CDM Item Number,Revenue Code,Service ID,Service Mod1,Service Mod2,Service Mod3,Service Mod4,DRG Qualifier,DRG Code,Service Description,Gross Charge,Discounted Cash Price,Minimum Negotiated Charge,Maximum Negotiated Charge,Payer Negotiated Charge: Aetna (Plan: Default),Payer Negotiated Charge: Aetna (Plan: Medicare Advantage),Payer Negotiated Charge: Aetna Better Health (IL) MMAI (Plan: Default),Payer Negotiated Charge: Blue Cross Blue Shield of IL (Plan: Default),Payer Negotiated Charge: Blue Cross Blue Shield of IL (Plan: Medicaid Replacement),Payer Negotiated Charge: Blue Cross Blue Shield of IL MCR Adv 66006 (Plan: Default),Payer Negotiated Charge: Cigna Supplemental (Plan: Default),Payer Negotiated Charge: Great West Healthcare (Plan: Default),Payer Negotiated Charge: Health Alliance Medical Plans (Plan: Default),Payer Negotiated Charge: Healthlink PPO (Plan: Default),Payer Negotiated Charge: HealthSCOPE Benefits Inc (Plan: Default),Payer Negotiated Charge: Medicaid Illinois (Plan: Default),Payer Negotiated Charge: Medicare A IL J6 (Plan: Default),Payer Negotiated Charge: UMWA Health & Retirement Funds (Plan: Default),Payer Negotiated Charge: United Healthcare (Plan: Default),Payer Negotiated Charge: United Healthcare (Plan: Medicare Advantage),Payer Negotiated Charge: United Healthcare (Plan: PPO)
10,637,,,,,,,,ITRACONAZOLE(SPORANOX) 100MG CAPS,19.72,19.72,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
100079,637,,,,,,,,ACTIDOSE W/SORBITOL 50GM 240ML:SUSP,39.48,39.48,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
100109,637,,,,,,,,ACETIMINOPHEN(TYLENOL)120MG***,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
100110,637,,,,,,,,ACETAMINOPHEN(TYLENOL)325MG SUPP,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
100122,637,,,,,,,,ACETAMINOPHEN(TYLENOL)650MG SUPP,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
100174,250,,,,,,,,IMITREX(SUMATRIPTAN)6MG/0.5ML SYRING:INJ,290.68,290.68,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
100274,250,,,,,,,,VERAPAMIL(CALAN)2.5MG/ML 2ML AMP:INJ,26.83,26.83,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
100326,637,,,,,,,,OSELTAMIVIR PHOSPHATE 30MG CAP(TAMIFLU),18.18,18.18,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
100377,637,,,,,,,,NASAL RELIEF SPRAY(AFRIN)0.05%  15ML:SPR,10.99,10.99,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
100420,637,,,,,,,,SPIRONOLACTONE/HCTZ(ALDACTAZIDE):25/25,5.24,5.24,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
100432,637,,,,,,,,SPIRONOLACTONE(ALDACTONE)TAB:25MG,4.46,4.46,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
100523,637,,,,,,,,ALLEREST EYE DROPS,11.48,11.48,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
100580,250,J1442,,,,,,,NEUPOGEN(FILGRASTIM)300MCG/ML 1ML VI:INJ,932.88,932.88,,,,,,,,,,,,,,,,,,,
100682,637,,,,,,,,LIDOCAINE(XYLOCAINE)2% 5ML: VISC SOL,4.71,4.71,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
100774,771,G0008,,,,,,,ADM INFLU VIRUS VACCINE,16.75,16.75,6.96,16.21,15.08,,,,,,,,,,,,6.96,,16.21,,
100775,771,G0009,,,,,,,ADM PNEUMONIA VACCINE,11,11,,,,,,,,,,,,,,,,,,,
101035,637,,,,,,,,MECLIZINE(ANTIVERT)12.5MG: TAB,4.08,4.08,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
101047,637,,,,,,,,MECLIZINE(ANTIVERT)25MG: TAB,4.4,4.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
101084,637,,,,,,,,HYDROCORTISONE ACET(ANUSOL HC)25MG: SUPP,4.87,4.87,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
101412,637,,,,,,,,ASPIRIN 300MG SUPP,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
101448,637,,,,,,,,ASPIRIN 325MG:TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
101588,637,,,,,,,,ANTIPYRINE/BENZ(AURALGAN)15ML: OTIC DROP,18.37,18.37,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
101710,250,,,,,,,,METOCLOPRAMIDE(REGLAN)5MG/ML 2ML VIA:INJ,17.53,17.53,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
102283,637,,,,,,,,BLEPHAMIDE(SULFACETMIDE/PR)SOLN 0.2% 5ML,103.73,103.73,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
102518,250,,,,,,,,STERILE WATER 20ML VIALS:INJ,17.38,17.38,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
102579,637,,,,,,,,FORANE(ISOFLURANE)100ML BOTTLE: INHALANT,87.02,87.02,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
102591,250,,,,,,,,TOBRAMYCIN(NEBCIN)40MG/ML 2ML VIAL:INJ,19.82,19.82,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
102770,250,,,,,,,,ZOSYN(PIPERACILLIN/TAZO)3.375GM VIAL:INJ,74.63,74.63,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
102921,637,,,,,,,,CALCIUM 500MG TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
102933,250,,,,,,,,CALCIUM CHLORIDE 10%  10ML SYRINGE:INJ,26.65,26.65,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103017,637,,,,,,,,CARAFATE(SUCRALFATE)1GM/10ML DOSE: SUSP,6.04,6.04,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103051,636,90371,,,,,,,HEPATITIS B VACCINE 20MCG/ML 1ML:INJ,170.25,170.25,,,,,,,,,,,,,,,,,,,
103098,637,,,,,,,,ALPRAZolam (XANAX)0.5MG: TAB,4.91,4.91,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103100,637,,,,,,,,MYLANTA GAS TB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103101,637,,,,,,,,LORazepam(ATIVAN)1MG: TAB,4.91,4.91,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103102,637,,,,,,,,THEOPHYLLINE ER(THEODUR)200MG:TAB,4.37,4.37,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103103,637,,,,,,,,LORazepam(ATIVAN)0.5MG:TAB,4.69,4.69,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103104,637,,,,,,,,CLORAZEPATE(TRANXENE)3.75MG: TAB,5.35,5.35,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103105,637,,,,,,,,CARISOPRODOL(SOMA)350MG: TAB,4.59,4.59,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103107,250,,,,,,,,PROCHLORPERAZINE(COMPAZINE)5MG/ML 2M:INJ,70.5,70.5,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103109,637,,,,,,,,IBUPROFEN(MOTRIN)600MG: TAB,4,4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103111,637,,,,,,,,FERROUS SULFATE(FEOSOL)325MG: TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103112,637,,,,,,,,ATENOLOL/CHLORTHLDN(TENORETIC)50/25:TAB,4.93,4.93,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103113,637,,,,,,,,LOPERAMIDE 2MG CAPS,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103140,637,,,,,,,,DEPAKOTE(DIVALPROEX)250MG: TAB,6.39,6.39,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103206,637,,,,,,,,DIAZEPAM(VALIUM)2MG: TAB,4.14,4.14,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103207,637,,,,,,,,DOCUSATE(COLACE)100MG: CAP,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103209,637,,,,,,,,SULFATRIM DS(SEPTRA DS)800MG/160MG:TAB,5.15,5.15,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103211,637,,,,,,,,CEFACLOR(CECLOR)250MG: CAP,5.99,5.99,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103216,637,,,,,,,,NEO/POLYM/HYDR(CORTOMYCIN)10ML: OTIC SOL,64.6,64.6,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103219,637,,,,,,,,CEPHALEXIN(KEFLEX)250MG/5ML 100ML: SUSP,25.9,25.9,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103220,637,,,,,,,,CEPHALEXIN(KEFLEX)250MG: CAP,4.69,4.69,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103221,637,,,,,,,,CEPHALEXIN(KEFLEX)500MG: CAP,4.31,4.31,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103222,637,,,,,,,,HYOSCYAMINE(LEVSIN)0.125MG: TAB,4.56,4.56,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103223,637,,,,,,,,IBUPROFEN 400MG TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103224,637,,,,,,,,IBUPROFEN 800MG TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103229,637,,,,,,,,NIFEdipine(PROCARDIA)10MG: CAP,5.02,5.02,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103234,637,,,,,,,,ATENOLOL(TENORMIN)50MG:TAB,4.89,4.89,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103235,637,,,,,,,,NAPROXEN(NAPROSYN)TAB:375MG,4.86,4.86,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103242,637,,,,,,,,BENZONATATE(TESSALON PERLES)100MG: CAP,4.95,4.95,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103243,637,,,,,,,,THEOPHYLLINE ER(THEODUR)300MG:TAB,4.47,4.47,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103244,637,,,,,,,,FUROSEMIDE(LASIX)40MG: TAB,4.13,4.13,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103248,637,,,,,,,,glipiZIDE(GLUCOTROL)10MG: TAB,4.6,4.6,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103249,637,,,,,,,,DIAZEPAM(VALIUM)5MG: TAB,4.22,4.22,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103251,637,,,,,,,,CAPTOPRIL(CAPOTEN)TAB:25MG,4.68,4.68,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103252,637,,,,,,,,HALOPERIDOL(HALDOL)0.5MG: TAB,4.26,4.26,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103255,637,,,,,,,,PROPANOLOL 10MG,4.34,4.34,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103259,637,,,,,,,,MECLOFENAMATE(MECLOMEN)50MG:CAP,6.02,6.02,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103260,637,,,,,,,,QUINAPRIL(ACCUPRIL)10MG,5.22,5.22,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103262,637,,,,,,,,CHLORPROPAMIDE(DIABANESE)250MG: TAB,5.16,5.16,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103264,637,,,,,,,,IBUPROFEN(MOTRIN)400MG: TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103265,637,,,,,,,,DOCUSATE CALCIUM(SURFAK)240MG: CAP,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103268,637,,,,,,,,glyBURIDE(MICRONASE)5MG: TAB,4.78,4.78,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103270,637,,,,,,,,glipiZIDE(GLUCOTROL)5MG: TAB,4.38,4.38,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103272,637,,,,,,,,DIPHENYDRAMINE(BENADRYL)25MG: CAP,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103274,637,,,,,,,,TEMAZEPAM(RESTORIL)30MG:CAP,4.88,4.88,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103277,637,,,,,,,,TYLENOL(ACETAMINOPHEN)SUSP:160MG/5CC,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103278,637,,,,,,,,TEMAZEPAM(RESTORIL)15MG:CAP,4.75,4.75,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103280,637,,,,,,,,TRIPLE ABIC(NEOMY SULF/BACIT)OINT:15GM,8.68,8.68,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103282,637,,,,,,,,NAPROXEN(NAPROSYN)TAB:500MG,5.3,5.3,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103285,637,,,,,,,,SULINDAC(CLINORIL)200MG:TAB,5.21,5.21,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103286,637,,,,,,,,DIPYRIDAMOLE(PERSANTINE)50MG: TAB,4.72,4.72,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103288,637,,,,,,,,METOPROLOL(LOPRESSOR)50MG: TAB,4.57,4.57,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103289,637,,,,,,,,ALLOPURINOL(ZYLOPRIM)300MG: TAB,4.65,4.65,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103292,637,,,,,,,,TRIMETHOPRIM(PROLOPRIM)100MG:TAB,4.68,4.68,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103297,637,,,,,,,,PIROXICAM(FELDENE)20MG: CAP,8.49,8.49,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103299,637,,,,,,,,TRIAZOLAM(HALCION)0.25MG:TAB,4.69,4.69,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103305,637,,,,,,,,ALPRAZolam XANAX)0.25MG TAB,4.7,4.7,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103310,637,,,,,,,,IBUPROFEN(ADVIL)200MG: TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103311,637,,,,,,,,PROPOX/NPS/APAP(DARVOCET)100/650:TAB,4.67,4.67,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103313,637,,,,,,,,ALLOPURINOL(ZYLOPRIM)100MG: TAB,4.65,4.65,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103316,637,,,,,,,,PSEUDOEPHEDRINE(SUDAFED)30MG:TAB,4.06,4.06,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103320,637,,,,,,,,SALSALATE(DISALCID)500MG:TAB,4.52,4.52,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103321,637,,,,,,,,CIMETIDINE(TAGAMET)400MG: TAB,5.39,5.39,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103323,250,,,,,,,,0.45% SODIUM CHLORIDE:1000ML,20.2,20.2,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103324,637,,,,,,,,NORTRIPTYLINE(PAMELOR)10MG: CAP,4.37,4.37,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103331,637,,,,,,,,MULTIVITAMIN TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103334,637,,,,,,,,cloNIDine(CATAPRES)0.1MG: TAB,4.26,4.26,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103335,250,,,,,,,,TRIMETHOBENZAMIDE(TIGAN)100MG/ML 2ML:INJ,48.78,48.78,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103338,250,,,,,,,,LIDOCAINE(XYLOCAINE)2% 5ML VIAL: INJ,20.05,20.05,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103340,250,,,,,,,,SODIUM CHLORIDE 0.9%:INJ,17.81,17.81,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103343,250,,,,,,,,ZEMURON(ROCURONIUM)10MG/ML 5ML VIAL:INJ,73.65,73.65,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103347,637,,,,,,,,CYCLOBENZAPRINE(FLEXERIL)10MG: TAB,5.15,5.15,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103353,637,,,,,,,,ATENOLOL(TENORMIN)25MG:TAB,4.82,4.82,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103354,637,,,,,,,,MINOCYCLINE(MINOCIN)50MG: CAP,5.7,5.7,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103357,637,,,,,,,,OXYMETAZOLINE(AFRIN)NAS SPR:0.05% 15ML,6.05,6.05,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103368,637,,,,,,,,ACETIC ACID HC OTIC SOL 1%/2% 10ML,232.77,232.77,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103369,637,,,,,,,,DILTIAZEM(CARDIZEM)TAB:30MG,4.45,4.45,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103375,637,,,,,,,,LIQUICHAR(ACT CHAR)SUSP:50GM 240ML***,30.65,30.65,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103377,637,,,,,,,,ACTIVATED CHARCOAL SUSP:50GM,39.48,39.48,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103383,637,,,,,,,,AMITRIPTYLINE(ELAVIL)10MG: TAB,4.18,4.18,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103384,637,,,,,,,,AMITRIPTYLINE(ELAVIL)25MG: TAB,4.49,4.49,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103385,637,,,,,,,,OXAZEPAM(SERAX)15MG: CAP,5.1,5.1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103386,637,,,,,,,,INDOMETHACIN(INDOCIN)25MG: CAP,4.38,4.38,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103387,637,,,,,,,,CHLORPROPAMIDE(DIABENESE)100MG: TAB,4.55,4.55,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103393,250,,,,,,,,metroNIDAZOLE(FLAGYL)500MG PREMIX: INJ,20.4,20.4,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103396,637,,,,,,,,PILOPINE HS(PILOCARPINE)4% 4GM: GEL,116.5,116.5,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103397,637,,,,,,,,METOPROLOL(LOPRESSOR)100MG:TAB,4.8,4.8,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103398,637,,,,,,,,TOPROL XL(METOPROLOL)100MG:TAB,5.89,5.89,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103401,637,,,,,,,,FAMVIR(FAMCICLOVIR)500MG: TAB,18.34,18.34,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103403,637,,,,,,,,OCUVITE TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103404,637,,,,,,,,AEROBID(FLUNISOLIDE)0.025% 7GM: INH,106.66,106.66,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103405,637,,,,,,,,FLONASE(FLUTICASONE)0.05% 16GM:NASAL SPR,99.46,99.46,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103409,637,,,,,,,,RISPERDAL(RISPERIDONE)1MG:TAB,9.96,9.96,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103413,637,,,,,,,,PREVACID(LANSOPRAZOLE)30MG: CAP,10.4,10.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103414,637,,,,,,,,NADOLOL(CORGARD)20MG: TAB,4.9,4.9,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103418,637,,,,,,,,TIMOLOL MAL(TIMOPTIC-XE)GEL: 0.5% 5ML,65.5,65.5,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103429,637,,,,,,,,FAMVIR(FAMCICLOVIR)250MG: TAB,11.85,11.85,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103431,637,,,,,,,,CORRECTOL,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103440,637,,,,,,,,FOSAMAX(ALENDRONATE SODIUM)10MG:TAB,7.89,7.89,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103460,637,,,,,,,,XALATAN(LATANOPROST)OPTH:0.005% 2.5ML,118.53,118.53,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103464,637,,,,,,,,ARICEPT(DONEPEZIL)5MG: TAB,13.78,13.78,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103472,637,,,,,,,,TIMOLOL MAL(TIMOPTIC)DROP:0.5% 5ML,24,24,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103473,250,,,,,,,,VANCOMYCIN(VANCOCIN)1GM VIAL:INJ,33.65,33.65,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103475,637,,,,,,,,NYSTATIN ORAL SUSPENSION 60ML: BOTTLE,23.93,23.93,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103476,637,,,,,,,,MICONAZOLE(MICATIN)2% 30G: CREAM,10.3,10.3,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103484,637,,,,,,,,SUCRALFATE(CARAFATE)1GM:TAB,4.73,4.73,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103485,637,,,,,,,,MEGESTROL(MEGACE)40MG: TAB,5.28,5.28,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103487,637,,,,,,,,DICLOFENAC(VOLTAREN)75MG: TAB,5.77,5.77,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103489,637,,,,,,,,PEPCID 10MG,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103491,637,,,,,,,,METHYCLOTHIAZIDE(ENDURON)5MG: TAB,4.81,4.81,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103493,637,,,,,,,,AMOXICILLIN(AMOXIL)500MG: CAP,4.21,4.21,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103501,637,,,,,,,,CLORAZEPATE(TRANXENE)7.5MG: TAB,5.6,5.6,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103503,637,,,,,,,,GENTAMICIN(GENOPTIC)3MGML 5ML: DROPS,49.85,49.85,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103510,637,,,,,,,,MVI WITH MINERAL(THERAGRAN-M)TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103514,637,,,,,,,,CALCIUM/VIT D 600MG: TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103519,637,,,,,,,,LEVOBUNOLOL 0.25% 5ML,21.06,21.06,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103520,250,,,,,,,,ceFAZolin(KEFZOL)1GM VIAL: INJ,31.15,31.15,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103525,637,,,,,,,,carBAMazepine(TEGRETOL)200MG: TAB,4.41,4.41,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103530,637,,,,,,,,MYDRIACYL(TROPICAMIDE)1% OR DOSE: OPTH,2475,2475,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103532,250,,,,,,,,LIDOCAINE(XYLOCAINE)4% 5ML AMPULES: INJ,33.88,33.88,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103533,637,,,,,,,,CYCLOGYL(CYCLOPENTOLATE)1% 5ML OPTH SOL,41.47,41.47,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103534,637,,,,,,,,BUMETANIDE(BUMEX)1MG:TAB,4.24,4.24,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103535,637,,,,,,,,ARTIFICIAL TEARS DROP  1.4% 15ML,11.38,11.38,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103537,637,,,,,,,,ISOSORBIDE(ISORDIL)10MG: TAB,5.08,5.08,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103538,637,,,,,,,,COZAAR(LOSARTAN)25MG: TAB,5.9,5.9,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103540,250,,,,,,,,CEFAZOLIN(KEFZOL)1GM VIAL INJ,31.15,31.15,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103544,637,,,,,,,,PROPRANOLOL(INDERAL)40MG:TAB,4.69,4.69,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103546,637,,,,,,,,HYDROCODNE 5MG/APAP 500MG(VICODIN) 5/500,4.2,4.2,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103547,637,,,,,,,,OYSTER SHELL500MG & D CALCIUM,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103552,637,,,,,,,,SODIUM BICARB 10 GR.,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103558,637,,,,,,,,DICYCLOMINE(BENTYL)10MG: CAP,4.26,4.26,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103559,637,,,,,,,,CARBIDOPA/LEVODOPA 25/250MG(SINEMET)TAB,5.02,5.02,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103563,637,,,,,,,,IMIPRAMINE HCL(TOFRANIL)25MG:TAB,4.72,4.72,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103564,637,,,,,,,,BACLOFEN(LIORESAL)10MG:TAB,4.6,4.6,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103565,637,,,,,,,,CARBIDOPA/LEVODOPA 25/100MG(SINEMET)TAB,4.8,4.8,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103566,637,,,,,,,,ALBUTEROL(PROVENTIL)2MG: TAB,4.32,4.32,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103567,637,,,,,,,,LEVAQUIN(LEVOFLOXACIN)500MG: TAB,25.79,25.79,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103569,637,,,,,,,,LEVOBUNOLOL(BETAGAN)0.25% 10ML: SOLN,21.06,21.06,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103570,250,,,,,,,,DIPHENHYDRAMINE(BENADRYL)50MG: CAP,1,1,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103575,637,,,,,,,,AMANTADINE(SYMMETREL)100MG:CAP,6.02,6.02,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103577,637,,,,,,,,PERDIEM(LAXATIVE)TAB:,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103580,637,,,,,,,,LESCOL(FLUVASTATIN SODIUM)20MG: CAP,7.69,7.69,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103583,637,,,,,,,,CARBIDOPA/LEVODOPA 10/100MG(SINEMET)TAB,5.15,5.15,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103586,250,,,,,,,,LEVAQUIN(LEVOFLOXACIN)500MG PREMIX: INJ,126.39,126.39,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103597,637,,,,,,,,SULFAMET/TRIMETH 400MG/80MG:TAB,4.77,4.77,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103601,637,,,,,,,,GEMFIBROZIL(LOPID)600MG: TAB,5.09,5.09,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103602,637,,,,,,,,diphenhydrAMINE(BENADRYL)12.5MG 5ML:SOLN,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103604,250,,,,,,,,AMPICILLIN(OMNIPEN)500MG VIAL:INJ,22.38,22.38,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103616,637,,,,,,,,BUMETANIDE(BUMEX)0.5MG:TAB,4.37,4.37,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103618,637,,,,,,,,COMBIVENT RESP(IPRATROP/ALBUTER) 4GM INH,420.9,420.9,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103619,637,,,,,,,,DOXEPIN(SINEQUAN)25MG: CAP,4.43,4.43,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103625,637,,,,,,,,CHLORTHALIDONE(HYGROTON)25MG: TAB,4.23,4.23,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103626,637,,,,,,,,ETODOLAC(LODINE)400MG: TAB,5.47,5.47,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103628,637,,,,,,,,POTASSIUM CL. SPRINKL(MICRO-K)10MEQ: CAP,5,5,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103629,637,,,,,,,,ERY-TAB(ERYTHROMYCIN)500MG: TAB,4.47,4.47,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103631,637,,,,,,,,ARICEPT(DONEPEZIL)10MG:TAB,12.16,12.16,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103634,637,,,,,,,,TEGRETOL(CARBAMAZEPINE)XR 100MG:TAB,4.8,4.8,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103635,637,,,,,,,,NADOLOL 80MG,4.61,4.61,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103636,637,,,,,,,,PREVACID(LANSOPRAZOLE)15MG: CAP,10.4,10.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103639,637,,,,,,,,LIPITOR(ATORVASTATIN)10MG: TAB,8.21,8.21,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103643,637,,,,,,,,DIOVAN(VALSARTAN)80MG: TAB,8.48,8.48,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103653,250,,,,,,,,SODIUM CHLORIDE INJ:14.6% 20ML VIAL,17.55,17.55,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103654,250,,,,,,,,DIGOXIN(LANOXIN)0.25MG/ML 2ML AMP: INJ,21.78,21.78,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103663,637,,,,,,,,NovoLIN 70/30 INS(ACUTE),16.07,16.07,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103665,637,,,,,,,,IMIPRAMINE HCL(TOFRANIL)10MG: TAB,4.43,4.43,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103668,250,,,,,,,,SODIUM CHLORIDE 14.6% 20ML VIAL:INJ,17.13,17.13,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103672,637,,,,,,,,NOVOLIN N INS(ACUTE CARE) PER DOSE,16.07,16.07,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103675,250,,,,,,,,DIPHENHYDRAMINE(BENADRYL)50MG/ML:INJ,17.48,17.48,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103682,637,,,,,,,,CATAPRES TTS(CLONIDINE)0.3MG: PATCH,76.37,76.37,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103686,637,,,,,,,,PENTOXIFYLLINE (TRENTAL)400MG: TAB,5.14,5.14,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103687,637,,,,,,,,ARTHRICREAM(TROLAMINE)10% 90GM: CREAM,10.79,10.79,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103689,250,,,,,,,,CALCIUM GLUCONATE INJ:10% 10ML***,18.4,18.4,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103690,637,,,,,,,,SYNTHROID(LEVOTHYROXINE)0.112MG:TAB,4.85,4.85,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103691,637,,,,,,,,CALCIUM CARB(OS-CAL 500)TAB:1250MG***,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103705,637,,,,,,,,sulfaSALAzine 500MG,4.25,4.25,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103714,637,,,,,,,,AVAPRO(IRBESARTAN)150MG:TAB,7.18,7.18,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103716,250,,,,,,,,VANCOMYCIN(VANCOCIN)1GM ADV VIAL:INJ,30.73,30.73,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103719,637,,,,,,,,THERMAZENE(SILVER SULFAD)CREAM:1% 20GM,16.97,16.97,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103720,637,,,,,,,,THERMAZENE(SILVER SULFADI)CREAM:1% 400GM,33.77,33.77,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103721,250,J0885,,,,,,,"PROCRIT(EPOETIN)20,000U/ML 1ML VIAL:INJ",1618.5,1618.5,,,,,,,,,,,,,,,,,,,
103724,637,,,,,,,,ARTHROTEC(DICLOF/MISTOPROS)75MG: TAB,8.06,8.06,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103728,637,,,,,,,,SODIUM POLYSTYRENE 15GM/60ML,10,10,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103730,637,,,,,,,,NOVOLIN R INS DOSE(ACUTE CARE),15.3,15.3,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103731,250,,,,,,,,chlorproMAZINE(THORAZINE)25MG/ML 2ML:INJ,69.88,69.88,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103734,250,,,,,,,,NALBUPHINE 10MG: IM,20.53,20.53,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103736,637,,,,,,,,CENTRUM SILVER TAB***,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103738,637,,,,,,,,PLAVIX(CLOPIDOGREL)75MG: TAB,11.42,11.42,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103742,250,,,,,,,,DILTIAZEM(CARDIZEM)5MG/ML 5ML VIAL:INJ,22.3,22.3,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103743,637,,,,,,,,CEPACOL THROAT LOZENGES,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103744,637,,,,,,,,MECLOFENAMATE(MECLOMEN)100MG: CAP,9.07,9.07,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103746,637,,,,,,,,TRIAMTERENE/HCTZ(DYAZIDE)37.5/25MG:CAP,4.39,4.39,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103749,636,J9201,,,,,,,GEMZAR(GEMCITABINE)1GM: INJ,2359.9,2359.9,28,28,,,,,,,,,,,,,28,,,,
103750,636,J9201,,,,,,,GEMZAR(GEMCITABINE)200MG: INJ,541.83,541.83,28,28,,,,,,,,,,,,,28,,,,
103752,637,,,,,,,,BENZTROPINE(COGENTIN)1MG: TAB,4.19,4.19,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103756,637,,,,,,,,CYPROHEPTADINE(PERIACTIN)4MG: TAB,4.43,4.43,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103758,637,,,,,,,,DICLOFENAC(VOLTAREN)50MG: TAB,5.47,5.47,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103765,637,,,,,,,,KLOR-CON(POTASSIUM CHLORIDE)10mEq:TAB,4.56,4.56,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103767,637,,,,,,,,CEPASTAT LOZENGE,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103768,637,,,,,,,,HYDROcodone/APAP(VICODIN ES) 7.5MG/750,4.4,4.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103769,637,,,,,,,,BETAMETHASONE VALERATE 0.1% 45GM: CREAM,36.11,36.11,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103770,637,,,,,,,,ATACAND(CANDESARTAN)16MG:TAB,7.53,7.53,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103772,637,,,,,,,,BETIMOL(TIMOLOL HEM)SOLN:0.25%***,58.42,58.42,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103774,637,,,,,,,,LEVAQUIN(LEVOFLOXACIN)250MG: TAB,23.01,23.01,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103778,250,,,,,,,,FRAGMIN(DALTEPARIN)2500UNITS/0.2ML:INJ,80.55,80.55,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103780,637,,,,,,,,CEPASTAT W/SPRAY***,9.79,9.79,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103781,637,,,,,,,,ALLEGRA D(FEXOFENADINE/PSE)60MG/120M:TAB,6.53,6.53,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103782,637,,,,,,,,METAMUCIL WAFER,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103783,637,,,,,,,,CEFADROXIL(DURICEF)CAP:500MG,7.6,7.6,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103785,637,,,,,,,,prednisoLONE(PRED FORTE)1% 5ML:DROP,62.32,62.32,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103786,250,,,,,,,,BUTORPHANOL(STADOL)1MG/ML 1ML VIAL: INJ,18.83,18.83,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103790,637,,,,,,,,COZAAR(LOSARTAN)50MG: TAB,6.56,6.56,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103792,636,J0640,,,,,,,LEUCOVORIN 100MG VIAL: INJ,75,75,6.79,6.79,,,,,,,,,,,,,6.79,,,,
103795,637,,,,,,,,VANCOCIN (VANCOMYCIN)250MG:CAP,57.64,57.64,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103796,637,,,,,,,,HYZAAR(LOSARTAN)50MG/12.5MG: TAB,8.28,8.28,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103797,637,,,,,,,,SINGULAR(MONTELUKAST)10MG:TAB,9.43,9.43,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103800,637,,,,,,,,CeleBREX(CELECOXIB)100MG: CAP,7.83,7.83,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103803,250,,,,,,,,"CORTROSYN(CONSYNTROPIN)0.25MG VIAL,: INJ",334.75,334.75,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103804,637,,,,,,,,CeleBREX(CELECOXIB)200MG: CAP,10.28,10.28,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103805,250,,,,,,,,PROTAMINE 10MG/ML 25ML VIAL:INJ,79.8,79.8,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103810,637,,,,,,,,NASACORT AQ 16.5GM,134.14,134.14,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103813,250,,,,,,,,DIFLUCAN(FLUCONAZOLE)2MG/ML 100ML PB:INJ,349.55,349.55,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103814,637,,,,,,,,ISOPTO HOMATROPINE 5% 5ML: OPTH DROP,44.33,44.33,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103816,637,,,,,,,,DETROL(TOLTERODINE)2MG: TAB,8.5,8.5,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103817,637,,,,,,,,METHYLPHENIDATE HCL(RITALIN)10MG: TAB,4.65,4.65,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103824,637,,,,,,,,EVISTA(RALOXIFENE)60MG: TAB,10.56,10.56,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103827,250,,,,,,,,ATROPINE INJ:0.4MG/ML 1ML VIAL,20.48,20.48,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103830,637,,,,,,,,ARTHROTEC(DICLOF/MISTOPROS)50MG: TAB,8.06,8.06,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103834,637,,,,,,,,DITROPAN XL(OXYBUTYNIN)5MG: TAB,8.19,8.19,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103837,637,,,,,,,,ANTISPASMODIC(DONNATAL)16.2MG 10ML:ELIX,5.59,5.59,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103838,637,,,,,,,,INDAPAMIDE(LOZOL)2.5MG: TAB,4.91,4.91,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103841,637,,,,,,,,CIMETIDINE(TAGAMET)300MG/5ML 5ML: SUSP,5.88,5.88,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103842,250,,,,,,,,fentaNYL(SUBLIMAZE)0.05MG/ML 2ML AMP:INJ,19.6,19.6,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103846,637,,,,,,,,CETACAINE(BENZOCAINE/TETR)56ML: SPRAY,86,86,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103847,250,,,,,,,,VECURONIUM(NORCURON)10MG/ML:INJ,30,30,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103848,250,,,,,,,,PHENYLEPHRINE(NEOSYNEPHRINE)10MG/ML: INJ,22.45,22.45,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103849,250,,,,,,,,SENSORCAINE(BUPIVICAINE)0.75% 2ML AM:INJ,26.8,26.8,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103850,637,,,,,,,,SYNTHROID(LEVOTHYROXINE)0.088MG:TAB,5.29,5.29,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103851,250,,,,,,,,LIDOCAINE 1% 20ML,18.63,18.63,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103853,637,,,,,,,,VEXOL(RIMEXOLONE)DROP:1% 5ML,62.62,62.62,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103854,250,,,,,,,,CLEOCIN(CLINDAMYCIN)INJ:150MG/ML***,27.78,27.78,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103856,637,,,,,,,,ACETAMINOPHEN/COD ELIXIR 5ML,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103857,636,J9250,,,,,,,METHOTREXATE 25MG/ML 4ML VIAL: INJ,30.63,30.63,,,,,,,,,,,,,,,,,,,
103859,637,,,,,,,,VENLAFAXINE  XR 75MG CAP,8.67,8.67,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103860,250,,,,,,,,LIDOCAINE 1% (XYLOCAINE)INJ,18.45,18.45,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103861,637,,,,,,,,TOBRAMYCIN 0.3% SOL 5ML,21.69,21.69,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103862,637,,,,,,,,METHAZOLAMIDE(NEPTAZANE)50MG: TAB,4.72,4.72,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103863,637,,,,,,,,PHENYLEPHRINE(NEOSYNEPHRINE)2.5% 2ML,47.63,47.63,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103864,250,,,,,,,,XYLOCAINE 4% 5ML,33.88,33.88,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103866,637,,,,,,,,ACETAMINOPHEN/COD(TYLENOL #3)300/30:TAB,4.17,4.17,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103868,637,,,,,,,,VALTREX 500MG TAB,12.17,12.17,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103869,250,,,,,,,,DEPOMEDROL(METHYLPREDN)40MG/ML 1ML V:INJ,37.6,37.6,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103873,637,,,,,,,,SPS(KAEXYLATE)SUSP:15GM/60ML 60ML,10,10,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103876,637,,,,,,,,GENTAK(GENTAMI SULF)0.3% 3.5GM:OPTH OINT,26.67,26.67,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103877,637,,,,,,,,LANTISEPTIC(LANOLIN/OXYQUIN)130GM: OINT,13.06,13.06,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103879,637,,,,,,,,TIMOLOL MAL(TIMOPTIC)DROP: 0.25% 15ML,49,49,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103884,637,,,,,,,,VERAPAMIL(CALAN)120MG:TAB,4.68,4.68,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103889,637,,,,,,,,HYDROCODNE 10MG/APAP 650MG(LORCET 10/650,4.53,4.53,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103891,637,,,,,,,,METHYLDOPA(ALDOMET)250MG: TAB,4.37,4.37,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103892,637,,,,,,,,TRIPLE ABIC(NEOMY/BACIT)PKT:0.9GM,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103893,636,J0207,,,,,,,ETHYOL(AMIFOSTINE)500MG VIAL: INJ,1554.93,1554.93,,,,,,,,,,,,,,,,,,,
103895,636,J9214,,,,,,,INTRON A 10MMU 2ML: INJ,467.4,467.4,,,,,,,,,,,,,,,,,,,
103897,250,,,,,,,,AGGRASTAT(TIROFIBAN)50MCG/ML 250ML:INJ,1594.33,1594.33,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103899,250,,,,,,,,AMPICILLIN(OMNIPEN)1GM VIAL,32.7,32.7,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103900,637,,,,,,,,SIMETHICONE(MYLANTA-GAS)80MG:TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103902,637,,,,,,,,EFFEXOR XR(VENLAFAXINE)37.5MG: CAP,8.36,8.36,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103905,250,,,,,,,,METOPROLOL(LOPRESSOR)1MG/ML 5ML AMP:INJ,17.23,17.23,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103907,637,,,,,,,,TEGretol XR(CARBAMAZEPINE)200MG:TAB,5.6,5.6,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103909,637,,,,,,,,DOXEPIN(SINEQUAN)10MG: CAP,4.4,4.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103912,637,,,,,,,,PROMETH W/COD(PHENERGAN/COD)SYR:5ML UD,5.1,5.1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103913,637,,,,,,,,KAOPECTATE(BISMUTH SUBSALIC)30ML: LIQ,4.54,4.54,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103914,637,,,,,,,,SULFATRIM PED(SEPTRA)SUSP:5CC,6.41,6.41,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103915,637,,,,,,,,AVANDIA(ROSIGLITAZONE)2MG: TAB,7.21,7.21,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103917,637,,,,,,,,DIFLUCAN(FLUCONAZOLE)40MG/ML 35ML: SUSP,237.24,237.24,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103920,637,,,,,,,,DIFLUCAN(FLUCONAZOLE)200MG: TAB,25.45,25.45,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103922,637,,,,,,,,TOBRADEX(TOBRAMYCIN/DEX)DROP:2.5ML,64.04,64.04,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103923,250,,,,,,,,PHENobarbital 65M/ML 1ML VIAL: INJ,47.65,47.65,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103924,636,J9190,,,,,,,ADRUCIL(FLUORURACIL)50MG/ML 10ML VIA:INJ,32.35,32.35,,,,,,,,,,,,,,,,,,,
103925,636,J0640,,,,,,,LEUCOVORIN 350MG VIAL: INJ,93,93,6.79,6.79,,,,,,,,,,,,,6.79,,,,
103926,637,,,,,,,,CLOTRIMAZOLE(LOTRIMIN)1% 30GM: CREAM,15.59,15.59,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103927,637,,,,,,,,DEEP SEA(OCEAN)0.65% 45ML: NASAL SPRAY,7.99,7.99,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103929,637,,,,,,,,ANTACID(TUMS)500MG:TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103931,637,,,,,,,,OxyCONTIN(OXYCODONE)CR 20MG: TAB,8.89,8.89,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103934,636,J1100,,,,,,,DEXAMETHASONE(DECADRON)4MG/ML 5ML: INJ,24.75,24.75,0.63,3.59,0.69,,,,,,,,,,,,0.63,,3.59,,
103939,250,,,,,,,,NEUMEGA(OPRELVEKIN)5MG/ML 1ML VIAL: INJ,855.5,855.5,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103942,637,,,,,,,,ZYPREXA(OLANZAPINE)5MG:TAB,16.45,16.45,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103944,250,J0885,,,,,,,"PROCRIT(EPOETIN)40,000U/ML 1ML VIAL:INJ",3222,3222,,,,,,,,,,,,,,,,,,,
103945,637,,,,,,,,OMNICEF(CEFDINIR)300MG: CAP,10.29,10.29,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103948,637,,,,,,,,clonazePAM(KLONOPIN)0.5MG: TAB,4.75,4.75,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103951,637,,,,,,,,DOCUSATE(COLACE)SOLN 20MG/5ML UD,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103952,637,,,,,,,,POTASSIUM(KAOCHLOR)10%  15ML: SOLN,4.15,4.15,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103953,637,,,,,,,,COSOPT(DORZOLAMIDE/TIMOLOL)5ML: OPTH SOL,149.15,149.15,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103955,637,,,,,,,,LOTREL 5/10MG(AMLODIPINE/BENAZEPRIL),7.9,7.9,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103956,250,,,,,,,,LOTEMAX OPTH SOLN,151.44,151.44,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103961,250,,,,,,,,"HEPARIN 25,000UNIT PREMIX:INJ",42,42,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103962,637,,,,,,,,PRANDIN(REPAGLINIDE)1MG: TAB,6.36,6.36,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103965,637,,,,,,,,LIPITOR(ATORVASTATIN)20MG: TAB,10,10,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103967,637,,,,,,,,HYDROcodone/APAP(LORTAB)7.5MG/500MG:TAB,4.43,4.43,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103969,250,,,,,,,,BUMETANIDE(BUMEX)0.25MG/ML 10ML VIAL:INJ,19.83,19.83,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103972,637,,,,,,,,TOPAMAX 25MG,7.17,7.17,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103973,250,,,,,,,,DEXTROSE 5% EXCEL 250ML,19.9,19.9,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103974,636,J1569,,,,,,,GAMMAGARD(IMMUNE GLOBULIN)10GM VIAL:INJ,4362.5,4362.5,89.07,4065.86,89.07,,,,4065.86,,,,,,,,,,,,
103979,636,J9060,,,,,,,CISplatin(PLATINOL)1MG/ML 100ML VIAL:INJ,208.3,208.3,,,,,,,,,,,,,,,,,,,
103980,636,J9060,,,,,,,CISplatin(PLATINOL)1MG/ML 50ML VIAL:INJ,156.25,156.25,,,,,,,,,,,,,,,,,,,
103982,636,J9312,,,,,,,RITUXAN(RITUXIMAB)10MG/ML 10ML VIAL:INJ,2918.55,2918.55,115.82,115.82,115.82,,,,,,,,,,,,,,,,
103983,636,J9312,,,,,,,RITUXAN(RITTUXIMAB)500MG VIAL:INJ,14192.8,14192.8,115.82,115.82,115.82,,,,,,,,,,,,,,,,
103984,250,J0885,,,,,,,"PROCRIT(EPOETIN)10,000U/ML 1ML VIAL:INJ",567.9,567.9,,,,,,,,,,,,,,,,,,,
103986,637,,,,,,,,LEVOBUNOLOL(BETAGAN)0.5% 5ML: DROP,23.64,23.64,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103991,250,,,,,,,,ASCORBIC ACID(VITAMIN C)INJ:500MG/ML***,56.7,56.7,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
103992,637,,,,,,,,TAMIFLU(OSELTAMIVIR)75MG:CAP,16.18,16.18,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103993,636,J1569,,,,,,,GAMMAGARD(IMMUNE GLOBULIN)5GM VIAL:INJ,2188.75,2188.75,89.07,4065.86,89.07,,,,4065.86,,,,,,,,,,,,
103994,637,,,,,,,,MIRAPEX(PRAMIPEXOLE)0.25MG: TAB,7.33,7.33,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103995,637,,,,,,,,PROMETHAZINE 12.5MG:TAB,4.49,4.49,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
103999,636,J9171,,,,,,,TAXOTERE(DOCETAXEL)80MG VIAL:INJ,5039.6,5039.6,18.76,18.76,,,,,,,,,,,,,18.76,,,,
104002,637,,,,,,,,OxyCONTIN(OXYCODONE)CR 10MG: TAB,6.56,6.56,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104008,637,,,,,,,,QUINIDINE GLUCONATE(QUINAGLUTE)324MG:TAB,5.03,5.03,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104012,637,,,,,,,,PATANOL OPTH SOLN,167.2,167.2,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104013,637,,,,,,,,PROPRANOLOL(INDERAL)20MG:TAB,4.27,4.27,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104014,636,J9355,,,,,,,HERCEPTIN 440MG,12635.25,12635.25,,,,,,,,,,,,,,,,,,,
104016,637,,,,,,,,CLINDAMYCIN(CLEOCIN)150MG:CAP,5.19,5.19,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104019,637,,,,,,,,HALOPERIDOL(HALDOL)1MG: TAB,4.35,4.35,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104025,637,,,,,,,,HEMORRHOID HC SUPP***,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104026,250,,,,,,,,MARCAINE(BUPIVACAINE)0.25% 30ML VIAL:INJ,25.25,25.25,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104027,250,,,,,,,,NITROPRUSSIDE(NIPRIDE)25MG/ML 2ML VI:INJ,2657.65,2657.65,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104028,636,J9000,,,,,,,DOXOrubicin(ADRIAMYCIN)2MG/ML 25ML V:INJ,205,205,,,,,,,,,,,,,,,,,,,
104030,637,,,,,,,,NITROFURANTOIN(MACRODANTIN)50MG: CAP,6.27,6.27,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104032,637,,,,,,,,DICYCLOMINE(BENTYL)20MG: TAB,4.36,4.36,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104034,637,,,,,,,,ASACOL(MESALAMINE)400MG: TAB,6.09,6.09,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104037,250,,,,,,,,TETANUS DIPHTHERIA TOXOID:PED 1TBX,110.65,110.65,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104038,637,,,,,,,,LINDANE(KWELL)1% 60ML: LOTION,139.75,139.75,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104039,250,,,,,,,,DEXTROSE 5% 50ML,21.18,21.18,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104040,250,,,,,,,,DEXTROSE 5% 50ML ADV,20.43,20.43,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104041,250,,,,,,,,0.9% SODIUM CHLORIDE ADV:50ML,20.6,20.6,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104042,250,,,,,,,,DEXTROSE 5% 100ML ADV,20.43,20.43,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104043,250,,,,,,,,0.9% SODIUM CHLORIDE ADV:100ML,20.43,20.43,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104044,250,,,,,,,,DEXTROSE 5% 250ML ADV,22.03,22.03,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104045,250,,,,,,,,0.9% SODIUM CHLORIDE W/20MEQ KCL:1000ML,22.7,22.7,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104047,250,,,,,,,,DEXTROSE 5%/1/2% NACL W/10MEQ KCL 1000ML,22.33,22.33,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104049,250,,,,,,,,DEXTROSE 5%/1/2% NACL W/20MEQ KCL 1000ML,21.15,21.15,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104051,637,,,,,,,,ZINC SULFATE 220MG:CAP,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104057,637,,,,,,,,AVANDIA(ROSIGLITAZONE)4MG:TAB,8.76,8.76,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104058,637,,,,,,,,SENNA CONCENTRATE(SENEKOT)8.6MG:TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104060,637,,,,,,,,SPIRONOLACTONE(ALDACTONE)25MG:TAB,4.46,4.46,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104066,637,,,,,,,,DIPYRIDAMOLE: 75 MG***,5.26,5.26,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104073,637,,,,,,,,CHLORASEPTIC LOZ CGH CON***,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104074,637,,,,,,,,NASONEX 50MG 17GM: NASAL SPRAY,155.22,155.22,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104075,250,,,,,,,,LEVAQUIN(LEVOFLOXACIN)250MG PREMIX: INJ,70.7,70.7,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104076,637,,,,,,,,PROSCAR(FINASTERIDE)5MG:TAB,7.63,7.63,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104077,637,,,,,,,,DEPAKOTE(DIVALPROEX)500MG: TAB,8.4,8.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104078,636,J9360,,,,,,,vinBLAStine 10MG:INJ,241.48,241.48,,,,,,,,,,,,,,,,,,,
104080,637,,,,,,,,FEMHRT(ESTRADIOL/NORETHINDR)1MG/5MCG:TAB,6.65,6.65,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104081,637,,,,,,,,glyBURIDE(DIABETA)2.5MG: TAB,4.46,4.46,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104082,637,,,,,,,,COUMADIN(WARFARIN)3MG: TAB,5.45,5.45,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104084,637,,,,,,,,clonazePAM(KLONOPIN)1MG: TAB,4.86,4.86,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104085,637,,,,,,,,CHLORASEPTIC LOZ CHERRY,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104086,637,,,,,,,,ATROVENT NASAL SPRAY 0.06%:,88.23,88.23,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104087,637,,,,,,,,DILTIAZEM(CARDIZEM)30MG:TAB,4.45,4.45,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104096,637,,,,,,,,SULINDAC(CLINORIL)150MG:TAB,4.98,4.98,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104101,637,,,,,,,,GLYBURIDE MICRONIZED TAB:3MG,4.63,4.63,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104105,637,,,,,,,,CAPTOPRIL(CAPOTEN)25MG: TAB,4.83,4.83,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104106,637,,,,,,,,DONNATAL GENERIC(BELLADONNA W/ PHENO)TAB,4.06,4.06,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104107,250,,,,,,,,KETOROLAC(TORADOL)60MG / 2ML: VIAL,20,20,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104111,637,,,,,,,,FENOPROFEN(NALFON)600MG: TAB,6.07,6.07,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104112,637,,,,,,,,HYOSCYAMINE(LEVBID)0.375MG:TAB,5.6,5.6,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104113,637,,,,,,,,CALCIUM(OYSTER SHELL)500MG:TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104115,637,,,,,,,,chlordiazePOXIDE(LIBRIUM)10MG CAP,4.4,4.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104119,636,J9351,,,,,,,HYCAMTIN(TOPOTECAN HCL)4MG VIAL:INJ,3442.55,3442.55,,,,,,,,,,,,,,,,,,,
104123,637,,,,,,,,VERAPAMIL(CALAN)ER 240MG:TAB,5.64,5.64,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104124,635,J0885,,,,,,,"PROCRIT(EPOETIN)INJ:2,000U/ML 1ML VIAL",107.43,107.43,,,,,,,,,,,,,,,,,,,
104126,637,,,,,,,,FLOMAX(TAMSULOSIN)0.4MG: CAP,8.77,8.77,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104127,637,,,,,,,,chlordiazePOXIDE(LIBRIUM)25MG: CAP,4.43,4.43,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104129,637,,,,,,,,LOTREL 5/20MG(AMLODIPINE/BESYLATE):CAP,8.11,8.11,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104133,250,,,,,,,,STERILE WATER FOR INJECTION:1000ML,20.83,20.83,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104135,637,,,,,,,,DIPYRIDAMOLE(PERSANTINE)75MG:TAB,5.26,5.26,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104137,637,,,,,,,,AMOXICILLIN(AMOXIL)250MG:CAP,4.26,4.26,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104139,637,,,,,,,,chlordiazePOXIDE(LIBRIUM)5MG: CAP,4.32,4.32,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104140,637,,,,,,,,IODOSORB(CADEXOMER IODINE)40GM: GEL,142.98,142.98,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104141,250,,,,,,,,HumuLIN INSULIN 50/50 10ML VIAL:INJ,61.05,61.05,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104142,637,,,,,,,,CARBIDOPA/LEVODOPA ER 50/200MG(SINEMET),5.81,5.81,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104146,637,,,,,,,,TOPROL XL(METOPROLOL SUCC)50MG:TAB,5.05,5.05,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104150,636,J9217,,,,,,,LUPRON DEPOT 22.5MG: INJ,16701.4,16701.4,2171.32,2171.32,,,,,,,,,,,,,2171.32,,,,
104153,637,,,,,,,,AMBIEN(ZOLPIDEM)10MG: TAB,9.96,9.96,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104154,637,,,,,,,,VITAMIN B-6 50MG:TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104156,636,J9245,,,,,,,ALKERAN(MELPHALAN)INJ:50MG***,5026.45,5026.45,,,,,,,,,,,,,,,,,,,
104158,637,,,,,,,,VITAMIN B12 500MCG:TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104159,250,,,,,,,,KETOROLAC(TORADOL) 30MG IVP,17.52,17.52,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104160,637,,,,,,,,ACETAMINOPHEN(TYLENOL)120MG SUPP,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104161,637,,,,,,,,ISOSORBIDE MONO(IMDUR)30MG: TAB,4.52,4.52,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104163,637,,,,,,,,ISOSORBIDE MONO(IMDUR)60MG: TAB,4.48,4.48,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104166,637,,,,,,,,VERAPAMIL (CALAN)80MG:TAB,4.53,4.53,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104167,250,,,,,,,,KENALOG-40(TRIAMCINOLONE)40MG/ML:INJ,46.65,46.65,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104168,637,,,,,,,,VERAPAMIL SR(CALAN)180MG:TAB,5.44,5.44,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104169,637,,,,,,,,MIRAPEX(PRAMIPEXOLE)0.5MG: TAB,7.33,7.33,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104171,637,,,,,,,,DETROL LA(TOLTERODINE)4MG: CAP,9.75,9.75,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104172,636,J1650,,,,,,,LOVENOX(ENOXAPARIN)80MG/0.8ML: INJ,213.7,213.7,9.68,21.45,21.45,,,,,,,,,,,,9.68,,,,
104175,637,,,,,,,,TIMOLOL MAL(TIMOPTIC XE)GEL:0.25% 5ML,56.5,56.5,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104178,636,J2820,,,,,,,LEUKINE(SARGRAMOSTIM)INJ:250MCG 1ML***,535.52,535.52,,,,,,,,,,,,,,,,,,,
104179,637,,,,,,,,AMITRIPTYLINE(ELAVIL)50MG: TAB,4.46,4.46,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104181,636,J9171,,,,,,,TAXOTERE(DOCETAXEL)20MG VIAL:INJ,1271.18,1271.18,18.76,18.76,,,,,,,,,,,,,18.76,,,,
104184,637,,,,,,,,PHENAZOPYRIDINE(PYRIDIUM)200MG:TAB,4.85,4.85,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104185,637,,,,,,,,LOPERAMIDE(IMODIUM)2MG: CAP,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104189,637,,,,,,,,PROTONIX(PANTOPRAZOLE)40MG:TAB,10.1,10.1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104192,250,,,,,,,,FAMOTIDINE(PEPCID)20MG/2ML 2ML:INJ,17.68,17.68,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104197,637,,,,,,,,SEROQUEL(QUETIAPINE FUMARATE)25MG:TAB,7.75,7.75,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104199,637,,,,,,,,SPIRONOLACTONE(ALDACTONE)100MG:TAB,5.42,5.42,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104211,637,,,,,,,,VERAPAMIL ER(ISOPTIN)120MG:TAB,5.07,5.07,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104212,637,,,,,,,,CLOTRIM/BMETHASONE(LOTRISONE)45GM: CREAM,94.77,94.77,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104214,637,,,,,,,,FAMOTIDINE(PEPCID)20MG: TAB,4.17,4.17,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104215,637,,,,,,,,BISOPROLOL/HCTZ(ZIAC)10MG/6.25MG: TAB,5.13,5.13,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104217,637,,,,,,,,ASPIRIN(CHEWABLE)81MG:TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104219,637,,,,,,,,ACETYLCYSTEINE(MUCOMYST)SOLN:10%***,33.75,33.75,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104221,637,,,,,,,,FOSAMAX(ALENDRONATE)70MG: TAB,27.75,27.75,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104223,637,,,,,,,,PAIN RELIEF (ASPERCREME) 85GM: CREAM,10.79,10.79,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104224,637,,,,,,,,ALBUTEROL(PROVENTIL)2MG/5ML ORAL DOSE,4.33,4.33,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104225,636,J9040,,,,,,,BLEOMYCIN INJ:30 UNIT VIAL***,243.85,243.85,,,,,,,,,,,,,,,,,,,
104228,636,J9181,,,,,,,ETOPOSIDE(VEPESID)500MG VIAL: INJ,214.39,214.39,,,,,,,,,,,,,,,,,,,
104230,637,,,,,,,,TERAZOSIN(HYTRIN)1MG:CAP,5.61,5.61,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104233,637,,,,,,,,ENALAPRIL(VASOTEC)2.5MG: TAB,4.8,4.8,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104235,250,,,,,,,,PROPOFOL(DIPRIVAN)200MG/20ML:INJ,26.53,26.53,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104237,637,,,,,,,,medroxyPROGESTERone (PROVERA)2.5MG: TAB,4.3,4.3,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104240,637,,,,,,,,FERGON(FERROUS GLUCONATE)27MG: TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104242,250,,,,,,,,TNKASE(TENECTEPLASE)50MG:INJ,11429.45,11429.45,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104243,637,,,,,,,,MEGESTROL ACET(MEGACE)40MG/ML 240ML:SUSP,374.88,374.88,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104244,637,,,,,,,,GLUCOSAMINE CAPSULES 500MG,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104246,636,J1745,,,,,,,REMICADE(INFLIXIMAB)100MG VIAL:INJ,3518.45,3518.45,139.33,142.92,,,,,,,,,,,,,142.92,,139.33,,
104247,250,,,,,,,,ATROPINE INJ:0.1MG/ML 10ML SYRINGE,26.5,26.5,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104248,637,,,,,,,,UNIVASC(MOEXIPRIL)7.5MG:TAB,6.51,6.51,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104249,637,,,,,,,,TERAZOSIN(HYTRIN)5MG:CAP,5.61,5.61,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104250,636,J0881,,,,,,,ARANESP(DARBEPOETIN)100MCG:INJ,2337,2337,,,,,,,,,,,,,,,,,,,
104251,637,,,,,,,,SYNTHROID(LEVOTHYROXINE)0.175MG:TAB,5.06,5.06,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104252,637,,,,,,,,ZYPREXA(OLANZAPINE)2.5MG:TAB,14.55,14.55,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104253,250,,,,,,,,LORazepam(ATIVAN)2MG/ML: INJ,17.25,17.25,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104254,637,,,,,,,,LOTREL 2.5/10 MG(ANLODIPINE/BENZAPRL):CP,7.82,7.82,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104257,637,,,,,,,,busPIRone(BUSPAR)5MG:TAB,4.77,4.77,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104261,637,,,,,,,,DILTIAZEM CD(CARDIZEM)240MG: CAP,6.04,6.04,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104262,636,J2353,,,,,,,SandoSTATIN LAR VIAL:20MG,10289.45,10289.45,245.59,254.39,,,,,,,,,,,,,254.39,,245.59,,
104264,637,,,,,,,,LAMICTAL(LAMOTRIGINE)25MG: TAB,9.77,9.77,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104266,637,,,,,,,,MIRAPEX(PRAMIPEXOLE)0.125MG: TAB,7.33,7.33,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104269,637,,,,,,,,ENALAPRIL(VASOTEC)5MG: TAB,5.06,5.06,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104270,637,,,,,,,,LANTUS(INSULIN GLARGIN)100UNITS/ML: DOSE,19.3,19.3,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104271,250,,,,,,,,FAMOTIDINE(PEPCID)20MG: PREMIX,26.28,26.28,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104273,250,,,,,,,,SODIUM CHLORIDE 14.6% VIAL:40ML,17.55,17.55,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104274,637,,,,,,,,NEOMYCIN/POLY/GRAM 10ML: OPTH SOLN,68.26,68.26,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104276,637,,,,,,,,ADVAIR 100/50(FLUTICASONE/SALMETEROL)INH,174.04,174.04,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104278,636,J9206,,,,,,,CAMPTOSAR(IRINOTECAN)40MG/2ML:INJ,782.08,782.08,,,,,,,,,,,,,,,,,,,
104280,637,,,,,,,,VALPROIC ACID(DEPAKENE):250MG/5ML,4.76,4.76,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104283,637,,,,,,,,ADVAIR 250/50(FLUTICASONE/SALMETEROL)INH,174.04,174.04,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104286,636,J3489,,,,,,,ZOMETA(ZOLEDRONIC ACID)4MG:INJ,2701.83,2701.83,61.49,74.81,,,,,,,,,,,,,74.81,,61.49,,
104287,637,,,,,,,,LOVASTATIN(MEVACOR)20MG: TAB,5.26,5.26,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104288,637,,,,,,,,DIFLUNISAL(DOLOBID)500MG: TAB,5.42,5.42,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104290,250,,,,,,,,PROTONIX(PANTOPRAZOLE)40MG:INJ,30,30,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104292,637,,,,,,,,LUMIGAN 0.03% 2.5ML: OPTH SOLN,132.69,132.69,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104293,637,,,,,,,,DILTIAZEM CD(CARDIZEM)120MG: CAP,5.2,5.2,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104294,637,,,,,,,,SEREVENT(SALMETEROL)INH:7GM,112.49,112.49,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104295,637,,,,,,,,ZINC GLUCONATE)50MG:TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104296,637,,,,,,,,VITAMIN A & D OINTMENT: 60GM,6.16,6.16,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104297,636,J2505,,,,,,,NEULASTA(PEGFILGRASTIM)6MG: INJ,19268.98,19268.98,,,,,,,,,,,,,,,,,,,
104298,637,,,,,,,,ENALAPRIL(VASOTEC)10MG: TAB,5.07,5.07,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104300,636,J2700,,,,,,,OXACILLIN(PROSTAPHLIN)2GM ADV: INJ,82.5,82.5,,,,,,,,,,,,,,,,,,,
104303,637,,,,,,,,ALREX OPTH SOLN 0.2% 5ML,162.14,162.14,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104304,637,,,,,,,,HUMALOG INSULIN(ACUTE CARE)DOSE,18.03,18.03,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104306,637,,,,,,,,metFORMIN(GLUCOPHAGE)500MG: TAB,4.7,4.7,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104307,250,,,,,,,,morphine PREFILLED PCA 30MG/30ML,38.38,38.38,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104308,637,,,,,,,,DOXAZOSIN(CARDURA)2MG: TAB,4.92,4.92,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104309,637,,,,,,,,PROPRANOLOL(INDERAL)10MG:TAB,4.34,4.34,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104310,250,,,,,,,,ENALAPRILAT(VASOTEC)2.5MG/2ML:INJ,23.4,23.4,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104311,637,,,,,,,,CITRACAL(CALCIUM CITRATE)TAB:400MG***,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104314,637,,,,,,,,CEFACLOR(CECLOR)CAP:500MG***,7.9,7.9,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104316,636,J9000,,,,,,,DOXIL(DOXORUBICIN)20MG:INJ,3333.63,3333.63,,,,,,,,,,,,,,,,,,,
104317,636,J9000,,,,,,,DOXIL(DOXORUBICIN)50MG: INJ,8184.25,8184.25,,,,,,,,,,,,,,,,,,,
104318,637,,,,,,,,FOLTX TAB 2.5MG,5.43,5.43,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104319,637,,,,,,,,BISOPROLOL/HCTZ(ZIAC)5MG/6.25MG: TAB,5.12,5.12,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104321,250,,,,,,,,DEMEROL(MEPERIDINE)50MG/ML: INJ,21.4,21.4,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104323,250,,,,,,,,DEMEROL(MEPERIDINE)75MG/ML: INJ,21,21,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104324,637,,,,,,,,FLUoxetine(PROZAC)20MG: CAP,6.67,6.67,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104325,637,,,,,,,,FLUoxetine (PROZAC)10MG: CAP,6.6,6.6,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104327,637,,,,,,,,MAXAIR(PIRBUTEROL)14GM: INHALER,415.58,415.58,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104328,637,,,,,,,,NADOLOL(CORGARD)40MG: TAB,5.08,5.08,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104329,637,,,,,,,,ACTOS(PLOGLITAZONE)45MG: TAB,13.53,13.53,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104331,250,,,,,,,,CATHFLO ACTIVASE(ALTEPLASE)2MG,474.18,474.18,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104332,637,,,,,,,,LIDODERM(LIDOCAINE) 5%: PATCH,13.46,13.46,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104335,637,,,,,,,,ZYRTEC-D(CETIRIZINE)12 HOUR:TAB,4.8,4.8,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104336,637,,,,,,,,ZYPREXA(OLANZAPINE)10MG:TAB,19.86,19.86,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104339,636,J9263,,,,,,,ELOXATIN(OXALIPLATIN)100MG:INJ,7256.9,7256.9,0.84,0.84,,,,,,,,,,,,,0.84,,,,
104340,637,,,,,,,,ADVAIR 500/50(FLUTICASONE/SALMETEROL)INH,279.26,279.26,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104341,637,,,,,,,,K-PHOS NEUTRAL TAB,4.23,4.23,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104342,637,,,,,,,,CLARINEX(DESLORATADINE)5MG: TAB,9.03,9.03,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104344,637,,,,,,,,BENADRYL(DIPHENHYDRAMINE)1%: CREAM,10.81,10.81,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104346,637,,,,,,,,FOLIC ACID 800MCG,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104347,637,,,,,,,,KEPPRA TABLET:500MG***,8.09,8.09,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104349,637,,,,,,,,PHOSLO 667MG: TAB,4.86,4.86,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104351,637,,,,,,,,CARTEOLOL(OCUPRESS)1% ML: OPTH SOL,28.28,28.28,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104355,637,,,,,,,,ARMOUR THYROID 30MG:TAB,4.15,4.15,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104356,637,,,,,,,,PEPTO BISMO(GENERIC)CHEWABLE TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104357,636,J1650,,,,,,,LOVENOX(ENOXAPARIN)120MG: INJ,313.15,313.15,9.68,21.45,21.45,,,,,,,,,,,,9.68,,,,
104358,636,J9181,,,,,,,ETOPOSIDE(VEPESID)100MG: INJ,128.42,128.42,,,,,,,,,,,,,,,,,,,
104359,636,J1950,,,,,,,ELIGARD 22.5MG: INJ,3714,3714,,,,,,,,,,,,,,,,,,,
104360,636,J2353,,,,,,,SandoSTATIN LAR:30MG,19173.43,19173.43,245.59,254.39,,,,,,,,,,,,,254.39,,245.59,,
104361,636,J9263,,,,,,,ELOXATIN(OXALIPLATIN)50MG: INJ,3635.95,3635.95,0.84,0.84,,,,,,,,,,,,,0.84,,,,
104362,637,,,,,,,,LISINOPRIL(ZESTRIL)20MG: TAB,5.01,5.01,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104364,637,,,,,,,,methylPREDNISolone(MEDROL)4MG: TAB,4.68,4.68,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104365,637,,,,,,,,BISOPROLOL/HCTZ(ZIAC)2.5MG/6.25MG:TAB,5.12,5.12,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104368,637,,,,,,,,ALTACE(RAMIPRIL)1.25MG: CAP,6.03,6.03,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104371,637,,,,,,,,TOPAMAX 100MG:TAB,12.63,12.63,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104372,637,,,,,,,,SEROQUEL 100MG:TAB,10.41,10.41,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104373,637,,,,,,,,SEROQUEL 100MG:TAB,9.73,9.73,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104375,637,,,,,,,,DILTIAZEM CD(CARDIZEM)300MG: CAP,5.91,5.91,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104377,637,,,,,,,,TOPROL XL(METOPROLOL)25MG:TAB,5.26,5.26,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104378,637,,,,,,,,ZYRTEC(CETIRIZINE)SYRUP:1MG/ML,4.47,4.47,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104379,637,,,,,,,,MURO-128 5%: OPTH OINTMENT,34.44,34.44,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104380,636,J0881,,,,,,,ARANESP(DARBEPOETIN)200MCG:INJ,4659,4659,,,,,,,,,,,,,,,,,,,
104381,636,J9178,,,,,,,ELLENCE(EPIRUBICIN)200MG/100ML: INJ,1415,1415,,,,,,,,,,,,,,,,,,,
104384,637,,,,,,,,TICLOPIDINE(TICLID)250MG:TAB,5.92,5.92,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104385,637,,,,,,,,ISOSORBIDE(ISMO)TAB:20MG***,4.72,4.72,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104386,637,,,,,,,,NEXIUM(ESOMEPRAZOLE)40MG: CAP,11.01,11.01,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104387,637,,,,,,,,TORSEMIDE(DEMADEX)100MG:TAB,7.04,7.04,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104388,637,,,,,,,,LISINOPRIL/HCTZ 10/12.5MG(ZESTORETIC0:TA,4.11,4.11,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104389,637,,,,,,,,LISINOPRIL(ZESTRIL)5MG: TAB,4.87,4.87,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104390,637,,,,,,,,LISINOPRIL/HCTZ 20/25MG(ZESTORETIC)TAB,5.23,5.23,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104391,637,,,,,,,,LISINOPRIL(ZESTRIL)10MG:TAB,4.93,4.93,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104392,637,,,,,,,,FOSAMAX(ALENDRONATE)35MG: TAB,27.75,27.75,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104395,637,,,,,,,,SENNA PLUS(PERICOLACE/SENOKOT PLUS)TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104397,637,,,,,,,,LEXAPRO(ESCITALOPRAM)10MG: TAB,7.91,7.91,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104400,637,,,,,,,,AMIODARONE(CORDARONE)200MG: TAB,4.6,4.6,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104401,637,,,,,,,,DICLOFENAC(VOLTAREN)100MG: TAB,6.82,6.82,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104402,637,,,,,,,,ANADROL(OXYMETHOLONE)50MG: TAB,38.57,38.57,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104404,637,,,,,,,,BACTROBAN(MUPIROCIN)CRM:2%***,81.04,81.04,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104405,250,,,,,,,,DEMEROL(MEPERIDINE)100MG/ML: INJ,19.63,19.63,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104406,637,,,,,,,,traMADol HCL(ULTRAM)50MG:TAB,4.84,4.84,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104407,636,J1650,,,,,,,LOVENOX(ENOXAPARIN)60MG/0.6ML: INJ,164,164,9.68,21.45,21.45,,,,,,,,,,,,9.68,,,,
104410,637,,,,,,,,NABUMETONE(RELAFEN)750MG: TAB,5.62,5.62,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104411,250,,,,,,,,FORTAZ(CEFTAZIDIME)ADV 1GM: INJ,53.48,53.48,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104412,637,,,,,,,,SEREVENT DISKUS(SALMETEROL)INH:50MCG,141.69,141.69,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104413,637,,,,,,,,DAPSONE 25MG TAB,5.06,5.06,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104414,637,,,,,,,,ESTROPIPATE(OGEN)0.75MG: TAB,4.43,4.43,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104415,637,,,,,,,,PAXIL CR(PAROXETINE)25MG: TAB,8.43,8.43,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104417,637,,,,,,,,traZODone(DESERYL) 100MG TAB,4.73,4.73,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104418,636,J9267,,,,,,,PACLitaxel 6MG/ML 5ML VIAL,130,130,0.65,0.87,0.87,,,,,,,,,,,,0.65,,,,
104419,636,J9267,,,,,,,PACLitaxel 100MG/16.7ML,154.95,154.95,0.65,0.87,0.87,,,,,,,,,,,,0.65,,,,
104421,637,,,,,,,,MAALOX MAX 30ML: SUSP,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104422,637,,,,,,,,ARIMIDEX(ANASTROZOLE)1MG:TAB,20.01,20.01,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104425,637,,,,,,,,MAGIC MOUTH:2PT LIDO/1PT NYST/1 PT MYLAN,6,6,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104426,637,,,,,,,,FERREX(NIFEREX)150MG: CAP,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104431,636,J1650,,,,,,,LOVENOX(ENOXAPARIN)30MG/0.3ML:INJ,89.43,89.43,9.68,21.45,21.45,,,,,,,,,,,,9.68,,,,
104432,637,,,,,,,,TEGRETOL(CARBAMAZEPINE)XR:400MG,6.45,6.45,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104433,636,J0881,,,,,,,ARANESP(DARBEPOETIN)300MCG:INJ,6981,6981,,,,,,,,,,,,,,,,,,,
104434,637,,,,,,,,CARBIDOPA/LEVADOPA ER 50/200MG,5.81,5.81,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104436,637,,,,,,,,MAVIK 4MG TAB,5.61,5.61,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104438,637,,,,,,,,NITROGLYCERIN(NITRODUR)0.4MG/HR: PAT,5.88,5.88,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104439,637,,,,,,,,PRED FORTE(PREDNISOLONE)1%:5ML,40.44,40.44,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104441,250,,,,,,,,morphine 2MG/ML 1ML SYR: INJ,19.9,19.9,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104442,637,,,,,,,,EMEND(APREPITANT)125MG: CAP,200.96,200.96,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104443,637,,,,,,,,KETOCONAZOLE 200MG TAB,7.14,7.14,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104444,637,,,,,,,,KETOROLAC(TORADOL)10MG: TAB,4.93,4.93,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104445,637,,,,,,,,NITROGLYCERIN(NITRODUR)0.1MG: PATCH,6.89,6.89,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104446,637,,,,,,,,NITROGLYCERIN(NITRODUR)0.2MG: PATCH,6.6,6.6,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104450,637,,,,,,,,TERBUTALINE(BRETHINE)5MG:TAB,4.62,4.62,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104451,637,,,,,,,,MILK OF MAGNESIA 480ML: BOTTLE,6.65,6.65,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104453,637,,,,,,,,AVINZA(MORPHINE)30MG: CAP,8.84,8.84,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104454,637,,,,,,,,LABETALOL(TRANDATE)200MG TAB,4.71,4.71,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104455,250,,,,,,,,NOVOLIN R INSULIN(SWING &SCU)10ML: VIAL,165.28,165.28,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104456,250,,,,,,,,NOVOLIN N INS(SWING&SCU)10ML: VIAL,165.28,165.28,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104457,250,,,,,,,,NovoLIN 70/30 INS(SCU&SWING)10ML: VIAL,73.12,73.12,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104458,250,,,,,,,,DEMEROL(MEPERIDINE)25MG/ML: INJ,21.18,21.18,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104460,637,,,,,,,,MELATONIN 300MCG TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104461,637,,,,,,,,IMITREX(SUMATRIPTAN)100MG:TAB,34.06,34.06,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104463,637,,,,,,,,AMOXICILLIN/CLAV(AUGMENTIN)500/125MG,4.77,4.77,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104464,637,,,,,,,,BUTA/ASA/CAFF(FIORINAL)CAP,4.19,4.19,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104465,637,,,,,,,,HYDROCORTISONE 2.5% LOTION 59ML,42.4,42.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104467,636,J1650,,,,,,,LOVENOX(ENOXAPARIN)100MG/1ML: INJ,263.38,263.38,9.68,21.45,21.45,,,,,,,,,,,,9.68,,,,
104468,636,J1650,,,,,,,LOVENOX(ENOXAPARIN)40MG/0.4ML: INJ,114.25,114.25,9.68,21.45,21.45,,,,,,,,,,,,9.68,,,,
104469,637,,,,,,,,WELCHOL 625MG:TAB,5.96,5.96,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104471,637,,,,,,,,MEGESTROL 40MG/ML PER DOSE: SUSP,10,10,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104473,637,,,,,,,,LEXAPRO(ESCITALOPRAM)20MG: TAB,8,8,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104474,250,,,,,,,,CLAFORAN(CEFOTAXIME)INJ:1GM VIAL***,22.5,22.5,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104477,637,,,,,,,,LISINOPRIL/HCTZ 20/12.5MG TAB,5.2,5.2,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104478,637,,,,,,,,NABUMETONE(RELAFEN)500MG: TAB,5.3,5.3,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104480,637,,,,,,,,MIRALAX 255GM: POWDER(ONE BOTTLE),14.25,14.25,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104481,250,,,,,,,,Solu-MEDROL 1GM VIAL,102,102,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104483,637,,,,,,,,OXYTROL(OXYBUTYNIN)3.9MG/DAY: PATCH,44.04,44.04,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104484,637,,,,,,,,PROMETHAZINE(PHENERGAN)25MG:TAB,4.51,4.51,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104485,637,,,,,,,,TRIAMTERENE/HCTZ TAB:37.5MG/25MG***,4.39,4.39,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104488,637,,,,,,,,Q-TUSSIN DM(ROBITUSSIN DM):1 BOTTLE,6.38,6.38,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104489,637,,,,,,,,POTASSIUM CL ORAL SOLN 40MEQ/30ML:BOTTLE,10.44,10.44,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
10449,637,,,,,,,,ACEBUTOLOL(SECTRAL)200MG:TAB,5.01,5.01,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104490,637,,,,,,,,FUROSEMIDE ORAL LIQUID 10MG/ML 60ML BOT,17.4,17.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104493,637,,,,,,,,MEGESTROL(MEGACE)20MG: TAB,4.65,4.65,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104497,637,,,,,,,,MICONAZOLE 7 DAY:2% CREAM 45GM***,12.19,12.19,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104499,250,,,,,,,,PROMETHAZINE(PHENERGAN)25MG/ML 1ML:INJ,17.58,17.58,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104500,637,,,,,,,,RISPERDAL ORAL SOL 1MG/ML:30ML BOTTLE,267.9,267.9,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104502,637,,,,,,,,VIGAMOX 0.5% OPTH SOL:3ML,121.72,121.72,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104503,250,,,,,,,,LANTUS INSULIN VIAL(SCU&SWING),120.28,120.28,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104505,637,,,,,,,,DILANTIN(PHENYTOIN)125MG/5ML 1 BT: SUSP,43.6,43.6,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104506,637,,,,,,,,MAALOX MAX 355ML BT: SUSP,8.87,8.87,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104509,637,,,,,,,,TRIAMCINOLONE DENTAL PASTE 0.1%:5GM,75.94,75.94,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104511,637,,,,,,,,BENICAR(OLMESARTAN)20MG: TAB,8,8,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104512,637,,,,,,,,PENTASA 250MG: CAP,5.89,5.89,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104513,637,,,,,,,,MIRTAZAPINE(REMERON)15MG: TAB,6.72,6.72,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104514,250,,,,,,,,SUCCINYLCHOLINE 200MG(20MG/ML):10ML VIAL,24.43,24.43,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104515,250,,,,,,,,HUMALOG INSULIN (SCU & SWING) 10ML VIAL,138.27,138.27,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104517,637,,,,,,,,LORazepam  ORAL SOLN(30ML BOTTLE) 2MG/ML,46.6,46.6,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104518,637,,,,,,,,KETOCONAZOLE 2% 30GM TUBE: CREAM,30.81,30.81,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104521,637,,,,,,,,METOCLOPRAMIDE(REGLAN)5MG/ML 480ML:SYRUP,23.25,23.25,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104522,637,,,,,,,,AMOXICILLIN/CLAV ACID 400MG/5ML:50ML,44.75,44.75,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104523,637,,,,,,,,CATAPRES-TTS(CLONIDINE)0.2MG: PATCH,63.37,63.37,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104524,637,,,,,,,,PROVIGIL 100MG:TAB,19.29,19.29,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104525,637,,,,,,,,AMILORIDE/HCTZ(MODURETIC)5/50MG: TAB,4.73,4.73,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104530,637,,,,,,,,RISPERDAL(RISPERIDONE)2MG:TAB,14.95,14.95,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104531,637,,,,,,,,RISPERDAL(RISPERIDONE)0.5MG:TAB,9.61,9.61,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104533,637,,,,,,,,OSTEO BI-FLEX TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104534,637,,,,,,,,TRIPLE ANTIBIOTIC OINT(NEOPSPORIN):30GM,10.53,10.53,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104535,250,,,,,,,,DILTIAZEM(CARDIZEM)100MG ADDVANTAGE:INJ,39.7,39.7,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104536,637,,,,,,,,L-LYSINE 500MG TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104537,637,,,,,,,,CHLOROTHIAZIDE(DIURIL):500MG TAB***,4.25,4.25,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104539,637,,,,,,,,BLEPHAMIDE 3.5GM: OPTH OINT,101.63,101.63,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104540,637,,,,,,,,CHLOROTHIAZIDE(DIURIL)TAB:500MG***,4.25,4.25,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104542,637,,,,,,,,CEPHALEXIN(KEFLEX)250MG/5ML 200ML: SUSP,38.5,38.5,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104543,637,,,,,,,,ZETIA(EZETIMIBE)10MG:TAB,10.23,10.23,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104544,637,,,,,,,,MINERIN(EUCERIN)  1LB JAR: CREAM,11.8,11.8,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104545,637,,,,,,,,TRAVATAN(TRAVOPROST)OPTH:0.004% 2.5ML,122.62,122.62,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104546,637,,,,,,,,TYLENOL ARTHRITIS 650MG:TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104549,637,,,,,,,,GENATON(GAVISCON)LIQ:12 OZ,9.05,9.05,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104554,637,,,,,,,,DIAPER RASH(DESITIN)4OZ: OINTMENT,10.99,10.99,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104555,637,,,,,,,,MICARDIS 20MG: TAB,9.36,9.36,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104556,637,,,,,,,,TRIAMCINOLONE AC(KENALOG)0.025% CRM:80GM,18.15,18.15,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104557,637,,,,,,,,flavoxATE(URISPAS)100MG: TAB,5.46,5.46,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104559,637,,,,,,,,SKELAXIN (METAXALONE)800MG:TAB,8.6,8.6,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104560,637,,,,,,,,GLIPIZIDE ER(GLUCOTROL XL)10MG: TAB,4.81,4.81,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104561,250,,,,,,,,NALOXONE(NARCAN)INJ:0.4MG/ML,45,45,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104562,250,,,,,,,,GLYCOPYRROLATE(ROBINUL)0.2MG/ML:5ML INJ,20.85,20.85,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104563,637,,,,,,,,ANUMED(ANUSOL)SUPP,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104564,637,,,,,,,,LABETALOL(NORMADYNE)100MG: TAB,4.5,4.5,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104565,636,J9035,,,,,,,AVASTIN(BEVACIZUMAB)100MG VIAL: INJ,2490.83,2490.83,,,,,,,,,,,,,,,,,,,
104566,637,,,,,,,,METHYLPHENIDATE ER(RITALIN)20MG: TAB,5.12,5.12,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104567,637,,,,,,,,LACTULOSE(CONSTULOSE)10G/15ML 30ML,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104568,637,,,,,,,,ENULOSE(CONSTULOSE)10G/15ML 473ML BT,43.35,43.35,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104569,637,,,,,,,,NAMENDA(MEMANTINE)TAB:5MG,9.31,9.31,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104572,637,,,,,,,,ESTROPIPATE(OGEN)1.5MG: TAB,4.62,4.62,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104573,637,,,,,,,,RENAGEL(SEVELAMER)800MG:TAB,6.6,6.6,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104575,637,,,,,,,,PROCTOZONE-HC(ANUSOL HC)2.5%:CREAM,31.95,31.95,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104576,637,,,,,,,,ASCOMP W/COD(FIORINAL W/COD)CAP,5.4,5.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104578,636,J9035,,,,,,,AVASTIN(BEVACIZUMAB)400MG:INJ,9663.28,9663.28,,,,,,,,,,,,,,,,,,,
104579,250,,,,,,,,MIACALCIN 200IU/ML 2ML: INJ,186.68,186.68,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104580,637,,,,,,,,PARoxetine(PAXIL)20MG: TAB,6.64,6.64,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104582,637,,,,,,,,MAXALT-MLT(RIZATRIPTAN)10MG: TAB,34,34,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104583,636,J9100,,,,,,,CYTARABINE(ARA-C)100MG: INJ,20.45,20.45,,,,,,,,,,,,,,,,,,,
104584,636,J9100,,,,,,,CYTARABINE(ARA-C)2GM: INJ,75,75,,,,,,,,,,,,,,,,,,,
104585,637,,,,,,,,METHADONE 10MG: TAB,4.14,4.14,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104586,637,,,,,,,,LIDOCAINE(XYLOCAINE)100ML BT: VISC,18.2,18.2,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104587,637,,,,,,,,ACTONEL(RISEDRONATE)35MG: TAB,34.95,34.95,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104588,637,,,,,,,,METOPROLOL(LOPRESSOR)25MG:TAB,4.24,4.24,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104589,637,,,,,,,,CASODEX(BICALUTAMIDE)50MG: TAB,24.73,24.73,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104591,637,,,,,,,,EXELON(RIVASTIGMINE)1.5MG: CAP,8.79,8.79,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104592,637,,,,,,,,PROPRANOLOL/HCTZ(INDERIDE)80/25MG,4.65,4.65,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104594,637,,,,,,,,NYSTATIN/TRIAM(MYCOLOG)60GM: CREAM,234.3,234.3,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104595,637,,,,,,,,OXAPROZIN(DAYPRO)600MG: TAB,7.66,7.66,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104596,637,,,,,,,,GLYBURIDE/METFORMIN 5/500(GLUCOVANCE:TAB,5.06,5.06,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104598,250,,,,,,,,SYNERCID 500MG:INJ,633.63,633.63,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104599,637,,,,,,,,ZONEGRAN(ZONISAMIDE)100MG:CAP,7.59,7.59,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104600,637,,,,,,,,NAMENDA(MEMANTINE)TAB:10MG,9.31,9.31,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104602,637,,,,,,,,VIT D 400 IU,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104603,637,,,,,,,,DIOVAN/HCTZ(VALSARTAN/HCTZ)80/12.5MG:TAB,7.3,7.3,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104604,637,,,,,,,,NYSTATIN/TRIAM(MYCOLOG)60GM: OINT,234.3,234.3,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104606,637,,,,,,,,PREDNISOLONE(PEDIAPRED)120ML: SOL,42.75,42.75,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104608,637,,,,,,,,prednisoLONE(PEDIAPRED)5MG/5ML: SOL,5.49,5.49,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104610,637,,,,,,,,LOTENSIN HCT 10/12.5MG: TAB,6.13,6.13,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104613,637,,,,,,,,ZYVOX(LINEZOLID)600MG:TAB,137.82,137.82,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104615,637,,,,,,,,LUMIGAN 0.03% 5ML: OPTH SOLN,258.27,258.27,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104616,637,,,,,,,,morphine SULF ORAL (ROXANOL)20MG/1ML,4.76,4.76,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104617,637,,,,,,,,FOSINOPRIL(MONOPRIL)10MG: TAB,5.19,5.19,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104618,637,,,,,,,,NIFEDIPINE ER(PROCARDIA XL)90MG: TAB,6.64,6.64,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104619,637,,,,,,,,cloNIDine(CATAPRES)0.2MG: TAB,4.38,4.38,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104620,637,,,,,,,,LESCOL (FLUVASTATIN)40MG: CAP,7.7,7.7,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104622,637,,,,,,,,ACTIQ(FENTANYL)200MCG:ORAL,41.82,41.82,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104623,637,,,,,,,,MIDODRINE(PROAMATINE)5MG: TAB,6.43,6.43,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104624,637,,,,,,,,AUGMENTIN XR(AMOX/CLAV)1000MG:TAB,8.21,8.21,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104625,636,J2469,,,,,,,ALOXI(PALONOSETRON)0.25MG: INJ,1351.5,1351.5,128.16,135.45,135.45,,,,,,,,,,,,128.16,,,,
104626,637,,,,,,,,NYSTATIN(MYCOSTATIN)15GM TUBE: OINT,24.5,24.5,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104627,250,,,,,,,,MIDAZOLAM(VERSED)2MG/2ML: INJ,18.43,18.43,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104628,250,,,,,,,,HUMALOG MIX 75/25 10ML VIAL,201.58,201.58,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104629,250,,,,,,,,HumaLOG MIX 75/25:PER DOSE,18.05,18.05,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104630,637,,,,,,,,DILTIAZEM CD(CARDIZEM)180MG: CAP,4.96,4.96,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104632,637,,,,,,,,ACYCLOVIR(ZOVIRAX)200MG: CAP,4.09,4.09,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104633,637,,,,,,,,DETROL LA(TOLTERODINE)2MG: CAP,11.45,11.45,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104634,637,,,,,,,,CARDIZEM LA(DILTIAZEM)240MG: TAB,7.59,7.59,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104635,637,,,,,,,,UROXATRAL(ALFUZOSIN)10MG:TAB,8.69,8.69,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104637,637,,,,,,,,morphine SULF ER(MSCONTIN)15MG: TAB,4.89,4.89,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104638,636,J9045,,,,,,,CARBOplatin(PARAPLATIN)50MG VIAL: INJ,124.75,124.75,20.79,20.79,,,,,,,,,,,,,20.79,,,,
104639,636,J9045,,,,,,,CARBOplatin(PARAPLATIN)150MG VIAL: INJ,169.03,169.03,20.79,20.79,,,,,,,,,,,,,20.79,,,,
104640,637,,,,,,,,TRIMETHOBENZAMIDE(TIGAN)300MG:CAP,5.64,5.64,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104641,637,,,,,,,,"DRISDOL(VIT D)CAP:50,000 IU",6.16,6.16,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104645,637,,,,,,,,MUPIROCIN(BACTROBAN)22GM TUBE: OINT,51.85,51.85,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104647,637,,,,,,,,CEFUROXIME(CEFTIN)250MG: TAB,8.39,8.39,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104648,637,,,,,,,,RHINOCORT AQUA(BUDESONIDE)32MCG:NS,128.29,128.29,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104650,637,,,,,,,,SOTALOL(BETAPACE)120MG:TAB,7.13,7.13,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104651,637,,,,,,,,DIFFERIN(ADAPALENE)45GM: GEL,307.98,307.98,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104652,637,,,,,,,,GLYBURIDE/METFORMIN(GLUCOVANCE)5/500:TAB,5.06,5.06,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104654,637,,,,,,,,PRIMIDONE(MYSOLINE)50MG: TAB,4.5,4.5,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104655,250,,,,,,,,DIHYDROERGOTAMINE(D.H.E.45) 1MG/ML: INJ,202.18,202.18,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104657,637,,,,,,,,metFORMIN ER(GLUCOPHAGE XR) 500MG,4.75,4.75,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104660,637,,,,,,,,SOTALOL(BETAPACE)80MG:TAB,6.56,6.56,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104661,637,,,,,,,,FOLBEE PLUS(DIATX)TAB,4.5,4.5,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104663,637,,,,,,,,AMOXICILLIN/CLAV(AUGMENTIN)875MG/125MG,9.05,9.05,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104664,637,,,,,,,,METHYLPREDNISOLONE(MEDROL)PACK 21: TABS,37.01,37.01,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104665,636,J9045,,,,,,,CARBOplatin(PARAPLATIN)450MG VIAL: INJ,240,240,20.79,20.79,,,,,,,,,,,,,20.79,,,,
104666,637,,,,,,,,MARINOL(DRONABINOL)2.5MG: CAP,12.25,12.25,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104667,637,,,,,,,,CLOTRIM/BMETHASONE(LOTRISONE)15GM: CREAM,37.72,37.72,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104669,636,J0692,,,,,,,MAXIPIME(CEFEPIME)2GM ADV: INJ,126.63,126.63,,,,,,,,,,,,,,,,,,,
104670,636,J9305,,,,,,,ALIMTA(PEMETREXED)VIAL:500MG,10947.45,10947.45,,,,,,,,,,,,,,,,,,,
104671,637,,,,,,,,XYLOCAINE(LIDOCAINE)JELLY 2%:DOSE,12.54,12.54,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104672,637,,,,,,,,CYMBALTA(DULOXETINE)30MG: CAP,11.94,11.94,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104673,637,,,,,,,,NICOTINE(NICODERM) 21MG PATCH,6.52,6.52,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104674,637,,,,,,,,NICOTINE(NICODERM) 14MG PATCH,7.78,7.78,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104675,637,,,,,,,,NICOTINE(NICODERM)7MG PATCH,7.78,7.78,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104677,637,,,,,,,,glipiZIDE ER(GLUCOTROL)5MG TAB,4.41,4.41,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104678,636,J2700,,,,,,,OXACILLIN(PROSTAPHLIN)1GM ADV: INJ,48.75,48.75,,,,,,,,,,,,,,,,,,,
104679,637,,,,,,,,CIPROFLOXACIN(CIPRO)500MG TAB,4.25,4.25,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104680,637,,,,,,,,NITROQUICK(NITROSTAT) 0.4MG SL: TAB,4.44,4.44,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104681,637,,,,,,,,HYDROXYUREA(HYDRA)500MG: CAP,5.28,5.28,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104682,637,,,,,,,,POTASSIUM CHLORIDE(KLYTE-CL)25MEQ: PKT,5.22,5.22,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104683,637,,,,,,,,NITROFURANTOIN(MACROBID)100MG: CAP,7.2,7.2,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104684,637,,,,,,,,MAGNESIUM OXIDE(MAGOX)400MG: TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104685,637,,,,,,,,METHENAMINE(MANDELAMINE)1GM: TAB,6.09,6.09,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104686,637,,,,,,,,VANTIN 200MG:TAB,14.07,14.07,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104687,637,,,,,,,,AVELOX(MOXIFLOXACIN)400MG:TAB,20.63,20.63,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104688,637,,,,,,,,ACETAMINOPH/COD 120/12MG PER 5ML/ 30ML,5.72,5.72,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104689,637,,,,,,,,METOLAZONE(ZAROXOLYN)2.5MG: TAB,5.48,5.48,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104691,637,,,,,,,,SPIRIVA(TIOTROPIUM)HAND INH:18MCG,101.51,101.51,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104692,637,,,,,,,,NYSTOP(NYSTATIN)15GM: TOP POWDER,34.46,34.46,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104693,637,,,,,,,,POLYETHYLENE GLYCOL(MIRALAX) 255GM BT,26.54,26.54,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104697,637,,,,,,,,TETRACYCLINE(SUMYCIN)250MG:CAP,4.07,4.07,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104699,637,,,,,,,,PAROXETINE(PAXIL)10MG: TAB,6.73,6.73,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104700,637,,,,,,,,HYDROCERIN(EUCERIN)16OZ JAR: CREAM,20.88,20.88,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104701,637,,,,,,,,FISH OIL(CONCENTRATE)1000MG: CAP,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104703,636,J9185,,,,,,,FLUDARABINE(FLUDARA)50MG: INJ,752.5,752.5,,,,,,,,,,,,,,,,,,,
104704,637,,,,,,,,NEPHROCAPS,4.6,4.6,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104705,637,,,,,,,,NIACIN 500MG CAP,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104706,637,,,,,,,,CARDIZEM LA(DILTIAZEM)180MG: TAB,7.2,7.2,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104707,250,,,,,,,,AMIKACIN 500MG/2ML:INJ,26.1,26.1,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104710,637,,,,,,,,BIAXIN XL(CHLARITHROMYCIN)500MG: TAB,11.27,11.27,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104711,637,,,,,,,,DENAVIR(PENCICLOVIR)1%:1.5GM CR,396.46,396.46,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104712,637,,,,,,,,NITRO-BID(NITROGLYCERIN)60GM: OINT,22.27,22.27,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104713,250,,,,,,,,BUTORPHANOL(STADOL)2MG/ML 1ML VIAL: INJ,24.85,24.85,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104714,250,,,,,,,,FOLIC ACID(FOLATE)5MG/ML 10ML: INJ,79.08,79.08,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104715,637,,,,,,,,GLEEVEC 100MG: CAP,51.06,51.06,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104716,637,,,,,,,,aMILoride(MIDAMOR)5MG: TAB,5.28,5.28,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104717,636,J9267,,,,,,,PACLitaxel(TAXOL)300MG: INJ,400,400,0.65,0.87,0.87,,,,,,,,,,,,0.65,,,,
10472,636,J2175,,,,,,,MEPERIDINE 300MG/30ML PCA,37.45,37.45,,,,,,,,,,,,,,,,,,,
104720,637,,,,,,,,RISPERDAL(RISPERIDONE)0.25MG:TAB,9.11,9.11,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104721,636,J2430,,,,,,,PAMIDRONATE(AREDIA)90MG: VIAL,295.68,295.68,,,,,,,,,,,,,,,,,,,
104723,637,,,,,,,,COMTAN(ENTACAPONE)200MG: TAB,7.87,7.87,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104724,637,,,,,,,,BENAZEPRIL(LOTENSIN)10MG: TAB,4.95,4.95,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104726,637,,,,,,,,PROPAFENONE(RYTHMOL)150MG:TAB,4.94,4.94,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104727,637,,,,,,,,PROCHLORPERAZINE(COMPAZINE)25MG:SUPP,8.47,8.47,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104729,637,,,,,,,,FOLIC ACID(FOLVITE)400MCG: TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104731,637,,,,,,,,THERAPEUTIC B COMPLEX,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104732,637,,,,,,,,ARAVA(LEFLUNOMIDE)20MG:TAB,26.85,26.85,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104733,637,,,,,,,,LORATADINE(CLARITIN)10MG: TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104735,637,,,,,,,,BROTAPP LIQUID(DIMETAPP),9.65,9.65,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104738,637,,,,,,,,COREG(CARVEDILOL)6.25MG: TAB,6.53,6.53,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104744,637,,,,,,,,INDERAL LA(INDERAL)120MG: CAP,10.69,10.69,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104746,637,,,,,,,,LISINOPRIL(ZESTRIL)2.5MG: TAB,4.65,4.65,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104749,637,,,,,,,,HALOPERIDOL(HALDOL)5MG: TAB,4.92,4.92,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104752,637,,,,,,,,CARBIDOPA/LEVODOPA 25/100 ER (SINEMET),4.94,4.94,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104755,637,,,,,,,,HYDROCORTISONE 1% 30GM:CREAM,9.1,9.1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104756,637,,,,,,,,MORPHINE SULFATE (M S CONTIN) 30MG,5.69,5.69,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104759,637,,,,,,,,glipiZIDE ER(GLUCOTROL XL)2.5MG: TAB,4.41,4.41,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104761,637,,,,,,,,TRIMOX(AMOXIL)SUSP:125MG/5ML 80ML,10.1,10.1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104763,636,J9217,,,,,,,LUPRON 7.5MG KIT:INJ,5317.35,5317.35,2171.32,2171.32,,,,,,,,,,,,,2171.32,,,,
104764,637,,,,,,,,METHOCARBAMOL 500MG: TAB,4.09,4.09,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104767,637,,,,,,,,PROPARACAINE 0.5%:OPTH SOLN,34.6,34.6,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104768,637,,,,,,,,SODIUM BICARBONATE 10GR TABLET,4.1,4.1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104769,637,,,,,,,,EXELON(RIVASTIGMINE)3MG: CAP,9.69,9.69,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104771,637,,,,,,,,KLORCON 20MEQ: POW,5.03,5.03,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104774,637,,,,,,,,azaTHIOprine(IMURAN)50MG:TAB,5.31,5.31,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104775,250,,,,,,,,ZOSYN(PIPERACILLIN/TAZOBACTAM):2.25GM,53.15,53.15,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104777,637,,,,,,,,TRICOR(FENOFIBRATE)145MG:TAB,11,11,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104778,637,,,,,,,,TAMOXIFEN(NOLVADEX)20MG:TAB,7.79,7.79,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104781,637,,,,,,,,ACCOLATE 10MG:TAB,6.2,6.2,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104782,637,,,,,,,,CARMOL(UREA)20 85GM: CREAM,24.67,24.67,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104783,637,,,,,,,,HYDROcod/IBUPROF 7.5MG/200MG TAB,5.15,5.15,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104784,637,,,,,,,,AVANDIA 8MG:TAB,12.65,12.65,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104785,637,,,,,,,,NITROGLYCERIN(TRANSDERM NITRO)0.6MG: PAT,6.06,6.06,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104786,637,,,,,,,,EMADINE(EMEDASTINE)0.05%: OPTH SOLN,90.14,90.14,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104788,636,J0692,,,,,,,MAXIPIME(CEFEPIME)1GM: INJ,72.3,72.3,,,,,,,,,,,,,,,,,,,
104790,637,,,,,,,,ENALAPRIL(VASOTEC)20MG: TAB,5.52,5.52,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104792,637,,,,,,,,CREON-20 CAP,7.24,7.24,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104793,250,,,,,,,,ZYVOX 600MG/300ML PREMIX,358.8,358.8,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104797,637,,,,,,,,MICONAZOLE VAG 7 DAY: CREAM,19.82,19.82,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104798,637,,,,,,,,AMPICILLIN 500MG,4.4,4.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104799,636,J9055,,,,,,,ERBITUX(CETUXIMAB)100MG: INJ,1820.95,1820.95,,,,,,,,,,,,,,,,,,,
104800,637,,,,,,,,CIPROFLOXACIN 250MG:TAB,4.17,4.17,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104801,636,J9395,,,,,,,FASLODEX (FULVESTRANT) 50MG/ML 5ML SYRIN,5633.25,5633.25,,,,,,,,,,,,,,,,,,,
104803,636,J8999,,,,,,,TARCEVA(ERLOTINIB)150MG:TAB,234.07,234.07,,,,,,,,,,,,,,,,,,,
104804,637,,,,,,,,OMEPRAZOLE(PRILOSEC)20MG: CAP,8.17,8.17,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104805,637,,,,,,,,SALAGEN(PILOCARPINE)5MG:TAB,6.05,6.05,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104806,637,,,,,,,,NIFEDIPINE(PROCARDIA XL)60MG: TAB,6.29,6.29,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104807,637,,,,,,,,NIFEdipine(PROCARDIA XL)30MG: TAB,5.32,5.32,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104808,637,,,,,,,,METOLAZONE(ZAROXOLYN)5MG: TAB,5.69,5.69,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104809,637,,,,,,,,BENAZEPRIL/HYDROCHLOROTHIADE 10MG/12.5MG,5.05,5.05,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104810,637,,,,,,,,QUINIDINE 300MG:TAB,4.41,4.41,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104811,637,,,,,,,,METHOTREXATE 2.5MG TAB,7.05,7.05,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104812,637,,,,,,,,CITALOPRAM(CELEXA)20MG: TAB,6.53,6.53,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104813,637,,,,,,,,GABAPENTIN(NEURONTIN)300MG: CAP,5.33,5.33,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104815,637,,,,,,,,ALPRAZOLAM(XANAX)1MG,4.98,4.98,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104816,637,,,,,,,,VANCOCIN(VANCOMYCIN)125MG:CAP,28.31,28.31,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104818,637,,,,,,,,CILOXAN(CIPROFLOXACIN)3.5GM: OPTH OINT,143.68,143.68,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104819,637,,,,,,,,DIPYRIDAMOLE(PERSANTINE)25MG: TAB,4.58,4.58,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104821,636,J9040,,,,,,,BLEOMYCIN 30 UNITS: INJ,175.65,175.65,,,,,,,,,,,,,,,,,,,
104822,637,,,,,,,,TORSEMIDE 20MG:TAB,4.82,4.82,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104824,636,J8999,,,,,,,TARCEVA(ERLOTINIB)100MG:TAB,207.41,207.41,,,,,,,,,,,,,,,,,,,
104830,636,J1750,,,,,,,DEXFERRUM 100MG/2ML :10 VIALS,577.5,577.5,42.81,42.81,,,,,,,,,,,,,42.81,,,,
104831,250,,,,,,,,NovoLOG MIX 70/30:DOSE,16.53,16.53,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104832,637,,,,,,,,BENICAR HCT 20/12.5MG,7.01,7.01,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104835,637,,,,,,,,HYDROXYCHLOROQUINE(PLAQUENIL)200MG: TAB,5.23,5.23,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104843,637,,,,,,,,ALTACE 5MG(RAMIPRIL):CAPSULE,6.51,6.51,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104844,637,,,,,,,,fentaNYL(DURAGESIC)25MCG: PATCH,18.42,18.42,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104845,637,,,,,,,,fentaNYL(DURAGESIC)50MCG: PATCH,42.88,42.88,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104846,637,,,,,,,,fentaNYL(DURAGESIC)75MCG: PATCH,63.31,63.31,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104847,637,,,,,,,,HYDROcodone/APAP 10/500 TAB,4.53,4.53,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104848,637,,,,,,,,RAZADYNE 8MG:TAB,7.87,7.87,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104850,637,,,,,,,,LUNESTA 2MG:TAB,12.94,12.94,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104856,637,,,,,,,,PREMARIN(CONJ ESTROGENS)0.45MG: TAB,7.12,7.12,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104857,637,,,,,,,,EMEND 80MG: CAP,129.82,129.82,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104858,250,,,,,,,,CEFTRIAXONE(ROCEPHIN)2GM: INJ,23.68,23.68,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104859,250,,,,,,,,cefTRIAXone(ROCEPHIN)1GM: ADV VIAL,26.5,26.5,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104862,637,,,,,,,,GABAPENTIN(NEURONTIN)100MG: CAP,4.58,4.58,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104867,637,,,,,,,,MUCINEX(GUAIFENESIN)600MG: TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104869,637,,,,,,,,ATACAND(CANDESARTAN)8MG:TAB,7.52,7.52,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104870,637,,,,,,,,AVODART (DUTASTERIDE)0.5MG:CAP,9.03,9.03,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104872,637,,,,,,,,CRESTOR(ROSUVASTATIN)10MG: TAB,10.47,10.47,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104877,250,,,,,,,,LEVOFLOXACIN 750MG PREMIX,162.83,162.83,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
104878,637,,,,,,,,fentaNYL(DURAGESIC)100MCG: PATCH,57.41,57.41,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104879,636,J1650,,,,,,,LOVENOX(ENOXAPARIN)150MG: INJ,387.65,387.65,9.68,21.45,21.45,,,,,,,,,,,,9.68,,,,
104880,637,,,,,,,,"NEOMYCIN,POLYM,HYDROCORT OTIC SUSP",107.68,107.68,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104883,637,,,,,,,,COLESTID GRANULES 5GM PACKETS,7.02,7.02,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104884,637,,,,,,,,CHLORZOXAZONE(PARAFON)500MG TAB,4.49,4.49,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104886,637,,,,,,,,PRAVACHOL 40MG TAB,10.51,10.51,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104889,637,,,,,,,,FLUCONAZOLE(DIFLUCAN)150MG TAB,17.93,17.93,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104966,637,,,,,,,,COLCHICINE 0.6MG: TAB,4.62,4.62,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104991,637,,,,,,,,TRIAMTERENE/HCTZ 37.5MG/25MG(MAXZIDE),4.39,4.39,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104994,636,J9070,,,,,,,CYCLOPHOSPHAMIDE 500MG(CYTOXAN):VIAL,1130.08,1130.08,91.9,91.9,,,,,,,,,,,,,91.9,,,,
104995,637,,,,,,,,SLOW FE 160MG TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104997,637,,,,,,,,SODIUM BICARBONATE 650MG TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104998,637,,,,,,,,DIATX ZN TAB,4.81,4.81,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
104999,637,,,,,,,,ISOSORBIDE MONO(MONOKET)10MG: TAB,4.51,4.51,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105000,637,,,,,,,,PRANDIN(REPAGLINIDE)2MG: TAB,6.36,6.36,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105001,637,,,,,,,,SANCTURA(TROSPIUM) 20MG TAB,8.02,8.02,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105002,637,,,,,,,,BACTROBAN(MUPIROCIN)2% CREAM,137.52,137.52,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105005,637,,,,,,,,ZONALON(DOXEPIN)5% CREAM,162.4,162.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105007,250,,,,,,,,LEVOTHYROXINE(SYNTHROID)200MCG: INJ,144.45,144.45,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
105008,637,,,,,,,,GLYBURIDE(DIABETA) 1.25MG: TAB,4.28,4.28,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105009,637,,,,,,,,HYDROcod/APAP 5MG/325MG,4.54,4.54,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105010,637,,,,,,,,FLUOXETINE(PROZAC)10MG TAB,6.6,6.6,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105011,637,,,,,,,,LOTREL 10/20 CAP,8.78,8.78,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105012,637,,,,,,,,MOMETASONE(ELOCON)0.1% 15GM: CREAM,33.75,33.75,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105013,637,,,,,,,,FML 0.1% SOP 3.5GM: OINTMENT,67.73,67.73,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105014,637,,,,,,,,ENABLEX 7.5MG: TAB,10.54,10.54,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105015,637,,,,,,,,CITALOPRAM 40MG:TAB,6.78,6.78,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105016,637,,,,,,,,NEFAZODONE 100MG,5.69,5.69,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105017,637,,,,,,,,CITRUCEL,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105018,637,,,,,,,,BENICAR HCT(OLMESARTAN)40MG/12.5MG: TAB,8.2,8.2,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105019,250,,,,,,,,cefTRIAXone(ROCEPHIN)500MG VIAL,17.98,17.98,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
105020,637,,,,,,,,DESMOPRESSIN(DDAVP)NASAL SOLUTION,253.25,253.25,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105021,637,,,,,,,,DURADRIN(MIDRIN)CAP,4.98,4.98,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105022,637,,,,,,,,TOPAMAX(TOPIRAMATE)50MG:TAB,10.32,10.32,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105023,637,,,,,,,,CHERATUSSIN AC(ROBITUSSIN AC)SYR PER DOS,4.23,4.23,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105024,637,,,,,,,,BISOPROLOL 5MG TAB,5.21,5.21,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105025,637,,,,,,,,metFORMIN(GLUCOPHAGE)850MG: TAB,5.2,5.2,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105026,637,,,,,,,,REQUIP 0.25MG TAB,7.28,7.28,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105027,637,,,,,,,,ABILIFY (ARIPIPRAZOLE)TAB:5MG,29.25,29.25,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105028,636,J9025,,,,,,,VIDAZA(AZACITIDINE)100MG SUSP,1746.5,1746.5,,,,,,,,,,,,,,,,,,,
105029,637,,,,,,,,LEVOTHROID 100MCG,4.31,4.31,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105030,637,,,,,,,,CYTOMEL 25MCG:TAB,5.32,5.32,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105031,637,,,,,,,,DIOVAN HCT 160MG/12.5MG:TAB,7.59,7.59,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105032,637,,,,,,,,RAZADYNE ER 24MG:CAP,13.2,13.2,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105035,637,,,,,,,,RIFAMPIN(RIFADIN) 150MG:CAP,5.58,5.58,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105036,637,,,,,,,,PROVIGIL 200MG:TAB,27.14,27.14,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105038,637,,,,,,,,NAPROXEN 220MG(ALEVE)TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105039,637,,,,,,,,LYRICA 75MG CAP,8.42,8.42,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105040,637,,,,,,,,AVINZA(MORHINE)60MG: CAP,13.4,13.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105042,637,,,,,,,,DURAGESIC(FENTANYL)12MCG/HR PATCH,23.9,23.9,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105043,637,,,,,,,,PAROXETINE(PAXIL)40MG: TAB,6.97,6.97,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105044,250,,,,,,,,CUBICIN 500MG:VIAL,921.28,921.28,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
105045,637,,,,,,,,SODIUM CHLORIDE 1GM TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105046,637,,,,,,,,FLAX SEED OIL 1000MG,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105048,637,,,,,,,,ROBITUSSIN CF:DOSE,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105049,637,,,,,,,,MOMETASONE 0.1% CREAM,36.16,36.16,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105050,637,,,,,,,,ACTIDOSE AQUA CHARCOAL,42.48,42.48,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105051,637,,,,,,,,PROMETHAGEN 25MG(PHENERGAN)SUPP,9.91,9.91,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105052,637,,,,,,,,PROMETHAGEN 12.5MG(PHENERGAN)SUPP,9.91,9.91,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105053,637,,,,,,,,CICLOPIROX 0.77%(LOPROX)30GM: CREAM,63.5,63.5,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105054,637,,,,,,,,BETAMETHASONE(DIPROLENE)AUG 0.05% 15GM,39.57,39.57,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105056,250,,,,,,,,CANCIDAS(CASPOFUNGIN)50MG INJ,1028.13,1028.13,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
105057,637,,,,,,,,BENICAR(OLMESARTAN)40MG: TAB,8.2,8.2,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105058,250,,,,,,,,INVANZ(ERTAPENEM)1GM VIAL,227.25,227.25,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
105059,637,,,,,,,,INSPRA(EPLERENONE)25MG TAB,9.23,9.23,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105060,637,,,,,,,,AMBIEN CR 6.25MG: TAB,10.92,10.92,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105061,637,,,,,,,,METFORMIN ER 750MG:TAB,5.23,5.23,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105062,250,,,,,,,,AMIODARONE(CORDARONE)150MG/3ML: INJ,21,21,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
105064,637,,,,,,,,KEPPRA(LEVETRIACETAM)500MG: TAB,8.51,8.51,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105066,250,,,,,,,,NEXIUM(ESOMEPRAZOLE)40MG: INJ,119,119,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
105068,637,,,,,,,,MOBIC(MELOXICAM)15MG: TAB,11.34,11.34,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105069,637,,,,,,,,ENDOCET(OXYCODONE/APAP)7.5MG/500MG TAB,5.45,5.45,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105070,637,,,,,,,,oxyCODONE IR(OXYIR)5MG: TAB,4.67,4.67,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105071,637,,,,,,,,AMOXICILLIN/CLAV 600MG/42.9MG 125ML,68.35,68.35,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105072,637,,,,,,,,PHENYTOIN ORAL SUSPENSION,4.78,4.78,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105075,637,,,,,,,,BUPROPION SR(WELLBUTRIN)100MG TAB,5.69,5.69,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105077,637,,,,,,,,PROPOXYPHNE HCL/APAP 65MG/650MG:TAB,4.3,4.3,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105078,637,,,,,,,,AMBIEN CR(ZOLPIDEM)12.5MG TAB,10.92,10.92,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105079,637,,,,,,,,AMOXICILLIN 125MG/5ML 100ML,10.54,10.54,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105080,250,,,,,,,,NAFCILLIN 1GM:ADV VIAL,50.73,50.73,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
105083,250,,,,,,,,NAFCILLIN 2GM:ADV VIAL,83.25,83.25,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
105084,250,,,,,,,,ETOMIDATE 2MG/ML:VIAL 20ML,46.25,46.25,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
105086,637,,,,,,,,AZITHROMYCIN(ZITHROMAX)250MG: TAB,11.78,11.78,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105087,637,,,,,,,,PEG3350&ELECTROLYTES(GOLYTELY),19.2,19.2,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105091,637,,,,,,,,FORADIL 12MCG INHALATION,191.89,191.89,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105093,637,,,,,,,,FORADIL 12MCG INHALATION,52.68,52.68,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105096,637,,,,,,,,DEMECLOCYCLINE 150MG,13.42,13.42,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105097,637,,,,,,,,RAZADYNE ER 8MG:CAP,11.74,11.74,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105098,637,,,,,,,,GAS-X 125MG:TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105099,637,,,,,,,,MICARDIS HCT 40MG/12.5MG,7.76,7.76,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105100,637,,,,,,,,ACTOS 30MG,12.98,12.98,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105102,637,,,,,,,,ALTACE(RAMIPRIL)10MG CAP,6.93,6.93,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105103,637,,,,,,,,SPORANOX(ITRACONAZOLE)SOL 10MG/ML BOTTLE,257.14,257.14,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105104,637,,,,,,,,MELATONIN 3MG:TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105105,637,,,,,,,,DIOVAN HCT 160MG/25MG,8.08,8.08,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105106,637,,,,,,,,KETEK 400MG,10,10,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105107,637,,,,,,,,BUTAL/APAP/CAFFEINE(FIORICET)TAB,4.17,4.17,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105108,637,,,,,,,,GLYBURIDE/METFORMIN 1.25MG/250MG,4.86,4.86,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105110,637,,,,,,,,BACITRACIN OINTMENT,10.8,10.8,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105111,637,,,,,,,,VITAMIN B-12 1000 MCG,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105112,637,,,,,,,,EXELON(RIVASTIGMINE)4.5MG: CAP,8.48,8.48,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105113,637,,,,,,,,EFFEXOR XR 150MG,9.88,9.88,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105114,637,,,,,,,,DIOVAN 40MG TAB,6.57,6.57,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105115,637,,,,,,,,DIOVAN(VALSARTAN)160MG: TAB,7.3,7.3,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105116,637,,,,,,,,AUGMENTED BETAMETHASONE 0.005% DIP OINT,70.53,70.53,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105117,637,,,,,,,,LUTEIN 10MG TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105118,637,,,,,,,,TRICOR(FENOFIBRATE)48MG:TAB,5.75,5.75,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105123,637,,,,,,,,BUTAL/APAP/CAFF/COD(FIORICET W/CODEINE),5.49,5.49,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105124,637,,,,,,,,XOPENEX HFA INHALER(LEVALBUTEROL),64.6,64.6,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105127,637,,,,,,,,FLUOROMETHOLONE 0.1% 5ML,17.05,17.05,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105128,637,,,,,,,,BRIMONIDINE TART 0.2% 5ML,39.65,39.65,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105129,637,,,,,,,,ZANFEL POISON IVY WASH: TUBE,33.84,33.84,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105130,637,,,,,,,,PAXIL CR 12.5MG:TAB,8.42,8.42,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105131,637,,,,,,,,IMITREX 50MG,34.06,34.06,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105133,637,,,,,,,,BUTALBITAL/ASA/CAFF W/CODEINE(FIORINAL),5.49,5.49,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105134,637,,,,,,,,PRILOSEC 20MG OTC: TAB,4.7,4.7,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105135,637,,,,,,,,SIMVASTATIN 20MG(ZOCOR):TAB,6.53,6.53,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105136,637,,,,,,,,SIMVASTATIN 10MG(ZOCOR):TAB,6.79,6.79,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105138,637,,,,,,,,WARFARIN(COUMADIN) 2.5MG:TAB,4.21,4.21,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105140,637,,,,,,,,FEXOFENADINE 180MG:TAB,4.63,4.63,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105143,637,,,,,,,,DITROPAN(OXYBUTININ) XL 15MG:TAB,8.73,8.73,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105146,637,,,,,,,,LYRICA(PREGABALIN)50MG: CAP,8.42,8.42,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105149,635,J0885,,,,,,,"PROCRIT(EPOETIN)2,000U/ML 1ML VIAL:INJ",125.55,125.55,,,,,,,,,,,,,,,,,,,
105151,637,,,,,,,,FML FORTE(FLUORMETHLONE)0.25% OPTH SUSP,35.1,35.1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105152,635,J0885,,,,,,,"PROCRIT(EPOETIN)4,000U/ML 1ML VIAL:INJ",199.83,199.83,,,,,,,,,,,,,,,,,,,
105153,637,,,,,,,,GENTAK (GENTAMICIN) OPTH SOLUTION,25.91,25.91,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105154,637,,,,,,,,SIMETHICONE(PHAZME)180MG:CAP,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105156,637,,,,,,,,LORATADINE(CLARITIN)5MG/5ML SYRUP,4.71,4.71,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105160,637,,,,,,,,KLORCON-M 20MEQ (MED FLOOR DO NOT USE),4.63,4.63,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105161,637,,,,,,,,SERTRALINE(ZOLOFT)50MG TAB,4.4,4.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105163,637,,,,,,,,TUBERSOL 5TU PER UNIT 10 TEST VIAL,101.75,101.75,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105200,637,,,,,,,,PROCHLORPERAZINE(COMPAZINE)10MG:TAB,4.85,4.85,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105223,637,,,,,,,,PROCHLORPERAZINE(COMPAZINE)5MG:TAB,4.56,4.56,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105559,637,,,,,,,,CALCITRIOL 0.25MCG CAPSULE,5.21,5.21,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105740,637,,,,,,,,CORTISPORIN OTIC SUSP 10ML***,225.9,225.9,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105818,637,,,,,,,,COUMADIN(WARFARIN)2.5MG: TAB,5.31,5.31,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105820,637,,,,,,,,COUMADIN(WARFARIN)2MG: TAB,5.27,5.27,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
105831,637,,,,,,,,COUMADIN(WARFARIN)5MG: TAB,5.37,5.37,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
106000,637,,,,,,,,REQUIP 1MG:TAB,7.28,7.28,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
106288,637,,,,,,,,EYE WASH(DACRIOSE)120ML: SOLN,10.17,10.17,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
106549,637,,,,,,,,EAR DROPS(DEBROX)6.5% 15ML: OTIC SOL,9.48,9.48,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
106604,636,J1100,,,,,,,DEXAMETHASONE(DECADRON)4MG/ML 1ML VI:INJ,17.5,17.5,0.63,3.59,0.69,,,,,,,,,,,,0.63,,3.59,,
106690,637,,,,,,,,DEXAMETHASONE(DECADRON)4MG: TAB,4.64,4.64,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
106859,250,,,,,,,,DEPOMEDROL(METHYLPREDN)INJ,37.6,37.6,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
107037,637,,,,,,,,traZODone(DESYREL)50MG:TAB,4.57,4.57,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
107049,250,,,,,,,,DEXTROSE 50% 50ML SYRINGE,31.93,31.93,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
107116,637,,,,,,,,acetaZOLAMIDE(DIAMOX)250MG:TAB,4.77,4.77,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
107335,637,,,,,,,,DILANTIN(PHENYTOIN)100MG: CAP,4.66,4.66,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
107359,637,,,,,,,,DILANTIN(PHENYTOIN)125MG/5ML DOSE: SUSP,5.69,5.69,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108003,637,,,,,,,,MAGNESIUM CITRATE 8OZ,2,2,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108151,637,,,,,,,,WARFARIN(COUMADIN) 3MG:TAB,4.53,4.53,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108152,637,,,,,,,,MIRTAZAPINE(REMERON)30MG: TAB,6.8,6.8,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108153,637,,,,,,,,ELIDEL(PIMECROLIMUS)30GM CREAM,212.88,212.88,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108156,250,,,,,,,,FORTEO 20MCG/DOSE: 750MCG/3ML PEN,1438.48,1438.48,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108159,637,,,,,,,,PHENobarbital 32.4MG,4.21,4.21,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108161,637,,,,,,,,SERTRALINE(ZOLOFT)25MG:TAB,4.4,4.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108163,636,Q2039,,,,,,,FLUARIX INFLUENZA VACCINE,20.75,20.75,10.38,22.79,22.5,,,,,,,,,,,,10.38,,22.79,,
108167,637,,,,,,,,tiZANidine(ZANAFLEX) 4MG:TAB,5.47,5.47,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108168,637,,,,,,,,FEXOFENADINE HCL 60MG TAB,5.07,5.07,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108171,637,,,,,,,,AZILECT 0.5MG,20.42,20.42,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108172,637,,,,,,,,GLIMEPIRIDE 4MG,5.23,5.23,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108173,637,,,,,,,,ROZEREM(RAMELTEON)8MG TAB,9.57,9.57,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108175,637,,,,,,,,SIMVASTATIN 40MG(ZOCOR)TAB,8.92,8.92,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108178,637,,,,,,,,VITAMIN B-12 100MCG,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108179,637,,,,,,,,BONIVA(IBANDRONATE)150MG TAB,164.02,164.02,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108181,637,,,,,,,,XELODA 500MG,42.34,42.34,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108183,637,,,,,,,,DEPAKOTE 125MG SPRINKLE CAP,5.38,5.38,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108184,637,,,,,,,,GEN AUGMENTIN 400/57MG CHEWABLE,7.45,7.45,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108185,250,,,,,,,,BYETTA 5MCG PER DOSE PEN,385.38,385.38,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108186,637,,,,,,,,OXYCODONE ER 10MG,5.83,5.83,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108187,637,,,,,,,,GABAPENTIN 400MG,5.6,5.6,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108190,637,,,,,,,,LESCOL XL 80MG:TAB,8.74,8.74,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108191,637,,,,,,,,SYNTHROID(LEVOTHYROXINE)0.137MG:TAB,4.88,4.88,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108193,637,,,,,,,,TRIAMTERENE/HCTZ(MAXZIDE)75MG/50MG:TAB,4.92,4.92,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108194,637,,,,,,,,ENABLEX 15MG:TAB,9.2,9.2,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108195,637,,,,,,,,VYTORIN 10MG\20MG TAB,10.32,10.32,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108197,637,,,,,,,,buPROPion SR(WELLBUTRIN SR)150MG TAB,5.93,5.93,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108198,637,,,,,,,,HYZAAR(LOSARTAN)100MG/25MG: TAB,8.28,8.28,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108199,637,,,,,,,,CLARITHROMYCIN 500MG:TAB,8.52,8.52,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108200,637,,,,,,,,PROPAFENONE(RYTHMOL) 300MG:TAB,6.97,6.97,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108201,637,,,,,,,,ZOVIRAX CREAM:5GM TUBE,572.65,572.65,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108202,637,,,,,,,,ASMANEX INH: 30 DOSES,144.76,144.76,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108203,637,,,,,,,,AVINZA(MORPHINE)90MG: CAP,18.13,18.13,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108204,637,,,,,,,,EXCEDRIN MIGRAINE CAPLETS,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108205,637,,,,,,,,MELOXICAM(MOBIC)7.5MG: TAB,7.17,7.17,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108206,250,,,,,,,,RABAVERT RABIES VACCINE,757.02,757.02,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108207,637,,,,,,,,WARFARIN 2MG,4.62,4.62,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108208,637,,,,,,,,JANUVIA(SITAGLIPTIN)100MG TAB,11.68,11.68,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108209,637,,,,,,,,MUCINEX - D TAB,4.87,4.87,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108210,637,,,,,,,,FORTICAL(CALCITONIN)NASAL SPRAY,109.89,109.89,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108212,250,,,,,,,,cefTRIAXone(ROCEPHIN)250MG VIAL,54.85,54.85,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108213,637,,,,,,,,CYMBALTA 60MG CAPSULE,11.94,11.94,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108214,637,,,,,,,,LUNESTA 3MG: TAB,12.38,12.38,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108215,636,J9303,,,,,,,VECTIBIX(PANITUMUMAB)400MG/20ML:INJ,17366.2,17366.2,,,,,,,,,,,,,,,,,,,
108217,637,,,,,,,,CENTRUM SILVER,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108218,637,,,,,,,,LEXAPRO 5MG TAB,7.67,7.67,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108219,637,,,,,,,,FLEXERIL 5MG TAB,5.92,5.92,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108220,637,,,,,,,,BENEFIBER TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108221,637,,,,,,,,LIPITOR 40MG TAB,10.3,10.3,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108222,637,,,,,,,,CLONIDINE 0.3MG TAB,4.47,4.47,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108224,637,,,,,,,,CALCIUM CARBONATE SUSP,16.37,16.37,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108225,637,,,,,,,,TARKA 4/240MG TAB,8.64,8.64,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108227,637,,,,,,,,DOCUSATE SODIUM 150MG/15ML LIQUID,17.96,17.96,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108228,637,,,,,,,,CHLOROTHIAZIDE(DIURIL)250MG TAB,4.13,4.13,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108230,637,,,,,,,,METHIMAZOLE(TAPAZOLE)5MG TAB,4.44,4.44,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108231,637,,,,,,,,LEVAQUIN(LEVOFLOXACIN)750MG TAB,44.8,44.8,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108232,637,,,,,,,,SIMETHICONE(PHAZYME)125MG TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108235,637,,,,,,,,VESICARE 5MG,11.45,11.45,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108236,637,,,,,,,,GLYBURIDE 1.5MG,4.39,4.39,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108237,636,J9293,,,,,,,MITOXANTRONE 2MG/ML 10ML: VIAL,1238,1238,,,,,,,,,,,,,,,,,,,
108241,250,,,,,,,,DEXTROSE 5%/1/2% NACL W/40MEQ KCL 1000ML,19.5,19.5,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108242,250,,,,,,,,0.9% SODIUM CHLORIDE W/ 40MEQ KCL:1000ML,23.08,23.08,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108245,637,,,,,,,,EXCEDRIN TENSION HEADACHE TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108246,250,,,,,,,,REFLUDAN(LEPIRUDIN)50MG VIAL,1629.73,1629.73,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108248,637,,,,,,,,FLUOROURACIL(EFUDEX)5% 40GM CREAM,391.94,391.94,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108249,637,,,,,,,,AVALIDE 300MG/12.5MG:TAB,7.76,7.76,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108250,637,,,,,,,,DICLOXACILLIN 250MG:CAP,4.66,4.66,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108251,250,,,,,,,,ONDANSETRON(ZOFRAN)4MG/2ML: INJ,16.4,16.4,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108252,637,,,,,,,,NIASPAN 500MG: TAB,7.89,7.89,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108253,637,,,,,,,,AVANDARYL 4MG/2MG,9.31,9.31,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108255,250,,,,,,,,ARIXTRA 7.5MG/0.6ML:INJ,372.27,372.27,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108256,637,,,,,,,,FLUCONAZOLE 100MG TAB,12.75,12.75,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108257,637,,,,,,,,HYDROcod/APAP 7.5/325MG,4.62,4.62,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108258,637,,,,,,,,Q-TAPP ELIXIR (BROMOTAPP): DOSE,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108259,637,,,,,,,,WARFARIN 5MG:TAB,4.64,4.64,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108260,636,J9390,,,,,,,VINORELBINE(NAVELBINE)50MG INJ,231.53,231.53,,,,,,,,,,,,,,,,,,,
108261,636,J9390,,,,,,,VINORELBINE(NAVELBINE)10MG INJ,154,154,,,,,,,,,,,,,,,,,,,
108262,637,,,,,,,,NITROBID 2% OINTMENT 30GM,16.87,16.87,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108263,637,,,,,,,,MAXALT 10MG TAB,41,41,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108271,250,,,,,,,,"TAZICEF (CEFTAZIDIME,FORTAZ) 1GM:ADD",37.23,37.23,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108273,637,,,,,,,,GABAPENTIN 600MG TAB,6.53,6.53,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108275,637,,,,,,,,REQUIP 0.5MG TAB,7.28,7.28,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108277,637,,,,,,,,PHENYTOIN 100MG ER CAP,4.2,4.2,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108278,637,,,,,,,,OXYCODONE 5MG TAB,4.48,4.48,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108279,636,J1740,,,,,,,BONIVA 3MG INJECTION 3MG/3ML,1597.2,1597.2,,,,,,,,,,,,,,,,,,,
108281,637,,,,,,,,POLYETHYLENE GLYCOLAX 527GM: BOTTLE,46.06,46.06,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108282,637,,,,,,,,FLUDROCORTISONE(FLORINEF) 0.1MG TAB,4.8,4.8,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108283,637,,,,,,,,DEPAKOTE ER 250MG,6.17,6.17,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108284,637,,,,,,,,METHAZOLAMIDE 25MG TAB,4.48,4.48,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108285,637,,,,,,,,RAZADYNE ER(GALANTAMINE)16MG,11.74,11.74,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108286,637,,,,,,,,AGRYLIN(ANAGRELIDE)0.5MG CAP,11.94,11.94,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108287,636,J9303,,,,,,,VECTIBIX(PANITUMUMAB)100MG/5ML INJ,4416.55,4416.55,,,,,,,,,,,,,,,,,,,
108288,637,,,,,,,,I-CAPS MV(BLUE),1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108289,637,,,,,,,,SERTRALINE 100MG:TAB,6.71,6.71,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108290,637,,,,,,,,CADUET 10/20MG TAB,11.53,11.53,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108291,637,,,,,,,,RYTHMOL SR(PROPAFENONE)325MG CAP,12.7,12.7,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108293,637,,,,,,,,RELPAX(ELETRIPTAN)40MG,33.41,33.41,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108294,637,,,,,,,,ZYFLO 600MG TAB,9.99,9.99,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108295,637,,,,,,,,FELODIPINE 2.5MG:TAB,5.58,5.58,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108296,637,,,,,,,,THIOTHIXENE 10MG:CAP,4.67,4.67,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108297,637,,,,,,,,FLOVENT HFA 110MCG:INHALER,192.03,192.03,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108298,637,,,,,,,,FLOVENT HFA 220MCG:INHALER,294.3,294.3,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108302,637,,,,,,,,PRESERVISION GELCAP,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108303,250,,,,,,,,LEVEMIR INSULIN(ACUTE CARE),17.32,17.32,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108304,637,,,,,,,,ONDANSETRON(ZOFRAN)ORAL SOLUTION 4MG\5ML,27.98,27.98,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108307,637,,,,,,,,ULTRAM(TRAMADOL)ER 200MG TAB,11.47,11.47,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108308,637,,,,,,,,BETHANECHOL(URECHOLINE)25MG TAB,5.78,5.78,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108310,637,,,,,,,,TRILEPTAL 300MG TAB,8.2,8.2,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108311,250,,,,,,,,AZITHROMYCIN(ZITHROMAX)INJ 500MG VIAL,37.3,37.3,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108312,636,J2405,,,,,,,ONDANSETRON 32MG/50ML:PREMIX,123,123,,,,,,,,,,,,,,,,,,,
108313,637,,,,,,,,DICLOFENAC POTASSIUM(CATAFLAM) 50MG,5.57,5.57,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108314,250,,,,,,,,HALOPERIDOL DECANOATE 100MG/ML 1ML VIAL,79.8,79.8,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108315,637,,,,,,,,CLOTRIMAZOLE(MYCELEX TROCHE) 10MG,5.61,5.61,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108317,636,J9230,,,,,,,MUSTARGEN 10MG VIAL,461.73,461.73,,,,,,,,,,,,,,,,,,,
108321,637,,,,,,,,ATROPINE SULFATE 1% OPTH SOLN:,37.75,37.75,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108322,250,,,,,,,,HEPATITIS A VACCINE,207.45,207.45,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108323,637,,,,,,,,AZITHROMYCIN 100MG/5ML: 15ML BOTTLE,41.88,41.88,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108324,250,,,,,,,,PHYSOSTIGMINE SAL 1MG/1ML:INJ,29.1,29.1,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108325,250,,,,,,,,TERBUTALINE SULF 1MG/1ML:INJ,27,27,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108326,637,,,,,,,,LAMICTAL 200MG TAB,11.86,11.86,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108327,637,,,,,,,,GLIMEPIRIDE(AMARYL)2MG TAB,4.65,4.65,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108330,250,,,,,,,,FLUMAZENIL(ROMAZICON)INJ 0.5MG/5ML,35.35,35.35,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108331,637,,,,,,,,BETHANECHOL(URECHOLINE)5MG TAB,4.71,4.71,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108332,250,,,,,,,,0.9% NACL 250ML ADVANTAGE,22.18,22.18,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108333,636,J9040,,,,,,,BLEOMYCIN 15 UNITS,114.25,114.25,,,,,,,,,,,,,,,,,,,
108334,637,,,,,,,,AMITIZA 24MCG CAP,8.94,8.94,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108335,637,,,,,,,,AZITHROMYCIN(ZITHROMAX)200MG/5ML 30ML,41.88,41.88,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108337,637,,,,,,,,AVALIDE 150MG/12.5MG,7.45,7.45,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108338,637,,,,,,,,MAG-AL PLUS(MYLANTA)30ML DOSE,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108339,637,,,,,,,,OXYBUTYNIN(DITROPAN)5MG: TAB,4.54,4.54,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108340,637,,,,,,,,LODOSYN 25MG,7.05,7.05,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108342,637,,,,,,,,AMLODIPINE BES.10MG(NORVASC): TAB,6.39,6.39,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108343,637,,,,,,,,METAMUCIL CAP,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108344,637,,,,,,,,HYDROCORTISONE 1%-IODOQUINOL 1% CREAM,179.44,179.44,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108345,637,,,,,,,,PREPARATION H WITH ALOE CREAM 26GM,19.99,19.99,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108346,637,,,,,,,,COUGH DROPS CHERRY,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108347,637,,,,,,,,LAMICTAL(LAMOTRIGINE)150MG TAB,11.22,11.22,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108348,637,,,,,,,,KEPPRA(LEVETIRACETAM)100MG/ML SUSP,415.15,415.15,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108349,636,J0894,,,,,,,DACOGEN(DECITABINE) 50MG INJECTION,5148,5148,18.95,18.95,,,,,,,,,,,,,18.95,,,,
108350,637,,,,,,,,WARFARIN 6MG TAB,4.31,4.31,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108351,637,,,,,,,,DYRENIUM 100MG,6.47,6.47,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108352,637,,,,,,,,RANEXA 500MG TAB,8.84,8.84,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108353,637,,,,,,,,ZOLPIDEM 5MG,8.62,8.62,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108354,637,,,,,,,,MUCINEX DM,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108355,637,,,,,,,,RAZADYNE 4MG:TAB,7.87,7.87,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108356,637,,,,,,,,METOPROLOL SUCC ER(TOPROL XL)25MG:0,5.05,5.05,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108360,637,,,,,,,,STALEVO 100,7.86,7.86,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108361,637,,,,,,,,FEMARA 2.5MG,20.03,20.03,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108362,637,,,,,,,,amLODIPine BESYLATE(NORVASC) 5MG TAB,5.64,5.64,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108363,637,,,,,,,,XIFAXAN 200MG TAB,18.58,18.58,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108364,637,,,,,,,,ALLEGRA-D 24 HOURS TAB,9.06,9.06,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108367,637,,,,,,,,CIPRODEX OTIC SUSPENSION,180.22,180.22,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108369,637,,,,,,,,TEGRETOL 100MG/5ML DOSE,4.78,4.78,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108371,637,,,,,,,,MONUROL PACKET,254.33,254.33,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108376,637,,,,,,,,CITRACAL(CALCIUM CITRATE)250MG TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108377,637,,,,,,,,medroxyPROGESTERone 10MG TABS,4.45,4.45,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108380,637,,,,,,,,GLYBURIDE/ METFORMIN 2.5MG/500MG,5.03,5.03,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108381,637,,,,,,,,WARFARIN 7.5MG,4.31,4.31,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108383,637,,,,,,,,CLOBETASOL 0.05% OINT(TEMOVATE),25,25,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108384,637,,,,,,,,ESTRADIOL(ESTRACE)1MG TAB,4.35,4.35,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108385,637,,,,,,,,CHLORHEXIDINE GLUC 0.12% 15ML DOSE,4.52,4.52,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108386,637,,,,,,,,guaiFENesin 100MG/5ML  5ML UNIT DOSE:,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108388,637,,,,,,,,FLUOCINONIDE CRM 0.05% 60GM,38.24,38.24,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108389,637,,,,,,,,OXISTAT CREAM 1%,55.53,55.53,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108391,637,,,,,,,,ABILIFY(ARIPIPRAZOLE)TAB:15MG,23.73,23.73,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108393,637,,,,,,,,CRESTOR 5MG TABS,12.47,12.47,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108394,637,,,,,,,,ZOLPIDEM(AMBIEN) 10MG TAB,9.4,9.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108395,637,,,,,,,,NITROFURANTOIN (MACRODANTIN) 100MG:CAP,7.37,7.37,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108396,637,,,,,,,,TUSSIONEX SUSP:5ML,8.25,8.25,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108397,637,,,,,,,,OSMOPREP TAB,6.72,6.72,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108400,637,,,,,,,,LISINOPRIL 40MG,4.55,4.55,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108401,637,,,,,,,,SEROQUEL 200MG,16.1,16.1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108402,636,J9280,,,,,,,MITOMYCIN(MUTAMYCIN)5MG VIAL,183,183,,,,,,,,,,,,,,,,,,,
108403,636,J9330,,,,,,,TORISEL 25MG:INJ,4066.63,4066.63,,,,,,,,,,,,,,,,,,,
108405,637,,,,,,,,HYDROCHLOROTHIAZIDE 12.5MG:CAP,4.42,4.42,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108406,637,,,,,,,,LYRICA 150MG:CAP,8.42,8.42,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108407,637,,,,,,,,TERBINAFINE 250MG:TAB,17.08,17.08,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108408,250,,,,,,,,HUMALOG MIX 50/50(SCU&SWING) 10ML VIAL,138.27,138.27,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108409,250,,,,,,,,HUMALOG MIX 50/50 (ACUTE) PER DOSE,18.05,18.05,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108410,637,,,,,,,,WARFARIN(COUMADIN)4MG TAB,4.66,4.66,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108412,637,,,,,,,,ANUMED HC(ANUSOL HC) 25MG SUPP,5.02,5.02,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108414,637,,,,,,,,COREG CR 20MG: CAP,9.85,9.85,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108415,636,J0881,,,,,,,ARANESP 500MCG:INJ,11625,11625,,,,,,,,,,,,,,,,,,,
108417,637,,,,,,,,HALOBETASOL PROPIONATE CREAM 0.05%,198.35,198.35,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108419,637,,,,,,,,ACET/CODEINE (TYLENOL #2) 300MG/15MG,4.3,4.3,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108420,637,,,,,,,,FOSINOPRIL 20MG TAB,5.19,5.19,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108421,637,,,,,,,,ICAPS MV: TABLET(BLUE),1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108423,637,,,,,,,,METOPROLOL ER(TOPROL)50MG TAB,5.05,5.05,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108424,637,,,,,,,,JANUVIA 50MG TAB,12.84,12.84,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108425,637,,,,,,,,SONATA 5MG CAPS,8.79,8.79,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108426,250,,,,,,,,LEUKINE(SARGRAMOSTIM)250MCG  INJ,535.53,535.53,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108427,637,,,,,,,,ATROVENT NASAL SPRAY 0.03%,111.25,111.25,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108428,636,J3489,,,,,,,RECLAST(ZOLEDRONIC ACID)5MG/100ML,720,720,61.49,74.81,,,,,,,,,,,,,74.81,,61.49,,
108429,637,,,,,,,,TRANDOLAPRIL 4MG,5.15,5.15,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108430,637,,,,,,,,TIZANIDINE(ZANAFLEX) 2MG TABS,5.22,5.22,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108431,637,,,,,,,,ANTACID EXTRA 750MG(TUMS EX) CHEW TABS,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108433,637,,,,,,,,QUINAPRIL(ACCUPRIL) 20MG TABS,5.22,5.22,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108435,637,,,,,,,,TETRACYCLINE(SUMYCIN) 500MG CAPS,4.19,4.19,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108436,637,,,,,,,,SINGULAIR 5MG: CHEWABLE TABLET,10.29,10.29,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108437,637,,,,,,,,DEMADEX 100MG TABS,9.69,9.69,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108438,637,,,,,,,,BUSPIRONE(BUSPAR) 10MG TABS,5.42,5.42,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108439,637,,,,,,,,CARVEDILOL(COREG) 3.125MG TABS,5.95,5.95,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108440,637,,,,,,,,APIDRA INSULIN:10ML VIAL,120.52,120.52,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108441,637,,,,,,,,WARFARIN(COUMADIN) 1MG TABS,4.58,4.58,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108442,636,J0129JA,,,,,,,ORENCIA 250MG:VIAL,3700.4,3700.4,,,,,,,,,,,,,,,,,,,
108444,637,,,,,,,,LIPITOR 80 MG,10,10,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108445,637,,,,,,,,HYDROCOD/APAP 10/325MG:TAB,4.7,4.7,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108446,637,,,,,,,,GENASYME GAS RELIEF DROPS,12.94,12.94,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108447,637,,,,,,,,COZAAR 100MG TABS,7.87,7.87,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108448,637,,,,,,,,SODIUM POLYSTYRENE SULF(KAYEXLATE)454GM,137,137,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108449,637,,,,,,,,METAMUCIL SF BOTTLE,15.59,15.59,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108450,637,,,,,,,,CARVEDILOL 12.5MG(COREG) TABS,5.95,5.95,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108451,636,J1050,,,,,,,MEDROXYPROGESTERONE 150MG INJ:,147.63,147.63,,,,,,,,,,,,,,,,,,,
108454,637,,,,,,,,OXYCODONE/APAP 10/325MG,5.78,5.78,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108456,637,,,,,,,,SEROQUEL 50MG,10.14,10.14,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108457,637,,,,,,,,ONDANESTRON 4MG TABLET,4.97,4.97,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108460,637,,,,,,,,MICARDIS 40MG TABS,9.36,9.36,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108461,637,,,,,,,,traMADol/APAP (ULTRACET) 37.5/325MG TABS,5.02,5.02,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108463,637,,,,,,,,PRAVASTATIN(PRAVACHOL)40MG TABLET,8.17,8.17,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108466,637,,,,,,,,INDOMETHACIN ER 75MG,7.04,7.04,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108467,637,,,,,,,,CLARITHROMYCIN(BIAXIN)250MG/5ML 50ML,60.3,60.3,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108468,637,,,,,,,,METOPROLOL SUCC ER 200MG(TOPROL XL) TABS,6.52,6.52,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108469,637,,,,,,,,FELODIPINE(PLENDIL)ER 10MG TAB,6.84,6.84,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108472,637,,,,,,,,MEGACE ES 625MG/5ML 150ML SUSPENSION,666.12,666.12,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108473,637,,,,,,,,ISOSORBIDE MONO(MONOKET) 20MG TAB,4.75,4.75,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108474,637,,,,,,,,LOVASTATIN (MEVACOR) 40MG: TAB,8.27,8.27,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108475,637,,,,,,,,COLESTIPOL 1GM (COLESTID) TABS,4.66,4.66,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108477,637,,,,,,,,LAMICTAL 100MG TABS,12.45,12.45,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108478,637,,,,,,,,PANTOPRAZOLE (PROTONIX) 40MG TAB,8.08,8.08,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108479,637,,,,,,,,LEVAQUIN 25MG/ML ORAL SOLN 10ML DOSE,17.6,17.6,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108480,637,,,,,,,,NEVANAC 0.1% DROP 3ML,180.4,180.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108481,637,,,,,,,,GUAIFEN DM 200MG/20MG/10ML UNIT DOSE:,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108482,637,,,,,,,,FELODIPINE ER(PLENDIL)5MG TABLET,5.51,5.51,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108483,637,,,,,,,,METOPROLOL ER(TOPROL)100MG TABLET,5.58,5.58,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108485,637,,,,,,,,CEFPROZIL(CEFZIL)250MG/5ML 50ML,28.07,28.07,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108488,637,,,,,,,,DICLOFENAC SODIUM ER (VOLTAREN) 100MG TA,6.81,6.81,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108489,637,,,,,,,,DOVONEX 0.005% CREAM 60GM,523.06,523.06,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108490,637,,,,,,,,COREG CR 10MG CAPSULES,9.85,9.85,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108491,637,,,,,,,,RAMIPRIL 2.5MG (ALTACE) CAPSULES,5.81,5.81,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108492,637,,,,,,,,CARVEDILOL 6.25MG  TABLET,6.11,6.11,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108493,637,,,,,,,,METHENAMINE HIPPURATE 1GM,6.09,6.09,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108494,637,,,,,,,,hydrALAZINE HCL(APRESOLINE) 10MG TAB:,4.41,4.41,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108495,637,,,,,,,,OXYCODONE CR 20MG,7.96,7.96,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108496,637,,,,,,,,BACTROBAN NASAL 2% OINT 1GM TUBE,16.62,16.62,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108497,637,,,,,,,,GEODON 20MG CAPSULES,12.73,12.73,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108498,637,,,,,,,,ORABASE PASTE,8.97,8.97,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108499,637,,,,,,,,CALMOSEPTINE OINTMENT,13.38,13.38,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108500,637,,,,,,,,CHERATUSSIN AC(ROBITUSSIN AC)SYR BOTTLE,6.78,6.78,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108501,636,J9065,,,,,,,CLADRIBINE 10MG INJECTION,1421.25,1421.25,,,,,,,,,,,,,,,,,,,
108502,637,,,,,,,,DIBENZYLINE 10MG CAPSULES,13.36,13.36,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108503,250,,,,,,,,BICILLIN L-A 1.2 MILLION UNITS:INJ,198.1,198.1,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108504,636,J2430,,,,,,,PAMIDRONATE(AREDIA)30MG: VIAL,96,96,,,,,,,,,,,,,,,,,,,
108505,637,,,,,,,,C-PHEN DM ( RONDEC) BOTTLE,36.06,36.06,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108506,637,,,,,,,,BUPROPION  100MG (GEN WELLBUTRIN),4.97,4.97,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108507,637,,,,,,,,amLODIPine BESYLATE(NORVASC) 2.5MG TABS,5.73,5.73,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108508,637,,,,,,,,ABILIFY 2MG,29.25,29.25,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108509,250,,,,,,,,CIPROFLOXACIN 400MG IV:,32.06,32.06,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108511,637,,,,,,,,NAPROXEN 250MG,4.78,4.78,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108512,637,,,,,,,,BEN GAY CREAM 2OZ,7.97,7.97,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108513,637,,,,,,,,VERELAN (VERAPAMIL)PM 300MG CAPSULE,9.96,9.96,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108515,636,J9178,,,,,,,EPIRUBICIN 200MG/100ML,1515,1515,,,,,,,,,,,,,,,,,,,
108516,637,,,,,,,,CIPROFLOXACIN OPTH DROPS:1BOTTLE,54.31,54.31,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108520,637,,,,,,,,NIFEREX 150MG FORTE CAPS,5.39,5.39,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108521,637,,,,,,,,VITAMIN B-100 COMPLEX CAP,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108523,637,,,,,,,,TRIAMCINOLONE AC(KENALOG)CRM:0.1% 30GM,15.4,15.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108524,637,,,,,,,,ROPINIROLE 0.5MG,6.51,6.51,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108525,250,,,,,,,,ACYCLOVIR 50MG/ML INJ 20ML VIAL:,60,60,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108526,637,,,,,,,,CEROVITE LIQUID 240ML BOTTLE,9.4,9.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108527,637,,,,,,,,DILATRATE SR 40MG: CAPSULES,5.51,5.51,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108528,637,,,,,,,,LOVASTATIN (MEVACOR) 10MG TABLETS,5.35,5.35,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108529,637,,,,,,,,EFFEXOR(VENLAFAXINE) 50MG: TAB,6.59,6.59,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108530,637,,,,,,,,LEVOTHROXINE 125MG,4.36,4.36,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108531,637,,,,,,,,NYSTATIN(MYCOSTATIN)15GM: CREAM,24.5,24.5,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108532,636,J0153,,,,,,,ADENOSCAN  60MG/20ML,668.23,668.23,2.24,2.24,,,,,,,,,,,,,2.24,,,,
108533,637,,,,,,,,BYSTOLIC 5MG TABS,6.9,6.9,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108534,636,J9178,,,,,,,EPIRUBICIN 50MG/25ML VIAL:2MG/ML,232.28,232.28,,,,,,,,,,,,,,,,,,,
108535,636,J1453,,,,,,,EMEND 115MG INJ:VIAL,606.75,606.75,2.16,81.76,,,,,81.76,,,,,,,,2.16,,,,
108536,637,,,,,,,,LIDOCAINE JELLY 2% 5ML TUBES,24.08,24.08,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108537,637,,,,,,,,POVIDINE  OINTMENT,13.4,13.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108538,637,,,,,,,,PIROXICAM 10MG (FELDENE),6.6,6.6,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108539,637,,,,,,,,SALAGEN,6.05,6.05,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108540,637,,,,,,,,PILOCARPINE 5MG,5.62,5.62,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108543,636,J9206,,,,,,,IRINOTECAN(CAMPTOSAR)100MG INJ,287.5,287.5,,,,,,,,,,,,,,,,,,,
108544,250,,,,,,,,METHYLPREDNISOLONE 1GM,97.25,97.25,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108545,637,,,,,,,,PENICILLIN VK 250MG/5ML SUSP 100ML,11.31,11.31,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108546,636,J9206,,,,,,,IRINOTECAN(CAMPTOSAR)40MG/2ML INJ,131.2,131.2,,,,,,,,,,,,,,,,,,,
108547,637,,,,,,,,PHISOHEX  3% CLEANSER,68.26,68.26,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108548,637,,,,,,,,PLAN B :TAB,43,43,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108549,637,,,,,,,,ZIDOVUDINE 300MG,10.08,10.08,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108550,637,,,,,,,,EPIVIR 150MG,12.51,12.51,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108551,637,,,,,,,,CRIXIVAN 400MG,7.05,7.05,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108554,637,,,,,,,,OGESTREL 0.5/50,51.92,51.92,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108555,637,,,,,,,,MIRALAX 17GM PACKET,5.11,5.11,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108556,637,,,,,,,,PRAVASTATIN(PRAVACHOL)20MG TABLET,7.27,7.27,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108557,637,,,,,,,,LOVAZA 1GM CAPSULES,5.97,5.97,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108558,637,,,,,,,,NITROGLYCERIN 2.5MG CAPSULES,4.28,4.28,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108559,637,,,,,,,,AZOPT 1% EYE DROPS 10ML,152.26,152.26,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108560,637,,,,,,,,FERREX 150 PLUS CAPS,5.27,5.27,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108561,637,,,,,,,,GARLIC 500MG CAPS,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108562,637,,,,,,,,BACITRACIN ZINC OINTMENT PACKET,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108563,637,,,,,,,,CYCLOGYL(CYCLOPENTOLATE)2% SOLN 2ML,32.13,32.13,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108564,250,,,,,,,,DUOVISC 0.5V,224.42,224.42,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108565,250,,,,,,,,BSS SOLUTION 500ML,36.03,36.03,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108567,250,,,,,,,,HALOPERIDOL 5MG/ML IM USE ONLY,17.16,17.16,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108568,637,,,,,,,,ALPHAGAN P 0.1% OPTH SOLN 5ML,167.09,167.09,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108569,636,J9041,,,,,,,VELCADE 3.5MG VIAL,4909,4909,57.6,57.6,,,,,,,,,,,,,57.6,,,,
108570,636,J9070,,,,,,,CYCLOPHOSPHAMIDE(CYTOXAN)1GM VIAL,2297.5,2297.5,91.9,91.9,,,,,,,,,,,,,91.9,,,,
108573,637,,,,,,,,PENTASA 500MG,7.79,7.79,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108574,637,,,,,,,,OXYCODONE/APAP 10/325MG(PERCOCET),5.78,5.78,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108575,637,,,,,,,,HYOMAX SR 0.375,5.61,5.61,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108576,637,,,,,,,,FLOVENT 44MCG 10.6G,145.11,145.11,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108577,637,,,,,,,,TINACTIN POWDER 108GM,12.5,12.5,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108578,637,,,,,,,,CILOSTAZOL 100MG,5.82,5.82,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108579,637,,,,,,,,ZONISAMIDE 100MG CAP (ZONEGRAN),6.07,6.07,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108580,637,,,,,,,,SYMBICORT 80/4.5 INHALATION AEROSOL,225.81,225.81,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108581,637,,,,,,,,PREVACID SOLUTAB 30MG,10.65,10.65,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108582,637,,,,,,,,ICY HOT CREAM,11.91,11.91,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108587,637,,,,,,,,NORPACE CR 100MG,6.46,6.46,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108588,637,,,,,,,,SODIUM CHLORIDE 5%(Muro-128)Opth Soln,19.11,19.11,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108589,637,,,,,,,,PULMICORT FLEXHALER 90MCG,150.87,150.87,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108590,637,,,,,,,,VOLTAREN GEL   1%   100GM,50.82,50.82,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108591,637,,,,,,,,SORBITOL SOLUTION  70%  473 ML BOTTLE,6.79,6.79,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108592,637,,,,,,,,TERBUTALINE SULFATE 2.5MG : TAB,4.43,4.43,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108593,637,,,,,,,,EPLERENONE 25MG TABS,8.1,8.1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108594,637,,,,,,,,ALAWAY OPTHALMIC SOLUTION,17.36,17.36,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108595,637,,,,,,,,NITRODUR 0.3MG/HR PATCH,7.93,7.93,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108596,636,J9207,,,,,,,IXEMPRA(IXABEPILONE)15MG VIAL,3009.3,3009.3,,,,,,,,,,,,,,,,,,,
108597,637,,,,,,,,REGRANEX GEL 0.1%,714.58,714.58,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108598,637,,,,,,,,I CAPS(YELLOW),4.19,4.19,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108599,637,,,,,,,,XYZAL(LEVOCETIRIZINE)5MG TAB,7.48,7.48,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108600,636,J0640,,,,,,,LEUCOVORIN 500MG VIAL,136.5,136.5,6.79,6.79,,,,,,,,,,,,,6.79,,,,
108601,637,,,,,,,,VENTOLIN HFA 18G,54.86,54.86,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108602,637,,,,,,,,"VITAMIN A 10,000UNIT SOFT GEL",4.02,4.02,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108603,637,,,,,,,,HYDROCOD/APAP 7.5/500MG PER 15ML,5.87,5.87,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108604,637,,,,,,,,TUSSICAPS ER,11.8,11.8,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108605,250,,,,,,,,BYETTA 10MCG PER DOSE PEN,342.99,342.99,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108606,637,,,,,,,,TORSEMIDE 10MG:TABLET,4.7,4.7,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108607,637,,,,,,,,MEPERITAB 50MG TABLETS,4.69,4.69,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108608,637,,,,,,,,CEFACLOR(CECLOR)500MG CAPSULES,6.61,6.61,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108609,637,,,,,,,,PRISTIQ 50MG TABS,10.46,10.46,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108610,637,,,,,,,,PHENOBARBITAL 16.2MG TAB,4.04,4.04,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108611,637,,,,,,,,NOVOLOG MIX 70/30:10ML VIAL,343.18,343.18,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108612,637,,,,,,,,TRIAMCINOLONE ACETONIDE OINT 0.1% 15GM,12.58,12.58,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108613,637,,,,,,,,FIBER LAXATIVE,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108614,637,,,,,,,,DESOXIMETASONE CREAM 0.25% 15GM,65.25,65.25,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108615,250,,,,,,,,SALINE LOCK FLUSH FOR CT/LAB DRAWS,17.6,17.6,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108616,636,J1642,,,,,,,HEP-LOCK FLUSH FOR CT/LAB DRAWS,16.43,16.43,0.13,0.27,,,,,,,,,,,,,0.13,,0.27,,
108617,250,,,,,,,,SODIUM CHLORIDE 0.9% FOR CT/LAB DRAWS,17.81,17.81,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108618,637,,,,,,,,RISAQUAD,4.88,4.88,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108619,250,,,,,,,,GLUCAGEN 1MG,345,345,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108620,637,,,,,,,,ORPHENDADRINE COMPOUND,6.62,6.62,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108621,637,,,,,,,,DOXYCYCLINE 100MG TAB,6.36,6.36,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108622,636,J0153,,,,,,,ADENOSCAN 90MG/30ML,994.8,994.8,2.24,2.24,,,,,,,,,,,,,2.24,,,,
108623,637,,,,,,,,IBUPROFEN(MOTRIN)100MG/5ML DOSE,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108624,637,,,,,,,,ACETAMINOPHEN 160MG/5ML DOSE,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108625,637,,,,,,,,LICE COMB KIT,12.13,12.13,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108626,637,,,,,,,,AQUAPHOR ORIGINAL OINTMENT,11.27,11.27,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108627,637,,,,,,,,ACETAMINOPH/COD 120/12MG PER 5ML/ 15ML,4.86,4.86,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108628,637,,,,,,,,SANCTURA XR 60MG,11.49,11.49,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108629,637,,,,,,,,FLUTICASONE  (FLONASE) NASAL SPRAY,82.27,82.27,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108631,636,Q0166,,,,,,,GRANISETRON (KYTRIL) 1MG/ML INJ,140,140,,,,,,,,,,,,,,,,,,,
108632,636,J9305,,,,,,,ALIMTA VIAL:100MG,2043.8,2043.8,,,,,,,,,,,,,,,,,,,
108633,637,,,,,,,,rOPINIRole(REQUIP)1MG TABLET,6.5,6.5,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108634,637,,,,,,,,DEPAKOTE DR (DIVALPROEX) 500MG,8.4,8.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108635,250,,,,,,,,ACETAZOLAMIDE(DIAMOX)INJ:500MG,144.38,144.38,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108636,636,J1205,,,,,,,DIURIL(CHLOROTHIAZIDE)500MG VIAL,1335.7,1335.7,,,,,,,,,,,,,,,,,,,
108637,637,,,,,,,,LAC-DOSE(LACTAID)CAPLETS,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108638,637,,,,,,,,NIZATIDINE 150MG CAPSULES,6.45,6.45,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108639,637,,,,,,,,ZYMAR OPTH SOLUTION 5ML,97.73,97.73,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108640,637,,,,,,,,LEFLUNOMIDE(ARAVA) 20MG TAB,20.42,20.42,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108641,637,,,,,,,,CETIRIZINE 10MG (ZYRTEC),7.74,7.74,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108642,637,,,,,,,,EXELON 4.6MG/24 HOURS PATCH,15.85,15.85,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108643,637,,,,,,,,DICLOFENAC SOD(VOLTAREN)25MG TAB,5.42,5.42,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108644,637,,,,,,,,MEGACE ES 625MG/5ML SUSP 5ML DOSE,25.44,25.44,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108646,250,,,,,,,,PHYTONADIONE(AQUAMEPHYTON) 1MG/0.5ML:INJ,29.13,29.13,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108647,637,,,,,,,,VENTOLIN  MDI HFA INHALER 8GM,31.96,31.96,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108649,637,,,,,,,,BYSTOLIC 10MG TABS,6.9,6.9,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108650,637,,,,,,,,ESTRADIOL(ESTRACE)2MG TABLET,4.5,4.5,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108652,637,,,,,,,,SYMBICORT 160/4.5 INHALER 60 INH,258.7,258.7,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108653,637,,,,,,,,MELOXICAM 15MG TABLET,8.85,8.85,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108654,250,,,,,,,,ZOSYN(PIPERACILLIN/TAZO)4.5GM VIAL:INJ,87.5,87.5,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108655,637,,,,,,,,"VITAMIN D(DRISDOL)50,000 IU",5.46,5.46,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108656,637,,,,,,,,ONDANSETRON ODT(ZOFRAN)4MG TABLET,26.25,26.25,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108661,636,J9264,,,,,,,ABRAXANE VIAL:100MG,4440.73,4440.73,,,,,,,,,,,,,,,,,,,
108662,637,,,,,,,,PATADAY OPTHALMALIC SOLUTION,150.1,150.1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108664,637,,,,,,,,PROPRANOLOL ER 60MG (INDERAL LA) CAPS,5.38,5.38,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108665,637,,,,,,,,PROPRANOLOL ER 120MG (INDERAL LA) CAPS,5.92,5.92,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108666,637,,,,,,,,BUPROPION XL(WELLBUTRIN) 150MG TABLET,9.22,9.22,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108667,637,,,,,,,,BENEFIBER POWDER PER DOSE,4.19,4.19,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108668,250,,,,,,,,PROPOFOL DRIP 500MG/50ML:INJ,31.33,31.33,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108670,637,,,,,,,,OPTIVE LUBRICANT EYE DROPS:5ML,11.08,11.08,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108672,637,,,,,,,,DORZOLAMIDE HCI-TIMOLOL MALEATE OPTHALM,74.49,74.49,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108673,637,,,,,,,,POLYETHYLENE GLYCOL (MIRALAX) 255GRAMS,26.54,26.54,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108674,637,,,,,,,,ALIGN 4MG CAPSULES,4.94,4.94,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108675,637,,,,,,,,TOPIRAMATE(TOPAMAX) 25MG TAB,6.55,6.55,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108676,637,,,,,,,,NULLO INTERNAL DEODORANT,4.14,4.14,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108678,637,,,,,,,,MAG 64 (SLOW MAG),4.19,4.19,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108679,637,,,,,,,,ROPINIROLE(REQUIP)TAB 0.25MG,6.5,6.5,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108680,637,,,,,,,,AMLODIPINE/BENAZEPRIL(LOTREL)5mg/20mg,6.88,6.88,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108681,636,J0153,,,,,,,ADENOSINE(ADENOCARD) 3MG/ML 2ML VIAL,32,32,2.24,2.24,,,,,,,,,,,,,2.24,,,,
108682,637,,,,,,,,ACETAMIN/CODEINE 15-300MG (TYLENOL #2),4.3,4.3,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108685,637,,,,,,,,VENLAFAXINE 37.5MG (EFFEXOR),6,6,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108686,637,,,,,,,,MINOCYCLINE 100MG,7.4,7.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108687,637,,,,,,,,PROVIGIL 100MG TAB,19.29,19.29,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108688,637,,,,,,,,DORZOLAMIDE HCI 2% OPHTH SOLN:,73.8,73.8,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108689,637,,,,,,,,CEFPROZIL(CEFZIL)250MG TABLET,8.38,8.38,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108690,637,,,,,,,,R-TANNA,5.36,5.36,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108691,637,,,,,,,,PINDOLOL 5MG TABS,5.04,5.04,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108692,250,,,,,,,,BUMETANIDE 1MG/4ML  0.25MG/ML,17.53,17.53,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108694,636,J0290,,,,,,,AMPICILLIN 1GM VIAL:,32.7,32.7,,,,,,,,,,,,,,,,,,,
108715,637,,,,,,,,QUALAQUIN 324MG:,11.86,11.86,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108717,637,,,,,,,,ACETYLCYSTEINE 20%,35.38,35.38,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108718,637,,,,,,,,CULTURELLE 10 BILLION,4.6,4.6,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108719,637,,,,,,,,MINOXIDIL 10MG TAB,5.29,5.29,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108720,637,,,,,,,,TEGRETOL XR 100MG,4.61,4.61,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108721,637,,,,,,,,ESTRADIOL(ESTRACE) 2MG TABS,4.47,4.47,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108723,636,J9178,,,,,,,EPIRUBICIN(ELLENCE) 50MG VIAL,137.85,137.85,,,,,,,,,,,,,,,,,,,
108724,637,,,,,,,,TRILIPIX 135MG CAPS,10.61,10.61,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108725,637,,,,,,,,ATROVENT HFA 12.9GM INHALER,265.22,265.22,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108726,637,,,,,,,,MORPHINE SULF ORAL (ROXANOL)10MG/0.5ML,4.38,4.38,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108727,637,,,,,,,,AVANDIA(ROSIGLITAZONE)4MG TABLET,8.76,8.76,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108728,637,,,,,,,,ACIDOPHILUS W/PECTIN,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108730,637,,,,,,,,LABETALOL(TRANDATE)200MG: TAB,4.78,4.78,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108731,250,,,,,,,,AMOXICILLIN/SULBACTAM 3GM,61.75,61.75,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108732,637,,,,,,,,METFORMIN ER 750MG,5.2,5.2,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108733,637,,,,,,,,SULAR 25.5MG,13.34,13.34,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108734,637,,,,,,,,hydrALAZINE(APRESOLINE) 50MG,4.56,4.56,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108735,637,,,,,,,,risperiDONE 1MG (RISPERDAL),8.55,8.55,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108736,250,,,,,,,,OXYTOCIN(PITOCIN)10UNITS/ML,26.25,26.25,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108737,637,,,,,,,,OXYBUTYNIN ER(DITROPAN XL) 5MG TAB,4.39,4.39,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108738,637,,,,,,,,MASSENGILL VINEGAR DOUCHE,8.63,8.63,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108739,637,,,,,,,,MULTIGEN PLUS (CHROMAGEN FORTE),5.25,5.25,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108740,637,,,,,,,,prednisoLONE 15MG/5ML,5.55,5.55,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108741,637,,,,,,,,BISACODYL(DULCOLAX)10MG: SUPP,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108743,637,,,,,,,,PROPYLTHIOURACIL(PTU) 50MG TABS,4.19,4.19,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108744,637,,,,,,,,TORSEMIDE (DEMADEX) 100MG,7.04,7.04,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108745,637,,,,,,,,RAZADYNE 12MG,7.87,7.87,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108746,637,,,,,,,,NYSTATIN/TRIAM**(MYCOLOG)CREAM 30GM,166.52,166.52,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108747,637,,,,,,,,LITHIUM  ER 450MG,4.5,4.5,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108748,250,,,,,,,,TUBERSOL TEST(PAS) 1 DOSE,7.47,7.47,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108749,637,,,,,,,,GALANTAMINE 12MG,7.18,7.18,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108750,637,,,,,,,,TOPIRAMATE(TOPAMAX) 100MG TAB:,10.95,10.95,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108751,637,,,,,,,,CERON DM,5.12,5.12,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108752,637,,,,,,,,LITHIUM  150MG,4.13,4.13,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108753,637,,,,,,,,BISACODYL(DULCOLAX)5MG: TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108754,637,,,,,,,,buPROPion (WELLBUTRIN)100MG TAB,4.97,4.97,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108755,250,,,,,,,,DILAUDID(HYDROMORPHONE)1MG/ML AMP,19.18,19.18,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108756,637,,,,,,,,ICAPS W/LUTEIN TABLET(YELLOW),1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108757,636,J9263,,,,,,,OXALIPLATIN(ELOXATIN)50MG VIAL,687,687,0.84,0.84,,,,,,,,,,,,,0.84,,,,
108758,636,J9263,,,,,,,OXALIPLATIN(ELOXATIN)100MG VIAL,534.95,534.95,0.84,0.84,,,,,,,,,,,,,0.84,,,,
108759,637,,,,,,,,PENICILLIN-VK 500MG TABLETS,4.4,4.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108760,637,,,,,,,,ZONISAMIDE 100MG CAP (ZONEGRAN),6.07,6.07,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108761,637,,,,,,,,RAMIPRIL 5MG(ALTACE) CAP,5.84,5.84,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108762,637,,,,,,,,VALTREX 1GM CAPLET,17.62,17.62,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108763,637,,,,,,,,HYALGAN 10MG/ML 2ML VIAL,405,405,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108764,250,,,,,,,,hydrALAZINE(APRESOLINE)20MG/ML INJ,52.13,52.13,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108765,636,J2405,,,,,,,ONDANSETRON(ZOFRAN)40MG/20ML VIAL,24,24,,,,,,,,,,,,,,,,,,,
108766,637,,,,,,,,TOVIAZ 4MG TABLET,10.32,10.32,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108767,637,,,,,,,,DRONABINOL 2.5MG CAPSULES,9.89,9.89,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108768,250,,,,,,,,DIGIFAB   40MG  VIAL,1741.75,1741.75,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108769,250,,,,,,,,PLAVIX (CLOPIDOGREL)300MG TABLET,32.75,32.75,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108770,636,J2785,,,,,,,LEXISCAN 0.08MG/ML: 5ML SYRINGE,730.75,730.75,74.56,76.73,76.73,,,,,,,,,,,,74.56,,74.9,,
108771,637,,,,,,,,COENZYME Q-10 100MG CAPSULES,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108772,637,,,,,,,,ULORIC 80MG TABLET,10.5,10.5,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108774,637,,,,,,,,DETROL LA(TOLTERODINE)2MG: CAP,11.45,11.45,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108775,637,,,,,,,,FINASTERIDE(PROSCAR) 5MG:TAB,7.13,7.13,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108776,637,,,,,,,,JANUVIA 100MG TAB,11.68,11.68,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108779,637,,,,,,,,DOXAZOSIN(CARDURA)4MG: TAB,4.97,4.97,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108780,250,,,,,,,,LEUCOVORIN 200MG VIAL INJ,52.5,52.5,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108782,637,,,,,,,,BRIMONIDINE TART  0.15%  5ML,103.07,103.07,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108783,637,,,,,,,,CARDIZEM LA 300MG TAB,9.39,9.39,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108784,637,,,,,,,,DILTIAZEM(CARDIZEM) ER 90MG:CAP,4.95,4.95,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108785,637,,,,,,,,DIVALPROEX DR (DEPAKOTE) 500MG TAB,7.25,7.25,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108786,637,,,,,,,,LEVETIRACETAM (KEPPRA) 750MG TAB,8.86,8.86,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108787,637,,,,,,,,ANTI-ITCH(BENADRYL) 28.4G CREAM 2%,10.29,10.29,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108788,636,J1569,,,,,,,GAMMAGARD 20GM VIAL INJ,8710,8710,89.07,4065.86,89.07,,,,4065.86,,,,,,,,,,,,
108789,637,,,,,,,,LEVETIRACETAM (KEPPRA) 500MG TAB,7.42,7.42,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108790,637,,,,,,,,CALMOSEPTINE OINT 71GM,13.38,13.38,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108791,637,,,,,,,,GLYSET 25MG TAB,5.24,5.24,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108792,637,,,,,,,,TRAVATAN Z OPTH:0.004% 2.5ML,115.82,115.82,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108793,637,,,,,,,,HUMULIN R INS DOSE(ACUTE CARE),16.35,16.35,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108794,637,,,,,,,,HumuLIN R INSULIN 3ML: VIAL,26.84,26.84,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108795,637,,,,,,,,ORPHENADRINE 100MG (NORFLEX): TAB,6.18,6.18,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108796,637,,,,,,,,SILVER NITRATE STICK,4.18,4.18,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108797,637,,,,,,,,PROPOXYPHENE 65MG (DARVON) CAPS,4.33,4.33,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108798,637,,,,,,,,BETAMETHASONE DIPROPIONATE 0.05% CREAM,78.28,78.28,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108799,637,,,,,,,,MEN PHOR (SARNA) 0.5%-0.5% 222ML,11.73,11.73,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108800,637,,,,,,,,SILVER NITRATE STICK,4.18,4.18,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108801,636,J1652,,,,,,,ARIXTRA 2.5MG/0.5ML SYRINGE SUBCUTANEOUS,169.35,169.35,,,,,,,,,,,,,,,,,,,
108802,637,,,,,,,,ONGLYZA 2.5MG(SAXAGLIPTIN): TAB,13.84,13.84,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108803,637,,,,,,,,ROCURONIUM 10MG/ML 5ML VIAL,36,36,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108804,637,,,,,,,,ZONALON(DOXEPIN) 5% CREAM 30GM,215.93,215.93,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108805,637,,,,,,,,DESONIDE 0.05% LOTION 60ML,273.16,273.16,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108806,637,,,,,,,,CITALOPRAM(CELEXA)10MG: TAB,6.58,6.58,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108807,637,,,,,,,,ORPHENADRINE COMP FORTE 50/770/60MG TAB,6.62,6.62,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108808,637,,,,,,,,THERMOTABS,4.08,4.08,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108809,637,,,,,,,,BIOTENE MOISTURIZING MOUTH SPRAY,12,12,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108810,637,,,,,,,,ZOMIG 2.5MG TAB,61.49,61.49,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108811,637,,,,,,,,ZOMIG 2.5MG TAB,30.52,30.52,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108812,637,,,,,,,,TENORMIN (ATENOLOL) 50MG:TAB,5.92,5.92,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108813,636,J1756,,,,,,,VENOFER 100MG/5ML VIAL:INJ,165,165,0.62,0.62,,,,,,,,,,,,,0.62,,,,
108814,250,,,,,,,,TYGACIL 50MG VIAL,275.98,275.98,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108816,637,,,,,,,,EXELON 9.5MG/24 HOURS PATCH,13.15,13.15,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108817,637,,,,,,,,GLUCOSAMINE/CHONDROITINE ADV DS,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108818,637,,,,,,,,AMOXICILLIN(AMOXIL)250MG/5ML:150ML,12.58,12.58,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108819,637,,,,,,,,fentaNYL(DURAGESIC) 12MCG PATCH,17.8,17.8,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108820,637,,,,,,,,TAMSULOSIN 0.4MG (FLOMAX) CAP,8.21,8.21,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108821,637,,,,,,,,CERTAVITE SENIOR(CENTRUM SILVER) TABLETS,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108823,637,,,,,,,,amLODIPine/BENAZEPRIL(LOTREL) 5/10MG,6.71,6.71,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108824,637,,,,,,,,TRIHEXYPHENIDYL 5MGTABLET,4.37,4.37,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108825,637,,,,,,,,MONUROL 3GM PACKET,59.41,59.41,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108826,637,,,,,,,,PROPRANOLOL (INDERAL) 20MG TABLET,4.27,4.27,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108827,637,,,,,,,,FEXOFENADINE/PSE ER 60/120MG,6.19,6.19,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108828,637,,,,,,,,NITROBID 2% OINTMENT PER DOSE,7.15,7.15,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108829,250,,,,,,,,RHOGAM 300MCG VIAL,330.35,330.35,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108831,637,,,,,,,,LOSARTAN 50MG TAB (COZAAR),6.26,6.26,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108832,637,,,,,,,,I-CAPS AREDS FORMULA (RED),1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108833,637,,,,,,,,RESTASIS(CYCLOSPORINE)OPTH SOLUTION,16.31,16.31,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108834,637,,,,,,,,MYCOPHENOLATE(CELLCEPT)500MG TABLETS,11.93,11.93,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108835,637,,,,,,,,RAPAMUNE 1MG TABLET,20.34,20.34,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108836,637,,,,,,,,DAPSONE 100MG TABLET,5.32,5.32,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108837,637,,,,,,,,ARTHRITIS PAIN RELIEF(TYLENOL ARTHRITIS),1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108838,250,,,,,,,,METHOTREXATE 25MG/ML 2ML VIAL,28.2,28.2,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108839,637,,,,,,,,AZASITE 1% OPTH: 2.5ML,115.95,115.95,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108840,637,,,,,,,,FLECTOR PATCH,42.84,42.84,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108841,637,,,,,,,,ONGLYZA(SAXAGLIPTIN)5MG TABLET,11.46,11.46,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108842,637,,,,,,,,OxyCONTIN 80MG TABLET,17.95,17.95,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108843,637,,,,,,,,MEPERIDINE 50MG (DEMEROL) TAB,4.69,4.69,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108844,637,,,,,,,,WARFARIN(COUMADIN) 5MG:TAB,4.64,4.64,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108845,637,,,,,,,,MIDAZOLAM(VERSED)1MG/ML 5ML VIAL,18.5,18.5,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108846,637,,,,,,,,VITAMIN B-12 100MCG TABLET,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108847,637,,,,,,,,AMITIZA 24MCG,8.94,8.94,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108849,637,,,,,,,,MILK OF MAGNESIA TABLETS,4.05,4.05,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108850,637,,,,,,,,VITAMIN D 1000 IU: TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108851,637,,,,,,,,PROMETHAZINE 6.25ML/5ML ORAL DOSE,4.31,4.31,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108852,637,,,,,,,,LOPERAMIDE 1MG/5ML ORAL DOSE,4.24,4.24,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108853,637,,,,,,,,OxyCONTIN(OXYCODONE)CR 15MG: TAB,7.36,7.36,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108854,637,,,,,,,,PRAMIPEXOLE (MIRAPEX) 0.25MG TAB,6.95,6.95,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108855,250,,,,,,,,CEFEPIME 2GM VIAL,115.9,115.9,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108857,637,,,,,,,,AMOXICILLIN(AMOXIL)250MG/5ML:100ML,10.54,10.54,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108858,637,,,,,,,,CLARINEX D 24 HOUR (DESLORATADINE) TAB,9.23,9.23,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108859,250,,,,,,,,HALDOL DECANOATE 100MG/ML INJ,288.93,288.93,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108861,637,,,,,,,,methylPREDNISolone DSEPAK,37.01,37.01,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108862,637,,,,,,,,NITROGLYC 0.6MG/HR PATCH,6.06,6.06,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108863,637,,,,,,,,ALKA-SELTZER,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108864,250,,,,,,,,VARIVAX 0.5ML VACCINE,297.65,297.65,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108865,636,J2353,,,,,,,SandoSTATIN LAR VIAL:10MG,5994.18,5994.18,245.59,254.39,,,,,,,,,,,,,254.39,,245.59,,
108866,637,,,,,,,,ARMOUR THYROID 60MG:TABLET,4.16,4.16,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108867,250,,,,,,,,HYDROmorphone(DILAUDID)1MG/ML AMP,18.13,18.13,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108869,637,,,,,,,,ERYTHROMYCIN 250MG CAPSULE,7.4,7.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108871,637,,,,,,,,NITROGLYCERIN(NITRODUR)0.2MG/HR PATCH,6.6,6.6,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108872,637,,,,,,,,ALAWAY(ZADITOR)OPTH SOLUTION 10ML,16.99,16.99,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108873,637,,,,,,,,DHEA 25MG TABLETS,4.05,4.05,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108874,250,,,,,,,,PIPERAC TAZOBA 3.375GM,31.38,31.38,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108877,637,,,,,,,,OMEPRAZOLE(PRILOSEC)40MG CAPSULES,6.03,6.03,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108878,637,,,,,,,,WARFARIN(COUMADIN)2.5MG TABLETS,4.63,4.63,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108879,637,,,,,,,,valACYclovir(VALTREX)500MG TABLET,11.22,11.22,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108880,250,,,,,,,,ETOPOPHOS 100MG POWDER,420.53,420.53,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108881,637,,,,,,,,morphine SULFATE (MS CONTIN) 60MG TAB,7.31,7.31,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108883,637,,,,,,,,WARFARIN 1MG (COUMADIN) TAB,4.58,4.58,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108884,637,,,,,,,,MULTAQ 400MG TAB,8.84,8.84,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108885,637,,,,,,,,GLIMEPIRIDE 1MG,4.4,4.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108886,637,,,,,,,,CALCIUM ACETATE 667MG CAPS,4.53,4.53,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108887,637,,,,,,,,PAROXETINE CR (PAXIL CR) 37.5MG TAB,7.89,7.89,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108888,637,,,,,,,,DETROL 2MG TABS,8.5,8.5,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108889,637,,,,,,,,CEFACLOR 500MG CAPSULE,7.9,7.9,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108890,637,,,,,,,,morphine SULFATE ER 100MG TABS,8.91,8.91,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108891,637,,,,,,,,DOUBLE ANTIBIOTIC OINTMENT PKT,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108892,250,,,,,,,,AMPICILLIN/SULBACTAM (UNASYN) 3GM,38.13,38.13,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108893,637,,,,,,,,SEROQUEL(QUETIAPINE FUMARATE)100MG:TAB,10.42,10.42,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108894,637,,,,,,,,DESENEX 2% POWDER 90ML,12.6,12.6,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108897,637,,,,,,,,PRAMIPEXOLE (MIRAPEX) 0.5MG TAB,6.95,6.95,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108899,250,,,,,,,,CLEOCIN (CLINDAMYCIN) 150MG/ML 2ML INJ,27.78,27.78,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108900,637,,,,,,,,VITAMIN E CAP 100IU,4.03,4.03,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108901,637,,,,,,,,PHOS-NAK PACKET,4.39,4.39,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108902,637,,,,,,,,ANACIN TABLETS,4.08,4.08,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108903,250,,,,,,,,SUMAtriptan (IMITREX) 6MG/0.5ML INJ,93,93,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108904,637,,,,,,,,ANTACID LIQUID MAX (MAALOX ADV) 30MLSUSP,4.33,4.33,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108917,637,,,,,,,,ROXICET 5-325MG/5ML SOLN 5ML DOSE,4.46,4.46,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108918,250,,,,,,,,VASOPRESSIN INJ 20 UNITS/ML VIAL,42.15,42.15,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108919,637,,,,,,,,FLUCONAZOLE 200MG TABS,18.32,18.32,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108920,637,,,,,,,,TAMIFLU LIQUID 6MG/ML 60MLBOTTLE,189.26,189.26,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108921,637,,,,,,,,DILANTIN(PHENYTOIN)50MG INFATABS,4.87,4.87,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108922,250,,,,,,,,ZANTAC(RANITIDINE)25MG/ML VIAL,25,25,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108923,637,,,,,,,,DILTIAZEM SR(CARDIZEM)120MG CAPSULES,5.47,5.47,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108924,637,,,,,,,,GLUCOSE TABLETS,4.13,4.13,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108925,636,J9209,,,,,,,MESNA 1000MG/10ML INJ:,75,75,,,,,,,,,,,,,,,,,,,
108926,637,,,,,,,,KETOCONAZOLE SHAMPOO 2% 4OZ BOTTLE,34.75,34.75,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108927,637,,,,,,,,DEXTROAMPHETAMINE(DEXEDRINE) 5MG TAB,6.9,6.9,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108928,636,J1453,,,,,,,EMEND 150MG VIAL,934.3,934.3,2.16,81.76,,,,,81.76,,,,,,,,2.16,,,,
108929,250,,,,,,,,0.9% SODIUM CHLORIDE 150ML:BAG,18.75,18.75,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108930,637,,,,,,,,SEROQUEL XR 150MG:,13.95,13.95,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108931,637,,,,,,,,MUSCLE RUB(BENGAY) CREAM:85GM,9.26,9.26,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108932,636,J1569,,,,,,,GAMMAGARD 2.5GM,1101.88,1101.88,89.07,4065.86,89.07,,,,4065.86,,,,,,,,,,,,
108933,637,,,,,,,,ABILIFY TABLETS:2MG,29.25,29.25,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108934,637,,,,,,,,DIVALPROEX SOD. DR 250MG TABLETS,5.76,5.76,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108935,636,J9208,,,,,,,IFOSFAMIDE 1GM VIAL,189.15,189.15,,,,,,,,,,,,,,,,,,,
108936,636,J9208,,,,,,,IFOSFAMIDE 3GM VIAL,337.63,337.63,,,,,,,,,,,,,,,,,,,
108937,636,J2185,,,,,,,MERREM(MEROPENEM)500MG VIAL,115.68,115.68,,,,,,,,,,,,,,,,,,,
108938,637,,,,,,,,LEVETIRACETAM 100MG/ML SYRP 10ML DOSE,10.42,10.42,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108939,637,,,,,,,,SENNA LIQUID 8.8MG/5ML  5ML DOSE,4.37,4.37,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108940,637,,,,,,,,SEROQUEL XR 50MG CAPLET,9.54,9.54,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108941,637,,,,,,,,DONEPEZIL 10MG(ARICEPT),11.79,11.79,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108942,250,,,,,,,,SYMLIN PEN 120MCG,597.86,597.86,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108943,637,,,,,,,,DESONIDE 0.05% OINT 60GM,47.15,47.15,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108944,637,,,,,,,,LEVOXYL 150MCG:TAB,4.56,4.56,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108945,637,,,,,,,,NEOMYCIN 500MG TAB:,5.36,5.36,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108946,637,,,,,,,,ERYTHROMYCIN 500MG TAB:,7.99,7.99,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108947,637,,,,,,,,PREVACID SOLU-TAB 30MG,9.82,9.82,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108948,637,,,,,,,,RIFAMPIN 300MG CAPSULES,6.01,6.01,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108949,637,,,,,,,,AZILECT 0.5MG TABLETS,20.42,20.42,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108950,637,,,,,,,,LIOTHYRONINE (CYTOMEL)  25MCG TAB,5.05,5.05,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108951,250,,,,,,,,HumuLIN N 3ML VIAL,26.53,26.53,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108952,637,,,,,,,,PRADAXA 150MG CAPSULES,251.2,251.2,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108953,637,,,,,,,,AMPHETAMINE SALT COMBO ER 20MG CAP,11.05,11.05,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108954,636,J9171,,,,,,,DOCEtaxel(TAXOTERE) 20MG/ML VIAL,1048.85,1048.85,18.76,18.76,,,,,,,,,,,,,18.76,,,,
108955,637,,,,,,,,FOLBIC(FOLTX) 2.5MG TABLET,4.91,4.91,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108956,637,,,,,,,,DONEPEZIL(ARICEPT)5MG TABLET,11.79,11.79,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108957,637,,,,,,,,PRADAXA 150MG CAPSULES PER DOSE,9.01,9.01,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108958,636,J9201,,,,,,,GEMCITABINE(GEMZAR)200MG VIAL,126.9,126.9,28,28,,,,,,,,,,,,,28,,,,
108959,636,J9201,,,,,,,GEMCITABINE(GEMZAR)1GM VIAL,248.95,248.95,28,28,,,,,,,,,,,,,28,,,,
108960,637,,,,,,,,ANAGRELIDE(AGRYLIN)0.5MG CAPSULES,11.52,11.52,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108961,636,J0897,,,,,,,XGEVA 120MG VIAL,7929.03,7929.03,26.65,29.36,29.36,,,,,,,,,,,,26.65,,27.67,,
108962,637,,,,,,,,PRUDOXIN (DOXEPIN) 5% CREAM 45GM,156.94,156.94,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108963,637,,,,,,,,POTASSIUM CITRATE E.R. 10MEQ  TABS,5.79,5.79,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108964,637,,,,,,,,ALENDRONATE(FOSAMAX)70MG TAB,24.48,24.48,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108965,637,,,,,,,,WARFARIN 4MG (COUMADIN) TAB,4.66,4.66,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108966,637,,,,,,,,CYCLOBENZAPRINE(FLEXERIL)5MG: TAB,5.73,5.73,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108967,637,,,,,,,,WARFARIN 2MG (COUMADIN) TAB,4.61,4.61,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108968,637,,,,,,,,BICALUTAMIDE 50MG (CASODEX) TAB,22.56,22.56,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108969,250,,,,,,,,INTEGRILIN 2MG/ML:10ML VIAL,426.25,426.25,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108970,250,,,,,,,,INTEGRILIN 0.75MG/ML:100ML VIAL,1302,1302,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108971,637,,,,,,,,ALENDRONATE(FOSAMAX) 10MG TAB,6.93,6.93,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108972,637,,,,,,,,XIFAXAN 200MG TAB,18.58,18.58,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108973,250,90715,,,,,,,ADACEL (TDP) DOSE,131.43,131.43,,,,,,,,,,,,,,,,,,,
108977,250,,,,,,,,KCL 20MEQ/NS 250ML RIDER,37.5,37.5,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108978,637,,,,,,,,WELCHOL 3.75GM,13,13,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108979,637,,,,,,,,ACARBOSE 50MG,4.98,4.98,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108980,637,,,,,,,,PAROXETINE  ER 25MG,11.78,11.78,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108981,637,,,,,,,,MIDAZOLAM 10MG/5ML ORAL SYRUP,7.85,7.85,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108982,637,,,,,,,,ARISTA 1GM PACKAGE,150,150,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108983,637,,,,,,,,ARISTA 3GM PACKAGE,248,248,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108984,637,,,,,,,,THEOPHYLLINE ER (THEODUR)100MG TABLET,4.28,4.28,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108985,250,P9047,,,,,,,ALBURX 25% 50ML VIAL,285,285,,,,,,,,,,,,,,,,,,,
108986,637,,,,,,,,CENTAMIN MULTIVITAMIN LIQUID 15ML DOSE,4.32,4.32,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108987,636,J0641,,,,,,,FUSILEV(LEVOLEUCOVORIN)50MG VIAL,615,615,,,,,,,,,,,,,,,,,,,
108988,637,,,,,,,,PENNSAID(DICLOFENAC)1.5% SOLN 150ML BOTT,238.74,238.74,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108989,250,,,,,,,,HumaLOG INSULIN 3ML VIAL,57.54,57.54,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108990,637,,,,,,,,COLCRYS(COLCHICINE)0.6MG TABLET,9.82,9.82,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108991,637,,,,,,,,LEVOFLOXACIN 250MG (LEVAQUIN) TAB,20.49,20.49,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108992,637,,,,,,,,LEVOFLOXACIN 500MG (LEVAQUIN) TAB,22.9,22.9,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108993,637,,,,,,,,VASOLEX(XENADERM)OINTMENT 60GM,61.75,61.75,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108994,637,,,,,,,,CLARINEX D 24HR,12.89,12.89,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108996,250,,,,,,,,LEVOFLOXACIN(LEVAQUIN)500MG PREMIX,48,48,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
108997,637,,,,,,,,chlorproMAZINE(THORAZINE)25MG TAB,5.91,5.91,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
108998,636,J9228,,,,,,,YERVOY 50MG VIAL,22604.23,22604.23,,,,,,,,,,,,,,,,,,,
108999,636,J9228,,,,,,,YERVOY 200MG VIAL,72100,72100,,,,,,,,,,,,,,,,,,,
109003,637,,,,,,,,POLYETHYLENE GLYCOL(MIRALAX)17GM PKT,5.75,5.75,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109004,250,,,,,,,,LEVOFLOXACIN(LEVAQUIN)250MG PREMIX,36,36,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109006,636,J9351,,,,,,,TOPOTECAN(HYCAMTIN)4MG VIAL,821.5,821.5,,,,,,,,,,,,,,,,,,,
109007,637,,,,,,,,IBUPROFEN(MOTRIN) 800MG TAB,4.4,4.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109014,637,,,,,,,,MINOXIDIL(LONITEN)TAB:2.5MG,4.59,4.59,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109016,637,,,,,,,,CLOMIPRAMINE 25MG CAPS,4.85,4.85,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109018,637,,,,,,,,XARELTO 10MG,14.01,14.01,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109020,637,,,,,,,,FLUORMETHOLONE OPHTHALMIC SUSP. 0.1%,17.05,17.05,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109021,637,,,,,,,,TOBRADEX OPHTHALMIC OINTMENT 3.5GM,280.85,280.85,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109022,637,,,,,,,,AYR WITH ALOE (SALINE NASAL GEL) 15GM,10.14,10.14,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109024,637,,,,,,,,RAMIPRIL 1.25MG(ALTACE),5.53,5.53,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109025,637,,,,,,,,OxyCONTIN CR 40MG,11.61,11.61,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109026,636,J2543,,,,,,,PIPERACILLIN/TAZO 4.5GM (ZOSYN),37.83,37.83,,,,,,,,,,,,,,,,,,,
109027,636,J2543,,,,,,,PIPERACILLIN/TAZO 2.25GM (ZOSYN),26.35,26.35,,,,,,,,,,,,,,,,,,,
109028,637,,,,,,,,FLOVENT 44MCG INHALER,132.12,132.12,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109029,637,,,,,,,,ZYFLO CR 600MG TABS,10.53,10.53,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109030,250,,,,,,,,LEVOFLOXACIN (LEVAQUIN) 750MG/30ML VIAL,163.45,163.45,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109038,250,,,,,,,,LEVOFLOXACIN (LEVAQUIN) 500MG/20ML VIAL,126.85,126.85,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109039,637,,,,,,,,VENLAFAXINE ER 37.5MG (EFFEXOR XR) CAP,8.16,8.16,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109046,250,,,,,,,,LEVOTHYROXINE(SYNTHROID) 100MCG INJ,244.53,244.53,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109049,637,,,,,,,,NIX TOPICAL LIQUID,16.7,16.7,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109055,637,,,,,,,,THEO-24 200MG,5.63,5.63,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109056,637,,,,,,,,OLANZapine 2.5 MG TAB,15.2,15.2,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109057,637,,,,,,,,SOTALOL 120MG TABLET(BETAPACE),7.13,7.13,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109060,637,,,,,,,,AMOXICILLIN 400MG/5ML 100ML BOTTLE,14.85,14.85,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109061,637,,,,,,,,GENGRAF(CYCLOSPORINE)CAP 25MG,5.6,5.6,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109062,637,,,,,,,,GENGRAF(CYCLOSPORINE)CAP 100MG,10.37,10.37,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109063,637,,,,,,,,TRADJENTA ORAL TABLET 5MG,13.67,13.67,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109065,637,,,,,,,,TRIAMCINOLONE ACET (NASACORT ),129.68,129.68,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109069,636,J1569,,,,,,,GAMMAGARD 30GM LIQUID,13035,13035,89.07,4065.86,89.07,,,,4065.86,,,,,,,,,,,,
109070,637,,,,,,,,NF-CREON CAP DR,7.57,7.57,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109072,637,,,,,,,,QVAR-40MCG,141.15,141.15,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109074,250,,,,,,,,METHYLPREDNISOLONE SOD SUCC 1GM,97.25,97.25,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109075,637,,,,,,,,levETIRAcetam (KEPPRA) 250MG TAB,6.78,6.78,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109078,637,,,,,,,,NF-CONCERTA TAB ER 36MG,11.74,11.74,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109079,250,,,,,,,,CUBICIN  (DAPTOMYCIN) 500MG VIAL,921.28,921.28,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109081,637,,,,,,,,DALIRESP 500MCG TAB,11.02,11.02,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109099,637,,,,,,,,EFFEXOR ER 75MG,9.99,9.99,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109100,637,,,,,,,,VANCOCIN 125MG,30.49,30.49,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109101,637,,,,,,,,VANCOMYCIN(VANCOCIN) 125MG CAPSULES,35.32,35.32,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109102,637,,,,,,,,TUSSIONEX (GENERIC) 5ML SUSP,7.35,7.35,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109103,637,,,,,,,,LETROZOLE (FEMARA) 2.5MG TAB,22.13,22.13,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109104,637,,,,,,,,DILANTIN CAP ER 30MG,4.56,4.56,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109105,636,J9043,,,,,,,JEVTANA 60MG/1.5ML VIAL,25239.25,25239.25,,,,,,,,,,,,,,,,,,,
109113,637,,,,,,,,HYDROmorphone 4MG,4.64,4.64,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109114,637,,,,,,,,BETAMETHASONE(AUG) 0.05% : CREAM,92.34,92.34,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109115,250,,,,,,,,DILAUDID(HYDROMORPHINE)2MG/ML AMP,19.52,19.52,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109116,637,,,,,,,,TERCONAZOLE VAGINAL CREAM 7DAY 0.4%,51.54,51.54,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109118,637,,,,,,,,QUETIAPINE 100MG (SEROQUEL),10.78,10.78,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109123,637,,,,,,,,QUEtiapine 100MG (SEROQUEL),10.78,10.78,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109124,250,,,,,,,,VITRASE 200 UNITS/ML VIAL,205.25,205.25,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109125,250,,,,,,,,AMVISC BOX,145.6,145.6,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109126,637,,,,,,,,TROPICAMIDE 0.5% 15ML VIAL,33.75,33.75,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109127,637,,,,,,,,FLURBIPROFEN 0.03% OPTH 2.5ML`,15.68,15.68,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109132,250,,,,,,,,DOXYCYCLINE 100MG  VIAL,60.5,60.5,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109133,636,J9033,,,,,,,TREANDA 100MG VIAL,8200.6,8200.6,,,,,,,,,,,,,,,,,,,
109134,636,J9033,,,,,,,TREANDA 25MG VIAL,2125.18,2125.18,,,,,,,,,,,,,,,,,,,
109135,637,,,,,,,,LEVOCETIRIZINE 5MG (XYZAL),7.07,7.07,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109138,637,,,,,,,,FLUoxetine(SARAFEM) 20MG TAB,6.8,6.8,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109140,250,,,,,,,,D5NS W/KCL 40MEQ 1000ML,24.13,24.13,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109141,258,,,,,,,,D5&1/2NS W/KCL 40MEQ 1000ML,21.63,21.63,0,16.38,1.1,,0,16.38,,,13.61,,,,,0,6.76,5.83,7.31,,
109146,637,,,,,,,,risperiDONE(RISPERDAL)0.25MG TAB,7.89,7.89,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109147,637,,,,,,,,LIPOFEN (FENOFIBRATE) 150MG CAP,8.73,8.73,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109151,637,,,,,,,,FLORANEX TABS,4.17,4.17,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109152,637,,,,,,,,BETADINE 5% OPTH SOLN,377.66,377.66,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109153,250,,,,,,,,MARCAINE 0.75% VIAL 10ML,24.6,24.6,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109155,637,,,,,,,,cloNIDine (CATAPRES TTS) 0.2MG PATCH,59.83,59.83,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109156,250,,,,,,,,KCL 10MEQ/NS 100ML RIDER,23.17,23.17,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109157,636,J9171,,,,,,,DOCEtaxel(TAXOTERE) 80MG/4ML VIAL,3751.5,3751.5,18.76,18.76,,,,,,,,,,,,,18.76,,,,
109159,637,,,,,,,,CLOPIDOGREL(PLAVIX)75MGTAB,4.41,4.41,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109160,637,,,,,,,,FLECTOR 1.3%TOPICAL PATCH,12.11,12.11,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109162,637,,,,,,,,ASPIRIN EC (ECOTRIN)325MG: TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109164,637,,,,,,,,NUCYNTA 75MG TAB,7.14,7.14,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109165,637,,,,,,,,BETAPACE AF 80MG TAB,8.29,8.29,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109166,637,,,,,,,,NUVIGIL 150MG TAB,20.96,20.96,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109167,637,,,,,,,,SAVELLA ORAL TABLET 50MG,6.69,6.69,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109168,637,,,,,,,,WARFARIN 3MG (COUMADIN) TAB,4.63,4.63,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109169,637,,,,,,,,PROPYLTHIOURACIL (PTU) 50MG TAB,4.75,4.75,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109170,637,,,,,,,,CREON 24000 CAPSULES,8.57,8.57,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109171,637,,,,,,,,BIOTENE MOISTURIZING MOUTH SPRAY,12.48,12.48,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109174,637,,,,,,,,FLORANEX GRANULES PACKET,4.82,4.82,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109175,637,,,,,,,,JINTELI (FEMHRT) 1MG/5MCG TAB,6.34,6.34,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109182,637,,,,,,,,KOMBIGLYZE XR TAB ER 1000MG-5MG,13.83,13.83,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109186,637,,,,,,,,MYCOPHENOLATE 500MG TAB,12.85,12.85,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109187,636,J9306,,,,,,,PERJETA(PERTUZUMAB)420MG VIAL,12326.98,12326.98,,,,,,,,,,,,,,,,,,,
109189,636,J9155,,,,,,,FIRMAGON(DEGARELIX) 240MG INJECTION,3800.58,3800.58,7.67,7.67,,,,,,,,,,,,,7.67,,,,
109190,637,,,,,,,,CYCLOPENTOLATE(CYCLOGYL) 2% EYE SOLN 2ML,36.51,36.51,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109191,637,,,,,,,,QUEtiapine (SEROQUEL) 25MG TAB,7.95,7.95,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109195,637,,,,,,,,PROPRANOLOL HCL CAP  80MG ER,6.41,6.41,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109196,250,,,,,,,,AVELOX 400MG PREMIX IVPB,120,120,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109197,637,,,,,,,,ZUTRIPRO 5MG/4MG/60MG SUSP 5ML,6.47,6.47,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109198,637,,,,,,,,CLOBETASOL PROP (TEMOVATE) CREAM 60GM,81.02,81.02,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109199,637,,,,,,,,ATORVASTATIN 10MG (LIPITOR) TAB,4.9,4.9,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109200,637,,,,,,,,buPROPion  75MG TAB,4.73,4.73,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109201,637,,,,,,,,ACEBUTOLOL 400MG,5.34,5.34,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109203,637,,,,,,,,L-LYSINE 500MG TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109204,637,,,,,,,,TOBRAMYCIN&DEXA OPTH SOLN 5ML,137.89,137.89,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109205,637,,,,,,,,MODAFINIL 100MG (PROVIGIL) TAB,26.07,26.07,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109206,636,J9263,,,,,,,OXALIPLATIN 50MG VL 10ML(ELOXATIN),250,250,0.84,0.84,,,,,,,,,,,,,0.84,,,,
109207,636,J9263,,,,,,,OXALIPLATIN 100MG VL 20ML (ELOXATIN),400,400,0.84,0.84,,,,,,,,,,,,,0.84,,,,
109208,637,,,,,,,,MONTELUKAST 10MG (SINGULAIR) TAB,9.66,9.66,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109209,637,,,,,,,,CALCITONIN (FORTICAL) NASAL SPRAY,125.54,125.54,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109213,637,,,,,,,,DULERA INH AER PWD 5MCG-100MCG/ACT,243.02,243.02,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109214,637,,,,,,,,DIVALPROEX ER(DEPAKOTE ER):500MG TAB,6.95,6.95,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109216,637,,,,,,,,DEXILANT 60MG CAPS,9.69,9.69,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109217,637,,,,,,,,COVARYX HS TABLET,5.04,5.04,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109218,637,,,,,,,,TOVIAZ 4MG TABLET,10.32,10.32,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109219,637,,,,,,,,VIIBRYD 20MG TABLET,9.12,9.12,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109220,637,,,,,,,,ATACAND 4MG TABLET,7.53,7.53,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109221,637,,,,,,,,BUDESONIDE 3MG,21.11,21.11,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109229,637,,,,,,,,HEALTHY EYES (OCUVITE),4.06,4.06,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109230,637,,,,,,,,NUCYNTA 50MG TAB,6.67,6.67,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109235,637,,,,,,,,NEPHRO-VITE TABLET,4.54,4.54,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109236,637,,,,,,,,CALCIUM ACETATE 667MG(CALPHRON),4.12,4.12,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109237,637,,,,,,,,GEN. TYLENOL ARTHRITIS 650MG,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109238,637,,,,,,,,PROMETH W/ DEXTROMETHORPHAN HBR ORAL,4.2,4.2,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109242,637,,,,,,,,BIOTIN 1000MCG TABLET,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109243,250,,,,,,,,hydrOXYzine  25MG/ML VIAL,24.38,24.38,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109244,636,Q2049,,,,,,,LIPODOX(DOXORUBICIN LIPO)20MG VIAL,2893,2893,,,,,,,,,,,,,,,,,,,
109250,637,,,,,,,,SINUS RINSE,22.02,22.02,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109252,637,,,,,,,,QVAR 80MCG INHALER 120INH,186.62,186.62,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109259,250,,,,,,,,FRAGMIN  5000 IU /0.2ML SYRING,121.35,121.35,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109262,637,,,,,,,,NISOLDIPINE ER 17MG (SULAR) TAB,11.7,11.7,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109263,637,,,,,,,,ESTRACE 0.01% VAGINAL CREAM,165.51,165.51,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109268,637,,,,,,,,LOTEMAX OPTH OINTMENT,195.95,195.95,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109270,637,,,,,,,,XARELTO 15MG TABLET,14.01,14.01,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109271,250,,,,,,,,PIPERACILLIN/TAZOBACTAM 2.25GM ADV,29.2,29.2,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109272,250,,,,,,,,PIPERACILLIN/TAZOBACTAM 3.375GM ADV,34.65,34.65,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109273,250,,,,,,,,PIPERACILLIN/TAZOBACTAM 4.5GM ADV,40.45,40.45,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109281,637,,,,,,,,ATORVASTATIN 40MG TABLET,9.78,9.78,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109282,250,,,,,,,,FLUCONAZOLE(DIFLUCAN) 200MG IVPB 100ML,41.7,41.7,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109283,637,,,,,,,,OXCARBAZEPINE (TRILEPTAL) 300MG TABS,6.64,6.64,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109284,637,,,,,,,,LEXAPRO(ESCITALOPRAM)10MG TAB,8.33,8.33,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109286,636,J3489,,,,,,,ZOLEDRONIC ACID(ZOMETA)4MG VIAL,2110,2110,61.49,74.81,,,,,,,,,,,,,74.81,,61.49,,
109287,637,,,,,,,,CHANTIX 1MG TAB,8.04,8.04,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109291,637,,,,,,,,IRBESARTAN(AVAPRO)150MG,7.07,7.07,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109292,637,,,,,,,,ESCITALOPRAM(LEXAPRO)10MG,8.23,8.23,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109294,637,,,,,,,,CILOSTAZOL(PLETAL) 100MG TAB,5.82,5.82,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109297,637,,,,,,,,PROGESTERONE (PROMETRIUM) 200MG CAPS,8.05,8.05,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109298,637,,,,,,,,ROBITUSSIN CF (GENERIC) 5ML DOSE,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109299,636,J1650,,,,,,,ENOXAPARIN SODIUM(LOVENOX) 30MG/0.3ML,81.78,81.78,9.68,21.45,21.45,,,,,,,,,,,,9.68,,,,
109300,636,J1650,,,,,,,ENOXAPARIN SODIUM (LOVENOX)150MG/1MLSYR,350.05,350.05,9.68,21.45,21.45,,,,,,,,,,,,9.68,,,,
109301,637,,,,,,,,ITRACONAZOLE(SPORANOX)100MG CAPSULE,19.72,19.72,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109302,637,,,,,,,,FERROUS SULFATE 220MG/5ML,4.02,4.02,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109303,636,J1650,,,,,,,ENOXAPARIN SODIUM (LOVENOX)40MG/0.4MLSYR,104.23,104.23,9.68,21.45,21.45,,,,,,,,,,,,9.68,,,,
109310,637,,,,,,,,ZYVOX 100MG/5ML SUSPENSION 30ML DOSE,137.82,137.82,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109315,637,,,,,,,,METAXALONE(SKELAXIN)800MG TAB,8.89,8.89,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109316,636,J9179,,,,,,,HALAVEN 1MG/2ML VIAL,3640,3640,,,,,,,,,,,,,,,,,,,
109317,637,,,,,,,,ANASTROZOLE (ARIMIDEX) 1MG,17.49,17.49,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109318,636,J3489,,,,,,,ZOLEDRONIC ACID(RECLAST)5MG/100ML,915,915,61.49,74.81,,,,,,,,,,,,,74.81,,61.49,,
109319,637,,,,,,,,SPORANOX(ITRACONAZOLE) 10MG/ML SOL,278.91,278.91,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109320,637,,,,,,,,ZIPRASIDONE (GEODON) 40MG CAPSULE,12.96,12.96,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109321,637,,,,,,,,ESCITALOPRAM 20MG (LEXAPRO),8.51,8.51,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109324,250,,,,,,,,KETALAR(KETAMINE)500MG/10ML VIAL,28.25,28.25,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109325,637,,,,,,,,ACETAMINOPHEN(TYLENOL) 500MG TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109327,250,,,,,,,,MYCAMINE 100MG/10ML,576,576,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109330,637,,,,,,,,ZINC 50MG TABLET,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109331,636,J1650,,,,,,,ENOXAPARIN SOD (LOVENOX)120MG/0.8MLSYR,283.03,283.03,9.68,21.45,21.45,,,,,,,,,,,,9.68,,,,
109332,637,,,,,,,,LAMOTRIGINE(LAMICTAL)25MG TABLET,8.15,8.15,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109333,637,,,,,,,,ADVIL 50MG INFANT DROP,13.99,13.99,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109334,636,J1650,,,,,,,ENOXAPARIN SODIUM(LOVENOX) 80MG/0.8ML,193.63,193.63,9.68,21.45,21.45,,,,,,,,,,,,9.68,,,,
109345,636,J1650,,,,,,,ENOXAPARIN SODIUM (LOVENOX)100MG/1MLSYR,238.3,238.3,9.68,21.45,21.45,,,,,,,,,,,,9.68,,,,
109359,637,,,,,,,,FENOFIBRATE 145MG GEN. TRICOR,9.73,9.73,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109360,637,,,,,,,,ATORVASTATIN(LIPITOR) 20MG TAB,9.77,9.77,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109361,637,,,,,,,,NIACIN 250MG CAP,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109362,637,,,,,,,,FENOFIBRATE 200MG CAP,12.08,12.08,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109363,637,,,,,,,,TUDORZA INHALER,268,268,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109364,637,,,,,,,,ACETAZOLAMIDE(DIAMOX)TAB: 125MG,4.67,4.67,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109369,637,,,,,,,,LAMOTRIGINE TAB 200MG,9.66,9.66,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109370,637,,,,,,,,TRIAMCINOLONE(NASACORT) NASAL SPRAY,80.19,80.19,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109371,637,,,,,,,,TROPICAMIDE 1% OPHTH SOLN 2ML VIAL,21,21,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109372,250,,,,,,,,SANDOSTATIN LAR DEPOT 10MG,4838.65,4838.65,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109373,637,,,,,,,,FOLBEE PLUS CZ TABLET,4.71,4.71,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109374,250,,,,,,,,CLINIMIX 2.75%/5% PERIPHERAL TPN,87.9,87.9,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109375,637,,,,,,,,PIOGLITAZONE(ACTOS)15MG TABLET,11.01,11.01,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109376,636,Q2050,,,,,,,DOXORUBICIN LIPOSOMAL(DOXIL)50MG,8184.2,8184.2,,,,,,,,,,,,,,,,,,,
109377,637,,,,,,,,rOPINIRole(REQUIP)0.25MG TABLET,6.51,6.51,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109378,637,,,,,,,,ARICEPT 23MG TABLETS,20.62,20.62,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109381,637,,,,,,,,DILTIAZEM SR(CARDIZEM SR)60MG CAP,5.32,5.32,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109382,637,,,,,,,,DERMAZENE 1-1% CREAM,67.68,67.68,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109383,636,J1561,,,,,,,GAMUNEX-C 20GM VIAL,7822,7822,80.36,80.36,80.36,,,,,,,,,,,,,,,,
109389,637,,,,,,,,URSODIOL 300MG CAP,5.62,5.62,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109390,636,J9047,,,,,,,KYPROLIS 60MG VIAL,4989,4989,,,,,,,,,,,,,,,,,,,
109391,637,,,,,,,,SEROQUEL XR 50MG TABLET,12.45,12.45,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109392,637,,,,,,,,KLORCON 8MEQ TABLET,4.54,4.54,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109393,637,,,,,,,,NIACIN ER (NIASPAN) 500MG TABS,7.86,7.86,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109394,636,J1561,,,,,,,GAMUNEX 2.5GM VIAL,990.88,990.88,80.36,80.36,80.36,,,,,,,,,,,,,,,,
109397,637,,,,,,,,CARBAMAZEPINE100MG/5ML(TEGRETOL)10MLDOSE,5.7,5.7,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109399,637,,,,,,,,EXEMESTANE(AROMASIN)25MG TAB,17.09,17.09,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109400,637,,,,,,,,OXYCODONE/APAP 7.5MG/325MG TABLET,5.36,5.36,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109401,637,,,,,,,,TESTIM 1% GEL,22.31,22.31,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109402,636,J1561,,,,,,,GAMUNEX 10GM VIAL,3918.5,3918.5,80.36,80.36,80.36,,,,,,,,,,,,,,,,
109403,636,J1561,,,,,,,GAMUNEX 5GM VIAL,1966.75,1966.75,80.36,80.36,80.36,,,,,,,,,,,,,,,,
109404,636,Q2050,,,,,,,DOXORUBICIN LIPO(DOXIL)20MG VIAL,3075,3075,,,,,,,,,,,,,,,,,,,
109405,637,,,,,,,,ILEVRO 0.3% OPTH SOLUTION,303.74,303.74,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109408,637,,,,,,,,MISOPROSTOL 200MCG,9.2,9.2,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109410,636,J2783,,,,,,,ELITEK 7.5MG VIAL,13451.13,13451.13,,,,,,,,,,,,,,,,,,,
109411,637,,,,,,,,PANTOPRAZOLE 20MG TABLET,5.43,5.43,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109412,637,,,,,,,,TOLTERODINE (DETROL) 2MG TAB,7.4,7.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109414,637,,,,,,,,PRADAXA 75MG CAPSULES PER DOSE,9.83,9.83,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109415,250,,,,,,,,HAVRIX (HEP A) 1400UNITS/ML VIAL,203.9,203.9,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109417,637,,,,,,,,DULOXETINE DR 30MG (CYMBALTA) CAPSULE,11.84,11.84,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109420,637,,,,,,,,LIDOCAINE 5% OINTMENT 30GM,67.95,67.95,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109422,637,,,,,,,,STRATTERA CAP 25MG,15.89,15.89,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109423,637,,,,,,,,TACROLIMUS 0.5MG(PROGRAF) CAPSULES,6.23,6.23,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109424,637,,,,,,,,TRIHEXYPHENIDYL HCL TAB 2MG,4.18,4.18,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109426,637,,,,,,,,PRIMIDONE(MYSOLINE)250MG: TAB,5,5,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109427,637,,,,,,,,PAROXETINE CR(PAXIL) 25MG TABS,8.45,8.45,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109428,637,,,,,,,,ACYCLOVIR(ZOVIRAX) OINTMENT 15GM,405.8,405.8,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109430,637,,,,,,,,LISINOPRIL/HCTZ 20/12.5MG(ZESTORETIC0:TA,5.2,5.2,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109431,637,,,,,,,,SYSTANE ULTRA  DROPS 10ML,23.31,23.31,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109432,637,,,,,,,,GENTEAL EYE DROPS 15ML,19.61,19.61,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109433,637,,,,,,,,NAMENDA XR CAP ER 28MG,15.87,15.87,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109438,637,,,,,,,,LIDOCAINE(LIDODERM) 5% PATCH,16.36,16.36,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109450,637,,,,,,,,NUCYNTA ER 100MG TAB,10.3,10.3,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109452,637,,,,,,,,TUDORZA INH:400MCG(30 METERED DOSES),160.64,160.64,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109455,637,,,,,,,,XIFAXAN (RIFAXIMIN) 550MG TABLET,30.43,30.43,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109456,637,,,,,,,,TOLTERODINE ER(DETROL LA) 2MG CAP,12.03,12.03,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109459,250,,,,,,,,MANNITOL 100GM/500ML BAG,69.43,69.43,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109460,250,,,,,,,,CLONIDINE 0.1MG/24 HOUR PATCH,37.12,37.12,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109461,637,,,,,,,,AQUAPHOR OINTMENT 1.75OZ,12.9,12.9,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109462,637,,,,,,,,SAMSCA 15MG TABLETS,379,379,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109467,637,,,,,,,,LINZESS CAP 290MCG,14.12,14.12,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109468,636,J1439,,,,,,,INJECTAFER 750MG/15ML,3642.25,3642.25,1.92,654.08,2.03,,,,654.08,,,,,,,,1.92,,1.92,,
109469,637,,,,,,,,ALFUZOSIN ER (UROXATROL)10MG TAB,8.21,8.21,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109470,250,,,,,,,,SODIUM FERRIC GLUC(FERRLECIT) 62.5MG,110.4,110.4,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109471,250,,,,,,,,ORPHENADRINE(NORFLEX)60MG/2ML,70.5,70.5,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109472,250,,,,,,,,BENTYL 20MG/2ML VIAL,186.1,186.1,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109473,637,,,,,,,,VALSARTAN(DIOVAN) 80MG TABLET,8.85,8.85,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109489,637,,,,,,,,FLUNISOLIDE 0.025% NASAL SPRAY,75.75,75.75,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109490,250,,,,,,,,CEFEPIME 2GM/D5W 50ML PREMIX,67.15,67.15,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109491,637,,,,,,,,ELIQUIS(APIXABAN) 5MG TABLETS,9.83,9.83,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109492,250,,,,,,,,AZTREONAM (AZACTAM)1GM VIAL,84.18,84.18,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109493,637,,,,,,,,MELATONIN 3MG TAB,4.12,4.12,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109494,637,,,,,,,,INVEGA 6MG TAB,36.07,36.07,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109495,250,,,,,,,,LEVEMIR INSULIN VIAL,281.5,281.5,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109497,637,,,,,,,,LINZESS CAP 145MCG,14.12,14.12,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109503,637,,,,,,,,LOSARTAN POTASSIUM ORAL TABLET 25MG,8.45,8.45,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109505,637,,,,,,,,PROPAFENONE(RYTHMOL) 225MG TAB,6.33,6.33,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109508,250,,,,,,,,RELISTOR (METHYLNALTREXONE)12MG,211.53,211.53,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109509,637,,,,,,,,MYRBETRIQ ORAL TABLET 25MG,13.91,13.91,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109510,637,,,,,,,,TAMIFLU 30MG CAPSULES,17.28,17.28,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109514,637,,,,,,,,ETHAMBUTOL 400MG TAB,5.79,5.79,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109515,250,,,,,,,,NEOSTIGMINE 1:2000 VIAL,57.63,57.63,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109523,637,,,,,,,,LANTUS(INSULIN GLARGIN)SOLOSTAR PEN,79.74,79.74,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109525,250,,,,,,,,HUMALOG 75/25 PEN 3ML,100.96,100.96,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109527,250,,,,,,,,MAGNESIUM 4GM 100ML PREMIX,35.4,35.4,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109528,637,,,,,,,,RALOXIFENE(EVISTA)60MG TABLET,11.13,11.13,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109529,637,,,,,,,,TELMISARTAN (MICARDIS) 40MG TABS,9.52,9.52,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109536,637,,,,,,,,HYDROCODONE/APAP 7.5/325MG 15ML LIQ,5.48,5.48,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109537,637,,,,,,,,RIVASTIGMINE (EXELON) 1.5MG CAPS,8.22,8.22,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109538,637,,,,,,,,CEFDINIR(OMNICEF)125MG/5ML SUSP 60ML,58.01,58.01,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109539,636,J9308,,,,,,,CYRAMZA 500MG/50ML VIAL,15400,15400,,,,,,,,,,,,,,,,,,,
109540,636,J9308,,,,,,,CYRAMZA 100MG/10ML VIAL,3160,3160,,,,,,,,,,,,,,,,,,,
109548,637,,,,,,,,LITHIUM 300MG CAPSULE,5.75,5.75,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109549,637,,,,,,,,AMPHETAMINE SALTS(ADDERALL)10MG,5.71,5.71,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109550,637,,,,,,,,GUAIFENESIN 200MG TABLET,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109551,637,,,,,,,,SILVER SULFADIAZINE 1% CREAM 400GM,70.59,70.59,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109565,250,,,,,,,,PREVNAR-13 VACCINE VIAL,468.78,468.78,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109566,637,,,,,,,,RANITIDINE 25MG/ML 2ML VIAL,24.35,24.35,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109567,250,,,,,,,,DIPRIVAN 500MG/50ML VIAL,33,33,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109568,637,,,,,,,,QUININE SULFATE CAP 324MG,11.33,11.33,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109572,250,,,,,,,,IMIPENEM/CILASTATIN(PRIMAXIN)500MG VIAL,39,39,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109580,637,,,,,,,,LAMIVUDINE(EPIVIR)TABLET:150MG,11.12,11.12,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109581,637,,,,,,,,SLOW MAG TABS,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109582,250,,,,,,,,NALOXONE 2MG/2ML SYRINGE,114,114,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109583,637,,,,,,,,LUBRICANT EYE DROPS(SYSTANE) 15ML,17.44,17.44,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109584,636,J9301,,,,,,,GAZYVA 1000MG VIAL,15580,15580,,,,,,,,,,,,,,,,,,,
109587,636,J1930,,,,,,,SOMATULINE 120MG/0.5ML DEPOT,28701,28701,94.08,94.08,,,,,,,,,,,,,94.08,,,,
109590,637,,,,,,,,CELECOXIB 200MG (CELEBREX) CAP,11.58,11.58,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109593,637,,,,,,,,FARXIGA 5MG TABLET,17.72,17.72,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109596,637,,,,,,,,ESZOPICLONE(LUNESTA)2MG TABLET,15.66,15.66,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109597,250,,,,,,,,VALPROATE SODIUM INJ 500MG/5ML VIAL,35.1,35.1,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109599,637,,,,,,,,ROBITUSSIN MULTI-SYMPTOM COLD 4OZ BOTTLE,14.74,14.74,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109606,637,,,,,,,,GRANULEX TOPICAL SPRAY 4OZ,26.41,26.41,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109612,636,J2357,,,,,,,XOLAIR 150MG VIAL,2637.1,2637.1,,,,,,,,,,,,,,,,,,,
109613,637,,,,,,,,AZELASTINE 0.1% NASAL SPRAY 30ML,112.24,112.24,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109614,637,,,,,,,,VANCOMYCIN (VANCOCIN) 250MG CAP,61.77,61.77,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109619,637,,,,,,,,HUMULIN 70/30 VIAL 3ML,50.42,50.42,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109625,637,,,,,,,,PHENYTOIN (DILANTIN) 50MG CHEWABLE TAB,4.78,4.78,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109626,637,,,,,,,,KETOROLAC 0.5% OPHTH SOLN 5ML,55.73,55.73,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109630,637,,,,,,,,MINERAL ICE PAIN GEL 8 OZ,18.12,18.12,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109636,637,,,,,,,,INVOKANA 100MG TABS,17.71,17.71,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109646,637,,,,,,,,ARIPIPRAZOLE (ABILIFY) 5MG TAB,36.08,36.08,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109647,250,,,,,,,,VIBATIV 750MG VIAL,1087.3,1087.3,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109649,637,,,,,,,,CLEMASTINE FUMARATE 2.68MG TABLET,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109657,250,,,,,,,,MIDAZOLAM (VERSED) 5MG/ML 10ML VIAL,45,45,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109670,637,,,,,,,,DICLOFENAC (VOLTAREN) 0.1% OPHTH SOL 5ML,80.03,80.03,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109671,637,,,,,,,,OMEGA 3(LOVAZA) 1GM CAPSULE,6.07,6.07,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109675,637,,,,,,,,CETIRIZINE(ZYRTEC)1MG/ML LIQUID:DOSE,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109676,637,,,,,,,,MONTELUKAST(SINGULAIR)4MG CHEW TABLET,9.65,9.65,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109695,250,,,,,,,,HYDROMORPHONE(DILAUDID)2MG/ML VIAL,18.87,18.87,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109699,250,,,,,,,,CEFOXITIN 1 GRAM (MEFOXITIN)VIAL,24.63,24.63,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109719,637,,,,,,,,THROMBIN 5000 UNITS TOPICAL,93.12,93.12,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109720,637,,,,,,,,Trifluridine Ophth Solution 1%,185.28,185.28,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109735,637,,,,,,,,MEMANTINE(NAMENDA)TAB 10MG,10.1,10.1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109736,637,,,,,,,,AMPICILLIN 250MG CAPSULES,4.23,4.23,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109737,637,,,,,,,,RIVASTIGMINE(EXELON) 9.5MG/24H PATCH,23.9,23.9,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109738,637,,,,,,,,NF-ZOLPIDEM ORAL TABLET 10MG,575,575,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109739,637,,,,,,,,POTASSIUM CITRATE 5MEQ TABLET,5.75,5.75,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109742,637,,,,,,,,ASACOL HD 800MG TABLET,11.86,11.86,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109743,637,,,,,,,,Stiolto Respimat Inh 2.5-2.5MCG/1Act,385.85,385.85,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109752,637,,,,,,,,DESLORATADINE(CLARINEX)5MG TAB,9.02,9.02,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109756,637,,,,,,,,MEXILETINE(MEXITIL)150MG CAPSULE,6.54,6.54,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109759,637,,,,,,,,DESITIN RAPID RELIEF CREAM,14.49,14.49,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109769,250,,,,,,,,EPINEPHrine 1MG/ML 1M AMPULES: INJ,21.3,21.3,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109771,637,,,,,,,,ALPRAZOLAM 1MG TABLET,5.16,5.16,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109772,637,,,,,,,,LIDOCAINE/PRILOCAINE CREAM:5GM,15.04,15.04,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109773,637,,,,,,,,HYDROCHLOROTHIAZIDE 12.5MG CAPSULE,4.42,4.42,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109774,637,,,,,,,,METFORMIN 1000MG TABLET,5.45,5.45,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109775,250,,,,,,,,TOUJEO 300UNITS/ML  INSULIN PEN,350.5,350.5,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109776,637,,,,,,,,BETAMETHASONE VALERATE 0.1% CREAM,37.98,37.98,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109784,636,,,,,,,,GAMUNEX 1GM VIAL,405.35,405.35,0,27.89,0,,0,27.89,,,,,,,,0,,3.56,0,,
109786,637,,,,,,,,NORETHINDRONE 0.35MG TABLETS,43.92,43.92,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109787,637,,,,,,,,PRAMIPEXOLE ER 0.375MG TABLET,20.14,20.14,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109788,637,,,,,,,,LYRICA 150MG CAPSULE,10.9,10.9,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109790,637,,,,,,,,CONTOUR NEXT TEST STRIPS,125.8,125.8,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109791,637,,,,,,,,JARDIANCE 25MG TABLET,18.52,18.52,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109792,637,,,,,,,,SYNTHROID 137MCG,5.3,5.3,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109793,637,,,,,,,,EPINASTINE 0.05% OPTH SOLN,110.99,110.99,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109794,637,,,,,,,,MINASTRIN 24 FE 1MG/20MCG,177.24,177.24,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109795,637,,,,,,,,MIDODRINE 10MG TABLET,13.72,13.72,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109796,637,,,,,,,,NOVOFINE PLUS 32G NEEDLE,77.94,77.94,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109797,637,,,,,,,,CAMBIA 50MG PACKETS,60.6,60.6,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109798,637,,,,,,,,HYDROXYZINE 10MG/5ML SYRUP,4.42,4.42,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109799,637,,,,,,,,LANSOPRAZOLE 30MG CAPSULE,9.9,9.9,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109800,637,,,,,,,,DYRENIUM 50MG CAPSULE,15.5,15.5,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109801,637,,,,,,,,DESOGESTREL/ETHINYL ESTRADIOL 0.15/0.02M,22.6,22.6,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109803,637,,,,,,,,PHENTERMINE 37.5MG TABLET,5.54,5.54,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109804,637,,,,,,,,CYCLAFEM 1/35 TABLETS,38.04,38.04,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109805,637,,,,,,,,DONEPEZIL 10MG TABLETS,11.79,11.79,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109808,637,,,,,,,,DEPO-PROVERA 150MG/ML SYRING,187.89,187.89,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109809,637,,,,,,,,TOPIRAMATE 50MG TABLETS,8.42,8.42,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109810,637,,,,,,,,MINOXIDIL 2.5MG TABLET,4.59,4.59,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109811,637,,,,,,,,PREMARIN 0.3MG TABLET,9.21,9.21,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109812,637,,,,,,,,CLONAZEPAM 0.5MG TABLET,4.75,4.75,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109813,637,,,,,,,,INVOKANA 300MG TABLET,18.52,18.52,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109814,637,,,,,,,,VICODIN 5MG/300MG TABLET,5.98,5.98,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109821,637,,,,,,,,MONOJECT 22G X 1   3ML SYRINGE,5.98,5.98,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109823,637,,,,,,,,VERAPAMIL 180MG ER TABLET,5.44,5.44,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109827,637,,,,,,,,PRAMIPEXOLE 0.125MG TABLET,6.95,6.95,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109831,637,,,,,,,,SYNTHROID 0.175MG TABLET,5.35,5.35,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109832,637,,,,,,,,CLINDAMYCIN PHOS 1% PAD,52.9,52.9,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109833,637,,,,,,,,MIRAPEX ER 2.25MG TABLETS,23.71,23.71,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109834,637,,,,,,,,ONE TOUCH ULTRA BLUE TEST STRIPS,220.12,220.12,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109835,637,,,,,,,,BUSPIRONE 10MG TABLETS,5.35,5.35,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109836,637,,,,,,,,VALSARTAN 160MG TABLET,9.21,9.21,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109837,637,,,,,,,,VENTOLIN HFA INHALER 18GM,69.62,69.62,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109838,637,,,,,,,,SPIRIVA HANDINHALER 90 CAPS,1143.45,1143.45,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109839,637,,,,,,,,POTASSIUM CHLORIDE ER 20MEQ TABLET,4.63,4.63,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109840,637,,,,,,,,VYTORIN 10MG/20MG,14.3,14.3,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109841,637,,,,,,,,BYSTOLIC 10MG TABLET,8.02,8.02,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109842,637,,,,,,,,HUMALOG 100 UNITS/ML 10ML VIAL,291.4,291.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109843,637,,,,,,,,PRAVASTATIN 80MG TABLETS,8.78,8.78,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109851,637,,,,,,,,PROZAC 40MG CAPSULES,29.73,29.73,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109852,636,J9271,,,,,,,KEYTRUDA 100MG/4ML VIAL,15503.08,15503.08,61.72,64.43,64.43,,,,,,,,,,,,61.72,,,,
109855,637,,,,,,,,GUAIFENESIN W/CODEINE SYRUP 118ML,20.57,20.57,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109856,637,,,,,,,,FENOFIBRATE 130MG CAPSULES,10.93,10.93,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109857,637,,,,,,,,FOLTANX RF CAPSULES,6.06,6.06,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109858,637,,,,,,,,CRESTOR 20MG TABLET,13.94,13.94,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109859,637,,,,,,,,LOSARTAN 100MG TABLET,7.08,7.08,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109860,637,,,,,,,,FLUVOXAMINE 50MG TABLET,6.57,6.57,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109861,637,,,,,,,,MISOPROSTOL 100MCG TABLET,4.98,4.98,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109865,637,,,,,,,,DULOXETINE 60MG CAPSULE,5.92,5.92,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109867,637,,,,,,,,PRAMIPEXOLE 2.25MG ER TABLETS,20.14,20.14,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109868,637,,,,,,,,OMEPRAZOLE/SOD BICARBONATE 40MG/1100MG,108.84,108.84,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109869,637,,,,,,,,SYNTHROID 0.2MG TABLET,5.35,5.35,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109870,637,,,,,,,,SPRINTEC TABLETS,27.75,27.75,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109871,637,,,,,,,,RANITIDINE 300MG TABLET,6.69,6.69,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109873,637,,,,,,,,ACETAZOLAMIDE CAP ER 500MG,8.89,8.89,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109874,636,J9130,,,,,,,DACARBAZINE 200MG VIAL,460,460,,,,,,,,,,,,,,,,,,,
109875,636,J9040,,,,,,,BLEOMYCIN 30 UNITS VIAL,328.85,328.85,,,,,,,,,,,,,,,,,,,
109876,637,,,,,,,,JANUVIA 100MG TABLET,18.53,18.53,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109881,637,,,,,,,,CARVEDILOL 25MG TABLET,6.1,6.1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109882,637,,,,,,,,PIOGLITAZONE 45MG TABLET,15.61,15.61,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109883,637,,,,,,,,ESOMEPRAZOLE 40MG CAPSULE,13.02,13.02,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109890,637,,,,,,,,PENTASA CR 500MG CAPSULE,9.62,9.62,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109891,637,,,,,,,,CITRUCEL 500MG CAPLET,4.5,4.5,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109892,637,,,,,,,,DULOXETINE 20MG CAPSULE ER,10.22,10.22,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109893,637,,,,,,,,ENTACAPONE 200MG TABLET,7.95,7.95,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109894,637,,,,,,,,RIVASTIGMINE 13.3MG PATCH,20.86,20.86,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109895,637,,,,,,,,ENALAPRIL/HCTZ 10MG/25MG TABLET,5.19,5.19,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109896,637,,,,,,,,MOMETASONE 50MCG NASAL SPRAY 17GM,273.93,273.93,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109899,637,,,,,,,,PRISTIQ 100MG TABLET,15.09,15.09,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109904,637,,,,,,,,BUPROPION XL 150MG TABLETS,9.35,9.35,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109905,637,,,,,,,,EPI-PEN JR 0.15MG AUTO INJECTOR,324.82,324.82,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109906,637,,,,,,,,UREA 20% CREAM 3OZ TUBE,25,25,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109907,637,,,,,,,,ONE TOUCH ULTRA BLUE TEST STRIPS,2.23,2.23,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109908,636,J0490,,,,,,,BENLYSTA 400MG VIAL,4945.9,4945.9,,,,,,,,,,,,,,,,,,,
109910,637,,,,,,,,ENALAPRIL/HCTZ 5MG/12.5MG TABLET,5.07,5.07,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109915,637,,,,,,,,AMLODIPINE 10MG TABLET,6.39,6.39,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109916,637,,,,,,,,ONE TOUCH VERIO TEST STRIP 50 COUNT,123.46,123.46,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109917,637,,,,,,,,PRAMIPEXOLE 0.75MG ER CAPSULE,20.14,20.14,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109918,637,,,,,,,,MOVANTIK ORAL TABLET 25MG,14.97,14.97,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109919,637,,,,,,,,"NYSTATIN OINT 100,000U/1GM",33.25,33.25,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109920,637,,,,,,,,RENVELA 0.8GM PACKET,24.32,24.32,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109921,637,,,,,,,,PROAIR HFA INHALER,74.44,74.44,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109922,637,,,,,,,,VALACYCLOVIR 1GM TABLET,16.65,16.65,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109923,637,,,,,,,,OXANDROLONE 2.5MG TABLETS,10.93,10.93,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109924,637,,,,,,,,PREMPRO 0.625MG/2.5MG TABLETS,10.39,10.39,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109925,637,,,,,,,,ANORO ELLIPTA 62.5MCG/25MCG INHALER,113.2,113.2,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109926,637,,,,,,,,RIFAMPIN 150MG CAPSULE,5.57,5.57,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109928,637,,,,,,,,OCTREOTIDE ACETATE 100MCG/ML INJECTION,25.2,25.2,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109929,637,,,,,,,,CONTOUR TEST STRIPS,123.88,123.88,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109930,637,,,,,,,,MINOCYCLINE 100MG CAPSULE,7.4,7.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109938,637,,,,,,,,REXULTI 1MG TABLET,41.39,41.39,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109939,637,,,,,,,,ROSUVASTATIN(CRESTOR) 10MG TABLETS,13.95,13.95,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109940,637,,,,,,,,ERY-TAB(ERYTHROMYCIN)250MG: TAB,5.11,5.11,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109941,637,,,,,,,,ROSUVASTATIN(CRESTOR) 5MG TABLETS,12.94,12.94,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109942,637,,,,,,,,BENICAR 40MG/HCT 25MG TABLET,12.83,12.83,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109946,637,,,,,,,,CLOBETASOL PROP 0.05% CREAM 30GM,143.27,143.27,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109952,250,,,,,,,,MEDROXYPROGESTERONE 150MG/ML INJ,87.56,87.56,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109954,637,,,,,,,,FLUOXETINE 10MG TABLET,6.86,6.86,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109955,637,,,,,,,,PRAMIPEXOLE 3MG ER TABLETS,20.13,20.13,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109956,637,,,,,,,,BENAZEPRIL/HCTZ 10MG/12.5MG TABLET,6.07,6.07,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109957,637,,,,,,,,EPIPEN AUTO-INJECTOR 0.3MG,372.16,372.16,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109958,637,,,,,,,,ROSUVASTATIN 20MG TABLETS,12.95,12.95,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109959,637,,,,,,,,REXULTI 2MG TABLETS,41.38,41.38,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109960,637,,,,,,,,OLANZAPINE 5MG TABLET,17.21,17.21,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109961,637,,,,,,,,BENICAR 40MG TABLETS,12.83,12.83,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109962,637,,,,,,,,METHOCARBAMOL 750MG TABLET,4.73,4.73,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109966,637,,,,,,,,TRINTELLIX 20MG TABLET,16.72,16.72,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109967,637,,,,,,,,MOMETASONE FUROATE 0.1% CREAM 15GM,13.05,13.05,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109968,637,,,,,,,,MUPIROCIN 2% CREAM 15GM,186.39,186.39,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109969,636,J0490,,,,,,,BENLYSTA 120MG VIAL,1554.4,1554.4,,,,,,,,,,,,,,,,,,,
109973,637,,,,,,,,DUREZOL 0.05% OPTH EMULSION 5ML,190.06,190.06,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109974,637,,,,,,,,0.9% SODIUM CHLORIDE IRRIGATION 1000ML,12,12,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109979,637,,,,,,,,BREO ELLIPTA 100/25MCG INHALER 14 DOSE,169.38,169.38,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109981,250,,,,,,,,LEVETIRACETAM 100MG/1ML 5ML VIAL,39,39,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
109982,637,,,,,,,,SILVADENE 1% CREAM 25GM TUBE,15.94,15.94,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109984,637,,,,,,,,LEVETIRACETAM 500MG TABLET,4.11,4.11,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109986,637,,,,,,,,ARIPIPRAZOLE (ABILIFY) 2MG TABS,36.11,36.11,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109989,637,,,,,,,,ROPINIROLE 0.25MG TABLETS,6.5,6.5,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109990,637,,,,,,,,MONOJECT 25G X1  3ML SYRINGE,26.97,26.97,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109991,637,,,,,,,,ROPINIROLE 3MG TABLET,6.6,6.6,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109992,637,,,,,,,,OXYBUTYNIN ER 10MG TABLET,7.08,7.08,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109993,637,,,,,,,,GARDISIL VACCINE 0.5ML VIAL,493.25,493.25,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
109998,637,,,,,,,,PAZEO 0.7% OPTH SOLN 2.5ML BOTTLE,186.1,186.1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110003,637,,,,,,,,FREESTYLE LITE TEST STRIPS 100,259.69,259.69,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110004,637,,,,,,,,LIDOCAINE 2% JELLY 30ML TUBE,23.67,23.67,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110005,637,,,,,,,,PRAMOXINE 1% FOAM 15GM,85.65,85.65,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110006,637,,,,,,,,DICLOFENAC 1% GEL 100GM,58.92,58.92,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110009,250,,,,,,,,CEFTAZIDIME(FORTAZ) 1GM VIAL,30.6,30.6,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110013,250,,,,,,,,GRANISETRON(KYTRIL)1MG/ML VIAL,42,42,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110017,637,,,,,,,,PROLENSA 0.07% OPHTH SOLN 3ML VIAL,261.1,261.1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110018,250,,,,,,,,PROLASTIN C VIAL,1651.25,1651.25,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110021,637,,,,,,,,PROPARACAINE 0.5% OPHTH SOLN 15ML,50.87,50.87,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110027,636,J9100,,,,,,,CYTARABINE 1000MG/50ML VIAL,181.3,181.3,,,,,,,,,,,,,,,,,,,
110028,636,J9100,,,,,,,CYTARABINE 100MG/5ML VIAL,118.75,118.75,,,,,,,,,,,,,,,,,,,
110040,637,,,,,,,,METHENAMINE 1GM TABLETS,6.09,6.09,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110041,637,,,,,,,,RID LICE SHAMPOO 4OZ,23.68,23.68,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110043,636,J9034,,,,,,,BENDEKA 100MG/4ML VIAL,7436.4,7436.4,,,,,,,,,,,,,,,,,,,
110044,637,,,,,,,,MORPHINE ORAL SOLUTION 10MG/5ML,5.63,5.63,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110049,637,,,,,,,,PRAVASTATIN (PRAVACHOL) 40MG TAB,8.79,8.79,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110052,637,,,,,,,,JARDIANCE 10MG TAB,19.67,19.67,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110055,637,,,,,,,,LATUDA (LURASIDONE) 20MG TAB,44.52,44.52,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110056,637,,,,,,,,RIVASTIGMINE(EXELON)4.6MG/24HOUR PATCH,20.9,20.9,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110064,250,,,,,,,,MARCAINE 0.25%-EPINEPHRINE 1:200 30ML VI,40.2,40.2,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110065,250,,,,,,,,OXACILLIN 2GM VIAL,85.7,85.7,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110068,636,J0894,,,,,,,DECITABINE 50MG VIAL,4891.35,4891.35,18.95,18.95,,,,,,,,,,,,,18.95,,,,
110069,637,,,,,,,,THYROID 30MG TABLET,4.36,4.36,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110073,250,,,,,,,,KETAMINE 500MG/10ML VIAL,33,33,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110074,637,,,,,,,,GALANTAMINE ER (RAZADYNE) 16MG CAPSULE,10.36,10.36,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110079,637,,,,,,,,DARIFENACIN ER (ENABLEX) 7.5MG TAB,15.06,15.06,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110081,637,,,,,,,,MESALAMINE DR(ASACOL HD) 800MG TAB,14.73,14.73,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110084,637,,,,,,,,METHADONE(DOLOPHINE) 5MG TAB,4.32,4.32,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110085,250,,,,,,,,HYPERRAB IMMUNOGLOBULIN 10ML VIAL,9519.78,9519.78,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110092,637,,,,,,,,AMITIZA 8MCG CAPSULES,11,11,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110093,637,,,,,,,,DUTASTERIDE (AVODART) 0.5MG CAPSULE,10.05,10.05,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110094,636,J2505,,,,,,,NEULASTA ONPRO 6MG/0.6ML KIT,17035.05,17035.05,,,,,,,,,,,,,,,,,,,
110108,637,,,,,,,,ELMIRON 100MG CAP,13.95,13.95,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110109,637,,,,,,,,SAVAYSA (EDOXABAN) 30MG TAB,16.58,16.58,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110110,637,,,,,,,,ELIQUIS 2.5MG TABLET,14.77,14.77,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110111,637,,,,,,,,CLINIMIX E 5/20 TPN 1000ML (CENTRAL LINE,122.35,122.35,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110112,637,,,,,,,,OLMESARTAN (BENICAR) 20MG TAB,10.92,10.92,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110113,250,,,,,,,,ENOXAPARIN 60MG/0.6MG SYRINGE,148.95,148.95,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110114,637,,,,,,,,INTRALIPID INJECTION 20% 250ML,132.5,132.5,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110116,250,,,,,,,,OCTREOTIDE 200MCG/ML  5ML VIAL,313.15,313.15,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110117,637,,,,,,,,DONEPEZIL 23MG (ARICEPT) TAB,15.36,15.36,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110123,250,,,,,,,,CLINIMIX E 5/20 TPN 2000ML (CENTRAL LINE,222.23,222.23,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110144,637,,,,,,,,INCRUSE ELLIPTA 62.5MCG INHALER,82.42,82.42,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110146,637,,,,,,,,SALINE NASAL GEL,10.08,10.08,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110148,637,,,,,,,,CLOPIDOGREL(PLAVIX)300MG TABS,23.27,23.27,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110155,637,,,,,,,,DICLOFENAC/MISOPROSTOL 50MG/0.2MG TAB,7.35,7.35,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110157,637,,,,,,,,CYCLOPHOSPHAMIDE 25MG CAPSULE,13.36,13.36,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110162,637,,,,,,,,TUCKS MEDICATED PADS,13.5,13.5,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110173,637,,,,,,,,TURMERIC 500MG CAPSULE,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110174,637,,,,,,,,TRULICITY 0.75MG/0.5ML PEN,208.8,208.8,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110180,637,,,,,,,,EZETIMIBE 10MG TAB (ZETIA),14.28,14.28,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110182,250,,,,,,,,CEFTRIAXONE(ROCEPHIN) 2GM VIAL ADV,243.53,243.53,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110192,637,,,,,,,,CAPTOPRIL 100MG(CAPOTEN) TABS,7.81,7.81,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110198,637,,,,,,,,POTASSIUM CHL 20MEQ/15ML LIQ PER DOSE,4.25,4.25,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110199,637,,,,,,,,CEVIMELINE(EVOXAC) 30MG CAPSULES,8.2,8.2,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110200,250,,,,,,,,ZYPREXA 10MG INJECTABLE,132.18,132.18,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110201,637,,,,,,,,FENOFIBRATE 54MG TAB,4.79,4.79,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110207,637,,,,,,,,CHLORHEXIDINE  0.12% ORAL RINSE 15ML DOS,4.33,4.33,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110211,637,,,,,,,,OFLOXACIN OPHTH SOLN 0.3% 5ML,77.35,77.35,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110213,637,,,,,,,,PHENYTOIN(DILANTIN)SUSP 125MG/5ML DOSE,4.78,4.78,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110214,637,,,,,,,,PHENOBARBITAL SOLN 20MG/5ML DOSE,5.06,5.06,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110225,636,J9299,,,,,,,OPDIVO 40MG/4ML VIAL,3154.18,3154.18,33.15,33.15,,,,,,,,,,,,,33.15,,,,
110226,636,J9299,,,,,,,OPDIVO 100MG/10ML VIAL,7735.45,7735.45,33.15,33.15,,,,,,,,,,,,,33.15,,,,
110234,637,,,,,,,,DOUBLE ANTIBIOTIC OINT(POLYSPORIN)28GM,15,15,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110238,637,,,,,,,,METHYLPHENIDATE(RITALIN)5MG,15.42,15.42,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110239,637,,,,,,,,LINEZOLID 600MG,8.15,8.15,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110241,250,,,,,,,,MEROPENEM(MERREM)1GM VIAL,75,75,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110245,637,,,,,,,,CEFDINIR(OMNICEF) 300MG CAPSULE,9.11,9.11,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110252,637,,,,,,,,DIVALPROEX ER(DEPAKOTE ER)250MG,6.45,6.45,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110254,637,,,,,,,,DOCUSATE SOD LIQUID 50MG/5ML(10ML DOSE),4.01,4.01,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110266,636,J0640,,,,,,,LEUCOVORIN 200MG VIAL,135,135,6.79,6.79,,,,,,,,,,,,,6.79,,,,
110268,250,,,,,,,,MORPHINE 8MG/ML VIAL,18.36,18.36,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110269,250,,,,,,,,LIDOCAINE(XYLOCAINE)WITH EPI 2% 20ML INJ,26.4,26.4,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110290,637,,,,,,,,GALANTAMINE ER 8MG(RAZADYNE ER)CAP,10.36,10.36,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110295,637,,,,,,,,BUPROPION SR 100MG TABLET,5.69,5.69,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110296,637,,,,,,,,PHENASEPTIC THROAT SPRAY(CHLORESEPTIC),6.37,6.37,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110297,636,J9173,,,,,,,IMFINZI 50MG/ML 2.4ML VIAL,2778.4,2778.4,,,,,,,,,,,,,,,,,,,
110298,636,J9173,,,,,,,IMFINZI 50MG/ML 10ML VIAL,11259.95,11259.95,,,,,,,,,,,,,,,,,,,
110299,250,,,,,,,,DAPTOMYCIN(CUBICIN)500MG VIAL,1351.35,1351.35,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110300,637,,,,,,,,MOXIFLOXACIN(VIGAMOX)0.5% 3ML VIAL,181.33,181.33,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110301,637,,,,,,,,OSELTAMIVIR 75MG(TAMIFLU)CAPSULES,19.46,19.46,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110302,637,,,,,,,,DULERA 200MCG/5MCG INHALER,355.66,355.66,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110303,637,,,,,,,,DESMOPRESSIN 0.2MG TABS,5.41,5.41,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110310,637,,,,,,,,DAPSONE 100MG TABLETS,7.02,7.02,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110311,637,,,,,,,,VALGANCICLOVIR 450MG TABLET,68.4,68.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110312,637,,,,,,,,GENVOYA TABLETS,114.22,114.22,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110313,637,,,,,,,,SODIUM CHLORIDE 7% INHALATION 4ML VIAL,4.4,4.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110314,250,,,,,,,,FONDAPARINUX(ARIXTRA)2.5MG INJ,151.63,151.63,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110323,637,,,,,,,,VALPROIC ACID 250MG/5ML  5ML DOSE,4.77,4.77,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110324,637,,,,,,,,PROPAFENONE 150MG TABLET,5.64,5.64,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110325,637,,,,,,,,FOLBIC RF,5.29,5.29,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110332,250,,,,,,,,MORPHINE 5MG/ML 30ML PCA,44.82,44.82,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110361,637,,,,,,,,PAROXETINE CR 37.5mg,9.99,9.99,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110364,637,,,,,,,,TRIAMCINOLONE 0.025% OINT 15GM,13.12,13.12,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110368,637,,,,,,,,IMIPRAMINE 50MG TABLET,5.22,5.22,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110369,637,,,,,,,,PENTASA CR (MESALAMINE) 250MG CAPSULE,6.81,6.81,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110377,637,,,,,,,,FLECAINIDE ACETATE(TAMBOCOR) 50MG TAB,6.02,6.02,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110382,637,,,,,,,,DAPSONE 25MG TABLETS,6.47,6.47,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110386,637,,,,,,,,SIMBRINZA OPHTHALMIC SUSPENSION,187.82,187.82,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110387,636,J2469,,,,,,,PALONOSETRON 0.25MG/5ML(0.05MG/ML),315,315,128.16,135.45,135.45,,,,,,,,,,,,128.16,,,,
110388,637,,,,,,,,ETHAMBUTOL 400MG TABLET,4.58,4.58,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110394,637,,,,,,,,CEFPODOXIME 200MG TABLETS,12.46,12.46,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110413,637,,,,,,,,PRAZOSIN 1MG CAPSULE,4.8,4.8,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110417,637,,,,,,,,OXYTROL 3.9MG/DAY,10.3,10.3,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110418,250,,,,,,,,SENSORCAINE 0.5%W/EPINEPHRINE 1:200000,54.63,54.63,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110427,637,,,,,,,,TRESIBA 200U/ML 3ML FLEXPEN,228.57,228.57,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110433,637,,,,,,,,SPS POWDER 15G DOSE,9.78,9.78,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110438,250,,,,,,,,CEFEPIME 1GM/D5W 50ML PREMIX,49,49,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110439,637,,,,,,,,PILOCARPINE 5MG TABS,5.62,5.62,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110444,250,,,,,,,,NOREPINEPHRINE(LEVOPHED) 4MG/4ML VIAL,69.05,69.05,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110445,637,,,,,,,,AMPHETAMINE SALTS 15MG ER(ADDERALL),10.13,10.13,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110447,637,,,,,,,,FETZIMA 40MG CAPSULE,18.35,18.35,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110448,250,,,,,,,,NEXTERONE(AMIODARONE) PM 150MG/100ML,119.07,119.07,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110449,250,,,,,,,,NEXTERONE(AMIODARONE) 360MG/200ML,153.42,153.42,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110450,637,,,,,,,,FERROUS SULFATE(FEOSOL)220MG/5ML 5M:ELIX,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110466,636,J3380,,,,,,,ENTYVIO 300MG VIAL,23154.7,23154.7,29.68,29.68,,,,,,,,,,,,,29.68,,,,
110467,250,,,,,,,,TRULICITY 1.5MG/0.5ML PEN,562.65,562.65,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110468,637,,,,,,,,TETRACAINE 0.5% OPTH   4ML,19.27,19.27,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110469,636,J9217,,,,,,,LUPRON DEPOT 30MG INJECTION,17524.55,17524.55,2171.32,2171.32,,,,,,,,,,,,,2171.32,,,,
110470,637,,,,,,,,BENEFIBER POWDER 248GM,18.09,18.09,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110472,637,,,,,,,,BREO ELLIPTA 200/25 INHALER 30 DOSE,416.25,416.25,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110473,250,,,,,,,,KCL 20MEQ/STERILE WATER 100ML PREMIX,22.98,22.98,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110474,250,,,,,,,,CEFTRIAXONE(ROCEPHIN)1GM VIAL (IM USE),19.5,19.5,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110490,250,,,,,,,,DALVANCE(DALBAVANCIN)500MG VIAL,4899.48,4899.48,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110491,250,,,,,,,,LIDOCAINE 1% 10ML VIAL,21.35,21.35,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110495,637,,,,,,,,DIGOXIN(LANOXIN)0.125MG TABLETS,6.3,6.3,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110496,637,,,,,,,,BUTRANS 10MCG/HOUR PATCH,127.81,127.81,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110511,637,,,,,,,,AKTEN(LIDOCAINE)OPHTH 3.5% GEL 1ML TUBE,33.55,33.55,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110513,637,,,,,,,,THEOPHYLLINE ER 200MG CAPSULE 24 HR,7.56,7.56,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110514,637,,,,,,,,VELPHORO 500MG CHEWABLE TAB,19.18,19.18,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110515,637,,,,,,,,SENSIPAR(CINACALCET) 60MG TAB,68.54,68.54,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110519,250,,,,,,,,NAFCILLIN 2GM VIAL,81,81,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110526,250,,,,,,,,ERTAPENEM SODIUM 1GM (INVANZ) VIAL,366.2,366.2,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110529,637,,,,,,,,POLYETHYLENE GLYCOL 3350(MIRALAX)17.9OZ,26.89,26.89,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110536,250,,,,,,,,TEFLARO 600MG VIAL,541.35,541.35,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110551,637,,,,,,,,TRELEGY ELLIPTA 100/62.5/25MCG INHALER,303.4,303.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110558,637,,,,,,,,BRILINTA 90MG TABLET,11.06,11.06,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110560,637,,,,,,,,BIOTIN 5000MCG CAPSULES,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110573,637,,,,,,,,SUPREP BOWEL PREP KIT,117.78,117.78,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110590,637,,,,,,,,BEVESPI AEROPHERE INH. 9MCG/4.8MCG,445.41,445.41,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110594,637,,,,,,,,PHYTONADIONE(MEPHYTON) 5MG TABLET,70.99,70.99,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110595,637,,,,,,,,PHYTONADIONE(MEPHYTON) 5MG TABLET,70.99,70.99,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110596,636,J1569,,,,,,,GAMMAGARD 1GM VIAL,449.75,449.75,89.07,4065.86,89.07,,,,4065.86,,,,,,,,,,,,
110597,637,A9270,,,,,,,"CREON 12,000 DR (PANCRELIPASE)CAPSULE",7.73,7.73,,,,,,,,,,,,,,,,,,,
110602,637,,,,,,,,TACROLIMUS(PROGRAF)0.5MG CAPSULES,6.23,6.23,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110603,637,,,,,,,,CLONIDINE(CATAPRES)0.3MG/DAY PATCH,81.36,81.36,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110612,637,,,,,,,,VIBERZI(ELUXADOLINE)75MG TAB,29.09,29.09,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110628,250,,,,,,,,GAMUNEX C 40GM VIAL,15629,15629,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110632,637,,,,,,,,metroNIDAZOLE(FLAGYL)250MG: TAB,4.43,4.43,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110643,637,,,,,,,,RENO CAPS,4.66,4.66,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110651,637,,,,,,,,TACROLIMUS(PROGRAF) 1MG CAPSULE,8.46,8.46,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110652,637,,,,,,,,BRIMONIDINE 0.2% OPHTH SOLN,39.65,39.65,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110666,636,J9145,,,,,,,DARZALEX 100MG VIAL,1674.15,1674.15,,,,,,,,,,,,,,,,,,,
110667,636,J9145,,,,,,,DARZALEX 400MG VIAL,6456.65,6456.65,,,,,,,,,,,,,,,,,,,
110669,637,,,,,,,,LABETALOL(TRANDATE)100MG TABLET,6.28,6.28,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110670,637,,,,,,,,DICLOFENAC EPOLAMINE PATCH 1.3%,20.4,20.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110673,637,,,,,,,,ENTRESTO 24MG/26MG TABLET,14.18,14.18,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110690,637,,,,,,,,LISINOPRIL 2.5MG TABLET,4.65,4.65,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110691,637,,,,,,,,ERYTHROMYCIN ETHYL SUCC 200MG/5ML  100ML,412.41,412.41,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110692,637,,,,,,,,ERYTHROMYCIN ETHYLSUCC 400MG/5ML 100ML,720.75,720.75,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110696,637,,,,,,,,AMPICILLIN 500MG CAPSULES,4.59,4.59,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110698,637,,,,,,,,REFRESH LUBRICANT EYE DROPS,17.33,17.33,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110702,637,,,,,,,,TRIAD CREAM 71GM TUBE,203.92,203.92,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110703,637,,,,,,,,SUCRALFATE(CARAFATE) 1GM/10ML DOSE,15.3,15.3,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110707,637,,,,,,,,DIFICID 200MG TABLETS,235.95,235.95,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110709,250,,,,,,,,LIDOCAINE MPF 1% 5ML VIAL,25.17,25.17,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110712,637,,,,,,,,FLORASTOR 250MG CAPSULE,4.7,4.7,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110716,637,,,,,,,,ESZOPICLONE(LUNESTA) 1MG TABLET,15.67,15.67,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110717,637,,,,,,,,ESTRADIOL 0.1MG/24HR PATCH,17.61,17.61,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110718,250,,,,,,,,PANTOPRAZOLE(PROTONIX) 40mg VIAL,34.5,34.5,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110728,637,,,,,,,,MEMANTINE ER(NAMENDA XR) 14MG CAPSULES,19.28,19.28,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110729,637,,,,,,,,WIXELA 250/50 INHALER(ADVAIR),456.08,456.08,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110734,636,J0894,,,,,,,DACOGEN(decitabine) 50MG VIAL,5489.65,5489.65,18.95,18.95,,,,,,,,,,,,,18.95,,,,
110748,250,,,,,,,,OFIRMEV 1000MG/100ML(ACETAMINOPHEN) IV,145.38,145.38,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110749,637,,,,,,,,SOLIFENACIN SUCC(VESICARE) 5MG TAB,18.65,18.65,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110750,636,Q5101,,,,,,,ZARXIO(FILGRASTIM-SNDZ) 480MCG:INJ,1331.95,1331.95,,,,,,,,,,,,,,,,,,,
110757,250,,,,,,,,NEUT 0.48mEq/ml  5ml VIAL,37.89,37.89,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110758,636,J0894,,,,,,,DECITABINE 50MG(DACOGEN) VIAL,2350,2350,18.95,18.95,,,,,,,,,,,,,18.95,,,,
110759,637,,,,,,,,NITROGLYCERIN 0.4MG(NITROSTAT) TAB,5.03,5.03,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110761,637,,,,,,,,SYSTANE BALANCE LUBRICANT EYE DROPS 10ML,17.44,17.44,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110765,250,,,,,,,,AMVISC PLUS 16MG/ML 0.8ML SYRINGE,393,393,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110766,250,,,,,,,,BUP 0.36%/LIDO 1%/HYAL 2.5UNIT   10ML,96,96,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110767,637,,,,,,,,MAXITROL OPTH OINT 4GM,240.87,240.87,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110768,250,,,,,,,,DEMEROL(MEPERIDINE)25MG/0.5ML INJ,21.15,21.15,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110771,637,,,,,,,,QUETIAPINE ER(SEROQUEL XR) 50MG TABLET,12.87,12.87,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110778,637,,,,,,,,SEVELAMER(RENVELA) 800MG TAB,7.78,7.78,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110780,250,,,,,,,,BETAMET SOD PHOS/BETHAMETH ACE 6MG/ML,169.5,169.5,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110781,250,,,,,,,,BUPIVACAINE 0.25%  2.5MG/ML 30ML,19.95,19.95,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110783,637,,,,,,,,LINZESS 72MCG CAPSULE,20.95,20.95,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110784,636,Q5103,,,,,,,INFLECTRA 100MG VIAL,2853.98,2853.98,,,,,,,,,,,,,,,,,,,
110785,636,J3489,,,,,,,ZOLEDRONIC ACID(ZOMETA)4MG/100ML,157.5,157.5,61.49,74.81,,,,,,,,,,,,,74.81,,61.49,,
110788,637,,,,,,,,PERMETHRIN 0.5%(ELIMITE) CREAM 60GM,130.75,130.75,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110789,637,,,,,,,,WIXELA(ADVAIR)500/50 60 DOSE INHALER,597.63,597.63,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110792,637,,,,,,,,SPIRIVA 2.5MCG/ACT RESPIMAT 4GM INH,97,97,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110796,636,J9190,,,,,,,FLUOROURACIL(ADRUCIL)500MG: INJ,54.85,54.85,,,,,,,,,,,,,,,,,,,
110802,637,,,,,,,,FOLIC ACID(FOLVITE)1MG: TAB,4.36,4.36,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110806,250,,,,,,,,FLUZONE HIGH DOSE VACCINE,162.38,162.38,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110811,636,J9000,,,,,,,DOXORUBICIN(ADRIAMCIN) 20MG VIAL,130,130,,,,,,,,,,,,,,,,,,,
110813,636,J9155,,,,,,,FIRMAGON 120MG VIAL,2301.28,2301.28,7.67,7.67,,,,,,,,,,,,,7.67,,,,
110821,637,,,,,,,,WIXELA 100/50(ADVAIR)INHALER,368.44,368.44,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110822,637,,,,,,,,PREGABALIN (LYRICA) 75MG CAP,4.92,4.92,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110831,637,,,,,,,,DRAMAMINE 50MG TABLETS,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110835,637,,,,,,,,AMOXICILLIN/CLAV ER(AUGMENTIN)1000/62.5M,11.67,11.67,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110840,637,,,,,,,,PRASUGREL 10MG(EFFIENT) TABS,20.51,20.51,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110841,637,,,,,,,,FEBUXOSTAT 80MG(ULORIC) TABS,15.87,15.87,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110847,637,,,,,,,,THIORIDAZINE(MELLARIL)10MG TABLET,4.52,4.52,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110853,636,J1453,,,,,,,FOSAPREPITANT(EMEND) 150MG VIAL,818.13,818.13,2.16,81.76,,,,,81.76,,,,,,,,2.16,,,,
110854,637,J1453,,,,,,,CLENPIQ BOWEL PREP 160ML X 2 BOTTLES,180.76,180.76,,,,,,,,,,,,,,,,,,,
110857,250,J2175,,,,,,,DEMEROL 100MG/2ML AMPULES,27.6,27.6,,,,,,,,,,,,,,,,,,,
110859,250,J3370,,,,,,,VANCOMYCIN 500MG VIAL,26.25,26.25,,,,,,,,,,,,,,,,,,,
110862,250,,,,,,,,PHYTONADIONE 10MG/ML INJECTABLE,143.3,143.3,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110872,637,,,,,,,,MIOSTAT 0.01% 1.5ML OPHTH SOLN,47.42,47.42,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110873,637,,,,,,,,SORE THROAT SPRAY 6OZ,6.5,6.5,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110874,637,,,,,,,,CALAMINE LOTION 6OZ,9.49,9.49,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110875,636,J1740,,,,,,,IBANDRONATE SOD. INJ. 3MG/3ML,1278,1278,,,,,,,,,,,,,,,,,,,
110880,250,,,,,,,,HYPERTONIC SALINE 3%NACL  500ML PM,31.34,31.34,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110888,637,,,,,,,,TRINTELLIX 5MG TABLET,20.13,20.13,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110890,637,,,,,,,,FIRVANQ 50MG/ML ORAL SOLUTION 150ML,170.5,170.5,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110891,250,,,,,,,,TRANEXAMIC ACID 1000MG/10 ML VIAL,231.98,231.98,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110893,637,,,,,,,,BUPROPION 75MG TABLET,4.79,4.79,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110905,637,,,,,,,,ALBUTEROL MDI(VENTOLIN),69.44,69.44,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110906,637,,,,,,,,LIDOCAINE 2% JELLY UROJET 5ML,13.9,13.9,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110907,637,,,,,,,,LIDOCAINE VISCOUS 2% 10ML DOSE,5.32,5.32,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110908,637,,,,,,,,DONNATOL(GENERIC)ELIXIR 10ML DOSE,36,36,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110909,250,Q5111,,,,,,,UDENYCA(PEGFILGRASTIM-CBQV)6MG: INJ,12540,12540,,,,,,,,,,,,,,,,,,,
110911,637,,,,,,,,SCOPOLAMINE 1MG/3DAY PATCH,24.2,24.2,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110912,250,,,,,,,,"SENSORCAINE 0.25%/EPI  1:200,000 50ML VI",55.3,55.3,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110915,637,,,,,,,,TIMOLOL MAL(TIMOPTIC)DROP:0.5% 10ML,16.62,16.62,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110917,637,,,,,,,,RANOLAZINE ER(RANEXA)500MG TABLET,11.11,11.11,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110929,637,,,,,,,,POTASSIUM CITRATE(UROCRIT) 10MEQ TAB,5.19,5.19,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110930,637,,,,,,,,TRAVOPROST 0.004% OPHTH. SOLN,216.61,216.61,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110934,250,,,,,,,,NPLATE(ROMIPLASTIN) 125MCG/0.25ML VIAL,2939.5,2939.5,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110935,636,J9299,,,,,,,OPDIVO 240MG VIAL,20137.48,20137.48,33.15,33.15,,,,,,,,,,,,,33.15,,,,
110937,637,,,,,,,,CARBAMAZEPINE ER 200MG TABLET,6.08,6.08,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110938,637,,,,,,,,prednisoLONE(PEDIAPRED)5MG/5ML 10ML DOSE,12.18,12.18,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110944,637,,,,,,,,CHILDREN'S CHEWABLE VITAMINS,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110945,637,,,,,,,,LOVASTATIN 20MG TABLET,6.37,6.37,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110946,250,,,,,,,,MIDAZOLAM(VERSED) 5MG/ML    5ML VIAL,27.58,27.58,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110948,637,,,,,,,,ERYTHROMYCIN  DR 250MG TABLET,12.83,12.83,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110949,637,,,,,,,,METOCLOPRAMIDE SYRUP 5MG/5ML DOSE,4.37,4.37,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110950,637,,,,,,,,VIMPAT 50MG TABLET,15.39,15.39,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110952,637,,,,,,,,CYCLOGYL 0.5% OPTH SOLN 15ML,101.5,101.5,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110954,637,,,,,,,,LEVETIRACETAM 100MG/ML SOLUTION PER DOSE,10.13,10.13,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110957,637,,,,,,,,CENTRUM LIQUID 15ML DOSE,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110958,637,,,,,,,,DEXTROMETHORPHAN(DELSYM)30MG/5ML 10ML DO,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110964,637,,,,,,,,ARTIFICIALTEARS0.2%/0.2%/1%(VISINE DRY E,8.67,8.67,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110968,637,,,,,,,,TADALAFIL 5MG(CIALIS) TABLET,16.31,16.31,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110975,250,,,,,,,,VEKLURY(REMDESIVIR)100MG/VIAL,1315,1315,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
110979,637,,,,,,,,PREGABALIN (LYRICA)50MG CAPSULES,4.09,4.09,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
110995,637,,,,,,,,PHENYLEPHRINE(NEOSYNEPHRINE)2.5% 15ML,115,115,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111003,637,,,,,,,,CYCLOGYL  2% OPTH SOLN 15ML,125.85,125.85,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111014,637,,,,,,,,PRAZOSIN 5MG CAPSULE,6.18,6.18,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111015,250,,,,,,,,NICARDIPINE 25MG/10ML VIAL,91.55,91.55,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
111018,637,,,,,,,,NICARDIPINE 20MG CAPSULE,20.49,20.49,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111025,637,,,,,,,,CYCLOGYL  2% OPTH SOLN 5ML,78.56,78.56,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111028,637,,,,,,,,LEVONORGESTREL 1.5MG TABLET (PLAN B),13.05,13.05,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111030,637,,,,,,,,HYDROCORTISONE 10MG TABLET,4.57,4.57,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111034,250,,,,,,,,MAGNESIUM SULF 50% 2ML VIAL; INJ,19.74,19.74,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
111035,637,,,,,,,,ARNUITY ELLIPTA 100MCG INHALER 14 DOSE,110.1,110.1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111037,637,,,,,,,,LEVALBUTEROL HFA (XOPENEX) INH,80.7,80.7,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111038,637,,,,,,,,ADVAIR HFA 230/21MCG INHALER 60 DOSE,396.47,396.47,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111039,250,,,,,,,,MICAFUNGIN 100MG/10ML VIAL,576,576,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
111040,636,J0290,,,,,,,AMPICILLIN 2GM VIAL:,56.88,56.88,,,,,,,,,,,,,,,,,,,
111044,250,,,,,,,,Ozempic 0.25MG or 0.5MG Doses 2MG/1.5,1028.92,1028.92,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
111048,637,,,,,,,,VENLAFAXINE ER 150MG (EFFEXOR XR),9.08,9.08,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111049,637,,,,,,,,NOVOLOG 100UNITS/ML 10ML VIAL,354.23,354.23,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111053,637,,,,,,,,AMPHETAMINE SALTS(ADDERALL)30MG TAB,5.74,5.74,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111054,637,,,,,,,,CYCLOPENTOLATE(CYCLOGYL) 1% EYE SOL 15ML,45.27,45.27,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111058,637,,,,,,,,ROPINIROLE ER 4MG(REQUIP XL) TABLET,9.47,9.47,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111059,637,,,,,,,,LAMOTRIGINE (LAMICTAL) 200MG TABLET,10.14,10.14,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111064,250,,,,,,,,LEVETIRACETAM 1000MG/100ML PREMIX:,105,105,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
111065,637,,,,,,,,XARELTO 2.5MG TABLET,23.7,23.7,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111066,250,,,,,,,,SHINGRIX 50MCG/0.5ML,501.03,501.03,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
1110667,637,,,,,,,,FLUVASTATIN 20MG CAPSULE,9,9,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111077,637,,,,,,,,BRINZOLAMIDE (AZOPT) 1% EYE DROPS 10ML,398.29,398.29,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111079,250,,,,,,,,ACETAMINOPHEN  IVPB 1000MG/100ML,121.58,121.58,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
111085,637,,,,,,,,GAVILYTE-N (NULYTELY),35.8,35.8,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111090,637,,,,,,,,GENTAMICIN SULFATE 0.1% 15GM: CREAM,22.99,22.99,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111094,250,,,,,,,,LINEZOLID(ZYVOX) 600MG/300ML PREMIX,144.15,144.15,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
111100,250,,,,,,,,LEVETIRACETAM 500MG/100ML PREMIX:,70.5,70.5,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
111103,250,,,,,,,,METHYLPREDN(DEPOMEDROL)40MG/ML 1ML V:INJ,41.1,41.1,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
111105,250,,,,,,,,TRIAMCINOLONE 40MG/ML 1MLVIAL:INJ,40.5,40.5,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
111106,250,,,,,,,,BUPIVACAINE 0.5%   30ML VIAL:INJ,20.46,20.46,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
111110,250,,,,,,,,FENTANYL 250MCG/5ML AMPULE,22.5,22.5,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
111115,637,,,,,,,,CYCLOPENTOLATE(CYCLOGYL) 1% EYE SOL 2ML,24.33,24.33,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111132,250,J0885,,,,,,,"RETACRIT(EPOETIN)20,000U/ML 1ML VIAL:INJ",676.8,676.8,,,,,,,,,,,,,,,,,,,
111136,637,,,,,,,,GENTAMICIN 0.1% TOP POWDER(COMPOUNDED),52,52,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111141,250,J7665,,,,,,,MANNITOL 50GM/250ML BAG,81.3,81.3,,,,,,,,,,,,,,,,,,,
111146,637,,,,,,,,NEBIVOLOL(BYSTOLIC)5MG TAB,9.68,9.68,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111148,637,,,,,,,,ALENDRONATE(FOSAMAX)35MG TAB,24.63,24.63,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111152,637,,,,,,,,VYZULTA OPHTH SOLN 0.024%  2.5ML,264.26,264.26,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111154,637,,,,,,,,DICLOFENAC ER 100MG: TAB,6.7,6.7,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111156,637,,,,,,,,OSELTAMIVIR(TAMIFLU)6MG/ML ORAL SUSP,167.74,167.74,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111157,637,,,,,,,,TOPIRAMATE(TOPAMAX)200MG TABLET,12.15,12.15,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111158,637,,,,,,,,DEXTROAMPHETAMINE ER(DEXEDRINE)15MG CAP,10.45,10.45,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111159,637,,,,,,,,DEXTROAMPHETAMINE(DEXEDRINE)10MG TABLET,7.15,7.15,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111160,250,,,,,,,,MILRINONE 20MG/100ML PREMIX,60.6,60.6,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
111162,637,,,,,,,,VRAYLAR 3MG CAPSULE,54.71,54.71,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111172,250,,,,,,,,MIDAZOLAM(VERSED) 100MG/100ML PREMIX,104.98,104.98,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
111177,250,,,,,,,,OLANZAPINE 10MG VIAL,128.05,128.05,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
111181,637,,,,,,,,LEVOTHYROXINE(SYNTHROID)88MCG TABLET,4.58,4.58,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111182,637,,,,,,,,OLOPATADINE(PATANOL) 0.1% OPHTH SOLN 5ML,16.12,16.12,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111186,637,,,,,,,,LIVALO (PITAVASTATIN) 2MG TAB,16.79,16.79,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111192,637,,,,,,,,ZENPEP 40000UNIT CAPSULE,21.72,21.72,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111196,637,,,,,,,,OLOPATADINE 0.2%(PATADAY DAILY) 2.5ML,17.56,17.56,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111199,637,,,,,,,,CRESEMBA 186MG (ISAVUCONAZONIUM)CAP,110.02,110.02,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111200,637,,,,,,,,SIROLIMUS(RAPAMUNE) 0.5MG TABLET,12.47,12.47,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111201,637,,,,,,,,PREVYMIS 240MG(LETERMOVIR) TAB,288.42,288.42,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111202,250,,,,,,,,AMBISOME 50MG (AMPHOTERICIN-B) INJ:VIAL,864.15,864.15,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
111206,637,,,,,,,,CYCLOPENTOLATE(CYCLOGYL) 2% EYE SOLN 5ML,55.8,55.8,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111209,637,,,,,,,,FIASP FLEXTOUCH 100UNITS/ML 3ML PEN,350.3,350.3,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111213,637,,,,,,,,TRESIBA 100U/ML 3ML FLEXPEN,129.02,129.02,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111216,637,,,,,,,,MAGIC MOUTH:LIDO/BENAD/MAALOX/NYSTATIN,6,6,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111217,637,,,,,,,,CELECOXIB (CELEBREX) 100MG CAPSULE,8.62,8.62,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111218,250,,,,,,,,BARHEMSYS 5MG/2ML VIAL,142.5,142.5,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
111220,250,,,,,,,,CALCITONIN 400IU/2ML VAIL,9408,9408,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
111223,637,,,,,,,,EPLERENONE(INSPRA )25MG: TAB,8.17,8.17,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111226,637,,,,,,,,ZINC OXIDE OINTMENT 56.7GM TUBE,16.06,16.06,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111228,637,,,,,,,,D-MANNOSE 500MG CAPSULE,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111231,637,,,,,,,,BREZTRI 160/9/4.8 INHALER 28,409.4,409.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111232,637,,,,,,,,LEVOTHYROXINE 50MCG(SYNTHROID) TAB,4.52,4.52,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111233,637,,,,,,,,VITAMIN D 5000IU TABLET,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111234,637,,,,,,,,CLOBETASOL TOPICAL SOLUTION 0.05% 25ML,110.16,110.16,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111235,250,,,,,,,,PREVNAR-20 VACCINE,761.63,761.63,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
111239,250,,,,,,,,DEXTROSE 10% 1000ML BAG,34.45,34.45,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
111241,637,,,,,,,,SORE THROAT LOZENGE(CEPACOL),1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111242,637,,,,,,,,ACETAMINOPHEN 325MG TABLET(TYLENOL),1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111243,637,,,,,,,,VASHE WOUND SOLUTION 250ML BOTTLE,22.75,22.75,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111405,250,,,,,,,,GLUCAGON 1MG/ML 1ML SYRINGE:INJ,265,265,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
111442,637,,,,,,,,GLYCERIN SUPP:ADULT,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111454,637,,,,,,,,GLYCERIN SUPP:INFANT,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
111855,250,,,,,,,,HEP-LOCK FLUSH 5ML SYRINGE,16.43,16.43,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
112161,637,,,,,,,,hydrALAZINE 25MG,4.62,4.62,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
112227,637,,,,,,,,HYDROCHLOROTHIAZIDE(HYDRODIURIL)50MG:TAB,4.16,4.16,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
112239,637,,,,,,,,HYDROCHLOROTHIAZIDE(HYDRODIURIL)25MG:TAB,4.03,4.03,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
112306,637,,,,,,,,HYDROCORTISONE ONT .5% PD 1 OZ***,11.03,11.03,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
112434,637,,,,,,,,hydrOXYzine HCL(ATARAX)25MG: TAB,4.92,4.92,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
112458,637,,,,,,,,hydrOXYzine(ATARAX)10MG:TAB,4.63,4.63,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
113244,637,,,,,,,,IPECAC SYR 15ML,8.7,8.7,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
113347,637,,,,,,,,ISONIAZID 300MG TABS,4.11,4.11,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
113712,637,,,,,,,,ISOPTO HOMATROPINE 2% 5ML: OPTH DROP,39.39,39.39,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
113920,250,,,,,,,,ISUPREL 1 5000 AMP 5ML,160.53,160.53,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
114674,637,,,,,,,,LACTINEX(LACTOBACILLUS)TAB,4.19,4.19,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
114790,637,,,,,,,,LANOXIN 0.125MG TABLET,5.09,5.09,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
114807,637,,,,,,,,LANOXIN(DIGOXIN)0.25MG: TAB,5.09,5.09,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
114893,250,,,,,,,,FUROSEMIDE(LASIX)20MG (10MG/ML) IV/IM,18.9,18.9,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
114900,250,,,,,,,,FUROSEMIDE(LASIX)40MG (10MG/ML): IV/IM,19.3,19.3,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
114923,637,,,,,,,,FUROSEMIDE(LASIX)20MG: TAB,4.17,4.17,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
114947,637,,,,,,,,FUROSEMIDE(LASIX)80MG: TAB,4.45,4.45,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
115034,250,,,,,,,,LEVOPHED AMP 4ML .2%,24.85,24.85,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
115113,637,,,,,,,,CLIDINIUM/CHLOR(LIBRAX)CAP:2.5MG/5MG,4.95,4.95,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
115538,637,,,,,,,,DIPHENOXYLATE/ATROPINE(LOMOTIL)2.5MG:TAB,4.53,4.53,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
116000,637,,,,,,,,MAGIC MOUTHWASH 130ML: MYLA/DIPH/CARAFTE,14.25,14.25,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
116555,637,,,,,,,,MAALOX PLUS SUSP:30ML***,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
116671,250,,,,,,,,MAGNESIUM SULF 50% 10ML VIAL:INJ,22.95,22.95,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
116774,250,,,,,,,,MANNITOL 25% 50ML VIAL: INJ,18.93,18.93,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
116968,637,,,,,,,,NEO/POLYB/DEX(MAXITROL)1% 4GM: OPTH OINT,51,51,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
116970,637,,,,,,,,NEO/POLYB/DEX(MAXITROL)5ML SUSP,26.86,26.86,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
117420,637,,,,,,,,METAMUCIL(PSYLLIUM)ORANGE PKT:UD,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
117810,637,,,,,,,,MILK OF MAGG 15 CC,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
117821,637,,,,,,,,MILK OF MAGNESIA 30ML: SUSP,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
117936,250,,,,,,,,morphine 4MG/ML 1ML TUBEX: INJ,19.9,19.9,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
118,410,94660,,,,,,,BI PAP /CPAP,1902,1902,748.65,2746.8,,,,,,,,,,,,2746.8,748.65,,,,
118310,637,,,,,,,,morphine SULF(MSIR)15MG: TAB,4.39,4.39,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
118333,250,,,,,,,,morphine 10MG/ML 1ML TUBEX: INJ,19.9,19.9,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
118539,250,,,,,,,,MVI 10ML VIAL: INJ,47.35,47.35,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
118692,637,,,,,,,,NYSTATIN/TRIAM(MYCOLOG) l5GM: CREAM,118.94,118.94,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
118709,637,,,,,,,,NYSTATIN/TRIAM(MYCOLOG)30GM: CREAM,166.52,166.52,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
118746,637,,,,,,,,NYSTATIN/TRIAMCIN(MYCOLOG) OINT30GM,167.52,167.52,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
118758,637,,,,,,,,NYSTATIN(MYCOSTATIN)30GM: CREAM,33.25,33.25,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
120066,637,,,,,,,,NEO/BACIT/POLYB(NEOSPORIN)4GM: OPTH OINT,63.95,63.95,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
120169,637,,,,,,,,NIACIN 50MG: TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
120170,637,,,,,,,,NIACIN 100MG,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
120534,637,,,,,,,,NITROSTAT(NITROGLYCERIN)0.4MG: TAB,4.44,4.44,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
121400,637,,,,,,,,OYST-CAL D 500MG TABS,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
121551,637,,,,,,,,NORTRIPTYLINE(PAMELOR)25MG: CAP,4.77,4.77,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
121782,637,,,,,,,,PHENobarbital 20MG/5ML ELIXIR 5ML,4.27,4.27,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
121824,637,,,,,,,,PHENOBARBITAL 30MG: TAB,4.08,4.08,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
121952,637,,,,,,,,PEN-VK(VEETIDS)250MG: TAB,4.23,4.23,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
122040,637,,,,,,,,PEPTO BISMOL(GEN)LIQ:DOSE,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
122051,637,,,,,,,,oxyCODONE/ACETAMIN(PERCOCET)5MG/325M:TAB,4.51,4.51,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
122592,637,,,,,,,,PILOCARPINE(AKARPINE)1% 15ML: DOROP,51.7,51.7,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
122609,637,,,,,,,,PILOCARPINE(ISOPTO CARP)2% 15ML:DROP,105.56,105.56,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
122671,250,,,,,,,,PITOCIN(OXYTOCIN)10UNITS/ML 1ML VIAL:INJ,26.25,26.25,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
122932,250,,,,,,,,POTASSIUM CHLORIDE 2mEq/ML 20ML VIAL:INJ,18.15,18.15,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
123328,637,,,,,,,,predniSONE 1MG: TAB,4.19,4.19,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
123330,637,,,,,,,,predniSONE 10MG: TAB,4.13,4.13,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
123353,637,,,,,,,,predniSONE 20MG: TAB,4.17,4.17,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
123377,637,,,,,,,,predniSONE 5MG: TAB,4.04,4.04,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
123444,636,J1410,,,,,,,PREMARIN(ESTROGEN)25MG/ML 1ML AMPS: INJ,446.95,446.95,,,,,,,,,,,,,,,,,,,
123456,637,,,,,,,,PREMARIN(ESTROGEN CONJ)0.3MG: TAB,7.11,7.11,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
123468,637,,,,,,,,PREMARIN(CONJUGATED ESTROGEN)0.625MG:TAB,7.11,7.11,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
123470,637,,,,,,,,PREMARIN(CONJUGATED ESTROGENS)1.25MG:TAB,7.11,7.11,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
123705,637,,,,,,,,PROCTOCORT CREAM TUBE 1 OZ,131.52,131.52,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
124114,637,,,,,,,,PHENAZOPYRIDINE HCL(PYRIDIUM)100MG:TAB,6.69,6.69,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
124205,637,,,,,,,,AMOXIL(GENERIC)250MG/5ML:100ML,30.23,30.23,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
124230,637,,,,,,,,CHOLESTYRAMINE(QUESTRAN)4GM: POWD PACK,6.12,6.12,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
124564,637,,,,,,,,METOCLOPRAMIDE HCL(REGLAN)1MG/ML 5M:SYRP,4.2,4.2,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
124904,250,,,,,,,,ROBAXIN INJ 10CC,120,120,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
125362,637,,,,,,,,OXAZEPAM(SERAX)10MG: CAP,4.87,4.87,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
125520,637,,,,,,,,SILVADENE CREAM 20 GM,17.15,17.15,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
125854,250,,,,,,,,SODIUM BICARBONATE 8.4% 50ML SYRINGE:INJ,41.53,41.53,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
125866,250,,,,,,,,SALINE LOCK FLUSH 10ML SYRINGE,17.6,17.6,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
125908,637,,,,,,,,SULFACETAMIDE NA(BLEPH-10)SOLN: 10% 15ML,68,68,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
125921,637,,,,,,,,SULFACETAMIDE NA(BLEPH-10)10% 4GM:OINT,72.86,72.86,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
125933,250,,,,,,,,Solu-CORTEF(HYDROCORTISONE)100MG VIA:INJ,32.1,32.1,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
125957,250,,,,,,,,Solu-CORTEF(HYDROCORTISONE)250MG VIA:INJ,42.3,42.3,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
125970,250,,,,,,,,Solu-MEDROL(METHYLPREDN)125MG:INJ,29.58,29.58,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
125982,250,,,,,,,,Solu-MEDROL(METHYLPREDN)40MG VI:INJ,24.03,24.03,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
125994,250,,,,,,,,Solu-MEDROL 500MG VIAL,69.88,69.88,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
126901,637,,,,,,,,SYNTHROID(LEVOTHYROXINE)0.025MG:TAB,4.68,4.68,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
126962,637,,,,,,,,SYNTHROID(LEVOTHYROXINE)0.05MG:TAB,4.81,4.81,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
126974,637,,,,,,,,SYNTHROID(LEVOTHYROXINE)0.1MG:TAB,4.94,4.94,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
126986,637,,,,,,,,SYNTHROID(LEVOTHYROXINE)0.15MG:TAB,4.95,4.95,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
126998,637,,,,,,,,SYNTHROID(LEVOTHYROXINE)0.2MG:TAB,5.06,5.06,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
127000,637,,,,,,,,SYNTHROID(LEVOTHROXINE)0.3MG:TAB,5.37,5.37,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
127152,250,,,,,,,,TALWIN(PENTAZOCINE)30MG/ML 1ML SYRIN:INJ,120.68,120.68,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
127796,637,,,,,,,,TETRACAINE(PONTOCAINE)DROP:0.5% 15ML,17.54,17.54,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
128922,637,,,,,,,,TRANSDERM-SCOP 1.5 MG TDSY,20.08,20.08,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
129422,637,,,,,,,,TYLENOL(ACETAMINOPHEN)500MG:TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
129458,637,,,,,,,,TYLENOL(ACETAMINOPHEN)325MG:TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
130011,250,,,,,,,,DIAZEPAM(VALIUM)10MG/ 2ML: INJ,21.93,21.93,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
130600,637,,,,,,,,SILVER NITRATE STICK,4.3,4.3,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
130643,637,,,,,,,,DOXYCYCLINE(VIBRAMYCIN)100MG:CAP,6.37,6.37,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
130667,637,,,,,,,,VICKS VAPORUB,10.71,10.71,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
130862,637,,,,,,,,hydrOXYzine PAMOATE(VISTARIL)25MG:CAP,4.3,4.3,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
130904,250,,,,,,,,hydrOXYzine(VISTARIL)50MG/ML 1ML VIA:INJ,25.32,25.32,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
130930,637,,,,,,,,VIT B-1 50MG,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
130989,637,,,,,,,,VITAMIN B-1(THIAMINE)100MG:TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
131015,636,J3420,,,,,,,CYANACOBALAMIN(VIT B12)1000MCG/ML 1M:INJ,22.5,22.5,,,,,,,,,,,,,,,,,,,
131027,637,,,,,,,,VIT B-6 100MG,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
131039,637,,,,,,,,PYRIDOXINE (VITAMIN B-6) 50MG:TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
131064,637,,,,,,,,VITAMIN C (ASCORBIC ACID)500MG:TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
131076,637,,,,,,,,VIT E NAT 100IU,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
131088,637,,,,,,,,VIT E NAT 200 IU:TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
131465,250,,,,,,,,LIDOCAINE(XYLOCAINE)1% 30ML VIAL: INJ,24.25,24.25,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
131490,250,,,,,,,,LIDOCAINE 2% 100MG SYR,27,27,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
131519,637,,,,,,,,XYLOCAINE(LIDOCAINE)JELLY:2% 30ML,27.74,27.74,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
131684,637,,,,,,,,ZINC OXIDE 30GM:OINT,11.65,11.65,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
131787,250,,,,,,,,DOPamine HCL PREMIX:800MCG/ML 250ML,42,42,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
131817,250,,,,,,,,LIDOCAINE 1% 50MG 256SYR,36.15,36.15,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
131854,250,,,,,,,,"BICILLIN CR 1,200,000 UNITS",160.95,160.95,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
131969,250,,,,,,,,TETANUS DIPHTHERIA TOXOID:ADULT 1TBX,68.98,68.98,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
132123,250,,,,,,,,AMINOPHYLLINE INJ 500MG/20ML,18.08,18.08,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
132275,250,,,,,,,,GENTAMICIN(GARAMYCIN)40MG/ML 2ML VIA:INJ,21.18,21.18,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
132299,250,,,,,,,,HEPARIN 5000UNITS/ML 1ML VIAL:INJ,22.8,22.8,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
132380,250,,,,,,,,DOXYCYCLINE(VIBRAMYCIN)100MG VIAL:INJ,60.5,60.5,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
132810,637,,,,,,,,MEPHYTON 5MG TABS,74.51,74.51,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
132925,637,,,,,,,,METOCLOPRAMIDE HCL(REGLAN)10MG: TAB,4.28,4.28,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
133103,637,,,,,,,,AMMONIA INHALANTS,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
133164,250,,,,,,,,EPINEPHrine 0.1MG/ML 10ML SYRINGE:INJ,135,135,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
133292,250,,,,,,,,TRANDATE(LABETALOL)5MG/ML 20ML VIAL:INJ,19.9,19.9,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
133632,250,,,,,,,,NITRO DRIP,32.75,32.75,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
133711,637,,,,,,,,THIAMINE(VIT B-1)100MG:TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
133723,637,,,,,,,,BACTROBAN(MUPIROCIN)OINT:2%***,82.29,82.29,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
133747,637,,,,,,,,SYNTHROID(LEVOTHYROXINE)0.075MG:TAB,4.91,4.91,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
133875,637,,,,,,,,NYSTATIN ORAL SUSPENSION,5.18,5.18,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
133887,250,,,,,,,,UNASYN(AMPICILLIN/SULB)1.5GM VIAL:INJ,42.53,42.53,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
133966,637,,,,,,,,METOCLOPRAMIDE HCL(REGLAN)5MG: TAB,4.33,4.33,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
134065,637,,,,,,,,ESTRADERM(ESTRADIOL)0.1MG: PATCH,12.8,12.8,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
134090,637,,,,,,,,ASPIRIN EC 81MG:TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
134107,637,,,,,,,,BECONASE AQ(BECLOMETHASONE)84MCG SPRAY,158.22,158.22,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
134156,637,,,,,,,,TRIAMCINOLONE AC(KENALOG)CRM:0.1% 80GM,20.94,20.94,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
134326,637,,,,,,,,CATAPRES-TTS(CLONIDINE)0.1MG: PATCH,45.2,45.2,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
134429,637,,,,,,,,SENSORCAINE 0.75 10ML,7.25,7.25,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
134480,637,,,,,,,,NITRO-BID 2% OINT 1 GM PKT,5.92,5.92,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
135069,637,,,,,,,,PREMARIN(CONJUGATED ESTROGEN)0.9MG: TAB,6.29,6.29,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
135239,637,,,,,,,,IMODIUM AD 5CC***,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
135252,637,,,,,,,,HYDROCORTISONE 2.5% 30GM: CREAM,10.96,10.96,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
135768,250,,,,,,,,THIAMINE(VITAMIN B-1)INJ:100MG/ML 2ML VI,44.8,44.8,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
135793,637,,,,,,,,COUMADIN(WARFARIN)1MG: TAB,5.22,5.22,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
135975,637,,,,,,,,G I COCKTAIL,11.07,11.07,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
136128,637,,,,,,,,ORAJEL 1 TUBE,8.1,8.1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
136219,637,,,,,,,,DEXAMETHASONE(DECADRON)1MG: TAB,4.35,4.35,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
136244,636,J1442,,,,,,,NEUPOGEN(FILGRASTIM)480MCG/0.8ML:INJ,1519,1519,1.33,1.33,,,,,,,,,,,,,,,1.33,,
136360,636,J9370,,,,,,,vinCRIStine(ONCOVIN)1MG/ML 2ML VIAL:INJ,132.13,132.13,,,,,,,,,,,,,,,,,,,
136542,250,,,,,,,,CLINDAMYCIN(CLEOCIN)150MG/ML 4ML: INJ,25.53,25.53,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
136645,250,,,,,,,,LIDOCAINE(XYLOCAINE)WITH EPI 1% 20ML:INJ,24.53,24.53,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
136955,637,,,,,,,,TYLENOL(ACETAMINOPHEN)80MG:TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
136992,250,,,,,,,,SODIUM BICARBONATE 4.2% 10ML SYRINGE:INJ,30.75,30.75,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
137030,637,,,,,,,,RIFAMPIN(RIFADIN)300MG:CAP,6.01,6.01,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
137121,637,,,,,,,,CALCIUM/VIT D(OSCAL)250MG: TAB,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
137285,637,,,,,,,,PILOCARPINE(ISOPTO CARP)4% 15ML:DROP,106.69,106.69,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
137339,637,,,,,,,,TYLENOL PM GELTAB:500/25,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
137376,637,,,,,,,,ABSORBASE(MINERAL OIL/PET)OINT:480GM,17.15,17.15,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
137390,637,,,,,,,,PHENOBARBITAL 97.2MG TABS,4.1,4.1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
137406,637,,,,,,,,SYNTHROID(LEVOTHYROXINE)0.125MG:TAB,4.9,4.9,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
137534,250,,,,,,,,EPHEDRINE 50MG/ML***,22,22,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
137546,250,,,,,,,,SODIUM ACETATE 2mEq/ML 20ML VIAL:INJ,18.78,18.78,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
137571,250,,,,,,,,POTASSIUM PHOSPHATE 3MM/ML 15ML VIAL:INJ,20,20,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
137650,637,,,,,,,,BETOPTIC-S(BETAXOLOL)DROP:0.25% 10ML,205.6,205.6,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
137674,250,,,,,,,,CALCIUM GLUCONATE 10% 10ML: INJ,30.75,30.75,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
137765,637,,,,,,,,ERYTHROMYCIN 3.5GM: OPTH OINT,26,26,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
137777,637,,,,,,,,ESTRADERM(ESTRADIOL)0.05MG: PATCH,18.17,18.17,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
138083,250,,,,,,,,POTASSIUM ACETATE 2mEq/ml,16.43,16.43,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
138137,637,,,,,,,,THERAVITE LIQD,4.18,4.18,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
138150,250,,,,,,,,TRACE ELEMENTS,9.38,9.38,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
138162,637,,,,,,,,TRIAMCINOLONE AC(KENALOG)CRM:0.025% 15GM,11.46,11.46,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
138174,637,,,,,,,,TRIAMCINOLONE A 0.1% OINT 80GM,20.94,20.94,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
138186,637,,,,,,,,TRIAMCINOLONE AC(KENALOG)CRM:0.1% 15GM,12.58,12.58,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
138319,258,,,,,,,,D70% 500ML***,38.48,38.48,0,16.38,1.1,,0,16.38,,,13.61,,,,,0,6.76,5.83,7.31,,
142852,250,,,,,,,,DEXTROSE 5% 100ML,21.1,21.1,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
142992,637,,,,,,,,AEROCHAMBER,22.29,22.29,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
143054,250,,,,,,,,LABETALOL(TRANDATE)5MG/ML: INJ,20.2,20.2,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
143145,637,,,,,,,,HYDROXYZINE HCL 10MG/5ML,4.83,4.83,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
143182,637,,,,,,,,ATROVENT(IPRATROPIUM)18MCG 14GM:INH,152.09,152.09,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
143480,637,,,,,,,,ERY-TAB(ERYTHROMYCIN)333MG: TAB,5.15,5.15,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
143613,637,,,,,,,,TOBREX OPHTH. OINMT 3.5 GM,264.23,264.23,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
143753,250,,,,,,,,UNASYN 3.0GM VIAL,61.28,61.28,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
145002,250,,,,,,,,DEXTROSE 5% 1000ML,20.4,20.4,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
145014,250,,,,,,,,DEXTROSE 5%/0.225% NACL 1000ML,20.35,20.35,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
145026,250,,,,,,,,DEXTROSE 5%/0.45% NACL 1000ML,20.08,20.08,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
145038,250,,,,,,,,DEXTROSE 5%/0.9% NACL 1000ML,20.98,20.98,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
145040,250,,,,,,,,DEXTROSE 5%/L R 1000ML,20.75,20.75,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
145051,250,,,,,,,,LACTATED RINGERS 1000ML,19.95,19.95,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
145063,250,,,,,,,,0.9% SODIUM CHLORIDE:1000ML,19.53,19.53,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
145154,250,,,,,,,,DEXTROSE 5% 500ML,20.53,20.53,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
145166,250,,,,,,,,0.9% SODIUM CHLORIDE:500ML,19.03,19.03,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
145210,250,,,,,,,,DEXTROSE 5% 250ML,19.23,19.23,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
145221,250,,,,,,,,0.9% SODIUM CHLORIDE:100ML,20.28,20.28,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
145579,637,,,,,,,,MIOCHOL OPTH 1:100: SUSP,114.64,114.64,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
145634,636,J8610,,,,,,,METHOTREXATE TAB:2.5MG,7.05,7.05,,,,,,,,,,,,,,,,,,,
145713,250,,,,,,,,LIDOCAINE 4MG/ML 500ML: PREMIX,30.78,30.78,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
146183,300,85041,,,,,,,RBC AUTOMATED,95.25,95.25,,,,,,,,,,,,,,,,,,,
146201,300,84110,,,,,,,PORPHOBILINOGEN QUANTITATIVE,150.75,150.75,,,,,,,,,,,,,,,,,,,
146500,250,,,,,,,,AMINOSYN(AMINO ACIDS)10% 500ML BOTTL INJ,59.53,59.53,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
146547,250,,,,,,,,0.9% SODIUM CHLORIDE:250ML,18.78,18.78,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
146638,637,,,,,,,,VITAMIN E CAP:400IU,1,1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
146705,637,,,,,,,,CAPTOPRIL(CAPOTEN)12.5MG: TAB,4.77,4.77,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
147096,637,,,,,,,,GENTAMICIN SULF 0.1% 15GM: OINT,22.59,22.59,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
147229,250,,,,,,,,0.9% SODIUM CHLORIDE:50ML,19.03,19.03,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
1510,900,90791,,,,,,,INITIAL EVAL W/O MED SVC,369.25,369.25,,,,,,,,,,,,,,,,,,,
1511,900,90792,,,,,,,INITIAL EVAL W/ MED SVC,411.25,411.25,,,,,,,,,,,,,,,,,,,
1512,915,90853,,,,,,,GROUP THERAPY,302,302,123.18,123.18,,,,,,,,,,,,,123.18,,,,
1513,914,90832,25,,,,,,INDIVIDUAL THERAPY 1-37 MINUTES,198.25,198.25,81.29,81.29,,,,,,,,,,,,,81.29,,,,
1514,914,90834,,,,,,,INDIVIDUAL THERAPY 38-52 MINUTES,294,294,123.48,123.48,,,,,,,,,,,,,123.48,,,,
1515,914,90837,,,,,,,INDIVIDUAL THERAPY 53-67 MINUTES,431,431,178.05,178.05,,,,,,,,,,,,,178.05,,,,
1516,916,90847,,,,,,,FAMILY THERAPY W/ PATIENT16-30 MINUTES,281.75,281.75,126,126,,,,,,,,,,,,,126,,,,
1517,916,90847,,,,,,,FAMILY THERAPY W/ PATIENT 51-60 MINUTES,300,300,126,126,,,,,,,,,,,,,126,,,,
1518,916,90846,,,,,,,FAMILY THERAPY W/O PATIENT,276.75,276.75,116.24,116.24,,,,,,,,,,,,,116.24,,,,
1519,914,99211,,,,,,,FOLLOW UP PHYS FACILITY VISIT 1-20 MIN,190.5,190.5,,,,,,,,,,,,,,,,,,,
152,410,94667,,,,,,,CPT INITIAL,352.5,352.5,,,,,,,,,,,,,,,,,,,
1520,914,99212,,,,,,,FOLLOW UP PHYS FACILITY VISIT 21-40 MIN,159.25,159.25,,,,,,,,,,,,,,,,,,,
1521,914,99213,,,,,,,FOLLOW UP PHYS FACILITY VISIT 41-60,201,201,,,,,,,,,,,,,,,,,,,
1522,914,90832,95,,,,,,TELEHEALTH IND THERAPY 16-37 MIN,198.25,198.25,,,,,,,,,,,,,,,,,,,
1523,914,90834,95,,,,,,TELEHEALTH IND THERAPY 38-52 MIN,294,294,,,,,,,,,,,,,,,,,,,
1524,914,90837,95,,,,,,TELEHEALTH IND THERAPY 53-67 MIN,431,431,,,,,,,,,,,,,,,,,,,
1525,780,Q3014,,,,,,,TELEHEALTH CONSULT SENIOR LIFE,76.5,76.5,27.28,69.5,34.75,,54.8,,,,,,,,,54.8,27.28,,69.5,,
1526,900,90791,95,,,,,,TELEHEALTH INIT EVAL W/O MED SVC,369.25,369.25,,,,,,,,,,,,,,,,,,,
1527,900,90792,95,,,,,,TELEHEALTH INIT EVAL W MED SVC,411.25,411.25,,,,,,,,,,,,,,,,,,,
1528,915,90853,95,,,,,,TELEHEALTH GROUP THERAPY,302,302,,,,,,,,,,,,,,,,,,,
1529,916,90846,95,,,,,,TELEHEALTH FAM THERAPY W/O PT,276.75,276.75,,,,,,,,,,,,,,,,,,,
1530,916,90847,95,,,,,,TELEHEALTH FAM THERAPY W PT 1-30 MIN,281.75,281.75,,,,,,,,,,,,,,,,,,,
1531,916,90847,95,,,,,,TELEHEALTH FAM THER W PT 50+ MIN,281.75,281.75,,,,,,,,,,,,,,,,,,,
180541,637,,,,,,,,PROPRANOLOL ER 80MG (INDERAL LA) CAPS,5.33,5.33,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
180542,637,,,,,,,,ULTRAM ER 100MG TAB:,8.52,8.52,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
190,412,94640,,,,,,,MDI INITIAL,445.5,445.5,164.08,909.72,,,909.72,,,,,,,,,,164.08,,178.2,,
191,412,94640,,,,,,,MISTY NEB AND MDI INITIAL,891,891,164.08,909.72,,,909.72,,,,,,,,,,164.08,,178.2,,
2000078,761,96360,,,,,,,HYDRATION 1 HR IV INFUSION,324.5,324.5,0,398.79,,,0,,398.79,,,,,,,,125.24,,,,
2000079,761,96361,,,,,,,HYDRATION ADD'L HR,156.25,156.25,0,196.56,,,196.56,,,,,,,,,0,59.81,,,,
2000080,761,96365,,,,,,,IV INFUSION THERAPY OP,355.75,355.75,0,1173.48,248.77,,0,,1173.48,,,,,,,,222.79,,321.53,,
2000081,761,96366,,,,,,,IV INFUSION ADD'L HR- OP,197,197,0,458.63,79.47,,0,,458.63,,,,,,,,74.25,,131.37,,
2000082,761,96372,,,,,,,DIA INJ SUBCUTANOUS OR INTRAMUSCULAR,198,198,0,79.56,79.56,,0,,,,,,,,,0,75.95,,79.41,,
2000083,761,96374,,,,,,,IVP SINGLE OR INITIAL (OP),183,183,0,156.83,156.83,,0,,,,,,,,,,68.45,,70.95,,
2000084,761,96375,,,,,,,EA ADD'L IVP OF NEW SUBSTANCE/DRUG,161.25,161.25,0,66.01,66.01,,0,,,,,,,,,0,60.86,,64.5,,
2000085,761,96376,,,,,,,EA ADD'L IVP OF SAME SUBSTANCE/DRUG,158.5,158.5,0,135.68,135.68,,0,,,,,,,,,,,,,,
2000086,761,96523,,,,,,,IRRIGATION OF IMPLANTED VENOUS ACCESS DE,109.5,109.5,42.12,447.89,,,447.89,,109.5,,,,,,,447.89,42.12,,80.82,,85.49
2000087,761,96367,,,,,,,IV INF TX ADD'L SEQ DRUG 1ST HR,257,257,0,189.76,105.24,,0,,,,,,,,,,99.18,,189.76,,
2000088,761,96369,,,,,,,SUB INF FOR THERAPY INITIAL <1 HR,619.5,619.5,,,,,,,,,,,,,,,,,,,
2000089,761,96370,,,,,,,SUB INF FOR THERAPY EA ADD'L HR,125.5,125.5,,,,,,,,,,,,,,,,,,,
2000090,761,96368,,,,,,,ADD'L HR CONCURRENT TX INF,128.25,128.25,49.6,52.46,52.46,,,,,,,,,,,,49.6,,,,
2000091,300,36591,,,,,,,VENIPUNCTURE/IMPLANTABLE VENOUS ACC DEVI,96.25,96.25,37.07,181.8,38.83,,90.9,,,,,,,,,181.8,37.07,,62.83,,75.03
2000092,300,36592,,,,,,,VENIPUNCTURE/CENTRAL OR PERIPHERAL CATH,90.25,90.25,,,,,,,,,,,,,,,,,,,
2000093,771,90471,,,,,,,IMMUN/VACCINE ADMIN,63.75,63.75,0,24.96,,,0,,,,,,,,,0,24.96,,,,
2000094,771,90472,,,,,,,ADDITIONAL VACCINATION,34.25,34.25,,,,,,,,,,,,,,,,,,,
2000095,761,51702,,,,,,,INSERTION OF FOLEY CATHETER,123.75,123.75,,,,,,,,,,,,,,,,,,,
2000096,771,M0243,,,,,,,IV INF INJ CASIRIVIMAB NAD IMDEVIMAB,472.5,472.5,180,180,,,,,,,,,,,,,180,,,,
2000097,771,M0247,,,,,,,"IV INF INJ SOTROVIMAB, 500 MG",1181.25,1181.25,0,450,0,,0,,,,,,,,,0,450,,450,,
2001,762,G0378,,,,,,,OBSERVATION PRVT HRS =1,337,337,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2002,762,G0378,,,,,,,OBSERVATION PRVT HRS =2,674,674,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2003,762,G0378,,,,,,,OBSERVATION PRVT HRS=3,842,842,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2004,762,G0378,,,,,,,OBSERVATION PRVT HRS=4,876,876,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2005,762,G0378,,,,,,,OBSERVATION PRVT HRS=5,910,910,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2006,762,G0378,,,,,,,OBSERVATION PRVT HRS=6,932,932,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2007,762,G0378,,,,,,,OBSERVATION PRVT HRS=7,966,966,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2008,762,G0378,,,,,,,OBSERVATION PRVT HRS=8,999,999,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2009,762,G0378,,,,,,,OBSERVATION PRVT HRS=9,1033,1033,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2010,762,G0378,,,,,,,OBSERVATION PRVT HRS=10,1067,1067,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2011,762,G0378,,,,,,,OBSERVATION PRVT HRS=11,1089,1089,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2012,762,G0378,,,,,,,OBSERVATION PRVT HRS=12,1123,1123,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2013,762,G0378,,,,,,,OBSERVATION PRVT HRS=13,1123,1123,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2014,762,G0378,,,,,,,OBSERVATION PRVT HRS=14,1123,1123,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2015,762,G0378,,,,,,,OBSERVATION PRVT HRS=15,1123,1123,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2016,762,G0378,,,,,,,OBSERVATION PRVT HRS=16,1123,1123,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2017,762,G0378,,,,,,,OBSERVATION PRVT HRS=17,1123,1123,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2018,762,G0378,,,,,,,OBSERVATION PRVT HRS=18,1123,1123,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2019,762,G0378,,,,,,,OBSERVATION PRVT HRS=19,1123,1123,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
202,410,94003,,,,,,,VENTILATION ASSIST SUBS DAYS,1687,1687,,,,,,,,,,,,,,,,,,,
2020,762,G0378,,,,,,,OBSERVATION PRVT HRS=20,1123,1123,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2021,762,G0378,,,,,,,OBSERVATION PRVT HRS=21,1123,1123,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2022,762,G0378,,,,,,,OBSERVATION PRVT HRS=22,1123,1123,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2023,762,G0378,,,,,,,OBSERVATION PRVT HRS=23,1123,1123,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2024,762,G0378,,,,,,,OBSERVATION PRVT HRS=24,1123,1123,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2025,762,G0378,,,,,,,OBSERVATION PRVT HRS =25 OR MORE,46,46,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2052,762,99218,,,,,,,OBSERVATION DPA USE ONLY,0.01,0.01,,,,,,,,,,,,,,,,,,,
2053,762,G0379,,,,,,,OBSERVATION DPA USE ONLY 2 G0379,0.01,0.01,0,63.03,,,0,,63.03,,,,,,,0,,,,,
206,270,,,,,,,,SPIROCARE TREATMENT,475.5,475.5,0,83.33,39.41,,0,70.86,,,83.33,,,,,0,17.06,,18.26,,
2101,762,G0378,,,,,,,OBSERVATION TELEMETRY HRS =1,412,412,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2102,762,G0378,,,,,,,OBSERVATION TELEMETRY HRS =2,824,824,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2103,762,G0378,,,,,,,OBSERVATION TELEMETRY HRS =3,1030,1030,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2104,762,G0378,,,,,,,OBSERVATION TELEMETRY HRS =4,1071,1071,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2105,762,G0378,,,,,,,OBSERVATION TELEMETRY HRS =5,1112,1112,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2106,762,G0378,,,,,,,OBSERVATION TELEMETRY HRS =6,1140,1140,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2107,762,G0378,,,,,,,OBSERVATION TELEMETRY HRS =7,1181,1181,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2108,762,G0378,,,,,,,OBSERVATION TELEMETRY HRS=8,1222,1222,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2109,762,G0378,,,,,,,OBSERVATION TELEMETRY HRS=9,1263,1263,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
211,731,93270,,,,,,,CARDIAC EVENT MONITOR HOOKUP,355.75,355.75,138.89,259.12,145.76,,,,259.12,,,,,,,,138.89,,,,
2110,762,G0378,,,,,,,OBSERVATION TELEMETRY HRS=10,1304,1304,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2111,762,G0378,,,,,,,OBSERVATION TELEMETRY HRS=11,1332,1332,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2112,762,G0378,,,,,,,OBSERVATION TELEMETRY HRS=12,1373,1373,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2113,762,G0378,,,,,,,OBSERVATION TELEMETRY HRS=13,1373,1373,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2114,762,G0378,,,,,,,OBSERVATION TELEMETRY HRS=14,1373,1373,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2115,762,G0378,,,,,,,OBSERVATION TELEMETRY HRS=15,1373,1373,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2116,762,G0378,,,,,,,OBSERVATION TELEMETRY HRS=16,1373,1373,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2117,762,G0378,,,,,,,OBSERVATION TELEMETRY HRS=17,1373,1373,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2118,762,G0378,,,,,,,OBSERVATION TELEMETRY HRS=18,1373,1373,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2119,762,G0378,,,,,,,OBSERVATION TELEMETRY HRS=19,1373,1373,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
212,460,94726,,,,,,,PLETHYSMOGRAPHY THORACIC VOLUME,397,397,140.24,311.85,162.54,,140.24,,140.24,,311.85,,,,,,152.23,,,,
2120,762,G0378,,,,,,,OBSERVATION TELEMETRY HRS=20,1373,1373,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2121,762,G0378,,,,,,,OBSERVATION TELEMETRY HRS=21,1373,1373,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2122,762,G0378,,,,,,,OBSERVATION TELEMETRY HRS=22,1373,1373,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2123,762,G0378,,,,,,,OBSERVATION TELEMETRY HRS=23,1373,1373,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2124,762,G0378,,,,,,,OBSERVATION TELEMETRY HRS=24,1373,1373,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
2125,762,G0378,,,,,,,OBSERVATION TELEMETRY HRS=25 OR MORE,57,57,0,535.4,37.04,,0,,535.4,,,,,,,0,39.57,,,,
215,460,94762,,,,,,,OXI CONT OVERNIGHT MONITORING,229,229,91.56,91.56,,,,,,,,,,,,,91.56,,,,
216,410,94668,,,,,,,CPT SUBSEQUENT,352.5,352.5,,,,,,,,,,,,,,,,,,,
217,412,94640,,,,,,,MISTY NEB INITIAL,445.5,445.5,164.08,909.72,,,909.72,,,,,,,,,,164.08,,178.2,,
220,410,94664,,,,,,,INSTR UTILIZATION MDI,126.5,126.5,0,0,,,0,,,,,,,,,,,,,,
222,300,36600,,,,,,,ARTERIAL PUNCTURE,83.25,83.25,0,42.69,42.69,,0,,,,,,,,,15.15,33.2,,32.09,,
223,982,93016,,,,,,,PF STRESS SUPR ONLY,78.25,78.25,0,49.68,49.68,,,,,,,,,,,,24.34,,0,,
225,942,99406,,,,,,,SMOKING ED INTERMEDIATE 3-10 MINUTES,47.75,47.75,,,,,,,,,,,,,,,,,,,
226,942,99407,,,,,,,SMOKING ED INTENSIVE GREATER THAN 10 MIN,95.25,95.25,,,,,,,,,,,,,,,,,,,
227,410,94644,,,,,,,CONTINUOUS NEB 1 HR,363,363,0,141.66,,,,,,,,,,,,0,141.66,,,,
228,410,94645,,,,,,,CONTINUOUS NEB ADDTL HR,181.5,181.5,72.56,72.56,,,,,,,,,,,,,72.56,,,,
232,460,94060,,,,,,,PULMONARY FUNCTION TEST/TREAT,674.25,674.25,258.42,529.65,276.06,,,,280.48,,529.65,,,,,,258.42,,,,
234,731,93225,,,,,,,HOLTER MONITOR UP TO 48HRS,869,869,335.35,335.35,,,,,,,,,,,,,335.35,,,,
235,270,94669,,,,,,,FLUTTER VALVE/ACAPELLA,292,292,,,,,,,,,,,,,,,,,,,
23583,270,,,,,,,,PEAK FLOW METER,93.25,93.25,0,83.33,39.41,,0,70.86,,,83.33,,,,,0,17.06,,18.26,,
23590,270,,,,,,,,VENTURI MASK,11,11,0,83.33,39.41,,0,70.86,,,83.33,,,,,0,17.06,,18.26,,
237,460,94618,,,,,,,SIX MINUTE WALK TEST,355.75,355.75,135.5,135.5,,,,,,,,,,,,,135.5,,,,
238,410,94625,,,,,,,POST COVID PULMONARY REHAB,179.5,179.5,,,,,,,,,,,,,,,,,,,
241,985,93227,,,,,,,PF HOLTER PHY REVIEW/INTERP (NOT EMPL),189.5,189.5,20.63,20.63,,,,,,,,,,,,,20.63,,,,
242,948,94625,,,,,,,PULMONARY EX PER HOUR,439,439,,,,,,,,,,,,,,,,,,,
244,731,93271,,,,,,,THIRTY DAY EVENT MONITOR,1174.25,1174.25,458.49,531.94,481.15,,,,531.94,,,,,,,,458.49,,,,
245,731,93242,,,,,,,HOLTER MONITOR 48 HRS AND UP RECORDING,681,681,262.02,265.9,,,,,,,,,,,,,262.02,,265.9,,
246,731,93243,,,,,,,EXT ELECT RECOR +48 HRS AND UP TO 7 DA,659.25,659.25,253.64,257.4,,,,,,,,,,,,,253.64,,257.4,,
247,985,93244,26,,,,,,PF HOLTER MONITOR 48 HR UP 7 DAY RVW INT,586.75,586.75,0,27.2,,,,,,,,,,,,,27.2,,0,,
248,731,93224,,,,,,,HOLTER MONITOR  UP TO 48 HRS COMPLETE,1592.25,1592.25,531.94,1243.33,,,531.94,,,,,,,,,531.94,,,1243.33,,
249,731,93241,,,,,,,HOLTER MONITOR  +48 HRS UP TO 7 DAYS,1895.25,1895.25,531.94,531.94,,,531.94,,,,,,,,,,,,,,
267,410,94002,,,,,,,VENTILATION ASSIST INITIAL,1999,1999,2746.8,2746.8,,,,,,,,,,,,2746.8,,,,,
301000,637,,,,,,,,SPIRONOLACTONE/HCTZ 25MG/25MG,14.84,14.84,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301002,637,,,,,,,,OXAZEPAM 10MG CAPSULE,4.87,4.87,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301003,637,,,,,,,,IRBESARTAN 300MG TABLETS,7.69,7.69,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301004,637,,,,,,,,TRILIPIX 135MG CAPSULES,13.66,13.66,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301005,637,,,,,,,,CHLORTHALIDONE 25MG TABLET,5.2,5.2,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301006,637,,,,,,,,NEXIUM 40MG CAPSULE,14.04,14.04,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301007,637,,,,,,,,SERTRALINE 100MG TABLET,6.85,6.85,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301008,637,,,,,,,,FUROSEMIDE 80MG TABLETS,4.44,4.44,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301009,637,,,,,,,,MODAFINIL 200MG TABLET,43.9,43.9,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301010,637,,,,,,,,LIPITOR 40MG TABLET,15.91,15.91,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301011,637,,,,,,,,GLYBURIDE 5MG TABLET,4.77,4.77,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301012,637,,,,,,,,PAROXETINE 20MG TABLET,6.64,6.64,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301013,637,,,,,,,,LYRICA 75MG CAPSULE,10.9,10.9,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301014,637,,,,,,,,AMLODIPINE 5MG TABLET,5.73,5.73,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301015,637,,,,,,,,AZITHROMYCIN 250MG TABLET,11.78,11.78,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301016,637,,,,,,,,ATORVASTATIN 10MG TABLET,7.85,7.85,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301017,637,,,,,,,,CIALIS 20MG TABLET,54.04,54.04,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301018,637,,,,,,,,CEFUROXIME 250MG TABLET,8.4,8.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301019,637,,,,,,,,LEVOFLOXACIN 500MG TABLET,22.9,22.9,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301020,637,,,,,,,,WELLBUTRIN XL 300MG,61.11,61.11,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301021,637,,,,,,,,IRBESARTAN 150MG TABLET,7.07,7.07,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301022,637,,,,,,,,ESCITALOPRAM 10MG TABLET,8.72,8.72,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301023,637,,,,,,,,PROTONIX 40MG TABLET,16,16,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301024,637,,,,,,,,BYSTOLIC 2.5MG TABLETS,8.02,8.02,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301025,637,,,,,,,,LORAZEPAM 1MG TABLET,4.88,4.88,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301026,637,,,,,,,,AMITRIPTYLINE 50MG TABLET,5.27,5.27,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301027,637,,,,,,,,MELOXICAM 15MG TABLET,8.84,8.84,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301028,637,,,,,,,,SIMVASTATIN 20MG TAB,8.9,8.9,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301029,637,,,,,,,,HYDROCHLOROTHIAZIDE 25MG TABLET,4.08,4.08,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301030,637,,,,,,,,ANAPROX DS 550MG TABLET,9.59,9.59,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301031,637,,,,,,,,GABAPENTIN 300MG CAPSULE,5.33,5.33,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301032,637,,,,,,,,CITALOPRAM 20MG TABLET,6.53,6.53,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301033,637,,,,,,,,CARVEDILOL 25MG TABLET,6.14,6.14,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301034,637,,,,,,,,ULORIC 80MG TABLET,14.86,14.86,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301035,637,,,,,,,,LEVOTHYROXINE 25MCG TABLET,4.46,4.46,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301036,637,,,,,,,,LISINOPRIL 10MG TABLET,4.89,4.89,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301037,637,,,,,,,,LABETALOL 200MG TABLET,4.73,4.73,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301038,637,,,,,,,,TAMSULOSIN 0.4MG CAPSULE,8.21,8.21,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301039,637,,,,,,,,FOLIC ACID 1MG TABLET,4.33,4.33,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301040,637,,,,,,,,ALPRAZOLAM 0.5MG TABLET,4.96,4.96,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301041,637,,,,,,,,BENICAR/HCT 40MG/12.5MG TABLET,12.83,12.83,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301042,637,,,,,,,,MIRAPEX 0.125MG TABLET,10.94,10.94,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301043,637,,,,,,,,BYSTOLIC 5MG TABLET,8.02,8.02,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301044,637,,,,,,,,"VITAMIN D 50,000 UNIT CAPSULES",5.45,5.45,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301045,637,,,,,,,,LANSOPRAZOLE 30MG CAPSULE,9.89,9.89,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301046,637,,,,,,,,PROPYLTHIOURACIL 50MG TABLET,4.9,4.9,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301047,637,,,,,,,,MOVANTIK 25MG TABLET,14.97,14.97,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301048,637,,,,,,,,CYCLOBENZAPRINE 10MG TABLET,5.16,5.16,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301049,637,,,,,,,,DOXYCYCLINE 100MG CAPSULE,6.24,6.24,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301050,637,,,,,,,,PHENTERMINE 37.5MG TABLET,5.54,5.54,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301051,637,,,,,,,,LYRICA 75MG CAPSULE,10.9,10.9,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301052,637,,,,,,,,INDERAL LA 120MG CAPSULE,28.85,28.85,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301053,637,,,,,,,,ESTRADIOL 1MG TABLET,4.68,4.68,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301054,637,,,,,,,,COUMADIN 4MG TABLET,6.45,6.45,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301055,637,,,,,,,,METFORMIN 500MG TABLET,4.7,4.7,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301056,637,,,,,,,,MEDROL DOSEPAK 4MG TABLET,57.75,57.75,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301057,637,,,,,,,,ATORVASTATIN 20MG TABLET,9.77,9.77,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301058,637,,,,,,,,MONTELUKAST 10MG TABLET,9.66,9.66,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301059,637,,,,,,,,DIAZEPAM 2MG TABLET,4.13,4.13,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301060,637,,,,,,,,PRAMIPEXOLE 1MG TABLET,7.34,7.34,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301061,637,,,,,,,,LYRICA 150MG CAPSULES,10.9,10.9,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301062,637,,,,,,,,CLARITHROMYCIN 500MG TABLETS,10.02,10.02,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301063,637,,,,,,,,NITROSTAT 0.4MG TABLET,4.52,4.52,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301064,637,,,,,,,,WARFARIN 5MG TABLET,4.67,4.67,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301065,637,,,,,,,,PROAIR HFA INHALER 8.5GM,70.62,70.62,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301066,637,,,,,,,,ZOVIRAX 5% OINTMENT 30GM,1401.02,1401.02,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301067,637,,,,,,,,TERBINAFINE 250MG TABLET,17.02,17.02,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301068,637,,,,,,,,NEUPRO 4MG PATCH,26.63,26.63,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301069,637,,,,,,,,ADVAIR 500/50 INHALER,535.13,535.13,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301070,637,,,,,,,,TRIAMTERENE/HCTZ 37.5MG/25MG,4.39,4.39,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301071,637,,,,,,,,LACTULOSE 10GM/15ML,6.28,6.28,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301072,637,,,,,,,,SERTRALINE 50MG TABLET,6.71,6.71,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301073,637,,,,,,,,AMOXICILLIN 500MG CAPSULE,4.44,4.44,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301074,637,,,,,,,,OXANDROLONE 2.5MG TABLETS,10.96,10.96,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301075,637,,,,,,,,TOPROL XL 50MG TABLET,5.43,5.43,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301076,637,,,,,,,,PRAVASTATIN 40MG TABLET,8.79,8.79,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301077,637,,,,,,,,ATENOLOL 50MG TABLET,4.83,4.83,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301078,637,,,,,,,,PREDNISONE 10MG TABLET,4.24,4.24,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301079,637,,,,,,,,OGESTREL TABLET,51.92,51.92,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301080,637,,,,,,,,SULFAMETHOXAZOLE/TMP 800/160 TABLET,5.4,5.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301081,637,,,,,,,,NASONEX NASAL SPRAY,291.72,291.72,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301082,637,,,,,,,,LISINOPRIL 20MG TABLET,5.06,5.06,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301083,637,,,,,,,,AMITRIPTYLINE 100MG TABLET,6.54,6.54,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301084,637,,,,,,,,CIPROFLOXACIN 500MG TABLET,9.36,9.36,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301085,637,,,,,,,,CHERATUSSIN AC SYRUP,4.57,4.57,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301086,637,,,,,,,,VALACYCLOVIR 500MG TABLET,11.22,11.22,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301087,637,,,,,,,,AMITRIPTYLINE 10MG TABLET,4.32,4.32,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301088,637,,,,,,,,EVAMIST TRANSDERMAL SPRAY,135.29,135.29,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301089,637,,,,,,,,NEXIUM 20MG CAPSULE,14.03,14.03,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301090,637,,,,,,,,AMOXICILLIN/CLAV 875MG/125MG TABLET,9.05,9.05,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301091,637,,,,,,,,OXAZEPAM 10MG CAPSULES,4.87,4.87,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301092,637,,,,,,,,CANDESARTAN 32MG TABLETS,8.3,8.3,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301093,637,,,,,,,,VENLAFAXINE 150MG CAPSULES,9.08,9.08,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301094,637,,,,,,,,ONDANSETRON 4MG ODT TABLETS,26.29,26.29,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301095,637,,,,,,,,DULOXETINE 60MG CAPSULES,5.92,5.92,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301096,637,,,,,,,,FLUOXETINE 20MG CAPSULE,6.67,6.67,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301097,637,,,,,,,,CARDIZEM CD 240MG CAPSULE,54.9,54.9,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301098,637,,,,,,,,GEMFIBROZIL 600MG TABLET,6.43,6.43,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301099,637,,,,,,,,VIGAMOX 0.5% 3ML BOTTLE,185.8,185.8,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301100,637,,,,,,,,MECLIZINE 25MG TABLETS,4.4,4.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301101,637,,,,,,,,DICLOFENAC 75MG ER TABLET,5.77,5.77,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301102,637,,,,,,,,TRAZODONE 100MG TABLET,5.39,5.39,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301103,637,,,,,,,,AMOXICILLIN 250MG/5ML 80ML BOTTLE,9.31,9.31,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301104,637,,,,,,,,DIGOXIN 0.25MG TABLET,6.3,6.3,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301105,637,,,,,,,,ACETAZOLAMIDE ER 500MG CAPSULE,8.29,8.29,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301106,637,,,,,,,,ORTHO TRI-CYCLEN LO TABLET,169.98,169.98,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301107,637,,,,,,,,SKELAXIN 800MG TABLET,12.5,12.5,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301108,637,,,,,,,,RESTASIS 0.05% OPTH VIALS,519.08,519.08,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301109,637,,,,,,,,TRAZODONE 50MG TABLET,5.07,5.07,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301110,637,,,,,,,,VESICARE 10MG TABLET,15.55,15.55,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301111,637,,,,,,,,MIRAPEX 0.25MG TABLETS,10.94,10.94,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301112,637,,,,,,,,TERAZOSIN 2MG CAPSULE,5.61,5.61,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301113,637,,,,,,,,RAMIPRIL 10MG CAPSULE,6.21,6.21,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301114,637,,,,,,,,MUPIROCIN 2% OINTMENT 22GM,116.62,116.62,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301115,637,,,,,,,,IPRATROPIUM 0.06% NASAL SPRAY 15ML,52.63,52.63,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301116,637,,,,,,,,CLONAZEPAM 2MG TABLETS,5.18,5.18,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301117,637,,,,,,,,MINOCYCLINE 50MG CAPSULE,5.7,5.7,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301118,637,,,,,,,,CLOBETASOL PROPIONATE 0.05% CREAM 60GM,279.54,279.54,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301119,637,,,,,,,,SERTRALINE 25MG TABLETS,6.71,6.71,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301120,637,,,,,,,,GABAPENTIN 100MG CAPSULES,4.07,4.07,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301121,637,,,,,,,,DICYCLOMINE 10MG CAPSULES,4.26,4.26,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301122,637,,,,,,,,ALPRAZOLAM 1MG TABLET,5.16,5.16,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301123,637,,,,,,,,TRAMADOL 50MG TABLET,4.83,4.83,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301124,637,,,,,,,,POTASSIUM CHLORIDE 10MEQ ER TABLET,4.56,4.56,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301125,637,,,,,,,,JUBLIA 10% TOPICAL SOLUTION 8ML,1297.86,1297.86,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301126,637,,,,,,,,PREMARIN 0.625MG/GM CREAM 30GM,353.08,353.08,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301127,637,,,,,,,,LEVOCETIRIZINE 2.5MG/5ML SYRUP  118ML,80.59,80.59,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301128,637,,,,,,,,FIORINAL CAPSULES,8.76,8.76,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301129,637,,,,,,,,IBANDRONATE 150MG TABLETS,142.87,142.87,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301130,637,,,,,,,,TRANSDERM SCOP 1.5MG PATCH,25.4,25.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301131,637,,,,,,,,MACROBID 100MG CAPSULE,10.6,10.6,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301132,637,,,,,,,,BUPROPION XR 150MG TABLET,4.64,4.64,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301133,637,,,,,,,,GABAPENTIN 600MG TABLET,6.53,6.53,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301134,637,,,,,,,,LISINOPRIL 40MG TABLET,5.56,5.56,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301135,637,,,,,,,,TRAZODONE 150MG TABLET,6.79,6.79,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301136,637,,,,,,,,GLIMEPIRIDE 2MG TABLETS,5.74,5.74,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301137,637,,,,,,,,LISINOPRIL/HCTZ 20MG/25MG TABLETS,5.23,5.23,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301138,637,,,,,,,,HYOSCYAMINE 0.125MG SL/ORAL TABLETS,4.85,4.85,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301139,637,,,,,,,,TRI-SPRINTEC TABLETS,46.32,46.32,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301140,637,,,,,,,,ZOLOFT 100MG TABLET,12.88,12.88,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301141,637,,,,,,,,FUROSEMIDE 40MG TABLET,4.18,4.18,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301142,637,,,,,,,,ESCITALOPRAM 20MG TABLET,8.06,8.06,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301143,637,,,,,,,,IBUPROFEN 800MG TABLET,6.43,6.43,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301144,637,,,,,,,,IRBESARTAN/HCTZ 150MG/12.5MG,7.72,7.72,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301145,637,,,,,,,,METHYLPREDNISOLONE 4MG TABLETS,12.44,12.44,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301146,637,,,,,,,,CONTOUR NEXT TEST STRIPS,125.8,125.8,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301147,637,,,,,,,,CLORAZEPATE 3.75MG TABLETS,4.35,4.35,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301148,637,,,,,,,,LISINOPRIL/HCTZ 10MG/12.5MG TABLET,5.12,5.12,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301149,637,,,,,,,,LISINOPRIL 5MG TABLET,4.96,4.96,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301150,637,,,,,,,,OMEPRAZOLE 20MG CAPSULE,5.05,5.05,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301151,637,,,,,,,,DEXILANT 60MG CAPSULE,14.88,14.88,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301152,637,,,,,,,,DILTIAZEM CD 180MG CAPSULE,5.51,5.51,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301153,637,,,,,,,,VIGAMOX 0.5% OPTH SOLN 3ML,171.1,171.1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301154,637,,,,,,,,OFLOXACIN 0.3% OPTH SOLN 10ML,47.38,47.38,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301155,637,,,,,,,,TRICOR 145MG TABLETS,5.24,5.24,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301156,637,,,,,,,,ATACAND 8MG TABLETS,7.89,7.89,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301157,637,,,,,,,,ATACAND 16MG TABLETS,7.88,7.88,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301158,637,,,,,,,,XOPENEX HFA 200 METERED INHALATIONS,88.89,88.89,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301160,637,,,,,,,,DONNATAL TABLETS,14.38,14.38,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301161,637,,,,,,,,RIZATRIPTAN 10MG ODT,37.24,37.24,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301162,637,,,,,,,,CELEBREX 200MG CAPSULE,15.04,15.04,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301163,637,,,,,,,,FLUOXETINE 40MG CAPSULE,9.34,9.34,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301164,637,,,,,,,,METOPROLOL 25MG TABLET,4.04,4.04,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301165,637,,,,,,,,ELIQUIS 5MG TABLET,10.67,10.67,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301166,637,,,,,,,,VESICARE 5MG TABLET,15.55,15.55,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301167,637,,,,,,,,RANEXA 500MG TABLET,10.08,10.08,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301168,637,,,,,,,,ALEDRONATE 70MG TAB,24.37,24.37,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301169,637,,,,,,,,ESTROPIPATE 0.625MG(0.75MG),4.86,4.86,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301170,637,,,,,,,,URSODIOL 300MG CAPSULES,11.35,11.35,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301171,637,,,,,,,,DALIRESP 500MCG TABLET,15.24,15.24,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301172,637,,,,,,,,PROMETH W/CODEINE SYRUP,4.36,4.36,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301173,637,,,,,,,,ZIAC 5MG/6.25MG TABLET,10.23,10.23,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301174,637,,,,,,,,CLOPIDOGREL 75MG TABLET,10.57,10.57,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301175,637,,,,,,,,ATENOLOL 25MG TABLET,4.82,4.82,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301176,637,,,,,,,,METFORMIN ER 500MG TAB,4.75,4.75,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301177,637,,,,,,,,ALDARA 5% PACKETS,1109.93,1109.93,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301178,637,,,,,,,,TESTOSTERONE 12.5MG/PUMP ACT GEL 88GM,456.62,456.62,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301179,637,,,,,,,,TAMOXIFEN 20MG TABLETS,7.79,7.79,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301180,637,,,,,,,,ESTRADIOL 0.5MG TABLET,4.29,4.29,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301181,637,,,,,,,,MEDROXYPROGESTERONE 5MG TABLET,4.47,4.47,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301182,637,,,,,,,,YAZ TABLETS,130.84,130.84,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301183,637,,,,,,,,BENICAR 40MG TABLET,12.83,12.83,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301184,637,,,,,,,,CORGARD 80MG TABLET,12.09,12.09,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301185,637,,,,,,,,CYCLOBENZAPRINE 5MG TABLET,5.64,5.64,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301186,637,,,,,,,,ZOLOFT 50MG TABLET,12.88,12.88,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301187,637,,,,,,,,DIFFERIN 0.1% CREAM 45GM,584.74,584.74,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301188,637,,,,,,,,SUCRALFATE 1GM TABLET,4.73,4.73,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301189,637,,,,,,,,ROPINIROLE 1MG,6.5,6.5,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301190,637,,,,,,,,PHENTERMINE 15MG CAPSULES,5.25,5.25,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301191,637,,,,,,,,SUMATRIPTAN 25MG TAB,31.05,31.05,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301192,637,,,,,,,,VYTORIN 10MG/20MG TABLETS,14.3,14.3,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301193,637,,,,,,,,LEXAPRO 10MG TABLETS,12.95,12.95,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301194,637,,,,,,,,TRUEPLUS 31G  5/16  SYRINGES 100,4.16,4.16,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301195,637,,,,,,,,JARDIANCE 10MG TABLET,18.52,18.52,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301196,637,,,,,,,,TOUJEO 300UNITS/ML SOLUSTAR PEN 1.5ML,141.2,141.2,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301197,637,,,,,,,,VOLTAREN 1% GEL 100GM,64.7,64.7,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301198,637,,,,,,,,POTASSIUM CHLORIDE 10MEQ CAPSULE,4.99,4.99,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301199,637,,,,,,,,GLIPIZIDE/METFORMIN 5MG/500MG TABLET,4.99,4.99,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301200,637,,,,,,,,POTASSIUM CITRATE 10MEQ TABLET,6.76,6.76,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301201,637,,,,,,,,INDERAL LA 60MG CAPSULE,25.22,25.22,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301202,637,,,,,,,,CITALOPRAM 40MG TABLET,6.78,6.78,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301203,637,,,,,,,,AMITIZA 24MCG CAPSULES,10.6,10.6,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301204,637,,,,,,,,RALOXIFENE 60MG TABLETS,10.6,10.6,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301205,637,,,,,,,,CHOLESTYRAMINE ORAL SUSP POWDER,138.13,138.13,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301206,637,,,,,,,,ALLOPURINOL 300MG TABLET,4.92,4.92,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301207,637,,,,,,,,FLUTICASONE 50MCG NASAL SPRAY 16GM,91.32,91.32,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301208,637,,,,,,,,BENICAR 5MG TABLETS,9.2,9.2,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301209,637,,,,,,,,ALPRAZOLAM 0.25MG TABLET,4.7,4.7,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301210,637,,,,,,,,TOPIRAMATE 100MG TABLETS,10.29,10.29,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301211,637,,,,,,,,DIPROLENE 0.05% OINTMENT 50GM,223.18,223.18,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301212,637,,,,,,,,HUMALOG U-100 3ML KWIKPEN,116.84,116.84,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301213,637,,,,,,,,METOPROLOL ER 25MG TABLET,5.05,5.05,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301214,637,,,,,,,,MOMETASONE FUROATE 0.1% CREAM 45GM,19.1,19.1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301215,637,,,,,,,,NOVOFINE PLUS 32G NEEDLE,77.94,77.94,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301216,637,,,,,,,,FLUOXETINE 20MG TABLET,8.2,8.2,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301217,637,,,,,,,,NYSTOP TOPICAL POWDER 15GM,34.46,34.46,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301218,637,,,,,,,,VANDOZOLE 0.75% VAGINAL GEL 70GM,170.04,170.04,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301219,637,,,,,,,,METFORMIN 1000MG TABLETS,4.1,4.1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301220,637,,,,,,,,HUMALOG 200 UNITS/ML KWIKPEN 3ML,221.65,221.65,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301221,637,,,,,,,,ALLOPURINOL 100MG TAB,4.48,4.48,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301222,637,,,,,,,,VALSARTAN 80MG TABLET,8.84,8.84,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301223,637,,,,,,,,TOPIRAMATE 50MG TABLET,8.82,8.82,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301224,637,,,,,,,,ESTROPIPATE 1.5MG TABLET,5.24,5.24,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301225,637,,,,,,,,MINOCYCLINE 100MG CAPSULE,7.4,7.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301226,637,,,,,,,,RETIN-A 0.1% CREAM 45GM TUBE,394.8,394.8,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301227,637,,,,,,,,HYDROQUINONE 4% CREAM 1 OUNCE TUBE,92.5,92.5,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301228,637,,,,,,,,PRAVASTATIN 80MG TABLET,8.79,8.79,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301229,637,,,,,,,,ATACAND 4MG TABLET,7.88,7.88,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301230,637,,,,,,,,SEROQUEL 50MG TABLET,11.66,11.66,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301231,637,,,,,,,,PAZEO 0.7% OPTH SOLN 2.5ML BOTTLE,186.1,186.1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301232,637,,,,,,,,ALREX OPTH SOLN 5ML BOTTLE,221.97,221.97,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301233,637,,,,,,,,LEVOCETIRIZINE 5MG TABLETS,4.4,4.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301234,637,,,,,,,,ENABLEX 7.5MG TABLETS,16.29,16.29,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301235,637,,,,,,,,OXYBUTYNIN 5MG TABLETS,4.76,4.76,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301236,637,,,,,,,,HYDROXYZINE 10MG TABLETS,4.62,4.62,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301237,637,,,,,,,,COLCHICINE 0.6MG TABLETS,10.74,10.74,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301238,637,,,,,,,,ORTHO TRICYCLEN 28 TABLETS,57.53,57.53,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301239,637,,,,,,,,PRISTIQ 50MG TABLETS,15.09,15.09,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301240,637,,,,,,,,DICLOFENAC 75MG/MISOPROSTOL 200MCG TAB,7.35,7.35,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301241,637,,,,,,,,BENZONATATE 100MG CAPSULES,6.5,6.5,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301242,637,,,,,,,,ZOLPIDEM 10MG TABLETS,8.63,8.63,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301243,637,,,,,,,,SOTALOL 80MG TABLETS,6.35,6.35,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301244,637,,,,,,,,LOSARTAN 50MG TABLETS,6.26,6.26,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301245,637,,,,,,,,ZESTORETIC 20MG/12.5MG TABLET,18.4,18.4,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301246,637,,,,,,,,FLOMAX 0.4MG CAPSULE,13.2,13.2,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301247,637,,,,,,,,FUROSEMIDE 20MG TABLET,4.14,4.14,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301248,637,,,,,,,,MONTELUKAST 5MG CHEWABLE TABLET,9.65,9.65,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301249,637,,,,,,,,LASIX 80MG TABLET,5.62,5.62,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301250,637,,,,,,,,POLYMYXIN B & TRIMETHOPRIM OPTH SOLN 10M,20.44,20.44,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301251,637,,,,,,,,PROVERA 5MG TABLET,7.15,7.15,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301252,637,,,,,,,,SYMBICORT 80MCG/4.5MCG 120 INHALATION,312.71,312.71,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301253,637,,,,,,,,BYSTOLIC 10MG TABLET,7.38,7.38,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301254,637,,,,,,,,SIMVASTATIN 10MG TAB,6.8,6.8,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301255,637,,,,,,,,RIVASTIGMINE 9.5MG/24 HOUR PATCH,20.89,20.89,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301256,637,,,,,,,,CEPHALEXIN 500MG CAPSULE,4.38,4.38,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301257,637,,,,,,,,BENICAR 20MG/12.5MG TABLET,10.35,10.35,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301258,637,,,,,,,,ATORVASTATIN 80MG TABLET,9.77,9.77,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301259,637,,,,,,,,CARAFATE 1GM/10ML SUSP,8.2,8.2,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301260,637,,,,,,,,AMLODIPINE 2.5MG TABLETS,5.74,5.74,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301261,637,,,,,,,,CARBATROL 100MG CAPSULES,6.13,6.13,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301262,637,,,,,,,,DRYSOL 60ML BOTTLE,18.62,18.62,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301263,637,,,,,,,,CLONAZEPAM 0.5MG TABLET,4.75,4.75,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301264,637,,,,,,,,VANCOCIN 250MG CAPSULES,125.8,125.8,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301265,637,,,,,,,,PREVACID 15MG SOLUTAB,17.35,17.35,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301266,637,,,,,,,,SUMATRIPTAN 50MG TAB,5.65,5.65,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301267,637,,,,,,,,ADAPALENE 0.3% GEL 45GM,316.71,316.71,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301268,637,,,,,,,,OMEPRAZOLE 40MG CAPSULE,11.39,11.39,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301269,637,,,,,,,,LIDOCAINE 5% OINTMENT 35.44GM TUBE,307,307,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301270,637,,,,,,,,DILTIAZEM CD 300MG CAPSULE,6.2,6.2,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301271,637,,,,,,,,PREDNISONE 5MG TABLETS,4.23,4.23,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301272,637,,,,,,,,NADOLOL 80MG TABLETS,9.51,9.51,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301273,637,,,,,,,,DIETHYLPROPION CR 75MG TABLET,5.3,5.3,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301274,637,,,,,,,,TESTOSTERONE CYPIONATE 100MG/ML 10ML,66.1,66.1,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301275,637,,,,,,,,CIALIS 5MG TABLET,13.39,13.39,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301276,637,,,,,,,,NAPROXEN 550MG TABLET,7.57,7.57,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301277,637,,,,,,,,ANDROGEL 1.62% PUMP 60 ACTUATIONS,577.21,577.21,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301278,637,,,,,,,,LACTULOSE 10GM/15ML SYRUP 640Z,141.82,141.82,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301279,637,,,,,,,,KETOCONAZOLE 200MG TABLET,7.79,7.79,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301280,637,,,,,,,,MECLIZINE 12.5MG TABLET,4.33,4.33,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301281,637,,,,,,,,HUMALOG MIX 75/25 10ML VIAL,301.72,301.72,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301282,637,,,,,,,,LEVOTHYROXINE 125MCG TABLETS,4.78,4.78,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301283,637,,,,,,,,ATORVASTATIN 40MG TABLET,9.49,9.49,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301284,637,,,,,,,,BENICAR 20MG TABLET,10.35,10.35,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301285,637,,,,,,,,VYTORIN 10MG/40MG TABLET,14.3,14.3,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301286,637,,,,,,,,TRIAMCINOLONE 0.025% CREAM 15GM,11.46,11.46,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301287,637,,,,,,,,LINZESS 145MG CAPSULE,16.91,16.91,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301288,637,,,,,,,,IBUPROFEN 600MG TABLET,4.29,4.29,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301289,637,,,,,,,,METHYCHLOTHIAZIDE 5MG TABLET,5.84,5.84,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301290,637,,,,,,,,CLORAZEPATE 7.5MG TABLET,6.84,6.84,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301291,637,,,,,,,,ACETAMINOPHEN/COD 300MG/30MG TAB,4.36,4.36,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301292,637,,,,,,,,AMBIEN 10MG TABLET,23.17,23.17,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301293,637,,,,,,,,LORAZEPAM 0.5MG TABLET,4.68,4.68,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301294,637,,,,,,,,NAPROXEN 500MG TABLET,5.3,5.3,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301296,637,,,,,,,,ZOVIRAX 5% CREAM 5GM TUBE,811.47,811.47,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301297,637,,,,,,,,HYDROXYZINE 10MG/5ML SOLN,4.42,4.42,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301298,637,,,,,,,,PRAMIPEXOLE 0.125MG TABLET,6.95,6.95,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301299,637,,,,,,,,RANITIDINE 300MG TABLET,6.93,6.93,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301300,637,,,,,,,,SINGULAIR 4MG PACKETS,12.61,12.61,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301301,637,,,,,,,,REQUIP 1MG TABLETS,10.42,10.42,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301302,637,,,,,,,,ZEGERID 40MG/1100MG,125.35,125.35,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301303,637,,,,,,,,CANDESARTAN 16MG TABLET,7.18,7.18,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301304,637,,,,,,,,ACYCLOVIR 400MG TAB,5.89,5.89,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301305,637,,,,,,,,JARDIANCE 25MG TABLET,19.66,19.66,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301306,637,,,,,,,,NITROFURANTOIN(MACROBID)100MG CAPSULE,7.21,7.21,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301307,637,,,,,,,,DICLOFENAC SOD 50MG TABLETS,5.13,5.13,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301308,637,,,,,,,,TAZORAC 0.1% GEL 30GM,403.01,403.01,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301309,637,,,,,,,,ACZONE 5% GEL 60GM TUBE,601.12,601.12,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301310,637,,,,,,,,ONGLYZA 5MG TABLET,18.53,18.53,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301311,637,,,,,,,,CHOLESTYRAMINE 4GM ORAL PACKETS,7.37,7.37,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301312,637,,,,,,,,ESZOPICLONE 2MG TABLET,16.16,16.16,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301313,637,,,,,,,,BYSTOLIC 20MG TABLET,8.45,8.45,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301314,637,,,,,,,,LIDOCAINE 5% PATCH,14.28,14.28,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
301315,637,,,,,,,,CHANTIX STARTER PACK TABLETS,384.7,384.7,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
322,482,93017,,,,,,,TREADMILL WITH PRINTOUT,1309.5,1309.5,395.92,1144.92,395.92,,1144.92,,1144.92,,,,,,,,509.49,,613.52,,
34071,300,86615,,,,,,,BORDETELLA,1078.5,1078.5,,,,,,,,,,,,,,,,,,,
35,637,,,,,,,,CAPHOSOL 15ML ORAL AMPULES,7.87,7.87,0,9.45,1.15,0.41,0,9.45,,,2.55,,,,,,,4.81,1.13,,
35000028,272,,,,,,,,SLIM STRAIGHT PLATE 4 HOLES,5176.25,5176.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35000029,272,,,,,,,,SLIM STRAIGHT PLATE 6 HOLES,5176.25,5176.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35000030,278,,,,,,,,BROAD Y PLATE 4 SHAFT HOLES,6658.25,6658.25,0,1113.05,,,0,1113.05,,,,,,,,,,,,,
35000031,278,,,,,,,,LOCKING SCREW T8 FULL THREAD L12 MM,1048.75,1048.75,0,1113.05,,,0,1113.05,,,,,,,,,,,,,
35000032,278,,,,,,,,LOCKING SCREW T8 FULL THREAD L14 MM,1048.75,1048.75,0,1113.05,,,0,1113.05,,,,,,,,,,,,,
35000033,278,,,,,,,,LOCKING SCREW T10 FULL THREAD L18 MM,1048.75,1048.75,0,1113.05,,,0,1113.05,,,,,,,,,,,,,
35000034,278,,,,,,,,BONE SCREW  FULL THREAD L14 MM,714,714,0,1113.05,,,0,1113.05,,,,,,,,,,,,,
35000035,278,,,,,,,,LOCKING SCREW T10 FULL THREAD L16 MM,1167.75,1167.75,0,1113.05,,,0,1113.05,,,,,,,,,,,,,
35000036,278,,,,,,,,LOCKING SCREW T10 FULL THREAD L18 MM,1167.75,1167.75,0,1113.05,,,0,1113.05,,,,,,,,,,,,,
35000037,278,,,,,,,,HEADLESS COMPRESSION SCREW L24 MM,2295.75,2295.75,0,1113.05,,,0,1113.05,,,,,,,,,,,,,
35000038,278,,,,,,,,HEADLESS COMPRESSION SCREW L28 MM,2295.75,2295.75,0,1113.05,,,0,1113.05,,,,,,,,,,,,,
35000039,278,,,,,,,,HEADLESS COMPRESSION SCREW L30 MM,2295.75,2295.75,0,1113.05,,,0,1113.05,,,,,,,,,,,,,
35000040,272,,,,,,,,DRILL BIT AO 2.6 MM,989.25,989.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35000041,272,,,,,,,,DRILL BIT AO 2.0 MM,989.25,989.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35000042,278,,,,,,,,UNTHREADED GUIDE WIRE 1.4 MM,1048.75,1048.75,0,1113.05,,,0,1113.05,,,,,,,,,,,,,
35000043,278,,,,,,,,UNTHREADED GUIDE WIRE 2.0 MM,668,668,0,1113.05,,,0,1113.05,,,,,,,,,,,,,
35000044,272,,,,,,,,CANNULATED DRILL 2.7 MM,1880.75,1880.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35000045,278,,,,,,,,ANCHORAGE FIXATION PIN,893.25,893.25,0,1113.05,,,0,1113.05,,,,,,,,,,,,,
35000046,278,,,,,,,,VITOSS BBTRAUMA FOAM PACK 5CC,10286.5,10286.5,0,1113.05,,,0,1113.05,,,,,,,,,,,,,
35000047,272,,,,,,,,STEINMANN PIN SMOOTH 100MM,355.75,355.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35000048,272,,,,,,,,BROAD STRAIGHT PLATE 5 HOLES,6473,6473,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35000049,272,,,,,,,,BROAD PLATE 7 SHAFT HOLES,6992.25,6992.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35000050,272,,,,,,,,HEADLESS COMPRESSION SCREW L36,2523.75,2523.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35000051,271,,,,,,,,POUCH NEW IMAGE DRAIN 2 1/4,13.75,13.75,0,17.37,1.41,,0,17.37,,,,,,,,0,8.01,5.52,6.47,,
35000052,272,,,,,,,,SKIN BARRIER NEW IMAGE CONVEY 1 1/2,41.5,41.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35000053,272,,,,,,,,PASTE SKIN BARRIER KARAYA 4.5OZ,52.75,52.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35000054,278,,,,,,,,SNAP OFF SCREW 2 LG 12,2463.5,2463.5,0,1113.05,,,0,1113.05,,,,,,,,,,,,,
35006349,272,,,,,,,,COLOPLAST FR6 STRAIGHT TIP PEDIATRIC,77.25,77.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35006350,272,,,,,,,,COLOPLAST FR5 STRAIGHT TIP PEDIATRIC,77.25,77.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35010159,271,,,,,,,,VAPOTHERM PRECISION FLOW KIT,376.75,376.75,0,17.37,1.41,,0,17.37,,,,,,,,0,8.01,5.52,6.47,,
35020000,258,,,,,,,,D5% WATER 1000ML,16.5,16.5,0,16.38,1.1,,0,16.38,,,13.61,,,,,0,6.76,5.83,7.31,,
35020001,278,C1781,,,,,,,MESH 4.5 INCH BARD,1709,1709,,,,,,,,,,,,,,,,,,,
35020002,278,C1781,,,,,,,MESH 4X6 INCH BARD,1548,1548,,,,,,,,,,,,,,,,,,,
35020003,278,C1781,,,,,,,MESH 6 INCH  BARD,2461,2461,,,,,,,,,,,,,,,,,,,
35020004,278,C1781,,,,,,,MESH 6X8 INCH BARD,3004,3004,,,,,,,,,,,,,,,,,,,
35020005,278,C1781,,,,,,,MESH 7X9 INCH BARD,4324,4324,,,,,,,,,,,,,,,,,,,
35020006,278,C1781,,,,,,,MESH 8X10 INCH BARD,5133.25,5133.25,,,,,,,,,,,,,,,,,,,
35020007,272,,,,,,,,STRAP SECURE 5MM,1616.5,1616.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35020008,278,C1781,,,,,,,MESH 3D MAX MED L,563.75,563.75,,,,,,,,,,,,,,,,,,,
35020009,278,C1781,,,,,,,MESH 3D MAX MED R,563.75,563.75,,,,,,,,,,,,,,,,,,,
35020010,278,C1781,,,,,,,MESH 8 INCH  BARD,4306.5,4306.5,,,,,,,,,,,,,,,,,,,
35020011,258,,,,,,,,D 5% 1/4 SALINE 1000 ML,16.5,16.5,0,16.38,1.1,,0,16.38,,,13.61,,,,,0,6.76,5.83,7.31,,
35020013,272,,,,,,,,ENDO CLOSURE SYSTEM,319,319,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35020014,272,,,,,,,,ENDO PEANUT,118.75,118.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35020015,272,A6253,,,,,,,SOFSORB PAD 6X9,15.25,15.25,,,,,,,,,,,,,,,,,,,
35020017,272,,,,,,,,LIGACLIP APPLIER LARGE,102.25,102.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35020018,272,,,,,,,,LIGACLIP APPLIER MED,102.25,102.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35020019,636,Q4186,,,,,,,EPIFIX 18 MM DISK,2267.5,2267.5,,,,,,,,,,,,,,,,,,,
35020020,636,Q4186,,,,,,,EPIFIX 2CM X 4CM,4252,4252,,,,,,,,,,,,,,,,,,,
35020021,636,Q4186,,,,,,,EPIFIX 4CM X 4CM,9908,9908,,,,,,,,,,,,,,,,,,,
35020022,636,Q4186,,,,,,,EPIFIX 5CM X 6CM,18838.25,18838.25,,,,,,,,,,,,,,,,,,,
35020023,258,,,,,,,,D 5% 1/2 SALINE 1000 ML,16.5,16.5,0,16.38,1.1,,0,16.38,,,13.61,,,,,0,6.76,5.83,7.31,,
35020024,636,Q4186,,,,,,,EPIFIX 2CM X 3CM,3785.75,3785.75,,,,,,,,,,,,,,,,,,,
35020025,636,Q4186,,,,,,,EPIFIX 2CM X 2CM,3521,3521,,,,,,,,,,,,,,,,,,,
35020026,636,Q4186,,,,,,,EPIFIX 14 MM DISK,990.75,990.75,,,,,,,,,,,,,,,,,,,
35020027,272,,,,,,,,CATHETER IRRIG 3 WAY 20 FR,53.5,53.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35020028,272,,,,,,,,CATHETER IRRIG 3 WAY 22 FR,53.5,53.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35020029,272,,,,,,,,CATHETER IRRIG 3 WAY 24 FR,53.5,53.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35020030,272,,,,,,,,RELOAD ARTICULATING EDOSCOPIC WHITE,549,549,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35020031,272,A6235,,,,,,,CUTIMED SORBACT HYDROACTIVE DRESSING,29.5,29.5,,,,,,,,,,,,,,,,,,,
35020032,272,,,,,,,,VIDIS 3 SAMPLE TIP,0.5,0.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35020033,272,,,,,,,,LIGA CLIP APPLIER MULT CLIP LARGE,169.75,169.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35020035,258,,,,,,,,D 5% SALINE 0.9 1000 ML,16.5,16.5,0,16.38,1.1,,0,16.38,,,13.61,,,,,0,6.76,5.83,7.31,,
35020047,258,,,,,,,,D 5% LACTATED RINGERS 1000 ML,16.5,16.5,0,16.38,1.1,,0,16.38,,,13.61,,,,,0,6.76,5.83,7.31,,
35020059,258,,,,,,,,LACTATED RINGERS 1000 ML,16.5,16.5,0,16.38,1.1,,0,16.38,,,13.61,,,,,0,6.76,5.83,7.31,,
35020060,272,,,,,,,,NORMAL SALINE 1000 ML,16.5,16.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35020072,258,,,,,,,,SODIUM CHLORIDE 0.45 1000ML,16.5,16.5,0,16.38,1.1,,0,16.38,,,13.61,,,,,0,6.76,5.83,7.31,,
35020151,258,,,,,,,,D5% WATER 500ML,16.5,16.5,0,16.38,1.1,,0,16.38,,,13.61,,,,,0,6.76,5.83,7.31,,
35020163,258,,,,,,,,NORMAL SALINE 500 ML,16.5,16.5,0,16.38,1.1,,0,16.38,,,13.61,,,,,0,6.76,5.83,7.31,,
35020175,258,,,,,,,,D 5% 1/2 SALINE 500 ML,4.75,4.75,0,16.38,1.1,,0,16.38,,,13.61,,,,,0,6.76,5.83,7.31,,
35020217,258,,,,,,,,D 5% WATER 250 ML,16.5,16.5,0,16.38,1.1,,0,16.38,,,13.61,,,,,0,6.76,5.83,7.31,,
35020229,258,,,,,,,,NORMAL SALINE 250ML,16.5,16.5,0,16.38,1.1,,0,16.38,,,13.61,,,,,0,6.76,5.83,7.31,,
35020448,272,,,,,,,,CYSTO SET 6544,22.5,22.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35020643,272,,,,,,,,PRIMARY PIGGYBACK W/FILTER,25.5,25.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35021107,272,,,,,,,,CENTRAL VENOUS CATH 3,369.5,369.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35021109,272,,,,,,,,NITRO PUMP TUBING,31.5,31.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35021110,272,,,,,,,,PCA TUBING  (PAIN CONTROL),25.5,25.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35022287,272,A6258,,,,,,,TEGADERM 25CM X 14,6.75,6.75,,,,,,,,,,,,,,,,,,,
35022299,272,A6258,,,,,,,TEGADERM 10CM X 14,3.75,3.75,,,,,,,,,,,,,,,,,,,
35022309,272,A6234,,,,,,,DUODERM THIN 4X4,11,11,,,,,,,,,,,,,,,,,,,
35022378,272,,,,,,,,PRN ADAPTER,4.25,4.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35022391,272,,,,,,,,INSTRUMENT SET DISPOSABLE,5.75,5.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35022491,272,A6234,,,,,,,DUODERM CGF 4X4,9.5,9.5,,,,,,,,,,,,,,,,,,,
35022497,272,A6237,,,,,,,DUODERM CGF 4X4 WITH BORDER,12.25,12.25,,,,,,,,,,,,,,,,,,,
35022499,272,,,,,,,,INTRASITE GEL 25G,20.25,20.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35022501,272,A6196,,,,,,,AQUACEL DRESSING 4X5,15.75,15.75,,,,,,,,,,,,,,,,,,,
35022511,272,,,,,,,,FLUFF SPONGE,11.25,11.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35022513,272,,,,,,,,RESTORE WOUND CLEANSER SPRAY 12OZ.,28,28,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35022516,272,,,,,,,,MEDIPORE TAPE 4,32.25,32.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35022517,272,,,,,,,,MEDIPORE TAPE 2,17.75,17.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35023583,272,,,,,,,,PEAK FLOW METER,36.5,36.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35024557,272,,,,,,,,CHEST TUBE 20FR. SET,488.25,488.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35024558,272,,,,,,,,CHEST TUBE 24FR.,475.25,475.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35024559,272,,,,,,,,CHEST TUBE 32FR. SET - CUSTOM,513.25,513.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35024560,272,,,,,,,,CHEST TUBE 36FR,483.75,483.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35024569,272,,,,,,,,CHEST TUBE 26FR.,359.25,359.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35024570,272,,,,,,,,CHEST TUBE 28FR. SET,553,553,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35024571,272,,,,,,,,CHEST TUBE 12FR.,257,257,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35024650,272,,,,,,,,FINGER SPLINT 1/2 PADDED,6.5,6.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35024703,272,,,,,,,,STOMAHESIVE PASTE 2 OZ,7,7,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35024715,272,,,,,,,,STOMAHESIVE POWDER 1 OZ,5.5,5.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35024790,272,,,,,,,,COBAN WRAP 2,5,5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35025045,272,,,,,,,,CATH TRAY WITH 16 FOLEY,48.75,48.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35025057,272,,,,,,,,CATH TRAY W/OUT FOLEY,30.5,30.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35025069,272,,,,,,,,CATHETER TRAY URETHRAL,8.25,8.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35025070,272,,,,,,,,DRAINAGE BAG,14.25,14.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35025094,272,,,,,,,,FOLEY CATHETER 10FR 3CC,25.5,25.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35025100,272,,,,,,,,FOLEY CATHETER 12 FR 5 CC,16.75,16.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35025112,272,,,,,,,,FOLEY CATHETER 14 FR 5 CC,25.5,25.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35025124,272,,,,,,,,FOLEY CATHETER 16 FR 5 CC,16.75,16.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35025136,272,,,,,,,,FOLEY CATHETER 18 FR 5 CC,16.75,16.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35025150,272,,,,,,,,FOLEY CATHETER 22 FR 5 CC,25.5,25.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35025161,272,,,,,,,,FOLEY CATHETER 24 FR 5 CC,25.5,25.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35025203,272,,,,,,,,FOLEY CATHETER 16 FR 30 CC,25.25,25.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35025240,272,,,,,,,,FOLEY CATHETER 24 FR 30 CC,47.75,47.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35025290,272,,,,,,,,STRAIGHT CATHETER 12 FR,3.25,3.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35025306,272,,,,,,,,STRAIGHT CATHETER 10 FR,5.25,5.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35025318,272,,,,,,,,FOLEY CATHETER 8FR 3CC,17,17,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35025320,272,,,,,,,,TEXAS CATHETER,2.25,2.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35025331,272,,,,,,,,STRAIGHT CATHETER 16 FR,3.25,3.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35025355,272,,,,,,,,STRAIGHT CATHETER 14 FR,5.5,5.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35025367,272,,,,,,,,SUCTION CATHETER 14 FR,2.75,2.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35025379,272,,,,,,,,SUCTION CATHETER 8 FR,3,3,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35025483,272,,,,,,,,RECTAL TUBE,45.5,45.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35025495,272,,,,,,,,TRACHEOSTOMY CLEANING TRAY,9.75,9.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35025513,273,L3908,,,,,,,WRIST RT XL,30,30,0,24.75,,,0,,,,24.75,,,,,,,,,,
35025525,273,L3908,,,,,,,WRIST BRACE LFT XL,30,30,0,24.75,,,0,,,,24.75,,,,,,,,,,
35025689,271,,,,,,,,ARM BOARD,10,10,0,17.37,1.41,,0,17.37,,,,,,,,0,8.01,5.52,6.47,,
35025756,272,,,,,,,,FEMALE CATHETER KIT,13.75,13.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35026050,273,,,,,,,,CRUTCHES CHILD,20,20,0,26,,24.19,0,26,,,,,,,,,,,0,,
35026051,273,,,,,,,,CRUTCHES MED,20,20,0,26,,24.19,0,26,,,,,,,,,,,0,,
35026052,273,,,,,,,,CRUTCHES TALL ADULT,20,20,0,26,,24.19,0,26,,,,,,,,,,,0,,
35026053,273,,,,,,,,CRUTCHES YOUTH,20,20,0,26,,24.19,0,26,,,,,,,,,,,0,,
35026438,272,,,,,,,,AQUA K PAD (SMALL),23.75,23.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35026633,272,,,,,,,,THORACENTESIS TRAY,173,173,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35026682,272,,,,,,,,E R TRAY SMALL,30,30,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35026700,272,,,,,,,,IRRIGATION CATH TRAY,5.75,5.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35026713,272,,,,,,,,SCALPEL DISP SZ 15  10/BX,9.5,9.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35026714,272,,,,,,,,SCALPEL DISP SZ 10,9,9,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35026890,272,,,,,,,,NOZ STOP,288,288,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35027212,272,,,,,,,,AQUA K PAD (LARGE),26.75,26.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35027273,272,,,,,,,,CLAVICLE SHOULDER BRACE INFANT,45,45,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35027285,272,,,,,,,,CLAVICLE BRACE MED,45,45,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35027315,272,,,,,,,,CLAVICLE BRACE SML,45,45,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35027327,272,,,,,,,,CLAVICLE BRACE LRG,45,45,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35027328,272,,,,,,,,CLAVICLE BRACE XL,45,45,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35027329,273,L0120,,,,,,,CERVICAL COLLAR XL,32.5,32.5,,,,,,,,,,,,,,,,,,,
35027340,273,L0120,,,,,,,CERVICAL COLLAR SMALL,32.5,32.5,,,,,,,,,,,,,,,,,,,
35027352,273,L0120,,,,,,,CERVICAL COLLAR MEDIUM,32.5,32.5,,,,,,,,,,,,,,,,,,,
35027364,273,L0120,,,,,,,CERVICAL COLLAR LARGE,32.5,32.5,,,,,,,,,,,,,,,,,,,
35027546,272,,,,,,,,SURGICAL BINDER 410,32.25,32.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35027558,272,,,,,,,,SURGICAL BINDER 411,32.25,32.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35027698,273,A4565,,,,,,,ARM SLING INFANT,16,16,0,0,,,0,,,,,,,,,0,,,,,
35027704,273,A4565,,,,,,,ARM SLING CHILD,16,16,0,0,,,0,,,,,,,,,0,,,,,
35027716,273,A4565,,,,,,,ARM SLING ADULT MED,16,16,0,0,,,0,,,,,,,,,0,,,,,
35027717,273,A4565,,,,,,,ARM SLING ADULT XL,16,16,0,0,,,0,,,,,,,,,0,,,,,
35027718,273,A4565,,,,,,,ARM SLING ADULT LRG,16,16,0,0,,,0,,,,,,,,,0,,,,,
35027790,273,,,,,,,,KNEE BRACE SMALL,30,30,0,26,,24.19,0,26,,,,,,,,,,,0,,
35027807,272,,,,,,,,KNEE BRACE MEDIUM,30,30,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35027819,272,,,,,,,,KNEE BRACE LARGE,30,30,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35027820,273,L1830,,,,,,,KNEE IMMOBILIZER 20 UNIVERSAL,98,98,,,,,,,,,,,,,,,,,,,
35027821,272,,,,,,,,KNEE BRACE XL,30,30,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35027822,273,L1830,,,,,,,KNEE IMMOBILIZER 16 UNIVERSAL,98,98,,,,,,,,,,,,,,,,,,,
35027824,273,L1830,,,,,,,KNEE IMMOBILIZER 19  XL,101.75,101.75,,,,,,,,,,,,,,,,,,,
35027825,273,L1830,,,,,,,KNEE IMMOBILIZER XXL,98,98,,,,,,,,,,,,,,,,,,,
35027826,272,,,,,,,,CATHETER IRRIG 3 WAY 16 FR,77.25,77.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35027827,272,,,,,,,,CATHETER IRRIG 3 WAY 18 FR,77.25,77.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35027868,273,L3908,,,,,,,WRIST BRACE LFT HAND SML,30,30,0,24.75,,,0,,,,24.75,,,,,,,,,,
35027870,273,L3908,,,,,,,WRIST BRACE LFT HAND MED,30,30,0,24.75,,,0,,,,24.75,,,,,,,,,,
35027881,273,L3908,,,,,,,WRIST BRACE LFT HAND LRG,30,30,0,24.75,,,0,,,,24.75,,,,,,,,,,
35027900,273,L3908,,,,,,,WRIST BRACE RT HAND MED,30,30,0,24.75,,,0,,,,24.75,,,,,,,,,,
35027911,273,L3908,,,,,,,WRIST BRACE RT HAND LRG,30,30,0,24.75,,,0,,,,24.75,,,,,,,,,,
35027912,273,L3908,,,,,,,WRIST BRACE RT SML,30,30,0,24.75,,,0,,,,24.75,,,,,,,,,,
35027924,271,E0191,,,,,,,HEEL PROTECTOR III W INTEGRATED WEDGE,273.5,273.5,,,,,,,,,,,,,,,,,,,
35028162,272,,,,,,,,BONE MARROW TRAY W/NEEDLE,87.5,87.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35028368,271,,,,,,,,ARM BOARD CHILD,10,10,0,17.37,1.41,,0,17.37,,,,,,,,0,8.01,5.52,6.47,,
35028400,272,,,,,,,,REFLUX VALVE,19.25,19.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35028423,272,,,,,,,,COLLES SPLINT LEFT/LARGE,27.25,27.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35028424,272,,,,,,,,COLLES SPLINT LEFT/MED,27.25,27.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35028425,272,,,,,,,,COLLES SPLINT LEFT/SMALL,27.25,27.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35028426,272,,,,,,,,COLLES SPLINT RT/LARGE,27.25,27.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35028427,272,,,,,,,,COLLES SPLINT RT/MED,27.25,27.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35028428,272,,,,,,,,COLLES SPLINT RT/SMALL,27.25,27.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35028435,272,,,,,,,,COCK UP SPLINT LARGE,34.5,34.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35028436,272,,,,,,,,COCK UP SPLINT MEDIUM,34.5,34.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35028437,272,,,,,,,,COCK UP SPLINT SMALL,32.75,32.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35028933,272,,,,,,,,BARRIER MOLDABLE 2 1/4  ACCORDION MED,6,6,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35028934,272,,,,,,,,EAKIN SEAL 2,4.5,4.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35028942,272,,,,,,,,SUCTION CATHETER 10 FR,1.5,1.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35028943,272,,,,,,,,SUCTION CATHETER 5 FR,2.75,2.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35028944,271,,,,,,,,POUCH DRAINABLE 2 1/4  INVISICLOSE TAIL,9.25,9.25,0,17.37,1.41,,0,17.37,,,,,,,,0,8.01,5.52,6.47,,
35028945,271,,,,,,,,CURVED TAIL CLOSURE,2.5,2.5,0,17.37,1.41,,0,17.37,,,,,,,,0,8.01,5.52,6.47,,
35028963,272,,,,,,,,COBAN WRAP 1IN,2.75,2.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35028978,271,,,,,,,,FILTER SET - 0.2 MICRON 17IN,11,11,0,17.37,1.41,,0,17.37,,,,,,,,0,8.01,5.52,6.47,,
35028985,271,,,,,,,,POUCH ESTEEM FLEX CONVEX CTF,3.5,3.5,0,17.37,1.41,,0,17.37,,,,,,,,0,8.01,5.52,6.47,,
35028988,258,,,,,,,,SODIUM CHLORIDE 0.45% 500ML,16.5,16.5,0,16.38,1.1,,0,16.38,,,13.61,,,,,0,6.76,5.83,7.31,,
35029774,272,,,,,,,,HEMA Y TYPE BLOOD SET,45.5,45.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35029963,272,,,,,,,,PERINEAL SOLUTION,19.75,19.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35030007,272,A6209,,,,,,,HYDRASORB,5.25,5.25,,,,,,,,,,,,,,,,,,,
35030020,272,,,,,,,,NASAL PACKING 8CM W/STRING,23,23,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35030022,272,,,,,,,,NASAL PACKING 4.5CM W/STRING 10/BX,21.5,21.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35030031,272,,,,,,,,GASTROSTOMY TUBE 18 FR,138,138,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35030032,272,,,,,,,,GASTROSTOMY TUBE 20 FR,138,138,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35030034,272,,,,,,,,MORGAN LENS,110,110,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35030035,271,,,,,,,,DEFIBRILLATOR PADS ADULT ONESTEP,196.25,196.25,0,17.37,1.41,,0,17.37,,,,,,,,0,8.01,5.52,6.47,,
35030036,271,,,,,,,,DEFIBRILLATOR PADS PEDI  ONESTEP,200,200,0,17.37,1.41,,0,17.37,,,,,,,,0,8.01,5.52,6.47,,
35030038,272,,,,,,,,REMEDY CALAZIME PROTECTANT,20,20,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35030132,272,,,,,,,,GASTROSTOMY TUBE 22 FR,138,138,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35030133,272,,,,,,,,GASTROSTOMY TUBE 24 FR,138,138,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35031162,272,,,,,,,,PORT-A-CATH,825,825,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35031288,270,,,,,,,,SUTURE 490T ETHILON,25.25,25.25,0,83.33,39.41,,0,70.86,,,83.33,,,,,0,17.06,,18.26,,
35031393,272,,,,,,,,LIGACLIP APPLIER SMALL,195.25,195.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35032098,272,,,,,,,,POOLE SUCTION TUBE,8,8,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35032220,278,C1781,,,,,,,MESH - SURGICAL,141.75,141.75,,,,,,,,,,,,,,,,,,,
35032633,272,,,,,,,,SKIN STAPLER 35,79.75,79.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35032647,272,,,,,,,,STAPLER GIA 60,269,269,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35032648,272,,,,,,,,STAPLER GIA 55 REFILL,153.75,153.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35032670,272,,,,,,,,SPINAL ANESTH TRAY,51,51,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35032674,271,,,,,,,,CO 2 GAS,10.25,10.25,0,17.37,1.41,,0,17.37,,,,,,,,0,8.01,5.52,6.47,,
35032677,272,,,,,,,,SNARE -  ROTATABLE,108.75,108.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35032678,272,,,,,,,,CLIP TITANIUM (M-11),196.75,196.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35032683,272,,,,,,,,ENDO CLIP,356.25,356.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35032684,272,,,,,,,,STAPLER TX 60,268.25,268.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35032695,272,,,,,,,,CLIP APPLIER  - RIGHT ANGLE,630,630,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35032709,272,,,,,,,,COMPRESSION SLEEVE LARGE,62.75,62.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35032710,272,,,,,,,,COMPRESSION SLEEVE MEDIUM,109.5,109.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35032711,272,,,,,,,,COMPRESSION SLEEVE SMALL,62.75,62.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35032725,272,,,,,,,,VASCULAR LOOPS RED,3.75,3.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35032726,272,,,,,,,,VASCULAR LOOPS BLUE,4.25,4.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35032730,272,,,,,,,,GRANEE NEEDLE  10/BX,202.5,202.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35032734,272,,,,,,,,AGGRESSIVE BLADE,141,141,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35032782,272,,,,,,,,ENDO CLIP 5MM,493.25,493.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35032784,272,,,,,,,,LAPAROSCOPIC SET,437.5,437.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35032789,272,,,,,,,,HOT BIOPSY FORCEPS,86.5,86.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35032840,272,,,,,,,,LARGE TEAR CROSS CUT RASP 14X7MM,399.75,399.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35032841,278,,,,,,,,SMART TOE 2 IMPLANT 15MM,5186.25,5186.25,0,1113.05,,,0,1113.05,,,,,,,,,,,,,
35032842,272,,,,,,,,4.0 MM OVAL CARBIDE BUR,124.75,124.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35032843,272,,,,,,,,2 MM CALIBRATED REAMER,1164.5,1164.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35032864,272,,,,,,,,J-P SUCTION RESERVOIR,18.75,18.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35032876,272,,,,,,,,J-P SUCTION DRAIN FLAT 10MM,26.75,26.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35033546,272,,,,,,,,SLING & SWATHE,33.5,33.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35033637,272,,,,,,,,DRESSING CHANGE TRAY,19,19,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35033650,276,,,,,,,,INTRAOCULAR LENS-ALCON/J&J VISION,634,634,204.49,486.5,204.49,,,486.5,,,,,,,,,,,398.93,,
35033651,271,,,,,,,,CARTIVA DEVICE,11907,11907,0,17.37,1.41,,0,17.37,,,,,,,,0,8.01,5.52,6.47,,
35033652,272,,,,,,,,3DICROSSCHECK MTP RIGHT,8748.5,8748.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35033653,272,,,,,,,,IMPLANT SMALL CANNULATED,4333,4333,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35033868,272,,,,,,,,ESOPHGEAL STETH 18 FR,21,21,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35034125,272,,,,,,,,STIFFNECK COLLAR NO NECK,53.25,53.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35034126,272,,,,,,,,STIFFNECK COLLAR UNIVERSAL,88.75,88.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35034127,272,,,,,,,,STIFFNECK COLLAR PEDIATRIC,48.5,48.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35034128,272,,,,,,,,STIFFNECK COLLAR BABY NO NECK,48.5,48.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35034129,272,,,,,,,,ASPEN VISTA PEDIATRIC COLLAR,48.5,48.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35034186,272,,,,,,,,ANKLE TRAINING BRACE LFT MED,86.75,86.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35034187,272,,,,,,,,ANKLE TRAINING BRACE RT MED,86.75,86.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35034188,272,,,,,,,,ANKLE TRAINING BRACE RT SML,86.75,86.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35034189,272,,,,,,,,ANKLE TRAINING BRACE LFT LRG,86.75,86.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35034190,272,,,,,,,,ANKLE TRAINING BRACE LFT SML,86.75,86.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35034191,272,,,,,,,,ANKLE TRAINING BRACE RT LRG,86.75,86.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35034198,272,,,,,,,,INTUBATION STYLET 14FR.,10.25,10.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040000,273,A4565,,,,,,,ARM SLING SMALL,16,16,0,0,,,0,,,,,,,,,0,,,,,
35040001,272,,,,,,,,FOLEY CATHETER 20 FR 5 CC,25.5,25.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040016,272,,,,,,,,TRACHEOSTOMY TUBE CUFFED 8DCT,127,127,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040018,272,,,,,,,,SCALPEL DISP SZ 11,9.5,9.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040020,272,,,,,,,,STAPLER TX 60 REFILL,143,143,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040021,272,,,,,,,,TRACHEOSTOMY TUBE CUFFED 4DCT,128.75,128.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040022,272,,,,,,,,TRACHEOSTOMY TUBE CUFFED 6DCT,128.75,128.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040023,272,,,,,,,,TRACHEOSTOMY TUBE CUFFED 10DCT,128.75,128.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040024,272,,,,,,,,TRACHEOSTOMY TUBE 7XLT DISTAL,226.5,226.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040025,272,,,,,,,,TRACHEOSTOMY TUBE 7XLT PROXIMAL,226.5,226.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040026,272,,,,,,,,TRACHEOSTOMY TUBE 8XLT DISTAL,226.5,226.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040027,272,,,,,,,,TRACHEOSTOMY TUBE 8XLT PROXIMAL,226.5,226.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040032,272,A6197,,,,,,,AQUACEL AG 4X4.7,37.25,37.25,,,,,,,,,,,,,,,,,,,
35040037,272,,,,,,,,CLAVICLE BRACE CHILD,45,45,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040038,272,,,,,,,,AQUACEL 6X6 DRESSING W/SILVER,102,102,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040039,272,,,,,,,,NASAL PACKING SLIM MED.W/STRING,63,63,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040042,272,,,,,,,,CLIP APPLIER II,542.5,542.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040043,272,,,,,,,,"RELOAD, ARTICULATING ENDOCSCOPIC",549,549,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040045,272,,,,,,,,SNARE MED OVAL FLEXIBLE 27mm,65.75,65.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040047,272,,,,,,,,BIOPSY FORCEP,42,42,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040050,272,,,,,,,,CRICOTHYROTOMY SET 6.0,564.75,564.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040051,272,,,,,,,,CATHETER COUDE 12 FR,46.5,46.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040052,272,,,,,,,,CATHETER COUDE 14 FR,55.75,55.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040053,272,,,,,,,,CATHETER COUDE 16 FR,55.75,55.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040054,272,,,,,,,,CATHETER COUDE 18 FR,55.75,55.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040055,272,,,,,,,,PHACO TUBING - ORDER FROM JIM SLATTERY,180,180,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040057,272,,,,,,,,VITRECTOMY CUTTER,700,700,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040060,276,,,,,,,,INTRAOCULAR LENS-AMO,511,511,204.49,486.5,204.49,,,486.5,,,,,,,,,,,398.93,,
35040061,272,,,,,,,,IRIS RETRACTOR   1BX PER PATIENT,371.25,371.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040062,272,,,,,,,,BALLOON ESOPHAGEAL DILATOR 10-12 MM,678.5,678.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040063,272,,,,,,,,COBAN WRAP 3,6.25,6.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040064,272,,,,,,,,COBAN WRAP 4,8,8,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040065,272,,,,,,,,PNEUMOTHORAX SET,587,587,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040066,272,,,,,,,,CRICOTHYROTOMY SET 3.5,559.25,559.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040069,272,,,,,,,,LARYNGEAL MASK  5,35.75,35.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040070,272,,,,,,,,LARYNGEAL MASK  4,54,54,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040077,272,,,,,,,,ENDOTRACHEAL INTRODUCER COUDE TIP,30,30,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040078,272,,,,,,,,ENDOTRACHEAL INTRODUCER STRAIGHT TIP,30,30,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040079,272,,,,,,,,ENDOTRACHEAL INTRODUCER PEDI COUDE TIP,30,30,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040080,272,,,,,,,,CHEST TUBE 14 FR   -  CUSTOM,456,456,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040081,272,,,,,,,,CHEST TUBE 8 FR  -  CUSTOM,459.75,459.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040083,272,,,,,,,,BALLOON ESOPHAGEAL DILATOR 12-15 MM,678.5,678.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040084,272,,,,,,,,BALLOON ESOPHAGEAL DILATOR 15-18 MM,678.5,678.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040086,272,,,,,,,,POUCH UROSTOMY  2 1/4,1.5,1.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040087,272,,,,,,,,STRAIGHT CATHETER 18 FR,3.25,3.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040089,272,,,,,,,,LARYNGEAL MASK 3,54,54,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040090,272,,,,,,,,COMPRESSION STAPLE STRYKER,5922,5922,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040093,272,A6198,,,,,,,AQUACEL RIBBON AG,46.75,46.75,,,,,,,,,,,,,,,,,,,
35040097,278,C1788,,,,,,,POWER PORT,1290,1290,,,,,,,,,,,,,,,,,,,
35040099,271,,,,,,,,COMPRESSION SLEEVE XLARGE,210.25,210.25,0,17.37,1.41,,0,17.37,,,,,,,,0,8.01,5.52,6.47,,
35040102,272,,,,,,,,CRICOTHYROTOMY SET 4.0,537.75,537.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040103,272,,,,,,,,HEMORRHOID STAPLER,1125,1125,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040108,272,,,,,,,,LIQUID ADHESIVE MASTISOL,9,9,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040112,258,,,,,,,,LACTATED RINGERS 500ML,27.5,27.5,0,16.38,1.1,,0,16.38,,,13.61,,,,,0,6.76,5.83,7.31,,
35040124,278,,,,,,,,TUBE COLLAR BUTTON 1.14/2.6,33.25,33.25,0,1113.05,,,0,1113.05,,,,,,,,,,,,,
35040125,278,,,,,,,,TUBE COLLAR BUTTON 1.27/3.0,33.25,33.25,0,1113.05,,,0,1113.05,,,,,,,,,,,,,
35040126,278,,,,,,,,TUBE DONALDSON SILICONE,107,107,0,1113.05,,,0,1113.05,,,,,,,,,,,,,
35040127,272,,,,,,,,"STAPLER, ARTICULATING ENDOCSCOPIC",834,834,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040128,278,C1781,,,,,,,HERNIA MESH MED VENTRALEX,1475.25,1475.25,,,,,,,,,,,,,,,,,,,
35040129,278,C1781,,,,,,,HERNIA MESH LARGE VENTRALEX,1905.25,1905.25,,,,,,,,,,,,,,,,,,,
35040130,278,C1781,,,,,,,HERNIA MESH PERFIX PLUG SM,513.5,513.5,,,,,,,,,,,,,,,,,,,
35040131,278,C1781,,,,,,,HERNIA MESH PERFIX PLUG MED,978.25,978.25,,,,,,,,,,,,,,,,,,,
35040132,278,C1781,,,,,,,HERNIA MESH PERFIX PLUG LRG,986.75,986.75,,,,,,,,,,,,,,,,,,,
35040133,270,,,,,,,,CHOLANGIOGRAPHY CATHETER KUMAR,104.75,104.75,0,83.33,39.41,,0,70.86,,,83.33,,,,,0,17.06,,18.26,,
35040136,272,,,,,,,,NASAL PACKING SLIMLINE LARGE,77,77,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040137,272,,,,,,,,NASAL PACKING WIDELINE LARGE,97.5,97.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040138,272,,,,,,,,BALLOON DILATION CATHETER 12-15MM,615.75,615.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040139,272,,,,,,,,BALLOON DILATION CATHETER 15-18MM,616.25,616.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040140,272,,,,,,,,BALLOON DILATION CATHETER 18-20MM,615.75,615.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040142,272,,,,,,,,HEEL/ELBOW PROTECTOR  SM.,68.5,68.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040143,272,,,,,,,,HEEL/ELBOW PROTECTOR  MED.,34.75,34.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040144,272,,,,,,,,HEEL/ELBOW PROTECTOR  LRG.,68.5,68.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040145,272,,,,,,,,HEEL/ELBOW PROTECTOR  XL,31,31,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040146,271,,,,,,,,BLOOD SECONDARY,12.5,12.5,0,17.37,1.41,,0,17.37,,,,,,,,0,8.01,5.52,6.47,,
35040147,272,,,,,,,,ANES ATKINSON NEEDLE 27G X 1 1/4,23.75,23.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040150,271,,,,,,,,FECAL MANAGEMENT SYSTEM,635,635,0,17.37,1.41,,0,17.37,,,,,,,,0,8.01,5.52,6.47,,
35040151,272,,,,,,,,RAPID RHINO 7.5 CM INFLATABLE,161,161,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040152,272,,,,,,,,ET TUBE HOLDER ADULT (THOMAS),17,17,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040153,272,,,,,,,,INTRAOSSEOUS NEEDLE SET 25MM 15GA,478.25,478.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040154,272,,,,,,,,INTRAOSSEOUS NEEDLE SET 15MM 15GA,478.25,478.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040155,272,,,,,,,,INTRAOSSEOUS NEEDLE SET 45MM 15GA,478.25,478.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040167,272,,,,,,,,UPPER EXTREMITY SHEET,39.5,39.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040178,272,,,,,,,,STAPLER 45 MM RELOAD,505,505,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040183,272,,,,,,,,CLIP APPLIER ENDO10MM,248.5,248.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040191,272,,,,,,,,ENDOPOUCH SPEC BAG,189.5,189.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040228,271,,,,,,,,ET TUBE HOLDER PEDIATRIC (THOMAS),15.5,15.5,0,17.37,1.41,,0,17.37,,,,,,,,0,8.01,5.52,6.47,,
35040239,272,,,,,,,,SOLUSETS/BURETTES MICRODRIP TUBING,17,17,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040248,272,,,,,,,,ULTRASOUND KIT,36.25,36.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040249,272,,,,,,,,GVL 1 STAT,103.25,103.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040250,272,,,,,,,,GVL 2 STAT,103.25,103.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040251,272,,,,,,,,LOPRO S3 STAT,157,157,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040252,272,,,,,,,,LOPRO S4 STAT,160,160,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040253,278,C1781,,,,,,,HERNIA MESH SMALL VENTRALEX,1174.25,1174.25,,,,,,,,,,,,,,,,,,,
35040257,272,,,,,,,,MEDIFIL II PARTICLES,86,86,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040260,272,,,,,,,,QUICKTRACH 4MM,624.25,624.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040261,272,,,,,,,,QUICKTRACH 2MM,568.75,568.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040263,272,,,,,,,,BOUGIE COUDE TIP 15FR.,31.25,31.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040266,272,,,,,,,,COMPRESSION KNEE-HI SMALL,101.75,101.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040267,272,,,,,,,,COMPRESSION KNEE-HI MED,101.75,101.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040268,272,,,,,,,,COMPRESSION KNEE-HI LRG,101.75,101.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040272,272,A6213,,,,,,,SACRAL DRESSING REGULAR,37.75,37.75,,,,,,,,,,,,,,,,,,,
35040273,272,A6213,,,,,,,SACRAL LRG. DRESSING,43.75,43.75,,,,,,,,,,,,,,,,,,,
35040274,272,,,,,,,,STAPLER 45 MM LINEAR,857,857,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040275,272,A4405,,,,,,,INTERDRY AG,191.5,191.5,,,,,,,,,,,,,,,,,,,
35040276,271,E0191,,,,,,,BOOT HEELIFT SUSPENSION,113.25,113.25,,,,,,,,,,,,,,,,,,,
35040277,271,A4432,,,,,,,POUCH UROSTOMY 1 3/4,5,5,,,,,,,,,,,,,,,,,,,
35040278,271,,,,,,,,POUCH DRAINABLE 2 3/4  INVISICLOSE TAIL,4,4,0,17.37,1.41,,0,17.37,,,,,,,,0,8.01,5.52,6.47,,
35040279,271,A4409,,,,,,,BARRIER MOLDABLE 2 3/4  ACCORDION LRG,6,6,,,,,,,,,,,,,,,,,,,
35040280,272,,,,,,,,BALLOON ESOPHAGEAL DILATOR 18-20 MM,678.5,678.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040281,272,,,,,,,,DILATOR SAVARY-GILLIARD,810,810,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040282,272,,,,,,,,RESOLUTION 360 CLIP,675,675,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040284,272,,,,,,,,US CENTESIS CATHETER 6F,92,92,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040285,272,A6196,,,,,,,AQUACEL  AG FOAM 5X5,51.25,51.25,,,,,,,,,,,,,,,,,,,
35040286,272,A6196,,,,,,,AQUACEL FOAM ADHESIVE 5X5,23.25,23.25,,,,,,,,,,,,,,,,,,,
35040287,270,,,,,,,,LMA SIZE 1,53.25,53.25,0,83.33,39.41,,0,70.86,,,83.33,,,,,0,17.06,,18.26,,
35040288,270,,,,,,,,LMA SIZE 1 1/2,53.25,53.25,0,83.33,39.41,,0,70.86,,,83.33,,,,,0,17.06,,18.26,,
35040289,270,,,,,,,,LMA SIZE 2,53.25,53.25,0,83.33,39.41,,0,70.86,,,83.33,,,,,0,17.06,,18.26,,
35040290,270,,,,,,,,LMA SIZE 2 1/2,53.25,53.25,0,83.33,39.41,,0,70.86,,,83.33,,,,,0,17.06,,18.26,,
35040291,272,,,,,,,,RAPID RHINO 5.5 CM INFLATABLE,156,156,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040292,272,,,,,,,,IOBAN 23  BY 17,26,26,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040293,272,,,,,,,,EDGE COATED BOVIE TIP 6.5,23.75,23.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040294,272,,,,,,,,EDGE COATED BOVIE TIP 2.4,27.5,27.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040295,272,,,,,,,,20 F PEG PULL KIT,215.25,215.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040296,272,,,,,,,,24 F PEG PULL KIT,215.25,215.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040297,272,,,,,,,,18 F PEG REPLACEMENT,93,93,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040298,272,,,,,,,,20F PEG REPLACEMENT,93,93,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040299,272,,,,,,,,22F PEG REPLACEMENT,93,93,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040300,272,,,,,,,,24F PEG REPLACEMENT,93,93,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040301,272,,,,,,,,KUMAR CHOLANGIOCATH AND GRASPER,104.75,104.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040302,272,,,,,,,,GRASPER 4 PRONG,408,408,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040303,272,,,,,,,,PATCH VENTRAL SM CIRCLE,1107,1107,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040304,272,,,,,,,,PATCH VENTRAL MED,1324,1324,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040305,278,,,,,,,,MESH 4X8 INCH BARD,1482.5,1482.5,0,1113.05,,,0,1113.05,,,,,,,,,,,,,
35040306,278,,,,,,,,MESH 3  X 6,866.75,866.75,0,1113.05,,,0,1113.05,,,,,,,,,,,,,
35040307,272,,,,,,,,VESSEL LOOP MAXI RED,3.75,3.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040308,272,,,,,,,,VESSEL LOOP MAXI BLUE,3.75,3.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040309,272,,,,,,,,360 JUMBO CLIP 235 CM,110.25,110.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35040310,272,,,,,,,,MIDLINE CATHETER 18 GAUGE,282,282,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
35080030,272,,,,,,,,SITZMARK O-RINGS,112,112,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
360,460,94010,,,,,,,SIMPLE VENT W/INTERPRETATION,438,438,166.8,179.31,179.31,,,,,,,,,,,,166.8,,,,
36040062,272,,,,,,,,ETRAP POLYP TRAP/2SPECIMEN STRAINERS,33.25,33.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
36040063,272,,,,,,,,FOREIGN BODY RETRIEVER - STD,54.75,54.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
36040064,272,,,,,,,,RETRIEVER  - UNIVERSAL PLATINUM,434.25,434.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
36040065,272,,,,,,,,INSTINCT HEMOCLIP,711.25,711.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
36040066,272,,,,,,,,HEMORRHOID MULTI-BAND LIGATOR,187.5,187.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
36040067,272,,,,,,,,SPEED BAND SUPERVIEW 7,630,630,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
36040068,272,,,,,,,,"ROTATABLE SNARE OVAL, SM STIFF",130.25,130.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
36040069,272,,,,,,,,"ROTATABLE SNARE OVAL, MED STIFF",130.25,130.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
36040070,270,,,,,,,,JUMBO FORCEPS RJ4,106.25,106.25,0,83.33,39.41,,0,70.86,,,83.33,,,,,0,17.06,,18.26,,
36040071,272,,,,,,,,EGD FORCEPS RJ4 STD CAP W/NEEDLE,46,46,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
36040072,272,,,,,,,,RESOLUTION CLIP - HEMOSTATIC,676,676,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
36040073,272,,,,,,,,COLON FORCEP,43.75,43.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
36040074,272,,,,,,,,INJECTION GOLD PROBE - 7 FR. CATHETER,903,903,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
36040077,272,,,,,,,,MYOSURE REACH TISSUE REMOVAL DEVICE,3820.25,3820.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
36040078,272,,,,,,,,MYOSURE LITE TISSUE REMOVAL DEVICE,2298.71,2298.71,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
36040079,272,,,,,,,,LIGASURE HANDPIECE,1910.25,1910.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
36040080,272,,,,,,,,NOVASURE,3577.75,3577.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
36040081,272,,,,,,,,INJ THERAPY CATHETER 23 GA 6MM,156.5,156.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
36040082,272,,,,,,,,INJ THERAPY CATHETER 23 GA 4MM,164.5,164.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
36040083,272,,,,,,,,NEUROMEND 4MMX5.0CM LENGTH,6975.75,6975.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
36040084,272,,,,,,,,SNARE XL ROUNDED STIFF 33 mm,82,82,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
36040085,271,,,,,,,,7 Fr BS GOLD PROBE,860,860,0,17.37,1.41,,0,17.37,,,,,,,,0,8.01,5.52,6.47,,
36040086,271,,,,,,,,10 Fr BS GOLD PROBE,860,860,0,17.37,1.41,,0,17.37,,,,,,,,0,8.01,5.52,6.47,,
36040087,272,,,,,,,,ERBE CIRCUMFERENTIAL FIRE,708.75,708.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
36040088,272,,,,,,,,ERBE STRAIGHT FIRE,690,690,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
36040089,272,,,,,,,,VISION BLUE OPHTHALMIC,249.75,249.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
36040090,271,,,,,,,,STRYKER TEAR RASP,399.75,399.75,0,17.37,1.41,,0,17.37,,,,,,,,0,8.01,5.52,6.47,,
36040091,271,,,,,,,,STRYKER 4.0 mm BUR,124.75,124.75,0,17.37,1.41,,0,17.37,,,,,,,,0,8.01,5.52,6.47,,
36040092,271,,,,,,,,STRYKER 2.1 mm BUR,54.25,54.25,0,17.37,1.41,,0,17.37,,,,,,,,0,8.01,5.52,6.47,,
36040093,271,,,,,,,,METHYLENE BLUE-ENDOSCOPY,571.25,571.25,0,17.37,1.41,,0,17.37,,,,,,,,0,8.01,5.52,6.47,,
36040094,272,,,,,,,,POLYP LIFTER TWO SYRINGE,614.25,614.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
36040095,272,,,,,,,,POLYP LIFTER SINGLE SYRINGE,441,441,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
36040096,272,,,,,,,,EASY CLIP MONOCORTICAL FIXATION DEVICE,5922,5922,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
36040097,272,,,,,,,,SMART TOE 2 IMPLANT 15 MM ANGLED,5827.5,5827.5,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
36040098,272,,,,,,,,2 MM CALIBRATED REAMER,1342,1342,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
36040099,272,,,,,,,,EZ CLIP 2 MM POSITIONING PIN,1052.25,1052.25,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
36040100,272,,,,,,,,3.0 MM ASNIS SCREW 16/4 MM,1376.75,1376.75,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
36040101,272,,,,,,,,3.0 MM ASNIS COUNTERSINK 3.8 MM,1824,1824,0,160,6.04,,0,160,,,12.65,,,,,0,12.44,,17.6,,
395,731,93226,,,,,,,HOLTER MONITER ANALYSIS UP TO 48HRS,491.5,491.5,188.78,188.78,,,,,,,,,,,,,188.78,,,,
4028,335,96413,,,,,,,CHEMO ADMINSTRATION 1ST HR INFUSION ONLY,494.5,494.5,190.8,200.93,200.93,,,,,,,,,,,,190.8,,197.8,,
4034,761,99211,,,,,,,E/M EST LEVEL 1- ONC,147.75,147.75,533.8,533.8,,,533.8,,,,,,,,,,,,,,
4045,761,99202,,,,,,,CLINIC VISIT INITIAL - ONC,177.75,177.75,68.83,69.73,,,,,,,,,,,,,69.73,,68.83,,
4047,761,99212,,,,,,,CLINIC VISIT SUBSEQUENT- ONC,174.5,174.5,67.36,534.85,84.9,,471.76,,468.44,,,,,,,534.85,67.36,,76.76,,
4050,983,99202,,,,,,,PF E/M LEVEL NEW 2 (NOT EMPLOYED),204,204,55.71,55.71,,,,,,,,,,,,,55.71,,,,
4051,983,99203,,,,,,,PF E/M NEW LEVEL 3 (NOT EMPLOYED),305.25,305.25,93.34,93.34,,,,,,,,,,,,,93.34,,,,
4052,983,99204,,,,,,,PF E/M NEW LEVEL 4 (NOT EMPLOYED),521.25,521.25,151.32,496.25,496.25,,,,,,,,,,,,151.32,,,,
4053,983,99205,,,,,,,PF E/M NEW LEVEL 5 (NOT EMPLOYED),680,680,205.99,205.99,,,,,,,,,,,,,205.99,,,,
4054,983,99212,,,,,,,PF E/M EST LEVEL 2 (NOT EMPLOYED),104.75,104.75,40.16,41.08,41.08,,,,,,,,,,,,40.16,,,,
4055,983,99213,,,,,,,PF E/M EST LEVEL 3 (NOT EMPLOYED),206.25,206.25,74.45,75.65,75.65,,,,,,,,,,,,74.45,,,,
4056,983,99214,,,,,,,PF E/M EST LEVEL 4 (NOT EMPLOYED),315.5,315.5,0,264.7,228.31,,264.7,,,,,,,,,0,109.69,,,,
4057,983,99215,,,,,,,PF E/M EST LEVEL 5 (NOT EMPLOYED),444.5,444.5,162.6,162.6,,,,,,,,,,,,,162.6,,,,
4064,983,99354,,,,,,,PF PROLONGED PHYSICAN SERVICE,484.25,484.25,,,,,,,,,,,,,,,,,,,
4067,988,99223,,,,,,,PF INPATIENT INITIAL HOSP VST LVL 3 ONC,806.75,806.75,,,,,,,,,,,,,,,,,,,
4068,988,99222,,,,,,,PF-INPATIENT INITIAL HOSP VST LVL 2 ONC,552.75,552.75,,,,,,,,,,,,,,,,,,,
4069,988,99221,,,,,,,PF-INPATIENT INITIAL HOSP VST LVL 1 ONC,412.25,412.25,,,,,,,,,,,,,,,,,,,
4084,983,99254,,,,,,,PF INPATIENT HOSP CONSULT LVL 4,400.25,400.25,,,,,,,,,,,,,,,,,,,
4087,983,99253,,,,,,,PF- INPATIENT HOSP CONSULT LVL 3,328.5,328.5,,,,,,,,,,,,,,,,,,,
4088,983,99252,,,,,,,PF-INPATIENT HOSP CONSULT LVL 2,214.25,214.25,,,,,,,,,,,,,,,,,,,
4089,983,99251,,,,,,,PF-INPATIENT HOSP CONSULT LVL 1,208.25,208.25,,,,,,,,,,,,,,,,,,,
4090,331,96401,,,,,,,CHEMO ADM INJ NON HORMONAL/ANTI NEOPLAST,198,198,77.62,77.62,,,,,,,,,,,,,77.62,,,,
4091,331,96402,,,,,,,CHEMO ADM INJ HORMONAL/ANTI NEOPLAST,198,198,76.46,76.46,,,,,,,,,,,,,76.46,,,,
4092,331,96409,,,,,,,CHEMO ADM IVP SINGLE OR INITIAL,619.5,619.5,228.17,228.17,,,,,,,,,,,,,228.17,,,,
4093,331,96411,,,,,,,CHEMO ADM IVP EA ADDTL,198,198,,,,,,,,,,,,,,,,,,,
4095,335,96415,,,,,,,CHEMO ADM INFUSION EA ADDTL HR,195.25,195.25,74.89,1834.53,79.87,,,,1834.53,,,,,,,,74.89,,78.1,,
4096,335,96416,,,,,,,CHEMO ADM >8HR INF W PORT/IMPLANT PUMP,793.5,793.5,304.33,304.33,,,,,,,,,,,,,304.33,,,,
4097,761,96360,,,,,,,HYDRATION 1 HR IV INFUSION,324.5,324.5,0,398.79,,,0,,398.79,,,,,,,,125.24,,,,
4098,761,96361,,,,,,,HYDRATION ADDTL HR,156.25,156.25,0,196.56,,,196.56,,,,,,,,,0,59.81,,,,
4099,761,96365,,,,,,,IV INFUSION THERAPY 1ST HR,619.5,619.5,0,1173.48,248.77,,0,,1173.48,,,,,,,,222.79,,321.53,,
4100,761,96549,,,,,,,UNLISTED CONCURRENT THERAPY,125.5,125.5,,,,,,,,,,,,,,,,,,,
4101,761,96366,,,,,,,IV INFUSION ADD'L HR,197,197,0,458.63,79.47,,0,,458.63,,,,,,,,74.25,,131.37,,
4102,761,96372,,,,,,,INJ SUBCUTANOUS OR INTRAMUSCULAR,198,198,0,79.56,79.56,,0,,,,,,,,,0,75.95,,79.41,,
4103,761,96374,,,,,,,IVP SINGLE OR INITIAL,181.75,181.75,0,156.83,156.83,,0,,,,,,,,,,68.45,,70.95,,
4104,761,96375,,,,,,,EA ADD'L IVP OF NEW SUBSTANCE/DRUG,161.25,161.25,0,66.01,66.01,,0,,,,,,,,,0,60.86,,64.5,,
4105,761,96367,,,,,,,IV INF TX ADD'L SEQ DRUG 1ST HR,257,257,0,189.76,105.24,,0,,,,,,,,,,99.18,,189.76,,
4106,761,96368,,,,,,,ADD'L HR CONCURRENT TX INF,128.25,128.25,49.6,52.46,52.46,,,,,,,,,,,,49.6,,,,
4107,335,96417,,,,,,,CHEMO EA ADD'L SEQUENTIAL INF UP TO 1HR,198,198,76.95,81.06,81.06,,,,,,,,,,,,76.95,,,,
4108,761,96523,,,,,,,IRRIGATION OF IMPLANTED VENOUS ACCESS DE,109.5,109.5,42.12,447.89,,,447.89,,109.5,,,,,,,447.89,42.12,,80.82,,85.49
4110,761,96376,,,,,,,EA ADD'L IVP OF SAME SUBSTANCE/DRUG,158.5,158.5,0,135.68,135.68,,0,,,,,,,,,,,,,,
4111,361,36569,,,,,,,PICC LINE INSERTION-CC/INF,3617.75,3617.75,,,,,,,,,,,,,,,,,,,
4112,361,36584,,,,,,,PICC LINE REPLACEMENT-CC/INF,2094.5,2094.5,,,,,,,,,,,,,,,,,,,
4113,361,99213,,,,,,,PICC LINE REMOVAL-CC/INF,132.5,132.5,,,,,,,,,,,,,,,,,,,
4114,636,36593,,,,,,,DECLOT BY THROMBOLYTIC-CC/INF,954.25,954.25,,,,,,,,,,,,,,,,,,,
4115,402,76937,,,,,,,ULTRASOUND GUIDED PICC-CC/INF,1056.25,1056.25,,,,,,,,,,,,,,,,,,,
4121,983,99441,,,,,,,PF TELEPHONE E/M 5 -10 MINUTES,36.5,36.5,38.6,38.6,,,,,,,,,,,,,38.6,,,,
4122,983,99442,,,,,,,PF TELEPHONE E/M 11-20 MINUTES,45.75,45.75,48.52,48.52,,,,,,,,,,,,,48.52,,,,
4123,983,99443,,,,,,,PF TELEPHONE E/M 21-30  MINUTES,57.25,57.25,,,,,,,,,,,,,,,,,,,
4124,983,99212,95,,,,,,PF TELEHEALTH EST E/M LEVEL 2,104.75,104.75,40.59,40.59,,,,,,,,,,,,,40.59,,,,
4125,983,99213,95,,,,,,PF TELEHEALTH EST E/M LEVEL 3,206.25,206.25,,,,,,,,,,,,,,,,,,,
4126,983,99214,95,,,,,,PF TELEHEALTH EST E/M LEVEL 4,315.5,315.5,,,,,,,,,,,,,,,,,,,
4127,983,99215,95,,,,,,PF TELEHEALTH EST E/M LEVEL 5,444.5,444.5,,,,,,,,,,,,,,,,,,,
4130,983,99203,95,,,,,,PF TELEHEALTH NEW LEVEL 2,204,204,,,,,,,,,,,,,,,,,,,
4131,983,99203,95,,,,,,PF TELEHEALTH NEW LEVEL 3,305.25,305.25,,,,,,,,,,,,,,,,,,,
4132,983,99204,95,,,,,,PF TELEHEALTH NEW LEVEL 4,521.25,521.25,,,,,,,,,,,,,,,,,,,
4133,983,99205,95,,,,,,PF-TELEHEALTH NEW LEVEL 5,680,680,,,,,,,,,,,,,,,,,,,
439,460,94761,,,,,,,O2 SAT MUTIPLE DETERMINATIONS,136.25,136.25,52.65,52.65,,,,,,,,,,,,,52.65,,,,
441,460,94729,,,,,,,CARBON MONOXIDE DIFFUSING CAPACITY,248.75,248.75,95.31,195.32,101.8,,140.24,,140.24,,195.32,,,,,,95.31,,,,
533,460,94760,,,,,,,OXIMETRY FOR OXYGEN SATURATION,82,82,,,,,,,,,,,,,,,,,,,
5411,981,23655,,,,,,,PF RX CL SHOULDER-DIS-W/MAN-W/ANE,1578.5,1578.5,,,,,,,,,,,,,,,,,,,
5412,981,27752,,,,,,,PF CLOSED TREATMNT TIBIAL SHAFT FRAC,2038.5,2038.5,,,,,,,,,,,,,,,,,,,
5413,981,19020,,,,,,,PF MASTOTOMY W EXPLOR OR DRAINAGE DEEP,1290.75,1290.75,,,,,,,,,,,,,,,,,,,
5415,981,62272,,,,,,,"PF SPINAL PUNCTURE,THERAPEUTIC",379.25,379.25,,,,,,,,,,,,,,,,,,,
5416,981,46600,,,,,,,PF ANOSCOPY DIAGNOSTIC,167.25,167.25,,,,,,,,,,,,,,,,,,,
5417,981,27250,,,,,,,PF CLOSED TRTMNT OF HIP DISLOC W/O ANES,810,810,,,,,,,,,,,,,,,,,,,
5418,981,54220,,,,,,,PF IRRIG OF CORPORA CAVERNOSA PRIAPRISM,561.5,561.5,,,,,,,,,,,,,,,,,,,
5419,981,36589,,,,,,,PF-REMOVAL TUNNELED CV CATH,436.25,436.25,,,,,,,,,,,,,,,,,,,
5420,981,25605,,,,,,,PF CLSD TREATMNT DISTAL RAD FRAC W MANIP,1411.75,1411.75,,,,,,,,,,,,,,,,,,,
5421,981,43762,,,,,,,PF REPLACE G TUBE NO REVJ TRC,122.75,122.75,43.51,43.51,,,,,,,,,,,,,43.51,,,,
5430,981,G0168,,,,,,,PF-WOUND CLOSURE BY ADHESIVE 2.5CM <,80,80,,,,,,,,,,,,,,,,,,,
5432,981,99281,,,,,,,PF ER PHYSICIAN MINOR LEV 1 (NOT EMP),93,93,0,25.66,25.66,,,,,,,,,,,0,24.6,,,,
5434,981,99282,,,,,,,PF ER PHYS LIMITED LEV 2 (NOT EMP),178,178,0,117.98,117.98,,0,,,,,,,,,0,48.42,,,,
5438,981,99283,,,,,,,ER PHYS INTERMEDIAT LEV 3 (NOT EMPLOYED),266,266,0,206.26,133.95,,0,,,,206.26,,,,,0,82.28,,0,,
5460,981,99284,,,,,,,ER PHYS EXTENDED LEV 4 (NOT EMPLOYED),491.5,491.5,0,253.57,253.57,,,,,,,,,,,0,139.41,,,,
5462,981,99285,25,,,,,,ER PHYS COMP LEV 5 (NOT EMPLOYED),714.75,714.75,202.98,206.17,206.17,,,,,,,,,,,,202.98,,,,
5465,981,36556,,,,,,,PF INSERT NONTUNNELED CVC AGE5+,359.25,359.25,96.78,96.78,,,,,,,,,,,,,96.78,,,,
5471,981,46040,,,,,,,PF I/D ABCESS,1754.5,1754.5,,,,,,,,,,,,,,,,,,,
5473,981,23650,,,,,,,PF CLOSED SHOULER REDUCTION W/MANIP,1193.25,1193.25,,,,,,,,,,,,,,,,,,,
5474,981,29515,,,,,,,PF APPLICATION OF SHORT LEG SPLINT,203.5,203.5,56.1,56.1,56.1,,,,,,,,,,,,,,,,
5476,981,49406,,,,,,,PF I/D PERITINEAL ABSCESS,813,813,,,,,,,,,,,,,,,,,,,
5477,981,26770,,,,,,,PF CLOSED REDUCTION HAND /FINGER,1058.5,1058.5,,,,,,,,,,,,,,,,,,,
5478,981,51702,,,,,,,PF REPLACE FOLEY CATHETER,107.5,107.5,,,,,,,,,,,,,,,,,,,
5479,981,28435,,,,,,,PF CLOSED FX TALUS FX W/ MANIPULATION,1318.75,1318.75,,,,,,,,,,,,,,,,,,,
5480,981,29125,,,,,,,PF APPLICATION OF SHORT ARM SPLINT,161.75,161.75,,,,,,,,,,,,,,,,,,,
5481,981,29130,,,,,,,PF ORTHO SPLINT FINGER,125,125,,,,,,,,,,,,,,,,,,,
5482,981,29125,,,,,,,PF APPLICATION SHORT ARM SPLINT,161.75,161.75,,,,,,,,,,,,,,,,,,,
5483,981,24605,,,,,,,PF TX CLOSED ELBOW DISLOCATION W/ANES,1945.25,1945.25,,,,,,,,,,,,,,,,,,,
5484,450,,,,,,,,EYE IRRIGATION,67.75,67.75,0,339.05,130.82,,0,339.05,,,,,,,,,,120.85,147.42,,
5485,981,29105,,,,,,,PF APP LONG ARM SPLINT,179,179,,,,,,,,,,,,,,,,,,,
5486,981,26910,,,,,,,PF AMPUTAT METACARPAL W/ FINGER THUMB,2981.5,2981.5,,,,,,,,,,,,,,,,,,,
5487,981,29505,,,,,,,PF APPLICATION OF LONG LEG SPLINT,207.25,207.25,,,,,,,,,,,,,,,,,,,
5488,981,11750,,,,,,,PF EXCISION/REMOVAL OF FOREIGN BODY,406,406,,,,,,,,,,,,,,,,,,,
5489,981,28515,,,,,,,PF CLOSED REDUCTION FX PHALANX,565.25,565.25,,,,,,,,,,,,,,,,,,,
5490,981,11042,,,,,,,PF DEBRIDEMENT SKIN SUBCU TISS,250,250,,,,,,,,,,,,,,,,,,,
5491,981,24640,,,,,,,PF CLSD TX RADIAL HEAD IN CHILD W/MANIP,315,315,,,,,,,,,,,,,,,,,,,
5492,981,26700,,,,,,,PF CLSD TX OF METACARPOPHALANGEAL,1267.25,1267.25,,,,,,,,,,,,,,,,,,,
5494,981,20103,,,,,,,PF EXPLORATION OF PENETRATING WOUND,1454.25,1454.25,,,,,,,,,,,,,,,,,,,
5495,981,10160,,,,,,,PF PUNCTURE ASPIRATION OF ABCESS,380.5,380.5,,,,,,,,,,,,,,,,,,,
5496,981,23545,,,,,,,PF RX CL ACROMIOCLAVICULAR/DS/MAN,1266.75,1266.75,,,,,,,,,,,,,,,,,,,
5497,981,10080,,,,,,,PF I & D OF PILONIDAL CYST SIMPLE,416.25,416.25,,,,,,,,,,,,,,,,,,,
5498,981,41800,,,,,,,PF DRAINAGE OF ABCESS,605.5,605.5,,,,,,,,,,,,,,,,,,,
5499,981,11307,,,,,,,PF SHAVING OF EPIDERMAL LESION,266,266,,,,,,,,,,,,,,,,,,,
5500,981,26010,,,,,,,PF I & D OF FINGER ABSCESS SIMPLE,560.75,560.75,,,,,,,,,,,,,,,,,,,
5501,981,26705,,,,,,,PF CLSD TX OF METACARPOPHALANGEAL W/ANES,1560.75,1560.75,,,,,,,,,,,,,,,,,,,
5502,981,20525,,,,,,,PF REM OF FB MUSCLE COMPLICATED,1024.5,1024.5,,,,,,,,,,,,,,,,,,,
5503,981,26755,,,,,,,PF CLSD TX DISTL PHAL FX FINGER W/MANIP,1119.25,1119.25,,,,,,,,,,,,,,,,,,,
5504,981,10061,,,,,,,PF I & D OF ABSCESS COMPLICATED OR MULT,735,735,203.84,203.84,,,,,,,,,,,,,203.84,,,,
5505,981,42970,,,,,,,PF CONTROL NASOPHARYNGEAL HEMORRHAGE,1664,1664,,,,,,,,,,,,,,,,,,,
5506,981,26725,,,,,,,PF CLSD TX  PHAL SHFT FX /PROXIMAL/M FN,1238,1238,,,,,,,,,,,,,,,,,,,
5507,981,51705,,,,,,,PF CHANGE OF CYSTOSTOMY TUBE SIMPLE,215,215,,,,,,,,,,,,,,,,,,,
5508,981,24600,,,,,,,PF TX CLOSED ELBOW DISLOCATION W/O ANES,1395.75,1395.75,,,,,,,,,,,,,,,,,,,
5509,981,11760,,,,,,,PF REPAIR OF NAIL BED,465.75,465.75,,,,,,,,,,,,,,,,,,,
5511,981,13121,,,,,,,PF-REPR CMPLX SCALP ARM LEG 2.6CM TO 7CM,1058,1058,,,,,,,,,,,,,,,,,,,
5512,981,13122,,,,,,,PF-REPR CMPLX SCALP ARM LEG 5CM OR  LESS,348.5,348.5,,,,,,,,,,,,,,,,,,,
5513,981,13132,,,,,,,PF REPAIR CMPLX FOREHD  2.6CM TO 7.5 CM,1244,1244,,,,,,,,,,,,,,,,,,,
5514,981,20520,,,,,,,PF REM OF FB IN MUSCLE SIMPLE,597,597,,,,,,,,,,,,,,,,,,,
5515,981,46050,,,,,,,PF I/D PERINIAL ABCESS SUPERFICIAL,409.5,409.5,,,,,,,,,,,,,,,,,,,
5516,981,41250,,,,,,,PF REPAIR LACERATION 2.5 CM LESS MOUTH,632.5,632.5,,,,,,,,,,,,,,,,,,,
5517,981,29086,,,,,,,PF APPLICATION CAST; FINGER,207,207,,,,,,,,,,,,,,,,,,,
5518,981,27560,,,,,,,PF CLOSED PATELLAR DISLOCATE/WO ANES,1408.75,1408.75,,,,,,,,,,,,,,,,,,,
5519,981,10060,,,,,,,PF-INCISION AND DRAIN OF ABSCESS,840,840,,,,,,,,,,,,,,,,,,,
5520,981,21480,,,,,,,PF CLOSED TREATMNT  TEMPOROMANDIBULAR DI,137.25,137.25,,,,,,,,,,,,,,,,,,,
5521,981,27840,,,,,,,PF TUBE THORACOSTOMY,1553,1553,,,,,,,,,,,,,,,,,,,
5522,981,32551,,,,,,,PF TUBE THORACOSTOMY,677.25,677.25,,,,,,,,,,,,,,,,,,,
5523,981,27266,,,,,,,PF CLOSED HIP DISLOCATE/W ANES,2420.75,2420.75,,,,,,,,,,,,,,,,,,,
5524,981,27562,,,,,,,PF CLOSED PATELLAR DISLOCATE W ANES,2006.25,2006.25,,,,,,,,,,,,,,,,,,,
5525,981,49451,,,,,,,"PF REPLACE TUBE INCL CONTRAST, IMAGE DOC",375,375,,,,,,,,,,,,,,,,,,,
5526,981,13101,,,,,,,PF-REPAIR CMPLX TRUNK 2.6CM TO 7.5CM,1002.75,1002.75,,,,,,,,,,,,,,,,,,,
5527,981,11740,,,,,,,PF EVACUATION OF SUBUNGUAL HEMATOMA,124,124,,,,,,,,,,,,,,,,,,,
5528,981,13100,,,,,,,PF REPAIR COMPLEX TRUNK 1.1CM TO 2.5CM,820.75,820.75,,,,,,,,,,,,,,,,,,,
5529,981,13131,,,,,,,REPAIR COMPLEX 1.1CM TO 2.5CM,996,996,,,,,,,,,,,,,,,,,,,
5530,981,36680,,,,,,,PF PLACEMENT NEEDLE  INTRASSEOUS INF,262,262,,,,,,,,,,,,,,,,,,,
5531,981,28495,,,,,,,PF CLOSED TREATMNT TEMPOROMANDIBULAR DI,589.5,589.5,,,,,,,,,,,,,,,,,,,
5532,981,11403,,,,,,,PF EXCIS BENIGN LES TAL 2.1 TO 3.0 CM ER,434,434,,,,,,,,,,,,,,,,,,,
5533,981,11603,,,,,,,PF EXCIS MALIG LES TAL 2.1 TO 3.0 CM,578,578,,,,,,,,,,,,,,,,,,,
5534,981,32556,,,,,,,PF PLEURAL DRAINAGE PERC W INSERT,394.25,394.25,,,,,,,,,,,,,,,,,,,
5538,981,23500,,,,,,,PF RX CL CLAVICULAR FX WO MANIP,907.25,907.25,,,,,,,,,,,,,,,,,,,
5540,981,12056,,,,,,,PF L CLOSURE FACE 20.0CM TO 30.CM,1592.25,1592.25,,,,,,,,,,,,,,,,,,,
5541,981,,,,,,,,ER PHYSICIAN PROC LVL 1,288.75,288.75,0,327.6,0,,0,327.6,,,,,,,,,,,0,,
5551,981,12055,,,,,,,PF L CLOSURE FACE 12.5CM TO 20.0CM,1253,1253,,,,,,,,,,,,,,,,,,,
5563,981,12017,,,,,,,PF SIM REPAIR FACE 20.0CM - 30.0CM,679,679,,,,,,,,,,,,,,,,,,,
5575,981,12016,,,,,,,PF SIM REPAIR FACE 12.5 CM-20.0CM,570.25,570.25,,,,,,,,,,,,,,,,,,,
5581,981,10021,,,,,,,PF FINE NEEDLE ASPIRATION W/O IMAG GUID,231.5,231.5,,,,,,,,,,,,,,,,,,,
5587,981,59410,,,,,,,PF DELIVERY VAGINA  AND POSTPARTUM CARE,4589.25,4589.25,,,,,,,,,,,,,,,,,,,
5588,981,59409,,,,,,,PF VAGINAL DELIVERY ONLY,2364,2364,,,,,,,,,,,,,,,,,,,
5598,981,43753,,,,,,,PF GASTRIC INTUBATION AND ASPIRATION,98.5,98.5,,,,,,,,,,,,,,,,,,,
5599,981,10060,,,,,,,PF INCISION & DRAINAGE OF ABSCESS,399,399,,,,,,,,,,,,,,,,,,,
5600,981,56405,,,,,,,PF INCISION & DRAINAGE OF ABSCESS,488.25,488.25,,,,,,,,,,,,,,,,,,,
5605,981,99292,,,,,,,ER PHYS INTENS CARE/30MIN (NOT EMPLOYED),453.5,453.5,,,,,,,,,,,,,,,,,,,
5617,981,99291,,,,,,,ER PHYS INTEN CARE 1ST 30-74MIN(NOT EMP),899.25,899.25,246.02,246.02,,,,,,,,,,,,,246.02,,,,
5631,402,32555,,,,,,,US THORACENTESIS W IMAGING GUIDANCE,1475.25,1475.25,,,,,,,,,,,,,,,,,,,
5632,402,49083,,,,,,,US PARACENTESIS W IMAGING GUIDANCE,1629.75,1629.75,620.03,2594.71,,,,,2594.71,,,,,,,,620.03,,,,
5710,981,31605,,,,,,,PF CRICOTHYROTOMY,1452.75,1452.75,,,,,,,,,,,,,,,,,,,
5721,981,36425,,,,,,,PF VENI CUTDOWN AGE 1 & OVER,166.25,166.25,,,,,,,,,,,,,,,,,,,
5733,981,92960,,,,,,,PF-CARDIOVERSION,437.75,437.75,122.38,122.38,,,,,,,,,,,,,122.38,,,,
5745,981,20610,,,,,,,PF ARTHROCENTESIS/INJ MAJOR JOINT,192,192,,,,,,,,,,,,,,,,,,,
5757,981,49082,,,,,,,PF ABDOMINAL PARACENTESIS,309.25,309.25,,,,,,,,,,,,,,,,,,,
5800,981,69210,,,,,,,REMOVE IMPACTED CERUMEN,140.25,140.25,,,,,,,,,,,,,,,,,,,
5801,981,69005,,,,,,,PF-DRAINGE EXT EAR ABCESS OR HEMA COMPL,608.25,608.25,,,,,,,,,,,,,,,,,,,
5812,981,69200,,,,,,,PF-REM FOREIGN BODY EAR,195,195,53.48,53.48,,,,,,,,,,,,,53.48,,,,
5848,981,65205,,,,,,,PF-REM FOREIGN BODY CONJUNCTIVA,114.75,114.75,,,,,,,,,,,,,,,,,,,
5850,981,42809,,,,,,,PF REM FOREIGN BODY PHARYNX,510.5,510.5,,,,,,,,,,,,,,,,,,,
5851,981,37195,,,,,,,"PF THROMOLYSIS, CEREBRAL BY IV INF",897.75,897.75,,,,,,,,,,,,,,,,,,,
5861,981,30300,,,,,,,PF REM FOREIGN BODY NASAL,445,445,,,,,,,,,,,,,,,,,,,
5873,981,28190,,,,,,,PF REM FOREIGN BDY FOOT SUBCUTAN,542,542,,,,,,,,,,,,,,,,,,,
5885,981,10121,,,,,,,PF INC & REM OF FOREIGN BODY COMP,762.75,762.75,,,,,,,,,,,,,,,,,,,
5897,981,30905,,,,,,,PF NASAL HEMORRHAGE POSTERIOR,453.75,453.75,,,,,,,,,,,,,,,,,,,
5903,981,30903,,,,,,,PF NASAL HEMORRHAGE ANT COMP,399.75,399.75,,,,,,,,,,,,,,,,,,,
5915,981,30901,,,,,,,PF NASAL HEMORRHAGE ANTERIOR SIMP,242.75,242.75,,,,,,,,,,,,,,,,,,,
5927,981,16020,,,,,,,PF-DRESSING &/OR DEBRIDEMENT,222,222,,,,,,,,,,,,,,,,,,,
5928,981,16025,,,,,,,PF-DRESSING &/OR DEBRIDEMENT MED 5-10%,460,460,,,,,,,,,,,,,,,,,,,
5939,981,16000,,,,,,,PF-INITIAL RX OF FIRST DEGREE BURN,194,194,,,,,,,,,,,,,,,,,,,
5952,981,12054,,,,,,,PF L CLOSURE FACE 7.6 TO 12.5 CM,916.25,916.25,,,,,,,,,,,,,,,,,,,
5964,981,12053,,,,,,,PF L CLOSURE FACE 5.1 TO 7.5 CM,879.75,879.75,,,,,,,,,,,,,,,,,,,
5976,981,12052,,,,,,,PF L CLOSURE FACE 2.6 TO 5.0 CM,807.5,807.5,,,,,,,,,,,,,,,,,,,
5988,981,12051,,,,,,,PF L CLOSURE FACE 2.5CM OR LESS,682.5,682.5,,,,,,,,,,,,,,,,,,,
5990,981,12014,,,,,,,PF SIM REPAIR FACE 5.1 - 7.5 CM,332.75,332.75,,,,,,,,,,,,,,,,,,,
5991,981,36558,,,,,,,PF INSERTION OF CV CATHETER 5+YRS AND OV,777.75,777.75,,,,,,,,,,,,,,,,,,,
60009,300,85097,,,,,,,BONE MARROW SMEAR INTERP,1846.25,1846.25,,,,,,,,,,,,,,,,,,,
6001,361,31500,,,,,,,INTUBATION ENDOTRACHEAL EMERG,609,609,,,,,,,,,,,,,,,,,,,
60010,300,85025,,,,,,,CBC W/DIFF,165.5,165.5,5.05,149.07,91.32,64.58,5.25,,,,149.07,136.54,,,,5.05,62.83,,85.47,64.58,131.34
60033,300,85014,,,,,,,HEMATOCRIT (HCT),47,47,17.08,22.31,21,,,,,,,,,,,,17.08,,22.31,,
6004,450,99281,,,,,,,EMERGENCY ROOM 1,212,212,80.02,165.44,,,,,,,,,,,,,80.02,,165.44,,
6005,450,99282,,,,,,,EMERGENCY ROOM 2,310.25,310.25,120.96,243.58,212.21,,,,,,243.58,,,,,,120.96,,228.89,,242.11
6006,450,99283,,,,,,,EMERGENCY ROOM 3,521.25,521.25,201.64,430.03,245.29,203.46,,,,,430.03,,,,,,201.64,,300.11,,
6007,450,99284,,,,,,,EMERGENCY ROOM 4,753.75,753.75,292.93,686.5,294.28,,551.45,,594.52,,,,,,,686.5,292.93,,392.37,,
6008,450,99285,,,,,,,EMERGENCY ROOM 5,1062.75,1062.75,404.8,761.15,,,,,,,,,,,,761.15,404.8,,617.32,,
60082,300,85018,,,,,,,HEMOGLOBIN (HGB),56.5,56.5,17.26,27.45,27.1,,,,,,,,,,,,17.26,,27.45,,
6009,450,96360,,,,,,,HYDRATION 1ST HR >30MIN,324.5,324.5,0,1173.48,278.1,,586.74,,1173.48,,0,,,,,670.56,124.65,,123.6,,
60094,300,83020,,,,,,,HEMOGLOBINOPATHY FRACTIONATION,68.75,68.75,,,,,,,,,,,,,,,,,,,
6010,450,96361,,,,,,,HYDRATION ADD HR>30 MIN(ER),156.25,156.25,60.47,1681.65,64.63,,917.27,,1120.55,,,,,,,1681.65,60.47,,64.3,,
60100,300,83021,,,,,,,HEMOGLOBIN F,68.75,68.75,,,,,,,,,,,,,,,,,,,
6011,450,96365,,,,,,,IV INFUSION 1ST DRUG/1ST HR>15MIN,619.5,619.5,259.21,1173.48,304.56,,483.2,,1173.48,,,,,,,293.37,259.21,,374.21,,
60112,300,85555,,,,,,,OSMOTIC FRAGILITY RBC,832.5,832.5,,,,,,,,,,,,,,,,,,,
6012,450,96366,,,,,,,IV INFUSION ADD HR>30MIN(ER),197,197,76.07,203.84,95.43,,203.84,,,,,,,,,203.84,76.07,,146.59,,
60124,300,85046,,,,,,,RETICULOCYTE COUNT,95.75,95.75,13.12,97.41,97.41,,,,,,,,,,,13.12,37,,37.86,,
6013,450,96372,,,,,,,IM/SQ DRUG INJECTION,198,198,0,188.5,130.92,,0,,188.5,,,,,,,0,77.19,,145.77,,
60136,300,85652,,,,,,,SEDIMENTATION RATE (SED RATE),81.5,81.5,1.64,329.57,329.57,,,,,,,,,,,1.64,31.55,,41.18,,
6014,450,96374,,,,,,,IVP SINGLE OR INITIAL (ER),181.75,181.75,0,99.19,99.19,,0,,,,,,,,,0,70.21,,96.53,,
6015,450,96375,,,,,,,EA ADD'L IVP OF NEW SUBSTANCE/DRUG,161.25,161.25,0,100.55,100.55,,0,,,,,,,,,0,62.07,,83.01,,
6016,771,90472,,,,,,,ADDITIONAL VACCINATION,34.25,34.25,,,,,,,,,,,,,,,,,,,
60161,300,85048,,,,,,,WHITE BLOOD COUNT (WBC),25,25,9.74,9.74,,,,,,,,,,,,,9.74,,,,
6017,450,96368,,,,,,,IV INFUSION CONCURRENT (ER),128.25,128.25,0,100.04,,,0,,,,,,,,,,,,100.04,,
6018,450,96367,,,,,,,IV INF ADD'L NEW DRUG>15MIN,257,257,0,1173.48,,,0,,1173.48,,,,,,,0,100.67,,200.7,,
6019,771,90471,,,,,,,IMMUNI/VACCINATION ADMIN,63.75,63.75,0,24.96,,,0,,,,,,,,,0,24.96,,,,
6020,450,,,,,,,,ER PROCEDURE LV1,423.75,423.75,0,339.05,130.82,,0,339.05,,,,,,,,,,120.85,147.42,,
6021,450,,,,,,,,ER PROCEDURE LV2,740.25,740.25,0,339.05,130.82,,0,339.05,,,,,,,,,,120.85,147.42,,
6022,450,,,,,,,,ER PROCEDURE LV3,1163,1163,0,339.05,130.82,,0,339.05,,,,,,,,,,120.85,147.42,,
6023,450,,,,,,,,ER PROCEDURE LV4,1585.25,1585.25,0,339.05,130.82,,0,339.05,,,,,,,,,,120.85,147.42,,
6024,450,99281,25,,,,,,EMERGENCY ROOM 1,212,212,80.7,166.44,86.75,,,,,,166.44,,,,,,80.7,,,,
6025,450,99282,25,,,,,,EMERGENCY ROOM 2,310.25,310.25,121.31,265.73,265.73,,,,,,,,,,,,121.31,,242.11,,
6026,450,99283,25,,,,,,EMERGENCY ROOM 3,521.25,521.25,202.41,422.51,338.84,,,,,,422.51,,,,,,202.41,,308.87,,
60264,300,80074,,,,,,,HEPATITIS PANEL,473.5,473.5,92.41,324.55,92.41,,,,,,,,,,,,186.74,,324.55,,
6027,450,99284,25,,,,,,EMERGENCY ROOM 4,753.75,753.75,291.49,950.93,300.1,,710.6,,950.93,,,,,,,,291.49,,394.77,,
60276,300,86304,,,,,,,IMMUNOASSAY FOR TUMOR ANTIGEN (CA 125),286.75,286.75,112.2,114.66,,,,,,,,,,,,,112.2,,,114.66,
6028,450,99285,25,,,,,,EMERGENCY ROOM 5,1062.75,1062.75,411.54,761.81,,,720.02,,761.81,,,,,,,,411.54,,553.23,,
6029,450,99291,,,,,,,CRITICAL CARE 30-74 MIN,1585.5,1585.5,0,0,,,,,,,,,,,,0,,,,,
6030,450,99292,,,,,,,CRITICAL CARE EA ADD 30 MIN,655.5,655.5,,,,,,,,,,,,,,,,,,,
6031,450,96376,,,,,,,IVP ADDL SAME DRUG>30M INTRVL,158.5,158.5,0,67.18,61.81,,0,,,,,,,,,0,60.18,,67.18,,
6032,450,94640,,,,,,,"RESPIRATORY THRPY TRTMT, ER NURSE",634,634,909.72,909.72,,,909.72,,909.72,,,,,,,,,,,,
60320,300,82670,,,,,,,ESTRADIOL,223.75,223.75,0,174.66,0,,,,,,,,,,,,87.59,,174.66,,
6033,450,51701,,,,,,,CATH STRAIGHT URINARY,150,150,,,,,,,,,,,,,,,,,,,
6034,450,51702,,,,,,,FOLEY SIMPLE,267,267,0,103.91,,,,,,,,,,,,0,103.91,,,,
60343,300,81001,,,,,,,URINE AUTOMATED WITH MICRO,127,127,0.94,99.62,60.99,,3.77,,15.09,,99.62,,,,,0.94,,,57.49,,99.02
6035,450,51703,,,,,,,FOLY CATH COMPLX;REQ MD SKILL,302.25,302.25,,,,,,,,,,,,,,,,,,,
6036,981,62270,,,,,,,"PF SPINAL PUNCTURE, LUMBAR DIAGNOSTIC",261,261,,,,,,,,,,,,,,,,,,,
6037,981,62273,,,,,,,"PF INJ, EPIDURAL, OF BLOOD OR CLOT PATCH",463.75,463.75,,,,,,,,,,,,,,,,,,,
60380,300,83036,,,,,,,HEMOGLOBIN A1C,142.5,142.5,31.7,113.02,69.9,55.56,,,,,,,,,,31.7,54.16,,70.39,56.91,113.02
6039,450,92950,,,,,,,CODE BLUE - ER CPR RESUSCITATION,724.25,724.25,,,,,,,,,,,,,,,,,,,
60392,300,86703,,,,,,,HIV ANTIBODIES SUB PROFILE,169.5,169.5,,,,,,,,,,,,,,,,,,,
6040,981,12046,,,,,,,PF L CLOSURE HFEG 20.1CM TO 30.0CM,1333.5,1333.5,,,,,,,,,,,,,,,,,,,
6041,981,64400,,,,,,,"PF INJ, ANES AGENT STEIRIOD,TRIGEM NERVE",213.75,213.75,,,,,,,,,,,,,,,,,,,
6042,780,Q3014,,,,,,,TELEHEALTH CONSULT ER,84.75,84.75,27.28,69.5,34.75,,54.8,,,,,,,,,54.8,27.28,,69.5,,
60422,300,87324,,,,,,,CLOSTRIDIUM DIFFICILE TOXINSA /AB,189.75,189.75,,,,,,,,,,,,,,,,,,,
6043,780,Q3014,,,,,,,TELEHEALTH CONSULT-CLINIC,84.75,84.75,27.28,69.5,34.75,,54.8,,,,,,,,,54.8,27.28,,69.5,,
6044,761,11306,,,,,,,SHAVE EPIDERMAL LESION .6 TO 1.0 CM,376.5,376.5,,,,,,,,,,,,,,,,,,,
6046,981,69209,,,,,,,REMOVAL IMPACTED CERUMEN IRRIG UNILATERL,53.75,53.75,,,,,,,,,,,,,,,,,,,
60460,300,87110,,,,,,,CHLAMYDIAL CULTURE,94.25,94.25,,,,,,,,,,,,,,,,,,,
60471,300,83874,,,,,,,MYOGLOBIN URINE,210.5,210.5,,,,,,,,,,,,,,,,,,,
6049,761,11305,,,,,,,SHAVING OF LESION .5 CM OR LESS,486.75,486.75,,,,,,,,,,,,,,,,,,,
60491,300,89060,,,,,,,CRYSTAL EXAM  MISC FLUID,219.5,219.5,,,,,,,,,,,,,,,,,,,
6050,761,11307,,,,,,,SHAVING OF LESION 1.1 TO 2.0 CM,486.75,486.75,,,,,,,,,,,,,,,,,,,
60501,300,87425,,,,,,,ROTAVIRUS (STOOL),91.25,91.25,,,,,,,,,,,,,,,,,,,
6051,981,12042,,,,,,,PF L CLOSURE HFEG 2.6CM TO 7.5 CM,792.5,792.5,,,,,,,,,,,,,,,,,,,
60513,300,84153,,,,,,,PROSTATE SPECIFIC ANTIGEN (PSA) TOTAL,168.5,168.5,65.65,132.21,,,,,,,132.21,,,,,,65.65,,70.16,,
6052,761,11308,,,,,,,SHAVING OF LESION OVER 2.0 CM,866,866,,,,,,,,,,,,,,,,,,,
60525,300,84060,,,,,,,PHOSPHATASE ACID TOTAL,34.5,34.5,,,,,,,,,,,,,,,,,,,
6053,981,69209,50,,,,,,REMOVAL IMPACTED CERUMEN IRRIG BILATERAL,340.75,340.75,,,,,,,,,,,,,,,,,,,
60537,300,82040,,,,,,,ALBUMIN,97.25,97.25,37.29,37.93,37.93,,,,,,,,,,,,37.29,,,,
60550,300,84075,,,,,,,ALKALINE PHOSPHATASE,122.75,122.75,,,,,,,,,,,,,,,,,,,
60562,300,82150,,,,,,,AMYLASE SERUM,119.25,119.25,0,93.64,64.18,,,,,,93.64,,,,,0,45.81,,66.15,,
60574,300,82140,,,,,,,AMMONIA,199.25,199.25,0,123.7,,,,,,,,,,,,0,71.29,,123.7,,
60586,300,85301,,,,,,,ANTITHROMBIN III ANTIGEN,209,209,,,,,,,,,,,,,,,,,,,
60598,300,84520,,,,,,,BUN,88.75,88.75,9.4,46.64,46.64,,,,,,,,,,,9.4,33.27,,38.24,,
60604,300,82310,,,,,,,CALCIUM TOTAL,88,88,0,69.09,0,,,,9.4,,69.09,,,,,,33.7,,34.7,,
60616,300,82374,,,,,,,CARBON DIOXIDE (BICARBONATE),86.5,86.5,,,,,,,,,,,,,,,,,,,
60628,300,82248,,,,,,,"BILIRUBIN, DIRECT",96,96,0,74.83,19.62,,,,,,,,,,,0,37.11,,74.83,,
6063,981,12044,,,,,,,PF L CLOSURE HFEG 7.6CM TO 12.5CM,880,880,,,,,,,,,,,,,,,,,,,
60641,300,82465,,,,,,,CHOLESTEROL TOTAL SERUM,93.25,93.25,9.4,39.91,36.39,,,18.81,9.4,,,,,,,,35.5,,39.91,,
60653,300,82550,,,,,,,CK (CPK) TOTAL,129.25,129.25,4.18,84.05,52.89,,,,,,,,,,,4.18,49.5,,84.05,,
60665,300,82553,,,,,,,CKMB,175.25,175.25,7.04,71.7,71.7,,,,,,,,,,,7.04,66.87,,68.93,,
60677,300,82435,,,,,,,CHLORIDE BLOOD,133,133,,,,,,,,,,,,,,,,,,,
60689,300,80156,,,,,,,CARBAMAZEPINE TOTAL,215.75,215.75,83.82,83.82,,,,,,,,,,,,,83.82,,,,
60690,300,82565,,,,,,,CREATININE,87.75,87.75,18.81,39.93,37.66,,,,,,,,,,,18.81,32.95,,39.93,,
60707,300,80168,,,,,,,ETHOSUXIMIDE,224.75,224.75,,,,,,,,,,,,,,,,,,,
60719,300,85384,,,,,,,FIBRINOGEN ACTIVITY,146.75,146.75,,,,,,,,,,,,,,,,,,,
60732,300,82947,,,,,,,GLUCOSE BLOOD,92.25,92.25,35.29,88.79,64.34,,,,,,88.79,,,,,,35.29,,47.09,,71.96
60744,300,82977,,,,,,,GGT,94.5,94.5,36,37.8,,,,,,,,,,,,,36,,37.8,,
6075,981,12045,,,,,,,PF L CLOSURE HFEG 12.6CM TO 20.0CM,1113,1113,,,,,,,,,,,,,,,,,,,
60756,300,82784,,,,,,,IgA GAMMAGLOBULIN,229.25,229.25,87.27,117.31,117.31,,,,,,,,,,,,87.27,,111.01,,
60768,300,82784,,,,,,,IgG GAMMAGLOBULIN,177.5,177.5,87.27,117.31,117.31,,,,,,,,,,,,87.27,,111.01,,
60770,300,82784,,,,,,,IgM GAMMAGLOBULIN,229.25,229.25,87.27,117.31,117.31,,,,,,,,,,,,87.27,,111.01,,
60793,300,83550,,,,,,,IRON AND TIBC,114.75,114.75,21.13,50.77,33.99,,,,,,,,,,,21.13,42.99,,50.77,,
60800,300,83605,,,,,,,LACTIC ACID,140,140,1.46,102.17,69.22,,,,,,102.17,,,,,1.46,54.31,,72.67,,
60811,300,83615,,,,,,,LDH (LD) SERUM,87.5,87.5,0,40.05,34.97,,,,,,,,,,,0,33.56,,40.05,,
60835,300,83690,,,,,,,LIPASE,133,133,0,104.36,61.47,,,,,,104.36,,,,,0,51.36,,76.11,,
60847,300,83735,,,,,,,MAGNESIUM SERUM,102.25,102.25,0.94,41.33,41.28,,,,,,,,,,,0.94,39.03,,41.33,,
60860,300,82480,,,,,,,PSEUDOCHOLINESTERASE SERUM,127.5,127.5,,,,,,,,,,,,,,,,,,,
60872,300,80184,,,,,,,PHENOBARBITAL,142.5,142.5,54.2,54.2,,,,,,,,,,,,,54.2,,,,
60896,300,84100,,,,,,,PHOSPHORUS,74.75,74.75,4.7,31.96,31.96,,,,,,,,,,,4.7,28.23,,29.18,,
60902,300,85420,,,,,,,PLASMINOGEN,106.5,106.5,,,,,,,,,,,,,,,,,,,
60914,300,80188,,,,,,,PRIMIDONE,200.5,200.5,78.21,78.21,,,,,,,,,,,,,78.21,,,,
60926,300,80179,,,,,,,SALICYLATE,233,233,27.29,181.84,,,,,,,,,,,,27.29,,,181.84,,
60938,300,84450,,,,,,,TRANSFERASE ASPARTATE AMINO (AST) (SGOT),100.5,100.5,38.63,47.13,42.34,,,,,,,,,,,,38.63,,47.13,,
60940,300,84460,,,,,,,TRANSFERASE ALANINE AMINO (ALT) (SGPT),102.25,102.25,39.33,50.91,43.12,,,,,,,,,,,,39.33,,50.91,,
60951,300,82247,,,,,,,BILIRUBIN TOTAL,104.25,104.25,18.81,18.81,,,,,,,,,,,,18.81,,,,,
60963,300,84478,,,,,,,TRIGLYCERIDES(TGL),102.75,102.75,39.1,43.26,40.73,,,,,,,,,,,,39.1,,43.26,,
60975,300,84155,,,,,,,PROTEIN TOTAL SERUM,191,191,,,,,,,,,,,,,,,,,,,
60987,300,84550,,,,,,,URIC ACID,98,98,0,46.08,33.3,38.23,,,,,,,,,,0,37.44,,46.08,,
61013,300,80320,,,,,,,ALCOHOL (URINE),107.25,107.25,0,83.64,,,,,,,,,,,,0,,,83.64,,
61025,300,81003,,,,,,,URINALYSIS,69.75,69.75,1.5,143.7,143.7,,1.99,,9.52,,71.06,,,,,1.5,64.58,,39.61,29.19,59.86
61037,300,83986,,,,,,,PH BODY FLUID,63.75,63.75,,,,,,,,,,,,,,,,,,,
61049,300,84315,,,,,,,SPECIFIC GRAVITY(EXCEPT URINE),52,52,,,,,,,,,,,,,,,,,,,
61050,300,82042,,,,,,,ALBUMIN (BODY FLUID),101,101,,,,,,,,,,,,,,,,,,,
61074,300,82009,,,,,,,ACETONE QUALITATIVE SERUM,71.75,71.75,0,55.97,,,,,,,,,,,,0,,,55.97,,
61116,300,81015,,,,,,,URINALYSIS MICROSCOPIC ONLY,73,73,27.8,27.8,,,,,,,,,,,,,27.8,,,,
61130,300,80202,,,,,,,VANCOMYCIN PEAK,217.25,217.25,79.58,169.54,,,,,,,,,,,,,79.58,,169.54,,
6117,450,43753,,,,,,,GASTRIC LAVAGE REQ MD SKILL,834.75,834.75,630,2258.5,,,,,,,,,,,,2258.5,630,,,,
61177,300,80307,,,,,,,DRUG SCREEN PROFILE (URINE),147.75,147.75,74.81,151.59,75.34,,,,,,151.59,,,,,111.4,74.81,,143.33,,
61187,300,80299,,,,,,,ROCEPHIN LEVEL,348.75,348.75,139.44,139.44,,,,,,,,,,,,,139.44,,,,
61190,300,82300,,,,,,,CADMIUM,108.75,108.75,,,,,,,,,,,,,,,,,,,
61232,300,83885,,,,,,,NICKEL,287.75,287.75,,,,,,,,,,,,,,,,,,,
61244,300,83655,,,,,,,LEAD SCREENING,142.25,142.25,,,,,,,,,,,,,,,,,,,
61268,300,82340,,,,,,,CALCIUM-URINE QNT 24 HR,82.75,82.75,,,,,,,,,,,,,,,,,,,
61285,300,84300,,,,,,,SODIUM 24HR URINE,75,75,,,,,,,,,,,,,,,,,,,
61372,300,85007,,,,,,,BLOOD COUNT DIFFERENTIAL,46.5,46.5,,,,,,,,,,,,,,,,,,,
61390,300,80420,,,,,,,DEXAMETHASONE SUPPRESION PANEL 48 HOUR,111.75,111.75,,,,,,,,,,,,,,,,,,,
61427,300,82088,,,,,,,ALDOSTERONE-URINE 24HR,126.75,126.75,38.03,38.03,,,,,,,,,,,,,38.03,,,,
61445,300,82383,,,,,,,"CATECHOLAMINES, BLOOD",265.5,265.5,,,,,,,,,,,,,,,,,,,
61454,300,82525,,,,,,,COPPER-BLOOD,200.25,200.25,,,,,,,,,,,,,,,,,,,
61469,300,80335,,,,,,,IMAPRAMINE LEVEL,119.5,119.5,,,,,,,,,,,,,,,,,,,
61499,300,86000,,,,,,,AGGLUTINATION FEBRILE,157.25,157.25,,,,,,,,,,,,,,,,,,,
61505,300,86038,,,,,,,ANTINUCLEAR ANTIBODIES (ANA),213.25,213.25,21.82,123.63,21.82,,,,,,,,,,,,82.01,,123.63,,
61517,300,86060,,,,,,,ANTISTREPTOLYSIN O TITER,102.25,102.25,,,,,,,,,,,,,,,,,,,
61530,300,86140,,,,,,,C-REACTIVE PROTEIN QUANTITATIVE,156.75,156.75,0,72.16,0,,,,,,,,,,,37.85,60.21,,72.16,,
61554,300,86308,,,,,,,HETEROPHILE ANTIBODIES SCREENING,77,77,37.85,60.07,,,,,,,,,,,,37.85,,,60.07,,
61580,300,86308,,,,,,,MONO SPOT,77,77,37.85,60.07,,,,,,,,,,,,37.85,,,60.07,,
61591,300,86431,,,,,,,RHEUMATOID FACTOR,87,87,0,56.61,0,,,,,,,,,,,,33.57,,56.61,,
61608,300,86757,,,,,,,ROCKY MOUNTAIN SPOTTED FEVER,331.75,331.75,126.3,126.3,,,,,,,,,,,,,126.3,,,,
61610,300,86592,,,,,,,SYPHILLIS TEST QUALITATIVE (RPR),57.75,57.75,22.55,37.9,22.55,,,,,,,,,,,37.85,23.1,,37.9,,
61621,300,86762,,,,,,,RUBELLA IgG TITER,130.25,130.25,,,,,,,,,,,,,,,,,,,
6166,981,92953,,,,,,,TEMPORARY TRANSCUTANEOUS PACING,5.25,5.25,,,,,,,,,,,,,,,,,,,
61669,300,87430,,,,,,,STREP GROUP A RAPID W/REFLEX CS,120.75,120.75,18.92,132.53,132.53,,,,,,94.39,,,,,18.92,46.86,,94.3,,
61670,300,86618,,,,,,,BORRELIA BURGDORFERI (LYME DISEASE),175.75,175.75,67.84,87.05,,,,,,,,,,,,,67.84,,87.05,,
61682,300,86765,,,,,,,RUBEOLA ANTIBODIES IgM,109.5,109.5,,,,,,,,,,,,,,,,,,,
61694,300,86765,,,,,,,RUBEOLA ANTIBODIES IgG,109.5,109.5,,,,,,,,,,,,,,,,,,,
61724,300,80299,,,,,,,FLECAINIDE,348.75,348.75,139.44,139.44,,,,,,,,,,,,,139.44,,,,
61785,310,88150,,,,,,,PAP SMEAR,54.5,54.5,,,,,,,,,,,,,,,,,,,
61802,300,83520,,,,,,,ANTI BASEMENT MEMBRANE ANTIBODY,361,361,135.62,147.81,147.81,,,,,,,,,,,,135.62,,144.38,,
61852,300,85362,,,,,,,FIBRIN SPLIT PRODUCTS QUAL (FDP),132,132,,,,,,,,,,,,,,,,,,,
61864,300,85049,,,,,,,PLATELET COUNT,83.75,83.75,32.1,32.1,,,,,,,,,,,,,32.1,,,,
61876,300,85610,,,,,,,PROTIME,90.5,90.5,0,70.95,43.86,,0,,,,70.95,,,,,0.59,35.39,,45.93,,
61888,300,85730,,,,,,,PARTIAL THROMBOPLASIN TIME (APTT),120.75,120.75,0.31,94.88,65.61,,,,,,94.88,,,,,0.31,46.55,,62.74,,
61918,300,86922,,,,,,,COMPATIBILITY TST EA UNIT ANTIGLOBULIN,213,213,81.48,83.13,,,,,,,,,,,,,81.48,,83.13,,
61920,300,86900,,,,,,,BLOOD TYPING ABO,69,69,0,26.64,,,,,,,,,,,,0,26.43,,26.64,,
61931,300,86901,,,,,,,BLOOD TYPING Rh (D),69.25,69.25,0,26.74,,,,,,,,,,,,0,26.68,,26.74,,
61980,300,86880,,,,,,,ANTIHUMAN GLOBULIN TST(COOMBS TST)DIRECT,56,56,22.37,22.37,,,,,,,,,,,,,,,22.37,,
61992,300,86885,,,,,,,ANTIHUMAN GLOBULIN(COOMBS)INDRECT QUALIT,46.5,46.5,,,,,,,,,,,,,,,,,,,
6200,983,97597,,,,,,,PF DEBRIDE DEVIT TISS FIRST 20C,150,150,0,40.57,,,,,,,,,,,,,40.57,,0,,
6201,983,97598,,,,,,,PF DEBRIDE TISS EA AD 20CM,107.5,107.5,28.48,28.48,,,,,,,,,,,,,28.48,,,,
6202,983,11042,,,,,,,PF DEBRIDE SUBS TISS FIRST 20 CM,250,250,67.4,69.38,69.38,,,,,,,,,,,,67.4,,,,
62029,300,86850,,,,,,,ANTIBODY SCREEN RBC EACH SERUM TECHNIQUE,163.25,163.25,62.88,63.66,,,,,,,,,,,,,62.88,,63.66,,
6203,983,11045,,,,,,,PF DEBRIDE SUBS TISS EA ADD  20 CM,114.5,114.5,30.17,30.17,,,,,,,,,,,,,30.17,,,,
62030,300,81340,,,,,,,TRB GENE REARRANGEMENT ANALYSIS,988.25,988.25,,,,,,,,,,,,,,,,,,,
62031,300,81342,,,,,,,TRG GENE REARRANGEMENT ANALYSIS,988.25,988.25,,,,,,,,,,,,,,,,,,,
62032,300,85060,,,,,,,BLOOD SMEAR PERIPHERAL,661.5,661.5,,,,,,,,,,,,,,,,,,,
62033,300,88264,,,,,,,CHROMOSOME ANALYSIS 20-25 CELLS,884.75,884.75,,,,,,,,,,,,,,,,,,,
6204,983,11043,,,,,,,PF DEBRIDE MSCLE FSCIA FRST  20 CM,651,651,,,,,,,,,,,,,,,,,,,
6205,983,11046,,,,,,,PF DEBRIDE MSCLE FSCIA EA ADL 20 CM,240.5,240.5,,,,,,,,,,,,,,,,,,,
6206,983,11044,,,,,,,PF DEBRIDE BONE FIRST 20 CM,958.75,958.75,253.61,253.61,,,,,,,,,,,,,253.61,,,,
6207,983,11047,,,,,,,PF DEBRIDE BONE EA ADDL 20 CM,426.25,426.25,110.24,110.24,,,,,,,,,,,,,110.24,,,,
6208,983,10060,,,,,,,PF INC AND DRAIN ABCESS SMPLE,399,399,,,,,,,,,,,,,,,,,,,
62080,300,84132,,,,,,,POTASSIUM SERUM,81.25,81.25,18.81,96.53,33.22,,,,,,96.53,,,,,18.81,30.44,,39.27,,
6209,983,10140,,,,,,,PF I AND D OF HEMATOMA,482.25,482.25,,,,,,,,,,,,,,,,,,,
62091,300,84295,,,,,,,SODIUM,88.25,88.25,4.81,4.81,,,,,,,,,,,,,4.81,,,,
6210,983,11000,,,,,,,PF DEBRIDE RMV OF ECZ TISSUE,118.75,118.75,,,,,,,,,,,,,,,,,,,
62108,300,80076,,,,,,,HEPATIC FUNCTION PANEL,277.75,277.75,19.27,229.14,175.97,,,,,,229.14,,,,,19.27,105.28,,136.63,,
6211,983,11001,,,,,,,PF DEBRIDE RMV OF ECZ TISS ADDL,25.5,25.5,,,,,,,,,,,,,,,,,,,
6213,983,16000,,,,,,,PF INIT TRTMNT FIRST DEG BURN,194,194,,,,,,,,,,,,,,,,,,,
62133,300,82952,,,,,,,GLUC TOLERANCE 5 HOURS,62.5,62.5,,,,,,,,,,,,,,,,,,,
6214,983,16020,,,,,,,PF DSG AND/OR DEBRIDE INT SUB SML,222,222,,,,,,,,,,,,,,,,,,,
6215,983,16025,,,,,,,PF DSG AND/OR DEBRIDE INT SUB MED,460,460,,,,,,,,,,,,,,,,,,,
6216,983,16030,,,,,,,PF DSG AND/OR DEBRIDE INT SUB LRG,558.75,558.75,,,,,,,,,,,,,,,,,,,
62169,300,82575,,,,,,,CREATININE CLEAR,139.75,139.75,,,,,,,,,,,,,,,,,,,
6217,983,17250,,,,,,,PF CHEM CAUTER OF GRAN TISS,153.75,153.75,,,,,,,,,,,,,,,,,,,
62170,300,80143,,,,,,,ACETAMINOPHEN LEVEL,233,233,48.53,181.84,,,,,,,,,,,,48.53,,,181.84,,
6218,983,29580,,,,,,,PF APPL OF UNNA BOOT,116.75,116.75,,,,,,,,,,,,,,,,,,,
62182,300,80320,,,,,,,ALCOHOL (ETHANOL),107.25,107.25,0,83.64,,,,,,,,,,,,0,,,83.64,,
6219,983,29581,,,,,,,PF  APPL OF MULT VEN WND,111.75,111.75,,,,,,,,,,,,,,,,,,,
62194,300,80198,,,,,,,AMINOPHYLLIN (THEOPHYLLINE) LEVEL,67,67,26.78,26.78,,,,,,,,,,,,,26.78,,,,
6220,983,97605,,,,,,,PF NPWT< 50 SQ CM WND VAC,103.25,103.25,,,,,,,,,,,,,,,,,,,
62200,300,80324,,,,,,,AMPHETAMINE (BLOOD),829.25,829.25,27.7,56.89,,,,,,,,,,,,56.89,27.7,,,,
6221,983,97606,,,,,,,PF NPWT> 50 SQ CM  WND VAC,111.75,111.75,,,,,,,,,,,,,,,,,,,
6222,983,15271,,,,,,,PF APPL GRFT LEGS 1ST 25 CM OR LESS,357,357,,,,,,,,,,,,,,,,,,,
62224,300,80162,,,,,,,DIGOXIN TOTAL,184.75,184.75,71.76,75.75,75.75,,,,,,,,,,,,71.76,,,,
6223,983,15272,,,,,,,PF APPL GRAFT LEGS EA ADDTL 25 CM,76,76,,,,,,,,,,,,,,,,,,,
62236,300,80185,,,,,,,DILANTIN (PHENYTOIN) TOTAL,190.75,190.75,43.68,73.64,,,,,,,,,,,,43.68,73.64,,,,
6224,983,15273,,,,,,,PF APPL GRAFT LEGS 1ST 100 CM,856.75,856.75,,,,,,,,,,,,,,,,,,,
6225,983,15274,,,,,,,PF APPL GRAFT LEGS EA ADDTL100 CM,196.5,196.5,,,,,,,,,,,,,,,,,,,
62250,300,,,,,,,,HEAVY METAL SCREEN BLOOD,514,514,0,158.9,0,,0,158.9,,,,,118.08,,,,,60.93,23.47,,
6226,983,15275,,,,,,,PF APPL GRAFT FT 1ST 25 CM OR LESS,394.5,394.5,,,,,,,,,,,,,,,,,,,
6227,983,15276,,,,,,,PF APPL GRFT  EA ADDL 25 CM,111.25,111.25,,,,,,,,,,,,,,,,,,,
62273,300,80176,,,,,,,LIDOCAINE LEVEL,192.75,192.75,,,,,,,,,,,,,,,,,,,
6228,983,15277,,,,,,,PF APPL GRAFT FT 1ST 100 CM,969.75,969.75,,,,,,,,,,,,,,,,,,,
62285,300,80178,,,,,,,LITHIUM,95,95,36.1,36.1,,,,,,,,,,,,,36.1,,,,
6229,983,15278,,,,,,,PF APPL GRAFT FT EA ADDL 100 CM,237.25,237.25,,,,,,,,,,,,,,,,,,,
62297,940,99195,,,,,,,PHLEBOTOMY THERAPEUTIC,123.5,123.5,48.39,48.39,,,,,,,,,,,,,48.39,,,,
6231,983,99202,,,,,,,PF NEW PT LVL 2 WOUND CLINIC,204,204,55.71,55.71,,,,,,,,,,,,,55.71,,,,
6232,983,99203,,,,,,,PF NEW PT LVL 3 WOUND CLINIC,290.5,290.5,93.34,93.34,,,,,,,,,,,,,93.34,,,,
62327,300,87206,,,,,,,AFB SMEAR/CULT,81.5,81.5,,,,,,,,,,,,,,,,,,,
6233,983,99204,,,,,,,PF NEW PT LVL 4 WOUND CLINIC,521.25,521.25,151.32,496.25,496.25,,,,,,,,,,,,151.32,,,,
62339,300,87101,,,,,,,CULTURE FUNGI,119.25,119.25,,,,,,,,,,,,,,,,,,,
6234,983,99205,,,,,,,PF NEW PT LVL 5 WOUND CLINIC,680,680,205.99,205.99,,,,,,,,,,,,,205.99,,,,
62340,300,87075,,,,,,,CULTURE ANAEROBIC,186.25,186.25,72.78,108.28,72.78,,,,,,,,,,,,,,108.28,,
6235,983,99211,,,,,,,PF EST PT LVL 1 WOUND CLINIC,36.75,36.75,,,,,,,,,,,,,,,,,,,
62352,300,87040,,,,,,,BLOOD CULTURE SET #1,248,248,57.32,175.43,175.43,,81.02,,63.83,,,,,,,57.32,95.58,,145.53,,
6236,983,99212,,,,,,,PF EST PT LVL 2 WOUND CLINIC,104.75,104.75,40.16,41.08,41.08,,,,,,,,,,,,40.16,,,,
6237,983,99213,,,,,,,PF EST PT LVL 3 WOUND CLINIC,206.25,206.25,74.45,75.65,75.65,,,,,,,,,,,,74.45,,,,
6238,983,99214,,,,,,,PF EST PT LVL 4 WOUND CLINIC,315.5,315.5,0,264.7,228.31,,264.7,,,,,,,,,0,109.69,,,,
6239,983,99215,,,,,,,PF EST PT LVL 5 WOUND CLINIC,444.5,444.5,162.6,162.6,,,,,,,,,,,,,162.6,,,,
62390,300,87205,,,,,,,GRAM STAIN,68,68,25.9,25.9,,,,,,,,,,,,,25.9,,,,
6240,983,15271,,,,,,,PF APPL SKIN SUB UP TO 100 SQ CM 1ST 25,357,357,,,,,,,,,,,,,,,,,,,
6241,983,15272,,,,,,,PF APPL SKIN SUB EACH ADDTL 25 SQ CM,76,76,,,,,,,,,,,,,,,,,,,
62418,300,82705,,,,,,,FAT STOOL QUAL,97.25,97.25,37,37,,,,,,,,,,,,,37,,37,,
6242,983,15273,,,,,,,PF APPL SKIN SUB 1ST 100 SQ CM,856.75,856.75,,,,,,,,,,,,,,,,,,,
6243,983,15274,,,,,,,PF APPL SKIN SUB EA ADDTL 100 SQ CM,196.5,196.5,,,,,,,,,,,,,,,,,,,
6244,983,15275,,,,,,,PF APPL SKIN SUB 1ST 25 SQ CM,394.5,394.5,,,,,,,,,,,,,,,,,,,
62443,300,84488,,,,,,,TRYPSIN FECES QUALITATIVE,340.5,340.5,,,,,,,,,,,,,,,,,,,
6245,983,15276,,,,,,,PF APPL SKIN SUB EACH ADDTL 25 SQ CM,111.25,111.25,,,,,,,,,,,,,,,,,,,
6246,983,15277,,,,,,,PF APPL SKIN SUB 1ST 100 SQ CM,969.75,969.75,,,,,,,,,,,,,,,,,,,
62467,300,87177,,,,,,,OVA & PARASITES DIRECT SMEAR,107.75,107.75,41.07,50.45,,,,,,,,,,,,,41.07,,50.45,,
6247,983,15278,,,,,,,PF APPL SKIN SUB EA ADDTL 100 SQ CM,249.25,249.25,,,,,,,,,,,,,,,,,,,
62479,300,89055,,,,,,,WBCS (STOOL),67.25,67.25,25.6,25.61,,,,,,,,,,,,,25.61,,25.6,,
62625,300,80061,,,,,,,LIPID PANEL,267.25,267.25,26.28,216.52,135.3,104.35,,,38.54,,216.52,,,,,26.28,60.1,,130.14,106.89,213.92
62870,300,82671,,,,,,,ESTROGENS FRACTIONATED,347.5,347.5,,,,,,,,,,,,,,,,,,,
62891,300,83498,,,,,,,HYDROXYPROGESTERONE 17,148.75,148.75,,,,,,,,,,,,,,,,,,,
62902,300,82785,,,,,,,IgE GAMMA-GLOBULIN,110.25,110.25,42,42,,,,,,,,,,,,,42,,,,
62919,300,82164,,,,,,,ANGIOTENSIN CONVERTING ENZYME (ACE),185.75,185.75,,,,,,,,,,,,,,,,,,,
62937,300,80299,,,,,,,AMIODARONE,348.75,348.75,139.44,139.44,,,,,,,,,,,,,139.44,,,,
62946,300,85302,,,,,,,PROTEIN C,213.75,213.75,,,,,,,,,,,,,,,,,,,
62950,300,85305,,,,,,,PROTEIN S,246.25,246.25,,,,,,,,,,,,,,,,,,,
62961,300,85300,,,,,,,ANTITHROMBIN III ACTIVITY,139,139,,,,,,,,,,,,,,,,,,,
62996,300,82380,,,,,,,CAROTENE,147,147,,,,,,,,,,,,,,,,,,,
63003,300,80361,,,,,,,OPIATES MORPHINE URINE,134.25,134.25,104.76,104.76,,,,,,,,,,,,,,,104.76,,
63006,300,86235,,,,,,,ANTI SCLERODERMA 70Ab,129.75,129.75,23.45,23.45,,,,,,,,,,,,,23.45,,,,
63009,300,82378,,,,,,,CEA,229.75,229.75,84.85,87.5,,,,,,,,,,,,,84.85,,87.5,,
63010,300,82746,,,,,,,FOLIC ACID  (SERUM),207,207,14.09,87.17,59.85,,14.09,,28.17,,,,,,,21.13,75.22,,87.17,,
63011,300,80299,,,,,,,PROZAC (FLUOXETINE),348.75,348.75,139.44,139.44,,,,,,,,,,,,,139.44,,,,
63014,300,80299,,,,,,,ATARAX LEVEL,348.75,348.75,139.44,139.44,,,,,,,,,,,,,139.44,,,,
63015,300,80346,,,,,,,DOXEPIN LEVEL,101,101,85.33,85.33,,,,,,,,,,,,85.33,,,,,
63016,300,80299,,,,,,,RITALIN LEVEL,348.75,348.75,139.44,139.44,,,,,,,,,,,,,139.44,,,,
63017,300,86256,,,,,,,ANTIMITOCHONDRIAL AB,331.75,331.75,0,126.3,0,,,,,,,,,,,,126.3,,,,
63018,300,84702,,,,,,,GONADOTROPIN CHORIONIC(hCG)QUANTITATIV,239.5,239.5,28.45,470.48,470.48,,,,,,,,,,,28.45,,,,,
63019,300,84402,,,,,,,TESTOSTERONE FREE,192.5,192.5,0,74.28,0,,,,,,,,,,,,74.28,,73.3,,
63023,300,86331,,,,,,,HYPERSENSITIVITY PNEUMONITIS SCREEN,213.75,213.75,,,,,,,,,,,,,,,,,,,
63024,300,82985,,,,,,,GLYCATED PROTEIN,24.5,24.5,,,,,,,,,,,,,,,,,,,
63025,300,80335,,,,,,,DESIPRAMINE,111.25,111.25,,,,,,,,,,,,,,,,,,,
63027,300,82960,,,,,,,G6PD,50.25,50.25,,,,,,,,,,,,,,,,,,,
63030,300,82088,,,,,,,ALDOSTERONE (SERUM),120.75,120.75,38.03,38.03,,,,,,,,,,,,,38.03,,,,
63031,300,84244,,,,,,,RENIN ACTIVITY,129.75,129.75,40.36,40.36,,,,,,,,,,,,,40.36,,,,
63033,300,86696,,,,,,,HERPES I & II IgG,126,126,45.98,65.5,65.5,,,,,,,,,,,,45.98,,,,
63034,300,83010,,,,,,,HAPTOGLOBIN QUANT,199,199,76.68,79.59,,,,,,,,,,,,,76.68,,79.59,,
63036,300,86300,,,,,,,IMMUNOASSAY FOR TUMOR ANTIGEN(CA 15-3),159.75,159.75,60.17,75.23,62.42,,,,,,,,,,,75.23,60.17,,62.93,,
63038,300,89321,,,,,,,SEMEN ANALYSIS PRESENCE/MOTILITY SPERM,89.25,89.25,,,,,,,,,,,,,,,,,,,
63040,300,86735,,,,,,,MUMPS IgM AB,118,118,,,,,,,,,,,,,,,,,,,
63042,300,83519,,,,,,,ACHR BINDING Ab,965.5,965.5,109.72,109.72,,,,,,,,,,,,,109.72,,,,
63044,300,86787,,,,,,,VARICELLA-ZOSTER IGM,148.5,148.5,59.33,59.33,,,,,,,,,,,,,59.33,,,,
63045,300,82480,,,,,,,CHOLINESTERASE SERUM,63.5,63.5,,,,,,,,,,,,,,,,,,,
63046,300,83540,,,,,,,IRON (SERUM),107.5,107.5,18.81,88.69,30.5,,,,,,,88.69,,,,18.81,41.57,,46.42,,
63050,300,84446,,,,,,,VITAMIN E,143.25,143.25,,,,,,,,,,,,,,,,,,,
63051,300,82390,,,,,,,CERULOPLASMIN,208.5,208.5,0,0,0,,,,,,,,,,,,,,,,
63054,300,87449,,,,,,,LEGIONELLA URINARY Ag,96.75,96.75,146.4,146.4,,,,,,,,,,,,,146.4,,,,
63055,300,86698,,,,,,,HISTOPLASMA Ab (PHASE CF/YEAST PHASE CF),296.25,296.25,,,,,,,,,,,,,,,,,,,
63056,300,86235,,,,,,,LUPUS PROFILE,129.75,129.75,23.45,23.45,,,,,,,,,,,,,23.45,,,,
63058,300,83625,,,,,,,LDH (LD) ISOENZYMES,70.75,70.75,,,,,,,,,,,,,,,,,,,
63059,300,82570,,,,,,,CREATININE OTHER SRC 24 HR (EG. URINE),70.5,70.5,16.93,29.65,28.15,,16.93,,18.81,,,,,,,18.81,22.77,,29.65,,
63060,300,83935,,,,,,,OSMOLALITY URINE,142.75,142.75,,,,,,,,,,,,,,,,,,,
63062,300,87077,,,,,,,ENZYME ACTV BLOOD CELLS (CLO TEST),81.5,81.5,,,,,,,,,,,,,,,,,,,
63063,300,80048,,,,,,,BASIC METABOLIC PANEL,223.25,223.25,36.79,184.18,99.2,,,,,,182.46,184.18,,,,36.79,83.35,,103.24,85,
63064,300,80051,,,,,,,ELECTROLYTE PANEL,166.75,166.75,50.79,72.25,,,,,,,,,,,,,50.79,,72.25,,
63065,300,80050,,,,,,,GENERAL HEALTH PANEL,487.25,487.25,38.54,38.54,,,38.54,,,,,,,,,,,,,,
63068,300,83003,,,,,,,GROWTH HORMONE HGH,301.25,301.25,,,,,,,,,,,,,,,,,,,
63073,300,82595,,,,,,,CRYOGLOBULIN(SERUM),123.75,123.75,,,,,,,,,,,,,,,,,,,
63075,300,80158,,,,,,,CYCLOSPORIN,366.5,366.5,82.32,82.32,,,,,,,,,,,,,82.32,,,,
63076,300,86021,,,,,,,ANTI NEUTROPHIL CYTOPLASMIC ANTIBODIES,211,211,84.32,84.32,,,,,,,,,,,,,,,84.32,,
63078,300,80299,,,,,,,METHOTREXATE,348.75,348.75,139.44,139.44,,,,,,,,,,,,,139.44,,,,
63079,300,86677,,,,,,,HELICOBACTER PYLORI IgG,113.25,113.25,65.25,65.25,,,,,,,,,,,,65.25,,,,,
63080,300,80299,,,,,,,LAMICTAL,348.75,348.75,139.44,139.44,,,,,,,,,,,,,139.44,,,,
63081,300,82375,,,,,,,CARBON-MONOXIDE QUANTITATIVE,151.75,151.75,60.69,60.69,,,,,,,,,,,,,60.69,,,,
63082,300,84207,,,,,,,VITAMIN B-6,295.5,295.5,113.91,113.91,,,,,,,,,,,,,113.91,,,,
63083,300,84165,,,,,,,PROTEIN ELECTROPRESIS SERUM,135.5,135.5,52.99,80.44,,,,,,,,,,,,,52.99,,80.44,,
63086,300,82668,,,,,,,ERYTHROPOIETIN,137.75,137.75,53.41,56.33,56.33,,,,,,,,,,,,53.41,,55.02,,
63087,300,86225,,,,,,,ANTI DOUBLE STRANDED DNA Ab's,145.25,145.25,69.8,69.8,,,,,,,,,,,,,69.8,,,,
63089,300,86160,,,,,,,COMPLEMENT ANTIGEN (C4),193.75,193.75,74.05,79.34,79.34,,,,,,,,,,,,74.05,,77.49,,
63090,300,84681,,,,,,,C-PEPTIDE,228.5,228.5,84.55,91.35,,,,,,,,,,,,,91.35,,84.55,,
63091,300,82232,,,,,,,BETA-2 MICROGLOBULIN,208.5,208.5,82.12,107.76,,,,,,,,,,,,,82.12,,107.76,,
63093,300,86663,,,,,,,EBV ACUTE INFECTION Ab PANEL,109.25,109.25,,,,,,,,,,,,,,,,,,,
63096,300,86747,,,,,,,ANTIBODY PARVOVIRUS,153.75,153.75,,,,,,,,,,,,,,,,,,,
63097,300,86215,,,,,,,ANTI STREP DNASE B Ab,238.75,238.75,,,,,,,,,,,,,,,,,,,
63099,300,80299,,,,,,,NEURONTIN LEVEL (GABAPENTIN),348.75,348.75,139.44,139.44,,,,,,,,,,,,,139.44,,,,
63100,300,84466,,,,,,,TRANSFERRIN,181,181,68.9,68.9,,,,,,,,,,,,,68.9,,68.9,,
63101,300,84436,,,,,,,THYROXINE TOTAL,128,128,,,,,,,,,,,,,,,,,,,
63102,300,80053,,,,,,,COMP METABOLIC PANEL,308,308,37.58,244.5,153.24,120.23,38.54,,,,240.22,,,,,37.58,117.23,,146.64,123.17,244.5
63103,300,86609,,,,,,,NEISSERIA GC Ab CF,114.5,114.5,,,,,,,,,,,,,,,,,,,
63104,300,86161,,,,,,,"C-1 ESTERASE INHIBITOR,FUNCTIONAL",165.5,165.5,,,,,,,,,,,,,,,,,,,
63105,300,82104,,,,,,,ALPHA 1 ANTITRYPSIN PHENOTYPE,347.25,347.25,132.2,132.2,,,,,,,,,,,,,132.2,,,,
63106,300,84275,,,,,,,LASA  (SIALIC ACID),99.25,99.25,,,,,,,,,,,,,,,,,,,
63107,300,86301,,,,,,,IMMUNOASSAY FOR TUMOR ANTIGEN (CA 19-9),346.5,346.5,132.77,132.77,,,,,,,,,,,,,132.77,,,,
63111,300,86022,,,,,,,PLATELET ANTIBODIES,504.5,504.5,,,,,,,,,,,,,,,,,,,
63113,300,84479,,,,,,,THYROID HORMONE (T3) UPTAKE,35.5,35.5,,,,,,,,,,,,,,,,,,,
63114,300,80201,,,,,,,TOPIRAMATE (TOPAMAX),147,147,,,,,,,,,,,,,,,,,,,
63115,300,84305,,,,,,,SOMATOMEDIN (INSULIN-LIKE GROWTH FACTOR),253.25,253.25,,,,,,,,,,,,,,,,,,,
63116,300,82552,,,,,,,CK ISOENZYMES,158,158,,,,,,,,,,,,,,,,,,,
63118,300,82180,,,,,,,VITAMIN C,51.25,51.25,,,,,,,,,,,,,,,,,,,
63119,300,84255,,,,,,,SELENIUM,245,245,,,,,,,,,,,,,,,,,,,
63120,300,82415,,,,,,,CHLORAMPHENICOL,104.75,104.75,,,,,,,,,,,,,,,,,,,
63121,300,84484,,,,,,,TROPONIN I,250.25,250.25,3.3,196.56,129.89,,,,,,196.56,,,,,3.3,97.09,,141.78,,
63122,300,82024,,,,,,,ACTH  ADRENOCORTICOTROPIC HORMONE,393.75,393.75,148.85,148.85,,,,,,,,,,,,,148.85,,,,
63124,300,85597,,,,,,,PLATELET NEUTRALIZATION,174.5,174.5,,,,,,,,,,,,,,,,,,,
63125,300,84480,,,,,,,TRIIODOTHYRONINE T3 TOTAL,179.25,179.25,56.89,173.46,74.2,,,,,,173.46,,,,,56.89,69.36,,106.49,,139.81
63128,300,85210,,,,,,,CLOTTING FACTOR II PROTHROMBIN,253.75,253.75,,,,,,,,,,,,,,,,,,,
63131,300,80342,,,,,,,THIORIDAZINE LEVEL QUANTITATIVE,106.5,106.5,,,,,,,,,,,,,,,,,,,
63132,300,80299,,,,,,,TRAZODONE LEVEL,348.75,348.75,139.44,139.44,,,,,,,,,,,,,139.44,,,,
63133,300,86300,,,,,,,IMMUNOASSAY FOR TUMOR ANTIGEN(CA 27-29),159.75,159.75,60.17,75.23,62.42,,,,,,,,,,,75.23,60.17,,62.93,,
63135,300,86606,,,,,,,ASPERGILLIN TITER Ab,135.25,135.25,11.6,11.6,,,,,,,,,,,,,11.6,,,,
63137,300,82607,,,,,,,VITAMIN B-12,177.75,177.75,21.33,76.36,67.51,,21.33,,49.78,,,,,,,56.89,64.15,,76.36,,
63140,300,80346,,,,,,,CLONAZEPAM (KLONOPIN) LEVEL,49.75,49.75,85.33,85.33,,,,,,,,,,,,85.33,,,,,
63142,300,86658,,,,,,,ANTIBODY ENTEROVIRUS COXSACKIE,48.25,48.25,,,,,,,,,,,,,,,,,,,
63143,300,86658,,,,,,,COXSACKIE VIRUS GRP B,48.25,48.25,,,,,,,,,,,,,,,,,,,
63144,300,84144,,,,,,,PROGESTERONE,206.25,206.25,0,170.16,0,,,,,,,170.16,,,,,80.47,,160.93,,
63147,300,86235,,,,,,,SJOGREN ANTIBODY SSA/SSB,129.75,129.75,23.45,23.45,,,,,,,,,,,,,23.45,,,,
63149,300,83525,,,,,,,INSULIN TOTAL,134.5,134.5,51.77,51.77,,,,,,,,,,,,,,,51.77,,
63150,300,83825,,,,,,,MERCURY,206.5,206.5,,,,,,,,,,,,,,,,,,,
63152,300,84154,,,,,,,PROSTATE SPECIFIC ANTIGEN (PSA) FREE,196.25,196.25,74.73,89.84,80.3,,,,,,,,,,,,74.73,,89.84,,
63160,300,81099,,,,,,,URINE DRUG COLLECTION FEE,44,44,,,,,,,,,,,,,,,,,,,
63162,300,83874,,,,,,,MYOGLOBIN SERUM,210.5,210.5,,,,,,,,,,,,,,,,,,,
63163,300,80307,,,,,,,DRUG SCREEN URINE (COC),42,42,74.81,151.59,75.34,,,,,,151.59,,,,,111.4,74.81,,143.33,,
63167,300,87420,,,,,,,RESPIRATORY SYNCYTIAL VIRUS,46.25,46.25,0,100.31,0,,,,,,,,,,,100.31,16.86,,,,
63170,300,80192,,,,,,,PROCAINAMIDE WITH METABOLITES,62,62,,,,,,,,,,,,,,,,,,,
63172,300,84133,,,,,,,POTASSIUM URINE,76.25,76.25,,,,,,,,,,,,,,,,,,,
63174,300,84120,,,,,,,PORPHYRINS URINE,54.5,54.5,,,,,,,,,,,,,,,,,,,
63175,300,84105,,,,,,,PHOSPHORUS INORGANIC URINE,81.75,81.75,,,,,,,,,,,,,,,,,,,
63178,300,81003,,,,,,,SPECIFIC GRAVITY - URINE ADV,73,73,1.5,143.7,143.7,,1.99,,9.52,,71.06,,,,,1.5,64.58,,39.61,29.19,59.86
63179,300,84439,,,,,,,THYROXINE FREE,202.75,202.75,21.33,158.26,147.78,,,,,,149.29,,,,,21.33,77.8,,105.44,,158.26
63181,300,85379,,,,,,,D-DIMER QUANTITATIVE,280,280,45.51,219.86,157.01,,,,,,219.86,,,,,45.51,108.91,,156.09,,
63183,300,84590,,,,,,,VITAMIN A,146,146,,,,,,,,,,,,,,,,,,,
63189,300,80069,,,,,,,RENAL FUNCTION PANEL,210,210,38.54,86.02,86.02,,,,,,,,,,,38.54,81.19,,82.18,,
63190,300,82043,,,,,,,"URINE, MICROALBUMIN QUANTITATIVE",133.25,133.25,14.41,45.82,14.41,,,,,,,,,,,,45.82,,22.29,,
63192,300,87801,,,,,,,HERPES SIMPLEX VIRUS PCR,398.25,398.25,,,,,,,,,,,,,,,,,,,
63194,300,82330,,,,,,,IONIZED CALCIUM,178.5,178.5,21.13,149.04,149.04,,,,,,,,,,,21.13,68.81,,68,,
63198,300,84146,,,,,,,PROLACTIN,253.5,253.5,0,197.83,0,,,,,,,,,,,,,,197.83,,
63199,300,36415,,,,,,,VENIPUNCTURE/FS,41.75,41.75,0,518.18,518.18,,5.88,,,,32.79,0,,,,8.82,16.03,,24.27,16.7,33.01
63200,300,89051,,,,,,,CELL COUNT SYNOVIAL FLUID,175.5,175.5,,,,,,,,,,,,,,,,,,,
63201,300,36416,,,,,,,CAPILLARY COLLECTION,27.75,27.75,,,,,,,,,,,,,,,,,,,
63203,300,86256,,,,,,,EHRLICHIA CHAFEENSIS Ab,331.75,331.75,0,126.3,0,,,,,,,,,,,,126.3,,,,
63205,300,87070,,,,,,,CULTURE THROAT/NOSE,122.5,122.5,47.77,60,47.77,,,,,,,,,,,,,,60,,
63207,300,87045,,,,,,,CULTURE STOOL,114.75,114.75,43.76,59.73,,,,,,,,,,,,,43.76,,59.73,,
63211,300,83930,,,,,,,SERUM OSMOLALITY,119.5,119.5,,,,,,,,,,,,,,,,,,,
63213,300,85670,,,,,,,THROMBIN TIME,112.25,112.25,,,,,,,,,,,,,,,,,,,
63215,300,80335,,,,,,,NORTRIPTYLLINE,46.75,46.75,,,,,,,,,,,,,,,,,,,
63216,300,84260,,,,,,,SEROTONIN,454.5,454.5,181.76,181.76,,,,,,,,,,,,,,,181.76,,
63217,300,80307,,,,,,,DRUG CONFIRMATION EACH PROCEDURE,147.75,147.75,74.81,151.59,75.34,,,,,,151.59,,,,,111.4,74.81,,143.33,,
63219,300,86708,,,,,,,HEPATITIS A TOTAL IgM/IgG,178,178,71.19,71.19,,,,,,,,,,,,,71.19,,,,
63225,300,84481,,,,,,,T3 FREE,233.25,233.25,89.66,93.24,93.24,,,,,,,,,,,,89.66,,91.02,,
63227,300,87517,,,,,,,HEP B DNA,405.75,405.75,152.95,152.95,,,,,,,,,,,,,152.95,,,,
63228,300,84630,,,,,,,ZINC,125.25,125.25,50.09,50.09,,,,,,,,,,,,,50.09,,,,
63230,300,82085,,,,,,,ALDOLASE,67.75,67.75,,,,,,,,,,,,,,,,,,,
63231,300,83519,,,,,,,ALPHA SUBUNIT (PITUITARY),965.4,965.4,109.72,109.72,,,,,,,,,,,,,109.72,,,,
63233,300,87350,,,,,,,HEPATITIS BE ANTIGEN,116.5,116.5,,,,,,,,,,,,,,,,,,,
63235,300,81050,,,,,,,VOL MEASUREMENT FOR TIMED COLLECTION,41,41,15.92,31.98,,,,,,,,,,,,,15.92,,31.98,,
63237,300,86147,,,,,,,CARDIOLIPIN,152.75,152.75,61.01,61.01,,,,,,,,,,,,,61.01,,,,
63241,300,84080,,,,,,,ALKALINE PHOSPHATASE ISOENZYMES,190.25,190.25,42.26,80.35,74.21,,,,,,,,,,,42.26,71.65,,80.35,,
63242,300,80299,,,,,,,DISOPYRAMIDE,348.75,348.75,139.44,139.44,,,,,,,,,,,,,139.44,,,,
63244,300,83090,,,,,,,HOMOCYSTEINE,237.75,237.75,,,,,,,,,,,,,,,,,,,
63246,300,85307,,,,,,,PROTEIN C RESISTANCE ASSAY,293.5,293.5,,,,,,,,,,,,,,,,,,,
63248,300,86021,,,,,,,ANTIBODY ID WBC,211,211,84.32,84.32,,,,,,,,,,,,,,,84.32,,
63250,300,86361,,,,,,,CD4 COUNT,236.25,236.25,,,,,,,,,,,,,,,,,,,
63252,300,82507,,,,,,,CITRATE URINE,233.5,233.5,,,,,,,,,,,,,,,,,,,
63253,300,82105,,,,,,,ALPHA-FETOPROTEIN SERUM,151,151,57.5,58.01,,,,,,,,,,,,,58.01,,57.5,,
63254,300,82103,,,,,,,ANTITRYPSIN LEVEL ALPHA-1 TOTAL SERUM,137.25,137.25,0,54.81,0,,,,,,,,,,,,54.81,,,,
63255,300,82131,,,,,,,CYSTINE URINE,84.5,84.5,,,,,,,,,,,,,,,,,,,
63257,300,86927,,,,,,,FRESH FROZEN PLASMA THAWING EA UNIT,168.5,168.5,,,,,,,,,,,,,,,,,,,
63259,300,87206,,,,,,,"KOH PREP (SKIN, HAIR, NAILS)",81.5,81.5,,,,,,,,,,,,,,,,,,,
63260,300,86665,,,,,,,EPSTEIN-BARR VIRUS (VCA),284,284,,,,,,,,,,,,,,,,,,,
63262,300,82436,,,,,,,CHLORIDE URINE 24 HR,105.75,105.75,,,,,,,,,,,,,,,,,,,
63265,300,82525,,,,,,,COPPER-URINE,200.25,200.25,,,,,,,,,,,,,,,,,,,
63266,300,83695,,,,,,,LIPOPROTEIN A,119.75,119.75,,,,,,,,,,,,,,,,,,,
63268,300,81256,,,,,,,HEMOCHROMATOSIS PANEL,972.25,972.25,,,,,,,,,,,,,,,,,,,
63269,300,80299,,,,,,,RYTHMOL (PROPAFENONE),348.75,348.75,139.44,139.44,,,,,,,,,,,,,139.44,,,,
63270,300,81263,,,,,,,IgVH SOMATIC HYPERMUTATION,1858.5,1858.5,,,,,,,,,,,,,,,,,,,
63271,300,87390,,,,,,,HIV HEALTHCARE,112,112,,,,,,,,,,,,,,,,,,,
63273,300,82108,,,,,,,ALUMINUM,93.75,93.75,,,,,,,,,,,,,,,,,,,
63275,300,86335,,,,,,,IMMUNOFIX ELECTROPH URINE,169.25,169.25,55.54,82.06,82.06,,,,,,,,,,,,55.54,,,,
63277,300,82728,,,,,,,FERRITIN,238.5,238.5,42.26,220.07,67.56,,,,,,220.07,196.76,,,,42.26,90.06,,99.86,,
63278,300,82306,,,,,,,"VITAMIN D, 25-HYDROXY",193,193,70.98,177.17,71.96,71.75,113.77,,113.77,,177.17,,,,,113.77,70.98,,87.42,73.5,143.5
63279,300,86778,,,,,,,TOXOPLASMA IgM ANTIBODY,135.75,135.75,,,,,,,,,,,,,,,,,,,
63280,300,86157,,,,,,,COLD AGGLUTININ,29.5,29.5,,,,,,,,,,,,,,,,,,,
63281,300,82950,,,,,,,GLU-2 HOUR POST 75 GM,88,88,,,,,,,,,,,,,,,,,,,
63282,300,82952,,,,,,,GLUC TOLERANCE 3HR TEST,62.5,62.5,,,,,,,,,,,,,,,,,,,
63283,300,87252,,,,,,,HERPES CULTURE,394.5,394.5,,,,,,,,,,,,,,,,,,,
63284,300,82271,,,,,,,OCCULT BLOOD OTHER SOURCES,65.25,65.25,26.04,26.04,,,,,,,,,,,,,26.04,,,,
63286,300,84442,,,,,,,THYROXINE BINDING GLOBULIN (TBG),208.5,208.5,,,,,,,,,,,,,,,,,,,
63289,300,83718,,,,,,,LIPOPROTEIN HIGH DENSITY CHOLESTEROL,120.5,120.5,45.9,45.9,,,,,,,,,,,,,,,45.9,,
63290,300,88262,,,,,,,CHROMOSOME ANALYSIS,824.25,824.25,,,,,,,,,,,,,,,,,,,
63293,300,87521,,,,,,,HEP C RNA WITH GENO TYPE,406.25,406.25,154.8,154.8,,,,,,,,,,,,,154.8,,,,
63295,300,86316,,,,,,,CHROMOGRANIN A,204,204,79.26,92.94,,,,,,,,,,,,,79.26,,92.94,,
63297,300,84134,,,,,,,PREALBUMIN,118,118,44.9,44.9,,,,,,,,,,,,,44.9,,44.9,,
63298,300,87281,,,,,,,PNEUMOCYSTITIS CARINII STAIN,229,229,,,,,,,,,,,,,,,,,,,
63299,300,82945,,,,,,,GLUCOSE OTHER BODY FLUID,96,96,,,,,,,,,,,,,,,,,,,
63300,300,82726,,,,,,,FATTY ACID,66.75,66.75,,,,,,,,,,,,,,,,,,,
63302,300,86787,,,,,,,VARICELLA-ZOSTER IGG,148.25,148.25,59.33,59.33,,,,,,,,,,,,,59.33,,,,
63303,300,82652,,,,,,,"DIHYDROXYVITAMIN D 1,25",224,224,,,,,,,,,,,,,,,,,,,
63304,300,85732,,,,,,,PTT SUBSTITUTION PLASMA FRACTION,175.5,175.5,139.94,139.94,,,,,,,,,,,,,139.94,,,,
63305,300,80307,,,,,,,RAPID URINE DRUG SCREEN,193,193,74.81,151.59,75.34,,,,,,151.59,,,,,111.4,74.81,,143.33,,
63306,300,82355,,,,,,,URINE CALCULUS QUALITATIVE ANALYSIS,124.75,124.75,,,,,,,,,,,,,,,,,,,
63307,300,86277,,,,,,,GROWTH HORMONE HUMAN (HGH) ANTIBODY,58.25,58.25,,,,,,,,,,,,,,,,,,,
63308,300,82270,,,,,,,"BLOOD,OCCULT SCREEN 1-3 SAMPLES",95,95,,,,,,,,,,,,,,,,,,,
63309,300,83721,,,,,,,LIPOPROTEIN LOW DENSITY CHOLESTEROL,113,113,47.77,50.29,47.77,,,,,,,,,,,,,,50.29,,
63310,300,86255,,,,,,,ANTISMOOTH MUSCLE Ab,116.75,116.75,0,44.4,0,,,,,,,,,,,,43.59,,44.4,,
63311,300,83516,,,,,,,GLIADIN AB IgG IgA,96.75,96.75,36.8,82.8,82.8,,,,,,,,,,,,38.64,,36.8,,
63312,300,82710,,,,,,,"FAT OR LIPIDS FECES, QUANTITATIVE",233.25,233.25,,,,,,,,,,,,,,,,,,,
63313,300,87497,,,,,,,CYTOMEGALOVIRUS QUANTIFICATION DNA,712.75,712.75,285.08,288.65,,,,,,,,,,,,,285.08,,288.65,,
63314,300,80299,,,,,,,OXCARBAZEPINE (TRILEPTAL),348.75,348.75,139.44,139.44,,,,,,,,,,,,,139.44,,,,
63315,300,86003,,,,,,,"ALLERGEN SPEC IgE, QUAN OR SEMIQUAN",709.25,709.25,270.9,270.9,,,,,,,,,,,,,270.9,,,,
63316,300,86344,,,,,,,LEUKOCYTE PHAGOCYTOSIS,34.75,34.75,,,,,,,,,,,,,,,,,,,
63317,300,81241,,,,,,,FACTOR 5 LEIDEN,389,389,,,,,,,,,,,,,,,,,,,
63319,300,83880,,,,,,,BRAIN NATRIURETIC PEPTIDE,364,364,89.39,199.82,199.82,,,,,,,,,,,89.39,138.28,,154.98,138.6,
63322,300,,,,,,,,TRIPLE TEST,902.25,902.25,0,158.9,0,,0,158.9,,,,,118.08,,,,,60.93,23.47,,
63323,300,84999,,,,,,,STOOL OSMOLALITY,103,103,,,,,,,,,,,,,,,,,,,
63324,300,85611,,,,,,,PT SUBSTITUTION PLASMA FRACTIONS EA,14.75,14.75,,,,,,,,,,,,,,,,,,,
63325,300,80177,,,,,,,KEPPRA,268.75,268.75,104.86,104.86,,,,,,,,,,,,,104.86,,,,
63326,300,86804,,,,,,,HEPATITIS C ANTIBODY CONFIRMATORY TST,268.25,268.25,,,,,,,,,,,,,,,,,,,
63327,300,86631,,,,,,,CHLAMYDIA ANTIBODY IgG,38.75,38.75,,,,,,,,,,,,,,,,,,,
63328,300,86632,,,,,,,CHLAMYDIA ANTIBODY IgM,49.5,49.5,,,,,,,,,,,,,,,,,,,
63329,300,86644,,,,,,,CYTOMEGALOVIRUS IgG,124.75,124.75,,,,,,,,,,,,,,,,,,,
63330,300,87624,,,,,,,"PAPILLOMAVIRUS,HUMAN AMP PROBE TECH",202.25,202.25,,,,,,,,,,,,,,,,,,,
63331,300,82379,,,,,,,"CARNITINE TOTAL & FREE,QUAN EA",221.25,221.25,,,,,,,,,,,,,,,,,,,
63336,300,86611,,,,,,,BARTONELLA (CAT SCRATCH FEVER),238.5,238.5,,,,,,,,,,,,,,,,,,,
63337,300,82656,,,,,,,ELASTASE STOOL,343,343,130.6,130.6,,,,,,,,,,,,,130.6,,,,
63338,300,87491,,,,,,,CHLAMYDIA SWAB OR URINE NAA,180.75,180.75,,,,,,,,,,,,,,,,,,,
63339,300,87591,,,,,,,GC SWAB OR URINE NAA,172.75,172.75,,,,,,,,,,,,,,,,,,,
63340,300,86403,,,,,,,BACTERIAL MENINGITIS PROFILE,130.75,130.75,,,,,,,,,,,,,,,,,,,
63341,300,84156,,,,,,,PROTEIN TOTAL URINE 24HR,76.25,76.25,29.25,34.81,34.81,,,,,,,,,,,,29.25,,33.43,,
63342,300,84157,,,,,,,PROTEIN TOTAL FLUID,101,101,,,,,,,,,,,,,,,,,,,
63343,300,86790,,,,,,,"VIRUS, NOT ELSEWHERE SPECIFIED",86.25,86.25,,,,,,,,,,,,,,,,,,,
63344,300,86696,,,,,,,HERPES SIMPLEX TYPE 2,126,126,45.98,65.5,65.5,,,,,,,,,,,,45.98,,,,
63345,300,83785,,,,,,,MANGANESE,90.75,90.75,,,,,,,,,,,,,,,,,,,
63346,300,86317,,,,,,,DIPHTHERIA Ab,111.5,111.5,,,,,,,,,,,,,,,,,,,
63347,300,81240,,,,,,,FACTOR 2 PROTHROMBIN DNA,329.5,329.5,,,,,,,,,,,,,,,,,,,
63348,300,81291,,,,,,,MTHFR DNA,653.25,653.25,,,,,,,,,,,,,,,,,,,
63349,300,82441,,,,,,,ORGANO PHOSPHATE PESTICIDES,22.75,22.75,,,,,,,,,,,,,,,,,,,
63350,300,82523,,,,,,,URINE NTX,282.75,282.75,107.7,109.59,,,,,,,,,,,,,109.59,,107.7,,
63352,300,86789,,,,,,,WEST NILE,155.25,155.25,,,,,,,,,,,,,,,,,,,
63353,300,86709,,,,,,,HEPATITIS A IgM ANTIBODY,142.75,142.75,,,,,,,,,,,,,,,,,,,
63354,300,84270,,,,,,,SEX HORMONE BINDING GLOBUIN (SHBG),181.75,181.75,,,,,,,,,,,,,,,,,,,
63355,300,85245,,,,,,,VWF ACTIVITY,330.75,330.75,,,,,,,,,,,,,,,,,,,
63356,300,85246,,,,,,,VWF ANTIGEN,295.5,295.5,,,,,,,,,,,,,,,,,,,
63357,300,85240,,,,,,,FACTOR 8 ACTIVITY,435.25,435.25,,,,,,,,,,,,,,,,,,,
63358,300,87081,,,,,,,STREP CULT,77.25,77.25,18.11,60.34,22.05,,,,,,60.34,,,,,18.11,22.86,,60.27,,
63359,300,81206,,,,,,,BCR-ABL1 PHILADELPHIA CHROMOSO,1363.75,1363.75,,,,,,,,,,,,,,,,,,,
63360,300,86255,,,,,,,ANTI PARIETAL CELL Ab,116.75,116.75,0,44.4,0,,,,,,,,,,,,43.59,,44.4,,
63361,300,86340,,,,,,,INTRINSIC FACTOR ANTIBODIES,400,400,,,,,,,,,,,,,,,,,,,
63362,300,87798,,,,,,,HISTOPLASMA Ag SERUM,231,231,51.58,51.58,,,,,,,,,,,,,51.58,,,,
63364,300,83051,,,,,,,FREE HEMOGLOBIN (PLASMA),76.75,76.75,,,,,,,,,,,,,,,,,,,
63365,300,85220,,,,,,,FACTOR 5 ACTIVITY,365.75,365.75,,,,,,,,,,,,,,,,,,,
63367,300,83835,,,,,,,PLASMA METANEPHRINES,517.75,517.75,197.78,197.78,,,,,,,,,,,,,197.78,,,,
63369,300,80299,,,,,,,CLOMIPRAMINE SERUM,348.75,348.75,139.44,139.44,,,,,,,,,,,,,139.44,,,,
63370,300,84445,,,,,,,THYROID STIMULATING IMMUNE GLOBULIN,345.75,345.75,130.2,269.99,,,,,,,,,,,,,130.2,,269.99,,
63372,300,84425,,,,,,,THIAMINE (VITAMIN B-1) PLASMA,267.25,267.25,102.1,1483.36,1483.36,,,,,,,,,,,,102.1,,,,
63373,300,87522,,,,,,,HEP C QUANT - PCR,811,811,302.99,302.99,,,,,,,,,,,,,302.99,,,,
63374,300,86677,,,,,,,HELICOBACTER PYLORI IGM,113.25,113.25,65.25,65.25,,,,,,,,,,,,65.25,,,,,
63375,300,83921,,,,,,,METHYLMALONIC ACID,621.75,621.75,225.66,248.64,,,,,,,,,,,,,225.66,,248.64,,
63376,300,86023,,,,,,,PLATELET DIRECT AB IgG,168.75,168.75,,,,,,,,,,,,,,,,,,,
63377,300,80197,,,,,,,TACROLIMUS,498,498,48.53,198.39,,,,,,,,,,,,48.53,193.01,,198.39,,
63378,300,84110,,,,,,,STOOL PORPHYRINS,31.25,31.25,,,,,,,,,,,,,,,,,,,
63379,300,87385,,,,,,,HISTOPLASMA Ag URINE,213.5,213.5,81.3,81.3,,,,,,,,,,,,,81.3,,,,
63380,300,83615,,,,,,,LDH (LD) BODY FLUID,87.5,87.5,0,40.05,34.97,,,,,,,,,,,0,33.56,,40.05,,
63381,300,86337,,,,,,,INSULIN ANTIBODY,301.25,301.25,,,,,,,,,,,,,,,,,,,
63382,300,80306,,,,,,,LIBRIUM,444.5,444.5,,,,,,,,,,,,,,,,,,,
63383,300,87254,,,,,,,DUAL ANTI MAG,205.75,205.75,,,,,,,,,,,,,,,,,,,
63384,300,86235,,,,,,,ENA,129.75,129.75,23.45,23.45,,,,,,,,,,,,,23.45,,,,
63385,300,86255,,,,,,,CENTROMERE Ab,116.75,116.75,0,44.4,0,,,,,,,,,,,,43.59,,44.4,,
63386,300,86255,,,,,,,ENDOMYSIAL Ab,116.75,116.75,0,44.4,0,,,,,,,,,,,,43.59,,44.4,,
63387,300,86376,,,,,,,ANTI LKM,217,217,30.53,30.53,,,,,,,,,,,,,30.53,,,,
63388,300,86235,,,,,,,ANTIHISTONE,129.75,129.75,23.45,23.45,,,,,,,,,,,,,23.45,,,,
63389,300,83516,,,,,,,TTG IgA,96.75,96.75,36.8,82.8,82.8,,,,,,,,,,,,38.64,,36.8,,
63390,300,80170,,,,,,,GENTAMYCIN TROUGH,242.75,242.75,92.4,97.02,,,,,,,,,,,,,92.4,,97.02,,
63391,300,80170,,,,,,,GENTAMYCIN 10 HR,242.75,242.75,92.4,97.02,,,,,,,,,,,,,92.4,,97.02,,
63392,300,80200,,,,,,,TOBRAMYCIN TROUGH,98.75,98.75,,,,,,,,,,,,,,,,,,,
63393,300,85660,,,,,,,SICKLING OF RBC REDUCTION,86,86,,,,,,,,,,,,,,,,,,,
63395,300,80202,,,,,,,VANCOMYCIN TROUGH,217.25,217.25,79.58,169.54,,,,,,,,,,,,,79.58,,169.54,,
63396,300,86226,,,,,,,SINGLE STRANDED DNA,108.25,108.25,,,,,,,,,,,,,,,,,,,
63398,300,87205,,,,,,,URINE EOSINOPHIL,68,68,25.9,25.9,,,,,,,,,,,,,25.9,,,,
63399,300,83735,,,,,,,MAGNESIUM URINE,102.5,102.5,0.94,41.33,41.28,,,,,,,,,,,0.94,39.03,,41.33,,
63400,300,85540,,,,,,,LEUKOCYTE ALK/PHOS,32,32,,,,,,,,,,,,,,,,,,,
63401,300,81003,,,,,,,URINALYSIS W/C&S IF INDICATED,73,73,1.5,143.7,143.7,,1.99,,9.52,,71.06,,,,,1.5,64.58,,39.61,29.19,59.86
63402,300,81003,,,,,,,URINE SPOT PROTEIN,73,73,1.5,143.7,143.7,,1.99,,9.52,,71.06,,,,,1.5,64.58,,39.61,29.19,59.86
63403,300,82570,,,,,,,MICROALB/CREA RATIO URINE,70.5,70.5,16.93,29.65,28.15,,16.93,,18.81,,,,,,,18.81,22.77,,29.65,,
63404,300,83835,,,,,,,METANEPHRINES URINE,517.75,517.75,197.78,197.78,,,,,,,,,,,,,197.78,,,,
63405,300,C9803,,,,,,,COVID SPECIMEN COLLECTION,65.25,65.25,17.24,103.56,49.69,,103.56,62,74.83,,17.24,,,,,,25.17,,45.31,,
63406,300,83520,,,,,,,THYROTROPIN RECEPTOR AB,361,361,135.62,147.81,147.81,,,,,,,,,,,,135.62,,144.38,,
63407,300,84443,,,,,,,TSH W/ REFLEX FT4,261.75,261.75,14.22,215.94,129.94,102.19,,,,,201.96,215.94,,,,14.22,99.87,,133.19,104.69,204.39
63408,300,82150,,,,,,,AMYLASE URINE,119.25,119.25,0,93.64,64.18,,,,,,93.64,,,,,0,45.81,,66.15,,
63409,300,82150,,,,,,,AMYLASE BODY FLUID,119.25,119.25,0,93.64,64.18,,,,,,93.64,,,,,0,45.81,,66.15,,
63411,300,80324,,,,,,,AMPHETAMINE CONF URINE,72.75,72.75,27.7,56.89,,,,,,,,,,,,56.89,27.7,,,,
63412,300,80345,,,,,,,BARBITURATES CONF UR,72.75,72.75,,,,,,,,,,,,,,,,,,,
63413,300,86735,,,,,,,MUMPS IgG Ab,118,118,,,,,,,,,,,,,,,,,,,
63414,300,81015,,,,,,,MICRO ONLY W/ REFLEX CULT,73,73,27.8,27.8,,,,,,,,,,,,,27.8,,,,
63415,300,81001,,,,,,,UA W/ MICRO W/ REFLEX CULT,127,127,0.94,99.62,60.99,,3.77,,15.09,,99.62,,,,,0.94,,,57.49,,99.02
63416,300,86609,,,,,,,STREP PNEUMO 14 SEROTYPE IgG Ab,159.25,159.25,,,,,,,,,,,,,,,,,,,
63417,300,82950,,,,,,,GLU-GESTATIONAL 1 HR,88,88,,,,,,,,,,,,,,,,,,,
63418,300,86702,,,,,,,HIV II ANTIBODY,87,87,,,,,,,,,,,,,,,,,,,
63419,300,86790,,,,,,,"HTLV I, II ANTIBODIES",86.25,86.25,,,,,,,,,,,,,,,,,,,
63420,300,87798,,,,,,,PERTUSSIS PCR,231,231,51.58,51.58,,,,,,,,,,,,,51.58,,,,
63421,300,87070,,,,,,,CULTURE AEROBIC,122.5,122.5,47.77,60,47.77,,,,,,,,,,,,,,60,,
63423,300,87040,,,,,,,BLOOD CULTURE SET #2,248,248,57.32,175.43,175.43,,81.02,,63.83,,,,,,,57.32,95.58,,145.53,,
63424,300,83631,,,,,,,LACTOFERRIN STOOL,448.75,448.75,,,,,,,,,,,,,,,,,,,
63425,300,86141,,,,,,,C-REACTIVE PROTEIN CARDIAC (HS),34.5,34.5,,,,,,,,,,,,,,,,,,,
63426,300,83690,,,,,,,LIPASE BODY FLUID,133,133,0,104.36,61.47,,,,,,104.36,,,,,0,51.36,,76.11,,
63427,300,86360,,,,,,,CD4/CD8 RATIO PROFILE,166.25,166.25,,,,,,,,,,,,,,,,,,,
63428,300,87536,,,,,,,HIV 1 ULTA SENSITIVE QUANITATIVE,566.75,566.75,215.9,226.7,,,,,,,,,,,,,226.7,,215.9,,
63429,300,87899,,,,,,,STREP PNEUMO ANTIGEN,108.25,108.25,,,,,,,,,,,,,,,,,,,
63430,300,86200,,,,,,,ANTI CCP,197.75,197.75,76.87,79.07,,,,,,,,,,,,,76.87,,79.07,,
63431,300,86160,,,,,,,"C-1 q,QUANT",193.75,193.75,74.05,79.34,79.34,,,,,,,,,,,,74.05,,77.49,,
63433,300,81003,,,,,,,URINE PH,73,73,1.5,143.7,143.7,,1.99,,9.52,,71.06,,,,,1.5,64.58,,39.61,29.19,59.86
63434,300,87901,,,,,,,HIV 1 GENOTYPE,801,801,,,,,,,,,,,,,,,,,,,
63436,300,87899,,,,,,,CRYPTOCUCCUS ANTIGEN,82.5,82.5,,,,,,,,,,,,,,,,,,,
63437,300,87536,,,,,,,HIV-1 QUANTIFICATION,566.74,566.74,215.9,226.7,,,,,,,,,,,,,226.7,,215.9,,
63438,300,,,,,,,,ALPHA FETAL PROTIEN TETRA PROFILE,132.5,132.5,0,158.9,0,,0,158.9,,,,,118.08,,,,,60.93,23.47,,
63439,300,82272,,,,,,,OCCULT BLOOD  1ST SAMPLE (1-3 SPEC),103.25,103.25,6.27,59.95,,,6.27,,,,,,,,,,37.99,,59.95,,
63440,300,87350,,,,,,,HEPATITIS B & C PROFILE,116.5,116.5,,,,,,,,,,,,,,,,,,,
63441,300,86003,,,,,,,ALLERGEN AREA 8,709.25,709.25,270.9,270.9,,,,,,,,,,,,,270.9,,,,
63442,300,86003,,,,,,,IGE ALLERGEN,709.25,709.25,270.9,270.9,,,,,,,,,,,,,270.9,,,,
63444,300,83018,,,,,,,THALLIUM URINE,90.5,90.5,,,,,,,,,,,,,,,,,,,
63445,300,82157,,,,,,,ANDROSTENEDIONE,108,108,,,,,,,,,,,,,,,,,,,
63446,300,82784,,,,,,,CELIAC PROFILE,229.25,229.25,87.27,117.31,117.31,,,,,,,,,,,,87.27,,111.01,,
63447,300,82441,,,,,,,CHLORINATED HYDROCARBONS SCREEN,22.75,22.75,,,,,,,,,,,,,,,,,,,
63448,300,83519,,,,,,,VGCC ANTIBODY,965.5,965.5,109.72,109.72,,,,,,,,,,,,,109.72,,,,
63449,300,84166,,,,,,,URINE PROTEIN ELECTROPHORESIS 24HR,118,118,39.48,92.05,46.02,,,,,,,,,,,,39.48,,92.05,,
63450,300,86757,,,,,,,ROCKY MOUNTAIN SPOTTED FEVER IGG,88,88,126.3,126.3,,,,,,,,,,,,,126.3,,,,
63451,300,80346,,,,,,,DRUG ANALYSIS UNKNOWN,564,564,85.33,85.33,,,,,,,,,,,,85.33,,,,,
63452,300,83519,,,,,,,ACETYLCHOLINE RECEPTOR PROFILE,965.5,965.5,109.72,109.72,,,,,,,,,,,,,109.72,,,,
63453,300,86235,,,,,,,ANTI-JO-1,129.75,129.75,23.45,23.45,,,,,,,,,,,,,23.45,,,,
63454,300,82951,,,,,,,TOLERANCE TEST 2HR,221.75,221.75,,,,,,,,,,,,,,,,,,,
63456,300,83520,,,,,,,TRYPTASE,361,361,135.62,147.81,147.81,,,,,,,,,,,,135.62,,144.38,,
63458,300,82542,,,,,,,ZONISAMIDE,332.75,332.75,0,0,,,,,,,,,,,,0,,,,,
63460,300,80194,,,,,,,QUINIDINE,54,54,,,,,,,,,,,,,,,,,,,
63461,300,83937,,,,,,,OSTEOCALCIN,222,222,,,,,,,,,,,,,,,,,,,
63462,300,82943,,,,,,,GLUCAGON,53,53,,,,,,,,,,,,,,,,,,,
63463,300,84260,,,,,,,SEROTONIN WHOLE BLOOD,454.5,454.5,181.76,181.76,,,,,,,,,,,,,,,181.76,,
63464,300,83519,,,,,,,PANCREASTITIN,965.5,965.5,109.72,109.72,,,,,,,,,,,,,109.72,,,,
63465,300,,,,,,,,LUPUS ANTICOAGULANT REFLEX,122.75,122.75,0,158.9,0,,0,158.9,,,,,118.08,,,,,60.93,23.47,,
63466,300,80358,,,,,,,METHADONE,59,59,,,,,,,,,,,,,,,,,,,
63467,300,86005,,,,,,,RAST MIA,48.25,48.25,,,,,,,,,,,,,,,,,,,
63468,300,87075,,,,,,,C-DIFF CULTURE,186.25,186.25,72.78,108.28,72.78,,,,,,,,,,,,,,108.28,,
63469,300,83883,,,,,,,FREE LIGHT CHAINS URINE,150.75,150.75,57.56,87.17,58.84,,,,,,,,,,,,57.56,,87.17,,
63470,300,86021,,,,,,,ANCA PROFILE,211,211,84.32,84.32,,,,,,,,,,,,,,,84.32,,
63471,300,82340,,,,,,,CALCIUM-URINE QNT RANDOM,82.75,82.75,,,,,,,,,,,,,,,,,,,
63472,300,80200,,,,,,,TOBRAMYCIN PEAK,98.75,98.75,,,,,,,,,,,,,,,,,,,
63473,300,82436,,,,,,,CHLORIDE URINE RANDOM,105.75,105.75,,,,,,,,,,,,,,,,,,,
63475,300,82570,,,,,,,CREATININE OTHER SRC (EG. URINE)RANDOM,70.5,70.5,16.93,29.65,28.15,,16.93,,18.81,,,,,,,18.81,22.77,,29.65,,
63476,300,84133,,,,,,,POTASSIUM URINE RANDOM,76.5,76.5,,,,,,,,,,,,,,,,,,,
63477,300,84156,,,,,,,PROTEIN TOTAL URINE RANDOM,76.5,76.5,29.25,34.81,34.81,,,,,,,,,,,,29.25,,33.43,,
63478,300,84300,,,,,,,SODIUM  URINE RANDOM,75,75,,,,,,,,,,,,,,,,,,,
63479,300,84166,,,,,,,URINE PROTEIN ELECTROPHORESIS RANDOM,118,118,39.48,92.05,46.02,,,,,,,,,,,,39.48,,92.05,,
63481,300,,,,,,,,IFE & UPEP RANDOM,107,107,0,158.9,0,,0,158.9,,,,,118.08,,,,,60.93,23.47,,
63482,300,82533,,,,,,,CORTISOL PM TOTAL,191.25,191.25,73.57,83,,,,,,,,,,,,,73.57,,83,,
63483,300,82533,,,,,,,CORTISOL AM TOTAL,191.25,191.25,73.57,83,,,,,,,,,,,,,73.57,,83,,
63484,300,80150,,,,,,,AMIKACIN (RIA),198.25,198.25,,,,,,,,,,,,,,,,,,,
63485,300,83540,,,,,,,IRON,112.5,112.5,18.81,88.69,30.5,,,,,,,88.69,,,,18.81,41.57,,46.42,,
63486,300,87186,,,,,,,MIC 1 DRUG,98,98,,,,,,,,,,,,,,,,,,,
63487,300,80307,,,,,,,ANABOLIC STEROIDS,147.5,147.5,74.81,151.59,75.34,,,,,,151.59,,,,,111.4,74.81,,143.33,,
63488,300,81400,,,,,,,MOLECULAR PATHOLOGY PROCEDURE,333.25,333.25,,,,,,,,,,,,,,,,,,,
63489,300,,,,,,,,THYROID PANEL,27.75,27.75,0,158.9,0,,0,158.9,,,,,118.08,,,,,60.93,23.47,,
63490,300,83883,,,,,,,FREE LIGHT CHAIN SERUM,144,144,57.56,87.17,58.84,,,,,,,,,,,,57.56,,87.17,,
63491,300,82542,,,,,,,GLUCOPHAGE/METFORMIN,332.75,332.75,0,0,,,,,,,,,,,,0,,,,,
63493,300,86753,,,,,,,BABESIA MICROTI ANTIBODY,316.75,316.75,,,,,,,,,,,,,,,,,,,
63497,300,,,,,,,,RBC FOLATE,50.75,50.75,0,158.9,0,,0,158.9,,,,,118.08,,,,,60.93,23.47,,
63498,300,86316,,,,,,,NEURON SPECIFIC ENOLASE SERIAL MONITOR,204,204,79.26,92.94,,,,,,,,,,,,,79.26,,92.94,,
63499,300,,,,,,,,THROMBOTIC RISK EVAL,991.75,991.75,0,158.9,0,,0,158.9,,,,,118.08,,,,,60.93,23.47,,
63501,300,81220,,,,,,,CYSTIC FIBROSIS PROFILE,376.5,376.5,,,,,,,,,,,,,,,,,,,
63502,300,80346,,,,,,,DIAZEPAM,62,62,85.33,85.33,,,,,,,,,,,,85.33,,,,,
63503,300,86022,,,,,,,HEPARIN INDUCED PLATELET ANTIBODY,428.5,428.5,,,,,,,,,,,,,,,,,,,
63506,300,,,,,,,,MDS FISH PANEL,2283,2283,0,158.9,0,,0,158.9,,,,,118.08,,,,,60.93,23.47,,
63507,300,82043,,,,,,,MICRO ALBUMIN 24HR URINE,133.25,133.25,14.41,45.82,14.41,,,,,,,,,,,,45.82,,22.29,,
63510,300,84307,,,,,,,SOMATOSTATIN,67.5,67.5,,,,,,,,,,,,,,,,,,,
63511,300,82131,,,,,,,TRYPTOPHAN LEVEL,84.5,84.5,,,,,,,,,,,,,,,,,,,
63512,300,87169,,,,,,,"PARASITE ID, WORM",15.75,15.75,,,,,,,,,,,,,,,,,,,
63513,300,80353,,,,,,,COCAINE CONF URINE,72.75,72.75,,,,,,,,,,,,,,,,,,,
63514,300,82175,,,,,,,ARSENIC  (SERUM),238.25,238.25,,,,,,,,,,,,,,,,,,,
63515,300,80349,,,,,,,CANNABINOID(THC) CONF URINE,72.75,72.75,7.04,27.7,,,,,,,,,,,,7.04,27.7,,,,
63516,300,80346,,,,,,,BENZODIAZEPINES CONF URINE,72.75,72.75,85.33,85.33,,,,,,,,,,,,85.33,,,,,
63517,300,83992,,,,,,,PHENCYCLIDINE CONF URINE,71.5,71.5,,,,,,,,,,,,,,,,,,,
63518,300,82542,,,,,,,ANTIDEPRESSANT PANEL CONF URINE,332.75,332.75,0,0,,,,,,,,,,,,0,,,,,
63519,300,87272,,,,,,,CRYPTOSPORIDIUM STOOL,71.75,71.75,,,,,,,,,,,,,,,,,,,
63520,300,80195,,,,,,,SIROLIMUS LEVEL,225,225,90.36,90.36,,,,,,,,,,,,,,,90.36,,
63521,300,86666,,,,,,,EHRLICHIA PROFILE,780.25,780.25,,,,,,,,,,,,,,,,,,,
63522,300,86658,,,,,,,POLIO VIRUS ANTIBODY,48.25,48.25,,,,,,,,,,,,,,,,,,,
63523,300,81350,,,,,,,IRINOTECAN TOXICITY UGT,964.75,964.75,,,,,,,,,,,,,,,,,,,
63524,300,,,,,,,,OXIDATIVE STRESS PROFILE,407,407,0,158.9,0,,0,158.9,,,,,118.08,,,,,60.93,23.47,,
63525,300,83520,,,,,,,GM1 ANTIBODIES,196.25,196.25,135.62,147.81,147.81,,,,,,,,,,,,135.62,,144.38,,
63527,300,88271,,,,,,,MOLECULAR CYTO DNA PROBE EACH,285.25,285.25,,,,,,,,,,,,,,,,,,,
63528,300,88275,,,,,,,MOLECULAR CYTO INTERPHASE IN SITU,404.25,404.25,,,,,,,,,,,,,,,,,,,
63537,300,87070,,,,,,,CULTURE GENITAL,122.5,122.5,47.77,60,47.77,,,,,,,,,,,,,,60,,
63538,300,82175,,,,,,,HEAVY METAL PROFILE URINE,238.25,238.25,,,,,,,,,,,,,,,,,,,
63539,300,82820,,,,,,,P-50 OXYGEN DISSOCIATION,4.75,4.75,,,,,,,,,,,,,,,,,,,
63540,300,83519,,,,,,,ACHR BLOCKING Ab,965.5,965.5,109.72,109.72,,,,,,,,,,,,,109.72,,,,
63541,300,83519,,,,,,,ACHR MODULATING Ab,965.5,965.5,109.72,109.72,,,,,,,,,,,,,109.72,,,,
63542,300,86692,,,,,,,HEPATITIS DELTA Ab,91.75,91.75,,,,,,,,,,,,,,,,,,,
63543,300,87254,,,,,,,HERPES RAPID VIRUS CULTURE,205.75,205.75,,,,,,,,,,,,,,,,,,,
63545,300,83835,,,,,,,METANEPHRINES RANDOM URINE,74.5,74.5,197.78,197.78,,,,,,,,,,,,,197.78,,,,
63546,300,82384,,,,,,,CATECHOLAMINES RANDOM URINE,128.75,128.75,,,,,,,,,,,,,,,,,,,
63547,300,83497,,,,,,,5-HIAA RANDOM URINE,70.5,70.5,,,,,,,,,,,,,,,,,,,
63548,300,86615,,,,,,,"PERTUSIS IgG, IgM, IgA",1078.5,1078.5,,,,,,,,,,,,,,,,,,,
63549,300,82542,,,,,,,THIOPURINE METHYLTRANSFERASE (TPMT),332.75,332.75,0,0,,,,,,,,,,,,0,,,,,
63550,300,83655,,,,,,,LEAD SCREENING - PED,142.25,142.25,,,,,,,,,,,,,,,,,,,
63551,300,87338,,,,,,,H PYLORI STOOL Ag,210,210,77.75,180,180,,,,,,165,,,,,,77.75,,122,,
63552,300,86902,,,,,,,ANTIGEN III,481.25,481.25,,,,,,,,,,,,,,,,,,,
63553,300,87081,,,,,,,MRSA SCEENING CULTURE ONLY,77.25,77.25,18.11,60.34,22.05,,,,,,60.34,,,,,18.11,22.86,,60.27,,
63554,300,87641,,,,,,,MRSA SCREEN IN HOUSE,200.75,200.75,66.87,66.87,,,,,,,,,,,,66.87,,,,,
63555,300,82542,,,,,,,MUSK ANTIBODY,332.75,332.75,0,0,,,,,,,,,,,,0,,,,,
63556,300,87081,,,,,,,VRE CULTURE ONLY,77.25,77.25,18.11,60.34,22.05,,,,,,60.34,,,,,18.11,22.86,,60.27,,
63557,300,86671,,,,,,,SACCHAROMYCES (CROHN'S PANEL),363,363,,,,,,,,,,,,,,,,,,,
63558,300,81445,,,,,,,CAH21 HYDROXYLASE CYP21 MUTATION,1508.75,1508.75,,,,,,,,,,,,,,,,,,,
63559,300,82272,,,,,,,OCCULT BLOOD 2ND  SAMPLE (1-3 SPEC),103.25,103.25,6.27,59.95,,,6.27,,,,,,,,,,37.99,,59.95,,
63560,300,82272,,,,,,,OCCULT BLOOD 3RD  SAMPLE (1-3 SPEC),103.25,103.25,6.27,59.95,,,6.27,,,,,,,,,,37.99,,59.95,,
63561,300,84597,,,,,,,VITAMIN K (SERUM),559.75,559.75,,,,,,,,,,,,,,,,,,,
63562,300,84425,,,,,,,VITAMIN B1 BLOOD,267.25,267.25,102.1,1483.36,1483.36,,,,,,,,,,,,102.1,,,,
63564,300,83880,,,,,,,PRO-BNP,364,364,89.39,199.82,199.82,,,,,,,,,,,89.39,138.28,,154.98,138.6,
63565,300,80358,,,,,,,METHADONE CONFIRMATION URINE,72.75,72.75,,,,,,,,,,,,,,,,,,,
63566,300,84482,,,,,,,TRIIODOTHYRONINE REVERSED,216.75,216.75,86.63,86.63,,,,,,,,,,,,,86.63,,,,
63567,300,86316,,,,,,,SQUAMOUS CELL CANCER ANTIGEN,204,204,79.26,92.94,,,,,,,,,,,,,79.26,,92.94,,
63568,300,86160,,,,,,,COMPLEMENT C2,193.75,193.75,74.05,79.34,79.34,,,,,,,,,,,,74.05,,77.49,,
63569,300,86705,,,,,,,HEPATITIS B CORE IgM ANTIBODY,86,86,32.59,32.59,,,,,,,,,,,,,32.59,,,,
63570,300,,,,,,,,MMR IMMUNITY PANEL,64.75,64.75,0,158.9,0,,0,158.9,,,,,118.08,,,,,60.93,23.47,,
63572,300,88237,,,,,,,CYTOGENETIC STUDY,784.75,784.75,,,,,,,,,,,,,,,,,,,
63573,300,85810,,,,,,,VISCOSITY SERUM,65.5,65.5,,,,,,,,,,,,,,,,,,,
63574,300,87531,,,,,,,CHLAMYDIA/GC NAA SWAB OR URINE,180.75,180.75,70.52,100.31,70.52,,,,,,,,,,,100.31,,,,,
63576,300,87207,,,,,,,PARASITE EXAM BLOOD,45.75,45.75,,,,,,,,,,,,,,,,,,,
63577,300,87798,,,,,,,MALARIA DNA BY PCR,231,231,51.58,51.58,,,,,,,,,,,,,51.58,,,,
63578,300,82784,,,,,,,IgD GAMMAGLOBULIN,229.25,229.25,87.27,117.31,117.31,,,,,,,,,,,,87.27,,111.01,,
63579,300,87329,,,,,,,GIARDIA DIRECT Ag,199,199,,,,,,,,,,,,,,,,,,,
63580,300,36592,,,,,,,VENIPUNCTURE/CENTRAL OR PERIPHERAL CATH,90.25,90.25,,,,,,,,,,,,,,,,,,,
63581,300,86305,,,,,,,HE 4(OVARIAN CA MONITOR),685,685,,,,,,,,,,,,,,,,,,,
63582,300,,,,,,,,VMA RANDOM URINE,50.75,50.75,0,158.9,0,,0,158.9,,,,,118.08,,,,,60.93,23.47,,
63583,300,80307,,,,,,,CHOLESTEROL BODY FLUID,147.75,147.75,74.81,151.59,75.34,,,,,,151.59,,,,,111.4,74.81,,143.33,,
63584,300,82784,,,,,,,IMMUNOFIX  SERUM IGG A M,229.25,229.25,87.27,117.31,117.31,,,,,,,,,,,,87.27,,111.01,,
63585,300,84210,,,,,,,PYRUVIC ACID,48.25,48.25,,,,,,,,,,,,,,,,,,,
63586,300,36591,,,,,,,VENIPUNCTURE/IMPLANTABLE VENOUS ACC DEVI,96.25,96.25,37.07,181.8,38.83,,90.9,,,,,,,,,181.8,37.07,,62.83,,75.03
63587,300,83001,,,,,,,GONADOTROPIN FOLLICLE STIMULATING HORMON,207.5,207.5,0,171.19,0,,,,,,,171.19,,,,,80.58,,166.05,,
63589,300,83519,,,,,,,AChR ANTIBODY COMPLETE PROFILE,965.5,965.5,109.72,109.72,,,,,,,,,,,,,109.72,,,,
63590,300,82308,,,,,,,CALCITONIN,148.5,148.5,,,,,,,,,,,,,,,,,,,
63591,300,86256,,,,,,,ANTI MYOCARDIAL Ab,331.75,331.75,0,126.3,0,,,,,,,,,,,,126.3,,,,
63592,300,86480,,,,,,,QUANTIFERON,199,199,47,155.39,47,,,,,,,,,,,,77.7,,155.39,,
63593,300,86622,,,,,,,BRUCELLA Ab IgG,33.25,33.25,,,,,,,,,,,,,,,,,,,
63594,300,86622,,,,,,,BRUCELLA Ab IgM,33.25,33.25,,,,,,,,,,,,,,,,,,,
63595,300,82542,,,,,,,MYCOPHENOLATE LEVEL,332.75,332.75,0,0,,,,,,,,,,,,0,,,,,
63596,300,84540,,,,,,,UREA NITROGEN 24 HR URINE,45.75,45.75,,,,,,,,,,,,,,,,,,,
63597,300,84252,,,,,,,VITAMIN B2,285.75,285.75,114.24,114.24,,,,,,,,,,,,,114.24,,,,
63598,300,82533,,,,,,,CORTISOL SALIVARY TOTAL,191.25,191.25,73.57,83,,,,,,,,,,,,,73.57,,83,,
63599,300,82941,,,,,,,GASTRIN (RIA),154.75,154.75,,,,,,,,,,,,,,,,,,,
63601,300,85576,,,,,,,PLATELET FUNCTION ANALYSIS,532.75,532.75,218.43,218.43,,,,,,,,,,,,,,,218.43,,
63602,300,86677,,,,,,,H PYLORI IgG IgA IgM PANEL,113.25,113.25,65.25,65.25,,,,,,,,,,,,65.25,,,,,
63603,300,,,,,,,,THYROID ANTIBODY,46.75,46.75,0,158.9,0,,0,158.9,,,,,118.08,,,,,60.93,23.47,,
63604,300,81270,,,,,,,JAK2,609.5,609.5,,,,,,,,,,,,,,,,,,,
63605,300,81025,,,,,,,GONADOTROPIN CHORIONIC (hCG) QUAL URINE,82,82,0,64.35,35.1,,,,,,64.35,,,,,0,31.2,,63.96,,
63606,300,80299,,,,,,,ITRACONAZOLE,348.75,348.75,139.44,139.44,,,,,,,,,,,,,139.44,,,,
63607,300,86666,,,,,,,EHRLICHIA BY PCR,780.25,780.25,,,,,,,,,,,,,,,,,,,
63608,300,,,,,,,,INFLAMMATORY BOWEL DISEASE PROFILE (IBD),273,273,0,158.9,0,,0,158.9,,,,,118.08,,,,,60.93,23.47,,
63609,300,84600,,,,,,,METHANOL,59.5,59.5,,,,,,,,,,,,,,,,,,,
63610,300,87070,,,,,,,CULTURE BODY FLUID,122.5,122.5,47.77,60,47.77,,,,,,,,,,,,,,60,,
63611,300,86003,,,,,,,BASIC FOOD ALLERGY PROFILE,709.25,709.25,270.9,270.9,,,,,,,,,,,,,270.9,,,,
63612,300,84066,,,,,,,ACID PHOSPHATATE PROSTATIC,35.75,35.75,,,,,,,,,,,,,,,,,,,
63613,300,86160,,,,,,,"C-1 ESTERASE INHIBITOR,TOTAL",193.75,193.75,74.05,79.34,79.34,,,,,,,,,,,,74.05,,77.49,,
63614,300,86341,,,,,,,IA2 ANTIBODY,288.75,288.75,,,,,,,,,,,,,,,,,,,
63615,300,83519,,,,,,,GAD ANTIBODY,965.5,965.5,109.72,109.72,,,,,,,,,,,,,109.72,,,,
63616,300,82679,,,,,,,ESTRONE,309.5,309.5,,,,,,,,,,,,,,,,,,,
63617,300,83002,,,,,,,LH GONADOTROPIN,177.25,177.25,0,146.23,0,,,,,,,146.23,,,,,68.4,,141.87,,
63618,300,86704,,,,,,,ANTI HEP B CORE TOTAL,114.75,114.75,44.79,44.79,44.79,,,,,,,,,,,,,,,,
63619,300,89051,,,,,,,CELL COUNT CSF,175.5,175.5,,,,,,,,,,,,,,,,,,,
63620,300,89051,,,,,,,CELL COUNT SEROUS FLUID,175.5,175.5,,,,,,,,,,,,,,,,,,,
63621,300,83516,,,,,,,TISSUE TRANSGLUTAMINASE IgG,96.75,96.75,36.8,82.8,82.8,,,,,,,,,,,,38.64,,36.8,,
63622,300,,,,,,,,RAST SUMMER GRASS,132.5,132.5,0,158.9,0,,0,158.9,,,,,118.08,,,,,60.93,23.47,,
63623,300,82785,,,,,,,MOLD PROFILE ALLERGEN,110.25,110.25,42,42,,,,,,,,,,,,,42,,,,
63624,300,87798,,,,,,,SWINE FLU A H1N1,231,231,51.58,51.58,,,,,,,,,,,,,51.58,,,,
63625,300,89190,,,,,,,EOSINOPHIL NASAL SMEAR,47,47,,,,,,,,,,,,,,,,,,,
63626,300,P9604,,,,,,,TRIP FEE 1,53.75,53.75,6.85,8.26,,,,,,,,,,,,,8.26,,6.85,,
63627,300,P9604,,,,,,,TRIP FEE 2,27,27,6.85,8.26,,,,,,,,,,,,,8.26,,6.85,,
63628,300,P9604,,,,,,,TRIP FEE 3,18.25,18.25,6.85,8.26,,,,,,,,,,,,,8.26,,6.85,,
63629,300,83582,,,,,,,"KETOGENIC STEROIDS, 24 HOUR URINE",52.25,52.25,,,,,,,,,,,,,,,,,,,
63630,300,83593,,,,,,,"KETOSTEROIDS, 17 FRACTIONATION",96.75,96.75,,,,,,,,,,,,,,,,,,,
63631,300,P9604,,,,,,,TRIP FEE 4,13.75,13.75,6.85,8.26,,,,,,,,,,,,,8.26,,6.85,,
63632,300,P9604,,,,,,,TRIP FEE 5,11,11,6.85,8.26,,,,,,,,,,,,,8.26,,6.85,,
63633,300,P9604,,,,,,,TRIP FEE 6,9.25,9.25,6.85,8.26,,,,,,,,,,,,,8.26,,6.85,,
63634,300,P9604,,,,,,,TRIP FEE 7,8,8,6.85,8.26,,,,,,,,,,,,,8.26,,6.85,,
63635,300,P9604,,,,,,,TRIP FEE 8,7.25,7.25,6.85,8.26,,,,,,,,,,,,,8.26,,6.85,,
63636,300,P9604,,,,,,,TRIP FEE 9,6.5,6.5,6.85,8.26,,,,,,,,,,,,,8.26,,6.85,,
63637,300,P9604,,,,,,,TRIP FEE 10,5.75,5.75,6.85,8.26,,,,,,,,,,,,,8.26,,6.85,,
63638,300,P9604,,,,,,,TRIP FEE 11,5,5,6.85,8.26,,,,,,,,,,,,,8.26,,6.85,,
63639,300,P9604,,,,,,,TRIP FEE 12,4.75,4.75,6.85,8.26,,,,,,,,,,,,,8.26,,6.85,,
63640,300,82570,,,,,,,PROTEIN AND CREATININE,27.75,27.75,16.93,29.65,28.15,,16.93,,18.81,,,,,,,18.81,22.77,,29.65,,
63641,300,P9604,,,,,,,TRIP FEE 13,4.25,4.25,6.85,8.26,,,,,,,,,,,,,8.26,,6.85,,
63642,300,83586,,,,,,,"KETOSTEROIDS 17 TOTAL, 24 HOUR URINE",47.25,47.25,,,,,,,,,,,,,,,,,,,
63643,300,P9604,,,,,,,TRIP FEE 14,4,4,6.85,8.26,,,,,,,,,,,,,8.26,,6.85,,
63644,300,P9604,,,,,,,TRIP FEE 15,3.75,3.75,6.85,8.26,,,,,,,,,,,,,8.26,,6.85,,
63645,300,,,,,,,,ANA COMPREHENSIVE PLUS PROFILE,736,736,0,158.9,0,,0,158.9,,,,,118.08,,,,,60.93,23.47,,
63646,300,82139,,,,,,,AMINO ACID RANDOM URINE,488,488,,,,,,,,,,,,,,,,,,,
63647,300,83919,,,,,,,ORGANIC ACID RANDOM URINE,60.75,60.75,,,,,,,,,,,,,,,,,,,
63648,300,82670,,,,,,,ESTRADIOL SENSITIVE,223.75,223.75,0,174.66,0,,,,,,,,,,,,87.59,,174.66,,
63649,300,,,,,,,,ALDOSTERONEL RENIN RATIO,104,104,0,158.9,0,,0,158.9,,,,,118.08,,,,,60.93,23.47,,
63650,300,85027,,,,,,,CBC,66,66,0,86.09,86.09,,,,,,65.18,,,,,0,25.2,,35.25,,
63651,300,87046,,,,,,,VIBRO CULTURE,101.75,101.75,,,,,,,,,,,,,,,,,,,
63652,300,87798,,,,,,,NOROVIRUS STOOL,231,231,51.58,51.58,,,,,,,,,,,,,51.58,,,,
63655,300,87252,,,,,,,VIRAL CULTURE,394.5,394.5,,,,,,,,,,,,,,,,,,,
63656,300,,,,,,,,APTT MIXING STUDY,579.5,579.5,0,158.9,0,,0,158.9,,,,,118.08,,,,,60.93,23.47,,
63657,300,,,,,,,,DILANTIN (PHENYTOIN) FREE AND TOTAL,103.5,103.5,0,158.9,0,,0,158.9,,,,,118.08,,,,,60.93,23.47,,
63658,300,86606,,,,,,,ASP.FUMIGATUS Igg,135.25,135.25,11.6,11.6,,,,,,,,,,,,,11.6,,,,
63659,300,85250,,,,,,,FACTOR IX ANTIGEN,400,400,,,,,,,,,,,,,,,,,,,
63660,300,83520,,,,,,,FACTOR VIII ANTIGEN,361,361,135.62,147.81,147.81,,,,,,,,,,,,135.62,,144.38,,
63661,300,85250,,,,,,,FACTOR IX ACTIVITY,400,400,,,,,,,,,,,,,,,,,,,
63663,300,83520,,,,,,,ANTIMYELOPEROXIDASE (MPO) Ab,361,361,135.62,147.81,147.81,,,,,,,,,,,,135.62,,144.38,,
63664,300,83520,,,,,,,ANTIPROTEINASE3 (PR3) Ab,361,361,135.62,147.81,147.81,,,,,,,,,,,,135.62,,144.38,,
63665,300,84999,,,,,,,POTASSIUM FECAL,179,179,,,,,,,,,,,,,,,,,,,
63666,300,83491,,,,,,,17 OHCS (PORTER-SILBER),64.75,64.75,,,,,,,,,,,,,,,,,,,
63667,300,84302,,,,,,,SODIUM FECAL,74.25,74.25,,,,,,,,,,,,,,,,,,,
63668,300,80307,,,,,,,pH STOOL,147.75,147.75,74.81,151.59,75.34,,,,,,151.59,,,,,111.4,74.81,,143.33,,
63669,300,86698,,,,,,,HISTOPLASMA CAPSULATUM Ab,265.25,265.25,,,,,,,,,,,,,,,,,,,
63671,300,84110,,,,,,,PORPHOBILINOGEN Qn RANDOM UR,31.25,31.25,,,,,,,,,,,,,,,,,,,
63672,300,86335,,,,,,,BETA 2 TRANSFERRIN,169.25,169.25,55.54,82.06,82.06,,,,,,,,,,,,55.54,,,,
63673,300,82642,,,,,,,DIHYDROTESTOSTERONE (DHT),226.75,226.75,,,,,,,,,,,,,,,,,,,
63674,300,85385,,,,,,,FIBRINOGEN ANTIGEN,124.75,124.75,,,,,,,,,,,,,,,,,,,
63675,300,87799,,,,,,,BK QUANT PCR,914.75,914.75,344.92,344.92,,,,,,,,,,,,,344.92,,,,
63676,300,86920,,,,,,,COMPATIBILITY TST EA UNIT SPIN TECHNIQUE,140.25,140.25,53.65,54.74,,,,,,,,,,,,,53.65,,54.74,,
63677,300,87493,,,,,,,C DIFF BY PCR,250.75,250.75,95.89,130.53,,,,,,,,,,,,,95.89,,130.53,,
63678,300,83970,,,,,,,PARATHORMONE (PARATHYROID HORMONE),214.75,214.75,79.63,98.91,79.63,83.85,,,,,,,,,,98.91,82.6,,93.73,,
63680,300,,,,,,,,PLATELET ASSOC Ab PANEL,777.5,777.5,0,158.9,0,,0,158.9,,,,,118.08,,,,,60.93,23.47,,
63683,300,83519,,,,,,,PTH RELATED PEPTIDE,965.5,965.5,109.72,109.72,,,,,,,,,,,,,109.72,,,,
63684,300,,,,,,,,RAST MINI ALLERGEN PROFILE,171,171,0,158.9,0,,0,158.9,,,,,118.08,,,,,60.93,23.47,,
63685,300,86631,,,,,,,Chlamydia psittaci IgG,38.75,38.75,,,,,,,,,,,,,,,,,,,
63686,300,86632,,,,,,,Chlamydia psittaci IgM,240.75,240.75,,,,,,,,,,,,,,,,,,,
63687,300,85280,,,,,,,FACTOR XII ACTIVITY,71.25,71.25,,,,,,,,,,,,,,,,,,,
63688,300,85415,,,,,,,PLASMINOGEN ACTIVATOR INHIBITOR,63.75,63.75,,,,,,,,,,,,,,,,,,,
63689,300,86146,,,,,,,BETA 2 GLYCOPROTEIN 1 Abs,98.5,98.5,39.38,39.38,,,,,,,,,,,,,39.38,,,,
63691,300,84703,,,,,,,GONADOTROPIN CHORIONIC(hCG)QUAL SERUM,144.25,144.25,0,119.01,61.77,,0,,,,,119.01,,,,18.11,54.9,,112.55,,
63693,300,80323,,,,,,,NICOTINE METABOLITE SERUM,304.5,304.5,,,,,,,,,,,,,,,,,,,
63694,300,82542,,,,,,,MDPV STIMULANT BATH SALTS,284.75,284.75,0,0,,,,,,,,,,,,0,,,,,
63695,300,82542,,,,,,,MEPHEDRONE STIMULANT BATH SALTS,284.75,284.75,0,0,,,,,,,,,,,,0,,,,,
63696,300,86256,,,,,,,ANTI HU,331.75,331.75,0,126.3,0,,,,,,,,,,,,126.3,,,,
63698,300,82540,,,,,,,URINE CREATINE 24 HR,44,44,,,,,,,,,,,,,,,,,,,
63700,300,83036,,,,,,,HgbA1C W/ eAG,142.5,142.5,31.7,113.02,69.9,55.56,,,,,,,,,,31.7,54.16,,70.39,56.91,113.02
63701,300,86022,,,,,,,HIT (SRA) PANEL,504.5,504.5,,,,,,,,,,,,,,,,,,,
63702,300,84145,,,,,,,PROCALCITONIN,415.75,415.75,98.91,217.67,170.17,,,,,,,,,,,98.91,164.29,,217.67,,
63704,300,86684,,,,,,,HAEMOPHILUS INFLUENZA B IgG,88,88,,,,,,,,,,,,,,,,,,,
63706,300,87529,,,,,,,HSV TYPES I/II DNA PCR,329.25,329.25,,,,,,,,,,,,,,,,,,,
63707,300,83520,,,,,,,SULFATIDE AUTOANTIBODY,361,361,135.62,147.81,147.81,,,,,,,,,,,,135.62,,144.38,,
63708,300,84403,,,,,,,TESTOSTERONE TOTAL,330.5,330.5,116.25,189.68,116.25,,,,,,,,,,,,127.98,,189.68,,
63710,300,84443,,,,,,,TSH,261.75,261.75,14.22,215.94,129.94,102.19,,,,,201.96,215.94,,,,14.22,99.87,,133.19,104.69,204.39
63711,300,87799,,,,,,,BK QUANT PCR - URINE,914.75,914.75,344.92,344.92,,,,,,,,,,,,,344.92,,,,
63712,300,86803,,,,,,,HCV ANTIBODY W/ REFLEX,118.5,118.5,45.07,172.15,172.15,46.23,,,,,,,,,,,45.07,,45.1,,
63714,300,86003,,,,,,,RAST PED 6 PLUS,66.25,66.25,270.9,270.9,,,,,,,,,,,,,270.9,,,,
63715,300,87798,,,,,,,TRICHOMONAS SWAB OR URINE NAA,138.75,138.75,51.58,51.58,,,,,,,,,,,,,51.58,,,,
63716,300,82107,,,,,,,ALPHA-FETOPRO WITH AFP-L3%,329.75,329.75,0,0,0,,,,,,,,,,,,,,,,
63717,300,81400,,,,,,,FACTOR V R2 DNA ANALYSIS,333.25,333.25,,,,,,,,,,,,,,,,,,,
63718,310,88300,,,,,,,PATHOLOGY FEE LEVEL 1,93.25,93.25,,,,,,,,,,,,,,,,,,,
63719,310,88302,,,,,,,PATHOLOGY FEE LEVEL 2,160.5,160.5,,,,,,,,,,,,,,,,,,,
63720,310,88304,,,,,,,PATHOLOGY FEE LEVEL 3,216.5,216.5,83.43,168.92,,,,,,,,,,,,,83.43,,168.92,,
63721,300,84585,,,,,,,VANILLYLMANDELIC ACID (VMA) URINE,170.75,170.75,,,,,,,,,,,,,,,,,,,
63722,310,88305,,,,,,,PATHOLOGY FEE LEVEL 4,311.5,311.5,40.52,244.61,40.52,,,,,,244.61,,,,,,119.02,,182.98,,
63723,310,88307,,,,,,,PATHOLOGY FEE LEVEL 5,401.75,401.75,,,,,,,,,,,,,,,,,,,
63724,310,88309,,,,,,,PATHOLOGY FEE LEVEL 6,721,721,,,,,,,,,,,,,,,,,,,
63725,310,88311,,,,,,,PATHOLOGY FEE DECALIFICATION,96.25,96.25,,,,,,,,,,,,,,,,,,,
63726,310,88312,,,,,,,PATHOLOGY FEE SPECIAL STAIN,177.5,177.5,68.18,114.92,,,,,,,,,,,,,68.18,,114.92,,
63727,310,88313,,,,,,,PATHOLOGY FEE SPECIAL STAIN,100.25,100.25,37.84,58.11,,,,,,,,,,,,,37.84,,58.11,,
63728,310,88331,,,,,,,PATHOLOGY FEE FROZEN SECTION INITIAL,185.25,185.25,,,,,,,,,,,,,,,,,,,
63729,310,88332,,,,,,,PATHOLOGY FEE FROZEN SECTION SUBSEQUENT,185.25,185.25,,,,,,,,,,,,,,,,,,,
63730,310,88104,,,,,,,CYTOPATH  FLUIDS  WASHINGS OR BRUSHINGS,145,145,,,,,,,,,,,,,,,,,,,
63731,310,88112,,,,,,,CYTOPATH SELECTIVE CELLULAR ENHANCEMENT,233.75,233.75,93.45,93.45,,,,,,,,,,,,,93.45,,,,
63732,300,,,,,,,,LipoProfile by NMR,106.25,106.25,0,158.9,0,,0,158.9,,,,,118.08,,,,,60.93,23.47,,
63733,310,88108,,,,,,,CYTOPATH CONCENTRATION TECHNIQUE,189.5,189.5,,,,,,,,,,,,,,,,,,,
63734,310,88175,,,,,,,CYTOPATH W/SCREENING,143,143,,,,,,,,,,,,,,,,,,,
63735,310,82360,,,,,,,PATHOLOGY FEE STONE,202.75,202.75,,,,,,,,,,,,,,,,,,,
63736,310,88173,,,,,,,PATHOLOGY FEE CYTOLOGY INTERPRET,242.75,242.75,,,,,,,,,,,,,,,,,,,
63737,310,88342,,,,,,,PATHOLOGY FEE IHC,302.25,302.25,,,,,,,,,,,,,,,,,,,
63738,310,88360,,,,,,,PATHOLOGY FEE HER2NEU,252,252,,,,,,,,,,,,,,,,,,,
63739,310,88365,,,,,,,PATHOLOGY FEE IN SITU HYBRID,388.5,388.5,,,,,,,,,,,,,,,,,,,
63741,300,82615,,,,,,,ANTI DNase B AB,32,32,,,,,,,,,,,,,,,,,,,
63743,300,,,,,,,,ANA TITERS (COMP PANEL),494.75,494.75,0,158.9,0,,0,158.9,,,,,118.08,,,,,60.93,23.47,,
63744,300,80307,,,,,,,PORPHYRINS SERUM,147.75,147.75,74.81,151.59,75.34,,,,,,151.59,,,,,111.4,74.81,,143.33,,
63745,300,83497,,,,,,,HIAA 5 HYDROXYINDOLACETIC ACID,153.75,153.75,,,,,,,,,,,,,,,,,,,
63746,300,86255,,,,,,,ANTISKIN AUTOANTIBODIES QUANT,116.75,116.75,0,44.4,0,,,,,,,,,,,,43.59,,44.4,,
63747,300,83727,,,,,,,GONADOTROPIN  RELEASING HORMONE - LHRH,63.75,63.75,,,,,,,,,,,,,,,,,,,
63749,300,82542,,,,,,,TRICYCLIC ANTIDEPRESSANT CONFIRM,332.75,332.75,0,0,,,,,,,,,,,,0,,,,,
63752,300,82239,,,,,,,BILE ACIDS TOTAL,63.5,63.5,,,,,,,,,,,,,,,,,,,
63753,300,80307,,,,,,,"SUBOXONE, URINE",147.75,147.75,74.81,151.59,75.34,,,,,,151.59,,,,,111.4,74.81,,143.33,,
63754,300,83051,,,,,,,HEMOGLOBIN FREE PLASMA,49.5,49.5,,,,,,,,,,,,,,,,,,,
63755,300,82787,,,,,,,IgG SUBCLASS,50.5,50.5,,,,,,,,,,,,,,,,,,,
63756,300,86738,,,,,,,MYCOPLASMA PNEUMONIA IgM,215,215,,,,,,,,,,,,,,,,,,,
63757,300,82672,,,,,,,ESTROGEN TOTAL,225.25,225.25,85.8,193.05,193.05,,,,,,,185.83,,,,,85.8,,,,
63758,300,86738,,,,,,,MYCOPLASMA PNEUMONIA IgG,215,215,,,,,,,,,,,,,,,,,,,
63759,300,87798,,,,,,,BORDETELLA PERTUSSIS PANEL,137,137,51.58,51.58,,,,,,,,,,,,,51.58,,,,
63760,300,86631,,,,,,,CHLAMYDIA PNEUMONIA AB PANEL,38.75,38.75,,,,,,,,,,,,,,,,,,,
63761,300,86003,,,,,,,CANDIDA ALBICANS IgE,709.25,709.25,270.9,270.9,,,,,,,,,,,,,270.9,,,,
63762,300,86003,,,,,,,ASPERGILLUS NIGER IgE,709.25,709.25,270.9,270.9,,,,,,,,,,,,,270.9,,,,
63763,300,86003,,,,,,,ASPERGILLUS FUMIGATUS IgE,35.75,35.75,270.9,270.9,,,,,,,,,,,,,270.9,,,,
63764,300,83516,,,,,,,BULLOUS EMPHIGOID (ELISA) 180 & 230,96.75,96.75,36.8,82.8,82.8,,,,,,,,,,,,38.64,,36.8,,
63765,300,83993,,,,,,,CALPROTECTIN STOOL,364,364,138.6,138.6,,,,,,,,,,,,,,,138.6,,
63766,300,81445,,,,,,,KRAS MUTATION/KNOWN FAMILIAL VARIANT,2104.25,2104.25,,,,,,,,,,,,,,,,,,,
63767,300,86003,,,,,,,NUTS ALLERGEN PROFILE,709.25,709.25,270.9,270.9,,,,,,,,,,,,,270.9,,,,
63768,300,86003,,,,,,,SHELLFISH ALLERGEN PROFILE,709.25,709.25,270.9,270.9,,,,,,,,,,,,,270.9,,,,
63769,300,86663,,,,,,,"EPSTEIN-BARR VIRUS, IgG",109.25,109.25,,,,,,,,,,,,,,,,,,,
63770,300,86800,,,,,,,THYROGLOBULIN AB W/ REFLEX PROFILE,191.5,191.5,8.87,8.87,,,,,,,,,,,,,8.87,,,,
63771,300,86235,,,,,,,ANTICHROMATIN AB,129.75,129.75,23.45,23.45,,,,,,,,,,,,,23.45,,,,
63773,300,,,,,,,,CELIAC DISEASE HLA DQ ASSOC,1171.25,1171.25,0,158.9,0,,0,158.9,,,,,118.08,,,,,60.93,23.47,,
63774,300,86003,,,,,,,ALPHA GALACTOSE AB,709.25,709.25,270.9,270.9,,,,,,,,,,,,,270.9,,,,
63775,300,84466,,,,,,,TRANSFERRIN SATURATION (TSAT),181,181,68.9,68.9,,,,,,,,,,,,,68.9,,68.9,,
63776,300,80299,,,,,,,VORICONAOLE LEVEL,1262.25,1262.25,139.44,139.44,,,,,,,,,,,,,139.44,,,,
63777,300,86255,,,,,,,ENDOMYSIAL Ab IgG & IgA,116.75,116.75,0,44.4,0,,,,,,,,,,,,43.59,,44.4,,
63778,300,84432,,,,,,,THYROGLOBULIN (TG-RIA),129.25,129.25,,,,,,,,,,,,,,,,,,,
63779,300,82803,,,,,,,ARTERIAL BLOOD GAS (ABG),395.5,395.5,0,190.13,154.37,,,,,,,,,,,0,152.57,,190.13,,
63780,300,36600,,,,,,,ARTERIAL PUNCTURE,82.25,82.25,0,42.69,42.69,,0,,,,,,,,,15.15,33.2,,32.09,,
63781,300,82610,,,,,,,CYSTATIN C,231.5,231.5,,,,,,,,,,,,,,,,,,,
63782,300,82384,,,,,,,CATECHOLAMINES FRACTIONATED,128.75,128.75,,,,,,,,,,,,,,,,,,,
63783,310,88341,,,,,,,PATHOLOGY FEE IHC ADD ON,215,215,,,,,,,,,,,,,,,,,,,
63784,300,84402,,,,,,,"TESTOSTERON (EQUILIBRIUM), FREE  & TOTAL",192.5,192.5,0,74.28,0,,,,,,,,,,,,74.28,,73.3,,
63785,300,86658,,,,,,,POLIOVIRUS ANTIBODY,354.25,354.25,,,,,,,,,,,,,,,,,,,
63786,300,86003,,,,,,,RAST PEANUT,709.25,709.25,270.9,270.9,,,,,,,,,,,,,270.9,,,,
63787,300,,,,,,,,"HSV 1 AND 2 SPECIFIC AB, IGM",122,122,0,158.9,0,,0,158.9,,,,,118.08,,,,,60.93,23.47,,
63788,300,80299,,,,,,,THIOPURINE METABOLITES,332.75,332.75,139.44,139.44,,,,,,,,,,,,,139.44,,,,
63789,300,80306,,,,,,,DRUG SCREEN BLOOD (8 DRUGS),661.5,661.5,,,,,,,,,,,,,,,,,,,
63790,300,86376,,,,,,,LC-1 (LIVER CYTOSOL PROTEIN-1),217,217,30.53,30.53,,,,,,,,,,,,,30.53,,,,
63791,300,,,,,,,,LUPUS (ESOTERIX) ANTICOAGULANT PROFILE,1282.75,1282.75,0,158.9,0,,0,158.9,,,,,118.08,,,,,60.93,23.47,,
63792,300,87081,,,,,,,GROUP B STREP COLONIZATION,77.25,77.25,18.11,60.34,22.05,,,,,,60.34,,,,,18.11,22.86,,60.27,,
63793,300,85520,,,,,,,FACTOR ANTI-Xa,248.25,248.25,,,,,,,,,,,,,,,,,,,
63794,300,80307,,,,,,,DEMEROL (MEPERIDINE) SERUM,147.75,147.75,74.81,151.59,75.34,,,,,,151.59,,,,,111.4,74.81,,143.33,,
63795,300,,,,,,,,"CALCIUM/CREATININE RATIO, RANDOM URINE",33,33,0,158.9,0,,0,158.9,,,,,118.08,,,,,60.93,23.47,,
63796,300,87389,,,,,,,HIV 1/O/2 CASCADE,111.5,111.5,34.41,86.92,34.41,43.46,,,,,,,,,,,,,86.92,,
63797,300,84410,,,,,,,TESTOSTERON FREE & WEAKLY BOUND,207.5,207.5,,,,,,,,,,,,,,,,,,,
63798,300,87522,,,,,,,HEPATITIS C QUANT NGI QUNATASURE,811,811,302.99,302.99,,,,,,,,,,,,,302.99,,,,
63799,300,87902,,,,,,,HEPATITIS C GENOTYPING NONREFLEX,564.25,564.25,,,,,,,,,,,,,,,,,,,
63800,300,86800,,,,,,,THYROGLOBULIN ANTIBODY,191.5,191.5,8.87,8.87,,,,,,,,,,,,,8.87,,,,
63801,300,87168,,,,,,,"PARASITE ID, ARTHROPOD",98.75,98.75,,,,,,,,,,,,,,,,,,,
63802,300,84206,,,,,,,PROINSULIN,133.75,133.75,49.49,49.49,,,,,,,,,,,,,,,49.49,,
63803,300,80307,,,,,,,GHB (GAMMA-HYDROXYBUTYRIC ACID),147.75,147.75,74.81,151.59,75.34,,,,,,151.59,,,,,111.4,74.81,,143.33,,
63804,300,82542,,,,,,,KETAMINE & METABOLITE QUANT,332.75,332.75,0,0,,,,,,,,,,,,0,,,,,
63805,300,83516,,,,,,,ANTIMULLERIAN HORMONE (AMH),229.5,229.5,36.8,82.8,82.8,,,,,,,,,,,,38.64,,36.8,,
63806,300,87502,,,,,,,INFLUENZA A AND B (MOLECULAR),364,364,65.25,288.45,288.45,,,,,,285.87,,,,,65.25,,,203.94,,
63807,300,82010,,,,,,,BETA HYDROXYBUTYRATE,117,117,43.29,43.29,,,,,,,,,,,,,,,43.29,,
63808,300,86341,,,,,,,ANTIPANCREATIC ISLET CELL,82.25,82.25,,,,,,,,,,,,,,,,,,,
63809,300,83605,,,,,,,LACTATE (LACTIC ACID) - VENOUS,140,140,1.46,102.17,69.22,,,,,,102.17,,,,,1.46,54.31,,72.67,,
63810,300,83605,,,,,,,LACTATE (LACTIC ACID) - ARTERIAL,119,119,1.46,102.17,69.22,,,,,,102.17,,,,,1.46,54.31,,72.67,,
63811,300,87272,,,,,,,GIARDIA/CRYPTOSPORIDIUM AB,115,115,,,,,,,,,,,,,,,,,,,
63812,300,80190,,,,,,,PROCAINAMIDE,183.5,183.5,,,,,,,,,,,,,,,,,,,
63813,300,81596,,,,,,,HEP C FIBROSURE,481.5,481.5,192.57,192.57,,,,,,,,,,,,,192.57,,,,
63814,300,81315,,,,,,,PML-RARA,1059.25,1059.25,,,,,,,,,,,,,,,,,,,
63815,300,81500,,,,,,,OVARIAN MALIGNANCY RISK (ROMA),966,966,,,,,,,,,,,,,,,,,,,
63816,300,87581,,,,,,,MYCOPLASMA PNEUMONIAE PCR,225.75,225.75,,,,,,,,,,,,,,,,,,,
63817,300,83520,,,,,,,IGF BP-3,361,361,135.62,147.81,147.81,,,,,,,,,,,,135.62,,144.38,,
63818,300,83883,,,,,,,ALPHA-2 MACROGLOBULIN,150.75,150.75,57.56,87.17,58.84,,,,,,,,,,,,57.56,,87.17,,
63819,300,86635,,,,,,,COCCIDIOIDES AB IGG AND IGM,119,119,,,,,,,,,,,,,,,,,,,
63820,300,87633,,,,,,,"RESPIRATORY VIRUS PROFILE, PCR",1183.5,1183.5,50.15,50.15,,,,,,,,,,,,50.15,,,,,
63821,300,84143,,,,,,,"17-HYDROXYPREGNENOLONE,MASS SPECTROMETRY",84.5,84.5,,,,,,,,,,,,,,,,,,,
63822,300,82787,,,,,,,"Immunoglobulin G, Subclass 4",56,56,,,,,,,,,,,,,,,,,,,
63823,300,86790,,,,,,,DENGUE FEVER IGG & IGM,86.25,86.25,,,,,,,,,,,,,,,,,,,
63824,300,80307,,,,,,,DARVON LEVEL (PROPOXYPHENE),147.75,147.75,74.81,151.59,75.34,,,,,,151.59,,,,,111.4,74.81,,143.33,,
63825,300,82140,,,,,,,AMMONIA - PCH,199.25,199.25,0,123.7,,,,,,,,,,,,0,71.29,,123.7,,
63826,300,82523,,,,,,,C-TELOPEPTIDE (CTX),282.75,282.75,107.7,109.59,,,,,,,,,,,,,109.59,,107.7,,
63827,310,88185,,,,,,,"FLOW CYTOMETRY, EACH ADDTIL MARKER",47,47,,,,,,,,,,,,,,,,,,,
63828,310,88187,,,,,,,"FLOW CYTOMETRY, INTERP 2-8 MARKERS",280.5,280.5,,,,,,,,,,,,,,,,,,,
63829,310,88188,,,,,,,"FLOW CYTOMETRY, INTERP 9-15 MARKERS",357.75,357.75,,,,,,,,,,,,,,,,,,,
63830,310,88184,,,,,,,"FLOW CYTOMETRY, FIRST MARKER",83.75,83.75,,,,,,,,,,,,,,,,,,,
63831,300,86003,,,,,,,RAST - BERRY,709.25,709.25,270.9,270.9,,,,,,,,,,,,,270.9,,,,
63832,300,86003,,,,,,,RAST - LATEX RELATED,709.25,709.25,270.9,270.9,,,,,,,,,,,,,270.9,,,,
63833,300,87517,,,,,,,HEP B PCR QUANT,405.75,405.75,152.95,152.95,,,,,,,,,,,,,152.95,,,,
63834,300,86612,,,,,,,BLASTOMYCES AB QUANTITATIVE,70.5,70.5,,,,,,,,,,,,,,,,,,,
63835,300,82670,,,,,,,ESTRADIOL FREE EQUILIBRIUM,223.75,223.75,0,174.66,0,,,,,,,,,,,,87.59,,174.66,,
63836,300,80164,,,,,,,VALPROIC ACID TOTAL,172.25,172.25,134.48,134.48,,,,,,,,,,,,,,,134.48,,
63837,300,86638,,,,,,,Q FEVER AB IGG,28.25,28.25,,,,,,,,,,,,,,,,,,,
63838,300,84586,,,,,,,VASOACTIE INTESTINAL POLYPEPTIDE (VIP),246,246,,,,,,,,,,,,,,,,,,,
63839,300,82172,,,,,,,NASH FIBROSURE,125.75,125.75,,,,,,,,,,,,,,,,,,,
63840,300,86003,,,,,,,PENICILLOYL V,709.25,709.25,270.9,270.9,,,,,,,,,,,,,270.9,,,,
63841,300,86003,,,,,,,PENICILLOYL G,709.25,709.25,270.9,270.9,,,,,,,,,,,,,270.9,,,,
63842,300,82274,,,,,,,FIT - FECAL OCCULT BLOOD,143.25,143.25,55.67,55.67,,,,,,,,,,,,,55.67,,,,
63843,300,83915,,,,,,,5' NUCLEOTIDASE,30.75,30.75,,,,,,,,,,,,,,,,,,,
63844,300,87337,,,,,,,ENTAMOEBA HISTOLYTICA,119.25,119.25,,,,,,,,,,,,,,,,,,,
63845,300,83516,,,,,,,GLUTEN SENSITIVITY SCREEN W/REFLEX,96.75,96.75,36.8,82.8,82.8,,,,,,,,,,,,38.64,,36.8,,
63846,300,87798,,,,,,,ZIKA VIRUS RNA,231,231,51.58,51.58,,,,,,,,,,,,,51.58,,,,
63847,300,87172,,,,,,,PINWORM,30.75,30.75,,,,,,,,,,,,,,,,,,,
63848,300,86720,,,,,,,LEPTOSPIRA AB IGM,54,54,,,,,,,,,,,,,,,,,,,
63849,300,87449,,,,,,,FUNGITELL,96.75,96.75,146.4,146.4,,,,,,,,,,,,,146.4,,,,
63850,300,87449,,,,,,,BLASTOMYCES ANTIGEN,96.75,96.75,146.4,146.4,,,,,,,,,,,,,146.4,,,,
63851,300,86612,,,,,,,BLASTOMYCES DERMATITIDIS AB,144.5,144.5,,,,,,,,,,,,,,,,,,,
63852,300,87305,,,,,,,ASPERGILLUS GALACTOMANNAN AG,138,138,,,,,,,,,,,,,,,,,,,
63853,300,86003,,,,,,,RAST VENOM PANEL - BEES,709.25,709.25,270.9,270.9,,,,,,,,,,,,,270.9,,,,
63854,300,86682,,,,,,,TOXOCARA IGG,159,159,,,,,,,,,,,,,,,,,,,
63855,300,81373,,,,,,,HLA - A29,242.25,242.25,,,,,,,,,,,,,,,,,,,
63856,300,86235,,,,,,,ENA ANTIBODY PANEL,129.75,129.75,23.45,23.45,,,,,,,,,,,,,23.45,,,,
63857,300,84376,,,,,,,FECAL REDUCING SUBSTANCE,20.5,20.5,,,,,,,,,,,,,,,,,,,
63858,300,80356,,,,,,,HEROIN METABOLITE CONFIRMATION,72.75,72.75,,,,,,,,,,,,,,,,,,,
63859,300,82172,,,,,,,APOLIPOPROTEIN A-1,44.75,44.75,,,,,,,,,,,,,,,,,,,
63860,300,82172,,,,,,,APOLIPOPROTEIN B,44.75,44.75,,,,,,,,,,,,,,,,,,,
63861,300,81327,,,,,,,EPI PRO COLON,909.75,909.75,,,,,,,,,,,,,,,,,,,
63862,300,80377,,,,,,,"SULFONYLUREA, URINE",420.75,420.75,,,,,,,,,,,,,,,,,,,
63863,300,86635,,,,,,,COCCIDIOIDES AB SERUM,67,67,,,,,,,,,,,,,,,,,,,
63864,300,85613,,,,,,,DRVVT - DILUTE RUSSELL VIPER VENOM TIME,305.5,305.5,139.94,139.94,,,,,,,,,,,,,139.94,,,,
63865,300,87798,,,,,,,ANAPLASMA PHAGOCYTOPHILUM DNA PCR,231,231,51.58,51.58,,,,,,,,,,,,,51.58,,,,
63866,300,87798,,,,,,,EBV QUAL BY PCR,231,231,51.58,51.58,,,,,,,,,,,,,51.58,,,,
63867,300,82139,,,,,,,AMINO ACID PROFILE QUANT,263.75,263.75,,,,,,,,,,,,,,,,,,,
63868,300,84080,,,,,,,BONE SPECIFIC ALK PHOS (BAP),190.25,190.25,42.26,80.35,74.21,,,,,,,,,,,42.26,71.65,,80.35,,
63869,300,83883,,,,,,,FREE LIGHT CHAIN SERIAL MONITOR SERUM,150.75,150.75,57.56,87.17,58.84,,,,,,,,,,,,57.56,,87.17,,
63870,300,86665,,,,,,,"EBV, VIRAL CAPSID AG IgG",284,284,,,,,,,,,,,,,,,,,,,
63871,300,86664,,,,,,,"EBV, NUCLEAR AG IgG",46,46,,,,,,,,,,,,,,,,,,,
63872,300,82495,,,,,,,CHROMIUM PLASMA,112.5,112.5,,,,,,,,,,,,,,,,,,,
63873,300,83018,,,,,,,COBALT PLASMA,217.25,217.25,,,,,,,,,,,,,,,,,,,
63874,300,82677,,,,,,,ESTRIOL,55.75,55.75,,,,,,,,,,,,,,,,,,,
63875,300,86003,,,,,,,RAST PEANUT IgE W/COMPONENTS,709.25,709.25,270.9,270.9,,,,,,,,,,,,,270.9,,,,
63876,300,,,,,,,,HELPER/SUPPRESSOR & NATURAL KILLER CELL,993.5,993.5,0,158.9,0,,0,158.9,,,,,118.08,,,,,60.93,23.47,,
63877,300,86003,,,,,,,RAST NUT PROFILE IGE WITH COMPONENT,709.25,709.25,270.9,270.9,,,,,,,,,,,,,270.9,,,,
63878,300,80055,,,,,,,OBSTETRIC PANEL,175.75,175.75,,,,,,,,,,,,,,,,,,,
63879,300,83088,,,,,,,HISTAMINE URINE 24HR,305.5,305.5,,,,,,,,,,,,,,,,,,,
63880,300,83520,,,,,,,INTERLEUKIN 6,361,361,135.62,147.81,147.81,,,,,,,,,,,,135.62,,144.38,,
63881,300,83520,,,,,,,INTERLEUKIN 8,361,361,135.62,147.81,147.81,,,,,,,,,,,,135.62,,144.38,,
63882,300,86235,,,,,,,PM-SCL  Abs,129.75,129.75,23.45,23.45,,,,,,,,,,,,,23.45,,,,
63883,300,83520,,,,,,,RHEUMATOID ARTHRITIS 14.3.3 eta,344.75,344.75,135.62,147.81,147.81,,,,,,,,,,,,135.62,,144.38,,
63884,300,87496,,,,,,,CMV PCR QUALITATIVE,431.5,431.5,,,,,,,,,,,,,,,,,,,
63885,300,83516,,,,,,,ANTIRIBOSOMAL P ANTIBODIES,96.75,96.75,36.8,82.8,82.8,,,,,,,,,,,,38.64,,36.8,,
63886,300,86317,,,,,,,HBsAb QUANTITATIVE,111.5,111.5,,,,,,,,,,,,,,,,,,,
63887,300,86609,,,,,,,Strep pneumoniae IgG Ab 23 Serotypes,114.5,114.5,,,,,,,,,,,,,,,,,,,
63888,300,86003,,,,,,,RAST FOOD ALLERGY PROFILE (12),709.25,709.25,270.9,270.9,,,,,,,,,,,,,270.9,,,,
63889,300,81332,,,,,,,A1-ANTITRYPSIN DEFICIENCY PANEL,775.5,775.5,,,,,,,,,,,,,,,,,,,
63890,300,82150,,,,,,,AMYLASE ISOENZYMES,119.25,119.25,0,93.64,64.18,,,,,,93.64,,,,,0,45.81,,66.15,,
63891,300,87015,,,,,,,"CYCLOSPORA SMEAR, STOOL",92.5,92.5,,,,,,,,,,,,,,,,,,,
63892,300,85240,,,,,,,von Willebrand Factor Profile,532.25,532.25,,,,,,,,,,,,,,,,,,,
63893,300,87471,,,,,,,"Bartonella, DNA PCR",129.25,129.25,,,,,,,,,,,,,,,,,,,
63894,300,87476,,,,,,,"Lyme Disease, RT-PCR",410.25,410.25,,,,,,,,,,,,,,,,,,,
63895,300,87046,90,,,,,,"YERSINIA ONLY, STOOL",101.75,101.75,,,,,,,,,,,,,,,,,,,
63896,300,83520,,,,,,,Anti-RNA Polymerase IgG,361,361,135.62,147.81,147.81,,,,,,,,,,,,135.62,,144.38,,
63897,300,86780,,,,,,,FLUORESCENT TREPONEMA PALLIDUM CONF TEST,111.75,111.75,65.25,65.25,,,65.25,,,,,,,,,,,,,,
63898,300,85300,,,,,,,ANTITHROMBIN DEFICIENCY PROFILE,127.75,127.75,,,,,,,,,,,,,,,,,,,
63899,300,87107,,,,,,,"ORGANISM IDENTIFICATION, MOLD",125.75,125.75,,,,,,,,,,,,,,,,,,,
63900,300,87230,,,,,,,C difficile TOXIN B CYTOTOXIN ASSAY,301,301,,,,,,,,,,,,,,,,,,,
63901,300,85303,,,,,,,"PROTEIN C, FUNCTIONAL",244.25,244.25,,,,,,,,,,,,,,,,,,,
63902,300,87102,,,,,,,VAGINITIS YEAST CULTURE,74.25,74.25,,,,,,,,,,,,,,,,,,,
63903,300,87798,,,,,,,BACTERIAL VAGINOSIS NAA,231,231,51.58,51.58,,,,,,,,,,,,,51.58,,,,
63904,300,84540,,,,,,,UREA NITROGEN URINE RANDOM,27.75,27.75,,,,,,,,,,,,,,,,,,,
63905,300,87507,,,,,,,"GASTROINTESTINAL PROFILE PCR, STOOL",694.75,694.75,264.6,264.6,,,,,,,,,,,,,264.6,,,,
63906,300,80375,,,,,,,AZATHIOPRINE 6-MP,570.75,570.75,,,,,,,,,,,,,,,,,,,
63907,300,87799,,,,,,,EBV QUANTI PCR WHOLE BLOOD,914.75,914.75,344.92,344.92,,,,,,,,,,,,,344.92,,,,
63908,300,86317,,,,,,,TETANUS TOXOID ANTIBODIES,111.5,111.5,,,,,,,,,,,,,,,,,,,
63909,300,86355,,,,,,,T&B LYMPHOCYTE & NK CELL PROFILE,297.5,297.5,,,,,,,,,,,,,,,,,,,
63910,300,86768,,,,,,,Salmonella typhi & paratyphi ANTIBODIES,48.75,48.75,,,,,,,,,,,,,,,,,,,
63911,300,83519,,,,,,,Intact N-Terminal Propeptide of Type 1,282.75,282.75,109.72,109.72,,,,,,,,,,,,,109.72,,,,
63912,300,80307,,,,,,,Drug Profile Urine 7 Drugs plus Alcohol,147.75,147.75,74.81,151.59,75.34,,,,,,151.59,,,,,111.4,74.81,,143.33,,
63913,300,83520,,,,,,,NEUROMYELITIS OPTICA IgG,1047,1047,135.62,147.81,147.81,,,,,,,,,,,,135.62,,144.38,,
63914,300,86255,,,,,,,MYELIN OLIGODENDROCYTE GLYCOPROTEIN,1047,1047,0,44.4,0,,,,,,,,,,,,43.59,,44.4,,
63915,300,81374,,,,,,,HLA TYPING (B27) SINGLE ANTIGEN,129,129,,,,,,,,,,,,,,,,,,,
63916,300,86355,,,,,,,T & B LYMPHOCYTE DIFFERENTIAL PROFILE,297.5,297.5,,,,,,,,,,,,,,,,,,,
63917,300,87106,,,,,,,"ORGANISM ID, YEAST",136.25,136.25,,,,,,,,,,,,,,,,,,,
63918,300,86003,,,,,,,ALLERGEN PROFILE PEDIATRIC 3-6 YEARS,709.25,709.25,270.9,270.9,,,,,,,,,,,,,270.9,,,,
63919,300,86359,,,,,,,T LYMPHOCYTE HELPER SUPPRESSOR PROFILE,137.5,137.5,54.92,68.2,,,,,,,,,,,,,54.92,,68.2,,
63923,300,87521,,,,,,,HEPATITIS C RNA QUALITATIVE NAA,406.25,406.25,154.8,154.8,,,,,,,,,,,,,154.8,,,,
63924,300,88230,,,,,,,"CHROMOSOME ANALYSIS, WHOLE BLOOD",428.5,428.5,,,,,,,,,,,,,,,,,,,
63925,300,85230,,,,,,,FACTOR VII ACTIVITY,176.5,176.5,,,,,,,,,,,,,,,,,,,
63926,300,80230,,,,,,,INFLIXIMAB (REMICADE),1323,1323,,,,,,,,,,,,,,,,,,,
63927,300,86480,,,,,,,QUANTIFERON CLIENT INCUBATED,199,199,47,155.39,47,,,,,,,,,,,,77.7,,155.39,,
63928,300,80186,,,,,,,"PHENYTOIN, FREE",66.75,66.75,,,,,,,,,,,,,,,,,,,
63929,300,82657,,,,,,,THIOPURINE METHYLTRANSFERASE ENZYME ACTI,417,417,,,,,,,,,,,,,,,,,,,
63930,300,82340,,,,,,,24 HR URINE CALCIUM WITH CREATININE,53.75,53.75,,,,,,,,,,,,,,,,,,,
63931,300,81003,,,,,,,24 HR URINE KIDNEY STONE PANEL,333.25,333.25,1.5,143.7,143.7,,1.99,,9.52,,71.06,,,,,1.5,64.58,,39.61,29.19,59.86
63933,300,82607,,,,,,,VITAMIN B12 AND FOLATE,35.5,35.5,21.33,76.36,67.51,,21.33,,49.78,,,,,,,56.89,64.15,,76.36,,
63934,310,88280,,,,,,,CHROMOSOME ANALYSIS ADDTL KAROTYPES EACH,171.5,171.5,,,,,,,,,,,,,,,,,,,
63935,310,88285,,,,,,,CHROMOSOME ANALYSIS ADDTL CELLS EACH,264.75,264.75,,,,,,,,,,,,,,,,,,,
63936,310,81219,,,,,,,CALR,1501,1501,,,,,,,,,,,,,,,,,,,
63937,310,88261,,,,,,,CHROMOSOME ANALYSIS 5 CELLS,1667.75,1667.75,,,,,,,,,,,,,,,,,,,
63938,310,81219,,,,,,,BLM GENE ANALYSIS,1501,1501,,,,,,,,,,,,,,,,,,,
63939,300,86762,,,,,,,ANTIBODY RUBELLA,130.25,130.25,,,,,,,,,,,,,,,,,,,
63940,300,87340,,,,,,,HEPATITIS B SURFACE ANTIGEN,124.5,124.5,33.18,47.4,33.18,,,,,,,,,,,,,,47.4,,
63941,300,83050,,,,,,,METHEMOGLOBIN,52,52,,,,,,,,,,,,,,,,,,,
63942,300,80169,,,,,,,"EVEROLIMUS, WHOLE BLOOD",151.25,151.25,,,,,,,,,,,,,,,,,,,
63943,300,81335,,,,,,,THIOPURINE METHYLTRANSFERASE GENOTYPING,1198,1198,,,,,,,,,,,,,,,,,,,
63944,300,80339,,,,,,,RUFINAMIDE,446.75,446.75,,,,,,,,,,,,,,,,,,,
63945,300,80339,,,,,,,CLOBAZAM,237.75,237.75,,,,,,,,,,,,,,,,,,,
63946,300,87902,,,,,,,HEP C GENOTYPING WITH REFLEX TO NS5A,1891,1891,,,,,,,,,,,,,,,,,,,
63947,300,80346,,,,,,,LORAZEPAM LEVEL,276.5,276.5,85.33,85.33,,,,,,,,,,,,85.33,,,,,
63948,300,80338,,,,,,,VENLAFAXINE (EFFEXOR) LEVEL,727.75,727.75,,,,,,,,,,,,,,,,,,,
63949,300,80338,,,,,,,TRAZODONE LEVEL,64.75,64.75,,,,,,,,,,,,,,,,,,,
63950,300,82533,,,,,,,"SALIVARY CORTISOL, 3 SPECIMENS",635.25,635.25,73.57,83,,,,,,,,,,,,,73.57,,83,,
63951,300,80375,,,,,,,LEFLUNOMIDE LEVEL,580,580,,,,,,,,,,,,,,,,,,,
63952,300,86706,,,,,,,HEPATITIS B SURFACE ANTIBODY,152.25,152.25,58,59.45,59.45,,,,,,,,,,,,,,58,,
63953,300,80354,,,,,,,FENTANYL AND METABOLITE LEVEL,367.25,367.25,,,,,,,,,,,,,,,,,,,
63954,300,87220,,,,,,,SKIN SCRAPING FOR SCABIES,27.75,27.75,10.5,10.5,,,,,,,,,,,,,10.5,,,,
63955,300,G0472,,,,,,,HEPATITIS C ANTIBODY SCREENING,126.5,126.5,50.6,50.6,,,,,,,,,,,,,,,50.6,,
63956,300,87798,,,,,,,JC VIRUS DNA PCR,661.5,661.5,51.58,51.58,,,,,,,,,,,,,51.58,,,,
63957,300,86003,,,,,,,STACHYBOTRIS ATRA (BLACK MOLD),27.75,27.75,270.9,270.9,,,,,,,,,,,,,270.9,,,,
63958,300,86341,,,,,,,ZNT8 ANTIBODIES,595.5,595.5,,,,,,,,,,,,,,,,,,,
63959,300,83520,,,,,,,INTERLEUKIN-2,403,403,135.62,147.81,147.81,,,,,,,,,,,,135.62,,144.38,,
63960,300,81240,,,,,,,THROMBOSIS VENOUS RISK PROFILE,6113.5,6113.5,,,,,,,,,,,,,,,,,,,
63961,300,82306,,,,,,,25-OH VIT D (D2+D3 FRACTIONATED),309.5,309.5,70.98,177.17,71.96,71.75,113.77,,113.77,,177.17,,,,,113.77,70.98,,87.42,73.5,143.5
63963,300,80375,,,,,,,DEXAMETHASONE LEVEL,226.25,226.25,,,,,,,,,,,,,,,,,,,
63964,300,86704,,,,,,,HEPATITIS B CORE ANTIBODY,114.75,114.75,44.79,44.79,44.79,,,,,,,,,,,,,,,,
63965,300,80339,,,,,,,VIGABATRIN LEVEL,1172.75,1172.75,,,,,,,,,,,,,,,,,,,
63966,300,U0003,,,,,,,CORONAVIRUS COVID-19 NAA,165.5,165.5,63.76,100.31,65.65,,100.31,,100.31,,97.47,,,,,100.31,63.76,,77.44,,
63968,300,86790,,,,,,,HUMAN HERPESVIRUS-6 IgM,321.25,321.25,,,,,,,,,,,,,,,,,,,
63969,300,86790,,,,,,,HUMAN HERPESVIRUS-6 IgG,55.25,55.25,,,,,,,,,,,,,,,,,,,
63970,300,87480,,,,,,,VAGINITIS/VAGINOSIS DNA PROBE,804,804,,,,,,,,,,,,,,,,,,,
63971,300,83605,,,,,,,LACTIC ACID (PLASMA),140,140,1.46,102.17,69.22,,,,,,102.17,,,,,1.46,54.31,,72.67,,
63972,300,87635,,,,,,,RAPID COVID-19 RT-PCR,165.5,165.5,51.31,110.25,84.82,,86.63,,94.04,,51.31,,,,,100.31,65.92,,110.25,,
63973,300,87635,,,,,,,SARS-COV-2 RT-PCR,165.5,165.5,51.31,110.25,84.82,,86.63,,94.04,,51.31,,,,,100.31,65.92,,110.25,,
63974,300,80235,,,,,,,LACOSAMIDE LEVEL,582.25,582.25,,,,,,,,,,,,,,,,,,,
63975,300,83516,,,,,,,21-HYDROXYLASE AUTOANTIBODIES,331.75,331.75,36.8,82.8,82.8,,,,,,,,,,,,38.64,,36.8,,
63976,300,86707,,,,,,,HEPATITIS BE ANTIBODY,99.75,99.75,,,,,,,,,,,,,,,,,,,
63977,300,86769,,,,,,,COVID-19 ANTIBODY IgG,139.25,139.25,37.85,55.3,55.3,,37.85,,37.85,,,,,,,,54.13,,53.13,,
63978,300,82570,,,,,,,*CREATININE-OTH SOURCE(ASSOC CHARGE),70.5,70.5,16.93,29.65,28.15,,16.93,,18.81,,,,,,,18.81,22.77,,29.65,,
63979,300,82139,,,,,,,*AMINO ACIDS 6 OR MORE(ASSOC CHARGE),263.75,263.75,,,,,,,,,,,,,,,,,,,
63980,300,86022,,,,,,,PLATELET ANTIBODY PROFILE,222,222,,,,,,,,,,,,,,,,,,,
63981,300,82805,,,,,,,ARTERIAL BLOOD GAS (ABG),395.5,395.5,0,196.2,196.2,,0,,,,,,,,,3.25,154.52,,154.37,,
63982,300,82803,,,,,,,VENOUS BLOOD GAS (VBG),395.5,395.5,0,190.13,154.37,,,,,,,,,,,0,152.57,,190.13,,
63983,300,82542,,,,,,,OMEGA CHECK,142.5,142.5,0,0,,,,,,,,,,,,0,,,,,
63984,300,86255,,,,,,,MYASTHENIA GRAVIS PROFILE,2440.75,2440.75,0,44.4,0,,,,,,,,,,,,43.59,,44.4,,
63985,300,36415,,,,,,,HEEL STICK,41.75,41.75,0,518.18,518.18,,5.88,,,,32.79,0,,,,8.82,16.03,,24.27,16.7,33.01
63986,300,59899,,,,,,,CORD BLOOD COLLECTION,41.75,41.75,,,,,,,,,,,,,,,,,,,
63987,300,80299,,,,,,,ITRACONAZOLE LEVEL,1297.5,1297.5,139.44,139.44,,,,,,,,,,,,,139.44,,,,
63988,300,85306,,,,,,,PROTEIN S FUNCTIONAL,116,116,,,,,,,,,,,,,,,,,,,
63989,300,80321,,,,,,,PHOSPHATIDYLETHANOL,359.75,359.75,,,,,,,,,,,,,,,,,,,
63991,300,80081,,,,,,,OBSTETRIC PANEL WITH HIV,1131,1131,,,,,,,,,,,,,,,,,,,
63992,300,0241U,,,,,,,SARS-COV-2/FLU/RSV PCR,393.75,393.75,100.31,100.31,,,,,,,,,,,,100.31,,,,,
63993,300,86606,,,,,,,FUNGAL ANTIBODIES,91.25,91.25,11.6,11.6,,,,,,,,,,,,,11.6,,,,
63994,300,82247,,,,,,,BILIRUBIN TOTAL AND DIRECT,200.25,200.25,18.81,18.81,,,,,,,,,,,,18.81,,,,,
63995,300,87070,,,,,,,TISSUE CULTURE,234.25,234.25,47.77,60,47.77,,,,,,,,,,,,,,60,,
63996,300,82306,,,,,,,VITAMIN D 25 HYDROXY,183.75,183.75,70.98,177.17,71.96,71.75,113.77,,113.77,,177.17,,,,,113.77,70.98,,87.42,73.5,143.5
63997,300,82607,,,,,,,VITAMIN B12,169.25,169.25,21.33,76.36,67.51,,21.33,,49.78,,,,,,,56.89,64.15,,76.36,,
63998,300,82746,,,,,,,FOLATE SERUM,197,197,14.09,87.17,59.85,,14.09,,28.17,,,,,,,21.13,75.22,,87.17,,
63999,300,86255,,,,,,,ANTIADRENAL ANTIBODIES,130.25,130.25,0,44.4,0,,,,,,,,,,,,43.59,,44.4,,
64000,300,81243,,,,,,,FRAGILE X SYNDROME PCR,937.25,937.25,,,,,,,,,,,,,,,,,,,
64001,300,86003,,,,,,,FRUIT ALLERGEN PROFILE,66.25,66.25,270.9,270.9,,,,,,,,,,,,,270.9,,,,
64002,300,83519,,,,,,,MUSCLE SPECIFIC KINASE ANTIBODIES,2598.75,2598.75,109.72,109.72,,,,,,,,,,,,,109.72,,,,
64003,300,86255,,,,,,,AUTOIMMUNE ENCEPHALITIS PROFILE,2624.75,2624.75,0,44.4,0,,,,,,,,,,,,43.59,,44.4,,
64004,300,86038,,,,,,,CONNECTIVE TISSUE DISEASE CASCADE,2622,2622,21.82,123.63,21.82,,,,,,,,,,,,82.01,,123.63,,
64005,300,80346,,,,,,,MIDAZOLAM LEVEL,422.25,422.25,85.33,85.33,,,,,,,,,,,,85.33,,,,,
64006,300,G0499,,,,,,,HBSAG SCREEN,118.5,118.5,46.23,46.23,46.23,,,,,,,,,,,,,,,,
64007,300,84702,,,,,,,QUANTITATIVE HCG STAT,239.5,239.5,28.45,470.48,470.48,,,,,,,,,,,28.45,,,,,
64008,300,86769,,,,,,,COVID ANTIBODY TOTAL SEMI-QUANTITATIVE,133,133,37.85,55.3,55.3,,37.85,,37.85,,,,,,,,54.13,,53.13,,
64009,300,86704,,,,,,,HEP B CORE TOTAL W REFLEX TO IgM,26.75,26.75,44.79,44.79,44.79,,,,,,,,,,,,,,,,
64010,300,80145,,,,,,,ADALIMUMAB AND ADALIMUMAB ANTIBODY,1330.5,1330.5,,,,,,,,,,,,,,,,,,,
64011,300,86003,,,,,,,RAST INSECT VENOM ALLERGEN PANEL,63,63,270.9,270.9,,,,,,,,,,,,,270.9,,,,
64012,300,82135,,,,,,,AMINOLEVULINIC ACID RANDOM URINE,81.75,81.75,,,,,,,,,,,,,,,,,,,
64013,300,84120,,,,,,,PORPHYRINS QUANTITATIVE RANDOM URINE,41.25,41.25,,,,,,,,,,,,,,,,,,,
64014,300,82657,,,,,,,POMPE DISEASE ENZYME ANALYSIS,768.75,768.75,,,,,,,,,,,,,,,,,,,
64015,300,87116,,,,,,,M TUBERCULOSIS COMPLEX NAA,1295.75,1295.75,330.9,347.5,,,,,,,,,,,,,330.9,,347.5,,
64016,300,86003,,,,,,,RAST EGG WHOLE,26.25,26.25,270.9,270.9,,,,,,,,,,,,,270.9,,,,
64017,300,86235,,,,,,,Anti-SS-A 52kD Ab IgG,325.25,325.25,23.45,23.45,,,,,,,,,,,,,23.45,,,,
64018,300,87496,,,,,,,MENINGITIS/ENCEPHALITIS PANEL BY NAA,1997.75,1997.75,,,,,,,,,,,,,,,,,,,
64019,300,87206,,,,,,,CALCOFLUOR WHITE STAIN,227,227,,,,,,,,,,,,,,,,,,,
64020,300,82043,,,,,,,ALBUMIN RANDOM URINE,133.25,133.25,14.41,45.82,14.41,,,,,,,,,,,,45.82,,22.29,,
64021,300,82570,,,,,,,CREATININE RANDOM URINE,70.5,70.5,16.93,29.65,28.15,,16.93,,18.81,,,,,,,18.81,22.77,,29.65,,
64022,300,82570,,,,,,,"ALBUMIN CREATININE RATIO, RANDOM URINE",70.5,70.5,16.93,29.65,28.15,,16.93,,18.81,,,,,,,18.81,22.77,,29.65,,
64023,300,80167,,,,,,,FELBAMATE LEVEL SERUM,55.75,55.75,76.52,76.52,,,,,,,76.52,,,,,,,,,,
64024,300,83520,,,,,,,GM1 IgG AUTOANTIBODY,371.75,371.75,135.62,147.81,147.81,,,,,,,,,,,,135.62,,144.38,,
64025,300,83520,,,,,,,GM1 IgM AUTOANTIBODY,371.75,371.75,135.62,147.81,147.81,,,,,,,,,,,,135.62,,144.38,,
64026,300,83883,,,,,,,RETINOL-BINDING PROTEIN,26.25,26.25,57.56,87.17,58.84,,,,,,,,,,,,57.56,,87.17,,
64027,300,86769,,,,,,,COVID ANTIBODY NUCLEOCAPSID AND SPIKE,265.75,265.75,37.85,55.3,55.3,,37.85,,37.85,,,,,,,,54.13,,53.13,,
64028,300,84591,,,,,,,VITAMIN B5,784.5,784.5,,,,,,,,,,,,,,,,,,,
64029,300,85598,,,,,,,ANTIPHOSPHOLIPID SYNDROME PROFILE,1812,1812,,,,,,,,,,,,,,,,,,,
64030,300,83789,,,,,,,"IODINE, RANDOM URINE",187.75,187.75,71.5,71.5,,,,,,,,,,,,,71.5,,,,
64031,300,86008,,,,,,,"ALPHA GALACTOSE 1,3 IgE SERUM",110.25,110.25,,,,,,,,,,,,,,,,,,,
64032,300,86003,,,,,,,MILK IGE,74.25,74.25,270.9,270.9,,,,,,,,,,,,,270.9,,,,
64033,310,88381,,,,,,,PATHOLOGY FEE MICRODISSECT MANUAL,475,475,,,,,,,,,,,,,,,,,,,
64034,306,87040,,,,,,,BLOOD CULTURE #1 PCH,248,248,60.9,100.31,,,87.77,,100.31,,,,,,,60.9,93.47,,95.36,,
64035,306,87040,,,,,,,BLOOD CULTURE #2 PCH,248,248,60.9,100.31,,,87.77,,100.31,,,,,,,60.9,93.47,,95.36,,
64036,306,87086,,,,,,,URINE CULTURE PCH,176.5,176.5,0,138.6,97.48,,10.97,,30.18,,138.6,,,,,0,57.07,,71.1,,
64037,300,86592,,,,,,,SYPHILIS TEST (RPR) WITH REFLEX,57.75,57.75,22.55,37.9,22.55,,,,,,,,,,,37.85,23.1,,37.9,,
64038,300,84153,,,,,,,"PSA, ULTRASENSITIVE",92.25,92.25,65.65,132.21,,,,,,,132.21,,,,,,65.65,,70.16,,
64039,306,87077,,,,,,,"CULTURE, IDENTIFICATION x 1",91.5,91.5,0,71.78,37.52,,7.55,,,,71.78,,,,,0,28.83,,44.54,,
64040,306,87186,,,,,,,"CULTURE, MIC SENSITIVITY x 1",91.5,91.5,0,71.78,37.52,,7.55,,,,71.78,,,,,0,28.88,,44.54,,
64041,306,87077,,,,,,,"CULTURE, IDENTIFICATION x 2",182.75,182.75,0,71.78,37.52,,7.55,,,,71.78,,,,,0,28.83,,44.54,,
64042,306,87186,,,,,,,"CULTURE, MIC SENSITIVITY x 2",182.75,182.75,0,71.78,37.52,,7.55,,,,71.78,,,,,0,28.88,,44.54,,
64043,306,87186,,,,,,,"CULTURE, ADD ON SENSITIVITY",97.75,97.75,0,71.78,37.52,,7.55,,,,71.78,,,,,0,28.88,,44.54,,
64044,300,81270,,,,,,,JAK2 MUTATION QUALITATIVE,593.25,593.25,,,,,,,,,,,,,,,,,,,
64045,300,87486,,,,,,,RESPIRATORY PATHOGEN PROFILE PCR,1119,1119,426.2,426.2,,,,,,,,,,,,,426.2,,,,
64046,300,87077,,,,,,,AEROBIC ID AND SUSCEPTIBILITY,72,72,,,,,,,,,,,,,,,,,,,
64047,300,86780,,,,,,,SYPHILIS TP-PA CASCADE,108.75,108.75,65.25,65.25,,,65.25,,,,,,,,,,,,,,
64048,300,86880,,,,,,,DIRECT ANTIHUMAN GLOBULIN TEST,56,56,22.37,22.37,,,,,,,,,,,,,,,22.37,,
64049,300,82784,,,,,,,IMMUNOGLOBULINS QUANTITATIVE,68.25,68.25,87.27,117.31,117.31,,,,,,,,,,,,87.27,,111.01,,
64051,300,86710,,,,,,,INFLUENZA TITER,50.25,50.25,,,,,,,,,,,,,,,,,,,
64117,300,83500,,,,,,,HYDROXYPROLINE FREE,83.75,83.75,,,,,,,,,,,,,,,,,,,
64129,300,83505,,,,,,,HYDROXYPROLINE TOTAL,90,90,,,,,,,,,,,,,,,,,,,
64130,300,80375,,,,,,,GOLD,274.75,274.75,,,,,,,,,,,,,,,,,,,
64166,300,86162,,,,,,,COMPLEMENT TOTAL HEMOLYTIC (CH50),190.5,190.5,76.13,76.13,,,,,,,,,,,,,76.13,,,,
64178,300,86160,,,,,,,COMPLEMENT ANTIGEN (C3),193.75,193.75,74.05,79.34,79.34,,,,,,,,,,,,74.05,,77.49,,
64180,300,82530,,,,,,,CORTISOL URINE FREE,213.5,213.5,,,,,,,,,,,,,,,,,,,
64191,300,82627,,,,,,,DEHYDROEPIANDROSTERONE-SULFATE (DHEA-S),169.5,169.5,64.5,64.5,,,,,,,,,,,,,64.5,,,,
64208,300,80170,,,,,,,GENTAMYCIN PEAK,242.75,242.75,92.4,97.02,,,,,,,,,,,,,92.4,,97.02,,
64210,300,80345,,,,,,,BARBITURATES (BLOOD),1040.5,1040.5,,,,,,,,,,,,,,,,,,,
64269,300,84588,,,,,,,ANTI-DIURETIC HORMONE  (VASOPRESSIN),364.75,364.75,,,,,,,,,,,,,,,,,,,
64294,300,82135,,,,,,,"AMINOLEVULINIC ACID, DELTA (ALA)",60.75,60.75,,,,,,,,,,,,,,,,,,,
64300,300,80335,,,,,,,AMITRIPTYLINE (ELAVIL),59.75,59.75,,,,,,,,,,,,,,,,,,,
64312,300,84030,,,,,,,PHENYLALANINE (PKU) BLOOD,84.75,84.75,,,,,,,,,,,,,,,,,,,
64324,300,80173,,,,,,,HALDOL,108.25,108.25,,,,,,,,,,,,,,,,,,,
64336,300,87207,,,,,,,SMEAR PRIMARY INTERP SPECIAL STN MALARIA,71.25,71.25,,,,,,,,,,,,,,,,,,,
64397,300,86325,,,,,,,IMMUNOELECTROPHORESIS OTHER FLUIDS-URINE,306,306,,,,,,,,,,,,,,,,,,,
6440,480,92960,,,,,,,CARDIOVERSION ELECTIVE,1436.25,1436.25,574.46,574.46,,,,,,,,,,,,,574.46,,,,
64415,300,82626,,,,,,,DEHYDROEPIANDROSTERONE  (DHEA),213,213,82.45,82.45,,,,,,,,,,,,,82.45,,,,
64440,300,83945,,,,,,,OXYLATE URINE,125.75,125.75,,,,,,,,,,,,,,,,,,,
64452,300,84560,,,,,,,URIC ACID OTHER SOURCE,52,52,,,,,,,,,,,,,,,,,,,
64476,300,80346,,,,,,,TRANXENE,59.5,59.5,85.33,85.33,,,,,,,,,,,,85.33,,,,,
64506,300,86376,,,,,,,ANTI TPO,217,217,30.53,30.53,,,,,,,,,,,,,30.53,,,,
64518,300,86800,,,,,,,ANTI-THYROGLOBULIN ANTIBODIES,191.5,191.5,8.87,8.87,,,,,,,,,,,,,8.87,,,,
64520,300,86713,,,,,,,LEGIONELLA,56.5,56.5,,,,,,,,,,,,,,,,,,,
64543,300,86777,,,,,,,TOXOPLASMOSIS ANTIBODY IgG,180.25,180.25,,,,,,,,,,,,,,,,,,,
64555,300,86738,,,,,,,MYCOPLASMA,215,215,,,,,,,,,,,,,,,,,,,
64579,300,86317,,,,,,,EPSTEIN-BARR VIRAL IGG,111.25,111.25,,,,,,,,,,,,,,,,,,,
64609,300,87070,,,,,,,CULT SPUTUM-Gm Stain Eval w/Reflex Cult,122.5,122.5,47.77,60,47.77,,,,,,,,,,,,,,60,,
64610,300,86000,,,,,,,TULAREMIA TITER,262,262,,,,,,,,,,,,,,,,,,,
64634,300,87210,,,,,,,WET MOUNT WITH SIMPLE STAIN,72.75,72.75,27.42,30.18,,,,,,,,,,,,30.18,27.42,,,,
64646,300,86645,,,,,,,CYTOMEGALOVIRUS IgM,127,127,,,,,,,,,,,,,,,,,,,
64950,300,87116,,,,,,,ACID FAST SMEAR AND CULTURE,868.75,868.75,330.9,347.5,,,,,,,,,,,,,330.9,,347.5,,
64951,300,87116,,,,,,,LACTOSE TOLERANCE TEST,50.5,50.5,330.9,347.5,,,,,,,,,,,,,330.9,,347.5,,
64952,300,83516,,,,,,,SOLUBLE LIVER ANTIGEN IGG ANTIBODY,354,354,36.8,82.8,82.8,,,,,,,,,,,,38.64,,36.8,,
64953,300,83516,,,,,,,AUTOIMMUNE LIVER DISEASE PROFILE(RDL),1703.5,1703.5,36.8,82.8,82.8,,,,,,,,,,,,38.64,,36.8,,
64954,300,80150,,,,,,,"AMIKACIN, TROUGH",45.24,45.24,,,,,,,,,,,,,,,,,,,
64955,300,80150,,,,,,,"AMIKACIN,PEAK",45.24,45.24,,,,,,,,,,,,,,,,,,,
64956,300,86235,,,,,,,"ANTI-CHROMATIN AB, IGG",309.75,309.75,23.45,23.45,,,,,,,,,,,,,23.45,,,,
64957,300,83516,,,,,,,ANTI-RIBOSOMAL P PROTEIN AB,295.5,295.5,36.8,82.8,82.8,,,,,,,,,,,,38.64,,36.8,,
64958,300,83921,,,,,,,"METHYLMALONIC ACID, URINE",213.75,213.75,225.66,248.64,,,,,,,,,,,,,225.66,,248.64,,
64959,300,83516,,,,,,,MYOMARKER 3 PLUS PROFILE,4477,4477,36.8,82.8,82.8,,,,,,,,,,,,38.64,,36.8,,
64960,300,82657,,,,,,,Neutrophil Oxidative Burst Test,511.05,511.05,,,,,,,,,,,,,,,,,,,
6605,761,97597,,,,,,,WOUND CARE ACTIVE 20 CM<,312,312,0,118.17,,,0,,,,,,,,,,118.17,,115.44,,
6606,761,97598,,,,,,,WOUND CARE ACTIVE > 20 CM EACH ADDTL,298.75,298.75,113.32,113.32,,,,,,,,,,,,,113.32,,,,
6607,761,97602,,,,,,,WOUND CARE NON SELECTIVE DEBRIDEMENT,395.5,395.5,152.15,154.37,,,,,,,,,,,,,152.15,,154.37,,
6611,761,97605,,,,,,,WOUND VAC <= 50 SQ CM,341.25,341.25,126.57,126.57,,,,,,,,,,,,,126.57,,,,
6613,761,11042,,,,,,,"DEBRIDE, SUBS TISSUE FIRST 20CM",1431.5,1431.5,554.99,1150.03,586.2,,1150.03,,1150.03,,,,,,,,554.99,,572.57,,
6614,761,11045,,,,,,,"DEBRIDE, SUBS TISSUE EA ADDTL 20CM",288.75,288.75,113,113,,,,,,,,,,,,,113,,,,
6615,761,11043,,,,,,,"DEBRIDE, MUSCLE/FASCIA FIRST 20CM",1437.25,1437.25,,,,,,,,,,,,,,,,,,,
6616,761,11046,,,,,,,"DEBRIDE, MUSCLE/FASCIA EA ADDTL 20 CM",628.25,628.25,,,,,,,,,,,,,,,,,,,
6617,761,11044,,,,,,,"DEBRIDE, BONE FIRST 20CM",3156.5,3156.5,1202.5,1202.5,,,,,,,,,,,,,1202.5,,,,
6618,761,11047,,,,,,,"DEBRIDE, BONE EACH ADDTL 20CM",1124.5,1124.5,428.4,428.4,,,,,,,,,,,,,428.4,,,,
6619,761,10060,,,,,,,INCISION AND DRAINAGE ABSCESS SIMPLE,395.5,395.5,,,,,,,,,,,,,,,,,,,
6621,761,10140,,,,,,,I AND D OF HEMATOMA SEROMA OR FLUID COLL,3156.5,3156.5,,,,,,,,,,,,,,,,,,,
6623,761,11000,,,,,,,DEBRIDE REMOVAL OF ECZEMATOUS TISSUE,1437.25,1437.25,,,,,,,,,,,,,,,,,,,
6624,761,11001,,,,,,,DEBRIDE REM OF TISSUE EACH ADDL 10%,156.5,156.5,,,,,,,,,,,,,,,,,,,
6626,761,16000,,,,,,,INIT TREATMENT FIRST DEGREE BURN,395.5,395.5,,,,,,,,,,,,,,,,,,,
6627,761,16020,,,,,,,DSG AND/OR DEBRIDE PARTL THICKNESS BURN,395.5,395.5,,,,,,,,,,,,,,,,,,,
6628,761,16025,,,,,,,DSG AND/OR DEBRIDE PARTL THICKNESS BURN,756.75,756.75,,,,,,,,,,,,,,,,,,,
6629,761,16030,,,,,,,DSG AND/OR DEBRIDE PARTL THICKNESS BURN,756.75,756.75,,,,,,,,,,,,,,,,,,,
6630,761,17250,,,,,,,CHEM CAUTERIZATION OF GRANULATION TIS,395.5,395.5,,,,,,,,,,,,,,,,,,,
6631,761,29580,,,,,,,APPLICATION OF UNNA BOOT,400.5,400.5,,,,,,,,,,,,,,,,,,,
6632,761,29581,,,,,,,APPL OF MULTILAYER VENOUS WND COMP LOWER,400.5,400.5,,,,,,,,,,,,,,,,,,,
6635,761,99202,,,,,,,NEW PT WOUND CARE LEVEL 2,527.75,527.75,68.83,69.73,,,,,,,,,,,,,69.73,,68.83,,
6636,761,99203,,,,,,,NEW PT WOUND CARE LEVEL 3,815.75,815.75,,,,,,,,,,,,,,,,,,,
6637,761,99204,,,,,,,NEW PT WOUND CARE LEVEL 4,1367.75,1367.75,,,,,,,,,,,,,,,,,,,
6638,761,99205,,,,,,,NEW PT WOUND CARE LEVEL 5,1779,1779,,,,,,,,,,,,,,,,,,,
6639,761,99211,,,,,,,EST PT WOUND CARE LEVEL 1,96.25,96.25,533.8,533.8,,,533.8,,,,,,,,,,,,,,
6640,761,99212,,,,,,,EST PT WOUND CARE LEVEL 2,479,479,67.36,534.85,84.9,,471.76,,468.44,,,,,,,534.85,67.36,,76.76,,
6641,761,99213,,,,,,,EST PT WOUND CARE LEVEL 3,532,532,205.98,640.61,,,640.61,,,,,,,,,,,,205.98,,
6642,761,99214,,,,,,,EST PT WOUND CARE LEVEL 4,814.25,814.25,313.56,640.61,321.85,,640.61,,,,,,,,,,,,313.56,,
6643,761,99215,,,,,,,EST PT WOUND CARE LEVEL 5,1154.75,1154.75,,,,,,,,,,,,,,,,,,,
6648,983,99212,,,,,,,PF EST PT LVL 2 CHF,101.25,101.25,40.16,41.08,41.08,,,,,,,,,,,,40.16,,,,
6650,410,94664,,,,,,,MDI INSTRUCTION-COPD CLINIC,102.5,102.5,0,0,,,0,,,,,,,,,,,,,,
6651,412,94640,,,,,,,MISTY NEB INITIAL-COPD CLINIC,445.5,445.5,164.08,909.72,,,909.72,,,,,,,,,,164.08,,178.2,,
6652,410,94761,,,,,,,O2 SAT MUTIPLE DETERMINATIONS-COPD,136.25,136.25,,,,,,,,,,,,,,,,,,,
6653,983,99212,,,,,,,PF MIDLVL VISIT-COPD CLINIC,101.25,101.25,40.16,41.08,41.08,,,,,,,,,,,,40.16,,,,
6655,761,96366,,,,,,,IV INFUSION ADD'L HR-CHF COPD CLINIC,197,197,0,458.63,79.47,,0,,458.63,,,,,,,,74.25,,131.37,,
6656,761,96374,,,,,,,IVP SINGLE OR INITIAL CHF/COPD CLINIC,181.75,181.75,0,156.83,156.83,,0,,,,,,,,,,68.45,,70.95,,
6661,761,15271,,,,,,,APPL SKIN SUB UP TO 100 SQ CM 1ST 25 SQ,2860.25,2860.25,,,,,,,,,,,,,,,,,,,
6662,761,15272,,,,,,,APPL SKIN SUB EACH ADDTL 25 SQ CM,36,36,,,,,,,,,,,,,,,,,,,
6663,761,15273,,,,,,,APPL SKIN SUB 1ST 100 SQ CM,4942.25,4942.25,,,,,,,,,,,,,,,,,,,
6664,761,15274,,,,,,,APPL SKIN SUB EA ADDTL 100 SQ CM,95.25,95.25,,,,,,,,,,,,,,,,,,,
6665,761,15275,,,,,,,APPL SKIN SUB 1ST 25 SQ CM,2860.25,2860.25,,,,,,,,,,,,,,,,,,,
6666,761,15276,,,,,,,APPL SKIN SUB EACH ADDTL 25 SQ CM,51,51,,,,,,,,,,,,,,,,,,,
6667,761,15277,,,,,,,APPL SKIN SUB 1ST 100 SQ CM,2860.25,2860.25,,,,,,,,,,,,,,,,,,,
6668,761,15278,,,,,,,APPL SKIN SUB EA ADDTL 100 SQ CM,118.75,118.75,,,,,,,,,,,,,,,,,,,
6701,981,12041,,,,,,,PF L CLOSURE HFEG 2.5 CM OR LESS,597.5,597.5,,,,,,,,,,,,,,,,,,,
6737,981,12005,,,,,,,PF SIM REPAIR 12.6 TO 20.0 CM,422.75,422.75,,,,,,,,,,,,,,,,,,,
6749,981,12006,,,,,,,PF SIM REPAIR 20.1 TO 30.0 CM,517,517,,,,,,,,,,,,,,,,,,,
6750,981,12031,,,,,,,PF L CLOSURE 2.5CM OR LESS (SATE),614,614,,,,,,,,,,,,,,,,,,,
6762,981,12032,,,,,,,PF L CLOSURE 2.6 TO 7.5CM  (SATE),763,763,,,,,,,,,,,,,,,,,,,
6774,981,12034,,,,,,,PF L CLOSURE 7.6 TO 12.5 (SATE),840.5,840.5,,,,,,,,,,,,,,,,,,,
6786,981,12035,,,,,,,PF L CLOSURE 12.6 TO 20.0 CM (SATE),1001.75,1001.75,,,,,,,,,,,,,,,,,,,
6816,981,28630,,,,,,,PF CLOSED JOINT DISLOCATE/WO ANES,461.25,461.25,,,,,,,,,,,,,,,,,,,
6828,981,51702,,,,,,,PF INSERT FOLEY CATHETER,107.5,107.5,,,,,,,,,,,,,,,,,,,
6830,981,31500,,,,,,,PF INTUBATION ENDOTRACHEAL EMERG,611.25,611.25,,,,,,,,,,,,,,,,,,,
6841,981,36410,,,,,,,PF VENI OVER 3 YEARS - ADULT,39.25,39.25,,,,,,,,,,,,,,,,,,,
6853,981,36600,,,,,,,PF ARTERIAL PUNCTURE,65,65,,,,,,,,,,,,,,,,,,,
6865,981,36430,,,,,,,PF TRANSFUSION,132,132,,,,,,,,,,,,,,,,,,,
6889,981,12036,,,,,,,PF L CLOSURE 20.0 TO 30.0 CM (SATE),1189.5,1189.5,,,,,,,,,,,,,,,,,,,
6890,981,12001,,,,,,,PF SIMPLE REPAIR 2.5 CM OR LESS,193,193,51.79,51.79,,,,,,,,,,,,,51.79,,,,
6891,981,11760,,,,,,,PF REPAIR NAIL BED,465.75,465.75,,,,,,,,,,,,,,,,,,,
69000,510,99204,,,,,,,OFFICE VISIT NEW PT E/M COUMADIN CLINIC,359,359,140.12,140.12,,,,,,,,,,,,,140.12,,,,
69001,510,99213,,,,,,,OFFICE VISIT EST PT E/M COUMADIN CLINIC,285.25,285.25,109.95,109.95,,,,,,,,,,,,,109.95,,,,
69002,300,85610,,,,,,,FINGER STICK- PT/INR,99.25,99.25,0,70.95,43.86,,0,,,,70.95,,,,,0.59,35.39,,45.93,,
6907,981,12002,,,,,,,PF SIMPLE REPAIR 2.6 CM TO 7.5 CM,259,259,68.3,68.3,,,,,,,,,,,,,68.3,,,,
6919,981,12015,,,,,,,PF SIM REPAIR FACE 7.6CM - 12.5CM,420.5,420.5,,,,,,,,,,,,,,,,,,,
6920,981,12011,,,,,,,PF SIM REPAIR FACE 2.5CM OR LESS,244.5,244.5,0,64.32,,,,,,,,,,,,,64.32,,0,,
6932,981,12013,,,,,,,PF SIM REPAIR FACE 2.6CM - 5.0CM,260.75,260.75,68.2,68.2,,,,,,,,,,,,,68.2,,,,
6968,981,10140,,,,,,,PF INC & DRAINAGE OF HEMOTOMA SIM,482.25,482.25,,,,,,,,,,,,,,,,,,,
6970,981,10120,,,,,,,PF INC & REM OF FOREIGN BODY SIMP,408,408,,,,,,,,,,,,,,,,,,,
6981,981,92950,,,,,,,CPR (EG IN CARDIAC ARREST),774,774,,,,,,,,,,,,,,,,,,,
6993,981,11730,,,,,,,PF AVULSION OF NAIL PLATE SIMPLE,223.5,223.5,,,,,,,,,,,,,,,,,,,
70016,390,,,,,,,,AUTOLOGOUS UNITS (WHOLE BLOOD/RED CELLS),654,654,291.8,445.88,,,,445.88,,,,,,,,,,,291.8,,
70032,390,,,,,,,,PLASMAPHERESIS,2213.75,2213.75,291.8,445.88,,,,445.88,,,,,,,,,,,291.8,,
70033,300,,,,,,,,ANTIBODY WORKUP,1346.75,1346.75,0,158.9,0,,0,158.9,,,,,118.08,,,,,60.93,23.47,,
70034,390,,,,,,,,DISTANCE SERVICE FEE,234.25,234.25,291.8,445.88,,,,445.88,,,,,,,,,,,291.8,,
70035,300,,,,,,,,ANTIBODY WORKUP,400.5,400.5,0,158.9,0,,0,158.9,,,,,118.08,,,,,60.93,23.47,,
70036,300,,,,,,,,ANTIBODY WORKUP,622.25,622.25,0,158.9,0,,0,158.9,,,,,118.08,,,,,60.93,23.47,,
70037,300,,,,,,,,ANTIBODY WORKUP,347.25,347.25,0,158.9,0,,0,158.9,,,,,118.08,,,,,60.93,23.47,,
70039,300,,,,,,,,ANTIBODY WORKUP,1105.25,1105.25,0,158.9,0,,0,158.9,,,,,118.08,,,,,60.93,23.47,,
70040,390,P9016,,,,,,,RBC LEUKOCYTE-POOR HUMAN,766,766,293.03,293.03,,,,,,,,,,,,,293.03,,,,
70045,390,P9059,,,,,,,FRESH FROZEN PLASMA 24HR,170.5,170.5,65.98,65.98,,,,,,,,,,,,,65.98,,,,
70046,390,P9058,,,,,,,RBC LRC CMV- IRR EA UNIT,1094,1094,,,,,,,,,,,,,,,,,,,
70047,390,P9040,,,,,,,RBC LRC IRR EA UNIT,1019.75,1019.75,,,,,,,,,,,,,,,,,,,
70048,390,P9053,,,,,,,PLT PHRS LRC CMV- IRR EA UNIT,1882,1882,,,,,,,,,,,,,,,,,,,
70049,390,P9037,,,,,,,PLT PHRS LRC IRR EA UNIT,1722.75,1722.75,,,,,,,,,,,,,,,,,,,
70050,390,P9073,,,,,,,PLT PHRS PATH REDUCED EA UNIT,1845.5,1845.5,,,,,,,,,,,,,,,,,,,
70075,390,,,,,,,,CRYOPRECIPITATE (HUMAN),167,167,291.8,445.88,,,,445.88,,,,,,,,,,,291.8,,
70099,390,P9017,,,,,,,FRESH FROZEN PLASMA,170.5,170.5,,,,,,,,,,,,,,,,,,,
70105,390,,,,,,,,PLASMA PROTEIN FRACTION 5% 250,57,57,291.8,445.88,,,,445.88,,,,,,,,,,,291.8,,
70178,300,86902,,,,,,,ANTIGEN I,260,260,,,,,,,,,,,,,,,,,,,
70179,300,86902,,,,,,,ANTIGEN II,192.75,192.75,,,,,,,,,,,,,,,,,,,
70191,390,,,,,,,,HLA MATCH,808.5,808.5,291.8,445.88,,,,445.88,,,,,,,,,,,291.8,,
7023,710,,,,,,,,RECOVERY ROOM ADDITIONAL 15 MIN,118.5,118.5,0,235.65,,,0,235.65,,,,,,,,,,,183.78,,
70257,390,P9034,,,,,,,SINGLE DONOR PLATELETS,1490.25,1490.25,,,,,,,,,,,,,,,,,,,
70258,391,36430,,,,,,,BLOOD ADMIN ACUTE 1 HR,1078.25,1078.25,582.92,641.4,,,,,,,,,,,,,582.92,,641.4,,
70259,391,36430,,,,,,,BLOOD ADMIN ACUTE 2 HRS,1347.25,1347.25,582.92,641.4,,,,,,,,,,,,,582.92,,641.4,,
70260,391,36430,,,,,,,BLOOD ADMIN ACUTE 3 HRS,1683.75,1683.75,582.92,641.4,,,,,,,,,,,,,582.92,,641.4,,
70261,391,36430,,,,,,,BLOOD ADMIN ACUTE 4 HRS,2104.75,2104.75,582.92,641.4,,,,,,,,,,,,,582.92,,641.4,,
70263,391,36430,,,,,,,BLOOD ADMIN CC/INF 1 HR,1078.25,1078.25,582.92,641.4,,,,,,,,,,,,,582.92,,641.4,,
70264,391,36430,,,,,,,BLOOD ADMIN CC/INF 2 HRS,1347.25,1347.25,582.92,641.4,,,,,,,,,,,,,582.92,,641.4,,
70265,391,36430,,,,,,,BLOOD ADMIN CC/INF 3 HRS,1683.75,1683.75,582.92,641.4,,,,,,,,,,,,,582.92,,641.4,,
70266,391,36430,,,,,,,BLOOD ADMIN CC/INF 4 HRS,2104.75,2104.75,582.92,641.4,,,,,,,,,,,,,582.92,,641.4,,
70268,391,36430,,,,,,,BLOOD ADMIN ER 1 HR,1078.25,1078.25,582.92,641.4,,,,,,,,,,,,,582.92,,641.4,,
70269,391,36430,,,,,,,BLOOD ADMIN ER 2 HRS,1347.25,1347.25,582.92,641.4,,,,,,,,,,,,,582.92,,641.4,,
7027,360,,,,,,,,I/P SURGERY 1ST 15MIN,1514.25,1514.25,877.3,2142.55,,,,2142.55,,,,,,,,,,877.3,,,
70270,391,36430,,,,,,,BLOOD ADMIN ER 3 HRS,1638.75,1638.75,582.92,641.4,,,,,,,,,,,,,582.92,,641.4,,
70271,391,36430,,,,,,,BLOOD ADMIN ER 4 HRS,2104.75,2104.75,582.92,641.4,,,,,,,,,,,,,582.92,,641.4,,
70272,391,36430,,,,,,,BLOOD ADMIN ER 5>HRS,2386,2386,582.92,641.4,,,,,,,,,,,,,582.92,,641.4,,
7028,360,,,,,,,,I/P SURGERY ADDTL 15MIN,505.5,505.5,877.3,2142.55,,,,2142.55,,,,,,,,,,877.3,,,
70283,390,,,,,,,,PLATELET FILTER,120,120,291.8,445.88,,,,445.88,,,,,,,,,,,291.8,,
7029,360,,,,,,,,O/P SURGERY PROCEDURE 1ST 15MIN,1883.5,1883.5,877.3,2142.55,,,,2142.55,,,,,,,,,,877.3,,,
70294,390,,,,,,,,PLALELETPHERESIS,1121.75,1121.75,291.8,445.88,,,,445.88,,,,,,,,,,,291.8,,
70295,390,P9055,,,,,,,SINGLE DONOR PLATELETS CMV NEG,1649.5,1649.5,,,,,,,,,,,,,,,,,,,
7030,360,,,,,,,,O/P SURGERY PROCEDURE ADD'TL 15MIN,419.5,419.5,877.3,2142.55,,,,2142.55,,,,,,,,,,877.3,,,
7032,360,,,,,,,,MINOR O/P PROCEDURE 1ST 15MIN,1256.25,1256.25,877.3,2142.55,,,,2142.55,,,,,,,,,,877.3,,,
7033,360,,,,,,,,MINOR O/P PROCEDURE ADD'TL 15MIN,419.5,419.5,877.3,2142.55,,,,2142.55,,,,,,,,,,877.3,,,
7034,360,,,,,,,,O/P SURGERY CATARACT,3649.5,3649.5,877.3,2142.55,,,,2142.55,,,,,,,,,,877.3,,,
7100,982,99217,,,,,,,PF OBSERVATION DISCHARGE,288,288,80.26,80.26,80.26,,,,,,,,,,,,,,,,
7101,982,99218,,,,,,,PF OBSERVATION LVL 1 (23 HRS),401,401,109.97,110.27,110.27,,,,,,,,,,,,109.97,,,,
7102,982,99219,,,,,,,PF OBSERVATION LVL 2 (23 HRS),540.25,540.25,,,,,,,,,,,,,,,,,,,
7103,982,99220,,,,,,,PF OBSERVATION LVL 3 (23 HRS),738,738,,,,,,,,,,,,,,,,,,,
7104,982,99234,,,,,,,PF OBSERVATION ADMIT/DC SAME DAY,535.5,535.5,,,,,,,,,,,,,,,,,,,
711,460,94010,,,,,,,PEFR,438,438,166.8,179.31,179.31,,,,,,,,,,,,166.8,,,,
7110,982,99224,,,,,,,PF-SUBSEQUENT OBSERVATION CARE,159,159,,,,,,,,,,,,,,,,,,,
7111,987,99221,,,,,,,PF INIT HOSP VISIT LOW HOSPITALIST,412.25,412.25,,,,,,,,,,,,,,,,,,,
7112,987,99222,,,,,,,PF INIT HOSP VISIT MOD  HOSPITALIST,552.75,552.75,,,,,,,,,,,,,,,,,,,
7113,987,99223,,,,,,,PF INIT HOSP VISIT HIGH  HOSPITALIST,806.75,806.75,,,,,,,,,,,,,,,,,,,
7114,987,99231,,,,,,,PF SUBS HOSP VISIT LOW HOSPITALIST,158,158,,,,,,,,,,,,,,,,,,,
7115,987,99232,,,,,,,PF SUBS HOSP VISIT MOD HOSPITALIST,287.5,287.5,,,,,,,,,,,,,,,,,,,
7116,987,99233,,,,,,,PF SUBS HOSP VISIT HIGH HOSPITALIST,414,414,,,,,,,,,,,,,,,,,,,
7117,987,99238,,,,,,,PF HOSP DISCH 30 MIN OR LESS-HOSPITALST,289.25,289.25,,,,,,,,,,,,,,,,,,,
7118,982,99234,,,,,,,PF OBS ADM/DISCH SAME DAY HOSPITALIST,535.5,535.5,,,,,,,,,,,,,,,,,,,
7119,982,99217,,,,,,,PF OBS DISCHARGE HOSPITALIST,288,288,80.26,80.26,80.26,,,,,,,,,,,,,,,,
7120,982,99218,,,,,,,PF OBSERVATION CARE LOW HOSPITALIST,401,401,109.97,110.27,110.27,,,,,,,,,,,,109.97,,,,
7121,982,99219,,,,,,,PF OBSERVATION CARE MOD HOSPITALIST,540.25,540.25,,,,,,,,,,,,,,,,,,,
7122,982,99220,,,,,,,PF OBSERVATION CARE HIGH HOSPITALIST,738,738,,,,,,,,,,,,,,,,,,,
7123,982,99224,,,,,,,PF SUBS OBS CARE HOSPITALIST,159,159,,,,,,,,,,,,,,,,,,,
7124,987,99307,,,,,,,PF SUBS NURSING CARE  HOSPITALIST,173.75,173.75,,,,,,,,,,,,,,,,,,,
7125,987,99308,,,,,,,PF SUBS NURSING CARE  HOSPITALIST,259.75,259.75,,,,,,,,,,,,,,,,,,,
7134,360,,,,,,,,VITAL SIGN MONITORING,268.75,268.75,877.3,2142.55,,,,2142.55,,,,,,,,,,877.3,,,
7186,360,65800,,,,,,,PARACENTESIS OF ANT EYE W REM OF AQUEOUS,5284.5,5284.5,,,,,,,,,,,,,,,,,,,
7195,379,,,,,,,,INTRAVENOUS,240.5,240.5,0,680.89,223.69,,0,680.89,,,579.22,,,,,,304.27,323.7,422.22,,
72000,300,87186,,,,,,,SENSITIVITY STUDIES CONCENTRATION (MIC),98,98,,,,,,,,,,,,,,,,,,,
7211,361,36569,,,,,,,PICC LINE INSERTION-ACUTE,2397,2397,,,,,,,,,,,,,,,,,,,
7212,230,36584,,,,,,,PICC LINE REPLACEMENT-ACUTE,1266.5,1266.5,,,,,,,,,,,,,,,,,,,
7213,230,99213,,,,,,,PICC LINE REMOVAL-ACUTE,126.5,126.5,,,,,,,,,,,,,,,,,,,
7214,230,36593,,,,,,,DECLOT BY THROMBOLYTIC-ACUTE,206.5,206.5,,,,,,,,,,,,,,,,,,,
7215,402,76937,,,,,,,ULTRASOUND GUIDED PICC-ACUTE,1109.25,1109.25,,,,,,,,,,,,,,,,,,,
7216,361,36556,,,,,,,INSERT NONTUNNELED CVC AGE 5+-ACUTE,3014.75,3014.75,,,,,,,,,,,,,,,,,,,
7226,360,43239,,,,,,,EGD W BIOPSY,3317.5,3317.5,292.43,2935.57,,,,,2935.57,,,,,,,,885.2,,292.43,,
7227,360,43250,,,,,,,EGD c HOT BOX,4720.25,4720.25,,,,,,,,,,,,,,,,,,,
7228,360,45380,,,,,,,COLONOSCOPY W BIOPSY,3096,3096,959.99,3607.24,3607.24,,,,,,2139.02,,,,,,959.99,,2453.65,,
7229,360,47562,,,,,,,LAP CHOLECYSTECTOMY,15198,15198,3108.83,3108.83,,,,,,,,,,,,,,,3108.83,,
7230,360,44970,,,,,,,LAP APPENDECTOMY,15198,15198,,,,,,,,,,,,,,,,,,,
7231,360,49505,,,,,,,"OPEN INGUINAL HERNIA, AGE 5 AND UP",9747.5,9747.5,8751.2,8751.2,,,8751.2,,,,,,,,,,,,,,
7232,360,49650,,,,,,,LAP INGUINAL HERNIA,15198,15198,,,,,,,,,,,,,,,,,,,
7233,360,49652,,,,,,,LAP INCISIONAL /VENTRAL HERNIA,25605.75,25605.75,,,,,,,,,,,,,,,,,,,
7234,360,36563,,,,,,,PORT A CATH,14473.75,14473.75,,,,,,,,,,,,,,,,,,,
7235,360,55250,,,,,,,VASECTOMY,12982,12982,,,,,,,,,,,,,,,,,,,
7236,360,42825,,,,,,,TONSILLECTOMY UNDER AGE 12,11919,11919,,,,,,,,,,,,,,,,,,,
7237,360,42826,,,,,,,TONSILLECTOMY AGE 12 AND UP,10379.75,10379.75,,,,,,,,,,,,,,,,,,,
7238,360,42820,,,,,,,TONSILLECTOMY AND ADENOIDECTOMY UNDER 12,11175.75,11175.75,,,,,,,,,,,,,,,,,,,
7239,360,42821,,,,,,,TONSILLECTOMY AND ADENOIDECTOMY 12 UP,9034.5,9034.5,,,,,,,,,,,,,,,,,,,
7240,360,42830,,,,,,,ADENOIDECTOMY UNDER AGE 12,9903.75,9903.75,,,,,,,,,,,,,,,,,,,
7241,360,42831,,,,,,,ADENOIDECTOMY AGE 12 AND UP,14339.5,14339.5,,,,,,,,,,,,,,,,,,,
7242,360,42835,,,,,,,"ADENOIDECTOMY,2NDRY UNDER AGE 12",12830,12830,,,,,,,,,,,,,,,,,,,
7243,360,42836,,,,,,,"ADENOIDECTOMY,2NDRY AGE 12 AND UP",12830,12830,,,,,,,,,,,,,,,,,,,
7244,360,45330,,,,,,,SIGMOIDOSCOPY FLEXIBLE,2527.25,2527.25,,,,,,,,,,,,,,,,,,,
7245,360,11106,,,,,,,INCISIONAL BIOPSY SKIN SINGLE LESION,881,881,,,,,,,,,,,,,,,,,,,
7246,360,19125,,,,,,,EXCISION BREAST LESION(MARKER USED),8350.5,8350.5,,,,,,,,,,,,,,,,,,,
7247,360,19301,,,,,,,MASTECTOMY PARTIAL,8350.5,8350.5,,,,,,,,,,,,,,,,,,,
7248,360,21931,,,,,,,EXC TUMOR SOFT TIS BACK FLANK SUBS,3783.5,3783.5,,,,,,,,,,,,,,,,,,,
7249,360,24075,,,,,,,REMOVE SBCUTN SFTIS ARM/ELBOW TUMOR,3783.5,3783.5,,,,,,,,,,,,,,,,,,,
7250,360,25075,,,,,,,EXC TUMR SOFTIS FOREARM/WRIST SUBS,3783.5,3783.5,,,,,,,,,,,,,,,,,,,
7251,360,27618,,,,,,,EXC TUMR SOFTIS LEG/ANKLE SUBS,3783.5,3783.5,,,,,,,,,,,,,,,,,,,
7252,360,29881,,,,,,,ARTHRS KNEE W MENISCECTOMY,7545.25,7545.25,,,,,,,,,,,,,,,,,,,
7253,360,36561,,,,,,,INSERTION TUNNELED CENTRALLY,7638.5,7638.5,1458.45,1458.45,1458.45,,,,,,,,,,,,,,,,
7254,360,36590,,,,,,,REMOVE TUNL VEN ACC DEV W/PRT/PUMP,1738.5,1738.5,,,,,,,,,,,,,,,,,,,
7255,360,36597,,,,,,,REPOSITIONING OF CENTRAL VEN CATH,4496.25,4496.25,,,,,,,,,,,,,,,,,,,
7256,360,38525,,,,,,,BIOPSY/REM LYMPH NODE ARMPIT,8350.5,8350.5,,,,,,,,,,,,,,,,,,,
7257,360,38792,,,,,,,IDENTIFY SENTINAL NODE,1015.25,1015.25,,,,,,,,,,,,,,,,,,,
7258,360,47563,,,,,,,LAPRSCOPY CHOLECYSTMY W CHOLANGIOG,13323.25,13323.25,,,,,,,,,,,,,,,,,,,
7259,360,49585,,,,,,,REPAIR UMBILICAL HERNIA 5+ YEARS,8570.5,8570.5,,,,,,,,,,,,,,,,,,,
7260,360,45331,,,,,,,SIGMOIDOSCOPY W BIOPSY,2105.75,2105.75,1763.37,1763.37,,,,,,,,,,,,,1763.37,,,,
7261,360,46230,,,,,,,"EXCISION OF EXT PAPILLAE OR TAGS, ANUS",7753.75,7753.75,,,,,,,,,,,,,,,,,,,
7262,360,46220,,,,,,,"EXCISION OF SNGLE PAPILLA OR TAG, ANUS",3321.75,3321.75,,,,,,,,,,,,,,,,,,,
7263,360,46930,,,,,,,"DESTRUCTION OF INT HEMORRHOID, THERM",3321.75,3321.75,,,,,,,,,,,,,,,,,,,
7264,360,46500,,,,,,,"INJ OF SCLEROSING SOLUTION, HEMORRHOIDS",2527,2527,,,,,,,,,,,,,,,,,,,
7265,360,46320,,,,,,,"EXC OF THROMBOSED HEMORRHOID, EXT",3321.75,3321.75,,,,,,,,,,,,,,,,,,,
7266,360,46250,,,,,,,HEMORRHOIDECTOMY EXT 2 OR MORE,7753.75,7753.75,,,,,,,,,,,,,,,,,,,
7267,360,46260,,,,,,,"HEMORRHOIDECTOMY INT AND EXT, SINGLE",7753.75,7753.75,,,,,,,,,,,,,,,,,,,
7268,360,46270,,,,,,,"SURG TREAT OF ANAL FISTULA, SUBCUTANEOUS",7753.75,7753.75,,,,,,,,,,,,,,,,,,,
7269,360,49651,,,,,,,"LAPAROSCOPY, REPAIR RECURR ING HERNIA",15988,15988,,,,,,,,,,,,,,,,,,,
7270,360,49650,50,,,,,,"LAPAROSCOPY, REPAIR INIT BILATERAL",31975.5,31975.5,,,,,,,,,,,,,,,,,,,
7271,360,49651,50,,,,,,"LAPAROSCOPY, RPR ING HERNIA REC BILATERA",31975.5,31975.5,,,,,,,,,,,,,,,,,,,
7272,360,49653,,,,,,,"LAPAROSCOPY, VENTRAL HERNIA REPAIR",15988,15988,,,,,,,,,,,,,,,,,,,
7273,360,49654,,,,,,,LAPAROSCOPIC INSIC HERNIA REPAIR,27826.75,27826.75,,,,,,,,,,,,,,,,,,,
7274,360,49655,,,,,,,LAP INSIC HERNIA RPR INCAR OR STRANGULAT,27826.75,27826.75,,,,,,,,,,,,,,,,,,,
7275,360,49656,,,,,,,LAP RECURR INCIS HERNIA REPAIR,27826.75,27826.75,,,,,,,,,,,,,,,,,,,
7276,360,45378,,,,,,,DIAGNOSTIC BRUSH/WASH COLONOSCOPY,2527,2527,1000.79,2228.19,2228.19,,,,1909.12,,,,,,,,1000.79,,1470.71,,
7277,360,G0121,,,,,,,MEDICARE SCREENING COLONOSCOPY,2527,2527,1063.03,1063.03,,,,,,,,,,,,,1063.03,,,,
7278,360,G0105,,,,,,,MEDICARE SCREENING COLONOSCOPY HIGH RISK,2527,2527,1199.96,1199.96,,,,,,,,,,,,,1199.96,,,,
7279,360,45381,,,,,,,COLONOSCOPY W SUBMUCOSAL INJECTION,3321.75,3321.75,,,,,,,,,,,,,,,,,,,
7280,360,45382,,,,,,,COLONOSCOPY W CONTROL BLEEDING,3321.75,3321.75,,,,,,,,,,,,,,,,,,,
7281,360,45384,,,,,,,COLONOSCOPY W RMVL/HOT BOX FORCEPS,3321.75,3321.75,,,,,,,,,,,,,,,,,,,
7282,360,45385,,,,,,,COLONOSCOPY W RMVL/SNARE TECHNIQUE,3321.75,3321.75,1008.12,1172.86,,,,,,,,,,,,,1008.12,,1172.86,,
7283,360,43235,,,,,,,EGD DIAGNOSTIC BRUSH WASH,2560,2560,921.17,2935.57,,,2935.57,,,,,,,,,,921.17,,,,
7284,360,43236,,,,,,,EGD W SUBMUCOSAL INJECTION,2600,2600,,,,,,,,,,,,,,,,,,,
7285,360,43251,,,,,,,EGD REM TUMOR/POLYP/LESION W SNARE TECH,5151.5,5151.5,,,,,,,,,,,,,,,,,,,
7286,360,43248,,,,,,,EGD GUIDE WIRE INSERTION,2600,2600,,,,,,,,,,,,,,,,,,,
7287,360,43247,,,,,,,EGD REMOVE FOREIGN BODY,2600,2600,,,,,,,,,,,,,,,,,,,
7288,360,43249,,,,,,,EGD BALLOON DILATION ESOPH <30MM,5151.5,5151.5,921.17,921.17,,,,,,,,,,,,,921.17,,,,
7289,360,43233,,,,,,,EGD BALLOON DILATION ESOPH 30MM OR LRGR,5151.5,5151.5,,,,,,,,,,,,,,,,,,,
7290,360,43450,,,,,,,DILATE ESOPHAGUS BY UNGUIDED SOUND,2600,2600,,,,,,,,,,,,,,,,,,,
7291,360,49560,,,,,,,REP INIT INCISIONAL OR VENT HERNIA REDUC,10284.5,10284.5,,,,,,,,,,,,,,,,,,,
7292,360,49561,,,,,,,REP INIT INCIS HERNIA INCARC OR STRANGLE,10284.5,10284.5,,,,,,,,,,,,,,,,,,,
7293,360,49565,,,,,,,REP RECU INCIS OR VENTRAL HERNIA REDUC,15988,15988,,,,,,,,,,,,,,,,,,,
7294,360,49566,,,,,,,REP RECU INCIS OR VENTL HERNIA  INCAR/ST,15988,15988,,,,,,,,,,,,,,,,,,,
7296,360,49505,50,,,,,,REP INIT  INGUINALHERNIA  5+ BILATERAL,20568.75,20568.75,,,,,,,,,,,,,,,,,,,
7297,360,49507,,,,,,,REP INIT  INGUINAL HERNIA  INCAR/STRANG,10284.5,10284.5,,,,,,,,,,,,,,,,,,,
7298,379,,,,,,,,LOCAL,76,76,0,680.89,223.69,,0,680.89,,,579.22,,,,,,304.27,323.7,422.22,,
7299,360,49507,50,,,,,,REP INIT  ING HERNIA  BIL INCAR OR STRNG,20568.75,20568.75,,,,,,,,,,,,,,,,,,,
73003,730,93005,,,,,,,EKG-TC,251,251,19.32,197.18,115.11,,21.46,,96.59,,197.18,,,,,19.32,97.12,,135.75,,195.98
73005,730,93005,,,,,,,TRACING ONLY EKG,251,251,19.32,197.18,115.11,,21.46,,96.59,,197.18,,,,,19.32,97.12,,135.75,,195.98
73006,985,93010,,,,,,,EKG INTERP/REPORT ONLY (NOT EMPLOYED),34.25,34.25,0,26.82,14.88,,21.47,,,,26.82,,,,,,9.24,,0,,
73008,985,G0405,,,,,,,EKG SCREEN INTERP/RPT ONLY (NOT EMPLYD),34.25,34.25,,,,,,,,,,,,,,,,,,,
7303,360,47600,,,,,,,LAPAROSCOPIC CHOLECYSTECTOMY OPEN,6063.75,6063.75,,,,,,,,,,,,,,,,,,,
7304,360,47605,,,,,,,LAPAROSCOPIC CHOLE W INTRA CHOLANGIOGRAM,9812.25,9812.25,,,,,,,,,,,,,,,,,,,
7305,360,46255,,,,,,,HEMORRHOIDECTOMY INT AND EXT SINGLE COL/,7938,7938,,,,,,,,,,,,,,,,,,,
7306,360,49657,,,,,,,LAPAROSCOPY INCARCERATED OR STRANGLE,7938,7938,,,,,,,,,,,,,,,,,,,
7343,360,58670,,,,,,,LAPAROSCOPY TUBAL,13888.75,13888.75,,,,,,,,,,,,,,,,,,,
7344,360,49320,,,,,,,LAPAROSCOPY DIAGNOSTIC,13741,13741,,,,,,,,,,,,,,,,,,,
7345,360,58563,,,,,,,HYSTEROSCOPY D&C W/ ABLATION,15809.75,15809.75,,,,,,,,,,,,,,,,,,,
7346,360,58558,,,,,,,HYSTEROSCOPY D&C W/O ABLATION,10195.25,10195.25,,,,,,,,,,,,,,,,,,,
7348,360,58353,,,,,,,ENDOMETRIAL ABLATION WO HYSTEROSCOPY,6823.25,6823.25,,,,,,,,,,,,,,,,,,,
7349,360,57522,,,,,,,CONIZATION OF CERVIX LOOP ELECTRODE EXCS,7424,7424,,,,,,,,,,,,,,,,,,,
7350,360,58661,,,,,,,LAPAROSCOPY W REMOVAL OF ADNEXAL STRUCTR,13405.5,13405.5,,,,,,,,,,,,,,,,,,,
7351,982,62320,,,,,,,PF EPIDURAL W/O IMAGING,407.5,407.5,,,,,,,,,,,,,,,,,,,
7352,982,62321,,,,,,,PF EPIDURAL W IMAGING,438.75,438.75,,,,,,,,,,,,,,,,,,,
7353,982,64479,50,,,,,,PF SEL CERV/THORACIC BILATERAL,534.5,534.5,,,,,,,,,,,,,,,,,,,
7354,982,64479,,,,,,,PF SEL CERV/THORACIC,534.5,534.5,,,,,,,,,,,,,,,,,,,
7355,982,64480,,,,,,,PF EA ADDITIONAL LEVEL,258,258,,,,,,,,,,,,,,,,,,,
7356,982,62322,,,,,,,PF EPIDURAL STERIOD INJ LUMBAR/CAUDAL,346,346,,,,,,,,,,,,,,,,,,,
7357,982,62323,,,,,,,PF EPIDURAL STERIOD INJ LUMBAR/CAUDAL W,407.5,407.5,,,,,,,,,,,,,,,,,,,
7358,982,62326,,,,,,,PF LUMBAR CAUDAL INJ W CATH W/O IMAGING,359.75,359.75,,,,,,,,,,,,,,,,,,,
7359,982,62327,,,,,,,PF LUMBAR CAUDAL INJ W CATH W IMAGING,412.25,412.25,,,,,,,,,,,,,,,,,,,
7360,982,64483,50,,,,,,PF SEL LUMBAR ESI BILATERAL,454.25,454.25,,,,,,,,,,,,,,,,,,,
7361,982,64483,,,,,,,PF LUMBAR OR SACRAL SINGLE,454.25,454.25,,,,,,,,,,,,,,,,,,,
7362,982,64490,50,,,,,,PF FACET W FLUORO CERV/THOR BILATERAL,431.5,431.5,,,,,,,,,,,,,,,,,,,
7363,982,64490,,,,,,,PF INJ PRVT FACET W FLUORO CERV/THOR 1ST,431.5,431.5,,,,,,,,,,,,,,,,,,,
7364,982,64491,,,,,,,PF 2ND LEVEL ADDITION TO 64490,247.25,247.25,,,,,,,,,,,,,,,,,,,
7365,982,64492,,,,,,,PF 3+LEVELS IN ADDITION TO 64491/64492,250,250,,,,,,,,,,,,,,,,,,,
7366,982,64493,50,,,,,,PF FACET W FLUORO LUMB/SACR BILATERAL,363.25,363.25,,,,,,,,,,,,,,,,,,,
7367,982,64493,,,,,,,PF INJ PRVT FACET W FLUORO LUMB/SACR 1ST,363.25,363.25,,,,,,,,,,,,,,,,,,,
7368,982,64494,,,,,,,PF 2ND LEVEL ADDITION TO 64493,212.5,212.5,,,,,,,,,,,,,,,,,,,
7369,982,64495,,,,,,,PF 3+LEVELS IN ADDTN TO 64493 AND 64494,215,215,,,,,,,,,,,,,,,,,,,
7370,982,64640,,,,,,,PF OTHER PERIPHERAL NERVE OR BRANCH,476.75,476.75,,,,,,,,,,,,,,,,,,,
7371,982,64633,50,,,,,,PF CERVICAL/THORACIC BILATERAL,870.75,870.75,,,,,,,,,,,,,,,,,,,
7372,982,64633,,,,,,,RF CERVICAL/THORACIC FACET SINGLE,914.5,914.5,,,,,,,,,,,,,,,,,,,
7373,982,64634,,,,,,,PF CERVICAL/THORACIC FACET EA ADDTL,279.75,279.75,,,,,,,,,,,,,,,,,,,
7374,982,64635,50,,,,,,PF LUMBAR/SACRAL FACET BILATERAL,900,900,,,,,,,,,,,,,,,,,,,
7375,982,64635,,,,,,,PF LUMBAR/SACRAL FACET,900,900,,,,,,,,,,,,,,,,,,,
7376,982,64636,,,,,,,PF LUMBAR/SACRAL FACET EA ADDTL LEVEL,246,246,,,,,,,,,,,,,,,,,,,
7377,982,99152,,,,,,,PF INIT 15 MIN MODERATE SEDATION,50.25,50.25,,,,,,,,,,,,,,,,,,,
7378,982,99153,,,,,,,PF EACH ADDTL 15 MINUTES,40.75,40.75,,,,,,,,,,,,,,,,,,,
7379,982,63650,,,,,,,PF SCS TRIAL (SPECIFY LEAD PLACEMENT),1698.5,1698.5,,,,,,,,,,,,,,,,,,,
7380,361,60100,,,,,,,THYROID BIOPSY SURG COMP,1597.25,1597.25,,,,,,,,,,,,,,,,,,,
7381,982,64510,,,,,,,PF STELLATE GANGLION BLOCK CERVICAL,304,304,,,,,,,,,,,,,,,,,,,
7382,982,64520,,,,,,,PF LUMBAR SYMPATHETIC BLOCK,335.75,335.75,,,,,,,,,,,,,,,,,,,
7383,982,64530,,,,,,,PF CELIAC PLEXUS INJECTION,267.75,267.75,,,,,,,,,,,,,,,,,,,
7384,982,64620,,,,,,,PF INTERCOSTAL NERVE,710.5,710.5,,,,,,,,,,,,,,,,,,,
7385,982,27096,,,,,,,PF SI JOINT INJ IF CT OR FLUORO  USED,338.25,338.25,,,,,,,,,,,,,,,,,,,
7386,982,20552,,,,,,,PF  SI JOINT IF ULTRASOUND USED,160.5,160.5,,,,,,,,,,,,,,,,,,,
7388,982,76000,26,,,,,,PF FLUOROSCOPY(SCS),161.25,161.25,,,,,,,,,,,,,,,,,,,
7389,982,77003,26,,,,,,"PF FLUOROSCOPY(ESI,SEL,ESI SI JOINT)",382,382,,,,,,,,,,,,,,,,,,,
7390,982,77002,26,,,,,,PF FLUO/GUIDANCE OF NEEDLE PLACEMENT,407.5,407.5,,,,,,,,,,,,,,,,,,,
7391,982,76942,,,,,,,PF ULTRA GUIDANCE OF NEEDLE PLACEMENT,221.75,221.75,,,,,,,,,,,,,,,,,,,
7392,982,62290,,,,,,,PF LUMBAR,680,680,,,,,,,,,,,,,,,,,,,
7393,982,62291,,,,,,,PF CERV/THOR DISCOGRAM,649.25,649.25,,,,,,,,,,,,,,,,,,,
7394,982,72285,26,,,,,,PF CERV/THOR RADIOLOGICAL,468,468,,,,,,,,,,,,,,,,,,,
7395,982,72295,26,,,,,,"PF LUMBAR, RADIOLOGICAL",408,408,,,,,,,,,,,,,,,,,,,
7396,982,99217,,,,,,,PF OBS CARE DISCHARGE,289.25,289.25,80.26,80.26,80.26,,,,,,,,,,,,,,,,
7397,982,99218,,,,,,,PF INIT OBS DETAILED,401,401,109.97,110.27,110.27,,,,,,,,,,,,109.97,,,,
7398,982,99219,,,,,,,PF INIT OBS COMPLEX,540.25,540.25,,,,,,,,,,,,,,,,,,,
7399,982,99221,,,,,,,PF INIT HOSP DETAILED,412.25,412.25,,,,,,,,,,,,,,,,,,,
7400,982,99222,,,,,,,PF INIT HOSP COMPLEX,526.25,526.25,,,,,,,,,,,,,,,,,,,
7401,982,99223,,,,,,,PF INIT HOSP HIGH,806.75,806.75,,,,,,,,,,,,,,,,,,,
7402,982,99231,,,,,,,PF-SUBS HOSP LOW,158,158,,,,,,,,,,,,,,,,,,,
7403,982,99232,,,,,,,PF SUBS HOSP MODERATE,287.5,287.5,,,,,,,,,,,,,,,,,,,
7404,982,99233,,,,,,,PF SUBS HOSP HIGH,414,414,,,,,,,,,,,,,,,,,,,
7405,982,99238,,,,,,,PF HOSP DISCH 30 MINUTES,289.25,289.25,,,,,,,,,,,,,,,,,,,
7406,982,99239,,,,,,,PF HOSP DISCH 31+MIN,422.75,422.75,,,,,,,,,,,,,,,,,,,
7407,982,99251,,,,,,,PF INIT HOSP CONSULT FOCUSED,229.75,229.75,,,,,,,,,,,,,,,,,,,
7408,982,99252,,,,,,,PF INIT HOSP CONSULT EXPANDED,236.25,236.25,,,,,,,,,,,,,,,,,,,
7409,982,99253,,,,,,,PF INIT HOSP CONSULT DETAILED,345,345,,,,,,,,,,,,,,,,,,,
7410,982,99254,,,,,,,PF INIT HOSP CONSULT COMP,323.5,323.5,,,,,,,,,,,,,,,,,,,
7411,982,99255,,,,,,,PF INIT HOSP CONS COMP,326.5,326.5,,,,,,,,,,,,,,,,,,,
7412,982,62263,,,,,,,PF RACZ,1253.25,1253.25,,,,,,,,,,,,,,,,,,,
7413,982,62273,,,,,,,PF EPIDURAL BLOOD PATCH,463.75,463.75,,,,,,,,,,,,,,,,,,,
7414,982,64722,,,,,,,DECOMPRESS UNSPEC NERVE,1482.75,1482.75,,,,,,,,,,,,,,,,,,,
7415,982,64420,,,,,,,PF INTERCOSTAL NB SINGLE LEVEL,234.75,234.75,,,,,,,,,,,,,,,,,,,
7416,982,64421,,,,,,,PF INTERCOSTAL NB EA ADDTL LEVEL,104.75,104.75,,,,,,,,,,,,,,,,,,,
7417,982,64714,,,,,,,"PF-NEUROPLASTY, LUMBAR PLEXU",3064.25,3064.25,,,,,,,,,,,,,,,,,,,
7418,982,45378,,,,,,,PF DIAGNOSTIC COLONOSCOPY,631.75,631.75,0,541.35,541.35,,,,,,,,,,,,208.95,,0,,
7419,982,G0121,,,,,,,PF COLONOSCOPY SCREENING MED,633,633,216.88,216.88,,,,,,,,,,,,,216.88,,,,
7420,982,G0105,,,,,,,PF COLONOSCOPY SCREENING HIGH RISK,630.5,630.5,216.15,216.15,,,,,,,,,,,,,216.15,,,,
7421,982,45380,,,,,,,PF COLONOSCOPY AND BIOPSY,682.5,682.5,225.66,536.25,,,,,,,536.25,,,,,,225.66,,,,
7422,982,45381,,,,,,,PF COLONOSCOPY W SUBMUCOSAL INJECTION,682.5,682.5,,,,,,,,,,,,,,,,,,,
7423,982,45382,,,,,,,PF COLONOSCOPY W CONTROL BLEEDING,881.75,881.75,,,,,,,,,,,,,,,,,,,
7424,982,45384,,,,,,,PF COLONOSCOPY W REM HOT BIOPSY FORCEPS,781.25,781.25,,,,,,,,,,,,,,,,,,,
7425,982,45385,,,,,,,PF COLONOSCOPY W REM SNARE TECHNIQUE,867.25,867.25,287.62,287.62,,,,,,,,,,,,,287.62,,,,
7426,982,43235,,,,,,,PF EGD DIAGNOSTIC BRUSH WASH,417,417,0,138.54,,,0,,,,,,,,,,138.54,,,,
7427,982,43236,,,,,,,PF EGD W SUBMUCOSAL INJECTION,469.75,469.75,,,,,,,,,,,,,,,,,,,
7428,982,43239,,,,,,,PF EGD W BIOPSY SINGLE/MULTIPLE,470,470,155.47,155.47,,,,,,,,,,,,,155.47,,,,
7429,982,43250,,,,,,,PF EGD CAUTERY TUMOR POLYP,585,585,,,,,,,,,,,,,,,,,,,
7430,982,43251,,,,,,,PF EGD REMOVE LESION W SNARE,667.25,667.25,,,,,,,,,,,,,,,,,,,
7431,982,43248,,,,,,,PF EGD GUIDE WIRE INSERTION,563,563,,,,,,,,,,,,,,,,,,,
7432,982,43247,,,,,,,PF EGD REMOVE FOREIGN BODY,603,603,,,,,,,,,,,,,,,,,,,
7433,982,43249,,,,,,,PF ESOPH EGD DILATION <30 MM,520.75,520.75,173.64,173.64,,,,,,,,,,,,,173.64,,,,
7434,982,43233,,,,,,,PF EGD BALLOON DILATION ESOPH >30 MM,784.25,784.25,,,,,,,,,,,,,,,,,,,
7435,982,43450,,,,,,,PF DILATE ESOPHAGUS 1/MULT PASS,265.75,265.75,,,,,,,,,,,,,,,,,,,
7436,982,45330,,,,,,,PF SIGMOIDOSCOPY FLEXIBLE,188.5,188.5,,,,,,,,,,,,,,,,,,,
7437,982,11106,,,,,,,PF INCISIONAL BIOPSY SKIN SINGLE LESION,198.25,198.25,,,,,,,,,,,,,,,,,,,
7438,982,19125,,,,,,,PF EXCISION BREAST LESION(MARKER USED),1578.5,1578.5,,,,,,,,,,,,,,,,,,,
7439,982,19301,,,,,,,PF MASTECTOMY PARTIAL,2266.5,2266.5,,,,,,,,,,,,,,,,,,,
7440,982,21931,,,,,,,PF EXC TUMOR SOFT TIS BACK FLANK SUBS,1611,1611,,,,,,,,,,,,,,,,,,,
7441,982,24075,,,,,,,PF RMV SBCUTN SFTIS ARM/ELBOW TUMOR,1140.5,1140.5,,,,,,,,,,,,,,,,,,,
7442,982,25075,,,,,,,PF EXC TUM SOFT TIS FOREARM/WRST SUBS,1060.25,1060.25,,,,,,,,,,,,,,,,,,,
7443,982,27618,,,,,,,PF EXC TUM SOFT TIS LEG/ANKLE SUBS,1025.25,1025.25,,,,,,,,,,,,,,,,,,,
7444,982,29881,,,,,,,PF ARTHRS KNEE W MENISCECTOMY MED,1821.75,1821.75,,,,,,,,,,,,,,,,,,,
7445,982,36561,,,,,,,PF INSERTION TUNNELED CENTRALLY,1154.25,1154.25,1099.25,1099.25,1099.25,,,,,,,,,,,,,,,,
7446,982,36563,,,,,,,PF INSERT TUNNEL CNTRL VAD W SUBS PUMP,1265,1265,,,,,,,,,,,,,,,,,,,
7447,982,36590,,,,,,,PF RMV TUNL VEN ACC DEV W PRT/PUMP,652,652,,,,,,,,,,,,,,,,,,,
7448,982,36597,,,,,,,PF REPOSITIONING OF CENTRAL VEN CATH,207.75,207.75,,,,,,,,,,,,,,,,,,,
7449,982,38525,,,,,,,PF BIOPSY/REM LYMPH NODE ARMPIT,1504,1504,,,,,,,,,,,,,,,,,,,
7450,982,38792,,,,,,,PF IDENTIFY SENTINAL NODE,116,116,,,,,,,,,,,,,,,,,,,
7451,982,47562,,,,,,,PF LAPAROSCOPY CHOLECYSTETOMY,2286.75,2286.75,,,,,,,,,,,,,,,,,,,
7452,982,47563,,,,,,,PF LAPRSCPY CHOLECYSTMY W CHOLANGIOG,2490.75,2490.75,,,,,,,,,,,,,,,,,,,
7453,982,49585,,,,,,,PF REPAIR UMBILICAL HERNIA 5+ YRS,1535.25,1535.25,,,,,,,,,,,,,,,,,,,
7454,982,49650,,,,,,,PF LAPARASCOPY SURG RPR ING HERNIA,1481.25,1481.25,,,,,,,,,,,,,,,,,,,
7455,982,77001,26,,,,,,PF FLOURO CENTRAL VEN ACC DEVICE,63,63,,,,,,,,,,,,,,,,,,,
7456,982,45331,,,,,,,PF SIGMOIDOSCOPY W BIOPSY,241.25,241.25,,,,,,,,,,,,,,,,,,,
7457,982,64494,50,,,,,,PF 2ND LEVEL ADDITION TO 64493 BILAT,424.5,424.5,,,,,,,,,,,,,,,,,,,
7458,982,64495,50,,,,,,PF 3+LEVELS IN ADDTN TO 64493 & 64494 BI,430,430,,,,,,,,,,,,,,,,,,,
7459,982,49655,,,,,,,PF LAPAROSCOPIC INC HERNIA REPAIR INC/ST,3596,3596,,,,,,,,,,,,,,,,,,,
7460,982,49656,,,,,,,PF LAPAROSCOPIC REC HERNIA REDUCIBLE,3193,3193,,,,,,,,,,,,,,,,,,,
7461,982,49657,,,,,,,PF LAP RECUR HERNIA INCAR OR STRANG,4610,4610,,,,,,,,,,,,,,,,,,,
7462,982,47600,,,,,,,PF LAP CHOLECYSTECTOMY,3721,3721,,,,,,,,,,,,,,,,,,,
7463,982,47605,,,,,,,PF LAP CHOLECYST W INTRA CHOLANGIOGRAM,3918.25,3918.25,,,,,,,,,,,,,,,,,,,
7464,982,46930,,,,,,,PF DESTRUCT OF INT HEMORRHOID THERMAL,497.25,497.25,,,,,,,,,,,,,,,,,,,
7465,982,46220,,,,,,,PF EXC OF SINGLE EXT PAPILLA OR TAG ANUS,397.75,397.75,,,,,,,,,,,,,,,,,,,
7466,982,46230,,,,,,,PF EXC OF EXT PAPILLAE OR TAGS ANUS,588.75,588.75,,,,,,,,,,,,,,,,,,,
7467,982,46500,,,,,,,PF INJ OF SCLEROSING SOLUTION HEMORRHOID,595.25,595.25,,,,,,,,,,,,,,,,,,,
7468,982,46320,,,,,,,PF EXC OF THROMBOSED HEMORRHOID EXTERNAL,378,378,,,,,,,,,,,,,,,,,,,
7469,982,46250,,,,,,,PF HEMORRHOIDECTOMY EXT 2 OR MORE,1074,1074,,,,,,,,,,,,,,,,,,,
7470,982,46255,,,,,,,PF HEMORRHOIDECTOMY INT AND EXT SINGLE,1207,1207,,,,,,,,,,,,,,,,,,,
7471,982,46260,,,,,,,PF HEMORRHOIDECTOMY INT AND EXT 2 OR MOR,1627,1627,,,,,,,,,,,,,,,,,,,
7472,982,46270,,,,,,,PF SURG TREATMT OF ANAL FISTULA SUB,1331,1331,,,,,,,,,,,,,,,,,,,
7473,982,49651,,,,,,,PF LAPAROSCOPIC ING HERNIA RECURR LT RT,1838.5,1838.5,,,,,,,,,,,,,,,,,,,
7474,982,49650,50,,,,,,PF LAPAROSCOPIC ING HERNIA BILATERAL,2962.25,2962.25,,,,,,,,,,,,,,,,,,,
7475,982,49651,50,,,,,,PF LAPAROSCOPIC ING HERNIA RPR BIL,3860.5,3860.5,,,,,,,,,,,,,,,,,,,
7476,982,49652,,,,,,,PF LAPAROSCOPIC VNTRL HERNIA RPR,2586.25,2586.25,,,,,,,,,,,,,,,,,,,
7477,982,49653,,,,,,,PF LAP VNTRL HERNIA RPR INCAR OR STRNGL,3229.75,3229.75,,,,,,,,,,,,,,,,,,,
7478,982,49654,,,,,,,PF LAP INCIS HERNIA REDUCIBLE,2940,2940,,,,,,,,,,,,,,,,,,,
7479,982,49505,,,,,,,PF REPAIR INIT INGUINAL HERNIA,1801.75,1801.75,0,0,,,0,,,,,,,,,,,,,,
7480,982,49505,50,,,,,,PF REPAIR INIT INGUINAL HERNIA BILATERAL,3603.25,3603.25,,,,,,,,,,,,,,,,,,,
7481,982,49507,,,,,,,PF REPAIR INIT HERNIA INCAR STRANGLE,2030.25,2030.25,,,,,,,,,,,,,,,,,,,
7482,982,49507,50,,,,,,PF REPAIR INIT HERNIA BILATERAL,4060.25,4060.25,,,,,,,,,,,,,,,,,,,
7483,982,49560,,,,,,,PF RPR INIT HERNIA REDUC,2564,2564,,,,,,,,,,,,,,,,,,,
7484,982,49561,,,,,,,PF RPR VENTRAL HERNIA INIT BLOCK,3237.75,3237.75,,,,,,,,,,,,,,,,,,,
7485,982,49565,,,,,,,PF RPR VENTRAL HERNIA REDUC,2667.75,2667.75,,,,,,,,,,,,,,,,,,,
7486,982,49566,,,,,,,PF RERPR VENTRAL HERNIA BLOCK,3267.25,3267.25,,,,,,,,,,,,,,,,,,,
7487,982,49568,,,,,,,PF HERNIA REPAIR W MESH,940.5,940.5,,,,,,,,,,,,,,,,,,,
7488,982,11642,,,,,,,PF EXCISION LESION 1.1 TO 2 CM,579,579,,,,,,,,,,,,,,,,,,,
7489,982,11107,,,,,,,PF EA SEPERATE ADDTL LESION,107,107,,,,,,,,,,,,,,,,,,,
7490,360,49568,,,,,,,IMPLANTATION OF MESH FOR HERNIA REPAIR,8820,8820,,,,,,,,,,,,,,,,,,,
7491,982,11403,,,,,,,PF EXC BENIGN LESION 2.1 TO 3.0 CM,490.5,490.5,,,,,,,,,,,,,,,,,,,
7492,982,97607,,,,,,,PF NEG PRESSURE WOUND VAC 50 CM OR LESS,83.5,83.5,,,,,,,,,,,,,,,,,,,
7493,982,11042,,,,,,,PF NEG PRESSURE WOUND VAC 50 CM OR LESS,221.25,221.25,67.63,67.63,,,,,,,,,,,,,67.63,,,,
7494,982,49587,,,,,,,"PF RPR UMB HERNIA, INCAR STRANGLE 5 YRS",1725,1725,,,,,,,,,,,,,,,,,,,
7495,982,11402,,,,,,,PF EXC BENIGN LESION 1.1 TO 2.0 CM,369.5,369.5,,,,,,,,,,,,,,,,,,,
7497,982,11404,,,,,,,PF EXC BENIGN LESION 3.1 TO 4.0 CM,523.5,523.5,,,,,,,,,,,,,,,,,,,
7498,982,11406,,,,,,,PF EXC BENIGN LESION OVER 4 CM,796,796,280.01,280.01,,,,,,,,,,,,,280.01,,,,
7499,982,11400,,,,,,,PF EXC BENIGN LESION TAL .5CM OR LESS,254.75,254.75,,,,,,,,,,,,,,,,,,,
7500,982,11401,,,,,,,PF EXC BENIGN LESION TAL .6 TO 1.0 CM,322.75,322.75,,,,,,,,,,,,,,,,,,,
7501,982,11426,,,,,,,PF EXC BENIGN LESION SNHF OVER 4.0 CM,861.5,861.5,,,,,,,,,,,,,,,,,,,
7502,982,11442,,,,,,,PF EXC BENIGN LESION FEENLM 1.1 TO 2 CM,362,362,,,,,,,,,,,,,,,,,,,
7503,982,11444,,,,,,,PF EXC BENIGN LESION FEENLM 3.1 TO 4CM,704.25,704.25,,,,,,,,,,,,,,,,,,,
7504,982,44970,,,,,,,PF LAPAROSCOPIC APPENDECTOMY,1944.5,1944.5,,,,,,,,,,,,,,,,,,,
7505,982,21501,,,,,,,PF I+D SOFT TISSUE NECK OR THORAX,1030.75,1030.75,,,,,,,,,,,,,,,,,,,
7506,982,11042,,,,,,,PF DEBRIDEMENT SOFT TISSUE FIRST 20 CM,190.25,190.25,67.63,67.63,,,,,,,,,,,,,67.63,,,,
7507,982,11045,,,,,,,PF DEBRIDEMENT SOFT TISSUE EA ADDTL 20CM,492,492,30.19,30.19,,,,,,,,,,,,,30.19,,,,
7508,982,11422,,,,,,,PF BENIGN LESION 1.1 TO 2.0  CM,416.75,416.75,,,,,,,,,,,,,,,,,,,
7509,982,11424,,,,,,,PF BENIGN LESION 3.1 TO 4 CM,552.25,552.25,,,,,,,,,,,,,,,,,,,
7510,982,10061,,,,,,,PF I & D OF ABSCESS COMPLICATED OR MULT,735,735,,,,,,,,,,,,,,,,,,,
7511,982,28820,,,,,,,PF AMPUTATION TOE,577.5,577.5,,,,,,,,,,,,,,,,,,,
7512,982,12031,,,,,,,PF L CLOSURE 2.5CM OR LESS (SATE),614,614,,,,,,,,,,,,,,,,,,,
7513,982,44385,,,,,,,PF ENDOSCOPY BOWEL POUCH BIOPSY,278.25,278.25,,,,,,,,,,,,,,,,,,,
7514,982,44386,,,,,,,PF ENDOSCOPIC EVAL SMALL INT/BIOPSY,614,614,,,,,,,,,,,,,,,,,,,
7515,982,12032,,,,,,,"PF RPR INT, SATE 2.6 CM TO 7.5 CM",763,763,,,,,,,,,,,,,,,,,,,
7516,982,11643,,,,,,,PF EXC MAL LES FEENL 1.1 TO 2 CM,708.75,708.75,,,,,,,,,,,,,,,,,,,
7517,982,12051,,,,,,,"PF RPR INT, FEENL 2.5 CM OR LESS",522.25,522.25,,,,,,,,,,,,,,,,,,,
7518,982,11441,,,,,,,PF EXC BENIGN LES FEENL .6 TO 1.0 CM,403.5,403.5,,,,,,,,,,,,,,,,,,,
7519,982,28295,,,,,,,PF HALLUX VALGUS W PROXIMAL METATARSAL,1942,1942,,,,,,,,,,,,,,,,,,,
7520,982,43762,,,,,,,PF REPLACE G TUBE NO REVJ TRC,122.75,122.75,,,,,,,,,,,,,,,,,,,
7521,982,45388,,,,,,,PF COLONOSCOPY W ABLATION,854.75,854.75,,,,,,,,,,,,,,,,,,,
7522,982,46922,,,,,,,PF EXCISION OF ANAL LESION,431,431,,,,,,,,,,,,,,,,,,,
7523,982,28298,,,,,,,PF CORR HALLUX VALGUS W PROX PHANANX OST,1570.5,1570.5,,,,,,,,,,,,,,,,,,,
7524,982,28308,,,,,,,PF OSTEOTOMY OTH THAN 1ST METATARSAL EA,1142,1142,,,,,,,,,,,,,,,,,,,
80001,320,72114,,,,,,,XR LUMBAR SPINE MIN 6 VIEWS,579.5,579.5,0,226.22,0,,208.74,,,,,,,,,,226.22,,220.7,,
80007,320,74018,,,,,,,XR ABDOMEN 1 VIEW,275.75,275.75,83.5,236.25,236.25,,,208.74,208.74,,216.56,,,,,83.5,107.84,,153.75,,
80009,614,74181,,,,,,,MRI ABDOMEN,2896.5,2896.5,1103.4,1186.16,1186.16,,,,,,,,,,,,1115.49,,1103.4,,
80010,611,70551,,,,,,,MRI BRAIN W/O CONTRAST,3353.5,3353.5,1292.36,2123.85,2123.85,,,,1455.83,,,,,,,,1292.36,,1522.36,,
80011,611,70553,,,,,,,MRI BRAIN W/WO CONTRAST,3684.25,3684.25,1401.61,1455.83,,,,,1455.83,,,,,,,,1401.61,,1403.5,,
80012,614,71550,,,,,,,MRI CHEST WO,3925,3925,,,,,,,,,,,,,,,,,,,
80013,614,73720,,,,,,,MRI LOW EXT OTHER THAN JOINT RT W/WO CON,3718.5,3718.5,,,,,,,,,,,,,,,,,,,
80016,612,72141,,,,,,,MRI CERVICAL W/O CONTRAST,3289,3289,1272.21,2584.11,1348.49,,,,,,2584.11,,,,,,1272.21,,1284.23,,
80017,612,72156,,,,,,,MRI CERVICAL W/WO,3619.75,3619.75,,,,,,,,,,,,,,,,,,,
80018,612,72146,,,,,,,MRI THORACIC W/O CONTRAST,3190,3190,1181.07,1181.07,,,,,,,,,,,,,1181.07,,,,
8002,379,1996,,,,,,,TRIGGER POINT INJECTION,312.25,312.25,,,,,,,,,,,,,,,,,,,
80020,320,74022,,,,,,,XR ABD COMP W PA CHEST,550.5,550.5,0,214.95,,,,,,,,,,,,0,214.01,,214.95,,
80021,612,72157,,,,,,,MRI THORACIC W/WO CONTRAST,3520.75,3520.75,,,,,,,,,,,,,,,,,,,
80022,611,70540,,,,,,,MRI ORBIT FACE OR NECK,4166.75,4166.75,1587.3,1587.3,,,,,,,,,,,,,1587.3,,,,
80024,612,72148,,,,,,,MRI LUMBAR W/O,3313.25,3313.25,1049.96,1357.6,1357.6,,,,1049.96,,,,,,,1049.96,1282.41,,1293.66,,
80025,612,72158,,,,,,,MRI LUMBAR W/WO CONTRAST,3644,3644,,,,,,,,,,,,,,,,,,,
80030,611,70551,,,,,,,MRI IAC W/O  CONTRAST,3353.5,3353.5,1292.36,2123.85,2123.85,,,,1455.83,,,,,,,,1292.36,,1522.36,,
80032,320,73050,,,,,,,XR ACROMIO-CLAVICULAR JOINTS BILATERAL,206.5,206.5,,,,,,,,,,,,,,,,,,,
80034,402,76942,,,,,,,US GUIDANCE FOR NEEDLE BIOPSY,484.75,484.75,,,,,,,,,,,,,,,,,,,
80036,618,74185,,,,,,,MRA ABDOMEN,3925,3925,,,,,,,,,,,,,,,,,,,
80037,618,71555,,,,,,,MRA CHEST W/O,3925,3925,,,,,,,,,,,,,,,,,,,
80041,614,73220,,,,,,,MRI UP EXT RT OTHER THAN JOINT W/WO CONT,3718.5,3718.5,,,,,,,,,,,,,,,,,,,
80042,614,73221,,,,,,,MRI ANY JOINT UP EXT RT W/O CONT,3110.5,3110.5,876.98,876.98,,,,,,,,,,,,876.98,,,,,
80045,614,73721,,,,,,,MRI ANY JOINT OF LOW EXT RT WO CONTRAST,3110.5,3110.5,876.98,876.98,,,,,,,,,,,,876.98,,,,,
80047,611,70553,,,,,,,MRI IAC W  W/O CONTRAST,3684.25,3684.25,1401.61,1455.83,,,,,1455.83,,,,,,,,1401.61,,1403.5,,
80048,612,72142,,,,,,,MRI CERVICAL W CONTRAST,3509.5,3509.5,,,,,,,,,,,,,,,,,,,
80049,612,72149,,,,,,,MRI LUMBAR W/ CONTRAST,3533.75,3533.75,1346.1,1346.1,,,,,,,,,,,,,1346.1,,,,
80050,615,70544,,,,,,,MRA HEAD WO CONTRAST,3208.5,3208.5,1283.31,1283.31,,,,,,,,,,,,,1283.31,,,,
80054,615,70546,,,,,,,MRA HEAD W/WO CONTRAST,5057,5057,,,,,,,,,,,,,,,,,,,
80057,615,70547,,,,,,,MRA NECK WITHOUT CONTRAST,3625.5,3625.5,1450.16,1450.16,,,,,,,,,,,,,1450.16,,,,
80068,320,73600,,,,,,,XR ANKLE AP/LAT RT,260,260,,,,,,,,,,,,,,,,,,,
80070,320,73610,,,,,,,XR ANKLE COMP 3V RT,316.5,316.5,69.58,69.58,,,,,,,,,,,,69.58,,,,,
80071,614,73223,,,,,,,MRI ANY JOINT UP W/WO CONT RT,3441.25,3441.25,,,,,,,,,,,,,,,,,,,
80072,616,73725,,,,,,,MRA LOWER EXT  W W/O LT,3583.25,3583.25,,,,,,,,,,,,,,,,,,,
80073,614,73225,,,,,,,MRA UPPER EXT W/ WO,3583.25,3583.25,,,,,,,,,,,,,,,,,,,
80074,614,73721,,,,,,,MRI ANY JOINT LOW EXT-LT WO CONTRAST,3110.5,3110.5,876.98,876.98,,,,,,,,,,,,876.98,,,,,
80075,614,73221,,,,,,,MRI ANY JOINT UP EXT LT W/O CONT,3110.5,3110.5,876.98,876.98,,,,,,,,,,,,876.98,,,,,
80076,614,73223,,,,,,,MRI ANY JOINT UPPER W/WO -LT,3441.25,3441.25,,,,,,,,,,,,,,,,,,,
80077,614,73720,,,,,,,MRI LOW EXT OTHER THAN JOINT LT W/WO CON,3718.5,3718.5,,,,,,,,,,,,,,,,,,,
80078,614,73220,,,,,,,MRI UP EXT LT OTHER THAN JOINT W/WO CONT,3718.5,3718.5,,,,,,,,,,,,,,,,,,,
80079,611,70543,,,,,,,"MRI ORBIT, FACE, NECK W/WO CONTRAST",4497.5,4497.5,1798.97,1798.97,,,,,,,,,,,,,1798.97,,,,
80080,611,70552,,,,,,,MRI BRAIN W/CONTRAST,3574,3574,1429.6,1429.6,,,,,,,,,,,,,,,1429.6,,
80083,612,72195,,,,,,,MRI PELVIS W/O CONTRAST,3098,3098,1209.61,1209.61,,,,,,,,,,,,,1209.61,,,,
80084,612,72197,,,,,,,MRI PELVIS W/WO CONTRAST,3429,3429,1306.2,1306.2,,,,,,,,,,,,,1306.2,,,,
80085,614,73218,,,,,,,MRI UP EXT RT OTHER THAN JOINT W/O CONT,3387.75,3387.75,,,,,,,,,,,,,,,,,,,
80086,614,73723,,,,,,,MRI ANY JOINT LOWER EXT  W/WO RT,3441.25,3441.25,,,,,,,,,,,,,,,,,,,
80087,614,74183,,,,,,,MRI ABDOMEN W/WO CONTRAST,3227.25,3227.25,1249.89,1260.14,1260.14,,,,,,,,,,,,1253.63,,1249.89,,
80088,614,73218,,,,,,,MRI UP EXT LT OTHER THAN JOINT W/O CONT,3387.75,3387.75,,,,,,,,,,,,,,,,,,,
801,948,G0239,,,,,,,PULMONARY EX 2 OR MORE INDIVIDUALS,369,369,,,,,,,,,,,,,,,,,,,
80100,320,74280,,,,,,,XR BARIUM ENEMA-AIR CON,1405.25,1405.25,,,,,,,,,,,,,,,,,,,
80135,320,74270,,,,,,,XR BARIUM ENEMA-FULL COLON,667.75,667.75,254.3,260.66,,,,,,,,,,,,,254.3,,260.66,,
80147,320,77072,,,,,,,XR BONE AGE LT PA WRIST/HAND,372.5,372.5,0,0,0,,,,,,,,,,,,,,,,
80174,614,72149,,,,,,,MRI LS W/ CONTRAST MATERIAL,4892,4892,,,,,,,,,,,,,,,,,,,
80175,614,72147,,,,,,,MRI T-S W/CONTRAST MATERIAL,3410.5,3410.5,,,,,,,,,,,,,,,,,,,
80176,614,73723,,,,,,,MRI ANY JOINT LOWER EXT W/WO LT,3441.25,3441.25,,,,,,,,,,,,,,,,,,,
80177,614,73718,,,,,,,MRI LOWER EXT W/O LT,3104.25,3104.25,,,,,,,,,,,,,,,,,,,
80178,614,73718,,,,,,,MRI LOWER EXT W/O RT,3110.5,3110.5,,,,,,,,,,,,,,,,,,,
80179,614,71552,,,,,,,MRI CHEST W/WO CONTRAST,4255.75,4255.75,,,,,,,,,,,,,,,,,,,
80180,616,73719,,,,,,,MRI LOWER EXT W CONTRAST LT,3324.75,3324.75,,,,,,,,,,,,,,,,,,,
80181,616,73719,,,,,,,MRI LOWER EXT W CONTRAST RT,3324.75,3324.75,,,,,,,,,,,,,,,,,,,
80226,320,72040,,,,,,,XR CERVICAL SPINE 2 OR 3 VIEWS,333.25,333.25,,,,,,,,,,,,,,,,,,,
80263,320,74300,,,,,,,XR CHOLANGIOGRAPHY INTRAOP,587.25,587.25,,,,,,,,,,,,,,,,,,,
80287,320,73000,,,,,,,XR CLAVICLE COMP LEFT,269,269,,,,,,,,,,,,,,,,,,,
80299,320,74430,,,,,,,XR CYSTOGRAM,776.75,776.75,,,,,,,,,,,,,,,,,,,
80317,320,73070,,,,,,,XR ELBOW AP/LAT RT,231.5,231.5,,,,,,,,,,,,,,,,,,,
80329,320,74220,,,,,,,XR ESOPHAGUS,633.75,633.75,251.75,333.95,259.68,,,,,,,,,,,,251.75,,333.95,,
80330,320,70150,,,,,,,XR FACIAL BONES MIN 3 VIEWS,372.5,372.5,139.55,145.45,145.45,,,,,,,,,,,,139.55,,,,
80342,320,73551,,,,,,,XR FEMUR RT,206.5,206.5,79.6,80.57,,,,,,,,,,,,,80.57,,79.6,,
80343,320,77003,,,,,,,XR FLOURO GUIDANCE NEEDLE SPINE,259.75,259.75,,,,,,,,,,,,,,,,,,,
80354,320,73140,,,,,,,XR FINGER(S) RT,293.25,293.25,0,0,,,,,,,,,,,,0,,,,,
80378,320,76000,,,,,,,XR FLUOROSCOPY EXCEPT CHEST,986,986,,,,,,,,,,,,,,,,,,,
80380,320,73620,,,,,,,XR FOOT 2V RT,256.75,256.75,,,,,,,,,,,,,,,,,,,
80381,320,73620,,,,,,,XR FOOT 2V LT,256.75,256.75,,,,,,,,,,,,,,,,,,,
80391,320,73090,,,,,,,XR FOREARM RT,288,288,,,,,,,,,,,,,,,,,,,
80408,320,73120,,,,,,,XR HAND 2V LEFT,239.25,239.25,,,,,,,,,,,,,,,,,,,
80409,320,73120,,,,,,,XR HAND 2V RIGHT,239.25,239.25,,,,,,,,,,,,,,,,,,,
80410,320,73130,,,,,,,XR HAND 3V RT,314.25,314.25,104.37,208.74,,,,,208.74,,,,,,,104.37,,,,,
80421,320,73650,,,,,,,XR CALCANEUS 2V RT,259.25,259.25,,,,,,,,,,,,,,,,,,,
80445,320,73501,,,,,,,XR HIP 1V RT,230,230,,,,,,,,,,,,,,,,,,,
80457,320,73502,,,,,,,XR HIP 2V RT,340.75,340.75,104.37,182.65,,,,,182.65,,,,,,,104.37,,,,,
80469,320,73060,,,,,,,XR HUMERUS 2V RT,287.75,287.75,,,,,,,,,,,,,,,,,,,
80470,320,74740,,,,,,,XR HYSTEROSALPINGIOGRAM,763,763,,,,,,,,,,,,,,,,,,,
80494,320,74410,,,,,,,XR INFUSION PYELOGRAM,667.75,667.75,,,,,,,,,,,,,,,,,,,
80512,320,74415,,,,,,,XR IVP UROGRAPHY,667.75,667.75,260.66,260.66,,,,,,,,,,,,,260.66,,,,
80536,320,73560,,,,,,,XR KNEE 1 OR 2V RT,313.75,313.75,,,,,,,,,,,,,,,,,,,
80548,320,73562,,,,,,,XR KNEE 3V RT,395,395,52.19,52.19,,,,,,,,,,,,52.19,,,,,
80550,320,73564,,,,,,,XR KNEE 4+V RT,465,465,69.58,69.58,,,,,,,,,,,,69.58,,,,,
80615,320,72100,,,,,,,XR LUMBAR SPINE AP/LAT,427.5,427.5,166.47,208.74,175.01,,,,208.74,,,,,,,,166.47,,,,
80627,320,72100,,,,,,,XR LUMBAR SPINE 2 OR 3V,427.5,427.5,166.47,208.74,175.01,,,,208.74,,,,,,,,166.47,,,,
80639,320,72110,,,,,,,XR LUMBAR SPINE MIN 4 VIEWS,523.25,523.25,52.19,411.06,210.43,,,,208.74,,,411.06,,,,52.19,202.67,,274.66,,
80688,320,70110,,,,,,,XR MANDIBLE MIN 4 VIEWS,361.75,361.75,,,,,,,,,,,,,,,,,,,
80706,320,77075,,,,,,,XR METASTATIC BONE STUDY,1170.25,1170.25,468.09,913.89,,,,,,,,,,,,,468.09,,913.89,,
80720,320,70160,,,,,,,XR NASAL BONES COMP MIN 3V,276.25,276.25,,,,,,,,,,,,,,,,,,,
80743,361,19281,,,,,,,MM PREOP PLACEMENT OF NEEDLE-BREAST RT,1916.75,1916.75,,,,,,,,,,,,,,,,,,,
80755,320,70200,,,,,,,XR ORBITS (FB) MIN 4 VIEWS,372.5,372.5,,,,,,,,,,,,,,,,,,,
80810,320,72190,,,,,,,XR PELVIS COMP MIN 3V,335.25,335.25,134.09,134.09,,,,,,,,,,,,,134.09,,,,
80822,320,73521,,,,,,,XR PELVIS W LAT HIP,264,264,207.28,207.28,,,,,,,,207.28,,,,,,,,,
80823,320,73522,,,,,,,XR HIPS BILATERAL W PELVIS 3-4 VIEWS,372.5,372.5,,,,,,,,,,,,,,,,,,,
80858,320,71110,,,,,,,XR RIBS BILAT 3V,375.75,375.75,,,,,,,,,,,,,,,,,,,
80860,320,71100,,,,,,,XR RIBS  RT,358,358,,,,,,,,,,,,,,,,,,,
80861,320,71045,,,,,,,XR CHEST SINGLE VIEW,243.5,243.5,7.73,208.74,153.56,,,,208.74,,,,,,,7.73,,,144.38,,190.04
80862,320,71046,,,,,,,XR CHEST 2 VIEWS,321.5,321.5,83.5,248.88,166.71,,,,208.74,,248.88,,,,,83.5,123.5,,120.81,,
80863,320,71047,,,,,,,XR CHEST 3 VIEWS,206.5,206.5,,,,,,,,,,,,,,,,,,,
80864,320,71048,,,,,,,XR CHEST 4 OR MORE VIEWS,405.25,405.25,,,,,,,,,,,,,,,,,,,
80865,320,74018,,,,,,,XR ABDOMEN 1 VIEW,275.75,275.75,83.5,236.25,236.25,,,208.74,208.74,,216.56,,,,,83.5,107.84,,153.75,,
80866,320,74019,,,,,,,XR ABDOMEN 2 VIEWS,327,327,0,208.74,,,,,208.74,,,,,,,0,125.08,,150.32,,
80867,320,74021,,,,,,,XR ABDOMEN 3 OR MORE VIEWS,489.25,489.25,,,,,,,,,,,,,,,,,,,
80871,320,72202,,,,,,,XR SACROILIAC JOINTS 3+ VIEWS,319.25,319.25,126.46,130.89,130.89,,,,,,,,,,,,126.46,,127.68,,
80883,320,72220,,,,,,,XR SACRUM & COCCYX MIN 2V,325.25,325.25,130.1,208.74,133.19,,,208.74,,,,,,,,,130.1,,,,
80895,320,72220,,,,,,,XR COCCYX MIN 2V,325.25,325.25,130.1,208.74,133.19,,,208.74,,,,,,,,,130.1,,,,
80913,320,73010,,,,,,,XR SCAPULA COMPLETE LT,252.5,252.5,0,0,,,,,,,,,,,,0,,,,,
80925,320,72082,,,,,,,XR SCOLIOSIS STUDY STANDING 2+VIEWS,548.5,548.5,,,,,,,,,,,,,,,,,,,
80949,320,72081,,,,,,,XR SCOLIOSIS STUDY STANDING,438.75,438.75,175.46,175.46,,,,,,,,,,,,,175.46,,,,
80962,320,73020,,,,,,,XR SHOULDER 1V RT,196.75,196.75,,,,,,,,,,,,,,,,,,,
80974,320,73030,,,,,,,XR SHOULDER 2V RT,317.5,317.5,67.1,67.1,,,,,,,,,,,,67.1,,,,,
80986,320,73030,,,,,,,XR SHOULDER 3V RT,317.5,317.5,67.1,67.1,,,,,,,,,,,,67.1,,,,,
80998,320,70250,,,,,,,XR SKULL 2V,372.5,372.5,,,,,,,,,,,,,,,,,,,
81012,320,70260,,,,,,,XR SKULL COMP 4V,356.75,356.75,,,,,,,,,,,,,,,,,,,
81024,320,74250,,,,,,,XR SMALL BOWEL MULT FILMS,489.25,489.25,391.56,391.56,,,,,,,,,,,,,,,391.56,,
81036,320,70360,,,,,,,XR SOFT TISSUE NECK XR,263.25,263.25,,,,,,,,,,,,,,,,,,,
81048,320,71130,,,,,,,XR STERNO-CLAVICULAR JTS MIN 3 VIEWS,206.5,206.5,,,,,,,,,,,,,,,,,,,
81050,320,71120,,,,,,,XR STERNUM MIN 2V,266.75,266.75,,,,,,,,,,,,,,,,,,,
81051,320,71111,,,,,,,XR RIBS / CHEST BILAT 4 VIEWS,309.5,309.5,,,,,,,,,,,,,,,,,,,
81073,361,47531,,,,,,,XR CHOLANGIOGRAPHY POSTOP T-TUBE,9748.5,9748.5,,,,,,,,,,,,,,,,,,,
81085,320,70330,,,,,,,XR TEMPOROMANDIBULAR JOINT BILATERAL,206.5,206.5,,,,,,,,,,,,,,,,,,,
81097,320,73590,,,,,,,XR TIB/FIB RT,311,311,0,0,,,,,,,,,,,,0,,,,,
81103,320,73660,,,,,,,XR TOE(S) RT,256.25,256.25,,,,,,,,,,,,,,,,,,,
81140,320,74246,,,,,,,"XR UPPER GI W AIR CONTRAST, BARIUM",918.75,918.75,,,,,,,,,,,,,,,,,,,
81141,320,74246,,,,,,,XR ESOPHAGUS W/ UGI,918.75,918.75,,,,,,,,,,,,,,,,,,,
81188,320,74455,,,,,,,XR URETHROCYSTOGRAPHY VOIDING,763,763,,,,,,,,,,,,,,,,,,,
81206,320,73100,,,,,,,XR WRIST 2V RT,261.75,261.75,,,,,,,,,,,,,,,,,,,
81218,320,73110,,,,,,,XR WRIST MIN 3 VIEWS RT,324,324,52.19,52.19,,,,,,,,,,,,52.19,,,,,
81220,320,73110,,,,,,,XR WRIST 4V NAVICULAR LT,324,324,52.19,52.19,,,,,,,,,,,,52.19,,,,,
81221,320,73110,,,,,,,XR WRIST 4V NAVICULAR RT,337.5,337.5,52.19,52.19,,,,,,,,,,,,52.19,,,,,
81371,402,76942,,,,,,,US BREAST CYST ASPIRATION,484.75,484.75,,,,,,,,,,,,,,,,,,,
81372,402,10005,,,,,,,US FNA W US GUIDANCE 1ST LESION,1959.5,1959.5,,,,,,,,,,,,,,,,,,,
81373,402,10006,,,,,,,US FNA W US GUIDANCE EA ADDTL LESION,490,490,,,,,,,,,,,,,,,,,,,
81438,402,76775,,,,,,,US BLADDER SONO,466,466,211.35,234.01,234.01,,,,,,,,,,,,211.56,,211.35,,
81486,402,76700,,,,,,,US ABDOMINAL SONO,1212.5,1212.5,466.32,1039.28,1039.28,,,,570.49,,988.4,,,,,570.49,466.32,,558.13,,
81487,761,96365,,,,,,,US  IV INFUSION INITIAL,355.75,355.75,0,1173.48,248.77,,0,,1173.48,,,,,,,,222.79,,321.53,,
81488,761,96366,,,,,,,US  IV INFUSION ADDTL HR SAME DRUG,197,197,0,458.63,79.47,,0,,458.63,,,,,,,,74.25,,131.37,,
81489,761,96367,,,,,,,US  IV INFUSION NEW DRUG,257,257,0,189.76,105.24,,0,,,,,,,,,,99.18,,189.76,,
81504,402,76775,,,,,,,US ABD AORTA SONO,466,466,211.35,234.01,234.01,,,,,,,,,,,,211.56,,211.35,,
81505,921,93978,,,,,,,US AORTA ILIAC DPLX COMP,1408.75,1408.75,563.43,563.43,,,,,,,,,,,,,563.43,,,,
81506,921,93976,,,,,,,US MESENTARIC ARTERY DUPLEX,2424,2424,,,,,,,,,,,,,,,,,,,
81507,402,91200,,,,,,,US FIBROSCAN,458.25,458.25,177.92,570.49,178.86,,,,570.49,,,,,,,,177.92,,183.23,,
8151,379,,,,,,,,INTUBATION,240.5,240.5,0,680.89,223.69,,0,680.89,,,579.22,,,,,,304.27,323.7,422.22,,
81541,402,76705,,,,,,,US GALLBLADDER SONO,767,767,293.88,602.46,379.92,,,,570.49,,602.46,,,,,513.44,293.88,,496.57,,
81542,402,76705,,,,,,,US SOFT TISSUE OF LOWER BACK,767,767,293.88,602.46,379.92,,,,570.49,,602.46,,,,,513.44,293.88,,496.57,,
81565,402,76856,,,,,,,US PELVIC SONO,810,810,312.18,570.49,316.21,,,,570.49,,,,,,,570.49,312.18,,466.07,,
81577,402,76805,,,,,,,US OB >14 WKS,1284,1284,,,,,,,,,,,,,,,,,,,
81589,402,76815,,,,,,,US OB LIMITED,827.75,827.75,,,,,,,,,,,,,,,,,,,
81590,402,76775,,,,,,,US RENAL SONO,570.75,570.75,211.35,234.01,234.01,,,,,,,,,,,,211.56,,211.35,,
81607,402,76705,,,,,,,US SPLEEN SONO,767,767,293.88,602.46,379.92,,,,570.49,,602.46,,,,,513.44,293.88,,496.57,,
81619,402,76536,,,,,,,US THYROID SONO,717.5,717.5,274.6,570.49,289.24,,,,570.49,,,,,,,570.49,274.6,,495.55,,
81620,402,76536,,,,,,,US SOFT TISSUE NECK,717.5,717.5,274.6,570.49,289.24,,,,570.49,,,,,,,570.49,274.6,,495.55,,
8163,710,,,,,,,,RECOVERY ROOM FIRST 15 MIN,586.25,586.25,0,235.65,,,0,235.65,,,,,,,,,,,183.78,,
81656,320,72072,,,,,,,XR THORACIC SPINE 3 VIEW INC SWIMMERS,424,424,163.84,333.09,165.54,,,,166.99,,333.09,,,,,,163.84,,188.03,,
81681,402,76830,,,,,,,US NON-OB INTRAVAG,904.75,904.75,0,570.49,353.22,,,,570.49,,,,,,,0,348.71,,520.6,,
81701,921,93926,,,,,,,US DUP SCAN ART INFLOW/VENOUS OUT LIMI,922.75,922.75,,,,,,,,,,,,,,,,,,,
81703,320,72170,,,,,,,XR PELVIS 1 OR 2 VIEWS,273,273,106.6,208.74,,,,,,,,,,,,208.74,106.6,,106.6,,
81705,921,93922,,,,,,,US ABI,870,870,339.7,531.94,348.2,,531.94,,531.94,,,,,,,,345.21,,339.7,,
81707,320,74230,,,,,,,XR SWALLOW FUNC PHAR/ESOPHAGUS,639.5,639.5,244.35,244.35,,,,,,,,,,,,,244.35,,,,
81710,402,76819,,,,,,,US BIOPHYSICAL PROFILE W/O,932.5,932.5,,,,,,,,,,,,,,,,,,,
81712,402,76775,,,,,,,US PANCREAS SONO,466,466,211.35,234.01,234.01,,,,,,,,,,,,211.56,,211.35,,
81719,320,72050,,,,,,,XR CERVICAL SPINE 4 OR 5 VIEW,571.75,571.75,104.37,449.21,234.42,,,,104.37,,449.21,,,,,208.74,220.39,,267.9,,
81721,320,70030,,,,,,,XR ORBITS F/B 2 VIEWS,206.5,206.5,78.21,78.21,,,,,,,,,,,,,78.21,,,,
81722,320,77002,,,,,,,XR FLUORO GUIDE NEEDLE PLACMT,267,267,102.41,106.8,,,,,,,,,,,,,102.41,,106.8,,
81728,921,93990,,,,,,,US HEMODIALYSIS GRAFT,903.75,903.75,,,,,,,,,,,,,,,,,,,
81729,402,76810,,,,,,,US OB > 14 WKS ADD'L GEST,914,914,,,,,,,,,,,,,,,,,,,
81731,921,93975,,,,,,,US RENAL ARTERY DOPPLER,1815.5,1815.5,690.57,743.92,743.92,,,,,,,,,,,,690.57,,708.89,,
81733,402,19285,,,,,,,US PRE-OP PLACMNT OF NEEDLE-BREAST LT,484.75,484.75,,,,,,,,,,,,,,,,,,,
81734,320,71100,,,,,,,XR RIBS  LT,358,358,,,,,,,,,,,,,,,,,,,
81736,320,73020,,,,,,,XR SHOULDER 1V LT,196.75,196.75,,,,,,,,,,,,,,,,,,,
81737,320,73030,,,,,,,XR SHOULDER LEFT MIN 2 VIEWS,317.5,317.5,67.1,67.1,,,,,,,,,,,,67.1,,,,,
81738,320,73600,,,,,,,XR ANKLE AP/LAT LT,260,260,,,,,,,,,,,,,,,,,,,
81739,320,73610,,,,,,,XR ANKLE COMP 3V LT,316.5,316.5,69.58,69.58,,,,,,,,,,,,69.58,,,,,
81740,320,73070,,,,,,,XR ELBOW AP/LAT LT,231.5,231.5,,,,,,,,,,,,,,,,,,,
81741,320,73080,,,,,,,XR ELBOW  MIN 3 VIEWS LT,335,335,0,0,,,,,,,,,,,,0,,,,,
81742,320,73551,,,,,,,XR FEMUR LT,206.5,206.5,79.6,80.57,,,,,,,,,,,,,80.57,,79.6,,
81743,320,73620,,,,,,,XR FOOT 2V LT,256.75,256.75,,,,,,,,,,,,,,,,,,,
81744,320,73630,,,,,,,XR FOOT 3V LT,319,319,104.37,104.37,,,,,,,,,,,,104.37,,,,,
81745,320,73090,,,,,,,XR FOREARM LT,288,288,,,,,,,,,,,,,,,,,,,
81746,320,73130,,,,,,,XR HAND 3V LT,314.25,314.25,104.37,208.74,,,,,208.74,,,,,,,104.37,,,,,
81748,320,73502,,,,,,,XR HIP 2V LT,359,359,104.37,182.65,,,,,182.65,,,,,,,104.37,,,,,
81749,320,73501,,,,,,,XR HIP 1V LT,230,230,,,,,,,,,,,,,,,,,,,
81750,320,73060,,,,,,,XR HUMERUS 2V LT,287.75,287.75,,,,,,,,,,,,,,,,,,,
81751,320,73562,,,,,,,XR KNEE 3V LT,395,395,52.19,52.19,,,,,,,,,,,,52.19,,,,,
81752,320,73564,,,,,,,XR KNEE 4+V LT,465,465,69.58,69.58,,,,,,,,,,,,69.58,,,,,
81753,320,73560,,,,,,,XR KNEE 1 OR 2V LT,313.75,313.75,,,,,,,,,,,,,,,,,,,
81754,320,73590,,,,,,,XR TIB/FIB LT,811,811,0,0,,,,,,,,,,,,0,,,,,
81756,320,73100,,,,,,,XR WRIST 2V LT,261.75,261.75,,,,,,,,,,,,,,,,,,,
81757,320,73110,,,,,,,XR WRIST MIN 3 VIEWS LT,324,324,52.19,52.19,,,,,,,,,,,,52.19,,,,,
81763,402,76857,,,,,,,US PELVIS SONO LIMITED,355.75,355.75,142.28,142.28,,,,,,,,,,,,,142.28,,,,
81767,480,93350,,,,,,,US STRESS ECHO COMPLETE,3476,3476,,,,,,,,,,,,,,,,,,,
81768,480,C8930,,,,,,,US STRESS ECHO COMPLETE W/CONTRAST,3696.5,3696.5,,,,,,,,,,,,,,,,,,,
81769,402,76857,,,,,,,US PELVIC LTD SOFT TISSUE MAS,355.75,355.75,142.28,142.28,,,,,,,,,,,,,142.28,,,,
81814,401,76098,,,,,,,MM RADIOLOGIAL EXAM SURGICAL SPECIMEN,162.25,162.25,,,,,,,,,,,,,,,,,,,
81875,402,76872,,,,,,,US PROSTATE SONO TRANSREC,1240.5,1240.5,,,,,,,,,,,,,,,,,,,
81899,320,73030,,,,,,,XR SHOULDER RIGHT MIN 2 VIEWS,317.5,317.5,67.1,67.1,,,,,,,,,,,,67.1,,,,,
81917,320,72052,,,,,,,XR CERVICAL SPINE MIN 6 VIEW,558,558,216.04,216.04,,,,,,,,,,,,,216.04,,,,
81929,921,93880,,,,,,,US CAROTID DOPPLER BILAT,1626.25,1626.25,570.49,650.48,650.48,,,,570.49,,,,,,,570.49,630.72,,628.35,,
81954,921,93925,,,,,,,US ARTERIAL DUPLEX  BILAT LE,1350.75,1350.75,509.48,527.36,527.36,,,,,,,,,,,,509.48,,,,
81966,921,93926,,,,,,,US ARTERIAL DUPLEX  UNILATERAL LE,922.75,922.75,,,,,,,,,,,,,,,,,,,
81978,921,93930,,,,,,,US ARTERIAL DUPLEX  BIL  ARM,925.75,925.75,,,,,,,,,,,,,,,,,,,
81980,921,93931,,,,,,,US ARTERIAL DUPLEX  UNIL  ARM,1087.25,1087.25,,,,,,,,,,,,,,,,,,,
81991,921,93970,,,,,,,US VENOUS DOPPLER BILAT,1542,1542,563.18,750.9,602.09,,750.9,,750.9,,,,,,,563.18,589.02,,587.4,,
82016,921,93971,,,,,,,US VENOUS DOPPLER UNILAT,1179,1179,455.04,926.27,,,750.9,,750.9,,926.27,,,,,750.9,455.04,,561.39,,
82017,402,76881,,,,,,,US AXILLA OR SOFT TISSUE COMPLETE,1062.75,1062.75,570.49,570.49,,,,,570.49,,,,,,,,,,,,
82018,402,76882,,,,,,,US AXILLA OR SOFT TISSUE LIMITED,683,683,257.64,570.49,432.42,,,,570.49,,,,,,,570.49,257.64,,533.21,,
82338,402,76882,,,,,,,US NONVASCULAR EX OR OTHER LIMTD JOINT,683,683,257.64,570.49,432.42,,,,570.49,,,,,,,570.49,257.64,,533.21,,
82340,402,76705,,,,,,,US LIVER SONO,767,767,293.88,602.46,379.92,,,,570.49,,602.46,,,,,513.44,293.88,,496.57,,
82445,921,93923,,,,,,,US NON INVASIVE ART DOPPLER BIL,1284.25,1284.25,492.05,746.03,501.43,,,,,,,,,,,,492.05,,746.03,,
82446,341,78278,,,,,,,NM GI BLOOD LOSS IMAGING,2181,2181,,,,,,,,,,,,,,,,,,,
82448,341,78290,,,,,,,NM MECKELS DIVERTICULUM,2181,2181,,,,,,,,,,,,,,,,,,,
82450,320,70220,,,,,,,XR PARANASAL SINUS COMP 3V,338.75,338.75,,,,,,,,,,,,,,,,,,,
82455,320,74270,,,,,,,XR HYPAQUE ENEMA-FULL COLON,667.75,667.75,254.3,260.66,,,,,,,,,,,,,254.3,,260.66,,
82456,320,71101,,,,,,,XR RIBS  LT AND CHEST,416.25,416.25,0,159.16,,,,,,,,,,,,0,159.16,,,,
82459,320,73030,,,,,,,XR SHOULDER 2V LT,317.5,317.5,67.1,67.1,,,,,,,,,,,,67.1,,,,,
82460,320,73030,,,,,,,XR SHOULDER 3V LT,317.5,317.5,67.1,67.1,,,,,,,,,,,,67.1,,,,,
82463,320,73650,,,,,,,XR CALCANEUS 2V LT,259.25,259.25,,,,,,,,,,,,,,,,,,,
82464,320,77080,,,,,,,XR DEXA BONE DENSITY,518.75,518.75,200.69,329.71,286.52,,,,329.71,,,,,,,,200.69,,211.6,,
82466,320,77086,,,,,,,XR DEXA VERTEBRA FX ASSESSMENT,206.5,206.5,,,,,,,,,,,,,,,,,,,
82468,402,51798,,,,,,,BLADDER SCAN (ER),216.75,216.75,0,85.19,84.56,,,,,,,,,,,0,85.19,,,,
82469,480,93308,,,,,,,US ECHO  LIMITED (BUBBLE STUDY),687.25,687.25,274.89,654.5,,,,,654.5,,,,,,,,,,274.89,,
82470,361,19281,,,,,,,MM PREOP PLACEMENT OF NEEDLE-BREAST LT,1916.75,1916.75,,,,,,,,,,,,,,,,,,,
82471,402,76705,,,,,,,US RIGHT UPPER QUADRANT SONO,767,767,293.88,602.46,379.92,,,,570.49,,602.46,,,,,513.44,293.88,,496.57,,
82472,480,93306,,,,,,,US ECHO,3106.25,3106.25,1105.65,1819.67,1105.65,,,,1819.67,,,,,,,,1193.15,,1481.93,,
82473,480,76604,,,,,,,US CHEST WALL,771.5,771.5,301.24,301.24,,,,,,,,,,,,,301.24,,,,
82474,402,76816,,,,,,,US OB FOLLOW/UP PER FETUS,1039.5,1039.5,,,,,,,,,,,,,,,,,,,
82475,402,76802,,,,,,,US OB 1ST TRIMESTER ADD'L GEST,360.25,360.25,,,,,,,,,,,,,,,,,,,
82476,402,76801,,,,,,,US OB 1ST TRIMESTER SINGLE,1116,1116,,,,,,,,,,,,,,,,,,,
82477,402,76817,,,,,,,US OB INTRAVAG,773.75,773.75,,,,,,,,,,,,,,,,,,,
82479,402,76812,,,,,,,US OB COMP W/FETAL ANAT ADD'L,360.25,360.25,,,,,,,,,,,,,,,,,,,
82480,402,76811,,,,,,,US OB COMP W/FETAL ANAT,923.75,923.75,,,,,,,,,,,,,,,,,,,
82483,480,C8929,,,,,,,US ECHO WITH CONTRAST MATERIAL,3759.75,3759.75,1510.77,1818.35,1566.56,,,,,,,,,,,,1510.77,,1818.35,,
82484,402,76881,,,,,,,US COMPLETE JOINT,1062.75,1062.75,570.49,570.49,,,,,570.49,,,,,,,,,,,,
82485,401,77066,,,,,,,MM  2D MAMMOGRAM DIAG,523.75,523.75,201.83,502.18,502.18,,,,,,,,,,,,201.83,,,,
82486,403,77067,52,,,,,,MM  2D MAMMOGRAM UNILATERAL SCREENING,485,485,62.19,380.94,178.35,,,,,,380.94,380.94,,,,,88.02,,62.19,,
82487,401,77065,,,,,,,MM  2D MAMMOGRAM UNILATERAL DIAG,351.5,351.5,136.14,140.6,,,,,,,,,,,,,136.14,,140.6,,
82488,402,76770,,,,,,,US RETROPERITONEAL US COMPLETE,981,981,378.03,570.49,,,,,570.49,,,,,,,,378.03,,383.05,,
82489,402,76706,,,,,,,US AAA SCREENING,629.25,629.25,,,,,,,,,,,,,,,,,,,
82490,402,76705,,,,,,,US ABDOMEN SONO LIMITED,767,767,293.88,602.46,379.92,,,,570.49,,602.46,,,,,513.44,293.88,,496.57,,
82491,402,76870,,,,,,,US SCROTUM SONO,960.5,960.5,371.39,750.1,375.05,,,,,,,,,,,570.49,371.39,,750.1,,
82492,320,71101,,,,,,,XR RIBS RT AND CHEST,416.25,416.25,0,159.16,,,,,,,,,,,,0,159.16,,,,
82494,320,73000,,,,,,,XR CLAVICLE COMP RIGHT,269,269,,,,,,,,,,,,,,,,,,,
82495,320,73010,,,,,,,XR SCAPULA COMP RT,252.5,252.5,0,0,,,,,,,,,,,,0,,,,,
82496,320,73092,,,,,,,XR UP EXTREM INFANT 2V LT,372.5,372.5,,,,,,,,,,,,,,,,,,,
82497,320,73092,,,,,,,XR UP EXTREM INFANT 2V RT,372.5,372.5,,,,,,,,,,,,,,,,,,,
82498,320,73140,,,,,,,XR FINGER(S) LT,293.25,293.25,0,0,,,,,,,,,,,,0,,,,,
82499,320,73592,,,,,,,XR LOW EXTREM INF 2V RT,206.5,206.5,,,,,,,,,,,,,,,,,,,
82500,320,73592,,,,,,,XR LOW EXTREM INF 2V LT,206.5,206.5,,,,,,,,,,,,,,,,,,,
82501,320,73660,,,,,,,XR TOE(S) LT,256.25,256.25,,,,,,,,,,,,,,,,,,,
82502,320,77001,,,,,,,XR FLUORO PORTA CATH,341.25,341.25,139.75,139.75,139.75,,,,,,,,,,,,,,,,
82503,402,19285,,,,,,,US PRE-OP PLACMNT OF NEEDLE-BREAST RT,484.75,484.75,,,,,,,,,,,,,,,,,,,
82505,361,51600,,,,,,,XR INJECTION CYSTOGRAM,101,101,,,,,,,,,,,,,,,,,,,
82506,402,76641,,,,,,,US BREAST RT COMPLETE,717.75,717.75,,,,,,,,,,,,,,,,,,,
82507,402,76642,,,,,,,US BREAST LT LIMITED,694.75,694.75,,,,,,,,,,,,,,,,,,,
82509,320,77085,,,,,,,XR DEXA STUDY W VERTEBRA FX ASSESSMENT,372.5,372.5,,,,,,,,,,,,,,,,,,,
82510,320,20610,,,,,,,XR INJECTION OF JOINT,682.25,682.25,261.7,272.9,,,,,,,,,,,,,261.7,,272.9,,
82511,402,76641,,,,,,,US BREAST LT COMPLETE,717.75,717.75,,,,,,,,,,,,,,,,,,,
82512,402,76642,,,,,,,US BREAST RT LIMITED,694.75,694.75,,,,,,,,,,,,,,,,,,,
82513,921,93924,,,,,,,US ABI W EXERCISE,1240.5,1240.5,496.13,496.13,,,,,,,,,,,,,496.13,,,,
82514,402,C8924,,,,,,,US ECHO LIMITED W CONTRAST,1930,1930,676.94,676.94,,,,,,,,,,,,,676.94,,,,
82515,480,76604,,,,,,,US SOFT TISSUE OF UPPER BACK,767,767,301.24,301.24,,,,,,,,,,,,,301.24,,,,
82516,403,77063,52,,,,,,MM  3D MAMMOGRAM UNILATERAL SCREENING,62.25,62.25,24.15,25.72,,,,,,,,,,,,,24.15,,25.72,,
82517,401,77062,,,,,,,MM  3D MAMMOGRAM DIAG BILATERAL,62.25,62.25,24.29,24.29,24.29,,,,,,,,,,,,,,,,
82518,403,77063,,,,,,,MM  3D MAMMOGRAM SCREENING BILATERAL,62.25,62.25,22.93,259.12,22.93,,,,259.12,,49.71,48.88,,,,,24.21,,51.8,,
82519,401,77065,,,,,,,MM  3D MAMMOGRAM UNIL DIAG CONVERT,61.25,61.25,136.14,140.6,,,,,,,,,,,,,136.14,,140.6,,
82520,401,77062,,,,,,,MM  3D MAMMOGRAM DIAG BILAT CONVERT,61.25,61.25,24.29,24.29,24.29,,,,,,,,,,,,,,,,
82522,402,76937,,,,,,,US GUIDED PORT/PICC,1109.25,1109.25,,,,,,,,,,,,,,,,,,,
82523,402,76881,,,,,,,US GROIN COMPLETE,1062.75,1062.75,570.49,570.49,,,,,570.49,,,,,,,,,,,,
82524,402,76882,,,,,,,US GROIN LIMITED,683,683,257.64,570.49,432.42,,,,570.49,,,,,,,570.49,257.64,,533.21,,
82525,401,77061,,,,,,,MM  3D MAMMOGRAM UNILATERAL DIAG,62.25,62.25,0,0,0,,,,,,,,,,,,,,,,
82526,403,77067,,,,,,,MM  2D MAMMOGRAM BILATERAL SCREENING,485,485,87.44,390.54,289.53,,,,259.12,,390.54,,,,,,87.44,,149.82,,
82553,320,73080,,,,,,,XR ELBOW MIN 3 VIEWS RT,335,335,0,0,,,,,,,,,,,,0,,,,,
82556,320,73502,,,,,,,XR PELVIS & HIP CHILD MIN 2 VIEWS,340.75,340.75,104.37,182.65,,,,,182.65,,,,,,,104.37,,,,,
82558,320,73630,,,,,,,XR FOOT 3V RT,319,319,104.37,104.37,,,,,,,,,,,,104.37,,,,,
826,943,93798,,,,,,,CARDIAC PHASE II,303,303,115.88,238.01,,,,,,,238.01,,,,,,118,,117.16,115.88,
8321,250,,,,,,,,ATROPINE INJ:1MG/ML 1ML VIAL,21.25,21.25,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
84001,350,74150,,,,,,,CT ABDOMEN W/O CONTRAST,2510.75,2510.75,945.84,1178.13,,,,,,,,,,,,1178.13,945.84,,,,
84003,614,70336,,,,,,,MRI TMJ W/O CONTRAST,904.75,904.75,,,,,,,,,,,,,,,,,,,
84005,350,71275,,,,,,,CT CHEST PE ANGIO,3668.75,3668.75,1118.12,2323.51,2323.51,,,,1176.97,,,,,,,1118.12,1435.63,,2012.54,,
84006,351,70498,,,,,,,CTA NECK,4429.5,4429.5,1676.2,1729.59,,,,,,,,,,,,,1676.2,,1729.59,,
84007,350,75635,,,,,,,CT CTA ILIAC/AORTA W/WO CONTRAST,3793.25,3793.25,1084.01,1179.98,1179.98,,,,,,,,,,,,1084.01,,,,
84008,350,73701,,,,,,,CT LOWER EXT W CONTRAST LT,2604.5,2604.5,,,,,,,,,,,,,,,,,,,
84009,350,73700,,,,,,,CT LOWER EXT W/O CONTRAST LT,2384,2384,,,,,,,,,,,,,,,,,,,
84010,350,73702,,,,,,,CT LOWER EXT W/WO CONTRAST LT,2714.75,2714.75,,,,,,,,,,,,,,,,,,,
84013,350,74160,,,,,,,CT ABDOMEN WITH CONTRAST,2731.25,2731.25,1057.74,1057.74,,,,,,,,,,,,,1057.74,,,,
84014,350,73202,,,,,,,CT UPPER EXT W/WO CONT LT,3145.25,3145.25,,,,,,,,,,,,,,,,,,,
84015,351,70488,,,,,,,CT FACIAL BONES W/WO CONTRAST,2737.75,2737.75,,,,,,,,,,,,,,,,,,,
84016,351,70496,,,,,,,CTA HEAD/BRAIN,2578.25,2578.25,975.59,1006.66,,,,,,,,,,,,,975.59,,1006.66,,
84017,350,75635,,,,,,,CTA RUNOFF,2878,2878,1084.01,1179.98,1179.98,,,,,,,,,,,,1084.01,,,,
84018,351,74175,,,,,,,CTA ABDOMEN,4265.5,4265.5,,,,,,,,,,,,,,,,,,,
84019,350,74178,,,,,,,CT ABDOMEN/PELVIS W/WO CONTRAST,4364.75,4364.75,1699.19,2577.19,1789.55,,,,,,,,,,,,1699.19,,2577.19,,
84020,350,74177,,,,,,,CT ABDOMEN/PELVIS W CONTRAST,4254.5,4254.5,916.32,2165.1,1715.24,,,1178.13,1178.13,,,,,,,916.32,1636.87,,2165.1,,
84021,350,74176,,,,,,,CT ABDOMEN/PELVIS W/O CONTRAST,4034,4034,883.6,2312.52,2312.52,,,,1178.13,,,,,,,883.6,1563.23,,2102.61,,
84022,351,74174,,,,,,,CTA ABDOMEN/PELVIS,4484,4484,1793.51,1793.51,,,,,,,,,,,,,1793.51,,,,
84023,350,73201,,,,,,,CT UPPER EXT W/ CONTRAST LT,3035,3035,,,,,,,,,,,,,,,,,,,
84024,350,73200,,,,,,,CT UPPER EXT W/O CONTRAST LT,2814.5,2814.5,,,,,,,,,,,,,,,,,,,
84025,350,74170,,,,,,,CT ABDOMEN W/WO CONTRAST,2841.5,2841.5,1109.46,1109.46,,,,,,,,,,,,,1109.46,,,,
84026,350,71275,,,,,,,CTA CHEST THORACIC AORTA,3668.75,3668.75,1118.12,2323.51,2323.51,,,,1176.97,,,,,,,1118.12,1435.63,,2012.54,,
84028,350,74177,,,,,,,CT ENTEROGRAPHY W CONTRAST,4364.75,4364.75,916.32,2165.1,1715.24,,,1178.13,1178.13,,,,,,,916.32,1636.87,,2165.1,,
84030,351,70496,,,,,,,CT VENOGRAM HEAD,2578.25,2578.25,975.59,1006.66,,,,,,,,,,,,,975.59,,1006.66,,
84037,350,72125,,,,,,,CT CERVICAL SPINE WO CONTRAST,2654,2654,0,1243.55,,,,,591.15,,,,,,,0,1022.23,,1243.55,,
84038,350,74178,,,,,,,CT GI BLEED W/WO CONTRAST,4364.75,4364.75,1699.19,2577.19,1789.55,,,,,,,,,,,,1699.19,,2577.19,,
84049,350,72126,,,,,,,CT CERVICAL SPINE W CONTRAST,2874.5,2874.5,,,,,,,,,,,,,,,,,,,
84050,350,72127,,,,,,,CT CERVICAL SPINE W/WO CONTRAST,2984.75,2984.75,,,,,,,,,,,,,,,,,,,
84062,359,71250,,,,,,,CT CHEST W/O CONTRAST,2515.25,2515.25,173.6,1141.75,1030.61,,,,,,,,,,,173.6,969.46,,1141.75,,
84063,359,71250,,,,,,,CT CHEST HIGH RESOLUTION,2515.25,2515.25,173.6,1141.75,1030.61,,,,,,,,,,,173.6,969.46,,1141.75,,
84064,350,71271,,,,,,,CT LUNG CANCER SCREENING INIT/ANNUAL,2873,2873,1090.79,1105.36,,,,,,,,,,,,,1090.79,,1105.36,,
84065,359,71250,,,,,,,CT LUNG CANCER 3/6/9 MO FOLLOW UP,2873,2873,173.6,1141.75,1030.61,,,,,,,,,,,173.6,969.46,,1141.75,,
84074,350,71260,,,,,,,CT CHEST W CONTRAST,2735.75,2735.75,0,1500.63,,,,,520.8,,,,,,,0,1052.66,,1500.63,,
84086,350,71270,,,,,,,CT CHEST W/WO CONTRAST,2846,2846,1111.21,2222.41,,,,,,,,,,,,,1111.21,,2222.41,,
84128,351,70450,,,,,,,CT HEAD W/O CONTRAST,2206.75,2206.75,856.09,1186.76,903.65,,,,1018.19,,,,,,,989.34,856.09,,1186.76,,
84130,351,70460,,,,,,,CT HEAD W CONTRAST,2427.25,2427.25,,,,,,,,,,,,,,,,,,,
84141,351,70470,,,,,,,CT HEAD W/WO CONTRAST,2537.5,2537.5,966.6,1014.93,,,,,,,,,,,,,966.6,,1014.93,,
84153,350,73700,,,,,,,CT LOWER EXT W/O CONTRAST RT,2384,2384,,,,,,,,,,,,,,,,,,,
84165,350,73701,,,,,,,CT LOWER EXT W/ CONTRAST RT,2604.5,2604.5,,,,,,,,,,,,,,,,,,,
84177,350,73702,,,,,,,CT LOWER EXT W/WO CONTRAST RT,2714.75,2714.75,,,,,,,,,,,,,,,,,,,
84189,350,72131,,,,,,,CT LUMBAR SPINE W/O CONTRAST,2654,2654,197.05,1680.79,1680.79,,,,,,,,,,,197.05,1012.27,,,,
84190,350,72132,,,,,,,CT LUMBAR SPINE W CONTRAST,2874.5,2874.5,,,,,,,,,,,,,,,,,,,
84207,350,72133,,,,,,,CT LUMBAR SPINE W/WO CONTRAST,2984.75,2984.75,,,,,,,,,,,,,,,,,,,
84219,351,70490,,,,,,,CT NECK W/O CONTRAST (SOFT TI),3558.5,3558.5,260.4,1366.99,,,,,,,,,,,,260.4,1366.99,,,,
84220,351,70491,,,,,,,CT NECK W/ CONTRAST,2786.75,2786.75,520.8,2176.28,1088.14,,,,520.8,,,,,,,,1050.83,,2176.28,,
84232,351,70492,,,,,,,CT NECK W/WO CONTRAST,2897,2897,1158.78,1158.78,,,,,,,,,,,,,1158.78,,,,
84244,350,72192,,,,,,,CT PELVIS W/O CONTRAST,2318.5,2318.5,0,1178.13,,,,,1178.13,,,,,,,0,902.58,,927.4,,
84256,350,72193,,,,,,,CT PELVIS W CONTRAST,3531.25,3531.25,,,,,,,,,,,,,,,,,,,
84268,350,72194,,,,,,,CT PELVIS W/WO CONTRAST,2649.25,2649.25,,,,,,,,,,,,,,,,,,,
84270,351,70486,,,,,,,CT SINUS W/O CONTRAST,2407,2407,0,1421.2,962.75,,0,,520.8,,,,,,,0,931.8,,1421.2,,
84282,351,70487,,,,,,,CT FACIAL BONES W/ CONTRAST,2627.5,2627.5,520.8,520.8,,,,,520.8,,,,,,,,,,,,
84293,351,70488,,,,,,,CT SINUS W/WO CONTRAST,2737.75,2737.75,,,,,,,,,,,,,,,,,,,
84300,350,72128,,,,,,,CT THORACIC SPINE W/O CONTRAST,2654,2654,295.58,1011,,,,,,,,,,,,295.58,1009.32,,1011,,
84311,350,72129,,,,,,,CT THORACIC SPINE W/ CONTRAST,2874.5,2874.5,,,,,,,,,,,,,,,,,,,
84323,350,72130,,,,,,,CT THORACIC SPINE W/WO CONTRAST,2984.75,2984.75,,,,,,,,,,,,,,,,,,,
84335,350,73200,,,,,,,CT UPPER EXT W/O CONTRAST RT,2814.5,2814.5,,,,,,,,,,,,,,,,,,,
84347,350,73201,,,,,,,CT UPPER EXT W/ CONTRAST RT,3035,3035,,,,,,,,,,,,,,,,,,,
84359,350,73202,,,,,,,CT UPPER EXT W/WO CONTRAST RT,3145.25,3145.25,,,,,,,,,,,,,,,,,,,
84360,350,77012,,,,,,,CT GUIDANCE FOR NEEDLE BIOPSY,1577.75,1577.75,,,,,,,,,,,,,,,,,,,
84451,351,70480,,,,,,,"CT ORBIT, SELLA, POST FOSSA W/O CONTRAST",2713.5,2713.5,1277.5,1277.5,,,,,,,,,,,,,1277.5,,,,
84452,351,70480,,,,,,,CT IAC  W/O CONTRAST,3353.5,3353.5,1277.5,1277.5,,,,,,,,,,,,,1277.5,,,,
84463,351,70481,,,,,,,"CT ORBIT,SELLA,POSTERIOR FOSSA W/ CONT",2934,2934,,,,,,,,,,,,,,,,,,,
84475,351,70482,,,,,,,"CT ORBIT,SELLA W/WO CONTRAST",3044.25,3044.25,1473.68,1473.68,,,,,,,,,,,,,,,1473.68,,
84476,351,70482,,,,,,,CT IAC W/ WO CONTRAST,3684.25,3684.25,1473.68,1473.68,,,,,,,,,,,,,,,1473.68,,
84509,351,70486,,,,,,,CT FACIAL BONES W/O CONTRAST,2407,2407,0,1421.2,962.75,,0,,520.8,,,,,,,0,931.8,,1421.2,,
8466,964,,,,,,,,PRO ANESTHESIA EA 15 MIN (NOT EMPLOYEED),313.75,313.75,0,298.75,298.75,,0,99.58,,,,,,,,,,,,,
8510,379,,,,,,,,"ANES,INHAL,SEMICLOSED 1ST 15MIN",1187.5,1187.5,0,680.89,223.69,,0,680.89,,,579.22,,,,,,304.27,323.7,422.22,,
8511,379,,,,,,,,"ANES,INHAL,SEMICLOSED ADDL 15MIN",512.25,512.25,0,680.89,223.69,,0,680.89,,,579.22,,,,,,304.27,323.7,422.22,,
8512,379,,,,,,,,"ANES, INHAL,GEN 1ST 15MIN",1187.5,1187.5,0,680.89,223.69,,0,680.89,,,579.22,,,,,,304.27,323.7,422.22,,
8513,379,,,,,,,,"ANES,INHAL,GEN ADDL15MIN",512.25,512.25,0,680.89,223.69,,0,680.89,,,579.22,,,,,,304.27,323.7,422.22,,
8514,379,,,,,,,,ANES & MUSC RELAXNT 1ST15MIN,1187.5,1187.5,0,680.89,223.69,,0,680.89,,,579.22,,,,,,304.27,323.7,422.22,,
8515,379,,,,,,,,ANES & MUSC RELAXNT ADDL15MIN,512.25,512.25,0,680.89,223.69,,0,680.89,,,579.22,,,,,,304.27,323.7,422.22,,
8516,379,,,,,,,,"ANES, IV 1ST 15MIN",1187.5,1187.5,0,680.89,223.69,,0,680.89,,,579.22,,,,,,304.27,323.7,422.22,,
8517,379,,,,,,,,"ANES, IV ADDL 15MIN",512.25,512.25,0,680.89,223.69,,0,680.89,,,579.22,,,,,,304.27,323.7,422.22,,
8518,379,,,,,,,,"ANES, GEN MAINT 1ST 15MIN",1187.5,1187.5,0,680.89,223.69,,0,680.89,,,579.22,,,,,,304.27,323.7,422.22,,
8519,379,,,,,,,,"ANES, GEN MAINT ADDL 15MIN",512.25,512.25,0,680.89,223.69,,0,680.89,,,579.22,,,,,,304.27,323.7,422.22,,
8520,379,,,,,,,,"ANES, RAPID SEQ INDUCT 1ST 15MIN",1215.25,1215.25,0,680.89,223.69,,0,680.89,,,579.22,,,,,,304.27,323.7,422.22,,
8521,379,,,,,,,,"ANES, RAPID SEQ INDUCT ADDL 15MIN",512.25,512.25,0,680.89,223.69,,0,680.89,,,579.22,,,,,,304.27,323.7,422.22,,
8522,379,,,,,,,,"ANES, INHAL CLOSED 1ST 15MIN",1187.5,1187.5,0,680.89,223.69,,0,680.89,,,579.22,,,,,,304.27,323.7,422.22,,
8523,379,,,,,,,,"ANES, INHAL CLOSED  ADDL 15MIN",512.25,512.25,0,680.89,223.69,,0,680.89,,,579.22,,,,,,304.27,323.7,422.22,,
8524,379,,,,,,,,"ANES, MONITRD SEDATION 1ST 15MIN",1187.5,1187.5,0,680.89,223.69,,0,680.89,,,579.22,,,,,,304.27,323.7,422.22,,
8525,379,,,,,,,,"ANES, MONITRD SEDATION ADDL 15MIN",512.25,512.25,0,680.89,223.69,,0,680.89,,,579.22,,,,,,304.27,323.7,422.22,,
8526,379,,,,,,,,"ANES, IV LOCAL BLK OF ARM 1ST15MIN",1187.5,1187.5,0,680.89,223.69,,0,680.89,,,579.22,,,,,,304.27,323.7,422.22,,
8527,379,,,,,,,,"ANES, IV LOCL BLK OF ARM ADDL15MIN",512.25,512.25,0,680.89,223.69,,0,680.89,,,579.22,,,,,,304.27,323.7,422.22,,
8528,379,,,,,,,,"ANES, ELEC CONV ARHYTHMA 1ST 15MIN",1187.5,1187.5,0,680.89,223.69,,0,680.89,,,579.22,,,,,,304.27,323.7,422.22,,
8529,379,,,,,,,,"ANES, ELEC CONV ARHYTHMA ADDL15MIN",512.25,512.25,0,680.89,223.69,,0,680.89,,,579.22,,,,,,304.27,323.7,422.22,,
8530,379,,,,,,,,"ANES, SPINAL PERCUTANEOUS 1ST15MIN",1187.5,1187.5,0,680.89,223.69,,0,680.89,,,579.22,,,,,,304.27,323.7,422.22,,
8531,379,,,,,,,,"ANES,SPINAL PERCUTANEOUS ADDL15MIN",512.25,512.25,0,680.89,223.69,,0,680.89,,,579.22,,,,,,304.27,323.7,422.22,,
8532,379,,,,,,,,"ANES, EPIDURAL 1ST 15MIN",1187.5,1187.5,0,680.89,223.69,,0,680.89,,,579.22,,,,,,304.27,323.7,422.22,,
8533,379,,,,,,,,"ANES, EPIDURAL  ADDL 15MIN",512.25,512.25,0,680.89,223.69,,0,680.89,,,579.22,,,,,,304.27,323.7,422.22,,
8534,379,,,,,,,,"ANES, NERVE BLOCK 1ST 15MIN",1187.5,1187.5,0,680.89,223.69,,0,680.89,,,579.22,,,,,,304.27,323.7,422.22,,
8535,379,,,,,,,,"ANES, NERVE BLOCK ADDL 15MIN",512.25,512.25,0,680.89,223.69,,0,680.89,,,579.22,,,,,,304.27,323.7,422.22,,
8536,379,,,,,,,,"ANES, SPINAL INJ ANALGSIA 1ST15MIN",1187.5,1187.5,0,680.89,223.69,,0,680.89,,,579.22,,,,,,304.27,323.7,422.22,,
8537,379,,,,,,,,"ANES, SPINAL INJ ANALGSI,ADDL15MIN",512.25,512.25,0,680.89,223.69,,0,680.89,,,579.22,,,,,,304.27,323.7,422.22,,
8538,379,,,,,,,,"ANES, LOCAL 1ST 15MIN",1187.5,1187.5,0,680.89,223.69,,0,680.89,,,579.22,,,,,,304.27,323.7,422.22,,
8539,379,,,,,,,,"ANES, LOCAL  ADDL 15MIN",512.25,512.25,0,680.89,223.69,,0,680.89,,,579.22,,,,,,304.27,323.7,422.22,,
875,780,Q3014,,,,,,,TELEHEALTH CLINIC VISIT/SUBSEQUENT,84.75,84.75,27.28,69.5,34.75,,54.8,,,,,,,,,54.8,27.28,,69.5,,
881,920,95810,,,,,,,PSG SLEEP STUDY,4796,4796,1872.68,1964.03,1964.03,,,,,,,,,,,,1872.68,,1872.7,,
883,920,95811,,,,,,,PSG W CPAP,7166.25,7166.25,2769.85,4449.9,2866.5,,,,,,,,,,,,2769.85,,4449.9,,
884,920,G0399,,,,,,,HOME SLEEP TEST,766,766,295.45,601.84,299.1,,,,,,601.84,,,,,,295.45,,598.19,,
910049,250,,,,,,,,PHARMACY CHEMO MIXING,150,150,0,59.9,7.9,,0,59.13,,,21.77,,,,,0,39.91,8.25,59.9,,
910582,300,86945,,,,,,,IRRADIATION OF BLOOD PRODUCT EACH UNIT,165.25,165.25,,,,,,,,,,,,,,,,,,,
910636,300,G0103,,,,,,,PROSTATE SPECIFIC ANTIGEN (PSA) SCREEN,168.5,168.5,21.13,160.22,160.22,,31.7,,21.13,,143.14,,,,,,64.88,,80.4,,138.17
91236,341,78580,,,,,,,NM LUNG PERFUSION SCAN,2209.5,2209.5,852.22,852.22,,,,,,,,,,,,,852.22,,,,
91342,341,78300,,,,,,,NM BONE AND/OR JOINT LIMITED AREA,2136.75,2136.75,,,,,,,,,,,,,,,,,,,
91343,341,78803,,,,,,,NM BONE TOMO(SPECT),3388.5,3388.5,,,,,,,,,,,,,,,,,,,
91346,341,78012,,,,,,,NM THYROID UPTAKE,1254.5,1254.5,,,,,,,,,,,,,,,,,,,
91347,341,78014,,,,,,,NM THYROID IMAGE W/ UPTAKE,2380.5,2380.5,929.47,929.47,,,,,,,,,,,,,929.47,,,,
91348,341,78264,,,,,,,NM GASTRIC EMPTING STUDY,2973,2973,1132.5,1132.5,,,,,,,,,,,,,1132.5,,,,
91350,341,78472,,,,,,,NM MUGA CARDIAC BLOOD POOL IMAGING,3982,3982,1630.67,1630.67,1630.67,,,,,,,,,,,,,,,,
91351,341,78306,,,,,,,NM BONE SCAN,2597.5,2597.5,1010.71,1408.69,,,,,,,,,,,,1408.69,1010.71,,,,
91352,341,78013,,,,,,,NM THYROID I-123 SCAN,1715.5,1715.5,,,,,,,,,,,,,,,,,,,
91354,341,78701,,,,,,,NM KIDNEY IMAGING W VASULAR FLOW,1364.25,1364.25,,,,,,,,,,,,,,,,,,,
91355,341,78215,,,,,,,NM LIVER & SPLEEN SCAN,2098.25,2098.25,,,,,,,,,,,,,,,,,,,
91356,341,78579,,,,,,,NM LUNG VENT SCAN,3852.25,3852.25,,,,,,,,,,,,,,,,,,,
91359,341,78012,,,,,,,NM THYROID TC 99M SCAN,1877.75,1877.75,,,,,,,,,,,,,,,,,,,
91361,341,78582,,,,,,,NM VQ SCAN,4055.5,4055.5,,,,,,,,,,,,,,,,,,,
91362,341,78452,,,,,,,NM MYOCARDIAL PERF/SPECT/WALMOT/MULTIPLE,6524.75,6524.75,2538.32,4317.28,4317.28,,,,,,,,,,,,2538.32,,3057.29,,
91363,341,78451,,,,,,,NM MYOCARDIAL PERF/SPECT/WALMOT/SINGLE,2823.25,2823.25,1075.5,1075.5,,,,,,,,,,,,,1075.5,,,,
91364,341,78071,,,,,,,NM PARATHYROID IMAGING,2599.75,2599.75,,,,,,,,,,,,,,,,,,,
91366,341,78708,,,,,,,NM KIDNEY IMAGING SINGLE W/PHAR INTERV,4191.5,4191.5,1676.54,1676.54,,,,,,,,,,,,,1676.54,,,,
91370,341,78597,,,,,,,NM VQ QUANTITATIVE,3088,3088,,,,,,,,,,,,,,,,,,,
91371,341,78227,,,,,,,NM HIDA EF,3375.75,3375.75,1286,2893.5,2893.5,,,,,,2652.38,,,,,,1286,,2636.3,,
91372,341,78306,,,,,,,NM WHITE BLOOD CELL - WB,12522.5,12522.5,1010.71,1408.69,,,,,,,,,,,,1408.69,1010.71,,,,
91390,341,78226,,,,,,,NM HIDA SCAN,2577.75,2577.75,,,,,,,,,,,,,,,,,,,
91418,341,78315,,,,,,,NM BONE SCAN III PHASE,3077,3077,1230.71,1230.71,,,,,,,,,,,,,1230.71,,,,
916,920,95805,,,,,,,MUTIPLE SLEEP LATENCY OR MAINT TESTING,4410,4410,,,,,,,,,,,,,,,,,,,
918,982,95810,26,,,,,,PF NPSG PHYSICIAN,372.75,372.75,0,134.47,,,,,,,,,,,,,134.47,,0,,
919,982,95811,26,,,,,,PF-PSG W CPAP,387.75,387.75,0,141.09,141.09,,,,,,,,,,,,138.89,,0,,
921,982,95806,26,,,,,,PF SLEEP STDY UNATTD AND RESP EFFT,187.25,187.25,50.42,147.06,,,,,,,147.06,,,,,,50.42,,,,
95001,424,97161,,,,,,,PT EVAL LOW COMPLEX 20 MIN,300.75,300.75,422.51,422.51,,,,,,,,,,,,422.51,,,,,
95002,424,97162,,,,,,,PT EVAL MOD COMPLEX 30 MIN,398,398,,,,,,,,,,,,,,,,,,,
95003,424,97163,,,,,,,PT EVAL HIGH COMPLEX 45 MIN,398,398,422.51,422.51,,,,,,,,,,,,422.51,,,,,
95004,424,97164,,,,,,,PT RE-EVAL EST PLAN CARE,154.25,154.25,,,,,,,,,,,,,,,,,,,
95005,434,97165,,,,,,,OT EVAL LOW COMPLEX 30 MIN,393.75,393.75,2016.33,2016.33,,,,,,,,,,,,2016.33,,,,,
95006,434,97166,,,,,,,OT EVAL MOD COMPLEX 45 MIN,491.25,491.25,2016.33,2016.33,,,,,,,,,,,,2016.33,,,,,
95007,434,97167,,,,,,,OT EVAL HIGH COMPLEX 60 MIN,588.5,588.5,2016.33,2016.33,,,,,,,,,,,,2016.33,,,,,
95008,434,97168,,,,,,,OT RE-EVAL EST PLAN CARE,150.25,150.25,2016.33,2016.33,,,,,,,,,,,,2016.33,,,,,
95047,420,97035,,,,,,,PT ULTRASOUND EACH 15 MINUTES,152,152,,,,,,,,,,,,,,,,,,,
95084,420,97032,,,,,,,PT ELECTRICAL STIM ATTENDED EA 15 MIN,169.5,169.5,,,,,,,,,,,,,,,,,,,
95096,420,97024,,,,,,,PT DIATHERMY,121.5,121.5,,,,,,,,,,,,,,,,,,,
95175,420,97116,,,,,,,PT GAIT TRAINING EA 15 MIN,131.25,131.25,,,,,,,,,,,,,,,,,,,
95205,420,97022,,,,,,,PT WHIRLPOOL EXTREMITY,145.75,145.75,,,,,,,,,,,,,,,,,,,
95266,420,97602,,,,,,,PT DEBRIDEMENT NON SELECTIVE,119.25,119.25,,,,,,,,,,,,,,,,,,,
95278,420,97124,,,,,,,PT MASSAGE EA 15 MIN,124,124,,,,,,,,,,,,,,,,,,,
95280,420,97012,,,,,,,PT TRACTION/MECHANICAL,136.25,136.25,,,,,,,,,,,,,,,,,,,
95333,420,97016,,,,,,,PT VASO PNEUMATIC COMPRESSION,143.25,143.25,,,,,,,,,,,,,,,,,,,
95424,420,G0283,,,,,,,PT ELECTRICAL STIMULATION UNATTENDED,124,124,,,,,,,,,,,,,,,,,,,
95425,430,G0283,,,,,,,OT ELECTRICAL STIMULATION UNATTENDED,126.75,126.75,,,,,,,,,,,,,,,,,,,
95426,430,29280,,,,,,,OT FINGER STRAPPING HAND/FINGER,89,89,,,,,,,,,,,,,,,,,,,
95427,430,97763,,,,,,,OT ORTHO PROST FIT TRAIN SUBS EA15 MIN,135.25,135.25,,,,,,,,,,,,,,,,,,,
95428,430,29131,,,,,,,OT FINGER SPLINT DYNAMIC,154.25,154.25,,,,,,,,,,,,,,,,,,,
95429,430,29131,,,,,,,OT FINGER SPLINT STATIC,154.25,154.25,,,,,,,,,,,,,,,,,,,
95430,430,97763,,,,,,,OT ORTHOTIC PROS FIT TRN SUBS EA 15 MIN,154.25,154.25,,,,,,,,,,,,,,,,,,,
95431,420,97761,,,,,,,PT PROSTHETIC TRAIN INIT EA 15 MIN,111,111,,,,,,,,,,,,,,,,,,,
95432,420,97113,,,,,,,PT AQUATIC THERAPY 15 MIN IND,190.25,190.25,0,1267.52,0,,,,,,,,,,,1267.52,,,,,
95433,430,97113,,,,,,,OT AQUATIC THERAPY 15 MIN IND,190.25,190.25,,,,,,,,,,,,,,,,,,,
95434,420,97150,,,,,,,PT AQUATIC THERAPY 15 MIN GROUP,142.5,142.5,,,,,,,,,,,,,,,,,,,
95435,430,97150,,,,,,,OT AQUATIC THERAPY 15 MIN GROUP,142.5,142.5,,,,,,,,,,,,,,,,,,,
95631,420,97033,,,,,,,PT IONTOPHORESIS EACH 15 MINUTES,204,204,,,,,,,,,,,,,,,,,,,
95645,420,97110,,,,,,,PT THERAPEUTIC EXERCISE 15 MIN,179.25,179.25,1267.52,1267.52,,,,,,,,,,,,1267.52,,,,,
95646,420,97530,,,,,,,PT THERAPEUTIC ACTIVITIES,114,114,1109.08,1109.08,,,,,,,,,,,,1109.08,,,,,
95649,420,97597,,,,,,,PT DEBRIDMENT SELECTIVE,915.25,915.25,,,,,,,,,,,,,,,,,,,
95650,420,29540,,,,,,,PT STRAPPING ANKLE AND/OR FOOT,233.75,233.75,,,,,,,,,,,,,,,,,,,
95652,420,29530,,,,,,,PT STRAPPING KNEE,265.5,265.5,,,,,,,,,,,,,,,,,,,
95656,420,97542,,,,,,,PT WHEELCHAIR EVAL EACH 15 MIN,146.75,146.75,2016.33,2016.33,,,,,,,,,,,,2016.33,,,,,
95658,420,29520,,,,,,,PT STRAPPING HIP,321,321,,,,,,,,,,,,,,,,,,,
95659,420,95992,,,,,,,PT CANALITH REPOSITIONING,222.5,222.5,,,,,,,,,,,,,,,,,,,
95660,420,29240,,,,,,,PT SHOULDER STRAPPING,39.25,39.25,,,,,,,,,,,,,,,,,,,
95670,430,97140,,,,,,,OT LYMPHEDEMA TRMT EA 15 MIN,187,187,,,,,,,,,,,,,,,,,,,
95672,420,97760,,,,,,,PT ORTHO INIT FIT/TRAIN UPPER/LOWER 1,117.25,117.25,,,,,,,,,,,,,,,,,,,
95674,420,97545,,,,,,,PT WORK HARDENING (2 HR) TOTAL,308.75,308.75,,,,,,,,,,,,,,,,,,,
95675,420,97546,,,,,,,PT WORK HARDENING (EA ADD HR) MIN 2HR,156.25,156.25,,,,,,,,,,,,,,,,,,,
95681,420,97112,,,,,,,PT BALANCE TRAIN/NEUROM RE-EDU EA 15 MIN,113.5,113.5,1267.52,1267.52,,,,,,,,,,,,1267.52,,,,,
95682,420,97022,,,,,,,PT FLUIDO THERAPY,145.75,145.75,,,,,,,,,,,,,,,,,,,
95683,420,97750,,,,,,,PT FUNCTIONAL CAPACITY EVAL EA 15 MIN,98,98,1267.52,1267.52,,,,,,,,,,,,1267.52,,,,,
95688,420,,,,,,,,PT SCHWANN'S PWS (PRE WORK SCREEN),56.5,56.5,0,162.05,0,,,162.05,,,,,,,,,,68.2,0,,
95689,420,,,,,,,,PT WORKWELL PRE-WORK SCREEN,55,55,0,162.05,0,,,162.05,,,,,,,,,,68.2,0,,
95690,420,,,,,,,,PT WORKWELL NO SHOW,35,35,0,162.05,0,,,162.05,,,,,,,,,,68.2,0,,
95693,420,97012,,,,,,,PT TRACTION/BUCKS UPPER & LOWER,136.25,136.25,,,,,,,,,,,,,,,,,,,
95699,420,97140,,,,,,,PT MANUAL THERAPY-15 MIN,145.75,145.75,,,,,,,,,,,,,,,,,,,
970,271,,,,,,,,O2 PER HOUR,19,19,0,17.37,1.41,,0,17.37,,,,,,,,0,8.01,5.52,6.47,,
97020,430,97535,,,,,,,OT ADL TRAINING EACH 15 MINUTES,120.5,120.5,,,,,,,,,,,,,,,,,,,
97263,430,97530,,,,,,,OT THERAPEUTIC ACTIVITY EACH 15 MINUTES,114,114,1197.1,1197.1,,,,,,,,,,,,1197.1,,,,,
97275,430,97545,,,,,,,OT WORK HARDENING INIT 2 HRS TOTAL,294,294,,,,,,,,,,,,,,,,,,,
97276,430,97542,,,,,,,OT WHEELCHAIR EVAL EA 15 MIN,146.75,146.75,,,,,,,,,,,,,,,,,,,
97299,430,97760,,,,,,,OT OTHO  FIT & TRAIN INITIAL EACH 15 MIN,117.25,117.25,,,,,,,,,,,,,,,,,,,
97329,430,97761,,,,,,,OT PROSTHETIC TRAIN INITIAL EA 15 MIN,145.75,145.75,,,,,,,,,,,,,,,,,,,
97330,430,97542,,,,,,,OT WHEELCHAIR MGMT EACH 15 MINUTES,146.75,146.75,,,,,,,,,,,,,,,,,,,
97331,430,97750,,,,,,,OT FUNCTIONAL CAPACITY EVAL EA 15 MIN,98,98,,,,,,,,,,,,,,,,,,,
97369,440,97129,,,,,,,ST COGNITIVE THERAPY INITIAL 15 MIN,165.5,165.5,,,,,,,,,,,,,,,,,,,
97370,440,97130,,,,,,,ST COGNITIVE THERAPY EA ADDTL 15 MIN,88.25,88.25,,,,,,,,,,,,,,,,,,,
97371,430,97129,,,,,,,OT COGNITIVE TESTING INIT 15 MINUTES,316.75,316.75,,,,,,,,,,,,,,,,,,,
97372,430,97130,,,,,,,OT COGNITIVE TESTING EA ADDTL 15 MIN,316.75,316.75,,,,,,,,,,,,,,,,,,,
97378,444,92610,,,,,,,ST DYSPHAGIA EVALUATION,458.25,458.25,,,,,,,,,,,,,,,,,,,
97380,440,92526,,,,,,,ST DYSPHAGIA THERAPY UP TO 30 MINUTES,348,348,,,,,,,,,,,,,,,,,,,
97421,440,92507,,,,,,,ST SPEECH UP TO 30 MINUTES,321,321,562.13,562.13,,,,,,,,,,,,562.13,,,,,
97422,430,97022,,,,,,,OT FLUIDO THERAPY,145.75,145.75,,,,,,,,,,,,,,,,,,,
97423,430,97032,,,,,,,OT ELECTRICAL STIM ATTENDED EA 15 MIN,169.5,169.5,,,,,,,,,,,,,,,,,,,
97435,430,97018,,,,,,,OT PARAFFIN BATH THERAPY,111,111,103.56,103.56,,,,,,,,,,,,103.56,,,,,
97457,430,97035,,,,,,,OT ULTRASOUND EACH 15 MINUTES,152,152,,,,,,,,,,,,,,,,,,,
97460,430,97033,,,,,,,OT IONTOPHORESIS EACH 15 MINUTES,204,204,,,,,,,,,,,,,,,,,,,
97461,430,97546,,,,,,,OT WORK CONDITIONING (EACH ADD HR),134.75,134.75,,,,,,,,,,,,,,,,,,,
97462,430,97024,,,,,,,OT DIATHERMY,121.5,121.5,,,,,,,,,,,,,,,,,,,
97463,430,97597,,,,,,,OT DEBRIDEMENT SELECTIVE,915.25,915.25,,,,,,,,,,,,,,,,,,,
97465,430,97022,,,,,,,OT WHIRLPOOL EXTREMITY,145.75,145.75,,,,,,,,,,,,,,,,,,,
97466,430,97110,,,,,,,OT THERAPEUTIC EXERCISE 15 MIN,179.25,179.25,633.76,633.76,,,,,,,,,,,,633.76,,,,,
97467,430,97016,,,,,,,OT VASO PNEUMATIC DEVICES,143.25,143.25,,,,,,,,,,,,,,,,,,,
97500,430,97140,,,,,,,OT MANUAL THERAPY EACH 15 MINS,145.75,145.75,,,,,,,,,,,,,,,,,,,
97875,440,92611,,,,,,,ST EVAL SWALLOW FUNCTION,395.25,395.25,,,,,,,,,,,,,,,,,,,
97876,430,97112,,,,,,,OT NEURO RE EDUCATION EA 15 MIN,111.5,111.5,,,,,,,,,,,,,,,,,,,
97877,274,L3913,,,,,,,OT HAND BASED THUMB SPICA SPLINT,374,374,149.52,149.52,,,,,,,,,,,,,149.52,,,,
97878,274,L3808,,,,,,,OT WHFO RIGID WITHOUT JOINTS SPLINT,500.75,500.75,,,,,,,,,,,,,,,,,,,
97879,440,96125,,,,,,,ST COGNITIVE TESTING PER HR,332.75,332.75,,,,,,,,,,,,,,,,,,,
97880,440,92521,,,,,,,ST EVALUATION OF SPEECH FLUENCY,424.5,424.5,,,,,,,,,,,,,,,,,,,
97881,440,92522,,,,,,,ST EVALUATION OF SPEECH SOUND PRODUCTION,245.5,245.5,,,,,,,,,,,,,,,,,,,
97882,440,92523,,,,,,,ST EVALUATION OF SPEECH PRODUCTION W/LAN,801.5,801.5,624.59,624.59,,,,,,,,,,,,624.59,,,,,
97883,440,92524,,,,,,,ST BEHAVIORAL & QUALITATIVE ANALYSIS OF,257.75,257.75,936.88,936.88,,,,,,,,,,,,936.88,,,,,
97884,444,96105,,,,,,,ST APHASIA ASSESSMENT PER HR,642,642,,,,,,,,,,,,,,,,,,,
97886,420,97598,,,,,,,PT DEBRIDEMENT SEL > 20CM,468.25,468.25,,,,,,,,,,,,,,,,,,,
97887,430,97598,,,,,,,OT DEBRIDEMENT SEL >20CM,1528.5,1528.5,,,,,,,,,,,,,,,,,,,
97888,430,97602,,,,,,,OT DEBRIDEMENT NON SEL,119.25,119.25,,,,,,,,,,,,,,,,,,,
97889,430,97034,,,,,,,OT CONTRAST BATH  EACH 15 MIN,67,67,,,,,,,,,,,,,,,,,,,
97891,430,97755,,,,,,,OT ASSISTIVE TECH ASSESS EACH 15 MIN,118,118,,,,,,,,,,,,,,,,,,,
97892,430,97533,,,,,,,OT SENSORY INTEGRATIVE TECH,124.5,124.5,,,,,,,,,,,,,,,,,,,
97893,430,96125,,,,,,,OT COGNITIVE TESTING PER HR,332.75,332.75,,,,,,,,,,,,,,,,,,,
97895,444,92607,,,,,,,ST EVAL COMMUNICATION DEVICE X 1HR,496.25,496.25,,,,,,,,,,,,,,,,,,,
97896,440,92608,,,,,,,ST EVAL COMM DEVICE ADDTL 30 MIN,220.5,220.5,,,,,,,,,,,,,,,,,,,
97897,440,92609,,,,,,,ST THERAPEUTIC SVC SPEECH DEVICE,424.5,424.5,,,,,,,,,,,,,,,,,,,
97899,434,,,,,,,,OT CROSSBOW EVAL,49.75,49.75,0,231.58,0,,,231.58,,,,,,,,,,,0,,
97900,942,97802,,,,,,,"MEDICAL NUTRITION THERAPY, INITIAL",16.54,16.54,,,,,,,,,,,,,,,,,,,
97901,942,97803,,,,,,,"MNT REASSESS, INDIV EACH 15 MIN",16.75,16.75,,,,,,,,,,,,,,,,,,,
97902,942,97804,,,,,,,"MNT,REASSESS GROUP, 30 MIN",27.75,27.75,,,,,,,,,,,,,,,,,,,
97903,942,G0108,,,,,,,"DIABETES SELF MGMT TRAIN, IND PER 30 MIN",171.75,171.75,,,,,,,,,,,,,,,,,,,
97904,942,G0109,,,,,,,"DIABETES SELF MGMT TRN, GROUP PER 30 MIN",46.5,46.5,,,,,,,,,,,,,,,,,,,