Service Area|Px Code|Generic Name|CPT(R)/HCPCS Code|NDC|Unit Price|Override Bill Code|Override Price
WS SERVICE AREA|25010046|sincalide 5 mcg solution for injection|J2805|00270055615|706.84||706.84
WS SERVICE AREA|25010076|sipuleucel-T in lactated ringers 50 million cell/250 mL IV suspension|Q2043|30237890006|127,850.00||
WS SERVICE AREA|25010065|famotidine 10 mg/mL intravenous solution||63323073820|18.70||18.70
WS SERVICE AREA|25010065|EPINEPHrine 0.3 mg/0.3 mL injection, auto-injector||49502010202|1,036.80||1,036.80
WS SERVICE AREA|25010065|EPINEPHrine 0.3 mg/0.3 mL injection, auto-injector||49502050001|2,103.36||2,103.36
WS SERVICE AREA|25010065|fluorescein 500 mg/5 mL (10 %) intravenous solution||00065009265|408.57||408.57
WS SERVICE AREA|25010065|fluorescein 0.25 %-proparacaine 0.5 % eye drops||54799050721|4.60||4.60
WS SERVICE AREA|25010065|fluconazole 100 mg/50 mL in sodium chloride(iso) intravenous piggyback|J1450|36000026110|93.63||93.63
WS SERVICE AREA|25010065|flurbiprofen 0.03 % eye drops||69292072225|5.48||5.48
WS SERVICE AREA|25010065|flurbiprofen 0.03 % eye drops||24208031425|66.44||66.44
WS SERVICE AREA|25010065|flutamide 125 mg capsule||69097091591|62.90||62.90
WS SERVICE AREA|25010065|indocyanine green 25 mg solution for injection||25431042402|53.88||53.88
WS SERVICE AREA|25010065|indocyanine green 25 mg solution for injection||17478070125|69.50||69.50
WS SERVICE AREA|25010065|indocyanine green 25 mg solution for injection||17238042406|50.31||50.31
WS SERVICE AREA|25010065|indocyanine green 25 mg solution for injection||17238042425|50.31||50.31
WS SERVICE AREA|25010065|indomethacin 1 mg intravenous solution||63323065903|3,656.03||3,656.03
WS SERVICE AREA|25010065|indomethacin 1 mg intravenous solution||63323065909|2,737.15||2,737.15
WS SERVICE AREA|25010065|labetaloL 5 mg/mL intravenous solution||00409226720|30.16||30.16
WS SERVICE AREA|25010065|labetaloL 5 mg/mL intravenous solution||00409226725|18.70||
WS SERVICE AREA|25010065|labetaloL 5 mg/mL intravenous solution||00143962201|59.31||59.31
WS SERVICE AREA|25010065|lidocaine (PF) 10 mg/mL (1 %) injection solution||00409471332|18.70||18.70
WS SERVICE AREA|25010065|lidocaine (PF) 10 mg/mL (1 %) injection solution||63323049257|28.72||28.72
WS SERVICE AREA|25010065|lidocaine (PF) 10 mg/mL (1 %) injection solution||55150015974|22.62||22.62
WS SERVICE AREA|25010065|lidocaine (PF) 10 mg/mL (1 %) injection solution||55150016102|26.06||26.06
WS SERVICE AREA|25010065|lidocaine (PF) 10 mg/mL (1 %) injection solution||00409471342|18.70||18.70
WS SERVICE AREA|25010065|lidocaine (PF) 20 mg/mL (2 %) injection solution||00409206605|20.84||20.84
WS SERVICE AREA|25010065|lidocaine (PF) 20 mg/mL (2 %) injection solution||63323049697|51.09||51.09
WS SERVICE AREA|25010065|lidocaine (PF) 20 mg/mL (2 %) injection solution||63323049507|26.44||26.44
WS SERVICE AREA|25010065|lidocaine 1 %-epinephrine 1:100,000 injection solution||00409317801|18.70||18.70
WS SERVICE AREA|25010065|lidocaine 1 %-epinephrine 1:100,000 injection solution||00409317802|43.21||43.21
WS SERVICE AREA|25010065|lidocaine 1 %-epinephrine 1:100,000 injection solution||00409317803|18.70||18.70
WS SERVICE AREA|25010065|lidocaine 1 %-epinephrine 1:100,000 injection solution||63323048257|18.70||18.70
WS SERVICE AREA|25010065|lidocaine 1 %-epinephrine 1:100,000 injection solution||63323048217|18.70||18.70
WS SERVICE AREA|25010065|lidocaine 1 %-epinephrine 1:100,000 injection solution||63323048227|18.70||18.70
WS SERVICE AREA|25010065|lidocaine 1 %-epinephrine 1:100,000 injection solution||63323048203|18.70||18.70
WS SERVICE AREA|25010065|lidocaine 20 mg/mL (2 %)-epinephrine 1:100,000 injection solution||00409318201|18.70||18.70
WS SERVICE AREA|25010065|lidocaine 20 mg/mL (2 %)-epinephrine 1:100,000 injection solution||63323048327|18.70||18.70
WS SERVICE AREA|25010065|lidocaine 20 mg/mL (2 %)-epinephrine 1:100,000 injection solution||00409318211|18.70||18.70
WS SERVICE AREA|25010065|lidocaine-epinephrine (PF) 2 %-1:200,000 injection solution||63323048921|108.62||108.62
WS SERVICE AREA|25010065|lidocaine-epinephrine (PF) 2 %-1:200,000 injection solution||63323048917|75.66||75.66
WS SERVICE AREA|25010065|lidocaine-epinephrine (PF) 2 %-1:200,000 injection solution||63323048927|133.20||133.20
WS SERVICE AREA|25010065|lidocaine-epinephrine (PF) 2 %-1:200,000 injection solution||63323048902|18.70||18.70
WS SERVICE AREA|25010065|lidocaine-epinephrine (PF) 2 %-1:200,000 injection solution||00409318311|18.70||18.70
WS SERVICE AREA|25010065|lidocaine-prilocaine 2.5 %-2.5 % topical cream||00168035755|62.90||62.90
WS SERVICE AREA|25010065|lidocaine-prilocaine 2.5 %-2.5 % topical cream||00115146845|350.67||350.67
WS SERVICE AREA|25010065|lidocaine-prilocaine 2.5 %-2.5 % topical cream||00115146860|61.18||61.18
WS SERVICE AREA|25010065|lidocaine-prilocaine 2.5 %-2.5 % topical cream||00591207026|67.39||67.39
WS SERVICE AREA|25010065|lidocaine-prilocaine 2.5 %-2.5 % topical cream||00591207072|67.39||67.39
WS SERVICE AREA|25010065|lidocaine-prilocaine 2.5 %-2.5 % topical cream||50383066730|404.32||404.32
WS SERVICE AREA|25010065|mercaptopurine 50 mg tablet||69076091302|23.51||23.51
WS SERVICE AREA|25010065|bupivacaine-epinephrine (PF) 0.25 %-1:200,000 injection solution||00409174630|18.70||18.70
WS SERVICE AREA|25010065|bupivacaine-epinephrine (PF) 0.25 %-1:200,000 injection solution||00409904201|33.98||33.98
WS SERVICE AREA|25010065|bupivacaine-epinephrine (PF) 0.25 %-1:200,000 injection solution||00409174610|32.11||32.11
WS SERVICE AREA|25010065|bupivacaine-epinephrine (PF) 0.25 %-1:200,000 injection solution||63323046817|18.70||18.70
WS SERVICE AREA|25010065|bupivacaine-epinephrine (PF) 0.25 %-1:200,000 injection solution||63323046837|71.17||71.17
WS SERVICE AREA|25010065|bupivacaine-epinephrine (PF) 0.25 %-1:200,000 injection solution||00409904217|26.44||26.44
WS SERVICE AREA|25010065|bupivacaine-epinephrine (PF) 0.25 %-1:200,000 injection solution||00409904210|18.70||18.70
WS SERVICE AREA|25010065|mepivacaine (PF) 20 mg/mL (2 %) injection solution||63323029427|18.70||18.70
WS SERVICE AREA|25010065|bupivacaine (PF) 0.5 % (5 mg/mL) injection solution||00409156010|18.70||18.70
WS SERVICE AREA|25010065|bupivacaine (PF) 0.5 % (5 mg/mL) injection solution||00409156029|18.70||18.70
WS SERVICE AREA|25010065|bupivacaine (PF) 0.5 % (5 mg/mL) injection solution||00409116202|18.70||18.70
WS SERVICE AREA|25010065|bupivacaine (PF) 0.5 % (5 mg/mL) injection solution||63323046637|18.70||18.70
WS SERVICE AREA|25010065|bupivacaine (PF) 0.5 % (5 mg/mL) injection solution||63323046617|19.32||19.32
WS SERVICE AREA|25010065|bupivacaine (PF) 0.5 % (5 mg/mL) injection solution||55150016910|30.50||30.50
WS SERVICE AREA|25010065|bupivacaine (PF) 0.5 % (5 mg/mL) injection solution||55150017030|18.70||18.70
WS SERVICE AREA|25010065|metroNIDAZOLE 0.75 % vaginal gel||00245086070|1,240.66||1,240.66
WS SERVICE AREA|25010065|metroNIDAZOLE 0.75 % vaginal gel||00781707787|1,162.88||1,162.88
WS SERVICE AREA|25010065|metroNIDAZOLE 0.75 % vaginal gel||45802013970|83.06||83.06
WS SERVICE AREA|25010065|neomycin 3.5 mg/g-polymyxin B 10,000 unit/g-dexameth 0.1 % eye oint||24208079535|151.13||151.13
WS SERVICE AREA|25010065|neomycin 3.5 mg/g-polymyxin B 10,000 unit/g-dexameth 0.1 % eye oint||61314063136|334.83||334.83
WS SERVICE AREA|25010065|mivacurium chloride 2 mg/mL injection solution||00074436510|253.17||253.17
WS SERVICE AREA|25010065|lidocaine (PF) 5 mg/mL (0.5 %) injection solution||00409427801|33.04||33.04
WS SERVICE AREA|25010065|lidocaine (PF) 5 mg/mL (0.5 %) injection solution||63323049157|106.76||106.76
WS SERVICE AREA|25010065|bupivacaine-epinephrine (PF) 0.5 %-1:200,000 injection solution||00409174929|18.70||18.70
WS SERVICE AREA|25010065|bupivacaine-epinephrine (PF) 0.5 %-1:200,000 injection solution||00409904501|18.70||18.70
WS SERVICE AREA|25010065|bupivacaine-epinephrine (PF) 0.5 %-1:200,000 injection solution||63323046231|18.70||18.70
WS SERVICE AREA|25010065|bupivacaine-epinephrine (PF) 0.5 %-1:200,000 injection solution||63323046237|18.70||18.70
WS SERVICE AREA|25010065|bupivacaine-epinephrine (PF) 0.5 %-1:200,000 injection solution||00409904517|20.59||20.59
WS SERVICE AREA|25010065|bupivacaine-epinephrine (PF) 0.5 %-1:200,000 injection solution||63323046217|46.09||46.09
WS SERVICE AREA|25010065|bupivacaine-epinephrine (PF) 0.5 %-1:200,000 injection solution||00409904516|18.70||18.70
WS SERVICE AREA|25010065|mvi, adult no.1 with vit K 3,300 unit-150 mcg/10 mL intravenous soln||54643565002|2,963.87||2,963.87
WS SERVICE AREA|25010065|mvi, adult no.1 with vit K 3,300 unit-150 mcg/10 mL intravenous soln||54643564901|85.75||85.75
WS SERVICE AREA|25010065|mupirocin 2 % topical ointment||45802011222|85.55||85.55
WS SERVICE AREA|25010065|neomycin-polymyxin-dexameth 3.5 mg/mL-10,000 unit/mL-0.1% eye drops||24208083060|151.13||151.13
WS SERVICE AREA|25010065|norepinephrine bitartrate 1 mg/mL intravenous solution||00409144304|171.43||171.43
WS SERVICE AREA|25010065|norepinephrine bitartrate 1 mg/mL intravenous solution||00409337504|171.43||171.43
WS SERVICE AREA|25010065|norepinephrine bitartrate 1 mg/mL intravenous solution||36000016210|74.16||74.16
WS SERVICE AREA|25010065|norepinephrine bitartrate 1 mg/mL intravenous solution||00409337525|168.88||168.88
WS SERVICE AREA|25010065|norepinephrine bitartrate 1 mg/mL intravenous solution||67457085200|184.91||184.91
WS SERVICE AREA|25010065|norepinephrine bitartrate 1 mg/mL intravenous solution||00409337514|171.43||171.43
WS SERVICE AREA|25010065|balanced salt solution combination no.2 intraocular irrigation||00065079515|75.45||75.45
WS SERVICE AREA|25010065|balanced salt solution combination no.2 intraocular irrigation||00065079550|232.11||232.11
WS SERVICE AREA|25010065|clindamycin 600 mg/4 mL intravenous solution||47781046369|43.11||43.11
WS SERVICE AREA|25010065|iodine-potassium iodide 5 %-10 % topical solution||10481011108|52.01||52.01
WS SERVICE AREA|25010065|iodine-potassium iodide 5 %-10 % topical solution||51552019405|8.26||8.26
WS SERVICE AREA|25010065|iodine-potassium iodide 5 %-10 % topical solution||51552019404|16.17||16.17
WS SERVICE AREA|25010065|hydroxocobalamin 5 gram intravenous solution||11704037001|5,676.96||5,676.96
WS SERVICE AREA|25010065|pyridostigmine bromide 5 mg/mL injection solution||00781304072|65.07||65.07
WS SERVICE AREA|25010065|racepinephrine 2.25 % solution for nebulization||00487590199|9.51||9.51
WS SERVICE AREA|25010065|racepinephrine 2.25 % solution for nebulization||00487278401|7.61||7.61
WS SERVICE AREA|25010065|silver nitrate applicators 75 %-25 % topical stick||12870000101|4.60||4.60
WS SERVICE AREA|25010065|silver nitrate applicators 75 %-25 % topical stick||12870000102|4.60||4.60
WS SERVICE AREA|25010065|sodium bicarbonate 4 % intravenous solution||00409660902|64.65||64.65
WS SERVICE AREA|25010065|SUFentanil citrate 50 mcg/mL intravenous solution||17478005002|18.70||18.70
WS SERVICE AREA|25010065|sulfacetamide 10 %-prednisolone 0.2 % eye drops,suspension||11980002205|1,162.50||1,162.50
WS SERVICE AREA|25010065|timoloL maleate 0.25 % eye drops||61314022605|114.15||114.15
WS SERVICE AREA|25010065|timoloL maleate 0.5 % eye drops||64980051405|129.37||129.37
WS SERVICE AREA|25010065|timoloL maleate 0.5 % eye drops||61314022705|129.37||129.37
WS SERVICE AREA|25010065|timoloL maleate 0.5 % eye drops||61314022710|246.18||246.18
WS SERVICE AREA|25010065|tobramycin-dexamethasone 0.3 %-0.1 % eye ointment||00065064835|1,736.68||1,736.68
WS SERVICE AREA|25010065|tobramycin 0.3 %-dexamethasone 0.1 % eye drops,suspension||61314064725|27.61||27.61
WS SERVICE AREA|25010065|tobramycin 0.3 %-dexamethasone 0.1 % eye drops,suspension||24208029525|496.63||496.63
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||00517096010|169.29||169.29
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||67457019710|735.37||735.37
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||14789050010|722.51||722.51
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||63323056397|497.28||497.28
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||63323056310|169.46||169.46
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||39822100001|175.39||175.39
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||39822100106|175.39||175.39
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||42192060510|317.74||317.74
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||00013111421|255.46||255.46
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||23155016641|169.29||169.29
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||55150018810|508.38||508.38
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||70860040010|254.19||254.19
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||47781060191|197.25||197.25
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||23155052441|101.25||101.25
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||67850004110|296.56||296.56
WS SERVICE AREA|25010065|isoproterenoL 0.2 mg/mL injection solution||00187433005|14,848.01||
WS SERVICE AREA|25010065|isoproterenoL 0.2 mg/mL injection solution||14789001505|8,338.64||8,338.64
WS SERVICE AREA|25010065|tromethamine 36 mg/mL (0.3 M) intravenous solution||00409159304|1,686.53||1,686.53
WS SERVICE AREA|25010065|iodine strong (Lugols) 5 % oral solution||38779059808|4.60||4.60
WS SERVICE AREA|25010065|iodine strong (Lugols) 5 % oral solution||00395277516|4.60||4.60
WS SERVICE AREA|25010065|bupivacaine 0.25 % (2.5 mg/mL) injection solution||00409116001|18.70||18.70
WS SERVICE AREA|25010065|bupivacaine 0.25 % (2.5 mg/mL) injection solution||63323046557|18.70||18.70
WS SERVICE AREA|25010065|vecuronium bromide 10 mg intravenous solution||00409163249|37.64||37.64
WS SERVICE AREA|25010065|vecuronium bromide 10 mg intravenous solution||67457057100|50.84||
WS SERVICE AREA|25010065|vecuronium bromide 10 mg intravenous solution||67457057110|50.84||50.84
WS SERVICE AREA|25010065|vecuronium bromide 10 mg intravenous solution||00143923401|43.62||43.62
WS SERVICE AREA|25010065|vecuronium bromide 20 mg intravenous solution||00409163401|112.32||112.32
WS SERVICE AREA|25010065|vecuronium bromide 20 mg intravenous solution||47335093240|144.04||144.04
WS SERVICE AREA|25010065|vitamin A palmitate 50,000 unit/mL intramuscular solution||61703041818|122.01||122.01
WS SERVICE AREA|25010065|indigotindisulfonate sodium 8 mg/mL (0.8 %) injection solution||00517037510|61.01||61.01
WS SERVICE AREA|25010065|indigotindisulfonate sodium 8 mg/mL (0.8 %) injection solution||00517037501|1,252.25||1,252.25
WS SERVICE AREA|25010065|indigotindisulfonate sodium 8 mg/mL (0.8 %) injection solution||00517037505|1,252.25||1,252.25
WS SERVICE AREA|25010065|sodium bicarbonate 1 mEq/mL (8.4 %) intravenous solution||00409662502|82.61||82.61
WS SERVICE AREA|25010065|sodium bicarbonate 1 mEq/mL (8.4 %) intravenous solution||00409662525|38.34||38.34
WS SERVICE AREA|25010065|sodium bicarbonate 1 mEq/mL (8.4 %) intravenous solution||63323008950|84.31||84.31
WS SERVICE AREA|25010065|sodium bicarbonate 4.2 % intravenous solution||00409555512|64.99||64.99
WS SERVICE AREA|25010065|sodium bicarbonate 4.2 % intravenous solution||00409555511|64.99||64.99
WS SERVICE AREA|25010065|sodium bicarbonate 4.2 % intravenous solution||63323002605|21.61||21.61
WS SERVICE AREA|25010065|thrombin (bovine) 20,000 unit topical solution||60793021720|2,164.74||2,164.74
WS SERVICE AREA|25010065|calcium chloride 100 mg/mL (10 %) intravenous solution||00517271025|157.17||157.17
WS SERVICE AREA|25010065|belladonna alkaloids-opium 16.2 mg-30 mg rectal suppository||00574704512|209.41||209.41
WS SERVICE AREA|25010065|lidocaine HCL 2 % mucosal solution||17856077502|6.85||6.85
WS SERVICE AREA|25010065|lidocaine HCL 2 % mucosal solution||50383077517|8.22||8.22
WS SERVICE AREA|25010065|lidocaine HCL 2 % mucosal solution||50383077515|4.60||4.60
WS SERVICE AREA|25010065|lidocaine HCL 2 % mucosal solution||50383077504|5.02||5.02
WS SERVICE AREA|25010065|dextrose 50 % in water (D50W) intravenous syringe||00409751716|77.95||77.95
WS SERVICE AREA|25010065|dextrose 50 % in water (D50W) intravenous syringe||76329330101|112.27||112.27
WS SERVICE AREA|25010065|dextrose 50 % in water (D50W) intravenous syringe||00000005601|69.48||69.48
WS SERVICE AREA|25010065|dextrose 50 % in water (D50W) intravenous syringe||69374095350|152.51||152.51
WS SERVICE AREA|25010065|lidocaine HCL 10 mg/mL (1 %) injection syringe||71019017007|32.54||32.54
WS SERVICE AREA|25010065|polyvinyl alcohol-povidone (PF) 1.4 %-0.6 % eye drops in a dropperette||00023050650|1.10||1.10
WS SERVICE AREA|25010065|bupivacaine-epinephrine (PF) 0.75 %-1:200,000 injection solution||63323046037|85.92||85.92
WS SERVICE AREA|25010065|acetylcysteine 100 mg/mL (10 %) solution||00517750425|30.33||30.33
WS SERVICE AREA|25010065|bupivacaine (PF) 0.25 % (2.5 mg/mL) injection solution||00409115902|18.70||18.70
WS SERVICE AREA|25010065|bupivacaine (PF) 0.25 % (2.5 mg/mL) injection solution||00409155910|27.96||27.96
WS SERVICE AREA|25010065|bupivacaine (PF) 0.25 % (2.5 mg/mL) injection solution||00409155930|32.28||32.28
WS SERVICE AREA|25010065|bupivacaine (PF) 0.25 % (2.5 mg/mL) injection solution||63323046431|58.46||58.46
WS SERVICE AREA|25010065|bupivacaine (PF) 0.25 % (2.5 mg/mL) injection solution||63323046437|55.41||55.41
WS SERVICE AREA|25010065|bupivacaine (PF) 0.25 % (2.5 mg/mL) injection solution||63323046417|48.30||48.30
WS SERVICE AREA|25010065|bupivacaine (PF) 0.25 % (2.5 mg/mL) injection solution||55150016710|26.44||26.44
WS SERVICE AREA|25010065|bupivacaine (PF) 0.25 % (2.5 mg/mL) injection solution||55150016830|27.20||27.20
WS SERVICE AREA|25010065|bupivacaine (PF) 0.25 % (2.5 mg/mL) injection solution||00409115909|18.70||18.70
WS SERVICE AREA|25010065|bupivacaine (PF) 0.25 % (2.5 mg/mL) injection solution||00409115910|18.70||18.70
WS SERVICE AREA|25010065|bupivacaine 0.5 % (5 mg/mL) injection solution||63323046757|18.70||18.70
WS SERVICE AREA|25010065|bupivacaine (PF) 0.75 % (7.5 mg/mL) injection solution||00409116502|27.96||27.96
WS SERVICE AREA|25010065|albuterol sulfate concentrate 2.5 mg/0.5 mL solution for nebulization||00487990130|6.85||6.85
WS SERVICE AREA|25010065|activated charcoal-sorbitoL 25 gram/120 mL oral suspension||00574012074|126.93||126.93
WS SERVICE AREA|25010065|activated charcoaL 50 gram/240 mL oral suspension||00574012108|180.81||180.81
WS SERVICE AREA|25010065|activated charcoaL 50 gram/240 mL oral suspension||00574012176|180.81||180.81
WS SERVICE AREA|25010065|mvi, pedi no.1 with vit K 80 mg-400 unit-200 mcg/5 mL intravenous soln||54643564700|137.04||137.04
WS SERVICE AREA|25010065|mvi, pedi no.1 with vit K 80 mg-400 unit-200 mcg/5 mL intravenous soln||61703042153|18.70||18.70
WS SERVICE AREA|25010065|acetylcysteine 200 mg/mL (20 %) solution|J7608|00409330803|81.73||81.73
WS SERVICE AREA|25010065|acetylcysteine 200 mg/mL (20 %) solution|J7608|00517760425|45.66||45.66
WS SERVICE AREA|25010065|acetylcysteine 200 mg/mL (20 %) solution|J7608|63323069030|10.58||10.58
WS SERVICE AREA|25010065|acetylcysteine 200 mg/mL (20 %) solution||00517760401|45.66||45.66
WS SERVICE AREA|25010065|fentaNYL-bupivacaine-NaCL (PF) 3 mcg/mL-0.125 % epidural solution||61553023748|167.77||167.77
WS SERVICE AREA|25010065|fentaNYL-bupivacaine-NaCL (PF) 3 mcg/mL-0.125 % epidural solution||00000005481|203.35||203.35
WS SERVICE AREA|25010065|poractant alfa 240 mg/3 mL intratracheal suspension||10122051003|8,234.71||8,234.71
WS SERVICE AREA|25010065|bupivacaine 0.5 %-epinephrine bitartrate 1:200,000 injection,cartridge||31382055705|18.70||18.70
WS SERVICE AREA|25010065|lidocaine (PF) 20 mg/mL (2 %) intravenous solution||63323020805|23.13||23.13
WS SERVICE AREA|25010065|niCARdipine 25 mg/10 mL intravenous solution||00143968910|216.23||216.23
WS SERVICE AREA|25010065|niCARdipine 25 mg/10 mL intravenous solution||67457022410|464.66||464.66
WS SERVICE AREA|25010065|niCARdipine 25 mg/10 mL intravenous solution||00143959301|170.65||170.65
WS SERVICE AREA|25010065|niCARdipine 25 mg/10 mL intravenous solution||00143959310|170.65||170.65
WS SERVICE AREA|25010065|niCARdipine 25 mg/10 mL intravenous solution||00143968901|216.23||216.23
WS SERVICE AREA|25010065|EPINEPHrine HCl (PF) 1 mg/mL (1 mL) injection solution||54288010301|44.48||44.48
WS SERVICE AREA|25010065|EPINEPHrine HCl (PF) 1 mg/mL (1 mL) injection solution||54288010310|44.48||44.48
WS SERVICE AREA|25010065|HYDROmorphone 3 mg/30 mL in 0.9 % sodium chloride PCA intravenous soln||61553067944|370.61||
WS SERVICE AREA|25010065|HYDROmorphone 30 mg/30 mL (1 mg/mL) in 0.9 % NaCl IV PCA syringe||61553016644|118.20||118.20
WS SERVICE AREA|25010065|HYDROmorphone 30 mg/30 mL (1 mg/mL) in 0.9 % NaCl IV PCA syringe||69374098330|122.01||122.01
WS SERVICE AREA|25010065|thrombin (bovine) 5,000 unit topical solution||60793021505|548.91||548.91
WS SERVICE AREA|25010065|famotidine (PF) 20 mg/2 mL intravenous solution||00641602201|18.70||18.70
WS SERVICE AREA|25010065|famotidine (PF) 20 mg/2 mL intravenous solution||00641602225|18.70||18.70
WS SERVICE AREA|25010065|famotidine (PF) 20 mg/2 mL intravenous solution||63323073912|18.70||18.70
WS SERVICE AREA|25010065|ePHEDrine (PF) 50 mg/10 mL (5 mg/mL) in 0.9 % sod.chloride IV syringe||71030000310|542.87||542.87
WS SERVICE AREA|25010065|lidocaine 2 %-epinephrine bitartrate 1:100,000 injection cartridge||31382089805|18.70||18.70
WS SERVICE AREA|25010065|lidocaine 2 % mucosal jelly in applicator||76329301305|48.78||48.78
WS SERVICE AREA|25010065|lidocaine 2 % mucosal jelly in applicator||25021067377|21.95||21.95
WS SERVICE AREA|25010065|lidocaine 2 % mucosal jelly in applicator||25021067376|37.75||37.75
WS SERVICE AREA|25010065|lidocaine HCl (bulk) 100 % powder||15455950101|3,386.45||3,386.45
WS SERVICE AREA|25010065|lidocaine HCl (bulk) 100 % powder||38779008205|3,253.28||3,253.28
WS SERVICE AREA|25010065|ePHEDrine (PF) 25 mg/5 mL (5 mg/mL) in 0.9% sodium chloride IV syringe||71030000302|310.20||310.20
WS SERVICE AREA|25010065|ePHEDrine (PF) 25 mg/5 mL (5 mg/mL) in 0.9% sodium chloride IV syringe||70092147844|310.20||
WS SERVICE AREA|25010065|ePHEDrine (PF) 25 mg/5 mL (5 mg/mL) in 0.9% sodium chloride IV syringe||69374090105|71.81||71.81
WS SERVICE AREA|25010065|norepinephrine bitartrate 4 mg/250 mL (16 mcg/mL) in 0.9 % NaCl IV||69374031925|104.33||
WS SERVICE AREA|25010065|norepinephrine bitartrate 4 mg/250 mL (16 mcg/mL) in dextrose 5 % IV||00000005197|18.70||
WS SERVICE AREA|25010065|norepinephrine bitartrate 4 mg/250 mL (16 mcg/mL) in dextrose 5 % IV||70324045101|169.46||169.46
WS SERVICE AREA|25010065|ipratropium bromide 0.02 % solution for inhalation||00487980101|10.05||10.05
WS SERVICE AREA|25010065|ipratropium bromide 0.02 % solution for inhalation|J7644|00487980130|10.05||10.05
WS SERVICE AREA|25010065|ipratropium bromide 0.02 % solution for inhalation||76204010001|14.06||14.06
WS SERVICE AREA|25010065|treprostiniL 1.74 mg/2.9 mL (0.6 mg/mL) solution for nebulization|J7686|66302020603|19,689.43||19,689.43
WS SERVICE AREA|25010065|dextran 70-hypromellose (PF) 0.1 %-0.3 % eye drops in a dropperette||00065806301|4.60||4.60
WS SERVICE AREA|25010065|caffeine-sodium benzoate 250 mg/mL(125 mg/mL caffeine) injection soln||00517250210|178.19||178.19
WS SERVICE AREA|25010065|morphine 30 mg/30 mL (1 mg/mL) in 0.9 % sodium chloride IV PCA syringe||61553017944|168.27||168.27
WS SERVICE AREA|25010065|succinylcholine chloride 200 mg/10 mL (20 mg/mL) intravenous syringe||71019034117|318.08||318.08
WS SERVICE AREA|25010065|succinylcholine chloride 200 mg/10 mL (20 mg/mL) intravenous syringe||70324082601|101.68||101.68
WS SERVICE AREA|25010065|tetracaine HCl (PF) 0.5 % eye drops||00065074114|80.61||80.61
WS SERVICE AREA|25010065|sodium bicarbonate 150 mEq/1,000 mL in dextrose 5 % intravenous||70324032601|194.74||194.74
WS SERVICE AREA|25010065|sodium bicarbonate 150 mEq/1,000 mL in dextrose 5 % intravenous||70324032603|194.74||194.74
WS SERVICE AREA|25010065|lidocaine (PF) 200 mg/10 mL (2 %) injection syringe||71019017323|18.70||18.70
WS SERVICE AREA|25010065|ketamine 50 mg/mL (1 mL) intravenous syringe||00000005217|18.70||18.70
WS SERVICE AREA|25010065|lidocaine HCL 30 mg/3 mL (1%) injection syringe||61553034334|80.83||
WS SERVICE AREA|25010065|lidocaine HCL 30 mg/3 mL (1%) injection syringe||71019016705|80.83||
WS SERVICE AREA|25010065|labetaloL 20 mg/4 mL (5 mg/mL) intravenous syringe||00409233934|62.97||62.97
WS SERVICE AREA|25010065|labetaloL 20 mg/4 mL (5 mg/mL) intravenous syringe||69374094604|37.62||37.62
WS SERVICE AREA|25010065|labetaloL 20 mg/4 mL (5 mg/mL) intravenous syringe||70092100944|62.67||62.67
WS SERVICE AREA|25010065|labetaloL 20 mg/4 mL (5 mg/mL) intravenous syringe||70092155844|62.67||62.67
WS SERVICE AREA|25010065|labetaloL 20 mg/4 mL (5 mg/mL) intravenous syringe||00409233924|31.49||31.49
WS SERVICE AREA|25010065|isoflurane 99.9 % inhalation liquid||66794001910|143.07||143.07
WS SERVICE AREA|25010065|povidone-iodine 0.3 % vaginal solution||00132874302|18.77||18.77
WS SERVICE AREA|25010065|povidone-iodine 0.3 % vaginal solution||41608008743|18.77||18.77
WS SERVICE AREA|25010065|calcium chloride 100 mg/mL (10 %) intravenous syringe||00409163110|60.33||60.33
WS SERVICE AREA|25010065|calcium chloride 100 mg/mL (10 %) intravenous syringe||00409492834|81.76||81.76
WS SERVICE AREA|25010065|calcium chloride 100 mg/mL (10 %) intravenous syringe||76329330401|76.26||76.26
WS SERVICE AREA|25010065|calcium chloride 100 mg/mL (10 %) intravenous syringe||69374091310|29.74||29.74
WS SERVICE AREA|25010065|tetracaine HCl (bulk) powder||51552026902|410.26||410.26
WS SERVICE AREA|25010065|tetracaine HCl (bulk) powder||38779056604|1,272.39||1,272.39
WS SERVICE AREA|25010065|balanced salt solution combination no.1 intraocular irrigation||00065080050|141.09||
WS SERVICE AREA|25010065|lidocaine-epinephrine 0.5 %-1:200,000 injection solution||00409317701|18.70||18.70
WS SERVICE AREA|25010065|lidocaine-epinephrine 0.5 %-1:200,000 injection solution||63323048157|18.70||18.70
WS SERVICE AREA|25010065|water for injection, bacteriostatic injection solution||00409397703|18.70||18.70
WS SERVICE AREA|25010065|water for injection, bacteriostatic injection solution||00409397701|18.70||18.70
WS SERVICE AREA|25010065|bupivacaine-epinephrine 0.25 %-1:200,000 injection solution||00409175250|18.70||18.70
WS SERVICE AREA|25010065|bupivacaine-epinephrine 0.25 %-1:200,000 injection solution||63323046157|18.70||18.70
WS SERVICE AREA|25010065|bupivacaine-epinephrine 0.5 %-1:200,000 injection solution||63323046357|18.70||18.70
WS SERVICE AREA|25010065|bupivacaine-epinephrine 0.5 %-1:200,000 injection solution||00000005458|18.70||18.70
WS SERVICE AREA|25010065|acetic acid (bulk) 3 % liquid||51552005106|509.87||509.87
WS SERVICE AREA|25010065|nitroglycerin 50 mg/250 mL (200 mcg/mL) in 5 % dextrose intravenous||00409148202|52.96||52.96
WS SERVICE AREA|25010065|nitroglycerin 50 mg/250 mL (200 mcg/mL) in 5 % dextrose intravenous||00338104902|163.11||163.11
WS SERVICE AREA|25010065|thrombin (bovine) 5,000 unit topical spray syringe||60793070505|559.94||559.94
WS SERVICE AREA|25010065|thrombin (bovine) 20,000 unit topical spray syringe||60793021722|2,273.03||2,273.03
WS SERVICE AREA|25010065|sodium hypochlorite 0.25 % solution||00436093616|82.79||82.79
WS SERVICE AREA|25010065|sodium hypochlorite 0.25 % solution||39328006325|104.39||104.39
WS SERVICE AREA|25010065|lidocaine-epinephrine (PF) 1.5 %-1:200,000 injection solution||63323048889|20.50||20.50
WS SERVICE AREA|25010065|EPINEPHrine HCL 16 mg/250 mL (64 mcg/mL) in 5 % dextrose intravenous||71019008001|1,121.54||1,121.54
WS SERVICE AREA|25010065|lidocaine-epinephrine (PF) 1 %-1:200,000 injection solution||63323048737|87.19||87.19
WS SERVICE AREA|25010065|lidocaine-epinephrine (PF) 1 %-1:200,000 injection solution||63323048717|18.70||18.70
WS SERVICE AREA|25010065|tretinoin (antineoplastic) 10 mg capsule||68084007511|231.37||231.37
WS SERVICE AREA|25010065|tretinoin (antineoplastic) 10 mg capsule||68084007521|231.37||231.37
WS SERVICE AREA|25010065|EPINEPHrine (Jr) 0.15 mg/0.3 mL injection,auto-injector||49502050102|2,103.36||2,103.36
WS SERVICE AREA|25010065|cisatracurium 2 mg/mL intravenous solution||00781315295|268.00||268.00
WS SERVICE AREA|25010065|cisatracurium 2 mg/mL intravenous solution||00781903895|268.00||268.00
WS SERVICE AREA|25010065|cisatracurium 2 mg/mL intravenous solution||63323041605|118.62||118.62
WS SERVICE AREA|25010065|cisatracurium 2 mg/mL intravenous solution||63323041710|194.88||194.88
WS SERVICE AREA|25010065|cisatracurium 2 mg/mL intravenous solution||00074438010|233.01||233.01
WS SERVICE AREA|25010065|cisatracurium concentrate 10 mg/mL (ICU USE ONLY) intravenous solution||00781315395|2,360.86||2,360.86
WS SERVICE AREA|25010065|cisatracurium concentrate 10 mg/mL (ICU USE ONLY) intravenous solution||00781903995|2,360.86||2,360.86
WS SERVICE AREA|25010065|cisatracurium concentrate 10 mg/mL (ICU USE ONLY) intravenous solution||63323041820|1,869.70||1,869.70
WS SERVICE AREA|25010065|acetic acid (bulk) 100 % liquid||38779058201|5,973.85||5,973.85
WS SERVICE AREA|25010065|sodium glycerophosphate 1 mmol/mL intravenous solution||63323024120|110.15||110.15
WS SERVICE AREA|25010065|dexmedeTOMIDine 400 mcg/100 mL (4 mcg/mL) in 0.9 % sodium chloride IV||00409166010|711.73||711.73
WS SERVICE AREA|25010065|dexmedeTOMIDine 400 mcg/100 mL (4 mcg/mL) in 0.9 % sodium chloride IV||00338955712|677.84||677.84
WS SERVICE AREA|25010065|ferric subsulfate 0.2 gram to 0.22 gram/mL topical soln and applicator||10481011208|110.98||110.98
WS SERVICE AREA|25010065|ethiodized oiL 480 mg iodine/mL for injection||67684190101|1,461.20||1,461.20
WS SERVICE AREA|25010065|mupirocin calcium 2 % nasal ointment||00029152603|129.92||129.92
WS SERVICE AREA|25010065|mupirocin calcium 2 % nasal ointment||00000005376|4.60||4.60
WS SERVICE AREA|25010065|mupirocin calcium 2 % nasal ointment||50268057211|39.01||39.01
WS SERVICE AREA|25010065|mupirocin calcium 2 % nasal ointment||17856011201|30.44||30.44
WS SERVICE AREA|25010065|mupirocin calcium 2 % nasal ointment||50268056815|39.01||39.01
WS SERVICE AREA|25010065|dantrolene 250 mg intravenous suspension||42367054032|23,195.57||23,195.57
WS SERVICE AREA|25010065|vasopressin 20 unit/mL intravenous solution||42023016425|1,365.53||1,365.53
WS SERVICE AREA|25010065|dexmedeTOMIDine 80 mcg/20 mL (4 mcg/mL) in 0.9 % sodium chloride IV||00409166020|222.50||222.50
WS SERVICE AREA|25010065|glycopyrrolate 0.4 mg/2 mL (0.2 mg/mL) intravenous syringe||61553032928|56.36||56.36
WS SERVICE AREA|25010065|midazolam (PF) 1 mg/mL in 0.9 % sodium chloride intravenous solution||70092117735|165.65||165.65
WS SERVICE AREA|25010065|midazolam (PF) 1 mg/mL in 0.9 % sodium chloride intravenous solution||70342010201|149.12||149.12
WS SERVICE AREA|25010065|midazolam (PF) 1 mg/mL in 0.9 % sodium chloride intravenous solution||69374031405|80.49||
WS SERVICE AREA|25010065|idaruCIZUmab 2.5 gram/50 mL intravenous solution||00597019705|27,695.00||27,695.00
WS SERVICE AREA|25010065|compounding vehicle suspension sugar-free no.20 oral||00574030316|169.18||169.18
WS SERVICE AREA|25010065|sugammadex 100 mg/mL intravenous solution||00006542302|723.82||723.82
WS SERVICE AREA|25010065|sugammadex 100 mg/mL intravenous solution||00006542305|1,325.72||1,325.72
WS SERVICE AREA|25010065|sugammadex 100 mg/mL intravenous solution||00006542312|723.82||723.82
WS SERVICE AREA|25010065|sugammadex 100 mg/mL intravenous solution||00006542315|1,325.72||1,325.72
WS SERVICE AREA|25010065|brivaracetam 50 mg/5 mL intravenous solution||50474097075|214.13||214.13
WS SERVICE AREA|25010065|ePHEDrine sulfate 50 mg/mL intravenous solution||00781326995|500.86||500.86
WS SERVICE AREA|25010065|ePHEDrine sulfate 50 mg/mL intravenous solution||17478095510|480.83||480.83
WS SERVICE AREA|25010065|lidocaine 1.5 %-epinephrine 1:200,000 injection solution||00409120901|41.39||41.39
WS SERVICE AREA|25010065|trace elements Cr-Cu-Mn-Se-Zn 10 mcg-1 mg-0.5 mg-60 mcg-5mg/mL IV soln||00517821025|188.52||188.52
WS SERVICE AREA|25010065|trace element pedi Cr-Cu-Mn-Zn 1 mcg-0.1 mg-25 mcg-1 mg/mL intravenous||00517920325|91.08||91.08
WS SERVICE AREA|25010065|lidocaine 4 %-racepinephrine 0.05 %-tetracaine 0.5 % topical solution||70092113644|81.50||81.50
WS SERVICE AREA|25010065|remifentaniL 1 mg intravenous solution||67457019803|519.32||519.32
WS SERVICE AREA|25010065|remifentaniL 2 mg intravenous solution||67457019899|847.28||847.28
WS SERVICE AREA|25010065|histamine 1 mg/mL (2.75 mg/mL) percutaneous solution||00268024705|57.45||57.45
WS SERVICE AREA|25010065|angiotensin II 2.5 mg/mL intravenous solution||68547050102|10,368.00||10,368.00
WS SERVICE AREA|25010065|compounding vehicle syrup no.23||00574030416|169.18||169.18
WS SERVICE AREA|25010065|ketamine 30 mg/3 mL (10 mg/mL) in sodium chlor,iso-osmotic inj syringe||69374098233|40.67||40.67
WS SERVICE AREA|25010065|levothyroxine 20 mcg/mL intravenous solution||63323088510|117.41||117.41
WS SERVICE AREA|25010065|sodium nitroprusside 25 mg/mL intravenous solution||00409302401|404.50||404.50
WS SERVICE AREA|25010065|sodium nitroprusside 25 mg/mL intravenous solution||25021031002|898.56||898.56
WS SERVICE AREA|25010065|sodium nitroprusside 25 mg/mL intravenous solution||67457083902|2,237.00||2,237.00
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/100 mL(10 mg/mL)in sod chlor,iso IV piggyback||51754010801|177.93||177.93
WS SERVICE AREA|25010065|sodium thiosulfate in water 12.5 gram/50 mL (250 mg/mL) IV solution||71266668001|739.58||739.58
WS SERVICE AREA|25010065|mineral oil, light sterile||63323025402|91.70||91.70
WS SERVICE AREA|25010065|mineral oil, light sterile||63323025410|105.93||105.93
WS SERVICE AREA|25010065|remdesivir 100 mg intravenous powder for solution||61958290102|3,594.24||
WS SERVICE AREA|25010065|diluent for epoprostenol (glycine) pH 11.7 - 12.3 intravenous solution||00173085701|119.47||119.47
WS SERVICE AREA|25010065|dexAMETHasone 0.1 % eye drops,suspension||00998061505|573.87||573.87
WS SERVICE AREA|25010065|EPINEPHrine 1 mg/mL nasal solution||42023010301|1,906.76||1,906.76
WS SERVICE AREA|25010065|carbachoL 0.01 % intraocular solution||00065002315|277.16||277.16
WS SERVICE AREA|25010065|diclofenac 0.1 % eye drops||16571010125|346.79||346.79
WS SERVICE AREA|25010065|ketorolac 0.5 % eye drops||61314012605|802.86||802.86
WS SERVICE AREA|25010065|ofloxacin 0.3 % eye drops||17478071310|4.60||4.60
WS SERVICE AREA|25010065|tobramycin 0.3 % eye ointment||00065064435|1,631.29||1,631.29
WS SERVICE AREA|25010065|cyclopentolate 1 % eye drops||24208073501|124.27||124.27
WS SERVICE AREA|25010065|cyclopentolate 1 % eye drops||00065039605|377.08||377.08
WS SERVICE AREA|25010065|etomidate 2 mg/mL intravenous solution||00143950601|52.70||52.70
WS SERVICE AREA|25010065|etomidate 2 mg/mL intravenous solution||00409669512|54.23||54.23
WS SERVICE AREA|25010065|etomidate 2 mg/mL intravenous solution||00143931001|23.72||23.72
WS SERVICE AREA|25010065|valproate sodium 500 mg/5 mL (100 mg/mL) intravenous solution||00143978510|146.46||146.46
WS SERVICE AREA|25010065|valproate sodium 500 mg/5 mL (100 mg/mL) intravenous solution||00143963701|20.93||20.93
WS SERVICE AREA|25010065|valproate sodium 500 mg/5 mL (100 mg/mL) intravenous solution||00143963710|20.93||20.93
WS SERVICE AREA|25010065|valproate sodium 500 mg/5 mL (100 mg/mL) intravenous solution||63323049405|56.77||56.77
WS SERVICE AREA|25010065|sodium hypochlorite 0.5 % solution||00436094616|82.79||82.79
WS SERVICE AREA|25010065|sodium hypochlorite 0.5 % solution||00000005151|20.09||20.09
WS SERVICE AREA|25010065|carmustine in polifeprosan 7.7 mg wafer for implant||24338005008|25,538.76||25,538.76
WS SERVICE AREA|25010065|dilTIAZem 100 mg intravenous solution||00409435003|112.62||112.62
WS SERVICE AREA|25010065|dilTIAZem 100 mg intravenous solution||00409435013|112.62||112.62
WS SERVICE AREA|25010065|mupirocin calcium 2 % topical cream||51672137001|1,865.67||1,865.67
WS SERVICE AREA|25010065|ofloxacin 0.3 % ear drops||50383002505|1,305.19||1,305.19
WS SERVICE AREA|25010065|calfactant 35 mg/mL in 0.9% sodium chloride intratracheal suspension||61938045603|2,885.48||2,885.48
WS SERVICE AREA|25010065|calfactant 35 mg/mL in 0.9% sodium chloride intratracheal suspension||61938045606|5,107.16||5,107.16
WS SERVICE AREA|25010065|dextrose 25 % in water (D25W) intravenous syringe||00409177510|81.34||81.34
WS SERVICE AREA|25010065|dextrose 25 % in water (D25W) intravenous syringe||00000005640|70.83||70.83
WS SERVICE AREA|25010065|dextrose 50 % in water (D50W) intravenous solution||00409664802|51.10||51.10
WS SERVICE AREA|25010065|mycophenolate 500 mg intravenous solution||00004029809|1,492.69||1,492.69
WS SERVICE AREA|25010065|antivenin Latrodectus mactans 6,000 unit solution for injection||00006542402|234.79||234.79
WS SERVICE AREA|25010065|belladonna alkaloids-opium 16.2 mg-60 mg rectal suppository||00574704012|254.58||254.58
WS SERVICE AREA|25010065|levalbuteroL 0.63 mg/3 mL solution for nebulization|J7614|66993002235|50.98||50.98
WS SERVICE AREA|25010065|levalbuteroL 0.63 mg/3 mL solution for nebulization|J7614|00378968144|51.05||51.05
WS SERVICE AREA|25010065|levalbuteroL 0.63 mg/3 mL solution for nebulization|J7614|43598041025|48.99||48.99
WS SERVICE AREA|25010065|levalbuteroL 0.63 mg/3 mL solution for nebulization|J7614|43598041005|48.99||
WS SERVICE AREA|25010065|albuterol sulfate 2.5 mg/3 mL (0.083 %) solution for nebulization||00591379760|9.38||9.38
WS SERVICE AREA|25010065|albuterol sulfate 2.5 mg/3 mL (0.083 %) solution for nebulization||00487950101|6.10||6.10
WS SERVICE AREA|25010065|albuterol sulfate 2.5 mg/3 mL (0.083 %) solution for nebulization||00487950103|6.10||6.10
WS SERVICE AREA|25010065|albuterol sulfate 2.5 mg/3 mL (0.083 %) solution for nebulization|J7613|00487950125|6.10||6.10
WS SERVICE AREA|25010065|albuterol sulfate 2.5 mg/3 mL (0.083 %) solution for nebulization||00487950160|6.10||6.10
WS SERVICE AREA|25010065|allopurinoL 500 mg intravenous solution||67457018750|13,228.10||13,228.10
WS SERVICE AREA|25010065|ethanol (ethyl alcohol) 98 % injection solution||17478050305|771.99||771.99
WS SERVICE AREA|25010065|ethanol (ethyl alcohol) 98 % injection solution||13925017705|273.68||273.68
WS SERVICE AREA|25010065|doxycycline hyclate 100 mg intravenous powder for solution||63323013011|223.09||223.09
WS SERVICE AREA|25010065|doxycycline hyclate 100 mg intravenous powder for solution||63323013013|177.93||177.93
WS SERVICE AREA|25010065|doxycycline hyclate 100 mg intravenous powder for solution||63323013002|223.09||223.09
WS SERVICE AREA|25010065|poractant alfa 120 mg/1.5 mL intratracheal suspension||10122051001|4,176.06||4,176.06
WS SERVICE AREA|25010065|nitroglycerin 400 mcg/spray translingual||45802021001|1,708.21||1,708.21
WS SERVICE AREA|25010065|nitroglycerin 400 mcg/spray translingual||45802021002|2,550.57||2,550.57
WS SERVICE AREA|25010065|dexmedeTOMIDine 100 mcg/mL intravenous solution||00409163802|355.87||355.87
WS SERVICE AREA|25010065|dexmedeTOMIDine 100 mcg/mL intravenous solution||16729023930|194.10||194.10
WS SERVICE AREA|25010065|dexmedeTOMIDine 100 mcg/mL intravenous solution||63323042102|335.53||335.53
WS SERVICE AREA|25010065|dexmedeTOMIDine 100 mcg/mL intravenous solution||16729043230|194.10||194.10
WS SERVICE AREA|25010065|nafcillin 1 gram intravenous solution||00781312892|163.14||163.14
WS SERVICE AREA|25010065|nafcillin 1 gram intravenous solution||00781922492|163.14||163.14
WS SERVICE AREA|25010065|nafcillin 1 gram intravenous solution||00781312815|163.14||163.14
WS SERVICE AREA|25010065|nafcillin 2 gram intravenous solution||00781922592|316.47||316.47
WS SERVICE AREA|25010065|morphine 10 mg/mL intravenous solution||00641612701|19.64||19.64
WS SERVICE AREA|25010065|pentamidine 300 mg solution for injection||63323011310|1,153.54||1,153.54
WS SERVICE AREA|25010065|dinoprostone ER 10 mg vaginal insert,controlled release||55566280001|3,312.10||3,312.10
WS SERVICE AREA|25010065|dinoprostone ER 10 mg vaginal insert,controlled release||55566280000|3,312.10||3,312.10
WS SERVICE AREA|25010065|fluorescein 0.6 mg eye strips||17478040303|4.60||4.60
WS SERVICE AREA|25010065|fluorescein 1 mg eye strips||17238090030|4.60||4.60
WS SERVICE AREA|25010065|fluorescein 1 mg eye strips||17238090099|4.60||4.60
WS SERVICE AREA|25010065|scopolamine 1 mg over 3 days transdermal patch||10019055390|162.06||162.06
WS SERVICE AREA|25010065|scopolamine 1 mg over 3 days transdermal patch||10019055304|162.06||162.06
WS SERVICE AREA|25010065|scopolamine 1 mg over 3 days transdermal patch||66758020854|142.50||142.50
WS SERVICE AREA|25010065|scopolamine 1 mg over 3 days transdermal patch||45802058001|175.03||175.03
WS SERVICE AREA|25010065|silver nitrate 0.5 % topical solution||00093961413|642.89||642.89
WS SERVICE AREA|25010065|pentamidine 300 mg solution for inhalation|J2545|63323087715|1,270.03||1,270.03
WS SERVICE AREA|25010065|EPINEPHrine 1 mg/mL injection solution|J0171|42023016801|1,731.87||1,731.87
WS SERVICE AREA|25010065|budesonide 0.25 mg/2 mL suspension for nebulization||00186198804|66.33||66.33
WS SERVICE AREA|25010065|budesonide 0.25 mg/2 mL suspension for nebulization||54868577400|59.40||59.40
WS SERVICE AREA|25010065|budesonide 0.25 mg/2 mL suspension for nebulization||00093681573|71.64||71.64
WS SERVICE AREA|25010065|budesonide 0.25 mg/2 mL suspension for nebulization||00487960101|72.20||72.20
WS SERVICE AREA|25010065|budesonide 0.25 mg/2 mL suspension for nebulization||69097031887|71.59||71.59
WS SERVICE AREA|25010065|budesonide 0.5 mg/2 mL suspension for nebulization||00186198904|78.06||78.06
WS SERVICE AREA|25010065|budesonide 0.5 mg/2 mL suspension for nebulization||00093681645|84.32||84.32
WS SERVICE AREA|25010065|budesonide 0.5 mg/2 mL suspension for nebulization||00781751687|84.36||84.36
WS SERVICE AREA|25010065|budesonide 0.5 mg/2 mL suspension for nebulization||00487970101|84.97||84.97
WS SERVICE AREA|25010065|budesonide 0.5 mg/2 mL suspension for nebulization||69097031932|70.80||70.80
WS SERVICE AREA|25010065|methyl salicylate topical liquid||00395166792|68.95||68.95
WS SERVICE AREA|25010065|erythromycin 5 mg/gram (0.5 %) eye ointment||24208091019|94.48||94.48
WS SERVICE AREA|25010065|sodium hyaluronate 10 mg/mL intraocular syringe||08544508381|796.69||
WS SERVICE AREA|25010065|sodium hyaluronate 10 mg/mL intraocular syringe||85446036971|761.00||761.00
WS SERVICE AREA|25010065|chondroitin-sod hyaluron 4 %-3 % (40 mg-30 mg/mL) intraocular syringe||08065183905|1,074.26||1,074.26
WS SERVICE AREA|25010065|chondroitin-sod hyaluron 4 %-3 % (40 mg-30 mg/mL) intraocular syringe||08065183975|1,411.57||1,411.57
WS SERVICE AREA|25010065|EPINEPHrine (Jr) 0.15 mg/0.3 mL injection,auto-injector||49502010102|1,036.80||1,036.80
WS SERVICE AREA|25010065|fentaNYL (PF) 10 mcg/mL in 0.9 % sodium chloride intravenous||61553011302|442.71||442.71
WS SERVICE AREA|25010065|fentaNYL (PF) 10 mcg/mL in 0.9 % sodium chloride intravenous||70092109337|442.71||442.71
WS SERVICE AREA|25010065|fentaNYL (PF) 2 mcg/mL-bupivacaine 0.125 %-NaCl injection solution||70092110436|123.71||123.71
WS SERVICE AREA|25010065|fentaNYL (PF) 2 mcg/mL-bupivacaine 0.125 %-NaCl injection solution||00000005476|122.86||
WS SERVICE AREA|25010065|albuterol sulfate 1.25 mg/3 mL solution for nebulization|J7613|00487990425|12.62||12.62
WS SERVICE AREA|25010065|albuterol sulfate 1.25 mg/3 mL solution for nebulization|J7613|00591346853|12.62||12.62
WS SERVICE AREA|25010065|fluorometholone 0.1 % eye drops,suspension||60758088005|648.83||648.83
WS SERVICE AREA|25010065|folic acid 5 mg/mL injection solution||63323018411|22.62||22.62
WS SERVICE AREA|25010065|folic acid 5 mg/mL injection solution||63323018410|38.23||38.23
WS SERVICE AREA|25010065|sterile talc 4 gram intrapleural aerosol powder||63256010030|127.85||127.85
WS SERVICE AREA|25010065|gentamicin 0.3 % (3 mg/gram) eye ointment||17478028435|269.71||269.71
WS SERVICE AREA|25010065|gentamicin 0.3 % eye drops||60758018805|145.96||145.96
WS SERVICE AREA|25010065|glycopyrrolate 0.2 mg/mL injection solution||00517460225|194.88||194.88
WS SERVICE AREA|25010065|glycopyrrolate 0.2 mg/mL injection solution||00517460525|372.81||372.81
WS SERVICE AREA|25010065|glycopyrrolate 0.2 mg/mL injection solution||00517462025|883.49||883.49
WS SERVICE AREA|25010065|glycopyrrolate 0.2 mg/mL injection solution||00143968125|118.62||118.62
WS SERVICE AREA|25010065|glycopyrrolate 0.2 mg/mL injection solution||00143968025|254.19||254.19
WS SERVICE AREA|25010065|glycopyrrolate 0.2 mg/mL injection solution||00143958410|338.92||338.92
WS SERVICE AREA|25010065|glycopyrrolate 0.2 mg/mL injection solution||00143958625|47.45||47.45
WS SERVICE AREA|25010065|glycopyrrolate 0.2 mg/mL injection solution||00143958725|23.72||23.72
WS SERVICE AREA|25010065|neomycin 3.5 mg-polymyxin 10,000 unit-hydrocort 10 mg/mL eye drop,susp||61314064175|1,295.60||1,295.60
WS SERVICE AREA|25010065|esmoloL 2,000 mg/100 mL (20 mg/mL) in sodium chloride (iso-osmotic) IV||10019007587|1,936.05||1,936.05
WS SERVICE AREA|25010065|moxifloxacin 0.5 % eye drops||00065401303|1,325.05||1,325.05
WS SERVICE AREA|25010065|ciprofloxacin 0.3 %-dexamethasone 0.1 % ear drops,suspension||00065853302|1,895.57||1,895.57
WS SERVICE AREA|25010065|homatropine 5 % eye drops||59390019205|145.20||145.20
WS SERVICE AREA|25010065|OLANZapine 10 mg intramuscular solution||00002759701|389.76||389.76
WS SERVICE AREA|25010065|OLANZapine 10 mg intramuscular solution||00781315972|351.63||351.63
WS SERVICE AREA|25010065|OLANZapine 10 mg intramuscular solution||00517095501|79.82||79.82
WS SERVICE AREA|25010065|neomycin-bacitracin-polymyxn 3.5 mg-400 unit-10,000 unit/gram eye oint||24208078055|433.38||433.38
WS SERVICE AREA|25010065|levalbuteroL concentrate 1.25 mg/0.5 mL solution for nebulization||00093414719|50.99||50.99
WS SERVICE AREA|25010065|levalbuteroL concentrate 1.25 mg/0.5 mL solution for nebulization||17478017101|64.98||64.98
WS SERVICE AREA|25010065|levalbuteroL concentrate 1.25 mg/0.5 mL solution for nebulization||17478017130|64.98||64.98
WS SERVICE AREA|25010065|levalbuteroL concentrate 1.25 mg/0.5 mL solution for nebulization||00378699331|50.98||
WS SERVICE AREA|25010065|flumazeniL 0.1 mg/mL intravenous solution||63323042405|57.45||57.45
WS SERVICE AREA|25010065|flumazeniL 0.1 mg/mL intravenous solution||00143968410|55.07||55.07
WS SERVICE AREA|25010065|norflurane-pentafluoropropane topical spray||00386000803|4.60||4.60
WS SERVICE AREA|25010065|gentamicin IV 5 mg/mL (neonate/PEDS)||00000005280|50.08||
WS SERVICE AREA|25010065|||00000005503|225.75||
WS SERVICE AREA|25010065|||00000005445|15.00||
WS SERVICE AREA|25010065|dexmedetomidine 4 mcg/mL IV injection||00000005585|18.70||
WS SERVICE AREA|25010065|morphine 30 mg/30 mL (1 mg/mL) in 0.9 % sodium chloride IV PCA syringe||61553017944|168.27||168.27
WS SERVICE AREA|25010065|||00000005444|14.87||
WS SERVICE AREA|25010065|LORazepam 0.5 mg/mL in D5W IV syringe (neonate)||00000005616|18.70||
WS SERVICE AREA|25010065|sodium thiosulfate 12.5 gram/50 mL (250 mg/mL) iv solution||60267070550|739.58||739.58
WS SERVICE AREA|25010065|sodium thiosulfate 12.5 gram/50 mL (250 mg/mL) iv solution||60267070550|739.58||739.58
WS SERVICE AREA|25010065|||00000005620|18.70||
WS SERVICE AREA|25010065|hydroxocobalamin 25mg/mL infusion||11704037001|5,676.96||5,676.96
WS SERVICE AREA|25010065|sodium chloride 3% oral syringe||00000005698|18.70||
WS SERVICE AREA|25010065|midazolam 0.5 mg/mL in NS IV syringe||00000005617|18.70||
WS SERVICE AREA|25010065|penicillin g 3 MU/100 mL in 0.9% sodium chloride intravenous piggyback||00000005629|69.50||
WS SERVICE AREA|25010065|||00000005812|54.82||
WS SERVICE AREA|25010065|HYDROmorphone 3 mg/30 mL in 0.9 % sodium chloride PCA intravenous soln||61553067944|370.61||
WS SERVICE AREA|25010065|insulin 0.2 units/mL syringe (10kg or less)||00000005448|125.99||
WS SERVICE AREA|25010065|remdesivir (investigational use) 100 mg intravenous solution,remdesivir (investigational( 100 mg/20 mL (5 mg/mL) intravenous soln||00000005681|0.01||
WS SERVICE AREA|25010065|remdesivir (investigational use) 100 mg intravenous solution,remdesivir (investigational( 100 mg/20 mL (5 mg/mL) intravenous soln||61958290101|3,594.24||3,594.24
WS SERVICE AREA|25010065|caffeine citrate 60 mg/3 mL oral syringe||00000005284|152.21||152.21
WS SERVICE AREA|25010065|adenosine 6 mcg/mL||00000005224|85.00||
WS SERVICE AREA|25010065|adenosine 12 mcg/mL||00000005225|18.70||18.70
WS SERVICE AREA|25010065|nitroglycerin 50 mg/250 mL (200 mcg/mL) in 5 % dextrose intravenous||00000005196|18.70||18.70
WS SERVICE AREA|25010065|fentaNYL (PF) 5 mcg/mL in 0.9 % sodium chloride IV||61553031834|53.96||
WS SERVICE AREA|25010065|fentaNYL (PF) 5 mcg/mL in 0.9 % sodium chloride IV||00000005282|102.18||
WS SERVICE AREA|25010065|norepinephrine bitartrate 4 mg/250 mL (16 mcg/mL) in dextrose 5 % IV||00000005197|18.70||
WS SERVICE AREA|25010065|HYDROmorphone 50 mg/50 mL infusion||00000005340|399.08||399.08
WS SERVICE AREA|25010065|niCARdipine 20 mg/ 200 mL in 0.9% sodium chloride infusion||10122031310|843.26||843.26
WS SERVICE AREA|25010065|vasopressin 20 units/mL injection,vasopressin 20 unit/mL intravenous solution||42023016425|1,365.53||1,365.53
WS SERVICE AREA|25010065|nitroglycerin 200 mcg/mL bolus from bottle||00338104902|163.11||163.11
WS SERVICE AREA|25010065|propofol 10 mg/mL intravenous emulsion||00409469924|181.32||181.32
WS SERVICE AREA|25010065|propofol 10 mg/mL intravenous emulsion||63323026950|127.10||127.10
WS SERVICE AREA|25010065|propofol 10 mg/mL intravenous emulsion||25021060851|247.41||247.41
WS SERVICE AREA|25010065|propofol 10 mg/mL intravenous emulsion||25021060820|49.48||49.48
WS SERVICE AREA|25010065|promethazine 6.25 mg/25 mL in 0.9% sodium chloride intravenous piggyback||00000005480|30.75||
WS SERVICE AREA|25010065|fentaNYL (PF) 10 mcg/mL in 0.9 % sodium chloride intravenous||00000005706|204.20||204.20
WS SERVICE AREA|25010065|penicillin G potassium 250,000 units/mL injection|J2540|00000005583|106.76||106.76
WS SERVICE AREA|25010065|penicillin G 10,000 units/mL injection|J2540|00000005584|18.70||18.70
WS SERVICE AREA|25010065|sodium chloride 0.9 % injection solution||00409488820|18.70||18.70
WS SERVICE AREA|25010065|sodium chloride 0.9 % injection solution||00409488810|18.70||18.70
WS SERVICE AREA|25010065|sodium chloride 0.9 % injection solution||00409488802|18.70||18.70
WS SERVICE AREA|25010065|sodium chloride 0.9 % injection solution||63323018610|18.70||18.70
WS SERVICE AREA|25010065|sodium chloride 0.9 % injection solution||63323018620|18.70||18.70
WS SERVICE AREA|25010065|mannitol 20 % intravenous solution||00409771503|18.70||18.70
WS SERVICE AREA|25010065|mannitol 20 % intravenous solution||00409771502|37.28||37.28
WS SERVICE AREA|25010065|mannitol 20 % intravenous solution||00338035702|74.14||74.14
WS SERVICE AREA|25010065|mannitol 20 % intravenous solution||00338035703|46.60||46.60
WS SERVICE AREA|25010065|mannitol 20 % intravenous solution||00000005326|41.94||41.94
WS SERVICE AREA|25010065|bupivacaine 0.125% 100 mL epidural||00000005257|104.50||
WS SERVICE AREA|25010065|heparin (initial bolus) 1000 unit/mL-low dose CPG,heparin 1,000 units/mL|J1644|63323054057|22.71||22.71
WS SERVICE AREA|25010065|heparin (initial bolus) 1000 unit/mL-low dose CPG,heparin 1,000 units/mL||25021040030|57.70||57.70
WS SERVICE AREA|25010065|heparin (initial bolus) 1000 unit/mL-low dose CPG,heparin 1,000 units/mL||63323054001|32.79||32.79
WS SERVICE AREA|25010065|heparin (initial bolus) 1000 unit/mL-low dose CPG,heparin 1,000 units/mL|J1644|63323054011|61.60||61.60
WS SERVICE AREA|25010065|heparin (initial bolus) 1000 unit/mL-low dose CPG,heparin 1,000 units/mL||63323054031|60.50||60.50
WS SERVICE AREA|25010065|metronidazole 250 mg intravenous||00409781137|18.70||18.70
WS SERVICE AREA|25010065|sodium chloride (sterile) 0.9% injection syringe||08290306553|18.70||18.70
WS SERVICE AREA|25010065|phenylephrine 50 mg/250 mL (200 mcg/mL) in 0.9% sodium chloride(PF) IV||00000005651|90.83||
WS SERVICE AREA|25010065|||00409729973|26.77||26.77
WS SERVICE AREA|25010065|||00409329906|53.38||53.38
WS SERVICE AREA|25010065|||00409329925|49.99||49.99
WS SERVICE AREA|25010065|||00409729925|26.10||26.10
WS SERVICE AREA|25010065|sodium chloride 0.9% IV soln||00409798303|51.10||51.10
WS SERVICE AREA|25010065|metroNIDAZOLE 500 mg/100 mL-sodium chloride(iso) intravenous piggyback||00409781137|51.10||51.10
WS SERVICE AREA|25010065|sodium chloride 0.9% IV soln||00990798423|51.10||51.10
WS SERVICE AREA|25010065|sodium chloride 0.9% IV soln||00990798437|51.10||51.10
WS SERVICE AREA|25010065|niCARdipine 0.1 mg/mL in 0.9% sodium chloride||00000005198|48.30||
WS SERVICE AREA|25010065|bupivacaine-EPINEPHrine 0.375%-1:200,000 syringe||00000005241|39.23||
WS SERVICE AREA|25010065|ampicillin-sulbactam 1.5 g intravenous piggyback||00000005159|103.27||
WS SERVICE AREA|25010065|ampicillin-sulbactam 3 g/100 mL intravenous piggyback||00000005160|62.70||
WS SERVICE AREA|25010065|cefuroxime 1.5 g/ 100 mL intravenous piggyback||00000005164|166.82||
WS SERVICE AREA|25010065|clindamycin 600 mg/100 mL in 5 % dextrose intravenous piggyback||00000005166|99.10||
WS SERVICE AREA|25010065|clindamycin 900 mg/100 mL in 5 % dextrose intravenous piggyback||00000005167|104.78||
WS SERVICE AREA|25010065|vancomycin 500 mg/100 mL in 0.9% sodium chloride intravenous piggyback||00000005172|62.70||
WS SERVICE AREA|25010065|vancomycin 1 gram/250 mL in 0.9 % sodium chloride intravenous||00000005173|104.02||
WS SERVICE AREA|25010065|tirofiban 12.5 mg/250 mL (50 mcg/mL)-0.9 % sodium chloride intravenous|J3246|00000005236|3,578.69||3,578.69
WS SERVICE AREA|25010065|isoproterenol 4 mcg/mL bolus||00000005220|67.10||
WS SERVICE AREA|25010065|EPINEPHrine 4 mg/250 mL infusion||00000005190|96.40||
WS SERVICE AREA|25010065|nitroprusside 50 mg/250 mL infusion||00000005191|326.40||
WS SERVICE AREA|25010065|penicillin g 2.5 MU/100 mL in 0.9% sodium chloride intravenous piggyback||00000005192|69.50||
WS SERVICE AREA|25010065|penicillin g 5 MU/100 mL in 0.9% sodium chloride intravenous piggyback||00000005193|69.50||
WS SERVICE AREA|25010065|heparin 0.5 units/mL in 0.45% sodium chloride (1/2 NS) flush||00000005200|18.70||
WS SERVICE AREA|25010065|heparin 1 unit/mL in 0.45% sodium chloride (1/2 NS) flush||00000005201|18.70||
WS SERVICE AREA|25010065|heparin 0.5 units/mL in 0.225% sodium chloride (1/4 NS) flush||00000005202|18.70||
WS SERVICE AREA|25010065|heparin 1 unit/mL in 0.225% sodium chloride (1/4 NS) flush||00000005203|18.70||
WS SERVICE AREA|25010065|heparin 0.5 units/mL in 0.18% sodium chloride (1/5 NS) flush||00000005204|18.70||
WS SERVICE AREA|25010065|heparin 1 unit/mL in 0.18% sodium chloride (1/5 NS) flush||00000005205|18.70||
WS SERVICE AREA|25010065|norepinephrine 4 mg/250 mL infusion||00000005206|100.80||
WS SERVICE AREA|25010065|morphine 10 mg/mL injection solution,morphine 10 mg/mL intravenous solution,morphine 10 mg/mL injection syringe,morphine 10 mg/mL intravenous syringe||00409189301|18.70|J2274|18.70
WS SERVICE AREA|25010065|0.225% sodium chloride (1/4 NS) NICU flush||00000005233|18.70||
WS SERVICE AREA|25010065|sodium chloride 4 mEq/mL intravenous solution||63323018730|38.13||38.13
WS SERVICE AREA|25010065|nitroprusside 100 mcg/mL in dextrose 5% 250 mL||00000005265|2.25||
WS SERVICE AREA|25010065|morphine 150 mg/30 mL in 0.9% sodium chloride PCA||00000005345|87.95||87.95
WS SERVICE AREA|25010065|0.45% sodium chloride (1/2 NS) NICU flush||00000005434|18.70||
WS SERVICE AREA|25010065|heparin (initial bolus) 1000 unit/mL-low dose CPG,heparin 1,000 units/mL|J1644|63323054057|18.70||18.70
WS SERVICE AREA|25010065|heparin (initial bolus) 1000 unit/mL-low dose CPG,heparin 1,000 units/mL||25021040030|18.70||18.70
WS SERVICE AREA|25010065|heparin (initial bolus) 1000 unit/mL-low dose CPG,heparin 1,000 units/mL||63323054001|163.95||163.95
WS SERVICE AREA|25010065|heparin (initial bolus) 1000 unit/mL-low dose CPG,heparin 1,000 units/mL|J1644|63323054011|30.80||30.80
WS SERVICE AREA|25010065|heparin (initial bolus) 1000 unit/mL-low dose CPG,heparin 1,000 units/mL||63323054031|18.70||18.70
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||00517096010|38.01||38.01
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||67457019710|165.12||165.12
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||14789050010|198.87||198.87
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||63323056397|446.63||446.63
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||63323056310|152.20||152.20
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||39822100001|39.38||39.38
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||39822100106|39.38||39.38
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||42192060510|71.34||71.34
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||00013111421|57.36||57.36
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||23155016641|38.01||38.01
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||55150018810|114.15||114.15
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||47781060191|44.29||44.29
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||23155052441|22.73||22.73
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||67850004110|66.59||66.59
WS SERVICE AREA|25010065|bupivacaine-epinephrine 0.25%-1:100,000 injection solution||00000005549|62.78||62.78
WS SERVICE AREA|25010065|acetylcysteine 200 mg/mL (20 %) solution|J7608|00517760425|136.98||136.98
WS SERVICE AREA|25010065|aminocaproic acid 250 mg/mL intravenous solution||00409434673|61.01||61.01
WS SERVICE AREA|25010065|aminocaproic acid 250 mg/mL intravenous solution||00409434610|54.57||54.57
WS SERVICE AREA|25010065|metroNIDAZOLE in sodium chloride (iso-osm) 500 mg/100 mL IV Piggy Back||00409781137|51.10||51.10
WS SERVICE AREA|25010065|||000005691|51.10||
WS SERVICE AREA|25010065|promethazine 12.5 mg/25 mL in 0.9% sodium chloride intravenous piggyback||00000000274|62.70||
WS SERVICE AREA|25010065|lidocaine (PF) 200 mg/10 mL (2 %) injection syringe||61553032772|24.38||24.38
WS SERVICE AREA|25010065|sodium hypochlorite 0.25 % Soln||00000005013|22.83||22.83
WS SERVICE AREA|25010065|mupirocin 2 % Ointment||00000005019|147.86||147.86
WS SERVICE AREA|25010065|collagenase clostridium histolyticum 250 unit/g Ointment||00000005016|142.38||142.38
WS SERVICE AREA|25010065|lidocaine 10 mg/mL (1 %) Injection||00000005020|18.70||18.70
WS SERVICE AREA|25010065|lidocaine 4 % Mucosal Soln||00000005021|365.28||365.28
WS SERVICE AREA|25010065|lidocaine 2 % Mucosal Soln||00000005022|9.59||9.59
WS SERVICE AREA|25010065|lidocaine-epinephrine 1 %-1:100,000 Injection||00000005023|18.70||18.70
WS SERVICE AREA|25010065|silver nitrate applicators 75 %-25 % Topical Stick||00000005027|4.60||4.60
WS SERVICE AREA|25010065|lidocaine-EPINEPHrine-tetracaine (LET) topical gel||00000005070|30.75||
WS SERVICE AREA|25010065|lidocaine-EPINEPHrine-tetracaine (LET) topical gel||70092113544|80.06||80.06
WS SERVICE AREA|25010065|phenol 6% in water 10 mL||00000005031|31.00||
WS SERVICE AREA|25010065|acetic acid 2% solution||00000005034|31.00||
WS SERVICE AREA|25010065|acetic acid 3% solution||00000005035|31.00||
WS SERVICE AREA|25010065|calcium phosphate suspension||00000005049|152.20||
WS SERVICE AREA|25010065|||00000005054|119.49||
WS SERVICE AREA|25010065|fortified gentamycin ophthalmic solution||00000005057|171.23||
WS SERVICE AREA|25010065|fortified tobramycin ophthalmic drops||00000005058|272.06||
WS SERVICE AREA|25010065|fortified vancomycin ophthalmic drops 10 mg/mL||00000005059|7.43||
WS SERVICE AREA|25010065|fortified vancomycin ophthalmic drops 50 mg/mL||00000005060|34.06||
WS SERVICE AREA|25010065|mitoMYcin 0.4 mg/mL eye drops||00000005080|2,073.42||2,073.42
WS SERVICE AREA|25010065|heparine 0.5 units/mL flush||00000005096|15.75||
WS SERVICE AREA|25010065|doxycycline 1 mg/mL intravenous piggyback||00000005367|16,699.39||16,699.39
WS SERVICE AREA|25010065|||00000005429|0.01||
WS SERVICE AREA|25010065|||00000005430|0.01||
WS SERVICE AREA|25010065|sodium tetradecyl sulfate 1 % (10 mg/mL) intravenous solution||67457016202|794.36||794.36
WS SERVICE AREA|25010065|sodium tetradecyl sulfate 3 % (30 mg/mL) intravenous solution||67457016302|794.36||794.36
WS SERVICE AREA|25010065|sodium tetradecyl sulfate 3 % (30 mg/mL) intravenous solution||67457016300|794.36||794.36
WS SERVICE AREA|25010065|lidocaine 5 % topical ointment||00168020437|2,283.00||2,283.00
WS SERVICE AREA|25010065|lidocaine 5 % topical ointment||50383093335|2,283.00||2,283.00
WS SERVICE AREA|25010065|ketamine 10 mg/mL injection solution||67457018120|204.37||204.37
WS SERVICE AREA|25010065|ketamine 10 mg/mL injection solution||00000005216|18.70||18.70
WS SERVICE AREA|25010065|ketamine 10 mg/mL injection solution||67457018100|204.37||204.37
WS SERVICE AREA|25010065|ketamine 100 mg/mL injection solution||00409205105|69.73||69.73
WS SERVICE AREA|25010065|ketamine 100 mg/mL injection solution||00000005218|18.70||18.70
WS SERVICE AREA|25010065|ketamine 100 mg/mL injection solution||00143950901|98.24||98.24
WS SERVICE AREA|25010065|ketamine 100 mg/mL injection solution||00143950910|98.24||98.24
WS SERVICE AREA|25010065|ketamine 100 mg/mL injection solution||00409205115|69.73||69.73
WS SERVICE AREA|25010065|ketamine 50 mg/mL injection solution||67457000110|18.70||18.70
WS SERVICE AREA|25010065|ketamine 50 mg/mL injection solution||00143950801|18.70||18.70
WS SERVICE AREA|25010065|cysteine (L-cysteine) 50 mg/mL intravenous solution||00781894070|237.07||237.07
WS SERVICE AREA|25010065|cysteine (L-cysteine) 50 mg/mL intravenous solution||00781894095|237.07||237.07
WS SERVICE AREA|25010065|lidocaine HCL 4 % laryngotracheal solution||00409469801|30.89||30.89
WS SERVICE AREA|25010065|lidocaine HCL 4 % laryngotracheal solution||76329630005|142.69||142.69
WS SERVICE AREA|25010065|ammonia aromatic 15 % (w/v) solution for inhalation||39822990002|4.60||4.60
WS SERVICE AREA|25010065|leucovorin calcium 15 mg tablet||00054449810|29.87||29.87
WS SERVICE AREA|25010065|leucovorin calcium 25 mg tablet||51079058201|20.83||20.83
WS SERVICE AREA|25010065|leucovorin calcium 25 mg tablet||00555048527|36.53||36.53
WS SERVICE AREA|25010065|leucovorin calcium 5 mg tablet||51079058101|24.73||24.73
WS SERVICE AREA|25010065|levothyroxine 200 mcg intravenous powder for solution||63323064710|1,459.54||1,459.54
WS SERVICE AREA|25010065|levothyroxine 500 mcg intravenous powder for solution||63323064810|223.65||223.65
WS SERVICE AREA|25010065|lidocaine HCL 2 % mucosal jelly||17478071110|63.92||63.92
WS SERVICE AREA|25010065|lidocaine HCL 2 % mucosal jelly||17478071130|976.67||976.67
WS SERVICE AREA|25010065|lidocaine HCL 4 % (40 mg/mL) mucosal solution||00054350547|14.61||14.61
WS SERVICE AREA|25010065|lidocaine HCL 10 mg/mL (1 %) injection solution||00409427601|18.70||18.70
WS SERVICE AREA|25010065|lidocaine HCL 10 mg/mL (1 %) injection solution||00409427602|23.72||23.72
WS SERVICE AREA|25010065|lidocaine HCL 10 mg/mL (1 %) injection solution||63323048527|25.08||25.08
WS SERVICE AREA|25010065|lidocaine HCL 10 mg/mL (1 %) injection solution||00409427616|18.70||18.70
WS SERVICE AREA|25010065|lidocaine HCL 10 mg/mL (1 %) injection solution||63323020110|18.70||18.70
WS SERVICE AREA|25010065|lidocaine HCL 20 mg/mL (2 %) injection solution||00409427701|18.70||18.70
WS SERVICE AREA|25010065|lidocaine HCL 20 mg/mL (2 %) injection solution||63323048657|52.53||52.53
WS SERVICE AREA|25010065|lidocaine HCL 20 mg/mL (2 %) injection solution||63323048617|25.42||25.42
WS SERVICE AREA|25010065|lidocaine HCL 20 mg/mL (2 %) injection solution||63323048627|28.30||28.30
WS SERVICE AREA|25010065|lidocaine HCL 20 mg/mL (2 %) injection solution||00409427717|31.35||31.35
WS SERVICE AREA|25010065|lidocaine HCL 20 mg/mL (2 %) injection solution||00409427716|18.70||18.70
WS SERVICE AREA|25010065|lidocaine HCL 20 mg/mL (2 %) injection solution||55150025410|38.64||38.64
WS SERVICE AREA|25010065|lidocaine (PF) 100 mg/5 mL (2 %) intravenous syringe||00409490334|29.99||29.99
WS SERVICE AREA|25010065|lidocaine (PF) 100 mg/5 mL (2 %) intravenous syringe||76329339001|48.72||48.72
WS SERVICE AREA|25010065|lidocaine (PF) 100 mg/5 mL (2 %) intravenous syringe||69374094950|42.37||
WS SERVICE AREA|25010065|lidocaine (PF) 100 mg/5 mL (2 %) intravenous syringe||69374094905|42.37||
WS SERVICE AREA|25010065|mannitoL 20 % intravenous solution||00409771503|160.99||160.99
WS SERVICE AREA|25010065|mannitoL 20 % intravenous solution||00338035703|466.02||466.02
WS SERVICE AREA|25010065|mannitoL 20 % intravenous solution||00990771513|160.99||160.99
WS SERVICE AREA|25010065|metoprolol tartrate 5 mg/5 mL intravenous solution||00143987310|22.83||22.83
WS SERVICE AREA|25010065|metoprolol tartrate 5 mg/5 mL intravenous solution||00781307175|38.85||38.85
WS SERVICE AREA|25010065|metoprolol tartrate 5 mg/5 mL intravenous solution||00409177805|18.70||18.70
WS SERVICE AREA|25010065|metoprolol tartrate 5 mg/5 mL intravenous solution||63323066005|18.70||18.70
WS SERVICE AREA|25010065|metoprolol tartrate 5 mg/5 mL intravenous solution||00143966010|22.83||22.83
WS SERVICE AREA|25010065|metoprolol tartrate 5 mg/5 mL intravenous solution||36000003310|18.70||18.70
WS SERVICE AREA|25010065|metoprolol tartrate 5 mg/5 mL intravenous solution||00143987325|22.83||22.83
WS SERVICE AREA|25010065|metoprolol tartrate 5 mg/5 mL intravenous solution||70860030005|18.70||18.70
WS SERVICE AREA|25010065|metoprolol tartrate 5 mg/5 mL intravenous solution||00143987301|22.83||22.83
WS SERVICE AREA|25010065|metoprolol tartrate 5 mg/5 mL intravenous solution||70860030041|18.70||18.70
WS SERVICE AREA|25010065|metoprolol tartrate 5 mg/5 mL intravenous solution||72266012201|18.70||18.70
WS SERVICE AREA|25010065|metroNIDAZOLE 500 mg/100 mL-sodium chloride(iso) intravenous piggyback||00409781137|18.70||18.70
WS SERVICE AREA|25010065|nafcillin 1 gram solution for injection||00781912495|123.70||123.70
WS SERVICE AREA|25010065|nafcillin 1 gram solution for injection||00781912485|123.62||123.62
WS SERVICE AREA|25010065|nafcillin 1 gram solution for injection||70860011641|97.44||97.44
WS SERVICE AREA|25010065|nafcillin 2 gram solution for injection||00781912585|239.96||239.96
WS SERVICE AREA|25010065|nafcillin 2 gram solution for injection||63323032820|244.78||244.78
WS SERVICE AREA|25010065|nafcillin 2 gram solution for injection||55150012316|239.57||239.57
WS SERVICE AREA|25010065|neomycin 1.75 mg-polymyxin 10,000 unit-gramicidin 0.025mg/mL eye drops||24208079062|471.36||471.36
WS SERVICE AREA|25010065|anticoag citrate phos dextrose 2.63 gram-222 mg/100 mL solution||00409196703|177.93||177.93
WS SERVICE AREA|25010065|nitroglycerin 50 mg/10 mL (5 mg/mL) intravenous solution||00517481025|120.91||120.91
WS SERVICE AREA|25010065|penicillin G sodium 5 million unit solution for injection||00781615394|488.03||488.03
WS SERVICE AREA|25010065|phenylephrine 2.5 % eye drops||42702010215|684.90||684.90
WS SERVICE AREA|25010065|physostigmine 1 mg/mL injection solution||17478051002|795.99||795.99
WS SERVICE AREA|25010065|pilocarpine 1 % eye drops||61314020315|750.08||750.08
WS SERVICE AREA|25010065|pilocarpine 2 % eye drops||00998020415|724.28||724.28
WS SERVICE AREA|25010065|pilocarpine 2 % eye drops||61314020415|767.20||767.20
WS SERVICE AREA|25010065|pilocarpine 4 % eye drops||00998020615|758.87||758.87
WS SERVICE AREA|25010065|polymyxin B sulfate 500,000 unit solution for injection||63323036701|18.70||18.70
WS SERVICE AREA|25010065|potassium acetate 2 mEq/mL intravenous solution||00409818301|28.98||28.98
WS SERVICE AREA|25010065|potassium phosphates-mbasic and dibasic 3 mmol/mL intravenous solution||00409729501|124.04||124.04
WS SERVICE AREA|25010065|povidone-iodine 10 % topical solution||67618015005|9.47||9.47
WS SERVICE AREA|25010065|prednisoLONE acetate 1 % eye drops,suspension||11980018005|1,162.50||1,162.50
WS SERVICE AREA|25010065|prednisoLONE acetate 1 % eye drops,suspension||60758011905|401.81||401.81
WS SERVICE AREA|25010065|prednisoLONE acetate 1 % eye drops,suspension||61314063705|420.99||420.99
WS SERVICE AREA|25010065|ascorbic acid (vitamin C) 500 mg/mL injection solution||67457011850|750.64||750.64
WS SERVICE AREA|25010065|proparacaine 0.5 % eye drops||00998001615|276.47||276.47
WS SERVICE AREA|25010065|proparacaine 0.5 % eye drops||17478026312|333.89||333.89
WS SERVICE AREA|25010065|proparacaine 0.5 % eye drops||24208073006|267.00||267.00
WS SERVICE AREA|25010065|proparacaine 0.5 % eye drops||61314001601|333.89||333.89
WS SERVICE AREA|25010065|sodium chloride 0.9 %, bacteriostatic injection solution||00409196607|18.70||18.70
WS SERVICE AREA|25010065|sodium chloride 0.9 %, bacteriostatic injection solution||00409196606|18.70||18.70
WS SERVICE AREA|25010065|sodium chloride 0.9 %, bacteriostatic injection solution||63323025930|21.86||21.86
WS SERVICE AREA|25010065|methohexitaL 500 mg solution for injection||42023010501|660.30||660.30
WS SERVICE AREA|25010065|neomycin 40 mg-polymyxin B 200,000 unit/mL GU irrigation solution||39822122001|857.09||857.09
WS SERVICE AREA|25010065|neomycin 40 mg-polymyxin B 200,000 unit/mL GU irrigation solution||39822120101|92.57||92.57
WS SERVICE AREA|25010065|neomycin 40 mg-polymyxin B 200,000 unit/mL GU irrigation solution||00000005686|52.53||52.53
WS SERVICE AREA|25010065|silver sulfADIAZINE 1 % topical cream||43598021040|484.00||484.00
WS SERVICE AREA|25010065|silver sulfADIAZINE 1 % topical cream||43598021085|201.17||201.17
WS SERVICE AREA|25010065|silver sulfADIAZINE 1 % topical cream||61570013120|66.51||66.51
WS SERVICE AREA|25010065|sodium acetate 2 mEq/mL intravenous solution||00409729973|26.77||26.77
WS SERVICE AREA|25010065|sodium acetate 2 mEq/mL intravenous solution||00409329906|53.38||53.38
WS SERVICE AREA|25010065|sodium acetate 2 mEq/mL intravenous solution||00409329925|49.99||49.99
WS SERVICE AREA|25010065|sodium acetate 2 mEq/mL intravenous solution||00409729925|26.10||26.10
WS SERVICE AREA|25010065|sodium bicarbonate 4.2 % (0.5 mEq/mL) intravenous syringe||00409553434|91.59||91.59
WS SERVICE AREA|25010065|sodium bicarbonate 4.2 % (0.5 mEq/mL) intravenous syringe||00409553424|96.17||96.17
WS SERVICE AREA|25010065|sodium bicarbonate 8.4 % (1 mEq/mL) intravenous syringe||00409663734|91.93||91.93
WS SERVICE AREA|25010065|sodium bicarbonate 8.4 % (1 mEq/mL) intravenous syringe||76329335201|114.39||114.39
WS SERVICE AREA|25010065|sodium bicarbonate 8.4 % (1 mEq/mL) intravenous syringe||69374091450|42.37||42.37
WS SERVICE AREA|25010065|sodium chloride 0.9 % (flush) injection syringe||63807010033|45.42||45.42
WS SERVICE AREA|25010065|sodium chloride 0.9 % (flush) injection syringe||08881570300|18.70||18.70
WS SERVICE AREA|25010065|sodium chloride 0.9 % (flush) injection syringe||08290306547|18.70||18.70
WS SERVICE AREA|25010065|sodium chloride 0.9 % (flush) injection syringe||08881579121|18.70||18.70
WS SERVICE AREA|25010065|sodium chloride 0.9 % (flush) injection syringe||08881579300|18.70||18.70
WS SERVICE AREA|25010065|sodium chloride 4 mEq/mL intravenous solution||63323018730|38.13||38.13
WS SERVICE AREA|25010065|sodium chloride 0.9 % for nebulization||00487930133|4.60||4.60
WS SERVICE AREA|25010065|sodium chloride 0.9 % for nebulization||00487930103|4.60||4.60
WS SERVICE AREA|25010065|sodium chloride 3 % for nebulization||00378699789|5.71||5.71
WS SERVICE AREA|25010065|sodium phosphate 3 mmol/mL intravenous solution||63323017005|136.75||136.75
WS SERVICE AREA|25010065|sodium phosphate 3 mmol/mL intravenous solution||63323017015|279.74||279.74
WS SERVICE AREA|25010065|sodium phosphate 3 mmol/mL intravenous solution||00409739182|127.73||127.73
WS SERVICE AREA|25010065|sulfacetamide sodium 10 % eye drops||24208067004|464.25||464.25
WS SERVICE AREA|25010065|sulfacetamide sodium 10 % eye drops||61314070101|423.50||423.50
WS SERVICE AREA|25010065|atropine 1 % eye drops||17478021505|444.27||444.27
WS SERVICE AREA|25010065|sodium thiosulfate 12.5 gram/50 mL (250 mg/mL) intravenous solution||60267070550|739.58||739.58
WS SERVICE AREA|25010065|sulfamethoxazole 400 mg-trimethoprim 80 mg/5 mL intravenous solution||00703951401|106.25||106.25
WS SERVICE AREA|25010065|sulfamethoxazole 400 mg-trimethoprim 80 mg/5 mL intravenous solution||00703951403|106.25||106.25
WS SERVICE AREA|25010065|sulfamethoxazole 400 mg-trimethoprim 80 mg/5 mL intravenous solution||00703952601|318.75||318.75
WS SERVICE AREA|25010065|acetylcholine chloride 1 % (10 mg/mL) intraocular kit||24208053920|197.57||197.57
WS SERVICE AREA|25010065|sodium hypochlorite 0.125 % solution||00436067216|82.79||82.79
WS SERVICE AREA|25010065|selenium 40 mcg/mL intravenous solution||00517651025|150.23||150.23
WS SERVICE AREA|25010065|arformoteroL 15 mcg/2 mL solution for nebulization|J7605|63402091130|136.07||136.07
WS SERVICE AREA|25010065|arformoteroL 15 mcg/2 mL solution for nebulization||63402091101|136.07||136.07
WS SERVICE AREA|25010065|tetracaine 0.5 % eye drops||69292031715|4.60||4.60
WS SERVICE AREA|25010065|tetracaine 0.5 % eye drops||68682092064|4.60||4.60
WS SERVICE AREA|25010065|tetracaine 0.5 % eye drops||24208092064|80.25||80.25
WS SERVICE AREA|25010065|tobramycin 0.3 % eye drops||61314064305|258.74||258.74
WS SERVICE AREA|25010065|thrombin-calcium-cme cellulose-hemostatic pad 3" X 3" topical||60793091603|433.81||433.81
WS SERVICE AREA|25010065|clindamycin 150 mg/mL injection solution||25021011504|29.76|S0077|29.76
WS SERVICE AREA|25010065|clindamycin 150 mg/mL injection solution||25021011506|26.84|S0077|26.84
WS SERVICE AREA|25010065|tropicamide 1 % eye drops||24208058559|76.10||76.10
WS SERVICE AREA|25010065|tuberculin PPD 5 tub. unit/0.1 mL intradermal injection solution||42023010401|75.27||75.27
WS SERVICE AREA|25010065|tuberculin PPD 5 tub. unit/0.1 mL intradermal injection solution||49281075221|76.02||76.02
WS SERVICE AREA|25010065|bacitracin 50,000 unit intramuscular solution||00009023301|94.47||94.47
WS SERVICE AREA|25010065|bacitracin 50,000 unit intramuscular solution||00009023303|93.97||93.97
WS SERVICE AREA|25010065|bacitracin 50,000 unit intramuscular solution||00009023401|93.97||93.97
WS SERVICE AREA|25010065|bacitracin 50,000 unit intramuscular solution||00009023402|93.97||93.97
WS SERVICE AREA|25010065|bacitracin 50,000 unit intramuscular solution||63323032931|76.26||76.26
WS SERVICE AREA|25010065|bacitracin 500 unit/gram eye ointment||00574402235|901.33||901.33
WS SERVICE AREA|25010065|verapamiL 2.5 mg/mL intravenous solution||00409114405|246.43||246.43
WS SERVICE AREA|25010065|verapamiL 2.5 mg/mL intravenous solution||51754020302|272.41||272.41
WS SERVICE AREA|25010065|verapamiL 2.5 mg/mL intravenous solution||51754020301|272.41||272.41
WS SERVICE AREA|25010065|verapamiL 2.5 mg/mL intravenous solution||00409114411|246.43||246.43
WS SERVICE AREA|25010065|neomycin-bacitracn Zn-polymyx 3.5 mg-400 unit-5,000 unit/gram top oint||00472017934|43.95||43.95
WS SERVICE AREA|25010065|neomycin-bacitracn Zn-polymyx 3.5 mg-400 unit-5,000 unit/gram top oint||45802014301|32.39||32.39
WS SERVICE AREA|25010065|trypan blue 0.06 % intraocular syringe||68803061210|591.42||591.42
WS SERVICE AREA|25010065|zinc chloride 1 mg/mL intravenous solution||00409409001|170.39||170.39
WS SERVICE AREA|25010065|zinc sulfate 1 mg/mL intravenous solution||00517611025|216.23||216.23
WS SERVICE AREA|25010065|clopidogreL 300 mg tablet||00904646707|101.11||101.11
WS SERVICE AREA|25010065|thrombin (recombinant) 5,000 unit topical solution||43825060641|654.46||654.46
WS SERVICE AREA|25010065|alfentaniL 500 mcg/mL injection solution||00409226602|18.70||18.70
WS SERVICE AREA|25010065|apraclonidine 1 % eye drops in a dropperette||00065066010|4.60||4.60
WS SERVICE AREA|25010065|atracurium 10 mg/mL intravenous solution||25021065905|67.78||67.78
WS SERVICE AREA|25010065|aztreonam 1 gram solution for injection||00003256016|245.72||245.72
WS SERVICE AREA|25010065|aztreonam 1 gram solution for injection||63323040120|279.19||279.19
WS SERVICE AREA|25010065|aztreonam 1 gram solution for injection||63323040126|231.40||231.40
WS SERVICE AREA|25010065|aztreonam 2 gram solution for injection||00003257016|491.43||491.43
WS SERVICE AREA|25010065|aztreonam 2 gram solution for injection||63323040220|567.27||567.27
WS SERVICE AREA|25010065|aztreonam 2 gram solution for injection||63323040230|462.80||462.80
WS SERVICE AREA|25010065|thrombin (recombinant) 20,000 unit topical solution||43825070741|2,617.84||2,617.84
WS SERVICE AREA|25010065|thrombin (recombinant) 20,000 unit topical solution||00338032601|2,617.84||2,617.84
WS SERVICE AREA|25010065|benzoin topical spray||00534010306|102.74||102.74
WS SERVICE AREA|25010065|benzylpenicilloyl polylysine 0.25 mL intradermal injection solution||49471000105|39.45||
WS SERVICE AREA|25010065|bumetanide 0.25 mg/mL injection solution||00409141204|18.70||18.70
WS SERVICE AREA|25010065|bumetanide 0.25 mg/mL injection solution||00409141210|28.05||28.05
WS SERVICE AREA|25010065|bumetanide 0.25 mg/mL injection solution||00641600801|23.28||23.28
WS SERVICE AREA|25010065|bumetanide 0.25 mg/mL injection solution||00641616110|19.28||19.28
WS SERVICE AREA|25010065|bumetanide 0.25 mg/mL injection solution||00641616201|20.93||20.93
WS SERVICE AREA|25010065|bumetanide 0.25 mg/mL injection solution||00641616210|20.93||20.93
WS SERVICE AREA|25010065|bupivacaine (PF) 0.75 % (7.5 mg/mL) in 8.25 % dextrose injection||00409361301|19.76||19.76
WS SERVICE AREA|25010065|bupivacaine (PF) 0.75 % (7.5 mg/mL) in 8.25 % dextrose injection||63323047302|33.33||33.33
WS SERVICE AREA|25010065|ipratropium 0.5 mg-albuteroL 3 mg (2.5 mg base)/3 mL nebulization soln||00487020101|16.80||16.80
WS SERVICE AREA|25010065|ipratropium 0.5 mg-albuteroL 3 mg (2.5 mg base)/3 mL nebulization soln||00487020160|16.00||16.00
WS SERVICE AREA|25010065|ipratropium 0.5 mg-albuteroL 3 mg (2.5 mg base)/3 mL nebulization soln||00487020103|16.67||16.67
WS SERVICE AREA|25010065|ipratropium 0.5 mg-albuteroL 3 mg (2.5 mg base)/3 mL nebulization soln||76204060001|17.46||17.46
WS SERVICE AREA|25010065|ipratropium 0.5 mg-albuteroL 3 mg (2.5 mg base)/3 mL nebulization soln||00378967193|17.51||17.51
WS SERVICE AREA|25010065|ipratropium 0.5 mg-albuteroL 3 mg (2.5 mg base)/3 mL nebulization soln||00378967131|17.51||17.51
WS SERVICE AREA|25010065|ipratropium 0.5 mg-albuteroL 3 mg (2.5 mg base)/3 mL nebulization soln||00378698831|16.62||16.62
WS SERVICE AREA|25010065|carboprost tromethamine 250 mcg/mL intramuscular solution||00009085608|2,462.09||2,462.09
WS SERVICE AREA|25010065|carboprost tromethamine 250 mcg/mL intramuscular solution||00009085605|2,462.09||2,462.09
WS SERVICE AREA|25010065|niCARdipine 20 mg/200 mL(0.1 mg/mL) in sod chlor(iso) intravenous soln||00143963401|702.26||702.26
WS SERVICE AREA|25010065|mineral oil||51927107400|4.60||4.60
WS SERVICE AREA|25010065|niCARdipine 40 mg/200 mL(0.2 mg/ml) in sod chlor(iso) intravenous soln||10122032501|1,686.53||1,686.53
WS SERVICE AREA|25010065|chlorhexidine gluconate 0.12 % mouthwash||17856200203|12.10||12.10
WS SERVICE AREA|25010065|chlorhexidine gluconate 0.12 % mouthwash||00116200115|8.60||
WS SERVICE AREA|25010065|chlorhexidine gluconate 0.12 % mouthwash||00000005358|8.56||
WS SERVICE AREA|25010065|chlorhexidine gluconate 0.12 % mouthwash||69339013819|16.21||16.21
WS SERVICE AREA|25010065|rocuronium 10 mg/mL intravenous solution||00409955849|30.93||30.93
WS SERVICE AREA|25010065|rocuronium 10 mg/mL intravenous solution||00409955850|59.48||59.48
WS SERVICE AREA|25010065|rocuronium 10 mg/mL intravenous solution||00781322095|166.62||166.62
WS SERVICE AREA|25010065|rocuronium 10 mg/mL intravenous solution||25021066205|50.84||50.84
WS SERVICE AREA|25010065|rocuronium 10 mg/mL intravenous solution||67457022805|71.17||71.17
WS SERVICE AREA|25010065|rocuronium 10 mg/mL intravenous solution||63323042601|110.15||110.15
WS SERVICE AREA|25010065|rocuronium 10 mg/mL intravenous solution||00409955870|59.48||59.48
WS SERVICE AREA|25010065|ciprofloxacin 0.3 % eye drops||61314065625|4.60||4.60
WS SERVICE AREA|25010065|ciprofloxacin 0.3 % eye drops||17478071410|77.62||77.62
WS SERVICE AREA|25010065|clindamycin 2 % vaginal cream||00168027740|991.74||991.74
WS SERVICE AREA|25010065|clindamycin 600 mg/50 mL in 5 % dextrose intravenous piggyback||00781922191|125.82||125.82
WS SERVICE AREA|25010065|clindamycin 900 mg/50 mL in 5 % dextrose intravenous piggyback||00781922291|153.36||153.36
WS SERVICE AREA|25010065|collagenase clostridium histolyticum 250 unit/gram topical ointment||50484001030|1,987.81||1,987.81
WS SERVICE AREA|25010065|cyclopentolate 0.5 % eye drops||00065039515|599.29||599.29
WS SERVICE AREA|25010065|cyclopentolate 2 % eye drops||17478009702|224.57||224.57
WS SERVICE AREA|25010065|cyclopentolate 2 % eye drops||00065039702|274.49||274.49
WS SERVICE AREA|25010065|dilTIAZem 5 mg/mL intravenous solution||00409117102|27.03||27.03
WS SERVICE AREA|25010065|dilTIAZem 5 mg/mL intravenous solution||00409117101|18.70||18.70
WS SERVICE AREA|25010065|dilTIAZem 5 mg/mL intravenous solution||17478093705|29.74||29.74
WS SERVICE AREA|25010065|dilTIAZem 5 mg/mL intravenous solution||17478093710|30.84||30.84
WS SERVICE AREA|25010065|dilTIAZem 5 mg/mL intravenous solution||00641601410|18.70||18.70
WS SERVICE AREA|25010065|dilTIAZem 5 mg/mL intravenous solution||00641921710|18.70||18.70
WS SERVICE AREA|25010065|desflurane 100 % inhalation liquid||10019064134|1,220.04||1,220.04
WS SERVICE AREA|25010065|desflurane 100 % inhalation liquid||10019064164|1,220.04||1,220.04
WS SERVICE AREA|25010065|desflurane 100 % inhalation liquid||10019064434|1,220.04||1,220.04
WS SERVICE AREA|25010065|desflurane 100 % inhalation liquid||10019064464|1,220.04||1,220.04
WS SERVICE AREA|25010065|edrophonium Cl-atropine 10 mg-0.14 mg/mL intravenous solution||67457019205|223.69||223.69
WS SERVICE AREA|25010065|enalaprilat 1.25 mg/mL intravenous solution||00143978710|37.25||37.25
WS SERVICE AREA|25010065|enalaprilat 1.25 mg/mL intravenous solution||00000005590|33.26||33.26
WS SERVICE AREA|25010065|esmoloL 100 mg/10 mL (10 mg/mL) intravenous solution||63323065210|121.84||121.84
WS SERVICE AREA|25010065|esmoloL 100 mg/10 mL (10 mg/mL) intravenous solution||67457018210|71.17||71.17
WS SERVICE AREA|25010065|treprostiniL 1.74 mg/2.9 mL soln for inhalation-nebulizer,accessories|J7686|66302020604|35,616.01||35,616.01
WS SERVICE AREA|25010065|conjugated estrogens 0.625 mg/gram vaginal cream||00046087221|2,985.02||2,985.02
WS SERVICE AREA|25010065|ethacrynate sodium 50 mg intravenous solution||25010021027|34,661.33||34,661.33
WS SERVICE AREA|25010065|ethacrynate sodium 50 mg intravenous solution||42023015799|26,265.60||26,265.60
WS SERVICE AREA|25010066|acetaminophen 160 mg/5 mL oral liquid||00904198500|3.96||3.96
WS SERVICE AREA|25010066|benztropine 2 mg tablet||69315013801|4.60||4.60
WS SERVICE AREA|25010066|benztropine 2 mg tablet||00603243921|4.60||4.60
WS SERVICE AREA|25010066|paliperidone ER 1.5 mg tablet,extended release 24 hr||00378397893|232.58||232.58
WS SERVICE AREA|25010066|famotidine 40 mg/5 mL (8 mg/mL) oral suspension||68180015001|743.19||743.19
WS SERVICE AREA|25010066|famotidine 20 mg tablet||00172572860|5.09||5.09
WS SERVICE AREA|25010066|famotidine 20 mg tablet||00172572870|5.09||5.09
WS SERVICE AREA|25010066|famotidine 20 mg tablet||00172572880|5.09||5.09
WS SERVICE AREA|25010066|famotidine 20 mg tablet||52959075860|4.23||4.23
WS SERVICE AREA|25010066|famotidine 20 mg tablet||49348081705|0.67||0.67
WS SERVICE AREA|25010066|famotidine 20 mg tablet||10939013844|0.67||0.67
WS SERVICE AREA|25010066|famotidine 20 mg tablet||63739064510|0.60||0.60
WS SERVICE AREA|25010066|famotidine 20 mg tablet||62332000131|3.63||3.63
WS SERVICE AREA|25010066|famotidine 20 mg tablet||65862085901|5.09||5.09
WS SERVICE AREA|25010066|famotidine 20 mg tablet||00187442030|23.85||23.85
WS SERVICE AREA|25010066|famotidine 20 mg tablet||10939013944|0.60||0.60
WS SERVICE AREA|25010066|famotidine 20 mg tablet||49348081709|0.60||0.60
WS SERVICE AREA|25010066|famotidine 20 mg tablet||16837085525|0.74||0.74
WS SERVICE AREA|25010066|felbamate 600 mg tablet||00037043101|73.50||73.50
WS SERVICE AREA|25010066|finasteride 5 mg tablet||65862014990|23.80||23.80
WS SERVICE AREA|25010066|finasteride 5 mg tablet||50268032315|23.99||23.99
WS SERVICE AREA|25010066|finasteride 5 mg tablet||68084039901|25.35||25.35
WS SERVICE AREA|25010066|finasteride 5 mg tablet||68084039911|25.35||25.35
WS SERVICE AREA|25010066|finasteride 5 mg tablet||00904683006|5.14||5.14
WS SERVICE AREA|25010066|flavoxATE 100 mg tablet||00574011501|11.13||11.13
WS SERVICE AREA|25010066|flecainide 100 mg tablet||00054001121|13.62||13.62
WS SERVICE AREA|25010066|flecainide 50 mg tablet||00054001021|15.37||15.37
WS SERVICE AREA|25010066|fluconazole 100 mg tablet||00172541146|33.31||33.31
WS SERVICE AREA|25010066|fluconazole 100 mg tablet||00172541160|31.64||31.64
WS SERVICE AREA|25010066|fluconazole 100 mg tablet||16714069101|33.37||33.37
WS SERVICE AREA|25010066|fluconazole 200 mg tablet||00172541360|25.89||25.89
WS SERVICE AREA|25010066|fluconazole 200 mg tablet||59762501801|27.25||27.25
WS SERVICE AREA|25010066|flucytosine 500 mg capsule||64980018001|1,208.51||1,208.51
WS SERVICE AREA|25010066|flucytosine 500 mg capsule||00054042825|1,208.51||1,208.51
WS SERVICE AREA|25010066|flucytosine 500 mg capsule||60687036395|1,430.71||1,430.71
WS SERVICE AREA|25010066|fludrocortisone 0.1 mg tablet||00115703301|4.60||4.60
WS SERVICE AREA|25010066|fludrocortisone 0.1 mg tablet||68084028811|4.60||4.60
WS SERVICE AREA|25010066|diclofenac 1 % topical gel||63481068447|410.94||410.94
WS SERVICE AREA|25010066|diclofenac 1 % topical gel||65162083366|417.03||417.03
WS SERVICE AREA|25010066|diclofenac 1 % topical gel||76282066339|100.45||100.45
WS SERVICE AREA|25010066|FLUoxetine 10 mg capsule||50111064701|19.77||19.77
WS SERVICE AREA|25010066|FLUoxetine 20 mg capsule||68084060511|9.57||9.57
WS SERVICE AREA|25010066|ritonavir 100 mg tablet||00074333330|65.23||65.23
WS SERVICE AREA|25010066|acetaminophen 325 mg tablet||63739044001|0.60||0.60
WS SERVICE AREA|25010066|acetaminophen 325 mg tablet||00904198251|0.60||0.60
WS SERVICE AREA|25010066|acetaminophen 325 mg tablet||00450049660|0.60||0.60
WS SERVICE AREA|25010066|acetaminophen 325 mg tablet||50580060002|0.60||
WS SERVICE AREA|25010066|acetaminophen 325 mg tablet||00904677361|0.60||0.60
WS SERVICE AREA|25010066|acetaminophen 325 mg tablet||50580045811|0.60||
WS SERVICE AREA|25010066|glipiZIDE 10 mg tablet||51079081101|4.60||4.60
WS SERVICE AREA|25010066|glipiZIDE 5 mg tablet||51079081020|4.60||4.60
WS SERVICE AREA|25010066|glipiZIDE 5 mg tablet||60505014100|4.60||4.60
WS SERVICE AREA|25010066|glyBURIDE 1.25 mg tablet||00093947753|4.60||4.60
WS SERVICE AREA|25010066|glyBURIDE 2.5 mg tablet||23155005701|4.60||4.60
WS SERVICE AREA|25010066|glycopyrrolate 1 mg tablet||49884006501|9.99||9.99
WS SERVICE AREA|25010066|glycopyrrolate 1 mg tablet||13107001401|9.99||9.99
WS SERVICE AREA|25010066|guanFACINE 1 mg tablet||00378116001|6.64||6.64
WS SERVICE AREA|25010066|hydrocortisone 5 mg tablet||59762007301|4.60||4.60
WS SERVICE AREA|25010066|hydrocortisone 100 mg/60 mL enema||62559013807|108.11||108.11
WS SERVICE AREA|25010066|hydrocortisone 100 mg/60 mL enema||62559013811|108.11||108.11
WS SERVICE AREA|25010066|hydrocortisone butyrate 0.1 % topical cream||51672407401|477.26||477.26
WS SERVICE AREA|25010066|hydroxyurea 500 mg capsule||68084028401|8.40||8.40
WS SERVICE AREA|25010066|hydroxyurea 500 mg capsule||68084028411|8.40||8.40
WS SERVICE AREA|25010066|hydroxyurea 500 mg capsule||00904693961|7.34||7.34
WS SERVICE AREA|25010066|ibuprofen 100 mg/5 mL oral suspension||00121477405|7.90||7.90
WS SERVICE AREA|25010066|ibuprofen 100 mg/5 mL oral suspension||49348087634|25.70||25.70
WS SERVICE AREA|25010066|imipramine pamoate 75 mg capsule||00054027313|230.92||230.92
WS SERVICE AREA|25010066|indapamide 1.25 mg tablet||00228259711|5.17||5.17
WS SERVICE AREA|25010066|indapamide 1.25 mg tablet||00378006901|10.81||10.81
WS SERVICE AREA|25010066|insulin NPH isophane U-100 human 100 unit/mL subcutaneous suspension||00002831517|377.98||377.98
WS SERVICE AREA|25010066|insulin human U-100 NPH-regulr 70-30 mix 100 unit/mL subcutaneous susp||00002871501|18.70||18.70
WS SERVICE AREA|25010066|insulin human U-100 NPH-regulr 70-30 mix 100 unit/mL subcutaneous susp||00002871517|18.70||18.70
WS SERVICE AREA|25010066|insulin U-100 regular human 100 unit/mL injection solution||00002821501|18.70||18.70
WS SERVICE AREA|25010066|insulin U-100 regular human 100 unit/mL injection solution||00002821517|18.70||18.70
WS SERVICE AREA|25010066|acetaminophen 120 mg rectal suppository||00713011806|2.48||2.48
WS SERVICE AREA|25010066|betamethasone valerate 0.1 % topical cream||00168004015|212.89||212.89
WS SERVICE AREA|25010066|betamethasone valerate 0.1 % lotion||00168004160|456.60||456.60
WS SERVICE AREA|25010066|betamethasone valerate 0.1 % topical ointment||00168003315|154.79||154.79
WS SERVICE AREA|25010066|betamethasone valerate 0.1 % topical ointment||00472037115|159.01||159.01
WS SERVICE AREA|25010066|itraconazole 100 mg capsule||00185055030|70.61||70.61
WS SERVICE AREA|25010066|itraconazole 100 mg capsule||10147170007|56.64||56.64
WS SERVICE AREA|25010066|ketoconazole 2 % topical cream||51672129801|999.38||999.38
WS SERVICE AREA|25010066|ketoconazole 200 mg tablet||00378026101|28.84||28.84
WS SERVICE AREA|25010066|ketorolac 10 mg tablet||00378113401|17.24||17.24
WS SERVICE AREA|25010066|ketorolac 10 mg tablet||69543038810|16.41||16.41
WS SERVICE AREA|25010066|ketorolac 10 mg tablet||00093031401|16.41||16.41
WS SERVICE AREA|25010066|labetaloL 100 mg tablet||00185001001|4.60||4.60
WS SERVICE AREA|25010066|labetaloL 100 mg tablet||51079092801|4.60||4.60
WS SERVICE AREA|25010066|labetaloL 200 mg tablet||00185011701|4.60||4.60
WS SERVICE AREA|25010066|labetaloL 200 mg tablet||58657060601|4.60||4.60
WS SERVICE AREA|25010066|labetaloL 200 mg tablet||51079092920|4.60||4.60
WS SERVICE AREA|25010066|labetaloL 300 mg tablet||00185011801|4.60||4.60
WS SERVICE AREA|25010066|labetaloL 300 mg tablet||00904593061|4.60||4.60
WS SERVICE AREA|25010066|labetaloL 300 mg tablet||71930003712|4.60||4.60
WS SERVICE AREA|25010066|ammonium lactate 12 % lotion||45802041954|251.70||251.70
WS SERVICE AREA|25010066|ammonium lactate 12 % lotion||00904598426|29.11||29.11
WS SERVICE AREA|25010066|Lactobacillus acidophilus, bulgaricus 100 million cell granules packet||64980014612|8.53||8.53
WS SERVICE AREA|25010066|Lactobacillus acidophilus, bulgaricus 100 million cell granules packet||64980014698|8.53||8.53
WS SERVICE AREA|25010066|tamsulosin 0.4 mg capsule||68382013201|32.07||32.07
WS SERVICE AREA|25010066|tamsulosin 0.4 mg capsule||00904640161|4.60||4.60
WS SERVICE AREA|25010066|levobunoloL 0.5 % eye drops||24208050505|184.01||184.01
WS SERVICE AREA|25010066|acetaminophen 325 mg rectal suppository||00713016406|0.60||0.60
WS SERVICE AREA|25010066|levothyroxine 88 mcg tablet||00074659490|4.60||4.60
WS SERVICE AREA|25010066|levothyroxine 88 mcg tablet||00781518392|4.60||4.60
WS SERVICE AREA|25010066|levothyroxine 88 mcg tablet||00527134401|4.60||4.60
WS SERVICE AREA|25010066|levothyroxine 175 mcg tablet||00781518892|4.60||4.60
WS SERVICE AREA|25010066|levothyroxine 175 mcg tablet||00527135001|4.60||4.60
WS SERVICE AREA|25010066|bethanechol chloride 10 mg tablet||00832051189|7.61||7.61
WS SERVICE AREA|25010066|bethanechol chloride 25 mg tablet||00832051289|4.60||4.60
WS SERVICE AREA|25010066|liothyronine 5 mcg tablet||60793011501|14.59||14.59
WS SERVICE AREA|25010066|liothyronine 5 mcg tablet||59762120601|6.47||6.47
WS SERVICE AREA|25010066|lisinopriL 10 mg tablet||43547035310|4.60||4.60
WS SERVICE AREA|25010066|lisinopriL 10 mg tablet||43547041610|4.60||4.60
WS SERVICE AREA|25010066|lisinopriL 40 mg tablet||68084019901|4.60||4.60
WS SERVICE AREA|25010066|lisinopriL 40 mg tablet||43547035610|4.60||4.60
WS SERVICE AREA|25010066|lisinopriL 5 mg tablet||00603421060|4.60||4.60
WS SERVICE AREA|25010066|lisinopriL 5 mg tablet||43547035210|4.60||4.60
WS SERVICE AREA|25010066|lisinopriL 5 mg tablet||43547041510|4.60||4.60
WS SERVICE AREA|25010066|lisinopriL 5 mg tablet||51079098120|4.60||4.60
WS SERVICE AREA|25010066|lithium carbonate ER 300 mg tablet,extended release||00054002125|4.60||4.60
WS SERVICE AREA|25010066|lithium carbonate ER 300 mg tablet,extended release||68462022301|4.60||4.60
WS SERVICE AREA|25010066|lithium carbonate ER 450 mg tablet,extended release||00054002025|4.60||4.60
WS SERVICE AREA|25010066|lithium carbonate ER 450 mg tablet,extended release||68462022401|4.60||4.60
WS SERVICE AREA|25010066|lithium carbonate ER 450 mg tablet,extended release||00378145001|4.60||4.60
WS SERVICE AREA|25010066|ganciclovir 0.15 % eye gel||24208053535|2,833.51||2,833.51
WS SERVICE AREA|25010066|tranexamic acid 650 mg tablet||69918030130|33.07||33.07
WS SERVICE AREA|25010066|rifAXIMin 550 mg tablet||65649030303|117.87||117.87
WS SERVICE AREA|25010066|loratadine 10 mg tablet||68084024811|1.47||1.47
WS SERVICE AREA|25010066|magnesium oxide 400 mg (241.3 mg magnesium) tablet||51645078508|0.60||0.60
WS SERVICE AREA|25010066|magnesium oxide 400 mg (241.3 mg magnesium) tablet||63739035410|0.60||0.60
WS SERVICE AREA|25010066|magnesium oxide 400 mg (241.3 mg magnesium) tablet||10006070028|0.60||0.60
WS SERVICE AREA|25010066|magnesium oxide 400 mg (241.3 mg magnesium) tablet||60258017101|0.60||0.60
WS SERVICE AREA|25010066|magnesium oxide 400 mg (241.3 mg magnesium) tablet||63739035401|0.60||0.60
WS SERVICE AREA|25010066|lactulose 20 gram/30 mL oral solution||00121457730|4.60||4.60
WS SERVICE AREA|25010066|acetaminophen 650 mg rectal suppository||00713016506|2.97||2.97
WS SERVICE AREA|25010066|acetaminophen 650 mg rectal suppository||45802073000|2.49||2.49
WS SERVICE AREA|25010066|medium chain triglycerides (MCT) 7.7 kcal/mL oral oil||41679036513|6.85||6.85
WS SERVICE AREA|25010066|megestroL 400 mg/10 mL (40 mg/mL) oral suspension||60432012608|45.66||45.66
WS SERVICE AREA|25010066|mesalamine CR 250 mg capsule,controlled release||54092018981|46.21||46.21
WS SERVICE AREA|25010066|mesalamine 4 gram/60 mL enema||45802009846|184.92||184.92
WS SERVICE AREA|25010066|metFORMIN 500 mg tablet||23155010201|5.36||5.36
WS SERVICE AREA|25010066|metFORMIN 500 mg tablet||00904668961|4.60||4.60
WS SERVICE AREA|25010066|lacosamide 10 mg/mL oral solution||00000005424|102.20||
WS SERVICE AREA|25010066|methIMAzole 10 mg tablet||00185021001|4.60||4.60
WS SERVICE AREA|25010066|methIMAzole 10 mg tablet||68084027611|4.60||4.60
WS SERVICE AREA|25010066|methIMAzole 10 mg tablet||51293082101|4.60||4.60
WS SERVICE AREA|25010066|methIMAzole 10 mg tablet||60687037001|4.60||4.60
WS SERVICE AREA|25010066|methylergonovine 0.2 mg tablet||43386014028|511.32||511.32
WS SERVICE AREA|25010066|methylergonovine 0.2 mg tablet||69238160508|511.32||511.32
WS SERVICE AREA|25010066|methylergonovine 0.2 mg tablet||00093365528|539.73||539.73
WS SERVICE AREA|25010066|metOLazone 10 mg tablet||00527221737|6.34||6.34
WS SERVICE AREA|25010066|metOLazone 10 mg tablet||00185560001|5.37||5.37
WS SERVICE AREA|25010066|metOLazone 2.5 mg tablet||00378617201|19.62||19.62
WS SERVICE AREA|25010066|metOLazone 2.5 mg tablet||51079002301|25.00||25.00
WS SERVICE AREA|25010066|metOLazone 5 mg tablet||51079002401|14.20||14.20
WS SERVICE AREA|25010066|mexiletine 150 mg capsule||62559082001|19.30||19.30
WS SERVICE AREA|25010066|mexiletine 150 mg capsule||00093873901|19.30||19.30
WS SERVICE AREA|25010066|mexiletine 200 mg capsule||00093874001|17.28||17.28
WS SERVICE AREA|25010066|midodrine 2.5 mg tablet||00245021111|12.88||12.88
WS SERVICE AREA|25010066|midodrine 5 mg tablet||00115422201|9.20||9.20
WS SERVICE AREA|25010066|midodrine 5 mg tablet||00245021201|17.08||17.08
WS SERVICE AREA|25010066|midodrine 5 mg tablet||00245021211|15.81||15.81
WS SERVICE AREA|25010066|midodrine 5 mg tablet||60505132101|9.25||9.25
WS SERVICE AREA|25010066|midodrine 5 mg tablet||68084024101|7.81||7.81
WS SERVICE AREA|25010066|midodrine 5 mg tablet||68084024111|7.81||7.81
WS SERVICE AREA|25010066|midodrine 5 mg tablet||00378190201|9.20||9.20
WS SERVICE AREA|25010066|midodrine 5 mg tablet||50268056515|15.02||15.02
WS SERVICE AREA|25010066|buprenorphine 2 mg-naloxone 0.5 mg sublingual film||47781035511|37.34||37.34
WS SERVICE AREA|25010066|buprenorphine 8 mg-naloxone 2 mg sublingual film||12496120803|68.34||68.34
WS SERVICE AREA|25010066|miSOPROStoL 100 mcg tablet||43386016006|4.60||4.60
WS SERVICE AREA|25010066|miSOPROStoL 100 mcg tablet||68084004011|4.72||4.72
WS SERVICE AREA|25010066|miSOPROStoL 100 mcg tablet||59762500701|4.60||4.60
WS SERVICE AREA|25010066|miSOPROStoL 200 mcg tablet||68084004101|10.37||10.37
WS SERVICE AREA|25010066|miSOPROStoL 200 mcg tablet||68084004111|10.37||10.37
WS SERVICE AREA|25010066|miSOPROStoL 200 mcg tablet||00025146160|20.98||20.98
WS SERVICE AREA|25010066|miSOPROStoL 200 mcg tablet||59762500801|4.60||4.60
WS SERVICE AREA|25010066|miSOPROStoL 200 mcg tablet||59762500802|4.60||4.60
WS SERVICE AREA|25010066|HYDROcodone 10 mg-chlorpheniramine 8 mg/5 mL oral susp extend.rel 12hr||62175049005|25.46||25.46
WS SERVICE AREA|25010066|HYDROcodone 10 mg-chlorpheniramine 8 mg/5 mL oral susp extend.rel 12hr||24486020005|53.27||53.27
WS SERVICE AREA|25010066|HYDROcodone 10 mg-chlorpheniramine 8 mg/5 mL oral susp extend.rel 12hr||0000005305|53.27||53.27
WS SERVICE AREA|25010066|dabigatran etexilate 75 mg capsule||00597014960|50.80||50.80
WS SERVICE AREA|25010066|dabigatran etexilate 150 mg capsule||00597013560|25.40||25.40
WS SERVICE AREA|25010066|nicotine (polacrilex) 2 mg gum||00536136223|0.89||0.89
WS SERVICE AREA|25010066|nicotine (polacrilex) 2 mg gum||00904573611|0.71||0.71
WS SERVICE AREA|25010066|nicotine (polacrilex) 2 mg gum||87701040016|1.68||1.68
WS SERVICE AREA|25010066|nicotine (polacrilex) 4 mg gum||00904573711|0.96||0.96
WS SERVICE AREA|25010066|nicotine (polacrilex) 4 mg gum||24385059871|2.32||2.32
WS SERVICE AREA|25010066|nicotine (polacrilex) 4 mg gum||10939090633|1.53||1.53
WS SERVICE AREA|25010066|NIFEdipine ER 30 mg tablet,extended release||00378035301|10.61||10.61
WS SERVICE AREA|25010066|NIFEdipine ER 30 mg tablet,extended release||50742062001|10.61||10.61
WS SERVICE AREA|25010066|NIFEdipine ER 60 mg tablet,extended release||00378036001|9.45||9.45
WS SERVICE AREA|25010066|NIFEdipine ER 60 mg tablet,extended release||68682010610|7.87||7.87
WS SERVICE AREA|25010066|NIFEdipine ER 60 mg tablet,extended release||50742062101|9.45||9.45
WS SERVICE AREA|25010066|niMODipine 30 mg capsule||23155010830|146.36||146.36
WS SERVICE AREA|25010066|niMODipine 30 mg capsule||23155010811|70.01||70.01
WS SERVICE AREA|25010066|niMODipine 30 mg capsule||62559021052|125.92||125.92
WS SERVICE AREA|25010066|nitrofurantoin 25 mg/5 mL oral suspension||66993047173|5,558.95||5,558.95
WS SERVICE AREA|25010066|nitrofurantoin monohydrate/macrocrystals 100 mg capsule||68084044611|26.86||26.86
WS SERVICE AREA|25010066|nitrofurantoin monohydrate/macrocrystals 100 mg capsule||16714043901|26.90||26.90
WS SERVICE AREA|25010066|norgestimate 0.25 mg-ethinyl estradioL 35 mcg tablet||16714036004|8.90||8.90
WS SERVICE AREA|25010066|lurasidone 40 mg tablet||63402030410|325.56||325.56
WS SERVICE AREA|25010066|lurasidone 40 mg tablet||63402030430|325.56||325.56
WS SERVICE AREA|25010066|olsalazine 250 mg capsule||00037686010|103.15||103.15
WS SERVICE AREA|25010066|bisacodyL 5 mg tablet,delayed release||10939077544|0.60||0.60
WS SERVICE AREA|25010066|bisacodyL 10 mg rectal suppository||81421002102|3.84||3.84
WS SERVICE AREA|25010066|bisacodyL 10 mg rectal suppository||00713010906|0.83||0.83
WS SERVICE AREA|25010066|bisacodyL 10 mg rectal suppository||00536135501|0.60||0.60
WS SERVICE AREA|25010066|bisacodyL 10 mg rectal suppository||57896044405|0.60||0.60
WS SERVICE AREA|25010066|oxandrolone 2.5 mg tablet||49884030101|42.08||42.08
WS SERVICE AREA|25010066|oxandrolone 2.5 mg tablet||68084042421|52.75||52.75
WS SERVICE AREA|25010066|testosterone 1 % (50 mg/5 gram) transdermal gel packet||00051845030|162.44||162.44
WS SERVICE AREA|25010066|oxybutynin chloride 5 mg/5 mL oral syrup||60432009216|4.60||4.60
WS SERVICE AREA|25010066|oxyCODONE 20 mg/mL oral concentrate||68462034737|2,814.25||2,814.25
WS SERVICE AREA|25010066|oxyCODONE 20 mg/mL oral concentrate||00000005187|93.81||
WS SERVICE AREA|25010066|oxyCODONE 5 mg/5 mL oral solution||66689040101|65.67||65.67
WS SERVICE AREA|25010066|oxyCODONE 5 mg/5 mL oral solution||00904682805|43.91||43.91
WS SERVICE AREA|25010066|oxyCODONE 5 mg tablet||00406055201|4.60||4.60
WS SERVICE AREA|25010066|oxyCODONE 5 mg tablet||00406055262|4.60||4.60
WS SERVICE AREA|25010066|oxyCODONE 5 mg tablet||00406055223|4.60||4.60
WS SERVICE AREA|25010066|oxyCODONE 5 mg tablet||42858000101|4.60||4.60
WS SERVICE AREA|25010066|oxyCODONE 5 mg tablet||42858000110|4.60||4.60
WS SERVICE AREA|25010066|spinosad 0.9 % topical suspension||28595057004|2,235.51||2,235.51
WS SERVICE AREA|25010066|bismuth subgallate (bulk) powder||38779104605|2,318.40||2,318.40
WS SERVICE AREA|25010066|bismuth subgallate (bulk) powder||62991164803|3,780.00||3,780.00
WS SERVICE AREA|25010066|vitamin E (dl, acetate) 400 unit capsule||00536479901|0.60||0.60
WS SERVICE AREA|25010066|vitamin E (dl, acetate) 400 unit capsule||00904027460|0.60||0.60
WS SERVICE AREA|25010066|vitamin E (dl, acetate) 400 unit capsule||77333095110|0.60||0.60
WS SERVICE AREA|25010066|penicillAMINE 250 mg capsule||25010070515|1,992.95||1,992.95
WS SERVICE AREA|25010066|bismuth subsalicylate 262 mg/15 mL oral suspension||01490003904|10.41||10.41
WS SERVICE AREA|25010066|pentoxifylline ER 400 mg tablet,extended release||51079088901|11.40||11.40
WS SERVICE AREA|25010066|permethrin 5 % topical cream||00472024260|941.97||941.97
WS SERVICE AREA|25010066|permethrin 5 % topical cream||16714089701|922.33||922.33
WS SERVICE AREA|25010066|permethrin 1 % topical liquid||49348015078|80.37||80.37
WS SERVICE AREA|25010066|permethrin 1 % topical liquid||10939073944|80.37||80.37
WS SERVICE AREA|25010066|roflumilast 500 mcg tablet||00310009530|97.12||97.12
WS SERVICE AREA|25010066|roflumilast 500 mcg tablet||00310009590|97.12||97.12
WS SERVICE AREA|25010066|phenoxybenzamine 10 mg capsule||49884003801|985.08||985.08
WS SERVICE AREA|25010066|chlorpheniramine 4 mg-phenylephrine 10 mg-DM 15 mg/5 mL oral liquid||68047018616|192.70||192.70
WS SERVICE AREA|25010066|linaGLIPtin 5 mg tablet||00597014030|117.28||117.28
WS SERVICE AREA|25010066|linaGLIPtin 5 mg tablet||00597014090|117.28||117.28
WS SERVICE AREA|25010066|linaGLIPtin 5 mg tablet||00597014061|117.28||117.28
WS SERVICE AREA|25010066|phenytoin 50 mg chewable tablet||51672414601|4.60||4.60
WS SERVICE AREA|25010066|phenytoin 50 mg chewable tablet||60687015625|13.70||13.70
WS SERVICE AREA|25010066|phenytoin 50 mg chewable tablet||60687015695|13.70||13.70
WS SERVICE AREA|25010066|phenytoin 50 mg chewable tablet||00071000740|13.77||13.77
WS SERVICE AREA|25010066|phytonadione (vitamin K1) 5 mg tablet||00187170405|223.58||223.58
WS SERVICE AREA|25010066|phytonadione (vitamin K1) 5 mg tablet||16714097301|254.88||254.88
WS SERVICE AREA|25010066|rivaroxaban 10 mg tablet||50458058010|29.80||29.80
WS SERVICE AREA|25010066|fidaxomicin 200 mg tablet||52015008001|1,544.53||1,544.53
WS SERVICE AREA|25010066|vitamin E (dl, acetate) 450 mg (1,000 unit) capsule||00904027746|0.60||0.60
WS SERVICE AREA|25010066|vitamin E (dl, acetate) 450 mg (1,000 unit) capsule||00904027760|0.60||0.60
WS SERVICE AREA|25010066|ticagrelor 90 mg tablet||00186077739|33.23||33.23
WS SERVICE AREA|25010066|ticagrelor 90 mg tablet||00186077760|33.24||33.24
WS SERVICE AREA|25010066|calcium polycarbophiL 625 mg tablet||00005250023|4.60||4.60
WS SERVICE AREA|25010066|calcium polycarbophiL 625 mg tablet||00904250091|4.60||4.60
WS SERVICE AREA|25010066|sodium di- and monophosphate-potassium phos monobasic 250 mg tablet||00486112501|6.45||6.45
WS SERVICE AREA|25010066|sodium di- and monophosphate-potassium phos monobasic 250 mg tablet||69543026810|4.60||4.60
WS SERVICE AREA|25010066|sodium di- and monophosphate-potassium phos monobasic 250 mg tablet||64980010401|4.60||4.60
WS SERVICE AREA|25010066|potassium citrate ER 10 mEq (1,080 mg) tablet,extended release||00245007111|20.99||20.99
WS SERVICE AREA|25010066|potassium phosphate, monobasic 500 mg soluble tablet||00486111101|4.61||4.61
WS SERVICE AREA|25010066|oseltamivir 6 mg/mL oral suspension||00004082205|240.76||240.76
WS SERVICE AREA|25010066|pravastatin 10 mg tablet||00904589161|4.60||4.60
WS SERVICE AREA|25010066|pravastatin 10 mg tablet||68180048509|24.47||24.47
WS SERVICE AREA|25010066|pravastatin 20 mg tablet||00904589261|4.60||4.60
WS SERVICE AREA|25010066|pravastatin 40 mg tablet||00904589361|4.60||4.60
WS SERVICE AREA|25010066|emtricitabine 200 mg-rilpivirine 25 mg-tenofovir disprox 300 mg tablet||61958110101|747.58||747.58
WS SERVICE AREA|25010066|primidone 50 mg tablet||68084020201|6.04||6.04
WS SERVICE AREA|25010066|primidone 50 mg tablet||68084020211|6.04||6.04
WS SERVICE AREA|25010066|primidone 50 mg tablet||00527130101|4.60||4.60
WS SERVICE AREA|25010066|primidone 50 mg tablet||53746054401|4.60||4.60
WS SERVICE AREA|25010066|prochlorperazine 25 mg rectal suppository||00574722612|95.76||95.76
WS SERVICE AREA|25010066|promethazine 12.5 mg rectal suppository||00713053612|134.74||134.74
WS SERVICE AREA|25010066|promethazine 12.5 mg rectal suppository||00591298539|134.74||134.74
WS SERVICE AREA|25010066|promethazine 25 mg rectal suppository||00713052612|67.37||67.37
WS SERVICE AREA|25010066|promethazine-DM 6.25 mg-15 mg/5 mL oral syrup||00603158654|4.60||4.60
WS SERVICE AREA|25010066|propafenone 150 mg tablet||68084036111|7.14||7.14
WS SERVICE AREA|25010066|propafenone 150 mg tablet||00603544825|12.20||12.20
WS SERVICE AREA|25010066|propafenone 225 mg tablet||00591058301|11.82||11.82
WS SERVICE AREA|25010066|propafenone 225 mg tablet||59651025701|11.82||11.82
WS SERVICE AREA|25010066|propafenone 300 mg tablet||53489055301|11.30||11.30
WS SERVICE AREA|25010066|propafenone 300 mg tablet||00603545021|11.30||11.30
WS SERVICE AREA|25010066|acetaZOLAMIDE 125 mg tablet||51672402201|16.59||16.59
WS SERVICE AREA|25010066|pyridostigmine bromide 60 mg/5 mL oral syrup||00187301220|10,003.09||10,003.09
WS SERVICE AREA|25010066|pyridostigmine bromide 60 mg/5 mL oral syrup|||333.32||
WS SERVICE AREA|25010066|pyridostigmine bromide 60 mg tablet||68084049411|5.64||5.64
WS SERVICE AREA|25010066|pyridostigmine bromide ER 180 mg tablet,extended release||00187301330|233.61||233.61
WS SERVICE AREA|25010066|pyridostigmine bromide ER 180 mg tablet,extended release||64980022003|188.79||188.79
WS SERVICE AREA|25010066|pyrimethamine 25 mg tablet||69413033030|5,707.50||5,707.50
WS SERVICE AREA|25010066|ramipriL 1.25 mg capsule||68084029411|14.44||14.44
WS SERVICE AREA|25010066|ramipriL 2.5 mg capsule||68084026611|7.37||7.37
WS SERVICE AREA|25010066|ramipriL 2.5 mg capsule||65862047501|6.87||6.87
WS SERVICE AREA|25010066|ramipriL 5 mg capsule||68382014601|4.60||4.60
WS SERVICE AREA|25010066|ramipriL 5 mg capsule||65862047601|4.60||4.60
WS SERVICE AREA|25010066|cloBAZam 10 mg tablet||67386031401|83.82||83.82
WS SERVICE AREA|25010066|cloBAZam 10 mg tablet||16714088701|74.57||74.57
WS SERVICE AREA|25010066|cloBAZam 20 mg tablet||67386031501|83.82||83.82
WS SERVICE AREA|25010066|rivaroxaban 15 mg tablet||50458057810|19.87||19.87
WS SERVICE AREA|25010066|rivaroxaban 20 mg tablet||50458057910|14.90||14.90
WS SERVICE AREA|25010066|ribavirin 200 mg tablet||65862020768|62.97||62.97
WS SERVICE AREA|25010066|rifabutin 150 mg capsule||00013530117|146.58||146.58
WS SERVICE AREA|25010066|rifAMPin 300 mg capsule||68084035811|5.19||5.19
WS SERVICE AREA|25010066|acetaZOLAMIDE 250 mg tablet||00527105001|12.54||12.54
WS SERVICE AREA|25010066|acetaZOLAMIDE 250 mg tablet||51672402301|10.97||10.97
WS SERVICE AREA|25010066|sennosides 8.6 mg tablet||67618030050|0.81||0.81
WS SERVICE AREA|25010066|sennosides 8.6 mg tablet||37864000033|0.60||0.60
WS SERVICE AREA|25010066|sennosides 8.6 mg tablet||57896045401|0.60||0.60
WS SERVICE AREA|25010066|sertraline 100 mg tablet||68084018211|4.60||4.60
WS SERVICE AREA|25010066|sertraline 100 mg tablet||76282021460|5.55||5.55
WS SERVICE AREA|25010066|sertraline 50 mg tablet||68084018111|4.60||4.60
WS SERVICE AREA|25010066|sertraline 50 mg tablet||16714061201|10.79||10.79
WS SERVICE AREA|25010066|dorzolamide-timolol (PF) 2 %-0.5 % eye drops in a dropperette||65862094715|5.37||5.37
WS SERVICE AREA|25010066|diazePAM 5 mg/5 mL (1 mg/mL, 5 mL) oral solution||68094075059|35.01||35.01
WS SERVICE AREA|25010066|sotaloL 160 mg tablet||00185017701|16.27||16.27
WS SERVICE AREA|25010066|sotaloL 160 mg tablet||00093106201|14.90||14.90
WS SERVICE AREA|25010066|sotaloL 80 mg tablet||00603576921|19.50||19.50
WS SERVICE AREA|25010066|sotaloL 80 mg tablet||00378512301|24.54||24.54
WS SERVICE AREA|25010066|sotaloL 80 mg tablet||00245001289|19.86||19.86
WS SERVICE AREA|25010066|sotaloL 80 mg tablet||68084065401|17.66||17.66
WS SERVICE AREA|25010066|ferrous sulfate, dried ER 159 mg (45 mg iron) tablet,extended release||87701040776|1.09||1.09
WS SERVICE AREA|25010066|ferrous sulfate, dried ER 159 mg (45 mg iron) tablet,extended release||40985027343|0.60||0.60
WS SERVICE AREA|25010066|sucralfate 100 mg/mL oral suspension||66689079001|53.31||53.31
WS SERVICE AREA|25010066|sucralfate 100 mg/mL oral suspension|||11.42||11.42
WS SERVICE AREA|25010066|sucralfate 100 mg/mL oral suspension||17856017001|11.42||11.42
WS SERVICE AREA|25010066|sucralfate 1 gram tablet||58914017110|31.04||31.04
WS SERVICE AREA|25010066|sucralfate 1 gram tablet||00093221001|6.10||6.10
WS SERVICE AREA|25010066|tamoxifen 20 mg tablet||00591247319|7.21||7.21
WS SERVICE AREA|25010066|tamoxifen 20 mg tablet||68382082706|7.21||7.21
WS SERVICE AREA|25010066|temazepam 7.5 mg capsule||00406996001|75.64||75.64
WS SERVICE AREA|25010066|temazepam 7.5 mg capsule||68084054911|63.54||63.54
WS SERVICE AREA|25010066|temazepam 7.5 mg capsule||68084054921|63.54||63.54
WS SERVICE AREA|25010066|temazepam 7.5 mg capsule||63739000333|36.66||36.66
WS SERVICE AREA|25010066|terbutaline 2.5 mg tablet||00527131801|41.41||41.41
WS SERVICE AREA|25010066|terbutaline 2.5 mg tablet||62559072101|41.41||41.41
WS SERVICE AREA|25010066|terbutaline 5 mg tablet||00115262201|25.29||25.29
WS SERVICE AREA|25010066|terbutaline 5 mg tablet||00527131101|25.29||25.29
WS SERVICE AREA|25010066|terbutaline 5 mg tablet||62559072201|25.29||25.29
WS SERVICE AREA|25010066|ticlopidine 250 mg tablet||57664032786|9.89||9.89
WS SERVICE AREA|25010066|tretinoin 0.025 % topical cream||00472011745|1,838.27||1,838.27
WS SERVICE AREA|25010066|tretinoin 0.05 % topical cream||66530025420|1,088.84||1,088.84
WS SERVICE AREA|25010066|tretinoin 0.05 % topical cream||66530025445|2,042.03||2,042.03
WS SERVICE AREA|25010066|tretinoin 0.1 % topical cream||43478024120|1,000.56||1,000.56
WS SERVICE AREA|25010066|tretinoin 0.025 % topical gel||66530025715|777.82||777.82
WS SERVICE AREA|25010066|trifluridine 1 % eye drops||61314004475|1,696.55||1,696.55
WS SERVICE AREA|25010066|phytonadione (vitamin K1) 1 mg/0.5 mL injection solution|J3430|00409915701|16.25||16.25
WS SERVICE AREA|25010066|ursodioL 300 mg capsule||00591315901|55.94||55.94
WS SERVICE AREA|25010066|theophylline ER 400 mg tablet,extended release 24 hr||42858070101|10.33||10.33
WS SERVICE AREA|25010066|verapamiL ER (SR) 120 mg tablet,extended release||68462029201|8.17||8.17
WS SERVICE AREA|25010066|verapamiL ER (SR) 120 mg tablet,extended release||51079089401|17.63||17.63
WS SERVICE AREA|25010066|verapamiL ER (SR) 180 mg tablet,extended release||68462029301|7.31||7.31
WS SERVICE AREA|25010066|verapamiL ER (SR) 180 mg tablet,extended release||75834015801|7.31||7.31
WS SERVICE AREA|25010066|verapamiL ER (SR) 180 mg tablet,extended release||51079089901|12.64||12.64
WS SERVICE AREA|25010066|erythromycin 250 mg tablet,delayed release||24338012213|55.99||55.99
WS SERVICE AREA|25010066|erythromycin 250 mg tablet,delayed release||24338012203|55.99||55.99
WS SERVICE AREA|25010066|sennosides 8.8 mg/5 mL oral syrup||00000005439|1.60||
WS SERVICE AREA|25010066|peg-electrolyte solution 420 gram oral solution||64380076921|547.92||547.92
WS SERVICE AREA|25010066|miconazole nitrate 200 mg/5 gram (4 %) vaginal cream||63736044201|16.02||16.02
WS SERVICE AREA|25010066|miconazole nitrate 200 mg/5 gram (4 %) vaginal cream||00000005213|16.02||16.02
WS SERVICE AREA|25010066|warfarin 1 mg tablet||00056016901|15.69||15.69
WS SERVICE AREA|25010066|pseudoephedrine 15 mg/5 mL oral liquid||00000005626|0.82||
WS SERVICE AREA|25010066|thrombin (bovine) 20,000 unit topical spray||60793021721|2,273.03||2,273.03
WS SERVICE AREA|25010066|benzocaine 20 % topical aerosol||63736037882|29.50||29.50
WS SERVICE AREA|25010066|magnesium hydroxide 400 mg/5 mL oral suspension||00121043130|9.83||9.83
WS SERVICE AREA|25010066|zidovudine 100 mg capsule||65862010701|15.36||15.36
WS SERVICE AREA|25010066|zidovudine 10 mg/mL oral syrup||65862004824|17.88||17.88
WS SERVICE AREA|25010066|zolpidem 5 mg tablet||16714062101|17.60||17.60
WS SERVICE AREA|25010066|zolpidem 5 mg tablet||00904608261|4.60||4.60
WS SERVICE AREA|25010066|zolpidem 5 mg tablet||68084018901|6.68||6.68
WS SERVICE AREA|25010066|zolpidem 5 mg tablet||68084018911|6.68||6.68
WS SERVICE AREA|25010066|phenylephrine 1 % nasal spray||50323000604|14.93||14.93
WS SERVICE AREA|25010066|phenylephrine 1 % nasal spray||69536010015|0.60||0.60
WS SERVICE AREA|25010066|phenylephrine 1 % nasal spray||00024135202|27.28||27.28
WS SERVICE AREA|25010066|phenylephrine 1 % nasal spray||00225081047|14.93||14.93
WS SERVICE AREA|25010066|levOCARNitine 500 mg tablet||40993010298|4.60||4.60
WS SERVICE AREA|25010066|theophylline ER 600 mg tablet,extended release 24 hr||29033000201|14.93||14.93
WS SERVICE AREA|25010066|theophylline ER 600 mg tablet,extended release 24 hr||42858070201|14.93||14.93
WS SERVICE AREA|25010066|polymyxin B sulfate 10,000 unit-trimethoprim 1 mg/mL eye drops||17478070311|97.94||97.94
WS SERVICE AREA|25010066|polymyxin B sulfate 10,000 unit-trimethoprim 1 mg/mL eye drops||24208031510|102.28||102.28
WS SERVICE AREA|25010066|polymyxin B sulfate 10,000 unit-trimethoprim 1 mg/mL eye drops||61314062810|132.57||132.57
WS SERVICE AREA|25010066|loratadine 5 mg-pseudoephedrine ER 120 mg tablet,extended release,12hr||00573266024|2.97||2.97
WS SERVICE AREA|25010066|loratadine 5 mg-pseudoephedrine ER 120 mg tablet,extended release,12hr||45802012265|3.86||3.86
WS SERVICE AREA|25010066|meclizine 12.5 mg tablet||68084049001|5.40||5.40
WS SERVICE AREA|25010066|meclizine 25 mg tablet||68084049111|4.60||4.60
WS SERVICE AREA|25010066|meclizine 25 mg tablet||50268052311|4.60||4.60
WS SERVICE AREA|25010066|meclizine 25 mg tablet||00904651761|4.60||4.60
WS SERVICE AREA|25010066|insulin aspar prt-insulin aspart 100 unit/mL (70-30) subcutaneous soln||00169368512|18.70||18.70
WS SERVICE AREA|25010066|bacitracin-polymyxin B 500 unit-10,000 unit/gram topical packet||69968006009|0.83||0.83
WS SERVICE AREA|25010066|cholestyramine-aspartame 4 gram oral powder for susp in a packet||00245003689|38.89||38.89
WS SERVICE AREA|25010066|white petrolatum 41 % topical ointment||72140045231|24.15||24.15
WS SERVICE AREA|25010066|vit E-glycerin-dimethicone lotion||00299391808|23.89||23.89
WS SERVICE AREA|25010066|bacitracin zinc 500 unit-polymyxin B 10,000 unit/gram topical ointment||00810079888|16.49||16.49
WS SERVICE AREA|25010066|quiNIDine gluconate ER 324 mg tablet,extended release||53489014101|68.97||68.97
WS SERVICE AREA|25010066|venlafaxine 25 mg tablet||68382001801|14.79||14.79
WS SERVICE AREA|25010066|venlafaxine 75 mg tablet||68382002101|5.54||5.54
WS SERVICE AREA|25010066|venlafaxine 37.5 mg tablet||16714031201|10.15||10.15
WS SERVICE AREA|25010066|quiNINE 324 mg capsule||13310015307|99.66||99.66
WS SERVICE AREA|25010066|sodium chloride-aloe vera nasal gel||00225052547|19.53||19.53
WS SERVICE AREA|25010066|phenol 89 % topical swab||00884629730|34.61||34.61
WS SERVICE AREA|25010066|vitamin E (dl, acetate) 100 unit capsule||80681013400|0.60||0.60
WS SERVICE AREA|25010066|glycerin-witch hazeL 12.5 %-50 % topical pads||50289325001|19.48||19.48
WS SERVICE AREA|25010066|calcium carbonate-vitamin D3 250 mg-125 unit tablet||00904188260|0.60||0.60
WS SERVICE AREA|25010066|calcium carbonate-vitamin D3 250 mg-125 unit tablet||00904188261|0.60||0.60
WS SERVICE AREA|25010066|carbidopa ER 25 mg-levodopa 100 mg tablet,extended release||62756046188|4.60||4.60
WS SERVICE AREA|25010066|carbidopa ER 25 mg-levodopa 100 mg tablet,extended release||68084028101|6.35||6.35
WS SERVICE AREA|25010066|carbidopa ER 25 mg-levodopa 100 mg tablet,extended release||68084028111|6.35||6.35
WS SERVICE AREA|25010066|trolamine salicylate-aloe vera 10 % topical cream||41167005705|43.13||43.13
WS SERVICE AREA|25010066|hydrocortisone-pramoxine 2.5 %-1 % (4g) rectal cream||45802047201|76.84||76.84
WS SERVICE AREA|25010066|vit A 1,000 unit-C 200 mg-E 60 unit-lutein 2 mg and minerals tablet||00536509008|0.60||0.60
WS SERVICE AREA|25010066|vit A 1,000 unit-C 200 mg-E 60 unit-lutein 2 mg and minerals tablet||24208038762|0.60||0.60
WS SERVICE AREA|25010066|adalimumab 40 mg/0.8 mL subcutaneous pen kit|J0135|00074433902|19,204.89||19,204.89
WS SERVICE AREA|25010066|adalimumab 40 mg/0.8 mL subcutaneous pen kit|J0135|00074433907|19,204.92||19,204.92
WS SERVICE AREA|25010066|magnesium gluconate 27 mg magnesium (500 mg) tablet||35046000322|4.60||4.60
WS SERVICE AREA|25010066|neomycin-bacitracn Zn-polymyxn 3.5 mg-400 unit-5,000 unit top oint pkt||39892083001|4.54||4.54
WS SERVICE AREA|25010066|neomycin-bacitracn Zn-polymyxn 3.5 mg-400 unit-5,000 unit top oint pkt||54162008009|0.71||0.71
WS SERVICE AREA|25010066|neomycin-bacitracn Zn-polymyxn 3.5 mg-400 unit-5,000 unit top oint pkt||00904880567|0.60||0.60
WS SERVICE AREA|25010066|pediatric multivitamin no.40-phytonadione 400 mcg/mL oral drops||58914021460|4.60||4.60
WS SERVICE AREA|25010066|sodium phosphates 9.5 gram-3.5 gram/59 mL enema||00132020220|4.60||4.60
WS SERVICE AREA|25010066|estropipate 0.75 mg tablet||00591041401|8.37||8.37
WS SERVICE AREA|25010066|estropipate 1.5 mg tablet||00591041501|6.02||6.02
WS SERVICE AREA|25010066|estropipate 3 mg tablet||00591041601|4.87||4.87
WS SERVICE AREA|25010066|ferrous fum-B12-C-stomach conc 200 mg (66 mg)-10 mcg-250 mg capsule||63044063119|2.56||2.56
WS SERVICE AREA|25010066|white petrolatum-mineral oiL 83 %-15 % eye ointment||17478006235|31.75||31.75
WS SERVICE AREA|25010066|peg 3350-ELECTROLYTES 240 G-22.72 G-6.72 G-5.84 G OR,peg 3350-electrolytes 236 g-22.74 g-6.74 g-5.86 g,peg-electrolyte solution 420 gram oral solution||52268010001|121.76||121.76
WS SERVICE AREA|25010066|saliva stimulant combination no.3 oral mucosal spray||48582000155|34.05||34.05
WS SERVICE AREA|25010066|levETIRAcetam 500 mg/5 mL (5 mL) oral solution||0000005303|12.18||12.18
WS SERVICE AREA|25010066|levETIRAcetam 500 mg/5 mL (5 mL) oral solution||60687024940|26.48||26.48
WS SERVICE AREA|25010066|levETIRAcetam 500 mg/5 mL (5 mL) oral solution||50268047011|26.16||26.16
WS SERVICE AREA|25010066|diphenhydrAMINE 12.5 mg/5 mL oral liquid||50580053404|18.34||18.34
WS SERVICE AREA|25010066|multivitamin-iron 9 mg-folic acid 400 mcg-calcium and minerals tablet||00904549261|0.60||0.60
WS SERVICE AREA|25010066|thyroid (pork) 60 mg tablet||00456045901|6.70||6.70
WS SERVICE AREA|25010066|thyroid (pork) 60 mg tablet||42192033001|7.23||7.23
WS SERVICE AREA|25010066|carBAMazepine 100 mg/5 mL (5 mL) oral suspension||68094000759|27.62||27.62
WS SERVICE AREA|25010066|mineral oil-lanolin oil-propylene glycol lotion||46017007703|94.14||94.14
WS SERVICE AREA|25010066|thiamine mononitrate (vitamin B1) 100 mg tablet||31604001281|4.60||4.60
WS SERVICE AREA|25010066|thiamine mononitrate (vitamin B1) 100 mg tablet||79854020010|4.60||4.60
WS SERVICE AREA|25010066|thiamine mononitrate (vitamin B1) 100 mg tablet||50268085111|4.60||4.60
WS SERVICE AREA|25010066|vitamins  A,C,E-zinc-copper 7,160 unit-113 mg-100 unit tablet||00536417841|0.60||0.60
WS SERVICE AREA|25010066|midazolam 10 mg/5 mL (2 mg/mL) oral syrup||68094076259|48.17||48.17
WS SERVICE AREA|25010066|midazolam 10 mg/5 mL (2 mg/mL) oral syrup||68094076262|48.15||48.15
WS SERVICE AREA|25010066|midazolam 10 mg/5 mL (2 mg/mL) oral syrup||68094076459|37.21||
WS SERVICE AREA|25010066|midazolam 10 mg/5 mL (2 mg/mL) oral syrup||68094076462|55.82||55.82
WS SERVICE AREA|25010066|collodion (bulk) liquid||00395064995|297.93||
WS SERVICE AREA|25010066|omega 3-dha-epa-fish oil 300 mg-1,000 mg capsule,delayed release||74312027800|0.60||0.60
WS SERVICE AREA|25010066|omega 3-dha-epa-fish oil 300 mg-1,000 mg capsule,delayed release||68094010959|1.09||1.09
WS SERVICE AREA|25010066|triamterene 37.5 mg-hydrochlorothiazide 25 mg capsule||00781207401|4.60||4.60
WS SERVICE AREA|25010066|triamterene 37.5 mg-hydrochlorothiazide 25 mg capsule||51079093501|4.60||4.60
WS SERVICE AREA|25010066|prenatal vit no.95-ferrous fumarate 28 mg-folic acid 800 mcg tablet||54738005001|0.60||0.60
WS SERVICE AREA|25010066|docusate sodium 283 mg/5 mL enema||17433987603|16.44||16.44
WS SERVICE AREA|25010066|valproic acid (as sodium salt) 250 mg/5 mL (5 mL) oral solution||00121467505|4.60||4.60
WS SERVICE AREA|25010066|calcium carbonate 600 mg (1,500 mg)-vitamin D3 200 unit tablet||37864000019|0.60||0.60
WS SERVICE AREA|25010066|calcium carbonate 600 mg (1,500 mg)-vitamin D3 200 unit tablet||80681013801|0.60||0.60
WS SERVICE AREA|25010066|calcium carbonate 600 mg (1,500 mg)-vitamin D3 200 unit tablet||80681013800|0.60||0.60
WS SERVICE AREA|25010066|calcium acetate-aluminum 952 mg-1,347 mg topical powder in packet||51224016212|4.76||4.76
WS SERVICE AREA|25010066|calcium acetate-aluminum 952 mg-1,347 mg topical powder in packet||51224016299|4.75||4.75
WS SERVICE AREA|25010066|calcium acetate-aluminum 952 mg-1,347 mg topical powder in packet||57074001770|3.36||3.36
WS SERVICE AREA|25010066|clarithromycin 125 mg/5 mL oral suspension||00781602252|560.10||560.10
WS SERVICE AREA|25010066|calcium carbonate 500 mg/5 mL calcium (1,250 mg/5 mL) oral suspension||00121076616|0.60||0.60
WS SERVICE AREA|25010066|calcium carbonate 500 mg/5 mL calcium (1,250 mg/5 mL) oral suspension||00000005184|2.52||
WS SERVICE AREA|25010066|lisinopriL 2.5 mg tablet||68084076595|5.21||5.21
WS SERVICE AREA|25010066|valACYclovir 500 mg tablet||63739052510|54.97||54.97
WS SERVICE AREA|25010066|nefazodone 100 mg tablet||00093102406|18.26||18.26
WS SERVICE AREA|25010066|nefazodone 150 mg tablet||00093711306|12.40||12.40
WS SERVICE AREA|25010066|naproxen 375 mg tablet,delayed release||69097085107|8.10||8.10
WS SERVICE AREA|25010066|naproxen 375 mg tablet,delayed release||69784050101|39.30||39.30
WS SERVICE AREA|25010066|naproxen 375 mg tablet,delayed release||69543042510|52.39||52.39
WS SERVICE AREA|25010066|naproxen 375 mg tablet,delayed release||00093100501|12.15||12.15
WS SERVICE AREA|25010066|naproxen 500 mg tablet,delayed release||69097085207|7.41||7.41
WS SERVICE AREA|25010066|naproxen 500 mg tablet,delayed release||69437041601|39.99||39.99
WS SERVICE AREA|25010066|naproxen 500 mg tablet,delayed release||00093100601|11.12||11.12
WS SERVICE AREA|25010066|carBAMazepine 100 mg chewable tablet||00904385461|4.60||4.60
WS SERVICE AREA|25010066|carBAMazepine 100 mg chewable tablet||51672404101|5.01||5.01
WS SERVICE AREA|25010066|carBAMazepine 200 mg/10 mL oral suspension||68094000859|34.63||34.63
WS SERVICE AREA|25010066|carBAMazepine 200 mg tablet||00904617261|6.82||6.82
WS SERVICE AREA|25010066|fluconazole 150 mg tablet||59762501701|35.34||35.34
WS SERVICE AREA|25010066|fluconazole 150 mg tablet||68462010340|35.54||35.54
WS SERVICE AREA|25010066|fluconazole 150 mg tablet||55111014512|35.34||35.34
WS SERVICE AREA|25010066|fluconazole 150 mg tablet||55111014571|35.34||35.34
WS SERVICE AREA|25010066|fluconazole 150 mg tablet||70710113908|35.34||35.34
WS SERVICE AREA|25010066|carbamide peroxide 10 % oral rinse||42037010476|58.44||58.44
WS SERVICE AREA|25010066|carbamide peroxide 6.5 % ear drops||78112073621|42.35||42.35
WS SERVICE AREA|25010066|bacitracin zinc 500 unit/gram topical ointment||49348015472|18.85||18.85
WS SERVICE AREA|25010066|colestipoL 1 gram tablet||59762045001|9.61||9.61
WS SERVICE AREA|25010066|carisoprodoL 350 mg tablet||68084038011|4.60||4.60
WS SERVICE AREA|25010066|carisoprodoL 350 mg tablet||16714051001|4.60||4.60
WS SERVICE AREA|25010066|lamoTRIgine 25 mg tablet||68084031811|4.60||4.60
WS SERVICE AREA|25010066|lamoTRIgine 25 mg tablet||16714070001|32.80||32.80
WS SERVICE AREA|25010066|lamoTRIgine 25 mg tablet||00904700761|4.60||4.60
WS SERVICE AREA|25010066|lamoTRIgine 100 mg tablet||68382000801|9.88||9.88
WS SERVICE AREA|25010066|lamoTRIgine 100 mg tablet||68084031901|4.60||4.60
WS SERVICE AREA|25010066|lamoTRIgine 100 mg tablet||68084031911|4.60||4.60
WS SERVICE AREA|25010066|lamoTRIgine 100 mg tablet||16714070101|9.42||9.42
WS SERVICE AREA|25010066|lamoTRIgine 100 mg tablet||00904700861|4.60||4.60
WS SERVICE AREA|25010066|acetaminophen 300 mg-codeine 30 mg tablet||68084037211|4.64||4.64
WS SERVICE AREA|25010066|acetaminophen 300 mg-codeine 30 mg tablet||00406048423|4.60||4.60
WS SERVICE AREA|25010066|ibuprofen 100 mg chewable tablet||49348063904|0.74||0.74
WS SERVICE AREA|25010066|ibuprofen 100 mg chewable tablet||00573017920|1.10||1.10
WS SERVICE AREA|25010066|ibuprofen 100 mg chewable tablet||10939079633|0.74||0.74
WS SERVICE AREA|25010066|ketoconazole 2 % shampoo||45802046564|230.13||230.13
WS SERVICE AREA|25010066|fluconazole 10 mg/mL oral suspension||16714069501|76.56||76.56
WS SERVICE AREA|25010066|fluconazole 40 mg/mL oral suspension||16714069601|985.50||985.50
WS SERVICE AREA|25010066|dorzolamide 2 % eye drops||00006351936|4.60||4.60
WS SERVICE AREA|25010066|dorzolamide 2 % eye drops||50383023210|508.35||508.35
WS SERVICE AREA|25010066|terazosin 1 mg capsule||59746038306|12.21||12.21
WS SERVICE AREA|25010066|terazosin 1 mg capsule||00904612661|4.60||4.60
WS SERVICE AREA|25010066|terazosin 1 mg capsule||51079093620|12.22||12.22
WS SERVICE AREA|25010066|terazosin 5 mg capsule||59746038506|4.60||4.60
WS SERVICE AREA|25010066|terazosin 5 mg capsule||00904612861|4.60||4.60
WS SERVICE AREA|25010066|terazosin 5 mg capsule||00781205301|4.60||4.60
WS SERVICE AREA|25010066|traMADoL 50 mg tablet||51079099101|4.60||4.60
WS SERVICE AREA|25010066|traMADoL 50 mg tablet||00378415101|4.60||4.60
WS SERVICE AREA|25010066|traMADoL 50 mg tablet||63739067110|4.60||4.60
WS SERVICE AREA|25010066|traMADoL 50 mg tablet||68084080801|4.60||4.60
WS SERVICE AREA|25010066|traMADoL 50 mg tablet||68084080811|4.60||4.60
WS SERVICE AREA|25010066|metFORMIN 850 mg tablet||60687014311|5.39||5.39
WS SERVICE AREA|25010066|tiZANidine 4 mg tablet||00904641861|4.60||4.60
WS SERVICE AREA|25010066|tiZANidine 4 mg tablet||50268076011|5.76||5.76
WS SERVICE AREA|25010066|losartan 25 mg tablet||68084034611|12.77||12.77
WS SERVICE AREA|25010066|losartan 25 mg tablet||63739067310|4.60||4.60
WS SERVICE AREA|25010066|losartan 25 mg tablet||68180037609|12.81||12.81
WS SERVICE AREA|25010066|losartan 50 mg tablet||50268051715|7.32||7.32
WS SERVICE AREA|25010066|losartan 50 mg tablet||31722070190|8.56||8.56
WS SERVICE AREA|25010066|fosfomycin tromethamine 3 gram oral packet||00456430001|694.56||694.56
WS SERVICE AREA|25010066|atovaquone 750 mg/5 mL oral suspension||00173054700|252.31||252.31
WS SERVICE AREA|25010066|famotidine 10 mg tablet||10939021333|0.91||0.91
WS SERVICE AREA|25010066|famotidine 10 mg tablet||00904552952|0.60||0.60
WS SERVICE AREA|25010066|famotidine 10 mg tablet||00904552987|0.60||0.60
WS SERVICE AREA|25010066|famotidine 10 mg tablet||10939071844|1.12||1.12
WS SERVICE AREA|25010066|famotidine 10 mg tablet||49348012812|0.64||0.64
WS SERVICE AREA|25010066|SUMAtriptan 50 mg tablet||55111029236|95.66||95.66
WS SERVICE AREA|25010066|SUMAtriptan 50 mg tablet||62756052188|6.41||6.41
WS SERVICE AREA|25010066|SUMAtriptan 50 mg tablet||16714053210|95.66||95.66
WS SERVICE AREA|25010066|flaxseed oil 1,000 mg capsule||10939089244|4.60||4.60
WS SERVICE AREA|25010066|cherry flavor (bulk) oral syrup||00395266216|125.98||125.98
WS SERVICE AREA|25010066|alendronate 10 mg tablet||51079094101|22.24||22.24
WS SERVICE AREA|25010066|alendronate 10 mg tablet||51079094105|22.24||22.24
WS SERVICE AREA|25010066|alendronate 10 mg tablet||16714063101|22.27||22.27
WS SERVICE AREA|25010066|sodium citrate-citric acid 500 mg-334 mg/5 mL oral solution||00121119030|16.21||16.21
WS SERVICE AREA|25010066|sotaloL 120 mg tablet||00603577021|17.35||17.35
WS SERVICE AREA|25010066|sotaloL 120 mg tablet||00245001389|17.55||17.55
WS SERVICE AREA|25010066|sotaloL 120 mg tablet||60505015900|17.34||17.34
WS SERVICE AREA|25010066|sotaloL 120 mg tablet||60505022301|21.83||21.83
WS SERVICE AREA|25010066|sotaloL 120 mg tablet||00093106001|15.88||15.88
WS SERVICE AREA|25010066|calcitonin (salmon) 200 unit/actuation nasal spray||49884016111|902.09||902.09
WS SERVICE AREA|25010066|bicalutamide 50 mg tablet||00093022056|141.24||141.24
WS SERVICE AREA|25010066|bicalutamide 50 mg tablet||16714081602|139.72||139.72
WS SERVICE AREA|25010066|carvediloL 6.25 mg tablet||51079093001|8.12||8.12
WS SERVICE AREA|25010066|carvediloL 6.25 mg tablet||00904630161|4.60||4.60
WS SERVICE AREA|25010066|carvediloL 12.5 mg tablet||00093729501|4.60||4.60
WS SERVICE AREA|25010066|carvediloL 12.5 mg tablet||68382009401|4.60||4.60
WS SERVICE AREA|25010066|carvediloL 12.5 mg tablet||00904630261|4.60||4.60
WS SERVICE AREA|25010066|azithromycin 200 mg/5 mL oral suspension||59762314001|265.51||265.51
WS SERVICE AREA|25010066|lamiVUDine 150 mg tablet||60505325106|36.33||36.33
WS SERVICE AREA|25010066|lamiVUDine 150 mg tablet||64380071003|36.29||36.29
WS SERVICE AREA|25010066|lamiVUDine 10 mg/mL oral solution||49702020548|843.80||843.80
WS SERVICE AREA|25010066|lamiVUDine 10 mg/mL oral solution||00000005152|105.47||
WS SERVICE AREA|25010066|lamiVUDine 10 mg/mL oral solution||57237027424|911.37||911.37
WS SERVICE AREA|25010066|acarbose 50 mg tablet||64380075906|4.60||4.60
WS SERVICE AREA|25010066|morphine concentrate 20 mg/mL oral syringe  (FOR ORAL USE ONLY)||00000005214|6.16||
WS SERVICE AREA|25010066|lipase-protease-amylase 10,440-39,150-39,150 unit tablet||58914011210|22.37||22.37
WS SERVICE AREA|25010066|lipase-protease-amylase 20,880-78,300-78,300 unit tablet||58914011710|44.12||44.12
WS SERVICE AREA|25010066|mirabegron ER 25 mg tablet,extended release 24 hr||00469260130|102.74||102.74
WS SERVICE AREA|25010066|white petrolatum topical ointment in packet||00168005345|0.92||0.92
WS SERVICE AREA|25010066|white petrolatum topical ointment in packet||54162059705|0.76||0.76
WS SERVICE AREA|25010066|white petrolatum topical ointment in packet||67777021101|0.60||0.60
WS SERVICE AREA|25010066|pregabalin 20 mg/mL oral solution||00071102001|41.49||41.49
WS SERVICE AREA|25010066|pregabalin 20 mg/mL oral solution||00000005665|41.49||41.49
WS SERVICE AREA|25010066|gabapentin 300 mg/6 mL (6 mL) oral solution||42192060806|20.23||20.23
WS SERVICE AREA|25010066|gabapentin 300 mg/6 mL (6 mL) oral solution||42192060840|20.23||20.23
WS SERVICE AREA|25010066|gabapentin 300 mg/6 mL (6 mL) oral solution||00000005797|37.99||37.99
WS SERVICE AREA|25010066|elviteg 150 mg-cob 150 mg-emtricit 200 mg-tenofo DISOPRO 300 mg tablet||61958120101|861.70||861.70
WS SERVICE AREA|25010066|rivastigmine 13.3 mg/24 hour transdermal patch||00078050315|174.02||174.02
WS SERVICE AREA|25010066|rivastigmine 13.3 mg/24 hour transdermal patch||00781731331|128.59||128.59
WS SERVICE AREA|25010066|rivastigmine 13.3 mg/24 hour transdermal patch||00781731358|128.59||128.59
WS SERVICE AREA|25010066|rivastigmine 13.3 mg/24 hour transdermal patch||00378907293|128.59||128.59
WS SERVICE AREA|25010066|hydrocodone-homatropine 5 mg-1.5 mg/5 mL (5 mL) oral syrup||00121481105|69.67||69.67
WS SERVICE AREA|25010066|multivit-mins-ferrous gluconate 9 mg iron/15 mL (15 mL) oral liquid||17856434401|9.32||9.32
WS SERVICE AREA|25010066|multivit-mins-ferrous gluconate 9 mg iron/15 mL (15 mL) oral liquid||00000005827|9.32||9.32
WS SERVICE AREA|25010066|megestroL 400 mg/10 mL (10 mL) oral suspension||66689002050|32.34||32.34
WS SERVICE AREA|25010066|glucose 4 gram chewable tablet||00904589615|4.60||4.60
WS SERVICE AREA|25010066|glucose 4 gram chewable tablet||87701041801|4.60||4.60
WS SERVICE AREA|25010066|glucose 4 gram chewable tablet||56151161051|4.60||4.60
WS SERVICE AREA|25010066|glucose 4 gram chewable tablet||10939703446|4.60||4.60
WS SERVICE AREA|25010066|desmopressin 0.1 mg tablet||68084060611|11.49||11.49
WS SERVICE AREA|25010066|desmopressin 0.1 mg tablet||50268022015|11.42||11.42
WS SERVICE AREA|25010066|desmopressin 0.1 mg tablet||55566260000|29.65||29.65
WS SERVICE AREA|25010066|desmopressin 0.1 mg tablet||69918010101|4.60||4.60
WS SERVICE AREA|25010066|desmopressin 0.1 mg tablet||16714088301|13.31||13.31
WS SERVICE AREA|25010066|linaCLOtide 145 mcg capsule||00456120130|112.89||112.89
WS SERVICE AREA|25010066|linaCLOtide 290 mcg capsule||00456120230|56.44||56.44
WS SERVICE AREA|25010066|acetaminophen 120 mg-codeine 12 mg/5 mL (5 mL) oral solution||00121050405|5.65||5.65
WS SERVICE AREA|25010066|acetaminophen 120 mg-codeine 12 mg/5 mL (5 mL) oral solution||17856007905|7.61||7.61
WS SERVICE AREA|25010066|darunavir ethanolate 800 mg tablet||59676056630|335.93||335.93
WS SERVICE AREA|25010066|ipratropium bromide 42 mcg (0.06 %) nasal spray||00054004641|728.39||728.39
WS SERVICE AREA|25010066|famciclovir 250 mg tablet||00591327230|24.05||24.05
WS SERVICE AREA|25010066|anastrozole 1 mg tablet||68382020906|51.29||51.29
WS SERVICE AREA|25010066|anastrozole 1 mg tablet||60687011211|7.88||7.88
WS SERVICE AREA|25010066|anastrozole 1 mg tablet||60687011221|7.88||7.88
WS SERVICE AREA|25010066|||00000005062|77.62||
WS SERVICE AREA|25010066|chlordiazePOXIDE 10 mg capsule||51079037501|4.60||4.60
WS SERVICE AREA|25010066|chlordiazePOXIDE 25 mg capsule||00555015902|4.60||4.60
WS SERVICE AREA|25010066|chlordiazePOXIDE 25 mg capsule||51079014101|4.60||4.60
WS SERVICE AREA|25010066|apixaban 2.5 mg tablet||00003089321|59.72||59.72
WS SERVICE AREA|25010066|apixaban 2.5 mg tablet||00003089331|59.72||59.72
WS SERVICE AREA|25010066|apixaban 5 mg tablet||00003089421|59.72||59.72
WS SERVICE AREA|25010066|apixaban 5 mg tablet||00003089431|59.72||59.72
WS SERVICE AREA|25010066|chlordiazePOXIDE 5 mg capsule||00555015802|4.60||4.60
WS SERVICE AREA|25010066|diphenhydramine-zinc acetate 2 %-0.1 % topical cream||49348085472|20.87||20.87
WS SERVICE AREA|25010066|diphenhydramine-zinc acetate 2 %-0.1 % topical cream||10939019844|20.87||20.87
WS SERVICE AREA|25010066|diphenhydramine-zinc acetate 2 %-0.1 % topical cream||00904535431|7.41||7.41
WS SERVICE AREA|25010066|glimepiride 1 mg tablet||16729000101|4.60||4.60
WS SERVICE AREA|25010066|glimepiride 2 mg tablet||55111032101|4.60||4.60
WS SERVICE AREA|25010066|glimepiride 2 mg tablet||51079042520|4.68||4.68
WS SERVICE AREA|25010066|glimepiride 2 mg tablet||68084032611|4.60||4.60
WS SERVICE AREA|25010066|glimepiride 2 mg tablet||43547039510|4.60||4.60
WS SERVICE AREA|25010066|glimepiride 4 mg tablet||55111032201|4.60||4.60
WS SERVICE AREA|25010066|glimepiride 4 mg tablet||51079042620|4.60||4.60
WS SERVICE AREA|25010066|glimepiride 4 mg tablet||68084032711|4.60||4.60
WS SERVICE AREA|25010066|doxylamine 10 mg-pyridoxine (vit B6) 10 mg tablet,delayed release||55494010010|41.40||41.40
WS SERVICE AREA|25010066|doxylamine 10 mg-pyridoxine (vit B6) 10 mg tablet,delayed release||70505010010|56.32||56.32
WS SERVICE AREA|25010066|chloroquine 500 mg tablet||63304046126|20.55||20.55
WS SERVICE AREA|25010066|canagliflozin 100 mg tablet||50458014030|131.53||131.53
WS SERVICE AREA|25010066|canagliflozin 300 mg tablet||50458014130|43.84||43.84
WS SERVICE AREA|25010066|dicyclomine 10 mg/5 mL oral solution||00603116158|11.42||11.42
WS SERVICE AREA|25010066|dicyclomine 10 mg/5 mL oral solution||00000005299|11.42||11.42
WS SERVICE AREA|25010066|dicyclomine 10 mg/5 mL oral solution||17856116130|12.67||12.67
WS SERVICE AREA|25010066|ritonavir 80 mg/mL oral solution||00074194063|57.08||57.08
WS SERVICE AREA|25010066|chlorpheniramine 4 mg tablet||00904001259|0.60||0.60
WS SERVICE AREA|25010066|niMODipine 60 mg/20 mL oral solution||24338020016|622.50||622.50
WS SERVICE AREA|25010066|niMODipine 60 mg/20 mL oral solution||24338020012|622.04||622.04
WS SERVICE AREA|25010066|niMODipine 60 mg/20 mL oral solution||00000005302|622.04||622.04
WS SERVICE AREA|25010066|chlorproMAZINE 10 mg tablet||69238105401|32.72||32.72
WS SERVICE AREA|25010066|chlorproMAZINE 10 mg tablet||51079051801|50.45||50.45
WS SERVICE AREA|25010066|chlorproMAZINE 10 mg tablet||51079051820|50.45||50.45
WS SERVICE AREA|25010066|chlorproMAZINE 25 mg tablet||00832030100|23.26||23.26
WS SERVICE AREA|25010066|chlorproMAZINE 25 mg tablet||51079051901|29.10||29.10
WS SERVICE AREA|25010066|chlorproMAZINE 50 mg tablet||51079013001|21.05||21.05
WS SERVICE AREA|25010066|chlorproPAMIDE 250 mg tablet||00378021001|7.73||7.73
WS SERVICE AREA|25010066|chlorthalidone 25 mg tablet||16714080001|9.19||9.19
WS SERVICE AREA|25010066|chlorthalidone 25 mg tablet||51079005801|17.46||17.46
WS SERVICE AREA|25010066|chlorthalidone 50 mg tablet||00378021301|5.66||5.66
WS SERVICE AREA|25010066|chlorthalidone 50 mg tablet||16714080101|5.66||5.66
WS SERVICE AREA|25010066|PARoxetine 10 mg tablet||68084004401|20.33||20.33
WS SERVICE AREA|25010066|PARoxetine 10 mg tablet||68084004411|20.33||20.33
WS SERVICE AREA|25010066|PARoxetine 10 mg tablet||68382009716|19.87||19.87
WS SERVICE AREA|25010066|PARoxetine 10 mg tablet||63739088810|4.61||4.61
WS SERVICE AREA|25010066|chlorzoxazone 500 mg tablet||00591252001|4.60||4.60
WS SERVICE AREA|25010066|dolutegravir 50 mg tablet||49702022813|463.31||463.31
WS SERVICE AREA|25010066|riociguat 1 mg tablet||50419025191|463.29||463.29
WS SERVICE AREA|25010066|riociguat 1.5 mg tablet||50419025291|308.86||308.86
WS SERVICE AREA|25010066|riociguat 2 mg tablet||50419025391|926.57||926.57
WS SERVICE AREA|25010066|riociguat 2.5 mg tablet||50419025491|926.57||926.57
WS SERVICE AREA|25010066|perampaneL 4 mg tablet||62856027430|127.85||127.85
WS SERVICE AREA|25010066|melatonin 3 mg tablet||00536641208|4.60||4.60
WS SERVICE AREA|25010066|melatonin 3 mg tablet||31604002741|4.60||4.60
WS SERVICE AREA|25010066|melatonin 3 mg tablet||30768048678|4.60||4.60
WS SERVICE AREA|25010066|melatonin 3 mg tablet||00904518261|4.60||4.60
WS SERVICE AREA|25010066|melatonin 3 mg tablet||77333051625|4.60||4.60
WS SERVICE AREA|25010066|melatonin 3 mg tablet||57896086406|4.60||4.60
WS SERVICE AREA|25010066|melatonin 3 mg tablet||20555003601|4.60||4.60
WS SERVICE AREA|25010066|dapagliflozin 10 mg tablet||00310621030|131.23||131.23
WS SERVICE AREA|25010066|treprostinil diolamine ER 0.25 mg tablet,extended release||66302030201|85.64||85.64
WS SERVICE AREA|25010066|treprostinil diolamine ER 1 mg tablet,extended release||66302031010|85.65||85.65
WS SERVICE AREA|25010066|treprostinil diolamine ER 2.5 mg tablet,extended release||66302032501|856.48||856.48
WS SERVICE AREA|25010066|emollient combination no.92 topical lotion||52800048816|16.16||16.16
WS SERVICE AREA|25010066|guaiFENesin ER 600 mg tablet, extended release 12 hr||63824000850|1.84||1.84
WS SERVICE AREA|25010066|hyoscyamine 0.125 mg sublingual tablet||68047025301|4.60||4.60
WS SERVICE AREA|25010066|hyoscyamine 0.125 mg sublingual tablet||76439030910|8.34||8.34
WS SERVICE AREA|25010066|droxidopa 100 mg capsule||67386082019|236.69||236.69
WS SERVICE AREA|25010066|empagliflozin 25 mg tablet||00597015330|53.01||53.01
WS SERVICE AREA|25010066|empagliflozin 25 mg tablet||00597015337|53.01||53.01
WS SERVICE AREA|25010066|empagliflozin 10 mg tablet||00597015230|132.52||132.52
WS SERVICE AREA|25010066|empagliflozin 10 mg tablet||00597015237|132.52||132.52
WS SERVICE AREA|25010066|glatiramer 20 mg/mL subcutaneous syringe||68546031730|1,537.23||
WS SERVICE AREA|25010066|glatiramer 20 mg/mL subcutaneous syringe||00781323434|1,495.85||1,495.85
WS SERVICE AREA|25010066|glatiramer 20 mg/mL subcutaneous syringe||00781323471|1,495.85||1,495.85
WS SERVICE AREA|25010066|oxychlorosene sodium topical powder for solution||00327000110|47.18||47.18
WS SERVICE AREA|25010066|ferric citrate 210 mg iron tablet||59922063101|46.19||46.19
WS SERVICE AREA|25010066|ipratropium 20 mcg-albuteroL 100 mcg/actuation mist for inhalation||00597002402|3,245.30||3,245.30
WS SERVICE AREA|25010066|NIFEdipine (bulk) powder||38779028003|1,680.90||1,680.90
WS SERVICE AREA|25010066|oxyCODONE ER 10 mg tablet,crush resistant,extended release 12 hr||59011041020|33.02||33.02
WS SERVICE AREA|25010066|oxyCODONE ER 20 mg tablet,crush resistant,extended release 12 hr||59011042020|30.76||30.76
WS SERVICE AREA|25010066|oxyCODONE ER 40 mg tablet,crush resistant,extended release 12 hr||59011044020|26.33||26.33
WS SERVICE AREA|25010066|oxyCODONE ER 80 mg tablet,crush resistant,extended release 12 hr||59011048020|22.98||22.98
WS SERVICE AREA|25010066|edoxaban 30 mg tablet||65597020205|49.35||49.35
WS SERVICE AREA|25010066|edoxaban 30 mg tablet||65597020230|49.35||49.35
WS SERVICE AREA|25010066|edoxaban 30 mg tablet||65597020290|49.35||49.35
WS SERVICE AREA|25010066|ARIPiprazole ER 400 mg suspension, extended rel.intramuscular syringe||59148007280|15,722.93||15,722.93
WS SERVICE AREA|25010066|selegiline 5 mg capsule||67253070006|17.53||17.53
WS SERVICE AREA|25010066|selegiline 5 mg capsule||60505005501|17.52||17.52
WS SERVICE AREA|25010066|ivabradine 5 mg tablet||55513080060|29.43||29.43
WS SERVICE AREA|25010066|isavuconazonium sulfate 186 mg capsule||00469052014|1,408.84||1,408.84
WS SERVICE AREA|25010066|risperiDONE 1 mg/mL oral solution||65162067384|38.65||38.65
WS SERVICE AREA|25010066|chlordiazepoxide-clidinium 5 mg-2.5 mg capsule||76439030210|39.14||39.14
WS SERVICE AREA|25010066|chlordiazepoxide-clidinium 5 mg-2.5 mg capsule||42494040901|302.49||302.49
WS SERVICE AREA|25010066|clindamycin HCL 150 mg capsule||68084024311|9.54||9.54
WS SERVICE AREA|25010066|nevirapine 200 mg tablet||00597004660|114.91||114.91
WS SERVICE AREA|25010066|nevirapine 200 mg tablet||51991033106|82.50||82.50
WS SERVICE AREA|25010066|nevirapine 200 mg tablet||65862002760|82.44||82.44
WS SERVICE AREA|25010066|insulin lispro (U-100) 100 unit/mL subcutaneous solution||00002751017|18.70||18.70
WS SERVICE AREA|25010066|clindamycin phosphate 1 % topical solution||59762372801|298.16||298.16
WS SERVICE AREA|25010066|sacubitriL 24 mg-valsartan 26 mg tablet||00078065920|69.09||69.09
WS SERVICE AREA|25010066|sacubitriL 24 mg-valsartan 26 mg tablet||00078065935|58.76||58.76
WS SERVICE AREA|25010066|sacubitriL 49 mg-valsartan 51 mg tablet||00078077720|69.09||69.09
WS SERVICE AREA|25010066|sacubitriL 49 mg-valsartan 51 mg tablet||00078077735|58.76||58.76
WS SERVICE AREA|25010066|sacubitriL 97 mg-valsartan 103 mg tablet||00078069620|69.09||69.09
WS SERVICE AREA|25010066|sacubitriL 97 mg-valsartan 103 mg tablet||00078069635|58.76||58.76
WS SERVICE AREA|25010066|mirtazapine 30 mg tablet||68084012011|4.60||4.60
WS SERVICE AREA|25010066|mirtazapine 30 mg tablet||00378353093|5.32||5.32
WS SERVICE AREA|25010066|mirtazapine 30 mg tablet||51079008720|5.32||5.32
WS SERVICE AREA|25010066|mirtazapine 15 mg tablet||68084011911|4.60||4.60
WS SERVICE AREA|25010066|ticagrelor 60 mg tablet||00186077660|49.85||49.85
WS SERVICE AREA|25010066|cloNIDine HCL 0.1 mg tablet||00228212710|4.60||4.60
WS SERVICE AREA|25010066|cloNIDine HCL 0.1 mg tablet||63739006010|4.60||4.60
WS SERVICE AREA|25010066|cloNIDine HCL 0.1 mg tablet||29300013501|4.60||4.60
WS SERVICE AREA|25010066|cloNIDine HCL 0.2 mg tablet||29300013601|4.60||4.60
WS SERVICE AREA|25010066|cloNIDine HCL 0.2 mg tablet||00904565761|4.60||4.60
WS SERVICE AREA|25010066|melatonin 10 mg sublingual tablet||74312052802|4.60||4.60
WS SERVICE AREA|25010066|clorazepate dipotassium 3.75 mg tablet||00378003001|15.46||15.46
WS SERVICE AREA|25010066|clorazepate dipotassium 3.75 mg tablet||00591036301|10.26||10.26
WS SERVICE AREA|25010066|clorazepate dipotassium 7.5 mg tablet||00378004001|10.82||10.82
WS SERVICE AREA|25010066|clorazepate dipotassium 7.5 mg tablet||51672404301|19.09||19.09
WS SERVICE AREA|25010066|clorazepate dipotassium 7.5 mg tablet||51672404302|19.09||19.09
WS SERVICE AREA|25010066|wheat dextrin 3 gram/4 gram oral powder packet||86790016280|4.60||4.60
WS SERVICE AREA|25010066|patiromer calcium sorbitex 8.4 gram oral powder packet||53436008404|304.40||304.40
WS SERVICE AREA|25010066|patiromer calcium sorbitex 8.4 gram oral powder packet||53436008401|227.79||227.79
WS SERVICE AREA|25010066|elviteg 150 mg-cob 150 mg-emtricit 200 mg-tenofo ALAFENAM 10 mg tablet||61958190101|821.45||821.45
WS SERVICE AREA|25010066|clotrimazole 1 % topical cream||45802043401|25.14||25.14
WS SERVICE AREA|25010066|clotrimazole 1 % topical cream||51672200201|35.72||35.72
WS SERVICE AREA|25010066|clotrimazole 1 % topical solution||51672126003|313.87||313.87
WS SERVICE AREA|25010066|clotrimazole 1 % vaginal cream||51672200306|33.64||33.64
WS SERVICE AREA|25010066|dabigatran etexilate 110 mg capsule||00597010860|58.16||58.16
WS SERVICE AREA|25010066|selenium sulfide 2.5 % lotion||45802004064|150.68||150.68
WS SERVICE AREA|25010066|brimonidine 0.2 % eye drops||24208041115|416.19||416.19
WS SERVICE AREA|25010066|brivaracetam 10 mg/mL oral solution||50474087015|74.79||74.79
WS SERVICE AREA|25010066|brivaracetam 10 mg tablet||50474037066|149.58||149.58
WS SERVICE AREA|25010066|brivaracetam 25 mg tablet||50474047066|149.58||149.58
WS SERVICE AREA|25010066|brivaracetam 50 mg tablet||50474057066|149.58||149.58
WS SERVICE AREA|25010066|brivaracetam 75 mg tablet||50474067066|149.58||149.58
WS SERVICE AREA|25010066|brivaracetam 100 mg tablet||50474077066|149.58||149.58
WS SERVICE AREA|25010066|mesalamine 400 mg capsule (with delayed release tablets inside)||00023585318|29.53||29.53
WS SERVICE AREA|25010066|OLANZapine 5 mg tablet||60505311103|100.57||100.57
WS SERVICE AREA|25010066|OLANZapine 10 mg tablet||60505311300|75.78||75.78
WS SERVICE AREA|25010066|OLANZapine 10 mg tablet||00904637661|4.60||4.60
WS SERVICE AREA|25010066|codeine sulfate 30 mg tablet||00054024424|4.60||4.60
WS SERVICE AREA|25010066|codeine sulfate 30 mg tablet||00054024425|4.60||4.60
WS SERVICE AREA|25010066|linaCLOtide 72 mcg capsule||00456120330|112.89||112.89
WS SERVICE AREA|25010066|colchicine 0.6 mg tablet||64764011907|54.72||54.72
WS SERVICE AREA|25010066|colchicine 0.6 mg tablet||00603305221|50.08||50.08
WS SERVICE AREA|25010066|colchicine 0.6 mg tablet||00378108693|51.26||51.26
WS SERVICE AREA|25010066|colchicine 0.6 mg tablet||42292005403|84.85||84.85
WS SERVICE AREA|25010066|bisoprolol fumarate 5 mg tablet||68084048711|10.29||10.29
WS SERVICE AREA|25010066|bisoprolol 10 mg-hydrochlorothiazide 6.25 mg tablet||29300018901|27.21||27.21
WS SERVICE AREA|25010066|bisoprolol 5 mg-hydrochlorothiazide 6.25 mg tablet||29300018801|27.21||27.21
WS SERVICE AREA|25010066|bisoprolol 2.5 mg-hydrochlorothiazide 6.25 mg tablet||29300018701|27.21||27.21
WS SERVICE AREA|25010066|bisoprolol 2.5 mg-hydrochlorothiazide 6.25 mg tablet||29300018705|17.82||17.82
WS SERVICE AREA|25010066|bisoprolol 2.5 mg-hydrochlorothiazide 6.25 mg tablet||42799092030|56.08||56.08
WS SERVICE AREA|25010066|torsemide 10 mg tablet||50111091601|4.60||4.60
WS SERVICE AREA|25010066|torsemide 10 mg tablet||31722053001|4.60||4.60
WS SERVICE AREA|25010066|torsemide 20 mg tablet||00054007725|4.60||4.60
WS SERVICE AREA|25010066|torsemide 20 mg tablet||00054007729|4.60||4.60
WS SERVICE AREA|25010066|torsemide 20 mg tablet||31722053101|4.60||4.60
WS SERVICE AREA|25010066|torsemide 20 mg tablet||68084053901|4.60||4.60
WS SERVICE AREA|25010066|torsemide 20 mg tablet||50268075615|4.60||4.60
WS SERVICE AREA|25010066|gabapentin 300 mg capsule||60505011300|4.60||4.60
WS SERVICE AREA|25010066|gabapentin 300 mg capsule||16714066201|4.60||4.60
WS SERVICE AREA|25010066|gabapentin 300 mg capsule||16714050401|4.60||4.60
WS SERVICE AREA|25010066|gabapentin 100 mg capsule||16714066101|4.60||4.60
WS SERVICE AREA|25010066|gabapentin 100 mg capsule||67877022201|4.60||4.60
WS SERVICE AREA|25010066|gabapentin 100 mg capsule||00904666561|4.60||4.60
WS SERVICE AREA|25010066|risperiDONE 2 mg tablet||68382011514|14.47||14.47
WS SERVICE AREA|25010066|risperiDONE 1 mg tablet||68084027211|17.28||17.28
WS SERVICE AREA|25010066|spironolactone 25 mg/5 mL oral suspension||00000005677|89.19||89.19
WS SERVICE AREA|25010066|niMODipine 30 mg/10 mL oral solution||00000005661|622.04||622.04
WS SERVICE AREA|25010066|buPROPion HCL SR 100 mg tablet,12 hr sustained-release||00173094755|52.69||52.69
WS SERVICE AREA|25010066|buPROPion HCL SR 100 mg tablet,12 hr sustained-release||43547028810|14.76||14.76
WS SERVICE AREA|25010066|buPROPion HCL SR 150 mg tablet,12 hr sustained-release||00591354160|9.82||9.82
WS SERVICE AREA|25010066|buPROPion HCL SR 150 mg tablet,12 hr sustained-release||68084070825|4.60||4.60
WS SERVICE AREA|25010066|buPROPion HCL SR 150 mg tablet,12 hr sustained-release||68084070895|4.60||4.60
WS SERVICE AREA|25010066|buPROPion HCL SR 150 mg tablet,12 hr sustained-release||00904658561|4.60||4.60
WS SERVICE AREA|25010066|dolutegravir 50 mg-rilpivirine 25 mg tablet||49702024213|720.85||720.85
WS SERVICE AREA|25010066|bictegravir 50 mg-emtricitabine 200 mg-tenofovir alafenam 25 mg tablet||61958250101|821.45||821.45
WS SERVICE AREA|25010066|carvediloL 3.125 mg tablet||00093005105|15.85||15.85
WS SERVICE AREA|25010066|carvediloL 3.125 mg tablet||00904630061|4.60||4.60
WS SERVICE AREA|25010066|avatrombopag 20 mg tablet||71369002010|2,483.90||2,483.90
WS SERVICE AREA|25010066|latanoprost 0.005 % eye drops||61314054701|52.20||
WS SERVICE AREA|25010066|sodium zirconium cyclosilicate 10 gram oral powder packet||00310111001|171.13||171.13
WS SERVICE AREA|25010066|rivaroxaban 2.5 mg tablet||50458057710|59.60||59.60
WS SERVICE AREA|25010066|rivaroxaban 2.5 mg tablet||50458057701|59.60||59.60
WS SERVICE AREA|25010066|donepeziL 5 mg tablet||59762024503|59.27||59.27
WS SERVICE AREA|25010066|donepeziL 5 mg tablet||43547027503|65.86||65.86
WS SERVICE AREA|25010066|donepeziL 10 mg tablet||13668010390|29.64||29.64
WS SERVICE AREA|25010066|donepeziL 10 mg tablet||00904647861|4.60||4.60
WS SERVICE AREA|25010066|ondansetron HCL 4 mg/5 mL oral solution||54838055550|181.88||181.88
WS SERVICE AREA|25010066|modified lanolin 100 % topical cream||44677010202|18.27||18.27
WS SERVICE AREA|25010066|levoFLOXacin 250 mg tablet||68084048111|125.51||125.51
WS SERVICE AREA|25010066|levoFLOXacin 500 mg tablet||68084048211|4.60||
WS SERVICE AREA|25010066|levoFLOXacin 500 mg tablet||68180024108|73.39||73.39
WS SERVICE AREA|25010066|levoFLOXacin 500 mg tablet||31722072250|73.39||73.39
WS SERVICE AREA|25010066|topiramate 200 mg tablet||68084034511|4.60||4.60
WS SERVICE AREA|25010066|topiramate 100 mg tablet||68084034411|11.80||11.80
WS SERVICE AREA|25010066|topiramate 100 mg tablet||69097012403|13.10||13.10
WS SERVICE AREA|25010066|baricitinib 1 mg tablet||00002473230|574.56||574.56
WS SERVICE AREA|25010066|vit B complex and vit C no.24-ferrous fum 66 mg-folic 1,000 mcg tablet||59528445601|4.72||4.72
WS SERVICE AREA|25010066|hydroCHLOROthiazide 12.5 mg capsule||29300013001|4.60||4.60
WS SERVICE AREA|25010066|hydroCHLOROthiazide 12.5 mg capsule||57237000201|4.60||4.60
WS SERVICE AREA|25010066|B complex-C 500 mg-folic 400 mcg-zinc 23.9 mg-cupric 3 mg-vit E tablet||80681011200|0.60||0.60
WS SERVICE AREA|25010066|atorvastatin 10 mg tablet||60505257809|30.81||30.81
WS SERVICE AREA|25010066|atorvastatin 10 mg tablet||60505257808|30.81||30.81
WS SERVICE AREA|25010066|atorvastatin 10 mg tablet||00904629061|4.60||4.60
WS SERVICE AREA|25010066|atorvastatin 10 mg tablet||16714087401|30.49||30.49
WS SERVICE AREA|25010066|atorvastatin 40 mg tablet||60505258009|10.99||10.99
WS SERVICE AREA|25010066|atorvastatin 40 mg tablet||00904629261|4.60||4.60
WS SERVICE AREA|25010066|atorvastatin 20 mg tablet||00904629161|4.60||4.60
WS SERVICE AREA|25010066|atorvastatin 20 mg tablet||16714087501|21.81||21.81
WS SERVICE AREA|25010066|insulin regular human U-500"concentrate" 500 unit/mL subcutaneous soln||00002850101|10,278.14||10,278.14
WS SERVICE AREA|25010066|pediatric multivitamin no.189-ferrous sulfate 11 mg/mL oral drops||00000005322|4.60||4.60
WS SERVICE AREA|25010066|pediatric multivitamin no.189-ferrous sulfate 11 mg/mL oral drops||00087040501|54.41||54.41
WS SERVICE AREA|25010066|pediatric multivitamin no.192 250 mcg-50 mg-10 mcg/mL oral drops||00000005321|4.60||4.60
WS SERVICE AREA|25010066|pediatric multivitamin no.192 250 mcg-50 mg-10 mcg/mL oral drops||00087040203|54.41||54.41
WS SERVICE AREA|25010066|L.acidophilus-L.paracasei-B.bifidum-S.thermophl 8 billion cell capsule||64980014703|9.33||9.33
WS SERVICE AREA|25010066|dextrose 1.2 gram/3 mL (40 %) oral gel in syringe (ORAL USE ONLY)||54758000628|18.42||18.42
WS SERVICE AREA|25010066|cortisone 25 mg tablet||00143970001|23.78||23.78
WS SERVICE AREA|25010066|warfarin 3 mg tablet||00056018801|8.48||8.48
WS SERVICE AREA|25010066|warfarin 6 mg tablet||00056018901|11.34||11.34
WS SERVICE AREA|25010066|warfarin 6 mg tablet||00832121789|4.60||4.60
WS SERVICE AREA|25010066|calcium carbonate 500 mg (1,250 mg)-vitamin D3 200 unit tablet||00904546061|0.60||0.60
WS SERVICE AREA|25010066|calcium carbonate 500 mg (1,250 mg)-vitamin D3 200 unit tablet||00766165460|0.60||0.60
WS SERVICE AREA|25010066|calcium carbonate 500 mg (1,250 mg)-vitamin D3 200 unit tablet||00904546052|0.60||0.60
WS SERVICE AREA|25010066|calcium carbonate 500 mg (1,250 mg)-vitamin D3 200 unit tablet||10006070038|0.60||0.60
WS SERVICE AREA|25010066|calcium carbonate 500 mg (1,250 mg)-vitamin D3 200 unit tablet||63739029101|0.60||0.60
WS SERVICE AREA|25010066|betaxoloL 0.25 % eye drops,suspension||00065024610|11.82||11.82
WS SERVICE AREA|25010066|betaxoloL 0.25 % eye drops,suspension||00065024615|11.81||11.81
WS SERVICE AREA|25010066|neomycin-polymyxin-pramoxine 3.5 mg-10,000 unit-10 mg/gram top cream||00810073794|19.26||19.26
WS SERVICE AREA|25010066|sertraline 25 mg tablet||76282021218|20.88||20.88
WS SERVICE AREA|25010066|sertraline 25 mg tablet||00904692461|4.60||4.60
WS SERVICE AREA|25010066|itraconazole 10 mg/mL oral solution||50458029515|2,608.33||2,608.33
WS SERVICE AREA|25010066|cyanocobalamin (vit B-12) 100 mcg tablet||79854020050|0.60||0.60
WS SERVICE AREA|25010066|cyanocobalamin (vit B-12) 100 mcg tablet||00904113213|0.60||0.60
WS SERVICE AREA|25010066|cyanocobalamin (vit B-12) 1,000 mcg tablet||00536355601|0.60||0.60
WS SERVICE AREA|25010066|cyanocobalamin (vit B-12) 1,000 mcg tablet||79854020062|0.60||0.60
WS SERVICE AREA|25010066|cyanocobalamin (vit B-12) 1,000 mcg tablet||50268085515|0.75||0.75
WS SERVICE AREA|25010066|cyanocobalamin (vit B-12) 1,000 mcg tablet||54629058605|0.60||0.60
WS SERVICE AREA|25010066|cyanocobalamin (vit B-12) 500 mcg tablet||00904320713|0.60||0.60
WS SERVICE AREA|25010066|cyanocobalamin (vit B-12) 500 mcg tablet||80681012800|0.60||0.60
WS SERVICE AREA|25010066|cyanocobalamin (vit B-12) 2,500 mcg sublingual tablet||07610051612|0.60||0.60
WS SERVICE AREA|25010066|cyclobenzaprine 10 mg tablet||00591565801|4.60||4.60
WS SERVICE AREA|25010066|cyproheptadine 4 mg tablet||51991083801|8.12||8.12
WS SERVICE AREA|25010066|cyproheptadine 4 mg tablet||70710111001|8.12||8.12
WS SERVICE AREA|25010066|alendronate 5 mg tablet||00115167608|22.27||22.27
WS SERVICE AREA|25010066|morphine ER 100 mg tablet,extended release||00406839062|17.43||17.43
WS SERVICE AREA|25010066|morphine ER 15 mg tablet,extended release||00406831501|12.75||12.75
WS SERVICE AREA|25010066|morphine ER 15 mg tablet,extended release||42858080101|12.75||12.75
WS SERVICE AREA|25010066|morphine ER 15 mg tablet,extended release||00406831523|14.23||14.23
WS SERVICE AREA|25010066|morphine ER 15 mg tablet,extended release||00406831562|14.25||14.25
WS SERVICE AREA|25010066|morphine ER 30 mg tablet,extended release||00406833023|25.72||25.72
WS SERVICE AREA|25010066|morphine ER 60 mg tablet,extended release||00406838023|20.24||20.24
WS SERVICE AREA|25010066|morphine ER 60 mg tablet,extended release||00406838062|20.26||20.26
WS SERVICE AREA|25010066|azithromycin 250 mg tablet||50111078710|59.24||59.24
WS SERVICE AREA|25010066|azithromycin 250 mg tablet||59762306003|59.17||59.17
WS SERVICE AREA|25010066|azithromycin 250 mg tablet||50268009815|56.25||56.25
WS SERVICE AREA|25010066|azithromycin 250 mg tablet||50111078751|59.23||59.23
WS SERVICE AREA|25010066|azithromycin 250 mg tablet||65862064169|59.23||59.23
WS SERVICE AREA|25010066|azithromycin 250 mg tablet||00904670806|9.40||9.40
WS SERVICE AREA|25010066|azithromycin 250 mg tablet||00069306086|261.23||261.23
WS SERVICE AREA|25010066|OLANZapine 2.5 mg tablet||00904628361|4.60||4.60
WS SERVICE AREA|25010066|OLANZapine 2.5 mg tablet||68084052511|85.02||85.02
WS SERVICE AREA|25010066|artificial tears (hypromellose) 0.3 % eye gel||00065047401|68.49||68.49
WS SERVICE AREA|25010066|OXcarbazepine 300 mg tablet||62756018488|4.60||4.60
WS SERVICE AREA|25010066|citalopram 20 mg tablet||13668001001|10.24||10.24
WS SERVICE AREA|25010066|desmopressin 10 mcg/spray (0.1 mL) nasal spray (non-refrigerated)||47335078891|29.98||29.98
WS SERVICE AREA|25010066|desmopressin 10 mcg/spray (0.1 mL) nasal spray (non-refrigerated)||68382038401|37.48||37.48
WS SERVICE AREA|25010066|danazoL 200 mg capsule||00527136906|19.57||19.57
WS SERVICE AREA|25010066|pramipexole 0.125 mg tablet||00597018390|53.43||53.43
WS SERVICE AREA|25010066|pramipexole 0.125 mg tablet||13668009190|22.45||22.45
WS SERVICE AREA|25010066|pramipexole 1 mg tablet||13668009490|4.60||4.60
WS SERVICE AREA|25010066|pramipexole 1 mg tablet||68462033390|4.60||4.60
WS SERVICE AREA|25010066|pramipexole 1.5 mg tablet||13668009590|4.60||4.60
WS SERVICE AREA|25010066|pramipexole 1.5 mg tablet||33342003510|4.60||4.60
WS SERVICE AREA|25010066|pramipexole 0.25 mg tablet||68462033190|12.72||12.72
WS SERVICE AREA|25010066|pramipexole 0.25 mg tablet||68084044011|11.10||11.10
WS SERVICE AREA|25010066|pramipexole 0.25 mg tablet||00904670461|4.60||4.60
WS SERVICE AREA|25010066|dapsone 25 mg tablet||49938010230|20.84||20.84
WS SERVICE AREA|25010066|warfarin 4 mg tablet||00056016801|8.50||8.50
WS SERVICE AREA|25010066|warfarin 4 mg tablet||00832121589|4.60||4.60
WS SERVICE AREA|25010066|letrozole 2.5 mg tablet||62756051183|4.60||4.60
WS SERVICE AREA|25010066|letrozole 2.5 mg tablet||68084080321|6.66||6.66
WS SERVICE AREA|25010066|letrozole 2.5 mg tablet||42291037490|137.86||137.86
WS SERVICE AREA|25010066|letrozole 2.5 mg tablet||50268047611|137.38||137.38
WS SERVICE AREA|25010066|rOPINIRole 0.25 mg tablet||43547026810|19.03||19.03
WS SERVICE AREA|25010066|rOPINIRole 1 mg tablet||00904637461|4.60||4.60
WS SERVICE AREA|25010066|rOPINIRole 1 mg tablet||62332003231|4.76||4.76
WS SERVICE AREA|25010066|rOPINIRole 2 mg tablet||68462025601|4.60||4.60
WS SERVICE AREA|25010066|rOPINIRole 2 mg tablet||62332003331|4.60||4.60
WS SERVICE AREA|25010066|rOPINIRole 0.5 mg tablet||68462025401|9.53||9.53
WS SERVICE AREA|25010066|rOPINIRole 0.5 mg tablet||43547026910|9.51||9.51
WS SERVICE AREA|25010066|lamiVUDine 150 mg-zidovudine 300 mg tablet||65862059760|111.34||111.34
WS SERVICE AREA|25010066|lamiVUDine 150 mg-zidovudine 300 mg tablet||31722050660|118.16||118.16
WS SERVICE AREA|25010066|QUEtiapine 25 mg tablet||68084053011|28.74||28.74
WS SERVICE AREA|25010066|QUEtiapine 25 mg tablet||16714045201|30.16||30.16
WS SERVICE AREA|25010066|QUEtiapine 100 mg tablet||00904627961|4.60||4.60
WS SERVICE AREA|25010066|tiaGABine 4 mg tablet||63459040430|37.86||37.86
WS SERVICE AREA|25010066|tiaGABine 4 mg tablet||62756022483|30.19||30.19
WS SERVICE AREA|25010066|tiaGABine 4 mg tablet||00093503156|30.19||30.19
WS SERVICE AREA|25010066|tiaGABine 4 mg tablet||69238110503|30.19||30.19
WS SERVICE AREA|25010066|clopidogreL 75 mg tablet||51079055720|4.60||4.60
WS SERVICE AREA|25010066|clopidogreL 75 mg tablet||65862035790|52.90||52.90
WS SERVICE AREA|25010066|clopidogreL 75 mg tablet||00904629461|4.60||4.60
WS SERVICE AREA|25010066|raloxifene 60 mg tablet||60687026611|55.80||55.80
WS SERVICE AREA|25010066|raloxifene 60 mg tablet||60687026621|55.80||55.80
WS SERVICE AREA|25010066|becaplermin 0.01 % topical gel||50484081015|9,385.41||9,385.41
WS SERVICE AREA|25010066|cefdinir 300 mg capsule||16714039102|38.92||38.92
WS SERVICE AREA|25010066|cefdinir 125 mg/5 mL oral suspension||16714039201|388.11||388.11
WS SERVICE AREA|25010066|diphenhydramine-zinc acetate 1 %-0.1 % topical cream||12547017162|13.31||13.31
WS SERVICE AREA|25010066|lactase 3,000 unit tablet||00904522452|4.60||4.60
WS SERVICE AREA|25010066|montelukast 10 mg tablet||65862057490|21.50||21.50
WS SERVICE AREA|25010066|montelukast 10 mg tablet||00093742698|21.52||21.52
WS SERVICE AREA|25010066|montelukast 5 mg chewable tablet||00781555592|34.44||34.44
WS SERVICE AREA|25010066|montelukast 5 mg chewable tablet||31722072830|34.44||34.44
WS SERVICE AREA|25010066|sulfamethoxazole 200 mg-trimethoprim 40 mg/5 mL oral suspension||00000005281|56.16||56.16
WS SERVICE AREA|25010066|sulfamethoxazole 200 mg-trimethoprim 40 mg/5 mL oral suspension||50383082416|34.63||34.63
WS SERVICE AREA|25010066|repaglinide 1 mg tablet||57664074588|4.60||4.60
WS SERVICE AREA|25010066|losartan 100 mg tablet||00006096031|9.63||9.63
WS SERVICE AREA|25010066|losartan 100 mg tablet||50268051815|4.60||4.60
WS SERVICE AREA|25010066|losartan 100 mg tablet||63739069810|4.60||4.60
WS SERVICE AREA|25010066|losartan 100 mg tablet||31722070230|5.86||5.86
WS SERVICE AREA|25010066|losartan 100 mg tablet||31722070290|5.83||5.83
WS SERVICE AREA|25010066|losartan 100 mg tablet||68180037809|5.86||5.86
WS SERVICE AREA|25010066|loteprednol etabonate 0.5 % eye drops,suspension||24208029905|1,917.57||1,917.57
WS SERVICE AREA|25010066|pramipexole 0.5 mg tablet||13668009390|5.61||5.61
WS SERVICE AREA|25010066|tolterodine 1 mg tablet||00093001006|25.18||25.18
WS SERVICE AREA|25010066|tolterodine 2 mg tablet||51079023520|13.05||13.05
WS SERVICE AREA|25010066|tolterodine 2 mg tablet||00093001806|12.93||12.93
WS SERVICE AREA|25010066|desipramine 10 mg tablet||45963034102|22.53||22.53
WS SERVICE AREA|25010066|desipramine 10 mg tablet||00781521801|28.86||28.86
WS SERVICE AREA|25010066|desipramine 10 mg tablet||23155057801|16.76||16.76
WS SERVICE AREA|25010066|sildenafiL 50 mg tablet||00069421030|282.27||282.27
WS SERVICE AREA|25010066|desipramine 25 mg tablet||45963034202|10.83||10.83
WS SERVICE AREA|25010066|desipramine 25 mg tablet||00781197201|13.87||13.87
WS SERVICE AREA|25010066|desipramine 25 mg tablet||23155057901|8.05||8.05
WS SERVICE AREA|25010066|PARoxetine 10 mg/5 mL oral suspension||60505040205|67.08||67.08
WS SERVICE AREA|25010066|dorzolamide 22.3 mg-timoloL 6.8 mg/mL eye drops||50383023310|932.99||932.99
WS SERVICE AREA|25010066|dorzolamide 22.3 mg-timoloL 6.8 mg/mL eye drops||24208048610|513.60||513.60
WS SERVICE AREA|25010066|ciprofloxacin 250 mg/5 mL oral suspension||50419077701|992.34||992.34
WS SERVICE AREA|25010066|amoxicillin 250 mg-potassium clavulanate 125 mg tablet||16714047601|45.04||45.04
WS SERVICE AREA|25010066|risedronate 30 mg tablet||00430047015|103.07||103.07
WS SERVICE AREA|25010066|sodium metabisulfite (bulk) 100 % granules||51552006905|388.11||388.11
WS SERVICE AREA|25010066|camphor-menthoL 0.5 %-0.5 % lotion||54162055009|19.58||19.58
WS SERVICE AREA|25010066|camphor-menthoL 0.5 %-0.5 % lotion||00145062805|27.97||27.97
WS SERVICE AREA|25010066|camphor-menthoL 0.5 %-0.5 % lotion||00316022975|39.16||39.16
WS SERVICE AREA|25010066|camphor-menthoL 0.5 %-0.5 % lotion||00536126812|21.45||21.45
WS SERVICE AREA|25010066|camphor-menthoL 0.5 %-0.5 % lotion||54162055007|20.51||20.51
WS SERVICE AREA|25010066|camphor-menthoL 0.5 %-0.5 % lotion||61924018808|29.84||29.84
WS SERVICE AREA|25010066|progesterone micronized 100 mg capsule||17478076610|15.98||15.98
WS SERVICE AREA|25010066|dexAMETHasone 2 mg tablet||00054817625|4.60||4.60
WS SERVICE AREA|25010066|dexAMETHasone 4 mg tablet||00054418425|4.60||4.60
WS SERVICE AREA|25010066|dexAMETHasone 4 mg tablet||00054817525|4.60||4.60
WS SERVICE AREA|25010066|dexAMETHasone 4 mg tablet||49884008701|4.60||4.60
WS SERVICE AREA|25010066|sodium metabisulfite (bulk) powder||38779078708|35,534.90||35,534.90
WS SERVICE AREA|25010066|dexAMETHasone 6 mg tablet||48102004801|4.60||4.60
WS SERVICE AREA|25010066|dexAMETHasone 6 mg tablet||00054418625|4.60||4.60
WS SERVICE AREA|25010066|dexAMETHasone 6 mg tablet||00054818325|4.60||4.60
WS SERVICE AREA|25010066|rifapentine 150 mg tablet||00088210201|30.46||30.46
WS SERVICE AREA|25010066|rifapentine 150 mg tablet||00088210224|30.46||30.46
WS SERVICE AREA|25010066|lidocaine 4 % topical cream||24357070106|21.00||21.00
WS SERVICE AREA|25010066|lidocaine 4 % topical cream||43199004005|22.68||22.68
WS SERVICE AREA|25010066|lidocaine 4 % topical cream||24357070105|21.00||21.00
WS SERVICE AREA|25010066|citalopram 40 mg tablet||13668001101|5.29||5.29
WS SERVICE AREA|25010066|citalopram 40 mg tablet||65162005410|5.09||5.09
WS SERVICE AREA|25010066|atovaquone 250 mg-proguaniL 100 mg tablet||68462040444|27.19||27.19
WS SERVICE AREA|25010066|atovaquone 250 mg-proguaniL 100 mg tablet||68001024515|27.19||27.19
WS SERVICE AREA|25010066|efavirenz 200 mg capsule||00056047492|82.92||82.92
WS SERVICE AREA|25010066|diazePAM 10 mg tablet||51079028601|4.60||4.60
WS SERVICE AREA|25010066|diazePAM 2 mg tablet||00172392560|4.60||4.60
WS SERVICE AREA|25010066|diazePAM 2 mg tablet||51079028401|4.60||4.60
WS SERVICE AREA|25010066|diazePAM 5 mg tablet||00172392660|4.60||4.60
WS SERVICE AREA|25010066|diazePAM 5 mg tablet||51079028520|4.60||4.60
WS SERVICE AREA|25010066|nevirapine 50 mg/5 mL oral suspension||00597004724|124.50||124.50
WS SERVICE AREA|25010066|nevirapine 50 mg/5 mL oral suspension||65862005724|120.09||120.09
WS SERVICE AREA|25010066|midazolam 2 mg/mL oral syrup||00574015004|618.71||618.71
WS SERVICE AREA|25010066|midazolam 2 mg/mL oral syrup||00054356699|1,935.15||1,935.15
WS SERVICE AREA|25010066|dicyclomine 10 mg capsule||00378161001|4.60||4.60
WS SERVICE AREA|25010066|dicyclomine 10 mg capsule||51079011801|4.60||4.60
WS SERVICE AREA|25010066|psyllium oral packet||38485080857|2.82||2.82
WS SERVICE AREA|25010066|dicyclomine 20 mg tablet||00527128201|4.60||4.60
WS SERVICE AREA|25010066|dicyclomine 20 mg tablet||00591079501|5.91||5.91
WS SERVICE AREA|25010066|dicyclomine 20 mg tablet||00591079510|5.43||5.43
WS SERVICE AREA|25010066|dicyclomine 20 mg tablet||00904698861|4.60||4.60
WS SERVICE AREA|25010066|dicyclomine 20 mg tablet||51079011901|4.60||4.60
WS SERVICE AREA|25010066|dicyclomine 20 mg tablet||51079011920|4.60||4.60
WS SERVICE AREA|25010066|sennosides 8.6 mg-docusate sodium 50 mg tablet||63739043201|0.60||0.60
WS SERVICE AREA|25010066|sennosides 8.6 mg-docusate sodium 50 mg tablet||63739043210|0.76||0.76
WS SERVICE AREA|25010066|sennosides 8.6 mg-docusate sodium 50 mg tablet||57896030301|0.60||0.60
WS SERVICE AREA|25010066|sennosides 8.6 mg-docusate sodium 50 mg tablet||57896030310|0.60||0.60
WS SERVICE AREA|25010066|sennosides 8.6 mg-docusate sodium 50 mg tablet||57896030410|0.60||0.60
WS SERVICE AREA|25010066|isosorbide mononitrate ER 60 mg tablet,extended release 24 hr||00143226001|5.42||5.42
WS SERVICE AREA|25010066|aluminum hydrox-magnesium carb 95 mg-358 mg/15 mL oral suspension||00904772714|0.63||0.63
WS SERVICE AREA|25010066|hydrocortisone-acetic acid 1 %-2 % ear drops||50383090110|1,532.65||1,532.65
WS SERVICE AREA|25010066|abacavir 300 mg tablet||00378410591|76.43||76.43
WS SERVICE AREA|25010066|abacavir 300 mg tablet||60505358306|76.53||76.53
WS SERVICE AREA|25010066|abacavir 300 mg tablet||31722055760|76.44||76.44
WS SERVICE AREA|25010066|abacavir 20 mg/mL oral solution||49702022248|1,117.76||1,117.76
WS SERVICE AREA|25010066|abacavir 20 mg/mL oral solution||31722056224|1,194.47||1,194.47
WS SERVICE AREA|25010066|digoxin 125 mcg (0.125 mg) tablet||00143124001|9.02||9.02
WS SERVICE AREA|25010066|digoxin 125 mcg (0.125 mg) tablet||00904592161|10.26||10.26
WS SERVICE AREA|25010066|digoxin 125 mcg (0.125 mg) tablet||16714059001|16.03||16.03
WS SERVICE AREA|25010066|digoxin 250 mcg (0.25 mg) tablet||68084068001|19.48||19.48
WS SERVICE AREA|25010066|digoxin 250 mcg (0.25 mg) tablet||16714059101|15.81||15.81
WS SERVICE AREA|25010066|cilostazoL 50 mg tablet||00054002821|13.89||13.89
WS SERVICE AREA|25010066|cilostazoL 50 mg tablet||00093206506|14.66||14.66
WS SERVICE AREA|25010066|cilostazoL 100 mg tablet||00093206406|6.94||6.94
WS SERVICE AREA|25010066|celecoxib 200 mg capsule||00025152534|101.06||101.06
WS SERVICE AREA|25010066|celecoxib 200 mg capsule||16714073301|57.36||57.36
WS SERVICE AREA|25010066|isosorbide mononitrate ER 30 mg tablet,extended release 24 hr||62175012837|4.60||4.60
WS SERVICE AREA|25010066|cholecalciferol (vitamin D3) 10 mcg (400 unit) tablet||00904582360|0.60||0.60
WS SERVICE AREA|25010066|cholecalciferol (vitamin D3) 10 mcg (400 unit) tablet||79854001162|0.60||0.60
WS SERVICE AREA|25010066|cholecalciferol (vitamin D3) 10 mcg (400 unit) tablet||54629001162|0.60||0.60
WS SERVICE AREA|25010066|coenzyme Q10 100 mg capsule||00536193807|1.52||1.52
WS SERVICE AREA|25010066|coenzyme Q10 100 mg capsule||00904588246|1.36||1.36
WS SERVICE AREA|25010066|coenzyme Q10 100 mg capsule||10939075133|1.24||1.24
WS SERVICE AREA|25010066|coenzyme Q10 100 mg capsule||10939088744|0.87||0.87
WS SERVICE AREA|25010066|coenzyme Q10 100 mg capsule||57896087503|1.16||1.16
WS SERVICE AREA|25010066|modafiniL 100 mg tablet||63459010130|300.60||300.60
WS SERVICE AREA|25010066|modafiniL 100 mg tablet||51079056101|200.73||200.73
WS SERVICE AREA|25010066|modafiniL 100 mg tablet||68084062121|200.73||200.73
WS SERVICE AREA|25010066|modafiniL 100 mg tablet||65862060130|200.93||200.93
WS SERVICE AREA|25010066|modafiniL 100 mg tablet||00904642304|70.95||70.95
WS SERVICE AREA|25010066|dilTIAZem 30 mg tablet||42799012901|7.60||7.60
WS SERVICE AREA|25010066|dilTIAZem 30 mg tablet||51079074501|4.60||4.60
WS SERVICE AREA|25010066|dilTIAZem 30 mg tablet||00093031801|7.60||7.60
WS SERVICE AREA|25010066|dilTIAZem 30 mg tablet||00093031805|7.47||7.47
WS SERVICE AREA|25010066|dilTIAZem 60 mg tablet||00378004501|5.96||5.96
WS SERVICE AREA|25010066|dilTIAZem 60 mg tablet||51079074601|4.60||4.60
WS SERVICE AREA|25010066|dilTIAZem 60 mg tablet||00093031901|5.96||5.96
WS SERVICE AREA|25010066|dilTIAZem 90 mg tablet||51079074701|4.60||4.60
WS SERVICE AREA|25010066|dilTIAZem 90 mg tablet||00093032001|5.43||5.43
WS SERVICE AREA|25010066|dimenhyDRINATE 50 mg tablet||00904205159|4.60||4.60
WS SERVICE AREA|25010066|diphenhydrAMINE 25 mg tablet||10939049833|0.60||0.60
WS SERVICE AREA|25010066|diphenhydrAMINE 25 mg tablet||11383013750|0.60||0.60
WS SERVICE AREA|25010066|diphenhydrAMINE 25 mg tablet||00904555159|0.60||0.60
WS SERVICE AREA|25010066|diphenhydrAMINE 25 mg tablet||68094001861|0.60||0.60
WS SERVICE AREA|25010066|FLUoxetine 10 mg tablet||00093718801|21.83||21.83
WS SERVICE AREA|25010066|diphenhydrAMINE 50 mg capsule||00904205661|0.60||0.60
WS SERVICE AREA|25010066|diphenhydrAMINE 12.5 mg/5 mL oral elixir||00121048905|15.04||15.04
WS SERVICE AREA|25010066|diphenhydrAMINE 12.5 mg/5 mL oral elixir||00121097810|15.79||15.79
WS SERVICE AREA|25010066|ciprofloxacin 250 mg tablet||00172531160|13.81||13.81
WS SERVICE AREA|25010066|ciprofloxacin 500 mg tablet||68084007011|4.84||4.84
WS SERVICE AREA|25010066|ciprofloxacin 500 mg tablet||65862007701|8.50||8.50
WS SERVICE AREA|25010066|ciprofloxacin 500 mg tablet||58657067601|7.53||7.53
WS SERVICE AREA|25010066|ciprofloxacin 750 mg tablet||68084007111|7.77||7.77
WS SERVICE AREA|25010066|diphenoxylate-atropine 2.5 mg-0.025 mg tablet||00378041501|6.66||6.66
WS SERVICE AREA|25010066|diphenoxylate-atropine 2.5 mg-0.025 mg tablet||59762106101|5.33||5.33
WS SERVICE AREA|25010066|diphenoxylate-atropine 2.5 mg-0.025 mg tablet||00832059011|6.66||6.66
WS SERVICE AREA|25010066|loperamide 1 mg/7.5 mL oral liquid||00000005604|30.59||30.59
WS SERVICE AREA|25010066|albuterol sulfate 2 mg/5 mL oral syrup||50383074016|4.87||4.87
WS SERVICE AREA|25010066|dipyridamole 25 mg tablet||64980013301|10.81||10.81
WS SERVICE AREA|25010066|dipyridamole 50 mg tablet||68382018801|4.60||4.60
WS SERVICE AREA|25010066|albuterol sulfate 2 mg tablet||51079065720|53.65||53.65
WS SERVICE AREA|25010066|dipyridamole 75 mg tablet||64980013501|7.77||7.77
WS SERVICE AREA|25010066|disopyramide phosphate 100 mg capsule||00093312701|21.74||21.74
WS SERVICE AREA|25010066|doxercalciferoL 2.5 mcg capsule||58468012101|51.25||51.25
WS SERVICE AREA|25010066|doxercalciferoL 2.5 mcg capsule||00054033919|57.66||57.66
WS SERVICE AREA|25010066|disopyramide phosphate 150 mg capsule||00093312901|17.13||17.13
WS SERVICE AREA|25010066|disopyramide phosphate ER 100 mg capsule,extended release||00025273231|30.52||30.52
WS SERVICE AREA|25010066|albuterol sulfate 4 mg tablet||53489017701|22.35||22.35
WS SERVICE AREA|25010066|disulfiram 250 mg tablet||64980017101|30.70||30.70
WS SERVICE AREA|25010066|disulfiram 250 mg tablet||00054035613|30.74||30.74
WS SERVICE AREA|25010066|polyethylene glycol 3350 17 gram oral powder packet||41100080676|7.96||7.96
WS SERVICE AREA|25010066|polyethylene glycol 3350 17 gram oral powder packet||69784018001|14.22||14.22
WS SERVICE AREA|25010066|polyethylene glycol 3350 17 gram oral powder packet||00904693186|11.85||11.85
WS SERVICE AREA|25010066|ketotifen 0.025 % (0.035 %) eye drops||17478071710|51.20||51.20
WS SERVICE AREA|25010066|divalproex 125 mg tablet,delayed release||62756079688|4.60||4.60
WS SERVICE AREA|25010066|divalproex 125 mg tablet,delayed release||29300013801|6.83||6.83
WS SERVICE AREA|25010066|divalproex 125 mg tablet,delayed release||00832712211|8.39||8.39
WS SERVICE AREA|25010066|risperiDONE 0.25 mg tablet||51079046001|29.63||29.63
WS SERVICE AREA|25010066|divalproex 250 mg tablet,delayed release||62756079788|4.60||4.60
WS SERVICE AREA|25010066|divalproex 250 mg tablet,delayed release||29300013901|6.70||6.70
WS SERVICE AREA|25010066|risperiDONE 0.5 mg tablet||50458059110|7.02||7.02
WS SERVICE AREA|25010066|pioglitazone 15 mg tablet||00093204898|53.37||53.37
WS SERVICE AREA|25010066|pioglitazone 15 mg tablet||16729002016|53.32||53.32
WS SERVICE AREA|25010066|pioglitazone 30 mg tablet||16729002115|40.74||40.74
WS SERVICE AREA|25010066|pioglitazone 30 mg tablet||64764030114|75.31||75.31
WS SERVICE AREA|25010066|divalproex 500 mg tablet,delayed release||00832712401|4.60||4.60
WS SERVICE AREA|25010066|divalproex 500 mg tablet,delayed release||00832712489|4.60||4.60
WS SERVICE AREA|25010066|pioglitazone 45 mg tablet||00093204656|29.49||29.49
WS SERVICE AREA|25010066|pioglitazone 45 mg tablet||64764045125|54.46||54.46
WS SERVICE AREA|25010066|docusate calcium 240 mg capsule||49348012210|0.60||0.60
WS SERVICE AREA|25010066|docusate sodium 100 mg capsule||00904645561|0.60||0.60
WS SERVICE AREA|25010066|docusate sodium 100 mg capsule||57896040801|0.60||0.60
WS SERVICE AREA|25010066|ivermectin 3 mg tablet||00006003220|35.41||35.41
WS SERVICE AREA|25010066|gabapentin 800 mg tablet||00071040124|50.77||50.77
WS SERVICE AREA|25010066|gabapentin 800 mg tablet||59762502401|11.53||11.53
WS SERVICE AREA|25010066|gabapentin 800 mg tablet||16714033201|11.57||11.57
WS SERVICE AREA|25010066|gabapentin 800 mg tablet||68084080201|11.06||11.06
WS SERVICE AREA|25010066|gabapentin 800 mg tablet||58657062401|11.61||11.61
WS SERVICE AREA|25010066|doxepin 10 mg capsule||00378104901|4.76||4.76
WS SERVICE AREA|25010066|doxepin 10 mg capsule||51079043601|4.86||4.86
WS SERVICE AREA|25010066|doxepin 100 mg capsule||51079065101|4.60||4.60
WS SERVICE AREA|25010066|doxepin 25 mg capsule||00378312501|6.26||6.26
WS SERVICE AREA|25010066|doxepin 50 mg capsule||51079043801|4.60||4.60
WS SERVICE AREA|25010066|doxepin 75 mg capsule||00378537501|4.60||4.60
WS SERVICE AREA|25010066|pantoprazole 20 mg tablet,delayed release||68084064301|28.92||28.92
WS SERVICE AREA|25010066|pantoprazole 40 mg tablet,delayed release||00378668910|40.08||40.08
WS SERVICE AREA|25010066|pantoprazole 40 mg tablet,delayed release||66993006851|4.60||4.60
WS SERVICE AREA|25010066|doxycycline hyclate 100 mg tablet||62584069311|21.26||21.26
WS SERVICE AREA|25010066|doxycycline hyclate 100 mg tablet||50268027911|20.34||20.34
WS SERVICE AREA|25010066|doxycycline hyclate 100 mg tablet||00904043006|8.31||8.31
WS SERVICE AREA|25010066|doxycycline hyclate 100 mg tablet||53489012005|23.39||23.39
WS SERVICE AREA|25010066|oseltamivir 75 mg capsule||00004080085|115.58||115.58
WS SERVICE AREA|25010066|oseltamivir 75 mg capsule||47781047013|117.63||117.63
WS SERVICE AREA|25010066|oseltamivir 75 mg capsule||31722063231|117.63||117.63
WS SERVICE AREA|25010066|oseltamivir 75 mg capsule||16714081901|117.51||117.51
WS SERVICE AREA|25010066|entacapone 200 mg tablet||00378908001|30.10||30.10
WS SERVICE AREA|25010066|entacapone 200 mg tablet||27241004910|34.54||34.54
WS SERVICE AREA|25010066|entacapone 200 mg tablet||00078032705|58.68||58.68
WS SERVICE AREA|25010066|progesterone micronized 200 mg capsule||00093535401|15.41||15.41
WS SERVICE AREA|25010066|progesterone micronized 200 mg capsule||43598035001|15.22||15.22
WS SERVICE AREA|25010066|exemestane 25 mg tablet||59762285801|153.96||153.96
WS SERVICE AREA|25010066|exemestane 25 mg tablet||00832059530|153.96||153.96
WS SERVICE AREA|25010066|levETIRAcetam 250 mg tablet||00904605161|4.60||4.60
WS SERVICE AREA|25010066|levETIRAcetam 250 mg tablet||63739079510|4.60||4.60
WS SERVICE AREA|25010066|levETIRAcetam 500 mg tablet||16714035501|13.25||13.25
WS SERVICE AREA|25010066|levETIRAcetam 500 mg tablet||63739041110|4.60||4.60
WS SERVICE AREA|25010066|moxifloxacin 400 mg tablet||68084072265|204.82||204.82
WS SERVICE AREA|25010066|moxifloxacin 400 mg tablet||00904640606|81.19||81.19
WS SERVICE AREA|25010066|dofetilide 125 mcg capsule||00069580061|31.56||
WS SERVICE AREA|25010066|dofetilide 125 mcg capsule||16714084001|66.46||66.46
WS SERVICE AREA|25010066|dofetilide 125 mcg capsule||00069580043|79.09||79.09
WS SERVICE AREA|25010066|dofetilide 250 mcg capsule||16714084101|33.16||33.16
WS SERVICE AREA|25010066|dofetilide 250 mcg capsule||42291041260|32.55||32.55
WS SERVICE AREA|25010066|dofetilide 250 mcg capsule||00069581043|39.55||39.55
WS SERVICE AREA|25010066|dofetilide 500 mcg capsule||16714084201|16.56||16.56
WS SERVICE AREA|25010066|dofetilide 500 mcg capsule||00069582043|19.77||19.77
WS SERVICE AREA|25010066|OXcarbazepine 150 mg tablet||62756018388|4.60||4.60
WS SERVICE AREA|25010066|nitroglycerin ER 2.5 mg capsule,extended release||00904064360|4.60||4.60
WS SERVICE AREA|25010066|nitroglycerin ER 6.5 mg capsule,extended release||00904064460|4.60||4.60
WS SERVICE AREA|25010066|orphenadrine citrate ER 100 mg tablet,extended release||00115201101|16.54||16.54
WS SERVICE AREA|25010066|orphenadrine citrate ER 100 mg tablet,extended release||00185002201|16.62||16.62
WS SERVICE AREA|25010066|niacin ER 500 mg tablet,extended release 24 hr||65162032109|21.91||21.91
WS SERVICE AREA|25010066|niacin ER 750 mg tablet,extended release 24 hr||00074307990|20.64||20.64
WS SERVICE AREA|25010066|montelukast 4 mg chewable tablet||31722072790|43.05||43.05
WS SERVICE AREA|25010066|theophylline ER 100 mg capsule,extended release 24 hr||52244010010|18.36||18.36
WS SERVICE AREA|25010066|dextrose 40 % oral gel||00574007030|29.96||29.96
WS SERVICE AREA|25010066|dextrose 40 % oral gel||00574007015|29.96||29.96
WS SERVICE AREA|25010066|dextrose 40 % oral gel||00574006930|29.96||29.96
WS SERVICE AREA|25010066|nitroglycerin 0.1 mg/hr transdermal 24 hour patch||47781029603|19.44||19.44
WS SERVICE AREA|25010066|nitroglycerin 0.2 mg/hr transdermal 24 hour patch||00904549546|4.60||4.60
WS SERVICE AREA|25010066|nitroglycerin 0.3 mg/hr transdermal 24 hour patch||50742051501|238.97||238.97
WS SERVICE AREA|25010066|nitroglycerin 0.3 mg/hr transdermal 24 hour patch||00085331530|42.31||42.31
WS SERVICE AREA|25010066|nitroglycerin 0.4 mg/hr transdermal 24 hour patch||47781029803|22.14||22.14
WS SERVICE AREA|25010066|nitroglycerin 0.4 mg/hr transdermal 24 hour patch||00904549646|4.60||4.60
WS SERVICE AREA|25010066|nitroglycerin 0.6 mg/hr transdermal 24 hour patch||47781029903|24.00||24.00
WS SERVICE AREA|25010066|felodipine ER 5 mg tablet,extended release 24 hr||00378501201|5.75||5.75
WS SERVICE AREA|25010066|cloNIDine 0.1 mg/24 hr weekly transdermal patch||00555100916|252.33||252.33
WS SERVICE AREA|25010066|cloNIDine 0.2 mg/24 hr weekly transdermal patch||00555101001|424.85||424.85
WS SERVICE AREA|25010066|cloNIDine 0.3 mg/24 hr weekly transdermal patch||00555101101|589.38||589.38
WS SERVICE AREA|25010066|loratadine-pseudoephedrine ER 10 mg-240 mg tablet,extended release24hr||49348054301|4.20||4.20
WS SERVICE AREA|25010066|dextromethorphan-guaifenesin 30 mg-600 mg tablet extended release12 hr||63824005632|4.41||4.41
WS SERVICE AREA|25010066|dextromethorphan-guaifenesin 30 mg-600 mg tablet extended release12 hr||63824005634|3.96||3.96
WS SERVICE AREA|25010066|theophylline ER 300 mg tablet,extended release,12 hr||62332002531|32.69||32.69
WS SERVICE AREA|25010066|divalproex 125 mg capsule,delayed release sprinkle||55111053201|8.52||8.52
WS SERVICE AREA|25010066|divalproex 125 mg capsule,delayed release sprinkle||68084031311|10.80||10.80
WS SERVICE AREA|25010066|carBAMazepine ER 100 mg tablet,extended release,12 hr||00078051005|10.32||10.32
WS SERVICE AREA|25010066|carBAMazepine ER 100 mg tablet,extended release,12 hr||51672412301|8.71||8.71
WS SERVICE AREA|25010066|carBAMazepine ER 100 mg tablet,extended release,12 hr||00781801601|8.71||8.71
WS SERVICE AREA|25010066|topiramate 25 mg sprinkle capsule||00093733606|22.25||22.25
WS SERVICE AREA|25010066|topiramate 25 mg sprinkle capsule||50458064565|53.73||53.73
WS SERVICE AREA|25010066|topiramate 25 mg sprinkle capsule||68382000514|22.23||22.23
WS SERVICE AREA|25010066|aspirin 25 mg-dipyridamole 200 mg capsule,ext.release 12 hr multiphase||00597000160|71.52||71.52
WS SERVICE AREA|25010066|aspirin 25 mg-dipyridamole 200 mg capsule,ext.release 12 hr multiphase||65162059606|63.58||63.58
WS SERVICE AREA|25010066|benzocaine 20 % mucosal spray||00283061043|68.84||68.84
WS SERVICE AREA|25010066|trolamine salicylate 10 % topical cream||00225036011|38.05||38.05
WS SERVICE AREA|25010066|trolamine salicylate 10 % topical cream||41167073003|27.17||27.17
WS SERVICE AREA|25010066|trolamine salicylate 10 % topical cream||45802035653|29.11||29.11
WS SERVICE AREA|25010066|ondansetron 4 mg disintegrating tablet||00378773293|20.01||
WS SERVICE AREA|25010066|ondansetron 4 mg disintegrating tablet||00781523806|20.01||
WS SERVICE AREA|25010066|ondansetron 4 mg disintegrating tablet||68462015740|20.01||
WS SERVICE AREA|25010066|ondansetron 8 mg disintegrating tablet||68462015811|22.53||
WS SERVICE AREA|25010066|ondansetron 8 mg disintegrating tablet||00781523964|22.53||
WS SERVICE AREA|25010066|ondansetron 8 mg disintegrating tablet||68462015840|22.53||
WS SERVICE AREA|25010066|desmopressin 10 mcg/spray (0.1 mL) nasal spray||24208034205|1,874.04||1,874.04
WS SERVICE AREA|25010066|zonisamide 100 mg capsule||68462013001|4.60||4.60
WS SERVICE AREA|25010066|zonisamide 100 mg capsule||51079076801|4.60||4.60
WS SERVICE AREA|25010066|venlafaxine ER 37.5 mg capsule,extended release 24 hr||68382003416|31.69||31.69
WS SERVICE AREA|25010066|venlafaxine ER 37.5 mg capsule,extended release 24 hr||00904646861|4.60||4.60
WS SERVICE AREA|25010066|venlafaxine ER 75 mg capsule,extended release 24 hr||65862052830|35.51||35.51
WS SERVICE AREA|25010066|venlafaxine ER 75 mg capsule,extended release 24 hr||68382003506|35.51||35.51
WS SERVICE AREA|25010066|venlafaxine ER 75 mg capsule,extended release 24 hr||68084070901|31.94||31.94
WS SERVICE AREA|25010066|nicotine 7 mg/24 hr daily transdermal patch||00536589488|7.20||7.20
WS SERVICE AREA|25010066|nicotine 14 mg/24 hr daily transdermal patch||00536589588|7.20||7.20
WS SERVICE AREA|25010066|nicotine 14 mg/24 hr daily transdermal patch||43598044774|7.47||7.47
WS SERVICE AREA|25010066|nicotine 21 mg/24 hr daily transdermal patch||00536589688|7.20||7.20
WS SERVICE AREA|25010066|nicotine 21 mg/24 hr daily transdermal patch||43598044870|8.82||8.82
WS SERVICE AREA|25010066|lanolin-mineral oil lotion||00904429909|7.93||7.93
WS SERVICE AREA|25010066|morphine ER 20 mg capsule,extended release pellets||49884083301|39.79||39.79
WS SERVICE AREA|25010066|morphine ER 30 mg capsule,extended release pellets||00228350311|28.82||28.82
WS SERVICE AREA|25010066|morphine ER 50 mg capsule,extended release pellets||00832022800|28.93||28.93
WS SERVICE AREA|25010066|fentaNYL 25 mcg/hr transdermal patch||60505700602|161.83||161.83
WS SERVICE AREA|25010066|fentaNYL 50 mcg/hr transdermal patch||00406905076|200.60||200.60
WS SERVICE AREA|25010066|fentaNYL 50 mcg/hr transdermal patch||60505700702|295.89||295.89
WS SERVICE AREA|25010066|fentaNYL 50 mcg/hr transdermal patch||60505701202|295.89||295.89
WS SERVICE AREA|25010066|fentaNYL 75 mcg/hr transdermal patch||60505700800|451.35||451.35
WS SERVICE AREA|25010066|fentaNYL 75 mcg/hr transdermal patch||60505700802|451.32||451.32
WS SERVICE AREA|25010066|fentaNYL 100 mcg/hr transdermal patch||60505700900|598.98||598.98
WS SERVICE AREA|25010066|fentaNYL 100 mcg/hr transdermal patch||60505700902|599.00||599.00
WS SERVICE AREA|25010066|polyvinyl alcohol 1.4 % eye drops||17478006012|26.90||26.90
WS SERVICE AREA|25010066|sodium polystyrene sulfonate 15 gram/60 mL oral suspension||46287000660|166.66||166.66
WS SERVICE AREA|25010066|benzocaine 20 %-menthoL 0.5 % topical aerosol||16864068002|19.05||19.05
WS SERVICE AREA|25010066|phenobarb-hyoscyamn-atropine-scop 16.2 mg-0.1037 mg-0.0194 mg tablet||75826011810|71.00||71.00
WS SERVICE AREA|25010066|OLANZapine 5 mg disintegrating tablet||00093524519|108.63||108.63
WS SERVICE AREA|25010066|OLANZapine 5 mg disintegrating tablet||13668008630|106.54||106.54
WS SERVICE AREA|25010066|OLANZapine 5 mg disintegrating tablet||55111026281|107.42||107.42
WS SERVICE AREA|25010066|OLANZapine 5 mg disintegrating tablet||33342008307|106.54||106.54
WS SERVICE AREA|25010066|OLANZapine 10 mg disintegrating tablet||00093524619|79.81||79.81
WS SERVICE AREA|25010066|OLANZapine 10 mg disintegrating tablet||00093524665|79.81||79.81
WS SERVICE AREA|25010066|OLANZapine 10 mg disintegrating tablet||13668008830|78.64||78.64
WS SERVICE AREA|25010066|OLANZapine 10 mg disintegrating tablet||00002445401|86.37||86.37
WS SERVICE AREA|25010066|lidocaine 5 % topical patch||00591352511|71.23||71.23
WS SERVICE AREA|25010066|lidocaine 5 % topical patch||00603188010|71.23||
WS SERVICE AREA|25010066|lidocaine 5 % topical patch||00591267930|71.23||71.23
WS SERVICE AREA|25010066|lidocaine 5 % topical patch||63481068706|151.96||151.96
WS SERVICE AREA|25010066|peppermint spirit oral||00395224391|70.54||70.54
WS SERVICE AREA|25010066|linezolid 600 mg tablet||00009513503|1,294.20||1,294.20
WS SERVICE AREA|25010066|linezolid 600 mg tablet||67877041933|1,397.67||1,397.67
WS SERVICE AREA|25010066|linezolid 100 mg/5 mL oral suspension||00009513601|5,137.89||5,137.89
WS SERVICE AREA|25010066|linezolid 100 mg/5 mL oral suspension||00054031950|7,280.49||7,280.49
WS SERVICE AREA|25010066|rivastigmine 1.5 mg capsule||63739057610|25.58||25.58
WS SERVICE AREA|25010066|rivastigmine 1.5 mg capsule||33342008909|30.68||30.68
WS SERVICE AREA|25010066|rivastigmine 3 mg capsule||00781261560|16.15||16.15
WS SERVICE AREA|25010066|rivastigmine 3 mg capsule||65862064960|17.74||17.74
WS SERVICE AREA|25010066|rivastigmine 4.5 mg capsule||00781261660|10.77||10.77
WS SERVICE AREA|25010066|insulin glargine (U-100) 100 unit/mL subcutaneous solution||49502019580|18.70||18.70
WS SERVICE AREA|25010066|insulin glargine (U-100) 100 unit/mL subcutaneous solution||00088222033|24.03||24.03
WS SERVICE AREA|25010066|colesevelam 625 mg tablet||68462043318|30.11||30.11
WS SERVICE AREA|25010066|colesevelam 625 mg tablet||67877050651|30.04||30.04
WS SERVICE AREA|25010066|colesevelam 625 mg tablet||65597070118|28.31||28.31
WS SERVICE AREA|25010066|HYDROcodone 10 mg-acetaminophen 325 mg tablet||00406012523|9.21||9.21
WS SERVICE AREA|25010066|estradioL 0.05 mg/24 hr weekly transdermal patch||47781020604|168.18||168.18
WS SERVICE AREA|25010066|estradioL 0.1 mg/24 hr weekly transdermal patch||00378335299|176.61||176.61
WS SERVICE AREA|25010066|estradioL 0.1 mg/24 hr weekly transdermal patch||47781020904|168.18||168.18
WS SERVICE AREA|25010066|ergocalciferol (vitamin D2) 1,250 mcg (50,000 unit) capsule||51991060401|15.01||15.01
WS SERVICE AREA|25010066|ergocalciferol (vitamin D2) 1,250 mcg (50,000 unit) capsule||68084046311|15.45||15.45
WS SERVICE AREA|25010066|ergocalciferol (vitamin D2) 1,250 mcg (50,000 unit) capsule||64380073706|15.01||15.01
WS SERVICE AREA|25010066|atorvastatin 80 mg tablet||68084059025|4.60||4.60
WS SERVICE AREA|25010066|atorvastatin 80 mg tablet||68084059095|4.60||4.60
WS SERVICE AREA|25010066|atorvastatin 80 mg tablet||51079021101|4.60||4.60
WS SERVICE AREA|25010066|white petrolatum topical jelly||00521231100|4.54||
WS SERVICE AREA|25010066|neomycin-polymyxin-hydrocort 3.5 mg-10,000 unit/mL-1 % ear drops,susp||61314064511|798.14||798.14
WS SERVICE AREA|25010066|neomycin-polymyxin-hydrocort 3.5 mg-10,000 unit/mL-1 % ear drops,susp||24208063562|638.48||638.48
WS SERVICE AREA|25010066|hydrocortisone 2.5 % topical cream with perineal applicator||10631040701|703.16||703.16
WS SERVICE AREA|25010066|hydrocortisone 2.5 % topical cream with perineal applicator||64980032430|664.58||664.58
WS SERVICE AREA|25010066|hydrocortisone 2.5 % topical cream with perineal applicator||69315031228|532.70||532.70
WS SERVICE AREA|25010066|hydrocortisone 2.5 % topical cream with perineal applicator||64980030130|664.58||664.58
WS SERVICE AREA|25010066|oxyCODONE 15 mg tablet||00406851562|6.01||6.01
WS SERVICE AREA|25010066|oxyCODONE 15 mg tablet||68094000561|4.60||4.60
WS SERVICE AREA|25010066|lopinavir-ritonavir 400 mg-100 mg/5 mL oral solution||00527194748|124.20||124.20
WS SERVICE AREA|25010066|levoFLOXacin 750 mg tablet||68084048311|89.79||89.79
WS SERVICE AREA|25010066|levoFLOXacin 750 mg tablet||68180024201|91.62||91.62
WS SERVICE AREA|25010066|erythromycin ethylsuccinate 200 mg/5 mL oral powder for suspension||24338013402|143.14||143.14
WS SERVICE AREA|25010066|alendronate 70 mg tablet||51079094205|77.86||77.86
WS SERVICE AREA|25010066|balsalazide 750 mg capsule||00054007928|36.51||36.51
WS SERVICE AREA|25010066|balsalazide 750 mg capsule||00378675082|36.46||36.46
WS SERVICE AREA|25010066|conjugated estrogens 1.25 mg tablet||00046110481|10.78||10.78
WS SERVICE AREA|25010066|clotrimazole-betamethasone 1 %-0.05 % topical cream||00168025815|128.30||128.30
WS SERVICE AREA|25010066|clotrimazole-betamethasone 1 %-0.05 % topical cream||16714049601|285.26||285.26
WS SERVICE AREA|25010066|mirtazapine 15 mg disintegrating tablet||66993070930|19.76||19.76
WS SERVICE AREA|25010066|mirtazapine 30 mg disintegrating tablet||66993071130|10.18||10.18
WS SERVICE AREA|25010066|sodium chloride 0.65 % nasal spray aerosol||56184012011|18.26||18.26
WS SERVICE AREA|25010066|sodium chloride 0.65 % nasal spray aerosol||00904386575|6.03||6.03
WS SERVICE AREA|25010066|ziprasidone 20 mg capsule||63739098832|21.16||21.16
WS SERVICE AREA|25010066|ziprasidone 20 mg capsule||16714083501|67.41||67.41
WS SERVICE AREA|25010066|ziprasidone 80 mg capsule||68084010611|19.54||19.54
WS SERVICE AREA|25010066|ziprasidone 80 mg capsule||63739050832|6.18||6.18
WS SERVICE AREA|25010066|galantamine 4 mg tablet||00378272191|24.19||24.19
WS SERVICE AREA|25010066|galantamine 4 mg tablet||51079085201|32.13||32.13
WS SERVICE AREA|25010066|galantamine 4 mg tablet||65862045860|24.22||24.22
WS SERVICE AREA|25010066|galantamine 4 mg tablet||57237004960|24.22||24.22
WS SERVICE AREA|25010066|galantamine 8 mg tablet||10147088206|9.68||9.68
WS SERVICE AREA|25010066|galantamine 8 mg tablet||00378272291|12.10||12.10
WS SERVICE AREA|25010066|galantamine 8 mg tablet||51079085301|16.06||16.06
WS SERVICE AREA|25010066|galantamine 8 mg tablet||65862045960|12.11||12.11
WS SERVICE AREA|25010066|galantamine 8 mg tablet||57237005060|12.11||12.11
WS SERVICE AREA|25010066|metoprolol succinate ER 25 mg tablet,extended release 24 hr||68084065911|8.49||
WS SERVICE AREA|25010066|busPIRone 7.5 mg tablet||64380078706|8.02||8.02
WS SERVICE AREA|25010066|metoprolol succinate ER 50 mg tablet,extended release 24 hr||51079017020|4.60||4.60
WS SERVICE AREA|25010066|metoprolol succinate ER 50 mg tablet,extended release 24 hr||55111046701|4.60||4.60
WS SERVICE AREA|25010066|metoprolol succinate ER 50 mg tablet,extended release 24 hr||16714085301|4.60||4.60
WS SERVICE AREA|25010066|metoprolol succinate ER 100 mg tablet,extended release 24 hr||60687041301|4.60||4.60
WS SERVICE AREA|25010066|metoprolol succinate ER 100 mg tablet,extended release 24 hr||60687041311|4.60||4.60
WS SERVICE AREA|25010066|valGANciclovir 450 mg tablet||68084096595|1,164.31||1,164.31
WS SERVICE AREA|25010066|valGANciclovir 450 mg tablet||00004003822|672.74||672.74
WS SERVICE AREA|25010066|citalopram 10 mg tablet||13668000901|19.63||19.63
WS SERVICE AREA|25010066|citalopram 10 mg tablet||65162005250|18.61||18.61
WS SERVICE AREA|25010066|citalopram 10 mg tablet||68084073701|18.87||18.87
WS SERVICE AREA|25010066|ferrous gluconate 324 mg (38 mg iron) tablet||00574050801|0.60||0.60
WS SERVICE AREA|25010066|ferrous gluconate 324 mg (38 mg iron) tablet||00574050811|0.60||0.60
WS SERVICE AREA|25010066|ferrous sulfate 300 mg (60 mg iron)/5 mL oral liquid||00121053005|17.09||17.09
WS SERVICE AREA|25010066|ferrous sulfate 325 mg (65 mg iron) tablet,delayed release||00245010811|1.83||1.83
WS SERVICE AREA|25010066|ferrous sulfate 325 mg (65 mg iron) tablet,delayed release||00245010889|3.44||3.44
WS SERVICE AREA|25010066|calcium acetate(phosphate binders) 667 mg capsule||00054008826|4.31||4.31
WS SERVICE AREA|25010066|calcium acetate(phosphate binders) 667 mg capsule||68084047901|6.09||6.09
WS SERVICE AREA|25010066|calcium acetate(phosphate binders) 667 mg capsule||68084047911|6.09||6.09
WS SERVICE AREA|25010066|calcium acetate(phosphate binders) 667 mg capsule||00054008813|4.31||4.31
WS SERVICE AREA|25010066|calcium acetate(phosphate binders) 667 mg capsule||23155053102|4.31||4.31
WS SERVICE AREA|25010066|calcium acetate(phosphate binders) 667 mg capsule||29033002602|4.31||4.31
WS SERVICE AREA|25010066|calcium acetate(phosphate binders) 667 mg capsule||62135019122|4.31||4.31
WS SERVICE AREA|25010066|allopurinoL 100 mg tablet||62584098811|4.60||4.60
WS SERVICE AREA|25010066|allopurinoL 100 mg tablet||16714004110|4.60||4.60
WS SERVICE AREA|25010066|allopurinoL 300 mg tablet||62584071311|4.60||4.60
WS SERVICE AREA|25010066|allopurinoL 300 mg tablet||16714004210|4.60||4.60
WS SERVICE AREA|25010066|brimonidine 0.15 % eye drops||61314014405|13.33||13.33
WS SERVICE AREA|25010066|amoxicillin 600 mg-potassium clavulanate 42.9 mg/5 mL oral suspension||16714029401|378.41||378.41
WS SERVICE AREA|25010066|valsartan 80 mg tablet||00078035834|29.88||29.88
WS SERVICE AREA|25010066|valsartan 160 mg tablet||00078035934|16.07||16.07
WS SERVICE AREA|25010066|budesonide DR - ER 3 mg capsule,delayed,extended release||49884050101|143.41||143.41
WS SERVICE AREA|25010066|budesonide DR - ER 3 mg capsule,delayed,extended release||00574985510|20.32||20.32
WS SERVICE AREA|25010066|budesonide DR - ER 3 mg capsule,delayed,extended release||51862058001|143.41||143.41
WS SERVICE AREA|25010066|tenofovir disoproxil fumarate 300 mg tablet||61958040101|317.97||317.97
WS SERVICE AREA|25010066|anakinra 100 mg/0.67 mL subcutaneous syringe||66658023407|1,120.70||1,120.70
WS SERVICE AREA|25010066|anakinra 100 mg/0.67 mL subcutaneous syringe||66658023401|966.30||966.30
WS SERVICE AREA|25010066|oxyCODONE-acetaminophen 7.5 mg-325 mg tablet||00406052262|20.66||20.66
WS SERVICE AREA|25010066|oxyCODONE-acetaminophen 10 mg-325 mg tablet||00406052362|27.02||27.02
WS SERVICE AREA|25010066|oxyCODONE-acetaminophen 10 mg-325 mg tablet||68084071001|27.17||27.17
WS SERVICE AREA|25010066|oxyCODONE-acetaminophen 10 mg-325 mg tablet||00904643961|10.50||10.50
WS SERVICE AREA|25010066|oxyCODONE-acetaminophen 10 mg-325 mg tablet||63739021710|9.13||9.13
WS SERVICE AREA|25010066|fluocinonide 0.05 % topical ointment||00093026415|538.45||538.45
WS SERVICE AREA|25010066|pravastatin 80 mg tablet||60505132309|4.60||4.60
WS SERVICE AREA|25010066|pravastatin 80 mg tablet||68180048809|4.60||4.60
WS SERVICE AREA|25010066|fluPHENAZine 1 mg tablet||51079048501|4.60||4.60
WS SERVICE AREA|25010066|fluPHENAZine 10 mg tablet||00527179101|8.83||8.83
WS SERVICE AREA|25010066|fluPHENAZine 10 mg tablet||51079048801|4.60||4.60
WS SERVICE AREA|25010066|fluPHENAZine 2.5 mg tablet||00527178901|20.70||20.70
WS SERVICE AREA|25010066|fluPHENAZine 2.5 mg tablet||51079048601|4.60||4.60
WS SERVICE AREA|25010066|fluPHENAZine 5 mg tablet||00527179001|14.00||14.00
WS SERVICE AREA|25010066|fluPHENAZine 5 mg tablet||51079048720|4.60||4.60
WS SERVICE AREA|25010066|efavirenz 600 mg tablet||00056051030|248.75||248.75
WS SERVICE AREA|25010066|folic acid 1 mg tablet||65162036110|4.60||4.60
WS SERVICE AREA|25010066|folic acid 1 mg tablet||62584089711|4.60||4.60
WS SERVICE AREA|25010066|folic acid 1 mg tablet||51079010520|4.60||4.60
WS SERVICE AREA|25010066|folic acid 1 mg tablet||10135018201|4.60||4.60
WS SERVICE AREA|25010066|folic acid 400 mcg tablet||00536384401|0.60||0.60
WS SERVICE AREA|25010066|folic acid 400 mcg tablet||00904319760|0.60||0.60
WS SERVICE AREA|25010066|folic acid 400 mcg tablet||54738014001|0.60||0.60
WS SERVICE AREA|25010066|ALPRAZolam 0.25 mg tablet||00228202710|5.29||5.29
WS SERVICE AREA|25010066|ALPRAZolam 0.25 mg tablet||00781106101|5.29||5.29
WS SERVICE AREA|25010066|ALPRAZolam 0.25 mg tablet||68084064701|4.96||4.96
WS SERVICE AREA|25010066|ALPRAZolam 0.25 mg tablet||68084064711|4.96||4.96
WS SERVICE AREA|25010066|ALPRAZolam 0.25 mg tablet||59762371901|4.70||4.70
WS SERVICE AREA|25010066|ALPRAZolam 0.25 mg tablet||59762371903|4.60||4.60
WS SERVICE AREA|25010066|ALPRAZolam 0.5 mg tablet||00228202950|4.60||4.60
WS SERVICE AREA|25010066|ALPRAZolam 0.5 mg tablet||00904585961|4.60||4.60
WS SERVICE AREA|25010066|ALPRAZolam 0.5 mg tablet||00781107701|4.60||4.60
WS SERVICE AREA|25010066|ALPRAZolam 0.5 mg tablet||59762372001|4.60||4.60
WS SERVICE AREA|25010066|PARoxetine ER 12.5 mg tablet,extended release 24 hr||60505367303|42.43||42.43
WS SERVICE AREA|25010066|PARoxetine ER 12.5 mg tablet,extended release 24 hr||62175047032|42.43||42.43
WS SERVICE AREA|25010066|PARoxetine ER 25 mg tablet,extended release 24 hr||00378200493|22.14||22.14
WS SERVICE AREA|25010066|PARoxetine ER 25 mg tablet,extended release 24 hr||60505367403|22.14||22.14
WS SERVICE AREA|25010066|PARoxetine ER 25 mg tablet,extended release 24 hr||62175047132|22.14||22.14
WS SERVICE AREA|25010066|PARoxetine ER 37.5 mg tablet,extended release 24 hr||60505367503|15.20||15.20
WS SERVICE AREA|25010066|PARoxetine ER 37.5 mg tablet,extended release 24 hr||00378200593|15.20||15.20
WS SERVICE AREA|25010066|PARoxetine ER 37.5 mg tablet,extended release 24 hr||62175047232|15.20||15.20
WS SERVICE AREA|25010066|olmesartan 5 mg tablet||67877044530|39.19||39.19
WS SERVICE AREA|25010066|olmesartan 5 mg tablet||68462043630|43.02||43.02
WS SERVICE AREA|25010066|olmesartan 20 mg tablet||67877044630|11.95||11.95
WS SERVICE AREA|25010066|olmesartan 20 mg tablet||62332013230|11.94||11.94
WS SERVICE AREA|25010066|olmesartan 20 mg tablet||65597010330|14.65||14.65
WS SERVICE AREA|25010066|olmesartan 40 mg tablet||68462043830|9.14||9.14
WS SERVICE AREA|25010066|olmesartan 40 mg tablet||62332013330|8.30||8.30
WS SERVICE AREA|25010066|olmesartan 40 mg tablet||65597010430|10.18||10.18
WS SERVICE AREA|25010066|olmesartan 40 mg tablet||65597010490|9.23||9.23
WS SERVICE AREA|25010066|furosemide 10 mg/mL oral solution||00054329446|69.40||69.40
WS SERVICE AREA|25010066|furosemide 20 mg tablet||51079007201|4.60||4.60
WS SERVICE AREA|25010066|furosemide 40 mg tablet||43547040210|4.60||4.60
WS SERVICE AREA|25010066|furosemide 40 mg tablet||00054829925|4.60||4.60
WS SERVICE AREA|25010066|furosemide 80 mg tablet||00054830125|4.60||4.60
WS SERVICE AREA|25010066|furosemide 80 mg tablet||51079052720|4.60||4.60
WS SERVICE AREA|25010066|imatinib 100 mg tablet||00078040134|712.59||712.59
WS SERVICE AREA|25010066|imatinib 100 mg tablet||60687019211|2,437.05||2,437.05
WS SERVICE AREA|25010066|voriconazole 50 mg tablet||00378162693|89.23||89.23
WS SERVICE AREA|25010066|voriconazole 50 mg tablet||51079016401|71.39||71.39
WS SERVICE AREA|25010066|voriconazole 50 mg tablet||16714051401|99.26||99.26
WS SERVICE AREA|25010066|voriconazole 200 mg tablet||16714051501|211.93||211.93
WS SERVICE AREA|25010066|voriconazole 200 mg tablet||00049318030|14.03||14.03
WS SERVICE AREA|25010066|midodrine 10 mg tablet||00378190301|9.20||9.20
WS SERVICE AREA|25010066|methenamine 81 mg-m.blue 10.8 mg-sod phos 40.8 mg-p.salicy-hyos tablet||00037632190|57.86||57.86
WS SERVICE AREA|25010066|methenamine 81 mg-m.blue 10.8 mg-sod phos 40.8 mg-p.salicy-hyos tablet||58657045890|46.45||46.45
WS SERVICE AREA|25010066|methenamine 81 mg-m.blue 10.8 mg-sod phos 40.8 mg-p.salicy-hyos tablet||71186000024|43.38||43.38
WS SERVICE AREA|25010066|amoxicillin 200 mg-potassium clavulanate 28.5 mg chewable tablet||00093227034|21.52||21.52
WS SERVICE AREA|25010066|amoxicillin 500 mg-potassium clavulanate 125 mg tablet||16714049401|28.80||28.80
WS SERVICE AREA|25010066|amoxicillin 500 mg-potassium clavulanate 125 mg tablet||66685100200|28.80||28.80
WS SERVICE AREA|25010066|amoxicillin 500 mg-potassium clavulanate 125 mg tablet||00093227434|28.80||28.80
WS SERVICE AREA|25010066|amoxicillin 875 mg-potassium clavulanate 125 mg tablet||00781185220|38.45||38.45
WS SERVICE AREA|25010066|amoxicillin 875 mg-potassium clavulanate 125 mg tablet||16714047801|38.45||38.45
WS SERVICE AREA|25010066|amoxicillin 875 mg-potassium clavulanate 125 mg tablet||16714047802|37.37||37.37
WS SERVICE AREA|25010066|amoxicillin 200 mg-potassium clavulanate 28.5 mg/5 mL oral suspension||16714029203|284.61||284.61
WS SERVICE AREA|25010066|amoxicillin 200 mg-potassium clavulanate 28.5 mg/5 mL oral suspension||66685101100|140.40||140.40
WS SERVICE AREA|25010066|escitalopram 10 mg tablet||00093585101|16.46||16.46
WS SERVICE AREA|25010066|escitalopram 10 mg tablet||68084061711|16.44||16.44
WS SERVICE AREA|25010066|escitalopram 10 mg tablet||00904642661|4.60||4.60
WS SERVICE AREA|25010066|escitalopram 10 mg tablet||43547028110|16.48||16.48
WS SERVICE AREA|25010066|escitalopram 20 mg tablet||68084061811|8.75||8.75
WS SERVICE AREA|25010066|escitalopram 20 mg tablet||00904642761|4.60||4.60
WS SERVICE AREA|25010066|valsartan 40 mg tablet||00078042315|50.00||50.00
WS SERVICE AREA|25010066|gemfibroziL 600 mg tablet||60687022411|8.81||8.81
WS SERVICE AREA|25010066|metaxalone 800 mg tablet||55111065001|18.61||18.61
WS SERVICE AREA|25010066|ezetimibe 10 mg tablet||66582041429|87.52||87.52
WS SERVICE AREA|25010066|ezetimibe 10 mg tablet||68382077306|85.97||85.97
WS SERVICE AREA|25010066|ezetimibe 10 mg tablet||66582041431|87.52||87.52
WS SERVICE AREA|25010066|ezetimibe 10 mg tablet||66582041454|87.52||87.52
WS SERVICE AREA|25010066|gentamicin 0.1 % topical cream||45802005635|375.78||375.78
WS SERVICE AREA|25010066|gentamicin 0.1 % topical ointment||45802004635|375.78||375.78
WS SERVICE AREA|25010066|ARIPiprazole 15 mg tablet||60687019111|31.36||31.36
WS SERVICE AREA|25010066|ARIPiprazole 15 mg tablet||60687019121|31.36||31.36
WS SERVICE AREA|25010066|ARIPiprazole 15 mg tablet||16714078601|32.38||32.38
WS SERVICE AREA|25010066|ARIPiprazole 20 mg tablet||16714078701|34.34||34.34
WS SERVICE AREA|25010066|ARIPiprazole 20 mg tablet||59148001013|32.00||32.00
WS SERVICE AREA|25010066|divalproex ER 250 mg tablet,extended release 24 hr||00904636345|11.57||11.57
WS SERVICE AREA|25010066|alum, ammonium (bulk) powder||00395004912|152.66||152.66
WS SERVICE AREA|25010066|alum, ammonium (bulk) powder||51552021804|211.56||211.56
WS SERVICE AREA|25010066|HYDROcodone 5 mg-acetaminophen 325 mg tablet||00406012301|5.27||5.27
WS SERVICE AREA|25010066|HYDROcodone 5 mg-acetaminophen 325 mg tablet||00406012323|6.05||6.05
WS SERVICE AREA|25010066|HYDROcodone 5 mg-acetaminophen 325 mg tablet||00406012362|6.05||6.05
WS SERVICE AREA|25010066|HYDROcodone 5 mg-acetaminophen 325 mg tablet||68084089511|4.76||4.76
WS SERVICE AREA|25010066|HYDROcodone 5 mg-acetaminophen 325 mg tablet||68084089501|4.76||4.76
WS SERVICE AREA|25010066|HYDROcodone 5 mg-acetaminophen 325 mg tablet||00904656761|4.60||4.60
WS SERVICE AREA|25010066|HYDROcodone 7.5 mg-acetaminophen 325 mg tablet||00406012423|6.74||6.74
WS SERVICE AREA|25010066|lansoprazole 30 mg delayed release,disintegrating tablet||64764054411|52.65||52.65
WS SERVICE AREA|25010066|lansoprazole 30 mg delayed release,disintegrating tablet||64764054430|52.65||52.65
WS SERVICE AREA|25010066|eletriptan 20 mg tablet||00049233045|497.16||497.16
WS SERVICE AREA|25010066|eletriptan 20 mg tablet||00049233079|497.16||497.16
WS SERVICE AREA|25010066|eletriptan 40 mg tablet||00049234045|248.58||248.58
WS SERVICE AREA|25010066|neomycin-polymyxin-hydrocort 3.5 mg/mL-10,000 unit/mL-1 % ear solution||24208063110|638.48||638.48
WS SERVICE AREA|25010066|glyBURIDE 5 mg tablet||63739011910|4.60||4.60
WS SERVICE AREA|25010066|rosuvastatin 10 mg tablet||60687024511|27.18||27.18
WS SERVICE AREA|25010066|rosuvastatin 20 mg tablet||00904660461|4.60||4.60
WS SERVICE AREA|25010066|cyclobenzaprine 5 mg tablet||00378077101|12.49||12.49
WS SERVICE AREA|25010066|cyclobenzaprine 5 mg tablet||59746021106|13.16||13.16
WS SERVICE AREA|25010066|cyclobenzaprine 5 mg tablet||43547039910|12.49||12.49
WS SERVICE AREA|25010066|aluminum hydroxide geL 320 mg/5 mL oral suspension||00000005331|3.02||3.02
WS SERVICE AREA|25010066|guaiFENesin 100 mg/5 mL oral liquid||00121174405|5.04||5.04
WS SERVICE AREA|25010066|guaiFENesin 100 mg/5 mL oral liquid||00121174410|2.69||2.69
WS SERVICE AREA|25010066|clonazePAM 0.125 mg disintegrating tablet||49884030602|9.89||9.89
WS SERVICE AREA|25010066|clonazePAM 0.25 mg disintegrating tablet||49884030702|4.94||4.94
WS SERVICE AREA|25010066|clonazePAM 0.5 mg disintegrating tablet||49884030802|4.60||4.60
WS SERVICE AREA|25010066|clonazePAM 1 mg disintegrating tablet||49884030902|4.60||4.60
WS SERVICE AREA|25010066|clonazePAM 2 mg disintegrating tablet||49884031002|4.60||4.60
WS SERVICE AREA|25010066|risperiDONE 0.5 mg disintegrating tablet||49884031191|37.41||37.41
WS SERVICE AREA|25010066|risperiDONE 0.5 mg disintegrating tablet||00781531008|35.84||35.84
WS SERVICE AREA|25010066|risperiDONE 0.5 mg disintegrating tablet||49884031152|37.41||37.41
WS SERVICE AREA|25010066|risperiDONE 1 mg disintegrating tablet||51079034501|21.86||21.86
WS SERVICE AREA|25010066|risperiDONE 1 mg disintegrating tablet||51079034505|21.86||21.86
WS SERVICE AREA|25010066|haloperidoL 0.5 mg tablet||51079073301|4.60||4.60
WS SERVICE AREA|25010066|haloperidoL 1 mg tablet||00904592361|4.86||4.86
WS SERVICE AREA|25010066|haloperidoL 2 mg tablet||51079073501|4.60||4.60
WS SERVICE AREA|25010066|haloperidoL 2 mg tablet||00378021401|4.60||4.60
WS SERVICE AREA|25010066|haloperidoL 2 mg tablet||00904592461|4.60||4.60
WS SERVICE AREA|25010066|haloperidoL 2 mg tablet||00832153011|4.76||4.76
WS SERVICE AREA|25010066|haloperidoL 5 mg tablet||51079073601|4.60||4.60
WS SERVICE AREA|25010066|haloperidoL 5 mg tablet||00378032701|4.60||4.60
WS SERVICE AREA|25010066|haloperidoL 5 mg tablet||60687016111|4.60||4.60
WS SERVICE AREA|25010066|haloperidol lactate 2 mg/mL oral concentrate||54838050140|4.60||4.60
WS SERVICE AREA|25010066|haloperidol lactate 2 mg/mL oral concentrate||00093960412|7.06||7.06
WS SERVICE AREA|25010066|imatinib 400 mg tablet||00078043815|641.93||641.93
WS SERVICE AREA|25010066|imatinib 400 mg tablet||60687020325|750.84||750.84
WS SERVICE AREA|25010066|imatinib 400 mg tablet||60687020395|750.84||750.84
WS SERVICE AREA|25010066|carbidopa 12.5 mg-levodopa 50 mg-entacapone 200 mg tablet||64679078204|28.55||28.55
WS SERVICE AREA|25010066|carbidopa 12.5 mg-levodopa 50 mg-entacapone 200 mg tablet||00378830001|28.55||28.55
WS SERVICE AREA|25010066|carbidopa 25 mg-levodopa 100 mg-entacapone 200 mg tablet||47335000388|23.52||23.52
WS SERVICE AREA|25010066|carbidopa 37.5 mg-levodopa 150 mg-entacapone 200 mg tablet||47335000588|23.52||23.52
WS SERVICE AREA|25010066|carbidopa 37.5 mg-levodopa 150 mg-entacapone 200 mg tablet||64679078604|28.55||28.55
WS SERVICE AREA|25010066|atazanavir 150 mg capsule||65862071160|141.05||141.05
WS SERVICE AREA|25010066|atazanavir 150 mg capsule||00003362412|123.73||123.73
WS SERVICE AREA|25010066|emtricitabine 200 mg capsule||61958060101|136.10||136.10
WS SERVICE AREA|25010066|estradioL 0.0375 mg/24 hr weekly transdermal patch||47781020504|168.18||168.18
WS SERVICE AREA|25010066|amantadine HCL 100 mg capsule||00781204801|15.36||15.36
WS SERVICE AREA|25010066|ARIPiprazole 5 mg tablet||50268008811|91.10||91.10
WS SERVICE AREA|25010066|ARIPiprazole 5 mg tablet||50268008815|91.10||91.10
WS SERVICE AREA|25010066|ARIPiprazole 5 mg tablet||16714078401|96.88||96.88
WS SERVICE AREA|25010066|amantadine HCL 50 mg/5 mL oral solution||00121064610|9.78||9.78
WS SERVICE AREA|25010066|amantadine HCL 50 mg/5 mL oral solution||00121064616|5.86||5.86
WS SERVICE AREA|25010066|amantadine HCL 50 mg/5 mL oral solution||00000005581|5.86||5.86
WS SERVICE AREA|25010066|amantadine HCL 50 mg/5 mL oral solution||50383080716|5.86||5.86
WS SERVICE AREA|25010066|amantadine HCL 50 mg/5 mL oral solution||60432009316|5.67||5.67
WS SERVICE AREA|25010066|levETIRAcetam 100 mg/mL oral solution||68180009901|2,303.70||2,303.70
WS SERVICE AREA|25010066|buPROPion HCL XL 150 mg 24 hr tablet, extended release||60687014601|35.45||35.45
WS SERVICE AREA|25010066|buPROPion HCL XL 300 mg 24 hr tablet, extended release||10370010203|18.14||18.14
WS SERVICE AREA|25010066|buPROPion HCL XL 300 mg 24 hr tablet, extended release||51079010901|23.96||23.96
WS SERVICE AREA|25010066|buPROPion HCL XL 300 mg 24 hr tablet, extended release||45963014230|23.96||23.96
WS SERVICE AREA|25010066|buPROPion HCL XL 300 mg 24 hr tablet, extended release||70436001104|22.75||22.75
WS SERVICE AREA|25010066|docusate sodium 50 mg/5 mL oral liquid||00121054410|2.94||2.94
WS SERVICE AREA|25010066|memantine 10 mg tablet||53746016930|23.20||23.20
WS SERVICE AREA|25010066|phenol 1.4 % mucosal aerosol spray||49348099136|4.60||4.60
WS SERVICE AREA|25010066|phenol 1.4 % mucosal aerosol spray||00904630521|4.60||4.60
WS SERVICE AREA|25010066|hydrALAZINE 10 mg tablet||68084044711|4.60||4.60
WS SERVICE AREA|25010066|hydrALAZINE 10 mg tablet||00904644061|4.60||4.60
WS SERVICE AREA|25010066|eplerenone 25 mg tablet||59762171001|31.19||31.19
WS SERVICE AREA|25010066|eplerenone 50 mg tablet||59762172001|15.85||15.85
WS SERVICE AREA|25010066|eplerenone 50 mg tablet||16729029410|16.51||16.51
WS SERVICE AREA|25010066|eplerenone 50 mg tablet||16729029415|16.51||16.51
WS SERVICE AREA|25010066|zonisamide 25 mg capsule||68462012801|4.60||4.60
WS SERVICE AREA|25010066|zonisamide 25 mg capsule||59212068110|102.74||102.74
WS SERVICE AREA|25010066|hydrALAZINE 100 mg tablet||50111039701|4.60||4.60
WS SERVICE AREA|25010066|hydrALAZINE 25 mg tablet||62584073311|4.60||4.60
WS SERVICE AREA|25010066|hydrALAZINE 25 mg tablet||63739012610|4.60||4.60
WS SERVICE AREA|25010066|hydrALAZINE 25 mg tablet||63739032710|4.60||4.60
WS SERVICE AREA|25010066|hydrALAZINE 50 mg tablet||51079007601|4.60||4.60
WS SERVICE AREA|25010066|hydrALAZINE 50 mg tablet||62584073411|4.60||4.60
WS SERVICE AREA|25010066|hydrALAZINE 50 mg tablet||31722052101|4.60||4.60
WS SERVICE AREA|25010066|hydrALAZINE 50 mg tablet||50111032801|4.60||4.60
WS SERVICE AREA|25010066|memantine 5 mg tablet||00378110391|46.39||46.39
WS SERVICE AREA|25010066|memantine 5 mg tablet||60687017311|6.09||6.09
WS SERVICE AREA|25010066|hydroCHLOROthiazide 25 mg tablet||16729018301|4.60||4.60
WS SERVICE AREA|25010066|hydroCHLOROthiazide 50 mg tablet||00172208960|4.60||4.60
WS SERVICE AREA|25010066|hydrocortisone 0.5 % topical cream||00168001431|11.31||11.31
WS SERVICE AREA|25010066|hydrocortisone 0.5 % topical cream||51672201002|23.10||23.10
WS SERVICE AREA|25010066|hydrocortisone 1 % topical cream||45802043803|17.03||17.03
WS SERVICE AREA|25010066|hydrocortisone 1 % topical cream||45802043805|202.12||202.12
WS SERVICE AREA|25010066|hydrocortisone 2.5 % topical cream||45802000403|88.12||88.12
WS SERVICE AREA|25010066|hydrocortisone 1 % lotion||00096073204|51.41||51.41
WS SERVICE AREA|25010066|hydrocortisone 1 % topical ointment||00168002031|24.93||24.93
WS SERVICE AREA|25010066|hydrocortisone 1 % topical ointment||00168018131|16.58||16.58
WS SERVICE AREA|25010066|hydrocortisone 10 mg tablet||00603390021|4.60||4.60
WS SERVICE AREA|25010066|hydrocortisone 10 mg tablet||00009003101|6.40||6.40
WS SERVICE AREA|25010066|hydrocortisone 10 mg tablet||68084046901|6.62||6.62
WS SERVICE AREA|25010066|hydrocortisone 10 mg tablet||59762007401|4.60||4.60
WS SERVICE AREA|25010066|hydrocortisone 10 mg tablet||00115169701|4.60||4.60
WS SERVICE AREA|25010066|Saccharomyces boulardii 250 mg capsule||04142000024|8.75||8.75
WS SERVICE AREA|25010066|Saccharomyces boulardii 250 mg capsule||04142000007|7.08||7.08
WS SERVICE AREA|25010066|hydrocortisone acetate 25 mg rectal suppository||42494030124|86.63||86.63
WS SERVICE AREA|25010066|hydrocortisone acetate 25 mg rectal suppository||42494030200|86.73||86.73
WS SERVICE AREA|25010066|tadalafiL 5 mg tablet||16729037010|93.69||93.69
WS SERVICE AREA|25010066|HYDROmorphone 2 mg tablet||00406324301|4.60||4.60
WS SERVICE AREA|25010066|HYDROmorphone 2 mg tablet||68084042311|4.60||4.60
WS SERVICE AREA|25010066|HYDROmorphone 4 mg tablet||42858030225|4.60||4.60
WS SERVICE AREA|25010066|HYDROmorphone 4 mg tablet||68084047211|4.60||4.60
WS SERVICE AREA|25010066|HYDROmorphone 4 mg tablet||63739079110|4.60||4.60
WS SERVICE AREA|25010066|escitalopram 5 mg tablet||00093585001|31.49||31.49
WS SERVICE AREA|25010066|escitalopram 5 mg tablet||43547028010|31.58||31.58
WS SERVICE AREA|25010066|metoprolol tartrate 25 mg tablet||51079025501|4.60||4.60
WS SERVICE AREA|25010066|metoprolol tartrate 25 mg tablet||65862006201|4.60||4.60
WS SERVICE AREA|25010066|clindamycin 75 mg/5 mL oral solution||00574012901|471.82||471.82
WS SERVICE AREA|25010066|clindamycin 75 mg/5 mL oral solution||64980051110|471.82||471.82
WS SERVICE AREA|25010066|clindamycin 75 mg/5 mL oral solution||65862059601|471.82||471.82
WS SERVICE AREA|25010066|glipiZIDE ER 2.5 mg tablet, extended release 24 hr||68084029511|10.35||10.35
WS SERVICE AREA|25010066|glipiZIDE ER 5 mg tablet, extended release 24 hr||68084011101|4.60||4.60
WS SERVICE AREA|25010066|glipiZIDE ER 5 mg tablet, extended release 24 hr||00591084401|4.60||4.60
WS SERVICE AREA|25010066|glipiZIDE ER 10 mg tablet, extended release 24 hr||10370074601|4.60||4.60
WS SERVICE AREA|25010066|disopyramide phosphate ER 150 mg capsule,extended release||00025274231|24.04||24.04
WS SERVICE AREA|25010066|propranoloL ER 60 mg capsule,24 hr,extended release||00228277811|15.66||15.66
WS SERVICE AREA|25010066|propranoloL ER 60 mg capsule,24 hr,extended release||51991081701|15.66||15.66
WS SERVICE AREA|25010066|propranoloL ER 60 mg capsule,24 hr,extended release||00527411637|15.66||15.66
WS SERVICE AREA|25010066|propranoloL ER 80 mg capsule,24 hr,extended release||00228277911|13.74||13.74
WS SERVICE AREA|25010066|propranoloL ER 120 mg capsule,24 hr,extended release||00527411837|11.35||11.35
WS SERVICE AREA|25010066|propranoloL ER 120 mg capsule,24 hr,extended release||00527411841|11.35||11.35
WS SERVICE AREA|25010066|NIFEdipine ER 90 mg tablet,extended release||00378039001|7.38||7.38
WS SERVICE AREA|25010066|NIFEdipine ER 90 mg tablet,extended release||10370067901|7.68||7.68
WS SERVICE AREA|25010066|NIFEdipine ER 90 mg tablet,extended release||68682010710|6.15||6.15
WS SERVICE AREA|25010066|NIFEdipine ER 90 mg tablet,extended release||50742062201|7.69||7.69
WS SERVICE AREA|25010066|hydrOXYzine HCL 10 mg/5 mL oral solution||60432015016|4.60||4.60
WS SERVICE AREA|25010066|hydrOXYzine HCL 10 mg tablet||68084025311|4.60||4.60
WS SERVICE AREA|25010066|hydrOXYzine HCL 10 mg tablet||00378258601|4.75||4.75
WS SERVICE AREA|25010066|hydrOXYzine HCL 10 mg tablet||16714008110|4.83||4.83
WS SERVICE AREA|25010066|hydrOXYzine pamoate 25 mg capsule||00185067401|4.60||4.60
WS SERVICE AREA|25010066|hydrOXYzine pamoate 25 mg capsule||68084084701|4.60||4.60
WS SERVICE AREA|25010066|hydrOXYzine pamoate 25 mg capsule||00069541066|4.60||4.60
WS SERVICE AREA|25010066|hydrOXYzine pamoate 50 mg capsule||00185061501|4.60||4.60
WS SERVICE AREA|25010066|hydrOXYzine pamoate 50 mg capsule||62584074111|4.60||4.60
WS SERVICE AREA|25010066|hydrOXYzine pamoate 50 mg capsule||51079007801|4.60||4.60
WS SERVICE AREA|25010066|hyoscyamine 0.125 mg/mL oral drops||54838050615|304.32||304.32
WS SERVICE AREA|25010066|HYDROcodone 7.5 mg-acetaminophen 325 mg/15 mL oral solution||66689002301|36.98||36.98
WS SERVICE AREA|25010066|HYDROcodone 7.5 mg-acetaminophen 325 mg/15 mL oral solution||66689002350|36.98||36.98
WS SERVICE AREA|25010066|cinacalcet 30 mg tablet||55513007330|204.63||204.63
WS SERVICE AREA|25010066|cinacalcet 30 mg tablet||16714007801|233.63||233.63
WS SERVICE AREA|25010066|aluminum-mag hydroxide-simethicone 200 mg-200 mg-20 mg/5 mL oral susp||00121176130|15.88||15.88
WS SERVICE AREA|25010066|aluminum-mag hydroxide-simethicone 200 mg-200 mg-20 mg/5 mL oral susp||17856572103|5.29||5.29
WS SERVICE AREA|25010066|aluminum-mag hydroxide-simethicone 200 mg-200 mg-20 mg/5 mL oral susp||00000005335|0.60||0.60
WS SERVICE AREA|25010066|carboxymethylcellulose sodium 1 % eye gel in a dropperette||00023455430|4.60||4.60
WS SERVICE AREA|25010066|ibuprofen 200 mg tablet||00904791461|0.60||0.60
WS SERVICE AREA|25010066|ibuprofen 200 mg tablet||57896094101|0.60||0.60
WS SERVICE AREA|25010066|ibuprofen 400 mg tablet||00904585361|4.60||4.60
WS SERVICE AREA|25010066|ibuprofen 400 mg tablet||65162046410|4.60||4.60
WS SERVICE AREA|25010066|ibuprofen 600 mg tablet||65162046510|4.60||4.60
WS SERVICE AREA|25010066|ibuprofen 600 mg tablet||63739068410|4.60||4.60
WS SERVICE AREA|25010066|ibuprofen 600 mg tablet||63739068401|4.60||4.60
WS SERVICE AREA|25010066|FLUoxetine 20 mg/5 mL (4 mg/mL) oral solution||00121072104|18.63||18.63
WS SERVICE AREA|25010066|FLUoxetine 20 mg/5 mL (4 mg/mL) oral solution||00121472105|26.03||26.03
WS SERVICE AREA|25010066|FLUoxetine 20 mg/5 mL (4 mg/mL) oral solution||54838052340|18.70||18.70
WS SERVICE AREA|25010066|FLUoxetine 20 mg/5 mL (4 mg/mL) oral solution||00000005796|37.25||37.25
WS SERVICE AREA|25010066|imipramine 10 mg tablet||00781176201|4.60||4.60
WS SERVICE AREA|25010066|imipramine 10 mg tablet||49884005401|4.60||4.60
WS SERVICE AREA|25010066|imipramine 25 mg tablet||00781176401|4.60||4.60
WS SERVICE AREA|25010066|imipramine 25 mg tablet||49884005501|4.60||4.60
WS SERVICE AREA|25010066|imipramine 50 mg tablet||49884005601|4.60||4.60
WS SERVICE AREA|25010066|indapamide 2.5 mg tablet||00228257111|4.60||4.60
WS SERVICE AREA|25010066|indapamide 2.5 mg tablet||51079086801|5.90||5.90
WS SERVICE AREA|25010066|doxercalciferoL 0.5 mcg capsule||58468012001|110.61||110.61
WS SERVICE AREA|25010066|doxercalciferoL 0.5 mcg capsule||66993018550|119.32||119.32
WS SERVICE AREA|25010066|doxercalciferoL 0.5 mcg capsule||00054033819|124.44||124.44
WS SERVICE AREA|25010066|indomethacin 25 mg capsule||51079019001|4.60||4.60
WS SERVICE AREA|25010066|indomethacin 50 mg capsule||68462030201|4.60||4.60
WS SERVICE AREA|25010066|indomethacin 50 mg capsule||31722054301|4.60||4.60
WS SERVICE AREA|25010066|indomethacin 50 mg rectal suppository||42211010243|710.89||710.89
WS SERVICE AREA|25010066|indomethacin 50 mg rectal suppository||69344010233|710.89||710.89
WS SERVICE AREA|25010066|rifAXIMin 200 mg tablet||65649030103|170.05||170.05
WS SERVICE AREA|25010066|aMILoride 5 mg tablet||00574029201|4.60||4.60
WS SERVICE AREA|25010066|aMILoride 5 mg tablet||64980015101|9.74||9.74
WS SERVICE AREA|25010066|nystatin 100,000 unit/gram topical powder||68308015215|167.00||167.00
WS SERVICE AREA|25010066|nystatin 100,000 unit/gram topical powder||00574200815|209.01||209.01
WS SERVICE AREA|25010066|nitazoxanide 500 mg tablet||67546011112|1,024.56||1,024.56
WS SERVICE AREA|25010066|emtricitabine 200 mg-tenofovir disoproxil fumarate 300 mg tablet||61958070101|467.32||467.32
WS SERVICE AREA|25010066|DULoxetine 20 mg capsule,delayed release||00002323560|58.06||58.06
WS SERVICE AREA|25010066|DULoxetine 20 mg capsule,delayed release||57237001760|53.25||53.25
WS SERVICE AREA|25010066|DULoxetine 20 mg capsule,delayed release||68084067521|62.14||62.14
WS SERVICE AREA|25010066|DULoxetine 20 mg capsule,delayed release||60505299506|53.25||53.25
WS SERVICE AREA|25010066|DULoxetine 30 mg capsule,delayed release||57237001890|39.84||39.84
WS SERVICE AREA|25010066|DULoxetine 30 mg capsule,delayed release||00904645361|7.29||7.29
WS SERVICE AREA|25010066|DULoxetine 60 mg capsule,delayed release||57237001930|19.92||19.92
WS SERVICE AREA|25010066|cefdinir 250 mg/5 mL oral suspension||16714039301|757.04||757.04
WS SERVICE AREA|25010066|lanthanum 500 mg chewable tablet||54092025290|91.37||91.37
WS SERVICE AREA|25010066|lanthanum 500 mg chewable tablet||66993042247|98.57||98.57
WS SERVICE AREA|25010066|fenofibrate nanocrystallized 48 mg tablet||51079059901|14.54||14.54
WS SERVICE AREA|25010066|fenofibrate nanocrystallized 145 mg tablet||68180036109|14.43||14.43
WS SERVICE AREA|25010066|fenofibrate nanocrystallized 145 mg tablet||68084063625|12.97||12.97
WS SERVICE AREA|25010066|fentaNYL (PF) 5 mcg/mL in 0.9 % sodium chloride IV||00000005282|102.18||
WS SERVICE AREA|25010066|hyoscyamine 0.125 mg/mL oral syringe 1 mL||00000005544|20.24||
WS SERVICE AREA|25010066|morphine 2mg/mL oral solution for neonatal abstinence||00000005400|4.60||
WS SERVICE AREA|25010066|nitroglycerin 0.2 % transdermal ointment||00000005550|71.69||
WS SERVICE AREA|25010066|||00000005670|4.60||
WS SERVICE AREA|25010066|||00000005423|9.66||
WS SERVICE AREA|25010066|niMODipine 30 mg/5 mL oral syringe (FOR ORAL USE ONLY)||24338023005|320.34||320.34
WS SERVICE AREA|25010066|niMODipine 60 mg/10 mL oral syringe (FOR ORAL USE ONLY)||24338026010|320.38||320.38
WS SERVICE AREA|25010066|||00000005446|125.40||
WS SERVICE AREA|25010066|hydroxychloroquine oral suspension 25 mg/mL||00000005692|0.01||
WS SERVICE AREA|25010066|||00000005077|73.06||
WS SERVICE AREA|25010066|insulin regular human 100 unit/mL injection solution||00002821501|18.70||18.70
WS SERVICE AREA|25010066|insulin regular human 100 unit/mL injection solution||00002821517|18.70||18.70
WS SERVICE AREA|25010066|oxymetazoline 0.025% nasal drops||00000005088|341.46||
WS SERVICE AREA|25010066|emtricitabine 200 mg-tenofovir alafenamide fumarate 25 mg tablet||61958200201|467.32||467.32
WS SERVICE AREA|25010066|||00000005418|1,412.36||1,412.36
WS SERVICE AREA|25010066|sildenafil 2.5 mg/mL oral suspension||00000005383|4,450.33||4,450.33
WS SERVICE AREA|25010066|||00000005419|9.51||9.51
WS SERVICE AREA|25010066|||00000005595|54.79||
WS SERVICE AREA|25010066|fluticasone propionate 44 mcg/actuation HFA aerosol inhaler,fluticasone propionate 110 mcg/actuation HFA,fluticasone propionate 220 mcg/actuation HFA||00173071920|1,964.20||1,964.20
WS SERVICE AREA|25010066|fluticasone propionate 44 mcg/actuation HFA aerosol inhaler,fluticasone propionate 110 mcg/actuation HFA,fluticasone propionate 220 mcg/actuation HFA||00173071820|1,467.23||1,467.23
WS SERVICE AREA|25010066|fluticasone propionate 44 mcg/actuation HFA aerosol inhaler,fluticasone propionate 110 mcg/actuation HFA,fluticasone propionate 220 mcg/actuation HFA||00173072020|3,050.91||3,050.91
WS SERVICE AREA|25010066|warfarin 0.5 mg tablet||00000005132|15.69||15.69
WS SERVICE AREA|25010066|diltiazem CD 120 mg capsule, extended release 24 hr,diltiazem ER (XR/XT) 120 mg capsule, extended releas||60505001406|8.66||8.66
WS SERVICE AREA|25010066|diltiazem CD 240 mg capsule, extended release 24 hr,diltiazem ER (XR/XT) 240 mg capsule, extended releas,diltiazem CD 120 mg capsule,extended release 24 hr||68084005401|4.60||4.60
WS SERVICE AREA|25010066|diltiazem CD 240 mg capsule, extended release 24 hr,diltiazem ER (XR/XT) 240 mg capsule, extended releas,diltiazem CD 120 mg capsule,extended release 24 hr||51079094901|4.93||4.93
WS SERVICE AREA|25010066|diltiazem CD 240 mg capsule, extended release 24 hr,diltiazem ER (XR/XT) 240 mg capsule, extended releas,diltiazem CD 120 mg capsule,extended release 24 hr||60505001606|5.45||5.45
WS SERVICE AREA|25010066|megestrol 20 mg tablet||00000005292|5.21||5.21
WS SERVICE AREA|25010066|insulin lispro 100 unit/mL subcutaneous solution||00002751001|18.70||18.70
WS SERVICE AREA|25010066|insulin lispro 100 unit/mL subcutaneous solution||00002751017|18.70||18.70
WS SERVICE AREA|25010066|insulin regular human 100 unit/mL injection solution||00002821501|18.70||18.70
WS SERVICE AREA|25010066|insulin regular human 100 unit/mL injection solution||00002821517|18.70||18.70
WS SERVICE AREA|25010066|misoprostol 50 mcg||00000005138|4.60||
WS SERVICE AREA|25010066|misoprostol 25 mcg||00000005139|4.60||
WS SERVICE AREA|25010066|bacitracin 500 unit/gram topical ointment,bacitracin zinc 500 unit/gram topical ointment,bacitracin zinc 500 unit/gram topical packet,bacitracin 500 unit/gram topical packet,bacitracin 500 unit\gram topical ointment||00168011109|0.79||0.79
WS SERVICE AREA|25010066|bacitracin 500 unit/gram topical ointment,bacitracin zinc 500 unit/gram topical ointment,bacitracin zinc 500 unit/gram topical packet,bacitracin 500 unit/gram topical packet,bacitracin 500 unit\gram topical ointment||00472110556|38.18||38.18
WS SERVICE AREA|25010066|bacitracin 500 unit/gram topical ointment,bacitracin zinc 500 unit/gram topical ointment,bacitracin zinc 500 unit/gram topical packet,bacitracin 500 unit/gram topical packet,bacitracin 500 unit\gram topical ointment||10939056433|18.85||18.85
WS SERVICE AREA|25010066|bacitracin 500 unit/gram topical ointment,bacitracin zinc 500 unit/gram topical ointment,bacitracin zinc 500 unit/gram topical packet,bacitracin 500 unit/gram topical packet,bacitracin 500 unit\gram topical ointment||00713028031|15.37||15.37
WS SERVICE AREA|25010066|bacitracin 500 unit/gram topical ointment,bacitracin zinc 500 unit/gram topical ointment,bacitracin zinc 500 unit/gram topical packet,bacitracin 500 unit/gram topical packet,bacitracin 500 unit\gram topical ointment||45802006001|15.11||15.11
WS SERVICE AREA|25010066|bacitracin 500 unit/gram topical ointment,bacitracin zinc 500 unit/gram topical ointment,bacitracin zinc 500 unit/gram topical packet,bacitracin 500 unit/gram topical packet,bacitracin 500 unit\gram topical ointment||45802006070|0.91||0.91
WS SERVICE AREA|25010066|bacitracin 500 unit/gram topical ointment,bacitracin zinc 500 unit/gram topical ointment,bacitracin zinc 500 unit/gram topical packet,bacitracin 500 unit/gram topical packet,bacitracin 500 unit\gram topical ointment||49348015472|18.85||18.85
WS SERVICE AREA|25010066|acetaminophen 160 mg/5 mL (5 mL) oral suspension,acetaminohpen 160 mg/5 mL (5 mL) oral solution,acetaminophen 160mg/5 mL oral suspension,acetaminophen 160 mg/5 mL oral elixir,,acetaminophen 650 mg/20.3 mL oral solution,acetaminophen 325 mg/10.15 mL oral solution,acetaminophen 32 mg/mL oral syringe||00121065705|8.17||8.17
WS SERVICE AREA|25010066|neomycin-bacitracn Zn-polymyx 3.5 mg-400 unit-5,000 unit/gram top oint,neomycin-bacitracn Zn-polymyxn 3.5 mg-400 unit-5,000 unit top oint pkt,neomycin-bacitracn Zn-polymyxn 3.5 mg-400 unit topical ointment||58232400201|0.70||0.70
WS SERVICE AREA|25010066|tranexamic acid 50 mg/mL (5%) oral rinse||00000005234|287.13||
WS SERVICE AREA|25010066|phenol 14.5 mg lozenges,phenol-eucalyptus oil-menthol 29 mg lozenges,benzocaine-menthol 6 mg-10 mg lozenges||78112001266|4.60||4.60
WS SERVICE AREA|25010066|emtricitabine 200 mg-rilpivirine 25 mg-tenofovir alafenam 25 mg tablet||61958210101|747.58||747.58
WS SERVICE AREA|25010066|dabbs irrigation solution||00000005384|192.86||
WS SERVICE AREA|25010066|hydroxychloroquine oral suspension 25 mg/mL||00000005682|32.21||
WS SERVICE AREA|25010066|||00000005799|0.01||
WS SERVICE AREA|25010066|||00000005801|0.01||
WS SERVICE AREA|25010066|||00000005823|4.60||
WS SERVICE AREA|25010066|DAPAgliflozin/placebo tablet||00000115413|0.01||
WS SERVICE AREA|25010066|erlotinib 25 mg tablet||50242006201|690.07||690.07
WS SERVICE AREA|25010066|erlotinib 150 mg tablet||50242006401|1,429.22||1,429.22
WS SERVICE AREA|25010066|isometheptene-dichloralphen-acetaminophen 65 mg-100 mg-325 mg capsule||44183044001|44.62||44.62
WS SERVICE AREA|25010066|isoniazid 100 mg tablet||00555006602|4.60||4.60
WS SERVICE AREA|25010066|isoniazid 300 mg tablet||00185435001|5.64||5.64
WS SERVICE AREA|25010066|isoniazid 300 mg tablet||51079008301|4.60||4.60
WS SERVICE AREA|25010066|isoniazid 300 mg tablet||51079008320|4.60||4.60
WS SERVICE AREA|25010066|phenylephrine 10 mg tablet||00904573373|4.60||4.60
WS SERVICE AREA|25010066|mesalamine 1,000 mg rectal suppository||58914050156|147.35||147.35
WS SERVICE AREA|25010066|isosorbide dinitrate 10 mg tablet||00781155601|4.60||4.60
WS SERVICE AREA|25010066|isosorbide dinitrate 10 mg tablet||50268044811|4.60||4.60
WS SERVICE AREA|25010066|isosorbide dinitrate 40 mg tablet||00187019201|38.40||38.40
WS SERVICE AREA|25010066|isosorbide dinitrate 40 mg tablet||70710115201|39.08||39.08
WS SERVICE AREA|25010066|isosorbide dinitrate 5 mg tablet||00781163501|7.50||7.50
WS SERVICE AREA|25010066|human milk fortifier 10 mL||00000005006|475.63||
WS SERVICE AREA|25010066|human milk fortifier 20 mL||00000005007|865.64||
WS SERVICE AREA|25010066|human milk fortifier 30 mL||00000005008|1,298.49||
WS SERVICE AREA|25010066|human milk fortifier 40 mL||00000005009|1,731.28||
WS SERVICE AREA|25010066|human milk fortifier 15 mL||00000005630|734.78||
WS SERVICE AREA|25010066|diltiazem ER (XR/XT) 180 mg capsule,diltiazem CD 180 mg capsule,extended release 24 hr||47335067613|4.74||4.74
WS SERVICE AREA|25010066|amLODIPine 1 mg/mL oral suspension||00000005350|15.22||15.22
WS SERVICE AREA|25010066|lansoprazole with bicarb oral suspension||00000005075|36.41||
WS SERVICE AREA|25010066|pasteurized human milk cream||00000005347|270.92||270.92
WS SERVICE AREA|25010066|riociguat 0.5 mg||50419025091|926.57||926.57
WS SERVICE AREA|25010066|bacitracin-polymyxin B 500 unit-10,000 unit/g Topical Packet||00000005010|0.80||0.80
WS SERVICE AREA|25010066|clotrimazole 1 % Topical Cream||00000005012|5.59||5.59
WS SERVICE AREA|25010066|hydrocortisone 1 % Topical Cream||00000005014|0.68||0.68
WS SERVICE AREA|25010066|hydrocortisone 2.5 % Topical Cream||00000005015|14.69||14.69
WS SERVICE AREA|25010066|triamcinolone acetonide 0.1 % Topical Cream||00000005017|14.12||14.12
WS SERVICE AREA|25010066|zinc oxide 20 % Ointment||00000005018|4.60||4.60
WS SERVICE AREA|25010066|metroniDAZOLE 250 mg tablet||00000005024|4.60||4.60
WS SERVICE AREA|25010066|neomycin-bacitracin-polymyxin Top. Packet||00000005025|0.81||0.81
WS SERVICE AREA|25010066|nystatin 100,000 unit/g Topical Powder||00000005026|209.01||209.01
WS SERVICE AREA|25010066|ursodiol 60 mg/mL oral suspension||00000005036|112.32||
WS SERVICE AREA|25010066|spironolactone 5 mg/mL oral suspension||00000005037|9.89||
WS SERVICE AREA|25010066|amiodarone 200 mg/5 mL oral suspension||00000005039|336.97||
WS SERVICE AREA|25010066|baby bertram's butt cream||00000005041|39.95||
WS SERVICE AREA|25010066|calcium gluconate paste||00000005047|22.98||
WS SERVICE AREA|25010066|PTU retention enema||00000005090|106.84||106.84
WS SERVICE AREA|25010066|calcium gluconate gel||00000005046|118.64||
WS SERVICE AREA|25010066|rifAMPin 10 mg/mL oral solution||00000005045|68.49||
WS SERVICE AREA|25010066|captopril 0.03 mg/mL oral solution||00000005050|66.97||
WS SERVICE AREA|25010066|captopril 1 mg/mL oral solution||00000005028|64.69||
WS SERVICE AREA|25010066|ceFAZolin 50 mg/mL (5%) ophthalmic solution||00000005051|150.30||
WS SERVICE AREA|25010066|cloNIDine 10 mcg/mL oral solution||00000005030|25.80||
WS SERVICE AREA|25010066|glycerol 25%||00000005063|17.12||
WS SERVICE AREA|25010066|hyziny cream with lidocaine||00000005065|289.18||289.18
WS SERVICE AREA|25010066|hydrocortisone 2 mg/mL oral suspension||00000005064|57.08||
WS SERVICE AREA|25010066|hyziny cream||00000005066|247.25||
WS SERVICE AREA|25010066|kayexalate 1 gram||00000005068|7.10||
WS SERVICE AREA|25010066|kayexalate 3 gram||00000005069|51.37||
WS SERVICE AREA|25010066|labetalol 10 mg/mL suspension||00000005071|56.92||
WS SERVICE AREA|25010066|lactulose with 0.9% sodium chloride enema||00000005072|182.64||
WS SERVICE AREA|25010066|lactulose with sterile water enema||00000005073|167.42||
WS SERVICE AREA|25010066|sotalol HCL 5 mg/mL oral suspension||00000005092|114.15||
WS SERVICE AREA|25010066|levothyroxine 25 mcg/mL syrup||00000005076|45.66||45.66
WS SERVICE AREA|25010066|spironolactone 1 mg/mL pediatric oral solution||00000005093|10.46||
WS SERVICE AREA|25010066|metroNIDAZOLE 50 mg/mL oral suspension||00000005078|52.05||
WS SERVICE AREA|25010066|phenylephrine 0.125% nasal drops||00000005081|21.42||
WS SERVICE AREA|25010066|propranolol 1 mg/mL oral suspension||00000005089|91.32||
WS SERVICE AREA|25010066|vancomycin 500 mg/100 mL in 0.9% sodium chloride enema||00000005098|10.27||
WS SERVICE AREA|25010066|vancomycin 50 mg/mL oral solution,vancomycin 50 mg/mL oral solution,vancomycin 125 mg/2.5 mL oral syringe (FOR ORAL USE ONLY)||00000005360|17.27||
WS SERVICE AREA|25010066|NIFEdipine 4 mg/mL Oral Suspension||00000005427|8.37||8.37
WS SERVICE AREA|25010066|glycerin (adult) rectal suppository||00132007912|0.60||0.60
WS SERVICE AREA|25010066|phenol (bulk) 89 % liquid||51552011803|550.96||550.96
WS SERVICE AREA|25010066|fentaNYL 12 mcg/hr transdermal patch||00378911916|154.50||154.50
WS SERVICE AREA|25010066|fentaNYL 12 mcg/hr transdermal patch||00781724055|154.50||154.50
WS SERVICE AREA|25010066|levOCARNitine (with sugar) 100 mg/mL oral solution||64980050312|357.97||357.97
WS SERVICE AREA|25010066|levOCARNitine (with sugar) 100 mg/mL oral solution||50383017104|352.01||352.01
WS SERVICE AREA|25010066|lactoperoxidase-glucose oxidase-potass thiocyan mucosal gel||48582051201|35.80||35.80
WS SERVICE AREA|25010066|sildenafiL (pulmonary hypertension) 20 mg tablet||00069419068|380.74||380.74
WS SERVICE AREA|25010066|sildenafiL (pulmonary hypertension) 20 mg tablet||60505340409|153.93||153.93
WS SERVICE AREA|25010066|sildenafiL (pulmonary hypertension) 20 mg tablet||00093551798|167.79||167.79
WS SERVICE AREA|25010066|sildenafiL (pulmonary hypertension) 20 mg tablet||00904667104|8.84||8.84
WS SERVICE AREA|25010066|sildenafiL (pulmonary hypertension) 20 mg tablet||60687041611|153.93||153.93
WS SERVICE AREA|25010066|metroNIDAZOLE 1 % topical gel||00299382060|2,864.71||2,864.71
WS SERVICE AREA|25010066|metroNIDAZOLE 1 % topical gel||00781708035|2,109.95||2,109.95
WS SERVICE AREA|25010066|metroNIDAZOLE 1 % topical gel||51672529503|2,109.95||2,109.95
WS SERVICE AREA|25010066|pregabalin 25 mg capsule||00071101268|249.15||249.15
WS SERVICE AREA|25010066|pregabalin 25 mg capsule||00904699104|40.15||40.15
WS SERVICE AREA|25010066|pregabalin 50 mg capsule||00071101368|124.58||124.58
WS SERVICE AREA|25010066|pregabalin 50 mg capsule||00904699261|11.48||11.48
WS SERVICE AREA|25010066|pregabalin 75 mg capsule||00071101468|83.05||83.05
WS SERVICE AREA|25010066|pregabalin 75 mg capsule||00071101441|91.35||91.35
WS SERVICE AREA|25010066|pregabalin 75 mg capsule||60687049511|16.41||16.41
WS SERVICE AREA|25010066|pregabalin 75 mg capsule||00904700061|7.79||7.79
WS SERVICE AREA|25010066|pregabalin 100 mg capsule||00071101541|68.51||68.51
WS SERVICE AREA|25010066|pregabalin 100 mg capsule||00904700161|6.39||6.39
WS SERVICE AREA|25010066|pregabalin 200 mg capsule||00071101768|31.14||31.14
WS SERVICE AREA|25010066|pregabalin 200 mg capsule||00904700304|6.33||6.33
WS SERVICE AREA|25010066|amitriptyline 10 mg tablet||16714044601|4.60||4.60
WS SERVICE AREA|25010066|amitriptyline 10 mg tablet||51079013101|4.60||4.60
WS SERVICE AREA|25010066|lopinavir-ritonavir 200 mg-50 mg tablet||00074679922|64.95||64.95
WS SERVICE AREA|25010066|amitriptyline 25 mg tablet||00904020161|4.60||4.60
WS SERVICE AREA|25010066|amitriptyline 25 mg tablet||60687043311|4.60||4.60
WS SERVICE AREA|25010066|amitriptyline 25 mg tablet||51079010701|4.60||4.60
WS SERVICE AREA|25010066|lanthanum 750 mg chewable tablet||54092025315|91.37||91.37
WS SERVICE AREA|25010066|lanthanum 750 mg chewable tablet||66993042353|98.57||98.57
WS SERVICE AREA|25010066|digoxin 50 mcg/mL (0.05 mg/mL) oral solution||00054005746|1,278.48||1,278.48
WS SERVICE AREA|25010066|amitriptyline 50 mg tablet||16714044801|4.60||4.60
WS SERVICE AREA|25010066|amitriptyline 50 mg tablet||51079013301|4.60||4.60
WS SERVICE AREA|25010066|levothyroxine 25 mcg tablet||51079044401|4.60||4.60
WS SERVICE AREA|25010066|levothyroxine 25 mcg tablet||00781518092|4.60||4.60
WS SERVICE AREA|25010066|levothyroxine 50 mcg tablet||51079044001|4.60||4.60
WS SERVICE AREA|25010066|levothyroxine 50 mcg tablet||00781518192|4.60||4.60
WS SERVICE AREA|25010066|levothyroxine 50 mcg tablet||00527134201|4.60||4.60
WS SERVICE AREA|25010066|levothyroxine 50 mcg tablet||00527134210|4.60||4.60
WS SERVICE AREA|25010066|levothyroxine 50 mcg tablet||68180096601|4.60||4.60
WS SERVICE AREA|25010066|levothyroxine 75 mcg tablet||51079044101|4.60||4.60
WS SERVICE AREA|25010066|levothyroxine 75 mcg tablet||00781518292|4.60||4.60
WS SERVICE AREA|25010066|levothyroxine 75 mcg tablet||00074518211|4.60||4.60
WS SERVICE AREA|25010066|levothyroxine 100 mcg tablet||51079044201|4.60||4.60
WS SERVICE AREA|25010066|levothyroxine 100 mcg tablet||00527134501|4.60||4.60
WS SERVICE AREA|25010066|levothyroxine 100 mcg tablet||68180096901|4.60||4.60
WS SERVICE AREA|25010066|levothyroxine 100 mcg tablet||00074662411|4.60||4.60
WS SERVICE AREA|25010066|levothyroxine 125 mcg tablet||51079044301|4.60||4.60
WS SERVICE AREA|25010066|levothyroxine 125 mcg tablet||00781518692|4.60||4.60
WS SERVICE AREA|25010066|levothyroxine 125 mcg tablet||00074706811|4.60||4.60
WS SERVICE AREA|25010066|levothyroxine 150 mcg tablet||51079044501|4.60||4.60
WS SERVICE AREA|25010066|levothyroxine 150 mcg tablet||00074706911|4.60||4.60
WS SERVICE AREA|25010066|levothyroxine 200 mcg tablet||00074714890|4.94||4.94
WS SERVICE AREA|25010066|levothyroxine 200 mcg tablet||68180097509|4.60||4.60
WS SERVICE AREA|25010066|levothyroxine 200 mcg tablet||00074714811|4.94||4.94
WS SERVICE AREA|25010066|amoxicillin 250 mg capsule||00781202001|4.60||4.60
WS SERVICE AREA|25010066|amoxicillin 250 mg capsule||16714029801|4.60||4.60
WS SERVICE AREA|25010066|liothyronine 25 mcg tablet||60793011601|4.60||4.60
WS SERVICE AREA|25010066|liothyronine 25 mcg tablet||00574022201|4.60||4.60
WS SERVICE AREA|25010066|liothyronine 25 mcg tablet||51862032101|4.60||4.60
WS SERVICE AREA|25010066|amoxicillin 500 mg capsule||00781261301|4.60||4.60
WS SERVICE AREA|25010066|amoxicillin 500 mg capsule||16714029903|4.60||4.60
WS SERVICE AREA|25010066|amoxicillin 500 mg capsule||00093310905|4.60||4.60
WS SERVICE AREA|25010066|lisinopriL 20 mg tablet||63739035010|4.60||4.60
WS SERVICE AREA|25010066|lisinopriL 20 mg tablet||06808419811|4.60||4.60
WS SERVICE AREA|25010066|lisinopriL 20 mg tablet||43547035410|4.60||4.60
WS SERVICE AREA|25010066|lisinopriL 20 mg tablet||68180098101|4.60||4.60
WS SERVICE AREA|25010066|lithium carbonate 300 mg tablet||00054452725|4.60||4.60
WS SERVICE AREA|25010066|lithium carbonate 300 mg tablet||00054852825|4.60||4.60
WS SERVICE AREA|25010066|lithium citrate 8 mEq/5 mL oral solution||00054352763|1,369.80||1,369.80
WS SERVICE AREA|25010066|amoxicillin 250 mg/5 mL oral suspension||00781604146|46.42||46.42
WS SERVICE AREA|25010066|loperamide 2 mg capsule||51079069001|3.68||3.68
WS SERVICE AREA|25010066|loperamide 2 mg capsule||60687022911|3.69||3.69
WS SERVICE AREA|25010066|LORazepam 0.5 mg tablet||00591024001|4.89||4.89
WS SERVICE AREA|25010066|LORazepam 1 mg tablet||00591024101|4.60||4.60
WS SERVICE AREA|25010066|LORazepam 1 mg tablet||69315090501|4.60||4.60
WS SERVICE AREA|25010066|LORazepam 1 mg tablet||13107008405|4.60||4.60
WS SERVICE AREA|25010066|LORazepam 1 mg tablet||51079038620|4.60||4.60
WS SERVICE AREA|25010066|||00000005810|0.01||
WS SERVICE AREA|25010066|magnesium citrate oral solution||00869068638|18.02||18.02
WS SERVICE AREA|25010066|magnesium citrate oral solution||49348050449|11.26||11.26
WS SERVICE AREA|25010066|magnesium citrate oral solution||10939010433|11.26||11.26
WS SERVICE AREA|25010066|medroxyPROGESTERone 10 mg tablet||00555077902|4.60||4.60
WS SERVICE AREA|25010066|medroxyPROGESTERone 10 mg tablet||59762374202|4.60||4.60
WS SERVICE AREA|25010066|medroxyPROGESTERone 2.5 mg tablet||00009006404|19.06||19.06
WS SERVICE AREA|25010066|medroxyPROGESTERone 2.5 mg tablet||00555087202|4.60||4.60
WS SERVICE AREA|25010066|megestroL 40 mg tablet||63739016510|4.60||4.60
WS SERVICE AREA|25010066|megestroL 40 mg tablet||00904357161|4.60||4.60
WS SERVICE AREA|25010066|methadone 5 mg/5 mL oral solution||00000005295|4.60||
WS SERVICE AREA|25010066|methadone 5 mg/5 mL oral solution||00054355563|304.40||304.40
WS SERVICE AREA|25010066|methadone 10 mg tablet||00406577162|4.60||4.60
WS SERVICE AREA|25010066|methadone 10 mg tablet||00406577123|4.60||4.60
WS SERVICE AREA|25010066|methadone 5 mg tablet||00406575562|4.60||4.60
WS SERVICE AREA|25010066|methadone 5 mg tablet||00406575523|4.60||4.60
WS SERVICE AREA|25010066|methazolAMIDE 50 mg tablet||00781107101|29.15||29.15
WS SERVICE AREA|25010066|methocarbamoL 500 mg tablet||63739016610|4.60||4.60
WS SERVICE AREA|25010066|methocarbamoL 500 mg tablet||70010075405|4.60||4.60
WS SERVICE AREA|25010066|methocarbamoL 500 mg tablet||70010075401|4.60||4.60
WS SERVICE AREA|25010066|methocarbamoL 750 mg tablet||00143129205|4.60||4.60
WS SERVICE AREA|25010066|methocarbamoL 750 mg tablet||31722053401|4.60||4.60
WS SERVICE AREA|25010066|methocarbamoL 750 mg tablet||76385012401|4.60||4.60
WS SERVICE AREA|25010066|methocarbamoL 750 mg tablet||70010077005|4.60||4.60
WS SERVICE AREA|25010066|methocarbamoL 750 mg tablet||70010077001|4.60||4.60
WS SERVICE AREA|25010066|methyldopa 250 mg tablet||51079020001|4.60||4.60
WS SERVICE AREA|25010066|methyldopa 500 mg tablet||51079020101|4.60||4.60
WS SERVICE AREA|25010066|methylphenidate 5 mg tablet||00406114201|5.56||5.56
WS SERVICE AREA|25010066|methylphenidate 5 mg tablet||57664022888|4.60||4.60
WS SERVICE AREA|25010066|methylphenidate 5 mg tablet||00115180001|5.34||5.34
WS SERVICE AREA|25010066|metoclopramide 10 mg tablet||51079088820|4.60||4.60
WS SERVICE AREA|25010066|metoclopramide 10 mg tablet||63739029310|4.60||4.60
WS SERVICE AREA|25010066|metoclopramide 5 mg tablet||00093220405|4.60||4.60
WS SERVICE AREA|25010066|metoprolol tartrate 100 mg tablet||51079080201|4.60||4.60
WS SERVICE AREA|25010066|metoprolol tartrate 100 mg tablet||65862006401|4.60||4.60
WS SERVICE AREA|25010066|metoprolol tartrate 50 mg tablet||65862006301|4.60||4.60
WS SERVICE AREA|25010066|metoprolol tartrate 50 mg tablet||51079080101|4.60||4.60
WS SERVICE AREA|25010066|metroNIDAZOLE 250 mg tablet||51079021620|4.60||4.60
WS SERVICE AREA|25010066|metroNIDAZOLE 250 mg tablet||00904145361|4.60||4.60
WS SERVICE AREA|25010066|metroNIDAZOLE 250 mg tablet||50111033302|4.60||4.60
WS SERVICE AREA|25010066|miconazole nitrate 2 % topical cream||00472073514|10.65||10.65
WS SERVICE AREA|25010066|miconazole nitrate 2 % topical cream||51672200101|22.05||22.05
WS SERVICE AREA|25010066|mineral oil oral||54162019016|4.60||4.60
WS SERVICE AREA|25010066|mineral oil oral||00869083143|4.60||4.60
WS SERVICE AREA|25010066|mineral oil oral||48433020230|4.60||4.60
WS SERVICE AREA|25010066|minocycline 100 mg capsule||65862021150|12.93||12.93
WS SERVICE AREA|25010066|minocycline 100 mg capsule||00591569550|12.93||12.93
WS SERVICE AREA|25010066|minocycline 100 mg capsule||57664085385|4.60||4.60
WS SERVICE AREA|25010066|minocycline 50 mg capsule||65862020901|12.93||12.93
WS SERVICE AREA|25010066|minocycline 50 mg capsule||00591569401|12.93||12.93
WS SERVICE AREA|25010066|minoxidiL 10 mg tablet||68084020511|4.60||4.60
WS SERVICE AREA|25010066|minoxidiL 2.5 mg tablet||68084020401|12.90||12.90
WS SERVICE AREA|25010066|minoxidiL 2.5 mg tablet||68084020411|12.90||12.90
WS SERVICE AREA|25010066|minoxidiL 2.5 mg tablet||00591564201|4.60||4.60
WS SERVICE AREA|25010066|minoxidiL 2.5 mg tablet||49884025601|5.95||5.95
WS SERVICE AREA|25010066|morphine 10 mg/5 mL oral solution||00054023763|323.43||323.43
WS SERVICE AREA|25010066|morphine 10 mg/5 mL oral solution||68094000162|12.40||12.40
WS SERVICE AREA|25010066|morphine 15 mg immediate release tablet||00054023524|6.92||6.92
WS SERVICE AREA|25010066|morphine 15 mg immediate release tablet||00054023525|4.60||4.60
WS SERVICE AREA|25010066|nadoloL 20 mg tablet||00378002801|25.83||25.83
WS SERVICE AREA|25010066|nadoloL 40 mg tablet||51079081301|27.49||27.49
WS SERVICE AREA|25010066|neomycin 500 mg tablet||50383056510|5.19||5.19
WS SERVICE AREA|25010066|niacin ER 250 mg capsule,extended release||00904062960|0.60||0.60
WS SERVICE AREA|25010066|niacin 500 mg tablet||00904227260|0.60||0.60
WS SERVICE AREA|25010066|NIFEdipine 10 mg capsule||00228249710|8.13||8.13
WS SERVICE AREA|25010066|NIFEdipine 10 mg capsule||69315021101|8.13||8.13
WS SERVICE AREA|25010066|nitroglycerin 0.4 mg sublingual tablet||68462063925|7.82||7.82
WS SERVICE AREA|25010066|nitroglycerin 0.4 mg sublingual tablet||00071041813|9.95||9.95
WS SERVICE AREA|25010066|nitroglycerin 2 % transdermal ointment||00281032608|20.97||20.97
WS SERVICE AREA|25010066|nortriptyline 10 mg capsule||51672400105|4.60||4.60
WS SERVICE AREA|25010066|nortriptyline 25 mg capsule||51672400205|4.60||4.60
WS SERVICE AREA|25010066|nortriptyline 25 mg capsule||51079080420|4.60||4.60
WS SERVICE AREA|25010066|nystatin 100,000 unit/gram topical cream||51672128901|133.56||133.56
WS SERVICE AREA|25010066|nystatin 100,000 unit/gram topical cream||51672128902|200.45||200.45
WS SERVICE AREA|25010066|nystatin 100,000 unit/gram topical ointment||00472016615|133.21||133.21
WS SERVICE AREA|25010066|nystatin 100,000 unit/mL oral suspension||00603148158|9.32||9.32
WS SERVICE AREA|25010066|nystatin 100,000 unit/mL oral suspension||66689003701|7.61||7.61
WS SERVICE AREA|25010066|nystatin 100,000 unit/mL oral suspension||66689003750|11.72||11.72
WS SERVICE AREA|25010066|nystatin 100,000 unit/mL oral suspension||50383058716|9.32||9.32
WS SERVICE AREA|25010066|nystatin 100,000 unit/mL oral suspension||00000005564|9.32||9.32
WS SERVICE AREA|25010066|nystatin 100,000 unit/mL oral suspension||00000005572|9.32||9.32
WS SERVICE AREA|25010066|nystatin 100,000 unit/mL oral suspension||60432053716|9.32||9.32
WS SERVICE AREA|25010066|nystatin 500,000 unit tablet||53489040001|9.99||9.99
WS SERVICE AREA|25010066|nystatin 500,000 unit tablet||00093098301|10.81||10.81
WS SERVICE AREA|25010066|nystatin-triamcinolone 100,000 unit/g-0.1 % topical cream||00168008115|851.90||851.90
WS SERVICE AREA|25010066|nystatin-triamcinolone 100,000 unit/g-0.1 % topical cream||51672126301|851.90||851.90
WS SERVICE AREA|25010066|nystatin-triamcinolone 100,000 unit/gram-0.1 % topical ointment||51672127201|851.90||851.90
WS SERVICE AREA|25010066|oxybutynin chloride 5 mg tablet||68084040011|4.60||4.60
WS SERVICE AREA|25010066|oxybutynin chloride 5 mg tablet||00603497521|4.60||4.60
WS SERVICE AREA|25010066|oxyCODONE-acetaminophen 5 mg-325 mg tablet||00406051262|10.42||10.42
WS SERVICE AREA|25010066|oxyCODONE-acetaminophen 5 mg-325 mg tablet||68084035511|10.54||10.54
WS SERVICE AREA|25010066|oxymetazoline 0.05 % nasal spray||00904571130|3.91||3.91
WS SERVICE AREA|25010066|oxymetazoline 0.05 % nasal spray||10939041433|0.60||0.60
WS SERVICE AREA|25010066|oxymetazoline 0.05 % nasal spray||00904676130|6.68||6.68
WS SERVICE AREA|25010066|oxymetazoline 0.05 % nasal spray||49348002827|17.64||17.64
WS SERVICE AREA|25010066|paregoric 2 mg/5 mL oral liquid||00000005646|27.70||27.70
WS SERVICE AREA|25010066|penicillin V potassium 250 mg/5 mL oral solution||00093412774|112.63||112.63
WS SERVICE AREA|25010066|penicillin V potassium 250 mg tablet||00781120501|5.23||5.23
WS SERVICE AREA|25010066|penicillin V potassium 500 mg tablet||16714023501|4.87||4.87
WS SERVICE AREA|25010066|penicillin V potassium 500 mg tablet||00781165501|4.60||4.60
WS SERVICE AREA|25010066|perphenazine 2 mg tablet||00781104613|14.95||14.95
WS SERVICE AREA|25010066|perphenazine 2 mg tablet||00591410101|13.29||13.29
WS SERVICE AREA|25010066|perphenazine 2 mg tablet||00378535001|13.29||13.29
WS SERVICE AREA|25010066|perphenazine 2 mg tablet||52536016201|13.29||13.29
WS SERVICE AREA|25010066|perphenazine 4 mg tablet||00781104713|10.22||10.22
WS SERVICE AREA|25010066|perphenazine 4 mg tablet||00591410201|9.09||9.09
WS SERVICE AREA|25010066|phenazopyridine 100 mg tablet||42192080101|20.55||20.55
WS SERVICE AREA|25010066|phenazopyridine 100 mg tablet||10135062001|12.10||12.10
WS SERVICE AREA|25010066|phenazopyridine 200 mg tablet||42192080201|15.22||15.22
WS SERVICE AREA|25010066|phenazopyridine 200 mg tablet||51293081101|15.22||15.22
WS SERVICE AREA|25010066|phenazopyridine 200 mg tablet||10135062101|11.09||11.09
WS SERVICE AREA|25010066|PHENobarbitaL 20 mg/5 mL (4 mg/mL) oral elixir||00000005239|4.95||4.95
WS SERVICE AREA|25010066|PHENobarbitaL 16.2 mg tablet||63739020010|4.60||4.60
WS SERVICE AREA|25010066|PHENobarbitaL 16.2 mg tablet||00603516521|4.60||4.60
WS SERVICE AREA|25010066|PHENobarbitaL 32.4 mg tablet||63739020110|4.60||4.60
WS SERVICE AREA|25010066|PHENobarbitaL 64.8 mg tablet||00603516721|4.60||4.60
WS SERVICE AREA|25010066|PHENobarbitaL 97.2 mg tablet||00603516821|4.60||4.60
WS SERVICE AREA|25010066|PHENobarbitaL 97.2 mg tablet||13517011301|4.60||4.60
WS SERVICE AREA|25010066|phenobarb-hyoscy-atropine-scop 16.2 mg-0.1037 mg-0.0194 mg/5 mL elixir||00000005240|27.81||27.81
WS SERVICE AREA|25010066|phenylephrine 0.25 % nasal spray||69536002515|0.60||0.60
WS SERVICE AREA|25010066|phenylephrine 0.25 % nasal spray||00024134803|18.84||18.84
WS SERVICE AREA|25010066|phenylephrine 0.25 % nasal spray||00225080047|13.29||13.29
WS SERVICE AREA|25010066|phenylephrine 0.5 % nasal spray||50323000603|13.29||13.29
WS SERVICE AREA|25010066|phenylephrine 0.5 % nasal spray||00024135301|27.28||27.28
WS SERVICE AREA|25010066|phenylephrine 0.5 % nasal spray||00225080547|13.29||13.29
WS SERVICE AREA|25010066|phenylephrine 1 % nasal drops||24385039010|15.12||15.12
WS SERVICE AREA|25010066|phenytoin 125 mg/5 mL oral suspension||00000005185|32.88||
WS SERVICE AREA|25010066|phenytoin 125 mg/5 mL oral suspension||60432013108|259.71||259.71
WS SERVICE AREA|25010066|phenytoin sodium extended 100 mg capsule||62756040201|4.60||4.60
WS SERVICE AREA|25010066|phenytoin sodium extended 100 mg capsule||68084037611|4.60||4.60
WS SERVICE AREA|25010066|pindoloL 5 mg tablet||00378005201|10.05||10.05
WS SERVICE AREA|25010066|pindoloL 5 mg tablet||57664065588|6.70||6.70
WS SERVICE AREA|25010066|potassium chloride 20 mEq oral packet||69543037901|77.64||77.64
WS SERVICE AREA|25010066|potassium chloride 20 mEq oral packet||42806009401|77.64||77.64
WS SERVICE AREA|25010066|potassium chloride 20 mEq oral packet||43386019490|81.73||81.73
WS SERVICE AREA|25010066|potassium chloride ER 10 mEq tablet,extended release||00378456105|4.60||4.60
WS SERVICE AREA|25010066|potassium chloride ER 10 mEq tablet,extended release||00574027505|4.60||4.60
WS SERVICE AREA|25010066|potassium chloride ER 10 mEq tablet,extended release||00245531689|4.95||4.95
WS SERVICE AREA|25010066|potassium iodide 1 gram/mL oral solution||71740011208|5.78||5.78
WS SERVICE AREA|25010066|potassium iodide 1 gram/mL oral solution||71740011230|29.96||29.96
WS SERVICE AREA|25010066|prazosin 1 mg capsule||70954001910|6.81||6.81
WS SERVICE AREA|25010066|prazosin 1 mg capsule||51079063001|13.79||13.79
WS SERVICE AREA|25010066|prazosin 5 mg capsule||51079063201|6.56||6.56
WS SERVICE AREA|25010066|predniSONE 1 mg tablet||00603533521|4.81||4.81
WS SERVICE AREA|25010066|predniSONE 1 mg tablet||00054873925|5.29||5.29
WS SERVICE AREA|25010066|predniSONE 20 mg tablet||59746017506|4.60||4.60
WS SERVICE AREA|25010066|predniSONE 20 mg tablet||00591544301|4.60||4.60
WS SERVICE AREA|25010066|predniSONE 20 mg tablet||00143973801|4.60||4.60
WS SERVICE AREA|25010066|predniSONE 5 mg tablet||59746017206|4.60||4.60
WS SERVICE AREA|25010066|predniSONE 5 mg tablet||63739051810|4.60||4.60
WS SERVICE AREA|25010066|predniSONE 5 mg tablet||00054872425|4.60||4.60
WS SERVICE AREA|25010066|primaquine 26.3 mg tablet||00024159601|13.52||13.52
WS SERVICE AREA|25010066|primidone 250 mg tablet||00603537221|4.60||4.60
WS SERVICE AREA|25010066|primidone 250 mg tablet||68084020311|4.60||4.60
WS SERVICE AREA|25010066|probenecid 500 mg tablet||00378015601|8.72||8.72
WS SERVICE AREA|25010066|prochlorperazine maleate 10 mg tablet||51079054201|4.60||4.60
WS SERVICE AREA|25010066|prochlorperazine maleate 10 mg tablet||59746011506|4.60||4.60
WS SERVICE AREA|25010066|ascorbic acid (vitamin C) 1,000 mg tablet||00904501360|4.60||4.60
WS SERVICE AREA|25010066|ascorbic acid (vitamin C) 1,000 mg tablet||74312000690|4.60||
WS SERVICE AREA|25010066|ascorbic acid (vitamin C) 1,000 mg tablet||74312006900|4.60||
WS SERVICE AREA|25010066|ascorbic acid (vitamin C) 1,000 mg tablet||80681016600|4.60||4.60
WS SERVICE AREA|25010066|ascorbic acid (vitamin C) 1,000 mg tablet||43292022327|4.60||4.60
WS SERVICE AREA|25010066|promethazine 6.25 mg/5 mL oral syrup||60432060805|4.60||4.60
WS SERVICE AREA|25010066|promethazine 12.5 mg tablet||68382004001|4.60||4.60
WS SERVICE AREA|25010066|promethazine 12.5 mg tablet|Q0169|68084015401|4.60||4.60
WS SERVICE AREA|25010066|promethazine 25 mg tablet||68084015511|4.60||4.60
WS SERVICE AREA|25010066|promethazine 50 mg rectal suppository||00713013212|68.04||68.04
WS SERVICE AREA|25010066|ascorbic acid (vitamin C) 250 mg tablet||87701040738|0.60||0.60
WS SERVICE AREA|25010066|ascorbic acid (vitamin C) 250 mg tablet||00904052260|0.60||0.60
WS SERVICE AREA|25010066|ascorbic acid (vitamin C) 250 mg tablet||50268086011|0.60||0.60
WS SERVICE AREA|25010066|ascorbic acid (vitamin C) 500 mg tablet||79854030035|0.60||0.60
WS SERVICE AREA|25010066|ascorbic acid (vitamin C) 500 mg tablet||00904052360|0.60||0.60
WS SERVICE AREA|25010066|ascorbic acid (vitamin C) 500 mg tablet||00904052361|0.60||0.60
WS SERVICE AREA|25010066|ascorbic acid (vitamin C) 500 mg tablet||00904052372|0.60||0.60
WS SERVICE AREA|25010066|ascorbic acid (vitamin C) 500 mg tablet||00904052380|0.60||0.60
WS SERVICE AREA|25010066|ascorbic acid (vitamin C) 500 mg tablet||54629007601|0.60||0.60
WS SERVICE AREA|25010066|propantheline 15 mg tablet||00054472125|11.42||11.42
WS SERVICE AREA|25010066|propranoloL 20 mg/5 mL (4 mg/mL) oral solution||00054372763|502.26||502.26
WS SERVICE AREA|25010066|propranoloL 10 mg tablet||23155011001|4.60||4.60
WS SERVICE AREA|25010066|propranoloL 10 mg tablet||00603548221|4.60||4.60
WS SERVICE AREA|25010066|propranoloL 20 mg tablet||23155011101|4.60||4.60
WS SERVICE AREA|25010066|propranoloL 20 mg tablet||00603548321|4.60||4.60
WS SERVICE AREA|25010066|propranoloL 20 mg tablet||00591555501|4.60||4.60
WS SERVICE AREA|25010066|propranoloL 40 mg tablet||00603548421|4.60||4.60
WS SERVICE AREA|25010066|propranoloL 40 mg tablet||00591555601|4.60||4.60
WS SERVICE AREA|25010066|propylthiouraciL 50 mg tablet||67253065110|6.85||6.85
WS SERVICE AREA|25010066|pseudoephedrine 30 mg tablet||45802043262|0.60||0.60
WS SERVICE AREA|25010066|pseudoephedrine 30 mg tablet||00904633860|0.60||0.60
WS SERVICE AREA|25010066|pseudoephedrine 30 mg tablet||00904505359|0.60||0.60
WS SERVICE AREA|25010066|pseudoephedrine 60 mg tablet||00904512559|0.60||0.60
WS SERVICE AREA|25010066|pyrazinamide 500 mg tablet||61748001211|49.43||49.43
WS SERVICE AREA|25010066|pyridoxine (vitamin B6) 100 mg tablet||00904051860|4.60||4.60
WS SERVICE AREA|25010066|pyridoxine (vitamin B6) 100 mg tablet||74312000650|4.60||4.60
WS SERVICE AREA|25010066|pyridoxine (vitamin B6) 50 mg tablet||79854020030|4.60||4.60
WS SERVICE AREA|25010066|pyridoxine (vitamin B6) 50 mg tablet||00904052060|4.60||4.60
WS SERVICE AREA|25010066|quiNIDine sulfate 200 mg tablet||00185434601|4.60||4.60
WS SERVICE AREA|25010066|aspirin 81 mg chewable tablet||63739043401|0.60||0.60
WS SERVICE AREA|25010066|aspirin 81 mg chewable tablet||00904404073|0.60||0.60
WS SERVICE AREA|25010066|aspirin 325 mg tablet||00536105301|0.60||0.60
WS SERVICE AREA|25010066|aspirin 325 mg tablet||66553000101|0.60||0.60
WS SERVICE AREA|25010066|aspirin 325 mg tablet,delayed release||00904201380|0.60||0.60
WS SERVICE AREA|25010066|aspirin 325 mg tablet,delayed release||57896092101|0.60||0.60
WS SERVICE AREA|25010066|aspirin 81 mg tablet,delayed release||49348098015|0.60||0.60
WS SERVICE AREA|25010066|aspirin 81 mg tablet,delayed release||49348098053|0.60||0.60
WS SERVICE AREA|25010066|aspirin 81 mg tablet,delayed release||63739052210|0.60||0.60
WS SERVICE AREA|25010066|aspirin 81 mg tablet,delayed release||00904678370|0.60||0.60
WS SERVICE AREA|25010066|aspirin 81 mg tablet,delayed release||63739021210|0.60||0.60
WS SERVICE AREA|25010066|aspirin 81 mg tablet,delayed release||49348028423|0.60||0.60
WS SERVICE AREA|25010066|aspirin 300 mg rectal suppository||00574703412|2.45||2.45
WS SERVICE AREA|25010066|aspirin 600 mg rectal suppository||00574703612|1.27||1.27
WS SERVICE AREA|25010066|potassium, sodium phosphates 280 mg-160 mg-250 mg oral powder packet||60258000601|4.60||4.60
WS SERVICE AREA|25010066|ARIPiprazole 2 mg tablet||59148000613|226.26||226.26
WS SERVICE AREA|25010066|ARIPiprazole 2 mg tablet||16714078301|241.47||241.47
WS SERVICE AREA|25010066|QUEtiapine 50 mg tablet||68084053111|23.60||23.60
WS SERVICE AREA|25010066|QUEtiapine 50 mg tablet||16714045301|24.82||24.82
WS SERVICE AREA|25010066|QUEtiapine 50 mg tablet||50268063111|23.55||23.55
WS SERVICE AREA|25010066|QUEtiapine 50 mg tablet||00904663961|4.60||4.60
WS SERVICE AREA|25010066|QUEtiapine 400 mg tablet||68084053511|35.82||35.82
WS SERVICE AREA|25010066|capsaicin 0.1 % topical cream||41167075142|66.30||66.30
WS SERVICE AREA|25010066|ranolazine ER 500 mg tablet,extended release,12 hr||61958100301|49.76||49.76
WS SERVICE AREA|25010066|lubiprostone 24 mcg capsule||64764024060|15.69||15.69
WS SERVICE AREA|25010066|Saccharomyces boulardii 250 mg oral powder packet||04142000040|8.75||8.75
WS SERVICE AREA|25010066|fluticasone propionate 50 mcg/actuation nasal spray,suspension||10939076444|75.19||75.19
WS SERVICE AREA|25010066|fluticasone propionate 50 mcg/actuation nasal spray,suspension||49348018243|75.19||75.19
WS SERVICE AREA|25010066|insulin lispro protamine-lispro 100 unit/mL (75-25) subcutaneous susp||00002751101|18.70||18.70
WS SERVICE AREA|25010066|atenoloL 100 mg tablet||00781150701|4.60||4.60
WS SERVICE AREA|25010066|atenoloL 100 mg tablet||51079068501|4.60||4.60
WS SERVICE AREA|25010066|atenoloL 25 mg tablet||00781107801|4.60||4.60
WS SERVICE AREA|25010066|atenoloL 25 mg tablet||51079075901|4.60||4.60
WS SERVICE AREA|25010066|atenoloL 25 mg tablet||51079075920|4.60||4.60
WS SERVICE AREA|25010066|atenoloL 50 mg tablet||52427043090|24.20||24.20
WS SERVICE AREA|25010066|simethicone 125 mg chewable tablet||00067011748|0.60||0.60
WS SERVICE AREA|25010066|simethicone 125 mg chewable tablet||00603021120|0.60||0.60
WS SERVICE AREA|25010066|simethicone 125 mg chewable tablet||69618003206|0.60||0.60
WS SERVICE AREA|25010066|simethicone 125 mg chewable tablet||00043011748|0.60||0.60
WS SERVICE AREA|25010066|simethicone 80 mg chewable tablet||63739022510|0.60||0.60
WS SERVICE AREA|25010066|simethicone 80 mg chewable tablet||00904506860|0.60||0.60
WS SERVICE AREA|25010066|simethicone 40 mg/0.6 mL oral drops,suspension||00904589430|7.81||7.81
WS SERVICE AREA|25010066|simethicone 40 mg/0.6 mL oral drops,suspension||00536222075|0.60||0.60
WS SERVICE AREA|25010066|simethicone 40 mg/0.6 mL oral drops,suspension||56184012045|0.60||0.60
WS SERVICE AREA|25010066|simethicone 40 mg/0.6 mL oral drops,suspension||56184012041|0.60||0.60
WS SERVICE AREA|25010066|simple syrup||00395266116|122.38||122.38
WS SERVICE AREA|25010066|sodium bicarbonate 650 mg tablet||66553000801|0.60||0.60
WS SERVICE AREA|25010066|sodium chloride 1 gram tablet||00223176001|4.60||4.60
WS SERVICE AREA|25010066|sodium chloride 1 gram tablet||00223176002|4.60||4.60
WS SERVICE AREA|25010066|sodium chloride 1 gram tablet||69367022001|4.60||4.60
WS SERVICE AREA|25010066|sorbitoL 70 % solution||46287050030|20.55||20.55
WS SERVICE AREA|25010066|spironolactone 25 mg tablet||68084020611|4.60||4.60
WS SERVICE AREA|25010066|spironolactone 25 mg tablet||00378214601|4.60||4.60
WS SERVICE AREA|25010066|spironolactone 25 mg tablet||59746021601|4.60||4.60
WS SERVICE AREA|25010066|spironolactone 25 mg tablet||59746021605|4.60||4.60
WS SERVICE AREA|25010066|spironolactone 25 mg tablet||53489014301|4.60||4.60
WS SERVICE AREA|25010066|spironolactone 25 mg tablet||53489014310|4.60||4.60
WS SERVICE AREA|25010066|sulfADIAZINE 500 mg tablet||00185075701|38.41||38.41
WS SERVICE AREA|25010066|sulfamethoxazole 800 mg-trimethoprim 160 mg tablet||68084023011|4.60||4.60
WS SERVICE AREA|25010066|sulfamethoxazole 400 mg-trimethoprim 80 mg tablet||53746027101|5.91||5.91
WS SERVICE AREA|25010066|sulfamethoxazole 400 mg-trimethoprim 80 mg tablet||65862041901|5.06||5.06
WS SERVICE AREA|25010066|sulfaSALAzine 500 mg tablet||50268073011|4.60||4.60
WS SERVICE AREA|25010066|sulfaSALAzine 500 mg tablet||59762500001|4.60||4.60
WS SERVICE AREA|25010066|sulfaSALAzine 500 mg tablet,delayed release||59762010406|4.60||4.60
WS SERVICE AREA|25010066|sulfaSALAzine 500 mg tablet,delayed release||59762010401|4.60||4.60
WS SERVICE AREA|25010066|loratadine 5 mg/5 mL oral solution||49348063634|1.58||1.58
WS SERVICE AREA|25010066|loratadine 5 mg/5 mL oral solution||54838055840|1.49||1.49
WS SERVICE AREA|25010066|loratadine 5 mg/5 mL oral solution||00000005153|1.49||1.49
WS SERVICE AREA|25010066|rasagiline 1 mg tablet||68546022956|105.60||105.60
WS SERVICE AREA|25010066|rasagiline 1 mg tablet||16714077101|95.08||95.08
WS SERVICE AREA|25010066|cholecalciferol (vitamin D3) 25 mcg (1,000 unit) tablet||00904582460|0.60||0.60
WS SERVICE AREA|25010066|cholecalciferol (vitamin D3) 25 mcg (1,000 unit) tablet||54629005024|0.60||0.60
WS SERVICE AREA|25010066|cholecalciferol (vitamin D3) 25 mcg (1,000 unit) tablet||00536333401|0.60||0.60
WS SERVICE AREA|25010066|cholecalciferol (vitamin D3) 25 mcg (1,000 unit) tablet||00904582461|0.60||0.60
WS SERVICE AREA|25010066|cholecalciferol (vitamin D3) 25 mcg (1,000 unit) tablet||79854005024|0.60||0.60
WS SERVICE AREA|25010066|cholecalciferol (vitamin D3) 25 mcg (1,000 unit) tablet||00904582493|0.60||0.60
WS SERVICE AREA|25010066|cholecalciferol (vitamin D3) 25 mcg (1,000 unit) tablet||20555003300|0.60||0.60
WS SERVICE AREA|25010066|glycerin (child) rectal suppository||00132008112|0.60||0.60
WS SERVICE AREA|25010066|tamoxifen 10 mg tablet||63739026910|18.02||18.02
WS SERVICE AREA|25010066|tamoxifen 10 mg tablet||00378014491|14.41||14.41
WS SERVICE AREA|25010066|posaconazole 200 mg/5 mL (40 mg/mL) oral suspension||00085132801|521.67||521.67
WS SERVICE AREA|25010066|temazepam 15 mg capsule||63739023110|6.59||6.59
WS SERVICE AREA|25010066|temazepam 15 mg capsule||67877014601|6.20||6.20
WS SERVICE AREA|25010066|temazepam 30 mg capsule||51079041901|6.34||6.34
WS SERVICE AREA|25010066|SITagliptin 25 mg tablet||00006022131|120.09||120.09
WS SERVICE AREA|25010066|SITagliptin 50 mg tablet||00006011231|60.04||60.04
WS SERVICE AREA|25010066|SITagliptin 100 mg tablet||00006027701|30.02||30.02
WS SERVICE AREA|25010066|metoclopramide 5 mg/5 mL oral solution||66689003101|51.37||51.37
WS SERVICE AREA|25010066|phenylephrine 0.25 %-pramoxine 1 %-glycerin-wh.petrolatum rectal cream||00573286810|41.17||41.17
WS SERVICE AREA|25010066|tetracycline 250 mg capsule||23155001701|59.93||59.93
WS SERVICE AREA|25010066|tetrahydrozoline 0.05 % eye drops||24385007505|30.36||30.36
WS SERVICE AREA|25010066|tetrahydrozoline 0.05 % eye drops||74300000803|4.60||4.60
WS SERVICE AREA|25010066|codeine 10 mg-guaifenesin 100 mg/5 mL oral liquid||00121177505|4.95||4.95
WS SERVICE AREA|25010066|codeine 10 mg-guaifenesin 100 mg/5 mL oral liquid||50383008707|5.37||5.37
WS SERVICE AREA|25010066|paliperidone ER 3 mg tablet,extended release 24 hr||50458055010|304.95||304.95
WS SERVICE AREA|25010066|paliperidone ER 6 mg tablet,extended release 24 hr||50458055110|152.47||152.47
WS SERVICE AREA|25010066|paliperidone ER 6 mg tablet,extended release 24 hr||10147095303|96.80||96.80
WS SERVICE AREA|25010066|paliperidone ER 6 mg tablet,extended release 24 hr||00378398093|116.29||116.29
WS SERVICE AREA|25010066|paliperidone ER 9 mg tablet,extended release 24 hr||00904693761|51.94||51.94
WS SERVICE AREA|25010066|theophylline 80 mg/15 mL oral elixir||00000005154|176.25||
WS SERVICE AREA|25010066|mesalamine 1.2 gram tablet,delayed release||54092047612|71.24||71.24
WS SERVICE AREA|25010066|mesalamine 1.2 gram tablet,delayed release||16714083001|77.15||77.15
WS SERVICE AREA|25010066|therapeutic multivitamin tablet||00904053961|4.60||4.60
WS SERVICE AREA|25010066|esomeprazole magnesium DR 40 mg granules delayed release for susp||00186404001|72.87||72.87
WS SERVICE AREA|25010066|esomeprazole magnesium DR 40 mg granules delayed release for susp||69097052934|74.24||74.24
WS SERVICE AREA|25010066|calamine 8 %-zinc oxide 8 % lotion||87701040092|14.87||14.87
WS SERVICE AREA|25010066|calamine 8 %-zinc oxide 8 % lotion||24385041396|14.87||14.87
WS SERVICE AREA|25010066|thioridazine 10 mg tablet||51079056501|4.60||4.60
WS SERVICE AREA|25010066|thioridazine 25 mg tablet||51079056601|4.60||4.60
WS SERVICE AREA|25010066|thiothixene 1 mg capsule||00378100101|9.04||9.04
WS SERVICE AREA|25010066|coenzyme Q10  400 mg capsule||03076813338|2.99||2.99
WS SERVICE AREA|25010066|thiothixene 5 mg capsule||00378300501|4.60||4.60
WS SERVICE AREA|25010066|thiothixene 5 mg capsule||51079058801|5.51||5.51
WS SERVICE AREA|25010066|timoloL 10 mg tablet||00378022101|6.48||6.48
WS SERVICE AREA|25010066|tolnaftate 1 % topical cream||51672202002|66.21||66.21
WS SERVICE AREA|25010066|tolnaftate 1 % topical powder||00536515026|16.44||16.44
WS SERVICE AREA|25010066|B-complex with vitamin C tablet||10939050744|0.60||0.60
WS SERVICE AREA|25010066|B-complex with vitamin C tablet||00904225360|0.60||0.60
WS SERVICE AREA|25010066|B-complex with vitamin C tablet||80681015400|0.60||0.60
WS SERVICE AREA|25010066|traZODone 50 mg tablet||60505265300|4.60||4.60
WS SERVICE AREA|25010066|traZODone 50 mg tablet||00904655461|4.60||4.60
WS SERVICE AREA|25010066|traZODone 50 mg tablet||00904686861|4.60||4.60
WS SERVICE AREA|25010066|traZODone 50 mg tablet||50111056001|8.17||8.17
WS SERVICE AREA|25010066|traZODone 50 mg tablet||50111043301|8.17||8.17
WS SERVICE AREA|25010066|triamcinolone acetonide 0.025 % topical cream||45802006335|33.90||33.90
WS SERVICE AREA|25010066|triamcinolone acetonide 0.1 % topical cream||45802006405|176.20||176.20
WS SERVICE AREA|25010066|triamcinolone acetonide 0.1 % topical cream||67877025145|238.39||238.39
WS SERVICE AREA|25010066|triamcinolone acetonide 0.1 % topical cream||45802006435|29.56||29.56
WS SERVICE AREA|25010066|triamcinolone acetonide 0.5 % topical cream||45802006535|76.94||76.94
WS SERVICE AREA|25010066|triamcinolone acetonide 0.1 % lotion||60432056160|322.82||322.82
WS SERVICE AREA|25010066|triamcinolone acetonide 0.025 % topical ointment||45802005435|46.57||46.57
WS SERVICE AREA|25010066|triamcinolone acetonide 0.1 % topical ointment||45802005505|314.40||314.40
WS SERVICE AREA|25010066|triamcinolone acetonide 0.1 % topical ointment||45802005535|42.35||42.35
WS SERVICE AREA|25010066|triamcinolone acetonide 0.1 % topical ointment||45802005536|96.80||96.80
WS SERVICE AREA|25010066|triamcinolone acetonide 0.1 % dental paste||00713065540|631.86||631.86
WS SERVICE AREA|25010066|triamterene 75 mg-hydrochlorothiazide 50 mg tablet||51079043301|6.96||6.96
WS SERVICE AREA|25010066|divalproex ER 500 mg tablet,extended release 24 hr||00074712611|22.41||22.41
WS SERVICE AREA|25010066|budesonide-formoteroL HFA 80 mcg-4.5 mcg/actuation aerosol inhaler||00186037228|1,637.97||1,637.97
WS SERVICE AREA|25010066|trifluoperazine 2 mg tablet||00378240201|9.81||9.81
WS SERVICE AREA|25010066|trifluoperazine 2 mg tablet||51079057301|15.22||15.22
WS SERVICE AREA|25010066|trifluoperazine 5 mg tablet||00781803401|4.94||4.94
WS SERVICE AREA|25010066|trifluoperazine 5 mg tablet||51079057401|7.75||7.75
WS SERVICE AREA|25010066|trihexyphenidyL 2 mg tablet||00591533501|4.60||4.60
WS SERVICE AREA|25010066|trihexyphenidyL 5 mg tablet||16571016110|4.60||4.60
WS SERVICE AREA|25010066|trihexyphenidyL 5 mg tablet||00591533701|4.60||4.60
WS SERVICE AREA|25010066|trimethoprim 100 mg tablet||43386033001|5.21||5.21
WS SERVICE AREA|25010066|trimethoprim 100 mg tablet||00591557101|5.21||5.21
WS SERVICE AREA|25010066|colloidal oatmeal topical packet||81370003640|4.60||4.60
WS SERVICE AREA|25010066|glycerin 99.5 % topical solution||00395103185|4.60||4.60
WS SERVICE AREA|25010066|QUEtiapine ER 200 mg tablet,extended release 24 hr||00310028239|123.51||123.51
WS SERVICE AREA|25010066|QUEtiapine ER 200 mg tablet,extended release 24 hr||00310028260|123.51||123.51
WS SERVICE AREA|25010066|QUEtiapine ER 300 mg tablet,extended release 24 hr||00310028360|107.96||107.96
WS SERVICE AREA|25010066|QUEtiapine ER 300 mg tablet,extended release 24 hr||16729009612|116.59||116.59
WS SERVICE AREA|25010066|QUEtiapine ER 300 mg tablet,extended release 24 hr||00904680461|5.56||5.56
WS SERVICE AREA|25010066|QUEtiapine ER 400 mg tablet,extended release 24 hr||00904680561|8.39||8.39
WS SERVICE AREA|25010066|rotigotine 2 mg/24 hour transdermal 24 hour patch||50474080203|178.94||178.94
WS SERVICE AREA|25010066|rotigotine 4 mg/24 hour transdermal 24 hour patch||50474080403|178.94||178.94
WS SERVICE AREA|25010066|ambrisentan 5 mg tablet||61958080105|2,580.82||2,580.82
WS SERVICE AREA|25010066|ambrisentan 10 mg tablet||61958080205|1,290.41||1,290.41
WS SERVICE AREA|25010066|rivastigmine 4.6 mg/24 hour transdermal patch||00078050115|174.02||174.02
WS SERVICE AREA|25010066|rivastigmine 9.5 mg/24 hour transdermal patch||00078050261|173.96||173.96
WS SERVICE AREA|25010066|rivastigmine 9.5 mg/24 hour transdermal patch||00781730931|128.59||128.59
WS SERVICE AREA|25010066|rivastigmine 9.5 mg/24 hour transdermal patch||00781730958|128.59||128.59
WS SERVICE AREA|25010066|rivastigmine 9.5 mg/24 hour transdermal patch||00378907116|128.59||128.59
WS SERVICE AREA|25010066|neomycin-bacitracin-poly-HC 3.5 mg-400-10,000 unit/g-1 % eye ointment||24208078555|495.04||495.04
WS SERVICE AREA|25010066|bacitracin 500 unit/gram topical ointment||66267098915|27.15||27.15
WS SERVICE AREA|25010066|verapamiL 120 mg tablet||00904292461|4.60||4.60
WS SERVICE AREA|25010066|verapamiL 120 mg tablet||23155048601|4.60||4.60
WS SERVICE AREA|25010066|verapamiL 80 mg tablet||23155002601|4.60||4.60
WS SERVICE AREA|25010066|verapamiL 80 mg tablet||00904292061|4.60||4.60
WS SERVICE AREA|25010066|verapamiL ER (SR) 240 mg tablet,extended release||68462026005|5.86||5.86
WS SERVICE AREA|25010066|verapamiL ER (SR) 240 mg tablet,extended release||51079086901|9.65||9.65
WS SERVICE AREA|25010066|bacitracin-polymyxin B 500 unit-10,000 unit/gram eye ointment||17478023835|107.94||107.94
WS SERVICE AREA|25010066|baclofen 10 mg tablet||63739000710|4.60||4.60
WS SERVICE AREA|25010066|vitamin A 10,000 unit capsule||00904208560|0.60||0.60
WS SERVICE AREA|25010066|vitamin E 100 unit capsule||79854090005|0.60||0.60
WS SERVICE AREA|25010066|vitamin E 400 unit capsule||79854090020|0.60||0.60
WS SERVICE AREA|25010066|vitamin E 400 unit capsule||57896075201|0.60||0.60
WS SERVICE AREA|25010066|vitamin E 400 unit capsule||49348031810|0.60||0.60
WS SERVICE AREA|25010066|phytonadione (vitamin K1) 100 mcg tablet||11845007791|4.60||4.60
WS SERVICE AREA|25010066|warfarin 10 mg tablet||00056017401|12.17||12.17
WS SERVICE AREA|25010066|warfarin 2 mg tablet||00056017001|16.37||16.37
WS SERVICE AREA|25010066|warfarin 2.5 mg tablet||68084002711|4.83||4.83
WS SERVICE AREA|25010066|warfarin 2.5 mg tablet||00056017601|16.89||16.89
WS SERVICE AREA|25010066|warfarin 5 mg tablet||00056017201|8.80||8.80
WS SERVICE AREA|25010066|warfarin 7.5 mg tablet||00056017301|23.47||23.47
WS SERVICE AREA|25010066|brimonidine 0.2 %-timoloL 0.5 % eye drops||00023921105|14.09||14.09
WS SERVICE AREA|25010066|diazePAM 2.5 mg rectal kit||68682065020|1,946.26||1,946.26
WS SERVICE AREA|25010066|diazePAM 2.5 mg rectal kit||66490065020|2,250.12||2,250.12
WS SERVICE AREA|25010066|diazePAM 5 mg-7.5 mg-10 mg rectal kit||00187065820|667.30||667.30
WS SERVICE AREA|25010066|diazePAM 5 mg-7.5 mg-10 mg rectal kit||68682065220|577.18||577.18
WS SERVICE AREA|25010066|maraviroc 300 mg tablet||49702022418|98.69||98.69
WS SERVICE AREA|25010066|chlorhexidine gluconate 2 % towelette||53462070523|66.83||66.83
WS SERVICE AREA|25010066|carbidopa 50 mg-levodopa 200 mg-entacapone 200 mg tablet||00078052705|58.19||58.19
WS SERVICE AREA|25010066|carbidopa 50 mg-levodopa 200 mg-entacapone 200 mg tablet||00378830501|28.55||28.55
WS SERVICE AREA|25010066|carbidopa 50 mg-levodopa 200 mg-entacapone 200 mg tablet||64679078704|28.55||28.55
WS SERVICE AREA|25010066|raltegravir 400 mg tablet||00006022761|209.67||209.67
WS SERVICE AREA|25010066|oseltamivir 30 mg capsule||00004080285|106.04||106.04
WS SERVICE AREA|25010066|oseltamivir 30 mg capsule||31722063031|107.91||107.91
WS SERVICE AREA|25010066|zinc oxide 20 % topical ointment||00168006202|16.67||16.67
WS SERVICE AREA|25010066|zinc oxide 20 % topical ointment||00536570098|30.51||30.51
WS SERVICE AREA|25010066|zinc oxide 20 % topical ointment||75834017002|38.10||38.10
WS SERVICE AREA|25010066|zinc sulfate 220 mg (50 mg) capsule||37864099101|0.60||0.60
WS SERVICE AREA|25010066|zinc sulfate 220 mg (50 mg) capsule||00904533260|0.60||0.60
WS SERVICE AREA|25010066|zinc sulfate 220 mg (50 mg) capsule||80681013500|0.60||0.60
WS SERVICE AREA|25010066|zinc sulfate 220 mg tablet||57896086501|0.60||0.60
WS SERVICE AREA|25010066|zinc sulfate 220 mg tablet||10006073027|0.60||0.60
WS SERVICE AREA|25010066|cholecalciferol (vitamin D3) 1,250 mcg (50,000 unit) capsule||75834002001|0.63||0.63
WS SERVICE AREA|25010066|cholecalciferol (vitamin D3) 1,250 mcg (50,000 unit) capsule||80681017400|0.69||0.69
WS SERVICE AREA|25010066|sevelamer carbonate 800 mg tablet||58468013001|45.27||45.27
WS SERVICE AREA|25010066|sevelamer carbonate 800 mg tablet||65862092127|46.38||46.38
WS SERVICE AREA|25010066|sevelamer carbonate 800 mg tablet||55111078927|46.38||46.38
WS SERVICE AREA|25010066|sevelamer carbonate 800 mg tablet||65162005827|46.38||46.38
WS SERVICE AREA|25010066|sevelamer carbonate 800 mg tablet||16714081401|34.88||34.88
WS SERVICE AREA|25010066|butalbital-aspirin-caffeine 50 mg-325 mg-40 mg capsule||00591321901|12.94||12.94
WS SERVICE AREA|25010066|nebivoloL 5 mg tablet||00456140511|11.98||
WS SERVICE AREA|25010066|nebivoloL 2.5 mg tablet||00456140230|38.15||38.15
WS SERVICE AREA|25010066|nebivoloL 10 mg tablet||00456141030|9.54||9.54
WS SERVICE AREA|25010066|nebivoloL 10 mg tablet||00456141090|9.54||9.54
WS SERVICE AREA|25010066|acebutoloL 200 mg capsule||65162066910|8.94||8.94
WS SERVICE AREA|25010066|acetaminophen 80 mg rectal suppository||51672211402|5.05||5.05
WS SERVICE AREA|25010066|butalbital-acetaminophen-caffeine 50 mg-325 mg-40 mg tablet||68084039611|14.85||14.85
WS SERVICE AREA|25010066|butalbital-acetaminophen-caffeine 50 mg-325 mg-40 mg tablet||68084039665|14.85||14.85
WS SERVICE AREA|25010066|butalbital-acetaminophen-caffeine 50 mg-325 mg-40 mg tablet||10702025301|12.85||12.85
WS SERVICE AREA|25010066|acetaZOLAMIDE ER 500 mg capsule,extended release||68382026101|32.64||32.64
WS SERVICE AREA|25010066|acetaZOLAMIDE ER 500 mg capsule,extended release||29033003001|32.68||32.68
WS SERVICE AREA|25010066|acyclovir 5 % topical ointment||00378870006|3,034.91||3,034.91
WS SERVICE AREA|25010066|acyclovir 5 % topical ointment||16714066801|2,921.78||2,921.78
WS SERVICE AREA|25010066|acyclovir 200 mg capsule||23155014601|7.40||7.40
WS SERVICE AREA|25010066|acyclovir 200 mg capsule||68084010701|9.97||9.97
WS SERVICE AREA|25010066|acyclovir 200 mg capsule||69076014601|7.40||7.40
WS SERVICE AREA|25010066|acyclovir 200 mg capsule||00093894001|7.40||7.40
WS SERVICE AREA|25010066|acyclovir 200 mg/5 mL oral suspension||50383081016|35.81||35.81
WS SERVICE AREA|25010066|acyclovir 800 mg tablet||68084010901|17.31||17.31
WS SERVICE AREA|25010066|acyclovir 800 mg tablet||00093894701|13.95||13.95
WS SERVICE AREA|25010066|acyclovir 800 mg tablet||00093894705|13.33||13.33
WS SERVICE AREA|25010066|aluminum-mag hydroxide-simethicone 400 mg-400 mg-40 mg/5 mL oral susp||00121176230|15.88||15.88
WS SERVICE AREA|25010066|aluminum-mag hydroxide-simethicone 400 mg-400 mg-40 mg/5 mL oral susp||00536001583|0.60||0.60
WS SERVICE AREA|25010066|aluminum-mag hydroxide-simethicone 400 mg-400 mg-40 mg/5 mL oral susp||49348030239|0.60||0.60
WS SERVICE AREA|25010066|aluminum-mag hydroxide-simethicone 400 mg-400 mg-40 mg/5 mL oral susp||00904000514|0.60||0.60
WS SERVICE AREA|25010066|aluminum-mag hydroxide-simethicone 400 mg-400 mg-40 mg/5 mL oral susp||19903001028|0.97||0.97
WS SERVICE AREA|25010066|aminocaproic acid 250 mg/mL (25 %) oral solution||49411005208|25,524.27||25,524.27
WS SERVICE AREA|25010066|aminocaproic acid 500 mg tablet||49411005030|371.84||371.84
WS SERVICE AREA|25010066|amiodarone 200 mg tablet||00245014790|27.68||27.68
WS SERVICE AREA|25010066|amiodarone 200 mg tablet||68084037111|4.60||4.60
WS SERVICE AREA|25010066|amLODIPine 10 mg tablet||59762154001|4.60||4.60
WS SERVICE AREA|25010066|amLODIPine 10 mg tablet||67877019990|4.60||4.60
WS SERVICE AREA|25010066|amLODIPine 10 mg tablet||69097012805|4.60||4.60
WS SERVICE AREA|25010066|amLODIPine 2.5 mg tablet||59762152001|13.17||13.17
WS SERVICE AREA|25010066|amLODIPine 2.5 mg tablet||50268008315|6.49||6.49
WS SERVICE AREA|25010066|amLODIPine 5 mg tablet||67877019890|6.81||6.81
WS SERVICE AREA|25010066|amLODIPine 5 mg tablet||59762153006|6.58||6.58
WS SERVICE AREA|25010066|amLODIPine 5 mg tablet||50268008415|13.23||13.23
WS SERVICE AREA|25010066|amLODIPine 5 mg tablet||50268008411|13.23||13.23
WS SERVICE AREA|25010066|amoxicillin 250 mg-potassium clavulanate 62.5 mg/5 mL oral suspension||60432006500|657.50||657.50
WS SERVICE AREA|25010066|amoxicillin 250 mg-potassium clavulanate 62.5 mg/5 mL oral suspension||43598000451|4,654.47||4,654.47
WS SERVICE AREA|25010066|zileuton 600 mg tablet||10122090112|286.06||286.06
WS SERVICE AREA|25010066|desvenlafaxine succinate ER 50 mg tablet,extended release 24 hr||00008121101|104.71||104.71
WS SERVICE AREA|25010066|desvenlafaxine succinate ER 50 mg tablet,extended release 24 hr||00054040013|90.95||90.95
WS SERVICE AREA|25010066|desvenlafaxine succinate ER 100 mg tablet,extended release 24 hr||00008122201|52.36||52.36
WS SERVICE AREA|25010066|desvenlafaxine succinate ER 100 mg tablet,extended release 24 hr||59762122203|43.65||43.65
WS SERVICE AREA|25010066|apraclonidine 0.5 % eye drops||17478071610|689.01||689.01
WS SERVICE AREA|25010066|lubiprostone 8 mcg capsule||64764008060|47.07||47.07
WS SERVICE AREA|25010066|alvimopan 12 mg capsule||67919002010|1,317.90||1,317.90
WS SERVICE AREA|25010066|darunavir ethanolate 600 mg tablet||59676056201|223.95||223.95
WS SERVICE AREA|25010066|bromocriptine 2.5 mg tablet||00574010601|28.58||28.58
WS SERVICE AREA|25010066|bromocriptine 2.5 mg tablet||00574010603|31.48||31.48
WS SERVICE AREA|25010066|bromocriptine 2.5 mg tablet||63304096230|31.48||31.48
WS SERVICE AREA|25010066|cholecalciferol (vitamin D3) 50 mcg (2,000 unit) capsule||10939052444|0.60||0.60
WS SERVICE AREA|25010066|bumetanide 1 mg tablet||42799012001|10.16||10.16
WS SERVICE AREA|25010066|bumetanide 1 mg tablet||16714083201|8.12||8.12
WS SERVICE AREA|25010066|buPROPion HCL 75 mg tablet||60505015801|4.60||4.60
WS SERVICE AREA|25010066|buPROPion HCL 75 mg tablet||00781105301|4.60||4.60
WS SERVICE AREA|25010066|buPROPion HCL 75 mg tablet||00904663561|6.13||6.13
WS SERVICE AREA|25010066|buPROPion HCL 75 mg tablet||51079094301|7.85||7.85
WS SERVICE AREA|25010066|busPIRone 10 mg tablet||51079098601|5.12||5.12
WS SERVICE AREA|25010066|busPIRone 10 mg tablet||68382018105|4.97||4.97
WS SERVICE AREA|25010066|busPIRone 10 mg tablet||00093005401|5.12||5.12
WS SERVICE AREA|25010066|busPIRone 5 mg tablet||51079098501|5.87||5.87
WS SERVICE AREA|25010066|busPIRone 5 mg tablet||68382018001|5.87||5.87
WS SERVICE AREA|25010066|busPIRone 5 mg tablet||16729020016|5.69||5.69
WS SERVICE AREA|25010066|busPIRone 5 mg tablet||00093005301|5.87||5.87
WS SERVICE AREA|25010066|calcitrioL 0.25 mcg capsule||63304023901|11.91||11.91
WS SERVICE AREA|25010066|calcitrioL 0.25 mcg capsule||00093735201|9.21||9.21
WS SERVICE AREA|25010066|calcitrioL 0.25 mcg capsule||60687034511|5.84||5.84
WS SERVICE AREA|25010066|calcium carbonate 200 mg calcium (500 mg) chewable tablet||00904641292|0.60||0.60
WS SERVICE AREA|25010066|calcium carbonate 200 mg calcium (500 mg) chewable tablet||66553000401|0.60||0.60
WS SERVICE AREA|25010066|captopriL 12.5 mg tablet||00781805201|4.82||4.82
WS SERVICE AREA|25010066|captopriL 12.5 mg tablet||51079086301|6.53||6.53
WS SERVICE AREA|25010066|captopriL 25 mg tablet||00378301201|4.60||4.60
WS SERVICE AREA|25010066|captopriL 50 mg tablet||00781807501|4.60||4.60
WS SERVICE AREA|25010066|carbidopa 10 mg-levodopa 100 mg tablet||00228253810|4.60||4.60
WS SERVICE AREA|25010066|carbidopa 25 mg-levodopa 100 mg tablet||00228253910|4.60||4.60
WS SERVICE AREA|25010066|carbidopa 25 mg-levodopa 100 mg tablet||68084009311|4.60||4.60
WS SERVICE AREA|25010066|carbidopa 25 mg-levodopa 250 mg tablet||68084009411|7.21||7.21
WS SERVICE AREA|25010066|carbidopa ER 50 mg-levodopa 200 mg tablet,extended release||68084028211|12.04||12.04
WS SERVICE AREA|25010066|carbidopa ER 50 mg-levodopa 200 mg tablet,extended release||16729007901|13.74||13.74
WS SERVICE AREA|25010066|carbidopa 18.75 mg-levodopa 75 mg-entacapone 200 mg tablet||47335000288|23.52||23.52
WS SERVICE AREA|25010066|carbidopa 31.25 mg-levodopa 125 mg-entacapone 200 mg tablet||64679078504|28.55||28.55
WS SERVICE AREA|25010066|cefaclor 250 mg capsule||00143998501|12.57||12.57
WS SERVICE AREA|25010066|cefaclor 250 mg capsule||61442017130|19.68||19.68
WS SERVICE AREA|25010066|cefadroxil 500 mg capsule||68180018008|28.31||28.31
WS SERVICE AREA|25010066|cefadroxil 250 mg/5 mL oral suspension||68180018102|462.69||462.69
WS SERVICE AREA|25010066|tetrabenazine 12.5 mg tablet||31722082111|599.74||599.74
WS SERVICE AREA|25010066|tetrabenazine 12.5 mg tablet||43598039467|575.23||575.23
WS SERVICE AREA|25010066|cefuroxime axetil 250 mg tablet||68180030260|33.48||33.48
WS SERVICE AREA|25010066|cefuroxime axetil 250 mg tablet||65862069920|33.48||33.48
WS SERVICE AREA|25010066|cefuroxime axetil 250 mg tablet||16714040001|38.54||38.54
WS SERVICE AREA|25010066|cefuroxime axetil 500 mg tablet||68180030360|30.50||30.50
WS SERVICE AREA|25010066|cefuroxime axetil 500 mg tablet||16714040101|34.02||34.02
WS SERVICE AREA|25010066|cephalexin 250 mg capsule||68180012101|5.28||5.28
WS SERVICE AREA|25010066|cephalexin 250 mg capsule||67877022001|6.64||6.64
WS SERVICE AREA|25010066|cephalexin 500 mg capsule||68180012201|5.24||5.24
WS SERVICE AREA|25010066|cephalexin 500 mg capsule||60687016311|5.14||5.14
WS SERVICE AREA|25010066|cephalexin 250 mg/5 mL oral suspension||00093417773|219.17||219.17
WS SERVICE AREA|25010066|cetirizine 10 mg tablet||45802091939|0.82||0.82
WS SERVICE AREA|25010066|chlorambuciL 2 mg tablet||76388063525|185.14||185.14
WS SERVICE AREA|25010066|chlorothiazide 250 mg/5 mL oral suspension||65649031112|524.84||524.84
WS SERVICE AREA|25010066|chlorothiazide 250 mg/5 mL oral suspension||00000005278|132.87||132.87
WS SERVICE AREA|25010066|QUEtiapine ER 50 mg tablet,extended release 24 hr||00310828060|6.48||6.48
WS SERVICE AREA|25010066|ferrous sulfate 15 mg iron (75 mg)/mL oral drops||50383062750|37.59||37.59
WS SERVICE AREA|25010066|ferrous sulfate 15 mg iron (75 mg)/mL oral drops||39328005750|36.75||36.75
WS SERVICE AREA|25010066|clarithromycin 250 mg tablet||00527193106|45.77||45.77
WS SERVICE AREA|25010066|clarithromycin 500 mg tablet||00781196260|22.89||22.89
WS SERVICE AREA|25010066|clarithromycin 500 mg tablet||65862022660|22.89||22.89
WS SERVICE AREA|25010066|QUEtiapine ER 150 mg tablet,extended release 24 hr||00310028139|112.22||112.22
WS SERVICE AREA|25010066|QUEtiapine ER 150 mg tablet,extended release 24 hr||49884080602|121.19||121.19
WS SERVICE AREA|25010066|QUEtiapine ER 150 mg tablet,extended release 24 hr||16729010912|121.19||121.19
WS SERVICE AREA|25010066|clobetasoL 0.05 % topical cream||51672125801|975.87||975.87
WS SERVICE AREA|25010066|clobetasoL 0.05 % topical ointment||50383026815|1,182.94||1,182.94
WS SERVICE AREA|25010066|clobetasoL 0.05 % topical ointment||51672125901|1,182.94||1,182.94
WS SERVICE AREA|25010066|clobetasoL 0.05 % scalp solution||51672129302|784.97||784.97
WS SERVICE AREA|25010066|clobetasoL 0.05 % scalp solution||60432013325|784.97||784.97
WS SERVICE AREA|25010066|clomiPRAMINE 25 mg capsule||51672401106|85.55||85.55
WS SERVICE AREA|25010066|clomiPRAMINE 25 mg capsule||16714084901|85.55||85.55
WS SERVICE AREA|25010066|clomiPRAMINE 25 mg capsule||16714084902|85.55||85.55
WS SERVICE AREA|25010066|clomiPRAMINE 25 mg capsule||16714084903|75.89||75.89
WS SERVICE AREA|25010066|clonazePAM 0.5 mg tablet||63739026310|4.60||4.60
WS SERVICE AREA|25010066|clonazePAM 0.5 mg tablet||16729013616|4.60||4.60
WS SERVICE AREA|25010066|clonazePAM 0.5 mg tablet||16714075201|4.60||4.60
WS SERVICE AREA|25010066|clonazePAM 0.5 mg tablet||00093083201|4.60||4.60
WS SERVICE AREA|25010066|clonazePAM 1 mg tablet||16729013700|4.60||4.60
WS SERVICE AREA|25010066|clonazePAM 1 mg tablet||16729013716|4.60||4.60
WS SERVICE AREA|25010066|clonazePAM 1 mg tablet||51079088201|4.60||4.60
WS SERVICE AREA|25010066|clotrimazole 10 mg troche||00574010714|11.11||11.11
WS SERVICE AREA|25010066|clotrimazole 10 mg troche||00574010770|12.24||12.24
WS SERVICE AREA|25010066|clotrimazole 10 mg troche||00574010777|10.87||10.87
WS SERVICE AREA|25010066|cloZAPine 100 mg tablet||00093777219|13.05||13.05
WS SERVICE AREA|25010066|cloZAPine 100 mg tablet||00093777293|13.04||13.04
WS SERVICE AREA|25010066|cloZAPine 25 mg tablet||00093435993|10.07||10.07
WS SERVICE AREA|25010066|cloZAPine 25 mg tablet||00093435919|10.07||10.07
WS SERVICE AREA|25010066|cholecalciferol (vitamin D3) 10 mcg/mL (400 unit/mL) oral drops||00087086644|0.60||0.60
WS SERVICE AREA|25010066|lamoTRIgine 200 mg disintegrating tablet||00173077702|57.39||57.39
WS SERVICE AREA|25010066|lacosamide 50 mg tablet||00131247735|72.23||72.23
WS SERVICE AREA|25010066|lacosamide 50 mg tablet||00131247760|79.46||79.46
WS SERVICE AREA|25010066|lacosamide 100 mg tablet||00131247835|112.92||112.92
WS SERVICE AREA|25010066|lacosamide 100 mg tablet||00131247860|124.22||124.22
WS SERVICE AREA|25010066|lacosamide 200 mg tablet||00131248035|59.81||59.81
WS SERVICE AREA|25010066|silodosin 8 mg capsule||52544015230|66.33||66.33
WS SERVICE AREA|25010066|cyclopentolate-phenylephrine 0.2 %-1 % eye drops||00065035902|219.17||219.17
WS SERVICE AREA|25010066|cyclopentolate-phenylephrine 0.2 %-1 % eye drops||00065035905|384.99||384.99
WS SERVICE AREA|25010066|febuxostat 40 mg tablet||64764091830|83.72||83.72
WS SERVICE AREA|25010066|cetirizine 5 mg/5 mL oral solution||68094000459|5.52||5.52
WS SERVICE AREA|25010066|cetirizine 5 mg/5 mL oral solution||68094000462|5.52||5.52
WS SERVICE AREA|25010066|dantrolene 25 mg capsule||00115441101|8.14||8.14
WS SERVICE AREA|25010066|demeclocycline 150 mg tablet||62584015911|80.91||80.91
WS SERVICE AREA|25010066|demeclocycline 150 mg tablet||42806014301|143.08||143.08
WS SERVICE AREA|25010066|demeclocycline 300 mg tablet||62584016311|80.91||80.91
WS SERVICE AREA|25010066|SUMAtriptan 6 mg/0.5 mL subcutaneous solution||63323027301|415.18||415.18
WS SERVICE AREA|25010066|SUMAtriptan 6 mg/0.5 mL subcutaneous solution||55150017301|720.21||720.21
WS SERVICE AREA|25010066|dextromethorphan polistirex ER 30 mg/5 mL oral susp ext.release 12hr||00363038421|4.60||4.60
WS SERVICE AREA|25010066|dextromethorphan polistirex ER 30 mg/5 mL oral susp ext.release 12hr||00000005818|4.60||4.60
WS SERVICE AREA|25010066|dextromethorphan-guaifenesin 10 mg-100 mg/5 mL oral syrup||00121127610|11.63||11.63
WS SERVICE AREA|25010066|tolvaptan 15 mg tablet||59148002050|3,770.19||3,770.19
WS SERVICE AREA|25010066|tolvaptan 30 mg tablet||59148002150|1,955.56||1,955.56
WS SERVICE AREA|25010066|tolvaptan 30 mg tablet||60505470500|2,229.34||2,229.34
WS SERVICE AREA|25010066|ciprofloxacin 0.2 % ear drops in a dropperette||42195055014|64.91||64.91
WS SERVICE AREA|25010066|lipase-protease-amylase 12,000-38,000-60,000 unit capsule,delayed rel||00032121201|25.42||25.42
WS SERVICE AREA|25010066|tapentadoL 50 mg tablet||50458082002|70.16||70.16
WS SERVICE AREA|25010066|tapentadoL 50 mg tablet||69865021002|70.16||70.16
WS SERVICE AREA|25010066|tapentadoL 50 mg tablet||24510005010|70.16||70.16
WS SERVICE AREA|25010066|tapentadoL 75 mg tablet||50458083002|54.66||54.66
WS SERVICE AREA|25010066|tapentadoL 100 mg tablet||50458084004|31.21||31.21
WS SERVICE AREA|25010066|dronedarone 400 mg tablet||00024414260|83.51||83.51
WS SERVICE AREA|25010066|prasugreL 5 mg tablet||00002512130|116.43||116.43
WS SERVICE AREA|25010066|prasugreL 5 mg tablet||60505464203|125.61||125.61
WS SERVICE AREA|25010066|prasugreL 10 mg tablet||00002512301|58.22||58.22
WS SERVICE AREA|25010066|prasugreL 10 mg tablet||65862083030|62.81||62.81
WS SERVICE AREA|25010066|prasugreL 10 mg tablet||65162000203|62.81||62.81
WS SERVICE AREA|25010066|dinoprostone 0.5 mg/3 g vaginal gel||00009335902|4.60||4.60
WS SERVICE AREA|25010066|benzonatate 100 mg capsule||63739002910|4.60||4.60
WS SERVICE AREA|25010066|benzonatate 100 mg capsule||69452014320|19.05||19.05
WS SERVICE AREA|25010066|benzonatate 100 mg capsule||60687034601|5.55||5.55
WS SERVICE AREA|25010066|benzonatate 100 mg capsule||00904656461|4.60||4.60
WS SERVICE AREA|25010066|benzonatate 100 mg capsule||42806071401|19.05||19.05
WS SERVICE AREA|25010066|doxazosin 1 mg tablet||51079095701|28.65||28.65
WS SERVICE AREA|25010066|doxazosin 2 mg tablet||51079095801|14.30||14.30
WS SERVICE AREA|25010066|doxazosin 4 mg tablet||00378402401|4.60||4.60
WS SERVICE AREA|25010066|doxazosin 4 mg tablet||16729021301|4.60||4.60
WS SERVICE AREA|25010066|doxazosin 4 mg tablet||68382078501|4.60||4.60
WS SERVICE AREA|25010066|doxazosin 4 mg tablet||51079095901|7.51||7.51
WS SERVICE AREA|25010066|acetaminophen 80 mg chewable tablet||00904579146|0.60||0.60
WS SERVICE AREA|25010066|acetaminophen 80 mg chewable tablet||00904525646|0.60||0.60
WS SERVICE AREA|25010066|acetaminophen 80 mg chewable tablet||00536101407|0.60||0.60
WS SERVICE AREA|25010066|dronabinoL 2.5 mg capsule||68084017411|40.36||40.36
WS SERVICE AREA|25010066|dronabinoL 2.5 mg capsule||00904659761|35.95||35.95
WS SERVICE AREA|25010066|dronabinoL 2.5 mg capsule||00904674561|35.95||35.95
WS SERVICE AREA|25010066|enalapril maleate 10 mg tablet||68084039111|4.60||4.60
WS SERVICE AREA|25010066|enalapril maleate 2.5 mg tablet||00378105101|11.09||11.09
WS SERVICE AREA|25010066|enalapril maleate 2.5 mg tablet||00904560961|4.60||4.60
WS SERVICE AREA|25010066|enalapril maleate 20 mg tablet||68084039211|4.60||4.60
WS SERVICE AREA|25010066|enalapril maleate 20 mg tablet||51079095301|4.60||4.60
WS SERVICE AREA|25010066|enalapril maleate 20 mg tablet||00904561161|4.60||4.60
WS SERVICE AREA|25010066|enalapril maleate 5 mg tablet||68084039011|4.71||4.71
WS SERVICE AREA|25010066|ergocalciferol (vitamin D2) 200 mcg/mL (8,000 unit/mL) oral drops||39328035760|4.60||4.60
WS SERVICE AREA|25010066|ergocalciferol (vitamin D2) 200 mcg/mL (8,000 unit/mL) oral drops||43199001560|4.60||4.60
WS SERVICE AREA|25010066|valGANciclovir 50 mg/mL oral solution||00591257920|7,612.25||7,612.25
WS SERVICE AREA|25010066|levonorgestreL 1.5 mg tablet||16714080901|256.23||256.23
WS SERVICE AREA|25010066|levonorgestreL 1.5 mg tablet||50090114100|296.79||296.79
WS SERVICE AREA|25010066|estradioL 1 mg tablet||00378145401|4.60||4.60
WS SERVICE AREA|25010066|estradioL 2 mg tablet||00378145801|4.60||4.60
WS SERVICE AREA|25010066|sevelamer carbonate 0.8 gram oral powder packet||58468013201|135.82||135.82
WS SERVICE AREA|25010066|sevelamer carbonate 0.8 gram oral powder packet||00955105201|71.96||71.96
WS SERVICE AREA|25010066|sevelamer carbonate 2.4 gram oral powder packet||58468013101|135.82||135.82
WS SERVICE AREA|25010066|sevelamer carbonate 2.4 gram oral powder packet||00955105401|71.96||71.96
WS SERVICE AREA|25010066|conjugated estrogens 0.3 mg tablet||00046110081|44.93||44.93
WS SERVICE AREA|25010066|conjugated estrogens 0.625 mg tablet||00046110281|21.57||21.57
WS SERVICE AREA|25010066|asenapine 5 mg sublingual tablet||00456240560|152.31||152.31
WS SERVICE AREA|25010066|asenapine 5 mg sublingual tablet||00456240511|152.28||152.28
WS SERVICE AREA|25010066|benztropine 0.5 mg tablet||68084038111|9.13||9.13
WS SERVICE AREA|25010066|benztropine 0.5 mg tablet||69315013601|4.60||4.60
WS SERVICE AREA|25010066|ethambutoL 100 mg tablet||68180028001|4.60||4.60
WS SERVICE AREA|25010066|ethambutoL 100 mg tablet||54879000101|4.60||4.60
WS SERVICE AREA|25010066|ethambutoL 400 mg tablet||68850001202|5.94||5.94
WS SERVICE AREA|25010066|ethambutoL 400 mg tablet||68084028011|12.37||12.37
WS SERVICE AREA|25010066|ethambutoL 400 mg tablet||54879000201|13.59||13.59
WS SERVICE AREA|25010066|benztropine 1 mg tablet||00603243821|4.60||4.60
WS SERVICE AREA|25010066|etidronate disodium 200 mg tablet||00378328691|32.88||32.88
WS SERVICE AREA|25010067|fat emulsion 20 % intravenous||00338051902|294.44||294.44
WS SERVICE AREA|25010067|fat emulsion 20 % intravenous||00338051903|309.26||309.26
WS SERVICE AREA|25010067|sodium chloride 0.9 % irrigation solution||00409713809|34.78||34.78
WS SERVICE AREA|25010067|sodium chloride 0.9 % irrigation solution||00409613822|146.06||146.06
WS SERVICE AREA|25010067|amino acid 10 % intravenous solution||00264934155|300.79||300.79
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous piggyback||00409710102|51.10||51.10
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous piggyback||00409710166|51.10||51.10
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous piggyback||00409710167|51.10||51.10
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous piggyback||00338055311|51.10||51.10
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous piggyback||00338055318|51.10||51.10
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous piggyback||000409710169|51.10||51.10
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous piggyback||00409710104|51.10||
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous piggyback||00409710169|51.10||51.10
WS SERVICE AREA|25010067|parenteral amino acid 10 % combination no.1 intravenous solution||00409416405|169.46||169.46
WS SERVICE AREA|25010067|parenteral amino acid 10 % combination no.1 intravenous solution||00409712107|271.14||271.14
WS SERVICE AREA|25010067|parenteral amino acid 15 % combination no.1 intravenous solution||00338050206|787.97||787.97
WS SERVICE AREA|25010067|parenteral amino acid 10 % combination no.4 intravenous solution||00264901055|135.57||135.57
WS SERVICE AREA|25010067|bicarbonate hemodialysis solution no.2 K 2 mEq-Ca 3.5 mEq-Mg 1 mEq/L||24571010306|243.43||243.43
WS SERVICE AREA|25010067|potassium chloride 20 mEq/L-lactated ringers-5 % dextrose intravenous||00409711109|62.60||62.60
WS SERVICE AREA|25010067|morphine (PF) 1 mg/2 mL intravenous syringe||70092113243|18.70||
WS SERVICE AREA|25010067|morphine (PF) 1 mg/2 mL intravenous syringe||00000005635|18.70||
WS SERVICE AREA|25010067|fat emulsion-soybean oiL-mct-olive oil-fish oiL 20 % intravenous||63323082050|288.08||288.08
WS SERVICE AREA|25010067|fat emulsion-soybean oiL-mct-olive oil-fish oiL 20 % intravenous||63323082074|220.30||220.30
WS SERVICE AREA|25010067|AAs 3 % no.2 pedi-D5W-calcium 3.75 mEq-heparin 125 unit/250 mL IV soln||71285041901|338.92||338.92
WS SERVICE AREA|25010067|amino acid 3 % pedi-D10W-calc 3.75 mEq-heparin 125 unit/250 mL IV soln||71285042001|355.87||355.87
WS SERVICE AREA|25010067|dextrose 10 % in water (D10W) intravenous solution||00409793003|51.10||51.10
WS SERVICE AREA|25010067|dextrose 10 % in water (D10W) intravenous solution||00409793009|51.10||51.10
WS SERVICE AREA|25010067|dextrose 10 % in water (D10W) intravenous solution||00409793819|51.10||51.10
WS SERVICE AREA|25010067|dextrose 10 % in water (D10W) intravenous solution||00264752010|51.10||51.10
WS SERVICE AREA|25010067|dextrose 10 % in water (D10W) intravenous solution||00264752020|51.10||51.10
WS SERVICE AREA|25010067|dextrose 10 % in water (D10W) intravenous solution||00338002304|51.10||51.10
WS SERVICE AREA|25010067|dextrose 20 % in water (D20W) intravenous solution||00409793519|79.98||79.98
WS SERVICE AREA|25010067|dextrose 20 % in water (D20W) intravenous solution||00990793519|79.98||79.98
WS SERVICE AREA|25010067|dextrose 70 % in water (D70W) intravenous solution||00409791819|90.42||90.42
WS SERVICE AREA|25010067|hetastarch 6 % in 0.9 % sodium chloride intravenous solution||00409724849|105.91||105.91
WS SERVICE AREA|25010067|hetastarch in lact electrolyte 6 % intravenous solution||00409155554|227.78||227.78
WS SERVICE AREA|25010067|periton.dialysis soln 6-1.5 % dextros low calc 2.5 mEq/L-mag 0.5 mEq/L||00941042452|203.35||203.35
WS SERVICE AREA|25010067|peritoneal dialysis soln 4-1.5 % dextr Ca+ 3.5 mEq/L-low mag 0.5 mEq/L||00941041107|88.97||88.97
WS SERVICE AREA|25010067|peritoneal dialysis soln 4-1.5 % dextr Ca+ 3.5 mEq/L-low mag 0.5 mEq/L||00941042653|177.93||177.93
WS SERVICE AREA|25010067|peritoneal dialysis soln 7-2.5 % dext.low calc 2.5 mEq/L-mag 0.5 mEq/L||00941043052|228.77||228.77
WS SERVICE AREA|25010067|periton. dialysis soln 13-2.5 % dextrose calc 3.5 mEq/L-mag 0.5 mEq/L||00941041307|101.68||101.68
WS SERVICE AREA|25010067|periton. dialysis soln 13-2.5 % dextrose calc 3.5 mEq/L-mag 0.5 mEq/L||00941042753|190.64||190.64
WS SERVICE AREA|25010067|periton. dialysis soln 8-4.25 % dextrose calc 2.5 mEq/L-mag 0.5 mEq/L||00941043352|228.77||228.77
WS SERVICE AREA|25010067|periton. dialysis soln 8-4.25 % dextrose calc 2.5 mEq/L-mag 0.5 mEq/L||00941043353|190.64||190.64
WS SERVICE AREA|25010067|periton. dialysis soln 3-4.25 % dextrose calc 3.5 mEq/L-mag 0.5 mEq/L||00941041507|101.68||101.68
WS SERVICE AREA|25010067|periton. dialysis soln 3-4.25 % dextrose calc 3.5 mEq/L-mag 0.5 mEq/L||00941042953|190.64||190.64
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous solution||00264780000|51.10||51.10
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous solution||00264780010|51.10||51.10
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous solution||00264780020|51.10||51.10
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous solution||00990798423|51.10||51.10
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous solution||00990798302|51.10||51.10
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous solution||00990798413|51.10||51.10
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous solution||00990798437|51.10||51.10
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous solution||00990798309|51.10||51.10
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous solution||00990798361|51.10||51.10
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous solution||00990798303|51.10||51.10
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous solution||00990798420|51.10||51.10
WS SERVICE AREA|25010067|amino acids 4.25 % with lytes and calcium in D10W intravenous solution||00338111504|593.11||593.11
WS SERVICE AREA|25010067|electrolyte-A intravenous solution||00338022104|90.42||90.42
WS SERVICE AREA|25010067|electrolyte-R (pH 7.4) intravenous solution||00990767009|51.10||51.10
WS SERVICE AREA|25010067|water for injection, sterile intravenous solution||00990799009|51.10||51.10
WS SERVICE AREA|25010067|glycine 1.5 % urologic solution for irrigation||00409797408|83.46||83.46
WS SERVICE AREA|25010067|citrate dextrose solution||00942064103|51.10||51.10
WS SERVICE AREA|25010067|sodium chloride 0.9 % IV||00990798302|51.10||51.10
WS SERVICE AREA|25010067|sodium chloride 0.9 % IV||00990798437|51.10||51.10
WS SERVICE AREA|25010067|sodium chloride 0.9 % IV||00990798436|51.10||51.10
WS SERVICE AREA|25010067|sodium chloride 0.9 % IV||00990798309|51.10||51.10
WS SERVICE AREA|25010067|sodium chloride 0.9 % IV||00990798303|51.10||51.10
WS SERVICE AREA|25010067|sodium chloride 0.9 % IV||00990798420|61.90||61.90
WS SERVICE AREA|25010067|sodium chloride 0.45 % IV||00409798509|51.10||51.10
WS SERVICE AREA|25010067|sodium chloride 0.45 % IV||00409798502|51.10||51.10
WS SERVICE AREA|25010067|sodium chloride 0.45 % IV||00409798503|51.10||51.10
WS SERVICE AREA|25010067|sodium chloride 0.45 % IV||00338004303|51.10||51.10
WS SERVICE AREA|25010067|dextrose 5 % and 0.9 % sodium chloride IV|J7042|00409794103|51.10||51.10
WS SERVICE AREA|25010067|dextrose 5 % and 0.9 % sodium chloride IV||00409794109|51.10||51.10
WS SERVICE AREA|25010067|dextrose 10% in water (D10W) IV Soln||00409793003|51.10||51.10
WS SERVICE AREA|25010067|dextrose 10% in water (D10W) IV Soln||00409793009|51.10||51.10
WS SERVICE AREA|25010067|dextrose 10% in water (D10W) IV Soln||00409793819|51.10||51.10
WS SERVICE AREA|25010067|||00000005038|120.60||
WS SERVICE AREA|25010067|morphine 2 mg/mL injection syringe,morphine 2 mg/mL intravenous syringe||00000005426|18.70||
WS SERVICE AREA|25010067|fat emulsion 20 % IV||00338051902|294.44||294.44
WS SERVICE AREA|25010067|sodium chloride 0.9% 300 mL irrigation solution||00409797208|62.60||62.60
WS SERVICE AREA|25010067|sodium chloride 0.9% 300 mL irrigation solution||00264738860|104.33||104.33
WS SERVICE AREA|25010067|sodium chloride 0.9% 300 mL irrigation solution||00990-7972-08|271.25||271.25
WS SERVICE AREA|25010067|sodium chloride 3 % intravenous injection solution||00338005403|51.10||51.10
WS SERVICE AREA|25010067|fat emulsion-soybean oil-mct-olive oil-fish oil 20% intravenous||00000005625|26.44||26.44
WS SERVICE AREA|25010067|periton.dialysis soln 6-1.5 % dextros low calc 2.5 mEq/L-mag 0.5 mEq/L||00941040907|88.97||88.97
WS SERVICE AREA|25010067|peritoneal dialysis soln 7-2.5 % dext.low calc 2.5 mEq/L-mag 0.5 mEq/L||00941045705|101.68||101.68
WS SERVICE AREA|25010067|periton. dialysis soln 8-4.25 % dextrose calc 2.5 mEq/L-mag 0.5 mEq/L||00941045905|101.68||101.68
WS SERVICE AREA|25010067|prismasate 0/3.5 (potassium/calcium) dialysis solution||00000113915|155.17||
WS SERVICE AREA|25010067|prismasate 0/3.5 (potassium/calcium) dialysis solution||00000005005|173.88||
WS SERVICE AREA|25010067|prismasate 4/2.5 (potassium/calcium) dialysis solution||00000005004|173.88||
WS SERVICE AREA|25010067|prismasate 4/2.5 (potassium/calcium) dialysis solution||00000113916|132.15||132.15
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous solution||00409798309|51.10||51.10
WS SERVICE AREA|25010067|sodium chloride 0.9 % IV||00409798309|51.10||51.10
WS SERVICE AREA|25010067|fat emulsion 20 % IV||00000005351|18.70||18.70
WS SERVICE AREA|25010067|fat emulsion-soybean oil-mct-olive oil-fish oil 20% intravenous||00000005624|18.70||18.70
WS SERVICE AREA|25010067|lactated Ringers irrigation solution||00264220300|31.00||31.00
WS SERVICE AREA|25010067|sodium chloride 0.45 % intravenous solution||00409798509|51.10||51.10
WS SERVICE AREA|25010067|sodium chloride 0.45 % intravenous solution||00409798503|51.10||51.10
WS SERVICE AREA|25010067|sodium chloride 0.45 % intravenous solution||00990798502|51.10||51.10
WS SERVICE AREA|25010067|sodium chloride 3 % intravenous injection solution||00338005403|51.10||51.10
WS SERVICE AREA|25010067|sodium chloride 3 % intravenous injection solution||63323053021|51.10||51.10
WS SERVICE AREA|25010067|water for irrigation, sterile solution||00409713909|31.00||31.00
WS SERVICE AREA|25010067|water for irrigation, sterile solution||00409613922|73.03||73.03
WS SERVICE AREA|25010067|water for irrigation, sterile solution||00409797307|31.00||31.00
WS SERVICE AREA|25010067|water for irrigation, sterile solution||00338000404|31.00||31.00
WS SERVICE AREA|25010067|water for irrigation, sterile solution||00990713909|31.00||31.00
WS SERVICE AREA|25010067|parenteral amino acid 10 % combination no.2 intravenous solution||00409419105|153.01||153.01
WS SERVICE AREA|25010067|parenteral amino acid 15 % combination no.2 intravenous solution||00409717117|292.11||292.11
WS SERVICE AREA|25010067|parenteral amino acid 8.5 % combination no.2 intravenous solution||00409418703|62.60||62.60
WS SERVICE AREA|25010067|dextran 40 10 % in 5 % dextrose intravenous||00409741803|184.31||184.31
WS SERVICE AREA|25010067|potassium chloride 20 mEq/L in D5-0.9 % sodium chloride intravenous||00409710709|51.10||51.10
WS SERVICE AREA|25010067|potassium chloride 20 mEq/L in D5-0.9 % sodium chloride intravenous||00338080304|55.64||55.64
WS SERVICE AREA|25010067|potassium chloride 40 mEq/L in D5-0.9 % sodium chloride intravenous||00409710909|55.64||55.64
WS SERVICE AREA|25010067|potassium chloride 10 mEq/L in dextrose 5 %-0.45 % sodium chloride IV||00409799309|18.70||18.70
WS SERVICE AREA|25010067|potassium chloride 20 mEq/L in dextrose 5 %-0.2 % sodium chloride IV||00409790109|51.10||51.10
WS SERVICE AREA|25010067|potassium chloride 20 mEq/L in dextrose 5 %-0.45 % sodium chloride IV||00409790209|51.10||51.10
WS SERVICE AREA|25010067|potassium chloride 20 mEq/L in dextrose 5 %-0.45 % sodium chloride IV||00409790203|51.10||51.10
WS SERVICE AREA|25010067|potassium chloride 30 mEq/L in dextrose 5 %-0.45 % sodium chloride IV||00409790309|51.10||51.10
WS SERVICE AREA|25010067|potassium chloride 40 mEq/L in dextrose 5 %-0.45 % sodium chloride IV||00990790409|51.10||51.10
WS SERVICE AREA|25010067|dextrose 5 % and 0.2 % sodium chloride intravenous solution||00409792403|51.10||51.10
WS SERVICE AREA|25010067|dextrose 5 % and 0.2 % sodium chloride intravenous solution||00409792409|51.10||51.10
WS SERVICE AREA|25010067|dextrose 5 % and 0.2 % sodium chloride intravenous solution||00338007704|51.10||51.10
WS SERVICE AREA|25010067|dextrose 5 % and 0.2 % sodium chloride intravenous solution||00990792409|51.10||51.10
WS SERVICE AREA|25010067|dextrose 5 % and 0.45 % sodium chloride intravenous solution||00409792603|51.10||51.10
WS SERVICE AREA|25010067|dextrose 5 % and 0.45 % sodium chloride intravenous solution||00409792609|51.10||51.10
WS SERVICE AREA|25010068|etoposide 50 mg capsule|J8560|00378326694|622.02||622.02
WS SERVICE AREA|25010068|factor IX cplx(PCC)no.4, 3factor 1,000 (+/-) unit intravenous solution|J7194|68516320202|8,360.55||8,360.55
WS SERVICE AREA|25010068|C1 esterase inhibitor 500 unit (10 mL) intravenous kit|J0597|63833082502|20,127.25||20,127.25
WS SERVICE AREA|25010068|filgrastim 300 mcg/mL injection solution|J1442|55513053001|2,176.10||2,176.10
WS SERVICE AREA|25010068|fludarabine 50 mg intravenous solution|J9185|00703585401|721.13||721.13
WS SERVICE AREA|25010068|ibutilide fumarate 0.1 mg/mL intravenous solution|J1742|00009379422|3,141.71||3,141.71
WS SERVICE AREA|25010068|ibutilide fumarate 0.1 mg/mL intravenous solution|J1742|00009379401|3,141.71||3,141.71
WS SERVICE AREA|25010068|ganciclovir sodium 500 mg intravenous solution|J1570|63323031510|824.17||824.17
WS SERVICE AREA|25010068|meningoc vac A,C,Y,W-135 dip(PF) 10 mcg-5 mcg/0.5 mL intramuscular kit|90734|58160095509|925.52||925.52
WS SERVICE AREA|25010068|goserelin 3.6 mg subcutaneous implant|J9202|00310095036|3,746.77||3,746.77
WS SERVICE AREA|25010068|hyaluronidase 150 unit/mL injection solution|J3470|00548909010|472.79||472.79
WS SERVICE AREA|25010068|ifosfamide 1 gram intravenous solution|J9208|63323014210|442.98||442.98
WS SERVICE AREA|25010068|ifosfamide 1 gram intravenous solution|J9208|63323014212|553.71||553.71
WS SERVICE AREA|25010068|ifosfamide 3 gram intravenous solution|J9208|10019092602|666.00||666.00
WS SERVICE AREA|25010068|ifosfamide 3 gram intravenous solution|J9208|10019092616|666.00||666.00
WS SERVICE AREA|25010068|isosulfan blue 1 % subcutaneous solution|Q9968|67457022005|698.37||698.37
WS SERVICE AREA|25010068|pneumococcal 13-val conj vaccine-dip crm (PF) 0.5 mL IM syringe|90670|00005197101|1,391.06||1,391.06
WS SERVICE AREA|25010068|lymphocyte,anti-thymo immune globulin 50 mg/mL intravenous solution|J7504|00009722401|15,830.66||15,830.66
WS SERVICE AREA|25010068|measles,mumps,rubella vaccine live(PF)1,000-12,500TCID50/0.5 mL subcut|90707|00006468100|679.95||679.95
WS SERVICE AREA|25010068|melphalan 50 mg intravenous solution|J9245|67457019501|18,626.38||18,626.38
WS SERVICE AREA|25010068|denosumab 60 mg/mL subcutaneous syringe|J0897|55513071001|8,839.00||8,839.00
WS SERVICE AREA|25010068|cabazitaxeL 10 mg/mL (first dilution) intravenous solution|J9043|00024582411|53,633.36||
WS SERVICE AREA|25010068|mitoMYcin 20 mg intravenous solution|J9280|16729010811|4,383.53||4,383.53
WS SERVICE AREA|25010068|mitoMYcin 40 mg intravenous solution|J9280|16729011638|8,767.06||8,767.06
WS SERVICE AREA|25010068|mitoMYcin 5 mg intravenous solution|J9280|16729011505|3,374.69||3,374.69
WS SERVICE AREA|25010068|eriBULin 1 mg/2 mL (0.5 mg/mL) intravenous solution|J9179|62856038901|7,307.74||7,307.74
WS SERVICE AREA|25010068|fosaprepitant 150 mg intravenous solution|J1453|00006394132|2,213.36||2,213.36
WS SERVICE AREA|25010068|fosaprepitant 150 mg intravenous solution|J1453|00006394101|2,213.36||2,213.36
WS SERVICE AREA|25010068|denosumab 120 mg/1.7 mL (70 mg/mL) subcutaneous solution|J0897|55513073001|16,258.75||16,258.75
WS SERVICE AREA|25010068|pegloticase 8 mg/mL intravenous solution|J2507|75987008010|163,880.06||163,880.06
WS SERVICE AREA|25010068|ceftaroline fosamiL 400 mg intravenous solution|J0712|00456040001|697.18||697.18
WS SERVICE AREA|25010068|ceftaroline fosamiL 600 mg intravenous solution|J0712|00456060001|697.18||697.18
WS SERVICE AREA|25010068|baclofen 40,000 mcg/20 mL (2,000 mcg/mL) intrathecal solution|J0475|45945015702|5,944.32||5,944.32
WS SERVICE AREA|25010068|penicillin G benzathine 1,200,000 unit/2 mL intramuscular syringe|J0561|60793070102|729.35||729.35
WS SERVICE AREA|25010068|ustekinumab 90 mg/mL subcutaneous syringe||57894006103|79,774.30||79,774.30
WS SERVICE AREA|25010068|panitumumab 100 mg/5 mL (20 mg/mL) intravenous solution|J9303|55513095401|7,945.56||7,945.56
WS SERVICE AREA|25010068|panitumumab 400 mg/20 mL (20 mg/mL) intravenous solution|J9303|55513095601|31,782.23||31,782.23
WS SERVICE AREA|25010068|tocilizumab 80 mg/4 mL (20 mg/mL) intravenous solution|J3262|50242013501|3,187.54||3,187.54
WS SERVICE AREA|25010068|tocilizumab 200 mg/10 mL (20 mg/mL) intravenous solution|J3262|50242013601|7,968.84||7,968.84
WS SERVICE AREA|25010068|tocilizumab 400 mg/20 mL (20 mg/mL) intravenous solution|J3262|50242013701|15,937.69||15,937.69
WS SERVICE AREA|25010068|bevacizumab 25 mg/mL intravenous solution|J9035|50242006001|4,935.45||4,935.45
WS SERVICE AREA|25010068|bevacizumab 25 mg/mL intravenous solution|J9035|50242006101|19,741.80||19,741.80
WS SERVICE AREA|25010068|PRALAtrexate 40 mg/2 mL (20 mg/mL) intravenous solution|J9307|48818000102|72,836.12||72,836.12
WS SERVICE AREA|25010068|filgrastim 480 mcg/1.6 mL injection solution|J1442|55513054601|3,465.19||3,465.19
WS SERVICE AREA|25010068|fulvestrant 250 mg/5 mL intramuscular syringe|J9395|00310072010|6,004.27||6,004.27
WS SERVICE AREA|25010068|paliperidone palmitate 117 mg/0.75 mL intramuscular syringe|J2426|50458056201|9,695.12||9,695.12
WS SERVICE AREA|25010068|paliperidone palmitate 234 mg/1.5 mL intramuscular syringe|J2426|50458056401|9,695.29||9,695.29
WS SERVICE AREA|25010068|poliovirus vaccine 40 unit-8 unit-32 unit/0.5 mL injection suspension|90713|49281086010|306.18||306.18
WS SERVICE AREA|25010068|baclofen 2,000 mcg/mL intrathecal solution|J0475|58281056301|18.70||18.70
WS SERVICE AREA|25010068|belimumab 120 mg intravenous solution|J0490|49401010101|3,745.47||3,745.47
WS SERVICE AREA|25010068|belimumab 400 mg intravenous solution|J0490|49401010201|12,484.52||12,484.52
WS SERVICE AREA|25010068|pentostatin 10 mg intravenous solution|J9268|00409080101|13,731.99||13,731.99
WS SERVICE AREA|25010068|pneumococcal 23 polyvalent vaccine 25 mcg/0.5 mL injection solution|90732|00006494300|763.46||763.46
WS SERVICE AREA|25010068|pneumococcal 23 polyvalent vaccine 25 mcg/0.5 mL injection solution|90732|00006494301|763.46||763.46
WS SERVICE AREA|25010068|belatacept 250 mg intravenous solution|J0485|00003037113|6,540.27||6,540.27
WS SERVICE AREA|25010068|leuprolide (6 month) 45 mg intramuscular syringe kit|J9217|00074347303|61,841.63||61,841.63
WS SERVICE AREA|25010068|brentuximab vedotin 50 mg intravenous solution|J9042|51144005001|53,210.26||53,210.26
WS SERVICE AREA|25010068|icatibant 30 mg/3 mL subcutaneous syringe|J1744|54092070202|77,051.45||77,051.45
WS SERVICE AREA|25010068|sargramostim 250 mcg solution for injection|J2820|00024584305|1,904.08||1,904.08
WS SERVICE AREA|25010068|sargramostim 250 mcg solution for injection|J2820|00024584301|1,812.46||
WS SERVICE AREA|25010068|streptozocin 1 gram intravenous solution|J9320|00703463601|2,413.88||2,413.88
WS SERVICE AREA|25010068|diph,pertus(acel),tet pedi (PF) 25 Lf unit-58 mcg-10 Lf/0.5mL IM susp|90700|58160081011|196.01||196.01
WS SERVICE AREA|25010068|haemophilus B polysaccharid conj-tetanus tox(PF) 10 mcg/0.5 mL IM soln|90648|49281054505|127.10||127.10
WS SERVICE AREA|25010068|linezolid in 5% dextrose in water 600 mg/300 mL intravenous piggyback|J2020|00009514001|404.16||404.16
WS SERVICE AREA|25010068|hepatitis B immune globulin 110 unit/0.5 mL intramuscular syringe|90371|13533063603|749.44||749.44
WS SERVICE AREA|25010068|hepatitis A vaccine (PF) 1,440 ELISA unit/mL intramuscular syringe|90632|58160082643|300.26||300.26
WS SERVICE AREA|25010068|hepatitis A virus vaccine (PF) 1,440 ELISA unit/mL IM suspension|90632|58160082611|300.26||300.26
WS SERVICE AREA|25010068|hepatitis A virus vaccine (PF) 1,440 ELISA unit/mL IM suspension|90632|58160082601|300.26||300.26
WS SERVICE AREA|25010068|tetanus and diphtheria tox (PF) 5 Lf unit-2 Lf unit/0.5 mL IM syringe|90714|49281021515|293.46||293.46
WS SERVICE AREA|25010068|tetanus and diphtheria tox (PF) 5 Lf unit-2 Lf unit/0.5 mL IM syringe|90714|49281021588|293.50||293.50
WS SERVICE AREA|25010068|tetanus and diphtheria tox (PF) 5 Lf unit-2 Lf unit/0.5 mL IM susp|90714|49281021510|293.46||293.46
WS SERVICE AREA|25010068|hepatitis B virus vaccine recomb (PF) 5 mcg/0.5 mL intramuscular susp|90744|00006498101|380.51||
WS SERVICE AREA|25010068|tetanus immune globulin (PF) 250 unit intramuscular syringe|J1670|13533063402|3,845.84||3,845.84
WS SERVICE AREA|25010068|clevidipine 50 mg/100 mL intravenous emulsion|C9248|10122061101|1,213.75||1,213.75
WS SERVICE AREA|25010068|tirofiban 12.5 mg/250 mL (50 mcg/mL)-0.9 % sodium chloride intravenous|J3246|25208000202|1,651.97||1,651.97
WS SERVICE AREA|25010068|glucagon (human recombinant) 1 mg/mL solution for injection|J1610|00597005301|726.98||
WS SERVICE AREA|25010068|glucagon (human recombinant) 1 mg/mL solution for injection|J1610|00597026010|726.98||726.98
WS SERVICE AREA|25010068|immune globu G 1 gram/10 mL(10 %)-gly-IgA ave 46 mcg/mL injection soln|J1561|13533080012|844.51||844.51
WS SERVICE AREA|25010068|immune globu G 1 gram/10 mL(10 %)-gly-IgA ave 46 mcg/mL injection soln|J1561|76125090001|1,049.31||1,049.31
WS SERVICE AREA|25010068|leuprolide 7.5 mg intramuscular syringe kit|J9217|00074364203|10,306.82||10,306.82
WS SERVICE AREA|25010068|methylnaltrexone 12 mg/0.6 mL subcutaneous syringe|J2212|65649055103|704.19||704.19
WS SERVICE AREA|25010068|morphine (PF) 2 mg/2 mL (1 mg/mL) in 0.9% sodium chloride inj syringe|J2274|69374097902|18.70||
WS SERVICE AREA|25010068|tacrolimus 5 mg/mL intravenous solution|J7525|00469301601|1,437.07||1,437.07
WS SERVICE AREA|25010068|leuprolide 3.75 mg intramuscular syringe kit|J1950|00074364103|8,649.14||8,649.14
WS SERVICE AREA|25010068|porfimer 75 mg intravenous solution|J9600|76128015575|130,300.72||130,300.72
WS SERVICE AREA|25010068|epoetin alfa 20,000 unit/mL injection solution|J0885|59676032004|3,694.46|Q4081|3,694.46
WS SERVICE AREA|25010068|epoetin alfa 20,000 unit/mL injection solution|J0885|59676032000|3,694.46|Q4081|3,694.46
WS SERVICE AREA|25010068|epoetin alfa 20,000 unit/mL injection solution|J0885|55513047801|2,292.02|Q4081|2,292.02
WS SERVICE AREA|25010068|varicella virus vaccine live (PF) 1,350 unit/0.5 mL subcutaneous susp|90716|00006482700|979.60||979.60
WS SERVICE AREA|25010068|dexrazoxane HCL 500 mg intravenous solution|J1190|00013872789|2,909.29||2,909.29
WS SERVICE AREA|25010068|adenosine (diagnostic) 3 mg/mL intravenous solution|J0153|00469087130|2,257.53||2,257.53
WS SERVICE AREA|25010068|morphine (PF) 1 mg/mL injection solution|J2274|00409381512|62.95|J2274|62.95
WS SERVICE AREA|25010068|morphine (PF) 1 mg/mL injection solution|J2274|00641601901|18.70|J2274|18.70
WS SERVICE AREA|25010068|pertuzumab 420 mg/14 mL (30 mg/mL) intravenous solution|J9306|50242014501|32,773.44||32,773.44
WS SERVICE AREA|25010068|hepatitis A virus vaccine (PF) 25 unit/0.5 mL intramuscular syringe|90633|00006409501|286.79||286.79
WS SERVICE AREA|25010068|tetanus,diphtheria toxoid ped (PF) 5 Lf unit-25 Lf unit/0.5 mL IM susp|90702|49281022510|495.98||495.98
WS SERVICE AREA|25010068|ziv-aflibercept 100 mg/4 mL (25 mg/mL) intravenous solution|J9400|00024584001|9,908.80||9,908.80
WS SERVICE AREA|25010068|ziv-aflibercept 200 mg/8 mL (25 mg/mL) intravenous solution|J9400|00024584101|19,817.60||19,817.60
WS SERVICE AREA|25010068|degarelix 80 mg subcutaneous solution|J9155|55566830301|3,376.17||3,376.17
WS SERVICE AREA|25010068|ado-trastuzumab emtansine 100 mg intravenous solution|J9354|50242008801|19,535.76||19,535.76
WS SERVICE AREA|25010068|ado-trastuzumab emtansine 160 mg intravenous solution|J9354|50242008701|31,257.19||31,257.19
WS SERVICE AREA|25010068|diphth,pertussis(acel),tetanus 2.5 Lf unit-8 mcg-5 Lf/0.5mL IM syringe|90715|58160084252|339.84||339.84
WS SERVICE AREA|25010068|diphth,pertussis(acel),tetanus 2.5 Lf unit-8 mcg-5 Lf/0.5mL IM syringe|90715|58160084243|339.84||339.84
WS SERVICE AREA|25010068|diphth,pertussis(acel),tetanus 2.5 Lf unit-8 mcg-5 Lf/0.5mL IM syringe|90715|58160084205|403.40||403.40
WS SERVICE AREA|25010068|diphth,pertussis(acell),tetanus 2.5 Lf unit-8 mcg-5 Lf/0.5 mL IM susp|90715|58160084211|339.84||339.84
WS SERVICE AREA|25010068|diphth,pertussis(acell),tetanus 2.5 Lf unit-8 mcg-5 Lf/0.5 mL IM susp|90715|58160084201|339.84||339.84
WS SERVICE AREA|25010068|golimumab 12.5 mg/mL intravenous solution|J1602|57894035001|13,185.47||13,185.47
WS SERVICE AREA|25010068|ferric carboxymaltose 50 mg iron/mL intravenous solution|J1439|00517065001|8,113.69||8,113.69
WS SERVICE AREA|25010068|ferric carboxymaltose 50 mg iron/mL intravenous solution|J1439|00517065002|7,208.97||7,208.97
WS SERVICE AREA|25010068|copper 380 square mm intrauterine device|J7300|59365512801|8,077.25||8,077.25
WS SERVICE AREA|25010068|obinutuzumab 1,000 mg/40 mL intravenous solution|J9301|50242007001|41,178.99|J9301|41,178.99
WS SERVICE AREA|25010068|ramucirumab 10 mg/mL intravenous solution|J9308|00002766901|7,478.05||7,478.05
WS SERVICE AREA|25010068|ramucirumab 10 mg/mL intravenous solution|J9308|00002767801|37,390.24||37,390.24
WS SERVICE AREA|25010068|hum prothrombin cplx (PCC) 4factor 500 unit (400-620 unit) IV solution|C9132|63833039601|8,112.83||8,112.83
WS SERVICE AREA|25010068|vedolizumab 300 mg intravenous solution|J3380|64764030020|48,361.61|J3380|48,361.61
WS SERVICE AREA|25010068|cyclophosphamide 50 mg capsule|J8530|54879002201|53.27||53.27
WS SERVICE AREA|25010068|hum prothrombin cplx(PCC)4fact 1,000 unit (800-1,240 unit) IV solution|C9132|63833038702|100.00||100.00
WS SERVICE AREA|25010068|C1 esterase inhibitor, recombinant 2,100 unit intravenous solution|J0596|68012035001|77,214.32||77,214.32
WS SERVICE AREA|25010068|oritavancin 400 mg intravenous solution||65293001501|6,681.60|J2407|6,681.60
WS SERVICE AREA|25010068|oritavancin 400 mg intravenous solution||65293001503|6,681.60|J2407|6,681.60
WS SERVICE AREA|25010068|gemcitabine 200 mg intravenous solution|J9201|00002750101|917.74||917.74
WS SERVICE AREA|25010068|gemcitabine 200 mg intravenous solution|J9201|00409018501|70.51||70.51
WS SERVICE AREA|25010068|gemcitabine 200 mg intravenous solution|J9201|47335015340|213.67||213.67
WS SERVICE AREA|25010068|peramivir (PF) 200 mg/20 mL (10 mg/mL) intravenous solution|J2547|61364018103|2,188.75||2,188.75
WS SERVICE AREA|25010068|ceftolozane-tazobactam 1.5 gram intravenous solution|J0695|67919003001|865.52|J0695|865.52
WS SERVICE AREA|25010068|nivolumab 40 mg/4 mL intravenous solution|J9299|00003377211|6,792.11|J9299|6,792.11
WS SERVICE AREA|25010068|pegfilgrastim 6 mg/0.6 mL (deliverable) wearable subcutaneous injector|J2505|55513019201|43,069.09||43,069.09
WS SERVICE AREA|25010068|pembrolizumab 25 mg/mL intravenous solution|J9271|00006302602|30,562.21||30,562.21
WS SERVICE AREA|25010068|cefTAZidime-avibactam 2.5 gram intravenous solution|J0714|00456270001|2,480.09||2,480.09
WS SERVICE AREA|25010068|meningococcal A conj vacc 1 of 2(PF) 10 mcg/0.5 mL (final) IM solution|90734|58160095801|925.52||925.52
WS SERVICE AREA|25010068|glucagon HCL 1 mg/mL solution for injection|J1610|63323059616|686.31||686.31
WS SERVICE AREA|25010068|glucagon HCL 1 mg/mL solution for injection|J1610|63323059303|722.32||722.32
WS SERVICE AREA|25010068|glucagon HCL 1 mg/mL solution for injection|J1610|63323059606|686.31||686.31
WS SERVICE AREA|25010068|glucagon HCL 1 mg/mL solution for injection|J1610|63323059611|722.32||722.32
WS SERVICE AREA|25010068|glucagon HCL 1 mg/mL solution for injection|J1610|63323059603|1,178.50||1,178.50
WS SERVICE AREA|25010068|cidofovir 75 mg/mL intravenous solution|J0740|23155021631|6,137.86||6,137.86
WS SERVICE AREA|25010068|cidofovir 75 mg/mL intravenous solution|J0740|67457021005|8,200.81||8,200.81
WS SERVICE AREA|25010068|immune glob,gamm(IgG) 5 %-sorb-IgA 0 to 50 mcg/mL intravenous solution|J1572|61953000402|1,725.93||1,725.93
WS SERVICE AREA|25010068|immune glob,gamma (IgG) 10 %-gly-IgA over 50 mcg/mL injection solution|J1569|00944270002|986.90||986.90
WS SERVICE AREA|25010068|immune glob,gamm(IgG) 10 %-pro-IgA 0 to 50 mcg/mL intravenous solution|J1459|44206043605|5,011.20||5,011.20
WS SERVICE AREA|25010068|immune glob,gamm(IgG) 10 %-pro-IgA 0 to 50 mcg/mL intravenous solution|J1459|44206043710|10,022.40||10,022.40
WS SERVICE AREA|25010068|immune glob,gamm(IgG) 10 %-pro-IgA 0 to 50 mcg/mL intravenous solution|J1459|44206043820|20,044.80||20,044.80
WS SERVICE AREA|25010068|immune glob,gamm(IgG) 10 %-pro-IgA 0 to 50 mcg/mL intravenous solution|J1459|44206043993|40,089.60||40,089.60
WS SERVICE AREA|25010068|immune glob,gamma(IgG) 15 %-18 % range-glycine intramuscular solution|J1460|13533063512|2,900.76||2,900.76
WS SERVICE AREA|25010068|immun glob,gam(IgG) 6 gram-suc-IgA over 50 mcg/mL intravenous solution|J1566|44206041706|3,981.31||3,981.31
WS SERVICE AREA|25010068|immun glob G (IgG) 12 gram-suc-IgA over 50 mcg/mL intravenous solution|J1566|44206041812|7,962.62||7,962.62
WS SERVICE AREA|25010068|immune glob,gamma(IgG) 5 gram-gly-gluc-IgA 0 to 50 mcg/mL IV solution|J1566|00944265603|6,494.52||6,494.52
WS SERVICE AREA|25010068|immune glob,gamma(IgG) 10 gram-gly-gluc-IgA 0 to 50 mcg/mL IV solution|J1566|00944265804|12,989.03||12,989.03
WS SERVICE AREA|25010068|cangrelor 50 mg intravenous solution|C9460|10122062001|6,212.51||6,212.51
WS SERVICE AREA|25010068|filgrastim-sndz 480 mcg/0.8 mL injection syringe|Q5101|61314032605|3,034.23||3,034.23
WS SERVICE AREA|25010068|filgrastim-sndz 300 mcg/0.5 mL injection syringe|Q5101|61314031805|1,896.40||1,896.40
WS SERVICE AREA|25010068|daratumumab 20 mg/mL intravenous solution|J9145|57894050205|3,441.33||3,441.33
WS SERVICE AREA|25010068|daratumumab 20 mg/mL intravenous solution|J9145|57894050220|13,765.30||13,765.30
WS SERVICE AREA|25010068|HYDROXYprogesterone caproate (pregnancy preserving) 250 mg/mL IM oil||55150031001|7,484.59|J1726|7,484.59
WS SERVICE AREA|25010068|bendamustine 25 mg/mL intravenous solution|J9034|63459034804|15,320.24||15,320.24
WS SERVICE AREA|25010068|ciprofloxacin 6 % (6 mg/0.1 mL) intratympanic suspension|J7342|69251020101|215.52||215.52
WS SERVICE AREA|25010068|methylene blue (antidote) 5 mg/mL (0.5 %) intravenous solution|Q9968|00517037401|1,644.85||1,644.85
WS SERVICE AREA|25010068|methylene blue (antidote) 5 mg/mL (0.5 %) intravenous solution|Q9968|00517037405|1,644.85||1,644.85
WS SERVICE AREA|25010068|ustekinumab 130 mg/26 mL intravenous solution||57894005427|11,601.13|J3358|11,601.13
WS SERVICE AREA|25010068|avelumab 20 mg/mL intravenous solution|J9023|44087353501|10,184.57||10,184.57
WS SERVICE AREA|25010068|trastuzumab 150 mg intravenous solution|J9355|50242013201|9,651.30||9,651.30
WS SERVICE AREA|25010068|sarilumab 200 mg/1.14 mL subcutaneous syringe|C9399|00024591001|12,025.01||12,025.01
WS SERVICE AREA|25010068|benralizumab 30 mg/mL subcutaneous syringe|C9466|00310173030|34,862.19|J0517|34,862.19
WS SERVICE AREA|25010068|rabies immune globulin (PF) 300 unit/mL intramuscular solution|90375|13533031801|4,634.08||4,634.08
WS SERVICE AREA|25010068|rabies immune globulin (PF) 300 unit/mL intramuscular solution|90375|13533031805|23,170.34||23,170.34
WS SERVICE AREA|25010068|iron dextran 50 mg/mL injection solution|J1750|00023608201|247.50||247.50
WS SERVICE AREA|25010068|factor Xa,inactivated-zhzo (recombinant) 100 mg intravenous solution|J7169|69853010101|19,008.00||19,008.00
WS SERVICE AREA|25010068|cocaine 4 % nasal solution|C9046|64950036204|1,864.45||1,864.45
WS SERVICE AREA|25010068|epoetin alfa-epbx 10,000 unit/mL injection solution|Q5106|00069130801|762.39|Q5105|762.39
WS SERVICE AREA|25010068|epoetin alfa-epbx 10,000 unit/mL injection solution|Q5106|00069130810|762.39|Q5105|762.39
WS SERVICE AREA|25010068|epoetin alfa-epbx 40,000 unit/mL injection solution|Q5106|00069130901|3,049.57|Q5105|3,049.57
WS SERVICE AREA|25010068|pegfilgrastim-cbqv 6 mg/0.6 mL subcutaneous syringe|Q5111|70114010101|28,857.60|Q5111|28,857.60
WS SERVICE AREA|25010068|ravulizumab-cwvz 10 mg/mL intravenous solution|J1303|25682002201|39,660.03||39,660.03
WS SERVICE AREA|25010068|factor Xa,inactivated-zhzo (recombinant) 200 mg intravenous solution|J7169|69853010201|38,016.00||38,016.00
WS SERVICE AREA|25010068|caplacizumab-yhdp 11 mg solution for injection||58468022701|50,457.60|C9047|50,457.60
WS SERVICE AREA|25010068|diph,pertus(acel),tet ped(PF) 25 Lf unit-58 mcg-10 Lf/0.5mL IM syringe|90700|58160081052|196.01||196.01
WS SERVICE AREA|25010068|diph,pertus(acel),tet ped(PF) 25 Lf unit-58 mcg-10 Lf/0.5mL IM syringe|90700|58160081043|196.01||196.01
WS SERVICE AREA|25010068|coagulation factor IX (recomb) 500 unit intravenous kit|J7195|58394063403|100.00||100.00
WS SERVICE AREA|25010068|coagulation factor IX (recomb) 1,000 unit intravenous kit|J7195|58394063503|100.00||100.00
WS SERVICE AREA|25010068|levOCARNitine 200 mg/mL intravenous solution|J1955|54482014701|280.63||280.63
WS SERVICE AREA|25010068|leuprolide 11.25 mg (3 month) intramuscular syringe kit|J1950|00074366303|25,947.68||25,947.68
WS SERVICE AREA|25010068|leuprolide 22.5 mg (3 month) intramuscular syringe kit|J9217|00074334603|30,920.35||30,920.35
WS SERVICE AREA|25010068|leuprolide 30 mg (4 month) intramuscular syringe kit|J9217|00074368303|41,227.17||41,227.17
WS SERVICE AREA|25010068|amphotericin B liposome 50 mg intravenous suspension|J0289|00469305130|1,793.66||1,793.66
WS SERVICE AREA|25010068|rabies vaccine, purified chicken embryo cell (PF) 2.5 unit IM susp|90675|58160096412|2,399.22||2,399.22
WS SERVICE AREA|25010068|riTUXimab 10 mg/mL concentrate,intravenous|J9310|50242005121|5,818.45|J9312|5,818.45
WS SERVICE AREA|25010068|riTUXimab 10 mg/mL concentrate,intravenous|J9310|50242005306|29,092.24|J9312|29,092.24
WS SERVICE AREA|25010068|fomepizole 1 gram/mL intravenous solution|J1451|39822071001|7,430.40||7,430.40
WS SERVICE AREA|25010068|fomepizole 1 gram/mL intravenous solution|J1451|00781318273|9,433.84||9,433.84
WS SERVICE AREA|25010068|fomepizole 1 gram/mL intravenous solution|J1451|67457021102|8,516.69||8,516.69
WS SERVICE AREA|25010068|DAUNOrubicin 5 mg/mL intravenous solution|J9150|00703523313|830.75||830.75
WS SERVICE AREA|25010068|amphotericin B lipid complex 5 mg/mL intravenous suspension|J0287|57665010141|847.30||847.30
WS SERVICE AREA|25010068|capecitabine 500 mg tablet|J8521|51079051001|334.91||334.91
WS SERVICE AREA|25010068|capecitabine 500 mg tablet|J8521|51079051005|334.91||334.91
WS SERVICE AREA|25010068|inFLIXimab 100 mg intravenous solution|J1745|57894003001|8,071.97||8,071.97
WS SERVICE AREA|25010068|trastuzumab 440 mg intravenous solution|J9355|50242005656|25,153.30||
WS SERVICE AREA|25010068|trastuzumab 440 mg intravenous solution|J9355|50242013468|22,348.37||
WS SERVICE AREA|25010068|epoetin alfa 40,000 unit/mL injection solution|J0885|59676034001|7,388.93|Q4081|7,388.93
WS SERVICE AREA|25010068|temozolomide 5 mg capsule|J8700|65162080114|110.06||110.06
WS SERVICE AREA|25010068|temozolomide 20 mg capsule|J8700|00093760041|92.26||92.26
WS SERVICE AREA|25010068|temozolomide 20 mg capsule|J8700|00093760057|92.28||92.28
WS SERVICE AREA|25010068|temozolomide 20 mg capsule|J8700|67877053814|108.10||108.10
WS SERVICE AREA|25010068|temozolomide 100 mg capsule|J8700|00093760141|92.26||92.26
WS SERVICE AREA|25010068|temozolomide 100 mg capsule|J8700|00093760157|92.26||92.26
WS SERVICE AREA|25010068|temozolomide 100 mg capsule|J8700|67877053907|107.36||107.36
WS SERVICE AREA|25010068|pantoprazole 40 mg intravenous solution|C9113|00143930001|28.81||28.81
WS SERVICE AREA|25010068|morphine (PF) 25 mg/mL injection solution|Q9974|00641604001|2,444.50|J2274|2,444.50
WS SERVICE AREA|25010068|DOXOrubicin, pegylated liposomaL 2 mg/mL intravenous suspension|Q2050|47335004940|6,001.02||6,001.02
WS SERVICE AREA|25010068|DOXOrubicin, pegylated liposomaL 2 mg/mL intravenous suspension|Q2050|47335005040|15,002.85||15,002.85
WS SERVICE AREA|25010068|tenecteplase 50 mg intravenous kit|J3101|50242012001|25,790.86||25,790.86
WS SERVICE AREA|25010068|carmustine 100 mg intravenous solution|J9050|00015301260|1,273.84||1,273.84
WS SERVICE AREA|25010068|argatroban 100 mg/mL intravenous solution|J0883|00143967401|9,805.22|J0883|9,805.22
WS SERVICE AREA|25010068|argatroban 100 mg/mL intravenous solution|J0883|42023018201|3,525.12|J0883|3,525.12
WS SERVICE AREA|25010068|erythromycin lactobionate 500 mg intravenous solution|J1364|00409648201|693.13||693.13
WS SERVICE AREA|25010068|erythromycin lactobionate 500 mg intravenous solution|J1364|00409647644|709.17||709.17
WS SERVICE AREA|25010068|levonorgestreL 20 mcg/24 hours (6 yrs) 52 mg intrauterine device|J7298|50419042301|7,256.21||7,256.21
WS SERVICE AREA|25010068|crotalidae polyval immune fab solution for injection|J0840|50633011012|44,209.15||44,209.15
WS SERVICE AREA|25010068|bivalirudin 250 mg intravenous powder for solution|J0583|00781315895|7,860.80||7,860.80
WS SERVICE AREA|25010068|bivalirudin 250 mg intravenous powder for solution|J0583|00781915895|7,860.80||7,860.80
WS SERVICE AREA|25010068|bivalirudin 250 mg intravenous powder for solution|J0583|63323056210|3,511.30||3,511.30
WS SERVICE AREA|25010068|bivalirudin 250 mg intravenous powder for solution|J0583|55111065237|2,592.00||2,592.00
WS SERVICE AREA|25010068|bivalirudin 250 mg intravenous powder for solution|J0583|65293000101|6,739.20||6,739.20
WS SERVICE AREA|25010068|morphine (PF) 0.5 mg/mL injection solution|Q9974|00409381412|57.02|J2274|57.02
WS SERVICE AREA|25010068|morphine (PF) 0.5 mg/mL injection solution|Q9974|00641602001|245.38|J2274|245.38
WS SERVICE AREA|25010068|factor IX cplx(PCC) no.4, 3-factor 500 (+/-) unit intravenous solution|J7194|68516320101|4,180.28||4,180.28
WS SERVICE AREA|25010068|digoxin immune fab 40 mg intravenous solution|J1162|50633012011|27,468.29||27,468.29
WS SERVICE AREA|25010068|pegfilgrastim 6 mg/0.6 mL subcutaneous syringe|J2505|55513019001|43,069.09||43,069.09
WS SERVICE AREA|25010068|onabotulinumtoxinA 100 unit solution for injection|J0585|00023114501|4,154.11||4,154.11
WS SERVICE AREA|25010068|treprostinil sodium 1 mg/mL injection solution|J3285|66302010101|8,801.19||8,801.19
WS SERVICE AREA|25010068|voriconazole 200 mg intravenous solution|J3465|00049319001|510.92||510.92
WS SERVICE AREA|25010068|rasburicase 1.5 mg intravenous solution|J2783|00024515010|5,647.19||5,647.19
WS SERVICE AREA|25010068|leuprolide 22.5 mg (3 month) subcutaneous syringe|J9217|62935022305|8,391.95||8,391.95
WS SERVICE AREA|25010068|hep B-DP(a)T-polio vacc (PF) 10 mcg-25Lf-25 mcg-10Lf/0.5 mL IM syringe|90723|58160081152|670.81||670.81
WS SERVICE AREA|25010068|hep B-DP(a)T-polio vacc (PF) 10 mcg-25Lf-25 mcg-10Lf/0.5 mL IM syringe|90723|58160081143|670.81||670.81
WS SERVICE AREA|25010068|aprepitant 80 mg capsule|J8501|00006046101|1,664.84||1,664.84
WS SERVICE AREA|25010068|aprepitant 125 mg capsule|J8501|00006046201|1,664.85||1,664.85
WS SERVICE AREA|25010068|aprepitant 125 mg capsule|J8501|00781232306|1,550.67||1,550.67
WS SERVICE AREA|25010068|aprepitant 125 mg capsule|J8501|00781232368|1,550.67||1,550.67
WS SERVICE AREA|25010068|agalsidase beta 35 mg intravenous solution|J0180|58468004001|43,214.52||43,214.52
WS SERVICE AREA|25010068|bortezomib 3.5 mg solution for injection|J9041|63020004901|9,927.38||9,927.38
WS SERVICE AREA|25010068|interferon beta-1a 30 mcg/0.5 mL intramuscular syringe kit|Q3027|59627022205|48,828.17||48,828.17
WS SERVICE AREA|25010068|risperiDONE microspheres ER 50 mg/2 mL intramuscular susp,ext release|J2794|50458030811|7,029.99||7,029.99
WS SERVICE AREA|25010068|HYDROmorphone (PF) 1 mg/mL injection syringe|J1170|76045000901|35.16||35.16
WS SERVICE AREA|25010068|PEMEtrexed 500 mg intravenous solution|J9305|00002762301|22,906.98||22,906.98
WS SERVICE AREA|25010068|cetuximab 100 mg/50 mL intravenous solution|J9055|66733094823|4,127.63||4,127.63
WS SERVICE AREA|25010068|cyclophosphamide 1 gram intravenous powder for solution|J9070|10019095601|4,536.37||4,536.37
WS SERVICE AREA|25010068|cyclophosphamide 1 gram intravenous powder for solution|J9070|10019095616|4,536.37||4,536.37
WS SERVICE AREA|25010068|cyclophosphamide 500 mg intravenous powder for solution|J9070|10019095501|2,268.19||2,268.19
WS SERVICE AREA|25010068|cyclophosphamide 2 gram intravenous powder for solution|J9070|10019095701|9,072.75||9,072.75
WS SERVICE AREA|25010068|cyclophosphamide 2 gram intravenous powder for solution|J9070|10019095711|9,072.75||9,072.75
WS SERVICE AREA|25010068|acetylcysteine 200 mg/mL (20 %) intravenous solution|J0132|66220020730|175.39||175.39
WS SERVICE AREA|25010068|acetylcysteine 200 mg/mL (20 %) intravenous solution|J0132|63323096330|159.30||159.30
WS SERVICE AREA|25010068|acetylcysteine 200 mg/mL (20 %) intravenous solution|J0132|00574080530|191.15||191.15
WS SERVICE AREA|25010068|agalsidase beta 5 mg intravenous solution|J0180|58468004101|6,172.49||6,172.49
WS SERVICE AREA|25010068|milrinone 20 mg/100 mL(200 mcg/mL) in 5 % dextrose *|J2260|00000005341|18.70||18.70
WS SERVICE AREA|25010068|calcium gluconate 100 mg/mL (10 %) intravenous solution|J0610|63323031110|45.75||45.75
WS SERVICE AREA|25010068|calcium gluconate 100 mg/mL (10 %) intravenous solution|J0610|63323031150|72.44||72.44
WS SERVICE AREA|25010068|calcium gluconate 100 mg/mL (10 %) intravenous solution|J0610|63323031161|148.28||148.28
WS SERVICE AREA|25010068|ganciclovir sodium 5mg/mL intravenous solution|J1570|00000005437|2,764.80||
WS SERVICE AREA|25010068|bortezomib 3.5 mg solution for subcutaneous inj|J9041|63020004904|9,927.38||9,927.38
WS SERVICE AREA|25010068|flu vaccine qs 2020-21(6mos up)(PF) 60 mcg(15 mcgx4)/0.5 mL IM syringe|90686|19515081652|127.94||
WS SERVICE AREA|25010068|flu vaccine qs2020-21(65yr up)(PF)240 mcg/0.7 mL intramuscular syringe|90662|49281012065|428.06||
WS SERVICE AREA|25010068|albumin, human 5 % intravenous solution|P9041|68516521401|389.76||389.76
WS SERVICE AREA|25010068|albumin, human 5 % intravenous solution|P9041|68982062302|586.76||586.76
WS SERVICE AREA|25010068|albumin, human 5 % intravenous solution|P9041|44206031025|762.57||762.57
WS SERVICE AREA|25010068|albumin, human 5 % intravenous solution|P9041|44206031050|762.57||762.57
WS SERVICE AREA|25010068|milrinone 20 mg/100 mL(200 mcg/mL) in 5 % dextrose intravenous piggybk|J2260|00409277623|134.72||134.72
WS SERVICE AREA|25010068|milrinone 20 mg/100 mL(200 mcg/mL) in 5 % dextrose intravenous piggybk|J2260|00338601048|244.87||244.87
WS SERVICE AREA|25010068||J2997|50242008525|5,474.53||5,474.53
WS SERVICE AREA|25010068||J2997|50242004406|2,737.26||2,737.26
WS SERVICE AREA|25010068||J2997|50242004413|2,737.26||2,737.26
WS SERVICE AREA|25010068|hepatitis B virus vaccine recomb (PF) 10 mcg/0.5 mL intramuscular susp,hepatitis B virus vaccine recomb (PF) 10 mcg/0.5 mL|90744|58160082043|204.36||204.36
WS SERVICE AREA|25010068|azaCITIDine 100 mg solution for injection|J9025|59572010201|3,624.39||3,624.39
WS SERVICE AREA|25010068|piperacillin-tazobactam 4.5 gram/100 mL NS|J2543|00000005158|16.52||
WS SERVICE AREA|25010068||J0696|00000005163|130.50||
WS SERVICE AREA|25010068|bivalirudin 250 mg/50 mL infusion|J0583|00000005189|3,983.80||
WS SERVICE AREA|25010068|phenylephrine 50 mg/500 mL infusion|J2370|00000005194|90.83||
WS SERVICE AREA|25010068|adenosine 3 mg/mL intravenous solution,adenosine 3 mg/mL intravenous syringe,adenosine (diagnostic) 3 mg/mL intravenous solution|J0153|17478054225|57.19|J0153|57.19
WS SERVICE AREA|25010068|adenosine 3 mg/mL intravenous solution,adenosine 3 mg/mL intravenous syringe,adenosine (diagnostic) 3 mg/mL intravenous solution|J0153|17478095302|63.02|J0153|63.02
WS SERVICE AREA|25010068|alteplase 5 mg/5 mL syringe|J2997|00000005262|2,644.88||
WS SERVICE AREA|25010068||J0153|00000005622|888.70||
WS SERVICE AREA|25010068|natalizumab 300 mg/15 mL intravenous solution|J2323|64406000801|49,017.73||49,017.73
WS SERVICE AREA|25010068|PACLitaxel-protein bound 100 mg intravenous suspension|J9264|68817013450|8,960.71||8,960.71
WS SERVICE AREA|25010068|albumin, human 25 % intravenous solution|P9046|68516521601|389.76||389.76
WS SERVICE AREA|25010068|albumin, human 25 % intravenous solution|P9046|68516521602|779.52||779.52
WS SERVICE AREA|25010068|albumin, human 25 % intravenous solution|P9046|44206025105|762.57||762.57
WS SERVICE AREA|25010068|albumin, human 25 % intravenous solution|P9046|44206025110|1,244.16||1,244.16
WS SERVICE AREA|25010068|antithrombin III (recombinant) 100 units/mL in 0.9% sodium chloride infusion||00000005374|60,908.16||
WS SERVICE AREA|25010068|PHENobarbital 10 mg/mL in NS maintenance dose|J2560|00000005619|28.38||
WS SERVICE AREA|25010068|antithrombin III (recombinant) 100 units/mL in 0.9% sodium chloride bolus|J7197|00000005373|1,740.23||
WS SERVICE AREA|25010068||J0153|00000005623|1,728.60||
WS SERVICE AREA|25010068|micafungin 50 mg intravenous solution|J2248|00469325010|792.23||792.23
WS SERVICE AREA|25010068|fludarabine 50 mg/2 mL intravenous solution|J9185|63323019202|1,683.75||1,683.75
WS SERVICE AREA|25010068|tigecycline 50 mg intravenous solution|J3243|00008499019|1,087.15||1,087.15
WS SERVICE AREA|25010068|tigecycline 50 mg intravenous solution|J3243|00008499020|1,087.15||1,087.15
WS SERVICE AREA|25010068|palivizumab 100 mg/mL intramuscular solution|90378|60574411301|20,533.34||20,533.34
WS SERVICE AREA|25010068|methylene blue (antidote) 1 % (10 mg/mL) intravenous solution|Q9968|00517030110|52.96||52.96
WS SERVICE AREA|25010068|methylene blue (antidote) 1 % (10 mg/mL) intravenous solution|Q9968|17478050401|170.61||170.61
WS SERVICE AREA|25010068|PHENobarbital sodium 130 mg/mL injection solution|J2560|00641047721|527.33||527.33
WS SERVICE AREA|25010068|PHENobarbital sodium 65 mg/mL injection solution|J2560|00641047621|203.18||203.18
WS SERVICE AREA|25010068|pralidoxime 1 gram solution for injection|J2730|60977014127|734.61||734.61
WS SERVICE AREA|25010068|abatacept (with maltose) 250 mg intravenous solution|J0129|00003218710|8,125.54||8,125.54
WS SERVICE AREA|25010068|antihemophilic factor-vWF 500 unit-1,200 unit intravenous solution|J7187|63833061602|8,608.27||8,608.27
WS SERVICE AREA|25010068|antihemophilic factor-vWF 1,000 unit-2,400 unit intravenous solution|J7187|63833061702|100.00||100.00
WS SERVICE AREA|25010068|rotavirus vaccine live, pentavalent 2 mL oral solution|90680|00006404741|663.09||663.09
WS SERVICE AREA|25010068|rotavirus vaccine live, pentavalent 2 mL oral solution|90680|00006404701|663.07||663.07
WS SERVICE AREA|25010068|rho(D) immune globulin-maltose 1,500 unit (300 mcg)/1.3 mL inject.soln||00944296703|2,321.32||2,321.32
WS SERVICE AREA|25010068|decitabine 50 mg intravenous solution|J0894|62856060001|10,596.22||10,596.22
WS SERVICE AREA|25010068|rasburicase 7.5 mg intravenous solution|J2783|00024515175|28,235.93||28,235.93
WS SERVICE AREA|25010068|darbepoetin alfa 60 mcg/mL in polysorbate injection|J0881|55513000404|3,209.93|J0882|3,209.93
WS SERVICE AREA|25010068|darbepoetin alfa 100 mcg/mL in polysorbate injection|J0881|55513000504|5,349.89|J0882|5,349.89
WS SERVICE AREA|25010068|darbepoetin alfa 200 mcg/mL in polysorbate injection|J0881|55513000601|10,699.78|J0882|10,699.78
WS SERVICE AREA|25010068|morphine (PF) 10 mg/mL injection solution|Q9974|00641603901|1,437.70|J2274|1,437.70
WS SERVICE AREA|25010068|etonogestreL 68 mg subdermal implant|J7307|00052433001|7,469.67||7,469.67
WS SERVICE AREA|25010068|darbepoetin alfa 300 mcg/mL in polysorbate injection|J0881|55513011001|16,049.66|J0882|16,049.66
WS SERVICE AREA|25010068|micafungin 100 mg intravenous solution|J2248|00469321110|1,292.54||1,292.54
WS SERVICE AREA|25010068|micafungin 100 mg intravenous solution|J2248|00469321199|1,292.54||1,292.54
WS SERVICE AREA|25010068|testosterone cypionate 200 mg/mL intramuscular oil|J1080|00574082001|49.10|J1071|49.10
WS SERVICE AREA|25010068|testosterone cypionate 200 mg/mL intramuscular oil|J1080|00009041701|44.48|J1071|44.48
WS SERVICE AREA|25010068|azaCITIDine 100 mg solution for injection|J9025|59572010201|3,624.39||3,624.39
WS SERVICE AREA|25010068|azaCITIDine 100 mg solution for injection|J9025|00781925394|3,824.92||3,824.92
WS SERVICE AREA|25010068|eculizumab 300 mg/30 mL intravenous solution|J1300|25682000101|45,086.91||45,086.91
WS SERVICE AREA|25010068|temsirolimus 30 mg/3 mL (10 mg/mL) (first dilution) intravenous soln|J9330|00008117901|27,397.68||27,397.68
WS SERVICE AREA|25010068|coagulation factor IX (recomb) 2,000 unit intravenous kit|J7195|58394063603|100.00||100.00
WS SERVICE AREA|25010068|lanreotide 120 mg/0.5 mL subcutaneous syringe|J1930|15054112003|60,521.47||60,521.47
WS SERVICE AREA|25010068|lanreotide 120 mg/0.5 mL subcutaneous syringe|J1930|15054112004|60,521.47||60,521.47
WS SERVICE AREA|25010068|epiRUBicin 50 mg/25 mL intravenous solution|J9178|25021020325|457.86||457.86
WS SERVICE AREA|25010068|epiRUBicin 50 mg/25 mL intravenous solution|J9178|00009509101|352.74||352.74
WS SERVICE AREA|25010068|IDArubicin 1 mg/mL intravenous solution|J9211|00703415411|628.41||628.41
WS SERVICE AREA|25010068|ixabepilone 45 mg intravenous solution|J9207|00015191113|21,297.42||21,297.42
WS SERVICE AREA|25010068|adenosine 3 mg/mL intravenous syringe|J0150|63323065121|134.72|J0153|134.72
WS SERVICE AREA|25010068|albumin, human 25 % intravenous solution|P9047|68516521601|389.76||389.76
WS SERVICE AREA|25010068|albumin, human 25 % intravenous solution|P9047|68516521602|389.76||389.76
WS SERVICE AREA|25010068|albumin, human 25 % intravenous solution|P9047|44206025191|762.57||762.57
WS SERVICE AREA|25010068|albumin, human 25 % intravenous solution|P9047|44206025105|762.57||762.57
WS SERVICE AREA|25010068|albumin, human 25 % intravenous solution|P9047|44206025110|762.57||762.57
WS SERVICE AREA|25010068|albumin, human 5 % intravenous solution|P9041|68516521401|389.76||389.76
WS SERVICE AREA|25010068|albumin, human 5 % intravenous solution|P9041|76125079026|406.70||406.70
WS SERVICE AREA|25010068|albumin, human 5 % intravenous solution|P9041|68982062302|586.76||586.76
WS SERVICE AREA|25010068|albumin, human 5 % intravenous solution|P9041|44206031025|762.57||762.57
WS SERVICE AREA|25010068|albumin, human 5 % intravenous solution|P9041|44206031050|762.57||762.57
WS SERVICE AREA|25010068|aldesleukin 22 million unit intravenous solution|J9015|65483011607|3,955.30||3,955.30
WS SERVICE AREA|25010068|alprostadiL 500 mcg/mL injection solution|J0270|00009316901|901.10||901.10
WS SERVICE AREA|25010068|alteplase 100 mg intravenous solution|J2997|50242008525|30,414.04||30,414.04
WS SERVICE AREA|25010068|alteplase 50 mg intravenous solution|J2997|50242004406|30,414.04||30,414.04
WS SERVICE AREA|25010068|alteplase 50 mg intravenous solution|J2997|50242004413|30,414.04||30,414.04
WS SERVICE AREA|25010068|hepatitis A virus vaccine (PF) 25 unit/0.5 mL intramuscular suspension|90633|00006483141|286.79||286.79
WS SERVICE AREA|25010068|hepatitis A virus vaccine (PF) 50 unit/mL intramuscular suspension|90632|00006484100|616.33||616.33
WS SERVICE AREA|25010068|hepatitis A virus vaccine (PF) 50 unit/mL intramuscular suspension|90632|00006484141|606.52||606.52
WS SERVICE AREA|25010068|hepatitis B immune globulin > 1,560 unit/5 mL intramuscular solution|90371|59730420301|5,560.29||5,560.29
WS SERVICE AREA|25010068|antithrombin III (human) 500 (+/-) unit intravenous solution|J7197|13533060320|12,014.42||12,014.42
WS SERVICE AREA|25010068|secretin (human) 16 mcg intravenous solution|J2850|67066000501|3,628.80||3,628.80
WS SERVICE AREA|25010068|methylnaltrexone 12 mg/0.6 mL subcutaneous solution|J2212|65649055102|843.91||
WS SERVICE AREA|25010068|diph,pertus(acell),tet,polio (PF) 25 Lf-58 mcg-10 Lf/0.5 mL IM syringe|90696|58160081252|428.85||428.85
WS SERVICE AREA|25010068|LEVOleucovorin calcium 50 mg intravenous powder for solution|J0641|68152010100|63.55||63.55
WS SERVICE AREA|25010068|coagulation factor VIIa recomb 1 mg (1,000 mcg) intravenous solution|J7189|00169720101|14,429.69||14,429.69
WS SERVICE AREA|25010068|coagulation factor VIIa recomb 2 mg (2,000 mcg) intravenous solution|J7189|00169720201|28,859.38||28,859.38
WS SERVICE AREA|25010068|coagulation factor VIIa recomb 5 mg (5,000 mcg) intravenous solution|J7189|00169720501|72,148.45||72,148.45
WS SERVICE AREA|25010068|calcitonin (salmon) 200 unit/mL injection solution|J0630|67457067502|22,420.32||22,420.32
WS SERVICE AREA|25010068|mitoXANTRONE 2 mg/mL concentrate,intravenous|J9293|00703468501|1,052.81||1,052.81
WS SERVICE AREA|25010068|mitoXANTRONE 2 mg/mL concentrate,intravenous|J9293|61703034318|1,058.07||1,058.07
WS SERVICE AREA|25010068|clevidipine 25 mg/50 mL intravenous emulsion|C9248|10122061001|743.93||743.93
WS SERVICE AREA|25010068|chlorothiazide sodium 500 mg intravenous solution|J1205|63323065820|2,057.70||2,057.70
WS SERVICE AREA|25010068|chlorothiazide sodium 500 mg intravenous solution|J1205|63323065827|412.55||412.55
WS SERVICE AREA|25010068|chlorothiazide sodium 500 mg intravenous solution|J1205|47335033040|862.27||862.27
WS SERVICE AREA|25010068|chlorothiazide sodium 500 mg intravenous solution|J1205|17478041940|862.27||862.27
WS SERVICE AREA|25010068|chlorothiazide sodium 500 mg intravenous solution|J1205|76478071140|4,302.51||4,302.51
WS SERVICE AREA|25010068|chlorothiazide sodium 500 mg intravenous solution|J1205|00517182001|1,105.92||1,105.92
WS SERVICE AREA|25010068|chlorothiazide sodium 500 mg intravenous solution|J1205|25021030520|508.38||508.38
WS SERVICE AREA|25010068|chlorothiazide sodium 500 mg intravenous solution|J1205|25021030566|268.42||268.42
WS SERVICE AREA|25010068|cosyntropin 0.25 mg solution for injection|J0834|67457025700|815.44||815.44
WS SERVICE AREA|25010068|cosyntropin 0.25 mg solution for injection|J0834|67457025702|815.44||815.44
WS SERVICE AREA|25010068|lacosamide 200 mg/20 mL intravenous solution|C9254|00131181067|165.01||165.01
WS SERVICE AREA|25010068|degarelix 120 mg subcutaneous solution|J9155|55566840301|9,439.25||9,439.25
WS SERVICE AREA|25010068|conivaptan 20 mg/100 mL in 5 % dextrose IV|C9488|66220016010|4,890.93||4,890.93
WS SERVICE AREA|25010068|antithrombin III, human recombinant 1,750 unit intravenous solution||42976012102|100.00||100.00
WS SERVICE AREA|25010068|DAUNOrubicin 20 mg intravenous solution|J9150|63323011908|650.27||650.27
WS SERVICE AREA|25010068|temozolomide 100 mg intravenous solution|J9328|00085138101|6,212.26||6,212.26
WS SERVICE AREA|25010068|desmopressin 4 mcg/mL injection solution|J2597|00703505401|4,114.02||4,114.02
WS SERVICE AREA|25010068|desmopressin 4 mcg/mL injection solution|J2597|55566220000|687.50||687.50
WS SERVICE AREA|25010068|factor IX cplx(PCC)no.4, 3factor 1,500 (+/-) unit intravenous solution|J7194|68516320302|12,540.83||12,540.83
WS SERVICE AREA|25010068|epoetin alfa 10,000 unit/mL injection solution|J0885|59676031000|1,847.23|Q4081|1,847.23
WS SERVICE AREA|25010068|epoetin alfa 10,000 unit/mL injection solution|J0885|59676031002|1,847.16|Q4081|1,847.16
WS SERVICE AREA|25010068|epoetin alfa 3,000 unit/mL injection solution|J0885|55513026701|421.45|Q4081|421.45
WS SERVICE AREA|25010068|epoetin alfa 3,000 unit/mL injection solution|J0885|55513026710|421.45|Q4081|421.45
WS SERVICE AREA|25010068|epoetin alfa 3,000 unit/mL injection solution|J0885|59676030301|679.37|Q4081|679.37
WS SERVICE AREA|25010068|epoetin alfa 4,000 unit/mL injection solution|J0885|55513014810|561.93|Q4081|561.93
WS SERVICE AREA|25010068|epoetin alfa 4,000 unit/mL injection solution|J0885|59676030401|738.89|Q4081|738.89
WS SERVICE AREA|25010068|paliperidone palmitate 156 mg/mL intramuscular syringe|J2426|50458056301|9,695.53||9,695.53
WS SERVICE AREA|25010068|conjugated estrogens 25 mg solution for injection|J1410|00046074905|2,154.06||2,154.06
WS SERVICE AREA|25010068|PRALAtrexate 20 mg/mL (1 mL) intravenous solution|J9307|48818000101|36,418.06||36,418.06
WS SERVICE AREA|25010070|etoposide 20 mg/mL intravenous solution|J9181|16729011431|86.76||86.76
WS SERVICE AREA|25010070|etoposide 20 mg/mL intravenous solution|J9181|00703565301|71.50||71.50
WS SERVICE AREA|25010070|fluconazole 200 mg/100 mL in sod. chloride (iso) intravenous piggyback|J1450|25021011382|76.26||76.26
WS SERVICE AREA|25010070|fluconazole 200 mg/100 mL in sod. chloride (iso) intravenous piggyback|J1450|25021018466|33.89||33.89
WS SERVICE AREA|25010070|fluconazole 400 mg/200 mL in sod. chloride(iso) intravenous piggyback|J1450|00409468816|59.31||59.31
WS SERVICE AREA|25010070|gentamicin 80 mg/100 mL in sodium chloride(iso) intravenous piggyback|J1580|00338050348|28.81||28.81
WS SERVICE AREA|25010070|haloperidol decanoate 50 mg/mL intramuscular solution|J1631|10147092103|109.68||109.68
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|00409272002|18.70||18.70
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|63323054057|18.70||18.70
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|25021040030|18.70||18.70
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|00069005801|18.70||18.70
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|00069005802|18.70||18.70
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|00069013703|18.70||18.70
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|00409272031|18.70||18.70
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|67457038431|18.70||18.70
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|67457038510|18.70||18.70
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|00000005641|18.70||
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|63323054001|32.79||32.79
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|63323054031|18.70||18.70
WS SERVICE AREA|25010070|heparin (porcine) 10,000 unit/mL injection solution|J1644|63739096411|45.54||45.54
WS SERVICE AREA|25010070|heparin (porcine) 10,000 unit/mL injection solution|J1644|63323054201|64.65||64.65
WS SERVICE AREA|25010070|heparin (porcine) 10,000 unit/mL injection solution|J1644|63323054207|217.50||217.50
WS SERVICE AREA|25010070|heparin (porcine) 5,000 unit/mL injection solution|J1644|00409272330|18.70||18.70
WS SERVICE AREA|25010070|HYDROmorphone (PF) 10 mg/mL injection solution|J1170|17478054001|25.38||25.38
WS SERVICE AREA|25010070|HYDROmorphone (PF) 10 mg/mL injection solution|J1170|17478054005|72.99||72.99
WS SERVICE AREA|25010070|HYDROmorphone (PF) 10 mg/mL injection solution|J1170|00703001801|715.39||715.39
WS SERVICE AREA|25010070|LORazepam 2 mg/mL injection solution|J2060|00409678002|63.55||63.55
WS SERVICE AREA|25010070|LORazepam 2 mg/mL injection solution|J2060|00409677802|18.70||18.70
WS SERVICE AREA|25010070|LORazepam 2 mg/mL injection solution|J2060|00641604801|18.70||18.70
WS SERVICE AREA|25010070|LORazepam 2 mg/mL injection solution|J2060|00641605001|57.45||57.45
WS SERVICE AREA|25010070|melphalan 2 mg tablet|J8600|52609000105|86.38||86.38
WS SERVICE AREA|25010070|mesna 100 mg/mL intravenous solution|J9209|25021020110|169.46||169.46
WS SERVICE AREA|25010070|methadone 10 mg/mL injection solution|J1230|67457021720|3,226.38||3,226.38
WS SERVICE AREA|25010070|methadone 10 mg/mL injection solution|J1230|00000005293|98.88||98.88
WS SERVICE AREA|25010070|heparin, porcine (PF) 10 unit/mL intravenous syringe|J1642|64253022235|18.70||18.70
WS SERVICE AREA|25010070|mepivacaine (PF) 10 mg/mL (1 %) injection solution|J0670|00409103630|18.70||18.70
WS SERVICE AREA|25010070|methylergonovine 0.2 mg/mL (1 mL) injection solution|J2210|00517074001|229.79||229.79
WS SERVICE AREA|25010070|methylergonovine 0.2 mg/mL (1 mL) injection solution|J2210|51991014499|200.91||200.91
WS SERVICE AREA|25010070|methylPREDNISolone 2 mg tablet|J7509|00009002001|12.37||12.37
WS SERVICE AREA|25010070|methylPREDNISolone sodium succinate 1,000 mg intravenous solution|J2930|63323026530|289.95||289.95
WS SERVICE AREA|25010070|methylPREDNISolone sodium succinate 1,000 mg intravenous solution|J2930|00009069801|372.64||372.64
WS SERVICE AREA|25010070|methylPREDNISolone sodium succinate 2 gram intravenous solution|J2930|00009079601|704.19||704.19
WS SERVICE AREA|25010070|enoxaparin 30 mg/0.3 mL subcutaneous syringe|J1650|63323056894|25.50||25.50
WS SERVICE AREA|25010070|enoxaparin 40 mg/0.4 mL subcutaneous syringe|J1650|00548560200|50.84||50.84
WS SERVICE AREA|25010070|enoxaparin 40 mg/0.4 mL subcutaneous syringe|J1650|63323056887|67.28||67.28
WS SERVICE AREA|25010070|enoxaparin 40 mg/0.4 mL subcutaneous syringe|J1650|63323053508|33.98||33.98
WS SERVICE AREA|25010070|enoxaparin 60 mg/0.6 mL subcutaneous syringe|J1650|00703856021|101.08||101.08
WS SERVICE AREA|25010070|enoxaparin 80 mg/0.8 mL subcutaneous syringe|J1650|00703868021|134.72||134.72
WS SERVICE AREA|25010070|enoxaparin 80 mg/0.8 mL subcutaneous syringe|J1650|63323053108|68.04||68.04
WS SERVICE AREA|25010070|enoxaparin 100 mg/mL subcutaneous syringe|J1650|00548560500|127.10||127.10
WS SERVICE AREA|25010070|enoxaparin 120 mg/0.8 mL subcutaneous syringe|J1650|00703861021|202.08||202.08
WS SERVICE AREA|25010070|enoxaparin 120 mg/0.8 mL subcutaneous syringe|J1650|00075291201|842.02||842.02
WS SERVICE AREA|25010070|diazePAM 5 mg/mL injection syringe|J3360|00409127332|233.38||233.38
WS SERVICE AREA|25010070|diazePAM 5 mg/mL injection syringe|J3360|00409127303|58.35||58.35
WS SERVICE AREA|25010070|diazePAM 5 mg/mL injection syringe|J3360|69374096502|34.95||34.95
WS SERVICE AREA|25010070|diazePAM 5 mg/mL injection syringe|J3360|69374096532|34.95||34.95
WS SERVICE AREA|25010070|ondansetron HCl (PF) 4 mg/2 mL injection solution|J2405|00409475503|18.70||18.70
WS SERVICE AREA|25010070|ondansetron HCl (PF) 4 mg/2 mL injection solution|J2405|36000001225|18.70||18.70
WS SERVICE AREA|25010070|ondansetron HCl (PF) 4 mg/2 mL injection solution|J2405|00641607801|18.70||18.70
WS SERVICE AREA|25010070|ondansetron HCl (PF) 4 mg/2 mL injection solution|J2405|00641608001|18.70||18.70
WS SERVICE AREA|25010070|ondansetron HCl (PF) 4 mg/2 mL injection solution|J2405|00409475518|18.70||18.70
WS SERVICE AREA|25010070|ondansetron HCl (PF) 4 mg/2 mL injection solution|J2405|60505613000|18.70||18.70
WS SERVICE AREA|25010070|ondansetron HCL 2 mg/mL intravenous solution|J2405|00143989001|18.70||18.70
WS SERVICE AREA|25010070|ondansetron HCL 2 mg/mL intravenous solution|J2405|55150012620|18.70||18.70
WS SERVICE AREA|25010070|acetaminophen 1,000 mg/100 mL (10 mg/mL) intravenous solution|J0131|43825010201|401.62||401.62
WS SERVICE AREA|25010070|acetaminophen 1,000 mg/100 mL (10 mg/mL) intravenous solution|J0131|63323043441|211.83||211.83
WS SERVICE AREA|25010070|fondaparinux 5 mg/0.4 mL subcutaneous solution syringe|J1652|67457069400|888.95||888.95
WS SERVICE AREA|25010070|fondaparinux 5 mg/0.4 mL subcutaneous solution syringe|J1652|67457069410|888.95||888.95
WS SERVICE AREA|25010070|fondaparinux 7.5 mg/0.6 mL subcutaneous solution syringe|J1652|60505608000|888.95||888.95
WS SERVICE AREA|25010070|fondaparinux 10 mg/0.8 mL subcutaneous solution syringe|J1652|55111068102|938.65||938.65
WS SERVICE AREA|25010070|penicillin G benzathine and procaine 1,200,000 unit/2 mL IM syringe|J0558|60793060110|581.39||581.39
WS SERVICE AREA|25010070|ertapenem 1 gram intravenous solution|J1335|00006384501|933.67||933.67
WS SERVICE AREA|25010070|levoFLOXacin 250 mg/50 mL in 5 % dextrose intravenous piggyback|J1956|25021013281|59.31||59.31
WS SERVICE AREA|25010070|levoFLOXacin 250 mg/50 mL in 5 % dextrose intravenous piggyback|J1956|25021082581|50.84||50.84
WS SERVICE AREA|25010070|levoFLOXacin 250 mg/50 mL in 5 % dextrose intravenous piggyback|J1956|00143931501|18.70||18.70
WS SERVICE AREA|25010070|levoFLOXacin 500 mg/100 mL in 5 % dextrose intravenous piggyback|J1956|25021082582|50.84||50.84
WS SERVICE AREA|25010070|levoFLOXacin 500 mg/100 mL in 5 % dextrose intravenous piggyback|J1956|00143931601|18.70||18.70
WS SERVICE AREA|25010070|levoFLOXacin 750 mg/150 mL in 5 % dextrose intravenous piggyback|J1956|25021013283|92.78||92.78
WS SERVICE AREA|25010070|levoFLOXacin 750 mg/150 mL in 5 % dextrose intravenous piggyback|J1956|25021082583|50.84||50.84
WS SERVICE AREA|25010070|levoFLOXacin 750 mg/150 mL in 5 % dextrose intravenous piggyback|J1956|00143931701|19.06||19.06
WS SERVICE AREA|25010070|ciprofloxacin 200 mg/20 mL intravenous solution|J0744|36000001001|18.98||18.98
WS SERVICE AREA|25010070|ciprofloxacin 400 mg/40 mL intravenous solution|J0744|36000001101|26.44||26.44
WS SERVICE AREA|25010070|ciprofloxacin 200 mg/100 mL in 5 % dextrose intravenous piggyback|J0744|36000000824|25.42||25.42
WS SERVICE AREA|25010070|ciprofloxacin 200 mg/100 mL in 5 % dextrose intravenous piggyback|J0744|36000029724|25.42||25.42
WS SERVICE AREA|25010070|ciprofloxacin 400 mg/200 mL in 5 % dextrose intravenous piggyback|J0744|36000029824|33.89||33.89
WS SERVICE AREA|25010070|amikacin 1,000 mg/4 mL injection solution|J0278|00703904001|61.85||61.85
WS SERVICE AREA|25010070|irinotecan 300 mg/15 mL intravenous solution|J9206|00009752905|697.08||697.08
WS SERVICE AREA|25010070|DOCEtaxeL 80 mg/8 mL (10 mg/mL) intravenous solution|J9171|00409020110|1,545.53||1,545.53
WS SERVICE AREA|25010070|DOCEtaxeL 160 mg/16 mL (10 mg/mL) intravenous solution|J9171|00409020120|3,086.99||3,086.99
WS SERVICE AREA|25010070|DOCEtaxeL 160 mg/16 mL (10 mg/mL) intravenous solution|J9171|66758005003|18,804.13||18,804.13
WS SERVICE AREA|25010070|penicillin G benzathine 600,000 unit/mL intramuscular syringe|J0561|60793070010|421.11||421.11
WS SERVICE AREA|25010070|penicillin G benzathine 600,000 unit/mL intramuscular syringe|J0561|60793070001|421.11||421.11
WS SERVICE AREA|25010070|caffeine citrate 60 mg/3 mL (20 mg/mL) intravenous solution|J0706|25021060103|169.47||169.47
WS SERVICE AREA|25010070|phytonadione (vitamin K1) 10 mg/mL injection solution|J3430|00409915801|410.79||410.79
WS SERVICE AREA|25010070|amiodarone 150 mg/100 mL (1.5 mg/mL) in dextrose, iso-osmotic IV|J0282|43066015010|294.01||294.01
WS SERVICE AREA|25010070|potassium chloride 10 mEq/100mL in sterile water intravenous piggyback|J3480|00409707426|41.52||41.52
WS SERVICE AREA|25010070|potassium chloride 10 mEq/100mL in sterile water intravenous piggyback|J3480|00990707426|41.52||41.52
WS SERVICE AREA|25010070|potassium chloride 20 mEq/100mL in sterile water intravenous piggyback|J3480|00409707526|22.88||22.88
WS SERVICE AREA|25010070|potassium chloride 20 mEq/100mL in sterile water intravenous piggyback|J3480|00990707526|22.88||22.88
WS SERVICE AREA|25010070|potassium chloride 20 mEq/L in 0.9 % sodium chloride intravenous|J3480|00409711509|51.10||51.10
WS SERVICE AREA|25010070|potassium chloride 20 mEq/L in 0.9 % sodium chloride intravenous|J3480|00990711509|51.10||51.10
WS SERVICE AREA|25010070|potassium chloride 40 mEq/L in 0.9 % sodium chloride intravenous|J3480|00409711609|62.60||62.60
WS SERVICE AREA|25010070|potassium chloride 40 mEq/L in 0.9 % sodium chloride intravenous|J3480|00338069504|62.60||62.60
WS SERVICE AREA|25010070|potassium chloride 40 mEq/L in 0.9 % sodium chloride intravenous|J3480|00990711609|62.60||62.60
WS SERVICE AREA|25010070|propofoL 10 mg/mL intravenous emulsion|J2704|00409469924|181.32|J2704|181.32
WS SERVICE AREA|25010070|propofoL 10 mg/mL intravenous emulsion|J2704|00409469933|90.66|J2704|90.66
WS SERVICE AREA|25010070|propofoL 10 mg/mL intravenous emulsion|J2704|63323026950|127.10|J2704|127.10
WS SERVICE AREA|25010070|propofoL 10 mg/mL intravenous emulsion|J2704|63323026965|254.19|J2704|254.19
WS SERVICE AREA|25010070|propofoL 10 mg/mL intravenous emulsion|J2704|63323026967|317.74|J2704|317.74
WS SERVICE AREA|25010070|propofoL 10 mg/mL intravenous emulsion|J2704|63323026937|20.34|J2704|20.34
WS SERVICE AREA|25010070|propofoL 10 mg/mL intravenous emulsion|J2704|25021060851|247.41|J2704|247.41
WS SERVICE AREA|25010070|propofoL 10 mg/mL intravenous emulsion|J2704|00409469950|36.26|J2704|36.26
WS SERVICE AREA|25010070|propofoL 10 mg/mL intravenous emulsion|J2704|00069023401|90.66|J2704|90.66
WS SERVICE AREA|25010070|propofoL 10 mg/mL intravenous emulsion|J2704|00069023420|90.66|J2704|90.66
WS SERVICE AREA|25010070|propofoL 10 mg/mL intravenous emulsion|J2704|00069024801|181.32|J2704|181.32
WS SERVICE AREA|25010070|propofoL 10 mg/mL intravenous emulsion|J2704|00069024810|181.32|J2704|181.32
WS SERVICE AREA|25010070|mannitoL 0 mg-5 mg-10 mg-20 mg-40 mg inhalation powder in a capsule|J7665|67850055201|60.08||60.08
WS SERVICE AREA|25010070|bupivacaine liposome(PF) 1.3 %(13.3 mg/mL) suspension for infiltration|C9290|65250026609|923.94||923.94
WS SERVICE AREA|25010070|gemcitabine 1 gram/26.3 mL (38 mg/mL) intravenous solution|J9201|00409018125|342.19||342.19
WS SERVICE AREA|25010070|rifAMPin 600 mg intravenous solution|J3370|00068059701|1,234.21||1,234.21
WS SERVICE AREA|25010070|levETIRAcetam 500 mg/100 mL in sodium chloride (iso-osm) IV piggyback|J1953|43598075552|156.75||156.75
WS SERVICE AREA|25010070|levETIRAcetam 1,000 mg/100 mL in sodium chloride(iso-osm) IV piggyback|J1953|67457026500|504.14||504.14
WS SERVICE AREA|25010070|levETIRAcetam 1,000 mg/100 mL in sodium chloride(iso-osm) IV piggyback|J1953|43598075752|254.19||254.19
WS SERVICE AREA|25010070|levETIRAcetam 1,500 mg/100 mL in sodium chloride(iso-osm) IV piggyback|J1953|67457026600|754.94||754.94
WS SERVICE AREA|25010070|levETIRAcetam 1,500 mg/100 mL in sodium chloride(iso-osm) IV piggyback|J1953|43598075952|338.92||338.92
WS SERVICE AREA|25010070|ceFAZolin 2 gram/50 mL in dextrose (iso-osmotic) intravenous piggyback|J0690|00264310511|108.19||108.19
WS SERVICE AREA|25010070|acetaZOLAMIDE 500 mg solution for injection|J1120|39822019007|266.90||266.90
WS SERVICE AREA|25010070|acetaZOLAMIDE 500 mg solution for injection|J1120|00143950301|186.24||186.24
WS SERVICE AREA|25010070|terbutaline 1 mg/mL subcutaneous solution|J3105|63323066501|152.43||152.43
WS SERVICE AREA|25010070|terbutaline 1 mg/mL subcutaneous solution|J3105|00143974610|33.89||33.89
WS SERVICE AREA|25010070|tobramycin 1.2 gram solution for injection|J3260|63323030351|707.50||707.50
WS SERVICE AREA|25010070|tobramycin 1.2 gram solution for injection|J3260|63323030355|1,632.96||1,632.96
WS SERVICE AREA|25010070|tobramycin 1.2 gram solution for injection|J3260|39822041201|1,209.60||1,209.60
WS SERVICE AREA|25010070|triamcinolone acetonide 10 mg/mL suspension for injection|J3301|00003049420|18.70||18.70
WS SERVICE AREA|25010070|vancomycin 10 gram intravenous solution|J3370|00409651049|338.07||338.07
WS SERVICE AREA|25010070|vancomycin 10 gram intravenous solution|J3370|67457034210|1,775.07||1,775.07
WS SERVICE AREA|25010070|digoxin 250 mcg/mL (0.25 mg/mL) injection solution|J1160|00641141031|18.70||18.70
WS SERVICE AREA|25010070|digoxin 250 mcg/mL (0.25 mg/mL) injection solution|J1160|00781305972|18.70||
WS SERVICE AREA|25010070|hydrocortisone sodium succinate 100 mg solution for injection|J1720|00009082501|96.68||96.68
WS SERVICE AREA|25010070|zidovudine 10 mg/mL intravenous solution|J3485|49702021301|247.41||247.41
WS SERVICE AREA|25010070|zidovudine 10 mg/mL intravenous solution|J3485|49702021326|247.41||247.41
WS SERVICE AREA|25010070|doxercalciferoL 2 mcg/mL intravenous solution|J1270|58468012601|29.47||29.47
WS SERVICE AREA|25010070|cefTAZidime 2 gram intravenous solution|J0713|00409509311|101.46||101.46
WS SERVICE AREA|25010070|cefuroxime sodium 1.5 gram intravenous solution|J0697|63323035345|44.91||44.91
WS SERVICE AREA|25010070|cefuroxime sodium 1.5 gram intravenous solution|J0697|24987043700|131.16||131.16
WS SERVICE AREA|25010070|penicillin G procaine 1.2 million unit/2 mL intramuscular syringe|J2510|60793013110|245.88||245.88
WS SERVICE AREA|25010070|dexAMETHasone sodium phosphate 4 mg/mL injection syringe|J1100|76045010610|18.70||18.70
WS SERVICE AREA|25010070|LORazepam 2 mg/mL injection syringe|J2060|00409198530|18.70||18.70
WS SERVICE AREA|25010070|HYDROmorphone 1 mg/mL injection syringe|J1170|00409128303|21.80||21.80
WS SERVICE AREA|25010070|naloxone 0.4 mg/mL injection syringe|J2310|00409178269|130.82||130.82
WS SERVICE AREA|25010070|aminophylline 500 mg/20 mL intravenous solution|J0280|00409592201|68.12||68.12
WS SERVICE AREA|25010070|dornase alfa 1 mg/mL solution for inhalation|J7639|50242010039|874.54||874.54
WS SERVICE AREA|25010070|oxytocin 30 unit/500 mL in 0.9 % sodium chloride intravenous|J2590|70092106807|101.68||101.68
WS SERVICE AREA|25010070|oxytocin 30 unit/500 mL in 0.9 % sodium chloride intravenous|J2590|00000005428|39.81||
WS SERVICE AREA|25010070|oxytocin 30 unit/500 mL in 0.9 % sodium chloride intravenous|J2590|71019025301|97.44||97.44
WS SERVICE AREA|25010070|meperidine (PF) 50 mg/mL injection syringe|J2175|00409117803|26.19||26.19
WS SERVICE AREA|25010070|meperidine (PF) 100 mg/mL injection solution|J2175|00409125601|18.70||18.70
WS SERVICE AREA|25010070|meperidine (PF) 100 mg/mL injection solution|J2175|00641605425|18.70||18.70
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous piggyback|J7060|00409710002|51.10||51.10
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous piggyback|J7060|00409710066|51.10||51.10
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous piggyback|J7060|00409710067|51.10||51.10
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous piggyback|J7060|00409710004|51.10||51.10
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous piggyback|J7060|00409710069|51.10||51.10
WS SERVICE AREA|25010070|heparin, porcine (PF) 100 unit/mL intravenous syringe|J1642|63807060055|29.91||29.91
WS SERVICE AREA|25010070|heparin, porcine (PF) 100 unit/mL (1 mL) intravenous solution|J1642|63323054901|23.81||23.81
WS SERVICE AREA|25010070|heparin, porcine (PF) 1,000 unit/mL injection solution|J1644|25021040102|44.06||44.06
WS SERVICE AREA|25010070|heparin, porcine (PF) 1,000 unit/mL injection solution|J1644|63323027602|111.76||111.76
WS SERVICE AREA|25010070|heparin, porcine (PF) 5,000 unit/0.5 mL injection syringe|J1644|00409131632|28.10||28.10
WS SERVICE AREA|25010070|dexAMETHasone sodium phosphate (PF) 10 mg/mL injection solution|J1100|63323050601|53.04||53.04
WS SERVICE AREA|25010070|ondansetron HCl (PF) 4 mg/2 mL injection syringe|J2405|76045010320|18.70||18.70
WS SERVICE AREA|25010070|HYDROmorphone (PF) 2 mg/mL injection solution|J1170|00641615125|18.70||18.70
WS SERVICE AREA|25010070|gentamicin sulfate (pediatric) (PF) 20 mg/2 mL injection solution|J1580|63323017302|33.38||33.38
WS SERVICE AREA|25010070|magnesium sulfate 2 gram/50 mL (4 %) in water intravenous piggyback|J3475|00409672924|101.89||101.89
WS SERVICE AREA|25010070|magnesium sulfate 2 gram/50 mL (4 %) in water intravenous piggyback|J3475|63323010605|111.63||111.63
WS SERVICE AREA|25010070|magnesium sulfate 2 gram/50 mL (4 %) in water intravenous piggyback|J3475|00000005554|67.81||67.81
WS SERVICE AREA|25010070|magnesium sulfate 2 gram/50 mL (4 %) in water intravenous piggyback|J3475|44567042000|139.80||139.80
WS SERVICE AREA|25010070|magnesium sulfate 40 gram/1,000 mL (4 %) in water intravenous solution|J3475|00409672909|67.78||67.78
WS SERVICE AREA|25010070|magnesium sulfate 40 gram/1,000 mL (4 %) in water intravenous solution|J3475|63323010610|76.26||76.26
WS SERVICE AREA|25010070|heparin (porcine) (PF) 2,000 unit/1,000 mL in 0.9 % sodium chloride IV|J1644|00409762059|59.31||59.31
WS SERVICE AREA|25010070|heparin (porcine) (PF) 2,000 unit/1,000 mL in 0.9 % sodium chloride IV|J1644|00338043304|50.84||50.84
WS SERVICE AREA|25010070|vinCRIStine 2 mg/2 mL intravenous solution|J9370|00703441211|229.69||229.69
WS SERVICE AREA|25010070|vinCRIStine 2 mg/2 mL intravenous solution|J9370|61703030916|81.88||81.88
WS SERVICE AREA|25010070|DOXOrubicin 50 mg/25 mL intravenous solution|J9000|00069303220|185.62||185.62
WS SERVICE AREA|25010070|DOXOrubicin 50 mg/25 mL intravenous solution|J9000|00069403201|268.42||268.42
WS SERVICE AREA|25010070|DOXOrubicin 10 mg/5 mL intravenous solution|J9000|00703504303|92.34||92.34
WS SERVICE AREA|25010070|fentaNYL (PF) 100 mcg/2 mL (50 mcg/mL) intravenous syringe|J3010|61553030328|35.50||35.50
WS SERVICE AREA|25010070|hylan g-f 20  48 mg/6 mL intra-articular syringe|J7325|58468009003|9,466.81||9,466.81
WS SERVICE AREA|25010070|cytarabine (PF) 20 mg/mL injection solution|J9100|61703030346|207.94||207.94
WS SERVICE AREA|25010070|neostigmine methylsulfate 5 mg/5 mL (1 mg/mL) intravenous syringe|J2710|69374090205|208.44||208.44
WS SERVICE AREA|25010070|methylPREDNISolone sod succ (PF) 40 mg/mL solution for injection|J2920|00009003933|51.23||51.23
WS SERVICE AREA|25010070|methylPREDNISolone sod succ (PF) 125 mg/2 mL solution for injection|J2930|00009004727|82.49||82.49
WS SERVICE AREA|25010070|hydrocortisone sod succinate (PF) 250 mg/2 mL solution for injection|J1720|00009001305|96.69||96.69
WS SERVICE AREA|25010070|hydrocortisone sod succinate (PF) 100 mg/2 mL solution for injection|J1720|00009001103|130.65||130.65
WS SERVICE AREA|25010070|phenylephrine 1 mg/10 mL (100 mcg/mL) in 0.9 % sod.chloride IV syringe|J2370|70092104646|39.06||39.06
WS SERVICE AREA|25010070|phenylephrine 1 mg/10 mL (100 mcg/mL) in 0.9 % sod.chloride IV syringe|J2370|71019026320|40.50||40.50
WS SERVICE AREA|25010070|magnesium sulfate 6 gram/100 mL (60 mg/mL) in 0.9 % NaCl IV piggyback|J3475|00000005597|66.94||66.94
WS SERVICE AREA|25010070|octreotide acetate 500 mcg/mL (1 mL) injection syringe|J2354|67457024600|403.65||403.65
WS SERVICE AREA|25010070|octreotide acetate 100 mcg/mL (1 mL) injection syringe|J2354|67457024500|60.24||
WS SERVICE AREA|25010070|EPINEPHrine 1 mg/mL (1 mL) injection solution|J0171|42023015925|126.76||126.76
WS SERVICE AREA|25010070|epoprostenol (arginine) 1.5 mg intravenous solution|J1325|66215040201|396.88||396.88
WS SERVICE AREA|25010070|tacrolimus 1 mg capsule|J7507|00469061773|22.95||22.95
WS SERVICE AREA|25010070|tacrolimus 1 mg capsule|J7507|68084045011|16.97||16.97
WS SERVICE AREA|25010070|tacrolimus 1 mg capsule|J7507|54288013501|26.44||26.44
WS SERVICE AREA|25010070|calcium gluconate 100 mg/mL (10 %) intravenous solution|J0610|63323036001|77.53||77.53
WS SERVICE AREA|25010070|calcium gluconate 100 mg/mL (10 %) intravenous solution|J0610|63323031110|45.75||45.75
WS SERVICE AREA|25010070|calcium gluconate 100 mg/mL (10 %) intravenous solution|J0610|63323031150|72.44||72.44
WS SERVICE AREA|25010070|calcium gluconate 100 mg/mL (10 %) intravenous solution|J0610|63323031161|148.28||148.28
WS SERVICE AREA|25010070|vinorelbine 10 mg/mL intravenous solution|J9390|25021020401|190.78||190.78
WS SERVICE AREA|25010070|vinorelbine 10 mg/mL intravenous solution|J9390|00703418201|152.62||152.62
WS SERVICE AREA|25010070|ceFAZolin 1 gram solution for injection|J0690|60505074905|22.13||22.13
WS SERVICE AREA|25010070|ceFAZolin 1 gram solution for injection|J0690|00409080501|18.70||18.70
WS SERVICE AREA|25010070|ceFAZolin 1 gram solution for injection|J0690|60505609305|22.13||22.13
WS SERVICE AREA|25010070|ceFAZolin 1 gram solution for injection|J0690|00409080511|18.70||18.70
WS SERVICE AREA|25010070|ceFAZolin 1 gram solution for injection|J0690|60505614200|22.11||22.11
WS SERVICE AREA|25010070|ceFAZolin 10 gram solution for injection|J0690|60505076900|221.99||221.99
WS SERVICE AREA|25010070|ceFAZolin 10 gram solution for injection|J0690|60505609400|221.99||221.99
WS SERVICE AREA|25010070|ceFAZolin 20 gram solution for injection|J0690|63323044961|2,179.35||2,179.35
WS SERVICE AREA|25010070|cefuroxime sodium 750 mg solution for injection|J0697|00143997990|24.77||24.77
WS SERVICE AREA|25010070|DOPamine 400 mg/250 mL (1,600 mcg/mL) in 5 % dextrose intravenous soln|J1265|00409780922|110.15||110.15
WS SERVICE AREA|25010070|DOPamine 400 mg/250 mL (1,600 mcg/mL) in 5 % dextrose intravenous soln|J1265|00338100702|103.79||103.79
WS SERVICE AREA|25010070|lidocaine (PF) 4 mg/mL (0.4 %) in 5 % dextrose intravenous solution|J2001|00338040903|50.84||50.84
WS SERVICE AREA|25010070|mycophenolate mofetil 250 mg capsule|J7517|00054016325|30.19||30.19
WS SERVICE AREA|25010070|mycophenolate mofetil 250 mg capsule|J7517|51079072101|30.16||30.16
WS SERVICE AREA|25010070|leucovorin calcium 200 mg solution for injection|J0640|63323071050|594.84||594.84
WS SERVICE AREA|25010070|heparin (porcine) 25,000 unit/500 mL (50 unit/mL) in dextrose 5 % IV|J1644|00264957710|127.10||127.10
WS SERVICE AREA|25010070|heparin (porcine) 25,000 unit/500 mL (50 unit/mL) in dextrose 5 % IV|J1644|63323052277|76.26||76.26
WS SERVICE AREA|25010070|heparin (porcine) 25,000 unit/500 mL (50 unit/mL) in dextrose 5 % IV|J1644|00000005792|127.10||127.10
WS SERVICE AREA|25010070|heparin (porcine) 25,000 unit/500 mL (50 unit/mL) in dextrose 5 % IV|J1644|63323052201|76.26||76.26
WS SERVICE AREA|25010070|heparin (porcine) (PF) 1,000 unit/500 mL in 0.9 % sodium chloride IV|J1644|00409762013|46.60||46.60
WS SERVICE AREA|25010070|epoprostenol (glycine) 1.5 mg intravenous solution|J1325|00173051900|382.47||382.47
WS SERVICE AREA|25010070|DOCEtaxeL 160 mg/8 mL (20 mg/mL) intravenous solution|J9171|16729026765|18,090.99||18,090.99
WS SERVICE AREA|25010070|magnesium sulfate 1 gram/100 mL in dextrose 5 % intravenous piggyback|J3475|00409672723|62.70||62.70
WS SERVICE AREA|25010070|chloroprocaine (PF) 30 mg/mL (3 %) injection solution|J2400|63323047827|189.63||189.63
WS SERVICE AREA|25010070|cefepime 1 gram solution for injection|J0692|44567024010|57.96||57.96
WS SERVICE AREA|25010070|cefepime 1 gram solution for injection|J0692|60505614400|172.26||172.26
WS SERVICE AREA|25010070|cefepime 1 gram solution for injection|J0692|63323032621|49.14||49.14
WS SERVICE AREA|25010070|cefepime 2 gram solution for injection|J0692|60505614500|341.97||341.97
WS SERVICE AREA|25010070|HYDROmorphone 0.5 mg/0.5 mL injection syringe|J1170|00409128305|23.00||23.00
WS SERVICE AREA|25010070|chlorproMAZINE 25 mg/mL injection solution|J3230|00641139731|244.78||244.78
WS SERVICE AREA|25010070|chlorproMAZINE 25 mg/mL injection solution|J3230|00641139831|280.47||280.47
WS SERVICE AREA|25010070|neostigmine methylsulfate 1 mg/mL intravenous solution|J2710|42023018910|351.63||351.63
WS SERVICE AREA|25010070|bleomycin 30 unit solution for injection|J9040|63323013720|558.82||558.82
WS SERVICE AREA|25010070|antithrombin III, human recombinant 525 unit intravenous solution||42976012101|100.00||100.00
WS SERVICE AREA|25010070|gemcitabine 1 gram intravenous solution|J9201|00703577801|351.03||351.03
WS SERVICE AREA|25010070|gemcitabine 1 gram intravenous solution|J9201|47335015440|867.02||867.02
WS SERVICE AREA|25010070|meropenem 500 mg intravenous solution|J2185|00409350501|49.14||49.14
WS SERVICE AREA|25010070|meropenem 500 mg intravenous solution|J2185|63323050721|50.84||50.84
WS SERVICE AREA|25010070|meropenem 1 gram intravenous solution|J2185|00310032130|284.32||284.32
WS SERVICE AREA|25010070|meropenem 1 gram intravenous solution|J2185|00409350601|98.80||98.80
WS SERVICE AREA|25010070|meropenem 1 gram intravenous solution|J2185|63323050830|169.46||169.46
WS SERVICE AREA|25010070|meropenem 1 gram intravenous solution|J2185|63323050831|101.68||101.68
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/1,000 mL (1 unit/mL) in 0.9 % NaCl IV|J1644|71019010505|144.04||144.04
WS SERVICE AREA|25010070|neostigmine methylsulfate 4 mg/4 mL (1 mg/mL) intravenous syringe|J2710|69374094204|203.35||203.35
WS SERVICE AREA|25010070|HYDROmorphone (PF) 0.5 mg/0.5 mL injection syringe|J1170|76045000906|35.16||35.16
WS SERVICE AREA|25010070|HYDROmorphone (PF) 0.5 mg/0.5 mL injection syringe|J1170|76045000996|35.16||35.16
WS SERVICE AREA|25010070|ropivacaine (PF) 2 mg/mL (0.2 %) injection solution|J2795|63323028520|61.51||61.51
WS SERVICE AREA|25010070|ropivacaine (PF) 2 mg/mL (0.2 %) injection solution|J2795|63323028567|327.91||327.91
WS SERVICE AREA|25010070|ropivacaine (PF) 2 mg/mL (0.2 %) injection solution|J2795|63323028523|82.02||82.02
WS SERVICE AREA|25010070|ropivacaine (PF) 5 mg/mL (0.5 %) injection solution|J2795|00781314030|103.46||103.46
WS SERVICE AREA|25010070|piperacillin-tazobactam 4.5 gram intravenous solution|J2543|00409339004|116.95||116.95
WS SERVICE AREA|25010070|piperacillin-tazobactam 4.5 gram intravenous solution|J2543|44567080310|149.16||149.16
WS SERVICE AREA|25010070|piperacillin-tazobactam 3.375 gram intravenous solution|J2543|00409337811|101.64||101.64
WS SERVICE AREA|25010070|DOBUTamine 500 mg/250 mL (2,000 mcg/mL) in 5 % dextrose IV|J1250|00409234732|105.91||105.91
WS SERVICE AREA|25010070|DOBUTamine 500 mg/250 mL (2,000 mcg/mL) in 5 % dextrose IV|J1250|00338107502|296.56||296.56
WS SERVICE AREA|25010070|morphine 2 mg/2 mL (1 mg/mL) in 0.9 % sodium chloride IV syringe|J2270|42852024160|38.13||
WS SERVICE AREA|25010070|calcium gluconate 2 gram/100 mL in sodium chloride,iso-osm IV solution|J0610|44567062101|401.62||401.62
WS SERVICE AREA|25010070|calcium gluconate 2 gram/100 mL in sodium chloride,iso-osm IV solution|J0610|00000005816|141.33||
WS SERVICE AREA|25010070|ibuprofen 800 mg/200 mL (4 mg/mL) intravenous piggyback|J1741|66220028711|83.25||83.25
WS SERVICE AREA|25010070|ibuprofen 800 mg/200 mL (4 mg/mL) intravenous piggyback|J1741|66220028411|83.04||83.04
WS SERVICE AREA|25010070|vancomycin 1.25 gram/250 mL-water for injection(PEG,NADA) IV piggyback|J3370|70594005701|317.74||317.74
WS SERVICE AREA|25010070|cloNIDine (PF) 1,000 mcg/10 mL (100 mcg/mL) epidural solution|J0735|67457021810|67.11||67.11
WS SERVICE AREA|25010070|medroxyPROGESTERone 150 mg/mL intramuscular suspension|J1050|59762453701|829.08||829.08
WS SERVICE AREA|25010070|medroxyPROGESTERone 150 mg/mL intramuscular suspension|J1050|00548541000|381.29||381.29
WS SERVICE AREA|25010070|cyanocobalamin (vit B-12) 1,000 mcg/mL injection solution|J3420|00517013005|18.70||18.70
WS SERVICE AREA|25010070|cyanocobalamin (vit B-12) 1,000 mcg/mL injection solution|J3420|63323004401|18.70||18.70
WS SERVICE AREA|25010070|cytarabine (PF) 2 gram/20 mL (100 mg/mL) injection solution|J9100|63323012020|159.49||159.49
WS SERVICE AREA|25010070|cytarabine (PF) 2 gram/20 mL (100 mg/mL) injection solution|J9100|61703031922|141.02||141.02
WS SERVICE AREA|25010070|dacarbazine 200 mg intravenous solution|J9130|00703507501|125.22||125.22
WS SERVICE AREA|25010070|azithromycin 500 mg intravenous solution|J0456|63323039810|62.95||62.95
WS SERVICE AREA|25010070|azithromycin 500 mg intravenous solution|J0456|55150017410|93.20||93.20
WS SERVICE AREA|25010070|ketorolac 15 mg/mL injection solution|J1885|25021070001|28.64||28.64
WS SERVICE AREA|25010070|ketorolac 15 mg/mL injection solution|J1885|63323016112|18.70||18.70
WS SERVICE AREA|25010070|ketorolac 30 mg/mL (1 mL) injection solution|J1885|63323016212|18.70||18.70
WS SERVICE AREA|25010070|ketorolac 30 mg/mL (1 mL) injection solution|J1885|00409379519|51.16||51.16
WS SERVICE AREA|25010070|ketorolac 30 mg/mL (1 mL) injection solution|J1885|70860070101|18.70||18.70
WS SERVICE AREA|25010070|ketorolac 30 mg/mL (1 mL) injection solution|J1885|70860070103|18.70||18.70
WS SERVICE AREA|25010070|ketorolac 30 mg/mL (1 mL) injection solution|J1885|00338007225|18.70||18.70
WS SERVICE AREA|25010070|eptifibatide 0.75 mg/mL intravenous solution|J1327|00085113601|3,760.82||3,760.82
WS SERVICE AREA|25010070|eptifibatide 2 mg/mL intravenous solution|J1327|00085117703|1,201.58||1,201.58
WS SERVICE AREA|25010070|eptifibatide 2 mg/mL intravenous solution|J1327|00085117701|1,201.58||1,201.58
WS SERVICE AREA|25010070|acyclovir sodium 50 mg/mL intravenous solution|J0133|55150015411|135.57||135.57
WS SERVICE AREA|25010070|acyclovir sodium 50 mg/mL intravenous solution|J0133|63323032510|159.29||159.29
WS SERVICE AREA|25010070|dexAMETHasone 0.5 mg/5 mL oral solution|J8540|00000005277|21.92||21.92
WS SERVICE AREA|25010070|dexAMETHasone 0.5 mg/5 mL oral solution|J8540|00054317763|183.01||183.01
WS SERVICE AREA|25010070|dexAMETHasone 0.5 mg tablet|J8540|00054817925|4.60||4.60
WS SERVICE AREA|25010070|dexAMETHasone 0.75 mg tablet|J8540|00054818025|4.60||4.60
WS SERVICE AREA|25010070|dexAMETHasone 1 mg tablet|J8540|00054418125|4.60||4.60
WS SERVICE AREA|25010070|dexAMETHasone 1 mg tablet|J8540|00054817425|4.60||4.60
WS SERVICE AREA|25010070|dexAMETHasone 1.5 mg tablet|J8540|00054818125|4.60||4.60
WS SERVICE AREA|25010070|dexAMETHasone sodium phosphate 4 mg/mL injection solution|J1100|67457042300|18.70||
WS SERVICE AREA|25010070|dexAMETHasone sodium phosphate 4 mg/mL injection solution|J1100|67457042130|106.76||106.76
WS SERVICE AREA|25010070|dexAMETHasone sodium phosphate 4 mg/mL injection solution|J1100|00000005382|18.70||18.70
WS SERVICE AREA|25010070|dexAMETHasone sodium phosphate 4 mg/mL injection solution|J1100|63323016503|53.46||53.46
WS SERVICE AREA|25010070|dexAMETHasone sodium phosphate 4 mg/mL injection solution|J1100|63323016502|22.28||22.28
WS SERVICE AREA|25010070|dexAMETHasone sodium phosphate 4 mg/mL injection solution|J1100|63323016501|22.28||22.28
WS SERVICE AREA|25010070|dexAMETHasone sodium phosphate 4 mg/mL injection solution|J1100|63323016530|287.74||287.74
WS SERVICE AREA|25010070|leucovorin calcium 500 mg solution for injection|J0640|63323071100|666.91||666.91
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous solution|J7060|00409792203|51.10||51.10
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous solution|J7070|00409792209|51.10||51.10
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous solution|J7060|00409792337|51.10||51.10
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous solution|J7060|00409792202|51.10||51.10
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous solution|J7060|00409792313|51.10||51.10
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous solution|J7060|00409792336|51.10||51.10
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous solution|J7060|00409792323|51.10||51.10
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous solution|J7060|00264751010|51.10||51.10
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous solution|J7060|00264751020|51.10||51.10
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous solution|J7060|00990792202|51.10||51.10
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous solution|J7060|00990792261|51.10||51.10
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous solution|J7070|00990792209|51.10||51.10
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous solution|J7060|00990792337|51.10||51.10
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous solution|J7060|00990792203|51.10||51.10
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous solution|J7060|00990792225|51.10||51.10
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous solution|J7060|00990792313|51.10||51.10
WS SERVICE AREA|25010070|dicyclomine 10 mg/mL intramuscular solution|J0500|58914008052|356.11||356.11
WS SERVICE AREA|25010070|dicyclomine 10 mg/mL intramuscular solution|J0500|00517198001|165.22||165.22
WS SERVICE AREA|25010070|dicyclomine 10 mg/mL intramuscular solution|J0500|00517198005|165.22||165.22
WS SERVICE AREA|25010070|tacrolimus 0.5 mg capsule|J7507|68084044911|16.97||16.97
WS SERVICE AREA|25010070|sodium ferric gluconate complex in sucrose 62.5 mg/5 mL intravenous|J2916|00591014926|269.44||269.44
WS SERVICE AREA|25010070|sodium ferric gluconate complex in sucrose 62.5 mg/5 mL intravenous||00000005182|205.89||205.89
WS SERVICE AREA|25010070|sodium ferric gluconate complex in sucrose 62.5 mg/5 mL intravenous|J2916|00143929801|69.48||69.48
WS SERVICE AREA|25010070|mycophenolate mofetil 200 mg/mL oral suspension|J7517|00004026129|82.09||82.09
WS SERVICE AREA|25010070|diphenhydrAMINE 50 mg/mL injection solution|J1200|00641037621|18.70||18.70
WS SERVICE AREA|25010070|diphenhydrAMINE 50 mg/mL injection solution|J1200|63323066401|18.70||18.70
WS SERVICE AREA|25010070|DOPamine 200 mg/5 mL (40 mg/mL) intravenous solution|J1265|00409582001|24.78||24.78
WS SERVICE AREA|25010070|sirolimus 1 mg/mL oral solution|J7520|00008103004|459.65||459.65
WS SERVICE AREA|25010070|droperidoL 2.5 mg/mL injection solution|J1790|00517970225|63.29||63.29
WS SERVICE AREA|25010070|methacholine chloride 100 mg solution for inhalation|J7674|69374054206|1,232.82||1,232.82
WS SERVICE AREA|25010070|methacholine chloride 100 mg solution for inhalation|J7674|64281010006|570.75||570.75
WS SERVICE AREA|25010070|cloNIDine (PF) 5,000 mcg/10 mL epidural solution|J0735|39822201001|24.91||24.91
WS SERVICE AREA|25010070|ampicillin 1 gram intravenous solution|J0290|00781341292|151.78||151.78
WS SERVICE AREA|25010070|ampicillin 1 gram intravenous solution|J0290|00781941215|138.70||138.70
WS SERVICE AREA|25010070|ampicillin 2 gram intravenous solution|J0290|00781341392|294.42||294.42
WS SERVICE AREA|25010070|ampicillin 2 gram intravenous solution|J0290|00781941315|269.10||269.10
WS SERVICE AREA|25010070|ampicillin-sulbactam 1.5 gram intravenous solution|J0295|00409268901|45.14||45.14
WS SERVICE AREA|25010070|ampicillin-sulbactam 1.5 gram intravenous solution|J0295|00409268921|45.14||45.14
WS SERVICE AREA|25010070|ampicillin-sulbactam 3 gram intravenous solution|J0295|00409298703|77.49||77.49
WS SERVICE AREA|25010070|ampicillin-sulbactam 3 gram intravenous solution|J0295|00409298723|77.49||77.49
WS SERVICE AREA|25010070|cefTAZidime 1 gram intravenous solution|J0713|00409509216|49.93||49.93
WS SERVICE AREA|25010070|ceFAZolin 1 gram intravenous solution|J0690|00409258501|22.92||22.92
WS SERVICE AREA|25010070|cefTRIAXone 1 gram intravenous solution|J0696|00409733349|36.33||36.33
WS SERVICE AREA|25010070|cefTRIAXone 2 gram intravenous solution|J0696|00409733649|62.28||62.28
WS SERVICE AREA|25010070|cefepime 2 gram intravenous solution|J0692|00409021801|82.95||82.95
WS SERVICE AREA|25010070|cefepime 2 gram intravenous solution|J0692|00409021811|82.95||82.95
WS SERVICE AREA|25010070|milrinone 1 mg/mL intravenous solution|J2260|00143970910|77.78||77.78
WS SERVICE AREA|25010070|milrinone 1 mg/mL intravenous solution|J2260|00143971010|52.96||52.96
WS SERVICE AREA|25010070|milrinone 1 mg/mL intravenous solution|J2260|63323061710|338.92||338.92
WS SERVICE AREA|25010070|milrinone 1 mg/mL intravenous solution|J2260|63323061720|669.37||669.37
WS SERVICE AREA|25010070|doxercalciferoL 4 mcg/2 mL intravenous solution|J1270|58468012301|58.94||58.94
WS SERVICE AREA|25010070|doxercalciferoL 4 mcg/2 mL intravenous solution|J1270|58468012309|55.92||55.92
WS SERVICE AREA|25010070|doxercalciferoL 4 mcg/2 mL intravenous solution|J1270|58468012300|58.94||58.94
WS SERVICE AREA|25010070|EPINEPHrine 0.1 mg/mL injection syringe|J0171|00409492134|44.40||44.40
WS SERVICE AREA|25010070|EPINEPHrine 0.1 mg/mL injection syringe|J0171|76329331601|74.14||74.14
WS SERVICE AREA|25010070|EPINEPHrine 0.1 mg/mL injection syringe|J0171|61553036972|56.43||
WS SERVICE AREA|25010070|EPINEPHrine 0.1 mg/mL injection syringe|J0171|71019007701|205.89||205.89
WS SERVICE AREA|25010070|EPINEPHrine 0.1 mg/mL injection syringe|J0171|69374092510|50.84||50.84
WS SERVICE AREA|25010070|cycloSPORINE modified 25 mg capsule|J7515|00078024661|17.27||17.27
WS SERVICE AREA|25010070|cycloSPORINE modified 25 mg capsule|J7515|00074310832|13.33||13.33
WS SERVICE AREA|25010070|cycloSPORINE modified 25 mg capsule|J7515|00078024615|17.15||17.15
WS SERVICE AREA|25010070|cycloSPORINE modified 100 mg capsule|J7502|00078024861|17.16||17.16
WS SERVICE AREA|25010070|cycloSPORINE modified 100 mg capsule|J7502|00078024815|17.13||17.13
WS SERVICE AREA|25010070|sirolimus 1 mg tablet|J7520|00008104110|240.64||240.64
WS SERVICE AREA|25010070|sirolimus 1 mg tablet|J7520|59762100201|128.97||128.97
WS SERVICE AREA|25010070|sirolimus 1 mg tablet|J7520|55111065301|129.74||129.74
WS SERVICE AREA|25010070|iron sucrose 100 mg iron/5 mL intravenous solution|J1756|00517234010|466.02||466.02
WS SERVICE AREA|25010070|prednisoLONE sodium phosphate 15 mg/5 mL (3 mg/mL) oral solution|J7510|17856075905|12.56||12.56
WS SERVICE AREA|25010070|prednisoLONE sodium phosphate 15 mg/5 mL (3 mg/mL) oral solution|J7510|00000005186|11.87||11.87
WS SERVICE AREA|25010070|prednisoLONE sodium phosphate 15 mg/5 mL (3 mg/mL) oral solution|J7510|00121075905|4.60||
WS SERVICE AREA|25010070|estradiol valerate 20 mg/mL intramuscular oil|J1380|42023011101|158.50||158.50
WS SERVICE AREA|25010070|propranoloL 1 mg/mL intravenous solution|J1800|00143987201|67.78||67.78
WS SERVICE AREA|25010070|propranoloL 1 mg/mL intravenous solution|J1800|63323060401|85.32||85.32
WS SERVICE AREA|25010070|caspofungin 50 mg intravenous solution|J0637|00006382210|2,334.25||2,334.25
WS SERVICE AREA|25010070|fentaNYL (PF) 50 mcg/mL injection solution|J3010|00409909428|25.93||25.93
WS SERVICE AREA|25010070|fentaNYL (PF) 50 mcg/mL injection solution|J3010|00409909412|18.70||18.70
WS SERVICE AREA|25010070|PACLitaxeL 6 mg/mL concentrate,intravenous|J9267|63323076350|800.75|J9267|800.75
WS SERVICE AREA|25010070|moxifloxacin 400 mg/250 mL-sodium chloride(iso) intravenous piggyback|J2280|50419053701|432.12||432.12
WS SERVICE AREA|25010070|moxifloxacin 400 mg/250 mL-sodium chloride(iso) intravenous piggyback|J2280|67457032325|466.02||466.02
WS SERVICE AREA|25010070|enoxaparin 150 mg/mL subcutaneous syringe|J1650|00548560700|190.64||190.64
WS SERVICE AREA|25010070|ertapenem 1 gram solution for injection|J1335|55150028209|1,036.80||1,036.80
WS SERVICE AREA|25010070|fluPHENAZine decanoate 25 mg/mL injection solution|J2680|63323027205|131.31||131.31
WS SERVICE AREA|25010070|fondaparinux 2.5 mg/0.5 mL subcutaneous solution syringe|J1652|55111067811|463.05||
WS SERVICE AREA|25010070|fondaparinux 2.5 mg/0.5 mL subcutaneous solution syringe|J1652|43598060711|207.59||207.59
WS SERVICE AREA|25010070|fondaparinux 2.5 mg/0.5 mL subcutaneous solution syringe|J1652|00781344394|427.80||427.80
WS SERVICE AREA|25010070|ampicillin-sulbactam 1.5 gram solution for injection|J0295|00641611910|29.66||29.66
WS SERVICE AREA|25010070|ampicillin-sulbactam 1.5 gram solution for injection|J0295|66794020602|55.07||55.07
WS SERVICE AREA|25010070|ampicillin-sulbactam 3 gram solution for injection|J0295|00641612001|53.80||
WS SERVICE AREA|25010070|ampicillin-sulbactam 3 gram solution for injection|J0295|00641612010|53.80||53.80
WS SERVICE AREA|25010070|ampicillin-sulbactam 3 gram solution for injection|J0295|00049001483|122.16||122.16
WS SERVICE AREA|25010070|pamidronate 30 mg/10 mL (3 mg/mL) intravenous solution|J2430|61703032418|117.61||117.61
WS SERVICE AREA|25010070|pamidronate 30 mg/10 mL (3 mg/mL) intravenous solution|J2430|67457043010|274.53||274.53
WS SERVICE AREA|25010070|pamidronate 90 mg/10 mL (9 mg/mL) intravenous solution|J2430|67457044610|776.01||776.01
WS SERVICE AREA|25010070|furosemide 10 mg/mL injection solution|J1940|00409610204|24.61||24.61
WS SERVICE AREA|25010070|furosemide 10 mg/mL injection solution|J1940|00409610210|41.94||41.94
WS SERVICE AREA|25010070|furosemide 10 mg/mL injection solution|J1940|00409610227|41.94||41.94
WS SERVICE AREA|25010070|furosemide 10 mg/mL injection solution|J1940|00409610226|24.61||24.61
WS SERVICE AREA|25010070|furosemide 10 mg/mL injection solution|J1940|23155047333|18.70||18.70
WS SERVICE AREA|25010070|furosemide 10 mg/mL injection solution|J1940|23155047344|18.70||18.70
WS SERVICE AREA|25010070|furosemide 10 mg/mL injection solution|J1940|00409610236|24.61||24.61
WS SERVICE AREA|25010070|furosemide 10 mg/mL injection solution|J1940|00409610237|18.70||18.70
WS SERVICE AREA|25010070|furosemide 10 mg/mL injection solution|J1940|55150032401|18.70||18.70
WS SERVICE AREA|25010070|milrinone 20 mg/100 mL(200 mcg/mL) in 5 % dextrose intravenous piggybk|J2260|00409277623|134.72||134.72
WS SERVICE AREA|25010070|milrinone 20 mg/100 mL(200 mcg/mL) in 5 % dextrose intravenous piggybk|J2260|00338601048|244.87||244.87
WS SERVICE AREA|25010070|ziprasidone 20 mg/mL (final concentration) intramuscular solution|J3486|00049392020|231.60||231.60
WS SERVICE AREA|25010070|ziprasidone 20 mg/mL (final concentration) intramuscular solution|J3486|72266016041|84.35||84.35
WS SERVICE AREA|25010070|ziprasidone 20 mg/mL (final concentration) intramuscular solution|J3486|00049392083|463.20||463.20
WS SERVICE AREA|25010070|gentamicin 40 mg/mL injection solution|J1580|00409120703|18.70||18.70
WS SERVICE AREA|25010070|gentamicin 40 mg/mL injection solution|J1580|63323001096|154.21||154.21
WS SERVICE AREA|25010070|gentamicin 40 mg/mL injection solution|J1580|63323001002|27.37||27.37
WS SERVICE AREA|25010070|gentamicin 40 mg/mL injection solution|J1580|63323001020|196.74||196.74
WS SERVICE AREA|25010070|midazolam 1 mg/mL in 0.9 % sodium chloride intravenous|J2250|00000000323|531.26||
WS SERVICE AREA|25010070|midazolam 1 mg/mL in 0.9 % sodium chloride intravenous|J2250|70092102935|171.58||171.58
WS SERVICE AREA|25010070|zoledronic acid 4 mg/5 mL intravenous solution|J3489|25021080166|1,244.16||1,244.16
WS SERVICE AREA|25010070|zoledronic acid 4 mg/5 mL intravenous solution|J3489|55111068507|5,794.26||5,794.26
WS SERVICE AREA|25010070|zoledronic acid 4 mg/5 mL intravenous solution|J3489|67457039054|4,893.70||4,893.70
WS SERVICE AREA|25010070|zoledronic acid 4 mg/5 mL intravenous solution|J3489|00078038725|6,376.18||6,376.18
WS SERVICE AREA|25010070|haloperidol lactate 5 mg/mL injection solution|J1630|63323047401|50.75||50.75
WS SERVICE AREA|25010070|potassium chloride 20 mEq/L in 0.45 % sodium chloride intravenous soln|J3480|00409925739|51.10||51.10
WS SERVICE AREA|25010070|palonosetron 0.25 mg/5 mL intravenous solution|J2469|62856079701|1,382.40||1,382.40
WS SERVICE AREA|25010070|hydrALAZINE 20 mg/mL injection solution|J0360|63323061455|127.10||127.10
WS SERVICE AREA|25010070|hydrALAZINE 20 mg/mL injection solution|J0360|17478093415|95.32||95.32
WS SERVICE AREA|25010070|hydrALAZINE 20 mg/mL injection solution|J0360|39822050001|76.26||76.26
WS SERVICE AREA|25010070|hydrALAZINE 20 mg/mL injection solution|J0360|39822050004|76.26||76.26
WS SERVICE AREA|25010070|hydrALAZINE 20 mg/mL injection solution|J0360|63323061400|110.83||110.83
WS SERVICE AREA|25010070|hydrALAZINE 20 mg/mL injection solution|J0360|63323061421|127.10||127.10
WS SERVICE AREA|25010070|DAPTOmycin 500 mg intravenous solution|J0878|67919001101|3,079.23||3,079.23
WS SERVICE AREA|25010070|DAPTOmycin 500 mg intravenous solution|J0878|00703012501|3,078.95||3,078.95
WS SERVICE AREA|25010070|DAPTOmycin 500 mg intravenous solution|J0878|63323037119|1,244.16||1,244.16
WS SERVICE AREA|25010070|DAPTOmycin 500 mg intravenous solution|J0878|67457081350|3,321.91||3,321.91
WS SERVICE AREA|25010070|HYDROmorphone 2 mg/mL injection solution|J1170|00409335601|18.70||18.70
WS SERVICE AREA|25010070|HYDROmorphone 2 mg/mL injection solution|J1170|00641012121|18.70||18.70
WS SERVICE AREA|25010070|HYDROmorphone 2 mg/mL injection solution|J1170|00641234141|165.22||165.22
WS SERVICE AREA|25010070|HYDROmorphone 2 mg/mL injection solution|J1170|00409336511|18.70||18.70
WS SERVICE AREA|25010070|hydrOXYzine HCL 50 mg/mL intramuscular solution|J3410|00517560225|287.49||287.49
WS SERVICE AREA|25010070|mycophenolate sodium 180 mg tablet,delayed release|J7518|00078038566|43.45||43.45
WS SERVICE AREA|25010070|mycophenolate sodium 180 mg tablet,delayed release|J7518|51079050801|38.54||38.54
WS SERVICE AREA|25010070|CARBOplatin 10 mg/mL intravenous solution|J9045|61703033950|356.10||356.10
WS SERVICE AREA|25010070|tobramycin 40 mg/mL injection solution|J3260|63323030602|28.72||28.72
WS SERVICE AREA|25010070|tobramycin 40 mg/mL injection solution|J3260|63323030630|186.32||186.32
WS SERVICE AREA|25010070|ciprofloxacin 400mg/200 ml in 5% dextrose intravenous piggyback|J0744|00409477750|51.10||51.10
WS SERVICE AREA|25010070|dextrose 5% in water (D5W) IV|J7060|00409792203|51.10||51.10
WS SERVICE AREA|25010070|dextrose 5% in water (D5W) IV|J7070|00409792209|51.10||51.10
WS SERVICE AREA|25010070|dextrose 5% in water (D5W) IV|J7060|00409792337|51.10||51.10
WS SERVICE AREA|25010070|dextrose 5% in water (D5W) IV|J7060|00409792202|51.10||51.10
WS SERVICE AREA|25010070|dextrose 5% in water (D5W) IV|J7060|00409792313|78.24||78.24
WS SERVICE AREA|25010070|dextrose 5% in water (D5W) IV|J7060|00409792336|74.77||74.77
WS SERVICE AREA|25010070|dextrose 5% in water (D5W) IV|J7060|00409792323|51.10||51.10
WS SERVICE AREA|25010070|dextrose 5% in water (D5W) IV|J7060|00264751010|51.10||51.10
WS SERVICE AREA|25010070|dextrose 5% in water (D5W) IV|J7060|00264751020|51.10||51.10
WS SERVICE AREA|25010070|dextrose 5 % and 0.45 % sodium chloride IV|J7042|00409792603|51.10||51.10
WS SERVICE AREA|25010070|dextrose 5 % and 0.45 % sodium chloride IV|J7042|00409792609|51.10||51.10
WS SERVICE AREA|25010070|lactated ringers IV|J7120|00409795309|51.10||51.10
WS SERVICE AREA|25010070|dextrose 5% and lactated ringers IV|J7120|00409792909|51.10|J7121|51.10
WS SERVICE AREA|25010070|phenytoin sodium 50 mg/mL intravenous solution,phenytoin sodium 50 mg/mL intravenous syringe|J1165|00641255541|18.70||18.70
WS SERVICE AREA|25010070|phenytoin sodium 50 mg/mL intravenous solution,phenytoin sodium 50 mg/mL intravenous syringe|J1165|00641613801|18.70||18.70
WS SERVICE AREA|25010070|phenytoin sodium 50 mg/mL intravenous solution,phenytoin sodium 50 mg/mL intravenous syringe|J1165|00641613825|18.70||18.70
WS SERVICE AREA|25010070|phenytoin sodium 50 mg/mL intravenous solution,phenytoin sodium 50 mg/mL intravenous syringe|J1165|00641613901|18.70||18.70
WS SERVICE AREA|25010070|phenytoin sodium 50 mg/mL intravenous solution,phenytoin sodium 50 mg/mL intravenous syringe|J1165|00641613925|18.70||18.70
WS SERVICE AREA|25010070|acetaminophen 1000 mg/100 mL (10mg/mL) intrav|J0131|43825010201|401.62||401.62
WS SERVICE AREA|25010070|amiodarone 450 mg/250 mL (1.8 mg/mL) infusion|J0282|00000005469|247.84||247.84
WS SERVICE AREA|25010070|amiodarone 450 mg/250 mL (1.8 mg/mL) infusion|J0282|70092100437|122.86||122.86
WS SERVICE AREA|25010070|amiodarone 90 mg/50 mL infusion|J0282|00000005464|49.57||49.57
WS SERVICE AREA|25010070|milrinone 20 mg/100 mL(200 mcg/mL) in 5 % dextrose *|J2260|00000005378|64.39||
WS SERVICE AREA|25010070|droperidoL 2.5 mg/mL injection solution|J1790|00517970225|63.29||63.29
WS SERVICE AREA|25010070|linezolid 600 mg/300 mL in 0.9 % sodium chloride intravenous solution||00409488301|721.90||721.90
WS SERVICE AREA|25010070|linezolid 600 mg/300 mL in 0.9 % sodium chloride intravenous solution||00000005432|678.69||
WS SERVICE AREA|25010070|vitamin K oral solution 1 mg/mL||00000005607|36.53||
WS SERVICE AREA|25010070|linezolid 600 mg/300 mL in 0.9 % sodium chloride intravenous solution||00000005431|18.70||
WS SERVICE AREA|25010070|dexAMETHasone sodium phosphate 4 mg/mL injection solution,dexAMETHasone sodium phosphate 4 mg/mL injection syringe|J1100|67457042300|18.70||
WS SERVICE AREA|25010070|dexAMETHasone sodium phosphate 4 mg/mL injection solution,dexAMETHasone sodium phosphate 4 mg/mL injection syringe|J1100|67457042130|106.76||106.76
WS SERVICE AREA|25010070|dexAMETHasone sodium phosphate 4 mg/mL injection solution,dexAMETHasone sodium phosphate 4 mg/mL injection syringe|J1100|00000005382|18.70||18.70
WS SERVICE AREA|25010070|dexAMETHasone sodium phosphate 4 mg/mL injection solution,dexAMETHasone sodium phosphate 4 mg/mL injection syringe|J1100|63323016503|53.46||53.46
WS SERVICE AREA|25010070|dexAMETHasone sodium phosphate 4 mg/mL injection solution,dexAMETHasone sodium phosphate 4 mg/mL injection syringe|J1100|63323016502|22.28||22.28
WS SERVICE AREA|25010070|dexAMETHasone sodium phosphate 4 mg/mL injection solution,dexAMETHasone sodium phosphate 4 mg/mL injection syringe|J1100|63323016501|22.28||22.28
WS SERVICE AREA|25010070|dexAMETHasone sodium phosphate 4 mg/mL injection solution,dexAMETHasone sodium phosphate 4 mg/mL injection syringe|J1100|63323016530|287.74||287.74
WS SERVICE AREA|25010070|FUROsemide 2 mg/mL in NS IV syringe (neonate)|J1940|00000005615|18.70||
WS SERVICE AREA|25010070|fluconazole 200 mg/100 mL in sod. chloride (iso) intravenous piggyback,fluconazole 100 mg/50 mL in sodium chloride(iso) intravenous piggyback,fluconazole 400 mg/200 mL in sod. chloride(iso) intravenous piggyback|J1450|00143966901|69.48||69.48
WS SERVICE AREA|25010070|amiodarone 5.4 mg/3 mL infusion|J0282|00000005463|18.70||18.70
WS SERVICE AREA|25010070|dexamethasone 4 mg/mL injection solution|J1100|67457042130|106.76||106.76
WS SERVICE AREA|25010070|dexamethasone 4 mg/mL injection solution|J1100|63323016501|22.28||22.28
WS SERVICE AREA|25010070|dexamethasone 4 mg/mL injection solution|J1100|63323016530|287.74||287.74
WS SERVICE AREA|25010070|||00000005180|62.70||
WS SERVICE AREA|25010070|potassium chloride 2 mEq/mL intravenous injection solution|J3480|00409665305|34.55||34.55
WS SERVICE AREA|25010070|fentaNYL (PF) 50 mcg/mL injection|J3010|00409909422|18.70||18.70
WS SERVICE AREA|25010070|fentaNYL (PF) 50 mcg/mL injection|J3010|00409909425|18.70||18.70
WS SERVICE AREA|25010070|fentaNYL (PF) 50 mcg/mL injection|J3010|00641602501|20.34||20.34
WS SERVICE AREA|25010070|fentaNYL (PF) 50 mcg/mL injection|J3010|00641602601|72.02||72.02
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection,midazolam (PF) 5 mg/mL injection solution|J2250|00409230801|18.70||18.70
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection,midazolam (PF) 5 mg/mL injection solution|J2250|00409230802|18.70||18.70
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection,midazolam (PF) 5 mg/mL injection solution|J2250|00409230849|18.70||18.70
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection,midazolam (PF) 5 mg/mL injection solution|J2250|00409230850|18.70||18.70
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection,midazolam (PF) 5 mg/mL injection solution|J2250|00641606001|58.46||58.46
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection,midazolam (PF) 5 mg/mL injection solution|J2250|00641606010|58.46||58.46
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection,midazolam (PF) 5 mg/mL injection solution|J2250|17478052410|122.18||122.18
WS SERVICE AREA|25010070|atropine 0.1 mg/mL injection|J0461|00409491134|88.29||88.29
WS SERVICE AREA|25010070|atropine 0.1 mg/mL injection|J0461|76329333901|76.26||76.26
WS SERVICE AREA|25010070|milrinone 200 mcg/mL injection from bag|J2260|00143971901|18.70||18.70
WS SERVICE AREA|25010070|eptifibatide 2 mg/mL intravenous solution|J1327|00085117701|1,201.58||1,201.58
WS SERVICE AREA|25010070||J3486|0000005420|175.73||175.73
WS SERVICE AREA|25010070|azathioprine 25 mg split tab|J7500|00000005435|4.60||4.60
WS SERVICE AREA|25010070|thiamine HCl (neonatal) 0.1 mg/mL injection solution|J3411|00000005826|3,438.72||
WS SERVICE AREA|25010070|ws heparin re-bolus for heparin|J1644|00409272002|28.30||28.30
WS SERVICE AREA|25010070|ws heparin re-bolus for heparin|J1644|63323054057|22.71||22.71
WS SERVICE AREA|25010070|ws heparin re-bolus for heparin|J1644|00069005802|28.30||28.30
WS SERVICE AREA|25010070|magnesium sulfate 2 gram/50 mL (4 %) in water intravenous piggyback|J3475|00409672924|101.89||101.89
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection solution,midazolam (PF) 5 mg/mL injection solution|J2250|00409230801|18.70||18.70
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection solution,midazolam (PF) 5 mg/mL injection solution|J2250|00409230802|18.70||18.70
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection solution,midazolam (PF) 5 mg/mL injection solution|J2250|00409230849|18.70||18.70
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection solution,midazolam (PF) 5 mg/mL injection solution|J2250|00409230850|18.70||18.70
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection solution,midazolam (PF) 5 mg/mL injection solution|J2250|00641606001|58.46||58.46
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection solution,midazolam (PF) 5 mg/mL injection solution|J2250|00641606010|58.46||58.46
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection solution,midazolam (PF) 5 mg/mL injection solution|J2250|17478052410|122.18||122.18
WS SERVICE AREA|25010070|dexamethasone 4 mg/mL injection solution|J1100|63323016501|44.57||44.57
WS SERVICE AREA|25010070|sodium chloride 0.9 % IV|J7030|00409798309|51.10||51.10
WS SERVICE AREA|25010070||J3475|00000005676|82.61||
WS SERVICE AREA|25010070|vitamin K 100 mcg/mL oral syringe|J3430|00000005135|114.15||
WS SERVICE AREA|25010070|ceFAZolin 3 gram/100 mL in 0.9 % sodium chloride intravenous piggyback|J0690|00000005140|67.90||
WS SERVICE AREA|25010070|vancomycin 1250 mg/250 mL in 0.9% sodium chloride intravenous piggyback|J3370|00000005144|62.70||
WS SERVICE AREA|25010070|vancomycin 1500 mg/250 mL in 0.9% sodium chloride intravenous piggyback|j3370|00000005145|62.70||
WS SERVICE AREA|25010070|vancomycin 1750 mg/500 mL in 0.9% sodium chloride intravenous piggyback|J3370|00000005146|62.70||
WS SERVICE AREA|25010070|vancomycin 2 g/500 mL in 0.9% sodium chloride intravenous piggyback|J3370|00000005147|508.38||
WS SERVICE AREA|25010070|morphine 2 mg/mL injection syringe,morphine 2 mg/mL intravenous syringe,morphine 2 mg/mL injection solution|J2270|00409189001|18.70||18.70
WS SERVICE AREA|25010070|morphine 2 mg/mL injection syringe,morphine 2 mg/mL intravenous syringe,morphine 2 mg/mL injection solution|J2270|76045000410|18.70||18.70
WS SERVICE AREA|25010070|morphine 2 mg/mL injection syringe,morphine 2 mg/mL intravenous syringe,morphine 2 mg/mL injection solution|J2270|00000005470|18.70||18.70
WS SERVICE AREA|25010070|morphine 2 mg/mL injection syringe,morphine 2 mg/mL intravenous syringe,morphine 2 mg/mL injection solution|J2270|63323045200|24.32||24.32
WS SERVICE AREA|25010070|morphine 2 mg/mL injection syringe,morphine 2 mg/mL intravenous syringe,morphine 2 mg/mL injection solution|J2270|63323045201|24.32||24.32
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection solution,midazolam (PF) 5 mg/mL injection solution|J2250|00409230801|18.70||18.70
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection solution,midazolam (PF) 5 mg/mL injection solution|J2250|00409230802|18.70||18.70
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection solution,midazolam (PF) 5 mg/mL injection solution|J2250|00409230849|18.70||18.70
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection solution,midazolam (PF) 5 mg/mL injection solution|J2250|00409230850|18.70||18.70
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection solution,midazolam (PF) 5 mg/mL injection solution|J2250|00641606001|58.46||58.46
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection solution,midazolam (PF) 5 mg/mL injection solution|J2250|00641606010|58.46||58.46
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection solution,midazolam (PF) 5 mg/mL injection solution|J2250|17478052410|122.18||122.18
WS SERVICE AREA|25010070|midazolam 1 mg/mL injection solution,midazolam (PF) 1 mg/mL injection solution|J2250|00409230550|18.70||18.70
WS SERVICE AREA|25010070|midazolam 1 mg/mL injection solution,midazolam (PF) 1 mg/mL injection solution|J2250|00409230517|18.70||18.70
WS SERVICE AREA|25010070|midazolam 1 mg/mL injection solution,midazolam (PF) 1 mg/mL injection solution|J2250|00409230516|18.70||18.70
WS SERVICE AREA|25010070|promethazine 25 mg/mL injection solution,promethazine 25 mg/mL injection syringe|J2550|00641092821|18.70||18.70
WS SERVICE AREA|25010070|promethazine 25 mg/mL injection solution,promethazine 25 mg/mL injection syringe|J2550|00641095521|18.70||18.70
WS SERVICE AREA|25010070|promethazine 25 mg/mL injection solution,promethazine 25 mg/mL injection syringe|J2550|00641149535|18.70||18.70
WS SERVICE AREA|25010070|promethazine 25 mg/mL injection solution,promethazine 25 mg/mL injection syringe|J2550|39822552502|18.70||18.70
WS SERVICE AREA|25010070|promethazine 25 mg/mL injection solution,promethazine 25 mg/mL injection syringe|J2550|39822552503|18.70||18.70
WS SERVICE AREA|25010070|HYDROmorphone 1 mg/mL injection syringe,HYDROmorphone (PF) 1 mg/mL injection solution,HYDROmorphone 1 mg/mL injection solution,HYDROmorphone (PF) 2 mg/2 mL (1 mg/mL) in water,HYDROmorphine (PF) 1 mg/mL injection syringe,HYDROmorphone 0.5 mg/0.5 mL injection syringe,HYDROmorphone (PF) 0.5 mg/0.5 mL injection syringe|J1170|00409128331|21.80||21.80
WS SERVICE AREA|25010070|HYDROmorphone 1 mg/mL injection syringe,HYDROmorphone (PF) 1 mg/mL injection solution,HYDROmorphone 1 mg/mL injection solution,HYDROmorphone (PF) 2 mg/2 mL (1 mg/mL) in water,HYDROmorphine (PF) 1 mg/mL injection syringe,HYDROmorphone 0.5 mg/0.5 mL injection syringe,HYDROmorphone (PF) 0.5 mg/0.5 mL injection syringe|J1170|00409128303|21.80||21.80
WS SERVICE AREA|25010070|HYDROmorphone 1 mg/mL injection syringe,HYDROmorphone (PF) 1 mg/mL injection solution,HYDROmorphone 1 mg/mL injection solution,HYDROmorphone (PF) 2 mg/2 mL (1 mg/mL) in water,HYDROmorphine (PF) 1 mg/mL injection syringe,HYDROmorphone 0.5 mg/0.5 mL injection syringe,HYDROmorphone (PF) 0.5 mg/0.5 mL injection syringe|J1170|76045000901|35.16||35.16
WS SERVICE AREA|25010070|HYDROmorphone 2 mg/mL injection solution,HYDROmorphone (PF) 2 mg/mL injection solution,HYDROmorphone 2 mg/mL injection syringe,HYDROMORPHONE (PF) 2 MG/ML INJECTION SYRINGE|J1170|00641012121|18.70||18.70
WS SERVICE AREA|25010070|HYDROmorphone 2 mg/mL injection solution,HYDROmorphone (PF) 2 mg/mL injection solution,HYDROmorphone 2 mg/mL injection syringe,HYDROMORPHONE (PF) 2 MG/ML INJECTION SYRINGE|J1170|00641234141|165.22||165.22
WS SERVICE AREA|25010070|HYDROmorphone 2 mg/mL injection solution,HYDROmorphone (PF) 2 mg/mL injection solution,HYDROmorphone 2 mg/mL injection syringe,HYDROMORPHONE (PF) 2 MG/ML INJECTION SYRINGE|J1170|00409336511|18.70||18.70
WS SERVICE AREA|25010070|HYDROmorphone 2 mg/mL injection solution,HYDROmorphone (PF) 2 mg/mL injection solution,HYDROmorphone 2 mg/mL injection syringe,HYDROMORPHONE (PF) 2 MG/ML INJECTION SYRINGE|J1170|00409335611|18.70||18.70
WS SERVICE AREA|25010070|piperacillin-tazobactam 4.5 gram intravenous solution|J2543|00409337904|107.43||107.43
WS SERVICE AREA|25010070|piperacillin-tazobactam 4.5 gram intravenous solution|J2543|00409337911|107.43||107.43
WS SERVICE AREA|25010070|acetaminophen 1000 mg/100 mL (10mg/mL) intrav|J0131|43825010201|401.62||401.62
WS SERVICE AREA|25010070|ciprofloxacin 400 mg/200 mL in 5% dextrose intravenous syringe,ciprofloxacin 200 mg/100 mL in 5 % dextrose intravenous piggyback||00409477750|22.03||22.03
WS SERVICE AREA|25010070|phenytoin sodium 50 mg/mL intravenous solution|J1165|00641255541|18.70||18.70
WS SERVICE AREA|25010070|phenytoin sodium 50 mg/mL intravenous solution|J1165|00641613801|18.70||18.70
WS SERVICE AREA|25010070|phenytoin sodium 50 mg/mL intravenous solution|J1165|00641613825|18.70||18.70
WS SERVICE AREA|25010070|phenytoin sodium 50 mg/mL intravenous solution|J1165|00641613901|18.70||18.70
WS SERVICE AREA|25010070|phenytoin sodium 50 mg/mL intravenous solution|J1165|00641613925|18.70||18.70
WS SERVICE AREA|25010070|lidocaine 2,000 mg/500 mL infusion|J2001|00338040903|50.84||50.84
WS SERVICE AREA|25010070|EPINEPHrine 0.1 mg/mL injection syringe|J0171|00409492120|44.40||44.40
WS SERVICE AREA|25010070|caffeine citrate 60 mg/3 mL (20 mg/mL) intravenous solution|J0706|55150018703|338.91||338.91
WS SERVICE AREA|25010070|heparin (porcine) 25,000 unit/500 mL (50 unit/mL) in dextrose 5 % IV|J1644|00264957710|127.10||127.10
WS SERVICE AREA|25010070|heparin (porcine) 25,000 unit/500 mL (50 unit/mL) in dextrose 5 % IV|J1644|63323052277|76.26||76.26
WS SERVICE AREA|25010070|heparin (porcine) (PF) 1,000 unit/500 mL in 0.9 % sodium chloride IV|J1644|00409762013|46.60||46.60
WS SERVICE AREA|25010070|propofol 10 mg/mL IV|J2704|00409469930|36.26||36.26
WS SERVICE AREA|25010070|propofol 10 mg/mL IV|J2704|63323027050|118.62||118.62
WS SERVICE AREA|25010070|propofol 10 mg/mL IV|J2704|00409469953|90.66||90.66
WS SERVICE AREA|25010070|propofol 10 mg/mL IV|J2704|00409469954|181.32||181.32
WS SERVICE AREA|25010070|cycloSPORINE modified 25 mg capsule|J7515|00074310832|13.33||13.33
WS SERVICE AREA|25010070|cycloSPORINE modified 25 mg Cap|J7515|00078024661|17.27||17.27
WS SERVICE AREA|25010070|cycloSPORINE modified 25 mg Cap|J7515|00078024615|17.15||17.15
WS SERVICE AREA|25010070|cycloSPORINE modified 100 mg Cap|J7502|00078024861|17.16||17.16
WS SERVICE AREA|25010070|cycloSPORINE modified 100 mg Cap|J7502|00078024815|17.13||17.13
WS SERVICE AREA|25010070|fluconazole in dextrose (iso-osmotic) 200 mg/100 mL IV Piggy Back|J1450|00409468423|102.52||102.52
WS SERVICE AREA|25010070|tacrolimus 0.5 mg/mL oral suspension|J7507|00000005094|846.54||
WS SERVICE AREA|25010070|caffeine citrated 60 mg/3 mL (20 mg/mL) intravenous solution|J0706|25021060103|169.47||169.47
WS SERVICE AREA|25010070|caffeine citrated 60 mg/3 mL (20 mg/mL) intravenous solution|J0706|25021060103|169.47||169.47
WS SERVICE AREA|25010070|levoFLOXacin 5 mg/mL intravenous syringe|J1956|00000005368|59.31||59.31
WS SERVICE AREA|25010070|amikacin 1,000 mg/4 mL injection solution,amikacin 500 mg/2 mL injection solution|J0278|00703904001|61.85||61.85
WS SERVICE AREA|25010070||J1800|00000005370|67.78||67.78
WS SERVICE AREA|25010070|colistin (colistimethate sodium) 150 mg for nebulization|J0770|39822061502|213.08||213.08
WS SERVICE AREA|25010070||J2370|00000005575|18.70||18.70
WS SERVICE AREA|25010070|morphine sulfate 4 mg/mL intravenous syringe,morphine sulfate 4 mg/mL intravenous solution,morphine sulfate 4 mg/mL cartridge,morphine 4 mg/mL injection solution,morphine 4 mg/ml injection syringe|J2270|00409189101|18.70||18.70
WS SERVICE AREA|25010070|morphine sulfate 4 mg/mL intravenous syringe,morphine sulfate 4 mg/mL intravenous solution,morphine sulfate 4 mg/mL cartridge,morphine 4 mg/mL injection solution,morphine 4 mg/ml injection syringe|J2270|76045000510|18.70||18.70
WS SERVICE AREA|25010070|morphine sulfate 4 mg/mL intravenous syringe,morphine sulfate 4 mg/mL intravenous solution,morphine sulfate 4 mg/mL cartridge,morphine 4 mg/mL injection solution,morphine 4 mg/ml injection syringe|J2270|00641612501|18.70||18.70
WS SERVICE AREA|25010070|morphine sulfate 4 mg/mL intravenous syringe,morphine sulfate 4 mg/mL intravenous solution,morphine sulfate 4 mg/mL cartridge,morphine 4 mg/mL injection solution,morphine 4 mg/ml injection syringe|J2270|00641612525|19.25||19.25
WS SERVICE AREA|25010070|ws heparin re-bolus for heparin cpg|J1644|00409272002|28.30||28.30
WS SERVICE AREA|25010070|ws heparin re-bolus for heparin cpg|J1644|63323054057|22.71||22.71
WS SERVICE AREA|25010070|ws heparin re-bolus for heparin cpg|J1644|00069005802|28.30||28.30
WS SERVICE AREA|25010070|ws heparin re-bolus for heparin cpg|J1644|00409272002|28.30||28.30
WS SERVICE AREA|25010070|ws heparin re-bolus for heparin cpg|J1644|63323054057|22.71||22.71
WS SERVICE AREA|25010070|ws heparin re-bolus for heparin cpg|J1644|00069005802|28.30||28.30
WS SERVICE AREA|25010070|vinorelbine 50 mg/5 mL intravenous solution|J9390|61703034109|334.54||334.54
WS SERVICE AREA|25010070|lactated Ringers intravenous solution|J7120|00409795303|51.10||51.10
WS SERVICE AREA|25010070|lactated Ringers intravenous solution|J7120|00409795309|51.10||51.10
WS SERVICE AREA|25010070|leucovorin calcium 100 mg solution for injection|J0640|25021081430|169.46||169.46
WS SERVICE AREA|25010070|leucovorin calcium 350 mg solution for injection|J0640|00703514591|160.56||160.56
WS SERVICE AREA|25010070|leucovorin calcium 50 mg solution for injection|J0640|25021081310|62.90||62.90
WS SERVICE AREA|25010070|amphotericin B 50 mg solution for injection|J0285|39822105505|370.27||370.27
WS SERVICE AREA|25010070|ampicillin 1 gram solution for injection|J0290|00781940485|73.16||73.16
WS SERVICE AREA|25010070|ampicillin 1 gram solution for injection|J0290|67457035101|73.21||73.21
WS SERVICE AREA|25010070|magnesium sulfate 4 gram/100 mL (4 %) in water intravenous piggyback|J3475|00409672923|61.85||61.85
WS SERVICE AREA|25010070|magnesium sulfate 4 gram/100 mL (4 %) in water intravenous piggyback|J3475|63323010600|67.78||67.78
WS SERVICE AREA|25010070|ampicillin 2 gram solution for injection|J0290|00781940895|141.95||141.95
WS SERVICE AREA|25010070|ampicillin 2 gram solution for injection|J0290|00781940880|141.92||141.92
WS SERVICE AREA|25010070|ampicillin 2 gram solution for injection|J0290|00781340880|141.95||141.95
WS SERVICE AREA|25010070|ampicillin 2 gram solution for injection|J0290|67457035202|134.89||134.89
WS SERVICE AREA|25010070|magnesium sulfate 4 mEq/mL (50 %) injection solution|J3475|63323006402|18.70||18.70
WS SERVICE AREA|25010070|magnesium sulfate 4 mEq/mL (50 %) injection solution|J3475|63323006410|18.70||18.70
WS SERVICE AREA|25010070|ampicillin 250 mg solution for injection|J0290|00781340278|35.47||35.47
WS SERVICE AREA|25010070|ampicillin 500 mg solution for injection|J0290|00781940778|37.37||37.37
WS SERVICE AREA|25010070|mannitoL 25 % intravenous solution|J2150|00409403101|18.70||18.70
WS SERVICE AREA|25010070|mannitoL 25 % intravenous solution|J2150|63323002429|19.49||19.49
WS SERVICE AREA|25010070|mannitoL 25 % intravenous solution|J2150|00409403116|18.70||18.70
WS SERVICE AREA|25010070|mannitoL 25 % intravenous solution|J2150|63323002425|37.70||37.70
WS SERVICE AREA|25010070|meperidine (PF) 50 mg/mL injection solution|J2175|00409125301|33.93||33.93
WS SERVICE AREA|25010070|meperidine (PF) 50 mg/mL injection solution|J2175|00641605301|22.39||22.39
WS SERVICE AREA|25010070|meperidine (PF) 50 mg/mL injection solution|J2175|00641605325|22.39||22.39
WS SERVICE AREA|25010070|methocarbamoL 100 mg/mL injection solution|J2800|00641610301|118.62||118.62
WS SERVICE AREA|25010070|methocarbamoL 100 mg/mL injection solution|J2800|00641610325|237.24||237.24
WS SERVICE AREA|25010070|methotrexate sodium 2.5 mg tablet|J8610|67253032010|27.12||27.12
WS SERVICE AREA|25010070|methotrexate sodium 2.5 mg tablet|J8610|00054855025|27.12||27.12
WS SERVICE AREA|25010070|methotrexate sodium 25 mg/mL injection solution|J9250|61703035038|62.90||62.90
WS SERVICE AREA|25010070|methotrexate sodium (PF) 1 gram solution for injection|J9250|63323012250|485.33||485.33
WS SERVICE AREA|25010070|methylPREDNISolone 16 mg tablet|J7509|59746000314|4.60||4.60
WS SERVICE AREA|25010070|methylPREDNISolone 16 mg tablet|J7509|00009007301|4.60||4.60
WS SERVICE AREA|25010070|methylPREDNISolone 4 mg tablet|J7509|00009005602|4.60||4.60
WS SERVICE AREA|25010070|methylPREDNISolone 4 mg tablet|J7509|00603459321|5.44||5.44
WS SERVICE AREA|25010070|methylPREDNISolone acetate 40 mg/mL suspension for injection|J1030|00009307322|22.50||22.50
WS SERVICE AREA|25010070|methylPREDNISolone acetate 40 mg/mL suspension for injection|J1030|00009028002|19.52||19.52
WS SERVICE AREA|25010070|methylPREDNISolone acetate 80 mg/mL suspension for injection|J1040|00009347522|156.16||156.16
WS SERVICE AREA|25010070|metoclopramide 5 mg/mL injection solution|J2765|00409341401|18.70||18.70
WS SERVICE AREA|25010070|nalbuphine 10 mg/mL injection solution|J2300|00409146401|299.18||299.18
WS SERVICE AREA|25010070|nalbuphine 10 mg/mL injection solution|J2300|00000005655|22.11||
WS SERVICE AREA|25010070|nalbuphine 20 mg/mL injection solution|J2300|00409146701|444.32||444.32
WS SERVICE AREA|25010070|naloxone 0.4 mg/mL injection solution|J2310|00409121501|132.09||132.09
WS SERVICE AREA|25010070|naloxone 1 mg/mL injection syringe|J2310|76329336901|279.61||279.61
WS SERVICE AREA|25010070|orphenadrine citrate 30 mg/mL injection solution|J2360|25021065102|101.68||101.68
WS SERVICE AREA|25010070|oxacillin 1 gram solution for injection|J2700|00781910985|123.71||123.71
WS SERVICE AREA|25010070|oxytocin 10 unit/mL injection solution|J2590|63323001212|39.71||39.71
WS SERVICE AREA|25010070|oxytocin 10 unit/mL injection solution|J2590|42023011602|18.70||18.70
WS SERVICE AREA|25010070|papaverine 30 mg/mL injection solution|J2440|00517400225|350.87||350.87
WS SERVICE AREA|25010070|penicillin G potassium 20 million unit solution for injection|J2540|00049053022|431.11||431.11
WS SERVICE AREA|25010070|penicillin G potassium 5 million unit solution for injection|J2540|00049052022|107.79||107.79
WS SERVICE AREA|25010070|penicillin G potassium 5 million unit solution for injection|J2540|00049052083|107.79||107.79
WS SERVICE AREA|25010070|PENTobarbital sodium 50 mg/mL injection solution|J2515|76478050120|10,456.20||10,456.20
WS SERVICE AREA|25010070|phenylephrine 10 mg/mL injection solution|J2370|00641614201|50.84||50.84
WS SERVICE AREA|25010070|phenylephrine 10 mg/mL injection solution|J2370|00641614225|50.84||50.84
WS SERVICE AREA|25010070|phenylephrine 10 mg/mL injection solution|J2370|76014000410|187.00||187.00
WS SERVICE AREA|25010070|phenytoin sodium 50 mg/mL intravenous solution|J1165|00641255541|18.70||18.70
WS SERVICE AREA|25010070|phenytoin sodium 50 mg/mL intravenous solution|J1165|00641613801|18.70||18.70
WS SERVICE AREA|25010070|phenytoin sodium 50 mg/mL intravenous solution|J1165|00641613825|18.70||18.70
WS SERVICE AREA|25010070|phenytoin sodium 50 mg/mL intravenous solution|J1165|00641613901|18.70||18.70
WS SERVICE AREA|25010070|phenytoin sodium 50 mg/mL intravenous solution|J1165|00641613925|18.70||18.70
WS SERVICE AREA|25010070|phytonadione (vitamin K1) 1 mg/0.5 mL injection syringe|J3430|76329124001|190.64||190.64
WS SERVICE AREA|25010070|potassium chloride 2 mEq/mL intravenous solution|J3480|00409665305|38.47||38.47
WS SERVICE AREA|25010070|potassium chloride 2 mEq/mL intravenous solution|J3480|69374095805|29.66||
WS SERVICE AREA|25010070|potassium chloride 2 mEq/mL intravenous solution|J3480|63323096520|18.70||18.70
WS SERVICE AREA|25010070|predniSONE 5 mg/5 mL oral solution|J7512|00054372250|730.56||730.56
WS SERVICE AREA|25010070|predniSONE 10 mg tablet|J7512|00054001720|4.60||4.60
WS SERVICE AREA|25010070|predniSONE 10 mg tablet|J7512|59746017306|4.60||4.60
WS SERVICE AREA|25010070|predniSONE 50 mg tablet|J7512|00054001920|4.60||4.60
WS SERVICE AREA|25010070|procainamide 100 mg/mL injection solution|J2690|00409190201|735.54||735.54
WS SERVICE AREA|25010070|prochlorperazine Edisylate 10 mg/2 mL (5 mg/mL) injection solution|J0780|55390007710|18.70||18.70
WS SERVICE AREA|25010070|prochlorperazine Edisylate 10 mg/2 mL (5 mg/mL) injection solution|J0780|23155029442|39.19||39.19
WS SERVICE AREA|25010070|progesterone 50 mg/mL intramuscular oil|J2675|00591312879|18.70||18.70
WS SERVICE AREA|25010070|progesterone 50 mg/mL intramuscular oil|J2675|63323026110|18.70||18.70
WS SERVICE AREA|25010070|protamine 10 mg/mL intravenous solution|J2720|63323022915|82.95||82.95
WS SERVICE AREA|25010070|protamine 10 mg/mL intravenous solution|J2720|63323022935|247.20||247.20
WS SERVICE AREA|25010070|protamine 10 mg/mL intravenous solution|J2720|00000005830|82.95||
WS SERVICE AREA|25010070|protamine 10 mg/mL intravenous solution|J2720|63323022905|104.13||104.13
WS SERVICE AREA|25010070|protamine 10 mg/mL intravenous solution|J2720|63323022930|312.23||312.23
WS SERVICE AREA|25010070|pyridoxine (vitamin B6) 100 mg/mL injection solution|J3415|63323018001|128.79||128.79
WS SERVICE AREA|25010070|atropine 0.1 mg/mL injection syringe|J0461|00409491134|88.29||88.29
WS SERVICE AREA|25010070|atropine 0.1 mg/mL injection syringe|J0461|76329333901|76.26||76.26
WS SERVICE AREA|25010070|atropine 0.1 mg/mL injection syringe|J0461|00409163015|49.14||49.14
WS SERVICE AREA|25010070|atropine 0.4 mg/mL injection solution|J0461|00517040125|67.78||67.78
WS SERVICE AREA|25010070|atropine 0.4 mg/mL injection solution|J0461|00641600601|297.40||297.40
WS SERVICE AREA|25010070|atropine 1 mg/mL injection solution|J0461|00517101025|106.42||106.42
WS SERVICE AREA|25010070|succinylcholine chloride 20 mg/mL injection solution|J0330|00409662902|162.51||162.51
WS SERVICE AREA|25010070|succinylcholine chloride 20 mg/mL injection solution|J0330|00409662912|162.51||162.51
WS SERVICE AREA|25010070|ibuprofen lysine (PF) 20 mg/2 mL intravenous solution|J1741|55292012252|5,618.65||5,618.65
WS SERVICE AREA|25010070|levETIRAcetam 500 mg/5 mL intravenous solution|J1953|00409188602|32.62||32.62
WS SERVICE AREA|25010070|levETIRAcetam 500 mg/5 mL intravenous solution|J1953|63323040009|152.51||152.51
WS SERVICE AREA|25010070|levETIRAcetam 500 mg/5 mL intravenous solution|J1953|00143957401|88.97||88.97
WS SERVICE AREA|25010070|thiamine HCl (vitamin B1) 100 mg/mL injection solution|J3411|67457019602|90.39||90.39
WS SERVICE AREA|25010070|thiamine HCl (vitamin B1) 100 mg/mL injection solution|J3411|63323001309|18.70||18.70
WS SERVICE AREA|25010070|thiamine HCl (vitamin B1) 100 mg/mL injection solution|J3411|63323001302|84.31||84.31
WS SERVICE AREA|25010070|triamcinolone acetonide 40 mg/mL suspension for injection|J3301|00003029305|79.31||79.31
WS SERVICE AREA|25010070|zoledronic acid 5 mg/100 mL in mannitoL 5 %-water intravenous piggybck|J3489|00078043561|7,491.23||7,491.23
WS SERVICE AREA|25010070|zoledronic acid 5 mg/100 mL in mannitoL 5 %-water intravenous piggybck|J3489|55111068852|6,942.41||6,942.41
WS SERVICE AREA|25010070|zoledronic acid 5 mg/100 mL in mannitoL 5 %-water intravenous piggybck|J3489|43598033111|6,942.41||6,942.41
WS SERVICE AREA|25010070|methotrexate sodium (PF) 25 mg/mL injection solution|J9260|61703040841|277.46||277.46
WS SERVICE AREA|25010070|methotrexate sodium (PF) 25 mg/mL injection solution|J9250|00703367191|62.90||62.90
WS SERVICE AREA|25010070|methotrexate sodium (PF) 25 mg/mL injection solution|J9260|00703367193|62.90||62.90
WS SERVICE AREA|25010070|fluorouraciL 2.5 gram/50 mL intravenous solution|J9190|63323011751|98.06||98.06
WS SERVICE AREA|25010070|fluorouraciL 500 mg/10 mL intravenous solution|J9190|63323011710|62.90||62.90
WS SERVICE AREA|25010070|fluorouraciL 1 gram/20 mL intravenous solution|J9190|63323011720|62.90||62.90
WS SERVICE AREA|25010070|vancomycin 1,000 mg intravenous injection|J3370|00409653301|136.58||136.58
WS SERVICE AREA|25010070|vancomycin 1,000 mg intravenous injection|J3370|00409653501|175.84||175.84
WS SERVICE AREA|25010070|vancomycin 500 mg intravenous solution|J3370|00409653401|91.03||91.03
WS SERVICE AREA|25010070|vancomycin 500 mg intravenous solution|J3370|67457033900|81.75||81.75
WS SERVICE AREA|25010070|vancomycin 500 mg intravenous solution|J3370|67457033950|81.75||81.75
WS SERVICE AREA|25010070|vancomycin 500 mg intravenous solution|J3370|63323022133|59.31||59.31
WS SERVICE AREA|25010070|vancomycin 500 mg intravenous solution|J3370|00409433211|68.46||68.46
WS SERVICE AREA|25010070|vancomycin 5 gram intravenous solution|J3370|25021015799|423.57||423.57
WS SERVICE AREA|25010070|vinBLAStine 1 mg/mL intravenous solution|J9360|63323027810|328.67||328.67
WS SERVICE AREA|25010070|vinCRIStine 1 mg/mL intravenous solution|J9370|61703030906|88.21||88.21
WS SERVICE AREA|25010070|epiRUBicin 200 mg/100 mL intravenous solution|J9178|25021020351|1,300.53||1,300.53
WS SERVICE AREA|25010070|fosphenytoin 500 mg PE/10 mL injection solution|Q2009|63323040310|190.64||190.64
WS SERVICE AREA|25010070|fosphenytoin 100 mg PE/2 mL injection solution|Q2009|63323040302|20.34||20.34
WS SERVICE AREA|25010070|fosphenytoin 100 mg PE/2 mL injection solution|Q2009|00069547101|111.75||
WS SERVICE AREA|25010070|CISplatin 1 mg/mL intravenous solution|J9060|00703574711|153.76||153.76
WS SERVICE AREA|25010070|CISplatin 1 mg/mL intravenous solution|J9060|44567051001|274.72||274.72
WS SERVICE AREA|25010070|CISplatin 1 mg/mL intravenous solution|J9060|63323010365|275.48||275.48
WS SERVICE AREA|25010070|cefOXitin 2 gram/50 mL in dextrose(iso-osmotic) intravenous piggyback|J0694|00264312511|247.63||247.63
WS SERVICE AREA|25010070|irinotecan 100 mg/5 mL intravenous solution|J9206|00009111102|476.94||476.94
WS SERVICE AREA|25010070|irinotecan 40 mg/2 mL intravenous solution|J9206|25021023002|131.02||131.02
WS SERVICE AREA|25010070|octreotide acetate 50 mcg/mL injection solution|J2354|00703330104|19.06||19.06
WS SERVICE AREA|25010070|octreotide acetate 50 mcg/mL injection solution|J2354|63323036501|21.44||21.44
WS SERVICE AREA|25010070|octreotide acetate 500 mcg/mL injection solution|J2354|63323037701|421.02||421.02
WS SERVICE AREA|25010070|octreotide acetate 500 mcg/mL injection solution|J2354|62756035144|487.11||487.11
WS SERVICE AREA|25010070|octreotide acetate 1,000 mcg/mL injection solution|J2354|63323037905|3,434.43||3,434.43
WS SERVICE AREA|25010070|ketorolac 60 mg/2 mL intramuscular solution|J1885|63323016214|18.70||18.70
WS SERVICE AREA|25010070|azaTHIOprine 50 mg tablet|J7500|68084022911|4.60||4.60
WS SERVICE AREA|25010070|benztropine 1 mg/mL injection solution|J0515|17478001202|497.79||497.79
WS SERVICE AREA|25010070|betamethasone acetate and sodium phos 6 mg/mL suspension for injection|J0702|00000005591|126.76||
WS SERVICE AREA|25010070|bleomycin 15 unit solution for injection|J9040|63323013610|62.90||62.90
WS SERVICE AREA|25010070|amiodarone 50 mg/mL intravenous solution|J0282|67457015318|144.13||144.13
WS SERVICE AREA|25010070|amiodarone 50 mg/mL intravenous solution|J0282|67457015300|36.91||36.91
WS SERVICE AREA|25010070|amiodarone 50 mg/mL intravenous solution|J0282|63323061603|18.70||18.70
WS SERVICE AREA|25010070|butorphanol 2 mg/mL injection solution|J0595|00409162601|45.47||45.47
WS SERVICE AREA|25010070|butorphanol 10 mg/mL nasal spray|J0595|00378963943|603.17||603.17
WS SERVICE AREA|25010070|calcitrioL 1 mcg/mL intravenous solution|J0636|17478093101|79.44||79.44
WS SERVICE AREA|25010070|cefepime 1 gram intravenous solution|J0692|00409021701|49.06||49.06
WS SERVICE AREA|25010070|cefepime 1 gram intravenous solution|J0692|00409021711|49.06||49.06
WS SERVICE AREA|25010070|cefotaxime 1 gram solution for injection|J0698|00409359511|42.62||42.62
WS SERVICE AREA|25010070|cefotaxime 2 gram solution for injection|J0698|00039001910|38.13||38.13
WS SERVICE AREA|25010070|cefotaxime 500 mg solution for injection|J0698|00143993010|18.70||18.70
WS SERVICE AREA|25010070|cefOXitin 1 gram intravenous solution|J0694|60505075905|95.11||95.11
WS SERVICE AREA|25010070|cefOXitin 1 gram intravenous solution|J0694|60505602505|95.11||95.11
WS SERVICE AREA|25010070|cefOXitin 1 gram intravenous solution|J0694|44567024525|101.17||101.17
WS SERVICE AREA|25010070|cefOXitin 2 gram intravenous solution|J0694|44567024625|202.84||202.84
WS SERVICE AREA|25010070|cefTAZidime 1 gram solution for injection|J0713|00409508252|28.05||28.05
WS SERVICE AREA|25010070|cefTAZidime 2 gram solution for injection|J0713|00409508413|40.06||40.06
WS SERVICE AREA|25010070|cefTRIAXone 1 gram solution for injection|J0696|00409733201|18.70||18.70
WS SERVICE AREA|25010070|cefTRIAXone 1 gram solution for injection|J0696|00781320885|389.76||389.76
WS SERVICE AREA|25010070|cefTRIAXone 1 gram solution for injection|J0696|00781932885|389.76||389.76
WS SERVICE AREA|25010070|cefTRIAXone 1 gram solution for injection|J0696|00409733221|18.70||18.70
WS SERVICE AREA|25010070|cefTRIAXone 2 gram solution for injection|J0696|00409733503|24.27||24.27
WS SERVICE AREA|25010070|cefTRIAXone 250 mg solution for injection|J0696|00409733701|18.70||18.70
WS SERVICE AREA|25010070|cefTRIAXone 250 mg solution for injection|J0696|60505075004|125.54||125.54
WS SERVICE AREA|25010070|cefTRIAXone 500 mg solution for injection|J0696|00409733801|18.70||18.70
WS SERVICE AREA|25010070|colistin (colistimethate sodium) 150 mg solution for injection|J0770|39822061502|237.24||237.24
WS SERVICE AREA|25010070|colistin (colistimethate sodium) 150 mg solution for injection|J0770|42023010706|79.08||79.08
WS SERVICE AREA|25010070|colistin (colistimethate sodium) 150 mg solution for injection|J0770|39822061702|79.08||79.08
WS SERVICE AREA|25010070|cycloSPORINE 250 mg/5 mL intravenous solution|J7516|00574086610|397.60||397.60
WS SERVICE AREA|25010070|cycloSPORINE 100 mg capsule|J7502|00078024161|29.41||29.41
WS SERVICE AREA|25010070|cycloSPORINE 25 mg capsule|J7515|00078024015|29.44||29.44
WS SERVICE AREA|25010070|cytarabine 20 mg/mL injection solution|J9100|61703030436|117.71||117.71
WS SERVICE AREA|25010070|deferoxamine 2 gram solution for injection|J0895|00409233725|268.92||268.92
WS SERVICE AREA|25010070|deferoxamine 2 gram solution for injection|J0895|63323059930|349.09||349.09
WS SERVICE AREA|25010070|deferoxamine 500 mg solution for injection|J0895|63323059710|109.73||109.73
WS SERVICE AREA|25010070|vancomycin 750 mg intravenous solution|J3370|00409653101|93.41||93.41
WS SERVICE AREA|25010070|vancomycin 750 mg intravenous solution|J3370|00143935501|82.10||82.10
WS SERVICE AREA|25010070|dextrose 5 % and lactated ringers intravenous solution|J7121|00409792909|51.10|J7121|51.10
WS SERVICE AREA|25010070|dextrose 5 % and lactated ringers intravenous solution|J7121|00990792909|51.10|J7121|51.10
WS SERVICE AREA|25010070|dextrose 5 % and 0.9 % sodium chloride intravenous solution|J7042|00409794109|51.10||51.10
WS SERVICE AREA|25010070|fluorouraciL 5 gram/100 mL intravenous solution|J9190|63323011761|196.12||196.12
WS SERVICE AREA|25010070|digoxin 100 mcg/mL (0.1 mg/mL) injection solution|J1160|24987026210|716.43||716.43
WS SERVICE AREA|25010070|dihydroergotamine 1 mg/mL injection solution|J1110|00574085005|667.76||667.76
WS SERVICE AREA|25010070|dimercaproL 100 mg/mL intramuscular solution|J0470|17478052603|1,330.75||1,330.75
WS SERVICE AREA|25010070|dipyridamole 5 mg/mL intravenous solution|J1245|00641256941|37.79||37.79
WS SERVICE AREA|25010070|DOBUTamine 250 mg/20 mL (12.5 mg/mL) intravenous solution|J1250|00409234488|46.77||46.77
WS SERVICE AREA|25010070|oxaliplatin 50 mg/10 mL (5 mg/mL) intravenous solution|J9263|61703036318|333.02||333.02
WS SERVICE AREA|25010070|oxaliplatin 100 mg/20 mL intravenous solution|J9263|61703036322|666.03||666.03
WS SERVICE AREA|25010073|chlorhexidine gluconate 4 % topical liquid||67618020004|44.00||44.00
WS SERVICE AREA|25010073|hydrogen peroxide 3 % solution||24385011316|10.80||10.80
WS SERVICE AREA|25010074|isopropyl alcohoL 99 % solution||00574006616|21.60||21.60
WS SERVICE AREA|25010075|candida albicans skin test FDA STANDARD intradermal|86485|59584013801|228.77||228.77
WS SERVICE AREA|25010029|aminophylline 250 mg/10 mL intravenous solution|J0280|00409592101|105.91||105.91
WS SERVICE AREA|25010034|gadobenate dimeglumine 529 mg/mL(0.1 mmol/0.2 mL) intravenous solution|A9577|00270516415|126.00||
WS SERVICE AREA|25010044|DOBUTamine 500 mg/40 mL (12.5 mg/mL) intravenous solution|J1250|00409202554|99.98||99.98
WS SERVICE AREA|25010045|regadenoson 0.4 mg/5 mL intravenous syringe|J2785|00469650189|923.40|J2785|
WS SERVICE AREA|25010047|perflutren protein-type a microspheres 0.22 mg/mL intravenous susp|Q9956|00407270703|2,115.07||
WS SERVICE AREA|25010047|perflutren protein-type a microspheres 0.22 mg/mL intravenous susp|Q9956|00407270718|970.44||970.44
WS SERVICE AREA|25010048|perflutren lipid microspheres 1.1 mg/mL intravenous suspension|Q9957|11994001116|822.20||
WS SERVICE AREA|25010048|perflutren lipid microspheres 1.1 mg/mL intravenous suspension|Q9957|11994001101|822.20||
WS SERVICE AREA|25010050|iohexoL 300 mg iodine/mL intravenous solution|Q9967|00407141310|165.00||
WS SERVICE AREA|25010050|iopamidoL 76 % intravenous solution|Q9967|00270131698|165.00||
WS SERVICE AREA|34010048||A9500|00000005101|241.08||
WS SERVICE AREA|34010048||A9541|00000005113|263.24||
WS SERVICE AREA|25010079|bamlanivimab 700 mg/20 mL (35 mg/mL) intravenous solution (EUA)|Q0239|00002791001|0.01||
WS SERVICE AREA|25010079|casirivimab (REGN10933) 120 mg/mL intravenous solution (1 of 2) (EUA)|Q0243|61755002401|0.01||0.01
WS SERVICE AREA|25010079|imdevimab (REGN10987) 120 mg/mL intravenous solution (2 of 2) (EUA)|Q0243|61755002501|0.01||0.01