GCN GENERIC NAME STRENGTH FORM PRICE DATE … · gcn generic name strength form price date 94668...

GCN GENERIC NAME STRENGTH FORM PRICE DATE

94668 ABACAVIR SULFATE 300MG TABLET 6.87690$ 01/01/14

36999 ABACAVIR-DOLUTEGRAVIR-LAMIVUDINE 600-50-300 MG TABLET 91.21900$ 03/01/18

30289 ABATACEPT SUBCUTANEOUS 125MG/ML SOLN PREF SYR 895.67500$ 12/01/16

02318 ACARBOSE 100 MG TABLET 0.63480$ 08/01/08

08070 ACARBOSE 25 MG TABLET 0.48790$ 08/01/08

02319 ACARBOSE 50MG TABLET 0.53520$ 08/01/08

26460 ACEBUTOLOL HCL 200MG CAPSULE 0.16650$ 03/01/05

26461 ACEBUTOLOL HCL 400MG CAPSULE 0.26972$ 03/01/05

16892 ACETAMINOPHEN 500MG CAPSULE 0.02200$ 01/01/88

16913 ACETAMINOPHEN 160MG/5ML ELIXIR 0.00900$ 09/15/95

16964 ACETAMINOPHEN 325MG TABLET 0.01212$ 06/01/16

16965 ACETAMINOPHEN 500MG TABLET 0.02200$ 01/01/88

16910 ACETAMINOPHEN 650MG TABLET CR 0.06300$ 05/01/18

34700 ACETAZOLAMIDE 500MG CAP SR 12 HR 3.05280$ 09/01/11

34341 ACETIC ACID 2% SOLUTION 1.98080$ 05/01/05

62420 ACYCLOVIR 5% CREAM 155.37270$ 07/01/18

31640 ACYCLOVIR 5% OINTMENT 7.95200$ 07/01/18

43790 ACYCLOVIR 200 MG CAPSULE 0.12700$ 07/01/18

43731 ACYCLOVIR 200 MG/5ML SUSPENSION 0.65360$ 07/01/18

13724 ACYCLOVIR 400 MG TABLET 0.08330$ 07/01/18

13721 ACYCLOVIR 800 MG TABLET 0.16210$ 07/01/18

97005 ADALIMUMAB 40 MG/0.8ML PEN-INJECTOR KIT 2,375.16500$ 03/01/18

18924 ADALIMUMAB 40 MG/0.8ML PREF-SYRINGE KIT 2,375.16500$ 03/01/18

29301 ADAPALENE 0.1% CREAM 3.67010$ 01/01/14

29300 ADAPALENE 0.1% GEL 2.77600$ 09/01/11

92024 AFLUZOSIN HCL 10 MG TAB SR 24 HR 0.36180$ 03/01/12

20110 ALBUTEROL 90 MCG AEROSOL 0.97350$ 03/01/07

14634 ALBUTEROL SULFATE 1.25 MG/3ML NEBU SOLN 0.36290$ 10/01/13

41681 ALBUTEROL SULFATE 0.083% NEBU SOLN 0.04560$ 01/01/07

41680 ALBUTEROL SULFATE 0.50% NEBU SOLN 0.18950$ 01/01/07

22780 ALBUTEROL SULFATE 2 MG/5ML SYRUP 0.03180$ 11/01/02

20100 ALBUTEROL SULFATE 2 MG TABLET 0.04500$ 06/01/02

20101 ALBUTEROL SULFATE 4 MG TABLET 0.07313$ 06/01/02

21680 ALENDRONATE SODIUM 10 MG TABLET 0.17500$ 12/01/08

12389 ALENDRONATE SODIUM 35MG TABLET 1.32250$ 12/01/08




07071 ALLOPURINOL 300MG TABLET 0.07950$ 09/01/07

07070 ALLOPURINOL 100 MG TABLET 0.04900$ 09/01/07

14260 ALPRAZOLAM 0.25 MG TABLET 0.04660$ 11/01/07

14261 ALPRAZOLAM 0.5MG TABLET 0.04850$ 11/01/07

14262 ALPRAZOLAM 1MG TABLET 0.05110$ 11/01/07

14263 ALPRAZOLAM 2MG TABLET 0.11320$ 11/01/07

63951 ALUM & MAG HYDROXIDE-SIMETHICONE 200-200-25 MG CHEW TAB 0.03560$ 02/01/91

63910 ALUM & MAG HYDROXIDE-SIMETHICONE 200-200-20 MG/5ML SUSPENSION 0.00936$ 05/01/97

63915 ALUM & MAG HYDROXIDE-SIMETHICONE 400-400-40 MG/5ML SUSPENSION 0.00936$ 05/01/97

08030 ALUMINUM HYDROXIDE 320MG/5ML ORAL SUSP 0.00936$ 05/01/97

14196 ALUMINUM HYDROXIDE-MAGNESIUM CARBONATE 95-358 MG/15ML SUSPENSION 0.00936$ 05/01/97

17520 AMANTADINE HCL 100 MG CAPSULE 1.43170$ 11/01/13

17530 AMANTADINE HCL 50 MG/5ML SYRUP 0.06230$ 01/01/98

82341 AMILORIDE & HYDROCHLOROTHIAZIDE 5-50 MG TABLET 0.06420$ 01/01/98

27700 AMILORIDE HCL 5MG TABLET 0.68850$ 06/01/11

10920 AMIODARONE HCL 200MG TABLET 0.21580$ 09/01/06

16512 AMITRIPTYLINE HCL 10 MG TABLET 0.12140$ 05/01/18


16514 AMITRIPTYLINE HCL 150MG TABLET 1.15150$ 05/01/18




02682 AMLODIPINE BESYLATE 10 MG TABLET 0.03184$ 05/01/14

02681 AMLODIPINE BESYLATE 2.5MG TABLET 0.03355$ 05/01/14

02683 AMLODIPINE BESYLATE 5MG TABLET 0.02358$ 05/01/14

17604 AMLODIPINE BESYLATE/BENAZEPRIL 10-20MG CAPSULE 2.22280$ 12/01/08

33093 AMLODIPINE BESYLATE/BENAZEPRIL 2.5-10 MG CAPSULE 1.90080$ 09/01/07

33092 AMLODIPINE BESYLATE/BENAZEPRIL 5-10 MG CAPSULE 1.94400$ 09/01/07

33090 AMLODIPINE BESYLATE/BENAZEPRIL 5-20MG CAPSULE 1.90700$ 12/01/08

21395 AMLODIPINE BESYLATE-ATORVASTATIN CALCIUM 10-10 MG TABLET 3.67710$ 05/01/12

21396 AMLODIPINE BESYLATE-ATORVASTATIN CALCIUM 10-20MG TABLET 5.03090$ 05/01/12

Current SMAC list - as of 07/01/18



21391 AMLODIPINE BESYLATE-ATORVASTATIN CALCIUM 5-10 MG TABLET 3.67710$ 05/01/12




23043 AMMONIUM LACTATE 12% CREAM 0.05122$ 04/01/08

20941 AMMONIUM LACTATE 12% LOTION 0.08520$ 06/01/16

16557 AMOXAPINE 100 MG TABLET 0.97200$ 09/15/95

16558 AMOXAPINE 150MG TABLET 1.52970$ 09/15/95

16559 AMOXAPINE 25 MG TABLET 0.36060$ 09/15/95

16561 AMOXAPINE 50MG TABLET 0.58620$ 09/15/95

67077 AMOXICILLIN & K CLAVULANATE 400/57MG CHEW TAB 1.43420$ 02/01/10

67151 AMOXICILLIN & K CLAVULANATE 250-62.5MG/ML SUSP RECON 0.45150$ 10/01/17

67153 AMOXICILLIN & K CLAVULANATE 400-57 MG/5ML SUSP RECON 0.09320$ 10/01/17

28020 AMOXICILLIN & K CLAVULANATE 600-42.9 MG/5ML SUSP RECON 0.10730$ 10/01/17

67071 AMOXICILLIN & K CLAVULANATE 500/125MG TABLET 0.50950$ 04/01/17

67076 AMOXICILLIN & K CLAVULANATE 875/125MG TABLET 0.44250$ 01/01/16

67154 AMOXICILLIN & K CLAVULANATE 200-28.5MG/5ML SUSP RECON 0.17880$ 10/01/07

67151 AMOXICILLIN & K CLAVULANATE (100ML SIZE) 250-62.5MG/ML SUSP RECON 0.45150$ 10/01/17

67153 AMOXICILLIN & K CLAVULANATE (100ML SIZE) 400-57 MG/5ML SUSP RECON 0.09320$ 10/01/17

28020 AMOXICILLIN & K CLAVULANATE (125ML SIZE) 600-42.9 MG/5ML SUSP RECON 0.12064$ 10/01/17







39683 AMOXICILLIN (TRIHYDRATE) 250 MG/5ML SUSP RECON 0.05400$ 01/01/98

39681 AMOXICILLIN (TRIHYDRATE) (100ML SIZE) 125 MG/5ML SUSP RECON 0.01650$ 01/01/98



39660 AMOXICILLIN TRIHYDRATE 250MG CAPSULE 0.03090$ 12/01/05

39661 AMOXICILLIN TRIHYDRATE 500MG CAPSULE 0.07350$ 09/01/14

93375 AMOXICILLIN TRIHYDRATE 400MG/5ML SUSP RECON 0.04700$ 04/01/09

39651 AMOXICILLIN TRIHYDRATE 250MG TAB CHEW 0.12600$ 03/01/07

39632 AMOXICILLIN TRIHYDRATE 875MG TABLET 0.17430$ 09/01/16

29008 AMPHET ASP/AMPHET/D-AMPHET 12.5MG TABLET 0.33250$ 12/01/10

29007 AMPHET ASP/AMPHET/D-AMPHET 7.5MG TABLET 0.33250$ 12/01/10

14635 AMPHETAMINE-DEXTROAMPHETAMINE 10 MG CAP SR 24 HR 3.79370$ 12/01/16

17468 AMPHETAMINE-DEXTROAMPHETAMINE 15MG CAP SR 24 HR 3.83880$ 04/01/15


17469 AMPHETAMINE-DEXTROAMPHETAMINE 25 MG CAP SR 24 HR 3.83880$ 04/01/15



56971 AMPHETAMINE-DEXTROAMPHETAMINE 10 MG TABLET 0.52130$ 06/01/17





39271 AMPICILLIN 250 MG CAPSULE 0.06273$ 05/01/97

39272 AMPICILLIN 500 MG CAPSULE 0.17000$ 11/01/02

39313 AMPICILLIN 125 MG/5ML SUSP RECON 0.02250$ 09/15/95

39316 AMPICILLIN 250 MG/5ML SUSP RECON 0.02470$ 09/15/95

22391 ANAGRELIDE HCL 0.5MG CAPSULE 0.35810$ 01/01/06

22392 ANAGRELIDE HCL 1MG CAPSULE 0.72380$ 01/01/06

14867 ANAKINRA SUBCUTANEOUS 100 MG/0.67ML SOLN PREF SYR 197.07772$ 07/01/17

24410 ANASTRAZOLE 1MG TABLET 0.22700$ 08/01/15

98830 ANTIHEMOPH FVIII PLAS/ALB FREE 1500 (+/-)U VIAL 0.93500$ 03/01/08


98834 ANTIHEMOPH FVIII PLAS/ALB FREE 3000 (+/-)u VIAL 0.93500$ 03/01/08




25129 ANTIHEMOPHILIC FACTOR (HUMAN) 1000 UNIT INJ KIT 0.69000$ 05/01/97

25130 ANTIHEMOPHILIC FACTOR, HUM REC 1000 (+/-)U KIT 0.87007$ 11/01/09

91942 ANTIHEMOPHILIC FACTOR, HUM REC 2000 (+/-) KIT 0.87007$ 11/01/09



25124 ANTIHEMOPHILIC FACTOR, HUM REC 1000 (+/-)U VIAL 0.87007$ 11/01/09





09628 ANTIHEMOPHILIC FACTOR, HUMAN 1000 (+/-)U KIT 0.69000$ 05/01/97



25151 ANTIHEMOPHILIC FACTOR, HUMAN 250 (+/-)U VIAL 0.69000$ 05/01/97




26780 ANTIHEMOPHILIC FACTOR, HUMAN FOR INJ 1701-2000U VIAL 0.72500$ 12/01/10




99872 ANTIHEMOPHILIC FACTOR, RECOMBINANT PAF FOR INJ 1000U KIT 0.94500$ 02/01/11




27334 ANTIHEMOPHILIC FACTOR/VWF (HUMAN) FOR INJ 1000 UNIT SOLN RECON 0.81620$ 05/01/11



89434 ANTIHEMOPHILIC FACTOR/VWF (HUMAN) FOR INJ 250-500 UNIT SOLN RECON 0.77660$ 05/01/11






26335 ANTI-INHIBITOR COAGULANT COMP. 1750-3250U VIAL 1.19000$ 04/01/08



36172 APREMILAST 30MG TABLET 47.38383$ 08/01/17

18537 ARIPIPRAZOLE 10 MG TABLET 0.51797$ 06/01/18

18538 ARIPIPRAZOLE 15MG TABLET 0.51797$ 06/01/18





37682 ARIPIPRAZOLE IM FOR ER 400 MG PREF SYRINGE 1,984.57000$ 04/01/18

34285 ARIPIPRAZOLE IM FOR ER 400 MG SUSP RECON 1,972.16000$ 04/01/18

16713 ASPIRIN 81MG TAB CHEW 0.02959$ 07/01/04

00161 ASPIRIN 81MG TABLER DR 0.00900$ 07/01/04

16701 ASPIRIN 325 MG TABLET 0.00990$ 02/01/91

16720 ASPIRIN 325 MG TABLET DR 0.01740$ 02/01/91

16722 ASPIRIN 650MG TABLET DR 0.03890$ 09/15/95

20660 ATENOLOL 100 MG TABLET 0.05600$ 05/01/08

20662 ATENOLOL 25 MG TABLET 0.03250$ 05/01/08

20661 ATENOLOL 50MG TABLET 0.03405$ 05/01/08

66991 ATENOLOL & CHLORTHALIDONE 100-25 MG TABLET 0.44830$ 01/01/98

66990 ATENOLOL & CHLORTHALIDONE 50-25 MG TABLET 0.30980$ 01/01/98

18776 ATOMOXETINE HCL 10 MG CAPSULE 3.04680$ 06/01/18


18777 ATOMOXETINE HCL 18MG CAPSULE 3.39790$ 06/01/18





43720 ATORVASTATIN CALCIUM 10 MG TABLET 0.08540$ 04/01/18




46771 AZATHIOPRINE 50MG TABLET 0.16500$ 12/01/10

60544 AZELASTINE HCL 1MG/ML(137MCG) NASAL SOLN 1.17530$ 08/01/15

94615 AZELASTINE HCL 0.05% SOLUTION 10.23120$ 03/01/13

48792 AZITHROMYCIN 100 MG/5ML SUSP RECON 0.71866$ 10/01/13

61199 AZITHROMYCIN 200MG/5ML SUSP RECON 0.48766$ 10/01/17

48793 AZITHROMYCIN 250MG TABLET 0.30000$ 08/01/16



61199 AZITHROMYCIN (15ML SIZE) 200MG/5ML SUSP RECON 0.87200$ 10/01/17

61199 AZITHROMYCIN (22.5ML SIZE) 200MG/5ML SUSP RECON 0.59688$ 08/01/11

61199 AZITHROMYCIN (30ML SIZE) 200MG/5ML SUSP RECON 0.48766$ 10/01/17

31812 BACITRACIN 500 UNIT / GM OINTMENT 0.03366$ 02/01/91

18010 BACLOFEN 10 MG TABLET 0.20300$ 07/01/16

18011 BACLOFEN 20MG TABLET 0.32200$ 07/01/16

95348 BALSALAZIDE DISODIUM 750MG CAPSULE 0.44500$ 11/01/08

48612 BENAZEPRIL HCL 10 MG TABLET 1.49400$ 07/01/04

48613 BENAZEPRIL HCL 20MG TABLET 1.49400$ 07/01/04



33192 BENAZEPRIL/HCTZ 10-12.5MG TABLET 0.18380$ 08/01/04


33194 BENAZEPRIL/HCTZ 20-25MG TABLET 0.18380$ 08/01/04


93007 BENZONATATE 200MG CAPSULE 0.18170$ 10/01/10

29840 BENZONATATE 100 MG CAPSULE 0.11240$ 10/01/10

22930 BENZOYL PEROXIDE 10% GEL 0.13600$ 09/15/95

22931 BENZOYL PEROXIDE 5% GEL 0.14260$ 09/15/95

99676 BENZOYL PEROXIDE 5% LIQUID 0.11000$ 05/01/03

85400 BENZOYL PEROXIDE-ERYTHROMYCIN (23.3GM SIZE) 5-3% GEL 1.06680$ 06/01/10

85400 BENZOYL PEROXIDE-ERYTHROMYCIN (46.6GM SIZE) 5-3% GEL 0.87260$ 06/01/10

17620 BENZTROPINE MESYLATE 0.5MG TABLET 0.06250$ 03/01/07

17621 BENZTROPINE MESYLATE 1MG TABLET 0.06710$ 06/01/08

17622 BENZTROPINE MESYLATE 2MG TABLET 0.09460$ 06/01/08

31890 BETAMET DIPROP/PROP GLY 0.05% CREAM 0.86400$ 06/01/06

31060 BETAMETHASONE DIPROPIONATE (15GM SIZE) 0.05% CREAM 2.14270$ 01/01/14

31060 BETAMETHASONE DIPROPIONATE (45GM SIZE) 0.05% CREAM 1.38580$ 01/01/14

31120 BETAMETHASONE VALERATE 0.1% LOTION 0.11120$ 03/01/96

31110 BETAMETHASONE VALERATE 0.1% OINTMENT 0.69230$ 07/01/11

18351 BETHANECHOL 10 MG TABLET 0.91000$ 10/01/04

18352 BETHANECHOL 25 MG TABLET 1.16400$ 10/01/04

00450 BICALUTAMIDE 50MG TABLET 0.73560$ 12/01/09

08731 BISACODYL 10 MG SUPPOSITORY 0.18770$ 09/15/95

63821 BISOPROLOL FUMARATE 5MG TABLET 0.97273$ 05/01/03

45061 BISOPROLOL/HCTZ 2.5-6.25MG TABLET 0.06910$ 03/01/06

45062 BISOPROLOL/HCTZ 5-6.25MG TABLET 0.07330$ 03/01/06

13752 BRIMONIDINE TARTRATE 0.15% OPHTH SOLN 13.86480$ 07/01/12

36281 BRIMONIDINE TARTRATE 0.2% OPHTH SOLN 1.36730$ 01/01/11

26081 BROMOCRIPTINE MESYLATE 2.5MG TABLET 1.27380$ 09/01/10

28680 BUDESONIDE 3MG CAP SR 24 HR 9.95900$ 10/01/15

17957 BUDESONIDE INHALATION 0.25 MG/2ML SUSPENSION 1.70100$ 06/01/18

17958 BUDESONIDE INHALATION 0.5MG/2ML SUSPENSION 1.43660$ 06/01/18

62980 BUDESONIDE INHALATION 1 MG/2ML SUSPENSION 6.61320$ 06/01/18

35020 BUMETANIDE 0.5 MG TABLET 0.17180$ 01/01/98

35021 BUMETANIDE 1MG TABLET 0.12410$ 01/01/11

35022 BUMETANIDE 2MG TABLET 0.16240$ 01/01/11

64673 BUPRENORPHINE HCL 8MG TABLET SUBL 2.51900$ 10/01/16

18973 BUPRENORPHINE HCL-NALOXONE HCL 2-0.5 MG TABLET 2.99780$ 03/01/18

18974 BUPRENORPHINE HCL-NALOXONE HCL 8-2 MG TABLET 4.19970$ 03/01/18

20317 BUPROPION HCL 150MG TAB SR 24 HR 0.51980$ 12/01/13

20318 BUPROPION HCL 300MG TAB SR 24 HR 0.55470$ 12/01/13

16387 BUPROPION HCL 100 MG TABLET SA 0.28160$ 05/01/15

16386 BUPROPION HCL 150MG TABLET SA 0.15167$ 01/01/18

17573 BUPROPION HCL 200MG TABLET SA 0.39950$ 10/01/14

16385 BUPROPION HCL 100 MG TABLET 0.46640$ 09/01/11

16384 BUPROPION HCL 75MG TABLET 0.54820$ 06/01/12

28891 BUSPIRONE HCL 10 MG TABLET 0.05670$ 05/01/07

28892 BUSPIRONE HCL 15MG TABLET 0.09400$ 11/01/09



13037 BUSPIRONE HCL 7.5MG TABLET 0.60000$ 05/01/03

72530 BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50-325-40 MG TABLET 0.64190$ 05/01/15

71150 BUTALBITAL-ASPIRIN-CAFFEINE 50-325-40 MG CAPSULE 0.53140$ 06/01/02

71160 BUTALBITAL-ASPIRIN-CAFFEINE 50-325-40 MG TABLET 0.35280$ 06/01/02

20351 BUTORPHANOL TARTRATE 10 MG/ML SPRAY 7.50000$ 05/01/08

26051 CABERGOLINE 0.5MG TABLET 13.57390$ 08/01/12

01851 CALCIPOTRIENE 0.005% CREAM 2.55180$ 06/01/18

01850 CALCIPOTRIENE 0.005% OINTMENT 4.70910$ 11/01/16

01852 CALCIPOTRIENE 0.005% SOLUTION 2.29030$ 07/01/11

23281 CALCITONIN (SALMON) 200U/3.7ML NASAL SOLN 15.30110$ 01/01/10

94482 CALCITRIOL 0.5MCG CAPSULE 1.05740$ 07/01/15

94481 CALCITRIOL 0.25 MCG CAPSULE 0.53050$ 07/01/15

93142 CALCITRIOL 1MCG/ML SOLUTION 8.25510$ 04/01/11

13675 CALCIUM ACETATE (PHOSPHATE BINDER) 667MG (169 MG CA) CAPSULE 0.44790$ 06/01/18

07893 CALCIUM CARBONATE 500MG TAB CHEW 0.01568$ 06/01/16

03721 CALCIUM CARBONATE 1250 MG (500 MG ELEMENTAL CA) TABLET 0.03372$ 05/01/97

07892 CALCIUM CARBONATE (ANTACID) 420 MG CHEW TAB 0.03560$ 02/01/91

07894 CALCIUM CARBONATE (ANTACID) 750 MG CHEW TAB 0.03560$ 02/01/91

63160 CALCIUM CARBONATE/MAG HYDROX 400-135/5 ORAL SUSP 0.00422$ 05/01/86

23323 CALCIUM CARBONATE-CHOLECALCIFEROL 600MG-400UNIT TABLET 0.03400$ 08/01/17

33561 CAPSAICIN 0.075% CREAM 0.14033$ 03/01/08

01480 CAPTOPRIL 100 MG TABLET 0.18830$ 01/01/98

01483 CAPTOPRIL 12.5 MG TABLET 0.03750$ 01/01/98



23934 CARBAMAZEPINE 100 MG CAP SR 12 HR 1.42440$ 09/01/15

23932 CARBAMAZEPINE 200MG CAP SR 12 HR 1.42790$ 09/01/15

23933 CARBAMAZEPINE 300MG CAP SR 12 HR 1.42790$ 09/01/15

47500 CARBAMAZEPINE 100 MG/5ML ORAL SUSP 0.09860$ 10/01/09

17450 CARBAMAZEPINE 200MG TABLET 0.05250$ 10/01/09

62740 CARBIDOPA & LEVODOPA 10-100 MG TABLET 0.17480$ 04/01/11



62592 CARBIDOPA & LEVODOPA 25-100 MG TABLET SA 0.26660$ 04/01/11

62591 CARBIDOPA/LEVODOPA 50-200MG TABLET SA 0.38160$ 04/01/09

37384 CARBOXYMETHYLCELLULOSE SODIUM (PF) OPHTH 0.50% SOLUTION 0.25700$ 08/01/16

37381 CARBOXYMETHYLCELLULOSE SODIUM OPHTH 0.50% SOLUTION 0.25700$ 08/01/16

40020 CEFACLOR 250MG CAPSULE 0.80250$ 01/01/98

40021 CEFACLOR 500MG CAPSULE 1.38900$ 01/01/98

40030 CEFACLOR 125MG/5ML SUSP RECON 0.14200$ 01/01/98



39904 CEFAZOLIN SODIUM 10GM SOLUTION 14.43000$ 06/01/04

32231 CEFDINIR 300MG CAPSULE 1.33720$ 08/01/11

32232 CEFDINIR 125MG/5ML SUSP RECON 0.25820$ 06/01/18

23308 CEFDINIR 250MG/5ML SUSP RECON 0.37220$ 06/01/18

48822 CEFPODOXIME PROXETIL 200MG TABLET 6.52050$ 08/01/13

29291 CEFPROZIL 125MG/5ML SUSP RECON 0.23000$ 01/01/09

29292 CEFPROZIL 250MG/5ML SUSP RECON 0.50020$ 04/01/12

29271 CEFPROZIL 250MG TABLET 1.87830$ 01/01/09

29272 CEFPROZIL 500MG TABLET 1.73880$ 04/01/11

47281 CEFUROXIME AXETIL 250MG TABLET 0.29890$ 08/01/11

47282 CEFUROXIME AXETIL 500MG TABLET 0.47100$ 05/01/10

42001 CELECOXIB 100 MG CAPSULE 1.12140$ 12/01/15

42002 CELECOXIB 200MG CAPSULE 1.68490$ 12/01/15



39801 CEPHALEXIN 250 MG CAPSULE 0.11030$ 01/01/98

39832 CEPHALEXIN 250 MG TABLET 0.29990$ 05/01/97

39831 CEPHALEXIN 500 MG TABLET 0.63510$ 05/01/97

39812 CEPHALEXIN MONOHYDRATE 250MG/5ML SUSP RECON 0.14860$ 02/01/18

39802 CEPHALEXIN MONOHYDRATE 500MG CAPSULE 0.09130$ 07/01/16

39811 CEPHALEXIN MONOHYDRATE 125MG/5ML SUSP RECON 0.13520$ 02/01/18

21769 CETIRIZINE HCL 5MG CHEW TAB 0.82468$ 07/01/08

49290 CETIRIZINE HCL 1MG/ML SOLUTION 0.03650$ 08/01/16

49291 CETIRIZINE HCL 10 MG TABLET 0.08250$ 03/01/11

49292 CETIRIZINE HCL 5MG TABLET 0.15170$ 03/01/08

12624 CEVIMELINE HCL 30MG CAPSULE 2.51850$ 11/01/13

14031 CHLORDIAZEPOXIDE HCL 10 MG CAPSULE 0.06200$ 01/01/04

14032 CHLORDIAZEPOXIDE HCL 25 MG CAPSULE 0.07010$ 01/01/04

14033 CHLORDIAZEPOXIDE HCL 5MG CAPSULE 0.08170$ 01/01/04

23248 CHLORHEXIDINE GLUCONATE 0.12% SOLUTION 0.01055$ 06/01/16

34802 CHLOROTHIAZIDE 250MG TABLET 0.03400$ 09/15/95

34803 CHLOROTHIAZIDE 500MG TABLET 0.17470$ 03/01/04

46512 CHLORPHENIRAMINE MALEATE 4MG TABLET 0.01260$ 01/01/98

14431 CHLORPROMAZINE HCL 10 MG TABLET 0.16000$ 08/01/04


14435 CHLORPROMAZINE HCL 200MG TABLET 2.19849$ 12/01/11


14433 CHLORPROMAZINE HCL 50MG TABLET 1.11500$ 12/01/11

34981 CHLORTHALIDONE 100 MG TABLET 0.49593$ 05/01/05

34982 CHLORTHALIDONE 25 MG TABLET 0.79720$ 04/01/18

17901 CHLORZOXAZONE 500MG TABLET 0.08480$ 01/01/98

93241 CHOLECALCIFEROL 1000 UNIT CAPSULE 0.05583$ 05/01/17

00223 CHOLECALCIFEROL 1000 UNIT TABLET 0.02250$ 05/01/17

14295 CHOLESTYRAMINE 4 GM/DOSE POWDER 0.08322$ 05/01/97

94677 CICLOPIROX OLAMINE (15GM SIZE) 0.77% CREAM 0.52866$ 05/01/10



08602 CILOSTAZOL 100 MG TABLET 0.35110$ 09/01/06

08603 CILOSTAZOL 50MG TABLET 0.31480$ 09/01/06

46750 CIMETIDINE 200MG TABLET 0.13650$ 01/01/98




46740 CIMETIDINE HCL 300 MG/5ML SOLUTION 0.21610$ 09/15/95

21497 CINACALCET HCL 30 MG TABLET 25.97467$ 02/01/18



47050 CIPROFLOXACIN HCL 250MG TABLET 0.11620$ 11/01/04



33580 CIPROFLOXACIN HCL (10ML SIZE) 0.3% OPHTH SOLN 1.88400$ 03/01/07

33580 CIPROFLOXACIN HCL (2.5ML SIZE) 0.3% OPHTH SOLN 3.35600$ 03/01/07

33580 CIPROFLOXACIN HCL (5ML SIZE) 0.3% OPHTH SOLN 0.69280$ 03/01/07

16344 CITALOPRAM HYDROBROMIDE 10 MG/5ML SOLUTION 0.12520$ 03/01/13

16345 CITALOPRAM HYDROBROMIDE 10 MG TABLET 0.04848$ 01/01/14

16342 CITALOPRAM HYDROBROMIDE 20MG TABLET 0.03650$ 05/01/16

16343 CITALOPRAM HYDROBROMIDE 40MG TABLET 0.04340$ 05/01/16

48850 CLARITHROMYCIN 500MG TAB SR 24 HR 4.12340$ 06/01/07

48852 CLARITHROMYCIN 250MG TABLET 0.98720$ 12/01/06

48851 CLARITHROMYCIN 500MG TABLET 1.07520$ 09/01/17

46691 CLEMASTINE FUMARATE 2.68MG TABLET 0.35860$ 01/01/98

28581 CLINDAMYCIN PHOSPHATE 2% CREAM 1.82330$ 02/01/14

45410 CLINDAMYCIN PHOSPHATE 1% GEL 1.51621$ 04/01/18

31770 CLINDAMYCIN PHOSPHATE 1% LOTION 1.38350$ 11/01/14

31720 CLINDAMYCIN PHOSPHATE 1% SOLUTION 0.65610$ 01/01/18

40860 CLINDAMYCIN PHOSPHATE 75 MG/5ML SOLN RECON 0.40760$ 04/01/18

08205 CLINDAMYCIN PHOSPHATE - BENZOYL PEROXIDE 1-5% GEL 4.02610$ 02/01/14

32130 CLOBETASOL PROPIONATE 0.05% OINTMENT 3.32900$ 08/01/16

15891 CLOBETASOL PROPIONATE 0.05% SOLUTION 1.48580$ 02/01/18

32140 CLOBETASOL PROPIONATE (Size 60MG) 0.05% CREAM 1.38920$ 03/01/18

16602 CLOMIPRAMINE HCL 25 MG CAPSULE 0.09010$ 12/01/09

16603 CLOMIPRAMINE HCL 50MG CAPSULE 5.78610$ 12/01/17

16604 CLOMIPRAMINE HCL 75MG CAPSULE 0.29820$ 06/01/06

19467 CLONAZEPAM 0.125 MG TAB DISP 0.86920$ 11/01/10

19468 CLONAZEPAM 0.25 MG TAB DISP 0.90100$ 11/01/10

19469 CLONAZEPAM 0.5MG TAB DISP 0.86920$ 11/01/10

19470 CLONAZEPAM 1MG TAB DISP 0.99640$ 11/01/10

19472 CLONAZEPAM 2MG TAB DISP 1.39630$ 11/01/10

17470 CLONAZEPAM 0.5MG TABLET 0.03390$ 08/01/06

17471 CLONAZEPAM 1MG TABLET 0.04510$ 08/01/06

17472 CLONAZEPAM 2MG TABLET 0.06770$ 08/01/06

23870 CLONIDINE HCL 0.1 MG/24HR PATCH WEEKLY 18.06000$ 10/01/15



01390 CLONIDINE HCL 0.1 MG TABLET 0.03030$ 06/01/17



96010 CLOPIDOGREL BISULFATE 75MG TABLET 0.10790$ 09/01/15

14090 CLORAZEPATE DIPOTASSIUM 15MG TABLET 0.17710$ 07/01/07

14092 CLORAZEPATE DIPOTASSIUM 3.75MG TABLET 0.08500$ 07/01/07

14093 CLORAZEPATE DIPOTASSIUM 7.5MG TABLET 0.12060$ 07/01/07

30370 CLOTRIMAZOLE 1% CREAM 0.08826$ 07/01/16

30380 CLOTRIMAZOLE 1% SOLUTION 0.69000$ 01/01/98

07590 CLOTRIMAZOLE 10 MG TROCHE 0.61490$ 04/01/11

28360 CLOTRIMAZOLE 1% VA CREAM 0.16306$ 05/01/97

06919 CLOTRIMAZOLE W/ BETAMETHASONE (15GM SIZE) 1-0.05% CREAM 1.05533$ 02/01/14

06919 CLOTRIMAZOLE W/ BETAMETHASONE (45GM SIZE) 1-0.05% CREAM 0.87800$ 02/01/14

31672 CLOZAPINE 200MG TABLET 2.54350$ 09/01/09

18143 CLOZAPINE 50MG TABLET 0.73490$ 02/01/10

18142 CLOZAPINE 100 MG TABLET 0.95730$ 07/01/09

18141 CLOZAPINE 25 MG TABLET 0.45510$ 09/01/07

98600 COAGULATION FACTOR IX (RECOMB) 2000U VIAL 0.87500$ 10/01/11

34875 COAGULATION FACTOR IX (RECOMBINANT) 3000 UNIT INJ KIT 1.01000$ 05/01/15

99696 COAGULATION FACTOR VIIA (RECOMB) 1 MG (1000 MCG) SOLN RECON 1.27500$ 10/01/10


23382 COAGULATION FACTOR VIIA (RECOMB) 2.4 MG (2400 MCG) SOLN RECON 1.27500$ 06/01/14



70134 CODEINE PHOS/ACETAMINOPHEN 30-300MG TABLET 0.08480$ 09/01/06

70136 CODEINE PHOS/ACETAMINOPHEN 60-300MG TABLET 0.13140$ 09/01/06

69913 CODEINE PHOS/ASPIRIN 30-325MG TABLET 0.10410$ 06/01/04

70140 CODEINE/APAP/CAFFEINE/BUTALBITAL 30-325-50MG CAPSULE 0.31060$ 03/01/07

69500 CODEINE/ASA/CAFFEINE/BUTALBITAL 30-325-50MG CAPSULE 0.69280$ 03/01/07

35674 COLCHICINE 0.6MG TABLET 5.85230$ 06/01/18

25442 COLESTIPOL HCL 1GM TABLET 0.57550$ 08/01/12

69069 CROMOLYN SODIUM 4% OPHTH SOLN 0.66000$ 09/01/11

94594 CYANOCOBALAMIN 1000 MCG/ML SOLUTION 5.27980$ 04/01/18

12805 CYCLOBENZAPRINE HCL 5MG TABLET 0.06130$ 08/01/10

18020 CYCLOBENZAPRINE HCL 10 MG TABLET 0.02650$ 06/01/17

19216 CYCLOSPORINE (OPHTH) 0.05% EMULSION 7.43600$ 04/01/17

13919 CYCLOSPORINE, MODIFIED 100 MG CAPSULE 2.05780$ 04/01/09

13918 CYCLOSPORINE, MODIFIED 25 MG CAPSULE 0.75560$ 12/01/13

13917 CYCLOSPORINE, MODIFIED 100 MG/ML SOLUTION 4.24000$ 04/01/09

15803 CYPROHEPTADINE HCL 2 MG/5ML SYRUP 0.08820$ 07/01/18

15811 CYPROHEPTADINE HCL 4 MG TABLET 0.34900$ 07/01/18

37073 DACLATASVIR DIHYDROCHLORIDE 30MG TABLET 733.92500$ 04/01/17



19850 D-AMPHETAMINE SULFATE 10 MG CAP SR 24 HR 3.59840$ 08/01/13

19851 D-AMPHETAMINE SULFATE 15MG CAP SR 24 HR 4.53580$ 12/01/14

19852 D-AMPHETAMINE SULFATE 5MG CAP SR 24 HR 2.86190$ 08/01/13

17940 DANTROLENE SODIUM 100 MG CAPSULE 1.59940$ 09/01/06

17941 DANTROLENE SODIUM 25 MG CAPSULE 0.83250$ 09/01/06

17942 DANTROLENE SODIUM 50MG CAPSULE 1.50240$ 09/01/06

37367 DARUNAVIR-COBICISTAT 800-150 MG TABLET 53.54600$ 09/01/17

41932 DASAB-OMBIT-PARITAP-RITON 200-8.33-50-33.33MG TAB SR 24 HR 326.01833$ 10/01/16

40291 DEMECLOCYCLINE HCL 300MG TABLET 9.73190$ 07/01/09

16583 DESIPRAMINE HCL 10 MG TABLET 0.69410$ 03/01/10

16585 DESIPRAMINE HCL 150MG TABLET 0.81370$ 11/01/02

16586 DESIPRAMINE HCL 25 MG TABLET 0.18360$ 11/01/02



26173 DESMOPRESSIN ACETATE 0.01% NASAL SOLN 23.19450$ 05/01/14

26171 DESMOPRESSIN ACETATE 0.1 MG TABLET 0.94820$ 12/01/16

26172 DESMOPRESSIN ACETATE 0.2 MG TABLET 0.87890$ 12/01/16

68811 DESOGESTREL-ETHINYL ESTRADIOL 0.15-0.03 MG TABLET 0.54570$ 10/01/13

94868 DESOG-ET ESTRA/ETHIN ESTRA 21-5MG TABLET 1.16350$ 02/01/07

31425 DESONIDE 0.05% CREAM 2.74890$ 10/01/17

31430 DESONIDE 0.05% OINTMENT 2.79160$ 10/01/17

31181 DESOXIMETASONE (15GM SIZE) 0.25% CREAM 2.44620$ 10/01/08

31181 DESOXIMETASONE (60GM SIZE) 0.25% CREAM 1.23660$ 10/01/08

99452 DESVENLAFAXINE SUCCINATE 100 MG TAB SR 24 HR 2.68830$ 05/01/17



27428 DEXAMETHASONE 4MG TABLET 0.13850$ 04/01/93

16306 DEXLANSOPRAZOLE 60MG CAPSULE DR 7.22700$ 05/01/16

30305 DEXMETHYLPHENIDATE HCL 25 MG CAP SR 24 HR 2.33810$ 01/01/18

30306 DEXMETHYLPHENIDATE HCL 35 MG CAP SR 24 HR 2.35020$ 01/01/18

14975 DEXMETHYLPHENIDATE HCL 10 MG TABLET 0.91110$ 07/01/09

14973 DEXMETHYLPHENIDATE HCL 2.5 MG TABLET 0.47700$ 07/01/09

14974 DEXMETHYLPHENIDATE HCL 5 MG TABLET 0.72400$ 11/01/15

97111 DEXMETHYLPHENIDATE HCL ER 15 MG CAP SR 24 HR 5.12180$ 10/01/16



19880 DEXTROAMPHETAMINE SULFATE 10 MG TABLET 1.98240$ 10/01/13

19881 DEXTROAMPHETAMINE SULFATE 5MG TABLET 1.68910$ 10/01/13

25598 DIAZEPAM 10 MG RECTAL GEL 288.61900$ 03/01/18

14210 DIAZEPAM 5MG/ML SOLUTION 1.62626$ 05/01/97

14220 DIAZEPAM 10 MG TABLET 0.04869$ 06/01/05

14221 DIAZEPAM 2MG TABLET 0.01557$ 05/01/97

14222 DIAZEPAM 5MG TABLET 0.04480$ 06/01/02

13960 DICLOFENAC POTASSIUM 50MG TABLET 0.12730$ 05/01/10

13310 DICLOFENAC SODIUM 100 MG TAB SR 24 HR 0.63910$ 11/01/06

35851 DICLOFENAC SODIUM 50MG TABLET DR 0.25040$ 01/01/16

35852 DICLOFENAC SODIUM 75MG TABLET DR 0.23140$ 01/01/16

62729 DICLOFENAC W/ MISOPROSTOL 50-0.2 MG TABLET EC 2.62010$ 02/01/13

06263 DICLOFENAC W/ MISOPROSTOL 75-0.2 MG TABLET EC 2.62010$ 02/01/13

39541 DICLOXACILLIN SODIUM 250MG CAPSULE 0.29000$ 05/01/03

39542 DICLOXACILLIN SODIUM 500MG CAPSULE 0.53420$ 11/01/02

19261 DICYCLOMINE HCL 10 MG CAPSULE 0.04440$ 10/01/09

19331 DICYCLOMINE HCL 20MG TABLET 0.16280$ 05/01/18

14559 DIDANOSINE 200MG CAPSULE DR 4.38170$ 07/01/07



16851 DIFLUNISAL 500MG TABLET 0.91970$ 04/01/08

00132 DIGOXIN 125MCG TABLET 0.09790$ 02/01/08

00133 DIGOXIN 250MCG TABLET 0.09790$ 02/01/08

02329 DILTIAZEM HCL 180 MG CAP SR 24 HR 0.96300$ 07/01/03

02322 DILTIAZEM HCL 60MG CAP SR 12 HR 0.61944$ 05/01/97










07463 DILTIAZEM HCL 120MG CAPSULE CR 0.60740$ 09/01/12




02363 DILTIAZEM HCL 120MG TABLET 0.23790$ 01/01/98




34435 DIMETHYL FUMARATE 240MG CAPSULE DR 105.75000$ 12/01/16

45971 DIPHENHYDRAMINE HCL 25 MG CAPSULE 0.02250$ 01/01/98

45972 DIPHENHYDRAMINE HCL 50MG CAPSULE 0.03530$ 05/01/04

46032 DIPHENHYDRAMINE HCL 12.5MG/5ML ELIXIR 0.00610$ 01/01/98

46062 DIPHENHYDRAMINE HCL 12.5 MG / 5 ML SYRUP 0.00466$ 02/01/91

65030 DIPHENOXYLATE/ATROPINE 2.5-.025MG TABLET 0.06650$ 12/01/04

53141 DIPYRIDAMOLE 25 MG TABLET 0.20210$ 06/01/05

53142 DIPYRIDAMOLE 50MG TABLET 0.32580$ 08/01/03

53143 DIPYRIDAMOLE 75MG TABLET 0.43580$ 06/01/05

01130 DISOPYRAMIDE PHOSPHATE 100 MG CAPSULE 0.57000$ 12/17/99

01131 DISOPYRAMIDE PHOSPHATE 150 MG CAPSULE 0.44000$ 12/17/99

02881 DISULFURAM 250MG TABLET 2.79240$ 03/01/13

17400 DIVALPROEX SODIUM 125MG CAPSULE SPRINKLE 0.39140$ 04/01/13

18754 DIVALPROEX SODIUM 250MG TAB SR 24 HR 1.50530$ 12/01/16

18040 DIVALPROEX SODIUM 500MG TAB SR 24 HR 0.96260$ 12/01/16

17292 DIVALPROEX SODIUM 125MG TABLET DR 0.06750$ 08/01/14



13975 D-METHORPHAN HB/PROMETH HCL 15-6.25MG/5ML SYRUP 0.01471$ 03/01/08

09061 DOCUSATE CALCIUM 240MG CAPSULE 0.04580$ 01/01/05

09101 DOCUSATE SODIUM 100 MG CAPSULE 0.02170$ 02/01/91

09102 DOCUSATE SODIUM 250MG CAPSULE 0.03880$ 09/15/95

04300 DONEPEZIL HCL 10 MG TABLET 0.11216$ 02/01/12

04302 DONEPEZIL HCL 5MG TABLET 0.11216$ 02/01/12

33380 DORZOLAMIDE HCL 2% OPHTH SOLN 1.96250$ 04/01/12

95919 DORZOLAMIDE HCL-TIMOLOL MALEATE 22.3-6.8 MG/ML OPHTH SOLN 2.47590$ 03/01/13

33431 DOXAZOSIN MESYLATE 1MG TABLET 0.05510$ 11/01/06




16563 DOXEPIN HCL 10 MG CAPSULE 0.47520$ 05/01/18



16567 DOXEPIN HCL 50MG CAPSULE 0.86480$ 05/01/18

16571 DOXEPIN HCL 10 MG/ML CONCENTRATE 0.13620$ 05/01/97

40331 DOXYCYCLINE HYCLATE 100 MG CAPSULE 0.29370$ 07/01/18

40333 DOXYCYCLINE HYCLATE 50 MG CAPSULE 0.51070$ 07/01/18

40360 DOXYCYCLINE HYCLATE 100 MG TABLET 0.69890$ 07/01/17

40651 DOXYCYCLINE MONOHYDRATE 100 MG CAPSULE 0.51430$ 01/01/15

40652 DOXYCYCLINE MONOHYDRATE 50MG CAPSULE 0.50960$ 05/01/16

27992 DRONABINOL 10 MG CAPSULE 11.90840$ 07/01/12

27990 DRONABINOL 2.5MG CAPSULE 3.60930$ 10/01/10

27991 DRONABINOL 5MG CAPSULE 7.51010$ 10/01/10

26737 DROSPIRENONE-ETHINYL ESTRADIOL 3-0.02MG TABLET 1.94130$ 06/01/15

13083 DROSPIRENONE-ETHINYL ESTRADIOL 3-0.3MG TABLET 1.55310$ 08/01/14

23161 DULOXETINE HCL 20 MG CAPSULE EC 0.36600$ 07/01/18




30430 ECONAZOLE NITRATE 1% CREAM 1.23030$ 05/01/18

27346 EFAVIRENZ-EMTRICITABINE-TENOFOVIR DF 600-200-300 MG TABLET 88.74460$ 03/01/18

40615 ELBASVIR-GRAZOPREVIR 50-100 MG TABLET 630.55000$ 08/01/17

23152 EMTRICITABINE-TENOFOVIR DISOPROXIL FUMARATE 200-300 MG TABLET 54.59400$ 03/01/18

00961 ENALAPRIL MALEATE 10 MG TABLET 0.04520$ 11/01/07

00963 ENALAPRIL MALEATE 2.5MG TABLET 0.03630$ 11/01/07

00962 ENALAPRIL MALEATE 20MG TABLET 0.04950$ 11/01/07

00960 ENALAPRIL MALEATE 5MG TABLET 0.03920$ 11/01/07

96334 ENOXAPARIN SODIUM 300 MG/3ML SOLUTION 26.91150$ 01/01/18

62773 ENOXAPARIN SODIUM 100 MG/ML SOLUTION 12.81740$ 01/01/18

42091 ENOXAPARIN SODIUM 120MG/0.8ML SOLUTION 17.45670$ 01/01/18

42071 ENOXAPARIN SODIUM 150MG/ML SOLUTION 50.49240$ 11/01/14





28038 EPINEPHRINE 0.15 MG/0.15ML SOLN AUTO-INJ 161.88000$ 07/01/18



25114 EPOETIN ALFA 20000UNIT/ML SOLUTION 459.14000$ 10/01/16

94422 ERGOCALCIFEROL 50000U CAPSULE 0.28530$ 06/01/13

23794 ERLOTINIB HCL 100 MG TABLET 217.91470$ 04/01/17

23793 ERLOTINIB HCL 150MG TABLET 254.37467$ 04/01/17

23795 ERLOTINIB HCL 25 MG TABLET 84.01270$ 04/01/17

31710 ERYTHROMYCIN 2% GEL 0.52470$ 01/01/98

40730 ERYTHROMYCIN BASE 250MG TABLET DR 0.17340$ 05/01/04

40732 ERYTHROMYCIN BASE 500MG TABLET DR 0.31000$ 08/01/04

31760 ERYTHROMYCIN BASE/ETHANOL 2% MED SWAB 0.73540$ 11/01/05

40523 ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5ML SUSP RECON 3.52970$ 09/01/17

40524 ERYTHROMYCIN ETHYLSUCCINATE 400 MG/5ML SUSP RECON 6.35060$ 09/01/17

33540 ERYTHROMYCIN OPHTH 5MG/GM OINTMENT 3.02286$ 01/01/17

40642 ERYTHROMYCIN STEARATE 250MG TABLET 0.13500$ 03/01/96

19035 ESCITALOPRAM OXALATE 5MG/5ML SOLUTION 0.63240$ 08/01/13

17851 ESCITALOPRAM OXALATE 10 MG TABLET 0.13930$ 04/01/14

17987 ESCITALOPRAM OXALATE 20MG TABLET 0.14240$ 04/01/14

18975 ESCITALOPRAM OXALATE 5MG TABLET 0.17883$ 12/01/12

12867 ESOMEPRAZOLE MAGNESIUM 20MG CAPSULE DR 5.25000$ 09/01/16

12868 ESOMEPRAZOLE MAGNESIUM 40MG CAPSULE DR 2.75870$ 09/01/16

19181 ESTAZOLAM 1MG TABLET 0.79020$ 01/01/98

19182 ESTAZOLAM 2MG TABLET 0.88040$ 01/01/98

10773 ESTRADIOL 2 MG VA RING 410.02000$ 05/01/18

10772 ESTRADIOL 0.5 MG TABLET 0.13090$ 07/01/18

10770 ESTRADIOL 1 MG TABLET 0.15490$ 07/01/18

10771 ESTRADIOL 2 MG TABLET 0.17200$ 07/01/18

28410 ESTROGENS, CONJUGATED VAGINAL 0.625 MG/GM CREAM 11.00533$ 02/01/18

11080 ESTROPIPATE 0.75MG TABLET 0.31320$ 01/01/98

11084 ESTROPIPATE 1.5MG TABLET 0.11630$ 08/01/05

11085 ESTROPIPATE 3MG TABLET 1.09400$ 01/01/98

41801 ETHAMBUTOL HCL 400MG TABLET 1.33000$ 11/01/02

17420 ETHOSUXIMIDE 250MG CAPSULE 0.87910$ 03/01/14

17430 ETHOSUXIMIDE 250MG/5ML SOLUTION 0.08460$ 08/01/09

11490 ETHYNODIOL D-ETHINYL ESTRADIOL 1-0.035MG TABLET 0.86320$ 08/01/05

33870 ETODOLAC 200MG CAPSULE 0.26970$ 04/01/08

33871 ETODOLAC 300MG CAPSULE 0.40020$ 04/01/12

61765 ETODOLAC 400MG TAB SR 24 HR 0.71330$ 04/01/08



61766 ETODOLAC 500MG TABLET 0.23490$ 04/01/08

61761 ETODOLAC 400MG TABLET 0.15280$ 04/01/08

99318 ETRAVIRINE 100 MG TABLET 9.39350$ 09/01/17

92896 EXEMESTANE 25 MG TABLET 5.30320$ 12/01/12

24614 EXENATIDE 10 MCG/0.04ML SOLN PEN-INJ 282.57080$ 05/01/18

24613 EXENATIDE 5MCG/0.02ML SOLN PEN-INJ 564.89170$ 05/01/18

18387 EZETIMIBE 10 MG TABLET 0.49333$ 02/01/18

25144 FACTOR IX COMPLEX 200-1200 UNIT SOLN RECON 0.75900$ 05/01/11

25152 FACTOR IX HUMAN RECOMBINANT 1000U VIAL 0.87500$ 03/01/08



14101 FAMCICLOVIR 125MG TABLET 3.37645$ 01/01/09



46430 FAMOTIDINE 20MG TABLET 0.18000$ 10/01/01

46431 FAMOTIDINE 40MG TABLET 0.35000$ 10/01/01

38020 FELBAMATE 600MG/5ML SUSPENSION 2.17430$ 07/01/12

38021 FELBAMATE 400MG TABLET 4.14880$ 07/01/12

38022 FELBAMATE 600MG TABLET 4.86660$ 07/01/12

02622 FELODIPINE 10 MG TABLET SA 1.27680$ 05/01/10

02620 FELODIPINE 2.5MG TABLET SA 0.68610$ 05/01/10

02621 FELODIPINE 5MG TABLET SA 0.68610$ 05/01/10

97003 FENOFIBRATE 145 MG TABLET 0.54370$ 07/01/18




23923 FENOFIBRATE, MICRONIZED 130MG CAPSULE 5.71230$ 05/01/13




35760 FENOPROFEN CALCIUM 600MG TABLET 0.17600$ 09/15/95

19203 FENTANYL 100MCG/HR PATCH TD72 12.07920$ 11/01/16





37952 FENTANYL 37.5MCG/HR PATCH TD72 42.77280$ 11/01/16

19194 FENTANYL CITRATE 1600MCG LOZENGE 30.79540$ 05/01/09



35017 FERRIC CARBOXYMALTOSE IV 750MG/15ML SOLUTION 59.47000$ 08/01/17

10510 FERROUS GLUCONATE 240 MG (27 MG ELEMENTAL FE) TABLET 0.01680$ 02/01/91

04561 FERROUS GLUCONATE 325MG TABLET 0.03460$ 05/01/04

26275 FERUMOXYTOL INJ 510 MG/17ML SOLUTION 42.17824$ 08/01/17

46594 FEXOFENADINE HCL 180MG TABLET 0.52500$ 12/01/14



63565 FEXOFENADINE-PSEUDOEPHEDRINE 60-120MG TAB SR 12 HR 1.50090$ 04/01/10

30521 FINASTERIDE 5MG TABLET 0.15373$ 10/01/15

29073 FINGOLIMOD HCL 0.5 MG CAPSULE 236.72567$ 11/01/17

19360 FLAVOXATE HCL 100 MG TABLET 1.18770$ 06/01/06

60821 FLUCONAZOLE 40MG/ML SUSP RECON 0.67114$ 06/01/08

42190 FLUCONAZOLE 100 MG TABLET 0.13666$ 04/01/11

42193 FLUCONAZOLE 150 MG TABLET 1.78667$ 04/01/18

42191 FLUCONAZOLE 200MG TABLET 0.28366$ 04/01/11

42192 FLUCONAZOLE 50MG TABLET 0.15470$ 04/01/05

27680 FLUDROCORTISONE ACETATE 0.1 MG TABLET 0.49240$ 07/01/07

34280 FLUNISOLIDE 0.025% NASAL SOLN 1.07870$ 10/01/10

31342 FLUOCINOLONE ACETONIDE 0.01% CREAM 0.04130$ 01/01/98

31351 FLUOCINOLONE ACETONIDE 0.025% OINTMENT 0.10500$ 01/01/98

31360 FLUOCINOLONE ACETONIDE 0.01% SOLUTION 0.17630$ 01/01/98

31390 FLUOCINONIDE (120GM SIZE) 0.05% CREAM 0.25100$ 10/01/11


31400 FLUOCINONIDE (15GM SIZE) 0.05% OINTMENT 0.30600$ 02/01/09





54650 FLUOCINONIDE EMULSIFIED BASE 0.05% CREAM 0.45298$ 05/01/97

30781 FLUOROURACIL 5% CREAM 5.18650$ 12/01/10

30817 FLUOXETINE HCL 60MG TABLET 9.23133$ 08/01/17

16353 FLUOXETINE HCL 10 MG CAPSULE 0.04460$ 02/01/07

16354 FLUOXETINE HCL 20MG CAPSULE 0.03700$ 02/01/07

16355 FLUOXETINE HCL 40MG CAPSULE 0.17440$ 09/01/15

12929 FLUOXETINE HCL 90MG CAPSULE DR 24.36530$ 12/01/10

16357 FLUOXETINE HCL 20MG/5ML SOLUTION 0.03932$ 09/01/11

16356 FLUOXETINE HCL 10 MG TABLET 0.98640$ 08/01/17

16359 FLUOXETINE HCL 20MG TABLET 1.38150$ 08/01/17

14590 FLUPHENAZINE HCL 5MG/ML CONCENTRATE 0.72987$ 05/01/97

14603 FLUPHENAZINE HCL 10 MG TABLET 0.50250$ 05/01/97

14602 FLUPHENAZINE HCL 1MG TABLET 0.18810$ 01/01/98

14604 FLUPHENAZINE HCL 2.5MG TABLET 0.26910$ 01/01/98

14605 FLUPHENAZINE HCL 5MG TABLET 0.35210$ 01/01/98

14250 FLURAZEPAM HCL 15MG CAPSULE 0.04489$ 05/01/97

14251 FLURAZEPAM HCL 30MG CAPSULE 0.05771$ 05/01/97

35711 FLURBIPROFEN 100 MG TABLET 0.34750$ 01/01/98

35710 FLURBIPROFEN 50MG TABLET 0.50417$ 05/01/97

53633 FLUTICASONE PROPIONATE 100 MCG/BLISTER ARSL PWDR BA 2.73020$ 11/01/17



62263 FLUTICASONE PROPIONATE NASAL 50 MCG/ACT SUSPENSION 0.35875$ 04/01/18

97135 FLUTICASONE-SALMETEROL INHAL 45-21 MCG/ACT AEROSOL 23.22250$ 06/01/17

00030 FLUVASTATIN SODIUM 20MG CAPSULE 3.08630$ 10/01/13

00031 FLUVASTATIN SODIUM 40MG CAPSULE 3.08630$ 10/01/13

16349 FLUVOXAMINE MALEATE 100 MG TABLET 0.32340$ 10/01/11

16347 FLUVOXAMINE MALEATE 25 MG TABLET 0.28390$ 01/01/08

16348 FLUVOXAMINE MALEATE 50MG TABLET 0.28920$ 10/01/11

94781 FOLIC ACID 1MG TABLET 0.02522$ 02/01/09

04332 FOLIC ACID/VIT B COMP W-C 1MG CAPSULE 0.16870$ 06/01/08

93559 FOLIC ACID/VIT B COMP W-C 1MG TABLET 0.17180$ 07/01/08

23777 FONDAPARINUX SODIUM 10 MG/0.8ML SYRINGE 128.56460$ 07/01/12

15494 FONDAPARINUX SODIUM 2.5MG/0.5ML SYRINGE 87.48180$ 07/01/12

23775 FONDAPARINUX SODIUM 5MG/0.4ML SYRINGE 264.35080$ 07/01/12

23776 FONDAPARINUX SODIUM 7.5MG/0.6ML SYRINGE 171.49030$ 07/01/12

48581 FOSINOPRIL 10 MG TABLET 0.82000$ 04/01/04

48582 FOSINOPRIL 20MG TABLET 0.82000$ 04/01/04

48580 FOSINOPRIL 40MG TABLET 0.82000$ 04/01/04

34950 FUROSEMIDE 10 MG/ML SOLUTION 0.13330$ 01/01/98

34961 FUROSEMIDE 20MG TABLET 0.03290$ 05/01/06

34962 FUROSEMIDE 40MG TABLET 0.03350$ 05/01/06

00780 GABAPENTIN 100 MG CAPSULE 0.03500$ 02/01/18

00781 GABAPENTIN 300MG CAPSULE 0.05100$ 02/01/18

00782 GABAPENTIN 400MG CAPSULE 0.07920$ 02/01/18

13235 GABAPENTIN 250MG/5ML SOLUTION 0.13860$ 02/01/18

23239 GABAPENTIN 100 MG TABLET 0.42572$ 05/01/05

23242 GABAPENTIN 300MG TABLET 0.16970$ 02/01/07




23606 GALANTAMINE HYDROBROMIDE 16MG CAP SR 24 HR 4.06050$ 03/01/09



25540 GEMFIBROZIL 600MG TABLET 0.13033$ 03/01/14

31790 GENTAMICIN SULFATE 0.1% CREAM 0.13500$ 03/01/96

31800 GENTAMICIN SULFATE 0.1% OINTMENT 0.13500$ 03/01/96

33600 GENTAMICIN SULFATE 0.3% OPHTH SOLN 1.09000$ 06/01/14

17178 GLATIRAMER ACETATE 20MG/ML SOLN PREF SYR 212.11900$ 07/01/16

35983 GLATIRAMER ACETATE 40MG/ML SOLN PREF SYR 445.66110$ 07/01/16

43699 GLECAPREVIR-PIBRENTASVIR 100-40 MG TABLET 154.05000$ 01/01/18

05830 GLIMEPIRIDE 1MG TABLET 0.04350$ 03/01/06



10843 GLIPIZIDE 10 MG TAB SR OSM 0.23180$ 08/01/10

50638 GLIPIZIDE 2.5MG TAB SR OSM 0.19666$ 08/01/10

10844 GLIPIZIDE 5MG TAB SR OSM 0.14020$ 08/01/10

10841 GLIPIZIDE 10 MG TABLET 0.05750$ 08/01/06

10840 GLIPIZIDE 5MG TABLET 0.04250$ 08/01/06

25473 GLUCAGON HCL (RDNA) FOR INJ 1 MG SOLN RECON 250.08000$ 11/01/17

05710 GLYBURIDE 1.25MG TABLET 0.05730$ 02/01/09

05711 GLYBURIDE 2.5MG TABLET 0.05470$ 02/01/09

05712 GLYBURIDE 5MG TABLET 0.20600$ 08/01/14

05713 GLYBURIDE, MICRONIZED 1.5MG TABLET 0.04860$ 08/01/05

05714 GLYBURIDE, MICRONIZED 3MG TABLET 0.05850$ 08/01/05

05715 GLYBURIDE, MICRONIZED 6MG TABLET 0.09580$ 08/01/05

89878 GLYBURIDE/METFORMIN HCL 1.25/250MG TABLET 0.17190$ 10/01/05

92889 GLYBURIDE/METFORMIN HCL 2.5/500MG TABLET 0.18550$ 10/01/05

89879 GLYBURIDE/METFORMIN HCL 5/500MG TABLET 0.18550$ 10/01/05

29344 GLYCOPYRROLATE 1MG/5ML SOLUTION 1.03510$ 01/01/17

19121 GLYCOPYRROLATE 0.2 MG/ML SOLUTION 0.21250$ 05/01/09

19130 GLYCOPYRROLATE 1MG TABLET 0.51300$ 04/01/11

19131 GLYCOPYRROLATE 2MG TABLET 0.92390$ 07/01/11

06019 GRANISETRON HCL 1MG TABLET 11.69180$ 08/01/10

42390 GRISEOFULVIN,MICROSIZE 125MG/5ML ORAL SUSP 0.24690$ 06/01/06

42402 GRISEOFULVIN,MICROSIZE 500MG TABLET -$ 09/01/04

02487 GUAIFENESIN 600MG TABLET 0.40000$ 03/01/04

02512 GUAIFENESIN 100 MG/5ML SYRUP 0.00620$ 04/01/93

91711 GUAIFENESIN/CODEINE PHOS 100-10MG/5 SYRUP 0.01500$ 05/01/04

52893 GUAIFENESIN/HYDROCODONE BIT 100-5MG/5ML SYRUP 0.01370$ 03/01/07

27576 GUANFACINE HCL 1MG SR 24HR TAB 0.79200$ 09/01/15




32480 GUANFACINE HCL 1 MG TABLET 0.19230$ 03/01/18

32481 GUANFACINE HCL 2MG TABLET 0.16836$ 01/01/05

31251 HALOBETASOL PROPIONATE (15GM SIZE) 0.05% CREAM 1.10160$ 05/01/06

31211 HALOBETASOL PROPIONATE (15GM SIZE) 0.05% OINTMENT 1.27220$ 05/01/06

31251 HALOBETASOL PROPIONATE (50GM SIZE) 0.05% CREAM 0.83700$ 05/01/06

31211 HALOBETASOL PROPIONATE (50GM SIZE) 0.05% OINTMENT 0.83700$ 05/01/06

15530 HALOPERIDOL 0.5MG TABLET 0.06180$ 05/01/03

15532 HALOPERIDOL 10 MG TABLET 0.72090$ 08/01/13

15531 HALOPERIDOL 1MG TABLET 0.08755$ 05/01/03



14780 HALOPERIDOL DECANOATE 50 MG/ML SOLUTION 16.12000$ 04/16/01

15520 HALOPERIDOL LACTATE 2MG/ML CONCENTRATE 0.13130$ 05/01/97

98819 HEPATITIS A VACCINE 1440 EL UNIT/ML SUSPENSION 64.38080$ 01/01/18

32393 HEPATITIS A VACCINE 25 UNIT/0.5ML SUSPENSION 62.87610$ 01/01/18

98583 HEPATITIS A VACCINE 50 UNIT/ML SUSPENSION 66.44610$ 01/01/18

98480 HEPATITIS A VACCINE 720 EL UNIT/0.5ML SUSPENSION 60.89580$ 01/01/18

24486 HUM INSULIN NPH/REG INSULIN HM 70-30 U/ML SUSPENSION 7.94720$ 04/01/08

01241 HYDRALAZINE HCL 10 MG TABLET 0.14540$ 06/01/08



01244 HYDRALAZINE HCL 50MG TABLET 0.16670$ 10/01/11

34820 HYDROCHLOROTHIAZIDE 12.5MG CAPSULE 0.10310$ 11/01/07

34825 HYDROCHLOROTHIAZIDE 50MG TABLET 0.05296$ 03/01/08

34824 HYDROCHLOROTHIAZIDE 25 MG TABLET 0.02607$ 11/01/07

20906 HYDROCODONE BIT/ACETAMINOPHEN 2.5-167MG/5ML SOLUTION 0.02580$ 12/01/06

70332 HYDROCODONE BIT/ACETAMINOPHEN 10-650MG TABLET 0.07800$ 09/01/06

70338 HYDROCODONE BIT/ACETAMINOPHEN 2.5-500MG TABLET 0.10990$ 09/01/06

70331 HYDROCODONE BIT/ACETAMINOPHEN 5-500MG TABLET 0.04530$ 11/01/06



13973 HYDROCODONE BIT/HOMATROPINE 5-1.5MG SYRUP 0.11530$ 11/01/10

63101 HYDROCODONE BIT/IBUPROFEN 7.5-200MG TABLET 0.45610$ 03/01/08

70330 HYDROCODONE-ACETAMINOPHEN 10-325 MG TABLET 0.18480$ 01/01/17

12486 HYDROCODONE-ACETAMINOPHEN 5-325 MG TABLET 0.15640$ 01/01/17

12488 HYDROCODONE-ACETAMINOPHEN 7.5-325 MG TABLET 0.23650$ 01/01/17

21146 HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15ML SOLUTION 0.10000$ 07/01/17

28852 HYDROCORTISONE 2.5% CREAM 0.19121$ 03/01/08


30942 HYDROCORTISONE 1% CREAM 0.06450$ 01/01/98


30974 HYDROCORTISONE 1% LOTION 0.09160$ 01/01/98

30975 HYDROCORTISONE 2.5% LOTION 0.45470$ 06/01/02

30951 HYDROCORTISONE 1% OINTMENT 0.04966$ 02/01/91

30952 HYDROCORTISONE 2.5% OINTMENT 0.27380$ 01/01/98

30842 HYDROCORTISONE ACETATE 0.5% CREAM 0.04680$ 09/15/95

14017 HYDROCORTISONE W/ ACETIC ACID 1-2% OTIC SOLN 12.39840$ 08/01/12

16141 HYDROMORPHONE HCL 2MG TABLET 0.10520$ 12/01/05



42940 HYDROXYCHLOROQUINE SULFATE 200MG TABLET 0.44870$ 06/01/18

44459 HYDROXYPROGESTERONE CAPROATE 275 MG/1.1ML SOLN AUTO-INJ 728.00000$ 05/01/18

39946 HYDROXYPROGESTERONE CAPROATE IM 250MG/ML OIL 728.00000$ 04/01/17

38400 HYDROXYUREA 500MG CAPSULE 0.46640$ 10/01/10

13941 HYDROXYZINE HCL 10 MG TABLET 0.08900$ 12/01/14

13943 HYDROXYZINE HCL 25 MG TABLET 0.08140$ 01/01/18

13944 HYDROXYZINE HCL 50MG TABLET 0.11970$ 11/01/15

13951 HYDROXYZINE PAMOATE 100 MG CAPSULE 0.26530$ 11/01/06

13952 HYDROXYZINE PAMOATE 25 MG CAPSULE 0.06870$ 11/01/07

13953 HYDROXYZINE PAMOATE 50MG CAPSULE 0.07200$ 11/01/07

18890 HYOSCYAMINE SULFATE 0.375 MG CAP SR 12 HR 0.90880$ 02/01/09

13299 HYOSCYAMINE SULFATE 0.125 MG TAB DISPER 0.42840$ 08/01/12

18960 HYOSCYAMINE SULFATE 0.375 MG TAB SR 12 HR 0.57530$ 04/01/11

18961 HYOSCYAMINE SULFATE 0.125 MG TABLET 0.56780$ 01/01/05

18970 HYOSCYAMINE SULFATE 0.125 MG TABLET SUBL 0.47220$ 09/01/12

24444 IBANDRONATE SODIUM 150MG TABLET 44.20200$ 06/01/14

35930 IBUPROFEN 100 MG/5ML SUSPENSION 0.03432$ 05/01/17

35741 IBUPROFEN 400MG TABLET 0.03380$ 10/01/96



19907 IMATINIB MESYLATE 400MG TABLET 129.77400$ 01/01/18

16541 IMIPRAMINE HCL 10 MG TABLET 0.12750$ 05/01/10

16542 IMIPRAMINE HCL 25 MG TABLET 0.15920$ 05/01/10

16543 IMIPRAMINE HCL 50MG TABLET 0.23130$ 05/01/10

16548 IMIPRAMINE PAMOATE 100 MG CAPSULE 10.39290$ 07/01/10

16554 IMIPRAMINE PAMOATE 75MG CAPSULE 10.39290$ 07/01/10

54201 IMIQUIMOD 5% CREAM 16.35640$ 06/01/13

07310 INDAPAMIDE 2.5MG TABLET 0.22840$ 01/01/98

35680 INDOMETHACIN 25 MG CAPSULES 0.16590$ 07/01/10

35681 INDOMETHACIN 50MG CAPSULES 0.17470$ 07/01/10

35836 INSULIN DEGLUDEC 100UNIT/ML SOLN PEN-INJ 28.45533$ 08/01/17

35837 INSULIN DEGLUDEC 200UNIT/ML SOLN PEN-INJ 56.82556$ 08/01/17

48941 INTERFERON GAMMA-1B 100MCG/0.5ML SOLUTION 3,610.49000$ 10/01/16

42239 IPRATROPIUM BROMIDE 0.03% NASAL SOLN 0.32166$ 04/01/12

42235 IPRATROPIUM BROMIDE 0.2 MG/ML SOLUTION 0.07633$ 11/01/08

13456 IPRATROPIUM-ALBUTEROL NEBU 0.5-2.5(3) MG/3ML SOLUTION 0.10027$ 06/01/16

04749 IRBESARTAN 150MG TABLET 0.31466$ 12/01/15



04420 IRON DEXTRAN INJ 50MG/ML SOLUTION 12.07900$ 08/01/17

29656 IRON SUCROSE INJ 20MG/ML SOLUTION 9.19400$ 08/01/17

41742 ISONIAZID 300MG TABLET 0.06800$ 04/01/05

01942 ISOSORBIDE DINITRATE 10 MG TABLET 0.01664$ 05/01/97

01944 ISOSORBIDE DINITRATE 20MG TABLET 0.03200$ 10/01/04

01947 ISOSORBIDE DINITRATE 5 MG TABLET 0.01440$ 02/01/91

48103 ISOSORBIDE MONONITRATE 120MG TAB SR 24 HR 0.43180$ 03/01/10



20383 ISOTRETINOIN 30 MG CAPSULE 7.94250$ 10/01/17

59841 ISOTRETINOIN 10 MG CAPSULE 3.93720$ 10/01/08

59842 ISOTRETINOIN 20MG CAPSULE 7.20550$ 02/01/10

59843 ISOTRETINOIN 40MG CAPSULE 5.88420$ 10/01/17

49101 ITRACONAZOLE 100 MG CAPSULE 6.73030$ 01/01/10

31850 KETOCONAZOLE 2% CREAM 0.90934$ 06/01/18

42590 KETOCONAZOLE 200MG TABLET 0.23890$ 07/01/06

31271 KETOCONAZOLE 2% SHAMPOO 0.11066$ 10/01/08

34420 KETOPROFEN 50MG CAPSULE 0.43835$ 05/01/97

34421 KETOPROFEN 75MG CAPSULE 0.46967$ 05/01/97

20255 KETOROLAC TROMETHAMINE 0.40% OPHTH SOLN 2.58600$ 08/01/11

52700 KETOROLAC TROMETHAMINE 0.50% SOLUTION 2.50800$ 03/01/11

32531 KETOROLAC TROMETHAMINE 10 MG TABLET 0.22100$ 05/01/10

92451 KETOTIFEN FUMARATE 0.025% OPHTH SOLN 1.80600$ 06/01/16

10342 LABETALOL HCL 100 MG TABLET 0.21940$ 07/01/18



10167 LACTULOSE 10 GM/15ML SOLUTION 0.01467$ 07/01/18

10160 LACTULOSE (ENCEPHALOPATHY) 10 GM/15ML SOLUTION 0.01467$ 07/01/18

26720 LAMIVUDINE 150MG TABLET 5.15340$ 04/01/12

15709 LAMIVUDINE 300MG TABLET 9.79330$ 04/01/12

89621 LAMIVUDINE-ZIDOVUDINE 150-300MG TABLET 8.87250$ 02/01/14

64322 LAMOTRIGINE 25 MG TAB DISPER 0.28770$ 02/01/14

64323 LAMOTRIGINE 5MG TAB DISPER 0.30470$ 07/01/12

24703 LAMOTRIGINE 100 MG TAB SR 24 HR 8.19840$ 08/01/15

24739 LAMOTRIGINE 200MG TAB SR 24 HR 8.45950$ 09/01/16




64316 LAMOTRIGINE 100 MG TABLET 0.08770$ 07/01/12

64324 LAMOTRIGINE 150MG TABLET 0.10930$ 07/01/12

64325 LAMOTRIGINE 200MG TABLET 0.12670$ 07/01/12

64317 LAMOTRIGINE 25 MG TABLET 0.07730$ 07/01/12

01697 LANSOPRAZOLE 15MG CAPSULE DR 0.88960$ 03/01/15

01698 LANSOPRAZOLE 30MG CAPSULE DR 0.55300$ 10/01/15

26115 LANTHANUM CARBONATE 1000 MG CHEW TAB 10.38311$ 11/01/17

23813 LANTHANUM CARBONATE 500 MG CHEW TAB 9.78167$ 11/01/17

32749 LATANOPROST 0.005% OPHTH SOLN 2.80800$ 02/01/17

37179 LEDIPASVIR-SOFOSBUVIR 90-400MG TABLET 1,099.73750$ 11/01/17

67031 LEFLUNOMIDE 10 MG TABLET 0.41032$ 04/01/09

67032 LEFLUNOMIDE 20MG TABLET 0.41032$ 04/01/09

26315 LENALIDOMIDE 10 MG CAPSULE 553.47964$ 11/01/16

34743 LENALIDOMIDE 20MG CAPSULE 553.48000$ 11/01/16

27277 LENALIDOMIDE 25 MG CAPSULE 553.48000$ 11/01/16

26314 LENALIDOMIDE 5MG CAPSULE 553.47964$ 11/01/16

49541 LETROZOLE 2.5MG TABLET 0.22799$ 03/01/14

24540 LEVALBUTEROL HCL 0.63MG/3ML NEBU SOLN 1.07570$ 03/01/14

24541 LEVALBUTEROL HCL 1.25MG/3ML NEBU SOLN 0.67830$ 09/01/17

24422 LEVALBUTEROL TARTRATE 45 MCG/ACT AEROSOL 4.54720$ 10/01/17

20353 LEVETIRACETAM 100 MG/ML ORAL SOLN 0.04920$ 03/01/18

14305 LEVETIRACETAM 500MG TAB SR 24 HR 0.49050$ 01/01/12

20765 LEVETIRACETAM 750MG TAB SR 24 HR 0.72140$ 01/01/12

86223 LEVETIRACETAM 1000 MG TABLET 0.33416$ 04/01/18

98507 LEVOCARNITINE 1GM/10ML SOLUTION 0.17910$ 11/01/11

85384 LEVOCARNITINE 330MG TABLET 0.63260$ 10/01/10

14901 LEVOCETIRIZINE DIHYDROCHLORIDE 5MG TABLET 0.46110$ 11/01/12

47073 LEVOFLOXACIN 250MG TABLET 0.27420$ 07/01/12



93226 LEVONORGESTREL 0.75MG TABLET 14.39550$ 06/01/13

23549 LEVONORGESTREL 1.5MG TABLET 29.30550$ 04/01/15

11531 LEVONORGESTREL-ETH ESTRA 6-5-10 MG TABLET 0.65730$ 03/01/10

11534 LEVONORGESTREL-ETH ESTRA 0.1-0.02 MG TABLET 0.46200$ 03/01/18



27096 LEVONORGESTREL-ETH ESTRA & ETH ESTRA 0.15-0.03 MG & 0.01 MG TABLET 1.64410$ 04/01/17

26323 LEVOTHYROXINE SODIUM 100 MCG TABLET 0.43830$ 04/01/18

26326 LEVOTHYROXINE SODIUM 125MCG TABLET 0.15140$ 01/01/08









30750 LIDOCAINE 5% OINTMENT 0.84000$ 01/01/18

11942 LIDOCAINE HCL 4% SOLUTION 0.20100$ 01/01/98

11941 LIDOCAINE HCL VISCOUS 2% SOLUTION 0.10620$ 07/01/18

05987 LIDOCAINE-PRILOCAINE 2.5-2.5% CREAM 0.59166$ 01/01/14

31570 LINDANE 1% SHAMPOO 0.09988$ 09/22/99

26870 LINEZOLID 600MG TABLET 11.42300$ 11/01/16

26340 LIOTHYRONINE SODIUM 25MCG TABLET 0.76150$ 05/01/12



47261 LISINOPRIL 10 MG TABLET 0.02077$ 10/01/14

47264 LISINOPRIL 2.5MG TABLET 0.03160$ 08/01/07

47262 LISINOPRIL 20MG TABLET 0.02570$ 09/01/16




88002 LISINOPRIL & HYDROCHLOROTHIAZIDE 10-12.5MG TABLET 0.04570$ 05/01/14

88000 LISINOPRIL & HYDROCHLOROTHIAZIDE 20-12.5MG TABLET 0.05340$ 05/01/14

88001 LISINOPRIL & HYDROCHLOROTHIAZIDE 20-25MG TABLET 0.05860$ 05/01/14

15711 LITHIUM CARBONATE 150MG CAPSULE 0.07930$ 09/01/11

15710 LITHIUM CARBONATE 300MG CAPSULE 0.04060$ 02/01/15

15730 LITHIUM CARBONATE 450MG TABLET CR 0.34720$ 01/01/13

15731 LITHIUM CARBONATE 300MG TABLET SA 0.21130$ 07/01/14

15741 LITHIUM CITRATE 8MEQ/5ML SYRUP 0.03767$ 03/01/06

08370 LOPERAMIDE HCL 2MG CAPSULE 0.06530$ 05/01/08

08550 LOPERAMIDE HCL 2MG TABLET 0.24850$ 09/15/95

60563 LORATADINE 10 MG TABLET 0.06450$ 10/01/07

63577 LORATADINE & PSEUDOEPHEDRINE 10-240 MG TAB SR 24 HR 0.63933$ 10/01/17

19601 LORAZEPAM 2MG/ML CONCENTRATE 1.07380$ 01/01/11

14160 LORAZEPAM 0.5MG TABLET 0.03840$ 06/01/10

14161 LORAZEPAM 1MG TABLET 0.04180$ 06/01/10

14162 LORAZEPAM 2MG TABLET 0.06850$ 06/01/10

14853 LOSARTAN POTASSIUM 100 MG TABLET 0.05811$ 06/01/17

14850 LOSARTAN POTASSIUM 25 MG TABLET 0.03689$ 06/01/17

14851 LOSARTAN POTASSIUM 50MG TABLET 0.04901$ 06/01/17

25851 LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE 100-12.5MG TABLET 0.21433$ 10/01/11

14854 LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE 100-25MG TABLET 0.21816$ 10/01/11

14852 LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE 50-12.5MG TABLET 0.14330$ 10/01/11

47042 LOVASTATIN 10 MG TABLET 0.08076$ 07/01/14

47040 LOVASTATIN 20MG TABLET 0.09326$ 07/01/14

47041 LOVASTATIN 40MG TABLET 0.09000$ 07/01/14

15560 LOXAPINE SUCCINATE 10 MG CAPSULE 0.51450$ 08/01/12

15561 LOXAPINE SUCCINATE 25 MG CAPSULE 0.75050$ 08/01/12

15563 LOXAPINE SUCCINATE 50MG CAPSULE 0.99740$ 08/01/12

15562 LOXAPINE SUCCINATE 5MG CAPSULE 0.56130$ 02/01/04

99658 LUBIPROSTONE 8 MCG CAPSULE 5.57367$ 10/01/17

26473 LUBIPROSTONE 24 MCG CAPSULE 5.57367$ 10/01/17

04091 MAGNESIUM OXIDE 400MG TABLET 0.04916$ 05/01/08

31600 MALATHION 0.50% LOTION 4.41980$ 06/01/18

98734 MARAVIROC 150 MG TABLET 22.26600$ 09/01/17

18312 MECLIZINE HCL 25 MG CHEW TAB 0.02540$ 05/01/97

18302 MECLIZINE HCL 25 MG TABLET 0.26780$ 01/01/16

18301 MECLIZINE HCL 12.5MG TABLET 0.04840$ 01/01/07

11251 MEDROXYPROGESTERONE ACET 150MG/ML SUSPENSION 83.51000$ 12/01/17

11260 MEDROXYPROGESTERONE ACET 10 MG TABLET 0.07460$ 08/01/10

11261 MEDROXYPROGESTERONE ACET 2.5MG TABLET 0.07470$ 08/01/10

11262 MEDROXYPROGESTERONE ACET 5MG TABLET 0.08430$ 08/01/10

40381 MEGESTROL ACETATE 40MG/ML ORAL SUSP 0.08400$ 10/01/10

38680 MEGESTROL ACETATE 20MG TABLET 0.18440$ 11/01/06

38681 MEGESTROL ACETATE 40MG TABLET 0.21700$ 11/01/06

31662 MELOXICAM 15MG TABLET 0.06050$ 07/01/07

31661 MELOXICAM 7.5MG TABLET 0.04750$ 07/01/07

15991 MEPERIDINE HCL 50MG TABLET 0.20930$ 07/01/07

38520 MERCAPTOPURINE 50MG TABLET 1.12320$ 10/01/11

21663 MESALAMINE 800 MG TABLET EC 6.96772$ 11/01/17

97842 MESALAMINE 1.2GM TABLET EC 8.55000$ 11/01/17

19720 METAPROTERENOL SULFATE 10 MG/5ML SYRUP 0.01340$ 01/01/98

91765 METAXALONE 800MG TABLET 4.13170$ 12/01/14

21831 METFORMIN HCL 1000MG TAB SR 24 HR 6.29140$ 11/01/14



10857 METFORMIN HCL 1000MG TABLET 0.04000$ 07/01/16



16420 METHADONE HCL 10 MG TABLET 0.11110$ 05/01/18

16422 METHADONE HCL 5MG TABLET 0.18860$ 05/01/18

16423 METHADONE HCL 40MG TABLET SOL 0.26980$ 12/01/05

34741 METHAZOLAMIDE 25 MG TABLET 0.31002$ 05/01/97

41980 METHENAMINE HIPPURATE 1GM TABLET 1.64670$ 11/01/11

26400 METHIMAZOLE 10 MG TABLET 0.24990$ 07/01/11

17892 METHOCARBAMOL 500MG TABLET 0.07572$ 08/01/07

17893 METHOCARBAMOL 750MG TABLET 0.08630$ 08/01/16

38489 METHOTREXATE SODIUM 2.5MG TABLET 1.30550$ 02/01/17

01431 METHYLDOPA 250MG TABLET 0.12520$ 01/01/05

01432 METHYLDOPA 500MG TABLET 0.22825$ 01/01/05

11350 METHYLERGONOVINE MALEATE 0.2 MG TABLET 51.75321$ 07/01/17

15911 METHYLPHENIDATE HCL 10 MG TABLET 0.56160$ 05/01/17



20384 METHYLPHENIDATE HCL CD 10 MG CAPSULE CR 3.97250$ 12/01/17






12567 METHYLPHENIDATE HCL ER 18 MG TAB SR 24 HR 4.98720$ 07/01/16




93075 METHYLPHENIDATE HCL ER 10 MG TABLET CR 5.56090$ 12/01/17

16180 METHYLPHENIDATE HCL ER 20 MG TABLET CR 5.15110$ 12/01/17

21763 METHYLPHENIDATE HCL ER (LA) 10 MG CAP SR 24 HR 9.07670 12/01/17

20387 METHYLPHENIDATE HCL ER (LA) 20 MG CAP SR 24 HR 5.03810$ 12/01/17



12567 METHYLPHENIDATE HCL ER (OSM) 18 MG TABLET CR 7.80370$ 05/01/17




37499 METHYLPREDNISOLONE 4MG TAB THERAPY PACK 0.48669$ 12/01/16

27003 METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION 4.77000$ 03/01/00

03610 METOCLOPRAMIDE HCL 5MG/5ML SOLUTION 0.02470$ 09/15/95

21020 METOCLOPRAMIDE HCL 10 MG TABLET 0.05151$ 06/01/10

21021 METOCLOPRAMIDE HCL 5MG TABLET 0.09870$ 01/01/98

34990 METOLAZONE 10 MG TABLET 0.95180$ 03/01/07

34991 METOLAZONE 2.5MG TABLET 0.44320$ 03/01/07

34992 METOLAZONE 5MG TABLET 0.74620$ 03/01/07

20742 METOPROLOL SUCCINATE 100 MG TAB SR 24 HR 0.43520$ 01/01/18

20743 METOPROLOL SUCCINATE 200MG TAB SR 24 HR 0.87150$ 01/01/18

12947 METOPROLOL SUCCINATE 25 MG TAB SR 24 HR 0.28280$ 01/01/18

20741 METOPROLOL SUCCINATE 50MG TAB SR 24 HR 0.28350$ 01/01/18

17734 METOPROLOL TARTRATE 25 MG TABLET 0.03010$ 01/01/17

20641 METOPROLOL TARTRATE 100 MG TABLET 0.05330$ 11/01/05

20642 METOPROLOL TARTRATE 50MG TABLET 0.03730$ 11/01/05

43203 METRONIDAZOLE 0.75% CREAM 2.30350$ 11/01/15

43202 METRONIDAZOLE 0.75% GEL 2.54330$ 05/01/15

43031 METRONIDAZOLE 250MG TABLET 0.08490$ 06/01/03

43032 METRONIDAZOLE 500MG TABLET 0.42670$ 06/01/17

49261 METRONIDAZOLE 0.75% VA GEL 0.87710$ 05/01/18

12210 MEXILETINE HCL 150 MG CAPSULE 0.61623$ 05/01/97



17566 MIDODRINE HCL 10 MG TABLET 1.01400$ 07/01/10

28322 MIDODRINE HCL 2.5MG TABLET 0.88300$ 03/01/05

28321 MIDODRINE HCL 5MG TABLET 0.46450$ 05/01/10

05321 MILRINONE LACTATE 20 MG/20ML SOLUTION 0.56390$ 05/01/17

40410 MINOCYCLINE HCL 100 MG CAPSULE 0.53550$ 04/01/18

40411 MINOCYCLINE HCL 50MG CAPSULE 0.19270$ 06/01/07

01290 MINOXIDIL 10 MG TABLET 0.50400$ 06/01/03

01291 MINOXIDIL 2.5MG TABLET 0.19320$ 06/01/02

12529 MIRTAZAPINE 15MG TAB RAPDIS 1.08300$ 05/01/10



16732 MIRTAZAPINE 15MG TABLET 0.12332$ 03/01/09



21817 MIRTAZAPINE 7.5MG TABLET 0.19066$ 05/01/13

08251 MISOPROSTOL 100MCG TABLET 0.47720$ 02/01/05

08250 MISOPROSTOL 200MCG TABLET 0.68270$ 02/01/05

26101 MODAFINIL 100 MG TABLET 13.37710$ 06/01/13

26102 MODAFINIL 200MG TABLET 15.48220$ 01/01/14

45930 MOMETASONE FUROATE (15GM SIZE) 0.1% OINTMENT 0.82300$ 05/01/06

45850 MOMETASONE FUROATE (45GM SIZE) 0.1% CREAM 0.45440$ 11/01/06

45930 MOMETASONE FUROATE (45GM SIZE) 0.1% OINTMENT 0.46870$ 05/01/06

42373 MONTELUKAST SODIUM 4MG CHEW TAB 0.40010$ 09/01/12

94440 MONTELUKAST SODIUM 5MG CHEW TAB 0.34260$ 01/01/15

94444 MONTELUKAST SODIUM 10 MG TABLET 0.16100$ 08/01/16

26494 MORPHINE SULFATE 100 MG CAP SR 24 HR 14.84870$ 01/01/12

26492 MORPHINE SULFATE 20MG CAP SR 24 HR 4.08470$ 01/01/12





16071 MORPHINE SULFATE 30MG TABLET 0.11410$ 04/01/07

16642 MORPHINE SULFATE 100 MG TABLET SA 0.74390$ 06/01/12

16643 MORPHINE SULFATE 15MG TABLET SA 0.27160$ 06/01/17




16063 MORPHINE SULFATE (120ML SIZE) 20MG/ML ORAL SOLN 0.31970$ 04/01/10




19542 MOXIFLOXACIN HCL 0.5% OPHTH SOLN 9.46050$ 02/01/18

47450 MUPIROCIN CALCIUM 2% OINTMENT 0.27227$ 03/01/18

47459 MUPIROCIN CALCIUM (15GM SIZE) 2% CREAM 2.75170$ 11/01/13

47459 MUPIROCIN CALCIUM (30GM SIZE) 2% CREAM 2.37410$ 11/01/13

47560 MYCOPHENOLATE MOFETIL 250MG CAPSULE 0.38440$ 10/01/10

47561 MYCOPHENOLATE MOFETIL 500MG TABLET 0.37800$ 07/01/15

19647 MYCOPHENOLATE SODIUM 360MG TABLET EC 6.67860$ 04/01/17

32961 NABUMETONE 500MG TABLET 0.28370$ 01/01/10

32962 NABUMETONE 750MG TABLET 0.26790$ 01/01/11

20650 NADOLOL 120MG TABLET 0.59710$ 08/01/05




40233 NALOXONE HCL NASAL SPRAY 4 MG/0.1ML LIQUID 62.70000$ 03/01/17

27095 NALTREXONE FOR IM EXTENDED RELEASE 380 MG SUSP RECON 1,243.60000$ 10/01/17

17070 NALTREXONE HCL 50MG TABLET 0.85670$ 06/01/18

41670 NAPROXEN 125 MG/5ML SUSPENSION 1.07508$ 07/01/17

35790 NAPROXEN 250MG TABLET 0.05160$ 04/01/08



47130 NAPROXEN SODIUM 275MG TABLET 0.15310$ 09/15/95

47131 NAPROXEN SODIUM 550 MG TABLET 1.64240$ 04/01/18

34027 NATEGLINIDE 120MG TABLET 1.19980$ 11/01/10

12277 NATEGLINIDE 60MG TABLET 1.10530$ 11/01/10

16406 NEFAZODONE HCL 100 MG TABLET 0.28400$ 09/01/04

16407 NEFAZODONE HCL 150MG TABLET 0.42880$ 10/01/05




41072 NEOMYCIN SULFATE 500MG TABLET 0.86470$ 05/01/10

14023 NEOMYCIN-POLYMYXIN-HC 1% OTIC SOLN 5.45360$ 04/01/18

14025 NEOMYCIN-POLYMYXIN-HC OTIC 3.5 MG/ML-10000 UNIT/ML-1% OTIC SUSP 1.00550$ 11/01/08

31420 NEVIRAPINE 200MG TABLET 0.45050$ 08/01/12

94885 NIACIN 250 MG TABLET 0.02759$ 05/01/97

94881 NIACIN 500MG TABLET 0.02990$ 10/01/96

61810 NIACIN (ANTIHYPERLIPIDEMIC) 500MG TABLET 0.02990$ 10/01/96

02390 NICARDIPINE HCL 20MG CAPSULE 0.42420$ 01/01/98

02221 NIFEDIPINE 30MG TAB OSM 24 0.35700$ 05/01/14



02226 NIFEDIPINE 30MG TABLET SA 0.52970$ 11/01/08



02350 NIFEDIPINE 10 MG CAPSULE 0.14450$ 04/01/04

41820 NITROFURANTOIN MACROCRYSTAL 100 MG CAPSULE 1.31180$ 04/01/15

41822 NITROFURANTOIN MACROCRYSTAL 50MG CAPSULE 0.79050$ 11/01/13

49001 NITROFURANTOIN MONOHYDRATE MACROCRYSTALLINE 100 MG CAPSULE 0.88620$ 06/01/18

01771 NITROGLYCERIN 0.3 MG TABLET SUBL 0.39900$ 09/01/17

01772 NITROGLYCERIN 0.4 MG TABLET SUBL 0.85460$ 09/01/17

01681 NITROGLYCERIN 2.5MG CAP SR 24 HR 0.09260$ 06/01/05

01682 NITROGLYCERIN 6.5MG CAP SR 24 HR 0.11180$ 08/01/04

01684 NITROGLYCERIN 9MG CAP SR 24 HR 0.14480$ 05/01/04

01741 NITROGLYCERIN 0.1 MG/HR PATCH TD24 0.52130$ 11/01/07

01742 NITROGLYCERIN 0.2 MG/HR PATCH TD24 0.49180$ 11/01/07

01740 NITROGLYCERIN 0.4MG/HR PATCH TD24 0.54680$ 11/01/07

01744 NITROGLYCERIN 0.6MG/HR PATCH TD24 0.90900$ 11/01/07

15524 NORELGESTROMIN-ETHINYL ESTRADIOL 150-35MCG/24HR PATCH WEEKLY 43.15000$ 08/01/17

68105 NORETH A-ET ESTRA/FE FUMARATE 5-7-9-7 TABLET 1.50280$ 03/01/08

11520 NORETHINDRONE 0.35 MG TABLET 0.28490$ 06/01/18

11471 NORETHINDRONE & ETHINYL ESTRADIOL 0.5 MG-35 MCG TABLET 0.90000$ 11/01/02

68102 NORETHINDRONE ACE & ETHINYL ESTRADIOL-FE 1 MG-20 MCG TABLET 0.42800$ 02/01/18

68101 NORETHINDRONE ACE & ETHINYL ESTRADIOL-FE 1.5 MG-30 MCG TABLET 0.56010$ 04/01/15

11280 NORETHINDRONE ACETATE 5MG TABLET 1.91780$ 09/01/10

11470 NORETHINDRONE-ETHINYL ESTRAD 0.4MG-35MCG TABLET 0.80170$ 11/01/12

11480 NORETHINDRONE-ETHINYL ESTRAD 1.5-0.03MG TABLET 0.63470$ 08/01/17

11481 NORETHINDRONE-ETHINYL ESTRAD 1MG-20MCG TABLET 0.49650$ 08/01/17

11477 NORETHINDRONE-ETHINYL ESTRAD 7 DAYS X 3 TABLET 0.81990$ 06/01/06

11474 NORETHINDRONE-ETHINYL ESTRAD 1MG-35MCG TABLET 0.57760$ 08/01/14

97167 NORETHINDRONE-ETHINYL ESTRAD-FE 0.4MG-35MCG CHEW TAB 1.53910$ 08/01/12

29264 NORETHIN-ETH ESTRADIOL-FE 1 MG-10 MCG (24)/10 MCG (2) TABLET 3.77430$ 02/01/17

18126 NORGESTIMATE-ETH ESTRAD 0.18-25/0.215-25/0.25-25 MG-MCG TABLET 0.29750$ 02/01/17

11301 NORGESTIMATE-ETHINYL ESTRADIOL 7 DAYS X 3 TABLET 0.31920$ 02/01/17

11300 NORGESTIMATE-ETHINYL ESTRADIOL 0.25 MG-35 MCG TABLET 0.35670$ 09/01/14

11501 NORGESTREL & ETHINYL ESTRADIOL 0.5 MG-50 MCG TABLET 1.24000$ 11/01/02

11500 NORGESTREL-ETHINYL ESTRADIOL 0.3-0.03 MG TABLET 0.50520$ 02/01/17

16529 NORTRIPTYLINE HCL 10 MG CAPSULE 0.10030$ 05/01/18




30140 NYSTATIN 100000U/G CREAM 0.47963$ 10/01/15

30150 NYSTATIN 100000U/G OINTMENT 0.66660$ 04/01/15

30160 NYSTATIN 100000U/G POWDER 0.78170$ 08/01/14

42452 NYSTATIN 500000 UNIT TABLET 0.51000$ 09/01/98

42440 NYSTATIN 100000U/ML ORAL SUSP 0.08760$ 12/01/15

14007 NYSTATIN-TRIAMCINOLONE 100000-0.1 UNIT/GM-% CREAM 3.89370$ 06/01/15

36600 OFLOXACIN 0.3% OPHTH SOLN 2.44600$ 02/01/18

15082 OLANZAPINE 10 MG TABLET 0.27660$ 06/01/15

15085 OLANZAPINE 15MG TABLET 0.43166$ 06/01/15

15084 OLANZAPINE 2.5MG TABLET 0.17400$ 08/01/13



15081 OLANZAPINE 7.5MG TABLET 0.23340$ 08/01/13

92008 OLANZAPINE ODT 10 MG TAB DISPER 2.76050$ 11/01/14

34022 OLANZAPINE ODT 15MG TAB DISPER 3.49230$ 11/01/14



37855 OLOPATADINE HCL 0.70% OPHTH SOLN 63.01400$ 05/01/17

19966 OMALIZUMAB FOR INJ 150 MG SOLUTION 1,022.54000$ 07/01/17

37614 OMBITAS-PARITAPRE-RITON & DASAB 12.5-75-50 & 250MG TAB THERAPY PACK 243.15393$ 09/01/16

37844 OMBITASVIR-PARITAPREVIR-RITONAVIR 12.5-75-50MG TABLET 449.14250$ 08/01/16

23929 OMEGA-3-ACID ETHYL ESTERS 1GM CAPSULE 0.78210$ 09/01/16

92989 OMEPRAZOLE 10 MG CAPSULE DR 0.29166$ 05/01/14

04348 OMEPRAZOLE 20MG CAPSULE DR 0.06420$ 05/01/14

92999 OMEPRAZOLE 40MG CAPSULE DR 0.17170$ 08/01/16

22228 OMEPRAZOLE 20MG TABLET DR 0.57560$ 12/01/17

20045 ONDANSETRON 4MG TAB RAPDIS 0.47763$ 05/01/17

20046 ONDANSETRON 8MG TAB RAPDIS 0.44833$ 04/01/09

20040 ONDANSETRON HCL 4MG/5ML ORAL SOLN 1.80690$ 10/01/10

20041 ONDANSETRON HCL 4MG TABLET 0.15866$ 12/01/12

20042 ONDANSETRON HCL 8MG TABLET 0.19866$ 12/01/12

98980 OSELTAMIVIR PHOSPHATE 30 MG CAPSULE 8.96000$ 11/01/17



29729 OSELTAMIVIR PHOSPHATE 6 MG/ML SUSP RECON 2.46870$ 11/01/17

40133 OSIMERTINIB MESYLATE 80 MG TABLET 473.07500$ 07/01/17

18265 OXANDROLONE 10 MG TABLET 13.08680$ 04/01/07

10561 OXANDROLONE 2.5MG TABLET 4.34430$ 04/01/07

14231 OXAZEPAM 15MG CAPSULE 1.05000$ 02/01/13

21723 OXCARBAZEPINE 300 MG/5ML SUSPENSION 0.38190$ 06/01/18

21724 OXCARBAZEPINE 150MG TABLET 0.15520$ 06/01/18



19389 OXYBUTYNIN CHLORIDE 10 MG TAB OSM 24 0.89200$ 01/01/15

93557 OXYBUTYNIN CHLORIDE 15MG TAB OSM 24 1.10100$ 01/01/15

19388 OXYBUTYNIN CHLORIDE 5MG TAB OSM 24 0.89130$ 01/01/15

19380 OXYBUTYNIN CHLORIDE 5MG TABLET 0.43280$ 12/01/16

16285 OXYCODONE HCL 5MG CAPSULE 0.10470$ 01/01/07

16281 OXYCODONE HCL 20MG/ML ORAL CONC 2.79580$ 03/01/12

16282 OXYCODONE HCL 10 MG TAB SR 12 HR 1.33460$ 12/01/08

16283 OXYCODONE HCL 20MG TAB SR 12 HR 2.55390$ 12/01/08



16291 OXYCODONE HCL 10 MG TABLET 0.17840$ 03/01/18

20091 OXYCODONE HCL 15MG TABLET 0.22210$ 04/01/10




37158 OXYCODONE HCL 10 MG TAB 12HR DETER 3.72790$ 05/01/18







70500 OXYCODONE HCL/ACETAMINOPHEN 5/500MG CAPSULE 0.11900$ 01/01/06

50756 OXYCODONE HCL/ACETAMINOPHEN 7.5/500MG TABLET 0.38060$ 11/01/08

14966 OXYCODONE W/ ACETAMINOPHEN 10-325 MG TABLET 0.70580$ 10/01/16

14965 OXYCODONE W/ ACETAMINOPHEN 7.5-325 MG TABLET 0.73790$ 03/01/15

70491 OXYCODONE W/ ACETAMINOPHEN 5-325 MG TABLET 0.16790$ 08/01/16

70481 OXYCODONE/ASPIRIN 4.88/325MG TABLET 0.78590$ 04/01/06

97770 PALIPERIDONE 6 MG TAB SR 24 HR 13.04380$ 03/01/18

27685 PALIPERIDONE 1.5MG TAB SR 24 HR 24.70470$ 11/01/16

97771 PALIPERIDONE 9MG TAB SR 24 HR 28.22010$ 11/01/16

27416 PALIPERIDONE PALMITATE IM ER 117 MG/0.75ML SUSPENSION 1,589.62333$ 04/01/18

27417 PALIPERIDONE PALMITATE IM ER 156 MG/ML SUSPENSION 1,589.70000$ 04/01/18





24824 PALIVIZUMAB IM 100 MG/ML SOLUTION 2,620.61000$ 05/01/17

24818 PALIVIZUMAB IM 50 MG/0.5ML SOLUTION 2,775.63000$ 05/01/17

95976 PANTOPRAZOLE SODIUM 20MG TABLET 0.12494$ 03/01/17

40120 PANTOPRAZOLE SODIUM 40MG TABLET 0.09455$ 12/01/13

16369 PAROXETINE HCL 10 MG/5ML ORAL SUSP 0.51840$ 09/01/08

17078 PAROXETINE HCL 12.5MG TAB SR 24 HR 2.55390$ 08/01/08

17077 PAROXETINE HCL 25 MG TAB SR 24 HR 2.53370$ 06/01/14

17079 PAROXETINE HCL 37.5MG TAB SR 24 HR 2.82700$ 07/01/09

16364 PAROXETINE HCL 10 MG TABLET 0.09200$ 07/01/18




27829 PAZOPANIB HCL 200 MG TABLET 91.87392$ 09/01/17

98308 PEG 3350-KCL-NA BICARB-NACL-NA SULFATE 236 GM SOLUTION 0.00421$ 08/01/11

24404 PEGINTERFERON ALFA-2B 120MCG/0.5ML INJ KIT 832.22000$ 01/01/15

14753 PEGINTERFERON ALFA-2B 150MCG/0.5ML INJ KIT 873.00000$ 01/01/15

12550 PEMOLINE 37.5MG CHEW TAB 0.81550$ 06/01/06

12540 PEMOLINE 18.75MG TABLET 0.15620$ 06/01/06

12541 PEMOLINE 37.5MG TABLET 1.08460$ 06/01/06

12542 PEMOLINE 75MG TABLET 0.47350$ 06/01/06

39022 PENICILLIN V POTASSIUM 125 MG/5ML SOLN RECON 0.01389$ 05/01/97

39024 PENICILLIN V POTASSIUM 250 MG/5ML SOLN RECON 0.01657$ 05/01/97

39053 PENICILLIN V POTASSIUM 250MG TABLET 0.09180$ 07/01/10

39055 PENICILLIN V POTASSIUM 500MG TABLET 0.28390$ 06/01/18

26090 PERGOLIDE MESYLATE 0.05 MG TABLET 0.75540$ 07/01/06

26091 PERGOLIDE MESYLATE 0.25 MG TABLET 1.17730$ 07/01/06

26092 PERGOLIDE MESYLATE 1MG TABLET 2.56520$ 07/01/06

44370 PERMETHRIN 5% CREAM 1.23380$ 04/01/15

44520 PERMETHRIN 1% LIQUID 0.11300$ 11/01/02

14652 PERPHENAZINE 4MG TABLET 0.93380$ 04/01/12

16678 PERPHENAZINE-AMITRIPTYLINE 4-50 MG TABLET 0.19430$ 01/01/98

42121 PHENAZOPYRIDINE HCL 100 MG TABLET 0.08540$ 09/15/95

42122 PHENAZOPYRIDINE HCL 200MG TABLET 0.10680$ 09/15/95

12956 PHENOBARBITAL 20MG/5ML ELIXIR 0.01200$ 07/01/04

13978 PHENYLEPHRINE-PROMETHAZINE W/CODEINE 5-6.25-10 MG/5ML SYRUP 0.07129$ 01/01/09

17241 PHENYTOIN 125MG/5ML ORAL SUSP 0.08876$ 05/01/08

15038 PHENYTOIN SODIUM EXTENDED 200 MG CAPSULE 1.25110$ 06/01/18



94711 PHYTONADIONE 5 MG TABLET 57.62000$ 01/01/18

32704 PILOCARPINE HCL 1% OPHTH SOLN 0.22578$ 05/01/97



24671 PILOCARPINE HCL 5MG TABLET 0.33070$ 02/01/10

20680 PINDOLOL 10 MG TABLET 0.21750$ 01/01/98

92991 PIOGLITAZONE HCL 15MG TABLET 0.28066$ 05/01/13



25444 PIOGLITAZONE HCL-METFORMIN HCL 15-500MG TABLET 4.20700$ 11/01/12

25445 PIOGLITAZONE HCL-METFORMIN HCL 15-850MG TABLET 4.20700$ 11/01/12

53281 PIPERACILLIN SODIUM-TAZOBACTAM SODIUM 3-0.375GM SOLN RECON 14.53940$ 09/01/11

35820 PIROXICAM 10 MG CAPSULE 1.09490$ 11/01/11

35821 PIROXICAM 20MG CAPSULE 1.97170$ 11/01/11

23451 PODOFILOX 0.50% SOLUTION 25.33000$ 12/01/03

86211 POLYETHYLENE GLYCOL 3350 ORAL PACKET 1.72495$ 09/01/17

86212 POLYETHYLENE GLYCOL 3350 ORAL POWDER 0.02945$ 06/01/18

14294 POLYMYXIN B-TRIMETHOPRIM 10000UNIT/ML-0.1% OPHTH SOLN 0.61600$ 10/01/17

34150 POMALIDOMIDE 4 MG CAPSULE 691.75381$ 07/01/17

03321 POTASSIUM CHLORIDE 10MEQ CAPSULE CR 0.49650$ 01/01/15

03443 POTASSIUM CHLORIDE 20MEQ/15ML LIQUID 0.00396$ 02/01/04

03442 POTASSIUM CHLORIDE 40MEQ/15ML LIQUID 0.00830$ 05/01/04

03512 POTASSIUM CHLORIDE 10MEQ TABLET CR 0.29650$ 01/01/16

03513 POTASSIUM CHLORIDE 20MEQ TABLET CR 0.27550$ 10/01/15

03510 POTASSIUM CHLORIDE 10MEQ TABLET SA 0.30450$ 05/01/15

03404 POTASSIUM CHLORIDE POWDER 20 MEQ PACKET 0.19980$ 09/15/95

03405 POTASSIUM CHLORIDE POWDER 25 MEQ PACKET 0.19240$ 09/15/95

14951 POTASSIUM CITRATE 10MEQ TABLET CR 0.40720$ 10/01/10

19873 PRAMIPEXOLE DIHYDROCHLORIDE 0.125 MG TABLET 0.12888$ 11/01/11

19874 PRAMIPEXOLE DIHYDROCHLORIDE 0.25 MG TABLET 0.12888$ 11/01/11

19875 PRAMIPEXOLE DIHYDROCHLORIDE 0.5MG TABLET 0.12888$ 11/01/11

19872 PRAMIPEXOLE DIHYDROCHLORIDE 1.5MG TABLET 0.15233$ 08/01/12

19871 PRAMIPEXOLE DIHYDROCHLORIDE 1MG TABLET 0.12888$ 11/01/11

48671 PRAVASTATIN SODIUM 10 MG TABLET 0.12783$ 03/01/10

48672 PRAVASTATIN SODIUM 20MG TABLET 0.24940$ 01/01/17



01250 PRAZOSIN HCL 1MG CAPSULE 0.39780$ 06/01/18



26963 PREDNISOLONE 5MG TABLET 0.08560$ 06/01/04

26800 PREDNISOLONE (240ML SIZE) 15MG/5ML SYRUP 0.07499$ 11/01/08

26800 PREDNISOLONE (480ML SIZE) 15MG/5ML SYRUP 0.02324$ 11/01/08

33153 PREDNISOLONE ACETATE 1% OPHTH SUSP 7.45920$ 01/01/18

33806 PREDNISOLONE SODIUM PHOSPHATE 15MG/5ML SOLUTION 0.08674$ 09/01/11

27172 PREDNISONE 10 MG TABLET 0.14060$ 04/01/18

27171 PREDNISONE 1MG TABLET 0.13650$ 12/01/04

27173 PREDNISONE 2.5MG TABLET 0.03640$ 04/01/93




95391 PRENATAL MULTIVITAMINS & MINERALS W/IRON & FA 0.1 MG TABLET 0.05990$ 01/01/98

95391 PRENATAL MULTIVITAMINS & MINERALS W/IRON & FA 0.8 MG TABLET 0.05990$ 01/01/98

11177 PRENATAL VIT W/ FE FUMARATE-FA 27-0.8 MG TABLET 0.05990$ 01/01/98

28887 PRENATAL VIT W/ FE FUMARATE-FA 29-1 MG TABLET 0.05990$ 01/01/98

97624 PRENATAL VIT W/ FE FUMARATE-FA 65-1MG TABLET 0.05990$ 06/01/96

95339 PRENATAL VIT/FE FUMARATE/FA 27-1MG TABLET 0.08579$ 01/01/05

11161 PRENATAL VIT/FE FUMARATE/FA 60-1MG TABLET 0.11750$ 06/01/05

17321 PRIMIDONE 250MG TABLET 0.20170$ 08/01/12

17322 PRIMIDONE 50MG TABLET 0.11606$ 08/01/12

35072 PROBENECID 500 MG TABLET 0.46780$ 05/17/99

14761 PROCHLORPERAZINE MALEATE 25 MG SUPPOSITORY 2.00000$ 02/01/03

14771 PROCHLORPERAZINE MALEATE 10 MG TABLET 0.06380$ 03/01/08

14773 PROCHLORPERAZINE MALEATE 5MG TABLET 0.53930$ 01/01/98

16296 PROGESTERONE POWDER 0.60000$ 10/01/03

50776 PROGESTERONE, MICRO 100 MG CAPSULE 1.42520$ 09/01/15

50786 PROGESTERONE, MICRO 200MG CAPSULE 2.34870$ 09/01/15

15002 PROMETHAZINE HCL 50 MG SUPPOSITORY 30.96417$ 07/01/18

15003 PROMETHAZINE HCL 12.5 MG SUPP 7.20910$ 07/01/18

15001 PROMETHAZINE HCL 25 MG SUPP 6.31210$ 07/01/18

15035 PROMETHAZINE HCL 6.25MG/5ML SYRUP 0.02850$ 08/01/04

15042 PROMETHAZINE HCL 12.5 MG TABLET 0.08660$ 07/01/18

15044 PROMETHAZINE HCL 50 MG TABLET 0.14490$ 07/01/18

15043 PROMETHAZINE HCL 25 MG TABLET 0.08100$ 07/01/18

13971 PROMETHAZINE W/ CODEINE 6.25-10 MG/5ML SYRUP 0.01589$ 08/01/11

12431 PROPAFENONE HCL 150MG TABLET 0.27430$ 12/01/06

12433 PROPAFENONE HCL 225MG TABLET 0.42700$ 12/01/06

32850 PROPARACAINE HCL 0.5% OPHTH SOLN 0.49900$ 01/01/98

16481 PROPOXYPHENE HCL 65MG CAPSULE 0.17290$ 11/01/06

70931 PROPOXYPHENE/ACETAMINOPHEN 100-650MG TABLET 0.06190$ 09/01/06

52030 PROPRANOLOL & HYDROCHLOROTHIAZIDE 40-25 MG TABLET 0.05100$ 01/01/98

52031 PROPRANOLOL & HYDROCHLOROTHIAZIDE 80-25 MG TABLET 0.07430$ 01/01/98

03233 PROPRANOLOL HCL 60MG CAP SR 24 HR 0.44300$ 08/01/12




20630 PROPRANOLOL HCL 10 MG TABLET 0.14460$ 07/01/18





26901 PSEUDOEPHEDRINE HCL 120MG TABLET SA 0.33000$ 03/01/04

13645 PSEUDOEPHEDRINE HCL 30MG/5ML SYRUP 0.01045$ 04/01/93

20481 PSEUDOEPHEDRINE HCL 30MG TABLET 0.02580$ 04/01/93

20482 PSEUDOEPHEDRINE HCL 60MG TABLET 0.02730$ 01/01/98

14184 PSEUDOEPHEDRINE-DM-GG W/ APAP 30-10-100-250 MG CAPSULE 0.18814$ 05/01/97

18530 PYRIDOSTIGINE 60MG TABLET 0.28900$ 01/01/11

67662 QUETIAPINE FUMARATE 100 MG TABLET 0.19120$ 03/01/15

67663 QUETIAPINE FUMARATE 200MG TABLET 0.29470$ 03/01/15

67661 QUETIAPINE FUMARATE 25 MG TABLET 0.11700$ 07/01/14




16193 QUETIAPINE FUMARATE TAB ER 150 MG TAB SR 24 HR 2.44470$ 09/01/17





01053 QUINIDINE SULFATE 200MG TABLET 0.19400$ 06/01/02

01055 QUINIDINE SULFATE 300MG TABLET 0.31980$ 06/01/02

42777 QUININE SULFATE 325MG CAPSULE 0.48760$ 10/01/06

47472 QUININE SULFATE 260MG TABLET 0.44520$ 01/01/07

94639 RABEPRAZOLE SODIUM 20MG TABLET EC 1.02860$ 01/01/14

59011 RALOXIFENE HCL 60MG TABLET 3.34000$ 10/01/15

48541 RAMIPRIL 1.25MG CAPSULE 0.21750$ 11/01/08

48544 RAMIPRIL 10 MG CAPSULE 0.12850$ 12/01/08

48542 RAMIPRIL 2.5MG CAPSULE 0.10090$ 12/01/08

48543 RAMIPRIL 5MG CAPSULE 0.11440$ 12/01/08

19551 RANITIDINE HCL 150MG CAPSULE 0.33000$ 01/01/09

19552 RANITIDINE HCL 300MG CAPSULE 0.66000$ 11/01/10

12090 RANITIDINE HCL 150MG/10ML SYRUP 0.03637$ 06/01/18

10200 RANITIDINE HCL 150 MG TABLET 0.07550$ 04/01/18

10201 RANITIDINE HCL 300MG TABLET 0.06000$ 01/01/09

14179 RIBAVIRIN 200MG CAPSULE 1.17610$ 10/01/10

26128 RIBAVIRIN 400-400MG TAB DS PK 11.42950$ 05/01/08



18969 RIBAVIRIN 200MG TABLET 0.83850$ 11/01/10

41261 RIFAMPIN 300MG CAPSULE 0.96740$ 04/01/14

16135 RISPERIDONE 1MG/ML SOLUTION 0.54630$ 08/01/13

92872 RISPERIDONE 0.25 MG TABLET 0.08282$ 01/01/15

92892 RISPERIDONE 0.5MG TABLET 0.09332$ 01/01/15

16136 RISPERIDONE 1MG TABLET 0.10670$ 01/01/14




20217 RISPERIDONE MICROSPHERES 25 MG SUSP RECON 411.88000$ 01/01/18

20219 RISPERIDONE MICROSPHERES 50 MG SUSP RECON 864.60000$ 04/01/18

24448 RISPERIDONE ODT 0.25 MG TAB DISPER 3.15790$ 02/01/14

19541 RISPERIDONE ODT 0.5MG TAB DISPER 1.19810$ 02/01/14

19178 RISPERIDONE ODT 1MG TAB DISPER 1.88140$ 02/01/14




19594 RIZATRIPTAN BENZOATE 10 MG TAB DISPER 1.70570$ 12/01/13

19593 RIZATRIPTAN BENZOATE 5MG TAB DISPER 1.53180$ 12/01/13

19592 RIZATRIPTAN BENZOATE 10 MG TABLET 1.41400$ 11/01/15

19591 RIZATRIPTAN BENZOATE 5MG TABLET 1.48870$ 11/01/15

34100 ROPINIROLE HCL 0.25 MG TABLET 0.23150$ 04/01/12

34104 ROPINIROLE HCL 0.5MG TABLET 0.23150$ 04/01/12

34101 ROPINIROLE HCL 1MG TABLET 0.23150$ 04/01/12





19153 ROSUVASTATIN CALCIUM 10 MG TABLET 0.34790$ 03/01/17




16801 SALSALATE 500MG TABLET 0.30410$ 11/01/11

15600 SELEGILINE HCL 5 MG TABLET 1.79700$ 05/01/97

24341 SELENIUM SULFIDE 2.5% SHAMPOO 0.05050$ 04/01/04

00701 SENNOSIDES 8.6 MG TABLET 0.01674$ 05/01/17

16376 SERTRALINE HCL 20MG/ML ORAL CONC 0.58960$ 04/01/12

16375 SERTRALINE HCL 100 MG TABLET 0.05770$ 01/01/17

16373 SERTRALINE HCL 25 MG TABLET 0.07500$ 05/01/15

16374 SERTRALINE HCL 50MG TABLET 0.05589$ 01/01/17

99200 SEVELAMER CARBONATE 800 MG TABLET 4.75990$ 11/01/17

16853 SEVELAMER HCL TAB 800 MG 800MG TABLET 6.77083$ 08/01/17

24758 SILDENAFIL CITRATE 20MG TABLET 0.70020$ 09/01/14

31630 SILVER SULFADIAZINE 1% CREAM 0.04917$ 04/01/08

35648 SIMEPREVIR SODIUM 150MG CAPSULE 754.47500$ 08/01/16

08281 SIMETHICONE 80MG CHEW TAB 0.04000$ 09/01/03

26532 SIMVASTATIN 10 MG TABLET 0.04068$ 09/01/12

26533 SIMVASTATIN 20MG TABLET 0.04425$ 09/01/12




62576 SKIN PROTECTANTS MISC (BAZA, EUCERIN, PROSHIELD) CREAM 0.06128$ 09/01/10

29727 SOD FERRIC GLUC CMPLX IN SUCROSE IV 12.5MG/ML SOLUTION 3.25000$ 08/01/17

02890 SOD POLYSTYRENE SULFONATE POWDER 0.29670$ 05/01/04

07852 SODIUM BICARBONATE 325MG TABLET 0.03560$ 02/01/91

07855 SODIUM BICARBONATE 650MG TABLET 0.03560$ 02/01/91

07512 SODIUM FLUORIDE 1 MG F (FROM 2.2 MG NAF) CHEW TAB 0.01854$ 06/01/02

07471 SODIUM FLUORIDE 0.125 MG/DROP F SOLUTION 0.07988$ 05/01/97

07510 SODIUM FLUORIDE 0.25 MG F (FROM 0.55 MG NAF) CHEW TAB 0.00570$ 02/01/91

07511 SODIUM FLUORIDE 0.5 MG F (FROM 1.1 MG NAF) CHEW TAB 0.00570$ 02/01/91

86903 SODIUM SULFACETAMIDE/PRED SP 10-0.25% EYE DROP 2.60000$ 04/01/04

35708 SOFOSBUVIR 400MG TABLET 975.05000$ 11/01/17

41729 SOFOSBUVIR-VELPATASVIR 400-100 MG TABLET 867.80000$ 11/01/17

43634 SOFOSBUVIR-VELPATASVIR-VOXILAPREVIR 400-100-100 MG TABLET 868.00000$ 10/01/17

10554 SOMATROPIN FOR INJ 12 MG SOLUTION 1,315.07000$ 07/01/17

63408 SOMATROPIN FOR SUBCUTANEOUS INJ 5 MG SOLUTION 538.41000$ 07/01/17

92366 SOMATROPIN INJ 10 MG/1.5ML SOLUTION 716.79667$ 04/01/17

39695 SOMATROPIN INJ 10 MG/2ML SOLUTION 544.92000$ 07/01/17

24145 SOMATROPIN INJ 5 MG/1.5ML SOLUTION 354.86333$ 07/01/17

39516 SOTALOL HCL 120MG TABLET 0.27320$ 02/01/05




27691 SPIRONOLACTONE 25 MG TABLET 0.07850$ 08/01/14

27690 SPIRONOLACTONE 100 MG TABLET 0.46020$ 11/01/15

27692 SPIRONOLACTONE 50MG TABLET 0.21710$ 11/01/15

07540 STANNOUS FLOURIDE 0.40% GEL 0.05470$ 09/01/03

26712 STAVUDINE 20MG CAPSULE 1.39280$ 03/01/10



08200 SUCRALFATE 1G TABLET 0.22960$ 08/01/15

33330 SULFACETAMIDE SODIUM 10% OPTH OINT 0.65420$ 01/01/98

90161 SULFAMETHOXAZOLE/TRIMETHOPRIM 400-80MG TABLET 0.06110$ 02/01/91

90150 SULFAMETHOXAZOLE-TRIMETHOPRIM 200-40 MG/5ML SUSPENSION 0.21050$ 03/01/18

90163 SULFAMETHOXAZOLE-TRIMETHOPRIM 800-160 MG TABLET 0.09780$ 06/01/17

41620 SULFASALAZINE 500MG TABLET EC 0.29640$ 12/01/03

41611 SULFASALAZINE 500 MG TABLET 0.11630$ 09/15/95

35800 SULINDAC 150MG TABLET 0.30000$ 03/01/04

35801 SULINDAC 200MG TABLET 0.23310$ 01/01/98

50744 SUMATRIPTAN 20MG/ACT NASAL SOLN 57.33833$ 06/01/09

50741 SUMATRIPTAN SUCCINATE 6MG/0.5ML INJ KIT (NEW) 154.13460$ 01/01/10

24708 SUMATRIPTAN SUCCINATE 6MG/0.5ML INJ KIT (REF) 142.53820$ 10/01/11

50742 SUMATRIPTAN SUCCINATE 6MG/0.5ML SOLUTION 144.60710$ 01/01/12

05701 SUMATRIPTAN SUCCINATE 100 MG TABLET 0.84120$ 12/01/14



28495 TACROLIMUS 0.5MG CAPSULE 0.64420$ 11/01/15

28491 TACROLIMUS 1MG CAPSULE 0.68430$ 10/01/16

28492 TACROLIMUS 5MG CAPSULE 5.01710$ 10/01/16

38721 TAMOXIFEN CITRATE 20MG TABLET 0.24790$ 07/01/11

38720 TAMOXIFEN CITRATE 10 MG TABLET 0.14150$ 07/01/11

48191 TAMSULOSIN HCL 0.4MG CAP SR 24 HR 0.25620$ 08/01/16

13840 TEMAZEPAM 15MG CAPSULE 0.07950$ 08/01/06

13841 TEMAZEPAM 30MG CAPSULE 0.10180$ 08/01/06

13845 TEMAZEPAM 7.5MG CAPSULE 5.36020$ 07/01/11

47127 TERAZOSIN HCL 10 MG CAPSULE 0.11490$ 02/01/06

47124 TERAZOSIN HCL 1MG CAPSULE 0.11030$ 02/01/06



60823 TERBINAFINE HCL 250MG TABLET 0.20460$ 01/01/11

48380 TERCONAZOLE 0.4% CREAM 0.23866$ 07/01/10

48381 TERCONAZOLE 0.008 CREAM 0.64950$ 07/01/10

10191 TESTOSTERONE CYPIONATE IM 100 MG/ML SOLUTION 7.71650$ 07/01/18

10194 TESTOSTERONE CYPIONATE IM 200 MG/ML SOLUTION 18.58500$ 07/01/18

15508 TETRABENAZINE 12.5 MG TABLET 61.81438$ 02/01/17

49900 TETRABENAZINE 25 MG TABLET 120.75446$ 02/01/17

40072 TETRACYCLINE HCL 250 MG CAPSULE 0.02792$ 05/01/97

40073 TETRACYCLINE HCL 500MG CAPSULE 0.04490$ 09/15/95

00410 THEOPHYLLINE ANHYDROUS 100 MG TAB SR 12 HR 0.13590$ 09/01/03

00411 THEOPHYLLINE ANHYDROUS 200MG TAB SR 12 HR 0.14620$ 09/01/03

00413 THEOPHYLLINE ANHYDROUS 300MG TAB SR 12 HR 0.16650$ 09/01/03

14880 THIORIDAZINE HCL 25 MG TABLET 0.15630$ 03/01/07

14881 THIORIDAZINE HCL 50MG TABLET 0.12500$ 03/01/07

15691 THIOTHIXENE 10 MG CAPSULE 0.23020$ 09/15/95

15690 THIOTHIXENE 1MG CAPSULE 0.08440$ 09/15/95



26491 TICLOPIDINE 250MG TABLET 0.23570$ 12/01/05

32823 TIMOLOL MALEATE 0.5% GEL SOLN 7.75500$ 05/01/10

20670 TIMOLOL MALEATE 10 MG TABLET 0.25680$ 01/01/98



32821 TIMOLOL MALEATE (10ML SIZE) 0.5% OPHTH SOLN 0.91000$ 09/01/11



24433 TIZANIDINE HCL 2MG CAPSULE 2.10690$ 05/01/14

24435 TIZANIDINE HCL 6MG CAPSULE 2.69100$ 02/01/18

14690 TIZANIDINE HCL 2MG TABLET 0.13493$ 05/01/18

14693 TIZANIDINE HCL 4MG TABLET 0.12600$ 05/01/18

92280 TOBRAMYCIN-DEXAMETHASONE 0.3-0.1% OPHTH SUSP 17.20110$ 12/01/14

35486 TOCILIZUMAB SUBCUTANEOUS 162 MG/0.9ML SOLN PREF SYR 971.10560$ 11/01/17

33617 TOFACITINIB CITRATE 5 MG TABLET 60.75067$ 09/01/17

38086 TOFACITINIB CITRATE TAB ER 11 MG TAB SR 24 HR 124.62840$ 09/01/17

05741 TOLAZAMIDE 250MG TABLET 0.30810$ 10/01/03

05742 TOLAZAMIDE 500MG TABLET 0.56580$ 10/01/03

35770 TOLMETIN SODIUM 400MG CAPSULE 0.79740$ 03/01/04

35780 TOLMETIN SODIUM 200MG TABLET 0.40000$ 03/01/04

35781 TOLMETIN SODIUM 600MG TABLET 1.10450$ 03/01/04

37061 TOLTERODINE TARTRATE 1MG TABLET 2.23990$ 11/01/15

37062 TOLTERODINE TARTRATE 2MG TABLET 1.88740$ 11/01/15

36556 TOPIRAMATE 15MG CAPSULE SPRINKLE 0.51130$ 02/01/13

36557 TOPIRAMATE 25 MG CAPSULE SPRINKLE 0.58050$ 10/01/10

36551 TOPIRAMATE 100 MG TABLET 0.11883$ 02/01/14

36552 TOPIRAMATE 200MG TABLET 0.15283$ 02/01/14

36553 TOPIRAMATE 25 MG TABLET 0.04350$ 02/01/14

36550 TOPIRAMATE 50MG TABLET 0.06733$ 02/01/14

21131 TORSEMIDE 10 MG TABLET 0.16100$ 04/01/09

21133 TORSEMIDE 100 MG TABLET 0.66330$ 04/01/09

21132 TORSEMIDE 20MG TABLET 0.19870$ 04/01/09

21130 TORSEMIDE 5MG TABLET 0.22720$ 04/01/09

07221 TRAMADOL HCL 50MG TABLET 0.03150$ 04/01/17

13909 TRAMADOL HCL/ACETAMINOPHEN 37.5-325MG TABLET 0.31660$ 07/01/09

16394 TRAZODONE HCL 300MG TABLET 3.06580$ 07/01/14

16391 TRAZODONE HCL 50MG TABLET 0.02994$ 07/01/14

16392 TRAZODONE HCL 100 MG TABLET 0.04320$ 07/01/14

48590 TRETINOIN 10 MG CAPSULE 24.32310$ 05/01/17

22880 TRETINOIN 0.05% CREAM 3.91730$ 05/01/18

22882 TRETINOIN 0.025% CREAM 2.77440$ 05/01/18

22881 TRETINOIN 0.1% CREAM 5.17970$ 05/01/18

22870 TRETINOIN 0.01% GEL 1.62380$ 11/01/04

22871 TRETINOIN 0.025% GEL 1.62380$ 11/01/04

31242 TRIAMCINOLONE ACETONIDE 0.1% OINTMENT 0.11600$ 08/01/17

31232 TRIAMCINOLONE ACETONIDE 0.1% CREAM 0.22667$ 08/01/16

01214 TRIAMCINOLONE ACETONIDE 55 MCG/ACT AEROSOL 4.28070$ 06/01/15

31231 TRIAMCINOLONE ACETONIDE 0.025% CREAM 0.05670$ 03/01/96

31261 TRIAMCINOLONE ACETONIDE 0.1% LOTION 0.35300$ 07/01/11

31241 TRIAMCINOLONE ACETONIDE 0.025% OINTMENT 0.05670$ 03/01/96

31232 TRIAMCINOLONE ACETONIDE (15GM SIZE) 0.1% CREAM 0.20267$ 08/01/17

31242 TRIAMCINOLONE ACETONIDE (15GM SIZE) 0.1% OINTMENT 0.20534$ 08/01/17







31870 TRIAMCINOLONE ACETONIDE (NDC 51672-1267-05) 0.1% PASTE 6.85800$ 10/01/08

88741 TRIAMTERENE & HYDROCHLOROTHIAZIDE 37.5-25 MG TABLET 0.22310$ 09/01/12

88740 TRIAMTERENE & HYDROCHLOROTHIAZIDE 75-50 MG/HCTZ TABLET 0.04580$ 01/01/98

88731 TRIAMTERENE/HCTZ 37.5-25MG CAPSULE 0.06940$ 09/01/05

00720 TRIENTINE HCL 250 MG CAPSULE 203.76470$ 05/01/17

17561 TRIHEXYPHENIDYL HCL 2MG TABLET 0.05990$ 11/01/12

17563 TRIHEXYPHENIDYL HCL 5MG TABLET 0.12870$ 11/01/12

15775 TRIMETHOBENZAMIDE HCL 300MG CAPSULE 0.61690$ 09/01/05

42200 TRIMETHOPRIM 100 MG TABLET 0.33000$ 11/01/02

96445 TRIPROLIDINE & PSEUDOEPHEDRINE 2.5-60 MG TABLET 0.02730$ 01/01/98

35903 UMECLIDINIUM-VILANTEROL 62.5-25 MCG/INH ARSL PWDR BA 5.87550$ 11/01/17

24774 UREA (199GM SIZE) 40% CREAM 0.31250$ 07/01/05

24774 UREA (28.35GM SIZE) 40% CREAM 0.63630$ 07/01/05

24774 UREA (85GM SIZE 40% CREAM 0.38870$ 07/01/05

01070 URSODIOL 300MG CAPSULE 0.33080$ 03/01/14

01072 URSODIOL 250MG TABLET 1.89250$ 12/01/09

17730 URSODIOL 500MG TABLET 3.35370$ 12/01/09

13742 VALACYCLOVIR HCL 1GM TABLET 0.78234$ 12/01/16

13740 VALACYCLOVIR HCL 500MG TABLET 0.41267$ 12/01/16

17280 VALPROATE SODIUM 250MG/5ML SYRUP 0.01685$ 09/01/07

17270 VALPROIC ACID 250MG CAPSULE 0.18370$ 07/01/08

13844 VALSARTAN 160MG TABLET 0.52780$ 04/01/15




09760 VALSARTAN-HYDROCHLOROTHIAZIDE 160-12.5MG TABLET 0.35860$ 07/01/14

17245 VALSARTAN-HYDROCHLOROTHIAZIDE 160-25MG TABLET 0.34320$ 07/01/14


27014 VALSARTAN-HYDROCHLOROTHIAZIDE 320-25MG TABLET 0.42330$ 07/01/14


41370 VANCOMYCIN HCL 125MG CAPSULE 15.81350$ 06/01/15

41371 VANCOMYCIN HCL 250MG CAPSULE 24.35110$ 06/01/15

16818 VENLAFAXINE HCL 150 MG CAP SR 24 HR 0.16767$ 03/01/18

16816 VENLAFAXINE HCL 37.5 MG CAP SR 24 HR 0.14911$ 03/01/18

16817 VENLAFAXINE HCL 75 MG CAP SR 24 HR 0.14789$ 03/01/18

14353 VENLAFAXINE HCL 150 MG TAB SR 24 HR 5.28780$ 03/01/18



16815 VENLAFAXINE HCL 100 MG TABLET 0.42090$ 03/01/11

16811 VENLAFAXINE HCL 25 MG TABLET 0.52450$ 09/01/12

16812 VENLAFAXINE HCL 37.5MG TABLET 0.37760$ 09/01/12

16813 VENLAFAXINE HCL 50MG TABLET 0.36320$ 03/01/11

16814 VENLAFAXINE HCL 75MG TABLET 0.34280$ 03/01/11

03003 VERAPAMIL HCL 120MG CAP SR 24 HR 0.44120$ 07/01/05



02341 VERAPAMIL HCL 120MG TABLET 0.08640$ 07/01/05



32472 VERAPAMIL HCL 120MG TABLET SA 0.41510$ 08/01/07



17498 VORICONAZOLE 200MG TABLET 19.56570$ 12/01/15

17497 VORICONAZOLE 50MG TABLET 8.60650$ 03/01/12

25797 WARFARIN SODIUM 4MG TABLET 0.10930$ 06/01/10

25790 WARFARIN SODIUM 10 MG TABLET 0.13800$ 06/01/10


25794 WARFARIN SODIUM 2.5MG TABLET 0.09740$ 06/01/10





25795 WARFARIN SODIUM 7.5MG TABLET 0.14360$ 09/01/08

18690 ZAFIRLUKAST 20MG TABLET 1.11300$ 10/01/11

92723 ZALEPLON 10 MG CAPSULE 0.36260$ 11/01/08

92713 ZALEPLON 5MG CAPSULE 0.36260$ 11/01/08

44533 ZIDOVUDINE 300 MG TABLET 0.61160$ 01/01/06

13331 ZIPRASIDONE HCL 20 MG CAPSULE 0.75794$ 12/01/16




46132 ZOLMITRIPTAN 5 MG TABLET 9.82800$ 10/01/15

00871 ZOLPIDEM TARTRATE 10 MG TABLET 0.04590$ 11/01/08

00870 ZOLPIDEM TARTRATE 5 MG TABLET 0.04590$ 11/01/08

25457 ZOLPIDEM TARTRATE 12.5 MG TABLET CR 2.73190$ 10/01/13

25456 ZOLPIDEM TARTRATE 6.25 MG TABLET CR 4.89300$ 03/01/11

92219 ZONISAMIDE 100 MG CAPSULE 0.13670$ 01/01/10

20831 ZONISAMIDE 25 MG CAPSULE 0.14610$ 01/01/10

GCN GENERIC NAME STRENGTH FORM PRICE DATE … · gcn generic name strength form price date 94668...

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Transcript of GCN GENERIC NAME STRENGTH FORM PRICE DATE … · gcn generic name strength form price date 94668...