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Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG TAB $ 33.00 ACARBOSE 50 MG $ 506.71 ACEBUTOLOL 200 MG $ 228.11 ACETAMIN-CAF-BUTAL 325-40-50 MG $ 109.88 ACETAMINOPHEN 120 MG $ 0.70 ACETAMINOPHEN 160 MG/5 ML $ 43.95 ACETAMINOPHEN 325 MG $ 1.96 ACETAMINOPHEN 500 MG $ 0.20 ACETAMINOPHEN 650 MG $ 1.16 ACETAMINOPHEN 650 MG/20.3 ML $ 1.61 ACETAMINOPHEN IV 1000MG/100ML $ 222.23 ACETAMINOPHEN-COD 120-12 MG $ 33.00 ACETAMINOPHEN-COD 300-30 MG $ 107.01 ACETAZOLAMIDE 250 MG $ 164.83 ACETAZOLAMIDE 500 MG $ 177.10 ACETAZOLAMIDE SODIUM 500 MG $ 266.68 ACETIC ACID 2 % (OTIC) $ 175.00 ACETYLCYSTEINE 20% 200 MG/ML $ 49.00 ACETYLCYSTEINE 20% NEB 200 MG $ 0.63 ACETYLCYSTEINE 20% SOLN $ 137.98 ACETYLCYSTEINE INJ 200 MG/ML $ 1,287.94 ACTIV CHARCOAL 25 GM/120 ML $ 48.50 ACTIV CHARCOAL 50 GM/240 ML $ 60.18 ACTIV CHARCOAL-SORBITOL 120 ML $ 48.00 ACTIV CHARCOAL-SORBITOL 240 ML $ 55.20 ACYCLOVIR 200 MG $ 233.41 ACYCLOVIR 200 MG/5 ML $ 315.00 ACYCLOVIR 5 % $ 1,087.05 ACYCLOVIR 5% $ 1,725.91 ACYCLOVIR SODIUM 1,000 MG $ 848.25 ACYCLOVIR SODIUM 500 MG $ 953.42 ADENOSINE (DIAGNOSTIC) $ 51.00 ADENOSINE 3 MG/ML $ 75.89 AEROCHAMBER W/MASK MEDIUM $ 82.89 ALBUMIN, HUMAN 25 % 12.5 GM $ 683.45 ALBUMIN, HUMAN 25 % 25 GM $ 1,285.43 ALBUMIN, HUMAN 5 % 12.5 GM $ 612.82 ALBUMIN, HUMAN 5 % 25 GM $ 506.02 ALBUTEROL 90 MCG/ACTUATION $ 90.34 ALBUTEROL SULF 2 MG/5 ML $ 62.00 ALBUTEROL SULF 4 MG $ 1,045.00 ALBUTEROL SULF UD 1.25 MG/3 ML $ 221.59

Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

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Page 1: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG TAB $ 33.00 ACARBOSE 50 MG $ 506.71 ACEBUTOLOL 200 MG $ 228.11 ACETAMIN-CAF-BUTAL 325-40-50 MG $ 109.88 ACETAMINOPHEN 120 MG $ 0.70 ACETAMINOPHEN 160 MG/5 ML $ 43.95 ACETAMINOPHEN 325 MG $ 1.96 ACETAMINOPHEN 500 MG $ 0.20 ACETAMINOPHEN 650 MG $ 1.16 ACETAMINOPHEN 650 MG/20.3 ML $ 1.61 ACETAMINOPHEN IV 1000MG/100ML $ 222.23 ACETAMINOPHEN-COD 120-12 MG $ 33.00 ACETAMINOPHEN-COD 300-30 MG $ 107.01 ACETAZOLAMIDE 250 MG $ 164.83 ACETAZOLAMIDE 500 MG $ 177.10 ACETAZOLAMIDE SODIUM 500 MG $ 266.68 ACETIC ACID 2 % (OTIC) $ 175.00 ACETYLCYSTEINE 20% 200 MG/ML $ 49.00 ACETYLCYSTEINE 20% NEB 200 MG $ 0.63 ACETYLCYSTEINE 20% SOLN $ 137.98 ACETYLCYSTEINE INJ 200 MG/ML $ 1,287.94 ACTIV CHARCOAL 25 GM/120 ML $ 48.50 ACTIV CHARCOAL 50 GM/240 ML $ 60.18 ACTIV CHARCOAL-SORBITOL 120 ML $ 48.00 ACTIV CHARCOAL-SORBITOL 240 ML $ 55.20 ACYCLOVIR 200 MG $ 233.41 ACYCLOVIR 200 MG/5 ML $ 315.00 ACYCLOVIR 5 % $ 1,087.05 ACYCLOVIR 5% $ 1,725.91 ACYCLOVIR SODIUM 1,000 MG $ 848.25 ACYCLOVIR SODIUM 500 MG $ 953.42 ADENOSINE (DIAGNOSTIC) $ 51.00 ADENOSINE 3 MG/ML $ 75.89 AEROCHAMBER W/MASK MEDIUM $ 82.89 ALBUMIN, HUMAN 25 % 12.5 GM $ 683.45 ALBUMIN, HUMAN 25 % 25 GM $ 1,285.43 ALBUMIN, HUMAN 5 % 12.5 GM $ 612.82 ALBUMIN, HUMAN 5 % 25 GM $ 506.02 ALBUTEROL 90 MCG/ACTUATION $ 90.34 ALBUTEROL SULF 2 MG/5 ML $ 62.00 ALBUTEROL SULF 4 MG $ 1,045.00 ALBUTEROL SULF UD 1.25 MG/3 ML $ 221.59

Page 2: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

ALBUTEROL SULF UD 2.5 MG/3 ML $ 144.30 ALBUTEROL SULFATE PROAIR HFA $ 121.50 ALBUTEROL-IPRATRO 103-18 MCG $ 517.24 ALFUZOSIN 10MG $ 159.04 ALISKIREN 150 MG $ 66.67 ALLOPURINOL 100 MG $ 174.81 ALLOPURINOL 300 MG $ 138.37 ALPHA-1 PROTEINASE INHIB 1,000 $ 7,935.38 ALPRAZOLAM 0.25 MG $ 143.03 ALPRAZOLAM 0.5 MG $ 186.55 ALPROSTADIL 500 MCG/ML $ 584.67 ALTEPLASE 100 MG $ 7,411.95 ALTEPLASE 2 MG $ 542.82 ALTEPLASE 50 MG $ 4,959.75 ALUM SULFATE-CA ACETATE $ 15.00 ALUMINUM HYDROX-MAG CARB $ 12.00 ALUM-MAG HYDROXIDE-SIMETH UD $ 1.49 ALVIMOPAN 12 MG $ 1,172.63 AMANTADINE 100 MG $ 187.40 AMANTADINE 50 MG/5 ML $ 153.33 AMIKACIN 250 MG/ML $ 604.09 AMILORIDE 5 MG $ 80.93 AMINO ACID 4.25% IN D5W 1000ML $ 306.61 AMINO ACID INFUS IN D5W 4.25% $ 467.07 AMINOCAPROIC ACID 250 MG/ML $ 303.85 AMINOCAPROIC ACID 500 MG $ 142.00 AMINOPHYLLINE 250 MG/10 ML $ 79.40 AMINOPHYLLINE 500 MG/20 ML $ 110.07 AMIODARONE 100 MG $ 227.01 AMIODARONE 200 MG $ 233.83 AMIODARONE 360MG/200ML D5W $ 385.98 AMIODARONE 50 MG/ML $ 116.15 AMITRIPTYLINE 10 MG $ 168.88 AMITRIPTYLINE 25 MG $ 119.63 AMITRIPTYLINE 50 MG $ 110.22 AMLODIPINE BESYLATE 10 MG $ 133.70 AMLODIPINE BESYLATE 2.5 MG $ 112.45 AMLODIPINE BESYLATE 5 MG $ 121.83 AMLODIPINE-BENAZEPRIL 2.5-10 MG $ 66.78 AMLODIPINE-BENAZEPRIL 5-10 MG $ 90.76 AMLODIPINE-BENAZEPRIL 5-20 MG $ 105.78 AMMONIUM LACTATE 12 % $ 105.11 AMMONIUM LACTATE 12% $ 151.26 AMMONIUM LACTATE 5 % $ 270.00

Page 3: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

AMOXICILLIN 250 MG $ 121.00 AMOXICILLIN 250 MG/5 ML $ 62.35 AMOXICILLIN 400 MG/5 ML $ 88.69 AMOXICILLIN 500 MG $ 70.58 AMOXICILLIN 875 MG $ 113.69 AMOXICILLIN-POT CLAV 400MG/5ML $ 190.05 AMOXICILLIN-POT CLAV 500 MG $ 169.97 AMOXICILLIN-POT CLAV 875 MG $ 147.47 AMOXICILLIN-POT CLAVUL 250MG/5ML $ 354.00 AMOXICILLIN-POT CLAVUL 600MG/5ML $ 176.00 AMPHETAMINE-DEXTROAMP 20 MG $ 90.14 AMPHETAMINE-DEXTROAMP 5 MG $ 175.86 AMPHETAMINE-DEXTROAMP XR 5 $ 265.00 AMPICILLIN 1 GM $ 1,402.40 AMPICILLIN 2 GM $ 984.72 AMPICILLIN 250 MG/5 ML $ 74.00 AMPICILLIN 500 MG $ 311.61 AMPICILLIN SYRINGE (PEDS) $ 444.84 AMPICILLIN-SULBACT 1.5 GM $ 976.00 AMPICILLIN-SULBACT 3 GM $ 291.97 AMPICILLIN-SULBACT 3 GM/100 ML $ 579.87 ANAGRELIDE 0.5 MG $ 191.00 ANASTROZOLE 1 MG $ 170.73 ANTICOAG CITRATE DEXTROSE FORM A $ 236.58 ANTIHEMOPH.FVIII 2,000 (+/-) UNIT $ 44,278.00 ANTIHEMOPHYLIC FACTOR-VWF $ 1,097.50 ANTIVENIN CROTAL IMMUNE FAB $ 14,017.00 APIXABAN 2.5 MG TABLET $ 281.88 APIXABAN 5 MG TABLET $ 225.06 AQUAPHOR $ 6.62 AQUAPHOR JAR $ 5.00 ARGATROBAN 100 MG/ML $ 4,693.67 ARGATROBAN IN NS 50MG/50ML $ 2,157.52 ARIPIPRAZOLE 15 MG $ 143.96 ARIPIPRAZOLE 2 MG $ 303.20 ARIPIPRAZOLE 30 MG $ 188.37 ARIPIPRAZOLE 5 MG $ 439.87 ARTIFICIAL SALIVA $ 7.67 ARTIFICIAL TEAR (POLYVINYL 1.4%) $ 6.93 ARTIFICIAL TEARS $ 4.80 ASCORBIC ACID 500 MG $ 188.09 ASCORBIC ACID IV 500 MG/ML $ 874.09 ASCORBIC ACID SYR 500 MG/5 ML $ 3.36 ASPIRIN 300 MG $ 3.37

Page 4: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

ASPIRIN 325 MG $ 100.03 ASPIRIN 81 MG $ 122.29 ASPIRIN-ACETAMINOPHEN-CAFF $ 83.44 ATAZANAVIR 150 MG $ 687.00 ATAZANAVIR 200MG CAP $ 116.50 ATENOLOL 25 MG $ 118.43 ATENOLOL 50 MG $ 141.93 ATENOLOL-CHLORTHALID 100-25MG $ 67.00 ATENOLOL-CHLORTHALID 50-25 MG $ 86.00 ATORVASTATIN 10 MG $ 134.30 ATORVASTATIN 20 MG $ 120.46 ATORVASTATIN 40 MG $ 126.72 ATORVASTATIN 80 MG $ 161.55 ATOVAQUONE 750 MG/5 ML $ 540.75 ATOVAQUONE PROGUANIL 250-100 MG $ 184.00 ATROPINE 1 MG/ML $ 51.00 ATROPINE INJ 0.05 MG/ML $ 100.44 ATROPINE INJ 0.1 MG/ML $ 63.02 ATROPINE INJ 0.4 MG/ML $ 49.59 ATROPINE SULFATE 1 % $ 129.30 AVIBACTAM-CEFTAZIDIME 2.5 G POW $ 4,163.00 AZATHIOPRINE 50 MG $ 203.45 AZELASTINE HCL 0.05 % $ 189.25 AZELASTINE HCL 137 MCG/SPRAY $ 207.97 AZITHROMYCIN 1 GM $ 34.94 AZITHROMYCIN 200 MG/5 ML $ 102.12 AZITHROMYCIN 250 MG $ 91.41 AZITHROMYCIN 600 MG $ 647.00 AZITHROMYCIN INJ 500 MG $ 283.45 AZTREONAM 1 GM $ 898.09 AZTREONAM 2 GM $ 1,218.28 B COMPLEX W/ VITAMIN C $ 133.20 B COMPLEX-C-FA (RENAPRO) 1 CAP $ 213.36 BACITRACIN (OPTH) 500 UNIT/G $ 79.33 BACITRACIN 50,000 UNIT $ 60.93 BACITRACIN 500 UNIT/G $ 60.34 BACITRACIN ZINC $ 16.60 BACITRACIN ZINC 500 UNIT/G $ 137.28 BACITRACIN-POLYMYX B $ 54.90 BACITRACIN-POLYMYX-NEOS HC 1% $ 682.00 BACLOFEN 10 MG $ 273.00 BACLOFEN 20 MG $ 1,121.67 BALANCED SALT IRRIG SOLN 15ML $ 55.67 BALSALAZIDE DISODIUM 750 MG $ 347.29

Page 5: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

BECLOMETHASONE DIPROP 40MCG $ 404.00 BELLADONNA-OPIUM 16.2-30 MG $ 187.31 BENAZEPRIL 10 MG $ 153.20 BENAZEPRIL 20 MG $ 109.27 BENAZEPRIL 5 MG $ 97.67 BENAZEPRIL-HCTZ 10-12.5 MG $ 101.50 BENAZEPRIL-HCTZ 20-12.5 MG $ 32.00 BENZOCAINE 10 % $ 1.00 BENZOCAINE 20 % 200 MG/ML $ 103.60 BENZOCAINE-MENTHOL 20-0.5 % $ 56.90 BENZOIN COMPOUND $ 53.83 BENZONATATE 100 MG $ 230.47 BENZONATE 200MG CAP $ 297.96 BENZTROPINE MESYLATE 0.5 MG $ 276.82 BENZTROPINE MESYLATE 1 MG $ 0.63 BENZTROPINE MESYLATE 1 MG/ML $ 96.33 BETAMETHASONE ACET 6 MG/ML $ 143.01 BETAMETHASONE DIP 0.05% 45 GM $ 163.10 BETAMETHASONE DIP 0.05% 45GM $ 180.61 BETAMETHASONE VAL 0.001 $ 205.00 BETAMETHASONE VAL 0.1 % 15 GM $ 104.67 BETAXOLOL HCL 0.25 % $ 3,594.00 BETHANECHOL CHLORIDE 10 MG $ 339.57 BETHANECHOL CHLORIDE 25 MG $ 499.00 BETHANECHOL CHLORIDE 50 MG $ 520.50 BICALUTAMIDE 50 MG $ 215.48 BIMATOPROST 0.01% OPTH $ 266.40 BISACODYL 10 MG $ 0.29 BISACODYL 5 MG $ 51.00 BISMUTH SUBSALICY 262 MG/15 ML $ 3.09 BISOPROLOL FUMARATE 5 MG $ 134.15 BISOPROLOL-HCTZ 10-6.25 MG $ 83.36 BISOPROLOL-HCTZ 2.5-6.25 MG $ 139.50 BISOPROLOL-HCTZ 5-6.25 MG $ 109.40 BIVALIRUDIN 250 MG $ 1,256.90 BORTEZOMIB 3.5 MG $ 1,161.50 BRIMONIDE 0.2% OPTH SOLN $ 90.09 BRIMONIDINE 0.1% OPTHALMIC SOLN $ 221.18 BRIMONIDINE TARTRATE 0.15 % $ 243.83 BRIMONIDINE-TIMOLOL 0.2-0.5 % $ 245.30 BRINZOLAMIDE 1 % $ 327.18 BUDESONIDE 180 MCG/INHAL $ 475.22 BUDESONIDE 3 MG $ 311.75 BUMETANIDE 0.5 MG $ 111.67

Page 6: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

BUMETANIDE 1 MG $ 149.38 BUMETANIDE 2 MG $ 219.31 BUMETANIDE IV 0.25 MG/ML $ 303.37 BUPIVACAINE 0.25 % 2.5 MG/ML $ 65.92 BUPIVACAINE 0.5 % (5 MG/ML) $ 48.95 BUPIVACAINE 0.5 % 5 MG/ML $ 53.40 BUPIVACAINE 0.75 % 7.5 MG/ML $ 54.09 BUPIVACAINE-DEX-H2O-PF 0.75 % $ 47.33 BUPIVACAINE-EPI 0.25 %-1-200000 $ 59.50 BUPIVACAINE-EPI 0.25% 1-200000 $ 55.64 BUPIVACAINE-EPI 0.5 %-1-200000 $ 58.17 BUPIVACAINE-EPI-PF 0.25% $ 56.34 BUPIVICAINE LIPOSPME PF $ 421.77 BUPIVICANINE EPI 0.5% 1/200000 $ 63.93 BUPRENORPHINE $ 335.86 BUPRENORPHINE-NALOX 2-0.5 MG $ 136.43 BUPROPION 100 MG $ 243.23 BUPROPION 150 MG $ 180.59 BUPROPION 300 MG $ 131.15 BUPROPION 75 MG $ 272.38 BUSPIRONE 10 MG $ 279.94 BUSPIRONE 15 MG $ 229.33 BUSPIRONE 5 MG $ 257.31 BUTAMBEN-TETRACAINE-BENZOC $ 126.50 BUTENAFINE HCL $ 160.00 BUTORPHANOL TARTRATE 1 MG/ML $ 84.41 CADEXOMER IODINE 0.9 % $ 347.24 CAFFEINE CITRAT (ORAL) 20 MG/ML $ 51.00 CAFFEINE CITRAT INJ 20 MG/ML $ 300.00 CAFFEINE-SOD BENZ INJ 250 MG/ML $ 29.80 CALAMINE LOTION $ 130.86 CALCIPOTRIENE $ 942.67 CALCITONIN (SALMON) 200 UN/ACT $ 254.47 CALCITONIN (SALMON) INJ 200 UNIT $ 6,905.31 CALCITRATE TAB $ 0.41 CALCITRIOL $ 1,126.00 CALCITRIOL 0.25 MCG $ 149.88 CALCITRIOL 1 MCG/ML $ 28.00 CALCIUM ACETATE 667 MG $ 347.67 CALCIUM CARBONATE 500 MG $ 200.59 CALCIUM CARBONATE 500 MG/5 ML $ 3.81 CALCIUM CARBONATE 600 MG $ 63.00 CALCIUM CHLORIDE 100 MG/ML $ 77.92 CALCIUM CITRATE + D $ 95.00

Page 7: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

CALCIUM CITRATE+D $ 165.29 CALCIUM GLUCONATE 0.465 MEQ/ML $ 141.31 CALCIUM POLYCARBOPHIL 625 MG $ 0.50 CALCIUM-VIT D 500 MG-200 UNITS $ 180.36 CAMPHOR-MENTHOL 0.5-0.5% $ 62.13 CANDIDA ALBICANS SKIN TEST $ 64.00 CAPECITABINE 500 MG $ 231.00 CAPSAICIN 0.025% $ 86.08 CAPTOPRIL 12.5 MG $ 474.29 CAPTOPRIL 25 MG $ 350.42 CAPTOPRIL 50 MG $ 606.00 CARBAMAZEPINE 100 MG $ 316.22 CARBAMAZEPINE 200 MG $ 233.58 CARBAMAZEPINE 200 MG/10 ML $ 36.00 CARBAMAZEPINE 300 MG $ 135.00 CARBAMIDE PEROXIDE 6.5 % $ 106.88 CARBIDOPA 25 MG $ 364.00 CARBIDOPA-LEVODOPA 10-100 MG $ 332.21 CARBIDOPA-LEVODOPA 25-100 MG $ 424.85 CARBIDOPA-LEVODOPA 25-250 MG $ 509.36 CARBIDOPA-LEVODOPA 50-200 MG $ 200.16 CARBOPLATIN 450 MG $ 40.57 CARBOPROST TROMET 250 MCG/ML $ 255.75 CARDIOPLEGIC SOLUTION $ 123.21 CARISOPRODOL 350 MG $ 227.02 CARVEDILOL 12.5 MG $ 233.17 CARVEDILOL 25 MG $ 232.81 CARVEDILOL 3.125 MG $ 208.74 CARVEDILOL 6.25 MG $ 75.57 CEFACLOR 250 MG $ 107.00 CEFAZOLIN (PEDS) IN NS 100 MG/ML $ 56.00 CEFAZOLIN 1 G INJ $ 49.87 CEFAZOLIN 1 GM $ 54.72 CEFAZOLIN 2 GM IN NS 100 ML $ 368.10 CEFAZOLIN 3GM IN NS 100ML $ 217.92 CEFAZOLIN 500 MG $ 278.00 CEFAZOLIN IN DEXT 1 GM/50 ML $ 146.80 CEFDINIR 300 MG CAPSULE $ 131.87 CEFDINIR ORAL SUSP 250MG/5ML $ 218.33 CEFEPIME 1 GM $ 336.96 CEFEPIME 2 GM $ 436.63 CEFIXIME 100 MG/5 ML $ 639.33 CEFOXITIN SODIUM 1 GM $ 133.70 CEFOXITIN SODIUM 2 GM $ 249.69

Page 8: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

CEFTAROLINE FOSAMIL 400MG $ 2,547.50 CEFTAZIDIME 1 GM $ 553.55 CEFTAZIDIME 2 GM $ 1,503.15 CEFTAZIDIME 500 MG $ 613.40 CEFTAZIDIME PED SYRINGE SOL $ 558.20 CEFTOLOZONE-TAZOBACTAM 1G-0.5G IN $ 2,565.00 CEFTRIAXONE 1 GM $ 342.48 CEFTRIAXONE INJ 1 GM $ 284.16 CEFTRIAXONE INJ 2 GM $ 549.45 CEFTRIAXONE INJ 250 MG $ 87.22 CEFTRIAXONE INJ 500 MG $ 48.73 CEFUROXIME AXETIL 250 MG $ 156.41 CEFUROXIME AXETIL 500 MG $ 139.96 CELECOXIB 100 MG $ 129.07 CELECOXIB 200 MG $ 128.71 CEPHALEXIN 250 MG $ 114.99 CEPHALEXIN 250 MG/5 ML $ 82.85 CEPHALEXIN 500 MG $ 129.08 CETAPHIL LOTION $ 16.00 CETIRIZINE 1 MG/ML $ 33.00 CETIRIZINE 10 MG $ 127.07 CETIRIZINE 5 MG $ 165.28 CETIRIZINE-PSEUDOEPH 5-120 MG $ 151.45 CHLORASEPTIC SPRAY $ 3.10 CHLORDIAZEPOXIDE HCL 10 MG $ 212.81 CHLORDIAZEPOXIDE HCL 25 MG $ 202.23 CHLORDIAZEPOXIDE HCL 5 MG $ 205.68 CHLORDIAZEPOXIDE-CLID 5-2.5 MG $ 302.45 CHLORHEXIDINE GLUC 0.12 % $ 201.24 CHLOROPROCAINE 600MG/20ML $ 48.00 CHLORPHENIRAM-HYDROC 8-10 MG $ 127.63 CHLORPROMAZINE 10 MG $ 330.00 CHLORPROMAZINE 25 MG $ 135.57 CHLORPROMAZINE INJ 25 MG/ML $ 235.23 CHLORTHALIDONE 25 MG $ 108.65 CHLORZOXAZONE 500 MG $ 235.50 CHOLECALCIFEROL 1,000 UNIT $ 0.52 CHOLECALCIFEROL 400 UNIT $ 0.43 CHOLECALIFEROL 5,000 UNITS CAP $ 226.01 CHOLESTYRAMINE-ASPART 4 GM $ 203.80 CICLOPIROX 0.77 % $ 617.78 CICLOPIROX 0.77% $ 287.00 CILOSTAZOL 100 MG $ 195.14 CILOSTAZOL 50 MG $ 296.15

Page 9: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

CINACALCET 30 MG $ 357.36 CIPROFLOXACIN 0.3 % $ 337.27 CIPROFLOXACIN 200 MG IN 100 ML $ 511.69 CIPROFLOXACIN 250 MG $ 131.88 CIPROFLOXACIN 400 MG IN 200 ML $ 127.51 CIPROFLOXACIN 500 MG $ 96.87 CIPROFLOXACIN 750 MG $ 39.33 CIPROFLOXACIN-DEXAM 0.3-0.1% $ 391.71 CIPROFLOXACIN-HC 0.2-1 % $ 542.00 CISATRACURIUM 10 MG/ML $ 651.58 CISATRACURIUM BESYL 2 MG/ML $ 474.50 CISPLATIN 1 MG/ML $ 225.50 CITALOPRAM 10 MG $ 147.24 CITALOPRAM 10 MG/5 ML $ 236.00 CITALOPRAM 20 MG $ 161.31 CLARITHROMYCIN 125 MG/5 ML $ 152.00 CLARITHROMYCIN 250 MG $ 113.00 CLARITHROMYCIN 250 MG/5 ML $ 117.00 CLARITHROMYCIN 500 MG $ 186.10 CLINDAMYCIN 150MG/ML 4ML VIAL $ 105.90 CLINDAMYCIN 300 MG IN D5W $ 574.80 CLINDAMYCIN 300MG IN NS 50 ML $ 398.36 CLINDAMYCIN 300MG/2ML VIAL $ 112.72 CLINDAMYCIN 600MG IN NS 50ML $ 446.35 CLINDAMYCIN 900 MG IN D5W $ 344.75 CLINDAMYCIN 900MG IN NS 50ML $ 266.65 CLINDAMYCIN HCL 150 MG $ 104.17 CLINDAMYCIN HCL 300 MG $ 146.18 CLINDAMYCIN PALM (ORAL) 75 MG $ 273.20 CLINDAMYCIN SYRINGE (PEDIATRIC) $ 642.50 CLINIMIX E 4.25/10 $ 367.33 CLOBETASOL PROPIONATE 0.05 % $ 260.94 CLOMIPRAMINE 25 MG $ 233.00 CLONAZEPAM 0.5 MG $ 217.55 CLONAZEPAM 1 MG $ 203.23 CLONIDINE 0.1 MG $ 128.83 CLONIDINE 0.2 MG $ 186.15 CLONIDINE 0.3 MG $ 224.57 CLONIDINE HCL 0.1 MG/24 HR $ 95.26 CLONIDINE HCL 0.2 MG/24 HR $ 116.06 CLONIDINE HCL 0.3 MG/24 HR $ 150.32 CLOPIDOGREL 300 MG $ 91.80 CLOPIDOGREL 75 MG $ 130.44 CLORAZEPATE DIPOTAS 3.75 MG $ 275.20

Page 10: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

CLOSTRIDIUM BOTUL TOXIN 100 UN $ 789.29 CLOTRIMAZOLE 1 % $ 15.23 CLOTRIMAZOLE 10 MG $ 611.84 CLOTRIMAZOLE-BETAM 1-.05% $ 140.63 CLOZAPINE 100 MG $ 117.33 CLOZAPINE 25 MG $ 145.00 COAGULATION FACT VIIA 1000 MCG $ 49.67 COAGULATION FACT VIIA 2000 MCG $ 61.50 COAGULATION FACT VIIA 5000 MCG $ 49.00 CODEINE SULFATE 30 MG $ 326.13 CODEINE-GUAIF10-100MG/5ML $ 213.94 COLCHICINE 0.6 MG $ 164.93 COLESEVELAM 625 MG $ 328.19 COLESTIPOL 1 GM $ 221.59 COLISTIMETHATE SODIUM 150 MG $ 486.00 COLLAGENASE 250 UN/GM $ 457.23 CONJUGAT ESTROG 0.3 MG $ 103.21 CONJUGAT ESTROG 0.45 MG $ 202.50 CONJUGAT ESTROG 0.625 MG $ 166.50 CONJUGAT ESTROG 0.625 MG GM $ 405.00 CONJUGAT ESTROG 0.9 MG $ 128.50 CONJUGAT ESTROG INJ 25 MG $ 467.75 COSYNTROPIN 0.25 MG $ 185.45 CYANOCOBALAMIN 1,000 MCG/ML $ 195.14 CYANOCOBALAMIN 1000MCG TABLET $ 154.79 CYANOCOBALAMIN 500 MCG $ 135.39 CYCLOBENZAPRINE 10 MG $ 128.26 CYCLOBENZAPRINE 5 MG $ 142.99 CYCLOPENTOLATE HCL 1 % $ 91.00 CYCLOPHOSPHAMIDE 1 GM $ 736.00 CYCLOPHOSPHAMIDE 2 GRAM $ 1,402.00 CYCLOPHOSPHAMIDE 25 MG $ 474.00 CYCLOPHOSPHAMIDE 50 MG $ 47.00 CYCLOPHOSPHAMIDE 500 MG $ 1,777.67 CYCLOSPORINE 25 MG $ 180.33 CYCLOSPORINE MODIFIED 100 MG $ 297.00 CYCLOSPORINE MODIFIED 25 MG $ 279.11 CYCLOSPORINE ORAL 100 MG/ML $ 1,910.00 CYPROHEPTADINE 4 MG $ 178.11 CYTARABINE 1 GM $ 1,217.00 CYTARABINE 100 MG $ 931.67 CYTARABINE 500 MG $ 913.67 D5-1/2 NS AND KCL 10 MEQ/L $ 178.65 D5-1/2 NS AND KCL 20 MEQ/L $ 172.58

Page 11: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

D5-1/2 NS AND KCL 30 MEQ/L $ 169.11 D5-1/2 NS AND KCL 40 MEQ/L $ 231.33 D5-LR WITH KCL 20 MEQ/L $ 170.50 D5-NS WITH KCL 20 MEQ/L $ 217.43 D5-NS WITH KCL 40 MEQ/L $ 155.83 D5W WITH KCL 20 MEQ/L $ 297.71 DABIGATRAN 75MG CAPSULE $ 200.84 DABIGATRAN ETEXILATE 150MG $ 230.08 DACARBAZINE 200 MG $ 241.00 DANAZOL 100 MG $ 42.00 DAPSONE 25 MG $ 126.20 DAPTOMYCIN 350MG VIAL $ 2,155.75 DAPTOMYCIN 500 MG $ 3,104.98 DARUNAVIR 800MG TABLET $ 877.43 DARUNAVR/COBICSTAT 800MG-500MG TA $ 259.33 DEFEROXAMINE 500 MG $ 214.67 DEFEROXAMINE MESYLATE 2 GM $ 104.29 DEMECLOCYCLINE 150 MG $ 194.00 DEMECLOCYCLINE 300MG TABLET $ 105.50 DENOSMAB SF 700MG/ML 120MG/1.7ML $ 2,087.50 DENOSUMAB 60MG TO ML $ 1,332.50 DESIPRAMINE 10 MG $ 35.00 DESIPRAMINE 25 MG $ 128.50 DESMOPRESSIN ACET 0.1 MG $ 464.25 DESMOPRESSIN ACET 4 MCG/ML $ 218.41 DESONIDE 0.05 % $ 176.77 DEXAMETHASONE $ 113.95 DEXAMETHASONE 0.1 % $ 636.00 DEXAMETHASONE 0.5 MG $ 77.40 DEXAMETHASONE 1 MG $ 184.27 DEXAMETHASONE 2 MG $ 39.45 DEXAMETHASONE 4 MG $ 135.66 DEXAMETHASONE INJ 10 MG/ML $ 87.10 DEXAMETHASONE INJ 4 MG/ML $ 80.13 DEXAMETHASONE NA PHOS 0.1 % $ 115.00 DEXMEDETIMIDINE PREMIX 200MG/50ML $ 312.00 DEXMEDETOMIDINE 100 MCG/ML $ 768.52 DEXTROMETHORPHAN COMP 30MG $ 49.71 DEXTROMETHORPHAN-GUAIF 30-600 $ 255.07 DEXTROSE (DIAB USE) 40% 31 GM $ 5.21 DEXTROSE 10% $ 170.94 DEXTROSE 10% 0.2% SOD CHLOR 250ML $ 79.25 DEXTROSE 10% IN WATER (D10W) $ 73.00 DEXTROSE 2.5%-1/2 NORML SALINE $ 76.00

Page 12: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

DEXTROSE 25% IN WATER $ 61.00 DEXTROSE 5% IN NORMAL SALINE $ 175.11 DEXTROSE 5% IN WATER $ 5.88 DEXTROSE 5%-1/2 NORMAL SALINE $ 107.08 DEXTROSE 5%-1/4 NORMAL SALINE $ 88.42 DEXTROSE 5%-LR 5 % $ 98.41 DEXTROSE 50% IN WATER 25 GM $ 90.57 DIATRIZOATE MEGLUMINE 66%-10% $ 107.60 DIAZEPAM 10 MG $ 99.19 DIAZEPAM 2 MG $ 161.81 DIAZEPAM 5 MG $ 89.02 DIAZEPAM SYR 5 MG/ML $ 28.25 DIAZOXIDE-DIABETIC USE 50 MG/ML $ 287.00 DICLOFENAC GEL 1% $ 164.17 DICLOFENAC SOD GEL 1% 100GM $ 173.65 DICLOFENAC SODIUM 0.1 % $ 92.00 DICLOFENAC SODIUM 100 MG $ 225.75 DICLOFENAC SODIUM 25 MG $ 167.86 DICLOFENAC-MISOPROST 75-0.2 MG $ 78.50 DICLOXACILLIN SODIUM 250 MG $ 439.00 DICLOXACILLIN SODIUM 500 MG $ 33.00 DICYCLOMINE $ 181.90 DICYCLOMINE 10 MG $ 150.50 DICYCLOMINE 10 MG/ML $ 92.98 DIDANOSINE 125 MG $ 287.00 DIFLORASONE 0.05% $ 274.00 DIGOXIN 0.125 MG $ 145.70 DIGOXIN 0.25 MG $ 142.20 DIGOXIN IMMUNE FAB 40 MG $ 7,562.50 DIGOXIN INJ 0.25 MG/ML $ 106.83 DIGOXIN ORAL (PEDS) 0.05 MG/ML $ 109.50 DILTIAZEM 100 MG IN D5W (PMX) $ 263.72 DILTIAZEM HCL $ 130.00 DILTIAZEM HCL 120 MG $ 127.78 DILTIAZEM HCL 180 MG $ 147.30 DILTIAZEM HCL 240 MG $ 142.57 DILTIAZEM HCL 30 MG $ 279.62 DILTIAZEM HCL 300 MG $ 143.78 DILTIAZEM HCL 60 MG $ 306.59 DILTIAZEM HCL 90 MG $ 224.11 DILTIAZEM HCL INJ 5 MG/ML $ 89.13 DILTIAZEM VIAL(ADD-VANTAGE)100MG $ 50.00 DIPH,PERTUS,TET PED LF/0.5ML $ 152.75 DIPHENHYDRAMINE 2 % $ 69.07

Page 13: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

DIPHENHYDRAMINE 25 MG $ 0.99 DIPHENHYDRAMINE 25 MG/10 ML $ 0.12 DIPHENHYDRAMINE 50 MG $ 57.87 DIPHENHYDRAMINE INJ 50 MG/ML $ 90.37 DIPHENHYDRAMINE-ACETAM 25-500 $ 75.02 DIPHENOXYLATE-ATR 2.5 MG $ 182.15 DIPHENOXYLATE-ATR 2.5/5ML $ 32.00 DIPHTHERIA-TET TOX PED 6.7-5LF U $ 47.50 DIPYRIDAMOLE 25 MG $ 286.50 DIPYRIDAMOLE-ASPIRIN 200-25 MG $ 263.59 DIVALPROEX SODIUM (ER) 250 MG $ 174.43 DIVALPROEX SODIUM (ER) 500 MG $ 181.89 DIVALPROEX SODIUM 125 MG $ 208.45 DIVALPROEX SODIUM 250 MG $ 211.76 DIVALPROEX SODIUM 500 MG $ 198.69 DOBUTAMINE 12.5 MG/ML $ 281.66 DOBUTAMINE IN D5W 2000 MCG/ML $ 314.82 DOBUTAMINE IN D5W 250MG/250ML $ 158.00 DOCOSANOL 10% $ 48.50 DOCUSATE CALCIUM 240 MG $ 0.44 DOCUSATE SODIUM 100 MG $ 0.72 DOCUSATE SODIUM 100 MG/10 ML $ 4.65 DOFETILIDE 125 MCG $ 215.66 DOFETILIDE 250 MCG $ 304.02 DOLUTEGRAVIR 50MG TAB $ 415.63 DONEPEZIL 10 MG $ 174.05 DONEPEZIL 5 MG $ 141.15 DOPAMINE IN D5W 3200 MCG/ML $ 163.58 DOPAMINE IN D5W 800 MCG/ML $ 110.50 DORNASE ALFA INHAL SOL $ 1,253.22 DORZOLAMIDE 2% $ 171.32 DORZOLAMIDE-TIMOLOL 2-0.5% $ 159.96 DOXAPRAM 20 MG/ML $ 98.00 DOXAZOSIN MESYLATE 1 MG $ 182.90 DOXAZOSIN MESYLATE 2 MG $ 152.23 DOXAZOSIN MESYLATE 4 MG $ 179.58 DOXEPIN 10 MG $ 88.10 DOXEPIN 25 MG $ 154.20 DOXERCALCIFEROL 0.5 MCG $ 265.50 DOXERCALCIFEROL 4MCG/2ML $ 210.00 DOXORUBICIN $ 251.00 DOXORUBICIN 2 MG/ML $ 208.50 DOXYCYCLINE HYCLATE 100 MG $ 162.14 DOXYCYCLINE HYCLATE 50 MG $ 156.80

Page 14: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

DOXYCYCLINE HYCLATE INJ 100 MG $ 385.92 DOXYCYCLINE MONOHY 50 MG/5 ML $ 1,213.00 DRONABINOL 2.5 MG $ 340.25 DRONEDARONE HCL 400 MG $ 243.13 DULOXETINE 20 MG $ 205.30 DULOXETINE 30 MG $ 221.83 DULOXETINE 60 MG $ 197.32 DUTASTERIDE 0.5 MG $ 37.00 ECONAZOLE NITRATE 1 % $ 234.00 EDOXABAN 15 MG $ 109.67 EDOXABAN 60MG $ 63.38 EFAVIRENZ 200 MG $ 120.00 EFAVIRENZ-EMTRIC-TENO 6C-2C-3C $ 491.33 ELECTROLYTE-A $ 144.29 ELVTGRVR/CBCSTT/EMTRCTBNE/TNFV $ 411.00 EMTRICITABINE 200 MG $ 79.80 EMTRICITABINE-TENOF 200-300 MG $ 405.94 EMTRICTBIN-TENF-ALAFN 200-25 TAB $ 2,973.00 ENALAPRIL MALEATE 10 MG $ 120.47 ENALAPRIL MALEATE 2.5 MG $ 121.56 ENALAPRIL MALEATE 20 MG $ 147.58 ENALAPRIL MALEATE 5 MG $ 132.31 ENALAPRILAT INJ 1.25 MG/ML $ 114.20 ENALAPRIL-HCTZ 5-12.5 MG $ 105.46 ENOXAPARIN SODIUM 100 MG $ 399.30 ENOXAPARIN SODIUM 120 MG $ 405.40 ENOXAPARIN SODIUM 150 MG $ 348.73 ENOXAPARIN SODIUM 30 MG $ 243.85 ENOXAPARIN SODIUM 40 MG $ 301.34 ENOXAPARIN SODIUM 60 MG $ 330.54 ENOXAPARIN SODIUM 80 MG $ 353.55 ENTACAPONE 200 MG $ 617.57 EPHEDRINE SULFATE 0.9%NACL PF $ 61.57 EPHEDRINE SULFATE 50 MG/ML $ 107.87 EPHINEPHRINE IN NS 5MG/250MG $ 79.00 EPINEPHRINE 1 MG/ML $ 61.11 EPINEPHRINE HCL 0.1 MG/ML $ 165.01 EPLERENONE 25 MG $ 165.50 EPOETIN ALFA 10,000 UNIT/ML $ 503.54 EPOETIN ALFA 2,000 UNIT/ML $ 295.14 EPOETIN ALFA 20,000 UNIT/ML $ 1,048.32 EPOETIN ALFA 3,000 UNIT/ML $ 228.55 EPOETIN ALFA 4,000 UNIT/ML $ 341.43 EPOETIN ALFA 40,000 UNIT/ML $ 1,306.08

Page 15: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

EPOETIN ALFA-EPBX 10000U/ML PFSOL $ 398.83 EPOETIN ALFA-EPBX 2000 UNITS/ML $ 293.00 EPOETIN ALFA-EPBX 3000U/ML PF SOL $ 97.67 EPOETIN ALFA-EPBX 40000U/ML PFSOL $ 626.90 EPOETIN ALFA-EPBX 4000U/ML PF SOL $ 199.55 EPTIFIBATIDE 0.75 MG/ML $ 1,160.50 ERGOCALCIFEROL 50,000 UNIT $ 47.77 ERTAPENEM SODIUM 1 GM $ 871.99 ERYTHROMYCIN 250 MG $ 238.93 ERYTHROMYCIN 5 MG/G 5 MG/G $ 39.30 ERYTHROMYCIN ESS 200 MG/5 ML $ 8,986.50 ERYTHROMYCIN ESS 400 MG/5 ML $ 998.00 ESCITALOPRAM OXALATE 10 MG $ 181.08 ESCITALOPRAM OXALATE 20 MG $ 144.93 ESCITALOPRAM OXALATE 5 MG $ 176.75 ESCITALOPRAM OXALATE 5 ML $ 46.25 ESMOLOL 10 MG/ML $ 71.39 ESMOLOL IN SALINE 10 MG/ML $ 968.90 ESOMEPRAZOLE MAG 40 MG $ 350.28 ESTRADIOL 0.05 MG/24 HR $ 51.50 ESTRADIOL 0.1 MG/24 HR $ 63.00 ESTRADIOL 0.1 MG/GM $ 364.00 ESTRADIOL 0.5 MG $ 130.64 ESTRADIOL 1 MG $ 115.05 ESTRADIOL 2 MG $ 130.00 ESZOPICLONE 1 MG $ 108.08 ETHACRYNATE SODIUM 50 MG $ 3,914.00 ETHACRYNIC ACID 25 MG $ 346.85 ETHAMBUTOL 400 MG $ 358.75 ETHANOL (ETHYL ALCOHOL) 98 % $ 641.00 ETIDRONATE DISODIUM 400 MG $ 633.00 ETODOLAC 200 MG $ 323.00 ETODOLAC 300 MG $ 598.00 ETOMIDATE 2 MG/ML $ 82.65 EUCERIN $ 5.09 EUCERIN LOTION $ 3.00 EXEMESTANE 25 MG $ 245.33 EZETIMIBE 10 MG $ 151.25 EZETIMIBE-SIMVASTATIN 10-10 MG $ 154.86 EZETIMIBE-SIMVASTATIN 10-20 MG $ 101.63 EZETIMIBE-SIMVASTATIN 10-80 MG $ 236.00 FAMCICLOVIR 500 MG $ 299.00 FAMOTIDINE 20 MG $ 186.48 FAMOTIDINE 20MG/2ML INJ $ 118.92

Page 16: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

FAMOTIDINE 40MG/4ML $ 49.57 FAMOTIDINE ORAL SUSP 40MG/5ML $ 465.22 FAT EMULSION 20 % 20 GM/100 ML $ 303.57 FELODIPINE 2.5 MG $ 250.00 FELODIPINE 5 MG $ 136.57 FENOFIBRATE NANOCRYST 145 MG $ 133.81 FENOFIBRATE NANOCRYST 48 MG $ 122.92 FENTANYL (PF) $ 191.59 FENTANYL (PF) 0.05 MG/ML $ 60.57 FENTANYL (PF) VIAL 0.05 MG/ML $ 66.44 FENTANYL 100 MCG/HR 100 MCG/HR $ 208.15 FENTANYL 12 MCG/HR 12 MCG/HR $ 112.45 FENTANYL 25 MCG/HR 25 MCG/HR $ 130.48 FENTANYL 50 MCG/HR 50 MCG/HR $ 184.40 FENTANYL 50MCG/5ML INJ SYRINGE $ 1,828.85 FENTANYL 75 MCG/HR 75 MCG/HR $ 214.88 FENTANYL-ROPIV EPID 0.2% 100 ML $ 75.13 FERRIC SUBSULFATE $ 61.11 FERROUS GLUCONATE 300 MG $ 95.00 FERROUS SULFATE $ 0.51 FERROUS SULFATE 15 MG/0.6 ML $ 145.21 FERROUS SULFATE 300 MG/5 ML $ 3.92 FEXOFENADINE 180 MG $ 33.00 FIDAXOMICIN 200MG $ 2,613.46 FINASTERIDE 5 MG $ 159.63 FLAVOXATE 100 MG $ 82.50 FLECAINIDE ACETATE 100 MG $ 198.25 FLECAINIDE ACETATE 50 MG $ 169.50 FLUCONAZOLE 10 MG/ML $ 473.00 FLUCONAZOLE 100 MG $ 164.20 FLUCONAZOLE 150 MG $ 69.01 FLUCONAZOLE 40 MG/ML $ 857.00 FLUCONAZOLE IN SALINE 200 MG $ 485.93 FLUCONAZOLE IN SALINE 400 MG $ 564.41 FLUDROCORTISONE 0.1 MG $ 202.13 FLUMAZENIL INJ 0.1 MG/ML $ 60.07 FLUOCINOLONE 0.025 % $ 244.00 FLUOCINONIDE-EMOLLIENT 0.05% $ 974.80 FLUORESCEIN 0.1 $ 50.05 FLUORESCEIN 0.6MG OPTH TEST $ 32.00 FLUORESCEIN SODIUM 1 MG $ 30.50 FLUOROMETHOLONE 0.1 % $ 145.80 FLUOROURACIL 1 GRAM/20 ML $ 233.00 FLUOROURACIL 5% $ 396.00

Page 17: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

FLUOROURACIL 50 MG/ML $ 240.25 FLUOXETINE 10 MG $ 186.84 FLUOXETINE 20 MG $ 166.78 FLUOXETINE 20 MG/5 ML $ 1,174.57 FLUTICASONE $ 179.23 FLUTICASONE 110 MCG $ 389.70 FLUTICASONE 220 MCG $ 620.67 FLUTICASONE 44 MCG $ 261.86 FLUTICASONE PROPIONATE 0.05 % $ 97.60 FLUTICASONE-SALMETEROL 100-50 $ 85.73 FLUTICASONE-SALMETEROL 250-50 $ 93.99 FLUTICASONE-SALMETEROL 500-50 $ 100.53 FLUVOXAMINE MALEATE 50 MG $ 162.33 FOLIC ACD-VIT B6-VIT B12 2.5-25-2 $ 151.24 FOLIC ACID 1 MG $ 152.53 FOLIC ACID 400 MCG $ 0.59 FOLIC ACID 5 MG/ML $ 8.20 FONDAPARINUX 2.5 MG/0.5 ML $ 474.60 FONDAPARINUX 7.5 MG/0.6 ML $ 680.00 FORMULATION R $ 82.71 FOSFOMYCIN PACKET $ 133.90 FOSINOPRIL SODIUM 10 MG $ 102.50 FOSINOPRIL SODIUM 20 MG $ 111.05 FOSPHENYTOIN 100 MG PE/2 ML $ 182.18 FUROSEMIDE 20 MG $ 117.91 FUROSEMIDE 40 MG $ 119.53 FUROSEMIDE 80 MG $ 124.52 FUROSEMIDE IV 10 MG/ML $ 57.99 FUROSEMIDE ORAL 10 MG/ML $ 32.00 FUROSEMIDE ORAL 8 MG/ML $ 65.00 GABAPENTIN 100 MG $ 328.01 GABAPENTIN 250 MG/5 ML $ 2,806.37 GABAPENTIN 300 MG $ 257.35 GABAPENTIN 400 MG $ 338.17 GABAPENTIN 600 MG $ 209.23 GALANTAMINE HYDROBROM 4 MG $ 393.53 GANCICLOVIR GEL $ 330.50 GELATIN PDR-THROMBIN TOP 5000 IU $ 316.56 GEMCITABINE 1 GM $ 132.00 GEMFIBROZIL 600 MG $ 192.85 GEMTUZUMAB INJ VIAL 4.5GM $ 30,480.00 GENTAMICIN 0.1% $ 89.97 GENTAMICIN 100MG IN NS 0.9% 100ML $ 388.00 GENTAMICIN 40MG/ML INJ SOL 20ML $ 232.33

Page 18: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

GENTAMICIN 60MG IN NS 50ML $ 163.86 GENTAMICIN IN NS 0.9% 100 MG $ 285.75 GENTAMICIN IN NS 0.9% 120 MG $ 108.99 GENTAMICIN IN NS 0.9% 80 MG $ 134.76 GENTAMICIN INJ 40 MG/ML $ 120.44 GENTAMICIN SULFATE 0.1 % $ 94.14 GENTAMICIN SULFATE 0.3 % $ 528.79 GENTAMICIN SULFATE 0.3% $ 67.00 GENTAMICIN SYRG (PEDS) 10 MG $ 180.85 GENTAMICIN-PREDNIS 0.3-1% $ 154.00 GENTAMYCIN 80MG IN 50ML NS $ 118.94 GI COCKTAIL 55ML $ 91.78 GLIMEPIRIDE 1 MG $ 110.71 GLIMEPIRIDE 2 MG $ 94.59 GLIMEPIRIDE 4 MG $ 100.29 GLIPIZIDE 10 MG $ 105.85 GLIPIZIDE 2.5 MG $ 80.50 GLIPIZIDE 5 MG $ 320.25 GLUCAGON (HUMAN RECOMB) 1 MG $ 393.78 GLYBURIDE 2.5 MG $ 71.75 GLYBURIDE 5 MG $ 64.70 GLYCERIN (ADULT) $ 0.70 GLYCERIN (PEDIATRIC) 1.5 GM $ 0.36 GLYCOPYRROLATE $ 51.26 GLYCOPYRROLATE 0.2 MG/ML $ 89.29 GLYCOPYRROLATE 1 MG $ 157.80 GUAIFENESIN 200 MG $ 3.43 GUAIFENESIN 600 MG $ 294.47 GUAIFENESIN ORAL LIQ BTTL $ 178.39 GUANFACINE 1 MG $ 311.86 HALOPERIDOL 1 MG $ 112.83 HALOPERIDOL 2 MG $ 177.30 HALOPERIDOL 5 MG $ 324.65 HALOPERIDOL INJ 5 MG/ML $ 110.43 HALOPERIDOL ORAL 2 MG/ML $ 32.33 HEMORRHOIDAL CREAM 0.25-1 % $ 6.50 HEPARIN (PEDS) PF 1,000 UN/ML $ 33.67 HEPARIN (PORCINE) IN D5W $ 256.47 HEPARIN LOCK FLUSH 10 UNIT/ML $ 67.52 HEPARIN LOCK FLUSH 100 UNIT/ML $ 59.38 HEPARIN SOD 1,000 UNIT/ML $ 172.20 HEPARIN SOD 10,000 UNIT/ML $ 177.68 HEPARIN SOD 5,000 UNIT/ML $ 309.41 HEPATITIS B IMMUN GLOB MALTOSE $ 2,937.00

Page 19: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

HEPATITIS B IMMUNE GLOBULIN $ 1,772.00 HEPATITIS B VAC (STATE OF FL) $ 77.80 HEPRN 50 UNIT/ML-NACL 0.45% 500ML $ 87.43 HETASTARCH 6% IN NS $ 105.22 HOMATROPINE HBR 2 % $ 82.00 HYALURONIDASE 200 UNIT/ML $ 53.29 HYDRALAZINE 10 MG $ 199.90 HYDRALAZINE 25 MG $ 223.82 HYDRALAZINE 50 MG $ 342.89 HYDRALAZINE INJ 20 MG/ML $ 136.57 HYDROCHLOROTHIAZIDE 12.5 MG $ 99.76 HYDROCHLOROTHIAZIDE 25 MG $ 95.33 HYDROCHLOROTHIAZIDE 50 MG $ 87.10 HYDROCODONE-ACET 7.5/325MG $ 100.18 HYDROCODONE-ACETAM 10-325MG $ 227.42 HYDROCODONE-ACETAM 7.5-325 MG $ 130.08 HYDROCODONE-ACETAMINOPHE 5/325MG $ 134.66 HYDROCODONE-HOMATR 5-1.5 MG $ 102.74 HYDROCODONE-IBUPRO 7.5-200 MG $ 224.56 HYDROCORT ACE-PRAMOX 1-1 % $ 212.77 HYDROCORTISONE 0.5 % $ 4.40 HYDROCORTISONE 1 % $ 9.80 HYDROCORTISONE 10 MG $ 230.77 HYDROCORTISONE 100 MG/60 ML $ 123.25 HYDROCORTISONE 2.5 % $ 58.50 HYDROCORTISONE 2.5% $ 99.41 HYDROCORTISONE 5 MG $ 115.57 HYDROCORTISONE ACETATE 25 MG $ 304.92 HYDROCORTISONE BUTYR 0.1 % $ 148.00 HYDROCORTISONE SOD SUCC 100 $ 270.67 HYDROCORTISONE SOD SUCC 250 $ 319.33 HYDROCORTISONE SOD SUCC 500 $ 1,806.00 HYDROMORPHNE SYR 0.5MG/0.5ML $ 164.16 HYDROMORPHONE 1 MG/ML $ 171.44 HYDROMORPHONE 10 MG/ML $ 107.69 HYDROMORPHONE 1MG/ML SOL AMPULE $ 49.00 HYDROMORPHONE 2 MG $ 287.81 HYDROMORPHONE 2 MG/ML $ 88.72 HYDROMORPHONE 4 MG $ 411.94 HYDROMORPHONE INJ 2 MG $ 62.13 HYDROMORPHONE SYR 0.5MG/0.5ML $ 171.45 HYDROXYCHLOROQUINE 200 MG $ 202.42 HYDROXYUREA 500 MG $ 182.11 HYDROXYZINE HCL 10 MG $ 264.45

Page 20: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

HYDROXYZINE HCL 10 MG/5 ML $ 36.00 HYDROXYZINE HCL 25 MG $ 166.61 HYDROXYZINE HCL 25MG/ML INJ 1ML $ 51.00 HYDROXYZINE HCL 50 MG/ML $ 58.83 HYDROXYZINE PAMOATE 25 MG $ 179.77 HYOSCYAMINE SULF 0.125 MG $ 139.11 HYOSCYAMINE SULF 0.125 MG/ML $ 125.94 HYOSCYAMINE SULF 0.375 MG $ 261.00 IBUPROFEN 100 MG/5 ML $ 1.35 IBUPROFEN 200 MG $ 5.48 IBUPROFEN 40 MG/ML $ 36.17 IBUPROFEN 400 MG $ 58.36 IBUPROFEN 600 MG $ 65.44 IBUPROFEN 800 MG $ 111.72 IDARUCUZUMAB INJ $ 4,247.00 IMIPENEM-CILASTATIN 500 MG $ 937.73 IMIPRAMINE HCL 10 MG $ 326.80 IMIPRAMINE HCL 25 MG $ 256.50 IMMUNE GLOB (IGG) 10 GM $ 8,253.04 IMMUNE GLOB (IGG) 20 GM $ 6,379.95 IMMUNE GLOBULIN INJ 10% 200ML 20G $ 3,523.00 IMMUNE GLOBULIN IV 10G POW-PEDS $ 13,502.30 IMNE GLOBLN INJ 10% SOL 100ML 10G $ 1,260.00 INDAPAMIDE 1.25 MG $ 115.78 INDOCYANINE GREEN 25 MG $ 146.35 INDOMETHACIN 25 MG $ 116.00 INDOMETHACIN 50MG SUPPOSITORY $ 83.91 INFLUENZA VACCINE ADULT 2017-18 $ 56.12 INSULIN ASPART 1 UNIT/0.01 ML $ 691.11 INSULIN ASPART MIX 70-30 1 UN $ 294.47 INSULIN DETEMIR 1 UNIT/0.01 ML $ 323.30 INSULIN LISPRO PROTAM 75/25 $ 242.67 INSULIN LISTPRO PROT 50/50 $ 113.67 INSULIN NPH 1 UNIT/0.01 ML $ 324.80 INSULIN REG 1 UNIT/0.01 ML $ 145.48 INSULIN U-500 PEN $ 2,407.03 IODINE STRONG 5 % 5 GM/100ML $ 53.14 IOSARTAN HCTZ 100-25MG $ 86.47 IPRATROPIUM BROM 0.06 % $ 274.31 IPRATROPIUM BROM 17 MCG $ 424.00 IRON DEXTRAN 50 MG/ML $ 350.00 IRON SUCROSE 100 MG/5 ML $ 244.33 IRON SUCROSE 200MG/10ML IV $ 334.52 ISONIAZID 300 MG $ 76.67

Page 21: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

ISOPROTERENOL HCL 0.2 MG/ML $ 13,137.00 ISOSORBIDE DINITRATE 10 MG $ 261.90 ISOSORBIDE DINITRATE 20 MG $ 224.61 ISOSORBIDE DINITRATE 30 MG $ 184.70 ISOSORBIDE DINITRATE 5 MG $ 252.50 ISOSORBIDE MONONITRATE 10 MG $ 225.04 ISOSORBIDE MONONITRATE 20 MG $ 211.39 ISOSORBIDE MONONITRATE 30 MG $ 130.62 ISOSORBIDE MONONITRATE 60 MG $ 143.18 ISOSORBIDE-HYDRALAZ 20-37.5 MG $ 323.12 ISOSULFAN BLUE 1% $ 967.67 ISRADIPINE 2.5 MG $ 93.00 ITRACONAZOLE 100 MG $ 524.00 IVABRADINE 5MG TAB $ 462.33 IVABRADINE TAB $ 339.85 IVERMECTIN 3MG TABLET $ 100.33 KETAMINE 30MG/3ML INJ SOL 3ML $ 80.00 KETAMINE 50 MG/ML $ 52.40 KETAMINE 50MG/1ML SYRINGE $ 54.67 KETAMINE 50MG/5ML SYRNGE (10MG/ML $ 46.66 KETAMINE 50MG/5ML SYRNGE(10MG/ML) $ 51.23 KETOCONAZOLE 2 % $ 325.67 KETOCONAZOLE 200 MG $ 16.00 KETOROLAC 0.5 % $ 285.17 KETOROLAC 10 MG $ 38.64 KETOROLAC INJ 15 MG/ML $ 149.42 KETOROLAC INJ 30 MG/ML $ 88.91 KETOROLAC INJ 60 MG/2 ML $ 49.72 KETOTIFEN FUMARATE 0.025 % $ 95.33 LABETALOL 0.1 GM/20 ML $ 123.09 LABETALOL 100 MG $ 190.58 LABETALOL 200 MG $ 285.64 LABETALOL 300 MG $ 248.83 LABETALOL INJ $ 94.69 LABETOLOL 200MG/40ML $ 62.25 LACOSAMIDE 100MG TABLET $ 467.25 LACOSAMIDE 200 MG INJ $ 655.17 LACOSAMIDE 50 MG $ 419.20 LACOSAMIDE ORAL SOL 10MG/ML $ 46.00 LACTATED RINGERS $ 112.05 LACTATED RINGERS (IRRIGATION) $ 65.00 LACTOBACILLUS ACIDOPH-BULGAR $ 9.31 LACTULOSE 10 GM/15 ML $ 213.26 LACTULOSE 20 GM/30 ML $ 123.30

Page 22: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

LACTULOSE UD 10GM/15ML $ 170.64 LAMIVUDINE 150 MG $ 166.00 LAMOTRIGINE 100 MG $ 200.71 LAMOTRIGINE 25 MG $ 232.39 LANOLIN $ 1.00 LANOLIN-MINERAL OIL-NACL-W.PET $ 4.00 LANTHANUM CARBONATE 500 MG $ 734.97 LATANOPROST 0.005 % $ 66.14 LEFLUNOMIDE 10 MG $ 222.82 LETROZOLE 2.5 MG $ 215.93 LEUCOVORIN CALCIUM 350 MG $ 149.00 LEUCOVORIN CALCIUM 5 MG $ 161.00 LEUCOVORIN CALCIUM 500/50 ML $ 356.00 LEVALBUTEROL 1.25MG/0.5MG $ 365.56 LEVALBUTEROL HCL 0.63 MG/3 ML $ 0.49 LEVALBUTEROL HFA 15GM $ 121.71 LEVETIRACETAM 250 MG $ 272.53 LEVETIRACETAM 500 MG $ 273.07 LEVETIRACETAM 500 MG/5 ML $ 221.85 LEVETIRACETAM LIQUID 100 MG/ML $ 452.84 LEVETIRACETAM SOLU 100MG/473ML $ 185.50 LEVOBUNOLOL HCL 0.5 % $ 392.71 LEVOCARNITINE (ORAL) 100 MG/ML $ 77.00 LEVOFLOXACIN 250 MG $ 108.63 LEVOFLOXACIN 250 MG-D5W 50ML $ 254.58 LEVOFLOXACIN 500 MG $ 95.97 LEVOFLOXACIN 500 MG-D5W 100 ML $ 171.69 LEVOFLOXACIN 750 MG $ 118.83 LEVOFLOXACIN 750 MG-D5W 150 ML $ 236.44 LEVOTHYROXINE SODIUM 100 MCG $ 131.49 LEVOTHYROXINE SODIUM 112 MCG $ 123.18 LEVOTHYROXINE SODIUM 125 MCG $ 126.00 LEVOTHYROXINE SODIUM 137 MCG $ 136.76 LEVOTHYROXINE SODIUM 150 MCG $ 130.69 LEVOTHYROXINE SODIUM 175 MCG $ 122.08 LEVOTHYROXINE SODIUM 200 MCG $ 131.84 LEVOTHYROXINE SODIUM 25 MCG $ 138.28 LEVOTHYROXINE SODIUM 50 MCG $ 143.66 LEVOTHYROXINE SODIUM 75 MCG $ 128.35 LEVOTHYROXINE SODIUM 88 MCG $ 131.29 LEVOTHYROXINE SODIUM IV 200 $ 209.67 LIDOCAINE (PF) 1% 5ML $ 55.04 LIDOCAINE (PF) 2 % 20 MG/ML $ 61.18 LIDOCAINE 2% 2 ML $ 56.14

Page 23: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

LIDOCAINE 2% TOPICAL JELLY 5 ML $ 94.45 LIDOCAINE 2%PF 10ML $ 60.71 LIDOCAINE 5 % (700 MG/PATCH) $ 219.56 LIDOCAINE HCL (PF) 1% 10 MG/ML $ 47.45 LIDOCAINE HCL 1 % (10 MG/ML) $ 50.34 LIDOCAINE HCL 2 % $ 87.58 LIDOCAINE HCL 2 % VISCOUS $ 35.81 LIDOCAINE HCL 20 MG/ML $ 52.94 LIDOCAINE HCL 4 % 40 MG/ML $ 81.67 LIDOCAINE HCL 5% $ 190.15 LIDOCAINE IN D5W (PMX) 4 MG/ML $ 112.38 LIDOCAINE IN DEXTROSE 5-7.5 % $ 57.00 LIDOCAINE JELLY 2% 20 MG/ML $ 87.23 LIDOCAINE LOCAL ANES PF 0.5% $ 63.51 LIDOCAINE LOCAL ANESTH 1% $ 52.32 LIDOCAINE LOCAL ANESTH 1.5% $ 59.00 LIDOCAINE LOCAL ANESTH 2 % $ 47.83 LIDOCAINE LOCAL ANESTH 2% $ 54.13 LIDOCAINE LOCAL ANESTH 4% $ 54.34 LIDOCAINE TOPICAL $ 59.51 LIDOCAINE VISCIOUS 2% 20ML $ 68.61 LIDOCAINE-EPI 0.5 %-1-200000 $ 50.23 LIDOCAINE-EPI 1 %-1-100000 $ 52.20 LIDOCAINE-EPI 1 %-1-200000 $ 61.31 LIDOCAINE-EPI 1%-1-100000 $ 51.00 LIDOCAINE-EPI 1.5 %-1-200000 $ 214.50 LIDOCAINE-EPI 2 %-1-100000 $ 50.71 LIDOCAINE-EPI 2 %-1-200000 $ 57.56 LIDOCAINE-PRILOC 2.5-2.5% 5 GM $ 59.11 LINDANE 1% $ 184.00 LINEZOLID 600 MG $ 1,192.25 LINEZOLID IVPB 600 MG/300 ML $ 1,268.62 LIOTHYRONINE SODIUM 25 MCG $ 100.06 LIOTHYRONINE SODIUM 5 MCG $ 113.62 LIOTHYRONINE SODIUM 50 MCG $ 51.00 LIPASE24K-PROTEASE76K-AMYLASE120K $ 333.38 LIPASE-PROT-AMYL 12M-38M-60M $ 357.33 LIPASE-PROT-AMYL 6M-19M-30M $ 371.68 LIPASE-PROTEASE-AMYLAASE 10000 $ 340.00 LIPASE-PROTELASE-AMYLASE 10500 $ 91.00 LISINOPRIL 10 MG $ 111.76 LISINOPRIL 2.5 MG $ 108.83 LISINOPRIL 20 MG $ 120.37 LISINOPRIL 40 MG $ 120.77

Page 24: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

LISINOPRIL 5 MG $ 116.15 LISINOPRIL-HCTZ 10-12.5 $ 91.63 LISINOPRIL-HCTZ 20-12.5MG $ 92.05 LITHIUM CARBONATE 150 MG $ 253.81 LITHIUM CARBONATE 300 MG $ 253.00 LITHIUM CARBONATE 450 MG $ 80.50 LOCOSAMIDE 200MG TABLET $ 771.33 LOPERAMIDE 1MG/7.5ML $ 593.00 LOPERAMIDE 2 MG $ 4.53 LOPERAMIDE 2 MG/10 ML $ 96.39 LORAZEPAM 0.5 MG $ 129.94 LORAZEPAM 1 MG $ 122.41 LORAZEPAM INJ 2 MG/ML $ 110.65 LOSARTAN 100MG $ 114.35 LOSARTAN HCTZ 100-12.5MG $ 100.64 LOSARTAN POTASSIUM 25 MG $ 108.67 LOSARTAN POTASSIUM 50 MG $ 127.05 LOSARTAN-HCTZ 50-12.5 MG $ 108.38 LOTEPREDNOL ETABONATE 0.5 % $ 322.74 MAG SULFATE 1 GM IN D5W 100 ML $ 196.23 MAG SULFATE 2 GM 2 GM/50ML $ 185.73 MAG SULFATE 20 GM / 500 ML $ 243.81 MAG SULFATE 4 GM WATER 100 ML $ 120.00 MAG SULFATE 50 % INJ 1 GM/2 ML $ 23.78 MAGNESIUM 84 MG $ 274.00 MAGNESIUM CITRATE $ 1.20 MAGNESIUM GLUC 1,000 MG/5 ML $ 0.50 MAGNESIUM HYDROXIDE $ 1.44 MAGNESIUM OXIDE 400 MG $ 0.46 MANNITOL 20 % IVPB 20 GM/100 ML $ 134.00 MANNITOL 25 % 25 GM/100 ML $ 50.79 MEASLES, MUMPS AND RUBELLA $ 761.65 MECLAZINE CHEW TAB 25MG $ 2.54 MECLIZINE 12.5 MG $ 0.82 MECLIZINE 25 MG $ 2.17 MEDROXYPROGEST ACE 150MG/ML $ 174.19 MEDROXYPROGEST ACETATE 2.5 $ 57.40 MEDROXYPROGESTERONE 10 MG $ 78.89 MEDROXYPROGESTERONE 5 MG $ 67.17 MEGESTROL ACETATE 20 MG $ 330.90 MEGESTROL ACETATE 40 MG $ 457.88 MEGESTROL ACETATE 40 MG/ML $ 297.31 MEGESTROL ES 625/5ML $ 1,495.43 MELOXICAM 7.5 MG $ 112.94

Page 25: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

MEMANTINE 10 MG $ 327.37 MEMANTINE 5 MG $ 289.11 MEMANTINE XR 14 MG $ 218.90 MEMANTINE XR 28 MG $ 174.18 MEMANTINE XR 7 MG $ 166.14 MENINGITIS DIPTHERIA VACCINE $ 187.00 MENTHOL-CETYLPYRIDINIUM 3 MG $ 0.49 MEPERIDINE 25MG/1ML VIAL $ 103.43 MEPERIDINE 50 MG $ 692.75 MEPERIDINE 50 MG/ML $ 66.13 MEPERIDINE VIAL (PF) 50 MG/ML $ 116.35 MERCAPTOPURINE 50 MG $ 63.50 MEROPENEM INJ 1 GM $ 1,609.99 MEROPENEM INJ 500 MG $ 1,746.67 MESALAMINE 1,000 MG $ 285.50 MESALAMINE 250 MG $ 297.21 MESALAMINE 4 G/60 ML 4 GM/60 ML $ 112.00 MESALAMINE DELAY CAP 400MG $ 418.74 MESNA 100 MG/ML $ 1,000.00 METAXALONE 800 MG $ 214.00 METFORMIN 500 MG $ 288.68 METFORMIN 850 MG $ 368.33 METFORMIN XR 500 MG $ 291.10 METHADONE 10 MG $ 459.99 METHADONE 5 MG $ 349.00 METHAZOLAMIDE 50 MG $ 536.75 METHENAMINE HIPPURATE 1 GM $ 230.12 METHIMAZOLE 10 MG $ 195.68 METHIMAZOLE 5 MG $ 217.95 METHOCARBAMOL 100 MG/ML $ 285.47 METHOCARBAMOL 500 MG $ 134.98 METHOCARBAMOL 750 MG $ 143.50 METHOTREXATE NA (PF) 1GM $ 156.00 METHOTREXATE NA 25 MG/ML $ 49.17 METHOTREXATE SODIUM 2.5 MG $ 58.95 METHOTREXATE SODIUM 25 MG/ML $ 173.00 METHYL SALICYLATE-MENTHOL $ 4.61 METHYLDOPA 250 MG $ 141.80 METHYLENE BLUE 1 % 10 MG/ML $ 223.13 METHYLERGONOVINE MAL 0.2 MG $ 77.81 METHYLPHENIDATE 20 MG $ 122.50 METHYLPHENIDATE 5 MG $ 238.63 METHYLPREDNISOLONE (PF) 40MG/ML $ 349.40 METHYLPREDNISOLONE 1000 MG $ 262.39

Page 26: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

METHYLPREDNISOLONE 125 MG $ 160.08 METHYLPREDNISOLONE 2000 MG $ 202.23 METHYLPREDNISOLONE 4 MG $ 188.96 METHYLPREDNISOLONE 40 MG/ML $ 64.73 METHYLPREDNISOLONE 500 MG $ 188.57 METHYLPREDNISOLONE 80 MG/ML $ 59.35 METOCLOPRAMIDE 10 MG $ 228.39 METOCLOPRAMIDE 10 MG/10 ML $ 751.80 METOCLOPRAMIDE 5 MG $ 263.63 METOCLOPRAMIDE INJ 5 MG/ML $ 151.55 METOLAZONE 2.5 MG $ 106.74 METOLAZONE 5 MG $ 148.11 METOPROLOL INJ 5 MG/5 ML $ 161.92 METOPROLOL SUCCINATE 100 MG $ 148.02 METOPROLOL SUCCINATE 25 MG $ 128.36 METOPROLOL SUCCINATE 50 MG $ 133.26 METOPROLOL TARTRATE 100 MG $ 197.53 METOPROLOL TARTRATE 25 MG $ 218.49 METOPROLOL TARTRATE 50 MG $ 224.02 METRONIDAZOLE 0.75% $ 162.00 METRONIDAZOLE 1% $ 766.56 METRONIDAZOLE 250 MG $ 177.00 METRONIDAZOLE 500 MG $ 133.67 METRONIDAZOLE- NS 0.9% 500 MG $ 677.68 METRONIDAZOLE SUSP 50 MG/ML $ 215.00 MEXILETINE 150 MG $ 285.14 MEXILETINE 200 MG $ 438.19 MICAFUNGIN $ 1,294.37 MICAFUNGIN 50MG $ 860.75 MICONAZOLE NITRATE 100 MG $ 6.30 MICONAZOLE NITRATE 2 % $ 495.96 MICONAZOLE NITRATE 2% $ 8.57 MICONAZOLE NITRATE 200 MG $ 37.00 MIDAZOLAM (ORAL) 2 MG/ML $ 45.25 MIDAZOLAM INJ 1 MG/ML $ 65.20 MIDAZOLAM INJ 5 MG/ML $ 169.14 MIDODRINE 2.5 MG $ 346.18 MIDODRINE 5 MG $ 484.39 MILRINONE 1 MG/ML $ 54.40 MILRINONE 200 MCG/ML (PMX) $ 520.55 MILRINONE LACTATE 1 MG/ML $ 74.30 MINERAL OIL $ 3.17 MINOCYCLINE 50 MG $ 261.06 MINOXIDIL 10 MG $ 168.33

Page 27: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

MINOXIDIL 2.5 MG $ 289.19 MIRTAZAPINE 15 MG $ 159.44 MIRTAZAPINE ODT 15 MG $ 204.86 MISOPROSTOL 100 MCG $ 74.45 MITOMYCIN 40 MG $ 1,147.38 MODAFINIL 100 MG $ 235.17 MOEXIPRIL 7.5 MG $ 157.29 MOEXIPRIL-HCTZ 15-12.5 MG $ 97.00 MOMETASONE 220 MCG $ 433.68 MOMETASONE FUROATE 0.1 % $ 545.80 MOMETASONE FUROATE 110MCG $ 286.42 MOMETASONE-FORMOTEROL 100-5 $ 435.75 MOMETASONE-FORMOTEROL 200 $ 320.55 MONTELUKAST 4 MG $ 155.00 MONTELUKAST SODIUM 10 MG $ 145.99 MONTELUKAST SODIUM 4 MG $ 238.67 MONTELUKAST SODIUM 5 MG $ 60.86 MORPHINE (ORAL) 10 MG/5 ML $ 238.73 MORPHINE (ORAL) CONC 20 MG/ML $ 234.29 MORPHINE (PF) 1 MG/ML $ 85.67 MORPHINE 0.9% NACL 50MG/50ML $ 191.30 MORPHINE 10 MG/ML $ 53.01 MORPHINE 100 MG $ 401.40 MORPHINE 15 MG $ 359.07 MORPHINE 2 MG/ML $ 130.20 MORPHINE 30 MG $ 423.90 MORPHINE 4 MG/ML $ 128.37 MORPHINE 60 MG $ 626.78 MORPHINE ORAL 0.2MG/ML $ 6,432.89 MORPHINE SULFATE 10MG/0.5ML SYR $ 48.00 MORPHINE VIAL 10 MG/ML $ 51.10 MOXIFLOXACIN 0.5% 5 MG/ML $ 334.92 MULTIVITAMIN WITH IRON-MINERAL $ 258.69 MUPIROCIN 2 % $ 99.96 MUPIROCIN 2% NASAL 1 GM $ 309.09 MUPIROCIN 2% OINT 1GM $ 131.27 MVI WITH VIT K $ 78.09 MYCOPHENOLATE MOFETIL 250 MG $ 317.13 MYCOPHENOLATE MOFETIL 500 MG $ 152.25 MYCOPHENOLATE MOFETIL SUSP 200MG/ $ 13,424.00 MYCOPHENOLATE SODIUM 150MG $ 378.80 MYCOPHENOLATE SODIUM 360MG $ 412.81 NABUMETONE 500 MG $ 208.50 NABUMETONE 750 MG $ 96.57

Page 28: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

NADOLOL 20 MG $ 178.61 NADOLOL 40MG TAB $ 208.22 NAFCILLIN SODIUM 2 GM $ 6,130.38 NALBUPHINE 100MG/10ML $ 48.78 NALBUPHINE INJ 10 MG/ML $ 74.60 NALBUPHINE INJ 20 MG/ML $ 45.42 NALOXONE 0.4 MG/ML $ 168.19 NALOXONE INJ 0.4 MG/ML $ 94.87 NAPROXEN 250 MG $ 145.86 NAPROXEN 375 MG $ 58.67 NAPROXEN 500 MG $ 153.22 NAPROXEN EC 500 MG $ 33.50 NAPROXEN SODIUM 220 MG $ 72.85 NATEGLINIDE 120 MG $ 292.83 NATEGLINIDE 60 MG $ 262.50 NEBIVOLOL 2.5 MG TABLET $ 136.88 NEBIVOLOL 5 MG TABLET $ 135.90 NEOMYCIN 500 MG $ 35.67 NEOMYCIN-BACITRACIN-POLYMYXIN $ 0.89 NEOMYCIN-BACITR-POLYMYXIN $ 2,515.83 NEOMYCIN-COLISTIN-HC $ 555.17 NEOMYCIN-POLYMYXIN-DEXAMETH $ 1,263.67 NEOMYCIN-POLYMYXIN-GRAMICIDIN $ 7,927.00 NEOMYCIN-POLYMYXIN-HC $ 1,022.33 NEOSTGMINE SYRNGE 1MG/ML 5ML $ 57.16 NEOSTIGMINE 0.5MG/ML $ 43.00 NEOSTIGMINE 1MG/ML SOL 3ML $ 61.26 NEOSTIGMINE METHYLSUL 1 MG/ML $ 57.03 NESIRITIDE 1.5 MG $ 4,109.00 NIACIN 50 MG $ 47.50 NIACIN 500 MG $ 126.66 NIACIN 750 MG $ 44.00 NICARDAPINE 40MG/200ML IN NS $ 1,459.07 NICARDIPINE (PMX) 20 MG/200 ML $ 757.46 NICARDIPINE 2.5 MG/ML $ 163.82 NICARDIPINE 20 MG $ 140.09 NICARDIPINE 30 MG $ 214.50 NICARDIPINE 40MG/200ML-NACL 0.83% $ 1,472.28 NICARDIPINE IN D5W 40MG/200ML $ 888.57 NICOTINE 14 MG/24 HR 14 MG $ 19.91 NICOTINE 2 MG/GUM 2 MG $ 9.83 NICOTINE 21 MG/24 HR 21 MG $ 13.68 NICOTINE 7 MG/24 HR 7 MG $ 144.60 NIFEDIPINE 10 MG $ 157.96

Page 29: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

NIFEDIPINE 30 MG $ 118.86 NIFEDIPINE 60 MG $ 138.96 NIFEDIPINE 90 MG $ 120.80 NIMODIPINE 30 MG $ 95.00 NITAZOXANIDE 500 MG $ 1,142.13 NITROFURANTOIN 50 MG $ 106.94 NITROFURANTOIN MONOHY 100 MG $ 80.63 NITROGLYCERIN (SPRAY) 0.4 MG $ 243.86 NITROGLYCERIN 0.1 MG/HR $ 55.78 NITROGLYCERIN 0.2 MG/HR $ 60.83 NITROGLYCERIN 0.4 MG $ 56.87 NITROGLYCERIN 0.4 MG/HR $ 79.35 NITROGLYCERIN 0.6 MG/HR $ 149.00 NITROGLYCERIN 2 % 1 INCH/GM $ 94.91 NITROGLYCERIN 400 MCG/ML (PMX) $ 111.13 NITROGLYCERIN 5 MG/ML $ 57.90 NITROGLYCERIN 6.5 MG $ 389.00 NITROPRUSSIDE SODIUM 25 MG/ML $ 1,432.93 NOREPINEPHRINE 8MG/2500ML D5W $ 248.84 NOREPINEPHRINE BITART 1 MG/ML $ 104.88 NORMAL SALINE IV 0.9%,250 ML $ 102.00 NORTRIPTYLINE 10 MG $ 152.88 NORTRIPTYLINE 25 MG $ 193.76 NS 0.9 % $ 33.91 NS 0.9 % VIAL $ 142.94 NS 0.9% $ 70.92 NS 1000 WITH KCL 20 MEQ/L $ 196.74 NS 1000 WITH KCL 40 MEQ/L $ 221.61 NULYTELY 420 GM $ 66.75 NYSTATIN $ 223.50 NYSTATIN 100,000 UNIT/G $ 659.61 NYSTATIN 100,000 UNIT/ML $ 640.35 NYSTATIN 500,000 UNIT $ 495.00 NYSTATIN-TRIAMCINOLONE $ 1,195.08 OCTREOTIDE ACET 100 MCG/ML $ 665.10 OCTREOTIDE ACET 500 MCG/ML $ 502.00 OCTREOTIDE SYR 50MCG/1ML $ 126.00 OCULAR LUB SOD CMC 0.25% 15ML $ 0.67 OFLOXACIN 0.3 % (OPTH) $ 67.92 OFLOXACIN 0.3 % (OTIC) $ 182.10 OLANZAPINE $ 163.57 OLANZAPINE 10 MG $ 197.46 OLANZAPINE 2.5 MG $ 204.67 OLANZAPINE 5 MG $ 280.39

Page 30: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

OLMESARTAN HCTZ 20-12.5MG $ 4,868.00 OLOPATADINE HCL 0.1 % $ 299.09 ONDANSETRON HCL 2 MG/ML $ 89.94 ONDANSETRON HCL 4 MG $ 135.11 ONDANSETRON HCL 4 MG/5 ML $ 101.43 ONDANSETRON ODT 4 MG $ 90.82 OPHTHALMIC IRRIGATION SOLUTION $ 54.00 ORITAVANCIN 400 MG $ 3,501.33 ORITAVANCIN 400MG $ 3,501.33 ORPHENADRINE CITRATE 100 MG $ 53.63 ORPHENADRINE CITRATE 30 MG/ML $ 73.35 OSELTAMIVIR 30MG CAPS #10 $ 238.30 OSELTAMIVIR PHOS 75 MG $ 160.76 OSELTAMIVIR PHOS CMPD 15 MG $ 81.39 OXALIPLATIN 100 MG/20 ML $ 478.67 OXAPROZIN 600 MG $ 39.00 OXCARBAZEPINE 150 MG $ 233.16 OXCARBAZEPINE 300 MG $ 244.86 OXCARBAZEPINE 300 MG/5 ML $ 81.00 OXYBUTYNIN CHLORIDE 10 MG $ 192.21 OXYBUTYNIN CHLORIDE 5 MG $ 219.25 OXYCODONE 10 MG $ 139.83 OXYCODONE 10MG STANDARD RELEASE $ 233.32 OXYCODONE 20 MG $ 274.01 OXYCODONE 20 MG/ML $ 187.50 OXYCODONE 40 MG $ 588.54 OXYCODONE 5 MG $ 284.69 OXYCODONE 80 MG $ 410.00 OXYCODONE IR 15MG $ 296.22 OXYCODONE-ACETAMIN 10-325 MG $ 254.33 OXYCODONE-ACETAMIN 5-325 MG $ 232.77 OXYCODONE-ACETAMIN 7.5-325 MG $ 285.40 OXYMETAZOLINE HCL 0.05 % $ 60.21 OXYTOCIN 10 UNIT/ML $ 82.64 OXYTOCIN 30UNITS/NS 500ML PREMIX $ 111.88 OXYTOCIN IN D5LR 20 UNIT/1000 ML $ 691.70 OXYTOCIN IN NS 30 UNIT/500 ML $ 90.60 PACLITAXEL 6 MG/ML $ 373.00 PAMIDRONATE DISODIUM 30MG/10ML $ 137.38 PAMIDRONATE DISODIUM 90 MG $ 135.09 PANTOPRAZOLE INJ 40 MG $ 305.63 PANTOPRAZOLE SODIUM 40 MG $ 150.18 PAPAVERINE 60MG/2ML VIAL $ 64.57 PARENTERAL NUTRITION >100GM PROTE $ 1,204.13

Page 31: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

PARENTERAL NUTRITION 10-51GM PROT $ 692.00 PARENTERAL NUTRITION 52-73GM PROT $ 679.16 PARENTERAL NUTRITION 74-100GM PRO $ 1,210.00 PARICALCITOL 1 MCG $ 58.67 PAROXETINE HCL 10 MG $ 134.54 PAROXETINE HCL 10 MG/5 ML $ 4,193.00 PAROXETINE HCL 12.5 MG $ 123.33 PAROXETINE HCL 20 MG $ 147.45 PAROXETINE HCL 25 MG $ 180.00 PEDIATRIC ENEMA $ 2.00 PEDIATRIC MULTIVITAMINS-IRON $ 1,595.36 PEDIATRIC MULTIVITS-IRON-MIN $ 0.33 PEMETREXED 500 MG $ 5,350.00 PENICILLIN G BENZ 1.2 MU $ 194.13 PENICILLIN G BENZ 2.4 MU $ 342.50 PENICILLIN G BENZ 600,000 UNIT/ML $ 112.00 PENICILLIN G BENZ-PROC 1.2 MU $ 129.67 PENICILLIN G POTASSIUM 5 MU $ 3.06 PENICILLIN G PROC 600,000 UNIT/ML $ 55.00 PENICILLIN G SODIUM $ 148.50 PENICILLIN V POT 250 MG $ 114.33 PENICILLIN V POT 250 MG/5 ML $ 39.00 PENICILLIN V POT 500 MG $ 51.85 PENTAMIDINE ISETHIONATE 300 MG $ 954.50 PENTOXIFYLLINE 400 MG $ 336.71 PERINDOPRIL ERBUMINE 2 MG $ 109.33 PERINDOPRIL ERBUMINE 4 MG $ 116.00 PERITONEAL DIALYSIS SOL W D2.5% $ 234.00 PERMETHRIN 1 % $ 130.40 PERMETHRIN 5 % $ 342.25 PERPHENAZINE 2 MG $ 165.29 PHENAZOPYRIDINE 100 MG $ 11.89 PHENAZOPYRIDINE 200 MG $ 65.26 PHENOBARB-BELLADONNA 16.2 MG $ 79.38 PHENOBARBITAL 10MG/ML ORAL LIQ $ 90.81 PHENOBARBITAL 20 MG/5 ML $ 247.00 PHENOBARBITAL 32.4 MG $ 161.71 PHENOBARBITAL 64.8 MG $ 100.57 PHENOBARBITAL SODIUM 65 MG/ML $ 314.20 PHENOXYBENZAMINE 10 MG $ 320.00 PHENTOLAMINE MESYL 5 MG/ML $ 557.50 PHENYLEPHRINE 10MG/ML 10 ML $ 138.75 PHENYLEPHRINE 50MG/5ML VIAL $ 88.91 PHENYLEPHRINE HCL 0.125 % $ 6.57

Page 32: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

PHENYLEPHRINE HCL 0.25 % $ 7.50 PHENYLEPHRINE HCL 1 % $ 4.82 PHENYLEPHRINE HCL INJ 10 MG/ML $ 234.59 PHENYTOIN (ORAL) 100 MG/4 ML $ 399.50 PHENYTOIN 50 MG $ 269.10 PHENYTOIN SOD EXTENDED 100 MG $ 220.04 PHENYTOIN SODIUM INJ 50 MG/ML $ 275.57 PHYTONADIONE (ORAL) 5 MG $ 139.29 PHYTONADIONE 1MG/5ML $ 53.35 PHYTONADIONE INJ 1 MG/ 0.5 ML $ 53.35 PHYTONADIONE INJ 10 MG/ML $ 95.76 PILOCARPINE HCL 1 % $ 138.57 PILOCARPINE HCL 2 % $ 89.33 PILOCARPINE HCL 5 MG $ 339.46 PINDOLOL 5 MG $ 49.00 PIOGLITAZONE 15 MG $ 146.73 PIOGLITAZONE 30 MG $ 155.49 PIOGLITAZONE 45 MG $ 74.14 PIPERACILLIN-TAZOBACT 2.25 GM $ 320.20 PIPERACILLIN-TAZOBACT 3.375 GM $ 1,088.16 PIPERACILLIN-TAZOBACT 4.5 GM $ 620.43 PIPERACILLIN-TAZOBACTAM 4.5GM IV $ 737.44 PIPERCILLIN-TAZOBACTAM 2.25 GM $ 1,092.60 PIPERCILLIN-TAZOBACTAM 2.25GM $ 1,066.22 PIPERCILLIN-TAZOBACTAM 3.375 $ 1,130.45 PIROXICAM 10 MG $ 86.50 POLYETHYLENE GLYCOL 17 GM $ 128.22 POLYMYXIN B SULFATE 500,000 UN $ 63.74 POLYSACC IRON COMPLEX 150 MG $ 114.85 PORACTANT 3 ML $ 2,797.00 POTASSIUM ACETATE 2 MEQ/ML $ 26.06 POTASSIUM CHLORIDE 10 MEQ $ 150.23 POTASSIUM CHLORIDE 10 MEQ IV $ 236.43 POTASSIUM CHLORIDE 2 MEQ/ML $ 6.07 POTASSIUM CHLORIDE 20 MEQ $ 136.02 POTASSIUM CHLORIDE 20 MEQ IV $ 304.67 POTASSIUM CHLORIDE LIQ 20 MEQ $ 61.32 POTASSIUM CITRATE 10 MEQ $ 221.19 POTASSIUM PHOSPHATE 250 MG $ 160.54 POTASSIUM PHOSPHATE 3 MMOL $ 124.55 POTASSIUM/SODIUM PHOSPHATE $ 175.94 POVIDONE-IODINE 10 % $ 53.86 POVIDONE-IODINE 5 % (OPTH) $ 70.57 PRAMIPEXOLE 0.125 MG $ 199.96

Page 33: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

PRAMIPEXOLE 0.25 MG $ 214.13 PRAMIPEXOLE 1 MG $ 189.56 PRAMIPEXOLE 1.5 MG $ 242.25 PRAMOXINE 1% $ 194.11 PRAMOXINE-HYDROCORT 1-1% $ 370.53 PRASUGREL 10 MG $ 122.38 PRASUGREL 5 MG $ 128.33 PRAVASTATIN 10 MG $ 135.93 PRAVASTATIN 20 MG $ 125.78 PRAVASTATIN 40 MG $ 134.70 PRAZOSIN 1 MG $ 166.98 PRAZOSIN 5 MG $ 194.25 PREDNISOLONE 15 MG/5 ML $ 48.85 PREDNISOLONE ACETATE 0.12% $ 1,490.00 PREDNISOLONE ACETATE 1 % $ 87.92 PREDNISOLONE SOD PHOS 1 % $ 164.60 PREDNISONE 1 MG $ 155.17 PREDNISONE 10 MG $ 112.55 PREDNISONE 2.5 MG $ 142.04 PREDNISONE 20 MG $ 91.82 PREDNISONE 5 MG $ 138.60 PREDNISONE 5 MG/5 ML $ 480.71 PREDNISONE 50 MG $ 80.55 PREGABALIN 100 MG $ 365.35 PREGABALIN 25 MG $ 377.36 PREGABALIN 75 MG $ 372.84 PRENATAL VIT-FE-FA 27-0.8 MG $ 66.59 PRIMAQUINE 26.3 (15) MG $ 71.00 PRIMIDONE 250 MG $ 270.69 PRIMIDONE 50 MG $ 235.80 PRO STAT 100 SUGAR FREE $ 726.51 PROBENECID 500 MG $ 65.00 PROCHLORPERAZINE 25 MG $ 66.86 PROCHLORPERAZINE INJ 5 MG/ML $ 114.59 PROCHLORPERAZINE MAL 10 MG $ 92.85 PROCHLORPERAZINE MAL 5 MG $ 137.63 PROGESTERONE 100 MG $ 90.93 PROMETHAZINE 12.5 MG $ 104.91 PROMETHAZINE 25 MG $ 160.75 PROMETHAZINE 6.25 MG/5 ML $ 100.50 PROMETHAZINE IM 50 MG/ML $ 68.15 PROMETHAZINE-DM 6.25-15 MG $ 53.00 PROPAFENONE 150 MG $ 211.71 PROPAFENONE 225 MG $ 282.23

Page 34: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

PROPAFENONE 325 MG $ 165.33 PROPAFENONE 425 MG $ 333.00 PROPARACAINE HCL 0.5 % $ 93.94 PROPOFOL (PMX) 10 MG/ML $ 154.51 PROPRANOLOL 10 MG $ 197.88 PROPRANOLOL 120 MG $ 89.67 PROPRANOLOL 20 MG $ 218.66 PROPRANOLOL 40 MG $ 186.06 PROPRANOLOL 60 MG $ 102.67 PROPRANOLOL 80 MG $ 117.46 PROPRANOLOL INJ 1 MG/ML $ 109.67 PROPYLTHIOURACIL 50 MG $ 268.00 PROTAMINE 10 MG/ML $ 78.49 PROTHROMVIN COMPLEX CONCENTRATE $ 5,943.70 PSEUDOEPHEDRINE HCL $ 101.00 PSEUDOEPHEDRINE HCL 30 MG $ 0.18 PSYLLIUM 100 % $ 5.66 PYRAZINAMIDE 500 MG $ 148.00 PYRIDOSTIGMINE BROMIDE 180 MG $ 316.50 PYRIDOSTIGMINE BROMIDE 5MG/ML $ 54.00 PYRIDOSTIGMINE BROMIDE 60 MG $ 416.31 PYRIDOXINE 50 MG $ 152.86 QUETIAPINE FUMARATE 100 MG $ 200.35 QUETIAPINE FUMARATE 25 MG $ 228.69 QUINAPRIL 10 MG $ 100.75 QUINAPRIL 20 MG $ 109.70 QUINAPRIL 40 MG $ 111.26 QUINAPRIL 5 MG $ 90.90 QUINIDINE GLUCONATE 324 MG $ 976.00 QUININE SULFATE 324 MG $ 116.00 RABIES IG, HUMAN IG 300IU/ML 1ML $ 3,989.00 RABIES IMMUNE GLOB 150 UNIT/ML $ 1,869.25 RABIES IMMUNE GLOBULIN 150 UN $ 2,097.70 RABIES VACCINE, PCEC 2.5 UNIT $ 401.69 RABIES VIRUS VAC, HDC 2.5 UNIT $ 434.14 RALOXIFENE 60 MG $ 120.18 RALTEGRAVIR 400MG $ 200.00 RAMIPRIL 1.25 MG $ 103.56 RAMIPRIL 10 MG $ 106.86 RAMIPRIL 2.5 MG $ 102.56 RAMIPRIL 5 MG $ 112.15 RANITIDINE HCL 15 MG/ML $ 68.20 RANITIDINE HCL INJ 25 MG/ML $ 72.33 RANOLAZINE 500 MG $ 276.22

Page 35: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

RASBURICASE 1.5MG $ 3,206.18 REGADENOSON $ 305.10 REGADENOSON 0.4MG/5ML $ 305.09 REMIFENTANIL 1 MG $ 95.57 REPAGLINIDE 0.5 MG $ 322.10 REPAGLINIDE 1 MG $ 204.75 REPAGLINIDE 2 MG $ 251.13 RHO D IMMUN GLOB-MALT 1,500 UN $ 450.50 RHO D IMMUNE GLOBULIN 300MCG $ 176.25 RIFABUTIN 150 MG $ 1,586.33 RIFAMPIN 150 MG $ 1,405.00 RIFAMPIN 300 MG $ 310.79 RIFAMPIN 600 MG $ 165.80 RIFAXIMIN 200 MG $ 194.50 RIFAXIMIN 550MG $ 637.21 RILUZOLE 50 MG TABLET $ 276.00 RISPERIDONE 0.25 MG $ 206.48 RISPERIDONE 0.5 MG $ 243.23 RISPERIDONE 1 MG $ 331.87 RISPERIDONE 1 MG/ML $ 383.33 RITONAVIR 100 MG $ 438.70 RITUXIMAB 10 MG/ML $ 11,152.17 RIVAROXABAN 10 MG TAB $ 154.70 RIVAROXABAN 15 MG TAB $ 160.01 RIVAROXABAN 25 MG TAB $ 141.78 RIVASTIGMINE 13.3MG PATCH $ 216.11 RIVASTIGMINE TARTRATE 1.5 MG $ 354.45 RIVASTIGMINE TARTRATE 3 MG $ 467.67 RIVASTIGMINE TRANSDERMAL 4.6MG $ 247.33 RIVASTIGMINE TRANSDERMAL 9.5MG $ 304.23 RIZATRIPTAN BENZOATE 10 MG $ 97.25 ROCURONIUM BROMIDE 10 MG/ML $ 70.07 ROPINIROLE 0.25 MG $ 233.11 ROPINIROLE 0.5 MG $ 232.02 ROPINIROLE 1 MG $ 239.93 ROPIVACAINE 0.5% 5 MG/ML $ 83.51 ROPIVACAINE 1% 10 MG/ML $ 137.69 ROPIVICAINE 0.5% 30ML $ 65.16 ROPIVICAINE HCL 0.2% INJ 2 MG/ML $ 89.29 ROSUVASTATIN 10 MG $ 135.11 ROSUVASTATIN 20 MG $ 154.00 ROTIGOTINE 1MG/24HR PATCH $ 426.80 ROTIGOTINE 2MG/24 HR PATCH $ 171.60 ROTIGOTINE 3 MG/24 HR PATCH $ 198.50

Page 36: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

ROTIGOTINE 4MG/24 HR PATCH $ 400.00 ROTIGOTINE 6MG/24HR PATCH $ 294.50 SACCHAROMYCES BOULAR 250 MG $ 7.19 SACUBITRIL/VALSARTAN 24/26MG $ 249.72 SACUBITRIL/VALSARTAN 49/51MG $ 203.74 SACUBITRIL/VALSARTAN 97/103MG $ 176.00 SALINE BACTERIOSTATIC 0.9 % $ 238.25 SALSALATE 750MG TABLET $ 68.00 SCOPOLAMINE BASE 1.5 MG $ 57.88 SELEGILINE 5 MG $ 251.62 SENNA 8.6 MG $ 173.85 SENNA LEAF EXTRACT 176 MG/5 ML $ 8.50 SENNA W/DOCUSATE 8.6-50 MG $ 0.52 SERTRALINE 100 MG $ 159.73 SERTRALINE 25 MG $ 199.42 SERTRALINE 50 MG $ 152.77 SEVELAMER 800 MG $ 74.00 SEVELAMER CARBONATE 800 MG TABLET $ 534.17 SEVELAMER CARBONATE PKT .8 GM $ 1,036.75 SEVELAMER CARBONATE PKT 2.4GM $ 328.75 SILDENAFIL 20 MG $ 674.62 SILVER NITRATE APPLICATORS $ 50.29 SILVER SULFADIAZINE 1 % $ 78.35 SIMETHICONE 40 MG/0.6 ML $ 84.29 SIMETHICONE 80 MG $ 0.79 SIMVASTATIN 10 MG $ 135.14 SIMVASTATIN 20 MG $ 135.39 SIMVASTATIN 40 MG $ 135.37 SIMVASTATIN 5 MG $ 123.94 SIMVASTATIN 80 MG $ 124.61 SIROLIMUS 0.5MG TAB $ 169.00 SIROLIMUS 1 MG $ 238.43 SITAGLIPTIN 100 MG $ 143.56 SITAGLIPTIN 50 MG $ 262.18 SOD BICARB 150MEQ IN D5W 100ML IV $ 151.65 SOD CITRA-CITRIC ACID 500-334MG $ 37.37 SOD FERR GLUC CPLX 12.5 MG/ML $ 610.60 SODIUM ACETATE 2 MEQ/ML $ 13.63 SODIUM BICARB (INFANT) 4.2% $ 85.00 SODIUM BICARB (PEDS) 1 MEQ/ML $ 127.00 SODIUM BICARB 650 MG $ 309.68 SODIUM BICARB 8.4 % 1 MEQ/ML $ 66.45 SODIUM BICARB 8.4% 1 MEQ/ML $ 90.60 SODIUM CHL 0.45% $ 117.91

Page 37: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

SODIUM CHL 0.45% + KCL 20 MEQ $ 178.41 SODIUM CHL 0.65 % $ 2.58 SODIUM CHL 0.65% $ 4.04 SODIUM CHL 0.9 % (RESP) $ 32.00 SODIUM CHL 0.9% (IRRIG) $ 122.00 SODIUM CHLORIDE 0.9% 100 ML MINI $ 8.11 SODIUM CHLORIDE 0.9% 50ML MINI BA $ 23.31 SODIUM CHLORIDE 23.4% 4 MEQ/ML $ 32.68 SODIUM CHLORIDE 3 % (HYPERT) $ 134.45 SODIUM CHLORIDE 5 % $ 43.67 SODIUM CHLORIDE 5% $ 62.33 SODIUM CHLORIDE 500 MG $ 0.88 SODIUM CHLORIDE FLUSH $ 37.04 SODIUM CHLORIDE-ALOE VERA $ 3.07 SODIUM HYPOCHLORITE 0.125% $ 88.17 SODIUM HYPOCHLORITE 0.25 $ 89.32 SODIUM HYPOCHLORITE 0.5% $ 97.89 SODIUM PHOSPHATE 3 MMOL/ML $ 162.40 SODIUM PHOSPHATES $ 1.50 SODIUM POLYSTYRENE 15 GM $ 75.81 SODIUM THIOSULFATE 25 % $ 970.67 SOLIFENACIN $ 192.51 SORBITOL 70 % 70 GM/100 ML $ 99.75 SOTALOL 120 MG $ 188.07 SOTALOL 80 MG $ 209.87 SPIRONOLACTONE 25 MG $ 136.30 SPIRONOLACTONE 50 MG $ 149.82 SPIRONOLACTON-HCTZ 25-25 MG $ 142.86 STERILE TALC 5 $ 270.00 SUCCINYLCHOLINE CHL 20 MG/ML $ 53.50 SUCRALFATE 1 GM $ 277.18 SUGAMMADEX 100MG/ML 2ML VIAL $ 209.20 SUGAMMADEX 500MG/5ML $ 139.58 SULFACETAMIDE SODIUM 10 % $ 173.40 SULFADIAZINE 500 MG $ 653.00 SULFASALAZINE 500 MG $ 230.16 SULINDAC 150 MG $ 81.50 SULINDAC 200 MG $ 66.50 SUMATRIPTAN SUCCINATE 25 MG $ 177.29 SUMATRIPTAN SUCCINATE 6 MG $ 185.00 SWEET-EASE (SUCROSE SOLUTION) $ 0.67 TACROLIMUS 0.03 % $ 650.00 TACROLIMUS 0.5 MG $ 262.67 TACROLIMUS 1 MG $ 412.10

Page 38: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

TACROLIMUS 5 MG $ 54.00 TALC INTRAPLEURAL PWDR 4G VIAL $ 563.00 TAMOXIFEN CITRATE 10 MG $ 107.79 TAMSULOSIN 0.4 MG $ 154.76 TARPENTADOL 50MG TABLET $ 310.93 TBO FILGRASTIM 300MCG/0.5 ML SYRI $ 830.49 TBO FILGRASTIM 480MCG/0.8ML SYR $ 1,608.73 TDAP VACCINE $ 96.23 TEMAZEPAM 15 MG $ 91.27 TEMAZEPAM 7.5 MG $ 85.85 TENECTEPLASE 50 MG $ 1,305.67 TENOFOVIR ALAFENAMIDE 25MG TAB $ 297.00 TENOFOVIR DISOPROXIL FUM 300 $ 116.17 TERAZOSIN 1 MG $ 169.18 TERAZOSIN 10 MG $ 145.75 TERAZOSIN 5 MG $ 124.35 TERBINAFINE 250 MG $ 102.07 TERBINAFINE HCL 1 % $ 263.50 TERBUTALINE INJ 1 MG/ML $ 68.39 TERCONAZOLE 0.8 % $ 132.00 TETANUS & DIPH TOX-PF 5-2 LF UN $ 76.00 TETANUS IMMUN GLOB 250 UN/ML $ 500.50 TETRACAINE HCL 0.5 % $ 59.18 TETRAHYDROZOLINE HCL 0.05 % $ 49.18 THEOPHYLLIN ORAL SOLN 80MG/15ML 1 $ 126.00 THEOPHYLLINE 100 MG $ 213.57 THEOPHYLLINE 200 MG $ 247.07 THEOPHYLLINE 300 MG $ 279.33 THEOPHYLLINE 400 MG $ 143.45 THEOPHYLLINE 600 MG $ 34.00 THERAPEUTIC MULTIVITAMIN $ 0.49 THIAMINE HCL 100 MG $ 153.58 THIAMINE HCL 100 MG/ML $ 90.59 THROMBIN 5,000 UNIT $ 179.19 THROMBIN TOP RECOMB 5000IU PDR $ 135.00 THYROID 120 MG $ 33.00 THYROID 15 MG $ 49.50 THYROID 30 MG $ 122.66 THYROID 60 MG $ 74.78 TICAGRELOR 90MG TABLET $ 198.23 TIGECYCLINE 50 MG $ 808.70 TIMOLOL 0.5 % $ 224.67 TIMOLOL MALEATE (GFS) 0.25 % $ 145.50 TIMOLOL MALEATE (GFS) 0.5 % $ 143.29

Page 39: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

TIMOLOL MALEATE 0.25 % $ 79.42 TIMOLOL MALEATE 0.5 % $ 91.89 TIOTROPIUM BROMIDE 18 MCG $ 113.77 TIROFIBAN-0.9% SODIUM CHLORIDE $ 1,073.57 TIZANIDINE 2 MG $ 233.86 TIZANIDINE 4 MG $ 257.50 TOBRAMYCIN 300 MG/5 ML $ 1,601.94 TOBRAMYCIN 40MG/ML 30ML $ 52.00 TOBRAMYCIN IN NS 80 MG/100 ML $ 341.00 TOBRAMYCIN SULFATE 0.3 % $ 252.00 TOBRAMYCIN SULFATE 1.2 GM $ 262.29 TOBRAMYCIN SULFATE 40 MG/ML $ 268.62 TOBRAMYCIN-DEXAMETHASONE $ 531.64 TOCOPHEROL 400 UNIT $ 120.27 TOLNAFTATE 1 % $ 25.00 TOLTERODINE TARTRATE 1 MG $ 130.33 TOLTERODINE TARTRATE 2 MG $ 162.71 TOLTERODINE TARTRATE 4 MG $ 174.70 TOLVAPTAN 30MG TABLET $ 503.66 TOLVAPTIN 15MG $ 458.72 TOPIRAMATE 100 MG $ 228.48 TOPIRAMATE 200 MG $ 226.04 TOPIRAMATE 25 MG $ 198.60 TOPOTECAN 4 MG $ 1,787.00 TORSEMIDE 10 MG $ 135.80 TORSEMIDE 100 MG $ 145.71 TORSEMIDE 20 MG $ 144.96 TORSEMIDE 5 MG $ 80.50 TRAMADOL 50 MG $ 163.74 TRAMADOL-ACETAMIN 37.5-325 MG $ 108.16 TRANDOLAPRIL 1 MG $ 119.79 TRANEXAMIC ACID 650 MG $ 130.00 TRANEXAMIC ACID INJECTION $ 152.64 TRASTUZUMAB 440 MG $ 8,208.75 TRAVOPROST 0.004% OPHTH 2.5ML $ 277.27 TRAZODONE 100 MG $ 122.81 TRAZODONE 50 MG $ 132.87 TRIAMCINOLONE ACET 0.025% $ 74.39 TRIAMCINOLONE ACET 0.1 % $ 192.00 TRIAMCINOLONE ACET 0.1% $ 75.67 TRIAMCINOLONE ACET 0.5 % $ 104.93 TRIAMCINOLONE ACET 40 MG/ML $ 57.77 TRIAMTERENE-HCTZ 37.5-25 MG $ 87.60 TRIAMTERENE-HCTZ 75-50 MG $ 104.68

Page 40: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

TRIFLUOPERAZINE 5 MG $ 254.33 TRIFLURIDINE 1 % $ 484.00 TRIHEXYPHENIDYL 2 MG $ 331.25 TRIMETHOBENZAMIDE 100 MG/ML $ 79.33 TRIMETHOP-POLYMYXIN B $ 78.29 TRIMETHOPRIM 100 MG $ 128.00 TRIMETHOPRIM-SULFAM 160-800 MG $ 76.19 TRIMETHOPRIM-SULFAM 80 MG $ 148.59 TRIMETHOP-SULFAMET 40-200 MG $ 48.73 TROPICAMIDE 1 % $ 137.57 TUBERCULIN PPD 5 UNIT/0.1 ML $ 55.74 URSODIOL 250 MG $ 205.78 URSODIOL 300 MG $ 264.41 VALACYCLOVIR 500 MG $ 171.64 VALGANCICLOVIR 450 MG $ 612.00 VALPROATE INJ 100 MG/ML $ 529.31 VALPROATE SODIUM 250 MG/5 ML $ 532.13 VALPROIC ACID 250 MG $ 194.58 VALSARTAN 160 MG $ 128.62 VALSARTAN 320MG $ 133.80 VALSARTAN 40 MG $ 105.46 VALSARTAN 80 MG $ 100.51 VALSARTAN HCTZ 320/25MG $ 126.84 VALSARTAN HTCZ 320-12.5MG $ 116.18 VALSARTAN-HCTZ 160-12.5 MG $ 86.96 VALSARTAN-HCTZ 80-12.5 MG $ 89.67 VANCOMYCIN $ 708.07 VANCOMYCIN 1GM IN 259ML NS $ 148.43 VANCOMYCIN IN DEXT 1 GM/200 ML $ 308.76 VANCOMYCIN INJ (BULK) 5 GM $ 177.01 VANCOMYCIN INJ 1,000 MG $ 497.32 VANCOMYCIN INJ 500 MG $ 228.42 VANCOMYCIN RECTAL ENEMA 500MG $ 3,208.07 VASOPRESSIN 20 UNIT/ML $ 463.84 VECURONIUM BROMIDE 10 MG $ 68.93 VENLAFAXINE $ 123.30 VENLAFAXINE 150 MG $ 151.52 VENLAFAXINE 25 MG $ 117.50 VENLAFAXINE 37.5 MG $ 138.75 VENLAFAXINE 75 MG $ 138.39 VERAPAMIL 180MG/24HR CAP $ 48.00 VERAPAMIL 40 MG $ 221.20 VERAPAMIL 80 MG $ 195.96 VERAPAMIL HS 240 MG $ 75.75

Page 41: Description Price ABACAVIR 300 MG $ 201.00 ACARBOSE 25 MG ... · description price abacavir 300 mg $ 201.00 acarbose 25 mg tab $ 33.00 acarbose 50 mg $ 506.71 acebutolol 200 mg $

VERAPAMIL INJ 2.5 MG/ML $ 72.46 VERAPAMIL PM 100 MG $ 102.94 VERAPAMIL SR 120 MG $ 108.93 VERAPAMIL SR 180 MG $ 162.67 VERAPAMIL SR 240 MG $ 114.77 VERCURONIUM BR 20MG $ 59.00 VINBLASTINE 1 MG/ML $ 203.00 VINCRISTINE 1 MG/ML $ 469.50 VITAMIN A AND D $ 3.00 VITAMIN A&D TOPICAL-OINT 113G $ 71.00 VITAMIN D DROPS 400 IU 50 ML $ 32.00 VITAMINS A AND D UD $ 329.00 VORICONAZOLE 200 MG $ 1,003.75 VORICONAZOLE INJ 200 MG $ 1,226.00 WARFARIN SODIUM 1 MG $ 57.34 WARFARIN SODIUM 10 MG $ 66.95 WARFARIN SODIUM 2 MG $ 74.06 WARFARIN SODIUM 2.5 MG $ 63.50 WARFARIN SODIUM 3 MG $ 70.20 WARFARIN SODIUM 4 MG $ 53.98 WARFARIN SODIUM 5 MG $ 68.55 WARFARIN SODIUM 7.5 MG $ 59.47 WATER FOR INJECTION $ 49.76 WHITE PETROLATUM $ 2.75 WITCH HAZEL GLYCERIN PADS $ 0.60 ZAFIRLUKAST 20 MG $ 674.50 ZIDOVUDINE 100 MG $ 161.50 ZINC OXIDE 16% $ 49.67 ZINC OXIDE 20 % $ 57.07 ZINC SULFATE 220 MG $ 296.96 ZIPRASIDONE HCL 20 MG $ 260.15 ZIPRASIDONE HCL 80 MG $ 216.73 ZIPRASIDONE INJ 20 MG $ 105.92 ZOLEDRONIC ACID 4MG $ 925.00 ZOLEDRONIC ACID/MANNITOL 5MG $ 1,019.25 ZOLMITRIPTAN 5 MG $ 125.00 ZOLPIDEM TARTRATE 5 MG $ 114.55 ZONISAMIDE 100 MG $ 140.58 ZONISAMIDE 25 MG $ 114.50