products and pricing on the alberta blue cross drug price ... · 00002397153 act diclo-miso 75...

Products and Pricing on the Alberta Blue Cross Drug Price List (ABCDPL)Effective October 14, 2020

DIN/ PIN/ NPN Product Description Route Form MFR Unit of Issue Base Price00000999041 3M CAVILON NO STING BARRIER FILM (WIPES) TOP DEFAUL MMH MIS 1.278300002192691 3TC 10 MG/ML ORAL LIQUID ORL LIQ GSK ML 0.352900002192683 3TC 150 MG TABLET ORL TAB GSK TAB 5.464700002247825 3TC 300 MG TABLET ORL TAB GSK TAB 10.971300002162113 5 BENZAGEL 5% TOPICAL (ALCOHOL) GEL TOP ALCGEL CLC G 0.220700002166607 5 BENZAGEL 5% TOPICAL LOTION TOP LOT NVC ML 0.198400000437999 5% DEXTROSE & 0.45% NACL W 0.15% KCL 20 MEQ INJ INJ DEFAUL BAX ML 0.003500000037974 50% DEXTROSE 500 MG/ML INJECTION USP INJ DEFAUL HSP ML 0.607600080013172 5-HTP 100 MG CAPSULE ORL CAP VTH CAP 0.216700080097021 ABBY-IRON 20 MGML ORAL LIQUID ORL LIQ ABY ML 0.070500080094612 ABBY-K 100 MG/ML ORAL LIQUID ORL LIQ ABY ML 0.040000002231590 ABELCET 5MG/ML LIPID COMPLEX INJECTION INJ DEFAUL SGM ML 9.917500001919385 ABENOL 120 MG RECTAL SUPPOSITORY RT SUP PPH SUP 0.541700001919393 ABENOL 325 MG RECTAL SUPPOSITORY RT SUP PPH SUP 0.669200001919407 ABENOL 650 MG RECTAL SUPPOSITORY RT SUP PPH SUP 0.768300002281066 ABRAXANE 100 MG/VIAL INJECTION INJ DEFAUL CLG VIAL 971.000000002245677 ABREVA 10% TOPICAL CREAM TOP CRM GKC G 7.280000001922246 AC & C 8 MG TABLET ORL TAB PPH TAB 0.051000002493799 ACARBOSE 100 MG TABLET ORL TAB STR TAB 0.279900002493780 ACARBOSE 50 MG TABLET ORL TAB STR TAB 0.202100002463644 ACARIZAX 12 UNIT SQ-HDM TABLET SLG SLT ALK TAB 4.027300002463776 ACCEL-CANDESARTAN 16 MG TABLET ORL TAB ACP TAB 0.228100002463784 ACCEL-CANDESARTAN 32 MG TABLET ORL TAB ACP TAB 0.228100002463768 ACCEL-CANDESARTAN 8 MG TABLET ORL TAB ACP TAB 0.228100002463865 ACCEL-CANDESARTAN/HCTZ 16 MG/12.5 MG TABLET ORL TAB ACP TAB 0.215600002463849 ACCEL-CANDESARTAN/HCTZ 32 MG/12.5 MG TABLET ORL TAB ACP TAB 0.215600002463857 ACCEL-CANDESARTAN/HCTZ 32 MG/25 MG TABLET ORL TAB ACP TAB 0.215600002355248 ACCEL-CITALOPRAM 10 MG TABLET ORL TAB ACP TAB 0.071500002355256 ACCEL-CITALOPRAM 20 MG TABLET ORL TAB ACP TAB 0.120000002355264 ACCEL-CITALOPRAM 40 MG TABLET ORL TAB ACP TAB 0.120000002303442 ACCEL-PIOGLITAZONE 15 MG TABLET ORL TAB ACP TAB 0.317000002303450 ACCEL-PIOGLITAZONE 30 MG TABLET ORL TAB ACP TAB 0.455000002303469 ACCEL-PIOGLITAZONE 45 MG TABLET ORL TAB ACP TAB 0.690000002461501 ACCEL-SEVELAMER 800 MG TABLET ORL TAB ACP TAB 1.263400002479826 ACCEL-SILDENAFIL 100 MG TABLET ORL TAB ACP TAB 2.947500002479796 ACCEL-SILDENAFIL 25 MG TABLET ORL TAB ACP TAB 2.655000002479818 ACCEL-SILDENAFIL 50 MG TABLET ORL TAB ACP TAB 2.835000002164396 ACEBUTOLOL-100 100 MG TABLET ORL TAB PDL TAB 0.078700002164418 ACEBUTOLOL-200 200 MG TABLET ORL TAB PDL TAB 0.117700002164426 ACEBUTOLOL-400 400 MG TABLET ORL TAB PDL TAB 0.2466

This document is for pricing use only and should not be used to determine benefit status information.Pricing is applicable to a Drug Product regardless of the package size for each Drug Product. Page 1 of 124


DIN/ PIN/ NPN Product Description Route Form MFR Unit of Issue Base Price00002230435 ACET 160 MG RECTAL SUPPOSITORY RT SUP PPH SUP 0.624200001999648 ACET CODEINE 30 TABLET ORL TAB PMS TAB 0.165500002154234 ACETAMINOPHEN 300MG/15MG CAFFEINE/8MG COD. CAPLET ORL TAB VTH TAB 0.050400001977415 ACETAMINOPHEN 325 MG CAPLET ORL TAB TLI TAB 0.059200000374148 ACETAMINOPHEN 325 MG TABLET ORL TAB WAM TAB 0.018400001938088 ACETAMINOPHEN 325 MG TABLET ORL TAB JPC TAB 0.012000000605751 ACETAMINOPHEN 325 MG TABLET ORL TAB VTH TAB 0.027200000789801 ACETAMINOPHEN 325 MG TABLET ORL TAB TLI TAB 0.059200000789798 ACETAMINOPHEN 500 MG TABLET ORL TAB TLI TAB 0.024300001905864 ACETAMINOPHEN 80 MG/ML ORAL DROPS ORL DPS TLI ML 0.130000002272482 ACETAMINOPHEN ARTHRITIS PAIN 650 MG EXT.REL TABLET ORL ERT PRI TAB 0.075500000706221 ACETAMINOPHEN CAFFEINE & CODEINE 8 MG TABLET ORL TAB VTH TAB 0.025800002028174 ACETAMINOPHEN COMPOUND WITH CODEINE CAPLET ORL TAB PPH TAB 0.026000001905856 ACETAMINOPHEN COMPRIME A CROQUER 80 MG ORL TAB TLI TAB 0.100000002255251 ACETAMINOPHEN EXT STR EASY TO SWALLOW 500 MG TAB ORL TAB PMT TAB 0.066000002285797 ACETAMINOPHEN EXTRA STRENGTH 500 MG TABLET ORL TAB VTH TAB 0.060000000605778 ACETAMINOPHEN EXTRA STRENGTH 500 MG TABLET ORL TAB WTR TAB 0.030600001958836 ACETAMINOPHEN ORAL SOLUTION FOR CHILDREN USP ORL SOL TLI ML 0.029600002143933 ACETAMINOPHEN WITH CODEINE CAPLET ORL TAB ROG TAB 0.046000002025337 ACETAMINOPHEN WITH CODEINE TABLET ORL TAB PMS TAB 0.026000002251914 ACETAMINOPHEN, CAFFEINE & 8 MG CODEINE PHOS. TAB ORL TAB PMT TAB 0.039600002017431 ACETAMINOPHENE 160 MGCO.CROQUABLE POUR ENFANT ORL CTB RIV TAB 0.147500002022214 ACETAMINOPHENE 325 MG COMPRIME ORL TAB RIV TAB 0.011400002362228 ACETAMINOPHENE 500 MG CAPLET ORL TAB RIV TAB 0.014900002022222 ACETAMINOPHENE 500 MG COMPRIME ORL TAB RIV TAB 0.014900002017458 ACETAMINOPHENE 80MGCO.CROQUABLE POUR ENFANT ORL CTB RIV TAB 0.100000000834319 ACETAZONE FORTE C-8 TABLET ORL TAB RPH TAB 0.449500001999656 ACET-CODEINE 60 MG TABLET ORL TAB PMS TAB 0.264000002300435 ACETYLCYSTEINE 20% INHALATION SOLUTION INH SOL ALV ML 2.100000002459906 ACETYLCYSTEINE 20% INHALATION SOLUTION USP INH SOL TGT ML 2.750000002269139 ACETYLSALICYLIC ACID 80 MG CHEWABLE TABLET ORL CTB JPC TAB 0.056000002351218 ACH-ANASTROZOLE 1 MG TABLET ORL TAB AHI TAB 2.546000002426757 ACH-CAPECITABINE 150 MG TABLET ORL TAB AHI TAB 1.464000002426765 ACH-CAPECITABINE 500 MG TABLET ORL TAB AHI TAB 4.880000002383780 ACH-MYCOPHENOLATE 250 MG CAPSULE ORL CAP AHI CAP 1.031000002391600 ACH-PIOGLITAZONE 15 MG TABLET ORL TAB AHI TAB 0.580900002339587 ACH-PIOGLITAZONE 30 MG TABLET ORL TAB AHI TAB 0.813900002339595 ACH-PIOGLITAZONE 45 MG TABLET ORL TAB AHI TAB 1.223700002247551 ACID REDUCER 75 MG TABLET ORL TAB PMS TAB 0.106700080042609 ACIDOPHILUS PROBIOTIC COMPLETE CAPSULE ORL CAP WNP CAP 0.3670



DIN/ PIN/ NPN Product Description Route Form MFR Unit of Issue Base Price00080011789 ACIDOPHILUS WITH BIFIDUS CAPSULE ORL CAP WNP CAP 0.108200002258102 ACT ALENDRONATE 40 MG TABLET ORL TAB APH TAB 3.083300002439247 ACT AMPHETAMINE XR 10 MG EXTENDED-RELEASE CAPSULE ORL ERC APH CAP 2.075800002439255 ACT AMPHETAMINE XR 15 MG EXTENDED-RELEASE CAPSULE ORL ERC APH CAP 2.325000002439263 ACT AMPHETAMINE XR 20 MG EXTENDED-RELEASE CAPSULE ORL ERC APH CAP 2.574300002439271 ACT AMPHETAMINE XR 25 MG EXTENDED-RELEASE CAPSULE ORL ERC APH CAP 2.823500002439298 ACT AMPHETAMINE XR 30 MG EXTENDED-RELEASE CAPSULE ORL ERC APH CAP 3.072900002439239 ACT AMPHETAMINE XR 5 MG EXTENDED-RELEASE CAPSULE ORL ERC APH CAP 1.826600002394898 ACT ANASTROZOLE 1 MG TABLET ORL TAB APH TAB 2.546000002255553 ACT ATENOLOL 100 MG TABLET ORL TAB APH TAB 0.182100002255545 ACT ATENOLOL 50 MG TABLET ORL TAB APH TAB 0.110700002301407 ACT CABERGOLINE 0.5 MG TABLET ORL TAB APH TAB 10.618800002397145 ACT DICLO-MISO 50 MG/200 MCG ENTERIC-COATED TABLET ORL ECT APH TAB 0.314900002397153 ACT DICLO-MISO 75 MG/200 MCG ENTERIC-COATED TABLET ORL ECT APH TAB 0.428600002370441 ACT DILTIAZEM T 120 MG EXTENDED-RELEASE CAPSULE ORL ERC APH CAP 0.213300002370492 ACT DILTIAZEM T 180 MG EXTENDED-RELEASE CAPSULE ORL ERC APH CAP 0.288900002370506 ACT DILTIAZEM T 240 MG EXTENDED-RELEASE CAPSULE ORL ERC APH CAP 0.383200002370514 ACT DILTIAZEM T 300 MG EXTENDED-RELEASE CAPSULE ORL ERC APH CAP 0.471900002370522 ACT DILTIAZEM T 360 MG EXTENDED-RELEASE CAPSULE ORL ERC APH CAP 0.577800002397625 ACT DONEPEZIL ODT 10 MG ORAL DISINTEGRATING TABLET ORL DISNTAB APH TAB 3.617500002397617 ACT DONEPEZIL ODT 5 MG ORAL DISINTEGRATING TABLET ORL DISNTAB APH TAB 3.617500002423855 ACT ESOMEPRAZOLE 20 MG DELAYED-RELEASE TABLET ORL DRT APH TAB 1.869000002423863 ACT ESOMEPRAZOLE 40 MG DELAYED-RELEASE TABLET ORL DRT/DRC APH TAB 1.869000002305682 ACT FAMCICLOVIR 125 MG TABLET ORL TAB APH TAB 2.024000002305690 ACT FAMCICLOVIR 250 MG TABLET ORL TAB APH TAB 2.720000002305704 ACT FAMCICLOVIR 500 MG TABLET ORL TAB APH TAB 4.228100002250012 ACT MELOXICAM 7.5 MG TABLET ORL TAB APH TAB 0.491400002324067 ACT MEMANTINE 10 MG TABLET ORL TAB APH TAB 1.635700002441934 ACT METHYLPHENIDATE ER 18 MG EXTENDED-RELEASE TAB ORL ERT APH TAB 1.427600002441942 ACT METHYLPHENIDATE ER 27 MG EXTENDED-RELEASE TAB ORL ERT APH TAB 1.647500002441950 ACT METHYLPHENIDATE ER 36 MG EXTENDED-RELEASE TAB ORL ERT APH TAB 1.867400002441969 ACT METHYLPHENIDATE ER 54 MG EXTENDED-RELEASE TAB ORL ERT APH TAB 2.307200002393603 ACT NABILONE 1 MG CAPSULE ORL CAP APH CAP 1.695400002327570 ACT OLANZAPINE ODT 10 MG ORAL DISINT. TABLET ORL DISNTAB TEV TAB 0.714300002327589 ACT OLANZAPINE ODT 15 MG ORAL DISINT. TABLET ORL DISNTAB TEV TAB 5.355300002327597 ACT OLANZAPINE ODT 20 MG ORAL DISINT. TABLET ORL DISNTAB TEV TAB 7.597700002327562 ACT OLANZAPINE ODT 5 MG ORAL DISINTEGRATING TAB ORL DISNTAB TEV TAB 0.357300002262754 ACT PAROXETINE 20 MG TABLET ORL TAB APH TAB 0.325000002302896 ACT PIOGLITAZONE 45 MG TABLET ORL TAB TEV TAB 1.311300002297310 ACT PRAMIPEXOLE 0.5 MG TABLET ORL TAB APH TAB 1.3860



DIN/ PIN/ NPN Product Description Route Form MFR Unit of Issue Base Price00002446820 ACT PROGESTERONE INJECTION 50 MG/ML INJECTION INJ DEFAUL APH ML 5.861000002437961 ACT PROPOFOL 10 MG/ML INJECTION INJ DEFAUL APH ML 0.460000002248570 ACT RANITIDINE 150 MG TABLET ORL TAB APH TAB 0.119700002248571 ACT RANITIDINE 300 MG TABLET ORL TAB APH TAB 0.225300002395282 ACT TEMOZOLOMIDE 100 MG CAPSULE ORL CAP APH CAP 113.596000002395290 ACT TEMOZOLOMIDE 140 MG CAPSULE ORL CAP APH CAP 159.036000002395274 ACT TEMOZOLOMIDE 20 MG CAPSULE ORL CAP APH CAP 22.720000002395312 ACT TEMOZOLOMIDE 250 MG CAPSULE ORL CAP APH CAP 283.984000002441160 ACT TEMOZOLOMIDE 5 MG CAPSULE ORL CAP APH CAP 6.630000002454297 ACT-ESCITALOPRAM ODT 10 MG ORAL DISINTEGRATING TAB ORL DISNTAB APH TAB 1.496000002454300 ACT-ESCITALOPRAM ODT 20 MG ORAL DISINTEGRATING TAB ORL DISNTAB APH TAB 1.592700002249405 ACTIVELLE 1 MG/0.5 MG TABLET ORL TAB NNA TAB 2.558900002309009 ACTIVELLE LD 0.5 MG/0.1 MG TABLET ORL TAB NNA TAB 2.558900002316838 ACTONEL 150 MG TABLET ORL TAB ALL TAB 58.570000002370417 ACTONEL DR 35 MG DELAYED-RELEASE TABLET ORL DRT ALL TAB 13.562500002248722 ACULAR LS 0.4% OPH SOLUTION OPH SOL ALL ML 3.560000002236916 ACYCLOVIR SODIUM 25 MG/ML INJECTION INJ DEFAUL PFI ML 4.862000002236926 ACYCLOVIR SODIUM 50 MG/ML INJECTION INJ DEFAUL FKC ML 12.584000002456524 ACYCLOVIR SODIUM 50 MG/ML INJECTION INJ DEFAUL STM ML 12.584000002281074 ACZONE 5% TOPICAL GEL TOP GEL VCL G 1.114800002240255 ADACEL INJECTION INJ DEFAUL SFP ML 72.000000002352044 ADACEL-POLIO INJECTION INJ DEFAUL SFP ML 79.900000002313766 ADALAT XL PLUS 20 MG/81 MG TABLET ORL ERT BAI TAB 0.655500002313774 ADALAT XL PLUS 30 MG/81 MG TABLET ORL ERT BAI TAB 0.617000002313782 ADALAT XL PLUS 60 MG/81 MG TABLET ORL ERT BAI TAB 0.937300000266507 ADASEPT 0.5% TOPICAL LIQUID TOP LIQ ODN ML 0.034000002290081 ADASEPT BP5 ACNE GEL 5% TOPICAL GEL TOP GEL ODN ML 0.179000002401347 ADCETRIS 50MG/VIAL INJECTION POWDER FOR SOLUTION INJ DEFAUL STG VIAL 4840.000000002338327 ADCIRCA 20 MG TABLET ORL TB LIL TAB 12.157300002248809 ADDERALL XR 10 MG EXTENDED-RELEASE CAPSULE ORL ERC SHB CAP 2.442100002248810 ADDERALL XR 15 MG EXTENDED-RELEASE CAPSULE ORL ERC SHB CAP 2.735300002248811 ADDERALL XR 20 MG EXTENDED-RELEASE CAPSULE ORL ERC SHB CAP 3.028600002248812 ADDERALL XR 25 MG EXTENDED-RELEASE CAPSULE ORL ERC SHB CAP 3.321800002248813 ADDERALL XR 30 MG EXTENDED-RELEASE CAPSULE ORL ERC SHB CAP 3.615200002248808 ADDERALL XR 5 MG EXTENDED-RELEASE CAPSULE ORL ERC SHB CAP 2.148900002473550 ADDYI 100 MG TABLET ORL TAB SPH TAB 8.000000002412764 ADEMPAS 0.5 MG TABLET ORL TAB BAI TAB 43.720000002412772 ADEMPAS 1 MG TABLET ORL TAB BAI TAB 43.720000002412799 ADEMPAS 1.5 MG TABLET ORL TAB BAI TAB 43.720000002412802 ADEMPAS 2 MG TABLET ORL TAB BAI TAB 43.7200



DIN/ PIN/ NPN Product Description Route Form MFR Unit of Issue Base Price00002412810 ADEMPAS 2.5 MG TABLET ORL TAB BAI TAB 43.720000002464349 ADLYXINE STARTER KIT INJ DEFAUL SAV ML 18.993300002469901 ADMELOG 100 UNIT/ML INJECTION INJ DEFAUL SAV ML 2.570000002469898 ADMELOG 100 UNIT/ML INJECTION CARTRIDGE INJ DEFAUL SAV ML 3.400000002469871 ADMELOG PEN 100 UNIT/ML INJECTION INJ DEFAUL SAV ML 3.400000080031182 ADULT ESSENTIALS OMEGA-3 GUMMY ORL CTB LSN TAB 0.066600002296462 ADVAGRAF 0.5 MG EXTENDED-RELEASE CAPSULE ORL ERC ASP CAP 1.970000002296470 ADVAGRAF 1 MG EXTENDED-RELEASE CAPSULE ORL ERC ASP CAP 2.520000002331667 ADVAGRAF 3 MG EXTENDED-RELEASE CAPSULE ORL ERC ASP CAP 7.560000002296489 ADVAGRAF 5 MG EXTENDED-RELEASE CAPSULE ORL ERC ASP CAP 12.620000080025646 ADVANCED B COMPLEX ORL CAP AOR CAP 0.294100002443562 ADVIL 12 HOUR 600 MG EXTENDED-RELEASE TABLET ORL ERT PDH TAB 0.276200001933558 ADVIL 200 MG TABLET ORL TAB PDH TAB 0.187000002036312 ADVIL COLD AND SINUS CAPLET ORL TAB PDH TAB 0.388000002248645 ADVIL COLD AND SINUS PLUS CAPLET ORL TAB PDH TAB 0.426000002244577 ADVIL EXTRA STRENGTH 400 MG CAPLET ORL TAB PDH TAB 0.278800002248231 ADVIL EXTRA STRENGTH LIQUI-GEL 400 MG CAPSULE ORL CAP PDH CAP 0.397000001933531 ADVIL IBUPROFEN 200 MG CAPLET ORL TAB PDH TAB 0.150400002246403 ADVIL JUNIOR STRENGTH CHEWABLE TABLET ORL CTB PDH TAB 0.319500002241769 ADVIL LIQUI-GELS 200 MG CAPSULE ORL CAP PDH CAP 0.283300002242522 ADVIL PEDIATRIC 40 MG/ML SUSPENSION DROPS ORL DPS PDH ML 0.316000002243919 AERIUS 5 MG TABLET ORL TAB SCH TAB 0.956000002467909 AERMONY RESPICLICK 113 MCG/DOSE METERED INH PWD INH MIP TMP DOSE 0.802500002467917 AERMONY RESPICLICK 232 MCG/DOSE METERED INH PWD INH MIP TMP DOSE 0.802500002467895 AERMONY RESPICLICK 55 MCG/DOSE METERED INH PWD INH MIP TMP DOSE 0.282700096899957 AEROBIKA OSC POSITIVE EXPIRATORY PRESS THERAPY SYS DEFAUL DEV TMI DEV 52.000000000990110 AEROCHAMBER 2 GO AVHC WITH MOUTHPIECE DEFAUL ADUDEV TMI DEV 44.990000096899950 AEROCHAMBER 2 GO AVHC WITH MOUTHPIECE DEFAUL ADUDEV TMI DEV 44.990000002339528 AFINITOR 10 MG TABLET ORL TAB NOV TAB 194.655000002369257 AFINITOR 2.5 MG TABLET ORL TAB NOV TAB 194.655000002339501 AFINITOR 5 MG TABLET ORL TAB NOV TAB 194.655000002425645 AFINITOR DISPERZ 2 MG TABLET FOR SUSPENSION ORL DTS NOV TAB 193.499000002425653 AFINITOR DISPERZ 3 MG TABLET FOR SUSPENSION ORL DTS NOV TAB 193.499000002425661 AFINITOR DISPERZ 5 MG TABLET FOR SUSPENSION ORL DTS NOV TAB 193.499000002481863 AG-ALLOPURINOL 100 MG TABLET ORL TAB AGP TAB 0.078000002481871 AG-ALLOPURINOL 200 MG TABLET ORL TAB AGP TAB 0.130000002481898 AG-ALLOPURINOL 300 MG TABLET ORL TAB AGP TAB 0.212500002369249 AG-AMLODIPINE 10 MG TABLET ORL TAB AGP TAB 0.199300002369230 AG-AMLODIPINE 5 MG TABLET ORL TAB AGP TAB 0.134300002477726 AG-AMOXICILLIN 500 MG CAPSULE ORL CAP AGP CAP 0.1308



DIN/ PIN/ NPN Product Description Route Form MFR Unit of Issue Base Price00002369192 AG-ATENOLOL 100 MG TABLET ORL TAB AGP TAB 0.182100002369176 AG-ATENOLOL 25 MG TABLET ORL TAB AGP TAB 0.052100002369184 AG-ATENOLOL 50 MG TABLET ORL TAB AGP TAB 0.110700002478145 AG-ATORVASTATIN 10 MG TABLET ORL TAB AGP TAB 0.174300002478153 AG-ATORVASTATIN 20 MG TABLET ORL TAB AGP TAB 0.217900002478161 AG-ATORVASTATIN 40 MG TABLET ORL TAB AGP TAB 0.234200002478188 AG-ATORVASTATIN 80 MG TABLET ORL TAB AGP TAB 0.234200002437570 AG-CELECOXIB 100 MG CAPSULE ORL CAP AGP CAP 0.127900002437589 AG-CELECOXIB 200 MG CAPSULE ORL CAP AGP CAP 0.255800002374617 AG-CITALOPRAM 10 MG TABLET ORL TAB AGP TAB 0.071500002339390 AG-CITALOPRAM 20 MG TABLET ORL TAB AGP TAB 0.133200002339404 AG-CITALOPRAM 40 MG TABLET ORL TAB AGP TAB 0.120000002432692 AG-DONEPEZIL 10 MG TABLET ORL TAB AGP TAB 0.458600002432684 AG-DONEPEZIL 5 MG TABLET ORL TAB AGP TAB 0.458600002475308 AG-DULOXETINE 30 MG DELAYED-RELEASE CAPSULE ORL DRC AGP CAP 0.481300002475316 AG-DULOXETINE 60 MG DELAYED-RELEASE CAPSULE ORL DRC AGP CAP 0.976900002477912 AG-GABAPENTIN 100 MG CAPSULE ORL CAP AGP CAP 0.041600002477920 AG-GABAPENTIN 300 MG CAPSULE ORL CAP AGP CAP 0.101200002477939 AG-GABAPENTIN 400 MG CAPSULE ORL CAP AGP CAP 0.120600002242119 AGGRENOX 200 MG/25 MG CAPSULE ORL CAP BOE CAP 0.908700002474409 AG-IRBESARTAN 150 MG TABLET ORL TAB AGP TAB 0.228100002474417 AG-IRBESARTAN 300 MG TABLET ORL TAB AGP TAB 0.228100002474395 AG-IRBESARTAN 75 MG TABLET ORL TAB AGP TAB 0.228100002441217 AG-LOSARTAN 100 MG TABLET ORL TAB AGP TAB 0.161600002441195 AG-LOSARTAN 25 MG TABLET ORL TAB AGP TAB 0.161600002441209 AG-LOSARTAN 50 MG TABLET ORL TAB AGP TAB 0.161600002481308 AG-METOPROLOL-L 25 MG TABLET ORL TAB AGP TAB 0.064300002482835 AG-MONTELUKAST 10 MG TABLET ORL TAB AGP TAB 0.423100002484757 AG-MOXIFLOXACIN 0.5% OPHTHALMIC SOLUTION OPH SOL AGP ML 3.756700002478137 AG-MOXIFLOXACIN 400 MG TABLET ORL TAB AGP TAB 1.523000002475731 AG-OLMESARTAN 20 MG TABLET ORL TAB AGP TAB 0.298400002475758 AG-OLMESARTAN 40 MG TABLET ORL TAB AGP TAB 0.298400002478781 AG-PANTOPRAZOLE 40 MG ENTERIC-COATED TABLET ORL ECT AGP TAB 0.201600002481588 AG-PANTOPRAZOLE SODIUM 40 MG ENTERIC-COATED TABLET ORL TAB AGP TAB 0.201600002475537 AG-PAROXETINE 10 MG TABLET ORL TAB AGP TAB 0.304600002475545 AG-PAROXETINE 20 MG TABLET ORL TAB AGP TAB 0.325000002475553 AG-PAROXETINE 30 MG TABLET ORL TAB AGP TAB 0.345300002476142 AG-PRAVASTATIN 10 MG TABLET ORL TAB AGP TAB 0.291600002476150 AG-PRAVASTATIN 20 MG TABLET ORL TAB AGP TAB 0.344000002476169 AG-PRAVASTATIN 40 MG TABLET ORL TAB AGP TAB 0.4143



DIN/ PIN/ NPN Product Description Route Form MFR Unit of Issue Base Price00002480751 AG-PREGABALIN 150 MG CAPSULE ORL CAP AGP CAP 0.414500002480727 AG-PREGABALIN 25 MG CAPSULE ORL CAP AGP CAP 0.148100002480735 AG-PREGABALIN 50 MG CAPSULE ORL CAP AGP CAP 0.232400002480743 AG-PREGABALIN 75 MG CAPSULE ORL CAP AGP CAP 0.300700002475979 AG-QUETIAPINE 25 MG TABLET ORL TAB AGP TAB 0.049400002477599 AG-RAMIPRIL 10 MG CAPSULE ORL CAP/TAB AGP CAP 0.103400002477572 AG-RAMIPRIL 2.5 MG CAPSULE ORL CAP/TAB AGP CAP 0.081700002477580 AG-RAMIPRIL 5 MG CAPSULE ORL CAP/TAB AGP CAP 0.081700002346850 AGRIFLU INJECTION SYRINGE INJ DEFAUL SEQ SYR 8.500000002428881 AGRIFLU MULTI-DOSE VIAL INJECTION INJ DEFAUL SEQ ML 16.200000002236859 AGRYLIN 0.5 MG CAPSULE ORL CAP SHB CAP 6.266200002477904 AG-SERTRALINE 100 MG CAPSULE ORL CAP AGP CAP 0.330300002477882 AG-SERTRALINE 25 MG CAPSULE ORL CAP AGP CAP 0.151600002477890 AG-SERTRALINE 50 MG CAPSULE ORL CAP AGP CAP 0.303200002480417 AG-SILDENAFIL 100 MG TABLET ORL TAB AGP TAB 9.200000002475944 AG-TOPIRAMATE 100 MG TABLET ORL TAB AGP TAB 0.458300002475936 AG-TOPIRAMATE 25 MG TABLET ORL TAB AGP TAB 0.243300002438453 AG-ZOLMITRIPTAN ODT 2.5 MG ORAL DISP. TABLET ORL DISPTAB AGP TAB 3.537500002410265 AHI-MONTELUKAST 4 MG CHEWABLE TABLET ORL CTB AHI TAB 0.275700002410273 AHI-MONTELUKAST 5 MG CHEWABLE TABLET ORL CTB AHI TAB 0.308300002487306 AIMOVIG 140 MG/ML PREFILLED AUTOINJECTOR INJ NDL NOV SYR 532.000000002479613 AIMOVIG 70 MG/ML PREFILLED AUTOINJECTOR INJ NDL NOV SYR 532.000000002494175 AKLIEF 50 MCG/G TOPICAL CREAM TOP CRM GAL G 2.228700002468735 AKYNZEO 0.5 MG/300 MG CAPSULE ORL CAP PUR CAP 141.950000000001147 ALBALON 0.1% OPH SOLUTION OPH SOL ALL ML 0.593300000480452 ALCOHOL PREP TOPICAL PAD TOP PAD PFD PAD 0.035700000809357 ALCOHOL SWABS BD BTD DEFAUL DEFAUL WPI MIS 0.020000000180408 ALDACTAZIDE-25 TABLET ORL TAB PFI TAB 0.237300000594377 ALDACTAZIDE-50 TABLET ORL TAB PFI TAB 0.503200000285455 ALDACTONE 100 MG TABLET ORL TAB PFI TAB 0.368600000028606 ALDACTONE 25 MG TABLET ORL TAB PFI TAB 0.156300002254506 ALDURAZYME 0.58 MG/ML INJECTION INJ DEFAUL GZM ML 209.000000002458136 ALECENSARO 150 MG CAPSULE ORL CAP HLR CAP 42.166600002381478 ALENDRONATE SODIUM 5 MG TABLET ORL TAB AHI TAB 1.037100002303078 ALENDRONATE-70 70 MG TABLET ORL TAB PDL TAB 2.172500002103052 ALERTONIC ORAL LIQUID ORL LIQ ODN ML 0.091500002301733 ALEVE 220 MG TABLET ORL TAB BAI TAB 0.224000002361795 ALEVE LIQUID GEL 220 MG CAPSULE ORL CAP BAI CAP 0.270000080014418 ALIGN PROBIOTIC CAPSULE ORL CAP PGI CAP 1.071400002253437 ALIMTA 500 MG/VIAL INJECTION INJ DEFAUL LIL VIAL 2750.0000



DIN/ PIN/ NPN Product Description Route Form MFR Unit of Issue Base Price00000004715 ALKERAN 2 MG TABLET ORL TAB APC TAB 1.874000002231462 ALLEGRA 12 HOUR 60 MG TABLET ORL TAB SAV TAB 0.379200002242819 ALLEGRA 24 HOUR 120 MG TABLET ORL TAB SAV TAB 0.800000002239853 ALLEGRA-D SUSTAINED-RELEASE TABLET ORL SRT SAV TAB 0.508000002146142 ALLER-AIDE 2.5 MG/ML ORAL ELIXIR ORL ELX ROG ML 0.034200002176483 ALLER-AIDE 25 MG CAPLET ORL TAB ROG TAB 0.219800000271411 ALLERDRYL 50 MG CAPSULE ORL CAP VCL CAP 0.130300000299987 ALLERGENIC EXTRACT POLLENS 100000 UNIT/ML INJ INJ DEFAUL ALK ML 7.500000001949454 ALLERGY 25 MG TABLET ORL TAB TAN TAB 0.093800000764647 ALLERGY DROPS 0.012% OPH SOLUTION OPH SOL BSH ML 0.177300002141728 ALLERGY FORMULA 25 MG CAPLET ORL TAB PRI TAB 0.120000002240266 ALLERGY RELIEF 10 MG TABLET ORL TAB APX TAB 0.408300002375990 ALLERGY REMEDY 10 MG TABLET ORL TAB APX TAB 0.196700002230398 ALLERGY TABLETS EXTRA STRENGTH 50 MG TABLET ORL TAB TAN TAB 0.162500002382059 ALLERJECT 1:1000 (0.15 MG) AUTO INJECTOR SYRINGE INJ NDL KAI SYR 88.560000002382067 ALLERJECT 1:1000 (0.3 MG) AUTO INJECTOR SYRINGE INJ NDL KAI SYR 88.560000000804193 ALLERNIX 2.5 MG/ML ORAL ELIXIR ORL ELX ROG ML 0.059900002097583 ALLERNIX 25 MG CAPLET ORL TAB ROG TAB 0.266200002097575 ALLERNIX EXTRA STRENGTH 50 MG CAPLET ORL TAB ROG TAB 0.187900002369656 ALLERNIX MULTI SYMPTOM 5 MG TABLET ORL TAB ROG TAB 0.512000002240265 ALLER-RELIEF 10 MG TABLET ORL TAB APX TAB 0.408300000555681 ALLOPURINOL 100 MG TABLET ORL TAB PDL TAB 0.078000002130157 ALLOPURINOL 200 MG TABLET ORL TAB PDL TAB 0.130000000555703 ALLOPURINOL 300 MG TABLET ORL TAB PDL TAB 0.212500000569801 ALMAGEL 200 ORAL LIQUID ORL LIQ ATL ML 0.020600002424029 ALMOTRIPTAN 12.5 MG TABLET ORL TAB PDL TAB 7.043300000893560 ALOMIDE 0.1% (BASE) OPH SOLUTION OPH SOL NOV ML 1.265000002381710 ALOXI 0.05 MG/ML INJECTION INJ DEFAUL PUR ML 18.370000002381729 ALOXI 0.5 MG CAPSULE ORL CAP PUR CAP 68.600000080005881 ALPHA LIPOIC ACID 100MG CAPSULE ORL CAP WNP CAP 0.105500002248151 ALPHAGAN P 0.15% OPHTHALMIC SOLUTION OPH SOL ALL ML 3.716000001908189 ALPRAZOLAM-0.25 MG TABLET ORL TAB PDL TAB 0.060900001908170 ALPRAZOLAM-0.5 MG TABLET ORL TAB PDL TAB 0.072800002248706 ALPRAZOLAM-1 1 MG TABLET ORL TAB PDL TAB 0.309900002422956 ALPROLIX 3000 UNIT/VIAL INJECTION INJ DEFAUL BVT VIAL 4320.000000002320924 ALREX 0.2% OPHTHALMIC SUSPENSION OPH SUS BSH ML 5.900000000999538 ALSOY INFANT FORMULA ORAL POWDER ORL PWR NHN G 0.036500002281112 ALTACE 15 MG CAPSULE ORL CAP/TAB VCL CAP 1.328000002479222 ALUNBRIG 180 MG TABLET ORL TAB TAK TAB 336.960000002479206 ALUNBRIG 30 MG TABLET ORL TAB TAK TAB 112.3200



DIN/ PIN/ NPN Product Description Route Form MFR Unit of Issue Base Price00002479214 ALUNBRIG 90 MG TABLET ORL TAB TAK TAB 336.960000002479230 ALUNBRIG 90 MG/180 MG TABLET INITIATION PACK ORL TAB TAK TAB 336.960000002241630 AMBISOME 50 MG/VIAL INJECTION INJ DEFAUL ASP VIAL 121.000000002230575 AMETOP 4% TOPICAL GEL TOP GEL SNE G 2.703300002242971 AMIKACIN SULFATE 250 MG/ML INJECTION INJ DEFAUL SDZ ML 44.572000000497193 AMINOPHYLLINE 25 MG/ML INJECTION INJ DEFAUL HSP ML 0.460000002374684 AMIODARONE SYRINGE 50 MG/ML INJECTION INJ NDL SDZ SYR 66.450000000370991 AMITRIPTYLINE 10 MG TABLET ORL TAB PDL TAB 0.043500002451786 AMITRIPTYLINE 10 MG TABLET ORL TAB SIV TAB 0.066400002451794 AMITRIPTYLINE 25 MG TABLET ORL TAB SIV TAB 0.121100000371009 AMITRIPTYLINE 25 MG TABLET ORL TAB PDL TAB 0.082900000456349 AMITRIPTYLINE 50 MG TABLET ORL TAB PDL TAB 0.154000002451808 AMITRIPTYLINE 50 MG TABLET ORL TAB SIV TAB 0.234700002326817 AMLODIPINE 10 MG TABLET ORL TAB PDL TAB 0.199300002492199 AMLODIPINE 2.5 MG TABLET ORL TAB JPC TAB 0.076700002326795 AMLODIPINE 2.5 MG TABLET ORL TAB PDL TAB 0.076700002326809 AMLODIPINE 5 MG TABLET ORL TAB PDL TAB 0.134300000638064 AMOSAN 68.6% MOUTHWASH ORL MWH OLB ML 0.334000002125862 AMPHOJEL 320 MG/5ML ORAL LIQUID ORL LIQ AXC ML 0.017900002124971 AMPHOJEL 600 MG TABLET ORL TAB AUP TAB 0.125000002227002 AMPICILLIN 1 G/VIAL INJECTION INJ DEFAUL FKC VIAL 5.175000002226995 AMPICILLIN 2 G/VIAL INJECTION INJ DEFAUL FKC VIAL 7.200000002227029 AMPICILLIN 250 MG/VIAL INJECTION INJ DEFAUL FKC VIAL 2.947000002227010 AMPICILLIN 500 MG/VIAL INJECTION INJ DEFAUL FKC VIAL 3.091000002462338 AMPICILLIN SODIUM FOR INJECTION BP 1 G/VIAL INJ INJ DEFAUL AUR VIAL 5.588600002462346 AMPICILLIN SODIUM FOR INJECTION BP 2 G/VIAL INJ INJ DEFAUL AUR VIAL 7.200000002462303 AMPICILLIN SODIUM FOR INJECTION BP 250 MG/VIAL INJ INJ DEFAUL AUR VIAL 2.050000002462311 AMPICILLIN SODIUM FOR INJECTION BP 500 MG/VIAL INJ INJ DEFAUL AUR VIAL 2.150000080006771 A-MULSION ORAL LIQUID ORL LIQ SRL ML 0.400000002221861 ANANDRON 50 MG TABLET ORL TAB CAG TAB 2.410000002442736 ANASTROZOLE 1 MG TABLET ORL TAB SNS TAB 2.545700002395649 ANASTROZOLE 1 MG TABLET ORL TAB PDL TAB 0.952300002245345 ANDROGEL (2.5 G/PACKET) 1% TOPICAL GEL TOP GEL BGP G 0.936500002245346 ANDROGEL (5 G/PACKET) 1% TOPICAL GEL TOP GEL BGP G 0.828100002249499 ANDROGEL (75 G/PUMP) 1% TOPICAL GEL TOP GEL BGP G 0.946300002268825 ANGELIQ 1 MG/1 MG TABLET ORL TAB BAI TAB 0.782100002364700 ANTHELIOS ULTRA-FLUID TOPICAL LOTION TOP LOT LRP ML 0.288000002230251 ANTIBIOTIC TOPICAL OINTMENT USP TOP ONT TAR G 0.150000002241532 ANTI-NAUSEANT 50 MG TABLET ORL TAB VTH TAB 0.038000002222132 ANTIPHLOGISTINE RUB A-535 NO ODOUR 13.3% TOP OINT TOP ONT CHD G 0.0630



DIN/ PIN/ NPN Product Description Route Form MFR Unit of Issue Base Price00000990104 ANTI-STATIC COMPACT SPACE CHAMBER PLUS MOUTHPIECE DEFAUL DEV MPI DEV 23.550000000990107 ANTI-STATIC COMPACT SPACE CHAMBER PLUS W/ LG MASK DEFAUL ADUDEV MPI DEV 39.860000000990106 ANTI-STATIC COMPACT SPACE CHAMBER PLUS W/ MED MASK DEFAUL PEDDEV MPI DEV 37.670000000990105 ANTI-STATIC COMPACT SPACE CHAMBER PLUS W/ SM MASK DEFAUL INFDEV MPI DEV 37.670000001945939 ANUSOL 0.5% RECTAL OINTMENT RT ONT MCL G 0.184300001945920 ANUSOL 10 MG RECTAL SUPPOSITORY RT SUP MCL SUP 0.475000001945912 ANUSOL PLUS RECTAL OINTMENT RT ONT MCL G 0.217300001945904 ANUSOL PLUS RECTAL SUPPOSITORY RT SUP MCL SUP 0.635000080017904 AOR CHROMIUM PICOLINATE 600 MCG CAPSULE ORL CAP AOR CAP 0.133300080005832 AOR N.A.C. 500 MG CAPSULE ORL CAP AOR CAP 0.137500002396769 APO-ABACAVIR 300 MG TABLET ORL TAB APX TAB 5.920700002399539 APO-ABACAVIR-LAMIVUDINE 600 MG/300 MG TABLET ORL TAB APX TAB 20.357300002416255 APO-ABACAVIR-LAMIVUDINE-ZIDOVUDINE TABLET ORL TAB APX TAB 15.461300002229873 APO-ACETAMINOPHEN 325 MG CAPLET ORL TAB APX TAB 0.032600000544981 APO-ACETAMINOPHEN 325 MG TABLET ORL TAB APX TAB 0.072500002477130 APO-ACYCLOVIR 5% TOPICAL OINTMENT TOP ONT APX G 12.312500002248728 APO-ALENDRONATE 10 MG TABLET ORL TAB APX TAB 0.498600002248727 APO-ALENDRONATE 5 MG TABLET ORL TAB APX TAB 1.037000002454467 APO-ALENDRONATE/VITAMIN D3 70 MG/2800 UNIT TABLET ORL TAB APX TAB 3.730000002243611 APO-ALPRAZ 1 MG TABLET ORL TAB APX TAB 0.309900002243612 APO-ALPRAZ TS 2 MG TABLET ORL TAB APX TAB 0.550800002475383 APO-AMBRISENTAN 10 MG TABLET ORL TAB APX TAB 106.328700002475375 APO-AMBRISENTAN 5 MG TABLET ORL TAB APX TAB 106.328700002411318 APO-AMLODIPINE-ATORVASTATIN 10 MG/10 MG TABLET ORL TAB APX TAB 0.919400002411326 APO-AMLODIPINE-ATORVASTATIN 10 MG/20 MG TABLET ORL TAB APX TAB 1.023400002411334 APO-AMLODIPINE-ATORVASTATIN 10 MG/40 MG TABLET ORL TAB APX TAB 1.062400002411342 APO-AMLODIPINE-ATORVASTATIN 10 MG/80 MG TABLET ORL TAB APX TAB 1.062400002411253 APO-AMLODIPINE-ATORVASTATIN 5 MG/10 MG TABLET ORL TAB APX TAB 0.755100002411261 APO-AMLODIPINE-ATORVASTATIN 5 MG/20 MG TABLET ORL TAB APX TAB 0.859100002411288 APO-AMLODIPINE-ATORVASTATIN 5 MG/40 MG TABLET ORL TAB APX TAB 0.898100002411296 APO-AMLODIPINE-ATORVASTATIN 5 MG/80 MG TABLET ORL TAB APX TAB 0.898100002230880 APO-AMOXI 50 MG/ML SUGAR FREE ORAL SUSPENSION ORL SUS APX ML 0.054000002445506 APO-AMPHETAMINE XR 10 MG EXTENDED-RELEASE CAPSULE ORL ERC APX CAP 2.075800002445514 APO-AMPHETAMINE XR 15 MG EXTENDED-RELEASE CAPSULE ORL ERC APX CAP 2.325000002445522 APO-AMPHETAMINE XR 20 MG EXTENDED-RELEASE CAPSULE ORL ERC APX CAP 2.574300002445530 APO-AMPHETAMINE XR 25 MG EXTENDED-RELEASE CAPSULE ORL ERC APX CAP 2.823500002445549 APO-AMPHETAMINE XR 30 MG EXTENDED-RELEASE CAPSULE ORL ERC APX CAP 3.072900002445492 APO-AMPHETAMINE XR 5 MG EXTENDED-RELEASE CAPSULE ORL ERC APX CAP 1.826600002374420 APO-ANASTROZOLE 1 MG TABLET ORL TAB APX TAB 2.546000002318024 APO-ATOMOXETINE 10 MG CAPSULE ORL CAP APX CAP 2.3140



DIN/ PIN/ NPN Product Description Route Form MFR Unit of Issue Base Price00002318083 APO-ATOMOXETINE 100 MG CAPSULE ORL CAP APX CAP 4.352000002318032 APO-ATOMOXETINE 18 MG CAPSULE ORL CAP APX CAP 2.652300002318040 APO-ATOMOXETINE 25 MG CAPSULE ORL CAP APX CAP 2.928100002318059 APO-ATOMOXETINE 40 MG CAPSULE ORL CAP APX CAP 3.337700002318067 APO-ATOMOXETINE 60 MG CAPSULE ORL CAP APX CAP 3.702300002318075 APO-ATOMOXETINE 80 MG CAPSULE ORL CAP APX CAP 3.996000002296063 APO-BICALUTAMIDE 50 MG TABLET ORL TAB APX TAB 4.057300000545023 APO-BISACODYL 5 MG ENTERIC-COATED TABLET ORL ECT APX TAB 0.063300002260077 APO-BRIMONIDINE 0.2% OPHTHALMIC SOLUTION OPH SOL APX ML 1.156000002365340 APO-CANDESARTAN 4 MG TABLET ORL TAB APX TAB 0.340000000893625 APO-CAPTO 100 MG TABLET ORL TAB APX TAB 1.039500000893595 APO-CAPTO 12.5 MG TABLET ORL TAB APX TAB 0.212000000893609 APO-CAPTO 25 MG TABLET ORL TAB APX TAB 0.300000000893617 APO-CAPTO 50 MG TABLET ORL TAB APX TAB 0.559000002467496 APO-CEFEPIME 1 G/VIAL INJECTION INJ DEFAUL APX VIAL 16.880000002467518 APO-CEFEPIME 2 G/VIAL INJECTION INJ DEFAUL APX VIAL 33.750000002231603 APO-CETIRIZINE 10 MG TABLET ORL TAB APX TAB 0.408300002453363 APO-CETIRIZINE 20 MG TABLET ORL TAB APX TAB 0.753500002298953 APO-CICLOPIROX 8% TOPICAL SOLUTION TOP SOL APX G 7.743300002291134 APO-CILAZAPRIL 1 MG TABLET ORL TAB APX TAB 0.311500002452693 APO-CINACALCET 30 MG TABLET ORL TAB APX TAB 10.194700002452707 APO-CINACALCET 60 MG TABLET ORL TAB APX TAB 18.590000002452715 APO-CINACALCET 90 MG TABLET ORL TAB APX TAB 27.051700002274744 APO-CLARITHROMYCIN 250 MG TABLET ORL TAB APX TAB 0.420900002274752 APO-CLARITHROMYCIN 500 MG TABLET ORL TAB APX TAB 0.831800002245232 APO-CLINDAMYCIN 150 MG CAPSULE ORL CAP APX CAP 0.221700002245233 APO-CLINDAMYCIN 300 MG CAPSULE ORL CAP APX CAP 0.443400002475162 APO-CLOBETASOL 0.05% TOPICAL SPRAY TOP SPR APX ML 1.925900002494051 APO-COLESEVELAM 625 MG TABLET ORL TAB APX TAB 0.889600002468891 APO-DABIGATRAN 75 MG CAPSULE ORL CAP APX CAP 1.455300002487241 APO-DARUNAVIR 600 MG TABLET ORL TAB APX TAB 14.609800002487268 APO-DARUNAVIR 800 MG TABLET ORL TAB APX TAB 19.820300002470721 APO-DASATINIB 100 MG TABLET ORL TAB APX TAB 132.267000002470705 APO-DASATINIB 20 MG TABLET ORL TAB APX TAB 32.882300002470713 APO-DASATINIB 50 MG TABLET ORL TAB APX TAB 66.178300002481499 APO-DASATINIB 70 MG TABLET ORL TAB APX TAB 72.933700002481502 APO-DASATINIB 80 MG TABLET ORL TAB APX TAB 117.325700002466996 APO-DESVENLAFAXINE 100 MG EXTENDED-RELEASE TABLET ORL ERT APX TAB 2.341000002466988 APO-DESVENLAFAXINE 50 MG EXTENDED-RELEASE TABLET ORL ERT APX TAB 2.341000002243433 APO-DICLO RAPIDE 50 MG TABLET ORL TAB APX TAB 0.3937



DIN/ PIN/ NPN Product Description Route Form MFR Unit of Issue Base Price00002354403 APO-DICLOFENAC 1.5% TOPICAL SOLUTION TOP SOL APX ML 0.516500002296055 APO-DORZOLAMIDE 2% OPHTHALMIC SOLUTION OPH SOL APX ML 1.688000002468247 APO-EFAVIRENZ/EMTRICITABINE/TENOFOVIR TABLET ORL TAB APX TAB 22.660000002386054 APO-ELETRIPTAN 20 MG TABLET ORL TAB APX TAB 10.085000002386062 APO-ELETRIPTAN 40 MG TABLET ORL TAB APX TAB 10.085000002321459 APO-ENTACAPONE 200 MG TABLET ORL TAB APX TAB 0.401000002461870 APO-ERLOTINIB 100 MG TABLET ORL TAB APX TAB 47.466700002461889 APO-ERLOTINIB 150 MG TABLET ORL TAB APX TAB 71.200000002461862 APO-ERLOTINIB 25 MG TABLET ORL TAB APX TAB 11.866700002339099 APO-ESOMEPRAZOLE 20 MG DELAYED-RELEASE TABLET ORL DRT APX TAB 1.869000002339102 APO-ESOMEPRAZOLE 40 MG DELAYED-RELEASE TABLET ORL DRT/DRC APX TAB 1.869000002292025 APO-FAMCICLOVIR 125 MG TABLET ORL TAB APX TAB 2.024000002292041 APO-FAMCICLOVIR 250 MG TABLET ORL TAB APX TAB 2.720000002292068 APO-FAMCICLOVIR 500 MG TABLET ORL TAB APX TAB 4.228000000545031 APO-FERROUS GLUCONATE 300 MG TABLET ORL TAB AAP TAB 0.040400002294745 APO-FLUTICASONE 50 MCG/DOSE AQUEOUS NASAL SPRAY NAS SPM APX DOSE 0.183100002426471 APO-FROVATRIPTAN 2.5 MG TABLET ORL TAB APX TAB 12.503300002293358 APO-GABAPENTIN 600 MG TABLET ORL TAB APX TAB 1.304500002293366 APO-GABAPENTIN 800 MG TABLET ORL TAB APX TAB 1.739300002327260 APO-GATIFLOXACIN 0.3% OPHTHALMIC SOLUTION OPH SOL APX ML 2.032000002468050 APO-GEFITINIB 250 MG TABLET ORL TAB APX TAB 62.305000002295377 APO-GLIMEPIRIDE 1 MG TABLET ORL TAB APX TAB 0.490000002295385 APO-GLIMEPIRIDE 2 MG TABLET ORL TAB APX TAB 0.490000002295393 APO-GLIMEPIRIDE 4 MG TABLET ORL TAB APX TAB 0.490000002476657 APO-HYDROMORPHONE CR 12 MG CONTROLLED-RELEASE CAP ORL CRC APX CAP 1.565300002476665 APO-HYDROMORPHONE CR 18 MG CONTROLLED-RELEASE CAP ORL CRC APX CAP 2.259000002476673 APO-HYDROMORPHONE CR 24 MG CONTROLLED-RELEASE CAP ORL CRC APX CAP 2.613800002476614 APO-HYDROMORPHONE CR 3 MG CONTROLLED-RELEASE CAP ORL CRC APX CAP 0.602300002476681 APO-HYDROMORPHONE CR 30 MG CONTROLLED-RELEASE CAP ORL CRC APX CAP 3.130800002476622 APO-HYDROMORPHONE CR 4.5 MG CONTROLLED-RELEASE CAP ORL CRC APX CAP 0.727500002476630 APO-HYDROMORPHONE CR 6 MG CONTROLLED-RELEASE CAP ORL CRC APX CAP 0.903000002476649 APO-HYDROMORPHONE CR 9 MG CONTROLLED-RELEASE CAP ORL CRC APX CAP 1.192500002247937 APO-HYDROXYUREA 500 MG CAPSULE ORL CAP APX CAP 1.020300000441643 APO-IBUPROFEN 200 MG TABLET ORL TAB APX TAB 0.112000002355337 APO-IMATINIB 100 MG TABLET ORL TAB APX TAB 20.455700002355345 APO-IMATINIB 400 MG TABLET ORL TAB APX TAB 81.822700002369052 APO-LAMIVUDINE 150 MG TABLET ORL TAB APX TAB 3.626900002369060 APO-LAMIVUDINE 300 MG TABLET ORL TAB APX TAB 7.253700002375540 APO-LAMIVUDINE-ZIDOVUDINE 150 MG/300 MG TABLET ORL TAB APX TAB 7.830900002358514 APO-LETROZOLE 2.5 MG TABLET ORL TAB APX TAB 2.7560



DIN/ PIN/ NPN Product Description Route Form MFR Unit of Issue Base Price00002243880 APO-LORATADINE 10 MG TABLET ORL TAB APX TAB 0.626700002248974 APO-MELOXICAM 15 MG TABLET ORL TAB APX TAB 0.567000002248973 APO-MELOXICAM 7.5 MG TABLET ORL TAB APX TAB 0.491400002366487 APO-MEMANTINE 10 MG TABLET ORL TAB APX TAB 1.635700002460653 APO-METFORMIN ER 1000 MG EXTENDED-RELEASE TABLET ORL ERT APX TAB 1.015300002305062 APO-METFORMIN ER 500 MG EXTENDED-RELEASE TABLET ORL ERT APX TAB 0.515800002452731 APO-METHYLPHENIDATE ER 18 MG EXTENDED REL. TABLET ORL ERT APX TAB 1.427600002452758 APO-METHYLPHENIDATE ER 27 MG EXTENDED REL. TABLET ORL ERT APX TAB 1.647500002452766 APO-METHYLPHENIDATE ER 36 MG EXTENDED REL. TABLET ORL ERT APX TAB 1.867400002330377 APO-METHYLPHENIDATE ER 54 MG EXTENDED REL. TABLET ORL ERT APX TAB 2.307200002248562 APO-METRONIDAZOLE 500 MG CAPSULE ORL CAP APX CAP 0.931300002286610 APO-MIRTAZAPINE 15 MG TABLET ORL TAB APX TAB 0.375000002286637 APO-MIRTAZAPINE 45 MG TABLET ORL TAB APX TAB 1.125000002406373 APO-MOXIFLOXACIN 0.5 % OPHTHALMIC SOLUTION OPH SOL APX ML 3.756700002352559 APO-MYCOPHENOLATE 250 MG CAPSULE ORL CAP APX CAP 1.031000002352567 APO-MYCOPHENOLATE 500 MG TABLET ORL TAB APX TAB 2.062000002372738 APO-MYCOPHENOLIC ACID 180 MG ENTERIC-COATED TAB ORL ECT APX TAB 1.698000002372746 APO-MYCOPHENOLIC ACID 360 MG ENTERIC-COATED TAB ORL ECT APX TAB 3.396000000522678 APO-NAPROXEN 125 MG TABLET ORL TAB APX TAB 0.078100002246699 APO-NAPROXEN EC 250 MG ENTERIC-COATED TABLET ORL ECT APX TAB 0.106800002365499 APO-NARATRIPTAN 1 MG TABLET ORL TAB APX TAB 8.433800002365502 APO-NARATRIPTAN 2.5 MG TABLET ORL TAB APX TAB 6.143700002333015 APO-OLANZAPINE 20 MG TABLET ORL TAB APX TAB 10.309300002360632 APO-OLANZAPINE ODT 15 MG ORAL DISINT. TABLET ORL DISNTAB APX TAB 5.355300002360640 APO-OLANZAPINE ODT 20 MG ORAL DISINT. TABLET ORL DISNTAB APX TAB 7.597700002305054 APO-OLOPATADINE 0.1% OPHTHALMIC SOLUTION OPH SOL APX ML 5.226000002402823 APO-OLOPATADINE 0.2% OPHTHALMIC SOLUTION OPH SOL APX ML 10.452000002284294 APO-OXCARBAZEPINE 150 MG TABLET ORL TAB APX TAB 0.620900002284308 APO-OXCARBAZEPINE 300 MG TABLET ORL TAB APX TAB 0.910200002284316 APO-OXCARBAZEPINE 600 MG TABLET ORL TAB APX TAB 1.820400002366754 APO-OXYCODONE CR 10 MG CONTROLLED-RELEASE TABLET ORL CRT APX TAB 0.474100002394766 APO-OXYCODONE CR 15 MG CONTROLLED-RELEASE TABLET ORL CRT APX TAB 0.530000002366762 APO-OXYCODONE CR 20 MG CONTROLLED-RELEASE TABLET ORL CRT APX TAB 0.711200002394774 APO-OXYCODONE CR 30 MG CONTROLLED-RELEASE TABLET ORL CRT APX TAB 0.870000002306530 APO-OXYCODONE CR 40 MG CONTROLLED-RELEASE TABLET ORL CRT APX TAB 1.232600002366746 APO-OXYCODONE CR 5 MG CONTROLLED-RELEASE TABLET ORL CRT APX TAB 0.315000002394782 APO-OXYCODONE CR 60 MG CONTROLLED-RELEASE TABLET ORL CRT APX TAB 1.575000002366789 APO-OXYCODONE CR 80 MG CONTROLLED-RELEASE TABLET ORL CRT APX TAB 2.276600002292912 APO-PANTOPRAZOLE 20 MG ENTERIC-COATED TABLET ORL ECT APX TAB 1.275000002240907 APO-PAROXETINE 10 MG TABLET ORL TAB APX TAB 1.0430



DIN/ PIN/ NPN Product Description Route Form MFR Unit of Issue Base Price00002468581 APO-PERINDOPRIL/AMLODIPINE 14 MG/10 MG TABLET ORL TAB APX TAB 0.977500002468565 APO-PERINDOPRIL/AMLODIPINE 3.5 MG/2.5 MG TABLET ORL TAB APX TAB 0.807500002468573 APO-PERINDOPRIL/AMLODIPINE 7 MG/5 MG TABLET ORL TAB APX TAB 0.892500002297574 APO-PERINDOPRIL-INDAPAMIDE 4 MG/1.25 MG TABLET ORL TAB APX TAB 0.255700002453061 APO-PERINDOPRIL-INDAPAMIDE 8 MG/2.5 MG TABLET ORL TAB APX TAB 0.285900000755885 APO-PINDOL 10 MG TABLET ORL TAB APX TAB 0.232300000755893 APO-PINDOL 15 MG TABLET ORL TAB APX TAB 0.889400000755877 APO-PINDOL 5 MG TABLET ORL TAB APX TAB 0.136100000642886 APO-PIROXICAM 10 MG CAPSULE ORL CAP APX CAP 0.442600000642894 APO-PIROXICAM 20 MG CAPSULE ORL CAP APX CAP 0.742200002292386 APO-PRAMIPEXOLE 0.5 MG TABLET ORL TAB APX TAB 1.386000002491591 APO-PRUCALOPRIDE 1 MG TABLET ORL TAB APX TAB 2.014500002491605 APO-PRUCALOPRIDE 2 MG TABLET ORL TAB APX TAB 3.102500002254522 APO-QUININE 300 MG CAPSULE ORL CAP APX CAP 0.375000002345579 APO-RABEPRAZOLE 10 MG ENTERIC-COATED TABLET ORL ECT APX TAB 0.066900002325381 APO-RAMIPRIL 15 MG CAPSULE ORL CAP/TAB APX CAP 0.855000002368722 APO-RAMIPRIL/HCTZ 10 MG/12.5 MG TABLET ORL TAB APX TAB 0.276500002354039 APO-RAMIPRIL/HCTZ 10 MG/25 MG TABLET ORL TAB APX TAB 0.131700002354004 APO-RAMIPRIL/HCTZ 2.5 MG/12.5 MG TABLET ORL TAB APX TAB 0.206700002354012 APO-RAMIPRIL/HCTZ 5 MG/12.5 MG TABLET ORL TAB APX TAB 0.217000002404680 APO-RASAGILINE 0.5 MG TABLET ORL TAB APX TAB 6.128500002404699 APO-RASAGILINE 1 MG TABLET ORL TAB APX TAB 6.128500002352583 APO-RILUZOLE 50 MG TABLET ORL TAB APX TAB 3.436200002377721 APO-RISEDRONATE 150 MG TABLET ORL TAB APX TAB 40.950000002337746 APO-ROPINIROLE 0.25 MG TABLET ORL TAB APX TAB 0.070900002337770 APO-ROPINIROLE 2 MG TABLET ORL TAB APX TAB 0.312200002337800 APO-ROPINIROLE 5 MG TABLET ORL TAB APX TAB 0.859600002248203 APO-SILDENAFIL 100 MG TABLET ORL TAB APX TAB 9.200000002248201 APO-SILDENAFIL 25 MG TABLET ORL TAB APX TAB 8.290000002248202 APO-SILDENAFIL 50 MG TABLET ORL TAB APX TAB 8.847500002423383 APO-SOLIFENACIN 10 MG TABLET ORL TAB APX TAB 0.304100002422107 APO-TADALAFIL 10 MG TABLET ORL TAB APX TAB 11.925000002422085 APO-TADALAFIL 2.5 MG TABLET ORL TAB APX TAB 3.647000002422115 APO-TADALAFIL 20 MG TABLET ORL TAB APX TAB 12.357500002422093 APO-TADALAFIL 5 MG TABLET ORL TAB APX TAB 3.647000002421933 APO-TADALAFIL PAH 20 MG TABLET ORL TB APX TAB 11.472500000812404 APO-TAMOX 10 MG TABLET ORL TAB APX TAB 0.175000000812390 APO-TAMOX 20 MG TABLET ORL TAB APX TAB 0.350000002413094 APO-TEMOZOLOMIDE 100 MG CAPSULE ORL CAP APX CAP 113.596000002413116 APO-TEMOZOLOMIDE 140 MG CAPSULE ORL CAP APX CAP 159.0360



DIN/ PIN/ NPN Product Description Route Form MFR Unit of Issue Base Price00002413124 APO-TEMOZOLOMIDE 180 MG CAPSULE ORL CAP APX CAP 253.672600002413043 APO-TEMOZOLOMIDE 20 MG CAPSULE ORL CAP APX CAP 22.720000002413132 APO-TEMOZOLOMIDE 250 MG CAPSULE ORL CAP APX CAP 283.984000002413035 APO-TEMOZOLOMIDE 5 MG CAPSULE ORL CAP APX CAP 5.850000002426153 APO-TRAMADOL 50 MG TABLET ORL TAB APX TAB 0.638600002336790 APO-TRAMADOL/ACET 37.5 MG/325 MG TABLET ORL TAB APX TAB 0.626400002437635 APO-TRIAMCINOLONE AQ 55 MCG METERED DOSE SPRAY NAS SPM APX DOSE 0.170000002471655 APO-VARDENAFIL 10 MG TABLET ORL TAB APX TAB 10.397500002471663 APO-VARDENAFIL 20 MG TABLET ORL TAB APX TAB 11.680000002471647 APO-VARDENAFIL 5 MG TABLET ORL TAB APX TAB 9.320000002246894 APO-VERAP SR 180 MG SUSTAINED-RELEASE TABLET ORL SRT APX TAB 0.520400001946323 APO-ZIDOVUDINE 100 MG CAPSULE ORL CAP APX CAP 1.397700002434946 APO-ZOLPIDEM ODT 10 MG SUBLINGUAL DISINT TABLET SLG DISNTAB APX TAB 1.188300002436159 APO-ZOLPIDEM ODT 5 MG SUBLINGUAL DISINT. TABLET SLG DISNTAB APX TAB 1.182700002375885 APPRILON 40 MG MODIFIED RELEASE CAPSULE ORL MRC GAL CAP 2.800000000723754 APRESOLINE 20 MG/VIAL INJECTION INJ DEFAUL STM VIAL 11.650000002273322 APTIVUS 250 MG CAPSULE ORL CAP BOE CAP 8.250000002162075 AQUASOL E 50 UNIT/ML ORAL DROPS ORL DPS NOV ML 0.874400002269465 ARICEPT RDT 10 MG ORAL DISINTEGRATING TABLET ORL DISNTAB PFI TAB 5.013200002269457 ARICEPT RDT 5 MG ORAL DISINTEGRATING TABLET ORL DISNTAB PFI TAB 5.013200002224135 ARIMIDEX 1 MG TABLET ORL TAB AZC TAB 5.475000002488027 ARIPIPRAZOLE 10 MG TABLET ORL TAB PDL TAB 1.075300002488035 ARIPIPRAZOLE 15 MG TABLET ORL TAB PDL TAB 1.269300002488000 ARIPIPRAZOLE 2 MG TABLET ORL TAB PDL TAB 0.809300002488043 ARIPIPRAZOLE 20 MG TABLET ORL TAB PDL TAB 1.001700002488051 ARIPIPRAZOLE 30 MG TABLET ORL TAB PDL TAB 1.001700002488019 ARIPIPRAZOLE 5 MG TABLET ORL TAB PDL TAB 0.904700080008677 ARNICA 7% GEL TOP GEL BCI G 0.131400080015109 ARNICA GEL-CREAM RUB A535 TOPICAL GEL TOP GEL CHD G 0.097100080030403 ARNICARE TOPICAL GEL TOP GEL BCI G 0.143200002242705 AROMASIN 25 MG TABLET ORL TAB PFI TAB 5.585700002286653 ARTHRITIS PAIN 650 MG EXTENDED RELIEF TABLET ORL ERT VTH TAB 0.079200002371146 ARTHRITIS PAIN RELIEF 650 MG EXTENDED-RELEASE TAB ORL ERT VTH TAB 0.049800002229570 ARTIFICIAL TEARS OPH SOLUTION OPH SOL PPH ML 0.292700002354535 ARTIFICIAL TEARS OPHTHALMIC SOLUTION OPH SOL TEV ML 0.240700000180041 ASA & CODEINE 8 MG TABLET ORL TAB SDR TAB 0.050000000530336 ASA 325 MG TABLET ORL TAB VTH TAB 0.025000002433044 ASA 81 MG ENTERIC-COATED TABLET ORL ECT PMS TAB 0.056000002372177 ASA 81 MG ENTERIC-COATED TABLET ORL ECT VTH TAB 0.053000002449277 ASA 81 MG ENTERIC-COATED TABLET ORL ECT TLI TAB 0.0560



DIN/ PIN/ NPN Product Description Route Form MFR Unit of Issue Base Price00002244993 ASA 81 MG ENTERIC-COATED TABLET ORL ECT PMS TAB 0.036100002427176 ASA EC 80 MG TABLET ORL TAB SNS TAB 0.056000002426811 ASA EC 81 MG ENTERIC-COATED TABLET ORL ECT SNS TAB 0.053000002046253 ASADOL 325 MG ENTERIC-COATED TABLET ORL ECT PPH TAB 0.012500002009013 ASAPHEN 80 MG TABLET ORL TAB PMS TAB 0.056000002243974 ASAPHEN 81 MG CHEWABLE TABLET ORL CTB PMS TAB 0.074900002238545 ASAPHEN E.C. 80 MG ENTERIC-COATED TABLET ORL ECT PMS TAB 0.056000002242281 ASAPHEN E.C. 81 MG ENTERIC-COATED TABLET ORL ECT PMS TAB 0.074900002280167 ASATAB 80 MG CHEWABLE TABLET ORL CTB ODN TAB 0.058000002352427 ASATAB EC 325 MG ENTERIC-COATED TABLET ORL ECT ODN TAB 0.029500000266086 ASCORBIC ACID 500 MG TABLET ORL TAB PMT TAB 0.030000002150328 ASPIRIN 325 MG TABLET ORL TAB BAI TAB 0.100800002289970 ASPIRIN 81 MG QUICK CHEWS CHEWABLE TABLET ORL CTB BIC TAB 0.139300002316897 ASPIRIN STOMACH GUARD EXTRA STRENGTH 500 MG CAPLET ORL TAB BIC TAB 0.098800002239090 ATACAND 4 MG TABLET ORL TAB AZC TAB 0.820700000013668 ATASOL FORTE 500 MG TABLET ORL TAB CHD TAB 0.059800000293504 ATASOL-15 TABLET ORL TAB CHD TAB 0.091000000293490 ATASOL-8 TABLET ORL TAB CHD TAB 0.070300002498707 ATECTURA BREEZHALER 150 MCG/160 MCG INH CAPSULE INH CAP NOV CAP 1.936000002498693 ATECTURA BREEZHALER 150 MCG/320 MCG INH CAPSULE INH CAP NOV CAP 1.936000002498685 ATECTURA BREEZHALER 150 MCG/80 MCG INH CAPSULE INH CAP NOV CAP 1.936000002326701 ATENOLOL 25 MG TABLET ORL TAB PDL TAB 0.067600000828793 ATENOLOL-100 MG TABLET ORL TAB PDL TAB 0.182100000828807 ATENOLOL-50 MG TABLET ORL TAB PDL TAB 0.110700002467747 ATOMOXETINE 10 MG CAPSULE ORL CAP SNS CAP 2.314000002445883 ATOMOXETINE 10 MG CAPSULE ORL CAP SIV CAP 2.314000002396904 ATOMOXETINE 10 MG CAPSULE ORL CAP PDL CAP 1.404000002467828 ATOMOXETINE 100 MG CAPSULE ORL CAP SNS CAP 4.352000002445905 ATOMOXETINE 18 MG CAPSULE ORL CAP SIV CAP 2.652300002467755 ATOMOXETINE 18 MG CAPSULE ORL CAP SNS CAP 2.652300002396912 ATOMOXETINE 18 MG CAPSULE ORL CAP PDL CAP 1.609300002467763 ATOMOXETINE 25 MG CAPSULE ORL CAP SNS CAP 2.928000002396920 ATOMOXETINE 25 MG CAPSULE ORL CAP PDL CAP 1.776700002445913 ATOMOXETINE 25 MG CAPSULE ORL CAP SIV CAP 2.928000002445948 ATOMOXETINE 40 MG CAPSULE ORL CAP SIV CAP 3.337300002396939 ATOMOXETINE 40 MG CAPSULE ORL CAP PDL CAP 2.025000002467771 ATOMOXETINE 40 MG CAPSULE ORL CAP SNS CAP 3.337300002445956 ATOMOXETINE 60 MG CAPSULE ORL CAP SIV CAP 3.702300002396947 ATOMOXETINE 60 MG CAPSULE ORL CAP PDL CAP 2.246300002467798 ATOMOXETINE 60 MG CAPSULE ORL CAP SNS CAP 3.7023



DIN/ PIN/ NPN Product Description Route Form MFR Unit of Issue Base Price00002467801 ATOMOXETINE 80 MG CAPSULE ORL CAP SNS CAP 3.996000002348705 ATORVASTATIN 10 MG TABLET ORL TAB SNS TAB 0.174300002346486 ATORVASTATIN 10 MG TABLET ORL TAB PDL TAB 0.174300002346494 ATORVASTATIN 20 MG TABLET ORL TAB PDL TAB 0.217900002348713 ATORVASTATIN 20 MG TABLET ORL TAB SNS TAB 0.217900002348721 ATORVASTATIN 40 MG TABLET ORL TAB SNS TAB 0.234200002346508 ATORVASTATIN 40 MG TABLET ORL TAB PDL TAB 0.234200002348748 ATORVASTATIN 80 MG TABLET ORL TAB SNS TAB 0.421600002346516 ATORVASTATIN 80 MG TABLET ORL TAB PDL TAB 0.234200002466783 ATOVAQUONE AND PROGUANIL HCL 250 MG/100 MG TABLET ORL TAB GLM TAB 4.130800002421429 ATOVAQUONE PROGUANIL 250 MG/100 MG TABLET ORL TAB SNS TAB 4.130800002299925 ATRIANCE 5 MG/ML INJECTION INJ DEFAUL NOV ML 10.611300002300699 ATRIPLA TABLET ORL TAB BMG TAB 42.334000002432188 ATROPINE 0.4 MG/ML INJECTION BP INJ DEFAUL TGT ML 2.288000002094681 ATROPINE 0.4 MG/ML INJECTION BP INJ DEFAUL ALV ML 2.300000002094703 ATROPINE 0.6 MG/ML INJECTION INJ DEFAUL ALV ML 2.500000002432196 ATROPINE 0.6 MG/ML INJECTION BP INJ DEFAUL TGT ML 2.488000002148358 ATROPINE SULFATE 1% OPH SOLUTION (MINIMS) OPH SOL BSH ML 4.200000002163713 ATROVENT 0.06% NASAL SPRAY NAS SPR BOE ML 2.045300002332477 AURALGAN OTIC SOLUTION OT SOL PAL ML 0.575700002454513 AURO-ABACAVIR/LAMIVUDINE 600 MG/300 MG TABLET ORL TAB AUR TAB 17.962700002471485 AURO-ATOMOXETINE 10 MG CAPSULE ORL CAP AUR CAP 2.314000002471558 AURO-ATOMOXETINE 100 MG CAPSULE ORL CAP AUR CAP 4.352000002471493 AURO-ATOMOXETINE 18 MG CAPSULE ORL CAP AUR CAP 2.652300002471507 AURO-ATOMOXETINE 25 MG CAPSULE ORL CAP AUR CAP 2.928000002471515 AURO-ATOMOXETINE 40 MG CAPSULE ORL CAP AUR CAP 3.337700002471523 AURO-ATOMOXETINE 60 MG CAPSULE ORL CAP AUR CAP 3.702300002471531 AURO-ATOMOXETINE 80 MG CAPSULE ORL CAP AUR CAP 3.996100002449161 AURO-BETAHISTINE 24 MG TABLET ORL TAB AUR TAB 0.498300002445786 AURO-CANDESARTAN 4 MG TABLET ORL TAB AUR TAB 0.340000002497743 AURO-CEPHALEXIN 25 MG/ML ORAL SUSPENSION ORL SUS AUR ML 0.318400002497751 AURO-CEPHALEXIN 50 MG/ML ORAL SUSPENSION ORL SUS AUR ML 0.568700002478900 AURO-CINACALCET 30 MG TABLET ORL TAB AUR TAB 10.194700002478919 AURO-CINACALCET 60 MG TABLET ORL TAB AUR TAB 18.590000002478943 AURO-CINACALCET 90 MG TABLET ORL TAB AUR TAB 27.051700002486121 AURO-DARUNAVIR 600 MG TABLET ORL TAB AUR TAB 14.609800002486148 AURO-DARUNAVIR 800 MG TABLET ORL TAB AUR TAB 19.820300002418428 AURO-EFAVIRENZ 600 MG TABLET ORL TAB AUR TAB 11.210300002478404 AURO-EFAVIRENZ-EMTRICITABINE-TENOFOVIR TABLET ORL TAB AUR TAB 22.654300002479451 AURO-ELETRIPTAN 20 MG TABLET ORL TAB AUR TAB 10.0850



DIN/ PIN/ NPN Product Description Route Form MFR Unit of Issue Base Price00002479478 AURO-ELETRIPTAN 40 MG TABLET ORL TAB AUR TAB 10.085000002490684 AURO-EMTRICITABINE-TENOFOVIR 200 MG/300 MG TABLET ORL TAB AUR TAB 7.303500002428148 AURO-FINASTERIDE 1 MG TABLET ORL TAB AUR TAB 1.145700002428334 AURO-GABAPENTIN 600 MG TABLET ORL TAB AUR TAB 1.304500002428342 AURO-GABAPENTIN 800 MG TABLET ORL TAB AUR TAB 1.739300002414414 AURO-LAMIVUDINE/ZIDOVUDINE 150 MG/300 MG TABLET ORL TAB AUR TAB 7.830800002430592 AURO-LEVOFLOXACIN 250 MG TABLET ORL TAB AUR TAB 1.203800002430606 AURO-LEVOFLOXACIN 500 MG TABLET ORL TAB AUR TAB 1.371800002430614 AURO-LEVOFLOXACIN 750 MG TABLET ORL TAB AUR TAB 4.847800002390892 AURO-MELOXICAM 15 MG TABLET ORL TAB AUR TAB 0.462300002390884 AURO-MELOXICAM 7.5 MG TABLET ORL TAB AUR TAB 0.400700002470284 AURO-METRONIDAZOLE 500 MG CAPSULE ORL CAP AUR CAP 0.931300002411717 AURO-MIRTAZAPINE 45 MG TABLET ORL TAB AUR TAB 1.125000002299801 AURO-MIRTAZAPINE OD 15 MG ORAL DISINT. TABLET ORL DISNTAB AUR TAB 0.273000002299828 AURO-MIRTAZAPINE OD 30 MG ORAL DISINT. TABLET ORL DISNTAB AUR TAB 0.546000002299836 AURO-MIRTAZAPINE OD 45 MG ORAL DISINT. TABLET ORL DISNTAB AUR TAB 0.819000002422867 AURO-MONTELUKAST 4 MG CHEWABLE TABLET ORL CTB AUR TAB 0.275700002422875 AURO-MONTELUKAST 5 MG CHEWABLE TABLET ORL CTB AUR TAB 0.308300002318601 AURO-NEVIRAPINE 200 MG TABLET ORL TAB AUR TAB 2.469200002466392 AURO-NITROFURANTOIN 100 MG CAPSULE ORL CAPMMC AUR CAP 0.657300002448742 AURO-OLANZAPINE ODT 15 MG ORAL DISINT. TABLET ORL DISNTAB AUR TAB 1.071000002448750 AURO-OLANZAPINE ODT 20 MG ORAL DISINT. TABLET ORL DISNTAB AUR TAB 7.597700002383276 AURO-PAROXETINE 10 MG TABLET ORL TAB AUR TAB 1.043000002424088 AURO-PRAMIPEXOLE 0.5 MG TABLET ORL TAB AUR TAB 1.386000002493578 AURO-PROGESTERONE 100 MG CAPSULE ORL CAP AUR CAP 1.435800002442760 AURO-RISEDRONATE 150 MG TABLET ORL TAB AUR TAB 38.330000002414384 AURO-SILDENAFIL 100 MG TABLET ORL TAB AUR TAB 9.200600002414368 AURO-SILDENAFIL 25 MG TABLET ORL TAB AUR TAB 8.290000002414376 AURO-SILDENAFIL 50 MG TABLET ORL TAB AUR TAB 8.848100002435934 AURO-TADALAFIL 10 MG TABLET ORL TAB AUR TAB 11.925000002435896 AURO-TADALAFIL 2.5 MG TABLET ORL TAB AUR TAB 3.647000002435942 AURO-TADALAFIL 20 MG TABLET ORL TAB AUR TAB 12.357500002435926 AURO-TADALAFIL 5 MG TABLET ORL TAB AUR TAB 3.647100002479672 AURO-TRAMADOL 50 MG TABLET ORL TAB AUR TAB 0.638600002439050 AURO-TRAMADOL/ACETAMINOPHEN 37.5 MG/325 MG TABLET ORL TAB AUR TAB 0.626400002414201 AURO-VALSARTAN 40 MG TABLET ORL TAB AUR TAB 0.524000002481030 AURO-ZOLMITRIPTAN 2.5 MG TABLET ORL TAB AUR TAB 3.537500002480360 AUVI-Q 0.15 MG AUTO-INJECTOR SYRINGE INJ NDL KAI SYR 170.000000002480379 AUVI-Q 0.3 MG AUTO-INJECTOR SYRINGE INJ NDL KAI SYR 170.000000002298589 AVAMYS 27.5 MCG/DOSE NASAL SPRAY NAS SPM GSK DOSE 0.2272



DIN/ PIN/ NPN Product Description Route Form MFR Unit of Issue Base Price00002270994 AVASTIN 25 MG/ML INJECTION INJ DEFAUL HLR ML 129.795000002370999 AVA-TOPIRAMATE 200 MG TABLET ORL TAB AVA TAB 0.885300002237792 AVAXIM 160 U/0.5 ML INJECTION SYRINGE INJ NDL SFP SYR 46.700000002243741 AVAXIM-PEDIATRIC 80 UNIT/0.5 ML INJECTION SYRINGE INJ NDL SFP SYR 23.350000002240105 AVEENO ANTI-ITCH LOTION TOP LOT JJI ML 0.063500002317508 AVEENO CREAM TOP CRM JJI G 0.022300002241416 AVEENO MOISTURIZING BATH TOP PWR JJI G 0.046100002242965 AVELOX 400 MG TABLET ORL TAB BAI TAB 6.085700002496933 AVSOLA 100 MG/VIAL INJECTION INJ DEFAUL AMG VIAL 493.000000002284642 AZILECT 0.5 MG TABLET ORL TAB TMP TAB 7.883300002284650 AZILECT 1 MG TABLET ORL TAB TMP TAB 7.883300000598577 B COMPLEX 50 TABLET ORL TAB JAM TAB 0.081000000598569 B COMPLEX 75 TABLET ORL TAB JAM TAB 0.161600000123803 B COMPLEX PLUS C TABLET ORL TAB JAM TAB 0.081000002239693 B COMPLEX VITAMINS WITH VITAMIN C TABLET ORL TAB PMT TAB 0.066300080007498 B&C VITAMINS TABLET ORL TAB WBP TAB 0.068800080002409 B12 1000 MCG TABLET ORL TAB WNP TAB 0.085000002245512 B50 COMPLEX CAPSULE ORL CAP WNP CAP 0.089500002241403 B50 COMPLEX WITH LIPOTROPIC FACTORS TABLET ORL TAB PMT TAB 0.078100002231626 B50 VITAMIN B COMPLEX TABLET ORL TAB WNP TAB 0.067900080017771 B6 250 MG TABLET ORL TAB WNP TAB 0.045000080001869 BABY DDROPS 400IU/DROP ORAL LIQUID ORL DPS DDR ML 3.960000001927906 BACID 1 B CAPSULE ORL CAP ERF CAP 0.659800000876488 BACIMYXIN TOPICAL OINTMENT TOP ONT PMS G 0.243300000584908 BACITIN 500 UNIT/G TOPICAL OINTMENT TOP ONT PPH G 0.199300000030708 BACITRACIN 50,000 U/VIAL INJECTION INJ DEFAUL PFI VIAL 12.234000002152584 BACLOFEN 10 MG TABLET ORL TAB PDL TAB 0.159500002152592 BACLOFEN 20 MG TABLET ORL TAB PDL TAB 0.310400000037818 BACTERIOSTATIC SODIUM CHLORIDE 0.9% INJECTION INJ DEFAUL PFI ML 0.225000002243425 BALANCED B COMPLEX 100 MG SUSTAINED-RELEASE TABLET ORL SRT PMT TAB 0.085000001908855 BALNETAR 2.5% TOPICAL SOLUTION TOP SOL WSD ML 0.049600002493217 BALVERSA 3 MG TABLET ORL TAB JAI TAB 139.680000002493225 BALVERSA 4 MG TABLET ORL TAB JAI TAB 186.240000002493233 BALVERSA 5 MG TABLET ORL TAB JAI TAB 232.800000080052972 BANATROL PLUS ORAL POWDER FOR SOLUTION ORL PWR MDT G 0.091700002492415 BAQSIMI 3 MG/DOSE (SINGLE-USE) NASAL POWDER NAS PWR LIL DOSE 131.600000002060841 BARRIERE 20% TOPICAL CREAM TOP CRM WSP G 0.068600002135620 BASALJEL 500 MG CAPSULE ORL CAP AUP CAP 0.150000099400259 BATTERIES, LEFT HEARING AID DEFAUL DEFAUL XXX MIS 1.500000099400643 BATTERIES, RIGHT HEARING AID DEFAUL DEFAUL XXX UNIT 1.5000



DIN/ PIN/ NPN Product Description Route Form MFR Unit of Issue Base Price00002469723 BAVENCIO 20 MG/ML INJECTION INJ DEFAUL SRO ML 132.500000000658413 BAXEDIN 20% SOLUTION TOP SOL OMG ML 0.053000002243966 BAZA CLEANSE & PROTECT 2% TOPICAL LOTION TOP LOT COC ML 0.048500002315793 BAZA PROTECT 2 TOPICAL CREAM TOP CRM COC G 0.059200000075124 BCG VACCINE (FREEZE-DRIED) 1 MG INJECTION INJ DEFAUL SFP VIAL 193.300000000498815 B-COMPLEX 100 SUSTAINED-RELEASE TABLET ORL SRT JAM TAB 0.215800097799899 BD GLUCOSE 4 G TABLET ORL TAB BTD TAB 0.207000097799281 BD ULTRAFINE 31 G 8MM PEN NEEDLE DEFAUL DEFAUL BTD MIS 0.314200002237567 BEANO 150 UNIT TABLET ORL TAB GSK TAB 0.180000080043158 BEDUZIL 1500 1500 MCG TABLET ORL ERT ORI TAB 0.115800002483513 BELSOMRA 10 MG TABLET ORL TAB MFC TAB 1.367000002483521 BELSOMRA 15 MG TABLET ORL TAB MFC TAB 1.367000002483548 BELSOMRA 20 MG TABLET ORL TAB MFC TAB 1.367000002019736 BENADRYL 12.5 MG/5 ML ORAL ELIXIR ORL ELX MCL ML 0.054000002019701 BENADRYL 2% TOPICAL CREAM TOP CRM MCL G 0.289600002017849 BENADRYL 25 MG CAPLET ORL TAB MCL TAB 0.400000002019671 BENADRYL 50 MG CAPSULE ORL CAP MCL CAP 0.251400002061287 BENADRYL ALLERGY JUNIOR STRENGTH CHEWABLE TABLET ORL CTB MCL TAB 0.448300002229367 BENADRYL ALLERGY SINUS HEADACHE CAPLET ORL TAB MCL TAB 0.317500002280868 BENADRYL BUG BITE RELIEF LIQUID TOP LIQ MCL ML 0.329300002019698 BENADRYL CHILDREN'S 1.25 MG/ML ORAL LIQUID ORL LIQ MCL ML 0.060500002239138 BENADRYL EXTRA STRENGTH 50 MG CAPLET ORL TAB MCL TAB 0.409600002280876 BENADRYL SPRAY TOP SPR MCL ML 0.078100000999476 BENEFIBRE ORAL POWDER ORL PWR NVC G 0.039100002370050 BENLYSTA 120 MG /VIAL INJECTION INJ DEFAUL GSK VIAL 293.570000002470489 BENLYSTA 200 MG/ML AUTOINJECTOR INJ NDL GSK SYR 391.095000002370069 BENLYSTA 400 MG /VIAL INJECTION INJ DEFAUL GSK VIAL 978.560000002003317 BENYLIN COUGH AND CHEST CONGESTION WARMING SYRUP ORL SYR MCL ML 0.038300001944738 BENYLIN DM 3 MG/ML ORAL SYRUP ORL SYR MCL ML 0.051600002215268 BENYLIN DM FOR CHILDREN 1.5 MG/ML ORAL SYRUP ORL SYR MCL ML 0.052200001944746 BENYLIN DM-D FOR CHILDREN ORAL SYRUP ORL SYR MCL ML 0.052200001944673 BENYLIN DM-D-E ORAL SYRUP ORL SYR MCL ML 0.051600001944762 BENYLIN DM-E ORAL SYRUP ORL SYR MCL ML 0.051600002265427 BENYLIN E EXTRA STR W/ MENTHACTIN 40/3MG/ML SYR ORL SYR MCL ML 0.038300001925199 BENZAC W10 10% TOPICAL WASH TOP WAS GAL G 0.455600002162121 BENZAGEL 5 5% WASH TOP WAS NVC ML 0.060700002225271 BENZAMYCIN TOPICAL GEL TOP GEL VCL G 1.279200002496976 BEOVU 6 MG/0.05 ML INJECTION SYRINGE INJ NDL NOV SYR 1418.000000002456532 BEPREVE 1.5% OPHTHALMIC SOLUTION OPH SOL BSH ML 6.154000002336847 BESIVANCE 0.6% OPHTHALMIC SOLUTION OPH SOL BSH ML 2.8160



DIN/ PIN/ NPN Product Description Route Form MFR Unit of Issue Base Price00002473909 BESPONSA 0.9 MG/VIAL INJECTION INJ DEFAUL PFI VIAL 14405.850000000716634 BETADERM 0.1% SCALP LOTION SCP LOT TAR ML 0.085200000158348 BETADINE 10% TOPICAL SOLUTION TOP SOL PUR ML 0.029300000158291 BETADINE MOUTHWASH/GARGLE ORL MWH PUR ML 0.035000000637661 BETAGAN 0.5% OPH SOLUTION OPH SOL ALL ML 3.551000002466457 BETAHISTINE 24 MG TABLET ORL TAB SNS TAB 0.498300002237835 BETAJECT INJECTION INJ DEFAUL SDZ ML 10.483000002449773 BETEFLAM 2.25 MG TOPICAL PATCH TOP PTH CIP PTH 3.233800002417030 BEXSERO 0.5 ML INJECTION SYRINGE INJ NDL NOV SYR 107.150000002359685 BIACNA 1.2%/0.025% TOPICAL GEL TOP GEL VCL G 1.114000002325985 BICALUTAMIDE 50 MG TABLET ORL TAB AHI TAB 4.057300002382423 BICALUTAMIDE 50 MG TABLET ORL TAB SIV TAB 4.057300002291924 BICILLIN L-A 1,200,000 IU/2 ML INJ SYR INJ NDL PFI SYR 48.215000000297763 BICNU 100 MG/VIAL INJECTION INJ DEFAUL BMS VIAL 120.040000002478579 BIKTARVY TABLET ORL TAB GIL TAB 39.222700002230897 BILTRICIDE 600 MG TABLET ORL TAB BAI TAB 6.290000080026265 BIO K 20 POTASSIUM 20 MEQ TABLET ORL TAB BMD TAB 0.199500002392143 BIO-AMLODIPINE 10 MG TABLET ORL TAB BMD TAB 0.199300002392127 BIO-AMLODIPINE 2.5 MG TABLET ORL TAB BMD TAB 0.076700002392135 BIO-AMLODIPINE 5 MG TABLET ORL TAB BMD TAB 0.134300002392488 BIO-ANASTROZOLE 1 MG TABLET ORL TAB BMD TAB 0.952300002392186 BIO-ATENOLOL 100 MG TABLET ORL TAB BMD TAB 0.182100002392194 BIO-ATENOLOL 25 MG TABLET ORL TAB BMD TAB 0.067600002392178 BIO-ATENOLOL 50 MG TABLET ORL TAB BMD TAB 0.110700080047876 BIOCELL SALTS ORAL LIQUID ORL LIQ AEI ML 0.433300002444887 BIO-CIPROFLOXACIN 500 MG TABLET ORL TAB BMD TAB 0.502500002448475 BIO-CITALOPRAM 10 MG TABLET ORL TAB BMD TAB 0.143200002448491 BIO-CITALOPRAM 20 MG TABLET ORL TAB BMD TAB 0.239700002448513 BIO-CITALOPRAM 40 MG TABLET ORL TAB BMD TAB 0.239700000621366 BIODERM TOPICAL OINTMENT TOP ONT ODN G 0.360000002445034 BIO-DOMPERIDONE 10 MG TABLET ORL TAB BMD TAB 0.042800002425211 BIO-EZETIMIBE 10 MG TABLET ORL TAB BMD TAB 0.326000002448424 BIO-FLUOXETINE 10 MG CAPSULE ORL CAP BMD CAP 0.340400002247371 BIO-FUROSEMIDE 20 MG TABLET ORL TAB BMD TAB 0.037300002247372 BIO-FUROSEMIDE 40 MG TABLET ORL TAB BMD TAB 0.055800002450143 BIO-GABAPENTIN 100 MG CAPSULE ORL CAP BMD CAP 0.074900002450151 BIO-GABAPENTIN 300 MG CAPSULE ORL CAP BMD CAP 0.182100002450178 BIO-GABAPENTIN 400 MG CAPSULE ORL CAP BMD CAP 0.217100002450186 BIO-GABAPENTIN 600 MG TABLET ORL TAB BMD TAB 0.325600080012472 BIOGAIA CHEWABLE TABLET ORL CTB FEI TAB 0.7133



DIN/ PIN/ NPN Product Description Route Form MFR Unit of Issue Base Price00080012473 BIOGAIA DROPS ORL DPS FEI ML 4.280000080062995 BIOGAIA ORAL DROPS ORL SUS FEI ML 4.680000002247170 BIO-HYDROCHLOROTHIAZIDE 25 MG TABLET ORL TAB PMS TAB 0.015700002247171 BIO-HYDROCHLOROTHIAZIDE 50 MG TABLET ORL TAB PMS TAB 0.021700002446154 BIO-IRBESARTAN 150 MG TABLET ORL TAB BMD TAB 0.302500002446162 BIO-IRBESARTAN 300 MG TABLET ORL TAB BMD TAB 0.302500002446146 BIO-IRBESARTAN 75 MG TABLET ORL TAB BMD TAB 0.302500080015104 BIO-K EXTRA STRENGTH PROBIOTIC CAPSULE ORL CAP BKP CAP 1.609300000989995 BIO-K PLUS RICE PROBIOTIC DRINK ORL LIQ BKP G 0.031300002450348 BIO-LEVETIRACETAM 250 MG TABLET ORL TAB BMD TAB 0.321000002450356 BIO-LEVETIRACETAM 500 MG TABLET ORL TAB BMD TAB 0.391100002450364 BIO-LEVETIRACETAM 750 MG TABLET ORL TAB BMD TAB 0.541600080006533 BIOMEDIC MULTIVITAMIN ORL CAP VTH CAP 0.060700002216051 BION TEARS OPH SOLUTION OPH SOL ALC ML 0.960400080003128 BIONUTRITION FORMULA 3 CAPSULE ORL CAP BNI CAP 1.166600002449927 BIO-OMEPRAZOLE 20 MG DELAYED-RELEASE TABLET ORL CAP/SRT BMD TAB 0.411700002445867 BIO-PANTOPRAZOLE 40 MG ENTERIC-COATED TABLET ORL ECT BMD TAB 0.201600002444909 BIO-PAROXETINE 10 MG TABLET ORL TAB BMD TAB 0.304600002444917 BIO-PAROXETINE 20 MG TABLET ORL TAB BMD TAB 0.325000002444925 BIO-PAROXETINE 30 MG TABLET ORL TAB BMD TAB 0.345300002446251 BIO-PRAVASTATIN 10 MG TABLET ORL TAB BMD TAB 0.291600002446278 BIO-PRAVASTATIN 20 MG TABLET ORL TAB BMD TAB 0.344000002446286 BIO-PRAVASTATIN 40 MG TABLET ORL TAB BMD TAB 0.414300002445069 BIO-SERTRALINE 100 MG CAPSULE ORL CAP BMD CAP 0.420000002445042 BIO-SERTRALINE 25 MG CAPSULE ORL CAP BMD CAP 0.200400002445050 BIO-SERTRALINE 50 MG CAPSULE ORL CAP BMD CAP 0.400000080023605 BIOSIL CAPSULE ORL CAP PRN CAP 0.400000000999783 BIOTENE DRY MOUTH TOOTHPASTE ORL GEL GSK G 0.072000000999776 BIOTENE ORAL BALANCE GEL ORL GEL GSK G 0.171500000999782 BIOTENE ORAL RINSE ORL MWH GSK ML 0.015300000999777 BIOTENE SPRAY ORL SPR GSK ML 0.163700000437522 BIOTIN 250 MCG TABLET ORL TAB JAM TAB 0.056700002326302 BI-PEGLYTE KIT ORL ECT/PWR PPH KIT 22.000000002458853 BISACODYL 10 MG RECTAL SUPPOSITORY RT SUP CEL SUP 0.468000002458845 BISACODYL 5 MG RECTAL SUPPOSITORY RT SUP CEL SUP 0.426700002273411 BISACODYL-ODAN 5 MG ENTERIC-COATED TABLET ORL ECT ODN TAB 0.069000002265982 BLEOMYCIN 15 UNIT/VIAL INJECTION INJ DEFAUL FKC VIAL 419.400000002131692 BLEOMYCIN SULFATE 15 UNIT/VIAL INJECTION INJ DEFAUL PFI VIAL 421.380000002454130 BLEXTEN 20 MG TABLET ORL TAB TRI TAB 0.785300000999809 BLINK CONTACTS LUBRICATING EYE DROP OPH DPS AMO ML 0.3687



DIN/ PIN/ NPN Product Description Route Form MFR Unit of Issue Base Price00080063321 BLOOD PRESSURE FORMULATION COMBO 60 MG CAPSULE ORL CAP BLP CAP 0.336500080053068 BLOOD PRESSURE FORMULATION COMBO CAPSULE ORL CAP BLP CAP 0.348300099400765 BLOOD PRESSURE MONITOR DEFAUL DEFAUL XXX MIS 101.900000080038108 BONESURE CAPSULE ORL CAP BPC CAP 0.299400000999880 BOOST JUST PROTEIN ORAL POWDER ORL PWR NHN G 0.060100002247600 BOOSTRIX INJECTION SYRINGE INJ DEFAUL GSK SYR 30.040000002423405 BORTEZOMIB FOR INJECTION 3.5 MG/VIAL INJECTION INJ DEFAUL TEV VIAL 1402.420000002253992 BOSTON SIMPLUS MULTI-ACTION SOLUTION DEFAUL SOL BSH ML 0.095100002419149 BOSULIF 100 MG TABLET ORL TAB PFI TAB 38.978600002419157 BOSULIF 500 MG TABLET ORL TAB PFI TAB 152.240400002243721 BOTOX (ONABOTULINUMTOXINA) COSMETIC 100 U/VIAL INJ INJ DEFAUL ALL VIAL 357.000000080026680 BOULARDIIMAX CAPSULE ORL CAP RLC CAP 0.483000002268140 BRAVELLE 75 UNIT/VIAL POWDER FOR INJECTION INJ DEFAUL FEI VIAL 74.000000099401153 BREAST PUMP, ELECTRIC DEFAUL DEFAUL XXX MIS 275.000000099400317 BREAST PUMP, MANUAL DEFAUL DEFAUL XXX MIS 67.250000002187086 BREVICON 0.5/35 (21 DAY) TABLET ORL TAB PFI TAB 0.683300002187094 BREVICON 0.5/35 (28 DAY) TABLET ORL TB PFI TAB 0.512500002189054 BREVICON 1/35 (21 DAY) TABLET ORL TAB PFI TAB 0.683300002189062 BREVICON 1/35 (28 DAY) TABLET ORL TB PFI TAB 0.512500002455005 BRILINTA 60 MG TABLET ORL TAB AZC TAB 1.511000002301334 BRIMONIDINE P 0.15% OPHTHALMIC SOLUTION OPH SOL AAP ML 2.190000002484013 BRINEURA 30 MG/ML INJECTION INJ DEFAUL BMI ML 3020.000000002452987 BRIVLERA 10 MG/ML ORAL SOLUTION ORL SOL UCB ML 0.432000002220539 BROMAZEPAM 6 MG TABLET ORL TAB PDL TAB 0.113400000522791 BRONCHOPHAN FORTE DM ORAL SYRUP ORL SYR ATL ML 0.030000000512990 BSS BALANCED SALT OPH SOLUTION OPH SOL ALC ML 0.438700000729655 BUCKLEY'S DM ORAL LIQUID ORL LIQ BUA ML 0.048900080022907 BUGS BUNNY AND FRIENDS COMPLETE MULTI VIT CHEW TAB ORL CTB BIC TAB 0.086900002331616 BUPROPION SR 100 MG SUSTAINED-RELEASE TABLET ORL SRT PDL TAB 0.266700000728284 BURINEX 1 MG TABLET ORL TAB KTI TAB 0.790700000728276 BURINEX 5 MG TABLET ORL TAB KTI TAB 3.018300002223163 BUSPIRONE 10 MG TABLET ORL TAB PDL TAB 0.351700002242504 BUTORPHANOL 10 MG/ML NASAL SPRAY NAS SPR AAP ML 24.472000002341212 BUTRANS 10 (10 MCG/HR) TRANSDERMAL PATCH TRD PTH PUR PTH 27.090000002450771 BUTRANS 15 (15 MCG/HR) TRANSDERMAL PATCH TRD PTH PUR PTH 38.150000002341220 BUTRANS 20 (20 MCG/HR) TRANSDERMAL PATCH TRD PTH PUR PTH 49.230000002341174 BUTRANS 5 (5 MCG/HR) TRANSDERMAL PATCH TRD PTH PUR PTH 14.750000002448610 BYDUREON 2 MG/DOSE INJECTION PEN INJ DEFAUL AZC SYR 50.672500002361817 BYETTA 10 MCG/DOSE (2.4 ML) INJECTION SYRINGE INJ NDL AZC SYR 143.670000002361809 BYETTA 5 MCG/DOSE (1.2 ML) INJECTION SYRINGE INJ NDL AZC SYR 143.6700



DIN/ PIN/ NPN Product Description Route Form MFR Unit of Issue Base Price00002399016 BYSTOLIC 10 MG TABLET ORL TAB FLC TAB 1.410700002398990 BYSTOLIC 2.5 MG TABLET ORL TAB FLC TAB 1.410700002399024 BYSTOLIC 20 MG TABLET ORL TAB FLC TAB 1.410700002399008 BYSTOLIC 5 MG TABLET ORL TAB FLC TAB 1.410700002497220 CABENUVA 400 MG/600 MG (2 ML) INJECTION KIT INJ VIAL/VIA VIV KIT 1209.380000002497247 CABENUVA 600 MG/900 MG (3 ML) INJECTION KIT INJ VIAL/VIA VIV KIT 2418.750000002480824 CABOMETYX 20 MG TABLET ORL TAB ISP TAB 293.333300002480832 CABOMETYX 40 MG TABLET ORL TAB ISP TAB 293.333300002480840 CABOMETYX 60 MG TABLET ORL TAB ISP TAB 293.333300002273284 CADUET 10 MG/10 MG TABLET ORL TAB UJC TAB 2.523600002273292 CADUET 10 MG/20 MG TABLET ORL TAB UJC TAB 3.146100002273306 CADUET 10 MG/40 MG TABLET ORL TAB UJC TAB 3.296000002273314 CADUET 10 MG/80 MG TABLET ORL TAB UJC TAB 3.296000002273233 CADUET 5 MG/10 MG TABLET ORL TAB UJC TAB 2.390200002273241 CADUET 5 MG/20 MG TABLET ORL TAB UJC TAB 2.818700002273268 CADUET 5 MG/40 MG TABLET ORL TAB UJC TAB 2.979300002273276 CADUET 5 MG/80 MG TABLET ORL TAB UJC TAB 2.979300002238389 CAELYX 2 MG/ML PEGYLATED LIPOSOME INJECTION INJ DEFAUL JAI ML 77.073000002241460 CAL MAG 2:1 WITH D TABLET ORL TAB WNP TAB 0.053600080000159 CALCIA 500 MG/400 IU TABLET ORL TAB MDX TAB 0.149800002495899 CALCITRIOL 0.25 MCG CAPSULE ORL CAP STR CAP 0.468200002495902 CALCITRIOL 0.5 MCG CAPSULE ORL CAP STR CAP 0.744600000730602 CALCIUM & MAGNESIUM WITH VITAMIN D CAPSULE ORL CAP SIS CAP 0.244200002240973 CALCIUM (CARBONATE) W/ VITAMIN D 500 MG/125 U TAB ORL TAB WNP TAB 0.075000002240977 CALCIUM 500 MG TABLET ORL TAB WNP TAB 0.044900080003658 CALCIUM 500 MG TABLET ORL TAB WNP TAB 0.025700002240240 CALCIUM 500 MG TABLET ORL TAB CEL TAB 0.085000002230645 CALCIUM 500 MG WITH VITAMIN D TABLET ORL TAB WAM TAB 0.079200080000248 CALCIUM 650 MG TABLET ORL TAB JAM TAB 0.064600080009369 CALCIUM 650 MG TABLET ORL TAB PMT TAB 0.034200080031245 CALCIUM 650 MG TABLET ORL TAB WNP TAB 0.023800080007105 CALCIUM 650 MG WITH VITAMIN D 400 IU CAPLET ORL TAB JMS TAB 0.064600002040875 CALCIUM AND MAGNESIUM CAPLET ORL TAB JAM TAB 0.038800002245170 CALCIUM AND MAGNESIUM CITRATE WITH VITAMIN D TAB ORL TAB WNP TAB 0.048800002244861 CALCIUM AND MAGNESIUM WITH VITAMIN D TAB ORL TAB PMT TAB 0.034500002240367 CALCIUM AND MAGNESIUM WITH VITAMIN D TABLET ORL TAB WAM TAB 0.079200002243418 CALCIUM BONE SOLUTION ORL LIQ ULT ML 0.034300000730599 CALCIUM CARBONATE & VITAMIN D3 500 MG/125 U TABLET ORL TAB PMT TAB 0.034500001922238 CALCIUM CARBONATE 500 MG CHEWABLE TABLET ORL CTB WAM TAB 0.098800080062015 CALCIUM CARBONATE 500 MG TABLET ORL TAB SNS TAB 0.0216



DIN/ PIN/ NPN Product Description Route Form MFR Unit of Issue Base Price00080003855 CALCIUM CITRATE 300 MG TABLET ORL TAB WNP TAB 0.064200002243766 CALCIUM CITRATE 300 MG TABLET ORL TAB PMT TAB 0.079100002158728 CALCIUM CITRATE 350 MG TABLET ORL TAB SWS TAB 0.094500080003662 CALCIUM CITRATE W/ VITAMIN D 300 MG/200 IU TABLET ORL TAB WNP TAB 0.066900002237590 CALCIUM CITRATE WITH VITAMIN D TABLET ORL TAB JAM TAB 0.074400080002896 CALCIUM FACTOR+ 350 MG TABLET ORL TAB NFN TAB 0.060000002141019 CALCIUM GLUCONATE 94 MG/ML INJECTION INJ DEFAUL FKC ML 1.596000080025345 CALCIUM MAGNESIUM WITH VITAMIN D ORL TAB WNP TAB 0.032100080007103 CALCIUM MAGNESIUM WITH VITAMIN D CAPLET ORL TAB JMS TAB 0.038800002040905 CALCIUM MAGNESIUM WITH VITAMIN D TABLET ORL TAB JAM TAB 0.068500080007265 CALCIUM SOFT CHEWS WITH VITAMIN D ORL CAP JAM CAP 0.196500080017117 CALCIUM WITH VITAMIN D LIQUID GREEN APPLIE ORL LIQ WAM ML 0.036100001906828 CAL-MAG WITH ZINC & VITAMIN D CAPLET ORL TAB SWS TAB 0.090200080027151 CALMOSEPTINE OINTMENT TOP ONT CAL G 0.061900002198630 CALMYLIN ACE 2 MG/ML SYRUP ORL SYR RPH ML 0.096000000535230 CALMYLIN WITH CODEINE COUGH ORAL LIQUID ORL LIQ RPH ML 0.051500002172917 CALMYLIN WITH CODEINE ORAL SYRUP ORL SYR ROG ML 0.054900002491788 CALQUENCE 100 MG CAPSULE ORL CAP AZC CAP 135.975000080003751 CALTRATE 600 TABLET ORL TAB PDH TAB 0.173800080023065 CALTRATE SELECT 600 MG/400 IU TABLET ORL TAB PDH TAB 0.208600080033741 CALTRATE WITH VITAMIN D 600 MG/800 IU TABLET ORL TAB PDH TAB 0.173800080012593 CALTRATE WITH VITAMIN D SOFT CHEWS ORL CTB WAY TAB 0.192200002381680 CAMBIA 50 MG ORAL POWDER PACKET ORL PWDPKT TRI PCKT 10.460000002377942 CANDESARTAN 16 MG TABLET ORL TAB PDL TAB 0.228100002422069 CANDESARTAN 32 MG TABLET ORL TAB PDL TAB 0.285000002388901 CANDESARTAN 4 MG TABLET ORL TAB SNS TAB 0.340000002377934 CANDESARTAN 8 MG TABLET ORL TAB PDL TAB 0.228100002379260 CANDESARTAN CILEXETIL 4 MG TABLET ORL TAB AHI TAB 0.340000002392275 CANDESARTAN-HCTZ 16 MG/12.5 MG TABLET ORL TAB PDL TAB 0.215600080038188 CANDIBACTIN BR TABLET ORL TAB MTG TAB 0.303300080050373 CANDIBACTIN-AR CAPSULE ORL CAP MTG CAP 0.455000002311690 CANESORAL 150 MG CAPSULE ORL CAP BIC CAP 15.420000002311739 CANESORAL COMBI-PAK KIT ORL/VAG CAP/CRM BIC KIT 17.630000002311720 CANESTEN 1% EXTERNAL CREAM TOP CRM BIC G 13.310000002150867 CANESTEN 1% TOPICAL CREAM TOP CRM BAI G 0.408000080023975 CANTHARONE 0.7% TOPICAL SOLUTION TOP SOL DLX ML 10.660000000772011 CANTHARONE PLUS TOPICAL SOLUTION TOP SOL DLX ML 11.993300002157101 CAPSAICIN 0.025% TOPICAL CREAM TOP CRM VCL G 0.191700002157128 CAPSAICIN 0.075% TOPICAL CREAM TOP CRM VCL G 0.232500002060043 CARBACHOL 2 MG TABLET ORL TAB BNQ TAB 0.5900



DIN/ PIN/ NPN Product Description Route Form MFR Unit of Issue Base Price00002413590 CARBAMAZEPINE CR 200 MG SUSTAINED-RELEASE TABLET ORL SRT PDL TAB 0.093000002413604 CARBAMAZEPINE CR 400 MG SUSTAINED-RELEASE TABLET ORL SRT PDL TAB 0.185900002241999 CARBOCAINE 10 MG/ML INJECTION INJ DEFAUL PFI ML 0.722000002242001 CARBOCAINE 20 MG/ML INJECTION INJ DEFAUL PFI ML 1.444500002245511 CARBOCAL D 400 TABLET ORL TAB SDZ TAB 0.120000002011239 CARBOLITH 600 MG CAPSULE ORL CAP VCL CAP 0.208000002126680 CARBOPLATIN 10 MG/ML INJECTION INJ DEFAUL PFI ML 21.224000002397447 CARIPUL 0.5 MG/VIAL INJECTION INJ DEFAUL JAI VIAL 17.780000002397455 CARIPUL 1.5 MG/VIAL INJECTION INJ DEFAUL JAI VIAL 35.650000002324520 CARVEDILOL 12.5 MG TABLET ORL TAB PDL TAB 0.635000002324539 CARVEDILOL 25 MG TABLET ORL TAB PDL TAB 0.635000002324504 CARVEDILOL 3.125 MG TABLET ORL TAB PDL TAB 0.635000002324512 CARVEDILOL 6.25 MG TABLET ORL TAB PDL TAB 0.635000002184478 CASODEX 50 MG TABLET ORL TAB AZC TAB 7.050000002370840 CATHEJELL 2% TOPICAL JELLY TOP JEL PFM ML 8.000000002245859 CATHFLO 1 MG/ML POWDER FOR SOLUTION INJ DEFAUL HLR ML 34.063000002215756 CAVERJECT 20 MCG INJECTION INJ DEFAUL PFI VIAL 32.298000002458799 CCP-ANASTROZOLE 1 MG TABLET ORL TAB CEL TAB 1.272900002459884 CCP-LETROZOLE 2.5 MG TABLET ORL TAB CEL TAB 1.378000000465208 CECLOR 25 MG/ML ORAL SUSPENSION ORL SUS PPH ML 0.118300000465216 CECLOR 50 MG/ML ORAL SUSPENSION ORL SUS PPH ML 0.216600000360430 CEENU 10 MG CAPSULE ORL CAP BMS CAP 7.890000000360414 CEENU 100 MG CAPSULE ORL CAP BMS CAP 22.455000000360422 CEENU 40 MG CAPSULE ORL CAP BMS CAP 13.602500002237138 CEFAZOLIN 1 G/VIAL USP INJECTION INJ DEFAUL FKC VIAL 69.000000002237137 CEFAZOLIN 500 MG/VIAL USP INJECTION INJ DEFAUL FKC VIAL 2.500000002437112 CEFAZOLIN FOR INJECTION 1 G/VIAL INJECTION INJ DEFAUL STM VIAL 3.230000002437104 CEFAZOLIN FOR INJECTION 500 MG/VIAL INJECTION INJ DEFAUL STM VIAL 2.500000002319039 CEFEPIME 2G/VIAL INJECTION INJ DEFAUL APX VIAL 30.196000002240773 CEFOXITIN 10 G/VIAL USP INJECTION INJ DEFAUL TEV VIAL 105.950000002332027 CEFPROZIL 50 MG/ML ORAL SUSPENSION ORL SUS RAN ML 0.236600000886971 CEFTAZIDIME 1 G/VIAL INJECTION INJ DEFAUL FKC VIAL 27.590000002437848 CEFTAZIDIME 1 G/VIAL INJECTION INJ DEFAUL STM VIAL 22.927000000886955 CEFTAZIDIME 2 G/VIAL INJECTION INJ DEFAUL FKC VIAL 54.270000002437856 CEFTAZIDIME 2 G/VIAL INJECTION INJ DEFAUL STM VIAL 45.077000002439522 CEFTAZIDIME 3 G/VIAL INJECTION INJ DEFAUL STM VIAL 67.500000000886963 CEFTAZIDIME 6 G/VIAL INJECTION INJ DEFAUL FKC VIAL 162.940000002437864 CEFTAZIDIME 6 G/VIAL INJECTION INJ DEFAUL STM VIAL 135.300000002212307 CEFTIN 125 MG/5ML ORAL SUSPENSION ORL SUS GSK ML 0.179400002409968 CEFTRIAXONE 100 G/SMARTPAK BULK PACKAGE INJECTION INJ DEFAUL FKC G 21.4200



DIN/ PIN/ NPN Product Description Route Form MFR Unit of Issue Base Price00002292262 CEFTRIAXONE FOR INJECTION BP 0.25G/VIAL INJECTION INJ DEFAUL SDZ VIAL 7.525000002287668 CEFTRIAXONE SODIUM FOR INJECTION 10 G/VIAL INJ INJ DEFAUL TEV VIAL 214.200000002250292 CEFTRIAXONE SODIUM FOR INJECTION BP 1 G/VIAL INJ INJ DEFAUL HSP VIAL 36.310000002241639 CEFUROXIME 1.5 G/VIAL INJECTION USP INJ DEFAUL FKC VIAL 39.790000002422301 CEFUROXIME 1.5 G/VIAL INJECTION USP INJ DEFAUL STM VIAL 39.790000002422328 CEFUROXIME 7.5 G/VIAL INJECTION USP INJ DEFAUL STM VIAL 149.200000002241640 CEFUROXIME 7.5 G/VIAL INJECTION USP INJ DEFAUL FKC VIAL 149.200000002422298 CEFUROXIME 750 MG/VIAL INJECTION USP INJ DEFAUL STM VIAL 19.890000002241638 CEFUROXIME 750 MG/VIAL INJECTION USP INJ DEFAUL FKC VIAL 19.890000002424371 CELECOXIB 100 MG CAPSULE ORL CAP PDL CAP 0.127900002436299 CELECOXIB 100 MG CAPSULE ORL CAP SNS CAP 0.127900002436302 CELECOXIB 200 MG CAPSULE ORL CAP SNS CAP 0.255800002424398 CELECOXIB 200 MG CAPSULE ORL CAP PDL CAP 0.255800002357844 CELESTODERM-V 0.1% TOPICAL CREAM TOP CRM VCL G 0.091100002357852 CELESTODERM-V 0.1% TOPICAL OINTMENT TOP ONT VCL G 0.091100002357879 CELESTODERM-V/2 0.05% TOPICAL OINTMENT TOP ONT VCL G 0.061100002242145 CELLCEPT 200 MG/ ML ORAL SUSPENSION ORL SUS HLR ML 1.977400002192748 CELLCEPT 250 MG CAPSULE ORL CAP HLR CAP 2.080600002237484 CELLCEPT 500 MG TABLET ORL TAB HLR TAB 4.161200002240347 CELLCEPT I.V. 500 MG/VIAL INJECTION POWDER FOR SOL INJ DEFAUL HLR VIAL 33.902500000870153 CELLUVISC 1% OPH SOLUTION OPH SOL ALL ML 0.821700002299844 CELSENTRI 150 MG TABLET ORL TAB PFI TAB 18.184800002299852 CELSENTRI 300 MG TABLET ORL TAB PFI TAB 18.184800080013657 CENTRUM ADVANTAGE TABLET ORL TAB PDH TAB 0.186300080022930 CENTRUM CARDIO TABLET ORL TAB PDH TAB 0.219400080024482 CENTRUM FOR WOMEN ORL TAB PDH TAB 0.144000080043454 CENTRUM FOR WOMEN 50+ TABLET ORL TAB PDH TAB 0.144000080037227 CENTRUM FORTE TABLET ORL TAB PDH TAB 0.129600080020794 CENTRUM JUNIOR COMPLETE CHEWABLE TABLET ORL CTB PDH TAB 0.123800080043120 CENTRUM MEN 50+ TABLET ORL TAB PDH TAB 0.144000080065869 CENTRUM MULTIGUMMIES WOMEN GUMMY ORL CTB PDH TAB 0.111500080045822 CENTRUM PRENATAL TABLET ORL TAB PDH TAB 0.145600080017298 CENTRUM SELECT CHEWABLE TABLET 50+ ORL CTB PDH TAB 0.216000080037019 CENTRUM SELECT ESSENTIALS 50+ TABLET ORL TAB PDH TAB 0.153200080005153 CENTRUM SELECT TABLET ORL TAB WCH TAB 0.156300080021452 CENTRUM TABLET ORL TAB PDH TAB 0.091900000828866 CEPHALEXIN 500 MG TABLET ORL TAB PDL TAB 0.450000000999039 CERAVE CREAM TOP CRM VCL G 0.084000000999042 CERAVE EYE CREAM TOP CRM XXX G 1.013400002410923 CERAVE TOPICAL LOTION TOP LOT VCL ML 0.1145



DIN/ PIN/ NPN Product Description Route Form MFR Unit of Issue Base Price00002463261 CERDELGA 84 MG CAPSULE ORL CAP SAV CAP 695.000000002230988 CEREBYX 75 MG/ML INJECTION INJ DEFAUL PFI ML 10.100000002230694 CEREZYME 200 U/VIAL INJECTION INJ DEFAUL GZM VIAL 1230.000000002241751 CEREZYME 400 U/VIAL INJECTION INJ DEFAUL GZM VIAL 2460.000000001926683 CERUBIDINE 20 MG/VIAL INJECTION INJ DEFAUL ERF VIAL 97.000000000158356 CERUMENEX 10% OTIC DROPS OT DPS PUR ML 0.574000000221570 CERUMOL OTIC DROPS OT DPS PAL ML 0.536400002342227 CERVARIX 0.5 ML INJECTION INJ DEFAUL GSK ML 198.520000002312263 CESAMET 0.25 MG CAPSULE ORL CAP VCL CAP 1.919600002450526 CETIRIZINE 20 MG TABLET ORL TAB PDL TAB 0.753500002247766 CETROTIDE 0.25 MG/VIAL INJECTION INJ DEFAUL SRO VIAL 90.000000002247767 CETROTIDE 3 MG/VIAL INJECTION INJ DEFAUL SRO VIAL 340.000000002423715 CHARCOAL 260 MG CAPSULE ORL CAP DSE CAP 0.152800002186004 CHASE KOLIK (ALCOHOL FREE) GRIPE WATER ORAL LIQUID ORL LIQ SLL ML 0.030000000496685 CHELATED CHROMIUM 200 MCG TABLET ORL TAB JAM TAB 0.072100080009742 CHEWABLE PEPPERMINT VITAMIN D 1000 IU ORL TAB SWS TAB 0.047900080092611 CHEWABLE VITAMIN C 500 MG TABLET ORL CTB JMS TAB 0.055300002236728 CHILDREN'S ACETAMINOPHEN SUSPENSION 32 MG/ML ORL SUS PRI ML 0.089900002248435 CHILDREN'S ADVIL COLD ORAL SUSPENSION ORL SUS PDH ML 0.061300002354799 CHILDREN'S EUROPROFEN 20 MG/ML ORAL SUSPENSION ORL SUS PPH ML 0.054100002280175 CHILDREN'S IBUPROFEN SUSPENSION 20 MG/ML ORL SUS PRI ML 0.063000080029912 CHILDREN'S LACTEEZE TABLET ORL TAB GEL TAB 0.179900002238626 CHILDREN'S MOTRIN 40 MG/ML SUSPENSION DROPS ORL DPS MCL ML 0.201700002039990 CHILDREN'S TYLENOL COLD DM ORAL SUSPENSION ORL SUS MCL ML 0.057100002229538 CHILDRENS TYLENOL DECONGESTANT LIQUID ORL LIQ MCL ML 0.057100002046040 CHILDREN'S TYLENOL GRAPE 32 MG/ML ORAL SUSPENSION ORL SUS MCL ML 0.057100002247621 CHLORAL HYDRATE-ODAN 100 MG/ML ORAL SYRUP ORL SYR ODN ML 0.067900002462842 CHLORHEXIDINE 0.12% ORAL RINSE ORL MWH EUP ML 0.017100000738972 CHLOR-TRIPOLON 4 MG TABLET ORL TAB BIC TAB 0.211700001970399 CHLOR-TRIPOLON N.D. SUSTAINED-RELEASE TABLET ORL TAB SCH TAB 0.434200080015373 CHONDROCARE TABLET ORL TAB MTG TAB 0.450000002247459 CHORIONIC GONADOTROPIN 10,000 UNIT/VIAL INJECTION INJ DEFAUL FKC VIAL 146.000000080005091 CHROMIUM GTF TABLET ORL TAB WNP TAB 0.041200002248088 CIALIS 10 MG TABLET ORL TAB LIL TAB 12.692500002296888 CIALIS 2.5 MG TABLET ORL TAB LIL TAB 3.881800002248089 CIALIS 20 MG TABLET ORL TAB LIL TAB 13.152500002296896 CIALIS 5 MG TABLET ORL TAB LIL TAB 3.924300002238273 CI-CAL 250 MG TABLET ORL TAB SDZ TAB 0.136800002200864 CILOXAN 0.3% OPHTHALMIC OINTMENT OPH ONT NOV G 3.225700000900005 CINGAL DEFAUL DEV PPH ML 106.2500



DIN/ PIN/ NPN Product Description Route Form MFR Unit of Issue Base Price00080005972 CINNAMON 500 MG CAPSULE ORL CAP VTH CAP 0.060000002456419 CINQAIR 10 MG/ML INJECTION INJ DEFAUL TMP ML 64.000000002155966 CIPRO 500 MG TABLET ORL TAB BAI TAB 2.816600002251787 CIPRO XL 1000 MG EXTENDED-RELEASE TABLET ORL ERT BAI TAB 3.112000002247916 CIPRO XL 500 MG EXTENDED-RELEASE TABLET ORL ERT BAI TAB 3.112000002301903 CIPROFLOXACIN 2 MG/ML INJECTION USP INJ DEFAUL PFI ML 0.179200002304759 CIPROFLOXACIN INTRAVENOUS INFUSION BP 2 MG/ML INJ INJ DEFAUL SDZ ML 0.154000002408813 CISATRACURIUM OMEGA MULTIDOSE 2 MG/ML INJECTION INJ DEFAUL OMG ML 1.845000002126613 CISPLATIN 1 MG/ML INJECTION INJ DEFAUL PFI ML 6.460000002403188 CISPLATIN 1 MG/ML INJECTION INJ DEFAUL TEV ML 6.152400002301849 CITALOPRAM 40 MG TABLET ORL TAB MEL TAB 0.239700002325047 CITALOPRAM-10 10 MG TABLET ORL TAB PDL TAB 0.143200002257513 CITALOPRAM-20 20 MG TABLET ORL TAB PDL TAB 0.133300002257521 CITALOPROM-40 40 MG TABLET ORL TAB PDL TAB 0.239700000519235 CITANEST PLAIN 4% INJECTION INJ DEFAUL DSC ML 0.865800002150158 CITRACAL PLUS D CAPLET ORL TAB SFD TAB 0.125200000701416 CITRAMINS CAPSULE ORL CAP XXX CAP 0.185600080007797 CITRAMINS II CAPSULE ORL CAP XXX CAP 0.185600000262609 CITRO MAG 50 MG ORAL LIQUID ORL LIQ ROG ML 0.015600002324482 CLARITHROMYCIN 250 MG TABLET ORL TAB PDL TAB 0.412200002324490 CLARITHROMYCIN 500 MG TABLET ORL TAB PDL TAB 1.629200002237734 CLARITIN 10 MG RAPID DISSOLVE TONGUE TABLET ORL DISPTAB BIC TAB 0.670000000782696 CLARITIN 10 MG TABLET ORL TAB BIC TAB 0.670000001945157 CLARITIN EXTRA SUSTAINED-RELEASE TABLET ORL SRT BIC TAB 0.670000000442968 CLEARASIL BP PLUS 5% TOPICAL LOTION TOP LOT RBC ML 0.170700002324989 CLEARLAX ORAL POWDER ORL PWR PRI G 0.023100002436736 CLEO-35 2 MG/0.035 MG TABLET ORL TAB ALH TAB 1.285700002408511 CLINDAMYCIN IV INFUSION 12 MG/ML MINIBAG INJECTION INJ DEFAUL SDZ ML 0.372400002408538 CLINDAMYCIN IV INFUSION 18 MG/ML MINIBAG INJECTION INJ DEFAUL SDZ ML 0.518600002483769 CLINDAMYCIN PHOSPHATE (BASE) 1% TOPICAL SOLUTION TOP SOL TGT ML 0.261300002248525 CLINDAMYCINE-150 150 MG TABLET ORL TAB PDL TAB 0.221700002248526 CLINDAMYCINE-300 300 MG CAPSULE ORL CAP PDL CAP 0.443400002243659 CLINDA-T 1% (BASE) TOPICAL SOLUTION TOP SOL VCL ML 0.238000080007070 CLINIDERM GENTLE SPF 45 LOTION TOP LOT SAH ML 0.241500080012416 CLINPRO 5000 TOOTHPASTE ORL TPT MMH G 0.081900002256398 CLOBEX 0.05% TOPICAL LOTION TOP LOT GAL ML 0.876300002256371 CLOBEX 0.05% TOPICAL SHAMPOO TOP SHP GAL ML 1.275000002299739 CLOBEX 0.05% TOPICAL SPRAY TOP SPR GAL ML 2.593200002394820 CLOPIDOGREL 75 MG TABLET ORL TAB PDL TAB 0.263100000812382 CLOTRIMADERM 1% TOPICAL CREAM TOP CRM TAR G 0.3065



DIN/ PIN/ NPN Product Description Route Form MFR Unit of Issue Base Price00002445131 CLOTRIMADERM-FLUCONAZOLE COMBI-PAK KIT ORL/VAG CAP/CRM TAR KIT 14.990000002229380 CLOTRIMAZOLE 1% TOPICAL CREAM USP TOP CRM TAR G 0.210000002400081 CLOXACILLIN FOR INJECTION 10 G/VIAL INJECTION INJ DEFAUL STM VIAL 79.700000002490676 CLOZARIL 200 MG TABLET ORL TAB HLS TAB 7.556000002490668 CLOZARIL 50

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