250,,$55.18 ,$55.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603268,NEURONTIN 250MG/5ML LIQUID,250,,$152.43 ,$152.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603271,MYLICON DROPS 15ML,250,,$15.54 ,$15.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603276,MIRALAX POWDER 17GM,250,,$6.41 ,$6.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603280,FLOXIN EAR DROPS 0.3% SOLUTION,250,,$16.72 ,$16.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603285,ANGIOMAX 250MG VIAL,250,J0583,$23.09 ,$23.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603286,ERYTHROMYCIN OPHTH 0.5% OINT 1GM,250,,$45.84 ,$45.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603289,CANASA 1000MG SUPPOSITORY,250,,$141.67 ,$141.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603290,PROGRAF 1 MG CAPSULE,250,J7507,$28.77 ,$28.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603292,COLAZAL 750MG CAPSULE,250,,$1.13 ,$1.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603296,QUICK MIX W/ LYTES 1000 ML,250,,$128.01 ,$128.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603297,THIAMINE 100 MG/ ML INJECTION,250,,$30.63 ,$30.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603299,FLUPHENAZINE DECONATE 25MG/ML 5ML,250,J2680,$106.96 ,$106.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603301,LEVSIN DROPS,250,,$94.34 ,$94.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603304,INVANZ 1 GRAM,250,J1335,$242.49 ,$242.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603305,CLARINEX 5MG TABLET,250,,$36.49 ,$36.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603308,AURODEX EAR DROPS SOLUTION 15ML,250,,$33.23 ,$33.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603310,BACTROBAN 2% CREAM,250,,$461.35 ,$461.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603312,KLOR CON 8 MEQ TABLET,250,,$2.64 ,$2.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603313,KLOR CON 10MEQ TABLET,250,,$1.44 ,$1.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603316,COMBIPATCH TRANSDERMAL PATCH,250,,$63.58 ,$63.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603321,CORTISPORIN TC OTIC SUSP. 10ML,250,,$127.19 ,$127.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603324,MIDAZOLAM SYRUP 2 MG/ML,250,,$11.13 ,$11.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603325,SUCROSE CRYSTALS 1 GM,250,,$7.42 ,$7.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603330,PAXIL CR 12.5 MG TABLET,250,,$17.88 ,$17.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603332,ACTIVELLA TABLET,250,,$30.90 ,$30.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603333,CINNAMON OIL 30 ML,250,,$44.64 ,$44.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603334,KLOR-CON M20 TABLET,250,,$2.29 ,$2.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603336,DOSE CHG-NOVOLIN N INSULIN,250,,$113.94 ,$113.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603338,LEVAQUIN 750 MG TABLET,250,,$2.79 ,$2.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603342,ARIXTRA SYRINGE 2.5 MG,250,,$197.92 ,$197.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603343,NATRECOR 1.5 MG INJECTION,250,J2325,$419.91 ,$419.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603344,WINRHO SDF 1000 MCG VIAL,250,J2792,$132.28 ,$132.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603346,ARANESP 25 MCG/ML INJ,250,J0881,$25.29 ,$25.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603348,ALPHAGAN P EYE DROP 0.15%,250,,$645.70 ,$645.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603349,ELOXATIN INJECTION 100 MG,250,C9205,$87.63 ,$87.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603350,VIREAD 300 MG TABLET,250,,$201.41 ,$201.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603352,CROFAB INJECTION,250,,"$15,491.53 ","$15,491.53 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603353,LEXAPRO 10 MG TABLET,250,,$35.69 ,$35.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603354,SULFACETAMIDE SOD W/ PREDNISOLONE,250,,$111.66 ,$111.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603355,ACTONEL 35MG TABLET,250,,$238.73 ,$238.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603356,TOPAMAX SPRINKLE 15 MG,250,,$5.91 ,$5.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603357,ZOMIG 2.5 MG TABLET,250,,$340.74 ,$340.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603362,NOVOLOG INSULIN DOSE CHARGE,250,J1815,$2.46 ,$2.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603367,HUMALOG 75/25 MIX DOSE CHARGE,250,J1815,$2.10 ,$2.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603369,CARMEX OINTMENT,250,,$1.54 ,$1.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603370,VALCYTE TABLET 450 MG,250,,$411.99 ,$411.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603374,PROVENTIL HFA DOSE CHARGE,250,,$378.41 ,$378.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603390,FORADIL AEROLIZER DOSE CHARGE,250,,$27.32 ,$27.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603392,MORPHINE/NS BAG 100 MG/100 ML,250,,$66.00 ,$66.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603393,MEPERIDINE 1000 MG/100 ML PCA BAG,250,,$14.82 ,$14.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603396,GEODON INJECTION 20 MG VIAL,250,J3486,$61.21 ,$61.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603405,NASACORT AQ NASAL SPR DOSE CHG,250,,$489.41 ,$489.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603407,RHINOCORT AQ 32 MCG NASAL DOSE CH,250,,$907.65 ,$907.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603411,ABILIFY 10 MG TABLET,250,,$152.77 ,$152.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603412,ABILIFY TABLET 15 MG,250,,$152.77 ,$152.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603413,LIPITOR TABLET 80 MG,250,,$40.76 ,$40.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603424,DAKIN'S HALF STRENGTH SOLUTION,250,,$73.70 ,$73.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603425,FENTANYL CIT/BUPIVACAINE EPID,250,,$134.99 ,$134.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603426,DEXAMETHASONE DOSE CHG 10MG INJ,250,,$0.66 ,$0.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603431,CELEBREX 100 MG CAPSULE UD,250,,$2.12 ,$2.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603432,PLAVIX 75 MG TABLET,250,,$0.84 ,$0.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603439,COSOPT OPHTHALMIC DROPS 10 ML,250,,"$1,055.45 ","$1,055.45 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603440,ROXICODONE 15 MG TABLET U.D.,250,,$1.41 ,$1.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603441,NEULASTA 6 MG INJECTION,250,J2505,"$23,934.24 ","$23,934.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603449,HYDROCODONE BIT/W/ APAP 10-500 MG,250,,$1.14 ,$1.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603454,SEREVENT DISKUS 50 MCG PER PUFF,250,,$806.63 ,$806.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603456,BETAPACE 120 MG TABLET,250,,$0.93 ,$0.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603459,LEVAQUIN 750 MG PREMIXED,250,J1956,$58.69 ,$58.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603460,TUBERSOL DOSE CHARGE 0.1 ML,250,,$16.67 ,$16.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603461,ZONEGRAN 100 MG CAPSULE,250,,$0.73 ,$0.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603462,SENNA 8.6 MG TABLET,250,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603463,EMEND PACK,250,J8501,$35.89 ,$35.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603467,EXELON LIQUID 2 MG/ML,250,,"$3,493.11 ","$3,493.11 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603468,DEPAKOTE ER 250 MG TAB,250,,$16.11 ,$16.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603470,NOVOLOG 70/30 MIX,250,J1815,$2.46 ,$2.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603473,POLYDINE SCRUB 1% SOLUTION,250,,$14.19 ,$14.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603475,PRECEDEX 200 MCG/2 ML INJ,250,,$548.03 ,$548.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603478,WELLBUTRIN XL 150 MG,250,,$4.23 ,$4.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603479,CARMOL 40 CREAM,250,,$55.94 ,$55.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603482,RISPERDAL 0.25 MG TABLET,250,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603489,AVINZA CAPSULE 30 MG,250,,$34.93 ,$34.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603490,AVINZA 60 MG CR CAPSULE,250,,$67.83 ,$67.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603498,AUGMENTIN XR 1000-62.5MG,250,,$22.20 ,$22.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603501,DAUNORUBICIN 20 MG,250,J9150,$86.25 ,$86.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603502,PROTONIX 20 MG TABLET CR,250,,$2.97 ,$2.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603505,GELFOAM SPONGE SIZE 100,250,,$154.59 ,$154.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603506,ALBUMIN 5% 250 ML,250,P9045,$269.96 ,$269.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603507,ALBUMIN 5% 500 ML,250,P9041,$269.96 ,$269.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603508,POTASSIUM CHLORIDE 20 MEQ/100ML,250,J3480,$1.74 ,$1.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603509,POTASSIUM CHLORIDE 10 MEQ/100 ML,250,J3480,$3.50 ,$3.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603510,DIPRIVAN 10 MG/ML - 100 ML,250,J3490,$101.61 ,$101.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603514,CYTARABINE 1 GRAM INJECTION,250,J9100,$13.78 ,$13.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603517,TRIPLE DYE SWABS,250,,$2.38 ,$2.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603519,HYDROCODONE/ACET ELIX 15ML,250,,$9.64 ,$9.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603522,FERROUS SULFATE ELIX 30ML DOSE,250,,$1.78 ,$1.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603526,"HEPARIN 1,000 UNITS/ML-30 ML",250,J1644,$1.12 ,$1.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603527,PROTAMINE SULFATE 10 MG/ML 25 ML,250,J2720,$5.66 ,$5.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603529,SANDOSTATIN 100 MCG/ML INJ,250,J2354,$5.98 ,$5.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603530,416003530,250,,$34.29 ,$34.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603531,SODIUM CHLORIDE 0.45% 500 ML,250,,$9.59 ,$9.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603532,GENEYES / TETRAHYDROZOLINE 0.05%,250,,$5.14 ,$5.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603546,RX PULMICORT 0.5MG/2 ML INHL,250,J7626,$55.22 ,$55.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603548,RX XOPENEX 0.63 MG INHL SOL,250,Q4094,$22.53 ,$22.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603549,RX XYLOCAINE 2% INJ MDV 20 ML,250,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603552,NEUPOGEN 480MCG,250,J1441,$6.39 ,$6.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603553,MAGNESIUM SULF BAG 20 G/500 ML,250,J3475,$0.87 ,$0.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603555,MIACALCIN NASAL 3.7 ML,250,,$400.68 ,$400.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603556,RABAVERT RABIES VACCINE,250,,"$1,523.12 ","$1,523.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603559,RISPERDAL CONSTA 25 MG/2 ML INJ,250,J2794,$40.76 ,$40.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603560,CAMPTOSAR 20 MG/ML-2 ML,250,J9206,$45.79 ,$45.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603561,NAMENDA 5 MG TABLET,250,,$29.30 ,$29.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603576,AMINOPHYLLINE NO CHARGE,250,J0280,$10.75 ,$10.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603579,WATER FOR INJECTION NO CHARGE,250,,$28.14 ,$28.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603582,MAGNESIUM CHLORIDE 200 MG,250,,$40.87 ,$40.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603586,MULTITRACE-4 TRACE ELEMENTS,250,,$21.78 ,$21.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603591,POTASSIUM ACETATE NO CHG INJ,250,J3490,$3.48 ,$3.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603597,IONOPHORESIS HYDROCORTISONE,250,,$457.46 ,$457.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603598,FOLGARD RX 2.2,250,,$2.16 ,$2.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603599,GRANULEX AEROSOL 56.7 GM,250,,$64.58 ,$64.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603600,SULFAMETHOXAZOLE/TMP 10 ML VIAL,250,,$46.73 ,$46.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603604,XENADERM OINTMENT 60 GM,250,,$85.26 ,$85.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603605,GLUCOPHAGE XR 750 MG,250,,$1.08 ,$1.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603606,ZYPREXA 10 MG VIAL,250,,$10.86 ,$10.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603607,LOVENOX 120 MG SYRINGE,250,J1650,$11.19 ,$11.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603608,VENOFER 100 MG / 5 ML INJECTION,250,J1756,$2.85 ,$2.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603610,CLOBETASOL CREAM 0.05% 15MG,250,,$14.50 ,$14.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603611,STALEVO 100 MG TABLET,250,,$30.43 ,$30.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603614,FOLIC ACID INJECTION DOSE CHG,250,,$25.92 ,$25.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603616,CALAMINE,250,,$7.04 ,$7.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603619,ZOMETA 4 MG PER 5 ML INJECTION,250,J3487,"$1,625.41 ","$1,625.41 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603620,DETROL LA 2 MG CAPSULE,250,,$41.23 ,$41.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603621,ZYPREXA ZYDIS 5 MG,250,,$99.11 ,$99.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603622,ARANESP 200 MCG VIAL,250,J0881,$25.29 ,$25.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603623,ERBITUX 100 MG/ 50 ML INJECTION,250,J9055,$369.84 ,$369.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603624,ELLENCE 50 MG/ 25 ML VIAL,250,J9178,$10.82 ,$10.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603625,ALOXI 0.25 MG/5ML INJECTION,250,J2469,$101.11 ,$101.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603626,XOPENEX 1.25MG,250,Q4094,$19.66 ,$19.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603628,LEXAPRO ORAL LIQUID,250,,$35.46 ,$35.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603629,BD ULTRAFINE PEN NEEDLE,250,A4215,$0.82 ,$0.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603630,REYATAZ 150 MG CAPSULE,250,,$132.96 ,$132.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603632,INSPRA 25 MG TABLET,250,,$13.58 ,$13.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603633,EMEND 125 MG CAPSULE,250,J8501,$47.52 ,$47.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603634,METOPROLOL 25 MG TAB,250,,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603635,TIMOPTIC 0.25% OPHTH SOLN 2.5ML,250,,$13.79 ,$13.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603637,CYMBALTA 30 MG CPAUSLE,250,,$48.03 ,$48.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603638,NEUMEGA 5 MG INJ,250,,"$1,778.57 ","$1,778.57 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603639,ANDROGEL 2.5 GM,250,,$83.44 ,$83.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603640,STALEVO 150 MG TABLET,250,,$30.43 ,$30.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603641,STALEVO 50 MG TABLET,250,,$30.43 ,$30.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603642,VFEND 200 MG IV,250,J3465,$31.17 ,$31.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603643,RISPERDAL M 1 MG TABLET,250,,$55.89 ,$55.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603645,VFEND 200 MG TABLET,250,,$191.52 ,$191.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603646,ENBREL KIT 25 MG,250,J1438,"$2,072.53 ","$2,072.53 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603649,PACLITAXEL INJ,250,J9265,$79.33 ,$79.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603650,PACLITAXEL 300 MG/50 ML VIAL,250,J9265,$32.03 ,$32.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603652,ETOPOSIDE INJECTION,250,J9182,$4.70 ,$4.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603653,CISPLATIN INJECTION,250,J9060,$32.96 ,$32.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603654,FLUOROURACIL INJECTION,250,J9190,$16.79 ,$16.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603655,PATANOL 0.1% OLOPATADINE 0.1% 5ML,250,,$964.26 ,$964.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603657,TOBI INHALATION SOLUTION,250,J7682,$865.53 ,$865.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603658,CYMBALTA 60 MG CAPSULE,250,,$48.03 ,$48.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603659,SKELAXIN 800 MG TABLET,250,,$24.52 ,$24.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603660,AVODART LF 0.5 MG CAPSULE,250,,$30.14 ,$30.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603663,VIGAMOX EYE DROPS 0.5%,250,,$690.54 ,$690.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603664,REQUIP 0.25 MG TABLET,250,,$1.00 ,$1.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603666,FLUCONAZOLE W/SALINE 200MG/100ML,250,,$72.35 ,$72.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603668,SENSIPAR 30 MG TABLET,250,,$107.37 ,$107.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603671,SODIUM CHLORIDE 3% INJ 500 ML,250,J7040,$5.55 ,$5.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603672,FLUCONAZOLE W/SALINE 400MG/200ML,250,J1450,$19.56 ,$19.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603674,UROXATRAL 10 MG TABLET,250,,$1.38 ,$1.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603675,STRATTERA 60 MG CAPSULE,250,,$49.15 ,$49.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603678,PACERONE 100 MG TAB,250,,$16.19 ,$16.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603679,FLOVENT 220 MCG,250,,"$1,720.95 ","$1,720.95 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603683,ENTOCORT 3 MG CR CAP,250,,$156.93 ,$156.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603688,LOTRONEX 1 MG TABLET,250,,$204.93 ,$204.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603690,PULMICORT RESPULE DOSE CHARGE,250,,$6.44 ,$6.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603691,EMEND 80 MG CAPSULE UD,250,J8501,$47.52 ,$47.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603692,LACRI-LUBE S.O.P. OPHTH OINT 3.5G,250,,$18.49 ,$18.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603693,URSO 250 MG TAB,250,,$10.48 ,$10.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603694,PROMETRIUM LF 100 MG CAPSULE,250,,$16.83 ,$16.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603696,AZOPT OPHTH 1% SUSPENSION,250,,$874.36 ,$874.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603699,DEXTROSE 10% INJ 1000ML,250,,$9.53 ,$9.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603700,CEFAZOLIN SODIUM-DEXTROSE 1G INJ,250,J0690,$13.97 ,$13.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603701,VELCADE 3.5 MG INJECTION,250,J9041,$329.96 ,$329.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603702,FLUDARABINE 50 MG INJECTION,250,J9185,"$1,634.87 ","$1,634.87 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603703,FLUCONAZOLE 100 MG TABLET,250,,$1.00 ,$1.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603704,FLUCONAZOLE 150 MG TABLET,250,,$3.02 ,$3.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603705,FLUCONAZOLE 200 MG TABLET,250,,$1.60 ,$1.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603706,EVOXAC 30MG CAPSULE,250,,$23.43 ,$23.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603710,"VITAMIN A 10,000 UNITS",250,,$0.10 ,$0.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603711,REQUIP 5 MG TABLET,250,,$1.30 ,$1.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603713,OXYTROL PATCH 3.9 MG,250,,$195.82 ,$195.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603715,DENAVIR 1% CREAM 1.5 GM,250,,$608.82 ,$608.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603716,ARAVA 20 MG TABLET,250,,$3.54 ,$3.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603717,SPECTRACEF 200 MG TABLET,250,,$109.70 ,$109.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603720,REYATAZ 200 MG CAPSULE,250,,$132.96 ,$132.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603721,NITRO-BID 2% OINTMENT,250,,$9.32 ,$9.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603722,TAMIFLU ORAL SUSPENSION,250,,$736.82 ,$736.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603723,ALINIA 500 MG TABLET,250,,$153.19 ,$153.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603725,HYDROCERIN LOTION 473,250,,$27.74 ,$27.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603727,LEVAQUIN 25 MG/ ML LIQUID,250,,$302.87 ,$302.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603731,GUAIFENESIN/DEXTROMETHORPHAN,250,,$3.10 ,$3.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603734,CANCIDAS IV 70 MG INJ,250,J0637,"$2,547.16 ","$2,547.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603737,ARANESP 300 MCG/ ML INJ,250,J0881,$25.29 ,$25.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603741,PAMIDRONATE DISODIUM 90 MG INJ,250,J2430,$248.98 ,$248.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603742,WELCHOL 625 MG TABLET,250,,$10.88 ,$10.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603743,GLEEVEC 100 MG TABLET,250,,$429.44 ,$429.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603747,TRICOR 145 MG TABLET,250,,$42.31 ,$42.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603751,RISPERDAL CONSTA 37.5 MG INJECTIO,250,J2794,$40.76 ,$40.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603752,VIVELLE-DOT PATCH 0.025 MG PATCH,250,,$79.71 ,$79.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603756,L.M.X 4% CREAM,250,,$208.26 ,$208.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603757,VINORELBINE TARTRATE 10 MG/ML INJ,250,J9390,$55.06 ,$55.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603758,VIROPTIC OPHTH SOL 1%,250,,"$1,119.44 ","$1,119.44 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603760,LIDOCAINE TOPICAL 4% DOSE CHARGE,250,,$19.79 ,$19.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603762,LIDOCAINE 4% TOPICAL DOSE CHARGE,250,,$104.08 ,$104.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603765,FASLODEX 125MG/2.5 ML INJ,250,J9395,$637.07 ,$637.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603766,VINCRISTINE 1 MG/ 1 ML INJECTION,250,J9370,$38.62 ,$38.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603767,VINCRISTINE 1MG/1ML 2ML INJ,250,J9375,$36.48 ,$36.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603770,LORATIDINE 10 MG TAB,250,,$2.68 ,$2.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603772,CUBICIN 500 MG IV,250,J0878,$4.54 ,$4.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603773,INTRON A 10 MILLION UNITS,250,J9214,$135.16 ,$135.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603776,L.M.X. DOSE CHARGE,250,,$112.85 ,$112.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603777,IPRATROPIUM BR NAS 0.06% SPRAY 15,250,,$30.45 ,$30.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603779,IPRATROPIUM NASAL 0.03% SPRAY 30M,250,,$64.62 ,$64.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603782,BABY AYR SALINE NASAL DROPS,250,,$14.50 ,$14.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603783,SODIUM CHLORIDE 0.45 %,250,,$12.64 ,$12.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603785,PENTASA 500 MG CR,250,,$22.93 ,$22.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603786,CYMBALTA 20 MG CAPSULE,250,,$42.79 ,$42.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603787,COREG 25 MG TABLET,250,,$0.25 ,$0.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603789,VIDAZA 100 MG VIAL,250,J9025,$41.17 ,$41.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603790,THIOTEPA 15 MG VIAL,250,J9340,"$1,633.36 ","$1,633.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603792,ARGATROBAN 100MG/ML VIAL 3ML,250,,$141.56 ,$141.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603793,ABRAXANE 100 MG,250,J9264,$71.39 ,$71.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603795,MICONAZOLE 2% CREAM 15 GM,250,,$8.04 ,$8.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603797,FLUCONAZOLE 10 MG/ML ORAL SUSP,250,,$73.70 ,$73.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603798,FLUCONAZOLE 40 MG/ML ORAL SUSP,250,,$112.56 ,$112.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603800,BREVIBLOC 2500 MG/ 250 ML,250,,"$1,161.33 ","$1,161.33 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603801,BETOPTIC S OPHTH SUSP 5 ML,250,,$597.69 ,$597.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603802,SODIUM CHLORIDE 0.45% 250 ML BAG,250,,$9.79 ,$9.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603803,RISPERDAL CONSTA 50 MG INJ,250,J2794,$40.76 ,$40.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603804,CEPHALEXIN 125 MG/ 5ML,250,,$1.58 ,$1.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603806,RIFAMPIN 150 MG CAPSULE,250,,$17.82 ,$17.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603807,TRICOR 48 MG TABLET,250,,$14.10 ,$14.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603808,IMITREX 50 MG TABLET,250,,$5.65 ,$5.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603809,RAZADYNE 4 MG TABLET,250,,$7.36 ,$7.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603811,TYGACIL 50 MG INJECTION,250,J3243,$12.31 ,$12.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603815,AMPICILLIN 1 G ADDVANTAGE VIAL,250,,$30.63 ,$30.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603818,"EPOGEN 20,000 UNITS/ML VIAL",250,J0885,$94.33 ,$94.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603821,DOXYCYCLINE 50 MG CAPSULE,250,,$0.62 ,$0.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603829,RAZADYNE ER 8 MG CAP,250,,$21.08 ,$21.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603830,MENTAX 1% CREAM 15 G,250,,$569.37 ,$569.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603835,ZIAGEN 300 MG TABLET,250,,$67.59 ,$67.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603837,SENNA S TABLET,250,,$0.11 ,$0.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603839,CIPROFLOXACIN 0.3% EYE DROPS,250,,$18.15 ,$18.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603841,XIFAXAN 200 MG TABLET,250,,$88.21 ,$88.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603846,FLINTSTONES MULTIVITAMIN CHEW TAB,250,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603848,LYRICA 50 MG CAPSULE,250,,$22.19 ,$22.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603849,LYRICA 75 MG CAPSULE,250,,$24.41 ,$24.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603850,OXYCODONE/APAP 5-325 MG TAB,250,,$0.69 ,$0.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603852,RONDEC DM ORAL DROPS,250,,$381.05 ,$381.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603853,CLADRIBINE 1 MG/ML INJ 10 ML VIAL,250,J9065,$144.47 ,$144.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603854,OMNICEF ORAL SUSP 250 MG 5 ML,250,,$12.36 ,$12.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603855,VESICARE 5 MG TABLET,250,,$45.05 ,$45.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603856,STRATTERA 40 MG CAPSULE,250,,$49.15 ,$49.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603857,GLIPIZIDE XL 2.5 MG TABLET,250,,$1.41 ,$1.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603859,GLIPIZIDE XL 5 MG TABLET,250,,$1.00 ,$1.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603860,GLIPIZIDE XL 10 MG TABLET,250,,$1.92 ,$1.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603861,ADENOSINE 3 MG/ML INJECTION,250,J0150,$55.16 ,$55.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603862,PREMARIN 0.45 MG TABLET,250,,$18.88 ,$18.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603863,KEPPRA 100 MG/ML LIQUID,250,,$240.91 ,$240.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603864,CIPRODEX OTIC SUSPENSION 7.5 ML,250,,"$1,042.64 ","$1,042.64 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603865,PAMIDRONATE 30 MG VIAL,250,J2430,$112.49 ,$112.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603867,CEFTRIAXONE 250 MG VIAL,250,J0696,$5.30 ,$5.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603868,CEFTRIAXONE 500 MG VIAL,250,J0696,$3.76 ,$3.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603869,CEFTRIAXONE 1 GRAM VIAL,250,J0696,$2.15 ,$2.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603870,CEFTRIAXONE 2 GRAM VIAL,250,J0696,$2.32 ,$2.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603872,NEUTROGENA T-GEL SHAMPOO,250,,$110.76 ,$110.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603873,AMIODARONE HCL 50 MG/ML 3 ML VIAL,250,J0282,$1.19 ,$1.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603876,CAMPRAL DR 333MG TABLET CR,250,,$7.19 ,$7.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603877,KALETRA ORAL 400-100 MG/ 5ML LIQ,250,,$523.33 ,$523.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603880,CLIMARA 0.075 MG/24HR PATCH,250,,$161.35 ,$161.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603881,NEXIUM I.V. 40MG INJECTION,250,,$37.74 ,$37.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603882,FOLBIC TABLET,250,,$4.42 ,$4.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603883,FENTANYL PATCH 25MCG/HR,250,,$20.72 ,$20.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603884,FENTANYL PATCH 50MCG/HR,250,,$89.41 ,$89.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603885,FENTANYL PATCH 75MCG/HR,250,,$137.17 ,$137.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603886,FENTANYL PATCH 100 MCG/ HR,250,,$194.19 ,$194.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603888,RANEXA 500 MG TABLET CR 12 HR,250,,$29.26 ,$29.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603889,ROZEREM 8 MG TABLET,250,,$41.60 ,$41.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603891,TERCONAZOLE VAG 0.8% CR 20 GM,250,,$70.70 ,$70.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603892,CLOTRIMAZOLE VAGINAL 1 % CR 45 GM,250,,$19.86 ,$19.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603893,ENABLEX 15 MG TABLET CR,250,,$39.58 ,$39.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603894,STRATTERA 25 MG CPSULE,250,,$45.30 ,$45.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603895,AZITHROMYCIN 250 MG TABLET,250,,$10.71 ,$10.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603896,AZITHROMYCIN 500 MG INJECTION,250,J0456,$223.60 ,$223.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603897,SANCTURA 20 MG TABLET,250,,$14.24 ,$14.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603898,CYCLOGYL OPHTH 0.5% DROPS,250,,$407.05 ,$407.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603899,TRUVADA TABLET,250,,$296.03 ,$296.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603900,CLOTRIMAZOLE 1 CREAM,250,,$10.42 ,$10.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603902,RENAGEL 400 MG TABLET,250,,$11.59 ,$11.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603903,VOSPIRE ER 4 MG,250,,$5.30 ,$5.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603905,DURAGESIC PATCH 25 MCG,250,,$157.08 ,$157.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603907,DISTILLED WATER,250,,$0.82 ,$0.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603910,AZATHIOPRINE 50 MG TABLET,250,J7500,$1.28 ,$1.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603911,DOXAZOSIN MESYLATE 1 MG TABLET,250,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603912,DOXAZOSIN MESYLATE 2 MG TABLET,250,,$0.59 ,$0.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603913,DOXAZOSIN MESYLATE 4 MG TABLET,250,,$0.33 ,$0.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603914,KALETRA 50-200 MG TABLET,250,,$46.52 ,$46.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603916,ZMAX 2G/60ML SUSPENSION,250,,$776.55 ,$776.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603917,DEPOCYT LIPOSOME,250,J9098,"$3,931.17 ","$3,931.17 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603920,EYE LUBRICANT OPHTHALMIC OINTMENT,250,,$9.22 ,$9.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603921,ALPHAGAN P DROPS 0.1 % OPTHALMIC,250,,$588.11 ,$588.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603923,VANCOMYCIN 1 G VAIL ADD-VANTAGE,250,J3370,$13.61 ,$13.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603924,VANCOMYCIN 500 MG ADD-VANTAGE INJ,250,,$30.63 ,$30.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603926,ACETADOTE INJECTION,250,J0132,$24.87 ,$24.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603927,ALIMTA 500 MG INJECTION,250,J9305,$420.68 ,$420.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603928,AVASTIN 400 MG 16 ML VIAL,250,J9035,$450.73 ,$450.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603929,AVASTIN 100 MG 4 ML VIAL,250,J9035,$450.73 ,$450.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603930,ACETYLCYSTEINE 20% SOLUTION 4 ML,250,J7608,$28.12 ,$28.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603931,LIDOCAINE VISC 2% DOSE CHARGE,250,,$4.48 ,$4.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603932,LIDOCAINE HCL VISCOUS 2% LIQ,250,,$14.56 ,$14.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603933,CICLOPIROX 0.77% CREAM,250,,$50.54 ,$50.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603934,CICLOPIROX TS 0.77% LOTION,250,,$74.08 ,$74.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603935,CLOTRIMAZOLE/BETAMETH CR 15 GM,250,,$120.53 ,$120.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603937,FUZEON INJ KIT,250,J1324,$3.75 ,$3.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603941,FLORASTOR 250 MG CAPSULE,250,,$4.13 ,$4.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603942,AMITIZA 24 MCG CAPSULE,250,,$29.57 ,$29.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603943,MUPIROCIN 2 % OINTMENT 22 GM,250,,$50.69 ,$50.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603945,RAZADYNE 8 MG TABLET,250,,$28.75 ,$28.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603946,MILRINONE 1 MG ML 20 ML VIAL,250,J2260,$20.20 ,$20.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603947,CHOLESTYRAMINE PACKET,250,,$5.49 ,$5.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603948,CIPROFLOXACIN 400 MG VIAL,250,J0744,$10.29 ,$10.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603954,DILTIAZEM 120 MG CR CAPSULE,250,,$3.53 ,$3.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603955,DILTIAZEM 180 MG CR CAPSULE,250,,$7.00 ,$7.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603956,DILTIAZEM 240 MG CR CAPSULE,250,,$4.37 ,$4.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603958,DILTIAZEM 360 MG CR CAPSULE,250,,$92.60 ,$92.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603959,FOSRENOL 500 MG TABLET,250,,$57.63 ,$57.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603960,FEMARA 2.5 MG TABLET,250,,$125.93 ,$125.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603962,ALBUTEROL 2.5MG/.5 ML INHAL SOL,250,J7611,$1.12 ,$1.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603963,RACEPINEPHRINE INHAL 2.25% .5ML,250,,$9.16 ,$9.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603965,SODIUM CHLORIDE 0.9% INHAL 3 ML,250,,$0.93 ,$0.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603966,VITAMIN A&D OINTMENT 5 GM UD,250,,$1.28 ,$1.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603967,NYSTATIN ORAL SUSPENSION 5 ML UD,250,,$8.50 ,$8.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603968,GUAIFENESIN DM SYRUP 10 ML UD,250,,$201.05 ,$201.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603969,MAG-AL PLUS SUSP 30 ML UD,250,,$3.24 ,$3.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603970,PETROLATUM 5 GM UD OINTMENT,250,,$1.41 ,$1.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603972,SIMVASTATIN 10 MG TAB UD,250,,$1.54 ,$1.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603973,SIMVASTATIN 20 MG TAB,250,,$11.98 ,$11.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603974,SIMVASTATIN 40 MG TABLET,250,,$12.00 ,$12.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603975,AROMASIN 25 MG TABLET,250,,$35.16 ,$35.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603976,GAMMAGARD S/D 5 G INJECTION,250,J1566,$286.03 ,$286.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603977,GAMMAGARD S/D 10G INJECTION,250,J1566,$286.03 ,$286.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603978,CHLORHEDINE ORAL RINSE 473 ML,250,,$24.68 ,$24.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603979,SPIRIVA CAPS-HANDIHALER 18 MCG,250,,$476.53 ,$476.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603981,GABITRIL 4 MG TABLET,250,,$39.22 ,$39.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603982,CILOXAN OPHTH0.3 % OINTMENT,250,,$822.66 ,$822.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603984,BRIMONIDINE 0.2% EYE SOLUTION,250,,$16.66 ,$16.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603985,ELESTAT EYE DROP 0.05% 5 ML,250,,$340.17 ,$340.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603988,ATROPINE SULFATE 1% 15ML OPHTH,250,,$163.35 ,$163.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603989,ERYTHROMYCIN TOPICAL 2% GEL,250,,$79.79 ,$79.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603990,CLINDAMYCIN 1% TOPICAL GEL 30 GM,250,,$338.96 ,$338.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603991,CLEOCIN VAGINAL 100 MG OVULE SUPP,250,,$198.14 ,$198.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603992,RYTHMOL 225 MG TABLET,250,,$1.78 ,$1.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603993,PREMPRO 0.45-1.5MG TAB,250,,$23.14 ,$23.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603994,AMOX TR-K CLV 400-57.5 MG TABLET,250,,$9.01 ,$9.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603995,DISOPYRAMIDE 100 MG CAPSULE,250,,$2.20 ,$2.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603996,POLYETHYLENE GLYCOL 3350 255GM,250,,$86.47 ,$86.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603997,VIAGRA 25 MG TABLET,250,,$161.65 ,$161.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603998,VALPROIC ACID 250MG/5ML CUP,250,,$3.41 ,$3.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41603999,IBUPROFEN 100 MG/5 ML SUSPENSION,250,,$0.56 ,$0.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604003,TETRACAINE HCL 0.5% 2ML OPHTH SOL,250,,$32.39 ,$32.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604004,OXYTOCIN-NS 10U/1000 ML BAG,250,,$45.00 ,$45.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604005,LOVAZA LF CAPSULE,250,,$11.79 ,$11.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604006,DEFEROXAMINE MESYLATE 500 MG INJ,250,J0895,$48.77 ,$48.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604007,ANAGRELIDE 0.5 MG CAPSULE,250,,$1.47 ,$1.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604008,DOXYCYCLINE 100 MG CAPSULE,250,,$35.85 ,$35.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604009,APIDRA 10 ML,250,J1815,$1.56 ,$1.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604010,"PENICILLIN G SODIUM 5,000,000UNIT",250,,$305.47 ,$305.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604011,AMOXICILLIN-CLAVULANATE 600/42.9,250,,$7.82 ,$7.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604012,CHLORTHALIDONE 50 MG,250,,$3.42 ,$3.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604013,UTA CAPSULE,250,,$22.50 ,$22.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604014,DICLOFENAC DR 25 MG TAB,250,,$7.06 ,$7.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604015,DOCLOFENAC DR 50 MG TAB,250,,$0.25 ,$0.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604016,ALTABAX 1% OINTMENT 15 GM,250,,$695.72 ,$695.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604017,NORETHINDRONE 5 MG TABLET,250,,$12.11 ,$12.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604018,CEFPROZIL 250 MG TABLET,250,,$14.33 ,$14.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604019,OFLOXACIN EYE DROPS 0.3% 5 ML,250,,$93.12 ,$93.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604021,TRUSOPT 2% OPHTHALMIC DROP 10 ML,250,,$575.19 ,$575.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604023,LEVOBUNOLOL 0.25% OPHTH SOLUTION,250,,$31.80 ,$31.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604025,ACULAR OPHTH 0.5% SOLN 3 ML,250,,"$1,123.55 ","$1,123.55 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604026,NEOMYCIN/POLYMYXIN/DEXAM5ML OPHTH,250,,$616.06 ,$616.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604027,TROPICAMIDE 1% OPHTH SOLUTION,250,,$50.85 ,$50.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604028,PILOCARPINE 2% OPHTH 15ML SOLUTIO,250,,$549.71 ,$549.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604029,PRED MILD 5ML OPHTH SUSP,250,,$188.01 ,$188.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604030,MEGESTROL ORAL SUSP 40MG/ML 10ML,250,,$22.53 ,$22.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604031,ELIDEL 1% CREAM 30GM,250,,"$1,245.50 ","$1,245.50 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604032,METRONIDAZOLE 0.75% GEL 45GM,250,,$834.44 ,$834.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604035,LOPERAMIDE 1MG/5ML 5M LIQ,250,,$8.23 ,$8.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604036,ALBUTEROL 2.5 MG/0.5 ML INH SOLN,250,J7611,$61.48 ,$61.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604037,ACETAMINOPHEN 160MG/5ML 5ML CUP,250,,$2.43 ,$2.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604038,FAMCICLOVIR 250 MG TABLET,250,,$13.17 ,$13.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604039,M-M-R II 0.5 ML INJECTION,250,,$37.74 ,$37.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604040,METHYLPREDNISOLONE 4 MG TABLET,250,J7509,$6.43 ,$6.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604041,NALTREXONE 50 MG TAB,250,,$8.51 ,$8.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604042,RELPAX 20 MG TAB,250,,$205.22 ,$205.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604043,ESTROPIPATE 0.75MG TAB,250,,$1.28 ,$1.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604045,AMANTADINE 50MG/5ML 10ML UD,250,,$7.73 ,$7.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604046,PHENYTOIN SUSP 100MG/4ML 4ML UD,250,,$8.61 ,$8.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604049,PLAVIX 300 MG,250,,$193.36 ,$193.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604050,IDARUBICIN 1MG/ML 5ML VIAL,250,J9211,$673.17 ,$673.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604051,IDARUBICIN 1MG/ML 20ML VIAL,250,J9211,$673.18 ,$673.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604054,PROTONIX DR SACHET 40MG,250,,$45.20 ,$45.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604055,DACOGEN 50 MG VIAL,250,J0894,$157.29 ,$157.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604056,ISENTRESS 400MG,250,,$123.90 ,$123.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604058,AMBISOME/AMPHOTERICIN B LIPSOME 50MG,250,J0289,$227.22 ,$227.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604060,MAGNESIUM SULFATE PREMIX 2GM 50ML,250,J3475,$11.20 ,$11.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604063,ARICEPT 10MG / DONEPEZIL 10MG,250,,$3.54 ,$3.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604064,PULMICORT / BUDESONIDE AEPB 180MCG,250,,"$1,153.70 ","$1,153.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604065,RELISTOR 12MG METHYLNALTREXONE 12MG/0.6M,250,J2212,$3.28 ,$3.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604066,ERBITUX 2 MG/ML 100ML CETUXIMAB 2MG/ML,250,J9055,$369.83 ,$369.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604067,LIDOCAINE VISCOUS 2% 20ML,250,,$2.96 ,$2.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604069,PROAIR HFA/ALBUTEROL 90MCG 8.5GM,250,,$95.58 ,$95.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604070,ERAXIS / ANIDUALFUNGIN,250,,$511.84 ,$511.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604072,ASMANEX 110MCG MOMETASONE 110MCG INHALER,250,,$892.35 ,$892.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604078,NOXAFIL 200MG/5ML POSACONAZOLE 200MG/5ML,250,,"$5,972.65 ","$5,972.65 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604079,NAMENDA 10MG MEMANTINE 10MG,250,,$29.30 ,$29.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604081,MYFORTIC 360MG MYCOPLHENOLATE TBEC 360MG,250,J7518,$28.24 ,$28.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604082,"RYTHMOL CP12, 325MG PROPAFENONE 325MG",250,,$57.58 ,$57.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604084,MORPHINE IN D5W 1MG/ML 250MG MORPHINE IN,250,J2271,$30.01 ,$30.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604086,DILAUDID IN NS 50 ML HYDROMORPHONE0.2MG,250,J1170,$27.00 ,$27.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604089,"HEPARIN SYRG 10U/ML, 3ML",250,J1642,$1.02 ,$1.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604090,ALBUTEROL SULFATE 1.25MG-3ML,250,,$4.59 ,$4.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604091,FUSILEV 50MG LEVOLEUCOVORIN SOLR 50MG,250,J0641,$14.54 ,$14.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604095,SUBLIMAZE FENTANYLK CITRATE IN NS 100ML,250,J3010,$6.67 ,$6.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604097,VESANOID 10 MG,250,,$143.95 ,$143.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604098,ZYLOPRIM ALLOPURINOL SOD 500 MG INJ,250,,"$2,170.54 ","$2,170.54 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604104,COLISTIMETHATE INJ 150MG,250,,$129.64 ,$129.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604105,ABREVA 10% / DOCOSANOL 10% CREAM,250,,$113.03 ,$113.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604106,IXEMPRA 15MG IXABEPILONE SOLRN 15MG,250,J9207,$475.89 ,$475.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604107,IXEMPRA 45MG IXABEPILONOE SOLR 45MC,250,J9207,$475.90 ,$475.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604108,DORIBAX 500MG VIAL / DORIPENEM,250,,$106.39 ,$106.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604109,AMIODARONE 900MG IN 500ML 5% DEXT,250,J0282,$3.87 ,$3.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604111,CEFTRIAXONE 1G IN 50ML DUPLEX INJ,250,,$72.35 ,$72.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604112,CEFTRIAXONE 2G IN 50ML DUPLEX INJ,250,,$131.94 ,$131.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604114,CLEOCIN 600MG/50ML INJ CLINDAMYCI,250,,$72.35 ,$72.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604115,CLEOCIN 900MG/50ML INJ CLINDAMYCI,250,,$72.35 ,$72.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604116,NARAPIN 5MG/ML 20ML ROPIVACAINE 5MG/ML 2,250,J2795,$0.79 ,$0.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604118,EFFIENT 10MG TABLET/PRASUGREL,250,,$46.31 ,$46.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604119,MULTAQ 400MG DRONEDARONE 400MG,250,,$34.11 ,$34.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604120,RANEXA 500MG TABLET/RANOLAZINE,250,,$10.06 ,$10.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604121,MIDAZOLAM 1MG/ML IN 100ML NS INFU,250,,$120.44 ,$120.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604122,POTASSIUM CHLORIDE 40MEQ/250ML IN,250,,$0.30 ,$0.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604123,PHENYLEPHRINE 160MCG/ML 250ML INF,250,,$72.35 ,$72.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604124,DILTIAZEM 250MG/250ML D5W INFUSIO,250,,$72.35 ,$72.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604126,CIPROFLOXACIN 400MG IN 200ML D5W,250,,$72.35 ,$72.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604127,NPLATE 250 MCG INJECTION,250,J2796,$367.93 ,$367.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604131,MAGNESIUM SULFATE 4% PREMIX 4GM/100ML,250,J3475,$5.23 ,$5.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604132,PERFOROMIST FORMOTEROL FUMARATE NEBU,250,,$18.74 ,$18.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604145,AMIDATE ETOMIDATE SOLN 2MG/ML,250,,$41.31 ,$41.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604147,HYLENEX 150U/ML HYALURONIDASE 150U/ML,250,J3470,$318.83 ,$318.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604149,NEOMYCIN-BACIT-POLY UNIT DOSE,250,,$1.54 ,$1.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604151,POLY-VI-SOL WITH IRON PED DROPS,250,,$27.00 ,$27.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604153,CEFOXITIN SODIUM,250,,$30.39 ,$30.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604159,NAFCIL 1 GRAM INJ,250,,$30.63 ,$30.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604161,SODIUM BIXCARBONATE 8.4% 50ML,250,,$30.63 ,$30.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604169,"LEVEMIR 10ML INSULIN DETEMIR 100U/ML, 10",250,J1815,$2.91 ,$2.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604171,CARDIZEM CD 180MG CAPSULES,250,,$4.12 ,$4.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604172,CARDIZEM CD 240MG CAPSULES DILTIA,250,,$4.05 ,$4.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604174,DILTIAZEM HCL,250,,$55.69 ,$55.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604177,"RYTHMOL CP12, 225MG PROPAFENONE 22MG",250,,$36.47 ,$36.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604179,PRENATAL VITAMINS (TABLETS),250,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604185,EXELON PATCH 4.6MG RIVSTIGMINE PATCH 4.6,250,,$71.00 ,$71.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604186,EXELON PATCH 9.5MG,250,,$71.00 ,$71.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604190,ORENCIA 250MG ABATACEPT 250MG SOLR,250,J0129,$178.72 ,$178.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604192,SANDOSTATIN LAR DEPOT INJ 30MG,250,J7502,$939.16 ,$939.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604193,HEPARIN 100U/ML 5ML VIAL,250,J1642,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604194,SEROQUEL XR 50MG TABLETS,250,,$46.23 ,$46.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604195,SEROQUEL XR 150MG QUETIAPINE XR 150MG,250,,$78.43 ,$78.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604196,SEROQUEL XR 200MG QUETIAPINE XR 200MG,250,,$86.32 ,$86.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604197,MANNITOL 20% 500ML,250,J2150,$12.05 ,$12.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604200,INSULIN LISPRO,250,,$33.54 ,$33.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604201,VECTIBIX 400MG/20ML PANITUMUMAB 400MG/20,250,J9303,$646.06 ,$646.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604202,RECLAST 5 MG/100MLZOLEDRONIC ACID 5MG 10,250,J3488,"$1,573.57 ","$1,573.57 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604203,FUROSEMIDE 100MG/100ML IVPB,250,,$68.23 ,$68.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604205,"NARCAN 0.4MG 10ML NALOXONE 0.4MG, 10ML",250,J2310,$97.22 ,$97.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604207,APIDRA 3ML PEN,250,J1815,$2.01 ,$2.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604208,NOVOLOG PEN 3ML,250,,$30.63 ,$30.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604210,LANTUS SOLOSTAR INSULIN GLARGINE INPN 3M,250,J1815,$6.09 ,$6.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604211,HUMULIN-R 3ML VIAL,250,J1815,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604212,HUMULIN 70/30 PEN INSULIN NPH AND REGULI,250,J1815,$1.31 ,$1.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604213,HEPARIN LOCK FLUSH 100 UNITS 5ML,250,,$30.63 ,$30.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604217,CUMARA PATCH ESTRADIOL PTWK 0.0375MG/24H,250,,$161.35 ,$161.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604218,FARAHEME 510MG FERUMOXYTOL SOLN 510MG,250,Q0138,$5.16 ,$5.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604219,ZOLADEX 10.8MG GOSERELIN IMPL 10.8MG,250,J9202,"$2,429.25 ","$2,429.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604220,SAMSCA 15MG,250,,"$2,081.23 ","$2,081.23 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604223,BONIVA SYRG 3MG IBANDRONATE SYRG 3MG,250,J1740,"$1,125.26 ","$1,125.26 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604224,NUCYNTA 50MG,250,,$16.18 ,$16.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604225,SINGULAIR 4MG PACKETS,250,,$38.02 ,$38.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604229,PRADAXA 75MG,250,,$20.63 ,$20.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604231,HUMULIN N PEN 3ML INJECTION,250,J1815,$1.31 ,$1.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604232,INVEGA 3MG PALIPERIDONE 3MG,250,,$132.92 ,$132.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604233,"NEVNAC 0.1% EYE DROPS, 3ML NEPAFENAC .1%",250,,"$1,043.78 ","$1,043.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604236,INVEGA SYRG 234MG PALIPERIDONE 234MG INJ,250,J2426,$52.25 ,$52.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604238,INVEGA SYRG 156MG PALIPERIDONE 156MG INJ,250,J2426,$52.25 ,$52.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604239,TRAVANTAN Z 0.004%,250,,$695.96 ,$695.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604241,MIOSTAT 0.01 % SOLN,250,,$80.07 ,$80.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604242,MIOCHOL-E KIT 20MG/2ML,250,,$207.44 ,$207.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604243,ATROPINE OINT 1% 3.5 GM,250,,$107.03 ,$107.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604244,ACTEMRA 200MG/10ML INJECTION,250,J3262,"$5,213.56 ","$5,213.56 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604245,ENLON PLUS ENDROPHONIUM CL ATROPINE,250,J3490,$73.59 ,$73.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604248,TEFLARO 600MG CEFTAROLINE 600MG,250,J0712,$5.49 ,$5.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604249,EMEND SOLR150MG FOSAPREPITANT SOLR 150MG,250,J1453,$12.44 ,$12.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604250,"MARCAINE 0.5% WITH EPI 1-200,000",250,,$30.63 ,$30.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604252,CALDOLOR 400MG IBUPROFEN SOLR 400MG/4ML,250,J1741,$13.34 ,$13.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604253,CALDOLOR 800MG IBUPROFEN SOLR 800MG/ML,250,J1741,$9.53 ,$9.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604254,KEPPRA 500MG ML INJECTION VIAL,250,J1953,$1.00 ,$1.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604255,VOLUVEN 500 ML INTRAVEN FLUID BAG,250,,$351.80 ,$351.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604256,AZACTAM 1G/5ML OF D5W AZTREOMAN,250,,$90.80 ,$90.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604258,AZACTAM 2G/50ML D5W-AZTREONAM,250,,$181.91 ,$181.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604261,SAPHRIS SUBL 5 MG,250,,$66.82 ,$66.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604262,SAPHRIS SUBL 10 MG,250,,$66.82 ,$66.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604263,RENVELA 800MG TABLET,250,,$17.93 ,$17.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604266,OFIRMEV 1000MG INJ,250,J0131,$0.88 ,$0.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604267,DUONEB NEBU LTC USE ONLY,250,J7620,$1.33 ,$1.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604268,ENTEREG CAP 12 MG,250,,$706.09 ,$706.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604270,NOVOSEVEN RT 5MG INJ/COAGULATION,250,J7189,"$3,363.34 ","$3,363.34 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604274,FOLOTYN 40MG/2ML PRALATREXATE 40MG/2ML,250,J9307,"$1,291.89 ","$1,291.89 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604276,"CARBOCAINE 1.5%, 30ML MEPIVACAINE 1.5%,",250,J0670,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604277,TDAP VACCINE 0.5ML,250,,$235.86 ,$235.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604278,"MAGNESIUM SULFATE IN D5W, 1GM 100 ML",250,J3475,$21.66 ,$21.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604280,ENABLEX 7.5MG,250,,$39.58 ,$39.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604283,ARANESP 100MCG INJECTION,250,J0881,$55.96 ,$55.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604284,ARANESP 150 MCG INJECTION,250,J0881,$25.29 ,$25.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604287,PHENYLEPHRINE 320MCG/ML IN NORMAL,250,,$91.01 ,$91.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604289,RENA-VITE TAB 0.8 MG,250,,$0.48 ,$0.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604290,BYETTA EXANATIDE PNU 10MCG,250,,"$2,288.51 ","$2,288.51 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604292,BYSTOLIC 5MG NEBIVOLOL 5MG,250,,$15.92 ,$15.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604296,RESTASIS OIPTHALMIC DROPS,250,,$34.33 ,$34.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604298,LIMBREL 250 CAP 250-50 MG,250,,$11.19 ,$11.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604300,AZILECT 1MG RASAGILINE 1MG,250,,$99.33 ,$99.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604301,HYOSCYAMINE SULFATE,250,,$3.83 ,$3.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604302,ABILIFY TAB 2 MG,250,,$152.77 ,$152.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604303,CLOZAPINE 50MG,250,,$6.77 ,$6.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604304,"ZENPEP 5,000 LIPASE/PROTEASE/AMYLASE",250,,$7.11 ,$7.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604306,ARANESP SINGLE INJ 60MCG/0.3ML INJG,250,J0881,$25.29 ,$25.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604307,PERIDEX 0.12% 15 ML,250,,$4.50 ,$4.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604312,LATUDA 40MG LURSAIDONE 40MG TAB,250,,$118.09 ,$118.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604313,DIFICID 200MG,250,,$762.25 ,$762.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604315,SUBOXONE FILM 2-0.5MG,250,,$28.52 ,$28.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604316,SUBOXONE FILM 8-2 MG,250,,$51.10 ,$51.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604320,PREZISTA 400MG,250,,$131.98 ,$131.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604321,MYCAMINE 100MG MICAFUNGIN 100MG,250,J2248,$5.36 ,$5.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604323,INVEGA SYRG 117MG PALIPERIDONE 117MG INJ,250,J2426,$52.25 ,$52.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604324,BENLYSTA 120MG / BELIMUMAB 120MG,250,J0490,$276.97 ,$276.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604325,VECTIBIX 100MG/5ML PANITUMUMAB 100MG/5ML,250,J9303,$646.06 ,$646.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604327,ELITEK 7.5MG,250,J2783,"$1,561.53 ","$1,561.53 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604328,XARELTO 10MG/RIVAROXABAN 10MG,250,,$37.90 ,$37.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604331,LIDOCAINE 4% LTA,250,,$33.46 ,$33.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604332,HYDROMET SYRUP 5ML LIQUID,250,,$22.32 ,$22.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604335,ZONEGRAN 25MG,250,,$0.54 ,$0.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604342,ALBENZA TAB 200 MG,250,,$260.89 ,$260.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604343,ZOFRAN ODT 4MG,250,,$150.16 ,$150.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604344,PITOCIN 10 UNITS /ML 10ML MDV,250,J2590,$43.05 ,$43.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604345,XARELTO 15MG/RIVAROXABAN 15MG,250,,$39.27 ,$39.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604346,VIIBRYD 10MG,250,,$30.50 ,$30.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604347,VIIBRYD 20MG,250,,$30.50 ,$30.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604348,VERSED 1MG/ML 5ML MIDAZOLAM 1MG/ML 5ML,250,J2250,$1.06 ,$1.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604350,SLOW FE 140MG FERROUS SULFATE TBER 140MG,250,,$0.46 ,$0.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604353,PROGRAF 0.5MG,250,,$14.37 ,$14.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604359,TREANDA 100MG/BENDAMUSTINE 100MG,250,J9033,$143.74 ,$143.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604361,CEFAZOLIN 2C/50ML DUPLEX IV BAG,250,J0690,$12.60 ,$12.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604362,BRILINTA 90MG,250,,$28.57 ,$28.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604364,"ZENPEP 20,000 LIPASE/PROTEASE/AMYLASE",250,,$26.12 ,$26.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604365,"ZENPEP 10,000",250,,$13.32 ,$13.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604370,ALUMINUM HYDROXIDE GEL SUSP 320MG/5ML,250,,$1.52 ,$1.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604371,GADAVIST 7.5MMOL/7.5ML GADOBUTROL SOLN,250,A9585,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604372,GADAVIST 10 MMOL/10ML GADOBUTROL SOLN,250,A9585,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604375,HUMIRA 40MG/0.ML SYRINGE,250,J0135,"$3,974.45 ","$3,974.45 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604378,MAXIPIME 1 GRAM VIAL,250,J0692,$16.02 ,$16.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604379,FLOVENT DISKUS 100 MCG INHALATION,250,,$602.48 ,$602.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604381,"WINRHO SDF LIQUID 1,500 IU 300 MCG INJ",250,J2792,$132.28 ,$132.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604384,PROMETH WITH CODEINE COUGHT SYRUP,250,,$0.75 ,$0.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604385,KYPROLIS 60 MG VIAL,250,,"$12,682.63 ","$12,682.63 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604386,XGEVA 120MG/1.7ML INJECTION,250,J0897,"$7,049.55 ","$7,049.55 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604387,DOXYCYCLINE MONOHYDRATE CAP 50MG,250,,$1.73 ,$1.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604389,1/2 NS 1000ML kCL 20MEQ,250,,$1.18 ,$1.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604390,D5NS 1000ML KCL 20MEQ,250,,$11.15 ,$11.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604394,STREPTOMYCIN 1 GM VIAL,250,J3000,$74.45 ,$74.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604395,MERREM 500MG VIAL,250,J2185,$9.01 ,$9.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604397,BENLYSTA 400MG VIAL,250,J0490,$276.97 ,$276.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604398,ACTEMRA 80MG/4ML INJECTION,250,J3262,$26.08 ,$26.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604399,ACTEMRA 400MG/20 ML INJECTION,250,J3262,$26.08 ,$26.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604400,CAMPOSAR 300MG/15ML VIAL,250,J9206,$34.91 ,$34.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604401,CISPLATIN 50MG/50ML VIAL,250,J9060,$13.79 ,$13.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604402,FLUOROURACIL 1000MG/20ML VIAL,250,J9190,$19.61 ,$19.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604403,LACTATED RINGERS SOLUTION 250ML BAG,250,J7120,$47.35 ,$47.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604404,METHOTREXATE 250MG/10ML VIAL MDV,250,J9250,$20.78 ,$20.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604410,CYSTO-CONRAY II 1-250ML URTH X 1 DOSE,250,Q9958,$0.62 ,$0.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604411,DIGIBAR 1 - 120ML ORAL X1 DOSE,250,,$34.05 ,$34.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604413,E-Z HE BARIUM 1-135 ML DOSE ORAL X 1 DOS,250,,$14.65 ,$14.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604415,E-Z PAQUE 1-176 GM ORAL X 1 DOSE,250,,$14.24 ,$14.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604416,GASTROGRAFFIN 1-120 ML ORAL X 1 DOSE,250,Q9963,$0.92 ,$0.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604417,IOPAMIDOL ISOVUE 1-10ML IT X 1 DOSE,250,Q9966,$16.75 ,$16.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604418,IOPAMIDOL ISOVUE M300 1-15ML IT X 1DOSE,250,Q9967,$14.86 ,$14.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604419,LIQUID POLIBAR PLUS 1-1900 ML ORAL X 1 D,250,,$99.03 ,$99.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604420,OMNIPAQUE 1-100ML IV X 1 DOSED,250,Q9966,$0.48 ,$0.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604421,OMNIPAQUE 1-10ML IV X 1 DOSE,250,Q9967,$8.95 ,$8.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604423,OMNIPAQUE 1-100ML IV X 1 DOSE,250,Q9967,$0.53 ,$0.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604424,OMNIPAQUE 1-150ML IV X 1 DOSE,250,Q9967,$0.46 ,$0.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604425,OMNIPAQUE 1-500ML IV X 1 DOSE,250,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604427,POLIBAR ACB 454 GM ENEMA RECT C X 1 DOSE,250,,$43.56 ,$43.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604428,READI CAT 2 BANANA 1-450ML ORAL X 1 DOSE,250,,$18.94 ,$18.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604429,READI CAT 2 BERRY 1-450 ML ORAL X 1 DOSE,250,,$18.94 ,$18.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604430,VARIBAR HONEY 1-250ML ORAL X 1 DOSE,250,,$296.04 ,$296.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604431,VARIBAR NECTAR 1-240ML ORAL X 1 DOSE,250,,$89.86 ,$89.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604432,VISIPAQUE 1-100 ML IV X 1 DOSE,250,Q9967,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604433,LUMIGAN 0.01%OPTH SOLUTION 2.5ML,250,,$760.35 ,$760.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604434,NEXTERONE PREMIXED INJ 360MG/200ML,250,J0282,$316.16 ,$316.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604435,LEVOTHYROXINE SODIUM 100MCG VIAL,250,,$388.53 ,$388.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604438,NEO-SYNEPHRINE 40MG/250ML BAGS,250,,$56.25 ,$56.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604441,MIOSTAT,250,,"$9,176.42 ","$9,176.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604442,VIMPAT 200 MG/20 ML SOLN,250,,$0.87 ,$0.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604465,NITROGLYCERIN 1ML/5ML SYRINGE FOR,250,,$32.45 ,$32.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604520,DOCETAXEL 80MG/4ML,250,J9171,$151.48 ,$151.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604534,GADAVIST 1MMOL/ML 30ML,250,A9585,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41605994,ERYTHROMYCIN 500MG BASE TAB,250,,$24.15 ,$24.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41610685,EPOGEN 10.000 UNITS,250,J0886,$94.33 ,$94.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41610775,IMITREX 25 MG ORAL,250,,$199.13 ,$199.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41636862,FLUOROURACIL 500,250,J9190,$17.64 ,$17.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41636870,BLEOMYCIN 15 UNITS,250,J9040,$210.83 ,$210.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41636912,ETOPOSIDE 50 MG P.O.,250,J8560,$419.10 ,$419.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41636946,MITOMYCIN 5 MG,250,J9280,$207.97 ,$207.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41636953,MITOMYCIN 20 MG,250,J9290,$142.96 ,$142.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41636995,CYCLOPHOSPHAMIDE 500 MG,250,J9095,$305.43 ,$305.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41637035,DACARBAZINE 200 MG,250,J9140,$86.55 ,$86.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41637928,HEPARIN LOCK FLUSH 10U/ML INJ,250,J1642,$7.84 ,$7.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41640724,RIMSO 50 TOPICAL SOLN,250,J1212,$492.94 ,$492.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41640732,HESPAN 500 ML,250,,$86.62 ,$86.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41640757,AVITENE 1 GM POWDER,250,,"$1,264.99 ","$1,264.99 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41640831,FACTOR VIII,250,J7190,"$8,759.28 ","$8,759.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41640914,HYPERAB (RABIES IG) 10ML INJ,250,90675,"$7,718.09 ","$7,718.09 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41640922,HYPERAB 2 ML,250,90675,$627.57 ,$627.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41640930,"THROMBIN KIT 20,000 UNIT",250,,"$1,769.10 ","$1,769.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41640989,THROMBOSTAT 5000 U,250,,$427.24 ,$427.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41641672,ACTIVASE 50MG,250,J2997,$406.08 ,$406.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41645673,ALBUMIN 25% 100ML,250,P9047,$284.96 ,$284.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41647703,AMIKIN 1 GM VIAL,250,J0278,$7.21 ,$7.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41647711,AMIKIN 500MG VIAL,250,J0278,$6.12 ,$6.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41649063,METHOTREXATE 50 MG,250,J9260,$2.41 ,$2.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41649089,MUSTARGEN,250,J9230,"$1,081.07 ","$1,081.07 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41649154,ASPARAGINASE,250,J9020,$456.79 ,$456.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41649196,ZOFRAN 20 ML VIAL,250,J2405,$31.41 ,$31.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41649204,LEUCOVORIN 10 MG TABS,250,J0640,$36.21 ,$36.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41649220,LEUCOVORIN 5 MG TABS,250,J0640,$10.15 ,$10.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41649295,CYCLOPHOSPHAMIDE 1 GM,250,J9096,$305.43 ,$305.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41649345,MITOMYCIN 40 MG,250,J9291,$242.76 ,$242.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41649410,LEUCOVORIN 100 MG HL,250,J0640,$62.07 ,$62.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41650509,MAGNESIUM CITRATE 10 OZ,250,,$9.30 ,$9.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41650517,COLYTE 4 LITER,250,,$55.18 ,$55.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41651978,IMITREX 6MG/0.5ML INJ,250,J3030,$703.80 ,$703.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41651994,ZOFRAN 4 MG TABLET,250,Q0179,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41652117,ACTIVASE (TPA) 100MG INJ,250,J2997,$388.42 ,$388.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654064,BACITRACIN OINT,250,,$15.45 ,$15.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654691,SANDIMMUNE 100 MG 50M,250,J7502,"$3,506.70 ","$3,506.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654733,NEUPOGEN 300 MCG,250,J1440,$3.48 ,$3.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654741,PENTAMIDINE 300MG,250,,$573.42 ,$573.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654881,DIFLUCAN 200 MG PB,250,J1450,$33.44 ,$33.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654900,ACTIFED TABLET,250,,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654901,ALDOMET 250MG TABLET,250,,$1.14 ,$1.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654903,AMOZIL 250MG CAPSULE,250,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654904,AMOXIL 500MG CAPSULE,250,,$1.01 ,$1.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654909,ANTIVERT 25MG TABLET,250,,$2.63 ,$2.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654910,BENTYL 10MG TAB,250,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654911,BRETHINE 2.5MG TAB,250,,$1.63 ,$1.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654914,CARAGATE 1 GM TAB,250,,$1.25 ,$1.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654915,CATAPRES 0.1MG TAB,250,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654916,CECLOR 250MG CAP,250,,$10.18 ,$10.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654918,CIPRO 500MG TAB,250,,$2.85 ,$2.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654922,FLAGYL 250MG TAB,250,,$1.77 ,$1.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654923,FLAGYL 500MG TAB,250,,$3.14 ,$3.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654924,INDERAL 10MG TAB,250,,$0.12 ,$0.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654925,INDERAL 40MG TAB,250,,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654927,KEFLEX 250MG CAP,250,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654928,KEFLEX 500MG CAP,250,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654930,LANOXIN 0.125MG TAB,250,,$0.73 ,$0.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654931,LANOXIN 0.25MG TAB,250,,$0.73 ,$0.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654932,MOTRIN 400MG TAB,250,,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654933,MOTRIN 800MG TAB,250,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654936,PARAFON DSC TAB,250,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654937,PROCARDIA 10MG CAP,250,,$4.86 ,$4.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654938,GENTAMICIN TOPICAL OINT 15GM,250,,$88.42 ,$88.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654940,POLYSPORIN OINT 15GM,250,,$26.26 ,$26.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654941,METHYLEN BLUE INJ 10ML,250,,$68.16 ,$68.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654942,PITRESSIN 20 UNITS/ML,250,J3490,$8.35 ,$8.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654947,0.9% NACL FOR INJ 100ML,250,,$7.68 ,$7.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654948,AMINOPHYLLINE,250,,$3.41 ,$3.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654952,BACITRACIN INJ,250,,$7.58 ,$7.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654953,POLYMYXIN B INJ,250,,$46.09 ,$46.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654955,XYLOCAINE 2% UROJECT,250,J2000,$34.78 ,$34.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654956,PAPAVERINE,250,,$12.11 ,$12.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654957,COCAINE 4 % SOLN,250,,$566.04 ,$566.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654959,NUPERCAINAL OINTMENT,250,,$32.07 ,$32.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654960,XYLOCAINE 2% TOPICAL JELLY,250,,$50.62 ,$50.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654965,BETADINE SOLN 8 OZ,250,A4246,$72.52 ,$72.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654969,NEO-SYNEPHRINE NASAL DROP 1%,250,,$15.83 ,$15.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654971,DECADRON 4MG/ML INJ,250,J1100,$0.90 ,$0.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654972,EPINEPHRINE 1-1000 1ML AMP,250,J0170,$0.83 ,$0.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654974,PREMARIN 25MG INJ,250,J1410,"$1,079.77 ","$1,079.77 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654976,BSS OPHTH SOLN 15ML,250,,$16.64 ,$16.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654981,NEOSPORIN OPHTH OINT 1/8OZ,250,,$272.37 ,$272.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654983,NEOSYNEPHRINE 2 1/2% OPHTH SOL5ML,250,,$9.07 ,$9.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654986,MARCAINE 0.5% W/EPI 30ML,250,,$2.75 ,$2.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654987,"XYLOCAINE 2% W/EPI 1-100,000 CARP",250,J2000,$4.27 ,$4.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654988,XYLOCAINE 1% 50ML INJ,250,J2001,$13.73 ,$13.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654991,ARISTOCORT CREAM 0.1% 15GM,250,,$9.01 ,$9.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654993,GELFOAM SIZE 100,250,,$150.90 ,$150.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654994,NEOSPORIN OINT 15GM,250,,$20.62 ,$20.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654995,ATROPINE 1MG/ML INJ,250,J0460,$4.89 ,$4.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654996,MARCAINE 0.25% W/EPI 30ML INJ,250,,$56.98 ,$56.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654997,MARCAINE 0.25% 30ML INJ,250,,$23.31 ,$23.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41654999,XYLOCAINE 0.5% MPF 50ML INJ,250,,$36.58 ,$36.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655000,XYLOCAINE 1% 30ML STERIPAK INJ,250,J2001,$35.71 ,$35.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655002,STADOL NS,250,J0595,$71.71 ,$71.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655005,AMINOPHYLLINE 500MG INJ,250,J0280,$7.06 ,$7.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655008,GENTAMICIN TOPICAL CREAM 15GM,250,,$88.42 ,$88.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655009,PYRIDIUM 100MG TAB,250,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655010,REGLAN 10MG TAB,250,,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655011,ROBAXIN 750MG TAB,250,,$0.92 ,$0.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655013,SUDAFED 30MG TAB,250,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655014,THIAMINE 100MG TAB,250,,$0.11 ,$0.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655019,VISTARIL 50MG CAP,250,,$0.53 ,$0.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655020,POTASSIUM CHLORIDE LIQ 20 MEQ,250,,$1.96 ,$1.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655021,POTASSIUM CHLORIDE LIQ 40 MEQ,250,,$2.10 ,$2.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655022,AMOXIL ORAL SUSP 125MG/5ML,250,,$9.91 ,$9.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655024,AMPICILLIN 250MG CAP,250,,$0.53 ,$0.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655025,AMPICILLIN 500MG CAP,250,,$0.84 ,$0.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655026,APRESOLINE 25MG TAB,250,,$1.78 ,$1.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655027,ASPIRIN 81MG TAB,250,,$0.10 ,$0.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655028,AUGMENTIN 250MG TAB,250,,$24.53 ,$24.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655029,BACTRIM TAB,250,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655030,BACTRIM DS TAB,250,,$0.46 ,$0.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655031,BENADRYL 25 MG CAPSULE,250,Q0163,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655032,BENADRYL 50 MG CAPSULE,250,Q0163,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655033,BENEMID 0.5GM TAB,250,,$2.46 ,$2.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655035,DECADRON 4MG TAB,250,J8540,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655036,DILANTIN 50MG TAB,250,,$4.98 ,$4.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655037,DILANTIN 100MG CAP,250,,$4.13 ,$4.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655040,DULCOLAX 5MG TB,250,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655041,DURICEF 500MG CAP,250,,$2.07 ,$2.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655042,FLEXERIL 10MG TAB,250,,$0.25 ,$0.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655044,HALDOL 2MG TAB,250,,$0.86 ,$0.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655045,HALDOL 5MG TAB,250,,$1.21 ,$1.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655047,BRETHINE 1MG INJ,250,J3105,$11.25 ,$11.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655048,VITAMIN B12 1000 MCG INJ,250,J3420,$3.99 ,$3.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655053,DEPO MEDROL 40MG INJ,250,J1030,$18.67 ,$18.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655054,DEPO MEDROL 80MG INJ,250,J1040,$35.55 ,$35.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655055,DILANTIN 250MG/5ML INJ,250,J1165,$19.68 ,$19.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655057,GARAMYCIN INJ 80 MG,250,,$30.63 ,$30.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655058,CLAFORAN 2GM INJ,250,J0698,$13.46 ,$13.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655059,CEFAZOLIN,250,,$8.59 ,$8.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655060,POTASSIUM CL 20 MEQ INJ,250,J3480,$0.83 ,$0.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655061,POTASSIUM CL 40MEQ INJ,250,J3480,$0.35 ,$0.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655062,MAGNESIUM SULFATE 1GM/2ML INJ,250,J3475,$2.04 ,$2.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655063,MEFOXIN 1GM INJ,250,J0694,$54.78 ,$54.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655064,MEFOXIN 2GM INJ,250,J0694,$29.66 ,$29.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655065,NARCAN 2MG/2ML INJ,250,J2310,$46.46 ,$46.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655066,NEBCIN 80MG/2ML INJ,250,J3260,$7.90 ,$7.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655067,NITROGLYCERIN 50MG INJ,250,,$26.14 ,$26.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655068,NORFLEX INJ,250,J2360,$305.01 ,$305.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655069,NUBAIN 20MG INJ,250,J2300,$9.84 ,$9.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655074,CELESTONE SOLUSPAN 5L INJ,250,J0702,$51.18 ,$51.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655075,COMPAZINE 10MG/2ML INJ,250,J0780,$29.76 ,$29.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655078,"HEPARIN INJ 1,000 UNITS/ML-1 ML",250,J1644,$12.64 ,$12.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655079,HEPARIN SOD INJ 5000 UNITS/ML-1ML,250,J1644,$1.59 ,$1.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655080,"HEPARIN INJ 10,000 UNITS/ML-1ML",250,J1644,$2.29 ,$2.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655081,HALOPERIDOL LACTATE,250,,$5.95 ,$5.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655082,HEPARIN LOCK FLUSH 10U/ML 10ML,250,,$30.63 ,$30.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655083,LANOXIN 0.5MG INJ,250,J1160,$7.33 ,$7.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655084,LASIX INJ 20 MG/ 2 ML,250,J1940,$4.43 ,$4.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655085,LASIX 40MG INJ,250,J1940,$2.41 ,$2.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655086,LASIX 100 MG INJECTION,250,J1940,$3.17 ,$3.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655087,LOPRESSOR 5MG/5ML INJ,250,,$5.01 ,$5.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655090,NARCAN 0.4MG/ML INJ,250,J2310,$170.25 ,$170.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655091,PHENERGAN 25MG/ML IV/IM INJ,250,J2550,$11.18 ,$11.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655092,PHENERGAN 50MG/ML IM INJ,250,J2550,$6.40 ,$6.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655093,PITOCIN 10U/ML INJ,250,J2590,$4.72 ,$4.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655094,REGLAN 10MG INJ,250,J2765,$4.22 ,$4.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655095,ROBAXIN 10ML INJ,250,J2800,"$6,561.96 ","$6,561.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655097,ROMAZICON 0.5MG/5ML INJ,250,J3490,$39.20 ,$39.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655098,SOLU CORTEF 100 MG INJECTION,250,J1720,$30.20 ,$30.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655099,SOLUCORTEF 250MG INJ,250,J1720,$53.56 ,$53.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655100,STADOL 2MG/ML INJ,250,J0595,$10.37 ,$10.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655102,THIAMINE 100MG INJ,250,Z1671,$32.53 ,$32.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655103,THORAZINE 50MG INJ,250,J3230,$128.86 ,$128.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655104,TIGAN 200MG INJ,250,J3250,$77.82 ,$77.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655108,ZANTAC 50MG/2ML INJ,250,J2780,$9.65 ,$9.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655109,SOLU MEDROL 40MG INJ,250,J2920,$12.42 ,$12.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655110,SOLU MEDROL 125MG INJ,250,J2930,$19.32 ,$19.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655111,SOLU MEDROL 500MG INJ,250,J2930,$13.97 ,$13.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655112,TORADOL 60MG INJ,250,J1885,$1.13 ,$1.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655113,TORADOL 30MG INJ,250,J1885,$3.91 ,$3.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655114,TORADOL 15MG INJ,250,J1885,$5.09 ,$5.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655115,BREVIBLOC 100MG/10ML INJ,250,,$20.33 ,$20.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655116,VITAMIN K 10MG INJ,250,J3430,$6.10 ,$6.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655121,INDERAL 1MG INJ,250,J1800,$14.45 ,$14.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655122,DOPAMINE 800MG/5ML INJ,250,J1265,$0.66 ,$0.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655123,DOBUTREX 250MG INJ,250,J1250,$25.04 ,$25.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655124,DEXTROSE 50% (25GM/50ML) INJ,250,,$34.92 ,$34.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655126,LIDOCAINE 100MG INJ,250,J2001,$17.51 ,$17.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655129,MVD COCKTAIL 30ML,250,,$1.20 ,$1.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655130,MANNITOL 25% 50ML INJ,250,J2150,$8.91 ,$8.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655131,NEOSYNEPHRINE 10MG INJ,250,J2370,$8.49 ,$8.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655133,NITROPRUSSIDE 50MG/2ML INJ,250,,$295.63 ,$295.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655134,PROCAINAMIDE 100MG INJ,250,J2690,$146.57 ,$146.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655135,PROCAINAMIDE 1GM INJ,250,J2690,$119.22 ,$119.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655136,TRANDATE 5MG/ML 20ML INJ,250,,$30.63 ,$30.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655137,SODIUM BICARB 1MEQ/ML 50ML INJ,250,,$7.21 ,$7.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655138,POTASSIUM PHOSPHATE DIBASIC,250,,$3.46 ,$3.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655139,AMMONIA INHALANTS,250,,$1.52 ,$1.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655141,PAVULON 10ML INJ,250,,$10.69 ,$10.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655142,CARDIZEM 50MG INJ,250,,$12.37 ,$12.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655143,CARDIZEM 25MG INJ,250,,$5.16 ,$5.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655158,IMODIUM 2MG CAP,250,,$1.10 ,$1.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655159,LASIX 20MG TAB,250,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655160,LASIX 40MG TAB,250,,$0.10 ,$0.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655161,LOPRESSOR 50MG TAB,250,,$0.11 ,$0.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655162,MINIPRES 1MG CAP,250,,$1.00 ,$1.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655164,PEN VK 250MG TAB,250,,$1.06 ,$1.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655165,PEN VK 500MG TAB,250,,$2.04 ,$2.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655166,PHENERGAN 25MG TAB,250,Q0170,$1.52 ,$1.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655167,PREDNISONE 1MG TAB,250,J7506,$2.13 ,$2.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655168,PREDNISONE 10MG TAB,250,J7506,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655169,PREDNISONE 20MG TAB,250,J7506,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655170,SYMMETREL 100MG CAP,250,,$9.79 ,$9.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655172,TEGRETOL 200MG TAB,250,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655173,TETRACYCLINE 500MG CAP,250,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655175,THEO-DUR 200MG TAB,250,,$1.16 ,$1.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655177,NITROGLYCERIN,250,,$2.16 ,$2.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655180,TRANSDERM NITRO 0.2MG/HR PATCH,250,,$4.49 ,$4.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655183,LIDOCAINE JELLY 2% 5 ML,250,,$21.34 ,$21.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655185,ADRENALIN 1MG/ML 30ML INJ,250,J0170,$19.24 ,$19.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655186,ALDOMET 250MG/5ML INJ,250,J0210,$283.12 ,$283.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655188,APRESOLINE 20MG INJ,250,J0360,$26.14 ,$26.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655190,AMPICILLIN 250MG INJ,250,J0290,$54.74 ,$54.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655191,AMPICILLIN 500MG INJ,250,J0290,$8.55 ,$8.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655192,AMPICILLIN 1GM INJ,250,J0290,$9.08 ,$9.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655193,BUMEX 1MG/4ML INJ,250,J3490,$11.44 ,$11.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655194,CALCUIM CL 1GM/10ML INJ,250,,$10.16 ,$10.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655195,CALCIUM GLUCONATE 10% INJ,250,J0610,$14.82 ,$14.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655196,ATIVAN 2MG/ML TUBEX INJ,250,J2060,$4.43 ,$4.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655200,ATIVAN 0.5MG TAB,250,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655201,ATIVAN 1MG TAB,250,,$0.46 ,$0.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655202,B&0 SUPP 15A,250,,$147.31 ,$147.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655203,B&O SUPP 16A,250,,$179.08 ,$179.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655210,CODEINE 30MG TAB,250,,$3.16 ,$3.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655213,DALMANE 15MG CAP,250,,$0.90 ,$0.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655219,DILAUDID 2MG INJ,250,J1170,$27.73 ,$27.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655222,HALCION 0.125MG TAB,250,,$1.33 ,$1.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655223,HALCION 0.25MG TAB,250,,$0.78 ,$0.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655225,LOMOTIL TAB,250,,$1.65 ,$1.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655227,LORTAB-5 TAB,250,,$1.79 ,$1.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655229,LORTAB-7.5 TAB,250,,$0.94 ,$0.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655235,MARINOL 2.5MG CAP,250,Q0167,$24.70 ,$24.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655240,MEPERIDINE 50MG TAB,250,,$2.65 ,$2.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655242,MEPERIDINE 25MG CARPUJECT,250,J2175,$56.02 ,$56.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655243,MEPERIDINE 50MG CARPUJECT,250,J2175,$29.05 ,$29.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655244,MEPERIDINE 75MG CARPUJECT,250,J2175,$18.09 ,$18.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655245,MEPERIDINE 100MG CARPUJECT,250,J2175,$13.58 ,$13.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655246,METHADONE 5MG TAB,250,,$1.60 ,$1.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655247,METHADONE 10MG TAB,250,,$1.64 ,$1.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655249,MORPHINE IR 15MG TAB,250,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655250,MORPHINE IR 30MG TAB,250,,$0.73 ,$0.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655251,MS CONTIN 15MG TAB,250,,$2.17 ,$2.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655252,MS CONTIN 30MG TAB,250,,$1.72 ,$1.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655253,MS CONTIN 60MG TAB,250,,$3.14 ,$3.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655254,MS CONTIN 100MG TAB,250,,$5.21 ,$5.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655255,MORPHINE SULFATE 2MG/ML INJ,250,J2270,$55.53 ,$55.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655256,MORPHINE SULFATE 4MG/ML INJ,250,J2270,$27.79 ,$27.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655257,MORPHINE SULFATE 8MG/ML INJ,250,J2270,$9.90 ,$9.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655258,MORPHINE SULFATE 10MG/ML INJ,250,J2270,$11.13 ,$11.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655261,OXYCONTIN 10MG TAB,250,,$13.21 ,$13.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655262,OXYCONTIN 20MG TAB,250,,$25.25 ,$25.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655265,PHENOBARBITAL ELIXIR 20MG PER 5ML,250,,$0.80 ,$0.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655266,PHENOBARBITAL 15MG TAB,250,,$1.01 ,$1.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655267,PHENOBARBITAL 30MG TAB,250,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655268,PHENOBARBITAL 60 MG TAB,250,,$1.42 ,$1.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655271,RESTORIL 15MG CAP,250,,$0.58 ,$0.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655272,RESTORIL 30MG CAP,250,,$0.40 ,$0.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655274,SERAX 10MG CAP,250,,$3.00 ,$3.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655275,SERAX 15MG CAP,250,,$3.76 ,$3.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655280,TRANXENE 7.5MG TAB,250,,$0.92 ,$0.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655281,TRANXENE 15MG TAB,250,,$0.93 ,$0.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655283,ACETAMINOPHEN-CODEINE 300-30MG,250,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655286,TYLENOL W/CODEINE ELIX 15ML,250,,$4.35 ,$4.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655289,VALIUM 2MG TAB,250,,$0.49 ,$0.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655290,VALIUM 5MG TAB,250,,$0.38 ,$0.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655291,VALIUM 10MG TAB,250,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655293,VERSED 5 MG/ML 2 ML VIAL,250,J2250,$0.62 ,$0.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655295,XANAX 0.25MG TAB,250,,$0.32 ,$0.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655296,XANAX 0.5MG TAB,250,,$0.40 ,$0.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655297,XANAX 1MG TAB,250,,$0.35 ,$0.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655299,ASPIRIN 5GR TAB,250,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655300,TYLENOL 325MG TAB,250,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655301,TYLENOL 500MG TAB,250,,$0.12 ,$0.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655304,ACTIVATED CHARCOAL 50GM,250,,$16.78 ,$16.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655306,BENEDRYL 12.5MG/5CC,250,Q0163,$231.21 ,$231.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655315,MILK OF MAGNESIA 30ML,250,,$1.66 ,$1.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655320,ROBITUSSIN EXP 5 ML,250,,$0.82 ,$0.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655326,PROVENTIL SYRUP 5ML,250,,$0.32 ,$0.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655328,BICILLIN CR 1.2 MILLION U INJ,250,J0540,$27.00 ,$27.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655331,"BICILLIN LA 600,000 UNIT INJ",250,J0560,$39.12 ,$39.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655332,BICILLIN LA 1.2 MILLION U INJ,250,J0570,$33.86 ,$33.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655333,BICILLIN LA 2.4 MILLION U INJ,250,J0580,$34.69 ,$34.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655337,TETANUS & DIPHTHERIA TOX ADULT,250,,"$1,538.94 ","$1,538.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655340,HYPERTET (HOMOTET) 250 U INJ,250,90389,"$1,846.72 ","$1,846.72 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655341,TUBERCULIN PPD,250,,$21.90 ,$21.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655342,ANECTINE 20MG/ML 10ML INJ,250,J0330,$1.11 ,$1.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655343,NEOSPORIN GU IRRIGANT AMP,250,,$156.26 ,$156.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655344,DHE 45 INJ,250,J1110,$415.59 ,$415.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655352,TYLENOL 325MG SUPPOSITORY,250,,$3.37 ,$3.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655353,TYLENOL 650MG SUPPOSITORY,250,,$3.71 ,$3.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655354,PHENERGAN 12.5 SUPPOSITORY,250,,$21.02 ,$21.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655355,PHENERGAN 25MG SUPPOSITORY,250,,$22.53 ,$22.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655356,PHENERGAN 50MG SUPPOSITORY,250,,$102.85 ,$102.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655357,ANUSOL SUPPOSITORY,250,,$2.46 ,$2.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655360,DULCOLAX 10MG SUPPOSITORY,250,,$1.04 ,$1.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655364,FLEETS ADULT ENEMA,250,,$6.75 ,$6.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655365,FLEETS PED ENEMA,250,,$8.70 ,$8.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655369,NACL 0.9% 10ML INJ,250,J2912,$11.62 ,$11.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655370,STERILE WATER 10ML INJ,250,J7051,$4.65 ,$4.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655375,XYLOCAINE 1% 20ML INJ,250,J2001,$0.36 ,$0.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655376,XYLOCAINE 1% W/WPI 20ML INJ,250,,$10.94 ,$10.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655378,XYLOCAINE 2% W/EPI 20ML INJ,250,,$10.75 ,$10.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655379,MARCAINE 0.5% 10ML INJ,250,,$2.32 ,$2.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655380,MARCAINE 0.25% 10ML INJ,250,,$2.00 ,$2.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655383,"EPINEPHRINE 1-10,000 SYRINGE",250,J0170,$3.01 ,$3.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655384,ATROPINE 1MG SYRINGE,250,J0460,$0.52 ,$0.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655385,DOPAMINE 800MG/500ML INJ,250,J1265,$3.58 ,$3.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655386,NITROGLYCERIN 50MG/250ML INJ,250,,$29.28 ,$29.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655391,DEBROX OTIC SOLN,250,,$11.25 ,$11.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655392,CORTISPORIN OTIC SUSP,250,,$109.13 ,$109.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655394,VOSOL OTIC SOLN,250,,$149.92 ,$149.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655396,CORTISPORIN OPHTH SUSP,250,,$891.22 ,$891.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655397,GENTAMICIN 3% OPHTH OINT 1/8 OZ,250,,$103.33 ,$103.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655398,GENTAMICIN 3% OPHTH SOLN 5ML,250,,$38.77 ,$38.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655404,BENADRYL 50MG 1ML INJ,250,J1200,$7.09 ,$7.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655407,VISTARIL 25MG CAP,250,Q0177,$0.53 ,$0.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655408,SODIUM SULAMYD OPHTH OINT,250,,$138.76 ,$138.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655411,VISINE OPHTH SOLN 15ML,250,,$11.12 ,$11.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655412,ISOPTO CARPINE 1% OPHTH SOLN,250,,$537.41 ,$537.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655414,CETACAINE ORAL TOP SPRAY,250,,$304.94 ,$304.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655417,MYCOLOG TOPICAL CREAM 15GM,250,,$483.49 ,$483.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655418,ATROVENT ORAL INHALER,250,,$130.18 ,$130.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655421,AMBIEN 5MG TAB,250,,$0.51 ,$0.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655422,DILAUDID 1MG/ML INJ,250,J1170,$24.39 ,$24.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655424,KLONOPIN 0.5MG TAB,250,,$0.40 ,$0.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655425,KLONOPIN 1MG TAB,250,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655427,HUMALOG INSULIN 10ML INJ,250,K0548,$1.66 ,$1.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655428,FLEET MINERAL OIL ENEMA 133 ML,250,,$12.08 ,$12.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655429,GELFOAM SPONGE 12X7MM,250,,$35.09 ,$35.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655431,NEO-SYNEPHRINE OPH SOL 10%-5 ML,250,,$33.89 ,$33.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655433,PHENYTOIN 100 MG/ 2 ML INJ,250,J1165,$5.51 ,$5.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655434,LEVOPHED 1MG/ML 4ML INJ,250,,$53.63 ,$53.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655435,AMICAR 250MG/ML 20ML INJ,250,,$9.30 ,$9.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655437,HEPARIN 1000 UNIT/500ML,250,J1644,$14.92 ,$14.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655438,FENTANYL INJ 100 MCG./ 2 ML,250,J3010,$2.12 ,$2.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655439,FENTANYL INJ 250 MCG/ 5 ML,250,J3010,$1.19 ,$1.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655440,PHENOBARBITAL 65MG INJ,250,J2560,$68.15 ,$68.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655441,PHENOBARBITAL 130MG INJ,250,J2560,$90.55 ,$90.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655442,RITALIN 5MG TAB,250,,$0.38 ,$0.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655444,LIBRIUM 5MG CAP,250,,$1.23 ,$1.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655445,LIBRIUM 10MG CAP,250,,$0.92 ,$0.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655446,LIBRIUM 25MG CAP,250,,$1.04 ,$1.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655448,FENTANYL AMP 1000 MCG/ 20 ML,250,J3010,$0.90 ,$0.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655450,TUSSIONEX SUSP 5ML,250,,$17.15 ,$17.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655454,VALIUM 10MG SYRINGE,250,J3360,$30.10 ,$30.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655455,GELFILM ENV GEL,250,,$606.09 ,$606.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655457,KENALOG-10 10MG/ML INJ,250,J3301,$16.56 ,$16.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655458,KENALOG-40 40MG/ML INJ,250,J3301,$0.66 ,$0.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655460,XYLOCAINE 1% WITH EPI 50ML,250,,$95.48 ,$95.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655461,XYLOCAINE 2% 50ML INJ,250,,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655462,XYLOCAINE 1% W/EPI STERIPAK,250,,$30.63 ,$30.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655463,CEREBYX 50MG/ML 1ML INJ,250,Q2009,$6.78 ,$6.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655464,CEREBYX 500MG/10ML INJ,250,Q2009,$64.65 ,$64.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655466,MARCAINE 0.5% 30ML INJ,250,,$18.80 ,$18.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655467,XYLOCAINE 0.5% W/EPI 50ML,250,,$89.66 ,$89.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655470,BENTYL 10MG/ML INJ,250,J0500,$237.41 ,$237.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655471,HEPARIN LOCK FLUSH 100 U/ML 10ML,250,J1642,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655475,CLEOCIN 900 MG/6 ML INJ,250,J3490,$24.81 ,$24.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655476,NORCURON 10 MG IV INJ,250,,$21.00 ,$21.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655477,DROPERIDOL 2.5 MG/ML- 2 ML INJ,250,J1790,$23.23 ,$23.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655479,NORVASC 5 MG UD TABLET,250,,$0.10 ,$0.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655482,UNASYN 3 GM IV INJECTION,250,J0295,$13.44 ,$13.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655486,ASPIRIN 81 MG TAB EC,250,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655488,PARLODEL 2.5 MG TAB,250,,$5.91 ,$5.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655489,OYST-CAL 500 W/D,250,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655490,CARBIDOPA W/ LEVODOPA 25-250 TAB,250,,$0.93 ,$0.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655491,CHLORPROMAZINE 10 MG TAB,250,Q0171,$6.46 ,$6.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655493,CLINDAMYCIN 150 MG CAP,250,,$0.49 ,$0.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655494,DANOCRINE 200 MG CAP,250,,$17.82 ,$17.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655495,DEXAMETHASONE 6 MG TAB,250,J8540,$0.12 ,$0.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655500,DIPYRIDAMOLE 75 MG TAB,250,,$2.87 ,$2.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655503,VASERETIC 5-12.5 TAB,250,,$0.46 ,$0.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655508,ANCOBON 500 MG CAP,250,,$689.86 ,$689.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655509,ANCOBON 250 MG CAP,250,,$10.25 ,$10.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655510,FLORINEF 0.1 MG TAB,250,,$3.20 ,$3.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655511,PROZAC 20 MG CAP,250,,$3.29 ,$3.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655512,PROZAC 10 MG CAP,250,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655513,FLUPHENAZINE 2.5 MG TAB,250,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655514,FLUPHENAZINE 1 MG TAB,250,,$0.53 ,$0.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655515,FLUPHENAZINE 5 MG TAB,250,,$0.84 ,$0.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655518,EULEXIN 125 MG CAP,250,,$4.42 ,$4.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655522,FOLIC ACID 1 MG TAB,250,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655523,NEURONTIN 300 MG CAP,250,,$0.51 ,$0.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655524,NEURONTIN 400 MG CAP,250,,$0.69 ,$0.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655525,NEURONTIN 100 MG CAP,250,,$0.26 ,$0.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655526,GEMFIBROZIL 600 MG TAB,250,,$1.30 ,$1.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655527,AMARYL 4 MG TAB,250,,$0.35 ,$0.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655528,AMARYL 1 MG TAB,250,,$5.47 ,$5.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655529,GLIPIZIDE 5 MG TAB,250,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655530,GLIPIZIDE 10 MG TAB,250,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655534,DIABETA 5 MG TAB,250,,$1.59 ,$1.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655535,DIABETA 2.5 MG TAB,250,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655536,GLYNASE PRESTAB 3 MG,250,,$0.58 ,$0.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655537,GLYNASE PRESTABS 6 MG,250,,$1.30 ,$1.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655538,GUAIFENESIN 200 MG TAB,250,,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655539,GUAIFENESIN ER 600 MG TAB,250,,$2.85 ,$2.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655551,TENEX 1 MG TAB,250,,$0.57 ,$0.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655553,HALOPERIDOL 0.5 MG TAB,250,,$0.46 ,$0.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655554,HALOPERIDOL 10 MG TAB,250,,$7.10 ,$7.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655555,HYDROCHLOROTHIAZIDE 25 MG TAB,250,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41655559,AMARYL 2 MG TABLET,250,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303974,CT LOCM 358-400 MG/ML IODINE C,255,Q9950,$0.52 ,$0.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303975,MRI INJ GADOLINIUM-BASED CONTR,255,Q9952,$6.29 ,$6.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303976,SP LOCM 300-349 MG/ML IODINE P,255,Q9949,$0.52 ,$0.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303977,CCL LOCM 350-400 MG/ML IODINE,255,Q9950,$0.52 ,$0.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303978,CT LOCM 358-400 MG/ML IODINE C,255,Q9950,$0.52 ,$0.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303979,MRI INJ GADOLINIUM-BASED CONTR,255,Q9952,$6.29 ,$6.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306863,LOCM 200-299 MG/ML IODINE PER,255,Q9966,$0.46 ,$0.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306870,LOCM 300-399 MG/ML IODINE PER,255,,$0.49 ,$0.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306871,LOCM 300-399 MG/ML IODINE PER,255,,$0.49 ,$0.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307092,"LOCM 100-199MG/ML IODINE, 1ML",255,Q9965,$0.48 ,$0.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301225,SOL DIANEAL 2.5% 2.5L,258,,$163.16 ,$163.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301226,SOL DIANEAL 4.25 2L ULTRA,258,,$163.35 ,$163.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301227,SOL DIANEAL 4.25 LOWCAL 2L ULTRA,258,,$163.35 ,$163.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301228,SOL DIANEAL W/DEX 1.5 2000ML,258,,$163.16 ,$163.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301229,SOL DIANEAL W/DEX 1.5% LOW CAL,258,,$163.16 ,$163.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301230,SOL DIANEAL W/DEX 2.5 200ML,258,,$163.16 ,$163.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301231,SOL DIANEAL W/DEX 2.5% LOW CAL,258,,$163.16 ,$163.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301232,SOL DIANEAL W/DEX 4.25 2000ML,258,,$163.16 ,$163.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301233,SOL GENT 40 10% & DEX 5% 1000ML,258,,$163.16 ,$163.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301234,SOL GENT 40 10% & SC .9% 1000ML,258,,$163.16 ,$163.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301235,SOL GENT 70 6% & SC .9% 500ML,258,,$163.16 ,$163.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301236,SOL GLYCINE 1.5% 3000ML,258,,$163.16 ,$163.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301237,SOL HEPARIN W/5% DEXTROSE,258,,$163.16 ,$163.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301238,SOL LACTATED RING 1000ML,258,,$163.16 ,$163.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301239,SOL LACTATED RING 5000ML,258,,$163.16 ,$163.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301240,SOL LACTATED RING 500ML,258,,$163.16 ,$163.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301241,SOL PLASMA-LYTE 56 & D5% 1000ML,258,,$163.16 ,$163.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301242,SOL POTASSIUM INJ 100ML,258,,$163.16 ,$163.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301243,SOL POTASSIUM INJ 50 ML,258,,$163.16 ,$163.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301244,SOL SC .09% IRR 3000ML,258,,$19.73 ,$19.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301245,SOL SC .45% 1000ML,258,,$163.16 ,$163.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301246,SOL SC .9% 1000ML,258,,$163.16 ,$163.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301247,SOL SC .9% 100ML,258,,$163.16 ,$163.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301248,SOL SC .9% 150ML,258,,$163.16 ,$163.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301249,SOL SC .9% 250ML,258,,$163.16 ,$163.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301250,SOL SC .9% 25ML,258,,$163.16 ,$163.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301251,SOL SC .9% 500ML,258,,$163.16 ,$163.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301252,SOL SC .9% 50ML,258,,$163.16 ,$163.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301253,SOL SC .9% BTL 250ML,258,,$163.16 ,$163.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301254,SOL SC .9% F/IRRIG 1000ML,258,,$100.81 ,$100.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301255,SOL SC .9% MINI BAG 100ML,258,,$163.16 ,$163.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301256,SOL SC .9% MINI BAG 50ML,258,,$163.16 ,$163.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301257,SOL SC 3% 500ML,258,,$163.16 ,$163.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301258,SOL SC F/IRRIG 5000ML,258,,$163.16 ,$163.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301259,SOL SORBITAL 3% 3000ML,258,,$163.16 ,$163.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301260,SOL WATER F/IRRIGATION 3000CC,258,,$66.05 ,$66.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301261,SOL WATER STERILE F/INJ 1000ML,258,,$163.16 ,$163.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301262,SOL DIANEAL,258,,$163.16 ,$163.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301263,SOLUTIONS IV,258,,$163.16 ,$163.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301264,CS SOL SC .9% 1000ML,258,,$163.16 ,$163.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301265,CS SOL SC .9% F/IRRIG 1000ML,258,,$100.81 ,$100.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301266,CS SOL WATER STERILE F/IRRIG 1000,258,,$66.05 ,$66.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301267,PF SOL PLASMALYTE 148 1000ML,258,,$5.73 ,$5.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301268,PF SOL PLEGISOL 1000ML,258,,$142.99 ,$142.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301269,SODIUM CHLORIDE 0.9% INJ 1000 ML,258,J7030,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 307122,IV SOLUTION,258,,$107.95 ,$107.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302358,SODIUM CHLORIDE 0.9 % SOLP,258,J7030,$7.61 ,$7.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301271,RX ATIVAN 1MG TAB,259,,$7.81 ,$7.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301272,RX BENADRYL 25MG CAP,259,,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301273,RX BENADRYL 50MG CAP,259,,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301274,RX BETADINE 10% (237ML SOLUTION),259,,$71.96 ,$71.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301275,RX BETASEPT SURG SCRUB 4% (118ML),259,,$28.35 ,$28.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301276,RX BISACODYL 5MG TAB,259,,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301277,RX CHLORAL HYDRATE 100MG/ML (SOL),259,,$5.18 ,$5.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301278,RX CIPRO 500MG TAB,259,,$34.02 ,$34.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301280,RX COMPAZINE 25MG SUPP,259,,$25.75 ,$25.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301281,RX DARVOCET-N 100 (100-650MG TAB),259,,$7.86 ,$7.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301282,RX DEMEROL 50MG TAB,259,,$5.18 ,$5.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301283,RX DUCOLAX 10MG SUPP,259,,$5.18 ,$5.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301284,RX DURICEF 500MG CAP,259,,$20.56 ,$20.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301285,RX ESTRATEST 1.25-2.5MG (TABLET),259,,$10.51 ,$10.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301286,RX ETHYL CHLORIDE AEROSOL/DOSE,259,,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301289,RX HUMULIN-R INSULIN 100U/ML INJ,259,,$169.97 ,$169.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301290,RX KEFLEX 500MG CAP,259,,$12.97 ,$12.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301291,RX LORTAB 5/500MG TAB,259,,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301292,RX MINOCIN 50MG CAP,259,,$15.40 ,$15.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301293,RX NEOSPORIN 15GM OINT,259,,$12.97 ,$12.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301294,RX NIFEDIPINE 10MG CAP,259,,$5.18 ,$5.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301295,RX NITROSTAT 0.4MG TAB SUBLINGUAL,259,,$33.52 ,$33.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301296,RX PERCODAN (TABLET),259,,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301297,RX PEROXYL MINT (250ML MOUTHWASH),259,,$33.52 ,$33.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301300,RX TYLENOL W/CODIENE #3 TAB,259,,$5.25 ,$5.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301301,RX TYLENOL W/CODIENE #4 TAB,259,,$5.25 ,$5.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301302,RX TYLOX MODIFIED 500-5MG CAP,259,,$10.51 ,$10.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301303,RX VALIUM 5MG TAB,259,,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301304,RX VANCOMYCIN 500MG,259,,$96.19 ,$96.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301305,RX VISTARIL 50MG CAP,259,,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301306,RX AMOMONIA INHALANTS 1 BOX,259,,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301308,RX BENADRYL 50MG CAPSULE,259,,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301309,RX CLONIDINE 0.1MG P O,259,,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301310,RX HYDRALAZINE 25MG P O,259,,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301311,RX NITROSTAT .4MG SUBL TABLET,259,,$33.52 ,$33.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301312,RX NTG PASTE 2% 30G,259,,$41.29 ,$41.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301313,RX PROCARDIA 10MG P O,259,,$5.18 ,$5.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301314,RX ROXIPRIN 325-4.5MG TABLET,259,,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301316,RX TYLENOL EXTRA STRENG 500MG TAB,259,,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301317,RX ACHROMYCIN 3% 30GM OINTMENT,259,,$77.21 ,$77.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301318,RX AMOXICILLIN 250MG (CAPSULE),259,,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301319,RX AMOXICILLIN 500MG (CAPSULE),259,,$5.18 ,$5.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301320,RX ARISTOCORT 0.1% 15GM OINT,259,,$18.30 ,$18.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301322,RX AVITENE 70X35 WEB POULTICE,259,,$694.89 ,$694.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301323,RX BACITRACIN 500U/G (15G OINT),259,,$13.14 ,$13.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301324,RX BACTROBAN 2% OINTMENT,259,,$138.95 ,$138.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301325,RX BENADRYL 25MG CAP,259,,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301326,RX BENADRYL 50MG CAP,259,,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301378,RX SILVADENE SMALL 20G NO-REP,259,,$15.40 ,$15.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301379,RX SILVER NITRATE NO-REP,259,,$7.81 ,$7.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301380,RX ` BACTROBAN NO-REP,259,,$138.95 ,$138.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301381,RXA 3 ANTIBIOTIC OINTMENT NO-REP,259,,$12.97 ,$12.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301382,RXA MYCOSTATIN TOPICAL/PO NO-REP,259,,$190.44 ,$190.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301383,RXA TRIPLE ANTIBIOTIC NO-REP,259,,$12.97 ,$12.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301387,RXA AEROBID INHALER DOSE CHARGE,259,,$3.69 ,$3.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301388,RXA ALUPENT INHALER CHARGE,259,,$2.77 ,$2.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301390,RXA ATROVENT MDI DOSE CHARGE,259,,$3.69 ,$3.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301392,RXA AZMACORT DOSE CHARGE,259,,$6.84 ,$6.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301393,RXA BECONASE INHALER DOSE CHARGE,259,,$9.53 ,$9.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301394,RXA COMBIVENT INHALER DOSE CHARGE,259,,$3.69 ,$3.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301396,RXA FLOVENT 110 MCG INHALER DOSE,259,,$12.80 ,$12.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301397,RXA FLOVENT 220 MCG INHALER DOSE,259,,$20.05 ,$20.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301398,RXA FOVENT 44 MCG AEROSOL DOSE,259,,$9.53 ,$9.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301399,RXA FORADIL AEROLIZER DOSE CHARGE,259,,$13.21 ,$13.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301400,INTAL INHALER DOSE CHARGE,259,,$3.69 ,$3.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301401,RXA MAXAIR AUTOHALER DOSE CHARGE,259,,$2.77 ,$2.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301406,RXA PROVENTIL HFA DOSE CHARGE,259,,$2.77 ,$2.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301407,RXA PULMICORT DOSE CHARGE,259,,$9.12 ,$9.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301408,RXA QVAR 40 MCG DOSE CHARGE,259,,$6.36 ,$6.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301411,RXA SEREVENT INHALER DOSE CHARGE,259,,$11.87 ,$11.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301412,RXA TILADE INHALER DOSE CHARGE,259,,$6.36 ,$6.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301413,RXA VANCENASE DOSE CHARGE,259,,$9.53 ,$9.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301414,RXA VANCERIL INHALER DOSE CHARGE,259,,$3.69 ,$3.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301415,RXA VENTOLIN DOSE CHARGE,259,,$2.77 ,$2.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301416,RXA VENTOLIN INHALER DOSE CHARGE,259,,$3.69 ,$3.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301418,PRECOSE 50 MG TABLET,259,,$1.21 ,$1.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301419,SECTRAL 200 MG CAPSULE,259,,$2.15 ,$2.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301420,SECTRAL 400 MG CAPSULE,259,,$5.58 ,$5.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301421,TYLENOL GELCAPS 500 MG,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301422,TYLENOL CHEWABLE 80 MG TABLET,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301423,TYLENOL EXT RELIEF TAB 650MG,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301424,TYLENOL W/ CODEINE # 3 TABLET,259,,$0.76 ,$0.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301425,ZOVIRAX CAPSULE 200 MG,259,,$3.17 ,$3.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301426,ZOVIRAX TABLET 800 MG,259,,$10.52 ,$10.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301427,GAVISCON-2 CHEWABLE TABLET,259,J1260,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301428,GAVISCON CHEWABLE TABLET 80/20MG,259,J1260,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301429,ALBUTEROL SULFATE TAB 2 MG,259,,$0.54 ,$0.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301430,FOSAMAX 10 MG TABLET,259,,$4.37 ,$4.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301431,ALLOPURINOL 300 MG TABLET,259,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301432,ALLOPURINOL 100 MG TABLET,259,,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301433,TYLENOL EXTRA STRENGTH TAB 500MG,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301434,ISOSORBIDE DINITRATE 20 MG TAB,259,,$0.52 ,$0.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301435,ISOSORBIDE DINITRATE 40 MG TAB CR,259,,$0.38 ,$0.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301436,SORBITRATE 30 MG TAB,259,,$0.82 ,$0.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301437,IMDUR ER 60 MG TAB,259,,$3.73 ,$3.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301438,DECADRON 0.75 MG TAB,259,,$0.85 ,$0.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301439,ISMO 20 MG TAB,259,,$2.40 ,$2.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301440,DYNACIRC 5 MG CAP,259,,$2.32 ,$2.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301441,DYNACIRC 2.5 MG CAP,259,,$1.58 ,$1.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301442,SPORANOX 100 MG CAP,259,,$15.68 ,$15.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301443,ORUDIS KT 12.5 MG TAB,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301444,KETOPROFEN 50 MG CAP,259,,$1.54 ,$1.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301445,KETOPROFEN 75 MG CAP,259,,$0.35 ,$0.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301446,ORUVAIL 200 MG CAP,259,,$5.04 ,$5.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301447,LABETALOL 200 MG TAB,259,,$1.56 ,$1.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301448,LABETALOL 100 MG TAB,259,,$1.12 ,$1.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301449,PREVACID 30 MG CAP CR EC,259,,$7.96 ,$7.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301450,PREVACID 15 MG CAP CR EC,259,,$7.83 ,$7.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301451,ERGAMISOL 50 MG TAB,259,,$10.65 ,$10.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301452,SYNTHROID 100 MCG TAB,259,,$0.79 ,$0.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301453,SYNTHROID 50 MCG TAB,259,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301454,SYNTHROID 150 MCG TAB,259,,$0.89 ,$0.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301455,SYNTHROID 200 MCG TAB,259,,$1.10 ,$1.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301456,SYNTHROID 125 MCG TAB,259,,$0.83 ,$0.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301457,SYNTHROID 25 MCG TAB,259,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301458,SYNTHROID 75 MCG TAB,259,,$0.75 ,$0.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301459,SYNTHROID 175 MCG TAB,259,,$1.00 ,$1.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301460,SYNTHROID 112 MCG TABLET,259,,$0.82 ,$0.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301461,SYNTHROID 88 MCG TAB,259,,$0.70 ,$0.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301462,LISINOPRIL 5 MG TAB,259,,$1.80 ,$1.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301463,LISINOPRIL 10 MG TAB,259,,$1.85 ,$1.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301464,LISINOPRIL 20 MG TAB,259,,$2.12 ,$2.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301465,CYTOMEL 50 MCG TAB,259,,$1.29 ,$1.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301466,ZESTORETIC 10/12.5 MG TAB,259,,$2.18 ,$2.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301467,ZESTORETIC 20/12.5 MG TAB,259,,$2.40 ,$2.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301468,ZESTORETIC 20/25 TAB,259,,$2.42 ,$2.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301469,LITHIUM CARBONATE 300 MG TAB,259,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301470,LITHIUM CARBONATE 300 MG CAPSULE,259,,$0.33 ,$0.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301471,LORABID 200 MG CAP,259,,$7.01 ,$7.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301472,LORABID 400 MG CAP,259,,$9.90 ,$9.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301473,COZAAR 50 MG TAB,259,,$2.79 ,$2.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301474,COZAAR 25 MG TAB,259,,$2.79 ,$2.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301475,HYZAAR 50/12/5 MG TABLET,259,,$2.79 ,$2.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301476,MEVACOR 20 MG TAB,259,,$4.49 ,$4.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301477,MEVACOR 10 MG TAB,259,,$2.51 ,$2.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301478,MEVACOR 40 MG TAB,259,,$7.91 ,$7.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301479,LOXAPINE 5 MG CAP,259,,$1.08 ,$1.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301480,LOXAPINE 10 MG CAP,259,,$1.33 ,$1.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301481,LOXITANE 25 MG CAP,259,,$2.81 ,$2.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301482,LOXITANE 50 MG CAP,259,,$3.70 ,$3.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301483,SLOW-MAG 64 MG TAB CR,259,,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301484,MAG-OX 400 MG TAB,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301485,LUDIOMIL 25 MG TAB,259,,$1.04 ,$1.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301486,LUDIOMIL 50 MG TAB,259,,$1.02 ,$1.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301487,LUDIOMIL 75 MG TAB,259,,$1.21 ,$1.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301488,INVERSINE 2.5 MG TAB,259,,$4.04 ,$4.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301489,ANTIVERT 12.5 MG TAB,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301490,PROVERA 2.5 MG TAB,259,,$1.14 ,$1.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301491,PROVERA 5 MG TAB,259,J1040,$1.74 ,$1.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301492,PROVERA 10 MG TAB,259,,$2.14 ,$2.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301493,MEGESTROL ACETATE 20 MG TAB,259,,$1.11 ,$1.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301494,MEGESTROL ACETATE 40 MG TAB,259,,$1.79 ,$1.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301495,CANTIL 25 MG TAB,259,,$1.84 ,$1.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301496,ASACOL 400 MG TABLET CR,259,,$1.74 ,$1.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301497,SERENTIL 10 MG TAB,259,,$1.54 ,$1.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301498,SERENTIL 50 MG TAB,259,,$1.91 ,$1.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301499,SERENTIL 25 MG TAB,259,,$2.04 ,$2.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301500,GLUCOPHAGE 500 MG TAB,259,,$1.35 ,$1.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301501,GLUCOPHAGE 500 MG TAB,259,,$1.00 ,$1.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301502,GLUCOPHAGE 850 MG TAB,259,,$2.32 ,$2.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301503,ATROSEPT TAB,259,,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301504,NEPTAZANE 50 MG TAB,259,,$1.65 ,$1.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301505,METHAZOLAMIDE,259,,$0.75 ,$0.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301506,METHENAMINE 1 GM TABLET,259,,$0.46 ,$0.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301507,UROQID ACID # 2 TAB,259,,$0.52 ,$0.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301508,TAPAZOLE 10 MG TAB,259,,$1.63 ,$1.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301509,ROBAXIN 500 MG TAB,259,,$1.30 ,$1.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301510,METHYDOPA TAB 500 MG,259,,$0.58 ,$0.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301511,METHERGINE 0.2 MG TAB,259,,$1.23 ,$1.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301512,MEDROL DOSEPAK 4 MG,259,J7509,$1.75 ,$1.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301513,METHYLPREDNISOLONE TAB 16 MG,259,J7509,$3.91 ,$3.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301514,REGLAN 5 MG TAB,259,,$0.83 ,$0.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301515,ZAROXOLYN 10MG TAB,259,,$3.76 ,$3.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301516,ZAROXOLYN TAB 5 MG,259,,$3.15 ,$3.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301517,ZAROXOLYN 2.5 MG TAB,259,,$2.79 ,$2.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301518,TOPROL XL 50 MG TAB,259,,$1.30 ,$1.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301519,TOPROL XL 100 MG TAB,259,,$1.96 ,$1.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301520,LOPRESSOR 100 MG TAB,259,,$1.39 ,$1.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301521,MEXILENTINE 150 MG CAP,259,,$1.21 ,$1.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301522,MEXITIL 200 MG CAP,259,,$2.12 ,$2.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301523,MINOXIDIL 10 MG TAB,259,,$0.88 ,$0.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301524,MINOCIN 50 MG CAPSULE,259,,$4.00 ,$4.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301525,LONITEN 2.5 MG TAB,259,,$0.53 ,$0.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301526,REMERON 15 MG TAB,259,,$5.25 ,$5.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301527,REMERON 30 MG TAB,259,J7190,$5.44 ,$5.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301528,MISOPROSTOL 100 MCG TAB,259,,$1.62 ,$1.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301529,CYTOTEC 200 MCG TAB,259,,$2.36 ,$2.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301530,UNIVASC 7.5 MG TAB,259,,$1.82 ,$1.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301531,MOBAN 5 MG TAB,259,,$1.12 ,$1.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301532,MOBAN 25 MG TAB,259,,$2.40 ,$2.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301533,MOBAN 50 MG TAB,259,,$3.20 ,$3.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301534,ETHMOZINE 200 MG TAB,259,,$2.04 ,$2.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301535,ETHMOZINE 250 MG TAB,259,,$2.41 ,$2.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301536,CELLCEPT 250 MG CAP,259,J7517,$5.16 ,$5.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301537,RELAFEN 500 MG TAB,259,,$2.82 ,$2.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301538,RELAFEN 750 MG TAB,259,,$3.34 ,$3.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301539,REVIA 50 MG TAB,259,,$7.61 ,$7.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301540,NAPROSYN 375 MG TABLET,259,,$1.47 ,$1.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301541,NAPROSYN TAB 500 MG,259,,$1.81 ,$1.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301542,ALEVE 220 MG TAB,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301543,NAPRALEN 500 MG TAB,259,,$2.72 ,$2.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301544,ANAPROX DS TAB,259,,$1.66 ,$1.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301545,NAPROSYN-EC 500 MG TABL,259,,$1.75 ,$1.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301546,SERZONE 150 MG TAB,259,,$2.92 ,$2.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301547,SERZONE 200 MG TAB,259,,$2.97 ,$2.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301548,SERZONE 100 MG TAB,259,,$2.18 ,$2.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301549,NEOMYCIN 500 MG TAB,259,,$0.93 ,$0.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301550,CARDENE 20 MG CAP,259,,$0.81 ,$0.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301551,CARDENE 45 MG CAP SR,259,,$2.64 ,$2.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301552,NICORETTE GUM 4 MG,259,,$1.10 ,$1.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301553,NIFEDIPINE 20 MG CAP,259,,$1.50 ,$1.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301554,ADALAT CC 90 MG CR TAB,259,,$5.47 ,$5.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301555,ADALAT CC 30 MG CR TAB,259,,$2.63 ,$2.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301556,ADALAT CC TAB CR 24 HR,259,,$4.66 ,$4.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301557,PROCARDIA XL EXT REL 60 MG TAB,259,,$5.21 ,$5.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301558,PROCARDIA XL EXT REL 30 MG TAB,259,,$3.01 ,$3.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301559,PROCARDIA XL 90 MG TAB,259,,$6.01 ,$6.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301560,SULAR 10 MG TAB CR,259,,$2.20 ,$2.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301561,SULAR 20 MG TAB,259,,$2.20 ,$2.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301562,SULAR 30 MG TAB,259,,$2.42 ,$2.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301563,NITROFURANTOIN 50 MG CAP,259,,$1.23 ,$1.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301564,NITROFURANTOIN 100 MG CAP,259,,$2.10 ,$2.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301565,NITROFURANTOIN MCR 25 MG CAP,259,,$0.70 ,$0.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301566,MACROBID MCR CAP 100 MG,259,,$3.76 ,$3.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301567,NITROGLYCERIN 2.5 MG SR CAP,259,,$0.29 ,$0.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301568,NITROSTAT 0.6 MG TAB SL,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301569,NIZATIDINE 300 MG CAP,259,,$10.02 ,$10.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301570,OVRAL TAB,259,,$4.33 ,$4.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301571,PAMELOR 25 MG CAP,259,,$3.17 ,$3.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301572,PAMELOR 10 MG CAP,259,,$1.29 ,$1.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301573,NORTRIPTYLINE 50 MG CAP,259,,$2.54 ,$2.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301574,FLOXIN 200 MG TAB,259,,$6.97 ,$6.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301575,NYSTATIN ORAL TAB 500000 UNITS,259,,$1.14 ,$1.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301576,FLOXIN 300 MG TAB,259,,$8.28 ,$8.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301577,ZYPREXA 10 MG TAB,259,,$17.36 ,$17.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301578,DIPENTUM 250 MG CAP,259,,$2.40 ,$2.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301579,PRILOSEC 20 MG CAP,259,,$6.94 ,$6.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301580,NORFLEX 100 MG TAB CR,259,,$3.87 ,$3.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301581,OXACILLIN 500 MG CAP,259,,$0.90 ,$0.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301582,OXANDRIN 2.5 MG TAB,259,,$7.97 ,$7.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301583,DAYPRO 600MG TAB,259,,$3.68 ,$3.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301584,TYLENOL ALLERGY SINUS TAB,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301585,PAPAVERINE CR 150 MG CAPSULE,259,,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301586,PAXIL 20 MG TAB,259,,$5.18 ,$5.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301587,CYLERT 18.75 MG TAB,259,,$2.00 ,$2.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301588,CUPRIMINE 125 MG CAPSULE,259,,$1.35 ,$1.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301589,TALACEN TAB,259,,$2.18 ,$2.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301590,TRENTAL 400 MG TAB,259,,$1.41 ,$1.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301591,PERMAX 0.05 MG TAB,259,,$2.09 ,$2.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301592,PERMAX 0.25 MG TAB,259,,$3.45 ,$3.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301593,PYRIDIATE 100 MG TAB,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301594,PERPHENAZINE TAB 2 MG,259,,$0.86 ,$0.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301595,PERPHENAZINE TAB 8 MG,259,Q0175,$1.65 ,$1.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301596,ETRAFON 2/25 TAB,259,,$0.72 ,$0.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301597,ETRAFON 4-10 TAB,259,,$0.52 ,$0.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301598,ETRAFON 4/50 TAB,259,,$1.25 ,$1.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301599,ETRAFON 4/25 TAB,259,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301600,ETRAFON 2/10 TAB,259,,$0.57 ,$0.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301601,PERPHENAZINE TAB 4 MG,259,Q0175,$1.10 ,$1.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301602,PYRIDIUM 200 MG TAB,259,,$0.36 ,$0.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301603,TYLENOL COLD TABLET,259,,$0.32 ,$0.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301604,SALAGEN 5 MG TAB,259,,$2.69 ,$2.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301605,ORAP 2 MG TAB,259,J1745,$2.01 ,$2.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301606,PINDOLOL 5 MG TAB,259,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301607,PINDOLOL TAB 10 MG,259,J1745,$1.38 ,$1.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301608,PIROXICAM 10 MG CAPSULE,259,,$2.43 ,$2.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301609,PIROXICAM 20 MG CAP,259,,$3.87 ,$3.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301610,K-DUR 10 MEQ,259,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301611,K DUR 20 MEQ TAB,259,,$1.08 ,$1.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301612,MICRO K 10 MEQ CAP,259,,$0.54 ,$0.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301613,UROCIT-K 5 MEQ TAB,259,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301614,PRAVACHOL 20 MG TAB,259,,$5.16 ,$5.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301615,PRAVACHOL 10 MG TAB,259,,$3.86 ,$3.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301616,PRAZOSIN 5 MG CAPSULE,259,,$1.45 ,$1.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301617,PREDNISOLONE 5 MG TAB,259,J7510,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301618,PRAZOSIN 2 MG CAPSULE,259,,$0.59 ,$0.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301619,PREDNISONE 5 MG TAB,259,J7506,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301620,PREDNISONE 2.5 MG TAB,259,J7506,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301621,PREDNISONE 50 MG TAB,259,J7506,$0.56 ,$0.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301622,PRIMAQUINE PHOS TAB 26.3 MG,259,,$1.74 ,$1.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301623,MYSOLINE 250 MG TAB,259,,$1.65 ,$1.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301624,MYSOLINE 50 MG TAB,259,,$0.54 ,$0.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301625,COL PROBENECID,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301626,PROCAINAMIDE 250 MG CAP,259,,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301627,PROCAINAMIDE 500 MG CAP,259,,$0.34 ,$0.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301628,PROCAINAMIDE 750 MG TAB CR,259,,$0.81 ,$0.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301629,PROCAINAMIDE SR 500 MG TAB,259,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301630,PROCAINAMIDE 250 MG TAB CR,259,,$0.57 ,$0.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301631,COMPAZINE 15 MG CAPSULE,259,,$3.53 ,$3.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301632,COMPAZINE 10 MG CAP,259,,$2.38 ,$2.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301633,COMPAZINE 10 MG TAB,259,Q0165,$1.84 ,$1.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301634,COMPAZINE 5 MG TAB,259,Q0164,$1.25 ,$1.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301635,PHENERGAN 12.5 MG TABL,259,Q0169,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301636,DARVOCET-N 100 TABLET,259,,$1.77 ,$1.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301637,PROPRANOLOL TAB 20 MG,259,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301638,PROPRANOLOL 80 MG TAB,259,,$0.93 ,$0.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301639,INDERAL LA 60 MG CAP,259,,$2.13 ,$2.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301640,INDERAL LA 80 MG CAP,259,,$2.20 ,$2.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301641,INDERAL LA 120 MG,259,,$3.08 ,$3.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301642,INDERAL LA 160 MG,259,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301643,PROPYLTHIOURACIL 50 MG TAB,259,,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301644,SINUTAB MAX STRENGTH TAB,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301645,SUDAFED 12 HOUR 120 MG TAB,259,,$0.54 ,$0.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301646,DECONAMINE SR,259,,$0.35 ,$0.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301647,PYRAZINAMIDE 500 MG TAB,259,,$2.64 ,$2.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301648,MESTINON 60 MG TAB,259,,$1.16 ,$1.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301649,MESTINON TIMESPAN 180 MG,259,,$1.60 ,$1.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301650,ACCUPRIL 5 MG TAB,259,,$2.10 ,$2.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301651,ACCUPRIL 40 MG TAB,259,,$2.10 ,$2.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301652,ACCUPRIL 10 MG TAB,259,,$2.10 ,$2.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301653,ACCUPRIL 20 MG TAB,259,,$2.10 ,$2.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301654,QUINAGLUTE DURATABS 324 MG,259,,$1.02 ,$1.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301655,QUINIDINE SULFATE 300 MG,259,,$0.56 ,$0.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301656,QUINIDINE SULFATE 200 MG TAB,259,,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301657,ALTACE 2.5 MG CAPSULE,259,,$1.63 ,$1.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301658,ZANTAC 300 MG TAB,259,,$6.92 ,$6.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301659,ALTACE 5 MG CAPSULE,259,,$1.74 ,$1.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301660,ZANTAC GELDOS CAP 150 MG,259,,$2.87 ,$2.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301661,ZANTAC 150 MG EFFERDOSE,259,,$3.08 ,$3.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301662,RESERPINE 0.25 MG TAB,259,,$3.93 ,$3.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301663,MYCOBUTIN 150 MG CAPSULE,259,,$10.92 ,$10.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301664,RIFADIN 300 MG CAPSULE,259,,$3.74 ,$3.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301665,RIFAMATE CAPSULE,259,,$4.31 ,$4.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301666,RISPERDAL 1 MG TAB,259,,$5.96 ,$5.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301667,RISPERDAL 3 MG TAB,259,,$11.51 ,$11.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301668,RISPERDAL 2 MG TAB,259,,$9.34 ,$9.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301669,RISPERDAL 4 MG TAB,259,,$15.29 ,$15.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301670,DISALCID 500 MG TAB,259,,$0.57 ,$0.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301671,ELDEPRYL 5 MG CAP,259,,$4.50 ,$4.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301672,SENOKOT TAB,259,,$0.38 ,$0.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301673,ZOLOFT 50 MG TAB,259,,$4.58 ,$4.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301674,ZOLOFT 100 MG TAB,259,,$4.58 ,$4.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301675,SENEKOT S TAB,259,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301676,PHAZYME-125 SOFTGEL,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301677,SIMETHICONE 80 MG CHEW TAB,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301678,ZOCOR 20 MG TAB,259,,$8.01 ,$8.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301679,ZOCAR 40 MG TAB,259,,$8.01 ,$8.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301680,ZOCOR 10 MG TAB,259,,$4.61 ,$4.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301681,BETAPACE TAB 80 MG,259,,$5.03 ,$5.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301682,BETAPACE 120 MG TAB,259,,$6.69 ,$6.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301683,ALDACTONE 50 MG TAB,259,,$2.10 ,$2.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301684,ALDACTONE 100 MG TAB,259,,$3.53 ,$3.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301685,SPIRONOLACTONE 25 MG TAB,259,,$0.32 ,$0.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301686,ALDACTAZIDE,259,,$0.84 ,$0.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301687,SULFADIAZINE 500 MG TAB,259,,$2.42 ,$2.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301688,AZULFIDINE 500 MG TAB,259,,$0.54 ,$0.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301689,AZULFIDINE EN-TABS 500 MG,259,J1645,$0.80 ,$0.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301690,SULFISOXAZOLE 500 MG TAB,259,,$0.86 ,$0.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301691,SULINDAC 200 MG TAB,259,,$1.79 ,$1.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301692,CLINORIL 150 MG TAB,259,,$1.72 ,$1.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301693,COGNEX CAP 10 MG,259,,$2.26 ,$2.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301694,COGNEX 20 MG CAPSULE,259,,$2.26 ,$2.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301695,COGNEX 40 MG CAPSULE,259,,$2.26 ,$2.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301696,NOLVADEX 20 MG TAB,259,,$7.48 ,$7.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301697,NOLVADEX 10 MG TABLET,259,,$3.74 ,$3.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301698,RESTORIL 7.5 MG CAPSULE,259,,$1.54 ,$1.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301699,HYTRIN 5 MG CAPSULE,259,,$3.87 ,$3.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301700,HYTRIN 1 MG CAPSULE,259,,$3.87 ,$3.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301701,HYTRIN 2 MG CAPSULE,259,,$3.87 ,$3.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301702,LAMISIL 250 MG TAB,259,,$16.42 ,$16.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301703,BRETHINE 5 MG TAB,259,,$0.98 ,$0.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301704,SELDANE 60 MG TAB,259,,$1.75 ,$1.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301705,SELDANE-D EXT REL TAB,259,,$1.92 ,$1.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301706,TETRACYCLINE 250 MG CAPSULE,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301707,THEO-DUR 300 MG TAB,259,,$0.89 ,$0.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301708,THEO-DUR 450 MG,259,,$1.15 ,$1.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301709,UNIPHYL 400 MG TAB CR,259,,$1.84 ,$1.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301710,SLO-BID 300 MG CAPSULE,259,,$0.84 ,$0.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301711,SLO-BID 200 MG CAPSULE,259,,$0.72 ,$0.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301712,SLO-BID 100 MG CAPSULE,259,,$0.54 ,$0.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301713,FOSAMAX 10 MG TABLET,259,,$3.39 ,$3.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301714,MYLANTA DS TABLET,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301715,BASALJEL 500 MG CAPSULE,259,,$0.33 ,$0.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301716,AMPHOJEL 600 MG TABLET,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301717,AMIODARONE 200 MG TABLET,259,,$6.77 ,$6.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301718,AMITRIPTYLINE TAB 10 MG,259,,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301719,AMITRIPTYLINE 25 MG TABLET,259,,$0.26 ,$0.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301720,AMITRIPTYLINE TABLET 50 MG,259,,$1.10 ,$1.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301721,AMITRITYLINE 75 MG TABLET,259,,$0.35 ,$0.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301722,AMITRIPTYLINE 100 MG TABLET,259,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301723,AMLODIPINE 2.5 MG TABLET,259,,$2.10 ,$2.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301724,AMLODIPINE 10 MG TABLET,259,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301725,AUGMENTIN 500 MG TABLET,259,,$7.51 ,$7.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301726,AUGMENTIN 875 MG TABLET,259,,$9.76 ,$9.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301727,AMOXAPINE 25 MG TABLET,259,,$1.45 ,$1.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301728,AMOXAPINE 50 MG TABLET,259,,$2.32 ,$2.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301729,AMOXAPINE 100 MG TABLET,259,,$3.93 ,$3.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301730,AMOXAPINE 150 MG TABLET,259,,$5.72 ,$5.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301731,CREON-20 CAPSULE,259,,$3.17 ,$3.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301732,CREON-10 CAPSULE,259,,$1.64 ,$1.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301733,VIOKASE TABLET,259,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301734,PANCRELIPASE TABLET,259,,$0.59 ,$0.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301735,ANASTROZOLE 1 MG TABLET,259,,$13.04 ,$13.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301738,ASCRIPTIN REG STRENGTH TABLET,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301739,ANACIN MAXIMUM STRENGTH TAB,259,,$0.26 ,$0.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301740,ANACIN TABLET,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301741,HISMANAL TABLET,259,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301742,ATENOLOL 50 MG TABLET,259,,$1.28 ,$1.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301743,ATENOLOL 25 MG TABLET,259,,$1.30 ,$1.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301744,ATENOLOL 100 MG TABLET,259,,$1.77 ,$1.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301745,TRINALIN TABLET,259,,$2.42 ,$2.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301746,IMURAN 50 MG TABLET,259,J7500,$4.17 ,$4.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301747,ZITHROMAX 600 MG CAPSULE,259,,$31.46 ,$31.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301748,BACLOFEN 10 MG TABLET,259,,$0.70 ,$0.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301749,LOTENSIN 10 MG TABLET,259,,$1.94 ,$1.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301750,LOTENSIN 20 MG TABLET,259,,$1.94 ,$1.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301751,LOTENSIN 10 MG TAB,259,,$1.94 ,$1.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301752,LOTENSIN 5 MG TABLET,259,,$1.94 ,$1.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301753,LOTREL CAPSULE 2.5/10 MG,259,,$3.69 ,$3.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301754,LOTREL 5-10MG CAPSULE,259,,$3.75 ,$3.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301755,LOTENSIN HCT 10-12.5 TABLET,259,,$1.94 ,$1.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301756,BENZONATATE 100 MG CAPSULE,259,J2915,$0.92 ,$0.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301757,BENZTROPINE MESYLATE 0.5MG TAB,259,,$0.56 ,$0.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301758,BENZTROPINE MESYLATE 1 MG TABLET,259,,$0.62 ,$0.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301759,BETHANECHOL 5 MG TABLET,259,,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301760,BETHANECHOL 10 MG TABLET,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301761,BETHANECHOL 25 MG TABLET,259,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301762,PEPTO-BISMOL CHEW TABLET,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301763,ZEBETA 5 MG TABLET,259,,$2.26 ,$2.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301764,ZIAC 2.5/6.25 MG TABLET,259,,$2.26 ,$2.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301765,ZIAC 5/6.25 MG TABLET,259,,$2.26 ,$2.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301766,ZIAC 10-6.25 TABLET,259,,$2.26 ,$2.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301767,DDAVP NASAL SPRAY 5ML,259,,$40.52 ,$40.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301768,BROMPHENIR/PSEUDOEPHED PD 6-60,259,,$2.08 ,$2.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301769,BUMETANIDE 2 MG TABLET,259,,$1.13 ,$1.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301770,BUMETANIDE 0.5 MG TABLET,259,,$0.51 ,$0.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301771,WELLBUTRIN 75 MG TAB,259,,$1.94 ,$1.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301772,WELLBUTRIN 100 MG TAB,259,,$2.58 ,$2.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301773,WELLBUTRIN 150 MG TAB CR,259,,$3.60 ,$3.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301774,BUSPAR 5 MG TAB,259,,$1.45 ,$1.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301775,BUSPAR 10 MG TAB,259,,$2.53 ,$2.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301776,PHRENILIN FORTE CAP,259,,$0.81 ,$0.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301777,FIORICET TAB,259,,$1.38 ,$1.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301778,ESGIC-PLUS TAB,259,,$2.41 ,$2.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301779,FIORINAL TAB,259,,$1.10 ,$1.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301780,VIVARIN 200 MG TAB,259,,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301781,CALCIUM CARB 650 MG TAB,259,,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301782,CALCIUM CARBONATE 500 MG TAB,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301783,TUMS 500 MG CHEW TAB,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301784,TUMS E-X 750 MG TAB,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301785,CALCIUM CITRATE 950 MG TAB,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301786,CITRACAL EFF LIQITAB,259,,$0.25 ,$0.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301787,CALTRATE PLUS TAB,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301788,CAPTOPRIL 25 MG TAB,259,,$1.11 ,$1.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301789,CAPOTEN 50 MG TAB,259,,$3.76 ,$3.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301790,CAPOZIDE 50/15 TAB,259,,$3.86 ,$3.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301791,CAPOZIDE 25/25 TAB,259,,$2.25 ,$2.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301792,CARBAMAZEPINE 100 MG TAB,259,,$0.52 ,$0.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301793,CARBIDOPA/LEVODOPA 10/100 TAB,259,,$1.11 ,$1.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301794,CARBIDOPA/LEVODOPA 25/100 TAB,259,,$1.58 ,$1.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301795,SINEMET CR TAB 25/100,259,,$1.82 ,$1.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301796,SINEMET CR TAB 50/200,259,,$3.57 ,$3.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301797,CARISOPRODOL 350 MG TAB,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301798,CEFIXIME 400 MG TAB,259,,$13.84 ,$13.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301799,CEFZIL 250 MG TAB,259,,$6.34 ,$6.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301800,CEFZIL 500 MG TAB,259,,$15.18 ,$15.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301801,ZYRTEC 10 MG TAB,259,,$3.53 ,$3.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301802,ZYRTEC 5 MG TAB,259,,$3.53 ,$3.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301803,LEUKERAN 2 MG TAB,259,,$2.64 ,$2.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301804,CLINDEX CAP,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301805,CHLORPHENIRAMINE MAL TAB 4 MG,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301806,LIMBITROL 5/12.5 TAB,259,,$1.41 ,$1.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301807,LIMBITROL DS 10/25 TAB,259,J1990,$1.62 ,$1.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301808,CHLORPROMAZINE 25 MG TAB,259,Q0172,$0.88 ,$0.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301809,CHLORPROMAZINE TAB 50 MG,259,,$1.21 ,$1.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301810,CHLORPROPRAMIDE 100 MG TAB,259,,$0.29 ,$0.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301811,CHLORPROPAMIDE 250 MG TAB,259,,$1.15 ,$1.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301812,CHLORPROMAZINE TAB 200 MG,259,Q0171,$1.11 ,$1.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301813,CIMETIDINE TAB 200 MG,259,,$1.33 ,$1.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301814,TAGAMET TAB 100 MG,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301815,CIMETIDINE TAB 400 MG,259,,$2.32 ,$2.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301816,CIMETIDINE TAB 800 MG,259,,$4.87 ,$4.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301817,CIPRO 250 MG TAB,259,,$8.59 ,$8.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301818,BIAXIN 250 MG TABLET,259,,$7.99 ,$7.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301819,TAVIST-D TABLET,259,,$0.56 ,$0.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301820,TAVIST-1 TABLET,259,,$0.62 ,$0.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301821,TAVIST 2.68 MG TABLET,259,,$2.25 ,$2.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301822,CLEOCIN PED ORAL SUSPENSION,259,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301823,CLINDAMYCIN 300 MG CAP,259,,$8.70 ,$8.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301824,LAMPRENE 50 MG CAP,259,,$0.33 ,$0.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301825,ANAFRANIL 25 MG CAP,259,,$1.89 ,$1.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301826,ANAFRANIL 50 MG CAP,259,,$2.32 ,$2.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301827,ANAFRANIL 75 MG CAP,259,,$3.37 ,$3.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301828,CLONIDINE 0.2 MG TAB,259,,$0.56 ,$0.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301829,CLONIDINE 0.3 MG TAB,259,,$0.79 ,$0.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301830,COMBIPRES 0.1 MG TAB,259,,$1.68 ,$1.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301831,COMBIPRES 0.2 MG TAB,259,,$2.25 ,$2.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301832,COMBIPRES 0.3 MG TAB,259,,$2.16 ,$2.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301833,CLOXACILLIN 250 MG CAP,259,,$0.62 ,$0.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301834,MYCELEX 10 MG ORAL LOZENGE,259,,$2.38 ,$2.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301835,COLCHICINE TAB 0.5 MG,259,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301836,COLCHICINE 0.6 MG TAB,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301837,SANDIMMUNE 100 MG CAP,259,J7502,$11.60 ,$11.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301838,SANDIMMUNE 50 MG CAP,259,J7515,$5.17 ,$5.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301839,SANDIMMUNE 25 MG CAP,259,J7515,$2.91 ,$2.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301840,NEORAL 100 MG CAPSULE,259,J7502,$10.21 ,$10.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301841,NEORAL CAP 25 MG,259,K0418,$2.54 ,$2.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301842,CYPROHEPTADINE 4 MG TAB,259,,$0.72 ,$0.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301843,SILVER SULFADIAZINE CREAM 50 MG,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301844,DAPSONE 100 MG TAB: 30 CT.,259,,$0.32 ,$0.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301845,DECLOMYCIN 300 MG TAB,259,,$31.76 ,$31.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301846,DECLOMYCIN 150 MG TAB,259,,$17.54 ,$17.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301847,DESIPARMINE 50 MG TAB,259,,$1.04 ,$1.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301848,DESIPRAMINE 25 MG TAB,259,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301849,DESIPRAMINE 10 MG TAB,259,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301850,DECADRON 0.75 MG TAB,259,,$1.41 ,$1.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301851,SILVADENE CREAM 400 GM,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301852,DEXAMETHASONE 2 MG TAB,259,,$1.10 ,$1.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301853,DEXAMETHASONE 0.5 MG TAB,259,,$0.38 ,$0.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301854,VOLTAREN EC CR TAB 75 MG,259,,$2.79 ,$2.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301855,VOLTAREN EC CR TAB 50 MG,259,,$2.29 ,$2.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301856,BENTYL 20 MG TAB,259,,$0.84 ,$0.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301857,LANOXICAPS 0.1 MG,259,,$0.51 ,$0.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301858,ROLAIDS ANTACID TAB,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301859,DILTIAZEM 60 MG TAB,259,,$1.13 ,$1.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301860,DILTIAZEM 30 MG TAB,259,,$0.76 ,$0.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301861,DILTIAZEM 90 MG TAB,259,,$1.41 ,$1.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301862,DILTIAZEM 120 MG TAB,259,,$1.75 ,$1.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301863,CARDIZEM CR 60 MG,259,,$1.81 ,$1.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301864,CARDIZEM 90 MG CAP CR,259,,$2.10 ,$2.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301865,CARDIZEM CD 120 MG CAP,259,,$2.41 ,$2.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301866,CARDIZEM CD 180 MG CAP,259,,$2.90 ,$2.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301867,CARDIZEM CD 240 MG,259,,$4.13 ,$4.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301868,CARDIZEM CD 300 MG CAP,259,,$5.29 ,$5.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301869,DILACOR XR 240 MG,259,,$2.42 ,$2.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301870,TIAZAC 120 MG CAPSULE,259,,$1.92 ,$1.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301871,TIAZAC 180 MG CAP,259,,$2.33 ,$2.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301872,TIAZAC 240 MG CAP,259,,$3.30 ,$3.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301873,TIAZAC 360 MG CAP,259,,$4.21 ,$4.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301874,HALDOL CONC 15 ML,259,,$1.12 ,$1.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301875,DRAMAMINE II 25 MG TAB,259,,$0.62 ,$0.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301876,DIMENHYDRINATE 50 MG TAB,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301877,DIPYRIDAMOLE 25 MG TAB,259,,$0.35 ,$0.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301878,DIPYRIDAMOLE 50 MG TAB,259,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301879,NORPACE CR 150 MG CAP,259,,$2.41 ,$2.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301880,NORPACE CR CAP 100 MG,259,,$2.05 ,$2.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301881,DEPAKOTE 500 MG TAB,259,,$3.70 ,$3.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301882,DEPAKOTE 250 MG TAB,259,,$2.04 ,$2.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301883,DEPAKOTE 125 MG TAB,259,,$1.04 ,$1.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301884,DEPAKOTE SPRINKLE 125 MG CAP,259,,$0.96 ,$0.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301885,DOCUSATE CA 240 MG CAP,259,,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301886,DOCUSATE SOD W/ CASANTHRANOL CAP,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301887,CORRECTIVE LAXATIVE,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301888,DOCUSATE SODIUM 100 MG CAP,259,,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301889,DOCUSATE SODIUM 50 MG CAP,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301890,GENTLAX S TAB,259,,$0.33 ,$0.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301891,DOXIDAN LF 100/30 CAP,259,,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301892,CARDURA 8 MG TAB,259,,$2.02 ,$2.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301893,MELLARIL 30 MG LIQ,259,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301894,CARDURA 2 MG TAB,259,,$2.01 ,$2.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301895,CARDURA 1 MG TAB,259,,$2.01 ,$2.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301896,DOXEPIN 10 MG CAP,259,,$0.38 ,$0.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301897,DOXEPIN 25 MG CAP,259,,$0.49 ,$0.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301898,DOXEPIN 50 MG CAP,259,,$0.75 ,$0.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301899,DOXEPIN CAP 75 MG,259,,$0.98 ,$0.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301900,DOXYCYCLINE HYC 50 MG CAP,259,,$0.86 ,$0.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301901,DORYX 100 MG PELLET,259,,$4.91 ,$4.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301902,DILOR-G TAB,259,,$3.10 ,$3.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301903,VASOTEC 2.5 MG TAB,259,,$1.57 ,$1.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301904,VASOTEC 5 MG TAB,259,,$2.00 ,$2.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301905,VASOTEC 10 MG TAB,259,,$2.08 ,$2.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301906,VASOTEC 20 MG TAB,259,,$2.92 ,$2.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301907,MELLARIL 100 MG LIQ,259,,$1.73 ,$1.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301908,VASERETIC 10-25 TAB,259,,$2.33 ,$2.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301909,EPHEDRINE SULFATE 25 MG CAP,259,,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301910,ERGOLOID MESYLATES 1 MG TAB,259,,$1.29 ,$1.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301911,ERGOCOMP-PB TAB,259,,$1.11 ,$1.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301912,ERCAF TABLET,259,,$1.12 ,$1.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301913,BELLERGAL S TAB,259,,$2.05 ,$2.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301914,ERY-TAB 500 MG,259,,$0.76 ,$0.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301915,ERYC 250 MG CAP,259,,$0.85 ,$0.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301916,PCE 333 MG TAB,259,,$3.06 ,$3.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301917,PCE DISPERTAB 500 MG,259,,$4.04 ,$4.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301918,ERYTHROCIN 250 MG TAB,259,,$0.30 ,$0.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301919,AARAME INHALER EA,259,,$1.19 ,$1.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301920,ESTRACE 1 MG TAB,259,,$1.38 ,$1.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301921,PREMPRO 0.625-2.5 MG TAB,259,,$1.73 ,$1.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301922,PREMARIN 0.625 MG TAB,259,,$1.75 ,$1.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301923,PREMARIN 1.25 MG TAB,259,,$2.24 ,$2.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301924,PREMARIN 0.9 MG TAB,259,,$2.10 ,$2.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301925,PREMARIN 2.5 MG TAB,259,,$3.01 ,$3.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301926,PREMARIN 0.3 MG TAB,259,,$1.54 ,$1.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301927,VANCERIL INHALER,259,,$4.97 ,$4.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301928,ESTRATAB 0.625 MG,259,,$1.04 ,$1.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301929,OGEN 0.625 MG TAB,259,,$1.54 ,$1.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301930,OGEN 1.25 MG TAB,259,,$2.12 ,$2.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301931,MYAMBUTOL 400 MG TAB,259,,$3.15 ,$3.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301932,MYAMBUTOL 100 MG TAB,259,,$0.92 ,$0.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301933,DIDRONEL 400 MG TAB,259,,$11.24 ,$11.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301934,DIDRONEL 200 MG TAB,259,,$5.58 ,$5.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301935,LODINE 400 MG TAB,259,,$2.76 ,$2.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301936,LODINE 300 MG CAP,259,,$2.68 ,$2.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301937,LODINE 200 MG CAP,259,,$2.38 ,$2.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301938,LODINE 500 MG TAB,259,,$2.48 ,$2.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301939,FAMVIR 500 MG TAB,259,,$13.62 ,$13.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301940,PEPCID AC 10 MG TAB,259,,$0.79 ,$0.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301941,PEPCID 20 MG TAB,259,,$3.39 ,$3.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301942,PEPCID 40 MG TAB,259,,$6.56 ,$6.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301943,NEPHRON FA TAB,259,,$0.52 ,$0.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301944,NIFEREX FORTE 150 CAP,259,,$0.51 ,$0.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301945,NIFREX-150 CAP,259,,$0.51 ,$0.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301946,NIFEREX 50 MG TAB,259,,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301947,FERATAB 300 MG,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301948,UNI-FERROUS 159 MG CAP,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301949,PROSCAR 5 MG TAB,259,,$4.79 ,$4.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301950,URISPAS 100 MG TAB,259,,$2.40 ,$2.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301951,TAMBOCOR TAB 50 MG,259,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301952,TAMBOCOR 100 MG TAB,259,,$2.25 ,$2.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301953,DIFLUCAN 50 MG TAB,259,,$9.64 ,$9.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301954,CLOZARIL 100MG TAB,259,,$6.97 ,$6.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301955,CLOZARIL 25MG TAB,259,,$2.68 ,$2.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301956,DIFLUCAN 40 MG/ML ORAL SUSP,259,,$6.42 ,$6.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301957,DIFLUCAN 10 MG/ML ORAL SUSP,259,,$1.77 ,$1.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301958,FLOVENT MDI 110MCG,259,,$10.93 ,$10.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301959,ACCUZYME OINTMENT,259,,$2.16 ,$2.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301960,MIACALCIN NASAL SPR,259,,$32.65 ,$32.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301961,ZITHROMAX 1GM FOR ORAL SUSP,259,Q0144,$40.74 ,$40.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301962,ZITHROMAX 100MG 15ML,259,,$3.71 ,$3.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301963,CYTOVENE CAP,259,,$8.38 ,$8.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301964,VANCOCIN 1GM ORAL SOLUTION,259,,$3.24 ,$3.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301965,HCTZ/RESERPINE/HYDRALAZINE TAB,259,,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301966,HYDRALAZINE 50 MG TAB,259,,$0.33 ,$0.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301967,HYDRALAZINE 10 MG TAB,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301968,LORTAB 2.5 MG TAB,259,,$1.50 ,$1.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301969,LORTAB 5/500 TABLET,259,,$0.32 ,$0.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301970,CORTEF 5 MG TAB,259,,$0.35 ,$0.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301971,CORTEF 20 MG TAB,259,,$1.25 ,$1.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301972,CORTEF 10 MG TAB,259,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301973,DILAUDID 2 MG TAB,259,,$1.04 ,$1.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301974,HYDROXYCHLOROQUINE 200 MG TAB,259,,$1.82 ,$1.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301975,HYDROXYZINE HCL (ATARAX) 25MG TAB,259,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301976,HYDROXYZINE 50 MG TAB,259,Q0177,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301977,HYDROXYZINE HCL 10 MG TAB,259,,$0.57 ,$0.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301978,CYSTOSPAZ TAB,259,,$0.85 ,$0.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301979,HYOSCYAMINE 0.125 MG TAB,259,,$0.51 ,$0.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301980,HYOSCYAMINE 0.125 MG TABLET SL,259,,$0.34 ,$0.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301981,ADVIL 200 MG TAB,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301982,IBUPROFEN 600 MG TAB,259,,$0.54 ,$0.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301983,IMIPRAMINE 25 MG TAB,259,,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301984,IMIPRAMINE 10 MG TAB,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301985,IMIPRAMINE 50 MG TAB,259,,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301986,LOZOL 1.25 MG TAB,259,,$1.65 ,$1.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301987,LOZOL 2.5 MG TAB,259,,$1.92 ,$1.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301988,CHROMAGEN CAP,259,,$0.52 ,$0.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301989,HEMOCYTE PLUS TAB,259,,$0.58 ,$0.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301990,TRIHEMIC 600 TAB,259,,$1.58 ,$1.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301991,TRINSICON CAP,259,,$0.83 ,$0.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301992,MIDRIN CAP,259,,$0.92 ,$0.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301993,ISONIAZID 100 MG TAB,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301994,ISONIAZID 300 MG TAB,259,,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301995,RIFAMATE CAP,259,,$4.31 ,$4.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301996,ISOSORBIDE DINITRATE 5 MG TAB,259,,$0.26 ,$0.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301997,ISOSORBIDE DINITRATE 10 MG TAB,259,,$0.32 ,$0.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301998,THEO-24 CAPSULE CR 100 MG,259,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 301999,THEO-24 300 MG CAPSULE,259,,$1.39 ,$1.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302000,THEO-24 200 MG CAPSULE,259,,$1.10 ,$1.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302001,TORECAN 10 MG TABLET,259,Q0174,$1.31 ,$1.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302002,MELLARIL 100 MG TAB,259,,$1.33 ,$1.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302003,MELLARIL 50 MG TAB,259,,$1.20 ,$1.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302004,MELLARIL 50 MG TAB,259,,$1.20 ,$1.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302005,MELLARIL 25 MG TAB,259,,$1.00 ,$1.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302006,MELLARIL 200 MG TAB,259,,$2.00 ,$2.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302007,MELLARIL 10 MG TAB,259,,$0.75 ,$0.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302008,THIOTHIXENE 1 MG CAPSULE,259,,$0.33 ,$0.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302009,THIOTHIXENE CAP 2 MG,259,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302010,THIOTHIXENE 5 MG CAPSULE,259,,$1.02 ,$1.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302011,THIOTHIXENE 10 MG CAPSULE,259,,$1.11 ,$1.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302012,ARMOUR THYROID 60 MG,259,,$0.29 ,$0.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302013,ARMOUR THYROID 120 MG TAB,259,,$0.52 ,$0.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302014,ARMOUR THYROID 180 MG TAB,259,,$0.81 ,$0.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302015,TICLID 250 MG TAB,259,,$2.55 ,$2.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302016,TONOCARD 400 MG TAB,259,,$1.54 ,$1.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302017,TONOCARD 600 MG TAB,259,,$2.04 ,$2.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302018,DEMADEX 10 MG TAB,259,,$1.02 ,$1.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302019,DEMADEX 20 MG TAB,259,,$1.20 ,$1.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302020,ULTRAM 50 MG TAB,259,,$2.08 ,$2.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302021,TRAZODONE 150 MG TAB,259,,$2.46 ,$2.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302022,TRAZODONE 50 MG TAB,259,,$0.72 ,$0.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302023,TRAZODONE 100 MG TAB,259,,$1.29 ,$1.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302024,TRIAMTERENE/HCTZ 75/50,259,,$0.72 ,$0.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302025,TRIAMTERENE/HCTZ 50/25,259,,$0.82 ,$0.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302026,TRIAMTERENE/HCTZ 37.5/25 CAP,259,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302027,MAXZIDE-25 TAB,259,,$0.82 ,$0.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302028,TRIFLUOPERAZINE 5 MG TAB,259,,$2.12 ,$2.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302029,TRIFLUOPERAZINE 10 MG TAB,259,,$3.17 ,$3.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302030,TRIFLUOPERAZINE 2 MG TAB,259,,$1.66 ,$1.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302031,TRIHEXIDYL 2 MG TAB,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302032,TRIHEXYDYL 5 MG TAB,259,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302033,TRIMETHOBENZAMIDE 250 MG CAP,259,Q0173,$0.56 ,$0.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302034,SURMONTIL 25 MG CAPSULE,259,,$1.41 ,$1.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302035,ACTIGALL 300 MG CAPSULE,259,,$4.78 ,$4.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302036,VALPROIC ACID 250 MG CAPSULE,259,,$1.31 ,$1.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302037,VANCOCIN 125 MG CAPSULE,259,,$11.80 ,$11.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302038,VANCOCIN 250 MG CAPSULE,259,,$23.63 ,$23.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302039,EFFEXOR 37.5 MG TAB,259,,$3.01 ,$3.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302040,EFFEXOR 75 MG TAB,259,,$3.30 ,$3.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302041,ISOPTIN 40 MG TAB,259,,$0.54 ,$0.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302042,ISOPTIN 120 MG TAB,259,,$1.04 ,$1.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302043,ISOPTIN 120 MG TAB CR,259,,$2.04 ,$2.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302044,ISOPTIN 180 MG TAB CR,259,,$2.55 ,$2.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302045,ISOPTIN 240 MG TAB CR,259,,$2.96 ,$2.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302046,VERELAN 240 MG CAPSULE,259,,$2.65 ,$2.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302047,VERELAN 180 MG CAPSULE PC,259,,$2.81 ,$2.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302048,VERELAN 120 MG CAPSULE PC,259,,$2.66 ,$2.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302049,ICAPS PLUS TAB,259,,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302050,PROTEGRA CAPSULE,259,,$0.29 ,$0.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302051,CEFOL TAB,259,,$1.02 ,$1.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302052,VITAMIN B-1 50 MG,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302053,NICOBID 125 MG TEMPULE,259,,$1.39 ,$1.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302054,B-6 (PYRIDOXINE) 50 MG TAB,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302055,ASCORBIC ACID 500 MG TAB,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302056,ASCORBIC ACID 250 MG TAB,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302057,ROCALTROL .25 MCG CAP,259,,$2.35 ,$2.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302058,VITAMIN D CAPSULE 50000 UNITS,259,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302059,VITAMIN E 400 UNIT CAP,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302060,MEPHYTON 5 MG TAB,259,,$1.11 ,$1.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302061,THERAPEUTIC MULTIVITAMIN TAB,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302062,THERAVEE-M VITAMIN TAB,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302063,VICON FORTE CAP,259,,$0.92 ,$0.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302064,PRENATAL S TAB,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302065,STRESS-600 W/ ZINC TAB,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302066,COUMADIN 5 MG TAB,259,,$1.41 ,$1.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302067,COUMADIN 10 MG TAB,259,,$1.94 ,$1.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302068,COUMADIN 1 MG TAB,259,,$1.26 ,$1.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302069,COUMADIN 7.5 MG TAB,259,,$1.89 ,$1.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302070,COUMADIN 2.5 MG TAB,259,,$1.35 ,$1.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302071,COUMADIN 2 MG TAB,259,,$1.30 ,$1.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302072,YOHIMBINE 5.4 MG TAB,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302073,HIVID 0.75 MG TAB,259,J1626,$4.75 ,$4.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302074,RETROVIR 100 MG CAPSULE,259,,$3.42 ,$3.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302075,ZINC SULFATE 220 MG CAPSULE,259,,$0.25 ,$0.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302076,AMBIEN 10 MG TAB,259,,$4.49 ,$4.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302077,ALKA-SELTZER PLUS NIGHT-TIME COLD,259,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302078,ALKA-SELTZER PLUS COLD MED,259,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302079,SLOW-FE 160 MG TAB,259,,$0.30 ,$0.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302080,ALKA-SELTZER EFF TAB,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302081,MELATONIN 3 MG TAB,259,,$0.34 ,$0.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302082,ALTACE 1.25 MG CAP,259,,$1.39 ,$1.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302083,AMICAR 500 MG TAB,259,,$3.41 ,$3.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302084,HYDROXYUREA 500 MG CAP,259,,$2.18 ,$2.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302085,INDERAL 60 MG TABLET,259,,$0.87 ,$0.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302086,INDOMETHACIN 75 MG CR CAP,259,,$1.74 ,$1.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302087,MONOKET 10 MG TAB,259,,$0.90 ,$0.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302088,ISORDIL 5 MG SL TAB,259,,$0.53 ,$0.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302089,K-LYTE ORANGE EFF 25 MEQ,259,,$2.27 ,$2.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302090,K-LOR 20 MEQ POWDER,259,,$2.12 ,$2.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302091,LOPRESSOR HCT 100-50,259,,$3.24 ,$3.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302092,LUVOX 100 MG TAB,259,,$5.75 ,$5.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302093,THIORIDAZINE 15 MG TAB,259,,$1.79 ,$1.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302094,THIORIDAZINE 150 MG TAB,259,,$1.62 ,$1.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302095,NAPRELAN 375 MG TAB CR,259,,$2.25 ,$2.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302096,NEUTRA-PHOS POWDER PKT,259,,$0.59 ,$0.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302097,NEUTRA-PHOS-K POWDER PACKET,259,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302098,OS-CAL 250 + D TABLET,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302099,PLENDIL 2.5 MG TAB CR,259,,$1.80 ,$1.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302100,PLENDIL 5 MG TAB CR,259,,$1.80 ,$1.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302101,PLENDIL 10 MG TAB CR,259,,$3.27 ,$3.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302102,PROCANBID 1000 MG TAB,259,,$2.69 ,$2.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302103,ALBUTEROL SULFATE 4 MG TAB,259,,$0.70 ,$0.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302104,QUINIDEX 300 MG TAB CR,259,,$1.68 ,$1.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302105,SLO-BID 50 MG CAP CR,259,,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302106,SLO-BID 125 MG CAPSULE CR,259,,$0.62 ,$0.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302107,SOMA COMPOUND TAB,259,,$5.77 ,$5.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302108,TENORETIC 50-25 TAB,259,,$2.63 ,$2.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302109,TENORETIC 100/25 TAB,259,,$3.68 ,$3.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302110,THEO-24 CAP,259,,$0.98 ,$0.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302111,TIGAN 100 MG CAP,259,,$1.00 ,$1.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302112,TOFRANIL-PM 75 MG CAP,259,,$1.60 ,$1.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302113,TOFRANIL-PM 100 MG CAP,259,,$5.39 ,$5.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302114,TORADOL 10 MG TAB,259,,$2.15 ,$2.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302115,TRILISATE 500 MG TAB,259,,$1.20 ,$1.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302116,TYLENOL EXT RELIEF 650 MG CR TAB,259,,$0.25 ,$0.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302117,VIBRA-TABS 100 MG,259,,$6.33 ,$6.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302118,VITAMIN B-12 100 MCG TAB,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302119,VITAMIN B-12 TAB 1000 MCG,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302120,VITAMIN E 1000 UNITS CAPSULE,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302121,ZERIT 40 MG CAP,259,,$9.96 ,$9.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302122,ZINC CHELATED 50 MG TAB,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302123,ZOCOR 5 MG TAB,259,,$3.41 ,$3.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302124,PRIMATENE ASTHMA TAB,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302125,VITAMIN A 25000 UNITS,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302126,HYDROXYZINE PAMOATE 100 MG CAP,259,Q0177,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302127,VIVACTIL 10 MG TAB,259,,$1.26 ,$1.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302128,BUTISOL SODIUM 30 MG TAB,259,,$2.10 ,$2.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302129,DARVOCET-N 50 TABLET,259,,$0.52 ,$0.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302130,DORAL 7.5 MG TAB,259,,$4.72 ,$4.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302131,EQUAGESIC TAB,259,,$0.59 ,$0.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302132,PHENTERMINE 30 MG CAP,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302133,HALOTESTIN 5 MG TAB,259,,$3.73 ,$3.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302134,NEMBUTAL SODIUM 100 MG CAPSULE,259,,$0.96 ,$0.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302135,DIHYDROTACHYSTEROL 0.125 MG CAP,259,,$1.96 ,$1.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302136,ACCOLATE 20 MG TAB,259,,$1.45 ,$1.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302137,ACIDOPHILUS W/ PECTIN CAPSULE,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302138,AKINETON 2 MG TAB,259,,$0.52 ,$0.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302139,ALLEGRA 60 MG CAPSULE,259,,$2.00 ,$2.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302140,DISULFIRAM 250 MG TAB,259,,$0.29 ,$0.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302141,ARISTO-PAK 4 MG,259,,$2.17 ,$2.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302142,BLOCADREN 10 MG TAB,259,,$0.98 ,$0.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302143,CALTRATE 600 MG TAB,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302144,CAPOZIDE 50/25 TABLET,259,,$3.86 ,$3.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302145,CARDENE 30 MG CAPSULE,259,,$1.15 ,$1.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302146,CASODEX 50 MG TAB,259,,$24.21 ,$24.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302147,CATAFLAM 50 MG TAB,259,,$3.40 ,$3.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302148,CEBOCAP #1,259,,$0.62 ,$0.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302149,CECLOR CD 500 MG TAB,259,,$7.37 ,$7.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302150,CHROMIUM PICOLINATE 200 MCG CAP,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302151,COLESTID 1 G TABLET,259,,$0.93 ,$0.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302152,CORGARD 40 MG TAB,259,,$2.43 ,$2.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302153,COVERA-HS 180 MG TAB,259,,$2.70 ,$2.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302154,CRIXIVAN 400 MG CAPSULE,259,,$5.08 ,$5.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302155,CUPRIMINE 250 MG CAP,259,,$1.94 ,$1.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302156,CYTADREN 250 MG TAB,259,,$2.82 ,$2.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302157,DANTRIUM 25 MG CAP,259,,$1.72 ,$1.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302158,DANTRIUM 50 MG CAP,259,,$2.87 ,$2.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302159,DEMADEX 100 MG TAB,259,,$4.02 ,$4.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302160,DIAMOX 250 MG TAB,259,,$0.86 ,$0.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302161,DIETHYLSTILBESTROL 1 MG TAB,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302162,DIFLUNISAL 500 MG TAB,259,,$1.75 ,$1.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302163,DI-GEL MINT TAB CHEW,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302164,DISALCID 750 MG TAB,259,,$0.80 ,$0.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302165,DIURIL 500 MG TAB,259,,$0.30 ,$0.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302166,DOPAR 500 MG CAP,259,,$1.30 ,$1.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302167,DURA-VENT DA TAB CR,259,,$1.74 ,$1.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302168,DICLOXACILLIN 250 MG CAPSULE,259,,$0.70 ,$0.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302169,DICLOXACILLIN 500 MG CAP,259,,$1.26 ,$1.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302170,DYRENIUM 100 MG CAP,259,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302171,EDECRIN 50 MG TAB,259,,$0.88 ,$0.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302172,EFFEXOR 25 MG TAB,259,,$2.93 ,$2.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302173,ENDURON 5 MG TAB,259,,$1.04 ,$1.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302174,EPIVIR 150 MG TAB,259,,$8.78 ,$8.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302175,ESIMIL TAB,259,,$1.20 ,$1.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302176,ESKALITH 450 MG TAB,259,,$1.00 ,$1.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302177,ESTRATAB 0.3 MG TAB,259,,$0.79 ,$0.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302178,EXCEDRIN P M TABLET,259,,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302179,EXCEDRIN EX-STR TAB,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302180,EX-LAX 90 MG CHEW TAB,259,,$0.29 ,$0.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302181,FLEXTRA-DS TABLET,259,,$0.87 ,$0.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302182,FLUMADINE 100 MG TAB,259,,$3.69 ,$3.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302183,GEOCILLIN 382 MG TAB,259,,$3.94 ,$3.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302184,GRISACTIN ULTRA MICRN 330 MG TAB,259,,$2.32 ,$2.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302185,PSEUDOFEN LA,259,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302186,HEMOCYTE-F TABLET,259,,$0.29 ,$0.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302187,IBERET FOLIC 500 TAB,259,,$1.25 ,$1.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302188,INVIRASE 200 MG CAPSULE,259,,$4.00 ,$4.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302189,KERLONE 10 MG TAB,259,,$1.26 ,$1.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302190,LACTAID 3 MU TABLET,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302191,LAMICTAL 25 MG TAB,259,,$5.23 ,$5.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302192,LAMICTAL 100 MG TAB,259,,$5.53 ,$5.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302193,LARODOPA 250 MG TAB,259,,$0.59 ,$0.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302194,HYOSCYAMINE 0.375 MG CAP CR,259,,$0.85 ,$0.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302195,BACLOFEN 20 MG TAB,259,,$1.23 ,$1.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302196,MAVIK 1 MG TAB,259,,$1.62 ,$1.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302197,MAXAQUIN 400 MG TAB,259,,$12.16 ,$12.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302198,MECLOFENEMATE 50 MG CAP,259,,$0.72 ,$0.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302199,MENEST 0.625 MG TAB,259,,$0.53 ,$0.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302200,MIDAMOR 5 MG TAB,259,,$0.93 ,$0.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302201,MINIZIDE 1 CAP,259,,$1.23 ,$1.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302202,MINIZIDE 2,259,,$1.29 ,$1.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302203,MOBAN 10 MG TAB,259,,$1.60 ,$1.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302204,MONOPRIL 10 MG TAB,259,,$1.57 ,$1.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302205,MONOPRIL 20 MG TAB,259,,$1.66 ,$1.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302206,NAQUA 4 MG TAB,259,,$1.41 ,$1.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302207,NEPHRO-FER 350 MG,259,,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302208,NEPHRO-VITE & FE FC TAB,259,,$1.26 ,$1.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302209,NEPHRO-VITE B&C MULTIVITAMIN,259,,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302210,NEPHROCAP,259,,$0.38 ,$0.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302211,NICOBID TEMPULES 250 MG CAP,259,,$1.58 ,$1.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302212,NIACIN 50 MG TAB,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302213,NIACIN 100 MG TAB,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302214,NIACIN 250 MG TAB,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302215,NIACIN 500 MG TAB,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302216,NIZORAL 200 MG TAB,259,,$5.67 ,$5.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302217,NORGESIC TABLET,259,,$1.25 ,$1.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302218,NORGESIC FORTE TAB,259,,$1.74 ,$1.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302219,NU-IRON-V TAB,259,,$0.56 ,$0.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302220,ORUVAIL 100 MG CAP,259,,$3.39 ,$3.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302221,ORUVAIL 150 MG CAP,259,,$4.13 ,$4.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302222,PANNAZ TAB,259,,$0.87 ,$0.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302223,PBZ-SR 100 MG,259,,$0.76 ,$0.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302224,PARNATE 10 MG TAB,259,,$1.28 ,$1.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302225,PENTASA 250 MG CAP,259,,$0.79 ,$0.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302226,PERCOGESIC TAB,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302227,PHILLIPS MILK OF MAGNESIA TAB,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302228,POTASSIUM GLUCONATE 500 MG TAB,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302229,PRILOSEC 10 MG CAPSULE,259,,$6.19 ,$6.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302230,QUININE SULFATE 200 MG CAP,259,,$0.90 ,$0.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302231,RENESE R TABLET,259,,$1.41 ,$1.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302232,RESERPINE 0.1 MG TABLET,259,,$0.54 ,$0.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302233,RIDAURA 3 MG CAP,259,,$2.41 ,$2.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302234,ROBINUL 1 MG TAB,259,,$1.04 ,$1.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302235,RYNATAN TAB,259,,$2.70 ,$2.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302236,PROPAFENONE 150 MG TAB (RYTHMOL),259,,$5.51 ,$5.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302237,SANSERT 2 MG TAB,259,,$4.74 ,$4.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302238,SINUTAB NON-DRYING CAPSULE,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302239,SKELAXIN 400 MG TAB,259,,$0.26 ,$0.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302240,SODIUM BICARBONATE 600 MG TAB,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302241,SODIUM CHLORIDE 1 GRAM TABLET,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302242,STELAZINE 1 MG TAB,259,,$0.84 ,$0.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302243,TOLECTIN DS 400 MG CAPSULE,259,,$2.09 ,$2.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302244,CLOXACILLIN 500 MG CAPSULE,259,,$1.20 ,$1.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302245,TEGISON 25 MG CAP,259,,$6.15 ,$6.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302246,TOLAZAMIDE 100 MG TAB,259,,$0.36 ,$0.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302247,ORINASE 500 MG TAB,259,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302248,TRIMPEX 100 MG TAB,259,,$1.19 ,$1.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302249,VANTIN 200 MG TAB,259,,$9.20 ,$9.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302250,CORGARD 20 MG TAB,259,,$2.08 ,$2.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302251,MAOLATE 400 MG TAB,259,,$0.83 ,$0.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302252,MODURETIC 5/50 TAB,259,,$1.02 ,$1.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302253,ASPIRIN 300 MG SUPP,259,,$0.49 ,$0.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302254,ASPIRIN 600 MG SUPP,259,,$0.57 ,$0.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302255,CEFTIN 250 MG TAB,259,,$9.45 ,$9.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302256,CEFTIN 500 MG TAB,259,,$17.24 ,$17.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302257,MYCELEX G VAG TAB 500 MG,259,,$25.75 ,$25.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302258,GYNE-LOTRIM VAGINAL TAB 100 MG,259,,$1.73 ,$1.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302259,GLYCERIN SUPPOSITORY ADULT,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302260,GLYCERIN PEDIATRIC SUPPOS,259,,$0.52 ,$0.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302261,GLYCERIN INFANT SUPPOSITORY,259,,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302262,PREPARATION-H SUPPOSITORY,259,,$0.86 ,$0.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302263,ANUSOL-HC 25 MG SUPPOSITORY,259,,$5.34 ,$5.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302264,ROWASA RECTAL SUPP 500 MG,259,,$6.52 ,$6.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302265,MONISTAT 3 VAG SUPP 200 MG,259,,$22.99 ,$22.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302266,MONISTAT 7 VAG SUPP,259,,$3.06 ,$3.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302267,MYSTATIN VAG TAB,259,,$3.06 ,$3.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302268,NEMBUTAL SODIUM 30 MG SUPP,259,,$6.20 ,$6.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302269,COMPAZINE 25 MG SUPP,259,,$6.41 ,$6.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302270,AVC VAG SUPP,259,,$4.65 ,$4.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302271,CAFERGOT SUPPOS,259,,$12.44 ,$12.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302272,THORAZINE 25 MG SUPP,259,,$6.58 ,$6.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302273,INDOCIN 50 MG SUPP,259,,$3.08 ,$3.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302274,TERAZOL 3 VAG SUPP 80 MG,259,,$23.08 ,$23.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302275,ZOVIRAX 5% OINT 15 GM,259,,$8.76 ,$8.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302276,ACLOVATE 0.05% OINT 15 GM,259,,$2.17 ,$2.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302277,ACLOVATE DIPROP CREAM 60 GM,259,,$1.44 ,$1.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302278,CYCLOCORT 0.1% CREAM,259,,$2.29 ,$2.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302279,CYCLOCORT 0.1% LOTION 20 ML,259,,$2.01 ,$2.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302280,CYCLOCORT 0.1% OINT 15 GM,259,,$2.29 ,$2.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302281,DRITHOCREME 0.5% 50 GM,259,,$1.56 ,$1.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302282,LAC-HYDRIN LOTION 5% 240 ML,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302283,POLYSPORIN POWDER 10 GM,259,,$1.56 ,$1.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302284,ALPHA KERI THER BATH OIL 480 ML,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302285,ORAJEL MOUTH-AID GEL 10 GM,259,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302286,ORAJEL BABY 7.5% 10 GM,259,,$0.56 ,$0.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302287,HURRICAINE 20% AEROSOL 60 GM,259,,$0.82 ,$0.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302288,AMERICAINE 20% AEROSOL 60 ML,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302289,DERMOPLAST SPRAY,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302290,LANACANE CREAM 30 GM,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302291,ANBESOL LIQ 9.3 ML,259,,$0.87 ,$0.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302292,VAGISIL FEM CREAM 30 GM,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302293,DIPROLENE AF 0.05% CREAM 15 GM,259,,$4.72 ,$4.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302294,DIPROLENE 0.05% OINT 15 GM,259,,$4.72 ,$4.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302295,DIPROLENE 0.05% LOTION 30 ML,259,,$2.69 ,$2.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302296,DIPROLENE GEL 45 GM,259,,$1.91 ,$1.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302297,DIPROLENE GEL 15 GM,259,,$4.72 ,$4.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302298,BETAMETHASONE VAL CR 0.1% 15 GM,259,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302299,BETAMETHASONE VAL LOT 0.1% 60 ML,259,,$0.34 ,$0.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302300,BETAMETHASONE VAL OINT 0.1% 15 GM,259,,$0.70 ,$0.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302301,CALAMINE LOTION 120 ML,259,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302302,DOVONEX 50MCG/G OINT 30 GM,259,,$2.72 ,$2.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302303,CAMPHO-PHENIQUE SOLN 22.5 ML,259,,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302304,ZOSTRIX-HP 0.075% CR 30 GM,259,,$1.48 ,$1.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302305,ZOSTRIX 0.25% CR 20 GM,259,,$0.84 ,$0.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302306,CETAPHIL LOTION 240 ML,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302307,CEPACOL MOUTHWASH 120 ML,259,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302308,CEPACOL THROAT LOZENGE BOX OF 18,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302309,PERIDEX MOUTHWASH 473 ML,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302310,HIBICLENS 4% SOLN 120 ML,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302311,PANAFIL OINTMENT 30 GM,259,,$4.77 ,$4.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302312,PANAFIL-WHITE OINT 30 GM,259,,$3.04 ,$3.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302313,TRILISATE 750 MG TAB,259,,$1.48 ,$1.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302314,LOPROX 1% CR 15 GM,259,,$1.39 ,$1.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302315,CLEOCIN VAGINAL CREAM 40 G,259,,$2.09 ,$2.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302316,TEMOVATE 0.05% GEL 15 GM,259,,$3.86 ,$3.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302317,TEMOVATE SCALP LOTION 0.05% 25 ML,259,,$2.64 ,$2.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302318,LOTRIMIN 1% CREAM 15 GM,259,,$1.80 ,$1.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302319,LOTRIMIN 1% SOLN 30 ML,259,,$1.65 ,$1.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302320,LOTRIMIN 1% LOTION 30 ML,259,,$1.74 ,$1.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302321,LOTRIMIN AF 2% AER POWDER 100GM,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302322,LOTRISONE CREA 15 GM,259,,$2.93 ,$2.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302323,DESITIN OINTMENT 30 GM,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302324,CALDESENE OINTMENT 37.5 GM,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302325,SANTYL OINT 15 GM,259,,$3.35 ,$3.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302326,COLLODION FLEXIBLE SOLUTION,259,,$0.29 ,$0.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302327,AVEENO REGULAR BATH TREATMENT PKT,259,,$1.08 ,$1.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302328,EUCERIN CREAM 120 GM,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302329,DESONIDE 0.05% CREAM 15 GM,259,,$1.35 ,$1.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302330,TOPICORT 0.25% CREAM 15 GM,259,,$2.58 ,$2.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302331,TOPICORT LP 0.05% CREAM 15 GM,259,,$2.27 ,$2.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302332,NUPERCAINAL 0.5% CREAM 45 GM,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302333,PSORCON 0.05% CREAM 15 GM,259,,$5.43 ,$5.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302334,BENADRYL MAX STR SPRAY 60 ML,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302335,DIPHENHIST 2% CREAM 30 GM,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302336,BENADRYL 1% CREAM 15 GM,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302337,CALADRYL LOTION 75 ML,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302338,CALADRYL CLEAR LOTION 180 ML,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302339,VICKS VAPORUB 45 GM,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302340,ELASE OINTMENT 30 GM,259,,$2.09 ,$2.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302341,DERMA-SMOOTHE/FS OIL 120 ML,259,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302342,FLUOCINOLONE CREAM 0.025% 15 GM,259,,$0.32 ,$0.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302343,FLUOCINONIDE 0.05% OINT 15 GM,259,,$2.02 ,$2.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302344,LIDEX 0.05% GEL,259,,$2.40 ,$2.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302345,LIDEX 0.05% SOLUTION 20 ML,259,,$2.04 ,$2.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302346,EFUDEX 5% CREAM 25 GM,259,,$6.81 ,$6.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302347,CUTIVATE 0.05% CR 15 GM,259,,$2.54 ,$2.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302348,MOISTUREL CREAM 120 GM,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302349,ULTRAVATE 0.05% CREAM 15 GM,259,,$3.74 ,$3.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302350,ANUSOL-HC 2.5% CREAM 30 GM,259,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302351,PHISOHEX 3% SOAP 150 ML,259,A4246,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302352,HYDROCORTISONE 2.5% CR 30 GM,259,,$0.58 ,$0.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302353,CALDECORT 1% CREAM 15 GM,259,,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302354,HYDROCORTISONE 1% OINT 15 GM,259,,$0.26 ,$0.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302355,HYDROCORTISONE 0.5% CREAM 30 GM,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302356,HYDROCORTISONE 0.5% OINT 30 GM,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302357,HYDROCORTISONE CREAM 0.5% 30 GM,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302358,HYDROCORTISONE 2.5% LOTION 59ML,259,,$1.64 ,$1.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302359,HYDROCORTISONE 1% LOTION 120ML,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302360,HYDROCORTISONE 2.5% OINT 20 GM,259,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302361,WESTCORT 0.2% CREAM 15 GM,259,,$1.96 ,$1.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302362,WESTCORT 0.2% OINT 15 GM,259,,$1.96 ,$1.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302363,PEROXYL MINT MOUTHWASH 250 ML,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302364,CORQUE CREAM 20 GM,259,,$0.25 ,$0.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302365,NIZORAL SHAMPOO 2% 120 ML,259,,$0.38 ,$0.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302366,NIZORAL 2% CREAM 15 GM,259,,$2.35 ,$2.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302367,LANOLIN HYDROUS OINT,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302368,VALTREX 500 MG TAB,259,,$6.73 ,$6.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302369,XYLOCAINE 5% OINT 35 GM,259,,$0.83 ,$0.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302370,XYLOCAINE 2.5% OINT 35 GM,259,,$0.80 ,$0.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302371,LINDANE 1% SHAMPOO 60 ML,259,,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302372,LINDANE 1% SHAMPOO,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302373,LINDANE 1% LOTION 60 ML,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302374,LINDANE 1% LOTION,259,,$0.26 ,$0.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302375,EPSOM SALT CRYSTALS,259,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302376,ANALGESIC BALM 30 GM,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302377,METROGEL 30 GM,259,,$2.32 ,$2.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302378,MONISTAT DUAL-PAK KIT,259,,$47.51 ,$47.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302379,MICATIN 2% CREAM 15 GM,259,,$0.56 ,$0.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302380,MICATIN 2% AEROSOL 90 GM,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302381,MONISTAT 7 VAG CREAM 45 GM,259,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302382,MONISTAT-7 VAG CREAM 5 GM,259,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302383,NUTRADERM 25% LOTION BASE,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302384,ELOCON 0.1% CREAM 15 GM,259,,$3.02 ,$3.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302385,LISTERINE MOUTHWASH 3 OZ,259,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302386,BACTROBAN 2% OINT 15 GM,259,,$2.43 ,$2.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302387,BACTROBAN NASAL OINT 1 GM,259,,$10.24 ,$10.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302388,NEOSPORIN PLUS MAX STR CRM 15 GM,259,,$0.38 ,$0.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302389,CORTISPORIN OINTMENT 15 GM,259,,$4.85 ,$4.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302390,MYCOSTATIN TOP PWDER 15 GM,259,,$3.40 ,$3.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302391,NYSTATIN TOPICAL CREAM 15 GM,259,,$0.32 ,$0.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302392,NYSTATIN OINT 15 GM,259,,$0.32 ,$0.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302393,NYSTATIN/TRIAMCINOLONE OINT 15GM,259,,$0.53 ,$0.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302394,CLORPACTIN WCS-90 PWDR 2 GM,259,,$4.14 ,$4.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302395,TUCKS TAKE-ALONGS WIPE 12'S,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302396,WITCH HAZEL WIPES 40'S,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302397,ELIMITE CREAM 5% 60 GM,259,,$0.89 ,$0.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302398,PETROLATUM OINT 30 GM,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302399,BETADINE MED DOUCHE 15 ML,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302400,ANUSOL OINT 30 GM,259,,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302401,PROCTOFORAM AEROSOL 15 GM,259,,$3.32 ,$3.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302402,EPIFOAM AEROSOL 10 GM,259,,$3.27 ,$3.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302403,ENZONE CR 30 GM,259,,$1.54 ,$1.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302404,ZONE A FORTE LOTION 60 ML,259,,$1.02 ,$1.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302405,ZNP SHAMPOO BAR,259,,$10.18 ,$10.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302406,SEBULEX SHAMPOO 200 ML,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302407,SELSUN 2.5% SHAMPOO 120 ML,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302408,SELSUN BLUE SHAMP 120 ML,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302409,THERMAZENE CR 20 GM,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302410,OILATUM UNSCENTED SOAP,259,,$4.13 ,$4.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302411,LUBRIDERM SCENTED LOTION 16 OZ,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302412,PHISODERM FOR BABY,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302413,PHISODERM SOAP 150 ML,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302414,DAKIN'S 0.5% SOLUTION 480 ML,259,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302415,LAMISIL CREAM 1% 15 GM,259,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302416,TERAZOL 3 VAG CR 20 GM,259,,$3.45 ,$3.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302417,TERAZOL 7 VAG CR 45 GM,259,,$1.54 ,$1.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302418,PONTOCAINE 0.5% OINT 30 MG,259,,$0.53 ,$0.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302419,TOLNAFTATE 1% CREAM 15 GM,259,,$0.29 ,$0.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302420,TINACTIN 1% AEROSOL POWDER 100GM,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302421,RETIN-A CREAM 20 GM,259,,$3.86 ,$3.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302422,RETIN-A 0.05% CREAM 20 GM,259,,$4.30 ,$4.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302423,TRIAMCINOLONE ACET 0.1% OINT 15GM,259,,$0.36 ,$0.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302424,KENALOG AEROSOL 63 GM,259,,$0.90 ,$0.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302425,ARISTOCORT A 0.1% CREAM 15 GM,259,,$1.48 ,$1.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302426,FLUORI-METHANE SPRAY 103 ML,259,,$0.53 ,$0.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302427,MYOFLEX CREAM 10% 60 GM,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302428,DESENEX PWDR 45 GM,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302429,VITAMIN A & D OINTMENT 60 GM,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302430,CUREL LOTION 10 OZ,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302431,WINTERGREEN OIL 60 ML,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302432,ZINC OXIDE OINT 30 GM,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302433,CHAPSTICK REG LIP BALM,259,,$1.31 ,$1.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302434,CARMEX OINT 7.5 GM,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302435,FOILLE 2% OINT 30 GM,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302436,NEUTROGENA NORW FORM CREAM 60 GM,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302437,VASELINE LIP THERAPY 10 GM,259,,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302438,ACETIC ACID IRRIGATION 0.25% SOLN,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302439,ALUM POWDER,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302440,AMYL NITRITE INHALANT 0.3 ML,259,,$3.50 ,$3.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302441,BACITRACIN OPHTH OINT 3.5 GM,259,,$2.26 ,$2.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302442,ZEPHIRAN CONCENTRATE 17%,259,,$0.32 ,$0.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302443,BETOPTIC S OPHTH SUSP 2.5 ML,259,,$13.46 ,$13.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302444,TEMOVATE 0.05% CREAM 30 GM,259,,$2.65 ,$2.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302445,CYCLOGYL OPHTH SOLN 1%,259,,$8.03 ,$8.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302446,BENADRYL 2% CREAM 15 GM,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302447,ERYTHROMYCIN OPHTH OINT 1 GM,259,,$3.26 ,$3.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302448,GENTIAN VIOLET 1% SOL 30 ML,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302449,EMLA CREAM 5 GM,259,,$14.93 ,$14.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302450,MERCUROCHROME 2% SOLN 30 ML,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302451,NAFTIN 1% GEL 20 GM,259,,$2.41 ,$2.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302452,MAXITROL OPHTH OINT 3.5 GM,259,,$27.49 ,$27.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302453,LACRI-LUBE OPHTH OINT 0.7 GM UD,259,,$3.15 ,$3.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302454,PURALUBE OPHTH OINT 3.5 GM,259,,$1.80 ,$1.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302455,PILOPINE HS OPHTH GEL 4 GM,259,,$18.26 ,$18.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302456,MURO-128 OPHTH OINT 3.5 GM,259,,$7.29 ,$7.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302457,TOBREX OPHTH OINT 3.5 GM,259,,$24.40 ,$24.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302458,TRIAMCINOLONE ACET CR 0.5% 15 GM,259,,$0.56 ,$0.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302459,VIRA-A OPHTH OINT 3.5 GM,259,,$11.86 ,$11.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302460,BECONASE AQ NASAL INHALER,259,,$4.78 ,$4.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302461,VANCENASE POCKETHALER 7 GM,259,,$11.25 ,$11.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302462,VANCENASE AQ NAS SPRAY .084%-19GM,259,,$5.08 ,$5.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302463,TORNALATE METERED DOSE INH 15 ML,259,,$5.13 ,$5.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302464,RHINOCORT NASAL INHALER 7 GM,259,,$11.01 ,$11.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302465,INTAL INHALER 8.1 GM,259,,$12.07 ,$12.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302466,PRIMATENE AEROSOL SPRAY,259,,$1.31 ,$1.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302467,NASALIDE NASAL INHALER 25 ML,259,,$3.05 ,$3.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302468,AEROBID-M ORAL INHALER 7 GM,259,,$18.37 ,$18.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302469,FLOVENT INHALER 44 MCG,259,,$8.17 ,$8.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302470,FLOVENT INHALER 220 MCG/DOSE,259,,$17.02 ,$17.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302471,FLONASE NASAL SPRAY 0.05% 16 GM,259,,$7.11 ,$7.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302472,ATROVENT NASAL SPRAY,259,,$5.50 ,$5.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302473,BRONKOMETER AEROSOL 10 ML,259,,$4.13 ,$4.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302474,CLARITIN 10 MG TAB,259,,$5.42 ,$5.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302475,CLARITIN-D 24 HOUR TAB,259,,$4.13 ,$4.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302476,SULFAMYLON CR,259,,$0.56 ,$0.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302477,12-HOUR NASAL SPRAY 15 ML,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302478,AFRIN NASAL SOLUTION (DROPS) 20ML,259,,$0.38 ,$0.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302479,CLIMARA PATCH 0.05 MG/24HR,259,,$14.64 ,$14.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302480,CLIMARA PATCH 0.0 MG/24HR,259,,$14.64 ,$14.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302481,ESTRADERM PATCH 0.05 (BIWEEKLY),259,,$4.75 ,$4.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302482,ESTRADERM PATCH 0.1 MG-BIWEEKLY,259,,$5.19 ,$5.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302483,NITRO-DUR PATCH 0.3 MG/HR,259,,$4.25 ,$4.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302484,NITRO-DUR PATCH 0.6 MG/HR,259,,$2.69 ,$2.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302485,ROWASA RECTAL SUSP 66.7 ML,259,,$0.46 ,$0.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302486,CORTENEMA 60 ML,259,,$0.35 ,$0.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302487,MUCOMYST 10% SOLN UD 4 ML,259,J7608,$2.15 ,$2.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302488,VENTOLIN INHAL SOLN,259,J7618,$1.74 ,$1.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302489,MUCOMYST 20% SOLUTION,259,,$8.36 ,$8.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302490,CROMOLYN NEB SOLN 20 MG/2ML,259,J7630,$0.57 ,$0.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302491,NASALCROM NASAL SPRAY,259,,$3.04 ,$3.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302492,ALBUTEROL INH SOLN UD 3 ML,259,J7619,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302493,MICRONEFRIN INH SOL 2.25%,259,J7640,$2.44 ,$2.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302494,ISOETHARINE INH SOL 1% 10 ML,259,J7648,$3.05 ,$3.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302495,ISOETHARINE INH SOL 1%,259,J7648,$3.05 ,$3.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302496,METAPROTERENOL INH SOL 0.6%-2.5ML,259,J7669,$0.83 ,$0.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302497,SODIUM CHLORIDE INH 0.9% SOL-3 ML,259,J7051,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302498,SODIUM CHLORIDE 3% SOLN 15 ML,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302499,ACETIC ACID 2% HC1% OTIC SOL 10ML,259,,$1.39 ,$1.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302500,IOPIDINE OPHTH SOLN 0.5% - 5 ML,259,,$23.15 ,$23.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302501,HYPOTEARS OPHTH SOL 15 ML,259,,$0.98 ,$0.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302502,ARTIFICIAL TEARS- 15 ML,259,,$0.29 ,$0.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302503,BETOPTIC OPHTH SOL 0.5%-5ML,259,,$8.93 ,$8.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302504,SWIM EAR 30 ML,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302505,ISOPTO CARBACHOL OPH SOL 1.5%-15M,259,,$3.84 ,$3.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302506,GLY-OXIDE LIQUID 10% 15 ML,259,,$0.53 ,$0.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302507,OCUPRESS OPHTH SOLN 1% 10 ML,259,,$8.18 ,$8.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302508,CHLOROPTIC OPHTH SOL 0.5% 2.5ML,259,,$3.57 ,$3.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302509,CIPROFLOXAC 0.3% OPHTH SOL,259,,$17.05 ,$17.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302510,CATAPRES-TTS PATCH 0.3 MG,259,,$54.81 ,$54.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302511,CATAPRES-TTS PATCH 0.2 MG,259,,$39.54 ,$39.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302512,CATAPRES-TTS PATCH 0.1 MG,259,,$23.46 ,$23.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302513,VOLTAREN OPHTH SOL,259,,$23.35 ,$23.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302514,TRUSOPT OPHTH SOL 5 ML,259,,$8.59 ,$8.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302515,FLAREX OPHTH SUSP 5 ML,259,,$10.13 ,$10.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302516,ATROVENT INHALATION SOLN 2.5 ML,259,J7644,$2.35 ,$2.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302517,ACULAR OPHTH SOL 5 ML,259,,$20.49 ,$20.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302518,BETAGAN OPHTH SOL 0.5%-5 ML,259,,$3.84 ,$3.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302519,BETAGAN OPHTH SOLN 0.25%-5 ML,259,,$8.21 ,$8.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302520,BETAGAN C OPHTH SOL 0.5%-5 ML,259,,$9.35 ,$9.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302521,SARNA ANTI-ITCH LOTION,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302522,OPTIPRANOLOL OPHTH SOLN 0.3%-5ML,259,,$7.34 ,$7.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302523,VASOCON-A EYE DROPS 15 ML,259,,$0.89 ,$0.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302524,NAPHCON-A OPHTH DROPS 15 ML,259,,$0.87 ,$0.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302525,OCUFLOX OPHTH SOL 0.3%-5ML,259,,$14.93 ,$14.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302526,CHLORASEPTIC LOZENGE 18S,259,,$0.26 ,$0.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302527,CEPASTAT CHERRY LOZENGE 18S,259,,$0.26 ,$0.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302528,EX-LAX PILL,259,,$0.34 ,$0.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302529,AK-DILATE 2.5% OPHTH SOL-2 ML,259,,$3.42 ,$3.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302530,NEO-SYNEPHRINE 0.25% NAS SPR 15ML,259,,$0.36 ,$0.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302531,NEO-SYNEPHRINE 0.5% SPRAY-15ML,259,,$0.36 ,$0.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302532,NEO-SYNEPHRINE 1% NAS SPRAY-15ML,259,,$0.46 ,$0.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302533,ISOPTO CARPINE OPHTH VISC 4%-15ML,259,,$2.86 ,$2.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302534,ISOPTO CARPINE OPHTH SOLN 2%-15ML,259,,$2.69 ,$2.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302535,ISOPTO-CARPINE OPHTH SOL 15 ML,259,,$1.64 ,$1.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302536,ISOPTO CARPINE OPHTH SOL 3%-15 ML,259,,$1.79 ,$1.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302537,ISOPTO-CARPINE OPHTH SOL 6%-15 ML,259,,$2.85 ,$2.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302538,ISOPTO CARPINE OPHTH SOL 8%-15ML,259,,$3.37 ,$3.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302539,E-PILO-1 OPHTH SOL 10 ML,259,,$3.37 ,$3.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302540,MAXAIR AUTOHALER 14 GM,259,,$10.93 ,$10.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302541,ZOTO-HC EAR DROPS 10 ML,259,,$3.82 ,$3.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302542,PRED FORTE OPHTH SUSP 1% 5 ML,259,,$8.28 ,$8.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302543,OPHTHETIC OPHTH SOL 0.5%-15 ML,259,,$1.77 ,$1.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302544,SEREVENT INHALER 6.5 GM,259,,$13.96 ,$13.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302545,CELLUVISC OPHTH 1% SOL 30 ML,259,,$0.54 ,$0.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302546,AYR SALINE NASAL DROPS 50 ML,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302547,SALINEX NASAL SOLN 0.4%-50 ML,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302548,ISOPTO CETAPRED OPHTH SUSP 5 ML,259,,$10.06 ,$10.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302549,BRETHAIRE INHALER 7.5 ML,259,,$5.84 ,$5.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302550,TETRACAINE OPHTH SOL 0.5%-15 ML,259,,$0.57 ,$0.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302551,TIMOPTIC OPHTH SOL 0.5% - 2.5 ML,259,,$7.58 ,$7.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302552,BETIMOL OPHTH SOLN 0.25%-10ML,259,,$4.70 ,$4.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302553,TIMOPTIC OPHTH SOL 2.5%- 2.5 ML,259,,$6.36 ,$6.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302554,TIMOPTIC-XE OPHTH GEL 0.5%-2.5ML,259,,$13.20 ,$13.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302555,TIMOPTIC-XE OPHTH GEL 2.5%-2.5ML,259,,$11.14 ,$11.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302556,KENALOG IN ORABASE 5 GM,259,,$5.89 ,$5.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302557,NASACORT NASAL INHALER 10 GM,259,,$10.00 ,$10.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302558,AZMACORT INHALER 20 GM,259,,$6.33 ,$6.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302559,MYDRIACYL OPHTH SOL 0.5%-15 ML,259,,$3.60 ,$3.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302560,OTRIVIN NASAL SPRAY 0.1%-20 ML,259,,$0.51 ,$0.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302561,OTRIVIN NASAL DROPS 0.1%-25 ML,259,,$0.52 ,$0.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302562,OTRIVIN PED NASAL SOL 0.05%-25ML,259,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302563,TRIPLE DYE SOLUTION 15 ML,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302564,FUROSEMIDE 80 MG TAB,259,,$0.87 ,$0.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302565,PHOSLO TABLET 667 MG,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302566,ERYTHROMYCIN OPHTH OINT 3.5 GM,259,,$2.40 ,$2.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302567,PROCTOFORAM-HC 1% AEROSOL 10GM,259,,$6.81 ,$6.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302568,EFIDAC 16 MG TAB,259,,$0.92 ,$0.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302569,NICODERM PATCH 7 MG/24 HR,259,,$6.55 ,$6.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302570,NICODERM PATCH 14 MG/ 24 HR,259,,$6.55 ,$6.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302571,NICOTROL PATCH 15 MG/16 HR,259,,$5.15 ,$5.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302572,PROSTEP PATCH 11 MG/24 HR,259,,$8.36 ,$8.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302573,PROSTEP PATCH 22 MG,259,,$9.08 ,$9.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302574,SALICYLIC ACID POWDER,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302575,BION TEARS LUBRICANT EYE DROPS,259,,$0.62 ,$0.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302576,ECONOPRED OPHTH SUSP 0.125% 5 ML,259,,$8.59 ,$8.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302577,ISOPTO CARBACHOL OPH SOL 2.25%-5M,259,,$3.32 ,$3.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302578,ISOPTO HOMATROPINE OP SOL 2%-5ML,259,,$6.97 ,$6.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302579,MAXITROL OPHTH SUSP 5 ML,259,,$17.67 ,$17.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302580,MURO-128 OPHTH SOL 5%-15 ML,259,,$1.72 ,$1.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302581,NAPHCON OPHTH DROPS 0.012% 15 ML,259,,$2.51 ,$2.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302582,OCUPRESS OPHTH SOLN 1% 5 ML,259,,$8.70 ,$8.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302583,POLY-PRED OPHTH SUSP 5 ML,259,,$9.53 ,$9.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302584,POLYTRIM OPHTH SOL 10 ML,259,,$5.77 ,$5.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302585,BACITRACIN/POLYMIXIN OPH OIN 3.5G,259,,$5.16 ,$5.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302586,PREDNISOLONE ACET OPH SUS 1%-10ML,259,,$3.87 ,$3.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302587,AS-PRO 0.1% OPHTH SOL 5 ML,259,,$4.44 ,$4.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302588,REFRESH OPHTH SOLN 0.3 ML UD,259,,$0.49 ,$0.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302589,TIMOLOL MAL OPH SOL 0.25%-10 ML,259,,$4.35 ,$4.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302590,TIMOLOL MAL OPH SOL 0.5%- 5 ML,259,,$5.34 ,$5.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302591,TOBRAMYCIN OPHTH SOL 0.3%- 5ML,259,,$4.98 ,$4.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302592,TOBRADEX OPHTH OINT 3.5 GM,259,,$29.80 ,$29.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302593,TOBRADEX OPHTH SUSP 5 ML,259,,$19.22 ,$19.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302594,VEXOL OPHTH SUSP 1%-5 ML,259,,$8.44 ,$8.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302595,XALATAN 0.005% OPHTH SOL - 2.5 ML,259,,$37.15 ,$37.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302596,AMINO-CERV VAG CREAM 80 GM,259,,$0.38 ,$0.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302597,CHLOROPTIC OPHTH OINT 1% - 3.5 GM,259,,$9.79 ,$9.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302598,AVC VAG CREAM 4 OZ,259,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302599,ESTRACE VAG CR 42.5 GM,259,,$1.74 ,$1.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302600,FEMSTAT 3 VAG CR 2%- 20 GM W/APP,259,,$1.04 ,$1.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302601,GYNE-LOTRIMIN 1% VAG CR 45 GM,259,,$0.29 ,$0.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302602,MASSENGILL MED DISP DOUCH 180 ML,259,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302603,OPHTHAINE OPHTH SOL 0.5% - 15ML,259,,$2.01 ,$2.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302604,TRIMO-SAN VAG GEL 4 OZ,259,,$0.30 ,$0.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302605,COLY-MYCIN S OTIC SUSP 5 ML,259,,$1.89 ,$1.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302606,OTOBIOTIC OTIC SOLN 15 ML,259,,$2.64 ,$2.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302607,TILADE INHALER 16.2 GM,259,,$7.21 ,$7.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302608,ATROVENT NASAL SPRAY 0.03%-30 ML,259,,$3.21 ,$3.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302609,NASACORT AQ NASAL SPRAY 16.5 GM,259,,$7.11 ,$7.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302610,NICOTROL NASAL SPRAY 10 ML,259,,$6.71 ,$6.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302611,CHLORASEPTIC MINT LIQUID 180 ML,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302612,ACLOVATE 0.05% CREAM 15 GM,259,,$2.17 ,$2.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302613,AMERICAINE ANESTH LUB 20%-30GM,259,,$0.79 ,$0.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302614,ANALPRAM HC 1% CR W/ APP 30GM,259,,$2.33 ,$2.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302615,TRIAMCINOLONE ACET 0.025% CR-15GM,259,,$0.32 ,$0.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302616,TRIAMCINOLONE OINT 0.025% - 15GM,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302617,BLISTEX OINT 6 GM,259,,$0.35 ,$0.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302618,BLUBORO PACKET,259,,$1.56 ,$1.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302619,DERMOPLAST 20% AEROSOL 60 ML,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302620,DIFFERIN GEL 0.1% - 15 GM,259,,$4.68 ,$4.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302621,DERMATOP 0.1% CREAM 15 GM,259,,$1.73 ,$1.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302622,DOMEBORO EFF TABLET,259,,$1.21 ,$1.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302623,ELOCON 0.1% OINT 15 GM,259,,$3.02 ,$3.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302624,ELOCON 0.1% LOTION 60 ML,259,,$1.57 ,$1.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302625,FLORONE E 0.05% CR 15 GM,259,,$4.78 ,$4.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302626,FOILLE PLUS 5% AER 105 GM,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302627,FOILLE 5% AEROSOL SPRAY 92 GM,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302628,MONSEL'S SOLUTION,259,,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302629,GLYCERIN SOLUTION,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302630,HALOG CREAM 0.1% 15 GM,259,,$2.66 ,$2.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302631,STRONG IODINE LIQ,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302632,KERI ORIG LOT 195 ML,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302633,LIDEX E 0.05% CREAM 30 GM,259,,$1.65 ,$1.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302634,MAXIFLOR 0.05% OINT 30 GM,259,,$2.52 ,$2.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302635,NEUTROGENA BODY LOTION 240 ML,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302636,ORASOL LIQ 15 ML,259,,$0.29 ,$0.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302637,PEPPERMINT OIL,259,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302638,PRAMOSONE 1% LOTION 60 ML,259,,$1.19 ,$1.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302639,PREPARATION-H CREAM 27 GM,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302640,PROPHYLLIN 1% OINT 30 GM,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302641,PROPHYLLIN 1% POWDER 120 GM,259,,$0.25 ,$0.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302642,TALC POWDER,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302643,TEMOVATE 0.05% OINT 15 GM,259,,$3.86 ,$3.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302644,TOPICORT OINT 0.25% 15 GM,259,,$2.54 ,$2.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302645,BETAMETHASONE VAL OINT 0.1%-15 GM,259,,$0.70 ,$0.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302646,ZONALON 5% CREAM 30 GM,259,,$1.60 ,$1.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302647,AVEENO BAR SOAP,259,,$2.63 ,$2.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302648,DESENEX OINT 15 GM,259,,$0.53 ,$0.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302649,NIVEA EX ENRICH LOTION 360 ML,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302650,PURPOSE SOAP 102.06 GM,259,,$3.17 ,$3.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302651,SYNALAR CREAM 0.01% 15 GM,259,,$1.11 ,$1.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302652,NEUTROGENA T/GEL SHAMP 255 ML,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302653,ZEASORB 60 GM POWDER,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302654,TYLENOL INF DROPS 80MG/0.8ML-15ML,259,,$0.51 ,$0.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302655,TYLENOL CHILD SUSP 160MG/5ML-60ML,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302656,TYLENOL CHILD LIQ 160MG/5ML-60ML,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302657,TYLENOL ES ELIX 167MG/5ML-240 ML,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302658,ACTIVATED CHARCOAL 15 GM,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302659,MYLANTA SUSP 5 OZ,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302660,MYLANTA DS LIQUID 5 OZ,259,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302661,MAALOX ORAL SUSP 150 ML,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302662,ALTERNAGEL ORAL SUSP 5 OZ,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302663,AMOXIL PED DROPS 50MG/ML-15 ML,259,,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302664,KAOPECTATE REG SUSP 240 ML,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302665,KAOPECTATE ORAL SUSP 90 ML,259,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302666,CASCARA SAGRADA LIQ 120 ML,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302667,QUESTRAN POWDER PKT,259,,$3.96 ,$3.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302668,TAGAMET 300 MG/5 ML UD ELIXIR,259,,$0.92 ,$0.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302669,BICITRA UD LIQ 15 ML,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302670,NAUSETROL LIQUID 120 ML,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302671,GLUTOSE 40% GEL 15 GM,259,,$0.32 ,$0.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302672,DIAZEPAM INTENSOL 5MG/ML-30 ML,259,,$1.54 ,$1.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302673,LANOXIN PED DROPS 0.05%MG/ML-60 ML,259,,$1.04 ,$1.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302674,HYDRAMINE AF 12.5MG/5ML-120ML,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302675,LOMOTIL LIQUID 60 ML,259,,$0.59 ,$0.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302676,FEOSTAT DROPS 75MG/ML - 60 ML,259,,$0.54 ,$0.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302677,FUROSEMIDE SOLUTION 10MG/ML-60ML,259,,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302678,ROBITUSSIN 5 ML,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302679,GUAIFENESIN SYRUP 10 ML,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302680,GUAIFENESIN 100 MG/5 ML ELIX 4OZ,259,,$5.78 ,$5.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302681,GUAIFENESIN SYRUP 15 ML,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302682,GUIATUSS AC SF ELIXIR 120 ML,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302683,GUIATUSS AC ELIX,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302684,ROBITUSSIN-DM 10 ML,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302685,ROBITUSSIN-DM SYRUP 5 ML,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302686,ROBITUSSIN-DM SYRUP,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302687,ROBITUSSIN-DM SYRUP,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302688,IBUPROFEN 100MG/5ML - 5MLUD,259,,$0.38 ,$0.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302689,LACTULOSE SYR 20 GM PER 30 ML,259,,$0.26 ,$0.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302690,ANTI-DIARRHEAL ELIX 1 MG/5ML-60ML,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302691,CITRUCEL ORANGE POWDER,259,,$34.84 ,$34.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302692,CITRUCEL SF ORANGE POWDER PKT,259,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302693,METOCLOPRAMIDE 10MG/10ML ELIX,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302694,NICODERM PATCH 21 MG,259,,$5.69 ,$5.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302695,NITROLINGUAL AEROSOL SPRAY 14.49G,259,,$3.60 ,$3.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302696,NYSTATIN ORAL SUSP 60 ML,259,,$0.49 ,$0.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302697,FIBERCON TABLET 500 MG UD,259,,$0.25 ,$0.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302698,SSKI LIQUID 30 ML,259,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302699,METAMUCIL ORANG POWDER PKT 3.4GM,259,,$0.49 ,$0.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302700,FLEET'S PHOSPHO SODA 3 OZ,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302701,FLEET'S PHOSPHO SODA FLAVORED,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302702,SORBITOL 70% LIQ 30 ML,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302703,SMZ-TMP ORAL SUSP 20 ML,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302704,THEOPHYLLINE 160MG/30ML ELIX UD,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302705,THIOTHIXENE CONC 5MG/ML - 30ML,259,,$0.62 ,$0.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302706,FER-GEN-SOL DROPS 50ML,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302707,FUROXONE SUSP 60ML,259,,$0.46 ,$0.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302708,KAOPECTATE CONC SUSP 90ML,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302709,NALDECON-DX PED DROPS 30ML,259,,$0.38 ,$0.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302710,PREDNISONE INTENSOL 5MG/ML-30ML,259,J7506,$1.89 ,$1.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302711,PROLIXIN 2.5 MG/5ML ELIXIR 60ML,259,,$0.79 ,$0.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302712,VI-DAYLIN PLUS IRON DROPS 50 ML,259,J2912,$0.46 ,$0.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302713,TYLENOL W/CODEINE ELIXIR,259,,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302714,ZOVIRAX ORAL SUSP 200MG/5 ML,259,,$0.53 ,$0.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302715,GAVISCON SUSP,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302716,ALBUTEROL LIQUID 2MG/5ML,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302717,MYLANTA ORAL SUSP,259,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302718,BASALJEL ORAL SUSP,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302719,AMPHOJEL MINT SUSP,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302720,ALTERNAGEL ORAL SUSP,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302721,SYMMETREL LIQUID 50 MG/5ML,259,,$0.34 ,$0.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302722,AMINOPHYLLINE LIQUID 315MG/15ML,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302723,AUGMENTIN ORAL SUSP 250,259,,$0.92 ,$0.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302724,AUGMENTIN 125 ORAL SUSP,259,,$0.51 ,$0.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302725,AUGMENTIN-125 ORAL SUSP,259,,$0.51 ,$0.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302726,AUGMENTIN ORAL SUSP 250MG/5ML,259,,$0.89 ,$0.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302727,AMOXICILLIN 125 MG/5ML ORAL SUSP,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302728,AMOXICILLIN ORAL SUSP 250MG/5ML,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302729,AMOXIL ORAL SUSP 250MG/5ML,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302730,AMOXIL 125 MG/5 ML ORAL SUSP,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302731,AMPICILLIN ORAL SUSP 250MG/5ML,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302732,AMPICILLIN ORAL SUSP 125MG/5 ML,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302733,DONNATAL ELIXIR,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302734,CELESTONE 0.6MG/5ML SYRUP,259,,$0.72 ,$0.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302735,PEPTO BISMOL SUSP,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302736,DIMETAPP ELIXIR,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302737,DIMETAPP ELIXIR,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302738,CALCIUM CARBONATE SUSP 1.25GM/5ML,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302739,TEGRETOL ORAL SUSP 100MG/5ML,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302740,CASTOR OIL,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302741,CECLOR 187 MG/5ML SUSP,259,,$0.53 ,$0.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302742,CECLOR ORAL SUSP 250MG/5ML,259,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302743,CECLOR ORAL SUSP 125MG/5ML,259,,$0.33 ,$0.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302744,CECLOR ORAL SUSP 375MG/5ML,259,,$0.92 ,$0.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302745,DURICEF ORAL SUSP 250MG/5ML,259,,$0.76 ,$0.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302746,DURICEF ORAL SUSP 500MG/5ML,259,,$0.92 ,$0.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302747,CEFZIL ORAL SUSP 250MG/5ML,259,,$1.33 ,$1.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302748,CEFZIL ORAL SUSP 125MG/5ML,259,,$0.72 ,$0.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302749,CEFTIN ORAL SUSP 125MG/5ML,259,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302750,CEPHALEXIN ORAL SUSP 250 MG/5ML,259,,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302751,CHERRY SYRUP,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302752,CHLORPROMAZINE INTENSOL 100MG/ML,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302753,CHLORPROMAZINE CONC 30 MG/ML LIQ,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302754,TAGAMENT ELIXIR 300MG/5ML,259,,$0.82 ,$0.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302755,PROPULSID ORAL SUSP 1.04MG/ML,259,,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302756,BICITRA LIQUID,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302757,BIAXIN ORAL SUSP 50 MG/ML,259,,$1.38 ,$1.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302758,BIAXIN ORAL SUSP 125 MG/5ML,259,,$0.72 ,$0.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302759,TAVIST 0.5MG/5 ML ELIXIR,259,,$0.34 ,$0.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302760,DEXAMETHASONE ELIXIR 0.5 MG/5ML,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302761,BENYLIN 15 MG/5ML SYRUP,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302762,BENTYL SYRUP 10 MG/ 5 ML,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302763,PERI DOS ELIXIR,259,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302764,DIOCTO 50 MG/5ML LIQUID,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302765,DONNAGEL LIQUID,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302766,ERYTHROMYCIN ESTOL SUSP 250MG/5ML,259,,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302767,PEDIAZOLE SUSP,259,J3430,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302768,GERITOL ELIXIR,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302769,FELBATOL ORAL SUSP,259,,$1.56 ,$1.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302770,FERROUS GLUCONATE ELIX 300MG/5ML,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302771,FEOSOL ELIXIR,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302772,FER-GEN-SOL DROPS,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302773,PROZAC LIQUID,259,,$2.29 ,$2.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302774,PROLIXIN ELIXIR 2.5 MG/5ML,259,,$0.72 ,$0.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302775,ENTUSS EXP,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302776,ROBITUSSIN SYRUP,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302777,GUAIFED SF SYRUP,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302778,ROBITUSSIN-PE SYRUP,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302779,NOVAHISTINE EXP,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302780,QUINDAL EXP,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302781,VICODIN TUSS SYR,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302782,TUSSIONEX PENNKINETIC SUSP,259,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302783,LACTINEX GRANULES,259,,$0.90 ,$0.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302784,LACTULOSE SYRUP,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302785,XYLOCAINE VISCOUS 2% LIQUID,259,J2000,$0.25 ,$0.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302786,LITHIUM CITRATE SYRUP 300MG/5ML,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302787,LORABID ORAL SUSP 200MG/5 ML,259,,$1.19 ,$1.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302788,LORABID ORAL SUSP 100 MG/ 5ML,259,,$0.72 ,$0.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302789,RIOPAN ORAL SUSP,259,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302790,MEGACE ORAL SUSP,259,,$1.12 ,$1.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302791,SERENTIL CONC 25 MG/ML ELIX,259,,$1.12 ,$1.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302792,ALUPENT SYRUP 10 MG/ 5 ML,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302793,NAPROSYN ORAL SUSP 125 MG/5ML,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302794,PARALDEHYDE LIQUID 30 ML,259,,$0.88 ,$0.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302795,PAREGORIC TINC ELIXIR,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302796,RYNATAN-S PED SUSP,259,,$0.54 ,$0.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302797,BEEPEN-VK ORAL SUSP 250MG/5ML,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302798,BEEPEN-VK ORAL SUSP 125MG/5ML,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302799,ENDAL-HD LIQUID,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302800,NALDELATE SYRUP,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302801,DILANTIN SUSP 125 MG/ 5 ML,259,,$0.30 ,$0.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302802,POTASSIUM CHLORIDE 20% ORAL LIQ,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302803,POLYCITRA-K SYRUP,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302804,NEUTRA-PHOS POWDER PKT,259,,$0.59 ,$0.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302805,NEUTRA-PHOS-K POWDER PKTS,259,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302806,PRELONE SYRUP 15 MG/ 5 ML,259,J7510,$0.79 ,$0.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302807,PEDIAPRED 5 MG/5ML SYRUP,259,,$0.49 ,$0.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302808,LIQUID PRED 5 MG/ 5 ML,259,J7506,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302809,PHENERGAN ELIXIR 6.25 MG/ 5 ML,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302810,PROMETHAZINE W/ CODEINE ELIX,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302811,PROMETHAZINE W/ DEXTROMETH ELIX,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302812,PROMETHAZINE VC PLAIN ELIXIR,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302813,NOVAHISTINE DH ELIX,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302814,METAMUCIL REG POWDER,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302815,PERDIEM GRANULES,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302816,MESTINON ELIXIR 60 MG/ 5 ML,259,,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302817,ZANTAC ELIXIR 15 MG/ ML,259,,$0.88 ,$0.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302818,SALVIA SUBSTITUTE,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302819,SENOKOT GRAN,259,,$0.30 ,$0.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302820,SENOKOT SYRUP,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302821,SIMPLE SYRUP,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302822,SORBITOL LIQUID 70%,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302823,CARAFATE ORAL SUSP 1 GM/10 ML,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302824,SULFAMETHOXAZOLE W/ TMP SUSP,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302825,MELLARIL ORAL SUSP 25 MG/ 5 ML,259,,$0.26 ,$0.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302826,ALLERFRIM SYRUP,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302827,VALPROIC ACID 250 MG/ 5ML LIQUID UD,259,,$1.73 ,$1.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302828,IBERET ELIXIR,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302829,GEVRABON ELIXIR,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302830,SHERI B-12 ELIXIR,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302831,VITAMIN C SYRUP 500 MG/ 5 ML,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302832,ELDERTONIC ELIXIR,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302833,CENTRUM ADVANCED FORM ELIXIR,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302834,RETROVIR SYRUP 50 MG/5 ML,259,,$0.33 ,$0.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302835,DIMETAPP ALLERGY LIQUID,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302836,AMICAR 25% SYRUP,259,,$1.65 ,$1.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302837,ARTANE 2 MG/5ML ELIXIR,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302838,HYDROXYZINE HCL 10MG/5 ML ELIX,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302839,CODIMAL DM SYRUP,259,,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302840,COLACE ELIXIR 60 MG/15 ML,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302841,DYLINE-GG LIQUID,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302842,DIMETAPP ELIXIR,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302843,DITROPAN SYRUP 5 MG/5 ML,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302844,DITROPAN 5 MG TABLET,259,,$1.35 ,$1.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302845,DOXEPIN HCL CONCENTRATE 10 MG/ML,259,,$0.25 ,$0.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302846,ENDAL EXPT,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302847,ENTEX ELIXIR,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302848,ERY-PED ORAL SUSP 200MG/5ML,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302849,ERY-PED ORAL SUSP 400 MG/5ML,259,,$0.25 ,$0.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302850,FELBATOL ORAL SUSP 600 MG/ 5 ML,259,,$1.56 ,$1.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302851,FLUMADINE SYRUP 50 MG/5 ML,259,,$0.32 ,$0.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302852,GELUSIL ORAL SUSP,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302853,HISTALET LIQUID,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302854,KAON GRAPE ELIX,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302855,LUFYLLIN-GG ELIXIR,259,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302856,MAALOX PLUS EX-STR LEMON SUSP,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302857,MAGONATE LIQUID 12 OUNCE BOTTLE,259,,$31.70 ,$31.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302858,MCT OIL LIQUID,259,B4155,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302859,MOTRIN ORAL SUSP,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302860,MOTRIN ORAL SUSP,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302861,MYLANTA ORAL SUSP,259,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302862,MYSOLINE ORAL SUSP,259,,$0.53 ,$0.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302863,NALDECON-CX SUSP,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302864,NEO-CALGLUCON SYRUP,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302865,NIFEREX ELIXIR 100 MG/5 ML,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302866,PAMELOR ELIXIR 10 MG/5 ML,259,,$0.85 ,$0.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302867,PERIACTIN ELIXIR 2 MG/5 ML,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302868,PERMITIL CONCENTRATE 5 MG/ML,259,,$1.29 ,$1.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302869,PROPRANOLOL LIQ 20 MG/ 5 ML,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302870,METOCLOPRAMIDE ELIX 5MG/5ML,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302871,ROBITUSSIN-DAC ELIXIR,259,,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302872,RU-TUSS EXPECT,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302873,SUPRAX ORAL SUSP 100 MG/ 5 ML,259,,$1.30 ,$1.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302874,THERAGRAN LIQUID,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302875,ELIXOMIN ELIXIR 80 MG/15ML,259,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302876,THEOPHYLLINE LIQ 80 MG/ 15 ML,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302877,SLO-PHYLLIN GG SYRUP,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302878,TRILAFON CONC DROPS 3.2 MG/ML,259,,$0.62 ,$0.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302879,TRILISATE CHERRY LIQUID,259,,$0.33 ,$0.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302880,VIBRAMYCIN ORAL SUSP 25MG/5ML,259,,$0.36 ,$0.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302881,VISTARIL SUSP 25 MG/ 5ML,259,,$0.57 ,$0.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302882,X-PREP ELIXIR 75 ML,259,,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302883,MINERAL OIL HEAVY,259,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302884,MILK OF MAGNESIA 480 ML,259,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302885,MINTEZOL ORAL SUSP 500MG/5ML,259,,$0.34 ,$0.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302886,POTASSIUM CHLORIDE ORAL ELIX 10%,259,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302887,MICRO-K 8 MEQ CAP CR,259,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302888,LANOXICAP 0.2 MG,259,,$0.56 ,$0.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302889,THYROID 30 MG TAB,259,,$0.35 ,$0.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302890,FRAGMIN 2500 IU INJ,259,J1645,$143.80 ,$143.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302891,FERRO-SEQUEL TAB,259,,$0.49 ,$0.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302892,FERROUS GLUCONATE TAB 325 MG,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302893,FEOSOL TABLET 50 MG,259,,$0.32 ,$0.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302894,LENTE ILETIN INSULIN 100U/ML-10ML,259,J1820,$4.72 ,$4.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302895,HUMULIN LENTE INSULIN 100U/ML,259,J1815,$5.13 ,$5.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302896,NPH PUR PORK INSULIN 100U/ML-10ML,259,J1820,$7.68 ,$7.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302897,NPK IL PORK INSULIN-100U/ML-10ML,259,J1815,$8.03 ,$8.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302898,HUM 50/50 INSULIN 100 U/ML -10ML,259,J1815,$5.13 ,$5.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302899,HUM 70/30 INSULIN 100 U/ML -10ML,259,J1820,$4.44 ,$4.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302900,NOVO 70/30 INSULIN 100 U/ML-10ML,259,J1815,$5.13 ,$5.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302901,REG PURIFIED INSULIN 100U/ML-10ML,259,J1820,$7.68 ,$7.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302902,REG IL PORK INSULIN 100U/ML-10ML,259,J1815,$8.03 ,$8.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302903,REGULAR IL INSULIN 100 U/ML-10ML,259,J1820,$4.72 ,$4.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302904,HUMULIN-U INSULIN 100U/ML - 10 ML,259,J1815,$5.13 ,$5.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302905,MYCOSTATIN PASTILLE 200000 UNITS,259,,$1.75 ,$1.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302906,OPHTHETIC OPHTH SOL 0.5% 15 ML,259,,$1.77 ,$1.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302907,INSULIN (ILETIN II) PORK LENTE,259,J1815,$8.03 ,$8.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302908,MAGIC MOUTHWASH,259,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302909,HEP LOCK FLUSH 100 UNITS/ML -1ML,259,J1642,$1.12 ,$1.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302910,AEROCHAMBER DEVICE KIT,259,,$58.98 ,$58.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302911,ETHYL ALCOHOL 95%,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302912,AUGMENTIN ORAL SUSP 400MG/5 ML,259,,$1.33 ,$1.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302913,IOPIDINE OPHTH SOLN 1% 0.2 ML,259,,$19.21 ,$19.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302914,ASPIRIN EC 500 MG TABLET,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302915,LIPITOR 10 MG TABLET,259,,$4.14 ,$4.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302916,RIDAURA 3 MG CAPSULE,259,,$2.41 ,$2.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302917,ZITHROMAX 200 MG/5 ML ORAL SUSP,259,,$3.71 ,$3.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302918,VANCERIL DS INHALER 84MCG/SPRAY,259,,$7.32 ,$7.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302919,ALPHAGAN OPHTH DROPS 0.2% - 5 ML,259,,$12.12 ,$12.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302920,PARLODEL 5 MG CAPSULE,259,,$8.42 ,$8.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302921,TEGRETOL XR 200 MG TABLET,259,,$1.00 ,$1.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302922,CARNITOR 330 MG TAB,259,,$1.54 ,$1.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302923,CORTISONE ACETATE TABLET 25 MG,259,,$0.84 ,$0.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302924,REDUX 15 MG CAPSULE,259,,$1.84 ,$1.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302925,ARICEPT 5 MG TABLET,259,,$8.29 ,$8.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302926,LODINE XL 600 MG TABLET,259,,$5.42 ,$5.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302927,LODINE XL 400 MG TABLET,259,,$2.86 ,$2.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302928,PEPCID ORAL SUSPENSION,259,,$3.60 ,$3.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302929,GRIFULVIN V ORAL SUSP 125MG/5 ML,259,,$0.56 ,$0.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302930,ENDAL TABLET,259,,$0.56 ,$0.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302931,HALDOL 1 MG TABLET,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302932,APRESAZIDE 25/25 CAPSULE,259,,$0.86 ,$0.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302933,SOLAQUIN FORTE CREAM 30 GM,259,,$3.02 ,$3.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302934,THYROLAR-2 TABLET,259,,$1.44 ,$1.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302935,MAGNESIUM GLUCONATE 500 MG TABLET,259,,$0.25 ,$0.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302936,MEPROBAMATE 400 MG TABLET,259,,$3.44 ,$3.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302937,MORPHINE SULFATE ELIX 10MG/5 ML,259,,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302938,NITROFURAZONE 0.2% OINT 30 GM,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302939,NOROXIN 400 MG TABLET,259,,$6.38 ,$6.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302940,DECONHIST LA TABLET,259,,$0.36 ,$0.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302941,CODIMAL-DH SYRUP,259,,$0.25 ,$0.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302942,BETADINE OINTMENT 30 GM,259,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302943,TUINAL 100 MG CAPSULE,259,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302944,ALDACTAZIDE 50/50 TABLET,259,,$2.15 ,$2.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302945,THIOGUANINE 40 MG TABLET,259,,$8.89 ,$8.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302946,BETIMOL OPHTH SOLN 0.5% 5 ML,259,,$5.75 ,$5.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302947,VAGISTAT-1 VAGINAL OINT,259,,$8.77 ,$8.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302948,TINACTIN 1% SOLUTION 10 ML,259,,$0.84 ,$0.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302949,TARKA 2/180 TABLET CR,259,,$3.29 ,$3.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302950,TARKA 1-240 TABLET CR,259,,$3.04 ,$3.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302951,TRIAMCINOLONE ACET 0.5% OINT 15GM,259,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302952,REZULIN 200 MG TABLET,259,,$4.97 ,$4.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302953,OS-CAL FORTE TABLET,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302954,BENTYL 10 MG/ 5 ML--5 ML UD,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302955,LORTAB ELIXIR,259,,$0.33 ,$0.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302956,SILVER NITRATE APPLICATOR STICKS,259,,$1.31 ,$1.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302957,ISOETHARINE INH SOL 0.125% - 4 ML,259,,$0.38 ,$0.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302958,TUSSIONEX ORAL SUSP 10 ML,259,,$0.34 ,$0.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302959,SUCROSE CRYSTALS 5 GRAM,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302960,NARDIL 15 MG TABLET,259,,$0.89 ,$0.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302961,DR SPREMULLI'S SUPPOSITORY,259,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302962,DR GARY RAY'S ZNO MIXTURE,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302963,PINK LADY ORAL SUSP,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302964,PRINCIPEN 125 MG/5ML SUSP,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302965,KAOPECTATE REG SUSP,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302966,ACTIFED SYRUP 5 ML,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302967,DONNATAL ELIXIR 10 ML,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302968,MIRAPEX 0.125 MG TAB,259,,$1.73 ,$1.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302969,SPORONOX ORAL SOLN 50 MG/5 ML,259,,$1.57 ,$1.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302970,HURRICAINE DOSE CHARGE- 1 ML,259,,$0.82 ,$0.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302971,MYLICON DOSE CHARGE 0.5 ML,259,,$0.58 ,$0.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302972,MYLANTA DOSE CHARGE 30 ML,259,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302973,COREG 3.125 MG TABLET,259,,$3.09 ,$3.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302974,LIPITOR 20 MG TABLET,259,,$6.10 ,$6.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302975,LIPITOR 40 MG TAB,259,,$5.71 ,$5.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302976,VASOCIDIN OPHTH SOLN 10 ML,259,,$4.50 ,$4.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302977,ISORDIL TITRADOSE 40 MG TAB,259,,$1.11 ,$1.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302978,LEVAQUIN 500 MG TABLET,259,,$17.78 ,$17.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302979,VITAMIN C CR TAB 1000 MG,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302980,LEVBID 0.375 CR TAB,259,,$0.86 ,$0.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302981,ZYPREXA 5 MG TAB,259,,$11.45 ,$11.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302982,IMDUR 30 MG CR TAB,259,,$3.55 ,$3.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302983,MYCOCIDE NS TOPICAL SOLN,259,,$0.89 ,$0.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302984,ZANAFLEX 4 MG TAB,259,,$2.70 ,$2.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302985,DURACT 25 MG CAP,259,,$1.81 ,$1.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302986,CELLUVISC 1% OPHTH SOLN 0.3ML UD,259,,$0.54 ,$0.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302987,ESTRATEST 1.25-2.5MG TAB,259,,$3.32 ,$3.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302988,CARNITOR ORAL LIQ 100MG/ML,259,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302989,CINOBAC 250 MG,259,,$2.51 ,$2.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302990,TEGRETOL XR 100 MG,259,,$0.46 ,$0.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302991,TEGRETOL XR 400 MG TAB,259,,$1.74 ,$1.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302992,POSICOR 50 MG TAB,259,,$2.13 ,$2.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302993,TYLENOL CHILDREN'S LIQ 120 ML,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302994,BICITRA LIQUID 120 ML,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302995,DURATUSS HD LIQ 10 ML,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302996,MICONAZOLE POWDER 100 GM,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302997,PAXIL 10 MG TABLET,259,,$4.87 ,$4.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302998,VIDEX CHEW TABLET 100 MG,259,,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 302999,VITAMIN E 200 UNITS CAPSULE,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303000,CENTRUM SILVER,259,,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303001,MULTIVITAMIN W/ IRON TAB,259,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303002,TUSS DS SYRUP,259,,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303003,PRELONE 15 MG/ 5 ML SYRUP UD,259,J7510,$0.79 ,$0.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303004,TARKA 2-240 TAB CR,259,,$3.29 ,$3.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303005,COMBIVENT AEROSOL 14.7 G W/ ADAP,259,,$6.80 ,$6.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303006,NORCO 10-325 MG TABLET,259,,$1.75 ,$1.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303007,LOTREL 5/20 CAPSULE,259,,$3.96 ,$3.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303008,ASTELIN NASAL SPRAY,259,,$3.05 ,$3.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303009,DURATUSS G 1200 MG TABLET CR,259,,$1.23 ,$1.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303010,CASCARA SAGRADA ELIX 5 ML,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303011,MINERAL OIN 30 ML,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303012,PLAVIX 75 MG TABLET,259,,$4.84 ,$4.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303013,EFFEXOR XR 37.5 MG CAPSULE,259,,$4.87 ,$4.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303014,EFFEXOR XR 75 MG CAPSULE,259,,$5.47 ,$5.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303015,LEVAQUIN TABLET 250 MG,259,,$15.52 ,$15.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303016,TROVAN 200 MG TABLET,259,,$12.37 ,$12.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303017,COREG 6.25 MG TABLET,259,,$3.09 ,$3.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303018,MAVIK 2 MG TABLET,259,,$1.62 ,$1.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303019,SEROQUEL 25 MG TABLET,259,,$2.85 ,$2.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303020,QUINDAL HD PLUS LIQUID,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303021,QUINDAL HD PLUS LIQUID 5 ML,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303022,QUINDAL HD PLUS LIQUID 10 ML,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303023,CAPITAL W/ CODEINE SUSP,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303024,FIORICET W/ CODEINE 30 MG CAPSULE,259,,$2.00 ,$2.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303025,MAXI-TUSS HC LIQUID,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303026,MAXI-TUSS HC LIQUID 5 ML,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303027,MAXI-TUSS HC LIQUID 10 ML,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303028,PANCOF HC LIQUID,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303029,PANCOF HC LIQUID 5 ML,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303030,PANCOF HC LIQUID 10 ML,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303031,PANCOF-XP LIQUID 5 ML,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303032,PANCOF-XP LIQUID,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303033,PANCOF-XP LIQUID 10 ML,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303034,PHENOBARBITAL ELIXIR 20 MG/5 ML,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303035,VICOPROFEN TABLET,259,,$2.24 ,$2.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303036,MORPHINE SULFATE SUPPOSITORY 10MG,259,,$2.48 ,$2.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303037,DEXEDRINE 5 MG TABLET,259,,$0.70 ,$0.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303038,OXYIR 5 MG CAPSULE,259,,$0.53 ,$0.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303039,NICORETTE GUM 2 MG,259,,$0.93 ,$0.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303040,TUSS DS SYRUP 5 ML UD,259,,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303041,TUSS-DS SYRUP 10 ML UD,259,,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303042,ENDAL EXPECTORANT 5 ML UD,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303043,ENDAL EXPECTORANT 10 ML UD,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303044,CODIMAL DH 5 ML UD,259,,$0.25 ,$0.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303045,CODIMAL-DH SYRUP 10 ML UD,259,,$0.25 ,$0.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303046,ENTUSS EXP 5 ML,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303047,ENTUSS EXP 10 ML UD,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303048,DURATUSS HD ELIXIR,259,,$0.25 ,$0.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303049,DURATUSS HD ELIXIR 5 ML,259,,$0.25 ,$0.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303050,HYCODAN SYRUP,259,,$0.29 ,$0.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303051,HYCODAN SYRUP 5 ML,259,,$3.29 ,$3.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303052,HYCODAN SYRUP 10 ML,259,,$0.29 ,$0.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303053,ANZEMET 100 MG TAB,259,Q0180,$127.41 ,$127.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303054,PRANDIN 0.5 MG TABLET,259,,$1.81 ,$1.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303055,PRANDIN 1 MG TAB,259,,$1.81 ,$1.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303056,PRANDIN 2 MG TAB,259,,$1.81 ,$1.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303057,OXYCONTIN 40 MG,259,,$8.17 ,$8.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303058,OXYIR 5 MG CAPSULE,259,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303059,PHENAPHEN W/ CODEINE #3,259,,$0.81 ,$0.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303060,HISTINEX HC SYRUP 2.5 ML,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303061,LORTAB ELIXIR 15 ML,259,,$0.30 ,$0.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303062,PAREGORIC 15 ML,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303063,DIOVAN 80 MG CAPSULE,259,,$2.35 ,$2.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303064,FENTANYL ORALET 400MCG LOZENGE,259,,$51.57 ,$51.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303065,NASONEX NASAL SPRAY,259,,$7.09 ,$7.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303066,DR SPREMULLI MAGIC SUPP W/ DECAD,259,,$9.07 ,$9.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303067,ARTHROTEC 50/0.2MG,259,,$3.20 ,$3.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303068,CELEXA 20 MG TAB,259,,$4.45 ,$4.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303069,CELEXA 40 MG TAB,259,,$3.86 ,$3.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303070,CLARITIN-D 12 HOUR CR TAB,259,,$3.04 ,$3.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303071,FLATULEX TAB,259,,$0.33 ,$0.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303072,ARTHROTEC 75/0.2 MG,259,,$3.20 ,$3.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303073,MERIDIA 10 MG CAPSULE,259,,$4.86 ,$4.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303074,CELEBREX CAPSULE 100 MG,259,,$2.40 ,$2.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303075,FURACIN 0.2% DRESSING 56 GRAM,259,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303076,ZYRTEC 1 MG/ML SYRUP,259,,$0.35 ,$0.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303077,CELEBREX 200MG CAPSULE,259,,$4.96 ,$4.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303078,SEROQUEL 25 MG TABLET,259,,$2.17 ,$2.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303079,ACTIQ 200 MCG LOLLIPOP,259,,$11.61 ,$11.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303080,AVAPRO 150 MG TABLET,259,,$2.79 ,$2.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303081,VIOXX 12.5MG TAB,259,,$5.03 ,$5.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303082,BRETHINE 2.5 MG TABLET,259,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303083,BRETHINE THP 5 MG-6'S,259,,$0.98 ,$0.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303084,SONATA 5 MG CAPSULE,259,,$3.83 ,$3.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303085,CARBATROL 300 MG CAPSULE,259,,$1.20 ,$1.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303086,SINGULAIR 10 MG TABLET,259,,$5.23 ,$5.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303087,PURALUBE TEARS OPHTH SOLIN 15 ML,259,,$0.36 ,$0.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303088,OSELTAMIVIR (TAMIFLU): 75 MG,259,,$8.87 ,$8.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303089,CYTOTEC 25 MCG,259,,$1.16 ,$1.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303090,ESTRACE 2 MG TABLET,259,,$2.01 ,$2.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303091,VIOXX 25 MG TABLET,259,,$5.03 ,$5.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303092,BETADINE OPHTH 5% SOLUTION,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303093,MAALOX PLUS,259,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303094,CHROMAGEN FORTE CAP,259,,$0.81 ,$0.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303095,ALLEGRA-D TABLET,259,,$2.41 ,$2.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303096,MICROZIDE 12.5 MG CAPSULE,259,,$1.12 ,$1.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303097,CYSTOSPAZ-M CR CAPSULE 0.375MG,259,,$0.82 ,$0.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303098,CITRACAL 1500 + D TABLET,259,,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303099,ACTOS TABLET 30 MG,259,,$9.26 ,$9.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303100,ACTOS TABLET 15 MG,259,,$5.78 ,$5.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303101,ACIPHEX TABLET 20 MG,259,,$7.84 ,$7.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303102,MERIDIA 15MG CAPSULE,259,,$6.29 ,$6.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303103,LITHOBID 300MG TABLET,259,,$0.88 ,$0.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303104,ZYPREXA 2.5 MG TABLET,259,,$9.66 ,$9.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303105,MORPHINE SULF CONC 20MG/ML 1ML,259,,$1.14 ,$1.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303106,BAYCOL 0.4MG TABLET,259,,$2.38 ,$2.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303107,AVANDIA 4MG TABLET,259,,$4.17 ,$4.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303108,DITROPAN XL 5MG TABLET,259,,$3.87 ,$3.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303109,TEQUIN TEQ-PAQ 400MG TABLET,259,,$11.70 ,$11.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303110,TOPAMAX 25MG TABLET,259,,$2.85 ,$2.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303111,POLYCITRA SYRUP,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303112,GLYSET 25 MG TABLET,259,,$1.14 ,$1.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303113,WELLBUTRIN CR 100 MG TABLET,259,,$3.37 ,$3.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303114,PLETAL 100 MG TABLET,259,,$3.20 ,$3.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303115,RENAGEL 403 MG CAPSULE,259,,$1.19 ,$1.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303116,AVELOX 400MG TABLET,259,,$87.36 ,$87.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303117,TRICOR 200MG CAPSULE,259,,$4.02 ,$4.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303118,CALCIUM GLUCONATE 500MG TABLET,259,,$0.35 ,$0.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303119,ALLEGRA 180MG TABLET,259,,$3.44 ,$3.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303120,SINGULAIR 5 MG TABLET,259,,$5.23 ,$5.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303121,PROSOM 2 MG TABLET,259,,$1.89 ,$1.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303122,TRICOR 200 MG CAPSULE,259,,$4.02 ,$4.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303123,ALLBEE W/C CAPSULE,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303124,ALLBEE C-800 TABLET,259,,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303125,CARBATROL CR 200 MG CAPSULE,259,,$0.98 ,$0.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303126,COMTAN 200MG,259,,$2.82 ,$2.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303127,QUININE SULFATE 260MG TABLET,259,,$0.29 ,$0.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303128,FOLIC ACID 0.4MG TABLET,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303129,NALEX A TABLET CR,259,,$1.02 ,$1.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303130,VERELAN PM 200MG CAPSULE,259,,$2.70 ,$2.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303131,SUSTIVA 200MG CAPSULE,259,,$7.32 ,$7.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303132,DANOCRINE 100MG CAPSULE,259,,$3.58 ,$3.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303133,DANOCRINE 50MG CAPSULE,259,,$2.40 ,$2.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303134,AVALIDE 150-12.5MG TABLET,259,,$2.52 ,$2.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303135,AVALIDE 300-12.5MG TABLET,259,,$2.63 ,$2.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303136,PREMPRO 0.625-5MG TABLET,259,,$1.73 ,$1.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303137,COMBIVIR 150/300MG TABLET,259,,$16.46 ,$16.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303138,EVISTA 60MG TABLET,259,,$3.53 ,$3.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303139,COREG 12.5 MG TABLET,259,,$3.09 ,$3.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303140,ACCURETIC 20/12.5 MG TABLET,259,,$1.91 ,$1.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303141,XELODA 150 MG TABLET,259,J8520,$6.58 ,$6.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303142,ACTIQ 400MCG LOLLIPOP,259,,$16.78 ,$16.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303143,PROPANTHELINE BROMIDE 15MG TABLET,259,,$0.88 ,$0.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303144,TRICOR 67MG CAPSULE,259,,$1.33 ,$1.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303145,FOSAMAX 40MG TABLET,259,,$8.87 ,$8.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303146,DDAVP 0.1MG TABLET,259,,$3.76 ,$3.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303147,PROAMATINE 5MG TABLET,259,,$3.14 ,$3.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303148,VIRACEPT 250 MG TABLET,259,,$3.88 ,$3.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303149,VIRAMUNE 200 MG TABLET,259,,$9.04 ,$9.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303150,WAX DENTAL STRIPS,259,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303151,ATACAND 4MG TABLET,259,,$2.58 ,$2.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303152,DIOVAN 160 MG CAPSULE,259,,$2.53 ,$2.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303153,BIAXIN XL 500 MG TABLET CR,259,,$7.96 ,$7.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303154,CYTOMEL 25 MCG TABLET,259,J1564,$1.33 ,$1.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303155,PREVPAC PATIENT PACK KIT,259,,$30.12 ,$30.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303156,AGGRENOX CAPSULE CR,259,,$2.46 ,$2.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303157,CALTRATE 600 W/VIT D,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303158,LOTRONEX 1MG TABLET,259,,$3.96 ,$3.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303159,PROTONIX 40 MG TABLET EC,259,,$6.40 ,$6.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303160,TEQUIN 200 MG TABLET,259,,$15.72 ,$15.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303161,IBERET 500 TABLET,259,,$1.64 ,$1.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303162,STRESSTABS 600 W/ IRON TABLET,259,,$0.25 ,$0.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303163,THERAGRAN HEMATINIC TAB,259,,$0.93 ,$0.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303164,CENTRUM TABLET,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303165,NEPHRO-VITE RX B&C MULTI VIT+FA,259,,$0.89 ,$0.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303166,DI CAL D,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303167,BEROCCA TABLET,259,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303168,THALOMID 50 MG CAPSULE,259,,$27.32 ,$27.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303169,LOPRESSOR LIQUID 6.25 MG/2.5 ML,259,,$0.32 ,$0.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303170,PAPAIN,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303171,REQUIP 1MG TABLET,259,,$1.72 ,$1.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303172,MICARDIS 40MG TABLET,259,,$2.17 ,$2.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303173,QUINNE SULFATE 325MG CAPSULE,259,,$0.58 ,$0.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303174,GLUCOVANCE 1.25-250MG,259,,$1.11 ,$1.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303175,CHROMAGEN FA CAPSULE,259,,$0.52 ,$0.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303176,ST JOHN'S WORT 150 MG,259,,$0.26 ,$0.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303177,GARLIC ODORLESS CAPSULE 500 MG,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303178,GINSENG 100 MG CAPSULE,259,,$0.29 ,$0.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303179,FEVERFEW 380 MG CAPSULE,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303180,GINGER ROOT 550 MG CAPSULE,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303181,HAWTHORN SOFTGEL,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303182,KAVA SOFTGEL,259,,$0.30 ,$0.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303183,ALREX OPTH 0.2% SUSPENSION,259,,$6.78 ,$6.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303184,MEPRON 750 MG/5 ML ORAL SUSP,259,,$5.34 ,$5.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303185,RISPERDAL 1MG/ML 30ML BOTTLE,259,,$5.23 ,$5.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303186,ATACAND 16MG TABLET,259,,$2.15 ,$2.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303187,GLUCOVANCE 5-500 TABLET,259,,$1.30 ,$1.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303188,NORVIR 100 MG CAPSULE,259,J3480,$17.91 ,$17.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303189,EXELON 6 MG CAPSULE,259,,$4.39 ,$4.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303190,AGENERASE 150 MG CAPSULE,259,,$2.55 ,$2.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303191,ZOMIG 5 MG TABLET,259,,$32.29 ,$32.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303192,TRILEPTAL 150 MG TABLET,259,,$1.77 ,$1.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303193,RONDEC SYRUP,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303194,RONDEC DM SYRUP,259,,$0.34 ,$0.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303195,TRILEPTAL 300MG TABLET,259,,$2.86 ,$2.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303196,ACTONEL 5 MG TABLET,259,,$4.22 ,$4.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303197,NIASPAN 1000 MG TABLET CR,259,,$3.27 ,$3.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303198,FELBATOL 600 MG TABLET,259,,$3.40 ,$3.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303199,HYZAAR 100-25MG TABLET,259,,$3.27 ,$3.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303200,EXELON 1.5MG CAPSULE,259,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303201,ELMIRON 100MG CAPSULE,259,,$3.14 ,$3.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303202,BACTROBAN 2% OINTMENT 22GM,259,,$2.81 ,$2.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303203,SODIUM BICARBONATE 650 MG TABLET,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303204,FELBATOL 400 MG TABLET,259,,$2.98 ,$2.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303205,BETAPACE AF 80MG TABLET,259,,$4.13 ,$4.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303206,HYDROCORTISONE 1% CREAM 28.4GM,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303207,ENDAL-HD PLUS LIQUID,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303208,ENDAL-HD PLUS 5 ML,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303209,ENDAL-HD PLUS LIQUID 10 ML,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303210,LOTENSIN HCT 5/6.25 MG TABLET,259,,$1.94 ,$1.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303211,LOTENSIN HCT 10-12.5 MG TAB,259,,$1.08 ,$1.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303212,LOTENSIN HCT 20-25 MG TAB,259,,$1.08 ,$1.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303213,NIASPIN 500 MG CR,259,,$1.82 ,$1.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303214,LOTENSIN HCT 20-12.5 TAB,259,,$1.08 ,$1.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303215,AMOXIL 400 MG/5ML UD ORAL SUSP,259,,$0.84 ,$0.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303216,AMOXIL 200 MG/5 ML - MUST DILUTE,259,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303217,ICAR-C TABLET,259,,$0.36 ,$0.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303218,OMNICEF 300MG CAPSULE,259,,$6.58 ,$6.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303219,IMITREX NASAL 20MG SPRAY,259,,$43.20 ,$43.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303220,AMOXICILLIN 875 MG TABLET,259,,$1.45 ,$1.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303221,MOBIC 7.5 MG TABLET,259,,$4.79 ,$4.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303222,ZILEUTON 600 MG TABLET,259,,$1.45 ,$1.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303223,TARKA 4-240 MG TABLET CR,259,,$3.04 ,$3.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303224,PERMAX 1 MG TABLET,259,,$6.98 ,$6.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303225,AUGMENTIN 400 80-11.4MG/ML 50ML,259,,$1.15 ,$1.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303226,GLUCOVANCE 2.5-500MG TABLET,259,,$1.78 ,$1.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303227,ORTHO-NOVUM7/7/7-28 TABLET,259,,$1.89 ,$1.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303228,PULMICORT TURBUHALER 200MCG POWDE,259,,$207.01 ,$207.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303229,SINGULAIR 4 MG CHEWABLE TAB,259,,$5.23 ,$5.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303230,FOSAMAX 70 MG TABL,259,,$30.64 ,$30.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303231,GEODON 20MG,259,,$6.52 ,$6.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303232,HELIDAC THERAPY KIT,259,,$2.81 ,$2.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303234,PROGESTERONE 25MG SUPPOSITORY,259,,$4.17 ,$4.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303235,ZYPREXA ZYDIS 10MG TABLET,259,,$16.83 ,$16.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303236,GEODON 40MG CAPSULE,259,,$6.52 ,$6.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303237,STARLIX 120MG TABLET,259,,$1.91 ,$1.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303238,HISTEX PD PEDIATRIC LIQUID,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303239,CLARITIN 10MG/10ML SYRUP,259,,$0.59 ,$0.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303240,RISPERDAL 0.5MG TABLET,259,,$5.58 ,$5.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303241,AUGMENTIN 200 MG/ 5ML ORAL SUSP,259,,$0.72 ,$0.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303242,ZYPREXA ZYDIS 10MG TABLET,259,,$18.09 ,$18.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303243,NEXIUM 40 MG CAPSULE,259,,$6.93 ,$6.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303244,MIRAPEX 1.5MG TABLET,259,,$4.07 ,$4.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303245,VITAMIN D 400 U TABLET,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303246,ATACAND 8MG TABLET,259,,$2.15 ,$2.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303247,TRANSDERM-SCOP PATCH 1.5MG/72HR,259,,$7.61 ,$7.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303248,COCAINE 4% 10ML VIAL,259,,$8.43 ,$8.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303249,GLUCOPHAGE XR 500MG TABLET,259,,$1.11 ,$1.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303250,MIRALAX POWDER,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303251,ADVAIR DISKHALER 100/50MCG,259,,$4.96 ,$4.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303252,ADVAIR DISKHALER 250-50MCG,259,,$6.10 ,$6.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303253,ADVAIR DISKHALER 500/50MCG,259,,$4.94 ,$4.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303254,KRISTALOSE PACKET 10GM POWDER,259,,$2.70 ,$2.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303255,ADIPEX-P 37.5MG CAPSULE,259,,$2.70 ,$2.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303256,REGRANEX 0.01% GEL 15GM TUBE,259,,$48.65 ,$48.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303257,DEPAKOTE ER 50MG TABLET,259,,$3.32 ,$3.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303258,MIRAPEX 1MG TABLET,259,,$4.07 ,$4.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303259,KEPPRA 500 MG TABLET,259,,$3.58 ,$3.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303260,XENICAL 120MG CAPSULE,259,,$2.52 ,$2.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303261,LACTINEX TABLET CHEWABLE,259,,$0.29 ,$0.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303262,SUCRALFATE ORAL SUSP U D 10ML,259,,$0.30 ,$0.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303263,HYPO-TEARS PF DROPS 0.6ML,259,,$0.56 ,$0.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303264,NICOTROL INHALER,259,,$1.63 ,$1.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303265,REMINYL 4MG TABLET,259,,$4.37 ,$4.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303266,AVANDIA 2MG TABLET,259,,$3.55 ,$3.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303267,LIDODERM PATCH 5% PATCH,259,,$8.51 ,$8.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303268,OMNICEF 125MG/5ML SUSPENSION,259,,$1.26 ,$1.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303269,REMERON SOLTAB 30MG TABLET,259,,$3.96 ,$3.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303270,REMERON SOLTAB 15MG TABLET,259,,$4.39 ,$4.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303271,TOPROL XL 25MG TABLET,259,,$1.30 ,$1.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303272,NASCOBAL NASAL 500MCG/0.1ML 2.3ML,259,,$45.34 ,$45.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303273,OXYCONTIN 80MG TABLET,259,,$16.70 ,$16.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303274,ACCOLATE 10MG TABLET,259,,$1.89 ,$1.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303275,MORPHINE SUPPOSITORY 30 MG,259,,$4.17 ,$4.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303276,ORAPRED 15MG/5ML LIQUID,259,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303277,DIPHENOXYLATE/ATROPINE LIQ 5 ML,259,,$0.33 ,$0.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303278,ZYVOX 600 MG TABLET,259,,$105.54 ,$105.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303279,ADVAIR DISKHALER 500/50 MCG,259,,$8.60 ,$8.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303280,RENAGEL 800MG TABLET,259,,$2.29 ,$2.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303281,POVIDONE-IODINE DOUCHE,259,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303282,ZOLOFT ORAL CONC 20MG/ML 60ML,259,,$1.62 ,$1.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303283,CHARCOAL PLUS TABLET,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303284,QUESTRAN LIGHT PACKET,259,,$4.68 ,$4.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303285,LAC-HYDRIN 12% LOTION,259,,$0.30 ,$0.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303286,QVAR 40MCG INHALER,259,,$9.46 ,$9.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303287,LESCOL XL 80MG TABLET,259,,$3.21 ,$3.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303288,STERAPRED DS 10MG TABLET 21 PACK,259,J7506,$1.45 ,$1.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303289,RHINOCORT AQUA NASAL SPRAY,259,,$13.85 ,$13.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303290,LOTEMAX OPTH 0.5% SUSPENSION 5ML,259,,$10.72 ,$10.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303291,ULTRACET TABLET,259,,$1.89 ,$1.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303292,GABITRIL 2MG TABLET,259,,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303293,CIPRO 100MG TABLET,259,,$6.30 ,$6.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303294,CENESTIN 0.625 MG TABLET,259,J0692,$1.62 ,$1.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303295,CELEXA 10 MG TABLET,259,,$4.17 ,$4.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303296,TUSSIN DM CLEAR LIQUID,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303297,PREDNISOLONE ACETATE OPHTH SUSP,259,,$4.22 ,$4.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303298,NEURONTIN 250MG/5ML LIQUID,259,,$0.34 ,$0.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303299,HYCOTUSS EXP 480ML,259,,$0.33 ,$0.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303300,HYCOTUSS EXP 5ML,259,,$0.29 ,$0.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303301,MYLICON DROPS 15ML,259,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303302,ATACAND 16MG TABLET,259,,$2.25 ,$2.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303303,ATACAND 32MG TABLET,259,,$3.04 ,$3.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303304,MIRALAX POWDER 17GM,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303305,PREVACID ORAL SUSP PKT,259,,$7.96 ,$7.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303307,CIPRO SUPSENSION 500MG/5ML 100ML,259,,$1.57 ,$1.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303308,FLOXIN EAR DROPS 0.3% SOLUTION,259,,$14.83 ,$14.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303309,AMERGE 2.5MG TABLET,259,,$34.76 ,$34.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303310,TRICOR 54 MG TABLET,259,,$1.78 ,$1.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303311,TRICOR TABLET 160 MG,259,,$5.34 ,$5.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303312,ERYTHROMYCIN OPHTH 0.5% OINT 1GM,259,,$6.98 ,$6.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303313,MICONAZOLE NITRATE 2% CREAM,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303314,VAGIFEM VAGINAL 25MCG TABLET,259,J7504,$4.35 ,$4.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303315,CANASA 500MG SUPPOSITORY,259,,$7.37 ,$7.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303316,PROGRAF 1 MG CAPSULE,259,J7507,$5.34 ,$5.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303317,ZITHROMAX 250 MG TABLET,259,,$16.62 ,$16.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303318,COLAZAL 750MG CAPSULE,259,,$1.91 ,$1.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303319,URO BLUE TABLET,259,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303320,BEXTRA 10MG TABLET,259,,$4.88 ,$4.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303321,HISTEX CAPSULE CR,259,,$1.13 ,$1.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303322,LEVSIN DROPS,259,,$3.96 ,$3.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303323,PROZAC WEEKLY 90MG CAPSULE,259,,$31.58 ,$31.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303324,CLARINEX 5MG TABLET,259,,$4.04 ,$4.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303325,MAXALT MLT 10MG TABLET,259,,$31.41 ,$31.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303326,ACEON 4MG TABLET,259,,$2.43 ,$2.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303327,AURODEX EAR DROPS SOLUTION 15ML,259,,$0.30 ,$0.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303328,BEXTRA 20MG TABLET,259,J1564,$5.23 ,$5.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303329,BACTROBAN 2% CREAM,259,,$3.63 ,$3.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303330,AXERT 12.5MG TABLET,259,,$30.80 ,$30.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303331,KLOR CON 8 MEQ TABLET,259,,$0.34 ,$0.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303332,KLOR CON 10MEQ TABLET,259,,$0.58 ,$0.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303333,DETUSSIN LIQUID,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303334,COMBIPATCH TRANSDERMAL PATCH,259,,$8.29 ,$8.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303335,METADATE CD 20 MG CAPSULE,259,,$2.82 ,$2.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303336,CELEXA 40 MG,259,,$4.13 ,$4.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303337,CORTISPROINTC OTIC SUSPENSION 10M,259,,$8.91 ,$8.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303338,CORTISPORIN TC OTIC SUSP 10ML,259,,$10.59 ,$10.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303339,PAXIL 25MG CR TABLET,259,,$5.08 ,$5.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303340,MIDAZOLAM SYRUP 2 MG/ML,259,,$1.80 ,$1.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303341,SUCROSE CRYSTALS 1 GM,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303342,NOVOLIN INSULIN 70/30,259,,$4.23 ,$4.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303343,NOVOLIN N INSULIN 100 UNITS/ML,259,J1815,$5.13 ,$5.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303344,NOVOLIN R INSULIN 100 UNITS/ML,259,J1815,$5.13 ,$5.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303345,NOVOLOG INSULIN 100 UNITS/ML,259,J1815,$11.20 ,$11.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303346,PAXIL CR 12.5 MG TABLET,259,,$4.87 ,$4.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303347,ACTIVELLA TABLET,259,,$1.56 ,$1.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303348,CINNAMON OIL 30 ML,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303349,KLOR-CON M20 TABLET,259,,$0.93 ,$0.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303350,ZELNORM TABLET 6 MG,259,,$4.13 ,$4.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303351,DOSE CHG-NOVOLIN N INSULIN,259,J1815,$5.13 ,$5.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303352,LEVAQUIN 750 MG TABLET,259,,$33.31 ,$33.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303353,BACTROBAN OINT DOSE CHARGE,259,,$2.43 ,$2.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303354,BACTROBAN CREAM DOSE CHARGE,259,,$3.63 ,$3.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303355,COMPAZINE SUPPOSITORY 5 MG,259,,$5.79 ,$5.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303356,MICARDIS HCT 80-12.5 TABLET,259,,$3.26 ,$3.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303357,ALPHAGAN P EYE DROP 0.15%,259,,$13.48 ,$13.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303358,VIREAD 300 MG TABLET,259,,$25.41 ,$25.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303359,KALETRA CAPSULE,259,,$6.55 ,$6.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303360,LEXAPRO 10 MG TABLET,259,,$3.87 ,$3.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303361,SULFACETAMIDE SOD W/ PREDNISOLONE,259,,$5.96 ,$5.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303362,ACTONEL 35MG TABLET,259,,$29.46 ,$29.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303363,TOPAMAX SPRINKLE 15 MG,259,,$2.68 ,$2.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303364,ZOMIG 2.5 MG TABLET,259,,$28.41 ,$28.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303365,PROVENTIL 90MCG SPRAY 17GM,259,,$3.83 ,$3.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303366,NOVOLIN 70/30 DOSE CHG,259,J1815,$4.75 ,$4.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303367,NOVOLIN R INSULIN DOSE CHARGE,259,,$2.65 ,$2.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303368,NOVOLOG INSULIN DOSE CHARGE,259,J1815,$11.20 ,$11.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303369,LANTUS INSULIN DOSE CHARGE,259,J1815,$9.34 ,$9.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303370,NOVOLIN L INSULIN 10 ML,259,J1815,$5.13 ,$5.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303371,NOVOLIN L INSULIN DOSE CHARGE,259,J1815,$5.13 ,$5.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303372,HUMULIN INSULIN 50/50 DOSE CHG,259,J1815,$5.13 ,$5.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303373,HUMALOG 75/25 MIX DOSE CHARGE,259,J1815,$11.20 ,$11.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303374,CARMEX OINTMENT,259,,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303375,VALCYTE TABLET 450 MG,259,,$52.60 ,$52.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303376,PULMICORT DOSE CHARGE,259,,$2.15 ,$2.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303377,AEROBID INHALER DOSE CHARGE,259,,$0.84 ,$0.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303378,VENTOLIN INHALER DOSE CHARGE,259,,$0.86 ,$0.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303379,PROVENTIL HFA DOSE CHARGE,259,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303380,ALUPENT INHALER DOSE CHARGE,259,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303381,ATROVENT MDI DOSE CHARGE,259,,$0.86 ,$0.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303382,AZMACORT DOSE CHARGE,259,,$1.64 ,$1.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303383,BECONASE INHALER DOSE CHARGE,259,,$2.17 ,$2.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303384,FLOVENT 44 MCG AEROSOL DOSE CHG,259,,$2.17 ,$2.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303385,FLOVENT 110 MCG INHALER DOSE CHG,259,,$3.05 ,$3.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303386,FLOVENT 220 MCG INHALER DOSE CHG,259,,$4.79 ,$4.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303387,INTAL INHALER DOSE CHARGE,259,,$0.86 ,$0.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303388,MAXAIR AUTOHALER DOSE CHARGE,259,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303389,QVAR 40 MCG DOSE CHARGE,259,,$1.54 ,$1.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303390,SEREVENT INHALER DOSE CHARGE,259,,$2.85 ,$2.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303391,TILADE INHALER DOSE CHARGE,259,,$1.54 ,$1.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303392,VANCERIL INHALER DOSE CHARGE,259,,$0.86 ,$0.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303393,COMBIVENT INHALER DOSE CHRGE,259,,$0.86 ,$0.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303394,PULMICORT TURBUHALER DOSE CHARGE,259,,$216.30 ,$216.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303395,FORADIL AEROLIZER DOSE CHARGE,259,,$3.09 ,$3.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303396,L E T TOPICAL SOLUTION,259,,$2.18 ,$2.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303397,AVAPRO 75 MG TABLET,259,,$2.08 ,$2.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303398,ADVAIR DISKHALER DOSE CHG 100/50,259,,$4.96 ,$4.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303399,ADVAIR DISKHALER DOSE CHARGE,259,,$5.83 ,$5.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303400,ADVAIR DISKHALER DOSE CHARGE,259,,$8.18 ,$8.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303401,NASALIDE SPRAY DOSE CHARGE,259,,$3.48 ,$3.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303402,ASTELIN NASAL SPRAY DOSE CHARGE,259,,$2.93 ,$2.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303403,ATROVENT NASAL SPRAY 0.03% DOSE C,259,,$2.81 ,$2.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303404,ATROVENT NASAL 0.06% DOSE CHARGE,259,,$4.78 ,$4.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303405,NASACORT AQ NASAL SPR DOSE CHG,259,,$6.26 ,$6.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303406,NASACORT 55MCG NASAL SPRAY NO CHG,259,,$9.30 ,$9.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303407,RHINOCORT AQ 32 MCG NASAL DOSE CH,259,,$13.40 ,$13.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303408,FLONASE 120 NASAL DOSE CHARGE,259,,$6.78 ,$6.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303409,RHINOCORT NASAL SPRAY DOSE CHARGE,259,,$7.86 ,$7.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303410,NASONEX NASA SPRAY DOSE CHG,259,,$6.64 ,$6.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303411,ABILIFY 10 MG TABLET,259,,$17.25 ,$17.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303412,ABILIFY TABLET 15 MG,259,,$41.72 ,$41.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303413,LIPITOR TABLET 80 MG,259,,$6.10 ,$6.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303414,ATUSS EX SYRUP,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303415,ATUSS G SYRUP,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303416,DETUSSIN ELIXIR 5 ML,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303417,ATUSS G SYRUP 5 ML,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303418,ATUSS EX SYRUP 5 ML,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303419,GLUCOTROL XL 2.5 MG TABLET,259,,$0.79 ,$0.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303420,AVANDAMET 1-500 MG,259,,$1.96 ,$1.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303421,AVANDAMET 2-50MG,259,,$2.93 ,$2.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303422,AVANDAMET 4-500MG,259,,$4.78 ,$4.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303423,METAGLIP 5-500 MG TABLET,259,,$1.78 ,$1.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303424,DAKIN'S HALF STRENGTH SOLUTION,259,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303425,COSOPT EYE DROPS,259,,$14.65 ,$14.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303426,UNIRETIC 7.5 MG/12.5 MG TABLET,259,,$1.82 ,$1.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303427,ALBUTEROL INHALER FOR BEDSIDE,259,,$1.94 ,$1.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303428,CELEBREX 100 MG CAPSULE UD,259,,$3.02 ,$3.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303429,PLAVIX 75 MG TABLET,259,,$7.04 ,$7.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303430,DETROL LA 4 MG CAPSULE,259,,$4.96 ,$4.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303431,ZYRTEC D 12 HOUR,259,,$1.77 ,$1.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303432,DIAPER RASH OINTMENT,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303433,BICITRA 30 ML,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303434,KADIAN 20 MG CAPSULE CR 24 HR,259,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303435,COSOPT OPHTHALMIC DROPS 10 ML,259,,$14.65 ,$14.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303436,ROXICODONE 15 MG TABLET U D,259,,$1.57 ,$1.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303437,DEMEROL SYRUP 50 MG PER 5 ML,259,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303438,MEPERIDINE 50 MG PER 5 ML SYRUP,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303439,AMERGE 1 MG TABLET,259,,$34.76 ,$34.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303440,MAALOX PLUS EX STR 30 ML UD,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303441,MAALOX MIN CREME SUSP 30 ML,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303442,HYDROCODONE BIT/W/ APAP 10-500 MG,259,,$0.88 ,$0.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303443,CARDEC DM DROPS 30 ML,259,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303444,PEDIATEX DM SYRUP,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303445,ANDEHIST DROPS,259,,$1.28 ,$1.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303446,BENICAR TABLET 20 MG,259,,$2.35 ,$2.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303447,SEREVENT DISKUS 50 MCG PER PUFF,259,,$3.58 ,$3.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303448,VERMOX 100 MG TABLET,259,,$22.11 ,$22.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303449,BETAPACE 120 MG TABLET,259,,$6.61 ,$6.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303450,EPISTAXIS KIT DRUGS,259,,$2.04 ,$2.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303451,SYNTHROID 137 MCG TABLET,259,,$1.00 ,$1.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303452,ZONEGRAN 100 MG CAPSULE,259,,$3.86 ,$3.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303453,SENNA 8.6 MG TABLET,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303454,EMEND PACK,259,,$174.09 ,$174.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303455,CRESTOR 20 MG TABLET,259,,$4.28 ,$4.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303456,CRESTOR 10 MG TABLET UD,259,,$4.28 ,$4.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303457,DIMETAPP COLD/ALLERGY LIQUID,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303458,EXELON LIQUID 2 MG/ML,259,,$4.04 ,$4.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303459,DEPAKOTE ER 250 MG TAB,259,,$1.89 ,$1.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303460,NOVOLOG 70/30 MIX,259,J1815,$11.20 ,$11.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303461,NOVOLOG MIX 70/30 DOSE CHARGE,259,J1815,$11.20 ,$11.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303462,POLYDINE SCRUB 1% SOLUTION,259,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303463,AUGMENTIN ES 600 MG ORAL SUSP,259,,$0.89 ,$0.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303464,PAMINE 2.5 MG TAB,259,,$1.40 ,$1.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303465,WELLBUTRIN XL 150 MG,259,,$5.13 ,$5.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303466,CARMOL 40 CREAM,259,,$1.74 ,$1.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303467,ELIDEL 1% CREAM 15 GM,259,,$3.05 ,$3.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303468,LOPROX LOTION 0.77%,259,,$1.56 ,$1.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303469,RISPERDAL 0.25 MG TABLET,259,,$5.29 ,$5.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303470,AVINZA CAPSULE 30 MG,259,,$4.52 ,$4.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303471,AVINZA 60 MG CR CAPSULE,259,,$8.73 ,$8.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303472,MORPHINE SULFATE 20 MG/ML LIQUID,259,,$1.04 ,$1.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303473,MORPHINE SULF LIQ 20 MG/ML,259,,$1.04 ,$1.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303474,AUGMENTIN XR 1000-62.5MG,259,,$4.88 ,$4.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303475,PALGIC DS SYRUP,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303476,ETHEZYME OINTMENT,259,,$3.04 ,$3.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303477,ZOVIRAX 5% OINTMENT,259,,$12.34 ,$12.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303478,COMBIVENT BEDSIDE AEROSOL,259,,$6.80 ,$6.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303479,TRIPLE DYE SWABS,259,,$0.35 ,$0.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303480,ALBUTEROL INHALER BEDSIDE,259,,$2.93 ,$2.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303481,HYDROCODONE/ACET ELIX 15ML,259,,$0.33 ,$0.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303482,POVIDON-IODINE DOUCHE,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303483,FOLTRIN CAPSULE,259,,$0.96 ,$0.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303484,PREVACID 30 MG SUSP PKT,259,,$7.96 ,$7.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303485,ATROVENT INHALER BEDSIDE USE,259,,$7.10 ,$7.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303486,IMITREX 25 MG ORAL,259,,$33.54 ,$33.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303487,RIMSO 50 TOPICAL SOLN,259,J1212,$2.02 ,$2.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303488,WELCOVORIN 25 MG TAB,259,,$22.87 ,$22.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303489,VANCOCIN 10 GM ORAL,259,,$4.58 ,$4.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303490,LOXITANE CONCENTRATE,259,,$4.15 ,$4.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303491,KYTRIL 1MG TAB,259,Q0166,$78.64 ,$78.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303492,LEUCOVORIN 10 MG TABS,259,,$12.52 ,$12.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303493,LEUCOVORIN 5 MG TABS,259,,$5.46 ,$5.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303494,MAGNESIUM CITRATE 10 OZ,259,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303495,COLYTE 4 LITER,259,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303496,ZOFRAN 8 MG TABLET,259,Q0179,$58.52 ,$58.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303497,IMITREX 6MG/0.5ML INJ,259,J3030,$201.80 ,$201.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303498,ZOFRAN 4 MG TABLET,259,Q0179,$35.15 ,$35.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303499,DURAGESIC 25 MCG PATCH,259,,$25.31 ,$25.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303500,DURAGESIC 75MCG PATCH,259,,$68.03 ,$68.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303501,DURAGESIC 50 MCG PATCH,259,,$44.60 ,$44.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303502,DURAGESIC 100 MCG PATCH,259,,$90.25 ,$90.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303503,BACITRACIN OINT,259,,$0.35 ,$0.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303504,SANDIMMUNE 100 MG 50M,259,J7502,$11.25 ,$11.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303505,SYNAREL NASAL SPRAY,259,,$75.75 ,$75.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303506,ACTIFED TABLET,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303507,ALDOMET 250MG TABLET,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303508,AMINOPHYLLINE 100MG TABLET,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303509,AMOZIL 250MG CAPSULE,259,,$0.49 ,$0.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303510,AMOXIL 500MG CAPSULE,259,,$0.79 ,$0.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303511,AMIPICILLIN SUSP 250MG/5ML,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303512,ANAPROX 275MG TABLET,259,,$1.00 ,$1.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303513,ANSAID 100MG TABLET,259,,$2.05 ,$2.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303514,ANTIVERT 25MG TABLET,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303515,BENTYL 10MG TAB,259,,$0.57 ,$0.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303516,BRETHINE 2.5MG TAB,259,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303517,BUMEX 1MG TAB,259,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303518,CAPOTEN 12.5MG TAB,259,,$1.00 ,$1.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303519,CARAGATE 1 GM TAB,259,,$1.81 ,$1.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303520,CATAPRES 0.1MG TAB,259,,$0.46 ,$0.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303521,CECLOR 250MG CAP,259,,$3.98 ,$3.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303522,CECLOR 500MG CAP,259,,$7.21 ,$7.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303523,CIPRO 500MG TAB,259,,$10.02 ,$10.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303524,ERYTHROMYCIN 400MG TAB,259,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303525,ERY-PED 200MG ORAL SUSPENSION,259,,$0.29 ,$0.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303526,ERYTHROMYCIN 250MG TAB,259,,$0.49 ,$0.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303527,FLAGYL 250MG TAB,259,,$0.89 ,$0.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303528,FLAGYL 500MG TAB,259,,$2.26 ,$2.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303529,INDERAL 10MG TAB,259,,$0.29 ,$0.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303530,INDERAL 40MG TAB,259,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303531,INDOCIN 50MG CAP,259,,$1.14 ,$1.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303532,KEFLEX 250MG CAP,259,,$1.41 ,$1.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303533,KEFLEX 500MG CAP,259,,$2.91 ,$2.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303534,KEFLEX ORAL SUSP 250MG/5ML,259,,$0.56 ,$0.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303535,LANOXIN 0.125MG TAB,259,,$0.56 ,$0.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303536,LANOXIN 0.25MG TAB,259,,$0.56 ,$0.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303537,MOTRIN 400MG TAB,259,,$0.35 ,$0.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303538,MOTRIN 800MG TAB,259,,$0.72 ,$0.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303539,NALDECON TAB,259,,$1.65 ,$1.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303540,NAPROSYN 250MG TAB,259,,$1.15 ,$1.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303541,PARAFON DSC TAB,259,,$0.83 ,$0.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303542,PROCARDIA 10MG CAP,259,,$0.79 ,$0.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303543,GENTAMICIN TOPICAL OINT 15GM,259,,$0.38 ,$0.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303544,LIQUID PHENOL 15ML,259,,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303545,POLYSPORIN OINT 15GM,259,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303546,LUGOL'S SOLN 30ML,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303547,MONSEL'S SOLN 30ML,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303548,SULTRIN VAG CREAM,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303549,ANESTACON TOPICAL SOLN 15ML,259,J2000,$0.58 ,$0.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303550,FURACIN SOLUBLE DRESSING,259,,$0.87 ,$0.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303551,XYLOCAINE 2% UROJECT,259,J2000,$1.33 ,$1.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303552,NUPERCAINAL OINTMENT,259,,$13.14 ,$13.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303553,XYLOCAINE 2% TOPICAL JELLY,259,J2000,$1.15 ,$1.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303554,XYLOCAINE 4% TOPICAL SOLN,259,J2000,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303555,AURALGAN OTIC SOLN,259,,$3.32 ,$3.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303556,BETADINE SOLN 8 OZ,259,A4246,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303557,NEO-SYNEPHRINE NASA DROP 1/8%,259,,$0.35 ,$0.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303558,NEOSYNEPHRINE NASAL DROP 1/4%,259,,$0.35 ,$0.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303559,NEO-SYNEPHRINE NASA DROP 1/2%,259,,$0.36 ,$0.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303560,NEO-SYNEPHRINE NASAL DROP 1%,259,,$0.46 ,$0.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303561,BSS OPHTH SOLN 15ML,259,,$0.76 ,$0.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303562,MYDRIACYL 1% OPTH SOLN 5ML,259,,$4.70 ,$4.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303563,INFLAMMASE OPHTH SOLN 1/8%,259,,$6.19 ,$6.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303564,NEOSPORIN OPHTH OINT 1/8OZ,259,,$4.58 ,$4.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303565,NEOSPORIN OPHTH SOLN 5ML,259,,$4.14 ,$4.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303566,NEOSYNEPHRINE 2 1/2% OPHTH SOL5ML,259,,$1.68 ,$1.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303567,ACHROMYCIN 3% OINT 30GM,259,,$0.59 ,$0.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303568,ARISTOCORT CREAM 0.1% 15GM,259,,$0.36 ,$0.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303569,NEOSPORIN OINT 15GM,259,,$0.38 ,$0.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303570,STADOL NS,259,,$68.62 ,$68.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303571,GENTAMICIN TOPICAL CREAM 15GM,259,,$0.38 ,$0.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303572,PYRIDIUM 100MG TAB,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303573,REGLAN 10MG TAB,259,,$0.53 ,$0.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303574,ROBAXIN 750MG TAB,259,,$1.41 ,$1.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303575,SLOW-K 8 MEQ TAB,259,,$0.36 ,$0.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303576,SUDAFED 30MG TAB,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303577,THIAMINE 100MG TAB,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303578,THORAZINE 100MG TAB,259,Q0171,$1.48 ,$1.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303579,VERAPAMIL 80MG TAB,259,,$0.76 ,$0.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303580,DOXYCYCLINE 100 MG CAPSULE,259,,$1.85 ,$1.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303581,VISTARIL 50MG CAP,259,Q0178,$0.54 ,$0.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303582,POTASSIUM CHLORIDE LIQ 20 MEQ,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303583,POTASSIUM CHLORIDE LIQ 40 MEQ,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303584,AMOXIL ORAL SUSP 125MG/5ML,259,,$0.32 ,$0.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303585,AMOXIL ORAL SUSP 250MG/5ML,259,,$0.33 ,$0.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303586,AMPICILLIN 250MG CAP,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303587,AMPICILLIN 500MG CAP,259,,$0.54 ,$0.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303588,APRESOLINE 25MG TAB,259,,$0.30 ,$0.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303589,ASPIRIN 81MG TAB,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303590,AUGMENTIN 250MG TAB,259,,$5.10 ,$5.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303591,BACTRIM TAB,259,,$1.41 ,$1.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303592,BACTRIM DS TAB,259,,$1.10 ,$1.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303593,BENADRYL 25 MG CAPSULE,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303594,BENADRYL 50 MG CAPSULE,259,Q0163,$0.25 ,$0.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303595,BENEMID 0.5GM TAB,259,,$1.64 ,$1.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303596,COGENTIN 2MG TAB,259,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303597,DECADRON 4MG TAB,259,,$1.04 ,$1.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303598,DILANTIN 50MG TAB,259,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303599,DILANTIN 100MG CAP,259,,$0.57 ,$0.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303600,DIMETPP EXTENTAB,259,,$0.58 ,$0.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303601,DONNATAL TAB,259,,$0.30 ,$0.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303602,DULCOLAX 5MG TB,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303603,DURICEF 500MG CAP,259,,$4.89 ,$4.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303604,FLEXERIL 10MG TAB,259,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303605,FLOXIN 400MG TAB,259,,$8.74 ,$8.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303606,HALDOL 2MG TAB,259,,$1.00 ,$1.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303607,HALDOL 5MG TAB,259,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303608,HCTZ 50MG TAB,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303609,PREMARIN VAG CREAM,259,,$2.69 ,$2.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303610,MVD COCKTAIL 30ML,259,,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303611,AMMONIA INHALANTS,259,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303612,TRANSDERM NITRO 0.1MG/HR PATCH,259,,$2.68 ,$2.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303613,IMODIUM 2MG CAP,259,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303614,LASIX 20MG TAB,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303615,LASIX 40MG TAB,259,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303616,LOPRESSOR 50MG TAB,259,,$0.90 ,$0.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303617,MINIPRES 1MG CAP,259,,$0.46 ,$0.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303618,MINOCIN 100MG CAP,259,,$6.71 ,$6.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303619,PEN VK 250MG TAB,259,,$0.25 ,$0.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303620,PEN VK 500MG TAB,259,,$0.46 ,$0.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303621,PHENERGAN 25MG TAB,259,Q0170,$0.98 ,$0.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303622,PREDNISONE 1MG TAB,259,J7506,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303623,PREDNISONE 10MG TAB,259,J7506,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303624,PREDNISONE 20MG TAB,259,J7506,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303625,SYMMETREL 100MG CAP,259,,$0.56 ,$0.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303626,TAGAMET 300MG TAB,259,,$1.73 ,$1.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303627,TEGRETOL 200MG TAB,259,,$0.79 ,$0.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303628,TETRACYCLINE 500MG CAP,259,,$0.29 ,$0.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303629,THEO-DUR 100MG TAB,259,,$0.56 ,$0.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303630,THEO-DUR 200MG TAB,259,,$0.79 ,$0.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303631,ZANTAC 150MG TAB,259,,$3.76 ,$3.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303632,NTG 1/150 GR TAB,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303633,NTG 1/200 GR TAB,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303634,NITROGLYCERIN 2% OINT,259,,$0.32 ,$0.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303635,TRANSDERM NITRO 0.4MG/HR PATCH,259,,$2.69 ,$2.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303636,THEOPHYLLINE 80MG/15ML LIQ,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303637,LIDOCAINE JELLY 2% 5 ML,259,J2000,$1.33 ,$1.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303638,ATIVAN 0.5MG TAB,259,,$1.10 ,$1.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303639,ATIVAN 1MG TAB,259,,$1.40 ,$1.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303640,B&O SUPP 15A,259,,$4.68 ,$4.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303641,B&O SUPP 16A,259,,$5.04 ,$5.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303642,CHLORAL HYDRATE 500MG SYRUP,259,,$0.29 ,$0.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303643,CHLORAL HYDRATE 500MG SUPP,259,,$3.58 ,$3.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303644,CODEINE 15MG TAB,259,,$0.75 ,$0.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303645,CODEINE 30 MG TAB,259,,$0.86 ,$0.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303646,CODEINE 60MG TAB,259,,$0.36 ,$0.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303647,DALMANE 15MG CAP,259,,$0.51 ,$0.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303648,DALMANE 30MG CAP,259,,$0.57 ,$0.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303649,DARVAN 65MG CAP,259,,$1.19 ,$1.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303650,DARVON CPD 65MG CAP,259,,$0.59 ,$0.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303651,DARVOCET N 100 TAB,259,,$1.29 ,$1.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303652,"DARVOCET ""ER ONLY"" (4'S)",259,,$0.93 ,$0.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303653,ENDAL HD EXPECT 5ML,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303654,ENDAL HD EXPECT 10ML,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303655,HALCION 0.125MG TAB,259,,$1.08 ,$1.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303656,HALCION 0.25MG TAB,259,,$1.13 ,$1.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303657,HYCOTUSS EXPCT 5ML,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303658,LOMOTIL TAB,259,,$0.85 ,$0.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303659,LOMOTIL LIQ 5ML,259,,$0.36 ,$0.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303660,LORTAB-5 TAB,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303661,"LORTAB-5 ""ER ONLY"" (4'S)",259,,$1.35 ,$1.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303662,LORTAB-7.5 TAB,259,,$0.79 ,$0.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303663,"LORTAB-7.5 ""ER ONLY (4'S)",259,,$0.93 ,$0.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303664,LORTAB ELIX 5ML,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303665,LORTAB ELIX 10ML,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303666,LORCET PLUS TAB,259,,$1.89 ,$1.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303667,LORCET 10/650 TAB,259,,$2.63 ,$2.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303668,MARINOL 2.5MG CAP,259,Q0167,$6.29 ,$6.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303669,MARINOL 5MG CAP,259,Q0168,$12.52 ,$12.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303670,MEPERGAN FORTIS CAP,259,,$1.13 ,$1.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303671,MEPERIDINE 50MG TAB,259,,$1.65 ,$1.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303672,MEPERIDINE LIQ 5ML,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303673,METHADONE 5MG TAB,259,,$0.62 ,$0.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303674,METHADONE 10MG TAB,259,,$0.75 ,$0.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303675,MORPHINE IR 10MG TAB,259,,$0.51 ,$0.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303676,MORPHINE IR 15MG TAB,259,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303677,MORPHINE IR 30MG TAB,259,,$0.89 ,$0.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303678,MS CONTIN 15MG TAB,259,,$1.80 ,$1.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303679,MS CONTIN 30MG TAB,259,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303680,MS CONTIN 60MG TAB,259,,$7.25 ,$7.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303681,MS CONTIN 100MG TAB,259,,$11.01 ,$11.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303682,OXYCONTIN 10MG TAB,259,,$2.41 ,$2.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303683,OXYCONTIN 20MG TAB,259,,$4.61 ,$4.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303684,PERCODAN TAB,259,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303685,PHENOBARBITAL ELIXIR 20MG PER 5ML,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303686,PHENOBARBITAL 15MG TAB,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303687,PHENOBARBITAL 30MG TAB,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303688,PHENOBARBITAL 60 MG TAB,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303689,PHENOBARBITAL 100 MG TAB,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303690,PROSOM 1MG TAB,259,,$1.68 ,$1.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303691,RESTORIL 15MG CAP,259,,$1.20 ,$1.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303692,RESTORIL 30MG CAP,259,,$0.53 ,$0.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303693,SECONAL 100MG CAP,259,,$1.16 ,$1.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303694,SERAX 10MG CAP,259,,$0.90 ,$0.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303695,SERAX 15MG CAP,259,,$1.30 ,$1.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303696,SERAX 30MG CAP,259,,$2.70 ,$2.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303697,TALWIN NX TAB,259,,$1.91 ,$1.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303698,TRANXENE 3.75MG TAB,259,,$2.33 ,$2.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303699,TRANXENE 7.5MG TAB,259,,$2.90 ,$2.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303700,TRANXENE 15MG TAB,259,,$3.90 ,$3.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303701,TYLENOL #2 TAB,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303702,TYLENOL #3 TAB,259,,$0.83 ,$0.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303703,"TYLENOL #3 ""ER ONLY"" (4'S)",259,,$0.76 ,$0.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303704,TYLENOL #4 TAB,259,,$1.54 ,$1.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303705,TYLENOL W/CODEINE ELIX 15ML,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303706,TYLOX CAP,259,,$2.68 ,$2.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303707,VALIUM 2MG TAB,259,,$0.38 ,$0.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303708,VALIUM 5MG TAB,259,,$0.54 ,$0.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303709,VALIUM 10MG TAB,259,,$0.72 ,$0.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303710,WYGESIC 65/650,259,,$0.56 ,$0.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303711,XANAX 0.25MG TAB,259,,$1.08 ,$1.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303712,XANAX 0.5MG TAB,259,,$1.25 ,$1.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303713,XANAX 1MG TAB,259,,$1.62 ,$1.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303716,TYLENOL 500MG TAB,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303717,ACTIVATED CHARCOAL 25 GM,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303718,ACTIVATED CHARCOAL 50GM,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303719,BENEDRYL 12.5MG/5CC,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303720,BENTYL 10MG/5ML,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303721,DIMETAPP ELIXIR 10ML,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303722,DECADRON 0.5MG/5CC ELIXI,259,,$0.26 ,$0.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303723,DONNAGEL SUSP 30ML,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303724,EMETROL SYRUP 30ML,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303725,IPECAC SYRUP 30ML,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303726,LIQUID PRED 10ML,259,J7506,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303727,MILK OF MAGNESIA 30ML,259,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303728,MYLANTA SUSP 30ML,259,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303729,MAALOX SUSP 30ML,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303730,NALDECON PEDIATRIC DROPS 30ML,259,,$1.64 ,$1.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303731,PHENERGAN 6.25 MG/5ML,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303732,ROBITUSSIN EXP 5 ML,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303733,RYNATAN SUSP 30 ML,259,,$0.54 ,$0.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303734,SYMMETREL 50MG/5ML SYRUP,259,,$0.34 ,$0.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303735,TYLENOL ELIXIR 30ML,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303736,PEDIAPROFEN 30ML,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303737,MYLICON SUSP 30ML,259,,$0.36 ,$0.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303738,PROVENTIL SYRUP 5ML,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303739,HUMULIN R INSULIN 10ML INJ,259,J1820,$4.44 ,$4.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303740,CECLOR 250MG/5ML ORAL SUSP,259,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303741,AUGMENTIN 250MG/5ML SUSP,259,,$0.92 ,$0.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303742,IMMODIUM ORAL LIQ 10ML,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303743,HUMULIN N INSULIN 10ML INJ,259,J1820,$4.44 ,$4.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303744,TYLENOL 125MG SUPPOSITORY,259,,$0.92 ,$0.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303745,TYLENOL 325MG SUPPOSITORY,259,,$1.02 ,$1.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303746,TYLENOL 650MG SUPPOSITORY,259,,$0.82 ,$0.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303747,PHENERGAN 12.5 SUPPOSITORY,259,,$7.32 ,$7.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303748,PHENERGAN 25MG SUPPOSITORY,259,,$8.40 ,$8.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303749,PHENERGAN 50MG SUPPOSITORY,259,,$10.74 ,$10.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303750,ANUSOL SUPPOSITORY,259,,$0.58 ,$0.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303751,TIGAN 100MG SUPPOSITORY,259,,$3.63 ,$3.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303752,TIGAN 200MG SUPPOSITORY,259,,$1.00 ,$1.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303753,DULCOLAX 10MG SUPPOSITORY,259,,$1.19 ,$1.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303754,FLEETS ADULT ENEMA,259,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303755,FLEETS PED ENEMA,259,,$0.02 ,$0.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303756,AEROBID INHALER,259,,$18.37 ,$18.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303757,BENZOIN COMPD TINCTURE,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303758,BETASEPT 4% TOP SOLN 120ML,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303759,BETADINE SCRUB SOLN 120ML,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303760,XYLOCAINE VISCOUS 2% 100ML,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303761,AMERICAINE OTIC SOLN,259,,$2.29 ,$2.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303762,CERUMENEX OTIC SOLN,259,,$8.06 ,$8.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303763,DEBROX OTIC SOLN,259,,$0.52 ,$0.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303764,CORTISPORIN OTIC SUSP,259,,$4.00 ,$4.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303765,NEOMYCIN/POLYMIX B/HC OTIC 10 ML,259,,$4.00 ,$4.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303766,VOSOL OTIC SOLN,259,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303767,CORTISPORIN OPHTH OINT,259,,$15.23 ,$15.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303768,CORTISPORIN OPHTH SUSP,259,,$7.60 ,$7.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303769,GENTAMICIN 3% OPHTH OINT 1/8 OZ,259,,$7.25 ,$7.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303770,GENTAMICIN 3% OPHTH SOLN 5ML,259,,$2.04 ,$2.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303771,DECADRON 0.05% OPHTH OINT 1/8 OZ,259,,$3.45 ,$3.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303772,DECADRON 0.1% OPHTH SOLN 5ML,259,,$12.21 ,$12.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303773,DACRIOSE OPHTH SOLN 15ML,259,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303774,NEODECADRON OPHTH SOLN 5ML,259,,$6.49 ,$6.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303775,ERY-PED 400MG ORAL SUSP,259,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303776,VISTARIL 25MG CAP,259,Q0177,$0.76 ,$0.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303777,SODIUM SULAMYD OPHTH OINT,259,,$9.53 ,$9.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303778,TETRACAINE OPHTH DROPPETTES,259,,$5.28 ,$5.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303779,VISINE OPHTH SOLN 15ML,259,,$0.34 ,$0.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303780,ISOPTO CARPINE 1% OPHTH SOLN,259,,$2.65 ,$2.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303781,SILVER NITRATE STICKS 4'S,259,,$1.31 ,$1.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303782,XYLOCAINE 10% TOP SPRAY,259,,$2.86 ,$2.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303783,PONTOCAINE OPHTH OINT,259,,$5.67 ,$5.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303784,MYCOLOG TOPICAL CREAM 15GM,259,,$0.53 ,$0.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303785,ALUPENT ORAL INHALER,259,,$4.00 ,$4.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303786,PROVENTIL (VENTOLIN) INHALER,259,J3535,$4.34 ,$4.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303787,AMBIEN 5MG TAB,259,,$3.63 ,$3.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303788,KLONOPIN 0.5MG TAB,259,,$1.29 ,$1.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303789,KLONOPIN 1MG TAB,259,,$1.47 ,$1.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303790,HUMALOG INSULIN 10ML INJ,259,K0548,$8.38 ,$8.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303791,FLEET MINERAL OIL ENEMA 133 ML,259,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303792,LYSOL SPRAY,259,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303793,NEO-SYNEPHRINE OPH SOL 10%-5 ML,259,,$3.34 ,$3.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303794,RITALIN 5MG TAB,259,,$0.86 ,$0.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303795,RITALIN 20MG TAB,259,,$1.78 ,$1.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303796,LIBRIUM 5MG CAP,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303797,LIBRIUM 10MG CAP,259,,$0.34 ,$0.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303798,LIBRIUM 25MG CAP,259,,$0.36 ,$0.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303799,VICODIN TUSS EXPT 10ML,259,,$0.25 ,$0.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303800,TUSSIONEX SUSP 5ML,259,,$0.30 ,$0.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303801,PRELONE 6.7MG/5ML SYRUP,259,,$0.49 ,$0.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303802,"LORCET PLUS TAB ""ER ONLY"" (4'S)",259,,$1.45 ,$1.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303803,SODIUM SULAMYD 10% OPHTH SOLN,259,,$2.70 ,$2.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303804,CORTICAINE TOPICAL CM,259,,$0.52 ,$0.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303805,ZITHROMAX 250MG CAPSULE,259,,$10.39 ,$10.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303806,HIV PROPHYL KIT,259,,$205.83 ,$205.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303807,NORVASC 5 MG UD TABLET,259,,$2.64 ,$2.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303808,AXID 150 MG CAPSULE,259,,$3.76 ,$3.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303809,BIAXIN 500 MG TABLET,259,,$7.56 ,$7.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303810,PROVENTIL 4 MG TAB CR,259,,$1.82 ,$1.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303811,PROMINOL 650/50 MG TAB,259,,$0.98 ,$0.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303812,PANCREASE CAP EC,259,,$0.92 ,$0.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303813,ASPIRIN 81 MG TAB EC,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303814,PARLODEL 2.5 MG TAB,259,,$5.23 ,$5.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303815,OYST-CAL 500 W/D,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303816,CARBIDOPA W/ LEVODOPA 25-250 TAB,259,,$1.48 ,$1.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303817,CHLORPROMAZINE 10 MG TAB,259,Q0171,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303818,PROPRANOLOL 10 MG TAB,259,,$1.50 ,$1.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303819,CLINDAMYCIN 150 MG CAP,259,,$1.21 ,$1.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303820,DANOCRINE 200 MG CAP,259,,$9.04 ,$9.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303821,DEXAMETHASONE 6 MG TAB,259,,$1.63 ,$1.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303822,VOLTAREN 25 MG TAB EC CR,259,,$1.19 ,$1.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303823,DILACOR XR 120 MG CAP CR,259,,$2.18 ,$2.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303824,DILACOR XR 180 MG CAP CR,259,,$2.26 ,$2.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303825,TIAZAC 300 MG CAP CR,259,,$4.27 ,$4.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303826,DIPYRIDMOLE 75 MG TAB,259,,$1.40 ,$1.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303827,DOCUSATE POTASSIUM W/CASANTHRANOL,259,,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303828,CARDURA 4 MG TAB,259,,$2.09 ,$2.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303829,VASERETIC 5-12.5 TAB,259,,$2.09 ,$2.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303830,E-MYCIN 333 MG TAB CR,259,,$0.70 ,$0.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303831,ESTRATEST H S 0.625/1.25,259,,$2.69 ,$2.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303832,DIFLUCAN 150 MG TAB,259,,$24.08 ,$24.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303833,ANCOBON 500 MG CAP,259,,$11.64 ,$11.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303834,ANCOBON 250 MG CAP,259,,$5.86 ,$5.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303835,FLORINEF 0.1 MG TAB,259,J0285,$1.47 ,$1.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303836,PROZAC 20 MG CAP,259,,$6.33 ,$6.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303837,PROZAC 10 MG CAP,259,,$6.05 ,$6.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303838,FLUPHENAZINE 2.5 MG TAB,259,,$1.54 ,$1.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303839,FLUPHENAZINE 1 MG TAB,259,,$1.04 ,$1.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303840,FLUPHENAZINE 5 MG TAB,259,,$2.25 ,$2.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303841,FLUPHENAZINE 10 MG TAB,259,,$2.85 ,$2.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303842,ANSAID 50 MG TAB,259,,$1.48 ,$1.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303843,EULEXIN 125 MG CAP,259,J0702,$4.58 ,$4.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303844,LESCOL 40 MG CAP,259,,$3.09 ,$3.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303845,LESCOL 20 MG CAP,259,,$3.09 ,$3.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303846,LUVOX 50 MG TAB,259,,$5.55 ,$5.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303847,FOLIC ACID 1 MG TAB,259,,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303848,NEURONTIN 300 MG CAP,259,,$2.53 ,$2.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303849,NEURONTIN 400 MG CAP,259,,$2.96 ,$2.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303850,NEURONTIN 100 MG CAP,259,,$1.10 ,$1.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303851,GEMFIBROZIL 600 MG TAB,259,,$1.63 ,$1.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303852,AMARYL 4 MG TAB,259,,$1.85 ,$1.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303853,AMARYL 1 MG TAB,259,,$0.58 ,$0.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303854,GLIPIZIDE 5 MG TAB,259,,$0.59 ,$0.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303855,GLIPIZIDE 10 MG TAB,259,,$1.15 ,$1.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303856,GLUCOTROL XL 10 MG TAB CR,259,,$1.50 ,$1.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303857,GLUCOTROL XL 5 MG TAB,259,,$0.79 ,$0.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303858,DIABETA 1.25 MG TAB,259,,$0.36 ,$0.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303859,DIABETA 5 MG TAB,259,,$1.40 ,$1.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303860,DIABETA 2.5 MG TAB,259,,$0.79 ,$0.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303861,GLYNASE PRESTAB 3 MG,259,,$1.82 ,$1.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303862,GLYNASE PRESTABS 6 MG,259,,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303863,GUAIFENESIN 200 MG TAB,259,,$0.93 ,$0.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303864,GUAIFENESIN ER 600 MG TAB,259,,$0.58 ,$0.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303865,GUAIFENESIN/DEXTROMETH 600-30,259,,$0.72 ,$0.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303866,ANATUSS DM TAB,259,,$0.87 ,$0.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303867,RU-TUSS DE TAB,259,,$1.21 ,$1.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303868,GUAIFED-PD CAP,259,,$1.91 ,$1.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303869,EUDAL-SR TAB,259,,$0.92 ,$0.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303870,PHENYLEPH/GUAIFEN TAB CR,259,,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303871,ENTEX CAP,259,,$1.13 ,$1.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303872,MAXIFED-G TAB,259,,$0.72 ,$0.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303873,DECONSAL II TAB CR,259,,$0.62 ,$0.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303874,WYTENSIN 4 MG TAB,259,,$1.30 ,$1.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303875,GUANABENZ ACETATE 8 MG TAB,259,,$1.54 ,$1.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303876,TENEX 1 MG TAB,259,,$1.84 ,$1.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303877,TENEX 2 MG TAB,259,,$5.42 ,$5.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303878,HALOPERIDOL 0.5 MG TAB,259,,$0.25 ,$0.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303879,HALOPERIDOL 10 MG TAB,259,,$1.04 ,$1.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303880,HYDROCHLOROTHIAZIDE 25 MG TAB,259,,$0.26 ,$0.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303881,L-ARGININE 500 MG TAB,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303882,COVERA-HS 240 MG TAB CR,259,,$3.84 ,$3.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303883,AMARYL 2 MG TABLET,259,,$0.98 ,$0.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303884,ENTEX LA 75-400MG TABLET CR,259,,$1.89 ,$1.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303885,ELASE-CHLOROMYCETIN OINT 30 GM,259,,$2.27 ,$2.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303886,DIFLUCAN 100 MG TABLET,259,,$15.14 ,$15.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303887,DIFLUCAN 200 MG TABLET,259,,$24.78 ,$24.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306340,RISEDRONATE SODIUM 35 MG TAB (ACTONEL),259,,$54.28 ,$54.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306341,ACIPHEX TABLET 20 MG,259,,$17.43 ,$17.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306347,FERROUS SULFATE (SLOW-FE) 160 MG TABLETS,259,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300001,ACARBOSE 50 MG TAB,259,,$6.31 ,$6.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300004,ACETAMINOPHEN 500 MG TAB,259,,$0.12 ,$0.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300011,ACYCLOVIR 200 MG CAP,259,,$0.62 ,$0.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300012,ACYCLOVIR 800 MG TAB,259,,$73.59 ,$73.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300014,AL HYD-MG TR-ALG AC-NA BICARB 80-20 MG C,259,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300015,ALBUTEROL SULFATE 2 MG TAB,259,,$0.73 ,$0.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300018,ALENDRONATE 10 MG TAB,259,,$20.85 ,$20.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300019,ALLOPURINOL 300 MG TAB,259,,$0.38 ,$0.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300021,ALLOPURINOL 100 MG TAB,259,,$0.46 ,$0.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300022,ACETAMINOPHEN 325 MG TAB,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300024,ACETAMINOPHEN-CODEINE 300-30MG TAB,259,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300028,ALPRAZOLAM 0.25 MG TAB,259,,$0.36 ,$0.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300029,ALPRAZOLAM 0.5 MG TAB,259,,$0.33 ,$0.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300030,ALPRAZOLAM 1 MG TAB,259,,$0.56 ,$0.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300034,AMANTADINE 100 MG CAP,259,,$1.44 ,$1.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300035,AMINOPHYLLINE 100 MG TAB,259,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300036,AMIODARONE 200 MG TAB,259,,$1.66 ,$1.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300037,AMITRIPTYLINE 10 MG TAB,259,,$0.10 ,$0.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300038,AMITRIPTYLINE 25 MG TAB,259,,$0.12 ,$0.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300039,AMITRIPTYLINE 50 MG TAB,259,,$0.18 ,$0.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300040,AMITRIPTYLINE 75 MG TAB,259,,$0.70 ,$0.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300042,AMLODIPINE BESYLATE 2.5 MG TAB,259,,$13.87 ,$13.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300043,AMLODIPINE BESYLATE 10 MG TAB,259,,$0.96 ,$0.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300044,AMLODIPINE BESYLATE 5 MG TAB,259,,$0.72 ,$0.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300045,AMOXICILLIN-POT CLAVUL 250 MG TAB,259,,$24.81 ,$24.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300046,AMOXICILLIN-POT CLAVUL 500 MG TAB,259,,$3.86 ,$3.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300047,AMOXICILLIN-POT CLAVUL 875 MG TAB,259,,$13.70 ,$13.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300049,AMOXAPINE 50 MG TAB,259,,$2.64 ,$2.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300052,AMOXICILLIN 250 MG CAP,259,,$0.34 ,$0.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300053,AMOXICILLIN 500 MG CAP,259,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300054,AMPICILLIN 250 MG CAP,259,,$0.54 ,$0.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300055,AMPICILLIN 500 MG CAP,259,,$1.16 ,$1.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300056,"AMYLASE-LIPASE-PROTEASE 20,000-44,000- 5",259,,$14.42 ,$14.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300061,ANASTROZOLE 1 MG TAB,259,,$98.40 ,$98.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300062,ASPIRIN 325 MG TAB,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300064,ASPIRIN 81 MG CHEW,259,,$0.10 ,$0.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300065,ASPIRIN 325 MG TBEC,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300066,ASPIRIN 81 MG TBEC,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300071,ATENOLOL 50 MG TAB,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300072,ATENOLOL 25 MG TAB,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300073,ATENOLOL 100 MG TAB,259,,$0.87 ,$0.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300077,AZITHROMYCIN 600 MG TAB,259,,$161.24 ,$161.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300078,BACLOFEN 10 MG TAB,259,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300084,AMLODIPINE-BENAZEPRIL 2.5-10MG CAP,259,,$27.10 ,$27.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300085,AMLODIPINE-BENAZEPRIL 5-10 MG CAP,259,,$27.62 ,$27.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300086,BENAZEPRIL-HCTZ 10-12.5 MG TAB,259,,$13.06 ,$13.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300087,BENZONATATE 100 MG CAP,259,,$0.66 ,$0.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300088,BENZTROPINE MESYLATE 0.5 MG TAB,259,,$0.25 ,$0.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300089,BENZTROPINE MESYLATE 1 MG TAB,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300090,BENZTROPINE MESYLATE 2 MG TAB,259,,$1.64 ,$1.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300092,BETHANECHOL CHLORIDE 10 MG TAB,259,,$3.45 ,$3.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300093,BETHANECHOL CHLORIDE 25 MG TAB,259,,$1.18 ,$1.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300094,BISACODYL 5 MG TBEC,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300100,BROMOCRIPTINE MESYLATE 2.5 MG TAB,259,,$38.02 ,$38.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300101,BUMETANIDE 1 MG TAB,259,,$1.12 ,$1.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300104,BUMETANIDE 2 MG TAB,259,,$1.48 ,$1.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300105,BUMETANIDE 0.5 MG TAB,259,,$0.40 ,$0.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300106,BUPROPION 75 MG TAB,259,,$4.10 ,$4.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300107,BUPROPION 100 MG TAB,259,,$1.92 ,$1.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300108,BUPROPION 150 MG TBER,259,,$24.85 ,$24.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300109,BUSPIRONE 5 MG TAB,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300110,BUSPIRONE 10 MG TAB,259,,$2.14 ,$2.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300112,ACETAM-CAFF-BUTAL 325-40-50 MG TAB,259,,$0.33 ,$0.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300113,ACETAM-CAFF-BUTAL 500-40-50 MG TAB,259,,$11.54 ,$11.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300115,CAFFEINE 200 MG TAB,259,,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300116,CA CARB-VIT D2 500-200 MG-UNIT TAB,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300117,CALCIUM CARBONATE 648 MG TAB,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300118,"CALCIUM CARBONATE 500 MG CALCIUM (1,250",259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300119,CALCIUM CARBONATE 200 MG CALCIUM (500 MG,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300123,CALCIUM CARB-VIT D2-MINERALS 600-400 MG-,259,,$0.79 ,$0.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300129,CARBAMAZEPINE 100 MG CHEW,259,,$0.32 ,$0.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300130,CARBAMAZEPINE 200 MG TAB,259,,$0.49 ,$0.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300131,CARBIDOPA-LEVODOPA 10-100 MG TAB,259,,$1.10 ,$1.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300132,CARBIDOPA-LEVODOPA 25-250 MG TAB,259,,$2.91 ,$2.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300133,CARBIDOPA-LEVODOPA 25-100 MG TAB,259,,$0.82 ,$0.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300134,CARBIDOPA-LEVODOPA 25-100 MG TBER,259,,$2.27 ,$2.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300136,CARISOPRODOL 350 MG TAB,259,,$1.20 ,$1.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300137,CEFACLOR 250 MG CAP,259,,$10.48 ,$10.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300144,CEPHALEXIN 250 MG CAP,259,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300145,CEPHALEXIN 500 MG CAP,259,,$0.70 ,$0.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300149,CLIDIN-CHLORDIAZEPOX 2.5-5 MG CAP,259,,$0.87 ,$0.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300150,CHLORDIAZEPOXIDE HCL 5 MG CAP,259,,$1.23 ,$1.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300151,CHLORDIAZEPOXIDE HCL 10 MG CAP,259,,$0.92 ,$0.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300152,CHLORDIAZEPOXIDE HCL 25 MG CAP,259,,$1.04 ,$1.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300153,CHLORPHENIRAMINE MALEATE 4 MG TAB,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300157,CHLORPROMAZINE 10 MG TAB,259,Q0171,$1.71 ,$1.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300158,CHLORPROMAZINE 25 MG TAB,259,Q0172,$0.56 ,$0.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300159,CHLORPROMAZINE 50 MG TAB,259,Q0171,$0.81 ,$0.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300163,CHLORZOXAZONE 500 MG TAB,259,,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300175,CLARITHROMYCIN 500 MG TAB,259,,$40.39 ,$40.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300180,CLINDAMYCIN PALMITATE 75 MG/5 ML SOLR,259,,$421.18 ,$421.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300181,CLINDAMYCIN HCL 150 MG CAP,259,,$0.49 ,$0.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300182,CLINDAMYCIN HCL 300 MG CAP,259,,$55.04 ,$55.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300187,CLONAZEPAM 0.5 MG TAB,259,,$0.40 ,$0.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300188,CLONAZEPAM 1 MG TAB,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300189,CLONIDINE 0.1 MG TAB,259,,$0.18 ,$0.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300190,CLONIDINE 0.2 MG TAB,259,,$0.79 ,$0.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300191,CLONIDINE 0.3 MG TAB,259,,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300196,CLORAZEPATE DIPOTASSIUM 7.5 MG TAB,259,,$0.52 ,$0.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300197,CLORAZEPATE DIPOTASSIUM 15 MG TAB,259,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300200,CODEINE SULFATE 30 MG TAB,259,,$2.52 ,$2.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300204,CLOTRIMAZOLE 10 MG TROC,259,,$5.73 ,$5.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300206,COLCHICINE 0.6 MG TAB,259,,$0.37 ,$0.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300207,CYCLOBENZAPRINE 10 MG TAB,259,,$0.51 ,$0.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300211,CYCLOSPORINE 25 MG CAP,259,J7515,$16.18 ,$16.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300212,CYCLOSPORINE MODIFIED 100 MG CAP,259,J7502,$37.66 ,$37.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300213,CYCLOSPORINE MODIFIED 25 MG CAP,259,J7515,$9.43 ,$9.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300214,CYPROHEPTADINE 4 MG TAB,259,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300215,DANAZOL 200 MG CAP,259,,$22.98 ,$22.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300216,DAPSONE 100 MG TAB,259,,$1.25 ,$1.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300218,DEMECLOCYCLINE 150 MG TAB,259,,$35.85 ,$35.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300220,DESIPRAMINE 25 MG TAB,259,,$6.36 ,$6.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300221,DESIPRAMINE 10 MG TAB,259,,$5.29 ,$5.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300223,DEXAMETHASONE 6 MG TAB,259,J8540,$3.59 ,$3.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300224,DEXAMETHASONE 4 MG TAB,259,J8540,$0.84 ,$0.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300225,DEXAMETHASONE 2 MG TAB,259,J8540,$3.48 ,$3.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300226,DEXAMETHASONE 0.5 MG TAB,259,J8540,$0.46 ,$0.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300227,DIAZEPAM 5 MG TAB,259,,$0.38 ,$0.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300228,DIAZEPAM 2 MG TAB,259,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300229,DIAZEPAM 10 MG TAB,259,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300230,DICLOFENAC SODIUM 75 MG TBEC,259,,$3.99 ,$3.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300233,DICYCLOMINE 10 MG CAP,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300234,DICYCLOMINE 20 MG TAB,259,,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300235,DIGOXIN 125 MCG TAB,259,,$2.64 ,$2.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300236,DIGOXIN 250 MCG TAB,259,,$0.66 ,$0.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300237,DIGOXIN 100 MCG CAP,259,,$1.79 ,$1.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300239,DILTIAZEM HCL 60 MG TAB,259,,$0.36 ,$0.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300240,DILTIAZEM HCL 30 MG TAB,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300241,DILTIAZEM HCL 90 MG TAB,259,,$1.19 ,$1.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300258,DIMENHYDRINATE 50 MG TAB,259,,$0.11 ,$0.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300259,DIPHENHYDRAMINE HCL 50 MG CAP,259,Q0163,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300260,DIPHENHYDRAMINE HCL 25 MG CAP,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300261,DIPHENOXYLATE-ATR 2.5-0.025 MG TAB,259,,$1.65 ,$1.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300262,DIPYRIDAMOLE 25 MG TAB,259,,$0.62 ,$0.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300263,DIPYRIDAMOLE 50 MG TAB,259,,$3.03 ,$3.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300264,DIPYRIDAMOLE 75 MG TAB,259,,$2.70 ,$2.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300265,DISOPYRAMIDE PHOSPHATE 150 MG CPER,259,,$16.50 ,$16.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300267,DIVALPROEX SODIUM 500 MG TBEC,259,,$26.15 ,$26.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300268,DIVALPROEX SODIUM 250 MG TBEC,259,,$14.65 ,$14.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300269,DIVALPROEX SODIUM 125 MG TBEC,259,,$7.48 ,$7.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300270,DIVALPROEX SODIUM 125 MG CPSP,259,,$6.92 ,$6.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300271,DOCUSATE CALCIUM 240 MG CAP,259,,$0.36 ,$0.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300275,DOCUSATE SODIUM 100 MG CAP,259,,$0.09 ,$0.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300283,DOXEPIN 10 MG CAP,259,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300284,DOXEPIN 25 MG CAP,259,,$1.00 ,$1.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300285,DOXEPIN 50 MG CAP,259,,$1.33 ,$1.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300292,DRONABINOL 2.5 MG CAP,259,Q0167,$24.67 ,$24.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300294,ENALAPRIL MALEATE 2.5 MG TAB,259,,$0.10 ,$0.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300295,ENALAPRIL MALEATE 5 MG TAB,259,,$1.04 ,$1.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300296,ENALAPRIL MALEATE 10 MG TAB,259,,$0.11 ,$0.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300297,ENALAPRIL MALEATE 20 MG TAB,259,,$0.04 ,$0.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300298,ENALAPRIL-HCTZ 5-12.5 MG TAB,259,,$0.46 ,$0.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300305,ERYTHROMYCIN 250 MG TBEC,259,,$6.64 ,$6.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300306,ERYTHROMYCIN 333 MG TBEC,259,,$6.81 ,$6.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300307,ERYTHROMYCIN 500 MG TBEC,259,,$7.11 ,$7.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300309,ERYTHROMYCIN 333 MG TBPT,259,,$15.38 ,$15.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300310,ERYTHROMYCIN 500 MG TBPT,259,,$21.32 ,$21.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300315,ESTRADIOL 1 MG TAB,259,,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300316,CON ESTR-MEDROXYPROG 0.625-2.5 TAB,259,,$16.83 ,$16.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300317,CONJUGATED ESTROGENS 0.625 MG TAB,259,,$14.51 ,$14.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300318,CONJUGATED ESTROGENS 1.25 MG TAB,259,,$14.51 ,$14.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300319,CONJUGATED ESTROGENS 0.9 MG TAB,259,,$14.51 ,$14.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300326,ETHAMBUTOL 400 MG TAB,259,,$8.10 ,$8.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300328,ETIDRONATE DISODIUM 400 MG TAB,259,,$55.34 ,$55.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300335,FAMCICLOVIR 500 MG TAB,259,,$72.18 ,$72.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300337,FAMOTIDINE 20 MG TAB,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300338,FAMOTIDINE 40 MG TAB,259,,$0.51 ,$0.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300340,IRON POLYSACCH COMPLEX-B12-FA 150-25-1 M,259,,$0.81 ,$0.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300341,POLYSACCHARIDE IRON COMPLEX 150 MG CAP,259,,$0.78 ,$0.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300343,FERROUS SULFATE 325 MG (65 MG IRON) TBEC,259,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300345,FINASTERIDE 5 MG TAB,259,,$4.89 ,$4.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300346,FLAVOXATE 100 MG TAB,259,,$5.05 ,$5.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300347,FLECAINIDE ACETATE 50 MG TAB,259,,$1.04 ,$1.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300348,FLECAINIDE ACETATE 100 MG TAB,259,,$1.58 ,$1.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300353,FLUCYTOSINE 500 MG CAP,259,,$342.85 ,$342.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300354,FLUCYTOSINE 250 MG CAP,259,,$183.23 ,$183.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300355,FLUDROCORTISONE ACETATE 0.1 MG TAB,259,,$2.79 ,$2.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300356,FLUOXETINE 20 MG CAP,259,,$3.29 ,$3.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300357,FLUOXETINE 10 MG CAP,259,,$0.40 ,$0.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300358,FLUPHENAZINE HCL 2.5 MG TAB,259,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300359,FLUPHENAZINE HCL 1 MG TAB,259,,$0.34 ,$0.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300360,FLUPHENAZINE HCL 5 MG TAB,259,,$0.51 ,$0.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300361,FLUPHENAZINE HCL 10 MG TAB,259,,$1.42 ,$1.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300362,FLURAZEPAM 15 MG CAP,259,,$0.75 ,$0.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300366,FLUTAMIDE 125 MG CAP,259,,$12.83 ,$12.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300367,FLUVASTATIN 40 MG CAP,259,,$23.90 ,$23.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300368,FLUVASTATIN 20 MG CAP,259,,$23.85 ,$23.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300370,FOLIC ACID 1 MG TAB,259,,$0.12 ,$0.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300371,FUROSEMIDE 20 MG TAB,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300372,FUROSEMIDE 40 MG TAB,259,,$0.84 ,$0.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300373,GABAPENTIN 300 MG CAP,259,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300374,GABAPENTIN 400 MG CAP,259,,$0.72 ,$0.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300375,GABAPENTIN 100 MG CAP,259,,$0.26 ,$0.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300376,GEMFIBROZIL 600 MG TAB,259,,$2.16 ,$2.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300377,GLIMEPIRIDE 4 MG TAB,259,,$0.35 ,$0.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300378,GLIMEPIRIDE 1 MG TAB,259,,$4.40 ,$4.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300379,GLIMEPIRIDE 2 MG TAB,259,,$0.29 ,$0.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300380,GANCICLOVIR 250 MG CAP,259,,$24.58 ,$24.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300381,GLIPIZIDE 5 MG TAB,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300382,GLIPIZIDE 10 MG TAB,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300386,GLYBURIDE 5 MG TAB,259,,$1.59 ,$1.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300387,GLYBURIDE 2.5 MG TAB,259,,$0.88 ,$0.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300388,GLYBURIDE MICRONIZED 3 MG TAB,259,,$1.81 ,$1.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300389,GLYBURIDE MICRONIZED 6 MG TAB,259,,$14.96 ,$14.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300391,GUAIFENESIN 200 MG TAB,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300392,GUAIFENESIN 600 MG TBER,259,,$2.62 ,$2.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300401,PSEUDOEPHED-GUAIFEN 60-580 MG TAB,259,,$4.96 ,$4.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300403,GUANABENZ ACETATE 4 MG TAB,259,,$4.34 ,$4.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300406,ABCIXIMAB 10 MG/5 ML SOLN,259,,"$5,235.93 ","$5,235.93 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300407,HALOPERIDOL 2 MG TAB,259,,$1.47 ,$1.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300408,HALOPERIDOL 0.5 MG TAB,259,,$0.34 ,$0.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300409,HALOPERIDOL 10 MG TAB,259,,$7.10 ,$7.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300410,HALOPERIDOL 5 MG TAB,259,,$0.84 ,$0.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300412,HYDROCHLOROTHIAZIDE 25 MG TAB,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300414,HYDRALAZINE 50 MG TAB,259,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300415,HYDRALAZINE 25 MG TAB,259,,$0.37 ,$0.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300416,HYDRALAZINE 10 MG TAB,259,,$0.37 ,$0.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300417,HYDROCODONE-ACETAMIN 5-500 MG TAB,259,,$0.32 ,$0.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300418,HYDROCOD-ACETAMIN 7.5-500 MG TAB,259,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300425,HYDROCORTISONE 5 MG TAB,259,,$2.55 ,$2.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300426,HYDROCORTISONE 20 MG TAB,259,,$0.59 ,$0.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300427,HYDROCORTISONE 10 MG TAB,259,,$4.32 ,$4.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300428,HYDROMORPHONE 2 MG TAB,259,,$0.52 ,$0.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300429,HYDROXYCHLOROQUINE 200 MG TAB,259,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300430,HYDROXYZINE HCL 25 MG TAB,259,,$0.62 ,$0.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300431,HYDROXYZINE PAMOATE 25 MG CAP,259,,$0.34 ,$0.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300432,HYDROXYZINE PAMOATE 50 MG CAP,259,,$0.86 ,$0.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300434,HYDROXYZINE HCL 10 MG TAB,259,,$2.36 ,$2.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300437,HYOSCYAMINE SULFATE 0.125 MG SUBL,259,,$4.62 ,$4.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300438,IBUPROFEN 200 MG TAB,259,,$0.12 ,$0.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300439,IBUPROFEN 400 MG TAB,259,,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300440,IBUPROFEN 600 MG TAB,259,,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300441,IBUPROFEN 800 MG TAB,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300442,IMIPRAMINE HCL 25 MG TAB,259,,$1.66 ,$1.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300444,IMIPRAMINE HCL 50 MG TAB,259,,$2.42 ,$2.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300446,INDAPAMIDE 2.5 MG TAB,259,,$1.02 ,$1.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300448,INDOMETHACIN 50 MG CAP,259,,$1.52 ,$1.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300453,ACET-ISOMETH-DICHLO 325-65-100 CAP,259,,$2.54 ,$2.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300458,ISOSORBIDE DINITRATE 10 MG TAB,259,,$0.12 ,$0.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300459,ISOSORBIDE DINITRATE 20 MG TAB,259,,$1.12 ,$1.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300460,ISOSORBIDE DINITRATE 40 MG TBER,259,,$4.48 ,$4.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300461,ISOSORBIDE DINITRATE 30 MG TAB,259,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300462,ISOSORBIDE MONONITRATE 60 MG TB24,259,,$1.65 ,$1.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300464,ISOSORBIDE MONONITRATE 20 MG TAB,259,,$0.56 ,$0.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300467,ITRACONAZOLE 100 MG CAP,259,,$96.12 ,$96.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300472,LABETALOL 200 MG TAB,259,,$1.64 ,$1.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300473,LABETALOL 100 MG TAB,259,,$0.48 ,$0.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300476,LEUCOVORIN CALCIUM 5 MG TAB,259,J0640,$8.80 ,$8.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300477,LEUCOVORIN CALCIUM 25 MG TAB,259,J0640,$56.25 ,$56.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300479,LEUCOVORIN CALCIUM 10 MG TAB,259,J0640,$36.19 ,$36.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300480,LEVOTHYROXINE SODIUM 100 MCG TAB,259,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300481,LEVOTHYROXINE SODIUM 50 MCG TAB,259,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300483,LEVOTHYROXINE SODIUM 200 MCG TAB,259,,$1.56 ,$1.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300484,LEVOTHYROXINE SODIUM 125 MCG TAB,259,,$1.13 ,$1.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300486,LEVOTHYROXINE SODIUM 25 MCG TAB,259,,$0.59 ,$0.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300487,LEVOTHYROXINE SODIUM 75 MCG TAB,259,,$1.00 ,$1.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300489,LEVOTHYROXINE SODIUM 112 MCG TAB,259,,$0.82 ,$0.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300491,LEVOTHYROXINE SODIUM 88 MCG TAB,259,,$0.76 ,$0.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300492,LISINOPRIL 5 MG TAB,259,,$0.25 ,$0.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300493,LISINOPRIL 10 MG TAB,259,,$0.85 ,$0.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300494,LISINOPRIL 20 MG TAB,259,,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300496,LISINOPRIL-HCTZ 10-12.5 MG TAB,259,,$10.94 ,$10.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300497,LISINOPRIL-HCTZ 20-12.5 MG TAB,259,,$11.47 ,$11.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300498,LISINOPRIL-HCTZ 20-25 MG TAB,259,,$11.62 ,$11.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300499,LITHIUM CARBONATE 300 MG TAB,259,,$1.35 ,$1.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300500,LITHIUM CARBONATE 300 MG CAP,259,,$0.94 ,$0.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300501,LOPERAMIDE 2 MG CAP,259,,$0.30 ,$0.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300504,LORAZEPAM 0.5 MG TAB,259,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300505,LORAZEPAM 1 MG TAB,259,,$0.46 ,$0.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300506,LOSARTAN POTASSIUM 50 MG TAB,259,,$0.62 ,$0.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300508,LOSARTAN-HCTZ 50-12.5 MG TAB,259,,$20.01 ,$20.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300511,LOVASTATIN 40 MG TAB,259,,$32.24 ,$32.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300512,LOXAPINE SUCCINATE 5 MG CAP,259,,$2.12 ,$2.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300514,LOXAPINE SUCCINATE 25 MG CAP,259,,$5.92 ,$5.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300517,MAGNESIUM OXIDE 400 MG TAB,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300522,MECLIZINE 25 MG TAB,259,,$2.13 ,$2.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300523,MECLIZINE 12.5 MG TAB,259,,$1.85 ,$1.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300524,MEDROXYPROGESTERONE ACETATE 2.5 MG TAB,259,,$6.78 ,$6.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300525,MEDROXYPROGESTERONE ACETATE 5 MG TAB,259,,$9.71 ,$9.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300526,MEDROXYPROGESTERONE ACETATE 10 MG TAB,259,,$13.29 ,$13.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300527,MEGESTROL ACETATE 20 MG TAB,259,,$2.34 ,$2.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300528,MEGESTROL ACETATE 40 MG TAB,259,,$1.04 ,$1.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300530,MEPENZOLATE BROMIDE 25 MG TAB,259,,$11.24 ,$11.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300531,MEPERIDINE 50 MG TAB,259,,$2.65 ,$2.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300532,MEPERIDIN-PROMETHAZIN 50-25 MG CAP,259,,$2.14 ,$2.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300533,MESALAMINE 400 MG TBEC,259,,$13.19 ,$13.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300537,METFORMIN 500 MG TAB,259,,$0.12 ,$0.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300539,METFORMIN 850 MG TAB,259,,$11.88 ,$11.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300541,METHADONE 5 MG TAB,259,,$1.60 ,$1.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300545,METHENA MAND-NA BIPH 500-500MG TAB,259,,$3.63 ,$3.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300546,METHIMAZOLE 10 MG TAB,259,,$1.21 ,$1.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300547,METHOCARBAMOL 750 MG TAB,259,,$0.78 ,$0.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300548,METHOCARBAMOL 500 MG TAB,259,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300549,METHADONE 10 MG TAB,259,,$1.66 ,$1.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300551,METHYLDOPA 500 MG TAB,259,,$1.08 ,$1.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300552,METHYLDOPA 250 MG TAB,259,,$0.56 ,$0.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300553,METHYLERGONOVINE MALEATE 0.2 MG TAB,259,,$9.74 ,$9.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300554,METHYLPHENIDATE 5 MG TAB,259,,$0.52 ,$0.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300558,METHYLPREDNISOLONE 16 MG TAB,259,J7509,$21.56 ,$21.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300559,METOCLOPRAMIDE 5 MG TAB,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300560,METOCLOPRAMIDE 10 MG TAB,259,,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300562,METOLAZONE 5 MG TAB,259,,$3.10 ,$3.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300564,METOPROLOL SUCCINATE 50 MG TB24,259,,$7.86 ,$7.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300565,METOPROLOL SUCCINATE 100 MG TB24,259,,$11.80 ,$11.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300566,METOPROLOL TARTRATE 50 MG TAB,259,,$0.11 ,$0.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300567,METOPROLOL TARTRATE 100 MG TAB,259,,$0.53 ,$0.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300568,METRONIDAZOLE 500 MG TAB,259,,$3.32 ,$3.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300569,METRONIDAZOLE 250 MG TAB,259,,$1.97 ,$1.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300573,MINOXIDIL 10 MG TAB,259,,$1.56 ,$1.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300574,MINOCYCLINE 50 MG CAP,259,,$0.85 ,$0.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300575,MINOXIDIL 2.5 MG TAB,259,,$0.92 ,$0.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300576,MIRTAZAPINE 15 MG TAB,259,,$0.56 ,$0.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300577,MIRTAZAPINE 30 MG TAB,259,,$28.54 ,$28.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300578,MISOPROSTOL 100 MCG TAB,259,,$11.17 ,$11.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300579,MISOPROSTOL 200 MCG TAB,259,,$15.74 ,$15.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300580,MOEXIPRIL 7.5 MG TAB,259,,$15.45 ,$15.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300583,MOLINDONE 50 MG TAB,259,,$24.44 ,$24.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300586,MORPHINE 30 MG TAB,259,,$2.96 ,$2.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300587,MORPHINE 15 MG TAB,259,,$1.74 ,$1.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300588,MORPHINE 30 MG TBER,259,,$3.04 ,$3.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300589,MORPHINE 100 MG TBER,259,,$5.21 ,$5.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300590,MORPHINE 60 MG TBER,259,,$28.45 ,$28.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300591,MORPHINE 15 MG TBER,259,,$2.26 ,$2.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300593,MYCOPHENOLATE MOFETIL 250 MG CAP,259,J7517,$33.64 ,$33.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300594,NABUMETONE 500 MG TAB,259,,$2.41 ,$2.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300595,NABUMETONE 750 MG TAB,259,,$1.84 ,$1.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300608,NEFAZODONE 100 MG TAB,259,,$3.35 ,$3.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300609,NEOMYCIN 500 MG TAB,259,,$5.58 ,$5.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300611,NICARDIPINE 45 MG CPER,259,,$14.67 ,$14.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300612,NICOTINE POLACRILEX 4 MG GUM,259,,$3.15 ,$3.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300613,NIFEDIPINE 10 MG CAP,259,,$4.47 ,$4.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300618,NIFEDIPINE 60 MG TB24,259,,$21.04 ,$21.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300619,NIFEDIPINE 30 MG TB24,259,,$2.01 ,$2.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300620,NIFEDIPINE 90 MG TB24,259,,$12.21 ,$12.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300624,NITROFURANTOIN MACROCRYSTAL 50 MG CAP,259,,$2.62 ,$2.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300625,NITROFURANTOIN MACROCRYSTAL 100 MG CAP,259,,$4.72 ,$4.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300626,NITROFURANTOIN MACROCRYSTAL 25 MG CAP,259,,$12.97 ,$12.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300627,NITROFURANTOIN (MACROCRYST25%) 100 MG CA,259,,$25.36 ,$25.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300629,NITROGLYCERIN 0.4 MG SUBL,259,,$2.34 ,$2.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300634,NORGESTREL-ETHINYL ESTRADIOL 0.5-50 MG-M,259,,$8.18 ,$8.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300635,NORTRIPTYLINE 25 MG CAP,259,,$1.06 ,$1.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300636,NORTRIPTYLINE 10 MG CAP,259,,$0.80 ,$0.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300637,NORTRIPTYLINE 50 MG CAP,259,,$1.29 ,$1.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300639,"NYSTATIN 500,000 UNIT TAB",259,,$2.64 ,$2.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300643,OLSALAZINE SODIUM 250 MG CAP,259,,$35.61 ,$35.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300645,ONDANSETRON HCL 8 MG TAB,259,Q0179,$264.87 ,$264.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300646,ONDANSETRON HCL 4 MG TAB,259,,$0.72 ,$0.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300647,ORPHENADRINE CITRATE 100 MG TBER,259,,$3.09 ,$3.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300651,OXAZEPAM 10 MG CAP,259,,$1.06 ,$1.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300652,OXAZEPAM 15 MG CAP,259,,$1.59 ,$1.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300654,OXYCODONE S. R. 20 MG TB12,259,,$23.59 ,$23.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300655,OXYCODONE S.R. 10 MG TB12,259,,$12.34 ,$12.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300659,PAPAVERINE 150 MG CPER,259,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300660,PAROXETINE HCL 20 MG TAB,259,,$0.59 ,$0.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300664,PENICILLIN V POTASSIUM 500 MG TAB,259,,$3.76 ,$3.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300665,PENICILLIN V POTASSIUM 250 MG TAB,259,,$1.06 ,$1.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300667,PENTOXIFYLLINE 400 MG TBER,259,,$0.70 ,$0.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300670,PERPHENAZINE 4 MG TAB,259,Q0175,$4.93 ,$4.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300671,PERPHENAZINE 2 MG TAB,259,Q0175,$3.68 ,$3.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300674,PERPHENAZINE-AMITRIP 4-10 MG TAB,259,,$4.10 ,$4.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300675,PERPHENAZINE-AMITRIP 4-50 MG TAB,259,,$8.36 ,$8.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300676,PERPHENAZINE-AMITRIP 4-25 MG TAB,259,,$5.06 ,$5.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300678,PHENAZOPYRIDINE 100 MG TAB,259,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300680,PHENAZOPYRIDINE 200 MG TAB,259,,$1.13 ,$1.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300681,PHENOBARBITAL 30 MG TAB,259,,$0.12 ,$0.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300683,PHENOBARBITAL 60 MG TAB,259,,$0.18 ,$0.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300686,PHENYTOIN 50 MG CHEW,259,,$4.18 ,$4.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300688,PHENYTOIN SODIUM EXTENDED 100 MG CAP,259,,$3.46 ,$3.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300689,PILOCARPINE HCL 5 MG TAB,259,,$1.73 ,$1.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300690,PIMOZIDE 2 MG TAB,259,,$11.78 ,$11.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300693,PIROXICAM 10 MG CAP,259,,$0.80 ,$0.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300699,POTASSIUM CITRATE 5 MEQ TBER,259,,$4.96 ,$4.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300702,PRAZOSIN 5 MG CAP,259,,$2.88 ,$2.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300703,PRAZOSIN 1 MG CAP,259,,$1.00 ,$1.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300706,PREDNISONE 20 MG TAB,259,J7506,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300707,PREDNISONE 10 MG TAB,259,J7506,$0.18 ,$0.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300708,PREDNISONE 1 MG TAB,259,J7506,$1.01 ,$1.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300710,PREDNISONE 5 MG TAB,259,J7506,$0.10 ,$0.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300711,PREDNISONE 2.5 MG TAB,259,J7506,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300712,PREDNISONE 50 MG TAB,259,J7506,$1.20 ,$1.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300713,PRIMAQUINE PHOSPHATE 26.3 MG TAB,259,,$10.17 ,$10.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300714,PRIMIDONE 250 MG TAB,259,,$1.26 ,$1.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300715,PRIMIDONE 50 MG TAB,259,,$0.51 ,$0.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300716,COLCHICINE-PROBEN 0.5-500 MG TAB,259,,$5.84 ,$5.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300724,PROCHLORPERAZINE MALEATE 10 MG TAB,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300726,PROMETHAZINE 12.5 MG TAB,259,Q0169,$1.11 ,$1.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300727,PROMETHAZINE 25 MG TAB,259,Q0170,$2.72 ,$2.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300728,PROPOXYPHENE-ACETAM 65-650 MG TAB,259,,$1.50 ,$1.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300730,PROPOXYPHENE N-ACET 100-650 MG TAB,259,,$0.59 ,$0.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300731,PROPRANOLOL 20 MG TAB,259,,$0.36 ,$0.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300732,PROPRANOLOL 40 MG TAB,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300733,PROPRANOLOL 10 MG TAB,259,,$0.12 ,$0.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300735,PROPOXYPHENE 65 MG CAP,259,,$0.90 ,$0.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300737,PROPRANOLOL 60 MG CS24,259,,$7.64 ,$7.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300738,PROPRANOLOL 80 MG CS24,259,,$29.72 ,$29.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300739,PROPRANOLOL 120 MG CS24,259,,$36.85 ,$36.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300741,PROPYLTHIOURACIL 50 MG TAB,259,,$0.49 ,$0.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300743,PSEUDOEPHEDRINE HCL 30 MG TAB,259,,$0.36 ,$0.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300746,PYRAZINAMIDE 500 MG TAB,259,,$4.30 ,$4.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300747,PYRIDOSTIGMINE BROMIDE 60 MG TAB,259,,$2.65 ,$2.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300748,PYRIDOSTIGMINE BROMIDE 180 MG TBER,259,,$26.67 ,$26.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300749,QUINAPRIL 5 MG TAB,259,,$13.36 ,$13.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300750,QUINAPRIL 40 MG TAB,259,,$12.92 ,$12.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300751,QUINAPRIL 10 MG TAB,259,,$12.92 ,$12.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300752,QUINAPRIL 20 MG TAB,259,,$13.36 ,$13.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300753,QUINIDINE GLUCONATE 324 MG TBER,259,,$6.87 ,$6.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300754,QUINIDINE SULFATE 300 MG TAB,259,,$1.36 ,$1.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300757,RANITIDINE HCL 150 MG TAB,259,,$27.26 ,$27.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300758,RANITIDINE HCL 300 MG TAB,259,,$49.48 ,$49.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300762,RESERPINE 0.25 MG TAB,259,,$7.30 ,$7.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300763,RIFABUTIN 150 MG CAP,259,,$86.98 ,$86.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300764,RIFAMPIN 300 MG CAP,259,,$10.76 ,$10.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300766,RISPERIDONE 1 MG TAB,259,,$0.62 ,$0.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300767,RISPERIDONE 3 MG TAB,259,,$79.05 ,$79.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300768,RISPERIDONE 2 MG TAB,259,,$0.85 ,$0.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300769,RISPERIDONE 4 MG TAB,259,,$102.69 ,$102.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300770,SALSALATE 500 MG TAB,259,,$0.52 ,$0.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300772,SELEGILINE 5 MG CAP,259,,$1.39 ,$1.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300774,SERTRALINE 50 MG TAB,259,,$25.47 ,$25.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300778,SIMETHICONE 80 MG CHEW,259,,$0.10 ,$0.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300784,SPIRONOLACTONE 50 MG TAB,259,,$1.66 ,$1.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300786,SPIRONOLACTONE 25 MG TAB,259,,$0.54 ,$0.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300787,SPIRONOLACTON-HCTZ 25-25 MG TAB,259,,$1.74 ,$1.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300788,SUCRALFATE 1 GRAM TAB,259,,$1.48 ,$1.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300789,SULFADIAZINE 500 MG TAB,259,,$18.50 ,$18.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300790,TRIMETH-SULFAMETHOX 160-800 MG TAB,259,,$0.46 ,$0.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300791,TRIMETHOP-SULFAMETHOX 80-400MG TAB,259,,$0.40 ,$0.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300792,SULFASALAZINE 500 MG TAB,259,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300793,SULFASALAZINE 500 MG TBEC,259,,$1.31 ,$1.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300797,SUMATRIPTAN SUCCINATE 25 MG TAB,259,,$190.35 ,$190.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300802,TAMOXIFEN CITRATE 10 MG TAB,259,,$0.94 ,$0.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300805,TEMAZEPAM 15 MG CAP,259,,$0.58 ,$0.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300807,TERAZOSIN 5 MG CAP,259,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300808,TERAZOSIN 1 MG CAP,259,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300810,TERBINAFINE 250 MG TAB,259,,$111.89 ,$111.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300811,TERBUTALINE 2.5 MG TAB,259,,$1.64 ,$1.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300812,TERBUTALINE 5 MG TAB,259,,$2.07 ,$2.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300815,TETRACYCLINE 250 MG CAP,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300816,TETRACYCLINE 500 MG CAP,259,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300817,THEOPHYLLINE 200 MG TB12,259,,$1.71 ,$1.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300818,THEOPHYLLINE 300 MG TB12,259,,$1.57 ,$1.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300819,THEOPHYLLINE 100 MG TB12,259,,$0.94 ,$0.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300825,THEOPHYLLINE 100 MG CP24,259,,$6.72 ,$6.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300826,THEOPHYLLINE 300 MG CP24,259,,$11.87 ,$11.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300827,THEOPHYLLINE 200 MG CP24,259,,$9.65 ,$9.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300829,THIORIDAZINE 100 MG TAB,259,,$2.17 ,$2.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300832,THIORIDAZINE 25 MG TAB,259,,$1.30 ,$1.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300834,THIORIDAZINE 10 MG TAB,259,,$0.93 ,$0.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300835,THIOTHIXENE 1 MG CAP,259,,$0.58 ,$0.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300837,THIOTHIXENE 5 MG CAP,259,,$1.41 ,$1.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300838,THIOTHIXENE 10 MG CAP,259,,$2.64 ,$2.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300840,THYROID 60 MG TAB,259,,$0.90 ,$0.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300841,THYROID 120 MG TAB,259,,$1.72 ,$1.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300842,THYROID 180 MG TAB,259,,$2.70 ,$2.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300843,TICLOPIDINE 250 MG TAB,259,,$3.88 ,$3.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300846,TORSEMIDE 10 MG TAB,259,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300847,TORSEMIDE 20 MG TAB,259,,$0.80 ,$0.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300848,TRAMADOL 50 MG TAB,259,,$1.72 ,$1.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300849,TRAZODONE 150 MG TAB,259,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300850,TRAZODONE 50 MG TAB,259,,$0.30 ,$0.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300851,TRAZODONE 100 MG TAB,259,,$0.56 ,$0.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300852,TRIAMTERENE-HCTZ 75-50 MG TAB,259,,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300853,TRIAMTERENE-HCTZ 50-25 MG CAP,259,,$10.31 ,$10.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300854,TRIAMTERENE-HCTZ 37.5-25 MG CAP,259,,$0.87 ,$0.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300855,TRIAMTERENE-HCTZ 37.5-25 MG TAB,259,,$0.25 ,$0.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300856,TRIAZOLAM 0.125 MG TAB,259,,$1.33 ,$1.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300857,TRIAZOLAM 0.25 MG TAB,259,,$0.78 ,$0.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300858,TRIFLUOROPERAZINE 5 MG TAB,259,,$3.37 ,$3.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300861,TRIHEXYPHENIDYL 2 MG TAB,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300862,TRIHEXYPHENIDYL 5 MG TAB,259,,$0.75 ,$0.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300865,TRIPROLIDINE-PSEUDOE 2.5-60 MG TAB,259,,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300867,URSODIOL 300 MG CAP,259,,$6.31 ,$6.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300868,VALPROIC ACID 250 MG CAP,259,,$0.88 ,$0.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300871,VANCOMYCIN 250 MG CAP,259,,$354.64 ,$354.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300872,VENLAFAXINE 37.5 MG TAB,259,,$1.80 ,$1.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300873,VENLAFAXINE 75 MG TAB,259,,$1.99 ,$1.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300874,VERAPAMIL 80 MG TAB,259,,$0.53 ,$0.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300875,VERAPAMIL 40 MG TAB,259,,$1.08 ,$1.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300876,VERAPAMIL 120 MG TAB,259,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300877,VERAPAMIL 120 MG TBER,259,,$1.58 ,$1.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300878,VERAPAMIL 180 MG TBER,259,,$2.76 ,$2.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300879,VERAPAMIL 240 MG TBER,259,,$1.19 ,$1.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300885,B COMPLEX-VITAMIN C-FOLIC ACID 5 MG TAB,259,,$3.09 ,$3.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300886,THIAMINE HCL 100 MG TAB,259,,$0.11 ,$0.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300887,THIAMINE HCL 50 MG TAB,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300892,ASCORBIC ACID 250 MG TAB,259,,$0.08 ,$0.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300893,CALCITRIOL 0.25 MCG CAP,259,,$3.72 ,$3.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300894,"ERGOCALCIFEROL (VITAMIN D2) 50,000 UNIT",259,,$5.72 ,$5.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300896,PHYTONADIONE 5 MG TAB,259,,$51.18 ,$51.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300897,MULTIVITAMIN (NULL) TAB,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300898,"MULTIVITAMIN,TX-MINERALS 9-0.4 MG TAB",259,,$0.26 ,$0.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300900,PRENATAL VIT-IRON FUMARATE-FA 27-0.8 MG,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300902,WARFARIN SODIUM 5 MG TAB,259,,$0.30 ,$0.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300903,WARFARIN SODIUM 10 MG TAB,259,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300904,WARFARIN SODIUM 1 MG TAB,259,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300905,WARFARIN SODIUM 7.5 MG TAB,259,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300906,WARFARIN SODIUM 2.5 MG TAB,259,,$0.54 ,$0.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300907,WARFARIN SODIUM 2 MG TAB,259,,$0.54 ,$0.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300911,ZINC SULFATE 220 (50) MG CAP,259,,$0.12 ,$0.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300912,ZOLPIDEM TARTRATE 5 MG TAB,259,,$0.38 ,$0.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300916,FERROUS SULFATE DRIED 160 MG (50 MG IRON,259,,$0.48 ,$0.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300918,MELATONIN 3 MG TAB,259,,$0.53 ,$0.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300920,AMINOCAPROIC ACID 500 MG TAB,259,,$10.39 ,$10.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300938,FELODIPINE 5 MG TB24,259,,$3.78 ,$3.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300939,FELODIPINE 10 MG TB24,259,,$6.82 ,$6.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300947,ATENOLOL-CHLORTHALID 50-25 MG TAB,259,,$12.97 ,$12.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300948,ATENOLOL-CHLORTHALID 100-25MG TAB,259,,$18.19 ,$18.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300949,THEOPHYLLINE 400 MG CP24,259,,$16.67 ,$16.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300953,IMIPRAMINE PAMOATE 75 MG CAP,259,,$114.86 ,$114.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300955,KETOROLAC 10 MG TAB,259,,$0.90 ,$0.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300961,CYANOCOBALAMIN 100 MCG TAB,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300962,"CYANOCOBALAMIN 1,000 MCG TAB",259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300963,"VITAMIN E 1,000 UNIT CAP",259,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300964,STAVUDINE 40 MG CAP,259,,$47.78 ,$47.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300965,ZINC 50 MG TAB,259,,$0.10 ,$0.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300971,BUTABARBITAL SODIUM 30 MG TAB,259,,$14.26 ,$14.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300980,ZAFIRLUKAST 20 MG TAB,259,,$13.09 ,$13.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300986,PROBENECID 500 MG TAB,259,,$2.55 ,$2.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300991,BICALUTAMIDE 50 MG TAB,259,,$123.15 ,$123.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300992,DICLOFENAC POTASSIUM 50 MG TAB,259,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300997,NADOLOL 40 MG TAB,259,,$1.59 ,$1.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300998,VERAPAMIL 180 MG TR24,259,,$13.42 ,$13.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300999,VERAPAMIL 240 MG TR24,259,,$18.83 ,$18.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301000,INDINAVIR 400 MG CAP,259,,$18.49 ,$18.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301001,PENICILLAMINE 250 MG CAP,259,,$44.60 ,$44.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301003,DANTROLENE SODIUM 25 MG CAP,259,,$5.08 ,$5.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301004,DANTROLENE SODIUM 50 MG CAP,259,,$8.40 ,$8.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301005,TORSEMIDE 100 MG TAB,259,,$17.07 ,$17.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301006,ACETAZOLAMIDE 250 MG TAB,259,,$2.90 ,$2.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301008,DIFLUNISAL 500 MG TAB,259,,$7.42 ,$7.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301010,SALSALATE 750 MG TAB,259,,$2.17 ,$2.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301011,CHLOROTHIAZIDE 500 MG TAB,259,,$0.69 ,$0.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301014,DICLOXACILLIN SODIUM 250 MG CAP,259,,$1.33 ,$1.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301015,DICLOXACILLIN SODIUM 500 MG CAP,259,,$2.68 ,$2.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301020,LAMIVUDINE 150 MG TAB,259,,$47.09 ,$47.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301022,LITHIUM CARBONATE 450 MG TBER,259,,$2.46 ,$2.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301027,PHENYLTOLOX-ACETAMIN 50-500MG TAB,259,,$1.54 ,$1.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301033,FERROUS SULF-FA-B COMP WITH C 525 (105)-,259,,$1.23 ,$1.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301034,SAQUINAVIR MESYLATE 200 MG CAP,259,,$23.15 ,$23.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301037,LAMOTRIGINE 25 MG TAB,259,,$0.75 ,$0.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301038,LAMOTRIGINE 100 MG TAB,259,,$0.92 ,$0.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301040,HYOSCYAMINE SULFATE 0.375 MG CP12,259,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301041,BACLOFEN 20 MG TAB,259,,$1.64 ,$1.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301045,ESTERIFIED ESTROGENS 0.625 MG TAB,259,,$6.07 ,$6.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301046,AMILORIDE 5 MG TAB,259,,$4.98 ,$4.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301059,NIACIN 100 MG TAB,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301061,NIACIN 500 MG TAB,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301063,KETOCONAZOLE 200 MG TAB,259,,$1.11 ,$1.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301072,MESALAMINE 250 MG CPSR,259,,$9.16 ,$9.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301075,POTASSIUM GLUCONATE 2 MEQ TAB,259,,$0.12 ,$0.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301079,RESERPINE 0.1 MG TAB,259,,$5.29 ,$5.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301081,GLYCOPYRROLATE 1 MG TAB,259,,$36.89 ,$36.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301083,PROPAFENONE 150 MG TAB,259,,$1.97 ,$1.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301088,SODIUM CHLORIDE 1 GRAM TAB,259,,$0.69 ,$0.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301089,TRIFLUOROPERAZINE 1 MG TAB,259,,$1.50 ,$1.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301095,TRIMETHOPRIM 100 MG TAB,259,,$1.62 ,$1.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301096,CEFPODOXIME PROXETIL 200 MG TAB,259,,$20.91 ,$20.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301097,NADOLOL 20 MG TAB,259,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301099,AMILORIDE-HCTZ 5-50 MG TAB,259,,$1.31 ,$1.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301100,ACETAMINOPHEN 120 MG SUPP,259,,$2.61 ,$2.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301101,ACETAMINOPHEN 325 MG SUPP,259,,$4.77 ,$4.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301102,ACETAMINOPHEN 650 MG SUPP,259,,$3.71 ,$3.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301104,ASPIRIN 600 MG SUPP,259,,$10.87 ,$10.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301105,BISACODYL 10 MG SUPP,259,,$0.90 ,$0.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301106,CEFUROXIME AXETIL 250 MG TAB,259,,$3.15 ,$3.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301112,GLYCERIN (ADULT) (NULL) SUPP,259,,$0.33 ,$0.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301114,GLYCERIN (CHILD) 1.5 G SUPP,259,,$0.64 ,$0.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301117,HYDROCORTISONE ACETATE 25 MG SUPP,259,,$7.01 ,$7.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301121,"NYSTATIN 100,000 UNIT TAB",259,,$34.25 ,$34.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301122,BELLADON ALKA-OPIUM 16.2-60 MG SUPP,259,,$164.29 ,$164.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301123,BELLADON ALKA-OPIUM 16.2-30 MG SUPP,259,,$135.15 ,$135.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301125,PROMETHAZINE 25 MG SUPP,259,,$4.43 ,$4.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301126,PROMETHAZINE 12.5 MG SUPP,259,,$4.43 ,$4.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301128,PROCHLORPERAZINE 25 MG SUPP,259,,$8.46 ,$8.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301131,TRIMETHOBENZ-BENZOCAINE 100 MG SUPP,259,,$1.48 ,$1.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301136,TERCONAZOLE 80 MG SUPP,259,,$87.29 ,$87.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301137,ACYCLOVIR 5 % OINT,259,,"$1,213.24 ","$1,213.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301144,BACITRACIN 500 UNIT/G OINT,259,,$15.45 ,$15.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301146,"BACITRACIN-POLYMYXIN B 500-10,000 UNIT/G",259,,$24.45 ,$24.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301148,LANOLIN-MINERAL OIL-PEGS (NULL) OIL,259,,$62.83 ,$62.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301149,BENZOCAINE 20 % GEL,259,,$32.54 ,$32.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301150,BENZOCAINE 7.5 % GEL,259,,$25.04 ,$25.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301157,BENZOIN COMPOUND 10-2-8-4 % TINC,259,,$39.59 ,$39.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301158,BETAMETHASONE DIPROPION 0.05% CREA,259,,$172.10 ,$172.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301159,AUG BETAMETHASONE DIPROP 0.05% OINT,259,,$440.98 ,$440.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301160,AUG BETAMETHASONE DIPROP 0.05% LOTN,259,,$489.26 ,$489.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301163,BETAMETHASONE VALERATE 0.1 % CREA,259,,$154.63 ,$154.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301164,BETAMETHASONE VALERATE 0.1 % LOTN,259,,$109.57 ,$109.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301170,CAPSAICIN 0.025 % CREA,259,,$24.97 ,$24.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301171,PARAB-CETYANDSTEA ALC-PRO GL-SLS (NULL),259,,$38.96 ,$38.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301176,CHLORHEXIDINE GLUCONATE 4 % LIQD,259,,$27.08 ,$27.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301177,"PAPAIN-UREA-CHLOROPHYLLIN 521,700-10-0.5",259,,$395.61 ,$395.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301182,CLINDAMYCIN PHOSPHATE 2 % CREA,259,,$543.71 ,$543.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301193,ZINC OXIDE-COD LIVER OIL 40 % OINT,259,,$2.90 ,$2.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301195,COLLAGENASE 250 UNIT/G OINT,259,,$567.62 ,$567.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301198,WHITE PETROLATUM-MINERAL OIL (NULL) CREA,259,,$17.36 ,$17.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301199,DESONIDE 0.05 % OINT,259,,$67.57 ,$67.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301200,DESOXIMETASONE 0.25 % CREA,259,,$144.45 ,$144.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301202,DIBUCAINE 1 % OINT,259,,$9.32 ,$9.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301203,DIBUCAINE 1 % OINT,259,,$50.24 ,$50.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301205,DIMETHYL SULFOXIDE 50 % SOLN,259,J1212,$507.63 ,$507.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301206,DIPHENHYDRAMINE HCL 2% SPRA,259,,$30.82 ,$30.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301208,DIPHENHYDRAMINE-ZN ACET 1-0.1% CREA,259,,$22.65 ,$22.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301210,PRAMOXINE-CAMPHOR-ZINC ACETATE (NULL) LO,259,,$28.59 ,$28.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301211,CONJUGATED ESTROGEN 0.625 MG/G CREA,259,,$962.55 ,$962.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301214,FLUOCINOLONE ACETONIDE 0.01 % OIL,259,,$246.44 ,$246.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301217,FLUOCINONIDE 0.05 % GEL,259,,$32.30 ,$32.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301223,GENTAMICIN SULFATE 0.1 % OINT,259,,$17.48 ,$17.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301224,GENTAMICIN SULFATE 0.1 % CREA,259,,$17.48 ,$17.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301228,HYDROCORTISONE 2.5 % CREA,259,,$28.02 ,$28.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301229,HEXACHLOROPHENE 3 % LIQD,259,,$174.42 ,$174.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301230,HYDROCORTISONE 2.5 % CREA,259,,$19.35 ,$19.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301232,HYDROCORTISONE ACETATE 1 % OINT,259,,$8.27 ,$8.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301234,HYDROCORTISONE 0.5 % CREA,259,,$21.35 ,$21.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301235,HYDROCORTISONE 0.5 % OINT,259,,$23.72 ,$23.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301237,HYDROCORTISONE 2.5 % LOTN,259,,$191.83 ,$191.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301238,HYDROCORTISONE 1 % LOTN,259,,$47.16 ,$47.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301239,HYDROCORTISONE 2.5 % OINT,259,,$21.44 ,$21.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301243,HYDROGEN PEROXIDE 1.5 % SOLN,259,A4244,$30.66 ,$30.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301246,KETOCONAZOLE 2 % SHAM,259,,$287.98 ,$287.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301247,KETOCONAZOLE 2 % CREA,259,,$21.55 ,$21.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301249,VALACYCLOVIR 500 MG TAB,259,,$48.07 ,$48.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301251,LIDOCAINE HCL 2 % UROJET GEL,259,,$34.74 ,$34.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301255,LINDANE 1 % SHAM,259,,$794.05 ,$794.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301257,LINDANE 1 % LOTN,259,,$794.05 ,$794.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301261,METHYL SALICYLATE-MENTHOL (NULL) OINT,259,,$7.12 ,$7.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301266,MICONAZOLE NITRATE 2 % CREA,259,,$17.32 ,$17.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301269,MOMETASONE FUROATE 0.1 % CREA,259,,$282.59 ,$282.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301272,MUPIROCIN CALCIUM 2 % OINT,259,,$63.59 ,$63.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301274,BACITRACIN-POLYMYXIN-NEO HC 1% OINT,259,,$457.77 ,$457.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301275,"NEOMYCIN-BACITRACIN-POLYMYXIN 3.5-400-5,",259,,$28.71 ,$28.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301278,"NYSTATIN 100,000 UNIT/G POWD",259,,$21.96 ,$21.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301279,"NYSTATIN 100,000 UNIT/G CREA",259,,$86.02 ,$86.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301280,"NYSTATIN 100,000 UNIT/G OINT",259,,$14.62 ,$14.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301281,"NYSTATIN-TRIAMCINOLONE 100,000-0.1 UNIT/",259,,$12.15 ,$12.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301282,"NYSTATIN-TRIAMCINOLONE 100,000-0.1 UNIT/",259,,$116.30 ,$116.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301283,OXYCHLOROSENE SODIUM (NULL) POWD,259,,$36.49 ,$36.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301285,WITCH HAZEL-GLYCERIN (HAMAMEL) 12.5-50 %,259,,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301286,PERMETHRIN 5 % CREA,259,,$410.82 ,$410.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301289,PRAMOXIN-ZINC OX IN MO 1-12.5% OINT,259,,$4.37 ,$4.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301290,PRAMOXINE HCL 1 % FOAM,259,,$182.00 ,$182.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301291,PRAMOXINE-HYDROCORTISONE 1-1 % FOAM,259,,$211.35 ,$211.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301296,SELENIUM SULFIDE 2.5 % SUSP,259,,$62.99 ,$62.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301299,SILVER SULFADIAZINE 1 % CREA,259,,$52.20 ,$52.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301300,SILVER SULFADIAZINE 1 % CREA,259,,$197.45 ,$197.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301302,LANOLIN-MINERAL OIL-NACL-W.PET (NULL) LO,259,,$44.98 ,$44.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301308,SODIUM HYPOCHLORITE 0.5 % SOLN,259,,$69.11 ,$69.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301309,TERBINAFINE HCL 1 % CREA,259,,$70.20 ,$70.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301320,TRETINOIN 0.025 % CREA,259,,$598.51 ,$598.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301321,TRETINOIN 0.05 % CREA,259,,$671.20 ,$671.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301322,TRIAMCINOLONE ACETONIDE 0.1 % CREA,259,,$22.44 ,$22.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301323,TRIAMCINOLONE ACETONIDE 0.1 % OINT,259,,$25.65 ,$25.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301332,METHYL SALICYLATE (NULL) LIQD,259,,$28.05 ,$28.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301333,ZINC OXIDE 20 % OINT,259,,$15.48 ,$15.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301337,GLYCERIN (NULL) CREA,259,,$23.86 ,$23.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301340,ACETIC ACID 0.25 % SOLN,259,,$10.93 ,$10.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301343,AMMONIA AROMATIC 15 % (W/V) SOLN,259,,$0.51 ,$0.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301344,AMYL NITRITE 0.3 ML SOLN,259,,$1.29 ,$1.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301345,BACITRACIN 500 UNIT/G OINT,259,,$10.20 ,$10.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301349,CYCLOPENTOLATE HCL 1 % DROP,259,,$67.13 ,$67.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301354,GENTAMICIN SULF 0.3% (3 MG/G) OINT,259,,$109.72 ,$109.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301356,LIDOCAINE HCL 2 % GEL,259,,$23.18 ,$23.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301357,LIDOCAINE HCL 2 % GEL,259,,$50.54 ,$50.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301358,LIDOCAINE-PRILOCAINE 2.5-2.5 % CREA,259,,$49.29 ,$49.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301364,"NEOMYCIN-POLYMYXIN-HC 3.5-10,000-0.5 MG/",259,,$334.68 ,$334.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301365,"NEOMYCIN-POLYMYXIN-DEXAMETH 3.5-10,000-0",259,,$480.55 ,$480.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301367,"NEOMYCIN-BACITR-POLYMYXIN 3.5-400-10,000",259,,$285.96 ,$285.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301370,PILOCARPINE HCL 4 % GEL,259,,$522.79 ,$522.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301371,SODIUM CHLORIDE 5 % OINT,259,,$105.36 ,$105.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301372,SULFACETAMID-PREDNISOL 10-0.2% OINT,259,,$423.55 ,$423.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301373,TOBRAMYCIN SULFATE 0.3 % OINT,259,,$542.58 ,$542.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301375,TRIAMCINOLONE ACETON 0.5 % CREA,259,,$50.85 ,$50.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301378,BECLOMETHASONE DIPR MONO .042% SPRY,259,,"$1,013.25 ","$1,013.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301384,BUTORPHANOL TARTRATE 10 MG/ML SPRY,259,J0595,$131.62 ,$131.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301386,CROMOLYN NA 800 MCG/ACTUATION AERO,259,,$408.70 ,$408.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301387,DESMOPRESSIN ACETATE 0.01 % 10 MCG/SPRAY,259,,$302.90 ,$302.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301389,FLUNISOLIDE 25 MCG (0.025 %) SPRY,259,,$341.60 ,$341.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301390,FLUNISOLIDE 250 MCG/ACTUATION AERO,259,,$458.82 ,$458.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301391,FLUNISOLIDE 250 MCG/ACTUATION AERO,259,,$330.88 ,$330.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301392,FLUTICASONE PROP 44 MCG/ACT 44 MCG/ACTUA,259,,$736.30 ,$736.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301393,FLUTICASONE PROP 110 MCG/ACT 110 MCG/ACT,259,,$985.86 ,$985.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301394,FLUTICASONE PROP 220 MCG/ACT 220 MCG/ACT,259,,"$1,531.29 ","$1,531.29 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301395,FLUTICASONE PROPIONATE 50 MCG 50 MCG/ACT,259,,$544.09 ,$544.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301396,IPRATROPIUM BROMIDE 17 MCG/ACT 17 MCG/AC,259,,"$1,179.20 ","$1,179.20 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301401,MAFENIDE ACETATE 85 MG/G CREA,259,,$180.94 ,$180.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301402,METAPROTERENOL SO4 650 MCG/ACT 650 MCG/A,259,,$19.50 ,$19.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301403,OXYMETAZOLINE HCL 0.05 % SPRA,259,,$17.85 ,$17.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301405,ESTRADIOL 0.05 MG/24 HR PTWK,259,,$148.60 ,$148.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301413,NITROGLYCERIN 0.1 MG/HR PT24,259,,$4.32 ,$4.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301414,NITROGLYCERIN 0.2 MG/HR PT24,259,,$3.27 ,$3.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301415,NITROGLYCERIN 0.3 MG/HR PT24,259,,$26.21 ,$26.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301417,NITROGLYCERIN 0.4MG/HR PT24,259,,$3.60 ,$3.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301418,NITROGLYCERIN 0.6 MG/HR PT24,259,,$6.77 ,$6.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301419,SODIUM PHOSPHATES 19-7 GRAM/118 ML ENEM,259,,$6.75 ,$6.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301420,MINERAL OIL (NULL) ENEM,259,,$12.08 ,$12.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301421,SODIUM PHOSPHATES 9.5-3.5 GRAM/59 ML ENE,259,,$8.77 ,$8.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301422,MESALAMINE 4 G/60 ML ENEM,259,,$47.12 ,$47.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301424,ACETYLCYSTEINE 10 % (100 MG/ML) SOLN,259,,$16.31 ,$16.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301426,ACETYLCYSTEINE 20 % (200 MG/ML) SOLN,259,J7608,$36.77 ,$36.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301435,SODIUM CHLORIDE 3 % NEBU,259,,$4.44 ,$4.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301436,ACETIC ACID 2 % SOLN,259,,$142.55 ,$142.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301437,HYDROCORTISONE-ACET ACID 1-2 % DROP,259,,"$1,456.98 ","$1,456.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301439,APRACLONIDINE HCL 0.5 % DROP,259,,$686.86 ,$686.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301440,POLYVINYL ALCOHOL 1 % DROP,259,,$10.58 ,$10.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301441,POLYVINYL ALCOHOL 1.4 % DROP,259,,$10.65 ,$10.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301443,BETAXOLOL 0.5 % DROP,259,,$308.16 ,$308.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301444,ISOPROPYL ALCOHOL-GLYCERIN 95-5 % DROP,259,,$18.63 ,$18.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301445,CARBACHOL 1.5 % DROP,259,,$117.51 ,$117.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301446,CARBAMIDE PEROXIDE 10 % SOLN,259,,$13.79 ,$13.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301447,CARBAMIDE PEROXIDE 6.5 % DROP,259,,$11.25 ,$11.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301451,CLONIDINE HCL 0.3 MG/24 HR PTWK,259,,$572.05 ,$572.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301452,CLONIDINE HCL 0.2 MG/24 HR PTWK,259,,$215.49 ,$215.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301453,CLONIDINE HCL 0.1 MG/24 HR PTWK,259,,$127.93 ,$127.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301455,DEXAMETHASONE 0.1 % DRPS,259,,$335.14 ,$335.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301457,DICLOFENAC SODIUM 0.1 % DROP,259,,$24.40 ,$24.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301460,GENTAMICIN SULFATE 0.3 % DROP,259,,$39.53 ,$39.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301461,IPRATROPIUM BROMIDE 0.02 % SOLN,259,,$1.31 ,$1.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301462,KETOROLAC 0.5 % DROP,259,,$831.48 ,$831.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301463,LEVOBUNOLOL HCL 0.5 % DROP,259,,$160.64 ,$160.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301466,CAMPHOR-MENTHOL 0.5-0.5 % LOTN,259,,$47.16 ,$47.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301467,METIPRANOLOL 0.3 % DROP,259,,$111.01 ,$111.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301470,NAPHAZOLINE-PHENIRAMINE 0.025-0.3 % DROP,259,,$53.32 ,$53.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301472,"NEOMYCIN-POLYMYXIN-HC 3.5-10,000-1 MG-UN",259,,$87.62 ,$87.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301473,"NEOMYCIN-POLYMYXIN-HC 3.5-10,000-1 MG-UN",259,,$81.75 ,$81.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301474,"NEOMYCIN-POLYMYXIN-HC 3.5-10,000-10 MG-U",259,,$552.04 ,$552.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301480,PHENYLEPHRINE HCL 1 % DROP,259,,$18.96 ,$18.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301481,PHENYLEPHRINE HCL 2.5 % DROP,259,,$32.41 ,$32.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301482,PHENYLEPHRINE HCL 0.5 % DROP,259,,$4.63 ,$4.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301485,PHENYLEPHRINE HCL 0.25 % SPRY,259,,$23.04 ,$23.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301486,PHENYLEPHRINE HCL 0.5 % SPRY,259,,$23.04 ,$23.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301487,PHENYLEPHRINE HCL 1 % SPRY,259,,$25.79 ,$25.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301488,PILOCARPINE HCL 4 % DROP,259,,$125.24 ,$125.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301491,PILOCARPINE HCL 1 % DROP,259,,$181.41 ,$181.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301496,PIRBUTEROL ACETATE 200 MCG/ACT 200 MCG/I,259,,$900.98 ,$900.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301497,PRAMOXINE-HC-CHLOROXYLENOL 10-10-1 MG/ML,259,,$148.84 ,$148.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301502,CARBOXYMETHYLCELLULOSE NA 1 % DPET,259,,$2.10 ,$2.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301503,SODIUM CHLORIDE 0.65% SPRA,259,,$14.38 ,$14.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301505,SULFACETAMIDE SODIUM 10 % DROP,259,,$83.02 ,$83.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301509,TETRACAINE HCL 0.5 % DROP,259,,$59.70 ,$59.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301512,TIMOLOL 0.25 % DROP,259,,$301.24 ,$301.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301515,TIMOLOL MALEATE 0.25 % SOLG,259,,$222.28 ,$222.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301516,TRIAMCINOLONE ACETONIDE 0.1 % PSTE,259,,$267.96 ,$267.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301518,TRIAMCINOLONE ACET 100 MCG/ACT 75 MCG/AC,259,,$852.76 ,$852.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301520,TROPICAMIDE 1 % DROP,259,,$324.04 ,$324.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301521,TROPICAMIDE 0.5 % DROP,259,,$140.69 ,$140.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301526,POVIDONE-IODINE 7.5 % SOAP,259,,$13.27 ,$13.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301527,POVIDONE-IODINE 10 % SOLN,259,A4246,$72.45 ,$72.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301529,FUROSEMIDE 80 MG TAB,259,,$0.56 ,$0.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301530,CALCIUM ACETATE 667 MG CAP,259,,$2.92 ,$2.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301532,HYDROCORT ACE-PRAMOXINE 1-1 % FOAM,259,,$406.98 ,$406.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301534,NICOTINE 7 MG/24 HR PT24,259,,$12.11 ,$12.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301535,NICOTINE 14 MG/24 HR PT24,259,,$10.25 ,$10.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301540,DEXTRAN 70-HYPROMELLOSE (NULL) DPET,259,,$2.82 ,$2.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301541,BALANCED SALT IRRIG SOLN COMB2 (NULL) SO,259,,$15.81 ,$15.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301543,CARBACHOL 3 % DROP,259,,$123.97 ,$123.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301544,HOMATROPINE HBR 2 % DROP,259,,$13.27 ,$13.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301546,SODIUM CHLORIDE 5 % DROP,259,,$79.21 ,$79.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301551,NEOMYCIN-POLYMYX-PREDNIS 0.5 % DRPS,259,,$166.25 ,$166.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301552,"TRIMETHOP-POLYMYXIN B 0.1-10,000 %-UNIT/",259,,$40.36 ,$40.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301553,"BACITRACIN-POLYMYXIN B 500-10,000 UNIT/G",259,,$65.83 ,$65.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301556,POLYVIN ALCOHOL-POVID 1.4-0.6% DPET,259,,$1.82 ,$1.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301558,TIMOLOL MALEATE 0.5 % DROP,259,,$7.21 ,$7.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301559,TOBRAMYCIN SULFATE 0.3 % DROP,259,,$63.45 ,$63.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301560,TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % OINT,259,,$948.15 ,$948.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301561,TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % DRPS,259,,$531.40 ,$531.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301562,RIMEXOLONE 1 % DRPS,259,,$269.14 ,$269.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301563,LATANOPROST 0.005 % DROP,259,,$593.59 ,$593.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301567,ESTRADIOL 0.1 MG/G CREA,259,,$878.91 ,$878.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301570,POVIDONE-IODINE 0.23 % SOLN,259,,$20.84 ,$20.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301573,NEOMYCIN-COLISTIN-HC 3.3-3-10-0.5 MG/ML,259,,$219.41 ,$219.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301579,PHENOL (CHLORASEPTIC) (NULL) MWSH,259,,$16.12 ,$16.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301583,HYDROCORT ACE-PRAMOXINE 1-1 % CREA,259,,$377.22 ,$377.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301584,TRIAMCINOLONE ACET 0.025 % CREA,259,,$15.83 ,$15.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301588,BENZOCAINE-LANOLIN-ALOE 20% AERO,259,,$31.82 ,$31.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301593,MOMETASONE FUROATE 0.1 % SOLN,259,,$552.64 ,$552.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301594,DIFLORASONE-EMOLLIENT 0.05 % CREA,259,,$485.28 ,$485.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301598,GLYCERIN (BULK) 100 % LIQD,259,,$75.20 ,$75.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301600,IODINE STRONG (LUGOLS) 5 % SOLN,259,,$12.07 ,$12.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301602,EMOLLIENT COMBINATION NO. 20 (NULL) SUSP,259,,$34.28 ,$34.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301608,PEPPERMINT SPIRIT (NULL) SPRT,259,,$15.15 ,$15.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301609,PRAMOXINE-HYDROCORTISONE 1-1 % LOTN,259,,$328.39 ,$328.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301610,FORMULATION R (NULL) OINT,259,,$10.61 ,$10.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301614,CLOBETASOL PROPIONATE 0.05 % OINT,259,,$532.30 ,$532.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301615,DESOXIMETASONE 0.25 % OINT,259,,$357.13 ,$357.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301616,BETAMETHASONE VALERATE 0.1 % OINT,259,,$83.99 ,$83.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301623,SOAP (NULL) BAR,259,,$11.77 ,$11.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301624,FLUOCINOLONE ACETONIDE 0.01 % CREA,259,,$76.72 ,$76.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301626,TALC (NULL) POWD,259,,$20.70 ,$20.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301627,ACETAMINOPHEN 100 MG/ML DROP,259,,$9.61 ,$9.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301630,ACETAMINOPHEN 500 MG/15 ML LIQD,259,,$39.16 ,$39.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301632,ACETAMINOPH-COD 120-12 MG/5 ML ELIX,259,,$1.44 ,$1.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301634,ACTIVATED CHARCOAL 50 GRAM/240 ML SUSP,259,,$136.87 ,$136.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301636,ACTIVATED CHARCOAL-SORBITOL 50 GRAM/240,259,,$136.87 ,$136.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301642,ALUMINUM HYDROXIDE GEL 600 MG/5 ML SUSP,259,,$3.62 ,$3.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301648,AZITHROMYCIN 1 GRAM PACK,259,Q0144,$107.65 ,$107.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301650,AZITHROMYCIN 100 MG/5 ML SUSR,259,,$63.07 ,$63.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301652,CHLORAL HYDRATE 500 MG/5 ML SYRP,259,,$3.14 ,$3.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301655,NA CITRATE-CITRIC AC 500-334MG SOLN,259,,$2.18 ,$2.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301657,DEXTROSE (DIABETIC USE) 40 % GEL,259,,$8.62 ,$8.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301658,DIAZEPAM 5 MG/ML CONC,259,,$150.29 ,$150.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301659,DIGOXIN 50 MCG/ML SOLN,259,,$147.65 ,$147.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301667,FUROSEMIDE 10 MG/ML SOLN,259,,$39.98 ,$39.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301669,GUAIFENESIN 100 MG/5 ML SYRP,259,,$1.71 ,$1.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301670,GUAIFENESIN 100 MG/5 ML SYRP,259,,$1.57 ,$1.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301682,LACTULOSE 10 GRAM/15 ML SOLN,259,,$3.45 ,$3.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301687,METOCLOPRAMIDE 5 MG/5 ML SOLN,259,,$2.48 ,$2.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301688,NICOTINE 21 MG/24 HR PT24,259,,$10.25 ,$10.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301689,NITROGLYCERIN 0.4 MG/DOSE SPRY,259,,"$1,858.56 ","$1,858.56 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301691,PHENOBARBITAL 20 MG/5 ML ELIX,259,,$2.26 ,$2.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301693,POLYCARBOPHIL CALCIUM 625 MG TAB,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301694,POTASSIUM CHLORIDE 10 % LIQD,259,,$2.00 ,$2.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301695,POTASSIUM CHLORIDE 10 % LIQD,259,,$1.84 ,$1.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301696,POTASSIUM IODIDE 1 GRAM/ML SOLN,259,,$52.11 ,$52.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301697,PSYLLIUM (NULL) PACK,259,,$1.68 ,$1.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301701,SORBITOL 70 % SOLN,259,,$4.43 ,$4.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301712,PREDNISONE 5 MG/ML CONC,259,J7506,$210.94 ,$210.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301714,PEDIATRIC MULTIVITAMINS (NULL) DROP,259,,$20.02 ,$20.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301716,PEG-ELECTROLYTE SOLN 236-22.74-6.74 GRAM,259,,$54.37 ,$54.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301718,ACYCLOVIR 200 MG/5 ML SUSP,259,,$27.64 ,$27.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301727,AMOXICILLIN-POT CLAV 250MG/5ML SUSR,259,,$472.00 ,$472.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301728,AMOXICILLIN-POT CLAV 125MG/5ML SUSR,259,,$237.27 ,$237.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301729,AMOXICILLIN-POT CLAV 125MG/5ML SUSR,259,,$464.74 ,$464.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301730,AMOXICILLIN-POT CLAV 250MG/5ML SUSR,259,,$886.58 ,$886.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301734,AMOXICILLIN 125 MG/5 ML SUSR,259,,$0.30 ,$0.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301735,AMPICILLIN 250 MG/5 ML SUSR,259,,$37.28 ,$37.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301736,AMPICILLIN 125 MG/5 ML SUSR,259,,$1.11 ,$1.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301737,PHENOBARB-BELLADONNA ALKALOIDS 16.2-0.10,259,,$35.17 ,$35.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301738,BETAMETHASONE 0.6 MG/5 ML SOLN,259,,$444.86 ,$444.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301742,"CALCIUM CARBONATE 500 MG/5 ML (1,250 MG/",259,,$3.44 ,$3.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301743,CARBAMAZEPINE 100 MG/5 ML SUSP,259,,$4.86 ,$4.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301744,CASTOR OIL (NULL) OIL,259,,$114.31 ,$114.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301752,CEFPROZIL 125 MG/5 ML SUSR,259,,$117.88 ,$117.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301754,CEPHALEXIN 250 MG/5 ML SUSR,259,,$4.54 ,$4.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301755,CHERRY (NULL) SYRP,259,,$3.60 ,$3.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301761,CLARITHROMYCIN 250 MG/5 ML SUSR,259,,$17.05 ,$17.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301764,DEXAMETHASONE 0.5 MG/5 ML ELIX,259,J8540,$7.19 ,$7.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301765,DEXTROMETHORPHAN HBR 7.5 MG/5 ML SYRP,259,,$1.23 ,$1.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301768,DOCUSATE SODIUM 50 MG/5 ML LIQD,259,,$1.29 ,$1.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301771,ERYTHRO-SULFISOX 200-600MG/5ML SUSR,259,,$1.35 ,$1.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301772,IRON-VITAMIN B COMPLEX (NULL) LIQD,259,,$18.22 ,$18.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301781,PSEUDOEPHEDRINE-DM-GUAIFENESIN 30-10-100,259,,$1.29 ,$1.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301788,LACTOBACILLUS ACIDOPH AND BULGAR (NULL),259,,$5.44 ,$5.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301791,LITHIUM CITRATE 8 MEQ/5 ML SOLN,259,,$6.22 ,$6.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301800,NEOMYCIN-POLYMYXIN-GRAMICIDIN 1.75-10K-0,259,,$71.54 ,$71.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301804,PENICILLIN V POTASSIUM 250 MG/5 ML SUSR,259,,$0.94 ,$0.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301805,PENICILLIN V POTASSIUM 125 MG/5 ML SUSR,259,,$0.94 ,$0.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301808,PHENYTOIN 125 MG/5 ML SUSP,259,,$427.76 ,$427.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301809,POTASSIUM CHLORIDE 20 % (BULK) LIQD,259,,$1.65 ,$1.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301810,POT CIT-CITRC AC 1100-334 MG/5 SOLN,259,,$14.56 ,$14.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301811,POT/NA PHOSPHAT 278-164-250 MG PWPK,259,,$1.60 ,$1.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301816,PROMETHAZINE 6.25 MG/5 ML SYRP,259,Q0169,$3.33 ,$3.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301818,PROMETHAZINE-DM 6.25-15 MG/5ML SYRP,259,,$0.52 ,$0.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301821,PSYLLIUM SEED-DEXTROSE (NULL) POWD,259,,$40.56 ,$40.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301823,PYRIDOSTIGMINE BROMIDE 60 MG/5 ML SYRP,259,,$72.40 ,$72.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301824,RANITIDINE HCL 15 MG/ML SYRP,259,,$38.54 ,$38.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301825,ARTIFICIAL SALIVA (NULL) SOLN,259,,$31.21 ,$31.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301828,SIMPLE SYRUP (NULL) SYRP,259,,$3.48 ,$3.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301831,TRIMETH-SULFAMET 40-200 MG/5ML SUSP,259,,$8.57 ,$8.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301835,TRIPROLID-PSEUD 1.25-30 MG/5ML SYRP,259,,$17.39 ,$17.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301836,VALPROATE SODIUM 250 MG/5 ML SYRP,259,,$133.65 ,$133.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301841,VITAMIN B12-VITAMIN B1 5.5-12.5 MG-MCG/5,259,,$8.94 ,$8.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301842,ASCORBIC ACID 500 MG/5 ML SYRP,259,,$5.58 ,$5.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301845,ZIDOVUDINE 10 MG/ML SYRP,259,,$440.20 ,$440.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301849,HYDROXYZINE HCL 10 MG/5 ML SYRP,259,,$1.97 ,$1.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301855,OXYBUTYNIN CHLORIDE 5 MG TAB,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301859,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML,259,,$264.19 ,$264.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301860,ERYTHROMYCIN ETHYLSUCCINATE 400 MG/5 ML,259,,$289.69 ,$289.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301861,FELBAMATE 600 MG/5 ML SUSP,259,,$541.99 ,$541.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301877,NORTRIPTYLINE 10 MG/5 ML SOLN,259,,$253.25 ,$253.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301878,CYPROHEPTADINE 2 MG/5 ML SYRP,259,,$12.07 ,$12.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301880,PROPRANOLOL 20 MG/5 ML SOLN,259,,$12.82 ,$12.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301886,THERAPEUTIC MULTIVITAMIN (NULL) LIQD,259,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301888,THEOPHYLLINE 80 MG/15 ML ELIX,259,,$34.98 ,$34.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301893,DOXYCYCLINE MONOHYDRATE 25 MG/5 ML SUSR,259,,$158.07 ,$158.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302052,DALTEPARIN (PORCINE) 2500 U/0.2 ML SYRG,259,J1645,$75.17 ,$75.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302117,FERROUS GLUCONATE 324 MG (38 MG IRON) TA,259,,$0.56 ,$0.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302193,INSULIN NPH-REGULAR HUMAN REC 100 UNIT/M,259,J1815,$101.47 ,$101.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302195,INSULIN NPH-REGULAR HUMAN REC 100 UNIT/M,259,J1815,$85.77 ,$85.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302445,SUMATRIPTAN SUCCINATE 6 MG/0.5 ML SOLN,259,J3030,$639.16 ,$639.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302519,PROPARACAINE HCL 0.5 % DROP,259,,$12.90 ,$12.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302544,MAGIC MOUTHWASH (NULL) LIQD,259,,$26.25 ,$26.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302564,HEPARIN SODIUM LOCK FLUSH 100 UNIT/ML SO,259,J1642,$7.26 ,$7.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302600,INHALATIONAL SPACING DEVICE (NULL) SPCR,259,,$239.47 ,$239.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302609,APRACLONIDINE HCL 1 % DPET,259,,$114.28 ,$114.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302611,ATORVASTATIN CALCIUM 10 MG TAB,259,,$21.82 ,$21.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302613,AZITHROMYCIN 200 MG/5 ML SUSR,259,,$65.17 ,$65.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302614,BECLOMETHASONE DIPR 80 MCG/ACT 80 MCG/AC,259,,$668.79 ,$668.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302617,CARBAMAZEPINE 200 MG TB12,259,,$4.86 ,$4.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302618,LEVOCARNITINE 330 MG TAB,259,,$4.85 ,$4.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302619,CORTISONE ACETATE 25 MG TAB,259,,$2.10 ,$2.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302623,DONEPEZIL 5 MG TAB,259,,$65.49 ,$65.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302631,HALOPERIDOL 1 MG TAB,259,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302633,HYDROCORTISONE ACETATE 0.5 % CREA,259,,$83.89 ,$83.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302635,LIOTRIX 25-100 MCG TAB,259,,$5.14 ,$5.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302636,MAGNESIUM GLUCONATE 27 MG (500 MG) TAB,259,,$1.20 ,$1.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302639,MORPHINE 10 MG/5 ML SOLN,259,,$4.18 ,$4.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302646,POVIDONE-IODINE 10 % OINT,259,,$9.29 ,$9.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302649,SPIRONOLACTON-HCTZ 50-50 MG TAB,259,,$13.06 ,$13.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302650,THIOGUANINE 40 MG TAB,259,,$62.68 ,$62.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302651,TIMOLOL 0.5 % DROP,259,,$332.59 ,$332.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302671,DIPHENHYDRAMINE HCL 12.5 MG/5 ML ELIX,259,Q0163,$1.11 ,$1.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302677,HYDROCOD-ACETAM 2.5-167 MG/5ML SOLN,259,,$11.54 ,$11.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302684,PREDNISOLONE 5 MG/5 ML SOLN,259,,$76.78 ,$76.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302685,ALBUTEROL SULFATE 2 MG/5 ML SYRP,259,,$1.99 ,$1.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302686,SILVER NITRATE APPLICATORS 75-25 % STCK,259,,$2.79 ,$2.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302697,CHLORPHENIRAMINE-HYDROCODONE 8-10 MG/5 M,259,,$25.95 ,$25.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302729,MAGNESIUM HYDROXIDE 400 MG/5 ML SUSP,259,,$2.64 ,$2.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302730,FERRIC SUBSULFATE (NULL) SOLN,259,,$20.78 ,$20.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302736,PRAMIPEXOLE 0.125 MG TAB,259,,$23.96 ,$23.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302738,ITRACONAZOLE 10 MG/ML SOLN,259,,"$1,375.46 ","$1,375.46 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302739,BENZOCAINE 20 % SPRA,259,,$173.44 ,$173.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302743,SIMETHICONE 40 MG/0.6 ML DRPS,259,,$0.18 ,$0.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302750,CARVEDILOL 3.125 MG TAB,259,,$0.26 ,$0.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302751,ATORVASTATIN CALCIUM 20 MG TAB,259,,$31.09 ,$31.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302755,ISOSORBIDE DINITRATE 40 MG TAB,259,,$11.59 ,$11.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302756,LEVOFLOXACIN 500 MG TAB,259,,$129.52 ,$129.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302760,OLANZAPINE 5 MG TAB,259,,$87.85 ,$87.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302761,ISOSORBIDE MONONITRATE 30 MG TB24,259,,$1.54 ,$1.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302764,TIZANIDINE 4 MG TAB,259,,$0.36 ,$0.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302769,LEVOCARNITINE 10 % 100 MG/ML SOLN,259,,$170.38 ,$170.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302772,CARBAMAZEPINE 100 MG TB12,259,,$3.63 ,$3.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302773,CARBAMAZEPINE 400 MG TB12,259,,$14.58 ,$14.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302776,ACETAMINOPHEN 160 MG/5 ML SUSP,259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302784,PAROXETINE HCL 10 MG TAB,259,,$26.50 ,$26.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302787,VITAMIN E 200 UNIT CAP,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302788,MULTIVITAMINS-MINERALS-LUTEIN (NULL) TAB,259,,$0.57 ,$0.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302794,PREDNISOLONE 15 MG/5 ML SOLN,259,J7510,$302.43 ,$302.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302797,ALBUTEROL-IPRAT 103-18 MCG/ACT 18-103 MC,259,,"$1,296.87 ","$1,296.87 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302800,AMLODIPINE-BENAZEPRIL 5-20 MG CAP,259,,$28.23 ,$28.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302801,AZELASTINE HCL 137 MCG/SPRAY 137 MCG SPR,259,,$840.24 ,$840.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302806,MINERAL OIL (NULL) OIL,259,,$2.85 ,$2.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302821,VENLAFAXINE 37.5 MG CP24,259,,$32.43 ,$32.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302823,VENLAFAXINE 75 MG CP24,259,,$20.71 ,$20.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302840,LEVOFLOXACIN 250 MG TAB,259,,$113.02 ,$113.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302842,CARVEDILOL 6.25 MG TAB,259,,$1.15 ,$1.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302845,QUETIAPINE FUMARATE 25 MG TAB,259,,$23.21 ,$23.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302865,HYDROCODONE-IBUPROF 7.5-200 MG TAB,259,,$20.98 ,$20.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302866,MORPHINE 10 MG SUPP,259,,$42.18 ,$42.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302873,NICOTINE POLACRILEX 2 MG GUM,259,,$2.90 ,$2.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302891,REPAGLINIDE 0.5 MG TAB,259,,$16.85 ,$16.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302892,REPAGLINIDE 1 MG TAB,259,,$16.85 ,$16.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302893,REPAGLINIDE 2 MG TAB,259,,$16.85 ,$16.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302897,OXYCODONE S. R. 40 MG TB12,259,,$41.86 ,$41.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302898,OXYCODONE I.R. 5 MG CAP,259,,$2.27 ,$2.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302900,CHLORPHEN-PHENYLEPH-HYDROCODON 2-5-2.5 M,259,,$0.38 ,$0.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302909,MOMETASONE FUROATE 50 MCG/ACT 50 MCG/ACT,259,,$793.52 ,$793.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302913,DICLOFENAC-MISOPROST 50-0.2 MG TBEC,259,,$18.94 ,$18.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302914,CITALOPRAM HYDROBROMIDE 20 MG TAB,259,,$0.21 ,$0.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302918,DICLOFENAC-MISOPROSTOL 75-200 75-200 MG-,259,,$20.65 ,$20.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302931,CELECOXIB 200 MG CAP,259,,$26.77 ,$26.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302938,QUETIAPINE FUMARATE 100 MG TAB,259,,$38.83 ,$38.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302943,IRBESARTAN 150 MG TAB,259,,$19.58 ,$19.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302947,VALSARTAN-HCTZ 80-12.5 MG TAB,259,,$21.70 ,$21.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302948,VALSARTAN-HCTZ 160-12.5 MG TAB,259,,$23.65 ,$23.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302958,MONTELUKAST SODIUM 10 MG TAB,259,,$34.57 ,$34.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302964,OSELTAMIVIR PHOSPHATE 75 MG CAP,259,,$67.54 ,$67.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302968,POVIDONE-IODINE 5 % SOLN,259,,$45.06 ,$45.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302973,HYDROCHLOROTHIAZIDE 12.5 MG CAP,259,,$0.30 ,$0.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302976,PIOGLITAZONE 30 MG TAB,259,,$54.87 ,$54.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302977,PIOGLITAZONE 15 MG TAB,259,,$35.91 ,$35.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302978,RABEPRAZOLE SODIUM 20 MG TBEC,259,,$53.71 ,$53.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302980,LITHIUM CARBONATE 300 MG TBER,259,,$1.23 ,$1.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302982,OLANZAPINE 2.5 MG TAB,259,,$74.44 ,$74.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302983,QUETIAPINE FUMARATE 200 MG TAB,259,,$71.00 ,$71.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302991,MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/,259,,$280.77 ,$280.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302992,TAMSULOSIN 0.4 MG CP24,259,,$31.17 ,$31.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302994,ROSIGLITAZONE MALEATE 4 MG TAB,259,,$28.31 ,$28.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302995,OXYBUTYNIN CHLORIDE 5 MG TR24,259,,$28.35 ,$28.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302998,TOPIRAMATE 25 MG TAB,259,,$20.71 ,$20.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303000,MIGLITOL 25 MG TAB,259,,$7.53 ,$7.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303001,BUPROPION 100 MG TBER,259,,$23.18 ,$23.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303005,CILOSTAZOL 100 MG TAB,259,,$4.89 ,$4.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303009,CALCIUM GLUCONATE 500 MG TAB,259,,$0.96 ,$0.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303011,MONTELUKAST SODIUM 5 MG CHEW,259,,$34.57 ,$34.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303014,B-COMPLEX WITH VITAMIN C (NULL) TAB,259,,$0.27 ,$0.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303018,ENTACAPONE 200 MG TAB,259,,$23.02 ,$23.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303020,FOLIC ACID 400 MCG TAB,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303021,CHLORPHEN-PHENYLTOLOXAMINE-PE 4-40-20 MG,259,,$4.98 ,$4.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303022,VERAPAMIL 200 MG CPCT,259,,$28.85 ,$28.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303023,EFAVIRENZ 200 MG CAP,259,,$44.51 ,$44.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303025,DANAZOL 50 MG CAP,259,,$8.87 ,$8.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303028,CONJ ESTR-MEDROXYPRO 0.625-5MG TAB,259,,$32.33 ,$32.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303029,LAMIVUDINE-ZIDOVUDIN 150-300MG TAB,259,,$102.12 ,$102.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303031,RALOXIFENE 60 MG TAB,259,,$30.90 ,$30.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303032,CARVEDILOL 12.5 MG TAB,259,,$1.16 ,$1.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303037,PROPANTHELINE BROMIDE 15 MG TAB,259,,$2.63 ,$2.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303042,DESMOPRESSIN ACETATE 0.1 MG TAB,259,,$27.90 ,$27.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303043,MIDODRINE 5 MG TAB,259,,$17.88 ,$17.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303051,CANDESARTAN CILEXETIL 4 MG TAB,259,,$16.60 ,$16.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303053,CLARITHROMYCIN 500 MG TB24,259,,$15.86 ,$15.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303058,TOPIRAMATE 100 MG TAB,259,,$56.40 ,$56.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303059,AMOXICILL-CLARITHRO-LANSOPRAZ 500-500-30,259,,$147.95 ,$147.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303060,DIPYRIDAMOLE-ASPIRIN 200-25 MG CM12,259,,$24.22 ,$24.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303061,"CALCIUM CARB-VIT D2-MINERALS 600 MG(1,50",259,,$0.75 ,$0.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303069,PANTOPRAZOLE SODIUM 40 MG TBEC,259,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303074,"MULTIVITAMIN, STRESS FORMULA (NULL) TAB",259,,$0.31 ,$0.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303077,B COMPLEX-VITAMIN C-FOLIC ACID 100-1 MG,259,,$1.16 ,$1.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303084,ROPINIROLE 1 MG TAB,259,,$1.04 ,$1.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303085,TELMISARTAN 40 MG TAB,259,,$24.26 ,$24.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303087,GLYBURIDE-METFORMIN 1.25-250MG TAB,259,,$6.38 ,$6.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303097,LOTEPREDNOL ETABONATE 0.2 % DRPS,259,,"$1,510.82 ","$1,510.82 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303099,RISPERIDONE 1 MG/ML SOLN,259,,"$1,349.95 ","$1,349.95 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303101,GLYBURIDE-METFORMIN 5-500 MG TAB,259,,$8.89 ,$8.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303102,RITONAVIR 100 MG CAP,259,,$62.16 ,$62.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303103,RIVASTIGMINE TARTRATE 6 MG CAP,259,,$29.47 ,$29.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303105,ZOLMITRIPTAN 5 MG TAB,259,,$186.35 ,$186.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303109,OXCARBAZEPINE 300 MG TAB,259,,$2.04 ,$2.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303112,RISEDRONATE SODIUM 5 MG TAB,259,,$29.55 ,$29.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303114,FELBAMATE 600 MG TAB,259,,$38.60 ,$38.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303116,RIVASTIGMINE TARTRATE 1.5 MG CAP,259,,$29.47 ,$29.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303117,PENTOSAN POLYSULFATE SODIUM 100 MG CAP,259,,$19.24 ,$19.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303119,SODIUM BICARBONATE 650 MG TAB,259,,$0.05 ,$0.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303120,FELBAMATE 400 MG TAB,259,,$34.84 ,$34.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303123,SOTALOL 80 MG TAB,259,,$0.55 ,$0.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303124,HYDROCORTISONE 1 % CREA,259,,$34.12 ,$34.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303133,NIACIN (ANTIHYPERLIPIDEMIC) 500 MG TB24,259,,$0.24 ,$0.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303135,AMOXICILLIN 400 MG/5 ML SUSR,259,,$13.09 ,$13.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303138,IRON-VITAMIN C 100-250 MG TAB,259,,$0.88 ,$0.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303140,CEFDINIR 300 MG CAP,259,,$28.70 ,$28.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303141,SUMATRIPTAN 20 MG/ACTUATION SPRY,259,,$273.58 ,$273.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303144,AMOXICILLIN 875 MG TAB,259,,$5.35 ,$5.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303145,MELOXICAM 7.5 MG TAB,259,,$0.12 ,$0.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303146,ZILEUTON 600 MG TAB,259,,$37.44 ,$37.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303149,AMOXICILLIN-POT CLAV 400MG/5ML SUSR,259,,$4.47 ,$4.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303150,GLYBURIDE-METFORMIN 2.5-500 MG TAB,259,,$8.89 ,$8.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303151,NORETHIN-ETH ESTRA TRIPH 7/7/7 0.5/0.75/,259,,$6.39 ,$6.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303152,BUDESONIDE 200 MCG/INH 200 MCG/INHALATIO,259,J7627,"$1,063.69 ","$1,063.69 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303153,MONTELUKAST SODIUM 4 MG CHEW,259,,$34.57 ,$34.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303154,ALENDRONATE 70 MG TAB,259,,$125.96 ,$125.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303156,ZIPRASIDONE HCL 20 MG CAP,259,,$48.26 ,$48.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303157,METRONID-TETRACYC-BIS SUBSAL 250-500-262,259,,$57.25 ,$57.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303158,TOLTERODINE TARTRATE 4 MG CP24,259,,$30.28 ,$30.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303162,ZIPRASIDONE HCL 40 MG CAP,259,,$48.26 ,$48.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303163,NATEGLINIDE 120 MG TAB,259,,$6.96 ,$6.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303165,LORATADINE 5 MG/5 ML SOLN,259,,$12.94 ,$12.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303166,RISPERIDONE 0.5 MG TAB,259,,$0.82 ,$0.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303168,AMOXICILLIN-POT CLAV 200MG/5ML SUSR,259,,$3.04 ,$3.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303169,OLANZAPINE 10 MG TBDL,259,,$139.43 ,$139.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303173,PRAMIPEXOLE 1.5 MG TAB,259,,$26.02 ,$26.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303174,CHOLECALCIFEROL (VITAMIN D3) 400 UNIT TA,259,,$0.18 ,$0.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303175,CANDESARTAN CILEXETIL 8 MG TAB,259,,$16.04 ,$16.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303176,SCOPOLAMINE BASE 1.5 MG PT72,259,,$79.71 ,$79.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303177,COCAINE 4 % SOLN,259,,$992.61 ,$992.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303178,METFORMIN 500 MG TB24,259,,$6.93 ,$6.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303182,FLUTICASONE-SALMETEROL 100-50 100-50 MCG,259,,$43.09 ,$43.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303183,FLUTICASONE-SALMETEROL 250-50 250-50 MCG,259,,$43.09 ,$43.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303187,LACTULOSE 20 GM 20 GRAM PACK,259,,$15.59 ,$15.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303188,PHENTERMINE 37.5 MG CAP,259,,$15.88 ,$15.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303189,BECAPLERMIN 0.01 % GEL,259,,"$4,205.95 ","$4,205.95 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303191,DIVALPROEX SODIUM 500 MG TB24,259,,$22.70 ,$22.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303192,PRAMIPEXOLE 1 MG TAB,259,,$23.96 ,$23.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303193,LEVETIRACETAM 500 MG TAB,259,,$1.08 ,$1.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303199,ORLISTAT 120 MG CAP,259,,$29.23 ,$29.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303200,LACTOBACILLUS ACIDOPH AND BULGAR (NULL),259,,$0.53 ,$0.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303201,SUCRALFATE 100 MG/ML SUSP,259,,$19.18 ,$19.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303202,REFRESH P.M. (NULL) OINT,259,,$54.29 ,$54.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303207,ROSIGLITAZONE MALEATE 2 MG TAB,259,,$19.71 ,$19.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303209,LIDOCAINE 5 %(700 MG/PATCH) PTMD,259,,$48.67 ,$48.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303212,MIRTAZAPINE 15 MG TBDL,259,,$5.55 ,$5.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303214,METOPROLOL SUCCINATE 25 MG TB24,259,,$7.86 ,$7.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303218,OXYCODONE S. R. 80 MG TB12,259,,$80.72 ,$80.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303220,ZAFIRLUKAST 10 MG TAB,259,,$13.55 ,$13.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303225,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML,259,,$300.72 ,$300.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303229,LINEZOLID 600 MG TAB,259,,$555.82 ,$555.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303230,FLUTICASONE-SALMETEROL 500-50 500-50 MCG,259,,$39.92 ,$39.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303233,SEVELAMER 800 MG TAB,259,,$20.74 ,$20.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303240,SERTRALINE 20 MG/ML CONC,259,,$603.48 ,$603.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303246,AMMONIUM LACTATE 12 % LOTN,259,,$34.62 ,$34.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303247,BECLOMETHASONE DIPR 40 MCG/ACT 40 MCG/AC,259,,$68.42 ,$68.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303248,FLUVASTATIN 80 MG TB24,259,,$29.57 ,$29.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303255,BIMATOPROST 0.03 % DROP,259,,$585.12 ,$585.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303256,LOTEPREDNOL ETABONATE 0.5 % DRPS,259,,$712.38 ,$712.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303259,TRAMADOL-ACETAMIN 37.5-325 MG TAB,259,,$12.29 ,$12.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303260,TIAGABINE 2 MG TAB,259,,$18.20 ,$18.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303262,ESTROGENS CONJ SYNTHETIC A 0.625 MG TAB,259,,$21.21 ,$21.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303263,CITALOPRAM HYDROBROMIDE 10 MG TAB,259,,$0.18 ,$0.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303267,PREDNISOLONE ACETATE 1 % DRPS,259,,$57.36 ,$57.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303268,GABAPENTIN 250 MG/5 ML SOLN,259,,$122.94 ,$122.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303274,CANDESARTAN CILEXETIL 16 MG TAB,259,,$16.61 ,$16.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303275,CANDESARTAN CILEXETIL 32 MG TAB,259,,$22.46 ,$22.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303276,POLYETHYLENE GLYCOL 3350 17 GRAM PWPK,259,,$6.19 ,$6.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303278,PROMETHAZIN-COD 6.25-10 MG/5ML SYRP,259,,$3.55 ,$3.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303282,NARATRIPTAN 2.5 MG TAB,259,,$207.81 ,$207.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303283,FENOFIBRATE MICRONIZED 54 MG TAB,259,,$4.10 ,$4.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303286,ERYTHROMYCIN 5 MG/G OINT,259,,$210.83 ,$210.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303289,"MESALAMINE 1,000 MG SUPP",259,,$104.26 ,$104.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303290,TACROLIMUS 1 MG TAB,259,J7507,$18.63 ,$18.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303292,BALSALAZIDE DISODIUM 750 MG CAP,259,,$10.66 ,$10.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303302,FLUOXETINE 90 MG CPDR,259,,$242.30 ,$242.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303305,DESLORATADINE 5 MG TAB,259,,$31.00 ,$31.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303307,PERINDOPRIL ERBUMINE 4 MG TAB,259,,$16.15 ,$16.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303308,ANTIPYRINE-BENZOCAINE 5.4-1.4% DROP,259,,$55.91 ,$55.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303310,MUPIROCIN CALCIUM 2 % CREA,259,,$340.02 ,$340.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303312,POTASSIUM CHLORIDE 8 MEQ TBER,259,,$2.64 ,$2.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303313,POTASSIUM CHLORIDE 10 MEQ TBER,259,,$0.35 ,$0.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303316,ESTRA-NORETH AC .05-.14MG/24HR PTSW,259,,$52.60 ,$52.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303321,NEOMYCIN-COLIST-HC-THONZONIUM 3.3-3-10-0,259,,$376.07 ,$376.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303322,PAROXETINE HCL 25 MG TB24,259,,$28.48 ,$28.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303324,MIDAZOLAM 2 MG/ML SYRP,259,,$11.13 ,$11.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303328,INSULIN REGULAR HUMAN 100 UNIT/ML SOLN,259,J1815,$17.15 ,$17.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303329,INSULIN ASPART 100 UNIT/ML SOLN,259,J1815,$328.47 ,$328.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303330,PAROXETINE HCL 12.5 MG TB24,259,,$17.90 ,$17.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303332,ESTRA-NORETHINDR ACET 1-.5MG TAB,259,,$22.62 ,$22.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303333,CASSIA OIL (NULL) OIL,259,,$41.17 ,$41.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303334,POTASSIUM CHLORIDE 20 MEQ TBTQ,259,,$2.27 ,$2.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303336,INSULIN NPH HUMAN RECOMB 100 UNIT/ML SUS,259,J1815,$85.77 ,$85.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303338,LEVOFLOXACIN 750 MG TAB,259,,$242.52 ,$242.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303348,BRIMONIDINE TARTRATE 0.15 % DROP,259,,$536.94 ,$536.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303350,TENOFOVIR DISOPROXIL FUMARATE 300 MG TAB,259,,$167.68 ,$167.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303353,ESCITALOPRAM OXALATE 10 MG TAB,259,,$24.35 ,$24.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303354,SULFACETAMID-PREDNISO 10-0.25% DROP,259,,$111.66 ,$111.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303355,RISEDRONATE SODIUM 35 MG TAB,259,,$200.01 ,$200.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303356,TOPIRAMATE 15 MG CPSP,259,,$20.22 ,$20.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303357,ZOLMITRIPTAN 2.5 MG TAB,259,,$168.68 ,$168.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303358,ALBUTEROL SULFATE 90 MCG/ACTUATION HFAA,259,,$14.28 ,$14.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303369,ALUM-SAL ACID-MENTHOL-CAMPHOR (NULL) OIN,259,,$4.96 ,$4.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303370,VALGANCICLOVIR 450 MG TAB,259,,$311.56 ,$311.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303374,ALBUTEROL 90 MCG/ACTUATION HFAA,259,,$46.73 ,$46.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303390,FORMOTEROL FUMARATE 12 MCG CPDV,259,,$22.60 ,$22.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303405,TRIAMCINOLONE ACET 55 MCG/ACT 55 MCG SPR,259,,$823.73 ,$823.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303407,BUDESONIDE 32 MCG/ACTUATION SPRY,259,,$696.60 ,$696.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303411,ARIPIPRAZOLE 10 MG TAB,259,,$121.43 ,$121.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303412,ARIPIPRAZOLE 15 MG TAB,259,,$121.43 ,$121.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303413,ATORVASTATIN CALCIUM 80 MG TAB,259,,$31.09 ,$31.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303418,HYDROCOD-POT GUAI 2.5-120 MG/5 SYRP,259,,$1.19 ,$1.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303424,SODIUM HYPOCHLORITE 0.25 % SOLN,259,,$69.11 ,$69.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303429,MOEXIPRIL-HCTZ 7.5-12.5 MG TAB,259,,$14.87 ,$14.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303431,CELECOXIB 100 MG CAP,259,,$16.32 ,$16.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303432,CLOPIDOGREL 75 MG TAB,259,,$44.10 ,$44.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303435,ZINC OXIDE-COD LIVER OIL 40 % OINT,259,,$11.93 ,$11.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303439,DORZOLAMIDE-TIMOLOL 2-0.5 % DROP,259,,$873.83 ,$873.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303440,OXYCODONE I. R. 15 MG TAB,259,,$1.11 ,$1.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303442,MEPERIDINE 50 MG/5 ML SOLN,259,,$21.59 ,$21.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303444,NARATRIPTAN 1 MG TAB,259,,$207.81 ,$207.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303449,HYDROCODONE-ACETAMIN 10-500 MG TAB,259,,$0.42 ,$0.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303453,OLMESARTAN MEDOXOMIL 20 MG TAB,259,,$18.90 ,$18.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303454,SALMETEROL XINAFO 50 MCG/DOSE DSDV,259,,$690.99 ,$690.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303456,SOTALOL 120 MG TAB,259,,$0.94 ,$0.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303458,LEVOTHYROXINE SODIUM 137 MCG TAB,259,,$1.23 ,$1.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303461,ZONISAMIDE 100 MG CAP,259,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303462,SENNOSIDES 8.6 MG TAB,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303463,APREPITANT 125-80-80 MG CPPK,259,J8501,$820.30 ,$820.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303464,ROSUVASTATIN CALCIUM 20 MG TAB,259,,$31.58 ,$31.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303467,RIVASTIGMINE TARTRATE 2 MG/ML SOLN,259,,"$3,493.11 ","$3,493.11 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303468,DIVALPROEX SODIUM 250 MG TB24,259,,$13.34 ,$13.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303470,INSULIN ASP PRT-INSULIN ASPART 100 UNIT/,259,J1815,$328.47 ,$328.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303477,METHSCOPOLAMINE BROMIDE 2.5 MG TAB,259,,$18.58 ,$18.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303478,BUPROPION 150 MG TB24,259,,$26.74 ,$26.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303479,UREA 40 % CREA,259,,$654.24 ,$654.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303482,RISPERIDONE 0.25 MG TAB,259,,$0.92 ,$0.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303489,MORPHINE 30 MG CM24,259,,$27.32 ,$27.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303498,"AMOXICILLIN-POT CLAVUL 1,000MG TB12",259,,$24.77 ,$24.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303500,"PAPAIN-UREA 1,100,000-100 UNIT-MG/G OINT",259,,$171.14 ,$171.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303502,PANTOPRAZOLE SODIUM 20 MG TBEC,259,,$2.97 ,$2.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303517,GENT VIOLET-BRLNT GRN-PROFLAV 2.29-2.29-,259,,$2.38 ,$2.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303519,HYDROCOD-ACETAM 2.5-167 MG/5ML SOLN,259,,$13.09 ,$13.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303530,EZETIMIBE 10 MG TAB,259,,$29.43 ,$29.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303557,LANSOPRAZOLE 30 MG SUDR,259,,$28.45 ,$28.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303561,MEMANTINE 5 MG TAB,259,,$22.93 ,$22.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303599,TRYPSIN-BALSAM-CASTOR OIL 0.12-87 MG/G S,259,,$58.57 ,$58.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303604,TRYPSIN-BALSAM-CASTOR OIL 90-87-788 UNIT,259,,$85.19 ,$85.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303605,METFORMIN 750 MG TB24,259,,$2.45 ,$2.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303611,CARBIDOPA-LEVODOPA-ENTACAP 100 25-100-20,259,,$22.91 ,$22.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303613,VALSARTAN 40 MG TAB,259,,$16.91 ,$16.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303614,FOLIC ACID 5 MG/ML SOLN,259,,$25.88 ,$25.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303616,CALAMINE (NULL) LOTN,259,,$5.35 ,$5.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303620,TOLTERODINE TARTRATE 2 MG CP24,259,,$30.59 ,$30.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303621,OLANZAPINE 5 MG TBDL,259,,$64.79 ,$64.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303626,LEVALBUTEROL HCL 1.25 MG/0.5 ML NEBU,259,,$19.64 ,$19.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303628,ESCITALOPRAM OXALATE 5 MG/5 ML SOLN,259,,$24.22 ,$24.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303629,"INSULIN NDL (DISP) 29 X 1/4 "" 29 X 1/2 """,259,A4215,$2.38 ,$2.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303630,ATAZANAVIR 150 MG CAP,259,,$113.93 ,$113.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303634,METOPROLOL TARTRATE 25 MG TAB,259,,$0.20 ,$0.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303637,DULOXETINE 30 MG CPDR,259,,$36.83 ,$36.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303639,TESTOSTERONE 1 % (25 MG) GLPK,259,,$68.80 ,$68.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303640,CARBIDOPA-LEVODOPA-ENTACAP 150 37.5-150-,259,,$22.91 ,$22.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303641,CARBIDOPA-LEVO-ENT 12.5-50-200 12.5-50-2,259,,$22.91 ,$22.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303643,RISPERIDONE 1 MG TBDL,259,,$46.27 ,$46.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303644,NIACIN-LOVASTATIN 500-20 MG TM24,259,,$26.07 ,$26.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303645,VORICONAZOLE 200 MG TAB,259,,$294.68 ,$294.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303657,TOBRAMYCIN 300 MG/5 ML NEBU,259,J7682,$597.05 ,$597.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303658,DULOXETINE 60 MG CPDR,259,,$36.83 ,$36.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303659,METAXALONE 800 MG TAB,259,,$27.86 ,$27.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303660,DUTASTERIDE 0.5 MG CAP,259,,$25.78 ,$25.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303662,VERAPAMIL 100 MG CPCT,259,,$23.15 ,$23.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303663,MOXIFLOXACIN HCL 0.5 % DROP,259,,$584.81 ,$584.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303664,ROPINIROLE 0.25 MG TAB,259,,$4.07 ,$4.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303668,CINACALCET 30 MG TAB,259,,$98.43 ,$98.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303673,TRAVOPROST 0.004 % DROP,259,,$551.67 ,$551.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303674,ALFUZOSIN 10 MG TB24,259,,$28.34 ,$28.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303675,ATOMOXETINE 60 MG CAP,259,,$41.70 ,$41.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303678,AMIODARONE 100 MG TAB,259,,$16.18 ,$16.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303684,OLMESARTAN-HCTZ 20-12.5 MG TAB,259,,$18.26 ,$18.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303685,OLMESARTAN-HCTZ 40-12.5 MG TAB,259,,$25.47 ,$25.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303686,OLANZAPINE-FLUOXETINE 12-25 MG CAP,259,,$146.57 ,$146.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303688,ALOSETRON 1 MG TAB,259,,$143.79 ,$143.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303690,BUDESONIDE 0.25 MG/2 ML NBSP,259,,$50.13 ,$50.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303693,URSODIOL 250 MG TAB,259,,$11.24 ,$11.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303694,PROGESTERONE MICRONIZED 100 MG CAP,259,,$14.31 ,$14.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303697,ISRADIPINE 5 MG TR24,259,,$17.24 ,$17.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303703,FLUCONAZOLE 100 MG TAB,259,,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303704,FLUCONAZOLE 150 MG TAB,259,,$1.39 ,$1.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303705,FLUCONAZOLE 200 MG TAB,259,,$1.10 ,$1.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303706,CEVIMELINE 30 MG CAP,259,,$18.05 ,$18.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303708,RISPERIDONE 0.5 MG TBDL,259,,$39.58 ,$39.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303709,PYRANTEL PAMOATE 144 MG/ML SUSP,259,,$49.96 ,$49.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303710,"VITAMIN A 10,000 UNIT CAP",259,,$0.10 ,$0.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303711,ROPINIROLE 5 MG TAB,259,,$21.21 ,$21.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303713,OXYBUTYNIN 3.9 MG/24 HR PTSW,259,,$167.79 ,$167.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303716,LEFLUNOMIDE 20 MG TAB,259,,$2.08 ,$2.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303717,CEFDITOREN PIVOXIL 200 MG TAB,259,,$36.45 ,$36.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303719,CANDESARTAN-HCTZ 32-12.5 MG TAB,259,,$22.90 ,$22.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303720,ATAZANAVIR 200 MG CAP,259,,$113.93 ,$113.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303721,NITROGLYCERIN 2 % OINT,259,,$8.10 ,$8.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303722,OSELTAMIVIR PHOSPHATE 12 MG/ML SUSR,259,,$53.87 ,$53.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303723,NITAZOXANIDE 500 MG TAB,259,,$144.29 ,$144.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303725,MINERAL OIL-ISOPROPYL MYRISTAT (NULL) LO,259,,$27.89 ,$27.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303727,LEVOFLOXACIN 250 MG/10 ML SOLN,259,,"$4,012.02 ","$4,012.02 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303728,DOXERCALCIFEROL 0.5 MCG CAP,259,,$56.23 ,$56.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303729,DOXERCALCIFEROL 2.5 MCG CAP,259,,$156.28 ,$156.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303736,"PAPAIN-UREA 830,000-10 UNIT/G-% SPRY",259,,$269.24 ,$269.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303743,IMATINIB MESYLATE 100 MG TAB,259,,$184.87 ,$184.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303745,BROMPHENIRAMINE-PSEUDOEPH-DM 4-60-30 MG/,259,,$6.81 ,$6.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303747,FENOFIBRATE MICRONIZED 145 MG TAB,259,,$33.96 ,$33.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303752,ESTRADIOL 0.025 MG/24 HR PTSW,259,,$1.36 ,$1.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303753,OLANZAPINE-FLUOXETINE 6-25 MG CAP,259,,$100.58 ,$100.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303754,ACYCLOVIR 5 % CREA,259,,"$1,139.61 ","$1,139.61 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303756,LIDOCAINE 4 % CREA,259,,$207.66 ,$207.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303758,TRIFLURIDINE 1 % DROP,259,,$807.08 ,$807.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303762,LIDOCAINE HCL 4 % SOLN,259,,$0.35 ,$0.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303770,LORATADINE 10 MG TAB,259,,$0.90 ,$0.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303774,FENTANYL CITRATE 800 MCG LOZH,259,,$549.70 ,$549.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303776,LIDOCAINE 4 % CREA,259,,$112.65 ,$112.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303777,IPRATROPIUM BROMIDE 0.06 % SPRY,259,,$30.45 ,$30.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303779,IPRATROPIUM BROMIDE 0.03 % SPRY,259,,$640.82 ,$640.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303781,"PAPAIN-UREA 830,000-10 UNIT/G-% OINT",259,,$269.08 ,$269.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303782,SODIUM CHLORIDE 0.65 % (SOLN) DROP,259,,$14.38 ,$14.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303784,FROVATRIPTAN SUCCINATE 2.5 MG TAB,259,,$204.61 ,$204.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303785,MESALAMINE 500 MG CPSR,259,,$18.37 ,$18.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303786,DULOXETINE 20 MG CPDR,259,,$32.84 ,$32.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303787,CARVEDILOL 25 MG TAB,259,,$0.26 ,$0.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303794,AMMONIUM LACTATE 12 % CREA,259,,$239.24 ,$239.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303795,MICONAZOLE NITRATE 2 % CREA,259,,$8.04 ,$8.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303797,FLUCONAZOLE 10 MG/ML SUSR,259,,$235.41 ,$235.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303798,FLUCONAZOLE 40 MG/ML SUSR,259,,$116.02 ,$116.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303801,BETAXOLOL 0.25 % DRPS,259,,$294.43 ,$294.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303804,CEPHALEXIN 125 MG/5 ML SUSR,259,,$38.77 ,$38.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303806,RIFAMPIN 150 MG CAP,259,,$8.11 ,$8.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303807,FENOFIBRATE MICRONIZED 48 MG TAB,259,,$11.30 ,$11.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303808,SUMATRIPTAN SUCCINATE 50 MG TAB,259,,$187.53 ,$187.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303809,GALANTAMINE HYDROBROMIDE 4 MG TAB,259,,$23.78 ,$23.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303821,DOXYCYCLINE HYCLATE 50 MG CAP,259,,$1.29 ,$1.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303823,PARICALCITOL 1 MCG CAP,259,,$61.66 ,$61.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303824,ESZOPICLONE 1 MG TAB,259,,$29.94 ,$29.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303825,ESZOPICLONE 2 MG TAB,259,,$44.44 ,$44.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303826,ESZOPICLONE 3 MG TAB,259,,$44.44 ,$44.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303829,GALANTAMINE 8 MG C24P,259,,$21.73 ,$21.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303830,BUTENAFINE HCL 1 % CREA,259,,$443.89 ,$443.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303831,CHLORPHEN-PHENYLEPH-METHSCOP 8-20-2.5 MG,259,,$1.02 ,$1.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303832,PSEUDOEPH-CARBETAPENT TANNATES 30 (75)-2,259,,$71.43 ,$71.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303835,ABACAVIR 300 MG TAB,259,,$63.26 ,$63.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303837,SENNOSIDE-DOCUSAT NA 8.6-50 MG TAB,259,,$0.11 ,$0.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303839,CIPROFLOXACIN 0.3 % DROP,259,,$18.15 ,$18.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303841,RIFAXIMIN 200 MG TAB,259,,$66.22 ,$66.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303846,PEDIATRIC MULTIVITAMINS (NULL) CHEW,259,,$0.69 ,$0.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303847,BROMPHENIRAMINE-PSEUDOEPH-DM 4-45-15 MG/,259,,$1.97 ,$1.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303848,PREGABALIN 50 MG CAP,259,,$17.13 ,$17.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303849,PREGABALIN 75 MG CAP,259,,$18.83 ,$18.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303850,OXYCODONE-ACETAMIN 5-325 MG TAB,259,,$0.69 ,$0.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303852,CHLORPHENIRAMINE-PHENYLEPH-DM 1-3.5-3 MG,259,,$21.84 ,$21.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303855,SOLIFENACIN 5 MG TAB,259,,$37.55 ,$37.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303856,ATOMOXETINE 40 MG CAP,259,,$41.70 ,$41.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303857,GLIPIZIDE 2.5 MG TB24,259,,$1.20 ,$1.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303859,GLIPIZIDE 5 MG TB24,259,,$0.79 ,$0.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303860,GLIPIZIDE 10 MG TB24,259,,$1.28 ,$1.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303863,LEVETIRACETAM 100 MG/ML SOLN,259,,$190.58 ,$190.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303872,COAL TAR 0.5 % SHAM,259,,$30.39 ,$30.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303876,ACAMPROSATE 333 MG TBEC,259,,$5.86 ,$5.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303877,LOPINAVR-RITONAVR400-100MG/5ML SOLN,259,,"$2,543.88 ","$2,543.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303880,ESTRADIOL 0.075 MG/24 HR PTWK,259,,$153.64 ,$153.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303883,FENTANYL 25 MCG/HR PT72,259,,$20.62 ,$20.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303884,FENTANYL 50 MCG/HR PT72,259,,$89.41 ,$89.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303885,FENTANYL 75 MCG/HR PT72,259,,$137.17 ,$137.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303886,FENTANYL 100 MCG/HR PT72,259,,$194.19 ,$194.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303889,RAMELTEON 8 MG TAB,259,,$34.39 ,$34.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303890,TERCONAZOLE 0.4 % CREA,259,,$265.18 ,$265.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303891,TERCONAZOLE 0.8 % CREA,259,,$70.70 ,$70.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303892,CLOTRIMAZOLE 1 % CREA,259,,$20.24 ,$20.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303893,DARIFENACIN 15 MG TB24,259,,$33.68 ,$33.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303894,ATOMOXETINE 25 MG CAP,259,,$38.42 ,$38.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303895,AZITHROMYCIN 250 MG TAB,259,,$3.35 ,$3.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303897,TROSPIUM 20 MG TAB,259,,$23.06 ,$23.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303898,CYCLOPENTOLATE HCL 0.5 % DROP,259,,$62.25 ,$62.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303900,CLOTRIMAZOLE 1 % CREA,259,,$10.51 ,$10.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303902,SEVELAMER 400 MG TAB,259,,$10.73 ,$10.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303903,ALBUTEROL SULFATE 4 MG TB12,259,,$5.24 ,$5.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303904,ROSUVASTATIN CALCIUM 10 MG TAB,259,,$31.58 ,$31.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303905,FENTANYL 12 MCG/HR PT72,259,,$129.91 ,$129.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303906,SODIUM PHOSPHATES (NULL) SOLN,259,,$6.15 ,$6.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303909,LOVASTATIN 20 MG TAB,259,,$3.34 ,$3.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303910,AZATHIOPRINE 50 MG TAB,259,J7500,$4.79 ,$4.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303912,DOXAZOSIN MESYLATE 2 MG TAB,259,,$0.59 ,$0.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303914,LOPINAVIR-RITONAVIR 200-50 MG TAB,259,,$42.39 ,$42.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303916,AZITHROMYCIN 2 GRAM/60 ML SERR,259,,$336.11 ,$336.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303920,EYE LUBRICANT (NULL) OINT,259,,$19.04 ,$19.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303921,BRIMONIDINE 0.1 % DROP,259,,$470.75 ,$470.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303933,CICLOPIROX 0.77 % CREA,259,,$24.66 ,$24.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303934,CICLOPIROX 0.77 % SUSP,259,,$218.07 ,$218.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303935,CLOTRIMAZOLE-BETAMETHAS 1-.05% CREA,259,,$123.80 ,$123.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303938,METHYLPREDNISOLONE 4 MG DSPK,259,J7509,$2.24 ,$2.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303941,SACCHAROMYCES BOULARDII 250 MG CAP,259,,$3.90 ,$3.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303942,LUBIPROSTONE 24 MCG CAP,259,,$26.30 ,$26.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303943,MUPIROCIN 2 % OINT,259,,$46.63 ,$46.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303944,SALINE (NULL) GEL,259,,$18.67 ,$18.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303945,GALANTAMINE HYDROBROMIDE 8 MG TAB,259,,$23.78 ,$23.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303947,CHOLESTYRAMINE-SUCROSE 4 GRAM PACK,259,,$6.13 ,$6.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303951,TELMISARTAN 20 MG TAB,259,,$24.26 ,$24.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303954,DILTIAZEM HCL 120 MG CP24,259,,$2.34 ,$2.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303956,DILTIAZEM HCL 240 MG CDER,259,,$1.58 ,$1.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303957,DILTIAZEM HCL 300 MG CPER,259,,$8.01 ,$8.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303958,DILTIAZEM HCL 360 MG CPER,259,,$8.41 ,$8.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303960,LETROZOLE 2.5 MG TAB,259,,$125.93 ,$125.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303962,ALBUTEROL SULFATE 2.5MG/0.5ML NEBU,259,,$2.86 ,$2.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303963,RACEPINEPHRINE 2.25% NEBU,259,,$9.16 ,$9.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303965,SODIUM CHLORIDE 0.9 % NEBU,259,,$0.93 ,$0.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303966,VITAMINS A + D (NULL) OINT,259,,$0.86 ,$0.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303967,"NYSTATIN 100,000 UNIT/ML SUSP",259,,$3.99 ,$3.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303968,DEXTROMETH-GUAIF 10-100 MG/5ML SYRP,259,,$0.37 ,$0.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303969,ALUM-MAG HYDROXIDE-SIMETH 200-200-20 MG/,259,,$3.20 ,$3.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303970,WHITE PETROLATUM (NULL) GEL,259,,$6.45 ,$6.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303971,SIMVASTATIN 5 MG TAB,259,,$1.06 ,$1.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303972,SIMVASTATIN 10 MG TAB,259,,$0.19 ,$0.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303973,SIMVASTATIN 20 MG TAB,259,,$1.01 ,$1.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303974,SIMVASTATIN 40 MG TAB,259,,$0.80 ,$0.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303978,CHLORHEXIDINE GLUCONATE 0.12 % MWSH,259,,$16.66 ,$16.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303979,TIOTROPIUM BROMIDE 18 MCG CPDV,259,,$89.84 ,$89.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303981,TIAGABINE 4 MG TAB,259,,$26.78 ,$26.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303982,CIPROFLOXACIN 0.3 % OINT,259,,$661.67 ,$661.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303983,CYCLOSPORINE 0.05 % DPET,259,,$15.91 ,$15.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303984,BRIMONIDINE TARTRATE 0.2 % DROP,259,,$16.87 ,$16.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303985,EPINASTINE 0.05 % DROP,259,,$756.84 ,$756.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303986,HYDROCORT BUTYR-EMOLLIENT 0.1% CREA,259,,$466.70 ,$466.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303988,ATROPINE SULFATE 1 % DROP,259,,$163.20 ,$163.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303989,ERYTHROMYCIN WITH ETHANOL 2 % GEL,259,,$44.94 ,$44.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303990,CLINDAMYCIN PHOSPHATE 1 % GEL,259,,$98.03 ,$98.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303991,CLINDAMYCIN PHOSPHATE 100 MG SUPP,259,,$163.90 ,$163.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303992,PROPAFENONE 225 MG TAB,259,,$36.38 ,$36.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303994,AMOXICILLIN-POT CLAVUL 400 MG CHEW,259,,$4.42 ,$4.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303995,DISOPYRAMIDE PHOSPHATE 100 MG CAP,259,,$2.20 ,$2.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303996,POLYETHYLENE GLYCOL 3350 17 GRAM/DOSE PO,259,,$91.94 ,$91.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303997,SILDENAFIL CITRATE 25 MG TAB,259,,$123.26 ,$123.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303998,VALPROATE SODIUM 250 MG/5 ML SYRP,259,,$3.18 ,$3.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303999,IBUPROFEN 100 MG/5 ML SUSP,259,,$3.34 ,$3.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304001,CLOZAPINE 25 MG TAB,259,,$3.04 ,$3.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304002,CLOZAPINE 100 MG TAB,259,,$8.09 ,$8.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304003,TETRACAINE HCL 0.5 % DROP,259,,$24.88 ,$24.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304005,OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAP,259,,$9.99 ,$9.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304007,ANAGRELIDE 0.5 MG CAP,259,,$1.16 ,$1.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304008,DOXYCYCLINE HYCLATE 100 MG CAP,259,,$0.46 ,$0.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304009,INSULIN GLULISINE 100 UNIT/ML SOLN,259,J1815,$668.04 ,$668.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304012,CHLORTHALIDONE 50 MG TAB,259,,$3.42 ,$3.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304013,METHEN-HYOSC-M.BLUE-SAL-NAPHOS 120-0.12,259,,$22.48 ,$22.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304014,DICLOFENAC SODIUM 25 MG TBEC,259,,$7.04 ,$7.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304015,DICLOFENAC SODIUM 50 MG TBEC,259,,$1.65 ,$1.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304016,RETAPAMULIN 1% OINT,259,,$595.91 ,$595.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304017,NORETHINDRONE ACETATE 5 MG TAB,259,,$12.34 ,$12.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304018,CEFPROZIL 250 MG TAB,259,,$13.28 ,$13.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304019,OFLOXACIN 0.3 % DROP,259,,$93.12 ,$93.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304021,DORZOLAMIDE HCL 2 % DROP,259,,$476.21 ,$476.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304022,BALANCED SALT SOLN NON-SURG #3 (NULL) SO,259,,$9.38 ,$9.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304023,LEVOBUNOLOL HCL 0.25 % DROP,259,,$24.82 ,$24.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304024,LEVOBUNOLOL HCL 0.5 % DROP,259,,$47.85 ,$47.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304026,"NEOMYCIN-POLYMYXIN-DEXAMETH 3.5-10,000-0",259,,$417.80 ,$417.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304027,TROPICAMIDE 1 % DROP,259,,$64.58 ,$64.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304028,PILOCARPINE HCL 2 % DROP,259,,$185.47 ,$185.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304029,PREDNISOLONE ACETATE 0.12 % DRPS,259,,$139.11 ,$139.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304030,MEGESTROL ACETATE 400 MG/10 ML (40 MG/ML,259,,$18.95 ,$18.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304031,PIMECROLIMUS 1 % CREA,259,,$881.41 ,$881.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304032,METRONIDAZOLE 0.75 % GEL,259,,$108.45 ,$108.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304034,"PAPAIN-UREA-CHLOROPHYLLIN 521,700-10-0.5",259,,$471.79 ,$471.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304035,LOPERAMIDE 1 MG/5 ML LIQD,259,,$5.34 ,$5.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304037,ACETAMINOPHEN 160 MG/5 ML SOLN,259,,$2.43 ,$2.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304038,FAMCICLOVIR 250 MG TAB,259,,$7.36 ,$7.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304040,METHYLPREDNISOLONE 4 MG TAB,259,J7509,$6.74 ,$6.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304041,NALTREXONE 50 MG TAB,259,,$7.07 ,$7.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304043,ESTROPIPATE 0.75 MG TAB,259,,$1.28 ,$1.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304045,AMANTADINE 50 MG/5 ML SYRP,259,,$7.70 ,$7.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304046,PHENYTOIN 100 MG/4 ML SUSP,259,,$8.17 ,$8.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304049,CLOPIDOGREL 300 MG TAB,259,,$176.37 ,$176.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304052,DIHYDRO-PE 2-7.5-3 MG/5 ML SYRP,259,,$54.29 ,$54.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304054,PANTOPRAZOLE SACHET 40 MG SUDR,259,,$11.24 ,$11.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304056,RALTEGRAVIR 400 MG TAB,259,,$117.96 ,$117.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304063,DONEPEZIL 10 MG TAB,259,,$3.54 ,$3.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304097,TRETINOIN (CHEMOTHERAPY) 10 MG CAP,259,,$146.75 ,$146.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304105,DOCOSANOL 10 % CREA,259,,$45.74 ,$45.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304118,PRASUGREL 10 MG TAB,259,,$44.03 ,$44.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304119,DRONEDARONE 400 MG TAB,259,,$28.23 ,$28.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304120,RANOLAZINE 500 MG TB12,259,,$25.57 ,$25.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304142,OLIVE OIL (NULL) OIL,259,,$0.98 ,$0.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304148,DESONIDE 0.05 % CREA,259,,$40.79 ,$40.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304149,NEOMYCIN-BACITRACIN-POLYMYXIN (NULL) PAC,259,,$0.30 ,$0.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304150,HYDROCORT ACE-PRAMOXINE 2.5-1% CREA,259,,$377.22 ,$377.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304164,B COMPLEX-VITAMIN C-FOLIC ACID 400 MCG T,259,,$0.36 ,$0.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304165,ESTROGENS CONJ SYNTHETIC A 0.9 MG TAB,259,,$21.93 ,$21.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304167,SITAGLIPTIN 25 MG TAB,259,,$47.61 ,$47.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304170,ALBUTEROL SULFATE 4 MG TAB,259,,$0.90 ,$0.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304171,DILTIAZEM HCL 180 MG CP24,259,,$3.55 ,$3.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304172,DILTIAZEM HCL 240 MG CP24,259,,$5.08 ,$5.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304173,DILTIAZEM HCL 300 MG CP24,259,,$6.22 ,$6.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304174,DILTIAZEM HCL 360 MG CP24,259,,$66.19 ,$66.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304176,CHLORPHENIRAMINE-PHENYLEPHRINE 1-3.5 MG/,259,,$163.20 ,$163.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304177,PROPAFENONE 225 MG CP12,259,,$40.40 ,$40.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304178,MIRTAZAPINE 30 MG TBDL,259,,$8.68 ,$8.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304179,PRENATAL VIT-IRON FUMARATE-FA 60 MG(IRON,259,,$0.85 ,$0.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304184,SITAGLIPTIN 50 MG TAB,259,,$47.61 ,$47.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304186,RIVASTIGMINE 9.5 MG/24 HOUR PT24,259,,$55.92 ,$55.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304187,ELETRIPTAN HBR 20 MG TAB,259,,$158.69 ,$158.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304191,LIDOCAINE HCL (LARYNG) 4 % SOLN,259,,$5.89 ,$5.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304194,QUETIAPINE 50 MG TB24,259,,$34.40 ,$34.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304195,QUETIAPINE 150 MG TB24,259,,$58.38 ,$58.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304196,QUETIAPINE 200 MG TB24,259,,$64.24 ,$64.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304217,ESTRADIOL 0.0375 MG/24 HR PTWK,259,,$153.64 ,$153.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304220,TOLVAPTAN 15 MG TAB,259,,"$1,867.33 ","$1,867.33 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304221,"LIPASE-PROTEASE-AMYLASE 20,000-68,000 -1",259,,$20.17 ,$20.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304224,TAPENTADOL 50 MG TAB,259,,$15.02 ,$15.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304225,MONTELUKAST 4 MG GRPK,259,,$34.57 ,$34.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304227,MIDAZOLAM 2 MG/ML SYRP,259,,$22.55 ,$22.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304229,DABIGATRAN ETEXILATE 75 MG CAP,259,,$23.78 ,$23.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304230,"LIPASE-PROTEASE-AMYLASE 4,200-10,000 -17",259,,$4.45 ,$4.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304232,PALIPERIDONE 3 MG TR24,259,,$109.61 ,$109.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304233,NEPAFENAC 0.1 % DRPS,259,,$296.19 ,$296.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304234,PHENYLEPHRINE HCL 2.5 % DROP,259,,$3.69 ,$3.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304235,PHENYLEPHRINE HCL 10 % DROP,259,,$4.86 ,$4.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304239,TRAVOPROST 0.004 % DROP,259,,$596.06 ,$596.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304241,CARBACHOL 0.01 % SOLN,259,,$74.62 ,$74.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304242,ACETYLCHOLINE CHLORIDE 1:100 (20 MG/2 ML,259,,$212.98 ,$212.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304243,ATROPINE 1 % OINT,259,,$30.56 ,$30.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304246,DABIGATRAN ETEXILATE 150 MG CAP,259,,$23.78 ,$23.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304261,ASENAPINE 5 MG SUBL,259,,$61.31 ,$61.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304262,ASENAPINE 10 MG SUBL,259,,$61.31 ,$61.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304263,SEVELAMER CARBONATE 800 MG TAB,259,,$16.60 ,$16.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304273,FERROUS SULFATE 142 MG (45 MG IRON) TBER,259,,$1.31 ,$1.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304280,DARIFENACIN 7.5 MG TB24,259,,$34.81 ,$34.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304285,BRIMONIDINE-TIMOLOL 0.2-0.5 % DROP,259,,$108.96 ,$108.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304286,ADOLPH'S MEAT TENDERIZER 99 GRAMS POWD,259,,$24.45 ,$24.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304288,ARTIFICIAL TEARS (GENTEAL) 0.3 % DROP,259,,$2.72 ,$2.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304289,B COMPLEX-VITAMIN C-FOLIC ACID 0.8 MG TA,259,,$0.46 ,$0.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304291,FEBUXOSTAT 40 MG TAB,259,,$37.02 ,$37.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304292,NEBIVOLOL 5 MG TAB,259,,$12.52 ,$12.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304293,ALISKIREN-VALSARTAN 150-160 MG TAB,259,,$19.61 ,$19.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304294,SITAGLIPTIN-METFORMIN 50-500 MG TAB,259,,$23.78 ,$23.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304295,"SITAGLIPTIN-METFORMIN 50-1,000 MG TAB",259,,$23.78 ,$23.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304296,CYCLOSPORINE 0.05 % DPET,259,,$29.62 ,$29.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304297,PREGABALIN 25 MG CAP,259,,$17.13 ,$17.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304298,BAICALIN-CATECHIN-CITRATED ZNC 250-50 MG,259,,$9.69 ,$9.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304300,RASAGILINE 1 MG TAB,259,,$85.20 ,$85.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41904413,E-Z HD BARIUM 1-135 ML ORAL X 1 D,259,,$0.03 ,$0.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41904414,E-Z PAQUE 1 ML ORAL X 1 DOSE,259,,$2.23 ,$2.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41904415,E-Z PAQUE 1-176 GM ORAL X 1 DOSE,259,,$1.08 ,$1.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41904430,VARIBAR HONEY 1-250ML ORAL X 1 DO,259,,$48.60 ,$48.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41904431,VARIBAR NECTAR 1-240ML ORAL X 1 D,259,,$0.06 ,$0.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6700001,INJECTION THERAPEUTIC,260,90782,$86.89 ,$86.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6700002,IV INFUSION,260,90784,$192.71 ,$192.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6700003,IV INFUSION,260,90784,$192.71 ,$192.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6700004,IV INFUSION,260,90784,$192.71 ,$192.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6700005,NON CHEMO INJECTION,260,90782,$72.49 ,$72.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6700006,IV INFUSION 1ST HOUR,260,96365,$267.99 ,$267.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6700007,IV INFUSION ADDITIONAL HRS UP,260,96366,$83.74 ,$83.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600001,BRONCHOSCOPE P20,270,,"$1,104.43 ","$1,104.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600003,CV SOMASENSOR ADULT CREBRAL OX,270,,$280.70 ,$280.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600004,MAK LARYNGEAL SOFT SEAL 3/4/5,270,,$57.60 ,$57.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600005,CATHETER ADDITIONAL,270,C1887,$510.72 ,$510.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600006,CS FEMO STOP HD (CCL),270,,$440.99 ,$440.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600007,CS FLUSH-N-FILL MX815,270,,$36.03 ,$36.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600008,"CS GUIDEWIRE STO ""J"" 180 CM",270,C1769,$487.53 ,$487.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600009,CS GUIDEWIRE ADDITIONAL,270,C1769,$301.69 ,$301.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600010,CS GUIDEWIRE STEERABLE,270,C1769,"$1,206.63 ","$1,206.63 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600011,CS INTRODUCER NEEDLE 18GA X 2 3/4,270,,$8.85 ,$8.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600012,CS INTRODUCER SHEATH HEMAQUET,270,C1893,$35.44 ,$35.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600013,CS LOCATOR IMPLANT TOOL 46-52CM,270,,"$1,187.77 ","$1,187.77 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600015,CS MANIFOLD,270,,$32.53 ,$32.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600016,CS MANIFOLD 3GANG TR ROT ADAPTER,270,,$23.06 ,$23.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600017,CS MANIFOLD MX1223ER,270,,$32.19 ,$32.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600018,CS NOVATRANS DOME MALE/FMALEMX848,270,,$13.19 ,$13.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600019,CS STS SOSA PRESSURIZEDDLIV MX835,270,,$11.37 ,$11.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600020,FEMO STOP PUMP,270,,$553.99 ,$553.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600021,IC NEEDLE SMART 18GA,270,,$549.55 ,$549.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600022,IC SNARE EN 12/10/120,270,,"$1,218.76 ","$1,218.76 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600023,IC SNARE MINI SYSTEM,270,,"$3,338.68 ","$3,338.68 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600024,IC SOLUTION SURGICAL DURAPREP,270,,$34.14 ,$34.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600025,OXIMETRY,270,,$92.77 ,$92.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600026,"ABDOMINAL BINDER UP TO 58""",270,,$268.27 ,$268.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600027,"ABDOMINAL BINDER UP TO 70""",270,,$268.27 ,$268.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600028,ACCU-CHECK III,270,,"$1,601.70 ","$1,601.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600029,ACUSNARES SM BOWEL 7FR MINI OVAL,270,,$131.74 ,$131.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600030,ACUSNARES SM BOWEL 7FR STD OVAL,270,,$131.74 ,$131.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600031,ADAPTER CATHETER TIP,270,,$44.00 ,$44.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600032,ADAPTER FOR 14MM CURETTE VACUUM,270,,$37.11 ,$37.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600033,ADAPTER PERITONEAL,270,,"$1,067.96 ","$1,067.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600034,ADAPTER RETNER NEPH 28-30FR,270,,$367.26 ,$367.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600035,ADAPTER RUTNER NEPH 24-26FR,270,,$367.26 ,$367.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600036,ADAPTER SIDE ARM DSA-RA,270,,$143.87 ,$143.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600037,ADAPTER SYRINGE SET,270,,$15.96 ,$15.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600038,ADAPTOR SIDE ARM TUOHY BOARST,270,,$66.94 ,$66.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600039,ADHESIVE LIQUID,270,,$25.13 ,$25.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600040,ADHESIVE REMOVER,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600041,ADHESIVE SKIN DERMABOND,270,,$147.91 ,$147.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600042,AID PLASTIC SOCK/STOCKING,270,,$37.84 ,$37.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600043,AIRWAY (ANY SIZE),270,A4617,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600044,AIRWAY ADULT 100MM,270,A4617,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600045,AIRWAY ADULT 110MM,270,A4617,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600046,AIRWAY ADULT 80MM,270,A4617,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600047,AIRWAY ADULT 90MM,270,A4617,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600048,AIRWAY CHILD 60MM,270,A4617,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600049,AIRWAY CHILD 70MM,270,A4617,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600050,AIRWAY INFANT 40MM,270,A4617,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600051,AIRWAY INFANT 50MM,270,A4617,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600052,AIRWAY NASOPHARYNGEAL,270,A4615,$95.01 ,$95.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600053,AIRWAY NASOPHARYNGEAL 26FR,270,A4615,$95.01 ,$95.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600054,AIRWAY NASOPHARYNGEAL 28FR,270,A4615,$95.01 ,$95.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600055,AIRWAY NASOPHARYNGEAL 30FR,270,A4615,$95.01 ,$95.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600056,AIRWAY NASOPHARYNGEAL 32FR,270,A4615,$95.01 ,$95.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600057,AIRWAY NASOPHARYNGEAL 34FR,270,A4615,$95.01 ,$95.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600058,AIRWAY NASOPHARYNGEAL 6.0MM,270,A4615,$137.40 ,$137.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600059,AIRWAY SYSTEM NU TRAKE WEISS,270,,$868.56 ,$868.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600060,ALGO DERM,270,,$25.57 ,$25.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600061,ALOKA,270,,$827.31 ,$827.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600062,AMNICOT WITH HOOK,270,,$16.83 ,$16.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600063,AMPLACZ .038 GUIDEWIRE STIFF,270,,$776.63 ,$776.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600064,ANASCOPE LIGHTED,270,,$128.52 ,$128.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600065,ANCHOR 6.5MM H/OSTEONICS,270,C1713,$864.69 ,$864.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600066,ANCHOR BIOFASTIN RC,270,C1713,"$1,231.91 ","$1,231.91 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600067,ANCHOR MICROVASIVE PRESSIN 820109,270,,"$1,830.55 ","$1,830.55 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600068,ANCHOR MINI W/#2/0 SUTURE,270,C1713,"$1,259.10 ","$1,259.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600069,ANCHOR PANALOK 3.5,270,C1713,"$1,231.91 ","$1,231.91 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600070,ANCHOR PANALOK RC,270,C1713,"$1,222.19 ","$1,222.19 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600071,ANCHOR PEBA 2.8 PAS2K,270,C1713,"$1,054.22 ","$1,054.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600072,APC PROBES 2.3MM X 230CM,270,,"$1,172.54 ","$1,172.54 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600073,ARM BOARD CHILD TECH,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600074,ARM BOARD NEONATAL,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600075,ARTHROSCOPY SHAVER BLADE,270,,$548.07 ,$548.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600076,BAG ABCESS DRAINAGE ONE WAY VALVE,270,,$52.60 ,$52.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600077,BAG AUTOTRANSFUSION F/ PLEUR VAC,270,,$159.81 ,$159.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600078,BAG BILE-ALL,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600079,BAG BILE MEDIUM,270,,$177.85 ,$177.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600080,BAG BILE SMALL,270,,$183.94 ,$183.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600081,BAG DISPOS-A-LEG,270,A4358,$50.84 ,$50.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600082,BAG DRAIN URINE-METER LATEX FREE,270,,$197.07 ,$197.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600083,BAG DRAIN UROLOGICAL LATEX-FREE,270,,$80.68 ,$80.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600084,BAG DRAINAGE CS,270,,$135.36 ,$135.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600085,BAG DRAINAGE CS 2000CC,270,,$80.68 ,$80.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600086,BAG DRAINAGE CS 4000CC,270,,$124.82 ,$124.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600087,BAG DRAINAGE URETERAL,270,,$135.36 ,$135.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600088,BAG DRAINAGE URINE-METER,270,A4357,$197.07 ,$197.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600089,BAG ICE LARGE,270,,$55.86 ,$55.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600090,BAG RESERVOIR 1/2 LITER,270,,$251.31 ,$251.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600091,BALL/DRILL GUIDE PIN 2.0X60DEGREE,270,,$466.70 ,$466.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600092,BALLOON DURAGLIDE 11.5MM 7FR,270,,$702.93 ,$702.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600093,BALLOON EXTRACT 6.8FR*200CM,270,,$543.33 ,$543.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600094,BALLOON NASAL FOX,270,,$121.30 ,$121.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600095,BAND RUBBER STERILE,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600096,BANDAGE ACE (ANY SIZE),270,,$40.46 ,$40.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600097,"BANDAGE ACE 6"" DOUBLE",270,,$46.40 ,$46.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600098,"BANDAGE COBAN 1"" X 5 YDS",270,,$22.61 ,$22.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600099,"BANDAGE COBAN 2""",270,,$8.26 ,$8.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600100,"BANDAGE COBAN 3"" STERILE",270,,$25.13 ,$25.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600101,"BANDAGE COBAN WRAP 4""",270,,$52.14 ,$52.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600102,"BANDAGE ELASTIC 2""",270,,$25.13 ,$25.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600103,"BANDAGE ELASTIC 2"" LATEX FREE",270,,$25.13 ,$25.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600104,"BANDAGE ELASTIC 3""",270,,$33.40 ,$33.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600105,"BANDAGE ELASTIC 3"" LATEX FREE",270,,$33.40 ,$33.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600106,"BANDAGE ELASTIC 4""",270,,$41.46 ,$41.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600107,"BANDAGE ELASTIC 4"" LATEX FREE",270,,$41.46 ,$41.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600108,"BANDAGE ELASTIC 6""",270,,$58.08 ,$58.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600109,"BANDAGE ELASTIC 6"" LATEX FREE",270,,$58.08 ,$58.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600110,BANDAGE ESMARK 4*9 DISP,270,,$43.57 ,$43.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600111,BANDAGE ESMARK 6*9 DISP,270,,$52.90 ,$52.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600112,BANDAGE FLEXINET SZ 1 FINGER/TOE,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600113,BANDAGE FLEXINET SZ 10 CHEST/ABD,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600114,BANDAGE FLEXINET SZ 2 ARM/LEG-SM,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600115,BANDAGE FLEXINET SZ 3 ARM/LEG-LG,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600116,BANDAGE FLEXINET SZ 4 THG/HEAD-SM,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600117,BANDAGE FLEXINET SZ 5 THG/HEAD-MD,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600118,BANDAGE FLEXINET SZ 6 TRUNK-MED,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600119,BANDAGE FLEXINET SZ 7 TRUNK-LG,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600120,BANDAGE KERLIX,270,,$35.44 ,$35.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600121,BANDAGE KLING (ANY SIZE),270,,$56.74 ,$56.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600122,"BANDAGE KLING 1""",270,,$56.74 ,$56.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600123,"BANDAGE KLING 2""",270,,$56.74 ,$56.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600124,"BANDAGE KLING 3""",270,,$56.74 ,$56.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600125,"BANDAGE KLING 4""",270,,$56.74 ,$56.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600126,"BANDAGE MEDICOPASTE 4""",270,,$177.85 ,$177.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600127,"BANDAGE MEDIPORE H 4""",270,,$126.88 ,$126.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600128,"BANDAGE MEDIPORE H 8""",270,,$47.61 ,$47.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600129,BANDAGE SURGIFIX (ANY SIZE),270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600130,"BANDAGE GAUZE 2-4"" ED",270,,$56.74 ,$56.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600131,BARD BUTTON 24FR 1.7CM,270,,$992.71 ,$992.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600132,BASECART C-SECTION,270,,"$1,974.70 ","$1,974.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600133,BASECART GENERAL SURGERY,270,,"$1,752.35 ","$1,752.35 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600134,BASECART LAPAROSCOPY,270,,"$1,673.03 ","$1,673.03 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600135,BASECART ORTHOPEDIC,270,,"$1,903.90 ","$1,903.90 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600136,BASECART VAG-DELIVERY,270,,$987.31 ,$987.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600137,BASIN STERILE,270,,$25.13 ,$25.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600138,BASKET MINI F/ENDO REMOV STENT,270,,$958.76 ,$958.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600139,BASKET STONE 4-W (CHOLEDOCOSCOPE),270,,"$2,780.14 ","$2,780.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600140,BASKET STONE GEMINI MICROVASIVE,270,,"$1,175.90 ","$1,175.90 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600141,"BASKET STONE RETRIV 4-W ""0""",270,,"$1,266.90 ","$1,266.90 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600142,BASKET STONE RETRIV 4-W 5CM TP,270,,"$1,266.90 ","$1,266.90 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600143,"BASKET STONE RETRIV 5-W ""O"" TP",270,,"$1,266.90 ","$1,266.90 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600144,BASKET PURSUER HELIC 5W/OTIP4.8F,270,,$775.86 ,$775.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600145,BELT PELVIC TRACTION UNIVERSAL,270,,$477.02 ,$477.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600146,BELT RIB FEMALE LG,270,A4572,$132.83 ,$132.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600147,BELT RIB FEMALE MED,270,A4572,$132.83 ,$132.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600148,BELT RIB FEMALE SM,270,A4572,$132.83 ,$132.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600149,BELT RIB FEMALE XLG,270,A4572,$132.83 ,$132.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600150,BELT RIB FEMALE XXLG,270,A4572,$132.83 ,$132.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600151,BELT RIB MALE LG,270,A4572,$132.83 ,$132.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600152,BELT RIB MALE MED,270,A4572,$132.83 ,$132.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600153,BELT RIB MALE SM,270,A4572,$132.83 ,$132.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600154,BELT RIB MALE XLG,270,A4572,$132.83 ,$132.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600155,BELT RIB MALE XXLG,270,A4572,$132.83 ,$132.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600156,BELT RIB SM - XX ED,270,,$132.83 ,$132.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600157,BINDER SKULLTITOUS,270,,$34.59 ,$34.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600158,BIT DRILL 4.2 X 230MM,270,,$579.68 ,$579.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600159,BITE BLOCK MAX BLOC,270,,$21.31 ,$21.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600160,BITE ORAL,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600161,BLADE BEAVER #72-OR,270,,$99.76 ,$99.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600162,BLADE CRESCENTIC,270,,"$1,032.35 ","$1,032.35 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600163,BLADE GIGLE SAW NON-STERILE,270,,$69.00 ,$69.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600164,BLADE OSCILL AGRES 9.0 MM,270,,$180.67 ,$180.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600165,BLADE OSCILL MED 9.0 MM,270,,$180.67 ,$180.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600166,BLADE SHAW #10 #70135710,270,,$173.72 ,$173.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600167,BLADE SHAW #15 #70135715,270,,$173.72 ,$173.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600168,BLANKET WARM TOUCH,270,,$365.33 ,$365.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600169,BONE CORNERSTONE 6X11X11,270,,"$3,162.43 ","$3,162.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600170,BONE CORNERSTONE 7X11X11,270,,"$3,162.43 ","$3,162.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600171,BONE CORNERSTONE 8X11X11,270,,"$3,162.43 ","$3,162.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600172,BONE DURA DERM 2X4,270,,"$2,171.79 ","$2,171.79 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600173,BONE DURA DERM 2X7,270,,"$2,636.97 ","$2,636.97 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600174,BONE GRAFTON FLEX 2.5X10CM #11387,270,,"$3,814.64 ","$3,814.64 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600175,BONE GRAFTON FLEX 2.5X5CM #11388,270,,"$2,460.43 ","$2,460.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600176,BONE GRAFTON FLEX 5X5CM #11389,270,,"$3,814.64 ","$3,814.64 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600177,BONE GRAFTON GEL 10CC #11386,270,,"$3,744.34 ","$3,744.34 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600178,BONE GRAFTON GEL 5CC #11385,270,,"$2,413.62 ","$2,413.62 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600179,BONE GARFTON PUTTY 10CC #11391,270,,"$3,964.90 ","$3,964.90 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600180,BONE GRAFTON PUTTY 5CC #11390,270,,"$2,558.65 ","$2,558.65 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600181,BONE IMPLANT DEMBONE 1-2MM VOL,270,,$248.19 ,$248.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600182,BONE IMPLANT DEMBONE 250-500MIC 1,270,,$319.69 ,$319.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600183,BONE IMPLANT DEMBONE 500-1000,270,,$319.69 ,$319.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600184,BONE LAMINAR 20X20,270,,$930.55 ,$930.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600185,BONE LAMINAR PATCH 10X10,270,,$372.28 ,$372.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600186,BONE PRO-OSTEON 5CC GRANULES,270,,"$1,210.81 ","$1,210.81 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600187,BONE REGENAFORM 2CC,270,,"$2,171.79 ","$2,171.79 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600188,BONE REGENERAFORM 4CC,270,,"$2,957.54 ","$2,957.54 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600189,BOOT CAST,270,,$218.49 ,$218.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600190,BOTTLE BLOOD COLLECTION,270,,$66.35 ,$66.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600191,BOTTLE BLOW,270,,$242.28 ,$242.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600192,BOTTLE CLEANSING 8 OZ,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600193,BRACE ANKLE ADULT,270,,$87.34 ,$87.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600194,BRACE ANKLE STANDARD LEFT,270,,$628.72 ,$628.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600195,BRACE ANKLE STANDARD RIGHT,270,,$628.72 ,$628.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600196,BRACE ANKLE TRAINING RIGHT,270,,$628.72 ,$628.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600197,BRACE METACARPAL XLG,270,,$300.92 ,$300.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600198,BRUSH B CYTOMAX II 8FR,270,,$351.44 ,$351.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600199,BRUSH BILIARY CYTOLOGY DISP,270,,$479.52 ,$479.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600200,BRUSH CYTOLOGY F/COLONSCOPE,270,,$70.19 ,$70.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600201,BRUSH CYTOLOGY F/GASTROSCOPE,270,,$63.99 ,$63.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600202,BRUSH CYTOLOGY GEENEN BILIARY,270,,$105.04 ,$105.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600203,BRUSH FEMORAL CANAL,270,,$68.12 ,$68.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600204,BUCKS TRACTION UNIVERSAL,270,,$244.38 ,$244.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600205,BULB W/ Y CONNECTOR,270,,$167.40 ,$167.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600206,BUR BALL 2MM DISSECT 22B6ST,270,,$310.25 ,$310.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600207,BUR BALL 2MM USE W/9ST OR 9AN,270,,$341.44 ,$341.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600208,BUR EGG,270,,$351.78 ,$351.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600209,BUR EIUS,270,,$966.17 ,$966.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600210,BUR SIDE CUTTING 2.3,270,,$300.92 ,$300.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600211,BUR SOFAMOR DANEK 225DW 6LB,270,,$676.28 ,$676.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600212,BUR SOFAMOR DANEK 22S2CR,270,,$384.71 ,$384.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600213,BUR SOFAMOR DANEK 23CM 6LB,270,,$521.19 ,$521.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600214,BUR SOFAMOR DANEK 23S3CR,270,,$384.71 ,$384.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600215,BUR SOFAMOR DANEK 24.5C 9LB,270,,$558.26 ,$558.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600216,BUR TWIST DRILL 0.7MM,270,,$292.06 ,$292.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600217,BURNSHEET ULTRACARE,270,,$77.12 ,$77.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600218,BURR HOLE COVER CLAMP,270,,$639.07 ,$639.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600219,BURR REPLACEMENT OPTHAL STR,270,,$46.72 ,$46.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600220,BUTTON ONE 18 2.4,270,,"$1,341.96 ","$1,341.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600221,BUTTON ONE 18 3.4,270,,"$1,341.96 ","$1,341.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600222,BUTTON ONE 18 4.4,270,,"$1,341.96 ","$1,341.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600223,BUTTON ONE STEP 2.4,270,,"$1,341.96 ","$1,341.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600224,BUTTON ONE STEP 3.4,270,,"$1,341.96 ","$1,341.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600225,BUTTON ONE STEP 4.4,270,,"$1,341.96 ","$1,341.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600226,CAMERA 35MM & PROCESSING SNGL USE,270,,$110.39 ,$110.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600227,CANNISTER ATS W/GEL F/VAC,270,,$168.84 ,$168.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600228,CANNUALA ERCP FLURO TIP STD5.5,270,,$261.98 ,$261.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600229,CANNUALA ERCP METAL TIP 5.5FR,270,,$223.83 ,$223.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600230,"CANNULA CONTOUR ERCP .035""",270,,$312.88 ,$312.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600231,CANNULA ERCP FLORO TIP STANDARD,270,,$263.12 ,$263.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600232,CANNULA ERCP FLORO ULTRA TAPER,270,,$263.12 ,$263.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600233,CANNULA ERCP TAPERED TIP,270,,$223.83 ,$223.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600234,CANNULA T LUMEN TADEM XL,270,,$377.00 ,$377.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600235,CANNULA TAPER ERCP FLO TIP MEDIUM,270,,$263.12 ,$263.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600236,CANNULA TAPERED ERCP RPD EXCH,270,,$236.95 ,$236.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600237,CANNULA ULTRA TAPER CONTOUR,270,,$312.88 ,$312.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600238,CANNULATOME COTTON,270,,$626.25 ,$626.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600239,CAP DECANNULATION 15MM,270,,$38.56 ,$38.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600240,CAP HICKMAN INJECTION,270,,$45.08 ,$45.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600241,CARRAGAUZE 4X4 GAUZE STERILE,270,,$21.31 ,$21.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600242,CART ENT MOBILE,270,,$185.24 ,$185.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600243,CARTRIDGE CURVTEK MED,270,,"$2,233.52 ","$2,233.52 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600244,CARTRIDGE F/LINEAR CUTTER TR45B,270,,$507.51 ,$507.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600245,CARTRIDGE LINEAR CUTTER GRN TR45G,270,,$434.48 ,$434.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600246,CARTRIDGE PERMACLIP,270,,$362.10 ,$362.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600247,CARTRIDGE RELOAD 30MM VAS,270,,$312.46 ,$312.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600248,CARTRIDGE RELOAD TRH90,270,,$374.35 ,$374.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600249,CARTRIDGE RELOAD XR30B,270,,$304.20 ,$304.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600250,CARTRIDGE RELOAD XR60B,270,,$327.36 ,$327.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600251,CAST BOOT LG,270,,$218.49 ,$218.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600252,CAST BOOT MED,270,,$208.75 ,$208.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600253,CAST BOOT SM,270,,$218.49 ,$218.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600254,CAST BOOT X SMALL,270,,$218.49 ,$218.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600255,CAST BOOT XLG,270,,$208.75 ,$208.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600256,"CAST PADDING 3"" STERILE",270,,$47.61 ,$47.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600257,"CAST PADDING 6"" STERILE",270,,$47.61 ,$47.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600258,CAST SHOE SM - XL ED,270,,$218.49 ,$218.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600259,CATH 5FR HN4,270,,$61.18 ,$61.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600260,CATH ANGIOPTIC OMNIFLUSH 5X65,270,,$78.45 ,$78.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600261,CATH ANGIOPTIC RACKET 5X100,270,,$78.45 ,$78.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600262,CATH ASH SPLIT 14FR,270,C1750,"$2,475.52 ","$2,475.52 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600263,CATH BALL TIP 5.0 FR 200CM,270,,$223.83 ,$223.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600264,CATH BALLOON NEPHROMAX DIL KIT,270,,"$1,597.70 ","$1,597.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600265,CATH BIL BAL DIL 4MM 12FR 4CM LGT,270,C1725,"$1,843.06 ","$1,843.06 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600266,CATH BIL BAL DIL 6MM 18FR 4CM LGT,270,C1725,"$1,843.06 ","$1,843.06 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600267,CATH CERE SELECTIV 5/MAN/100/.035,270,,$111.24 ,$111.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600268,CATH CEREBRAL 5FR MANI,270,,$61.18 ,$61.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600269,CATH COBRA II 5FR/65CM,270,,$77.40 ,$77.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600270,CATH COUDE 14 FR 2W 5CC,270,A4340,$275.34 ,$275.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600271,CATH COUDE 14 FR TIEMANN,270,A4340,$116.26 ,$116.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600272,CATH COUDE 16 FR,270,A4340,$106.69 ,$106.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600273,CATH COUDE 16FR 2W 5CC,270,A4340,$274.35 ,$274.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600274,CATH COUDE 18 FR,270,A4340,$106.69 ,$106.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600275,CATH COUDE 18 FR 2W 5CC,270,A4340,$274.35 ,$274.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600276,CATH COUDE 20 FR 2W 5CC,270,A4340,$275.34 ,$275.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600277,CATH COUDE 20 FR TIEMANN,270,A4340,$117.47 ,$117.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600278,CATH COUDE 22 FR,270,A4340,$96.18 ,$96.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600279,CATH COUDE 22 FR 2W 5CC,270,A4340,$275.34 ,$275.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600280,CATH COUDE 24 FR,270,A4340,$263.12 ,$263.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600281,CATH COUDE 26 FR,270,A4340,$93.83 ,$93.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600282,CATH COUNCIL 16 FR,270,A4340,$314.56 ,$314.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600283,CATH COUNCIL 18 FR,270,A4340,$334.71 ,$334.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600284,CATH COUNCIL 20 FR,270,A4340,$331.23 ,$331.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600285,CATH COUNCIL 22 FR,270,A4340,$331.23 ,$331.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600286,CATH DUAL PH 10 CM,270,,"$1,171.65 ","$1,171.65 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600287,CATH ERCP 6FR 200CM W/LONG TIP,270,,$223.83 ,$223.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600288,CATH FILLIFORM COUDE TIP SZ 3,270,,$786.82 ,$786.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600289,CATH FILLIFORM COUDE TIP SZ 4,270,,$786.82 ,$786.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600290,CATH FILLIFORM COUDE TIP SZ 5,270,,$786.82 ,$786.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600291,CATH FILLIFORM COUDE TIP SZ 6,270,,$786.82 ,$786.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600292,CATH FILLIFORM FOLLOWER 10 FR,270,,"$1,165.28 ","$1,165.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600293,CATH FILLIFORM FOLLOWER 12 FR,270,,"$1,211.51 ","$1,211.51 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600294,CATH FILLIFORM FOLLOWER 14 FR,270,,"$1,165.28 ","$1,165.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600295,CATH FILLIFORM FOLLOWER 16 FR,270,,"$1,165.28 ","$1,165.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600296,CATH FILLIFORM FOLLOWER 18 FR,270,,$993.03 ,$993.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600297,CATH FILLIFORM FOLLOWER 20 FR,270,,"$1,166.15 ","$1,166.15 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600298,CATH FILLIFORM FOLLOWER 22 FR,270,,"$1,224.35 ","$1,224.35 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600299,CATH FILLIFORM FOLLOWER 24 FR,270,,"$1,166.15 ","$1,166.15 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600300,CATH FILLIFORM FOLLOWER 8 FR,270,,"$1,165.28 ","$1,165.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600301,CATH FILLIFORM SPIRAL TIP SZ 2,270,,$786.82 ,$786.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600302,CATH FILLIFORM SPIRAL TIP SZ 3,270,,$786.82 ,$786.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600303,CATH FILLIFORM SPIRAL TIP SZ 4,270,,$786.82 ,$786.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600304,CATH FILLIFORM SPIRAL TIP SZ 5,270,,$786.82 ,$786.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600305,CATH FILLIFORM SPIRAL TIP SZ 6,270,,$786.82 ,$786.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600306,CATH FILLIFORM STRAIGHT TIP SZ 2,270,,$786.82 ,$786.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600307,CATH FILLIFORM STRAIGHT TIP SZ 3,270,,$786.82 ,$786.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600308,CATH FILLIFORM STRAIGHT TIP SZ 5,270,,$786.82 ,$786.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600309,CATH FILLIFORM STRAIGHT TIP SZ 6,270,,$786.82 ,$786.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600310,CATH FILLIFORM STRAIGHT TIP SZ 4,270,,$786.82 ,$786.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600311,CATH FLEXIMA NEPH/12/25 REG,270,C1726,$502.56 ,$502.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600312,CATH FLEXIMA NEPH/8/25 FIRM,270,C1726,$502.56 ,$502.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600313,CATH FOLEY,270,A4338,$154.21 ,$154.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600314,CATH FOLEY 10 FR 3CC,270,A4338,$201.48 ,$201.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600315,CATH FOLEY 12 FR 30CC,270,A4338,$121.16 ,$121.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600316,CATH FOLEY 12 FR 5CC,270,A4338,$60.57 ,$60.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600317,CATH FOLEY 14 FR 30CC,270,A4338,$119.82 ,$119.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600318,CATH FOLEY 14 FR 5CC,270,A4338,$59.55 ,$59.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600319,CATH FOLEY 16 FR 30CC,270,A4338,$74.88 ,$74.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600320,CATH FOLEY 16FR 5CC,270,A4338,$59.55 ,$59.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600321,CATH FOLEY 16FR 5CC 3-WAY,270,A4338,$246.99 ,$246.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600322,CATH FOLEY 18 FR 30CC,270,A4338,$74.88 ,$74.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600323,CATH FOLEY 18 FR 5CC,270,A4338,$108.00 ,$108.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600324,CATH FOLEY 18 FR 5CC 3-WAY,270,A4338,$246.99 ,$246.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600325,CATH FOLEY 20 FR 30 CC 3-WAY,270,A4338,$351.18 ,$351.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600326,CATH FOLEY 20 FR 30CC,270,A4338,$74.88 ,$74.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600327,CATH FOLEY 20 FR 5 CC,270,A4338,$59.55 ,$59.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600328,CATH FOLEY 20 FR 5CC 3-WAY,270,A4338,$246.99 ,$246.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600329,CATH FOLEY 22 FR 30 CC,270,A4338,$74.88 ,$74.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600330,CATH FOLEY 22 FR 30 CC 3-WAY,270,A4338,$351.18 ,$351.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600331,CATH FOLEY 22 FR 5 CC,270,A4338,$59.55 ,$59.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600332,CATH FOLEY 22 FR 5CC 3-WAY,270,A4338,$246.99 ,$246.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600333,CATH FOLEY 24 FR 30 CC,270,A4338,$74.88 ,$74.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600334,CATH FOLEY 24 FR 30CC 3-WAY,270,A4338,$247.88 ,$247.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600335,CATH FOLEY 24FR 30CC 3-WAY RED,270,A4338,$351.18 ,$351.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600336,CATH FOLEY 24 FR 5 CC,270,A4338,$59.55 ,$59.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600337,CATH FOLEY 24 FR 5CC 3-WAY,270,A4338,$246.99 ,$246.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600338,CATH FOLEY 26 FR 30 CC,270,A4338,$71.07 ,$71.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600339,CATH FOLEY 26 FR 5CC,270,A4338,$56.74 ,$56.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600340,CATH FOLEY 28 FR 30 CC,270,A4338,$71.07 ,$71.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600341,CATH FOLEY 28 FR 5CC,270,A4338,$59.55 ,$59.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600342,CATH FOLEY 3-WAY,270,A4338,$245.67 ,$245.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600343,CATH FOLEY 30 FR 30 CC,270,A4338,$74.88 ,$74.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600344,CATH FOLEY 30 FR 5 CC,270,A4338,$56.74 ,$56.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600345,CATH FOLEY 8 FR 3CC,270,A4338,$201.48 ,$201.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600346,CATH GASTRIC BALLOON,270,,$710.87 ,$710.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600347,CATH GLIDE 4FR ANGLED TAPER 100CM,270,,$290.13 ,$290.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600348,CATH GLIDE 4FR ANGLED TAPER 65CM,270,,$290.13 ,$290.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600349,CATH GLIDE 4FR STRAIGHTTAPER100CM,270,,$290.13 ,$290.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600350,CATH GLIDE 5FR ANGLED TAPER 100CM,270,,$290.13 ,$290.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600351,CATH GLIDE 5FR ANGLED TAPER 65CM,270,,$290.13 ,$290.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600352,CATH GLIDE 5FR C1 65CM,270,,$329.00 ,$329.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600353,CATH GLIDE 5FR SIM1 100CM,270,,$329.00 ,$329.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600354,CATH GLIDE 5FR SIM2 100CM,270,,$329.00 ,$329.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600355,CATH GLIDE CATH 5/H1/100/038,270,,$351.44 ,$351.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600356,CATH GLIDE ST TAPER 5FR 100CM,270,,$290.13 ,$290.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600357,CATH HEAD HUNTER 5FR/100CM,270,,$61.18 ,$61.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600358,"CATH INTRA 14GA X 2"" NDL",270,,$115.11 ,$115.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600359,"CATH INTRA 17GA X 2"" NDL",270,,$106.69 ,$106.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600360,"CATH INTRA 19GA X 2"" NDL",270,,$95.01 ,$95.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600361,CATH INTRA CATH,270,,$106.69 ,$106.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600362,CATH KIT PEDS 5 FR,270,,$14.03 ,$14.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600363,CATH MALE EXT INTERMED LATEX FREE,270,,$27.20 ,$27.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600364,CATH MALE EXTERNAL LARGE,270,A4347,$27.20 ,$27.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600365,CATH MALE EXTERNAL LG LATEX FREE,270,,$27.20 ,$27.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600366,CATH MALE EXTERNAL MD LATEX FREE,270,,$27.20 ,$27.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600367,CATH MALE EXTERNAL MED,270,A4347,$27.20 ,$27.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600368,CATH MALE EXTERNAL SM LATEX FREE,270,,$27.20 ,$27.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600369,CATH MALE EXTERNAL SMALL,270,A4347,$27.20 ,$27.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600370,CATH MR/10-6/5.8/S/135,270,C1725,"$1,541.10 ","$1,541.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600371,CATH NASAL EPISTAT,270,,$837.78 ,$837.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600372,CATH OMNI FLUSH 4F/65CM,270,,$117.47 ,$117.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600373,CATH OXIMETRY CONT CARDIAC,270,,"$1,150.38 ","$1,150.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600374,CATH PVESPURA 10FR,270,,$195.57 ,$195.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600375,CATH QUAD-LUMEN KIT 8.5 FR,270,,"$1,452.38 ","$1,452.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600376,CATH SET 3.0FR 5CM PED C VENOUS,270,,$103.57 ,$103.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600377,CATH SET 3.0FR 8CM PED C VENOUS,270,,$103.57 ,$103.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600378,CATH SET 6.3FR 15CM CENT VENOUS,270,,$103.57 ,$103.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600379,CATH SILASTIC 16 FR 5CC,270,A4340,$101.95 ,$101.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600380,CATH SILASTIC 18 FR 5CC,270,A4340,$129.31 ,$129.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600381,CATH SILASTIC 20 FR 5CC,270,A4340,$100.74 ,$100.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600382,CATH SILASTIC 22 FR 5CC,270,A4340,$100.74 ,$100.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600383,CATH SILASTIC 24 FR 30 CC,270,A4340,$146.14 ,$146.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600384,CATH SILASTIC 24 FR 5CC,270,A4340,$100.74 ,$100.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600385,CATH SUCTION,270,A4624,$30.71 ,$30.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600386,CATH THORACIC 20 FR,270,,$155.72 ,$155.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600387,CATH THORACIC 24 FR,270,,$155.72 ,$155.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600388,CATH THORACIC 28 FR,270,,$155.72 ,$155.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600389,CATH THORACIC 32 FR,270,,$155.72 ,$155.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600390,CATH THORACIC 36 FR,270,,$155.72 ,$155.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600391,CATH THORACIC 40 FR,270,,$156.47 ,$156.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600392,CATH THORACIC 40 RIGHT ANGLE,270,,$34.74 ,$34.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600393,CATH THORACIC REPLACE 20 FR,270,,$180.23 ,$180.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600394,CATH THORACIC REPLACE 24 FR,270,,$180.23 ,$180.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600395,CATH THORACIC REPLACE 32 FR,270,,$180.23 ,$180.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600396,CATH THORACIC REPLACEMENT,270,,$132.83 ,$132.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600397,CATH THORACIC TROCAR,270,,$179.36 ,$179.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600398,CATH THORACIC TROCAR 20 FR,270,,$371.11 ,$371.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600399,CATH THORACIC TROCAR 24 FR,270,,$367.99 ,$367.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600400,CATH THORACIC TROCAR 28 FR,270,,$367.99 ,$367.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600401,CATH THORACIC TROCAR 32 FR,270,,$367.99 ,$367.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600402,CATH TRIPLE LUMEN KIT,270,A4300,$593.30 ,$593.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600403,CATH TROCAR 10 FR,270,,$100.15 ,$100.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600404,CATH TROCAR 8 FR,270,,$100.15 ,$100.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600405,CATH TROCAR BLUNT TIP/SCHON,270,,$129.31 ,$129.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600406,CATH TROCAR CUTTING TIP/SCHON,270,,$136.64 ,$136.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600407,CATH URETERAL OPEN END 5FR,270,,$148.94 ,$148.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600408,CATH URETHERAL,270,,$101.95 ,$101.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600409,CATH URETHERAL 10 FR,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600410,CATH URETHERAL 12 FR,270,,$29.41 ,$29.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600411,CATH URETHERAL 14 FR,270,,$29.41 ,$29.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600412,CATH URETHERAL 16 FR,270,,$27.20 ,$27.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600413,CATH URETHERAL 18 FR,270,,$29.41 ,$29.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600414,CATH URETHERAL 20 FR,270,,$27.20 ,$27.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600415,CATH URETHERAL 22 FR,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600416,CATH URETHERAL 24 FR,270,,$101.95 ,$101.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600417,CATH URETHERAL 26FR,270,,$130.59 ,$130.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600418,CATH URETHERAL 28 FR,270,,$103.57 ,$103.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600419,CATH URETHERAL 30 FR,270,,$98.38 ,$98.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600420,CATH URETHERAL 8 FR,270,,$29.41 ,$29.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600421,CATH VANSONNENBERG VSC/12/30/REG,270,C1726,$639.07 ,$639.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600422,CATH VANSONNENBERG VSC/14/30/REG,270,C1726,$639.07 ,$639.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600423,CATH VENTRICULAR RESERVIOR (NEURO),270,C1726,"$1,316.43 ","$1,316.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600424,CATH 3-WAY 18/24FR ED,270,,$246.99 ,$246.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600425,CATH FOLEY 12-16 FR ED,270,,$60.57 ,$60.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600426,CATH FOLEY 16-24F 30CC ED,270,,$74.88 ,$74.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600427,CATH PASSPORT BALLOON DIL,270,C1725,"$1,675.24 ","$1,675.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600428,CATH SLEEVE 10-14 F ED,270,,$30.71 ,$30.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600429,CATH THORACIC/TROCAR 24-32 F ED,270,,$367.99 ,$367.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600430,CATH/THORACIC 28-36FR ED,270,,$155.72 ,$155.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600431,CATHETER ANASTOMOTIC DIL 67.5F,270,,$881.97 ,$881.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600432,CATHETER ANASTOMOTIC DIL 60FR,270,,$881.97 ,$881.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600433,CATHETER ANASTOMOTIC DIL 75FR,270,,$881.97 ,$881.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600434,CATHETER BI-POLAR PACING,270,,$427.79 ,$427.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600435,CATHETER BIPOLAR PACING 6FR,270,,$747.39 ,$747.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600436,CATHETER BULLET TIP 5FR*200CM,270,,$242.73 ,$242.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600437,CATHETER CANNULATION ERCP-1-M,270,,$223.83 ,$223.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600438,CATHETER COLONIC BALLOON 24FR,270,,$881.97 ,$881.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600439,CATHETER COLONIC BALLOON 26FR,270,,$881.97 ,$881.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600440,CATHETER COLONIC BALLOON 45FR,270,,$881.97 ,$881.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600441,CATHETER COLONIC DILATOR 18FR,270,,$881.97 ,$881.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600442,CATHETER COLONIC DILATOR 30FR,270,,$881.97 ,$881.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600443,CATHETER COLONIC DILATOR 54FR,270,,$881.97 ,$881.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600444,CATHETER CRUZ ADULT COILED 15F,270,,$817.99 ,$817.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600445,CATHETER ERCP GLOW TIP DM0409,270,,$223.83 ,$223.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600446,CATHETER ERCP STENT,270,,$287.80 ,$287.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600447,CATHETER ERCP-1-LT-M,270,,$223.83 ,$223.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600448,CATHETER ERCP-1-ST-M,270,,$223.83 ,$223.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600449,CATHETER ERCP-1-T35,270,,$223.83 ,$223.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600450,CATHETER ESOP VECTOR 10MM,270,,$783.26 ,$783.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600451,CATHETER ESOP VECTOR 12MM,270,,$783.26 ,$783.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600452,CATHETER ESOP VECTOR 15MM,270,,$783.26 ,$783.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600453,CATHETER ESOP VECTOR 18MM,270,,$783.26 ,$783.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600454,CATHETER ESOP VECTOR 20MM,270,,$783.26 ,$783.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600455,CATHETER ESOP VECTOR 6MM,270,,$783.26 ,$783.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600456,CATHETER ESOP VECTOR 8MM,270,,$783.26 ,$783.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600457,CATHETER EXTERNAL,270,A4347,$27.20 ,$27.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600458,CATHETER FIBEROPTIC PUL ARTERY,270,,"$1,481.26 ","$1,481.26 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600459,CATHETER FOGARTY ARTERIAL,270,,$474.68 ,$474.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600460,CATHETER GLIDE ST TAPER 5FR 65 CM,270,,$290.13 ,$290.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600461,CATHETER HNS 100CM 5FR .035,270,,$87.05 ,$87.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600462,CATHETER IMAGER II H1 5FR .035,270,,$87.05 ,$87.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600463,CATHETER IMAGER II H5 5FR .038,270,,$87.05 ,$87.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600464,CATHETER LUMBAR EXTERNAL (NEURO),270,,$595.64 ,$595.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600465,CATHETER MENCINI DOUBLE HYSTO,270,C1726,$584.60 ,$584.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600466,CATHETER NEPH/10/25 REG,270,C1726,$502.56 ,$502.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600467,CATHETER NEPH/14/25 REG,270,,$502.56 ,$502.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600468,CATHETER NEWTON 3 5FR/100,270,,$87.05 ,$87.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600469,CATHETER OMNIFLUSH 5FR 2CM SIZING,270,,$294.83 ,$294.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600470,CATHETER PABD LUMAX,270,,$177.85 ,$177.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600471,CATHETER PASSER (NEURO) #11485,270,,"$1,827.69 ","$1,827.69 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600472,CATHETER PERI VAC CARDIOCENTESIS,270,,$897.01 ,$897.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600473,CATHETER PIGTAIL FLUSH 5FR 28 MM,270,,$294.83 ,$294.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600474,CATHETER PYLORIC VECTOR 10MM,270,,$783.26 ,$783.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600475,CATHETER PYLORIC VECTOR 12MM,270,,$783.26 ,$783.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600476,CATHETER PYLORIC VECTOR 15MM,270,,$783.26 ,$783.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600477,CATHETER PYLORIC VECTOR 18MM,270,,$783.26 ,$783.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600478,CATHETER PYLORIC VECTOR 8MM,270,,$783.26 ,$783.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600479,CATHETER RECTAL RUSCH 14FR,270,,$108.91 ,$108.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600480,CATHETER RENEGADE MICRO 115/10,270,,"$1,606.10 ","$1,606.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600481,CATHETER RESERV/VEN/BARIUM (N),270,,$799.08 ,$799.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600482,CATHETER SCHON DUO FLOW 16FR,270,C1750,"$1,112.11 ","$1,112.11 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600483,CATHETER SCHON DUOFLOW 18CM,270,C1750,"$1,112.11 ","$1,112.11 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600484,CATHETER SCHON DUOFLOW 24CM,270,C1750,"$1,112.11 ","$1,112.11 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600485,CATHETER SCHON DUS FLOW 20FR,270,C1750,"$1,112.11 ","$1,112.11 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600486,CATHETER SCHON DUS FLOW 22FR,270,C1750,"$1,112.11 ","$1,112.11 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600487,CATHETER SET W/INTORDU NEEDLE,270,,"$3,706.67 ","$3,706.67 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600488,CATHETER SHUNT VENTRICULAR (N),270,,$735.12 ,$735.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600489,CATHETER SIMMONS III 100 CM 5FR,270,,$94.56 ,$94.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600490,CATHETER SLIP CATH VTK 5FT/38,270,,$167.09 ,$167.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600491,CATHETER SUCTION 10 FR,270,A4624,$30.71 ,$30.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600492,CATHETER SUCTION 14 FR,270,A4624,$30.71 ,$30.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600493,CATHETER SUCTION 18 FR,270,A4624,$30.71 ,$30.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600494,CATHETER SUPERPUBIC INTRODUCER,270,,$92.39 ,$92.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600495,CATHETER TROCAR STERILE 10FR,270,,$91.76 ,$91.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600496,CATHETER TROCAR STERILE 8 FR,270,,$98.38 ,$98.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600497,CATHETER UDT/8-4/5.8T/120,270,C1725,"$1,574.64 ","$1,574.64 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600498,CATHETER URODYNAMIC TRIPLE LUMEN,270,,$98.86 ,$98.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600499,CATHETER VENTRICULAR (N) #11369,270,,"$1,316.43 ","$1,316.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600500,CATHETER VESSEL UMBILICAL 3.5F,270,,$57.35 ,$57.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600501,CATHETER VESSEL UMBILICAL 5FR,270,,$55.98 ,$55.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600502,CATHETER VTK 5FR 100CM,270,,$84.25 ,$84.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600503,CATHETER WORD BARTHOLIN 10FR,270,,$69.15 ,$69.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600504,CATHETR PYLORIC VECTOR 6MM,270,,$783.26 ,$783.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600505,CAUTERY ACCU - TEMP,270,,$307.44 ,$307.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600506,CEMENT HOWMEDICA,270,,$522.52 ,$522.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600507,CERV COLLAR 700 SM - LG ED,270,,$169.76 ,$169.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600508,CERV COLLAR SM - XLG ED,270,,$263.12 ,$263.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600509,CERVICAL COLLAR FIRM - LG,270,,$263.12 ,$263.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600510,CERVICAL COLLAR FIRM - MED,270,,$263.12 ,$263.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600511,CERVICAL COLLAR FIRM - SM,270,,$263.12 ,$263.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600512,CERVICAL COLLAR FIRM - XLG,270,,$263.12 ,$263.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600513,CERVICAL COLLAR SOFT - LG,270,,$169.76 ,$169.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600514,CERVICAL COLLAR SOFT - MED,270,,$169.76 ,$169.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600515,CERVICAL COLLAR SOFT - SM,270,,$169.76 ,$169.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600516,CERVICAL COLLAR SOFT - XLG,270,,$169.76 ,$169.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600517,CHEMSTRIP BG (EACH),270,,$65.90 ,$65.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600518,CHEMSTRIP UGK (EACH),270,,$21.70 ,$21.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600519,CLAV HEAVY XXS - LG ED,270,,$167.40 ,$167.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600520,CLAVICLE STRAP FIG 8 LG,270,,$154.21 ,$154.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600521,CLAVICLE STRAP FIG 8 MED,270,,$185.24 ,$185.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600522,CLAVICLE STRAP FIG 8 SM,270,,$154.21 ,$154.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600523,CLAVICLE STRAP HEAVY INFANT,270,,$154.21 ,$154.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600524,CLAVICLE STRAP HEAVY LG,270,,$167.40 ,$167.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600525,CLAVICLE STRAP HEAVY MED,270,,$167.40 ,$167.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600526,CLAVICLE STRAP HEAVY SM,270,,$167.40 ,$167.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600527,CLAVICLE STRAP HEAVY X-SM,270,,$167.40 ,$167.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600528,CLAVICLE STRAP HEAVY XX-SM,270,,$167.40 ,$167.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600529,CLEANSER CARA KLENZ,270,,$319.11 ,$319.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600530,CLEANSER WOUND MICRO-KLENZ,270,,$257.35 ,$257.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600531,CLEANSER WOUND SHUR-CLENS,270,,$28.67 ,$28.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600532,CLIP FILSHIE #AVM-851J,270,,$306.97 ,$306.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600533,CLIP GRAFT ANEURYSM (+),270,,"$2,190.09 ","$2,190.09 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600534,CLIP HORIZON MED/LG,270,,$34.74 ,$34.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600535,CLIP SCALP DISP NEURO,270,,$153.62 ,$153.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600536,CLOTEST,270,,$36.93 ,$36.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600537,COIL TRACKER 18 FIBER PLAT 5CM,270,C1760,$992.71 ,$992.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600538,COIL TRACKER 18/3/30/6/6,270,C1760,$359.89 ,$359.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600539,COIL TRACKER 18/4/30/4/7,270,C1760,$359.89 ,$359.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600540,COIL TRACKER 18FR FIBER PLAT 2MM,270,C1760,$992.71 ,$992.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600541,COIL VORTX 18/2/3/22/2.5,270,C1760,$490.14 ,$490.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600542,COIL VORTX 18/2/3/23/3.3 DIAMOND,270,C1760,$490.14 ,$490.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600543,COIL VORTX 18/2/4/41/3.7 DIAMOND,270,C1760,$490.14 ,$490.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600544,COIL VORTX 18/2/4/42/4.0,270,C1760,$465.51 ,$465.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600545,COIL VORTX 18/2/4/60/5.5,270,C1760,$465.51 ,$465.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600546,COIL VORTX 18/2/6/85/6.5,270,C1760,$465.51 ,$465.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600547,COLLAR CERVICAL PEDIATRIC,270,,$72.56 ,$72.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600548,"COLLAR INFANT 2.25""",270,,$120.99 ,$120.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600549,"COLLAR PEDIATRIC 3""",270,,$120.99 ,$120.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600550,COLLAR PHILAD - ALL,270,,$214.70 ,$214.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600551,COLLAR PHILADELPHIA LG,270,,$431.85 ,$431.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600552,COLLAR PHILADELPHIA MED,270,,$431.85 ,$431.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600553,COLLAR PHILADELPHIA SM,270,,$431.85 ,$431.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600554,COLLECTOR FECAL INCONTINENT,270,A4330,$131.74 ,$131.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600555,COLLECTOR WOUND DRAINAGE LARGE,270,,$86.30 ,$86.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600556,CONE TIP ERCP - 1HKC 5FR 200,270,,$223.83 ,$223.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600557,CONNECTOR PREFILLED SAFE-LOCK,270,,$19.96 ,$19.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600558,CONNECTOR STRAIGHT,270,,$30.71 ,$30.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600559,CONNECTOR Y OR ST,270,,$25.13 ,$25.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600560,CONNECTOR Y STERILE,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600561,CONTAINER MUCOUS DELEE,270,,$97.24 ,$97.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600562,CONTAINER MUCOUS SPECIMEN,270,,$56.74 ,$56.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600563,CONTRAST INJECTION LINE,270,,$42.27 ,$42.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600564,COOK SILICONE RECTAL CATHETER,270,,$142.12 ,$142.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600565,CORD BOVIC ENDOSCOPIC,270,,$103.57 ,$103.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600566,COTTON WADDING STERILE,270,,$47.61 ,$47.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600567,"COVER CAMERA VIDEO 5""W X 96""L",270,,$48.17 ,$48.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600568,COVER MAYO - STAND,270,,$36.83 ,$36.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600569,COVER TABLE,270,,$61.89 ,$61.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600570,CRAGG FX WIRE 170CM,270,,"$1,221.71 ","$1,221.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600571,CRASH CART W/DEFIB,270,,"$1,219.98 ","$1,219.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600572,CRASH CART W/O DEFIB,270,,$771.43 ,$771.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600573,CREAM FOOT,270,,$269.47 ,$269.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600574,CREAM PURELAN 100 .25 OZ,270,,$21.70 ,$21.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600575,CRUTCH LARGE W/ACCESSORIES,270,,$93.65 ,$93.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600576,CRUTCH LG W/TIPS/GRIPS/PADS,270,,$208.75 ,$208.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600577,CRUTCH MED W/TIPS/GRIPS/PADS,270,,$208.75 ,$208.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600578,CRUTCH SM-LG ED,270,,$208.75 ,$208.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600579,CRUTCH SM W/TIPS/GRIPS/PADS,270,,$201.48 ,$201.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600580,CRUTCH W/TIPS/PADS ALL SIZES,270,,$277.43 ,$277.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600582,CUFF CLEAR 1000 ML,270,,$71.07 ,$71.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600583,CUFF TOURNIQUET 12 DP SB,270,,$115.99 ,$115.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600584,CUP BIPOLAR 49MM,270,,"$2,556.91 ","$2,556.91 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600585,CUP EXTRACTOR VACUUM LARGE SZ,270,,$121.73 ,$121.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600586,CUP EXTRACTOR VACUUM REG SZ,270,,$121.73 ,$121.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600587,CUP ROSCH-THURMOND 25MM,270,,$240.97 ,$240.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600588,CUP ROSCH-THURMOND 30MM,270,,$240.97 ,$240.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600589,CURETTE EAR CUP END DISP,270,,$21.70 ,$21.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600590,CURETTE EAR LOOP DISP,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600591,CURETTE EAR RING END DISP,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600592,CUSHION FOAM INVALID,270,,$139.02 ,$139.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600593,CV FEMO STOP HD (PICU),270,,$440.99 ,$440.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600594,CV TRAY THORACENTESIS THORNTON,270,,$223.37 ,$223.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600595,"CVICU SAFESET 60"" INLINE BLD SMPL",270,,$66.48 ,$66.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600596,CVICU SAFESET SHIELD BLUNT CANNUL,270,,$2.16 ,$2.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600597,CYTOLOGY BRUSH RPD EXCH,270,,$473.89 ,$473.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600598,DEVICE AMPLATZ THROMBECTOMY,270,,"$4,095.03 ","$4,095.03 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600599,DEVICE BARD MONOPTY BX INST,270,,$183.76 ,$183.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600600,DEVICE NOUASURE,270,,"$2,762.55 ","$2,762.55 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600601,DEVICE STONE REMOVAL,270,,"$2,057.42 ","$2,057.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600602,DIALYSIS ACCURA SET,270,,$443.19 ,$443.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600603,DIALYIS ADAPTER SAFE LOCK,270,,$381.90 ,$381.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600604,DIALYSIS BAG DRAIN SL,270,C1750,$48.73 ,$48.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600605,DIALYSIS CATH DUAL LUMEN,270,C1750,"$2,188.90 ","$2,188.90 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600606,DIALYSIS CLAMP OUTLET PORT,270,,$24.98 ,$24.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600607,DIALYSIS FILTER W/TUBING,270,,"$2,648.32 ","$2,648.32 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600608,DIALYSIS HEMO SPRING GUIDE,270,,$497.99 ,$497.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600609,DIALYSIS HEMOFILTER,270,,$619.28 ,$619.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600610,DIALYSIS HEMOFILTER HF 700,270,,$407.75 ,$407.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600611,DIALYSIS HEMOFILTER HF400,270,,$496.37 ,$496.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600612,DIALYSIS KIT VITACUFF,270,,$908.81 ,$908.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600613,DIALYSIS MANIFOLD SET PRONG,270,,$53.52 ,$53.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600614,DIALYSIS PD DRAIN BAG,270,,$71.07 ,$71.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600615,DIALYSIS PM DIALYSATE F/HEMODIAFI,270,,$86.87 ,$86.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600616,DIALYSIS SET SINGLE CANNULA,270,,$664.40 ,$664.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600617,DIALYSIS SPIKE W/L REPLACEMENT,270,,$7.97 ,$7.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600618,DIALYSIS TRAY VAS - CATH,270,,"$1,751.33 ","$1,751.33 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600619,DIAPER ADULT LG FOR HOME HEALTH,270,,$35.44 ,$35.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600620,DIAPER ADULT SM FOR HOME HEALTH,270,,$48.63 ,$48.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600621,DILATOR JCD7.5-35-20,270,,$23.34 ,$23.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600622,DILATOR TD-14/.035,270,,$39.00 ,$39.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600623,DILATOR TD-4/.035,270,,$32.80 ,$32.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600624,DILATOR TD-6/.038,270,,$32.80 ,$32.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600625,DILATOR TD-7/.038,270,,$32.80 ,$32.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600626,DILATOR TTS ESOPHOGEAL BLN 12M,270,,$862.73 ,$862.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600627,DILATOE TTS ESOPHOGEAL BLN 15M,270,,$862.73 ,$862.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600628,DILATOR TTS ESOPHOGEAL BLN 18M,270,,$862.73 ,$862.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600629,DILATOR TTS ESOPHOGEAL BLN 6MM,270,,$862.73 ,$862.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600630,DILATOR TTS ESOPHOGEAL BLN 8MM,270,,$862.73 ,$862.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600631,DILATOR TTS ESOPHOGEAL BLN 10M,270,,$990.66 ,$990.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600632,DILATOR TTS PYLORIC BLN 10MM,270,,$881.97 ,$881.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600633,DILATOR TTS PYLORIC BLN 12MM,270,,$830.84 ,$830.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600634,DILATOR TTS PYLORIC BLN 15MM,270,,$830.84 ,$830.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600635,DILATOR TTS PLYORIC BLN 18MM,270,,$830.84 ,$830.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600636,DILATOR TTS PYLORIC BLN 6MM,270,,$881.97 ,$881.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600637,DILATOR TTS PYLORIC BLN 8MM,270,,$862.73 ,$862.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600638,DILATOR VASC TD/10/.038,270,,$35.15 ,$35.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600639,DILATOR VASC TD/12/.038,270,,$35.15 ,$35.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600640,DILATOR VASC TD/5/.035,270,,$33.53 ,$33.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600641,DILATOR VASCULAR TD/8/38,270,,$28.08 ,$28.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600642,DILATOR VESSEL JCD9.0-38-20,270,,$26.46 ,$26.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600643,DRAIN BLAKE 10MM FLAT,270,C1729,$136.49 ,$136.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600644,DRAIN BLAKE FLAT 3/16,270,C1729,$194.31 ,$194.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600645,DRAIN JACKSON PRATT 7MM,270,C1729,$43.46 ,$43.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600646,DRAINAGE CHEST CLOSED W/ WATER,270,C1729,"$1,441.52 ","$1,441.52 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600647,DRAINAGE CHEST CLOSED W/O WATER,270,C1729,"$1,281.26 ","$1,281.26 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600648,DRAINAGE CHEST SINGLE BOTTLE,270,C1729,$346.43 ,$346.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600649,DRAPE AESOP 180-0024,270,,$17.60 ,$17.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600650,DRAPE FEMORAL SPECIALS,270,,$70.03 ,$70.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600651,DRAPE IOBAN #6619,270,,$179.04 ,$179.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600652,DRAPE IOBAN 6646,270,,$393.11 ,$393.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600653,DRAPE IOBAN HIP,270,,$336.99 ,$336.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600654,DRAPE LASER MICROSCOPE 54X150 (N),270,,$134.32 ,$134.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600655,DRAPE SHOULDER BEACH CHAIR,270,,$399.34 ,$399.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600656,"DRAPE THERMAL 7""*4""",270,,$119.55 ,$119.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600657,DRESSING ACTISORB SILVER 2.6/3.8,270,,$18.03 ,$18.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600658,DRESSING ACTISORB SILVER 4.2/4.2,270,,$29.24 ,$29.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600659,DRESSING ADAPTIC 3X3,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600660,DRESSING ADAPTIC 3X8,270,,$36.83 ,$36.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600661,"DRESSING AQUAFLO 3"" DISK",270,,$117.47 ,$117.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600662,DRESSING BIOPATCH,270,,$28.67 ,$28.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600663,DRESSING CARRA/SORB,270,,$26.46 ,$26.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600664,"DRESSING CARRAGINATE 14""",270,,$110.52 ,$110.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600665,DRESSING CARRASMART 4 X 4,270,,$99.76 ,$99.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600666,DRESSING CARRASMART 6 X 6,270,,$214.70 ,$214.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600667,DRESSING CARRGINATE 2 X 2,270,,$139.02 ,$139.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600668,"DRESSING CARRRADRES 4"" SHT",270,,$58.08 ,$58.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600669,DRESSING COMPRESSION TIPSTOP,270,,$7.85 ,$7.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600670,DRESSING GLASSCOCK ADULT,270,,$89.53 ,$89.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600671,DRESSING GLASSCOCK PEDIATRIC STER,270,,$96.79 ,$96.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600672,DRESSING HYDRASORB 4 X 4,270,,$83.34 ,$83.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600673,DRESSING KIT SOFTFOAM SM WHITE,270,,$151.98 ,$151.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600674,DRESSING LG FOAM BLK F/VAC SYS,270,,$183.30 ,$183.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600675,DRESSING MED FOAM BLK F/VAC SY,270,,$151.98 ,$151.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600676,DRESSING MEPILEX BORDER 6X6,270,,$25.22 ,$25.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600677,DRESSING RELEASE 8X3,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600678,DRESSING SET,270,,$40.46 ,$40.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600679,DRESSING TEGADERM 2X3,270,,$40.46 ,$40.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600680,DRESSING TEGADERM 4 X 10,270,,$48.63 ,$48.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600681,DRESSING TEGADERM 4.5 X 4.75,270,,$40.46 ,$40.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600682,DRESSING TEGADERM 5.5 X 6.5,270,,$53.77 ,$53.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600683,DRESSING TEGADERM 8 X 12,270,,$70.03 ,$70.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600684,DRESSING TEGASORB THIN MEDIUM,270,,$23.78 ,$23.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600685,DRESSING TEGASORB THIN SMALL,270,,$15.96 ,$15.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600686,DRESSING TELFA 8 X 3,270,,$56.58 ,$56.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600687,DRESSING TRANSPARENT,270,,$40.46 ,$40.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600688,DRESSING WET SALINE 8X4,270,,$36.83 ,$36.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600689,DRESSING WET WATER 8X4,270,,$26.46 ,$26.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600690,"DRESSING WOUND""POLYMEM""",270,,$21.56 ,$21.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600691,DRESSING WOUND MULTIDEX 6GM,270,,$36.83 ,$36.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600692,DRESSING WOUND PROFORE,270,,$90.10 ,$90.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600693,DRESSING WOUND SOFSORB 4X6,270,,$39.30 ,$39.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600694,DRILL BIT 13MM ATLANTIS,270,,"$1,036.03 ","$1,036.03 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600695,DRILL BIT 5.5MM GAMMA,270,,$590.47 ,$590.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600696,DRILL BIT ATLANTIS,270,,"$2,413.62 ","$2,413.62 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600697,DRILL BIT ATLANTIS ADJUSTABLE,270,,"$1,036.03 ","$1,036.03 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600698,DRILL CALIBRATED 3.2MM F/SYN IM,270,,$572.02 ,$572.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600699,DRILL STOP ATLANTIS,270,,"$2,314.48 ","$2,314.48 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600700,DRESSING MEPILEX BORDER 4X4,270,,$14.88 ,$14.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600702,"ELASTOPLAST ADHESIVE BANDAGE 4""",270,,$109.17 ,$109.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600703,ELBOW/HEEL PROTECTORS,270,,$110.52 ,$110.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600704,ELEC/CARTRIDGE ENABLE 7/9,270,,$383.50 ,$383.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600705,ELECTRODE 30 DEGREE SABER ARTHRO,270,,$806.79 ,$806.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600706,ELECTRODE 50 DEGREE COVAC ARTHRO,270,,$961.89 ,$961.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600707,ELECTRODE 70 DEGREE COVAC ARTHRO,270,,$961.89 ,$961.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600708,ELECTRODE 90 DEGREE TURBOVAC ARTH,270,,"$1,046.50 ","$1,046.50 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600709,ELECTRODE BALL 3 MM,270,,$99.76 ,$99.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600710,ELECTRODE BALL 5 MM,270,,$99.76 ,$99.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600711,ELECTRODE BALL TIP,270,,$595.64 ,$595.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600712,ELECTRODE BALL TIP FULGU 6FR,270,,$595.64 ,$595.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600713,ELECTRODE BLADE E*URQUHART,270,,$38.70 ,$38.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600714,ELECTRODE BUGBEE RED FLEX 5FR,270,,$669.98 ,$669.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600715,ELECTRODE CUTTING LOOP 24 FR YE,270,,$342.14 ,$342.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600716,ELECTRODE CUTTING LOOP 28FR,270,,$352.19 ,$352.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600717,ELECTRODE INSULATED NEEDLE TIP,270,,$36.21 ,$36.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600718,ELECTRODE LARGE 20 X 15 MM,270,,$99.76 ,$99.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600719,ELECTRODE LOOP RT ANGLE GYN,270,,$399.45 ,$399.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600720,ELECTRODE MED 15 X 12 MM,270,,$99.76 ,$99.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600721,ELECTRODE NEEDLE,270,,$32.10 ,$32.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600722,ELECTRODE PRASS PAIRED 18MM,270,,$469.97 ,$469.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600723,ELECTRODE ROLLER BAR-RB--24,270,,$483.05 ,$483.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600724,ELECTRODE SMALL 10 X 10 MM,270,,$99.76 ,$99.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600725,ELECTRODE WIDE 20 X 12,270,,$99.76 ,$99.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600726,EMERGENCY INFUSION DEVICE,270,,$122.80 ,$122.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600727,ENCORE INFLATION DEVICE,270,,$418.86 ,$418.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600728,ENDO-LOK OLYMPIC,270,,$249.24 ,$249.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600729,ENDO-LOK PAD CHINSTRAP,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600730,ENEMA ADMIN UNIT,270,,$26.46 ,$26.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600731,EPIGARD 8X23CM 3X4,270,,$127.07 ,$127.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600732,ERBE SIDE FIRE APCE PROBE 7 FR,270,,"$1,028.49 ","$1,028.49 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600733,ERCP TUBE CANNULATION NDL TIP,270,,$543.33 ,$543.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600734,EVACUATOR MINI GRANADE 100ML,270,,$39.57 ,$39.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600735,FASTENERS MENISCAL PDS 27/8MM,270,,$671.13 ,$671.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600736,FCP BICOAG 5MM,270,,"$1,469.04 ","$1,469.04 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600737,FCP BIOCAG 10MM,270,,"$1,047.85 ","$1,047.85 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600738,FEEDER HABERMAN W/80ML COLLECTION,270,,$48.38 ,$48.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600739,FEM/SHAFT 1/2 SPLIT FREEZE DRIED,270,,"$2,460.43 ","$2,460.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600740,FEMORAL HEAD [H/OSTEONICS]06-3200,270,C1776,"$13,011.20 ","$13,011.20 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600741,FEMORAL ITEM #12,270,,"$16,455.05 ","$16,455.05 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600742,FIBER HOLMIUM LASER 1000,270,,$252.80 ,$252.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600743,FIBER HOLMIUM LASER 200,270,,$189.58 ,$189.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600744,FIBER HOLMIUM LASER 400,270,,$94.83 ,$94.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600745,FILTER EXTENDEVAC,270,C1884,$124.08 ,$124.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600746,FILTER SET IVEX-HP,270,,$45.08 ,$45.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600747,FINGER TOURNI-COT LARGE,270,,$47.61 ,$47.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600748,FINGER TOURNI-COT MEDIUM,270,,$47.61 ,$47.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600749,FIXATOR ORTHOFIX ANKLE,270,,"$13,995.24 ","$13,995.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600750,FLUROSCEIN DYE 10%,270,,$21.31 ,$21.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600751,FLUROTOME 30MM SHORT NOSE HIXO,270,,$862.73 ,$862.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600752,FOOT PILLOW (PAIR) SPINCO,270,,$110.62 ,$110.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600753,FORCEP BIOPSY DISP 230CM 2.3MM,270,,$287.80 ,$287.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600754,FORCEP BIOPSY M BITE,270,,$287.80 ,$287.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600755,FORCEP BIOPSY RAD JAW 1.8MM,270,,"$1,217.00 ","$1,217.00 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600756,FORCEP BIOPSY RAD JAW 2.2MM,270,,"$1,162.79 ","$1,162.79 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600757,FORCEP BIOPSY RAD JAW HOT,270,,"$1,495.16 ","$1,495.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600758,FORCEPS NON-RETRACT 240*2.3MM,270,,$543.33 ,$543.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600759,GAUZE FLUFF-TEX,270,,$219.67 ,$219.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600760,GAUZE MESH BANDAGE,270,,$34.59 ,$34.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600761,"GAUZE NU-GAUZE IODO 1""",270,,$110.52 ,$110.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600762,GAUZE NU-GAUZE IODO 1/2,270,,$96.18 ,$96.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600763,"GAUZE NU-GAUZE PLAIN 1""",270,,$96.18 ,$96.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600764,"GAUZE NU-GAUZE PLAIN 1/2""",270,,$85.37 ,$85.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600765,GAUZE NUGAUZE,270,,$47.61 ,$47.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600766,GAUZE VASELINE 3X9,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600767,GAUZE XEROFORM,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600768,GAUZE XEROFORM 2X2,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600769,"GAUZE XEROFORM 4"" X 3 YDS",270,,$122.20 ,$122.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600770,GAUZE XEROFORM 5X9,270,,$29.41 ,$29.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600771,GEL CAP INSERTION SYSTEM,270,,$169.18 ,$169.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600772,GEL CARRASYN V 32 OZ,270,,$28.94 ,$28.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600773,GEL RADIACARE 3 OZ,270,,$41.28 ,$41.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600774,GEL WOUND IODOSORB,270,,$174.17 ,$174.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600775,GELFOAM ABSORABLE SPONGE,270,,$23.34 ,$23.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600777,GLIDE WIR 450*.035 ANGLE TIP,270,,$642.95 ,$642.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600778,GLIDEWIRE .035/120/ANG,270,,$208.17 ,$208.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600779,GRAFT GORETEX 6MMX5CMX45CM,270,C1768,"$2,872.90 ","$2,872.90 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600780,GRAFT IMPRA 4-7 MM X 70 CM,270,C1768,"$4,009.51 ","$4,009.51 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600781,GRAFT REPLIFORM 2X4,270,C1768,"$2,171.79 ","$2,171.79 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600782,GRAFT REPLIFORM 2X7,270,C1768,"$2,636.97 ","$2,636.97 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600783,GRAFT REPLIFORM 3X7,270,C1768,"$3,071.46 ","$3,071.46 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600784,GRASPER TALON 3FRX90CM,270,,"$1,129.11 ","$1,129.11 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600785,GRASPERS HELICAL BASKET 240,270,,$575.12 ,$575.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600786,GRIP LG W/2.0MM (2) CABLES,270,,"$3,233.68 ","$3,233.68 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600787,GUIDE PIN K-WIRE GAMMA,270,,$297.71 ,$297.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600788,GUIDE ROD 4.0 X 900MM (R),270,,$377.18 ,$377.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600789,GUIDEWIRE .025 ANGLED ZEBRA,270,,$731.73 ,$731.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600790,GUIDEWIRE .025 STRAIGHT ZEBRA,270,C1769,$687.11 ,$687.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600791,GUIDEWIRE .035 X 145CM,270,C1769,$53.19 ,$53.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600792,GUIDEWIRE .035/STIFF,270,C1769,$89.53 ,$89.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600793,GUIDEWIRE .035X150,270,C1769,$205.94 ,$205.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600794,GUIDEWIRE ANGLED,270,C1769,$205.94 ,$205.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600795,GUIDEWIRE BALL TIP 3.0X600MM,270,C1769,$446.73 ,$446.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600796,GUIDEWIRE ENDOTORQUE .025ZEB,270,,$731.73 ,$731.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600797,GUIDEWIRE ENDOTORQUE ZEBRA ST,270,C1769,"$1,246.39 ","$1,246.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600798,GUIDEWIRE FOR VASCATH,270,C1769,$66.35 ,$66.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600799,GUIDEWIRE GS/35/150,270,C1769,$205.94 ,$205.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600800,GUIDEWIRE H FASDASHER 14,270,C1769,"$1,023.74 ","$1,023.74 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600801,GUIDEWIRE JAGWIRE .035 450CM,270,C1769,$822.86 ,$822.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600802,GUIDEWIRE JFC/035/180/3/3 JFS,270,C1769,$80.23 ,$80.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600803,GUIDEWIRE JMC/035/150/0/3MM,270,C1769,$80.23 ,$80.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600804,GUIDEWIRE MAGIC TORQUE .035/5/180,270,C1769,$386.65 ,$386.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600805,GUIDEWIRE MAGIC TORQUE.035/5/260,270,,$386.65 ,$386.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600806,GUIDEWIRE ROS/035/180/3/1.5MMJ,270,C1769,$86.57 ,$86.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600807,GUIDEWIRE SMC/035/150/0/STRAIGHT,270,C1769,$66.94 ,$66.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600808,GUIDEWIRE SMOOTH 2.8X600MM,270,C1769,$428.14 ,$428.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600809,GUIDEWIRE STAR/ROS/035/180/3/1.5MMJ,270,C1769,$459.58 ,$459.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600810,GUIDEWIRE TAPER 14 FLEX TIP 100CM,270,C1769,$806.79 ,$806.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600811,GUIDEWIRE TAPER 14 FLEX TIP 175CM,270,C1769,$806.79 ,$806.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600812,HARMONIC HOOK 5MM 14CM #DH145,270,,$885.49 ,$885.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600813,HARMONIC SHEARS 5MM #CS14C,270,,"$1,906.75 ","$1,906.75 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600814,HARMONIC SHEARS 5MM CURVED,270,,"$2,016.65 ","$2,016.65 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600815,HEAD C-TAPER 32 MM OSTEONICS,270,,"$2,172.09 ","$2,172.09 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600816,HEAD C-TAPES FEMORAL LOW FRICTION,270,,"$2,922.67 ","$2,922.67 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600817,HEAD HALTER LARGE,270,,$283.38 ,$283.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600818,HEAD HUMERAL SHOULDER (4518),270,C1776,"$4,233.31 ","$4,233.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600819,HEAD HUMERAL SHOULDER 4515,270,C1776,"$4,233.31 ","$4,233.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600820,HEAD UNITRAX MOD ENDO #55,270,C1776,"$2,018.01 ","$2,018.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600821,HEEL CUP TULIS LG,270,,$36.51 ,$36.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600822,HEEL CUP TULIS REG,270,,$36.51 ,$36.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600823,HEMOCULT SLIDE,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600824,HEMOSTAT,270,,$34.59 ,$34.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600825,HEMOSTAT SURGICEL,270,,$504.04 ,$504.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600826,HIDE-A-PORT GASTROSTOMY 14F 1.5 L,270,,$527.40 ,$527.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600827,HOLDER TRACH TUBE,270,,$14.80 ,$14.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600828,HOOD F/PROTECTION,270,,$142.40 ,$142.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600829,HUMERAL HEAD F/SHOULDER #15,270,C1776,"$3,313.12 ","$3,313.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600830,ICE PACK BILATERAL FACIAL,270,,$24.85 ,$24.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600831,ICE PACK EENT STAY DRY,270,,$19.49 ,$19.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600832,ICE PACK PLUS JUMBO,270,,$66.35 ,$66.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600834,IM 130DEGR ANTEGR FEM NAIL SYNTHE,270,,"$6,938.25 ","$6,938.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600835,IM DISTAL RETROGRADE FEM NAIL SYN,270,,"$8,806.27 ","$8,806.27 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600836,IM MISS-A-NAIL FEM SYNTHES,270,,"$8,706.41 ","$8,706.41 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600837,IM SPIRAL BLADE RECON FEM SYNTHES,270,,"$9,978.36 ","$9,978.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600838,IM STD FEM NAIL SYNTHES,270,,"$6,441.74 ","$6,441.74 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600839,IM TITANIUM HUMERAL SYNTHES,270,,"$7,453.19 ","$7,453.19 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600840,IM TITANIUM TIBIAL NAIL SYNTHES,270,,"$6,456.36 ","$6,456.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600841,IMMO KNEE LG - XXL ED,270,,$79.33 ,$79.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600842,IMMO KNEE SM - MED ED,270,,$77.73 ,$77.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600843,IMMO SHOULDER FEM SM - LG ED,270,,$37.67 ,$37.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600844,IMMOBILIZER ELBOW MEDIUM,270,,$30.80 ,$30.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600845,IMMOBILIZER ELBOW SMALL,270,,$18.68 ,$18.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600846,IMMOBILIZER KNEE,270,,$508.93 ,$508.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600847,IMMOBILIZER KNEE LG,270,,$79.33 ,$79.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600848,IMMOBILIZER KNEE MED,270,,$76.40 ,$76.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600849,IMMOBILIZER KNEE SMALL,270,,$77.73 ,$77.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600850,IMMOBILIZER KNEE UNIV PEDIATRIC,270,,$83.61 ,$83.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600851,IMMOBILIZER KNEE XLG,270,,$77.73 ,$77.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600852,IMMOBILIZER KNEE XXLG,270,,$77.73 ,$77.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600853,IMMOBILIZER SHOULDER,270,,$217.16 ,$217.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600854,IMMOBILIZER SHOULDER FEMALE LG,270,,$67.98 ,$67.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600855,IMMOBILIZER SHOULDER FEMALE MED,270,,$37.11 ,$37.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600856,IMMOBILIZER SHOULDER FEMALE SM,270,,$37.67 ,$37.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600857,IMMOBILIZER SHOULDER FEMALE XLG,270,,$37.11 ,$37.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600858,IMMOBILIZER SHOULDER FEMALE XXLG,270,,$35.44 ,$35.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600859,IMMOBILIZER SHOULDER MALE LG,270,,$35.63 ,$35.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600860,IMMOBILIZER SHOULDER MALE MED,270,,$217.16 ,$217.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600861,IMMOBILIZER SHOULDER MALE SM,270,,$217.16 ,$217.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600862,IMMOBILIZER SHOULDER MALE XLG,270,,$217.16 ,$217.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600863,IMMOBILIZER SHOULDER MALE XXLG,270,,$211.13 ,$211.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600864,IMMOBILIZER SHOULDER PEDIATRIC,270,,$41.03 ,$41.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600865,INFLATION DEVICE BREEZE,270,,$217.16 ,$217.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600866,INFLATION DEVICE MORSE ARIA,270,,$341.44 ,$341.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600867,INFLATION SYS ALLIAN,270,,$218.06 ,$218.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600868,INJECTOR SET 13GA NEEDLE,270,,"$1,800.68 ","$1,800.68 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600869,INJECTOR SET PARALLAX 1,270,,"$1,911.34 ","$1,911.34 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600870,INJECTOR SET PARALLAX 2,270,,"$2,738.01 ","$2,738.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600871,INSTRUMENT EPITAXIS,270,,$158.81 ,$158.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600872,INSTRUMENT PROCEDURAL,270,,$61.89 ,$61.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600873,INTERCEED ADHESIVE BARRIER,270,,$833.34 ,$833.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600874,INTROD RCFW-6.0-35-RB-BLKN,270,C1892,$318.07 ,$318.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600875,INTRODUCER 8.5 FR,270,,$220.58 ,$220.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600876,INTRODUCER SYSTEM F/LEAD WIRE,270,,"$1,186.44 ","$1,186.44 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600877,JAGWIRE .025,270,,"$1,073.72 ","$1,073.72 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600878,JAGWIRE GUIDEWIRE 025 STRGHT 5662,270,,$626.54 ,$626.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600879,"K-PAD LARGE 18""X24""",270,,$180.23 ,$180.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600880,"K-PAD SMALL 3""X20""",270,,$144.81 ,$144.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600881,K-WIRE .035 STERILE,270,,$90.10 ,$90.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600882,K-WIRE .045 STERILE,270,,$90.10 ,$90.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600883,K-WIRE FOR SMARTPIN 1.5MM,270,,$28.08 ,$28.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600884,KIT ACL,270,,"$1,302.98 ","$1,302.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600885,KIT ARTERIAL VENOUS,270,,$79.03 ,$79.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600886,KIT BOWER PEG,270,,$843.71 ,$843.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600887,KIT BOWER PEG ADAPT REPAIR 20P,270,,$105.92 ,$105.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600888,KIT BUTTON 24 FR 2.7,270,,"$1,067.96 ","$1,067.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600889,KIT BUTTON 24 FR 3.4,270,,"$1,067.96 ","$1,067.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600890,KIT BUTTON 24FR 2.4,270,,$889.64 ,$889.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600891,KIT BUTTON 24FR 3.4,270,,$889.64 ,$889.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600892,KIT BUTTON 28 FR 2.7,270,,"$1,067.96 ","$1,067.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600893,KIT BUTTON 28 FR 4.3 BARD,270,,"$1,067.96 ","$1,067.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600894,KIT BUTTON 28 FR 4.3 MICROVASIVE,270,,$889.64 ,$889.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600895,KIT BUTTON 28FR 2.8,270,,$889.64 ,$889.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600896,KIT BUTTON BARD 28FR 1.5CM LENGTH,270,,$992.71 ,$992.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600897,KIT CAVITY DRAINAGE,270,,$608.06 ,$608.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600898,KIT FALOPE RING BAND APPLICATOR,270,,$749.43 ,$749.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600899,KIT FASTRACKER 325 125CM,270,,"$2,016.65 ","$2,016.65 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600900,KIT FASTRACKER 325 135CM,270,,"$2,016.65 ","$2,016.65 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600901,KIT FEMALE CATH,270,,$89.21 ,$89.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600902,KIT FLAP/HERNIA (BNS),270,,"$3,228.91 ","$3,228.91 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600903,KIT GASTRIC LAVAGE,270,,$85.97 ,$85.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600904,KIT GASTRIC LAVAGE 34 FR,270,,$156.47 ,$156.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600905,KIT GASTRIC PEG,270,,$354.56 ,$354.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600906,KIT GASTRO INTRODUCER 18FR FLE,270,,$920.34 ,$920.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600907,KIT GAVAGE EASI - LAV,270,,"$1,162.79 ","$1,162.79 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600908,KIT HEMODIALYSIS 12 FR 3-LUMEN,270,,$295.61 ,$295.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600909,KIT HEMODIALYSIS CATH 12FR,270,,$546.31 ,$546.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600910,KIT INFANT SLING,270,,"$4,358.32 ","$4,358.32 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600911,KIT INTRAEOSSEOUS,270,,$287.04 ,$287.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600912,KIT LAP BURCH,270,,"$3,644.48 ","$3,644.48 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600913,KIT LAVAGE PERITONEAL,270,,$165.94 ,$165.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600914,KIT NEEDLE GUIDE STR,270,,$64.99 ,$64.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600915,KIT PEG SS SNARE,270,,$511.30 ,$511.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600916,KIT PNEUMOTHORAX,270,,$511.72 ,$511.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600917,KIT PULSED IRRIG EVACUATION PIE,270,,$271.71 ,$271.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600918,KIT THORACENTESIS,270,,$117.47 ,$117.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600919,KIT TRANSDUCER DISP,270,,$55.86 ,$55.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600920,KIT URETERAL INFRAVISION,270,,"$1,402.14 ","$1,402.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600921,KIT-PNEUMOTHORAX,270,,$511.72 ,$511.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600922,KNIFE SGLE LUM NDLE 4MM HUIBREGTS,270,,$543.33 ,$543.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600924,LANDMARX,270,,"$8,272.69 ","$8,272.69 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600925,LASER HOMIAN,270,,"$2,338.13 ","$2,338.13 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600926,LAVACUATOR 36 FR,270,,$49.52 ,$49.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600927,LENS MORGAN THERAPEUTIC,270,,$84.70 ,$84.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600928,LEVEEN INFLATOR W/GAGE,270,,$275.34 ,$275.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600929,LIGATOR STIEGMANN GOFF ENDO,270,,$447.34 ,$447.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600930,LINEAR CUTTER ETS ARTICULATING,270,,"$1,610.69 ","$1,610.69 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600931,LINER 10 DEGREE (OSTEONIC),270,,"$3,079.40 ","$3,079.40 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600932,LINER ACETABULAR 32X58,270,,"$2,463.53 ","$2,463.53 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600933,LINER RECEPTAL 1000CC,270,,$48.63 ,$48.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600934,LINER RECEPTAL 3000CC,270,,$56.74 ,$56.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600935,LINER RECEPTICAL-ALL,270,,$118.76 ,$118.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600936,LINER SUCTION LARGE 13000 CC12 L,270,,$105.35 ,$105.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600937,LINER [H/OSTEONICS] 2043-3250,270,,"$2,562.05 ","$2,562.05 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600938,LINERS F/MAESTRO,270,,$201.06 ,$201.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600939,LITHOTRIPTER MECHANICAL SINGLE USE,270,,"$2,033.80 ","$2,033.80 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600940,LOCKING DEVICE RPD EXCH,270,,$31.63 ,$31.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600941,LOTION SKIN,270,,$40.46 ,$40.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600942,LUBRICANT PETROLEUM JELLY,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600943,MALONEY DILATOR 60FR,270,,"$1,724.58 ","$1,724.58 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600944,MATTRESS HYPOTHERMIA,270,,$397.55 ,$397.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600945,MAVIGRAPH FILM PACK,270,,$21.56 ,$21.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600946,MENISCAL APPLIER,270,,$479.52 ,$479.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600947,MEROGEL,270,C1763,$383.50 ,$383.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600948,METHYLENE BLUE 10ML,270,,$60.27 ,$60.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600949,MICRO-OVAL DISP,270,,$142.56 ,$142.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600950,MINI CAP PD TRANSFER STE,270,,$189.74 ,$189.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600953,MOUTH PIECE EZ GUARD,270,,$62.93 ,$62.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600954,MOUTHPIECE EZ GUARD PEDIATRIC,270,,$56.45 ,$56.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600955,MULTIBITE 2.4MM 240,270,,$287.80 ,$287.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600956,NAIL GAMM LEFT 11MMX440MM,270,C1713,"$4,373.10 ","$4,373.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600957,NAIL GAMMA LEFT 11MMX340MM,270,C1713,"$4,373.10 ","$4,373.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600958,NAIL GAMMA LEFT 11MMX380MM,270,C1713,"$4,373.10 ","$4,373.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600959,NAIL GAMMA LEFT 11MMX400MM,270,C1713,"$4,373.10 ","$4,373.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600960,NAIL GAMMA LEFT 11MMX420MM,270,C1713,"$4,373.10 ","$4,373.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600961,NAIL GAMMA LEFT 11MX360MM,270,C1713,"$4,373.10 ","$4,373.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600962,NAIL GAMMA LONG 011X340,270,C1713,"$4,144.88 ","$4,144.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600963,NAIL GAMMA LONG 11 X 400/135 DEG,270,C1713,"$4,144.88 ","$4,144.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600964,NAIL GAMMA LONG 135 11 X 380 MM,270,C1713,"$4,144.88 ","$4,144.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600965,NAIL GAMMA LONG SYSTEM,270,C1713,"$8,010.01 ","$8,010.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600966,NAIL GAMMA RIGHT 11 X 380 MM,270,C1713,"$3,907.40 ","$3,907.40 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600967,NAIL GAMMA RIGHT 11MMX340MM,270,C1713,"$4,373.10 ","$4,373.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600968,NAIL GAMMA RIGHT 11MMX360MM,270,C1713,"$4,373.10 ","$4,373.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600969,NAIL GAMMA RIGHT 11MMX420MM,270,C1713,"$4,373.10 ","$4,373.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600970,NAIL GAMMA RIGHT 11X400MM,270,C1713,"$4,373.10 ","$4,373.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600971,NAIL GAMMA STD SYSTEM,270,C1713,"$6,317.19 ","$6,317.19 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600972,NAIL HUMERAL 9.5MMX250MM,270,C1713,"$4,587.26 ","$4,587.26 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600973,NAIL HUMERAL LOCKING T2,270,C1713,"$3,896.80 ","$3,896.80 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600974,NAILTIBIAL CANNULATED 11MMX300,270,C1713,"$2,984.86 ","$2,984.86 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600975,NAIL TIBIAL CANNULATED 11X345,270,C1713,"$2,786.30 ","$2,786.30 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600976,NAIL TIBIAL SYNTHESIS 11MMX315MM,270,C1713,"$2,984.86 ","$2,984.86 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600977,NAIL TROCHANTERIC GAMMA 130DEGREE,270,C1713,"$2,726.64 ","$2,726.64 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600978,NAIL TROCHATERIC GMMA 125 DEGREE,270,C1713,"$2,726.64 ","$2,726.64 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600979,NAVIGATOR GRASPER (MED),270,,"$1,118.33 ","$1,118.33 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600980,NAVIGATOR THRU CUT VERT 37-51000,270,,"$1,118.33 ","$1,118.33 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600981,NDL ARTERIAL CATH,270,,$33.40 ,$33.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600982,NDL HUBER POINT 19 GA ANGLED,270,,$49.96 ,$49.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600983,"NDL HUBER POINT 20 GA 1 1/2""",270,,$148.46 ,$148.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600984,"NDL HUBER POINT 20 GA 1""",270,,$125.59 ,$125.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600985,NDL HUBER POINT 20 GA ANGLED,270,,$125.59 ,$125.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600986,"NDL HUBER POINT 22 GA 1""",270,,$75.77 ,$75.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600987,NDL JAMSHIDI BIOPSY 15 GA,270,,$387.92 ,$387.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600988,NDL JAMSHIDI BIOPSY 16 GA,270,,$387.92 ,$387.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600989,NDL JAMSHIDI BIOPSY 17 GA,270,,$338.01 ,$338.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600990,NDL JAMSHIDI BIOPSY 18 GA,270,,$338.01 ,$338.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600991,NEEDLE BIOPSY BONE MARROW 11 X 14,270,,$115.24 ,$115.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600992,NEEDLE BIOPSY KIDNEY 18GA CORE,270,,$351.44 ,$351.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600993,NEEDLE BIOPSY ROTEX SCREW LONG,270,,$159.44 ,$159.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600994,NEEDLE BIOPSY ROTEX SCREW SHORT,270,,$159.44 ,$159.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600995,NEEDLE BIOPSY TEMNO BZC 20/10,270,,$130.45 ,$130.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600996,NEEDLE BIOPSY TEMNO CHI 20/10,270,,$45.36 ,$45.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600997,NEEDLE BIOPSY TEMNO CHI 20/15,270,,$45.36 ,$45.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600998,NEEDLE BIOPSY TEMNO CHI 20/5,270,,$45.36 ,$45.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 600999,NEEDLE BIOPSY TEMNO CHI 22/10,270,,$45.36 ,$45.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601000,NEEDLE BIOPSY TEMNO CHI 22/15,270,,$45.36 ,$45.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601001,NEEDLE BIOPSY TEMNO CT 14/11,270,,$235.77 ,$235.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601002,NEEDLE BIOPSY TEMNO CT 14/15,270,,$248.19 ,$248.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601003,NEEDLE BIOPSY TEMNO CT 14/20,270,,$248.19 ,$248.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601004,NEEDLE BIOPSY TEMNO CT 16/11,270,,$235.77 ,$235.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601005,NEEDLE BIOPSY TEMNO CT 18/15,270,,$248.19 ,$248.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601006,NEEDLE BIOPSY TEMNO CT 20/11,270,,$279.34 ,$279.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601007,NEEDLE BIOPSY TEMNO CT 22/20,270,,$359.89 ,$359.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601008,NEEDLE BIOPSY TEMNO CT1811,270,,$231.82 ,$231.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601009,NEEDLE BIOPSY TEMNO T 16/11,270,,$142.74 ,$142.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601010,NEEDLE BIOPSY TEMNO T 16/6,270,,$136.49 ,$136.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601011,NEEDLE BIOPSY TEMNO T 16/9,270,,$136.49 ,$136.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601012,NEEDLE BIOPSY TEMNO T 18/11,270,,$161.32 ,$161.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601013,NEEDLE BIOPSY TEMNO T 19/15,270,,$148.94 ,$148.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601014,NEEDLE BIOPSY TEMNO T 20/11,270,,$148.94 ,$148.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601015,NEEDLE BIOPSY TEMNO T 20/6,270,,$148.94 ,$148.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601016,NEEDLE BIOPSY TEMNO T 20/9,270,,$148.94 ,$148.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601017,NEEDLE BIOPSY TEMNO T 22/15,270,,$279.34 ,$279.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601018,NEEDLE BIOPSY TEMNO TM 22/9,270,,$167.53 ,$167.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601019,NEEDLE BONE MARROW,270,,$329.77 ,$329.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601020,NEEDLE BSDN-19UT-7.0,270,,$20.28 ,$20.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601021,NEEDLE CURVTEK LG,270,,$37.11 ,$37.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601022,NEEDLE CURVTEK MED,270,,$37.11 ,$37.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601023,NEEDLE FERGERSON 1/2 CIRCLE,270,,$21.31 ,$21.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601024,NEEDLE FRANKLIN MODIFIED 10CM,270,,$173.10 ,$173.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601025,NEEDLE FRANKLIN MODIFIED 7CM,270,,$173.10 ,$173.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601026,NEEDLE HOLDER,270,,$34.59 ,$34.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601027,NEEDLE HUBBER POINT,270,,$128.52 ,$128.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601028,NEEDLE INFUSTION 45 DEGREE 16 GAUGE,270,,$146.14 ,$146.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601029,NEEDLE KEITH 2.5 INCH,270,,$25.57 ,$25.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601030,NEEDLE LIVER BIOPSY,270,,$128.52 ,$128.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601031,NEEDLE MAMALOK 12.5 HOM 20 GA,270,,$120.84 ,$120.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601032,NEEDLE MENGHINI BIOPSY,270,,$128.52 ,$128.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601033,NEEDLE MODIFIOED POTTS,270,,$35.35 ,$35.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601034,NEEDLE PLEURAL BIOPSY,270,,$128.52 ,$128.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601035,NEEDLE SCLEROTHERAPY 4MM,270,,$236.25 ,$236.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601036,NEEDLE SCLEROTHERAPY 6MM 25GA,270,,$223.83 ,$223.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601037,NEEDLE SCLEROTHERAPY F/COLONSC,270,,$236.25 ,$236.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601038,NEEDLE SILVERMAN BIOPSY,270,,$173.10 ,$173.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601039,NEEDLE SPINAL,270,,$32.10 ,$32.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601040,NEEDLE SPINAL 18 GA X 3 1/2,270,,$29.41 ,$29.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601041,NEEDLE SPINAL 18-25 GA ED,270,,$32.10 ,$32.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601042,NEEDLE SPINAL 20 GA x 3 1/2,270,,$32.10 ,$32.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601043,NEDDLE SPINAL 22 GA x 1 1/2,270,,$32.10 ,$32.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601044,NEEDLE SPINAL 22 GA x 2 1/2,270,,$33.40 ,$33.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601045,NEEDLE SPINAL 22 GA x 3 1/2,270,,$29.41 ,$29.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601046,NEEDLE SPINAL 25 GA x 3 1/2,270,,$33.40 ,$33.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601047,NEDDLE SPINAL 26 GA x 3 1/2,270,,$32.10 ,$32.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601048,NEEDLE SPINAL 27 GA x 3 1/2,270,,$52.14 ,$52.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601049,NEEDLE STIMEX INSULATED 22x21/8,270,,$46.09 ,$46.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601050,NEEDLE TRANSLUMBAR AORTIC SET,270,,$239.61 ,$239.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601051,NEEDLE TRU-CUT,270,,$483.85 ,$483.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601052,NEEDLE TRU-CUT 14x3,270,,$522.37 ,$522.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601053,NEEDLE TRU-CUT 14x4 1/2,270,,$483.85 ,$483.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601054,NEEDLE TRU-CUT 14x6,270,,$483.85 ,$483.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601055,NEEDLE BIOPSY TEMNO T 14/15,270,,$161.32 ,$161.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601056,NEEDLE BIOPSY TEMNO T 19/9,270,,$148.94 ,$148.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601057,NEEDLE BIOPSY TEMNO T 20/15,270,,$223.23 ,$223.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601058,NEEDLE BIOPSY TEMNO T 22/6,270,,$167.53 ,$167.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601059,NEEDLE BIOPSY TEMNO CT 20/15,270,,$316.42 ,$316.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601060,NEURO BAG WITH TUBING,270,,$724.04 ,$724.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601061,NEURO COLLECTION BAG,270,,$750.76 ,$750.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601062,NEURO EXT DRAIN CATH,270,,$862.28 ,$862.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601063,NEUROMONITOR BASIC KIT,270,,"$1,974.70 ","$1,974.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601064,NEUROMONITOR BOLT KIT,270,,"$2,007.81 ","$2,007.81 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601065,NEUROMONITOR CATHETER KIT,270,,"$2,033.80 ","$2,033.80 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601066,NEUROMONITOR DRILL KIT,270,,"$1,375.95 ","$1,375.95 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601067,NOVA DOME LUER LOCK PLUG STERILE,270,,$49.96 ,$49.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601068,NOZZLE CEMENT OSTEU,270,,$96.62 ,$96.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601069,NUGAUZE ACHROMYCIN,270,,$97.24 ,$97.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601070,O- RING WHITE,270,,$17.60 ,$17.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601071,OPTIRAY 160 SYR 50 ML,270,,$377.00 ,$377.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601072,ORTHOPAT AUTOTRANSFUSION KIT,270,,"$2,285.36 ","$2,285.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601073,OSTEOCHONDRAL AUTOGRFT TRANSER5MM,270,,"$2,947.19 ","$2,947.19 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601074,OSTEOCHONDRAL AUTOGRFT TRNSFR 6MM,270,,"$2,947.19 ","$2,947.19 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601075,OSTEOCHONDRAL AUTGRFT TRNSFR 7MM,270,,"$2,947.19 ","$2,947.19 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601076,OSTEOCHONDRAL AUTOGRFT TRANSFR 8MM,270,,"$2,947.19 ","$2,947.19 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601077,OSTEOFIL 1CC SYRINGE,270,,$806.79 ,$806.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601078,OSTEOFIX 5CC SYRINGE,270,,"$2,258.36 ","$2,258.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601079,OSTOMY APPLIANCE BELT MEDIUM,270,A4367,$135.36 ,$135.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601080,OSTOMY BARRIER SKIN WIPES,270,A5119,$39.30 ,$39.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601081,OSTOMY CLAMP F/IRRIGATION,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601082,"OSTOMY CLEANER ""ALOE VESTA""",270,,$42.54 ,$42.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601083,OSTOMY COMFEEL POWDER,270,,$129.31 ,$129.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601084,"OSTOMY CREAM ""ILEX""",270,,$39.30 ,$39.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601085,OSTOMY CREAM ANTIFUNGAL,270,,$188.96 ,$188.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601086,"OSTOMY DEODORANT ""DROPS""",270,,$125.59 ,$125.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601087,OSTOMY DRAIN/TUBE ATTACH,270,,$148.46 ,$148.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601088,OSTOMY DRAINABLE CUT-TO-FIT 1 PC,270,,$64.99 ,$64.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601089,OSTOMY DRESS CURASALT 6X6.75,270,,$37.84 ,$37.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601090,OSTOMY DRESSING ABSORPTION BARD,270,,$561.36 ,$561.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601091,OSTOMY FILM INCONTINENT BARRIER,270,,$195.57 ,$195.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601092,OSTOMY GRANULEX,270,,$366.70 ,$366.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601093,"OSTOMY IRRIG SLEEVE 1 3/4""",270,A4397,$112.59 ,$112.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601094,"OSTOMY IRRIG SLEEVE 2 3/4""",270,A4397,$109.17 ,$109.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601095,OSTOMY IRRIGATE SLEEVE TAIL CLOSE,270,,$48.63 ,$48.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601096,OSTOMY IRRIGATOR,270,A4400,$474.68 ,$474.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601097,OSTOMY MEDICAL ADHESIVE,270,,$371.11 ,$371.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601098,"OSTOMY OINT PROTECT ""ALOE VESTA""",270,,$154.21 ,$154.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601099,OSTOMY OINTMENT CALMOSEPTINE,270,,$31.03 ,$31.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601100,OSTOMY PASTE COMFEEL,270,,$244.38 ,$244.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601101,"OSTOMY POUCH DRAINABLE 1 3/4""",270,,$76.21 ,$76.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601102,"OSTOMY POUCH DRAINABLE 2 3/4""",270,,$7.57 ,$7.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601103,OSTOMY POUCH DRAINABLE NATURA,270,,$5.72 ,$5.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601104,"OSTOMY POUCH PED 2""",270,,$53.77 ,$53.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601105,"OSTOMY POUCH TWO-PIECE 4""",270,,$47.61 ,$47.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601106,"OSTOMY POUCH UROSTOMY 1 3/4""",270,,$79.48 ,$79.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601107,"OSTOMY POUCH UROSTOMY PED 1""",270,,$69.00 ,$69.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601108,OSTOMY POWDER MICRO-GUARD,270,,$121.16 ,$121.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601109,OSTOMY POWDER PREMIUM,270,,$140.06 ,$140.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601110,OSTOMY PREMIUM PASTE,270,,$195.57 ,$195.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601111,OSTOMY SCISSORS,270,,$283.38 ,$283.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601112,OSTOMY SKIN BARRIER BOTTLE,270,,$61.89 ,$61.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601113,OSTOMY SPRAY ODOR ELIMINATOR,270,,$62.93 ,$62.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601114,"OSTOMY TAPE PINK 1""",270,A4454,$97.24 ,$97.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601115,"OSTOMY TAPE PINK 2""",270,A4454,$146.14 ,$146.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601116,OSTOMY WAFER 4X4,270,,$58.08 ,$58.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601117,OSTOMY WAFER 8X8,270,,$239.79 ,$239.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601118,"OSTOMY WAFER DURA 1 3/4""",270,,$143.60 ,$143.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601119,OSTOMY WAFER SURGIT NATURA LG,270,,$22.54 ,$22.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601120,"OSTOMY WAFER W/FLANGE 1 3/4""",270,,$14.80 ,$14.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601121,"OSTOMY WAFER W/FLANGE 2 3/4""",270,,$78.45 ,$78.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601122,"OSTOMY WAFER W/FLANGE 4""",270,,$106.69 ,$106.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601123,OSTOMY WIPES UNI-SOLVE,270,A4455,$186.00 ,$186.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601124,OSTOMY WOUND DRAINAGE COLLECT,270,,$219.67 ,$219.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601125,PAC STD VP-210 F/DIALYSIS CATH,270,,$830.84 ,$830.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601126,PACK BASIC,270,,$306.09 ,$306.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601127,PACK BASIC II,270,,$123.38 ,$123.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601128,PACK C-SECTION CUSTOM,270,,"$1,689.44 ","$1,689.44 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601129,PACK CYSTOSCOPY,270,,$169.76 ,$169.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601130,PACK DRAPE UNIVERSAL,270,,$497.99 ,$497.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601131,PACK HEAD & NECK,270,,$301.37 ,$301.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601132,PACK HOT/COLD GEL,270,,$30.71 ,$30.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601133,PACK LAPARATOMY DISP,270,,$289.70 ,$289.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601134,PACK LAPAROSCOPY,270,,$237.26 ,$237.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601135,PACK LITHOTOMY,270,,$161.32 ,$161.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601136,PACK ORTHO V HIP,270,,"$1,219.98 ","$1,219.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601137,PACK ORTHO VI EXTREMITY,270,,"$1,092.87 ","$1,092.87 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601138,PACK PERINEAL C/W,270,,$25.13 ,$25.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601139,PACK PERINEAL COLD,270,,$28.67 ,$28.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601140,PACK PERINEAL WARM,270,,$37.84 ,$37.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601141,PACK PROCEDURE NEUROSURGERY CUSTM,270,,$824.32 ,$824.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601142,PACK U-BAR III BREAST/CHEST,270,,$550.61 ,$550.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601143,PACK UTERINE/VAG,270,,$39.30 ,$39.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601144,PACKING NASAL EPISTAXIS LG,270,,$57.60 ,$57.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601145,PACKING NASAL MEDIUM,270,,$55.23 ,$55.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601146,"PAD DECUBITUS 30"" X 40""",270,,$62.23 ,$62.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601147,"PAD DECUBITUS 30"" X 60""",270,,$84.35 ,$84.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601148,PAD EYE OVAL,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601149,PAD MEDI PLAST INSTA 48X64,270,,$33.53 ,$33.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601150,PAD MODESS PERI,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601151,PAD NURSING DISP,270,,$15.40 ,$15.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601152,PAD NURSING WASHABLE,270,,$40.93 ,$40.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601153,PAD PROTECTION LIGHT,270,,$191.18 ,$191.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601154,PAD SANITARY SUPER,270,,$32.10 ,$32.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601155,PAD SANITARY W/ADH STRIPS,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601156,"PAD WAFFLE ""BOOT""",270,,$593.30 ,$593.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601157,PADDING F/THOMAS SPLINT LG,270,,$212.43 ,$212.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601158,PADDING F/ THOMAS SPLINT UNIVERSAL,270,,$290.91 ,$290.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601159,PANTY MESH MEDIUM,270,,$29.41 ,$29.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601160,PANTY MESH PROMISE,270,,$29.41 ,$29.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601161,PANY MESH X-LARGE,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601162,PAPILLOTOME 12 O'CLOCK 5FR,270,,$671.13 ,$671.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601163,PAPILLOTOME 6FR 200CM W GUIDE,270,,$626.25 ,$626.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601164,PAPILLOTOME SHORT NOSE 20MM,270,,"$1,086.38 ","$1,086.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601165,PAPILLOTOME SPHIRCTEROT 5.5FR,270,,$607.13 ,$607.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601166,PATCH CAROTID 8MMX75MM,270,,$692.72 ,$692.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601167,PATCH CATHETER SYVEK PATCH 3X3,270,,$310.68 ,$310.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601168,PATCH EYE PRESS PATCH II,270,,$21.31 ,$21.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601169,PENCIL EXTENDEVAC,270,,$155.30 ,$155.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601170,PENCIL SURGICAL DISP,270,,$20.28 ,$20.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601171,"PENROSE 1/4 - 1"" ED",270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601172,PERFORATOR CRANIAL 7MM NEURO,270,,$837.78 ,$837.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601173,PH PROBE 10CM SPACING,270,,$396.07 ,$396.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601174,PH PROBE 21 CM (PULMONARY),270,,$396.07 ,$396.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601175,PILLOW ABDUCTION LG,270,,$96.89 ,$96.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601176,PILLOW ABDUCTION MED,270,,$82.73 ,$82.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601177,PILLOW ABDUCTION SM,270,,$79.79 ,$79.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601178,PILLOW DISPOSABLE,270,,$33.40 ,$33.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601179,"PILLOW HEADREST 7""",270,,$50.84 ,$50.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601180,PILLOW WAL-PIL-O,270,,$469.97 ,$469.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601181,PIN PLATE HOLDING ATLANTIS,270,,$446.73 ,$446.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601182,PIN SAFETY STERILE,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601183,PINCUTTER,270,,$34.59 ,$34.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601184,PLATE 3.5 LC-DCP 12H 155MM,270,C1713,$598.76 ,$598.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601185,PLATE ANTERIOR CERVICAL ATLANTIS,270,,"$3,642.10 ","$3,642.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601186,PLATE BOXCAR 8-H 11M X 25MM,270,,"$1,061.00 ","$1,061.00 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601187,PLATE CONDYLE 10-H 95DEGREES(OHS),270,C1713,"$2,208.84 ","$2,208.84 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601188,PLATE CONDYLE 12-H 95DEGREES(OHS),270,C1713,"$2,429.55 ","$2,429.55 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601189,PLATE CONDYLE 6-H 95DEGREES (OHS),270,C1713,"$2,208.84 ","$2,208.84 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601190,PLATE F/MODULAR HAND ALL SIZES,270,C1713,$750.16 ,$750.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601191,PLATE HIOP H2 L43 140 DEG OHS,270,C1713,"$1,434.76 ","$1,434.76 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601192,PLATE LC-DCP 4.5 11 HOLE 196MM,270,C1713,$651.63 ,$651.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601193,PLATE T-SM 5H,270,C1713,$378.51 ,$378.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601194,PLIERS,270,,$34.59 ,$34.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601195,POPE EPISTAXIS PACK 10CM DRAWSTRG,270,,$72.56 ,$72.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601196,PORT D LUMEN MRI 9.5FR BARDPORT,270,C1751,"$4,918.64 ","$4,918.64 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601197,PORT LUMEN MRI BARDPORT 10FR,270,C1751,"$4,918.64 ","$4,918.64 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601198,PORT MRI D LUMEN 10FR GROSHONG,270,,"$4,918.64 ","$4,918.64 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601199,PORT VENTRICULAR 16MM,270,,"$1,310.20 ","$1,310.20 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601200,PRESSURE TUBING SET LABORIE STER,270,,$29.41 ,$29.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601201,PRESSURIZER NOZZLE,270,,$85.86 ,$85.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601202,PREVEN-A-STICK II PS2,270,,$20.85 ,$20.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601203,PREVENT-A-STICK WITH TOWEL,270,,$247.17 ,$247.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601204,PROBE 10FR THE SILVER ARC,270,,"$1,405.96 ","$1,405.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601205,PROBE 7FR THE SILVER ARC,270,,"$1,405.96 ","$1,405.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601206,PROBE BICAP HEMORRHOID STERILE,270,,$210.95 ,$210.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601207,PROBE DETECTOR INFRAVISION,270,,$806.79 ,$806.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601208,PROBE DOPPLER VDP-8,270,,$345.73 ,$345.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601209,PROBE FLEXIBLE LITHOCLAST 0.89MM,270,,"$1,438.01 ","$1,438.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601210,PROBE GOLD 10 FR,270,,"$1,163.39 ","$1,163.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601211,PROBE GOLD 7FR,270,,"$1,163.39 ","$1,163.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601212,PROBE GOLD 7FR 300CM,270,,"$1,163.39 ","$1,163.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601213,PROBE PRASS STD MONO STIMULATING,270,,$439.94 ,$439.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601214,PROBE SCHERO GOLD INJ 10FR,270,,"$1,565.80 ","$1,565.80 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601215,PROBE SCHERO GOLD INJ 7FR,270,,"$1,565.80 ","$1,565.80 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601216,PROBE ULTORID DISP,270,,$242.73 ,$242.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601217,PROS CLASSIC STAPES,270,,$726.68 ,$726.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601218,PROS FISCH FLUORPLST PISTON 4MM,270,,$694.92 ,$694.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601219,PROS THOMPSON REGULAR 47MM(17/8),270,C1813,"$4,465.40 ","$4,465.40 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601220,PUDDLE GUPPY,270,,$56.45 ,$56.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601221,PULSE SPRAY SET 5FRX135CMX5CM,270,C1887,"$1,209.88 ","$1,209.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601222,PUMP BREAST DOUBLE,270,,$167.40 ,$167.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601223,PUMP BREAST SPRING CONV,270,,$21.31 ,$21.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601224,PUMP BREAST SPRING EXPRESS,270,,$95.27 ,$95.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601225,PUMP PAIN BREG 10320,270,,$596.40 ,$596.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601226,PUNCH BIOPSY 2.0MM,270,,$9.64 ,$9.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601227,PUNCH BIOPSY 3.0MM,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601228,PUNCH BIOPSY 4.0MM,270,,$9.64 ,$9.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601229,PUNCH BIOPSY 5.0MM,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601230,PUNCH SKIN CUTANEOUS,270,,$34.59 ,$34.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601231,RAPID FIRE MULTIPLE BAND LIGATOR,270,,"$1,837.45 ","$1,837.45 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601232,RASP CROSS CUT LG,270,,$911.20 ,$911.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601233,"REACHER 32""",270,,$77.12 ,$77.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601234,REAMERS CORING ACL 10MM,270,,$887.42 ,$887.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601235,REAMERS CORING ACL 11MM,270,,$887.42 ,$887.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601236,REAMERS CORING ACL 12MM,270,,$887.42 ,$887.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601237,REAMERS CORING ACL 9MM,270,,$887.42 ,$887.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601238,REDUCER 5-12 MM VALVE # CD775,270,,$121.16 ,$121.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601239,REDUCER 5-12 MM VALVE # GD650,270,,$36.93 ,$36.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601240,REDUCER MULTISEAL 3.0-3.5MM,270,,$30.12 ,$30.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601241,REMOVER FOREIGN BODY SCHUKNECH,270,,$103.84 ,$103.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601242,REMOVER SKIN STAPLE,270,,$61.89 ,$61.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601243,REPLACEMENT TRANSDUCER,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601244,RESERVIOR VEN/SNAP (N),270,,$830.84 ,$830.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601245,RESERVOIR BLOOD CBC II,270,,$676.28 ,$676.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601246,RESIN SECOUR ACRYLIC,270,,$573.94 ,$573.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601247,RESTRAINT BELT TORSO SUPPORT L,270,,$33.71 ,$33.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601248,RESTRAINT BELT TORSO SUPPORT M,270,,$33.71 ,$33.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601249,RESTRAINT BELT TORSO SUPPORT S,270,,$33.71 ,$33.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601250,RESTRAINT PELVIC HOLDER LARGE,270,,$43.90 ,$43.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601251,RESTRAINT PELVIC HOLDER MEDIUM,270,,$43.90 ,$43.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601252,RETRACTOR ENDO II (FAN),270,,"$1,141.51 ","$1,141.51 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601253,RETRACTOR VAGINAL MICROVA 820-104,270,,$465.51 ,$465.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601254,RETRIEVAL BALLOON 3 LUMEN 15MM,270,,$702.93 ,$702.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601255,RETRIEVAL BALLOON RPD EXCH 11.5MM,270,,$579.25 ,$579.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601256,RETRIEVAL BALLOON RPD EXCH 15MM,270,,$579.25 ,$579.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601257,RETRIEVAL BALLOONS 11.5MM O D,270,,$677.36 ,$677.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601258,RETRIEVAL BALLOONS 15MM O D,270,,$671.13 ,$671.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601259,RETRIEVER MINI STENT F/ENDO RE,270,,$799.08 ,$799.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601260,RINSE WOUND ORAL .825,270,,$46.40 ,$46.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601261,ROTATABLE ROTH RETRIEVAL NET,270,C1773,$310.25 ,$310.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601262,"RUBBER RING INVALID DISP 16""",270,,$46.40 ,$46.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601263,SAVE A TOOTH 3M,270,,$106.69 ,$106.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601264,SCALPEL 10-15 ED,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601265,SCALPEL SZ 10 DISP STERILE,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601266,SCALPEL SZ 11 DISP STERILE,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601267,SCALPEL SZ 15 DISP STERILE,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601268,SCAPEL,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601269,SCEW INTERFERENCE W/SHEATH 7X25,270,C1713,$713.70 ,$713.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601270,SCISSOR BIPOLAR EVERSHEAR 33CM,270,,$632.76 ,$632.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601271,"SCISSORS GP WIRECUT ANGLE 4.5""",270,,$52.14 ,$52.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601272,"SCISSORS STRAIGHT B/B 6 1/2""",270,,$35.44 ,$35.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601273,SCLEROTHERAPY NDL 5MM 25GA 160CM,270,,"$1,148.14 ","$1,148.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601274,SCREW 4.5 OR 4.0 ATLANTIS,270,C1713,$983.42 ,$983.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601275,SCREW BIO-INTERF F/THD 8X28,270,C1713,$837.78 ,$837.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601276,SCREW BIO-INTERFER 10X23 F/THD/SH,270,C1713,$837.78 ,$837.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601277,SCREW BIO-INTERFER 10X28 F/THD,270,C1713,$837.78 ,$837.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601278,SCREW BIO-INTERFER 7X23 F/THD W/S,270,C1813,$837.78 ,$837.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601279,SCREW BIO-INTERFER 9X23 F/THD W/S,270,C1713,$837.78 ,$837.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601280,SCREW BIO-INTERFER 9X28 F/THD,270,C1713,$837.78 ,$837.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601281,SCREW BIO-INTERFER F/THD 7X28,270,C1713,$837.78 ,$837.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601282,SCREW CORTEX 3.5MMX30MM-L ST,270,C1713,$82.62 ,$82.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601283,SCREW CORTEX 4.5MMX62MM ST,270,C1713,$65.90 ,$65.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601284,SCREW CORTEX 4.5MMX66MM ST,270,C1713,$65.90 ,$65.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601285,SCREW CORTEX 4.5MMX68MM ST,270,C1713,$65.90 ,$65.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601286,SCREW F/MODULAR HAND ALL SIZES,270,C1713,$257.82 ,$257.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601287,SCREW INTERFERENCE 10X20 CANNULAT,270,C1713,$589.31 ,$589.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601288,SCREW INTERFERENCE 10X25,270,C1713,$589.31 ,$589.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601289,SCREW INTERFERENCE 10X30,270,C1713,$589.31 ,$589.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601290,SCREW INTERFERENCE 7X20 CANNULATE,270,C1713,$589.31 ,$589.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601291,SCREW INTERFERENCE 7X20 W/SHEATH,270,C1713,$713.70 ,$713.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601292,SCREW INTERFERENCE 7X25 CANNULATE,270,C1713,$589.31 ,$589.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601293,SCREW INTERFERENCE 7X30 CANNULATE,270,C1713,$589.31 ,$589.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601294,SCREW INTERFERENCE 7X30 W/SHEATH,270,C1713,$713.70 ,$713.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601295,SCREW INTERFERENCE 8X20 CANNULATE,270,C1713,$589.31 ,$589.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601296,SCREW INTERFERENCE 8X20 W/SHEATH,270,C1713,$713.70 ,$713.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601297,SCREW INTERFERENCE 8X25 CANNULATE,270,C1713,$589.31 ,$589.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601298,SCREW INTERFERENCE 8X25 W/SHEATH,270,C1713,$713.70 ,$713.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601299,SCREW INTERFERENCE 8 X30 CANNULATE,270,C1713,$589.31 ,$589.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601300,SCREW INTERFERENCE 8X30 W/SHEATH,270,C1713,$713.70 ,$713.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601301,SCREW INTERFERENCE 9X20 CANNULATE,270,C1713,$589.31 ,$589.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601302,SCREW INTERFERENCE 9X20 W/SHEATH,270,C1713,$713.70 ,$713.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601303,SCREW INTERFERENCE 9X25 CANNULATE,270,C1713,$589.31 ,$589.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601304,SCREW INTERFERENCE 9X25 W/SHEATH,270,C1713,$713.70 ,$713.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601305,SCREW INTERFERENCE 9X30 CANNUALTE,270,,$589.31 ,$589.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601306,SCREW LAB OHS 14.0X100,270,C1713,"$1,154.51 ","$1,154.51 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601307,SCREW LAG OHS 12.7X120,270,C1713,"$1,144.60 ","$1,144.60 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601308,SCREW LAG OHS 14.0X105,270,C1713,"$1,144.60 ","$1,144.60 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601309,SCREW LOCKING THREAD 04 X 28 MM,270,C1713,$555.61 ,$555.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601310,SCREW LOCKING THREAD 04 X 36 MM,270,C1713,$555.61 ,$555.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601311,SCREW SET GAMMA,270,C1713,$515.13 ,$515.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601312,SENSORMATS F/BEDCHECK UNIT,270,,$213.91 ,$213.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601313,SET BLOOD FILTER TRANSFUSION,270,,$53.77 ,$53.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601314,SET BLOOD FILTER W/Y TYPE SET,270,,$341.68 ,$341.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601315,SET BLOOD SOL ADMIN Y-TYPE,270,,$212.43 ,$212.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601316,SET BLOOD TRANSFUSER FILTER,270,,$341.68 ,$341.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601317,SET BLOOD TUBING F/BMII,270,,$171.07 ,$171.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601318,SET CATHERIZATION RAD ARTERY,270,,$206.40 ,$206.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601319,SET CATHETER FEMORAL ARTERY,270,,$101.95 ,$101.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601320,SET CENTRAL VENOUS,270,,$52.14 ,$52.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601321,SET CENTRAL VENOUS CATH DRESSING,270,,$121.16 ,$121.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601322,SET CHEST PLEUR-EVAC,270,,"$1,220.69 ","$1,220.69 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601323,SET DRESSING,270,,$85.37 ,$85.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601324,SET DRESSING W/THUMB FORCEP DISP,270,,$40.46 ,$40.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601325,SET DUOFLO SPRAY NEURO,270,,$230.05 ,$230.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601326,"SET EXTENSION CONVERT 4""",270,,$63.84 ,$63.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601327,SET FILIFORM FOLLOWERS,270,,$546.89 ,$546.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601328,SET FILIFORMS,270,,$318.07 ,$318.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601329,SET FLUID WARMER IV D-100,270,,$445.29 ,$445.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601330,SET FLUID WARMER IV D-50,270,,$187.30 ,$187.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601331,SET FLUID WARMING HOTLINE,270,,$82.16 ,$82.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601332,SET IV STERILE,270,,$17.14 ,$17.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601333,SET OATS HARVESTER 5MM 5/6MM,270,,"$3,035.70 ","$3,035.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601334,SET OATS HARVESTER 6MM 6/7MM,270,,"$3,035.70 ","$3,035.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601335,SET OATS HARVESTER 7MM 7/8MM,270,,"$3,035.70 ","$3,035.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601336,SET OATS HARVESTER 8MM 8/9MM,270,,"$3,035.70 ","$3,035.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601337,SET OATS HARVESTER 9MM 9/10MM,270,,"$3,035.70 ","$3,035.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601338,SET ROSCH-THURMOND CATH SET,270,,$471.24 ,$471.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601339,SET SUBCLAVIAN JUG,270,,$142.40 ,$142.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601340,SET SUTURE REMOVAL W/SUTR FORCEP,270,,$39.30 ,$39.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601341,SET VACUUM PUMP,270,,$542.35 ,$542.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601342,SHAMPOO HAIR & BODY,270,,$36.83 ,$36.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601343,SHEARS LAP COAG 5MM BLUNT LCSB5,270,,"$2,077.11 ","$2,077.11 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601344,SHEATH 3.5 SUCTION VAPR,270,,$93.22 ,$93.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601345,SHEATH 7FR 4CM ARTERIAL,270,C1892,$92.04 ,$92.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601346,SHEATH 7FR 4 CM VENOUS,270,C1892,$92.04 ,$92.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601347,SHEATH PINNACLE 10/10/.038,270,C1893,$111.39 ,$111.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601348,SHEATH PINNACLE 10/25/.038,270,C1893,$214.24 ,$214.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601349,SHEATH PINNACLE 11/10/.038,270,C1893,$114.95 ,$114.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601350,SHEATH PINNACLE 11/25/.038,270,C1893,$214.24 ,$214.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601351,SHEATH PINNACLE 5/25/.038,270,C1893,$214.24 ,$214.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601352,SHEATH PINNACLE 6/10/.038,270,C1893,$114.95 ,$114.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601353,SHEATH PINNACLE 6/25/.038,270,C1893,$214.24 ,$214.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601354,SHEATH PINNACLE 7/10/.038,270,C1893,$114.95 ,$114.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601355,SHEATH PINNACLE 7/25/.038,270,C1893,$202.99 ,$202.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601356,SHEATH PINNACLE 8/10/.038,270,C1893,$114.95 ,$114.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601357,SHEATH PINNACLE 8/25/.038,270,C1893,$239.20 ,$239.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601358,SHEATH PINNACLE 9/10/.038,270,C1893,$111.39 ,$111.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601359,SHEATH PINNACLE 9/25/.038,270,C1893,$214.24 ,$214.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601360,SHEATH REPLACEMENT 240CM,270,,$223.83 ,$223.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601361,SHEATH TEAR AWAY INTRODUCER,270,,$236.25 ,$236.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601362,SHEET HIP W/POUCH,270,,$572.02 ,$572.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601363,SHEET OB DRAPE CAESAREN,270,,$798.30 ,$798.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601364,SHEET PLAIN STERILE,270,,$34.59 ,$34.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601365,SHEET SPLIT,270,,$176.96 ,$176.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601366,SHEETING BURN,270,,$150.53 ,$150.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601367,SHEILD EYE FOX,270,,$21.31 ,$21.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601368,SHELL BREAST STERILE,270,,$44.93 ,$44.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601369,SHIELD FULLER,270,,$211.13 ,$211.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601370,SHIELD NIPPLE NB SMALL,270,,$20.98 ,$20.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601371,SHIELD NIPPLE REGULAR NEWBORN,270,,$21.70 ,$21.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601372,SHOE POST-OP FEMALE LARGE,270,,$52.14 ,$52.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601373,SHOE POST-OP FEMALE MEDIUM,270,,$52.14 ,$52.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601374,SHOE POST-OP FEMALE SMALL,270,,$52.14 ,$52.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601375,SHOE POST-OP MALE LARGE,270,,$52.14 ,$52.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601376,SHOE POST-OP MALE MEDIUM,270,,$53.77 ,$53.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601377,SHOE POST-OP MALE SMALL,270,,$52.14 ,$52.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601378,SHOEHORN WITH CURVE GRIP,270,,$14.19 ,$14.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601379,SHUNT DENVER ASCITES #7637,270,,"$4,100.78 ","$4,100.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601380,SITZ BATH DISP,270,,$44.00 ,$44.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601381,SIZER EEA 21/25MM,270,,$115.11 ,$115.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601382,SIZER EEA 25/28MM,270,,$115.11 ,$115.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601383,SIZER EEA 28/31,270,,$115.11 ,$115.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601384,SIZER EEA 31/34MM,270,,$115.11 ,$115.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601385,SKIN DEGREASE AEROPREP 4OZ,270,,$69.72 ,$69.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601386,SLEEVE COMPRESSION,270,,$653.73 ,$653.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601387,SLEEVE FOOT COVER REG/PR,270,,$851.98 ,$851.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601388,SLEEVE FOOTCOVER LG/PER,270,,$851.98 ,$851.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601389,SLEEVE SC KNEE LENGTH,270,,$851.98 ,$851.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601390,SLEEVE SC THIGH LENGTH EX LG,270,,$301.69 ,$301.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601391,SLEEVE SC THIGH LENGTH REG,270,,$251.89 ,$251.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601392,SLEEVE SC THIGH LENGTH SMALL,270,,"$1,147.26 ","$1,147.26 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601393,SLING 2325 SM - LG ED,270,,$80.68 ,$80.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601394,SLING 2350 SM - LG ED,270,,$157.80 ,$157.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601395,SLING 2380 SM - LG ED,270,,$106.69 ,$106.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601396,SLING ARM,270,,$220.58 ,$220.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601397,SLING ARM CAST 2350 XLG,270,,$157.80 ,$157.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601398,SLING ARM CAST LG 2350,270,,$157.80 ,$157.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601399,SLING ARM CAST MED 2350,270,,$157.80 ,$157.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601400,SLING ARM CAST SM 2350,270,,$157.80 ,$157.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601401,SLING ARM LG 2325,270,,$80.68 ,$80.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601402,SLING ARM MED 2325,270,,$80.68 ,$80.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601403,SLING ARM PEDIATRIC,270,,$35.50 ,$35.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601404,SLING ARM SMALL 2325,270,,$80.68 ,$80.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601405,SLING ARM STRAP XLG 2380,270,,$106.69 ,$106.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601406,SLING ARM STRAPS LG 2380,270,,$106.69 ,$106.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601407,SLING ARM STRAPS MED 2380,270,,$106.69 ,$106.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601408,SLING ARM STRAPS SM 2380,270,,$106.69 ,$106.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601409,SLING ARM SWATHE PEDIATRIC,270,,$139.02 ,$139.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601410,SLING-KNEE POLYESTER,270,,$698.78 ,$698.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601411,SMARTPIN-SRPLLA FIXATION,270,,$631.88 ,$631.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601412,SNARE AND SHEATH 15MM*.015DIA,270,,$102.10 ,$102.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601413,SNARE ASSEMBLY DISP OVAL,270,,$134.32 ,$134.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601414,SNARE BIPOLAR POLYP W/HANDLE,270,,$222.34 ,$222.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601415,SNARE DUCK BILL AND SHEATH 25M,270,,$102.10 ,$102.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601416,SNARE JUMBO OVAL DISP,270,,$139.29 ,$139.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601417,SNARE STANDARD OVAL ACU,270,,$140.66 ,$140.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601418,SNARE STD CRECENT DISP,270,,$141.98 ,$141.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601419,SOL DIALYSATE PREMXD F/HEMODIAFIL,270,,$237.73 ,$237.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601420,SOL DIANEAL 4.25% 2.35L,270,,$261.06 ,$261.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601421,SOL H20 250/1000/1500,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601422,SOL SC .9% F/IRRIG 500ML,270,,$161.32 ,$161.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601423,SOL SC IRR. 500/1000CC,270,,$161.32 ,$161.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601424,SOL WATER STERILE F/IRRIG 1000ML,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601425,SOL WATER STERILE F/IRRIG 1500ML,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601426,SOL WATER STERILE F/IRRIG 250ML,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601427,SOLUTION BETADINE WASH 8 OZ,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601428,SOUNDS UROLOGICAL,270,,$58.08 ,$58.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601429,SP BAG 600ML GRAVITY DRAINAGE,270,,$65.14 ,$65.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601430,SP BOTTLE 2000ML VACCUM,270,,$24.67 ,$24.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601431,SP CATH 8FR 100CM FISHER/PLUM,270,,$95.45 ,$95.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601432,SP CATH COBRA HNB 6.0/38/80,270,,$95.45 ,$95.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601433,SP CATH IMAGER II CONTR 4FR 65CM,270,,$86.75 ,$86.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601434,SP CATHETER 4FR 90 CM PIGTAIN,270,,$86.75 ,$86.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601435,SP CATHETER 4FR BERENSTEIN 100 CM,270,,$86.75 ,$86.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601436,SP CATHETER 4FR BERENSTEIN 65CM,270,,$86.75 ,$86.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601437,SP CATHETER 4FR C2 65CM,270,,$86.75 ,$86.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601438,SP CATHETER COBRA 4FR 90CM,270,,$86.43 ,$86.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601439,SP CATHETER HN2 4FR,270,,$96.18 ,$96.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601440,SP CATHETER HN2 4FR 100 CM,270,,$96.18 ,$96.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601441,SP CATHETER HN5 4FR,270,,$91.76 ,$91.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601442,SP CATHETER IMAGER II 4FR SIMMONS,270,,$86.75 ,$86.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601443,SP CATHETER OMNI FLUSH 4FR 90CM,270,,$182.49 ,$182.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601444,SP CATHETER ST/10S4 4FR 90 CM,270,,$80.68 ,$80.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601445,SP CATHETER STRAIGHT 3FR 65 CM,270,,$80.68 ,$80.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601446,SP CATHETER TORCON 7FR 100CM MPA,270,,$198.70 ,$198.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601447,"SP COVER C-ARM 48 X 27""",270,,$20.98 ,$20.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601448,"SP DRESSING PRIMAPORE 4""X3"" 1/8",270,,$2.96 ,$2.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601449,"SP DRESSING PRIMAPORE 6""X3"" 1/8",270,,$2.52 ,$2.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601450,SP GUIDEWIRE 25-260-3MM,270,,$93.22 ,$93.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601451,SP HEMOSTAT D-STAT DRY,270,C1760,$552.98 ,$552.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601452,"SP INJECTION LINE CONTRAST 72""",270,,$42.87 ,$42.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601453,SP KIT 4FR PEELABLE ENTRY,270,,$198.13 ,$198.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601454,SP MINI STICK VASCULAR ENTRY 4FR,270,,$161.76 ,$161.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601455,SP NEEDLE BIOSPY 13GA BELVED,270,,$205.30 ,$205.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601456,SP NEEDLE BIPSY 13GA DIAMOND,270,,$205.30 ,$205.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601457,SP NEEDLE CHIBA 22-10-6,270,,$57.91 ,$57.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601458,SP NEEDLE CHIBA 22-15-U,270,,$57.91 ,$57.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601459,SP SET FLUID MANAGEMENT,270,,$63.99 ,$63.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601460,SP SHEATH DESTINATION 6FR 038-45,270,C1892,$603.89 ,$603.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601461,SP VISE MULTI TORQUE 014-038,270,,$30.04 ,$30.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601462,SPAN-AIDE FOOT DROP STOP,270,,$459.58 ,$459.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601463,SPECIPAN,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601464,SPECULA VAGINAL MEDIUM,270,,$21.31 ,$21.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601465,SPECULA VAGINAL SMALL,270,,$21.31 ,$21.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601466,SPEEDBAND LIGATOR,270,,"$1,581.57 ","$1,581.57 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601467,SPHINCTEROTOME 20MM WIRE RPD EXCH,270,,$659.90 ,$659.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601468,SPHINCTEROTOME BRD DBL LUMEN MT20,270,,$543.33 ,$543.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601469,SPHINCTEROTOME BRD DBL LUMEN MT25,270,,$543.33 ,$543.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601470,SPLASHSHIELD ZEROWET,270,,$21.70 ,$21.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601471,"SPLINT ALUM STRIP FINGER 1""",270,,$56.74 ,$56.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601472,"SPLINT ALUM STRIP FINGER 1/2""",270,,$41.46 ,$41.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601473,"SPLINT ALUM STRIP FINGER 3/4""",270,,$40.46 ,$40.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601474,SPLINT CONTOUR XS - LEFT,270,,$99.16 ,$99.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601475,SPLINT CONTOUR XS - RIGHT,270,,$99.16 ,$99.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601476,SPLINT DOYLE II AIRWAY,270,,$244.38 ,$244.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601477,"SPLINT FINGER 3/8"" LARGE",270,,$77.40 ,$77.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601478,"SPLINT FINGER 3/8"" MEDIUM",270,,$77.40 ,$77.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601479,"SPLINT FINGER 5"" SMALL",270,,$23.78 ,$23.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601480,"SPLINT FINGER 7"" LARGE",270,,$23.78 ,$23.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601481,"SPLINT FINGER 7/8"" MEDIUM",270,,$21.31 ,$21.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601482,"SPLINT FINGER 7/8"" X-LARGE",270,,$21.31 ,$21.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601483,SPLINT FINGER BASEBALL TYPE LARGE,270,,$21.31 ,$21.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601484,SPLINT FINGER BASEBALL TYPE SMALL,270,,$21.31 ,$21.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601485,SPLINT FINGER CRUSHED LARGE,270,,$21.31 ,$21.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601486,SPLINT FINGER CRUSHED MEDIUM,270,,$21.31 ,$21.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601487,SPLINT FINGER CRUSHED SMALL,270,,$21.31 ,$21.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601488,SPLINT FINGER STACK SZ 2,270,,$21.31 ,$21.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601489,SPLINT FINGER STACK SZ 3,270,,$21.31 ,$21.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601490,SPLINT FINGER STACK SZ 4,270,,$21.31 ,$21.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601491,SPLINT FINGER STACK SZ 5,270,,$21.31 ,$21.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601492,SPLINT FINGER STACK SZ 5.5,270,,$21.31 ,$21.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601493,SPLINT FINGER STACK SZ 6,270,,$21.31 ,$21.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601494,SPLINT FINGER STACK SZ 7,270,,$21.31 ,$21.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601495,SPLINT FINGER SZ 1,270,,$14.19 ,$14.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601496,SPLINT FOREARM LEFT LG,270,,$202.68 ,$202.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601497,SPLINT FOREARM LEFT MED,270,,$202.68 ,$202.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601498,SPLINT FOREARM LEFT SM,270,,$202.68 ,$202.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601499,SPLINT FOREARM LEFT X SM,270,,$131.74 ,$131.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601500,SPLINT FOREARM RIGHT LG,270,,$202.68 ,$202.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601501,SPLINT FOREARM RIGHT MED,270,,$32.19 ,$32.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601502,SPLINT FOREARM RIGHT SM,270,,$274.35 ,$274.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601503,SPLINT FOREARM RIGHT X SM,270,,$174.34 ,$174.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601504,SPLINT FROG LARGE,270,,$7.36 ,$7.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601505,SPLINT FROG MED,270,,$7.36 ,$7.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601506,SPLINT FROG SM,270,,$7.36 ,$7.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601507,SPLINT THOMAS THIGH PROTEC UNIV,270,,$193.41 ,$193.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601508,SPLINT WRIST COCK-UP-L-LG,270,,$118.34 ,$118.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601509,SPLINT WRIST COCK-UP-L-MED,270,,$118.34 ,$118.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601510,SPLINT WRIST COCK-UP-L-SM,270,,$118.34 ,$118.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601511,SPLINT WRIST COCK-UP-R-LG,270,,$118.34 ,$118.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601512,SPLINT WRIST COCK-UP-R-MED,270,,$118.34 ,$118.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601513,SPLINT WRIST COCK-UP R-SM,270,,$118.34 ,$118.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601514,SPLINT WRIST CONT LARGE-LEFT,270,,$99.76 ,$99.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601515,SPLINT WRIST CONT LARGE-RIGHT,270,,$99.76 ,$99.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601516,SPLINT WRIST CONT MEDIUM-LEFT,270,,$99.76 ,$99.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601517,SPLINT WRIST CONT MEDIUM-RIGHT,270,,$99.76 ,$99.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601518,SPLINT WRIST CONT SMALL-LEFT,270,,$99.76 ,$99.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601519,SPLINT WRIST CONT SMALL-RIGHT,270,,$99.76 ,$99.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601520,SPLINT WRIST RIGHT HAND XLG,270,,$282.50 ,$282.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601521,SPLINT F/A LEFT SM-LG ED,270,,$202.68 ,$202.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601522,SPLINT F/A RIGHT SM-LG ED,270,,$202.68 ,$202.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601523,SPLINT WRIST LT/RT SM-LG ED,270,,$99.76 ,$99.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601524,SPLINTS THUMB BURHAM L,270,,$69.15 ,$69.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601525,SPLINTS THUMB BURHAM-0988,270,,$69.15 ,$69.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601526,SPONGE 4X4 KERLIX 16 PLY STERILE,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601527,SPONGE ABD-SURGIPAD BOX,270,A4204,$79.48 ,$79.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601528,SPONGE BATH WITH HANDLE,270,,$18.03 ,$18.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601529,SPONGE DRAIN 4X4 PRECUT STR,270,,$188.96 ,$188.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601530,SPONGE GAUZE 2X2 STERILE 100/BX,270,A4200,$53.77 ,$53.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601531,SPONGE GAUZE 4X4 8 PLY STR BOX,270,A4200,$37.84 ,$37.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601532,SPONGE GAUZE 4X4 STER 12 PLY TR,270,A4200,$37.84 ,$37.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601533,SPONGE GAUZE STERILE,270,A4200,$83.34 ,$83.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601534,SPONGE KERLIX 4X4 12 PLY,270,,$37.84 ,$37.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601535,SPONGE LAP 18X18 W/O RING,270,,$84.35 ,$84.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601536,SPONGE TOPPER 4X4 STR,270,,$59.55 ,$59.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601537,SPONGE X-RAY DETECT 4X4 16 PLY,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601538,SPONGE GAUZE ED,270,,$37.84 ,$37.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601539,STAPLER ARTICULATE LIN STD AX55B,270,,"$1,409.63 ","$1,409.63 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601540,STAPLER ARTICULATE LIN THCK AX55G,270,,"$1,409.63 ","$1,409.63 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601541,STAPLER ARTICULATING FLEX 45 LONG,270,,"$1,349.54 ","$1,349.54 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601542,STAPLER ENDOPATH MULTIFEED,270,,$729.62 ,$729.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601543,STAPLER LINEAR CUTTER ATB35,270,,"$1,111.39 ","$1,111.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601544,STAPLER LINEAR SHRT SHFT FLEX ETS,270,,"$1,215.09 ","$1,215.09 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601545,STAPLER LINEAR TLH90 (YELLOW),270,,$690.63 ,$690.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601546,STAPLER LINEAR TX30B (BLUE),270,,$657.69 ,$657.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601547,STAPLER LINEAR TX30G (GREEN),270,,$657.69 ,$657.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601548,STAPLER LINEAR TX30V (RED),270,,$657.69 ,$657.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601549,STAPLER LINEAR TX60B (BLUE),270,,$680.31 ,$680.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601550,STAPLER LINEAR TX60G (GREEN),270,,$680.31 ,$680.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601551,STAPLER PREMIUM PLUS CEEA #31,270,,"$3,065.08 ","$3,065.08 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601552,STAPLER SKIN DISP,270,,$36.21 ,$36.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601553,STARTER KIT SNS W/O CONTAINER,270,,$27.20 ,$27.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601554,STATLOCK,270,,$16.14 ,$16.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601555,STEM #10 35MM FX ODC,270,C1776,"$1,796.96 ","$1,796.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601556,STEM #9 35MM FX ODC,270,C1776,"$1,796.96 ","$1,796.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601557,STEM FEMORAL #6,270,C1776,"$9,508.15 ","$9,508.15 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601558,STEM FEMORAL #7,270,C1776,"$9,685.25 ","$9,685.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601559,STEM FEMORAL #8,270,C1776,"$9,508.15 ","$9,508.15 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601560,STEM FEMORAL #9,270,C1776,"$9,508.15 ","$9,508.15 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601561,STEM FEMORAL #10,270,C1776,"$15,516.25 ","$15,516.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601562,STEM FEMORAL #6 30MM,270,C1776,"$11,485.17 ","$11,485.17 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601563,STEM FEMORAL #9,270,C1776,"$9,508.15 ","$9,508.15 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601564,STEM HIP #10 35MM ODC,270,C1776,"$2,462.03 ","$2,462.03 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601565,STEM HIP #11 40MM ODC,270,C1776,"$2,462.03 ","$2,462.03 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601566,STEM HIP #5 25MM ODC,270,C1776,"$2,462.03 ","$2,462.03 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601567,STEM HIP #6 25MM FX ODC,270,C1776,"$1,796.96 ","$1,796.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601568,STEM HIP #7 30 MM FX ODC,270,C1776,"$1,796.96 ","$1,796.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601569,STEM HIP #8 30MM FX ODC,270,C1776,"$1,796.96 ","$1,796.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601570,STEM HIP #8 30MM ODC,270,C1776,"$2,462.03 ","$2,462.03 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601571,STEM PRIMARY SECURE FIT,270,C1776,"$12,342.26 ","$12,342.26 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601572,STEM PRIMARY SECURE FIT PLUS #10,270,C1776,"$12,342.26 ","$12,342.26 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601573,STEN RFEMORAL #11,270,C1776,"$14,347.28 ","$14,347.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601574,STEM HIP #6 25MM ODC,270,C1776,"$2,462.03 ","$2,462.03 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601575,STEM HIP #7 30MM ODC,270,C1776,"$2,462.03 ","$2,462.03 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601576,STEM HIP #9 35MM ODC,270,C1776,"$2,462.03 ","$2,462.03 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601577,STENT BILIARY FLEXIMA 10FRX10CM,270,C1877,$614.09 ,$614.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601578,STENT BILIARY FLEXIMA 10FRX10CM,270,C1877,$614.09 ,$614.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601579,STENT BILIARY FLEXIMA 10FRX12CM,270,C1877,$614.09 ,$614.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601580,STENT BILIARY FLEXIMA 10FRX5CM,270,C1877,$614.09 ,$614.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601581,STENT BILIARY FLEXIMA 10FRX7CM,270,C1877,$614.09 ,$614.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601582,STENT BILIARY FLEXIMA 7FRX10CM,270,C1877,$614.09 ,$614.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601583,STENT BILIARY FLEXIMA 7FRX12CM,270,C1877,$614.09 ,$614.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601584,STENT BILIARY FLEXIMA 7FRX5CM,270,C1877,$614.09 ,$614.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601585,STENT BILIARY FLEXIMA 7FRX7CM,270,C1877,$614.09 ,$614.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601586,STENT BILIARY S PASS 10FR 10CM,270,C1877,$656.05 ,$656.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601587,STENT BILIARY S PASS 10FR 12CM,270,C1877,$658.28 ,$658.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601588,STENT BILIARY SOLO PASS 7FR 12CM,270,C1877,$639.07 ,$639.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601589,STENT BILIARY SOLOR PASS 10FR 5CM,270,C1877,$658.28 ,$658.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601590,STENT CONTOUR 6X24,270,C1877,$862.73 ,$862.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601591,STENT CONTOUR 6X26,270,C1877,$894.64 ,$894.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601592,STENT CONTOUR 6X28,270,C1877,$894.64 ,$894.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601593,STENT ENDOPYELOTOMY 7/10FR X 26CM,270,C1877,"$1,114.33 ","$1,114.33 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601594,STENT ENDOPYELOTOMY 7/10FR X 28CM,270,C1877,"$1,114.33 ","$1,114.33 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601595,STENT GENESIS 8/39/80,270,C1877,"$15,898.99 ","$15,898.99 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601596,STENT MULTI 6FR DBL J BARD,270,C1877,$682.68 ,$682.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601597,STENT NEPH IE/8/22,270,C1876,$651.63 ,$651.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601598,STENT PANCREATIC SET 5FR 5CM,270,C1877,$664.79 ,$664.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601599,STENT PANCREATIC SET 5FR 7CM,270,C1877,$664.79 ,$664.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601600,STENT PERCUFLEX 4.8X24,270,C1876,$862.73 ,$862.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601601,STENT PERCUFLEX 8X26CM,270,C1876,$789.18 ,$789.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601602,STENT SINUS RAINS FRONTAL,270,,$206.80 ,$206.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601603,STENT STRETCH 4.8FR # 185-155,270,C1877,$868.56 ,$868.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601604,STENT STRETCH 6FR #185-156,270,C1877,$868.56 ,$868.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601605,STENT STRETCH 7FR # 185-157,270,C1877,$868.56 ,$868.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601606,STENT URENTERAL BARD-INLAY W/O GW,270,C1876,$602.42 ,$602.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601607,STERI - STRIP 1/2 X 4,270,,$30.71 ,$30.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601608,STERI - STRIP 1/4 X 3,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601609,STERI-STRIP,270,,$58.08 ,$58.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601610,STICK PUDDLE GUPPY,270,,$20.85 ,$20.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601611,STICK REACHER & DRESSING,270,,$21.31 ,$21.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601612,STOCKINETT ORTHO 6X5 PRE PK,270,,$125.59 ,$125.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601613,STOCKINETTE 4 X 60,270,,$32.95 ,$32.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601614,STOCKINETTE 8X5 PRE PK,270,,$168.45 ,$168.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601615,"STOCKINETTE LF IMPERV 8""",270,,$48.63 ,$48.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601616,STOCKINETTE STER,270,,$189.82 ,$189.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601617,STOCKING AMTI-EMB KNEE ED,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601618,STOCKING ANTI-EMBO KNEE L-REG,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601619,STOCKING ANTI-EMBO KNEE LG-LONG,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601620,STOCKING ANTI-EMBO KNEE M-LONG,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601621,STOCKING ANTI-EMBO KNEE M-REG,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601622,STOCKING ANTI-EMBO KNEE S-LONG,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601623,STOCKING ANTI-EMBO KNEE S-REG,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601624,STOCKING ANTI-EMBO KNEE XL-LONG,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601625,STOCKING ANTI-EMBO KNEE XL-REG,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601626,STOCKING ANTI-EMBO THIGH LG-LONG,270,,$168.45 ,$168.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601627,STOCKING ANTI-EMBO THIGH LG-RG,270,,$182.84 ,$182.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601628,STOCKING ANTI-EMBO THIGH LG-ST,270,,$182.84 ,$182.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601629,STOCKING ANTI-EMBO THIGH MD-LG,270,,$176.96 ,$176.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601630,STOCKING ATNI-EMBO THIGH MD-RG,270,,$182.84 ,$182.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601631,STOCKING ANTI=EMBO THIGH MD-ST,270,,$182.84 ,$182.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601632,STOCKING ANTI-EMBO THIGH SM RG,270,,$182.84 ,$182.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601633,STOCKING ANTI-EMBO THIGH SM-LG,270,,$156.47 ,$156.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601634,STOCKING ANTI-EMBO THIGH SM-ST,270,,$156.47 ,$156.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601635,STOCKING ANTI-EMBO THIGH XL-LONG,270,,$237.26 ,$237.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601636,STOCKING ANTI-EMBO THIGH XL-RG,270,,$237.26 ,$237.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601637,STOCKINGS ANTIEMBOLI,270,,$265.92 ,$265.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601638,STONE BASKET PURSUER,270,,$799.08 ,$799.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601639,STONE EXTRACTOR ESCORT BALLOON,270,,$50.84 ,$50.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601640,STOPCOCK 3-WAY STR DISP,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601641,"STOPCOCK 3-WAY W/20"" EXTENSION",270,,$36.83 ,$36.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601642,STRAP TENNIS ELBOW LG,270,,$40.79 ,$40.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601643,STRAP TENNIS ELBOW MED,270,,$40.79 ,$40.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601644,STRAP TENNIS ELBOW SM,270,,$40.79 ,$40.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601645,STRAP TENNIS ELBOW XLG,270,,$40.79 ,$40.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601646,STRAPS MONTGOMERY,270,,$37.84 ,$37.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601647,STRIP PROXI 1/2 X 4CM,270,,$48.73 ,$48.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601648,STRIP REAGENT ALBUSTIX,270,,$174.34 ,$174.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601649,STRIPPROXI 1/2 X 4CM,270,,$48.73 ,$48.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601650,SUCTION - YANKAUER,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601651,SUCTION INST INST 8FR FRAZIER,270,,$21.31 ,$21.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601652,SUCTION POLOP TRAP,270,,$49.96 ,$49.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601653,SUPPORT WRIST W/FOREARM L-LG,270,,$60.17 ,$60.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601654,SUPPORT WRIST W/FOREARM L-MED,270,,$60.17 ,$60.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601655,SUPPORT WRIST W/FOREARM L-SM,270,,$60.17 ,$60.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601656,SUPPORT WRIST W/FOREARM R-LG,270,,$60.17 ,$60.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601657,SUPPORT WRIST W/FOREARM R-MED,270,,$60.17 ,$60.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601658,SUPPORT WRIST W/FOREARM R-SM,270,,$60.17 ,$60.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601659,SUPPORT WRIST W/FOREARM R-XLG,270,,$60.17 ,$60.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601660,SUPPORTER ATHLETIC,270,,$89.21 ,$89.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601661,SUPPORTER ATHLETIC LG,270,,$89.21 ,$89.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601662,SUPPORTER ATHLETIC MED,270,,$89.21 ,$89.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601663,SUPPORTER ATHLETIC SM,270,,$89.21 ,$89.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601664,SUPPORTER ATHLETIC X-LG,270,,$89.21 ,$89.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601665,SUTURE 0 VICRYL J603H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601666,SUTURE 0-SILK A186H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601667,SUTURE 1 CHROMIC 905H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601668,SUTURE 1663G,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601669,SUTURE 1666G,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601670,SUTURE 1667G,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601671,SUTURE 1672H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601672,SUTURE 1677G,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601673,SUTURE 1684G,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601674,SUTURE 1696G,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601675,SUTURE 1698G,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601676,SUTURE 1916G,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601677,SUTURE 2-0 SILK A185H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601678,SUTURE 3-0 SILK A184H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601679,SUTURE 3-0 VICRYL J774D,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601680,SUTURE 3846T,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601681,SUTURE 4-0 CHROMIC 1654G,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601682,SUTURE 4-0 PLAIN H821-H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601683,SUTURE 4-0 SILK A183H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601684,SUTURE 490T,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601685,SUTURE 5-0 PLAIN H820H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601686,SUTURE 5-0 SILK A182H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601687,SUTURE 618G,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601688,SUTURE 623H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601689,SUTURE 626H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601690,SUTURE 640H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601691,SUTURE 667G,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601692,SUTURE 678H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601693,SUTURE 685H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601694,SUTURE 686G,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601695,SUTURE 697G,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601696,SUTURE 698G,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601697,SUTURE 699H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601698,SUTURE 811H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601699,SUTURE 812H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601700,SUTURE 813H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601701,SUTURE 816H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601702,SUTURE 817H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601703,SUTURE 8434H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601704,SUTURE 846H 3-0 PLAIN GUT,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601705,SUTURE 852H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601706,SUTURE 865H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601707,SUTURE 885H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601708,SUTURE 898H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601709,SUTURE ASSISTANT DURAKNOT,270,,$848.73 ,$848.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601710,SUTURE B516H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601711,SUTURE B518H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601712,SUTURE CC01G,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601713,SUTURE CO13T,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601714,SUTURE CO14T,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601715,SUTURE CS,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601716,SUTURE CX27T,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601717,SUTURE ETHIBOND 2-0 # PXX86,270,,$366.09 ,$366.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601718,SUTURE G121H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601719,SUTURE G122H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601720,SUTURE G123H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601721,SUTURE G124H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601722,SUTURE G153H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601723,SUTURE G322H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601724,SUTURE J205G,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601725,SUTURE J207G,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601726,SUTURE J315H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601727,SUTURE J316H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601728,SUTURE J317,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601729,SUTURE J338H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601730,SUTURE J339H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601731,SUTURE J340H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601732,SUTURE J341H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601733,SUTURE J364H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601734,SUTURE J398H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601735,SUTURE J489G,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601736,SUTURE J490G,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601737,SUTURE J493H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601738,SUTURE J494G,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601739,SUTURE J496G,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601740,SUTURE J500G,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601741,SUTURE J513G,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601742,SUTURE J523H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601743,SUTURE J683G,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601744,SUTURE J739G,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601745,SUTURE J740G,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601746,SUTURE J741G,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601747,SUTURE K832H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601748,SUTURE K833H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601749,SUTURE L101G,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601750,SUTURE L102G,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601751,SUTURE L113G,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601752,SUTURE L114G,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601753,SUTURE M759G,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601754,SUTURE O ETHIBOND SW110,270,,$131.05 ,$131.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601755,SUTURE PLEDGET #PCP40,270,,$101.64 ,$101.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601756,SUTURE R496T,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601757,SUTURE R499T,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601758,SUTURE REMOVAL KIT,270,,$21.31 ,$21.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601759,SUTURE S103H 2-0 PLAIN GUT,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601760,SUTURE S104H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601761,SUTURE SA62H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601762,SUTURE U10T,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601763,SUTURE X185H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601764,SUTURE X424H,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601765,SUTURE Y911G 1 GUT CHR,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601766,SUTURE Z316H 3-0 PDS-OR,270,,$105.67 ,$105.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601767,SWITCH FLO HP,270,,$29.14 ,$29.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601768,SYRINGE,270,A4213,$37.84 ,$37.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601769,SYRINGE 30 CC LUER LOCK LATEX-FREE,270,,$6.50 ,$6.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601770,SYRINGE 35CC W/O NDL W/LUR,270,A4213,$28.67 ,$28.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601771,SYRINGE 60CC W/LUER TIP,270,A4213,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601772,SYRINGE BULB 2 OZ,270,A4322,$29.41 ,$29.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601773,SYRINGE BULB W/CATHETER TIP,270,A4322,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601774,SYRINGE CONTIGEN TREATMENT,270,,"$1,885.49 ","$1,885.49 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601775,SYRINGE CONTROL 10CC DISP,270,,$41.46 ,$41.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601776,SYRINGE FICT INJECTOR,270,,$51.86 ,$51.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601777,SYRINGE MEDASEPTIC 3 OZ,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601778,SYRINGE NASAL/EAR,270,,$36.83 ,$36.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601779,SYRINGE QUICK-FILL 200ML,270,,$32.80 ,$32.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601780,SYRINGE TOOMEY 60CC,270,A4213,$45.08 ,$45.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601781,SYRINGE VACLOCK 60CC,270,,$26.46 ,$26.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601782,TAMPON NASAL 4.5CM 409,270,,$213.91 ,$213.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601783,TAMPON NASAL 8.0CM 410,270,,$256.17 ,$256.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601784,TAMPON REGULAR TAMPAX,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601785,TAPE ENDOTRACHEAL,270,,$21.31 ,$21.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601786,"TAPE MICROFOAM 4""",270,,$140.06 ,$140.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601787,TAPE MICROPORE,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601788,"TAPE MICROPORE 1""",270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601789,"TAPE MICROPORE 1/2""",270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601790,"TAPE MICROPORE 2""",270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601791,TAPE PINK ROLL - ALL,270,,$81.83 ,$81.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601792,TAPERTOME 7-5.5 - 3.5 FR,270,,$702.93 ,$702.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601793,TEMP PAD 11 X 12 STERILE,270,,$179.04 ,$179.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601794,TEP KIT,270,,$868.56 ,$868.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601795,THORA KLEX TRANSFUS,270,,$435.07 ,$435.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601796,THORAKLEX AUTOTRANSFUSE REPL BTL,270,,$163.84 ,$163.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601797,THORAKLEX AUTOTRANSFUSION FILTER,270,,$163.84 ,$163.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601798,TIBIAL SURFACE #5 8MM,270,C1776,"$2,166.28 ","$2,166.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601799,"TOURNIQUET 18"" DUAL PORT STERILE",270,,$104.18 ,$104.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601800,"TOURNIQUET 30"" DUAL PORT STERILE",270,,$115.99 ,$115.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601801,TRACERS 5MG VIAL,270,,$412.17 ,$412.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601802,TRACTION KIT ADULT,270,,$86.57 ,$86.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601803,TRACTION KIT CHILD,270,,$86.57 ,$86.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601804,TRAY 16FR LATEX-FREE,270,,$206.40 ,$206.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601805,TRAY 18FR LATEX-FREE,270,,$206.40 ,$206.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601806,TRAY AMNIOCENTESIS,270,,$270.51 ,$270.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601807,TRAY BONE BIOPSY,270,,$256.17 ,$256.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601808,"TRAY BONE MARROW 16GA X 2"" NDL",270,,$602.64 ,$602.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601809,TRAY BONE MARROW PATHOLOGY,270,,$255.15 ,$255.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601810,"TRAY CATH LAB ""CUSTOM""",270,,$316.72 ,$316.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601811,TRAY CATHETER URETHRAL,270,,$56.74 ,$56.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601812,TRAY CIRCUMCISION,270,,$374.97 ,$374.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601813,TRAY CUL-DE-SAC,270,,$173.10 ,$173.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601814,TRAY CVP DRESSING CHNG LATEX-FREE,270,,$121.16 ,$121.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601815,TRAY E-Z PREP,270,,$275.34 ,$275.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601816,TRAY FOLEY CATH,270,A4314,$206.40 ,$206.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601817,TRAY FOLEY CATHETER 16FR,270,A4314,$206.40 ,$206.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601818,TRAY FOLEY CATHETER 18FR,270,A4314,$206.40 ,$206.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601819,TRAY FOLEY CATHETERZATION,270,A4310,$50.84 ,$50.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601820,TRAY FOLEY W/O CATHETER,270,A4310,$139.02 ,$139.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601821,TRAY GYN,270,,$167.40 ,$167.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601822,TRAY HEMODIALYSIS,270,,$192.23 ,$192.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601823,TRAY INCISION & DRAINAGE,270,,$602.64 ,$602.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601824,TRAY INCISION DRAINAGE,270,,$38.29 ,$38.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601825,TRAY IRRIGATION W/PISTON SYR,270,A4320,$30.71 ,$30.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601826,TRAY LACERATION,270,,$77.12 ,$77.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601827,TRAY LACERATION CUSTOM,270,,$43.12 ,$43.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601828,TRAY LAP-CHOLE,270,,"$2,261.15 ","$2,261.15 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601829,TRAY LIVER BIOPSY,270,,$198.27 ,$198.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601830,TRAY MINOR E D,270,,$371.11 ,$371.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601831,TRAY MYLOGRAM,270,,$354.69 ,$354.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601832,TRAY NEWBORN CUTDOWN,270,,$516.34 ,$516.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601833,TRAY OPEN CHEST,270,,$446.14 ,$446.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601834,TRAY PACER CATHETER,270,,$365.33 ,$365.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601835,TRAY PARATONSIL,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601836,TRAY PELVIC I&D,270,,$192.23 ,$192.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601837,TRAY PERCUSET BASIC BIOPSY,270,,$116.55 ,$116.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601838,TRAY PERCUTANEOUS ENTRY 6.0FR,270,,$212.43 ,$212.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601839,TRAY PERCUTANEOUS ENTRY 7.0,270,,$212.43 ,$212.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601840,TRAY PERCUTANEOUS ENTRY 8.0,270,,$212.43 ,$212.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601841,TRAY PERICARICENTESIS,270,,$173.10 ,$173.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601842,TRAY PERITONEAL DIALYSIS,270,,$192.23 ,$192.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601843,TRAY PLASTIC MINOR ED,270,,$371.11 ,$371.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601844,TRAY PLASTIC SUTURE,270,,$371.11 ,$371.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601845,TRAY PLASTIC SUTURE - URQUHART,270,,$248.33 ,$248.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601846,TRAY PREP PRE-OP,270,,$92.39 ,$92.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601847,TRAY PREP PRE-OP LATEX FREE,270,,$92.39 ,$92.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601848,TRAY PROCEDURE PICC,270,,$225.46 ,$225.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601849,TRAY RENAL BIOPSY,270,,$192.23 ,$192.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601850,TRAY SADDLEBLOCK W/26GA NDL,270,,$339.50 ,$339.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601851,TRAY SPINAL ANES W/MARCAINE,270,,$428.27 ,$428.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601852,TRAY SPINAL ANES W/TETR 25X1,270,,$314.56 ,$314.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601853,"TRAY SPINAL PUNCT ADULT 20X3.5""",270,,$336.99 ,$336.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601854,"TRAY SPINAL PUNCT INF 22X1.5""",270,,$282.50 ,$282.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601855,"TRAY SPINAL PUNCT PEDI 22X2.5""",270,,$280.09 ,$280.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601856,TRAY SPINAL PUNCTURE,270,,$335.80 ,$335.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601857,TRAY SUBCLAVIAN,270,,$280.09 ,$280.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601858,TRAY THORACENTESIS,270,,$501.97 ,$501.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601859,TRAY THORACENTESIS / PARACENTESIS,270,,$501.97 ,$501.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601860,TRAY THORACENTESIS DISP W/CATH,270,,$501.97 ,$501.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601861,TRAY THORACOTOMY,270,,$446.14 ,$446.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601862,TRAY THOROCENTESIS CATHETER,270,,$584.99 ,$584.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601863,TRAY TRACHEOSTOMY CLEANING,270,,$91.29 ,$91.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601864,TRAY TRACHEOTOMY,270,A4625,$417.62 ,$417.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601865,TRAY TRACTION E D,270,,$371.11 ,$371.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601866,TRAY UMBILICAL,270,,$371.11 ,$371.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601867,TRAY VAGINAL EXAM,270,,$275.34 ,$275.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601868,TRAY VAGINAL EXAM PEDIATRIC,270,,$275.34 ,$275.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601869,TRAY VEN SECT / CUTDOWN PEDS,270,,$516.34 ,$516.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601870,TRAY VEN SECT / CUTDOWN PED FOR ED,270,,$516.34 ,$516.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601871,TRAY VENOUS SECT OR CUTDOWN,270,,$516.34 ,$516.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601872,TRAY FOLEY CATHETER 16/18 FR ED,270,,$206.40 ,$206.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601873,TROCAR 10 MM W REDUCER,270,,$253.79 ,$253.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601874,TROCAR 10-112 W REDUCER,270,,$253.79 ,$253.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601875,TROCAR 10MM STRUCTURAL BALLOON,270,,$830.84 ,$830.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601876,TROCAR 5MM AUDIBLE LONG,270,,$183.18 ,$183.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601877,TROCAR ENDO-CLOSE #173022,270,,$221.19 ,$221.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601878,TROCAR OPTIVIEW ENDOPATH,270,,$605.55 ,$605.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601879,TROCAR SPACESEAL GSI 10/11MM,270,,$930.55 ,$930.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601880,TUBE BLAKEMORE - ADULT,270,,"$2,535.34 ","$2,535.34 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601881,TUBE BLAKEMORE - CHILD,270,,"$2,536.65 ","$2,536.65 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601882,TUBE CONNECTION FOR PUMP SET 14FR,270,,$236.95 ,$236.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601883,TUBE DISTRACTION/DYNAM,270,,"$17,095.73 ","$17,095.73 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601884,TUBE ENDOTROL 6.0 - 8.0 ED,270,,$220.58 ,$220.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601885,TUBE EVACUATOR LAVAGE 32FR,270,,$226.63 ,$226.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601886,TUBE FEEDING,270,,$34.59 ,$34.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601887,"TUBE FEEDING 12FR 45""",270,,$256.17 ,$256.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601888,"TUBE FEEDING 12FR 36""",270,,$256.17 ,$256.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601889,TUBE FEEDING 24FR PEG PULL TEC,270,,$696.59 ,$696.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601890,"TUBE FEEDING 5 FR 36""",270,,$34.59 ,$34.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601891,"TUBE FEEDING 5FR 15""",270,,$34.59 ,$34.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601892,"TUBE FEEDING 8 FR 15""",270,,$34.59 ,$34.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601893,"TUBE FEEDING 8 FR 42""",270,,$41.46 ,$41.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601894,"TUBE FEEDING 8FR 36"" WEIGHTED",270,,$290.91 ,$290.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601895,"TUBE FEEDING 8FR 45"" WEIGHTED",270,,$308.33 ,$308.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601896,TUBE FEEDING JEJUNAL 10FR SUTU,270,,$344.12 ,$344.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601897,TUBE FEEDING JEJUNAL 8FR SUTURE,270,,$344.12 ,$344.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601898,TUBE FEEDING TUNGSTEN,270,,$290.91 ,$290.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601899,TUBE FEN/CUFFLESS 10,270,,"$1,020.36 ","$1,020.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601900,TUBE FEN/CUFFLESS 6,270,,"$1,020.36 ","$1,020.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601901,TUBE FEN/CUFFLESS 8,270,,"$1,020.36 ","$1,020.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601902,TUBE GASTROSTOMY 14FR,270,,$194.41 ,$194.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601903,TUBE GASTROSTOMY 14FR MAGNA PO,270,,$206.40 ,$206.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601904,TUBE GASTROSTOMY 16FR,270,,$194.41 ,$194.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601905,TUBE GASTROSTOMY 16FR MAGNA,270,,$206.40 ,$206.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601906,TUBE GASTROSTOMY 18FR,270,,$194.41 ,$194.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601907,"TUBE GASTROSTOMY 18FR 9"" 30CC",270,,$104.43 ,$104.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601908,TUBE GASTROSTOMY 18FR MAGNA PO,270,,$223.83 ,$223.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601909,TUBE GASTROSTOMY 20FR,270,,$194.41 ,$194.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601910,"TUBE GASTROSTOMY 20FR 9"" 30CC",270,,$104.43 ,$104.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601911,TUBE GASTROSTOMY 20FR MAGNA PO,270,,$206.40 ,$206.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601912,TUBE GASTROSTOMY 22FR,270,,$194.41 ,$194.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601913,TUBE GASTROSTOMY 22FR MAGNA,270,,$223.83 ,$223.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601914,TUBE GASTROSTOMY 24FR,270,,$104.43 ,$104.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601915,TUBE GASTROSTOMY 24FR FLEXIFLO,270,,$206.40 ,$206.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601916,TUBE GASTROSTOMY 26FR FLEXIFLO,270,,$206.40 ,$206.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601917,TUBE HARVESTER SET F/OATS,270,,"$2,947.19 ","$2,947.19 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601918,TUBE LEVIN 12FR,270,,$35.44 ,$35.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601919,TUBE LEVIN 16FR,270,,$34.59 ,$34.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601920,TUBE LEVIN 18FR,270,,$34.59 ,$34.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601921,TUBE LEVINE,270,,$35.44 ,$35.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601922,TUBE LEVINE 12-18 F ED,270,,$35.44 ,$35.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601923,TUBE MILLER ABBOTT 16FR,270,,"$1,067.96 ","$1,067.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601924,TUBE MILLER ABBOTT 18FR,270,,"$1,067.96 ","$1,067.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601925,TUBE MINNESOTA 4 LUMEN 18FR,270,,"$3,408.70 ","$3,408.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601926,TUBE RECTAL,270,,$34.59 ,$34.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601927,TUBE SALEM SUMP,270,,$91.29 ,$91.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601928,TUBE SALEM SUMP 10 FR,270,,$109.32 ,$109.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601929,TUBE SALEM SUMP 16FR W/ARV,270,,$116.26 ,$116.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601930,TUBE SALEM SUMP 18FR W/ARV,270,,$116.26 ,$116.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601931,TUBE SALEM SUMP SILICONE 16FR,270,,$85.53 ,$85.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601932,TUBE SALEM SUMP SILICONE 18FR,270,,$85.53 ,$85.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601933,TUBE SHIRLEY WOUND DRAIN STR,270,,$241.83 ,$241.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601934,TUBE TRACH,270,A4623,$103.57 ,$103.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601935,TUBE TRACH BIVONA CUSTOM,270,,"$1,768.32 ","$1,768.32 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601936,TUBE TRACH DISP INNER CANN SZ 4,270,A4623,$99.76 ,$99.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601937,TUBE TRACH DISP INNER CANN SZ 6,270,A4623,$103.57 ,$103.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601938,TUBE TRACH DISP INNER CANN SZ 8,270,A4623,$103.57 ,$103.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601939,TUBE TRACH DISP INNER CANN SZ 10,270,A4623,$103.57 ,$103.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601940,TUBE TRACH ENDOTROL SZ 6 CUFF,270,,$220.58 ,$220.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601941,TUBE TRACH ENDOTROL SZ 7 CUFF,270,,$220.58 ,$220.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601942,TUBE TRACH ENDOTROL SZ 8 CUFF,270,,$220.58 ,$220.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601943,TUBE TRACH FEN/CUFF 6,270,,"$1,020.36 ","$1,020.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601944,TUBE TRACH FENESTRATED SZ 10,270,,"$1,020.36 ","$1,020.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601945,TUBE TRACH FENESTRATED SZ 8,270,,"$1,020.36 ","$1,020.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601946,TUBE TRACH HI-LO 6.0 CUFFED,270,,$42.54 ,$42.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601947,TUBE TRACH HI-LO 6.5 CUFFED,270,,$42.54 ,$42.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601948,TUBE TRACH HI-LO 7.0 CUFFED,270,,$42.54 ,$42.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601949,TUBE TRACH HI-LO 7.5 CUFFED,270,,$42.54 ,$42.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601950,TUBE TRACH HI-LO 8.0 CUFFED,270,,$42.54 ,$42.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601951,TUBE TRACH HI-LO 8.5 CUFFED,270,,$42.54 ,$42.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601952,TUBE TRACH HI-LO 9.0 CUFFED,270,,$42.54 ,$42.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601953,TUBE TRACH PED 2.5 UNCUFF,270,,$26.46 ,$26.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601954,TUBE TRACH PED 3.0 CUFFED,270,,$42.54 ,$42.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601955,TUBE TRACH PED 3.0 UNCUFF,270,,$26.46 ,$26.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601956,TUBE TRACH PED 3.5 UNCUFF,270,,$26.46 ,$26.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601957,TUBE TRACH PED 4.0 CUFFED,270,,$42.54 ,$42.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601958,TUBE TRACH PED 4.0 UNCUFF,270,,$26.46 ,$26.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601959,TUBE TRACH PED 4.5 CUFFED,270,,$42.54 ,$42.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601960,TUBE TRACH PED 4.5 UNCUFF,270,,$26.46 ,$26.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601961,TUBE TRACH PED 5.0 CUFFFED,270,,$42.54 ,$42.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601962,TUBE TRACH PED 5.0 UNCUFF,270,,$26.46 ,$26.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601963,TUBE TRACH PED 5.5 CUFFED,270,,$42.54 ,$42.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601964,TUBE TRACH PED 5.5 UNCUFF,270,,$26.46 ,$26.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601965,TUBE TRACHEAL PED 2.0MM UNCUFF,270,,$26.46 ,$26.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601966,TUBE TRACHEOSTOMY CUFF 10,270,A4622,"$1,002.34 ","$1,002.34 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601967,TUBE TRACHEOSTOMY CUFF SZ 4,270,A4622,"$1,002.34 ","$1,002.34 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601968,TUBE TRACHEOSTOMY CUFF SZ 6,270,A4622,"$1,002.34 ","$1,002.34 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601969,TUBE TRACHCEOSTOMY CUFF SZ 8,270,A4622,"$1,002.34 ","$1,002.34 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601970,TUBE TRACHEOSTOMY PED UNCUFF 0,270,A4622,$818.69 ,$818.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601971,TUBE TRACHEOSTOMY PED UNCUFF 00,270,A4622,$818.69 ,$818.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601972,TUBE TRACHEOSTOMY PED UNCUFF 1,270,A4622,$818.69 ,$818.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601973,TUBE TRACHEOSTOMY PED UNCUFF 2,270,A4622,$818.69 ,$818.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601974,TUBE TRACHEOSTOMY PED UNCUFF 3,270,A4322,$818.69 ,$818.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601975,TUBE TRACHEOSTOMY SZ 10 FENEST,270,A4622,"$1,020.36 ","$1,020.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601976,TUBE TRACHEOSTOMY SZ 10 LONG,270,A4622,$723.88 ,$723.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601977,TUBE TRACHEOSTOMY SZ 6 FENEST,270,A4622,"$1,020.36 ","$1,020.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601978,TUBE TRACHEOSTOMY SZ 8 FENEST,270,A4622,"$1,020.36 ","$1,020.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601979,TUBE TRACHEOSTOMY SZ 8 LONG,270,A4622,$723.88 ,$723.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601980,TUBE TRACHEOSTOMY SZ 9 LONG,270,A4622,$723.88 ,$723.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601981,TUBE TRACHEOSTOMY UNCUFF 4,270,A4622,$949.47 ,$949.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601982,TUBE TRACHEOSTOMY UNCUFF 6,270,A4622,$949.47 ,$949.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601983,TUBE TRACHEOSTOMY UNCUFF 8,270,A4622,$949.47 ,$949.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601984,TUBE ENDO 2.0 - 3.5 UNCUFF ED,270,,$26.46 ,$26.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601985,TUBE ENDO 3.0 - 4.5 CUFF ED,270,,$42.54 ,$42.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601986,TUBE ENDO 5.0 - 9.0 CUFF ED,270,,$42.54 ,$42.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601987,TUBING CONN SUCTION 3/16 X 10,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601988,TUBING CONN SUCTION 3/16 X 6,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601989,TUBING CONN SUCTION 9/32 X 12,270,,$36.83 ,$36.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601990,TUBING CONN SUCTION,270,,$71.07 ,$71.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601991,TUBING DRAIN OPAQUE,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601992,TUBING EXTENDEVAC 10 FOOT,270,,$37.11 ,$37.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601993,TUBING INFLOW F/MAESTRO,270,,$447.34 ,$447.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601994,"TUBING PENROSE 1"" X 18""",270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601995,"TUBING PENROSE 1/2""X18""",270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601996,"TUBING PEN ROSE 1/4 X 18""",270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601997,"TUBING PENROSE 3/4""X18",270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601998,ULTIMA BITE BLOCK,270,,$19.81 ,$19.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 601999,ULTRATONE FLUROTOME 20MM SNOSE,270,,$862.73 ,$862.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602000,ULTRATOME XL L.NOSE 5.5FR.200,270,,"$1,086.38 ","$1,086.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602001,UNDERPADS DRI-FLO 23X36,270,A4554,$222.62 ,$222.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602002,UNIT SUCTION DISP YANK,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602003,URINAL PEDI COLLECTOR,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602004,VAGINAL IRRIGATION UNIT,270,,$37.84 ,$37.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602005,VALVE ANTI-REFLUX,270,,$128.52 ,$128.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602006,VALVE HEMILICH CHEST DRAIN,270,,$265.92 ,$265.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602007,VAPORIZER (ONE TIME),270,E0605,$373.90 ,$373.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602008,VAR-A-PULSE COMPONET KIT,270,,$227.66 ,$227.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602009,VAR-A-PULSE SPRAY KIT,270,,$284.82 ,$284.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602010,VENTRICULAR RESERVOIR 12MM SIDE,270,,"$1,302.98 ","$1,302.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602011,VENTRICULOSTOMY CSF SNAP ASSEM DO,270,,$806.79 ,$806.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602012,VIAL SPOUT DECANTER,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602013,VISIPAQUE 320 100ML BOTTLE,270,,$243.33 ,$243.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602014,WALKER PROSTEP LARGE,270,,$186.00 ,$186.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602015,WALKER PROSTEP MEDIUM,270,,$186.00 ,$186.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602016,WALKER PROSTEP SMALL,270,,$186.00 ,$186.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602017,WALKER SHORT LEG MED LARGE,270,,$325.76 ,$325.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602018,WALKER SHORT LEG SM MED,270,,$325.76 ,$325.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602019,WALKER SHORT LEG XLG,270,,$369.21 ,$369.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602020,WARM COVER/BAIR HUGG,270,,$98.86 ,$98.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602021,WARMING COVER FOR BAIR HUGGER,270,,$106.69 ,$106.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602022,WASH BETADINE PERINEAL CONCENT,270,,$59.55 ,$59.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602023,WASH ORCHID-FRESH,270,,$36.83 ,$36.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602024,WATER PIK,270,,$128.52 ,$128.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602025,WICK EAR PROBE,270,,$21.31 ,$21.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602026,WIPES MICRO INSTRUMENT,270,,$20.85 ,$20.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602027,WIRE ACHA FLEX 15CM W/FLOP TIP,270,,$287.80 ,$287.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602028,WIRE BASKET 2*4 F/LITHOTRITOR,270,,"$1,438.01 ","$1,438.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602029,WIRE BASKET USED W/LITHOTRIPTO,270,,$958.76 ,$958.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602030,WIRE BASKET USED W/LITHOTRIPTOR,270,,"$1,438.01 ","$1,438.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602031,WIRE CADDY,270,,$263.24 ,$263.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602032,WIRE GUIDE 02X800 MM,270,,$627.99 ,$627.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602034,WIRE GUIDE PROTECTIVE 0.35,270,,$543.33 ,$543.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602035,WIRE GUIDE PAPILLOTOMES .035,270,,$862.73 ,$862.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602036,WIRE INFUSION KATZEN/0.35/12/145,270,,$404.49 ,$404.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602037,WIRE INFUSION KATZEN/.035/3/145,270,,$404.49 ,$404.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602038,WIRE INFUSION KATZEN/.035/9/145,270,,$404.49 ,$404.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602039,WIRE KIRSCHNER,270,,$90.10 ,$90.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602040,WIRE MEIER .035/185/15J,270,,$331.67 ,$331.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602041,WIRE TRACER W/ANGLE TIP,270,,$607.13 ,$607.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602042,WIRE TRACER W/ STRAIGHT TIP,270,,$607.13 ,$607.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602043,WISAP DISP FILTER,270,,$49.63 ,$49.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602044,WOOL LAMB 100%,270,E0189,$59.55 ,$59.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602045,SYSTEM WOUND PULSAVAC,270,,$570.98 ,$570.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602046,OXYGEN,270,,$162.53 ,$162.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602047,2 CAL HN,270,,$5.61 ,$5.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602048,BAG FEEDING TUBE,270,,$37.11 ,$37.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602049,ENSURE 8OZ CAN,270,,$3.72 ,$3.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602050,ENSURE PLUS,270,,$4.72 ,$4.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602052,GLUCERNA 1000 ML BOTTLE,270,,$11.79 ,$11.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602054,HEPATIC AID 3 OZ PK,270,,$73.72 ,$73.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602055,JEVITTY 8 OZ CAN,270,,$5.61 ,$5.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602056,JEVITY PLUS 1000 ML BOTTLE,270,,$6.97 ,$6.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602057,NEPRO 8 OZ CAN,270,,$16.14 ,$16.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602058,NEPRO RTH 1000 ML BOTTLE,270,,$21.95 ,$21.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602059,NURTIHEP,270,,$75.08 ,$75.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602060,NUTRIHEP 8 OZ CAN,270,,$68.84 ,$68.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602061,OPTIMENTAL,270,,$30.48 ,$30.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602062,ORTIMENTAL 8OZ CABNS,270,,$16.96 ,$16.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602063,OPTIMENTAL 8 OZ CAN,270,,$27.91 ,$27.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602064,OPTIMENTAL RTH 1000 ML BOTTLE,270,,$69.22 ,$69.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602065,OSMOLITE 8 OZ CAN,270,,$3.26 ,$3.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602066,OSMOLITE HN,270,,$3.85 ,$3.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602067,OSMOLITE HN 1000 ML BOTTLE,270,,$5.03 ,$5.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602068,OXEPA RTH 1000 ML BOTTLE,270,,$19.91 ,$19.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602069,PEDIASURE 8 OZ CAN,270,,$10.07 ,$10.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602070,PERATIVE,270,,$10.20 ,$10.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602071,PERATIVE 8 OZ CAN,270,,$9.30 ,$9.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602072,PERATIVE RTH 1000ML BOTTLE,270,,$19.07 ,$19.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602073,POLYCOSE LIQUID,270,,$10.91 ,$10.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602074,PROMOTE WITH FIBER 1000ML BOTTLE,270,,$6.50 ,$6.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602075,PULMOCARE 1000ML BOTTLE,270,,$6.50 ,$6.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602076,PULMOCARE 8OZ CAN,270,,$7.27 ,$7.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602077,SUPLENA 8 OZ CAN,270,,$15.40 ,$15.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602078,TF CONTAINER,270,,$30.71 ,$30.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602079,TRAUMACAL 8 OZ CANS,270,,$6.50 ,$6.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602080,TWO CAL HN,270,,$4.30 ,$4.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602081,VITAL HN 3 OZ PACK,270,,$41.94 ,$41.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602082,11.5 OD BALLOON RAPID FIRE,270,,$579.25 ,$579.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602083,12 FR OV/GUIDEIRE JEJUNAL TUBE,270,,$306.65 ,$306.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602084,12-15 MM WIRE GUIDED PYLORIC BALL,270,,"$1,256.01 ","$1,256.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602085,15-18 MM WIRE GUIDED BALLOON DILA,270,,"$1,256.01 ","$1,256.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602086,6MM PUNCH BIOPSY,270,,$9.64 ,$9.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602087,AUTOTOME ROTATING SPHINCTERTONE,270,,"$1,311.12 ","$1,311.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602088,BUTTON REPLACEMENT 24FR/1.7CM BS,270,,$845.47 ,$845.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602089,CANDY CAN STIRRUP STRAPS,270,,$95.13 ,$95.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602090,CO2 LASER USE,270,,"$1,289.23 ","$1,289.23 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602091,CS ALLIGATOR FORCEP AF-2.5-230,270,,"$1,442.71 ","$1,442.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602092,CS BUTTON LOWPROFILE 20FR/1.7 CM,270,,$505.28 ,$505.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602093,CS BUTTON LOWPROFILE 20FR/2.4 CM,270,,$505.28 ,$505.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602094,CS CATH HICKMAN 12 FR,270,,$754.75 ,$754.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602095,CS CATH LUMAX 10FR ABDOMIN MEDAMI,270,,$170.45 ,$170.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602096,CS CATH LUMAX 7FR BLADDER MEDAMIC,270,,$170.45 ,$170.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602097,CS GUIDE WIRE 210CM SPG TIP,270,,$584.38 ,$584.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602098,CS HANDLE FOR DUCK BILL SNARE 63S,270,,$481.88 ,$481.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602099,CS INTRODUCER PERC 13 FR,270,,$291.31 ,$291.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602100,CS JAGWIRE GUIDEWR 025 STRGT 5662,270,,$626.54 ,$626.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602101,CS KIT ENTERYX,270,,"$5,508.83 ","$5,508.83 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602102,CS LUMAX CATHETER- ABDOMINAL,270,,$150.53 ,$150.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602103,CS LUMAX CATHETER- BLADDER,270,,$150.53 ,$150.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602104,CS PERMARK INDIA INK,270,,$186.00 ,$186.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602105,CS PIE CUFF INFLATION BULB,270,,$54.24 ,$54.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602106,CS PROBE STRAIGHT FIVE SM BOW 7 FR,270,,"$1,019.60 ","$1,019.60 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602107,CS SNARE ROTATABLE 13MM DISP,270,,$172.88 ,$172.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602108,CS SUT PDSII 50 PS-2 CLEAR MONO Z,270,,$88.97 ,$88.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602109,CS SUTURE STRIP PLUS TP1102,270,,$511.00 ,$511.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602110,CS THORACENTESIS SET,270,,$115.65 ,$115.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602111,CS TRI CLIP,270,,$409.70 ,$409.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602112,CSR CASH-SPHINCTEROTOME,270,,"$1,021.72 ","$1,021.72 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602113,CYSTOSCOPE VIDEO,270,,$949.47 ,$949.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602114,DARCO SHOE LARGE FEMALE,270,,$34.41 ,$34.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602115,DARCO SHOE LARGE MALE,270,,$34.41 ,$34.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602116,DARCO SHOE MEDIUM FEMALE,270,,$34.41 ,$34.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602117,DARCO SHOE MEDIUM MALE,270,,$34.41 ,$34.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602118,DARCO SHOE SMALL FEMALE,270,,$34.41 ,$34.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602119,DARCO SHOE XL MALE,270,,$34.41 ,$34.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602120,DRAPE FLUROSCAN,270,,$38.13 ,$38.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602121,DRILL BIT BLADE BUR TAP,270,,$335.32 ,$335.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602122,ERBE MEMBRANE FILTERS,270,,$42.27 ,$42.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602123,ERBE SIDE FIRE APC PROBE 7FR,270,,$865.70 ,$865.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602124,EVACUATOR SMOKE,270,,$626.54 ,$626.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602125,GUIDEWIRE .035 XWIRE STD,270,,$563.43 ,$563.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602126,LIGATOR 6-SHOOTER BANDING,270,,$866.17 ,$866.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602127,MINI CAP PD TRANSFER SET,270,,$229.76 ,$229.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602128,MINOR KIT,270,,$29.24 ,$29.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602129,QUINTON CURL PD CATHETER,270,,$345.86 ,$345.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602130,RETRIEVAL SET ROTH,270,,$410.70 ,$410.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602131,SMOKE EVACUATOR,270,,$612.48 ,$612.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602132,SNARE MICRO OVAL SENSATION,270,,$57.60 ,$57.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602133,SNARE STANDARD OVAL SENSATION,270,,$57.60 ,$57.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602134,STRIP PROXI 1/2 X4 CM,270,,$57.91 ,$57.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602135,TOURNIQUET,270,,$420.12 ,$420.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602136,WIREGUIDE PYLORIC BLN 18-20 MM,270,,"$1,256.01 ","$1,256.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602137,CV TRAY THORACENTESIS THORNTON,270,,$223.37 ,$223.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602138,BILL ONLY SET BLOOD FILTER Y-TYPE,270,,$171.23 ,$171.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602139,BLD ADMN SET & PRESS PUM,270,,$63.99 ,$63.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602140,CHEMSTRIP UGK (EACH),270,,$23.21 ,$23.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602141,CHEMSTRIPS UGK (BT),270,A4253,$250.39 ,$250.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602142,PLT WBC REMOVAL FILTER,270,,$489.90 ,$489.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602143,RC 100 FLT,270,,$507.03 ,$507.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602144,RC 50 FLT,270,,$255.28 ,$255.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602145,RMC PACK CELL PREP,270,,$113.94 ,$113.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602146,AMBULATORY INFUSION PUMP,270,,"$1,484.97 ","$1,484.97 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602147,AMBULATORY INFUSION PUMP- SUPPLIES,270,,$371.11 ,$371.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602148,CADD I PUMP INIATION OF PROLONGED,270,96414,$440.85 ,$440.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602149,MISC BRUSH,270,,$61.61 ,$61.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602150,MISC DISP BX,270,,$382.81 ,$382.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602151,MISCELLANEIOUS WANG NEEDLE,270,,$261.06 ,$261.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602153,ENSURE 8OZ CAN,270,,$3.85 ,$3.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602154,ENSURE PLUS 8OZ CAN,270,B4150,$4.61 ,$4.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602155,ENSURE PUDDING 5OZ CAN,270,B4150,$4.61 ,$4.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602156,ENSURE WITH FIBER 8OZ CAN,270,B4150,$3.26 ,$3.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602158,GLUCERNA SHAKES,270,,$8.16 ,$8.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602159,JEVITY PLUS,270,,$5.03 ,$5.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602161,NUTRIHEP,270,,$75.08 ,$75.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602162,OPTIMENTAL,270,,$30.48 ,$30.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602163,OSMOLITE HN,270,,$3.85 ,$3.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602164,OXEPA,270,,$85.26 ,$85.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602165,PEDIASURE,270,,$8.26 ,$8.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602166,PERATIVE,270,,$10.20 ,$10.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602167,PROMOTE WITH FIBER,270,,$5.75 ,$5.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602172,BREAST FEEDING KIT,270,,$139.29 ,$139.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602173,STEROID BLOCK,270,,$92.77 ,$92.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602174,SUTURE OB,270,,$115.99 ,$115.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602176,SPLINT FOREARM LARGE LEFT,270,,$202.68 ,$202.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602177,SPLINT FOREARM LEFT SMALL,270,,$202.68 ,$202.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602178,SPLINT FOREARM LEFT X-SMALL,270,,$131.74 ,$131.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602179,SPLINT FOREARM RIGHT LARGE,270,,$202.68 ,$202.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602180,SPLINT FOREARM RIGHT MEDIUM,270,,$32.19 ,$32.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602181,SPLINT FOREARM RIGHT SMALL,270,,$274.35 ,$274.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602182,SPLINT FOREARM RIGHT X-SMALL,270,,$174.34 ,$174.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602183,DRESSING-SOFT ROLL,270,,$23.06 ,$23.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602184,"1"" COBAN",270,,$7.07 ,$7.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602185,"2"" COBAN",270,,$9.30 ,$9.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602186,"CS AIR SPLINT ELBOW (16"")",270,,$152.76 ,$152.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602187,"CS AIR SPLINT HALF ARM (21"")",270,,$159.55 ,$159.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602188,"CS AIR SPLINT SHORT ARM (27"")",270,,$197.52 ,$197.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602189,CS ANIMAL HAND EXERCISER,270,,$23.21 ,$23.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602190,CS ARM SUPPORT (FOAM),270,,$70.19 ,$70.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602191,CS BANDAGE ACE (ANY SIZE),270,,$40.46 ,$40.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602192,"CS BANDAGE COBAN WRAP 4""",270,,$52.14 ,$52.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602193,"CS BANDAGE COVER ROLL 4""",270,,$126.88 ,$126.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602194,CS BANDAGE KERLIX,270,,$35.44 ,$35.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602195,CS BANDAGE KLING (ANY SIZE),270,,$56.74 ,$56.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602196,"CS BANDAGE MEDICOPASTE 4""",270,,$149.81 ,$149.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602197,CS BANDAGE SURGIFIX (ANY SIZE),270,,$19.81 ,$19.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602198,CS BIODYNAMIC FLEX/EXTEN COMPONEN,270,,$94.45 ,$94.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602199,CS BOTTLE OPENER & KNOB TURNER,270,,$26.87 ,$26.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602200,CS BUTTON HOOK (BLACK HANDLE),270,,$30.04 ,$30.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602201,CS CARRAGAUZE 4X4 GAUZE STERILE,270,,$21.31 ,$21.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602202,CS CAT'S PAW ALIMED,270,,$61.89 ,$61.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602203,CS CICA CARE FULL 5 X 2 3/8 SHEET,270,,$119.33 ,$119.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602204,CS CICA CARE GEL 1/2 SHEET,270,,$59.71 ,$59.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602205,CS CICA CARE GEL 1/4 SHEET,270,,$29.71 ,$29.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602206,CS CICA CARE GEL 1/8 SHEET,270,,$14.93 ,$14.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602207,CS CLEANSER (CARA KLENZ),270,,$268.57 ,$268.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602208,CS CLEANSER WOUND SHUR-CLENS,270,,$28.67 ,$28.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602209,CS CYLINDRICAL FOAM BEIGE,270,,$9.07 ,$9.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602210,CS CYLINDRICAL FOAM LT BLUE,270,,$8.16 ,$8.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602211,CS CYLINDRICAL FOAM RED,270,,$9.16 ,$9.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602212,CS DIGI FLEX EXERCISER 1.5 YELLOW,270,,$64.89 ,$64.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602213,CS DIGI FLEX EXERCISER 3.0# RED,270,,$64.89 ,$64.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602214,CS DIGI FLEX EXERCISER 5.0# GREEN,270,,$64.89 ,$64.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602215,CS DIGI FLEX EXERCISER 7.0# BLUE,270,,$64.89 ,$64.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602216,CS DIGI FLEX EXERCISER 9.0# BLACK,270,,$64.89 ,$64.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602217,CS DOOR KNOB OPENER (LEVERON),270,,$76.69 ,$76.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602218,CS DORSAL HOOD ATTACHMENTS LONG,270,,$121.43 ,$121.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602219,CS DORSAL HOOD ATTACHMENTS SHORT,270,,$116.45 ,$116.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602220,CS DRESSING ADAPTIC 3X8 (LARGE),270,,$36.83 ,$36.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602221,CS DRESSING ADAPTIC 3X3 (SMALL),270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602222,CS DYCEM NON-SLIP PLASTIC,270,,$32.53 ,$32.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602223,CS DYNAMIC DIGIT EXT TUBE SPLINT,270,,$95.13 ,$95.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602224,CS ERGONOMIC HAND EXERCISER,270,,$59.28 ,$59.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602225,CS EXERCISE PULLEY,270,,$111.55 ,$111.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602226,CS FIDDL-LINK,270,,$24.85 ,$24.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602227,CS FINGER EXERCISE ATTACHMENT,270,,$275.81 ,$275.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602228,CS FINGER EXT SPLINT WHITE,270,,$70.19 ,$70.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602229,CS FINGER FLEXION GLOVE,270,,$79.03 ,$79.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602230,CS FINGER HELPER,270,,$45.08 ,$45.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602231,CS GAUNTLET NEOPRENE,270,,$154.54 ,$154.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602232,CS GAUZE XEROFORM 2X2,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602233,CS GAUZE XEROFORM 5X9,270,,$29.41 ,$29.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602234,CS GEL DERMAL WOUND,270,,$24.85 ,$24.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602235,CS GLOVE EDEMA,270,,$28.08 ,$28.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602236,CS GLOVE EDEMA OPEN FINGER,270,,$25.13 ,$25.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602237,CS INFLATABLE HAND SPLINT,270,,$187.30 ,$187.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602238,CS INFLATION HAND BULB,270,,$58.40 ,$58.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602239,CS JAR OPENER (ORANGE RUBBER),270,,$21.42 ,$21.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602240,CS KEY TURNER 2 (HOMECRAFT),270,,$25.69 ,$25.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602241,CS LMB FINGER HUGGER BLK,270,,$117.57 ,$117.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602242,CS LOOP FINGER FLEXION COMPOSITE,270,,$121.43 ,$121.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602243,CS MINI VIBRATOR TIPS,270,,$38.70 ,$38.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602244,CS OUTRIGGER PHOENIX,270,,$295.30 ,$295.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602245,CS PALM PROTECTOR,270,,$79.48 ,$79.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602246,CS PLASTIC PLATE GUARD,270,,$23.06 ,$23.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602247,CS RESISTIVE EXERCISE SPONGE,270,,$7.36 ,$7.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602248,CS ROLYAN WRIST BRACE,270,,$91.90 ,$91.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602249,CS SCISSORS (LOOP) LONG BLADE,270,,$91.90 ,$91.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602250,CS SET DRESSING SET,270,,$85.37 ,$85.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602251,"CS SHOELACES 24""",270,,$11.13 ,$11.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602252,CS SOCK AID EASY PULL,270,,$69.87 ,$69.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602253,CS SPLINT AIR URISAS LONG ARM,270,,$163.38 ,$163.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602254,CS SPLINT BUNNELL KNUCKLE BENDER,270,,$77.40 ,$77.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602255,CS SPLINT FINGER REVERSE KNUCKLE,270,,$69.64 ,$69.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602256,CS SPLINT HAND UNIVERSAL,270,,$219.08 ,$219.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602257,CS SPONGE GAUZE 2X2 STERILE 100BC,270,,$53.77 ,$53.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602258,CS SPONGE GUAZE 4X4 8 PLY STR BOX,270,,$37.84 ,$37.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602259,CS SPONGE GUAZE STERILE,270,,$83.34 ,$83.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602260,"CS STOCKINETTE 3"" PER FOOT",270,,$3.41 ,$3.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602261,CS THERAPUTTY,270,,$14.19 ,$14.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602262,CS THUMB HELPER,270,,$53.49 ,$53.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602263,CS UNIVERSAL CUFF WITH D RING,270,,$31.63 ,$31.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602264,CS WRIST SLPINT RHEUMA FLEX,270,,$77.73 ,$77.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602265,CS WRIST SPLINT ULNAR DEVIATION,270,,$125.42 ,$125.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602266,CS WRIST SPLINT WRISTOFORM,270,,$162.22 ,$162.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602267,DRESSING STICK,270,,$22.14 ,$22.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602268,FINGER CRUTCH,270,,$14.19 ,$14.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602269,FINGER EDEMA SLEEVE,270,,$14.19 ,$14.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602270,HAND HLEPER EXERCISER,270,,$52.14 ,$52.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602271,JOINT CINCH STRAP,270,,$19.21 ,$19.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602272,LONG HANDLE BATH SPONGE,270,,$14.19 ,$14.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602273,MINI VIBRATOR/SCAR-DESENS,270,,$114.18 ,$114.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602274,OPPOCISER,270,,$61.89 ,$61.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602276,REACHER,270,,$85.37 ,$85.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602277,ROLZ SCAR MASSAGE TOOL,270,,$31.63 ,$31.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602278,SHOE HORN,270,,$14.19 ,$14.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602279,SOCK AID,270,,$37.84 ,$37.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602280,SPLINT MATERIALS SMALL,270,,$92.39 ,$92.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602282,THERABAND (PER FOOT),270,,$19.21 ,$19.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602283,BACK ROLL,270,,$71.07 ,$71.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602284,CRUTCH GRIPS,270,,$61.89 ,$61.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602285,CRUTCH PADS,270,,$56.74 ,$56.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602286,CRUTCH TIPS,270,,$61.89 ,$61.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602287,CS 1/2 SHEET GEL CICA CARE,270,,$57.38 ,$57.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602288,CS 1/4 SHEET GEL CICA CARE,270,,$28.68 ,$28.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602289,CS ADJUSTABLE CANE,270,,$227.66 ,$227.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602290,CS AQUA-CEL (ROPE TYPE),270,,$75.19 ,$75.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602291,CS AQUA-CEL MEDIUM,270,,$34.74 ,$34.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602292,CS AQUA-CELL SMALL,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602293,CS BAND FOAM KOMPRI-BINE 8/2/.5CM,270,,$81.14 ,$81.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602294,CS BANDAGE ACE (ANY SIZE),270,,$40.46 ,$40.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602295,CS BANDAGE ARTIFLEX 10CM X 3CM,270,,$18.35 ,$18.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602296,CS BANDAGE ARTIFLEX 15CM X 3CM,270,,$26.60 ,$26.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602297,"CS BANDAGE COBAN WRAP 4""",270,,$52.14 ,$52.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602298,CS BANDAGE FCAOMPRILAN 10CM X 5 CM,270,,$47.61 ,$47.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602299,CS BANDAGE COMPRILAN 12CM X 5CM,270,,$55.68 ,$55.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602300,CS BANDAGE COMPRILAN 6CM X 5CM,270,,$34.59 ,$34.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602301,CS BANDAGE COMPRILAN 8CM X 5CM,270,,$39.77 ,$39.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602302,"CS BANDAGE COVER ROLL 4""",270,,$126.88 ,$126.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602303,CS BANDAGE DEMA-BAND 10CM X 10M,270,,$118.76 ,$118.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602304,CS BANDAGE DEMA-BAND 4CM X 5M,270,,$28.54 ,$28.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602305,CS BANDAGE FOAM SHEET 100X50X1CM,270,,$149.81 ,$149.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602306,CS BANDAGE GRAY FOAM 3 X 6 X 1/4,270,,$59.28 ,$59.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602307,CS BANDAGE GRAY FOAM 3 X 6 X 1/2,270,,$117.77 ,$117.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602308,CS BANDAGE KLING (ANY SIZE),270,,$56.74 ,$56.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602309,"CS BANDAGE MEDICOPASTE 4""",270,,$177.85 ,$177.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602310,CS BANDAGE SURGIFIX (ANY SIZE),270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602311,"CS BANDAGE TRANSELAST 2""",270,,$5.75 ,$5.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602312,CS BED TRACITION UNIT,270,,$198.27 ,$198.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602313,CS BUTLER,270,,$154.41 ,$154.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602314,CS CARRAGAUZE 4X4 GAUZE STERILE,270,,$21.31 ,$21.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602315,"CS CAST PADDING 6"" STERILE",270,,$47.61 ,$47.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602316,CS CLEANSER (CARA KLENZ),270,,$319.11 ,$319.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602317,CS CLEANSER WOUND SHUR-CLENS,270,,$28.67 ,$28.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602318,CS CRUTCHES,270,,$194.54 ,$194.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602319,CS CS CREAM FOOT,270,,$269.47 ,$269.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602321,CS DRESSING ADAPTIC 3X3,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602322,CS DRESSING ADAPTIC 3X8,270,,$36.83 ,$36.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602323,CS DRESSING ELASTOGEL 4X4,270,,$117.47 ,$117.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602324,CS DRESSING KALTOSTAT,270,,$72.56 ,$72.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602325,CS DRESSING RELEASE 8X3,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602326,CS DRESSING TRANSPARENT 2X3,270,,$40.46 ,$40.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602327,CS DRESSING TRANSPARENT 4X5,270,,$40.46 ,$40.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602328,CS DRESSING TRANSPARENT 5X7,270,,$53.77 ,$53.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602329,CS DRESSING TRANSPARENT 8X10,270,,$70.03 ,$70.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602330,CS DRESSING ULCER CARE 4X4COMFEEL,270,,$99.76 ,$99.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602331,CS DRESSING ULCER CARE 6X6COMFEEL,270,,$214.70 ,$214.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602332,"CS DRESSING WOUND ""LYOFOAM""",270,,$83.34 ,$83.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602333,CS DRESSING WOUND PROFORE,270,,$90.10 ,$90.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602334,CS DRESSING WOUND SOFSORB 4X6,270,,$39.30 ,$39.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602335,CS DRESSING WOUND VIGILON 4X4,270,,$58.08 ,$58.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602336,"CS ELASTOPLAST ADHESIVE BANDAGE4""",270,,$109.17 ,$109.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602337,CS ELECTRODES,270,,$45.51 ,$45.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602338,CS EXER HAND ULTIMATE HAND HELPER,270,,$48.31 ,$48.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602339,CS EXERCISE BLOCKS FOAM ASSORTED,270,,$5.75 ,$5.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602340,CS EXERCISE PULLEY,270,,$111.55 ,$111.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602341,CS FULL SHEET GEL CICA CARE,270,,$114.81 ,$114.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602342,CS GAUZE NUGAUZE,270,,$47.61 ,$47.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602343,CS GAUZE VASELINE 3X9,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602344,CS GAUZE XEROFORM 2X2,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602345,CS GAUZE XEROFORM 5X9,270,,$29.41 ,$29.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602346,CS GEL DERMAL WOUND,270,,$315.71 ,$315.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602347,CS GOLD ICE PACK,270,,$24.98 ,$24.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602348,CS IONTO PATCH 40 MA-MIN,270,,$31.03 ,$31.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602349,CS IONTO PATCH 80 MA-MIN,270,,$41.36 ,$41.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602351,CS MASSAGER MINIATURE,270,,$81.55 ,$81.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602353,CS OPTIPORE SCRUB SPONGES,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602354,CS OSTOMY BARRIER SKIN WIPES,270,,$39.30 ,$39.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602355,CS OSTOMY CLEANER ALOE VESTA,270,,$42.54 ,$42.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602356,"CS OSTOMY CREAM ""ILEX""",270,,$39.30 ,$39.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602357,CS OSTOMY CREAM ANTIFUNGAL,270,,$188.96 ,$188.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602358,CS OSTOMY DRESSING MESALT,270,,$46.40 ,$46.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602359,CS OSTOMY GRANULEX,270,,$366.70 ,$366.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602360,CS OSTOMY OINT PROTECT ALOE VESTA,270,,$154.21 ,$154.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602361,CS OSTOMY PASTE COMFEEL,270,,$244.38 ,$244.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602362,CS OSTOMY POWDER MICRO-GUARD,270,,$121.16 ,$121.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602363,CS OSTOMY POWDER PREMIUM,270,,$140.06 ,$140.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602364,CS OSTOMY WIPES UNISOLVE,270,,$186.00 ,$186.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602365,CS PANTY MESH PROMISE,270,,$29.41 ,$29.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602366,CS REMOVER SKIN STAPLE,270,,$61.89 ,$61.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602367,CS SCAPEL,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602368,CS SET DRESSING,270,,$85.37 ,$85.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602369,CS SKIN TEMP,270,,$98.86 ,$98.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602370,CS SKIN TEMP BIG SHEET,270,,$761.86 ,$761.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602371,CS SPONGE ABD-SURGIPAD BOX,270,,$79.48 ,$79.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602372,CS SPONGE GAUZE 2X2 STERILE 100BX,270,,$53.77 ,$53.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602373,CS SPONGE GAUZE 4X4 8 PLY STR BOX,270,,$37.84 ,$37.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602374,CS SPONGE GAUZE STERILE,270,,$83.34 ,$83.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602375,CS STERI-STRIP,270,,$58.08 ,$58.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602376,"CS TAPE MICROPORE 1""",270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602377,CS TAPE PINK ROLL - ALL,270,,$81.83 ,$81.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602378,CS TENS ELECTRODES BX,270,64550,$356.04 ,$356.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602379,CS THERABAND,270,,$14.51 ,$14.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602380,CS WARMING CARD,270,,$930.55 ,$930.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602381,CS BANDAGE KERLIX,270,,$35.44 ,$35.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602382,HAND GRIPPER,270,,$56.74 ,$56.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602383,IRRIJET,270,,$70.19 ,$70.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602384,LIFELINE MULTI-USE PULLEY,270,,$46.53 ,$46.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602386,ROLL MCKENZIE LUMBAR ORIGINAL,270,,$58.08 ,$58.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602387,STERILE ELECTRODES,270,,$180.23 ,$180.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602388,SYSTEM WOUND PULSAVAC,270,,$570.98 ,$570.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602389,TERRY SHOES,270,,$71.07 ,$71.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602390,THERAPLAST,270,,$21.70 ,$21.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602391,WALKER,270,,$536.57 ,$536.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602392,CATHETER ADDITIONAL,270,,$615.14 ,$615.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602393,GUIDEWIRE ADDITIONAL,270,,$569.38 ,$569.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602394,SP BALLOON CATHETER,270,,"$1,424.11 ","$1,424.11 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602395,SP CANNULA DECLOT W/BALLOON CATH,270,99070,"$1,067.96 ","$1,067.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602396,SP KIT ABSCESS CYST DRAINAGE,270,,"$1,841.32 ","$1,841.32 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602397,SP KIT BIOPSY,270,,$104.43 ,$104.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602398,SP REMOVAL OF CENTRAL VENOUS CATH,270,,$711.92 ,$711.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602399,SP REVISION OF CENTRAL VEN CATH,270,,$949.47 ,$949.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602400,DIALYSIS SUPPLY,270,,$603.64 ,$603.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602401,ARTERIAL MONITOR,270,,$69.72 ,$69.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602402,INFUSOR PUMP,270,,$92.77 ,$92.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602403,AMBU BAG,270,,$139.29 ,$139.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602404,BLOW BOTTLE,270,,$256.32 ,$256.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602405,CPR INSTRUCTION,270,,$255.28 ,$255.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602406,CROUP TENT,270,,$162.53 ,$162.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602408,02 DEL & REC ROOM,270,,$153.33 ,$153.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602409,OXYGEN,270,,$347.76 ,$347.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602410,OXYGEN SET-UP,270,,$92.77 ,$92.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602411,OXYGEN SUBSEQUENT,270,,$347.76 ,$347.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602412,TRANSPORT 02,270,,$101.95 ,$101.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602413,6 DOUBLE ACE,270,A4202,$46.40 ,$46.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602414,ACL LIGAMENT SYSTEM,270,,"$5,928.80 ","$5,928.80 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602415,ADAPTER CHECKFLO,270,,$48.31 ,$48.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602416,ADAPTER DIALYSIS,270,A4740,$676.28 ,$676.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602418,ADCON-L BARRIER GEL [N],270,,"$3,258.47 ","$3,258.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602419,ANGIOCATH,270,,$64.10 ,$64.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602420,ARM CRADLE LAMINECTOMY NEURO,270,,$206.21 ,$206.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602421,ARROW BIOFIX MENISCUS 1.1 X 10MM,270,,$783.26 ,$783.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602422,ARROW BIOFIX MENISCUS 1.1 X 13 MM,270,,$783.26 ,$783.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602423,ARROW BIOFIX MENISCUS 1.1 X 16 MM,270,,$783.26 ,$783.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602424,ARTHROSCOPY SHAVER BLADE,270,,$461.40 ,$461.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602425,ASSEMBLY DELTA VALVE SM/MD NEURO,270,,"$4,102.92 ","$4,102.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602426,BAG DECANTER,270,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602427,BAG INTESTINAL,270,,$70.03 ,$70.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602428,"BANDAGE COBAN 3"" STERILE",270,,$23.06 ,$23.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602429,BANDAGE COBAN 6 INCH,270,,$32.10 ,$32.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602430,BANDAGE ESMARK 6X9 DISP,270,,$132.83 ,$132.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602431,BANDAGE GLASSCOCK POST (LEFT),270,,$26.46 ,$26.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602432,BANDAGE GLASSCOCK POST (RIGHT),270,,$26.46 ,$26.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602433,BANDAGE MARTIN,270,,$132.83 ,$132.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602434,BANDAGE PEG,270,,$25.13 ,$25.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602435,BASKET STONE HEL 2.2F 4-W 115C,270,,"$1,103.53 ","$1,103.53 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602436,"BASKET STONE RETRIV 4-W ""0""",270,,"$1,266.90 ","$1,266.90 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602437,BASKET STONE RETRIV 4-W SCM TP,270,,"$1,266.90 ","$1,266.90 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602438,"BASKET STONE RETRIV S-W ""0"" TP",270,,"$1,162.37 ","$1,162.37 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602439,BASKET STONE RETRIVER 4-W SEGA,270,,"$1,530.79 ","$1,530.79 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602440,BIT-TAP CORT/CANCEL-AXIS (NEURO),270,,$891.99 ,$891.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602441,BLADE AGGR MENISCUS 4.0 MM,270,,$365.33 ,$365.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602442,BLADE AGGR MENISCUS 5.0 MM,270,,$365.33 ,$365.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602443,BLADE AGGR MENISCUS 5.6 MM,270,,$351.78 ,$351.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602444,BLADE AGGR MENISCUS CUTTER 3.5,270,,$365.33 ,$365.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602445,BLADE ANGLED AGG MEN 5.0 MM,270,,$388.49 ,$388.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602446,BALDE ANGLED AGGR MENISCUS 4.0 MM,270,,$351.78 ,$351.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602447,BALDE BEAVER #64-OR,270,,$14.19 ,$14.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602448,BLADE BEAVER #67-OR,270,,$14.19 ,$14.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602449,BLADE BEAVER #72-OR,270,,$99.76 ,$99.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602450,BLADE BEAVER #91-OR,270,,$65.14 ,$65.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602451,BLADE BEAVER #94-OR,270,,$53.77 ,$53.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602452,BLADE END CUTTER 4.0 MM,270,,$351.18 ,$351.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602453,BLADE FULL RADIUS 3.5MM,270,,$337.83 ,$337.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602454,BLADE FULL RADIUS 4.0MM,270,,$365.33 ,$365.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602455,BLADE FULL RADUIUS 5.0MM,270,,$351.78 ,$351.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602456,BLADE FULL RADIUS 5.6 MM,270,,$351.78 ,$351.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602457,BLADE GRAFT HARVEST 7MM,270,,$734.35 ,$734.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602458,BLADE JAGUAR MENISCUS 4.0MM,270,,$351.78 ,$351.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602459,BLADE JAGUAR MENISCUS 5.0MM,270,,$351.78 ,$351.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602460,BLADE JAGUAR MENISUCS 5.6MM,270,,$351.78 ,$351.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602461,BLADE KARLIN SPINAL (N),270,,$186.89 ,$186.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602462,BLADE LARYNGEAL CUD XO MED 4.0,270,,"$1,054.47 ","$1,054.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602463,BLADE MICRO XO MED 3.5,270,,"$1,438.01 ","$1,438.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602464,BLADE RETRO ARTHRO LOK 6482,270,,$56.58 ,$56.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602465,BLADE RETRO BANANA ARTHRO 6984,270,,$92.39 ,$92.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602466,BLADE RETRO CURVED ARTHRO LOK,270,,$62.23 ,$62.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602467,BLADE RETRO FLAT ARTHRO LK 6083,270,,$128.22 ,$128.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602468,BLADE RETRO FLAT ARTHRO LOK,270,,$89.53 ,$89.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602469,BLADE RETRO LT CURVE ARTH 6480,270,,$87.64 ,$87.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602470,BLADE RETRO LT CURVE ARTHRO LK,270,,$99.76 ,$99.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602471,BLADE RETRO RT CURVED ARTHRO LK,270,,$80.68 ,$80.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602472,BLADE SAW,270,,$217.16 ,$217.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602473,BLADE SCALLOPED 4.0MM,270,,$351.78 ,$351.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602474,BLADE SHAW #15,270,,$213.91 ,$213.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602475,BLADE SKIMMER XO MED 4MM,270,,"$1,438.01 ","$1,438.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602476,BLDE SLOTTED WHISKER 4.0MM,270,,$365.33 ,$365.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602477,BLADE SURGICAL STEEL 15C,270,,$9.74 ,$9.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602478,BLADE WHISKER CUTTER 4.0MM,270,,$335.06 ,$335.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602479,BLADE XOMED 3.5/4.0 F/SHAVER,270,,$625.65 ,$625.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602480,BLADES FOR GIGLE SAW,270,,$116.88 ,$116.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602481,BONE CALLAGRAFT STRIPS LARGE,270,C1776,"$3,519.48 ","$3,519.48 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602482,BONE COLLAGRAFT STRIPS SMALL,270,C1776,"$2,486.12 ","$2,486.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602483,BONE FIBULA (NEURO),270,C1776,"$2,633.12 ","$2,633.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602484,BONE LOCATOR PINPOINT,270,C1776,$479.52 ,$479.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602485,BONE PRO-OSTEON 10X10X10 #5B010,270,C1776,"$1,053.33 ","$1,053.33 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602486,BONE PRO-OSTEON 10X10X40 #5B040,270,C1776,"$2,471.38 ","$2,471.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602487,BONE PRO-OSTEON 12X12X25 #5BO75,270,C1776,"$4,151.33 ","$4,151.33 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602488,BONE PRO-OSTEON 20CC GRAN #5G20,270,C1776,"$2,735.95 ","$2,735.95 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602489,BOOTS SUTURE,270,,$25.43 ,$25.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602490,BRA JOBST,270,,$293.12 ,$293.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602491,BRA LONGLINE,270,,$284.82 ,$284.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602492,BRA MAYJANE,270,,$150.53 ,$150.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602493,BRUSH DELECT BIOPSY 3FR 115CM,270,,$441.41 ,$441.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602494,BRUSH INTRAMEDULLARY,270,,$101.21 ,$101.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602495,BULB IRRIGATION *PATHFINDER*,270,,$243.33 ,$243.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602496,BUR BARRELL 5.0MM,270,,$365.33 ,$365.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602497,BUR ROUND 4.0MM,270,,$365.33 ,$365.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602498,CABLE-SLEEVE DALL MILES/ATLAS,270,,"$2,331.34 ","$2,331.34 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602499,"CAHTETER ANGIOOGRAPHY VENTRIC 3 1/8""",270,,$310.97 ,$310.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602500,"CANNULA SCOTT VENTRIC 3 1/8""",270,,$282.03 ,$282.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602501,"CANNULA SCOTT VENTRIC 3 7/8""",270,,$282.03 ,$282.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602502,CANNULA SHOULDER DISP,270,,$121.61 ,$121.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602503,CANNULA STABLIZING,270,,$35.44 ,$35.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602504,CANNULA UNIVERSL SHOULDER,270,,$114.18 ,$114.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602505,CARRIERS INTERCEED ADHESION,270,,$788.47 ,$788.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602506,CARTRIDGE BONE CEMENT INJECTOR,270,,$220.58 ,$220.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602507,CARTRIDGE ENDO HERNIA 4.8 MM,270,,$384.57 ,$384.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602508,CARTRIDGE ENDO HERNIA 4MM,270,,$391.66 ,$391.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602509,CARTRIDGE GIA 80,270,,$936.32 ,$936.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602510,CARTRIDGE LINEAR CUTTER TCR,270,,$575.43 ,$575.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602511,CARTRIDGE LINEAR CUTTER TR35B,270,,$312.88 ,$312.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602512,CARTRIDGE SGIA NO BLADE,270,,$911.20 ,$911.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602513,CARTRIDGE TA 30/3.5,270,,$139.02 ,$139.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602514,CARTRIDGE TA 30/4.8,270,,$850.63 ,$850.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602515,CARTRIDGE TA 30P,270,,$925.08 ,$925.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602516,CARTRIDGE TA 55/3.5,270,,$850.63 ,$850.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602517,CARTRIDGE TA 55/4.8,270,,$889.64 ,$889.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602518,CARTRIDGE TA 90/4.8,270,,$918.28 ,$918.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602519,CATH ADHERENT CLOT,270,,"$1,228.04 ","$1,228.04 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602520,CATH AORTIC OCCLUSION 12FR - 10,270,,$497.99 ,$497.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602521,CATH AORTIC OCCLUSION 9FR - 10,270,,$177.85 ,$177.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602522,CATH BALLOON DILATOR,270,,$996.73 ,$996.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602523,CATH BASKET STONE,270,,$955.35 ,$955.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602524,CATH BECKERVENTRC 35CM/XLG NEURO,270,,$559.64 ,$559.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602525,CATH BLADDER BONANNO,270,,$294.16 ,$294.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602526,CATH EMBOLECTOMY,270,,$310.97 ,$310.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602527,CATH ENDUCTORY CHOLANGIOGRAPHY,270,,$296.18 ,$296.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602528,CATH EXTRACTOR STONE,270,,$816.34 ,$816.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602529,CATH FORCEP GRASPING,270,,"$1,042.58 ","$1,042.58 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602530,CATH GROSHONG,270,,"$2,305.18 ","$2,305.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602531,CATH HICKMAN 12 FR W/VITAL CUFF,270,,$975.02 ,$975.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602532,CATH HICKMAN 13.5FR LONG DL,270,,"$1,778.35 ","$1,778.35 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602533,CATH HICKMAN 13.5FR SHORT,270,,"$1,778.35 ","$1,778.35 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602534,CATH HICKMAN TRIPLE LUMEN 12.5,270,,"$1,778.35 ","$1,778.35 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602535,CATH INTRODUCER YELLOW DEVIL,270,,$5.03 ,$5.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602536,CATH JEJUNOSTOMY,270,,$727.13 ,$727.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602537,CATH LAP CHOLEY,270,,$876.76 ,$876.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602538,CATH MALECOT NEPH 14FR,270,,$357.38 ,$357.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602539,CATH MALECOT NEPH 18FR,270,,$377.18 ,$377.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602540,CATH OCCLUSION 5FR 8.5 BALLOON,270,,$804.38 ,$804.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602541,CATH OCCLUSION 5FR 8.5 CM,270,,$804.38 ,$804.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602542,CATH OCCLUSION 7FR,270,,$783.26 ,$783.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602543,CATH OPEN END DISTAL (NEURO),270,,$559.64 ,$559.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602544,CATH PEZZAR,270,,$95.01 ,$95.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602545,CATH POLLACK OPEN-END URETERA,270,,$84.35 ,$84.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602546,CATH PORT DUAL,270,C1788,"$5,479.45 ","$5,479.45 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602547,CATH PORT SINGLE,270,C1788,"$3,724.24 ","$3,724.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602548,CATH PRUITT OCCLUSION,270,,$438.92 ,$438.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602549,CATH PRUITT OCCLUSION 5FR - 6,270,,$177.85 ,$177.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602550,CATH SCHSBORG NEPHR 18 FR,270,,$255.60 ,$255.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602551,CATH SHUNT VENTRIC 4/6/8MM NEURO,270,,$724.04 ,$724.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602552,CATH SOFT CELL DL 11.5 X 19 (RT),270,,"$1,694.77 ","$1,694.77 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602553,CATH SOFT CELL DL 11.5 X 23 (LT),270,,"$1,694.77 ","$1,694.77 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602554,CATH SUPRAPUBIC ROBERTSON 15FR,270,,$602.64 ,$602.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602555,CATH TUNNELER,270,,$212.43 ,$212.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602556,CATH URETERAL ACCESS 5FR,270,,$84.35 ,$84.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602557,CATH VENTRICULAR STD (NEURO),270,,$460.91 ,$460.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602558,CATH WORD,270,,$318.07 ,$318.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602559,CATHETER 18 FR MALECOT PCN,270,,$276.84 ,$276.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602560,CATHETER ANGIOGRAPHY EMBOLI 5F,270,,$310.97 ,$310.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602561,CATHETER BLASSUCCI S TIP 5FR,270,,$84.35 ,$84.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602562,CATHETER BLASSUCCI S TIP 6FR,270,,$84.35 ,$84.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602563,CATHETER BLASSUCCI SPIRAL 3FR,270,,$84.35 ,$84.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602564,CATHETER BLASSUCCI URETERAL 7 FR,270,,$100.92 ,$100.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602565,CATHETER BLASSUCCI URETERAL 8F,270,,$91.76 ,$91.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602566,CATHETER COUDE TIP 18 FR BALLOON,270,,$74.48 ,$74.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602567,CATHETER CV HEMED 6.6FR,270,,$377.18 ,$377.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602568,CATHETER DILATOR BALLOON,270,,"$1,210.21 ","$1,210.21 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602569,CATHETER EXTRACTOR STONE,270,,$816.34 ,$816.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602570,CATHETER FOGARTY 3AE,270,,$320.27 ,$320.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602571,CATHETER FOGARTY 4 IRR,270,,$142.40 ,$142.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602572,CATHETER FOGARTY 4F,270,,$320.27 ,$320.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602573,CATHETER FOGARTY 5AE,270,,$320.27 ,$320.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602574,CATHETER FOGARTY 6 IRR,270,,$142.40 ,$142.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602575,CATHETER FOGARTY 6AE,270,,$310.97 ,$310.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602576,CATHETER GROSHUNG D5 LUMEN 9.5,270,,"$2,712.44 ","$2,712.44 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602577,CATHETER GROSHUNG S LUMEN 8FR,270,,"$2,305.18 ","$2,305.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602578,CATHETER HEMED KIT,270,,"$1,299.11 ","$1,299.11 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602579,CATHETER HICKMAN,270,A4300,"$1,778.35 ","$1,778.35 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602580,CATHETER HICKMAN S LUMEN 9.6FR,270,,$491.22 ,$491.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602581,CATHETER LC CATHETER,270,,$697.59 ,$697.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602582,CATHETER OTT,270,,$351.18 ,$351.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602583,CATHETER SOFT CELL,270,,"$1,536.51 ","$1,536.51 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602584,CATHETER TAUT,270,,$351.18 ,$351.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602585,CATHETER URETERAL,270,,$84.35 ,$84.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602586,CATHETER URETERAL #3,270,,$351.18 ,$351.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602587,CATHETER WHISTLE TIP #3,270,,$351.18 ,$351.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602588,CATHETER HEMED D L 11.0 FR,270,,$737.04 ,$737.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602589,CELL SAVER,270,,"$2,637.26 ","$2,637.26 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602590,CELLSAVER SMALL,270,,"$1,424.11 ","$1,424.11 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602591,CEMENT BONE DISPENSER,270,,$463.91 ,$463.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602592,CEMENT BONE PALACOS,270,,$487.08 ,$487.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602593,CEMENT BONE PLUG,270,,$517.21 ,$517.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602594,CEMENT BOWLS STRYKER MIXIVAC,270,,$434.48 ,$434.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602595,CEMENT MIXING SYSTEM BIO-PREP,270,,$550.30 ,$550.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602596,CEMENT SYSTEM,270,,"$2,411.52 ","$2,411.52 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602597,CENTRALIZER 10MM DIA,270,,$515.13 ,$515.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602598,CENTRALIZER 11MM DIA,270,,$515.13 ,$515.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602599,CENTRALIZER 12 MM DIA,270,,$515.13 ,$515.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602600,CENTRALIZER 13MM DIA,270,,$515.13 ,$515.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602601,CENTRALIZER 14MM DIA,270,,$515.13 ,$515.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602602,CENTRALIZER 15MM DIA,270,,$515.13 ,$515.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602603,CENTRALIZER 16MM DIA,270,,$515.13 ,$515.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602604,CLAMP ENDO ALLIS 10MM,270,,$639.37 ,$639.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602605,CLAMP ENDO BABCOCK LAP 10MM,270,,$957.58 ,$957.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602606,CLIP ANEURYSM (NEURO),270,,"$1,829.92 ","$1,829.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602607,CLIP APPLIER 5MM,270,,"$1,005.61 ","$1,005.61 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602608,CLIP APPLIER LIGA LG,270,,$384.81 ,$384.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602609,CLIP APPLIER LIGA MED,270,,$380.70 ,$380.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602610,CLIP APPLIER LIGA SM,270,,$378.76 ,$378.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602611,CLIP APPLIER LIGACLIP,270,,$767.18 ,$767.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602612,CLIP APPLIER LIGACLIP MED,270,,$826.11 ,$826.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602613,CLIP GRAFT (NEURO),270,,"$2,159.96 ","$2,159.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602614,CLIP HULKA STERILE,270,,$159.55 ,$159.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602615,CLIP LAPRA TY,270,A4918,$198.97 ,$198.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602616,CLIP VENA CAVA ADAMS DEWEE STD,270,,"$3,106.30 ","$3,106.30 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602617,CLIP VENA CAVA DEWEES LG,270,,$180.11 ,$180.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602618,CLIPPERS,270,,$44.00 ,$44.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602619,COAGULATOR LECTROVAC SUCTION 10,270,,$57.16 ,$57.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602620,COLLAGRAFT BONEGRAFT,270,,"$3,381.66 ","$3,381.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602621,COMP FEMORIAL EIUS,270,C1776,"$8,515.11 ","$8,515.11 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602622,COMP TIBIAL EIUS,270,C1776,"$5,804.58 ","$5,804.58 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602623,CONNECTOR CATH URETERAL LARGE,270,,$9.16 ,$9.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602624,CONNECTOR CATH URETERAL SMALL,270,,$9.16 ,$9.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602625,CONNECTOR STRAIGHT CATH (NEURO),270,,$184.57 ,$184.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602626,CONNECTOR-Y W/RUBBER TIP,270,,$15.51 ,$15.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602627,CONTAINER SPECIMEN,270,,$13.19 ,$13.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602628,CORD DISP ACTIVE,270,,$112.59 ,$112.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602629,CORD DISP MONOPOLAR LAPAROSCOPIC,270,,$26.60 ,$26.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602630,CORE SYS BX MVASE,270,,$284.82 ,$284.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602631,COTTON ROLL LG,270,,$67.65 ,$67.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602632,CRANIOFIX CLAMP NEURO,270,,$526.51 ,$526.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602633,CUP ACETABULAR,270,,"$8,972.03 ","$8,972.03 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602634,CUTTER RELOADER LINEAR TLC,270,,"$1,240.22 ","$1,240.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602635,CUTTER SHARP,270,,$420.12 ,$420.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602636,CUTTER TOOTH FOR CRAIG BX TRAY,270,,"$5,391.82 ","$5,391.82 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602637,CV ARTRICURE HAND PIECE,270,,"$13,000.12 ","$13,000.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602638,CV BRA SURE SUPPORT TLC 38C-52DD,270,,$384.11 ,$384.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602639,CV CABLE DISPOSABLE SURGICAL,270,,$116.76 ,$116.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602640,CV CUPS AND PINS DISPOSABLE,270,,$28.36 ,$28.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602641,CV DRAPE SLUSH/WARMER,270,,$240.10 ,$240.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602642,CV DRESSING MINI ISLAND,270,,$5.44 ,$5.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602643,CV FELT PTFE 6 X 6,270,,$81.86 ,$81.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602644,CV GRAFT FOUR BRANCH HEMA/BOSVA,270,,"$9,525.58 ","$9,525.58 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602645,CV GRAFT HEMASHEILD PLAT 20 X 30,270,,"$3,478.38 ","$3,478.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602646,CV GRAFT HEMASHIELD PLAT 22 X 30,270,,"$3,478.38 ","$3,478.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602647,CV GRAFT HEMASHIELD PLAT 24 X 30,270,,"$3,478.38 ","$3,478.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602648,CV GRAFT TUBE HEMASHIELD BOSVA,270,,"$3,705.72 ","$3,705.72 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602649,CV HAPARINASE CUPS & PINS DISP,270,,$66.78 ,$66.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602650,CV JANKE-BARRON HEART,270,,$196.96 ,$196.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602651,CV KAOLIN 1% PREMEASURED,270,,$20.55 ,$20.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602652,CV KIT BIOLOG QC LEVEL 1,270,,$36.93 ,$36.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602653,CV KNIFE MICRO UNITOME,270,,$21.03 ,$21.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602654,CV PAD PRHENIC NERVE,270,,$738.66 ,$738.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602655,CV PATCH CARDIOVASCULAR ACUSEAL,270,,"$1,784.58 ","$1,784.58 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602656,CV PRIMAPORE 30CM X 10CM,270,,$6.10 ,$6.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602657,CV PRIMAPORE 35CM X 12CM,270,,$8.40 ,$8.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602658,CV SHEET LAPAROTOMY FENES 76 X 120,270,,$27.39 ,$27.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602659,CV STOPCOCK 3 GANG 4 WAY F/ANES,270,,$21.56 ,$21.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602660,CV SUTURE GUIDE GABBY FLATER,270,,$369.32 ,$369.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602661,CV SUTURE ULLT UMBILICAL TAPE,270,,$88.97 ,$88.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602662,CV TEMP SENSOR THERMOCOUP 15MM,270,,$88.63 ,$88.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602663,CV TEMP SENSOR THERMOCOUP 8MM,270,,$88.63 ,$88.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602664,CV TEMP SENSOR THEROCOUP 30MM,270,,$88.63 ,$88.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602665,CV THERMOWRAP,270,,$620.44 ,$620.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602666,CV TOURNIQUET ADULT 2RED2BL2CLEAR,270,,$31.03 ,$31.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602667,CYSTOSCOPE,270,,$949.47 ,$949.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602668,CYSTOSCOPE FLEXIBLE,270,,$949.47 ,$949.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602669,DANDAGE ESMARK 4X9 DISP,270,,$79.48 ,$79.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602670,DENTAL COMPOUND,270,,$132.83 ,$132.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602671,DERMASTRIP,270,,$239.79 ,$239.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602672,DERMATOME BROWN BLADE,270,,$230.05 ,$230.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602673,DERMATOME MESHGRAFTER CARRIER,270,,$147.02 ,$147.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602674,DERMATOME REESE BLADE,270,,$378.51 ,$378.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602675,DET TUR CONNECTING,270,,$998.07 ,$998.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602676,DEVICE ANGLED DELIVERY LASER,270,,"$3,915.27 ","$3,915.27 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602677,DEVICE INFLATION BALLOON,270,,"$1,789.77 ","$1,789.77 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602678,DEVICE NOUASURE,270,,"$2,762.55 ","$2,762.55 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602679,DEVICE PROXIMATE PURSE STRING,270,,"$1,115.23 ","$1,115.23 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602680,DEVICE PURSESTRING,270,,"$1,115.23 ","$1,115.23 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602681,DEVICE SACROSPINOUS CAPIO,270,,"$1,069.56 ","$1,069.56 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602682,DEVICE STA-TAK,270,,$935.01 ,$935.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602683,DEVICE TACKER MESH FIXATION,270,,"$1,711.43 ","$1,711.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602684,DILATOR AMPLAZ TYPE RENAL,270,,"$1,138.98 ","$1,138.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602685,DILATOR BALLOON ENFORCER,270,,$941.79 ,$941.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602686,DILATOR ESOPHAGEAL BLUNT,270,,$509.66 ,$509.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602687,DILATOR MALONEY 30FR,270,,$676.28 ,$676.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602688,DISC RETENTION,270,,$62.93 ,$62.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602689,DISC SILICONE RETENTION 23FR,270,,$52.49 ,$52.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602690,DORMIA STONE DISLODGER,270,,"$1,245.66 ","$1,245.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602691,DRAIN 10MM FLAT FULL PURF,270,,$60.92 ,$60.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602692,DRAIN ABRAMS SUMP,270,,$160.01 ,$160.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602693,DRAIN AND RESERVOIR,270,99070,$446.14 ,$446.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602694,DRAIN ANGLE 45 FR,270,,$154.65 ,$154.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602695,DRAIN BLAKE 10FR ROUND FLTD 1/8,270,C1729,$142.74 ,$142.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602696,DRAIN BLAKE 15FR ROUND FLT 3/16,270,C1729,$142.74 ,$142.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602698,DRAIN BLAKE 7MM FLAT FLTD 3/16,270,C1729,$194.31 ,$194.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602699,DRAIN BLAKE FLAT,270,C1729,$175.07 ,$175.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602700,DRAIN CATTELL T 12FR,270,,$90.10 ,$90.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602701,DRAIN CATTELL T 14FR,270,C1729,$90.10 ,$90.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602702,DRAIN CATTELL T 16FR,270,C1729,$90.10 ,$90.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602703,DRAIN CATTELL T 18FR,270,C1729,$90.10 ,$90.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602704,DRAIN CATTELL T 20FR,270,C1729,$90.10 ,$90.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602705,DRAIN CATTELL T 22FR,270,C1729,$95.01 ,$95.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602706,DRAIN CATTELL T 8FR,270,C1729,$90.10 ,$90.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602707,DRAIN EXTERNAL (NEURO),270,,$586.16 ,$586.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602708,DRAIN JACKSON PRATT 10MM,270,C1729,$46.96 ,$46.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602709,DRAIN JACKSON PRATT 7MM,270,C1729,$43.46 ,$43.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602710,DRAIN LUMBAR (NEURO),270,,$941.66 ,$941.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602711,DRAIN MALECOT 18 FR,270,C1729,$95.01 ,$95.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602712,DRAIN MALECOT 22FR,270,C1729,$95.01 ,$95.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602713,DRAIN MALECOT RETAINING 24FR,270,C1729,$95.01 ,$95.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602714,DRAIN MALECOT SILASTIC 24 FR,270,C1729,$95.01 ,$95.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602715,DRAIN PEZZER 30FR,270,C1729,$95.01 ,$95.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602716,DRAIN PEZZER 32FR,270,C1729,$95.01 ,$95.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602717,DRAIN PEZZER 34FR,270,C1729,$95.01 ,$95.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602718,DRAIN PEZZER 36FR,270,C1729,$95.01 ,$95.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602719,DRAIN PEZZER 45FR,270,C1729,$95.01 ,$95.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602720,"DRAIN SNYDER 10FR 1/8"" POLYVINYL",270,C1729,$55.98 ,$55.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602721,"DRAIN SNYDER 10FR 1/8"" ROUND SL",270,C1729,$68.22 ,$68.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602722,"DRAIN SNYDER 19FR .25"" POLYVINYL",270,C1729,$33.98 ,$33.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602723,"DRAIN SNYDER 19FR 1/4"" ROUND SL",270,C1729,$70.77 ,$70.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602724,DRAIN SNYDER 7FR 3/32' ROUND SI,270,C1729,$130.45 ,$130.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602725,DRAIN SUPRAPUBIC CYSTO ROBERTSON,270,C2627,$602.64 ,$602.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602726,DRAIN TLS 7FR,270,C1729,$136.36 ,$136.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602727,DRAPE ALOKA PROBE (N),270,,$79.03 ,$79.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602728,DRAPE ARM BOARD,270,,$19.81 ,$19.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602729,DRAPE BIL LIMB SHEET,270,,$66.35 ,$66.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602730,DRAPE C-ARM,270,,$205.21 ,$205.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602731,DRAPE CASSETTE XRAY,270,,$41.46 ,$41.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602732,DRAPE ELAN E,270,,$169.89 ,$169.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602733,DRAPE EYE (NEURO),270,,$46.96 ,$46.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602734,DRAPE F/WILD MICROSCOPE,270,,$111.97 ,$111.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602735,DRAPE FLUROSCAN,270,,"$1,147.26 ","$1,147.26 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602736,DRAPE IOBAN #6640 NEURO,270,,$33.25 ,$33.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602737,DRAPE IOBAN #6658/BAIN,270,,$121.73 ,$121.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602738,DRAPE IOBAN HIP,270,,$336.99 ,$336.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602739,DRAPE LAPAROTOMY PEDIATRIC,270,,$132.83 ,$132.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602740,DRAPE LARGE,270,,$16.41 ,$16.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602741,DRAPE LINGEMAN TUR,270,,$249.24 ,$249.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602742,"DRAPE MAGNETIC 16"" X 19""",270,,$33.28 ,$33.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602743,DRAPE MICRO MILL,270,,$44.46 ,$44.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602744,DRAPE MICROSCOPE,270,,$153.33 ,$153.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602745,DRAPE NEUROLOGICAL (N),270,,$407.30 ,$407.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602746,DRAPE POUCH INSTRUMENT,270,,$41.46 ,$41.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602747,DRAPE PREP SKIN IOBAN STERI,270,,$95.13 ,$95.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602748,DRAPE STERI #1060 NEURO,270,,$49.32 ,$49.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602749,"DRAPE STERI 175/8"" X 113/4"" W/TOW",270,,$11.13 ,$11.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602750,DRAPE STERI F/ISOLATION,270,,$98.10 ,$98.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602751,DRAPE SURGICAL W/TOWEL,270,,$15.04 ,$15.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602752,DRAPE VAGINAL BIB,270,,$75.77 ,$75.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602753,DRESSING EAR GLASSCOCK,270,,$261.06 ,$261.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602754,DRESSING EPIGARD,270,,$108.47 ,$108.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602755,DRESSING GLASSCOCK ADULT,270,,$89.53 ,$89.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602756,DRESSING GLASSCOCK PEDIATRIC,270,,$96.79 ,$96.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602757,DRESSING SCARLET RD OINTMENT,270,,$13.29 ,$13.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602758,DRESSING SURGICAL,270,,$71.07 ,$71.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602759,DRESSING TELFA 8X3,270,,$16.41 ,$16.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602760,DRILL MEDNEXT TUBING/CLIP,270,,$579.25 ,$579.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602761,DRILL TOOL MIDAS NEURO,270,,$385.26 ,$385.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602762,E-Z TAC PORT,270,,$197.36 ,$197.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602763,E-Z TAC STAPLER,270,,"$2,303.69 ","$2,303.69 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602764,ELECTRODE ENT/IMA INSULATED,270,,$30.12 ,$30.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602765,ELECTRODE FULGURATING 2FR,270,,$533.56 ,$533.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602766,ELECTRODE LLETZ,270,,$99.76 ,$99.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602767,ELECTRODE MEGADYNE NEEDLE,270,,$38.56 ,$38.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602768,ELECTRODE MENISECTOMY 90 DEGREE,270,,$334.71 ,$334.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602769,ELECTRODE MITEK-END/SIDE-90 HOOK,270,,$855.64 ,$855.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602770,ELECTRODE NEEDLE,270,,$32.10 ,$32.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602771,ELECTRODE NEEDLE EXTENDED,270,,$39.30 ,$39.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602772,ELECTRODE VAPORTRODE,270,,$960.85 ,$960.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602773,ELECTRODE VERSAPOINT RESECTOSCOPI,270,,"$1,301.97 ","$1,301.97 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602774,ELECTROSURGICAL UNIT,270,,$247.88 ,$247.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602775,ENDO HERNIA GUN,270,,"$1,427.22 ","$1,427.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602776,ENDO JUDGE,270,,$477.02 ,$477.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602777,ENDO KITTNER KNOT PS,270,,$96.18 ,$96.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602778,ENDO MINI RETRACTOR,270,,$740.00 ,$740.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602779,ENDO SHEARS,270,,$900.41 ,$900.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602780,ENDO STITCH,270,,"$1,117.76 ","$1,117.76 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602781,ENDO-DISECTOR,270,,$922.14 ,$922.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602782,ENDO-SCROB SHEATH 4MM X 0 DEG,270,,$156.47 ,$156.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602783,ENDO-SCRUB SHEATH 4MM X 25 DEG,270,,$163.98 ,$163.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602784,ENDO-SCRUB SHEATH 4MM X 30 DEG,270,,$156.47 ,$156.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602785,ENDOSTAT,270,,"$1,096.17 ","$1,096.17 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602786,ENDOSTITCH SURGIDAC 2-0,270,,$179.64 ,$179.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602787,ENDOTUBE DOUBLE BRONCHIAL,270,,$520.90 ,$520.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602788,EVACUATOR 400 SURGIVAC,270,,$96.32 ,$96.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602789,EVACUATOR MINI GRANADE 100ML,270,,$39.57 ,$39.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602790,EVACUATOR SMOKE,270,,$626.54 ,$626.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602791,EVACUATOR SNYDER 400ML UNIVERS,270,,$76.69 ,$76.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602792,EVACUTOR VACUUM TLS,270,,$12.88 ,$12.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602793,EXAM PROCTOSCOPIC,270,,$140.06 ,$140.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602794,EXTRACTOR HELICAL 65 CM 3 FR,270,,$816.34 ,$816.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602795,EXTRACTOR HELICAL STONE 5 WIRE,270,,$816.34 ,$816.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602796,EXTRACTOR STONE 3-W HELI 2.5FR,270,,$719.31 ,$719.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602797,EXTRACTOR STONE 3-W HELI 3.0F,270,,$705.98 ,$705.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602798,EXTRACTOR STONE 3-W HELI-4.5F,270,,$621.20 ,$621.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602799,EXTRACTOR STONE 4-WIRE 4.5FR,270,,$621.20 ,$621.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602800,EXTRACTOR STONE 6-WIRE 4.5FR,270,,$621.20 ,$621.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602801,EXTRACTOR STONE HELICAL 4-WIRE,270,,$605.24 ,$605.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602802,FEMORAL STRUTT AIR DRIED,270,C1776,"$3,393.31 ","$3,393.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602803,FILIFORM STRAIGHT 5 FR LONG,270,,$489.16 ,$489.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602804,FILIFORM W/SPIRAL TIP 5 FR,270,,$222.62 ,$222.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602806,FILTER VENA CAVA JUGULAR,270,C1884,"$5,199.47 ","$5,199.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602807,FIXATOR EXT ORTHOFIX,270,C1713,"$13,995.24 ","$13,995.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602808,FLEXI-LUM LIGHT,270,,$206.40 ,$206.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602809,FOG REDUCTION DEVICE,270,,$89.21 ,$89.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602810,FORCEP BIOPSY W/NDL FB-22C,270,,"$2,277.97 ","$2,277.97 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602811,FORCEP BIPOLAR DISPOSABLE,270,,$688.12 ,$688.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602812,FORCEP CUP BX DISP,270,,"$1,127.74 ","$1,127.74 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602813,FORCEP GRASP 3-W EXT-ST HK 13F,270,,"$1,103.53 ","$1,103.53 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602814,FORCEP GRASP 3W NON-RRT HK 3F,270,,"$1,103.53 ","$1,103.53 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602815,FORCEP GRASPIN COAXIA 4.5F X65,270,,$962.78 ,$962.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602816,FORCEP GRASPING 2.5FR X 115CM,270,,$980.81 ,$980.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602817,FORCEP GRASPING 3.5FR X 65CM,270,,$962.78 ,$962.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602818,FORCEP GRASPING 5FR X 65CM,270,,$962.78 ,$962.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602819,FORCEP GRASPING 65CM 5FR,270,,$962.78 ,$962.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602820,FORCEP GRASPING COAXIAL 3FRX115CM,270,,$962.78 ,$962.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602821,FORCEPS BIOPSY FB-19C,270,,"$1,822.37 ","$1,822.37 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602822,FUNNEL FILLING INTERPORE,270,,$85.37 ,$85.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602823,GAUGE INFLATION DISP,270,,$158.68 ,$158.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602824,GAUZE FINE MESH,270,,$50.84 ,$50.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602825,GELFILM,270,A4205,$85.73 ,$85.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602826,GLIDE WIRE .025 F/VASC,270,,$204.30 ,$204.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602827,GLIDE WIRE STIFF SHAFT STRAIGHT,270,,$362.99 ,$362.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602828,GLIDE WIRE W/3CM ANGLE TIP,270,,$220.58 ,$220.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602829,GLOVE PARADERM,270,,$258.84 ,$258.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602830,GLOVE RADIATION,270,,$477.02 ,$477.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602831,GOWN,270,,$27.20 ,$27.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602832,GOWN SPECIALTY ULTRA X-LARGE,270,,$36.33 ,$36.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602833,GOWN XXL ULTRA STANDARD,270,,$33.83 ,$33.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602834,GRAFT GORE 4-7X40,270,C1768,"$3,288.63 ","$3,288.63 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602835,GRAFT GORE 6-8X80,270,C1768,"$3,701.19 ","$3,701.19 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602836,GRAFT GORE F/RINGED 6MM X 80 X 80,270,C1768,"$6,990.20 ","$6,990.20 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602837,GRAFT GORE RING 6707,270,C1768,"$5,695.52 ","$5,695.52 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602838,GRAFT GORE RING 6808,270,C1768,"$6,990.20 ","$6,990.20 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602839,GRAFT GORE RING 6X45,270,C1768,"$3,106.30 ","$3,106.30 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602840,GRAFT GORE VAS 10X80,270,C1768,"$3,701.19 ","$3,701.19 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602841,GRAFT GORE VAS 4X80,270,C1768,"$3,701.19 ","$3,701.19 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602842,GRAFT GORE VAS 6X10,270,,$960.85 ,$960.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602843,GRAFT GORE VAS 6X20,270,C1768,"$1,673.03 ","$1,673.03 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602844,GRAFT GORE VAS 6X30,270,C1768,"$2,513.35 ","$2,513.35 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602845,GRAFT GORE VAS 6X40,270,C1768,"$2,755.14 ","$2,755.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602846,GRAFT GORE VAS 6X50,270,C1768,"$3,445.63 ","$3,445.63 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602847,GRAFT GORETEX RINGED,270,C1768,"$6,570.38 ","$6,570.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602848,GRAFT GORTEX 8MMX80CM RING,270,C1768,"$6,570.38 ","$6,570.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602849,GRAFT PATCH GORETEX,270,C1768,"$1,708.47 ","$1,708.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602850,GRAFT RINGED 6MM X 70CM X 70CM,270,C1768,"$5,695.13 ","$5,695.13 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602851,GRAFT VASC GORE 4MM X 80CM ST,270,C1768,"$3,701.67 ","$3,701.67 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602852,GRAFT VASC GORE 6-8MM X 80MM TAP,270,C1768,"$3,701.67 ","$3,701.67 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602853,GRAFT VASCU SOFT-WOVE 16MM STR,270,C1768,$489.16 ,$489.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602854,GRAFT VASCU SOFTWOVE 18MM STR,270,C1768,"$1,559.40 ","$1,559.40 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602855,GRAFT VASCU SOFTWOVE 20MM STR,270,C1768,"$1,559.40 ","$1,559.40 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602856,GRAFT VASCU WOVEN 19X19 5MM BIF,270,C1768,"$1,737.14 ","$1,737.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602857,GRAFT VASCUL PATCH GORTEX 2 X 3,270,C1768,"$1,708.47 ","$1,708.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602858,GRAFT VASCUL WOVEN 16X8MM BIFU,270,C1768,"$1,772.63 ","$1,772.63 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602859,GRAFT VASCUL WOVEN 22X11MM BIF,270,C1768,"$1,815.49 ","$1,815.49 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602860,GRAFT VASCULAR BIFURCATED MEADOX,270,C1768,"$3,423.02 ","$3,423.02 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602861,GRAFT VASCULAR BIFURCATED USCI,270,C1768,"$3,373.12 ","$3,373.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602862,GRAFT VASCULAR STRAIGHT USCI,270,C1768,"$2,225.65 ","$2,225.65 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602863,GRAFT VASCULAR WOVEN,270,C1768,"$2,190.09 ","$2,190.09 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602864,GRAFT VAXCU GORTEX 10MM X 80CM ST,270,C1768,"$3,701.67 ","$3,701.67 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602865,GRIP DALL MILES 2.0MM MED VIT,270,,"$2,567.14 ","$2,567.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602866,GRIP DALL MILES SM,270,,"$2,646.28 ","$2,646.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602867,GRIP LG W/2.0MM (2) CABLES,270,,"$3,233.68 ","$3,233.68 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602868,GRIP MED/LG W/2.0 CABLES X2,270,,"$3,504.29 ","$3,504.29 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602869,GROMMETS F/ELECTROSHIELD,270,,$10.91 ,$10.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602870,GUN CLIP W/RANEY CLIPS,270,,$327.36 ,$327.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602871,HEAD FEMORAL W/NET AIR-DRIED,270,C1776,"$4,828.81 ","$4,828.81 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602872,HELMUT RENTAL,270,,$270.51 ,$270.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602873,HEMOCLIP LG TITANIUM,270,,$61.89 ,$61.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602874,HEMOCLIP MET TITANIUM,270,,$33.83 ,$33.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602875,HEMOCLIP SM TITANIUM,270,,$34.59 ,$34.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602876,HEMOCLIPS,270,,$112.59 ,$112.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602877,HEMOSTAT SURGICAL,270,,$166.08 ,$166.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602878,HIP REVISION TIP,270,,$99.76 ,$99.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602879,HOLDER KNEE ARTH,270,,$82.30 ,$82.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602880,HOOK DISSECTING 5MM X 32CM HARMO,270,,"$1,174.31 ","$1,174.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602881,HOOK DURA SCALP NEURO,270,,$68.56 ,$68.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602882,HOOK WORM SHARP,270,,$747.39 ,$747.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602883,HYDROFLEX W/REMOTE CONTROL,270,,$377.18 ,$377.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602884,ILIUM WEDGE/BLOCK TRICORTICAL,270,C1776,"$2,654.84 ","$2,654.84 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602885,IMPLANT CONTIGEN,270,C2631,"$4,502.63 ","$4,502.63 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602886,IMPLANT DEMBONE,270,C1776,"$1,424.11 ","$1,424.11 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602887,IMPLANT MAMMARY RECONSTRUCTION,270,,"$3,915.27 ","$3,915.27 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602888,IMPLANT MEDPOR,270,,"$1,319.39 ","$1,319.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602889,IMPLANT TESTICULAR AVERAGE,270,C1813,"$7,569.78 ","$7,569.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602890,IMPLANT TESTICULAR CHILD,270,C1813,$633.46 ,$633.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602891,IMPLANT TESTICULAR LARGE ADULT,270,C1813,"$1,245.66 ","$1,245.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602892,IMPLANT TESTICULAR YOUTH,270,C1781,$633.46 ,$633.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602893,INJECTOR MILLER BONE CEMENT,270,,"$1,459.58 ","$1,459.58 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602894,INSERT FOGARTY SOFT JAW LONG,270,,$90.10 ,$90.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602895,INSERT FOGARTY SOFT JAW SHORT,270,,$90.10 ,$90.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602896,INSTRUMENT PURSE STRING,270,,$491.22 ,$491.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602897,INSUFFLATION SET,270,,$710.46 ,$710.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602898,INTERCEED,270,,$719.86 ,$719.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602899,INTERPORE 200,270,,"$3,329.20 ","$3,329.20 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602900,INTRODUCER CORDIS,270,,$334.71 ,$334.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602901,INTRODUCER PEEL-A-WAY 14FR,270,C1892,$323.97 ,$323.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602902,INTRODUCER PERCUTANEOUS 10FR,270,,$391.66 ,$391.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602903,INTRODUCER PERVENOUS LEAD 10.5,270,,$356.04 ,$356.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602904,INTRODUCER PERVENOUS LEAD 14 FR,270,,$320.27 ,$320.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602905,INTRODUCER WIREGUIDE 12FR 22CC,270,,$185.42 ,$185.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602906,IRRIGATOR PULSEWARE,270,,$605.24 ,$605.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602907,JAW FOGARTY DISPOSABLE,270,,$90.10 ,$90.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602908,KIT ACCUSICE,270,,"$5,054.08 ","$5,054.08 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602909,KIT DRAINAGE COLLECTION NEURO,270,,$967.50 ,$967.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602910,KIT EVACUATION 100ML NEURO,270,,$122.32 ,$122.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602911,KIT HALO OPEN,270,C1776,"$3,194.62 ","$3,194.62 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602912,KIT HERNIA AUTO,270,C1768,"$3,027.39 ","$3,027.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602913,KIT HERNIA PERITONEAL LAP,270,,"$2,568.42 ","$2,568.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602914,KIT HYSTERECTOMY DRAINAGE,270,,$128.81 ,$128.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602915,KIT INTRODUCER PERCUTANEOUS /13,270,,$391.66 ,$391.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602916,KIT MENISCEOTOMY,270,,$369.01 ,$369.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602917,KIT MENISECTOMY MINI,270,,$341.68 ,$341.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602918,KIT PERI URETHERAL NEEDLE MALE,270,,$160.30 ,$160.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602919,KIT PERI URETHRAL NEEDLE FEMALE,270,,$160.30 ,$160.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602920,KIT PT CARE,270,,$250.87 ,$250.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602921,KIT PT CARE WILSON,270,,$232.09 ,$232.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602922,KIT QUADRA-COIL STENT 4.5FR,270,C1876,$605.24 ,$605.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602923,KIT SALUTE SHORT,270,,$997.18 ,$997.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602924,KIT SHOULDER SUSPENSION,270,,$282.03 ,$282.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602925,KIT SODA LIME,270,,$319.25 ,$319.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602926,KIT SURG-START BASIN,270,,$232.69 ,$232.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602927,KIT URETERAL BRUSH GILL,270,,"$2,015.90 ","$2,015.90 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602928,KIT VENTRICULOSTOMY (NEURO),270,,"$1,151.96 ","$1,151.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602929,KIT VESICA BLADDER,270,,"$4,150.30 ","$4,150.30 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602930,KITTNER ENDOSCOPIC,270,,$112.27 ,$112.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602931,KNIFE ACL GRAFT SZ 10,270,,"$2,534.90 ","$2,534.90 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602932,KNIFE ACL GRAFT SZ 11,270,,$264.71 ,$264.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602933,KNIFE MYRINGOTOMY,270,,$94.11 ,$94.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602934,KNOT PUSHER ARTHREX 6TH FINGER,270,,$533.56 ,$533.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602935,KNOT PUSHER DISP,270,,$54.08 ,$54.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602936,KNOT PUSHER KITTNER,270,,$54.08 ,$54.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602938,LASER SYSTEM,270,,"$1,318.35 ","$1,318.35 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602939,LENS HOOD HELMUT,270,,$532.68 ,$532.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602940,LIGATURE RS21,270,,$241.10 ,$241.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602941,LINER STANDARD 28MM SZ D,270,,"$2,107.49 ","$2,107.49 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602942,LIPO SUCTION SYSTEM,270,,$504.04 ,$504.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602943,LOCATOR NERVE VARI-STEM III,270,,$245.67 ,$245.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602944,LOCK CONTROLS F/ ELECTROSHIELD,270,,$21.31 ,$21.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602945,LOOPS BLUE MAXI,270,,$16.70 ,$16.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602946,LOOPS RED MAXI,270,,$16.70 ,$16.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602947,LOOPS RED MINI,270,,$16.70 ,$16.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602948,LOOPS SUPER MAXI BLUE,270,,$23.06 ,$23.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602949,LUBRICANT GLIDE (AUR 7),270,,$118.48 ,$118.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602950,LYMPHAXURIN ,270,,$347.61 ,$347.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602951,MALIS TUBING/IRR & BIPOLAR SET (N),270,,$196.92 ,$196.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602952,MANIPEJUCTOR HUMI,270,,$151.74 ,$151.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602953,MATERIAL BACKGROUND MICRIN B/U,270,,$35.44 ,$35.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602954,MATERIAL BACKGROUND MICRIN YEL,270,,$42.54 ,$42.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602955,"MAXON 2-0 27"" FOR ACL",270,,$115.65 ,$115.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602956,MENISECTOMY ELECTRODE,270,,$290.60 ,$290.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602957,MESH PROLENE MARLEX,270,,$905.60 ,$905.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602958,MESH VICRLY,270,C1781,"$1,397.70 ","$1,397.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602959,MICROCLIP WILLIAMS 1.27 X 0.13MM,270,,$112.59 ,$112.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602960,MICROSCOPE,270,,$949.47 ,$949.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602962,MURI LUBE 10ML,270,,$14.19 ,$14.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602963,"NEEDLE .033 DRA 10"" LONG",270,,$106.69 ,$106.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602964,NEEDLE 20 GA CODMAN,270,,$533.56 ,$533.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602965,NEEDLE 22 GA SHORT,270,,$533.56 ,$533.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602966,NEEDLE BIOPSY,270,,$118.76 ,$118.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602967,NEEDLE CHIBA,270,,$73.72 ,$73.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602968,NEEDLE GRICE,270,,$249.24 ,$249.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602969,NEEDLE INTRAMEDIC ADAPTIC,270,,$32.10 ,$32.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602970,NEEDLE ONE -STEP VERESS INSUFF,270,,$121.16 ,$121.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602971,NEEDLE TOUHY 14 GA 90MM,270,,$197.36 ,$197.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602972,NEEDLE VERESS,270,,$163.98 ,$163.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602973,NEEDLE- SURGERY,270,,$32.10 ,$32.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602974,NERVE PROTECTOR ULNAR,270,,$34.59 ,$34.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602975,NEUROSIGN,270,,$854.03 ,$854.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602976,NOZZLE FLEXABLE,270,,$146.14 ,$146.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602977,OCCLUDER HEMORRHAGE,270,,"$1,601.70 ","$1,601.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602978,ORTHOFIX BODY LONG,270,,"$9,370.90 ","$9,370.90 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602979,ORTHOFIX BODY SMALL,270,,"$7,047.54 ","$7,047.54 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602980,ORTHOFIX BODY STANDARD,270,,"$9,527.30 ","$9,527.30 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602981,ORTHOFIX BODY WRIST COMPLETE,270,,"$8,300.43 ","$8,300.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602982,ORTHOFIX CLAMP DOUBLE COUPLING,270,,"$3,497.93 ","$3,497.93 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602983,ORTHOFIX SHORTBODY ,270,,"$12,940.74 ","$12,940.74 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602984,PACK ARTHROPLASTY,270,,"$1,177.12 ","$1,177.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602985,PACK ARTHROSCOPY,270,,$459.76 ,$459.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602986,PACK CARDIOVASCULAR,270,,$474.68 ,$474.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602987,PACK HEAD & NECK OR,270,,$301.37 ,$301.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602988,PACK PROCEDURE NEUROSURGERY,270,,$824.32 ,$824.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602989,PACK SHOULDER,270,,$370.36 ,$370.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602990,PACK SURGIWALL,270,,$67.65 ,$67.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602991,PACK VAGINAL CUSTOM 4X36 STERILE,270,,$39.30 ,$39.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602992,"PACKING ABSORBENT 6""",270,,$139.63 ,$139.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602993,PACKING KENNEDY NASAL,270,,$82.30 ,$82.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602994,PAD PROPLAST,270,,"$1,350.10 ","$1,350.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602995,"PATCH SILASTIC 1"" X 1""",270,,$103.57 ,$103.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602996,PATCH SYN/DURA NEURO,270,,"$1,038.70 ","$1,038.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602997,"PATTIES SURGICAL 1""X1""",270,,$36.21 ,$36.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602998,"PATTIES SURGICAL 1/2"" X1""",270,,$36.21 ,$36.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 602999,"PATTIES SURGICAL 1/4""X1/4""",270,,$45.08 ,$45.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603000,"PATTIES SURGICAL 2""X.5""",270,,$36.21 ,$36.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603001,PATTIES SURGICAL ALL SIZES,270,,$75.77 ,$75.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603002,PENCIL FOOTSWITCH DISP,270,,$32.10 ,$32.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603003,PERCUTANEOUS NEPHROLITHOTRIPSY,270,,"$1,076.04 ","$1,076.04 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603004,PERFORATOR 8MM /2MM THICK,270,,$789.78 ,$789.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603005,PERFORATOR SKULL 11MM,270,,$789.78 ,$789.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603006,PERFORATOR SKULL ADULT NEURO,270,,$691.05 ,$691.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603007,PERFORATOR SKULL PEDIATRIC NEURO,270,,$691.05 ,$691.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603008,PF ACD ANTICOAGULANT,270,,$67.34 ,$67.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603009,PF ADAPTER CARDIOPLEGIA W/STOPCOC,270,,$277.75 ,$277.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603010,PF ADAPTER CP Y,270,,$39.30 ,$39.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603011,PF ADAPTER F-F LUER,270,,$7.82 ,$7.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603012,PF ADAPTER M-M LEUR,270,,$7.82 ,$7.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603013,PF ADAPTER PERFUSION 1/4 ML,270,,$22.45 ,$22.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603014,PF BAG TRANSFER 600 ML,270,,$20.24 ,$20.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603015,PF CANNULA AORTIC CP 9FA 11FR,270,,$134.73 ,$134.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603016,PF CANNULA CORONARY SELF INFLA,270,,$260.01 ,$260.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603017,PF CANNULA LEFT ARTERIAL RT ANGLE,270,,$314.37 ,$314.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603018,PF CANNULA RETROGRADE 15FR SIL,270,,$460.32 ,$460.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603019,PF CANNULA VEIN GRAFT SOFT SILICO,270,,$63.23 ,$63.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603020,PF CANNULA VESSEL BEVELED 3MM,270,,$30.92 ,$30.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603021,PF CATH LEFT VENT MALLEA INTRO,270,,$123.48 ,$123.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603022,PF CONNECTOR,270,,$20.71 ,$20.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603023,PF CONNECTOR 1/4 X 3/16,270,,$17.72 ,$17.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603024,PF CONNECTOR LL STRAIGHT,270,,$20.71 ,$20.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603025,PF CONNECTOR LL STRAIGHT 3/8,270,,$23.65 ,$23.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603026,PF CONNECTOR REDUCER,270,,$17.72 ,$17.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603027,PF CONNECTOR STRAIGHT,270,,$20.71 ,$20.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603028,PF CONTROL HMS ABNORMAL,270,,$31.53 ,$31.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603029,PF CONTROL HMS NORMAL,270,,$31.53 ,$31.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603030,PF CP TABLE LINE 10' 1/8 X 1/16,270,,$157.19 ,$157.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603031,PF DOME PRESSURE W/LINE,270,,$47.87 ,$47.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603032,PF FILTER BLOOD 40 MICRON,270,,$42.11 ,$42.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603033,PF FILTER LEUKOCYTE TRANSFUSE,270,,$94.97 ,$94.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603034,PF HEMOCONCENTRATOR HOLLOW,270,,$460.91 ,$460.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603035,PF KIT CARTRIDGE HMS,270,,$405.36 ,$405.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603036,PF PERFUSION KIT W/ TRANSDUCER PK,270,,$255.74 ,$255.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603037,PF PRESSURE LINE 6FR M-M,270,,$23.40 ,$23.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603038,PF PRESSURE 6FT M-F,270,,$23.00 ,$23.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603039,PF PUMP CENTRALIFUGAL MODULE,270,,$650.02 ,$650.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603040,PF PURGE LINE W/ STOPCOCK,270,,$61.56 ,$61.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603041,PF STOPCOCK 3-WAY LEUR,270,,$8.64 ,$8.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603042,PF SUCTION AUTOTRANSFUSION,270,,$132.97 ,$132.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603043,PF SUCTION FLEXIBLE FLOPPY,270,,$64.99 ,$64.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603044,PF SUCTION WAND PUMP,270,,$67.34 ,$67.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603045,PF SYRINGE HMS,270,,$118.20 ,$118.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603046,PF TABLE LINE CARDIOPLEGIA,270,,$129.99 ,$129.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603047,PF TOURNIQUET ADULT RED/BLUE,270,,$26.60 ,$26.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603048,PF TUBES CAPILLARY MICRO HCT,270,,$111.69 ,$111.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603049,PF TUBING HC PACK,270,,$106.36 ,$106.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603050,PF TUBING HOLDER ORGANIZER,270,,$30.06 ,$30.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603051,PF TUBING OXYGEN,270,,$203.87 ,$203.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603052,PF TUBING PRIMING 1/4 W SPIKE,270,,$76.84 ,$76.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603053,PF TUBING STERILE 1/2 X 3/32 X 8,270,,$67.34 ,$67.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603054,PF TUBING STERILE 1/4 X 1/6 X 8,270,,$49.12 ,$49.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603055,PF TUBING STERILE 3/8 X 3/32 X 8,270,,$56.16 ,$56.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603056,PF VALVE VACCUM ONE WAY RELIEF,270,,$109.01 ,$109.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603057,PIN DISTRACTOR 12MM (NEURO),270,,$855.64 ,$855.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603058,PIN DISTRACTOR 14MM (NEURO),270,,$855.64 ,$855.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603059,PIN DISTRACTOR 16MM (NEURO),270,,$855.64 ,$855.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603060,PIN SKULL (DISP) (NEURO),270,,"$1,227.80 ","$1,227.80 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603061,PIN SKULL 2.5,270,,$144.64 ,$144.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603062,"PIN SKULL 3""",270,,$158.81 ,$158.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603063,PLATE COMP SLOTTED 135D 4-H Z,270,C1713,"$2,168.52 ","$2,168.52 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603064,PLATE FEMORAL OSTEOTOMY HIP,270,C1713,"$1,597.11 ","$1,597.11 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603065,PLATE LEAD 1-1/3 & 2-1/2 1MM,270,,$73.47 ,$73.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603066,PORT VITAL MRI DUAL,270,,"$3,417.13 ","$3,417.13 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603067,POUCH ENDO,270,,$377.18 ,$377.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603068,POUCH ENDO CATCH,270,,$826.11 ,$826.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603069,POUCH FLUID COLLECTOR,270,,$82.30 ,$82.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603070,POUCH FLUID COLLECTOR,270,,$81.83 ,$81.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603071,PREP TRAY DURAPREP,270,,$34.14 ,$34.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603072,PROBE DOPPLER VDP-8,270,,$345.73 ,$345.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603073,"PROBE FLAT 9.1 FREQ ""ADULT""",270,,$711.92 ,$711.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603074,PROBE FOGARTY BILIARY,270,,$351.18 ,$351.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603075,PROBE LITHOCLAST,270,,"$1,240.94 ","$1,240.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603076,PROBE LITHOTRIPTER 1.9 FR,270,,"$1,074.86 ","$1,074.86 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603077,PROBE LITHOTRIPTER 3 FR,270,,"$1,074.86 ","$1,074.86 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603078,PROBE LITHOTRIPTER 9 FR,270,,"$1,074.86 ","$1,074.86 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603079,PROBE LITHOTRIPTOR,270,,"$1,074.86 ","$1,074.86 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603080,PROBE NASAL BIPOLAR,270,,$106.69 ,$106.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603081,PROS HIP ODC OSTEONICS,270,C1776,"$5,314.26 ","$5,314.26 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603082,PROTHESIS ESOPHAGEAL ATKINSON,270,,$942.24 ,$942.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603083,PROSTHESIS HIP ANATOMIC,270,99070,"$24,041.08 ","$24,041.08 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603084,PROSTHESIS TESTICLE,270,C1813,"$1,226.76 ","$1,226.76 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603085,PROSTHESIS ULNAR HEAD,270,C1776,"$1,780.01 ","$1,780.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603086,PROSTHESIS CARPAL NAVICULAR LUN,270,C1776,"$1,567.42 ","$1,567.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603087,PROTECTION GRAFT LIGAMENT,270,,$252.80 ,$252.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603088,PUMP SINGLE ACTION SYSTEM,270,,$298.86 ,$298.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603089,PUMP VAC,270,,$351.18 ,$351.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603090,QUIBOR,270,,$897.01 ,$897.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603091,REDUCER MULTISEAL 7/8 MM,270,,$56.74 ,$56.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603092,RESERVOIR J-VAC 450CC,270,,$108.00 ,$108.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603093,RESERVOIR OMMAYA 28MM (NEURO),270,,"$1,316.43 ","$1,316.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603094,RESERVOIR SMALL J-VAC 150ML,270,,$108.00 ,$108.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603095,"RETAINER ""FISH"" VISCERA LARGE",270,,$105.04 ,$105.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603096,"RETAINER ""FISH"" VISCERA MEDIUM",270,,$105.04 ,$105.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603097,RETAINER VISCERA,270,,$35.44 ,$35.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603098,RETENTION BOLSTER,270,,$27.20 ,$27.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603099,RETRACTOR MULTILOCK,270,,$235.06 ,$235.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603100,RETRACTOR SCOTT,270,,$495.07 ,$495.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603101,RETRIEVER LOOP 4.5 65CM,270,,$659.90 ,$659.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603102,RETRIEVER PLISTER SCHWARTZ 11MM,270,,$566.00 ,$566.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603103,RETRIEVER PLISTER SCHWARTZ 15,270,,$84.35 ,$84.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603104,RINGS SILASTIC,270,,$217.61 ,$217.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603105,ROD COLOSTOMY,270,,$133.12 ,$133.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603106,SCALPEL HARMONIC,270,,"$1,567.28 ","$1,567.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603107,SCREW KURASAKA 9MM X 20MM,270,C1713,"$1,030.27 ","$1,030.27 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603108,SCREW KUROSAKA 7MM X 20MM,270,C1713,"$1,030.27 ","$1,030.27 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603109,SCREW KUROSAKA 7MM X 25MM,270,C1713,"$1,030.27 ","$1,030.27 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603110,SCREW KUROSAKA 7MM X 30MM,270,C1713,"$1,030.27 ","$1,030.27 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603111,SCREW KUROSAKA 9MM X 25MM,270,C1713,"$1,030.27 ","$1,030.27 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603112,SCREW KUROSAKA 9MM X 30MM,270,C1713,"$1,030.27 ","$1,030.27 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603113,SEAL FEM NOZZLE - OFF,270,,$213.91 ,$213.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603114,SEAL FEM NOZZLE TROCH - ON,270,,$213.91 ,$213.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603115,SELECTOR CHARGE TUBING MICROTIPS,270,,"$3,352.84 ","$3,352.84 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603116,SEPRA FILM,270,,$822.86 ,$822.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603117,SET ASEPTIC FLUID TRANSFER,270,,$98.10 ,$98.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603118,SET CATH NEPHRO KAYE BALLOON,270,,$569.38 ,$569.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603119,SET GREAT TOE SIZING,270,,"$3,203.34 ","$3,203.34 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603120,SET GUIBOR CANALIC,270,,$623.47 ,$623.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603121,SET HUNTER BALLOON URETERAL AC,270,,"$1,130.85 ","$1,130.85 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603122,SET INFUSION PUMP,270,,$360.74 ,$360.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603123,SET INST CANN 4.0/4.5 SYNTHES,270,,"$1,164.85 ","$1,164.85 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603124,SET KAYE NEPHR TAMPONADE & ST,270,,"$1,560.18 ","$1,560.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603125,SET LAWSON II WIRE PUNCTURE,270,,"$1,286.41 ","$1,286.41 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603126,SET MALECOT NEPHRO ACCESS 24 FR,270,,$382.62 ,$382.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603127,SET NEPHROSTOMY DILATION,270,,"$1,162.60 ","$1,162.60 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603128,SET NEPHROSTOMY PIGTAIL 10FR,270,,$787.30 ,$787.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603129,SET NEPHROSTOMY PIGTAIL 8.3 FR,270,,$767.03 ,$767.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603130,SET NEPHROSTOMY PIGTAIL 6FR,270,,$720.03 ,$720.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603131,SET OSTOMY SURFIT OR,270,,$131.74 ,$131.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603132,SET PERCUTAN MALECOT NEPH 30CM,270,,$264.13 ,$264.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603134,SET WILLSCHER MALECOT 24 X 39 CM,270,,$588.42 ,$588.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603135,SHEARS ENDO 5MM W/UNIPOLAR CAU,270,,$546.77 ,$546.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603136,SHEARS LAP COAG 15MM HARMONIC,270,,"$2,313.59 ","$2,313.59 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603137,SHEATH 10MM 31 CM F/ELECTROSHIELD,270,,"$1,245.66 ","$1,245.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603138,SHEATH 7/8 - 29.5CM,270,,"$1,424.11 ","$1,424.11 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603139,SHEATH 7/8MM 31CM F/ELECTROSHIELD,270,,"$1,138.98 ","$1,138.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603140,SHEATH AMPLAZ RADIOPAQUE 28FR,270,,$139.17 ,$139.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603141,SHEATH CORD F/ELECTROSHIELD,270,,$462.68 ,$462.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603142,SHEATH ENDO SCRUB,270,,$156.47 ,$156.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603143,SHEATH TEFLON AMPLAZ 24 FR,270,,$139.17 ,$139.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603144,SHEATH TEFLON AMPLAZ 26FR,270,,$139.17 ,$139.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603145,SHEATH TEFLON AMPLAZ 30FR,270,,$139.17 ,$139.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603146,SHEATH PROBE,270,,$87.64 ,$87.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603147,SHIELD FULLER,270,,$79.48 ,$79.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603148,SHUNT CAROTID BYPASS,270,,$160.30 ,$160.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603150,SHUNT CAROTID BYPASS 14FR,270,,$185.24 ,$185.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603151,SHUNT CAROTID BYPASS 16FR,270,,$185.24 ,$185.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603152,SHUNT CAROTID BYPASS LG,270,,$362.99 ,$362.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603153,SHUNT CAROTID T,270,,"$1,003.82 ","$1,003.82 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603154,SHUNT INHARA T,270,,"$1,003.82 ","$1,003.82 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603155,SHUNT JAVID,270,,$352.49 ,$352.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603156,SHUNT LEVEEN,270,49425,"$3,464.84 ","$3,464.84 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603157,SIGMOIDSCOPE DISPOSABLE,270,,$14.19 ,$14.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603158,SKIN STAPLER 35R RH SWIVEL,270,,$135.36 ,$135.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603159,SKIN STAPLER 35R VISI-STAT,270,,$49.96 ,$49.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603160,SKIN STAPLER 35W RH SWIVEL,270,,$135.36 ,$135.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603161,SKIN STAPLER 35W VISI-STAT,270,,$49.96 ,$49.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603162,SLEEVE JET STREAM SH LG,270,,$106.69 ,$106.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603163,SLING VESICA,270,,"$1,278.00 ","$1,278.00 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603164,SNARE POLYPECTOMY,270,,$327.36 ,$327.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603165,SOL LACTATED RINGERS 5000ML,270,,$261.06 ,$261.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603166,SOLUTION TISSUE SOL,270,,$41.46 ,$41.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603167,SPEARS SURGICAL,270,,$20.85 ,$20.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603168,SPLING DOYLE II AIRWAY,270,,$244.38 ,$244.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603169,SPLINT ALUMINUM,270,,$61.89 ,$61.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603170,SPLINT INTERNAL NASAL INVOTEC,270,,$71.07 ,$71.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603171,SPLINT NASAL,270,,$177.85 ,$177.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603172,SPLINT NASAL ACCUFORM MED,270,,$122.02 ,$122.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603173,SPLINT NASAL BROWN,270,,$9.07 ,$9.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603174,SPLINT NASAL OPTI-MOLD 3X3,270,,$33.83 ,$33.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603175,SPONGE DISSECTOR,270,,$25.13 ,$25.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603176,SPONGE NASAL QUALTEX,270,,$16.41 ,$16.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603177,"SPONGE TONSIL 5/8"" (N)",270,,$21.31 ,$21.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603178,SPONGES TONSIL,270,,$18.03 ,$18.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603179,STAPLE CARTRIDGES,270,,$850.63 ,$850.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603180,STAPLE CLIP APPLIERS,270,,$744.99 ,$744.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603181,STAPLE ENDOPATH ESC,270,,$850.63 ,$850.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603182,STAPLE IM ARTHROSCOPY,270,,"$1,067.96 ","$1,067.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603183,STAPLE INTESTINAL EEA,270,,"$2,277.97 ","$2,277.97 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603184,STAPLE MULTIFIRE 75,270,,"$1,240.22 ","$1,240.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603185,STAPLE POWER LDS,270,,"$1,138.98 ","$1,138.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603186,STAPLE ROTICULATOR,270,,"$2,103.65 ","$2,103.65 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603187,STAPLE SKIN,270,,$197.07 ,$197.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603188,STAPLER ARTICULATING ATW35,270,,"$2,213.88 ","$2,213.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603189,STAPLER ENDO CVD INTRALUM 21MM,270,,"$2,277.97 ","$2,277.97 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603190,STAPLER ENDO UNIVERSAL 65,270,,"$1,587.37 ","$1,587.37 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603191,STAPLER LDS POWERED 15W,270,,"$2,783.68 ","$2,783.68 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603192,STAPLER MULTIFIRE GIA 80 (GUN),270,,"$2,000.52 ","$2,000.52 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603193,STAPLER STEALTH CIRCULAR 25MM,270,,"$2,378.60 ","$2,378.60 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603194,STAPLER STEALTH CIRCULAR 29MM,270,,"$2,378.60 ","$2,378.60 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603195,STAPLER STEALTH CIRCULAR 33,270,,"$2,419.64 ","$2,419.64 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603196,STAPLES-R,270,,$491.22 ,$491.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603197,STENT 3FR PEDIATRIC 16CM,270,C1875,$605.85 ,$605.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603198,STENT DOUBLE J 6.0 X 24CM,270,C1875,"$1,138.98 ","$1,138.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603199,STENT DOUBLE J 6.0 X 26CM,270,C1875,"$1,138.98 ","$1,138.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603200,STENT DOBULE J 6.0 X 28CM,270,C1875,"$1,138.98 ","$1,138.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603201,STENT DOUBLE J URETERAL 7.0 X 28,270,C1875,"$1,138.98 ","$1,138.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603202,STENT DOUBLE J URETERAL 7.0 X 24,270,C1875,"$1,138.98 ","$1,138.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603203,STENT DOUBLE J URETERAL 8.5 X 30,270,C1875,"$1,138.98 ","$1,138.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603204,STENT DOUBLE J URETERAL 8.5 X 20,270,C1875,"$1,138.98 ","$1,138.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603205,STENT DOUBLE J URTERAL 8.5 X 26,270,C1875,"$1,138.98 ","$1,138.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603206,STENT SILITEK URETERAL 4.8 X 28,270,C1875,"$1,245.66 ","$1,245.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603207,STENT SINGLE J DIVERSION 7 X 90,270,C1875,"$1,957.73 ","$1,957.73 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603208,STENT URETERAL COOK,270,C1875,$650.16 ,$650.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603209,STENT URETERAL DOUBLE J,270,C1875,"$2,409.78 ","$2,409.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603210,STENT URETERAL MARDIS HYDRO,270,C1875,$996.73 ,$996.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603211,STENT URETERAL MICROVASIVE,270,C1875,$996.73 ,$996.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603212,STENT URETERAL PERCFLX 4.8 X26,270,C1875,$932.46 ,$932.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603213,STENT URETERAL PERCFLX 6X26,270,C1875,$932.46 ,$932.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603214,STENT URETERAL SOF-FLEX 4.7 FR,270,C1875,$650.16 ,$650.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603215,STENT URETERAL SOF-FLEX 6FR,270,C1875,$650.16 ,$650.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603216,STENT URETERAL SOF-FLEX 7FR,270,C1875,$650.16 ,$650.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603217,STENT URETERAL SOF-FLEX 8.2FR,270,C1875,$633.46 ,$633.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603218,STENT UROPASS 7 X 22 CM,270,C1875,"$1,245.66 ","$1,245.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603219,STENT UROPASS 7 X 26 CM,270,C1875,"$1,245.66 ","$1,245.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603220,STENT UROPASS 7 X 28 CM,270,C1875,"$1,245.66 ","$1,245.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603221,STENT UROPASS 7.0 X 24 CM,270,C1875,"$1,245.66 ","$1,245.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603222,STEP CANNULA OBTURATOR 10 MM,270,,$480.85 ,$480.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603223,STEP CANNULA OBTURATOR 12 MM,270,,$533.56 ,$533.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603224,STEP NEEDLE INSUFFLATION,270,,$121.16 ,$121.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603225,"STERI DRAPE II 14 7/8 X 16 1/8""",270,,$35.00 ,$35.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603226,STERI DRAPE II 19 5/8 X 17 8/8,270,,$46.40 ,$46.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603227,"STERI STRIP 1"" X 5 """,270,,$58.08 ,$58.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603228,STERI-DRAPE,270,,$79.48 ,$79.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603229,"STERICOVER WITH AREM 36"" X 25""",270,,$9.16 ,$9.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603230,STIMULATOR NERVE CON,270,,$245.67 ,$245.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603231,"STOCKINETTE D PLY 3"" X 36",270,,$48.63 ,$48.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603232,"STOCKINETTE DOUBLE PLY 2"" X 36""",270,,$48.63 ,$48.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603233,"STOCKINETTE DOUBLE PLY 4"" X 6""",270,,$48.63 ,$48.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603234,"STOCKINETTE LG IMPERV 8""",270,,$44.63 ,$44.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603235,STOCKINETTE ST 234,270,,$48.63 ,$48.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603236,STOPCOCK NOVEK,270,,$50.84 ,$50.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603237,STRAP STIRRUP,270,,$97.24 ,$97.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603238,STRIP EAR CANAL,270,,$132.83 ,$132.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603239,"STRIPS PROXI 1/2"" X 4CM",270,,$53.19 ,$53.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603240,STYLET,270,,$391.66 ,$391.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603241,STYLET FLEXIBLE,270,,$38.86 ,$38.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603242,SUCTION RECTAL,270,,$35.44 ,$35.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603243,SUCTION TIP T&A,270,,$57.16 ,$57.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603244,SUCTION TUBE YANKAUER LIGHTED,270,,$604.34 ,$604.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603245,"SURGICAL NU-KNIT 3"" X 4""",270,,$175.50 ,$175.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603246,"SURGICEL NU-KNIT 6"" X 9""",270,,$452.08 ,$452.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603247,SURGIPORT TROCAR,270,,$989.48 ,$989.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603248,SURGIWAND HOOK,270,,$382.19 ,$382.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603249,SURGIWIP,270,,$387.92 ,$387.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603250,"SUTURE 170072 3-O POLYSORB 7""",270,,$167.00 ,$167.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603251,SUTURE 3-0 PDS Z663H,270,,$78.45 ,$78.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603252,SUTURE 3-O SILK CO17T,270,,$78.45 ,$78.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603253,SUTURE ETHIBOND 2-0 #PXX86,270,,$366.09 ,$366.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603254,SUTURE ETHIBOND 2-0 W/PLEDGETTS,270,,$419.67 ,$419.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603255,SUTURE O SURGIDAC ENDO 173024 OR,270,,$165.15 ,$165.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603256,SUTURE RETENTION BRIDGES RSB-5,270,,$78.45 ,$78.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603257,SUTURE Y932H MONOCRY 12.0,270,,$88.97 ,$88.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603258,SYRINGE CONTIGEN TREATMENT,270,,"$1,885.49 ","$1,885.49 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603259,SYRINGE FINGER CONTROL,270,,$41.46 ,$41.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603260,SYRINGE TOOMEY,270,,$69.00 ,$69.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603262,SYSTEM BECKER EDMS (NEURO),270,,$724.04 ,$724.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603263,SYSTEM BLOOD SAVE,270,,$835.27 ,$835.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603264,SYSTEM WOUND PULSAVAC,270,,$570.98 ,$570.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603265,TAMPON NASAL 8.0CM LONG,270,,$44.93 ,$44.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603266,TAPE LEMAITRE GLOW-N-TELL,270,,$89.21 ,$89.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603267,TEC ENDARTARECTOMY SYSTEM,270,,"$16,976.96 ","$16,976.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603268,THERMACHOICE II W/FLUID CIRCULATI,270,,"$3,137.62 ","$3,137.62 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603269,THREAD ADJ STABILITY,270,,$44.17 ,$44.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603270,THREAD STABILITY 5MM,270,,$44.17 ,$44.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603271,THREADS STABILITY ADJ 11MM,270,,$46.72 ,$46.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603272,TIP CAUTERY (SPATULA),270,,$38.56 ,$38.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603273,TIP CAUTERY TEFLON SPATULA,270,,$38.56 ,$38.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603274,TIP ELECTROSURGICAL,270,,$32.10 ,$32.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603275,TOURNIQUET,270,,$420.12 ,$420.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603276,TRACHEOSTOMA VENT,270,,$296.52 ,$296.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603277,TRAY BURRON EPIDURAL,270,,$187.30 ,$187.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603278,TROCAR 12MM F/BALLARD/BAIN,270,,$472.43 ,$472.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603279,TROCAR CALIBRATED BLUNT,270,,$177.85 ,$177.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603282,TROCAR ENDOPATH 12MM,270,,$472.43 ,$472.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603283,TROCAR ENDOPATH 5MM F/THREADS,270,,$428.27 ,$428.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603284,TROCAR EBNDOPATH 5MM L/CANNULA,270,,$411.74 ,$411.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603285,TROCAR ENDOPATH 7/8 STAINLESS,270,,$443.33 ,$443.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603286,TROCAR ENDOPATH BLUNT TIP 12MM,270,,$576.74 ,$576.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603287,TROCAR FLEXIPATH 7MM,270,,$260.75 ,$260.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603288,TROCAR FLEXIPATH 15MM,270,,$326.06 ,$326.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603289,TROCAR FLEXIPATH 20MM,270,,$326.06 ,$326.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603290,TROCAR OPTIVIEW ENDOPATH,270,,$605.55 ,$605.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603291,TROCAR ORIGIN BLANT TIP,270,,$740.00 ,$740.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603292,TROCAR REDUCER ENDOPATH 5.5MM,270,,$37.84 ,$37.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603293,TROCAR REDUCER ENDOPATH 7/8MM,270,,$26.17 ,$26.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603294,TROCAR VERSAPORT 5-12MM DISP,270,,$989.48 ,$989.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603295,TROCAR X-LONG 12MM,270,,$523.41 ,$523.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603296,TUBE CONNECTING 14FR X 135CM,270,,$101.21 ,$101.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603297,TUBE EAR,270,,$227.66 ,$227.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603298,TUBE END LASER,270,,$695.49 ,$695.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603300,TUBE LARYNGECTOMY,270,,"$1,282.73 ","$1,282.73 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603301,TUBE T,270,,$90.10 ,$90.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603302,TUBE TINT TYTAN V,270,,$281.28 ,$281.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603304,TUBING DISP AESCULAP,270,,$252.60 ,$252.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603305,TUBING F/INSUFFLATOR #10367,270,,$527.66 ,$527.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603306,TUBING F/SELECTOR NEURO,270,,$975.02 ,$975.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603307,TUBING F/XOMED SHAVER,270,,$59.28 ,$59.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603310,TUBING LIPO SUCTION,270,,$56.74 ,$56.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603313,TUNNELER BARD,270,,$171.23 ,$171.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603318,VALVE DELTA SM/REG F/REV (NEURO),270,,"$4,607.63 ","$4,607.63 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603321,VALVE SURE SEAL ENDOSCOPIC,270,,$198.13 ,$198.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603322,VALVULOTOME EXPANDABLE DISP,270,,"$2,100.13 ","$2,100.13 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603323,VEIN STRIPPER 9MM VASTRIP,270,,$93.83 ,$93.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603324,VENT TRACHEOSTOMA,270,,$296.52 ,$296.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603325,VESICA KIT SLING,270,,"$4,411.34 ","$4,411.34 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603326,VESSEL LOOP,270,,$89.21 ,$89.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603327,VIDEO SYSTEM,270,,$711.92 ,$711.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603328,VISE TORQUE,270,,$33.98 ,$33.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603330,WAX BONE,270,,$27.20 ,$27.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603331,WICK EAR POPE NON-STERILE-OR,270,,$26.46 ,$26.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603340,WIRES SNARE,270,,$14.19 ,$14.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603344,YANKAUER SUCTION W/BULB TIP,270,,$27.06 ,$27.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603345,CS ATSV DIAPHRAGM/FACEPLATE REPLA,270,,$341.44 ,$341.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603346,CS BASE PLATE TRACHOST SELF ADH,270,,$74.61 ,$74.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603347,CS BATTERY SERVOX RECHARGEABLE,270,,$155.30 ,$155.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603348,CS BOOK SHELF HELP F/ THE LARYNGECT,270,,$80.68 ,$80.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603349,CS COLLAR SHOWER RUBBER,270,,$73.13 ,$73.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603350,CS CONNECTOR ORAL SERVOX,270,,$55.86 ,$55.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603351,CS DILATOR TRACH/ESOPH(F/16F)18FR,270,,$307.28 ,$307.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603352,CS DILATOR TRACH/ESOPH(F/20FR)22F,270,,$307.28 ,$307.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603353,CS FORCEP ANGLED JANSEN GRUENWALD,270,,$55.14 ,$55.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603354,CS INSERT INDWELLING VALVED,270,,$239.20 ,$239.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603355,CS KIT REPL PROSTH VOICE 20X10,270,,$511.72 ,$511.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603356,CS KIT REPL PROSTH VOICE 20X14,270,,$511.72 ,$511.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603357,CS KIT REPL PROSTH VOICE 20X18,270,,$511.72 ,$511.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603358,CS KIT REPL PROSTH VOICE 20X22,270,,$511.72 ,$511.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603359,CS KIT REPL PROSTH VOICE 20X6,270,,$510.72 ,$510.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603360,CS KIT STARTER HUMDIFILTER,270,,$217.16 ,$217.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603361,CS KIT STARTER PROSTH VOICE 20X25,270,,$580.26 ,$580.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603362,CS KIT STARTER PROSTH VOICE 20X22,270,,$580.26 ,$580.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603363,CS KIT STARTER PROSTH VOICE 20X18,270,,$580.26 ,$580.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603364,CS KIT STARTER PROSTH VOICE 20X10,270,,$580.26 ,$580.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603365,CS KIT STARTER PROSTHE VOICE 20X6,270,,$580.26 ,$580.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603366,CS KIT STARTER TRACHE VALVE ADJ,270,,"$1,085.81 ","$1,085.81 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603367,CS LARYNGECTOMY TUBE 10/36MM,270,,$316.02 ,$316.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603368,CS LARYNGECTOMY TUBE 10/55MM,270,,$316.02 ,$316.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603369,CS LARYNGECTOMY TUBE 9/55,270,,$316.02 ,$316.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603370,CS PIPETS FLUSHING,270,,$40.46 ,$40.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603371,CS PROSTHE DUCKBILL 16X10,270,,$133.42 ,$133.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603372,CS PROSTHE VOICE DUCKBILL 16X18,270,,$133.42 ,$133.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603373,CS PROSTHE VOICE DUCKBILL 16X12,270,,$133.42 ,$133.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603374,CS PROSTHE VOICE DUCKBILL 16X22,270,,$133.42 ,$133.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603375,CS PROSTHE VOICE DUCKBILL 16X6,270,,$133.42 ,$133.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603376,CS PROSTHE VOICE DUCKBILL 16X8,270,,$133.42 ,$133.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603377,CS PROSTHE VOICE L P 16X10,270,,$217.16 ,$217.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603378,CS PROSTHE VOICE L P 16X12,270,,$217.16 ,$217.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603379,CS PROSTHE VOICE L P 16X18,270,,$217.16 ,$217.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603380,CS PROSTHE VOICE L P 16X22,270,,$217.16 ,$217.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603381,CS PROSTHE VOICE L P 16X6,270,,$217.16 ,$217.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603382,CS PROSTHE VOICE L P 16X8,270,,$217.16 ,$217.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603383,CS PROSTHE VOICE L P 20X10,270,,$217.16 ,$217.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603384,CS PROSTHE VOICE L P 20X12,270,,$217.16 ,$217.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603385,CS PROSTHE VOICE L P 20X18,270,,$217.16 ,$217.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603386,CS PROSTHE VOICE L P 20X22,270,,$217.16 ,$217.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603387,CS PROSTHE VOICE L P 20X6,270,,$217.16 ,$217.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603388,CS PROSTHE VOICE L P 20X8,270,,$217.16 ,$217.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603389,CS PROSTHESIS VOICE DUCKBILL16X14,270,,$133.42 ,$133.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603390,CS PROSTHESIS VOICE L P 16 X 14,270,,$217.16 ,$217.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603391,CS PROSTHE VOICE L P 20X14,270,,$217.16 ,$217.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603392,CS STARTER PROSTHE VOICE 20X14,270,,$580.26 ,$580.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603393,CS STRAP NECKCLOTH REPLACEMENT LT,270,,$20.40 ,$20.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603394,CS VALVE HOUSING TRACHEOSTOMA STD,270,,$13.19 ,$13.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603395,CS VALVE HOUSING TRACHEOSTOMA LG,270,,$18.92 ,$18.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603396,CS VALVE ONLY TRACHEOSTOMA ADJ,270,,$713.70 ,$713.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603397,GEL CAP INSERTION SYSTEM,270,,$169.18 ,$169.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603398,TRACHEOSTOMA BUTTON,270,,$371.98 ,$371.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603399,FILTER (DILANTIN) 0.22MCN,270,,$14.80 ,$14.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603403,FILTER (MANNITOL) IN-LINE,270,,$14.80 ,$14.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603404,GELFOAM SPONGE 12X7MM,270,,$26.20 ,$26.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603405,GELFILM ENV GEL,270,,$106.58 ,$106.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604210,TIBIAL SURFACE #7 15MM,270,,"$2,252.88 ","$2,252.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604215,TIBIAL SURFACE #9 15MM,270,C1776,"$2,252.88 ","$2,252.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605400,ARGINAID PACKET,270,,$3.72 ,$3.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605401,ENSURE PLUS 8 OZ CAN,270,,$4.35 ,$4.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605402,TOP FILL BAG WITH FLUSH BAG,270,,$16.66 ,$16.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605403,ENSURE PUDDING 5 OZ CAN,270,,$4.35 ,$4.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605404,PROMOD PROTEIN POWDER,270,,$14.08 ,$14.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605405,RESOURCE FRUIT BEVERAGE,270,,$6.14 ,$6.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605406,SP DRESSING TEGADERM IV,270,,$3.99 ,$3.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605407,PROPASS PROTEIN POWDER 1 PACKET,270,,$0.98 ,$0.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605408,PROSURE 8 OZ CAN,270,,$7.82 ,$7.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605409,CS KIT HEART CATH LEFT,270,,$107.44 ,$107.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605410,TEMP PAD 11x12 STERILE,270,,$153.62 ,$153.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605411,BLOCK FEMORAL BONE 5MM #5,270,,"$2,497.07 ","$2,497.07 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605412,OFFSET ADAPTER 4MM,270,,"$2,709.76 ","$2,709.76 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605413,ETENDER STEM FLUTED 18MMx80M,270,,"$3,061.49 ","$3,061.49 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605414,SIT SUTURE REMOVAL,270,,$29.41 ,$29.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605415,"DRESSING PRISMA 4.34"" (WC)",270,,$37.48 ,$37.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605416,BITE BLOCK,270,,$7.30 ,$7.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605418,CS SNARE ROTATABLE 20 MM DISP,270,,$169.09 ,$169.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605419,IMPACT ADVANCED RECOVERY,270,,$17.78 ,$17.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605420,PIVOT 1.5 RTH 1000ML BOTTLE,270,,$96.69 ,$96.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605421,BOOST 8OZ CAN,270,,$8.09 ,$8.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605440,20 FR SAFETY PULL PEG KIT PREF,270,,$767.43 ,$767.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605442,TOP FILL BAG WITH FLUSH BAG,270,,$16.66 ,$16.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605443,PROPASS PROTEIN POWDER 1 PACKET,270,,$0.98 ,$0.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605444,PIVOT 1.5RTH 1000 ML BOTTLE,270,,$96.69 ,$96.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605446,BENEFIBER PACKET,270,,$0.78 ,$0.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605447,STAPLER EEA 28,270,,"$1,834.05 ","$1,834.05 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605448,TWOCALHN 1000 ML BOTTLE,270,,$8.80 ,$8.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605455,NAP SHOE (OFF LOADING),270,,$166.28 ,$166.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605456,SOL SC.9% INJ MINI BAG 250 ML,270,,$5.57 ,$5.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605457,CV SUTURE Y945H 2-0 MONOCRYL,270,,$10.08 ,$10.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605458,BALLOON ULTRA THIN DIAMOND,270,,$775.09 ,$775.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605459,CV SUTURE Y426H 4-0 MONOCRYL,270,,$77.00 ,$77.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605460,EDWARDS XL FLEXSTAR,270,,"$5,346.37 ","$5,346.37 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605461,CATHETER ADDITIONAL DIAGNOSTIC,270,,$30.68 ,$30.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605462,SP POWER PICC 5FR DL,270,,$504.22 ,$504.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605464,SLEEVE SCD KNEE LENGHT EXPRESS,270,,$320.78 ,$320.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605465,CATHETER SILVERHAWK ATHERECTOM,270,C1897,"$7,582.23 ","$7,582.23 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605466,TL ATHERECTOMY PERIPH ARTERY,270,75992,"$1,889.66 ","$1,889.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605467,PROTACK 5MM,270,,"$1,211.58 ","$1,211.58 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605468,NAP HIP ABDUCTION BRACE,270,,$837.26 ,$837.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605469,NAP AFO FOOT DROP,270,,$570.12 ,$570.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605470,GLIDECATH 5FR ST/TAPER CG506,270,,$211.80 ,$211.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605471,SYSTEM MINISTICK COAX C/4.5/SS,270,,$330.65 ,$330.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605472,SURE SET SURGICAL SET UP,270,,$29.57 ,$29.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605473,APPLICATOR CHLORAPREP 26ML ORA,270,,$25.92 ,$25.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605474,VL DRAP PICC,270,,$34.11 ,$34.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605475,VL PACK ANGIOGRAPHY DRAP CUSTO,270,,$211.47 ,$211.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605476,THERMOWRAP,270,,$511.62 ,$511.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605477,STATLOCK FOLEY DEVICE,270,,$11.09 ,$11.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605478,CV STAPLER 60MM ECHELON EC60,270,,"$1,057.88 ","$1,057.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605479,VL BALLOON CATH CONQUEST PTA,270,,$823.46 ,$823.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605480,TRAY VAS CATH INSERTION BREVIA,270,,$657.81 ,$657.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605481,CATHETER FRONTRUNNER XP 140CM,270,,"$2,800.47 ","$2,800.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605482,MYNX VASCULAR CLOSURE DEVICE,270,,$803.98 ,$803.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605483,RESOLUTION CLIP DEVICE,270,,$602.96 ,$602.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605484,BENEPROTEIN PACKET,270,,$0.92 ,$0.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605485,DRESSING FOAM LG BLK W/INFOVAC,270,,$151.17 ,$151.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605486,20 FR SAFETY PULL PEG KIT AMPULE,270,,$803.98 ,$803.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605487,OSMOLITE 1.2 RTH,270,,$7.05 ,$7.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605489,DRESSING FOAM MED BLK F/INFO VAC,270,,$125.29 ,$125.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605490,POWERLINE DUAL CATHETER 6.0FR,270,,"$1,330.21 ","$1,330.21 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605491,CATHETER CENTESIS 6FR,270,,$268.00 ,$268.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605494,DRESSING SOFTFOAM 10X15 WHITE F/1,270,,$198.27 ,$198.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605495,DRESSING FOAM SM BLK F/INFOBAC,270,,$123.21 ,$123.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605496,SIMPLY THICK NECTAR THICK PACKET,270,,$0.54 ,$0.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605497,SIMPLY THICK HONEY THICK PACKET,270,,$0.89 ,$0.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605501,MAJOR GENERAL PACK,270,,$205.94 ,$205.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605502,PROBE ARGON FLEX SINGLE USE,270,,$744.79 ,$744.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605503,ENVELOPE AIGIS FOR PACEMAKER/ICD,270,,"$2,284.28 ","$2,284.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605505,GREAT SHAKE,270,,$0.50 ,$0.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605508,BASIN SINGLE,270,,$8.23 ,$8.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605509,PROSTAT LIQUID PROTEIN 1OZ SERV,270,,$2.55 ,$2.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605510,DEFENDO DISPOSABLE BIOPSY VALVE,270,,$5.23 ,$5.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605511,CATH HEMOSPLIT CV 31CM 5733310,270,,"$1,339.96 ","$1,339.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605512,BITE BLCOK BYRNE,270,,$5.23 ,$5.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605517,YANKAVER COVERED W/CONTINOUSSUCTI,270,,$6.44 ,$6.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605519,SUTURE 8557H 4-0 PROLENE,270,,$21.12 ,$21.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605527,APPLICATOR CHLORAPREP 26ML ORANGE,270,,$24.02 ,$24.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605528,KIT MINI PLUS FOR OR,270,,$27.39 ,$27.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605529,SLEEVE SCD KNEE LENGTH EXPRESSREG,270,,$132.02 ,$132.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605530,JUVEN PACKET,270,,$9.95 ,$9.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605531,DEFENDO AIR WATER SUCTION DISP BU,270,,$22.53 ,$22.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605545,NOVASOURCE RENAL 1000ML,270,,$6.19 ,$6.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605546,PEPTAMEN AF TUBE FEEDING,270,,$24.78 ,$24.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605547,NUTREN PULMONARY 1000ML,270,,$4.14 ,$4.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605548,NUTREN 2.0 TUBE FEEDING,270,,$2.07 ,$2.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605549,DIABETISOURCE AC 1000 ML BOTTLE,270,,$4.14 ,$4.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605550,FIBERSOURCE HN 1000 ML BOTTLE,270,,$12.40 ,$12.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605551,DIABETASHIELD DRINK,270,,$2.07 ,$2.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605552,NOVASOURCE RENAL DRINK,270,,$2.07 ,$2.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605558,IMPACT PEPTIDE 1.2 1000ML,270,,$15.93 ,$15.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605567,SEALER/DIVIDER LIGASURE,270,,$775.61 ,$775.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605568,CAMER PROBE 2.5MMX320CM,270,,"$2,213.38 ","$2,213.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605569,GLUCERNA 1.2 CAL 8 OZ CAN,270,,$2.34 ,$2.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605579,ELECTRODE BUTTON FRONT LOADING,270,,$628.41 ,$628.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605580,ELECTRODE FRONT LOADING SUPER LOO,270,,$598.12 ,$598.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605581,BOSTON SCI 16FR STRAIGHT G-TUBE,270,,$45.43 ,$45.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 626001,PROMOTE WITH FIBER 8OZ CANS,270,,$4.47 ,$4.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 626002,OSMOLITE HN 8 OZ CANS,270,,$3.79 ,$3.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 626003,JEVITY PLUS 8 OZ CANS,270,,$3.79 ,$3.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 626004,TWOCAL HN 8 OZ CANS,270,,$4.16 ,$4.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 626005,GLUCERNA 8 OZ CANS,270,,$7.42 ,$7.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 626006,SUBDUE 8 OZ CAN,270,,$28.23 ,$28.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 626007,PULMOCARE,270,,$7.52 ,$7.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 626008,NEPRO 8 OZ CANS,270,,$12.31 ,$12.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 626009,PERATIVE 8 OZ CANS,270,,$12.26 ,$12.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 626010,OPTIMENTAL 8 OZ CANS,270,,$23.21 ,$23.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 626011,NUTRIHEP 8 OZ CANS,270,,$4.05 ,$4.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 626012,ENSURE 8 OZ CANS,270,,$3.06 ,$3.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 626013,SUPLENA VANILLA 8 OZ CANS,270,,$10.71 ,$10.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 626014,ENSURE PLUS 8 OZ CANS,270,,$3.50 ,$3.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 626015,GLUCERNA SHAKE 8 OZ CANS,270,,$6.05 ,$6.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 626016,ENSURE PUDDING 8 OZ CANS,270,,$7.29 ,$7.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 626017,PROMOD 8 OZ CANS,270,,$50.78 ,$50.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 626018,ENLIVE POWDER,270,,$5.04 ,$5.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 626019,PEDIASURE 8 OZ CANS,270,,$6.61 ,$6.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627100,SVEDMAN THERAPY UNIT (DAILY),270,,$371.25 ,$371.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627202,EKG(12 LEAD),270,,$261.19 ,$261.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627203,SCD PUMP,270,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627204,IV PUMP,270,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627205,FEEDING PUMP,270,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627206,BARIATRIC COMMODE PER DAY,270,,$63.96 ,$63.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627207,CRASH CART,270,,$373.14 ,$373.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627208,ISOLATION CHARGE (STRICT/RESIRATORY),270,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627209,ISOLATION CHARGE (CONTACT),270,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627211,SPECIALTY BED,270,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627212,KCI VAC,270,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627213,HEAVY DUTY/EXTRA WIDE BED (BARIATRIC),270,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627214,EMERSON PUMP,270,,$310.94 ,$310.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627215,FLOOR STOCK CHARGE (DAILY),270,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627216,DRESSING (SIMPLE),270,,$31.11 ,$31.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627217,DRESSING (INTERMEDIATE),270,,$93.28 ,$93.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627218,DRESSING (COMPLEX),270,,$155.48 ,$155.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627219,SCD SLEEVE,270,,$373.14 ,$373.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627220,GLUCOMETER MONITORING,270,,$31.11 ,$31.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627221,ORTHO SETUP CHARGE (TRAPEZE OR TRACTION),270,,$68.40 ,$68.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627222,PLEUREVAC,270,,$93.28 ,$93.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627234,OXTOMY SUPPLIES,270,,$93.28 ,$93.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627254,MINI-VAC SMALL DRESSING KIT 5/CARTON,270,,$74.61 ,$74.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627255,VAC MEDIUM DRESSING KIT 10/CARTON,270,,$135.62 ,$135.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627256,MINI-VAC MEDIUM DRESSING KIT 5/CARTON,270,,$189.04 ,$189.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627257,VAC LARGE DRESSING KIT 10/CARTON,270,,$189.04 ,$189.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627258,MINI-VAC LARGE DRESSING KIT 5/CARTON,270,,$228.04 ,$228.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627259,MINI-VAC SOFTFOAM 10X15CM DRESSNG ASSEMB,270,,$218.52 ,$218.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627260,MINI-VAC SOFTFOAM 10X7.5CM DRESSNG ASSEM,270,,$189.04 ,$189.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627261,MINI-VAC SOFTFOAM 10X15 DRESS ONLY,270,,$177.22 ,$177.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627262,VAC CANISTER KIT W/O ISOLYSER 10/CARTON,270,,$147.70 ,$147.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627263,MINI-VAC CANISTER KIT W/O ISOLYSER 5/CAR,270,,$163.07 ,$163.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627264,VAC CANISTER KIT W/ISOLYSER 10/CARTON,270,,$261.19 ,$261.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627265,KCI MINI-VAC,270,,$440.65 ,$440.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627266,MINI-VAC CANISTER KIT W/ISOLYSER 5/CARTO,270,,$194.98 ,$194.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627267,MINI-VAC MINI BLACK DRESSING 5/CARTON,270,,$159.49 ,$159.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627268,MINI-VAC MINI SOFTFOAM (WHITE DRES)5/CAR,270,,$189.04 ,$189.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627269,MINI-VAC MINI CANISTERS 5/CARTON,270,,$129.96 ,$129.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627270,DRAPES,270,,$38.85 ,$38.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627271,HYDROPHOBIC FILTER,270,,$162.59 ,$162.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627272,MINI-VAC SOFTFOAM 2WAY CONNECT 10/CARTON,270,,$17.72 ,$17.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627273,MINI-VAC SOFTFOAM 4WAY CONNECT 10/CARTON,270,,$41.36 ,$41.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627274,MINI-VAC EXTENSION TUBING 5/CARTON,270,,$88.94 ,$88.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627275,MINI-VAC HAND DRESSING 5/CARTON,270,,$506.39 ,$506.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627276,MINI-VAC LARGE HAND DRESSING,270,,$444.50 ,$444.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627277,VAC SMALL DRESSING KIT 10/CARTON,270,,$135.92 ,$135.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627278,MATTRESS OVERLAY,270,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627279,THORACENTESIS TRAY,270,,$73.34 ,$73.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627280,BARIATRIC SUITE PER DAY,270,,$562.78 ,$562.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627281,BARIATRIC BED/SCALES PER DAY,270,,$306.97 ,$306.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627282,BARIATRIC AIR MATTRESS PER DAY,270,,$102.33 ,$102.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627283,BARIATRIC WHEELCHAIR PER DAY,270,,$76.74 ,$76.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627284,BARIATRIC WALKER PER DAY,270,,$51.15 ,$51.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627285,BARIATRIC BEDSIDE COMMODE PER DAY,270,,$63.96 ,$63.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4242050,NAP SHOE (OFF LOADING),270,,$511.62 ,$511.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6275009,"OTHER, DRAPES, 12""X10.24""",270,,$51.15 ,$51.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6275033,"DRESSINGS, WHITEFOAM ONLY, SM. 10X7.5",270,,$51.15 ,$51.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6275034,"DRESSINGS, WHITEFOAM ONLY, LG. 10X15",270,,$127.91 ,$127.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6275051,"DRESSINGS, TRAC BLACK, SMALL",270,,$204.65 ,$204.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6275052,"DRESSINGS, TRAC BLACK, MEDIUM",270,,$255.81 ,$255.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6275053,"DRESSINGS, TRAC BLACK, LARGE",270,,$306.97 ,$306.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6275057,"OTHER, TRAC PAD",270,,$153.49 ,$153.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6275063,"CANISTERS, WITH ISOLYSER, 500 ML",270,,$281.39 ,$281.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6275065,"DRESSINGS, TRAC BLACK, EX. LARGE",270,,$639.53 ,$639.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6275067,"DRESSINGS, WHITEFOAM LARGE DRESSING ASSY",270,,$332.57 ,$332.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6275068,"DRESSINGS, WHITEFOAM SMALL DRESSING ASSY",270,,$281.39 ,$281.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6275071,"CANISTERS, NO ISOLYSER, 500 MLL",270,,$230.22 ,$230.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6275075,"DRESSINGS, ROUND BLACK FOAM",270,,$358.10 ,$358.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6275096,"DRESSINGS, GRANUFOAM SILVER, MEDIUM",270,,$358.10 ,$358.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6275098,"DRESSINGS, GRANUFOAM SILVER, SMALL",270,,$281.39 ,$281.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6275099,"DRESSINGS, GRANUFOAM SILVER, LARGE",270,,$434.89 ,$434.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6275100,GENADYNE CANNISTER WITH SOLIDFIER AND TU,270,,$258.16 ,$258.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6275101,"GENADYNE FOAM KIT, SMALL",270,,$206.51 ,$206.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6275102,"GENADYNE FOAM KIT, MEDIUM",270,,$268.49 ,$268.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6275103,"GENADYNE FOAM KIT, LARGE",270,,$330.43 ,$330.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6275104,"WHITE FOAM, SMALL",270,,$134.22 ,$134.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6275105,"WHITE FOAM, MEDIUM",270,,$144.56 ,$144.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6275106,"WHITE FOAM, LARGE",270,,$196.21 ,$196.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6275107,PORT PAD,270,,$154.90 ,$154.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6275108,GENADYNE XLR8 NPWT VAC (DAILY),270,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6275200,KCI VAC ULTA,270,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6275201,"DRESSINGS, VERAFLO SMALL",270,,$671.20 ,$671.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6275202,"DRESSINGS, VERAFLO MEDIUM",270,,$795.09 ,$795.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6275203,"DRESSINGS, VERAFLO LARGE",270,,$908.67 ,$908.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6275204,VERALINK CASSETTE,270,,$382.06 ,$382.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6275205,VASHE 1000ML IRRIGATION FLUID,270,,$392.38 ,$392.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6275206,INFOVAC 1000ML CANISTER WITH ISOLYSER,270,,$371.74 ,$371.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6275207,INFOVAC 500ML CANISTER,270,,$194.24 ,$194.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6275208,"DRESSINGS, VERAFLO CLEANSE MEDIUM",270,,$864.69 ,$864.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6275209,CLEANSER WOUND ANASEPT ANTIMICROB,270,,$357.15 ,$357.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301353,GELATIN ADSORBABLE (NULL) FILM,270,,$858.04 ,$858.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 45050042,O/O JEVITY 1.5 ML 1000ML,270,,$6.97 ,$6.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603406,CS NEEDLE SPINAL 22 FAX7,272,,$15.75 ,$15.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603407,CV CHECK VALVE W/2 SMARTSITE,272,,$23.96 ,$23.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603408,CV COVER TEE TRANSDUCER LF,272,,$66.48 ,$66.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603409,CV SET ADMIN W/6-GANG MANIFOLD,272,,$39.30 ,$39.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603410,CV SET CHECK VALVE W/2 INJECTIONS,272,,$23.96 ,$23.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603411,CV SET CHECK VALVE W/2 VERSASAFE,272,,$23.96 ,$23.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603412,CV SET CHECK VALVE W/3 INJECTIONS,272,,$25.05 ,$25.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603413,CV SET CHECK VALVE W/3 SMARTSITE,272,,$25.05 ,$25.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603414,CV SET CHK VALVE W/VERSASAFE PORT,272,,$25.05 ,$25.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603415,NEEDLE STIMUPLEX INSULATED,272,,$32.97 ,$32.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603416,CS 2 VALVE MANIFOLD,272,,$22.61 ,$22.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603417,CS 6218A ATTAIN LV GUIDE SYSTEM,272,,"$1,625.03 ","$1,625.03 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603418,CS ANGIOSEAL CLOSURE 6F,272,,"$1,111.07 ","$1,111.07 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603419,CS CATH THERMODILATION 110 131-F7,272,,$289.88 ,$289.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603420,CS CATHETER BALLOON ATTAIN,272,,$443.19 ,$443.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603421,CS INSERT FEMORAL F/BIPOLAR CATH,272,,$385.57 ,$385.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603422,CS INSERT SVC F/BIPOLAR CATHETER,272,,$385.57 ,$385.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603423,CS INTRODUCER PEEL-A-WAY,272,C1892,$217.46 ,$217.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603424,CS INTRODUCER SHEATH 5FR,272,C1893,$35.76 ,$35.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603425,CS INTRODUCER SHEATH 6FR 060011,272,C1893,$35.76 ,$35.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603426,CS SYRING CONTROL 12CC,272,,$26.60 ,$26.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603427,"CS TUBE INJECTOR 20"" MX682R",272,,$22.61 ,$22.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603428,IC BALLOON CUTTING OTW BS,272,C1726,"$4,727.31 ","$4,727.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603429,IC BALLOON PERIPHERAL/GUIDANT,272,,"$1,418.21 ","$1,418.21 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603430,IC BALLOON STORMER MEDTRONICS,272,C1726,"$1,240.94 ","$1,240.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603431,IC BALLOON STORMER NC MEDTRONICS,272,C1726,"$1,477.31 ","$1,477.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603432,IC BALLOON STORMER NC3.5MM X 11MM,272,,"$1,477.31 ","$1,477.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603433,IC BUR ROTALINK PLUS / 1.75 MM,272,C1724,"$6,470.52 ","$6,470.52 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603434,IC CATH BALL PTA MAXI 14-25/4/80,272,,"$2,174.55 ","$2,174.55 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603435,IC CATH BALLOON MAVERICK OTW BS,272,,"$1,743.21 ","$1,743.21 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603436,IC CATH BALLOON NC RANGER BS,272,,"$1,743.21 ","$1,743.21 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603437,IC CATH BALLOON PTA OPTA PRO CORD,272,,"$1,116.84 ","$1,116.84 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603438,IC CATH GUIDE 8FR/CORDIS,272,C1887,$833.21 ,$833.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603439,IC CATH GUIDE RDC/8FR/CORDIS,272,C1887,$447.37 ,$447.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603440,IC CATH GUIDE VISTA BRITE TIP 6FR,272,C1887,$435.53 ,$435.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603441,IC CATH GUIDE VISTA BRITE TIP 7FR,272,C1887,$435.53 ,$435.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603442,IC CATH IAB 8FR 34CC FIDELITY,272,C1887,"$4,721.39 ","$4,721.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603443,IC CATH IAB 8FR 40CC FIDELITY,272,C1887,"$4,721.39 ","$4,721.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603444,IC CATHETER GUIDING 6F #Z26EBU35,272,C1887,$354.56 ,$354.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603445,IC CATHETER GUIDING 6F MEDTRONICS,272,C1887,$354.56 ,$354.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603446,IC CATHETER GUIDE 6F/X2/MEDTRON,272,C1887,$709.09 ,$709.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603447,IC CATHETER GUIDING 7F MEDTRONICS,272,C1887,$354.56 ,$354.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603448,IC CATHETER IVUS CORONARY,272,C1753,"$3,781.87 ","$3,781.87 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603449,IC FILTER WIRE EX EMBOLIC 300 CM,272,,"$7,652.34 ","$7,652.34 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603450,IC G-WIRE SHINOBI PLUS 300 CORDIS,272,C1769,"$1,211.38 ","$1,211.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603451,IC G-WIRE SHINOBI STEER 300 CORDI,272,C1769,"$1,211.38 ","$1,211.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603452,IC GUIDE CATHETER 6F.070 CORDIS,272,C1887,$352.81 ,$352.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603453,IC GUIDEWIRE ATW MARKER CORDIS,272,C1887,$576.15 ,$576.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603454,IC GUIDEWIRE BMW GUIDANT,272,C1769,$915.92 ,$915.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603455,IC GUIDEWIRE BMW HITORQUE GUIDANT,272,C1769,$915.92 ,$915.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603456,IC GUIDEWIRE GT-1 DIRECT 300CM,272,C1769,$502.26 ,$502.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603457,"IC GUIDEWIRE HYPERFLEX ""J"" TIP",272,C1769,$827.31 ,$827.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603458,IC GUIDEWIRE JINDO 180/022-035,272,C1769,$498.02 ,$498.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603459,IC GUIDEWIRE JINDO 300/022-035,272,C1769,$574.28 ,$574.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603460,IC GUIDEWIRE PT BOSTON SCIENTIFIC,272,C1769,$525.90 ,$525.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603461,IC GUIDEWIRE ROTA FLOPPY,272,C1769,$827.31 ,$827.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603462,IC GUIDEWIRE SPARTACORE/GUIDANT,272,C1769,$502.26 ,$502.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603463,IC GUIDEWIRE STABILIZ PLUS CORDIS,272,C1769,$915.92 ,$915.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603464,IC GUIDEWIRE STABILIZER PLUS S5,272,,$915.92 ,$915.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603465,IC GUIDEWIRE STORQ MOD J/180/.035,272,C1769,$315.07 ,$315.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603466,IC GUIDEWIRE STORQ MOD J/300/.035,272,C1769,$416.73 ,$416.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603467,IC GUIDEWIRE SV-5 180/.018,272,C1769,$498.02 ,$498.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603468,IC GUIDEWIRE SV-5 300/.018,272,C1769,$574.28 ,$574.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603469,IC SHEATH BRITETIP 6-11F/11CM COR,272,C1892,$172.33 ,$172.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603470,IC SHEATH BRITETIP 6-8F / 23-35CM,272,C1892,$196.26 ,$196.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603471,IC SHEATH BRITETIP 7FR/90 CORDIS,272,C1892,$313.57 ,$313.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603472,IC SLED GALAXY PULLBACK,272,,$206.80 ,$206.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603473,IC STENT BALLOON AGILTRAC OTW,272,,"$1,093.21 ","$1,093.21 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603474,4.2 X 130MM DRILL BIT,272,,$579.68 ,$579.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603475,ACCUSTICK IT W/.038 JTIP .018 NIT,272,,"$1,003.10 ","$1,003.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603476,ADAPTER CATH CONNECTOR-GU-TECH,272,,$72.56 ,$72.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603477,ADAPTER CATHETER STERILE,272,,$2.96 ,$2.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603478,ANCHOR FASTIN PANACRYL,272,C1713,"$2,112.10 ","$2,112.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603479,ANCHOR SUPER QUICK,272,C1713,"$2,621.32 ","$2,621.32 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603480,ANCHORS CUFFTACK,272,,"$1,231.91 ","$1,231.91 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603481,ARTHROSCOPE SYSTEM,272,,$870.99 ,$870.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603482,BALLOON SPACEMAKER DISSECTOR,272,C1727,$966.17 ,$966.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603483,BANDAGE COFLEX 3X5YD LTX FREE,272,,$9.46 ,$9.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603484,BANDAGE COFLEX 6X5YD LTX FREE,272,,$17.91 ,$17.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603485,"BASKET ""ZERO-TIP"" NITINOL 2.4",272,,"$1,108.27 ","$1,108.27 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603486,"BASKET ""ZERO-TIP"" NITINOL 3.0",272,,"$1,108.27 ","$1,108.27 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603487,BASKET STONE CONE,272,,$990.39 ,$990.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603488,BASKET STONE RETRIV 5-W 5CM TP,272,,"$1,266.90 ","$1,266.90 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603489,BLADE SAGITTAL DUAL-CUT,272,,$236.69 ,$236.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603490,BLADE TOMCAT 5.5 MM,272,,$320.72 ,$320.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603491,BONE ORTHOBLAST PAST 1CC,272,,$509.66 ,$509.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603492,BRACE ANKLE TRAINING LEFT,272,L1906,$628.72 ,$628.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603493,BUR CEBOTOME 8MM ROUND,272,,"$1,314.66 ","$1,314.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603494,CAHTETER BMQ/4-2/5.8/40,272,,"$3,174.25 ","$3,174.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603495,CANULA SHOULDER 8.5 MITEK,272,,$82.16 ,$82.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603496,CAP END +10MM T2,272,,$991.84 ,$991.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603497,CAP END +15MM T2,272,,$991.84 ,$991.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603498,CAP END +5MM T2,272,,$991.84 ,$991.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603499,CAP END STANDARD T2,272,,$991.84 ,$991.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603500,CAPS PROTECTIVE 3MM,272,,$376.11 ,$376.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603501,CAPS PROTECTIVE 4MM,272,,$376.11 ,$376.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603502,CAPS PROTECTIVE 5MM,272,,$376.11 ,$376.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603503,CAT DIA BALLOON UDT/4-10/5/120,272,C1725,"$3,238.81 ","$3,238.81 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603504,CATH ANGIOJET XPEEDIOR 60CM,272,C1724,"$5,328.58 ","$5,328.58 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603505,CATH BALLOON BMQ/4-10/5.8/75,272,C1725,"$3,106.71 ","$3,106.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603506,CATH BALLOON BMQ/4-4/5.8/40,272,C1725,"$3,106.71 ","$3,106.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603507,CATH BALLOON BMQ/5-10/5.8/75,272,C1725,"$3,106.71 ","$3,106.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603508,CATH BALLOON BMQ/5-3/5.8/75,272,C1725,"$3,106.71 ","$3,106.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603509,CATH BALLOON BMQ/5-4/5.8/40,272,C1725,"$3,106.71 ","$3,106.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603510,CATH BALLOON BMQ/5-4/5.8/75,272,C1725,"$3,106.71 ","$3,106.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603511,CATH BALLOON BMQ/8-8/5.8/75,272,C1725,"$3,106.71 ","$3,106.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603512,CATH BALLOON BMQ/9-4/5.8/75,272,C1725,"$3,106.71 ","$3,106.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603513,CATH BALLOON DT/4-10/5/75,272,C1725,"$3,061.70 ","$3,061.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603514,CATH BALLOON DT/6-10/5/120,272,C1725,"$3,238.81 ","$3,238.81 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603515,CATH BALLOON DT/8-2/5.2T/75,272,C1725,"$3,058.72 ","$3,058.72 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603516,CATH BALLOON DT/9-4/5.8/120,272,C1725,"$3,238.81 ","$3,238.81 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603517,CATH BALLOON MR/5-3/2.5T/75,272,C1725,"$3,058.72 ","$3,058.72 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603518,CATH BALLOON MR/5-3/5.2T/90,272,C1725,"$3,058.72 ","$3,058.72 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603519,CATH BALLOON MR/6-2/5.2T/75,272,C1725,"$3,058.72 ","$3,058.72 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603520,CATH BALLOON MR/6-3/5.2T/75,272,C1725,"$3,058.72 ","$3,058.72 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603521,CATH BALLOON MR/6-3/5.2T/90,272,C1725,"$3,058.72 ","$3,058.72 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603522,CATH BALLOON STG/6-2/5/120,272,C1725,"$2,830.94 ","$2,830.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603523,CATH BALLOON STW/3-2/100,272,C1725,"$2,605.79 ","$2,605.79 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603524,CATH BALLOON SYM 3.0-2/135,272,C1725,"$4,078.94 ","$4,078.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603525,CATH BALLOON SYM SS/2.5-2/4T/135,272,C1725,"$4,078.94 ","$4,078.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603526,CATH BALLOON SYM/2.5-4/135,272,C1725,"$4,078.94 ","$4,078.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603527,CATH BALLOON SYM/2.5-4/90,272,C1725,"$3,869.22 ","$3,869.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603528,CATH BALLOON SYM/3.0-10/135,272,C1725,"$4,078.94 ","$4,078.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603529,CATH BALLOON SYM/3.0-4/135,272,C1725,"$4,078.94 ","$4,078.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603530,CATH BALLOON SYM/3.0-4/90,272,C1725,"$3,869.22 ","$3,869.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603531,CATH BALLOON SYM/3.5-2/135,272,C1725,"$4,078.94 ","$4,078.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603532,CATH BALLOON SYM/4.0-10/135,272,C1725,"$4,078.94 ","$4,078.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603533,CATH BALLOON SYM/4.0-10/90,272,C1725,"$3,869.22 ","$3,869.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603534,CATH BALLOON SYM/4.0-4/135,272,C1725,"$4,078.94 ","$4,078.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603535,CATH BALLOON SYM/6.0-4/90 SS,272,C1725,"$3,869.22 ","$3,869.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603536,CATH BALLOON SYN/5.0-4/135,272,C1725,"$4,078.94 ","$4,078.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603537,CATH BALLOON XXL/12-2/5.8/120,272,C1725,"$3,407.82 ","$3,407.82 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603538,CATH BALLOON XXL/12-2/5.8/75,272,C1725,"$3,407.82 ","$3,407.82 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603539,CATH BALLOON XXL/12-4/5.8/120,272,C1725,"$3,407.82 ","$3,407.82 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603540,CATH BALLOON XXL/12-4/5.8/75,272,C1725,"$3,407.82 ","$3,407.82 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603541,CATH BALLOON XXL/14-2/5.8/120,272,C1725,"$3,407.82 ","$3,407.82 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603542,CATH BALLOON XXL/14-2/5.8/75,272,C1725,"$3,407.82 ","$3,407.82 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603543,CATH BALLOON XXL/14-4/5.8/120,272,C1725,"$3,407.82 ","$3,407.82 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603544,CATH BALLOON XXL/14-4/5.8/75,272,C1725,"$3,407.82 ","$3,407.82 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603545,CATH BALLOON XXL/16-2/5.8/20E,272,C1725,"$3,761.04 ","$3,761.04 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603546,CATH BALLOON XXL/16-2/5.8/75E,272,C1725,"$3,761.04 ","$3,761.04 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603547,CATH BALLOON XXL/16-4/5.8/75E,272,C1725,"$3,558.05 ","$3,558.05 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603548,CATH BALLOON XXL/18-4/5.8/75E,272,C1725,"$3,558.05 ","$3,558.05 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603549,CATH BILIARY VTCBG/12/35,272,,"$1,037.21 ","$1,037.21 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603550,CATH BILIARY VTCBG/8/35,272,C1729,"$1,037.21 ","$1,037.21 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603551,CATH BLUE MAX BMX3/7-4/5.8/40,272,C1725,"$3,208.07 ","$3,208.07 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603552,CATH BLUEMAX BMQ/6-4/5.8/75,272,C1725,"$3,174.25 ","$3,174.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603553,CATH BLUEMAX BMQ/7-4/5.8/75,272,C1725,"$3,208.07 ","$3,208.07 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603554,CATH BMQ/7-10/5.8/75,272,C1725,"$3,106.71 ","$3,106.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603555,CATH BMQ6-10/5.8/75,272,C1725,"$3,174.25 ","$3,174.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603556,CATH DIA BALLOON UDT/10-2/5.8/75,272,C1725,"$3,324.62 ","$3,324.62 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603557,CATH DIA BALLOON UDT/10-2/5.8/120,272,C1725,"$3,419.18 ","$3,419.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603558,CATH DIA BALLOON UDT/10-4/5.8/75,272,C1725,"$3,058.72 ","$3,058.72 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603559,CATH DIA BALLOON UDT/10-4/5.8/120,272,C1725,"$3,238.81 ","$3,238.81 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603560,CATH DIA BALLOON UDT/4-2/5/120,272,C1725,"$3,523.61 ","$3,523.61 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603561,CATH DIA BALLOON UDT/4-2/5/40,272,C1725,"$2,906.29 ","$2,906.29 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603562,CATH DIA BALLOON UDT/4-2/5/75,272,C1725,"$3,328.21 ","$3,328.21 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603563,CATH DIA BALLOON UDT/4-4/5/120,272,C1725,"$3,309.27 ","$3,309.27 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603564,CATH DIA BALLOON UDT/4-4/5/40,272,C1725,"$3,058.72 ","$3,058.72 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603565,CATH DIA BALLOON UDT/4-4/5/75,272,C1725,"$3,328.21 ","$3,328.21 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603566,CATH DIA BALLOON UDT/5-10/5/120,272,C1725,"$3,238.81 ","$3,238.81 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603567,CATH DIA BALLOON UDT/5-10/5/75,272,C1725,"$3,125.50 ","$3,125.50 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603568,CATH DIA BALLOON UDT/5-2/5/120,272,C1725,"$3,419.18 ","$3,419.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603569,CATH DIA BALLOON UDT/6-2/5/120,272,C1725,"$3,419.18 ","$3,419.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603570,CATH DIA BALLOON UDT/6-2/5/75,272,C1725,"$3,220.51 ","$3,220.51 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603571,CATH DIA BALLOON UDT/6-4/5/120,272,C1725,"$3,238.81 ","$3,238.81 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603572,CATH DIA BALLOON UDT/6-4/5/75,272,C1725,"$3,058.72 ","$3,058.72 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603573,CATH DIA BALLOON UDT/7-2/5/120,272,C1725,"$3,419.18 ","$3,419.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603574,CATH DIA BALLOON UDT/7-2/5/40,272,C1725,"$3,125.50 ","$3,125.50 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603575,CATH DIA BALLOON UDT/7-2/5/75,272,C1725,"$3,220.51 ","$3,220.51 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603576,CATH DIA BALLOON UDT/7-4/5/120,272,C1725,"$3,344.30 ","$3,344.30 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603577,CATH DIA BALLOON UDT/7-4/5/75,272,C1725,"$3,058.72 ","$3,058.72 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603578,CATH DIA BALLOON UDT/8-2/5.8T/75,272,C1725,"$2,815.09 ","$2,815.09 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603579,CATH DIA BALLOON UDT/8-2/5.8T/120,272,C1725,"$3,419.18 ","$3,419.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603580,CATH DIA BALLOON UDT/8-2/5/40,272,C1725,"$3,328.21 ","$3,328.21 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603581,CATH DIA BALLOON UDT/8.4/5.8T/40,272,C1725,"$3,158.64 ","$3,158.64 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603582,CATH DIA BALLOON/5-2/5/75,272,C1725,"$3,058.72 ","$3,058.72 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603583,CATH DIAMOND BLOON UDT/9-4/5.8/75,272,C1725,"$3,125.50 ","$3,125.50 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603584,CATH DIAMOND UDT/5-2/5/40,272,C1725,"$3,058.72 ","$3,058.72 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603585,CATH DIAMOND UDT/5-4/5/40,272,C1725,"$3,058.72 ","$3,058.72 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603586,CATH DIAMOND UDT/7-4/5/40,272,C1725,"$3,058.72 ","$3,058.72 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603587,CATH DILATATION 5/2/4T/90,272,C1725,"$4,602.81 ","$4,602.81 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603588,CATH DILATATION MR/4-8/5.2T/135,272,C1725,"$2,706.83 ","$2,706.83 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603589,CATH DILATATION MR/5-8/5.2T/135,272,C1725,"$2,706.83 ","$2,706.83 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603590,CATH DILATATION MR/6-8/5.2T/135,272,C1725,"$2,706.83 ","$2,706.83 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603591,CATH DILATION CRE FIXD WIRE 15-18,272,C1726,"$2,541.98 ","$2,541.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603592,CATH DILATION CRE FIXD WIRE 18-20,272,C1726,"$2,610.24 ","$2,610.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603593,CATH DRAIN PERCUFLX APDG LP10/25,272,C1726,"$1,043.83 ","$1,043.83 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603594,CATH DRAIN PERCUFLX APDG LP6/20,272,C1726,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603595,CATH DRAIN PERCUFLX APDG LP8/25,272,C1726,"$1,043.83 ","$1,043.83 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603596,CATH DRAINAGE CHEST VCDGLOOP12/25,272,C1726,"$1,071.35 ","$1,071.35 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603597,CATH DRAINAGE CHEST VCDGLOOP14/25,272,C1726,"$1,071.35 ","$1,071.35 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603598,CATH DRAINAGE PERCUFLEX APDG/6/20,272,C1726,$854.92 ,$854.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603599,CATH DRAINAGE PERCUFLEX APDG/8/25,272,,$854.92 ,$854.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603600,CATH DRAINAGE PERCUFLX APDG/10/25,272,C1726,$854.92 ,$854.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603601,CATH FLEXIMA APD LOOP/10/25 REG,272,C1726,$946.07 ,$946.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603602,CATH FLEXIMA APD LOOP/12/25 REG,272,C1726,$502.56 ,$502.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603603,CATH FLEXIMA APD LOOP/8/25 REG,272,C1726,$946.07 ,$946.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603604,CATH FLEXIMA BILIARY 12/35,272,C1726,"$1,056.14 ","$1,056.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603605,CATH FLEXIMA BILIARY 14FR/35,272,C1726,"$1,056.14 ","$1,056.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603606,CATH FLEXIMA BILIARY/10/35 FIRM,272,C1726,"$1,056.14 ","$1,056.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603607,CATH FLEXIMA BILIARY/8/35 FIRM,272,C1726,"$1,056.14 ","$1,056.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603608,CATH FOGARTY BALLOON 5.5FR,272,C1714,$451.90 ,$451.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603609,CATH GLIDE 4FR STRAIGHT TAPER65CM,272,,$611.89 ,$611.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603610,CATH GUIDING HOCKEY STK 8/.086/90,272,,"$1,378.48 ","$1,378.48 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603611,CATH GUIDING LMGRE-8.0C-55-RDC,272,C1887,$629.92 ,$629.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603612,CATH INFUSION MEW/5/.038/5/65,272,C1887,$460.46 ,$460.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603613,CATH KIT VTCBG/10/35,272,,"$1,037.21 ","$1,037.21 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603614,CATH MR/5-2/5.2T/75,272,C1725,"$3,061.70 ","$3,061.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603615,CATH MR/6-2/5.2T/75,272,C1725,"$3,061.70 ","$3,061.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603616,CATH MR/6-4/5.2T/90,272,C1725,"$3,061.70 ","$3,061.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603617,CATH MR/7-2/5.2T/75,272,C1725,"$3,061.70 ","$3,061.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603618,CATH MR/7-2/5.2T/90,272,C1725,"$3,061.70 ","$3,061.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603619,CATH MR/7-4/5.8T/90,272,C1725,"$3,061.70 ","$3,061.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603620,CATH MR/8-4/5.8T/90,272,C1725,"$3,061.70 ","$3,061.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603621,CATH MR/8.3/5.8T/135,272,C1725,"$3,061.70 ","$3,061.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603622,CATH MR/9-4/5.8/90,272,C1725,"$3,061.70 ","$3,061.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603623,CATH NEPHROSTOMY VTCG/14/25,272,C1726,$527.09 ,$527.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603624,CATH OCCLUSION OB/5/2/65/.035,272,C2628,"$2,233.98 ","$2,233.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603625,CATH SUMP VSC LOOP/12/35,272,C1726,$666.11 ,$666.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603626,CATH SUMP VSC LOOP/14/35,272,C1726,$666.11 ,$666.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603627,CATH SYM BALL SS/1.5-10/135,272,C1725,"$4,078.94 ","$4,078.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603628,CATH SYM BALL SS/1.5-2/135,272,C1725,"$4,078.94 ","$4,078.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603629,CATH SYM BALL SS/1.5-4/135,272,C1725,"$4,078.94 ","$4,078.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603630,CATH SYM BALLOON SS/2.0-2/4T/135,272,C1725,"$4,078.94 ","$4,078.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603631,CATH SYM BALLOON SS/2.0-2/4T/90,272,C1725,"$3,869.22 ","$3,869.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603632,CATH SYM BALLOON SS/3.0-2/4T/135,272,C1725,"$4,078.94 ","$4,078.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603633,CATH SYM BALLOON SS/3.0-2/4T/90,272,C1725,"$3,869.22 ","$3,869.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603634,CATH SYM BALLOON SS/4.0-2/4T/135,272,C1725,"$4,078.94 ","$4,078.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603635,CATH SYM BALLOON SS/4.0-2/4T/90,272,C1725,"$3,869.22 ","$3,869.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603636,CATH SYM BALLOON SV/2.0-2/4T/135,272,C1725,"$4,078.94 ","$4,078.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603637,CATH SYM BALLOON SV/2.0-2T/4T/90,272,C1725,"$3,869.22 ","$3,869.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603638,CATH SYM BALLOON SV/2.0-4/4T/135,272,C1725,"$4,078.94 ","$4,078.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603639,CATH SYM BALLOON SV/2.0-4/4T/90,272,C1725,"$3,869.22 ","$3,869.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603640,CATH SYM BALLOON SV/4.0-2/4T/135,272,C1725,"$4,078.94 ","$4,078.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603641,CATH SYM BALLOON SV/5.0-2/4T/135,272,C1725,"$4,078.94 ","$4,078.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603642,CATH SYM BALLOON SV/5.0-2/4T/90,272,C1725,"$3,869.22 ","$3,869.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603643,CATH SYM BALLOON SV/6.0-2/4T/135,272,C1725,"$4,078.94 ","$4,078.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603644,CATH SYM BALLOON SV/6.0-2/4T/90,272,C1725,"$3,869.22 ","$3,869.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603645,CATH SYN BALLOON SV/4.0-2/4T/90,272,C1725,"$3,869.22 ","$3,869.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603646,CATH UDT/5-10/5/40,272,C1725,"$3,058.72 ","$3,058.72 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603647,CATH UDT/5-4/5/75,272,C1725,"$3,058.72 ","$3,058.72 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603648,CATH UDT/6-10/5/40,272,C1725,"$3,058.72 ","$3,058.72 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603649,CATH UDT/6-10/5/75,272,C1725,"$3,058.72 ","$3,058.72 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603650,CATH UDT/7-10/5.8T/120,272,C1725,"$3,238.81 ","$3,238.81 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603651,CATH UDT/7-10/5.8T/75,272,C1725,"$2,325.12 ","$2,325.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603652,CATH UDT/7-10/5/40,272,C1725,"$3,058.72 ","$3,058.72 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603653,CATH UDT/8-4/5.8T/75,272,C1725,"$3,058.72 ","$3,058.72 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603654,CATH UDT/9-2/5.8/75,272,C1725,"$1,358.99 ","$1,358.99 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603655,CATHETER ADHERENT CLOT 4/6,272,,"$2,222.42 ","$2,222.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603656,CATHETER ADHERENT CLOT 5/8,272,,"$1,209.88 ","$1,209.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603657,CATHETER APD LOOP TT 10/25/REG,272,C1726,"$1,037.21 ","$1,037.21 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603658,CATHETER APD LOOP TT/14/25/REG,272,C1726,"$1,037.21 ","$1,037.21 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603659,CATHETER APD LOOP TT/7/20,272,C1726,"$1,037.21 ","$1,037.21 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603660,CATHETER APD LOOP TT12/25/REG,272,C1726,"$1,037.21 ","$1,037.21 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603661,CATHETER BMQ/10-4/5.8/120,272,C1725,"$3,286.66 ","$3,286.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603662,CATHETER BMQ/10-4/5.8/40,272,C1725,"$3,174.25 ","$3,174.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603663,CATHETER BMQ/10-4/5.8/75,272,C1725,"$3,174.25 ","$3,174.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603664,CATHETER BMQ/4-2/5.8/75,272,C1725,"$3,174.25 ","$3,174.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603665,CATHETER BMQ/4-4/5.8/75,272,C1725,"$3,174.25 ","$3,174.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603666,CATHETER BMQ/5-2/5.8/40,272,C1725,"$3,174.25 ","$3,174.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603667,CATHETER BMQ/5-2/5.8/75,272,C1725,"$3,174.25 ","$3,174.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603668,CATHETER BMQ/6-2/5.8/40,272,C1725,"$3,174.25 ","$3,174.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603669,CATHETER BMQ/6-4/5.8/75,272,C1725,"$3,174.25 ","$3,174.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603670,CATHETER BMQ/7-2/5.8/40,272,C1725,"$3,174.25 ","$3,174.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603671,CATHETER BMQ/7-2/5.8/75,272,C1725,"$3,174.25 ","$3,174.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603672,CATHETER BMQ/8-3/5.8/40,272,C1725,"$3,174.25 ","$3,174.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603673,CATHETER BMQ/8-3/5.8/75,272,C1725,"$3,106.71 ","$3,106.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603674,CATHETER BMQ/8-4/5.8/40,272,C1725,"$3,174.25 ","$3,174.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603675,CATHETER BMQ/8-4/5.8/75,272,C1725,"$3,174.25 ","$3,174.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603676,CATHETER BMQ/9-4/5.8/40,272,C1725,"$3,174.25 ","$3,174.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603677,CATHETER BMX/12-4/7/75,272,C1725,"$3,174.25 ","$3,174.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603678,CATHETER COBRA 5/90,272,,$94.69 ,$94.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603679,CATHETER COBRA2 5/65,272,,$94.69 ,$94.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603680,CATHETER CRE DILATE 5838 18-20CM,272,,"$2,337.94 ","$2,337.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603681,CATHETER DT/5-4/5/120,272,,"$3,238.81 ","$3,238.81 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603682,CATHETER FOGARTY 2 EMB,272,,$302.72 ,$302.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603683,CATHETER GUIDER 40 DEGREE 90CM,272,,"$1,424.57 ","$1,424.57 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603684,CATHETER HEADHUNTER 5/100,272,,$94.69 ,$94.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603685,CATHETER HEAMOSPLIT CVD 28 CM,272,C1750,"$1,706.27 ","$1,706.27 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603686,CATHETER HEMOSPLIT 19 CM,272,C1750,"$1,706.27 ","$1,706.27 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603687,CATHETER HEMOSPLIT 21 CM,272,C1750,"$1,706.27 ","$1,706.27 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603688,CATHETER HEMOSPLIT 23 CM,272,C1750,"$1,706.27 ","$1,706.27 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603689,CATHETER MALECOT 14FR 082714,272,,$357.38 ,$357.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603690,CATHETER MALECOT 18FR 082418,272,,$276.84 ,$276.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603691,CATHETER MALECOT NEPH 18FR 082718,272,,$377.18 ,$377.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603692,CATHETER OCCLUSION OB/5/2/65,272,C2628,"$2,051.52 ","$2,051.52 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603693,CATHETER OCCLUSION OB/5/5/100,272,C2628,"$2,051.52 ","$2,051.52 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603694,CATHETER ONE STEP,272,,$284.98 ,$284.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603695,CATHETER PULSE SPRAY 5FR X90X10,272,C1887,"$2,222.42 ","$2,222.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603696,CATHETER ROADRUNNER 035/260,272,,$447.93 ,$447.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603697,CATHETER SCHOBERG SET 18FR 083718,272,,$416.31 ,$416.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603698,CATHETER SIDEWINDERS 5/100,272,,$94.69 ,$94.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603699,CATHETER SUPRAPUBIC BARD,272,,"$3,463.52 ","$3,463.52 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603700,CATHETER SWAIN NECK LEFT,272,C1750,"$1,247.98 ","$1,247.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603701,CARHETER SWAIN NECK RIGHT,272,C1750,"$1,247.98 ","$1,247.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603702,CATHETER SYMMETRY 2/4/150,272,C1725,"$4,076.31 ","$4,076.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603703,CATHTER BMQ/6-2/5.8/75,272,C1725,"$3,174.25 ","$3,174.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603704,CLAMP MULTIPIN,272,,"$3,863.56 ","$3,863.56 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603705,CLAMP RING HYBRID HOFFMANII,272,,"$3,510.35 ","$3,510.35 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603706,CLAMP ROD TO PIN,272,,"$3,476.05 ","$3,476.05 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603707,CLAMP ROD TO ROD HOFFMANII,272,,"$3,476.05 ","$3,476.05 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603708,CLAMP TOD TO TUBE,272,,"$4,102.92 ","$4,102.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603709,CLAMP TUBE/RING HYBRID HII BLUE,272,,"$7,704.49 ","$7,704.49 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603710,CLAMP TUBE/RING HYBRID HII RED,272,,"$7,704.49 ","$7,704.49 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603711,CLIP FIXING DEVICE DISP,272,,$289.70 ,$289.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603712,CLIP HEMOLOK,272,,$90.00 ,$90.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603713,COMPONENT FEMORAL #13 RIGHT,272,,"$7,099.86 ","$7,099.86 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603714,COMPONENT FEMORAL #3 LEFT,272,,"$7,099.86 ","$7,099.86 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603715,COMPONENT FEMORAL #3 RIGHT,272,,"$7,099.86 ","$7,099.86 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603716,COMPONENT FEMORAL #5 RIGHT,272,,"$8,675.84 ","$8,675.84 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603718,COMPONENT FEMORAL CR #11 RIGHT,272,,"$7,059.84 ","$7,059.84 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603719,COMPONENT FEMORAL CR #13 LEFT,272,,"$7,059.84 ","$7,059.84 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603720,COMPONENT FEMORAL CR #13 RIGHT,272,,"$7,059.84 ","$7,059.84 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603721,COMPONENT FEMORAL CR #3 LEFT,272,,"$7,059.84 ","$7,059.84 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603722,COMPONENT FEMORAL CR #7 LEFT,272,,"$7,059.84 ","$7,059.84 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603723,COMPONENT FEMORAL CR #9 LEFT,272,,"$7,059.84 ","$7,059.84 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603724,COMPONENT FEMORAL SCORPIO #9R,272,,"$6,514.70 ","$6,514.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603725,CORD BIPOLAR DISP E0509,272,,$17.72 ,$17.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603726,COVERED ULTRAFLX STENT ESOPH 10CM,272,,"$15,386.26 ","$15,386.26 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603727,COVERED ULTRAFLX STENT ESOPH 15CM,272,,"$17,601.30 ","$17,601.30 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603728,CR9 FIXED WIRE BALLO 12-15 ESOPHA,272,,"$2,541.98 ","$2,541.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603729,CS CATH DRAIN SKATER 6FR 20CM,272,,$381.12 ,$381.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603730,CV KIT CATH ARTERIAL 20G X5 ANES,272,,$75.35 ,$75.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603731,CV KIT CENTRAL VENOUS ACCESS,272,,$332.40 ,$332.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603732,CV ICU KIT CATH 3/LUMEN 16/18/18 M,272,,$177.29 ,$177.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603733,DEVICE TACKER MESH FIXATION,272,,"$1,711.43 ","$1,711.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603734,DEVICE TVT TENSION FREE SUPP,272,C1771,"$8,376.97 ","$8,376.97 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603735,DILATATION MR/7-8/5.8T/135,272,C1726,"$2,706.83 ","$2,706.83 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603736,DILATOR JCD6.5-38-20,272,,$28.94 ,$28.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603737,DISP REDUCER OBTURATOR 7-8MM,272,,$252.80 ,$252.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603738,DRAIN CAPILLARY,272,,$26.46 ,$26.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603739,DRAPE LOWER EXTREMITY,272,,$41.94 ,$41.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603740,DRESSING MEPILEX 8 X 8,272,,$60.24 ,$60.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603741,DRESS PROMOGRAN MATRIX 19.1 SQ IN,272,,$96.06 ,$96.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603742,DRESS PROMOGRAN MATRIX 4.34 SQ IN,272,,$36.07 ,$36.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603743,DRESSING ACTCOAT 7 4X5 (S&N),272,,$84.85 ,$84.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603744,DRESSING ACTICOAT 4X4 (S&N),272,,$35.65 ,$35.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603745,DRESSING ACTICOAT ABS 3/4X12 ROPE,272,,$42.54 ,$42.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603746,DRESS ANTICOAT MOIST 5 X 5,272,,$105.81 ,$105.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603747,DRESSING ALLEVYN HEEL,272,,$38.02 ,$38.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603748,DRESSING AQUACEL RIBBON,272,,$33.58 ,$33.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603749,DRESSING FIBRACOL PLUS 4 X 4-3/8,272,,$30.35 ,$30.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603750,DRESSING FIBRACOL PLUS ROPE,272,,$34.77 ,$34.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603751,DRESSING FOAM WHITE F/VAC 10X15,272,,$175.70 ,$175.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603752,DRESSING MEPILEX 4 X 4,272,,$17.80 ,$17.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603753,DRESSING NUGEL TUBE 30GM,272,,$16.70 ,$16.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603754,DRESSING SM FOAM BLK F/VAC,272,,$120.65 ,$120.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603755,DRESSING SOLOSITE GEL 4 X 4,272,,$11.18 ,$11.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603756,DRESSING SQUACEL 4 X 4 (S&N),272,,$17.80 ,$17.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603757,DRESSING WOUND 3 LAYER DYNAFLEX,272,,$57.16 ,$57.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603758,DRESSING XLARGE BLACK FOR VAC,272,,$343.46 ,$343.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603759,DRILL BIT 4.2 X 180 MM T-2,272,,$458.98 ,$458.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603760,DRILL BIT DISTAL 5.5X300MM,272,,$579.68 ,$579.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603761,DRILL BIT GAMMA,272,,$579.68 ,$579.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603762,EHAD UNITRAX MOD ENDO #45,272,,"$2,018.01 ","$2,018.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603763,EHAD UNITRAX MOD ENDO #61,272,,"$2,018.01 ","$2,018.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603764,ELECTRODE CUTTING LOOP 26 FR,272,,$289.88 ,$289.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603765,ELECTRODE CUTTING LOOP 26 FR.RD,272,,$342.14 ,$342.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603766,ELECTRODE HOOK LOOP W/BALL,272,,$425.16 ,$425.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603767,ELECTRODE KNIFE/HOT TIP PED,272,,$425.16 ,$425.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603768,ELECTRODE LOOP 24 FR RT ANGLE,272,,$352.19 ,$352.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603769,ELECTRODE LOOP CUTTING 28 FR BK,272,,$215.05 ,$215.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603770,ELECTRODE LOOP STANDARD PED,272,,$425.16 ,$425.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603771,ELECTRODE REFLEX 45 ENT,272,,$813.28 ,$813.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603772,ELECTRODE ROLLER BALL 28 FR,272,,$391.36 ,$391.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603773,ELECTRODE VAPORTRODE STERILE,272,,$716.64 ,$716.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603774,EMBOSPHEARS 500-700UM,272,,"$11,712.98 ","$11,712.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603775,EMBOSPHEARS 700-900 UM,272,,"$11,712.98 ","$11,712.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603776,FASTNER TUBE PERCUSTAY 3.5X4,272,,$57.91 ,$57.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603777,FASTRACKER 325 TAP-16 KIT 135,272,,"$1,788.40 ","$1,788.40 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603778,FEMORAL HEAD 32MM,272,C1776,"$2,429.55 ","$2,429.55 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603779,FILTER NITINOL FEMORAL 7FR,272,C1884,"$10,656.29 ","$10,656.29 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603780,GLIDEWIRE .035/180 STRAIGHT TIP,272,,$477.60 ,$477.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603781,GLIDEWIRE .035/180/ANG TIP,272,,$477.60 ,$477.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603782,GLIDEWIRE .035/260 ANGLED,272,,$530.06 ,$530.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603783,GLIDEWIRE .035X150 AS,272,,$615.43 ,$615.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603784,GLIDEWIRE GOLD .018/180/3/45,272,,"$1,331.21 ","$1,331.21 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603785,GLIDEWIRE SHAPABLE TIP .035/180,272,,$553.24 ,$553.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603786,GLIDEWIER STIFF .035/80/ANG,272,,$499.35 ,$499.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603787,GUIDEWIRE BALL TIP GAMMA,272,C1769,$599.03 ,$599.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603788,GUIDEWIRE AMP 3MMJ/035/3/145,272,C1769,$362.82 ,$362.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603789,GUIDEWIRE AMPLATZ .035/6/75CM,272,C1769,$310.25 ,$310.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603790,GUIDEWRIE AMPLATZ 3MM J.035/3/260,272,C1769,$508.32 ,$508.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603791,GUIDEWIRE APMPLATZ S/S .038/6/260,272,C1769,$499.19 ,$499.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603792,GUIDEWIRE AMPLATZ SS .035/6/180,272,C1769,$467.58 ,$467.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603793,GUIDEWIRE AMPLATZ SS .035/6/260,272,C1769,$488.70 ,$488.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603794,GUIDEWIRE EXT JAGTIAL .035 200CM,272,C1769,$912.67 ,$912.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603795,GUIDEWIRE EXTENSION LOC,272,C1769,$478.82 ,$478.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603796,GUIDEWIRE FF/035/145/F10P/A,272,C1769,$626.83 ,$626.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603797,GUIDEWIRE FLEXFINDER 035/260/8,272,C1769,$740.90 ,$740.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603798,GUIDEWIRE GOLD 016/180/45 ANG,272,C1769,"$2,222.42 ","$2,222.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603799,GUIDEWIRE HITOR 145CM MOD J,272,C1769,$775.00 ,$775.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603800,GUIDEWIRE JAGWIRE STRAIGHT 260CM,272,C1769,"$1,253.81 ","$1,253.81 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603801,GUIDEWIRE JFC/035/150/3J/HEP/3/10,272,C1769,$134.73 ,$134.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603802,GUIDEWIRE JFC/035/180/HEP/3/5,272,C1769,$152.04 ,$152.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603803,GUIDEWIRE JFC035/150/3J/PTFE/3/10,272,C1769,$114.81 ,$114.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603804,GUIDEWIRE JFC038/150/3J/PTFE/3/10,272,C1769,$58.48 ,$58.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603805,GUIDEWIRE NITINOL MITEK,272,C1769,$132.07 ,$132.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603806,GUIDEWIRE ROAD RUNNER RR18480,272,C1769,"$1,424.70 ","$1,424.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603807,GUIDEWIRE TAD II .035 145CM,272,C1769,"$1,071.35 ","$1,071.35 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603808,GUIDEWIRE V-18 .018/8/200,272,C1769,"$1,069.56 ","$1,069.56 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603809,GUIDEWIRE V-18 .018/8/300,272,C1769,"$1,121.85 ","$1,121.85 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603810,GUIDEWIRE V-18 CW .018/8/150,272,C1769,"$1,017.23 ","$1,017.23 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603811,GUN BIOPINCE VSL BIOPSY 18 X 100,272,,$236.95 ,$236.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603812,GUN BIOPINCE VSL BIOPSY 18 X 150,272,,$236.95 ,$236.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603813,HEAD FEMORAL MOD ENDO #41,272,,"$2,018.01 ","$2,018.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603814,HEAD UNITRAX MOD ENDO #40,272,C1776,"$2,018.01 ","$2,018.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603815,HEAD UNITRAX MOD ENDO #42,272,C1776,"$2,018.01 ","$2,018.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603816,HEAD UNITRAX MOD ENDO #43,272,C1776,"$2,018.01 ","$2,018.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603817,HEAD UNITRAX MOD ENDO #44,272,C1776,"$2,018.01 ","$2,018.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603818,HEAD UNITRAX MOD ENDO #46,272,C1776,"$2,018.01 ","$2,018.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603819,HEAD UNITRAX MOD ENDO #47,272,C1776,"$2,018.01 ","$2,018.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603820,HEAD UNITRAX MOD ENDO #48,272,C1776,"$2,018.01 ","$2,018.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603821,HEAD UNITRAX MOD ENDO #49,272,C1776,"$2,018.01 ","$2,018.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603822,HEAD UNITRAX MOD ENDO #50,272,,"$2,018.01 ","$2,018.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603823,HEAD UNITRAX MOD ENDO #51,272,C1776,"$2,018.01 ","$2,018.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603824,HEAD UNITRAX MOD ENDO #52,272,C1776,"$2,018.01 ","$2,018.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603825,HEAD UNITRAX MOD ENDO #53,272,C1776,"$2,018.01 ","$2,018.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603826,HEAD UNITRAX MOD ENDO #54,272,C1776,"$2,018.01 ","$2,018.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603827,HEAD UNITRAX MOD ENDO #56,272,C1776,"$2,018.01 ","$2,018.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603828,HEAD UNITRAX MOD ENDO #57,272,C1776,"$2,018.01 ","$2,018.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603829,HEAD UNITRAX MOD ENDO #58,272,C1776,"$2,018.01 ","$2,018.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603830,HEAD UNITRAX MOD ENDO #63,272,C1776,"$2,018.01 ","$2,018.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603831,HEAD UNIVERSAL BIPOLAR,272,C1776,"$1,966.14 ","$1,966.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603832,HEAD UNIVERSAL UHR ODC,272,C1776,"$1,966.14 ","$1,966.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603833,HOOK PROBE PLUS EPS01,272,,$182.75 ,$182.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603834,IC CATH IAB 8FR 40CC FIDELITY,272,C1729,"$4,721.39 ","$4,721.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603835,INSERT A-TRAC 10MM,272,,$237.85 ,$237.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603836,INSERT A-TRAC 5MM,272,,$210.83 ,$210.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603837,INSERT POLYETHYLENE 36MM,272,C1776,"$5,402.48 ","$5,402.48 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603838,INSERT TIBIAL SCORPIO-FLEX,272,C1776,"$4,476.35 ","$4,476.35 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603839,INTRODUCER AND PUSHER,272,,$604.20 ,$604.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603840,INTRODUCER SYS ACCUSTICK W/O.038,272,,$778.10 ,$778.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603841,JURGAN PIN BALL,272,,$30.71 ,$30.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603842,KIT CATHETER HEMODIALYSIS,272,C1750,"$1,449.22 ","$1,449.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603843,KIT CATHETER HEMODIALYSIS 23CM,272,C1750,"$1,449.22 ","$1,449.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603844,KIT CATHETER HEMODIALYSIS 28CM,272,C1750,"$1,449.22 ","$1,449.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603845,KIT INTRODUCER 9FR,272,,$141.50 ,$141.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603846,KIT KWIK FOR BSIN SET,272,,$31.88 ,$31.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603847,KIT NEPHROSTOMY VTCG/8/25,272,,"$1,037.21 ","$1,037.21 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603848,KIT SPARC SLING,272,C1771,"$2,816.31 ","$2,816.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603849,KIT UPLIFT METRA,272,,"$9,061.85 ","$9,061.85 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603850,KNIFE HOOK PED OLY,272,,$425.16 ,$425.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603851,KNIFE ROUND PED OLY,272,,$425.16 ,$425.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603852,KNIFE STRAIGHT PED OLY,272,,$463.73 ,$463.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603853,LIFESITE HEMODIALYSIS ACCESS,272,,"$19,945.73 ","$19,945.73 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603854,LINER 2043C-3254 OSTEONICS,272,,"$2,562.05 ","$2,562.05 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603855,MESH PATCH COMPOSIX 11CM X 14CM,272,C1781,"$2,897.70 ","$2,897.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603856,MESH PATCH COMPOSIX 14CM X 18CM,272,C1781,"$3,675.06 ","$3,675.06 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603857,MESH PATCH COMPOSIX 8CM X 12CM,272,C1781,"$1,961.86 ","$1,961.86 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603858,MICROCATHETER RENEGADE 130/20,272,C1887,"$1,623.24 ","$1,623.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603859,MICROSPHERE EMBOGOLD 500-700,272,C1760,"$2,110.42 ","$2,110.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603860,MICROSPHERE EMBOGOLD 700-900,272,C1760,"$2,110.42 ","$2,110.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603861,MICROSPHERE EMBOGOLD 900-1200,272,C1760,"$2,110.42 ","$2,110.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603862,MICROSPHERE EMBOGOLD 900-1200,272,C1760,"$11,712.98 ","$11,712.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603863,NAIL FEMORAL 10MMX260MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603864,NAIL FEMORAL 10MM X 280MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603865,NAIL FEMORAL 10MM X 300MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603866,NAIL FEMORAL 10MM X 320MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603867,NAIL FEMORAL 10MM X 340MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603868,NAIL FEMORAL 10MM X 360MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603869,NAIL FEMORAL 10MM X 380MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603870,NAIL FEMORAL 10MM X 400MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603871,NAIL FEMORAL 10MM X 420MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603872,NAIL FEMORAL 10MM X 440MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603873,NAIL FEMORAL 11MM X 260MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603874,NAIL FEMORAL 11MM X 280MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603875,NAIL FEMORAL 11MM X 300M,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603876,NAIL FEMORAL 11MM X 320MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603877,NAIL FEMORAL 11MM X 340MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603878,NAIL FEMORAL 11MM X 360MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603879,NAIL FEMORAL 11MM X 380MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603880,NAIL FEMORAL 11MM X 400MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603881,NAIL FEMORAL 11MM X 420MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603882,NAIL FEMORAL 11MM X 440MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603883,NAIL FEMORAL 12MM X 260MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603884,NAIL FEMORAL 12MM X 280MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603885,NAIL FEMORAL 12MM X 300MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603886,NAIL FEMORAL 12MM X 320MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603887,NAIL FEMORAL 12MM X 340MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603888,NAIL FEMORAL 12MM X 360MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603889,NAIL FEMORAL 12MM X 380MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603890,NAIL FEMORAL 12MM X 400MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603891,NAIL FEMORAL 12MM X 420MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603892,NAIL FEMORAL 12MM X 440MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603893,NAIL FEMORAL 12MM X 460MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603894,NAIL FEMORAL 13MM X 300MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603895,NAIL FEMORAL 13MM X 320MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603896,NAIL FEMORAL 13MM X 340MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603897,NAIL FEMORAL 13MM X 360MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603898,NAIL FEMORAL 13MM X 380MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603899,NAIL FEMORAL 13MM X 400MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603900,NAIL FEMORAL 13MM X 420MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603901,NAIL FEMORAL 13MM X 440MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603902,NAIL FEMORAL 13MM X 460MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603903,NAIL FEMORAL 13MM X 480MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603904,NAIL FEMORAL 14MM X 300MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603905,NAIL FEMORAL 14MM X 320MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603906,NAIL FEMORAL 14MM X 340MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603907,NAIL FEMORAL 14MM X 360MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603908,NAIL FEMORAL 14MM X 380MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603909,NAIL FEMORAL 14MM X 400MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603910,NAIL FEMORAL 14MM X 420MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603911,NAIL FEMORAL 14MM X 440MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603912,NAIL FEMORAL 14MM X 460MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603913,NAIL FEMORAL 14MM X 480MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603914,NAIL FEMORAL 9MM X 260MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603915,NAIL FEMORAL 9MM X 280MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603916,NAIL FEMORAL 9MM X 300MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603917,NAIL FEMORAL 9MM X 320MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603918,NAIL FEMORAL 9MM X 340MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603919,NAIL FEMORAL 9MM X 360MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603920,NAIL FEMORAL 9MM X 380MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603921,NAIL FEMORAL 9MM X 400MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603922,NAIL FEMORAL 9MM X 420MM,272,C1713,"$10,599.39 ","$10,599.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603923,NAIL TIBIA CANNULATED 11MMX330MM,272,C1713,"$2,897.84 ","$2,897.84 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603924,NAIL TIBIAL 10MM X 270MM,272,C1713,"$9,117.66 ","$9,117.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603925,NAIL TIBIAL 10MM X 285MM,272,C1713,"$9,117.66 ","$9,117.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603926,NAIL TIBIAL 10MM X 300MM,272,C1713,"$9,117.66 ","$9,117.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603927,NAIL TIBIAL 10MM X 315MM,272,C1713,"$9,117.66 ","$9,117.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603928,NAIL TIBIAL 10MM X 330MM,272,C1713,"$9,117.66 ","$9,117.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603929,NAIL TIBIAL 10MM X 345MM,272,C1713,"$9,117.66 ","$9,117.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603930,NAIL TIBIAL 10MM X 360MM,272,C1713,"$9,117.66 ","$9,117.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603931,NAIL TIBIAL 10MM X 375MM,272,C1713,"$9,117.66 ","$9,117.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603932,NAIL TIBIAL 10MM X 390MM,272,C1713,"$9,117.66 ","$9,117.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603933,NAIL TIBIAL 11MM X 270MM,272,C1713,"$9,117.66 ","$9,117.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603934,NAIL TIBIAL 11MM X 285MM,272,C1713,"$9,117.66 ","$9,117.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603935,NAIL TIBIAL 11MM X 300MM,272,C1713,"$9,117.66 ","$9,117.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603936,NAIL TIBIAL 11MM X 315MM,272,C1713,"$9,117.66 ","$9,117.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603937,NAIL TIBIAL 11MM X 330MM,272,C1713,"$9,117.66 ","$9,117.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603938,NAIL TIBIAL 11MM X 345MM,272,C1713,"$9,117.66 ","$9,117.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603939,NAIL TIBIAL 11MM X 360MM,272,C1713,"$9,117.66 ","$9,117.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603940,NAIL TIBIAL 11MM X 375MM,272,C1713,"$9,117.66 ","$9,117.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603941,NAIL TIBIAL 11MM X 390MM,272,C1713,"$9,117.66 ","$9,117.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603942,NAIL TIBIAL 12MM X 270MM,272,C1713,"$9,117.66 ","$9,117.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603943,NAIL TIBIAL 12MM X 285MM,272,C1713,"$9,117.66 ","$9,117.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603944,NAIL TIBIAL 12MM X 300MM,272,C1713,"$9,117.66 ","$9,117.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603945,NAIL TIBIAL 12MM X 315MM,272,C1713,"$9,117.66 ","$9,117.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603946,NAIL TIBIAL 12MM X 330MM,272,C1713,"$9,117.66 ","$9,117.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603947,NAIL TIBIAL 12MM X 345MM,272,C1713,"$9,117.66 ","$9,117.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603948,NAIL TIBIAL 12MM X 360MM,272,C1713,"$9,117.66 ","$9,117.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603949,NAIL TIBIAL 12MM X 375MM,272,C1713,"$9,117.66 ","$9,117.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603950,NAIL TIBIAL 12MM X 390MM,272,C1713,"$9,117.66 ","$9,117.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603951,NAIL TIBIAL 9MM X 270MM,272,C1713,"$9,117.66 ","$9,117.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603952,NAIL TIBIAL 9MM X 285MM,272,C1713,"$9,117.66 ","$9,117.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603953,NAIL TIBIAL 9MM X 300MM,272,,"$9,117.66 ","$9,117.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603954,NAIL TIBIAL 9MM X 315MM,272,C1713,"$9,117.66 ","$9,117.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603955,NAIL TIBIAL 9MM X 330MM,272,C1713,"$9,117.66 ","$9,117.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603956,NAIL TIBIAL 9MM X 345MM,272,C1713,"$9,117.66 ","$9,117.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603957,NAIL TIBIAL 9MM X 375MM,272,C1713,"$9,117.66 ","$9,117.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603958,NAIL TIBIAL 9MM X 390MM,272,C1713,"$9,117.66 ","$9,117.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603959,NEEDLE BIOPINCE COAXIAL 18 X 100,272,,$76.40 ,$76.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603960,NEEDLE BIOPINCE INTRO 18 X 150,272,,$52.60 ,$52.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603961,NEEDLE BIOPSY TEMNO HBAUT 18/6,272,,$133.12 ,$133.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603962,NEEDLE BIOPSY TEMNO HBAUT 18/9,272,,$312.88 ,$312.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603963,NEEDLE NEPHROSTOMY VTCG/10/25,272,,$527.09 ,$527.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603964,NEEDLE NEPHROSTOMY VTCG/12/25,272,,$527.09 ,$527.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603965,NUT W/STOP K-WIRE 1.5MM X 450,272,,"$1,379.06 ","$1,379.06 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603966,OINTMENT PREVACARE PROTECT 2.3 OZ,272,,$17.60 ,$17.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603967,PIN HALF 3MM X 60MM,272,C1713,$524.32 ,$524.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603968,PIN HALF 3MM X 80MM,272,C1713,$524.32 ,$524.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603969,PIN HALF 4MM X 120MM,272,C1813,$672.45 ,$672.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603970,PIN HALF 4MM X 150MM,272,C1713,$672.45 ,$672.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603971,PIN HALF 4MM X 90MM,272,C1713,$672.45 ,$672.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603972,PIN HALF 5MM X 120MM,272,C1713,$820.64 ,$820.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603973,PIN HALF 5MM X 150MM,272,C1713,$820.64 ,$820.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603974,PIN HALF 5MM X 180MM,272,C1713,$820.64 ,$820.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603975,PIN HALF 6MM X 150MM,272,C1713,$900.27 ,$900.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603976,PIN HALF 6MM X 180MM,272,C1713,$900.27 ,$900.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603977,PIN HALF 6MM X 200MM,272,C1713,$900.27 ,$900.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603978,PINHALF 5MMX150MM,272,C1713,$820.64 ,$820.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603979,PISTOL HAND CONTROL EPH02,272,,$349.51 ,$349.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603980,PLATE OHS COMP 130,272,C1713,"$1,676.25 ","$1,676.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603981,PLATE OHS SHORT BARREL,272,C1713,"$1,676.25 ","$1,676.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603982,PLATE DCP SMALL FRAGMENT ELBOW,272,C1713,$736.42 ,$736.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603983,PLUG TIBIAL ACL,272,,$166.18 ,$166.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603984,POST ANGLED,272,,$695.21 ,$695.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603985,POST PIN HYBRID HOFFMAN II,272,,"$3,042.78 ","$3,042.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603986,POST STRAIGHT,272,,$695.21 ,$695.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603987,POST WIRE HYBRID HOFFMAN II,272,,"$2,461.75 ","$2,461.75 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603988,PRESS IN BONE LOCATOR,272,,$465.51 ,$465.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603989,PUMP SET ANGIOJET,272,,"$2,820.73 ","$2,820.73 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603990,PUMP TUBING LABORIE URODYNAMIC,272,,$82.62 ,$82.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603991,REAMER 11MM 219331 ACL,272,,"$1,613.51 ","$1,613.51 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603992,REAMER 9MM 219339 ACL,272,,"$1,613.51 ","$1,613.51 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603993,RETRACTOR MULTILOCK STAYS,272,,$173.91 ,$173.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603994,RING HYBIRD HOFFMANII 180MM,272,,"$4,388.01 ","$4,388.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603995,RING HYBIRD HOFFMANII 210 MM,272,,"$4,661.40 ","$4,661.40 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603996,RING HYBIRD HOLLMANII 150 MM,272,,"$4,091.64 ","$4,091.64 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603997,ROD CONNECTING 100MM,272,C1713,$797.73 ,$797.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603998,ROD CONNECTING 150MM,272,C1713,$797.73 ,$797.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 603999,ROD CONNECTING 200MM,272,,$854.77 ,$854.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604000,ROD CONNECTING 250MM,272,C1713,$854.77 ,$854.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604001,ROD CONNECTING 300MM,272,C1713,$854.77 ,$854.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604002,ROD CONNECTING 350MM,272,C1713,$934.52 ,$934.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604003,ROD CONNECTING 400MM,272,C1713,$794.16 ,$794.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604004,ROD CONNECTING 450MM,272,C1713,"$1,116.84 ","$1,116.84 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604005,ROD CONNECTING 65MM,272,C1713,$797.73 ,$797.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604006,ROD CURVED 134MM,272,C1713,$900.27 ,$900.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604007,ROD CURVED 174MM,272,C1713,$957.28 ,$957.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604008,ROD CURVED 214MM,272,C1713,"$1,014.32 ","$1,014.32 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604009,SCREW CANCELLOUS BONE,272,C1713,$246.44 ,$246.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604010,SCREW COMPRESSION +10MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604011,SCREW COMPRESSION +15MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604012,SCREW COMPRESSION +5 T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604013,SCREW COMPRESSION ADVANCED T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604014,SCREW COMPRESSION T2,272,C1713,$991.84 ,$991.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604015,SCREW CONDYLE 45MM X 45MM,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604016,SCREW CONDYLE 5MM X 100MM,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604017,SCREW CONDYLE 5MM X 105MM,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604018,SCREW CONDYLE 5MM X 110MM,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604019,SCREW CONDYLE 5MM X 115MM,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604020,SCREW CONDYLE 5MM X 120MM,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604021,SCREW CONDYLE 5MM X 40MM,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604022,SCREW CONDYLE 5MM X 50MM,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604023,SCREW CONDYLE 5MM X 55MM,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604024,SCREW CONDYLE 5MM X 60MM,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604025,SCREW CONDYLE 5MM X 65MM,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604026,SCREW CONDYLE 5MM X 70MM,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604027,SCREW CONDYLE 5MM X 75MM,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604028,SCREW CONDYLE 5MM X 80MM,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604029,SCREW CONDYLE 5MM X 85MM,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604030,SCREW CONDYLE 5MM X 90MM,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604031,SCREW CONDYLE 5MM X 95MM,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604032,SCREW CONDYLE NUT,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604033,SCREW CONPRESSION T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604034,SCREW FEM TIB F/T 5MM S 40MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604035,SCREW FEM TIB F/T 5MM X 30MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604036,SCREW FEM TIB F/T 5MM X 35MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604037,SCREW FEM/TIB P/T 5MM X 105MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604038,SCREW FEM/TIB F/T 5MM S 110 MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604039,SCREW FEM/TIB F/T 5MM S 115 MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604040,SCREW FEM/TIB F/T 5MM S 120MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604041,SCREW FEM/TIB F/T 5MM S 25MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604042,SCREW FEM/TIB F/T 5MM S 65MM T2,272,C1713,$905.60 ,$905.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604043,SCREW FEM/TIB F/T 5MM S 85MM,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604044,SCREW FEM/TIB F/T 5MM X 100MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604045,SCREW FEM/TIB F/T 5MM X 105MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604046,SCREW FEM/TIB F/T 5MM X 45MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604047,SCREW FEM/TIB F/T 5MM X 50MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604048,SCREW FEM/TIB F/T 5MM X 55MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604049,SCREW FEM/TIB F/T 5MM X 60MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604050,SCREW FEM/TIB F/T 5MM X 70MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604051,SCREW FEM/TIB F/T 5MM X 75MM,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604052,SCREW FEM/TIB F/T 5MM X 80MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604053,SCREW FEM/TIB F/T 5MM X 90MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604054,SCREW FEM/TIB F/T 5MM X 95MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604055,SCREW FEM/TIB/F/T 5MM S 110 MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604056,SCREW FEM/TIB P/T 5MM S 115MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604057,SCREW FEM/TIB P/T 5MM S 25MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604058,SCREW FEM/TIB P/T 5MM S 35 MM,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604059,SCREW FEM/TIB P/T 5MM S 40MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604060,SCREW FEM/TIB P/T 5MM S 50MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604061,SCREW FEM/TIB P/T 5MM S 55MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604062,SCREW FEM/TIB P/T 5MM S 60MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604063,SCREW FEM/TIB P/T 5MM S 70MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604064,SCREW FEM/TIB P/T 5MM S 75MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604065,SCREW FEM/TIB P/T 5MM S 80MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604066,SCREW FEM/TIB P/T 5MM S 90MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604067,SCREW FEM/TIB P/T 5MM X 100MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604068,SCREW FEM/TIB P/T 5MM X 120MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604069,SCREW FEM/TIB P/T 5MM X 30MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604070,SCREW FEM/TIB P/T 5MM X 45MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604071,SCREW FEM/TIB P/T 5MM X 65MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604072,SCREW FEM/TIB P/T 5MM X 85MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604073,SCREW FEM/TIB P/T 5MM X 95MM T2,272,C1713,$968.64 ,$968.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604074,SCREW LAG OHS/OCS 14.0 X 85,272,C1713,"$1,154.51 ","$1,154.51 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604075,SET CABLE/SLEEVE 1.G D M S S,272,,"$2,022.11 ","$2,022.11 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604076,SET DILATOR ESOPHAGEAL,272,,$538.02 ,$538.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604077,SHEATH ACCESS URETERAL,272,,$694.92 ,$694.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604078,SHEATH BANANA PEEL 16/30,272,,$612.62 ,$612.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604079,SHEATH BANANA PEEL BP/12/15,272,,$272.29 ,$272.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604080,SHEATH BANANA PEEL BP/14/15,272,C1892,$272.29 ,$272.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604081,SHEATH BANANA PEEL BP/16/15,272,C1892,$272.29 ,$272.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604082,SHEATH INTRODUCER 6/10/.038,272,C1893,"$3,189.35 ","$3,189.35 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604083,SHEATH INTRODUCER PINN 4/10/.038,272,C1893,"$1,812.35 ","$1,812.35 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604084,SHEATH NEPHROURETERAL IE/8/24,272,C1893,$608.23 ,$608.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604085,SHEATH PINNACLE 6/25/038 W/MARKER,272,C1893,$220.00 ,$220.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604086,SHEATH PINNACLE 7/25/038 W/MARKER,272,C1893,$220.00 ,$220.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604087,SHEATH RENAL CLEAR 30PR,272,,$241.10 ,$241.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604088,SHUNT CAROTID BYPASS 14-10FR,272,,$499.93 ,$499.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604089,SHUNT CAROTID BYPASS 14-8FR,272,,$499.93 ,$499.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604090,SHUNT CAROTID BYPASS 14-FR,272,,$499.93 ,$499.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604091,SHUNT CAROTID BYPASS 16-7FR,272,,$499.93 ,$499.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604092,SIMPLEX W/ TOBRAMYCIN,272,,"$1,977.94 ","$1,977.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604093,SLEEVE UNITRAX C-TAPER +OMM,272,,$843.25 ,$843.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604094,SLEEVE UNITRAX C-TAPER +10MM,272,,$843.25 ,$843.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604095,SLEEVE UNITRAX C-TAPER +5MM,272,,$843.25 ,$843.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604096,SP ABSCESSION LOCKING PIGTAIL 8FR,272,,$305.81 ,$305.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604097,SP ABSCESSION LOCKING PIGTAIL 10F,272,,$305.81 ,$305.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604098,SP ABSCESSION LOCKING PIGTAIL 12F,272,,$305.81 ,$305.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604099,SP ANGIOSEAL CLOSURE 6F,272,C1760,"$1,111.07 ","$1,111.07 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604100,SP ANGIOSEAL CLOSURE 8FR,272,C1760,"$1,111.07 ","$1,111.07 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604101,SP BAG 1000 ML TRU-CLOSE SUCTION,272,,$96.62 ,$96.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604102,SP BALLOON CUTTING 4MM X 15MM,272,C1725,"$8,364.83 ","$8,364.83 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604103,SP BALLOON MAXI LD 14 X 4 X 80,272,C1725,"$2,174.55 ","$2,174.55 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604104,SP BALLOON MAXI LD 15 X 4 X 80,272,C1725,"$1,630.93 ","$1,630.93 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604105,SP BALLOON MAXI LD 16 X 4 X 80,272,C1725,"$1,630.93 ","$1,630.93 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604106,SP BALLON OCCLUSION EQUALIZER,272,C2628,"$1,159.37 ","$1,159.37 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604107,SP CATH BALLOON FOX 7MMX80MMX75,272,C1725,"$8,518.64 ","$8,518.64 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604108,SP CATH BILIARY VTCBG/14/35,272,,$993.37 ,$993.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604109,SP CATH SYMMETRY 2/10/135,272,C1725,"$3,739.79 ","$3,739.79 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604110,SP CATH SYMMETRY 3.5/10/135,272,C1725,"$3,739.79 ","$3,739.79 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604111,SP CATH SYMMETRY 3.5/4/135,272,,"$3,739.79 ","$3,739.79 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604112,SP CATHETER ANGIONJET AVX,272,C1714,"$1,994.36 ","$1,994.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604113,SP CATHETER HI 4 FR 100CM,272,,$57.27 ,$57.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604114,SP CATHETER HN4 4FR 100CM,272,,$56.16 ,$56.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604115,SP CATHETER OMNI SELECT 3,272,,$92.63 ,$92.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604116,SP CATHETER PICC GROSHONG 4FR SL,272,,"$1,056.14 ","$1,056.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604117,SP CATHETER PICC GROSHONG 5FR DL,272,,"$1,422.04 ","$1,422.04 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604118,SP CATHETER RIM 5FR 65,272,,$100.80 ,$100.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604119,SP CATHETER SILVERHAWK P4010,272,,"$5,362.57 ","$5,362.57 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604120,SP CATHETER SILVERHAWK P4020,272,,"$5,362.57 ","$5,362.57 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604121,SP CATHETER STRAIGHT 4FR 65CM,272,,$83.34 ,$83.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604122,SP CATHETER TEMP 4FR ST 65CM,272,,$67.98 ,$67.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604123,SP CATHETER UNIFUSE 5FRX45CMX15CM,272,,"$1,589.44 ","$1,589.44 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604124,SP CONNECTOR ROTATING Y BIG EASY,272,,$130.45 ,$130.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604125,SP DILATOR 13 FR,272,C1769,$36.51 ,$36.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604126,SP FILTER FEMORAL/JUGLAR,272,C1880,"$8,542.55 ","$8,542.55 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604127,SP GUIDEWIRE BENTSON + 035 180CM,272,,$180.39 ,$180.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604128,SP GUIDEWIRE THRUWAY 190CM J-TIP,272,,"$1,097.92 ","$1,097.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604129,SP GUIDEIWIRE THRUWAY 190CM STR,272,,"$1,070.14 ","$1,070.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604130,SP GUIDEWIRE 035 260 1.5 ROSEN,272,,$188.21 ,$188.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604131,SP GUIDEWIRE 3MMJ 025 145CM,272,,$112.42 ,$112.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604132,SP GUIDEWIRE BENTSON + 035 260CM,272,,$244.63 ,$244.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604133,SP GUIDEWIRE BENTSON .035/150/15,272,,$146.45 ,$146.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604134,SP GUIDEWIRE BENTSON 025 145,272,,$151.55 ,$151.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604135,SP GUIDEWIRE BENTSON 035 260CM,272,,$210.22 ,$210.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604136,SP GUIDEWIRE BMW .014/300/3ST,272,,$797.15 ,$797.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604137,SP GUIDEWIRE F/INTERODUCER SET 7FR,272,,$131.36 ,$131.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604138,SP GUIDEWIRE LUGE .014/182,272,,"$1,254.69 ","$1,254.69 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604139,SP INTRODUCER CHECK FLO 11FR,272,,$752.80 ,$752.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604140,SP INTRODUCER MICRO PUNTURE ST 7F,272,,$393.99 ,$393.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604141,SP INTRODUCER PEEL AWAY 10FR,272,C1892,$204.99 ,$204.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604142,SP INTRODUCER PEEL AWAY 7FR,272,C1892,$204.99 ,$204.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604143,SP INTRODUCER PEEL AWAY 8FR,272,C1892,$204.99 ,$204.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604144,SP INTRODUCER PEEL AWAY 9FR,272,C1892,$203.87 ,$203.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604145,SP KIT GOOSE NECK SNARE 10/120/4F,272,,"$3,134.18 ","$3,134.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604146,SP KIT GOOSE NECK SNARE 15/120/6F,272,,"$3,134.18 ","$3,134.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604147,SP NEEDLE CORE-ASSURE 135 GA,272,,$230.46 ,$230.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604148,SP PULSE STRAY SET 5FR X135X10 CM,272,,"$2,038.98 ","$2,038.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604149,SP PULSE SPRAY SET 5FR X135X20,272,,"$2,038.98 ","$2,038.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604150,SP PULSE SPRAY SET 5FR X135X30CM,272,,"$2,038.98 ","$2,038.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604151,SP SET LIVER ACCESS/BIOPSY,272,,"$2,072.36 ","$2,072.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604152,SP SHEALTH DENNY PEEL AWAY 8FR,272,,$229.40 ,$229.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604153,SP SHEATH BRIGHT TIP 8FR 90CM,272,C1892,$249.66 ,$249.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604154,SP SHEATH DESTINATION 7FR,272,C1892,$446.91 ,$446.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604155,SP SHEATH DIALEASE 5FR 4 CM,272,C1892,$77.57 ,$77.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604156,SP SNARE EN 12-20-120CM,272,,"$1,218.76 ","$1,218.76 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604157,SP STENT GENESIS 6/18/80,272,C1877,"$3,583.18 ","$3,583.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604158,SP STENT NIROYAL 6/19/90,272,C1877,"$3,412.56 ","$3,412.56 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604159,SP STENT NIROYAL 7/14/90CM,272,C1877,"$3,412.56 ","$3,412.56 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604160,SP STENT NIROYAL 7/19/90CM,272,C1877,"$3,412.56 ","$3,412.56 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604161,SP STENT URETERAL,272,C1877,$820.94 ,$820.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604162,SP STENT URETERAL 6FR/20,272,C1877,$820.94 ,$820.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604163,SP STENT URETERAL 6FR/28,272,C1876,$820.94 ,$820.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604164,SP STENT URETERAL USGK/6/24,272,C1876,"$1,725.19 ","$1,725.19 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604165,SP STENT URETERAL USGK/6/26,272,C1876,"$1,725.19 ","$1,725.19 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604166,SP TUBE CONNECTION FOR CT,272,,$53.19 ,$53.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604167,SP WIRE EXTENTION TROOPER,272,,"$4,504.14 ","$4,504.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604168,SPECULA VAGINA LARGE W/BARRI,272,,$6.19 ,$6.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604169,STAPLER ART/LINER LONG 45A,272,,"$1,379.06 ","$1,379.06 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604170,STEM HIP #12 ODC,272,C1776,"$10,202.45 ","$10,202.45 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604171,STEM HIP SECUR-FIT #7,272,C1776,"$10,202.45 ","$10,202.45 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604172,STENT BIL SET COTTON HUIB 10FR5CM,272,C1877,"$1,151.09 ","$1,151.09 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604173,STENT BIL SET COTTON HUIB 10FR7CM,272,C1877,"$1,151.09 ","$1,151.09 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604174,STENT BILI 10FR -- 7 CM,272,C1877,$456.06 ,$456.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604175,STENT BILLI 12 MM -- 10 FR,272,C1877,$399.03 ,$399.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604176,STENT BILIARY 10 FR 9CM,272,C1877,$456.06 ,$456.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604177,STENT BILIARY 7FR 5CM,272,C1877,"$1,082.71 ","$1,082.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604178,STENT BILIARY 7FR 7CM,272,C1877,"$1,151.09 ","$1,151.09 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604179,STENT BILIARY 7FR 9CM,272,C1877,"$1,151.09 ","$1,151.09 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604180,STENT BILIARY SET 10FR 9CM,272,C1877,"$1,151.09 ","$1,151.09 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604181,STENT CORINTHIAN IQ 10MMX43MMX135,272,C1877,"$14,759.26 ","$14,759.26 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604182,STENT CORINTHIAN IQ 9MMX46MMX135,272,C1877,"$14,759.26 ","$14,759.26 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604183,STENT DOUBLE J URETERAL 7.0 X26,272,C1877,"$1,138.98 ","$1,138.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604184,STENT ESOPHOGEAL EZS 25 12,272,C1877,"$9,972.88 ","$9,972.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604185,STENT INTRODUCER,272,C1877,"$2,849.38 ","$2,849.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604186,STENT NEPHROURENTERAL IE/8/26,272,C1876,$608.23 ,$608.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604187,STENT SOFT CURL 7X26,272,C1877,$903.49 ,$903.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604188,STENT URETERAL USG/8/20,272,C1876,$525.47 ,$525.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604189,STENT URETERAL USG/8/24,272,C1877,$810.91 ,$810.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604190,STENT URETERAL USG/8/26,272,C1876,$810.91 ,$810.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604191,STENT URETERAL USG/8/28,272,C1876,$810.91 ,$810.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604192,STENT WIRE PLUS,272,,$854.92 ,$854.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604193,STERICOVER C-ARM FULL COVER,272,,$20.98 ,$20.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604194,SUTURE 2-0 SURGIDAC ENDOSTICH OR,272,,$165.15 ,$165.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604195,SUTURE 63-4563 O MAXON-OR,272,,$91.59 ,$91.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604196,SUTURE CV-2 GORTEX - OR,272,,$79.44 ,$79.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604197,SUTURE GRASPER 600 MITEK,272,,$806.79 ,$806.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604198,SUTURE PDS II,272,,$96.90 ,$96.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604199,SUTURE R832H 3-*0 MERSILENE,272,,$99.84 ,$99.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604200,SYRINGE 60CC LATEX-FREE,272,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604201,TIBIAL SURFACE #11 10MM,272,C1776,"$2,252.88 ","$2,252.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604202,TIBIAL SURFACE #11 12MM,272,C1776,"$2,252.88 ","$2,252.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604203,TIBIAL SURFACE #11 15MM,272,C1776,"$2,252.88 ","$2,252.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604204,TIBIAL SURFACE #11 18MM,272,C1776,"$2,252.88 ","$2,252.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604205,TIBIAL SURFACE #11 21MM,272,C1776,"$2,252.88 ","$2,252.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604206,TIBIAL SURFACE #11 24MM,272,C1776,"$2,252.88 ","$2,252.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604207,TIBIAL SURFACE #11 8MM,272,C1776,"$2,252.88 ","$2,252.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604208,TIBIAL SURFACE #7 10MM,272,C1776,"$2,252.88 ","$2,252.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604209,TIBIAL SURFACE #7 12MM,272,C1776,"$2,252.88 ","$2,252.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604211,TIBIAL SURFACE #7 21MM,272,C1776,"$2,252.88 ","$2,252.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604212,TIBIAL SURFACE #7 24MM,272,C1776,"$2,252.88 ","$2,252.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604213,TIBIAL SURFACE #7 8MM,272,C1776,"$2,252.88 ","$2,252.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604214,TIBIAL SURFACE #9 10MM,272,C1776,"$2,252.88 ","$2,252.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604216,TIBIAL SURFACE #9 18MM,272,C1776,"$2,252.88 ","$2,252.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604217,TIBIAL SURFACE #9 21MM,272,C1776,"$2,252.88 ","$2,252.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604218,TIBIAL SURFACE #9 24MM,272,C1776,"$2,252.88 ","$2,252.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604219,TIBIAL SURFACE #9 8 MM,272,C1776,"$2,252.88 ","$2,252.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604220,TIBIAL TRAY #3 OSTEONIC,272,,"$4,180.58 ","$4,180.58 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604221,"TRACE HYBRID.035"" 25CM ANGLE TIP",272,,$854.92 ,$854.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604222,TRAY DELIVERY,272,,$371.11 ,$371.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604223,TROCAR RESPOSIBLE 10-11 MM,272,,$228.23 ,$228.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604224,TROCAR RESPOSIBLE 10-12MM BLADEL,272,,$228.23 ,$228.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604225,TROCAR RESPOSIBLE 10-12MM BLUNT,272,,$239.32 ,$239.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604226,TROCAR RESPOSIBLE 10/12MM,272,,$228.23 ,$228.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604227,TROCAR RESPOSIBLE 5MM,272,,$182.49 ,$182.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604228,TROCAR RESPOSIBLE 5MM BLADELESS,272,,$182.49 ,$182.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604229,TROCAR SLEEVE HOUSING 10-11MM,272,,$68.40 ,$68.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604230,TROCAR SLEEVE HOUSING 10-12MM,272,,$68.40 ,$68.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604231,TROCAR SLEEVE HOUSING 5MM,272,,$68.40 ,$68.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604232,TUBE DISTRACTION/COMPRESSION,272,,"$4,330.99 ","$4,330.99 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604233,TUBE TRACH JACKSON SZ 8,272,,$300.65 ,$300.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604234,TUBE TRACH JACKSON SZ 9,272,,$342.14 ,$342.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604235,"TUBING DRAIN 1""X18"" LATEX FREE",272,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604236,"TUBING DRAIN 3/4""X18"" LATEX FREE",272,,$23.50 ,$23.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604237,TUBING F/PROBE PLUS EPT03,272,,$82.30 ,$82.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604238,W/STOP K-WIRE 2.0 X 450MM,272,,"$1,379.06 ","$1,379.06 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604239,WIRE GUIDE .035 THSF-35-480,272,,$421.78 ,$421.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604240,WIRE GUIDE AXCESS 0.21,272,,$854.92 ,$854.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604241,WIRE INFUSION KATZEN/.035/12/180,272,,$385.26 ,$385.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604242,WIRE INFUSION KATZEN/.035/3/180,272,,$385.26 ,$385.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604243,WIRE INFUSION KATZEN/.035/9/180,272,,$385.26 ,$385.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604244,WIRE KIRSCHNER 1.5MM X 450MM,272,,$569.94 ,$569.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604245,WIRE STARTER JFC/035/150/3/15,272,,$114.81 ,$114.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604246,WIRE TIP DEFLECTING,272,,"$1,171.37 ","$1,171.37 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604247,[PIN HALF 3MM X 110MM,272,C1713,$524.32 ,$524.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604248,1.5 BONE FIXAITION KIT 25MM,272,C1713,$789.78 ,$789.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604249,1.5MM BONE FIXATION KIT-16 MM,272,C1713,$789.78 ,$789.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604250,CS #15 GAUGE RENAL BIOPSY NEEDLE,272,,$289.88 ,$289.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604251,CS CAPSULE BRAVO PH,272,,$660.81 ,$660.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604252,CS CAPSULE M2A KIT,272,,"$1,994.36 ","$1,994.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604253,CS CATHETER COLONIC BALLOON 15MM,272,C1877,"$3,064.07 ","$3,064.07 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604254,CS CATHETER COLONIC BALLOON 18MM,272,C1877,"$3,064.07 ","$3,064.07 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604255,CS COLONIC STENT 20 MM 135,272,C1877,"$5,606.28 ","$5,606.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604256,CS COLONIC STENT 20 MM 230 CM,272,C1877,"$5,606.28 ","$5,606.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604257,CS COLONIC STENT 22 MM 135,272,C1877,"$5,606.28 ","$5,606.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604258,CS COLONIC STENT 22 MM 230 CM,272,C1877,"$5,606.28 ","$5,606.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604259,CS CRE COLONIC PYLORIC TTS 10-12M,272,C1877,"$3,064.07 ","$3,064.07 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604260,CS CRE COLONIC PYLORIC TTS 15-18M,272,C1877,"$3,064.07 ","$3,064.07 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604261,CS CRE COLONIC PYLORIC TTS 6-8MM,272,C1877,"$3,064.07 ","$3,064.07 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604262,CS CRE COLONIC PYLORIC TTS 8-10MM,272,,"$3,064.07 ","$3,064.07 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604263,CS ESOPHAGEAL DILATOR 10-12 CRE,272,,"$2,610.24 ","$2,610.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604264,CS ESOPHAGEAL DILATOR 6-8 CRE,272,,"$2,610.24 ","$2,610.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604265,CS ESOPHAGEAL DILATOR 8-10 CRE,272,,"$2,610.24 ","$2,610.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604266,CS RUBBER SLEEVES ONLY DOYEN JANS,272,,$58.48 ,$58.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604267,CS STENT BILIARY S-PASS 10FR 7CM,272,C1877,$639.25 ,$639.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604268,CSR RAT TOOTH FORCEPS (2.5-230),272,,"$1,449.22 ","$1,449.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604269,DIRECT BITE COATED BIOPSY FORCEPS,272,,$193.24 ,$193.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604270,DUAL LUMEN MEDIPORT ATTACHED CATH,272,C1881,"$1,545.87 ","$1,545.87 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604271,DUAL LUMEN MEDIPORT DETACHED CATH,272,C1881,"$1,893.59 ","$1,893.59 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604272,ENDO SUTURING KITS DISP,272,,"$14,760.93 ","$14,760.93 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604273,ANCHOR ARTHREX CORKSCREW 5.0MM,272,C1713,"$1,880.47 ","$1,880.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604274,ANCHOR ARTHREX FASTAK 2.4X11.7MM,272,,$960.85 ,$960.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604275,ANCHOR ARTHREX FASTAK 2.4X13.5MM,272,C1713,"$1,538.60 ","$1,538.60 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604276,ANCHOR ARTHREX FASTAK 8.25X9CM,272,,$156.47 ,$156.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604277,ANCHOR MICROVASIVE VESICA,272,C1713,"$2,564.29 ","$2,564.29 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604278,ANCHOR MINI GII #210,272,C1713,$477.02 ,$477.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604279,ANCHOR MITEK,272,C1713,"$1,789.29 ","$1,789.29 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604280,ANCHOR MITEK GII SNAP-PK,272,C1713,"$1,876.02 ","$1,876.02 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604281,ANCHOR REBA 5.0MM,272,C1713,"$1,880.47 ","$1,880.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604282,ANCHOR PEBA 6.5MM,272,C1713,"$1,698.13 ","$1,698.13 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604283,ANCHOR SUPER QUICK,272,,"$2,404.91 ","$2,404.91 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604284,ARTHROSCOPE SYSTEM,272,,$799.08 ,$799.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604285,BANDAGE COFLEX 3X5YD LTX FREE,272,,$9.46 ,$9.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604286,BANDAGE COFLEX 6X5YD LTX FREE,272,,$17.91 ,$17.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604287,BASKET DORMIA STONE 5.5FR .5CM,272,,"$1,409.63 ","$1,409.63 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604288,BASKET STONE RETRIV S-W SCM TP,272,,"$1,162.37 ","$1,162.37 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604289,BLADE BEAVER GIGLI,272,,$99.76 ,$99.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604290,BLADE QUESTERS GRASPERS,272,,$427.11 ,$427.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604291,BOLT TIBIA-R,272,C1713,$665.79 ,$665.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604292,BONE PRO-OSTEON GRANNULA #5G10,272,C1776,"$2,567.14 ","$2,567.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604293,BRONCHOSCOPE,272,,"$1,129.42 ","$1,129.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604294,BUR CEBOTOME 8MM ROUND,272,,"$1,314.66 ","$1,314.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604295,BUTTON NASAL SEPTAL SILICONE,272,,$652.96 ,$652.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604296,CANNULA AND OBTURATOR/MITEX,272,,$88.63 ,$88.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604297,CARTRIDGE LINEAR CUTTER TR35W,272,,$399.34 ,$399.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604298,CATH BAL 10CM URO MAX 11 6F,272,,"$2,507.42 ","$2,507.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604299,CATH BALL DIL 4CM URO MAX 11 6F,272,,"$2,507.42 ","$2,507.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604300,CATH BALLON DIL CARSON ZERO TI,272,,"$3,646.99 ","$3,646.99 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604301,CATH BALLON DIL URET.7FRX65C,272,,"$1,109.01 ","$1,109.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604302,CATH BALLON DIL URET 5FRX65CM,272,,"$1,109.01 ","$1,109.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604303,CATH BALLON DILA 4MM X 3CM 4.5F,272,,"$1,350.23 ","$1,350.23 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604304,CATH BALLON DILA 5MMX4CM 7FR,272,,"$1,646.30 ","$1,646.30 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604305,CATH BALLON DILA 6MM X 4CM 7FR,272,,"$2,427.37 ","$2,427.37 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604306,CATHETER BILLARY FOGARTY 5FR,272,,$615.43 ,$615.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604307,CATHETER BILLARY FOGARTY 6FR,272,,$615.43 ,$615.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604308,CATHETER CYSTIC DUCT REDDIC,272,,$683.85 ,$683.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604309,CATHETER HEMOSPLIT CVD 28 CM,272,C1750,"$1,706.27 ","$1,706.27 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604310,CATHETER HEMOSPLIT CVD 31 CM,272,C1750,"$1,706.27 ","$1,706.27 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604311,CATHETER LAP CHOLANGIOGRAPHY,272,,$440.68 ,$440.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604312,CATHETER SUPRAPUBIC BONANNO,272,C2627,$536.85 ,$536.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604313,CATHETER SUPRAPUBIC MICROUSE,272,C2627,$923.18 ,$923.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604314,CEMENT RESTRICTOR,272,,$576.74 ,$576.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604315,CHOLEDOSCOPE,272,,$474.68 ,$474.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604316,CLAMPS BARNS & CHARNLEY,272,,"$3,467.78 ","$3,467.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604317,COLLECTOR PATE SH,272,,$384.57 ,$384.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604318,CV BLADE STERN 32.0 CE 298-97-100,272,,$113.72 ,$113.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604319,CV BLADE STERNUM 398-97-101,272,,$136.49 ,$136.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604320,CV CANNULA ARTERY PERFUS LOF,272,,$94.56 ,$94.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604321,CV CANNULA COR ARTERY PERFUS 12F,272,,$94.56 ,$94.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604322,CV CANNULAE ATERIAL EAPA,272,,$23.59 ,$23.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604323,CV CARTRIDGE BIOGLUE 5ML,272,,"$9,602.38 ","$9,602.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604324,CV CATERY ACU-DISPO,272,,$46.96 ,$46.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604325,CV CATH IAB 8FR 34CC FIDELITY,272,,"$4,721.39 ","$4,721.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604326,CV CATH IAB 8FR 40CC FIDELITY,272,,"$4,721.39 ","$4,721.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604327,CV CATH MEDIASTINAL ARGYLE SILICO,272,,$95.62 ,$95.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604328,CV CATH THORACIC ARGYLE SILICONE,272,,$83.08 ,$83.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604329,CV GG FUTURE BAND MEDTRONIC,272,,"$15,363.78 ","$15,363.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604330,CV CLAMP BULLDOG SPCING STEALTH,272,,$111.08 ,$111.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604331,CV CLIP HORIZON 2GA MED-24,272,,$76.59 ,$76.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604332,CV CLIP HORIZON LIGA LARGE-24,272,,$140.23 ,$140.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604333,CV CLIP HORIZON LIGA MED-6,272,,$19.49 ,$19.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604334,CV CLIP HORIZON LIGA SM-WIDE-24,272,,"$1,710.10 ","$1,710.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604335,CV CLIP HORIZON LIGA SM-WIDE-6,272,,$522.97 ,$522.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604336,CV CLIP HORIZON LARGE-6,272,,$35.65 ,$35.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604337,CV CORONARY PACK,272,,$879.91 ,$879.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604338,CV FOGERTY JAW HYDRA 33,272,,$137.70 ,$137.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604339,CV FOGERTY JAW HYDRA 61,272,,$153.62 ,$153.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604340,CV FOGERTY JAW HYDRA 86,272,,$173.72 ,$173.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604341,"CV GARMENT 65"" HEIGHT CARDIAC",272,,$620.44 ,$620.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604342,CV HOLDER SUTURE OCTOBASE,272,,$265.92 ,$265.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604343,CV KIT CATH ARTERIAL 20G X 5,272,,$100.41 ,$100.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604344,CV KIT CENTRAL VENOUS ACCESS,272,,$443.19 ,$443.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604345,CV KIT CLEARVIEW BLOWER MISTER,272,,$265.92 ,$265.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604346,CV MARKER CORONARY BY-PASS,272,,$49.96 ,$49.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604347,CV NEEDLE ARGON FEMORAL,272,,$16.15 ,$16.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604348,CV OCTOPUS HEART POSTITION URCH,272,,"$8,482.61 ","$8,482.61 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604349,CV OCTOPUS TISSUE STABILIZER,272,,"$6,355.27 ","$6,355.27 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604350,CV PACING LEAD TEMPORARY BIPOLAR,272,,$364.38 ,$364.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604351,CV PACK CVOR,272,,"$3,607.05 ","$3,607.05 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604352,CV PATCH CV PERI-GUARD,272,,"$2,127.30 ","$2,127.30 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604353,CV PATCH FINESSE CARDIO 3 X 30,272,,$719.06 ,$719.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604354,CV PATCH VASC CAROTID 0.8,272,,$650.02 ,$650.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604355,CV PATCH VASCU-GUARD VAS 1CMX6CM,272,,$584.99 ,$584.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604356,CV PENCIL ELECTROSURGICAL 15FT,272,,$22.70 ,$22.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604357,CV PRIMAPORE 20CM X 10CM,272,,$10.30 ,$10.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604358,CV PROBE TEMP MYOCARDIAL,272,,$91.59 ,$91.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604359,CV PUNCH AORTIC ROTATING 2.7MM,272,,$79.79 ,$79.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604360,CV PUNCH AORTIC ROTATING 4.0MM,272,,$132.97 ,$132.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604361,CV RETRACT-O-TAPE CUSION,272,,$44.93 ,$44.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604362,CV SHEATH 5F FEMORAL,272,C1892,$64.99 ,$64.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604363,CV STARFISH HEART POSITIONER,272,,"$3,962.10 ","$3,962.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604364,CV SUTURE 10 X 52 ETHIBOND 2-0,272,,$5.68 ,$5.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604365,CV SUTURE 10X42 2-0 ETHIBOND,272,,$88.97 ,$88.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604366,CV SUTURE 3N02B CV-3 GORE,272,,$77.44 ,$77.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604367,CV SUTURE 4NO4B CV-4 GORE,272,,$81.44 ,$81.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604368,CV SUTURE 5M12B CV-5 GORE,272,,$93.56 ,$93.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604369,CV SUTURE 6M12B CV-6 GORE,272,,$97.03 ,$97.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604370,CV SUTURE 7M10B CV-7 GORE,272,,$97.85 ,$97.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604371,CV SUTURE 8204H 4-0 PROLENE,272,,$88.97 ,$88.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604372,CV SUTURE 8305H PROLENE 6-0,272,,$62.10 ,$62.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604373,CV SUTURE 8526H 4-0 PROLENE,272,,$88.97 ,$88.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604374,CV SUTURE 8557H 4-0 PROLENE,272,,$25.02 ,$25.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604375,CV SUTURE 8703H PROLENE,272,,$88.97 ,$88.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604376,CV SUTURE 8720H PROLENE 5-0,272,,$34.92 ,$34.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604377,CV SUTURE 9702H PROLENE 5-0,272,,$77.12 ,$77.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604378,SC SUTURE A183H 4-0 SILK,272,,$157.76 ,$157.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604379,CV SUTURE A187H 1-0 SILK,272,,$88.97 ,$88.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604380,CV SUTURE C016T SILK 2-0,272,,$53.49 ,$53.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604381,CV SUTURE G322H PLAN 3-0,272,,$10.36 ,$10.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604382,CV SUTURE M3805 PROLENE 6-0,272,,$250.36 ,$250.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604383,CV SUTURE M8703 7-0 PROLENE,272,,$210.41 ,$210.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604384,CV SUTURE M8720 5-0 PROLENE,272,,$136.32 ,$136.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604385,CV SUTURE PCP40 PLEDGETT,272,,$19.14 ,$19.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604386,CV SUTURE PCP50 TFE PLEDGET,272,,$88.97 ,$88.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604387,CV SUTURE PX82H ETHIBOND 2-0,272,,$193.30 ,$193.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604388,CV SUTURE PXX41 2-0 ETHIBOND,272,,$89.12 ,$89.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604389,CV SUTURE PXX92 2-0 ETHIBOND,272,,$100.98 ,$100.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604390,"CV SUTURE STERNAL DOUBLEWIRE 14""",272,,$350.13 ,$350.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604391,CV SUTURE STERNOTOMY MYO/WIRE 6,272,,$86.46 ,$86.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604392,CV SUTURE STERNOTOMY MYO/WIRE 7,272,,$86.46 ,$86.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604393,CV SUTURE X 964H 2-0 ETHIBOND,272,,$88.97 ,$88.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604394,CV SUTURE X558H ETHIBOND 3-0,272,,$22.51 ,$22.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604395,CV SUTURE X559H 2-0 ETHIBOND,272,,$23.89 ,$23.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604396,CV SUTURE X 763H 2-0 ETHIBOND,272,,$88.97 ,$88.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604397,CV SUTURE X833H 2-0 ETHIBOND,272,,$88.97 ,$88.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604398,CV SUTURE X 873 2-0 ETHIBOND,272,,$88.97 ,$88.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604399,CV SUTURE X890H 5-0 ETHIBOND,272,,$88.97 ,$88.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604400,CV SUTURE Y417H 2-0 MONOCRYL,272,,$88.97 ,$88.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604401,CV SUTURE Y426H 4-0 MONOCRYL,272,,$88.97 ,$88.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604402,CV SUTURE Y945H 2-0 MONOCRYL,272,,$11.64 ,$11.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604403,CV SYSTEM ALTITUDE ARGYLE,272,,$439.37 ,$439.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604404,CV SYSTEM DISTAL PERFUSION,272,,$413.63 ,$413.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604405,CV TIP APPLICATOR STANDARD,272,,$590.91 ,$590.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604406,CV TRAY FOLEY CRITICORE 14FR,272,,"$2,132.02 ","$2,132.02 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604407,CV TRAY FOLEY CRITICORE 16FR,272,,"$2,132.02 ","$2,132.02 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604408,CV TRAY FOLEY CRITICORE 18FR,272,,"$2,132.02 ","$2,132.02 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604409,CV URCHIN HEART POSITONER,272,,"$3,962.10 ","$3,962.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604410,DENTAL ROLLS,272,,$37.84 ,$37.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604411,DEVICE LAP DISC,272,,"$2,171.62 ","$2,171.62 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604412,DISSECTOR BALLOON SPACEMAKER,272,,$966.17 ,$966.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604413,DISSECTOR PEANUTS BRONCHOSCOPY,272,,$8.85 ,$8.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604414,DRAIN ORUND SILICONE 1/8 IN,272,C1729,$70.77 ,$70.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604415,DRILL BIT- ORION,272,,$809.41 ,$809.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604416,DRILL BIT 2.0M,272,,$354.56 ,$354.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604417,DRILL BIT 2.5MM,272,,$354.56 ,$354.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604418,DRILL BIT 3.2MM,272,,$354.56 ,$354.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604419,DRILL BIT CRANIAL SYNTHES,272,,$483.65 ,$483.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604420,DRILL TWIST W/ STOP STRYKER,272,,$266.99 ,$266.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604421,DRILL BIT BLADE BUR TAP,272,,$485.45 ,$485.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604422,DRILLS ALL,272,,$550.61 ,$550.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604423,DURA MATER 30SQ CM OR LESS NEURO,272,,"$4,843.75 ","$4,843.75 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604424,DURA MATER 31-70SQ CM NEURO,272,,"$7,693.13 ","$7,693.13 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604425,ELECTRODE BLADE EXTENDED,272,,$32.10 ,$32.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604426,ELECTRODE THERMOGARD PLUS ABC,272,,$108.25 ,$108.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604427,FIBER OPTIMA DIFFUSER,272,,"$3,246.76 ","$3,246.76 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604428,FILTER GREENFIELD VENA CAVA,272,C1884,"$5,037.72 ","$5,037.72 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604429,FIXATOR SYNTHES,272,C1713,"$10,045.68 ","$10,045.68 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604430,FIXATOR WRIST EBI,272,,"$7,778.48 ","$7,778.48 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604431,FLUFF DACRON,272,,$41.46 ,$41.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604432,"GIODEWORE/038 3MM ""J"" CORE",272,,$72.66 ,$72.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604433,GRAFT FASCIA LATA (GA),272,C1781,"$2,621.32 ","$2,621.32 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604434,GRANULES VITAL INTERPORE 200,272,,"$1,174.31 ","$1,174.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604435,GUIDE WIRE .025 D 145 CM TEFLON,272,C1769,$94.56 ,$94.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604436,GUIDE WIRE LUNDERQUIST RING,272,C1769,$221.19 ,$221.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604437,"GUIDEWIRE .018"" SFC-S",272,C1769,$148.18 ,$148.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604438,GUIDEWIRE F/HUNTER BALLOON,272,C1769,$59.85 ,$59.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604439,GUIDEWIRE FLOPPY TIP .038X145,272,C1769,$61.43 ,$61.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604440,GUIDEWIRE HEAVY DUTY CURVED,272,C1769,$111.08 ,$111.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604441,GUIDEWIRE R RUNNER 145MM 7MM,272,C1769,$235.77 ,$235.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604442,GUIDEWIRE REMOVAL CORE .028 D,272,C1769,$131.05 ,$131.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604443,GUIDEWIRE STRAIGHT 3CM,272,C1769,$398.92 ,$398.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604444,GUIDEWIRE W/FLEX TIP .038 X145,272,C1769,$91.59 ,$91.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604445,GUIDWIRE HEAVY DUTY .038 X 145,272,C1769,$104.88 ,$104.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604446,HANDPIECE TRIPLE OPTION HANDC,272,,$283.62 ,$283.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604447,HOOK PROBE PLUS #EPS02,272,,$167.66 ,$167.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604448,HOTKNIFE SHAW,272,,$533.56 ,$533.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604449,HYSTEROSCOPE,272,,$208.75 ,$208.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604450,JURGAN PIN BALL,272,,$30.71 ,$30.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604451,KIT ACL *MITEK*,272,C1776,"$1,378.32 ","$1,378.32 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604452,KIT BIPHASE PIN FIXATION,272,C1776,$950.20 ,$950.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604453,KIT FEMALE PROCEDURE SINGLE,272,,"$2,031.26 ","$2,031.26 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604454,KIT MALE PROCEDURE SINGLE,272,,"$2,031.26 ","$2,031.26 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604455,LAPAROSCOPE SYSTEM,272,,$949.47 ,$949.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604456,LEAD SHOT SUTURE 3-0,272,,$27.20 ,$27.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604457,LEADSHOT-SUTURE,272,,$27.20 ,$27.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604458,LPS/MITEK,272,,$819.92 ,$819.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604459,MACHINE CURRETTAGE,272,,$217.16 ,$217.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604460,MEDIASTINOSCOPE,272,,$474.68 ,$474.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604461,MENISCUS MENDER II,272,,"$2,073.79 ","$2,073.79 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604462,MENISCUS MENDER II DISP SET,272,,$479.98 ,$479.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604463,MESH ACETABULAR 45MM,272,C1781,"$1,010.77 ","$1,010.77 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604464,MESH ACETABULAR 50MM,272,C1781,$889.64 ,$889.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604465,MESH ACETABULAR 56MM,272,C1781,"$1,936.43 ","$1,936.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604466,MESH SYNTHES,272,C1781,"$2,740.78 ","$2,740.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604467,MESH TITANIUM 6X6 NEURO,272,C1781,"$1,546.91 ","$1,546.91 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604468,MESH TROCHANTERIC 40MM,272,C1781,"$1,110.31 ","$1,110.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604469,MESH TROCHANTERIC 52MM,272,C1781,"$1,039.30 ","$1,039.30 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604471,NAIL KEN,272,C1713,"$2,003.93 ","$2,003.93 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604472,NAIL RUSH,272,C1713,"$1,186.44 ","$1,186.44 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604473,"NEEDLE SYMPATHETIC 18GA X 6""",272,,$96.18 ,$96.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604474,"NEEDLE SYMPATHETIC 18GA X 8""",272,,$134.32 ,$134.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604475,"NEEDLE SYMPATHETIC 18GA X 7""",272,,$134.32 ,$134.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604476,"NNEDLE SYMPATHETIC 22GA X 6""",272,,$134.32 ,$134.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604477,"NEEDLE SYMPATHETIC 22GA X 8""",272,,$32.95 ,$32.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604478,NEPHRO URETEROSCOPE,272,,$949.47 ,$949.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604479,ORTHOFIX IOWA PELVIC ARTICULAT,272,,"$3,106.30 ","$3,106.30 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604480,ORTHOFIX PELVIC,272,,"$22,070.37 ","$22,070.37 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604481,ORTHOFIX T-CLAMP,272,,"$3,341.34 ","$3,341.34 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604482,"PATTIES SURGICAL 1/2"" X 1/2""",272,,$7.85 ,$7.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604483,"PATTIES SURGICAL 3"" X 6""",272,,$38.70 ,$38.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604484,PERMACOL COLLAGEN 18CM X 28CM,272,C1763,"$14,300.16 ","$14,300.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604485,PF AUTOTRANSFUSION PAC,272,,"$1,181.86 ","$1,181.86 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604486,PF CANNULA ARTERIAL,272,,"$1,010.47 ","$1,010.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604487,PF CANNULA ARTERIOTOMY,272,,$926.58 ,$926.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604488,PF CANNULA VENOUS,272,,$137.56 ,$137.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604489,PF CANNULA VENOUS RT ANG,272,,$174.02 ,$174.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604490,PF CANNULA VENOUS STR,272,,$145.96 ,$145.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604491,PF CATH FEMORAL ARTERIAL,272,,$951.39 ,$951.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604492,PF CATH FEMORAL VENOUS,272,,"$1,300.01 ","$1,300.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604493,PF CATH PRESSURE W/NEEDLE 5FR,272,,$168.45 ,$168.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604494,PF FILTER LEUKOCYTE BYPASS,272,,$945.43 ,$945.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604495,PF FILTERED CARDIOTOMY,272,,$384.11 ,$384.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604496,PF KIT CATS ATX STATE PAC,272,,"$1,181.86 ","$1,181.86 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604497,PF KIT PERC ART,272,,"$1,418.21 ","$1,418.21 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604498,PF KIT PERC VENTRAL,272,,"$1,418.21 ","$1,418.21 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604499,PF NEEDLE HMS BLUNT,272,,$103.44 ,$103.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604500,PF PERFUSION PAC,272,,"$3,770.03 ","$3,770.03 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604501,PF PROBE MYOCARDIAL,272,,$149.91 ,$149.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604502,PIN BEATH,272,,$141.13 ,$141.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604503,PIN R-GUIDE,272,,$44.00 ,$44.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604504,PIN SPADE TIP PASSING 3MM (ACL),272,,$434.48 ,$434.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604505,PIN STEINMAN SMOOTH,272,,$117.47 ,$117.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604506,PISTOL HAND CONTROL,272,,$320.72 ,$320.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604507,PLATE 1.5 CRANIAL 2-H/4-H,272,C1713,$148.02 ,$148.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604508,PLATE 1.5 ADAPT/Y/X/BOX/BURR COV,272,C1713,$779.28 ,$779.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604509,PLATE AXIS - (NEURO),272,C1713,"$2,331.92 ","$2,331.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604510,PLATE CRANIOFACIAL/MAXILLARY SYN,272,C1713,$868.34 ,$868.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604511,PLATE DALL MILES,272,C1713,"$2,097.46 ","$2,097.46 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604512,"PLATE DALLMILES BONE 5-H 6""",272,C1713,"$1,789.36 ","$1,789.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604513,PLATE ELBOW/ANKLE RECONSTRUCTION,272,C1713,$967.81 ,$967.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604514,PLATE HUMERAL,272,C1713,"$2,804.94 ","$2,804.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604515,PLATE LUHR,272,C1713,"$3,509.62 ","$3,509.62 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604516,PLATE MEPLUS STRYKER,272,C1713,$402.40 ,$402.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604517,PLATE MICRO/MINI SYNTHES,272,C1713,$754.46 ,$754.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604518,PLATE NMINI L SHAPE BAR STRYKER,272,C1713,$448.83 ,$448.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604519,PLATE NMINI L-SH RT BAR 12MM,272,C1713,$472.07 ,$472.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604520,PLATE TIBIAL BUTTRESS,272,C1713,"$2,279.33 ","$2,279.33 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604521,PLATES DCP SMALL FRAGMENT ELBOW,272,C1713,$736.42 ,$736.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604522,PROBE LAPRO-HAND SWITCH ABC 5M,272,,$499.21 ,$499.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604523,PROS EAR PORP GOLD,272,,"$2,028.78 ","$2,028.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604524,PROS PORP TORP GOLD,272,,"$2,028.78 ","$2,028.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604525,PROS STRUT MORETZ,272,,"$1,431.05 ","$1,431.05 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604526,PROSTHESIS EAR,272,,$926.72 ,$926.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604527,RESECTOSCOPE UTERINE/TUR,272,,$456.96 ,$456.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604528,RING PROTRUSIO,272,,"$3,204.54 ","$3,204.54 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604529,SCREW AXIS (NEURO),272,,$658.28 ,$658.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604530,SCREW CAN SYN,272,C1713,$697.59 ,$697.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604531,SCREW CANCELLOUS 130/60,272,C1713,$497.99 ,$497.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604532,SCREW CANCELLOUS 160/90,272,C1713,$497.99 ,$497.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604533,SCREW CANCELLOUS 180/100,272,C1713,$497.99 ,$497.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604534,SCREW CANNULATED 7.3MM ALL SZ HIP,272,C1713,"$1,622.93 ","$1,622.93 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604535,SCREW COMMAND HEXHEAD STRYKER,272,C1713,$145.44 ,$145.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604536,SCREW CORTICAL 100/40,272,C1713,$462.68 ,$462.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604537,SCREW CORTICAL 110/40,272,C1713,$497.99 ,$497.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604538,SCREW CORTICAL 110/50,272,C1713,$497.99 ,$497.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604539,SCREW CORTICAL 120/40,272,C1713,$462.68 ,$462.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604540,SCREW CORTICAL 130/40,272,C1713,$497.99 ,$497.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604541,SCREW CORTICAL 150/50 ORTHOFIX,272,C1713,$497.99 ,$497.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604542,SCREW CROTICAL 180/50,272,C1713,$497.99 ,$497.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604543,SCREW CORTICAL 220/60,272,C1713,$569.38 ,$569.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604544,SCREW CORTICAL 6/20 4.5,272,C1713,$427.11 ,$427.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604545,SCREW CORTICAL 60/20,272,C1713,$427.11 ,$427.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604546,SCREW CORTICAL 70/20 3-3.3 MMD,272,C1713,$462.68 ,$462.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604547,SCREW CORTICAL 70/20 3.5MM,272,C1713,$427.11 ,$427.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604548,SCREW CORTICAL 70/20 4.5 MM,272,C1713,$427.11 ,$427.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604549,SCREW CORTICAL 80/30,272,C1713,$427.11 ,$427.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604550,SCREW CORTICAL 80/35 3-3.3 MMD,272,C1713,$462.68 ,$462.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604551,SCREW CORTICAL 80/40,272,C1713,$427.11 ,$427.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604552,SCREW CORTICAL BONE 80/20 EBI,272,C1713,$462.68 ,$462.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604553,SCREW CRANIAL NEURO,272,C1713,$175.50 ,$175.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604554,SCREW CRANIOFACIAL,272,C1713,$176.96 ,$176.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604555,SCREW HARRIS GALENTE HIP,272,C1713,$474.68 ,$474.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604556,SCREW LUHR,272,C1713,$463.46 ,$463.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604557,SCREW MICO SYNTHES,272,C1713,$256.17 ,$256.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604558,SCREW UTHOFF,272,C1713,$369.01 ,$369.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604559,SCREWS ORION (NEURO),272,C1713,$673.23 ,$673.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604560,SCREWS R-OLEOCRANON,272,C1713,"$1,245.66 ","$1,245.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604561,SCREWS SQUARE FIT,272,C1713,$129.99 ,$129.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604562,SCREWS SQUARE FIT 1.2,272,C1713,$167.93 ,$167.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604563,SCREWS SQUARE FIT EMERGENCY,272,C1713,$188.07 ,$188.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604564,SCREWS-SURGERY,272,C1713,$95.01 ,$95.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604565,SET ARCH BAR,272,,$351.18 ,$351.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604566,SET CRAIG NEEDLE,272,,"$2,726.34 ","$2,726.34 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604567,SET H ZICKEL,272,,"$4,797.02 ","$4,797.02 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604568,SET INSTRUMENT,272,,$653.73 ,$653.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604569,SET MICROTIP 24 KHZ SELECTOR,272,,"$2,128.92 ","$2,128.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604570,SET PATTEL TEN GRAFT DRILL 2.4,272,,"$1,459.58 ","$1,459.58 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604571,SET SINUS SCOPE,272,,$474.68 ,$474.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604572,SHODS RUBBER,272,,$48.63 ,$48.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604573,SHUNT CAROTID BYPASS 16-7,272,,$499.93 ,$499.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604574,SLING REPLIFORM 2X4,272,,"$1,551.19 ","$1,551.19 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604575,STENT DOUBLE J URETERAL 7.0 X 26,272,C1875,"$1,138.98 ","$1,138.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604576,"STOCKINETTE BIAS CUT 6""",272,,$728.47 ,$728.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604577,STONE DISLODGER DORMICO 5.5FR,272,,$794.97 ,$794.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604578,SUTURE 170073 3-0 POLYSURB,272,,$167.00 ,$167.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604579,SUTURE 3129-51 2-0 SURGIDAC,272,,$84.06 ,$84.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604580,SUTURE ETHIBOND D-9171,272,,$53.74 ,$53.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604581,SUTURE PASSER (VBNS),272,,"$2,621.32 ","$2,621.32 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604582,SUTURE PASSER SWANSON,272,C1713,$180.23 ,$180.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604583,TABLE HAND STRAPS,272,,$188.96 ,$188.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604584,TRACTION HALO,272,,"$7,033.25 ","$7,033.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604585,TRAY LARYNGOSCOPY,272,,$474.68 ,$474.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604586,TRAY VASCULAR,272,,$237.26 ,$237.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604587,TROCAR SLEEVE CANN 10/12MM STABI,272,,$48.18 ,$48.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604588,TROCAR SLEEVE CANN 5MM STABILITY,272,,$48.18 ,$48.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604594,TUBE TRACHE BIVONA 130 MM,272,,$845.01 ,$845.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604596,TUBING F/PROBE PLUS # EPT03,272,,$75.52 ,$75.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604598,WASHER SPIKE,272,,$106.69 ,$106.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604601,WIRE GUIDE,272,,$487.65 ,$487.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604602,WIRE GUIDE FIXED .038 X 100CM,272,,$59.71 ,$59.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604603,WIRE GUIDE H-DUTY .038X80CMX3MM,272,,$262.26 ,$262.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604604,WIRE GUIDE THD 1.6MM,272,,$219.54 ,$219.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604605,WIRE GUIDE ZMS BALL TIP,272,C1887,$826.11 ,$826.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604606,WIRE GUIDE ZMS SMOOTH 2.4MM,272,C1887,$991.57 ,$991.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604607,WIRE GUIDE ZMS SMOOTH 3.0MM,272,C1887,$708.08 ,$708.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604608,WIRE LUQUE,272,C1713,$142.40 ,$142.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604609,WIRE-KIRSCHNER,272,,$90.10 ,$90.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604610,CS INDWELLING LP VP 20FR LG FLANG,272,,$438.79 ,$438.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604611,CS INDWELLING VALVED INSERT,272,,$186.16 ,$186.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605422,ANGIO KIT ANGLED PIG 5FR,272,C1887,$104.88 ,$104.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605423,CV SUTURE J 649G 2 VICRYL,272,,$73.21 ,$73.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605424,CAST LONG LEG,272,,$383.75 ,$383.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605425,ANGIO KIT 6FR 12 SH PTAIL DIAG,272,C1887,$104.88 ,$104.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605426,GUIDING SHEATH 7FR TERUM,272,,$316.58 ,$316.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605449,TISSUE ALLODERM MATRIX REGEN 5,272,,$173.95 ,$173.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605450,SUTURE 8557H 4-0 PROLENE SGY,272,,$21.64 ,$21.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605451,CARTRIDGE BIOGLUE 5ML-OR,272,,"$1,707.53 ","$1,707.53 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605452,STAPLER CONTOUR CVD CS40B/CS40,272,,"$1,435.08 ","$1,435.08 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605453,CARTRIDGE CONTOUR CVD CR40G/CR,272,,$741.79 ,$741.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605454,IC FILTER RECOVERY IVC,272,,"$4,317.91 ","$4,317.91 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605463,GUIDEWIRE WHISPER MS .014 300C,272,C1769,$142.75 ,$142.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605492,ADVANCE CAPSULE DELIVERY SYSTEM,272,,$502.47 ,$502.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605498,SUTURE PLUS MCP 339H 2-0 VICRYL,272,,$73.32 ,$73.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605499,GUIDEWIRE VERSACOR 300CM,272,,$511.62 ,$511.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605507,SET BASIN DOUBLE FULL,272,,$19.96 ,$19.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605513,SHEATH PINNACLE 9FR X 10CM,272,,$33.68 ,$33.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605516,CANISTER INFO V.A.C. W/O GEL 500M,272,,$135.29 ,$135.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605521,CATHETER A TRAUM THORACIC SIL 36F,272,,$54.65 ,$54.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605522,CARTRIDGE LINEAR CUTTER,272,,"$2,590.79 ","$2,590.79 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605523,ECHLON FLEX 45 ENDOPATH,272,,"$2,181.74 ","$2,181.74 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605524,PACK PLASTICS,272,,$191.82 ,$191.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605559,24FR SAFETY PEG,272,,$211.53 ,$211.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605560,RESOLUTION 360 CLIP M00521231,272,,$235.33 ,$235.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605561,HARMONIC SHEARS ACE36P,272,,"$3,848.34 ","$3,848.34 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605577,LIGASURE LF1737 MARYLAND,272,,$656.29 ,$656.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605585,TROCAR BLADELESS FULL 12MM,272,,$137.36 ,$137.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605586,LIGASURE SMALL JAWS,272,,$611.10 ,$611.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627101,SVEDMAN CANISTER SET - WITH GEL,272,,$162.44 ,$162.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627102,SVAMP DRESSING SET - LARGE,272,,$232.01 ,$232.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627103,SVAMP DRESSING SET - MEDIUM,272,,$232.01 ,$232.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627104,SVAMP DRESSING SET - SMALL,272,,$185.61 ,$185.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627105,SVAMP DRESSING SET - EXTRA LARGE,272,,$626.49 ,$626.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627106,VIT WHITE FOAM DRESSING ONLY - LARGE,272,,$162.44 ,$162.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627107,Y-CONNECTOR,272,,$46.42 ,$46.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627108,POLYURETHENE DRAPE,272,,$69.64 ,$69.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627109,SPEED CONNECT ONLY,272,,$116.03 ,$116.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627230,PLASMADERM,272,,"$1,764.14 ","$1,764.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627231,EXTRACELLULAR MATRIX POWDER,272,,"$1,946.64 ","$1,946.64 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627286,PICC LINE KIT,272,,"$2,142.40 ","$2,142.40 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 627287,CENTRAL LINE DRESSING KIT,272,,$92.80 ,$92.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604612,ANCHOR BIOKNOTLESS MITEK,274,C1713,"$1,672.94 ","$1,672.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604613,ANCHOR BLOKNOTLESS RC ETHIBOND,274,,"$1,666.48 ","$1,666.48 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604614,ANCHOR FASTIN,274,C1713,"$1,320.06 ","$1,320.06 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604615,ANCHOR PANALOK RC PLUS,274,C1713,$757.85 ,$757.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604616,BARRIER ENTERGEL,274,,$860.51 ,$860.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604617,BLADE SHAW #10-#7013-56910,274,,$115.88 ,$115.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604618,BONE ORTHOBLAST 10CC,274,,"$1,981.61 ","$1,981.61 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604619,BONE ORTHOBLAST 5CC,274,,"$1,494.56 ","$1,494.56 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604620,BONE ORTHOBLAST PASTE 3CC,274,,$966.17 ,$966.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604621,BONE ORTHOBLAST PASTE 8CC,274,,"$1,605.26 ","$1,605.26 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604622,CARTRIDGE CURVTEK LG,274,,"$1,479.42 ","$1,479.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604623,COMPONENT FEMORAL # 11 LEFT,274,,"$7,873.28 ","$7,873.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604624,COMPONENT FEMORAL SCORPIO #11R,274,,"$12,018.02 ","$12,018.02 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604625,COMPONENT FEMORAL SCORPIO #9L,274,,"$4,071.69 ","$4,071.69 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604626,COVER DOME ACETABULAR,274,,$356.30 ,$356.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604627,CUP H OSTEONICS,274,,"$7,229.39 ","$7,229.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604628,DRILL BIT 4.2 X 340MM,274,,$362.29 ,$362.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604629,DRILL BIT 5.0 X 230,274,,$286.87 ,$286.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604630,ELECTRODE ROLLER BALL RE-24,274,,$301.92 ,$301.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604631,ELECTRODE ST LOOP STABIL 24FR,274,,$249.67 ,$249.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604632,FASCIA LATA TUTOPLAST 2X7 CM,274,C1781,"$3,561.54 ","$3,561.54 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604633,FEMORAL COMPONENT 7MM,274,C1776,"$4,071.69 ","$4,071.69 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604634,GUIDEWIRE .045 X 14' ACL,274,C1769,$259.54 ,$259.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604635,HEAD HUMERAL,274,C1776,"$2,922.64 ","$2,922.64 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604636,HEAD HUMERAL SHOULDER,274,C1776,"$1,726.96 ","$1,726.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604637,HEAD TAPER-C ALUMINA +O,274,C1776,"$3,597.92 ","$3,597.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604638,HEAD TAPER-C ALUMINA +5,274,C1776,"$3,597.92 ","$3,597.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604639,HEAD TAPER-L +5,274,C1776,"$1,132.26 ","$1,132.26 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604640,HEAD TPAER-C ALUMINA -5,274,C1776,"$3,597.92 ","$3,597.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604641,INSERT RIM ELEVATED TRIDENT SZ H,274,,"$3,088.61 ","$3,088.61 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604642,INSERT RIM ELEVATED TRIDENT SZ G,274,,"$3,088.61 ","$3,088.61 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604643,INSERT RIM ELEVATED TRIDENT SZ F,274,,"$3,088.61 ","$3,088.61 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604644,INSERT RIM ELVEATED TRIDENT SZ E,274,,"$3,088.61 ","$3,088.61 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604645,INSERT TIBIAL FLEX,274,C1776,"$3,088.61 ","$3,088.61 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604646,INSERT TIBIAL FLEX # 7250908A,274,C1776,"$3,573.58 ","$3,573.58 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604647,KIT CROSS PIN RIGIDFIX,274,,"$1,143.59 ","$1,143.59 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604648,KNEE UNI EIUS FEMORAL,274,,"$17,938.80 ","$17,938.80 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604649,KNEE UNI EIUS TIBIAL,274,,"$12,227.14 ","$12,227.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604650,LINER ACETABULAR 661-00-32G,274,,"$8,822.36 ","$8,822.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604651,LONG GAMMA NAIL RT 11MM X 360MM,274,C1713,"$2,201.89 ","$2,201.89 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604652,NAIL TIBIAL T2 08 X 285 MM,274,C1713,"$1,834.98 ","$1,834.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604653,NAIL TOCHANTERIC GAMMA 135DE,274,C1713,"$1,494.56 ","$1,494.56 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604654,PERMACOL COLLAGEN 10CMX X 15CM,274,C1763,"$10,824.74 ","$10,824.74 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604655,PERMACOL COLLAGEN 5CM X 5CM,274,C1763,"$2,875.45 ","$2,875.45 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604656,PERMACOL COLLAGEN 5CMX X 10CM,274,C1763,"$5,032.03 ","$5,032.03 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604657,"PIN BAY .094 X 18"" ACL",274,,$842.98 ,$842.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604658,"PIN DRILL .094 X 14"" ACL",274,,$356.30 ,$356.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604659,PIN GUIDE REAMER FLEXIBLE,274,,$581.60 ,$581.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604660,PLATE HIP OHS 5SLOT 130DEG,274,C1713,$956.47 ,$956.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604661,PROSTHESEIS PENILE PRECONN 18CM,274,C1813,"$10,948.64 ","$10,948.64 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604662,QUICKANCHOR PANALOK RC,274,C1713,$769.94 ,$769.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604663,REAMER 10 MM,274,,$951.10 ,$951.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604664,REAMER RIGID 12MM,274,,"$1,298.25 ","$1,298.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604665,SCREW BIOCRYL 7X30MM ACL,274,C1713,"$1,372.31 ","$1,372.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604666,SCREW BIOCRYL 8X30MM ACL,274,C1713,"$1,372.31 ","$1,372.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604667,SCREW BIOCRYL 9X23MM ACL,274,C1713,"$1,372.31 ","$1,372.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604668,SCREW BIOCRYL INTERF 8 X 23MM,274,C1713,"$1,280.90 ","$1,280.90 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604669,SCREW LOCKING 04 X 30 MM,274,C1713,$295.18 ,$295.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604670,SCREW LOCKING 04 X 35MM,274,C1713,$295.18 ,$295.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604671,SHOULDER BIPOLAR,274,,"$1,461.31 ","$1,461.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604672,STEM HUMERAL SHOULDER 16 MM,274,C1776,"$3,675.39 ","$3,675.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604673,WIRE GUIDE BALL TIP HOWMEDICA,274,,$392.51 ,$392.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604674,WIRE GUIDE HOWMEDICA 3.0MM SMOOTH,274,,$392.51 ,$392.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604675,ABDUCTION BAR,274,L3150,$285.12 ,$285.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604676,AFO ANKLE GAUNTLET,274,L1902,$169.25 ,$169.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604677,AFO DOUB SOLID STIRRUP CALF,274,L1990,$972.26 ,$972.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604678,AFO PLASTIC CUSTOM,274,L1940,"$1,102.06 ","$1,102.06 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604679,AFO PLASTIC PREFAB,274,L1930,$824.89 ,$824.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604680,AFO TIB FX CAST MOLDED TO PT,274,L2108,"$2,202.62 ","$2,202.62 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604681,AFO TIB FX SEMI RIGID,274,L2114,"$1,196.70 ","$1,196.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604682,AMBULATORY SURGICAL BOOT,274,L3260,$50.32 ,$50.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604683,BRACE HUMERAL FX,274,L3980,$623.79 ,$623.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604684,BRACE MILWAUKEE,274,L1000,"$4,185.52 ","$4,185.52 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604685,BRACE NECK/RIGID,274,L0190,"$1,159.41 ","$1,159.41 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604686,BRACE SEMI-RIGID-BACK,274,L0370,$949.45 ,$949.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604687,BRACE TRANSFER SHOE,274,L2230,$158.17 ,$158.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604688,CAST TOTAL CONTACT,274,29445,"$1,378.79 ","$1,378.79 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604689,CERV COL THERMOPLAS,274,L0172,$315.23 ,$315.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604690,COLLAR CERVICAL,274,L0120,$61.97 ,$61.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604691,CUSTOM AFO PLASTIC W/ANKLE,274,L1970,"$1,690.28 ","$1,690.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604692,CUSTOM ORTHOTIC - METATARSAL,274,L3020,$195.47 ,$195.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604693,CUSTOM ORTHOTIC METATARSAL,274,L3020,$179.32 ,$179.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604694,DIABETIC CUSTOM MOLDED,274,A5511,$88.57 ,$88.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604695,DORSI-PLANTAR FLEX ASST/RES,274,L2220,$182.53 ,$182.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604696,DORSIFLEXION ASSIT EA JT,274,L2210,$159.18 ,$159.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604697,DROP LOCK RETAINER EACH,274,L2785,$87.06 ,$87.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604698,ELBOW ORTHOSIS,274,L3730,"$1,746.46 ","$1,746.46 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604699,ELBOW ORTHOSIS PREFAB ADJUSTABLE,274,L3760,"$1,151.82 ","$1,151.82 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604700,ELEVATE ARM SUPPORT,274,L3970,$62.91 ,$62.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604701,FOOT ARCH SUPPORT NONREMOVABLE,274,L3090,$25.79 ,$25.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604702,FOOT ARCH SUPPORT PREMOLDED EACH,274,L3060,$116.24 ,$116.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604703,FOOT INNSERT ACB CUSTOM EACH,274,L3000,$195.47 ,$195.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604704,FOOT INSERT CUSTOM PLASTAZOTE EA,274,L3002,$175.38 ,$175.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604705,HALO CERVICAL ENTO JAR,274,20661,"$5,534.78 ","$5,534.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604706,HALO PROCEDURE TO JACKET,274,L0810,"$6,351.50 ","$6,351.50 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604707,HEEL PAD REMOVABLE EACH,274,L3485,$48.87 ,$48.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604708,HIP ABDUCTION,274,L1685,"$3,060.74 ","$3,060.74 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604709,HIP JOINT EXT ABDUCT CONT,274,L2630,$859.60 ,$859.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604710,HKAFO UNILAT TORSION,274,L2090,$971.79 ,$971.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604711,K/O DOUBLE UPRIGHT CUFFS,274,L1880,"$1,459.18 ","$1,459.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604712,K/O ELASTIC WITH JOINTS,274,L1810,$268.30 ,$268.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604713,K/O W/ADJ ROT CNTEL MOLDED,274,L1844,"$3,133.31 ","$3,133.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604714,KAFO FEM FX CAST MOLDED,274,29358,"$3,535.05 ","$3,535.05 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604715,KAFO FRACTURE ORTHOSIS CUSTOM,274,L2128,"$2,122.22 ","$2,122.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604716,KNEE CAP MEDIAL OR LAT STRAP,274,L2800,$219.93 ,$219.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604717,KNEE CONTROL CONDYLAR PAD,274,L2810,$160.92 ,$160.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604718,KNEE JOINT DROPLOCK EA,274,L2405,$109.98 ,$109.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604719,KO ELASTIC W/STAYS,274,L1800,$182.90 ,$182.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604720,L NARD,274,L4396,$372.03 ,$372.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604721,LEGEND/GOLD PT,274,L1845,"$1,887.59 ","$1,887.59 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604722,LIFT ELEVATION HEEL,274,L3334,$64.45 ,$64.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604723,LIFT HEEL METETARSAL PER INCH,274,L3300,$134.82 ,$134.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604724,LIFT INSIDE SHOE UP TO ONE HALF I,274,L3332,$57.90 ,$57.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604725,LIMITED MOTION KNEE JNT EACH,274,L2184,$340.62 ,$340.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604726,LSO FLEX SURGICAL SUPPORT,274,L0500,$310.79 ,$310.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604727,LSO FULL TORSO,274,L0976,$439.60 ,$439.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604728,MIAMI J,274,L0180,$700.36 ,$700.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604729,MOLDED SHOE CUSTOM FITTED EACH,274,L3253,$137.39 ,$137.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604730,MONARCH,274,L1885,"$2,293.83 ","$2,293.83 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604731,MUSCLE COMPARTMENT PRESSURE MOINT,274,20950,$553.55 ,$553.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604740,NETATARSAL BAR EACH,274,L3400,$64.45 ,$64.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604741,NONSTANDARD SIZE OR WIDTH,274,L3254,$34.54 ,$34.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604742,ORTHO SHOE CONVERT HEEL COUNTER,274,L3590,$68.43 ,$68.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604743,ORTHOPEDIC FOOTWEAR WOMENS BRACE,274,L3224,$125.57 ,$125.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604744,OTHOOPEDIC FOOTWEAR WOMENS EACH,274,L3214,$125.86 ,$125.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604745,ORTHOPEDIC FOOTWEAR WOMENS-BRACE,274,L3224,$136.85 ,$136.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604746,ORTHOPEDIC SHOES MENS - BRACE,274,L3225,$144.98 ,$144.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604747,ORTHOPEDIC SHOE MENS BRACE,274,L3225,$132.96 ,$132.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604748,ORTHOPEDIC FOOTWEAR MENS EACH,274,L3219,$125.86 ,$125.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604749,OUTFLARE WEDGE,274,L3390,$136.85 ,$136.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604750,PELVIC CONTROL BAND & BELT,274,L2630,$510.40 ,$510.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604751,PELVIK ABDUCTION,274,L1620,$319.47 ,$319.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604752,PLASTAZOTE SANDAL EACH,274,L3265,$125.57 ,$125.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604753,PLATING CHROME PR BAR,274,L2750,$172.28 ,$172.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604754,PNEUMATIC ANKLE CNTRL SPLINT,274,L4350,$216.81 ,$216.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604755,RADIUS ULNA FX,274,L3982,$770.68 ,$770.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604756,REHAB/KNEE ADJ JT,274,L1832,"$1,671.28 ","$1,671.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604757,REPLLEATHER CUFF KAFO,274,L4110,$175.06 ,$175.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604758,SEWHO AIRPLANE,274,L3960,"$1,511.82 ","$1,511.82 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604759,SOCK FRACTURE UE,274,L3995,$69.15 ,$69.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604760,SOLE WEDGE,274,L3360,$114.69 ,$114.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604761,STRAIGHT KNEE JOINT,274,L2405,$276.17 ,$276.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604762,STRAPPING OF ANKLE AND /OR FOOT,274,29540,$44.35 ,$44.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604763,TIBIAL FX BRACE,274,L2116,"$1,433.43 ","$1,433.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604764,TIBIAL LENGTH SOCK,274,L2840,$112.90 ,$112.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604765,TLSO ANT-POS-LAT CONTROL,274,L0330,"$1,062.34 ","$1,062.34 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604766,TLSO APL OVERLAP FRNT,274,L0440,"$2,514.81 ","$2,514.81 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604767,TLSO FLEX COMPRESS JACKET,274,L0360,"$3,478.37 ","$3,478.37 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604768,TRANSFER BRACE,274,L3630,$149.96 ,$149.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604769,VARUS/VALUGUS STRAP,274,L2270,$110.81 ,$110.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604770,WHFO EXTENSION W/OUTRIGGER,274,L3916,$256.12 ,$256.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604771,WHO EXTENSION COCK UP,274,L3914,$195.29 ,$195.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604772,BONE ALLOMATRIX 10CC,274,C1776,"$1,826.68 ","$1,826.68 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604773,BONE ALLOMATRIX 5CC,274,C1776,"$1,403.99 ","$1,403.99 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604774,BUTTON R LIGAMENT,274,,$138.67 ,$138.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604775,CEMENT CENTRALIZER,274,,$321.97 ,$321.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604776,IMPLANT MAMMARY GEL/SALINE,274,C1789,"$2,447.04 ","$2,447.04 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604777,IMPLANT TISSUE EXPANDER,274,,"$1,977.14 ","$1,977.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604779,PROS RAMUS JOINT,274,C1776,"$2,266.15 ","$2,266.15 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604780,PROS TOTAL HIP CEM-PLUS OSTEONICS,274,C1776,"$13,898.02 ","$13,898.02 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604781,PROS TOTAL HIP CEMENTED OSTEONICS,274,C1776,"$13,898.02 ","$13,898.02 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604782,PROSTHESIS RADIAL,274,C1776,"$1,334.85 ","$1,334.85 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604783,PROSTHESIS SHOULDER NEER,274,C1776,"$7,146.85 ","$7,146.85 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604784,PROSTHESIS THOMPSON,274,C1776,"$2,902.42 ","$2,902.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604785,PROSTHESIS TRAPEZIUM FINGER,274,C1776,"$1,446.01 ","$1,446.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604786,CS GUIDANT VITALITY IC DEFIBRILL,275,C1722,"$39,680.46 ","$39,680.46 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604787,CS LEAD 1368T/58CM PACESETTER,275,C1898,"$7,334.01 ","$7,334.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604788,CS LEAD 136T/52CM PACESETTER,275,C1898,"$7,334.01 ","$7,334.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604789,CS LEAD ACTIVE FIXATION 5076/45,275,C1898,"$6,410.80 ","$6,410.80 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604790,CS LEAD ACTIVE FIXATION 5076/52,275,C1898,"$6,410.80 ","$6,410.80 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604791,CS LEAD AROX 53-BP/338023,275,C1898,"$1,328.45 ","$1,328.45 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604792,CS LEAD ATRIUM RIGHT,275,C1898,"$3,600.89 ","$3,600.89 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604793,CS LEAD BIPOLAR ARTIAL 4524,275,C1898,"$7,170.85 ","$7,170.85 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604794,CS LEAD BIPOLAR VENT #4092/58CM,275,C1898,"$6,584.91 ","$6,584.91 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604795,CS LEAD BIPOLAR VENT #4592/53CM,275,C1898,"$6,584.91 ","$6,584.91 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604796,CS LEAD BIPOLAR VENT #524/53CM,275,C1898,"$6,584.91 ","$6,584.91 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604797,CS LEAD BIPOLAR VENTRICULAR 4024,275,C1898,"$7,170.85 ","$7,170.85 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604798,CS LEAD ISOFLEX #1642T/52CM,275,C1898,"$6,518.24 ","$6,518.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604799,CS LEAD ISOFLEX #1646T/58CM,275,C1898,"$6,267.50 ","$6,267.50 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604800,CS LEAD LEFT INTROD ATTAIN LDS,275,C1898,"$1,015.64 ","$1,015.64 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604801,CS LEAD PACE BIOPLAR ENDOCARDIAL,275,C1895,"$3,416.23 ","$3,416.23 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604802,CS LEAD PASSIVE FIX 5024M/52CM,275,C1898,"$7,170.85 ","$7,170.85 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604803,CS LEAD PASSIVE PLUS DX 1346T/58,275,C1898,"$6,518.24 ","$6,518.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604804,CS LEAD PASSIVE PLUS DX 1346T/52,275,C1898,"$6,518.24 ","$6,518.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604805,CS LEAD POLYROX 118-011,275,C1898,"$11,698.64 ","$11,698.64 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604806,CS LEAD POLYROX ELOX 60-BP,275,C1898,"$6,927.28 ","$6,927.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604807,CS LEAD POSITIVE FIX 4068/52CM,275,C1898,"$7,130.59 ","$7,130.59 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604808,CS LEAD POSTIVIVE FIX 4568/45CM,275,C1898,"$7,130.59 ","$7,130.59 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604809,CS LEAD PX53115-BP/130050,275,C1898,"$4,574.52 ","$4,574.52 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604810,CS LEAD PX60115-BP/130051,275,C1898,"$3,920.99 ","$3,920.99 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604811,CS LEAD SYNOX POLYROX 124-853,275,C1898,"$6,927.28 ","$6,927.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604812,CS LEAD TENDRIL 1488T/52CM,275,C1898,"$6,518.24 ","$6,518.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604813,CS LEAD TENDRIL DX 1388/46CM,275,C1898,"$6,518.24 ","$6,518.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604814,CS LEAD TENDRIL DX1388/58CM,275,C1898,"$6,518.24 ","$6,518.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604815,CS LEAD TENDRIL SDX 1488T/46CM,275,C1898,"$6,518.24 ","$6,518.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604816,CS LEAD TENDRIL SDX 1488T/58CM,275,C1898,"$6,518.24 ","$6,518.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604817,CS LEAD YNOX POLYROX ELOX 45-BP,275,C1898,"$6,927.28 ","$6,927.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604818,CS PACEMAKER DUAL DDDRP #AT501,275,C1785,"$14,015.76 ","$14,015.76 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604819,CS PACEMAKER ACTROS DR+122311,275,C1721,"$12,611.40 ","$12,611.40 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604820,CS PACEMAKER ACTROS SLR+122316,275,C1722,"$13,937.64 ","$13,937.64 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604821,CS PACEMAKER ACTROS SR+122314,275,C1722,"$12,609.20 ","$12,609.20 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604822,CS PACEMAKER AFFINITY,275,C1785,"$13,948.73 ","$13,948.73 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604823,CS PACEMAKER AFFINITY 5342,275,C1785,"$13,948.73 ","$13,948.73 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604824,CS PACEMAKER AFFINITY ADX DR,275,C1785,"$12,583.75 ","$12,583.75 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604825,CS PACEMAKER AFFINITY DDDR 533OL,275,C1721,"$13,273.43 ","$13,273.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604826,CS PACEMAKER AFFINITY DR5331M/S,275,C1785,"$13,273.43 ","$13,273.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604827,CS PACEMAKER AFFINITY SR 5130L,275,C1786,"$11,070.42 ","$11,070.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604828,CS PACEMAKER AFFINITY SR 513OR,275,C1786,"$11,070.42 ","$11,070.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604829,CS PACEMAKER AFFINITY SR 5131M/S,275,C1786,"$11,070.42 ","$11,070.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604830,CS PACEMAKER AFFINITY VDDR 5430,275,C1785,"$11,513.22 ","$11,513.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604831,CS PACEMAKER AFFINITY DR 533OR,275,C1785,"$13,273.43 ","$13,273.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604832,CS PACEMAKER ENITTY DDDR DR5326R,275,C1785,"$12,177.45 ","$12,177.45 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604833,CS PACEMAKER IDENTITY 5376 DR,275,C1785,"$13,948.73 ","$13,948.73 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604834,CS PACEMAKER IDENTITY MICRODR5370,275,C1785,"$14,380.46 ","$14,380.46 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604835,CS PACEMAKER IDENITY SR MICRO,275,C1786,"$12,177.45 ","$12,177.45 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604836,CS PACEMAKER INSYNC III #8042,275,C1882,"$18,281.42 ","$18,281.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604837,CS PACEMAKER INTEGRITY DR5336,275,C1786,"$14,380.46 ","$14,380.46 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604838,CS PACEMKAER KAPPA DR 601,275,C1785,"$13,063.11 ","$13,063.11 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604839,CS PACEMAKER KAPPA KDR901,275,C1785,"$14,170.14 ","$14,170.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604840,CS PACEMAKER KAPPA KDR921,275,C1785,"$14,170.14 ","$14,170.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604841,CS PACEMAKER KAPPA KSR901,275,C1786,"$11,956.03 ","$11,956.03 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604842,CS PACEMAKER KAPPA SR 703,275,C1786,"$12,177.45 ","$12,177.45 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604843,CS PACEMAKER KAPPA SR KSR706,275,C1786,"$12,177.45 ","$12,177.45 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604844,CS PACEMAKER MICRONY II 2525T,275,C1785,"$11,280.76 ","$11,280.76 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604845,CS PACEMAKER PHILOS DR-T/122 544,275,C1785,"$14,391.53 ","$14,391.53 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604846,CS PACEMAKER PHILOS DR1331 443,275,C1785,"$13,275.64 ","$13,275.64 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604847,CS PACEMAKER PHILOS SR1331-446,275,C1786,"$11,615.09 ","$11,615.09 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604848,CS PACEMAKER PROTOS DR-CLS/22300,275,C1785,"$13,264.56 ","$13,264.56 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604849,CS PACEMAKER PROTOS VR-CLS/122302,275,C1786,"$10,656.02 ","$10,656.02 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604850,CS PACEMAKER SIGMA 300DR SDR303B,275,C1785,"$15,221.88 ","$15,221.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604851,CS PACEMAKER SIGMA SDR 203B,275,C1785,"$13,284.52 ","$13,284.52 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604852,CS PACEMAKER SIGMA SDR 306U,275,C1785,"$15,221.88 ","$15,221.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604853,CS PACEMAKER SIGMA SSR203B,275,,"$10,627.59 ","$10,627.59 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604854,CS PACEMAKER SIGMA SSR 303B,275,C1786,"$13,218.13 ","$13,218.13 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604855,CS PACEMAKER SOLUS II 2007M/S,275,,"$10,173.73 ","$10,173.73 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604856,CS PACEMAKER SYNCHRONY III 2028L,275,,"$11,070.42 ","$11,070.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604857,CS PACEMAKER TRILOGY DDDR DR+2364,275,C1785,"$13,948.73 ","$13,948.73 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604858,CS PACEMAKER TRILOGY SR+2264L,275,C1786,"$12,177.45 ","$12,177.45 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604859,CS PACESETTER INTEGRITY SR5136,275,C1786,"$12,177.45 ","$12,177.45 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604860,CS PACESETTER INTERGRITY SR5142,275,C1786,"$11,623.94 ","$11,623.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604861,CS PASSIVE PLUS DX 1342T/52CM,275,C1898,"$6,518.24 ","$6,518.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604865,PLATE MCPLUS ORBITA 8-HOLE CVD,275,C1713,$292.62 ,$292.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605504,BIV PACEMAKER ANTHEM CRT-P 3210,275,,"$21,027.23 ","$21,027.23 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605506,CS LEAD DEFIB LEFT QUICKSITE LEFT,275,C1900,"$7,959.24 ","$7,959.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604866,CS 4092 PASSIVE FIX RV LEAD,278,,"$2,860.02 ","$2,860.02 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604867,CS CLOSER S 6F SUTURE MEDIATE IMP,278,C1760,"$8,856.35 ","$8,856.35 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604868,CS DEFIB IMPLANT ATLAS DR #V240,278,C1721,"$31,868.16 ","$31,868.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604869,CS DEFIB IMPLANT ATLAS VR #V199,278,C1722,"$34,665.45 ","$34,665.45 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604870,CS DEFIB IMPLANT EPIC DR #V235,278,C1721,"$25,168.19 ","$25,168.19 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604871,CS DEFIB IMPLANT EPIC VR #197,278,C1722,"$24,975.05 ","$24,975.05 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604872,CS DEFIB IMPLANT GEM 3 DR DUAL,278,C1721,"$30,393.52 ","$30,393.52 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604873,CS DEFIB IMPLANT SINGLE CX #7231,278,C1722,"$27,360.70 ","$27,360.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604874,CS LEAD ACTIVE FIXATION 5076158,278,C1898,"$3,188.28 ","$3,188.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604875,CS LEAD BIOTRONIX 44PJB,278,C1898,"$2,424.51 ","$2,424.51 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604876,CS LEAD DEFIB 10.3CM EXT/RT HELIX,278,,"$17,535.59 ","$17,535.59 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604877,CS LEAD DEFIB 14.3CM EXT/RT HELIX,278,,"$17,535.59 ","$17,535.59 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604878,CS LEAD DEFIB TINES 10.3CM #1570,278,C1895,"$17,535.59 ","$17,535.59 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604879,CS LEAD DEFIB TINES 14.3CM #1571,278,C1895,"$17,535.59 ","$17,535.59 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604880,CS LEAD ISAFLEX S TINED 1646,278,C1898,"$3,188.28 ","$3,188.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604881,CS LEAD ISAFLEX S TINED J HEAD,278,C1898,"$3,188.28 ","$3,188.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604882,CS LEAD LEFT ATTAIN OTW,278,C1898,"$6,012.58 ","$6,012.58 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604883,CS LEAD LEFT ATTAIN OTW 78CM,278,C1898,"$6,012.58 ","$6,012.58 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604884,CS PACEMAKER INSIGNA PLUS DR,278,C1785,"$21,125.23 ","$21,125.23 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604885,CS RECORDER INSERT LOOP REVEAL P,278,C1764,"$12,381.16 ","$12,381.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604886,IC FILTER OPTEASE VENA CAVA CORDI,278,,"$7,061.42 ","$7,061.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604887,IC FILTER TRAPEASE VENA CAVCA COR,278,,"$7,061.42 ","$7,061.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604888,IC STENT BALLOON EXPANDING CORDIS,278,,"$8,824.92 ","$8,824.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604889,IC STENT CYPHER 3.50 X 18 MM,278,,"$18,879.72 ","$18,879.72 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604890,IC STENT EXPRESS 2 OTW SCIMED BS,278,C1877,"$7,386.42 ","$7,386.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604891,IC STENT GENESIS .035 8-10/39/135,278,C1877,"$8,346.31 ","$8,346.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604892,IC STENT GENESIS .035 8/29/135 FO,278,C1877,"$8,047.10 ","$8,047.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604893,IC STENT GENESIS .035 9/19/135 CO,278,C1877,"$7,448.88 ","$7,448.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604894,IC STENT GRAFTMASTER ABBOTT,278,C1877,"$14,152.41 ","$14,152.41 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604895,IC STENT HERCULINK PLUS,278,C1876,"$7,002.35 ","$7,002.35 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604896,IC STENT METAL OTW S660 MEDTRONIC,278,,"$8,346.68 ","$8,346.68 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604897,IC STENT OMNILINK OTW .035,278,C1876,"$7,061.42 ","$7,061.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604898,IC STENT OTW COBALT MEDTRONICS,278,C1876,"$8,494.39 ","$8,494.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604899,IC STENT OTW CYPHER CORDIS,278,C1874,"$18,879.72 ","$18,879.72 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604900,IC STENT OTW METAL MEDTRONICS,278,C1877,"$6,647.79 ","$6,647.79 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604901,IC STENT RACER/MEDTRONICS,278,C1877,"$7,755.74 ","$7,755.74 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604902,IC STENT SMART CONT SE 10/40/80,278,C1877,"$9,599.00 ","$9,599.00 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604903,IC STNET SMART CONT SE 10/60/80,278,C1877,"$9,599.00 ","$9,599.00 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604904,IC STENT SMART CONT SE 12/30/80,278,C1877,"$8,665.38 ","$8,665.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604905,IC STENT SMART CONT SE 12/40/80,278,C1877,"$9,599.00 ","$9,599.00 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604906,IC STENT SMART CONT SE 12/60/80,278,C1877,"$9,599.00 ","$9,599.00 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604907,IC STENT SMART CONT SE 6/60/120,278,C1877,"$9,599.00 ","$9,599.00 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604908,IC STENT SMART CONT SE 6/80/120,278,C1877,"$11,524.65 ","$11,524.65 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604909,IC STENT SMART CONT SE 8/20/120,278,C1877,"$8,665.38 ","$8,665.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604910,IC STENT SMART CONT SE 8/30/120,278,C1877,"$9,599.00 ","$9,599.00 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604911,IC STENT SMART CONT SE 8/40/120,278,C1877,"$9,599.00 ","$9,599.00 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604912,IC STENT SMART CONT SE 8/60/120,278,C1877,"$9,599.00 ","$9,599.00 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604913,IC STENT SMART CONT SE 8/80/120,278,C1877,"$11,524.65 ","$11,524.65 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604914,IC STENT SMART CONT SE 9/20/80,278,C1877,"$8,665.38 ","$8,665.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604915,IC STENT SMART CONT SE 9/60/80,278,C1877,"$9,599.00 ","$9,599.00 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604916,IC STENT TAXUS (DE) BOSTON SCIENT,278,C1874,"$16,841.09 ","$16,841.09 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604917,STENT PERIPHERAL/BARD,278,C1877,"$6,500.06 ","$6,500.06 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604918,STENT PERI[HERAL SE/BARD 80 MM,278,C1877,"$9,750.09 ","$9,750.09 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604919,ACCESORY KIT PENILE 72401685 AMS,278,,"$1,908.22 ","$1,908.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604920,BLOCK FEMORAL DISTAL,278,,"$2,481.70 ","$2,481.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604921,BLOCK FEMORAL LT (K/OSTEON),278,,"$1,820.00 ","$1,820.00 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604922,CATH ANGIOJET 140CM/5FR THROMBECT,278,C1724,"$17,866.48 ","$17,866.48 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604923,CATH ANGIOJET XPEEDIOR 100CM,278,C1724,"$12,097.68 ","$12,097.68 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604924,CATH CENTRAL VENOUS PKDS/701/WOC,278,C1751,"$1,048.59 ","$1,048.59 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604925,CATH CNTR VENOUS PICS 501/WOC-NT,278,C1751,$775.00 ,$775.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604926,CATH CNTR VENOUS PICS/401/WOL-NT,278,C1751,"$6,695.36 ","$6,695.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604927,CATH DIAMOND UDT/6-4/5/40,278,C1725,"$2,325.12 ","$2,325.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604928,CATH FLEXIMA APD LOOP/14/25 REG,278,C1726,$946.07 ,$946.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604929,CATH FLEXIMA APD/12/25 REG,278,C1726,$946.07 ,$946.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604930,CATH FLEXIMA APD/14/25 REG,278,C1726,$946.07 ,$946.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604931,CATH MEASURING AMS 6FR,278,,"$1,238.69 ","$1,238.69 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604932,CATH PNEUMOTHORAX C-TPT-1020,278,,$613.52 ,$613.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604933,CATH PNEUMOTHORAX C TPT-850,278,,$613.52 ,$613.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604939,CATHETER 5F SIDEWINDER II,278,,$51.45 ,$51.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604940,CATHETER ANGIOJET XMI 4FR 135CM,278,,"$18,520.60 ","$18,520.60 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604941,CATHETER BALLOON 4/2/90 TALON,278,C1725,"$4,184.42 ","$4,184.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604942,CATHETER BALLOON 8/8/5.8T/135,278,C1725,"$2,464.27 ","$2,464.27 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604943,CATHETER DIALYSIS 15CM NIAGRA,278,,"$7,962.15 ","$7,962.15 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604944,CATHETER DIALYSIS 20CM NIAGRA,278,,"$7,962.15 ","$7,962.15 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604945,CATHETER HNB5.0-35-65-P-NS-RH,278,,$217.74 ,$217.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604946,CATHETER INDURA,278,,"$3,163.43 ","$3,163.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604947,CATHETER P8.3-38-110-P-4S-GAC,278,,$217.74 ,$217.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604948,CATHETER PICC PASV 5F/SL/S/IR,278,C1751,$631.26 ,$631.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604949,CATHETER PICDS-601-MPIS-NT,278,C1751,$812.10 ,$812.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604950,CATHETER PICDS-701-MPIS-NT,278,C1751,"$1,082.71 ","$1,082.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604951,CATHETER PICDSY-601-MPIS,278,C1751,$816.64 ,$816.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604952,CATHETER PICDSY-701-MPIS,278,C1751,$816.64 ,$816.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604953,CATHETER PICS-501-MPIS-WOL-NT,278,C1751,$826.39 ,$826.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604954,CATHETER PICSY-401-MPIS,278,C1751,$632.56 ,$632.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604955,CATHETER PICSY-501-MPIS,278,C1751,$632.56 ,$632.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604956,CATHETER THROMBECTOMY 5FR 140CM,278,,"$19,318.18 ","$19,318.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604957,CATHETER UDT 8-8/5.8/75,278,C1725,"$2,560.15 ","$2,560.15 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604958,COMPONET FEMORAL #5 LEFT,278,,"$7,058.92 ","$7,058.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604959,COMPONET FEMORAL #7 LEFT,278,,"$7,058.92 ","$7,058.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604960,COMPONET FEMORAL 7FR K/OSTEONICS,278,,"$7,058.92 ","$7,058.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604961,COMPONET FEMORAL CR WAF 9MM RT,278,,"$7,059.84 ","$7,059.84 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604962,COMPONET FEMORAL R-FIT 7MM WAS,278,,"$7,098.81 ","$7,098.81 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604963,COMPONET FEMORAL R-FIT WAS 11MM,278,,"$7,098.81 ","$7,098.81 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604964,COMPONET FEMORAL WAFPS L-FIT 9M,278,,"$7,098.81 ","$7,098.81 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604965,COMPONET FEMORAL WAS L-FIT 7MM,278,,"$7,098.81 ","$7,098.81 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604966,CUP ACETABULAR,278,,"$3,383.78 ","$3,383.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604967,CUP ACETABULAR H/OSTEONICS,278,,"$3,383.78 ","$3,383.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604968,CUP ACETABULAR OSTEONICS,278,,"$3,635.47 ","$3,635.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604969,CUP INSERT 10 DEG (H/OSTEON),278,,"$2,562.05 ","$2,562.05 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604970,FILTER TRAPEASE VENA CAVA,278,C1884,"$7,061.42 ","$7,061.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604971,FILTER VENA CAVA JUGULAR,278,C1884,"$12,987.74 ","$12,987.74 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604972,FILTER VENA CAVA OTW GN W/FLEX,278,C1884,"$12,987.74 ","$12,987.74 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604973,GRAFT GORETEX 4-7MM X 80CM,278,C1768,"$13,688.54 ","$13,688.54 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604974,GRAFT GOREREX 4-7MM X10CM X45CM,278,C1768,"$8,313.57 ","$8,313.57 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604975,GRAFT GORETEX 4-7 X40CM,278,C1768,"$5,529.47 ","$5,529.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604976,GRAFT GORETEX 6MM X 10CM,278,C1768,"$1,667.40 ","$1,667.40 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604977,GRAFT GORETEX 6MM X 10 CM X10 CM RND,278,C1768,"$2,444.18 ","$2,444.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604978,GRAFT GORETEX 6MMX10CMX20CM RND,278,C1768,"$4,011.89 ","$4,011.89 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604979,GRAFT GORETEX 6MMX 20CM,278,C1768,"$3,033.95 ","$3,033.95 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604980,GRAFT GORETEX 6MMX30CMX40CM RND,278,C1768,"$6,931.14 ","$6,931.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604981,GRAFT GORETEX 6MMX40CM,278,C1768,"$4,977.27 ","$4,977.27 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604982,GRAFT GORETEX 6MMX45CM RND,278,C1768,"$7,410.06 ","$7,410.06 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604983,GRAFT GORETEX 6MMX50CM,278,C1768,"$6,216.89 ","$6,216.89 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604984,GRAFT GORETEX 6MMX80CM,278,C1768,"$9,062.55 ","$9,062.55 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604985,GRAFT GORETEX 6MMX80CMX80CM,278,C1768,"$12,661.39 ","$12,661.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604986,GRAFT GORETEX 8MMX80CM,278,C1768,"$9,062.55 ","$9,062.55 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604987,GRAFT GORETEX 6MMX30CM,278,C1768,"$4,413.55 ","$4,413.55 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604988,GRAFT GORETEX 6MMX50CMX80CM RND,278,C1768,"$12,375.71 ","$12,375.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604989,GRAFT HEMASHIELD STRGHT 10MMX15MM,278,C1768,"$4,174.11 ","$4,174.11 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604990,GRAFT IMPRA 47MMX 45CM,278,C1768,"$5,504.83 ","$5,504.83 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604991,GRAFT IMPRA 6MM * 20 CM,278,C1768,"$2,959.77 ","$2,959.77 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604992,GRAFT IMPRA 6MM X 10 CM,278,C1768,"$1,124.98 ","$1,124.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604993,GRAFT IMPRA 6MM X 20 CM,278,C1768,"$1,986.54 ","$1,986.54 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604994,GRAFT IMPRA 6MM X 30 CM,278,C1768,"$3,071.57 ","$3,071.57 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604995,GRAFT IMPRA 6MM X 40 CS,278,C1768,"$3,294.94 ","$3,294.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604996,GRAFT IMPRA 6MM X 50 CM,278,C1768,"$4,172.43 ","$4,172.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604997,GRAFT IMPRA 6MM X 80 CM,278,C1768,"$8,376.97 ","$8,376.97 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604998,GRAFT SURGISIS ES 7X20,278,C1768,"$7,408.30 ","$7,408.30 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 604999,GUIDEWIRE .014/300,278,C1769,$874.14 ,$874.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605000,GUIDEWIRE 18SP/60CM/COPE/NT,278,C1769,$513.53 ,$513.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605001,GUIDEWIRE FRSPC-35-145-CONNORS,278,C1769,$319.57 ,$319.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605002,GUIDEWIRE NITINOL .018 80CM,278,C1769,$740.71 ,$740.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605003,GUIDEWIRE RPC-35-145-CONNORS,278,C1769,$347.47 ,$347.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605004,IMPLANT TOE SWANSON,278,C1776,"$1,567.42 ","$1,567.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605005,INSERT TIB #5 10 MM,278,C1776,"$4,299.82 ","$4,299.82 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605006,INSERT TIB #5 18MM,278,C1776,"$4,106.75 ","$4,106.75 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605007,INSERT TIB #5 8MM,278,C1776,"$4,106.75 ","$4,106.75 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605008,INTRO KSAW-6.0-38-55-RB-ANL1-HC,278,C1892,$807.37 ,$807.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605009,INTRO KSAW-6.0-38-55-RB-ANL2-HC,278,C1892,$807.37 ,$807.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605010,INTRO KSAY-7.0-38-90-RB-SHTL-HO,278,C1892,"$1,358.51 ","$1,358.51 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605011,INTRO SET PLVW-5.5-18-9 DENNY,278,,$530.06 ,$530.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605012,INTRO SET PLVW-8.0-18-9-DENNY,278,,$530.06 ,$530.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605013,INTRO SHEATH F/PICS-401-MPIS-WOL,278,,$200.17 ,$200.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605014,INTRODUCER F/CV PICS5O/WOC,278,,$193.71 ,$193.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605015,INTRODUCER F/PICC 5F/SL/S/IR,278,,$210.37 ,$210.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605016,INTRODUCER F/PICDS-601-MPIS-NT,278,,$270.62 ,$270.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605017,INTRODUCER F/PICDS-701-MPIS-NT,278,,$265.81 ,$265.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605018,INTRODUCER F/PICDSY-601-MPIS,278,,$272.12 ,$272.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605019,INTRODUCER F/PICDSY-701-MPIS,278,,$272.12 ,$272.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605020,INTRODUCER F/PICSY-501-MPIS,278,,$210.83 ,$210.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605021,INTRODUCER F/PICSY-601-MPIS,278,,$210.83 ,$210.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605022,INTRODUCER PICS-501-MPIS-WOC-NT,278,,$200.17 ,$200.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605023,INTRODUCER SHEATH BALKIN 6/35/40,278,C1892,$745.59 ,$745.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605024,INTRODUCER F/PICDS-701-MPIS-WOC-NT,278,,$273.18 ,$273.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605025,KIT ACCESSORY LINE F/PENILE,278,,"$1,425.17 ","$1,425.17 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605026,KIT ASSEMBLY F/PENILE,278,,"$1,352.62 ","$1,352.62 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605027,KIT GOOSE NECK SNARE 10/65/4FR,278,,"$3,134.18 ","$3,134.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605028,LINER ACETABULAR,278,,"$2,562.05 ","$2,562.05 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605029,LINER CONSTRAINED,278,,"$7,067.79 ","$7,067.79 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605030,MESH 1.3MM TITANIUM 100X100MM,278,C1781,"$2,643.33 ","$2,643.33 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605031,MESH 2 MM BIO-MESH 90X92MM,278,C1781,"$4,204.38 ","$4,204.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605032,MESH COMPOSIX 12 X 12,278,C1781,"$21,278.54 ","$21,278.54 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605033,MESH COMPOSIX 6 X 8,278,C1781,"$8,582.15 ","$8,582.15 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605034,MESH DUAL BIOMATERIAL 10X15CM,278,C1781,"$4,810.95 ","$4,810.95 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605035,MESH DUAL BIOMATERIAL 15X19CM,278,C1781,"$8,931.24 ","$8,931.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605036,MESH DUAL BIOMATERIAL 26X34CM,278,C1781,"$24,681.32 ","$24,681.32 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605037,MESH MARLEX PLUGS XLG IMPLANTABLE,278,C1781,"$2,245.15 ","$2,245.15 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605038,MESH Y SLING,278,C1781,"$1,994.36 ","$1,994.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605039,PAIN MANAGEMENT SYS ON-Q 100ML,278,C2626,"$6,714.92 ","$6,714.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605040,PAIN MANAGEMENT SYS ON -Q 270ML,278,C2626,"$8,633.51 ","$8,633.51 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605041,PATCH PTFE #10P9004,278,,"$1,939.85 ","$1,939.85 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605042,PENILE BALLOON PRESSURE 61-70CM,278,C1813,"$4,959.57 ","$4,959.57 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605043,PENILE CYLINDER 16CM 72400746 AMS,278,C1813,"$24,641.01 ","$24,641.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605044,PENILE CYLINDER ULTREX 21CM,278,C1813,"$6,695.36 ","$6,695.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605045,PENILE ST OCCLUSIVE CUFF 4.0CM,278,C1813,"$6,730.84 ","$6,730.84 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605046,PERCLOSE CLOSURE 6FR,278,,"$2,564.29 ","$2,564.29 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605047,PORT MRI SINGLE LUM 8FR 0602830,278,,"$5,954.23 ","$5,954.23 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605048,PORTS MRI DOUBLE LUMEN ALL SIZES,278,,"$7,583.79 ","$7,583.79 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605049,POSTHESIS PENILE 700 ULTREX 18CM,278,,"$6,695.36 ","$6,695.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605050,PROS PENILE 13X18CM 72401454 AMS,278,C1813,"$20,281.07 ","$20,281.07 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605051,PROS PENILE 700CX CYLINDER 15CM,278,C1813,"$6,695.36 ","$6,695.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605052,PROS PENILE 700CX CYLINDER 12CM,278,C1813,"$6,695.36 ","$6,695.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605053,PROS PENILE 700CXM 12CM,278,C1813,"$6,695.36 ","$6,695.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605054,PROS PENILE 700CXM 14CM,278,C1813,"$6,695.36 ","$6,695.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605055,PROS PENILE 700CXM 18CM,278,C1813,"$6,695.36 ","$6,695.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605056,PROS PENILE 700CXM CYLINDER 18CM,278,C1813,"$6,695.36 ","$6,695.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605057,PORS PENILE 700CXM CYLINDER 21CM,278,C1813,"$6,695.36 ","$6,695.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605058,PROS PENILE CX 12X12CM,278,C1813,"$13,727.43 ","$13,727.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605059,PORS PENILE CX 12X15CM,278,C1813,"$13,727.43 ","$13,727.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605060,PROS PENILE INFRAPUBIC 12CM,278,C1813,"$13,727.43 ","$13,727.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605061,PROS PENILE INFRAPUBIC 18CM,278,C1813,"$13,727.43 ","$13,727.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605062,PROS PENILE INFRAPUBIC 21CM,278,C1813,"$13,727.43 ","$13,727.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605063,PROS PENILE INFRAPUBIC CX 12CM,278,C1813,"$13,727.43 ","$13,727.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605064,PROS PENILE INFRAPUBIC CX 15CM,278,C1813,"$13,727.43 ","$13,727.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605065,PROS PENILE INFRAPUBIC CX 18CM,278,C1813,"$13,727.43 ","$13,727.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605066,PROS PENILE INFRAPUBIC CX 21CM,278,C1813,"$13,727.43 ","$13,727.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605067,PROSTHESIS PENILE 700 CX 15CM,278,C1813,"$17,517.81 ","$17,517.81 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605068,PROSTHESIS PENILE 700 ULTREX 12CM,278,C1813,"$6,695.36 ","$6,695.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605069,PROSTHESIS PENILE 700 ULTREX 15CM,278,C1813,"$6,695.36 ","$6,695.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605070,PROSTHESIS PENILE AMBICOR 11X16CM,278,C1813,"$20,281.07 ","$20,281.07 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605071,PROSTHESIS PENILE AMBICOR 11X18CM,278,C1813,"$20,281.07 ","$20,281.07 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605072,PROSTHESIS PENILE CX PRECONN12X15,278,C1813,"$13,727.43 ","$13,727.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605073,PROSTHESIS PENILE CYLINDER 12CM,278,C1813,"$13,727.43 ","$13,727.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605074,PROSTHESIS PENILE CYLINDER 15CM,278,C1813,"$13,727.43 ","$13,727.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605075,PROSTHESIS PENILE CYLINDER 18CM,278,C1813,"$13,727.43 ","$13,727.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605076,PROSTHESIS PENILE CYLINDER 21CM,278,C1813,"$13,727.43 ","$13,727.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605077,PROSTHESIS PENILE INFRAPUBIC 15CM,278,C1813,"$13,727.43 ","$13,727.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605078,PROTHESIS PENILE CX PRECONN 12X28,278,C1813,"$14,807.72 ","$14,807.72 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605079,PROTHESIS PENILE CX PROCONN 12X21,278,C1813,"$13,727.43 ","$13,727.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605080,PULSE SPRAY SET 5FR/45CM/10CM,278,C1887,"$2,444.18 ","$2,444.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605081,PULSE SPRAY SET 5FRX90CMX30CM,278,C1887,"$2,444.18 ","$2,444.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605082,PULSE SPRAY SET 5FRX90CMX5CM,278,C1887,"$2,444.18 ","$2,444.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605083,PUMP CONTROL SPHINCTER 800 AMS,278,,"$7,793.57 ","$7,793.57 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605084,PUMP HEPATIC INFUSION 3000,278,C1891,"$11,342.46 ","$11,342.46 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605085,PUMP INFLATE/DEFALTE 700CXM,278,,"$7,297.64 ","$7,297.64 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605086,PUMP INFLATE/DEFLATE,278,,"$7,297.64 ","$7,297.64 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605087,PUMP INFLAT/DEFLATE WET PACK,278,,"$6,695.36 ","$6,695.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605089,PUMP PAIN KIT ACCESS EXT NEURO,278,,"$1,891.50 ","$1,891.50 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605090,PUMP PAIN KIT SYNERGY NEURO,278,,"$15,372.12 ","$15,372.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605091,PUMP PAIN LEAD NEUROSTIM 33CM,278,,"$17,472.93 ","$17,472.93 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605092,PUMP PAIN LEAD PISCE RESUME II,278,,"$17,472.93 ","$17,472.93 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605093,PUMP SCROTAL ALPHA 1,278,C1813,"$13,514.83 ","$13,514.83 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605094,PUMP SCROTAL ALPHA1,278,C1813,"$36,596.41 ","$36,596.41 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605095,RESERVOIR 700CXM 50ML PENILE,278,C1813,"$2,727.81 ","$2,727.81 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605096,RESERVIOR F/PENILE MENTOR,278,C1813,"$4,392.71 ","$4,392.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605097,RESERVIOR ULTREX 700 100ML,278,C1813,"$2,922.67 ","$2,922.67 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605098,RESERVIOR ULTREX 700 65ML,278,C1813,"$2,922.67 ","$2,922.67 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605099,RESERVIOR ULTREX PLUS 100ML,278,C1813,"$2,727.81 ","$2,727.81 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605100,RESERVIOR ULTREX PLUS 65ML,278,C1813,"$2,727.81 ","$2,727.81 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605101,RESEVOIR AMS 700 65ML 72402970,278,C1813,"$3,276.94 ","$3,276.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605102,SHEATH PINNACLE 5/10/.038,278,C1893,"$1,812.35 ","$1,812.35 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605103,SP CATHETER XPEEDIOR + 120,278,,"$4,481.35 ","$4,481.35 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605104,SP DEVICE SEALING DIAG DUETT,278,C1760,"$2,222.42 ","$2,222.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605105,SP FILTER OPTEASE VENA CAVA CORDI,278,C1880,"$7,061.42 ","$7,061.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605106,SP FILTER SIMON NITINOL ANTECUBIT,278,C1880,"$9,776.40 ","$9,776.40 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605107,SP FILTER VANA CAVA G/TULIP FEM,278,C1880,"$6,059.23 ","$6,059.23 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605108,SP FILTER VENA CAVA G/TULIP JUG,278,C1880,"$6,059.23 ","$6,059.23 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605109,SP GUIDEWIRE F/FEMORAL FILTER,278,C1769,"$3,029.64 ","$3,029.64 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605110,SP GUIDEWIRE F/JUG FILTER,278,C1769,"$3,029.64 ","$3,029.64 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605111,SP INTRODUCER/SHEATH F/FEM FILTER,278,,"$3,029.64 ","$3,029.64 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605112,SP INTRODUCER/SHEATH F/JUG FILTER,278,,"$3,029.64 ","$3,029.64 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605113,SP STENT EXPRESS 10MMX25MMX135CM,278,C1877,"$4,546.48 ","$4,546.48 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605114,SP STENT EXPRESS 10MMX37MMX75CM,278,C1877,"$4,546.48 ","$4,546.48 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605115,SP STENT EXPRESS 6MM X 27MM X 75C,278,C1877,"$8,243.25 ","$8,243.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605116,SP STENT EXPRESS 6MM X 37MM X 75C,278,C1877,"$8,243.25 ","$8,243.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605117,SP STENT EXPRESS 6MMX17MMX75CM,278,C1877,"$4,220.61 ","$4,220.61 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605118,SP STENT EXPRESS 7MM X 27 X 75C,278,C1877,"$7,652.34 ","$7,652.34 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605119,SP STENT EXRESS 7MMX17MMX75CM,278,C1877,"$4,220.61 ","$4,220.61 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605120,SP STENT EXPRESS 7MMX37MMX135CM,278,C1877,"$4,546.48 ","$4,546.48 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605121,SP STENT EXPRESS 7MMX37MMX75CM,278,C1877,"$4,546.48 ","$4,546.48 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605122,SP STENT EXPRESS 8MM X 17MM X 75C,278,C1877,"$8,243.25 ","$8,243.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605123,SP STENT EXPRESS 8MM X 27MM X 75C,278,C1877,"$8,243.25 ","$8,243.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605124,SP STENT EXPRESS 8MM X 37MM X75CM,278,C1877,"$4,546.48 ","$4,546.48 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605125,SP STENT EXPRESS 8MMX37MMX135CM,278,C1877,"$4,546.48 ","$4,546.48 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605126,SP STENT EXPRESS 9MM X 25MM X75CM,278,C1877,"$4,546.48 ","$4,546.48 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605127,SP STENT EXPRESS 9MM X 37MMX75CM,278,C1877,"$4,546.48 ","$4,546.48 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605128,SP STENT EXPRESS 9MMX25MMX135CM,278,C1877,"$4,546.48 ","$4,546.48 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605129,SP STENT EXPRESS 9MMX37MMX135CM,278,C1877,"$4,546.48 ","$4,546.48 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605130,SP STENT GENESIS 7MM X 39MM X80,278,C1877,"$8,343.02 ","$8,343.02 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605131,SP STENT GENESIS 8/29/80,278,C1877,"$15,022.54 ","$15,022.54 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605132,SP STENT INTRACOIL,278,C1877,"$14,816.32 ","$14,816.32 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605133,SP STENT INTRACOIL VT4-40-135,278,C1877,"$14,816.32 ","$14,816.32 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605134,SP STENT INTRACOIL VT4-60-135,278,C1877,"$14,816.32 ","$14,816.32 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605135,SP STENT INTRACOIL VT5-60-135,278,C1877,"$14,816.32 ","$14,816.32 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605136,SP STENT INTRACOIL VT7-60-135,278,C1877,"$14,816.32 ","$14,816.32 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605137,SP STENT PARAMOUNT SPM 16-26-08-B,278,C1877,"$9,410.46 ","$9,410.46 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605138,ST STENT PRECISE 6MM X 80MM X 120,278,C1877,"$11,524.65 ","$11,524.65 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605139,SP STENT PROTEGE,278,C1877,"$4,143.80 ","$4,143.80 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605140,SP STENT PROTEGE 8MM X 60MM X 80M,278,C1877,"$13,331.52 ","$13,331.52 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605141,SP STENT PROTEGE 9MM X 40MM X 80,278,C1877,"$13,331.52 ","$13,331.52 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605142,SP STENT PROTEGE SE7-12-20-80,278,C1877,"$13,331.52 ","$13,331.52 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605143,SP STENT PROTEGE SE7-12-40-80,278,C1877,"$13,331.52 ","$13,331.52 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605144,SP STENT PROTEGE SE7-8-30-80,278,C1877,"$13,331.52 ","$13,331.52 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605145,SP STENT SMART 7MM X 30MM,278,C1877,"$4,704.78 ","$4,704.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605146,SP STENT SMART CNTL 10MMX20MMX80,278,C1877,"$4,629.41 ","$4,629.41 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605147,SP STENT SMART CNTL 10MMX40MMX80,278,C1877,"$9,599.00 ","$9,599.00 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605148,SP STENT SMART CNTL 10MMX60MMX80,278,C1877,"$9,599.00 ","$9,599.00 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605149,SP STENT SMART CNTL 6MMX20MMX120,278,C1877,"$4,629.41 ","$4,629.41 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605150,SP STENT SMART CNTL 6MMX40MMX120,278,C1877,"$5,128.14 ","$5,128.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605151,SP STENT SMART CNTL 6MMX60MMX120,278,C1877,"$9,599.00 ","$9,599.00 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605152,SP STENT SMART CNTL 7MMX20MMX120,278,C1877,"$4,629.41 ","$4,629.41 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605153,SP STENT SMART CNTL 7MMX40MMX120,278,C1877,"$5,128.14 ","$5,128.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605154,SP STENT SMART CNTL 7MMX60MMX120,278,C1877,"$5,128.14 ","$5,128.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605155,SP STENT SMART CNTL 7MMX80MMX120,278,C1877,"$6,156.90 ","$6,156.90 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605156,SP STENT SMART CNTL 8MMX20MMX120,278,C1877,"$8,665.38 ","$8,665.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605157,SP STENT SMART CNTL 8MMX40MMX120,278,C1877,"$9,599.00 ","$9,599.00 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605158,SP STENT SMART CNTL 8MMX60MMX120,278,C1877,"$9,599.00 ","$9,599.00 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605159,SP STENT SMART CNTL 9MMX20MMX80,278,C1877,"$8,665.38 ","$8,665.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605160,SP STENT SMART CNTL 9MMX40MMX80,278,C1877,"$5,128.14 ","$5,128.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605161,SP STENT SMART CNTL 9MMX60MMX80,278,C1877,"$9,599.00 ","$9,599.00 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605162,SP STENT SMART CONTROL 7MMX100MM,278,C1877,"$5,934.56 ","$5,934.56 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605163,SP STENT SMART CONTROL 6MMX100MM,278,C1877,"$5,934.56 ","$5,934.56 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605164,SP STENT SMART CONTROL 8MMX30MM,278,C1877,"$9,599.00 ","$9,599.00 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605165,SPN STENT EXPRESS 10MMX37MMX135CM,278,C1877,"$4,546.48 ","$4,546.48 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605166,STEM HIP FEMORAL #8 12MM,278,C1776,"$13,015.35 ","$13,015.35 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605167,STENT BILIARY RAPD EXCH 7FR 7CM,278,C1877,"$1,025.10 ","$1,025.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605168,STENT BILIARY RPD EXCH 10FR 10CM,278,C1877,"$1,025.67 ","$1,025.67 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605169,STENT BILIARY RPD EXCH 10FR 12CM,278,C1877,"$1,025.10 ","$1,025.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605170,STENT BILIARY RPD EXCH 10FR 7CM,278,C1877,"$1,025.67 ","$1,025.67 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605171,STENT BILIARY PRD EXCH 7FR 10CM,278,C1877,"$1,025.67 ","$1,025.67 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605172,STENT BILIARY RPD EXCH 7FR 12CM,278,C1877,"$1,025.67 ","$1,025.67 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605173,STENT CORINTH IQ 15X6 W/OPTRA LP,278,C1877,"$10,092.69 ","$10,092.69 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605174,STENT CORINTH IQ 29X5 W/OPTRA LP,278,C1877,"$10,092.69 ","$10,092.69 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605175,STENT CORINTH IQ 39X6 W/OPTRA LP,278,C1877,"$10,092.69 ","$10,092.69 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605176,STENT CORINTH OPTA LP 7X18,278,C1877,"$10,029.57 ","$10,029.57 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605177,STENT CORINTHIAN 6/39/135,278,C1877,"$15,581.10 ","$15,581.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605178,STENT CORINTHIAN IQ 7MMX52MMX135,278,C1877,"$14,759.26 ","$14,759.26 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605179,STENT CORITHIAN IQ 6X18X80,278,C1877,"$10,430.80 ","$10,430.80 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605180,STENT CORITHIAN IQ 6X29X135,278,C1877,"$10,430.80 ","$10,430.80 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605181,STENT CORITHIAN IQ 6X29X80,278,C1877,"$10,430.80 ","$10,430.80 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605182,STENT GENESIS 5/15/135,278,C1877,"$13,961.38 ","$13,961.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605183,STENT GENESIS 7/29/80,278,C1877,"$15,329.24 ","$15,329.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605184,STENT GENESIS 8/29/135,278,C1877,"$8,047.10 ","$8,047.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605185,STENT GENESIS 8/39/135,278,C1877,"$15,581.10 ","$15,581.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605186,STENT INTRA DBLESTRUT 6.0/16/20,278,C1877,"$13,720.92 ","$13,720.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605187,STENT INTRA DBLESTRUT 8.0/16/20,278,C1877,"$13,720.92 ","$13,720.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605188,STENT INTRA DBLSTRUT 8.0/36/40,278,C1877,"$13,720.92 ","$13,720.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605189,STENT INTRACOIL 5MM X 40MM X 135,278,C1877,"$14,816.32 ","$14,816.32 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605190,STENT INTRACOIL 7MM X 40MM X 63,278,C1877,"$14,816.32 ","$14,816.32 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605191,STENT INTRACOIL 8MM X 40MM X 63,278,C1877,"$14,816.32 ","$14,816.32 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605192,STENT LUMINEX 10MMX40MMX120,278,C1877,"$14,248.45 ","$14,248.45 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605193,STENT LUMINEX 8MMX40MMX120,278,C1877,"$14,248.45 ","$14,248.45 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605194,STENT MEMMOTHERM 6MMX140MMX120,278,C1877,"$11,398.17 ","$11,398.17 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605195,STENT MEMMOTHERM 6MMX60MMX120,278,C1877,"$11,398.17 ","$11,398.17 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605196,STENT MEMMOTHERM 7MMX40MMX120,278,C1877,"$11,398.17 ","$11,398.17 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605197,STENT MEMMOTHERM 7MMX60MMX120,278,C1877,"$11,398.17 ","$11,398.17 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605198,STENT NIROYAL 7-14/4-1.5/4T/90,278,C1877,"$11,967.06 ","$11,967.06 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605199,STENT NIROYAL 7-14/5-1.5/4T/90,278,C1877,"$11,967.06 ","$11,967.06 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605200,SSTENT NIROYAL 7-19/4-2.0/4T/90,278,C1877,"$11,967.06 ","$11,967.06 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605201,STENT NIROYAL 7-19/5-2.0/4T/90,278,C1877,"$11,967.06 ","$11,967.06 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605202,STENT NIROYAL 9-14/6-1.5/4T/90,278,C1877,"$11,967.06 ","$11,967.06 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605203,STENT PROTEGE,278,C1877,"$14,532.84 ","$14,532.84 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605204,STENT PROTEGE 10MM X 30MM X 80,278,C1877,"$14,531.33 ","$14,531.33 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605205,STENT PROTEGE 12MM X 30MM X 80,278,C1877,"$14,531.33 ","$14,531.33 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605206,STENT PROTEGE 9MM X 30MM X 120,278,C1877,"$14,531.33 ","$14,531.33 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605207,STENT SYM RO BILIARY 10-20/7/110,278,C1877,"$15,246.06 ","$15,246.06 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605208,STENT SYM RO BILIARY 7/60/7/110,278,C1877,"$15,246.06 ","$15,246.06 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605209,STENT SYMPHONY SSRO/6/40/7/110,278,C1877,"$15,592.05 ","$15,592.05 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605210,SYSTEM MINI STICK COAX/4.5/SS/SS,278,,$381.90 ,$381.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605211,THROMBECTOMY OASIS ACCESSORY KIT,278,,$347.76 ,$347.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605212,THROMBECTOMY OASIS/6/100/018,278,,"$8,536.53 ","$8,536.53 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605213,THROMBECTOMY OASIS/6/65/.018,278,,"$6,598.88 ","$6,598.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605214,THROMBECTOMY OASIS/6/65/.018/SOFT,278,,"$7,549.08 ","$7,549.08 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605215,TRAY SCHON DUO FLOW INSERTION,278,,"$1,579.35 ","$1,579.35 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605216,UROLUME IMPLANT STENT 3.0CM AMS,278,C1813,"$6,553.72 ","$6,553.72 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605217,VASOSEAL ES VASCULAR CLOSURE DEVI,278,C1760,"$2,803.17 ","$2,803.17 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605218,VASOSEAL VHD KIT SIZE 1,278,C1760,"$1,994.49 ","$1,994.49 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605219,VASOSEAL VHD KIT SIZE 2,278,C1760,"$1,994.49 ","$1,994.49 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605220,VASOSEAL VHD KIT SIZE 3,278,C1760,"$1,994.49 ","$1,994.49 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605221,VASOSEAL VHD KIT SIZE 4,278,C1760,"$1,994.49 ","$1,994.49 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605222,VASOSEAL VHD KIT SIZE 5,278,C1760,"$1,994.49 ","$1,994.49 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605223,VASOSEAL VHD KIT SZ 6,278,C1760,"$2,284.05 ","$2,284.05 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605224,WALLGRAFT 10X30 10F COVERED,278,,"$25,424.96 ","$25,424.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605225,WALLGRAFT 12X50 11F COVERED,278,,"$25,424.96 ","$25,424.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605226,WALLGRAFT 6X30 9F COVERED,278,,"$25,424.96 ","$25,424.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605227,WALLGRAFT 7X30 9F,278,,"$25,424.96 ","$25,424.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605228,WALLGRAFT 8X30 9F COVERED,278,,"$25,424.96 ","$25,424.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605229,WALLSTENT/12/40/8/135/160,278,C1877,"$13,159.22 ","$13,159.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605230,WALLSTENT 10/20/7.5/100 HALO,278,C1877,"$12,095.30 ","$12,095.30 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605231,WALLSTENT 10/68/135/7F,278,C1877,"$16,363.33 ","$16,363.33 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605232,WALLSTENT 6/45/135/6F UNISTEP +,278,C1877,"$15,653.81 ","$15,653.81 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605233,WALLSTENT ILIAC 6F 9X35X135,278,C1877,"$15,455.54 ","$15,455.54 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605234,WALLSTENT WS/10/42/7.5/75/100,278,C1877,"$12,095.30 ","$12,095.30 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605235,WALLSTENT WS/10/68/7.5/75/100,278,C1877,"$12,095.30 ","$12,095.30 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605236,WALLSTENT WS/12/20/8/75/100,278,C1877,"$11,838.09 ","$11,838.09 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605237,WALLSTENT WS/12/40/8/75/100,278,C1877,"$12,095.30 ","$12,095.30 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605238,WALLSTENT WS/12/60/8/135/160,278,C1877,"$15,054.03 ","$15,054.03 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605239,WALLSTENT WS/14/40/9/100,278,C1877,"$11,840.17 ","$11,840.17 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605240,WALLSTENT WS/5/20/7/75/100,278,C1877,"$13,837.16 ","$13,837.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605241,WALLSTENT WS/5/40/7/135/160,278,C1877,"$13,445.24 ","$13,445.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605242,WALLSTENT WS/5/40/7/75/100,278,C1877,"$12,095.30 ","$12,095.30 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605243,WALLSTENT WS/5/80/7/135/160,278,C1877,"$20,526.77 ","$20,526.77 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605244,WALLSTENT WS/5/80/7/75/100,278,C1877,"$19,401.80 ","$19,401.80 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605245,WALLSTENT WS/6/20/7/75/100,278,C1877,"$13,837.16 ","$13,837.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605246,WALLSTENT WS/6/45/7/135/160,278,C1877,"$15,054.03 ","$15,054.03 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605247,WALLSTENT WS/6/60/7/135/160,278,C1877,"$13,445.24 ","$13,445.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605248,WALLSTENT WS/6/60/7/75/100,278,C1877,"$13,837.16 ","$13,837.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605249,WALLSTENT WS/7/20/7/135/160,278,C1877,"$15,381.39 ","$15,381.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605250,WALLSTENT WS/7/40/7/135/160,278,C1877,"$13,445.24 ","$13,445.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605251,WALLSTENT WS/7/60/7/135/160,278,C1877,"$13,445.24 ","$13,445.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605252,WALLSTENT WS/7/60/7/75/100,278,C1877,"$13,542.77 ","$13,542.77 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605253,WALLSTENT WS/8/20/7/75/100,278,C1877,"$12,095.30 ","$12,095.30 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605254,WALLSTENT WS/8/40/135/6F,278,C1877,"$14,474.91 ","$14,474.91 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605255,WALLSTENT WS/8/40/7/135/160,278,C1877,"$12,095.30 ","$12,095.30 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605256,WALLSTENT WS/8/60/7/75/100,278,C1877,"$13,837.16 ","$13,837.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605257,WALLSTENT WS/9/18/7/75/100,278,C1877,"$11,838.09 ","$11,838.09 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605258,WALLSTENT WS/9/35/7/75/100,278,C1877,"$13,837.16 ","$13,837.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605259,WALLSTENT WSRP/10/42/7/135/160,278,C1877,"$13,159.22 ","$13,159.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605260,CS STENT BILIARY 8CM DIAMOND,278,C1877,"$14,340.48 ","$14,340.48 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605261,CS STENT BILIARY ENDO 6CM DIAMOND,278,C1877,"$14,340.48 ","$14,340.48 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605262,STENT BILIARY S PASS 7FT 7CM,278,,$639.84 ,$639.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605263,ACCESSORY KIT PENILE 72401685,278,C1813,"$1,908.22 ","$1,908.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605264,C-TAPER FEMORAL HEAD,278,C1776,"$2,429.43 ","$2,429.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605265,CV GRAFT AORTIC VALVED 19MM ROT,278,,"$31,879.84 ","$31,879.84 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605266,CV GRAFT AORTIC VALVED 21MM ROT,278,,"$31,879.84 ","$31,879.84 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605267,CV GRAFT AORTIC VALVED 23MM ROT,278,,"$35,067.87 ","$35,067.87 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605268,CV GRAFT AORTIC VALVED 25MM ROT,278,,"$35,067.87 ","$35,067.87 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605269,CV GRAFT AORTIC VALVED 27MM ROT,278,,"$31,879.84 ","$31,879.84 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605270,CV GRAFT AORTIC VALVED 29MM ROT,278,,"$31,879.84 ","$31,879.84 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605271,CV GRAFT AORTIC VALVED 31MM ROT,278,,"$31,879.84 ","$31,879.84 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605272,CV GRAFT AORTIC VALVED 33MM ROT,278,,"$31,879.84 ","$31,879.84 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605273,CV GRAFT FOUR BRANCH HEM 32 X 50,278,,"$9,525.58 ","$9,525.58 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605274,CV GRAFT HEMASHIELD WOVE PLAT,278,,"$2,040.91 ","$2,040.91 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605275,CV SHUNT CLEARVIEW COR/MEDTRONICS,278,,"$1,994.36 ","$1,994.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605276,CV VALVE AORTIC 169MM ROTATABLE,278,,"$21,863.85 ","$21,863.85 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605277,CV VALVE AORTIC 23MM ROTATABLE,278,,"$21,863.85 ","$21,863.85 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605278,CV VALVE AORTIC 25MM ROTATABLE,278,,"$21,863.85 ","$21,863.85 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605279,CV VALVE AORTIC 27 MM ROTATABLE,278,,"$21,863.85 ","$21,863.85 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605280,CV VALVE AORTIC 27MM ROTATABLE,278,,"$21,863.85 ","$21,863.85 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605281,CV VALVE AORTIC 29MM ROTATABLE,278,,"$21,863.85 ","$21,863.85 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605282,CV VALVE AORTIC MITRAL MEDTRONICS,278,,"$7,449.02 ","$7,449.02 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605283,CV VALVE HANCOCK II AORTIC,278,,"$33,091.22 ","$33,091.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605284,CV VALVE MITRAL 21MM ROTATABLE,278,,"$21,272.93 ","$21,272.93 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605285,CV VALVE MITRAL 25MM ROTATABLE,278,,"$21,272.93 ","$21,272.93 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605286,CV VALVE MITRAL 27MM ROTATABLE,278,,"$21,272.93 ","$21,272.93 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605287,CV VALVE MITRAL 29MM ROTATABLE,278,,"$21,272.93 ","$21,272.93 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605288,CV VALVE MITRAL 31 MM ROTATABLE,278,,"$21,272.93 ","$21,272.93 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605289,CV VALVE MITRAL 33MM ROTATABLE,278,,"$21,272.93 ","$21,272.93 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605290,CV VALVE AORTIC 21 MM ROTATABLE,278,,"$21,863.85 ","$21,863.85 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605291,DISTAL VOLAR PALTE EXTENDED RIGHT,278,,"$2,258.77 ","$2,258.77 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605292,DISTAL VOLAR PALTE RIGHT,278,,"$1,933.80 ","$1,933.80 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605293,DISTAL VOLAR PLATE EXTENDED LEFT,278,,"$2,258.77 ","$2,258.77 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605294,DISTAL VOLAR PLATE LEFT,278,,"$1,933.80 ","$1,933.80 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605295,DISTAL VOLAR PLATE NARROW LEFT,278,,"$2,258.77 ","$2,258.77 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605296,DISTAL VOLAR PLATE NARROW RIGHT,278,,"$2,258.77 ","$2,258.77 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605297,DISTAL VOLAR PLATE WIDE LEFT,278,,"$2,258.77 ","$2,258.77 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605298,DISTAL VOLAR PLATE WIDE RIGHT,278,,"$2,258.77 ","$2,258.77 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605299,GRAFT GORE F/RINGED 8MM X 70 X 70,278,C1768,"$13,676.88 ","$13,676.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605300,GRAFT GORE HEMASH 12 X 7MM BIF,278,C1768,"$8,662.96 ","$8,662.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605301,GRAFT GORE HEMASH 14X7MM BIF,278,C1768,"$8,662.96 ","$8,662.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605302,GRAFT GORE VASCULAR 6MM X 10CM,278,C1768,"$1,378.48 ","$1,378.48 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605303,GRAFT GORE VASCULAR 6MM X 20CM,278,C1768,"$2,394.10 ","$2,394.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605304,GRAFT GORE VASCULAR 6MM X 30CM,278,C1768,"$4,564.08 ","$4,564.08 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605305,GRAFT GORE VASCULAR 6MM X 40CM,278,C1768,"$5,004.33 ","$5,004.33 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605306,GRAFT GORE VASCULAR 6MM X 50CM,278,C1768,"$6,344.20 ","$6,344.20 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605307,GRAFT GORE VASCULAR 6MM X 80CM ST,278,C1768,"$9,290.52 ","$9,290.52 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605308,GRAFT IMPRA 47MM X 45CM,278,C1768,"$5,504.83 ","$5,504.83 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605309,GRAFT IMPRA 6MM X 10 CM,278,,"$1,124.98 ","$1,124.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605310,GRAFT IMPRA 6MM X 10CM,278,C1768,"$2,496.02 ","$2,496.02 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605311,GRAFT IMPRA 6MM X 20 CM,278,,"$2,715.45 ","$2,715.45 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605312,GRAFT IMPRA 6MM X 20CM,278,C1768,"$1,986.54 ","$1,986.54 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605313,GRAFT IMPRA 6MM X 30CM,278,C1768,"$3,071.57 ","$3,071.57 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605314,GRAFT IMPRA 6MM X 40 CM,278,C1768,"$5,014.82 ","$5,014.82 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605315,GRAFT IMPRA 6MM X 40CM,278,C1768,"$4,388.01 ","$4,388.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605316,GRAFT IMPRA 6MM X 40CS,278,C1768,"$3,294.94 ","$3,294.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605317,GRAFT IMPRA 6MM X 50CM,278,C1768,"$4,172.43 ","$4,172.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605318,GRAFT IMPRA 6MM X 80 CM,278,C1768,"$8,376.97 ","$8,376.97 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605319,GRAFT IMPRA 6MM X 80CM,278,C1768,"$6,127.19 ","$6,127.19 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605320,GRAFT IMPRA 74 MM X 40 CM,278,C1768,"$3,933.14 ","$3,933.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605321,GRAFT IMPRA 74MM X 70CM,278,C1768,"$7,922.12 ","$7,922.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605322,GRAFT IMPRA 75MM X 6MM,278,C1768,"$2,018.41 ","$2,018.41 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605323,GRAFT IMPRA 8MM X 80 CM,278,C1768,"$8,376.97 ","$8,376.97 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605324,GRAFT IMPRA 8MM X 80CM,278,C1768,"$6,127.19 ","$6,127.19 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605325,GRAFT VASC GORE 4-7MM X 40MM ST,278,C1768,"$5,965.76 ","$5,965.76 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605326,GRAFT VASC HEMASH 16 X 8MM BIF,278,C1768,"$8,926.24 ","$8,926.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605327,GRAFT VASC HEMASH 18 X 9MM BIF,278,C1768,"$8,926.24 ","$8,926.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605328,GRAFT VASC HEMASH 20 X 10MM BIF,278,C1768,"$8,926.24 ","$8,926.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605329,GRAFT VASC HEMASH 22 X 11MM BIF,278,C1768,"$8,664.86 ","$8,664.86 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605330,GRAFT VASC HEMASH 24 X 12MM BIF,278,C1768,"$8,664.86 ","$8,664.86 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605331,GRAFT VASCU GORTEX 5MM X 80CM ST,278,C1768,"$8,888.86 ","$8,888.86 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605332,GRAFT VASCU GORTEX 8MM X 80CM,278,C1768,"$9,290.52 ","$9,290.52 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605333,HEAD UNIVERSAL UHR,278,C1776,"$1,803.77 ","$1,803.77 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605334,IMPLANT SD SORB EZ TAC 160007,278,,$717.96 ,$717.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605335,IMPLANT TOE SWANSON,278,C1776,"$1,567.42 ","$1,567.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605336,INSERT 36MM TRIDENT (OSTEON),278,C1776,"$4,406.21 ","$4,406.21 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605337,MESH MARLEX LARGE,278,C1781,"$2,102.16 ","$2,102.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605338,MESH MARLEX MEDIUM,278,C1781,"$1,983.13 ","$1,983.13 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605339,MESH MARLEX SMALL,278,C1781,"$2,102.16 ","$2,102.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605340,"MESH PROLENE 12"" X12""",278,C1781,"$1,470.07 ","$1,470.07 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605341,MESH PROLENE 2.5 X 4.5,278,C1781,$555.34 ,$555.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605342,MESH PROLENE 6X6,278,C1781,$641.33 ,$641.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605343,MESH Y SLING,278,C1771,"$1,994.36 ","$1,994.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605345,PAIN PUMP (OSTEONICS),278,C2626,"$2,051.52 ","$2,051.52 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605346,PEG SMOOTH 2.0MM 14MM LONG,278,,$310.25 ,$310.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605347,PEG SMOOTH 2.0MM 16MM LONG,278,,$310.25 ,$310.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605348,PEG SMOOTH 2.0MM 18MM LONG,278,,$310.25 ,$310.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605349,PEG SMOOTH 2.0MM 20MM LONG,278,,$310.25 ,$310.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605350,PEG SMOOTH 2.0MM 22MM LONG,278,,$310.25 ,$310.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605351,PEG SMOOTH 2.0MM 24MM LONG,278,,$310.25 ,$310.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605352,PEG SMOOTH 2.0MM 26MM LONG,278,,$310.25 ,$310.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605353,PEG SMOOTH 2.0MM 28MM LONG,278,,$310.25 ,$310.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605354,PEG THREADED 2.5MM 14MM LONG,278,,$310.25 ,$310.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605355,PEG THREADED 2.5MM 16MM LONG,278,,$310.25 ,$310.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605356,PEG THREADED 2.5MM 18MM LONG,278,,$310.25 ,$310.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605357,PEG THREADED 2.5MM 20MM LONG,278,,$310.25 ,$310.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605358,PEG THREADED 2.5MM 22MM LONG,278,,$310.25 ,$310.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605359,PEG THREADED 2.5MM 24MM LONG,278,,$310.25 ,$310.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605360,PEG THREADED 2.5MM 26MM LONG,278,,$310.25 ,$310.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605361,PEG THREADED 2.5MM 28MM LONG,278,,$310.25 ,$310.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605362,PF SET BVS PUMP AND CANNULA,278,,"$13,195.42 ","$13,195.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605363,PLATE NAIL DORSAL LEFT,278,C1713,"$2,258.77 ","$2,258.77 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605364,PLATE NAIL DORSAL RIGHT,278,C1713,"$2,258.77 ","$2,258.77 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605365,PLATE NMIMI 6-HOLE REGULAR,278,C1713,$704.17 ,$704.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605366,PLATE NMIMI 8-HOLE REGULAR,278,C1713,$336.61 ,$336.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605367,PLATE NMIMI ORBITA 4-HOLE 6MM,278,C1713,$340.44 ,$340.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605368,PLATE NMIMI ORBITA 6-HOLE 8MM,278,C1713,$336.61 ,$336.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605369,PLATE NMIMI ORBITA 8-HOLE,278,C1713,$453.55 ,$453.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605370,PLATE NMIMI Y-SH 5-HOLE 8MM,278,C1713,$453.90 ,$453.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605371,PRO TOTAL KNEE OSTEONICS,278,,"$18,244.09 ","$18,244.09 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605372,PROS INSERT TRIDENT ALMINA,278,C1776,"$6,808.84 ","$6,808.84 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605373,PROS PENILE AMBICOR 11X18CM,278,C1813,"$20,281.07 ","$20,281.07 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605374,PROS TOTAL HIP NON-CEM OSTEONICS,278,C1776,"$25,220.23 ","$25,220.23 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605375,PROSTHESIS FINGER JOINT,278,C1776,"$1,344.94 ","$1,344.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605376,PROSTHESIS WRIST,278,C1776,"$4,807.55 ","$4,807.55 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605377,PROTHESIS PENILE PRECONN 21 CM,278,C1813,"$16,071.40 ","$16,071.40 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605378,SCREW CANCELLOUS 2.5 14MM LONG,278,C1713,$310.25 ,$310.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605379,SCREW CANCELLOUS 2.5 18MM LONG,278,C1713,$310.25 ,$310.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605380,SCREW CANCELLOUS 2.5 20MM LONG,278,C1713,$310.25 ,$310.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605381,SCREW CANCELLOUS 2.5 22MM LONG,278,C1713,$310.25 ,$310.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605382,SCREW CANCELLOUS 2.5 24MM LONG,278,C1713,$310.25 ,$310.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605383,SCREW CANCELLOUS 2.5 26MM LONG,278,C1713,$310.25 ,$310.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605384,SCREW CANCELLOUS 2.5 28MM LONG,278,C1713,$310.25 ,$310.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605385,SCREW CANCELLOUS 2.5MM X 16MM,278,C1713,$310.25 ,$310.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605386,SCREW CORTICAL 3.5MM 10MM LONG,278,C1713,$310.25 ,$310.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605387,SCREW CORTICAL 3.5MM 12MM LONG,278,C1713,$310.25 ,$310.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605388,SCREW CORTICAL 3.5MM 14MM LONG,278,C1713,$310.25 ,$310.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605389,SCREW CORTICAL 3.5MM 16MM LONG,278,C1713,$310.25 ,$310.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605390,SCREW CORTICAL 3.5MM 18MM LONG,278,C1713,$310.25 ,$310.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605391,SCREW ENDOFIX 3.0MM 7MM LONG,278,C1713,$398.92 ,$398.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605392,STEM #6 CEMENTED HIP,278,C1776,"$7,609.95 ","$7,609.95 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605393,STENT SINUS RAINS FRONTAL,278,C1875,$169.24 ,$169.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605394,UNIVERSAL HEAD UH1-51-28,278,C1776,"$1,803.77 ","$1,803.77 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605395,UROLUME 3.0CM (IMPLANT),278,C1813,"$6,553.72 ","$6,553.72 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605396,UROLOME IMPLANT STENT 2.0CM AMS,278,C1813,"$6,819.46 ","$6,819.46 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605397,UROLOME IMPLANT STENT 2.5CM,278,C1813,"$6,819.46 ","$6,819.46 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605429,GUIDEWIRE HI-TOR 300 CM MOD J,278,C1769,$510.72 ,$510.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605430,STARCLOSE CLOSURE 6FR,278,C1760,"$1,125.59 ","$1,125.59 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605431,PATELLA DOME #5 LK OSTEONICS,278,C1776,"$1,667.23 ","$1,667.23 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605432,EXTENDER FLUTED STEM 14x80 M,278,C1776,"$2,808.26 ","$2,808.26 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605433,COMPONENT FEMORAL TS #5 RIGHT,278,C1776,"$13,205.14 ","$13,205.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605434,IC BALLOON MONORAIL MAVRICK/BO,278,C1726,"$1,660.19 ","$1,660.19 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605435,IC BURR ROTALINK PLUS 2.0,278,C1724,"$6,162.41 ","$6,162.41 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605436,IC BALLOON SPRINTER MEDTRONICS,278,C1726,"$1,181.86 ","$1,181.86 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605437,CS LEAD CAPSURE SP NOVUS 5092/,278,C1898,"$3,581.32 ","$3,581.32 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605438,PACEMAKER SENSIA (DR SEDRO1ID),278,,"$23,022.65 ","$23,022.65 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605439,CS LEAD #4076 52 CM,278,C1898,"$4,220.85 ","$4,220.85 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605441,SUTURE A183H 4-0 SILK,278,,$91.47 ,$91.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605445,CS FILTER TRAPEASE VENA CAVA,278,C1884,"$6,725.17 ","$6,725.17 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605488,GRAFT STENT FLUENCY TRACH 7X60X80,278,C1874,"$6,016.40 ","$6,016.40 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605500,GLIDEWIRE 035/260 ANG GR3509,278,C1769,$235.16 ,$235.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605526,POWERM PORT S-LUMEN W/SUTURE PLUG,278,C1788,"$1,826.50 ","$1,826.50 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605532,SCREW BONE DISTAL RADIUS 2.3X12MM,278,C1713,$241.08 ,$241.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605533,CATH HEMOSPLIT CV 27CM 5733270,278,C1750,"$1,366.86 ","$1,366.86 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605534,CATH HEMOSPLIT CV 23CM 5733730,278,C1750,"$1,366.86 ","$1,366.86 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605535,STENT EVERFLEX STANDARD LENGHTS,278,C1877,"$3,325.59 ","$3,325.59 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605536,STENT EVERFLEX LONG 120CM,278,C1877,"$3,793.39 ","$3,793.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605537,STENT EVERFLEX LONG 150CM,278,C1877,"$4,109.49 ","$4,109.49 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605538,5FR DOUBLE LUMEN PICC LINE KIT,278,C1751,$629.79 ,$629.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605539,BALLOON FOX CROSS OTW (ALL SIZES),278,C1725,"$1,017.40 ","$1,017.40 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605540,STENT ION DRUG ELUTING ALL SIZES,278,C1874,"$9,297.58 ","$9,297.58 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605556,POWER PORT VACCESS CT 8FR SINGLE,278,C1788,"$1,144.11 ","$1,144.11 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605557,6FR TRIPLE LUMEN PICC LINE KIT,278,C1751,$528.69 ,$528.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605562,POWERGLIDE 10CM SINGLE,278,C1751,$69.65 ,$69.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605563,POWERGLIDE PRO MIDLNE 10CM X 18G,278,C1751,$62.34 ,$62.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605564,POWERGLIDE 8 CM SINGLE,278,C1751,$116.06 ,$116.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605565,STEM MODULAR REMEDY RHSTSM,278,,"$3,626.69 ","$3,626.69 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605566,HEAD MODULAR REMEDY 54MM,278,,"$2,256.60 ","$2,256.60 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605578,SHEATH PINNACLE 6FRX10CM,278,C1894,$15.20 ,$15.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605427,IC GUIDEWIRE PTFE 025/145 J TI,279,C1769,$21.08 ,$21.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605428,DIALYSIS CATH SHORT TERM,279,C1752,$130.45 ,$130.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605493,CATH CONQUEST PTA BALLOON 7X4X75,279,C1725,$823.46 ,$823.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605514,GLIDEWIRE .035/150/STRAIGHT,279,C1769,$116.82 ,$116.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605515,CATH CONQUSET PTA BALLOON 7MMX4CM,279,C1725,$839.94 ,$839.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605518,MICRO PUNCTURE 5FR,279,C1894,$141.65 ,$141.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605520,MICRO PUNCTURE 4FR,279,C1894,$141.65 ,$141.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605399,CARTRIDGE TA 90/3.5,280,,$573.93 ,$573.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 605582,ANTIBODY SCREEN TUBE,300,86850,$176.30 ,$176.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900001,BRETHALYZER - ALCOHOL LEVEL,300,82075,$63.93 ,$63.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900002,ABO TYPE ONLY,300,86900,$75.98 ,$75.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900003,ACT PROTEIN C (APC),300,85307,$342.39 ,$342.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900004,AMITRIPYLINE,300,80152,$164.92 ,$164.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900007,C-ANCA,300,86255,$260.62 ,$260.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900009,COLLECTION PATERNITY,300,36415,$63.76 ,$63.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900010,COOMBS X-MATCH,300,86922,$215.88 ,$215.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900011,CPR CARDIO,300,86141,$171.31 ,$171.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900012,DIRECT PLATELET AB IGM,300,86255,"$1,353.41 ","$1,353.41 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900013,EA,300,86663,$91.05 ,$91.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900014,EBNA,300,86664,$91.05 ,$91.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900015,EPO (ERYTHROPOIENTIN),300,82668,$358.66 ,$358.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900018,GASTRIC ANALYSIS/HISTIMINE,300,82926,$249.57 ,$249.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900019,GLUCOSE 4TH HR,300,82952,$91.05 ,$91.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900020,GLUCOSE 5TH HR,300,82952,$91.05 ,$91.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900023,HGB A1C,300,83036,$133.96 ,$133.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900024,HOMOCYSTEINE,300,83090,$328.55 ,$328.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900025,IS BUN,300,84520,$43.38 ,$43.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900026,IS CHLORIDE,300,82435,$43.38 ,$43.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900027,IS GLUCOSE,300,82947,$43.38 ,$43.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900028,IS HEMOGLOBIN,300,85018,$43.38 ,$43.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900029,IS POTASSIUM,300,84132,$43.38 ,$43.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900030,IS SODIUM,300,84295,$43.38 ,$43.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900035,LACTOSE TOLERANCE,300,82951,$477.56 ,$477.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900036,METHYLMALONIC ACID,300,83921,$328.55 ,$328.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900039,P-ANCA,300,86255,$260.62 ,$260.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900040,PROT OX 19,300,86000,$48.70 ,$48.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900044,TYPHOID H,300,86000,$48.70 ,$48.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900045,TYPHOID O,300,86000,$48.70 ,$48.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900046,VAGINAL SWAB PH (NITRAZINE),300,83986,$21.46 ,$21.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900047,VCA IGG,300,86665,$91.05 ,$91.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900048,VENIPUNCTURE,300,36415,$16.43 ,$16.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900049,VENIPUNCTURE,300,36415,$159.08 ,$159.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900051,VENIPUNCTURE> AGE 3 DIAG THER,300,G0001,$99.73 ,$99.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900350,REF CANNABINOIDS,300,82491,$545.16 ,$545.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900353,RENIN,300,84244,$164.30 ,$164.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900360,SCHILLING PHASE II,300,83528,$553.63 ,$553.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900915,ISTAT BNP,300,,$242.33 ,$242.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900916,LEVETIRACETAM (KEPPRA),300,80299,$180.27 ,$180.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900917,IONIZED CALCIUM ISTAT,300,,$150.37 ,$150.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900918,IS CO2,300,,$43.62 ,$43.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900919,ECSTASY URINE,300,,$66.41 ,$66.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900920,ISTAT BMP,300,,$486.96 ,$486.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900921,LEUK LYMPHOMA ADD MARKER,300,88185,$55.27 ,$55.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900922,LEUK LYMPHOMA,300,88189,$55.27 ,$55.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900923,CHROMOSOME ANALYSIS,300,88262,$298.85 ,$298.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900924,CHROMOSOME ANAL TISS CUL 1,300,88237,$302.29 ,$302.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900925,CHROMOSOME ANAL TISS CUL 2,300,88237,$302.29 ,$302.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900926,PEP URINIE RANDOM W/SCAN,300,,$153.70 ,$153.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900927,RUSSELL VIPER VENOM,300,,$110.69 ,$110.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900928,PTT(LAC),300,,$110.69 ,$110.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900930,URINE TOTAL PROTIEN R PEPE,300,,$35.77 ,$35.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900931,PEP CREAT UR,300,,$35.77 ,$35.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900958,TYPE RH,300,,$54.98 ,$54.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900959,COVID-19,300,,$81.89 ,$81.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900960,HIV 1/2 SCREEN,300,86703,$100.61 ,$100.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900973,COVID 19 -S ARS ANTIGEN (SOFIA),300,87426,$76.79 ,$76.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900974,VIRAL DNA 12-25 TARGETS,300,87633,$236.87 ,$236.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900975,BORDETELLA PERTUSSIS DNA,300,87798,$25.96 ,$25.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900976,CHLAMYDIA PNEUMO DNA (VIRAL PANEL,300,87798,$19.47 ,$19.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900977,MYCOPLASMA PNEUMO DNA,300,87581,$25.96 ,$25.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900052,POST ACCIDENT SCREEN (DRUG),301,80100,$89.49 ,$89.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900053,PRE EMPLOYEMENT SCREEN (DRUG),301,80100,$89.49 ,$89.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900054,*B-TYPE NATRIURETIC PEPTIDE REF,301,83880,$290.39 ,$290.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900055,*CSF LACT,301,83605,$154.78 ,$154.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900056,17-HYDROXYCORTICOSTEROID,301,83491,$164.30 ,$164.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900057,17-HYDROXYPORGESTERON,301,83498,$185.84 ,$185.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900058,17-KETOGENICSTEROID,301,83582,$146.20 ,$146.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900059,5-HIAA,301,83497,$139.81 ,$139.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900060,A-1 ANTITRYPSIN (BLOOD ONLY),301,82104,$142.92 ,$142.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900061,A-1-ANTITRYPSIN-FECES,301,82103,$339.68 ,$339.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900062,A-1-ANTITRYPSIN PHENO,301,82104,$352.93 ,$352.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900063,A/G RATIO,301,84155,$182.19 ,$182.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900064,A1C ENZYME,301,82164,$284.48 ,$284.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900066,ACETAMINPHEN,301,82003,$167.09 ,$167.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900067,ACID PHOSPHATASE,301,84060,$127.58 ,$127.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900068,ACTH ADRENOCORTICOTROPHIC HORMONE,301,82024,$136.98 ,$136.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900069,ADDIS COUNT,301,81030,$127.58 ,$127.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900070,AFP MATERNAL,301,82106,$164.30 ,$164.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900071,ALBUMIN,301,82040,$36.52 ,$36.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900072,ALDOLASE,301,82085,$124.84 ,$124.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900073,ALDOSTERONE,301,84080,$228.09 ,$228.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900074,ALDOSTERONE (URINE),301,82088,$240.15 ,$240.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900075,ALKALINE PHOSPHATASE,301,84075,$47.29 ,$47.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900076,ALKALINE PHOSPHATASE ISOENZYME,301,82088,$182.19 ,$182.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900077,ALPHA FETOPROTEIN (FLUID),301,82106,$157.81 ,$157.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900078,ALPHA FETOPROTEIN (TUMOR MARKER),301,82105,$152.20 ,$152.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900079,ALPHA-1-ANTITRYPSIN CLEARANCE,301,82103,$343.65 ,$343.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900080,ALUMINUM (PLASMA),301,82108,$210.12 ,$210.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900081,AMIKACIN PEAK,301,80150,$157.81 ,$157.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900082,AMIKACIN TROUGH,301,80150,$233.77 ,$233.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900083,AMINO ACID FRACT,301,82139,"$1,128.21 ","$1,128.21 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900084,AMINO ACID FRACTIONATION (URINE),301,82139,"$1,149.74 ","$1,149.74 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900085,AMINO ACID SCREEN (PLASMA),301,82128,$146.20 ,$146.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900086,AMINO ACID SCREEN (URINE),301,82128,$154.78 ,$154.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900087,AMIODARONE,301,80299,$229.13 ,$229.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900088,AMMONIA,301,82140,$228.09 ,$228.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900089,AMNIOSTAT,301,83661,$389.46 ,$389.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900090,AMNIOTIC FLUID CREATININE,301,83661,$81.83 ,$81.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900091,AMNIOTIC FLUID LUMADEX,301,83661,$389.46 ,$389.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900092,AMOBARBITAL,301,82205,$154.78 ,$154.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900093,AMOXAPINE,301,80299,$170.11 ,$170.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900094,AMPHETAMINES URINE,301,80101,$56.25 ,$56.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900095,AMYLASE BODY FLUID,301,82150,$184.26 ,$184.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900096,AMYLASE ISOENZYME,301,82664,$197.90 ,$197.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900097,AMYLASE SERUM,301,82150,$161.38 ,$161.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900098,ANAFRANIL,301,80299,$245.95 ,$245.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900099,ANDROSTENEDIONE,301,82157,$200.88 ,$200.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900100,ANTIBODY SCREEN,301,86850,$112.52 ,$112.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900101,ANTIDURETIC HORMONE,301,87254,$240.15 ,$240.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900102,ARSENIC (URINE),301,82175,$179.33 ,$179.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900103,ARSENIC BLOOD,301,82175,$146.20 ,$146.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900104,ARTERIAL BLOOD GAS,301,82803,$263.90 ,$263.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900105,ARTERIAL BLOOD GAS CALCIUM,301,82310,$35.25 ,$35.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900106,ARTERIAL BLOOD GAS CHLORIDE,301,82435,$35.25 ,$35.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900108,ARTERIAL BLOOD GAS POTASSIUM,301,84132,$35.25 ,$35.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900109,ARTERIAL BLOOD GAS SODIUM,301,84295,$35.25 ,$35.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900110,ARTH CH 5,301,00800,$130.31 ,$130.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900112,B PERTUSS IGA,301,86615,$150.04 ,$150.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900113,B PERTUSS IGG,301,86615,$150.04 ,$150.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900114,B PERTUSS IGM,301,86615,$150.04 ,$150.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900115,B-TYPE NATRIURETIC PEPTIDE,301,83880,$235.60 ,$235.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900116,BARBITURATE URINE,301,80101,$56.25 ,$56.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900117,BASIC METABOLIC PANEL,301,80048,$270.20 ,$270.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900118,BCP OR CHEMZYME,301,,$109.68 ,$109.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900119,BENZODIAZPINE URINE,301,80101,$56.25 ,$56.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900120,BETA HCG (CHORIONIC GONADOTROPIN),301,83003,$149.21 ,$149.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900121,BILE ACID,301,82240,$456.02 ,$456.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900122,BILIRUBIN DIRECT,301,82248,$42.47 ,$42.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900123,BILIRUBIN NEONATAL,301,82247,$42.47 ,$42.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900124,BILIRUBIN TOTAL,301,82247,$42.47 ,$42.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900125,BODY FLUID ALBUMIN,301,82040,$36.52 ,$36.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900126,BODY FLUID AMYLASE,301,82150,$161.38 ,$161.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900127,BODY FLUID CREATININE,301,82565,$32.69 ,$32.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900128,BODY FLUID GLUCOSE,301,82945,$26.68 ,$26.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900129,BODY FLUID LDH,301,83615,$64.02 ,$64.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900130,BODY FLUID URIC ACID,301,84550,$106.12 ,$106.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900131,BODY FLUID TOTAL PORTEIN,301,84157,$29.22 ,$29.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900132,BROMIDE,301,84311,$127.58 ,$127.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900133,BUN SERUM,301,84520,$26.68 ,$26.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900134,BUTALBITAL,301,80299,$157.81 ,$157.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900135,C-PEPTIDE,301,84681,$184.26 ,$184.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900136,C1 ESTERASE INHIBITOR,301,86161,$271.21 ,$271.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900137,CA 15-3,301,86300,$131.60 ,$131.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900138,CA 27.29 BIOMIRA,301,86300,$144.83 ,$144.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900139,CA URINE 24HR,301,82340,$84.66 ,$84.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900140,CAFFEINE,301,82491,$139.81 ,$139.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900141,CALCITONIN,301,82308,$194.42 ,$194.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900142,CALCIUM (URINE),301,82340,$88.31 ,$88.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900143,CALCIUM IONIZED,301,82330,$146.20 ,$146.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900144,CALCIUM URINE 24HR,301,82340,$110.67 ,$110.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900145,CALCIUM URINE,301,82340,$115.42 ,$115.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900146,CALCIUM SERUM,301,82310,$42.47 ,$42.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900147,CALCIUM-REF,301,82310,$42.18 ,$42.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900148,CANCER ANTIGEN 125,301,86304,$170.11 ,$170.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900149,CANNABINOIDS URINE,301,80101,$56.25 ,$56.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900150,CARBAMAZEPINE,301,80156,$133.96 ,$133.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900151,CARBOHYRATE ANTIGEN 19-9,301,86301,$170.11 ,$170.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900152,CARBOXYHEMOGLOBIN,301,82375,$136.98 ,$136.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900153,CARCINOEMBROYIC ANTIGEN (CEA),301,82378,$136.98 ,$136.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900154,CAROTENE,301,82380,$136.98 ,$136.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900155,CATECHOLAMINES FRACT (URINE),301,82384,$210.12 ,$210.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900156,CATECHOLAMINES PLASMA,301,82384,$210.12 ,$210.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900157,CERULOPLASMA,301,82390,$127.58 ,$127.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900158,CH50 (TOTAL COMPLEMENT),301,86162,$167.09 ,$167.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900159,CHLORIDE BLOOD,301,82435,$42.47 ,$42.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900160,CHLORIDE FECES,301,82438,$194.88 ,$194.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900161,CHOLESTEROL,301,82465,$100.43 ,$100.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900162,CHOLINESTERASE-RBC,301,82482,$142.18 ,$142.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900163,CHYMEX PARA-AMINOBENZOIC ACID,301,84311,$264.65 ,$264.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900164,CITIRC ACID - URINE,301,82507,$552.99 ,$552.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900165,CKMB,301,82553,$161.38 ,$161.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900166,CLONAZEPAM,301,80154,$164.30 ,$164.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900167,CO2 VENOUS,301,82374,$42.47 ,$42.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900168,COCAINE URINE,301,80101,$56.25 ,$56.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900169,COMPLEMENT COMPONENT CIQ,301,86331,$258.16 ,$258.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900170,COMPREHENSIVE METABOLIC PRF W/CO2,301,80053,$520.59 ,$520.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900171,COPPER,301,82525,$130.50 ,$130.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900172,COPPER RANDOM URINE,301,82530,$266.08 ,$266.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900173,CORD BLOOD GAS/ARTERIAL,301,82803,$263.90 ,$263.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900174,CORD BLOOD GAS/VENOUS,301,82803,$263.90 ,$263.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900175,CORTISOL (RANDOM) TOTAL,301,82533,$85.21 ,$85.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900176,CORTISOL AM,301,82533,$139.81 ,$139.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900177,CORTISOL FREE URINE,301,82530,$308.10 ,$308.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900178,CORTISOL PM,301,82533,$139.81 ,$139.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900179,CORTISOL RANDOM,301,82530,$139.81 ,$139.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900180,CPL-ISO IF ELEVATED,301,82550,$124.84 ,$124.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900181,CREATININE CLEARANCE INCLS SERUM,301,82575,$292.01 ,$292.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900182,CREATININE BLOOD,301,82565,$33.07 ,$33.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900183,CRYOGLOBULIN,301,86890,$167.09 ,$167.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900184,CSF CHLORIDE,301,82436,$106.12 ,$106.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900185,CSF GLUCOSE,301,82945,$26.68 ,$26.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900186,CSF LACTIC ACID,301,83605,$146.20 ,$146.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900187,CSF LDH,301,83625,$64.02 ,$64.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900188,CSF PROTEIN,301,84155,$40.10 ,$40.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900189,CSF PROTEIN ELECTROPHORESIS,301,84155,$115.42 ,$115.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900190,CYANIDE,301,82600,$157.81 ,$157.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900191,CYCLIC AMP (BLOOD),301,82030,$228.09 ,$228.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900192,CYCLIC AMP (URINE),301,82030,$228.09 ,$228.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900193,CYCLOSPORINE,301,80158,$182.19 ,$182.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900194,CYSTINE (URINE),301,82615,$139.81 ,$139.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900195,D XYLOSE,301,84620,$196.87 ,$196.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900196,DECAL,301,88311,$75.98 ,$75.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900197,DESIPRAMINE,301,80160,$164.30 ,$164.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900198,DHEA-S,301,82627,$152.20 ,$152.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900199,DIGITOXIN,301,80299,$131.12 ,$131.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900200,DIGOXIN,301,80162,$121.93 ,$121.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900201,DILANTIN,301,80185,$115.42 ,$115.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900202,DIPHENHYDRAMINE,301,80299,$146.20 ,$146.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900203,DOXEPIN,301,80166,$164.30 ,$164.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900205,DRUG SCREEN SERUM,301,80100,$218.59 ,$218.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900206,DRUG SCREEN URINE MDS,301,80100,$89.49 ,$89.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900207,DYPHYLLINE,301,80299,$152.20 ,$152.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900208,ED TROPONIN,301,84484,$286.74 ,$286.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900209,ELAVIL,301,80152,$157.81 ,$157.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900210,ELECTROLYTE PANEL,301,80051,$141.25 ,$141.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900212,ERYTHROCYTE PROTOPORPHYRIN,301,84202,$134.98 ,$134.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900214,ESTRIOL,301,82677,$249.57 ,$249.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900215,ESTROGEN,301,82671,$298.42 ,$298.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900216,ESTRONE,301,82679,$157.81 ,$157.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900217,ETHOSUXIMIDE,301,80168,$146.20 ,$146.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900218,ETHYL ALCOHOL,301,82055,$139.81 ,$139.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900219,ETHYLENE GLYCOL,301,82693,$118.45 ,$118.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900221,FEP (PROTOPORPHYRIN FREE),301,84202,$149.21 ,$149.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900222,FERRITIN,301,82728,$121.93 ,$121.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900223,FLECAINIDE,301,80299,$126.48 ,$126.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900224,FLUOXETINE,301,82491,$252.40 ,$252.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900225,FLURAZEPAM,301,82742,$213.22 ,$213.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900226,FOLATE RBC,301,82747,$173.69 ,$173.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900227,FOLATE SERUM,301,82746,$149.21 ,$149.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900228,FREE T4,301,84439,$91.05 ,$91.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900229,FSH,301,83001,$130.50 ,$130.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900230,G6PD,301,82955,$146.20 ,$146.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900231,GABAPENTIN (NEUROTONIN),301,80299,$289.63 ,$289.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900232,GAMMA GT,301,82977,$157.81 ,$157.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900233,GASTRIC ANALYSIS,301,82926,$163.27 ,$163.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900234,GASTRIC RH RANDOM,301,83986,$93.97 ,$93.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900235,GASTRIN,301,82941,$139.81 ,$139.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900236,GENTAMICIN PEAK,301,80170,$121.93 ,$121.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900237,GENTAMICIN RANDOM,301,80170,$121.93 ,$121.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900238,GENTAMICIN TROUGH,301,80170,$121.93 ,$121.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900239,GLOBULIN,301,84311,$97.53 ,$97.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900240,GLUCOSE FASTING,301,82947,$26.68 ,$26.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900241,GLUCOSE MONITOR,301,82962,$40.75 ,$40.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900242,GLUCOSE OB,301,82950,$39.55 ,$39.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900243,GLUCOSE POST PRANDIAL,301,82947,$26.68 ,$26.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900244,GLUCOSE RANDOM,301,82947,$26.68 ,$26.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900245,HALOPERIDOL,301,80173,$179.33 ,$179.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900246,HAPTOGLOBIN,301,83010,$184.19 ,$184.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900247,HCG BETA ER,301,84702,$115.42 ,$115.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900248,HC QUANTITATIVE,301,84702,$203.72 ,$203.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900249,HCV RNA QUANT,301,87521,$237.33 ,$237.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900250,HDL CHOLESTEROL,301,83718,$130.50 ,$130.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900251,HEM A1C,301,83036,$133.96 ,$133.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900252,HEMOCC-POC,301,82270,$58.17 ,$58.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900253,HEMOSIDERIN-URINE,301,83070,$115.78 ,$115.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900254,HEMOXIMETRY,301,82375,$126.42 ,$126.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900255,HEP DELTA VIRUS,301,84999,$146.20 ,$146.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900256,HGB ELECTRO,301,83021,$413.86 ,$413.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900257,HUMAN GROWTH HORMONE,301,83003,$146.20 ,$146.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900258,IBUPROFEN,301,80299,$260.62 ,$260.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900259,IGA SERUM,301,82784,$117.27 ,$117.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900260,IGE SERUM,301,82785,$137.35 ,$137.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900261,IGG SERUM,301,82784,$117.27 ,$117.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900262,IGG SYNTHESIS 1,301,82040,$51.69 ,$51.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900263,IGG SYNTHESIS 2,301,82042,$51.69 ,$51.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900264,IGG SYNTHESIS 3,301,82784,$51.69 ,$51.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900265,IGG SYNEHESIS 4,301,82784,$51.69 ,$51.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900266,IGM SERUM,301,82784,$117.27 ,$117.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900267,IMIPRAMINE,301,80174,$176.35 ,$176.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900268,IMM COMPLEX CIQ BIND,301,86332,$334.31 ,$334.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900271,INORGANIC PHOSPHORUS URINE,301,84105,$115.42 ,$115.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900272,INSULIN,301,83525,$127.58 ,$127.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900273,INSULIN LKE GROWTH FAC II,301,83519,$244.83 ,$244.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900274,IRON,301,83540,$88.22 ,$88.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900275,ISOPROPYL ALCOHOL,301,84600,$139.81 ,$139.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900276,ISTAT 2,301,82803,$170.11 ,$170.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900278,ISTAT CREATININE,301,82565,$33.07 ,$33.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900279,KETONE SCREEN`,301,82009,$85.21 ,$85.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900280,L/S RATIO,301,83661,$385.82 ,$385.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900281,LACTIC ACID,301,83605,$146.20 ,$146.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900282,LACTIC ACID (REF LAB),301,83605,$146.20 ,$146.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900283,LAMOTRIGINE,301,80299,$242.28 ,$242.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900284,LD ISOENZYMES,301,83625,$173.86 ,$173.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900285,LDH,301,83615,$64.02 ,$64.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900287,LEAD (URINE),301,83655,$136.98 ,$136.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900288,LEAD BLOOD,301,83655,$121.93 ,$121.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900289,LH,301,83002,$154.78 ,$154.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900290,LIDOCAINE,301,80176,$109.68 ,$109.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900291,LIDOCAINE (REF LAB),301,80176,$152.20 ,$152.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900292,LIPASE,301,83690,$108.59 ,$108.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900293,LIPASE SERUM,301,83690,$118.34 ,$118.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900294,LIPID PROFILE,301,80061,$228.09 ,$228.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900295,LIPIDS TOTAL (STOOL FOR FAT 24 HR),301,82710,$182.19 ,$182.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900296,LIPIDS TOTAL FECES,301,82710,$157.99 ,$157.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900297,LIPOPROTEIN,301,84478,$154.78 ,$154.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900298,LIPOPROTEIN A,301,87536,$284.08 ,$284.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900299,LITHIUM,301,80178,$154.78 ,$154.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900300,LIVER PROFILE,301,80076,$292.85 ,$292.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900302,MAGNESIUM,301,83735,$124.84 ,$124.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900303,MEGALOBLASTIC ANEMIA,301,,$149.21 ,$149.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900304,MERCURY (BLOOD),301,83825,$164.30 ,$164.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900305,MERCURY (URINE),301,83825,$173.69 ,$173.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900306,MURCURY-BLOOD,301,83825,$173.86 ,$173.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900307,METANEPHRINES URINE,301,83835,$294.96 ,$294.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900308,METHADONE URINE,301,80101,$56.25 ,$56.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900309,METHYL ALCOHOL,301,84600,$139.81 ,$139.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900310,MEXILETINE,301,80299,$360.71 ,$360.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900311,MICROALBUMIN (U),301,82043,$157.99 ,$157.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900312,MYOGLOB SERUM,301,83874,$352.93 ,$352.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900313,NORPACE,301,82491,$146.20 ,$146.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900314,NORTRIPTYLINE,301,80182,$164.30 ,$164.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900315,OPIATES URINE,301,80101,$56.25 ,$56.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900316,OSMOLALITY SERUM,301,83930,$85.21 ,$85.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900317,OSMOLALITY URINE,301,83935,$85.21 ,$85.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900318,OXALATE-URINE,301,83945,$142.18 ,$142.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900321,PARIETAL CELL AB,301,86255,$234.32 ,$234.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900322,PCB LEVEL,301,82491,$294.96 ,$294.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900323,PEP,301,84165,$57.99 ,$57.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900324,PHENCYCLIDINE URINE,301,80101,$56.25 ,$56.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900325,PHENOBARBITAL,301,80184,$109.68 ,$109.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900326,PHOSPHORUS SERUM,301,84100,$61.03 ,$61.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900327,PINWORM PREP,301,87172,$66.49 ,$66.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900328,PORPHOBILINOGEN (URINE),301,84110,$127.58 ,$127.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900329,PORPHYRIN URINE FACT,301,84120,$164.73 ,$164.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900330,PORPHYRINS TOTAL,301,84120,$179.33 ,$179.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900331,POTASSIUM (K),301,84132,$28.05 ,$28.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900332,POTASSIUM FECES,301,84132,$376.51 ,$376.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900333,PRE-ALBUMIN,301,84134,$86.75 ,$86.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900334,PRIMIDONE,301,80188,$66.75 ,$66.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900335,PROCAINAMIDE + NAPA,301,80190,$298.42 ,$298.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900336,PROGESTERONE,301,84144,$146.20 ,$146.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900337,PROLACTIN,301,84146,$164.30 ,$164.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900338,PROPHYRINS-FRACT-PLASMA,301,82491,$426.52 ,$426.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900339,PROSTATIC SPECIFIC ANTIGEN (PSA),301,84153,$278.24 ,$278.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900341,PSEUDOCHOLINESTREASE,301,82480,$127.58 ,$127.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900342,PTH-C-TERM,301,83970,$245.95 ,$245.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900343,PTH INTACT SERUM,301,83970,$183.55 ,$183.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900344,PTH-N,301,83970,$228.09 ,$228.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900345,PTN FREE/UNBOUND,301,80185,$173.69 ,$173.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900346,PYRUVATE KINASE,301,84999,$226.56 ,$226.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900347,QUINIDINE,301,80194,$121.93 ,$121.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900348,REF AMPHET,301,82145,$146.20 ,$146.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900349,REF BARBITURATE,301,82205,$146.20 ,$146.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900351,REF COCAINE,301,82520,$558.30 ,$558.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900352,REF PREALB,301,84134,$128.14 ,$128.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900354,RH,301,86901,$75.98 ,$75.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900355,RMSF IGM (ROCKY MNT SPOT FEVER),301,86757,$167.09 ,$167.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900356,RUBEOLA,301,86765,$91.05 ,$91.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900357,S PARATY A,301,86000,$48.70 ,$48.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900358,SALICYLATE,301,80196,$157.81 ,$157.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900359,SCHILLING PHASE I,301,83528,$553.63 ,$553.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900361,SECOBARBITOL,301,82205,$157.81 ,$157.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900362,SELENIUM,301,84255,$250.32 ,$250.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900363,SEROTONIN,301,84260,$286.09 ,$286.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900364,SERUM ALCOHOL,301,82055,$161.38 ,$161.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900365,SGOT,301,84450,$47.29 ,$47.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900366,SGPT,301,84460,$47.29 ,$47.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900367,SODIUM (NA) BLOOD,301,84295,$28.05 ,$28.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900368,SODIUM FECES,301,84295,$376.51 ,$376.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900369,SOMATOMEDIN C,301,84305,$266.08 ,$266.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900370,SWEAT TEST,301,89230,$161.38 ,$161.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900371,T3,301,84479,$109.68 ,$109.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900372,T3 RIA,301,84481,$161.38 ,$161.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900373,TAMOXIFEN PROFILE,301,80050,$70.43 ,$70.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900374,TESTOSTERONE,301,84403,$179.33 ,$179.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900375,TESTOSTERONE FREE,301,84402,$136.98 ,$136.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900376,THEOPHYLLINE,301,80198,$179.33 ,$179.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900377,THIAMINE,301,84425,$154.78 ,$154.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900378,THIOCYANATE,301,84430,$164.30 ,$164.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900379,THRYROXINE BINDING,301,84442,$170.11 ,$170.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900380,THYROGLOBULIN,301,86800,$142.92 ,$142.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900381,THYROID MICROSOMAL AB,301,86376,$142.92 ,$142.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900382,THYROID STIMULATING HORMONE,301,84443,$124.84 ,$124.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900383,TIBC (TOTAL IRON BINDING CAP),301,83550,$91.05 ,$91.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900384,TOBRAMYCIN PEAK,301,80200,$121.93 ,$121.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900385,TOBRAMYCIN RANDOM,301,80200,$121.93 ,$121.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900386,TOBRAMYCIN TROUGH,301,80200,$121.93 ,$121.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900387,TOT PROTEIN,301,84155,$57.99 ,$57.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900388,TOTAL PROTEIN SERUM,301,84155,$29.22 ,$29.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900389,TRANSFERRIN,301,84466,$136.98 ,$136.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900390,TRAZODONE,301,80299,$373.94 ,$373.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900391,TRIGLYCERIDES,301,84478,$161.38 ,$161.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900392,TROPONIN I,301,84484,$286.74 ,$286.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900393,TRYPTASE,301,83520,$263.44 ,$263.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900394,URIC ACID SERUM,301,84550,$106.12 ,$106.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900395,URIC ACID-URINE,301,84560,$110.67 ,$110.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900396,URINE AMINOLEVULINIC ACID,301,82135,$161.38 ,$161.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900397,URINE AMYLASE RANDOM,301,82150,$161.38 ,$161.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900398,URINE AMYLASE 2 HR,301,82150,$161.38 ,$161.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900399,URINE CHLORIDE 24 HR,301,82436,$106.12 ,$106.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900400,URINE CHLORIDE RANDOM,301,82436,$106.12 ,$106.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900401,URINE CREATININE,301,82570,$81.83 ,$81.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900402,URINE CREATININE 24 HOUR,301,82570,$81.83 ,$81.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900403,URINE ORGANIC ACIDS,301,83918,$407.38 ,$407.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900404,URINE POTASSIUM 24 HR,301,84133,$70.43 ,$70.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900405,URINE POTASSIUM RANDOM,301,84133,$70.43 ,$70.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900406,URINE SODIUM RANDOM,301,84300,$70.43 ,$70.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900407,URINE UREA 24 HOURS,301,84520,$26.68 ,$26.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900408,UROPORPHYRINOGEN 1 SYNTHASE,301,84120,$502.14 ,$502.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900409,VALIUM,301,80154,$152.20 ,$152.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900410,VALPORIC ACID,301,80164,$139.81 ,$139.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900411,VANCOMYCIN (PEAK),301,80202,$307.00 ,$307.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900412,VANCOMYCIN (TROUGH),301,80202,$307.00 ,$307.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900413,VANCOMYCIN RANDOM,301,80202,$307.00 ,$307.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900414,VAP CHOLESTEROL TEST,301,83701,$169.22 ,$169.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900415,VERAPAMIL,301,80299,$218.59 ,$218.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900416,VIP (VASOACTIVE INTESTINAL),301,84586,$240.15 ,$240.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900417,VISCOSITY,301,85810,$142.92 ,$142.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900418,VIT D 1 25 DIH,301,82652,$267.55 ,$267.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900419,VIT D 25 HOH,301,82306,$261.70 ,$261.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900420,VITAMIN A,301,84590,$164.30 ,$164.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900421,VITAMIN B12,301,82607,$118.34 ,$118.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900422,VITAMIN C,301,82180,$136.98 ,$136.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900423,VITAMIN E,301,84446,$146.20 ,$146.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900424,VMA (VANILLYMADELIC ACID),301,84585,$146.20 ,$146.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900425,VOLATILE (BLOOD),301,84600,$146.20 ,$146.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900426,VOLATILE (URINE),301,84600,$152.20 ,$152.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900427,WEST NILE VIRUS AB CSF,301,86790,$362.33 ,$362.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900428,WEST NILE VIRUS AB SERUM,301,86790,$342.44 ,$342.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900429,XYLOSE BLOOD,301,84620,$104.20 ,$104.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900430,XYLOSE URINE,301,84620,$267.55 ,$267.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900431,ZINC,301,84630,$130.50 ,$130.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900432,ZINC PROTOPORPHYRIN,301,84202,$176.35 ,$176.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900433,DRUG SCREEN HAIR SAMPLE,301,80103,$18.27 ,$18.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900434,DRUG SCREEN SPLIT SAMPLE OH,301,80100,$82.19 ,$82.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900435,ONSITE SPLIT SPECIMEN,301,80100,$82.19 ,$82.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900436,PT REQ DRUG SCREEN QUICK TEST,301,81002,$52.98 ,$52.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900437,PT REQ DRUG SCREEN SPLIT 5 PANEL,301,80100,$63.93 ,$63.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900438,RAPID DRUG SCREEN 5 PANL,301,80100,$63.93 ,$63.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900439,RAPID DRUG SCREEN DISTAL 5 PANEL,301,80100,$73.06 ,$73.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900440,RAPID TEST 10,301,81002,$91.31 ,$91.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900441,SP ALCOHOL ANY SPEC EXCEPT BREATH,301,82055,$73.06 ,$73.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900442,SP ALCOHOL BREATH,301,82075,$73.06 ,$73.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900443,SP CHOLESTEROL SCREEN,301,82465,$100.43 ,$100.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900444,SP DRUG SCREEN COLLECTION ONLY,301,99001,$27.40 ,$27.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900445,SP GLUCOSE,301,82962,$40.75 ,$40.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900446,SP HCG (URINE),301,81025,$115.42 ,$115.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900447,SP HEMOCCULT STOOL,301,82270,$43.38 ,$43.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900448,SP HEMOGLOBIN,301,85018,$39.85 ,$39.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900449,SP TRIGLYCERIDES SCREEN,301,84478,$161.38 ,$161.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900450,URINE DIPSTICK,301,81002,$73.06 ,$73.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900451,ARTERIAL BLOOD GAS,301,82803,$35.25 ,$35.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900452,ARTERIAL BLOOD GAS CALCIUM,301,82310,$35.25 ,$35.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900453,ARTERIAL BLOOD GAS CHLORIDE,301,82435,$35.25 ,$35.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900455,ARTERIAL BLOOD GAS POTASSIUM,301,84132,$35.25 ,$35.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900456,ARTERIAL BLOOD GAS SODIUM,301,84295,$35.25 ,$35.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900910,GLIADIN AB IGA,301,83516,$99.63 ,$99.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900911,GLIADIN AB IGG,301,83516,$99.63 ,$99.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900913,TACROLIMUS (FK506),301,80197,$279.86 ,$279.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900914,HEPARIN INDUCED PLATELET ANTIB,301,,$243.53 ,$243.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900932,CYTOGENTICS MOLECULAR,301,88291,$42.34 ,$42.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900934,VITAMIN B12 LVL,301,,$128.00 ,$128.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900935,FOLATE SRM,301,,$128.00 ,$128.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900937,BNP NT PRO,301,,$250.00 ,$250.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900939,CYCLIC CITRULLINATED PEPTIDE IGG,301,86200,"$1,003.94 ","$1,003.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900941,T3 TOTAL,301,84480,$329.62 ,$329.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900942,TACROLIMUS,301,80197,$271.87 ,$271.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900943,HEMOCCULT GI,301,82270,$62.82 ,$62.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900944,URINE DRUG SCREEN,301,G0431,$505.98 ,$505.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900945,CD4/CD8 PANEL 4,301,86360,$555.74 ,$555.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900946,CRP(C-REACTIVE PROTEIN),301,,$136.58 ,$136.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900950,RENAL FUNCTION PANEL,301,80069,$235.02 ,$235.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900951,PTH INTACT,301,83970,$216.00 ,$216.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900961,PSA SCREEN,301,G0103,$200.04 ,$200.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900962,VITAMIN D 25 HYDROXY,301,82306,$149.74 ,$149.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900963,CEA,301,82378,$259.71 ,$259.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900457,***CRP,302,86140,$90.59 ,$90.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900458,**ALT CRP H SENS,302,86140,$164.73 ,$164.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900459,*PRO C,302,85302,$438.24 ,$438.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900460,*PRO S,302,85305,$438.24 ,$438.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900461,AB CD4 COUNT,302,86361,$121.26 ,$121.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900462,ACETYCHOLINE RECEPTOR AB (ACHR),302,84238,$233.77 ,$233.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900463,ADENOVIRUS,302,86603,$194.42 ,$194.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900464,AMOEBA HEMAGGLUTINATION,302,86280,$157.81 ,$157.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900465,ANA,302,86038,$97.53 ,$97.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900466,ANTI DNA ANTIBODIES (DOUBLESTRAND),302,86225,$231.04 ,$231.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900467,ANTI SMOOTH MUSCLE ANTIBODIES,302,86256,$152.20 ,$152.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900468,ANTI-DNA ANTIBODIES (SINGLSTRAND),302,86226,$150.95 ,$150.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900470,ASPERGILLUS AB QL,302,86606,$139.81 ,$139.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900471,B ABORTUS,302,86622,$21.18 ,$21.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900472,BETA 2 MICROGLOBUIN,302,82232,$154.78 ,$154.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900473,BLASTOMYCES ANTIBODY QL,302,86612,$139.81 ,$139.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900474,BRUCELLA ABORTUS AB,302,86622,$121.93 ,$121.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900475,C3 COMPLEMENT,302,86160,$143.44 ,$143.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900476,C4 COMPLEMENT,302,86160,$131.60 ,$131.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900477,CALIFORNIA ENCEPH,302,86651,$221.08 ,$221.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900478,CARDIAC AUTO 2,302,80002,$115.42 ,$115.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900479,CARDIOLIPIN IGA,302,86147,$170.11 ,$170.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900480,CARDIOLIPIN IGG,302,86147,$170.11 ,$170.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900481,CARDIOLIPIN IGM,302,86147,$170.11 ,$170.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900482,CELL COUNT/FLUOR HYBIRD,302,88262,$882.20 ,$882.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900483,CHALMYDIA TRACHOMATIS IGG,302,86631,$154.78 ,$154.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900484,CHYLAMYDIA (DIRECT),302,87206,$136.98 ,$136.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900485,CHLAMYDIA IGG,302,86631,$160.73 ,$160.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900486,CHLAMYDIA IGM,302,86632,$160.73 ,$160.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900487,CMV CYTOMEGALOVIRUS IGG,302,86644,$146.20 ,$146.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900489,CMV IGG-CSF,302,87210,$323.89 ,$323.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900490,CMV IGG/TORCH,302,86644,$68.48 ,$68.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900491,CVM IGM,302,86644,$164.30 ,$164.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900492,COCCIDIODES AB,302,86635,$163.27 ,$163.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900493,COLD AGGULATININS,302,86157,$157.81 ,$157.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900494,COMPLEMENT COMPONENT C2,302,87391,$286.09 ,$286.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900495,COMPLEMENT COMPONENT C3,302,86160,$149.21 ,$149.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900496,COMPLEMENT COMPONENT C4,302,86160,$136.98 ,$136.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900497,CORD BLOOD RPR,302,86592,$85.21 ,$85.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900499,COXSACKIE A10 VIRUS ANITBODY,302,86658,$106.12 ,$106.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900500,COXSACKIE A16 VIRUS ANTIBODY,302,86658,$106.12 ,$106.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900501,COXSACKIE A2 VIRUS ANTIBODY,302,86658,$106.12 ,$106.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900502,COXSACKIE A7 VIRUS ANTIBODY,302,86658,$106.12 ,$106.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900504,COXSACKIE B1 ANTIBODY,302,86658,$42.37 ,$42.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900505,COXSACKIE B2 ANTIBODY,302,86658,$42.37 ,$42.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900506,COXSACKIE B3 ANTIBODY,302,86658,$42.37 ,$42.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900507,COXSACKIE B4 ANTIBODY,302,86658,$42.37 ,$42.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900508,COXSACKIE B5 ANTIBODY,302,86658,$42.37 ,$42.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900509,COXSACKIE B6 ANTIBODY,302,86658,$42.37 ,$42.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900510,CRP HI SENS,302,86141,$164.73 ,$164.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900511,CSF VDRL,302,86592,$88.22 ,$88.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900513,DIRECT PLATELET AB IGG ASSAY,302,83519,"$1,353.41 ","$1,353.41 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900514,DISC H PYL REF,302,86677,$186.01 ,$186.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900516,EASTERN ENCEPH,302,86652,$221.08 ,$221.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900518,ECHOVIRUS AB 11,302,86658,$54.52 ,$54.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900519,ECHOVIRUS AB 30,302,86658,$54.52 ,$54.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900520,ECHOVIRUS AB 4,302,86658,$54.52 ,$54.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900521,ECHOVIRUS AB 9,302,86658,$54.52 ,$54.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900522,ENDOMYSIAL IGA,302,86255,$337.23 ,$337.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900523,EPIDERMAL AB,302,86255,$310.76 ,$310.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900525,FACTOR V MUT DNA,302,83898,$674.16 ,$674.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900526,FLOW CYTO-LYMPHS,302,88184,$121.26 ,$121.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900527,FTA ABS,302,86781,$127.58 ,$127.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900528,GLOMERULAR BASEMENT,302,83520,$407.38 ,$407.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900530,H PYL AB IGG,302,86677,$252.88 ,$252.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900531,HAPTO DEL,302,83010,$146.57 ,$146.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900532,HCG TUMOR MARKER,302,84702,$155.24 ,$155.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900533,HCV RIBA,302,86803,$180.99 ,$180.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900534,HEP A AB TOTAL,302,86708,$136.98 ,$136.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900535,HEP A IGG AB,302,86296,$139.81 ,$139.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900536,HEP A IGM AB,302,86708,$139.81 ,$139.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900537,HEB B CORE IGM AB,302,86704,$130.50 ,$130.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900538,HEP B CORE TOTAL,302,86289,$105.29 ,$105.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900539,HEP B CORE TOTAL ANTIBODY,302,86704,$118.34 ,$118.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900540,HEP B SURFACE AB,302,86706,$118.34 ,$118.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900541,HEP B SURFACE AG,302,87340,$124.84 ,$124.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900542,HEP BE AB,302,86707,$57.35 ,$57.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900543,HEP BE AG,302,87350,$57.35 ,$57.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900544,HEP C IMMUNOBLOT,302,86804,$552.99 ,$552.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900545,HEP DELTA AB,302,86692,$165.94 ,$165.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900546,HEPATITIS C,302,86803,$228.09 ,$228.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900548,HETEROPHILE ANTIBODY,302,86310,$118.34 ,$118.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900549,HISTONE ANTIBODIES,302,83520,$289.03 ,$289.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900550,HIV,302,86687,$139.81 ,$139.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900551,HIV-1-P24,302,87390,$301.45 ,$301.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900552,HLA PHENOTYPING PANEL,302,86813,$355.69 ,$355.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900553,HLA B27,302,86812,$170.11 ,$170.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900554,HSV 1 IGM,302,86695,$129.03 ,$129.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900556,HSV 2 IGM,302,86696,$129.03 ,$129.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900558,HSV TYPE 1 CSF,302,86695,$152.77 ,$152.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900559,HSV TYPE 2 CSF,302,86790,$152.77 ,$152.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900560,IGA,302,82784,$121.93 ,$121.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900561,IGD,302,82784,$139.81 ,$139.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900562,IGE,302,82785,$142.92 ,$142.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900563,IGG CSF,302,82784,$133.96 ,$133.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900565,IGG,302,82784,$121.93 ,$121.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900566,IGM,302,82784,$121.93 ,$121.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900567,IMMUNOFIXATION SERUM,302,86320,$191.59 ,$191.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900568,IMMUNOFIXATION URINE,302,86334,$159.99 ,$159.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900569,INDIRECT PLATELET ANTIBODY (UAB),302,86023,"$1,544.98 ","$1,544.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900570,INFLUENZA TYPE A,302,86710,$157.81 ,$157.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900571,INFLUENZA TYPE B,302,86710,$157.81 ,$157.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900572,INSULIN AB,302,86337,$191.59 ,$191.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900573,JO-1 AB,302,86235,$321.16 ,$321.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900574,LATEX IGE,302,86003,$67.68 ,$67.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900575,LEPTOSPIRA ANTIBODIES,302,86256,$139.81 ,$139.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900576,LIVER/KID MICROSOMAL AB,302,86376,$310.76 ,$310.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900577,LYME DISEASE ANTIBODY,302,86618,$170.11 ,$170.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900579,LYMPHOCYTE CD4,302,88180,$307.00 ,$307.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900580,LYMPHOCYTE T4/T8 RATIO,302,86360,$307.00 ,$307.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900582,MARIJUANA,302,82542,$334.13 ,$334.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900583,MITOCHONDRIAL ANTIBODIES,302,86255,$139.81 ,$139.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900584,MONO,302,86308,$103.28 ,$103.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900586,MUMPS IGM,302,86735,$176.35 ,$176.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900587,MUMPS TITER IGG,302,86765,$206.54 ,$206.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900588,MURINE TYPHUS,302,86757,$89.49 ,$89.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900589,MYELIN BASIC PROTEIN CSF,302,83873,$170.11 ,$170.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900590,MYOCARDIAL ANTIBODIES,302,86255,$541.41 ,$541.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900591,MYOGLOBIN (URINE),302,83874,$161.38 ,$161.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900593,NEUTROPHIL CYTOPLASMIC ANTIBODY,302,86256,$398.07 ,$398.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900594,NUCLEOTIDASE 5,302,83915,$127.58 ,$127.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900595,OLIGOCLONAL,302,83916,$161.38 ,$161.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900596,OLIGOCLONAL BAND-CSF,302,83916,$165.94 ,$165.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900597,PANCREATIC IS CELL AB,302,86341,$350.39 ,$350.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900598,PARAINFLUENZA TYPE 1,302,86710,$100.43 ,$100.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900600,PARAINFLUENZA TYPE 2,302,86710,$100.43 ,$100.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900601,PARAINFLUENZA TYPE 3,302,86710,$100.43 ,$100.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900602,PARATHYPH A,302,86000,$21.18 ,$21.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900603,PARATYPH B,302,86000,$21.18 ,$21.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900604,PARVOVIRUS,302,86747,$245.95 ,$245.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900605,PHOSPHOLIPID,302,84311,$133.96 ,$133.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900606,PLATELET ANTIBODY,302,86022,$343.65 ,$343.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900608,POLIOVIRUS TYPE 1 ANTIBODY,302,86382,$81.83 ,$81.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900609,POLIOVIRUS TYPE 2 ANTIBODY,302,86382,$81.83 ,$81.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900610,POLIOVIRUS TYPE 3 ANTIBODY,302,86382,$81.83 ,$81.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900611,POLY-SCLER AB,302,86329,$263.44 ,$263.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900613,PROT OX-19,302,86000,$21.18 ,$21.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900614,PROTEIN C,302,85302,$438.24 ,$438.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900615,PROTEIN S,302,85305,$438.24 ,$438.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900616,Q FEVER ATB,302,86000,$167.09 ,$167.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900617,RAST PEN,302,86003,$115.42 ,$115.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900618,RESPIRATORY SYNCYTIAL VIRUS AB,302,86756,$104.73 ,$104.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900621,RHEUMATOID FACTOR SERUM,302,86430,$100.43 ,$100.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900623,RPR,302,86592,$85.21 ,$85.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900624,RUBELLA IGM AB,302,86762,$205.38 ,$205.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900625,RUBELLA,302,86762,$121.93 ,$121.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900626,SALM D FLAGELLAR,302,86768,$21.18 ,$21.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900627,SALM D SOMATIC,302,86768,$21.18 ,$21.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900628,SCLERODERMA ANTIBODY,302,86235,$289.03 ,$289.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900629,SEX HORMONE BIND GLOB,302,84270,$155.24 ,$155.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900630,SJOGREN ATB,302,86329,$149.21 ,$149.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900631,SM & RNP,302,86329,$303.99 ,$303.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900632,ST LOUIS ENCEPH,302,86653,$221.08 ,$221.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900633,STREPTOZYME,302,86060,$154.78 ,$154.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900635,SULFATIDE IGG,302,83520,$426.52 ,$426.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900636,SULFATIDE IGM,302,83520,$426.52 ,$426.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900637,TEICHOIC ACID ANTIBODIES,302,86331,$152.20 ,$152.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900638,TETANUS AB,302,86774,$249.57 ,$249.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900639,THYROID STIMULATING IMMUNOGLOBIN,302,84445,$742.21 ,$742.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900640,TOXOPLASMA,302,86777,$146.20 ,$146.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900641,TOXOPLASMA IGM AB,302,86778,$179.18 ,$179.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900642,TRANSPLANT AUTO 2,302,80002,$115.42 ,$115.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900643,TREPONEMA PALLIDUM,302,86781,$130.50 ,$130.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900644,TSH RECEPTOR AB,302,84235,$224.01 ,$224.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900645,TULAREMIA AGGLUTININS,302,86403,$121.93 ,$121.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900646,VARICELLA-ZOSTER,302,86787,$185.84 ,$185.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900647,VZV IGM,302,86787,$152.77 ,$152.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900648,WBC-COUNT,302,85048,$121.26 ,$121.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900649,WBC COUNT,302,85048,$111.23 ,$111.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900650,WESTERN BLOT - HIV,302,86689,$390.27 ,$390.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900651,WESTERN ENCEPH,302,86654,$221.08 ,$221.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900652,SP H PYLOR,302,86677,$252.88 ,$252.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900653,SP CHOLANGIOGRAPHY THRU EXIST/CAT,302,74305,$493.66 ,$493.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900940,HIV,302,86687,$136.90 ,$136.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900948,HEPATITIS PANEL / ACUTE,302,80074,$354.88 ,$354.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900952,HEPATITIS B SURFACE ANTIGEN,302,87340,$54.27 ,$54.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900953,HEPATITIS B CORE TOTAL,302,86704,$45.66 ,$45.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900954,HEPATITIS B SURFACE ANTIBODY,302,86706,$52.11 ,$52.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900955,HEPATITIS C AB,302,86803,$67.16 ,$67.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900964,HISTORICAL ANTIGEN,302,99090,$124.01 ,$124.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900965,LSOL PT PHENOTYPE NON RH,302,86905,$116.99 ,$116.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900966,LSOL PHYSICIAN REVIEW,302,86077,$201.22 ,$201.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900967,LSOL ABID,302,86870,$388.39 ,$388.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900968,LSOL DAT,302,86880,$159.10 ,$159.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900969,HEPATITIS B CORE ANTIBODY IGM,302,86705,$59.66 ,$59.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900654,ANGLE FIBRINGEN ACTIVITY,305,85384,$45.66 ,$45.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900655,ANTI THROMBIN III,305,85300,$355.58 ,$355.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900656,ANTI THROMBIN III,305,85300,$408.91 ,$408.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900657,APT-FETAL HGB,305,83033,$203.72 ,$203.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900658,APTT,305,85730,$115.42 ,$115.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900659,BLEEDING TIME - DUKE,305,85002,$70.43 ,$70.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900660,BLEEDING TIME - IVY,305,85002,$70.43 ,$70.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900661,BODY FLUID CRYSTALS,305,89060,$103.28 ,$103.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900662,BODY FLUID HEMATOCRIT,305,85013,$58.17 ,$58.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900665,CBC ONLY,305,85025,$140.00 ,$140.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900666,CBC W MANUAL DIFF,305,85027,$140.00 ,$140.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900667,CELL CNT & DIFF FL,305,89051,$146.20 ,$146.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900668,CELL COUNT FLUID,305,89050,$103.28 ,$103.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900672,CHROM ANALYSIS,305,88230,$882.20 ,$882.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900673,CLOT RETRACTION,305,85170,$103.28 ,$103.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900674,CLOTTING TIME LEE WHITE,305,85345,$70.43 ,$70.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900675,COAG FACTOR II,305,85210,$460.87 ,$460.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900676,COAG FACTOR IX,305,85250,$460.87 ,$460.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900677,COAG FACTOR V,305,85220,$460.87 ,$460.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900678,COAG FACTOR VIII RISTO,305,85245,$460.87 ,$460.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900679,COAG FACTOR VIII VONWIL,305,85247,$568.88 ,$568.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900680,COAG FACTOR XI,305,85270,$460.87 ,$460.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900681,COAG FACTOR XII,305,85280,$460.87 ,$460.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900682,COAG FACTOR XIII,305,85291,$310.76 ,$310.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900683,COAG MTX STUDIES,305,85300,$504.78 ,$504.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900685,CSF CELL COUNT & DIFFERENTIAL,305,89051,$146.20 ,$146.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900686,CVOR ACTIVATED CLOTTING TIME,305,85347,$43.38 ,$43.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900687,D-DIMER,305,85379,$136.98 ,$136.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900689,EPL FIBRINOLYSIS,305,85390,$45.66 ,$45.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900690,ESOINOPHIL COUNT,305,85048,$94.79 ,$94.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900691,FACTOR VII,305,85230,$410.20 ,$410.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900692,FACTOR VIII ASSAY,305,85240,$410.20 ,$410.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900693,FACTOR X ASSAY,305,85260,$410.20 ,$410.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900694,FETAL SCREEN,305,85460,$75.98 ,$75.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900695,FETALDEX,305,85460,$203.72 ,$203.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900696,FIBRIN DEGRA PROD,305,85362,$103.28 ,$103.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900697,FIBRINOGIN,305,85384,$103.28 ,$103.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900699,HCT,305,85014,$58.17 ,$58.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900700,HEMOFRAM,305,85025,$97.53 ,$97.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900701,HGB,305,85018,$58.17 ,$58.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900702,HGB A2 QUANT,305,82491,$173.86 ,$173.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900703,HGB PLASMA,305,83051,$142.18 ,$142.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900704,HLA A B C PHENOTYPE,305,86813,"$1,261.44 ","$1,261.44 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900705,HLA DERM PROFILE,305,86813,$634.82 ,$634.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900706,HLA-DR TYPING,305,86817,$871.79 ,$871.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900708,ISTAT ACT CLOTTING TIME,305,85347,$43.38 ,$43.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900709,ISTAT HCT,305,85014,$49.59 ,$49.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900710,LEUKOCYTE ALKALINE PHOSPHATASE,305,85540,$136.98 ,$136.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900711,LUPUS ANTI-COAG,305,85300,$346.37 ,$346.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900712,LUPUS TYPE ANTICOAGULANT,305,85300,$346.37 ,$346.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900713,LY30 FIBRINOLYSIS,305,85390,$45.66 ,$45.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900714,MA PLATELET AGGREGATION,305,85576,$109.60 ,$109.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900715,MALERIA SMEAR,305,87207,$203.72 ,$203.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900716,MANUAL DIFFERENTIAL,305,85007,$19.91 ,$19.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900717,NASAL SMEAR WBCS (EO COUNT),305,89190,$103.28 ,$103.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900718,NORMOBLAST,305,85044,$70.43 ,$70.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900719,PLASMA HEMOGLOBIN,305,83051,$139.81 ,$139.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900720,PLATELET COUNT,305,85049,$70.43 ,$70.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900721,PLATELET ESTIMATE,305,85585,$64.02 ,$64.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900722,PROTIME WITH INR,305,85610,$66.75 ,$66.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900723,R ACTIVATED CLOTTING TIME,305,85347,$45.66 ,$45.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900724,RETICULOCYTE,305,85044,$70.43 ,$70.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900725,SED RATE,305,85651,$103.28 ,$103.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900726,SICKLEDEX,305,85660,$73.23 ,$73.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900728,THROMBIN CLOTTING TIME,305,85670,$243.91 ,$243.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900729,URINE EOSINOPHILS,305,89190,$103.28 ,$103.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900730,WBC,305,85048,$58.17 ,$58.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900731,WHOLE BLOOD RECALCIFICATION,305,85348,$70.43 ,$70.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900933,PLATELETWORKS,305,,$90.34 ,$90.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900936,HCV GENOTYPE,305,87902,$487.91 ,$487.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900947,CBC W/ DIFF,305,85025,$160.23 ,$160.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900732,ANAEROBIC CULTURE,306,87075,$133.96 ,$133.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900733,ANT SCRN EA ANT,306,86403,$73.23 ,$73.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900734,ANTIBIOTIC ASSAY,306,87197,$334.13 ,$334.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900735,ATPEUN ADENOVIRUS,306,86603,$86.09 ,$86.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900736,ATPEUN CHLAMYDIA,306,86631,$86.09 ,$86.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900737,ATPEUN LEGIONELLA,306,86713,$86.09 ,$86.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900738,ATPEUN MYCOPLASM,306,86738,$86.09 ,$86.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900739,B PERTUSSIS CULTURE,306,87206,$124.84 ,$124.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900740,BACTERICIDAL LEVEL,306,87197,$152.20 ,$152.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900741,BODY FLUID PH,306,83986,$93.97 ,$93.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900742,C DIFFCILE TOXIN,306,87230,$173.69 ,$173.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900743,C DIFFICILE REFERENCE,306,87230,$173.69 ,$173.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900745,CHLAMYDIA DNA PROBE,306,87490,$100.00 ,$100.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900746,CMV RAPID CULTURE,306,87252,$347.56 ,$347.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900747,CRYPTOCOCCAL ANTIGEN,306,86403,$136.98 ,$136.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900748,CRYPTOCOCCUS ANTIGEN (CSF),306,86403,$136.98 ,$136.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900749,CRYPTOSPORIDIUM SMEAR,306,87206,$64.02 ,$64.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900750,CULTURE AFB,306,87140,$109.68 ,$109.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900751,CULTURE BLOOD 1ST,306,87040,$218.59 ,$218.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900752,CULTURE BLOOD 2ND,306,87040,$218.59 ,$218.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900753,CULTURE BLOOD 3RD,306,87040,$218.59 ,$218.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900754,CULTURE BLOOD AUTO,306,87040,$267.55 ,$267.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900755,CULTURE BODY FLUID,306,87070,$218.59 ,$218.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900756,CULTURE BONE MARROW,306,87070,$218.59 ,$218.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900757,CULTURE BRONCHIAL,306,87070,$179.33 ,$179.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900758,CULTURE CATH TIP,306,87070,$170.11 ,$170.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900759,CULTURE CHLAMYDIA,306,87110,$154.78 ,$154.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900760,CULTURE CSF,306,87070,$179.33 ,$179.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900761,CULTURE EAR,306,87070,$170.11 ,$170.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900762,CULTURE ENVIRONMENTAL,306,87070,$179.33 ,$179.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900763,CULTURE EXIT SITE,306,87070,$218.59 ,$218.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900764,CULTURE EYE,306,87070,$179.33 ,$179.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900765,CULTURE FUNGUS,306,87102,$154.78 ,$154.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900766,CULTURE GC SCREEN,306,87070,$136.98 ,$136.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900767,CULTURE GENITAL,306,87070,$179.33 ,$179.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900768,CULTURE HARVEST SITE,306,,$218.59 ,$218.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900769,CULTURE HERPES,306,87250,$133.96 ,$133.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900770,CULTURE MAX SINUS,306,87070,$179.33 ,$179.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900771,CULTURE MISCELLANEOUS,306,87070,$179.33 ,$179.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900772,CULTURE MRSA,306,87081,$179.33 ,$179.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900773,CULTURE NASO,306,87070,$179.33 ,$179.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900774,CULTURE PD FLUID,306,87070,$170.11 ,$170.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900775,CULTURE SPUTUM,306,87205,$64.02 ,$64.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900776,CULTURE STERNAL WOUND,306,87070,$218.59 ,$218.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900777,CULTURE STOOL,306,87045,$218.59 ,$218.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900778,CULTURE THROAT,306,87070,$179.33 ,$179.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900779,CULTURE TISSUE,306,87070,$218.59 ,$218.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900780,CULTURE URINE,306,87088,$130.50 ,$130.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900781,CULTURE VIRUS,306,87252,$240.15 ,$240.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900782,CULTURE WOUND,306,87070,$218.59 ,$218.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900783,DFA ANTIGEN DETECTION,306,87299,$99.82 ,$99.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900784,DISC H PYLORI,306,87077,$74.81 ,$74.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900785,DONOVAN BODIE,306,87207,$261.70 ,$261.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900786,GIARDIA BY EIA,306,87329,$133.96 ,$133.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900787,GRAM STAIN (ONLY),306,87205,$64.02 ,$64.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900788,HEMOPHILI DUCREYI,306,87070,$289.03 ,$289.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900789,HERPES SIMPLEX TYPES 1 & 2,306,86696,$48.70 ,$48.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900791,HISTOPLASMA MYCELIAL AB,306,86698,$86.94 ,$86.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900792,HPV HYBRID CAPTURE,306,87621,$322.52 ,$322.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900793,HSV RAPID,306,87254,$484.52 ,$484.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900794,INDIA INK,306,87210,$64.02 ,$64.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900796,INFLUENZA A VIRUS,306,87276,$99.82 ,$99.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900797,INFLUENZAE ANTIGEN A B,306,87400,$99.53 ,$99.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900798,KANAMYCIN,306,80299,$319.34 ,$319.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900799,KOH PREP,306,87220,$64.02 ,$64.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900800,LEGIONELLA AB EVALUATION,306,86713,$349.91 ,$349.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900801,LEGIONELLA AG-URINE,306,87449,$194.88 ,$194.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900802,LEGIONELLA CULTURE,306,87081,$197.62 ,$197.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900803,M PNEUMO CULTURE,306,87109,$176.35 ,$176.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900804,MYCO/UREA CULTURE,306,87109,$239.72 ,$239.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900805,MYCOPLASMA IGM,306,86738,$200.24 ,$200.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900806,MYCOPLASMA PNEUMONIAE IGG,306,86738,$139.81 ,$139.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900807,MYCOPLASMA YEAST AB,306,86698,$86.94 ,$86.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900808,N GONORRHOEAE DNA PROBE,306,87590,$100.00 ,$100.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900809,OCCULT BLOOD GASTRIC,306,82271,$91.05 ,$91.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900810,OCCULT BLOOD STOOL,306,82270,$58.17 ,$58.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900811,ORGANISM ID AEROBIC,306,87077,$133.96 ,$133.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900812,ORGANISM ID ANAEROBIC,306,87076,$289.03 ,$289.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900813,OVA & PARASITES,306,87177,$127.58 ,$127.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900814,RMSF IGG (ROCKY MNT SPOT FEVER),306,86757,$167.09 ,$167.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900815,ROTAVIRUS ANTIGEN,306,86317,$176.35 ,$176.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900816,RSV EIA,306,87250,$325.53 ,$325.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900817,SPUTUM CULTURE,306,87070,$154.61 ,$154.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900818,STAIN ONLY-AFB,306,87206,$64.02 ,$64.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900819,STOOL REDUCING SUBSTANCES,306,81005,$58.17 ,$58.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900820,STOOL WBC,306,89055,$81.83 ,$81.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900821,STREP B RECTAL,306,87081,$100.43 ,$100.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900822,STREP GROUP B,306,87081,$176.89 ,$176.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900823,STREP SCREEN A,306,87081,$85.21 ,$85.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900824,SUSCEPTBLTY ANEROBIC,306,87186,$185.84 ,$185.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900825,SUSCEPTIBILITY PANEL,306,87186,$185.84 ,$185.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900826,TISSUE CULTURE INOCULATION,306,87252,$99.82 ,$99.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900827,TRYPSIN (FECES),306,84490,$307.00 ,$307.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900828,TRYPSIN,306,84488,$374.47 ,$374.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900829,URINE COLONY COUNT,306,87086,$91.05 ,$91.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900830,URINE GLUCOSE 24 HR,306,82947,$58.17 ,$58.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900831,WET PREP,306,87177,$64.02 ,$64.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900832,SP STREP SCREEN,306,87880,$85.21 ,$85.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900909,OCCULT BLOOD FECAL,306,82274,$50.59 ,$50.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900912,OCCULT BLOOD FECAL,306,82274,$50.59 ,$50.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900938,GIARDIA BY EIA,306,87329,$137.72 ,$137.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900949,CULTURE BLOOD 2ND,306,87040,$165.95 ,$165.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900956,C DIFFICILE ANTIGEN,306,87449,$56.96 ,$56.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900957,C DIFFICILE TOXIN,306,87324,$56.96 ,$56.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900833,BODY FLUID SPECIFIC GRAVITY,307,84315,$58.17 ,$58.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900835,ROUTINE URINALYSIS,307,81002,$85.21 ,$85.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900836,SEMEN ANALYSIS FERTILITY STUDY,307,89320,$203.72 ,$203.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900837,SEMEN ANALYSIS POST OP,307,89320,$103.28 ,$103.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900838,STOOL PH,307,83986,$58.17 ,$58.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900840,URINE BLOOD,307,81002,$58.17 ,$58.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900841,URINE GLUCOSE QUALITATIVE,307,82947,$23.13 ,$23.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900842,URINE INDIVIDUAL NON SPECIFIC,307,81002,$58.17 ,$58.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900843,URINE KETONES,307,82009,$58.17 ,$58.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900844,URINE MICROSCOPIC ONLY,307,81015,$61.03 ,$61.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900845,URINE PH,307,83986,$58.17 ,$58.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900846,URINE REDUCING SUBSTANCES,307,,$58.17 ,$58.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900847,URINE SODIUM 24 HR,307,84300,$70.43 ,$70.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900848,URINE SPECIFIC GRAVITY,307,81003,$58.17 ,$58.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900849,URINE TOTAL PROTEIN RANDOM,307,84155,$45.10 ,$45.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900850,URINE TOTAL PROTEIN 24 HR,307,84156,$45.10 ,$45.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900858,CYTOPATH SCREENING,307,88160,$109.60 ,$109.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900929,URINALYSIS W MICRO,307,,$119.29 ,$119.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900853,PKU,309,84030,$58.82 ,$58.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900854,BONE MARROW EXAM ONLY,310,85097,$164.30 ,$164.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900855,BUCCAL SMEAR,310,88130,$231.04 ,$231.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900859,DIANON BLOCK,310,88323,$66.75 ,$66.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900860,DIANON CYCLIC INDEX,310,88342,$133.96 ,$133.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900861,DIANON DNA ASSAY,310,88182,$334.13 ,$334.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900862,DIANON ER,310,84233,$401.58 ,$401.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900863,DIANON PR,310,84234,$401.58 ,$401.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900865,EPITHELIAL GROWTH HORMONE FACTOR,310,88342,$167.09 ,$167.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900867,ESTROGEN RECEPTOR IMMUNO,310,88361,$200.88 ,$200.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900868,EXTRA GEN NOT SPUTUM,310,88104,$118.34 ,$118.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900869,EXTRAGENITAL CYTOLOGY,310,88108,$118.34 ,$118.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900870,FIN ND ASP BX RADCON,310,88173,$346.37 ,$346.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900871,FINAL INTERP REPORT,310,88173,$173.49 ,$173.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900872,FINE NEEDLE ADEQUACY,310,88172,$173.49 ,$173.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900874,FROZEN SC EA AFTER 2,310,88332,$218.59 ,$218.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900875,FROZEN SECTION,310,88331,$620.38 ,$620.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900876,GROSS ONLY,310,88300,$46.03 ,$46.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900877,HER-2/NEV IMMUNO,310,88361,$273.96 ,$273.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900878,HPV,310,87622,$273.96 ,$273.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900879,HPV HIGH RISK,310,87621,$179.18 ,$179.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900880,IMMUNO,310,88346,$723.57 ,$723.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900881,LARGE SPECIMEN,310,88307,$325.53 ,$325.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900882,MEDIUM SPECIMEN,310,88305,$243.08 ,$243.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900883,MULTIPLE SLIDE STAINS,310,88162,$155.24 ,$155.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900886,PROGESTERONE RECEPT,310,84234,"$1,076.43 ","$1,076.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900887,PROGESTERONE RECEPTOR IMMUNO,310,88361,$200.88 ,$200.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900888,RADICAL SPECIMEN,310,88309,$549.89 ,$549.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900889,S FELLOW PATHOLOGY,310,,$21.90 ,$21.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900890,SMALL SPECIMEN,310,88304,$213.22 ,$213.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900891,SMALL SPECIMEN LEVEL 1,310,88302,$182.19 ,$182.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900892,SMEAR REVIEW BY PHYSICIAN,310,85060,$76.71 ,$76.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900893,SPECIAL STAIN,310,88312,$91.05 ,$91.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900894,SPECIAL STAIN GROUP II,310,88313,$121.93 ,$121.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900895,STAIN IMMUNOCYTOCHEM,310,88342,$182.19 ,$182.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900896,STAIN SPECIAL,310,83950,$216.93 ,$216.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900897,STONE ANALYSIS,310,82370,$164.30 ,$164.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900899,TOUCH PREP,310,88161,$109.86 ,$109.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900901,VAG &/OR CER EST ACT,310,88155,$118.34 ,$118.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900908,THIN LAYER PREP,310,88112,$110.69 ,$110.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900970,FISH MANUAL STAIN EACH,310,88377,$608.33 ,$608.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900971,IMMUNOCYTOCHEM EA ADD,310,88341,$146.23 ,$146.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900978,FLOW CYTOMETRY 16+ MARKERS,310,88189,$174.14 ,$174.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900979,FLOW CYTOMETRY 1ST COMPONENT,310,88184,$571.08 ,$571.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900980,FLOW CYTOMETRY TECH COMPONENT 2 A,310,88185,$447.78 ,$447.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900902,CHROMOSOME - ANALYSIS,311,88262,"$2,157.95 ","$2,157.95 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900903,CHS ANA CELL CNT BM,311,88262,$812.07 ,$812.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900904,CHS ANA KAROTY ADBM,311,88280,$812.07 ,$812.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900905,CHS ANA TISS CUL BM,311,88237,$812.07 ,$812.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900906,THIN PREP CYTOLOGY,311,88142,$119.63 ,$119.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 900907,VAGINAL &/OR CERVIX,311,88164,$42.28 ,$42.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500001,ANGIO CAROTID CEREBRAL BILATERAL,320,75671,"$4,386.50 ","$4,386.50 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500002,ANGIO CAROTID CEREBRAL UNILATERAL,320,75665,"$4,386.50 ","$4,386.50 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500003,ANGIO CAROTID CERVICAL BILATERAL,320,75680,"$4,386.50 ","$4,386.50 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500004,ANGIO CAROTID CERVICAL UNILATERAL,320,75676,"$4,386.50 ","$4,386.50 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500005,ANGIO CERVIOCOCEREBRAL INC VES ORG,320,75650,"$3,220.12 ","$3,220.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500006,ANGIO EXTERNAL CAROTID BILATERAL,320,75662,"$2,493.05 ","$2,493.05 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500007,ANGIO EXTERNAL CAROTID UNILATERAL,320,75660,"$2,493.05 ","$2,493.05 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500008,ANGIO EXTREMITY BILATERAL W/ S&I,320,75716,"$3,165.90 ","$3,165.90 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500009,ANGIO EXTREMITY UNILATERAL W/ S&I,320,75710,"$3,165.90 ","$3,165.90 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500010,ANGIO RENAL BILAT W/FLUSH AORTOGR,320,75724,"$3,220.12 ","$3,220.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500011,ANGIO VERTEBRAL,320,75685,"$1,777.79 ","$1,777.79 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500012,ANGIO VISCERAL W OR W/O FLUSH AO,320,75726,"$3,172.03 ","$3,172.03 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500013,ANGIO RENAL UNILAT SELECT W/FLUS,320,75722,"$3,220.12 ","$3,220.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500014,ANGIOGRAPHY BRACHIAL RETRO UNILA,320,75658,"$3,220.12 ","$3,220.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500015,AORTOGRAPHY ABD W/BIL ILIOFEM RUN,320,75630,"$3,220.12 ","$3,220.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500016,ARTERIO SHUNT CCL,320,75790,"$1,105.47 ","$1,105.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500017,ARTHERECTOMY VISCERAL,320,75995,"$3,220.12 ","$3,220.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500018,ARTHERECTOMY VISCERAL EA ADD VES,320,75996,"$3,220.12 ","$3,220.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500019,BILATERAL RENAL ARTERIOGRAM,320,75724,"$7,273.36 ","$7,273.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500020,FLUOROSCOPY - HCL,320,76000,$318.66 ,$318.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500021,IC ANGIO PULM BILAT SELECTIVE,320,75743,"$4,025.15 ","$4,025.15 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500022,IC ANGIO PULM UNILAT SELECTIVE,320,75741,"$2,286.94 ","$2,286.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500023,ILIAC ART/ANGIO W/CARDIAC CATH,320,G0278,$202.96 ,$202.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500024,PTA BALLOON S&I REN/VISC ART ADDT,320,75968,"$3,220.12 ","$3,220.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500025,PTA BALLOON S&I RENAL/VISC ARTERY,320,75966,"$3,220.12 ","$3,220.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500026,RENAL ART/ANGIO UNI/BIL W/CARDCAT,320,G0275,$202.96 ,$202.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500027,SHUNT ANGIOPLASTY CV,320,75978,"$2,186.44 ","$2,186.44 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500028,STENT PLACEMENT,320,75960,"$3,220.12 ","$3,220.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500029,TPA PERIPHERAL EACH ADDTL ARTERY,320,75964,"$3,220.12 ","$3,220.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500030,TPA PERIPHERAL-BRACHIOCEPHALIC CV,320,75962,"$3,220.12 ","$3,220.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500031,TPA PERIPHERAL-FEMORAL/POPLI CV,320,75962,"$3,220.12 ","$3,220.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500032,TPA PERIPHERAL-ILIAC ARTERY CV,320,75962,"$3,220.12 ","$3,220.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500033,TPA PERIPHERAL-TIBIOPER ARTERY CV,320,75962,"$3,220.12 ","$3,220.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500034,TRANSCATH INFUSION CCL,320,75896,"$1,626.46 ","$1,626.46 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500035,TRANSCATHETER EMOBLIZATION,320,75894,"$1,626.46 ","$1,626.46 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500036,UNILATERAL RENAL ARTERIOGRAM,320,75722,"$7,273.36 ","$7,273.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500037,US GUIDED NEEDLE INTRO CCL,320,76942,$503.07 ,$503.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500038,BC BONE DENSITY AXIAL SKELETON,320,76075,$449.84 ,$449.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500039,BC BREAST SPECIMEN,320,76098,$127.77 ,$127.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500040,BC LOC BREAST NODUL CAL,320,76096,$514.99 ,$514.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500041,DELETED,320,74220,$323.09 ,$323.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500042,ER XR C SPINE COMP INCL FLEX/EXTE,320,72052,$340.93 ,$340.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500043,ER-FL BODY SECT POLYTOME,320,76101,$819.25 ,$819.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500044,ER-FL PHARYNX & ESOPHAGUS,320,74210,$323.09 ,$323.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500045,ER-FL UROGRAPHY IV KUB (IVP),320,74400,$723.41 ,$723.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500046,ER-XR ABDOMEN AP & UPRIGHT,320,74010,$175.14 ,$175.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500047,ER-XR ABDOMEN AP AND UPRIGHT,320,74020,$130.23 ,$130.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500048,ER-XR ABDOMEN AP VIEW,320,74000,$155.67 ,$155.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500049,ER-XR AC JOINT BILATERAL,320,73050,$376.45 ,$376.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500050,ER-XR ACUTE ABDOMEN & AP CHEST,320,74022,$286.86 ,$286.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500051,ER-XR ANKLE 2 VIEWS,320,73600,$248.71 ,$248.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500052,ER-XR ANKLE COMPLETE,320,73610,$314.57 ,$314.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500053,ER-XR BODY SECT TOMOGRAPHY,320,76100,$819.25 ,$819.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500054,ER-XR BONE AGE STUDY,320,76020,$248.71 ,$248.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500055,ER-XR BONE SURVEY COMPLETE,320,76062,$393.62 ,$393.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500056,ER-XR C-SPINE 1 VIEW,320,72020,$142.04 ,$142.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500057,ER-XR C-SPINE 2 OR 3 VIEWS,320,72040,$127.77 ,$127.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500058,ER-XR C-SPINE 4 VIEWS,320,72050,$507.67 ,$507.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500059,ER-XR CALCANEUS (HEEL),320,73650,$248.71 ,$248.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500060,ER-XR CHEST 2 VIEWS,320,71020,$383.68 ,$383.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500061,ER-XR CHEST PA&LAT W/OBLIQUE VIEW,320,71022,$156.76 ,$156.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500062,ER-XR CHEST SINGLE VIEW,320,71010,$186.65 ,$186.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500063,ER-XR CHEST SPECIAL VIEWS,320,71035,$372.59 ,$372.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500064,ER-XR CHOLANGIOGRAPHY OPERATIVE,320,74300,$601.42 ,$601.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500065,ER-XR CLAVICLE,320,73000,$248.71 ,$248.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500067,ER-XR ELBOW 3 VIEWS,320,73080,$269.50 ,$269.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500068,ER-XR ELBOW AP & LAT,320,73070,$248.71 ,$248.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500069,ER-XR EYE FOR FOREIGN BODY,320,70030,$98.14 ,$98.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500070,ER-XR FACIAL BONES COMPLETE,320,70150,$183.04 ,$183.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500071,ER-XR FACIAL BONES PARTIAL,320,70140,$143.29 ,$143.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500072,ER-XR FEMUR AP & LAT,320,73550,$314.57 ,$314.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500073,ER-XR FINGERS OR THUMB,320,73140,$248.71 ,$248.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500074,ER-XR FOOT 3 VIEWS,320,73630,$314.57 ,$314.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500075,ER-XR FOOT AP & LAT,320,73620,$248.71 ,$248.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500076,ER-XR FOREARM,320,73090,$248.71 ,$248.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500077,ER-XR FOREIGN BDY/CHILD/SGLE FILM,320,76010,$127.77 ,$127.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500078,ER-XR HAND 2 VIEWS,320,73120,$248.71 ,$248.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500079,ER-XR HAND 3 VIEWS,320,73130,$314.57 ,$314.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500080,ER-XR HIP OPERATIVE,320,73530,$456.36 ,$456.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500081,ER-XR HIP UNILAT 1 VIEW,320,73500,$138.40 ,$138.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500082,ER-XR HIP UNILAT 2 VIEWS,320,73510,$197.15 ,$197.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500083,ER-XR HUMERUS 2 VIEWS,320,73060,$248.71 ,$248.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500084,ER-XR INT AUD CANAL,320,70134,$172.42 ,$172.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500085,ER-XR KNEE AP & LAT,320,73560,$248.71 ,$248.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500086,ER-XR KNEE COMPLETE,320,73562,$314.57 ,$314.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500087,ER-XR LS-SPINE 1 VIEW,320,72020,$142.04 ,$142.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500088,ER-XR LS-SPINE AP & LAT,320,72100,$393.62 ,$393.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500089,ER-XR LS-SPINE COMPLETE,320,72110,$507.67 ,$507.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500090,ER-XR MANDIBLE COMPLETE,320,70110,$142.27 ,$142.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500091,ER-XR MANDIBLE PARTIAL,320,70100,$121.46 ,$121.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500092,ER-XR MASTOIDS COMPLETE,320,70130,$183.04 ,$183.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500093,ER-XR NASAL BONES,320,70160,$121.46 ,$121.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500094,ER-XR NECK SOFT TISSUE,320,70360,$97.53 ,$97.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500095,ER-XR ORBITS,320,70200,$183.04 ,$183.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500096,ER-XR ORTHO PANTOGRAM,320,70355,$134.74 ,$134.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500097,ER-XR PELVIS,320,72170,$248.71 ,$248.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500098,ER-XR RIBS BIL 3 VIEWS,320,71110,$166.33 ,$166.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500099,ER-XR RIBS BIL 4V & PA CHEST,320,71111,$188.03 ,$188.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500100,ER-XR RIBS BILAT 3V & PA CHEST,320,71111,$188.03 ,$188.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500101,ER-XR RIBS UNI 3V & PA CHEST,320,71101,$139.84 ,$139.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500102,ER-XR RIBS UNILAT 2 VIEWS,320,71100,$452.36 ,$452.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500104,ER-XR SACRUM & COCCYX,320,72220,$228.22 ,$228.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500105,ER-XR SCAPULA,320,73010,$248.71 ,$248.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500106,ER-XR SHOULDER 1 VIEW,320,73020,$162.04 ,$162.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500107,ER-XR SHOULDER 2 VIEWS,320,73030,$248.71 ,$248.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500108,ER-XR SINUSES/PARANASAL 2V,320,70210,$143.29 ,$143.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500109,ER-XR SINUSES/PARANASAL 3V,320,70220,$183.04 ,$183.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500110,ER-XR SKULL COMPLETE,320,70260,$206.79 ,$206.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500111,ER-XR SKULL PARTIAL,320,70250,$143.29 ,$143.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500112,ER-XR SPINE ENTIRE AP & LAT,320,72010,$530.89 ,$530.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500113,ER-XR SPINE SCOLIOSIS STUDY,320,72090,$587.49 ,$587.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500114,ER-XR STERNUM 2 VIEWS,320,71120,$228.22 ,$228.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500115,ER-XR T-SPPINE 1 VIEW,320,72020,$142.04 ,$142.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500116,ER-XR T-SPINE 2 VIEWS,320,72070,$137.51 ,$137.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500117,ER-XR T-SPINE 3 VIEWS,320,72072,$156.76 ,$156.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500118,ER-XR T-SPINE MIN 4 VIEWS,320,72074,$156.76 ,$156.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500119,ER-XR TEETH FULL MOUTH,320,70320,$183.04 ,$183.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500120,ER-XR TEETH SINGLE VIEW,320,70300,$62.42 ,$62.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500121,ER-XR TIBIA & FIBULA,320,73590,$248.71 ,$248.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500122,ER-XR TM JOINT BILAT,320,70330,$196.35 ,$196.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500123,ER-XR TM JOINT UNILAT,320,70328,$114.76 ,$114.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500124,ER-XR TOES 2 VIEWS,320,73660,$248.71 ,$248.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500125,ER-XR URETHROCYSTO RETRO,320,74450,$479.98 ,$479.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500126,ER-XR UROGRAPHY RETROGRADE,320,74420,$552.50 ,$552.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500127,ER-XR VOIDING CYSTO URETHROGRAM,320,74455,$723.41 ,$723.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500128,ER-XR WRIST 2 VIEWS,320,73100,$248.71 ,$248.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500129,ER-XR WRIST 3 VIEWS,320,73110,$314.57 ,$314.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500130,ERXR IP & PEL INFANT/CHILD MIN 2V,320,73540,$196.86 ,$196.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500131,FL ARTHROGRAM KNEE,320,73580,"$1,016.24 ","$1,016.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500132,FL ARTHROGRAM SHOULDER,320,73040,"$1,016.24 ","$1,016.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500133,FL ARTHROGRAM TMJ,320,70332,$485.34 ,$485.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500134,FL BARIUM ENEMA,320,74270,$732.53 ,$732.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500135,FL BARIUM ENEMA WITH AIR CONTRAST,320,74280,$797.98 ,$797.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500136,FL BODY SECT POLYTOME,320,76101,$819.25 ,$819.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500137,FL BODY SECTI TOMOGRAPHY,320,71034,$819.25 ,$819.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500138,FL CHOLANGIO POST-OP T-TUBE,320,74305,$607.93 ,$607.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500139,FL CHOLANGIOGRAPHY IV,320,74320,$891.52 ,$891.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500140,FL CHOLECYSTOGRAPHY 2ND DAY,320,74291,$507.67 ,$507.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500141,FL CHOLECYSTOGRAPHY ORAL (GB),320,74290,$507.67 ,$507.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500142,FL CYSTOGRAPHY,320,74430,$723.41 ,$723.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500143,FL DYSPHAGIA PHARYNX,320,74210,$323.09 ,$323.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500144,FL ERCP,320,74328,$752.91 ,$752.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500145,FL ESOPHAGUS,320,74220,$452.36 ,$452.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500146,FL FLUORO GUIDED EPIDURAL INJ,320,76005,$272.46 ,$272.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500147,FL FLUORO PROCEDURE,320,76000,$328.36 ,$328.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500148,FL GUIDED NEEDLE PLACEMENT,320,76003,$274.88 ,$274.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500149,FL HYSTROSALPINGOGRAM,320,74740,$452.36 ,$452.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500150,FL LOC TRANSBRONCH BIO,320,00710,$547.75 ,$547.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500151,FL MYELOGRAPHY 2 OR MORE REGIONS,320,72270,"$2,864.53 ","$2,864.53 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500152,FL MYELOGRAPHY CERVICAL,320,72240,"$2,014.41 ","$2,014.41 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500153,FL MYELOGRAPHY LUMBAR,320,72265,"$2,003.97 ","$2,003.97 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500154,FL MYELOGRAPHY THORACIC,320,72255,"$2,003.97 ","$2,003.97 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500155,FL NDL BX-INTRATH LES-LUNG/MEDIAS,320,00710,$156.36 ,$156.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500156,FL NDL BX-INTRATHORACIC LES-PLEUR,320,00710,$156.36 ,$156.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500157,FL NEPHRO TOMOGRAPHY,320,74415,"$1,689.39 ","$1,689.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500158,FL PCR ENTEROCLYSIS PL,320,74355,"$1,658.34 ","$1,658.34 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500159,FL PHARYNX & ESOPHAGUS,320,74210,$323.09 ,$323.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500160,FL PHARYNX/LARYNX FLUORO,320,70370,$302.41 ,$302.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500161,FL RENAL CYST STUDY,320,74470,$984.48 ,$984.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500162,FL SIALOGRAPHY,320,70390,$413.78 ,$413.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500163,FL SINUS TRACT STUDY,320,76080,$479.98 ,$479.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500164,FL SMALL BOWEL,320,74250,$584.29 ,$584.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500165,FL SPEECH EVALUATION BY CINE,320,70371,$485.34 ,$485.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500166,FL SWALLOW FUNCTION WITH VIDEO,320,74230,"$2,157.05 ","$2,157.05 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500167,FL UPPER GI TRACT,320,74240,$458.16 ,$458.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500168,FL UPPER GI W/ESOPHAGUS,320,74240,$458.16 ,$458.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500169,FL UPPER GI W/SMALL BOWEL,320,74245,"$1,057.04 ","$1,057.04 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500170,FL UROGRAPHY HYPER CONT,320,00744,$960.03 ,$960.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500171,FL UROGRAPHY INFUSION,320,74410,"$1,115.37 ","$1,115.37 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500172,FL UROGRAPHY IV KUB (IVP),320,74400,$723.41 ,$723.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500173,FL VENOGRAM EXT BILAT,320,75822,"$2,329.16 ","$2,329.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500174,FL VENOGRAM EXT UNILAT,320,75820,"$1,059.27 ","$1,059.27 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500175,FLURO GUIDE/CVAD PLCMNT/REPLCMNT,320,75998,$202.96 ,$202.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500178,SP ANG ABD ADDT SIN VES,320,75774,"$6,966.00 ","$6,966.00 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500179,SP ANGIO BRACHIAL RETROGRADE,320,75658,"$4,408.13 ","$4,408.13 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500180,SP ANGIO CAROTID CERE UNI,320,75665,"$4,386.50 ","$4,386.50 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500181,SP ANGIO CAROTID CEREB BIL,320,75671,"$4,386.50 ","$4,386.50 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500182,SP ANGIO CAROTID CERV BIL,320,75680,"$4,386.50 ","$4,386.50 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500183,SP ANGIO CAROTID CERV UNI,320,75676,"$4,386.50 ","$4,386.50 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500184,SP ANGIO EXISTING CATH,320,75898,"$1,147.74 ","$1,147.74 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500185,SP ANGIO EXT CAROTID BIL,320,75662,"$2,493.05 ","$2,493.05 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500186,SP ANGIO EXT CAROTID UNI,320,75660,"$2,493.05 ","$2,493.05 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500187,SP ANGIO EXTREM BILAT,320,75716,"$2,906.85 ","$2,906.85 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500188,SP ANGIO EXTREM UNILAT,320,75710,"$7,909.09 ","$7,909.09 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500189,SP ANGIO PELVIC SELECTIVE,320,75736,"$2,435.31 ","$2,435.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500190,SP ANGIO PULMONARY,320,75743,"$7,463.34 ","$7,463.34 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500191,SP ANGIO RENAL BIL,320,75724,"$7,273.36 ","$7,273.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500192,SP ANGIO RENAL UNILAT,320,75722,"$7,273.36 ","$7,273.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500193,SP ANGIO SPINAL SELECT,320,75705,"$2,493.05 ","$2,493.05 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500194,SP ANGIO VERT CERV,320,75685,"$1,035.94 ","$1,035.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500195,SP ANGIO VERTEBRAL CERV OR CRANIA,320,75685,"$2,384.58 ","$2,384.58 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500196,SP ANGIO VISCERAL ARTERY SEL,320,75726,"$2,906.85 ","$2,906.85 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500197,SP ANGIO PELVIC SELECTIVE,320,75736,"$3,310.00 ","$3,310.00 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500198,SP AOR - ABD SER COMP,320,75625,"$4,545.85 ","$4,545.85 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500199,SP AOR-ABD WITH BIL RUNOFF,320,75630,"$3,034.20 ","$3,034.20 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500200,SP AORTO THORACIC SER,320,75605,"$7,197.75 ","$7,197.75 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500201,SP ARTERIO SHUNT,320,75790,"$1,334.15 ","$1,334.15 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500202,SP BRONCHOGRAPHY BILAT,320,71060,$763.59 ,$763.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500203,SP BRONCHOGRAPHY UNILAT,320,71040,$635.43 ,$635.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500204,SP BRUSH BIOPSY,320,71038,"$1,273.78 ","$1,273.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500205,SP CERVICOCEREBRAL INC VES ORIGIN,320,75650,"$4,475.07 ","$4,475.07 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500206,SP CHEST TUBE PLACEMENT FLURO,320,75989,$221.22 ,$221.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500207,SP EXCHANGE ARTER CATH THROMBO SI,320,75900,$221.22 ,$221.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500208,SP FL UROGRAPHY INTRAVENOUS-IVP,320,74400,$617.14 ,$617.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500209,SP FLUGI HIGH DEN BARIUM WO KUB,320,74246,$457.94 ,$457.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500210,SP FLUOROGUIDED NEEDLE PLACEMENT,320,76003,$274.88 ,$274.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500211,SP FOLLOW UP INFUSION,320,75898,$219.51 ,$219.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500212,SP HEPATIC VENOGRAPHY,320,75891,"$3,296.81 ","$3,296.81 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500213,SP MECH REM INT/LUM OBS CV DEVICE,320,75902,$535.37 ,$535.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500214,SP MECH REM PERI/CATH OBS CV DEVI,320,75901,$814.00 ,$814.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500215,SP NEPHROSTOGRAM,320,74425,$915.89 ,$915.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500216,SP PERC RENAL CATH PLACE,320,74475,"$2,182.15 ","$2,182.15 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500217,SP PERC TRANSHEPATI DIL BILI DUCT,320,74363,"$2,001.97 ","$2,001.97 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500218,SP PERC VERTERBROPLASTY BY FLOURO,320,76012,$570.27 ,$570.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500219,SP PERCUT PLMNT I&E BILIARY DRAIN,320,75982,"$1,219.69 ","$1,219.69 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500220,SP PERCUT TRANS CHOLANGIO,320,74320,"$1,147.74 ","$1,147.74 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500221,SP PERCUTANEOUS PLACE IVC FILTER,320,75940,"$8,167.83 ","$8,167.83 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500222,SP PERCUTANEOUS TUBE CHANGE,320,75984,"$1,083.93 ","$1,083.93 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500223,SP PERTRAIN BILIARY DRAIN,320,75980,"$1,972.18 ","$1,972.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500224,SP PERTRANSBILANGIOPLAST,320,75964,"$6,212.61 ","$6,212.61 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500225,SP PETRANSBILDUAL CATH,320,75968,"$4,927.22 ","$4,927.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500226,SP PTA AORTA,320,75966,"$1,844.96 ","$1,844.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500227,SP PTA EA ADDL PERIP ARTERY,320,75964,"$1,646.26 ","$1,646.26 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500228,SP PTA EA ADDL VISC ARTERY,320,75968,"$4,180.91 ","$4,180.91 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500229,SP PULMONARY UNILATERAL SELECTIVE,320,75741,"$2,203.26 ","$2,203.26 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500230,SP RETRIEVAL BROKEN CATHETER,320,75961,"$1,911.43 ","$1,911.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500231,SP SHUNT ANGIOPLASTY,320,75978,"$1,911.43 ","$1,911.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500232,SP STENT PLACEMENT,320,75960,"$2,027.52 ","$2,027.52 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500233,SP SUB AFTER CONTRAST,320,76350,$207.02 ,$207.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500234,SP THORACENTESIS ULTRASOUND GUIDE,320,76942,$675.92 ,$675.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500235,SP TPA PERIPHERAL - FEMORAL/POPLI,320,75962,"$4,545.85 ","$4,545.85 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500236,SP TPA PERIPHERAL-BRACHIOCEPHALIC,320,75962,"$4,545.85 ","$4,545.85 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500237,SP TPA PERIPHERAL-ILIAC ARTERY,320,75962,"$4,545.85 ","$4,545.85 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500238,SP TPA PERIPHERAL-TIBOPER ARTERY,320,75962,"$4,545.85 ","$4,545.85 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500240,SP TRANS PERIPH ATHERECTOMY S&I,320,75992,"$4,024.36 ","$4,024.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500241,SP TRANSCATH INFUSION,320,75896,"$1,972.18 ","$1,972.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500242,SP TRANSCATHTER EMBOLIZATION,320,75894,"$1,972.18 ","$1,972.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500243,SP TRANSCERVICAL CATH FALLOP TUBE,320,74742,"$7,253.15 ","$7,253.15 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500244,SP U/S GUIDED NEEDLE INTRO,320,76942,$503.07 ,$503.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500245,SP VENOGRAM ADRENAL BIL SEL,320,75842,"$1,476.70 ","$1,476.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500246,SP VENOGRAM ADRENAL UNI SEL,320,75840,"$1,476.70 ","$1,476.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500247,SP VENOGRAM CAV CUP SERILOG,320,75827,"$1,911.43 ","$1,911.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500248,SP VENOGRAM INF CAVA,320,75825,"$1,911.43 ","$1,911.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500249,SP VENOGRAM RENAL UNI SEL,320,75831,"$1,476.70 ","$1,476.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500250,SP VENOGRAM VENOUS SINUS/JUGLAR,320,75860,"$7,275.05 ","$7,275.05 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500251,SP VENOGRAPHY RENAL BIL,320,75833,"$1,223.12 ","$1,223.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500252,SP VENOUS CATH FOR ORG BLOOD SAMP,320,75893,"$1,476.70 ","$1,476.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500255,XR ABDOMEN 2 VIEW,320,74020,$245.27 ,$245.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500256,XR ABDOMEN 2 VIEWS,320,74010,$175.14 ,$175.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500257,XR ABDOMEN AP VIEW,320,74000,$155.67 ,$155.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500258,XR AC JOINT BILATERAL,320,73050,$376.45 ,$376.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500259,XR ACUTE ABDOMEN & AP CHEST,320,74022,$286.86 ,$286.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500260,XR ANKLE 2 VIEWS,320,73600,$248.71 ,$248.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500261,XR ANKLE COMPLETE,320,73610,$314.57 ,$314.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500262,XR BODY SECT TOMOGRAPHY,320,76100,$819.25 ,$819.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500263,XR BONE AGE STUDY,320,76020,$248.71 ,$248.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500264,XR BONE SURVEY COMPLETE,320,76062,$393.62 ,$393.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500265,XR C SPINE COMP INCL FLEX/EXTEN,320,72052,$340.93 ,$340.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500266,XR C-SPINE 1 VIEW,320,72020,$142.04 ,$142.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500267,XR C-SPINE 2 OR 3 VIEWS,320,72040,$127.77 ,$127.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500268,XR C-SPINE 4 VIEWS,320,72050,$507.67 ,$507.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500269,XR CALCANEUS (HEEL),320,73650,$248.71 ,$248.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500270,XR CHEST 2 VIEWS,320,71020,$383.68 ,$383.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500271,XR CHEST PA&LAT W/OBLIQUE VIEW,320,71022,$156.76 ,$156.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500272,XR CHEST SINGLE VIEW,320,71010,$186.65 ,$186.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500273,XR CHEST SPECIAL VIEWS,320,71035,$372.59 ,$372.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500274,XR CHOLANGIOGRAPHY OPERATIVE,320,74300,$601.42 ,$601.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500275,XR CLAVICLE,320,73000,$248.71 ,$248.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500276,XR CYSTO RETROGRADE STENT,320,74480,"$2,182.15 ","$2,182.15 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500278,XR ELBOW 3 VIEWS,320,73080,$269.50 ,$269.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500279,XR ELBOW AP & LATERAL,320,73070,$248.71 ,$248.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500280,XR EYES FOR FOREIGN BODY,320,70030,$98.14 ,$98.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500281,XR FACIAL BONES COMPLETE,320,70150,$183.04 ,$183.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500282,XR FACIAL BONES PARTIAL,320,70140,$143.29 ,$143.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500283,XR FEMUR AP & LAT,320,73550,$314.57 ,$314.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500284,XR FINGERS OR THUMB,320,73140,$248.71 ,$248.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500285,XR FOOT 3 VIEWS,320,73630,$314.57 ,$314.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500286,XR FOOT AP & LAT,320,73620,$248.71 ,$248.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500287,XR FOREARM,320,73090,$248.71 ,$248.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500288,XR HAND 2 VIEWS,320,73120,$248.71 ,$248.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500289,XR HAND 3 VIEWS,320,73130,$314.57 ,$314.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500290,XR HIP & PEL INFANT/CHILD MIN 2VW,320,73540,$196.86 ,$196.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500291,XR HIP OPERATIVE,320,73530,$456.36 ,$456.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500292,XR HIP UNILAT 1 VIEW,320,73500,$138.40 ,$138.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500293,XR HIP UNILAT 2 VIEWS,320,73510,$197.15 ,$197.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500294,XR HUMERUS 2 VIEWS,320,73060,$248.71 ,$248.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500295,XR INT AUD CANAL,320,70134,$172.42 ,$172.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500296,XR KNEE AP & LAT,320,73560,$248.71 ,$248.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500297,XR KNEE COMPLETE,320,73562,$314.57 ,$314.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500298,XR LS-SPINE 1 VIEW,320,72020,$142.04 ,$142.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500299,XR LS-SPINE AP & LAT,320,72100,$393.62 ,$393.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500300,LS-SPINE COMPLETE,320,72110,$507.67 ,$507.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500301,XR MANDIBLE COMPLETE,320,70110,$143.29 ,$143.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500302,XR MANDIBLE PARTIAL,320,70100,$121.46 ,$121.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500303,XR MASTOIDS COMPLETE,320,70130,$183.04 ,$183.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500304,XR NASAL BONES,320,70160,$121.46 ,$121.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500305,XR NECK SOFT TISSUE,320,70360,$97.53 ,$97.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500306,XR ORBITS,320,70200,$183.04 ,$183.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500307,XR ORTHO PANTOGRAM,320,70355,$134.74 ,$134.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500308,XR PELVIS,320,72170,$248.71 ,$248.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500309,XR PERITONEOGRAM,320,74190,$568.26 ,$568.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500310,XR RIBS BIL 3 VIEWS,320,71110,$166.33 ,$166.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500311,XR RIBS BIL 4V & PA CHEST,320,71111,$188.03 ,$188.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500312,XR RIBS BILAT 3V & PA CHEST,320,71111,$188.03 ,$188.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500313,XR RIBS UNI 3V & PA CHEST,320,71101,$139.84 ,$139.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500314,XR RIBS UNILAT 2 VIEWS,320,71100,$452.36 ,$452.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500315,XR SACROILIAC JOINTS 3 VIEWS,320,72202,$221.42 ,$221.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500316,XR SACRUM & COCCYX,320,72220,$228.22 ,$228.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500317,XR SCAPULA,320,73010,$248.71 ,$248.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500318,XR SHOULDER 1 VIEW,320,73020,$162.04 ,$162.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500319,XR SHOULDER 2 VIEWS,320,73030,$248.71 ,$248.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500320,XR SINUSES/PARANASAL 2V,320,70210,$143.29 ,$143.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500321,XR SINUSES/PARANASAL 3V,320,70220,$183.04 ,$183.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500322,XR SKULL COMPLETE,320,70260,$206.79 ,$206.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500323,XR SKULL PARTIAL,320,70250,$143.29 ,$143.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500324,XR SPINE 3 VIEWS,320,72072,$156.76 ,$156.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500325,XR SPINE ENTIRE AP & LAT,320,72010,$530.89 ,$530.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500326,XR SPINE SCOLIOSIS STUDY,320,72090,$139.84 ,$139.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500327,XR STERNUM 2 VIEWS,320,71120,$228.22 ,$228.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500328,XR T-SPINE 2 VIEWS,320,72070,$137.51 ,$137.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500329,XR T-SPINE MIN 4 VIEWS,320,72074,$156.76 ,$156.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500330,XR TEETH FULL MOUTH,320,70320,$183.04 ,$183.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500331,XR TEETH SINGLE VIEW,320,70300,$62.42 ,$62.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500332,XR TIBIA & FIBULA,320,73590,$248.71 ,$248.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500333,XR TM JOINT BILAT,320,70330,$196.35 ,$196.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500334,XR TM JOINT UNILAT,320,70328,$114.76 ,$114.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500335,XR TOES 2 VIEWS,320,73660,$248.71 ,$248.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500336,XR URETHROCYSTOGRADE OR,320,74455,$723.41 ,$723.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500337,XR URETROCYSTO RETRO,320,74450,$479.98 ,$479.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500338,XR UROGRAPHY RETROGRADE,320,74420,$340.05 ,$340.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500339,XR WRIST 2 VIEWS,320,73100,$248.71 ,$248.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500340,XR WRIST 3 VIEWS,320,73110,$314.57 ,$314.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500344,PERCUTANEOUS PLCMT IVC FILTER,320,75940,$700.54 ,$700.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500345,AOR-ABD BY SERIALOGRAPHY S&I,320,75625,"$4,762.30 ","$4,762.30 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500346,AOR-ABD BY SERIALOGRAPHY S&I,320,75625,"$4,762.30 ","$4,762.30 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500347,FL FLUROGUIDED FOR VEIN DEVICE,320,,$87.85 ,$87.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500348,VENOGRAM EXT UNILAT,320,75820,"$1,197.11 ","$1,197.11 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500349,FLUROGUIDED FOR VEIN DEVICE CV,320,,$87.85 ,$87.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500350,ANGIO EXTREM BIL W/S&I INTV /,320,,"$4,616.93 ","$4,616.93 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500351,PERPH ANGIO ABD ADDT'L SNGL VE,320,75774,"$7,506.22 ","$7,506.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500352,AOR-ABD BY SERIALOGRAPHY INTV/,320,75625,"$4,898.41 ","$4,898.41 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500353,XRAY FOOT 3 VIEWS RIGHT,320,73630,$368.99 ,$368.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500354,XRAY KNEES 3 VIEWS RIGHT,320,73562,$104.00 ,$104.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500355,XR FEMUR 2 VIEWS LEFT,320,73552,$286.61 ,$286.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500356,XRAY FOOT AP AND LATERAL RIGHT,320,73620,$194.20 ,$194.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500357,XRAY FOOT AP AND LATERAL LEFT,320,73620,$194.20 ,$194.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500358,XRAY FOREARM LEFT,320,73090,$194.20 ,$194.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500359,XRAY KNEE AP AND LAT RIGHT,320,73560,$194.20 ,$194.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500360,XRAY KNEE AP AND LAT LEFT,320,73560,$194.20 ,$194.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500361,XRAY SHOULDER COMPLETE RIGHT,320,73030,$194.20 ,$194.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500362,XRAY TIBIA AND FIBULA LEFT,320,73590,$194.20 ,$194.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500364,XR HIP UNILAT 1 VIEW RIGHT,320,73501,$280.13 ,$280.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500365,XR HIP UNILAT 1 VIEW LEFT,320,73501,$280.13 ,$280.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500366,XRAY FOOT 3 VIEWS LEFT,320,73630,$230.38 ,$230.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500367,XRAY HAND 2 VIEWS LEFT,320,73120,$181.71 ,$181.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500368,XRAY SHOULDER COMPLETE LEFT,320,73030,$181.71 ,$181.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1500342,FL CHEST 4 VIEWS FLUORO,324,71034,$383.92 ,$383.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9100001,CHEMOTHERAPY-IM OR SUBC,331,Q0083,$72.49 ,$72.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400001,3-D SIMULATION,333,77295,"$3,805.79 ","$3,805.79 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400002,BRACHTHER ISOCAL COM,333,77328,"$1,593.94 ","$1,593.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400003,BRACHTHER ISOCAL INT,333,77327,"$1,434.51 ","$1,434.51 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400004,BRACHTHER ISOCAL SIM,333,77326,"$1,275.22 ","$1,275.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400005,DAILY MEGAVOL TX COM 0-5 MEV,333,77412,$589.89 ,$589.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400006,DAILY MEGAVOL TX COM 11-19 MEV,333,77414,$589.89 ,$589.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400007,DAILY MEGAVOL TX COM 6-10 MEV,333,77413,$589.89 ,$589.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400008,DAILY MEGAVOL TX COMPLEX 20-> MEV,333,77416,$589.89 ,$589.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400009,DAILY MEGAVOL TX INT 0-5 MEV,333,77407,$510.19 ,$510.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400010,DAILY MEGAVOL TX INT 11-19 MEV,333,77409,$510.19 ,$510.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400011,DAILY MEGAVOL TX INT 6-10 MEV,333,77408,$510.19 ,$510.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400012,DAILY MEGAVOL TX INTERMED 20->MEV,333,77411,$510.19 ,$510.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400013,DAILY MEGAVOL TX SIM 0-5 MEV,333,77402,$430.33 ,$430.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400014,DAILY MEGAVOL TX SIM 11-19 MEV,333,77404,$430.33 ,$430.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400015,DAILY MEGAVOL TX SIM 6-10 MEV,333,77403,$430.33 ,$430.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400016,DAILY MEGAVOL TX SIMPLE 20-> MEV,333,77406,$430.33 ,$430.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400017,GASTROGRAFIN,333,77750,$254.90 ,$254.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400018,ISOBUE 300,333,77750,$254.90 ,$254.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400019,ISODOSE PLAN COMPLEX,333,77315,"$1,115.77 ","$1,115.77 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400020,ISODOSE PLAN INTER,333,77310,$876.49 ,$876.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400021,ISODOSE PLAN SIMPLE,333,77305,$717.19 ,$717.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400022,RAD DOSIMETRY CALCUL,333,77300,$398.56 ,$398.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400023,RAD PHYSICS SUP CONT,333,77336,$637.64 ,$637.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400024,RADIOELEMENT CESIUM,333,77790,$796.88 ,$796.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400025,SPECIAL DOSIMETRY DIO,333,77331,$159.43 ,$159.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400026,SUURFACE APPLICATION,333,77789,$159.43 ,$159.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400027,TELETHERAPY PORT ELECTRON,333,77321,$599.20 ,$599.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400030,THET RAD SIMULAT COM,333,77290,"$1,354.75 ","$1,354.75 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400031,THER RAD SIMULANT INT,333,77285,"$1,195.36 ","$1,195.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400032,THER RAD SIMULANT SIM,333,77280,$717.19 ,$717.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400033,THERAPUETIC PORT FILM,333,77417,$159.43 ,$159.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400034,TREAT DEVICE COMPLEX,333,77334,$796.88 ,$796.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400035,TREAT DEVICE INTER,333,77333,$637.64 ,$637.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400036,TREAT DEVICE SIMPLE,333,77332,$478.25 ,$478.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400037,CHEMO ADMINISTRATION IV PUSH,335,Q0084,$203.10 ,$203.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400038,CHEMOTHERAPHY INFUSION 1 TO 3 HRS,335,Q0084,$493.14 ,$493.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400039,CHEMOTHERAPHY INFUSION > 3 HRS,335,Q0084,$739.87 ,$739.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400040,CHEMOTHERAPHY INFUSION UP TO 1 HR,335,Q0084,$121.78 ,$121.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400143,"CHEMO, IV INFUSION 1 HOUR",335,96413,$399.70 ,$399.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400041,ECT,340,78607,$795.53 ,$795.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400044,NM ACUTE GI BLOOD LOSS IMAGING,340,78278,"$1,710.60 ","$1,710.60 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400045,NM BONE SCAN LIMITED AREA,340,78300,"$1,057.04 ","$1,057.04 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400046,NM BONE SCAN TOTAL BODY,340,78306,"$1,257.55 ","$1,257.55 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400047,NM BOWEL IMIGING (MECKEL'S),340,78290,$981.22 ,$981.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400048,NM BRAIN IMAG SPECT,340,78604,"$2,331.83 ","$2,331.83 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400049,NM BRAIN SCAN SPECT,340,78605,"$3,915.10 ","$3,915.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400050,NM CARD BLOOD POOL MUGA REST,340,78472,"$1,434.41 ","$1,434.41 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400051,NM CARD BLOOD POOL MUGA STRESS,340,78483,"$2,239.58 ","$2,239.58 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400052,NM CARD BLOOD POOL REST MUGA,340,78472,"$1,434.41 ","$1,434.41 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400053,NM BLOOD POOL STRESS MUGA,340,78483,"$2,239.58 ","$2,239.58 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400054,NM CARDIOLITE,340,A4641,"$2,399.19 ","$2,399.19 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400055,NM CARDIOLITE RESTING,340,78464,$776.17 ,$776.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400056,NM CARDIOLITE SPECT,340,78464,"$1,743.99 ","$1,743.99 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400057,NM CHOLECYSTOKININ,340,78223,"$2,073.19 ","$2,073.19 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400058,NM CISTERNOGRAPHY,340,78630,"$3,452.02 ","$3,452.02 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400059,NM GALLIUM SPACT TOMO,340,78803,"$1,294.88 ","$1,294.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400060,NM GASTRIC EMPTYING,340,78264,$995.13 ,$995.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400061,NM HYPERTHYROID I 131 THER,340,79005,"$2,840.18 ","$2,840.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400062,NM INJ DIPTRIDAMOLE,340,J1245,$538.01 ,$538.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400063,NM ISO GA 67,340,A9556,$739.10 ,$739.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400064,NM ISO I123 UCI,340,A9516,$325.42 ,$325.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400065,NM ISO I131 1MCI,340,A9530,$717.19 ,$717.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400066,NM ISO I131 ADDITIONAL 1MCI,340,A9530,$88.40 ,$88.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400067,NM ISO I131 UCI,340,A9517,$66.16 ,$66.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400068,NM ISO IN 111 PENTATATE,340,A9548,"$4,835.42 ","$4,835.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400069,NM ISO SATUMOMAB PENDETITE,340,A4642,"$9,654.28 ","$9,654.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400070,NM ISO SR 89 CHLORIDE,340,A9600,"$26,687.20 ","$26,687.20 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400071,NM ISO SULFER COLLIOD,340,A9541,$110.31 ,$110.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400072,NM ISO TC 99M ALBUMIN AGGREGATE,340,A9540,$74.59 ,$74.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400073,NM ISO TC 99M LABELED REDBLD CELL,340,A9560,$518.52 ,$518.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400074,NM ISO TC 99M MEBROFENIN,340,A9537,$162.77 ,$162.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400075,NM ISO TC 99M MEDRONATE,340,A9503,$74.59 ,$74.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400076,NM ISO TC 99M MERTIATIDE,340,A9562,"$1,119.93 ","$1,119.93 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400077,NM ISO TC 99M PYROPHOSPHATE,340,A9538,$171.10 ,$171.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400078,NM ISO TC 99M SESTAMIBI,340,A9500,$582.16 ,$582.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400079,NM ISO TC 99M TETROFOSMIN,340,A9502,$582.16 ,$582.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400080,NM ISO TC99M NA PERTECHMETATE 8M,340,A4641,$16.65 ,$16.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400081,NM ISO TC99M NA PERTECHMETATE 15M,340,A4641,$30.46 ,$30.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400082,NM ISO TC99M PERTECHNETATE 1MCI,340,A4641,$2.75 ,$2.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400083,NM ISO THALLIUM 201,340,A9505,$565.41 ,$565.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400084,NM ISO XE 133,340,A9558,$135.16 ,$135.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400085,NM KIDNEY FUNCTION STUDY,340,78704,"$1,385.51 ","$1,385.51 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400086,NM KIDNEY IMAGING VAS FLOW,340,78701,"$1,209.45 ","$1,209.45 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400087,NM LIVER IMAGING,340,78201,$933.13 ,$933.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400088,NM LIVER SPLEEN VAS FLO,340,78216,"$1,033.41 ","$1,033.41 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400089,NM LOC INFLAMMATORY PROCESS LTD,340,78805,$744.99 ,$744.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400090,NM LOC INFLAMMATORY PROCESS WBODY,340,78806,"$1,405.68 ","$1,405.68 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400091,NM LYMPHANGIOGRAM,340,78195,"$1,864.63 ","$1,864.63 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400092,NM LYMPHCINEMATOGRAPHY SCAN,340,78195,"$1,297.32 ","$1,297.32 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400093,NM METASTRON,340,79900,$482.70 ,$482.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400095,NM MYOCARD IMAG REST,340,78464,$586.60 ,$586.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400096,NM MYOCARD IMAG STRESS,340,78464,$586.60 ,$586.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400097,NM MYOCARD IMAG/INFARCT,340,78466,"$1,033.41 ","$1,033.41 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400098,NM MYOCARD MULTIPLE STUDIES,340,78465,"$1,666.16 ","$1,666.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400099,NM MYOCARD PERF EJECTION FRACTION,340,78480,"$1,666.16 ","$1,666.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400100,NM MYOCARD PERF WALL MOTION,340,78478,"$1,666.16 ","$1,666.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400101,NM ONCOSCINT SCAN,340,78805,"$5,183.27 ","$5,183.27 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400102,NM PARATHYROID IMAGING,340,78070,$179.32 ,$179.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400103,NM PIPIDA SCAN,340,78223,"$1,485.74 ","$1,485.74 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400104,NM PLATELET SURVIVAL STUDY,340,78191,"$7,455.21 ","$7,455.21 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400105,NM PUL PERFUSION LUNG IMAGING,340,78580,$905.54 ,$905.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400106,NM PUL VENT LUNG IMAGING,340,78593,"$1,109.01 ","$1,109.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400107,NM RADI THER MLT THY CA,340,79035,"$1,434.41 ","$1,434.41 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400108,NM RADIOISOTOPE - DIAG 01,340,A4641,$42.94 ,$42.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400109,NM RADIOISOTOPE - DIAG 02,340,A4641,$78.44 ,$78.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400110,NM RADIOISOTOPE - DIAG 03,340,A4641,$264.13 ,$264.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400111,NM RADIOISOTOPE - DIAG 04,340,A4641,$225.27 ,$225.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400112,NM RADIOISOTOPE - DIAG 05,340,A4641,"$3,911.84 ","$3,911.84 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400113,NM RADIOISOTOPE - DIAG 06,340,A4641,$586.60 ,$586.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400114,NM RADIOISOTOPE - DIAG 07,340,A4641,$7.91 ,$7.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400115,NM RADIOISOTOPE - DIAG 08,340,A4641,"$1,017.15 ","$1,017.15 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400116,NM RADIOISOTOPE - DIAG 09,340,A4641,$92.03 ,$92.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400117,NM RADIOISOTOPE - DIAG 10,340,A4641,"$8,214.47 ","$8,214.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400118,NM RADIOISOTOPE - DIAG 11,340,A4641,"$4,694.07 ","$4,694.07 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400119,NM RADIOISOTOPE - DIAG 12,340,A4641,$51.44 ,$51.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400120,NM RADIOISOTOPE - DIAG 14,340,A4641,$42.63 ,$42.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400121,NM RADIOISOTOPE - DIAG 15,340,A4641,$34.70 ,$34.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400122,NM RADIOISOTOPE - DIAG 16,340,A4641,$234.70 ,$234.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400123,NM RADIOISOTOPE - DIAG 17,340,A4641,$94.29 ,$94.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400124,NM RADIOISOTOPE - DIAGNOSTIC,340,A4641,"$2,543.49 ","$2,543.49 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400125,NM RADIOISOTOPE - THERAPEUTIC,340,79900,"$2,543.49 ","$2,543.49 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400126,NM RADIONUC THERAPY PCV,340,79100,"$1,561.64 ","$1,561.64 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400127,NM SPECT LIVER HEMANGIOMA,340,78205,"$4,055.10 ","$4,055.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400128,NM TC 99M BICISATE,340,A9557,"$2,909.99 ","$2,909.99 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400129,NM TESTICULAR SCAN,340,78761,$556.66 ,$556.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400130,NM THALLIUM,340,A4641,"$1,765.19 ","$1,765.19 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400131,NM THY CA MET WHOLE BODY,340,78018,"$2,943.78 ","$2,943.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400132,NM THYROID ABLATION CA,340,79030,"$7,791.88 ","$7,791.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400133,NM THYROID IMAG & UPTAKE,340,78006,$956.58 ,$956.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400134,NM THYROID IMAG & UPTAKE W/I123,340,78006,$956.58 ,$956.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400135,NM THYROID IMAGING,340,78010,$556.66 ,$556.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400136,NM THYROID IMAGING W/I123,340,78010,$477.13 ,$477.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400137,NM THYROID UPTAKE,340,78000,$317.81 ,$317.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400138,NM TUMOR LOC GALLIUM SCAN,340,78802,"$2,616.05 ","$2,616.05 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400139,NM TUMOR LOC WHOLEBDY=2OR>DAY IMG,340,78804,"$1,978.69 ","$1,978.69 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400140,NM VENOUS THROMBOSIS STUDY,340,78455,"$1,463.13 ","$1,463.13 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400144,NM BONE SCAN 3 PHASE,340,,$841.29 ,$841.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400145,"HT MUSCLE IMAGE SPECT, MULTIPLE",340,,"$5,201.88 ","$5,201.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400146,NM THALLIUM T1-201 PER MCI,340,A9505,$99.49 ,$99.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400147,NM PIPIDA SCAN WEJECTION FRACTION,340,78227,"$1,634.96 ","$1,634.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400148,ISO TC 99M SESTAMIB,340,A9500,$429.09 ,$429.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400149,NM PIPIDA SCAN,340,78226,"$1,579.31 ","$1,579.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400150,HT MUSCLE IMAGE SPECT MULTPLE,340,78452,"$3,359.83 ","$3,359.83 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8400142,PET PROV DX RADIOPHARM,341,78990,$202.96 ,$202.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800001,CT 3D RECONSTRUCTION,350,76375,$659.99 ,$659.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800005,CT ABDOMEN W/CONTRAST,350,74160,"$2,076.61 ","$2,076.61 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800006,CT ABDOMEN W/WO CONTRAST,350,74170,"$2,197.86 ","$2,197.86 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800007,CT ABDOMEN WO CONTRAST,350,74150,"$1,589.16 ","$1,589.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800008,CT CERVICAL SPINE W/CONTRAST,350,72126,"$3,003.12 ","$3,003.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800009,CT CERVICAL SPINE W/WO CONTRAST,350,72127,"$3,126.85 ","$3,126.85 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800010,CT CERVICAL SPINE WO CONTRAST,350,72125,"$2,515.78 ","$2,515.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800011,CT CTA ABD AORTA W/BILA LE,350,75635,"$1,477.63 ","$1,477.63 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800012,CT CTA ABD W/WO CONTRAST,350,74175,"$1,477.63 ","$1,477.63 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800013,CT CTA HEAD W/WO CONTRAST,350,70496,"$1,477.63 ","$1,477.63 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800014,CT CTA LOWER EXTREM W/WO CONTRAST,350,73706,"$1,477.63 ","$1,477.63 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800015,CT CTA NECK W/WO CONTRAST,350,70498,"$1,477.63 ","$1,477.63 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800016,CT CTA UPPER EXT W/WO CONTRAST,350,73206,"$1,477.63 ","$1,477.63 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800017,CT FOLLOW-UP STUDY W/CONTRAST,350,76380,"$1,147.42 ","$1,147.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800018,CT FOLLOW-UP STUDY W/WO CONTRAST,350,76380,"$1,271.52 ","$1,271.52 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800019,CT FOLLOW-UP STUDY WO CONTRAST,350,76380,$659.99 ,$659.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800020,CT GUIDE CYST ASPIRATION,350,76360,$555.46 ,$555.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800021,CT GUIDE NDLE BX-DEEP BONE,350,76360,$968.23 ,$968.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800022,CT GUIDE NDLE BX-SUPERFICIAL BONE,350,76360,$968.23 ,$968.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800023,CT GUIDE NDLE BX-THORACENTESIS,350,76360,$968.23 ,$968.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800024,CT GUIDE NEEDLE BX - MUSCLE,350,76360,$663.33 ,$663.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800025,CT GUIDE NEEDLE BX - LUNG MEDIASTIN,350,76360,"$1,484.02 ","$1,484.02 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800026,CT GUIDE NEEDLE BX-PLEURA,350,76360,"$1,484.02 ","$1,484.02 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800027,CT GUIDE STEREO LOC,350,76355,$663.33 ,$663.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800028,CT GUIDED STEREOTACTIC LOCAL,350,76355,$676.10 ,$676.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800029,CT LOWER EXTREMITY W/CONTRAST,350,73701,"$2,197.86 ","$2,197.86 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800030,CT LOWER EXTREMITY W/WO CONTRAST,350,73702,"$2,321.66 ","$2,321.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800031,CT LOWER EXTREMITY WO CONTRAST,350,73700,"$1,710.60 ","$1,710.60 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800032,CT LUMBAR SPINE HNP & STEN,350,72131,"$3,417.24 ","$3,417.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800033,CT LUMBAR SPINE W/CONTRAST,350,72132,"$3,003.12 ","$3,003.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800034,CT LUMBAR SPINE W/WO CONTRAST,350,72133,"$3,126.85 ","$3,126.85 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800035,CT LUMBAR SPINE WO CONTRAST,350,72131,"$2,515.78 ","$2,515.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800036,CT PELVIS W/CONTRAST,350,72193,"$2,197.86 ","$2,197.86 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800037,CT PELVIS W/WO CONTRAST,350,72194,"$2,321.66 ","$2,321.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800038,CT PELVIS WO CONTRAST,350,72192,"$1,710.60 ","$1,710.60 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800039,CT PERC VENTEBROPLASTY BY CT,350,76013,$668.41 ,$668.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800040,CT THORACIC SPINE W/CONTRAST,350,72129,"$3,003.12 ","$3,003.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800041,CT THORACIC SPINE W/WO CONTRAST,350,72130,"$3,126.85 ","$3,126.85 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800042,CT THORACIC SPINE WO CONTRAST,350,72128,"$2,515.78 ","$2,515.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800046,CT THORAX W/ CONTRAST,350,71260,"$1,482.89 ","$1,482.89 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800047,CT THORAX W/WO CONTRAST,350,71270,"$1,856.61 ","$1,856.61 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800048,CT THORAX WO CONTRAST,350,71250,"$1,239.27 ","$1,239.27 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800052,CT TX PLAN RAD THERAPY,350,76370,$659.99 ,$659.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800053,CT UPPER EXTREMITY W/CONTRAST,350,73201,"$2,197.86 ","$2,197.86 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800054,CT UPPER EXTREMITY W/WO CONTRAST,350,73202,"$2,321.66 ","$2,321.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800055,CT UPPER EXTREMITY WO CONTRAST,350,73200,"$1,710.60 ","$1,710.60 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800056,CT GUIDE-PLACEMENT RAD THER FIELD,350,76370,"$1,103.18 ","$1,103.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800072,CT CTA CHEST W/WO INCL RECONST,350,71275,"$1,103.18 ","$1,103.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800073,3D RENDER W/O POSTPROCESS,350,76376,$84.34 ,$84.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800074,CT CTA CHEST W/WO INCL RECONST,350,71275,$464.07 ,$464.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800075,CT LIMITED SINUS OR HRCT,350,76380,$745.89 ,$745.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800076,3D RENDERING W POSTPROCESS,350,76377,$241.59 ,$241.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800077,CT -CT SCAN FOR NEEDLE BIOPSY,350,,$734.46 ,$734.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800078,CT ASPIRATION HEMATOMA/CYST/BULLA,350,,$235.54 ,$235.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800079,CT ABD PELVIS W/CONTRAST,350,,"$5,522.25 ","$5,522.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800080,CT ABD & PELVIS W/O CONTRAST,350,,"$4,127.75 ","$4,127.75 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800082,CT LOWER EXTREM WO CONTR W/3D REC,350,73700,"$1,380.84 ","$1,380.84 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800083,CT ABD & PELVIS W/WO CONTRAST,350,74178,"$3,772.80 ","$3,772.80 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800057,CT HEAD W/CONTRAST,351,70460,"$1,306.16 ","$1,306.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800058,CT HEAD W/WO CONTRAST,351,70470,"$1,712.03 ","$1,712.03 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800059,CT HEAD WO CONTRAST,351,70450,"$1,092.76 ","$1,092.76 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800060,CT MAXILFAC/HEAD W/CONTRAST,351,70487,"$1,306.16 ","$1,306.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800061,CT MAXILFAC/HEAD W/WO CONTRAST,351,70488,"$1,632.47 ","$1,632.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800062,CT MAXILLOFACIAL OR SINUS W/O CON,351,70486,"$1,092.76 ","$1,092.76 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800063,CT SELLA W/CONTRAST,351,70481,"$1,306.16 ","$1,306.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800064,CT SELLA W/WO CONTRAST,351,70482,"$1,306.16 ","$1,306.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800065,CT SELLA WO CONTRAST,351,70480,"$1,092.76 ","$1,092.76 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800066,CT TISSUE NECK W/CONTRAST,351,70491,"$1,306.16 ","$1,306.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800067,CT TISSUE NECK W/WO CONTRAST,351,70492,"$1,632.47 ","$1,632.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800068,CT TISSUE NECK WO CONTRAST,351,70490,"$1,092.76 ","$1,092.76 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800069,ER CT HEAD WO CONTRAST,351,70450,"$1,092.76 ","$1,092.76 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800070,CT SINUS W/O CONTRAST,352,70486,$912.24 ,$912.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 1800071,ER CT ABD WO CONTRAST,352,74150,"$1,446.01 ","$1,446.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400002,BLOOD PATCH,360,62273,$489.76 ,$489.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400003,CHEST TUBE W/WO WATER SEAL,360,32020,$864.25 ,$864.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400004,LIVER BX NEEDLE PERCUTANEOUS,360,47000,$337.64 ,$337.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400005,TRANSCATHER OR SHUNT DECLOTTING,360,37201,$432.03 ,$432.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400006,VASC ACCESS FLUSH/ASPIR ANY DEVIC,360,61070,$169.74 ,$169.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400007,VASC CATH INSERTION,360,,$432.03 ,$432.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400008,ATHERECTOMY PERCUT BRACHIO EA VES,360,35494,"$8,136.60 ","$8,136.60 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400009,ATHERECTOMY PERCUT TIBIOPERONEAL,360,35495,"$8,136.60 ","$8,136.60 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400010,ATHERECTOMY PERCUTANEOUS ILIAC,360,35492,"$8,136.60 ","$8,136.60 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400011,ATHERECTOMY PERCUT FEM/POPITEAL,360,35493,"$8,136.60 ","$8,136.60 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400012,ATHERECTOMY PERCUT RENAL/OTH VIS,360,35490,"$8,136.60 ","$8,136.60 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400013,ATHRECTOMY PERCUTANEOUS AORTIC,360,35491,"$8,136.60 ","$8,136.60 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400014,IMPLANT CARDIAC EVENT MONIT LOOP,360,33282,"$1,597.79 ","$1,597.79 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400016,INSERT DUAL CHAMBER ICD,360,33217,"$10,252.70 ","$10,252.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400018,INSERT PACE PULSE GEN DUAL ATR/VE,360,33213,"$17,179.28 ","$17,179.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400019,INSERT PACING LEAD & CONNECT,360,33224,"$3,137.84 ","$3,137.84 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400022,INSERT PULSE GEN SNGL/DUAL CHAMBER,360,33240,"$26,286.38 ","$26,286.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400023,INSERT TMP TRANSV DUAL PACE ELTRD,360,33211,"$10,253.21 ","$10,253.21 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400024,INST ELTRD SNGL/DUAL & PULSE GENE,360,33249,"$37,768.63 ","$37,768.63 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400025,INTRO OF CATH AORTA,360,36200,$134.49 ,$134.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400026,L VENTRIC PACING LEAD ADD ON,360,33225,"$4,034.38 ","$4,034.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400027,LEAD REPOSITION,360,33215,"$2,085.44 ","$2,085.44 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400028,NEEDLE/INTRACATH AORTIC TRANSLUMB,360,36160,$89.67 ,$89.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400029,NEEDLE/INTRACATH CAROTID/VERT ART,360,36100,$89.67 ,$89.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400030,NEEDLE/INTRACATH EXTREMITY ARTERY,360,36140,$89.67 ,$89.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400031,NEEDLE/INTRACATH RETRO BRACH ARTE,360,36120,$89.67 ,$89.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400032,PACEMAKER - REPLACEMENT,360,33212,"$2,957.38 ","$2,957.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400033,PACER INSERT - PERM,360,33207,"$4,787.99 ","$4,787.99 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400034,PACER PERM W/TRASV ELTRD ATR/VEN,360,33208,"$22,978.23 ","$22,978.23 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400035,PACER PERM W/TRANSVEN ELTRD ATRIA,360,33206,"$21,050.06 ","$21,050.06 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400036,PERCARDIOCENTESIS SUBSEQUENT,360,33011,$628.83 ,$628.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400037,PERICARDIOCENTHCLFLO,360,33010,$985.84 ,$985.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400038,PTA AORTIC,360,35472,"$8,136.60 ","$8,136.60 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400039,PTA BRACHIOCEPHALIC EACH VESSEL,360,35475,"$8,136.60 ","$8,136.60 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400040,PTA FEMORAL POPITEAL,360,35474,"$8,136.60 ","$8,136.60 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400041,PTA ILIAC,360,35473,"$8,136.60 ","$8,136.60 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400042,PTA RENAL OR VISCERAL ARTERY,360,35471,"$8,136.60 ","$8,136.60 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400043,PTA TIBIOPERONEAL EACH VESSEL,360,35470,"$8,136.60 ","$8,136.60 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400044,PTA VENOUS,360,35476,"$8,136.60 ","$8,136.60 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400045,PULMONARY ANGIO SELE,360,36015,"$1,464.65 ","$1,464.65 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400047,REMOVAL OF PERMANENT PACEMAKER,360,33233,"$4,787.99 ","$4,787.99 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400050,REMOVE IMPLANTED CARDIAC EXT MONT,360,33284,"$1,440.44 ","$1,440.44 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400052,REMOVE PULSE GEN SUBQ SNGL/DUAL,360,33241,"$3,477.52 ","$3,477.52 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400053,REMOVE TRANSVEN PACE ELTRD DUAL,360,33235,"$3,477.52 ","$3,477.52 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400054,REMOVE TRANSVEN PACE ELTRD SNGL,360,33234,"$3,477.52 ","$3,477.52 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400055,REPAIR LEAD PACE-DEFIB DUAL,360,33220,"$10,253.21 ","$10,253.21 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400056,REPAIR LEAD PACE-DEFIB ONE,360,33218,"$10,253.21 ","$10,253.21 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400057,REPOSISTIN L VENTRIC LEAD,360,33226,"$3,477.52 ","$3,477.52 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400058,REVISE ELTRD PACE-DEFIB SNGL CHAM,360,33216,"$10,253.21 ","$10,253.21 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400059,REVISE POCKET PACEMAKER,360,33222,"$3,189.33 ","$3,189.33 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400060,REVISE POCKET PACING-DEFIB,360,33223,"$3,189.33 ","$3,189.33 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400061,T-CATH STENT PERCU ADD VESS NONCO,360,37206,"$5,373.05 ","$5,373.05 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400062,T-CATH STENT PERCUT VES NONCORNO,360,37205,"$5,373.05 ","$5,373.05 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400063,TEMP PACEMAKER INSERT,360,33210,"$1,577.33 ","$1,577.33 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400064,UPGRADE OF PACER SYSTEM,360,33214,"$11,489.13 ","$11,489.13 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400065,BLADDER VOIDING PRESSURE,360,51795,$360.56 ,$360.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400066,COMPLEX CYSTOMETROGRAM,360,51726,$360.56 ,$360.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400067,COMPLEX UROFLOWMETRY,360,51741,$250.66 ,$250.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400068,INTRA-ABDOMINAL VOIDING PRESSURE,360,51797,$306.98 ,$306.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400069,URETHRAL PRESSURE PROFILE,360,51772,$306.98 ,$306.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400070,HALO APPLICATION,360,20661,$974.80 ,$974.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400071,VENTRICULOSTOMY INSERTION,360,61020,$309.04 ,$309.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400072,BRONCH BX TRACH/STEM/&OR BRONCHUS,360,31629,"$1,915.27 ","$1,915.27 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400073,BRONCH FOREIGN BODY,360,31635,"$2,253.25 ","$2,253.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400074,BRONCH THERAPY ASPIRATION,360,,"$1,915.27 ","$1,915.27 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400075,BRONCHWASH W/OR W/O FLURO GUIDE,360,31622,"$1,563.28 ","$1,563.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400076,ER BRONCH W OR W/O FLURO GUIDANCE,360,31622,"$1,563.28 ","$1,563.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400077,ER BRONCH WASH,360,31622,"$1,563.28 ","$1,563.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400078,LARYNGOSCOPY W/FIBEROPTIC,360,31575,$633.67 ,$633.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400079,TRANSBRONCH BIOPSY SINGLE LOBE,360,31628,"$2,084.24 ","$2,084.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400080,TRANSBRONCH NEEDLE A,360,,"$1,915.27 ","$1,915.27 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400081,C-SECTION,360,59514,"$5,672.34 ","$5,672.34 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400082,COMPLEX CIRC-NEWBORN-FOR CODING,360,54160,"$3,012.26 ","$3,012.26 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400083,COMPLEX CIRCUMCISION-NON NEWBORN,360,54161,"$3,012.26 ","$3,012.26 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400084,SIMPLE CIRC-NEWBORN-FOR CODING,360,54150,"$2,008.23 ","$2,008.23 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400085,SIMPLE CIRCUMCISION-NON NEWBORN,360,54152,"$2,008.23 ","$2,008.23 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400086,SP CENTRAL LINE PLACEMENT,360,36489,$896.56 ,$896.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400087,CV SURGERY 1 HOUR,360,,"$10,023.17 ","$10,023.17 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400088,CV SURGERY 1.0-1.5 HOURS,360,,"$13,781.44 ","$13,781.44 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400089,CV SURGERY 1.5-2.0 HOURS,360,,"$17,539.68 ","$17,539.68 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400090,CV SURGERY 2.0-2.5 HOURS,360,,"$21,297.90 ","$21,297.90 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400091,CV SURGERY 2.5-3.0 HOURS,360,,"$25,056.16 ","$25,056.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400092,CV SURGERY 3.0 - 3.5 HOURS,360,,"$28,814.42 ","$28,814.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400093,CV SURGERY 3.5 - 4.0 HOURS,360,,"$32,572.68 ","$32,572.68 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400094,CV SURGERY 4.0 - 4.5 HOURS,360,,"$36,330.91 ","$36,330.91 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400095,CV SURGERY 4.5 - 5.0 HOURS,360,,"$11,896.07 ","$11,896.07 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400096,CV SURGERY 5.0 - 5.5 HOURS,360,,"$13,011.33 ","$13,011.33 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400097,CV SURGERY 5.5 - 6.0 HOURS,360,,"$14,126.53 ","$14,126.53 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400098,CV SURGERY EA 1/2 HOUR OVER 6.0,360,,"$3,758.24 ","$3,758.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400099,PF AUTOTRANSFUSION,360,,$806.88 ,$806.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400100,PF CARDIOPULMONARY BYPASS,360,,"$2,622.35 ","$2,622.35 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400101,PF IABP DAILY FEE (24 HRS),360,,"$1,613.75 ","$1,613.75 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400102,PF IABP IN-HOUSE HOURLY,360,,$67.24 ,$67.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400103,PF IABP INSERTION,360,,$739.64 ,$739.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400104,PF IABP REMOVAL,360,,$739.64 ,$739.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400105,PF OPCAB/OFF PUMP PROCEDURE,360,,"$2,622.35 ","$2,622.35 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400106,PF OPEN HEART STANDBY,360,,"$2,622.35 ","$2,622.35 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400107,PF PTCA,360,,"$1,120.66 ","$1,120.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400108,PF VAD REMOVAL,360,,"$1,210.31 ","$1,210.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400109,PF VENTRICULAR ASSIST SET UP,360,,"$1,479.28 ","$1,479.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400110,PF VENTRICULAR ASST INHOUSE MONT,360,,$941.39 ,$941.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400111,SURGERY 1 HOUR,360,,"$8,714.26 ","$8,714.26 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400112,SURGERY 1-1.5 HOURS,360,,"$11,982.09 ","$11,982.09 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400113,SURGERY 1.5-2 HOURS,360,,"$15,249.96 ","$15,249.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400114,SURGERY 1/2 HR OVER 4,360,,"$3,267.86 ","$3,267.86 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400115,SURGERY 2-2.5 HOURS,360,,"$18,517.78 ","$18,517.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400116,SURGERY 2.5-3 HOURS,360,,"$21,785.64 ","$21,785.64 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400117,SURGERY 3-3.5 HOURS,360,,"$25,053.49 ","$25,053.49 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400118,SURGERY 3.5-4 HOURS,360,,"$28,321.33 ","$28,321.33 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400445,SURGERY EACH ADDT'L 15 MINUTES,360,,"$1,414.28 ","$1,414.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400446,SURGERY EACH ADDT'L 15 MINUTES,360,,"$1,414.28 ","$1,414.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400447,INTERUPT PRTL/CMPLT INFER VENA,360,37620,"$2,899.38 ","$2,899.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400448,EXTREM VENOGRAM INJ,360,36005,$155.24 ,$155.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400453,BRONCHOSCOPE/LAVAGE DIAGNOSTIC,360,,"$3,661.05 ","$3,661.05 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400466,THORACENTESIS W IMAGE GUIDE,360,32555,"$1,843.69 ","$1,843.69 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400119,CENTRAL VENOUS CATH <5YRS OF AGE,361,36555,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400120,CENTRAL VENOUS CATH >5YRS OF AGE,361,36556,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400121,CVAD 2CATH/SITES W/O SUBQ PRT/PMP,361,36565,"$3,763.14 ","$3,763.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400122,CVAD 2CATH/SITES W/SUBQ PORT/PUMP,361,36566,"$12,775.53 ","$12,775.53 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400123,DECLOTTING ACC DEV/CATH TROMB AGN,361,36550,$512.10 ,$512.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400124,INS VEN ACCESS DEV W/SUBQ PORT <5,361,36560,"$3,763.14 ","$3,763.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400125,INS VEN ACCESS DEV W/SUBQ PORT >5,361,36561,"$3,763.14 ","$3,763.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400126,INSERT VEN ACCESS DEV W/SUBQ PUMP,361,36563,"$3,763.14 ","$3,763.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400127,MECH REM OBSTR CVD THRU DEV LUMEN,361,36596,$672.42 ,$672.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400128,MECH REM PERICATH OBSTRUCT CVAD,361,36595,$672.42 ,$672.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400129,PICC Q/SUBQ PORT/PUMP > 5 YEARS,361,36571,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400130,PICC W/O SUBQ PORT/PUMP < 5 YEARS,361,36568,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400131,PICC W/O SUBQ PORT/PUMP > 5 YEARS,361,36569,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400132,PICC W/SUBQ PORT/PUMP < 5 YEARS,361,36570,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400133,PUNCTURE ASPIRATION CYST BREAST,361,19000,$429.97 ,$429.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400134,REM TUNNEL CVAD W/SUBQ PORT/PUMP,361,36590,"$1,095.58 ","$1,095.58 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400135,REM TUNNEL CVC W/O SUQ PORT/PUMP,361,36589,$647.19 ,$647.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400136,REPOSITION CVC W/FLURO GUIDANCE,361,36597,$649.08 ,$649.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400137,RPL CATH ONLY CVAD W/SUBQ PRT/PMP,361,36578,$649.08 ,$649.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400138,RPL NONTUNNEL CVC W/O SQ PORT/PMP,361,36580,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400139,RPL PERIPH CVAD W/SUBQ PORT,361,36585,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400140,RPL PICC W/O SUBQ PORT OR PUMP,361,36584,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400141,RPL TUNNEL CVAD W/SUBQ PORT,361,36582,"$3,763.10 ","$3,763.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400142,RPL TUNNEL CVAD W/SUBQ PUMP,361,36583,"$3,763.10 ","$3,763.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400143,RPL TUNNEL CVC W/O SUBQ PORT/PUMP,361,36581,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400144,RPR CVAD W/O SUBQ PORT/PUMP,361,36575,$649.08 ,$649.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400145,RPR CVAD W/SUBQ PORT/PUMP,361,36576,$649.08 ,$649.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400146,VEN CATH W/O SUBQ PORT/PUMP <5YRS,361,36557,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400147,VEN CTH W/O SUBQ PORT/PUMP >5YRS,361,36558,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400148,CATH ART 1ST ABD PELV LOW EXTREM,361,36245,$179.32 ,$179.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400149,CATH ART 2ND ABD PELV LOW EXTREM,361,36246,$179.32 ,$179.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400150,CATH ART 3RD ABD PELV LOW EXTREM,361,36247,$179.32 ,$179.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400151,CATH ART ADD 2 3&BYND ABD PELV LE,361,36248,$179.32 ,$179.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400152,CATH ARTER 2 3&BEYOND BRACH/THORA,361,36218,$179.32 ,$179.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400153,CATH ARTERIAL 1ST BRONCHIO/THORA,361,36215,$179.32 ,$179.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400154,CATH ARTERIAL 2ND BRACHIO/THORA,361,36216,$179.32 ,$179.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400155,CATH ARTERIAL 3RD BRACHIO/THORA,361,36217,$179.32 ,$179.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400156,CENTRAL VENOUS CATH <5YRS OF AGE,361,36555,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400157,CENTRAL VENOUS CATH >5 YRS OF AGE,361,36556,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400158,CVAD 2CATH/SITES W/O SUBQ PRT/PMP,361,36565,"$3,763.14 ","$3,763.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400159,CVAD 2CATH/SITES W/SUBQ PORT/PUMP,361,36566,"$12,775.53 ","$12,775.53 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400160,IC INS INTRA-AORTIC BALLOON OPEN,361,33970,$448.28 ,$448.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400161,IC INTRO CATH RT HRT/MAIN PUL ART,361,36013,$179.32 ,$179.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400162,INS VEN ACCESS DEV W/SUBQ PORT <5,361,36560,"$3,763.14 ","$3,763.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400163,INS VEN ACCESS DEV W/SUBQ PORT >5,361,36561,"$3,763.14 ","$3,763.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400164,INSERT VEN ACCESS DEV W/SUBQ PUMP,361,36563,"$3,763.14 ","$3,763.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400165,INTRAV US EA ADD VESSEL NON CORON,361,37251,"$2,827.87 ","$2,827.87 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400166,INTRAVAS US INIT VESSEL NON CORON,361,37250,"$2,827.87 ","$2,827.87 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400167,INTRODUC NEEDLE OR INTRACATH VEIN,361,36000,$44.81 ,$44.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400168,MECH REM OBSTR CVD THRU DEV LUMEN,361,36596,$672.42 ,$672.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400169,MECH REM PERICATH OBSTRUCT CVAD,361,36595,$672.42 ,$672.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400170,NASO OR ORO-GASTRIC TUBE PLACEMNT,361,43752,$179.32 ,$179.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400171,PICC LINE INSERT OVER 2 YEARS CCL,361,,"$3,444.84 ","$3,444.84 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400172,PICC W/O SUBQ PORT/PUMP <5YEARS,361,36568,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400173,PICC W/O SUBQ PORT/PUMP >5 YEARS,361,36569,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400174,PICC W/SUBQ PORT/PUMP <5 YEARS,361,36570,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400175,PICC W/SUBQ PORT/PUMP >5 YEARS,361,36571,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400176,REM TUNNEL CVAD W/SUBQ PORT/PUMP,361,36590,"$1,095.58 ","$1,095.58 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400177,REM TUNNEL CVC W/O SUBQ PORT/PUMP,361,36589,$647.19 ,$647.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400178,REPOSITION CVC W/FLURO GUIDANCE,361,36597,$649.08 ,$649.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400179,RPL CATH ONLY CVAD W/SUBQ PRT/PMP,361,36578,$649.08 ,$649.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400180,RPL NONTUNNEL CVC W/O SQ PORT/PMP,361,36580,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400181,RPL PERIPH CVAD W/SUBQ PORT,361,36585,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400182,RPL PICC W/O SUBQ PORT OR PUMP,361,36584,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400183,RPL TUNNEL CVAD W/SUBQ PORT,361,36582,"$3,763.10 ","$3,763.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400184,RPL TUNNEL CVAD W/SUBQ PUMP,361,36583,"$3,763.10 ","$3,763.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400185,RPL TUNNEL CVC W/O SUBQ PORT/PUMP,361,36581,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400186,RPR CVAC W/O SUBQ PORT/PUMP,361,36575,$649.08 ,$649.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400187,RPR CVAD W/SUBQ PORT/PUMP,361,36576,$649.08 ,$649.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400188,SELECT CATH LT OR RT PULM ARTERY,361,36014,$179.32 ,$179.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400189,SELECT CATH SEG/SUBSEG PULM ARTER,361,36015,$179.32 ,$179.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400190,T-CATH STENT OPEN ADD VESS NONCOR,361,37208,"$5,373.05 ","$5,373.05 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400191,T-CATH STENT OPEN INTL NON CORON,361,37207,"$5,373.05 ","$5,373.05 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400192,VEN CATH W/O SUBQ PORT/PUMP <5 YR,361,36557,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400193,VEN CATH W/O SUBQ PORT/PUMP>5 YR,361,36558,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400194,CENTRAL VENOUS CATH < 5YRS OF AGE,361,36555,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400195,CENTRAL VENOUS CATH > 5YRS OF AGE,361,36556,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400196,CVAD 2CATH/SITES W/O SUBQ PRT/PMP,361,36565,"$3,763.14 ","$3,763.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400197,CVAD 2CATH/SITES W/SUBQ PORT/PUMP,361,36566,"$12,775.53 ","$12,775.53 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400198,INS VEN ACCESS DEV W/SUBQ PORT<5,361,36560,"$3,763.14 ","$3,763.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400199,INS VEN ACCESS DEV W/SUBQ PORT >5,361,36561,"$3,763.14 ","$3,763.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400200,INSERT VEN ACCESS DEV W/SUBQ PUMP,361,36563,"$3,763.14 ","$3,763.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400201,MECH REM OBSTR CVD THRU DEV LUMEN,361,36596,$672.42 ,$672.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400202,MECH REM PERICATH OBSTRUCT CVAD,361,36595,$672.42 ,$672.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400203,PICC W/O SUBQ PORT/PUMP <5 YEARS,361,36568,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400204,PICC W/O SUBQ PORT/PUMP >5 YEARS,361,36569,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400205,PICC W/SUBQ PORT/PUMP <5 YEARS,361,36570,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400206,PICC W/SUBQ PORT/PUMP >5 YEARS,361,36571,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400207,REM IMPLANT VEN ACC DEV/SUBQ RESV,361,,"$1,522.51 ","$1,522.51 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400208,REM TUNNEL CVAD W/SUBQ PORT/PUMP,361,36590,"$1,095.58 ","$1,095.58 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400209,REM TUNNEL CVC W/O SUBQ PORT/PUMP,361,36589,$647.19 ,$647.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400210,REPOSITION CVC W/FLURO GUIDANCE,361,36597,$649.08 ,$649.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400211,RPL CATH ONLY CVAD W/SUBQ PRT/PMP,361,36578,$649.08 ,$649.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400212,RPL PERIPH CVAD W/SUBQ PORT,361,36585,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400213,RPL PICC W/O SUBQ PORT OR PUMP,361,36584,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400214,RPL TUNNEL CVAD W/SUBQ PORT,361,36582,"$3,763.10 ","$3,763.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400215,RPL TUNNEL CVAD W/SUBQ PUMP,361,36583,"$3,763.10 ","$3,763.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400216,RPL TUNNEL CVC W/O SUBQ PORT/PUMP,361,36581,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400217,RPR CVAC W/O SUBQ PORT/PUMP,361,36575,$649.08 ,$649.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400218,RPR CVAD W/SUBQ PORT/PUMP,361,36576,$649.08 ,$649.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400219,RPR NONTUNNEL CVC W/O SQ PORT/PMP,361,36580,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400220,VEN CATH W/O SUBQ PORT/PUMP <5 YRS,361,36557,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400221,VEN CATH W/O SUBQ PORT/PUMP >5 YRS,361,36558,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400222,INSERT INTRA AORTIC BALLOON,361,33967,"$1,075.86 ","$1,075.86 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400223,INSERT TEMP PACEMAKER,361,33210,"$1,577.33 ","$1,577.33 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400224,BONE MARROW COLL & EX,361,38220,$200.02 ,$200.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400225,BIOPSY- LYMPH NODE,361,38500,$704.06 ,$704.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400226,BX BONE MARROW ASPIRATION ONLY,361,38220,$563.37 ,$563.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400227,BX BONE MARROW NEEDLE OR TROCAR,361,38221,$563.37 ,$563.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400228,CADD I PUMP REFILL/MAINTENANCE,361,96520,$188.72 ,$188.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400229,BRONCH W/TRANSBRONCH LUNG BX ADDT,361,31632,"$1,355.19 ","$1,355.19 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400230,BRONCH W/TRANSBRONCH NEEDLE ASPIR,361,31633,"$1,355.19 ","$1,355.19 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400231,ARTHROCENTESIS INTERMED JNT/BURSA,361,20605,$185.13 ,$185.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400232,ARTHROCENTESIS MAJOR JOINT/BURSA,361,20610,$188.29 ,$188.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400233,ARTHROCENTESIS SMALL JOINT/BURSA,361,20600,$179.32 ,$179.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400234,AVULSION NAIL PT PART/CMPT SINGLE,361,11730,$348.32 ,$348.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400235,CUT/PAR BENIGN HYPERKERATOIC 2-4,361,11056,$268.96 ,$268.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400236,CUT/PAR BENIGN HYPERKERATOIC 4 +,361,11057,$313.79 ,$313.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400237,CUT/PAR BENIGN HYPERKERATOIC SNGL,361,11055,$224.14 ,$224.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400238,DESTROY BENIGN LESION 1ST LESION,361,17000,"$1,025.63 ","$1,025.63 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400239,DESTROY BENIGN LESION 2ND - 14TH,361,17003,"$1,025.63 ","$1,025.63 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400240,DESTROY BENIGN LESIONS 15 OR MORE,361,17004,"$1,025.63 ","$1,025.63 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400241,DESTROY WARTS 15 OR MORE LESIONS,361,17111,"$1,140.03 ","$1,140.03 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400242,DESTROY WARTS UP TO 14 LESIONS,361,17110,$84.28 ,$84.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400243,DESTROY WARTS UP TO 14 LESIONS,361,17110,"$1,025.63 ","$1,025.63 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400244,DRESSING/DEBRIDE WO ANESTH LARGE,361,16030,"$1,140.03 ","$1,140.03 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400245,DRESSING/DEBRIDE WO ANESTH MED,361,16025,"$1,025.63 ","$1,025.63 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400246,DRESSING/DEBRIDE WO ANESTH SMALL,361,16020,$254.21 ,$254.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400247,EVACUATIN SUBUNGUAL HEMATOMA,361,11740,$241.61 ,$241.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400248,EXC NAIL&MATRIX PART/CMPT PERMREM,361,11750,$925.65 ,$925.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400249,I & D ABSCESS COMPLICATED OR MULT,361,10061,$944.50 ,$944.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400250,I & D ABSCESS SIMPLE,361,10060,$335.26 ,$335.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400251,INCISION/REM FRGN BDY SUBQ COMPLI,361,10121,"$1,423.69 ","$1,423.69 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400252,INCISION/REM FRGN BDY SUBQ SIMPLE,361,10120,$711.86 ,$711.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400253,INITIAL TX 1ST DEGREE BURN,361,16000,$269.87 ,$269.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400254,INJ SNGL TENDON ORGIN/INSERTION,361,20551,$179.32 ,$179.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400255,INJ SNGL TENDON SHEATH LIG APONEU,361,20550,$179.32 ,$179.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400256,INJ SNGL/MULT TRIGGER PTS 10R2 MU,361,20552,$269.87 ,$269.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400257,INJ SNGL/MULT TRIGGER PTS 3 OR MORE,361,20553,$357.70 ,$357.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400258,RECONSTRUCT NAIL BED WITH GRAFT,361,11762,"$1,538.45 ","$1,538.45 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400259,REM FB EXT AUDITORY CANAL WO ANES,361,69200,$298.10 ,$298.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400260,REM FB EXT EYE CONJ EMBEDDED,361,65210,"$1,025.63 ","$1,025.63 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400261,REM EXT EYE CONJ SUPERFICIAL,361,65205,$251.01 ,$251.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400262,REM FB EXT CORNEAL WO SLITLMP,361,65220,"$1,025.63 ","$1,025.63 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400263,REM IMPACTED CERUMEN 1 OR BOTH EAR,361,69210,$128.67 ,$128.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400264,REMOVAL SKIN TAGS EACH ADDT'L 10,361,11201,$358.59 ,$358.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400265,REMOVAL SKIN TAGS UP TO 15 LESION,361,11200,$448.28 ,$448.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400266,REPAIR NAIL BED,361,11760,"$1,423.69 ","$1,423.69 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400267,RPR LAYER CLOSURE 12.6-20.0CM,361,12035,"$1,253.38 ","$1,253.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400268,RPR LAYER CLOSUER 2.5 CM OR LESS,361,12031,"$1,025.63 ","$1,025.63 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400269,RPR LAYER CLOSURE 2.6-7.5 CM,361,12032,"$1,128.20 ","$1,128.20 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400270,RPR LAYER CLOSURE 20.1 - 30.0 CM,361,12036,"$1,423.69 ","$1,423.69 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400271,RPR LAYER CLOSURE 7.6-12.5 CM,361,12034,"$1,140.38 ","$1,140.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400272,RPR LAYER CLOSURE OVER 30.0 CM,361,12037,"$1,481.06 ","$1,481.06 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400273,RPR LAYER FACIAL 2.5 CM OR LESS,361,12051,"$1,025.63 ","$1,025.63 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400274,RPR LAYER FACIAL AREA 12.6-20.0CM,361,12055,"$1,481.06 ","$1,481.06 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400275,RPR LAYER FACIAL AREA 2.6-5.0 CM,361,12052,"$1,128.20 ","$1,128.20 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400276,RPR LAYER FACIAL AREA 20.1-30.0CM,361,12056,"$1,538.45 ","$1,538.45 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400277,RPR LAYER FACIAL AREA 5.1-7.5CM,361,12053,"$1,252.46 ","$1,252.46 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400278,RPR LAYER FACIAL AREA 7.6-12.5CM,361,12054,"$1,377.69 ","$1,377.69 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400279,RPR LAYER FACIAL AREA OVER 30.0CM,361,12057,"$1,538.45 ","$1,538.45 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400280,RPR LAYER NECK/HAND/FEET 2.5/LESS,361,12041,"$1,025.63 ","$1,025.63 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400281,RPR LAYER NECK/HAND/FEET2.6-7.5CM,361,12042,"$1,128.20 ","$1,128.20 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400282,RPR LAYER NECK/HAND/FEET 12.6-20CM,361,12045,"$1,253.38 ","$1,253.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400283,RPR LAYER NECK/HAND/FEET 20.1-30CM,361,12046,"$1,423.69 ","$1,423.69 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400284,RPR LAYER NECK/HAND/FEET 7.6-12.5CM,361,12044,"$1,140.38 ","$1,140.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400285,RPR LAYER NECK/HAND/FEET OVER 30CM,361,12047,"$1,481.06 ","$1,481.06 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400286,RPR SMPL FACIAL AREA 12.6-20CM,361,12016,"$1,253.38 ","$1,253.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400287,RPR SMPL FACIAL AREA 2.5CM OR LESS,361,12011,"$1,025.63 ","$1,025.63 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400288,RPR SMPL FACIAL AREA 2.6-5.0 CM,361,12013,"$1,128.20 ","$1,128.20 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400289,RPR SMPL FACIAL AREA 20.1-30.0CM,361,12017,"$1,367.22 ","$1,367.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400290,RPR SMPL FACIAL AREA 5.1-7.5CM,361,12014,"$1,230.74 ","$1,230.74 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400291,RPR SMPL FACIAL AREA 7.6-12.5CM,361,12015,"$1,300.42 ","$1,300.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400292,RPR SMPL FACIAL AREA OVER 30.0CM,361,12018,"$1,423.69 ","$1,423.69 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400293,RPR SMPL HAND/FEET/TRK 12.6-20CM,361,12005,"$1,140.38 ","$1,140.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400294,RPR SMPL HAND/FEET/TRK 2.5CMORLES,361,12001,"$1,025.63 ","$1,025.63 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400295,RPR SMPL HAND/FEET/TRK 2.6-7.5CM,361,12002,"$1,036.92 ","$1,036.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400296,RPR SMPL HAND/FEET/TRK 20.1-30 CM,361,12006,"$1,254.42 ","$1,254.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400297,RPR SMPL HAND/FEET/TRK 7.6-12.5CM,361,12004,"$1,048.17 ","$1,048.17 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400298,RPR SMPL HAND/FEET/TRK OVER 30 CM,361,12007,"$1,368.47 ","$1,368.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400299,BC INJECTION PROC MAMMO DUCTOGRAM,361,19030,$179.32 ,$179.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400300,CHANGE NEPHRO PYELOSTOMY TUBE,361,50392,"$1,854.73 ","$1,854.73 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400301,FL VOIDING (CYSTO URETHOGRAM),361,51600,$317.00 ,$317.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400302,INJ ANGIO CAROTID FIRST ORDER,361,36215,$581.42 ,$581.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400303,INJ ANGIO CAROTID SECOND ORDER,361,36216,$687.02 ,$687.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400304,INJ ANGIO CAROTID THIRD ORDER,361,36217,$819.33 ,$819.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400305,INJ PROC ARTHRO KNEE,361,27370,$351.45 ,$351.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400306,INJ PROC ARTHRO SHOULDER,361,23350,$365.71 ,$365.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400307,INJ PROC ARTHRO TMJ,361,21116,$653.73 ,$653.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400308,INJ PROC CYSTO VOID UROCYSTO,361,51600,$317.00 ,$317.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400309,INJ PROC MYELOGRAM CAT SPINAL,361,62284,"$1,065.62 ","$1,065.62 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400310,INJ PROC PERCUT TRANSHEP CHOLANG,361,47500,$829.39 ,$829.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400311,INJ PROC RETRO URETHROCYSTO,361,51610,$509.69 ,$509.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400312,INJ PROC SIALOGRAPHY,361,42550,$403.21 ,$403.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400313,INJ PROC SIS OR HYSTEROGALPINGOGR,361,58340,$403.21 ,$403.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400314,INJ SINUS TRACT DIAG,361,20501,$112.42 ,$112.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400315,INSTIL CON LARYN BRONCH W/O CATH,361,31708,$526.99 ,$526.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400316,INTER INFERIOR VENA CAVA,361,37620,"$5,558.64 ","$5,558.64 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400317,INTRO CATHE SUP INF CAVA,361,36010,"$1,108.74 ","$1,108.74 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400318,INTRO NEEDLE ARTERY,361,36140,$864.25 ,$864.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400319,INTRO PERTRANS CATH BILIARY DRAIN,361,47510,"$2,413.53 ","$2,413.53 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400320,PERC NEPHRO TUBE PLACEMENT,361,50393,"$1,401.75 ","$1,401.75 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400321,PERC VERTEBROPLASTY ADDL LUM/THOR,361,22522,"$5,624.11 ","$5,624.11 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400322,PERC VERTEBROPLASTY UNI/BIL THORA,361,22520,"$5,624.11 ","$5,624.11 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400323,PERC VETEBROPLASTY UNI/BIL LUMBAR,361,22521,"$5,624.11 ","$5,624.11 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400324,RPR CVAD W/SUBQ PORT/PUMP,361,36576,$649.08 ,$649.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400325,RS ASPIRATION ABS HEMA CYST,361,10160,$175.81 ,$175.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400326,RS ASPIRATION BREAST CYST,361,19000,$138.15 ,$138.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400327,RS ASPIRATION EA ADDL BRST SYST,361,19001,$74.87 ,$74.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400328,RS BIOPSY LUNG MEDIAST RAD GUIDED,361,32405,$437.87 ,$437.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400329,RS DEEP BONE BIOPSY CT GUIDED,361,20225,$469.42 ,$469.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400330,RS INSERT CENTRAL VENOUS CATH,361,00364,"$1,218.48 ","$1,218.48 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400331,RS NEEDLE BIOPSY BREAST,361,19100,$218.94 ,$218.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400332,RS NEEDLE BX MUSCLE RAD GUIDED,361,20206,$262.07 ,$262.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400333,RS NEEDLE BX SOFT TISSUE,361,20206,$262.07 ,$262.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400334,RS NEEDLE BX-RAD GUIDED-PLEURA,361,32400,$348.39 ,$348.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400335,RS PNEUMONOCENTESIS,361,32420,$397.44 ,$397.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400336,RS PREOP NDLE LOC ADDL LESION,361,19291,$115.21 ,$115.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400337,RS PREOP NDLE LOC BRST LESION,361,19290,$224.74 ,$224.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400338,RS PTA BRACHIOCEPHALIC,361,35475,"$4,118.67 ","$4,118.67 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400339,RS PTA FEMORAL - POPLITEAL,361,35474,"$4,118.67 ","$4,118.67 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400340,RS PTA ILIAC ARTERY,361,35473,"$4,118.67 ","$4,118.67 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400341,RS PTA RENAL/VISCERAL ARTERY,361,35471,"$2,520.06 ","$2,520.06 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400342,RS PTA TIBIOPERONEAL ARTERY,361,35470,"$2,148.62 ","$2,148.62 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400343,RS PTA VENOUS,361,35476,"$7,975.98 ","$7,975.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400344,RS REPOSITION CENTRAL VEN CATH,361,,$207.36 ,$207.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400345,RS SUPERFICIAL BONE BX CT,361,20220,$276.59 ,$276.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400346,RS THORACENTESIS RAD GUIDED,361,32000,$262.07 ,$262.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400347,RS THORACOSTOMY TUBE,361,32020,$887.13 ,$887.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400348,RS VENOGRAM,361,36005,$152.50 ,$152.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400349,SP ADDTL 3RD ORDER ABD PELVICE LE,361,36248,$322.21 ,$322.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400350,SP ARTERIAL CATHERIZATION MONIT,361,36620,$195.46 ,$195.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400351,SP ARTERIOVENOUS SHUNT DIALYSIS,361,36145,$940.72 ,$940.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400352,SP BILI ENDO PERC DIL BIL STRICT,361,47556,"$4,035.93 ","$4,035.93 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400353,SP BILIARY ENDO WITH BX,361,47553,"$2,556.36 ","$2,556.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400354,SP CATH ARTERY PULMONARY SEL,361,36014,$970.40 ,$970.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400355,SP CENTRAL LINE REVISION,361,,"$1,292.73 ","$1,292.73 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400356,SP CENTRAL VENOUS CATH>5YRS OF AGE,361,36556,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400357,SP CHANGE NEPHRO/PYELOSTOMY TUBE,361,50398,"$2,694.88 ","$2,694.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400358,SP CHANGE PERC BILIARY DRAIN CATH,361,47525,"$2,694.88 ","$2,694.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400359,SP CHEMICAL PLEURODESIS,361,32005,$856.01 ,$856.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400360,SP CHEST TUBE PLACEMENT THORAKLEX,361,32020,$858.00 ,$858.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400361,SP CVAD 2CATH/SITES W/O PRT/PM,361,36565,"$3,763.14 ","$3,763.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400362,SP CVAD 2CATH/SITES W/SQ PORT/PMP,361,36566,"$12,775.53 ","$12,775.53 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400363,SP DECLOT IMPLAN VAS DEVICE/CATH,361,36550,$798.93 ,$798.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400364,SP DECLOT THROMBO AGENT IMP DEVIC,361,36550,$674.29 ,$674.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400365,SP DILATION DILI DUCT W/O STENT,361,47555,"$4,035.93 ","$4,035.93 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400366,SP ENDO VAS THER NON CNS,361,61626,"$11,085.58 ","$11,085.58 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400367,SP ENDOVASC ARTER OCCL HEAD/NECK,361,61623,"$7,940.83 ","$7,940.83 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400368,SP EXCHANGE ARTERIAL CATH THROMBO,361,37209,"$3,989.72 ","$3,989.72 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400369,SP INFUSION THROMBOLYSIS TRANSCAT,361,37202,"$2,050.70 ","$2,050.70 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400370,SP INIT 3RD ORDER ABD PELVIC & LE,361,36247,"$1,963.50 ","$1,963.50 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400371,SP INJ CHOLANGIOGRAPHY EXIST CATH,361,47505,$212.99 ,$212.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400372,SP INJ VASCULAR UNLISTED PROCEDUR,361,36299,$212.99 ,$212.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400373,SP INJECT PTHC,361,47500,$195.46 ,$195.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400374,SP INJECTION PROC PYELOGRAPHY,361,50394,"$3,719.62 ","$3,719.62 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400375,SP INS VEN ACC DEV W/SUBQ PRT/PMP,361,36560,"$3,763.14 ","$3,763.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400376,SP INS VEN ACC DEV W/SUBQ PRT>5,361,36561,"$3,763.14 ","$3,763.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400377,SP INSERT IMPLANCTABLE VENOUS ACCE,361,,"$2,313.58 ","$2,313.58 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400378,SP INSERT VEN ACC DEV W/SUBQ PUMP,361,36563,"$3,763.14 ","$3,763.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400379,SP INTRO CATH NEEDLE VEIN,361,36000,$212.99 ,$212.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400380,SP INTRO CATH SVC/IVC,361,36010,$195.46 ,$195.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400381,SP INTRO GUIDE RENAL/PELVIS URETE,361,50395,"$3,432.00 ","$3,432.00 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400382,SP INTRO NDLE/INTRACATH BRAC ARTE,361,36120,$728.60 ,$728.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400383,SP INTRO NEPHRO/PYELOSTOMY,361,50392,"$3,740.86 ","$3,740.86 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400384,SP INTRO OF CATH HRT/PULM ART,361,36013,$179.32 ,$179.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400385,SP INTRO PERC CATH BILI DRAIN,361,47510,"$2,555.49 ","$2,555.49 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400386,SP INTRODUCTION OF CATH AORTA,361,36200,"$1,340.48 ","$1,340.48 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400387,SP JOINT ASP / INJ,361,20605,$473.38 ,$473.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400388,SP MECH REM OBSTR CVD DEV LUMEN,361,36596,$672.42 ,$672.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400389,SP MECH REM OBSTR MAT CENT VENOUS,361,,"$1,221.54 ","$1,221.54 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400390,SP PERC ASPIRATION/INJ RENAL CYST,361,50390,"$1,400.40 ","$1,400.40 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400391,SP PERC AVE FISTULA THROMBECTOMY,361,36870,"$3,725.96 ","$3,725.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400392,SP PERC INJ EXT PSEUDOANEUR 45M,361,36002,$580.52 ,$580.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400393,SP PERCUT TRANSHEP STNT S&I DRAIN,361,47511,"$1,468.52 ","$1,468.52 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400394,SP PERCUTANEOUS BRUSH BIOPSY TUBE,361,47552,"$4,036.71 ","$4,036.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400395,SP PERM CATH STRIP MECH OBST CVAD,361,36595,$672.42 ,$672.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400396,SP PICC LINE INSERION (OVER 2 YR),361,,"$3,444.84 ","$3,444.84 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400397,SP PICC W/O SUBQ PORT/PUMP <5 YRS,361,36568,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400398,SP PICC W/O SUBQ PORT/PUMP>5YRS,361,36569,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400399,SP PICC W/SUBQ PORT/PUMP <5 YRS,361,36570,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400400,SP PICC W/SUBQ PORT/PUMP > 5YRS,361,36571,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400401,SP REINSERTION TRANSHEPATIC TUBE,361,47530,$636.18 ,$636.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400402,SP REM IMPLANTED VENOUS ACC DEV,361,,"$1,697.94 ","$1,697.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400403,SP REM TUNNEL CVAD V/SUBQ PRT/PMP,361,36590,"$1,095.58 ","$1,095.58 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400404,SP REM TUNNEL CVC W/O SQ PORT/PMP,361,36589,$647.19 ,$647.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400405,SP REMOVE CVA DEVICE OBSTRUCT,361,,"$1,221.54 ","$1,221.54 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400406,SP REPOSITION CVC W/FLURO GUIDANC,361,36597,$649.08 ,$649.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400407,SP RPL CATH ONLY CVAD W/SQ PRT/PM,361,36578,$649.08 ,$649.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400408,SP RPL NONTUNNEL CVC WO SQ PRT/PM,361,36580,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400409,SP RPL PERIPH CVAD W/SUBQ PORT,361,36585,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400410,SP RPL PICC W/O SUBQ PORT OR PUMP,361,36584,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400411,SP RPL TUNNEL CVAD W/SUBQ PORT,361,36582,"$3,763.10 ","$3,763.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400412,SP RPL TUNNEL CVAD W/SUBQ PUMP,361,36583,"$3,763.10 ","$3,763.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400413,SP RPL TUNNEL CVC W/O SUBQ PRT/PM,361,36581,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400414,SP RPR CVAC W/O SUBQ PROT/PUMP,361,36575,$649.08 ,$649.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400415,SP SEL CATH PLACE ARTERIAL,361,36215,$212.99 ,$212.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400416,SP SEL CATH PLACEMENT ART 2ND,361,36216,$212.99 ,$212.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400417,SP SEL CATH PLACEMENT ART 3RD,361,36217,$212.99 ,$212.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400418,SP SEL CATH PLCMT 1ST ORD VAS FAM,361,36245,"$1,984.66 ","$1,984.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400419,SP SEL CATH PLCMT VENOUS 1ST ORDE,361,36011,$212.99 ,$212.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400420,SP SEL CATH PLCMT VENOUS 2ND ORD,361,36012,$212.99 ,$212.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400421,SP SEL CATH PLMT SEG PULMON ART,361,36015,$195.46 ,$195.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400422,SP SELECTIVE CATH PL ADD'L 2/3ORD,361,36218,$416.72 ,$416.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400423,SP SELECTIVE INITIAL 2ND ORDER,361,36246,"$2,171.14 ","$2,171.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400424,SP TEMP CENTRAL VENOUS CATH <5YRS,361,36555,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400425,SP THORACENTESIS W/INSERT TUBE,361,32002,"$1,250.59 ","$1,250.59 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400426,SP TRANS PERPH ATHERECTOMY FEM/PO,361,35493,"$10,170.22 ","$10,170.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400427,SP TRANSCATH OCCLUSION EMB,361,37204,"$3,989.46 ","$3,989.46 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400428,SP TRANSCATH PLACE INTRA STENT AD,361,37206,"$14,638.71 ","$14,638.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400429,SP TRANSCATH PLACE INTRAVAS STENT,361,37205,"$14,638.71 ","$14,638.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400430,SP TRANSCATH STENT EA ADD'L VES,361,37206,"$1,724.38 ","$1,724.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400431,SP TRANSCATH THREAPY INFUSION,361,37201,"$2,419.47 ","$2,419.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400432,SP TRANSCATHER BIOPSY,361,37200,"$2,481.89 ","$2,481.89 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400433,SP TRANSCATHETER STENT PLACEMENT,361,37205,"$4,118.67 ","$4,118.67 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400434,SP TRANSLUMINAL ANGIOPLASTY AORTA,361,35472,"$4,118.67 ","$4,118.67 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400435,SP TUNN VEN CATH W/O SQ PRTPMP>5,361,36558,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400436,SP VASC SURG UNLISTED PROCEDURE,361,37799,"$2,300.78 ","$2,300.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400437,SP VEN CATH W/O SUBQ PPRT/PMP<5YR,361,36557,"$1,686.18 ","$1,686.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400438,TRANSCATHETER RET FOREIGN BODY,361,37203,"$2,131.32 ","$2,131.32 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400439,TRANSLUMINAL ANGIOPLASTY VENOUS,361,00354,"$1,939.38 ","$1,939.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400440,TUBE JEJUNO ENTERAL ALIMEN INTERO,361,44015,"$1,621.47 ","$1,621.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400441,LARYNGOSCOPY FIBEROPTIC DIAGNOSTI,361,31575,$489.96 ,$489.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400442,LARYNGOSCOPY RIGID W/ STROBOSCOPY,361,31579,$954.37 ,$954.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400443,INTRO CATH SUP OR INFER VENA C,361,36010,$170.77 ,$170.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400444,SP INJ OF EXISTING VENOUS DEVI,361,36598,$74.53 ,$74.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400449,PERITONEOCENTESIS ABD INITIAL,361,,"$2,448.42 ","$2,448.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400451,PICC W/O SUBQ PORT/PUMP >5 YEARS,361,36569,"$1,651.78 ","$1,651.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400452,"US PERITONEOCENTESIS, INITIAL",361,49080,"$1,284.82 ","$1,284.82 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400454,INJECTION PROC PYELOGRAPHY,361,50394,"$4,296.48 ","$4,296.48 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400455,PLACE GASTROSTOMY TUBE PERC,361,49440,"$1,084.11 ","$1,084.11 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400456,US ABD PARACENTESIS W/IMAGE GUIDE,361,49083,"$1,799.77 ","$1,799.77 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400457,MIDLINE INSERTION,361,36556,"$1,493.77 ","$1,493.77 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400458,FL FL GASTRIC TUBE INJ,361,49465,$226.92 ,$226.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400459,THORACENTESIS W/ IMAGING GUIDE,361,32555,"$1,907.78 ","$1,907.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400460,BRONCHOSCOPE/BRUSH DIAGNOSTIC,361,31623,"$2,282.05 ","$2,282.05 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400462,INS PICC W/O SUBQ PORT INCL RS&I,361,,"$1,254.09 ","$1,254.09 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400464,BRONCH W/WO FLURO SNGL/MULT BX,361,31625,"$2,414.59 ","$2,414.59 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400465,FL NASAL OROGASTRIC TUBE PLACE,361,43752,$787.32 ,$787.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2700001,ANES TECHINCAL,370,01995,"$1,126.67 ","$1,126.67 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2700002,ANESTHESIA TECH EACH ADD'L 30 MIN,370,01995,$563.37 ,$563.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2700003,ANESTHESIA TECHNICAL--SIMPLE,370,01995,$56.31 ,$56.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2700005,PT WARM SYSTEM ANES,370,,$73.89 ,$73.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2700007,BLOOD TRANSFUSION,370,,"$2,145.05 ","$2,145.05 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2700008,MOD SED SAME PHYS/QHP 5/>YRS INIT,370,99152,$60.83 ,$60.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2700009,CT MOD SED SAME PHYS/QHP 5/>YRS A,370,99153,$60.83 ,$60.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2700010,MOD SED SAME PHYS/QHP 5/> YRS INI,370,99152,$57.32 ,$57.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2700011,MOD SED SAME PHYS/QHP EA ADDT'L 1,370,99153,$57.32 ,$57.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700001,ABO RH NEWBORN,390,86901,$152.20 ,$152.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700002,ABO RH NEWBORN CORD BLOOD,390,86901,$152.20 ,$152.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700003,ADD UNITS X-MATCH,390,86922,$215.88 ,$215.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700005,ANTIBODY ID,390,86870,$66.75 ,$66.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700006,ANTIBODY TITRATION,390,86886,$85.21 ,$85.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700008,BILL ANTIGEN TEST,390,86905,$27.29 ,$27.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700009,BILL AUTOLOGOUS RBC,390,86890,$549.89 ,$549.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700010,BILL AUTOLOGOUS WB,390,86890,$444.61 ,$444.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700011,BILL DEGLYCEROLIZATION FEE,390,P9054,"$1,810.22 ","$1,810.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700012,BILL DIRECTED RBC,390,86890,$565.80 ,$565.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700013,BILL DIRECTED WB,390,86890,$460.42 ,$460.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700014,BILL FFP,390,P9017,$620.38 ,$620.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700015,BILL HLA PLT PHERESIS,390,P9052,"$1,990.84 ","$1,990.84 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700016,BILL IRRADIATED FEE,390,86945,$167.09 ,$167.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700017,BILL ONLY CMV SCREEN,390,86644,$152.20 ,$152.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700018,BILL ONLY RBC,390,,$565.80 ,$565.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700019,BILL ONLY WB,390,86890,$565.80 ,$565.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700020,BILL PLATELET CONC,390,P9019,$620.38 ,$620.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700021,BILL PLATELETPHORESIS,390,P9035,"$2,401.05 ","$2,401.05 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700022,BILL PROC AUTOLOGOUS,390,86890,$349.91 ,$349.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700023,BL GP OTHER,390,86905,$27.29 ,$27.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700025,BLOOD PROCESSING,390,86890,$401.58 ,$401.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700026,COOMBS DIRECT,390,86880,$39.55 ,$39.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700027,COOMBS INDIRECT,390,86885,$39.55 ,$39.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700028,CORD BLOOD ABO RH & DAT,390,,$191.59 ,$191.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700032,L/R BLOOD CMV-NEG,390,P9051,$718.01 ,$718.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700033,L/R IRRADIATED BLOOD,390,P9056,$732.87 ,$732.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700034,LEUK POOR BLOOD,390,P9016,$668.06 ,$668.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700037,PLATELET CONC L/R,390,P9031,$620.38 ,$620.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700038,PLATELET CONC L/R IRRAD,390,P9033,$787.39 ,$787.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700040,PLT PHER L/R CMV-NEG,390,P9055,"$2,553.15 ","$2,553.15 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700041,PLT PHER L/R IRRAD,390,P9037,"$2,161.53 ","$2,161.53 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700042,PRC FE CRYO EA,390,P9012,$276.78 ,$276.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700043,RBC-DEGLYEROLIZED,390,86890,"$1,810.22 ","$1,810.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700045,SOLVENT/DETERGENT PLASMA,390,P9023,"$1,083.91 ","$1,083.91 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700047,TYPE AND XM AUTOLOGOUS,390,86920,$349.91 ,$349.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700048,WASH REDBLOOD CELL,390,P9022,$761.86 ,$761.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700052,CROSSMATCH SALINE PHASE,390,86920,$429.30 ,$429.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700053,CROSSMATCH AHG PHASE,390,86922,$429.30 ,$429.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700054,CROSSMATCH INCUBATION PHASE,390,86921,$261.12 ,$261.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700055,REFERENCE LUI FREEZE THAW ELUTION,390,86860,$428.76 ,$428.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9000002,"CROSSMATCH, ELECTRONIC",390,86923,$373.18 ,$373.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9000003,LSOL ABSC,390,86850,$155.58 ,$155.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9000004,REFERENCE DIFF ADSORPTION OF SERU,390,86978,$283.11 ,$283.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700050,BILL ADMIN CHARGE,391,,$39.99 ,$39.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 8700051,BILLED/NOT TRANSFUSED,391,86890,$406.06 ,$406.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9000001,PROCESSING-DIRECTORA,399,86890,$353.81 ,$353.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500001,BC DIAGNOSTIC MAMMO BILAT,401,76091,$387.06 ,$387.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500002,BC DIAGNOSTIC MAMMO UNI,401,76090,$258.07 ,$258.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500003,BC DUCTOGRAM MULTIPLE,401,76088,$493.04 ,$493.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500005,BC DUCTOGRAM SINGLE,401,76086,$493.04 ,$493.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500007,BC SPECIAL MAMMOGRAM SCREENING,401,00760,$92.33 ,$92.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500008,US GUIDE FOR ENDOMYOCARDIAL BX CV,402,76932,$293.30 ,$293.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500009,US GUIDE FOR PERCARDIOCENTESIS CV,402,76930,$293.30 ,$293.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500010,US PSEUDOANEURYSM CV,402,76936,$293.30 ,$293.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500011,ECHOGRAPHY PREG UTER,402,76815,$695.19 ,$695.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500012,BC DED US BREAST BILAT,402,76645,$539.42 ,$539.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500013,BC DED US BREAST UNILAT,402,76645,$380.90 ,$380.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500014,BC DED US SCROTUM,402,76870,$380.90 ,$380.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500015,ER US GALLBLADDER,402,76705,$629.12 ,$629.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500016,ER US PELVIS,402,76856,$760.62 ,$760.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500017,US ABD LIMITED SINGLE ORGAN/QUAD,402,76705,$629.12 ,$629.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500018,US ABD PARACENTESIS,402,76942,$867.08 ,$867.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500019,US ABDOMEN COMPLETE,402,76700,$691.03 ,$691.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500020,US ABDOMEN LIMITED,402,00767,$649.40 ,$649.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500021,US ABI'S,402,93922,$250.32 ,$250.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500022,US AMNIOCENTESIS GUIDE,402,76946,$470.23 ,$470.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500023,US APPENDIX,402,00767,$595.84 ,$595.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500024,US BREAST BIL,402,76645,$407.51 ,$407.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500025,US BREAST UNILAT,402,76645,$203.78 ,$203.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500026,US BREAST UNILATERAL,402,76645,$195.34 ,$195.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500027,US CHEST,402,76604,$649.40 ,$649.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500028,US ECHO RETRO LIMITED,402,00767,$496.93 ,$496.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500029,US FETAL BIOPHYSICAL PROFILE,402,76818,$426.16 ,$426.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500030,US FETAL BIOPHYSICAL WO NONSTRESS,402,76819,$461.12 ,$461.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500031,US FOLLOW UP STUDY,402,76970,$282.29 ,$282.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500032,US GUIDANCE INTRAOPERATIVE,402,76989,$387.15 ,$387.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500033,US GUIDE MONT VISC TISSUE ABLATIO,402,76940,$217.14 ,$217.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500034,US GUIDE NEEDLE BIOPSY-MUSCLE,402,00769,$306.02 ,$306.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500035,US GUIDE NEEDLE BX - PLEUR,402,00769,$517.09 ,$517.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500036,US GUIDEANCE FOR VASCULAR ACCESS,402,76937,$202.96 ,$202.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500037,US GUIDED ASPIRATION,402,76942,$405.81 ,$405.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500038,US GUIDED FOR THORACENTESIS,402,76942,$675.92 ,$675.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500039,US GUIDED NEEDLE BIOPSY,402,76942,$403.16 ,$403.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500040,US HEMODIALYSIS ACCESS,402,93990,$649.40 ,$649.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500041,US HYPERTROPHIC PYLORIC STENOSIS,402,76705,$595.84 ,$595.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500042,US INFANT HIP W/PHYSICIAN,402,76885,$568.26 ,$568.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500043,US INFANT HIP W/O PHYSICIAN,402,76886,$460.06 ,$460.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500044,US INFANT OR NEONATE HEAD,402,76506,$507.67 ,$507.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500045,US NEEDLE LOC WIRE,402,76096,$514.99 ,$514.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500046,US OB COMPLETE,402,76811,$703.40 ,$703.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500047,US OB COMPLETE ADDITIONAL GEST,402,76812,$283.12 ,$283.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500048,US OB FOLLOW UP,402,76816,$283.12 ,$283.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500049,US OB FOLLOW-UP,402,76816,$216.13 ,$216.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500050,US OB GREATER/14 WKS ADDT'L GEST,402,76810,$911.93 ,$911.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500051,US OB GREATER/14 WKS TRANSABD,402,76805,$580.32 ,$580.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500052,US OB LESS/14 WKS ADDT'L GEST,402,76802,$283.12 ,$283.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500053,US OB LESS/14 WKS TRANSABDOMINAL,402,76801,$283.12 ,$283.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500054,US OB LIMITED,402,76815,$216.13 ,$216.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500055,US OB PLACENTA LOCATION,402,76815,$259.77 ,$259.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500056,US OB TRANSVAGINAL,402,76817,$283.12 ,$283.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500057,US PELVIS,402,76856,$760.62 ,$760.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500058,US PELVIS FOLLOW UP,402,76857,$283.12 ,$283.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500059,US PSEUDOANEURYSM,402,76936,"$1,486.66 ","$1,486.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500060,US RENAL OR AORTA COMPLETE,402,76770,$691.03 ,$691.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500061,US RENAL OR AORTA LIMITED,402,76775,$607.93 ,$607.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500062,US SIS INCLD COLORFLOW DOPPLER,402,76831,$691.03 ,$691.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500063,US SOFT TISSUE EXTREM,402,76880,$649.40 ,$649.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500064,US SOFT TISSUE NECK/HEAD,402,76536,$507.67 ,$507.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500065,US SPINAL CORD,402,76800,$691.03 ,$691.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500066,US TESTICULAR,402,76870,$421.24 ,$421.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500067,US TRANSPLANT RENAL,402,76778,$607.93 ,$607.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500068,US TRANSRECTAL,402,76872,$528.78 ,$528.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500069,US TRANSVAGINAL,402,76830,$691.03 ,$691.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500070,US VENOUS REFLUX,402,93965,$528.06 ,$528.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500121,SP US GUIDE FOR IR,402,76999,$137.07 ,$137.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500123,US GUIDED NEEDLE PLACEMENT,402,76942,$137.24 ,$137.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500125,US EXTR NONVASC LMTD,402,76882,$199.21 ,$199.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500071,BC SCREENING MAMMO BIL,403,76092,$326.97 ,$326.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500072,BC WOMEN'S HEALTH SCREENING,403,,$92.33 ,$92.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500097,PET IMG BRST CA STG/RESTAG,404,78812,"$5,078.16 ","$5,078.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500098,PET IMG BRST CA TRT/DUR TREAT,404,78812,"$5,078.16 ","$5,078.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500099,PET IMG META BRAIN PRESURG EV S2,404,78608,"$5,078.16 ","$5,078.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500100,PET IMG METOB MYOCARD VIA,404,78459,"$5,078.16 ","$5,078.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500101,PET IMG RESTAG THYROID CA,404,78812,"$5,078.16 ","$5,078.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500102,PET IMG WHBOD DX COLORECTAL CA,404,78813,"$5,078.16 ","$5,078.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500103,PET IMG WHBOD DX ESOPHAGEAL CA,404,78813,"$5,078.16 ","$5,078.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500104,PET IMG WHBOD INI LG CA NON SMALL,404,78813,"$5,078.16 ","$5,078.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500105,PET IMG WHBOD INI STAG ESOPHA CA,404,78813,"$5,078.16 ","$5,078.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500106,PET IMG WHBOD LUNG CA NON SM CELL,404,78813,"$5,078.16 ","$5,078.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500107,PET IMG WHBOD RESTAG ESOPHAG CA,404,78813,"$5,078.16 ","$5,078.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500108,PET IMG WHBOD RESTAG MELANOMA,404,78813,"$5,078.16 ","$5,078.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500109,PET IMG WHBOD RESTG LG CA NON SMA,404,G0212,"$5,078.16 ","$5,078.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500110,PET IMG WHBOD/REG INIT HD & NK CA,404,G0224,"$5,078.16 ","$5,078.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500111,PET IMG WHBOD/REG RESTAG HD&NK CA,404,G0225,"$5,078.16 ","$5,078.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500112,PET IMG WHL BOD/REG PUL SING NODE,404,G0125,"$5,078.16 ","$5,078.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500113,PET IMG WHLBOD DX LYMPHOMA,404,G0220,"$5,078.16 ","$5,078.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500114,PET IMG WHLBOD DX MELANOMA,404,G0216,"$5,078.16 ","$5,078.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500115,PET IMG WHLBOD INI COLORECTAL CA,404,G0214,"$5,078.16 ","$5,078.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500116,PET IMG WHLBOD INI STAG MELANOMA,404,G0217,"$5,078.16 ","$5,078.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500117,PET IMG WHLBOD INI STG LYMPHOMA,404,G0221,"$5,078.16 ","$5,078.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500118,PET IMG WHLBOD RESTAG COLOREC CA,404,G0215,"$5,078.16 ","$5,078.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500119,PET IMG WHLBOD/REG DX HD&NK CA,404,G0223,"$5,078.16 ","$5,078.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500120,PET IMG WHLOD RESTAG LYMPHOMA,404,G0222,"$5,078.16 ","$5,078.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500122,PET/CT LIMITED AREA,404,78814,"$5,670.78 ","$5,670.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7500124,PET/CT SKULL BASE TO MID THIGH,404,78815,"$6,483.81 ","$6,483.81 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 300928,XOPENEX 1.25 MG/3ML,410,,$0.38 ,$0.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 306797,XOPENEX,410,,$6.46 ,$6.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3000001,CPAP/BIPAP,410,94660,$84.55 ,$84.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3000002,AEROSOL SET UP,410,94664,$24.67 ,$24.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3000003,AEROSOL SUBSEQUENT,410,94640,$26.78 ,$26.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3000004,CHEST PERCUSSION,410,94668,$21.15 ,$21.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3000005,CO2 THERAPY TREATMENT 15 MIN,410,94640,$23.30 ,$23.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3000006,CP-PD,410,94668,$21.15 ,$21.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3000007,CP-PD SET UP,410,94667,$31.70 ,$31.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3000008,CPAP,410,94660,$87.39 ,$87.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3000009,ER MAXIMIST W/PEAK FLOW,410,94664,$24.67 ,$24.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3000011,INCENTIVE SPIROMETRY,410,94200,$23.30 ,$23.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3000013,IPPB TREEATMENT,410,94640,$23.30 ,$23.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3000014,IPPB TREATMENT SUBSEQUENT,410,94640,$23.30 ,$23.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3000015,IPV TREATMENT,410,94640,$23.30 ,$23.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3000016,IPV TREATMENT SUBSEQUENT,410,94640,$23.30 ,$23.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3000017,LUNG SUCTIONING,410,31720,$44.38 ,$44.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3000018,MAXIMIST,410,94664,$24.67 ,$24.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3000019,MAXIMIST SUBSEQUENT,410,94640,$24.67 ,$24.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3000020,MDI ASTHMA EDUCATION INITIAL,410,94664,$24.67 ,$24.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3000021,MDI ASTHMA EDUCATION SUBSEQUENT,410,94640,$24.67 ,$24.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3000022,MDI PROCEDURE SET UP,410,94664,$24.67 ,$24.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3000023,MDI TREATMENT,410,94640,$26.78 ,$26.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3000025,MISTY OX CPAP,410,94660,$87.39 ,$87.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3000026,NASO TRACHEAL SUCTIONING,410,31720,$44.38 ,$44.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3000028,RESPIRATORY CPR,410,92950,$352.44 ,$352.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3000030,SPUTUM INDUCTION,410,94664,$24.67 ,$24.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3000031,THORACIC DAILY MANAGEMENT,410,94260,$29.59 ,$29.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3000032,US NEB/HEAT AERO TX,410,94664,$24.67 ,$24.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3000034,VENTILATOR SET UP,410,94656,$125.49 ,$125.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3000035,VENTILATOR SUBSECQUENT,410,94657,$82.43 ,$82.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3000037,ARTERIAL PUNCTURE BLOOD FOR DX,410,36600,$178.46 ,$178.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041002,AEROSOL INHALATION,410,,$31.65 ,$31.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041003,AEROSOL PER HOUR,410,,$31.88 ,$31.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041004,AEROSOL TREATMENT,410,,$8.15 ,$8.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041006,AIR COMPRESSOR PER HR,410,,$5.78 ,$5.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041007,AMBULATE W/OXYGEN,410,,$29.05 ,$29.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041008,ART BLOOD GAS ANALYSIS,410,,$75.44 ,$75.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041009,ARTERIAL PUNCTURE,410,,$26.44 ,$26.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041010,BIPAP MGMT PER HOUR,410,,$2.24 ,$2.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041012,CONTINUOUS NEBULIZER TREATMENT,410,,$35.41 ,$35.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041014,CPAP PER HR,410,,$10.03 ,$10.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041015,CPR RESPIRATORY,410,,$12.27 ,$12.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041016,ENDOTRACHEAL EXTUBATION PROC,410,,$14.73 ,$14.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041017,GLUCOSE LAB,410,,$5.67 ,$5.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041018,I STAT LAB,410,,$14.15 ,$14.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041019,INCENTIVE SPIROMETER TREATMENT,410,,$33.87 ,$33.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041020,INHALER METERED DOSE TREATMENT/PUFFS,410,,$3.33 ,$3.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041021,INITIAL AEROSOL,410,,$13.22 ,$13.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041023,INITIAL AIR COMPRESSOR,410,,$14.15 ,$14.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041024,INITIAL BIPAP,410,,$14.15 ,$14.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041025,INITIAL CHEST PHYSIO TREATMENT,410,,$13.95 ,$13.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041026,INITIAL CPAP,410,,$10.03 ,$10.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041027,INITIAL OXIMETRY,410,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041028,INITIAL HUMIDIFIER OXYGEN,410,,$158.68 ,$158.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041029,INITIAL IMV,410,,$14.15 ,$14.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041030,INITIAL INCENTIVE SPIROMETER,410,,$33.87 ,$33.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041031,INITIAL INTRAPULUM PERCUS VENT,410,,$31.40 ,$31.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041032,INITIAL IPPB,410,,$35.41 ,$35.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041033,INITIAL METERED DOSE INHALER,410,,$13.33 ,$13.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041034,INITIAL MIST TENT,410,,$26.44 ,$26.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041035,INITIAL NEBULIZER HAND HELD,410,,$27.62 ,$27.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041036,INITIAL OXIMETRY OXYGEN SAT,410,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041037,INITIAL OXYGEN,410,,$158.68 ,$158.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041038,INITIAL RESUS BAG NON-HEATED,410,,$17.00 ,$17.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041039,INITIAL SUCTION,410,,$15.11 ,$15.11 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041041,INITIAL VITAL CAP & PEAK FLOW,410,,$23.83 ,$23.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041042,INSPIRATORY FORCE MEASUREMENT,410,,$17.00 ,$17.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041043,INTRAPULMONARY PERCUSSIVE VENT,410,,$15.70 ,$15.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041044,IPPB WITH USN IN-LINE,410,,$14.15 ,$14.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041045,OXIMETRY NONINVASIVE CONTINUOUS,410,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041046,OXIMETRY NONINVASIVE PER HOUR,410,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041047,OXIMETRY PER ANALYSIS,410,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041048,OXYGEN ANALYZER DAILY,410,,$11.80 ,$11.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041049,OXYGEN EQUIPMENT DAILY,410,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041050,OXYGEN PER SHIFT,410,,$52.02 ,$52.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041051,OXYGEN MINIMUM,410,,$26.44 ,$26.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041053,PATIENT EDUCATION,410,,$11.80 ,$11.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041054,PULMONARY COMPLIANCE STUDY,410,,$27.87 ,$27.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041055,RESPIRATORY THERAPY ASSISTANT,410,,$6.61 ,$6.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041057,SPIROMETRY BEFORE BRONCHODILATE,410,,$110.02 ,$110.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041058,SPIROMETRY SCREEN,410,,$31.65 ,$31.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041059,SPUTUM COLLECTION,410,,$14.15 ,$14.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041060,SPUTUM INDUCTION,410,,$43.46 ,$43.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041061,SUCTIONING NASAL/TRACHEAL,410,,$21.83 ,$21.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041062,THERAPY MEAN AIRWAY PRES DAILY,410,,$11.80 ,$11.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041063,TRACH CARE,410,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041064,TREATMENT IPPB,410,,$22.68 ,$22.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041065,TREATMENT NEBULIZER HAND HELD,410,,$28.52 ,$28.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041066,TREATMENT RESUSC BAG NONHEATED,410,,$14.15 ,$14.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041069,VENTILATOR FIRST HOUR,410,,$136.71 ,$136.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041070,VENTILATOR PER HOUR,410,,$7.97 ,$7.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041072,VENTILATOR STAND BY,410,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041074,WEANING CRITERIA,410,,$17.36 ,$17.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041075,VENIPUNCTURE,410,,$7.07 ,$7.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041076,BALLARD CLOSED SUCTION CATHETER - HME,410,,$16.54 ,$16.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041077,TRACH CARE KIT,410,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041078,PEAK FLOW,410,,$9.93 ,$9.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041079,SUCTION EQUIPMENT,410,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041080,ALBUTEROL,410,,$4.72 ,$4.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041081,ATROVENT,410,,$4.72 ,$4.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041082,MUCO MIST,410,,$10.63 ,$10.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041083,TRACH TUBE,410,,$41.58 ,$41.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041084,CHEST PHYSIO TREATMENT,410,,$10.78 ,$10.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041086,RESPIRATORY EVALUATION,410,,$10.39 ,$10.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041087,RESPIRATORY EVALUATION FOLLOW UP,410,,$5.67 ,$5.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041088,HME,410,,$101.02 ,$101.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041089,SPEAKING VALVE,410,,$55.37 ,$55.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041090,XOPENEX,410,,$2.15 ,$2.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041092,PULMICORT RES .50MG/2ML,410,,$4.01 ,$4.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041094,VENTILATOR DAILY INITIAL,410,94002,$335.59 ,$335.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3041095,VENTILATOR DAILY SUBSEQ,410,94003,$318.82 ,$318.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200001,HYPERBARIC 02/FULL BODY 30 MIN,413,99183,$623.33 ,$623.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200007,BC HH GAIT TRAIN (ONLY) 15 MIN,420,97116,$359.87 ,$359.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200009,BC HH GAIT TRAIN 15 MIN P1,420,97116,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200010,BC HH GAIT TRAIN 15 MIN P15,420,97116,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200011,BC HH GAIT TRAIN 15 MIN P17,420,97116,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200012,BC HH GAIT TRAIN 15 MIN P3,420,97116,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200013,BC HH GAIT TRAIN 15 MIN P6,420,97116,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200014,BC HH GAIT TRAIN 15 MIN P9,420,97116,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200015,BC HH GAIT TRAIN 15 P5,420,97116,$119.96 ,$119.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200016,BC HH GAIT TRAIN 2/15 MIN P10,420,97116,$59.97 ,$59.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200017,BC HH GAIT TRAIN 2/15 MIN P16,420,97116,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200018,BC HH GAIT TRAIN 2/15 MIN P18,420,97116,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200019,BC HH GAIT TRAIN 2/15 MIN P2,420,97116,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200020,BC HH GAIT TRAIN 2/15 MIN P4,420,97116,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200021,BC HH GAIT TRAIN 2/15 MIN P7,420,97116,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200022,BC HH GAIT TRAIN 2/15 MIN P8,420,97116,$71.99 ,$71.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200023,BC HH GAIT TRAIN (ONLY) 2/15MIN P21,420,97116,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200040,BC HH THERA ACT 15 MIN P11,420,97530,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200041,BC HH THERA ACT 15 MIN P12,420,97530,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200042,BC HH THERA ACT 15 MIN P15,420,97530,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200043,BC HH THERA ACT 15 MIN P16,420,97530,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200044,BC HH THERA ACT 15 MIN P5,420,97530,$119.96 ,$119.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200045,BC HH THERA ACT 15 MIN P6,420,97530,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200046,BC HH THERA ACT 15 MIN P7,420,97530,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200047,BC HH THERA ACT 15 MIN P8,420,97530,$71.99 ,$71.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200048,BC HH THERA ACT 2/15 MIN 13,420,97530,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200049,BC HH THERA ACT 2.15 MIN P10,420,97530,$59.97 ,$59.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200050,BC HH THERA ACT 2/15 MIN P14,420,97530,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200051,BC HH THERA ACT 2/15 MIN P17,420,97530,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200052,BC HH THERA ACT 2/15 MIN P18,420,97530,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200053,BC HH ACT 2/15 MIN P9,420,97530,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200054,BC HH THERA ACT (ONLY) 15 MIN,420,97530,$359.87 ,$359.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200055,BC HH THERA ACT(ONLY) 2/15 MIN P22,420,97530,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200056,BC HH THERA EXER 15 MIN P1,420,97110,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200057,BC HH THERA EXER 15 MIN P11,420,97110,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200058,BC HH THERA EXER 15 MIN P13,420,97110,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200059,BC HH THERA EXER 15 MIN P2,420,97110,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200060,BC JJ TJERA EXER 15 MIN 15,420,97110,$119.96 ,$119.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200061,BC HH THERA EXER 15 MIN P7,420,97110,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200062,BC HH THERA EXER 15 MIN P9,420,97110,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200063,BC HH THERA EXER 2/15 MIN P10,420,97110,$59.97 ,$59.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200064,BC HH THERA EXER 2/15 MIN P12,420,97110,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200065,BC HH THERA EXER 2/15 MIN P14,420,97110,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200066,BC HH THERA EXER 2/15 MIN P3,420,97110,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200067,BC HH THERA EXER 2/15 MIN P4,420,97110,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200068,BC HH THERA EXER 2/15 MIN P6,420,97110,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200069,BC HH THERA EXER 2/15 MIN P8,420,97110,$71.99 ,$71.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200070,BC HH THERA EXER (ONLY) 15 MIN,420,97110,$359.87 ,$359.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200071,BC HH THERA EXER (ONLY) 2/15 MIN P20,420,97110,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200072,BC PT HH EVALUATION,420,97001,$175.94 ,$175.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200073,BC PT HH GAIT TRAINING 15MIN,420,97116,$119.05 ,$119.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200074,BC PT HH JOINT MOBILIZATION,420,97265,$396.93 ,$396.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200075,BC PT HH NEUROMUSCULAR RE-ED 15MIN,420,97140,$198.27 ,$198.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200076,BC PT HH PROSTHETIC TRANNING 15MIN,420,97520,$119.05 ,$119.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200077,BC PT HH RE-EVALUATION,420,97002,$198.27 ,$198.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200078,BC PT HH THER EXERCIASE 15MIN,420,97110,$175.94 ,$175.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200079,BC PT HH ULTRASOUND 15MIN,420,97035,$214.41 ,$214.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200080,BC PT HH WHEELCHAIR MGMT 15MIN,420,97542,$99.09 ,$99.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200086,HH GAIT TRAIN (ONLY) 2/15 MIN P20,420,97116,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200088,HH GAIT TRAIN 15 MIN P-15,420,97116,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200089,HH GAIT TRAIN 15 MIN P-6,420,97116,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200090,HH GAIT TRAIN 15 MIN P-9,420,97116,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200091,HH GAIT TRAIN 15 MIN P-5,420,97116,$119.96 ,$119.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200092,HH GAIT TRAIN 2/15 MIN P10,420,97116,$59.97 ,$59.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200093,HH GAIT TRAIN 2/15 MIN P18,420,97116,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200094,HH GAIT TRAIN 2/15 MIN P2,420,97116,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200095,HH GAIT TRAIN 2/15 MIN P4,420,97116,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200096,HH GAIT TRAIN 2/15 MIN P7,420,97116,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200097,HH GAIT TRAIN 2/15 MIN P8,420,97116,$71.99 ,$71.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200098,HH GAIT TRAINING (ONLY) 15MIN,420,97116,$359.87 ,$359.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200099,HH GAIT TRAINING 15 MIN P-1,420,97116,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200100,HH GAIT TRAINING 15 MIN P-17,420,97116,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200101,HH GAIT TRAINING 15 MIN P-3,420,97116,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200102,HH GAIT TRAINING 2/15 MIN P16,420,97116,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200117,HH THERA ACT (ONLY) 2/15 MIN P21,420,97530,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200119,HH THERA ACTIVITY (ONLY) 15 MIN,420,97530,$359.87 ,$359.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200120,HH THERA ACTIVITY 15 MIN P-11,420,97530,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200121,HH THERA ACTIVITY 15 MIN P-12,420,97530,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200122,HH THERA ACTIVITY 15 MIN P-15,420,97530,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200123,HH THERA ACTIVITY 15 MIN P-16,420,97530,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200124,HH THERA ACTIVITY 15 MIN P-7,420,97530,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200125,HH THERA ACTIVITY 15 MIN P-8,420,97530,$71.99 ,$71.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200126,HH THERA ACTIVITY 15 P-6,420,97530,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200127,HH THERA ACTIVITY 2/15 MIN P10,420,97530,$59.97 ,$59.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200128,HH THERA ACTIVITY 2/15 MIN P13,420,97530,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200129,HH THERA ACTIVITY 2/15 MIN P14,420,97530,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200130,HH THERA ACTIVITY 2/15 MIN P17,420,97530,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200131,HH THERA ACTIVITY 2/15 MIN P18,420,97530,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200132,HH THERA ACTIVITY 2/15 MIN P9,420,97530,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200133,HH THERA EXER (ONLY) 15 MIN,420,97110,$359.87 ,$359.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200135,HH THERA EXER 15 MIN P-1,420,97110,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200136,HH THERA EXER 15 MIN P-11,420,97110,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200137,HH THERA EXER 15 MIN P-13,420,97110,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200138,HH THERA EXER 15 MIN P-2,420,97110,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200139,HH THERA EXER 15 MIN P-5,420,97110,$119.96 ,$119.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200140,HH THERA EXER 15 MIN P-7,420,97110,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200141,HH THERA EXER 15 MIN P-9,420,97110,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200142,HH THERA EXER 2/15 MIN P10,420,97110,$59.97 ,$59.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200143,HH THERA EXER 2/15 MIN P12,420,97110,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200144,HH THERA EXER 2/15 MIN P14,420,97110,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200145,HH THERA EXER 2/15 MIN P3,420,97110,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200146,HH THERA EXER 2/15 MIN P4,420,97110,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200147,HH THERA EXER 2/15 MIN P6,420,97110,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200148,HH THERA EXER 2/15 MIN P8,420,97110,$71.99 ,$71.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200149,HH THERA EXER(ONLY)2/15 MIN P19,420,97110,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200150,PT HH EVALUATION,420,97001,$175.94 ,$175.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200151,PT HH GAIT TRAINING 15MIN,420,97116,$119.05 ,$119.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200155,PT HH JOINT MOBILIZATION,420,97265,$396.93 ,$396.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200156,PT HH NEUROMUSCULAR RE-ED 15MIN,420,97140,$198.27 ,$198.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200160,PT HH PROSTHETIC TRAINING 15MIN,420,97520,$119.05 ,$119.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200164,PT HH RE-EVALUATION,420,97001,$198.27 ,$198.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200165,PT HH THER EXERCISE 15MIN,420,97110,$175.94 ,$175.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200169,PT HH ULTRASOUND 15MIN,420,97035,$214.41 ,$214.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200173,PT HH WHEELCHAIR MGMT 15MIN,420,97542,$99.09 ,$99.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200177,THERA ACTIVITY 15 MIN P-5,420,97530,$119.96 ,$119.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200178,ELECTRICLA STIMULATION UNATTENDED,420,97014,$119.96 ,$119.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200179,AQUATIC THER EX 15MIN,420,97113,$137.82 ,$137.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200183,BB HH GAIT 15 MIN P5,420,97116,$119.96 ,$119.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200188,BC HH GAIT TRAIN (ONLY) 15 MIN,420,97116,$359.87 ,$359.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200190,BC HH GAIT TRAIN (ONLY) 2/15 P20,420,97116,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200191,BC HH GAIT TRAIN 15 MIN (P1),420,97116,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200192,BC HH GAIT TRAIN 15 MIN P1,420,97116,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200193,BC HH GAIT TRAIN 15 MIN P15,420,97116,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200194,BC HH GAIT TRAIN 15 MIN P17,420,97116,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200195,BC HH GAIT TRAIN 15 MIN P3,420,97116,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200196,BC HH GAIT TRAIN 15 MIN P6,420,97116,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200197,BC HH GAIT TRAIN 15 MIN P9,420,97116,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200198,BC HH GAIT TRAIN 2/15 MIN P2,420,97116,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200199,BC HH GAIT TRAIN 2/15 MIN P4,420,97110,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200200,BC HH GAIT TRAIN 2/15 P10,420,97116,$59.97 ,$59.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200201,BC HH GAIT TRAIN 2/15 P16,420,97116,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200202,BC HH GAIT TRAIN 2/15 P18,420,97116,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200203,BC HH GAIT TRAIN 2/15 P4,420,97116,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200204,BC HH GAIT TRAIN 2/15 P7,420,97116,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200205,BC HH GAIT TRAIN 2/15 P8,420,97116,$71.99 ,$71.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200206,BC HH TA 15 MIN P5,420,97530,$119.96 ,$119.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200207,BC HH THERA 15 MIN P5,420,97110,$119.96 ,$119.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200213,BC HH THERA 2/15 P3,420,97110,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200219,BC HH THERA ACT (ONLY) 15 MIN P21,420,97530,$359.87 ,$359.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200221,BC HH THERA ACT (ONLY) 2/15 P22,420,97530,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200222,BC HH THERA ACT 15 MIN P8,420,97530,$71.99 ,$71.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200223,BC HH THERA ACTIVITY 15 MIN P11,420,97530,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200224,BC HH THERA ACTIVITY 15 MIN P12,420,97530,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200225,BC HH THERA ACTIVITY 15 MIN P15,420,97530,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200226,BC HH THERA ACTIVITY 15 MIN P16,420,97530,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200227,BC HH THERA ACTIVITY 15 MIN P6,420,97530,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200228,BC HH THERA ACTIVITY 15 MIN P7,420,97530,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200229,BC HH THERA ACTIVITY 2/15 P10,420,97530,$59.97 ,$59.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200230,BC HH THERA ACTIVITY 2/15 P13,420,97530,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200231,BC HH THERA ACTIVITY 2/15 P14,420,97530,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200232,BC HH THERA ACTIVITY 2/15 P17,420,97530,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200233,BC HH THERA ACTIVITY 2/15 P18,420,97530,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200234,BC HH THERA ACTIVITY 2/15 P9,420,97530,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200235,BC HH THERA EXER (ONLY) 15 MIN,420,97110,$359.87 ,$359.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200237,BC HH THERA EXER (ONLY) 2/15 P19,420,97110,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200238,BC HH THERA EXER 15 MIN (P1),420,97110,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200239,BC HH THERA EXER 15 MIN P11,420,97110,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200240,BC HH THERA EXER 15 MIN P13,420,97110,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200241,BC HH THERA EXER 15 MIN P7,420,97110,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200242,BC HH THERA EXER 15 MIN P9,420,97110,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200245,BC HH THERA EXER 2/15 P10,420,97110,$59.97 ,$59.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200246,BC HH THERA EXER 2/15 P12,420,97110,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200247,BC HH THERA EXER 2/15 P14,420,97110,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200248,BC HH THERA EXER 2/15 P6,420,97110,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200249,BC HH THERA EXER 2/15 P8,420,97110,$71.99 ,$71.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200253,CONTRAST BATH 15 MIN,420,97034,$79.64 ,$79.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200256,DEBRIDEMENT SHARP,420,97601,$332.47 ,$332.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200257,DEBRIDEMENT NON-SELECTIVE,420,97602,$332.47 ,$332.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200258,DIATHERMY,420,97024,$53.06 ,$53.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200259,DRESSING LIMITED,420,97022,$91.47 ,$91.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200262,DSG/DEBRIDE SMALL AREA 15 MIN,420,97110,$144.52 ,$144.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200263,ELEC STIM INTERFERENTIAL,420,97035,$221.77 ,$221.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200264,ELEC STIM MUSC STIMULATOR,420,97032,$221.77 ,$221.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200265,ELECT STIM TNS,420,97032,$240.83 ,$240.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200266,ELECTRO-STIM,420,97014,$221.77 ,$221.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200268,ET EXTENSIVE,420,,$423.89 ,$423.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200269,FAMILY/PATIENT CONF 15 MINUTES,420,97535,$133.00 ,$133.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200272,FLUIDOTHERAPY,420,97110,$192.68 ,$192.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200274,FLUIDOTHERAPY 15MIN,420,97110,$111.25 ,$111.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200275,FUNCT CAPACITY EVAL (2 HOURS),420,97545,"$3,130.85 ","$3,130.85 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200276,FUNCT CAPACITY EVAL (ADD'L HOUR),420,97546,$445.37 ,$445.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200277,FUNCTIONAL MOBILITY 15 MINUTES,420,97530,$139.45 ,$139.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200280,GAIT TRAINING 15 MINUTES,420,97116,$133.74 ,$133.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200283,HH BC EVALUATION,420,97001,$191.81 ,$191.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200284,HH BC GAIT TRAINING 15 MIN,420,97116,$129.70 ,$129.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200288,HH BC JOINT MOBILIZATION,420,97140,$432.58 ,$432.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200289,HH BC NEUROMUSCULAR RE-ED 15 MIN,420,97112,$216.06 ,$216.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200293,HH BC PROSTHETIC TRAINING 15 MIN,420,97761,$129.70 ,$129.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200297,HH BC RE-EVALUATION,420,97002,$216.06 ,$216.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200298,HH BC THER EXERCISE 15 MIN,420,97110,$191.81 ,$191.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200302,HH BC ULTRASOUND 15 MIN,420,97035,$233.78 ,$233.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200306,HH BC WHEELCHAIR MGMT 15 MIN,420,97542,$107.95 ,$107.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200314,HH GAIT TRAIN (ONLY) 15 MIN,420,97116,$359.87 ,$359.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200315,HH GAIT TRAIN (ONLY) 2/15 P20,420,97116,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200316,HH GAIT TRAIN 15 MIN P1,420,97116,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200317,HH GAIT TRAIN 15 MIN P15,420,97116,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200318,HH GAIT TRAIN 15 MIN P17,420,97116,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200319,HH GAIT TRAIN 15 MIN P3,420,97116,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200320,HH GAIT TRAIN 15 MIN P5,420,97116,$119.96 ,$119.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200321,HH GAIT TRAIN 15 MIN P6,420,97116,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200322,HH GAIT TRAIN 15 MIN P9,420,97116,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200323,HH GAIT TRAIN 2/15 MIN P2,420,97116,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200324,HH GAIT TRAIN 2/15 MIN P4,420,97116,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200325,HH GAIT TRAIN 2/15 P10,420,97116,$59.97 ,$59.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200326,HH GAIT TRAIN 2/15 P16,420,97116,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200327,HH GAIT TRAIN 2/15 P18,420,97116,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200328,HH GAIT TRAIN 2/15 P8,420,97116,$71.99 ,$71.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200330,HH GAIT TRIAN 2/15 P7,420,97116,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200331,HH THER ACT 15 MIN (P8),420,97530,$71.99 ,$71.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200332,HH THER EXER 2/15 (P8),420,97110,$71.99 ,$71.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200343,HH THERA ACT (ONLY) 15 MIN P21,420,97530,$359.87 ,$359.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200344,HH THERA ACT (ONLY) 2/15 P22,420,97530,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200345,HH THERA ACT 15 MIN P8,420,97530,$71.99 ,$71.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200347,HH THERA ACTIVITY 15 MIN P11,420,97530,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200348,HH THERA ACTIVITY 15 MIN P12,420,97530,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200349,HH THERA ACTIVITY 15 MIN P15,420,97530,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200350,HH THERA ACTIVITY 15 MIN P16,420,97530,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200351,HH THERA ACTIVITY 15 MIN P5,420,97530,$119.96 ,$119.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200352,HH THERA ACTIVITY 15 MIN P6,420,97530,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200353,HH THERA ACTIVITY 15 MIN P7,420,97530,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200354,HH THERA ACTIVITY 2/15 P10,420,97530,$59.97 ,$59.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200355,HH THERA ACTIVITY 2/15 P13,420,97530,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200356,HH THERA ACTIVITY 2/15 P14,420,97530,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200357,HH THERA ACTIVITY 2/15 P17,420,97530,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200358,HH THERA ACTIVITY 2/15 P18,420,97530,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200359,HH THERA ACTIVITY 2/15 P9,420,97530,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200360,HH THERA EXER (ONLY) 15 MIN,420,97110,$359.87 ,$359.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200361,HH THERA EXER (ONLY) 2/15 P19,420,97110,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200362,HH THERA EXER 15 MIN P1,420,97110,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200363,HH THERA EXER 15 MIN P11,420,97110,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200364,HH THERA EXER 15 MIN P13,420,97110,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200365,HH THERA EXER 15 MIN P2,420,97110,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200366,HH THERA EXER 15 MIN P5,420,97110,$119.96 ,$119.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200367,HH THERA EXER 15 MIN P7,420,97110,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200368,HH THERA EXER 15 MIN P9,420,97110,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200371,HH THERA EXER 2/15 MIN P4,420,97116,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200372,HH THERA EXER 2/15 P10,420,97110,$59.97 ,$59.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200373,HH THERA EXER 2/15 P12,420,97110,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200374,HH THERA EXER 2/15 P3,420,97116,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200375,HH THERA EXER 2/15 P4,420,97110,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200376,HH THERA EXER 2/15 P6,420,97110,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200377,HH THERA EXER 2/15 P8,420,97110,$71.99 ,$71.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200382,HOME PROGRAM 15 MINUTES,420,97535,$96.45 ,$96.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200385,HONDA WORK CONDITIONING ADD 1HR,420,,$151.48 ,$151.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200386,HONDA WORK CONDITIONING INIT 2HRS,420,,$378.62 ,$378.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200388,HUBBARD TANK 15 MINUTES,420,97036,$133.74 ,$133.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200392,INFRARED,420,97026,$49.65 ,$49.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200393,IONTOPHORESIS 15 MINUTES,420,97033,$156.10 ,$156.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200396,JOBST COMPRESSION ONE HOUR,420,97016,$168.55 ,$168.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200397,JOINT MOBILIZATION 15 MIN,420,97140,$216.06 ,$216.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200400,KINETIC EXERCISE 15 MINUTES,420,97110,$130.44 ,$130.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200402,LOW LEVEL ESTABLISHED PATIENT,420,99211,$355.54 ,$355.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200405,MANUAL LYMPH DRAINAGE 15 MIN,420,97140,$207.81 ,$207.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200408,MANUAL TRACTION,420,97122,$222.97 ,$222.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200409,MASSAGE 15 MINUTES,420,97124,$361.38 ,$361.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200412,MUSC TEST MANUAL 15 MIN,420,97750,$129.70 ,$129.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200416,NEUROMUSCULAR REED,420,97140,$361.38 ,$361.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200417,NEUROMUSCULAR REED/BAL TRAIN 15MN,420,97112,$222.97 ,$222.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200418,NEUROMUSCULAR REED/BAL TRAIN 30MN,420,97112,$222.97 ,$222.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200419,NEUROMUSCULAR REED/BAL TRAIN 45MN,420,97112,$222.97 ,$222.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200420,ORB OCULI REFLEX,420,,$101.23 ,$101.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200421,PARAFFIN BATH,420,97018,$240.83 ,$240.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200422,PHONOPHORESIS 15 MINUTES,420,97035,$264.97 ,$264.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200427,PHY THERAPY INITIAL EVAL,420,97001,$328.99 ,$328.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200428,PHY THERAPY RE EVAL,420,97002,$222.97 ,$222.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200436,PULSAVAC 15 MINUTES,420,97110,$222.97 ,$222.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200439,SHARP DEBRIDEMENT WITH WHIRLPOOL,420,97022,$361.38 ,$361.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200440,THER EXER INDEPENDENT EACH 15 MIN,420,97150,$144.52 ,$144.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200441,THER EXERCISE 15 MINUTES,420,97110,$197.45 ,$197.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200444,THERAPEUTIC EXERCISE GROUP,420,97150,$97.47 ,$97.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200445,TILT TABLE 15 MINUTES,420,97116,$197.45 ,$197.45 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200448,TRACTION MECHANICAL,420,97012,$92.24 ,$92.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200449,U S WITH STIM,420,97012,$409.65 ,$409.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200450,ULTRASOUND 15MIN,420,97035,$67.80 ,$67.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200452,ULTRAVIOLET,420,97028,$53.39 ,$53.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200453,UNNA BOOT,420,29580,$282.22 ,$282.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200454,VASOPNEUMATIC DEVICE,420,97016,$78.90 ,$78.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200457,VENOUS STOCKING MEAS/FIT,420,97016,$332.25 ,$332.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200458,WHIRLPOOL,420,97022,$97.34 ,$97.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200459,WORK CONDITIONING ADDITIONAL HOUR,420,97546,$178.13 ,$178.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200460,WORK CONDITIONING INITIAL 2HRS,420,97545,$445.37 ,$445.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200463,WOUNDCARE 15 MINUTES,420,97110,$144.52 ,$144.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200464,PULMONARY STRESS TEST,420,94620,$518.38 ,$518.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200465,3/4 LAYER WRAP UNI OR BILATERAL,420,29580,$395.58 ,$395.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200466,ET CHEM CAUTERIZATION GRANULA TIS,420,17250,$336.41 ,$336.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200467,ET NON-SELECTIVE DEBRIDE W/O ANES,420,97602,$121.04 ,$121.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200468,ET SELECTIVE DEBRIDE W/O ANESTHES,420,97601,$242.00 ,$242.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200469,ET TRIM NONDYSTROPHIC NAILS ANY #,420,11719,$161.93 ,$161.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200470,NON-SELECTIVE DEBRIDEMENT WO ANES,420,97602,$178.13 ,$178.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200471,SELECTIVE DEBRIDEMENT W/O ANESTH,420,97601,$587.94 ,$587.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4200472,UNNA BOOT,420,29580,$395.58 ,$395.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4242001,EVALUATION/ASSESSMENT,420,97001,$378.74 ,$378.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4242002,RE-EVALUATION REASSESSMENT,420,97002,$94.67 ,$94.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4242003,THERAPEUTIC EXERCISE 15 MIN,420,97110,$94.67 ,$94.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4242004,GAIT TRAINING 15 MIN,420,97116,$94.67 ,$94.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4242005,WHIRLPOOL,420,97022,$94.67 ,$94.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4242006,MODALITY APPLICATION,420,97010,$94.67 ,$94.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4242007,ELECTRICAL STIMULATION,420,97014,$94.67 ,$94.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4242008,CPM,420,97110,$189.35 ,$189.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4242009,THERAPEUTIC ACTIVITIES,420,97530,$94.67 ,$94.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4242010,DEBRIDEMENT,420,97610,$94.67 ,$94.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4242011,ADL,420,97535,$94.67 ,$94.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4242012,WOUND CARE I,420,,$94.67 ,$94.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4242013,CPM DEVICE DAILY RENTAL,420,97010,$155.79 ,$155.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4242019,"ORTHOTIC MGMT AND TRAINING, 15 MIN",420,97760,$94.67 ,$94.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4242028,NEUROMUSCULAR REEDUCATION,420,97112,$94.67 ,$94.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4242036,"ORTHOTIC CHECKOUT, 15 MIN",420,97762,$94.67 ,$94.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6274000,"NEG PRESS WOUND TX, < 50 CM 97605",420,97605,$270.03 ,$270.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6274001,"NEG PRESS WOUND TX, > 50 CM 97606",420,97606,$350.52 ,$350.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500001,BC HH OT ADL (ONLY) 15 MIN,430,97535,$359.87 ,$359.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500002,BC HH OT ADL (ONLY) 2/15 P4,430,97535,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500003,BC HH OT ADL (ONLY) 3/15 P5,430,97535,$119.96 ,$119.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500006,BC HH OT ADL 15 MIN P1,430,97535,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500007,BC HH OT ADL 15 MIN P3,430,97535,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500009,BC HH OT ADL 2/15 P2,430,97535,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500012,BC HH OT THERA ACT (ONLY) 15 MIN,430,97530,$359.87 ,$359.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500013,BC HH OT THERA ACT (ONLY) 2/15 P6,430,97530,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500014,BC HH OT THERA ACT (ONLY) 3/15 P7,430,97530,$119.96 ,$119.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500015,BC HH OT THERA ACT 15 MIN P1,430,97530,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500016,BC HH OT THERA ACT 15 MIN P2,430,97530,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500017,BC HH OT THERA ACT 2/15 P3,430,97530,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500020,BC OT HH EVALUATION,430,97003,$198.27 ,$198.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500021,BC OT HH RE-EVALUATION,430,97004,$214.41 ,$214.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500022,BC OT HH SELF CARE TRAINING 15MIN,430,97535,$99.09 ,$99.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500023,BC OT HH THER EXERCISE 15MIN,430,97530,$116.07 ,$116.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500024,HH OT ADL (ONLY) 15 MIN,430,97535,$359.87 ,$359.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500025,HH OT ADL (ONLY) 2/15 P4,430,97535,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500026,HH OT ADL (ONLY) 3/15 P5,430,97535,$119.96 ,$119.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500029,HH OT ADL 15 MIN P1,430,97535,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500030,HH OT ADL 15 MIN P3,430,97535,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500033,HH OT ADL 2/15 P2,430,97535,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500035,HH OT THERA ACT (ONLY) 15 MIN,430,97530,$359.87 ,$359.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500036,HH OT THERA ACT (ONLY) 2/15 P6,430,97530,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500037,HH OT THERA ACT (ONLY) 3/15 P7,430,97530,$119.96 ,$119.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500040,HH OT THERA ACT 15 MIN P1,430,97530,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500041,HH OT THERA ACT 15 MIN P2,430,97530,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500042,HH OT THERA ACT 2/15 P3,430,97530,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500043,OT HH EVALUATION,430,97003,$198.27 ,$198.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500044,OT HH RE-EVALUATION,430,97004,$214.41 ,$214.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500045,OT HH SELF CARE TRAINING 15MIN,430,97535,$99.09 ,$99.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500049,OT HH THER EXERCISE 15MIN,430,97530,$116.07 ,$116.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500053,AAD FUNCTIONAL CAPACITY EVAL,430,97750,"$1,961.28 ","$1,961.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500054,AAD JOB SITE ANALYSIS EA ADD HR,430,,$445.37 ,$445.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500055,AAD JOB SITE ANALYSIS INITIAL 2HR,430,,$890.85 ,$890.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500056,AAD POST OFFER/PRE EMPLOY SCREEN,430,,$267.20 ,$267.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500057,AAD WORK CAPACITY EVALUATION,430,97799,"$2,137.80 ","$2,137.80 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500058,AAD WORK CONDITIONING 2 HRS,430,,$445.37 ,$445.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500059,AAD WORK CONDITIONING EA ADD HR,430,,$178.13 ,$178.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500060,AAD WORK HARDENING EA ADDT'L HR,430,97546,$160.31 ,$160.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500061,AAD WORK HARDENING INITIAL 2 HRS,430,97545,$356.24 ,$356.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500062,AAD WORK TOLERANCE SCREENING,430,,"$1,247.13 ","$1,247.13 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500063,ADL TRAINING 15MIN,430,97535,$133.00 ,$133.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500067,APPLICATION OF SPLINT FINGER DYN,430,29131,$122.97 ,$122.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500068,APPLICATION OF SPLINT FINGER STAT,430,29130,$107.95 ,$107.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500069,APPLICATION OF SPLINT LONG ARM,430,29105,$3.16 ,$3.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500070,APPLICATION OF SPLINT SHT ARM STA,430,29125,$155.93 ,$155.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500071,APPLICATION OF SPLINT SHT ARM DYN,430,29126,$194.94 ,$194.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500072,AQUATIC THERAPY 15MIN,430,97113,$137.82 ,$137.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500076,ASSIST TECH ASSESS 1ON1 W/REPORT,430,97755,$137.98 ,$137.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500077,BANDAGING/WOUND CARE 15 MINUTES,430,97601,$121.62 ,$121.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500081,BC HH OT ADL (ONLY) 15 MIN,430,97535,$359.87 ,$359.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500082,BC HH OT ADL (ONLY) 2/15 P4,430,97535,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500083,BC HH OT ADL (ONLY) 3/15 P5,430,97535,$119.96 ,$119.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500086,BC HH OT ADL 15 MIN P1,430,97535,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500087,BC HH OT ADL 15 MIN P3,430,97535,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500090,BC HH OT ADL 2/15 P2,430,97535,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500092,BC HH OT THERA ACT (ONLY) 15 MIN,430,97530,$359.87 ,$359.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500093,BC HH OT THERA ACT (ONLY)2/15 P6,430,97530,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500094,BC HH OT THERA ACT (ONLY) 3/15 P7,430,97530,$119.96 ,$119.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500095,BC HH OT THERA ACT 15 MIN P1,430,97530,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500096,BC HH OT THERA ACT 15 MIN P2,430,97530,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500097,BC HH OT THERA ACT 2/15 P3,430,97530,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500100,BTE PRIMUS EVALUATION,430,,$427.49 ,$427.49 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500101,CHECKOUT FOR ORTHOTICS 15MIN,430,97762,$76.94 ,$76.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500105,COGNITIVE SKILL DEVELOPMENT 15MIN,430,97532,$122.81 ,$122.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500110,COMMUNITY/WRK REINTEGR TRAIN 15MN,430,97537,$131.36 ,$131.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500115,CONTRAST BATH 15 MIN EACH,430,97034,$79.64 ,$79.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500126,FLUIDOTHERAPY,430,97022,$162.22 ,$162.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500127,FLUIDOTHERAPY,430,97022,$97.34 ,$97.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500129,HH BC EVALUATION,430,97003,$216.06 ,$216.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500130,HH BC REEVALUATION,430,97004,$233.78 ,$233.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500131,HH BC SELF CARE TRAINING 15 MIN,430,97535,$107.95 ,$107.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500135,HH BC THER EXERCISE 15 MIN,430,97530,$126.57 ,$126.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500139,HH OT ADL (ONLY) 15 MIN,430,97535,$359.87 ,$359.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500140,HH OT ADL (ONLY) 2/15 P4,430,97535,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500141,HH OT ADL (ONLY) 3/15 P5,430,97535,$119.96 ,$119.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500144,HH OT ADL 15 MIN P1,430,97535,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500145,HH OT ADL 15 MIN P3,430,97535,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500148,HH OT ADL 2/15 P2,430,97535,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500150,HH OT THERA ACT (ONLY) 15 MIN,430,97530,$359.87 ,$359.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500151,HH OT THERA ACT (ONLY) 2/15 P6,430,97530,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500152,HH OT THERA ACT (ONLY) 3/15 P7,430,97530,$119.96 ,$119.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500155,HH OT THERA ACT 15 MIN P1,430,97530,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500156,HH OT THERA ACT 15 MIN P2,430,97530,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500157,HH OT THERA ACT 2/15 P3,430,97530,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500169,HONDA WORK CONDITIONING ADD 1HR,430,,$151.48 ,$151.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500170,HONDA WORK CONDITIONING INIT 2HRS,430,,$378.62 ,$378.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500171,IONTOPHORESIS 15 MINUTES,430,97033,$81.00 ,$81.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500174,IR FUNCTOINAL CAPACITY EVALUATION,430,97750,"$1,961.28 ","$1,961.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500175,IR JOB SITE ANALYSIS EA ADD HR,430,,$445.37 ,$445.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500176,IR JOB SITE ANALYSIS INITIAL 2 HR,430,,$890.85 ,$890.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500177,IR POST OFFIER/PRE EMPLOY SCREENI,430,,$267.20 ,$267.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500178,IR WORK CAPACITY EVALUATION,430,,"$2,137.80 ","$2,137.80 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500179,IR WORK CONDITIONING 2 HRS,430,97545,$445.37 ,$445.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500180,IR WORK CONDITIONING EACH ADD HR,430,97546,$178.13 ,$178.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500181,IR WORK HARDENING EACH ADDT'L HR,430,97546,$160.31 ,$160.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500182,IR WORK TOLERANCE SCREENING,430,97750,"$1,247.13 ","$1,247.13 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500183,MANUAL THERAPY TECHNIQ 15MIN,430,97140,$136.01 ,$136.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500187,MMES / ELECTRICAL STIMULATION,430,97014,$75.63 ,$75.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500189,MUSCULOSKELETAL MEASUREMENT 15MIN,430,97750,$129.70 ,$129.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500193,NEUROMUSCULAR RE-EDUCATION 15MIN,430,97112,$131.24 ,$131.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500197,ORTHOTICS FITTING/TRAINING 15 MIN,430,97760,$132.88 ,$132.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500202,OT EDUCATION 15 MINUTES,430,97535,$111.25 ,$111.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500206,OT EVALUATION 15 MINUTES,430,97003,$334.07 ,$334.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500207,OT EVALUATION 30 MINUTES,430,97003,$334.07 ,$334.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500208,OT EVALUATION 45 MINUTES,430,97003,$334.07 ,$334.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500209,OT EVALUATION 60 MINUTES,430,97003,$334.07 ,$334.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500211,OT FAMILY CONFERENCE 30 MINUTES,430,97537,$202.59 ,$202.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500212,OT GROUP THERAPY 15 MINUTES,430,97150,$68.99 ,$68.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500216,OT INDIVIDUAL THERAPY 15 MINUTES,430,97530,$109.75 ,$109.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500224,OT RE-EVALUATION,430,97004,$172.74 ,$172.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500225,OT RE-EVALUATION 30 MIN,430,97004,$172.74 ,$172.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500226,OT RE-EVALUATION 45 MIN,430,97004,$172.74 ,$172.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500227,OT RE-EVALUATION 60 MIN,430,97004,$172.74 ,$172.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500228,OT ULTRASOUND 15MIN,430,97035,$67.80 ,$67.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500230,OT WORK CAPACITY ASSESSMENT 2 HRS,430,97545,"$1,621.67 ","$1,621.67 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500231,PARAFIN BATH,430,97018,$51.29 ,$51.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500232,PROSTHETIC TRAINING 15MIN,430,97520,$133.00 ,$133.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500236,SENSORY INTEGRATIVE TECHNIQ 15MIN,430,97533,$132.88 ,$132.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500240,SPLINT CHECK/ADJUSTMENT,430,97703,$101.55 ,$101.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500245,THERAPEUTIC ACTIVITIES 15 MIN,430,97530,$116.07 ,$116.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500249,THERAPEUTIC EXERCISE 15 MIN,430,97110,$119.53 ,$119.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500253,WORK HARDENING INITIAL TWO HOURS,430,97545,$356.24 ,$356.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4543001,OT EVALUATION,430,,$378.74 ,$378.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4543002,OT RE-EVALUATION,430,,$94.67 ,$94.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4543003,OT HOT PACK/ICE PACK,430,,$94.67 ,$94.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4543004,OT ULTRASOUND,430,,$94.67 ,$94.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4543005,OT THERAPEUTIC EXERCISE,430,,$94.67 ,$94.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4543006,OT NEUROMUSCULAR REED 15 MIN,430,,$94.67 ,$94.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4543007,OT GAIT TRAINING,430,,$94.67 ,$94.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4543008,OT THERAPEUTIC PROC-GRP,430,,$94.67 ,$94.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4543009,OT THERAPEUTIC ACTIVITY,430,,$94.67 ,$94.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4543010,OT DEV/COGNITIVE SKILLS,430,,$94.67 ,$94.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4543011,OT SELF CARE/HOME MGT,430,,$94.67 ,$94.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4543012,OT COMMUNITY REINTEGRATION,430,,$94.67 ,$94.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4543013,OT WHEELCHAIR MANAGEMENT,430,,$94.67 ,$94.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4543014,OT COGNITIVE RETRAINING,430,,$94.67 ,$94.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4543015,OT SPLINTING/ORTHOTICS,430,,$94.67 ,$94.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4543016,OT POSITIONING,430,,$94.67 ,$94.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4543017,OT CPM,430,,$189.35 ,$189.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4543018,OT DEBRIDEMENT,430,,$94.67 ,$94.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4543019,OT MODALITY APPLICATION,430,,$94.67 ,$94.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4543020,OT E STIM,430,,$284.02 ,$284.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4543021,OT FUNCTIONAL MOBILITY,430,,$94.67 ,$94.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4543022,OT FUNCTIONAL TRANSFERS,430,,$94.67 ,$94.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4543023,OT WHIRLPOOL,430,,$94.67 ,$94.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500254,HH OT EVALUATION,431,97003,$133.05 ,$133.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500255,HH OT RE-EVALUATION,431,97004,$143.96 ,$143.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500256,HH OT SELF CARE TRAINING 15 MIN,431,97535,$66.48 ,$66.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4500260,HH OT THER EXERCISE 15 MIN,431,97530,$77.93 ,$77.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300001,BC HH ST EVAL ORAL/PHARYNGEAL SWA,440,92610,$155.93 ,$155.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300006,BC HH ST SPEECH TX (ONLY) 15 MIN,440,92507,$359.87 ,$359.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300007,BC HH ST SPEECH TX 15 MIN P1,440,92507,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300008,BC HH ST SPEECH TX 15 MIN P3,440,92507,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300009,BC HH ST SPEECH TX 2/15 P2,440,92507,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300010,BC HH ST SPEECH TX (ONLY) 2/15 P4,440,92507,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300011,BC HH ST SPEECH (ONLY) 3/15 P5,440,92507,$119.96 ,$119.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300014,BC HH ST SWALLOW TX 15 MIN P1,440,92526,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300015,BC HH ST SWALLOW TX 15 MIN P2,440,92526,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300016,BC HH ST SWALLOW TX 2/15 MIN P3,440,92526,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300017,BC HH ST SWALLOW TX(ONLY) 15 MIN,440,92526,$359.87 ,$359.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300018,BC HH ST SWALLOW TX(ONLY) 2/15 P6,440,92526,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300019,BC HH ST SWALLOW TX(ONLY) 3/15 P7,440,92526,$119.96 ,$119.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300020,BC ST HH EVALUATION,440,92506,$419.52 ,$419.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300021,HH ST EVAL ORAL/PHARYNGEAL SWALL,440,92610,$155.93 ,$155.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300027,HH ST SPEECH TX (ONLY) 15 MIN,440,92507,$359.87 ,$359.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300028,HH ST SPEECH TX (ONLY) 2/15 P4,440,92507,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300029,HH ST SPEECH TX (ONLY) 3/15 P5,440,92507,$119.96 ,$119.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300030,HH ST SPEECH TX 15 MIN P1,440,92507,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300031,HH ST SPEECH TX 15 MIN P3,440,92507,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300032,HH ST SPEECH TX 2/15 P2,440,92507,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300033,HH ST SWALLOW TX (ONLY) 15 MIN,440,92526,$359.87 ,$359.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300034,HH ST SWALLOW TX (ONLY) 2/15 P6,440,92526,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300035,HH ST SWALLOW TX (ONLY) 3/15 P7,440,92526,$119.96 ,$119.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300036,HH ST SWALLOW TX 15 MIN P1,440,92526,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300037,HH ST SWALLOW TX 15 MIN P2,440,92526,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300038,HH ST SWALLOW TX 2/15 MIN P3,440,92526,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300041,AAC EVALUATION 1HR 15MIN,440,92607,$579.84 ,$579.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300042,AAC EVALUATION 1HR 30MIN,440,92607,$579.84 ,$579.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300043,AAC EVALUATION 1HR 45MIN,440,92607,$579.84 ,$579.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300044,AAC EVALUATION 2 HOUR,440,92607,$579.84 ,$579.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300045,AAC EVALUATION 60MIN,440,92607,$579.84 ,$579.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300046,AAC MODIFICATIO/TRAIN 2HR,440,92609,$366.79 ,$366.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300047,AAC MODIFICATIO/TRAIN 60MIN,440,92609,$366.79 ,$366.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300048,AAC MODIFICATION/TRAIN 1HR 15MIN,440,92609,$366.79 ,$366.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300049,AAC MODIFICATION/TRAIN 1HR 30MIN,440,92609,$366.79 ,$366.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300050,AAC MODIFICATION/TRAIN 1HR 45MIN,440,92609,$366.79 ,$366.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300051,AAC MODIFICATION/TRAIN 30MIN,440,92609,$366.79 ,$366.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300052,AAC MODIFICATION/TRAIN 45MIN,440,92609,$366.79 ,$366.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300053,AAC RE-EVALUATION 1 HR,440,92607,$482.68 ,$482.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300054,AAC RE-EVALUATION 1 HR 15MIN,440,G0199,$442.80 ,$442.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300055,AAC RE-EVALUATION 1HR 30MIN,440,G0199,$482.68 ,$482.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300056,AAC RE-EVALUATION 1HR 45MIN,440,G0199,$442.80 ,$442.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300057,AAC RE-EVALUATION 2HRS,440,G0199,$442.80 ,$442.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300058,AAC RE-EVALUATION 30 MIN,440,92608,$482.68 ,$482.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300059,AAC RE-EVALUATION 45 MIN,440,G0199,$442.80 ,$442.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300065,BC HH ST SPEECH TX (ONLY) 15 MIN,440,92507,$359.87 ,$359.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300066,BC HH ST SPEECH TX (ONLY) 2/15 P4,440,92507,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300067,BC HH ST SPEECH TX (ONLY) 3/15 P5,440,92507,$119.96 ,$119.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300068,BC HH ST SPEECH TX 15 MIN P1,440,92507,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300069,BC HH ST SPEECH TX 15 MIN P3,440,92507,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300070,BC HH ST SPEECH TX 2/15 P2,440,92507,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300071,BC HH ST SWALLOW TX (ONLY) 15 MIN,440,92526,$359.87 ,$359.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300072,BC HH ST SWALLOW TX (ONLY) 2/15P6,440,92526,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300073,BC HH ST SWALLOW TX (ONLY) 3/15P7,440,92526,$119.96 ,$119.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300074,BC HH ST SWALLOW TX 15 MIN P1,440,92526,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300075,BC HH ST SWALLOW TX 15 MIN P2,440,92526,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300076,BC HH ST SWALLOW TX 2/15 MIN P3,440,92526,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300080,BEDSIDE SWALLOW EVAL 15 MINUTES,440,92610,$240.23 ,$240.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300081,BEDSIDE SWALLOW EVAL 30 MINUTES,440,92610,$360.92 ,$360.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300082,BEDSIDE SWALLOW EVAL 45 MINUTES,440,92610,$481.21 ,$481.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300083,BEDSIDE SWALLOW EVAL 60 MINUTES,440,92610,$601.32 ,$601.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300084,COGITIVE/LINGUSITIC 15 MIN,440,97532,$122.97 ,$122.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300088,EVAL TEP/AAC,440,92506,$577.31 ,$577.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300089,EVAL TEP/AAX 1 HR 15 MIN,440,92506,$577.31 ,$577.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300090,EVAL TEP/AAC 1HR 30 MIN,440,92506,$577.31 ,$577.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300091,EVAL TEP/AAC 1HR 45 MIN,440,92506,$577.31 ,$577.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300092,EVAL TEP/AAC 2 HOURS,440,92506,$577.31 ,$577.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300093,HH BC SPEECH THERAPY,440,92507,$201.69 ,$201.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300102,HH ST SPEECH TX (ONLY) 15 MIN,440,92507,$359.87 ,$359.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300103,HH ST SPEECH TX (ONLY) 2/15 P4,440,92507,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300104,HH ST SPEECH TX (ONLY) 3/15 P5,440,92507,$119.96 ,$119.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300105,HH ST SPEECH TX 15 MIN P1,440,92507,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300106,HH ST SPEECH TX 15 MIN P3,440,92507,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300107,HH ST SPEECH TX 2/15 P2,440,92507,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300109,HH ST SWALLOW TX (ONLY) 2/15 P6,440,92526,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300112,HH ST SWALLOW TX (ONLY) 3/15 P7,440,92526,$119.96 ,$119.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300113,HH ST SWALLOW TX 15 MIN 92,440,92526,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300114,HH ST SWALLOW TX 15 MIN P1,440,92526,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300115,HH ST SWALLOW TX 15 P2,440,92526,$179.96 ,$179.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300116,HH ST SWALLOW TX 2/15 MIN P3,440,92526,$89.97 ,$89.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300118,LARYNGEAL FUNCTION STUDIES,440,92520,$391.97 ,$391.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300119,MOD TEP/AAC 1 HOUR 30 MIN,440,G0201,$366.79 ,$366.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300120,MOD TEP/AAC 1 HOUR 45 MIN,440,G0201,$366.79 ,$366.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300121,MOD TEP/AAC 1 HR,440,G0201,$366.79 ,$366.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300122,MOD TEP/AAC 1 HR 15 MIN,440,G0201,$366.79 ,$366.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300123,MOD TEP/AAC 15 MIN,440,G0201,$366.79 ,$366.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300124,MOD TEP/AAC 2 HOURS,440,G0201,$366.79 ,$366.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300125,MOD TEP/AAC 30 MIN,440,G0201,$366.79 ,$366.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300126,MOD TEP/AAC 45 MIN,440,G0201,$366.79 ,$366.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300127,MOD/TX TEP/AAC,440,G0201,$366.79 ,$366.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300131,PEDIATRIC THERAPY 15 MINUTES,440,92507,$88.94 ,$88.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300132,PEDIATRIC THERAPY 30 MINUTES,440,92507,$133.74 ,$133.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300133,PEDIATRIC THERAPY 45 MINUTES,440,92507,$200.32 ,$200.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300134,PEDIATRIC THERAPY 60 MINUTES,440,92507,$267.06 ,$267.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300135,SLP EVAL (1 1/2 HOUR),440,92506,$797.73 ,$797.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300136,SLP EVAL (15 MIN),440,92506,$240.83 ,$240.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300137,SLP EVAL (2 HOURS),440,92506,"$1,061.17 ","$1,061.17 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300138,SLP EVAL (30 MIN),440,92506,$361.38 ,$361.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300139,SLP EVAL (45 MIN),440,92506,$481.80 ,$481.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300140,SLP EVAL (60 MIN),440,92506,$602.19 ,$602.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300141,SLP EVAL 1 HOUR 15 MINTUES,440,92506,$722.32 ,$722.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300142,SLP EVAL 1 HOUR 45 MINUTES,440,92506,$917.80 ,$917.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300144,SLP GROUP THERAPY 1,440,92508,$240.83 ,$240.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300145,SLP INDIVIDUAL THERAPY (15 MIN),440,92507,$192.68 ,$192.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300146,SLP INDIVIDUAL THERAPY (30 MIN),440,92507,$312.95 ,$312.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300147,SLP INDIVIDUAL THERAPY (45 MIN),440,92507,$433.51 ,$433.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300148,SLP INDIVIDUAL THERAPY (60 MIN),440,92507,$554.04 ,$554.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300151,SPEECH MODIFIED BARIUM SWALLOW ST,440,92611,$481.80 ,$481.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300152,SPEECK MODIFIED BARIUM SWALLOW,440,92611,$405.61 ,$405.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300156,SWALLOWING THERAPY 15 MINUTES,440,92526,$191.81 ,$191.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300157,SWALLOWING THERAPY 30 MINUTES,440,92526,$311.88 ,$311.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300158,SWALLOWING THERAPY 45 MINUTES,440,92526,$432.17 ,$432.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300159,SWALLOWING THERAPY 60 MINUTES,440,92526,$552.30 ,$552.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300162,LTACH SPEECH THERAPY,440,,$688.05 ,$688.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300163,BEDSIDE SWALLOW EVALUATION,440,,$473.84 ,$473.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300164,SWALLOW CURRENT STATUS,440,G8996,$2.24 ,$2.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300165,SLP EVALUATION,440,92506,$463.04 ,$463.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3344001,SPEECH EVALUATION,440,92506,$504.96 ,$504.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3344002,SPEECH THERAPY SESSION,440,92507,$441.84 ,$441.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3344003,EDUCATION TRAINING 15 MINUTES,440,97535,$109.08 ,$109.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3344010,EVALUATION OF SPEECH FLUENCY,440,92521,$724.69 ,$724.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3344011,EVALUATE SPEECH PRODUCTION,440,92522,$590.84 ,$590.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3344012,SPEECH SOUND LANG COMPREHEN,440,92523,"$1,223.39 ","$1,223.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3344013,BEHAVIORAL QUALIT ANALYSIS VOICE,440,92524,$610.15 ,$610.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3344020,COGNITIVE TEST BY HC PRO,440,96125,$722.95 ,$722.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3344021,DEVELOPMENTAL TEST EXTEND,440,96111,$790.88 ,$790.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3344022,ASSESSMENT OF APHASIA,440,96105,$650.25 ,$650.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300160,HHC RE-EVAL SPEECH THERAPY,444,92506,$258.32 ,$258.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3300161,ST HH EVALUATION,444,92506,$258.32 ,$258.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100001,ACNE SURGERY,450,,$95.16 ,$95.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100002,ADULT INTRA CATH,450,,$76.82 ,$76.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100003,AMPUTATION FINGER W/DIR CLOSURE,450,,"$2,047.77 ","$2,047.77 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100004,AMPUTATION FINGER W/LOC ADV FLAP,450,,"$2,047.77 ","$2,047.77 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100005,AMPUTATION TOE/INTERPHALANG JOINT,450,,"$2,553.10 ","$2,553.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100006,AMPUTATION TOE/METATAR JOINT,450,,"$2,553.10 ","$2,553.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100007,ANOSCOPY DIAG W/REM FB,450,,"$1,231.24 ","$1,231.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100008,ANOSCOPY DIAGNOSTIC,450,,$93.77 ,$93.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100009,APPL OF INTERDENTAL FIXATION DEV,450,,$838.42 ,$838.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100010,APPLICATION WALKER/AMB TYPE CAST,450,,$149.77 ,$149.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100011,ARTERIAL CATH,450,,$165.65 ,$165.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100012,ARTERIAL CATH EXT ARTERY,450,,$165.65 ,$165.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100013,ARTERIAL CUTDOWN,450,,$389.00 ,$389.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100014,ARTERIAL PUNCT W/DRAW BLOOD DIA,450,,$119.63 ,$119.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100015,ARTHROCENTESIS SMALL,450,,$292.54 ,$292.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100016,ASPIRATION &/OR INJ GANGLION CYST,450,,$292.54 ,$292.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100017,AVULSION NAIL PLATE,450,,$155.39 ,$155.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100018,AVULSION NAIL PLATE ADDITIONAL,450,,$113.39 ,$113.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100019,AVULSION NAIL PLATE SINGLE,450,,$155.39 ,$155.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100020,BIPSY SGL MULT EXCISION LESION,450,,$393.35 ,$393.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100021,BLADDER IRRIGATION SIMPLE,450,,$162.36 ,$162.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100022,BLEPHROTOMY ABSCESS DRAIN,450,,$429.72 ,$429.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100023,BLOOD TRANSFUSION,450,,$582.28 ,$582.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100024,BROCH W/DILATION OR CLSD RED FRAC,450,,"$2,127.04 ","$2,127.04 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100025,BROCHOSPASM EVALUATION,450,,$152.57 ,$152.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100026,BURN 1ST DEGREE,450,,$155.39 ,$155.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100027,BURN LARGE W/O ANES,450,,"$1,120.71 ","$1,120.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100028,BURN MED/LARGE W/ANES,450,,"$2,285.73 ","$2,285.73 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100029,BURN MED/WHOLE FACE/EXT WO ANES,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100030,BURN SMALL W/ANESTH,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100031,BURN SMALL W/O ANES,450,,$155.39 ,$155.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100032,CARDIOPULMONARY RESUSCITATION CPR,450,,$554.29 ,$554.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100033,CARDIOVERSION EXTERNAL,450,,$781.07 ,$781.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100034,CAST ADDING WALKER TO,450,,$149.77 ,$149.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100035,CAST CYLINDER,450,,$149.77 ,$149.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100036,CAST LONG LEG APPLICATION,450,,$149.77 ,$149.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100037,CAST SHORT ARM DYNAMIC,450,,$149.77 ,$149.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100038,CAST SHORT LEG,450,,$149.77 ,$149.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100039,CAST SHORT LEG WALKING,450,,$149.77 ,$149.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100040,CAST SPICA SHOULDER,450,,"$1,120.71 ","$1,120.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100041,CAST/STRAP GAUNTLET,450,,$149.77 ,$149.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100042,CAST/STRAP LONG ARM,450,,$149.77 ,$149.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100043,CAST/STRAP SHORT ARM,450,,$149.77 ,$149.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100044,CATH INTRO RT HEART MAIN PUL ART,450,,$419.02 ,$419.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100045,CATH SUP/INF VENA CAVA,450,,$740.12 ,$740.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100046,CATH UMBILICAL VEIN NEWBORN,450,,$201.46 ,$201.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100047,CATH URETHRA COMPLICATED,450,,$136.01 ,$136.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100048,CATH URETHRA SIMPLE,450,,$45.61 ,$45.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100049,CAUTERIZE GRANUL TISSUE,450,,$155.39 ,$155.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100050,CENTRAL VENOUS CATH 5YR OR OLDER,450,36556,"$1,736.54 ","$1,736.54 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100051,CENTRAL VENOUS CATH CUTDWN 2Y/UND,450,,"$1,657.28 ","$1,657.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100052,CENTRAL VENOUS CATH OVER AGE 2,450,,"$1,657.28 ","$1,657.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100053,CENTRAL VENOUS CATH PERC OVER 2YR,450,,"$1,679.11 ","$1,679.11 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100054,CLINIC - OUTPATIENT,450,99281,$204.38 ,$204.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100055,CLOSURE LAC MOUTH 2.5 CM OR LESS,450,,$275.76 ,$275.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100056,CLOSURE LAC MOUTH OVER 2.5CM COMP,450,,$838.42 ,$838.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100057,CLS SKULL TRMT WO OPERATION,450,,"$2,086.98 ","$2,086.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100058,CLS TREAT TARSOMETAR JOINT,450,,$361.30 ,$361.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100059,CLS TX TRIMALLEOLAR ANK FX W/MAN,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100060,CLS TX TRIMALLEOLAR ANK FX WO MAN,450,,$481.50 ,$481.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100061,CLSD BIMALLEOR ANKLE FX W/O MANIP,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100062,CLSD FX OF PHALANX/PHALANG W/MANI,450,,"$4,231.36 ","$4,231.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100063,CLSD HUMERAL TUBEROSITY FX W/MANI,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100064,CLSD RADIALSHFTFX/DIS/DISRAD JT,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100065,CLSD TALUS FRATURE W/O MANIPULA,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100066,CLSD TX BIMALLEOLAR ANKLE FX W/MA,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100067,CLSD TX MA/MAND ALVEO RIDGE FX,450,,"$2,905.81 ","$2,905.81 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100068,CLSD TX OF MAXILLA FX W/WIRE FIXA,450,,"$3,639.41 ","$3,639.41 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100069,CLSD TX PATELLAR FX W/O MANIPULAT,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100070,COLHORRHAPHY SUTURE NONOB VAG INJ,450,,"$2,603.49 ","$2,603.49 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100071,COLPOCENTESIS,450,,"$1,231.24 ","$1,231.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100072,COLPOPERINEORRHAPHY SUTUR VAG INJ,450,,"$2,603.49 ","$2,603.49 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100073,CONJUNCTIVAL EMBEDED,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100074,CONT POSITIVE AIRWAY PRS VENTILAT,450,,$299.54 ,$299.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100075,CRICOTHYROID MEMBRANE,450,,"$2,086.98 ","$2,086.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100076,CX LAC NKNDSFT 2.5 - 7.5,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100077,CYSTOMY TUBE CHANGE SIMPLE,450,,$300.93 ,$300.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100078,DEBRIDE FOREIGN MATTER OF OPEN FX,450,,"$2,512.47 ","$2,512.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100079,DEBRIDE MUSCLE/BONE OF OPEN FX,450,,"$2,512.47 ","$2,512.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100080,DEBRIDE SKIN EA ADDL 10% BD SURF,450,,$155.39 ,$155.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100081,DEBRIDEMENT OF NAILS ONE TO FIVE,450,,$90.98 ,$90.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100082,DEBRIDEMENT OF NAILS SIX OR MORE,450,,$90.98 ,$90.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100083,DEBRIDEMENT SKIN 10% BODY SURFACE,450,,$222.56 ,$222.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100084,DEBRIDEMENT SKIN PARTIAL THICKNES,450,,$131.21 ,$131.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100085,DECLOTTING IV CATH W/THROMBO AGEN,450,,$382.14 ,$382.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100086,DEEP BURIED WIRE PIN SCREW,450,,"$2,512.47 ","$2,512.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100087,DESTROY FACIAL LESION,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100088,DESTROY WART/MOLLCOR,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100089,DESTRUCTION LES PENIS CHEM SIMPLE,450,,$155.39 ,$155.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100090,DESTRUCTION LES ANUS CHM SIMPLE,450,,$377.95 ,$377.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100091,DESTRUCTION LES ANUS EXTENSIVE,450,,"$3,135.27 ","$3,135.27 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100092,DESTRUCTION LES VAGINAL SIMPLE,450,,"$2,603.49 ","$2,603.49 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100093,DESTRUCTION LES VULVA SIMPLE,450,,"$2,285.86 ","$2,285.86 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100094,DILATION URETHRA BY PSG FILIFORM,450,,"$1,772.06 ","$1,772.06 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100095,DILATION URETHRA BY PSG OF SOUND,450,,$429.72 ,$429.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100096,DIS CARPOMET W/MANIP W/ANESTH,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100097,DIS CARPOMET W/MANIP WO ANESTH,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100098,DIS METACARP CLS W/MANIP W/O ANES,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100099,DISLOC ANKLE W/ANES,450,,"$1,960.31 ","$1,960.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100100,DISLOC ANKLE W/O ANES,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100101,DISLOC ELBOW CLSD WO ANES,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100102,DISLOC ELBOW W/ANES,450,,"$1,868.62 ","$1,868.62 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100103,DISLOC HIP CLS WO MANIP WO ANES,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100104,DISLOC INTERPHALANGEAL JOINT OPEN,450,,"$4,231.36 ","$4,231.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100105,DISLOC INTERPHALANGEAL W/ANES,450,,"$1,868.62 ","$1,868.62 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100106,DISLOC JOINT,450,,"$4,231.36 ","$4,231.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100107,DISLOC KNEE CLS W/ANES,450,,"$1,868.62 ","$1,868.62 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100108,DISLOC KNEE CLS WO ANES,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100109,DISLOC METACARP CLS W/MANIP W/ANS,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100110,DISLOC METACARP OPEN,450,,"$4,231.36 ","$4,231.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100111,DISCLOC METARSOPHAL,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100112,DISLOC METATARSO JOINT W/ANES,450,,"$1,868.62 ","$1,868.62 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100113,DISLOC PATELLAR CLSD W/ANES,450,,"$1,868.62 ","$1,868.62 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100114,DISLOC PATELLAR CLSD W/O ANES,450,,$488.72 ,$488.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100115,DISLOC SHOULDER CLSD,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100116,DISLOC SHOULDER CLSD ANES,450,36556,"$1,868.62 ","$1,868.62 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100117,DISLOC SHOULDER W/NECK FX W/MANIP,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100118,DISLOC THUMB W/MANIP,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100119,DRAIN ABSCESS MASTOMY,450,,"$2,331.90 ","$2,331.90 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100120,DRAIN ABCESS MOUTH COMPLICATED,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100121,DRAIN ABCESS MOUTH SIMPLE,450,,$275.76 ,$275.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100122,DRAIN FINGER ABCESS,450,,$258.96 ,$258.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100123,DRAIN LYMPH NODE ABCESS SIMPLE,450,,"$2,331.90 ","$2,331.90 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100124,DRAINAGE SCROTAL WALL ABSCESS,450,,"$1,447.34 ","$1,447.34 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100125,DRAINAGE SKENE'S GLAND ABSCESS,450,,"$2,226.96 ","$2,226.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100126,ECX THROMBOTIC HEMRD,450,,$494.09 ,$494.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100127,ED CHARGE - LEVEL I,450,99281,$204.38 ,$204.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100128,ED CHARGE - LEVEL II,450,99282,$204.38 ,$204.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100129,ED CHARGE - LEVEL III,450,99283,$365.36 ,$365.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100130,ED CHARGE - LEVEL IV,450,99284,$627.08 ,$627.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100131,ED CHARGE - LEVEL V,450,99285,$627.08 ,$627.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100132,ED CHARGE - LEVEL VI,450,99291,"$1,438.91 ","$1,438.91 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100134,EPISIOTOMY,450,,"$2,091.16 ","$2,091.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100135,ERECTION DECOMPRESSION,450,,$374.86 ,$374.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100136,ESC BEN LES FACE 2.1-3.0CM,450,,"$1,120.71 ","$1,120.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100137,ESC BEN LES FACE 3.1-4.0CM,450,,"$1,231.24 ","$1,231.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100138,ESCHAROTOMY,450,,"$1,120.71 ","$1,120.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100139,ESOPHAGOGASTRIC TAMPONADE W/BALLO,450,,"$1,087.20 ","$1,087.20 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100140,EVACUATE SUBUNGUAL HEMATOMA,450,,$90.98 ,$90.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100141,EXC BEN LES FACE 0.5CM OR LESS,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100142,EXC BEN LES FACE 0.6-1.0CM,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100143,EXC BEN LES FACE 1.1-2.0CM,450,,"$1,038.59 ","$1,038.59 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100144,EXC BEN LES FACE OVER 4.0CM,450,,"$2,512.47 ","$2,512.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100145,EXC BEN LES HAND FT GEN .5 OR LES,450,,"$1,038.59 ","$1,038.59 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100146,EXC BEN LES HAND FT GEN 0.6-1.0CM,450,,"$1,038.59 ","$1,038.59 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100147,EXC BEN LES HAND FT GEN 1.1-2.0CM,450,,"$1,038.59 ","$1,038.59 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100148,EXC BEN LES HAND FT GEN 2.1-3.0CM,450,,"$1,120.71 ","$1,120.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100149,EXC BEN LES HAND FT GEN 3.1-4.0CM,450,,"$2,012.78 ","$2,012.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100150,EXC BEN LES HAND FT GEN OVER 4.0C,450,,"$2,512.47 ","$2,512.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100151,EXC BEN LES TRK ARM-LEG 0.6-1.0CM,450,,$544.51 ,$544.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100152,EXC BEN LES TRK ARM-LEG 1.1-2.0CM,450,,$544.51 ,$544.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100153,EXC BEN LES TRK ARM-LEG 2.1-3.0CM,450,,"$1,120.71 ","$1,120.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100154,EXC BEN LES TRK ARM-LEG 3.1-4.0CM,450,,"$1,231.24 ","$1,231.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100155,EXC BEN LES TRK ARM-LEG OVER 4.0,450,,"$2,012.78 ","$2,012.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100156,EXC BEN LES TRK ARM-LEG .5 OR LES,450,,$544.51 ,$544.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100157,EXC BURN WO GRAFT 1% BODY SURFACE,450,,"$1,679.11 ","$1,679.11 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100158,EXC BURN WO GRAFT 1-9% BOY SURFAC,450,,"$1,679.11 ","$1,679.11 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100159,EXC BURN WO GRAFT EA ADDL 9% BODY,450,,"$1,679.11 ","$1,679.11 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100160,EXC LESION SCALP/NECK/FEET/ECT,450,,$170.34 ,$170.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100161,EXC NAIL PERMANENT REMOVAL,450,,$544.51 ,$544.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100162,EXC PILONIDAL CYST/SINUS COMPLICA,450,,"$2,512.47 ","$2,512.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100163,EXC PILONIDAL CYST/SINUS EXTENSIV,450,,"$2,512.47 ","$2,512.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100164,EXC PILONIDAL CYST/SINUS SIMPLE,450,,"$2,512.47 ","$2,512.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100165,EXC SKIN & SUB TIS SIM/INT RPR,450,,"$2,512.47 ","$2,512.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100166,EXCISION SKIN NAIL FOLD,450,,$222.56 ,$222.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100167,EXPLI/FINGER SPLINT IND,450,,$149.77 ,$149.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100168,FACE LAC 12.5-20CM,450,,"$1,231.24 ","$1,231.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100169,FACE LAC 2.5-5CM,450,12052,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100170,FACE LAC 20-30CM,450,,"$1,231.24 ","$1,231.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100171,FACE LAC 5-7.5CM,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100172,FACE LAC 7.5-12.5CM,450,,"$1,120.71 ","$1,120.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100173,FACE LAC OVER 30CM,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100174,FACE LAC TO 2.5CM,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100175,FAST TRACK LEVEL 1,450,99281,$204.38 ,$204.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100176,FAST TRACK LEVEL 2,450,99282,$204.38 ,$204.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100177,FAST TRACK LEVEL 3,450,99283,$365.34 ,$365.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100178,FAST TRACK LEVEL 4,450,99284,$627.08 ,$627.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100179,FAST TRACK LEVEL 5,450,99285,$627.08 ,$627.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100180,FAST TRACK LEVEL 6 CRITICAL,450,99291,"$1,438.91 ","$1,438.91 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100181,FB REMOVAL COMPLEX,450,,"$2,012.78 ","$2,012.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100182,FORESKIN MANIPULATION,450,,"$1,120.71 ","$1,120.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100183,FX CALCANEAL CLS W/MANIP,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100184,FX CALCANEAL CLS WO MANIP,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100185,FX CARPAL BONE CLS WO MANIP,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100186,FX CARPAL BONE W/MANIP,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100187,FX CARPAL SCAPHOID CLS W/MANIP,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100188,FX CARPAL SCAPHOID CLS W/O MANIP,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100189,FX CLAVICLE W/MANIP,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100190,FX CLAVICULAR CLS W/O MANIP,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100191,FX CLS ACROMIOCLAVICULAR,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100192,FX CLS ARTICULAR W/MANIP,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100193,FX CLS ARTICULAR W/O MANIP,450,,$361.10 ,$361.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100194,FX CLS JNT DST W/MANIP W/ANES,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100195,FX CLS JOINT DIS-W/MANIP WO ANES,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100196,FX CLSD ACROMIOCLAV MANIP,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100197,FX COCCYX CLSD,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100198,FX CONDYLAR HUM WO MANIP,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100199,FX DIST FIBULA CLS W/MANIP,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100200,FX DIST FIBULA CLS W/O MANIP,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100201,FX DISTAL RADIAL CLS W/MANIP,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100202,FX DSTL PHAL CLS W/MANIP,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100203,FX DSTL PHAL EA W/O MANIP,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100204,FX FEMORAL CLS W/O MANIP,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100205,FX GREAT TOE,450,,"$4,231.36 ","$4,231.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100206,FX GREAT TOE CLOSED,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100207,FX GREAT TOE CLS W/MANIP,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100208,FX GREAT TOE CLS WO MANIP,450,28490,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100209,FX HIP SOCKET CLS WO MANIP,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100210,FX HUMERAL SHAFT CLS WO MANIP,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100211,FX HUMERAL SHAFT W/WO SKELETAL TX,450,,"$1,456.15 ","$1,456.15 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100212,FX HUMERUS CLSD,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100213,FX KNEE CLSD W/WO MANIP,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100214,FX MANDIBULAR CLS WO MANIP,450,,$275.76 ,$275.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100215,FX MEDIAL MALLEOUS CLSD W/MANIP,450,,"$1,960.31 ","$1,960.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100216,FX METACARPAL CLS W/MANIP,450,,"$1,120.71 ","$1,120.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100217,FX METARSAL CLS W/O MANIP EACH,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100218,FX METCARPAL CLS W/O MANIP,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100219,FX NASAL OPEN/UNCOMPLICATED,450,,"$2,905.81 ","$2,905.81 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100220,FX NASAL STABILIZATION,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100221,FX NASAL MANIPULATIVE,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100222,FX OPEN PHAL EACH,450,,"$4,231.36 ","$4,231.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100223,FX OPEN PHALANX-FINGER,450,,"$4,231.36 ","$4,231.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100224,FX OR DISLOCATION ELBOW W/O ANES,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100225,FX PELVIC RING CLS WO MANIPULATIO,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100226,FX PHAL OTHER TOE OPEN,450,,"$4,231.36 ","$4,231.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100227,FX PHAL TOE MANIP,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100228,FX PHALANGEAL CLS SHAFT W/O MANIP,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100229,FX PHALANGEAL W/MANIP,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100230,FX PROX FIBULA CLS W/O MANIP,450,,"$4,085.76 ","$4,085.76 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100231,FX PROXIMAL FIBULA CLS W/MANIP,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100232,FX RAD & ULNAR SHAFT CLS W/MANIP,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100233,FX RAD & ULNAR SHAFT CLS WO MANIP,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100234,FX RAD DIST CLS W/O MANIP,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100235,FX RAD HEAD/NECK CLS W/MANIP,450,,"$1,120.71 ","$1,120.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100236,FX RAD HEAD/NECK W/O MANIP,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100237,FX RADIAL CLSD W/MANIP,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100238,FX RADIAL SHAFT CLS W/O MANIP,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100239,FX RIB CLOSED EACH,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100240,FX RIB UNCOMPLICATED EACH,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100241,FX SCAPULAR CLSD,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100242,FX SEPTUM OPEN W/CONCOMITANT,450,,"$2,905.81 ","$2,905.81 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100243,FX STERNOCLAV MANIP,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100244,FX STERNOCLAVICAL,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100245,FX STERNUM CLOSED,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100246,FX SUPRACON/TRANSCON HUM WO MANIP,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100247,FX TALUS CLS W/MANIP,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100248,FX TARSAL BONE CLS W/MANIP EACH,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100249,FX TARSAL BONE CLS W/O MANIP,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100250,FX TIBIAL CLS W/ MANIP,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100251,TX TIBIAL DSTL CLS W/O MANIP,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100252,FX TIBIAL SHAFT CLSD WO MANIP,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100253,FX TOE CLS W/O MANIP,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100254,TX TUBEROS CLSD,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100255,FX ULNAR SHAFT W/MANIP,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100256,FX ULNAR SHAFT W/O MANIP,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100257,FX ULNAR STYLOID CLSD,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100258,FX VERTEBRAL BODY CLS WO MANIP,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100259,FX VERTEBRAL PROCESS CLOSED TRMT,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100260,GASTRIC INTUBATION,450,,$235.16 ,$235.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100261,GASTROSTOMY TUBE CHANGE,450,,"$1,120.71 ","$1,120.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100262,I&D ABSCESS AUDITORY CANAL,450,,$258.96 ,$258.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100263,I&D ABSCESS COMPLEX,450,,$258.96 ,$258.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100264,I&D ABSCESS EXTERNAL EAR COMPLEX,450,,"$1,447.34 ","$1,447.34 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100265,I&D ABSCESS EXTERNAL EAR SIMPLE,450,,$258.96 ,$258.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100266,I&D ABSCESS LEG ANKLE DEEP,450,,"$2,331.90 ","$2,331.90 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100267,I&D ABSCESS NECK THORAX,450,,$258.96 ,$258.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100268,I&D ABSCESS PELVIS HIP DEEP,450,,"$2,687.47 ","$2,687.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100269,I&D ABSCESS PERITONSILAR,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100270,I&D ABSCESS SIMPLE,450,,$258.96 ,$258.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100271,I&D ABSCESS BURSA THIGH OR KNEE,450,,"$2,331.90 ","$2,331.90 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100272,I&D BARTHOLIN GLAND,450,,$393.35 ,$393.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100273,I&D DENTOALVEOLAR STRUCTURE,450,,$275.76 ,$275.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100274,I&D EPIDYMIS TESTIS SCROTAL,450,,"$3,070.96 ","$3,070.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100275,I&D FINGER ABSCESS COMP,450,,"$1,447.34 ","$1,447.34 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100276,I&D FOREARM ABSCESS DEEP,450,,"$2,687.47 ","$2,687.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100277,I&D GEN INFECTED BURSA,450,,"$1,456.15 ","$1,456.15 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100278,I&D HEMATOMA COMPLICATED,450,,"$1,447.34 ","$1,447.34 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100279,I&D HEMATOMA SIMPLE,450,,"$1,447.34 ","$1,447.34 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100280,I&D INFECTED BURSA,450,,"$2,687.47 ","$2,687.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100281,I&D INFECTED BURSA FOOT,450,,"$2,331.90 ","$2,331.90 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100282,I&D INTRAORAL ABSC MOUTH LINGUAL,450,,"$2,086.98 ","$2,086.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100283,I&D INTRAORAL ABSC MOUTH SUBLING,450,,$275.76 ,$275.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100284,I&D PERI-RECTAL ABSCESS,450,,"$1,512.38 ","$1,512.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100285,I&D PERINEAL ABSCESS,450,,$494.09 ,$494.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100286,I&D PILONIDAL CYST,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100287,I&D PILONIDAL CYST COMPLEX,450,,"$1,456.15 ","$1,456.15 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100288,I&D UPPER ARM ABSCESS,450,,"$2,331.90 ","$2,331.90 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100289,I&D VULVA OR PERINEAL ABSCESS,450,,"$1,344.52 ","$1,344.52 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100290,IMMUNIZATION ADDL,450,90472,$21.96 ,$21.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100291,IMMUNIZATION ADMINISTRATION,450,90471,$21.96 ,$21.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100292,INC THROMBOSED HEMORRHOID,450,,$494.09 ,$494.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100293,INCISION & DRAINAGE OF PENIS DEEP,450,,"$1,447.34 ","$1,447.34 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100294,INCISION ABSCESS DEEP/COMPLICATED,450,,"$2,687.47 ","$2,687.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100295,INFECTED BURSA,450,,"$2,687.47 ","$2,687.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100296,INJ ANES AGNT INTERCOSTAL NERVE,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100297,INJ ANESTHETIC AGENT FACIAL NERV,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100298,INJ ANESTHETIC AGENT TRIG NERVE,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100299,INJ EPIDURAL/SUBARA LUMBAR SACRAL,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100300,INJ INTO TURBINATE THERAPEUTIC,450,,"$2,086.98 ","$2,086.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100301,INJ PROC CYSTOGRAPHY,450,,$55.88 ,$55.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100302,INJ SINGLE/MULT TRIGGERPT 1-2MSNC,450,,$292.54 ,$292.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100303,INJ SINGLE/MULT TRIGGERPT 3ORMORE,450,,$292.54 ,$292.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100304,INJ SNGL/MULT TRIGGER PT 1OR2 MUS,450,,$292.54 ,$292.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100305,INJ THERAPEUTIC CARPEL TUNNEL,450,,$328.70 ,$328.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100306,INJ TERAPEUTIC/PROPH/DX- SUBQ/IM,450,90782,$57.40 ,$57.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100307,INJ(S) TENDON SHEATH/LIGAMENT,450,,$292.54 ,$292.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100308,INJECT SINUS TRACT THERAPEUTIC,450,,$275.76 ,$275.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100309,INJECTION EPIDURAL OF BLOOD PATCH,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100310,INJECTION INTRALESIONAL UP TO 7,450,,$113.39 ,$113.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100311,INJECTION TENDON ORIGIN/INSERTION,450,,$292.54 ,$292.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100312,INSERT NONINDWELLING BLADDER CATH,450,,$164.44 ,$164.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100313,INSERT TEMP INDWELLING COMPLICATE,450,,$182.53 ,$182.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100314,INSERTION OF SUPRAPUBIC CATH,450,,"$1,772.06 ","$1,772.06 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100315,INST & PLMT FLOW-DIR CATH TO MON,450,,"$1,710.49 ","$1,710.49 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100316,INST TEMP INDWELLING BLADDER CATH,450,,$164.44 ,$164.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100317,INTER JOINT OR BURSA,450,,$292.54 ,$292.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100318,INTERDENTAL WIRING OTHER THAN FX,450,,"$2,300.88 ","$2,300.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100319,INTERPHA CLS JOINT W/ANES,450,,"$4,231.36 ","$4,231.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100320,INTERPHLANGEAL DISLOCATION,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100321,INTRA CATH ADULT,450,,$55.88 ,$55.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100322,INTRAOSSEOUS PLACEMENT,450,,"$1,960.31 ","$1,960.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100323,INTRAVENOUS INJ NON-ROUTINE,450,,$163.77 ,$163.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100324,INTUB ENDOT EMERGENCY,450,,$554.29 ,$554.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100325,IV INFUSION EACH ADDT HR UP TO 8,450,90781,$46.18 ,$46.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100326,IV INFUSION THERA/DIAG UP TO 1 HR,450,90780,$92.33 ,$92.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100327,LAC 12.5-20CM,450,,"$1,120.71 ","$1,120.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100328,LAC 2.5-7CM,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100329,LAC 20-30CM,450,,"$1,231.24 ","$1,231.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100330,LAC 7.5-12CM,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100331,LAC COMP 2.5 RPR,450,,"$1,120.71 ","$1,120.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100332,LAC COMP FACE/HND/FT EA ADL 5CM<,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100333,LAC COMP SCALP 2.5-7.5CM,450,,"$1,231.24 ","$1,231.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100334,LAC COMP SCLP/ARM/LEG EA ADL 5CM<,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100335,LAC FACE COMP 2.6-7.5CM,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100336,LAC FACE INT 12.5-20CM,450,,"$1,456.15 ","$1,456.15 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100337,LAC FACE INT 2.5-5CM,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100338,LAC FACE INT 20-30CM,450,,"$1,512.38 ","$1,512.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100339,LAC FACE INT 5-7.5CM,450,,"$1,231.24 ","$1,231.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100340,LAC FACE INT 7.5-12.5CM,450,,"$1,231.24 ","$1,231.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100341,LAC FACE INT OVER 30CM,450,,"$1,512.38 ","$1,512.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100342,LAC FACE INT TO 2.5CM,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100343,LAC HND/FOOT/NECK/GEN TO 2.5 CM,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100344,LAC HND/FT/NECK/GEN 12.5-20CM,450,,"$1,231.24 ","$1,231.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100345,LAC HND/FT/NECK/GEN 2.5-7.5CM,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100346,LAC HND/FT/NECK/GEN 20-30CM,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100347,LAC HND/FT/NECK/GEN 7.5-12.5CM,450,,"$1,120.71 ","$1,120.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100348,LAC HND/FT/NECK/GEN OVER 30CM,450,,"$1,456.15 ","$1,456.15 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100349,LAC LIP VERMILLION,450,,"$1,960.31 ","$1,960.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100350,LAC MOUTH COMPLEX,450,,$838.42 ,$838.42 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100351,LAC MOUTH UP TO 2CM,450,,$275.76 ,$275.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100352,LAC MOUTH/ANT TONGUE 2.5 OR LESS,450,,"$1,456.15 ","$1,456.15 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100353,LAC OVER 30CM,450,,"$1,231.24 ","$1,231.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100354,LAC PALATE 2CM,450,,"$1,120.71 ","$1,120.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100355,LAC PALATE COMLEX,450,,"$4,915.78 ","$4,915.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100356,LAC RPR 12.5-20CM,450,,"$1,231.24 ","$1,231.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100357,LAC RPR 2.5-7.5CM,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100358,LAC RPR 20-30CM,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100359,LAC RPR 7.5-12.5CM,450,,"$1,120.71 ","$1,120.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100360,LAC RPR OVER 30CM,450,,"$1,456.15 ","$1,456.15 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100361,LAC TO 2.5CM,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100362,LAC TONGUE/FLOOR OF MOUTH 2CM,450,,"$1,512.38 ","$1,512.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100363,LACERATION DEHICENCE W/PACKING,450,,"$1,231.24 ","$1,231.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100364,LACERATION DEHISCENCE SIMPLE-CLOS,450,12020,"$1,120.71 ","$1,120.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100365,LACERATION RPR TO 2.5CM,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100366,LARYNGOSCOPY ASPIRATION,450,,"$1,857.43 ","$1,857.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100367,LARYNGOSCOPY DIR DIAP EXC NEWBN,450,,$132.96 ,$132.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100368,LARYNGOSCOPY DIRECT,450,,"$1,857.43 ","$1,857.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100369,LARYNGOSCOPY FOR BOD,450,,"$1,231.24 ","$1,231.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100370,LARYNGOSCOPY INDIRECT,450,,$167.95 ,$167.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100371,LARYNGOSCOPY NEWBORN,450,,$167.95 ,$167.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100372,LARYNGOSCOPY W/REM FB,450,,"$1,512.38 ","$1,512.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100373,MAJOR JOINT OR BURSA,450,,$292.54 ,$292.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100374,MARSUP-BARTHLINCYST,450,,"$2,603.49 ","$2,603.49 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100375,NASAL ENDOSCOPY DIAGNOSTIC,450,,$132.96 ,$132.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100376,NASAL FRACTURE,450,,$93.77 ,$93.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100377,NASAL HEMORRHAGE ANTERIOR BILAT,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100378,NASAL HEMORRHAGE ANTERIOR UNILAT,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100379,NASAL HEMORRHAGE CTL UNILATERAL,450,,"$1,120.71 ","$1,120.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100380,NASAL HEMORRHAGE CTRL BILAT,450,,"$1,120.71 ","$1,120.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100381,NASAL HEMORRHAGE POST CTL,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100382,NASAL HEMORRHAGE POSTERIOR,450,,"$1,120.71 ","$1,120.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100383,NASOGASTRIC INTUBATION,450,,$235.16 ,$235.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100388,NERVE BLOCK INTERCOSTAL,450,,$832.86 ,$832.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100389,NERVE BLOCK OCCIPITAL,450,,$292.54 ,$292.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100390,NERVE BLOCK PERIPHERAL,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100391,NONINV EAR/PPULSE OXIMETRY SINGLE,450,,$19.94 ,$19.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100392,NURSEMAID ELBOW CHILD,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100393,OPEN CHEST CARDIAC,450,,"$3,097.80 ","$3,097.80 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100394,OPEN METATARSO JOINT,450,,"$4,231.36 ","$4,231.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100395,OPEN TX FX THUMB W/ MANIPULATION,450,,"$4,920.45 ","$4,920.45 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100396,PACEMAKER INSERTION,450,,"$7,919.57 ","$7,919.57 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100397,PACK NON-OB VAGINAL HEMORRHAGE,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100398,PARING/CUTTING CORN/CALLUS 2TO4,450,,$113.39 ,$113.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100399,PARING/CUTTING CORN/CALLUS OVER 4,450,,$113.39 ,$113.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100400,PARING/CUTTING CORN/CALLUS SINGLE,450,,$113.39 ,$113.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100401,PERICARDIOCENTESIS,450,,$485.72 ,$485.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100402,PERICARDIOCENTESIS SUBSEQUENT,450,,$485.72 ,$485.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100403,PERITINCOCENTESIS,450,,"$1,456.15 ","$1,456.15 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100404,PERITONEALCENTESIS,450,,"$1,456.15 ","$1,456.15 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100405,PIN FINGER FX EACH,450,,"$4,231.36 ","$4,231.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100406,PINCH GRAFT,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100407,PLACENTAL DELIVERY,450,,$565.47 ,$565.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100408,PLASTIC RPR UTERINE CERVX VAGINAL,450,,"$2,603.49 ","$2,603.49 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100409,PUNCT ASPIRATION BREAST ADDL CYST,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100410,PUNCT SHUNT TUBING/ASPIRATION,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100411,PUNCTURE ABSCESS,450,,$135.77 ,$135.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100412,PUNCTURE ASPIRATION BREAST,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100413,PUSH TRANSFUSION BLD 2YRS/UNDER,450,,$582.28 ,$582.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100414,RECONSTRUCT NAIL BED COMPLICATED,450,,"$1,512.38 ","$1,512.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100415,RECONSTRUCT NAIL BED SIMPLE,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100416,REIMPLANTATION DIGIT EX THUMB,450,,"$4,368.62 ","$4,368.62 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100417,REM EMB FB DENTOAVEOLAR,450,,"$2,905.81 ","$2,905.81 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100418,REM FB CORNEAL W/SLIT LAMP,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100419,REM FB EXT AUD CANAL W/O ANES,450,,$93.77 ,$93.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100420,REM FB EXTERNAL EYE,450,,$132.96 ,$132.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100421,REM FB EYELID EMBEDDED,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100422,REM FB FOOT,450,,$544.51 ,$544.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100423,REM FB FOOT COMPLEX,450,,"$2,012.78 ","$2,012.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100424,REM FB FOOT-DEEP,450,,"$2,012.78 ","$2,012.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100425,REM FB FOREARM,450,,"$2,687.47 ","$2,687.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100426,REM FB INCISE MUSCLE SIMPLE,450,,"$1,120.71 ","$1,120.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100427,REM FB MUSCLE COMPLEX,450,,"$2,512.47 ","$2,512.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100428,REM FB PELVIS,450,,"$1,038.59 ","$1,038.59 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100429,REM FB PELVIS-DEEP,450,,"$2,687.47 ","$2,687.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100430,REM FB PHARYNX,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100431,REM FB SCROTUM,450,,"$3,070.96 ","$3,070.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100432,REM FB SHOULDER,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100433,REM FB THIGH/KNEE,450,,"$2,512.47 ","$2,512.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100434,REM FB UPPER ARM,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100435,REM FB UPPER DEEP,450,,"$2,012.78 ","$2,012.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100436,REM FB VAGINAL IMP W/ANES,450,,"$2,603.49 ","$2,603.49 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100437,REM FB W/INCISION,450,,$258.96 ,$258.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100438,REM FB MOUTH COMPLICATED,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100439,REM FB MOUTH SIMPLE,450,,$93.77 ,$93.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100440,REM IMPACTED CERUMEN ONE/BOTH EAR,450,,$93.77 ,$93.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100441,REM IUD,450,,$221.16 ,$221.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100442,REM OCULAR FB,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100443,REM OF IMPL BURIED WIRE PIN ROD,450,,"$2,012.78 ","$2,012.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100444,REMOVAL BODY CAST,450,,$149.77 ,$149.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100445,REMOVAL FB,450,,$93.77 ,$93.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100446,REMOVAL FULL ARM/LEG CST,450,,$149.77 ,$149.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100447,REMOVAL HICKMAN CATH,450,,"$2,127.04 ","$2,127.04 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100448,REPAIR BLOOD VESSEL LOWER EXT,450,,"$2,979.95 ","$2,979.95 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100449,REPAIR COMPLEX TRUNK 2CM -75CM,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100450,REPAIR COMPLEX TRUNK EA ADDL 5CM,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100451,REPAIR LIP OVER HALF VERTICAL,450,,"$2,127.04 ","$2,127.04 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100452,REPAIR LIP UP TO HALF VERTICAL,450,,"$1,960.31 ","$1,960.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100453,REPEXTENSOR TENDON FOOT EACH,450,,"$2,553.10 ","$2,553.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100454,REPOSITION FEED TUBE-DUODENUM,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100455,RETRO/PARA PHARYNGEAL INTRAORAL,450,,"$2,086.98 ","$2,086.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100456,REVISION OF CERVIX,450,,"$2,603.49 ","$2,603.49 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100457,RPE FLEXOR TENDON FOOT EACH,450,,"$2,553.10 ","$2,553.10 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100458,RPR CMPLX EYELID NOSE LIP 2.6-7.5,450,,$846.81 ,$846.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100459,RPR CMPLX EYELID NOSE LIP ADDL 5C,450,,"$1,399.92 ","$1,399.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100460,RPR COMPL SCALP/ARMS/LEG 1.1-2.5,450,,"$1,120.71 ","$1,120.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100461,RPR COMPLEX EYELID NOSE LIP 1CM,450,,"$1,120.71 ","$1,120.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100462,RPR EXTENS TENDON FING WO GRFT EA,450,,"$2,127.04 ","$2,127.04 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100463,RPR EXTENS TENDON HND WO GRFT EA,450,,"$2,127.04 ","$2,127.04 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100464,RPR EXTENS TENDON CENT SLIP,450,,"$3,282.32 ","$3,282.32 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100465,RPR INTRINSIC MUSCLE HAND,450,,"$3,282.32 ","$3,282.32 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100466,RPR LACERATE 1.0 - 2.5,450,,"$1,231.24 ","$1,231.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100467,RPR MSC/TEN FOREARM EACH,450,,"$3,366.31 ","$3,366.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100468,RPR MUSCLE FOREARM,450,,"$3,366.31 ","$3,366.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100469,RPR RUPTURED ACHILLES TENDON,450,,"$4,753.42 ","$4,753.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100470,RPR TENDON DISTAL INSERTION,450,,"$2,047.77 ","$2,047.77 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100471,RPR/SUTURE EXT TENDON WO GRAFT EA,450,,"$2,687.47 ","$2,687.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100472,RPRMSC/TEN FOREARM SECONDARY,450,,"$3,366.31 ","$3,366.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100473,SAILOLITHOTOMY SUBMAND COMPLICATD,450,,"$2,086.98 ","$2,086.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100474,SAILOLITOTOMY SUBMAND UNCOMPLICAT,450,,"$2,086.98 ","$2,086.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100475,SEL CATH PLACEMENT LT/RT PULM ART,450,,$728.03 ,$728.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100476,SKIN & SUBCUTANEOUS TISSUE,450,,"$1,512.38 ","$1,512.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100477,SKIN FULL THICKNESS,450,,"$1,512.38 ","$1,512.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100478,SKIN SUBCU TISSUE MUSCLE & BONE,450,,"$1,960.31 ","$1,960.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100479,SKIN SUBCUTANEOUS TISSUE & MUSCLE,450,,"$1,679.11 ","$1,679.11 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100480,SLIPPED FEMORAL BY TRACT WO REDUC,450,,"$2,423.86 ","$2,423.86 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100481,SPINAL PUNCT THERAPEUTIC,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100482,SPINAL PUNCTURE,450,,"$1,008.24 ","$1,008.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100483,SPIROMETRY VITAL CAP EXP FLOW RTE,450,,$152.57 ,$152.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100484,SPLINT LONG ARM,450,,$149.77 ,$149.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100485,SPLINT LONG LEG,450,,$149.77 ,$149.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100486,SPLINT SHORT ARM,450,,$149.77 ,$149.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100487,SPLINT SHORT LEG,450,,$149.77 ,$149.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100488,STRAPPING ANKLE/FOOT,450,,$149.77 ,$149.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100489,STRAPPING CHEST,450,,$149.77 ,$149.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100490,STRAPPING DENIS BROWNE SPLINT,450,,$149.77 ,$149.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100491,STRAPPING ELBOW/WRIST,450,,$149.77 ,$149.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100492,STRAPPING HAND/FINGER,450,,$149.77 ,$149.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100493,STRAPPING HIP,450,,$149.77 ,$149.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100494,STRAPPING KNEE,450,,$149.77 ,$149.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100495,STRAPPING SHOULDER,450,,$149.77 ,$149.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100496,STRAPPING TOES,450,,$149.77 ,$149.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100497,SUBLUXATION RADIAL HEAD,450,,$361.13 ,$361.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100498,SUTURE DIGITAL NERVE HAND/FOOT 1,450,,"$3,108.78 ","$3,108.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100499,SUTURE MSCL RUPTURE QUADS/HAM,450,,"$2,687.47 ","$2,687.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100500,SUTURE RECENT WOUND EYELID DIR,450,,"$2,355.74 ","$2,355.74 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100501,TEMPORAY TRANSCUTANEOUS PACING,450,,$554.29 ,$554.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100502,THERAPEUTIC/PROPHY/DIAG INJECT IV,450,90784,$192.71 ,$192.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100503,THORACENTESIS PUNCTURE,450,,"$1,960.31 ","$1,960.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100504,THORACENTESIS W/INST CHST TUBE,450,,"$1,960.31 ","$1,960.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100505,THORACOTOMY W/CNT TRAMATIC HEMMOR,450,,$503.20 ,$503.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100506,THROMBOLYSIS INTRAVENOUS INFUSION,450,,$596.27 ,$596.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100507,TIS TRAN EYE/NOSE/EAR/LIP 10SQCM,450,,"$2,198.96 ","$2,198.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100508,TIS TRAN FACE/NECK/GEN EXT 10SQCM,450,,"$2,198.96 ","$2,198.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100509,TIS TRAN SCALP/ARM/LEG TO 10SQ CM,450,,"$2,198.96 ","$2,198.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100510,TIS TRANS TRK DEFECT TO 10SQ CM,450,,"$2,198.96 ","$2,198.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100511,TMJ DISLOC UNC,450,,$275.76 ,$275.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100512,TONOGRAPHY W/MED DIAG EVAL,450,,$106.37 ,$106.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100513,TRACHEAL PUNCT ASP OF MUCOUS,450,,"$2,905.81 ","$2,905.81 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100514,TRACHEOSTOMY PLAN ED,450,,$90.55 ,$90.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100515,TRACHEOSTOMY TUBE CHANGE,450,,$300.93 ,$300.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100516,TUBE PERICARDIOSTOMY,450,,$359.15 ,$359.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100517,TUBE THORACOSTOMY,450,,"$1,960.31 ","$1,960.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100518,VAGINAL DELIVERY,450,,$565.65 ,$565.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100519,VENIPUNCTURE,450,,$32.19 ,$32.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100520,VENIPUNCTURE CUTDOWN,450,,$32.19 ,$32.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100521,VENIPUNCTURE NOT ROUTINE OVER 3,450,,$78.00 ,$78.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100522,VENIPUNCTURE ROUTINE SPECIMEN,450,,$8.04 ,$8.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100523,VENOUS JUGULAR,450,,$111.84 ,$111.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100524,VENOUS OTHER VEIN,450,,$109.70 ,$109.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100525,VENOUS SCALP VEIN,450,,$137.56 ,$137.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100526,WOUND EXPLORATION ABD/FLANK/BACK,450,,"$2,198.96 ","$2,198.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100527,WOUND EXPLORATION CHEST,450,,"$2,198.96 ","$2,198.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100528,WOUND EXPLORATION EXTREMITY,450,,$363.92 ,$363.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100529,WOUND EXPLORATION NECK,450,,$363.92 ,$363.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100530,CLD TREAT TARSOMETAR JOINT,450,28600,$219.29 ,$219.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100531,CLSD BIMALLEOR ANKLE FX W/O MANIP,450,27808,$489.34 ,$489.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100532,"THER/PROPH/DIAG INJ, IV PUSH",450,90774,$100.71 ,$100.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5100533,"DEBRIDEMENT, SKIN & SUB Q TISS",450,11042,"$1,581.12 ","$1,581.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6900001,PULMONARY REHAB,450,94680,$118.65 ,$118.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6900002,PULMONARY STRESS TEST 6 MIN WALK,450,94620,$319.73 ,$319.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6900003,OXIMETRY,450,94762,$246.62 ,$246.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6900004,AIRWAY CLOSING VOL,450,94370,$61.04 ,$61.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6900005,CO DIFFUSION CAPACITY,450,94720,$185.58 ,$185.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6900008,EXPIRED GAS CLOSING,450,94250,$34.81 ,$34.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6900009,FRC/PLETHYSMOGRAPHY,450,94240,$153.90 ,$153.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6900010,MAX BREATHING CAPACITY,450,94200,$57.98 ,$57.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6900013,PUL STRESS TEST S/C,450,94620,$319.19 ,$319.19 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6900014,RESISTENCE RAW,450,94360,$211.65 ,$211.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6900015,RESTING EXERCISE W/PULSE OXYMETRY,450,94761,$87.06 ,$87.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6900016,SPIRO BE/AF DILATOR,450,94060,$205.98 ,$205.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6900017,VITAL CAPACITY SCREEN,450,94150,$29.12 ,$29.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6900018,AIRWAY CLOSING VOL,450,94370,$61.04 ,$61.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6900019,BREATH RESPONSE - CO2,450,94400,$78.29 ,$78.29 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6900020,CO DIFFUSION CAPACITY,450,94720,$185.58 ,$185.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6900021,CO2 OUTPUT / O2 UPTAKE,450,94681,$313.34 ,$313.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6900022,EXPIRED GAS CLOSING,450,94250,$34.81 ,$34.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6900023,FRC/PLETHYSMOGRAPHY,450,94240,$153.90 ,$153.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6900024,INDIRECT CAL,450,94690,$119.02 ,$119.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6900025,MAX BREATHING CAPACITY,450,94200,$57.98 ,$57.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6900026,PEAK FLOW / SPOT CHECK,450,94010,$77.56 ,$77.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6900029,RESISTENCE RAW,450,94360,$211.65 ,$211.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6900030,SAT MONITOR CONT,450,94762,$203.10 ,$203.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6900031,SAT MONITOR O2 CK,450,94760,$57.98 ,$57.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6900032,SPIRO BE/AF DILATOR,450,94060,$205.98 ,$205.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6900033,VITAL CAPACITY SCREEN,450,94150,$29.12 ,$29.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6900034,VITAL CAPACITY SCREENING,450,94150,$29.12 ,$29.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9300001,SP AUDIOMETRY PURE TONE AIR ONLY,471,92552,$121.88 ,$121.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800001,CARDIOVERSION - AMBULATORY CARE,480,92960,"$1,068.42 ","$1,068.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800002,CARDIOVERSION,480,92960,"$1,068.42 ","$1,068.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800003,CARDIOVERSION ELECT EXTERNAL,480,92960,"$1,128.91 ","$1,128.91 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800004,CARDIAC PACER TEMP,480,33210,"$1,572.19 ","$1,572.19 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800005,CARDIOVERSION,480,92960,"$1,100.56 ","$1,100.56 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800006,MONITOR INTERST PRES,480,20950,$628.97 ,$628.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800007,COLOR DOPPLER,480,93325,$707.43 ,$707.43 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800008,ECHO DOPPLER,480,93320,$550.37 ,$550.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800009,ECHO TRANSTHORACIC COMPLETE,480,93303,$671.63 ,$671.63 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800010,ECHO TRANSTHORACIC LIMITED,480,93304,$327.69 ,$327.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800011,ECHOCARDIOGRAM,480,93307,"$1,037.60 ","$1,037.60 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800014,TRANSESOPHAGEAL ECHO,480,93312,"$2,672.71 ","$2,672.71 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800015,SP CATH LMT IN CORONARY ARTERY,480,93508,"$9,211.95 ","$9,211.95 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800016,SP LT VENTRICULAR OR ATRIAL ANGIO,480,93543,$200.17 ,$200.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800017,SP RT VENTRICULAR OR ATRIAL ANGIO,480,93542,$200.17 ,$200.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800018,SP S&I INJECT VENT OR ATRIAL ANGI,480,93555,$200.17 ,$200.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800019,ZOLL PACEMAKER DEFIBRILLATOR,480,92960,"$1,040.69 ","$1,040.69 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800129,"TTE W/DOPPLER, COMPLETE",480,93306,"$1,569.04 ","$1,569.04 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800130,TTE FOLLOW UP OR LIMITED STUDY,480,,$927.64 ,$927.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800136,CARDIOVERSION ELECTIVE EXTERNAL,480,92960,$476.13 ,$476.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800020,BLOOD FLOW VELOCITY INITIAL VESSE,481,93571,$200.17 ,$200.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800021,CARDIOPULMONARY RESUSCITATION CV,481,92950,$801.13 ,$801.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800023,CARDIOVERSION ELECT INTERNAL,481,92961,"$1,128.91 ","$1,128.91 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800024,CARDIOVERSION ELECT EXTERNAL,481,92960,"$1,128.91 ","$1,128.91 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800025,COMB RHC & LHC EXIST SEPTAL OPENI,481,93529,"$7,370.01 ","$7,370.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800026,COMB RHC / TRANSSEPTAL LHC,481,93532,"$7,370.01 ","$7,370.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800027,COMB RHC W/ LEFT VENTRICULAR PUNT,481,93528,"$7,370.01 ","$7,370.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800028,COMB RHC/TRANSSEPTAL LHC,481,93532,"$7,370.01 ","$7,370.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800029,COMB RHC/TRANSSEPTAL LHC INT SEPT,481,93527,"$7,370.01 ","$7,370.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800030,COMB RHC/TRSSEPTAL LHC EXIST OPEN,481,93533,"$7,370.01 ","$7,370.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800031,COMB TRANSSEPTAL & RETROGRADE LHC,481,93524,"$7,370.01 ","$7,370.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800034,COMPLETE CATH/CONGENITAL DEFECT,481,93531,"$11,350.88 ","$11,350.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800039,CORONARY ARTERIOGRAMS/NO LV,481,93508,"$11,586.48 ","$11,586.48 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800040,DILUTION STUDY SUBSQUENT,481,93562,$200.17 ,$200.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800041,DILUTION STUDY W/CARDIAC OUTPUT M,481,93561,$200.17 ,$200.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800042,DISTAL BLOOD FLOW VELOC ADDTL VES,481,93572,$200.17 ,$200.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800043,ENDOMYCARDIAL BIOPSY,481,93505,"$2,472.17 ","$2,472.17 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800044,HEART CATH COMP W/SV AND AO GRAM,481,93526,"$11,350.88 ","$11,350.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800045,HEART CATH COMP W/SVG-IMA AO GRAM,481,93526,"$11,350.88 ","$11,350.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800046,HEART CATH COMPLETE,481,93526,"$11,350.88 ","$11,350.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800047,HEART CATH COMPLETE W/SVG AND IMA,481,93526,"$11,350.88 ","$11,350.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800048,HEART CATH COMPLETE WITH IMA,481,93526,"$11,350.88 ","$11,350.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800049,HEART CATH COMPLETE WITH SVG,481,93526,"$11,350.88 ","$11,350.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800050,HEART CATH LEFT,481,93510,"$8,866.75 ","$8,866.75 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800051,HEART CATH LEFT W/SVG-IMA AO GRAM,481,93510,"$8,866.75 ","$8,866.75 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800052,HEART CATH LEFT WITH IMA,481,93510,"$8,866.75 ","$8,866.75 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800053,HEART CATH LEFT WITH SVG,481,93510,"$8,866.75 ","$8,866.75 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800054,HEART CATH LEFT WITH SVG AND IMA,481,93510,"$8,866.75 ","$8,866.75 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800055,HEART CATH LT W/SV AND AORTOGRAM,481,93510,"$8,866.75 ","$8,866.75 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800056,HEART CATH RIGHT,481,93501,"$4,056.08 ","$4,056.08 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800057,HEART CATH RT W/PULMONARY AO GRAM,481,93501,"$4,056.08 ","$4,056.08 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800058,HIS BUNDLE RECORDING,481,93600,$471.70 ,$471.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800065,INDUCT ARRHYTHMIA/ELECTRICAL PACE,481,93618,"$8,225.74 ","$8,225.74 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800066,INJ PROC R VENTRICU/ATRIAL ANGIO,481,93542,$200.17 ,$200.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800067,INJ L VENTRICLE/L ATRIAL AO GRAM,481,93543,$408.76 ,$408.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800068,INJECTION CORONARY ANGIOGRAPHY,481,93545,$754.76 ,$754.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800069,INJECTION FOR AORTOGRAPHY,481,93544,$440.17 ,$440.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800070,INJECTION FOR ARTERIAL CONDUITS,481,93539,$628.97 ,$628.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800071,INJECTION FOR BYPASS GRAPHS,481,93540,$676.21 ,$676.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800072,INJECTION PULMONARY ANGIOGRAPHY,481,93541,$742.05 ,$742.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800073,INSERTION OF SWAN-GANZ,481,93503,"$1,383.52 ","$1,383.52 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800074,INTRA-AORTIC BALLOON,481,33967,"$1,201.03 ","$1,201.03 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800075,INTRA-ATRIAL PACING,481,93610,$330.41 ,$330.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800076,INTRAVENTRICULAR PACING,481,93612,$393.12 ,$393.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800082,LHC BRANCH AXILLARY/FEM PERCUT/CUT,481,93511,"$7,370.01 ","$7,370.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800083,LHC BY LEFT VENTRICULAR PUNCTURE,481,93514,"$7,370.01 ","$7,370.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800085,PERCUT TRANSLUM PUL ANGI ADD VES,481,92998,"$9,083.48 ","$9,083.48 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800086,PERCUT TRANSLUM PULM ANGIO SNGL V,481,92998,"$9,083.48 ","$9,083.48 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800087,PERCUTAN TRANSLUM CORONARY THROMB,481,92973,"$1,000.88 ","$1,000.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800088,PLCMNT OCCL DEVICE VEN/ART ACC ST,481,G0269,$200.17 ,$200.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800089,PTC ATHERECTOMY EA ADDTL VESSEL,481,92996,"$18,045.62 ","$18,045.62 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800090,PTC ATHERECTOMY SINGEL VESSEL,481,92995,"$18,045.62 ","$18,045.62 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800091,PTCA EACH ADDITIONAL VESSEL,481,92984,"$10,851.61 ","$10,851.61 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800092,PTCA SINGLE VESSEL,481,92982,"$10,851.61 ","$10,851.61 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800093,RIGHT HEART CATH/CONGENITAL DEFEC,481,93530,"$4,056.08 ","$4,056.08 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800094,RPT PULMONARY/CORONARY AO GRAM,481,93556,"$1,965.39 ","$1,965.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800095,RPT VENTRICULAR/ATRIAL AO GRAM,481,93555,"$1,226.44 ","$1,226.44 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800097,SEPTECTOMY/OSTOMY ATRIAL BALLOON',481,92992,$200.17 ,$200.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800098,SPECTOMY/OSTOMY ATRIAL BLADE ME,481,92993,$200.17 ,$200.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800099,T-CATH INTRACOR STNT PERCUT ADDTL,481,92981,"$15,982.14 ","$15,982.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800100,T-CATH INTRACOR STNT PERCUT SNG V,481,92980,"$15,982.14 ","$15,982.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800101,TC INTRACORONARYDRUG ELUTING ADDT,481,G0291,"$22,031.24 ","$22,031.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800102,TC INTRACORONARYDRUG ELUTING SNGL,481,G0290,"$22,031.24 ","$22,031.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800103,TEMPORARY TRANSCUTANEOUS PACING,481,92953,$801.13 ,$801.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800104,THROMBOLYSIS CORON INTRAVEN INFUS,481,92977,$861.82 ,$861.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800105,THROMBOLYSIS INTRACON INFUSION,481,92975,$200.17 ,$200.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800106,TRANSCATH PLACE RADIATION DEL DEV,481,92974,"$9,007.75 ","$9,007.75 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800107,US INTRAVAS DIAG EVAL ADDTL VESS,481,92979,"$6,313.94 ","$6,313.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800108,US INTRAVAS DURING DIAG EVAL INIT,481,92978,"$6,313.94 ","$6,313.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800109,VALVULOPLASTY PERCUT AORTIC VALV,481,92986,"$10,851.61 ","$10,851.61 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800110,VALVULOPLASTY PERCUT MITRAL VALVE,481,92987,"$10,851.61 ","$10,851.61 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800111,VALVULOPLASTY PERCUTAN PULM VALVE,481,92990,"$10,851.61 ","$10,851.61 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800112,INSERTION OF SWAN-GANZ,481,93503,"$1,383.52 ","$1,383.52 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800113,CARDIAC CATHETER PROCEDURE,481,93503,"$1,414.95 ","$1,414.95 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800131,NEPHROSTOGRAM,481,74425,"$1,043.48 ","$1,043.48 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800132,L HRT ARTER/VENTRICLE ANGIO,481,93458,"$14,107.39 ","$14,107.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800133,FEM/POPL REVASC W/STENT,481,37226,"$17,797.37 ","$17,797.37 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800134,TIB/PERONEAL REVASC W/ STENT,481,37230,"$20,880.29 ","$20,880.29 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800135,CORONARY ARTERY ANGIO S&I,481,93454,"$10,366.39 ","$10,366.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800138,R & L HRT ART/VENTRICLE ANGIO,481,93460,"$10,977.95 ","$10,977.95 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800142,FEM/POPL REVASC W/TLA,481,37224,"$9,461.84 ","$9,461.84 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800117,ER GXT,482,93017,$443.38 ,$443.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 4800118,GXT,482,93017,$443.38 ,$443.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2100029,EPIDURAL INJECTION LUMBAR/SACR,490,62311,$960.24 ,$960.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2100030,MINI SURGERY,490,,"$2,409.38 ","$2,409.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2100032,"INTUBATION,ENDOTRACHEAL",490,,$828.71 ,$828.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2100031,MINI SURGERY,499,,"$2,409.38 ","$2,409.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800001,MRA HEAD,610,00705,"$2,694.20 ","$2,694.20 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800002,MRA HEAD W/CONTRAST,610,70545,"$2,564.78 ","$2,564.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800003,MRA HEAD W/O CONTRAST,610,70544,"$2,564.78 ","$2,564.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800004,MRA HEAD W/WO CONTRAST,610,70546,"$5,622.86 ","$5,622.86 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800005,MRA NECK W/CONTRAST,610,70548,"$2,970.57 ","$2,970.57 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800006,MRA NECK W/O CONTRAST,610,70547,"$2,272.96 ","$2,272.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800007,MRA NECK W/WO CONTRAST,610,70549,"$5,622.86 ","$5,622.86 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800008,MRA PELVIS,610,72198,"$3,230.44 ","$3,230.44 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800009,MRA SPINE,610,72159,"$3,230.44 ","$3,230.44 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800010,MRI ABDOMEN W/CONTRAST,610,74182,"$3,471.84 ","$3,471.84 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800011,MRI ABDOMEN W/WO CONTRAST,610,74183,"$6,192.98 ","$6,192.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800012,MRI ABDOMEN WO CONTRAST,610,74181,"$3,070.01 ","$3,070.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800013,MRI BONE MARROW,610,76400,"$3,458.56 ","$3,458.56 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800014,MRI CHEST WO CONTRAST,610,71550,"$3,458.56 ","$3,458.56 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800015,MRI LOWER EXT JOINT W/CONTRAST,610,73722,"$3,421.40 ","$3,421.40 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800016,MRI LOWER EXT JOINT W/WO CONTRAST,610,73723,"$6,134.75 ","$6,134.75 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800017,MRI LOWER EXT W/CONTRAST,610,73719,"$2,203.74 ","$2,203.74 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800018,MRI LOWER EXT W/WO CONTRAST,610,73720,"$2,637.75 ","$2,637.75 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800019,MRI MRA,610,76499,$860.48 ,$860.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800020,MRI MYOCARDIUM WO CONTRAST,610,75552,"$3,458.56 ","$3,458.56 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800021,MRI ORBIT/FACE/NECK W/CONTRAST,610,70542,"$3,031.55 ","$3,031.55 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800022,MRI ORBIT/FACE/NECK W/WO CONTRAST,610,70543,"$5,609.65 ","$5,609.65 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800023,MRI ORBIT/FACE/NECK WO CONTRAST,610,70540,"$2,554.12 ","$2,554.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800024,MRI PELVIS W/CONTRAST,610,72196,"$3,020.90 ","$3,020.90 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800025,MRI PELVIS W/WO CONTRAST,610,72197,"$6,192.98 ","$6,192.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800026,MRI PELVIS WO CONTRAST,610,72195,"$2,307.58 ","$2,307.58 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800027,MRI TMJ WO CONTRAST,610,70336,"$2,806.59 ","$2,806.59 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800028,MRI UPPER EXTREM JOINT W/WO CONTR,610,73223,"$6,134.75 ","$6,134.75 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800029,MRI UPPER EXTREMITY JOINT W/CONTR,610,73222,"$3,421.40 ","$3,421.40 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800030,MRI UPPER EXTREMITY W/CONTRAST,610,73219,"$2,203.74 ","$2,203.74 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800031,MRI UPPER EXTREMITY W/WO CONTRAST,610,73220,"$2,637.75 ","$2,637.75 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800049,INJ DADOLINIUM-BASED MR CONTRA,610,,$12.56 ,$12.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800051,MRI LOWER EXTREMITY WO CONTRAST L,610,73718,"$1,512.63 ","$1,512.63 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800032,MRI BRAIN W/CONTRAST,611,70552,"$4,271.34 ","$4,271.34 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800033,MRI BRAIN W/WO CONTRAST,611,70553,"$6,002.24 ","$6,002.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800034,MRI BRAIN WO CONTRAST,611,70551,"$3,458.56 ","$3,458.56 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800035,MRI CERVICAL SPINE W/CONTRAST,612,72142,"$4,271.34 ","$4,271.34 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800036,MRI CERVICAL SPINE W/WO CONTRAST,612,72156,"$6,002.24 ","$6,002.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800037,MRI CERVICAL SPINE WO CONTRAST,612,72141,"$3,458.56 ","$3,458.56 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800038,MRI LUMBAR SPINE W/CONTRAST,612,72149,"$4,271.34 ","$4,271.34 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800039,MRI LUMBAR SPINE W/WO CONTRAST,612,72158,"$6,002.24 ","$6,002.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800040,MRI LUMBAR SPINE WO CONTRAST,612,72148,"$3,458.56 ","$3,458.56 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800041,MRI THORACIC SPINE W/CONTRAST,612,72147,"$4,271.34 ","$4,271.34 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800042,MRI THORACIC SPINE W/WO CONTRAST,612,72157,"$6,002.24 ","$6,002.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800043,MRI THORACIC SPINE WO CONTRAST,612,72146,"$3,458.56 ","$3,458.56 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800044,MRA LOWER EXTREMITY W/CONTRAST,619,C8912,"$2,861.13 ","$2,861.13 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800045,MRI LOWER EXTREMITY WO CONTRAST,619,73718,"$2,190.73 ","$2,190.73 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800046,MRI LOWER EXT-JOINT WO CONTR,619,73721,"$3,394.38 ","$3,394.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800047,MRA ABD W/WO CONTRAST,619,C8902,"$2,997.29 ","$2,997.29 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800048,MRA LOWER EXT W/WO CONTRAST,619,C8914,"$2,997.29 ","$2,997.29 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7800050,MRA ABD W/CONTRAST,619,C8900,"$2,997.43 ","$2,997.43 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303888,INFUSION EA ADDTL HOUR UP TO 8,636,90781,$76.09 ,$76.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303889,INTRAVENOUS INFUSION UP TO 1 HOUR,636,90780,$152.07 ,$152.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303890,MICRO RHOGAM INJ,636,J2790,$304.79 ,$304.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303891,RHOGAM INJ,636,J2790,$535.33 ,$535.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303893,NM ADENOSINE 60 MG,636,J0150,$987.31 ,$987.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303895,PET RUBIDIUM-RB-82,636,A9555,$830.97 ,$830.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303897,APLIGRAF PER 44 SQ CM,636,C1305,"$2,513.86 ","$2,513.86 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303898,DERMAGRAFT PER 37.5 SQ CM,636,C9201,"$2,133.21 ","$2,133.21 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303899,ALKERAN 2 MG TAB,636,J8600,$5.06 ,$5.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303900,METHOTREXATE 2.5 MG TAB,636,J8610,$7.27 ,$7.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303901,DOXORUBICIN 10 MG,636,J9000,$15.15 ,$15.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303902,DOXORUBICIN 50 MG,636,J9000,$15.15 ,$15.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303903,CYTOXAN 50 MG TAB,636,J8530,$7.64 ,$7.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303904,EPOGEN 3000 UNITS,636,Q0136,$77.68 ,$77.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303905,EPOGEN 2000 UNITS,636,Q0136,$51.76 ,$51.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303906,EPOGEN 4000 UNITS,636,Q0136,$103.55 ,$103.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303907,PROLEUKIN 22 M U,636,,"$1,499.22 ","$1,499.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303908,ZOLADEX 3.6MG IMPLANT,636,J9202,$867.88 ,$867.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303909,REOPRO 10 MG INJ,636,J0130,$213.97 ,$213.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303910,NAVELBINE 10MG,636,J9390,$220.72 ,$220.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303911,NAVALBINE 50MG,636,J9390,$220.72 ,$220.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303912,CISPLATIN AQ 100MG,636,J9060,$8.87 ,$8.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303913,LEVSTATINE 10MG SDV,636,J9065,$131.08 ,$131.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303914,IFEX 3 GRAM INJECTION,636,J9208,$940.87 ,$940.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303915,METHOTREXATE LPF SOD 25MG/ML-8ML,636,J9260,$3.87 ,$3.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303916,NOVANTRON 2 MG/ML VIAL 10 ML,636,J9293,$279.41 ,$279.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303917,SANDOSTATIN 0.5MG/ML INJ 1 ML,636,2354,$172.28 ,$172.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303918,SANDOSTATION 0.05MG/ML INJECT 1ML,636,J2354,$18.46 ,$18.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303919,TAXOTERE 40 MG/ML SDV 2 ML,636,J9170,"$1,391.37 ","$1,391.37 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303920,TAXOL 100 MG/71 ML INJECTION VIAL,636,J9265,$64.65 ,$64.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303921,HYAMTIN 4 MG INJECTION,636,J9350,"$1,697.95 ","$1,697.95 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303922,CAMPTOSAR 20 MG/ML INJECTION 5ML,636,J9206,$309.56 ,$309.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303923,GEMZAR 1 GRAM INJECTION,636,J9201,"$1,258.51 ","$1,258.51 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303924,GEMZAR 200 MG INJECTION,636,J9201,$251.72 ,$251.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303925,ABELCET 5 MG/ML LIPOSOME INJ 20ML,636,J0287,$21.25 ,$21.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303926,VISTIDE 75 MG/ML INJECTION,636,J0740,$327.95 ,$327.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303927,TAXOL 300 MG/50 ML INJECTION,636,J9265,$64.77 ,$64.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303928,HERCEPTIN INJECTION,636,J9355,$198.89 ,$198.89 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303929,DOXIL 2 MG/ML LIPOSOME,636,J9001,$121.18 ,$121.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303930,RITUXAN 10MG/ML 10ML VIAL,636,J9310,$97.41 ,$97.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303931,RITUXAN 10MG/ML 50ML VIAL,636,J9310,$97.41 ,$97.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303933,SANDOSTATIN LAR 20 MG,636,J2353,"$3,603.15 ","$3,603.15 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303934,PROCRIT 20000 UNITS,636,Q0136,$493.27 ,$493.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303935,ARANESP 25MCG/ML INJ,636,J0880,$230.26 ,$230.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303936,ELOXATIN INJECTION 100 MG,636,J9999,"$3,583.90 ","$3,583.90 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303937,NEULASTA 6 MG INJECTION,636,J2505,"$9,079.16 ","$9,079.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303938,DAUNORUBICIN 20 MG,636,,$313.57 ,$313.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303939,ROFERON-A INJECTION,636,,$212.08 ,$212.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303940,EPOGEN 10.000 UNITS,636,Q0136,$258.90 ,$258.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303941,FLUOROURACIL 500,636,J9190,$0.67 ,$0.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303942,BLEOMYCIN 15 UNITS,636,J9040,$540.06 ,$540.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303943,ONCOVIN 2 MG,636,J9370,$67.66 ,$67.66 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303944,ONCOVIN 1 MG SYRINGE,636,J9370,$68.80 ,$68.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303945,ETOPOSIDE 100 MG VIAL,636,J9182,$48.38 ,$48.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303946,ETOPOSIDE 50 MG P O,636,J8560,$117.78 ,$117.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303947,MITOMYCIN 5 MG,636,J9280,$237.80 ,$237.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303948,MITOMYCIN 20 MG,636,J9290,$803.04 ,$803.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303949,BCNU 100 MG,636,J9050,$288.51 ,$288.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303950,MITHRAMYCIN 2500 MCG,636,J9270,$182.32 ,$182.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303951,FLOXURIDINE,636,J9200,$251.84 ,$251.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303952,CYCLOPHOSPHAMIDE 500 MG,636,J9095,$47.48 ,$47.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303953,CYCLOPHOSPHAMIDE 200 MG,636,J9094,$21.70 ,$21.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303954,CYCLOPHOSPHAMIDE 100 MG,636,J9093,$11.44 ,$11.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303955,DACARBAZINE 200 MG,636,J9140,$51.21 ,$51.21 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303956,ROFERON A 3 MIL IU,636,J9213,$60.82 ,$60.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303957,VELBAN 10 MG,636,J9360,$6.12 ,$6.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303958,METHOTREXATE 50 MG,636,J9250,$4.37 ,$4.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303959,MUSTARGEN,636,J9230,$23.35 ,$23.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303960,DAUNORUBICIN 20 MG,636,J9150,$326.61 ,$326.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303961,THIOTEPA 15 MG,636,J9340,$227.34 ,$227.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303962,CYTARABINE 500 MG,636,J9110,$65.81 ,$65.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303963,CYTARABINE 100MG,636,J9100,$16.59 ,$16.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303964,ASPARAGINASE,636,J9020,$121.72 ,$121.72 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303965,IFOSFOMIDE 1 GM,636,J9208,$292.36 ,$292.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303966,ZOFRAN 20 ML VIAL,636,J2405,$24.65 ,$24.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303967,CYCLOPHOSPHAMIDE 1 GM,636,J9096,$91.18 ,$91.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303968,MITOMYCIN 40 MG,636,J9291,"$1,622.46 ","$1,622.46 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303969,LEUCOVORIN 350 MG INJ,636,,$34.61 ,$34.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303970,LEUCOVORIN 100 MG HL,636,J0640,$72.78 ,$72.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303971,FLUDARA INJECT 50 MG,636,J9185,$705.97 ,$705.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303972,TAXOL 30 MG VIAL,636,J9265,$64.77 ,$64.77 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303973,NEUPOGEN 300 MCG,636,J1440,$305.24 ,$305.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 303980,TISSUE STRATTICE 8X16,636,Q4100,$45.03 ,$45.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300209,CYCLOSPORINE 100 MG CAP,636,C9438,$73.80 ,$73.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40300550,METHOTREXATE SODIUM 2.5 MG TAB,636,J8610,$5.75 ,$5.75 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301884,CYCLOSPORINE 100 MG/ML SOLN,636,J7502,"$3,582.78 ","$3,582.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301915,AMIKACIN 250 MG/ML SOLN,636,J0278,$37.64 ,$37.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301916,AMIKACIN 250 MG/ML SOLN,636,J0278,$20.37 ,$20.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301919,AMINOPHYLLINE 250 MG/10 ML SOLN,636,J0280,$3.76 ,$3.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301932,"ASPARAGINASE 10,000 UNIT SOLR",636,J9020,$504.73 ,$504.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301934,ATROPINE 0.1 MG/ML SYRG,636,J0461,$28.86 ,$28.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301935,ATROPINE 1 MG/ML SOLN,636,J0460,$6.00 ,$6.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301946,BLEOMYCIN 30 UNIT SOLR,636,J9040,$903.23 ,$903.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301960,BUTORPHANOL TARTRATE 2 MG/ML SOLN,636,J0595,$10.13 ,$10.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40301970,CARBOPLATIN 10 MG/ML SOLN,636,J9045,$281.33 ,$281.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302043,COSYNTROPIN 0.25 MG SOLR,636,J0834,$488.79 ,$488.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302044,CYCLOPHOSPHAMIDE 1 GRAM SOLR,636,J9096,"$1,079.24 ","$1,079.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302046,CYCLOPHOSPHAMIDE 500 MG SOLR,636,J9095,$539.62 ,$539.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302048,CYCLOSPORINE 50 MG/ML SOLN,636,J7515,$287.61 ,$287.61 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302067,DIGOXIN IMMUNE FAB 40 MG SOLR,636,J1162,"$3,853.01 ","$3,853.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302083,DOXORUBICIN 2 MG/ML SOLN,636,J9000,$423.12 ,$423.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302084,DOXORUBICIN 2 MG/ML SOLN,636,J9000,$34.37 ,$34.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302098,"EPOETIN ALFA 10,000 UNIT/ML SOLN",636,J0886,"$1,041.22 ","$1,041.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302099,"EPOETIN ALFA 3,000 UNIT/ML SOLN",636,J0886,$312.36 ,$312.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302100,"EPOETIN ALFA 2,000 UNIT/ML SOLN",636,J0885,$208.25 ,$208.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302101,"EPOETIN ALFA 4,000 UNIT/ML SOLN",636,J0886,$416.48 ,$416.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302119,FILGRASTIM 300 MCG/ML SOLN,636,J1440,"$1,931.23 ","$1,931.23 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302123,FLUDARABINE PHOSPHATE 50 MG SOLR,636,J9185,$914.68 ,$914.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302136,GENTAMICIN 40 MG/ML SOLN,636,J1580,$4.97 ,$4.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302142,GLUCAGON (HUMAN RECOMBINANT) 1 MG KIT,636,J1610,$937.54 ,$937.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302156,HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5,636,90371,$535.64 ,$535.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302169,HYDROMORPHONE 2 MG/ML SYRG,636,J1170,$9.12 ,$9.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302173,IFOSFAMIDE 1 GRAM SOLR,636,J9208,"$1,092.90 ","$1,092.90 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302174,IFOSFAMIDE 3 GRAM SOLR,636,J9208,$748.12 ,$748.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302203,IRON DEXTRAN 50 MG/ML SOLN,636,J1750,$169.88 ,$169.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302212,LEUPROLIDE ACETATE 7.5 MG SYRG,636,J9217,"$6,738.99 ","$6,738.99 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302213,LEUPROLIDE ACETATE (3 MONTH) 22.5 MG SYK,636,,"$19,549.49 ","$19,549.49 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302214,LEUPROLIDE ACETATE 3.75 MG KIT,636,J1950,"$2,965.36 ","$2,965.36 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302270,METHOTREXATE NA (PRESERV FREE) 25 MG/ML,636,J9260,$24.99 ,$24.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302276,METHYLPREDNISOLONE SODIUM SUCC 125 MG/2,636,J2930,$21.32 ,$21.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302277,METHYLPREDNISOLONE SODIUM SUCC 500 MG SO,636,J2930,$58.67 ,$58.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302293,MITOXANTRONE 2 MG/ML CONC,636,J9293,"$3,380.52 ","$3,380.52 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302308,MORPHINE (PF) 0.5 MG/ML SOLN,636,J2270,$8.48 ,$8.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302321,NALOXONE 1 MG/ML SYRG,636,J2310,$102.58 ,$102.58 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302331,OCTREOTIDE ACETATE 500 MCG/ML SOLN,636,J2354,$94.31 ,$94.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302333,OCTREOTIDE ACETATE 50 MCG/ML SOLN,636,J2354,$10.04 ,$10.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302338,ONDANSETRON HCL 4 MG/2 ML SOLN,636,J2405,$2.64 ,$2.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302343,ONDANSETRON HCL 2 MG/ML SOLN,636,J2405,"$1,386.85 ","$1,386.85 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302345,DOCETAXEL 80 MG/8 ML (FINAL) SOLN,636,J9171,"$11,139.85 ","$11,139.85 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302346,DOCETAXEL 20 MG/2 ML (FINAL) SOLN,636,J9171,"$2,785.05 ","$2,785.05 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302411,RABIES IMMUNE GLOB-THIMEROSAL 150 UNIT/M,636,90675,"$3,047.98 ","$3,047.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302414,RABIES IMMUNE GLOB-THIMEROSAL 150 UNIT/M,636,90675,"$14,994.26 ","$14,994.26 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302421,SARGRAMOSTIM 250 MCG SOLR,636,J2820,"$1,493.99 ","$1,493.99 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302440,SUCCINYLCHOLINE CHLORIDE 20 MG/ML SOLN,636,J0330,$11.93 ,$11.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302448,TETANUS IMMUNE GLOBULIN 250 UNIT/ML SYRG,636,90389,"$1,793.79 ","$1,793.79 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302450,TETANUS TOXOID ADSORBED 5 LF UNIT/0.5 ML,636,90703,$248.27 ,$248.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302459,TOPOTECAN 4 MG SOLR,636,J9351,"$7,277.18 ","$7,277.18 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302487,VINBLASTINE 1 MG/ML SOLN,636,J9360,$11.23 ,$11.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302523,FOSPHENYTOIN SODIUM 50 MG/ML SOLN,636,Q2009,$22.71 ,$22.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302524,FOSPHENYTOIN SODIUM 50 MG/ML SOLN,636,Q2009,$6.44 ,$6.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302525,HEMIN 313 MG SOLR,636,J1640,"$26,503.92 ","$26,503.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302528,PNEUMOCOCCAL 23-VALPS VACCINE 25 MCG/0.5,636,90732,$437.73 ,$437.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302552,"ALBUMIN, HUMAN 5 % SOLP",636,P9041,$189.59 ,$189.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302587,"ALBUMIN, HUMAN 25 % SOLP",636,P9047,$288.46 ,$288.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302588,"ALBUMIN, HUMAN 25 % SOLP",636,P9047,$576.96 ,$576.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302594,IRINOTECAN 20 MG/ML SOLN,636,J9206,$220.32 ,$220.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302595,GEMCITABINE 1 GRAM SOLR,636,J9201,"$6,139.96 ","$6,139.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302596,GEMCITABINE 200 MG SOLR,636,J9201,"$1,227.99 ","$1,227.99 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302597,CARBOPLATIN 10 MG/ML SOLN,636,J9045,$7.10 ,$7.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302608,AMPHOTERICIN B LIPID COMPLEX 5 MG/ML SUS,636,J0287,$560.92 ,$560.92 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302620,CYTARABINE 2 GRAM SOLR,636,J9100,$329.83 ,$329.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302711,CIDOFOVIR 75 MG/ML SOLN,636,J0740,"$6,132.08 ","$6,132.08 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302791,LEUPROLIDE ACETATE 11.25 MG KIT,636,J1950,"$12,350.92 ","$12,350.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302793,OPRELVEKIN 5 MG SOLR,636,J2355,"$2,028.56 ","$2,028.56 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302920,TRASTUZUMAB 440 MG SOLR,636,J9355,"$24,394.51 ","$24,394.51 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302921,INFLIXIMAB 100 MG SOLR,636,J1745,"$5,690.32 ","$5,690.32 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302933,FOMEPIZOLE 1 GRAM/ML SOLN,636,J1451,"$5,729.44 ","$5,729.44 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302961,RITUXIMAB 10 MG/ML CONC,636,J9310,"$4,800.42 ","$4,800.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302962,RITUXIMAB 10 MG/ML CONC,636,J9310,"$24,002.12 ","$24,002.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40302997,IMMUNE GLOBULIN HUMAN (IGG) 10 GRAM SOLR,636,J1566,"$5,921.69 ","$5,921.69 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303034,CLOSTRIDIUM BOTULINUM TOXIN TY 100 UNIT,636,J0585,"$4,184.72 ","$4,184.72 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303039,NA FERRIC GLUC CPLX IN SUCROSE 62.5 MG/5,636,J2916,$201.09 ,$201.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303057,TENECTEPLASE 50 MG KIT,636,J3100,"$26,572.21 ","$26,572.21 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303122,ENOXAPARIN SODIUM 60 MG/0.6 ML SYRG,636,J1650,$195.40 ,$195.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303172,MYCOPHENOLATE MOFETIL HCL 500 MG SOLR,636,,$473.10 ,$473.10 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303194,EPTIFIBATIDE 2 MG/ML SOLN,636,J1327,$856.60 ,$856.60 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303195,EPTIFIBATIDE 0.75 MG/ML SOLN,636,J1327,"$2,680.95 ","$2,680.95 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303205,LINEZOLID 600 MG/300 ML SOLP,636,J2020,$802.03 ,$802.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303208,MORPHINE (PF) 1 MG/ML SOLN,636,J2270,$35.25 ,$35.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303238,ALTEPLASE 2 MG SOLR,636,J2997,$701.14 ,$701.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303244,OCTREOTIDE ACETATE 20 MG KIT,636,J2353,"$18,709.39 ","$18,709.39 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303265,ACYCLOVIR 50 MG/ML SOLN,636,J0133,$61.94 ,$61.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303285,BIVALIRUDIN 250 MG SOLR,636,J0583,"$5,545.09 ","$5,545.09 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303299,FLUPHENAZINE DECANOATE 25 MG/ML SOLN,636,J2680,$318.53 ,$318.53 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303304,ERTAPENEM 1 GRAM SOLR,636,J1335,$505.47 ,$505.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303343,NESIRITIDE 1.5 MG SOLR,636,J2325,"$5,766.98 ","$5,766.98 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303344,"RHO(D) IMMUNE GLOBULIN-MALTOSE 5,000 UNI",636,J2790,"$7,067.54 ","$7,067.54 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303346,DARBEPOETIN ALFA-ALBUMIN 25 MCG/ML SOLN,636,J0881,"$1,043.90 ","$1,043.90 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303349,OXALIPLATIN 50 MG/10 ML SOLN,636,C9205,"$8,018.93 ","$8,018.93 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303352,CROTALIDAE POLYVAL IMMUNE FAB (NULL) SOL,636,C9274,"$16,286.72 ","$16,286.72 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303392,MORPHINE IN NORMAL SALINE 1 MG/ML SOLP,636,J2271,$76.67 ,$76.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303396,ZIPRASIDONE MESYLATE 20 MG SOLR,636,J3486,$108.33 ,$108.33 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303441,PEGFILGRASTIM 6 MG/0.6ML SYRG,636,J2505,"$22,645.62 ","$22,645.62 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303476,"APROTININ (BOVINE) 10,000 K UNIT/ML SOLN",636,J0365,$364.16 ,$364.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303501,DAUNORUBICIN 20 MG SOLR,636,J9150,$209.14 ,$209.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303506,"ALBUMIN, HUMAN 5 % SOLP",636,P9045,$288.46 ,$288.46 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303507,"ALBUMIN, HUMAN 5 % SOLP",636,P9041,$576.95 ,$576.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303514,CYTARABINE 1 GRAM SOLR,636,J9100,$80.48 ,$80.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303528,"APROTININ (BOVINE) 10,000 K UNIT/ML SOLN",636,J0365,$669.27 ,$669.27 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303552,FILGRASTIM 480 MCG/1.6 ML SOLN,636,J1441,"$3,074.90 ","$3,074.90 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303556,"RABIES VACCINE, PCEC 2.5 UNIT KIT",636,,"$1,632.30 ","$1,632.30 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303559,RISPERIDONE MICROSPHERES 25 MG/2 ML SYRG,636,J2794,"$2,058.16 ","$2,058.16 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303560,IRINOTECAN 20 MG/ML SOLN,636,J9206,$133.26 ,$133.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303606,OLANZAPINE 10 MG SOLR,636,J2358,$309.84 ,$309.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303608,IRON SUCROSE 100 MG/5 ML SOLN,636,J1756,$312.51 ,$312.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303617,IMMUNE GLOBULIN HUMAN (IGG) 5 GRAM SOLR,636,J1566,"$2,960.89 ","$2,960.89 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303619,ZOLEDRONIC ACID 4 MG/5 ML SOLN,636,J3488,"$7,176.61 ","$7,176.61 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303622,DARBEPOETIN ALFA IN POLYSORBAT 200 MCG/M,636,J0881,"$8,351.31 ","$8,351.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303624,EPIRUBICIN 2 MG/ML SOLN,636,J9178,$359.48 ,$359.48 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303625,PALONOSETRON 0.25 MG/5 ML SOLN,636,J2469,"$1,066.24 ","$1,066.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303633,APREPITANT 125 MG CAP,636,J8501,"$1,158.59 ","$1,158.59 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303642,VORICONAZOLE 200 MG SOLN,636,J3465,$958.17 ,$958.17 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303646,ETANERCEPT 25 MG KIT,636,J1438,"$1,874.60 ","$1,874.60 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303653,CISPLATIN 1 MG/ML SOLN,636,J9060,$144.85 ,$144.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303691,APREPITANT 80 MG CAP,636,J8501,$751.65 ,$751.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303701,BORTEZOMIB 3.5 MG SOLR,636,J9041,"$9,877.64 ","$9,877.64 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303733,CASPOFUNGIN ACETATE 50 MG SOLR,636,J0637,"$2,706.15 ","$2,706.15 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303734,CASPOFUNGIN ACETATE 70 MG SOLR,636,J0637,"$2,811.65 ","$2,811.65 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303737,DARBEPOETIN ALFA-ALBUMIN 300 MCG/ML SOLN,636,J0881,"$12,526.94 ","$12,526.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303741,PAMIDRONATE DISODIUM 90 MG SOLR,636,J2430,$452.54 ,$452.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303751,RISPERIDONE MICROSPHERES 37.5 MG/2 ML SY,636,J2794,"$3,087.34 ","$3,087.34 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303757,VINORELBINE TARTRATE 10 MG/ML SOLN,636,J9390,$550.47 ,$550.47 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303766,VINCRISTINE 1 MG/ML SOLN,636,J9370,$36.62 ,$36.62 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303767,VINCRISTINE 1 MG/ML SOLN,636,J9370,$67.04 ,$67.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303768,TETANUS-DIPHTHERIA TOXOIDS-TD 5-2 LF UNI,636,90718,$143.86 ,$143.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303772,DAPTOMYCIN 500 MG SOLR,636,J0878,"$2,123.76 ","$2,123.76 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303773,INTERFERON ALFA-2B 10 MILL UNIT (1 ML) S,636,J9214,"$1,310.78 ","$1,310.78 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303790,THIOTEPA 15 MG SOLR,636,J9340,"$1,161.95 ","$1,161.95 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303792,ARGATROBAN 100 MG/ML SOLN,636,,"$8,013.14 ","$8,013.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303793,PACLITAXEL-PROTEIN BOUND 100 MG SOLR,636,J9264,"$7,808.72 ","$7,808.72 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303803,RISPERIDONE MICROSPHERES 50 MG/2 ML SYRG,636,J2794,"$4,116.53 ","$4,116.53 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303811,TIGECYCLINE 50 MG SOLR,636,J3243,$453.95 ,$453.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303818,"EPOETIN ALFA 20,000 UNIT/ML SOLN",636,J0885,"$2,082.40 ","$2,082.40 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303853,CLADRIBINE 10 MG/10 ML SOLN,636,J9065,"$1,809.87 ","$1,809.87 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303861,ADENOSINE 3 MG/ML SOLN,636,J0150,$60.90 ,$60.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303865,PAMIDRONATE DISODIUM 30 MG SOLR,636,J2430,$120.23 ,$120.23 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303873,AMIODARONE 50 MG/ML SOLN,636,J0282,$6.41 ,$6.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303887,ANIDULAFUNGIN 50 MG SOLR,636,J0348,$724.02 ,$724.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303919,IMIGLUCERASE 400 UNIT SOLR,636,J1785,"$10,412.29 ","$10,412.29 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303926,ACETYLCYSTEINE (INJ) 20 % (200 MG/ML) SO,636,J0132,"$1,376.92 ","$1,376.92 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303927,PEMETREXED DISODIUM 500 MG SOLR,636,J9305,"$21,397.50 ","$21,397.50 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303928,BEVACIZUMAB 25 MG/ML SOLN,636,J9035,"$18,707.51 ","$18,707.51 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303929,BEVACIZUMAB 25 MG/ML SOLN,636,J9035,"$4,676.86 ","$4,676.86 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40303937,ENFUVIRTIDE 90 MG KIT,636,J1324,"$21,061.88 ","$21,061.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304051,IDARUBICIN 1 MG/ML SOLN,636,J9211,$198.37 ,$198.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304058,AMPHOTERICIN B LIPOSOME 50 MG SUSR,636,J0289,"$1,254.09 ","$1,254.09 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304070,ANIDULAFUNGIN 100 MG SOLR,636,J0348,$793.28 ,$793.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304077,"PENICILLIN G BENZATHINE & PROC 1,200,000",636,J0558,$318.25 ,$318.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304081,MYCOPHENOLATE SODIUM 360 MG TBEC,636,J7518,$54.44 ,$54.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304083,TIROFIBAN IN NORMAL SALINE 12.5 MG/250 M,636,J3246,"$3,319.44 ","$3,319.44 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304084,MORPHINE IN D5W 1 MG/ML SOLN,636,J1771,$209.74 ,$209.74 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304088,ATROPINE 0.05 MG/ML SYRG,636,J0461,$66.03 ,$66.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304094,FULVESTRANT 250 MG/5 ML SYRG,636,J9395,"$6,624.49 ","$6,624.49 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304099,FOSAPREPITANT 115 MG SOLR,636,J1453,"$1,553.23 ","$1,553.23 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304106,IXABEPILONE 15 MG SOLR,636,J9207,"$7,754.51 ","$7,754.51 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304107,IXABEPILONE 45 MG SOLR,636,J9207,"$23,263.61 ","$23,263.61 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304108,DORIPENEM 500 MG SUSR,636,J1267,$300.57 ,$300.57 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304109,AMIODARONE/D5%W PREMIX 1.8 MG/ML SOLN,636,J0282,$227.88 ,$227.88 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304111,CEFTRIAXONE IN DEXTROSE 1 GRAM/50 ML PGB,636,J0696,$87.73 ,$87.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304112,CEFTRIAXONE IN DEXTROSE 2 GRAM/50 ML PGB,636,J0696,$131.40 ,$131.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304116,ROPIVACAINE 5 MG/ML SOLN,636,J2795,$3.34 ,$3.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304123,PHENYLEPHRINE - NS (PREMIX) 160 MCG/ ML,636,J2370,$99.03 ,$99.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304147,"HYALURONIDASE, HUMAN RECOMB. 150 UNIT/ML",636,J3470,$745.78 ,$745.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304152,BLEOMYCIN 15 UNIT SOLR,636,J9040,$184.05 ,$184.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304153,CEFOXITIN SODIUM 1 GRAM SOLR,636,J0694,$58.18 ,$58.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304154,CEFOXITIN SODIUM 2 GRAM SOLR,636,J0694,$53.52 ,$53.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304155,GLUCAGON (HUMAN RECOMBINANT) 1 MG SOLR,636,J1610,$713.15 ,$713.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304156,HEPATITIS B IMMUNE GLOBULIN 220 UNIT/ML,636,J1571,"$4,406.15 ","$4,406.15 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304157,HEPATITIS B IMMUNE GLOBULIN (NULL) SOLN,636,J1517,"$5,023.99 ","$5,023.99 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304162,RABIES IMMUNE GLOBULIN 150 UNIT/ML SOLN,636,90675,"$2,635.56 ","$2,635.56 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304163,DACARBAZINE 100 MG SOLR,636,J9130,$75.34 ,$75.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304169,INSULIN DETEMIR 100 UNIT/ML SOLN,636,J1815,$43.98 ,$43.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304175,FLUOROURACIL 50 MG/ML SOLN,636,J9190,$12.26 ,$12.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304189,"MEASLES,MUMPS&RUBELLA VACC(PF) 0.5 ML SU",636,90707,$200.97 ,$200.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304190,ABATACEPT 250 MG SOLR,636,J0129,"$4,488.76 ","$4,488.76 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304192,OCTREOTIDE ACETATE 30 MG KIT,636,,"$28,015.82 ","$28,015.82 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304193,HEPARIN LOCK FLUSH 100 UNIT/ML SOLN,636,J1642,$11.37 ,$11.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304197,MANNITOL 20 % SOLP,636,J2150,$82.14 ,$82.14 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304198,MEPIVACAINE (PF) 10 MG/ML (1 %) SOLN,636,J0670,$1.16 ,$1.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304199,DIAZEPAM 5 MG/ML SOLN,636,J3360,$2.51 ,$2.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304200,INSULIN LISPRO 100 UNIT/ML SOLN,636,J1815,$37.08 ,$37.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304201,PANITUMUMAB 400 MG/20 ML (20 MG/ML) SOLN,636,J9303,"$1,358.86 ","$1,358.86 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304202,ZOLEDRONIC ACID-MANNITOL&WATER 5 MG/100,636,J2310,"$8,598.93 ","$8,598.93 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304205,NALOXONE 0.4 MG/ML SOLN,636,J2310,$26.08 ,$26.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304206,INSULIN LISPRO PROTAM & LISPRO 100 UNIT/,636,J1815,$139.03 ,$139.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304207,INSULIN GLULISINE 100 UNIT/ML INPN,636,J1815,$285.22 ,$285.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304208,INSULIN ASPART 100 UNIT/ML INPN,636,J1815,$131.05 ,$131.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304209,INSULIN ASP PRT-INSULIN ASPART 100 UNIT/,636,J1815,$131.05 ,$131.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304210,INSULIN GLARGINE 100 UNIT/ML (3 ML) INPN,636,J1815,$279.94 ,$279.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304212,INSULIN NPH & REGULAR HUMAN 100 UNIT/ML,636,J1815,$88.15 ,$88.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304213,HEPARIN LOCK FLUSH (PORCINE) 100 UNIT/ML,636,J1642,$15.22 ,$15.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304219,GOSERELIN 10.8 MG IMPL,636,J9202,"$8,044.38 ","$8,044.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304223,IBANDRONATE 3 MG/3 ML SYKT,636,J1740,"$1,213.05 ","$1,213.05 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304226,MEPERIDINE (PF)(25MG/0.5ML) SOLN,636,J2175,$2.50 ,$2.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304231,INSULIN NPH HUMAN RECOMB 100 UNIT/ML (3,636,J1815,$88.15 ,$88.15 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304236,PALIPERIDONE PALMITATE 234 MG/1.5 ML SYR,636,J2426,"$12,349.42 ","$12,349.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304237,IMMUNE GLOBULIN (HUMAN) (IGG) 10 % INJ,636,J1561,$59.24 ,$59.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304238,PALIPERIDONE PALMITATE 156 MG/ML (1 ML),636,J2426,"$8,232.96 ","$8,232.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304240,MEPERIDINE (PF) 75 MG/1.5 ML SOLN,636,J2175,$3.00 ,$3.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304244,TOCILIZUMAB 200 MG/10 ML (20 MG/ML) SOLN,636,J3262,$532.07 ,$532.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304245,EDROPHONIUM CL-ATROPINE 10-0.14 MG/ML SO,636,J3490,$83.73 ,$83.73 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304249,FOSAPREPITANT 150 MG SOLR,636,J1453,"$1,989.86 ","$1,989.86 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304254,LEVETIRACETAM 500 MG/5 ML SOLN,636,J1953,$111.55 ,$111.55 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304257,IMMUNE GLOBULIN (HUMAN) (IGG) 10 % INJ,636,J1459,"$5,595.63 ","$5,595.63 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304267,IPRATROPIUM-ALBUTEROL (LTC ONLY) 0.5 MG-,636,J7620,$1.85 ,$1.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304269,"COAGULATION FACTOR VIIA RECOMB 1 MG (1,0",636,J7189,"$11,220.04 ","$11,220.04 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304270,MORPHINE PCA (NOLAND) 30 MG/30 ML PCAS,636,J7189,$2.02 ,$2.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304271,MEPERIDINE PCA (NOLAND) 10 MG/ML CRTG,636,J7198,$1.91 ,$1.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304281,DARBEPOETIN ALFA IN POLYSORBAT 40 MCG/ML,636,J0881,"$1,670.27 ","$1,670.27 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304282,DARBEPOETIN ALFA IN POLYSORBAT 60 MCG/ML,636,J0881,"$2,505.38 ","$2,505.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304283,DARBEPOETIN ALFA IN POLYSORBAT 100 MCG/M,636,J0881,"$4,175.62 ","$4,175.62 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304284,DARBEPOETIN ALFA IN POLYSORBAT 150 MCG/0,636,J0881,"$8,351.29 ","$8,351.29 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 40304287,PHENYLEPHRINE - NS (80 MG / 250 ML) 320,636,J2370,$218.38 ,$218.38 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604477,XYLOCAINE MPF 2% 5ML VIALS,636,J2001,$2.25 ,$2.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604497,LEXISCAN 0.4MG/5ML INJ SYRINGE,636,J2785,$100.71 ,$100.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604518,BRIDION 200MG/2ML VIALS,636,J3490,$222.81 ,$222.81 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41604745,VANCOMYCIN 1GM/200M D5W IVPB,636,J3370,$54.08 ,$54.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41904416,GATROGRAFFIN 1-120 ML ORAL X 1 DO,636,Q9963,$1.08 ,$1.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 41904423,OMNIPAQUE 1-100ML IV X 1 DOSE,636,Q9967,$0.35 ,$0.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600001,PATIENT RECOVERY MONITOR,710,99354,$478.83 ,$478.83 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600012,PT WARM SYSTEM PACU,710,,$56.31 ,$56.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600013,RECOVERY 1 HR,710,,"$2,510.29 ","$2,510.29 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600014,RECOVERY 1.0 - 1.5 HR,710,,"$2,940.63 ","$2,940.63 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600015,RECOVERY 1.5 - 2.0 HR,710,,"$3,370.96 ","$3,370.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600016,RECOVERY 2.0 - 2.5 HR,710,,"$3,801.26 ","$3,801.26 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600017,RECOVERY 2.5 - 3.0 HR,710,,"$4,231.60 ","$4,231.60 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600018,RECOVERY 3.0 - 3.5 HR,710,,"$4,661.95 ","$4,661.95 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600019,RECOVERY 3.5 - 4.0 HR,710,,"$5,092.29 ","$5,092.29 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600020,RECOVERY 4.0 - 4.5 HR,710,,"$5,522.61 ","$5,522.61 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600021,RECOVERY 4.5 - 5.0 HR,710,,"$5,952.95 ","$5,952.95 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600089,RECOVERY EACH ADDT'L 15 MINUTE,710,,$186.28 ,$186.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600090,RECOVERY EACH ADDT'L 15 MINUTE,710,,$186.28 ,$186.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3900001,EKG - 12 LEAD,730,93005,$330.41 ,$330.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3900002,ER FAST TRACK EKG - 12 LEAD,730,93005,$330.41 ,$330.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3900003,ER TRAUMA SIDE EKG 12- LEAD,730,93005,$330.41 ,$330.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3900004,RHYTHM STRIP,730,93041,$178.94 ,$178.94 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3900005,SIGNAL AVERAGING,730,93278,$314.30 ,$314.30 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3900006,EKG 12 LEAD TRACING ONLY,730,93005,$330.41 ,$330.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3900026,411099150 - EKG - 12 Lead w/other,730,,$395.67 ,$395.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3900009,ER HOLTER MONITOR,731,93236,$628.97 ,$628.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3900010,HOLTER MONITOR,731,93232,$628.97 ,$628.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3900027,HOLTER MONITOR 0111,731,93226,$610.96 ,$610.96 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7000001,CARDIAC TELEMETRY,732,93012,$435.16 ,$435.16 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7027200,TELEMETRY/CARDIAC MONITORING,732,,$0.01 ,$0.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3900011,AMBULATORY EEG (24 HOUR),740,95953,"$2,869.59 ","$2,869.59 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3900012,EEG,740,95819,$594.31 ,$594.31 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3900013,EEG - CAROTID ENDARTERECTOMY,740,95955,$668.91 ,$668.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3900014,EEG - ELECTRO-CEREBRAL SILENCE,740,95824,$499.82 ,$499.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3900015,EEG - SLEEP DEPRIVED,740,95819,$499.82 ,$499.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3900016,EEG EXTENDED MONITORING 41-60 MIN,740,95812,$416.76 ,$416.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3900017,EEG RECORDING IN COMA,740,95822,$501.82 ,$501.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3900018,EEG-EXT MONITORING GREATER 1 HOUR,740,95813,$555.67 ,$555.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3900019,MSLT,740,95805,"$1,886.56 ","$1,886.56 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3900020,NPSG,740,95810,"$3,773.15 ","$3,773.15 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3900021,NPSG/CPAP/BIPAP/2ND NIGHT,740,95811,"$4,716.47 ","$4,716.47 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200001,GASTRIC ANALYSIS - AMB,750,91052,$570.20 ,$570.20 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200002,SECRETIN TEST - AMBULATORY CARE,750,91052,$599.05 ,$599.05 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200004,ABDOMINAL PARACENTESIS,750,49080,$237.68 ,$237.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200005,ANOSCOPY W/REMOVAL OF FB,750,46608,$337.80 ,$337.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200006,ANOSCOPY WITH OR W/O SPECIMEN,750,46600,$211.07 ,$211.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200007,BERNSTEIN TEST,750,91030,$493.00 ,$493.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200009,BONE MARROW ASPIRATION,750,38220,$237.68 ,$237.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200010,BONE MARROW BIOPSY,750,38221,$237.68 ,$237.68 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200011,BRAVO 48 HOUR PH,750,C9712,"$1,210.31 ","$1,210.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200012,BX ANORECTAL WALL ANAL APPROACH,750,45100,"$2,515.66 ","$2,515.66 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200013,COLON - ELECTROCOAGULATION-BICAP,750,45382,"$3,442.42 ","$3,442.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200014,COLON VIA STOMA WITH BIOPSY,750,,"$2,323.54 ","$2,323.54 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200015,COLON VIA STOMA WITH HOT BIOPSY,750,44393,"$2,658.67 ","$2,658.67 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200016,COLON VIA STOMA WITH SNARE,750,44394,"$2,993.95 ","$2,993.95 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200017,COLON VIA STOMA-CONTROL BLEEDING,750,44391,"$3,442.42 ","$3,442.42 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200018,COLON VIA STOMA-REM FOREIGN BODY,750,44390,"$2,658.67 ","$2,658.67 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200019,COLON W/ ARGON,750,45383,"$3,728.12 ","$3,728.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200020,COLON/FLEX W/BALLOON 1ORMORE STRI,750,45386,"$1,613.75 ","$1,613.75 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200021,COLONOSCOPY,750,45378,"$2,058.88 ","$2,058.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200022,COLONOSCOPY - BIOPSY,750,45380,"$2,323.54 ","$2,323.54 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200023,COLONOSCOPY - HOT BX,750,45384,"$2,658.67 ","$2,658.67 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200024,COLONOCOPSY - POLYP WITH SNARE,750,45385,"$2,993.95 ","$2,993.95 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200025,COLONOSCOPY FLEX W/SUBMUCOSAL INJ,750,45381,"$1,613.75 ","$1,613.75 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200026,COLONOSCOPY INCOMPLETE,750,45378,$732.28 ,$732.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200028,COLONOSCOPY THRU STOMA,750,44388,"$2,058.88 ","$2,058.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200029,COLONOSCOPY W/ STENT PLACE MENT,750,45387,"$1,468.52 ","$1,468.52 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200031,DESTRUCTION INTERNAL HEMS,750,46934,"$1,163.26 ","$1,163.26 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200032,DILATATION OF ANAL STRICTURE,750,45905,$645.08 ,$645.08 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200033,DILATE - ESOPH - BALLOON,750,43249,"$1,765.93 ","$1,765.93 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200034,DILATE - ESOPHAGUS-MALONEY,750,43450,$630.80 ,$630.80 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200035,DILATE ESOPH-WIRE GUIDED-NO EGD,750,43453,"$1,098.59 ","$1,098.59 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200036,EGD - BIOPSY,750,43239,"$1,765.93 ","$1,765.93 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200037,EGD - DILATE - GASTRIC OUTLET,750,43245,"$1,855.99 ","$1,855.99 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200038,EGD - ELECTROCOAGULATION - BICAP,750,43255,"$2,658.67 ","$2,658.67 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200039,EGD - FOREIGN BODY,750,43247,"$1,855.99 ","$1,855.99 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200040,EGD - HOT BIOPSY,750,43250,"$1,830.81 ","$1,830.81 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200041,EGD - PLAIN/SPECIMEN,750,43235,"$1,543.37 ","$1,543.37 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200042,EGD -SCLEROSIS - ESOPH,750,43243,"$2,658.67 ","$2,658.67 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200043,EGD - WITH ENDOSCOPIC ULTRASOUND,750,43259,"$2,549.13 ","$2,549.13 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200044,EGD - WITH WIRE GUIDED DILITATION,750,43248,"$2,394.08 ","$2,394.08 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200045,EGD /W ARGON,750,43258,"$2,875.97 ","$2,875.97 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200047,EGD REMOVAL POLYP WITH SNARE,750,43251,"$1,881.53 ","$1,881.53 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200048,EGD W/ENDO US EXAM LMTD TO ESOPHA,750,43237,"$1,147.63 ","$1,147.63 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200049,EGD W/TRANSENDO US/TRANSMURAL ASP,750,43238,"$1,147.63 ","$1,147.63 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200050,EGD WITH LIGATION-BAND VARICES,750,43244,"$2,689.76 ","$2,689.76 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200051,EGD-PLAIN/SPEC W/SUBMUCOSAL INJ,750,43236,"$1,511.01 ","$1,511.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200052,ELECTROMYOGRAPHY-URETHRAL,750,51784,$360.56 ,$360.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200053,ENDOSCOPIC US FOR EGD BIOPSY,750,43259,"$2,008.23 ","$2,008.23 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200055,ENDOSCOPY CAPSULE W/PHYS I & R,750,91110,"$1,748.24 ","$1,748.24 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200056,EPIDURAL INJ CERVICAL/THORACIC,750,62310,$591.28 ,$591.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200057,EPIDURAL INJECTION LUMBAR/SACRAL,750,62311,$591.28 ,$591.28 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200059,ERCP *,750,43260,"$2,549.13 ","$2,549.13 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200060,ERCP - SPHINCTEROTOMY,750,43262,"$3,774.14 ","$3,774.14 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200061,ERCP - STENT,750,43268,"$4,013.32 ","$4,013.32 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200062,ERCP - STONES,750,43264,"$4,267.06 ","$4,267.06 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200064,ESOPH - GAST TAMP W/BALLOON,750,43458,"$3,078.44 ","$3,078.44 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200065,ESOPH MOTIL - PROVOKED,750,91011,"$1,563.28 ","$1,563.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200066,ESOPHA PH PROLONGED FULL,750,91033,"$1,830.81 ","$1,830.81 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200067,ESOPHA PH PROLONGED RED SVS 1/4,750,91033,$457.76 ,$457.76 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200068,ESOPHA PH PROLONGED RED SVS 1/2,750,91033,$915.36 ,$915.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200069,ESOPHA PH PROLONGED RED SVS 3/4,750,91033,"$1,373.15 ","$1,373.15 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200070,ESOPHAGEAL MOTILITY FULL,750,91010,"$1,052.34 ","$1,052.34 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200072,ESOPHAGEAL MOTILITY RED SVS 1/4,750,91010,$263.04 ,$263.04 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200073,ESOPHAGEAL MOTILITY RED SVS 1/2,750,91010,$526.25 ,$526.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200074,ESOPHAGEAL PROTHESIS,750,43219,"$2,906.73 ","$2,906.73 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200075,ESOPHAGEAL TAMPONADE W/BALLOON,750,43460,$788.52 ,$788.52 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200077,EXOPHAGEAL MOTILITY RED SVS 3/4,750,91010,$789.32 ,$789.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200079,GASTRIC ANALYSIS,750,91052,$557.65 ,$557.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200080,GASTRIC INTUB LAVAGE,750,91105,$876.00 ,$876.00 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200083,ILEOSCOPY THRU STOMA DIAG W/WO WA,750,44380,"$2,073.68 ","$2,073.68 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200084,LIVER BIOPSY,750,47000,$337.64 ,$337.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200085,LOW LEVEL ESTABLISHED PATIENT,750,99211,$129.01 ,$129.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200087,PEG REPLACEMENT,750,43760,"$1,433.64 ","$1,433.64 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200088,PERCU ENDO GASTRO TUBE PLACEMENT,750,43246,"$2,191.22 ","$2,191.22 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200089,PH LIMITED RECORDING,750,91032,$892.67 ,$892.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200091,PROCTO - BIOPSY,750,45305,$450.78 ,$450.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200092,PROCTO - FOREIGN BODY,750,45307,$783.02 ,$783.02 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200093,PROCTO - SPECIMEN,750,45300,$450.78 ,$450.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200094,PROCTOSIGMOIDOSCOPY,750,45300,$399.97 ,$399.97 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200095,REM FECAL IMPACT/FORGN BDY W/ANES,750,45915,$904.86 ,$904.86 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200096,SALINE LOAD TEST,750,91060,$532.34 ,$532.34 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200097,SECRETIN TEST,750,91052,$585.87 ,$585.87 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200098,SIGMOID - BIOPSY/SPECIMEN,750,45331,$819.70 ,$819.70 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200099,SIGMOID FLEX W/ SUBMUCOSAL INJ,750,45335,"$1,430.08 ","$1,430.08 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200100,SIGMOID W/BALLON 10RMORE STRICT,750,45340,"$1,430.08 ","$1,430.08 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200101,SIGMOID W/REM LESIONS SNARE TECH,750,45338,"$1,630.41 ","$1,630.41 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200102,SIGMOID W/REMOVAL LESION W/ARGON,750,45333,"$1,630.41 ","$1,630.41 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200103,SIGMOIDOSCOPY,750,45330,"$1,413.93 ","$1,413.93 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200104,SMALL BOWEL ENTER - BIOPSY,750,44361,"$2,034.88 ","$2,034.88 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200105,SMALL BOWEL ENTER - CONTROL HEME,750,44366,"$2,745.97 ","$2,745.97 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200106,SMALL BOWEL ENTER - HOT BIOPSY,750,44369,"$2,253.25 ","$2,253.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200107,SMALL BOWEL ENTER - PEG TO J-TUBE,750,44373,"$2,253.25 ","$2,253.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200108,SMALL BOWEL ENTER -PLACE J-TUBE,750,44372,"$2,253.25 ","$2,253.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200109,SMALL BOWEL ENTER - POLYPECTOMY,750,44364,"$2,464.38 ","$2,464.38 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200110,SMALL BOWEL ENTER - REMOVAL FB,750,44363,"$2,112.31 ","$2,112.31 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200111,SMALL BOWEL ENTER - W/ARGON,750,44369,"$1,630.41 ","$1,630.41 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200112,SMALL BOWEL ENTEROSCOPY,750,44360,"$1,849.01 ","$1,849.01 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200114,THORACENTESIS,750,32000,$337.64 ,$337.64 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200115,VASC ACCESS FLUSH/ASP ANY DEVICE,750,61070,$201.65 ,$201.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200116,VASC CATH INSERT AGE 2YRS & UNDER,750,,$432.03 ,$432.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200117,VASC CATH INSERT OVER AGE 2,750,,$432.03 ,$432.03 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200119,UPPER GI ENDO SIMPLE PRIMARY E,750,43234,"$1,179.86 ","$1,179.86 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200120,PERC PEG TUBE PLACEMENT,750,43750,"$1,179.86 ","$1,179.86 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200121,UGI PLACEMENT OF GASTROSTOMY T,750,,"$2,688.81 ","$2,688.81 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200122,NG TUBE PLACEMENT W/FLURO,750,,"$2,017.12 ","$2,017.12 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200123,RECOVERY 1 HOUR,750,,"$1,628.07 ","$1,628.07 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200124,GI LAB INITIAL HOUR,750,,"$2,450.03 ","$2,450.03 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 7200125,GI LAB EA ADDITIONAL 15 MINUTES,750,,$612.51 ,$612.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600023,ANTEPARTUM CARE,760,Z5300,"$1,656.25 ","$1,656.25 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 2400461,NON-ROUTINE BLOOD DRAW 3/> YRS,761,36410,$246.84 ,$246.84 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600024,3E HOP-HIGH SEVERITY/HR,762,99220,$1.50 ,$1.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600025,3E HOP-LOW SEVERITY/HR,762,99218,$0.85 ,$0.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600026,3E HOP-MOD SEVERITY/HR,762,99219,$1.12 ,$1.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600027,3W HOP-HIGH SEVERITY/HR,762,99220,$1.50 ,$1.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600028,3W HOP-LOW SEVERITY/HR,762,99218,$0.85 ,$0.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600029,3W HOP-MOD SEVERITY/HR,762,99219,$1.12 ,$1.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600030,4NB HOP-HIGH SEVERITY/HR,762,99220,$1.50 ,$1.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600031,4NB HOP-LOW SEVERITY/HR,762,99218,$0.85 ,$0.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600032,4NB HOP-MOD SEVERITY/HR,762,99219,$1.12 ,$1.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600033,4W HOP-HIGH SEVERITY/HR,762,99220,$1.50 ,$1.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600034,4W HOP-LOW SEVERITY/HR,762,99218,$0.85 ,$0.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600035,4W HOP-MOD SEVERITY/HR,762,99219,$1.12 ,$1.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600036,5E HOP-HIGH SEVERITY/HR,762,99220,$1.50 ,$1.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600037,5E HOP-LOW SEVERITY/HR,762,99218,$0.85 ,$0.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600038,5E HOP-MOD SEVERITY/HR,762,99219,$1.12 ,$1.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600039,5N1 HOP-HIGH SEVERITY/HR,762,99220,$1.50 ,$1.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600040,5N1 HOP-LOW SEVERITY/HR,762,99218,$0.85 ,$0.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600041,5N1 HOP-MOD SEVERITY/HR,762,99219,$1.12 ,$1.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600042,5N2 HOP-HIGH SEVERITY/HR,762,99220,$1.50 ,$1.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600043,5N2 HOP-LOW SEVERITY/HR,762,99218,$0.85 ,$0.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600044,5N2 HOP-MOD SEVERIYY/HR,762,99219,$1.12 ,$1.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600045,5N3 HOP-HIGH SEVERITY/HR,762,99220,$1.50 ,$1.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600046,5N3 HOP-LOW SEVERITY/HR,762,99218,$0.85 ,$0.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600047,5N3 HOP-MOD SEVERITY/HR,762,99219,$1.12 ,$1.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600048,5N4 HOP-HIGH SEVERITY/HR,762,,$1.50 ,$1.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600049,5N4 HOP-LOW SEVERITY/HR,762,99218,$0.85 ,$0.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600050,5N4 HOP-MOD SEVERITY/HR,762,99219,$1.12 ,$1.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600051,5W HOP-HIGH SEVERITY/HR,762,99220,$1.50 ,$1.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600052,5W HOP-LOW SEVERITY/HR,762,99218,$0.85 ,$0.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600053,5W HOP-MOD SEVERITY/HR,762,99219,$1.12 ,$1.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600054,6W HOP-HIGH SEVERITY/HR,762,99220,$1.50 ,$1.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600055,6W HOP-LOW SEVERITY/HR,762,99218,$0.85 ,$0.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600056,6W HOP-MOD SEVERITY/HR,762,99219,$1.12 ,$1.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600057,7E HOP-HIGH SEVERITY/HR,762,99220,$1.50 ,$1.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600058,7E HOP-LOW SEVERITY/HR,762,99218,$0.85 ,$0.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600059,7E HOP-MOD SEVERITY/HR,762,99219,$1.12 ,$1.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600060,7W HOP-HIGH SEVERITY/HR,762,99220,$1.50 ,$1.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600061,7W HOP-LOW SEVERITY/HR,762,99218,$0.85 ,$0.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600062,7W HOP-MOD SEVERITY/HR,762,99219,$1.12 ,$1.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600063,8E HOP-HIGH SEVERITY/HR,762,99220,$1.50 ,$1.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600064,8E HOP-LOW SEVERITY/HR,762,99218,$0.85 ,$0.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600065,8E HOP-MOD SEVERITY/HR,762,99219,$1.12 ,$1.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600066,8W HOP-HIGH SEVERITY/HR,762,99220,$1.50 ,$1.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600067,8W HOP-LOW SEVERITY/HR,762,99218,$0.85 ,$0.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600068,8W HOP-MOD SEVERITY/HR,762,99219,$1.12 ,$1.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600069,9E HOP-HIGH SEVERITY/HR,762,99220,$1.50 ,$1.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600070,9E HOP-LOW SEVERITY/HR,762,99218,$0.85 ,$0.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600071,9E HOP-MOD SEVERITY/HR,762,99219,$1.12 ,$1.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600072,9W HOP-HIGH SEVERITY/HR,762,99220,$1.50 ,$1.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600073,9W HOP-LOW SEVERITY/HR,762,99218,$0.85 ,$0.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600074,9W HOP-MOD SEVERITY/HR,762,99219,$1.12 ,$1.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600075,CHEST PAIN OBSERVATION,762,G0244,$1.78 ,$1.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600076,ED ANNEX CHEST/CHF/ASTH OBS,762,,$1.78 ,$1.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600077,ED ANNEX OBSERVATION LOW LEVEL RC,762,,$0.85 ,$0.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600078,L&D HOP-HIGH SEVERITY/HR,762,99220,$1.50 ,$1.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600079,L&D HOP-LOW SEVERITY/HR,762,99218,$0.85 ,$0.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600080,L&D HOP-MOD SEVERITY/HR,762,99219,$1.12 ,$1.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600081,MHI LOW SEVERITY/HR OBSERVATION,762,99218,$0.85 ,$0.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600082,ORT HOP-HIGH SEVERITY/HR,762,99220,$1.50 ,$1.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600083,ORT HOP-LOW SEVERITY/HR,762,99218,$0.85 ,$0.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600084,ORT HOP-MOD SEVERITY/HR,762,99219,$1.12 ,$1.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600085,WC OBS HOP-HIGH SEVERITY/HR,762,99220,$1.50 ,$1.50 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600086,WC OBS HOP-LOW SEVERITY/HR,762,99218,$0.85 ,$0.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600087,WC OBS HOP-MOD SEVERITY/HR,762,99219,$1.12 ,$1.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 3600088,ICU HOP-LOW SEVERITY/HR,762,99218,$292.65 ,$292.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9400001,IMMUNIZATIN ADMIN ONE VACCINE,771,90471,$25.65 ,$25.65 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9400002,IMMUNIZATION ADMIN EACH ADD VACC,771,90472,$68.35 ,$68.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5700001,HEMOPERFUSION - ABSORB,800,,$603.37 ,$603.37 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6690935,DIALYSIS HEMODIALYSIS,800,,"$1,554.68 ","$1,554.68 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6690945,DIALYSIS PERITONEAL,800,,$388.67 ,$388.67 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5700002,HEMODIALYSIS,801,,"$2,407.49 ","$2,407.49 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5700004,LTC IP HEMODIALYSIS,801,,"$4,465.45 ","$4,465.45 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5700005,HEMODIALYSIS PC,801,,"$2,121.28 ","$2,121.28 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 5700003,OP DIALYSIS UNSCHEDULED,829,G0257,"$1,206.75 ","$1,206.75 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9500001,OP THERAPY-INDIV-60 MINUTES,914,90806,$173.95 ,$173.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9500002,OP THERAPY-INDIV-90 MIN,914,90808,$261.01 ,$261.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9500003,OP THERAPY-INDIV 30 MIN,914,90804,$87.06 ,$87.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9500004,PPH THERAPY-INDIV 30MIN,914,90816,$87.06 ,$87.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9500005,PPH THERAPY-INDIV 60 MIN,914,90818,$173.95 ,$173.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9500006,THERAPY-INDIV 30 MIN,914,90816,$87.06 ,$87.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9500007,THERAPY-INDIV 60 MIN,914,90818,$173.95 ,$173.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9500008,OP PSYCHOTHERAPY 60MIN,915,90853,$77.56 ,$77.56 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9500009,OP PSYCHOTHERAPY 90 MIN,915,90853,$116.24 ,$116.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9500010,PPH THERAPY EDUCATION GRP 60 MIN,915,90853,$173.95 ,$173.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9500011,PPH THERAPY PSYCHOTHERAPY 120MIN,915,90853,$347.82 ,$347.82 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9500012,PPH THERAPY PSYCHOTHERAPY 30MIN,915,90853,$86.98 ,$86.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9500013,PPH THERAPY PSYCHOTHERAPY 60 MIN,915,90853,$173.95 ,$173.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9500014,PPH THERAPY PSYCHOTHERAPY 90 MIN,915,90853,$260.85 ,$260.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9500015,THERAPEUTIC COMMUNITY 30 MIN,915,90853,$87.06 ,$87.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9500016,THERAPY - PSYCHOTHERAPY 120 MIN,915,90853,$347.91 ,$347.91 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9500017,THRAPY - PSYCHOTHERAPY 30 MIN,915,90853,$87.06 ,$87.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9500018,THERAPY - PSYCHOTHERAPY 60 MIN,915,90853,$173.95 ,$173.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9500019,THERAPY - PSYCHOTHERAPY 90 MIN,915,90853,$261.01 ,$261.01 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9500020,THERAPY - SOCIAL SKILLS GRP 30MIN,915,90853,$87.06 ,$87.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9500021,THERAPY - SOCIAL SKILLS GRP 60MIN,915,90853,$173.95 ,$173.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9500022,THERAPY - STRESS MGMT GRP 30 MIN,915,90853,$87.06 ,$87.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9500023,THERAPY - STRESS MGMT GRP 60 MIN,915,90853,$173.95 ,$173.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9500024,THERAPY - SYMPTOM MGMT GRP 30 MIN,915,90853,$87.06 ,$87.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9500025,THERAPY - SYMPTOM MGMT GRP 60 MIN,915,90853,$173.95 ,$173.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9500026,THERAPY-GOAL SETTING & RVW 30 MIN,915,90853,$87.06 ,$87.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9500027,THERAPY-GOAL SETTING & RVW 60 MIN,915,90853,$173.95 ,$173.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9500028,OP THERAPY-FAMILY 90 MINUTES,916,90847,$237.39 ,$237.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9500029,OP THERAPY-FAMILY 30MIN,916,90847,$87.06 ,$87.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9500030,OP THERAPY-FAMILY SUPPORT 15MIN,916,90846,$57.98 ,$57.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9500031,OP THERPAY-FAMILY 60MIN,916,90847,$173.95 ,$173.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9500032,PPH THERAPY-FAMILY 60MIN,916,90847,$173.95 ,$173.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9500033,THERAPY-FAMILY 30 MIN,916,90847,$87.06 ,$87.06 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9500034,THERAPY-FAMILY 60 MIN,916,90847,$173.95 ,$173.95 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9500035,THERAPY FAMILY SUPP,916,90846,$57.98 ,$57.98 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 9600001,EXTREMITY ARTERIAL NON-INVASIVE,920,93922,$350.41 ,$350.41 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6600001,CAROTID DUPLEX UNILAT/LMTD STUDY,921,93882,$516.85 ,$516.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6600002,CAROTID DUPLUX,921,93880,$516.85 ,$516.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6600003,DOPPLER TRANSCRANIAL CMPT STUDY,921,93886,$516.85 ,$516.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6600004,DOPPLER TRANSCRANIAL LMTD STUDY,921,93888,$338.44 ,$338.44 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6600005,DUPLEX SCAN COMPLETE STUDY,921,93978,$516.85 ,$516.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6600006,DUPLEX SCAN UNILAT/LMTD STUDY,921,93979,$516.85 ,$516.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6600007,US COLOR DOPPLER,921,93976,$516.85 ,$516.85 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6600008,CAROTID DUPLEX,921,93880,$956.26 ,$956.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6600009,DUPLEX SCAN VEIN,921,93970,"$1,051.96 ","$1,051.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6600010,ER CAROTID DUPLEX,921,93880,$956.26 ,$956.26 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6600011,ER DUPLEX SCAN VEIN,921,93970,"$1,051.96 ","$1,051.96 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6600012,ER NON-INV EXTR VEIN,921,93965,$290.13 ,$290.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6600013,ER NON-INV LOWER ART,921,93923,$446.24 ,$446.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6600014,ER NON-INV UPPER ART,921,93923,$446.24 ,$446.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6600015,NON-INVASIVE EXTRE VEIN,921,93965,$290.13 ,$290.13 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6600016,NON-INVASIVE LOWER ART,921,93923,$446.24 ,$446.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6600017,NON-INVASIVE UPPER ART,921,93923,$446.24 ,$446.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6600018,US ARTERIAL LOWER EXTREM BILAT,921,93925,$744.32 ,$744.32 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6600019,US ARTERIAL LOWER EXTREM UNILAT,921,93926,$498.24 ,$498.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6600020,US ARTERIAL UPPER EXTREM BILAT,921,93930,$756.79 ,$756.79 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6600021,US ARTERIAL UPPER EXTREM UNI,921,93931,$502.59 ,$502.59 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6600022,US CAROTID DUPLEX DOPPLER,921,93880,"$1,067.58 ","$1,067.58 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6600023,US COLOR DOPPLER,921,93976,$649.40 ,$649.40 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6600024,US PERIPHERAL VASC,921,00939,$740.12 ,$740.12 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6600025,US SEG PRESSURES EXTREM W/EXERCIS,921,93924,$508.90 ,$508.90 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6600026,US SEGMENTED PRESS EXTREMEITY BI,921,93923,"$1,931.94 ","$1,931.94 ",N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6600027,US VENOUS DOPPLER BILAT,921,93970,$827.51 ,$827.51 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6600028,US VENOUS DOPPLER UNILAT,921,93971,$550.18 ,$550.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6600029,TRANSCUT 02 TEN MON COMPLETE BILA,921,93923,$360.99 ,$360.99 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6600031,US VENOUS DOPPLER UNILATERAL RIGHT,921,93971,$617.24 ,$617.24 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6600032,US LOWER EXTREMITY ARTERIAL DOPPLER LEFT,921,93926,$414.22 ,$414.22 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6600033,US VENOUS DOPPLER UNILATERAL LEFT,921,93971,$458.18 ,$458.18 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6600034,US LOWER EXTREM ARTERIAL DOPPLER,921,93926,$384.71 ,$384.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6000001,"""H"" REFLEX STUDY",922,95934,$62.35 ,$62.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6000002,EMG 1 EXT & PS AREAS,922,95860,$115.78 ,$115.78 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6000003,EMG 2 EXT & PS AREAS,922,95861,$172.09 ,$172.09 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6000004,EMG 3 EXT & PS AREAS,922,95863,$213.54 ,$213.54 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6000005,EMG 4 EXT & PS AREAS,922,95864,$258.07 ,$258.07 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6000006,EMG CRANIAL BILAT,922,95868,$94.93 ,$94.93 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6000007,EMG CRANIAL UNILAT,922,95867,$71.39 ,$71.39 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6000008,EMG LIMITED STUDY,922,95870,$62.35 ,$62.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6000009,EMG SPECIFIC MUSCLES,922,95869,$62.35 ,$62.35 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6000010,NCV MOTOR W F-WAVE,922,95903,$38.69 ,$38.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6000011,NCV MOTOR W/O F-WAVE,922,95900,$47.36 ,$47.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6000012,NCV SENSORY 1ST,922,95904,$47.36 ,$47.36 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6000013,NCV SENSORY ADDITION,922,95904,$38.69 ,$38.69 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6000014,REPEAT STIM EA NERVE,922,95937,$74.25 ,$74.25 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A 6600030,"THER/PROPH/DIAG INJ, IV PUSH",940,90774,$100.71 ,$100.71 ,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A,N/A ,"Tracheostomy with MV >96 hours or principal diagnosis except face, mouth and neck without major O.R. procedures",004,,"$251,702.22 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$99,640.88 ","$104,885.13 ","$104,885.13 " ,Degenerative nervous system disorders with major complication or comorbidity,056,,"$41,718.46 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$29,487.02 ","$31,038.97 ","$31,038.97 " ,Degenerative nervous system disorders without major complication or comorbidity,057,,"$19,353.06 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$21,991.82 ","$23,149.29 ","$23,149.29 " ,Nonspecific cerebrovascular disorders with major complication or comorbidity,070,,"$59,038.82 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$28,363.26 ","$29,856.06 ","$29,856.06 " ,Bacterial and tuberculous infections of nervous system with major complication or comorbidity,094,,"$152,151.42 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$37,281.90 ","$39,244.10 ","$39,244.10 " ,Major chest procedures with major complication or comorbidity,163,,"$394,823.50 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$100,376.43 ","$105,659.40 ","$105,659.40 " ,Major chest procedures with complication or comorbidity,164,,"$191,560.72 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$35,497.49 ","$37,365.78 ","$37,365.78 " ,Other respiratory system O.R. procedures with major complication or comorbidity,166,,"$271,867.32 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$83,690.16 ","$88,094.91 ","$88,094.91 " ,Pulmonary embolism with major complication or comorbidity or acute cor pulmonale,175,,"$59,421.92 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$35,497.49 ","$37,365.78 ","$37,365.78 " ,Respiratory infections and inflammations with major complication or comorbidity,177,,"$70,063.81 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$27,018.14 ","$28,440.14 ","$28,440.14 " ,Respiratory infections and inflammations with complication or comorbidity,178,,"$64,146.44 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$21,542.32 ","$22,676.12 ","$22,676.12 " ,Respiratory infections and inflammations without complication or comorbidity/major complication or comorbidity,179,,"$45,561.68 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$21,174.54 ","$22,288.99 ","$22,288.99 " ,Pleural effusion with complication or comorbidity,187,,"$42,523.74 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$15,838.34 ","$16,671.93 ","$16,671.93 " ,Pulmonary edema and respiratory failure,189,,"$64,085.48 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$32,711.90 ","$34,433.58 ","$34,433.58 " ,Chronic obstructive pulmonary disease with complication or comorbidity,191,,"$251,140.33 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$20,095.04 ","$21,152.67 ","$21,152.67 " ,Simple pneumonia and pleurisy with major complication or comorbidity,193,,"$165,253.44 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$29,429.13 ","$30,978.04 ","$30,978.04 " ,Simple pneumonia and pleurisy with complication or comorbidity,194,,"$43,669.75 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$18,848.68 ","$19,840.71 ","$19,840.71 " ,Interstitial lung disease with major complication or comorbidity,196,,"$28,615.95 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$26,606.09 ","$28,006.41 ","$28,006.41 " ,Respiratory system diagnosis with ventilator support >96 hours,207,,"$162,442.40 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$64,095.71 ","$67,469.17 ","$67,469.17 " ,Respiratory system diagnosis with ventilator support <=96 hours,208,,"$83,376.07 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$37,789.30 ","$39,778.21 ","$39,778.21 " ,Upper limb and toe amputation for circulatory system disorders with major complication or comorbidity,255,,"$119,581.74 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$45,911.08 ","$48,327.46 ","$48,327.46 " ,Other circulatory system O.R. procedures,264,,"$232,316.70 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$43,575.01 ","$45,868.43 ","$45,868.43 " ,"Acute myocardial infarction, expired with major complication or comorbidity",283,,"$92,701.29 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$26,606.09 ","$28,006.41 ","$28,006.41 " ,"Circulatory disorders except AMI, with cardiac catheterization with major complication or comorbidity",286,,"$75,787.31 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$35,497.49 ","$37,365.78 ","$37,365.78 " ,Acute and subacute endocarditis with major complication or comorbidity,288,,"$109,834.81 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$35,286.36 ","$37,143.53 ","$37,143.53 " ,Acute and subacute endocarditis with complication or comorbidity,289,,"$108,258.19 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$26,970.46 ","$28,389.96 ","$28,389.96 " ,Heart failure and shock with major complication or comorbidity,291,,"$76,309.51 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$27,161.16 ","$28,590.70 ","$28,590.70 " ,Heart failure and shock with complication or comorbidity,292,,"$40,187.41 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$20,830.60 ","$21,926.94 ","$21,926.94 " ,Peripheral vascular disorders with major complication or comorbidity,299,,"$114,003.68 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$27,191.81 ","$28,622.96 ","$28,622.96 " ,Peripheral vascular disorders with complication or comorbidity,300,,"$142,570.35 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$21,678.53 ","$22,819.51 ","$22,819.51 " ,Cardiac arrhythmia and conduction disorders with major complication or comorbidity,308,,"$37,454.67 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$26,606.09 ","$28,006.41 ","$28,006.41 " ,Other circulatory system diagnoses with major complication or comorbidity,314,,"$81,065.15 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$33,679.02 ","$35,451.60 ","$35,451.60 " ,Other digestive system O.R. procedures with major complication or comorbidity,356,,"$125,252.64 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$49,238.12 ","$51,829.60 ","$51,829.60 " ,Major gastrointestinal disorders and peritoneal infections with major complication or comorbidity,371,,"$75,314.55 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$33,382.76 ","$35,139.75 ","$35,139.75 " ,Major gastrointestinal disorders and peritoneal infections with complication or comorbidity,372,,"$39,815.44 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$26,010.15 ","$27,379.11 ","$27,379.11 " ,Gastrointestinal hemorrhage with major complication or comorbidity,377,,"$63,135.49 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$26,429.01 ","$27,820.01 ","$27,820.01 " ,Gastrointestinal hemorrhage with complication or comorbidity,378,,"$56,016.66 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$15,838.34 ","$16,671.93 ","$16,671.93 " ,"Esophagitis, gastroenteritis and miscellaneous digestive disorders with major complication or comorbidity",391,,"$92,300.77 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$27,263.32 ","$28,698.24 ","$28,698.24 " ,"Esophagitis, gastroenteritis and miscellaneous digestive disorders without major complication or comorbidity",392,,"$53,448.86 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$21,000.86 ","$22,106.17 ","$22,106.17 " ,Other digestive system diagnoses with major complication or comorbidity,393,,"$140,951.19 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$34,305.61 ","$36,111.17 ","$36,111.17 " ,Other digestive system diagnoses with complication or comorbidity,394,,"$46,604.01 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$29,190.76 ","$30,727.11 ","$30,727.11 " ,Other digestive system diagnoses without complication or comorbidity/major complication or comorbidity,395,,"$104,064.42 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$29,190.76 ","$30,727.11 ","$30,727.11 " ,Cirrhosis and alcoholic hepatitis with major complication or comorbidity,432,,"$62,866.95 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$28,216.82 ","$29,701.92 ","$29,701.92 " ,Disorders of pancreas except malignancy with complication or comorbidity,439,,"$80,446.58 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$21,678.53 ","$22,819.51 ","$22,819.51 " ,"Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis without complication or comorbidity/major complication or comorbidity",443,,"$34,164.48 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$15,838.34 ","$16,671.93 ","$16,671.93 " ,Wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders with major complication or comorbidity,463,,"$190,845.17 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$47,610.36 ","$50,116.17 ","$50,116.17 " ,Wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders with complication or comorbidity,464,,"$82,909.76 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$35,998.08 ","$37,892.71 ","$37,892.71 " ,Amputation for musculoskeletal system and connective tissue disorders with major complication or comorbidity,474,,"$207,945.77 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$45,911.08 ","$48,327.46 ","$48,327.46 " ,Amputation for musculoskeletal system and connective tissue disorders with complication or comorbidity,475,,"$106,812.89 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$35,497.49 ","$37,365.78 ","$37,365.78 " ,Soft tissue procedures with major complication or comorbidity,500,,"$130,220.45 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$41,344.49 ","$43,520.52 ","$43,520.52 " ,Soft tissue procedures with complication or comorbidity,501,,"$124,131.32 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$41,344.49 ","$43,520.52 ","$43,520.52 " ,Other musculoskeletal system and connective tissue O.R. procedures with major complication or comorbidity,515,,"$121,008.76 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$43,544.36 ","$45,836.17 ","$45,836.17 " ,Osteomyelitis with major complication or comorbidity,539,,"$106,511.56 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$36,246.67 ","$38,154.39 ","$38,154.39 " ,Septic arthritis with major complication or comorbidity,548,,"$240,791.95 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$31,554.08 ","$33,214.82 ","$33,214.82 " ,Septic arthritis with complication or comorbidity,549,,"$82,654.19 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$31,554.08 ","$33,214.82 ","$33,214.82 " ,Septic arthritis without complication or comorbidity/major complication or comorbidity,550,,"$62,835.78 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$31,554.08 ","$33,214.82 ","$33,214.82 " ,Medical back problems without major complication or comorbidity,552,,"$76,818.41 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$34,543.99 ","$36,362.09 ","$36,362.09 " ,"Tendonitis, myositis and bursitis without major complication or comorbidity",558,,"$66,719.06 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$25,206.49 ","$26,533.14 ","$26,533.14 " ,"Aftercare, musculoskeletal system and connective tissue with major complication or comorbidity",559,,"$57,916.24 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$29,177.14 ","$30,712.78 ","$30,712.78 " ,"Aftercare, musculoskeletal system and connective tissue with complication or comorbidity",560,,"$73,317.23 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$24,041.85 ","$25,307.21 ","$25,307.21 " ,"Aftercare, musculoskeletal system and connective tissue without complication or comorbidity/major complication or comorbidity",561,,"$95,404.31 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$21,678.53 ","$22,819.51 ","$22,819.51 " ,Other musculoskeletal system and connective tissue diagnoses with major complication or comorbidity,564,,"$79,191.20 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$31,026.25 ","$32,659.21 ","$32,659.21 " ,Other musculoskeletal system and connective tissue diagnoses with complication or comorbidity,565,,"$56,626.88 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$26,606.09 ","$28,006.41 ","$28,006.41 " ,Skin debridement with major complication or comorbidity,570,,"$72,203.84 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$44,504.67 ","$46,847.02 ","$46,847.02 " ,Skin graft for skin ulcer or cellulitis without complication or comorbidity/major complication or comorbidity,575,,"$65,196.84 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$35,497.49 ","$37,365.78 ","$37,365.78 " ,"Other skin, subcutaneous tissue and breast procedures with major complication or comorbidity",579,,"$118,472.84 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$42,570.42 ","$44,810.97 ","$44,810.97 " ,"Other skin, subcutaneous tissue and breast procedures with complication or comorbidity",580,,"$72,922.77 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$35,875.48 ","$37,763.67 ","$37,763.67 " ,Skin ulcers with major complication or comorbidity,592,,"$76,606.35 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$30,072.75 ","$31,655.52 ","$31,655.52 " ,Skin ulcers with complication or comorbidity,593,,"$52,884.52 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$26,013.56 ","$27,382.69 ","$27,382.69 " ,Major skin disorders without major complication or comorbidity,596,,"$53,385.26 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$26,606.09 ","$28,006.41 ","$28,006.41 " ,Cellulitis with major complication or comorbidity,602,,"$51,975.84 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$25,284.81 ","$26,615.59 ","$26,615.59 " ,Cellulitis without major complication or comorbidity,603,,"$60,628.08 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$18,675.00 ","$19,657.90 ","$19,657.90 " ,Minor skin disorders without major complication or comorbidity,607,,"$45,140.32 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$21,678.53 ","$22,819.51 ","$22,819.51 " ,"Amputation of lower limb for endocrine, nutritional and metabolic disorders with major complication or comorbidity",616,,"$154,679.75 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$45,911.08 ","$48,327.46 ","$48,327.46 " ,"Amputation of lower limb for endocrine, nutritional and metabolic disorders with complication or comorbidity",617,,"$167,525.06 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$45,911.08 ","$48,327.46 ","$48,327.46 " ,"Skin grafts and wound debridement for endocrine, nutritional and metabolic disorders with complication or comorbidity",623,,"$90,836.40 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$32,211.31 ","$33,906.65 ","$33,906.65 " ,"Other endocrine, nutritional and metabolic O.R. procedures with major complication or comorbidity",628,,"$134,776.56 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$41,865.51 ","$44,068.96 ","$44,068.96 " ,"Other endocrine, nutritional and metabolic O.R. procedures with complication or comorbidity",629,,"$90,961.85 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$40,237.75 ","$42,355.53 ","$42,355.53 " ,Diabetes with major complication or comorbidity,637,,"$87,584.48 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$34,608.69 ","$36,430.20 ","$36,430.20 " ,Diabetes with complication or comorbidity,638,,"$92,939.26 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$25,240.54 ","$26,568.99 ","$26,568.99 " ,"Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complication or comorbidity",640,,"$70,800.51 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$30,208.96 ","$31,798.91 ","$31,798.91 " ,"Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without major complication or comorbidity",641,,"$66,508.46 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$19,952.01 ","$21,002.12 ","$21,002.12 " ,Other kidney and urinary tract procedures with major complication or comorbidity,673,,"$136,763.27 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$45,706.76 ","$48,112.38 ","$48,112.38 " ,Other kidney and urinary tract procedures with complication or comorbidity,674,,"$130,666.08 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$35,497.49 ","$37,365.78 ","$37,365.78 " ,Renal failure with major complication or comorbidity,682,,"$67,752.01 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$31,039.87 ","$32,673.55 ","$32,673.55 " ,Renal failure with complication or comorbidity,683,,"$69,530.36 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$24,212.12 ","$25,486.44 ","$25,486.44 " ,Kidney and urinary tract infections with major complication or comorbidity,689,,"$84,624.43 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$22,526.47 ","$23,712.07 ","$23,712.07 " ,Kidney and urinary tract infections without major complication or comorbidity,690,,"$63,104.45 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$16,502.38 ","$17,370.93 ","$17,370.93 " ,Other kidney and urinary tract diagnoses with major complication or comorbidity,698,,"$69,468.47 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$27,215.65 ","$28,648.05 ","$28,648.05 " ,Other kidney and urinary tract diagnoses with complication or comorbidity,699,,"$57,968.89 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$26,606.09 ","$28,006.41 ","$28,006.41 " ,Inflammation of the male reproductive system with major complication or comorbidity,727,,"$212,131.41 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$34,189.83 ","$35,989.29 ","$35,989.29 " ,Inflammation of the male reproductive system without major complication or comorbidity,728,,"$49,203.23 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$26,606.09 ","$28,006.41 ","$28,006.41 " ,"Infections, female reproductive system with major complication or comorbidity",757,,"$227,167.64 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$35,497.49 ","$37,365.78 ","$37,365.78 " ,"Infections, female reproductive system with complication or comorbidity",758,,"$75,709.59 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$26,606.09 ","$28,006.41 ","$28,006.41 " ,Red blood cell disorders without major complication or comorbidity,812,,"$42,085.75 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$15,838.34 ","$16,671.93 ","$16,671.93 " ,Infectious and parasitic diseases with O.R. procedures with complication or comorbidity,854,,"$115,285.06 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$45,911.08 ","$48,327.46 ","$48,327.46 " ,Postoperative or post-traumatic infections with O.R. procedures with major complication or comorbidity,856,,"$168,471.66 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$50,494.70 ","$53,152.32 ","$53,152.32 " ,Postoperative or post-traumatic infections with O.R. procedures with complication or comorbidity,857,,"$84,478.30 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$35,497.49 ","$37,365.78 ","$37,365.78 " ,Postoperative and post-traumatic infections with major complication or comorbidity,862,,"$139,064.17 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$34,400.96 ","$36,211.54 ","$36,211.54 " ,Postoperative and post-traumatic infections without major complication or comorbidity,863,,"$61,331.82 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$23,422.08 ","$24,654.82 ","$24,654.82 " ,Septicemia or severe sepsis without MV >96 hours with major complication or comorbidity,871,,"$75,993.48 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$31,155.65 ","$32,795.42 ","$32,795.42 " ,Septicemia or severe sepsis without MV >96 hours without major complication or comorbidity,872,,"$62,217.62 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$21,021.30 ","$22,127.68 ","$22,127.68 " ,"Alcohol, drug abuse or dependence without rehabilitation therapy with major complication or comorbidity",896,,"$75,400.85 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$26,837.65 ","$28,250.16 ","$28,250.16 " ,Complications of treatment with major complication or comorbidity,919,,"$80,506.68 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$38,187.72 ","$40,197.60 ","$40,197.60 " ,Complications of treatment with complication or comorbidity,920,,"$82,565.68 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$25,754.75 ","$27,110.26 ","$27,110.26 " ,Aftercare with complication or comorbidity/major complication or comorbidity,949,,"$110,870.13 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$24,406.23 ","$25,690.76 ","$25,690.76 " ,Extensive O.R. procedures unrelated to principal diagnosis with major complication or comorbidity,981,,"$194,131.51 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$81,422.19 ","$85,707.57 ","$85,707.57 " ,Extensive O.R. procedures unrelated to principal diagnosis with complication or comorbidity,982,,"$84,608.90 ","$1,265 per day","$1,265 per day","$3,050 per day","$1,400 per day","$1,265 per day","$1,485 per day","$3,050 per day","$2,440 per day","$41,671.41 ","$43,864.64 ","$43,864.64 "