Per Charge Collected Base Cost (mL, · 2019. 1. 2. · CDM. PRODUCT NDC Strength Charge Collected Type Base Cost (mL, each, gm) Per Dispense Unit Final Price 6340387: acetaminophen

CDM PRODUCT NDC StrengthCharge Collected

TypeBase Cost (mL,

each, gm)

Per Dispense

Unit Final Price6340387 acetaminophen 10 mg/mL Sol 100 mL Vial [CHKS] 43825-0102-01 1000.000 mg On Admin 0.3752 65.66 65.662640311 acetaminophen 120 mg Sup UD [CHKS] 00713-0118-12 120.000 mg On Admin 0.38 0.67 12643147 acetaminophen 160 mg/5 mL Oral Liq [CHKS] 00121-0657-00 160.000 mg On Admin 0.21 1.84 1.842641845 acetaminophen 160 mg/5 mL SUSP [CHKS] 68094-0593-62 160.000 mg On Admin 0.21 1.84 1.842641845 acetaminophen 160 mg/5 mL SUSP [CHKS] 50580-0223-02 160.000 mg On Admin 0.12 1.05 1.052641845 acetaminophen 160 mg/5 mL SUSP [CHKS] 68094-0587-61 160.000 mg On Admin 0.1468 1.28 1.282640312 acetaminophen 325 mg Supp [CHKS] 00713-0164-12 325.000 mg On Admin 0.43 0.75 12640559 acetaminophen 325 mg Tab [CHKS] 00904-1982-61 325.000 mg On Admin 0.02 0.04 12640649 acetaminophen 500 mg Tab [CHKS] 00904-1988-61 500.000 mg On Admin 0.03 0.05 12640649 acetaminophen 500 mg Tab [CHKS] 00904-6730-61 500.000 mg On Admin 0.0251 0.04 12640313 acetaminophen 650 mg Supp [CHKS] 00713-0165-12 650.000 mg On Admin 0.42 0.73 12641153 acetaminophen-codeine 300 mg-30 mg Tab [CHKS] 00406-0484-62 1.000 tab(s) On Admin 0.13 0.23 12641404 acetaminophen-HYDROcodone 325 mg-5 mg Tab [CHKS] 68084-0895-09 1.000 tab(s) On Admin 0.18 0.32 12641404 acetaminophen-HYDROcodone 325 mg-5 mg Tab [CHKS] 00406-0123-62 1.000 tab(s) On Admin 0.18 0.32 12642719 acetaminophen-hydrocodone 325 mg-7.5 mg/15 mL Sol 00121-0772-04 15.000 mL On Admin 0.32346 8.49 8.492642719 acetaminophen-HYDROcodone 325 mg-7.5 mg/15 mL Sol 15 mL [CHKS] 64376-0640-40 15.000 mL On Admin 0.32788 8.61 8.612640602 acetaminophen-oxyCODONE 325 mg-5 mg Tab [CHKS] 68084-0355-01 1.000 tab(s) On Admin 0.19 0.33 1

2640777 acetylcholine ophthalmic 1% Pwdr for Recon 1 EA [CHKS] 24208-0539-20 1.000 EAOn

Dispense/Manual 79.45 139.04 139.042641120 acetylcysteine 20% Inh Sol 30 mL [CHKS] 00409-3308-03 6000.000 mg On Admin 0.31 16.28 16.286340724 acyclovir 50 mg/mL IV Sol 10 mL [CHKS] 55150-0154-11 500.000 mg On Admin 0.32 5.6 5.62640750 acyclovir 800 mg Tab 68084-0109-01 800.000 mg On Admin 4.55 7.96 7.962640750 acyclovir 800 mg Tab [CHKS] 00093-8947-01 800.000 mg On Admin 4.22 7.38 7.386340981 adenosine 3 mg/mL IV Sol 2 mL [CHKS] 17478-0542-02 6.000 mg On Admin 2.88 10.08 10.086340981 adenosine 3 mg/mL IV Sol 2 mL [CHKS] 63323-0651-02 6.000 mg On Admin 2.88 10.08 10.08

2640444Al hydroxide/Mg hydroxide/simethicone 200 mg-200 mg-20 mg/5 mL Oral Susp 355 mL

[CHKS] 24385-0357-40 30.000 mL On Admin 0.05 2.62 2.622640444 Al hydroxide/Mg hydroxide/simethicone 200 mg-200 mg-20 mg/5 mL Sus 00904-0004-14 30.000 mL On Admin 0.0079 0.41 16340862 albumin human 25% IV Sol 100 mL Vial [CHKS] 76179-0025-04 25.000 gm On Admin 0.84 147 1476340862 albumin human 25% IV Sol 100 mL Vial [CHKS] 44206-0251-10 25.000 gm On Admin 0.8106 141.86 141.86

2641763 albuterol 0.042% Inhalation Sol 3 mL [CHKS] 00487-9904-01 1.250 mg On Admin 0.1952 1.02 1.022641339 albuterol 0.083% Inh Sol 3 mL [CHKS] 00487-9501-01 2.500 mg On Admin 0.05 0.26 12641339 albuterol 0.083% Inh Sol 3 mL [CHKS] 76204-0200-25 2.500 mg On Admin 0.45 2.36 2.362641463 albuterol 0.63 mg/3 mL (0.021%) Inh Sol UD[CHKS] 00591-3467-53 0.630 mg On Admin 0.2729 1.43 1.432641463 albuterol 0.63 mg/3 mL (0.021%) Sol 00487-0301-01 0.630 mg On Admin 0.5533 2.9 2.9

2640295 albuterol 5 mg/mL Sol 20 mL [CHKS] 24208-0347-20 100.000 mgOn

Dispense/Manual 1.2 42 42

2640295 albuterol 5 mg/mL Sol 20 mL [CHKS] 50383-0741-20 100.000 mgOn

Dispense/Manual 1.1985 41.95 41.95

2640431 albuterol 90 mcg/inh Aer 00173-0682-20 1.000 puff(s)On


2640431 albuterol 90 mcg/inh Aer 00173-0682-24 1.000 puff(s)On


2640431 albuterol CFC free 90 mcg/inh Inh Aer w/Adapt 8 gm [CHKS] 00173-0682-21 1.000 puff(s)On


2642187 albuterol-ipratropium CFC free 100 mcg-20 mcg/inh Aer [CHKS] 00597-0024-02 1.000 puff(s)On

Dispense/Manual 70.78 495.46 495.462641562 albuterol-ipratropium Inh Sol 3 mL [CHKS] 00487-0201-01 3.000 mL On Admin 0.1 0.53 12641569 alendronate 70 mg Tab 65862-0329-04 70.000 mg On Admin 1.88 3.29 3.292641569 alendronate 70 mg Tab [CHKS] 00093-5171-44 70.000 mg On Admin 1.88 3.29 3.292641569 alendronate 70 mg Tab [CHKS] 16252-0601-44 70.000 mg On Admin 1.88 3.29 3.292640314 allopurinol 100 mg Tab UD [CHKS] 51079-0205-20 100.000 mg On Admin 0.27 0.47 12640314 allopurinol 100 mg Tab UD [CHKS] 00904-6571-61 100.000 mg On Admin 0.2393 0.42 12640725 ALPRAZolam 0.5 mg Tab 51079-0789-20 0.500 mg On Admin 0.7597 1.33 1.332640725 ALPRAZolam 0.5 mg Tab [CHKS] 68084-0672-01 0.500 mg On Admin 0.04 0.07 16340044 alteplase 100 mg IV Inj [CHKS] 50242-0085-27 100.000 mg On Admin 8268.93 9922.72 9922.726340045 alteplase 2 mg IV Inj Vial [CHKS] 50242-0041-64 2.000 mg On Admin 68.48 119.84 119.842640565 amantadine 100 mg Cap 51079-0247-20 100.000 mg On Admin 3.297 5.77 5.772640565 amantadine 100 mg Cap [CHKS] 50268-0069-15 100.000 mg On Admin 1.93 3.38 3.386340070 aminophylline 25 mg/mL IV Sol 10 mL [CHKS] 00409-5921-01 250.000 mg On Admin 1.05 18.38 18.386340071 aminophylline 25 mg/mL IV Sol 20 mL [CHKS] 00409-5922-01 500.000 mg On Admin 0.3094 10.83 10.832641371 amiodarone 200 mg Tab UD [CHKS] 68084-0371-01 200.000 mg On Admin 0.2 0.35 16340365 amiodarone 360 mg/200 mL-D5% Sol [CHKS] 43066-0360-20 360.000 mg On Admin 0.22 77 776340970 amiodarone 50 mg/mL IV Sol 3 mL [CHKS] 63323-0616-03 150.000 mg On Admin 0.35 1.84 1.84

6340970 amiodarone 50 mg/mL Sol 55150-0180-03 150.000 mg On Admin 1 5.25 5.252640620 amitriptyline 25 mg Tab UD [CHKS] 51079-0107-20 25.000 mg On Admin 0.19 0.33 12641553 amLODIPine 5 mg Tab 00904-6370-61 5.000 mg On Admin 1.6429 2.88 2.882641553 Amlodipine Besylate 5 mg Tab [CHKS] 51079-0451-20 5.000 mg On Admin 0.14 0.25 12641553 Amlodipine Besylate 5 mg Tab [CHKS] 60687-0263-01 5.000 mg On Admin 0.3855 0.67 1

2642582 amoxicillin 400 mg/5 mL Oral Liq [CHKS] 00143-9887-75 6000.000 mgOn


2642582 amoxicillin 400 mg/5 mL Pow 00781-6157-57 6000.000 mgOn





Dispense/Manual 0.09733 12.77 12.772640318 amoxicillin 500 mg Cap [CHKS] 00093-3109-53 500.000 mg On Admin 0.12 0.21 12641284 amoxicillin-clavulanate 400 mg-57 mg/5 mL Pow [CHKS] 66685-1012-00 400.000 mg On Admin 0.12 1.05 1.052641263 amoxicillin-clavulanate 875 mg-125 mg Tab [CHKS] 66685-1001-01 875.000 mg On Admin 0.5 0.88 16340075 ampicillin 2 g Inj Vial [CHKS] 00781-9408-95 2.000 gm On Admin 2.62 4.58 4.586340075 ampicillin 2 g Pow 67457-0352-10 2.000 gm On Admin 15.92 27.86 27.866340074 ampicillin 500 mg Inj [CHKS] 00781-9407-95 500.000 mg On Admin 0.75 1.31 1.312641902 Antioxidant Multiple Vitamins and Minerals Tab [CHKS] 00904-2641-13 1.000 tab(s) On Admin 0.03 0.05 16340857 antivenin (Crotalidae) polyvalent - Pow [CHKS] 50633-0110-12 1.000 vial(s) On Admin 2695.25 3234.3 3234.32650011 apixaban 2.5 mg Tab [CHKS] 00003-0893-31 2.500 mg On Admin 4.67 8.17 8.172641527 arformoterol 15 mcg/2 mL Sol [CHKS] 63402-0911-30 15.000 mcg On Admin 5.2 18.2 18.22641008 aspirin 325 mg Oral EC Tab [CHKS] 68084-0848-25 325.000 mg On Admin 1 1.75 1.752640020 aspirin 81 mg Chew Tab [CHKS] 00904-4040-73 81.000 mg On Admin 0.02 0.04 12640240 aspirin 81 mg Oral EC Tab [CHKS] 63739-0522-10 81.000 mg On Admin 0.03 0.05 12640020 aspirin 81 mg Tab 66553-0002-01 81.000 mg On Admin 0.06226 0.11 12640542 atenolol 50 mg Tab 51079-0684-20 50.000 mg On Admin 0.5915 1.04 1.042640542 atenolol 50 mg Tab UD [CHKS] 62584-0467-01 50.000 mg On Admin 0.899 1.57 1.572640715 atorvastatin 40 mg Tab [CHKS] 68084-0099-01 40.000 mg On Admin 0.4064 0.71 16340081 atropine 1 mg/mL Inj Sol 1 mL [CHKS] 00517-1010-25 1.000 mg On Admin 5 8.75 8.75

2642931 atropine ophthalmic 1% Sol Drops [CHKS] 17478-0215-02 2.000 mLOn

Dispense/Manual 11.88 41.58 41.582640681 atropine-diphenoxylate 0.025 mg-2.5 mg Tab 62559-0490-01 1.000 tab(s) On Admin 0.5 0.88 1

2640681 atropine-diphenoxylate 0.025 mg-2.5 mg Tab [CHKS] 59762-1061-01 1.000 tab(s) On Admin 0.19 0.33 1

2642487atropine/hyoscyamine/PB/scopolamine 0.0194 mg-0.1037 mg-16.2 mg-0.0065 mg/5

mL Elixir 5 mL [CHKS] 59212-0423-04 5.000 mL On Admin 2.9 25.38 25.38

2642487atropine/hyoscyamine/PB/scopolamine 0.0194 mg-0.1037 mg-16.2 mg-0.0065 mg/5

mL Elixir 5 mL [CHKS] 71914-0162-04 5.000 mL On Admin 1.5219 13.32 13.32

2641334 azithromycin 200 mg/5 mL Oral Liq 30 mL [CHKS] 59762-3140-01 200.000 mgOn


2641334 azithromycin 200 mg/5 mL Pow 00093-2026-31 200.000 mgOn

Dispense/Manual 0.85 44.62 44.622641458 azithromycin 250 mg Tab 50268-0098-15 250.000 mg On Admin 1.55 2.71 2.712641458 azithromycin 250 mg Tab [CHKS] 68084-0278-01 250.000 mg On Admin 1.13 1.98 1.982641458 azithromycin 250 mg Tab [CHKS] 60687-0282-01 250.000 mg On Admin 1.1278 1.97 1.976340079 azithromycin 500 mg IV Inj [CHKS] 63323-0398-12 500.000 mg On Admin 2.6 4.55 4.552640734 bacitracin Top 500 units/g Oint Packet [CHKS] 45802-0060-70 1.000 app On Admin 0.14 0.25 1

2642408bacitracin/HC/neomycin/polymyxin B ophthalmic 400 units-10 mg-3.5 mg-10000

units/g Oin 24208-0785-55 1.000 appOn

Dispense/Manual 4 24.5 24.52640323 baclofen 10 mg Tab [CHKS] 68084-0855-01 10.000 mg On Admin 0.36 0.63 12642056 barium sulfate 2% Sus 450mL [CHKS] 32909-0715-03 450.000 mL On Admin 0.0367 28.9 28.96340816 belimumab 400 mg Pow Vial [CHKS] 49401-0102-01 400.000 mg On Admin 1701.78 2042.14 2042.142641351 benazepril 10 mg Tab [CHKS] 51079-0145-20 10.000 mg On Admin 0.52 0.91 1

2640503 benoxinate-fluorescein Ophth Sol [CHKS] 54799-0508-05 1.000 drop(s)On


2640461 benzocaine Top 20% Spray 56 gm [CHKS] 75137-8552-00 1.000 spray(s)On

Dispense/Manual 4.82 472.36 472.362640563 benzonatate 100 mg Cap [CHKS] 00904-5904-60 100.000 mg On Admin 0.22 0.39 12640563 benzonatate 100 mg Cap [CHKS] 60687-0346-01 100.000 mg On Admin 0.3378 0.59 12640339 benztropine 0.5 mg Tab 68084-0381-01 0.500 mg On Admin 0.11 0.19 12640339 benztropine 0.5 mg Tab [CHKS] 00603-2433-21 0.500 mg On Admin 0.1 0.18 16340320 betamethasone 6 mg/mL Inj Susp 5 mL MDV [CHKS] 00517-0720-01 30.000 mg On Admin 6.97 60.99 60.992640329 bisacodyl 10 mg Sup 00904-5058-12 10.000 mg On Admin 0.2 0.35 12640329 bisacodyl 10 mg Supp [CHKS] 00713-0109-12 10.000 mg On Admin 0.2 0.35 12640054 bisacodyl 5 mg Oral EC Tab [CHKS] 00904-6407-61 5.000 mg On Admin 0.03 0.05 1

2641872 brimonidine Ophth 0.1% Sol 5 mL [CHKS] 00023-9321-05 1.000 appOn


2642016 budesonide 0.25 mg/2 mL Inh Susp [CHKS] 00093-6815-73 0.250 mg On Admin 3.31 11.59 11.592642016 budesonide 0.25 mg/2 mL Sus 00487-9601-01 0.250 mg On Admin 4.74367 16.6 16.62642017 budesonide 0.5 mg/2 mL Inh Susp [CHKS] 00591-3768-30 0.500 mg On Admin 1.91 6.69 6.692642017 budesonide 0.5 mg/2 mL Inh Susp [CHKS] 00487-9701-01 0.500 mg On Admin 5.58 19.53 19.532640788 bumetanide 0.25 mg/mL Inj Sol 4 mL Vial [CHKS] 00641-6008-10 1.000 mg On Admin 0.4208 2.95 2.952640788 bumetanide 0.25 mg/mL Inj Sol 4 mL Vial [CHKS] 00641-6161-10 1.000 mg On Admin 0.4207 2.94 2.942640764 bumetanide 1 mg Tab [CHKS] 00185-0129-01 1.000 mg On Admin 0.64 1.12 1.122640764 bumetanide 1 mg Tab [CHKS] 00832-0541-11 1.000 mg On Admin 0.3177 0.56 12640441 bupivacaine 0.25% PF Inj Sol 10 mL [CHKS] 00409-1159-01 25.000 mg On Admin 0.1 1.75 1.752640441 bupivacaine 0.25% PF Inj Sol 10 mL [CHKS] 00409-1559-30 25.000 mg On Admin 0.09 1.57 1.572640441 bupivacaine 0.25% PF Inj Sol 10 mL [CHKS] 00409-1559-10 25.000 mg On Admin 0.2452 4.29 4.292641575 bupivacaine 0.5% Inj Sol 50 mL [CHKS] 63323-0467-57 50.000 mL On Admin 0.06 5.25 5.252640515 bupivacaine 0.5% PF Inj Sol 30 mL [CHKS] 63323-0466-17 150.000 mg On Admin 0.44 23.1 23.12640515 bupivacaine 0.5% preservative-free Sol 55150-0169-10 150.000 mg On Admin 0.2208 11.59 11.592642129 bupivacaine-EPINEPHrine 0.25%-1:200,000 PF Inj Sol 30 mL [CHKS] 00409-9042-17 75.000 mg On Admin 0.07 3.68 3.682640776 bupivacaine-epinephrine 0.5%-1:200,000 preservative-free Sol [CHKS] 63323-0462-17 10.000 mL On Admin 0.8 14 142641329 buPROPion ER 150 mg Tab [CHKS] 51079-0392-20 150.000 mg On Admin 0.67 1.17 1.172641162 busPIRone 5 mg Tab [CHKS] 51079-0985-20 5.000 mg On Admin 1 1.75 1.75

2641051 cadexomer iodine Top 0.9% gel 40 gm[CHKS] 40565-0122-49 1.000 appOn

Dispense/Manual 1.0796 75.57 75.572642609 calcium carbonate 750 mg Chew Tab [CHKS] 00135-0456-03 750.000 mg On Admin 0.06 0.1 12640331 calcium chloride 100 mg/mL Inj Syringe 10 mL [CHKS] 00409-1631-10 1000.000 mg On Admin 0.77 13.47 13.472640331 calcium chloride 100 mg/mL Sol 00409-4928-34 1000.000 mg On Admin 1.0236 17.91 17.916340592 calcium gluconate 100 mg/mL Inj Sol 10 mL Vial [CHKS] 63323-0311-19 1000.000 mg On Admin 0.41 7.18 7.186340592 calcium gluconate 100 mg/mL Sol 63323-0360-19 1000.000 mg On Admin 1.098 19.21 19.212641843 calcium-vitamin D 315 mg-250 intl units Tab [CHKS] 00904-5272-60 1.000 tab(s) On Admin 0.02 0.04 12640869 carBAMazepine ER 200 mg Tab UD [CHKS] 68084-0561-21 200.000 mg On Admin 2.728 4.77 4.772640570 carbidopa-levodopa 25 mg-100 mg Tab [CHKS] 68084-0093-01 1.000 tab(s) On Admin 0.16 0.28 12640535 carboprost 250 mcg/mL Inj Sol 1 mL [CHKS] 00009-0856-08 250.000 mcg On Admin 247.6 433.3 433.32641548 carvedilol 12.5 mg Tab [CHKS] 68084-0865-01 12.500 mg On Admin 0.1 0.18 12641594 carvedilol 25 mg Tab [CHKS] 68084-0876-01 25.000 mg On Admin 0.08 0.14 12641552 carvedilol 3.125 mg Tab [CHKS] 00904-6300-61 3.125 mg On Admin 0.08 0.14 16340275 ceFAZolin 1 g Inj [CHKS] 00409-2585-01 1.000 gm On Admin 13.61 23.82 23.82

2641530 cefdinir 125 mg/5 mL Oral Susp 100 mL [CHKS] 68180-0722-10 2500.000 mgOn

Dispense/Manual 0.09 15.75 15.756340093 cefTAZidime 1 g Inj Vial [CHKS] 25021-0127-20 1.000 gm On Admin 4.27 7.47 7.476340093 cefTAZidime 1 g Inj Vial [CHKS] 00409-5092-16 1.000 gm On Admin 5 8.75 8.756340093 cefTAZidime 1 g Pow 00409-5082-16 1.000 gm On Admin 5.5 9.62 9.626340310 cefTRIAXone 1 g Inj [CHKS] 00409-7333-04 1.000 gm On Admin 3.31 5.79 5.796340310 cefTRIAXone 1 g Inj [CHKS] 00409-7332-01 1.000 gm On Admin 1.428 2.5 2.56340310 cefTRIAXone 1 g Inj [CHKS] 60505-0752-04 1.000 gm On Admin 22.42 39.23 39.236340310 cefTRIAXone 1 g Inj [CHKS] 00409-7333-49 1.000 gm On Admin 3.316 5.8 5.86340310 cefTRIAXone 1 g Pow 64679-0983-02 1.000 gm On Admin 15.33 26.83 26.836340310 cefTRIAXone 1 g Pow 00409-7332-20 1.000 gm On Admin 1.8 3.15 3.156340267 cefTRIAXone 250 mg Inj [CHKS] 00409-7337-01 250.000 mg On Admin 11.16 19.53 19.536340267 cefTRIAXone 250 mg Inj [CHKS] 00409-7337-20 250.000 mg On Admin 0.667 1.17 1.176340248 cefTRIAXone 500 mg Inj Vial [CHKS] 00781-3207-95 500.000 mg On Admin 22.33 39.08 39.086340248 cefTRIAXone 500 mg Inj Vial [CHKS] 00409-7338-01 500.000 mg On Admin 1.21 2.12 2.126340248 cefTRIAXone 500 mg Pow 00409-7338-20 500.000 mg On Admin 1.14 2 22640888 celecoxib 200 mg Cap [CHKS] 00904-6503-61 200.000 mg On Admin 4.79 8.38 8.382640335 cephalexin 500 mg Cap [CHKS] 00093-3147-01 500.000 mg On Admin 1 1.75 1.752640335 cephalexin 500 mg Cap [CHKS] 60687-0163-01 500.000 mg On Admin 0.25 0.44 12641591 cetirizine 10 mg Tab 51079-0597-20 10.000 mg On Admin 2.494 4.36 4.362641591 cetirizine 10 mg Tab 60687-0165-01 10.000 mg On Admin 2.2776 3.99 3.992641591 cetirizine 10 mg Tab [CHKS] 00904-5852-61 10.000 mg On Admin 0.11 0.19 12641656 charcoal 25 g Oral Susp 120 mL [CHKS] 66689-0202-04 120.000 mL On Admin 0.13 27.3 27.32640784 charcoal 50 g Oral Susp 240 mL [CHKS] 66689-0202-08 50.000 gm On Admin 0.08 33.6 33.62640748 charcoal-sorbitol 25 g Oral Susp 120 mL [CHKS] 00574-0120-74 25.000 gm On Admin 0.11 23.1 23.12640748 charcoal-sorbitol 25 g Sus 00574-0120-04 25.000 gm On Admin 0.13917 29.23 29.232640126 charcoal-sorbitol 50 g Oral Susp 240 mL [CHKS] 00574-0120-76 50.000 gm On Admin 0.08 33.6 33.62641218 chlorpheniramine-HYDROcodone 8 mg-10 mg/5 mL Oral Susp, ER 115 mL [CHKS] 62175-0490-64 115.000 mL On Admin 0.36 18.9 18.92641478 cholecalciferol 1000 intl units Tab [CHKS] 00904-5824-60 1000.000 unit(s) On Admin 0.02 0.04 12641478 cholecalciferol 1000 intl units Tab[CHKS] 00904-5824-61 1000.000 unit(s) On Admin 0.03 0.05 12641114 cholecalciferol 400 intl units Tab 50268-0863-15 400.000 unit(s) On Admin 0.1888 0.33 12641114 cholecalciferol 400 intl units Tab [CHKS] 58526-0005-50 400.000 unit(s) On Admin 0.38 0.67 12640971 cholestyramine 4 g/9 g Pow UD [CHKS] 49884-0465-65 1.000 EA On Admin 0.34 0.6 12642244 chondroitin-glucosamine 400 mg-500 mg oral capsule [CHKS] 00904-5481-18 1.000 cap(s) On Admin 1 1.75 1.75

6340272 ciprofloxacin 400 mg/200 mL D5W IV Sol [CHKS] 36000-0009-24 400.000 mg On Admin 0.02 7 76340272 ciprofloxacin 400 mg/200 mL D5W IV Sol [CHKS] 00409-4777-50 400.000 mg On Admin 0.02 7 76340272 ciprofloxacin 400 mg/200 mL-5% Sol 00409-4777-02 400.000 mg On Admin 0.1975 69.12 69.122641066 ciprofloxacin 500 mg Tab [CHKS] 51079-0182-20 500.000 mg On Admin 0.15 0.26 12641034 citalopram 20 mg Tab [CHKS] 00904-6085-61 20.000 mg On Admin 0.06 0.1 12640223 citric acid-sodium citrate 334 mg-500 mg/5 mL Sol 00121-1190-00 30.000 mL On Admin 0.09924 5.21 5.212640223 citric acid-sodium citrate 334 mg-500 mg/5 mL Sol UD[CHKS] 00121-0595-30 30.000 mL On Admin 0.7 36.75 36.752640619 clindamycin 150 mg Cap [CHKS] 00591-5708-01 150.000 mg On Admin 1.76 3.08 3.082641908 clindamycin 600 mg/50 mL-D5W IV Sol [CHKS] 00781-9221-09 600.000 mg On Admin 0.11 9.62 9.622640792 clonazePAM 0.5 mg Tab 00228-3003-11 0.500 mg On Admin 0.74 1.29 1.292640792 clonazePAM 0.5 mg Tab UD [CHKS] 63739-0263-10 0.500 mg On Admin 1 1.75 1.752640338 cloNIDine 0.2 mg Tab [CHKS] 62584-0339-01 0.200 mg On Admin 1 1.75 1.752640338 cloNIDine 0.2 mg Tab [CHKS] 00904-5657-61 0.200 mg On Admin 0.3 0.53 12640716 clopidogrel 75 mg Tab [CHKS] 68084-0536-01 75.000 mg On Admin 0.16 0.28 1

2640946 clotrimazole Top 1% Cream 15 gm [CHKS] 45802-0434-01 1.000 appOn


2640946 clotrimazole Top 1% Cream 15 gm [CHKS] 51672-2002-01 1.000 appOn


2640876 collagenase Top 250 units/g Oint [CHKS] 50484-0010-30 1.000 appOn

Dispense/Manual 8.6 451.5 451.52641004 cyanocobalamin 100 mcg Tab [CHKS] 50428-2134-47 100.000 mcg On Admin 0.01 0.02 12641005 cyanocobalamin 1000 mcg Tab [CHKS] 00904-4217-13 1000.000 mcg On Admin 1 1.75 1.752641005 cyanocobalamin 1000 mcg Tab [CHKS] 50268-0855-15 1000.000 mcg On Admin 0.1404 0.25 16340225 cyanocobalamin 1000 mcg/mL Inj Sol 1 mL [CHKS] 63323-0044-01 1000.000 mcg On Admin 3.46 6.05 6.052640573 cyclobenzaprine 10 mg Tab UD [CHKS] 51079-0644-20 10.000 mg On Admin 0.06 0.1 1

2642768 cyclopentolate Ophth 1% Sol [CHKS] 00065-0396-02 1.000 drop(s)On


2642768 cyclopentolate Ophth 1% Sol [CHKS] 17478-0100-02 1.000 drop(s)On

Dispense/Manual 0.6154 5.38 5.382641796 dabigatran 75 mg Cap [CHKS] 00597-0149-60 75.000 mg On Admin 5.35 9.36 9.362641796 dabigatran 75 mg Cap [CHKS] 00597-0149-54 75.000 mg On Admin 5.37 9.4 9.42642058 dantrolene 20 mg IV Inj [CHKS] 27505-0003-67 20.000 mg On Admin 61.67 107.92 107.926340231 DAPTOmycin 500 mg IV Inj [CHKS] 67919-0011-01 500.000 mg On Admin 379.2 663.6 663.66340231 DAPTOmycin 500 mg IV Inj [CHKS] 63323-0871-15 500.000 mg On Admin 379.49 664.11 664.11

6341218 degarelix 120 mg Pow-Inj [CHKS] 55566-8403-01 120.000 mg On Admin 750.66 900.79 900.796341227 degarelix 80 mg Pow-Inj [CHKS] 55566-8303-01 80.000 mg On Admin 489.49 856.61 856.616340346 denosumab 120 mg/1.7 mL Sol Vial [CHKS] 55513-0730-01 120.000 mg On Admin 2094.83 4273.45 4273.456340318 denosumab 60 mg/mL Sol 1 mL [CHKS] 55513-0710-01 60.000 mg On Admin 1132.31 1358.77 1358.776340887 dexamethasone 10 mg/mL Inj Sol [CHKS] 63323-0506-01 10.000 mg On Admin 1.62 2.83 2.836340888 dexamethasone 4 mg/mL Inj Sol 1 mL [CHKS] 63323-0165-01 4.000 mg On Admin 0.63 1.1 1.16340713 dexamethasone 4 mg/mL Inj Sol 5 mL MDV [CHKS] 63323-0165-05 4.000 mg On Admin 0.1678 0.29 1

2640836 dexamethasone/neomycin/polymyxin B Ophth Oint 3.5 gm [CHKS] 00574-4160-35 1.000 appOn



Dispense/Manual 3.62 19 19



2641388 dexamethasone/neomycin/polymyxin B Ophth Susp 5 mL [CHKS] 24208-0830-60 1.000 drop(s)On

Dispense/Manual 1.99 17.41 17.412640147 dextromethorphan-guaifenesin 10 mg-100 mg/5 mL Liq 50383-0062-06 5.000 mL On Admin 0.1048 0.92 12640147 dextromethorphan-guaiFENesin 10 mg-100 mg/5 mL Oral Liq 10 mL [CHKS] 00121-0638-00 5.000 mL On Admin 0.1048 0.92 12641558 dextromethorphan-guaiFENesin ER 30 mg-600 mg Tab [CHKS] 63824-0056-20 1.000 tab(s) On Admin 0.49 0.86 12641558 dextromethorphan-guaiFENesin ER 30 mg-600 mg Tab [CHKS] 63824-0056-34 1.000 tab(s) On Admin 0.41 0.72 12641644 Dextrose 10% in Water IV Soln 250 mL [CHKS] 00409-7930-02 250.000 mL On Admin 0.02 8.75 8.756341073 Dextrose 5% in Lactated Ringers IV Soln 1000 mL [CHKS] 00264-7751-00 1000.000 mL On Admin 0.01 17.5 17.56340204 Dextrose 5% in Water IV Soln 250 mL [CHKS] 00409-7922-02 250.000 mL On Admin 0.02 8.75 8.756340201 Dextrose 5% in Water Sol 1000 mL [CHKS] 00409-7922-09 1000.000 mL On Admin 0.01 17.5 17.56340945 Dextrose 5% in Water Sol 500 mL [CHKS] 00409-7922-55 500.000 mL On Admin 0.01 8.75 8.756340710 Dextrose 5% with 0.45% NaCl Sol 1000 mL [CHKS] 00409-7926-09 1000.000 mL On Admin 0.01 17.5 17.56340705 Dextrose 5% with 0.9% NaCl IV Soln 1000 mL [CHKS] 00264-7610-00 1000.000 mL On Admin 0.01 17.5 17.52640280 dextrose 50% IV Sol 50 mL [CHKS] 00409-7517-16 25.000 gm On Admin 0.13 11.38 11.382640576 diazePAM 5 mg Tab 00904-5880-61 5.000 mg On Admin 0.3125 0.55 12640576 diazepam 5 mg Tab [CHKS] 51079-0285-20 5.000 mg On Admin 0.06 0.1 16340059 diazepam 5 mg/mL Inj Sol [CHKS] 00409-1273-32 10.000 mg On Admin 11.46 40.11 40.116340059 diazepam 5 mg/mL Inj Sol [CHKS] 00409-3213-12 10.000 mg On Admin 3.0595 10.71 10.71

2641621 diclofenac Ophth 0.1% Sol [CHKS] 16571-0101-25 1.000 drop(s)On


2641621 diclofenac Ophth 0.1% Sol [CHKS] 17478-0892-25 1.000 drop(s)On


2641621 diclofenac ophthalmic 0.1% Sol 61314-0014-05 1.000 drop(s)On


2641675 diclofenac Top 1% gel 100 gm [CHKS] 63481-0684-47 2.000 gmOn

Dispense/Manual 0.55 96.25 96.252640347 digoxin 125 mcg (0.125 mg) Tab [CHKS] 00904-5921-61 125.000 mcg On Admin 1.3 2.27 2.272640347 digoxin 125 mcg (0.125 mg) Tab [CHKS] 68084-0366-01 125.000 mcg On Admin 1.77 3.1 3.16340104 digoxin 250 mcg/mL (0.25 mg/mL) Inj Sol 2 mL [CHKS] 00781-3059-95 500.000 mcg On Admin 2.61 9.13 9.136340104 digoxin 250 mcg/mL (0.25 mg/mL) Sol 00641-6184-25 500.000 mcg On Admin 3.18 11.13 11.136340103 dihydroergotamine 1 mg/mL Inj Sol 1 mL [CHKS] 00574-0850-05 1.000 mg On Admin 108.46 189.81 189.812640537 dilTIAZem 180 mg/24 hours Cap 63739-0284-10 180.000 mg On Admin 1.8 3.15 3.152640537 dilTIAZem 180 mg/24 hours Cap 60687-0206-01 180.000 mg On Admin 0.5022 0.88 12641671 diltiazem 5 mg/mL IV Sol 25 mL [CHKS] 00641-6015-10 125.000 mg On Admin 0.2 8.75 8.752640577 diltiazem 5 mg/mL IV Sol 5 mL [CHKS] 17478-0937-05 25.000 mg On Admin 0.42 3.68 3.682640577 diltiazem 5 mg/mL IV Sol 5 mL [CHKS] 00641-9217-10 25.000 mg On Admin 0.5232 4.58 4.582640577 dilTIAZem 5 mg/mL Sol 00641-6013-10 25.000 mg On Admin 0.5232 4.58 4.582640349 diltiazem 60 mg Tab [CHKS] 51079-0746-20 60.000 mg On Admin 0.22 0.39 12640037 diltiazem ER 120 mg Cap [CHKS] 60687-0195-30 120.000 mg On Admin 0.45 0.79 12640537 diltiazem ER 180 mg Cap [CHKS] 68084-0053-01 180.000 mg On Admin 0.24 0.42 12640690 diltiazem ER 240 mg Cap [CHKS] 68084-0054-01 240.000 mg On Admin 1.78 3.12 3.122640690 diltiazem ER 240 mg Cap [CHKS] 60687-0217-01 240.000 mg On Admin 0.34 0.6 12640511 dinoprostone Vaginal Insert [CHKS] 55566-2800-01 10.000 mg On Admin 344.83 603.45 603.45

2640579 diphenhydrAMINE 12.5 mg/5 mL Liq 00121-0489-05 12.500 mgOn


2640579 diphenhydrAMINE 12.5 mg/5 mL Liq 4 oz [CHKS] 50580-0534-04 12.500 mgOn

Dispense/Manual 0.25 51.62 51.622640578 diphenhydrAMINE 25 mg Cap [CHKS] 00904-5306-61 25.000 mg On Admin 0.03 0.05 16340109 diphenhydrAMINE 50 mg/mL Inj Sol 1 mL [CHKS] 63323-0664-01 50.000 mg On Admin 0.56 0.98 12640350 dipyridamole 25 mg Tab [CHKS] 64980-0133-01 25.000 mg On Admin 0.36 0.63 12641690 divalproex sodium 250 mg Oral EC Tab [CHKS] 68084-0776-01 250.000 mg On Admin 0.15 0.26 12699999 DO NOT USE Dextrose 5% in Water 250 mL [CHKS] 99999-9909-99 250.000 mL On Admin 0 0 02699999 DO NOT USE Dopamine IV Additive [CHKS] 99999-9099-99 400.000 mg On Admin 0 0 02699999 DO NOT USE Heparin Additive IV [CHKS] 98998-9999-00 25000.000 unit(s) On Admin 0 0 0

2699999 DO NOT USE nitroglycerin IV additive [CHKS] 99998-0999-99 50.000 mg On Admin 0 0 02640452 docusate sodium 100 mg Cap [CHKS] 49348-0058-19 100.000 mg On Admin 0.05 0.09 12640798 docusate sodium 100 mg Cap [CHKS] 63739-0478-10 100.000 mg On Admin 0.03 0.05 12640798 docusate sodium 100 mg Cap [CHKS] 00904-6455-61 100.000 mg On Admin 1.17 2.05 2.052641296 docusate-senna 50 mg-8.6 mg Tab [CHKS] 00904-6339-61 1.000 tab(s) On Admin 0.03 0.05 12641296 docusate-senna 50 mg-8.6 mg Tab [CHKS] 57896-0455-01 1.000 tab(s) On Admin 0.23 0.4 12641802 donepezil 5 mg Tab 00904-6477-61 5.000 mg On Admin 0.1522 0.27 12641802 donepezil 5 mg Tab [CHKS] 13668-0102-30 5.000 mg On Admin 0.04 0.07 12641802 donepezil 5 mg Tab [CHKS] 00904-6408-61 5.000 mg On Admin 7.78 13.62 13.626340259 dopamine 400 mg/250 mL D5W 250 mL [CHKS] 00409-7809-22 400.000 mg On Admin 0.03 13.12 13.122641285 doxazosin 2 mg Tab [CHKS] 51079-0958-20 2.000 mg On Admin 2.98 5.21 5.212641285 doxazosin 2 mg Tab [CHKS] 68084-0851-25 2.000 mg On Admin 0.7 1.23 1.232640356 doxycycline 100 mg IV Inj [CHKS] 63323-0130-13 100.000 mg On Admin 18.04 31.57 31.572641934 doxycycline 100 mg Tab [CHKS] 62584-0693-21 100.000 mg On Admin 1.71 2.99 2.992641357 DULoxetine 30 mg Cap-DR [CHKS] 68084-0683-01 30.000 mg On Admin 0.85 1.49 1.492641312 dutasteride 0.5 mg Cap [CHKS] 00173-0712-15 0.500 mg On Admin 5.7517 10.07 10.07

2642295 Elta/Resta Cream [CHKS] 99999-9999-02 1.000 appOn


2643276 emollients, Top Crm (secura extra prot cream) 92gm [CHKS] 69740-0324-00 1.000 appOn


2642173 emollients, Top Crm (secura extra prot cream) 98gm [CHKS] 50484-0324-00 1.000 appOn


2642060 emollients, Top Gel (Surgilube 3gm) [CHKS] 00281-0205-43 1.000 appOn

Dispense/Manual 0.03 0.16 1

2642089 emollients, topical (Carmex) Lip Therapy [CHKS] 83078113148 1.000 appOn


2643116 emollients, topical - Ointment (Aquaphor) 105gm [CHKS] 72140-0032-63 1.000 appOn

Dispense/Manual 0.06 11.03 11.032642606 enalapril 1.25 mg/mL IV Sol 1 mL [CHKS] 00409-2122-01 1.250 mg On Admin 1.52 2.66 2.662642606 enalapril 1.25 mg/mL Sol 00143-9787-10 1.250 mg On Admin 3.6 6.3 6.36340035 enoxaparin 100 mg/mL Sol Syringe [CHKS] 63323-0568-84 100.000 mg On Admin 18.6 32.55 32.556340035 enoxaparin 100 mg/mL Sol Syringe [CHKS] 63323-0568-95 100.000 mg On Admin 18.6 32.55 32.556340030 enoxaparin 30 mg/0.3 mL SC Sol [CHKS] 63323-0568-83 30.000 mg On Admin 18.88 9.91 9.916340031 enoxaparin 40 mg/0.4 mL SC Sol [CHKS] 63323-0568-96 40.000 mg On Admin 23.82 16.67 16.67

6340031 enoxaparin 40 mg/0.4 mL Sol 00548-5602-00 40.000 mg On Admin 14.72 10.3 10.36340034 enoxaparin 80 mg/0.8 mL SC Sol [CHKS] 63323-0568-90 80.000 mg On Admin 18.85 26.39 26.392640281 ePHEDrine 50 mg/mL Inj Sol 1 mL [CHKS] 17478-0515-00 50.000 mg On Admin 42.56 74.48 74.482640752 ePHEDrine sulfate 50 mg/mL Sol 1 mL Vial [CHKS] 42023-0216-25 50.000 mg On Admin 45.4648 79.56 79.566340069 EPINEPHrine 0.1 mg/mL Inj Sol 10 mL Syringe [CHKS] 00409-4921-34 1.000 mg On Admin 0.41 7.18 7.186340069 EPINEPHrine 0.1 mg/mL Sol 76329-3316-01 1.000 mg On Admin 0.72 12.6 12.66340602 EPINEPHrine 0.15 mg Inj kit [CHKS] 49502-0501-02 0.150 mg On Admin 293.82 514.18 514.186340602 EPINEPHrine 0.15 mg Kit 49502-0101-02 0.150 mg On Admin 167.5 293.12 293.126340738 EPINEPHrine 0.3 mg Inj kit [CHKS] 49502-0500-02 0.300 mg On Admin 290.9 509.08 509.086340738 EPINEPHrine 0.3 mg Kit 49502-0102-02 0.300 mg On Admin 167.5 293.12 293.126340560 EPINEPHrine 1 mg/mL Inj Sol 1 mL [CHKS] 00409-7241-25 1.000 mg On Admin 1.4 2.45 2.456340560 EPINEPHrine 1 mg/mL Inj Sol 1 mL [CHKS] 54288-0103-10 1.000 mg On Admin 8.45 14.79 14.796340560 EPINEPHrine 1 mg/mL Sol 42023-0159-25 1.000 mg On Admin 14.44 25.27 25.272640665 EPINEPHrine-lidocaine 1:100,000-1% Inj Sol 20 mL MDV [CHKS] 63323-0482-27 20.000 mL On Admin 0.06 2.1 2.12641894 EPINEPHrine-lidocaine 1:200,000-2% PF Inj Sol 20 mL [CHKS] 63323-0489-17 20.000 mL On Admin 0.33 11.55 11.556340265 epoetin alfa 20,000 units/mL Inj Sol 1 mL MDV [CHKS] 59676-0320-04 20000.000 unit(s) On Admin 264.515 462.9 462.92641418 ergocalciferol 50,000 intl units Cap 68084-0463-01 50000.000 unit(s) On Admin 0.08916 0.16 12641418 ergocalciferol 50,000 intl units Cap [CHKS] 64380-0737-06 50000.000 unit(s) On Admin 1.21 2.12 2.126340286 ertapenem 1 g Inj [CHKS] 00006-3845-71 1.000 gm On Admin 109.48 191.59 191.596340286 ertapenem 1 g Inj [CHKS] 00006-3843-71 1.000 gm On Admin 122.78 214.87 214.876340286 ertapenem 1 g Inj [CHKS] 42023-0221-10 1.000 gm On Admin 110.608 193.56 193.562643091 erythromycin ophthalmic 0.5% Oin 00574-4024-35 1.000 app On Admin 4.75 8.31 8.312643091 erythromycin ophthalmic 0.5% Oin UD [CHKS] 24208-0910-19 1.000 app On Admin 5.92 10.36 10.362640157 escitalopram 10 mg Tab [CHKS] 00904-6426-61 10.000 mg On Admin 0.15 0.26 12641099 esomeprazole 40 mg Cap 60687-0246-01 40.000 mg On Admin 3.81 6.67 6.672641099 esomeprazole 40 mg Oral EC Cap [CHKS] 00093-6451-56 40.000 mg On Admin 4.8647 8.51 8.512641228 estradiol 1 mg Tab [CHKS] 50268-0291-15 1.000 mg On Admin 1 1.75 1.752641529 etomidate 2 mg/mL IV Sol 20 mL [CHKS] 00409-6695-02 40.000 mg On Admin 0.28 9.8 9.82641529 etomidate 2 mg/mL Sol 00143-9507-10 40.000 mg On Admin 0.4032 14.11 14.112641259 ezetimibe 10 mg Tab 69238-1154-03 10.000 mg On Admin 11.2843 19.75 19.752641259 ezetimibe 10 mg Tab UD [CHKS] 66582-0414-31 10.000 mg On Admin 10.1 17.68 17.682641131 famotidine 20 mg Tab 50268-0303-15 20.000 mg On Admin 1.4174 2.48 2.482641131 famotidine 20 mg Tab UD [CHKS] 51079-0966-20 20.000 mg On Admin 0.174 0.3 16340739 fentaNYL 0.05 mg/mL Inj Sol 5 mL Amp [CHKS] 00409-9093-35 0.250 mg On Admin 0.44846 3.92 3.92

6340052 fentaNYL 100 mcg/2mL Inj Sol [CHKS] 00409-9093-32 100.000 mcg On Admin 0.876 3.07 3.072640008 fentaNYL 100 mcg/hr Patch [CHKS] 60505-7009-02 100.000 mcg/hr On Admin 5.05 8.84 8.842640008 fentaNYL 100 mcg/hr Patch [CHKS] 60505-7014-00 100.000 mcg/hr On Admin 7.8 13.65 13.652641540 fentaNYL 12 mcg/hr Patch [CHKS] 00378-9119-98 12.000 mcg/hr On Admin 12.9 22.57 22.572641540 fentaNYL 12 mcg/hr Patch [CHKS] 00406-9012-76 12.000 mcg/hr On Admin 11.62 20.34 20.342641416 fentaNYL 25 mcg/hr Fil 00406-9025-76 25.000 mcg/hr On Admin 12.22 21.39 21.392641416 fentaNYL 25 mcg/hr Patch [CHKS] 60505-7006-02 25.000 mcg/hr On Admin 1.82 3.19 3.192641399 fentaNYL 50 mcg/hr Patch [CHKS] 60505-7012-02 50.000 mcg/hr On Admin 2.9 5.08 5.082641399 fentaNYL 50 mcg/hr Patch [CHKS] 60505-7007-00 50.000 mcg/hr On Admin 2.9 5.08 5.082641406 fentaNYL 75 mcg/hr Patch [CHKS] 60505-7013-02 1.000 patch(es) On Admin 4.76 8.33 8.332641406 fentaNYL 75 mcg/hr Patch [CHKS] 60505-7008-00 1.000 patch(es) On Admin 4.67 8.17 8.172641406 fentaNYL 75 mcg/hr Patch [CHKS] 00591-3213-72 1.000 patch(es) On Admin 4.67 8.17 8.176340995 ferric carboxymaltose (as elemental iron) 50 mg/mL Sol 15 mL [CHKS] 00517-0650-01 750.000 mg On Admin 55.979 1007.62 1007.622641879 ferrous sulfate 324 mg Tab [CHKS] 00574-0608-11 324.000 mg On Admin 0.08 0.14 16340623 ferumoxytol 30 mg/mL Sol 17 mL Vial [CHKS] 59338-0775-01 510.000 mg On Admin 24.6688 733.9 733.96340834 filgrastim 300 mcg/mL Inj Sol 1 mL [CHKS] 55513-0530-10 300.000 mcg On Admin 287.546 503.21 503.212640215 finasteride 5 mg Tab [CHKS] 50268-0323-15 5.000 mg On Admin 0.61 1.07 1.072641355 fluconazole 100 mg Tab [CHKS] 68001-0252-04 100.000 mg On Admin 0.6 1.05 1.056340315 fluconazole 200 mg in NS 100 mL Premix [CHKS] 00338-6046-48 200.000 mg On Admin 0.15 26.25 26.252641270 fludrocortisone 0.1 mg Tab [CHKS] 50268-0330-15 0.100 mg On Admin 0.5 0.88 12640608 flumazenil 0.1 mg/mL IV Sol 5 mL [CHKS] 00143-9784-10 0.500 mg On Admin 1.3 11.38 11.382640608 flumazenil 0.1 mg/mL Sol 00143-9684-10 0.500 mg On Admin 1.21 10.59 10.592640435 fluorescein ophthalmic 1 mg Test [CHKS] 17478-0404-01 1.000 mg On Admin 0.09 0.16 12641191 FLUoxetine 20 mg Cap [CHKS] 68084-0605-01 20.000 mg On Admin 0.07 0.12 1

2641471 fluticasone Nasal 0.05 mg/inh Spray 16 gm [CHKS] 60505-0847-03 0.050 mgOn


2641471 fluticasone nasal 50 mcg/inh Spr 00054-3270-99 0.050 mgOn

Dispense/Manual 4.32168 121.01 121.01

2641752 fluticasone-salmeterol 100 mcg-50 mcg Inh Pwdr [CHKS] 00173-0695-04 1.000 EAOn


2641732 fluticasone-salmeterol 250 mcg-50 mcg Inh Pwdr [CHKS] 00173-0696-04 1.000 puff(s)On

Dispense/Manual 8.83 216.34 216.342641010 folic acid 0.4 mg Tab [CHKS] 00904-3197-60 0.400 mg On Admin 0.01 0.02 12640061 folic acid 1 mg Tab UD [CHKS] 62584-0897-01 1.000 mg On Admin 0.0999 0.17 1

6340137 furosemide 10 mg/mL Inj Sol 4 mL [CHKS] 00409-6102-26 40.000 mg On Admin 0.58033 4.06 4.066340137 furosemide 10 mg/mL Inj Sol 4 mL [CHKS] 00409-9631-04 40.000 mg On Admin 2.979 20.85 20.856340137 furosemide 10 mg/mL Sol 36000-0283-25 40.000 mg On Admin 0.9222 6.46 6.462640362 furosemide 40 mg Tab UD [CHKS] 00904-5797-61 40.000 mg On Admin 0.04 0.07 12641375 gabapentin 100 mg Cap UD [CHKS] 45963-0555-11 100.000 mg On Admin 0.03 0.05 12641375 gabapentin 100 mg Cap UD [CHKS] 60505-0112-00 100.000 mg On Admin 0.5524 0.97 12641372 gabapentin 300 mg Cap 65862-0199-01 300.000 mg On Admin 1.033 1.81 1.812641372 gabapentin 300 mg Cap UD [CHKS] 68084-0762-01 300.000 mg On Admin 0.1 0.18 12641372 gabapentin 300 mg Cap UD [CHKS] 60505-0113-00 300.000 mg On Admin 1.1 1.93 1.936340922 gadodiamide 287 mg/mL Inj Sol 10 mL Vial [CHKS] 00407-0690-30 10.000 mL On Admin 1.6344 28.6 28.6

2642240 gatifloxacin ophthalmic 0.5% Sol [CHKS] 00023-3615-25 1.000 drop(s)On

Dispense/Manual 64.36 281.57 281.572640365 gemfibrozil 600 mg Tab [CHKS] 68084-0473-01 600.000 mg On Admin 0.17 0.3 16340958 gentamicin 10 mg/mL Inj Sol 2 mL [CHKS] 63323-0173-02 20.000 mg On Admin 3.55 12.43 12.436340115 gentamicin 40 mg/mL Inj Sol 2 mL [CHKS] 00409-1207-25 80.000 mg On Admin 0.41 1.44 1.44

2640526 gentamicin Ophth 0.3% Sol 5 mL [CHKS] 24208-0580-60 1.000 drop(s)On


2640526 gentamicin Ophth 0.3% Sol 5 mL [CHKS] 60758-0188-05 1.000 drop(s)On

Dispense/Manual 3.75 32.81 32.812641954 GI Cocktail 50 mL [CHKS] 99999-9999-01 50.000 mL On Admin 9.1 15.92 15.922640929 glipiZIDE 5 mg Tab UD [CHKS] 51079-0810-20 5.000 mg On Admin 0.25 0.44 16340117 glucagon recombinant 1 mg Inj Kit IM [CHKS] 00002-8031-01 1.000 mg On Admin 271.76 475.58 475.582640455 glucose 40% Oral gel [CHKS] 00574-0070-30 1.000 app On Admin 0.08 5.25 5.252640455 glucose 40% Oral gel [CHKS] 00574-0069-30 1.000 app On Admin 0.1 6.56 6.562640492 glycerin adult Supp [CHKS] 00713-0101-09 1.000 supp On Admin 0.59 1.03 1.032640539 glycerin-witch hazel Top 10%-50% Pad 100 EA [CHKS] 00904-5059-60 1.000 app On Admin 0.02 3.5 3.52640539 glycerin-witch hazel Top 10%-50% Pad 100 EA [CHKS] 10331-0000-20 1.000 app On Admin 0.18 31.5 31.52640661 glycopyrrolate 0.2 mg/mL Inj Sol 1 mL [CHKS] 00143-9682-25 0.200 mg On Admin 3.31 5.79 5.792640661 glycopyrrolate 0.2 mg/mL Sol 00143-9587-25 0.200 mg On Admin 14.98 26.21 26.21

2640007 guaiFENesin 100 mg/5 mL Oral Liq 120 mL [CHKS] 00536-0825-85 2400.000 mgOn

Dispense/Manual 0.01 2.1 2.12641282 guaiFENesin ER 600 mg Tab [CHKS] 63824-0008-15 600.000 mg On Admin 1 1.75 1.752641282 guaiFENesin ER 600 mg Tab [CHKS] 68084-0572-01 600.000 mg On Admin 0.6755 1.18 1.182640065 haloperidol 2 mg Tab [CHKS] 51079-0735-20 2.000 mg On Admin 0.48 0.84 1

6340118 haloperidol 5 mg/mL Inj Sol 1 mL [CHKS] 67457-0426-12 5.000 mg On Admin 0.65 1.14 1.146340122 heparin 10,000 units/mL Inj Sol [CHKS] 63323-0542-01 10000.000 unit(s) On Admin 1.73 3.03 3.036341177 heparin 12,500 units/250mL-NaCl 0.45% Sol 250mL[CHKS] 00409-7651-62 12500.000 unit(s) On Admin 0.0192 8.4 8.46340348 heparin 25,000 units/250 mL-NaCl 0.45% IV Sol [CHKS] 00409-7650-62 25000.000 unit(s) On Admin 0.02 8.75 8.756340349 heparin flush 100 units/mL Sol[CHKS] 64253-0333-33 100.000 unit(s) On Admin 0.71 3.73 3.736340725 hepatitis B pediatric vaccine 10 mcg/0.5 mL Sus [CHKS] 58160-0820-52 10.000 mcg On Admin 28.85 25.24 25.242640309 hetastarch 6%-NS IV Sol 500 mL [CHKS] 00409-7248-49 500.000 mL On Admin 0.03 26.25 26.256340078 hydrALAZINE 20 mg/mL Inj Sol 1 mL [CHKS] 63323-0614-55 20.000 mg On Admin 2.23 3.9 3.92640367 hydrALAZINE 25 mg Tab UD [CHKS] 62584-0733-01 25.000 mg On Admin 0.14 0.25 12640367 hydrALAZINE 25 mg Tab UD [CHKS] 00904-6441-61 25.000 mg On Admin 0.1 0.18 12640583 hydrochlorothiazide 25 mg Tab [CHKS] 68084-0086-01 25.000 mg On Admin 0.07 0.12 12640583 hydrochlorothiazide 25 mg Tab [CHKS] 63739-0128-10 25.000 mg On Admin 0.06 0.1 12640553 hydroCHLOROthiazide-triamterene 25 mg-37.5 mg Cap UD[CHKS] 51079-0935-20 1.000 cap(s) On Admin 0.2811 0.49 12641994 hydrochlorothiazide-triamterene 25 mg-37.5 mg Tab [CHKS] 68001-0216-00 1.000 tab(s) On Admin 0.39 0.68 12640188 hydrocortisone 10 mg Tab [CHKS] 68084-0469-01 10.000 mg On Admin 0.62 1.08 1.086340126 hydrocortisone 100 mg preservative-free Pow [CHKS] 00009-0825-01 100.000 mg On Admin 7.81 13.67 13.672640156 hydrocortisone 25 mg Supp [CHKS] 00713-0503-12 25.000 mg On Admin 9.01 15.77 15.77

2641871 hydrocortisone Top 2.5% Cream 20 gm [CHKS] 45802-0004-02 1.000 appOn

Dispense/Manual 0.1 3.5 3.56340571 HYDROmorphone 1 mg/mL Inj Sol 1 mL [CHKS] 00409-1283-31 1.000 mg On Admin 1.638 2.87 2.872640370 HYDROmorphone 2 mg Tab 00527-1353-01 2.000 mg On Admin 0.3725 0.65 12640370 HYDROmorphone 2 mg Tab [CHKS] 42858-0301-01 2.000 mg On Admin 0.08 0.14 16340106 HYDROmorphone 2 mg/mL Inj Sol [CHKS] 00409-3356-01 2.000 mg On Admin 1.15 2.01 2.016340106 HYDROmorphone 2 mg/mL Sol 00641-0121-25 2.000 mg On Admin 0.91 1.59 1.596341095 HYDROXYprogesterone 250 mg/mL Sol[CHKS] 64011-0243-01 250.000 mg On Admin 618.758 742.51 742.512642437 hydrOXYzine hydrochloride 10 mg/5 mL Oral Syr[CHKS] 60432-0150-04 5.000 mL On Admin 0.0905 0.79 12641219 hydrOXYzine hydrochloride 25 mg Tab [CHKS] 68084-0254-01 25.000 mg On Admin 0.16 0.28 16341187 hydrOXYzine hydrochloride 25 mg/mL Sol 00517-4201-25 25.000 mg On Admin 3.1 5.42 5.426340304 hylan G-F 20 48 mg/6 mL Sol [CHKS] 58468-0090-03 48.000 mg On Admin 78.49 824.14 824.142640197 ibuprofen 100 mg/5 mL Oral Susp 5 mL [CHKS] 66689-0009-01 100.000 mg On Admin 0.2 1.75 1.752640197 ibuprofen 100 mg/5 mL Sus 68094-0494-62 100.000 mg On Admin 0.12 1.05 1.052640586 ibuprofen 200 mg Tab [CHKS] 00904-7914-61 200.000 mg On Admin 0.03 0.05 16340096 imipenem-cilastatin 500 mg Pow Vial [CHKS] 63323-0322-25 500.000 mg On Admin 11.05 19.34 19.346340312 immune globulin 10% IV Sol 20 gram/200 mL [CHKS] 44206-0438-20 20.000 gm On Admin 6.5337 1568.09 1568.09

6340328 immune globulin 10% IV Sol 5 gram/50 mL [CHKS] 44206-0436-05 5.000 gm On Admin 6.5338 571.71 571.712640588 indomethacin 25 mg Cap 50268-0430-15 25.000 mg On Admin 0.3966 0.69 12640588 indomethacin 25 mg Cap UD [CHKS] 68462-0406-01 25.000 mg On Admin 0.07 0.12 16341120 influenza virus vaccine, inactivated high-dose PF trivalent Sus 2018-19[CHKS] 49281-0403-65 0.500 mL On Admin 93.86 82.13 82.136340966 influenza virus vaccine, inactivated quad Sus 18-19[CHKS] 49281-0629-15 0.500 mL On Admin 32.806 287.05 287.056340230 insulin glargine 100 units/mL Sol 10 mL MDV [CHKS] 00088-2220-33 1000.000 unit(s) On Admin 9.14 16 16

6340131insulin isophane-insulin regular human recombinant 70 units-30 units/mL SubQ MDV Inj

3 mL [CHKS] 00002-8715-17 300.000 unit(s)On

Dispense/Manual 1.44 7.56 7.566340902 insulin lispro 100 units/mL SubQ Inj MDV [CHKS] 00002-7510-17 300.000 unit(s) On Admin 5.19 27.25 27.256340389 insulin NPH human 100 units/mL Inj 10 mL MDV [CHKS] 00002-8315-17 1000.000 unit(s) On Admin 1.43 2.5 2.56340758 insulin regular human recombinant 100 units/mL Inj Sol MDV [CHKS] 00002-8215-17 300.000 unit(s) On Admin 1.42 2.48 2.486340921 iohexol 180 mg/mL Inj Sol 10 mL Vial [CHKS] 00407-1411-10 1800.000 mg On Admin 1.285 22.49 22.496341157 iohexol 240 mg/mL Inj Sol 50 mL [CHKS] 00407-1412-30 12000.000 mg On Admin 5.02 439.25 439.256340631 iohexol 300 mg/mL Inj Sol 100 mL [CHKS] 00407-1413-87 30000.000 mg On Admin 5.02 602.4 602.46341142 iohexol 300 mg/mL Sol 150mL [CHKS] 00407-1413-88 45000.000 mg On Admin 5 900 9002640300 ipratropium 0.02% Inh Sol 2.5 mL [CHKS] 00487-9801-01 0.500 mg On Admin 0.06 0.21 16340128 iron sucrose 20 mg/mL IV Sol 5 mL [CHKS] 00517-2340-10 100.000 mg On Admin 6.34 55.48 55.482640472 isosorbide ER mononitrate 30 mg Tab [CHKS] 50268-0451-15 30.000 mg On Admin 0.47 0.82 12642112 ketamine 10 mg/mL Inj Sol [CHKS] 42023-0113-10 200.000 mg On Admin 0.74 25.9 25.92642112 ketamine 10 mg/mL Sol 67457-0181-20 200.000 mg On Admin 1.03115 36.09 36.092642113 ketamine 100 mg/mL Inj Sol 5 mL [CHKS] 00409-2051-05 500.000 mg On Admin 1.5 13.12 13.122642113 ketamine 100 mg/mL Sol 42023-0115-10 500.000 mg On Admin 1.95 17.06 17.066340133 ketorolac 30 mg/mL Inj Sol 1 mL [CHKS] 63323-0162-12 30.000 mg On Admin 0.79 1.38 1.386340133 ketorolac 30 mg/mL Sol 69543-0386-25 30.000 mg On Admin 4 7 72641002 labetalol 100 mg Tab UD [CHKS] 51079-0928-20 100.000 mg On Admin 0.3049 0.53 12642937 labetalol 5 mg/mL IV Sol 20 mL MDV [CHKS] 00409-2267-25 100.000 mg On Admin 0.14 0.25 16340940 Lactated Ringers Injection Soln 1000 mL [CHKS] 00338-0117-04 1000.000 mL On Admin 0.0055 9.63 9.636340940 Lactated Ringers Injection Soln 1000 mL [CHKS] 00409-7953-09 1000.000 mL On Admin 0.00551 9.64 9.646340940 Lactated Ringers Injection Soln 1000 mL [CHKS] 00264-7750-00 1000.000 mL On Admin 0.0055 9.63 9.632642183 lactobacillus acidophilus - Cap[CHKS] 43292-0500-22 1.000 cap(s) On Admin 0.0268 0.05 12642183 lactobacillus acidophilus - Cap[CHKS] 49100-3816-40 1.000 cap(s) On Admin 0.0268 0.05 12640808 lactulose 10 g/15 mL Oral Syrup 30 mL [CHKS] 50383-0779-16 20.000 gm On Admin 0.01 0.53 12640808 lactulose 10 g/15 mL Syr 50383-0779-17 20.000 gm On Admin 0.16733 8.78 8.78

2642166 lanolin Top Crm [CHKS] 44677-0100-20 1.000 appOn

Dispense/Manual 0.17 11.9 11.92641737 lansoprazole 30 mg Oral EC Cap [CHKS] 00378-8030-93 30.000 mg On Admin 0.3 0.53 16340822 leuprolide 3.75 mg/month IM Inj, ER [CHKS] 00074-3641-03 3.750 mg On Admin 1083.21 1299.85 1299.856340347 leuprolide 45 mg/6 months [CHKS] 00074-3473-03 45.000 mg On Admin 8356.56 10027.87 10027.872641303 levalbuterol 0.31 mg/3 mL Inh Sol [CHKS] 66993-0021-27 0.310 mg On Admin 0.39 2.05 2.052640957 levalbuterol 0.63 mg/3 mL Inh Sol [CHKS] 66993-0022-27 0.630 mg On Admin 0.59 3.1 3.12640957 levalbuterol 0.63 mg/3 mL Sol 76204-0800-24 0.630 mg On Admin 1.28 6.72 6.722641041 levalbuterol 1.25 mg/3 mL Inh Sol [CHKS] 66993-0023-27 1.250 mg On Admin 2.07 10.87 10.872641041 levalbuterol 1.25 mg/3 mL Sol 76204-0900-24 1.250 mg On Admin 1.77 9.29 9.296340692 levETIRAcetam 100 mg/mL IV Sol 5 mL Vial [CHKS] 00143-9574-10 500.000 mg On Admin 0.57 4.99 4.996340692 levETIRAcetam 100 mg/mL Sol 63323-0400-05 500.000 mg On Admin 1.8936 16.57 16.572641639 levETIRAcetam 500 mg Tab 00904-6052-61 500.000 mg On Admin 3.1629 5.54 5.542641639 levETIRAcetam 500 mg Tab [CHKS] 50268-0468-15 500.000 mg On Admin 0.23 0.4 12640434 levofloxacin 500 mg Tab [CHKS] 68084-0482-01 500.000 mg On Admin 0.23 0.4 16340139 levofloxacin 500 mg/100 mL Premix IV Sol [CHKS] 36000-0047-24 500.000 mg On Admin 0.03 5.25 5.256340139 levofloxacin 500 mg/100 mL Premix IV Sol [CHKS] 25021-0825-82 500.000 mg On Admin 0.03 5.25 5.256340140 levofloxacin 750 mg in D5W 150 mL Sol [CHKS] 36000-0048-24 750.000 mg On Admin 0.2 52.5 52.56340140 levofloxacin 750 mg in D5W 150 mL Sol [CHKS] 25021-0825-83 750.000 mg On Admin 0.03 7.88 7.882641215 levothyroxine 50 mcg (0.05 mg) Tab 00527-1342-01 50.000 mcg On Admin 0.5166 0.9 12641215 levothyroxine 50 mcg (0.05 mg) Tab [CHKS] 51079-0440-20 50.000 mcg On Admin 0.44 0.77 12640498 levothyroxine 88 mcg (0.088 mg) Tab [CHKS] 00527-1344-01 88.000 mcg On Admin 0.25 0.44 12640498 levothyroxine 88 mcg (0.088 mg) Tab [CHKS] 42292-0038-20 88.000 mcg On Admin 0.43 0.75 12641013 lidocaine 1% preservative-free Sol 55150-0161-02 2.000 mL On Admin 0.999 3.5 3.52641013 lidocaine 1% preservative-free Sol 2mL Ampul [CHKS] 63323-0492-80 2.000 mL On Admin 0.69 2.42 2.422641013 lidocaine 1% preservative-free Sol 2mL Ampul [CHKS] 63323-0492-27 2.000 mL On Admin 1 3.5 3.52640610 lidocaine 1% Sol 20 mL Vial [CHKS] 00409-4276-01 20.000 mL On Admin 0.05 1.75 1.752642492 lidocaine 2% PF Inj Sol 10 mL [CHKS] 00409-4282-02 10.000 mL On Admin 0.2 3.5 3.52641345 lidocaine 2% preservative-free Sol [CHKS] 00409-1323-05 5.000 mL On Admin 0.49 4.29 4.292642927 lidocaine Top 2% Gel w/Appl [CHKS] 76329-3011-05 1.000 app On Admin 0.8675 7.59 7.592642927 lidocaine Top 2% Gel w/Appl [CHKS] 76329-3012-05 1.000 app On Admin 0.8675 7.59 7.59

2640490 lidocaine Top 2% Sol 100 mL [CHKS] 50383-0775-04 100.000 mLOn


2640634 lidocaine Top 4% Sol 50 mL [CHKS] 00054-3505-47 1.000 appOn

Dispense/Manual 0.77 67.38 67.382641144 lidocaine Top 5% Patch [CHKS] 00591-2679-30 1.000 patch(es) On Admin 3.69 6.46 6.46

2640490 lidocaine topical 2% Sol 00054-3500-49 100.000 mLOn

Dispense/Manual 0.11 19.25 19.252640728 lidocaine-prilocaine Top 2.5%-2.5% Cream 5 gm [CHKS] 00115-1468-60 1.000 app On Admin 1.408 12.32 12.322640728 lidocaine-prilocaine topical 2.5%-2.5% Cre 00168-0357-55 1.000 app On Admin 1.9832 17.35 17.356340222 lincomycin 300 mg/mL Inj Sol [CHKS] 00009-0555-01 600.000 mg On Admin 17.69 61.92 61.922641143 linezolid 600 mg Tab UD [CHKS] 00093-8244-65 600.000 mg On Admin 4.4 7.7 7.76340141 linezolid 600 mg/300 mL IV Sol [CHKS] 00009-4992-02 600.000 mg On Admin 0.11 57.75 57.752640993 lisinopril 20 mg Tab 63739-0350-10 20.000 mg On Admin 1.3237 2.32 2.322640993 lisinopril 20 mg Tab 60687-0333-01 20.000 mg On Admin 0.15 0.26 12640993 lisinopril 20 mg Tab [CHKS] 68084-0198-01 20.000 mg On Admin 0.07 0.12 12641245 lisinopril 5 mg Tab [CHKS] 51079-0981-20 5.000 mg On Admin 0.08 0.14 12650002 loperamide 1 mg/7.5 mL Sus [CHKS] 00904-6256-20 7.000 mL On Admin 0.03 0.79 12640810 loperamide 2 mg Cap 60687-0229-01 2.000 mg On Admin 0.7775 1.36 1.362640810 loperamide 2 mg Cap UD [CHKS] 51079-0690-20 2.000 mg On Admin 0.62 1.08 1.082641341 loratadine 10 mg Tab [CHKS] 68084-0248-01 10.000 mg On Admin 0.19 0.33 1

2641629 loratadine 5 mg/5 mL Oral Syrup [CHKS] 54838-0558-40 120.000 mgOn

Dispense/Manual 0.04 8.4 8.42641542 loratadine-pseudoePHEDrine 10 mg-240 mg ER Tab [CHKS] 11523-4332-03 1.000 tab(s) On Admin 1.01 1.77 1.772640160 LORazepam 1 mg Tab [CHKS] 68084-0742-01 1.000 mg On Admin 0.07 0.12 16340142 LORazepam 2 mg/mL Inj Sol 1 mL Vial [CHKS] 00409-1985-30 2.000 mg On Admin 4.61 8.07 8.076340142 LORazepam 2 mg/mL Inj Sol 1 mL Vial [CHKS] 17478-0040-01 2.000 mg On Admin 3.133 5.48 5.486340142 LORazepam 2 mg/mL Sol 00641-6048-25 2.000 mg On Admin 0.47 0.82 16340142 LORazepam 2 mg/mL Sol 00641-6044-25 2.000 mg On Admin 1 1.75 1.752641746 losartan 50 mg Tab [CHKS] 68084-0347-01 50.000 mg On Admin 0.45 0.79 12641195 lovastatin 20 mg Tab UD [CHKS] 51079-0975-20 20.000 mg On Admin 1 1.75 1.752643202 Lutein 20 mg tab [CHKS] 35046-0038-76 20.000 mg On Admin 0.2723 0.48 16340204 LVP solution Dextrose 5% in Water Sol 00338-0017-02 250.000 mL On Admin 0.014 6.12 6.126340195 LVP solution Sodium Chloride 0.9% Sol 00409-7984-36 50.000 mL On Admin 0.029 2.54 2.546340925 LVP solution Sodium Chloride 0.9% Sol 00409-7984-37 100.000 mL On Admin 0.789 138.08 138.086340192 LVP solution Sodium Chloride 0.9% Sol 500 mL [CHKS] 00338-0049-03 500.000 mL On Admin 0.1222 106.92 106.922641667 LVP solution with potassium Sodium Chloride 0.9% with KCl 40 mEq/L Sol 00338-0695-04 1000.000 mL On Admin 0.01179 20.63 20.63

2640120 magnesium citrate 8.85% Oral Liq 300 mL [CHKS] 00869-0686-38 300.000 mL On Admin 0.01 5.25 5.252640134 magnesium hydroxide 8% Oral Susp 30 mL [CHKS] 00121-0431-30 30.000 mL On Admin 0.04 2.1 2.12640494 magnesium oxide 400 mg Tab [CHKS] 63739-0354-10 400.000 mg On Admin 0.05 0.09 16340575 magnesium sulfate 80 mg/mL Inj Sol [CHKS] 00409-6730-13 4000.000 mg On Admin 0.11 9.62 9.622650004 mannitol 20% IV Sol 500 mL [CHKS] 00409-7715-03 500.000 mL On Admin 0.04 35 352640385 meclizine 25 mg Tab [CHKS] 68084-0491-01 25.000 mg On Admin 0.44 0.77 1

2641104 megestrol 40 mg/mL Oral Susp 240 mL [CHKS] 49884-0907-38 9600.000 mgOn

Dispense/Manual 0.06 25.2 25.22641566 meloxicam 7.5 mg Tab [CHKS] 50268-0525-15 7.500 mg On Admin 0.1 0.18 12641318 memantine 10 mg Tab UD [CHKS] 42292-0006-06 10.000 mg On Admin 0.33 0.58 12642744 Menthol lozenge [CHKS] 12546-6326-39 1.000 lozenge(s) On Admin 0.065 0.11 1

2642813 menthol topical 4% Gel [CHKS] 59316-0102-20 1.000 appOn


2641672 menthol-zinc oxide Top 0.44%-20.625% Oint 113 gm [CHKS] 00799-0001-04 1.000 appOn

Dispense/Manual 0.04 7.91 7.916340049 meperidine 50 mg/mL Inj Sol 1 mL [CHKS] 00409-1178-30 50.000 mg On Admin 5.66 9.91 9.916340049 meperidine 50 mg/mL Sol 00641-6053-25 50.000 mg On Admin 2.222 3.89 3.896340280 meropenem 1 g IV Inj [CHKS] 63323-0508-31 1.000 gm On Admin 12 21 216340251 meropenem 500 mg IV Inj [CHKS] 63323-0507-21 500.000 mg On Admin 0.26 0.46 12641249 metFORMIN 500 mg Tab 60687-0155-01 500.000 mg On Admin 0.7012 1.23 1.232641249 metFORMIN 500 mg Tab [CHKS] 51079-0172-20 500.000 mg On Admin 0.08 0.14 16341170 methacholine 100 mg Powder [CHKS] 64281-0100-00 100.000 mg On Admin 47 82.25 82.252640885 methadone 10 mg Tab UD [CHKS] 00406-5771-62 10.000 mg On Admin 1 1.75 1.752640386 methocarbamol 500 mg Tab [CHKS] 31722-0533-01 1.000 mg On Admin 0.03 0.05 12640012 methyldopa 250 mg Tab [CHKS] 51079-0200-20 250.000 mg On Admin 0.15 0.26 12643224 methylene blue 5 mg/mL Sol 10 mL [CHKS] 00517-0374-05 50.000 mg On Admin 15.493 27.11 27.116340143 methylergonovine 0.2 mg/mL Inj Sol 1 mL [CHKS] 17478-0501-01 0.200 mg On Admin 8.577 15.01 15.016340143 methylergonovine 0.2 mg/mL Sol 51991-0144-17 0.200 mg On Admin 16.863 29.51 29.512642024 methylPREDNISolone 4 mg Tab Dose Pack [CHKS] 00009-0056-04 4.000 mg On Admin 2.47 90.77 90.776340171 methylPREDNISolone 40 mg preservative-free Pow [CHKS] 00009-0039-32 40.000 mg On Admin 4.29 7.51 7.516340050 methylPREDNISolone 40 mg/mL Sus 00009-3073-22 40.000 mg On Admin 5.9 10.33 10.336340050 methylPREDNISolone acetate 40 mg/mL Inj Susp 1 mL [CHKS] 00009-3073-01 40.000 mg On Admin 6.78 11.87 11.876340051 methylPREDNISolone acetate 80 mg/mL Inj Susp 1 mL Vial [CHKS] 00009-3475-23 80.000 mg On Admin 11.97 20.95 20.956340168 methylPREDNISolone sodium succinate 125 mg preservative-free Pow [CHKS] 00009-0047-26 125.000 mg On Admin 6.86 12.01 12.01

2640387 metoclopramide 10 mg Tab 68084-0676-01 10.000 mg On Admin 0.258 0.45 12640387 metoclopramide 10 mg Tab [CHKS] 68084-0009-01 10.000 mg On Admin 1 1.75 1.752640387 metoclopramide 10 mg Tab [CHKS] 51079-0888-20 10.000 mg On Admin 0.9573 1.68 1.686340024 metoclopramide 5 mg/mL Inj Sol 2 mL [CHKS] 00409-3414-01 10.000 mg On Admin 0.53 1.85 1.856340024 metoclopramide 5 mg/mL Inj Sol 2 mL [CHKS] 00703-4502-94 10.000 mg On Admin 0.529 1.85 1.852641297 metolazone 5 mg Tab [CHKS] 51079-0024-20 5.000 mg On Admin 2.64 4.62 4.622641297 metolazone 5 mg Tab [CHKS] 65580-0644-71 5.000 mg On Admin 1.5086 2.64 2.642640770 metoprolol 1 mg/mL Inj Sol 5 mL [CHKS] 36000-0033-10 5.000 mg On Admin 0.1 0.88 12640770 metoprolol 1 mg/mL Inj Sol 5 mL [CHKS] 63323-0660-05 5.000 mg On Admin 0.49 4.29 4.292641154 metoprolol 25 mg Tab 51079-0255-20 25.000 mg On Admin 0.2111 0.37 12641563 metoprolol ER 50 mg Tab [CHKS] 68084-0666-01 50.000 mg On Admin 0.56 0.98 12641154 metoprolol tartrate 25 mg Tab [CHKS] 62584-0265-01 25.000 mg On Admin 0.06 0.1 12640388 metroNIDAZOLE 250 mg Tab 68084-0216-01 250.000 mg On Admin 0.57 1 12640388 metroNIDAZOLE 250 mg Tab UD [CHKS] 00904-1453-61 250.000 mg On Admin 0.32 0.56 12641340 metroNIDAZOLE 500 mg/NS 100 mL IV Sol [CHKS] 00409-7811-24 500.000 mg On Admin 0.02636 4.61 4.616340144 midazolam 1 mg/mL preservative-free Inj Sol 2 mL [CHKS] 00409-2305-21 2.000 mg On Admin 0.22 0.77 16340383 midazolam 5 mg/mL preservative-free Inj Sol [CHKS] 00409-2308-50 10.000 mg On Admin 0.44 1.54 1.546340383 midazolam 5 mg/mL preservative-free Sol 00409-2308-02 10.000 mg On Admin 0.6744 2.36 2.362640464 mineral oil enema 133 mL [CHKS] 46122-0363-28 133.000 mL On Admin 0.01 2.33 2.332641660 mirtazapine ODT 15 mg Tab [CHKS] 65862-0021-06 15.000 mg On Admin 0.78 1.36 1.362641286 misoprostol 100 mcg Tab [CHKS] 68084-0040-01 100.000 mcg On Admin 1 1.75 1.752640693 montelukast 10 mg Tab [CHKS] 50268-0575-15 10.000 mg On Admin 0.4 0.7 16340992 morphine 1 mg/mL preservative-free Inj Sol 10 mL [CHKS] 00641-6019-10 10.000 mg On Admin 1.32 23.1 23.16340556 morphine 10 mg/mL preservative-free Sol 1 mL [CHKS] 00641-6127-25 10.000 mg On Admin 3.33 5.83 5.832641273 morphine 100 mg/8 hr Tab [CHKS] 00406-8390-01 100.000 mg On Admin 1.62 2.83 2.832640247 morphine 15 mg Tab [CHKS] 00054-0235-24 15.000 mg On Admin 0.37 0.65 12640182 morphine 15 mg/8 hr Tab UD [CHKS] 00406-8315-62 15.000 mg On Admin 0.54 0.95 16340584 morphine 2 mg/mL preservative-free Sol 1 mL [CHKS] 00409-1890-01 2.000 mg On Admin 1.39 2.43 2.43

2641538 morphine 20 mg/mL Oral Conc 30 mL [CHKS] 00054-0517-44 600.000 mgOn


2641538 morphine 20 mg/mL Oral Conc 30 mL [CHKS] 00406-8003-30 600.000 mgOn

Dispense/Manual 0.45 23.62 23.62CHKS1852 morphine 30 mg/30 mL PCA preservative-free Sol [CHKS] 00409-2029-02 30.000 mg On Admin 0.266 13.96 13.966340987 morphine 30 mg/30 mL PCA preservative-free Sol [CHKS] 00409-2029-02 30.000 mg On Admin 0.266 13.96 13.96

2640255 morphine 30 mg/8 - 12hr Tab UD [CHKS] 00406-8330-62 30.000 mg On Admin 1.11 1.94 1.946340150 morphine 8 mg/mL preservative-free Sol [CHKS] 00641-6126-25 8.000 mg On Admin 1.0768 1.88 1.886340153 naloxone 0.4 mg/mL Inj Sol 1 mL [CHKS] 00409-1782-69 0.400 mg On Admin 14.2 24.85 24.852641156 naproxen sodium 220 mg Tab [CHKS] 24385-0490-78 220.000 mg On Admin 0.0421 0.07 12641156 naproxen sodium 220 mg Tab [CHKS] 68084-0914-01 220.000 mg On Admin 0.0421 0.07 12641574 nebivolol 5 mg Tab [CHKS] 00456-1405-30 5.000 mg On Admin 3.85 6.74 6.746341035 neostigmine 0.5 mg/mL Sol [CHKS] 76014-0002-33 5.000 mg On Admin 3.6002 63 636341035 neostigmine 0.5 mg/mL Sol [CHKS] 76014-0902-10 5.000 mg On Admin 3.6002 63 632643217 niacin 250 mg Cap ER[CHKS] 00904-0629-60 250.000 mg On Admin 0.0304 0.05 12642053 niCARdipine 2.5 mg/mL Inj Sol 10 mL [CHKS] 00143-9593-10 25.000 mg On Admin 1.55 27.12 27.122642053 niCARdipine 2.5 mg/mL Inj Sol 10 mL [CHKS] 00143-9689-10 25.000 mg On Admin 1.54 26.95 26.952640209 nicotine 21 mg/24 hr Fil [CHKS] 00536-1108-88 1.000 patch(es) On Admin 1.57 2.75 2.752640209 nicotine 21 mg/24 hr Fil [CHKS] 46122-0353-74 1.000 patch(es) On Admin 1.0321 1.81 1.812641072 nicotine 7 mg/24 hr Fil 00536-5894-88 1.000 patch(es) On Admin 2.014 3.52 3.522641072 nicotine 7 mg/24 hr Patch [CHKS] 00536-1106-88 1.000 patch(es) On Admin 1.57 2.75 2.752640598 NIFEdipine 10 mg Cap [CHKS] 00228-2497-10 10.000 mg On Admin 0.69 1.21 1.212641083 NIFEdipine ER 30 mg Tab [CHKS] 50268-0597-15 30.000 mg On Admin 0.8 1.4 1.42641083 NIFEdipine ER 30 mg Tab [CHKS] 68084-0597-01 30.000 mg On Admin 1.3479 2.36 2.362641852 nitrofurantoin macrocrystals-monohydrate 100 mg Cap 68001-0001-00 100.000 mg On Admin 0.9 1.57 1.572641852 nitrofurantoin macrocrystals-monohydrate 100 mg Cap [CHKS] 68084-0446-01 100.000 mg On Admin 1.73 3.03 3.032640921 nitroglycerin 0.2 mg/hr Patch [CHKS] 47781-0297-03 1.000 patch(es) On Admin 0.5 0.88 12640921 nitroglycerin 0.2 mg/hr Patch [CHKS] 49730-0111-30 1.000 patch(es) On Admin 1.65 2.89 2.89

2640394 nitroglycerin 0.4 mg sublingual Tab [CHKS] 00071-0418-13 0.400 mgOn

Dispense/Manual 1 43.75 43.752640393 nitroglycerin 0.4 mg/hr Patch [CHKS] 47781-0298-03 1.000 patch(es) On Admin 1 1.75 1.752640393 nitroglycerin 0.4 mg/hr Patch [CHKS] 49730-0112-30 1.000 patch(es) On Admin 1.87 3.27 3.272640636 nitroglycerin 2% Top Oint 1 gm [CHKS] 00281-0326-08 1.000 in On Admin 1.93 3.38 3.382641090 nitroglycerin 50 mg in D5W 250 mL IV DRIP [CHKS] 00338-1049-02 50.000 mg On Admin 0.06 26.25 26.252640874 nitroprusside 25 mg/mL IV Sol 2 mL [CHKS] 00187-4302-02 50.000 mg On Admin 146.3 512.05 512.052640814 norEPINEPHrine 1 mg/mL IV Sol 4 mL [CHKS] 00409-3375-25 4.000 mg On Admin 4.51 31.57 31.572640814 norepinephrine 1 mg/mL Sol 00409-1443-25 4.000 mg On Admin 5.45 38.15 38.152640814 norepinephrine 1 mg/mL Sol 36000-0162-10 4.000 mg On Admin 2.525 17.68 17.682640140 nystatin 100,000 units/mL Oral Susp 5 mL [CHKS] 68094-0599-58 500000.000 unit(s) On Admin 0.24 2.1 2.12640140 nystatin 100,000 units/mL Oral Susp 5 mL [CHKS] 66689-0037-50 500000.000 unit(s) On Admin 0.189 1.65 1.65

2640140 nystatin 100000 units/mL Sus 68094-0599-62 500000.000 unit(s) On Admin 0.296 2.59 2.59

2640448 nystatin Top 100,000 units/g Cream 15 gm [CHKS] 51672-1289-01 1.000 appOn


2640878 nystatin topical powder 100,000 USP/gm 15 gm [CHKS] 68308-0152-15 1.000 appOn


2640023 ocular lubricant preserved Sol 15 mL [CHKS] 00536-1087-94 1.000 drop(s)On

Dispense/Manual 0.11 2.89 2.896340329 OLANZapine 10 mg IM Inj [CHKS] 00781-3159-72 10.000 mg On Admin 21.73 38.03 38.036340329 OLANZapine 10 mg IM Inj [CHKS] 00517-0955-01 10.000 mg On Admin 23.5 41.12 41.122640544 OLANZapine 2.5 mg Tab [CHKS] 68084-0525-01 2.500 mg On Admin 0.29 0.51 12640544 OLANZapine 2.5 mg Tab [CHKS] 00904-6283-61 2.500 mg On Admin 0.3328 0.58 12643277 omega-3 polyunsaturated fatty acids 1050 mg Cap [CHKS] 44946-1018-00 1050.000 mg On Admin 0.2807 0.49 12641016 omeprazole 20 mg Cap 51079-0007-20 20.000 mg On Admin 0.29872 0.52 12641016 omeprazole 20 mg Oral EC Cap [CHKS] 68084-0128-01 20.000 mg On Admin 0.15 0.26 16340323 onabotulinumtoxinA 100 units Pow Vial [CHKS] 00023-1145-01 100.000 unit(s) On Admin 579 694.8 694.86340269 ondansetron 2 mg/mL Inj Sol 2 mL Vial [CHKS] 00641-6080-25 4.000 mg On Admin 0.15 0.53 16340269 ondansetron 2 mg/mL Inj Sol 2 mL Vial [CHKS] 00641-6078-25 4.000 mg On Admin 0.29 1.01 1.016340269 ondansetron 2 mg/mL Sol 70860-0776-02 4.000 mg On Admin 0.915 3.2 3.22641711 ondansetron 4 mg Tab 68462-0157-13 4.000 mg On Admin 0.58 1.01 1.012641711 ondansetron ODT 4 mg Tab [CHKS] 68001-0246-17 4.000 mg On Admin 0.18 0.32 1

2650014 Ophth irrigation, intraocular Balanced Salt Sol 500 mL [CHKS] 00065-0795-30 1.000 drop(s)On

Dispense/Manual 0.02 17.5 17.56340610 orphenadrine 30 mg/mL Inj Sol 2 mL Vial [CHKS] 17478-0538-02 60.000 mg On Admin 8.04 28.14 28.142641805 oseltamivir 30 mg Cap 69238-1264-01 30.000 mg On Admin 14.181 24.82 24.822641805 oseltamivir 30 mg Cap [CHKS] 00004-0802-85 30.000 mg On Admin 12.69 22.21 22.212640995 oseltamivir 75 mg Cap 69238-1266-01 75.000 mg On Admin 15.457 27.05 27.052640995 oseltamivir 75 mg Cap [CHKS] 00004-0800-85 75.000 mg On Admin 13.87 24.27 24.272640995 oseltamivir 75 mg Cap [CHKS] 70710-1010-02 75.000 mg On Admin 9.833 17.21 17.212640995 oseltamivir 75 mg Cap [CHKS] 47781-0470-13 75.000 mg On Admin 15.377 26.91 26.912641564 oxybutynin ER 5 mg Tab [CHKS] 50268-0627-15 5.000 mg On Admin 1.83 3.2 3.22640523 oxyCODONE 10 mg ER Tab [CHKS] 59011-0410-20 10.000 mg On Admin 2.73 4.78 4.782641169 oxyCODONE 5 mg Tab 10702-0018-01 5.000 mg On Admin 0.5411 0.95 12641169 oxyCODONE 5 mg Tab 68084-0354-01 5.000 mg On Admin 0.375 0.66 12641169 oxyCODONE 5 mg Tab UD [CHKS] 00406-0552-62 5.000 mg On Admin 0.54 0.95 1

2641169 oxyCODONE 5 mg Tab UD [CHKS] 00406-0552-23 5.000 mg On Admin 0.54 0.95 16340161 oxytocin 10 units/mL Inj Sol 1 mL [CHKS] 42023-0116-25 10.000 unit(s) On Admin 1.4 2.45 2.456340376 palonosetron 0.25 mg/5 mL IV Sol [CHKS] 62856-0797-01 0.250 mg On Admin 137.15 822.9 822.96340238 pamidronate 9 mg/mL IV Sol [CHKS] 61703-0326-18 90.000 mg On Admin 2.8 49 496340068 pantoprazole 40 mg IV Pow [CHKS] 00008-0941-02 40.000 mg On Admin 3.26 5.71 5.716340068 pantoprazole 40 mg IV Pow [CHKS] 00008-0941-03 40.000 mg On Admin 3.32 5.81 5.812641597 pantoprazole 40 mg Oral EC Tab [CHKS] 51079-0051-20 40.000 mg On Admin 0.24 0.42 16340068 pantoprazole 40 mg Pow 55150-0202-10 40.000 mg On Admin 8.5 14.88 14.886340068 pantoprazole 40 mg Pow 00143-9300-10 40.000 mg On Admin 3.1 5.42 5.426340068 pantoprazole 40 mg Pow 00143-9284-10 40.000 mg On Admin 7.8 13.65 13.652642014 PARoxetine 40 mg Tab [CHKS] 68084-0047-01 40.000 mg On Admin 0.53 0.93 16340040 pegfilgrastim 6 mg/0.6 mL SubQ Inj [CHKS] 55513-0190-01 6.000 mg On Admin 8002.9 5762.09 5762.096340156 Penicillin G Potassium 5,000,000 units Pow [CHKS] 00049-0520-22 5000000.000 unit(s) On Admin 6.14 10.75 10.75

2643094 pentafluoropropane-tetrafluoroethane Top Spry [CHKS] 00386-0004-04 1.000 spray(s)On

Dispense/Manual 0.28 50.72 50.722643258 pentamidine 300 mg INH Pow[CHKS] 63323-0877-15 300.000 mg On Admin 103.93 181.88 181.882640901 phenazopyridine 97.5 mg Tab [CHKS] 87651-0122-53 97.500 mg On Admin 0.3208 0.56 16340154 phenylephrine 10 mg/mL Inj Sol 1 mL Vial [CHKS] 00641-6142-25 10.000 mg On Admin 4.24 7.42 7.42

2640207 phenylephrine nasal 1% spray 15 mL [CHKS] 69536-0100-15 1.000 spray(s)On


2640137 phenylephrine Ophth 2.5% Sol [CHKS] 17478-0201-02 1.000 drop(s)On

Dispense/Manual 16.6 58.1 58.12641151 phenytoin 100 mg Cap [CHKS] 68084-0376-01 100.000 mg On Admin 0.37 0.65 16340726 phenytoin 50 mg/mL Sol [CHKS] 00641-0493-25 100.000 mg On Admin 0.4 1.4 1.42642054 physostigmine 1 mg/mL Inj Sol 2 mL [CHKS] 17478-0510-02 2.000 mg On Admin 17.2 60.2 60.26340184 phytonadione 1 mg/0.5 mL Inj Sol [CHKS] 00409-9157-25 1.000 mg On Admin 6.99 6.12 6.126340185 phytonadione 10 mg/mL Inj Sol [CHKS] 00409-9158-25 10.000 mg On Admin 111.99 195.98 195.982640955 pioglitazone 15 mg Tab 16729-0020-10 15.000 mg On Admin 7.007 12.26 12.262640955 pioglitazone 15 mg Tab 33342-0054-07 15.000 mg On Admin 5.0056 8.76 8.762640955 pioglitazone 15 mg Tab [CHKS] 00093-7271-56 15.000 mg On Admin 7.01 12.27 12.276340157 piperacillin-tazobactam 2 g-0.25 g Pow 55150-0119-30 2.250 gm On Admin 3.56 6.23 6.236340157 piperacillin-tazobactam 2.25 g IV Inj [CHKS] 00781-9344-95 2.250 gm On Admin 1.15 2.01 2.016340157 piperacillin-tazobactam 2.25 g IV Inj [CHKS] 00781-9344-94 2.250 gm On Admin 1.15 2.01 2.016340157 piperacillin-tazobactam 2.25 g IV Inj [CHKS] 00409-3374-02 2.250 gm On Admin 9.41 16.47 16.47

6340157 piperacillin-tazobactam 2.25 g IV Inj [CHKS] 00781-3110-95 2.250 gm On Admin 2.59 4.53 4.536340900 piperacillin-tazobactam 3 g-0.375 g Pow 00781-3113-95 3.375 gm On Admin 7.18 12.56 12.566340900 piperacillin-tazobactam 3 g-0.375 g Pow 55150-0120-30 3.375 gm On Admin 5.577 9.76 9.766340900 piperacillin-tazobactam 3.375 g IV Inj [CHKS] 00409-3378-13 3.375 gm On Admin 7.05 12.34 12.346340900 piperacillin-tazobactam 3.375 g IV Inj [CHKS] 25021-0165-30 3.375 gm On Admin 7.18 12.56 12.566340014 pneumococcal 23-valent vaccine Inj Sol 0 mL [CHKS] 00006-4837-02 0.500 mL On Admin 163.41 142.98 142.982641428 polyethylene glycol 3350 - Pow 11523-7268-08 17.000 gm On Admin 0.98 1.71 1.712641428 polyethylene glycol 3350 Oral Pwdr for Recon 17 gm Packet [CHKS] 51079-0306-30 17.000 gm On Admin 2.06 3.6 3.66340020 potassium chloride 2 mEq/mL IV Sol [CHKS] 63323-0965-20 40.000 mEq On Admin 0.06 2.1 2.1

2643195 potassium chloride 20 mEq/15 mL Liq 66689-0047-80 630.667 mEqOn


2643195 potassium chloride 20 mEq/15 mL Oral Liq [CHKS] 00603-1542-58 630.667 mEqOn

Dispense/Manual 0.41 339.38 339.382640437 potassium ER chloride 10 mEq Tab [CHKS] 63739-0446-10 10.000 mEq On Admin 0.52 0.91 12640437 potassium ER chloride 10 mEq Tab [CHKS] 68084-0632-01 10.000 mEq On Admin 0.75 1.31 1.31

2642659 povidone iodine Top 10% Sol [CHKS] 67618-0150-09 1.000 appOn

Dispense/Manual 0.01 4.2 4.22641774 pramipexole 0.25 mg Tab [CHKS] 68084-0440-01 0.250 mg On Admin 0.19 0.33 12641651 pravastatin 40 mg Tab 51079-0782-20 40.000 mg On Admin 4.77 8.35 8.352641651 pravastatin 40 mg Tab [CHKS] 68084-0502-01 40.000 mg On Admin 0.6 1.05 1.052641247 prednisoLONE (as sodium phosphate) 5 mg/5 mL Liq 13925-0166-04 5.000 mg On Admin 0.82886 7.25 7.25

2641393 prednisoLONE Ophth acetate 1% Susp 5 mL [CHKS] 61314-0637-05 1.000 drop(s)On

Dispense/Manual 6.36 55.65 55.652641247 prednisoLONE sodium phosphate 5 mg/5 mL Oral Liq [CHKS] 50383-0040-04 5.000 mg On Admin 0.64 5.6 5.62642025 predniSONE 20 mg Tab 60687-0145-01 20.000 mg On Admin 0.2372 0.42 12642025 predniSONE 20 mg Tab [CHKS] 00054-0018-20 20.000 mg On Admin 0.17 0.3 12640006 pregabalin 75 mg oral Cap [CHKS] 00071-1014-68 75.000 mg On Admin 6.08 10.64 10.642640006 pregabalin 75 mg oral Cap [CHKS] 00071-1014-41 75.000 mg On Admin 6.08 10.64 10.642640978 prochlorperazine 10 mg Tab [CHKS] 51079-0542-20 10.000 mg On Admin 0.64 1.12 1.122641292 promethazine 12.5 mg Sup 00591-2985-39 12.500 mg On Admin 10.32 18.06 18.062641292 promethazine 12.5 mg Supp [CHKS] 00713-0536-12 12.500 mg On Admin 9.51 16.64 16.642641192 promethazine 25 mg Sup 51672-5297-01 25.000 mg On Admin 12.02 21.04 21.042641192 promethazine 25 mg Supp [CHKS] 00591-2992-39 25.000 mg On Admin 6.81 11.92 11.922640605 promethazine 25 mg Tab [CHKS] 68084-0155-01 25.000 mg On Admin 0.17 0.3 1

6340563 promethazine 25 mg/mL Inj Sol [CHKS] 00641-6084-25 25.000 mg On Admin 3.1 5.42 5.426340563 promethazine 25 mg/mL Inj Sol [CHKS] 00641-0948-35 25.000 mg On Admin 3.1 5.42 5.426340563 promethazine 25 mg/mL Inj Sol [CHKS] 39822-5525-03 25.000 mg On Admin 2.4 4.2 4.26340563 promethazine 25 mg/mL Sol 00641-0928-25 25.000 mg On Admin 1.41428 2.47 2.476340224 promethazine 50 mg/mL Inj Sol [CHKS] 00641-0956-25 50.000 mg On Admin 1.61 2.82 2.826340224 promethazine 50 mg/mL Inj Sol [CHKS] 00641-0949-35 50.000 mg On Admin 3 5.25 5.252641223 propafenone 150 mg Tab 00591-0582-01 150.000 mg On Admin 1.6359 2.86 2.862641223 propafenone 150 mg Tab [CHKS] 68084-0361-01 150.000 mg On Admin 0.27 0.47 1

2641119 proparacaine Ophth 0.5% Sol 15 mL [CHKS] 17478-0263-12 1.000 drop(s)On


2641119 proparacaine Ophth 0.5% Sol 15 mL [CHKS] 00998-0016-15 1.000 drop(s)On


2641119 proparacaine ophthalmic 0.5% Sol 61314-0016-01 1.000 drop(s)On

Dispense/Manual 1.84 48.3 48.32640889 propofol 10 mg/mL EMU 63323-0269-37 200.000 mg On Admin 0.36 12.6 12.62640889 propofol 10 mg/mL IV Emulsion 20 mL [CHKS] 25021-0608-20 200.000 mg On Admin 0.28 9.8 9.86340444 propranolol 1 mg/mL IV Sol 1 mL [CHKS] 00143-9872-01 1.000 mg On Admin 1.94 3.4 3.42640406 propranolol 40 mg Tab [CHKS] 00603-5484-21 40.000 mg On Admin 0.25 0.44 16340366 protamine 10 mg/mL Inj Sol 25 mL MDV [CHKS] 63323-0229-30 250.000 mg On Admin 0.86 1.5 1.56340366 protamine 10 mg/mL Inj Sol 25 mL MDV [CHKS] 63323-0229-35 250.000 mg On Admin 1.543 2.7 2.72641590 pseudoephedrine ER 120 mg Tab [CHKS] 00904-5803-15 120.000 mg On Admin 0.37 0.65 12641364 QUEtiapine 25 mg Tab 60687-0327-01 25.000 mg On Admin 3.7774 6.61 6.612641364 QUEtiapine 25 mg Tab [CHKS] 68084-0530-01 25.000 mg On Admin 0.19 0.33 12641708 QUEtiapine ER 200 mg oral Tab [CHKS] 00310-0282-60 200.000 mg On Admin 15.59 27.28 27.282641199 racepinephrine 2.25% Sol 0.5 mL Nebule [CHKS] 00487-5901-99 1.000 inh On Admin 2.9 5.08 5.08

2642554 ranitidine 15 mg/mL Oral Syrup [CHKS] 57664-0141-34 7095.000 mgOn


2642554 ranitidine 15 mg/mL Oral Syrup [CHKS] 54838-0550-80 7095.000 mgOn

Dispense/Manual 0.125 103.47 103.472640680 raNITIdine 150 mg Tab[CHKS] 60687-0322-01 150.000 mg On Admin 0.1261 0.22 16340165 ranitidine 25 mg/mL Inj Sol [CHKS] 24987-0362-10 50.000 mg On Admin 7.17 25.09 25.096340165 ranitidine 25 mg/mL Inj Sol [CHKS] 68382-0422-02 50.000 mg On Admin 2.52 8.82 8.822640174 ranitidine 75 mg Tab [CHKS] 00904-6349-52 75.000 mg On Admin 0.06 0.1 16341175 rasburicase 1.5 mg Pow Vial [CHKS] 00024-5150-10 1.500 mg On Admin 750.1667 900.2 900.2

6340299 regadenoson 0.4 mg/5 mL Sol [CHKS] 00469-6501-89 0.400 mg On Admin 42 367.5 367.56341001 RHo (D) immune globulin 300 mcg/mL IM Sol [CHKS] 00562-7805-01 300.000 mcg On Admin 68.76 120.33 120.332640495 rifAMPin 300 mg Cap [CHKS] 68084-0358-01 300.000 mg On Admin 0.8279 1.45 1.452641685 risperiDONE 0.5 mg Tab [CHKS] 68084-0271-01 0.500 mg On Admin 0.2 0.35 12641863 rivaroxaban 10 mg Tab [CHKS] 50458-0580-30 10.000 mg On Admin 9.8983 17.32 17.322640468 rocuronium 10 mg/mL IV Sol 10 mL [CHKS] 00409-9558-50 100.000 mg On Admin 0.47 8.22 8.222641912 roflumilast 500 mcg Tab [CHKS] 00310-0095-39 500.000 mcg On Admin 8.26 14.46 14.466341140 romiPLOStim 250 mcg Powder-Inj [CHKS] 55513-0221-01 250.000 mcg On Admin 1804.45 2165.34 2165.346341202 romiPLOStim 500 mcg Powder-Inj [CHKS] 55513-0222-01 500.000 mcg On Admin 3608.9 4330.68 4330.682641612 rOPINIRole 1 mg Tab [CHKS] 00054-0118-25 1.000 mg On Admin 0.29 0.51 16341109 ropivacaine 1% Epidural Soln 20 mL [CHKS] 25021-0653-20 200.000 mg On Admin 0.6 21 216340167 ropivacaine 1% Inj Sol 10 mL [CHKS] 00409-9303-10 10.000 mL On Admin 0.33 5.78 5.786341109 ropivacaine 1% Sol 63323-0288-10 200.000 mg On Admin 1.362 47.67 47.672641301 rosuvastatin 10 mg Tab [CHKS] 42292-0030-20 10.000 mg On Admin 1.04 1.82 1.822640945 scopolamine 1.5 mg Patch [CHKS] 00067-4345-04 1.000 patch(es) On Admin 17.16 30.03 30.032640945 scopolamine 1.5 mg Patch [CHKS] 66758-0208-54 1.000 patch(es) On Admin 35.4 61.95 61.952640962 selegiline 5 mg Cap [CHKS] 67253-0700-06 5.000 mg On Admin 0.99 1.73 1.732642046 selegiline 5 mg Tab [CHKS] 60505-3438-03 5.000 mg On Admin 0.7942 1.39 1.392641516 sertraline 50 mg Tab [CHKS] 68084-0181-01 50.000 mg On Admin 1 1.75 1.752641516 sertraline 50 mg Tab [CHKS] 60687-0242-01 50.000 mg On Admin 0.1061 0.19 1

2641892 sevoflurane Inh Liq 250 mL [CHKS] 00074-4456-51 250.000 mLOn

Dispense/Manual 0.25 109.38 109.382640153 silver nitrate topical - Stick [CHKS] 12870-0001-01 1.000 EA On Admin 0.45 0.79 1

2640148 silver sulfADIAZINE Top 1% Cream 50 gm [CHKS] 67877-0124-40 1.000 appOn


2640148 silver sulfADIAZINE Top 1% Cream 50 gm [CHKS] 67877-0124-50 1.000 appOn

Dispense/Manual 0.16 14 142640135 simethicone 80 mg Chew Tab [CHKS] 63739-0225-10 80.000 mg On Admin 0.04 0.07 12641474 simvastatin 20 mg Tab 51079-0455-20 20.000 mg On Admin 4.9206 8.61 8.612641474 simvastatin 20 mg Tab [CHKS] 68084-0512-01 20.000 mg On Admin 0.09 0.16 12641541 sitaGLIPtin 50 mg Tab [CHKS] 00006-0112-31 50.000 mg On Admin 12.29 21.51 21.512641189 sodium bicarbonate 4.2% IV Sol 10 mL [CHKS] 00409-5534-34 10.000 mL On Admin 0.86 15.05 15.052640211 sodium bicarbonate 650 mg Tab UD[CHKS] 66553-0008-01 650.000 mg On Admin 0.0555 0.1 12640413 sodium bicarbonate 7.5% IV Sol 50 mL [CHKS] 00409-4916-34 50.000 mL On Admin 0.23 20.12 20.12

2640463 sodium biphosphate-sodium phosphate 133 mL Soln 46122-0364-28 133.000 mL On Admin 0.01 2.33 2.332640463 sodium biphosphate-sodium phosphate 19 g-7 g Rectal Enema 133 mL [CHKS] 00536-7415-51 133.000 mL On Admin 0.01 2.33 2.332699999 Sodium Chloride 0.45% 250 mL Soln 99998-9990-00 250.000 mL On Admin 0 0 06340189 Sodium Chloride 0.45% Sol 1000mL [CHKS] 00409-7985-09 1000.000 mL On Admin 0.01 17.5 17.52643254 sodium chloride 0.9% Flush Sol 2.5 mL [CHKS] 17474-3002-02 2.500 mL On Admin 0.0851 0.37 12643254 sodium chloride 0.9% Flush Sol 2.5 mL [CHKS] 88815-7030-03 2.500 mL On Admin 0.0851 0.37 12641403 sodium chloride 0.9% INHALATION Sol 3 mL [CHKS] 00487-9301-33 3.000 mL On Admin 0.04 0.21 12640282 sodium chloride 0.9% Inj FLUSH SYG Sol 10 mL [CHKS] 63807-0100-01 10.000 mL On Admin 0.069 1.21 1.212640301 sodium chloride 0.9% Inj Sol 10 mL [CHKS] 63323-0186-10 10.000 mL On Admin 0.04 0.7 12640737 sodium chloride 0.9% Inj Sol FLUSH SYG 3 mL [CHKS] 00409-1918-33 3.000 mL On Admin 0.1574 0.83 12640737 sodium chloride 0.9% Inj Sol FLUSH SYG 3 mL [CHKS] 08290-3065-07 3.000 mL On Admin 0.1574 0.83 16340640 Sodium Chloride 0.9% intravenous solution Sol 50 mL Vial [CHKS] 00409-4888-50 50.000 mL On Admin 0.0388 3.4 3.46340197 Sodium Chloride 0.9% IV Sol 250 mL [CHKS] 00409-7101-02 250.000 mL On Admin 0.01512 6.61 6.616340925 Sodium Chloride 0.9% Sol 100 mL [CHKS] 00409-7984-23 100.000 mL On Admin 0.789 138.08 138.086340190 Sodium Chloride 0.9% Sol 1000 mL [CHKS] 00409-7983-09 1000.000 mL On Admin 0.0551 96.42 96.426340196 Sodium Chloride 0.9% Sol 100mL Add-V Bag [CHKS] 00409-7101-67 100.000 mL On Admin 0.28681 50.19 50.196340926 Sodium Chloride 0.9% Sol 250 mL [CHKS] 00409-7983-02 250.000 mL On Admin 0.025 10.94 10.946340195 Sodium Chloride 0.9% Sol 50 mL Bag[CHKS] 00409-7984-13 50.000 mL On Admin 0.07 6.13 6.136340192 Sodium Chloride 0.9% Sol 500 mL [CHKS] 00264-7800-10 500.000 mL On Admin 0.1222 106.92 106.926340192 Sodium Chloride 0.9% Sol 500 mL [CHKS] 00409-7983-03 500.000 mL On Admin 0.112 98 982640004 Sodium Chloride 0.9% with KCl 20 mEq IV Sol 1000 mL [CHKS] 00409-7115-09 1000.000 mL On Admin 0.00309 5.41 5.412640094 sodium chloride 1 g Tab [CHKS] 00223-1760-01 1.000 gm On Admin 0.06 0.1 12640534 Sodium Chloride 3% IV Soln 500 mL [CHKS] 00338-0054-03 500.000 mL On Admin 0.01 8.75 8.752640903 sodium chloride bacteriostatic 0.9% Inj Sol 30 mL [CHKS] 00409-1966-07 30.000 mL On Admin 0.02 1.05 1.052640903 sodium chloride bacteriostatic 0.9% Sol 00409-1966-05 30.000 mL On Admin 0.07246 3.8 3.8

2640686 sodium chloride nasal 0.65% Gel 14.1 gm [CHKS] 00225-0525-47 1.000 appOn


2642447 sodium chloride nasal 0.65% Gel [CHKS] 00225-0528-48 1.000 appOn


2640694 sodium chloride Nasal 0.65% Spray 44 mL [CHKS] 00904-3865-75 1.000 spray(s)On


2640732 sodium hypochlorite topical 0.125% Sol 473 mL [CHKS] 00436-0672-16 1.000 appOn

Dispense/Manual 0.03 24.83 24.832640632 sodium polystyrene sulfonate 15 g/60 mL Oral Susp [CHKS] 00574-2002-16 15.000 gm On Admin 0.12 12.6 12.6

2640632 sodium polystyrene sulfonate 15 g/60 mL Sus 00574-2002-02 15.000 gm On Admin 0.1875 19.69 19.69

2641178 sodium sulfacetamide Ophth 10% Sol 15 mL [CHKS] 24208-0670-04 1.000 drop(s)On

Dispense/Manual 2.27 59.59 59.592641084 sotalol 80 mg Tab 00093-1061-01 80.000 mg On Admin 0.336 0.59 12641084 sotalol 80 mg Tab UD [CHKS] 00185-0171-01 80.000 mg On Admin 3.22 5.64 5.642640414 spironolactone 25 mg Tab 68084-0206-01 25.000 mg On Admin 0.3007 0.53 12640414 spironolactone 25 mg Tab [CHKS] 50268-0726-15 25.000 mg On Admin 0.15 0.26 12640780 sterile water - Sol 00409-4887-10 20.000 mL On Admin 0.1047 3.66 3.662640780 sterile water - Sol 00517-3010-25 20.000 mL On Admin 0.3375 11.81 11.812640780 sterile water Inj Sol 20 mL Vial [CHKS] 00409-4887-20 20.000 mL On Admin 0.06 2.1 2.16340077 succinylcholine 20 mg/mL Inj Sol 10 mL [CHKS] 00781-3009-95 200.000 mg On Admin 2.66 46.55 46.556340077 succinylcholine 20 mg/mL Soln 00781-3411-95 200.000 mg On Admin 1.844 32.27 32.272640747 sucralfate 1 g Tab [CHKS] 51079-0753-20 1.000 gm On Admin 0.23 0.4 12643057 sugammadex 100 mg/mL Sol [CHKS] 00006-5423-12 200.000 mg On Admin 46.14 161.49 161.49

2641178 sulfacetamide sodium ophthalmic 10% Sol 61314-0701-01 1.000 drop(s)On

Dispense/Manual 1.08333 28.44 28.442640549 sulfamethoxazole-trimethoprim 800 mg-160 mg Tab [CHKS] 68084-0230-01 1.000 tab(s) On Admin 0.14 0.25 16340301 SUMAtriptan 6 mg/0.5 mL Sol 55150-0173-05 6.000 mg On Admin 35.05 30.67 30.676340301 SUMAtriptan 6 mg/0.5 mL SubQ Sol [CHKS] 63323-0273-01 6.000 mg On Admin 94.86 83 836340301 SUMAtriptan 6 mg/0.5 mL SubQ Sol [CHKS] 55150-0173-01 6.000 mg On Admin 7.14 6.25 6.252641780 tamsulosin 0.4 mg Oral Cap [CHKS] 68084-0299-01 0.400 mg On Admin 0.3 0.53 12640552 temazepam 15 mg Cap [CHKS] 51079-0418-20 15.000 mg On Admin 0.09 0.16 12699999 Template Non-Formulary [CHKS] 99999-9999-99 1.000 EA On Admin 0 0 16340029 tenecteplase 50 mg IV Inj [CHKS] 50242-0120-01 50.000 mg On Admin 5445.03 6534.04 6534.046340029 tenecteplase 50 mg IV Inj [CHKS] 50242-0037-06 50.000 mg On Admin 5245.03 6294.04 6294.042641077 terazosin 2 mg Cap [CHKS] 00904-6127-61 2.000 mg On Admin 0.11 0.19 12641078 terazosin 5 mg Cap [CHKS] 00904-6128-61 5.000 mg On Admin 0.12 0.21 16340245 terbutaline 1 mg Soln [CHKS] 70860-0801-01 1.000 mg On Admin 0.9 1.57 1.576340245 terbutaline 1 mg/mL Inj Sol 1 mL [CHKS] 63323-0665-01 1.000 mg On Admin 1.53 2.68 2.682641283 terbutaline 5 mg Tab [CHKS] 00527-1311-01 5.000 mg On Admin 3.77 6.6 6.6

6340559tetanus-diphth toxoids (Td) adult/adol 5 units-2 units/0.5 mL preservative-free Sus UD

[CHKS] 49281-0215-15 0.500 mL On Admin 54.57 47.75 47.75

6340273tetanus/diphtheria/pertussis, acel (Tdap) 5 units-2.5 units-18.5 mcg/0.5 mL IM Susp 0

mL [CHKS] 58160-0842-52 0.500 mL On Admin 68.78 60.18 60.18

2641839 tetracaine Ophth 0.5% Sol 2 mL [CHKS] 00065-0741-12 1.000 drop(s)On

Dispense/Manual 21 73.5 73.5

2643128 tetracaine Ophth 0.5% Sol 4 mL [CHKS] 00065-0741-14 1.000 drop(s)On

Dispense/Manual 1.1279 7.9 7.92640206 thiamine 100 mg Tab UD [CHKS] 51645-0905-99 100.000 mg On Admin 0.044 0.08 16340182 thiamine 100 mg/mL Inj Sol 2 mL [CHKS] 63323-0013-09 200.000 mg On Admin 2.9 10.15 10.156340182 thiamine 100 mg/mL Sol 63323-0013-02 200.000 mg On Admin 6.218 21.76 21.76

2642454 THP AMOXICILLIN 500 MG ED PAK #6 [CHKS] 99998-9999-10 1.000 EAOn


2642543 THP AZITHROMYCIN 250 MG ED PAK [CHKS] 99999-9996-10 1.000 EAOn


2642456 THP CEPHALEXIN 500 MG CAP #12 [CHKS] 99999-9999-04 1.000 EAOn


2642326 THP CIPROFLOXACIN 500MG ED PAK #6 [CHKS] 99999-9996-07 1.000 EAOn


2642324 THP CYCLOBENZAPRINE 10 MG TAB #6 [CHKS] 99999-9999-08 1.000 EAOn


2642568 THP Hydrocodone-Acetaminophen (Lortab) Oral Liquid [CHKS] 99999-9994-52 1.000 EAOn


2642354 THP HYDROcodone/ACETAMINOPHEN 5/325 MG TAB #6 [CHKS] 99999-9999-10 1.000 EAOn


2642757 THP ONDANSETRON ODT 4 MG TAB #5 [CHKS] 99999-9999-18 1.000 EAOn


2642951 THP OXYCODONE/ACETAMINOPHEN 5/325 MG TAB #6 [CHKS] 99999-9999-24 1.000 EAOn


2642531 THP PREDNISONE 20 MG ED PAK #9 [CHKS] 99999-9994-62 1.000 EAOn


2642323 THP SULFAMETHOXAZOLE/TRIMETHOPRIM 800MG/160MG TAB#6 [CHKS] 99999-9999-23 1.000 EAOn


2642503 THP TRAMADOL 50 MG ED PAK [CHKS] 99999-9999-70 1.000 EAOn

Dispense/Manual 4 7 72641221 thyroid desiccated 30 mg Tab 42192-0329-01 30.000 mg On Admin 0.5633 0.99 12641221 thyroid desiccated 30 mg Tab [CHKS] 00456-0458-01 30.000 mg On Admin 0.61 1.07 1.076340174 tobramycin 40 mg/mL Inj Sol [CHKS] 17478-0114-30 80.000 mg On Admin 0.71 2.48 2.48

6340174 tobramycin 40 mg/mL Inj Sol [CHKS] 36000-0242-01 80.000 mg On Admin 0.75833 2.65 2.652641112 tolterodine 4 mg Cap 60687-0330-21 4.000 mg On Admin 7.2 12.6 12.62641112 tolterodine ER 4 mg Cap [CHKS] 00093-2049-56 4.000 mg On Admin 3.14 5.5 5.52641112 tolterodine ER 4 mg Cap [CHKS] 00904-6593-04 4.000 mg On Admin 8.0133 14.02 14.022641243 traMADol 50 mg Tab 00904-6365-61 50.000 mg On Admin 0.8716 1.53 1.532641243 traMADol 50 mg Tab UD [CHKS] 51079-0991-20 50.000 mg On Admin 0.07 0.12 12642645 tranexamic acid 100 mg/mL IV Sol [CHKS] 00013-1114-08 1000.000 mg On Admin 5.04 88.2 88.22642645 tranexamic acid 100 mg/mL IV Sol [CHKS] 00013-1114-10 1000.000 mg On Admin 5.05 88.38 88.382642645 tranexamic acid 100 mg/mL Sol 00517-0960-10 1000.000 mg On Admin 2.498 43.72 43.722640422 traZODone 50 mg Tab [CHKS] 00904-3990-61 50.000 mg On Admin 1 1.75 1.752640422 traZODone 50 mg Tab [CHKS] 00904-6554-61 50.000 mg On Admin 0.1189 0.21 16341237 triamcinolone 32 mg Pow [CHKS] 70801-0003-01 32.000 mg On Admin 570 684 6846340881 triamcinolone acetonide 40 mg/mL Inj Susp [CHKS] 00003-0293-20 200.000 mg On Admin 8.88 77.7 77.7

2641508 triamcinolone topical 0.1% Cream 15 gm [CHKS] 45802-0064-35 1.000 appOn

Dispense/Manual 0.13 3.41 3.416340587 trimethobenzamide 100 mg/mL IM Sol [CHKS] 42023-0118-01 2000.000 mg On Admin 12.15 425.25 425.25

2641134 tropicamide Ophth 1% Sol 15 mL [CHKS] 17478-0102-12 1.000 drop(s)On






2641134 tropicamide ophthalmic 1% Sol 00998-0355-15 1.000 drop(s)On

Dispense/Manual 4.96413 130.31 130.316340311 vancomycin 1 g IV Inj [CHKS] 00409-6535-01 1.000 gm On Admin 12.78 22.37 22.376340311 vancomycin 1 g Pow 63323-0284-20 1.000 gm On Admin 16.25 28.44 28.446340311 vancomycin 1 g Pow 00409-6533-01 1.000 gm On Admin 19.248 33.68 33.686340311 vancomycin 1 g Pow 70860-0105-20 1.000 gm On Admin 9 15.75 15.756340311 vancomycin 1 g Pow 47781-0597-91 1.000 gm On Admin 4.41 7.72 7.726340180 vancomycin 500 mg IV Inj [CHKS] 00409-6534-01 500.000 mg On Admin 3.79 6.63 6.636340180 vancomycin 500 mg Pow 00409-4332-01 500.000 mg On Admin 9.648 16.88 16.886340784 vancomycin 750 mg Pow 63323-0203-20 750.000 mg On Admin 9.16 16.03 16.036340784 vancomycin 750 mg Pow 00409-6531-02 750.000 mg On Admin 7.11 12.44 12.446340784 vancomycin 750 mg Pow [CHKS] 00409-6531-01 750.000 mg On Admin 5.29 9.26 9.26

2640558 vecuronium 10 mg IV Inj [CHKS] 67457-0571-10 10.000 mg On Admin 0.48 0.84 12640558 vecuronium 10 mg IV Inj [CHKS] 00409-1632-01 10.000 mg On Admin 4.25 7.44 7.442640558 vecuronium 10 mg Pow 47335-0931-44 10.000 mg On Admin 9.02 15.79 15.792640558 vecuronium 10 mg Pow 00703-2914-03 10.000 mg On Admin 4.23 7.4 7.42640767 venlafaxine 37.5 mg Cap [CHKS] 68084-0698-01 37.500 mg On Admin 0.3019 0.53 12640766 venlafaxine 75 mg Cap 68084-0709-01 75.000 mg On Admin 4.1968 7.34 7.342640766 venlafaxine ER 75 mg Cap [CHKS] 59762-0181-03 75.000 mg On Admin 6.33 11.08 11.082640766 venlafaxine ER 75 mg Cap [CHKS] 00093-7385-56 75.000 mg On Admin 0.2143 0.38 12640424 verapamil 120 mg Tab [CHKS] 00904-2924-61 120.000 mg On Admin 0.09 0.16 12642302 verapamil 2.5 mg/mL IV Sol 2 mL Ampul [CHKS] 00409-4011-01 5.000 mg On Admin 7.56 26.46 26.46

2642845 vitamin A & D Top Oint 5 gm [CHKS] 54162-0000-05 1.000 appOn

Dispense/Manual 0.03 0.26 12642214 vitamin E 400 intl units Cap [CHKS] 87701-0407-54 400.000 Int Unit On Admin 0.0352 0.06 12640866 Vits A, C, E/Lutein/Mineral Tab [CHKS] 00536-5090-08 1.000 tab(s) On Admin 1 1.75 1.752640907 warfarin 1 mg Tab UD [CHKS] 00056-0169-75 1.000 mg On Admin 0.03 0.05 12640342 warfarin 2 mg Tab UD [CHKS] 00056-0170-75 2.000 mg On Admin 0.04 0.07 12640047 warfarin 5 mg Tab UD [CHKS] 00056-0172-75 5.000 mg On Admin 0.04 0.07 16340839 zoledronic acid 5 mg/100 mL IV Sol [CHKS] 43598-0331-11 5.000 mg On Admin 2.14 374.5 374.52641532 zolpidem 5 mg Tab [CHKS] 00904-6082-61 5.000 mg On Admin 0.06 0.1 12641532 zolpidem 5 mg Tab [CHKS] 51079-0724-20 5.000 mg On Admin 0.06 0.1 1

Sheet1

Documents

Per Charge Collected Base Cost (mL, · 2019. 1. 2. · CDM. PRODUCT NDC Strength Charge Collected Type Base Cost (mL, each, gm) Per Dispense Unit Final Price 6340387: acetaminophen