Service Area|Px Code|Generic Name|CPT(R)/HCPCS Code|NDC|Unit Price|Override Bill Code|Override Price
WS SERVICE AREA|25010081|DAPAgliflozin/placebo tablet|J8499|00000115413|0.01||
WS SERVICE AREA|25010046|sincalide 5 mcg solution for injection|J2805|00270055615|712.43||712.43
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|19.60||19.60
WS SERVICE AREA|25010065|EPINEPHrine 0.3 mg/0.3 mL injection, auto-injector||49502010202|1,045.50||1,045.50
WS SERVICE AREA|25010065|EPINEPHrine 0.3 mg/0.3 mL injection, auto-injector||49502050001|2,121.01||2,121.01
WS SERVICE AREA|25010065|fluorescein 500 mg/5 mL (10 %) intravenous solution||00065009265|411.80||411.80
WS SERVICE AREA|25010065|fluorescein 0.25 %-proparacaine 0.5 % eye drops||54799050721|4.80||4.80
WS SERVICE AREA|25010065|fluconazole 100 mg/50 mL in sodium chloride(iso) intravenous piggyback|J1450|36000026110|94.37||94.37
WS SERVICE AREA|25010065|flurbiprofen 0.03 % eye drops||69292072225|5.52||5.52
WS SERVICE AREA|25010065|flurbiprofen 0.03 % eye drops||24208031425|66.96||66.96
WS SERVICE AREA|25010065|flutamide 125 mg capsule||69097091591|66.00||66.00
WS SERVICE AREA|25010065|indocyanine green 25 mg solution for injection||25431042402|45.26||45.26
WS SERVICE AREA|25010065|indocyanine green 25 mg solution for injection||17478070125|58.38||58.38
WS SERVICE AREA|25010065|indocyanine green 25 mg solution for injection||17238042406|42.26||42.26
WS SERVICE AREA|25010065|indocyanine green 25 mg solution for injection||17238042425|42.26||42.26
WS SERVICE AREA|25010065|indomethacin 1 mg intravenous solution||63323065903|3,686.71||3,686.71
WS SERVICE AREA|25010065|indomethacin 1 mg intravenous solution||63323065909|2,760.12||2,760.12
WS SERVICE AREA|25010065|labetaloL 5 mg/mL intravenous solution||00143962201|59.78||59.78
WS SERVICE AREA|25010065|lidocaine (PF) 10 mg/mL (1 %) injection solution||00409471332|19.60||19.60
WS SERVICE AREA|25010065|lidocaine (PF) 10 mg/mL (1 %) injection solution||63323049227|19.60||19.60
WS SERVICE AREA|25010065|lidocaine (PF) 10 mg/mL (1 %) injection solution||55150015974|22.80||22.80
WS SERVICE AREA|25010065|lidocaine (PF) 10 mg/mL (1 %) injection solution||55150016102|26.27||26.27
WS SERVICE AREA|25010065|lidocaine (PF) 10 mg/mL (1 %) injection solution||00409471342|19.60||19.60
WS SERVICE AREA|25010065|lidocaine (PF) 10 mg/mL (1 %) injection solution||63323049204|19.60||19.60
WS SERVICE AREA|25010065|lidocaine (PF) 20 mg/mL (2 %) injection solution||00409206605|21.01||21.01
WS SERVICE AREA|25010065|lidocaine (PF) 20 mg/mL (2 %) injection solution||63323049697|51.50||51.50
WS SERVICE AREA|25010065|lidocaine (PF) 20 mg/mL (2 %) injection solution||63323049507|26.64||26.64
WS SERVICE AREA|25010065|lidocaine (PF) 20 mg/mL (2 %) injection solution||00143959401|19.60||19.60
WS SERVICE AREA|25010065|lidocaine 1 %-epinephrine 1:100,000 injection solution||00409317801|19.60||19.60
WS SERVICE AREA|25010065|lidocaine 1 %-epinephrine 1:100,000 injection solution||00409317802|43.55||43.55
WS SERVICE AREA|25010065|lidocaine 1 %-epinephrine 1:100,000 injection solution||00409317803|19.60||19.60
WS SERVICE AREA|25010065|lidocaine 1 %-epinephrine 1:100,000 injection solution||63323048257|19.60||19.60
WS SERVICE AREA|25010065|lidocaine 1 %-epinephrine 1:100,000 injection solution||63323048217|19.60||19.60
WS SERVICE AREA|25010065|lidocaine 1 %-epinephrine 1:100,000 injection solution||63323048227|19.60||19.60
WS SERVICE AREA|25010065|lidocaine 1 %-epinephrine 1:100,000 injection solution||63323048203|19.60||19.60
WS SERVICE AREA|25010065|lidocaine 20 mg/mL (2 %)-epinephrine 1:100,000 injection solution||00409318201|19.60||19.60
WS SERVICE AREA|25010065|lidocaine 20 mg/mL (2 %)-epinephrine 1:100,000 injection solution||63323048327|19.60||19.60
WS SERVICE AREA|25010065|lidocaine 20 mg/mL (2 %)-epinephrine 1:100,000 injection solution||00409318211|19.60||19.60
WS SERVICE AREA|25010065|lidocaine-epinephrine (PF) 2 %-1:200,000 injection solution||63323048921|109.48||109.48
WS SERVICE AREA|25010065|lidocaine-epinephrine (PF) 2 %-1:200,000 injection solution||63323048917|76.26||76.26
WS SERVICE AREA|25010065|lidocaine-epinephrine (PF) 2 %-1:200,000 injection solution||63323048927|134.25||134.25
WS SERVICE AREA|25010065|lidocaine-epinephrine (PF) 2 %-1:200,000 injection solution||63323048902|19.60||19.60
WS SERVICE AREA|25010065|lidocaine-epinephrine (PF) 2 %-1:200,000 injection solution||00409318311|19.60||19.60
WS SERVICE AREA|25010065|lidocaine-prilocaine 2.5 %-2.5 % topical cream||00168035755|63.39||63.39
WS SERVICE AREA|25010065|lidocaine-prilocaine 2.5 %-2.5 % topical cream||00115146845|353.43||353.43
WS SERVICE AREA|25010065|lidocaine-prilocaine 2.5 %-2.5 % topical cream||00115146860|61.67||61.67
WS SERVICE AREA|25010065|lidocaine-prilocaine 2.5 %-2.5 % topical cream||00591207026|67.92||67.92
WS SERVICE AREA|25010065|lidocaine-prilocaine 2.5 %-2.5 % topical cream||00591207072|67.92||67.92
WS SERVICE AREA|25010065|lidocaine-prilocaine 2.5 %-2.5 % topical cream||50383066730|407.51||407.51
WS SERVICE AREA|25010065|mercaptopurine 50 mg tablet||69076091302|23.70||23.70
WS SERVICE AREA|25010065|bupivacaine-epinephrine (PF) 0.25 %-1:200,000 injection solution||00409174630|19.60||19.60
WS SERVICE AREA|25010065|bupivacaine-epinephrine (PF) 0.25 %-1:200,000 injection solution||00409904201|34.25||34.25
WS SERVICE AREA|25010065|bupivacaine-epinephrine (PF) 0.25 %-1:200,000 injection solution||00409174610|32.37||32.37
WS SERVICE AREA|25010065|bupivacaine-epinephrine (PF) 0.25 %-1:200,000 injection solution||63323046817|19.60||19.60
WS SERVICE AREA|25010065|bupivacaine-epinephrine (PF) 0.25 %-1:200,000 injection solution||63323046837|71.74||71.74
WS SERVICE AREA|25010065|bupivacaine-epinephrine (PF) 0.25 %-1:200,000 injection solution||00409904217|26.64||26.64
WS SERVICE AREA|25010065|bupivacaine-epinephrine (PF) 0.25 %-1:200,000 injection solution||00409904210|19.60||19.60
WS SERVICE AREA|25010065|mepivacaine (PF) 20 mg/mL (2 %) injection solution||63323029427|19.60||19.60
WS SERVICE AREA|25010065|bupivacaine (PF) 0.5 % (5 mg/mL) injection solution||00409156010|33.14||33.14
WS SERVICE AREA|25010065|bupivacaine (PF) 0.5 % (5 mg/mL) injection solution||00409156029|34.33||34.33
WS SERVICE AREA|25010065|bupivacaine (PF) 0.5 % (5 mg/mL) injection solution||00409116202|19.60||19.60
WS SERVICE AREA|25010065|bupivacaine (PF) 0.5 % (5 mg/mL) injection solution||63323046637|53.80||53.80
WS SERVICE AREA|25010065|bupivacaine (PF) 0.5 % (5 mg/mL) injection solution||63323046617|38.94||38.94
WS SERVICE AREA|25010065|bupivacaine (PF) 0.5 % (5 mg/mL) injection solution||55150016910|30.74||30.74
WS SERVICE AREA|25010065|bupivacaine (PF) 0.5 % (5 mg/mL) injection solution||55150017030|30.23||30.23
WS SERVICE AREA|25010065|metroNIDAZOLE 0.75 % vaginal gel||00245086070|1,250.44||1,250.44
WS SERVICE AREA|25010065|metroNIDAZOLE 0.75 % vaginal gel||00781707787|1,172.05||1,172.05
WS SERVICE AREA|25010065|metroNIDAZOLE 0.75 % vaginal gel||45802013970|83.72||83.72
WS SERVICE AREA|25010065|neomycin 3.5 mg/g-polymyxin B 10,000 unit/g-dexameth 0.1 % eye oint||24208079535|152.32||152.32
WS SERVICE AREA|25010065|neomycin 3.5 mg/g-polymyxin B 10,000 unit/g-dexameth 0.1 % eye oint||61314063136|337.47||337.47
WS SERVICE AREA|25010065|mivacurium chloride 2 mg/mL injection solution||00074436510|255.18||255.18
WS SERVICE AREA|25010065|lidocaine (PF) 5 mg/mL (0.5 %) injection solution||00409427801|33.31||33.31
WS SERVICE AREA|25010065|lidocaine (PF) 5 mg/mL (0.5 %) injection solution||63323049157|107.60||107.60
WS SERVICE AREA|25010065|bupivacaine-epinephrine (PF) 0.5 %-1:200,000 injection solution||00409174929|19.60||19.60
WS SERVICE AREA|25010065|bupivacaine-epinephrine (PF) 0.5 %-1:200,000 injection solution||00409904501|19.60||19.60
WS SERVICE AREA|25010065|bupivacaine-epinephrine (PF) 0.5 %-1:200,000 injection solution||63323046231|19.60||19.60
WS SERVICE AREA|25010065|bupivacaine-epinephrine (PF) 0.5 %-1:200,000 injection solution||63323046237|19.60||19.60
WS SERVICE AREA|25010065|bupivacaine-epinephrine (PF) 0.5 %-1:200,000 injection solution||00409904517|20.75||20.75
WS SERVICE AREA|25010065|bupivacaine-epinephrine (PF) 0.5 %-1:200,000 injection solution||63323046217|46.46||46.46
WS SERVICE AREA|25010065|bupivacaine-epinephrine (PF) 0.5 %-1:200,000 injection solution||00409904516|19.60||19.60
WS SERVICE AREA|25010065|mvi, adult no.1 with vit K 3,300 unit-150 mcg/10 mL intravenous soln||54643565002|3,257.78||3,257.78
WS SERVICE AREA|25010065|mvi, adult no.1 with vit K 3,300 unit-150 mcg/10 mL intravenous soln||54643564901|94.20||94.20
WS SERVICE AREA|25010065|mupirocin 2 % topical ointment||45802011222|86.23||86.23
WS SERVICE AREA|25010065|neomycin-polymyxin-dexameth 3.5 mg/mL-10,000 unit/mL-0.1% eye drops||24208083060|152.33||152.33
WS SERVICE AREA|25010065|norepinephrine bitartrate 1 mg/mL intravenous solution||00409144304|172.78||172.78
WS SERVICE AREA|25010065|norepinephrine bitartrate 1 mg/mL intravenous solution||00409337504|172.78||172.78
WS SERVICE AREA|25010065|norepinephrine bitartrate 1 mg/mL intravenous solution||36000016210|74.74||74.74
WS SERVICE AREA|25010065|norepinephrine bitartrate 1 mg/mL intravenous solution||00409337525|170.22||170.22
WS SERVICE AREA|25010065|norepinephrine bitartrate 1 mg/mL intravenous solution||67457085200|186.38||186.38
WS SERVICE AREA|25010065|norepinephrine bitartrate 1 mg/mL intravenous solution||00409337514|172.78||172.78
WS SERVICE AREA|25010065|balanced salt solution combination no.2 intraocular irrigation||00065079515|78.35||78.35
WS SERVICE AREA|25010065|balanced salt solution combination no.2 intraocular irrigation||00065079550|237.77||237.77
WS SERVICE AREA|25010065|clindamycin 600 mg/4 mL intravenous solution||47781062069|59.44||59.44
WS SERVICE AREA|25010065|iodine-potassium iodide 5 %-10 % topical solution||10481011108|52.42||52.42
WS SERVICE AREA|25010065|iodine-potassium iodide 5 %-10 % topical solution||51552019405|8.32||8.32
WS SERVICE AREA|25010065|iodine-potassium iodide 5 %-10 % topical solution||38779059805|74.13||74.13
WS SERVICE AREA|25010065|iodine-potassium iodide 5 %-10 % topical solution||51552019404|16.30||16.30
WS SERVICE AREA|25010065|hydroxocobalamin 5 gram intravenous solution||11704037001|5,724.60||5,724.60
WS SERVICE AREA|25010065|pyridostigmine bromide 5 mg/mL injection solution||00781304072|65.58||65.58
WS SERVICE AREA|25010065|racepinephrine 2.25 % solution for nebulization||00487590199|9.59||9.59
WS SERVICE AREA|25010065|racepinephrine 2.25 % solution for nebulization||00487278401|7.67||7.67
WS SERVICE AREA|25010065|silver nitrate applicators 75 %-25 % topical stick||12870000101|4.87||4.87
WS SERVICE AREA|25010065|silver nitrate applicators 75 %-25 % topical stick||12870000102|4.80||4.80
WS SERVICE AREA|25010065|sodium bicarbonate 4 % intravenous solution||00409660902|65.16||65.16
WS SERVICE AREA|25010065|SUFentanil citrate 50 mcg/mL intravenous solution||17478005002|19.60||19.60
WS SERVICE AREA|25010065|sulfacetamide 10 %-prednisolone 0.2 % eye drops,suspension||11980002205|1,230.27||1,230.27
WS SERVICE AREA|25010065|timoloL maleate 0.25 % eye drops||61314022605|115.05||115.05
WS SERVICE AREA|25010065|timoloL maleate 0.5 % eye drops||64980051405|130.39||130.39
WS SERVICE AREA|25010065|timoloL maleate 0.5 % eye drops||61314022705|130.39||130.39
WS SERVICE AREA|25010065|timoloL maleate 0.5 % eye drops||61314022710|248.12||248.12
WS SERVICE AREA|25010065|tobramycin-dexamethasone 0.3 %-0.1 % eye ointment||00065064835|1,750.37||1,750.37
WS SERVICE AREA|25010065|tobramycin 0.3 %-dexamethasone 0.1 % eye drops,suspension||61314064725|27.83||27.83
WS SERVICE AREA|25010065|tobramycin 0.3 %-dexamethasone 0.1 % eye drops,suspension||24208029525|500.54||500.54
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||00517096010|170.63||170.63
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||67457019710|741.19||741.19
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||14789050010|728.57||728.57
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||63323056397|501.21||501.21
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||63323056310|170.80||170.80
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||39822100001|51.24||51.24
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||39822100106|176.78||176.78
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||42192060510|320.25||320.25
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||00013111421|257.48||257.48
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||23155016641|102.48||102.48
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||55150018810|512.40||512.40
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||70860040010|256.20||256.20
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||47781060191|198.81||198.81
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||23155052441|46.12||46.12
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||67850004110|298.90||298.90
WS SERVICE AREA|25010065|isoproterenoL 0.2 mg/mL injection solution||00187433005|14,972.61||
WS SERVICE AREA|25010065|isoproterenoL 0.2 mg/mL injection solution||14789001505|8,408.61||8,408.61
WS SERVICE AREA|25010065|tromethamine 36 mg/mL (0.3 M) intravenous solution||00409159304|1,700.68||1,700.68
WS SERVICE AREA|25010065|iodine strong (Lugols) 5 % oral solution||38779059808|4.80||4.80
WS SERVICE AREA|25010065|iodine strong (Lugols) 5 % oral solution||00395277516|4.80||4.80
WS SERVICE AREA|25010065|bupivacaine HCl 0.25 % (2.5 mg/mL) injection solution||00409116001|19.60||19.60
WS SERVICE AREA|25010065|bupivacaine HCl 0.25 % (2.5 mg/mL) injection solution||63323046557|19.60||19.60
WS SERVICE AREA|25010065|vecuronium bromide 10 mg intravenous solution||00409163249|37.93||37.93
WS SERVICE AREA|25010065|vecuronium bromide 10 mg intravenous solution||00143923401|43.96||43.96
WS SERVICE AREA|25010065|vecuronium bromide 20 mg intravenous solution||00409163401|113.21||113.21
WS SERVICE AREA|25010065|vecuronium bromide 20 mg intravenous solution||47335093240|145.18||145.18
WS SERVICE AREA|25010065|vitamin A palmitate 50,000 unit/mL intramuscular solution||61703041818|122.98||122.98
WS SERVICE AREA|25010065|indigotindisulfonate sodium 8 mg/mL (0.8 %) injection solution||00517037510|61.49||61.49
WS SERVICE AREA|25010065|indigotindisulfonate sodium 8 mg/mL (0.8 %) injection solution||00517037501|1,313.29||1,313.29
WS SERVICE AREA|25010065|indigotindisulfonate sodium 8 mg/mL (0.8 %) injection solution||00517037505|1,313.29||1,313.29
WS SERVICE AREA|25010065|sodium bicarbonate 1 mEq/mL (8.4 %) intravenous solution||00409662502|83.27||83.27
WS SERVICE AREA|25010065|sodium bicarbonate 1 mEq/mL (8.4 %) intravenous solution||00409662525|38.64||38.64
WS SERVICE AREA|25010065|sodium bicarbonate 1 mEq/mL (8.4 %) intravenous solution||63323008950|84.97||84.97
WS SERVICE AREA|25010065|sodium bicarbonate 4.2 % intravenous solution||00409555512|65.50||65.50
WS SERVICE AREA|25010065|sodium bicarbonate 4.2 % intravenous solution||00409555511|65.50||65.50
WS SERVICE AREA|25010065|sodium bicarbonate 4.2 % intravenous solution||63323002605|21.78||21.78
WS SERVICE AREA|25010065|thrombin (bovine) 20,000 unit topical solution||60793021720|2,181.81||2,181.81
WS SERVICE AREA|25010065|calcium chloride 100 mg/mL (10 %) intravenous solution||00517271025|158.42||158.42
WS SERVICE AREA|25010065|belladonna alkaloids-opium 16.2 mg-30 mg rectal suppository||00574704512|211.06||211.06
WS SERVICE AREA|25010065|diluent for epoprostenol (glycine) intravenous solution||00703925801|100.35||100.35
WS SERVICE AREA|25010065|lidocaine HCL 2 % mucosal solution||17856077502|6.90||6.90
WS SERVICE AREA|25010065|lidocaine HCL 2 % mucosal solution||50383077517|8.28||8.28
WS SERVICE AREA|25010065|lidocaine HCL 2 % mucosal solution||50383077515|4.80||4.80
WS SERVICE AREA|25010065|lidocaine HCL 2 % mucosal solution||16714009701|5.06||5.06
WS SERVICE AREA|25010065|lidocaine HCL 2 % mucosal solution||50383077504|5.06||5.06
WS SERVICE AREA|25010065|dextrose 50 % in water (D50W) intravenous syringe||00409751716|78.57||78.57
WS SERVICE AREA|25010065|dextrose 50 % in water (D50W) intravenous syringe||76329330101|113.16||113.16
WS SERVICE AREA|25010065|dextrose 50 % in water (D50W) intravenous syringe||00000005601|70.03||70.03
WS SERVICE AREA|25010065|dextrose 50 % in water (D50W) intravenous syringe||69374095350|153.72||153.72
WS SERVICE AREA|25010065|lidocaine HCL 10 mg/mL (1 %) injection syringe||71019017007|32.79||32.79
WS SERVICE AREA|25010065|polyvinyl alcohol-povidone (PF) 1.4 %-0.6 % eye drops in a dropperette||00023050650|1.11||1.11
WS SERVICE AREA|25010065|bupivacaine-epinephrine (PF) 0.75 %-1:200,000 injection solution||63323046037|86.60||86.60
WS SERVICE AREA|25010065|acetylcysteine 100 mg/mL (10 %) solution||00517750425|30.57||30.57
WS SERVICE AREA|25010065|bupivacaine (PF) 0.25 % (2.5 mg/mL) injection solution||00409115902|19.60||19.60
WS SERVICE AREA|25010065|bupivacaine (PF) 0.25 % (2.5 mg/mL) injection solution||00409155910|28.18||28.18
WS SERVICE AREA|25010065|bupivacaine (PF) 0.25 % (2.5 mg/mL) injection solution||00409155930|32.54||32.54
WS SERVICE AREA|25010065|bupivacaine (PF) 0.25 % (2.5 mg/mL) injection solution||63323046431|58.93||58.93
WS SERVICE AREA|25010065|bupivacaine (PF) 0.25 % (2.5 mg/mL) injection solution||63323046437|55.85||55.85
WS SERVICE AREA|25010065|bupivacaine (PF) 0.25 % (2.5 mg/mL) injection solution||63323046417|48.68||48.68
WS SERVICE AREA|25010065|bupivacaine (PF) 0.25 % (2.5 mg/mL) injection solution||55150016710|26.64||26.64
WS SERVICE AREA|25010065|bupivacaine (PF) 0.25 % (2.5 mg/mL) injection solution||55150016830|27.41||27.41
WS SERVICE AREA|25010065|bupivacaine (PF) 0.25 % (2.5 mg/mL) injection solution||00409115909|19.60||19.60
WS SERVICE AREA|25010065|bupivacaine (PF) 0.25 % (2.5 mg/mL) injection solution||00409115910|19.60||19.60
WS SERVICE AREA|25010065|bupivacaine HCl 0.5 % (5 mg/mL) injection solution||63323046757|19.60||19.60
WS SERVICE AREA|25010065|bupivacaine (PF) 0.75 % (7.5 mg/mL) injection solution||00409116502|28.18||28.18
WS SERVICE AREA|25010065|albuterol sulfate concentrate 2.5 mg/0.5 mL solution for nebulization||00487990130|6.90||6.90
WS SERVICE AREA|25010065|activated charcoal-sorbitoL 25 gram/120 mL oral suspension||00574012004|127.94||127.94
WS SERVICE AREA|25010065|activated charcoal-sorbitoL 25 gram/120 mL oral suspension||00574012074|127.94||127.94
WS SERVICE AREA|25010065|activated charcoaL 50 gram/240 mL oral suspension||00574012108|182.24||182.24
WS SERVICE AREA|25010065|activated charcoaL 50 gram/240 mL oral suspension||00574052176|182.24||182.24
WS SERVICE AREA|25010065|mvi, pedi no.1 with vit K 80 mg-400 unit-200 mcg/5 mL intravenous soln||54643564700|150.55||150.55
WS SERVICE AREA|25010065|mvi, pedi no.1 with vit K 80 mg-400 unit-200 mcg/5 mL intravenous soln||61703042153|19.60||19.60
WS SERVICE AREA|25010065|acetylcysteine 200 mg/mL (20 %) solution|J7608|00409330803|82.38||82.38
WS SERVICE AREA|25010065|acetylcysteine 200 mg/mL (20 %) solution|J7608|00517760425|46.02||46.02
WS SERVICE AREA|25010065|acetylcysteine 200 mg/mL (20 %) solution|J7608|63323069030|10.66||10.66
WS SERVICE AREA|25010065|acetylcysteine 200 mg/mL (20 %) solution||00517760401|46.02||46.02
WS SERVICE AREA|25010065|acetylcysteine 200 mg/mL (20 %) solution||00409330811|5.49||5.49
WS SERVICE AREA|25010065|fentaNYL-bupivacaine-NaCL (PF) 3 mcg/mL-0.125 % epidural solution||61553023748|169.09||169.09
WS SERVICE AREA|25010065|fentaNYL-bupivacaine-NaCL (PF) 3 mcg/mL-0.125 % epidural solution||00000005481|204.96||204.96
WS SERVICE AREA|25010065|poractant alfa 240 mg/3 mL intratracheal suspension||10122051003|8,963.61||8,963.61
WS SERVICE AREA|25010065|bupivacaine 0.5 %-epinephrine bitartrate 1:200,000 injection,cartridge||31382055705|19.60||19.60
WS SERVICE AREA|25010065|lidocaine (PF) 20 mg/mL (2 %) intravenous solution||63323020805|23.31||23.31
WS SERVICE AREA|25010065|niCARdipine 25 mg/10 mL intravenous solution||00143968910|217.94||217.94
WS SERVICE AREA|25010065|niCARdipine 25 mg/10 mL intravenous solution||67457022410|468.33||468.33
WS SERVICE AREA|25010065|niCARdipine 25 mg/10 mL intravenous solution||00143959301|172.00||172.00
WS SERVICE AREA|25010065|niCARdipine 25 mg/10 mL intravenous solution||00143959310|172.00||172.00
WS SERVICE AREA|25010065|niCARdipine 25 mg/10 mL intravenous solution||00143968901|217.94||217.94
WS SERVICE AREA|25010065|EPINEPHrine HCl (PF) 1 mg/mL (1 mL) injection solution||54288010301|44.84||44.84
WS SERVICE AREA|25010065|EPINEPHrine HCl (PF) 1 mg/mL (1 mL) injection solution||54288010310|44.84||44.84
WS SERVICE AREA|25010065|HYDROmorphone 3 mg/30 mL in 0.9 % sodium chloride PCA intravenous soln||61553067944|373.54||
WS SERVICE AREA|25010065|HYDROmorphone 30 mg/30 mL (1 mg/mL) in 0.9 % NaCl IV PCA syringe||61553016644|119.13||119.13
WS SERVICE AREA|25010065|HYDROmorphone 30 mg/30 mL (1 mg/mL) in 0.9 % NaCl IV PCA syringe||69374098330|122.98||122.98
WS SERVICE AREA|25010065|thrombin (bovine) 5,000 unit topical solution||60793021505|553.24||553.24
WS SERVICE AREA|25010065|famotidine (PF) 20 mg/2 mL intravenous solution||00641602201|19.60||19.60
WS SERVICE AREA|25010065|famotidine (PF) 20 mg/2 mL intravenous solution||00641602225|19.60||19.60
WS SERVICE AREA|25010065|famotidine (PF) 20 mg/2 mL intravenous solution||63323073912|19.60||19.60
WS SERVICE AREA|25010065|ePHEDrine (PF) 50 mg/10 mL (5 mg/mL) in 0.9 % sod.chloride IV syringe||71030000310|547.16||547.16
WS SERVICE AREA|25010065|lidocaine 2 %-epinephrine bitartrate 1:100,000 injection cartridge||31382089805|19.60||19.60
WS SERVICE AREA|25010065|lidocaine 2 % mucosal jelly in applicator||76329301305|49.16||49.16
WS SERVICE AREA|25010065|lidocaine 2 % mucosal jelly in applicator||25021067377|22.13||22.13
WS SERVICE AREA|25010065|lidocaine 2 % mucosal jelly in applicator||25021067376|38.04||38.04
WS SERVICE AREA|25010065|lidocaine HCl (bulk) 100 % powder||15455950101|3,413.15||3,413.15
WS SERVICE AREA|25010065|lidocaine HCl (bulk) 100 % powder||38779008205|3,278.93||3,278.93
WS SERVICE AREA|25010065|ePHEDrine (PF) 25 mg/5 mL (5 mg/mL) in 0.9% sodium chloride IV syringe||71030000302|312.65||312.65
WS SERVICE AREA|25010065|ePHEDrine (PF) 25 mg/5 mL (5 mg/mL) in 0.9% sodium chloride IV syringe||70092147844|312.65||
WS SERVICE AREA|25010065|ePHEDrine (PF) 25 mg/5 mL (5 mg/mL) in 0.9% sodium chloride IV syringe||69374090105|72.38||72.38
WS SERVICE AREA|25010065|norepinephrine bitartrate 4 mg/250 mL (16 mcg/mL) in 0.9 % NaCl IV||00000005471|148.96||
WS SERVICE AREA|25010065|norepinephrine bitartrate 4 mg/250 mL (16 mcg/mL) in 0.9 % NaCl IV||69374031925|126.18||126.18
WS SERVICE AREA|25010065|norepinephrine bitartrate 4 mg/250 mL (16 mcg/mL) in dextrose 5 % IV||00000005197|19.60||
WS SERVICE AREA|25010065|norepinephrine bitartrate 4 mg/250 mL (16 mcg/mL) in dextrose 5 % IV||70324045101|170.80||170.80
WS SERVICE AREA|25010065|ipratropium bromide 0.02 % solution for inhalation||00487980101|10.12||10.12
WS SERVICE AREA|25010065|ipratropium bromide 0.02 % solution for inhalation|J7644|00487980130|10.12||10.12
WS SERVICE AREA|25010065|ipratropium bromide 0.02 % solution for inhalation||76204010001|14.17||14.17
WS SERVICE AREA|25010065|treprostiniL 1.74 mg/2.9 mL (0.6 mg/mL) solution for nebulization|J7686|66302020603|51.32||51.32
WS SERVICE AREA|25010065|dextran 70-hypromellose (PF) 0.1 %-0.3 % eye drops in a dropperette||00065806301|4.80||4.80
WS SERVICE AREA|25010065|caffeine-sodium benzoate 250 mg/mL(125 mg/mL caffeine) injection soln||00517250210|179.60||179.60
WS SERVICE AREA|25010065|morphine 30 mg/30 mL (1 mg/mL) in 0.9 % sodium chloride IV PCA syringe||61553017944|169.60||169.60
WS SERVICE AREA|25010065|tetracaine HCl (PF) 0.5 % eye drops||00065074114|81.24||81.24
WS SERVICE AREA|25010065|sodium bicarbonate 150 mEq/1,000 mL in dextrose 5 % intravenous||70324032601|196.28||196.28
WS SERVICE AREA|25010065|sodium bicarbonate 150 mEq/1,000 mL in dextrose 5 % intravenous||70324032603|196.28||196.28
WS SERVICE AREA|25010065|sodium bicarbonate 150 mEq/1,000 mL in dextrose 5 % intravenous||00000005843|1,402.00||
WS SERVICE AREA|25010065|ketamine 50 mg/mL (1 mL) intravenous syringe||00000005217|19.60||19.60
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|81.47||
WS SERVICE AREA|25010065|labetaloL 20 mg/4 mL (5 mg/mL) intravenous syringe||00409233934|63.47||63.47
WS SERVICE AREA|25010065|labetaloL 20 mg/4 mL (5 mg/mL) intravenous syringe||69374094604|37.92||37.92
WS SERVICE AREA|25010065|labetaloL 20 mg/4 mL (5 mg/mL) intravenous syringe||70092100944|63.16||63.16
WS SERVICE AREA|25010065|labetaloL 20 mg/4 mL (5 mg/mL) intravenous syringe||70092155844|63.16||63.16
WS SERVICE AREA|25010065|labetaloL 20 mg/4 mL (5 mg/mL) intravenous syringe||00409233924|31.73||31.73
WS SERVICE AREA|25010065|isoflurane 99.9 % inhalation liquid||66794001910|144.20||144.20
WS SERVICE AREA|25010065|morphine (PF) 30 mg/30 mL(1 mg/mL) in 0.9% sod.chloride IV PCA Syringe||69374097930|72.50||72.50
WS SERVICE AREA|25010065|povidone-iodine 0.3 % vaginal solution||00132874302|18.91||18.91
WS SERVICE AREA|25010065|povidone-iodine 0.3 % vaginal solution||41608008743|18.91||18.91
WS SERVICE AREA|25010065|calcium chloride 100 mg/mL (10 %) intravenous syringe||00409163110|60.80||60.80
WS SERVICE AREA|25010065|calcium chloride 100 mg/mL (10 %) intravenous syringe||00409492834|82.41||82.41
WS SERVICE AREA|25010065|calcium chloride 100 mg/mL (10 %) intravenous syringe||76329330401|76.86||76.86
WS SERVICE AREA|25010065|calcium chloride 100 mg/mL (10 %) intravenous syringe||69374091310|29.98||29.98
WS SERVICE AREA|25010065|tetracaine HCl (bulk) powder||51552026902|413.49||413.49
WS SERVICE AREA|25010065|tetracaine HCl (bulk) powder||38779056604|1,282.42||1,282.42
WS SERVICE AREA|25010065|balanced salt solution combination no.1 intraocular irrigation||00065080050|142.20||
WS SERVICE AREA|25010065|lidocaine-epinephrine 0.5 %-1:200,000 injection solution||00409317701|19.60||19.60
WS SERVICE AREA|25010065|lidocaine-epinephrine 0.5 %-1:200,000 injection solution||63323048157|19.60||19.60
WS SERVICE AREA|25010065|water for injection, bacteriostatic injection solution||00409397703|19.60||19.60
WS SERVICE AREA|25010065|water for injection, bacteriostatic injection solution||00409397701|19.60||19.60
WS SERVICE AREA|25010065|bupivacaine-epinephrine 0.25 %-1:200,000 injection solution||00409175250|19.60||19.60
WS SERVICE AREA|25010065|bupivacaine-epinephrine 0.25 %-1:200,000 injection solution||63323046157|19.60||19.60
WS SERVICE AREA|25010065|bupivacaine-epinephrine 0.5 %-1:200,000 injection solution||63323046357|19.60||19.60
WS SERVICE AREA|25010065|bupivacaine-epinephrine 0.5 %-1:200,000 injection solution||00000005458|19.60||19.60
WS SERVICE AREA|25010065|acetic acid (bulk) 3 % liquid||51552005106|513.89||513.89
WS SERVICE AREA|25010065|nitroglycerin 50 mg/250 mL (200 mcg/mL) in 5 % dextrose intravenous||00409148202|53.38||53.38
WS SERVICE AREA|25010065|nitroglycerin 50 mg/250 mL (200 mcg/mL) in 5 % dextrose intravenous||00338104902|177.21||177.21
WS SERVICE AREA|25010065|thrombin (bovine) 5,000 unit topical spray syringe||60793070505|564.36||564.36
WS SERVICE AREA|25010065|thrombin (bovine) 20,000 unit topical spray syringe||60793021722|2,290.95||2,290.95
WS SERVICE AREA|25010065|sodium hypochlorite 0.25 % solution||00436093616|83.44||83.44
WS SERVICE AREA|25010065|sodium hypochlorite 0.25 % solution||39328006325|105.21||105.21
WS SERVICE AREA|25010065|lidocaine-epinephrine (PF) 1.5 %-1:200,000 injection solution||00409318101|19.60||19.60
WS SERVICE AREA|25010065|lidocaine-epinephrine (PF) 1.5 %-1:200,000 injection solution||63323048889|20.67||20.67
WS SERVICE AREA|25010065|lidocaine-epinephrine (PF) 1.5 %-1:200,000 injection solution||00409318111|19.60||19.60
WS SERVICE AREA|25010065|EPINEPHrine HCL 16 mg/250 mL (64 mcg/mL) in 5 % dextrose intravenous||71019008001|1,130.95||1,130.95
WS SERVICE AREA|25010065|lidocaine-epinephrine (PF) 1 %-1:200,000 injection solution||63323048737|87.88||87.88
WS SERVICE AREA|25010065|lidocaine-epinephrine (PF) 1 %-1:200,000 injection solution||63323048717|19.60||19.60
WS SERVICE AREA|25010065|tretinoin (antineoplastic) 10 mg capsule||68084007511|233.16||233.16
WS SERVICE AREA|25010065|tretinoin (antineoplastic) 10 mg capsule||68084007521|233.16||233.16
WS SERVICE AREA|25010065|EPINEPHrine (Jr) 0.15 mg/0.3 mL injection,auto-injector||49502050102|2,121.01||2,121.01
WS SERVICE AREA|25010065|cisatracurium 2 mg/mL intravenous solution||00781315295|270.12||270.12
WS SERVICE AREA|25010065|cisatracurium 2 mg/mL intravenous solution||00781903895|270.12||270.12
WS SERVICE AREA|25010065|cisatracurium 2 mg/mL intravenous solution||63323041605|119.56||119.56
WS SERVICE AREA|25010065|cisatracurium 2 mg/mL intravenous solution||63323041710|196.42||196.42
WS SERVICE AREA|25010065|cisatracurium 2 mg/mL intravenous solution||00074438010|234.85||234.85
WS SERVICE AREA|25010065|cisatracurium concentrate 10 mg/mL (ICU USE ONLY) intravenous solution||00781315395|2,380.67||2,380.67
WS SERVICE AREA|25010065|cisatracurium concentrate 10 mg/mL (ICU USE ONLY) intravenous solution||00781903995|2,380.67||2,380.67
WS SERVICE AREA|25010065|cisatracurium concentrate 10 mg/mL (ICU USE ONLY) intravenous solution||63323041820|1,885.39||1,885.39
WS SERVICE AREA|25010065|acetic acid (bulk) 100 % liquid||38779058201|6,020.95||6,020.95
WS SERVICE AREA|25010065|sodium glycerophosphate 1 mmol/mL intravenous solution||63323024120|111.02||111.02
WS SERVICE AREA|25010065|dexmedeTOMIDine 400 mcg/100 mL (4 mcg/mL) in 0.9 % sodium chloride IV||00409166010|717.36||717.36
WS SERVICE AREA|25010065|dexmedeTOMIDine 400 mcg/100 mL (4 mcg/mL) in 0.9 % sodium chloride IV||00338955712|683.20||683.20
WS SERVICE AREA|25010065|dextrose 2.45 gram-sod citrate 2.2 gram-citric ac 730 mg/100 mL soln||00942064104|59.78||59.78
WS SERVICE AREA|25010065|ferric subsulfate 0.2 gram to 0.22 gram/mL topical soln and applicator||10481011208|111.86||111.86
WS SERVICE AREA|25010065|ethiodized oiL 480 mg iodine/mL for injection||67684190101|1,473.46||1,473.46
WS SERVICE AREA|25010065|mupirocin calcium 2 % nasal ointment||00029152603|130.94||130.94
WS SERVICE AREA|25010065|mupirocin calcium 2 % nasal ointment||00000005376|4.80||4.80
WS SERVICE AREA|25010065|mupirocin calcium 2 % nasal ointment||50268057211|39.32||39.32
WS SERVICE AREA|25010065|mupirocin calcium 2 % nasal ointment||17856011201|30.68||30.68
WS SERVICE AREA|25010065|mupirocin calcium 2 % nasal ointment||50268056815|39.32||39.32
WS SERVICE AREA|25010065|dantrolene 250 mg intravenous suspension||42367054032|23,390.20||23,390.20
WS SERVICE AREA|25010065|vasopressin 20 unit/mL intravenous solution||42023016425|1,480.27||1,480.27
WS SERVICE AREA|25010065|dexmedeTOMIDine 80 mcg/20 mL (4 mcg/mL) in 0.9 % sodium chloride IV||00409166020|224.26||224.26
WS SERVICE AREA|25010065|glycopyrrolate 0.4 mg/2 mL (0.2 mg/mL) intravenous syringe||70004063806|212.73||
WS SERVICE AREA|25010065|midazolam (PF) 1 mg/mL in 0.9 % sodium chloride intravenous solution||70092117735|166.96||166.96
WS SERVICE AREA|25010065|midazolam (PF) 1 mg/mL in 0.9 % sodium chloride intravenous solution||70342010201|150.30||150.30
WS SERVICE AREA|25010065|midazolam (PF) 1 mg/mL in 0.9 % sodium chloride intravenous solution|J7999|69374031405|194.71||194.71
WS SERVICE AREA|25010065|idaruCIZUmab 2.5 gram/50 mL intravenous solution||00597019705|29,826.72||29,826.72
WS SERVICE AREA|25010065|compounding vehicle suspension sugar-free no.20 oral||00574030316|170.51||170.51
WS SERVICE AREA|25010065|sugammadex 100 mg/mL intravenous solution||00006542302|766.28||766.28
WS SERVICE AREA|25010065|sugammadex 100 mg/mL intravenous solution||00006542305|1,336.85||1,336.85
WS SERVICE AREA|25010065|sugammadex 100 mg/mL intravenous solution||00006542312|766.28||766.28
WS SERVICE AREA|25010065|sugammadex 100 mg/mL intravenous solution||00006542315|1,336.85||1,336.85
WS SERVICE AREA|25010065|brivaracetam 50 mg/5 mL intravenous solution||50474097075|222.30||222.30
WS SERVICE AREA|25010065|ePHEDrine sulfate 50 mg/mL intravenous solution||00781326995|504.83||504.83
WS SERVICE AREA|25010065|ePHEDrine sulfate 50 mg/mL intravenous solution||17478095510|484.63||484.63
WS SERVICE AREA|25010065|lidocaine 1.5 %-epinephrine 1:200,000 injection solution||00409120901|41.72||41.72
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|190.02||190.02
WS SERVICE AREA|25010065|trace element pedi Cr-Cu-Mn-Zn 1 mcg-0.1 mg-25 mcg-1 mg/mL intravenous||00517920325|103.76||103.76
WS SERVICE AREA|25010065|lidocaine 4 %-racepinephrine 0.05 %-tetracaine 0.5 % topical solution||70092113644|82.15||82.15
WS SERVICE AREA|25010065|remifentaniL 1 mg intravenous solution||67457019803|523.43||523.43
WS SERVICE AREA|25010065|remifentaniL 2 mg intravenous solution||67457019899|854.39||854.39
WS SERVICE AREA|25010065|histamine 1 mg/mL (2.75 mg/mL) percutaneous solution||00268024705|57.90||57.90
WS SERVICE AREA|25010065|angiotensin II 2.5 mg/mL intravenous solution||68547050102|10,455.00||10,455.00
WS SERVICE AREA|25010065|compounding vehicle syrup no.23||00574030416|170.51||170.51
WS SERVICE AREA|25010065|ketamine 30 mg/3 mL (10 mg/mL) in sodium chlor,iso-osmotic inj syringe||69374098233|40.99||40.99
WS SERVICE AREA|25010065|levothyroxine 20 mcg/mL intravenous solution||63323088510|118.34||118.34
WS SERVICE AREA|25010065|sodium nitroprusside 25 mg/mL intravenous solution||00409302401|407.70||407.70
WS SERVICE AREA|25010065|sodium nitroprusside 25 mg/mL intravenous solution||25021031002|906.10||906.10
WS SERVICE AREA|25010065|sodium nitroprusside 25 mg/mL intravenous solution||67457083902|2,255.77||2,255.77
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/100 mL(10 mg/mL)in sod chlor,iso IV piggyback||51754010801|179.34||179.34
WS SERVICE AREA|25010065|sodium thiosulfate in water 12.5 gram/50 mL (250 mg/mL) IV solution||71266668001|745.79||745.79
WS SERVICE AREA|25010065|mineral oil, light sterile||63323025402|101.17||101.17
WS SERVICE AREA|25010065|mineral oil, light sterile||63323025410|116.89||116.89
WS SERVICE AREA|25010065|ePHEDrine sulfate 5 mg/mL intravenous solution||14789025007|247.66||247.66
WS SERVICE AREA|25010065|ePHEDrine sulfate 5 mg/mL intravenous solution||14789025010|61.92||61.92
WS SERVICE AREA|25010065|remdesivir 100 mg intravenous powder for solution||61958290102|4,349.28||4,349.28
WS SERVICE AREA|25010065|diluent for epoprostenol (glycine) pH 11.7 - 12.3 intravenous solution||00173085701|120.41||120.41
WS SERVICE AREA|25010065|dexAMETHasone 0.1 % eye drops,suspension||00998061505|578.39||578.39
WS SERVICE AREA|25010065|EPINEPHrine 1 mg/mL nasal solution||42023010301|1,921.80||1,921.80
WS SERVICE AREA|25010065|carbachoL 0.01 % intraocular solution||00065002315|287.71||287.71
WS SERVICE AREA|25010065|diclofenac 0.1 % eye drops||16571010125|349.52||349.52
WS SERVICE AREA|25010065|ketorolac 0.5 % eye drops||61314012605|809.19||809.19
WS SERVICE AREA|25010065|ofloxacin 0.3 % eye drops||17478071310|4.80||4.80
WS SERVICE AREA|25010065|tobramycin 0.3 % eye ointment||00065064435|1,644.15||1,644.15
WS SERVICE AREA|25010065|cyclopentolate 1 % eye drops||24208073501|125.25||125.25
WS SERVICE AREA|25010065|cyclopentolate 1 % eye drops||00065039605|380.05||380.05
WS SERVICE AREA|25010065|etomidate 2 mg/mL intravenous solution||00143950601|53.12||53.12
WS SERVICE AREA|25010065|etomidate 2 mg/mL intravenous solution||00409669512|54.83||54.83
WS SERVICE AREA|25010065|etomidate 2 mg/mL intravenous solution||00143931001|23.91||23.91
WS SERVICE AREA|25010065|valproate sodium 500 mg/5 mL (100 mg/mL) intravenous solution||00143978510|147.61||147.61
WS SERVICE AREA|25010065|valproate sodium 500 mg/5 mL (100 mg/mL) intravenous solution||00143963701|21.09||21.09
WS SERVICE AREA|25010065|valproate sodium 500 mg/5 mL (100 mg/mL) intravenous solution||00143963710|21.09||21.09
WS SERVICE AREA|25010065|valproate sodium 500 mg/5 mL (100 mg/mL) intravenous solution||63323049405|57.22||57.22
WS SERVICE AREA|25010065|sodium hypochlorite 0.5 % solution||00436094616|83.44||83.44
WS SERVICE AREA|25010065|sodium hypochlorite 0.5 % solution||00000005151|20.25||20.25
WS SERVICE AREA|25010065|carmustine in polifeprosan 7.7 mg wafer for implant||24338005008|25,732.57||25,732.57
WS SERVICE AREA|25010065|dilTIAZem 100 mg intravenous solution||00409435003|113.51||113.51
WS SERVICE AREA|25010065|dilTIAZem 100 mg intravenous solution||00409435013|113.51||113.51
WS SERVICE AREA|25010065|mupirocin calcium 2 % topical cream||51672137001|1,880.38||1,880.38
WS SERVICE AREA|25010065|ofloxacin 0.3 % ear drops||50383002505|1,315.48||1,315.48
WS SERVICE AREA|25010065|calfactant 35 mg/mL in 0.9% sodium chloride intratracheal suspension||61938045603|3,485.85||3,485.85
WS SERVICE AREA|25010065|calfactant 35 mg/mL in 0.9% sodium chloride intratracheal suspension||61938045606|6,169.76||6,169.76
WS SERVICE AREA|25010065|dextrose 25 % in water (D25W) intravenous syringe||00409177510|81.98||81.98
WS SERVICE AREA|25010065|dextrose 25 % in water (D25W) intravenous syringe||00000005640|71.39||71.39
WS SERVICE AREA|25010065|dextrose 50 % in water (D50W) intravenous solution||00409664802|53.70||53.70
WS SERVICE AREA|25010065|mycophenolate 500 mg intravenous solution||00004029809|1,505.21||1,505.21
WS SERVICE AREA|25010065|antivenin Latrodectus mactans 6,000 unit solution for injection||00006542402|236.64||236.64
WS SERVICE AREA|25010065|belladonna alkaloids-opium 16.2 mg-60 mg rectal suppository||00574704012|256.58||256.58
WS SERVICE AREA|25010065|levalbuteroL 0.63 mg/3 mL solution for nebulization|J7614|66993002235|51.38||51.38
WS SERVICE AREA|25010065|levalbuteroL 0.63 mg/3 mL solution for nebulization|J7614|00378968144|51.45||51.45
WS SERVICE AREA|25010065|levalbuteroL 0.63 mg/3 mL solution for nebulization|J7614|43598041025|49.38||49.38
WS SERVICE AREA|25010065|levalbuteroL 0.63 mg/3 mL solution for nebulization|J7614|43598041005|49.38||
WS SERVICE AREA|25010065|albuterol sulfate 2.5 mg/3 mL (0.083 %) solution for nebulization||00591379760|9.46||9.46
WS SERVICE AREA|25010065|albuterol sulfate 2.5 mg/3 mL (0.083 %) solution for nebulization||00487950101|6.14||6.14
WS SERVICE AREA|25010065|albuterol sulfate 2.5 mg/3 mL (0.083 %) solution for nebulization||00487950103|6.14||6.14
WS SERVICE AREA|25010065|albuterol sulfate 2.5 mg/3 mL (0.083 %) solution for nebulization|J7613|00487950125|6.14||6.14
WS SERVICE AREA|25010065|albuterol sulfate 2.5 mg/3 mL (0.083 %) solution for nebulization||00487950160|6.14||6.14
WS SERVICE AREA|25010065|albuterol sulfate 2.5 mg/3 mL (0.083 %) solution for nebulization||00487950100|6.14||6.14
WS SERVICE AREA|25010065|allopurinoL 500 mg intravenous solution||67457018750|13,339.10||13,339.10
WS SERVICE AREA|25010065|ethanol (ethyl alcohol) 98 % injection solution||17478050305|778.47||778.47
WS SERVICE AREA|25010065|ethanol (ethyl alcohol) 98 % injection solution||13925017705|275.84||275.84
WS SERVICE AREA|25010065|doxycycline hyclate 100 mg intravenous powder for solution||63323013011|224.86||224.86
WS SERVICE AREA|25010065|doxycycline hyclate 100 mg intravenous powder for solution||63323013013|179.34||179.34
WS SERVICE AREA|25010065|doxycycline hyclate 100 mg intravenous powder for solution||63323013002|224.86||224.86
WS SERVICE AREA|25010065|poractant alfa 120 mg/1.5 mL intratracheal suspension||10122051001|4,545.71||4,545.71
WS SERVICE AREA|25010065|nitroglycerin 400 mcg/spray translingual||45802021001|1,721.68||1,721.68
WS SERVICE AREA|25010065|nitroglycerin 400 mcg/spray translingual||45802021002|2,570.68||2,570.68
WS SERVICE AREA|25010065|dexmedeTOMIDine 100 mcg/mL intravenous solution||00409163802|358.68||358.68
WS SERVICE AREA|25010065|dexmedeTOMIDine 100 mcg/mL intravenous solution||16729023930|195.63||195.63
WS SERVICE AREA|25010065|dexmedeTOMIDine 100 mcg/mL intravenous solution||63323042102|338.18||338.18
WS SERVICE AREA|25010065|dexmedeTOMIDine 100 mcg/mL intravenous solution||16729043230|195.63||195.63
WS SERVICE AREA|25010065|nafcillin 1 gram intravenous solution||00781312892|164.43||164.43
WS SERVICE AREA|25010065|nafcillin 1 gram intravenous solution||00781922492|164.43||164.43
WS SERVICE AREA|25010065|nafcillin 1 gram intravenous solution||00781312815|164.43||164.43
WS SERVICE AREA|25010065|nafcillin 2 gram intravenous solution||00781922592|318.97||318.97
WS SERVICE AREA|25010065|morphine 10 mg/mL intravenous solution||00641612701|19.80||19.80
WS SERVICE AREA|25010065|pentamidine 300 mg solution for injection||63323011310|1,163.22||1,163.22
WS SERVICE AREA|25010065|dinoprostone ER 10 mg vaginal insert,controlled release||55566280001|3,505.11||3,505.11
WS SERVICE AREA|25010065|dinoprostone ER 10 mg vaginal insert,controlled release||55566280000|3,505.11||3,505.11
WS SERVICE AREA|25010065|fluorescein 0.6 mg eye strips||17478040303|4.80||4.80
WS SERVICE AREA|25010065|fluorescein 1 mg eye strips||17238090030|4.80||4.80
WS SERVICE AREA|25010065|fluorescein 1 mg eye strips||17238090099|4.80||4.80
WS SERVICE AREA|25010065|scopolamine 1 mg over 3 days transdermal patch||10019055390|163.34||163.34
WS SERVICE AREA|25010065|scopolamine 1 mg over 3 days transdermal patch||10019055304|163.34||163.34
WS SERVICE AREA|25010065|scopolamine 1 mg over 3 days transdermal patch||66758020854|143.62||143.62
WS SERVICE AREA|25010065|scopolamine 1 mg over 3 days transdermal patch||45802058001|176.41||176.41
WS SERVICE AREA|25010065|silver nitrate 0.5 % topical solution||00093961413|647.96||647.96
WS SERVICE AREA|25010065|pentamidine 300 mg solution for inhalation|J2545|63323087715|1,280.05||1,280.05
WS SERVICE AREA|25010065|ePHEDrine sulfate 50 mg/mL injection solution||17478051500|450.71||450.71
WS SERVICE AREA|25010065|EPINEPHrine 1 mg/mL injection solution|J0171|42023016801|1,746.40||1,746.40
WS SERVICE AREA|25010065|budesonide 0.25 mg/2 mL suspension for nebulization||00186198804|66.85||66.85
WS SERVICE AREA|25010065|budesonide 0.25 mg/2 mL suspension for nebulization||54868577400|59.87||59.87
WS SERVICE AREA|25010065|budesonide 0.25 mg/2 mL suspension for nebulization||00093681573|72.21||72.21
WS SERVICE AREA|25010065|budesonide 0.25 mg/2 mL suspension for nebulization||00487960101|72.77||72.77
WS SERVICE AREA|25010065|budesonide 0.25 mg/2 mL suspension for nebulization||69097031887|72.16||72.16
WS SERVICE AREA|25010065|budesonide 0.25 mg/2 mL suspension for nebulization||00093681519|72.16||72.16
WS SERVICE AREA|25010065|budesonide 0.5 mg/2 mL suspension for nebulization||00186198904|78.68||78.68
WS SERVICE AREA|25010065|budesonide 0.5 mg/2 mL suspension for nebulization||00093681645|84.98||84.98
WS SERVICE AREA|25010065|budesonide 0.5 mg/2 mL suspension for nebulization||00781751687|85.03||85.03
WS SERVICE AREA|25010065|budesonide 0.5 mg/2 mL suspension for nebulization||00487970101|85.64||85.64
WS SERVICE AREA|25010065|budesonide 0.5 mg/2 mL suspension for nebulization||69097031932|71.36||71.36
WS SERVICE AREA|25010065|methyl salicylate topical liquid||00395166792|69.49||69.49
WS SERVICE AREA|25010065|erythromycin 5 mg/gram (0.5 %) eye ointment||24208091019|95.22||95.22
WS SERVICE AREA|25010065|sodium hyaluronate 10 mg/mL intraocular syringe||08544508381|802.97||
WS SERVICE AREA|25010065|sodium hyaluronate 10 mg/mL intraocular syringe||85446036971|767.00||767.00
WS SERVICE AREA|25010065|chondroitin-sod hyaluron 4 %-3 % (40 mg-30 mg/mL) intraocular syringe||08065183905|1,115.76||1,115.76
WS SERVICE AREA|25010065|chondroitin-sod hyaluron 4 %-3 % (40 mg-30 mg/mL) intraocular syringe||08065183975|1,466.14||1,466.14
WS SERVICE AREA|25010065|EPINEPHrine (Jr) 0.15 mg/0.3 mL injection,auto-injector||49502010102|1,045.50||1,045.50
WS SERVICE AREA|25010065|fentaNYL (PF) 10 mcg/mL in 0.9 % sodium chloride intravenous||61553011302|446.22||446.22
WS SERVICE AREA|25010065|fentaNYL (PF) 10 mcg/mL in 0.9 % sodium chloride intravenous||70092109337|446.22||446.22
WS SERVICE AREA|25010065|fentaNYL (PF) 2 mcg/mL-bupivacaine 0.125 %-NaCl injection solution||70092110436|124.68||124.68
WS SERVICE AREA|25010065|fentaNYL (PF) 2 mcg/mL-bupivacaine 0.125 %-NaCl injection solution||00000005476|123.83||
WS SERVICE AREA|25010065|albuterol sulfate 1.25 mg/3 mL solution for nebulization|J7613|00487990425|12.72||12.72
WS SERVICE AREA|25010065|albuterol sulfate 1.25 mg/3 mL solution for nebulization|J7613|00591346853|12.72||12.72
WS SERVICE AREA|25010065|fluorometholone 0.1 % eye drops,suspension||60758088005|653.94||653.94
WS SERVICE AREA|25010065|folic acid 5 mg/mL injection solution||63323018411|22.80||22.80
WS SERVICE AREA|25010065|folic acid 5 mg/mL injection solution||63323018410|42.00||42.00
WS SERVICE AREA|25010065|sterile talc 4 gram intrapleural aerosol powder||63256010030|128.86||128.86
WS SERVICE AREA|25010065|gentamicin 0.3 % (3 mg/gram) eye ointment||17478028435|298.76||298.76
WS SERVICE AREA|25010065|gentamicin 0.3 % eye drops||60758018805|147.11||147.11
WS SERVICE AREA|25010065|glycopyrrolate 0.2 mg/mL injection solution||00143958401|341.60||341.60
WS SERVICE AREA|25010065|glycopyrrolate 0.2 mg/mL injection solution||00143958601|47.82||47.82
WS SERVICE AREA|25010065|glycopyrrolate 0.2 mg/mL injection solution||70121139401|72.21||72.21
WS SERVICE AREA|25010065|glycopyrrolate 0.2 mg/mL injection solution||70069001401|425.98||425.98
WS SERVICE AREA|25010065|neomycin 3.5 mg-polymyxin 10,000 unit-hydrocort 10 mg/mL eye drop,susp||61314064175|1,305.82||1,305.82
WS SERVICE AREA|25010065|esmoloL 2,000 mg/100 mL (20 mg/mL) in sodium chloride (iso-osmotic) IV||10019007587|1,952.30||1,952.30
WS SERVICE AREA|25010065|moxifloxacin 0.5 % eye drops||00065401303|1,335.50||1,335.50
WS SERVICE AREA|25010065|ciprofloxacin 0.3 %-dexamethasone 0.1 % ear drops,suspension||00065853302|1,910.52||1,910.52
WS SERVICE AREA|25010065|homatropine 5 % eye drops||59390019205|146.34||146.34
WS SERVICE AREA|25010065|OLANZapine 10 mg intramuscular solution||00002759701|404.80||404.80
WS SERVICE AREA|25010065|OLANZapine 10 mg intramuscular solution||00781315972|354.41||354.41
WS SERVICE AREA|25010065|OLANZapine 10 mg intramuscular solution||00517095501|80.45||80.45
WS SERVICE AREA|25010065|OLANZapine 10 mg intramuscular solution||55150030801|90.80||90.80
WS SERVICE AREA|25010065|neomycin-bacitracin-polymyxn 3.5 mg-400 unit-10,000 unit/gram eye oint||24208078055|436.79||436.79
WS SERVICE AREA|25010065|levalbuteroL concentrate 1.25 mg/0.5 mL solution for nebulization||00093414719|51.39||51.39
WS SERVICE AREA|25010065|levalbuteroL concentrate 1.25 mg/0.5 mL solution for nebulization||17478017101|65.49||65.49
WS SERVICE AREA|25010065|levalbuteroL concentrate 1.25 mg/0.5 mL solution for nebulization||17478017130|65.49||65.49
WS SERVICE AREA|25010065|levalbuteroL concentrate 1.25 mg/0.5 mL solution for nebulization||00378699331|51.38||
WS SERVICE AREA|25010065|flumazeniL 0.1 mg/mL intravenous solution||63323042405|57.90||57.90
WS SERVICE AREA|25010065|flumazeniL 0.1 mg/mL intravenous solution||00143968410|55.51||55.51
WS SERVICE AREA|25010065|norflurane-pentafluoropropane topical spray||00386000803|4.80||4.80
WS SERVICE AREA|25010065|gentamicin IV 5 mg/mL (neonate/PEDS)||00000005280|50.47||
WS SERVICE AREA|25010065|hydrocortisone IV 1 mg/mL syringe||00000005659|19.60||19.60
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|19.60||
WS SERVICE AREA|25010065|morphine 30 mg/30 mL (1 mg/mL) in 0.9 % sodium chloride IV PCA syringe||61553017944|169.60||169.60
WS SERVICE AREA|25010065|||00000005444|14.87||
WS SERVICE AREA|25010065|LORazepam 0.5 mg/mL in D5W IV syringe (neonate)||00000005616|19.60||
WS SERVICE AREA|25010065|sodium thiosulfate 12.5 gram/50 mL (250 mg/mL) iv solution||60267070550|745.79||745.79
WS SERVICE AREA|25010065|sodium thiosulfate 12.5 gram/50 mL (250 mg/mL) iv solution||60267070550|745.79||745.79
WS SERVICE AREA|25010065|||00000005620|19.60||
WS SERVICE AREA|25010065|vasopressin 1.2 units/3 mL NS (0.4 units/mL) infusion (NICU)||00000005697|101.20||
WS SERVICE AREA|25010065|hydroxocobalamin 25mg/mL infusion||11704037001|5,724.60||5,724.60
WS SERVICE AREA|25010065|sodium chloride 3% oral syringe||00000005698|19.60||
WS SERVICE AREA|25010065|midazolam 0.5 mg/mL in NS IV syringe||00000005617|19.60||
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|55.25||
WS SERVICE AREA|25010065|HYDROmorphone 3 mg/30 mL in 0.9 % sodium chloride PCA intravenous soln||61553067944|373.54||
WS SERVICE AREA|25010065|insulin 0.2 units/mL syringe (10kg or less)||00000005448|126.99||
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|4,349.28||4,349.28
WS SERVICE AREA|25010065|caffeine citrate 60 mg/3 mL oral syringe||00000005284|153.41||153.41
WS SERVICE AREA|25010065|adenosine 6 mcg/mL||00000005224|85.00||
WS SERVICE AREA|25010065|nitroglycerin 50 mg/250 mL (200 mcg/mL) in 5 % dextrose intravenous||00000005196|19.60||19.60
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|102.99||
WS SERVICE AREA|25010065|norepinephrine bitartrate 4 mg/250 mL (16 mcg/mL) in dextrose 5 % IV||00000005197|19.60||
WS SERVICE AREA|25010065|lidocaine 2 % mucosal gel||17478071110|64.43||64.43
WS SERVICE AREA|25010065|lidocaine 2 % mucosal gel||17478071130|984.37||984.37
WS SERVICE AREA|25010065|HYDROmorphone 50 mg/50 mL infusion||00000005340|402.23||402.23
WS SERVICE AREA|25010065|niCARdipine 20 mg/ 200 mL in 0.9% sodium chloride infusion||10122031310|850.34||850.34
WS SERVICE AREA|25010065|vasopressin 20 units/mL injection,vasopressin 20 unit/mL intravenous solution||42023016425|1,480.27||1,480.27
WS SERVICE AREA|25010065|nitroglycerin 200 mcg/mL bolus from bottle||00338104902|177.21||177.21
WS SERVICE AREA|25010065|propofol 10 mg/mL intravenous emulsion||00409469924|182.76||182.76
WS SERVICE AREA|25010065|propofol 10 mg/mL intravenous emulsion||63323026950|128.10||128.10
WS SERVICE AREA|25010065|propofol 10 mg/mL intravenous emulsion||25021060851|249.37||249.37
WS SERVICE AREA|25010065|propofol 10 mg/mL intravenous emulsion||25021060820|49.87||49.87
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|205.81||205.81
WS SERVICE AREA|25010065|bupivacaine-epinephrine 0.5 %-1:100,000 injection solution||00000005540|19.60||19.60
WS SERVICE AREA|25010065|penicillin G potassium 250,000 units/mL injection|J2540|00000005583|107.60||107.60
WS SERVICE AREA|25010065|penicillin G 10,000 units/mL injection|J2540|00000005584|19.60||19.60
WS SERVICE AREA|25010065|sodium chloride 0.9 % injection solution||00409488820|19.60||19.60
WS SERVICE AREA|25010065|sodium chloride 0.9 % injection solution||00409488810|19.60||19.60
WS SERVICE AREA|25010065|sodium chloride 0.9 % injection solution||00409488802|19.60||19.60
WS SERVICE AREA|25010065|sodium chloride 0.9 % injection solution||63323018610|19.60||19.60
WS SERVICE AREA|25010065|sodium chloride 0.9 % injection solution||63323018620|19.60||19.60
WS SERVICE AREA|25010065|mannitol 20 % intravenous solution||00409771503|19.60||19.60
WS SERVICE AREA|25010065|mannitol 20 % intravenous solution||00409771502|37.58||37.58
WS SERVICE AREA|25010065|mannitol 20 % intravenous solution||00338035702|79.85||79.85
WS SERVICE AREA|25010065|mannitol 20 % intravenous solution||00338035703|50.39||50.39
WS SERVICE AREA|25010065|mannitol 20 % intravenous solution||00000005326|42.27||42.27
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|22.89||22.89
WS SERVICE AREA|25010065|heparin (initial bolus) 1000 unit/mL-low dose CPG,heparin 1,000 units/mL||25021040030|58.16||58.16
WS SERVICE AREA|25010065|heparin (initial bolus) 1000 unit/mL-low dose CPG,heparin 1,000 units/mL||63323054001|33.05||33.05
WS SERVICE AREA|25010065|heparin (initial bolus) 1000 unit/mL-low dose CPG,heparin 1,000 units/mL|J1644|63323054011|62.09||62.09
WS SERVICE AREA|25010065|heparin (initial bolus) 1000 unit/mL-low dose CPG,heparin 1,000 units/mL||63323054031|60.98||60.98
WS SERVICE AREA|25010065|metronidazole 250 mg intravenous||00409781137|19.60||19.60
WS SERVICE AREA|25010065|sodium chloride (sterile) 0.9% injection syringe||08290306553|19.60||19.60
WS SERVICE AREA|25010065|phenylephrine 50 mg/250 mL (200 mcg/mL) in 0.9% sodium chloride(PF) IV||00000005651|91.55||
WS SERVICE AREA|25010065|||00409729973|26.99||26.99
WS SERVICE AREA|25010065|||00409329906|53.80||53.80
WS SERVICE AREA|25010065|||00409329925|50.39||50.39
WS SERVICE AREA|25010065|||00409729925|26.30||26.30
WS SERVICE AREA|25010065|sodium chloride 0.9% IV soln||00409798303|53.70||53.70
WS SERVICE AREA|25010065|metroNIDAZOLE 500 mg/100 mL-sodium chloride(iso) intravenous piggyback||00409781137|53.70||53.70
WS SERVICE AREA|25010065|sodium chloride 0.9% IV soln||00990798423|53.70||53.70
WS SERVICE AREA|25010065|sodium chloride 0.9% IV soln||00990798437|53.70||53.70
WS SERVICE AREA|25010065|niCARdipine 0.1 mg/mL in 0.9% sodium chloride||00000005198|48.68||
WS SERVICE AREA|25010065|bupivacaine-EPINEPHrine 0.375%-1:200,000 syringe||00000005241|39.54||
WS SERVICE AREA|25010065|ampicillin-sulbactam 1.5 g intravenous piggyback||00000005159|104.09||
WS SERVICE AREA|25010065|ampicillin-sulbactam 3 g/100 mL intravenous piggyback||00000005160|62.70||
WS SERVICE AREA|25010065|clindamycin 600 mg/100 mL in 5 % dextrose intravenous piggyback||00000005166|99.88||
WS SERVICE AREA|25010065|clindamycin 900 mg/100 mL in 5 % dextrose intravenous piggyback||00000005167|105.61||
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|104.85||
WS SERVICE AREA|25010065|isoproterenol 4 mcg/mL bolus||00000005220|67.63||
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|19.60||
WS SERVICE AREA|25010065|heparin 1 unit/mL in 0.45% sodium chloride (1/2 NS) flush||00000005201|19.60||
WS SERVICE AREA|25010065|heparin 0.5 units/mL in 0.225% sodium chloride (1/4 NS) flush||00000005202|19.60||
WS SERVICE AREA|25010065|heparin 1 unit/mL in 0.225% sodium chloride (1/4 NS) flush||00000005203|19.60||
WS SERVICE AREA|25010065|heparin 0.5 units/mL in 0.18% sodium chloride (1/5 NS) flush||00000005204|19.60||
WS SERVICE AREA|25010065|heparin 1 unit/mL in 0.18% sodium chloride (1/5 NS) flush||00000005205|19.60||
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|19.60|J2274|19.60
WS SERVICE AREA|25010065|0.225% sodium chloride (1/4 NS) NICU flush||00000005233|19.60||
WS SERVICE AREA|25010065|sodium chloride 4 mEq/mL intravenous solution||63323018730|49.96||49.96
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|88.65||88.65
WS SERVICE AREA|25010065|0.45% sodium chloride (1/2 NS) NICU flush||00000005434|19.60||
WS SERVICE AREA|25010065|heparin (initial bolus) 1000 unit/mL-low dose CPG,heparin 1,000 units/mL|J1644|63323054057|19.60||19.60
WS SERVICE AREA|25010065|heparin (initial bolus) 1000 unit/mL-low dose CPG,heparin 1,000 units/mL||25021040030|19.60||19.60
WS SERVICE AREA|25010065|heparin (initial bolus) 1000 unit/mL-low dose CPG,heparin 1,000 units/mL||63323054001|165.25||165.25
WS SERVICE AREA|25010065|heparin (initial bolus) 1000 unit/mL-low dose CPG,heparin 1,000 units/mL|J1644|63323054011|31.04||31.04
WS SERVICE AREA|25010065|heparin (initial bolus) 1000 unit/mL-low dose CPG,heparin 1,000 units/mL||63323054031|19.60||19.60
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||00517096010|38.31||38.31
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||67457019710|166.42||166.42
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||14789050010|200.44||200.44
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||63323056397|450.15||450.15
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||63323056310|153.40||153.40
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||39822100001|11.51||11.51
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||39822100106|39.69||39.69
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||42192060510|71.91||71.91
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||00013111421|57.81||57.81
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||23155016641|23.01||23.01
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||55150018810|115.05||115.05
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||47781060191|44.64||44.64
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||23155052441|10.35||10.35
WS SERVICE AREA|25010065|tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution||67850004110|67.11||67.11
WS SERVICE AREA|25010065|bupivacaine-epinephrine 0.25%-1:100,000 injection solution||00000005549|63.28||63.28
WS SERVICE AREA|25010065|acetylcysteine 200 mg/mL (20 %) solution|J7608|00517760425|138.06||138.06
WS SERVICE AREA|25010065|aminocaproic acid 250 mg/mL intravenous solution||00409434673|61.49||61.49
WS SERVICE AREA|25010065|aminocaproic acid 250 mg/mL intravenous solution||00409434610|55.00||55.00
WS SERVICE AREA|25010065|metroNIDAZOLE in sodium chloride (iso-osm) 500 mg/100 mL IV Piggy Back||00409781137|53.70||53.70
WS SERVICE AREA|25010065|||000005691|53.70||
WS SERVICE AREA|25010065|promethazine 12.5 mg/25 mL in 0.9% sodium chloride intravenous piggyback||00000000274|62.70||
WS SERVICE AREA|25010065|sodium hypochlorite 0.25 % Soln||00000005013|23.01||23.01
WS SERVICE AREA|25010065|mupirocin 2 % Ointment||00000005019|149.03||149.03
WS SERVICE AREA|25010065|collagenase clostridium histolyticum 250 unit/g Ointment||00000005016|143.51||143.51
WS SERVICE AREA|25010065|lidocaine 10 mg/mL (1 %) Injection||00000005020|19.60||19.60
WS SERVICE AREA|25010065|lidocaine 4 % Mucosal Soln||00000005021|368.16||368.16
WS SERVICE AREA|25010065|lidocaine 2 % Mucosal Soln||00000005022|9.66||9.66
WS SERVICE AREA|25010065|lidocaine-epinephrine 1 %-1:100,000 Injection||00000005023|19.60||19.60
WS SERVICE AREA|25010065|silver nitrate applicators 75 %-25 % Topical Stick||00000005027|4.80||4.80
WS SERVICE AREA|25010065|lidocaine-EPINEPHrine-tetracaine (LET) topical gel||00000005070|30.99||
WS SERVICE AREA|25010065|lidocaine-EPINEPHrine-tetracaine (LET) topical gel||70092113544|80.69||80.69
WS SERVICE AREA|25010065|phenol 6% in water 10 mL||00000005031|32.60||
WS SERVICE AREA|25010065|acetic acid 2% solution||00000005034|32.60||
WS SERVICE AREA|25010065|acetic acid 3% solution||00000005035|32.60||
WS SERVICE AREA|25010065|calcium phosphate suspension||00000005049|153.40||
WS SERVICE AREA|25010065|||00000005054|120.43||
WS SERVICE AREA|25010065|fortified gentamycin ophthalmic solution||00000005057|172.58||
WS SERVICE AREA|25010065|fortified tobramycin ophthalmic drops||00000005058|274.20||
WS SERVICE AREA|25010065|fortified vancomycin ophthalmic drops 10 mg/mL||00000005059|7.49||
WS SERVICE AREA|25010065|fortified vancomycin ophthalmic drops 50 mg/mL||00000005060|34.33||
WS SERVICE AREA|25010065|mitoMYcin 0.4 mg/mL eye drops||00000005080|2,089.77||2,089.77
WS SERVICE AREA|25010065|heparine 0.5 units/mL flush||00000005096|15.75||
WS SERVICE AREA|25010065|doxycycline 1 mg/mL intravenous piggyback||00000005367|16,839.52||16,839.52
WS SERVICE AREA|25010065|doxycycline 1 mg/mL intravenous syringe||00000005366|224.60||224.60
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|800.64||800.64
WS SERVICE AREA|25010065|sodium tetradecyl sulfate 3 % (30 mg/mL) intravenous solution||67457016302|800.64||800.64
WS SERVICE AREA|25010065|sodium tetradecyl sulfate 3 % (30 mg/mL) intravenous solution||67457016300|800.64||800.64
WS SERVICE AREA|25010065|sodium tetradecyl sulfate 3 % (30 mg/mL) intravenous solution||24201020105|657.58||657.58
WS SERVICE AREA|25010065|lidocaine 5 % topical ointment||00168020437|2,301.00||2,301.00
WS SERVICE AREA|25010065|lidocaine 5 % topical ointment||50383093335|2,301.00||2,301.00
WS SERVICE AREA|25010065|lidocaine 5 % topical ointment||67877047379|2,311.87||2,311.87
WS SERVICE AREA|25010065|ketamine 10 mg/mL injection solution||67457018120|205.98||205.98
WS SERVICE AREA|25010065|ketamine 10 mg/mL injection solution||00000005216|19.60||19.60
WS SERVICE AREA|25010065|ketamine 10 mg/mL injection solution||67457018100|205.98||205.98
WS SERVICE AREA|25010065|ketamine 100 mg/mL injection solution||00409205105|70.28||70.28
WS SERVICE AREA|25010065|ketamine 100 mg/mL injection solution||00000005218|19.60||19.60
WS SERVICE AREA|25010065|ketamine 100 mg/mL injection solution||00143950901|99.02||99.02
WS SERVICE AREA|25010065|ketamine 100 mg/mL injection solution||00143950910|99.02||99.02
WS SERVICE AREA|25010065|ketamine 100 mg/mL injection solution||00409205115|70.28||70.28
WS SERVICE AREA|25010065|ketamine 50 mg/mL injection solution||67457000110|19.60||19.60
WS SERVICE AREA|25010065|ketamine 50 mg/mL injection solution||00143950801|19.60||19.60
WS SERVICE AREA|25010065|cysteine (L-cysteine) 50 mg/mL intravenous solution||00781894070|238.95||238.95
WS SERVICE AREA|25010065|cysteine (L-cysteine) 50 mg/mL intravenous solution||00781894095|238.95||238.95
WS SERVICE AREA|25010065|lidocaine HCL 4 % laryngotracheal solution||00409469801|31.13||31.13
WS SERVICE AREA|25010065|lidocaine HCL 4 % laryngotracheal solution||76329630005|143.81||143.81
WS SERVICE AREA|25010065|ammonia aromatic 15 % (w/v) solution for inhalation||39822990002|4.80||4.80
WS SERVICE AREA|25010065|leucovorin calcium 15 mg tablet||00054449810|30.11||30.11
WS SERVICE AREA|25010065|leucovorin calcium 25 mg tablet||51079058201|21.00||21.00
WS SERVICE AREA|25010065|leucovorin calcium 25 mg tablet||00555048527|36.82||36.82
WS SERVICE AREA|25010065|leucovorin calcium 5 mg tablet||51079058101|24.93||24.93
WS SERVICE AREA|25010065|levothyroxine 200 mcg intravenous powder for solution||63323064710|1,471.79||1,471.79
WS SERVICE AREA|25010065|levothyroxine 500 mcg intravenous powder for solution||63323064810|225.42||225.42
WS SERVICE AREA|25010065|lidocaine HCL 2 % mucosal jelly||17478071110|64.43||64.43
WS SERVICE AREA|25010065|lidocaine HCL 2 % mucosal jelly||17478071130|984.37||984.37
WS SERVICE AREA|25010065|lidocaine HCL 4 % (40 mg/mL) mucosal solution||63739099764|11.41||11.41
WS SERVICE AREA|25010065|lidocaine HCL 4 % (40 mg/mL) mucosal solution||00054350547|14.73||14.73
WS SERVICE AREA|25010065|lidocaine HCL 10 mg/mL (1 %) injection solution||00409427601|19.60||19.60
WS SERVICE AREA|25010065|lidocaine HCL 10 mg/mL (1 %) injection solution||00409427602|23.91||23.91
WS SERVICE AREA|25010065|lidocaine HCL 10 mg/mL (1 %) injection solution||63323048527|25.28||25.28
WS SERVICE AREA|25010065|lidocaine HCL 10 mg/mL (1 %) injection solution||00409427616|19.60||19.60
WS SERVICE AREA|25010065|lidocaine HCL 10 mg/mL (1 %) injection solution||63323020110|19.60||19.60
WS SERVICE AREA|25010065|lidocaine HCL 20 mg/mL (2 %) injection solution||00409427701|19.60||19.60
WS SERVICE AREA|25010065|lidocaine HCL 20 mg/mL (2 %) injection solution||63323048657|52.95||52.95
WS SERVICE AREA|25010065|lidocaine HCL 20 mg/mL (2 %) injection solution||63323048617|25.62||25.62
WS SERVICE AREA|25010065|lidocaine HCL 20 mg/mL (2 %) injection solution||63323048627|28.52||28.52
WS SERVICE AREA|25010065|lidocaine HCL 20 mg/mL (2 %) injection solution||00409427717|31.60||31.60
WS SERVICE AREA|25010065|lidocaine HCL 20 mg/mL (2 %) injection solution||00409427716|19.60||19.60
WS SERVICE AREA|25010065|lidocaine HCL 20 mg/mL (2 %) injection solution||55150025410|38.94||38.94
WS SERVICE AREA|25010065|lidocaine (PF) 100 mg/5 mL (2 %) intravenous syringe||00409490334|30.23||30.23
WS SERVICE AREA|25010065|lidocaine (PF) 100 mg/5 mL (2 %) intravenous syringe||76329339001|49.11||49.11
WS SERVICE AREA|25010065|lidocaine (PF) 100 mg/5 mL (2 %) intravenous syringe||00409490311|30.23||30.23
WS SERVICE AREA|25010065|mannitoL 20 % intravenous solution||00409771503|162.26||162.26
WS SERVICE AREA|25010065|mannitoL 20 % intravenous solution||00338035703|503.86||503.86
WS SERVICE AREA|25010065|mannitoL 20 % intravenous solution||00990771513|162.26||162.26
WS SERVICE AREA|25010065|metoprolol tartrate 5 mg/5 mL intravenous solution||00143987310|23.02||23.02
WS SERVICE AREA|25010065|metoprolol tartrate 5 mg/5 mL intravenous solution||00781307175|39.16||39.16
WS SERVICE AREA|25010065|metoprolol tartrate 5 mg/5 mL intravenous solution||00409177805|19.60||19.60
WS SERVICE AREA|25010065|metoprolol tartrate 5 mg/5 mL intravenous solution||63323066005|19.60||19.60
WS SERVICE AREA|25010065|metoprolol tartrate 5 mg/5 mL intravenous solution||00143966010|23.02||23.02
WS SERVICE AREA|25010065|metoprolol tartrate 5 mg/5 mL intravenous solution||36000003310|19.60||19.60
WS SERVICE AREA|25010065|metoprolol tartrate 5 mg/5 mL intravenous solution||00143987325|23.02||23.02
WS SERVICE AREA|25010065|metoprolol tartrate 5 mg/5 mL intravenous solution||70860030005|19.60||19.60
WS SERVICE AREA|25010065|metoprolol tartrate 5 mg/5 mL intravenous solution||00143987301|23.02||23.02
WS SERVICE AREA|25010065|metoprolol tartrate 5 mg/5 mL intravenous solution||70860030041|19.60||19.60
WS SERVICE AREA|25010065|metoprolol tartrate 5 mg/5 mL intravenous solution||72266012201|19.60||19.60
WS SERVICE AREA|25010065|metroNIDAZOLE 500 mg/100 mL-sodium chloride(iso) intravenous piggyback||00409781137|19.60||19.60
WS SERVICE AREA|25010065|nafcillin 1 gram solution for injection||00781912495|124.68||124.68
WS SERVICE AREA|25010065|nafcillin 1 gram solution for injection||00781912485|124.60||124.60
WS SERVICE AREA|25010065|nafcillin 1 gram solution for injection||70860011641|98.21||98.21
WS SERVICE AREA|25010065|nafcillin 2 gram solution for injection||63323032820|246.72||246.72
WS SERVICE AREA|25010065|nafcillin 2 gram solution for injection||55150012316|241.47||241.47
WS SERVICE AREA|25010065|neomycin 1.75 mg-polymyxin 10,000 unit-gramicidin 0.025mg/mL eye drops||24208079062|475.08||475.08
WS SERVICE AREA|25010065|anticoag citrate phos dextrose 2.63 gram-222 mg/100 mL solution||00409196703|179.34||179.34
WS SERVICE AREA|25010065|nitroglycerin 50 mg/10 mL (5 mg/mL) intravenous solution||00517481025|121.87||121.87
WS SERVICE AREA|25010065|penicillin G sodium 5 million unit solution for injection||00781615394|491.89||491.89
WS SERVICE AREA|25010065|phenylephrine 2.5 % eye drops||42702010215|690.30||690.30
WS SERVICE AREA|25010065|physostigmine 1 mg/mL injection solution||17478051002|802.28||802.28
WS SERVICE AREA|25010065|pilocarpine 1 % eye drops||61314020315|755.99||755.99
WS SERVICE AREA|25010065|pilocarpine 2 % eye drops||00998020415|729.99||729.99
WS SERVICE AREA|25010065|pilocarpine 2 % eye drops||61314020415|773.25||773.25
WS SERVICE AREA|25010065|pilocarpine 4 % eye drops||00998020615|764.85||764.85
WS SERVICE AREA|25010065|polymyxin B sulfate 500,000 unit solution for injection||63323036701|19.60||19.60
WS SERVICE AREA|25010065|potassium acetate 2 mEq/mL intravenous solution||00409818301|29.21||29.21
WS SERVICE AREA|25010065|potassium phosphates-mbasic and dibasic 3 mmol/mL intravenous solution||00409729501|125.03||125.03
WS SERVICE AREA|25010065|povidone-iodine 10 % topical solution||67618015005|9.55||9.55
WS SERVICE AREA|25010065|prednisoLONE acetate 1 % eye drops,suspension||11980018005|1,230.27||1,230.27
WS SERVICE AREA|25010065|prednisoLONE acetate 1 % eye drops,suspension||60758011905|404.98||404.98
WS SERVICE AREA|25010065|prednisoLONE acetate 1 % eye drops,suspension||61314063705|424.30||424.30
WS SERVICE AREA|25010065|ascorbic acid (vitamin C) 500 mg/mL injection solution||67457011850|756.94||756.94
WS SERVICE AREA|25010065|proparacaine 0.5 % eye drops||00998001615|278.65||278.65
WS SERVICE AREA|25010065|proparacaine 0.5 % eye drops||17478026312|336.52||336.52
WS SERVICE AREA|25010065|proparacaine 0.5 % eye drops||24208073006|269.10||269.10
WS SERVICE AREA|25010065|proparacaine 0.5 % eye drops||61314001601|336.52||336.52
WS SERVICE AREA|25010065|sodium chloride 0.9 %, bacteriostatic injection solution||00409196607|19.60||19.60
WS SERVICE AREA|25010065|sodium chloride 0.9 %, bacteriostatic injection solution||00409196606|19.60||19.60
WS SERVICE AREA|25010065|sodium chloride 0.9 %, bacteriostatic injection solution||63323025930|22.03||22.03
WS SERVICE AREA|25010065|methohexitaL 500 mg solution for injection||42023010501|665.52||665.52
WS SERVICE AREA|25010065|neomycin 40 mg-polymyxin B 200,000 unit/mL GU irrigation solution||39822122001|864.28||864.28
WS SERVICE AREA|25010065|neomycin 40 mg-polymyxin B 200,000 unit/mL GU irrigation solution||39822120101|93.30||93.30
WS SERVICE AREA|25010065|neomycin 40 mg-polymyxin B 200,000 unit/mL GU irrigation solution||00000005686|52.95||52.95
WS SERVICE AREA|25010065|silver sulfADIAZINE 1 % topical cream||43598021040|487.81||487.81
WS SERVICE AREA|25010065|silver sulfADIAZINE 1 % topical cream||43598021085|202.76||202.76
WS SERVICE AREA|25010065|silver sulfADIAZINE 1 % topical cream||61570013120|67.04||67.04
WS SERVICE AREA|25010065|sodium acetate 2 mEq/mL intravenous solution||00409729973|26.99||26.99
WS SERVICE AREA|25010065|sodium acetate 2 mEq/mL intravenous solution||00409329906|53.80||53.80
WS SERVICE AREA|25010065|sodium acetate 2 mEq/mL intravenous solution||00409329925|50.39||50.39
WS SERVICE AREA|25010065|sodium acetate 2 mEq/mL intravenous solution||00409729925|26.30||26.30
WS SERVICE AREA|25010065|sodium bicarbonate 4.2 % (0.5 mEq/mL) intravenous syringe||00409553434|92.32||92.32
WS SERVICE AREA|25010065|sodium bicarbonate 4.2 % (0.5 mEq/mL) intravenous syringe||00409553424|96.93||96.93
WS SERVICE AREA|25010065|sodium bicarbonate 8.4 % (1 mEq/mL) intravenous syringe||00409663734|92.66||92.66
WS SERVICE AREA|25010065|sodium bicarbonate 8.4 % (1 mEq/mL) intravenous syringe||76329335201|115.29||115.29
WS SERVICE AREA|25010065|sodium bicarbonate 8.4 % (1 mEq/mL) intravenous syringe||69374091450|42.70||42.70
WS SERVICE AREA|25010065|sodium chloride 0.9 % (flush) injection syringe||63807010033|45.77||45.77
WS SERVICE AREA|25010065|sodium chloride 0.9 % (flush) injection syringe||08881570300|19.60||19.60
WS SERVICE AREA|25010065|sodium chloride 0.9 % (flush) injection syringe||08290306547|19.60||19.60
WS SERVICE AREA|25010065|sodium chloride 0.9 % (flush) injection syringe||08881579121|19.60||19.60
WS SERVICE AREA|25010065|sodium chloride 0.9 % (flush) injection syringe||08881579300|19.60||19.60
WS SERVICE AREA|25010065|sodium chloride 4 mEq/mL intravenous solution||63323018730|49.96||49.96
WS SERVICE AREA|25010065|sodium chloride 0.9 % for nebulization||00487930133|4.80||4.80
WS SERVICE AREA|25010065|sodium chloride 0.9 % for nebulization||00487930103|4.80||4.80
WS SERVICE AREA|25010065|sodium chloride 0.9 % for nebulization||76204030003|4.80||4.80
WS SERVICE AREA|25010065|sodium chloride 3 % for nebulization||00378699789|5.75||5.75
WS SERVICE AREA|25010065|sodium phosphate 3 mmol/mL intravenous solution||63323017005|137.84||137.84
WS SERVICE AREA|25010065|sodium phosphate 3 mmol/mL intravenous solution||63323017015|281.95||281.95
WS SERVICE AREA|25010065|sodium phosphate 3 mmol/mL intravenous solution||00409739182|128.74||128.74
WS SERVICE AREA|25010065|sulfacetamide sodium 10 % eye drops||24208067004|467.91||467.91
WS SERVICE AREA|25010065|sulfacetamide sodium 10 % eye drops||61314070101|426.84||426.84
WS SERVICE AREA|25010065|atropine 1 % eye drops||17478021505|447.77||447.77
WS SERVICE AREA|25010065|sodium thiosulfate 12.5 gram/50 mL (250 mg/mL) intravenous solution||60267070550|745.79||745.79
WS SERVICE AREA|25010065|sulfamethoxazole 400 mg-trimethoprim 80 mg/5 mL intravenous solution||00703951401|107.09||107.09
WS SERVICE AREA|25010065|sulfamethoxazole 400 mg-trimethoprim 80 mg/5 mL intravenous solution||00703951403|107.09||107.09
WS SERVICE AREA|25010065|sulfamethoxazole 400 mg-trimethoprim 80 mg/5 mL intravenous solution||00703952601|321.27||321.27
WS SERVICE AREA|25010065|acetylcholine chloride 1 % (10 mg/mL) intraocular kit||24208053920|209.08||209.08
WS SERVICE AREA|25010065|sodium hypochlorite 0.125 % solution||00436067216|83.44||83.44
WS SERVICE AREA|25010065|selenium 40 mcg/mL intravenous solution||00517651025|151.41||151.41
WS SERVICE AREA|25010065|arformoteroL 15 mcg/2 mL solution for nebulization|J7605|63402091130|143.89||143.89
WS SERVICE AREA|25010065|arformoteroL 15 mcg/2 mL solution for nebulization||63402091101|143.89||143.89
WS SERVICE AREA|25010065|tetracaine 0.5 % eye drops||69292031715|4.80||4.80
WS SERVICE AREA|25010065|tetracaine 0.5 % eye drops||68682092064|4.80||4.80
WS SERVICE AREA|25010065|tetracaine 0.5 % eye drops||24208092064|80.88||80.88
WS SERVICE AREA|25010065|tobramycin 0.3 % eye drops||61314064305|260.78||260.78
WS SERVICE AREA|25010065|thrombin-calcium-cme cellulose-hemostatic pad 3" X 3" topical||60793091603|437.23||437.23
WS SERVICE AREA|25010065|clindamycin 150 mg/mL injection solution||25021011504|29.99|S0077|29.99
WS SERVICE AREA|25010065|clindamycin 150 mg/mL injection solution||25021011506|27.05|S0077|27.05
WS SERVICE AREA|25010065|tropicamide 1 % eye drops||24208058559|76.70||76.70
WS SERVICE AREA|25010065|tuberculin PPD 5 tub. unit/0.1 mL intradermal injection solution||42023010401|75.86||75.86
WS SERVICE AREA|25010065|tuberculin PPD 5 tub. unit/0.1 mL intradermal injection solution||49281075221|76.62||76.62
WS SERVICE AREA|25010065|bacitracin 50,000 unit intramuscular solution||00009023301|95.22||95.22
WS SERVICE AREA|25010065|bacitracin 50,000 unit intramuscular solution||00009023303|94.71||94.71
WS SERVICE AREA|25010065|bacitracin 50,000 unit intramuscular solution||00009023401|94.71||94.71
WS SERVICE AREA|25010065|bacitracin 50,000 unit intramuscular solution||00009023402|94.71||94.71
WS SERVICE AREA|25010065|bacitracin 50,000 unit intramuscular solution||63323032931|76.86||76.86
WS SERVICE AREA|25010065|bacitracin 500 unit/gram eye ointment||00574402235|908.43||908.43
WS SERVICE AREA|25010065|verapamiL 2.5 mg/mL intravenous solution||00409114405|248.38||248.38
WS SERVICE AREA|25010065|verapamiL 2.5 mg/mL intravenous solution||51754020302|274.56||274.56
WS SERVICE AREA|25010065|verapamiL 2.5 mg/mL intravenous solution||51754020301|274.56||274.56
WS SERVICE AREA|25010065|verapamiL 2.5 mg/mL intravenous solution||00409114411|248.38||248.38
WS SERVICE AREA|25010065|neomycin-bacitracn Zn-polymyx 3.5 mg-400 unit-5,000 unit/gram top oint||45802014301|32.64||32.64
WS SERVICE AREA|25010065|neomycin-bacitracn Zn-polymyx 3.5 mg-400 unit-5,000 unit/gram top oint||61269017934|26.20||26.20
WS SERVICE AREA|25010065|trypan blue 0.06 % intraocular syringe||68803061210|596.09||596.09
WS SERVICE AREA|25010065|zinc chloride 1 mg/mL intravenous solution||00409409001|171.74||171.74
WS SERVICE AREA|25010065|zinc sulfate 1 mg/mL intravenous solution||00517611025|217.94||217.94
WS SERVICE AREA|25010065|clopidogreL 300 mg tablet||00904646707|101.90||101.90
WS SERVICE AREA|25010065|thrombin (recombinant) 5,000 unit topical solution||43825060641|659.62||659.62
WS SERVICE AREA|25010065|alfentaniL 500 mcg/mL injection solution||00409226602|19.60||19.60
WS SERVICE AREA|25010065|apraclonidine 1 % eye drops in a dropperette||00065066010|4.80||4.80
WS SERVICE AREA|25010065|atracurium 10 mg/mL intravenous solution||25021065905|68.32||68.32
WS SERVICE AREA|25010065|aztreonam 1 gram solution for injection||00003256016|247.66||247.66
WS SERVICE AREA|25010065|aztreonam 1 gram solution for injection||63323040120|308.12||308.12
WS SERVICE AREA|25010065|aztreonam 1 gram solution for injection||63323040126|233.23||233.23
WS SERVICE AREA|25010065|aztreonam 2 gram solution for injection||00003257016|495.32||495.32
WS SERVICE AREA|25010065|aztreonam 2 gram solution for injection||63323040220|626.07||626.07
WS SERVICE AREA|25010065|aztreonam 2 gram solution for injection||63323040230|466.45||466.45
WS SERVICE AREA|25010065|thrombin (recombinant) 20,000 unit topical solution||43825070741|2,638.48||2,638.48
WS SERVICE AREA|25010065|thrombin (recombinant) 20,000 unit topical solution||00338032601|2,638.48||2,638.48
WS SERVICE AREA|25010065|benzoin topical spray||00534010306|103.55||103.55
WS SERVICE AREA|25010065|benzylpenicilloyl polylysine 0.25 mL intradermal injection solution||49471000105|39.76||
WS SERVICE AREA|25010065|bumetanide 0.25 mg/mL injection solution||00409141204|19.60||19.60
WS SERVICE AREA|25010065|bumetanide 0.25 mg/mL injection solution||00409141210|28.27||28.27
WS SERVICE AREA|25010065|bumetanide 0.25 mg/mL injection solution||00641600801|23.47||23.47
WS SERVICE AREA|25010065|bumetanide 0.25 mg/mL injection solution||00641616110|19.60||19.60
WS SERVICE AREA|25010065|bumetanide 0.25 mg/mL injection solution||00641616201|21.09||21.09
WS SERVICE AREA|25010065|bumetanide 0.25 mg/mL injection solution||00641616210|21.09||21.09
WS SERVICE AREA|25010065|bupivacaine (PF) 0.75 % (7.5 mg/mL) in 8.25 % dextrose injection||00409361301|19.60||19.60
WS SERVICE AREA|25010065|bupivacaine (PF) 0.75 % (7.5 mg/mL) in 8.25 % dextrose injection||63323047302|25.20||25.20
WS SERVICE AREA|25010065|ipratropium 0.5 mg-albuteroL 3 mg (2.5 mg base)/3 mL nebulization soln||00487020101|16.94||16.94
WS SERVICE AREA|25010065|ipratropium 0.5 mg-albuteroL 3 mg (2.5 mg base)/3 mL nebulization soln||00487020160|16.13||16.13
WS SERVICE AREA|25010065|ipratropium 0.5 mg-albuteroL 3 mg (2.5 mg base)/3 mL nebulization soln||00487020103|16.80||16.80
WS SERVICE AREA|25010065|ipratropium 0.5 mg-albuteroL 3 mg (2.5 mg base)/3 mL nebulization soln||76204060001|17.60||17.60
WS SERVICE AREA|25010065|ipratropium 0.5 mg-albuteroL 3 mg (2.5 mg base)/3 mL nebulization soln||00378967193|17.65||17.65
WS SERVICE AREA|25010065|ipratropium 0.5 mg-albuteroL 3 mg (2.5 mg base)/3 mL nebulization soln||00378967131|17.65||17.65
WS SERVICE AREA|25010065|ipratropium 0.5 mg-albuteroL 3 mg (2.5 mg base)/3 mL nebulization soln||00378698831|16.75||16.75
WS SERVICE AREA|25010065|ipratropium 0.5 mg-albuteroL 3 mg (2.5 mg base)/3 mL nebulization soln||60687040579|4.80||4.80
WS SERVICE AREA|25010065|carboprost tromethamine 250 mcg/mL intramuscular solution||00009085608|2,482.75||2,482.75
WS SERVICE AREA|25010065|carboprost tromethamine 250 mcg/mL intramuscular solution||00009085605|2,482.75||2,482.75
WS SERVICE AREA|25010065|niCARdipine 20 mg/200 mL(0.1 mg/mL) in sod chlor(iso) intravenous soln||00143963401|708.15||708.15
WS SERVICE AREA|25010065|mineral oil||51927107400|4.80||4.80
WS SERVICE AREA|25010065|niCARdipine 40 mg/200 mL(0.2 mg/ml) in sod chlor(iso) intravenous soln||10122032501|1,700.68||1,700.68
WS SERVICE AREA|25010065|chlorhexidine gluconate 0.12 % mouthwash||17856200203|12.20||12.20
WS SERVICE AREA|25010065|chlorhexidine gluconate 0.12 % mouthwash||00116200115|8.67||
WS SERVICE AREA|25010065|chlorhexidine gluconate 0.12 % mouthwash||00000005358|8.63||
WS SERVICE AREA|25010065|chlorhexidine gluconate 0.12 % mouthwash||69339013819|16.34||16.34
WS SERVICE AREA|25010065|rocuronium 10 mg/mL intravenous solution||00409955849|31.17||31.17
WS SERVICE AREA|25010065|rocuronium 10 mg/mL intravenous solution||00409955850|59.95||59.95
WS SERVICE AREA|25010065|rocuronium 10 mg/mL intravenous solution||00781322095|167.94||167.94
WS SERVICE AREA|25010065|rocuronium 10 mg/mL intravenous solution||25021066205|51.24||51.24
WS SERVICE AREA|25010065|rocuronium 10 mg/mL intravenous solution||67457022805|71.74||71.74
WS SERVICE AREA|25010065|rocuronium 10 mg/mL intravenous solution||63323042601|111.02||111.02
WS SERVICE AREA|25010065|rocuronium 10 mg/mL intravenous solution||00409955870|59.95||59.95
WS SERVICE AREA|25010065|ciprofloxacin 0.3 % eye drops||61314065625|4.80||4.80
WS SERVICE AREA|25010065|ciprofloxacin 0.3 % eye drops||17478071410|85.06||85.06
WS SERVICE AREA|25010065|clindamycin 2 % vaginal cream||00168027740|999.55||999.55
WS SERVICE AREA|25010065|clindamycin 600 mg/50 mL in 5 % dextrose intravenous piggyback||00781922191|126.82||126.82
WS SERVICE AREA|25010065|clindamycin 900 mg/50 mL in 5 % dextrose intravenous piggyback||00781922291|154.57||154.57
WS SERVICE AREA|25010065|collagenase clostridium histolyticum 250 unit/gram topical ointment||50484001030|2,003.48||2,003.48
WS SERVICE AREA|25010065|cyclopentolate 0.5 % eye drops||00065039515|604.01||604.01
WS SERVICE AREA|25010065|cyclopentolate 2 % eye drops||17478009702|226.34||226.34
WS SERVICE AREA|25010065|cyclopentolate 2 % eye drops||00065039702|276.66||276.66
WS SERVICE AREA|25010065|dilTIAZem 5 mg/mL intravenous solution||00409117102|27.24||27.24
WS SERVICE AREA|25010065|dilTIAZem 5 mg/mL intravenous solution||00409117101|19.60||19.60
WS SERVICE AREA|25010065|dilTIAZem 5 mg/mL intravenous solution||17478093705|29.98||29.98
WS SERVICE AREA|25010065|dilTIAZem 5 mg/mL intravenous solution||17478093710|31.09||31.09
WS SERVICE AREA|25010065|dilTIAZem 5 mg/mL intravenous solution||00641601410|19.60||19.60
WS SERVICE AREA|25010065|dilTIAZem 5 mg/mL intravenous solution||00641921710|19.60||19.60
WS SERVICE AREA|25010065|desflurane 100 % inhalation liquid||10019064134|1,229.65||1,229.65
WS SERVICE AREA|25010065|desflurane 100 % inhalation liquid||10019064164|1,229.65||1,229.65
WS SERVICE AREA|25010065|desflurane 100 % inhalation liquid||10019064434|1,229.65||1,229.65
WS SERVICE AREA|25010065|desflurane 100 % inhalation liquid||10019064464|1,229.65||1,229.65
WS SERVICE AREA|25010065|mineral oil topical||54162018501|41.80||41.80
WS SERVICE AREA|25010065|enalaprilat 1.25 mg/mL intravenous solution||00143978710|41.26||41.26
WS SERVICE AREA|25010065|enalaprilat 1.25 mg/mL intravenous solution||00000005590|36.84||36.84
WS SERVICE AREA|25010065|esmoloL 100 mg/10 mL (10 mg/mL) intravenous solution||63323065210|122.81||122.81
WS SERVICE AREA|25010065|esmoloL 100 mg/10 mL (10 mg/mL) intravenous solution||67457018210|71.74||71.74
WS SERVICE AREA|25010065|esmoloL 100 mg/10 mL (10 mg/mL) intravenous solution||67457018200|71.74||71.74
WS SERVICE AREA|25010065|treprostiniL 1.74 mg/2.9 mL soln for inhalation-nebulizer,accessories|J7686|66302020604|35,896.82||35,896.82
WS SERVICE AREA|25010065|conjugated estrogens 0.625 mg/gram vaginal cream||00046087221|3,098.76||3,098.76
WS SERVICE AREA|25010065|ethacrynate sodium 50 mg intravenous solution||25010021027|34,952.18||34,952.18
WS SERVICE AREA|25010065|ethacrynate sodium 50 mg intravenous solution||42023015799|26,486.00||26,486.00
WS SERVICE AREA|25010066|acetaminophen 160 mg/5 mL oral liquid||00904198500|3.99||3.99
WS SERVICE AREA|25010066|benztropine 2 mg tablet||69315013801|4.80||4.80
WS SERVICE AREA|25010066|benztropine 2 mg tablet||00603243921|4.80||4.80
WS SERVICE AREA|25010066|paliperidone ER 1.5 mg tablet,extended release 24 hr||00378397893|234.41||234.41
WS SERVICE AREA|25010066|famotidine 40 mg/5 mL (8 mg/mL) oral suspension||68180015001|748.50||748.50
WS SERVICE AREA|25010066|famotidine 20 mg tablet||00172572860|5.12||5.12
WS SERVICE AREA|25010066|famotidine 20 mg tablet||00172572870|5.12||5.12
WS SERVICE AREA|25010066|famotidine 20 mg tablet||00172572880|5.12||5.12
WS SERVICE AREA|25010066|famotidine 20 mg tablet||52959075860|4.26||4.26
WS SERVICE AREA|25010066|famotidine 20 mg tablet||49348081705|0.60||0.60
WS SERVICE AREA|25010066|famotidine 20 mg tablet||10939013844|0.60||0.60
WS SERVICE AREA|25010066|famotidine 20 mg tablet||63739064510|0.60||0.60
WS SERVICE AREA|25010066|famotidine 20 mg tablet||62332000131|3.66||3.66
WS SERVICE AREA|25010066|famotidine 20 mg tablet||65862085901|5.12||5.12
WS SERVICE AREA|25010066|famotidine 20 mg tablet||00187442030|25.92||25.92
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|0.76||0.76
WS SERVICE AREA|25010066|felbamate 600 mg tablet||00037043101|77.78||77.78
WS SERVICE AREA|25010066|colesevelam 3.75 gram oral powder packet||65597090230|171.19||171.19
WS SERVICE AREA|25010066|finasteride 5 mg tablet||65862014990|23.98||23.98
WS SERVICE AREA|25010066|finasteride 5 mg tablet||50268032315|24.18||24.18
WS SERVICE AREA|25010066|finasteride 5 mg tablet||68084039901|25.55||25.55
WS SERVICE AREA|25010066|finasteride 5 mg tablet||68084039911|25.55||25.55
WS SERVICE AREA|25010066|finasteride 5 mg tablet||00904683006|5.18||5.18
WS SERVICE AREA|25010066|flavoxATE 100 mg tablet||00574011501|11.22||11.22
WS SERVICE AREA|25010066|flecainide 100 mg tablet||00054001121|13.73||13.73
WS SERVICE AREA|25010066|flecainide 50 mg tablet||00054001021|15.49||15.49
WS SERVICE AREA|25010066|fluconazole 100 mg tablet||00172541146|33.57||33.57
WS SERVICE AREA|25010066|fluconazole 100 mg tablet||00172541160|31.89||31.89
WS SERVICE AREA|25010066|fluconazole 100 mg tablet||16714069101|33.63||33.63
WS SERVICE AREA|25010066|fluconazole 200 mg tablet||00172541360|26.10||26.10
WS SERVICE AREA|25010066|fluconazole 200 mg tablet||59762501801|27.47||27.47
WS SERVICE AREA|25010066|flucytosine 500 mg capsule||64980018001|1,218.03||1,218.03
WS SERVICE AREA|25010066|flucytosine 500 mg capsule||00054042825|1,218.03||1,218.03
WS SERVICE AREA|25010066|flucytosine 500 mg capsule||60687036395|1,441.99||1,441.99
WS SERVICE AREA|25010066|fludrocortisone 0.1 mg tablet||00115703301|4.80||4.80
WS SERVICE AREA|25010066|fludrocortisone 0.1 mg tablet||68084028811|4.80||4.80
WS SERVICE AREA|25010066|diclofenac 1 % topical gel||63481068447|414.18||414.18
WS SERVICE AREA|25010066|diclofenac 1 % topical gel||65162083366|420.32||420.32
WS SERVICE AREA|25010066|diclofenac 1 % topical gel||76282066339|101.24||101.24
WS SERVICE AREA|25010066|diclofenac 1 % topical gel||21922000909|447.93||447.93
WS SERVICE AREA|25010066|FLUoxetine 10 mg capsule||16714072002|19.93||19.93
WS SERVICE AREA|25010066|FLUoxetine 10 mg capsule||50111064701|19.93||19.93
WS SERVICE AREA|25010066|FLUoxetine 20 mg capsule||68084060511|9.65||9.65
WS SERVICE AREA|25010066|FLUoxetine 20 mg capsule||16714072102|10.23||10.23
WS SERVICE AREA|25010066|ritonavir 100 mg tablet||00074333330|65.75||65.75
WS SERVICE AREA|25010066|acetaminophen 325 mg tablet||63739044001|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||0.60
WS SERVICE AREA|25010066|glipiZIDE 10 mg tablet||51079081101|4.80||4.80
WS SERVICE AREA|25010066|glipiZIDE 5 mg tablet||51079081020|4.80||4.80
WS SERVICE AREA|25010066|glipiZIDE 5 mg tablet||60505014100|4.80||4.80
WS SERVICE AREA|25010066|glyBURIDE 1.25 mg tablet||00093947753|4.80||4.80
WS SERVICE AREA|25010066|glyBURIDE 2.5 mg tablet||23155005701|4.80||4.80
WS SERVICE AREA|25010066|glycopyrrolate 1 mg tablet||49884006501|10.07||10.07
WS SERVICE AREA|25010066|glycopyrrolate 1 mg tablet||13107001401|10.07||10.07
WS SERVICE AREA|25010066|glycopyrrolate 1 mg tablet||23155060601|4.80||4.80
WS SERVICE AREA|25010066|guanFACINE 1 mg tablet||00378116001|6.69||6.69
WS SERVICE AREA|25010066|hydrocortisone 5 mg tablet||59762007301|4.80||4.80
WS SERVICE AREA|25010066|hydrocortisone 100 mg/60 mL enema||62559013807|108.88||108.88
WS SERVICE AREA|25010066|hydrocortisone 100 mg/60 mL enema||62559013811|108.88||108.88
WS SERVICE AREA|25010066|hydrocortisone butyrate 0.1 % topical cream||51672407401|481.02||481.02
WS SERVICE AREA|25010066|hydrOXYchloroQUINE 200 mg tablet||63739077710|27.80||27.80
WS SERVICE AREA|25010066|hydroxyurea 500 mg capsule||68084028401|8.47||8.47
WS SERVICE AREA|25010066|hydroxyurea 500 mg capsule||68084028411|8.47||8.47
WS SERVICE AREA|25010066|hydroxyurea 500 mg capsule||00904693961|7.40||7.40
WS SERVICE AREA|25010066|ibuprofen 100 mg/5 mL oral suspension||45802095226|38.07||38.07
WS SERVICE AREA|25010066|ibuprofen 100 mg/5 mL oral suspension||49348087634|16.75||16.75
WS SERVICE AREA|25010066|ibuprofen 100 mg/5 mL oral suspension||00472176494|15.47||15.47
WS SERVICE AREA|25010066|ibuprofen 100 mg/5 mL oral suspension||00472176094|15.47||15.47
WS SERVICE AREA|25010066|ibuprofen 100 mg/5 mL oral suspension||00472176394|15.47||15.47
WS SERVICE AREA|25010066|ibuprofen 100 mg/5 mL oral suspension||00472176194|15.47||15.47
WS SERVICE AREA|25010066|ibuprofen 100 mg/5 mL oral suspension||69230031111|37.93||37.93
WS SERVICE AREA|25010066|ibuprofen 100 mg/5 mL oral suspension||00121091840|7.95||7.95
WS SERVICE AREA|25010066|imipramine pamoate 75 mg capsule||00054027313|232.74||232.74
WS SERVICE AREA|25010066|indapamide 1.25 mg tablet||00228259711|5.22||5.22
WS SERVICE AREA|25010066|indapamide 1.25 mg tablet||00378006901|10.90||10.90
WS SERVICE AREA|25010066|indapamide 1.25 mg tablet||62559051001|10.90||10.90
WS SERVICE AREA|25010066|insulin NPH isophane U-100 human 100 unit/mL subcutaneous suspension||00002831517|380.97||380.97
WS SERVICE AREA|25010066|insulin human U-100 NPH-regulr 70-30 mix 100 unit/mL subcutaneous susp||00002871501|19.60||19.60
WS SERVICE AREA|25010066|insulin human U-100 NPH-regulr 70-30 mix 100 unit/mL subcutaneous susp||00002871517|19.60||19.60
WS SERVICE AREA|25010066|insulin U-100 regular human 100 unit/mL injection solution||00002821501|19.60||19.60
WS SERVICE AREA|25010066|insulin U-100 regular human 100 unit/mL injection solution||00002821517|19.60||19.60
WS SERVICE AREA|25010066|acetaminophen 120 mg rectal suppository||36800057953|1.48||1.48
WS SERVICE AREA|25010066|betamethasone valerate 0.1 % topical cream||00168004015|214.57||214.57
WS SERVICE AREA|25010066|betamethasone valerate 0.1 % lotion||00168004160|460.20||460.20
WS SERVICE AREA|25010066|betamethasone valerate 0.1 % topical ointment||00168003315|156.01||156.01
WS SERVICE AREA|25010066|betamethasone valerate 0.1 % topical ointment||00472037115|160.26||160.26
WS SERVICE AREA|25010066|itraconazole 100 mg capsule||00185055030|71.16||71.16
WS SERVICE AREA|25010066|itraconazole 100 mg capsule||10147170007|57.09||57.09
WS SERVICE AREA|25010066|itraconazole 100 mg capsule||16714074302|142.78||142.78
WS SERVICE AREA|25010066|ketoconazole 2 % topical cream||51672129801|1,007.26||1,007.26
WS SERVICE AREA|25010066|ketoconazole 200 mg tablet||00378026101|29.07||29.07
WS SERVICE AREA|25010066|ketoconazole 200 mg tablet||35573043302|29.07||29.07
WS SERVICE AREA|25010066|ketorolac 10 mg tablet||00378113401|17.37||17.37
WS SERVICE AREA|25010066|ketorolac 10 mg tablet||69543038810|16.54||16.54
WS SERVICE AREA|25010066|ketorolac 10 mg tablet||00093031401|16.54||16.54
WS SERVICE AREA|25010066|labetaloL 100 mg tablet||00185001001|4.80||4.80
WS SERVICE AREA|25010066|labetaloL 100 mg tablet||51079092801|4.80||4.80
WS SERVICE AREA|25010066|labetaloL 100 mg tablet||60687043911|4.80||4.80
WS SERVICE AREA|25010066|labetaloL 100 mg tablet||71247012601|4.80||4.80
WS SERVICE AREA|25010066|labetaloL 200 mg tablet||00185011701|4.80||4.80
WS SERVICE AREA|25010066|labetaloL 200 mg tablet||49884012301|4.80||4.80
WS SERVICE AREA|25010066|labetaloL 200 mg tablet||58657060601|4.80||4.80
WS SERVICE AREA|25010066|labetaloL 200 mg tablet||23155072401|4.80||4.80
WS SERVICE AREA|25010066|labetaloL 200 mg tablet||71247012701|4.80||4.80
WS SERVICE AREA|25010066|labetaloL 200 mg tablet||00904711061|4.80||4.80
WS SERVICE AREA|25010066|labetaloL 200 mg tablet||51079092920|4.80||4.80
WS SERVICE AREA|25010066|labetaloL 300 mg tablet||00185011801|4.80||4.80
WS SERVICE AREA|25010066|labetaloL 300 mg tablet||00904593061|4.80||4.80
WS SERVICE AREA|25010066|labetaloL 300 mg tablet||71930003712|4.80||4.80
WS SERVICE AREA|25010066|labetaloL 300 mg tablet||60687046111|4.80||4.80
WS SERVICE AREA|25010066|labetaloL 300 mg tablet||23155072501|4.80||4.80
WS SERVICE AREA|25010066|ammonium lactate 12 % lotion||45802041954|253.69||253.69
WS SERVICE AREA|25010066|ammonium lactate 12 % lotion||00904598426|29.34||29.34
WS SERVICE AREA|25010066|Lactobacillus acidophilus, bulgaricus 100 million cell granules packet||64980014612|8.60||8.60
WS SERVICE AREA|25010066|Lactobacillus acidophilus, bulgaricus 100 million cell granules packet||64980014698|8.60||8.60
WS SERVICE AREA|25010066|tamsulosin 0.4 mg capsule||68382013201|32.32||32.32
WS SERVICE AREA|25010066|tamsulosin 0.4 mg capsule||00904640161|4.80||4.80
WS SERVICE AREA|25010066|levobunoloL 0.5 % eye drops||24208050505|185.46||185.46
WS SERVICE AREA|25010066|acetaminophen 325 mg rectal suppository||51672211602|0.63||0.63
WS SERVICE AREA|25010066|acetaminophen 325 mg rectal suppository||51672211604|0.60||0.60
WS SERVICE AREA|25010066|acetaminophen 325 mg rectal suppository||51672211600|0.63||0.63
WS SERVICE AREA|25010066|levothyroxine 88 mcg tablet||00074659490|4.80||4.80
WS SERVICE AREA|25010066|levothyroxine 88 mcg tablet||00781518392|4.80||4.80
WS SERVICE AREA|25010066|levothyroxine 88 mcg tablet||00527134401|4.80||4.80
WS SERVICE AREA|25010066|levothyroxine 88 mcg tablet||69238183301|4.80||4.80
WS SERVICE AREA|25010066|levothyroxine 175 mcg tablet||00781518892|4.80||4.80
WS SERVICE AREA|25010066|levothyroxine 175 mcg tablet||00527135001|4.80||4.80
WS SERVICE AREA|25010066|bethanechol chloride 10 mg tablet||00832051189|7.67||7.67
WS SERVICE AREA|25010066|bethanechol chloride 10 mg tablet||65162057210|6.16||6.16
WS SERVICE AREA|25010066|bethanechol chloride 25 mg tablet||00832051289|4.80||4.80
WS SERVICE AREA|25010066|liothyronine 5 mcg tablet||60793011501|14.78||14.78
WS SERVICE AREA|25010066|liothyronine 5 mcg tablet||59762120601|6.52||6.52
WS SERVICE AREA|25010066|lisinopriL 10 mg tablet||43547035310|4.80||4.80
WS SERVICE AREA|25010066|lisinopriL 10 mg tablet||43547041610|4.80||4.80
WS SERVICE AREA|25010066|lisinopriL 40 mg tablet||68084019901|4.80||4.80
WS SERVICE AREA|25010066|lisinopriL 40 mg tablet||43547035610|4.80||4.80
WS SERVICE AREA|25010066|lisinopriL 5 mg tablet||43547035210|4.80||4.80
WS SERVICE AREA|25010066|lisinopriL 5 mg tablet||43547041510|4.80||4.80
WS SERVICE AREA|25010066|lisinopriL 5 mg tablet||51079098120|4.80||4.80
WS SERVICE AREA|25010066|lithium carbonate ER 300 mg tablet,extended release||00054002125|4.80||4.80
WS SERVICE AREA|25010066|lithium carbonate ER 300 mg tablet,extended release||68462022301|4.80||4.80
WS SERVICE AREA|25010066|lithium carbonate ER 450 mg tablet,extended release||00054002025|4.80||4.80
WS SERVICE AREA|25010066|lithium carbonate ER 450 mg tablet,extended release||68462022401|4.80||4.80
WS SERVICE AREA|25010066|lithium carbonate ER 450 mg tablet,extended release||00378145001|4.80||4.80
WS SERVICE AREA|25010066|ganciclovir 0.15 % eye gel||24208053535|3,027.20||3,027.20
WS SERVICE AREA|25010066|tranexamic acid 650 mg tablet||69918030130|33.33||33.33
WS SERVICE AREA|25010066|rifAXIMin 550 mg tablet||65649030303|128.18||128.18
WS SERVICE AREA|25010066|loratadine 10 mg tablet||68084024811|1.48||1.48
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||50383077930|11.39||11.39
WS SERVICE AREA|25010066|acetaminophen 650 mg rectal suppository||45802073000|2.51||2.51
WS SERVICE AREA|25010066|medium chain triglycerides (MCT) 7.7 kcal/mL oral oil||41679036513|6.90||6.90
WS SERVICE AREA|25010066|megestroL 400 mg/10 mL (40 mg/mL) oral suspension||60432012608|46.02||46.02
WS SERVICE AREA|25010066|mesalamine CR 250 mg capsule,controlled release||54092018981|46.57||46.57
WS SERVICE AREA|25010066|mesalamine 4 gram/60 mL enema||45802009846|186.38||186.38
WS SERVICE AREA|25010066|metFORMIN 500 mg tablet||23155010201|5.40||5.40
WS SERVICE AREA|25010066|metFORMIN 500 mg tablet||00904668961|4.80||4.80
WS SERVICE AREA|25010066|lacosamide 10 mg/mL oral solution||00000005424|103.01||
WS SERVICE AREA|25010066|methIMAzole 10 mg tablet||00185021001|4.80||4.80
WS SERVICE AREA|25010066|methIMAzole 10 mg tablet||68084027611|4.80||4.80
WS SERVICE AREA|25010066|methIMAzole 10 mg tablet||51293082101|4.80||4.80
WS SERVICE AREA|25010066|methIMAzole 10 mg tablet||60687037001|4.80||4.80
WS SERVICE AREA|25010066|methylergonovine 0.2 mg tablet||43386014028|515.35||515.35
WS SERVICE AREA|25010066|methylergonovine 0.2 mg tablet||69238160508|515.35||515.35
WS SERVICE AREA|25010066|methylergonovine 0.2 mg tablet||00093365528|543.99||543.99
WS SERVICE AREA|25010066|metOLazone 10 mg tablet||00527221737|6.39||6.39
WS SERVICE AREA|25010066|metOLazone 10 mg tablet||00185560001|5.41||5.41
WS SERVICE AREA|25010066|metOLazone 2.5 mg tablet||00378617201|19.77||19.77
WS SERVICE AREA|25010066|metOLazone 2.5 mg tablet||51079002301|25.20||25.20
WS SERVICE AREA|25010066|metOLazone 5 mg tablet||51079002401|14.32||14.32
WS SERVICE AREA|25010066|metOLazone 5 mg tablet||00185005501|9.04||9.04
WS SERVICE AREA|25010066|mexiletine 150 mg capsule||62559082001|19.45||19.45
WS SERVICE AREA|25010066|mexiletine 150 mg capsule||00093873901|19.45||19.45
WS SERVICE AREA|25010066|mexiletine 200 mg capsule||62559082101|17.41||17.41
WS SERVICE AREA|25010066|mexiletine 200 mg capsule||00093874001|17.41||17.41
WS SERVICE AREA|25010066|midodrine 2.5 mg tablet||00245021111|12.98||12.98
WS SERVICE AREA|25010066|midodrine 5 mg tablet||00115422201|9.27||9.27
WS SERVICE AREA|25010066|midodrine 5 mg tablet||00245021201|17.21||17.21
WS SERVICE AREA|25010066|midodrine 5 mg tablet||00245021211|15.94||15.94
WS SERVICE AREA|25010066|midodrine 5 mg tablet||60505132101|9.32||9.32
WS SERVICE AREA|25010066|midodrine 5 mg tablet||00378190201|9.27||9.27
WS SERVICE AREA|25010066|midodrine 5 mg tablet||50268056515|15.14||15.14
WS SERVICE AREA|25010066|buprenorphine 2 mg-naloxone 0.5 mg sublingual film||47781035511|37.64||37.64
WS SERVICE AREA|25010066|buprenorphine 8 mg-naloxone 2 mg sublingual film||12496120803|68.88||68.88
WS SERVICE AREA|25010066|miSOPROStoL 100 mcg tablet||43386016006|4.80||4.80
WS SERVICE AREA|25010066|miSOPROStoL 100 mcg tablet||68084004011|4.80||4.80
WS SERVICE AREA|25010066|miSOPROStoL 100 mcg tablet||00025145160|7.29||7.29
WS SERVICE AREA|25010066|miSOPROStoL 100 mcg tablet||59762500701|4.80||4.80
WS SERVICE AREA|25010066|miSOPROStoL 100 mcg tablet||59762500702|4.80||4.80
WS SERVICE AREA|25010066|miSOPROStoL 200 mcg tablet||68084004101|10.45||10.45
WS SERVICE AREA|25010066|miSOPROStoL 200 mcg tablet||68084004111|10.45||10.45
WS SERVICE AREA|25010066|miSOPROStoL 200 mcg tablet||00025146160|21.25||21.25
WS SERVICE AREA|25010066|miSOPROStoL 200 mcg tablet||59762500801|4.80||4.80
WS SERVICE AREA|25010066|miSOPROStoL 200 mcg tablet||59762500802|4.80||4.80
WS SERVICE AREA|25010066|HYDROcodone 10 mg-chlorpheniramine 8 mg/5 mL oral susp extend.rel 12hr||62175049005|25.66||25.66
WS SERVICE AREA|25010066|HYDROcodone 10 mg-chlorpheniramine 8 mg/5 mL oral susp extend.rel 12hr||24486020005|53.69||53.69
WS SERVICE AREA|25010066|HYDROcodone 10 mg-chlorpheniramine 8 mg/5 mL oral susp extend.rel 12hr||0000005305|53.69||53.69
WS SERVICE AREA|25010066|dabigatran etexilate 75 mg capsule||00597035509|60.97||60.97
WS SERVICE AREA|25010066|dabigatran etexilate 75 mg capsule||00597035556|60.97||60.97
WS SERVICE AREA|25010066|dabigatran etexilate 150 mg capsule||00597036082|30.48||30.48
WS SERVICE AREA|25010066|nicotine (polacrilex) 2 mg gum||00536136223|0.89||0.89
WS SERVICE AREA|25010066|nicotine (polacrilex) 2 mg gum||87701040016|1.69||1.69
WS SERVICE AREA|25010066|nicotine (polacrilex) 4 mg gum||24385059871|2.33||2.33
WS SERVICE AREA|25010066|nicotine (polacrilex) 4 mg gum||10939090633|0.80||0.80
WS SERVICE AREA|25010066|NIFEdipine ER 30 mg tablet,extended release||00378035301|10.69||10.69
WS SERVICE AREA|25010066|NIFEdipine ER 30 mg tablet,extended release||50742062001|10.69||10.69
WS SERVICE AREA|25010066|NIFEdipine ER 60 mg tablet,extended release||00378036001|9.52||9.52
WS SERVICE AREA|25010066|NIFEdipine ER 60 mg tablet,extended release||68682010610|7.93||7.93
WS SERVICE AREA|25010066|NIFEdipine ER 60 mg tablet,extended release||50742062101|9.52||9.52
WS SERVICE AREA|25010066|niMODipine 30 mg capsule||62559021052|126.92||126.92
WS SERVICE AREA|25010066|nitrofurantoin 25 mg/5 mL oral suspension||70408023932|22,936.37||22,936.37
WS SERVICE AREA|25010066|nitrofurantoin monohydrate/macrocrystals 100 mg capsule||68084044611|27.07||27.07
WS SERVICE AREA|25010066|nitrofurantoin monohydrate/macrocrystals 100 mg capsule||16714043901|27.11||27.11
WS SERVICE AREA|25010066|norgestimate 0.25 mg-ethinyl estradioL 35 mcg tablet||16714036004|8.97||8.97
WS SERVICE AREA|25010066|lurasidone 40 mg tablet||63402030410|344.23||344.23
WS SERVICE AREA|25010066|lurasidone 40 mg tablet||63402030430|344.23||344.23
WS SERVICE AREA|25010066|olsalazine 250 mg capsule||00037686010|103.96||103.96
WS SERVICE AREA|25010066|bisacodyL 5 mg tablet,delayed release||00904640761|0.60||0.60
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|3.87||3.87
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|42.42||42.42
WS SERVICE AREA|25010066|oxandrolone 2.5 mg tablet||68084042421|53.17||53.17
WS SERVICE AREA|25010066|testosterone 1 % (50 mg/5 gram) transdermal gel packet||00051845030|163.72||163.72
WS SERVICE AREA|25010066|oxybutynin chloride 5 mg/5 mL oral syrup||60432009216|4.80||4.80
WS SERVICE AREA|25010066|oxyCODONE 20 mg/mL oral concentrate||68462034737|2,836.44||2,836.44
WS SERVICE AREA|25010066|oxyCODONE 20 mg/mL oral concentrate||00000005187|94.55||
WS SERVICE AREA|25010066|oxyCODONE 5 mg/5 mL oral solution||66689040101|66.19||66.19
WS SERVICE AREA|25010066|oxyCODONE 5 mg/5 mL oral solution||00904682805|44.26||44.26
WS SERVICE AREA|25010066|oxyCODONE 5 mg tablet||00406055201|4.80||4.80
WS SERVICE AREA|25010066|oxyCODONE 5 mg tablet||00406055262|4.80||4.80
WS SERVICE AREA|25010066|oxyCODONE 5 mg tablet||00406055223|4.80||4.80
WS SERVICE AREA|25010066|oxyCODONE 5 mg tablet||42858000101|4.80||4.80
WS SERVICE AREA|25010066|oxyCODONE 5 mg tablet||42858000110|4.80||4.80
WS SERVICE AREA|25010066|spinosad 0.9 % topical suspension||28595057004|2,433.54||2,433.54
WS SERVICE AREA|25010066|bismuth subgallate (bulk) powder||38779104605|2,334.96||2,334.96
WS SERVICE AREA|25010066|bismuth subgallate (bulk) powder||62991164803|3,807.00||3,807.00
WS SERVICE AREA|25010066|vitamin E (dl, acetate) 180 mg (400 unit) capsule||00536479901|0.60||0.60
WS SERVICE AREA|25010066|vitamin E (dl, acetate) 180 mg (400 unit) capsule||00904027460|0.60||0.60
WS SERVICE AREA|25010066|vitamin E (dl, acetate) 180 mg (400 unit) capsule||77333095110|0.60||0.60
WS SERVICE AREA|25010066|penicillAMINE 250 mg capsule||25010070515|2,008.67||2,008.67
WS SERVICE AREA|25010066|bismuth subsalicylate 262 mg/15 mL oral suspension||01490003904|10.48||10.48
WS SERVICE AREA|25010066|pentoxifylline ER 400 mg tablet,extended release||51079088901|11.49||11.49
WS SERVICE AREA|25010066|permethrin 5 % topical cream||00472024260|949.39||949.39
WS SERVICE AREA|25010066|permethrin 5 % topical cream||16714089701|929.60||929.60
WS SERVICE AREA|25010066|permethrin 1 % topical liquid||49348015078|43.90||43.90
WS SERVICE AREA|25010066|permethrin 1 % topical liquid||10939073944|43.90||43.90
WS SERVICE AREA|25010066|roflumilast 500 mcg tablet||00310009530|103.84||103.84
WS SERVICE AREA|25010066|roflumilast 500 mcg tablet||00310009590|103.84||103.84
WS SERVICE AREA|25010066|phenoxybenzamine 10 mg capsule||49884003801|992.84||992.84
WS SERVICE AREA|25010066|chlorpheniramine 4 mg-phenylephrine 10 mg-DM 15 mg/5 mL oral liquid||68047018616|194.08||194.08
WS SERVICE AREA|25010066|linaGLIPtin 5 mg tablet||00597014030|124.12||124.12
WS SERVICE AREA|25010066|linaGLIPtin 5 mg tablet||00597014090|124.12||124.12
WS SERVICE AREA|25010066|linaGLIPtin 5 mg tablet||00597014061|124.12||124.12
WS SERVICE AREA|25010066|phenytoin 50 mg chewable tablet||51672414601|4.80||4.80
WS SERVICE AREA|25010066|phenytoin 50 mg chewable tablet||60687015625|13.81||13.81
WS SERVICE AREA|25010066|phenytoin 50 mg chewable tablet||60687015695|13.81||13.81
WS SERVICE AREA|25010066|phenytoin 50 mg chewable tablet||00071000740|14.55||14.55
WS SERVICE AREA|25010066|phytonadione (vitamin K1) 5 mg tablet||00187170405|225.34||225.34
WS SERVICE AREA|25010066|phytonadione (vitamin K1) 5 mg tablet||68682017030|256.89||256.89
WS SERVICE AREA|25010066|phytonadione (vitamin K1) 5 mg tablet||16714097301|256.89||256.89
WS SERVICE AREA|25010066|rivaroxaban 10 mg tablet||50458058010|31.48||31.48
WS SERVICE AREA|25010066|fidaxomicin 200 mg tablet||52015008001|1,634.55||1,634.55
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|35.19||35.19
WS SERVICE AREA|25010066|ticagrelor 90 mg tablet||00186077760|35.19||35.19
WS SERVICE AREA|25010066|calcium polycarbophiL 625 mg tablet||00005250023|4.80||4.80
WS SERVICE AREA|25010066|calcium polycarbophiL 625 mg tablet||00904250091|4.80||4.80
WS SERVICE AREA|25010066|sodium di- and monophosphate-potassium phos monobasic 250 mg tablet||00486112501|6.50||6.50
WS SERVICE AREA|25010066|sodium di- and monophosphate-potassium phos monobasic 250 mg tablet||69543026810|4.80||4.80
WS SERVICE AREA|25010066|sodium di- and monophosphate-potassium phos monobasic 250 mg tablet||64980010401|4.80||4.80
WS SERVICE AREA|25010066|potassium citrate ER 10 mEq (1,080 mg) tablet,extended release||00245007111|21.15||21.15
WS SERVICE AREA|25010066|potassium citrate ER 10 mEq (1,080 mg) tablet,extended release||68382053701|18.83||18.83
WS SERVICE AREA|25010066|potassium phosphate, monobasic 500 mg soluble tablet||00486111101|4.80||4.80
WS SERVICE AREA|25010066|oseltamivir 6 mg/mL oral suspension||00004082205|242.66||242.66
WS SERVICE AREA|25010066|pravastatin 10 mg tablet||00904589161|4.80||4.80
WS SERVICE AREA|25010066|pravastatin 10 mg tablet||68180048509|24.66||24.66
WS SERVICE AREA|25010066|pravastatin 20 mg tablet||00904589261|4.80||4.80
WS SERVICE AREA|25010066|pravastatin 40 mg tablet||00904589361|4.80||4.80
WS SERVICE AREA|25010066|ferrous gluconate 324 mg (37.5 mg iron) tablet||79854050032|0.60||0.60
WS SERVICE AREA|25010066|emtricitabine 200 mg-rilpivirine 25 mg-tenofovir disprox 300 mg tablet||61958110101|789.64||789.64
WS SERVICE AREA|25010066|primidone 50 mg tablet||68084020201|6.09||6.09
WS SERVICE AREA|25010066|primidone 50 mg tablet||68084020211|6.09||6.09
WS SERVICE AREA|25010066|primidone 50 mg tablet||00527130101|4.80||4.80
WS SERVICE AREA|25010066|primidone 50 mg tablet||53746054401|4.80||4.80
WS SERVICE AREA|25010066|prochlorperazine 25 mg rectal suppository||00574722612|96.51||96.51
WS SERVICE AREA|25010066|promethazine 12.5 mg rectal suppository||00713053612|135.80||135.80
WS SERVICE AREA|25010066|promethazine 12.5 mg rectal suppository||00591298539|135.80||135.80
WS SERVICE AREA|25010066|promethazine 25 mg rectal suppository||00713052612|67.90||67.90
WS SERVICE AREA|25010066|promethazine-DM 6.25 mg-15 mg/5 mL oral syrup||00603158654|4.80||4.80
WS SERVICE AREA|25010066|propafenone 150 mg tablet||68084036111|7.19||7.19
WS SERVICE AREA|25010066|propafenone 150 mg tablet||00603544825|12.30||12.30
WS SERVICE AREA|25010066|propafenone 225 mg tablet||00591058301|11.91||11.91
WS SERVICE AREA|25010066|propafenone 225 mg tablet||59651025701|11.91||11.91
WS SERVICE AREA|25010066|propafenone 300 mg tablet||53489055301|11.39||11.39
WS SERVICE AREA|25010066|propafenone 300 mg tablet||00603545021|11.39||11.39
WS SERVICE AREA|25010066|acetaZOLAMIDE 125 mg tablet||51672402201|16.72||16.72
WS SERVICE AREA|25010066|pyridostigmine bromide 60 mg/5 mL oral syrup||00187301220|10,687.82||10,687.82
WS SERVICE AREA|25010066|pyridostigmine bromide 60 mg/5 mL oral syrup|||335.95||
WS SERVICE AREA|25010066|pyridostigmine bromide 60 mg tablet||68084049411|5.68||5.68
WS SERVICE AREA|25010066|pyridostigmine bromide ER 180 mg tablet,extended release||00187301330|249.58||249.58
WS SERVICE AREA|25010066|pyridostigmine bromide ER 180 mg tablet,extended release||64980022003|190.28||190.28
WS SERVICE AREA|25010066|pyrimethamine 25 mg tablet||69413033030|5,752.50||5,752.50
WS SERVICE AREA|25010066|ramipriL 1.25 mg capsule||68382014406|11.74||11.74
WS SERVICE AREA|25010066|ramipriL 2.5 mg capsule||68084026611|7.43||7.43
WS SERVICE AREA|25010066|ramipriL 2.5 mg capsule||65862047501|6.93||6.93
WS SERVICE AREA|25010066|ramipriL 5 mg capsule||68382014601|4.80||4.80
WS SERVICE AREA|25010066|ramipriL 5 mg capsule||65862047601|4.80||4.80
WS SERVICE AREA|25010066|cloBAZam 10 mg tablet||67386031401|92.50||92.50
WS SERVICE AREA|25010066|cloBAZam 10 mg tablet||16714088701|75.15||75.15
WS SERVICE AREA|25010066|cloBAZam 20 mg tablet||67386031501|92.50||92.50
WS SERVICE AREA|25010066|rivaroxaban 15 mg tablet||50458057810|20.99||20.99
WS SERVICE AREA|25010066|rivaroxaban 20 mg tablet||50458057910|15.74||15.74
WS SERVICE AREA|25010066|ribavirin 200 mg tablet||65862020768|63.46||63.46
WS SERVICE AREA|25010066|rifabutin 150 mg capsule||00013530117|147.74||147.74
WS SERVICE AREA|25010066|rifAMPin 300 mg capsule||68084035811|5.23||5.23
WS SERVICE AREA|25010066|acetaZOLAMIDE 250 mg tablet||00527105001|12.64||12.64
WS SERVICE AREA|25010066|acetaZOLAMIDE 250 mg tablet||51672402301|11.06||11.06
WS SERVICE AREA|25010066|sennosides 8.6 mg tablet||67618030050|0.82||0.82
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|sennosides 8.6 mg tablet||00904672580|0.60||0.60
WS SERVICE AREA|25010066|sertraline 100 mg tablet||68084018211|4.80||4.80
WS SERVICE AREA|25010066|sertraline 100 mg tablet||76282021460|5.59||5.59
WS SERVICE AREA|25010066|sertraline 50 mg tablet||68084018111|4.80||4.80
WS SERVICE AREA|25010066|sertraline 50 mg tablet||16714061201|10.88||10.88
WS SERVICE AREA|25010066|dorzolamide-timolol (PF) 2 %-0.5 % eye drops in a dropperette||65862094715|5.42||5.42
WS SERVICE AREA|25010066|diazePAM 5 mg/5 mL (1 mg/mL, 5 mL) oral solution||68094075059|35.28||35.28
WS SERVICE AREA|25010066|sotaloL 160 mg tablet||00185017701|16.39||16.39
WS SERVICE AREA|25010066|sotaloL 160 mg tablet||00093106201|15.01||15.01
WS SERVICE AREA|25010066|sotaloL 80 mg tablet||00378512301|24.74||24.74
WS SERVICE AREA|25010066|sotaloL 80 mg tablet||00245001289|20.02||20.02
WS SERVICE AREA|25010066|sotaloL 80 mg tablet||68084065401|17.79||17.79
WS SERVICE AREA|25010066|ferrous sulfate, dried ER 159 mg (45 mg iron) tablet,extended release||87701040776|1.10||1.10
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|53.73||53.73
WS SERVICE AREA|25010066|sucralfate 100 mg/mL oral suspension|||11.51||11.51
WS SERVICE AREA|25010066|sucralfate 100 mg/mL oral suspension||17856017001|11.51||11.51
WS SERVICE AREA|25010066|sucralfate 100 mg/mL oral suspension||00121074700|41.42||41.42
WS SERVICE AREA|25010066|sucralfate 1 gram tablet||58914017110|32.85||32.85
WS SERVICE AREA|25010066|sucralfate 1 gram tablet||00093221001|6.15||6.15
WS SERVICE AREA|25010066|tamoxifen 20 mg tablet||00591247319|7.26||7.26
WS SERVICE AREA|25010066|tamoxifen 20 mg tablet||68382082706|7.26||7.26
WS SERVICE AREA|25010066|temazepam 7.5 mg capsule||00406996001|76.24||76.24
WS SERVICE AREA|25010066|temazepam 7.5 mg capsule||68084054911|64.04||64.04
WS SERVICE AREA|25010066|temazepam 7.5 mg capsule||68084054921|64.04||64.04
WS SERVICE AREA|25010066|temazepam 7.5 mg capsule||63739000333|36.95||36.95
WS SERVICE AREA|25010066|terbutaline 2.5 mg tablet||00527131801|41.74||41.74
WS SERVICE AREA|25010066|terbutaline 2.5 mg tablet||62559072101|41.74||41.74
WS SERVICE AREA|25010066|terbutaline 5 mg tablet||00115262201|25.49||25.49
WS SERVICE AREA|25010066|terbutaline 5 mg tablet||00527131101|25.49||25.49
WS SERVICE AREA|25010066|terbutaline 5 mg tablet||62559072201|25.49||25.49
WS SERVICE AREA|25010066|tretinoin 0.025 % topical cream||00472011745|1,852.77||1,852.77
WS SERVICE AREA|25010066|tretinoin 0.05 % topical cream||66530025420|1,097.42||1,097.42
WS SERVICE AREA|25010066|tretinoin 0.05 % topical cream||66530025445|2,058.13||2,058.13
WS SERVICE AREA|25010066|tretinoin 0.1 % topical cream||51672139500|1,008.45||1,008.45
WS SERVICE AREA|25010066|tretinoin 0.025 % topical gel||66530025715|783.95||783.95
WS SERVICE AREA|25010066|trifluridine 1 % eye drops||61314004475|1,709.93||1,709.93
WS SERVICE AREA|25010066|phytonadione (vitamin K1) 1 mg/0.5 mL injection solution|J3430|00409915701|16.38||16.38
WS SERVICE AREA|25010066|ursodioL 300 mg capsule||00591315901|56.38||56.38
WS SERVICE AREA|25010066|theophylline ER 400 mg tablet,extended release 24 hr||29033000101|10.42||10.42
WS SERVICE AREA|25010066|theophylline ER 400 mg tablet,extended release 24 hr||42858070101|10.42||10.42
WS SERVICE AREA|25010066|verapamiL ER (SR) 120 mg tablet,extended release||68462029201|8.23||8.23
WS SERVICE AREA|25010066|verapamiL ER (SR) 120 mg tablet,extended release||51079089401|17.77||17.77
WS SERVICE AREA|25010066|verapamiL ER (SR) 180 mg tablet,extended release||68462029301|7.36||7.36
WS SERVICE AREA|25010066|verapamiL ER (SR) 180 mg tablet,extended release||75834015801|7.36||7.36
WS SERVICE AREA|25010066|verapamiL ER (SR) 180 mg tablet,extended release||51079089901|12.74||12.74
WS SERVICE AREA|25010066|erythromycin 250 mg tablet,delayed release||24338012213|56.44||56.44
WS SERVICE AREA|25010066|erythromycin 250 mg tablet,delayed release||24338012203|56.44||56.44
WS SERVICE AREA|25010066|sennosides 8.8 mg/5 mL oral syrup||00000005439|1.61||
WS SERVICE AREA|25010066|peg-electrolyte solution 420 gram oral solution||64380076921|552.24||552.24
WS SERVICE AREA|25010066|miconazole nitrate 200 mg/5 gram (4 %) vaginal cream||63736044201|16.14||16.14
WS SERVICE AREA|25010066|miconazole nitrate 200 mg/5 gram (4 %) vaginal cream||00000005213|16.14||16.14
WS SERVICE AREA|25010066|warfarin 1 mg tablet||00056016901|15.82||15.82
WS SERVICE AREA|25010066|pseudoephedrine 15 mg/5 mL oral liquid||50580053604|0.82||0.82
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|2,290.95||2,290.95
WS SERVICE AREA|25010066|benzocaine 20 % topical aerosol||63736037882|29.73||29.73
WS SERVICE AREA|25010066|magnesium hydroxide 400 mg/5 mL oral suspension||00121043130|9.90||9.90
WS SERVICE AREA|25010066|zidovudine 100 mg capsule||65862010701|15.49||15.49
WS SERVICE AREA|25010066|zidovudine 10 mg/mL oral syrup||65862004824|18.02||18.02
WS SERVICE AREA|25010066|zolpidem 5 mg tablet||16714062101|17.74||17.74
WS SERVICE AREA|25010066|zolpidem 5 mg tablet||00904608261|4.80||4.80
WS SERVICE AREA|25010066|zolpidem 5 mg tablet||68084018901|6.73||6.73
WS SERVICE AREA|25010066|zolpidem 5 mg tablet||68084018911|6.73||6.73
WS SERVICE AREA|25010066|phenylephrine 1 % nasal spray||50323000604|15.04||15.04
WS SERVICE AREA|25010066|phenylephrine 1 % nasal spray||69536010015|0.60||0.60
WS SERVICE AREA|25010066|phenylephrine 1 % nasal spray||00024135202|27.47||27.47
WS SERVICE AREA|25010066|phenylephrine 1 % nasal spray||00225081047|15.04||15.04
WS SERVICE AREA|25010066|levOCARNitine 500 mg tablet||40993010298|4.80||4.80
WS SERVICE AREA|25010066|theophylline ER 600 mg tablet,extended release 24 hr||29033000201|15.05||15.05
WS SERVICE AREA|25010066|theophylline ER 600 mg tablet,extended release 24 hr||42858070201|15.05||15.05
WS SERVICE AREA|25010066|polymyxin B sulfate 10,000 unit-trimethoprim 1 mg/mL eye drops||17478070311|98.71||98.71
WS SERVICE AREA|25010066|polymyxin B sulfate 10,000 unit-trimethoprim 1 mg/mL eye drops||24208031510|103.08||103.08
WS SERVICE AREA|25010066|polymyxin B sulfate 10,000 unit-trimethoprim 1 mg/mL eye drops||61314062810|133.61||133.61
WS SERVICE AREA|25010066|loratadine 5 mg-pseudoephedrine ER 120 mg tablet,extended release,12hr||00573266024|2.99||2.99
WS SERVICE AREA|25010066|loratadine 5 mg-pseudoephedrine ER 120 mg tablet,extended release,12hr||45802012265|3.89||3.89
WS SERVICE AREA|25010066|meclizine 12.5 mg tablet||68084049001|5.44||5.44
WS SERVICE AREA|25010066|meclizine 25 mg tablet||68084049111|4.80||4.80
WS SERVICE AREA|25010066|meclizine 25 mg tablet||50268052311|4.80||4.80
WS SERVICE AREA|25010066|meclizine 25 mg tablet||00904651761|4.80||4.80
WS SERVICE AREA|25010066|insulin aspar prt-insulin aspart 100 unit/mL (70-30) subcutaneous soln||00169368512|19.60||19.60
WS SERVICE AREA|25010066|bacitracin-polymyxin B 500 unit-10,000 unit/gram topical packet||69968006009|0.84||0.84
WS SERVICE AREA|25010066|cholestyramine-aspartame 4 gram oral powder for susp in a packet||00245003689|39.19||39.19
WS SERVICE AREA|25010066|white petrolatum 41 % topical ointment||72140045231|24.32||24.32
WS SERVICE AREA|25010066|vit E-glycerin-dimethicone lotion||00299391808|24.06||24.06
WS SERVICE AREA|25010066|bacitracin zinc 500 unit-polymyxin B 10,000 unit/gram topical ointment||00810079888|16.60||16.60
WS SERVICE AREA|25010066|quiNIDine gluconate ER 324 mg tablet,extended release||53489014101|69.51||69.51
WS SERVICE AREA|25010066|venlafaxine 25 mg tablet||68382001801|14.90||14.90
WS SERVICE AREA|25010066|venlafaxine 25 mg tablet||16714065501|14.90||14.90
WS SERVICE AREA|25010066|venlafaxine 75 mg tablet||68382002101|5.59||5.59
WS SERVICE AREA|25010066|quiNINE 324 mg capsule||13310015307|100.45||100.45
WS SERVICE AREA|25010066|quiNINE 324 mg capsule||53489070007|112.38||112.38
WS SERVICE AREA|25010066|sodium chloride-aloe vera nasal gel||00225052547|19.68||19.68
WS SERVICE AREA|25010066|phenoL 89 % topical swab||00884629730|34.88||34.88
WS SERVICE AREA|25010066|vitamin E (dl, acetate) 45 mg (100 unit) capsule||80681013400|0.60||0.60
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|4.80||4.80
WS SERVICE AREA|25010066|carbidopa ER 25 mg-levodopa 100 mg tablet,extended release||68084028101|6.40||6.40
WS SERVICE AREA|25010066|carbidopa ER 25 mg-levodopa 100 mg tablet,extended release||68084028111|6.40||6.40
WS SERVICE AREA|25010066|trolamine salicylate-aloe vera 10 % topical cream||41167005705|43.47||43.47
WS SERVICE AREA|25010066|hydrocortisone-pramoxine 2.5 %-1 % (4g) rectal cream||45802047201|77.39||77.39
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|20,799.11||20,799.11
WS SERVICE AREA|25010066|adalimumab 40 mg/0.8 mL subcutaneous pen kit|J0135|00074433907|20,799.18||20,799.18
WS SERVICE AREA|25010066|magnesium gluconate 27 mg magnesium (500 mg) tablet||35046000322|4.80||4.80
WS SERVICE AREA|25010066|magnesium gluconate 27 mg magnesium (500 mg) tablet||60258017201|4.80||4.80
WS SERVICE AREA|25010066|neomycin-bacitracn Zn-polymyxn 3.5 mg-400 unit-5,000 unit top oint pkt||39892083001|4.57||4.57
WS SERVICE AREA|25010066|neomycin-bacitracn Zn-polymyxn 3.5 mg-400 unit-5,000 unit top oint pkt||54162008009|0.72||0.72
WS SERVICE AREA|25010066|neomycin-bacitracn Zn-polymyxn 3.5 mg-400 unit-5,000 unit top oint pkt||00904668067|0.60||0.60
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|4.80||4.80
WS SERVICE AREA|25010066|sodium phosphates 9.5 gram-3.5 gram/59 mL enema||00132020220|4.80||4.80
WS SERVICE AREA|25010066|estropipate 0.75 mg tablet||00591041401|8.44||8.44
WS SERVICE AREA|25010066|white petrolatum-mineral oiL 83 %-15 % eye ointment||17478006235|36.97||36.97
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|122.72||122.72
WS SERVICE AREA|25010066|saliva stimulant combination no.3 oral mucosal spray||48582000155|34.32||34.32
WS SERVICE AREA|25010066|levETIRAcetam 500 mg/5 mL (5 mL) oral solution||0000005303|12.27||12.27
WS SERVICE AREA|25010066|levETIRAcetam 500 mg/5 mL (5 mL) oral solution||60687024940|26.69||26.69
WS SERVICE AREA|25010066|levETIRAcetam 500 mg/5 mL (5 mL) oral solution||50268047011|26.37||26.37
WS SERVICE AREA|25010066|diphenhydrAMINE 12.5 mg/5 mL oral liquid||50580053404|19.47||19.47
WS SERVICE AREA|25010066|diphenhydrAMINE 12.5 mg/5 mL oral liquid||00904674070|8.67||8.67
WS SERVICE AREA|25010066|multivitamin-iron 9 mg-folic acid 400 mcg-calcium and minerals tablet||00536466110|0.60||0.60
WS SERVICE AREA|25010066|multivitamin-iron 9 mg-folic acid 400 mcg-calcium and minerals tablet||00904549280|0.60||0.60
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|7.09||7.09
WS SERVICE AREA|25010066|thyroid (pork) 60 mg tablet||42192033001|7.29||7.29
WS SERVICE AREA|25010066|carBAMazepine 100 mg/5 mL (5 mL) oral suspension||68094000759|27.84||27.84
WS SERVICE AREA|25010066|witch hazeL 50 % topical pads||50289325001|19.64||19.64
WS SERVICE AREA|25010066|mineral oil-lanolin oil-propylene glycol lotion||46017007703|94.89||94.89
WS SERVICE AREA|25010066|thiamine mononitrate (vitamin B1) 100 mg tablet||31604001281|4.80||4.80
WS SERVICE AREA|25010066|thiamine mononitrate (vitamin B1) 100 mg tablet||79854020010|4.80||4.80
WS SERVICE AREA|25010066|thiamine mononitrate (vitamin B1) 100 mg tablet||50268085111|4.80||4.80
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|48.55||48.55
WS SERVICE AREA|25010066|midazolam 10 mg/5 mL (2 mg/mL) oral syrup||68094076262|48.53||48.53
WS SERVICE AREA|25010066|midazolam 10 mg/5 mL (2 mg/mL) oral syrup||68094076459|37.51||
WS SERVICE AREA|25010066|midazolam 10 mg/5 mL (2 mg/mL) oral syrup||68094076462|56.26||56.26
WS SERVICE AREA|25010066|collodion (bulk) liquid||00395064995|300.28||
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||07610017120|0.60||0.60
WS SERVICE AREA|25010066|omega 3-dha-epa-fish oil 300 mg-1,000 mg capsule,delayed release||68094010959|1.10||1.10
WS SERVICE AREA|25010066|triamterene 37.5 mg-hydrochlorothiazide 25 mg capsule||00781207401|4.80||4.80
WS SERVICE AREA|25010066|triamterene 37.5 mg-hydrochlorothiazide 25 mg capsule||51079093501|4.80||4.80
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|16.56||16.56
WS SERVICE AREA|25010066|valproic acid (as sodium salt) 250 mg/5 mL (5 mL) oral solution||00121467505|4.80||4.80
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|4.79||4.79
WS SERVICE AREA|25010066|calcium acetate-aluminum 952 mg-1,347 mg topical powder in packet||51224016299|4.78||4.78
WS SERVICE AREA|25010066|calcium acetate-aluminum 952 mg-1,347 mg topical powder in packet||57074001770|3.38||3.38
WS SERVICE AREA|25010066|clarithromycin 125 mg/5 mL oral suspension||00781602252|564.51||564.51
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|2.54||
WS SERVICE AREA|25010066|lisinopriL 2.5 mg tablet||43547035110|4.99||4.99
WS SERVICE AREA|25010066|lisinopriL 2.5 mg tablet||68084076595|5.25||5.25
WS SERVICE AREA|25010066|valACYclovir 500 mg tablet||63739052510|55.41||55.41
WS SERVICE AREA|25010066|potassium gluconate 595 mg (99 mg) tablet||81131092887|4.80||4.80
WS SERVICE AREA|25010066|nefazodone 100 mg tablet||00093102406|18.40||18.40
WS SERVICE AREA|25010066|nefazodone 150 mg tablet||00093711306|12.50||12.50
WS SERVICE AREA|25010066|naproxen 375 mg tablet,delayed release||69097085107|8.16||8.16
WS SERVICE AREA|25010066|naproxen 375 mg tablet,delayed release||69784050101|39.61||39.61
WS SERVICE AREA|25010066|naproxen 375 mg tablet,delayed release||69543042510|52.81||52.81
WS SERVICE AREA|25010066|naproxen 375 mg tablet,delayed release||00093100501|12.24||12.24
WS SERVICE AREA|25010066|naproxen 500 mg tablet,delayed release||69097085207|7.47||7.47
WS SERVICE AREA|25010066|naproxen 500 mg tablet,delayed release||69437041601|40.31||40.31
WS SERVICE AREA|25010066|naproxen 500 mg tablet,delayed release||00093100601|11.21||11.21
WS SERVICE AREA|25010066|carBAMazepine 100 mg chewable tablet||00904385461|4.80||4.80
WS SERVICE AREA|25010066|carBAMazepine 100 mg chewable tablet||51672404101|5.05||5.05
WS SERVICE AREA|25010066|carBAMazepine 200 mg/10 mL oral suspension||68094000859|34.90||34.90
WS SERVICE AREA|25010066|carBAMazepine 200 mg tablet||00904617261|6.87||6.87
WS SERVICE AREA|25010066|fluconazole 150 mg tablet||59762501701|35.62||35.62
WS SERVICE AREA|25010066|fluconazole 150 mg tablet||68462010340|35.82||35.82
WS SERVICE AREA|25010066|fluconazole 150 mg tablet||55111014512|35.62||35.62
WS SERVICE AREA|25010066|fluconazole 150 mg tablet||55111014571|35.61||35.61
WS SERVICE AREA|25010066|fluconazole 150 mg tablet||70710113908|35.62||35.62
WS SERVICE AREA|25010066|carbamide peroxide 10 % oral rinse||42037010476|58.91||58.91
WS SERVICE AREA|25010066|carbamide peroxide 6.5 % ear drops||78112073621|42.68||42.68
WS SERVICE AREA|25010066|bacitracin zinc 500 unit/gram topical ointment||49348015472|10.21||10.21
WS SERVICE AREA|25010066|colestipoL 1 gram tablet||59762045001|9.69||9.69
WS SERVICE AREA|25010066|carisoprodoL 350 mg tablet||16714051001|4.80||4.80
WS SERVICE AREA|25010066|lamoTRIgine 25 mg tablet||68084031811|4.80||4.80
WS SERVICE AREA|25010066|lamoTRIgine 25 mg tablet||16714070001|33.06||33.06
WS SERVICE AREA|25010066|lamoTRIgine 25 mg tablet||00904700761|4.80||4.80
WS SERVICE AREA|25010066|lamoTRIgine 100 mg tablet||68382000801|9.96||9.96
WS SERVICE AREA|25010066|lamoTRIgine 100 mg tablet||68084031901|4.80||4.80
WS SERVICE AREA|25010066|lamoTRIgine 100 mg tablet||68084031911|4.80||4.80
WS SERVICE AREA|25010066|lamoTRIgine 100 mg tablet||16714070101|9.49||9.49
WS SERVICE AREA|25010066|lamoTRIgine 100 mg tablet||00904700861|4.80||4.80
WS SERVICE AREA|25010066|acetaminophen 300 mg-codeine 30 mg tablet||68084037211|4.80||4.80
WS SERVICE AREA|25010066|acetaminophen 300 mg-codeine 30 mg tablet||00406048423|4.80||4.80
WS SERVICE AREA|25010066|ibuprofen 100 mg chewable tablet||49348063904|0.60||0.60
WS SERVICE AREA|25010066|ibuprofen 100 mg chewable tablet||00573017920|1.11||1.11
WS SERVICE AREA|25010066|ibuprofen 100 mg chewable tablet||10939079633|0.60||0.60
WS SERVICE AREA|25010066|ketoconazole 2 % shampoo||45802046564|231.94||231.94
WS SERVICE AREA|25010066|fluconazole 10 mg/mL oral suspension||16714069501|77.16||77.16
WS SERVICE AREA|25010066|fluconazole 40 mg/mL oral suspension||16714069601|993.27||993.27
WS SERVICE AREA|25010066|dorzolamide 2 % eye drops||00006351936|4.80||4.80
WS SERVICE AREA|25010066|dorzolamide 2 % eye drops||50383023210|512.36||512.36
WS SERVICE AREA|25010066|terazosin 1 mg capsule||59746038306|12.31||12.31
WS SERVICE AREA|25010066|terazosin 1 mg capsule||00904612661|4.80||4.80
WS SERVICE AREA|25010066|terazosin 1 mg capsule||51079093620|12.32||12.32
WS SERVICE AREA|25010066|terazosin 5 mg capsule||59746038506|4.80||4.80
WS SERVICE AREA|25010066|terazosin 5 mg capsule||00904612861|4.80||4.80
WS SERVICE AREA|25010066|terazosin 5 mg capsule||00781205301|4.80||4.80
WS SERVICE AREA|25010066|traMADoL 50 mg tablet||51079099101|4.80||4.80
WS SERVICE AREA|25010066|traMADoL 50 mg tablet||00378415101|4.80||4.80
WS SERVICE AREA|25010066|traMADoL 50 mg tablet||63739067110|4.80||4.80
WS SERVICE AREA|25010066|traMADoL 50 mg tablet||68084080801|4.80||4.80
WS SERVICE AREA|25010066|traMADoL 50 mg tablet||68084080811|4.80||4.80
WS SERVICE AREA|25010066|traMADoL 50 mg tablet||57664037708|4.80||4.80
WS SERVICE AREA|25010066|metFORMIN 850 mg tablet||60687014311|5.43||5.43
WS SERVICE AREA|25010066|tiZANidine 4 mg tablet||00904641861|4.80||4.80
WS SERVICE AREA|25010066|tiZANidine 4 mg tablet||50268076011|5.81||5.81
WS SERVICE AREA|25010066|losartan 25 mg tablet||68084034611|12.87||12.87
WS SERVICE AREA|25010066|losartan 25 mg tablet||31722070090|12.82||12.82
WS SERVICE AREA|25010066|losartan 25 mg tablet||63739067310|4.80||4.80
WS SERVICE AREA|25010066|losartan 25 mg tablet||68180037609|12.91||12.91
WS SERVICE AREA|25010066|losartan 50 mg tablet||50268051715|7.37||7.37
WS SERVICE AREA|25010066|losartan 50 mg tablet||31722070190|8.62||8.62
WS SERVICE AREA|25010066|fosfomycin tromethamine 3 gram oral packet||00456430001|700.04||700.04
WS SERVICE AREA|25010066|atovaquone 750 mg/5 mL oral suspension||00173054700|254.30||254.30
WS SERVICE AREA|25010066|atovaquone 750 mg/5 mL oral suspension||68462042169|316.77||316.77
WS SERVICE AREA|25010066|famotidine 10 mg tablet||10939021333|0.60||0.60
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|0.63||0.63
WS SERVICE AREA|25010066|famotidine 10 mg tablet||49348012812|0.60||0.60
WS SERVICE AREA|25010066|SUMAtriptan 50 mg tablet||55111029236|96.41||96.41
WS SERVICE AREA|25010066|SUMAtriptan 50 mg tablet||62756052188|6.46||6.46
WS SERVICE AREA|25010066|SUMAtriptan 50 mg tablet||16714053210|96.41||96.41
WS SERVICE AREA|25010066|flaxseed oiL 1,000 mg capsule||10939089244|4.80||4.80
WS SERVICE AREA|25010066|cherry flavor (bulk) oral syrup||00395266216|126.98||126.98
WS SERVICE AREA|25010066|alendronate 10 mg tablet||16714063101|22.45||22.45
WS SERVICE AREA|25010066|sodium citrate-citric acid 500 mg-334 mg/5 mL oral solution||00121119030|16.34||16.34
WS SERVICE AREA|25010066|sotaloL 120 mg tablet||00245001389|17.69||17.69
WS SERVICE AREA|25010066|sotaloL 120 mg tablet||69584084210|16.01||16.01
WS SERVICE AREA|25010066|sotaloL 120 mg tablet||60505015900|17.48||17.48
WS SERVICE AREA|25010066|sotaloL 120 mg tablet||60505022301|22.00||22.00
WS SERVICE AREA|25010066|sotaloL 120 mg tablet||00093106001|16.01||16.01
WS SERVICE AREA|25010066|calcitonin (salmon) 200 unit/actuation nasal spray||49884016111|909.21||909.21
WS SERVICE AREA|25010066|bicalutamide 50 mg tablet||16714081601|139.99||139.99
WS SERVICE AREA|25010066|bicalutamide 50 mg tablet||16714081602|140.82||140.82
WS SERVICE AREA|25010066|carvediloL 6.25 mg tablet||51079093001|8.18||8.18
WS SERVICE AREA|25010066|carvediloL 6.25 mg tablet||00904630161|4.80||4.80
WS SERVICE AREA|25010066|carvediloL 12.5 mg tablet||00093729501|4.80||4.80
WS SERVICE AREA|25010066|carvediloL 12.5 mg tablet||68382009401|4.80||4.80
WS SERVICE AREA|25010066|carvediloL 12.5 mg tablet||00904630261|4.80||4.80
WS SERVICE AREA|25010066|azithromycin 200 mg/5 mL oral suspension||59762314001|267.61||267.61
WS SERVICE AREA|25010066|lamiVUDine 150 mg tablet||60505325106|36.62||36.62
WS SERVICE AREA|25010066|lamiVUDine 150 mg tablet||64380071003|36.58||36.58
WS SERVICE AREA|25010066|lamiVUDine 10 mg/mL oral solution||49702020548|850.45||850.45
WS SERVICE AREA|25010066|lamiVUDine 10 mg/mL oral solution||00000005152|106.31||
WS SERVICE AREA|25010066|lamiVUDine 10 mg/mL oral solution||57237027424|918.56||918.56
WS SERVICE AREA|25010066|acarbose 50 mg tablet||64380075906|4.80||4.80
WS SERVICE AREA|25010066|morphine concentrate 20 mg/mL oral syringe  (FOR ORAL USE ONLY)||00000005214|6.21||
WS SERVICE AREA|25010066|lipase-protease-amylase 10,440-39,150-39,150 unit tablet||58914011210|24.68||24.68
WS SERVICE AREA|25010066|mirabegron ER 25 mg tablet,extended release 24 hr||00469260130|106.66||106.66
WS SERVICE AREA|25010066|white petrolatum topical ointment in packet||00168005345|0.93||0.93
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||16784011402|0.60||0.60
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|43.85||43.85
WS SERVICE AREA|25010066|pregabalin 20 mg/mL oral solution||00000005665|43.85||43.85
WS SERVICE AREA|25010066|gabapentin 300 mg/6 mL (6 mL) oral solution||42192060806|47.95||47.95
WS SERVICE AREA|25010066|gabapentin 300 mg/6 mL (6 mL) oral solution||42192060840|47.95||47.95
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|910.18||910.18
WS SERVICE AREA|25010066|rivastigmine 13.3 mg/24 hour transdermal patch||00078050315|175.39||175.39
WS SERVICE AREA|25010066|rivastigmine 13.3 mg/24 hour transdermal patch||00781731331|129.60||129.60
WS SERVICE AREA|25010066|rivastigmine 13.3 mg/24 hour transdermal patch||00781731358|129.60||129.60
WS SERVICE AREA|25010066|rivastigmine 13.3 mg/24 hour transdermal patch||00378907293|129.60||129.60
WS SERVICE AREA|25010066|isopropyl alcohoL 70 % solution||00363081043|21.77||21.77
WS SERVICE AREA|25010066|hydrocodone-homatropine 5 mg-1.5 mg/5 mL (5 mL) oral syrup||00121481105|70.22||70.22
WS SERVICE AREA|25010066|multivit-mins-ferrous gluconate 9 mg iron/15 mL (15 mL) oral liquid||17856434401|9.39||9.39
WS SERVICE AREA|25010066|multivit-mins-ferrous gluconate 9 mg iron/15 mL (15 mL) oral liquid||00000005827|9.39||9.39
WS SERVICE AREA|25010066|multivit-mins-ferrous gluconate 9 mg iron/15 mL (15 mL) oral liquid||17856001002|8.25||8.25
WS SERVICE AREA|25010066|megestroL 400 mg/10 mL (10 mL) oral suspension||66689002050|32.60||32.60
WS SERVICE AREA|25010066|glucose 4 gram chewable tablet||00904589615|4.80||4.80
WS SERVICE AREA|25010066|glucose 4 gram chewable tablet||87701041801|4.80||4.80
WS SERVICE AREA|25010066|glucose 4 gram chewable tablet||56151161051|4.80||4.80
WS SERVICE AREA|25010066|glucose 4 gram chewable tablet||10939703446|4.80||4.80
WS SERVICE AREA|25010066|desmopressin 0.1 mg tablet||68084060611|11.58||11.58
WS SERVICE AREA|25010066|desmopressin 0.1 mg tablet||50268022015|11.51||11.51
WS SERVICE AREA|25010066|desmopressin 0.1 mg tablet||55566260000|29.88||29.88
WS SERVICE AREA|25010066|desmopressin 0.1 mg tablet||69918010101|4.80||4.80
WS SERVICE AREA|25010066|desmopressin 0.1 mg tablet||16714088301|13.42||13.42
WS SERVICE AREA|25010066|linaCLOtide 145 mcg capsule||00456120130|119.47||119.47
WS SERVICE AREA|25010066|linaCLOtide 290 mcg capsule||00456120230|59.73||59.73
WS SERVICE AREA|25010066|acetaminophen 120 mg-codeine 12 mg/5 mL (5 mL) oral solution||00121050405|5.69||5.69
WS SERVICE AREA|25010066|acetaminophen 120 mg-codeine 12 mg/5 mL (5 mL) oral solution||17856007905|7.67||7.67
WS SERVICE AREA|25010066|darunavir ethanolate 800 mg tablet||59676056630|353.81||353.81
WS SERVICE AREA|25010066|ipratropium bromide 42 mcg (0.06 %) nasal spray||00054004641|734.13||734.13
WS SERVICE AREA|25010066|famciclovir 250 mg tablet||00093811856|24.24||24.24
WS SERVICE AREA|25010066|anastrozole 1 mg tablet||68382020906|51.69||51.69
WS SERVICE AREA|25010066|anastrozole 1 mg tablet||60687011211|7.95||7.95
WS SERVICE AREA|25010066|anastrozole 1 mg tablet||60687011221|7.95||7.95
WS SERVICE AREA|25010066|||00000005062|78.23||
WS SERVICE AREA|25010066|chlordiazePOXIDE 10 mg capsule||51079037501|4.80||4.80
WS SERVICE AREA|25010066|chlordiazePOXIDE 25 mg capsule||00555015902|4.80||4.80
WS SERVICE AREA|25010066|chlordiazePOXIDE 25 mg capsule||51079014101|4.80||4.80
WS SERVICE AREA|25010066|apixaban 2.5 mg tablet||00003089321|63.80||63.80
WS SERVICE AREA|25010066|apixaban 2.5 mg tablet||00003089331|63.81||63.81
WS SERVICE AREA|25010066|apixaban 5 mg tablet||00003089421|63.80||63.80
WS SERVICE AREA|25010066|apixaban 5 mg tablet||00003089431|63.81||63.81
WS SERVICE AREA|25010066|chlordiazePOXIDE 5 mg capsule||00555015802|4.80||4.80
WS SERVICE AREA|25010066|diphenhydramine-zinc acetate 2 %-0.1 % topical cream||49348085472|9.97||9.97
WS SERVICE AREA|25010066|diphenhydramine-zinc acetate 2 %-0.1 % topical cream||10939019844|9.97||9.97
WS SERVICE AREA|25010066|diphenhydramine-zinc acetate 2 %-0.1 % topical cream||00904535431|7.46||7.46
WS SERVICE AREA|25010066|glimepiride 1 mg tablet||55111032001|4.80||4.80
WS SERVICE AREA|25010066|glimepiride 1 mg tablet||16729000101|4.80||4.80
WS SERVICE AREA|25010066|glimepiride 2 mg tablet||55111032101|4.80||4.80
WS SERVICE AREA|25010066|glimepiride 2 mg tablet||51079042520|4.80||4.80
WS SERVICE AREA|25010066|glimepiride 2 mg tablet||68084032611|4.80||4.80
WS SERVICE AREA|25010066|glimepiride 2 mg tablet||43547039510|4.80||4.80
WS SERVICE AREA|25010066|glimepiride 4 mg tablet||55111032201|4.80||4.80
WS SERVICE AREA|25010066|glimepiride 4 mg tablet||51079042620|4.80||4.80
WS SERVICE AREA|25010066|glimepiride 4 mg tablet||68084032711|4.80||4.80
WS SERVICE AREA|25010066|doxylamine 10 mg-pyridoxine (vit B6) 10 mg tablet,delayed release||55494010010|41.72||41.72
WS SERVICE AREA|25010066|doxylamine 10 mg-pyridoxine (vit B6) 10 mg tablet,delayed release||70505010010|56.77||56.77
WS SERVICE AREA|25010066|chloroquine 500 mg tablet||63304046126|12.89||12.89
WS SERVICE AREA|25010066|canagliflozin 100 mg tablet||50458014030|138.93||138.93
WS SERVICE AREA|25010066|canagliflozin 300 mg tablet||50458014130|46.31||46.31
WS SERVICE AREA|25010066|dicyclomine 10 mg/5 mL oral solution||00603116158|11.51||11.51
WS SERVICE AREA|25010066|dicyclomine 10 mg/5 mL oral solution||00000005299|11.51||11.51
WS SERVICE AREA|25010066|dicyclomine 10 mg/5 mL oral solution||17856116130|12.77||12.77
WS SERVICE AREA|25010066|ritonavir 80 mg/mL oral solution||00074194063|57.53||57.53
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|627.41||627.41
WS SERVICE AREA|25010066|niMODipine 60 mg/20 mL oral solution||24338020012|626.95||626.95
WS SERVICE AREA|25010066|niMODipine 60 mg/20 mL oral solution||00000005302|626.95||626.95
WS SERVICE AREA|25010066|chlorproMAZINE 10 mg tablet||69238105401|32.98||32.98
WS SERVICE AREA|25010066|chlorproMAZINE 10 mg tablet||51079051801|50.84||50.84
WS SERVICE AREA|25010066|chlorproMAZINE 10 mg tablet||51079051820|50.84||50.84
WS SERVICE AREA|25010066|chlorproMAZINE 25 mg tablet||00832030100|23.44||23.44
WS SERVICE AREA|25010066|chlorproMAZINE 25 mg tablet||51079051901|29.33||29.33
WS SERVICE AREA|25010066|chlorproMAZINE 50 mg tablet||51079013001|21.22||21.22
WS SERVICE AREA|25010066|chlorproPAMIDE 250 mg tablet||00378021001|7.79||7.79
WS SERVICE AREA|25010066|chlorthalidone 25 mg tablet||16714080001|9.26||9.26
WS SERVICE AREA|25010066|chlorthalidone 25 mg tablet||51079005801|17.60||17.60
WS SERVICE AREA|25010066|chlorthalidone 50 mg tablet||00378021301|5.71||5.71
WS SERVICE AREA|25010066|chlorthalidone 50 mg tablet||16714080101|5.71||5.71
WS SERVICE AREA|25010066|PARoxetine 10 mg tablet||68084004401|20.49||20.49
WS SERVICE AREA|25010066|PARoxetine 10 mg tablet||68084004411|20.49||20.49
WS SERVICE AREA|25010066|PARoxetine 10 mg tablet||68382009716|20.03||20.03
WS SERVICE AREA|25010066|PARoxetine 10 mg tablet||63739088810|4.80||4.80
WS SERVICE AREA|25010066|chlorzoxazone 500 mg tablet||00591252001|4.80||4.80
WS SERVICE AREA|25010066|dolutegravir 50 mg tablet||49702022813|490.04||490.04
WS SERVICE AREA|25010066|riociguat 1 mg tablet||50419025191|494.95||494.95
WS SERVICE AREA|25010066|riociguat 1.5 mg tablet||50419025291|329.96||329.96
WS SERVICE AREA|25010066|riociguat 2 mg tablet||50419025391|989.89||989.89
WS SERVICE AREA|25010066|riociguat 2.5 mg tablet||50419025491|989.89||989.89
WS SERVICE AREA|25010066|perampaneL 4 mg tablet||62856027430|134.61||134.61
WS SERVICE AREA|25010066|chromium picolinate 200 mcg tablet||80681001200|4.80||4.80
WS SERVICE AREA|25010066|melatonin 3 mg tablet||00536641208|4.80||4.80
WS SERVICE AREA|25010066|melatonin 3 mg tablet||31604002741|4.80||4.80
WS SERVICE AREA|25010066|melatonin 3 mg tablet||30768048678|4.80||4.80
WS SERVICE AREA|25010066|melatonin 3 mg tablet||00904518261|4.80||4.80
WS SERVICE AREA|25010066|melatonin 3 mg tablet||77333051625|4.80||4.80
WS SERVICE AREA|25010066|melatonin 3 mg tablet||57896086406|4.80||4.80
WS SERVICE AREA|25010066|melatonin 3 mg tablet||20555003601|4.80||4.80
WS SERVICE AREA|25010066|dapagliflozin 5 mg tablet||00310620530|136.23||136.23
WS SERVICE AREA|25010066|dapagliflozin 10 mg tablet||00310621030|136.23||136.23
WS SERVICE AREA|25010066|treprostinil diolamine ER 0.25 mg tablet,extended release||66302030201|90.55||90.55
WS SERVICE AREA|25010066|treprostinil diolamine ER 1 mg tablet,extended release||66302031010|90.55||90.55
WS SERVICE AREA|25010066|treprostinil diolamine ER 2.5 mg tablet,extended release||66302032501|905.53||905.53
WS SERVICE AREA|25010066|emollient combination no.92 topical lotion||52800048816|16.29||16.29
WS SERVICE AREA|25010066|guaiFENesin ER 600 mg tablet, extended release 12 hr||63824000850|1.86||1.86
WS SERVICE AREA|25010066|hyoscyamine 0.125 mg sublingual tablet||68047025301|4.80||4.80
WS SERVICE AREA|25010066|hyoscyamine 0.125 mg sublingual tablet||76439030910|8.41||8.41
WS SERVICE AREA|25010066|droxidopa 100 mg capsule||67386082019|261.22||261.22
WS SERVICE AREA|25010066|droxidopa 100 mg capsule||27241019990|257.64||257.64
WS SERVICE AREA|25010066|empagliflozin 25 mg tablet||00597015330|56.10||56.10
WS SERVICE AREA|25010066|empagliflozin 25 mg tablet||00597015337|56.10||56.10
WS SERVICE AREA|25010066|empagliflozin 10 mg tablet||00597015230|140.25||140.25
WS SERVICE AREA|25010066|empagliflozin 10 mg tablet||00597015237|140.25||140.25
WS SERVICE AREA|25010066|glatiramer 20 mg/mL subcutaneous syringe||68546031730|1,550.13||
WS SERVICE AREA|25010066|glatiramer 20 mg/mL subcutaneous syringe||00781323434|1,508.41||1,508.41
WS SERVICE AREA|25010066|glatiramer 20 mg/mL subcutaneous syringe||00781323471|1,508.41||1,508.41
WS SERVICE AREA|25010066|oxychlorosene sodium topical powder for solution||00327000110|47.55||47.55
WS SERVICE AREA|25010066|ferric citrate 210 mg iron tablet||59922063101|49.09||49.09
WS SERVICE AREA|25010066|ipratropium 20 mcg-albuteroL 100 mcg/actuation mist for inhalation||00597002402|3,401.74||3,401.74
WS SERVICE AREA|25010066|NIFEdipine (bulk) powder||38779028003|1,694.15||1,694.15
WS SERVICE AREA|25010066|oxyCODONE ER 10 mg tablet,crush resistant,extended release 12 hr||59011041020|34.94||34.94
WS SERVICE AREA|25010066|oxyCODONE ER 20 mg tablet,crush resistant,extended release 12 hr||59011042020|32.55||32.55
WS SERVICE AREA|25010066|oxyCODONE ER 40 mg tablet,crush resistant,extended release 12 hr||59011044020|27.86||27.86
WS SERVICE AREA|25010066|oxyCODONE ER 80 mg tablet,crush resistant,extended release 12 hr||59011048020|24.32||24.32
WS SERVICE AREA|25010066|edoxaban 30 mg tablet||65597020205|49.74||49.74
WS SERVICE AREA|25010066|edoxaban 30 mg tablet||65597020230|49.74||49.74
WS SERVICE AREA|25010066|edoxaban 30 mg tablet||65597020290|49.74||49.74
WS SERVICE AREA|25010066|ARIPiprazole ER 400 mg suspension, extended rel.intramuscular syringe||59148007280|16,647.64||16,647.64
WS SERVICE AREA|25010066|selegiline 5 mg capsule||67253070006|17.67||17.67
WS SERVICE AREA|25010066|selegiline 5 mg capsule||60505005501|17.66||17.66
WS SERVICE AREA|25010066|ivabradine 5 mg tablet||55513080060|31.42||31.42
WS SERVICE AREA|25010066|isavuconazonium sulfate 186 mg capsule||00469052014|1,462.55||1,462.55
WS SERVICE AREA|25010066|risperiDONE 1 mg/mL oral solution||65162067384|38.96||38.96
WS SERVICE AREA|25010066|chlordiazepoxide-clidinium 5 mg-2.5 mg capsule||76439030210|39.45||39.45
WS SERVICE AREA|25010066|chlordiazepoxide-clidinium 5 mg-2.5 mg capsule||42494040901|304.87||304.87
WS SERVICE AREA|25010066|chlordiazepoxide-clidinium 5 mg-2.5 mg capsule||51293069601|304.87||304.87
WS SERVICE AREA|25010066|clindamycin HCL 150 mg capsule||68084024311|9.62||9.62
WS SERVICE AREA|25010066|nevirapine 200 mg tablet||00597004660|115.82||115.82
WS SERVICE AREA|25010066|nevirapine 200 mg tablet||51991033106|83.15||83.15
WS SERVICE AREA|25010066|nevirapine 200 mg tablet||65862002760|83.09||83.09
WS SERVICE AREA|25010066|insulin lispro (U-100) 100 unit/mL subcutaneous solution||00002751017|19.60||19.60
WS SERVICE AREA|25010066|clindamycin phosphate 1 % topical solution||45802056201|222.05||222.05
WS SERVICE AREA|25010066|sacubitriL 24 mg-valsartan 26 mg tablet||00078065920|74.51||74.51
WS SERVICE AREA|25010066|sacubitriL 24 mg-valsartan 26 mg tablet||00078065935|59.22||59.22
WS SERVICE AREA|25010066|sacubitriL 49 mg-valsartan 51 mg tablet||00078077720|74.51||74.51
WS SERVICE AREA|25010066|sacubitriL 49 mg-valsartan 51 mg tablet||00078077735|59.22||59.22
WS SERVICE AREA|25010066|sacubitriL 97 mg-valsartan 103 mg tablet||00078069620|74.51||74.51
WS SERVICE AREA|25010066|sacubitriL 97 mg-valsartan 103 mg tablet||00078069635|59.22||59.22
WS SERVICE AREA|25010066|mirtazapine 30 mg tablet||68084012011|4.80||4.80
WS SERVICE AREA|25010066|mirtazapine 30 mg tablet||00378353093|5.36||5.36
WS SERVICE AREA|25010066|mirtazapine 30 mg tablet||51079008720|5.36||5.36
WS SERVICE AREA|25010066|mirtazapine 15 mg tablet||68084011911|4.80||4.80
WS SERVICE AREA|25010066|ticagrelor 60 mg tablet||00186077660|52.78||52.78
WS SERVICE AREA|25010066|cloNIDine HCL 0.1 mg tablet||00228212710|4.80||4.80
WS SERVICE AREA|25010066|cloNIDine HCL 0.1 mg tablet||63739006010|4.80||4.80
WS SERVICE AREA|25010066|cloNIDine HCL 0.1 mg tablet||29300013501|4.80||4.80
WS SERVICE AREA|25010066|cloNIDine HCL 0.2 mg tablet||29300013601|4.80||4.80
WS SERVICE AREA|25010066|cloNIDine HCL 0.2 mg tablet||00904565761|4.80||4.80
WS SERVICE AREA|25010066|melatonin 10 mg sublingual tablet||74312052802|4.80||4.80
WS SERVICE AREA|25010066|pediatric multivitamin no.118 oral liquid||54629080098|0.80||0.80
WS SERVICE AREA|25010066|clorazepate dipotassium 3.75 mg tablet||00378003001|15.58||15.58
WS SERVICE AREA|25010066|clorazepate dipotassium 3.75 mg tablet||00591036301|10.34||10.34
WS SERVICE AREA|25010066|clorazepate dipotassium 7.5 mg tablet||00378004001|10.91||10.91
WS SERVICE AREA|25010066|clorazepate dipotassium 7.5 mg tablet||51672404301|19.24||19.24
WS SERVICE AREA|25010066|clorazepate dipotassium 7.5 mg tablet||51672404302|19.24||19.24
WS SERVICE AREA|25010066|wheat dextrin 3 gram/4 gram oral powder packet||86790016280|4.80||4.80
WS SERVICE AREA|25010066|patiromer calcium sorbitex 8.4 gram oral powder packet||53436008404|321.95||321.95
WS SERVICE AREA|25010066|patiromer calcium sorbitex 8.4 gram oral powder packet||53436008401|240.93||240.93
WS SERVICE AREA|25010066|elviteg 150 mg-cob 150 mg-emtricit 200 mg-tenofo ALAFENAM 10 mg tablet||61958190101|867.67||867.67
WS SERVICE AREA|25010066|clotrimazole 1 % topical cream||45802043401|25.32||25.32
WS SERVICE AREA|25010066|clotrimazole 1 % topical cream||51672200201|35.98||35.98
WS SERVICE AREA|25010066|clotrimazole 1 % topical solution||51672126003|316.11||316.11
WS SERVICE AREA|25010066|clotrimazole 1 % vaginal cream||51672200306|33.88||33.88
WS SERVICE AREA|25010066|dabigatran etexilate 110 mg capsule||00597010860|60.97||60.97
WS SERVICE AREA|25010066|selenium sulfide 2.5 % lotion||45802004064|151.87||151.87
WS SERVICE AREA|25010066|brimonidine 0.2 % eye drops||24208041115|419.47||419.47
WS SERVICE AREA|25010066|brivaracetam 10 mg/mL oral solution||50474087015|77.64||77.64
WS SERVICE AREA|25010066|brivaracetam 10 mg/mL oral solution||00000005433|63.93||63.93
WS SERVICE AREA|25010066|brivaracetam 10 mg tablet||50474037066|155.29||155.29
WS SERVICE AREA|25010066|brivaracetam 25 mg tablet||50474047066|155.29||155.29
WS SERVICE AREA|25010066|brivaracetam 50 mg tablet||50474057066|155.29||155.29
WS SERVICE AREA|25010066|brivaracetam 100 mg tablet||50474077066|155.29||155.29
WS SERVICE AREA|25010066|mesalamine 400 mg capsule (with delayed release tablets inside)||00023585318|29.76||29.76
WS SERVICE AREA|25010066|OLANZapine 5 mg tablet||60505311103|101.37||101.37
WS SERVICE AREA|25010066|OLANZapine 10 mg tablet||60505311300|76.38||76.38
WS SERVICE AREA|25010066|OLANZapine 10 mg tablet||00904637661|4.80||4.80
WS SERVICE AREA|25010066|codeine sulfate 30 mg tablet||00054024424|4.80||4.80
WS SERVICE AREA|25010066|codeine sulfate 30 mg tablet||00054024425|4.80||4.80
WS SERVICE AREA|25010066|linaCLOtide 72 mcg capsule||00456120330|119.47||119.47
WS SERVICE AREA|25010066|pirfenidone 267 mg tablet||50242012206|288.19||288.19
WS SERVICE AREA|25010066|colchicine 0.6 mg tablet||64764011907|55.15||55.15
WS SERVICE AREA|25010066|colchicine 0.6 mg tablet||00603305221|50.48||50.48
WS SERVICE AREA|25010066|colchicine 0.6 mg tablet||00378108693|51.67||51.67
WS SERVICE AREA|25010066|colchicine 0.6 mg tablet||42292005403|85.52||85.52
WS SERVICE AREA|25010066|colchicine 0.6 mg tablet||65162071003|51.67||51.67
WS SERVICE AREA|25010066|colchicine 0.6 mg tablet||65162071009|51.67||51.67
WS SERVICE AREA|25010066|sarilumab 200 mg/1.14 mL subcutaneous syringe||00024591001|12,744.33||12,744.33
WS SERVICE AREA|25010066|bisoprolol fumarate 5 mg tablet||29300012601|10.76||10.76
WS SERVICE AREA|25010066|bisoprolol fumarate 5 mg tablet||68084048711|10.37||10.37
WS SERVICE AREA|25010066|bisoprolol 10 mg-hydrochlorothiazide 6.25 mg tablet||29300018901|27.42||27.42
WS SERVICE AREA|25010066|bisoprolol 10 mg-hydrochlorothiazide 6.25 mg tablet||42799092201|56.54||56.54
WS SERVICE AREA|25010066|bisoprolol 5 mg-hydrochlorothiazide 6.25 mg tablet||29300018801|27.42||27.42
WS SERVICE AREA|25010066|bisoprolol 5 mg-hydrochlorothiazide 6.25 mg tablet||42799092102|56.52||56.52
WS SERVICE AREA|25010066|bisoprolol 2.5 mg-hydrochlorothiazide 6.25 mg tablet||29300018701|27.42||27.42
WS SERVICE AREA|25010066|bisoprolol 2.5 mg-hydrochlorothiazide 6.25 mg tablet||29300018705|17.96||17.96
WS SERVICE AREA|25010066|bisoprolol 2.5 mg-hydrochlorothiazide 6.25 mg tablet||42799092030|56.52||56.52
WS SERVICE AREA|25010066|torsemide 10 mg tablet||50111091601|4.80||4.80
WS SERVICE AREA|25010066|torsemide 10 mg tablet||31722053001|4.80||4.80
WS SERVICE AREA|25010066|torsemide 20 mg tablet||00054007725|4.80||4.80
WS SERVICE AREA|25010066|torsemide 20 mg tablet||00054007729|4.80||4.80
WS SERVICE AREA|25010066|torsemide 20 mg tablet||31722053101|4.80||4.80
WS SERVICE AREA|25010066|torsemide 20 mg tablet||68084053901|4.80||4.80
WS SERVICE AREA|25010066|torsemide 20 mg tablet||50268075615|4.80||4.80
WS SERVICE AREA|25010066|gabapentin 300 mg capsule||60505011300|4.80||4.80
WS SERVICE AREA|25010066|gabapentin 300 mg capsule||16714066201|4.80||4.80
WS SERVICE AREA|25010066|gabapentin 300 mg capsule||16714050401|4.80||4.80
WS SERVICE AREA|25010066|gabapentin 100 mg capsule||16714066101|4.80||4.80
WS SERVICE AREA|25010066|gabapentin 100 mg capsule||67877022201|4.80||4.80
WS SERVICE AREA|25010066|gabapentin 100 mg capsule||00904666561|4.80||4.80
WS SERVICE AREA|25010066|risperiDONE 2 mg tablet||68382011514|14.59||14.59
WS SERVICE AREA|25010066|risperiDONE 1 mg tablet||68084027211|17.41||17.41
WS SERVICE AREA|25010066|spironolactone 25 mg/5 mL oral suspension||00000005677|89.89||89.89
WS SERVICE AREA|25010066|niMODipine 30 mg/10 mL oral solution||00000005661|626.95||626.95
WS SERVICE AREA|25010066|buPROPion HCL SR 100 mg tablet,12 hr sustained-release||00173094755|53.11||53.11
WS SERVICE AREA|25010066|buPROPion HCL SR 100 mg tablet,12 hr sustained-release||43547028810|14.88||14.88
WS SERVICE AREA|25010066|buPROPion HCL SR 150 mg tablet,12 hr sustained-release||00591354160|9.89||9.89
WS SERVICE AREA|25010066|buPROPion HCL SR 150 mg tablet,12 hr sustained-release||68084070825|4.80||4.80
WS SERVICE AREA|25010066|buPROPion HCL SR 150 mg tablet,12 hr sustained-release||68084070895|4.80||4.80
WS SERVICE AREA|25010066|buPROPion HCL SR 150 mg tablet,12 hr sustained-release||00904658561|4.80||4.80
WS SERVICE AREA|25010066|dolutegravir 50 mg-rilpivirine 25 mg tablet||49702024213|762.42||762.42
WS SERVICE AREA|25010066|bictegravir 50 mg-emtricitabine 200 mg-tenofovir alafenam 25 mg tablet||61958250101|867.67||867.67
WS SERVICE AREA|25010066|carvediloL 3.125 mg tablet||00093005105|15.98||15.98
WS SERVICE AREA|25010066|carvediloL 3.125 mg tablet||00904630061|4.80||4.80
WS SERVICE AREA|25010066|baricitinib 2 mg tablet||00002418230|304.04||304.04
WS SERVICE AREA|25010066|sarilumab 200 mg/1.14 mL subcutaneous pen injector|J3590|00024592201|12,744.33||12,744.33
WS SERVICE AREA|25010066|avatrombopag 20 mg tablet||71369002010|2,676.22||2,676.22
WS SERVICE AREA|25010066|latanoprost 0.005 % eye drops||61314054701|52.20||
WS SERVICE AREA|25010066|metoprolol succinate ER 25 mg capsule sprinkle, ext. release 24 hr||10631000830|12.72||12.72
WS SERVICE AREA|25010066|metoprolol succinate ER 100 mg capsule sprinkle, ext. release 24 hr||10631001030|14.73||14.73
WS SERVICE AREA|25010066|sodium zirconium cyclosilicate 10 gram oral powder packet||00310111001|181.11||181.11
WS SERVICE AREA|25010066|rivaroxaban 2.5 mg tablet||50458057710|62.96||62.96
WS SERVICE AREA|25010066|rivaroxaban 2.5 mg tablet||50458057701|62.96||62.96
WS SERVICE AREA|25010066|donepeziL 5 mg tablet||59762024503|59.73||59.73
WS SERVICE AREA|25010066|donepeziL 5 mg tablet||43547027503|66.38||66.38
WS SERVICE AREA|25010066|donepeziL 10 mg tablet||13668010390|29.87||29.87
WS SERVICE AREA|25010066|donepeziL 10 mg tablet||00904647861|4.80||4.80
WS SERVICE AREA|25010066|ondansetron HCL 4 mg/5 mL oral solution||54838055550|183.31||183.31
WS SERVICE AREA|25010066|modified lanolin 100 % topical cream||44677010202|18.42||18.42
WS SERVICE AREA|25010066|modified lanolin 100 % topical cream||44677010020|55.22||55.22
WS SERVICE AREA|25010066|levoFLOXacin 250 mg tablet||68084048111|126.50||126.50
WS SERVICE AREA|25010066|levoFLOXacin 500 mg tablet||68084048211|4.80||
WS SERVICE AREA|25010066|levoFLOXacin 500 mg tablet||68180024108|73.97||73.97
WS SERVICE AREA|25010066|levoFLOXacin 500 mg tablet||31722072250|73.97||73.97
WS SERVICE AREA|25010066|topiramate 200 mg tablet||68084034511|4.80||4.80
WS SERVICE AREA|25010066|topiramate 100 mg tablet||68084034411|11.89||11.89
WS SERVICE AREA|25010066|topiramate 100 mg tablet||69097012403|13.20||13.20
WS SERVICE AREA|25010066|vit B complex and vit C no.24-ferrous fum 66 mg-folic 1,000 mcg tablet||59528445601|4.80||4.80
WS SERVICE AREA|25010066|hydroCHLOROthiazide 12.5 mg capsule||29300013001|4.80||4.80
WS SERVICE AREA|25010066|hydroCHLOROthiazide 12.5 mg capsule||57237000201|4.80||4.80
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|31.05||31.05
WS SERVICE AREA|25010066|atorvastatin 10 mg tablet||60505257808|31.05||31.05
WS SERVICE AREA|25010066|atorvastatin 10 mg tablet||00904629061|4.80||4.80
WS SERVICE AREA|25010066|atorvastatin 10 mg tablet||16714087401|30.73||30.73
WS SERVICE AREA|25010066|atorvastatin 40 mg tablet||60505258009|11.07||11.07
WS SERVICE AREA|25010066|atorvastatin 40 mg tablet||00904629261|4.80||4.80
WS SERVICE AREA|25010066|atorvastatin 20 mg tablet||00904629161|4.80||4.80
WS SERVICE AREA|25010066|atorvastatin 20 mg tablet||16714087501|21.99||21.99
WS SERVICE AREA|25010066|insulin regular human U-500"concentrate" 500 unit/mL subcutaneous soln||00002850101|10,364.39||10,364.39
WS SERVICE AREA|25010066|pediatric multivitamin no.189-ferrous sulfate 11 mg/mL oral drops||00000005322|4.80||4.80
WS SERVICE AREA|25010066|pediatric multivitamin no.189-ferrous sulfate 11 mg/mL oral drops||00087040501|54.84||54.84
WS SERVICE AREA|25010066|pediatric multivitamin no.192 250 mcg-50 mg-10 mcg/mL oral drops||00000005321|4.80||4.80
WS SERVICE AREA|25010066|pediatric multivitamin no.192 250 mcg-50 mg-10 mcg/mL oral drops||00087040203|54.84||54.84
WS SERVICE AREA|25010066|L.acidophilus-L.paracasei-B.bifidum-S.thermophl 8 billion cell capsule||64980014703|9.40||9.40
WS SERVICE AREA|25010066|dextrose 1.2 gram/3 mL (40 %) oral gel in syringe (ORAL USE ONLY)||54758000628|18.57||18.57
WS SERVICE AREA|25010066|cortisone 25 mg tablet||00143970001|23.97||23.97
WS SERVICE AREA|25010066|warfarin 3 mg tablet||00056018801|8.54||8.54
WS SERVICE AREA|25010066|warfarin 6 mg tablet||00056018901|11.43||11.43
WS SERVICE AREA|25010066|warfarin 6 mg tablet||00832121789|4.80||4.80
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|11.91||11.91
WS SERVICE AREA|25010066|betaxoloL 0.25 % eye drops,suspension||00065024615|11.91||11.91
WS SERVICE AREA|25010066|neomycin-polymyxin-pramoxine 3.5 mg-10,000 unit-10 mg/gram top cream||00810073794|19.40||19.40
WS SERVICE AREA|25010066|sertraline 25 mg tablet||76282021218|21.05||21.05
WS SERVICE AREA|25010066|sertraline 25 mg tablet||00904692461|4.80||4.80
WS SERVICE AREA|25010066|itraconazole 10 mg/mL oral solution||50458029515|2,628.89||2,628.89
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|4.80||4.80
WS SERVICE AREA|25010066|cyclobenzaprine 10 mg tablet||00093342201|4.80||
WS SERVICE AREA|25010066|cyproheptadine 2 mg/5 mL oral syrup||00527194947|5.22||5.22
WS SERVICE AREA|25010066|cyproheptadine 4 mg tablet||51991083801|8.18||8.18
WS SERVICE AREA|25010066|cyproheptadine 4 mg tablet||70710111001|8.18||8.18
WS SERVICE AREA|25010066|alendronate 5 mg tablet||00115167608|22.45||22.45
WS SERVICE AREA|25010066|morphine ER 100 mg tablet,extended release||00406839062|17.57||17.57
WS SERVICE AREA|25010066|morphine ER 15 mg tablet,extended release||00406831501|12.85||12.85
WS SERVICE AREA|25010066|morphine ER 15 mg tablet,extended release||42858080101|12.85||12.85
WS SERVICE AREA|25010066|morphine ER 15 mg tablet,extended release||00406831523|14.34||14.34
WS SERVICE AREA|25010066|morphine ER 15 mg tablet,extended release||00406831562|14.36||14.36
WS SERVICE AREA|25010066|morphine ER 30 mg tablet,extended release||00406833023|25.92||25.92
WS SERVICE AREA|25010066|morphine ER 60 mg tablet,extended release||00406838023|20.40||20.40
WS SERVICE AREA|25010066|morphine ER 60 mg tablet,extended release||00406838062|20.42||20.42
WS SERVICE AREA|25010066|azithromycin 250 mg tablet||50111078710|59.70||59.70
WS SERVICE AREA|25010066|azithromycin 250 mg tablet||59762306003|59.63||59.63
WS SERVICE AREA|25010066|azithromycin 250 mg tablet||50268009815|56.69||56.69
WS SERVICE AREA|25010066|azithromycin 250 mg tablet||50111078751|59.70||59.70
WS SERVICE AREA|25010066|azithromycin 250 mg tablet||65862064169|59.70||59.70
WS SERVICE AREA|25010066|azithromycin 250 mg tablet||00904670806|9.47||9.47
WS SERVICE AREA|25010066|azithromycin 250 mg tablet||00069306086|263.29||263.29
WS SERVICE AREA|25010066|OLANZapine 2.5 mg tablet||00904628361|4.80||4.80
WS SERVICE AREA|25010066|OLANZapine 2.5 mg tablet||68084052511|85.69||85.69
WS SERVICE AREA|25010066|artificial tears (hypromellose) 0.3 % eye gel||00065047401|69.03||69.03
WS SERVICE AREA|25010066|OXcarbazepine 300 mg tablet||62756018488|4.80||4.80
WS SERVICE AREA|25010066|OXcarbazepine 300 mg tablet||68462013801|10.01||10.01
WS SERVICE AREA|25010066|citalopram 20 mg tablet||13668001001|10.32||10.32
WS SERVICE AREA|25010066|desmopressin 10 mcg/spray (0.1 mL) nasal spray (non-refrigerated)||47335078891|30.22||30.22
WS SERVICE AREA|25010066|desmopressin 10 mcg/spray (0.1 mL) nasal spray (non-refrigerated)||68382038401|37.77||37.77
WS SERVICE AREA|25010066|danazoL 200 mg capsule||00527136906|19.73||19.73
WS SERVICE AREA|25010066|danazoL 200 mg capsule||00555063509|19.73||19.73
WS SERVICE AREA|25010066|pramipexole 0.125 mg tablet||00597018390|53.85||53.85
WS SERVICE AREA|25010066|pramipexole 0.125 mg tablet||13668009190|22.63||22.63
WS SERVICE AREA|25010066|pramipexole 1 mg tablet||13668009490|4.80||4.80
WS SERVICE AREA|25010066|pramipexole 1 mg tablet||68462033390|4.80||4.80
WS SERVICE AREA|25010066|pramipexole 1.5 mg tablet||13668009590|4.80||4.80
WS SERVICE AREA|25010066|pramipexole 1.5 mg tablet||33342003510|4.80||4.80
WS SERVICE AREA|25010066|pramipexole 0.25 mg tablet||68462033190|12.82||12.82
WS SERVICE AREA|25010066|pramipexole 0.25 mg tablet||68084044011|11.19||11.19
WS SERVICE AREA|25010066|pramipexole 0.25 mg tablet||00904670461|4.80||4.80
WS SERVICE AREA|25010066|dapsone 25 mg tablet||49938010230|21.00||21.00
WS SERVICE AREA|25010066|warfarin 4 mg tablet||00056016801|8.57||8.57
WS SERVICE AREA|25010066|warfarin 4 mg tablet||00832121589|4.80||4.80
WS SERVICE AREA|25010066|letrozole 2.5 mg tablet||62756051183|4.80||4.80
WS SERVICE AREA|25010066|letrozole 2.5 mg tablet||42291037490|138.94||138.94
WS SERVICE AREA|25010066|letrozole 2.5 mg tablet||50268047611|138.46||138.46
WS SERVICE AREA|25010066|rOPINIRole 0.25 mg tablet||43547026810|19.18||19.18
WS SERVICE AREA|25010066|rOPINIRole 1 mg tablet||00904637461|4.80||4.80
WS SERVICE AREA|25010066|rOPINIRole 1 mg tablet||62332003231|4.80||4.80
WS SERVICE AREA|25010066|rOPINIRole 2 mg tablet||68462025601|4.80||4.80
WS SERVICE AREA|25010066|rOPINIRole 2 mg tablet||62332003331|4.80||4.80
WS SERVICE AREA|25010066|rOPINIRole 0.5 mg tablet||68462025401|9.61||9.61
WS SERVICE AREA|25010066|rOPINIRole 0.5 mg tablet||43547026910|9.59||9.59
WS SERVICE AREA|25010066|lamiVUDine 150 mg-zidovudine 300 mg tablet||65862059760|112.22||112.22
WS SERVICE AREA|25010066|lamiVUDine 150 mg-zidovudine 300 mg tablet||68084041695|140.61||140.61
WS SERVICE AREA|25010066|lamiVUDine 150 mg-zidovudine 300 mg tablet||31722050660|119.09||119.09
WS SERVICE AREA|25010066|QUEtiapine 25 mg tablet||68084053011|28.97||28.97
WS SERVICE AREA|25010066|QUEtiapine 25 mg tablet||16714045201|30.40||30.40
WS SERVICE AREA|25010066|QUEtiapine 100 mg tablet||63739066510|4.80||4.80
WS SERVICE AREA|25010066|QUEtiapine 100 mg tablet||16714045401|52.57||52.57
WS SERVICE AREA|25010066|QUEtiapine 100 mg tablet||00904664061|4.80||4.80
WS SERVICE AREA|25010066|tiaGABine 4 mg tablet||63459040430|41.75||41.75
WS SERVICE AREA|25010066|tiaGABine 4 mg tablet||62756022483|24.34||24.34
WS SERVICE AREA|25010066|tiaGABine 4 mg tablet||00093503156|30.43||30.43
WS SERVICE AREA|25010066|tiaGABine 4 mg tablet||69238110503|30.43||30.43
WS SERVICE AREA|25010066|clopidogreL 75 mg tablet||51079055720|4.80||4.80
WS SERVICE AREA|25010066|clopidogreL 75 mg tablet||65862035790|53.32||53.32
WS SERVICE AREA|25010066|clopidogreL 75 mg tablet||00904629461|4.80||4.80
WS SERVICE AREA|25010066|raloxifene 60 mg tablet||60687026611|56.24||56.24
WS SERVICE AREA|25010066|raloxifene 60 mg tablet||60687026621|56.24||56.24
WS SERVICE AREA|25010066|becaplermin 0.01 % topical gel||50484081015|9,459.41||9,459.41
WS SERVICE AREA|25010066|cefdinir 300 mg capsule||16714039102|39.22||39.22
WS SERVICE AREA|25010066|cefdinir 125 mg/5 mL oral suspension||16714039201|391.17||391.17
WS SERVICE AREA|25010066|diphenhydramine-zinc acetate 1 %-0.1 % topical cream||12547017162|13.41||13.41
WS SERVICE AREA|25010066|lactase 3,000 unit tablet||00904522452|4.80||4.80
WS SERVICE AREA|25010066|montelukast 10 mg tablet||65862057490|21.67||21.67
WS SERVICE AREA|25010066|montelukast 10 mg tablet||00093742698|21.69||21.69
WS SERVICE AREA|25010066|montelukast 5 mg chewable tablet||00781555592|34.71||34.71
WS SERVICE AREA|25010066|montelukast 5 mg chewable tablet||31722072830|34.71||34.71
WS SERVICE AREA|25010066|sulfamethoxazole 200 mg-trimethoprim 40 mg/5 mL oral suspension||00000005281|56.60||56.60
WS SERVICE AREA|25010066|sulfamethoxazole 200 mg-trimethoprim 40 mg/5 mL oral suspension||00000005558|47.17||
WS SERVICE AREA|25010066|sulfamethoxazole 200 mg-trimethoprim 40 mg/5 mL oral suspension||50383082416|34.90||34.90
WS SERVICE AREA|25010066|repaglinide 1 mg tablet||57664074588|4.80||4.80
WS SERVICE AREA|25010066|losartan 100 mg tablet||00006096031|9.70||9.70
WS SERVICE AREA|25010066|losartan 100 mg tablet||50268051815|4.80||4.80
WS SERVICE AREA|25010066|losartan 100 mg tablet||63739069810|4.80||4.80
WS SERVICE AREA|25010066|losartan 100 mg tablet||31722070230|5.91||5.91
WS SERVICE AREA|25010066|losartan 100 mg tablet||31722070290|5.87||5.87
WS SERVICE AREA|25010066|losartan 100 mg tablet||68180037809|5.91||5.91
WS SERVICE AREA|25010066|loteprednol etabonate 0.5 % eye drops,suspension||24208029905|2,048.66||2,048.66
WS SERVICE AREA|25010066|pramipexole 0.5 mg tablet||13668009390|5.66||5.66
WS SERVICE AREA|25010066|pramipexole 0.5 mg tablet||68462033290|6.41||6.41
WS SERVICE AREA|25010066|tolterodine 1 mg tablet||00093001006|25.38||25.38
WS SERVICE AREA|25010066|tolterodine 2 mg tablet||51079023520|13.15||13.15
WS SERVICE AREA|25010066|tolterodine 2 mg tablet||00093001806|13.03||13.03
WS SERVICE AREA|25010066|desipramine 10 mg tablet||45963034102|22.70||22.70
WS SERVICE AREA|25010066|desipramine 10 mg tablet||00781521801|29.09||29.09
WS SERVICE AREA|25010066|desipramine 10 mg tablet||23155057801|16.89||16.89
WS SERVICE AREA|25010066|sildenafiL 50 mg tablet||00069421030|298.43||298.43
WS SERVICE AREA|25010066|desipramine 25 mg tablet||45963034202|10.91||10.91
WS SERVICE AREA|25010066|desipramine 25 mg tablet||00781197201|13.98||13.98
WS SERVICE AREA|25010066|desipramine 25 mg tablet||23155057901|8.11||8.11
WS SERVICE AREA|25010066|PARoxetine 10 mg/5 mL oral suspension||60505040205|67.61||67.61
WS SERVICE AREA|25010066|dorzolamide 22.3 mg-timoloL 6.8 mg/mL eye drops||50383023310|940.34||940.34
WS SERVICE AREA|25010066|dorzolamide 22.3 mg-timoloL 6.8 mg/mL eye drops||24208048610|517.65||517.65
WS SERVICE AREA|25010066|ciprofloxacin 250 mg/5 mL oral suspension||50419077701|1,000.17||1,000.17
WS SERVICE AREA|25010066|amoxicillin 250 mg-potassium clavulanate 125 mg tablet||16714047601|45.39||45.39
WS SERVICE AREA|25010066|risedronate 30 mg tablet||00093310056|79.19||79.19
WS SERVICE AREA|25010066|sodium metabisulfite (bulk) 100 % granules||51552006905|391.17||391.17
WS SERVICE AREA|25010066|camphor-menthoL 0.5 %-0.5 % lotion||54162055009|19.72||19.72
WS SERVICE AREA|25010066|camphor-menthoL 0.5 %-0.5 % lotion||00145062805|28.17||28.17
WS SERVICE AREA|25010066|camphor-menthoL 0.5 %-0.5 % lotion||00316022975|39.44||39.44
WS SERVICE AREA|25010066|camphor-menthoL 0.5 %-0.5 % lotion||00536126812|21.60||21.60
WS SERVICE AREA|25010066|camphor-menthoL 0.5 %-0.5 % lotion||54162055007|20.66||20.66
WS SERVICE AREA|25010066|camphor-menthoL 0.5 %-0.5 % lotion||61924018808|30.05||30.05
WS SERVICE AREA|25010066|progesterone micronized 100 mg capsule||17478076610|16.11||16.11
WS SERVICE AREA|25010066|dexAMETHasone 0.5 mg tablet||00054817925|4.80||4.80
WS SERVICE AREA|25010066|dexAMETHasone 1 mg tablet||00054418125|4.80||4.80
WS SERVICE AREA|25010066|dexAMETHasone 1 mg tablet||00054817425|4.80||4.80
WS SERVICE AREA|25010066|dexAMETHasone 1.5 mg tablet||00054818125|4.80||4.80
WS SERVICE AREA|25010066|dexAMETHasone 2 mg tablet||00054817625|4.80||4.80
WS SERVICE AREA|25010066|dexAMETHasone 4 mg tablet||00054418425|4.80||4.80
WS SERVICE AREA|25010066|dexAMETHasone 4 mg tablet||00054817525|4.80||4.80
WS SERVICE AREA|25010066|sodium metabisulfite (bulk) powder||38779078708|35,815.07||35,815.07
WS SERVICE AREA|25010066|dexAMETHasone 6 mg tablet||48102004801|4.80||4.80
WS SERVICE AREA|25010066|dexAMETHasone 6 mg tablet||00054418625|4.80||4.80
WS SERVICE AREA|25010066|dexAMETHasone 6 mg tablet||00054818325|4.80||4.80
WS SERVICE AREA|25010066|rifapentine 150 mg tablet||00088210201|32.28||32.28
WS SERVICE AREA|25010066|rifapentine 150 mg tablet||00088210224|32.28||32.28
WS SERVICE AREA|25010066|lidocaine 4 % topical cream||24357070106|21.15||21.15
WS SERVICE AREA|25010066|lidocaine 4 % topical cream||24357070105|21.15||21.15
WS SERVICE AREA|25010066|citalopram 40 mg tablet||13668001101|5.33||5.33
WS SERVICE AREA|25010066|citalopram 40 mg tablet||65162005410|5.13||5.13
WS SERVICE AREA|25010066|atovaquone 250 mg-proguaniL 100 mg tablet||68462040467|27.41||27.41
WS SERVICE AREA|25010066|leflunomide 20 mg tablet||62332006230|62.91||62.91
WS SERVICE AREA|25010066|leflunomide 20 mg tablet||70748013006|62.99||62.99
WS SERVICE AREA|25010066|efavirenz 200 mg capsule||00056047492|83.57||83.57
WS SERVICE AREA|25010066|diazePAM 10 mg tablet||51079028601|4.80||4.80
WS SERVICE AREA|25010066|diazePAM 2 mg tablet||00172392560|4.80||4.80
WS SERVICE AREA|25010066|diazePAM 2 mg tablet||51079028401|4.80||4.80
WS SERVICE AREA|25010066|diazePAM 5 mg tablet||00172392660|4.80||4.80
WS SERVICE AREA|25010066|diazePAM 5 mg tablet||51079028520|4.80||4.80
WS SERVICE AREA|25010066|nevirapine 50 mg/5 mL oral suspension||00597004724|125.48||125.48
WS SERVICE AREA|25010066|nevirapine 50 mg/5 mL oral suspension||65862005724|121.03||121.03
WS SERVICE AREA|25010066|midazolam 2 mg/mL oral syrup||00574015004|623.59||623.59
WS SERVICE AREA|25010066|midazolam 2 mg/mL oral syrup||00054356699|1,950.40||1,950.40
WS SERVICE AREA|25010066|dicyclomine 10 mg capsule||00378161001|4.80||4.80
WS SERVICE AREA|25010066|dicyclomine 10 mg capsule||00527058601|4.80||4.80
WS SERVICE AREA|25010066|dicyclomine 10 mg capsule||51079011801|4.80||4.80
WS SERVICE AREA|25010066|psyllium oral packet||38485080857|2.84||2.84
WS SERVICE AREA|25010066|dicyclomine 20 mg tablet||00527128201|4.80||4.80
WS SERVICE AREA|25010066|dicyclomine 20 mg tablet||00591079501|5.95||5.95
WS SERVICE AREA|25010066|dicyclomine 20 mg tablet||00591079510|5.48||5.48
WS SERVICE AREA|25010066|dicyclomine 20 mg tablet||00904698861|4.80||4.80
WS SERVICE AREA|25010066|dicyclomine 20 mg tablet||51079011901|4.80||4.80
WS SERVICE AREA|25010066|dicyclomine 20 mg tablet||51079011920|4.80||4.80
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|0.77||0.77
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|5.46||5.46
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|1,544.74||1,544.74
WS SERVICE AREA|25010066|abacavir 300 mg tablet||00378410591|77.04||77.04
WS SERVICE AREA|25010066|abacavir 300 mg tablet||31722055760|77.05||77.05
WS SERVICE AREA|25010066|abacavir 20 mg/mL oral solution||49702022248|1,126.57||1,126.57
WS SERVICE AREA|25010066|abacavir 20 mg/mL oral solution||31722056224|1,203.88||1,203.88
WS SERVICE AREA|25010066|digoxin 125 mcg (0.125 mg) tablet||00143124001|9.09||9.09
WS SERVICE AREA|25010066|digoxin 125 mcg (0.125 mg) tablet||00904592161|10.34||10.34
WS SERVICE AREA|25010066|digoxin 125 mcg (0.125 mg) tablet||16714059001|16.15||16.15
WS SERVICE AREA|25010066|digoxin 250 mcg (0.25 mg) tablet||68084068001|19.64||19.64
WS SERVICE AREA|25010066|digoxin 250 mcg (0.25 mg) tablet||16714059101|15.94||15.94
WS SERVICE AREA|25010066|cilostazoL 50 mg tablet||00054002821|14.00||14.00
WS SERVICE AREA|25010066|cilostazoL 50 mg tablet||00093206506|14.78||14.78
WS SERVICE AREA|25010066|cilostazoL 100 mg tablet||00093206406|7.00||7.00
WS SERVICE AREA|25010066|celecoxib 200 mg capsule||00025152534|106.84||106.84
WS SERVICE AREA|25010066|celecoxib 200 mg capsule||16714073301|57.82||57.82
WS SERVICE AREA|25010066|celecoxib 200 mg capsule||60687044711|18.62||18.62
WS SERVICE AREA|25010066|isosorbide mononitrate ER 30 mg tablet,extended release 24 hr||62175012837|4.80||4.80
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|1.53||1.53
WS SERVICE AREA|25010066|coenzyme Q10 100 mg capsule||00904588246|1.37||1.37
WS SERVICE AREA|25010066|coenzyme Q10 100 mg capsule||10939075133|0.60||0.60
WS SERVICE AREA|25010066|coenzyme Q10 100 mg capsule||10939088744|0.88||0.88
WS SERVICE AREA|25010066|coenzyme Q10 100 mg capsule||57896087503|1.16||1.16
WS SERVICE AREA|25010066|modafiniL 100 mg tablet||63459010130|331.44||331.44
WS SERVICE AREA|25010066|modafiniL 100 mg tablet||51079056101|202.31||202.31
WS SERVICE AREA|25010066|modafiniL 100 mg tablet||68084062121|202.31||202.31
WS SERVICE AREA|25010066|modafiniL 100 mg tablet||65862060130|202.51||202.51
WS SERVICE AREA|25010066|modafiniL 100 mg tablet||00904642304|71.51||71.51
WS SERVICE AREA|25010066|dilTIAZem 30 mg tablet||42799012901|7.66||7.66
WS SERVICE AREA|25010066|dilTIAZem 30 mg tablet||51079074501|4.80||4.80
WS SERVICE AREA|25010066|dilTIAZem 30 mg tablet||00093031801|7.66||7.66
WS SERVICE AREA|25010066|dilTIAZem 30 mg tablet||00093031805|7.53||7.53
WS SERVICE AREA|25010066|dilTIAZem 60 mg tablet||00378004501|6.01||6.01
WS SERVICE AREA|25010066|dilTIAZem 60 mg tablet||51079074601|4.80||4.80
WS SERVICE AREA|25010066|dilTIAZem 60 mg tablet||00093031901|6.01||6.01
WS SERVICE AREA|25010066|dilTIAZem 90 mg tablet||51079074701|4.80||4.80
WS SERVICE AREA|25010066|dilTIAZem 90 mg tablet||00093032001|5.48||5.48
WS SERVICE AREA|25010066|dimenhyDRINATE 50 mg tablet||00904205159|4.80||4.80
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|22.00||22.00
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|15.14||15.14
WS SERVICE AREA|25010066|ciprofloxacin 250 mg tablet||58657067501|13.61||13.61
WS SERVICE AREA|25010066|ciprofloxacin 500 mg tablet||68084007011|4.87||4.87
WS SERVICE AREA|25010066|ciprofloxacin 500 mg tablet||65862007701|8.57||8.57
WS SERVICE AREA|25010066|ciprofloxacin 500 mg tablet||58657067601|7.59||7.59
WS SERVICE AREA|25010066|ciprofloxacin 750 mg tablet||68084007111|7.83||7.83
WS SERVICE AREA|25010066|ciprofloxacin 750 mg tablet||16714065301|5.67||5.67
WS SERVICE AREA|25010066|diphenoxylate-atropine 2.5 mg-0.025 mg tablet||00378041501|6.71||6.71
WS SERVICE AREA|25010066|diphenoxylate-atropine 2.5 mg-0.025 mg tablet||59762106101|5.37||5.37
WS SERVICE AREA|25010066|diphenoxylate-atropine 2.5 mg-0.025 mg tablet||00832059011|6.71||6.71
WS SERVICE AREA|25010066|loperamide 1 mg/7.5 mL oral liquid||00000005604|30.83||30.83
WS SERVICE AREA|25010066|albuterol sulfate 2 mg/5 mL oral syrup||50383074016|4.91||4.91
WS SERVICE AREA|25010066|dipyridamole 25 mg tablet||64980013301|10.90||10.90
WS SERVICE AREA|25010066|dipyridamole 50 mg tablet||64980013401|8.77||8.77
WS SERVICE AREA|25010066|albuterol sulfate 2 mg tablet||51079065720|54.07||54.07
WS SERVICE AREA|25010066|dipyridamole 75 mg tablet||64980013501|7.83||7.83
WS SERVICE AREA|25010066|disopyramide phosphate 100 mg capsule||00093312701|21.91||21.91
WS SERVICE AREA|25010066|doxercalciferoL 2.5 mcg capsule||00054033919|58.11||58.11
WS SERVICE AREA|25010066|disopyramide phosphate 150 mg capsule||00093312901|17.26||17.26
WS SERVICE AREA|25010066|disopyramide phosphate ER 100 mg capsule,extended release||00025273231|30.91||30.91
WS SERVICE AREA|25010066|albuterol sulfate 4 mg tablet||53489017701|22.53||22.53
WS SERVICE AREA|25010066|disulfiram 250 mg tablet||64980017101|30.94||30.94
WS SERVICE AREA|25010066|disulfiram 250 mg tablet||00054035613|30.99||30.99
WS SERVICE AREA|25010066|polyethylene glycol 3350 17 gram oral powder packet||41100080676|8.02||8.02
WS SERVICE AREA|25010066|polyethylene glycol 3350 17 gram oral powder packet||69784018001|14.34||14.34
WS SERVICE AREA|25010066|polyethylene glycol 3350 17 gram oral powder packet||00904693186|11.94||11.94
WS SERVICE AREA|25010066|ketotifen 0.025 % (0.035 %) eye drops||17478071710|51.56||51.56
WS SERVICE AREA|25010066|divalproex 125 mg tablet,delayed release||62756079688|4.80||4.80
WS SERVICE AREA|25010066|divalproex 125 mg tablet,delayed release||29300013801|6.88||6.88
WS SERVICE AREA|25010066|divalproex 125 mg tablet,delayed release||00832712211|8.45||8.45
WS SERVICE AREA|25010066|divalproex 125 mg tablet,delayed release||60687021111|6.83||6.83
WS SERVICE AREA|25010066|risperiDONE 0.25 mg tablet||51079046001|29.86||29.86
WS SERVICE AREA|25010066|divalproex 250 mg tablet,delayed release||62756079788|4.80||4.80
WS SERVICE AREA|25010066|divalproex 250 mg tablet,delayed release||29300013901|6.76||6.76
WS SERVICE AREA|25010066|risperiDONE 0.5 mg tablet||50458059110|7.08||7.08
WS SERVICE AREA|25010066|pioglitazone 15 mg tablet||16729002016|53.74||53.74
WS SERVICE AREA|25010066|pioglitazone 30 mg tablet||16729002115|41.07||41.07
WS SERVICE AREA|25010066|pioglitazone 30 mg tablet||64764030114|75.91||75.91
WS SERVICE AREA|25010066|divalproex 500 mg tablet,delayed release||00832712401|4.80||4.80
WS SERVICE AREA|25010066|divalproex 500 mg tablet,delayed release||00832712489|4.80||4.80
WS SERVICE AREA|25010066|pioglitazone 45 mg tablet||65862051430|29.70||29.70
WS SERVICE AREA|25010066|pioglitazone 45 mg tablet||33342005607|29.69||29.69
WS SERVICE AREA|25010066|pioglitazone 45 mg tablet||33342005610|29.69||29.69
WS SERVICE AREA|25010066|docusate calcium 240 mg capsule||54629064001|0.60||0.60
WS SERVICE AREA|25010066|docusate calcium 240 mg capsule||79854006400|0.60||0.60
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|docusate sodium 100 mg capsule||00904699880|0.60||0.60
WS SERVICE AREA|25010066|docusate sodium 100 mg capsule||00904699860|0.60||0.60
WS SERVICE AREA|25010066|docusate sodium 100 mg capsule||00904711561|0.60||0.60
WS SERVICE AREA|25010066|docusate sodium 100 mg capsule||57896040101|0.60||0.60
WS SERVICE AREA|25010066|ivermectin 3 mg tablet||00006003220|35.69||35.69
WS SERVICE AREA|25010066|ivermectin 3 mg tablet||42799080601|38.11||38.11
WS SERVICE AREA|25010066|gabapentin 800 mg tablet||00071040124|53.67||53.67
WS SERVICE AREA|25010066|gabapentin 800 mg tablet||59762502401|11.62||11.62
WS SERVICE AREA|25010066|gabapentin 800 mg tablet||16714033201|11.66||11.66
WS SERVICE AREA|25010066|gabapentin 800 mg tablet||16714033202|11.64||11.64
WS SERVICE AREA|25010066|gabapentin 800 mg tablet||68084080201|11.14||11.14
WS SERVICE AREA|25010066|gabapentin 800 mg tablet||58657062401|11.70||11.70
WS SERVICE AREA|25010066|doxepin 10 mg capsule||00378104901|4.80||4.80
WS SERVICE AREA|25010066|doxepin 10 mg capsule||51079043601|4.90||4.90
WS SERVICE AREA|25010066|doxepin 100 mg capsule||51079065101|4.80||4.80
WS SERVICE AREA|25010066|doxepin 25 mg capsule||00378312501|6.30||6.30
WS SERVICE AREA|25010066|doxepin 50 mg capsule||51079043801|4.80||4.80
WS SERVICE AREA|25010066|doxepin 75 mg capsule||00378537501|4.80||4.80
WS SERVICE AREA|25010066|doxepin 75 mg capsule||16714013501|4.80||4.80
WS SERVICE AREA|25010066|pantoprazole 20 mg tablet,delayed release||68084064301|29.15||29.15
WS SERVICE AREA|25010066|pantoprazole 40 mg tablet,delayed release||00378668910|40.40||40.40
WS SERVICE AREA|25010066|pantoprazole 40 mg tablet,delayed release||66993006851|4.80||4.80
WS SERVICE AREA|25010066|doxycycline hyclate 100 mg tablet||62584069311|21.43||21.43
WS SERVICE AREA|25010066|doxycycline hyclate 100 mg tablet||50268027911|20.50||20.50
WS SERVICE AREA|25010066|doxycycline hyclate 100 mg tablet||00904043006|8.38||8.38
WS SERVICE AREA|25010066|doxycycline hyclate 100 mg tablet||53489012005|4.80||4.80
WS SERVICE AREA|25010066|oseltamivir 75 mg capsule||00004080085|116.49||116.49
WS SERVICE AREA|25010066|oseltamivir 75 mg capsule||47781047013|118.56||118.56
WS SERVICE AREA|25010066|oseltamivir 75 mg capsule||31722063231|118.56||118.56
WS SERVICE AREA|25010066|oseltamivir 75 mg capsule||16714081901|118.44||118.44
WS SERVICE AREA|25010066|entacapone 200 mg tablet||00378908001|30.33||30.33
WS SERVICE AREA|25010066|entacapone 200 mg tablet||27241004910|34.81||34.81
WS SERVICE AREA|25010066|entacapone 200 mg tablet||00078032705|59.14||59.14
WS SERVICE AREA|25010066|progesterone micronized 200 mg capsule||00093535401|15.53||15.53
WS SERVICE AREA|25010066|progesterone micronized 200 mg capsule||17478076710|15.34||15.34
WS SERVICE AREA|25010066|progesterone micronized 200 mg capsule||43598035001|15.34||15.34
WS SERVICE AREA|25010066|exemestane 25 mg tablet||59762285801|155.17||155.17
WS SERVICE AREA|25010066|exemestane 25 mg tablet||00832059530|155.17||155.17
WS SERVICE AREA|25010066|exemestane 25 mg tablet||69097031602|99.95||99.95
WS SERVICE AREA|25010066|levETIRAcetam 250 mg tablet||00904605161|4.80||4.80
WS SERVICE AREA|25010066|levETIRAcetam 250 mg tablet||63739079510|4.80||4.80
WS SERVICE AREA|25010066|levETIRAcetam 500 mg tablet||16714035501|13.35||13.35
WS SERVICE AREA|25010066|levETIRAcetam 500 mg tablet||63739041110|4.80||4.80
WS SERVICE AREA|25010066|moxifloxacin 400 mg tablet||68084072265|206.43||206.43
WS SERVICE AREA|25010066|moxifloxacin 400 mg tablet||00904640606|81.83||81.83
WS SERVICE AREA|25010066|dofetilide 125 mcg capsule||00069580061|31.81||
WS SERVICE AREA|25010066|dofetilide 125 mcg capsule||16714084001|66.98||66.98
WS SERVICE AREA|25010066|dofetilide 125 mcg capsule||00069580043|80.11||80.11
WS SERVICE AREA|25010066|dofetilide 250 mcg capsule||16714084101|33.42||33.42
WS SERVICE AREA|25010066|dofetilide 250 mcg capsule||42291041260|32.80||32.80
WS SERVICE AREA|25010066|dofetilide 250 mcg capsule||00069581043|40.06||40.06
WS SERVICE AREA|25010066|dofetilide 500 mcg capsule||16714084201|16.69||16.69
WS SERVICE AREA|25010066|dofetilide 500 mcg capsule||00069582043|20.03||20.03
WS SERVICE AREA|25010066|OXcarbazepine 150 mg tablet||62756018388|4.80||4.80
WS SERVICE AREA|25010066|nitroglycerin ER 2.5 mg capsule,extended release||00904064360|4.80||4.80
WS SERVICE AREA|25010066|nitroglycerin ER 6.5 mg capsule,extended release||00904064460|4.80||4.80
WS SERVICE AREA|25010066|orphenadrine citrate ER 100 mg tablet,extended release||00115201101|16.67||16.67
WS SERVICE AREA|25010066|orphenadrine citrate ER 100 mg tablet,extended release||00185002201|16.75||16.75
WS SERVICE AREA|25010066|niacin ER 500 mg tablet,extended release 24 hr||65162032109|22.06||22.06
WS SERVICE AREA|25010066|niacin ER 750 mg tablet,extended release 24 hr||59651001990|17.04||17.04
WS SERVICE AREA|25010066|montelukast 4 mg chewable tablet||31722072790|43.39||43.39
WS SERVICE AREA|25010066|theophylline ER 100 mg capsule,extended release 24 hr||52244010010|20.34||20.34
WS SERVICE AREA|25010066|dextrose 40 % oral gel||00574007030|30.20||30.20
WS SERVICE AREA|25010066|dextrose 40 % oral gel||00574007015|30.20||30.20
WS SERVICE AREA|25010066|dextrose 40 % oral gel||00574006930|30.20||30.20
WS SERVICE AREA|25010066|nitroglycerin 0.1 mg/hr transdermal 24 hour patch||47781029603|19.60||19.60
WS SERVICE AREA|25010066|nitroglycerin 0.2 mg/hr transdermal 24 hour patch||00904549546|4.80||4.80
WS SERVICE AREA|25010066|nitroglycerin 0.3 mg/hr transdermal 24 hour patch||50742051501|301.07||301.07
WS SERVICE AREA|25010066|nitroglycerin 0.3 mg/hr transdermal 24 hour patch||00085331530|42.65||42.65
WS SERVICE AREA|25010066|nitroglycerin 0.4 mg/hr transdermal 24 hour patch||47781029803|22.31||22.31
WS SERVICE AREA|25010066|nitroglycerin 0.4 mg/hr transdermal 24 hour patch||00904549646|4.80||4.80
WS SERVICE AREA|25010066|nitroglycerin 0.6 mg/hr transdermal 24 hour patch||47781029903|24.19||24.19
WS SERVICE AREA|25010066|felodipine ER 5 mg tablet,extended release 24 hr||00378501201|5.79||5.79
WS SERVICE AREA|25010066|cloNIDine 0.1 mg/24 hr weekly transdermal patch||00378087199|254.05||254.05
WS SERVICE AREA|25010066|cloNIDine 0.2 mg/24 hr weekly transdermal patch||00378087216|427.72||
WS SERVICE AREA|25010066|cloNIDine 0.3 mg/24 hr weekly transdermal patch||00378087316|593.35||593.35
WS SERVICE AREA|25010066|loratadine-pseudoephedrine ER 10 mg-240 mg tablet,extended release24hr||49348054301|3.46||3.46
WS SERVICE AREA|25010066|dextromethorphan-guaifenesin 30 mg-600 mg tablet extended release12 hr||63824005620|2.60||2.60
WS SERVICE AREA|25010066|dextromethorphan-guaifenesin 30 mg-600 mg tablet extended release12 hr||63824005632|4.44||4.44
WS SERVICE AREA|25010066|dextromethorphan-guaifenesin 30 mg-600 mg tablet extended release12 hr||63824005634|3.98||3.98
WS SERVICE AREA|25010066|theophylline ER 300 mg tablet,extended release,12 hr||62332002531|32.95||32.95
WS SERVICE AREA|25010066|divalproex 125 mg capsule,delayed release sprinkle||55111053201|8.59||8.59
WS SERVICE AREA|25010066|divalproex 125 mg capsule,delayed release sprinkle||68084031311|10.88||10.88
WS SERVICE AREA|25010066|carBAMazepine ER 100 mg tablet,extended release,12 hr||00078051005|10.40||10.40
WS SERVICE AREA|25010066|carBAMazepine ER 100 mg tablet,extended release,12 hr||51672412301|8.77||8.77
WS SERVICE AREA|25010066|carBAMazepine ER 100 mg tablet,extended release,12 hr||00781801601|8.78||8.78
WS SERVICE AREA|25010066|topiramate 25 mg sprinkle capsule||00093733606|22.43||22.43
WS SERVICE AREA|25010066|topiramate 25 mg sprinkle capsule||50458064565|55.24||55.24
WS SERVICE AREA|25010066|topiramate 25 mg sprinkle capsule||68382000514|22.40||22.40
WS SERVICE AREA|25010066|aspirin 25 mg-dipyridamole 200 mg capsule,ext.release 12 hr multiphase||00597000160|72.08||72.08
WS SERVICE AREA|25010066|aspirin 25 mg-dipyridamole 200 mg capsule,ext.release 12 hr multiphase||65162059606|64.08||64.08
WS SERVICE AREA|25010066|benzocaine 20 % mucosal spray||00283061043|69.33||69.33
WS SERVICE AREA|25010066|trolamine salicylate 10 % topical cream||00225036011|38.35||38.35
WS SERVICE AREA|25010066|trolamine salicylate 10 % topical cream||41167073003|27.38||27.38
WS SERVICE AREA|25010066|trolamine salicylate 10 % topical cream||45802035653|29.34||29.34
WS SERVICE AREA|25010066|ondansetron 4 mg disintegrating tablet||00378773293|20.17||
WS SERVICE AREA|25010066|ondansetron 4 mg disintegrating tablet||00781523806|20.17||
WS SERVICE AREA|25010066|ondansetron 4 mg disintegrating tablet||68462015740|20.17||
WS SERVICE AREA|25010066|ondansetron 4 mg disintegrating tablet||57237007730|170.99||170.99
WS SERVICE AREA|25010066|ondansetron 8 mg disintegrating tablet||68462015811|22.70||
WS SERVICE AREA|25010066|ondansetron 8 mg disintegrating tablet||00781523964|22.70||
WS SERVICE AREA|25010066|ondansetron 8 mg disintegrating tablet||68462015840|22.70||
WS SERVICE AREA|25010066|desmopressin 10 mcg/spray (0.1 mL) nasal spray||24208034205|1,888.81||1,888.81
WS SERVICE AREA|25010066|zonisamide 100 mg capsule||68462013001|4.80||4.80
WS SERVICE AREA|25010066|zonisamide 100 mg capsule||51079076801|4.80||4.80
WS SERVICE AREA|25010066|venlafaxine ER 37.5 mg capsule,extended release 24 hr||68382003416|31.94||31.94
WS SERVICE AREA|25010066|venlafaxine ER 37.5 mg capsule,extended release 24 hr||00904646861|4.80||4.80
WS SERVICE AREA|25010066|venlafaxine ER 75 mg capsule,extended release 24 hr||65862052830|35.79||35.79
WS SERVICE AREA|25010066|venlafaxine ER 75 mg capsule,extended release 24 hr||68382003506|35.79||35.79
WS SERVICE AREA|25010066|venlafaxine ER 75 mg capsule,extended release 24 hr||68084070901|32.19||32.19
WS SERVICE AREA|25010066|nicotine 7 mg/24 hr daily transdermal patch||00536589488|7.25||7.25
WS SERVICE AREA|25010066|nicotine 14 mg/24 hr daily transdermal patch||00536589588|7.25||7.25
WS SERVICE AREA|25010066|nicotine 14 mg/24 hr daily transdermal patch||43598044774|7.52||7.52
WS SERVICE AREA|25010066|nicotine 21 mg/24 hr daily transdermal patch||00536589688|7.25||7.25
WS SERVICE AREA|25010066|nicotine 21 mg/24 hr daily transdermal patch||43598044870|8.88||8.88
WS SERVICE AREA|25010066|lanolin-mineral oil lotion||00904429909|7.99||7.99
WS SERVICE AREA|25010066|morphine ER 20 mg capsule,extended release pellets||00832022600|40.11||40.11
WS SERVICE AREA|25010066|morphine ER 50 mg capsule,extended release pellets||00832022800|29.16||29.16
WS SERVICE AREA|25010066|fentaNYL 25 mcg/hr transdermal patch||00378912198|110.60||110.60
WS SERVICE AREA|25010066|fentaNYL 25 mcg/hr transdermal patch||00378912116|110.60||110.60
WS SERVICE AREA|25010066|fentaNYL 25 mcg/hr transdermal patch||60505700602|163.11||163.11
WS SERVICE AREA|25010066|fentaNYL 25 mcg/hr transdermal patch||60505708100|163.14||163.14
WS SERVICE AREA|25010066|fentaNYL 25 mcg/hr transdermal patch||60505708102|163.11||163.11
WS SERVICE AREA|25010066|fentaNYL 50 mcg/hr transdermal patch||00406905076|202.18||202.18
WS SERVICE AREA|25010066|fentaNYL 50 mcg/hr transdermal patch||60505700702|298.22||298.22
WS SERVICE AREA|25010066|fentaNYL 50 mcg/hr transdermal patch||60505701202|298.22||298.22
WS SERVICE AREA|25010066|fentaNYL 75 mcg/hr transdermal patch||60505700800|454.91||454.91
WS SERVICE AREA|25010066|fentaNYL 75 mcg/hr transdermal patch||60505700802|454.88||454.88
WS SERVICE AREA|25010066|fentaNYL 100 mcg/hr transdermal patch||60505700900|603.71||603.71
WS SERVICE AREA|25010066|fentaNYL 100 mcg/hr transdermal patch||60505700902|603.72||603.72
WS SERVICE AREA|25010066|carboxymethylcellulose sodium 1 % eye liquid gel drops||00023920515|60.52||60.52
WS SERVICE AREA|25010066|polyvinyl alcohol 1.4 % eye drops||17478006012|31.34||31.34
WS SERVICE AREA|25010066|sodium polystyrene sulfonate 15 gram/60 mL oral suspension||46287000660|183.16||183.16
WS SERVICE AREA|25010066|benzocaine 20 %-menthoL 0.5 % topical aerosol||16864068002|19.19||19.19
WS SERVICE AREA|25010066|phenobarb-hyoscyamn-atropine-scop 16.2 mg-0.1037 mg-0.0194 mg tablet||75826011810|71.56||71.56
WS SERVICE AREA|25010066|OLANZapine 5 mg disintegrating tablet||00093524519|109.48||109.48
WS SERVICE AREA|25010066|OLANZapine 5 mg disintegrating tablet||13668008630|107.38||107.38
WS SERVICE AREA|25010066|OLANZapine 5 mg disintegrating tablet||55111026281|108.27||108.27
WS SERVICE AREA|25010066|OLANZapine 5 mg disintegrating tablet||60505327503|109.48||109.48
WS SERVICE AREA|25010066|OLANZapine 5 mg disintegrating tablet||33342008307|107.38||107.38
WS SERVICE AREA|25010066|OLANZapine 10 mg disintegrating tablet||00093524619|80.44||80.44
WS SERVICE AREA|25010066|OLANZapine 10 mg disintegrating tablet||00093524665|80.44||80.44
WS SERVICE AREA|25010066|OLANZapine 10 mg disintegrating tablet||13668008830|79.26||79.26
WS SERVICE AREA|25010066|OLANZapine 10 mg disintegrating tablet||00002445401|89.55||89.55
WS SERVICE AREA|25010066|lidocaine 5 % topical patch||00591352511|71.79||71.79
WS SERVICE AREA|25010066|lidocaine 5 % topical patch||00603188010|71.79||
WS SERVICE AREA|25010066|lidocaine 5 % topical patch||00591267930|71.79||71.79
WS SERVICE AREA|25010066|lidocaine 5 % topical patch||63481068706|168.33||168.33
WS SERVICE AREA|25010066|peppermint spirit oral||00395224391|74.55||74.55
WS SERVICE AREA|25010066|linezolid 600 mg tablet||67877041933|1,408.69||1,408.69
WS SERVICE AREA|25010066|linezolid 100 mg/5 mL oral suspension||00009513601|5,178.40||5,178.40
WS SERVICE AREA|25010066|linezolid 100 mg/5 mL oral suspension||00054031950|7,337.89||7,337.89
WS SERVICE AREA|25010066|rivastigmine 1.5 mg capsule||55111035260|32.55||32.55
WS SERVICE AREA|25010066|rivastigmine 1.5 mg capsule||63739057610|25.79||25.79
WS SERVICE AREA|25010066|rivastigmine 1.5 mg capsule||33342008909|30.92||30.92
WS SERVICE AREA|25010066|rivastigmine 3 mg capsule||00781261560|16.28||16.28
WS SERVICE AREA|25010066|rivastigmine 3 mg capsule||65862064960|17.88||17.88
WS SERVICE AREA|25010066|rivastigmine 4.5 mg capsule||00781261660|10.85||10.85
WS SERVICE AREA|25010066|rivastigmine 4.5 mg capsule||33342009109|10.31||10.31
WS SERVICE AREA|25010066|insulin glargine (U-100) 100 unit/mL subcutaneous solution||49502019580|19.60||19.60
WS SERVICE AREA|25010066|colesevelam 625 mg tablet||68462043318|30.34||30.34
WS SERVICE AREA|25010066|colesevelam 625 mg tablet||67877050651|30.28||30.28
WS SERVICE AREA|25010066|colesevelam 625 mg tablet||65597070118|28.53||28.53
WS SERVICE AREA|25010066|HYDROcodone 10 mg-acetaminophen 325 mg tablet||00406012523|9.28||9.28
WS SERVICE AREA|25010066|estradioL 0.05 mg/24 hr weekly transdermal patch||47781020604|169.51||169.51
WS SERVICE AREA|25010066|estradioL 0.1 mg/24 hr weekly transdermal patch||00378335299|178.01||178.01
WS SERVICE AREA|25010066|estradioL 0.1 mg/24 hr weekly transdermal patch||47781020904|169.51||169.51
WS SERVICE AREA|25010066|ergocalciferol (vitamin D2) 1,250 mcg (50,000 unit) capsule||51991060401|15.13||15.13
WS SERVICE AREA|25010066|ergocalciferol (vitamin D2) 1,250 mcg (50,000 unit) capsule||68084046311|15.57||15.57
WS SERVICE AREA|25010066|ergocalciferol (vitamin D2) 1,250 mcg (50,000 unit) capsule||64380073706|15.13||15.13
WS SERVICE AREA|25010066|atorvastatin 80 mg tablet||68084059025|4.80||4.80
WS SERVICE AREA|25010066|atorvastatin 80 mg tablet||68084059095|4.80||4.80
WS SERVICE AREA|25010066|atorvastatin 80 mg tablet||51079021101|4.80||4.80
WS SERVICE AREA|25010066|white petrolatum topical jelly||00521231100|4.57||
WS SERVICE AREA|25010066|neomycin-polymyxin-hydrocort 3.5 mg-10,000 unit/mL-1 % ear drops,susp||61314064511|804.43||804.43
WS SERVICE AREA|25010066|neomycin-polymyxin-hydrocort 3.5 mg-10,000 unit/mL-1 % ear drops,susp||24208063562|643.51||643.51
WS SERVICE AREA|25010066|hydrocortisone 2.5 % topical cream with perineal applicator||10631040701|568.12||568.12
WS SERVICE AREA|25010066|hydrocortisone 2.5 % topical cream with perineal applicator||64980032430|669.82||669.82
WS SERVICE AREA|25010066|hydrocortisone 2.5 % topical cream with perineal applicator||69315031228|536.90||536.90
WS SERVICE AREA|25010066|hydrocortisone 2.5 % topical cream with perineal applicator||64980030130|669.82||669.82
WS SERVICE AREA|25010066|oxyCODONE 15 mg tablet||00406851562|6.06||6.06
WS SERVICE AREA|25010066|oxyCODONE 15 mg tablet||68094000561|4.80||4.80
WS SERVICE AREA|25010066|lopinavir-ritonavir 400 mg-100 mg/5 mL oral solution||00527194748|125.17||125.17
WS SERVICE AREA|25010066|levoFLOXacin 750 mg tablet||68084048311|90.50||90.50
WS SERVICE AREA|25010066|levoFLOXacin 750 mg tablet||68180024201|92.34||92.34
WS SERVICE AREA|25010066|erythromycin ethylsuccinate 200 mg/5 mL oral powder for suspension||24338013402|144.27||144.27
WS SERVICE AREA|25010066|alendronate 70 mg tablet||16714063301|78.28||78.28
WS SERVICE AREA|25010066|balsalazide 750 mg capsule||00054007928|36.79||36.79
WS SERVICE AREA|25010066|balsalazide 750 mg capsule||00378675082|36.75||36.75
WS SERVICE AREA|25010066|conjugated estrogens 1.25 mg tablet||00046110481|11.41||11.41
WS SERVICE AREA|25010066|clotrimazole-betamethasone 1 %-0.05 % topical cream||00168025815|129.32||129.32
WS SERVICE AREA|25010066|clotrimazole-betamethasone 1 %-0.05 % topical cream||16714049601|287.51||287.51
WS SERVICE AREA|25010066|ethyl chloride 100 % topical spray||00386000111|237.56||237.56
WS SERVICE AREA|25010066|mirtazapine 15 mg disintegrating tablet||65862002106|18.06||18.06
WS SERVICE AREA|25010066|mirtazapine 30 mg disintegrating tablet||65862002206|9.30||9.30
WS SERVICE AREA|25010066|sodium chloride 0.65 % nasal spray aerosol||56184012011|18.41||18.41
WS SERVICE AREA|25010066|sodium chloride 0.65 % nasal spray aerosol||00904386575|6.07||6.07
WS SERVICE AREA|25010066|ziprasidone 20 mg capsule||63739098832|21.33||21.33
WS SERVICE AREA|25010066|ziprasidone 20 mg capsule||16714083501|67.94||67.94
WS SERVICE AREA|25010066|ziprasidone 80 mg capsule||68084010611|19.70||19.70
WS SERVICE AREA|25010066|ziprasidone 80 mg capsule||63739050832|6.23||6.23
WS SERVICE AREA|25010066|galantamine 4 mg tablet||00378272191|24.38||24.38
WS SERVICE AREA|25010066|galantamine 4 mg tablet||51079085201|32.38||32.38
WS SERVICE AREA|25010066|galantamine 4 mg tablet||65862045860|24.41||24.41
WS SERVICE AREA|25010066|galantamine 4 mg tablet||57237004960|24.41||24.41
WS SERVICE AREA|25010066|galantamine 8 mg tablet||10147088206|9.75||9.75
WS SERVICE AREA|25010066|galantamine 8 mg tablet||00378272291|12.19||12.19
WS SERVICE AREA|25010066|galantamine 8 mg tablet||51079085301|16.19||16.19
WS SERVICE AREA|25010066|galantamine 8 mg tablet||65862045960|12.20||12.20
WS SERVICE AREA|25010066|galantamine 8 mg tablet||57237005060|12.20||12.20
WS SERVICE AREA|25010066|metoprolol succinate ER 25 mg tablet,extended release 24 hr||68084065911|8.55||
WS SERVICE AREA|25010066|busPIRone 7.5 mg tablet||64380078706|8.08||8.08
WS SERVICE AREA|25010066|metoprolol succinate ER 50 mg tablet,extended release 24 hr||51079017020|4.80||4.80
WS SERVICE AREA|25010066|metoprolol succinate ER 50 mg tablet,extended release 24 hr||55111046701|4.80||4.80
WS SERVICE AREA|25010066|metoprolol succinate ER 50 mg tablet,extended release 24 hr||16714085301|4.80||4.80
WS SERVICE AREA|25010066|metoprolol succinate ER 100 mg tablet,extended release 24 hr||60687041301|4.80||4.80
WS SERVICE AREA|25010066|metoprolol succinate ER 100 mg tablet,extended release 24 hr||60687041311|4.80||4.80
WS SERVICE AREA|25010066|valGANciclovir 450 mg tablet||68084096595|1,173.49||1,173.49
WS SERVICE AREA|25010066|valGANciclovir 450 mg tablet||00004003822|678.04||678.04
WS SERVICE AREA|25010066|citalopram 10 mg tablet||13668000901|19.79||19.79
WS SERVICE AREA|25010066|citalopram 10 mg tablet||65162005250|18.75||18.75
WS SERVICE AREA|25010066|citalopram 10 mg tablet||68084073701|19.02||19.02
WS SERVICE AREA|25010066|OXcarbazepine 300 mg/5 mL (60 mg/mL) oral suspension||00781627043|2,184.03||2,184.03
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|17.22||17.22
WS SERVICE AREA|25010066|ferrous sulfate 325 mg (65 mg iron) tablet,delayed release||00245010811|1.84||1.84
WS SERVICE AREA|25010066|ferrous sulfate 325 mg (65 mg iron) tablet,delayed release||00245010889|3.47||3.47
WS SERVICE AREA|25010066|calcium acetate(phosphate binders) 667 mg capsule||00054008826|4.34||4.34
WS SERVICE AREA|25010066|calcium acetate(phosphate binders) 667 mg capsule||68084047901|7.10||7.10
WS SERVICE AREA|25010066|calcium acetate(phosphate binders) 667 mg capsule||68084047911|7.10||7.10
WS SERVICE AREA|25010066|calcium acetate(phosphate binders) 667 mg capsule||00054008813|4.34||4.34
WS SERVICE AREA|25010066|calcium acetate(phosphate binders) 667 mg capsule||23155053102|4.34||4.34
WS SERVICE AREA|25010066|calcium acetate(phosphate binders) 667 mg capsule||29033002602|4.34||4.34
WS SERVICE AREA|25010066|calcium acetate(phosphate binders) 667 mg capsule||62135019122|4.34||4.34
WS SERVICE AREA|25010066|allopurinoL 100 mg tablet||62584098811|4.80||4.80
WS SERVICE AREA|25010066|allopurinoL 100 mg tablet||16714004110|4.80||4.80
WS SERVICE AREA|25010066|allopurinoL 300 mg tablet||62584071311|4.80||4.80
WS SERVICE AREA|25010066|allopurinoL 300 mg tablet||16714004210|4.80||4.80
WS SERVICE AREA|25010066|brimonidine 0.15 % eye drops||61314014405|14.70||14.70
WS SERVICE AREA|25010066|amoxicillin 600 mg-potassium clavulanate 42.9 mg/5 mL oral suspension||16714029401|381.39||381.39
WS SERVICE AREA|25010066|valsartan 80 mg tablet||00078035834|30.12||30.12
WS SERVICE AREA|25010066|valsartan 160 mg tablet||00078035934|16.20||16.20
WS SERVICE AREA|25010066|budesonide DR - ER 3 mg capsule,delayed,extended release||49884050101|144.54||144.54
WS SERVICE AREA|25010066|budesonide DR - ER 3 mg capsule,delayed,extended release||00574985510|20.48||20.48
WS SERVICE AREA|25010066|budesonide DR - ER 3 mg capsule,delayed,extended release||51862058001|144.54||144.54
WS SERVICE AREA|25010066|tenofovir disoproxil fumarate 300 mg tablet||61958040101|320.48||320.48
WS SERVICE AREA|25010066|anakinra 100 mg/0.67 mL subcutaneous syringe||66658023407|1,130.11||1,130.11
WS SERVICE AREA|25010066|anakinra 100 mg/0.67 mL subcutaneous syringe||66658023401|1,130.11||1,130.11
WS SERVICE AREA|25010066|oxyCODONE-acetaminophen 7.5 mg-325 mg tablet||00406052262|20.82||20.82
WS SERVICE AREA|25010066|oxyCODONE-acetaminophen 10 mg-325 mg tablet||00406052362|27.24||27.24
WS SERVICE AREA|25010066|oxyCODONE-acetaminophen 10 mg-325 mg tablet||68084071001|27.38||27.38
WS SERVICE AREA|25010066|oxyCODONE-acetaminophen 10 mg-325 mg tablet||00904643961|10.58||10.58
WS SERVICE AREA|25010066|fluocinonide 0.05 % topical ointment||00093026415|542.69||542.69
WS SERVICE AREA|25010066|pravastatin 80 mg tablet||60505132309|4.80||4.80
WS SERVICE AREA|25010066|pravastatin 80 mg tablet||68180048809|4.80||4.80
WS SERVICE AREA|25010066|fluPHENAZine 1 mg tablet||00527178801|33.69||33.69
WS SERVICE AREA|25010066|fluPHENAZine 1 mg tablet||51079048501|4.80||4.80
WS SERVICE AREA|25010066|fluPHENAZine 10 mg tablet||00527179101|8.90||8.90
WS SERVICE AREA|25010066|fluPHENAZine 10 mg tablet||51079048801|4.80||4.80
WS SERVICE AREA|25010066|fluPHENAZine 2.5 mg tablet||00527178901|20.86||20.86
WS SERVICE AREA|25010066|fluPHENAZine 2.5 mg tablet||69238167901|20.86||20.86
WS SERVICE AREA|25010066|fluPHENAZine 2.5 mg tablet||51079048601|4.80||4.80
WS SERVICE AREA|25010066|fluPHENAZine 5 mg tablet||00527179001|14.11||14.11
WS SERVICE AREA|25010066|fluPHENAZine 5 mg tablet||69238168001|14.11||14.11
WS SERVICE AREA|25010066|efavirenz 600 mg tablet||00056051030|250.71||250.71
WS SERVICE AREA|25010066|folic acid 1 mg tablet||65162036110|4.80||4.80
WS SERVICE AREA|25010066|folic acid 1 mg tablet||62584089711|4.80||4.80
WS SERVICE AREA|25010066|folic acid 1 mg tablet||51079010520|4.80||4.80
WS SERVICE AREA|25010066|folic acid 1 mg tablet||10135018201|4.80||4.80
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|5.33||5.33
WS SERVICE AREA|25010066|ALPRAZolam 0.25 mg tablet||00781106101|5.33||5.33
WS SERVICE AREA|25010066|ALPRAZolam 0.25 mg tablet||68084064701|5.00||5.00
WS SERVICE AREA|25010066|ALPRAZolam 0.25 mg tablet||68084064711|5.00||5.00
WS SERVICE AREA|25010066|ALPRAZolam 0.25 mg tablet||59762371901|4.80||4.80
WS SERVICE AREA|25010066|ALPRAZolam 0.25 mg tablet||59762371903|4.80||4.80
WS SERVICE AREA|25010066|ALPRAZolam 0.5 mg tablet||00228202950|4.80||4.80
WS SERVICE AREA|25010066|ALPRAZolam 0.5 mg tablet||00904585961|4.80||4.80
WS SERVICE AREA|25010066|ALPRAZolam 0.5 mg tablet||00781107701|4.80||4.80
WS SERVICE AREA|25010066|ALPRAZolam 0.5 mg tablet||59762372001|4.80||4.80
WS SERVICE AREA|25010066|PARoxetine ER 12.5 mg tablet,extended release 24 hr||60505367303|42.77||42.77
WS SERVICE AREA|25010066|PARoxetine ER 12.5 mg tablet,extended release 24 hr||62175047032|42.77||42.77
WS SERVICE AREA|25010066|PARoxetine ER 25 mg tablet,extended release 24 hr||00378200493|22.32||22.32
WS SERVICE AREA|25010066|PARoxetine ER 25 mg tablet,extended release 24 hr||60505367403|22.32||22.32
WS SERVICE AREA|25010066|PARoxetine ER 25 mg tablet,extended release 24 hr||62175047132|22.32||22.32
WS SERVICE AREA|25010066|PARoxetine ER 25 mg tablet,extended release 24 hr||60505131703|22.32||22.32
WS SERVICE AREA|25010066|PARoxetine ER 37.5 mg tablet,extended release 24 hr||60505367503|15.32||15.32
WS SERVICE AREA|25010066|PARoxetine ER 37.5 mg tablet,extended release 24 hr||00378200593|15.32||15.32
WS SERVICE AREA|25010066|PARoxetine ER 37.5 mg tablet,extended release 24 hr||62175047232|15.32||15.32
WS SERVICE AREA|25010066|olmesartan 5 mg tablet||67877044530|39.50||39.50
WS SERVICE AREA|25010066|olmesartan 5 mg tablet||68462043630|43.36||43.36
WS SERVICE AREA|25010066|olmesartan 20 mg tablet||65862074230|13.25||13.25
WS SERVICE AREA|25010066|olmesartan 20 mg tablet||67877044630|12.05||12.05
WS SERVICE AREA|25010066|olmesartan 20 mg tablet||68462043730|13.25||13.25
WS SERVICE AREA|25010066|olmesartan 20 mg tablet||62332013230|12.04||12.04
WS SERVICE AREA|25010066|olmesartan 20 mg tablet||65597010330|15.44||15.44
WS SERVICE AREA|25010066|olmesartan 40 mg tablet||68462043830|9.21||9.21
WS SERVICE AREA|25010066|olmesartan 40 mg tablet||62332013330|8.37||8.37
WS SERVICE AREA|25010066|olmesartan 40 mg tablet||65597010430|10.73||10.73
WS SERVICE AREA|25010066|olmesartan 40 mg tablet||65597010490|9.30||9.30
WS SERVICE AREA|25010066|furosemide 10 mg/mL oral solution||00054329446|69.95||69.95
WS SERVICE AREA|25010066|furosemide 20 mg tablet||51079007201|4.80||4.80
WS SERVICE AREA|25010066|furosemide 40 mg tablet||43547040210|4.80||4.80
WS SERVICE AREA|25010066|furosemide 40 mg tablet||00054829925|4.80||4.80
WS SERVICE AREA|25010066|furosemide 80 mg tablet||00054830125|4.80||4.80
WS SERVICE AREA|25010066|furosemide 80 mg tablet||51079052720|4.80||4.80
WS SERVICE AREA|25010066|imatinib 100 mg tablet||00078040134|718.20||718.20
WS SERVICE AREA|25010066|imatinib 100 mg tablet||60687019211|2,456.26||2,456.26
WS SERVICE AREA|25010066|voriconazole 50 mg tablet||00378162693|89.94||89.94
WS SERVICE AREA|25010066|voriconazole 50 mg tablet||51079016401|71.95||71.95
WS SERVICE AREA|25010066|voriconazole 50 mg tablet||16714051401|100.05||100.05
WS SERVICE AREA|25010066|voriconazole 200 mg tablet||16714051501|213.60||213.60
WS SERVICE AREA|25010066|voriconazole 200 mg tablet||00049318030|14.14||14.14
WS SERVICE AREA|25010066|midodrine 10 mg tablet||00378190301|9.27||9.27
WS SERVICE AREA|25010066|methenamine 81 mg-m.blue 10.8 mg-sod phos 40.8 mg-p.salicy-hyos tablet||00037632190|58.32||58.32
WS SERVICE AREA|25010066|methenamine 81 mg-m.blue 10.8 mg-sod phos 40.8 mg-p.salicy-hyos tablet||58657045890|46.82||46.82
WS SERVICE AREA|25010066|methenamine 81 mg-m.blue 10.8 mg-sod phos 40.8 mg-p.salicy-hyos tablet||71186000024|43.72||43.72
WS SERVICE AREA|25010066|amoxicillin 200 mg-potassium clavulanate 28.5 mg chewable tablet||00093227034|21.69||21.69
WS SERVICE AREA|25010066|amoxicillin 500 mg-potassium clavulanate 125 mg tablet||16714049401|29.03||29.03
WS SERVICE AREA|25010066|amoxicillin 500 mg-potassium clavulanate 125 mg tablet||66685100200|29.03||29.03
WS SERVICE AREA|25010066|amoxicillin 500 mg-potassium clavulanate 125 mg tablet||00093227434|29.03||29.03
WS SERVICE AREA|25010066|amoxicillin 875 mg-potassium clavulanate 125 mg tablet||00781185220|38.75||38.75
WS SERVICE AREA|25010066|amoxicillin 875 mg-potassium clavulanate 125 mg tablet||16714047801|38.75||38.75
WS SERVICE AREA|25010066|amoxicillin 875 mg-potassium clavulanate 125 mg tablet||16714047802|37.66||37.66
WS SERVICE AREA|25010066|amoxicillin 200 mg-potassium clavulanate 28.5 mg/5 mL oral suspension||16714029203|286.86||286.86
WS SERVICE AREA|25010066|amoxicillin 200 mg-potassium clavulanate 28.5 mg/5 mL oral suspension||66685101100|141.51||141.51
WS SERVICE AREA|25010066|escitalopram 10 mg tablet||00093585101|16.59||16.59
WS SERVICE AREA|25010066|escitalopram 10 mg tablet||68084061711|16.57||16.57
WS SERVICE AREA|25010066|escitalopram 10 mg tablet||00904642661|4.80||4.80
WS SERVICE AREA|25010066|escitalopram 10 mg tablet||43547028110|16.61||16.61
WS SERVICE AREA|25010066|escitalopram 20 mg tablet||68084061811|8.82||8.82
WS SERVICE AREA|25010066|escitalopram 20 mg tablet||00904642761|4.80||4.80
WS SERVICE AREA|25010066|valsartan 40 mg tablet||00078042315|50.39||50.39
WS SERVICE AREA|25010066|gemfibroziL 600 mg tablet||60687022411|8.88||8.88
WS SERVICE AREA|25010066|metaxalone 800 mg tablet||55111065001|18.76||18.76
WS SERVICE AREA|25010066|ezetimibe 10 mg tablet||66582041429|88.21||88.21
WS SERVICE AREA|25010066|ezetimibe 10 mg tablet||68382077306|86.65||86.65
WS SERVICE AREA|25010066|ezetimibe 10 mg tablet||66582041431|88.21||88.21
WS SERVICE AREA|25010066|ezetimibe 10 mg tablet||66582041454|88.21||88.21
WS SERVICE AREA|25010066|gentamicin 0.1 % topical cream||45802005635|378.74||378.74
WS SERVICE AREA|25010066|gentamicin 0.1 % topical ointment||45802004635|378.74||378.74
WS SERVICE AREA|25010066|ARIPiprazole 15 mg tablet||60687019111|31.61||31.61
WS SERVICE AREA|25010066|ARIPiprazole 15 mg tablet||60687019121|31.61||31.61
WS SERVICE AREA|25010066|ARIPiprazole 15 mg tablet||16714078601|32.64||32.64
WS SERVICE AREA|25010066|ARIPiprazole 20 mg tablet||16714078701|34.61||34.61
WS SERVICE AREA|25010066|ARIPiprazole 20 mg tablet||16714014501|34.61||34.61
WS SERVICE AREA|25010066|ARIPiprazole 20 mg tablet||59148001013|32.25||32.25
WS SERVICE AREA|25010066|divalproex ER 250 mg tablet,extended release 24 hr||00904636345|11.67||11.67
WS SERVICE AREA|25010066|alum, ammonium (bulk) powder||00395004912|153.86||153.86
WS SERVICE AREA|25010066|alum, ammonium (bulk) powder||51552021804|213.23||213.23
WS SERVICE AREA|25010066|HYDROcodone 5 mg-acetaminophen 325 mg tablet||00406012301|5.31||5.31
WS SERVICE AREA|25010066|HYDROcodone 5 mg-acetaminophen 325 mg tablet||00406012323|6.10||6.10
WS SERVICE AREA|25010066|HYDROcodone 5 mg-acetaminophen 325 mg tablet||00406012362|6.10||6.10
WS SERVICE AREA|25010066|HYDROcodone 5 mg-acetaminophen 325 mg tablet||68084089511|4.80||4.80
WS SERVICE AREA|25010066|HYDROcodone 5 mg-acetaminophen 325 mg tablet||68084089501|4.80||4.80
WS SERVICE AREA|25010066|HYDROcodone 5 mg-acetaminophen 325 mg tablet||00904656761|4.80||4.80
WS SERVICE AREA|25010066|HYDROcodone 7.5 mg-acetaminophen 325 mg tablet||00406012423|6.80||6.80
WS SERVICE AREA|25010066|lansoprazole 30 mg delayed release,disintegrating tablet||64764054411|53.06||53.06
WS SERVICE AREA|25010066|lansoprazole 30 mg delayed release,disintegrating tablet||64764054430|53.06||53.06
WS SERVICE AREA|25010066|eletriptan 20 mg tablet||00049233045|525.64||525.64
WS SERVICE AREA|25010066|eletriptan 20 mg tablet||00049233079|525.64||525.64
WS SERVICE AREA|25010066|eletriptan 40 mg tablet||00049234045|262.82||262.82
WS SERVICE AREA|25010066|neomycin-polymyxin-hydrocort 3.5 mg/mL-10,000 unit/mL-1 % ear solution||24208063110|643.51||643.51
WS SERVICE AREA|25010066|glyBURIDE 5 mg tablet||63739011910|4.80||4.80
WS SERVICE AREA|25010066|glyBURIDE 5 mg tablet||00093834401|4.80||4.80
WS SERVICE AREA|25010066|rosuvastatin 10 mg tablet||60687024511|27.40||27.40
WS SERVICE AREA|25010066|rosuvastatin 20 mg tablet||60687025611|13.70||13.70
WS SERVICE AREA|25010066|cyclobenzaprine 5 mg tablet||00378077101|12.59||12.59
WS SERVICE AREA|25010066|cyclobenzaprine 5 mg tablet||59746021106|13.26||13.26
WS SERVICE AREA|25010066|cyclobenzaprine 5 mg tablet||10702000601|13.30||13.30
WS SERVICE AREA|25010066|cyclobenzaprine 5 mg tablet||43547039910|12.59||12.59
WS SERVICE AREA|25010066|aluminum hydroxide geL 320 mg/5 mL oral suspension||00000005331|3.05||3.05
WS SERVICE AREA|25010066|guaiFENesin 100 mg/5 mL oral liquid||00121174405|5.08||5.08
WS SERVICE AREA|25010066|guaiFENesin 100 mg/5 mL oral liquid||00121174410|2.71||2.71
WS SERVICE AREA|25010066|clonazePAM 0.125 mg disintegrating tablet||49884030602|9.96||9.96
WS SERVICE AREA|25010066|clonazePAM 0.25 mg disintegrating tablet||49884030702|4.98||4.98
WS SERVICE AREA|25010066|clonazePAM 0.5 mg disintegrating tablet||49884030802|4.80||4.80
WS SERVICE AREA|25010066|clonazePAM 1 mg disintegrating tablet||49884030902|4.80||4.80
WS SERVICE AREA|25010066|clonazePAM 2 mg disintegrating tablet||49884031002|4.80||4.80
WS SERVICE AREA|25010066|risperiDONE 0.5 mg disintegrating tablet||49884031191|37.71||37.71
WS SERVICE AREA|25010066|risperiDONE 0.5 mg disintegrating tablet||00781531008|36.12||36.12
WS SERVICE AREA|25010066|risperiDONE 0.5 mg disintegrating tablet||49884031152|37.71||37.71
WS SERVICE AREA|25010066|risperiDONE 1 mg disintegrating tablet||49884031552|22.03||22.03
WS SERVICE AREA|25010066|haloperidoL 0.5 mg tablet||51079073301|4.80||4.80
WS SERVICE AREA|25010066|haloperidoL 1 mg tablet||00781139201|4.80||4.80
WS SERVICE AREA|25010066|haloperidoL 2 mg tablet||51079073501|4.80||4.80
WS SERVICE AREA|25010066|haloperidoL 2 mg tablet||00378021401|4.80||4.80
WS SERVICE AREA|25010066|haloperidoL 2 mg tablet||00832153011|4.80||4.80
WS SERVICE AREA|25010066|haloperidoL 5 mg tablet||51079073601|4.80||4.80
WS SERVICE AREA|25010066|haloperidoL 5 mg tablet||00378032701|4.80||4.80
WS SERVICE AREA|25010066|haloperidoL 5 mg tablet||60687016111|4.80||4.80
WS SERVICE AREA|25010066|haloperidol lactate 2 mg/mL oral concentrate||54838050140|4.80||4.80
WS SERVICE AREA|25010066|haloperidol lactate 2 mg/mL oral concentrate||00093960412|7.12||7.12
WS SERVICE AREA|25010066|imatinib 400 mg tablet||00078043815|646.99||646.99
WS SERVICE AREA|25010066|imatinib 400 mg tablet||60687020325|756.76||756.76
WS SERVICE AREA|25010066|imatinib 400 mg tablet||60687020395|756.76||756.76
WS SERVICE AREA|25010066|carbidopa 12.5 mg-levodopa 50 mg-entacapone 200 mg tablet||64679078204|28.77||28.77
WS SERVICE AREA|25010066|carbidopa 12.5 mg-levodopa 50 mg-entacapone 200 mg tablet||00378830001|28.77||28.77
WS SERVICE AREA|25010066|carbidopa 25 mg-levodopa 100 mg-entacapone 200 mg tablet||47335000388|23.71||23.71
WS SERVICE AREA|25010066|carbidopa 37.5 mg-levodopa 150 mg-entacapone 200 mg tablet||47335000588|23.71||23.71
WS SERVICE AREA|25010066|carbidopa 37.5 mg-levodopa 150 mg-entacapone 200 mg tablet||64679078604|28.77||28.77
WS SERVICE AREA|25010066|atazanavir 150 mg capsule||65862071160|142.16||142.16
WS SERVICE AREA|25010066|atazanavir 150 mg capsule||00003362412|124.70||124.70
WS SERVICE AREA|25010066|emtricitabine 200 mg capsule||61958060101|137.17||137.17
WS SERVICE AREA|25010066|estradioL 0.0375 mg/24 hr weekly transdermal patch||47781020504|169.51||169.51
WS SERVICE AREA|25010066|amantadine HCL 100 mg capsule||00781204801|15.49||15.49
WS SERVICE AREA|25010066|ARIPiprazole 5 mg tablet||50268008811|91.82||91.82
WS SERVICE AREA|25010066|ARIPiprazole 5 mg tablet||50268008815|91.82||91.82
WS SERVICE AREA|25010066|ARIPiprazole 5 mg tablet||16714078401|97.64||97.64
WS SERVICE AREA|25010066|ARIPiprazole 5 mg tablet||16714014201|97.64||97.64
WS SERVICE AREA|25010066|amantadine HCL 50 mg/5 mL oral solution||00121064610|9.86||9.86
WS SERVICE AREA|25010066|amantadine HCL 50 mg/5 mL oral solution||00121064616|5.91||5.91
WS SERVICE AREA|25010066|amantadine HCL 50 mg/5 mL oral solution||00000005581|5.91||5.91
WS SERVICE AREA|25010066|amantadine HCL 50 mg/5 mL oral solution||50383080716|5.91||5.91
WS SERVICE AREA|25010066|amantadine HCL 50 mg/5 mL oral solution||60432009316|5.71||5.71
WS SERVICE AREA|25010066|levETIRAcetam 100 mg/mL oral solution||68180009901|2,321.86||2,321.86
WS SERVICE AREA|25010066|buPROPion HCL XL 150 mg 24 hr tablet, extended release||60687031201|35.73||35.73
WS SERVICE AREA|25010066|buPROPion HCL XL 150 mg 24 hr tablet, extended release||68180031906|36.61||36.61
WS SERVICE AREA|25010066|buPROPion HCL XL 150 mg 24 hr tablet, extended release||70436001004|33.05||33.05
WS SERVICE AREA|25010066|buPROPion HCL XL 300 mg 24 hr tablet, extended release||10370010203|18.29||18.29
WS SERVICE AREA|25010066|buPROPion HCL XL 300 mg 24 hr tablet, extended release||51079010901|24.15||24.15
WS SERVICE AREA|25010066|buPROPion HCL XL 300 mg 24 hr tablet, extended release||45963014230|24.15||24.15
WS SERVICE AREA|25010066|buPROPion HCL XL 300 mg 24 hr tablet, extended release||70436001104|22.93||22.93
WS SERVICE AREA|25010066|docusate sodium 50 mg/5 mL oral liquid||00121054410|2.96||2.96
WS SERVICE AREA|25010066|memantine 10 mg tablet||53746016930|23.38||23.38
WS SERVICE AREA|25010066|phenoL 1.4 % mucosal aerosol spray||49348099136|4.80||4.80
WS SERVICE AREA|25010066|phenoL 1.4 % mucosal aerosol spray||00904630521|4.80||4.80
WS SERVICE AREA|25010066|hydrALAZINE 10 mg tablet||68084044711|4.80||4.80
WS SERVICE AREA|25010066|hydrALAZINE 10 mg tablet||00904644061|4.80||4.80
WS SERVICE AREA|25010066|eplerenone 25 mg tablet||59762171001|31.43||31.43
WS SERVICE AREA|25010066|eplerenone 50 mg tablet||59762172001|15.98||15.98
WS SERVICE AREA|25010066|eplerenone 50 mg tablet||16729029410|16.64||16.64
WS SERVICE AREA|25010066|eplerenone 50 mg tablet||16729029415|16.64||16.64
WS SERVICE AREA|25010066|zonisamide 25 mg capsule||68462012801|4.80||4.80
WS SERVICE AREA|25010066|zonisamide 25 mg capsule||59212068110|109.45||109.45
WS SERVICE AREA|25010066|hydrALAZINE 100 mg tablet||50111039701|4.80||4.80
WS SERVICE AREA|25010066|hydrALAZINE 25 mg tablet||62584073311|4.80||4.80
WS SERVICE AREA|25010066|hydrALAZINE 25 mg tablet||63739012610|4.80||4.80
WS SERVICE AREA|25010066|hydrALAZINE 25 mg tablet||63739032710|4.80||4.80
WS SERVICE AREA|25010066|hydrALAZINE 25 mg tablet||50111032701|4.80||4.80
WS SERVICE AREA|25010066|hydrALAZINE 50 mg tablet||51079007601|4.80||4.80
WS SERVICE AREA|25010066|hydrALAZINE 50 mg tablet||62584073411|4.80||4.80
WS SERVICE AREA|25010066|hydrALAZINE 50 mg tablet||31722052101|4.80||4.80
WS SERVICE AREA|25010066|hydrALAZINE 50 mg tablet||50111032801|4.80||4.80
WS SERVICE AREA|25010066|memantine 5 mg tablet||00378110391|46.76||46.76
WS SERVICE AREA|25010066|memantine 5 mg tablet||60687017311|6.14||6.14
WS SERVICE AREA|25010066|hydroCHLOROthiazide 25 mg tablet||16729018301|4.80||4.80
WS SERVICE AREA|25010066|hydroCHLOROthiazide 50 mg tablet||00172208960|4.80||4.80
WS SERVICE AREA|25010066|hydrocortisone 0.5 % topical cream||00168001431|11.39||11.39
WS SERVICE AREA|25010066|hydrocortisone 0.5 % topical cream||51672201002|23.26||23.26
WS SERVICE AREA|25010066|hydrocortisone 1 % topical cream||45802043803|17.15||17.15
WS SERVICE AREA|25010066|hydrocortisone 1 % topical cream||45802043805|203.56||203.56
WS SERVICE AREA|25010066|hydrocortisone 2.5 % topical cream||00168008031|25.31||25.31
WS SERVICE AREA|25010066|hydrocortisone 2.5 % topical cream||45802000403|88.82||88.82
WS SERVICE AREA|25010066|hydrocortisone 1 % lotion||00096073204|51.78||51.78
WS SERVICE AREA|25010066|hydrocortisone 1 % topical ointment||00168002031|25.11||25.11
WS SERVICE AREA|25010066|hydrocortisone 1 % topical ointment||00168018131|16.70||16.70
WS SERVICE AREA|25010066|hydrocortisone 10 mg tablet||00603390021|4.80||4.80
WS SERVICE AREA|25010066|hydrocortisone 10 mg tablet||00009003101|6.45||6.45
WS SERVICE AREA|25010066|hydrocortisone 10 mg tablet||68084046901|6.67||6.67
WS SERVICE AREA|25010066|hydrocortisone 10 mg tablet||59762007401|4.80||4.80
WS SERVICE AREA|25010066|hydrocortisone 10 mg tablet||00115169701|4.80||4.80
WS SERVICE AREA|25010066|Saccharomyces boulardii 250 mg capsule||04142000024|8.82||8.82
WS SERVICE AREA|25010066|Saccharomyces boulardii 250 mg capsule||04142000007|7.13||7.13
WS SERVICE AREA|25010066|Saccharomyces boulardii 250 mg capsule||77333080025|7.20||7.20
WS SERVICE AREA|25010066|Saccharomyces boulardii 250 mg capsule||77333080050|7.20||7.20
WS SERVICE AREA|25010066|hydrocortisone acetate 25 mg rectal suppository||42494030124|87.24||87.24
WS SERVICE AREA|25010066|hydrocortisone acetate 25 mg rectal suppository||69367024324|77.37||77.37
WS SERVICE AREA|25010066|hydrocortisone acetate 25 mg rectal suppository||42494030200|87.35||87.35
WS SERVICE AREA|25010066|tadalafiL 5 mg tablet||16729037010|94.43||94.43
WS SERVICE AREA|25010066|HYDROmorphone 2 mg tablet||00406324301|4.80||4.80
WS SERVICE AREA|25010066|HYDROmorphone 2 mg tablet||42858030101|4.80||4.80
WS SERVICE AREA|25010066|HYDROmorphone 2 mg tablet||68084042311|4.80||4.80
WS SERVICE AREA|25010066|HYDROmorphone 4 mg tablet||42858030225|4.80||4.80
WS SERVICE AREA|25010066|HYDROmorphone 4 mg tablet||68084047211|4.80||4.80
WS SERVICE AREA|25010066|HYDROmorphone 4 mg tablet||63739079110|4.80||4.80
WS SERVICE AREA|25010066|escitalopram 5 mg tablet||00093585001|31.74||31.74
WS SERVICE AREA|25010066|escitalopram 5 mg tablet||43547028010|31.83||31.83
WS SERVICE AREA|25010066|metoprolol tartrate 25 mg tablet||51079025501|4.80||4.80
WS SERVICE AREA|25010066|metoprolol tartrate 25 mg tablet||65862006201|4.80||4.80
WS SERVICE AREA|25010066|clindamycin 75 mg/5 mL oral solution||00574012901|475.54||475.54
WS SERVICE AREA|25010066|clindamycin 75 mg/5 mL oral solution||64980051110|475.54||475.54
WS SERVICE AREA|25010066|clindamycin 75 mg/5 mL oral solution||65862059601|475.54||475.54
WS SERVICE AREA|25010066|glipiZIDE ER 2.5 mg tablet, extended release 24 hr||68084029511|10.43||10.43
WS SERVICE AREA|25010066|glipiZIDE ER 2.5 mg tablet, extended release 24 hr||64980027903|4.80||4.80
WS SERVICE AREA|25010066|glipiZIDE ER 5 mg tablet, extended release 24 hr||68084011101|4.80||4.80
WS SERVICE AREA|25010066|glipiZIDE ER 5 mg tablet, extended release 24 hr||00591084401|4.80||4.80
WS SERVICE AREA|25010066|glipiZIDE ER 10 mg tablet, extended release 24 hr||10370074601|4.80||4.80
WS SERVICE AREA|25010066|disopyramide phosphate ER 150 mg capsule,extended release||00025274231|24.35||24.35
WS SERVICE AREA|25010066|propranoloL ER 60 mg capsule,24 hr,extended release||00228277811|15.78||15.78
WS SERVICE AREA|25010066|propranoloL ER 60 mg capsule,24 hr,extended release||51991081701|15.78||15.78
WS SERVICE AREA|25010066|propranoloL ER 60 mg capsule,24 hr,extended release||00527411637|15.78||15.78
WS SERVICE AREA|25010066|propranoloL ER 80 mg capsule,24 hr,extended release||00228277911|13.85||13.85
WS SERVICE AREA|25010066|propranoloL ER 80 mg capsule,24 hr,extended release||00527411737|13.85||13.85
WS SERVICE AREA|25010066|propranoloL ER 120 mg capsule,24 hr,extended release||00527411837|11.44||11.44
WS SERVICE AREA|25010066|propranoloL ER 120 mg capsule,24 hr,extended release||00527411841|11.44||11.44
WS SERVICE AREA|25010066|NIFEdipine ER 90 mg tablet,extended release||00378039001|7.44||7.44
WS SERVICE AREA|25010066|NIFEdipine ER 90 mg tablet,extended release||10370067901|7.74||7.74
WS SERVICE AREA|25010066|NIFEdipine ER 90 mg tablet,extended release||68682010710|6.20||6.20
WS SERVICE AREA|25010066|NIFEdipine ER 90 mg tablet,extended release||50742062201|7.75||7.75
WS SERVICE AREA|25010066|hydrOXYzine HCL 10 mg/5 mL oral solution||60432015016|4.80||4.80
WS SERVICE AREA|25010066|hydrOXYzine HCL 10 mg tablet||68084025311|4.80||4.80
WS SERVICE AREA|25010066|hydrOXYzine HCL 10 mg tablet||00378258601|4.80||4.80
WS SERVICE AREA|25010066|hydrOXYzine HCL 10 mg tablet||16714008110|4.87||4.87
WS SERVICE AREA|25010066|hydrOXYzine pamoate 25 mg capsule||00185067401|4.80||4.80
WS SERVICE AREA|25010066|hydrOXYzine pamoate 25 mg capsule||68084084701|4.80||4.80
WS SERVICE AREA|25010066|hydrOXYzine pamoate 25 mg capsule||00069541066|4.80||4.80
WS SERVICE AREA|25010066|hydrOXYzine pamoate 50 mg capsule||00185061501|4.80||4.80
WS SERVICE AREA|25010066|hydrOXYzine pamoate 50 mg capsule||51079007801|4.80||4.80
WS SERVICE AREA|25010066|hyoscyamine 0.125 mg/mL oral drops||54838050615|306.72||306.72
WS SERVICE AREA|25010066|HYDROcodone 7.5 mg-acetaminophen 325 mg/15 mL oral solution||66689002301|40.84||40.84
WS SERVICE AREA|25010066|HYDROcodone 7.5 mg-acetaminophen 325 mg/15 mL oral solution||66689002350|40.84||40.84
WS SERVICE AREA|25010066|cinacalcet 30 mg tablet||55513007330|206.25||206.25
WS SERVICE AREA|25010066|cinacalcet 30 mg tablet||16714007801|235.47||235.47
WS SERVICE AREA|25010066|aluminum-mag hydroxide-simethicone 200 mg-200 mg-20 mg/5 mL oral susp||00121176130|15.99||15.99
WS SERVICE AREA|25010066|aluminum-mag hydroxide-simethicone 200 mg-200 mg-20 mg/5 mL oral susp||17856572103|5.33||5.33
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|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|4.80||4.80
WS SERVICE AREA|25010066|ibuprofen 400 mg tablet||00904585340|4.80||4.80
WS SERVICE AREA|25010066|ibuprofen 400 mg tablet||65162046410|4.80||4.80
WS SERVICE AREA|25010066|ibuprofen 400 mg tablet||65162046450|4.80||4.80
WS SERVICE AREA|25010066|ibuprofen 600 mg tablet||65162046510|4.80||4.80
WS SERVICE AREA|25010066|ibuprofen 600 mg tablet||65162046550|4.80||4.80
WS SERVICE AREA|25010066|ibuprofen 600 mg tablet||63739068410|4.80||4.80
WS SERVICE AREA|25010066|ibuprofen 600 mg tablet||63739068401|4.80||4.80
WS SERVICE AREA|25010066|FLUoxetine 20 mg/5 mL (4 mg/mL) oral solution||00121072104|18.77||18.77
WS SERVICE AREA|25010066|FLUoxetine 20 mg/5 mL (4 mg/mL) oral solution||00121472105|26.23||26.23
WS SERVICE AREA|25010066|FLUoxetine 20 mg/5 mL (4 mg/mL) oral solution||54838052340|18.85||18.85
WS SERVICE AREA|25010066|FLUoxetine 20 mg/5 mL (4 mg/mL) oral solution||00000005796|37.54||37.54
WS SERVICE AREA|25010066|imipramine 10 mg tablet||00781176201|4.80||4.80
WS SERVICE AREA|25010066|imipramine 10 mg tablet||49884005401|4.80||4.80
WS SERVICE AREA|25010066|imipramine 25 mg tablet||00781176401|4.80||4.80
WS SERVICE AREA|25010066|imipramine 25 mg tablet||49884005501|4.80||4.80
WS SERVICE AREA|25010066|imipramine 50 mg tablet||49884005601|4.80||4.80
WS SERVICE AREA|25010066|indapamide 2.5 mg tablet||00228257111|4.80||4.80
WS SERVICE AREA|25010066|indapamide 2.5 mg tablet||51079086801|5.94||5.94
WS SERVICE AREA|25010066|doxercalciferoL 0.5 mcg capsule||66993018550|120.27||120.27
WS SERVICE AREA|25010066|doxercalciferoL 0.5 mcg capsule||00054033819|125.42||125.42
WS SERVICE AREA|25010066|indomethacin 25 mg capsule||51079019001|4.80||4.80
WS SERVICE AREA|25010066|indomethacin 50 mg capsule||68462030201|4.80||4.80
WS SERVICE AREA|25010066|indomethacin 50 mg capsule||31722054301|4.80||4.80
WS SERVICE AREA|25010066|indomethacin 50 mg rectal suppository||42211010243|787.43||787.43
WS SERVICE AREA|25010066|indomethacin 50 mg rectal suppository||69344010233|787.43||787.43
WS SERVICE AREA|25010066|rifAXIMin 200 mg tablet||65649030103|184.93||184.93
WS SERVICE AREA|25010066|aMILoride 5 mg tablet||00574029201|4.80||4.80
WS SERVICE AREA|25010066|aMILoride 5 mg tablet||64980015101|9.82||9.82
WS SERVICE AREA|25010066|nystatin 100,000 unit/gram topical powder||68308015215|168.32||168.32
WS SERVICE AREA|25010066|nystatin 100,000 unit/gram topical powder||00574200815|210.66||210.66
WS SERVICE AREA|25010066|nitazoxanide 500 mg tablet||67546011112|1,032.64||1,032.64
WS SERVICE AREA|25010066|emtricitabine 200 mg-tenofovir disoproxil fumarate 300 mg tablet||61958070101|471.01||471.01
WS SERVICE AREA|25010066|DULoxetine 20 mg capsule,delayed release||00002323560|60.29||60.29
WS SERVICE AREA|25010066|DULoxetine 20 mg capsule,delayed release||57237001760|53.67||53.67
WS SERVICE AREA|25010066|DULoxetine 20 mg capsule,delayed release||68084067521|62.63||62.63
WS SERVICE AREA|25010066|DULoxetine 20 mg capsule,delayed release||60505299506|53.67||53.67
WS SERVICE AREA|25010066|DULoxetine 30 mg capsule,delayed release||57237001890|40.15||40.15
WS SERVICE AREA|25010066|DULoxetine 30 mg capsule,delayed release||00904645361|7.34||7.34
WS SERVICE AREA|25010066|DULoxetine 60 mg capsule,delayed release||57237001930|20.07||20.07
WS SERVICE AREA|25010066|cefdinir 250 mg/5 mL oral suspension||16714039301|763.01||763.01
WS SERVICE AREA|25010066|lanthanum 500 mg chewable tablet||54092025290|92.09||92.09
WS SERVICE AREA|25010066|lanthanum 500 mg chewable tablet||66993042247|99.35||99.35
WS SERVICE AREA|25010066|fenofibrate nanocrystallized 48 mg tablet||51079059901|14.65||14.65
WS SERVICE AREA|25010066|fenofibrate nanocrystallized 145 mg tablet||68180036109|14.55||14.55
WS SERVICE AREA|25010066|fenofibrate nanocrystallized 145 mg tablet||68084063625|13.08||13.08
WS SERVICE AREA|25010066|fentaNYL (PF) 5 mcg/mL in 0.9 % sodium chloride IV||00000005282|102.99||
WS SERVICE AREA|25010066|hyoscyamine 0.125 mg/mL oral syringe 1 mL||00000005544|20.40||
WS SERVICE AREA|25010066|morphine 2mg/mL oral solution for neonatal abstinence||00000005400|4.80||
WS SERVICE AREA|25010066|nitroglycerin 0.2 % transdermal ointment||00000005550|72.25||
WS SERVICE AREA|25010066|||00000005670|4.80||
WS SERVICE AREA|25010066|||00000005423|9.74||
WS SERVICE AREA|25010066|niMODipine 30 mg/5 mL oral syringe (FOR ORAL USE ONLY)||24338023005|322.87||322.87
WS SERVICE AREA|25010066|niMODipine 60 mg/10 mL oral syringe (FOR ORAL USE ONLY)||24338026010|322.91||322.91
WS SERVICE AREA|25010066|||00000005446|126.39||
WS SERVICE AREA|25010066|hydroxychloroquine oral suspension 25 mg/mL||00000005692|0.01||
WS SERVICE AREA|25010066|||00000005077|73.63||
WS SERVICE AREA|25010066|insulin regular human 100 unit/mL injection solution||00002821501|19.60||19.60
WS SERVICE AREA|25010066|insulin regular human 100 unit/mL injection solution||00002821517|19.60||19.60
WS SERVICE AREA|25010066|oxymetazoline 0.025% nasal drops||00000005088|343.90||
WS SERVICE AREA|25010066|emtricitabine 200 mg-tenofovir alafenamide fumarate 25 mg tablet||61958200201|493.62||493.62
WS SERVICE AREA|25010066|sildenafil 2.5 mg/mL oral suspension||00000005383|4,485.42||4,485.42
WS SERVICE AREA|25010066|||00000005419|9.59||9.59
WS SERVICE AREA|25010066|||00000005595|55.22||
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|2,039.05||2,039.05
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|1,523.11||1,523.11
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|3,167.28||3,167.28
WS SERVICE AREA|25010066|warfarin 0.5 mg tablet||00000005132|15.82||15.82
WS SERVICE AREA|25010066|diltiazem CD 120 mg capsule, extended release 24 hr,diltiazem ER (XR/XT) 120 mg capsule, extended releas||60505001406|8.73||8.73
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|4.80||4.80
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|5.50||5.50
WS SERVICE AREA|25010066|megestrol 20 mg tablet||00000005292|5.25||5.25
WS SERVICE AREA|25010066|insulin lispro 100 unit/mL subcutaneous solution||00002751017|19.60||19.60
WS SERVICE AREA|25010066|insulin regular human 100 unit/mL injection solution||00002821501|19.60||19.60
WS SERVICE AREA|25010066|insulin regular human 100 unit/mL injection solution||00002821517|19.60||19.60
WS SERVICE AREA|25010066|misoprostol 50 mcg||00000005138|4.80||
WS SERVICE AREA|25010066|misoprostol 25 mcg||00000005139|4.80||
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|0.80||0.80
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|38.45||38.45
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|10.21||10.21
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|15.48||15.48
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|15.22||15.22
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|0.92||0.92
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|10.21||10.21
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,acetaminophen 650 mg/20.3 mL oral suspension||00121065705|8.23||8.23
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,acetaminophen 650 mg/20.3 mL oral suspension||00121065700|8.23||8.23
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,acetaminophen 650 mg/20.3 mL oral suspension||68094023159|4.23||4.23
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|0.71||0.71
WS SERVICE AREA|25010066|tranexamic acid 50 mg/mL (5%) oral rinse||00000005234|289.39||
WS SERVICE AREA|25010066|phenol 14.5 mg lozenges,phenol-eucalyptus oil-menthol 29 mg lozenges,benzocaine-menthol 6 mg-10 mg lozenges||78112001266|4.80||4.80
WS SERVICE AREA|25010066|emtricitabine 200 mg-rilpivirine 25 mg-tenofovir alafenam 25 mg tablet||61958210101|789.64||789.64
WS SERVICE AREA|25010066|dabbs irrigation solution||00000005384|194.39||
WS SERVICE AREA|25010066|||00000005799|0.01||
WS SERVICE AREA|25010066|||00000005801|0.01||
WS SERVICE AREA|25010066|||00000005823|4.80||
WS SERVICE AREA|25010066|erlotinib 25 mg tablet||50242006201|695.52||695.52
WS SERVICE AREA|25010066|erlotinib 150 mg tablet||50242006401|1,440.49||1,440.49
WS SERVICE AREA|25010066|isometheptene-dichloralphen-acetaminophen 65 mg-100 mg-325 mg capsule||54868151400|11.03||11.03
WS SERVICE AREA|25010066|isometheptene-dichloralphen-acetaminophen 65 mg-100 mg-325 mg capsule||54868151401|11.37||11.37
WS SERVICE AREA|25010066|isometheptene-dichloralphen-acetaminophen 65 mg-100 mg-325 mg capsule||54868151403|15.28||15.28
WS SERVICE AREA|25010066|isoniazid 100 mg tablet||00555006602|4.80||4.80
WS SERVICE AREA|25010066|isoniazid 300 mg tablet||00185435001|5.68||5.68
WS SERVICE AREA|25010066|isoniazid 300 mg tablet||51079008301|4.80||4.80
WS SERVICE AREA|25010066|isoniazid 300 mg tablet||00555007102|4.80||4.80
WS SERVICE AREA|25010066|isoniazid 300 mg tablet||51079008320|4.80||4.80
WS SERVICE AREA|25010066|phenylephrine 10 mg tablet||00904573373|4.80||4.80
WS SERVICE AREA|25010066|mesalamine 1,000 mg rectal suppository||58914050156|148.51||148.51
WS SERVICE AREA|25010066|isosorbide dinitrate 10 mg tablet||00781155601|4.80||4.80
WS SERVICE AREA|25010066|isosorbide dinitrate 10 mg tablet||50268044811|4.80||4.80
WS SERVICE AREA|25010066|isosorbide dinitrate 40 mg tablet||00187019201|38.71||38.71
WS SERVICE AREA|25010066|isosorbide dinitrate 40 mg tablet||70710115201|39.39||39.39
WS SERVICE AREA|25010066|isosorbide dinitrate 40 mg tablet||68682019201|34.80||34.80
WS SERVICE AREA|25010066|isosorbide dinitrate 5 mg tablet||00781163501|7.55||7.55
WS SERVICE AREA|25010066|human milk fortifier 10 mL||00000005006|479.38||
WS SERVICE AREA|25010066|human milk fortifier 20 mL||00000005007|872.46||
WS SERVICE AREA|25010066|human milk fortifier 30 mL||00000005008|1,308.73||
WS SERVICE AREA|25010066|human milk fortifier 40 mL||00000005009|1,744.93||
WS SERVICE AREA|25010066|human milk fortifier 15 mL||00000005630|740.58||
WS SERVICE AREA|25010066|diltiazem ER (XR/XT) 180 mg capsule,diltiazem CD 180 mg capsule,extended release 24 hr||47335067613|4.80||4.80
WS SERVICE AREA|25010066|amLODIPine 1 mg/mL oral suspension||00000005350|15.34||15.34
WS SERVICE AREA|25010066|lansoprazole with bicarb oral suspension||00000005075|36.70||
WS SERVICE AREA|25010066|pasteurized human milk cream||00000005347|273.05||273.05
WS SERVICE AREA|25010066|riociguat 0.5 mg||50419025091|989.89||989.89
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|5.63||5.63
WS SERVICE AREA|25010066|hydrocortisone 1 % Topical Cream||00000005014|0.68||0.68
WS SERVICE AREA|25010066|hydrocortisone 2.5 % Topical Cream||00000005015|14.80||14.80
WS SERVICE AREA|25010066|triamcinolone acetonide 0.1 % Topical Cream||00000005017|14.23||14.23
WS SERVICE AREA|25010066|zinc oxide 20 % Ointment||00000005018|4.80||4.80
WS SERVICE AREA|25010066|metroniDAZOLE 250 mg tablet||00000005024|4.80||4.80
WS SERVICE AREA|25010066|neomycin-bacitracin-polymyxin Top. Packet||00000005025|0.82||0.82
WS SERVICE AREA|25010066|nystatin 100,000 unit/g Topical Powder||00000005026|210.66||210.66
WS SERVICE AREA|25010066|ursodiol 60 mg/mL oral suspension||00000005036|113.21||
WS SERVICE AREA|25010066|spironolactone 5 mg/mL oral suspension||00000005037|9.97||
WS SERVICE AREA|25010066|amiodarone 200 mg/5 mL oral suspension||00000005039|339.63||
WS SERVICE AREA|25010066|baby bertram's butt cream||00000005041|40.27||
WS SERVICE AREA|25010066|calcium gluconate paste||00000005047|23.16||
WS SERVICE AREA|25010066|PTU retention enema||00000005090|107.69||107.69
WS SERVICE AREA|25010066|calcium gluconate gel||00000005046|119.58||
WS SERVICE AREA|25010066|rifAMPin 10 mg/mL oral solution||00000005045|69.03||
WS SERVICE AREA|25010066|captopril 0.03 mg/mL oral solution||00000005050|67.50||
WS SERVICE AREA|25010066|captopril 1 mg/mL oral solution||00000005028|65.20||
WS SERVICE AREA|25010066|ceFAZolin 50 mg/mL (5%) ophthalmic solution||00000005051|151.48||
WS SERVICE AREA|25010066|cloNIDine 10 mcg/mL oral solution||00000005030|26.00||
WS SERVICE AREA|25010066|glycerol 25%||00000005063|17.26||
WS SERVICE AREA|25010066|hyziny cream with lidocaine||00000005065|291.46||291.46
WS SERVICE AREA|25010066|hydrocortisone 2 mg/mL oral suspension||00000005064|57.53||
WS SERVICE AREA|25010066|hyziny cream||00000005066|249.20||
WS SERVICE AREA|25010066|kayexalate 1 gram||00000005068|7.10||
WS SERVICE AREA|25010066|kayexalate 3 gram||00000005069|51.77||
WS SERVICE AREA|25010066|labetalol 10 mg/mL suspension||00000005071|57.37||
WS SERVICE AREA|25010066|lactulose with 0.9% sodium chloride enema||00000005072|184.08||
WS SERVICE AREA|25010066|lactulose with sterile water enema||00000005073|168.74||
WS SERVICE AREA|25010066|sotalol HCL 5 mg/mL oral suspension||00000005092|115.05||
WS SERVICE AREA|25010066|levothyroxine 25 mcg/mL syrup||00000005076|46.02||46.02
WS SERVICE AREA|25010066|spironolactone 1 mg/mL pediatric oral solution||00000005093|10.55||
WS SERVICE AREA|25010066|metroNIDAZOLE 50 mg/mL oral suspension||00000005078|52.46||
WS SERVICE AREA|25010066|phenylephrine 0.125% nasal drops||00000005081|21.57||
WS SERVICE AREA|25010066|propranolol 1 mg/mL oral suspension||00000005089|92.04||
WS SERVICE AREA|25010066|vancomycin 500 mg/100 mL in 0.9% sodium chloride enema||00000005098|10.35||
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|17.41||
WS SERVICE AREA|25010066|NIFEdipine 4 mg/mL Oral Suspension||00000005427|8.44||8.44
WS SERVICE AREA|25010066|glycerin (adult) rectal suppository||00132007912|0.60||0.60
WS SERVICE AREA|25010066|benzocaine 6 mg-menthoL 10 mg lozenges||78112001106|0.60||0.60
WS SERVICE AREA|25010066|phenoL (bulk) 89 % liquid||51552011803|555.31||555.31
WS SERVICE AREA|25010066|fentaNYL 12 mcg/hr transdermal patch||00378911916|155.72||155.72
WS SERVICE AREA|25010066|fentaNYL 12 mcg/hr transdermal patch||00781724055|155.72||155.72
WS SERVICE AREA|25010066|levOCARNitine (with sugar) 100 mg/mL oral solution||64980050312|360.80||360.80
WS SERVICE AREA|25010066|levOCARNitine (with sugar) 100 mg/mL oral solution||50383017104|354.78||354.78
WS SERVICE AREA|25010066|lactoperoxidase-glucose oxidase-potass thiocyan mucosal gel||48582051201|36.08||36.08
WS SERVICE AREA|25010066|sildenafiL (pulmonary hypertension) 20 mg tablet||00069419068|402.55||402.55
WS SERVICE AREA|25010066|sildenafiL (pulmonary hypertension) 20 mg tablet||60505340409|155.14||155.14
WS SERVICE AREA|25010066|sildenafiL (pulmonary hypertension) 20 mg tablet||00093551798|169.11||169.11
WS SERVICE AREA|25010066|sildenafiL (pulmonary hypertension) 20 mg tablet||00904667104|8.91||8.91
WS SERVICE AREA|25010066|sildenafiL (pulmonary hypertension) 20 mg tablet||60687041611|155.14||155.14
WS SERVICE AREA|25010066|metroNIDAZOLE 1 % topical gel||00299382060|2,887.29||2,887.29
WS SERVICE AREA|25010066|metroNIDAZOLE 1 % topical gel||00781708035|2,126.58||2,126.58
WS SERVICE AREA|25010066|metroNIDAZOLE 1 % topical gel||51672529503|2,126.58||2,126.58
WS SERVICE AREA|25010066|pregabalin 25 mg capsule||00071101268|263.45||263.45
WS SERVICE AREA|25010066|pregabalin 25 mg capsule||00904699104|40.47||40.47
WS SERVICE AREA|25010066|pregabalin 50 mg capsule||00071101368|131.72||131.72
WS SERVICE AREA|25010066|pregabalin 50 mg capsule||00904699261|11.57||11.57
WS SERVICE AREA|25010066|pregabalin 75 mg capsule||00071101468|87.82||87.82
WS SERVICE AREA|25010066|pregabalin 75 mg capsule||00071101441|96.58||96.58
WS SERVICE AREA|25010066|pregabalin 75 mg capsule||60687049511|16.54||16.54
WS SERVICE AREA|25010066|pregabalin 75 mg capsule||00904700061|7.85||7.85
WS SERVICE AREA|25010066|pregabalin 100 mg capsule||00071101541|72.44||72.44
WS SERVICE AREA|25010066|pregabalin 100 mg capsule||00904700161|6.44||6.44
WS SERVICE AREA|25010066|pregabalin 200 mg capsule||00071101768|32.93||32.93
WS SERVICE AREA|25010066|pregabalin 200 mg capsule||00904700304|6.38||6.38
WS SERVICE AREA|25010066|amitriptyline 10 mg tablet||16714044601|4.80||4.80
WS SERVICE AREA|25010066|amitriptyline 10 mg tablet||51079013101|4.80||4.80
WS SERVICE AREA|25010066|lopinavir-ritonavir 200 mg-50 mg tablet||00074679922|65.46||65.46
WS SERVICE AREA|25010066|amitriptyline 25 mg tablet||00904020161|4.80||4.80
WS SERVICE AREA|25010066|amitriptyline 25 mg tablet||60687043311|4.80||4.80
WS SERVICE AREA|25010066|amitriptyline 25 mg tablet||51079010701|4.80||4.80
WS SERVICE AREA|25010066|lanthanum 750 mg chewable tablet||54092025315|92.09||92.09
WS SERVICE AREA|25010066|lanthanum 750 mg chewable tablet||66993042353|99.35||99.35
WS SERVICE AREA|25010066|digoxin 50 mcg/mL (0.05 mg/mL) oral solution||00054005746|1,288.56||1,288.56
WS SERVICE AREA|25010066|amitriptyline 50 mg tablet||16714044801|4.80||4.80
WS SERVICE AREA|25010066|amitriptyline 50 mg tablet||51079013301|4.80||4.80
WS SERVICE AREA|25010066|levothyroxine 25 mcg tablet||51079044401|4.80||4.80
WS SERVICE AREA|25010066|levothyroxine 25 mcg tablet||00781518092|4.80||4.80
WS SERVICE AREA|25010066|levothyroxine 50 mcg tablet||51079044001|4.80||4.80
WS SERVICE AREA|25010066|levothyroxine 50 mcg tablet||00781518192|4.80||4.80
WS SERVICE AREA|25010066|levothyroxine 50 mcg tablet||00527134201|4.80||4.80
WS SERVICE AREA|25010066|levothyroxine 50 mcg tablet||00527134210|4.80||4.80
WS SERVICE AREA|25010066|levothyroxine 50 mcg tablet||68180096601|4.80||4.80
WS SERVICE AREA|25010066|levothyroxine 75 mcg tablet||51079044101|4.80||4.80
WS SERVICE AREA|25010066|levothyroxine 75 mcg tablet||00781518292|4.80||4.80
WS SERVICE AREA|25010066|levothyroxine 75 mcg tablet||00074518211|4.80||4.80
WS SERVICE AREA|25010066|levothyroxine 100 mcg tablet||51079044201|4.80||4.80
WS SERVICE AREA|25010066|levothyroxine 100 mcg tablet||00527134501|4.80||4.80
WS SERVICE AREA|25010066|levothyroxine 100 mcg tablet||68180096901|4.80||4.80
WS SERVICE AREA|25010066|levothyroxine 100 mcg tablet||00074662411|4.80||4.80
WS SERVICE AREA|25010066|levothyroxine 125 mcg tablet||51079044301|4.80||4.80
WS SERVICE AREA|25010066|levothyroxine 125 mcg tablet||00781518692|4.80||4.80
WS SERVICE AREA|25010066|levothyroxine 125 mcg tablet||68180097109|4.80||4.80
WS SERVICE AREA|25010066|levothyroxine 125 mcg tablet||00074706811|4.80||4.80
WS SERVICE AREA|25010066|levothyroxine 150 mcg tablet||51079044501|4.80||4.80
WS SERVICE AREA|25010066|levothyroxine 150 mcg tablet||00074706911|4.80||4.80
WS SERVICE AREA|25010066|levothyroxine 200 mcg tablet||00074714890|5.23||5.23
WS SERVICE AREA|25010066|levothyroxine 200 mcg tablet||68180097509|4.80||4.80
WS SERVICE AREA|25010066|levothyroxine 200 mcg tablet||00074714811|5.22||5.22
WS SERVICE AREA|25010066|amoxicillin 250 mg capsule||00781202001|4.80||4.80
WS SERVICE AREA|25010066|amoxicillin 250 mg capsule||16714029801|4.80||4.80
WS SERVICE AREA|25010066|liothyronine 25 mcg tablet||60793011601|4.80||4.80
WS SERVICE AREA|25010066|liothyronine 25 mcg tablet||51862032101|4.80||4.80
WS SERVICE AREA|25010066|amoxicillin 500 mg capsule||00781261301|4.80||4.80
WS SERVICE AREA|25010066|amoxicillin 500 mg capsule||16714029903|4.80||4.80
WS SERVICE AREA|25010066|amoxicillin 500 mg capsule||00093310905|4.80||4.80
WS SERVICE AREA|25010066|lisinopriL 20 mg tablet||63739035010|4.80||4.80
WS SERVICE AREA|25010066|lisinopriL 20 mg tablet||06808419811|4.80||4.80
WS SERVICE AREA|25010066|lisinopriL 20 mg tablet||43547035410|4.80||4.80
WS SERVICE AREA|25010066|lisinopriL 20 mg tablet||68180098101|4.80||4.80
WS SERVICE AREA|25010066|lithium carbonate 300 mg tablet||00054452725|4.80||4.80
WS SERVICE AREA|25010066|lithium carbonate 300 mg tablet||00054852825|4.80||4.80
WS SERVICE AREA|25010066|lithium citrate 8 mEq/5 mL oral solution||00054352763|1,380.60||1,380.60
WS SERVICE AREA|25010066|amoxicillin 250 mg/5 mL oral suspension||00781604146|46.79||46.79
WS SERVICE AREA|25010066|loperamide 2 mg capsule||51079069001|3.70||3.70
WS SERVICE AREA|25010066|loperamide 2 mg capsule||60687022911|3.71||3.71
WS SERVICE AREA|25010066|LORazepam 0.5 mg tablet||69315090401|4.93||4.93
WS SERVICE AREA|25010066|LORazepam 1 mg tablet||00591024101|4.80||4.80
WS SERVICE AREA|25010066|LORazepam 1 mg tablet||69315090501|4.80||4.80
WS SERVICE AREA|25010066|LORazepam 1 mg tablet||13107008405|4.80||4.80
WS SERVICE AREA|25010066|LORazepam 1 mg tablet||51079038620|4.80||4.80
WS SERVICE AREA|25010066|||00000005810|0.01||
WS SERVICE AREA|25010066|magnesium citrate oral solution||00869068638|18.16||18.16
WS SERVICE AREA|25010066|magnesium citrate oral solution||49348050449|11.35||11.35
WS SERVICE AREA|25010066|magnesium citrate oral solution||10939010433|11.35||11.35
WS SERVICE AREA|25010066|medroxyPROGESTERone 10 mg tablet||00555077902|4.80||4.80
WS SERVICE AREA|25010066|medroxyPROGESTERone 10 mg tablet||59762374202|4.80||4.80
WS SERVICE AREA|25010066|medroxyPROGESTERone 2.5 mg tablet||00009006404|19.21||19.21
WS SERVICE AREA|25010066|medroxyPROGESTERone 2.5 mg tablet||00555087202|4.80||4.80
WS SERVICE AREA|25010066|megestroL 40 mg tablet||63739016510|4.80||4.80
WS SERVICE AREA|25010066|megestroL 40 mg tablet||00904357161|4.80||4.80
WS SERVICE AREA|25010066|methadone 5 mg/5 mL oral solution||00000005295|4.80||
WS SERVICE AREA|25010066|methadone 5 mg/5 mL oral solution||00054355563|306.80||306.80
WS SERVICE AREA|25010066|methadone 10 mg tablet||00406577162|4.80||4.80
WS SERVICE AREA|25010066|methadone 10 mg tablet||00406577123|4.80||4.80
WS SERVICE AREA|25010066|methadone 5 mg tablet||00406575562|4.80||4.80
WS SERVICE AREA|25010066|methadone 5 mg tablet||00406575523|4.80||4.80
WS SERVICE AREA|25010066|methazolAMIDE 50 mg tablet||00781107101|29.38||29.38
WS SERVICE AREA|25010066|methocarbamoL 500 mg tablet||63739016610|4.80||4.80
WS SERVICE AREA|25010066|methocarbamoL 500 mg tablet||70010075405|4.80||4.80
WS SERVICE AREA|25010066|methocarbamoL 500 mg tablet||70010075401|4.80||4.80
WS SERVICE AREA|25010066|methocarbamoL 750 mg tablet||31722053401|4.80||4.80
WS SERVICE AREA|25010066|methocarbamoL 750 mg tablet||76385012401|4.80||4.80
WS SERVICE AREA|25010066|methocarbamoL 750 mg tablet||70010077005|4.80||4.80
WS SERVICE AREA|25010066|methocarbamoL 750 mg tablet||70010077001|4.80||4.80
WS SERVICE AREA|25010066|methyldopa 250 mg tablet||51079020001|4.80||4.80
WS SERVICE AREA|25010066|methyldopa 500 mg tablet||51079020101|4.80||4.80
WS SERVICE AREA|25010066|methylphenidate 5 mg tablet||00406114201|5.61||5.61
WS SERVICE AREA|25010066|methylphenidate 5 mg tablet||57664022888|4.80||4.80
WS SERVICE AREA|25010066|methylphenidate 5 mg tablet||00115180001|5.38||5.38
WS SERVICE AREA|25010066|metoclopramide 10 mg tablet||51079088820|4.80||4.80
WS SERVICE AREA|25010066|metoclopramide 10 mg tablet||63739029310|4.80||4.80
WS SERVICE AREA|25010066|metoclopramide 5 mg tablet||00093220405|4.80||4.80
WS SERVICE AREA|25010066|metoprolol tartrate 100 mg tablet||51079080201|4.80||4.80
WS SERVICE AREA|25010066|metoprolol tartrate 100 mg tablet||65862006401|4.80||4.80
WS SERVICE AREA|25010066|metoprolol tartrate 50 mg tablet||65862006301|4.80||4.80
WS SERVICE AREA|25010066|metoprolol tartrate 50 mg tablet||51079080101|4.80||4.80
WS SERVICE AREA|25010066|metroNIDAZOLE 250 mg tablet||51079021620|4.80||4.80
WS SERVICE AREA|25010066|metroNIDAZOLE 250 mg tablet||00904145361|4.80||4.80
WS SERVICE AREA|25010066|metroNIDAZOLE 250 mg tablet||50111033302|4.80||4.80
WS SERVICE AREA|25010066|miconazole nitrate 2 % topical cream||00472073514|10.72||10.72
WS SERVICE AREA|25010066|miconazole nitrate 2 % topical cream||51672200101|22.21||22.21
WS SERVICE AREA|25010066|mineral oil oral||54162019016|4.80||4.80
WS SERVICE AREA|25010066|mineral oil oral||00869083143|4.80||4.80
WS SERVICE AREA|25010066|mineral oil oral||48433020230|4.80||4.80
WS SERVICE AREA|25010066|minocycline 100 mg capsule||65862021150|13.03||13.03
WS SERVICE AREA|25010066|minocycline 100 mg capsule||00591569550|13.03||13.03
WS SERVICE AREA|25010066|minocycline 100 mg capsule||57664085385|4.80||4.80
WS SERVICE AREA|25010066|minocycline 50 mg capsule||65862020901|13.03||13.03
WS SERVICE AREA|25010066|minocycline 50 mg capsule||00591569401|13.03||13.03
WS SERVICE AREA|25010066|minoxidiL 10 mg tablet||68084020511|4.80||4.80
WS SERVICE AREA|25010066|minoxidiL 2.5 mg tablet||68084020401|13.00||13.00
WS SERVICE AREA|25010066|minoxidiL 2.5 mg tablet||68084020411|13.00||13.00
WS SERVICE AREA|25010066|minoxidiL 2.5 mg tablet||00591564201|4.80||4.80
WS SERVICE AREA|25010066|minoxidiL 2.5 mg tablet||49884025601|6.00||6.00
WS SERVICE AREA|25010066|morphine 10 mg/5 mL oral solution||00054023763|325.98||325.98
WS SERVICE AREA|25010066|morphine 10 mg/5 mL oral solution||68094000162|12.50||12.50
WS SERVICE AREA|25010066|morphine 15 mg immediate release tablet||00054023524|6.97||6.97
WS SERVICE AREA|25010066|morphine 15 mg immediate release tablet||00054023525|4.80||4.80
WS SERVICE AREA|25010066|nadoloL 20 mg tablet||00378002801|26.03||26.03
WS SERVICE AREA|25010066|nadoloL 20 mg tablet||23155073001|4.80||4.80
WS SERVICE AREA|25010066|nadoloL 40 mg tablet||76282034801|4.80||4.80
WS SERVICE AREA|25010066|nadoloL 40 mg tablet||51079081301|27.71||27.71
WS SERVICE AREA|25010066|neomycin 500 mg tablet||50383056510|5.23||5.23
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|8.19||8.19
WS SERVICE AREA|25010066|NIFEdipine 10 mg capsule||69315021101|8.19||8.19
WS SERVICE AREA|25010066|NIFEdipine 10 mg capsule||42192061501|9.87||9.87
WS SERVICE AREA|25010066|nitroglycerin 0.4 mg sublingual tablet||68462063925|7.88||7.88
WS SERVICE AREA|25010066|nitroglycerin 0.4 mg sublingual tablet||00071041813|10.52||10.52
WS SERVICE AREA|25010066|nitroglycerin 2 % transdermal ointment||00281032608|21.13||21.13
WS SERVICE AREA|25010066|nortriptyline 10 mg capsule||51672400105|4.80||4.80
WS SERVICE AREA|25010066|nortriptyline 25 mg capsule||51672400205|4.80||4.80
WS SERVICE AREA|25010066|nortriptyline 25 mg capsule||51079080420|4.80||4.80
WS SERVICE AREA|25010066|nystatin 100,000 unit/gram topical cream||51672128901|134.61||134.61
WS SERVICE AREA|25010066|nystatin 100,000 unit/gram topical cream||51672128902|202.03||202.03
WS SERVICE AREA|25010066|nystatin 100,000 unit/gram topical ointment||00472016615|134.26||134.26
WS SERVICE AREA|25010066|nystatin 100,000 unit/mL oral suspension||66689003701|7.67||7.67
WS SERVICE AREA|25010066|nystatin 100,000 unit/mL oral suspension||66689003750|11.81||11.81
WS SERVICE AREA|25010066|nystatin 100,000 unit/mL oral suspension||50383058716|9.40||9.40
WS SERVICE AREA|25010066|nystatin 100,000 unit/mL oral suspension||00000005564|9.40||9.40
WS SERVICE AREA|25010066|nystatin 100,000 unit/mL oral suspension||00000005572|9.40||9.40
WS SERVICE AREA|25010066|nystatin 100,000 unit/mL oral suspension||60432053716|9.40||9.40
WS SERVICE AREA|25010066|nystatin 500,000 unit tablet||53489040001|10.07||10.07
WS SERVICE AREA|25010066|nystatin 500,000 unit tablet||00093098301|10.90||10.90
WS SERVICE AREA|25010066|nystatin-triamcinolone 100,000 unit/g-0.1 % topical cream||00168008115|858.62||858.62
WS SERVICE AREA|25010066|nystatin-triamcinolone 100,000 unit/g-0.1 % topical cream||51672126301|858.62||858.62
WS SERVICE AREA|25010066|nystatin-triamcinolone 100,000 unit/gram-0.1 % topical ointment||51672127201|858.62||858.62
WS SERVICE AREA|25010066|oxybutynin chloride 5 mg tablet||68084040011|4.80||4.80
WS SERVICE AREA|25010066|oxybutynin chloride 5 mg tablet||00603497521|4.80||4.80
WS SERVICE AREA|25010066|oxyCODONE-acetaminophen 5 mg-325 mg tablet||00406051262|10.50||10.50
WS SERVICE AREA|25010066|oxyCODONE-acetaminophen 5 mg-325 mg tablet||68084035511|10.62||10.62
WS SERVICE AREA|25010066|oxymetazoline 0.05 % nasal spray||00904571130|3.93||3.93
WS SERVICE AREA|25010066|oxymetazoline 0.05 % nasal spray||10939041433|0.60||0.60
WS SERVICE AREA|25010066|oxymetazoline 0.05 % nasal spray||00904676130|6.73||6.73
WS SERVICE AREA|25010066|oxymetazoline 0.05 % nasal spray||49348002827|7.36||7.36
WS SERVICE AREA|25010066|penicillin V potassium 250 mg/5 mL oral solution||00093412774|113.52||113.52
WS SERVICE AREA|25010066|penicillin V potassium 250 mg tablet||00781120501|5.27||5.27
WS SERVICE AREA|25010066|penicillin V potassium 500 mg tablet||16714023501|4.91||4.91
WS SERVICE AREA|25010066|penicillin V potassium 500 mg tablet||00781165501|4.80||4.80
WS SERVICE AREA|25010066|perphenazine 2 mg tablet||00781104613|15.07||15.07
WS SERVICE AREA|25010066|perphenazine 2 mg tablet||00591410101|13.39||13.39
WS SERVICE AREA|25010066|perphenazine 2 mg tablet||00378535001|13.39||13.39
WS SERVICE AREA|25010066|perphenazine 2 mg tablet||52536016201|13.39||13.39
WS SERVICE AREA|25010066|perphenazine 4 mg tablet||00781104713|10.30||10.30
WS SERVICE AREA|25010066|perphenazine 4 mg tablet||00591410201|9.17||9.17
WS SERVICE AREA|25010066|phenazopyridine 100 mg tablet||42192080101|20.71||20.71
WS SERVICE AREA|25010066|phenazopyridine 100 mg tablet||10135062001|12.20||12.20
WS SERVICE AREA|25010066|phenazopyridine 100 mg tablet||65162068110|20.71||20.71
WS SERVICE AREA|25010066|phenazopyridine 200 mg tablet||42192080201|15.34||15.34
WS SERVICE AREA|25010066|phenazopyridine 200 mg tablet||51293081101|15.34||15.34
WS SERVICE AREA|25010066|phenazopyridine 200 mg tablet||10135062101|11.18||11.18
WS SERVICE AREA|25010066|phenazopyridine 200 mg tablet||65162068210|15.34||15.34
WS SERVICE AREA|25010066|PHENobarbitaL 20 mg/5 mL (4 mg/mL) oral elixir||00000005239|4.99||4.99
WS SERVICE AREA|25010066|PHENobarbitaL 16.2 mg tablet||63739020010|4.80||4.80
WS SERVICE AREA|25010066|PHENobarbitaL 16.2 mg tablet||00603516521|4.80||4.80
WS SERVICE AREA|25010066|PHENobarbitaL 16.2 mg tablet||51293062501|4.80||4.80
WS SERVICE AREA|25010066|PHENobarbitaL 32.4 mg tablet||63739020110|4.80||4.80
WS SERVICE AREA|25010066|PHENobarbitaL 64.8 mg tablet||00603516721|4.80||4.80
WS SERVICE AREA|25010066|PHENobarbitaL 97.2 mg tablet||00603516821|4.80||4.80
WS SERVICE AREA|25010066|PHENobarbitaL 97.2 mg tablet||13517011301|4.80||4.80
WS SERVICE AREA|25010066|phenobarb-hyoscy-atropine-scop 16.2 mg-0.1037 mg-0.0194 mg/5 mL elixir||00000005240|28.03||28.03
WS SERVICE AREA|25010066|phenylephrine 0.25 % nasal spray||69536002515|0.60||0.60
WS SERVICE AREA|25010066|phenylephrine 0.25 % nasal spray||00024134803|18.97||18.97
WS SERVICE AREA|25010066|phenylephrine 0.25 % nasal spray||00225080047|13.39||13.39
WS SERVICE AREA|25010066|phenylephrine 0.5 % nasal spray||50323000603|13.39||13.39
WS SERVICE AREA|25010066|phenylephrine 0.5 % nasal spray||00024135301|27.47||27.47
WS SERVICE AREA|25010066|phenylephrine 0.5 % nasal spray||00225080547|13.39||13.39
WS SERVICE AREA|25010066|phenylephrine 1 % nasal drops||24385039010|15.23||15.23
WS SERVICE AREA|25010066|phenytoin 125 mg/5 mL oral suspension||00000005185|33.13||
WS SERVICE AREA|25010066|phenytoin 125 mg/5 mL oral suspension||60432013108|261.76||261.76
WS SERVICE AREA|25010066|phenytoin sodium extended 100 mg capsule||68084037611|4.80||4.80
WS SERVICE AREA|25010066|pindoloL 5 mg tablet||00378005201|10.12||10.12
WS SERVICE AREA|25010066|pindoloL 5 mg tablet||57664065588|6.75||6.75
WS SERVICE AREA|25010066|potassium chloride 20 mEq oral packet||69543037901|78.26||78.26
WS SERVICE AREA|25010066|potassium chloride 20 mEq oral packet||42806009401|78.26||78.26
WS SERVICE AREA|25010066|potassium chloride 20 mEq oral packet||43386019490|82.38||82.38
WS SERVICE AREA|25010066|potassium chloride ER 10 mEq tablet,extended release||00378456105|4.80||4.80
WS SERVICE AREA|25010066|potassium chloride ER 10 mEq tablet,extended release||00574027505|4.80||4.80
WS SERVICE AREA|25010066|potassium chloride ER 10 mEq tablet,extended release||00245531689|4.99||4.99
WS SERVICE AREA|25010066|potassium iodide 1 gram/mL oral solution||71740011208|5.83||5.83
WS SERVICE AREA|25010066|potassium iodide 1 gram/mL oral solution||71740011230|30.20||30.20
WS SERVICE AREA|25010066|prazosin 1 mg capsule||70954001910|6.86||6.86
WS SERVICE AREA|25010066|prazosin 1 mg capsule||51079063001|13.90||13.90
WS SERVICE AREA|25010066|prazosin 5 mg capsule||51079063201|6.61||6.61
WS SERVICE AREA|25010066|predniSONE 1 mg tablet||00603533521|4.85||4.85
WS SERVICE AREA|25010066|predniSONE 1 mg tablet||00054873925|5.33||5.33
WS SERVICE AREA|25010066|predniSONE 20 mg tablet||59746017506|4.80||4.80
WS SERVICE AREA|25010066|predniSONE 20 mg tablet||00591544301|4.80||4.80
WS SERVICE AREA|25010066|predniSONE 20 mg tablet||00143973801|4.80||4.80
WS SERVICE AREA|25010066|predniSONE 5 mg tablet||59746017206|4.80||4.80
WS SERVICE AREA|25010066|predniSONE 5 mg tablet||63739051810|4.80||4.80
WS SERVICE AREA|25010066|predniSONE 5 mg tablet||00054872425|4.80||4.80
WS SERVICE AREA|25010066|primaquine 26.3 mg tablet||00024159601|14.31||14.31
WS SERVICE AREA|25010066|primidone 250 mg tablet||00603537221|4.80||4.80
WS SERVICE AREA|25010066|primidone 250 mg tablet||68084020311|4.80||4.80
WS SERVICE AREA|25010066|probenecid 500 mg tablet||00378015601|8.79||8.79
WS SERVICE AREA|25010066|prochlorperazine maleate 10 mg tablet||50268068511|6.80||6.80
WS SERVICE AREA|25010066|prochlorperazine maleate 10 mg tablet||51079054201|4.80||4.80
WS SERVICE AREA|25010066|prochlorperazine maleate 10 mg tablet||59746011506|4.80||4.80
WS SERVICE AREA|25010066|ascorbic acid (vitamin C) 1,000 mg tablet||00904501360|4.80||4.80
WS SERVICE AREA|25010066|ascorbic acid (vitamin C) 1,000 mg tablet||74312000690|4.80||4.80
WS SERVICE AREA|25010066|ascorbic acid (vitamin C) 1,000 mg tablet||74312006900|4.80||
WS SERVICE AREA|25010066|ascorbic acid (vitamin C) 1,000 mg tablet||80681016600|4.80||4.80
WS SERVICE AREA|25010066|ascorbic acid (vitamin C) 1,000 mg tablet||43292022327|4.80||4.80
WS SERVICE AREA|25010066|promethazine 6.25 mg/5 mL oral syrup||60432060805|4.80||4.80
WS SERVICE AREA|25010066|promethazine 12.5 mg tablet||68382004001|4.80||4.80
WS SERVICE AREA|25010066|promethazine 12.5 mg tablet|Q0169|68084015401|4.80||4.80
WS SERVICE AREA|25010066|promethazine 25 mg tablet||68084015511|4.80||4.80
WS SERVICE AREA|25010066|promethazine 50 mg rectal suppository||00713013212|68.58||68.58
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|11.51||11.51
WS SERVICE AREA|25010066|propranoloL 20 mg/5 mL (4 mg/mL) oral solution||00000005529|5.06||5.06
WS SERVICE AREA|25010066|propranoloL 10 mg tablet||23155011001|4.80||4.80
WS SERVICE AREA|25010066|propranoloL 10 mg tablet||00603548221|4.80||4.80
WS SERVICE AREA|25010066|propranoloL 20 mg tablet||23155011101|4.80||4.80
WS SERVICE AREA|25010066|propranoloL 20 mg tablet||00603548321|4.80||4.80
WS SERVICE AREA|25010066|propranoloL 20 mg tablet||00591555501|4.80||4.80
WS SERVICE AREA|25010066|propranoloL 40 mg tablet||00603548421|4.80||4.80
WS SERVICE AREA|25010066|propranoloL 40 mg tablet||00591555601|4.80||4.80
WS SERVICE AREA|25010066|propylthiouraciL 50 mg tablet||67253065110|6.90||6.90
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|49.82||49.82
WS SERVICE AREA|25010066|pyridoxine (vitamin B6) 100 mg tablet||00904051860|4.80||4.80
WS SERVICE AREA|25010066|pyridoxine (vitamin B6) 100 mg tablet||74312000650|4.80||4.80
WS SERVICE AREA|25010066|pyridoxine (vitamin B6) 50 mg tablet||79854020030|4.80||4.80
WS SERVICE AREA|25010066|pyridoxine (vitamin B6) 50 mg tablet||00904052060|4.80||4.80
WS SERVICE AREA|25010066|quiNIDine sulfate 200 mg tablet||00185434601|4.80||4.80
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 81 mg chewable tablet||00904679480|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||10939044344|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||49348098023|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|2.47||2.47
WS SERVICE AREA|25010066|aspirin 600 mg rectal suppository||00574703612|1.28||1.28
WS SERVICE AREA|25010066|potassium, sodium phosphates 280 mg-160 mg-250 mg oral powder packet||60258000601|4.80||4.80
WS SERVICE AREA|25010066|ARIPiprazole 2 mg tablet||59148000613|228.04||228.04
WS SERVICE AREA|25010066|ARIPiprazole 2 mg tablet||16714078301|243.37||243.37
WS SERVICE AREA|25010066|ARIPiprazole 2 mg tablet||16714014101|243.37||243.37
WS SERVICE AREA|25010066|QUEtiapine 50 mg tablet||68084053111|23.78||23.78
WS SERVICE AREA|25010066|QUEtiapine 50 mg tablet||16714045301|25.01||25.01
WS SERVICE AREA|25010066|QUEtiapine 50 mg tablet||50268063111|23.73||23.73
WS SERVICE AREA|25010066|QUEtiapine 50 mg tablet||00904663961|4.80||4.80
WS SERVICE AREA|25010066|QUEtiapine 400 mg tablet||16714045701|38.08||38.08
WS SERVICE AREA|25010066|capsaicin 0.1 % topical cream||41167075142|66.82||66.82
WS SERVICE AREA|25010066|ranolazine ER 500 mg tablet,extended release,12 hr||61958100301|52.56||52.56
WS SERVICE AREA|25010066|lubiprostone 24 mcg capsule||64764024060|15.81||15.81
WS SERVICE AREA|25010066|lubiprostone 24 mcg capsule||00254302902|17.08||17.08
WS SERVICE AREA|25010066|Saccharomyces boulardii 250 mg oral powder packet||04142000040|8.82||8.82
WS SERVICE AREA|25010066|fluticasone propionate 50 mcg/actuation nasal spray,suspension||00054327099|570.06||570.06
WS SERVICE AREA|25010066|insulin lispro protamine-lispro 100 unit/mL (75-25) subcutaneous susp||00002751101|19.60||19.60
WS SERVICE AREA|25010066|atenoloL 100 mg tablet||00781150701|4.80||4.80
WS SERVICE AREA|25010066|atenoloL 100 mg tablet||51079068501|4.80||4.80
WS SERVICE AREA|25010066|atenoloL 25 mg tablet||00781107801|4.80||4.80
WS SERVICE AREA|25010066|atenoloL 25 mg tablet||51079075901|4.80||4.80
WS SERVICE AREA|25010066|atenoloL 25 mg tablet||51079075920|4.80||4.80
WS SERVICE AREA|25010066|atenoloL 50 mg tablet||52427043090|25.61||25.61
WS SERVICE AREA|25010066|simethicone 125 mg chewable tablet||00067011748|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|7.87||7.87
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||49348074027|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|123.35||123.35
WS SERVICE AREA|25010066|sodium bicarbonate 650 mg tablet||66553000801|0.60||0.60
WS SERVICE AREA|25010066|sodium chloride 1 gram tablet||00223176001|4.80||4.80
WS SERVICE AREA|25010066|sodium chloride 1 gram tablet||00223176002|4.80||4.80
WS SERVICE AREA|25010066|sodium chloride 1 gram tablet||69367022001|4.80||4.80
WS SERVICE AREA|25010066|sorbitoL 70 % solution||46287050030|20.71||20.71
WS SERVICE AREA|25010066|spironolactone 25 mg tablet||68084020611|4.80||4.80
WS SERVICE AREA|25010066|spironolactone 25 mg tablet||00378214601|4.80||4.80
WS SERVICE AREA|25010066|spironolactone 25 mg tablet||59746021601|4.80||4.80
WS SERVICE AREA|25010066|spironolactone 25 mg tablet||59746021605|4.80||4.80
WS SERVICE AREA|25010066|spironolactone 25 mg tablet||53489014301|4.80||4.80
WS SERVICE AREA|25010066|spironolactone 25 mg tablet||53489014310|4.80||4.80
WS SERVICE AREA|25010066|sulfADIAZINE 500 mg tablet||00185075701|38.71||38.71
WS SERVICE AREA|25010066|sulfamethoxazole 800 mg-trimethoprim 160 mg tablet||68084023011|4.80||4.80
WS SERVICE AREA|25010066|sulfamethoxazole 400 mg-trimethoprim 80 mg tablet||53746027101|5.96||5.96
WS SERVICE AREA|25010066|sulfamethoxazole 400 mg-trimethoprim 80 mg tablet||65862041901|5.10||5.10
WS SERVICE AREA|25010066|sulfaSALAzine 500 mg tablet||00591079601|4.80||4.80
WS SERVICE AREA|25010066|sulfaSALAzine 500 mg tablet||50268073011|4.80||4.80
WS SERVICE AREA|25010066|sulfaSALAzine 500 mg tablet||59762500006|4.80||4.80
WS SERVICE AREA|25010066|sulfaSALAzine 500 mg tablet||59762500001|4.80||4.80
WS SERVICE AREA|25010066|sulfaSALAzine 500 mg tablet,delayed release||00013010201|15.13||15.13
WS SERVICE AREA|25010066|sulfaSALAzine 500 mg tablet,delayed release||59762010406|4.80||4.80
WS SERVICE AREA|25010066|sulfaSALAzine 500 mg tablet,delayed release||00013010250|15.20||15.20
WS SERVICE AREA|25010066|sulfaSALAzine 500 mg tablet,delayed release||59762010401|4.80||4.80
WS SERVICE AREA|25010066|loratadine 5 mg/5 mL oral solution||49348063634|0.99||0.99
WS SERVICE AREA|25010066|loratadine 5 mg/5 mL oral solution||54838055840|1.50||1.50
WS SERVICE AREA|25010066|loratadine 5 mg/5 mL oral solution||00000005153|1.50||1.50
WS SERVICE AREA|25010066|rasagiline 1 mg tablet||68546022956|116.44||116.44
WS SERVICE AREA|25010066|rasagiline 1 mg tablet||16714077101|95.83||95.83
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|cholecalciferol (vitamin D3) 25 mcg (1,000 unit) tablet||80681016801|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|18.16||18.16
WS SERVICE AREA|25010066|tamoxifen 10 mg tablet||00378014491|14.53||14.53
WS SERVICE AREA|25010066|posaconazole 200 mg/5 mL (40 mg/mL) oral suspension||00085132801|525.78||525.78
WS SERVICE AREA|25010066|temazepam 15 mg capsule||67877014601|6.25||6.25
WS SERVICE AREA|25010066|temazepam 30 mg capsule||51079041901|6.39||6.39
WS SERVICE AREA|25010066|SITagliptin 25 mg tablet||00006022131|127.02||127.02
WS SERVICE AREA|25010066|SITagliptin 50 mg tablet||00006011231|63.51||63.51
WS SERVICE AREA|25010066|SITagliptin 100 mg tablet||00006027701|31.75||31.75
WS SERVICE AREA|25010066|metoclopramide 5 mg/5 mL oral solution||66689003101|51.77||51.77
WS SERVICE AREA|25010066|phenylephrine 0.25 %-pramoxine 1 %-glycerin-wh.petrolatum rectal cream||00573286810|41.46||41.46
WS SERVICE AREA|25010066|tetracycline 250 mg capsule||23155001701|60.40||60.40
WS SERVICE AREA|25010066|tetrahydrozoline 0.05 % eye drops||24385007505|32.10||32.10
WS SERVICE AREA|25010066|tetrahydrozoline 0.05 % eye drops||74300000803|4.80||4.80
WS SERVICE AREA|25010066|codeine 10 mg-guaifenesin 100 mg/5 mL oral liquid||00121177505|4.99||4.99
WS SERVICE AREA|25010066|codeine 10 mg-guaifenesin 100 mg/5 mL oral liquid||50383008707|5.41||5.41
WS SERVICE AREA|25010066|paliperidone ER 3 mg tablet,extended release 24 hr||50458055010|307.35||307.35
WS SERVICE AREA|25010066|paliperidone ER 6 mg tablet,extended release 24 hr||50458055110|153.68||153.68
WS SERVICE AREA|25010066|paliperidone ER 6 mg tablet,extended release 24 hr||10147095303|97.56||97.56
WS SERVICE AREA|25010066|paliperidone ER 6 mg tablet,extended release 24 hr||00378398093|117.21||117.21
WS SERVICE AREA|25010066|paliperidone ER 9 mg tablet,extended release 24 hr||00904693761|52.35||52.35
WS SERVICE AREA|25010066|theophylline 80 mg/15 mL oral solution||27808003301|33.94||33.94
WS SERVICE AREA|25010066|mesalamine 1.2 gram tablet,delayed release||54092047612|71.80||71.80
WS SERVICE AREA|25010066|mesalamine 1.2 gram tablet,delayed release||16714083001|77.76||77.76
WS SERVICE AREA|25010066|therapeutic multivitamin tablet||00904053961|4.80||4.80
WS SERVICE AREA|25010066|esomeprazole magnesium DR 40 mg granules delayed release for susp||00186404001|73.45||73.45
WS SERVICE AREA|25010066|esomeprazole magnesium DR 40 mg granules delayed release for susp||69097052934|74.83||74.83
WS SERVICE AREA|25010066|calamine 8 %-zinc oxide 8 % lotion||87701040092|14.97||14.97
WS SERVICE AREA|25010066|calamine 8 %-zinc oxide 8 % lotion||24385041396|14.97||14.97
WS SERVICE AREA|25010066|thioridazine 10 mg tablet||51079056501|4.80||4.80
WS SERVICE AREA|25010066|thioridazine 25 mg tablet||51079056601|4.80||4.80
WS SERVICE AREA|25010066|thiothixene 1 mg capsule||00378100101|9.11||9.11
WS SERVICE AREA|25010066|coenzyme Q10  400 mg capsule||03076813338|3.01||3.01
WS SERVICE AREA|25010066|thiothixene 5 mg capsule||00378300501|4.80||4.80
WS SERVICE AREA|25010066|thiothixene 5 mg capsule||51079058801|5.56||5.56
WS SERVICE AREA|25010066|timoloL 10 mg tablet||00378022101|6.53||6.53
WS SERVICE AREA|25010066|tolnaftate 1 % topical cream||51672202002|66.73||66.73
WS SERVICE AREA|25010066|tolnaftate 1 % topical powder||00536515026|16.57||16.57
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|4.80||4.80
WS SERVICE AREA|25010066|traZODone 50 mg tablet||00904655461|4.80||4.80
WS SERVICE AREA|25010066|traZODone 50 mg tablet||00904686861|4.80||4.80
WS SERVICE AREA|25010066|traZODone 50 mg tablet||50111056001|8.24||8.24
WS SERVICE AREA|25010066|traZODone 50 mg tablet||50111043301|8.24||8.24
WS SERVICE AREA|25010066|triamcinolone acetonide 0.025 % topical cream||45802006335|34.17||34.17
WS SERVICE AREA|25010066|triamcinolone acetonide 0.1 % topical cream||45802006405|177.59||177.59
WS SERVICE AREA|25010066|triamcinolone acetonide 0.1 % topical cream||67877025145|240.27||240.27
WS SERVICE AREA|25010066|triamcinolone acetonide 0.1 % topical cream||45802006435|29.80||29.80
WS SERVICE AREA|25010066|triamcinolone acetonide 0.5 % topical cream||45802006535|77.54||77.54
WS SERVICE AREA|25010066|triamcinolone acetonide 0.1 % lotion||60432056160|325.36||325.36
WS SERVICE AREA|25010066|triamcinolone acetonide 0.025 % topical ointment||45802005435|46.94||46.94
WS SERVICE AREA|25010066|triamcinolone acetonide 0.1 % topical ointment||45802005505|316.88||316.88
WS SERVICE AREA|25010066|triamcinolone acetonide 0.1 % topical ointment||45802005535|42.68||42.68
WS SERVICE AREA|25010066|triamcinolone acetonide 0.1 % topical ointment||45802005536|97.56||97.56
WS SERVICE AREA|25010066|triamcinolone acetonide 0.1 % dental paste||00713065540|636.84||636.84
WS SERVICE AREA|25010066|triamterene 75 mg-hydrochlorothiazide 50 mg tablet||51079043301|7.01||7.01
WS SERVICE AREA|25010066|divalproex ER 500 mg tablet,extended release 24 hr||00074712611|22.58||22.58
WS SERVICE AREA|25010066|budesonide-formoteroL HFA 80 mcg-4.5 mcg/actuation aerosol inhaler||00186037228|1,683.96||1,683.96
WS SERVICE AREA|25010066|trifluoperazine 2 mg tablet||00378240201|9.89||9.89
WS SERVICE AREA|25010066|trifluoperazine 2 mg tablet||51079057301|15.34||15.34
WS SERVICE AREA|25010066|trifluoperazine 5 mg tablet||00781803401|4.98||4.98
WS SERVICE AREA|25010066|trifluoperazine 5 mg tablet||51079057401|7.81||7.81
WS SERVICE AREA|25010066|trihexyphenidyL 2 mg tablet||00591533501|4.80||4.80
WS SERVICE AREA|25010066|trihexyphenidyL 2 mg tablet||70954021210|4.80||4.80
WS SERVICE AREA|25010066|trihexyphenidyL 5 mg tablet||16571016110|4.80||4.80
WS SERVICE AREA|25010066|trihexyphenidyL 5 mg tablet||00591533701|4.80||4.80
WS SERVICE AREA|25010066|trihexyphenidyL 5 mg tablet||70954021110|4.80||4.80
WS SERVICE AREA|25010066|colloidal oatmeaL topical packet||81370003640|4.80||4.80
WS SERVICE AREA|25010066|glycerin 99.5 % topical solution||00395103185|4.80||4.80
WS SERVICE AREA|25010066|QUEtiapine ER 200 mg tablet,extended release 24 hr||00310028260|124.48||124.48
WS SERVICE AREA|25010066|QUEtiapine ER 300 mg tablet,extended release 24 hr||00310028360|108.81||108.81
WS SERVICE AREA|25010066|QUEtiapine ER 300 mg tablet,extended release 24 hr||16729009612|117.51||117.51
WS SERVICE AREA|25010066|QUEtiapine ER 300 mg tablet,extended release 24 hr||00904680461|5.60||5.60
WS SERVICE AREA|25010066|QUEtiapine ER 400 mg tablet,extended release 24 hr||00904680561|8.46||8.46
WS SERVICE AREA|25010066|rotigotine 2 mg/24 hour transdermal 24 hour patch||50474080203|182.16||182.16
WS SERVICE AREA|25010066|rotigotine 4 mg/24 hour transdermal 24 hour patch||50474080403|182.16||182.16
WS SERVICE AREA|25010066|ambrisentan 5 mg tablet||61958080105|2,726.02||2,726.02
WS SERVICE AREA|25010066|ambrisentan 10 mg tablet||61958080205|1,363.01||1,363.01
WS SERVICE AREA|25010066|rivastigmine 4.6 mg/24 hour transdermal patch||00078050115|175.39||175.39
WS SERVICE AREA|25010066|rivastigmine 9.5 mg/24 hour transdermal patch||00078050261|175.34||175.34
WS SERVICE AREA|25010066|rivastigmine 9.5 mg/24 hour transdermal patch||00781730931|129.60||129.60
WS SERVICE AREA|25010066|rivastigmine 9.5 mg/24 hour transdermal patch||00781730958|129.60||129.60
WS SERVICE AREA|25010066|rivastigmine 9.5 mg/24 hour transdermal patch||00378907116|129.60||129.60
WS SERVICE AREA|25010066|neomycin-bacitracin-poly-HC 3.5 mg-400-10,000 unit/g-1 % eye ointment||24208078555|498.94||498.94
WS SERVICE AREA|25010066|bacitracin 500 unit/gram topical ointment||00363007564|33.76||33.76
WS SERVICE AREA|25010066|bacitracin 500 unit/gram topical ointment||66267098915|27.35||27.35
WS SERVICE AREA|25010066|verapamiL 120 mg tablet||00904292461|4.80||4.80
WS SERVICE AREA|25010066|verapamiL 120 mg tablet||23155048601|4.80||4.80
WS SERVICE AREA|25010066|verapamiL 80 mg tablet||23155002601|4.80||4.80
WS SERVICE AREA|25010066|verapamiL 80 mg tablet||00904292061|4.80||4.80
WS SERVICE AREA|25010066|verapamiL ER (SR) 240 mg tablet,extended release||68462026005|5.91||5.91
WS SERVICE AREA|25010066|verapamiL ER (SR) 240 mg tablet,extended release||75834015901|6.27||6.27
WS SERVICE AREA|25010066|verapamiL ER (SR) 240 mg tablet,extended release||51079086901|9.72||9.72
WS SERVICE AREA|25010066|bacitracin-polymyxin B 500 unit-10,000 unit/gram eye ointment||17478023835|108.71||108.71
WS SERVICE AREA|25010066|baclofen 10 mg tablet||63739000710|4.80||4.80
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|4.80||4.80
WS SERVICE AREA|25010066|warfarin 10 mg tablet||00056017401|12.26||12.26
WS SERVICE AREA|25010066|warfarin 2 mg tablet||00056017001|16.50||16.50
WS SERVICE AREA|25010066|warfarin 2.5 mg tablet||68084002711|4.87||4.87
WS SERVICE AREA|25010066|warfarin 2.5 mg tablet||00056017601|17.03||17.03
WS SERVICE AREA|25010066|warfarin 5 mg tablet||00056017201|8.87||8.87
WS SERVICE AREA|25010066|warfarin 7.5 mg tablet||00056017301|23.65||23.65
WS SERVICE AREA|25010066|brimonidine 0.2 %-timoloL 0.5 % eye drops||00023921105|14.91||14.91
WS SERVICE AREA|25010066|diazePAM 2.5 mg rectal kit||68682065020|1,961.60||1,961.60
WS SERVICE AREA|25010066|diazePAM 2.5 mg rectal kit||66490065020|2,267.87||2,267.87
WS SERVICE AREA|25010066|diazePAM 5 mg-7.5 mg-10 mg rectal kit||00187065820|672.56||672.56
WS SERVICE AREA|25010066|diazePAM 5 mg-7.5 mg-10 mg rectal kit||68682065220|581.73||581.73
WS SERVICE AREA|25010066|maraviroc 300 mg tablet||49702022418|99.47||99.47
WS SERVICE AREA|25010066|chlorhexidine gluconate 2 % towelette||53462070523|67.36||67.36
WS SERVICE AREA|25010066|carbidopa 50 mg-levodopa 200 mg-entacapone 200 mg tablet||00078052705|58.65||58.65
WS SERVICE AREA|25010066|carbidopa 50 mg-levodopa 200 mg-entacapone 200 mg tablet||00378830501|28.77||28.77
WS SERVICE AREA|25010066|carbidopa 50 mg-levodopa 200 mg-entacapone 200 mg tablet||64679078704|28.77||28.77
WS SERVICE AREA|25010066|carbidopa 50 mg-levodopa 200 mg-entacapone 200 mg tablet||00781566901|28.77||28.77
WS SERVICE AREA|25010066|raltegravir 400 mg tablet||00006022761|221.82||221.82
WS SERVICE AREA|25010066|oseltamivir 30 mg capsule||00004080285|106.87||106.87
WS SERVICE AREA|25010066|oseltamivir 30 mg capsule||31722063031|108.76||108.76
WS SERVICE AREA|25010066|zinc oxide 20 % topical ointment||00168006202|16.79||16.79
WS SERVICE AREA|25010066|zinc oxide 20 % topical ointment||00536570098|30.73||30.73
WS SERVICE AREA|25010066|zinc oxide 20 % topical ointment||75834017002|38.37||38.37
WS SERVICE AREA|25010066|zinc sulfate 50 mg zinc (220 mg) capsule||37864099101|0.60||0.60
WS SERVICE AREA|25010066|zinc sulfate 50 mg zinc (220 mg) capsule||00904533260|0.60||0.60
WS SERVICE AREA|25010066|zinc sulfate 50 mg zinc (220 mg) capsule||80681013500|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|45.63||45.63
WS SERVICE AREA|25010066|sevelamer carbonate 800 mg tablet||65862092127|46.75||46.75
WS SERVICE AREA|25010066|sevelamer carbonate 800 mg tablet||55111078927|46.75||46.75
WS SERVICE AREA|25010066|sevelamer carbonate 800 mg tablet||65162005827|46.75||46.75
WS SERVICE AREA|25010066|sevelamer carbonate 800 mg tablet||16714081401|35.16||35.16
WS SERVICE AREA|25010066|butalbital-aspirin-caffeine 50 mg-325 mg-40 mg capsule||00591321901|13.04||13.04
WS SERVICE AREA|25010066|nebivoloL 5 mg tablet||00456140511|12.07||
WS SERVICE AREA|25010066|nebivoloL 2.5 mg tablet||00456140230|40.37||40.37
WS SERVICE AREA|25010066|nebivoloL 10 mg tablet||00456141030|10.09||10.09
WS SERVICE AREA|25010066|nebivoloL 10 mg tablet||00456141090|10.09||10.09
WS SERVICE AREA|25010066|acebutoloL 200 mg capsule||65162066910|9.01||9.01
WS SERVICE AREA|25010066|acetaminophen 80 mg rectal suppository||51672211402|5.09||5.09
WS SERVICE AREA|25010066|butalbital-acetaminophen-caffeine 50 mg-325 mg-40 mg tablet||68084039611|14.96||14.96
WS SERVICE AREA|25010066|butalbital-acetaminophen-caffeine 50 mg-325 mg-40 mg tablet||00527169501|12.95||12.95
WS SERVICE AREA|25010066|butalbital-acetaminophen-caffeine 50 mg-325 mg-40 mg tablet||68084039665|14.96||14.96
WS SERVICE AREA|25010066|butalbital-acetaminophen-caffeine 50 mg-325 mg-40 mg tablet||10702025301|12.95||12.95
WS SERVICE AREA|25010066|acetaZOLAMIDE ER 500 mg capsule,extended release||68382026101|32.90||32.90
WS SERVICE AREA|25010066|acetaZOLAMIDE ER 500 mg capsule,extended release||29033003001|32.93||32.93
WS SERVICE AREA|25010066|acyclovir 5 % topical ointment||00378870006|3,058.83||3,058.83
WS SERVICE AREA|25010066|acyclovir 5 % topical ointment||16714066801|2,944.82||2,944.82
WS SERVICE AREA|25010066|acyclovir 200 mg capsule||23155014601|7.46||7.46
WS SERVICE AREA|25010066|acyclovir 200 mg capsule||68084010701|10.05||10.05
WS SERVICE AREA|25010066|acyclovir 200 mg capsule||69076014601|7.46||7.46
WS SERVICE AREA|25010066|acyclovir 200 mg capsule||00093894001|7.46||7.46
WS SERVICE AREA|25010066|acyclovir 200 mg/5 mL oral suspension||50383081016|36.09||36.09
WS SERVICE AREA|25010066|acyclovir 800 mg tablet||68084010901|17.45||17.45
WS SERVICE AREA|25010066|acyclovir 800 mg tablet||00093894701|14.06||14.06
WS SERVICE AREA|25010066|acyclovir 800 mg tablet||00093894705|13.43||13.43
WS SERVICE AREA|25010066|albendazole 200 mg tablet||16714090701|1,835.89||1,835.89
WS SERVICE AREA|25010066|aluminum-mag hydroxide-simethicone 400 mg-400 mg-40 mg/5 mL oral susp||00121176230|15.99||15.99
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|0.60||0.60
WS SERVICE AREA|25010066|aminocaproic acid 250 mg/mL (25 %) oral solution||49411005208|25,725.51||25,725.51
WS SERVICE AREA|25010066|aminocaproic acid 500 mg tablet||49411005030|374.77||374.77
WS SERVICE AREA|25010066|aminocaproic acid 500 mg tablet||69680011530|286.38||286.38
WS SERVICE AREA|25010066|aminocaproic acid 500 mg tablet||62559022530|343.65||343.65
WS SERVICE AREA|25010066|amiodarone 200 mg tablet||00245014790|27.90||27.90
WS SERVICE AREA|25010066|amiodarone 200 mg tablet||68084037111|4.80||4.80
WS SERVICE AREA|25010066|amLODIPine 10 mg tablet||59762154001|4.80||4.80
WS SERVICE AREA|25010066|amLODIPine 10 mg tablet||67877019990|4.80||4.80
WS SERVICE AREA|25010066|amLODIPine 10 mg tablet||69097012805|4.80||4.80
WS SERVICE AREA|25010066|amLODIPine 10 mg tablet||60687049611|4.80||4.80
WS SERVICE AREA|25010066|amLODIPine 2.5 mg tablet||59762152001|13.27||13.27
WS SERVICE AREA|25010066|amLODIPine 2.5 mg tablet||50268008315|6.54||6.54
WS SERVICE AREA|25010066|amLODIPine 5 mg tablet||67877019890|6.86||6.86
WS SERVICE AREA|25010066|amLODIPine 5 mg tablet||59762153006|6.63||6.63
WS SERVICE AREA|25010066|amLODIPine 5 mg tablet||50268008415|13.34||13.34
WS SERVICE AREA|25010066|amLODIPine 5 mg tablet||50268008411|13.34||13.34
WS SERVICE AREA|25010066|amoxicillin 250 mg-potassium clavulanate 62.5 mg/5 mL oral suspension||60432006500|662.69||662.69
WS SERVICE AREA|25010066|amoxicillin 250 mg-potassium clavulanate 62.5 mg/5 mL oral suspension||43598000451|4,691.16||4,691.16
WS SERVICE AREA|25010066|zileuton 600 mg tablet||10122090112|288.32||288.32
WS SERVICE AREA|25010066|desvenlafaxine succinate ER 50 mg tablet,extended release 24 hr||00008121101|108.71||108.71
WS SERVICE AREA|25010066|desvenlafaxine succinate ER 50 mg tablet,extended release 24 hr||00054040013|91.66||91.66
WS SERVICE AREA|25010066|desvenlafaxine succinate ER 100 mg tablet,extended release 24 hr||00008122201|54.35||54.35
WS SERVICE AREA|25010066|desvenlafaxine succinate ER 100 mg tablet,extended release 24 hr||59762122203|44.00||44.00
WS SERVICE AREA|25010066|apraclonidine 0.5 % eye drops||17478071610|694.44||694.44
WS SERVICE AREA|25010066|lubiprostone 8 mcg capsule||64764008060|47.44||47.44
WS SERVICE AREA|25010066|alvimopan 12 mg capsule||67919002010|1,394.71||1,394.71
WS SERVICE AREA|25010066|alvimopan 12 mg capsule||00591231215|1,514.25||1,514.25
WS SERVICE AREA|25010066|darunavir ethanolate 600 mg tablet||59676056201|235.88||235.88
WS SERVICE AREA|25010066|bromocriptine 2.5 mg tablet||00574010601|28.80||28.80
WS SERVICE AREA|25010066|bromocriptine 2.5 mg tablet||00574010603|31.73||31.73
WS SERVICE AREA|25010066|bromocriptine 2.5 mg tablet||63304096230|25.39||25.39
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|10.24||10.24
WS SERVICE AREA|25010066|bumetanide 1 mg tablet||16714083201|8.19||8.19
WS SERVICE AREA|25010066|buPROPion HCL 75 mg tablet||60505015801|4.80||4.80
WS SERVICE AREA|25010066|buPROPion HCL 75 mg tablet||00781105301|4.80||4.80
WS SERVICE AREA|25010066|buPROPion HCL 75 mg tablet||00904663561|6.18||6.18
WS SERVICE AREA|25010066|buPROPion HCL 75 mg tablet||51079094301|7.91||7.91
WS SERVICE AREA|25010066|busPIRone 10 mg tablet||51079098601|5.16||5.16
WS SERVICE AREA|25010066|busPIRone 10 mg tablet||68382018105|5.00||5.00
WS SERVICE AREA|25010066|busPIRone 10 mg tablet||00093005401|5.16||5.16
WS SERVICE AREA|25010066|busPIRone 5 mg tablet||51079098501|5.91||5.91
WS SERVICE AREA|25010066|busPIRone 5 mg tablet||68382018001|5.91||5.91
WS SERVICE AREA|25010066|busPIRone 5 mg tablet||16729020016|5.74||5.74
WS SERVICE AREA|25010066|busPIRone 5 mg tablet||00093005301|5.91||5.91
WS SERVICE AREA|25010066|calcitrioL 0.25 mcg capsule||63304023901|7.33||7.33
WS SERVICE AREA|25010066|calcitrioL 0.25 mcg capsule||00093735201|9.28||9.28
WS SERVICE AREA|25010066|calcitrioL 0.25 mcg capsule||60687034511|5.88||5.88
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|4.86||4.86
WS SERVICE AREA|25010066|captopriL 12.5 mg tablet||51079086301|6.58||6.58
WS SERVICE AREA|25010066|captopriL 25 mg tablet||00378301201|4.80||4.80
WS SERVICE AREA|25010066|captopriL 50 mg tablet||00781807501|4.80||4.80
WS SERVICE AREA|25010066|carbidopa 10 mg-levodopa 100 mg tablet||00228253810|4.80||4.80
WS SERVICE AREA|25010066|carbidopa 25 mg-levodopa 100 mg tablet||00228253910|4.80||4.80
WS SERVICE AREA|25010066|carbidopa 25 mg-levodopa 100 mg tablet||68084009311|4.80||4.80
WS SERVICE AREA|25010066|carbidopa 25 mg-levodopa 250 mg tablet||68084009411|7.26||7.26
WS SERVICE AREA|25010066|carbidopa ER 50 mg-levodopa 200 mg tablet,extended release||68084028211|12.13||12.13
WS SERVICE AREA|25010066|carbidopa ER 50 mg-levodopa 200 mg tablet,extended release||16729007901|13.85||13.85
WS SERVICE AREA|25010066|carbidopa 18.75 mg-levodopa 75 mg-entacapone 200 mg tablet||47335000288|23.71||23.71
WS SERVICE AREA|25010066|carbidopa 31.25 mg-levodopa 125 mg-entacapone 200 mg tablet||64679078504|28.77||28.77
WS SERVICE AREA|25010066|cefaclor 250 mg capsule||00143998501|12.67||12.67
WS SERVICE AREA|25010066|cefaclor 250 mg capsule||61442017130|19.83||19.83
WS SERVICE AREA|25010066|cefadroxil 500 mg capsule||68180018008|28.53||28.53
WS SERVICE AREA|25010066|cefadroxil 250 mg/5 mL oral suspension||68180018102|466.34||466.34
WS SERVICE AREA|25010066|tetrabenazine 12.5 mg tablet||31722082111|604.47||604.47
WS SERVICE AREA|25010066|tetrabenazine 12.5 mg tablet||43598039467|579.77||579.77
WS SERVICE AREA|25010066|cefuroxime axetil 250 mg tablet||68180030260|33.74||33.74
WS SERVICE AREA|25010066|cefuroxime axetil 250 mg tablet||65862069920|33.74||33.74
WS SERVICE AREA|25010066|cefuroxime axetil 250 mg tablet||16714040001|38.84||38.84
WS SERVICE AREA|25010066|cefuroxime axetil 500 mg tablet||68180030360|30.74||30.74
WS SERVICE AREA|25010066|cefuroxime axetil 500 mg tablet||16714040101|34.29||34.29
WS SERVICE AREA|25010066|cephalexin 250 mg capsule||68180012101|5.32||5.32
WS SERVICE AREA|25010066|cephalexin 250 mg capsule||67877022001|6.70||6.70
WS SERVICE AREA|25010066|cephalexin 500 mg capsule||68180012201|5.28||5.28
WS SERVICE AREA|25010066|cephalexin 500 mg capsule||60687016311|5.18||5.18
WS SERVICE AREA|25010066|cephalexin 250 mg/5 mL oral suspension||00093417773|220.90||220.90
WS SERVICE AREA|25010066|cetirizine 10 mg tablet||45802091939|0.83||0.83
WS SERVICE AREA|25010066|chlorambuciL 2 mg tablet||76388063525|244.07||244.07
WS SERVICE AREA|25010066|chlorothiazide 250 mg/5 mL oral suspension||65649031112|528.98||528.98
WS SERVICE AREA|25010066|chlorothiazide 250 mg/5 mL oral suspension||00000005278|133.92||133.92
WS SERVICE AREA|25010066|QUEtiapine ER 50 mg tablet,extended release 24 hr||00310828060|6.53||6.53
WS SERVICE AREA|25010066|ferrous sulfate 15 mg iron (75 mg)/mL oral drops||50383062750|37.86||37.86
WS SERVICE AREA|25010066|ferrous sulfate 15 mg iron (75 mg)/mL oral drops||39328005750|37.01||37.01
WS SERVICE AREA|25010066|clarithromycin 250 mg tablet||00527193106|46.14||46.14
WS SERVICE AREA|25010066|clarithromycin 500 mg tablet||00781196260|23.07||23.07
WS SERVICE AREA|25010066|clarithromycin 500 mg tablet||65862022660|23.07||23.07
WS SERVICE AREA|25010066|QUEtiapine ER 150 mg tablet,extended release 24 hr||00310028139|113.10||113.10
WS SERVICE AREA|25010066|QUEtiapine ER 150 mg tablet,extended release 24 hr||49884080602|122.14||122.14
WS SERVICE AREA|25010066|QUEtiapine ER 150 mg tablet,extended release 24 hr||16729010912|122.14||122.14
WS SERVICE AREA|25010066|clobetasoL 0.05 % topical cream||51672125801|983.56||983.56
WS SERVICE AREA|25010066|clobetasoL 0.05 % topical ointment||50383026815|1,192.26||1,192.26
WS SERVICE AREA|25010066|clobetasoL 0.05 % topical ointment||51672125901|1,192.26||1,192.26
WS SERVICE AREA|25010066|clobetasoL 0.05 % scalp solution||51672129302|791.16||791.16
WS SERVICE AREA|25010066|clobetasoL 0.05 % scalp solution||60432013325|791.16||791.16
WS SERVICE AREA|25010066|clomiPRAMINE 25 mg capsule||51672401106|86.23||86.23
WS SERVICE AREA|25010066|clomiPRAMINE 25 mg capsule||16714084901|86.23||86.23
WS SERVICE AREA|25010066|clomiPRAMINE 25 mg capsule||16714084902|86.23||86.23
WS SERVICE AREA|25010066|clomiPRAMINE 25 mg capsule||16714084903|76.49||76.49
WS SERVICE AREA|25010066|clonazePAM 0.5 mg tablet||63739026310|4.80||4.80
WS SERVICE AREA|25010066|clonazePAM 0.5 mg tablet||16729013616|4.80||4.80
WS SERVICE AREA|25010066|clonazePAM 0.5 mg tablet||16714075201|4.80||4.80
WS SERVICE AREA|25010066|clonazePAM 0.5 mg tablet||00093083201|4.80||4.80
WS SERVICE AREA|25010066|clonazePAM 1 mg tablet||16729013700|4.80||4.80
WS SERVICE AREA|25010066|clonazePAM 1 mg tablet||16729013716|4.80||4.80
WS SERVICE AREA|25010066|clonazePAM 1 mg tablet||51079088201|4.80||4.80
WS SERVICE AREA|25010066|clotrimazole 10 mg troche||00574010714|11.20||11.20
WS SERVICE AREA|25010066|clotrimazole 10 mg troche||00574010770|12.33||12.33
WS SERVICE AREA|25010066|clotrimazole 10 mg troche||00574010777|10.96||10.96
WS SERVICE AREA|25010066|cloZAPine 100 mg tablet||00093777219|13.15||13.15
WS SERVICE AREA|25010066|cloZAPine 100 mg tablet||00093777293|13.15||13.15
WS SERVICE AREA|25010066|cloZAPine 25 mg tablet||00093435993|10.15||10.15
WS SERVICE AREA|25010066|cloZAPine 25 mg tablet||00093435919|10.15||10.15
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|60.73||60.73
WS SERVICE AREA|25010066|artemether-lumefantrine 20 mg-120 mg tablet||00078056845|117.58||117.58
WS SERVICE AREA|25010066|lacosamide 50 mg tablet||00131247735|76.36||76.36
WS SERVICE AREA|25010066|lacosamide 50 mg tablet||00131247760|84.00||84.00
WS SERVICE AREA|25010066|lacosamide 100 mg tablet||00131247835|119.38||119.38
WS SERVICE AREA|25010066|lacosamide 100 mg tablet||00131247860|131.33||131.33
WS SERVICE AREA|25010066|lacosamide 200 mg tablet||00131248035|63.24||63.24
WS SERVICE AREA|25010066|silodosin 8 mg capsule||59651009630|68.83||68.83
WS SERVICE AREA|25010066|cyclopentolate-phenylephrine 0.2 %-1 % eye drops||00065035902|220.90||220.90
WS SERVICE AREA|25010066|cyclopentolate-phenylephrine 0.2 %-1 % eye drops||00065035905|388.03||388.03
WS SERVICE AREA|25010066|febuxostat 40 mg tablet||64764091830|84.38||84.38
WS SERVICE AREA|25010066|cetirizine 5 mg/5 mL oral solution||68094000459|5.56||5.56
WS SERVICE AREA|25010066|cetirizine 5 mg/5 mL oral solution||68094000462|5.56||5.56
WS SERVICE AREA|25010066|dantrolene 25 mg capsule||00115441101|8.20||8.20
WS SERVICE AREA|25010066|demeclocycline 150 mg tablet||62584015911|81.55||81.55
WS SERVICE AREA|25010066|demeclocycline 150 mg tablet||42806014301|144.21||144.21
WS SERVICE AREA|25010066|demeclocycline 300 mg tablet||62584016311|81.55||81.55
WS SERVICE AREA|25010066|SUMAtriptan 6 mg/0.5 mL subcutaneous solution||63323027301|418.46||418.46
WS SERVICE AREA|25010066|SUMAtriptan 6 mg/0.5 mL subcutaneous solution||55150017301|725.90||725.90
WS SERVICE AREA|25010066|dextromethorphan polistirex ER 30 mg/5 mL oral susp ext.release 12hr||00363038421|4.80||4.80
WS SERVICE AREA|25010066|dextromethorphan polistirex ER 30 mg/5 mL oral susp ext.release 12hr||00000005818|4.80||4.80
WS SERVICE AREA|25010066|dextromethorphan-guaifenesin 10 mg-100 mg/5 mL oral syrup||00121127610|11.72||11.72
WS SERVICE AREA|25010066|tolvaptan 15 mg tablet||60505470400|4,331.90||4,331.90
WS SERVICE AREA|25010066|tolvaptan 30 mg tablet||67877063602|2,094.10||2,094.10
WS SERVICE AREA|25010066|ciprofloxacin 0.2 % ear drops in a dropperette||42195055014|65.42||65.42
WS SERVICE AREA|25010066|lipase-protease-amylase 12,000-38,000-60,000 unit capsule,delayed rel||00032121201|27.21||27.21
WS SERVICE AREA|25010066|tapentadoL 50 mg tablet||50458082002|70.72||70.72
WS SERVICE AREA|25010066|tapentadoL 50 mg tablet||69865021002|70.72||70.72
WS SERVICE AREA|25010066|tapentadoL 50 mg tablet||24510005010|70.72||70.72
WS SERVICE AREA|25010066|tapentadoL 75 mg tablet||50458083002|55.09||55.09
WS SERVICE AREA|25010066|dronedarone 400 mg tablet||00024414260|88.37||88.37
WS SERVICE AREA|25010066|prasugreL 5 mg tablet||00002512130|117.35||117.35
WS SERVICE AREA|25010066|prasugreL 5 mg tablet||60505464203|126.60||126.60
WS SERVICE AREA|25010066|prasugreL 10 mg tablet||00002512301|58.68||58.68
WS SERVICE AREA|25010066|prasugreL 10 mg tablet||65862083030|63.30||63.30
WS SERVICE AREA|25010066|prasugreL 10 mg tablet||65162000203|63.30||63.30
WS SERVICE AREA|25010066|dinoprostone 0.5 mg/3 g vaginal gel||00009335902|4.80||4.80
WS SERVICE AREA|25010066|benzonatate 100 mg capsule||63739002910|4.80||4.80
WS SERVICE AREA|25010066|benzonatate 100 mg capsule||69452014320|19.20||19.20
WS SERVICE AREA|25010066|benzonatate 100 mg capsule||60687034601|5.59||5.59
WS SERVICE AREA|25010066|benzonatate 100 mg capsule||00904656461|4.80||4.80
WS SERVICE AREA|25010066|benzonatate 100 mg capsule||42806071401|19.20||19.20
WS SERVICE AREA|25010066|doxazosin 1 mg tablet||51079095701|28.88||28.88
WS SERVICE AREA|25010066|doxazosin 2 mg tablet||51079095801|14.41||14.41
WS SERVICE AREA|25010066|doxazosin 4 mg tablet||00378402401|4.80||4.80
WS SERVICE AREA|25010066|doxazosin 4 mg tablet||00904552461|4.80||4.80
WS SERVICE AREA|25010066|doxazosin 4 mg tablet||16729021301|4.80||4.80
WS SERVICE AREA|25010066|doxazosin 4 mg tablet||68382078501|4.80||4.80
WS SERVICE AREA|25010066|doxazosin 4 mg tablet||51079095901|7.56||7.56
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|40.68||40.68
WS SERVICE AREA|25010066|dronabinoL 2.5 mg capsule||00904659761|36.23||36.23
WS SERVICE AREA|25010066|dronabinoL 2.5 mg capsule||00904674561|36.23||36.23
WS SERVICE AREA|25010066|enalapril maleate 10 mg tablet||68084039111|4.80||4.80
WS SERVICE AREA|25010066|enalapril maleate 2.5 mg tablet||00904560961|4.80||4.80
WS SERVICE AREA|25010066|enalapril maleate 20 mg tablet||68084039211|4.80||4.80
WS SERVICE AREA|25010066|enalapril maleate 20 mg tablet||00904561161|4.80||4.80
WS SERVICE AREA|25010066|enalapril maleate 5 mg tablet||68084039011|4.80||4.80
WS SERVICE AREA|25010066|opium tincture 10 mg/mL (morphine) oral||00000005237|48.17||
WS SERVICE AREA|25010066|ergocalciferol (vitamin D2) 200 mcg/mL (8,000 unit/mL) oral drops||39328035760|4.80||4.80
WS SERVICE AREA|25010066|ergocalciferol (vitamin D2) 200 mcg/mL (8,000 unit/mL) oral drops||43199001560|4.80||4.80
WS SERVICE AREA|25010066|valGANciclovir 50 mg/mL oral solution||00591257920|7,672.27||7,672.27
WS SERVICE AREA|25010066|levonorgestreL 1.5 mg tablet||16714080901|258.25||258.25
WS SERVICE AREA|25010066|levonorgestreL 1.5 mg tablet||50090114100|299.13||299.13
WS SERVICE AREA|25010066|estradioL 1 mg tablet||00378145401|4.80||4.80
WS SERVICE AREA|25010066|estradioL 1 mg tablet||00555088602|4.80||4.80
WS SERVICE AREA|25010066|estradioL 2 mg tablet||00378145801|4.80||4.80
WS SERVICE AREA|25010066|estradioL 2 mg tablet||00555088702|4.80||4.80
WS SERVICE AREA|25010066|sevelamer carbonate 0.8 gram oral powder packet||58468013201|136.89||136.89
WS SERVICE AREA|25010066|sevelamer carbonate 0.8 gram oral powder packet||00955105201|72.53||72.53
WS SERVICE AREA|25010066|sevelamer carbonate 2.4 gram oral powder packet||58468013101|136.89||136.89
WS SERVICE AREA|25010066|sevelamer carbonate 2.4 gram oral powder packet||65862093108|140.25||140.25
WS SERVICE AREA|25010066|sevelamer carbonate 2.4 gram oral powder packet||00955105401|72.53||72.53
WS SERVICE AREA|25010066|conjugated estrogens 0.3 mg tablet||00046110081|47.55||47.55
WS SERVICE AREA|25010066|conjugated estrogens 0.625 mg tablet||00046110281|22.82||22.82
WS SERVICE AREA|25010066|asenapine 5 mg sublingual tablet||00456240560|153.51||153.51
WS SERVICE AREA|25010066|asenapine 5 mg sublingual tablet||00456240511|153.48||153.48
WS SERVICE AREA|25010066|benztropine 0.5 mg tablet||68084038111|9.20||9.20
WS SERVICE AREA|25010066|benztropine 0.5 mg tablet||69315013601|4.80||4.80
WS SERVICE AREA|25010066|ethambutoL 100 mg tablet||68180028001|4.80||4.80
WS SERVICE AREA|25010066|ethambutoL 100 mg tablet||54879000101|4.80||4.80
WS SERVICE AREA|25010066|ethambutoL 400 mg tablet||68850001202|5.98||5.98
WS SERVICE AREA|25010066|ethambutoL 400 mg tablet||68084028011|12.46||12.46
WS SERVICE AREA|25010066|ethambutoL 400 mg tablet||54879000201|13.70||13.70
WS SERVICE AREA|25010066|benztropine 1 mg tablet||00603243821|4.80||4.80
WS SERVICE AREA|25010067|fat emulsion 20 % intravenous||00264446030|181.48||181.48
WS SERVICE AREA|25010067|sodium chloride 0.9 % irrigation solution||00990713809|35.05||35.05
WS SERVICE AREA|25010067|amino acid 10 % intravenous solution||00264934155|303.17||303.17
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous piggyback||00409710102|53.70||53.70
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous piggyback||00409710166|53.70||53.70
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous piggyback||00409710167|53.70||53.70
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous piggyback||00338055311|53.70||53.70
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous piggyback||00338055318|53.70||53.70
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous piggyback||00409710104|53.70||
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous piggyback||00409710169|53.70||53.70
WS SERVICE AREA|25010067|parenteral amino acid 10 % combination no.1 intravenous solution||00409416405|170.80||170.80
WS SERVICE AREA|25010067|parenteral amino acid 10 % combination no.1 intravenous solution||00409712107|273.28||273.28
WS SERVICE AREA|25010067|parenteral amino acid 15 % combination no.1 intravenous solution||00338050206|850.34||850.34
WS SERVICE AREA|25010067|parenteral amino acid 10 % combination no.4 intravenous solution||00264901055|136.64||136.64
WS SERVICE AREA|25010067|bicarbonate hemodialysis solution no.2 K 2 mEq-Ca 3.5 mEq-Mg 1 mEq/L||24571010306|245.35||245.35
WS SERVICE AREA|25010067|potassium chloride 20 mEq/L-lactated ringers-5 % dextrose intravenous||00409711109|63.09||63.09
WS SERVICE AREA|25010067|potassium chloride 20 mEq/L-lactated ringers-5 % dextrose intravenous||00990711109|63.09||63.09
WS SERVICE AREA|25010067|morphine (PF) 1 mg/2 mL intravenous syringe||70092113243|19.60||
WS SERVICE AREA|25010067|morphine (PF) 1 mg/2 mL intravenous syringe||00000005635|19.60||
WS SERVICE AREA|25010067|fat emulsion-soybean oiL-mct-olive oil-fish oiL 20 % intravenous||63323082050|290.36||290.36
WS SERVICE AREA|25010067|fat emulsion-soybean oiL-mct-olive oil-fish oiL 20 % intravenous||63323082074|222.04||222.04
WS SERVICE AREA|25010067|AAs 3 % no.2 pedi-D5W-calcium 3.75 mEq-heparin 125 unit/250 mL IV soln||71285041901|341.60||341.60
WS SERVICE AREA|25010067|amino acid 3 % pedi-D10W-calc 3.75 mEq-heparin 125 unit/250 mL IV soln||71285042001|358.68||358.68
WS SERVICE AREA|25010067|dextrose 10 % in water (D10W) intravenous solution||00409793003|53.70||53.70
WS SERVICE AREA|25010067|dextrose 10 % in water (D10W) intravenous solution||00409793009|53.70||53.70
WS SERVICE AREA|25010067|dextrose 10 % in water (D10W) intravenous solution||00409793819|53.70||53.70
WS SERVICE AREA|25010067|dextrose 10 % in water (D10W) intravenous solution||00264752010|53.70||53.70
WS SERVICE AREA|25010067|dextrose 10 % in water (D10W) intravenous solution||00264752020|53.70||53.70
WS SERVICE AREA|25010067|dextrose 10 % in water (D10W) intravenous solution||00338002304|53.70||53.70
WS SERVICE AREA|25010067|dextrose 20 % in water (D20W) intravenous solution||00409793519|80.62||80.62
WS SERVICE AREA|25010067|dextrose 20 % in water (D20W) intravenous solution||00990793519|80.62||80.62
WS SERVICE AREA|25010067|dextrose 70 % in water (D70W) intravenous solution||00409791819|91.13||91.13
WS SERVICE AREA|25010067|hetastarch 6 % in 0.9 % sodium chloride intravenous solution||00409724849|106.75||106.75
WS SERVICE AREA|25010067|hetastarch in lact electrolyte 6 % intravenous solution||00409155554|229.58||229.58
WS SERVICE AREA|25010067|periton.dialysis soln 6-1.5 % dextros low calc 2.5 mEq/L-mag 0.5 mEq/L||00941042452|269.01||269.01
WS SERVICE AREA|25010067|peritoneal dialysis soln 4-1.5 % dextr Ca+ 3.5 mEq/L-low mag 0.5 mEq/L||00941041107|102.48||102.48
WS SERVICE AREA|25010067|peritoneal dialysis soln 4-1.5 % dextr Ca+ 3.5 mEq/L-low mag 0.5 mEq/L||00941042653|192.15||192.15
WS SERVICE AREA|25010067|peritoneal dialysis soln 7-2.5 % dext.low calc 2.5 mEq/L-mag 0.5 mEq/L||00941043052|243.39||243.39
WS SERVICE AREA|25010067|periton. dialysis soln 13-2.5 % dextrose calc 3.5 mEq/L-mag 0.5 mEq/L||00941041307|128.10||128.10
WS SERVICE AREA|25010067|periton. dialysis soln 13-2.5 % dextrose calc 3.5 mEq/L-mag 0.5 mEq/L||00941042753|192.15||192.15
WS SERVICE AREA|25010067|periton. dialysis soln 8-4.25 % dextrose calc 2.5 mEq/L-mag 0.5 mEq/L||00941043352|243.39||243.39
WS SERVICE AREA|25010067|periton. dialysis soln 8-4.25 % dextrose calc 2.5 mEq/L-mag 0.5 mEq/L||00941043353|204.96||204.96
WS SERVICE AREA|25010067|periton. dialysis soln 3-4.25 % dextrose calc 3.5 mEq/L-mag 0.5 mEq/L||00941041507|102.48||102.48
WS SERVICE AREA|25010067|periton. dialysis soln 3-4.25 % dextrose calc 3.5 mEq/L-mag 0.5 mEq/L||00941042953|204.96||204.96
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous solution||00264780000|53.70||53.70
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous solution||00264780010|53.70||53.70
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous solution||00264780020|53.70||53.70
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous solution||00990798423|53.70||53.70
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous solution||00990798302|53.70||53.70
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous solution||00990798413|53.70||53.70
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous solution||00990798437|53.70||53.70
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous solution||00990798309|53.70||53.70
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous solution||00990798361|53.70||53.70
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous solution||00990798303|53.70||53.70
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous solution||00990798420|53.70||53.70
WS SERVICE AREA|25010067|amino acids 4.25 % with lytes and calcium in D10W intravenous solution||00338111504|649.04||649.04
WS SERVICE AREA|25010067|electrolyte-A intravenous solution||00338022104|98.14||98.14
WS SERVICE AREA|25010067|electrolyte-R (pH 7.4) intravenous solution||00990767009|53.70||53.70
WS SERVICE AREA|25010067|water for injection, sterile intravenous solution||00990799009|53.70||53.70
WS SERVICE AREA|25010067|glycine 1.5 % urologic solution for irrigation||00409797408|84.12||84.12
WS SERVICE AREA|25010067|sodium chloride 0.9 % IV||00990798302|53.70||53.70
WS SERVICE AREA|25010067|sodium chloride 0.9 % IV||00990798437|53.70||53.70
WS SERVICE AREA|25010067|sodium chloride 0.9 % IV||00990798436|53.70||53.70
WS SERVICE AREA|25010067|sodium chloride 0.9 % IV||00990798309|53.70||53.70
WS SERVICE AREA|25010067|sodium chloride 0.9 % IV||00990798303|53.70||53.70
WS SERVICE AREA|25010067|sodium chloride 0.9 % IV||00990798420|62.39||62.39
WS SERVICE AREA|25010067|sodium chloride 0.45 % IV||00409798509|53.70||53.70
WS SERVICE AREA|25010067|sodium chloride 0.45 % IV||00409798502|53.70||53.70
WS SERVICE AREA|25010067|sodium chloride 0.45 % IV||00409798503|53.70||53.70
WS SERVICE AREA|25010067|sodium chloride 0.45 % IV||00338004303|53.70||53.70
WS SERVICE AREA|25010067|dextrose 5 % and 0.9 % sodium chloride IV|J7042|00409794103|53.70||53.70
WS SERVICE AREA|25010067|dextrose 5 % and 0.9 % sodium chloride IV||00409794109|53.70||53.70
WS SERVICE AREA|25010067|dextrose 10% in water (D10W) IV Soln||00409793819|53.70||53.70
WS SERVICE AREA|25010067|dextrose 10% in water (D10W) IV Soln||00338002302|53.70||53.70
WS SERVICE AREA|25010067|||00000005038|121.55||
WS SERVICE AREA|25010067|morphine 2 mg/mL injection syringe,morphine 2 mg/mL intravenous syringe||00000005426|19.60||
WS SERVICE AREA|25010067|sodium chloride 0.9 % IV||00338004941|53.70||53.70
WS SERVICE AREA|25010067|sodium chloride 0.9 % IV||63323062309|53.70||53.70
WS SERVICE AREA|25010067|fat emulsion 20 % IV||00338051909|375.76||375.76
WS SERVICE AREA|25010067|sodium chloride 0.9% 300 mL irrigation solution||00409797208|63.09||63.09
WS SERVICE AREA|25010067|sodium chloride 0.9% 300 mL irrigation solution||00990797208|63.09||63.09
WS SERVICE AREA|25010067|sodium chloride 3 % intravenous injection solution||00338005403|53.70||53.70
WS SERVICE AREA|25010067|fat emulsion-soybean oil-mct-olive oil-fish oil 20% intravenous||00000005625|26.64||26.64
WS SERVICE AREA|25010067|sodium chloride 0.9 % IV||00264180031|53.70||53.70
WS SERVICE AREA|25010067|periton.dialysis soln 6-1.5 % dextros low calc 2.5 mEq/L-mag 0.5 mEq/L||00941040907|128.10||128.10
WS SERVICE AREA|25010067|peritoneal dialysis soln 7-2.5 % dext.low calc 2.5 mEq/L-mag 0.5 mEq/L||00941045705|128.10||128.10
WS SERVICE AREA|25010067|periton. dialysis soln 8-4.25 % dextrose calc 2.5 mEq/L-mag 0.5 mEq/L||00941045905|102.48||102.48
WS SERVICE AREA|25010067|prismasate 0/3.5 (potassium/calcium) dialysis solution||00000113915|156.39||
WS SERVICE AREA|25010067|prismasate 0/3.5 (potassium/calcium) dialysis solution||00000005005|175.25||
WS SERVICE AREA|25010067|prismasate 4/2.5 (potassium/calcium) dialysis solution||00000005004|175.25||
WS SERVICE AREA|25010067|prismasate 4/2.5 (potassium/calcium) dialysis solution||00000113916|133.19||133.19
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous solution||00409798309|53.70||53.70
WS SERVICE AREA|25010067|sodium chloride 0.9 % IV||00409798309|53.70||53.70
WS SERVICE AREA|25010067|fat emulsion 20 % IV||00000005351|19.60||19.60
WS SERVICE AREA|25010067|fat emulsion-soybean oil-mct-olive oil-fish oil 20% intravenous||00000005624|19.60||19.60
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous piggyback||00409710166|53.70||53.70
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous piggyback||00409710167|53.70||53.70
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous piggyback||00338055311|53.70||53.70
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous piggyback||00409710104|53.70||
WS SERVICE AREA|25010067|sodium chloride 0.9 % intravenous piggyback||37600020914|53.70||53.70
WS SERVICE AREA|25010067|lactated Ringers irrigation solution||00264220300|32.60||32.60
WS SERVICE AREA|25010067|sodium chloride 0.45 % intravenous solution||00409798509|53.70||53.70
WS SERVICE AREA|25010067|sodium chloride 0.45 % intravenous solution||00409798503|53.70||53.70
WS SERVICE AREA|25010067|sodium chloride 0.45 % intravenous solution||00990798502|53.70||53.70
WS SERVICE AREA|25010067|sodium chloride 3 % intravenous injection solution||00338005403|53.70||53.70
WS SERVICE AREA|25010067|sodium chloride 3 % intravenous injection solution||63323053021|53.70||53.70
WS SERVICE AREA|25010067|water for irrigation, sterile solution||00409713909|32.60||32.60
WS SERVICE AREA|25010067|water for irrigation, sterile solution||00409613922|73.61||73.61
WS SERVICE AREA|25010067|water for irrigation, sterile solution||00409797307|32.60||32.60
WS SERVICE AREA|25010067|water for irrigation, sterile solution||00338000404|32.60||32.60
WS SERVICE AREA|25010067|water for irrigation, sterile solution||00990713909|32.60||32.60
WS SERVICE AREA|25010067|parenteral amino acid 10 % combination no.2 intravenous solution||00409419105|154.22||154.22
WS SERVICE AREA|25010067|parenteral amino acid 15 % combination no.2 intravenous solution||00409717117|294.42||294.42
WS SERVICE AREA|25010067|parenteral amino acid 8.5 % combination no.2 intravenous solution||00409418703|63.09||63.09
WS SERVICE AREA|25010067|dextran 40 10 % in 5 % dextrose intravenous||00409741803|185.77||185.77
WS SERVICE AREA|25010067|dextran 40 10 % in 5 % dextrose intravenous||00000005134|53.70||53.70
WS SERVICE AREA|25010067|potassium chloride 20 mEq/L in D5-0.9 % sodium chloride intravenous||00409710709|53.70||53.70
WS SERVICE AREA|25010067|potassium chloride 20 mEq/L in D5-0.9 % sodium chloride intravenous||00338080304|63.09||63.09
WS SERVICE AREA|25010067|potassium chloride 40 mEq/L in D5-0.9 % sodium chloride intravenous||00409710909|56.08||56.08
WS SERVICE AREA|25010067|potassium chloride 10 mEq/L in dextrose 5 %-0.45 % sodium chloride IV||00409799309|19.60||19.60
WS SERVICE AREA|25010067|potassium chloride 20 mEq/L in dextrose 5 %-0.2 % sodium chloride IV||00409790109|53.70||53.70
WS SERVICE AREA|25010067|potassium chloride 20 mEq/L in dextrose 5 %-0.45 % sodium chloride IV||00409790209|53.70||53.70
WS SERVICE AREA|25010067|potassium chloride 20 mEq/L in dextrose 5 %-0.45 % sodium chloride IV||00409790203|53.70||53.70
WS SERVICE AREA|25010067|potassium chloride 30 mEq/L in dextrose 5 %-0.45 % sodium chloride IV||00409790309|53.70||53.70
WS SERVICE AREA|25010067|potassium chloride 40 mEq/L in dextrose 5 %-0.45 % sodium chloride IV||00990790409|53.70||53.70
WS SERVICE AREA|25010067|dextrose 5 % and 0.2 % sodium chloride intravenous solution||00409792403|53.70||53.70
WS SERVICE AREA|25010067|dextrose 5 % and 0.2 % sodium chloride intravenous solution||00409792409|53.70||53.70
WS SERVICE AREA|25010067|dextrose 5 % and 0.2 % sodium chloride intravenous solution||00338007704|53.70||53.70
WS SERVICE AREA|25010067|dextrose 5 % and 0.2 % sodium chloride intravenous solution||00990792409|53.70||53.70
WS SERVICE AREA|25010067|dextrose 5 % and 0.45 % sodium chloride intravenous solution||00409792603|53.70||53.70
WS SERVICE AREA|25010067|dextrose 5 % and 0.45 % sodium chloride intravenous solution||00409792609|53.70||53.70
WS SERVICE AREA|25010068|etoposide 50 mg capsule|J8560|00378326694|626.74||626.74
WS SERVICE AREA|25010068|factor IX cplx(PCC)no.4, 3factor 1,000 (+/-) unit intravenous solution|J7194|68516320202|8,424.00||8,424.00
WS SERVICE AREA|25010068|C1 esterase inhibitor 500 unit (10 mL) intravenous kit|J0597|63833082502|20,280.00||20,280.00
WS SERVICE AREA|25010068|filgrastim 300 mcg/mL injection solution|J1442|55513053001|2,194.37||2,194.37
WS SERVICE AREA|25010068|fludarabine 50 mg intravenous solution|J9185|00703585401|726.71||726.71
WS SERVICE AREA|25010068|ibutilide fumarate 0.1 mg/mL intravenous solution|J1742|00009379422|3,168.07||3,168.07
WS SERVICE AREA|25010068|ibutilide fumarate 0.1 mg/mL intravenous solution|J1742|00009379401|3,168.07||3,168.07
WS SERVICE AREA|25010068|ganciclovir sodium 500 mg intravenous solution|J1570|63323031510|830.69||830.69
WS SERVICE AREA|25010068|meningoc vac A,C,Y,W-135 dip(PF) 10 mcg-5 mcg/0.5 mL intramuscular kit|90734|58160095509|970.61||970.61
WS SERVICE AREA|25010068|goserelin 3.6 mg subcutaneous implant|J9202|70720095036|4,661.34||4,661.34
WS SERVICE AREA|25010068|hyaluronidase 150 unit/mL injection solution|J3470|00548909010|19.60||19.60
WS SERVICE AREA|25010068|ifosfamide 1 gram intravenous solution|J9208|63323014210|446.40||446.40
WS SERVICE AREA|25010068|ifosfamide 1 gram intravenous solution|J9208|63323014212|557.99||557.99
WS SERVICE AREA|25010068|ifosfamide 3 gram intravenous solution|J9208|10019092602|671.05||671.05
WS SERVICE AREA|25010068|ifosfamide 3 gram intravenous solution|J9208|10019092616|671.05||671.05
WS SERVICE AREA|25010068|isosulfan blue 1 % subcutaneous solution|Q9968|67457022005|739.44||739.44
WS SERVICE AREA|25010068|pneumococcal 13-val conj vaccine-dip crm (PF) 0.5 mL IM syringe|90670|00005197101|1,471.46||1,471.46
WS SERVICE AREA|25010068|lymphocyte,anti-thymo immune globulin 50 mg/mL intravenous solution|J7504|00009722401|15,963.50||15,963.50
WS SERVICE AREA|25010068|measles,mumps,rubella vaccine live(PF)1,000-12,500TCID50/0.5 mL subcut|90707|00006468100|685.33||685.33
WS SERVICE AREA|25010068|melphalan 50 mg intravenous solution|J9245|67457019501|18,767.74||18,767.74
WS SERVICE AREA|25010068|denosumab 60 mg/mL subcutaneous syringe|J0897|55513071001|9,439.05||9,439.05
WS SERVICE AREA|25010068|cabazitaxeL 10 mg/mL (first dilution) intravenous solution|J9043|00024582411|54,040.40||
WS SERVICE AREA|25010068|mitoMYcin 20 mg intravenous solution|J9280|16729010811|4,416.80||4,416.80
WS SERVICE AREA|25010068|mitoMYcin 40 mg intravenous solution|J9280|16729011638|8,833.59||8,833.59
WS SERVICE AREA|25010068|mitoMYcin 5 mg intravenous solution|J9280|16729011505|3,400.30||3,400.30
WS SERVICE AREA|25010068|eriBULin 1 mg/2 mL (0.5 mg/mL) intravenous solution|J9179|62856038901|7,575.36||7,575.36
WS SERVICE AREA|25010068|denosumab 120 mg/1.7 mL (70 mg/mL) subcutaneous solution|J0897|55513073001|17,362.55||17,362.55
WS SERVICE AREA|25010068|pegloticase 8 mg/mL intravenous solution|J2507|75987008010|173,187.49||173,187.49
WS SERVICE AREA|25010068|ceftaroline fosamiL 400 mg intravenous solution|J0712|00456040001|738.19||738.19
WS SERVICE AREA|25010068|ceftaroline fosamiL 600 mg intravenous solution|J0712|00456060001|738.19||738.19
WS SERVICE AREA|25010068|baclofen 10,000 mcg/20 mL (500 mcg/mL) intrathecal solution||67457056220|1,616.62||1,616.62
WS SERVICE AREA|25010068|baclofen 40,000 mcg/20 mL (2,000 mcg/mL) intrathecal solution|J0475|67457056420|6,466.63||6,466.63
WS SERVICE AREA|25010068|penicillin G benzathine 1,200,000 unit/2 mL intramuscular syringe|J0561|60793070102|735.11||735.11
WS SERVICE AREA|25010068|ustekinumab 90 mg/mL subcutaneous syringe|J3357|57894006103|84,305.01||84,305.01
WS SERVICE AREA|25010068|panitumumab 100 mg/5 mL (20 mg/mL) intravenous solution|J9303|55513095401|8,478.23||8,478.23
WS SERVICE AREA|25010068|panitumumab 400 mg/20 mL (20 mg/mL) intravenous solution|J9303|55513095601|33,912.90||33,912.90
WS SERVICE AREA|25010068|tocilizumab 80 mg/4 mL (20 mg/mL) intravenous solution|J3262|50242013501|3,214.29||3,214.29
WS SERVICE AREA|25010068|tocilizumab 200 mg/10 mL (20 mg/mL) intravenous solution|J3262|50242013601|8,035.71||8,035.71
WS SERVICE AREA|25010068|tocilizumab 400 mg/20 mL (20 mg/mL) intravenous solution|J3262|50242013701|16,071.43||16,071.43
WS SERVICE AREA|25010068|bevacizumab 25 mg/mL intravenous solution|J9035|50242006001|4,972.91||4,972.91
WS SERVICE AREA|25010068|bevacizumab 25 mg/mL intravenous solution|J9035|50242006101|19,891.62||19,891.62
WS SERVICE AREA|25010068|PRALAtrexate 40 mg/2 mL (20 mg/mL) intravenous solution|J9307|48818000102|75,607.02||75,607.02
WS SERVICE AREA|25010068|filgrastim 480 mcg/1.6 mL injection solution|J1442|55513054601|3,494.27||3,494.27
WS SERVICE AREA|25010068|fulvestrant 250 mg/5 mL intramuscular syringe|J9395|00310072010|6,049.84||6,049.84
WS SERVICE AREA|25010068|paliperidone palmitate 117 mg/0.75 mL intramuscular syringe|J2426|50458056201|10,245.76||10,245.76
WS SERVICE AREA|25010068|paliperidone palmitate 234 mg/1.5 mL intramuscular syringe|J2426|50458056401|10,245.94||10,245.94
WS SERVICE AREA|25010068|poliovirus vaccine 40 unit-8 unit-32 unit/0.5 mL injection suspension|90713|49281086010|308.60||308.60
WS SERVICE AREA|25010068|belimumab 120 mg intravenous solution|J0490|49401010101|3,891.07||3,891.07
WS SERVICE AREA|25010068|belimumab 400 mg intravenous solution|J0490|49401010201|12,969.78||12,969.78
WS SERVICE AREA|25010068|penicillin G benzathine 600,000 unit/mL intramuscular syringe|J0561|60793070010|424.44||424.44
WS SERVICE AREA|25010068|penicillin G benzathine 600,000 unit/mL intramuscular syringe|J0561|60793070001|424.44||424.44
WS SERVICE AREA|25010068|pentostatin 10 mg intravenous solution|J9268|00409080101|13,836.20||13,836.20
WS SERVICE AREA|25010068|pneumococcal 23 polyvalent vaccine 25 mcg/0.5 mL injection solution|90732|00006494300|769.86||769.86
WS SERVICE AREA|25010068|pneumococcal 23 polyvalent vaccine 25 mcg/0.5 mL injection solution|90732|00006494301|769.86||769.86
WS SERVICE AREA|25010068|belatacept 250 mg intravenous solution|J0485|00003037113|6,595.15||6,595.15
WS SERVICE AREA|25010068|leuprolide (6 month) 45 mg intramuscular syringe kit|J9217|00074347303|66,174.26||66,174.26
WS SERVICE AREA|25010068|brentuximab vedotin 50 mg intravenous solution|J9042|51144005001|57,876.00||57,876.00
WS SERVICE AREA|25010068|icatibant 30 mg/3 mL subcutaneous syringe|J1744|54092070202|77,698.01||77,698.01
WS SERVICE AREA|25010068|sargramostim 250 mcg solution for injection|J2820|00024584305|1,920.05||1,920.05
WS SERVICE AREA|25010068|sargramostim 250 mcg solution for injection|J2820|00024584301|1,827.67||
WS SERVICE AREA|25010068|streptozocin 1 gram intravenous solution|J9320|00703463601|2,434.13||2,434.13
WS SERVICE AREA|25010068|diph,pertus(acel),tet pedi (PF) 25 Lf unit-58 mcg-10 Lf/0.5mL IM susp|90700|58160081011|205.46||205.46
WS SERVICE AREA|25010068|haemophilus B polysaccharid conj-tetanus tox(PF) 10 mcg/0.5 mL IM soln|90648|58160081601|92.39||92.39
WS SERVICE AREA|25010068|linezolid in 5% dextrose in water 600 mg/300 mL intravenous piggyback|J2020|00009514001|407.36||407.36
WS SERVICE AREA|25010068|linezolid in 5% dextrose in water 600 mg/300 mL intravenous piggyback|J2020|00009499201|684.05||
WS SERVICE AREA|25010068|hepatitis B immune globulin 110 unit/0.5 mL intramuscular syringe|90371|13533063603|755.36||755.36
WS SERVICE AREA|25010068|hepatitis A vaccine (PF) 1,440 ELISA unit/mL intramuscular syringe|90632|58160082643|311.71||311.71
WS SERVICE AREA|25010068|hepatitis A virus vaccine (PF) 1,440 ELISA unit/mL IM suspension|90632|58160082611|311.71||311.71
WS SERVICE AREA|25010068|hepatitis A virus vaccine (PF) 1,440 ELISA unit/mL IM suspension|90632|58160082601|311.71||311.71
WS SERVICE AREA|25010068|tetanus and diphtheria tox (PF) 5 Lf unit-2 Lf unit/0.5 mL IM syringe|90714|49281021515|295.78||295.78
WS SERVICE AREA|25010068|tetanus and diphtheria tox (PF) 5 Lf unit-2 Lf unit/0.5 mL IM syringe|90714|49281021588|295.83||295.83
WS SERVICE AREA|25010068|tetanus and diphtheria tox (PF) 5 Lf unit-2 Lf unit/0.5 mL IM susp|90714|49281021510|295.78||295.78
WS SERVICE AREA|25010068|hepatitis B virus vaccine recomb (PF) 5 mcg/0.5 mL intramuscular susp|90744|00006498101|383.51||
WS SERVICE AREA|25010068|tetanus immune globulin (PF) 250 unit intramuscular syringe|J1670|13533063402|4,072.01||4,072.01
WS SERVICE AREA|25010068|clevidipine 50 mg/100 mL intravenous emulsion|C9248|10122061101|1,284.57||1,284.57
WS SERVICE AREA|25010068|tirofiban 12.5 mg/250 mL (50 mcg/mL)-0.9 % sodium chloride intravenous|J3246|25208000202|1,665.83||1,665.83
WS SERVICE AREA|25010068|hylan g-f 20  48 mg/6 mL intra-articular syringe|J7325|58468009003|9,546.25||9,546.25
WS SERVICE AREA|25010068|glucagon 1 mg/mL solution for injection|J1610|00597005301|732.73||
WS SERVICE AREA|25010068|glucagon 1 mg/mL solution for injection|J1610|00597026010|732.73||732.73
WS SERVICE AREA|25010068|immune globu G 1 gram/10 mL(10 %)-gly-IgA ave 46 mcg/mL injection soln|J1561|13533080012|906.94||906.94
WS SERVICE AREA|25010068|immune globu G 1 gram/10 mL(10 %)-gly-IgA ave 46 mcg/mL injection soln|J1561|76125090001|1,108.93||1,108.93
WS SERVICE AREA|25010068|leuprolide 7.5 mg intramuscular syringe kit|J9217|00074364203|11,028.89||11,028.89
WS SERVICE AREA|25010068|methylnaltrexone 12 mg/0.6 mL subcutaneous syringe|J2212|65649055103|765.83||765.83
WS SERVICE AREA|25010068|morphine (PF) 2 mg/2 mL (1 mg/mL) in 0.9% sodium chloride inj syringe|J2274|69374097902|19.60||
WS SERVICE AREA|25010068|tacrolimus 5 mg/mL intravenous solution|J7525|00469301601|1,492.63||1,492.63
WS SERVICE AREA|25010068|leuprolide 3.75 mg intramuscular syringe kit|J1950|00074364103|9,255.11||9,255.11
WS SERVICE AREA|25010068|porfimer 75 mg intravenous solution|J9600|76128015575|131,289.60||131,289.60
WS SERVICE AREA|25010068|epoetin alfa 20,000 unit/mL injection solution|J0885|59676032004|3,725.47|Q4081|3,725.47
WS SERVICE AREA|25010068|epoetin alfa 20,000 unit/mL injection solution|J0885|59676032000|3,725.47|Q4081|3,725.47
WS SERVICE AREA|25010068|epoetin alfa 20,000 unit/mL injection solution|J0885|55513047801|2,311.25|Q4081|2,311.25
WS SERVICE AREA|25010068|varicella virus vaccine live (PF) 1,350 unit/0.5 mL subcutaneous susp|90716|00006482700|987.82||987.82
WS SERVICE AREA|25010068|dexrazoxane HCL 500 mg intravenous solution|J1190|00013872789|2,931.36||2,931.36
WS SERVICE AREA|25010068|adenosine (diagnostic) 3 mg/mL intravenous solution|J0153|00469087130|2,276.47||2,276.47
WS SERVICE AREA|25010068|morphine (PF) 1 mg/mL injection solution|J2274|00409381512|63.45|J2274|63.45
WS SERVICE AREA|25010068|morphine (PF) 1 mg/mL injection solution|J2274|00641601901|19.60|J2274|19.60
WS SERVICE AREA|25010068|pertuzumab 420 mg/14 mL (30 mg/mL) intravenous solution|J9306|50242014501|34,508.16||34,508.16
WS SERVICE AREA|25010068|hepatitis A virus vaccine (PF) 25 unit/0.5 mL intramuscular syringe|90633|00006409501|289.05||289.05
WS SERVICE AREA|25010068|tetanus,diphtheria toxoid ped (PF) 5 Lf unit-25 Lf unit/0.5 mL IM susp|90702|49281022510|499.90||499.90
WS SERVICE AREA|25010068|ziv-aflibercept 100 mg/4 mL (25 mg/mL) intravenous solution|J9400|00024584001|9,984.00||9,984.00
WS SERVICE AREA|25010068|ziv-aflibercept 200 mg/8 mL (25 mg/mL) intravenous solution|J9400|00024584101|19,968.00||19,968.00
WS SERVICE AREA|25010068|degarelix 80 mg subcutaneous solution|J9155|55566830301|3,404.50||3,404.50
WS SERVICE AREA|25010068|ado-trastuzumab emtansine 100 mg intravenous solution|J9354|50242008801|20,569.79||20,569.79
WS SERVICE AREA|25010068|ado-trastuzumab emtansine 160 mg intravenous solution|J9354|50242008701|32,911.63||32,911.63
WS SERVICE AREA|25010068|diphth,pertussis(acel),tetanus 2.5 Lf unit-8 mcg-5 Lf/0.5mL IM syringe|90715|58160084252|352.80||352.80
WS SERVICE AREA|25010068|diphth,pertussis(acel),tetanus 2.5 Lf unit-8 mcg-5 Lf/0.5mL IM syringe|90715|58160084243|352.80||352.80
WS SERVICE AREA|25010068|diphth,pertussis(acel),tetanus 2.5 Lf unit-8 mcg-5 Lf/0.5mL IM syringe|90715|58160084205|406.59||406.59
WS SERVICE AREA|25010068|diphth,pertussis(acell),tetanus 2.5 Lf unit-8 mcg-5 Lf/0.5 mL IM susp|90715|58160084211|352.80||352.80
WS SERVICE AREA|25010068|diphth,pertussis(acell),tetanus 2.5 Lf unit-8 mcg-5 Lf/0.5 mL IM susp|90715|58160084201|352.80||352.80
WS SERVICE AREA|25010068|golimumab 12.5 mg/mL intravenous solution|J1602|57894035001|13,934.37||13,934.37
WS SERVICE AREA|25010068|ferric carboxymaltose 50 mg iron/mL intravenous solution|J1439|00517065001|8,181.77||8,181.77
WS SERVICE AREA|25010068|ferric carboxymaltose 50 mg iron/mL intravenous solution|J1439|00517065002|7,269.47||7,269.47
WS SERVICE AREA|25010068|copper 380 square mm intrauterine device|J7300|59365512801|8,621.08||8,621.08
WS SERVICE AREA|25010068|coagulation factor IX (recomb) 1,000 unit intravenous solution|J7195|58394063503|100.00||100.00
WS SERVICE AREA|25010068|coagulation factor IX (recomb) 1,000 unit intravenous solution|J7195|00944303002|100.00||100.00
WS SERVICE AREA|25010068|obinutuzumab 1,000 mg/40 mL intravenous solution|J9301|50242007001|42,736.26|J9301|42,736.26
WS SERVICE AREA|25010068|ramucirumab 10 mg/mL intravenous solution|J9308|00002766901|7,839.19||7,839.19
WS SERVICE AREA|25010068|ramucirumab 10 mg/mL intravenous solution|J9308|00002767801|39,195.94||39,195.94
WS SERVICE AREA|25010068|hum prothrombin cplx (PCC) 4factor 500 unit (400-620 unit) IV solution||63833039601|8,174.40|J7168|8,174.40
WS SERVICE AREA|25010068|vedolizumab 300 mg intravenous solution|J3380|64764030020|50,718.11|J3380|50,718.11
WS SERVICE AREA|25010068|cyclophosphamide 50 mg capsule|J8530|54879002201|53.69||53.69
WS SERVICE AREA|25010068|hum prothrombin cplx(PCC)4fact 1,000 unit (800-1,240 unit) IV solution||63833038702|100.00|J7168|100.00
WS SERVICE AREA|25010068|C1 esterase inhibitor, recombinant 2,100 unit intravenous solution|J0596|68012035001|77,800.32||77,800.32
WS SERVICE AREA|25010068|oritavancin 400 mg intravenous solution||65293001501|6,737.67|J2407|6,737.67
WS SERVICE AREA|25010068|oritavancin 400 mg intravenous solution||65293001503|6,737.67|J2407|6,737.67
WS SERVICE AREA|25010068|gemcitabine 200 mg intravenous solution|J9201|00002750101|924.71||924.71
WS SERVICE AREA|25010068|gemcitabine 200 mg intravenous solution|J9201|00409018501|71.06||71.06
WS SERVICE AREA|25010068|gemcitabine 200 mg intravenous solution|J9201|47335015340|215.32||215.32
WS SERVICE AREA|25010068|peramivir (PF) 200 mg/20 mL (10 mg/mL) intravenous solution|J2547|61364018103|2,207.12||2,207.12
WS SERVICE AREA|25010068|ceftolozane-tazobactam 1.5 gram intravenous solution|J0695|67919003001|872.78|J0695|872.78
WS SERVICE AREA|25010068|nivolumab 40 mg/4 mL intravenous solution|J9299|00003377211|7,050.53|J9299|7,050.53
WS SERVICE AREA|25010068|pegfilgrastim 6 mg/0.6 mL (deliverable) wearable subcutaneous injector|J2505|55513019201|43,430.49||43,430.49
WS SERVICE AREA|25010068|pembrolizumab 25 mg/mL intravenous solution|J9271|00006302602|31,410.16||31,410.16
WS SERVICE AREA|25010068|cefTAZidime-avibactam 2.5 gram intravenous solution|J0714|00456270001|2,500.91||2,500.91
WS SERVICE AREA|25010068|meningococcal A conj vacc 1 of 2(PF) 10 mcg/0.5 mL (final) IM solution|90734|58160095801|970.61||970.61
WS SERVICE AREA|25010068|glucagon HCL 1 mg/mL solution for injection|J1610|63323059616|691.74||691.74
WS SERVICE AREA|25010068|glucagon HCL 1 mg/mL solution for injection|J1610|63323059303|728.04||728.04
WS SERVICE AREA|25010068|glucagon HCL 1 mg/mL solution for injection|J1610|63323059606|691.74||691.74
WS SERVICE AREA|25010068|glucagon HCL 1 mg/mL solution for injection|J1610|63323059611|728.04||728.04
WS SERVICE AREA|25010068|glucagon HCL 1 mg/mL solution for injection|J1610|63323059603|1,188.39||1,188.39
WS SERVICE AREA|25010068|cidofovir 75 mg/mL intravenous solution|J0740|23155021631|6,189.36||6,189.36
WS SERVICE AREA|25010068|cidofovir 75 mg/mL intravenous solution|J0740|67457021005|8,269.63||8,269.63
WS SERVICE AREA|25010068|immune glob,gamm(IgG) 5 %-sorb-IgA 0 to 50 mcg/mL intravenous solution|J1572|61953000402|1,740.41||1,740.41
WS SERVICE AREA|25010068|immune glob,gamma (IgG) 10 %-gly-IgA over 50 mcg/mL injection solution|J1569|00944270002|1,040.41||1,040.41
WS SERVICE AREA|25010068|immune glob,gamm(IgG) 10 %-pro-IgA 0 to 50 mcg/mL intravenous solution|J1459|44206043605|5,305.91||5,305.91
WS SERVICE AREA|25010068|immune glob,gamm(IgG) 10 %-pro-IgA 0 to 50 mcg/mL intravenous solution|J1459|44206043710|10,611.83||10,611.83
WS SERVICE AREA|25010068|immune glob,gamm(IgG) 10 %-pro-IgA 0 to 50 mcg/mL intravenous solution|J1459|44206043820|21,223.65||21,223.65
WS SERVICE AREA|25010068|immune glob,gamm(IgG) 10 %-pro-IgA 0 to 50 mcg/mL intravenous solution|J1459|44206043993|42,447.30||42,447.30
WS SERVICE AREA|25010068|immune glob,gamma(IgG) 15 %-18 % range-glycine intramuscular solution|J1460|13533063512|2,925.10||2,925.10
WS SERVICE AREA|25010068|immun glob,gam(IgG) 6 gram-suc-IgA over 50 mcg/mL intravenous solution|J1566|44206041706|4,014.72||4,014.72
WS SERVICE AREA|25010068|immun glob G (IgG) 12 gram-suc-IgA over 50 mcg/mL intravenous solution|J1566|44206041812|8,029.44||8,029.44
WS SERVICE AREA|25010068|immune glob,gamma(IgG) 5 gram-gly-gluc-IgA 0 to 50 mcg/mL IV solution|J1566|00944265603|6,948.04||6,948.04
WS SERVICE AREA|25010068|immune glob,gamma(IgG) 10 gram-gly-gluc-IgA 0 to 50 mcg/mL IV solution|J1566|00944265804|13,896.09||13,896.09
WS SERVICE AREA|25010068|cangrelor 50 mg intravenous solution|C9460|10122062001|6,640.51||6,640.51
WS SERVICE AREA|25010068|filgrastim-sndz 480 mcg/0.8 mL injection syringe|Q5101|61314032605|3,059.69||3,059.69
WS SERVICE AREA|25010068|filgrastim-sndz 300 mcg/0.5 mL injection syringe|Q5101|61314031805|1,912.31||1,912.31
WS SERVICE AREA|25010068|daratumumab 20 mg/mL intravenous solution|J9145|57894050205|3,633.86||3,633.86
WS SERVICE AREA|25010068|daratumumab 20 mg/mL intravenous solution|J9145|57894050220|14,535.46||14,535.46
WS SERVICE AREA|25010068|HYDROXYprogesterone caproate (pregnancy preserving) 250 mg/mL IM oil||55150031001|7,547.39|J1726|7,547.39
WS SERVICE AREA|25010068|bendamustine 25 mg/mL intravenous solution|J9034|63459034804|15,436.51||15,436.51
WS SERVICE AREA|25010068|ciprofloxacin 6 % (6 mg/0.1 mL) intratympanic suspension|J7342|69251020101|217.21||217.21
WS SERVICE AREA|25010068|methylene blue (antidote) 5 mg/mL (0.5 %) intravenous solution|Q9968|00517037401|1,658.65||1,658.65
WS SERVICE AREA|25010068|methylene blue (antidote) 5 mg/mL (0.5 %) intravenous solution|Q9968|00517037405|1,658.65||1,658.65
WS SERVICE AREA|25010068|ustekinumab 130 mg/26 mL intravenous solution||57894005427|12,259.90|J3358|12,259.90
WS SERVICE AREA|25010068|avelumab 20 mg/mL intravenous solution|J9023|44087353501|10,624.10||10,624.10
WS SERVICE AREA|25010068|trastuzumab 150 mg intravenous solution|J9355|50242013201|9,724.54||9,724.54
WS SERVICE AREA|25010068|benralizumab 30 mg/mL subcutaneous syringe|C9466|00310173030|36,209.36|J0517|36,209.36
WS SERVICE AREA|25010068|rabies immune globulin (PF) 300 unit/mL intramuscular solution|90375|13533031801|4,672.97||4,672.97
WS SERVICE AREA|25010068|rabies immune globulin (PF) 300 unit/mL intramuscular solution|90375|13533031805|23,364.76||23,364.76
WS SERVICE AREA|25010068|bivalirudin 250 mg/50 mL (5 mg/mL) in 0.9 % sodium chlor IV piggyback|J0583|00338957224|3,485.00||3,485.00
WS SERVICE AREA|25010068|iron dextran 50 mg/mL injection solution|J1750|00023608201|261.92||261.92
WS SERVICE AREA|25010068|factor Xa,inactivated-zhzo (recombinant) 100 mg intravenous solution|J7169|69853010101|19,167.50||19,167.50
WS SERVICE AREA|25010068|cocaine 4 % nasal solution|C9046|64950036204|1,879.15||1,879.15
WS SERVICE AREA|25010068|epoetin alfa-epbx 10,000 unit/mL injection solution|Q5106|00069130801|768.79|Q5105|768.79
WS SERVICE AREA|25010068|epoetin alfa-epbx 10,000 unit/mL injection solution|Q5106|00069130810|768.79|Q5105|768.79
WS SERVICE AREA|25010068|epoetin alfa-epbx 40,000 unit/mL injection solution|Q5106|00069130901|3,075.16|Q5105|3,075.16
WS SERVICE AREA|25010068|pegfilgrastim-cbqv 6 mg/0.6 mL subcutaneous syringe|Q5111|70114010101|29,099.75|Q5111|29,099.75
WS SERVICE AREA|25010068|ravulizumab-cwvz 10 mg/mL intravenous solution|J1303|25682002201|39,961.02||39,961.02
WS SERVICE AREA|25010068|factor Xa,inactivated-zhzo (recombinant) 200 mg intravenous solution|J7169|69853010201|38,335.00||38,335.00
WS SERVICE AREA|25010068|caplacizumab-yhdp 11 mg solution for injection||58468022701|50,881.00|C9047|50,881.00
WS SERVICE AREA|25010068|caplacizumab-yhdp 11 mg injection kit|C9047|58468022501|50,881.00|C9047|50,881.00
WS SERVICE AREA|25010068|glucagon HCL 1 mg solution for injection|J1610|63323058282|1,950.21||1,950.21
WS SERVICE AREA|25010068|ravulizumab-cwvz 100 mg/mL intravenous solution|J1303|25682002501|39,960.97||39,960.97
WS SERVICE AREA|25010068|ravulizumab-cwvz 100 mg/mL intravenous solution|J1303|25682002801|146,523.47||146,523.47
WS SERVICE AREA|25010068|diph,pertus(acel),tet ped(PF) 25 Lf unit-58 mcg-10 Lf/0.5mL IM syringe|90700|58160081052|205.46||205.46
WS SERVICE AREA|25010068|diph,pertus(acel),tet ped(PF) 25 Lf unit-58 mcg-10 Lf/0.5mL IM syringe|90700|58160081043|205.46||205.46
WS SERVICE AREA|25010068|thyrotropin alfa 0.9 mg intramuscular solution|J3240|58468003001|12,371.96||12,371.96
WS SERVICE AREA|25010068|coagulation factor IX (recomb) 500 unit intravenous kit|J7195|58394063403|100.00||100.00
WS SERVICE AREA|25010068|levOCARNitine 200 mg/mL intravenous solution|J1955|54482014701|282.84||282.84
WS SERVICE AREA|25010068|leuprolide 11.25 mg (3 month) intramuscular syringe kit|J1950|00074366303|27,765.57||27,765.57
WS SERVICE AREA|25010068|leuprolide 22.5 mg (3 month) intramuscular syringe kit|J9217|00074334603|33,086.60||33,086.60
WS SERVICE AREA|25010068|leuprolide 30 mg (4 month) intramuscular syringe kit|J9217|00074368303|44,115.55||44,115.55
WS SERVICE AREA|25010068|amphotericin B liposome 50 mg intravenous suspension|J0289|00469305130|1,863.01||1,863.01
WS SERVICE AREA|25010068|rabies vaccine, purified chicken embryo cell (PF) 2.5 unit IM susp|90675|58160096412|2,516.10||2,516.10
WS SERVICE AREA|25010068|riTUXimab 10 mg/mL concentrate,intravenous|J9310|50242005121|5,862.60|J9312|5,862.60
WS SERVICE AREA|25010068|riTUXimab 10 mg/mL concentrate,intravenous|J9310|50242005306|29,313.02|J9312|29,313.02
WS SERVICE AREA|25010068|fomepizole 1 gram/mL intravenous solution|J1451|00781318273|9,513.00||9,513.00
WS SERVICE AREA|25010068|fomepizole 1 gram/mL intravenous solution|J1451|67457021102|8,588.16||8,588.16
WS SERVICE AREA|25010068|DAUNOrubicin 5 mg/mL intravenous solution|J9150|00703523313|837.06||837.06
WS SERVICE AREA|25010068|amphotericin B lipid complex 5 mg/mL intravenous suspension|J0287|57665010141|854.00||854.00
WS SERVICE AREA|25010068|capecitabine 500 mg tablet|J8521|60687014994|327.59||327.59
WS SERVICE AREA|25010068|dexAMETHasone sodium phosphate 10 mg/mL injection solution|J1100|00641036721|19.60||19.60
WS SERVICE AREA|25010068|inFLIXimab 100 mg intravenous solution|J1745|57894003001|8,139.71||8,139.71
WS SERVICE AREA|25010068|trastuzumab 440 mg intravenous solution|J9355|50242005656|25,344.20||
WS SERVICE AREA|25010068|trastuzumab 440 mg intravenous solution|J9355|50242013468|22,517.98||
WS SERVICE AREA|25010068|epoetin alfa 40,000 unit/mL injection solution|J0885|59676034001|7,450.93|Q4081|7,450.93
WS SERVICE AREA|25010068|temozolomide 5 mg capsule|J8700|65162080114|110.92||110.92
WS SERVICE AREA|25010068|temozolomide 20 mg capsule|J8700|00093760041|92.99||92.99
WS SERVICE AREA|25010068|temozolomide 20 mg capsule|J8700|00093760057|93.00||93.00
WS SERVICE AREA|25010068|temozolomide 20 mg capsule|J8700|67877053814|108.95||108.95
WS SERVICE AREA|25010068|temozolomide 100 mg capsule|J8700|00093760141|92.99||92.99
WS SERVICE AREA|25010068|temozolomide 100 mg capsule|J8700|00093760157|92.99||92.99
WS SERVICE AREA|25010068|temozolomide 100 mg capsule|J8700|67877053907|108.21||108.21
WS SERVICE AREA|25010068|pantoprazole 40 mg intravenous solution|C9113|00008092351|42.91||42.91
WS SERVICE AREA|25010068|pantoprazole 40 mg intravenous solution|C9113|00143928401|55.51||55.51
WS SERVICE AREA|25010068|pantoprazole 40 mg intravenous solution|C9113|00143930001|23.91||23.91
WS SERVICE AREA|25010068|morphine (PF) 25 mg/mL injection solution|Q9974|00641604001|2,465.01|J2274|2,465.01
WS SERVICE AREA|25010068|DOXOrubicin, pegylated liposomaL 2 mg/mL intravenous suspension|Q2050|47335004940|6,046.56||6,046.56
WS SERVICE AREA|25010068|DOXOrubicin, pegylated liposomaL 2 mg/mL intravenous suspension|Q2050|47335005040|15,116.71||15,116.71
WS SERVICE AREA|25010068|tenecteplase 50 mg intravenous kit|J3101|50242012001|26,007.27||26,007.27
WS SERVICE AREA|25010068|carmustine 100 mg intravenous solution|J9050|00015301260|1,283.51||1,283.51
WS SERVICE AREA|25010068|argatroban 100 mg/mL intravenous solution|J0883|00143967401|9,887.50|J0883|9,887.50
WS SERVICE AREA|25010068|argatroban 100 mg/mL intravenous solution|J0883|42023018201|3,554.70|J0883|3,554.70
WS SERVICE AREA|25010068|erythromycin lactobionate 500 mg intravenous solution|J1364|00409648201|698.61||698.61
WS SERVICE AREA|25010068|erythromycin lactobionate 500 mg intravenous solution|J1364|00409647644|714.78||714.78
WS SERVICE AREA|25010068|levonorgestreL 20 mcg/24 hours (6 yrs) 52 mg intrauterine device|J7298|50419042301|7,664.48||7,664.48
WS SERVICE AREA|25010068|crotalidae polyval immune fab solution for injection|J0840|50633011012|44,580.12||44,580.12
WS SERVICE AREA|25010068|bivalirudin 250 mg intravenous powder for solution|J0583|00781315895|7,926.76||7,926.76
WS SERVICE AREA|25010068|bivalirudin 250 mg intravenous powder for solution|J0583|00781915895|7,926.76||7,926.76
WS SERVICE AREA|25010068|bivalirudin 250 mg intravenous powder for solution|J0583|63323056210|3,540.76||3,540.76
WS SERVICE AREA|25010068|bivalirudin 250 mg intravenous powder for solution|J0583|55111065237|1,916.75||1,916.75
WS SERVICE AREA|25010068|bivalirudin 250 mg intravenous powder for solution|J0583|65293000101|6,795.75||6,795.75
WS SERVICE AREA|25010068|morphine (PF) 0.5 mg/mL injection solution|Q9974|00409381412|57.47|J2274|57.47
WS SERVICE AREA|25010068|morphine (PF) 0.5 mg/mL injection solution|Q9974|00641602001|247.32|J2274|247.32
WS SERVICE AREA|25010068|factor IX cplx(PCC) no.4, 3-factor 500 (+/-) unit intravenous solution|J7194|68516320101|4,212.00||4,212.00
WS SERVICE AREA|25010068|alteplase 2 mg intra-catheter solution|J2997|50242004164|1,066.83||1,066.83
WS SERVICE AREA|25010068|digoxin immune fab 40 mg intravenous solution|J1162|50633012011|27,698.78||27,698.78
WS SERVICE AREA|25010068|pegfilgrastim 6 mg/0.6 mL subcutaneous syringe|J2505|55513019001|43,430.49||43,430.49
WS SERVICE AREA|25010068|onabotulinumtoxinA 100 unit solution for injection|J0585|00023114501|4,335.34||4,335.34
WS SERVICE AREA|25010068|treprostinil sodium 1 mg/mL injection solution|J3285|66302010101|8,875.04||8,875.04
WS SERVICE AREA|25010068|voriconazole 200 mg intravenous solution|J3465|00049319001|514.96||514.96
WS SERVICE AREA|25010068|rasburicase 1.5 mg intravenous solution|J2783|00024515010|5,978.11||5,978.11
WS SERVICE AREA|25010068|leuprolide 22.5 mg (3 month) subcutaneous syringe|J9217|62935022305|8,455.64||8,455.64
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|736.96||736.96
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|736.96||736.96
WS SERVICE AREA|25010068|aprepitant 80 mg capsule|J8501|00006046101|1,677.97||1,677.97
WS SERVICE AREA|25010068|aprepitant 125 mg capsule|J8501|00006046201|1,677.98||1,677.98
WS SERVICE AREA|25010068|aprepitant 125 mg capsule|J8501|00781232306|1,562.90||1,562.90
WS SERVICE AREA|25010068|aprepitant 125 mg capsule|J8501|00781232368|1,562.90||1,562.90
WS SERVICE AREA|25010068|agalsidase beta 35 mg intravenous solution|J0180|58468004001|45,756.03||45,756.03
WS SERVICE AREA|25010068|bortezomib 3.5 mg injection powder for solution|J9041|63020004901|10,002.72||10,002.72
WS SERVICE AREA|25010068|interferon beta-1a 30 mcg/0.5 mL intramuscular syringe kit|Q3027|59627022205|50,222.61||50,222.61
WS SERVICE AREA|25010068|risperiDONE microspheres ER 50 mg/2 mL intramuscular susp,ext release|J2794|50458030811|7,429.25||7,429.25
WS SERVICE AREA|25010068|HYDROmorphone (PF) 1 mg/mL injection syringe|J1170|76045000901|35.44||35.44
WS SERVICE AREA|25010068|PEMEtrexed 500 mg intravenous solution|J9305|00002762301|24,013.27||24,013.27
WS SERVICE AREA|25010068|cetuximab 100 mg/50 mL intravenous solution|J9055|66733094823|4,326.82||4,326.82
WS SERVICE AREA|25010068|cyclophosphamide 1 gram intravenous powder for solution|J9070|10019095601|4,570.80||4,570.80
WS SERVICE AREA|25010068|cyclophosphamide 1 gram intravenous powder for solution|J9070|10019095616|4,570.80||4,570.80
WS SERVICE AREA|25010068|cyclophosphamide 500 mg intravenous powder for solution|J9070|10019095501|2,285.40||2,285.40
WS SERVICE AREA|25010068|cyclophosphamide 2 gram intravenous powder for solution|J9070|10019095701|9,141.60||9,141.60
WS SERVICE AREA|25010068|cyclophosphamide 2 gram intravenous powder for solution|J9070|10019095711|9,141.60||9,141.60
WS SERVICE AREA|25010068|acetylcysteine 200 mg/mL (20 %) intravenous solution|J0132|66220020730|176.78||176.78
WS SERVICE AREA|25010068|acetylcysteine 200 mg/mL (20 %) intravenous solution|J0132|63323096330|160.56||160.56
WS SERVICE AREA|25010068|acetylcysteine 200 mg/mL (20 %) intravenous solution|J0132|00574080530|192.66||192.66
WS SERVICE AREA|25010068|agalsidase beta 5 mg intravenous solution|J0180|58468004101|6,535.49||6,535.49
WS SERVICE AREA|25010068|milrinone 20 mg/100 mL(200 mcg/mL) in 5 % dextrose *|J2260|00000005341|19.60||19.60
WS SERVICE AREA|25010068|calcium gluconate 100 mg/mL (10 %) intravenous solution|J0610|63323031110|46.12||46.12
WS SERVICE AREA|25010068|calcium gluconate 100 mg/mL (10 %) intravenous solution|J0610|63323031150|73.02||73.02
WS SERVICE AREA|25010068|calcium gluconate 100 mg/mL (10 %) intravenous solution|J0610|63323031161|149.45||149.45
WS SERVICE AREA|25010068|ganciclovir sodium 5mg/mL intravenous solution|J1570|00000005437|2,788.00||
WS SERVICE AREA|25010068|bortezomib 3.5 mg solution for subcutaneous inj|J9041|63020004904|10,002.72||10,002.72
WS SERVICE AREA|25010068|albumin, human 5 % intravenous solution|P9041|68516521401|392.84||392.84
WS SERVICE AREA|25010068|albumin, human 5 % intravenous solution|P9041|68982062302|591.40||591.40
WS SERVICE AREA|25010068|albumin, human 5 % intravenous solution|P9041|44206031025|768.60||768.60
WS SERVICE AREA|25010068|albumin, human 5 % intravenous solution|P9041|44206031050|768.60||768.60
WS SERVICE AREA|25010068|milrinone 20 mg/100 mL(200 mcg/mL) in 5 % dextrose intravenous piggybk|J2260|00409277623|135.79||135.79
WS SERVICE AREA|25010068|milrinone 20 mg/100 mL(200 mcg/mL) in 5 % dextrose intravenous piggybk|J2260|00338601048|263.89||263.89
WS SERVICE AREA|25010068||J2997|50242008525|5,520.47||5,520.47
WS SERVICE AREA|25010068||J2997|50242004406|2,760.23||2,760.23
WS SERVICE AREA|25010068||J2997|50242004413|2,760.23||2,760.23
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|210.09||210.09
WS SERVICE AREA|25010068|azaCITIDine 100 mg solution for injection|J9025|59572010201|3,651.90||3,651.90
WS SERVICE AREA|25010068|alteplase 0.5 mg/mL syringe|J2997|00000005328|614.47||
WS SERVICE AREA|25010068|alteplase 0.5 mg/mL syringe|J2997|00000005333|496.69||
WS SERVICE AREA|25010068|piperacillin-tazobactam 4.5 gram/100 mL NS|J2543|00000005158|16.52||
WS SERVICE AREA|25010068|tirofiban 12.5 mg/250 mL (50 mcg/mL)-0.9 % sodium chloride intravenous|J3246|00000005236|1,665.83||1,665.83
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|91.55||
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|57.65|J0153|57.65
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|63.52|J0153|63.52
WS SERVICE AREA|25010068|alteplase 5 mg/5 mL syringe|J2997|00000005262|2,667.07||
WS SERVICE AREA|25010068||J0153|00000005622|888.70||
WS SERVICE AREA|25010068|natalizumab 300 mg/15 mL intravenous solution|J2323|64406000801|52,023.98||52,023.98
WS SERVICE AREA|25010068|PACLitaxel-protein bound 100 mg intravenous suspension|J9264|68817013450|9,435.00||9,435.00
WS SERVICE AREA|25010068|albumin, human 25 % intravenous solution|P9046|68516521601|392.84||392.84
WS SERVICE AREA|25010068|albumin, human 25 % intravenous solution|P9046|68516521602|785.68||785.68
WS SERVICE AREA|25010068|albumin, human 25 % intravenous solution|P9046|44206025105|768.60||768.60
WS SERVICE AREA|25010068|albumin, human 25 % intravenous solution|P9046|44206025110|1,254.60||1,254.60
WS SERVICE AREA|25010068|antithrombin III (recombinant) 100 units/mL in 0.9% sodium chloride infusion||00000005374|61,370.40||
WS SERVICE AREA|25010068|PHENobarbital 10 mg/mL in NS maintenance dose|J2560|00000005619|1,169.98||
WS SERVICE AREA|25010068|antithrombin III (recombinant) 100 units/mL in 0.9% sodium chloride bolus|J7197|00000005373|1,753.44||
WS SERVICE AREA|25010068||J0153|00000005623|1,728.60||
WS SERVICE AREA|25010068|micafungin 50 mg intravenous solution|J2248|00469325010|798.49||798.49
WS SERVICE AREA|25010068|fludarabine 50 mg/2 mL intravenous solution|J9185|63323019202|1,696.53||1,696.53
WS SERVICE AREA|25010068|tigecycline 50 mg intravenous solution|J3243|00008499019|1,096.28||1,096.28
WS SERVICE AREA|25010068|tigecycline 50 mg intravenous solution|J3243|00008499020|1,096.28||1,096.28
WS SERVICE AREA|25010068|palivizumab 100 mg/mL intramuscular solution|90378|60574411301|21,430.31||21,430.31
WS SERVICE AREA|25010068|methylene blue (antidote) 1 % (10 mg/mL) intravenous solution|Q9968|00517030110|53.38||53.38
WS SERVICE AREA|25010068|methylene blue (antidote) 1 % (10 mg/mL) intravenous solution|Q9968|17478050401|171.96||171.96
WS SERVICE AREA|25010068|oxacillin 2 gram solution for injection|J2700|25021016268|88.13||88.13
WS SERVICE AREA|25010068|PHENobarbital sodium 130 mg/mL injection solution|J2560|00641047721|531.50||531.50
WS SERVICE AREA|25010068|PHENobarbital sodium 65 mg/mL injection solution|J2560|00641047621|204.79||204.79
WS SERVICE AREA|25010068|pralidoxime 1 gram solution for injection|J2730|60977014127|740.42||740.42
WS SERVICE AREA|25010068|abatacept (with maltose) 250 mg intravenous solution|J0129|00003218710|8,193.72||8,193.72
WS SERVICE AREA|25010068|antihemophilic factor-vWF 500 unit-1,200 unit intravenous solution|J7187|63833061602|8,673.60||8,673.60
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|668.32||668.32
WS SERVICE AREA|25010068|rotavirus vaccine live, pentavalent 2 mL oral solution|90680|00006404701|668.30||668.30
WS SERVICE AREA|25010068|decitabine 50 mg intravenous solution|J0894|62856060001|10,676.64||10,676.64
WS SERVICE AREA|25010068|rasburicase 7.5 mg intravenous solution|J2783|00024515175|29,890.47||29,890.47
WS SERVICE AREA|25010068|darbepoetin alfa 60 mcg/mL in polysorbate injection|J0881|55513000404|3,236.87|J0882|3,236.87
WS SERVICE AREA|25010068|darbepoetin alfa 100 mcg/mL in polysorbate injection|J0881|55513000504|5,394.78|J0882|5,394.78
WS SERVICE AREA|25010068|darbepoetin alfa 200 mcg/mL in polysorbate injection|J0881|55513000601|10,789.56|J0882|10,789.56
WS SERVICE AREA|25010068|morphine (PF) 10 mg/mL injection solution|Q9974|00641603901|1,449.76|J2274|1,449.76
WS SERVICE AREA|25010068|etonogestreL 68 mg subdermal implant|J7307|00052433001|7,528.57||7,528.57
WS SERVICE AREA|25010068|darbepoetin alfa 300 mcg/mL in polysorbate injection|J0881|55513011001|16,184.34|J0882|16,184.34
WS SERVICE AREA|25010068|micafungin 100 mg intravenous solution|J2248|00469321110|1,303.39||1,303.39
WS SERVICE AREA|25010068|micafungin 100 mg intravenous solution|J2248|00469321199|1,303.39||1,303.39
WS SERVICE AREA|25010068|testosterone cypionate 200 mg/mL intramuscular oil|J1080|00574082001|49.49|J1071|49.49
WS SERVICE AREA|25010068|testosterone cypionate 200 mg/mL intramuscular oil|J1080|00009041701|44.84|J1071|44.84
WS SERVICE AREA|25010068|azaCITIDine 100 mg solution for injection|J9025|59572010201|3,651.90||3,651.90
WS SERVICE AREA|25010068|azaCITIDine 100 mg solution for injection|J9025|00781925394|3,853.95||3,853.95
WS SERVICE AREA|25010068|eculizumab 300 mg/30 mL intravenous solution|J1300|25682000101|45,465.24||45,465.24
WS SERVICE AREA|25010068|temsirolimus 30 mg/3 mL (10 mg/mL) (first dilution) intravenous soln|J9330|00008117901|27,743.66||27,743.66
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|61,029.32||61,029.32
WS SERVICE AREA|25010068|lanreotide 120 mg/0.5 mL subcutaneous syringe|J1930|15054112004|63,775.50||63,775.50
WS SERVICE AREA|25010068|epiRUBicin 50 mg/25 mL intravenous solution|J9178|25021020325|461.40||461.40
WS SERVICE AREA|25010068|epiRUBicin 50 mg/25 mL intravenous solution|J9178|00009509101|355.47||355.47
WS SERVICE AREA|25010068|adenosine 3 mg/mL intravenous syringe|J0150|63323065121|135.79|J0153|135.79
WS SERVICE AREA|25010068|albumin, human 25 % intravenous solution|P9047|68516521601|392.84||392.84
WS SERVICE AREA|25010068|albumin, human 25 % intravenous solution|P9047|68516521602|392.84||392.84
WS SERVICE AREA|25010068|albumin, human 25 % intravenous solution|P9047|44206025191|768.60||768.60
WS SERVICE AREA|25010068|albumin, human 25 % intravenous solution|P9047|44206025105|768.60||768.60
WS SERVICE AREA|25010068|albumin, human 25 % intravenous solution|P9047|44206025110|768.60||768.60
WS SERVICE AREA|25010068|albumin, human 5 % intravenous solution|P9041|68516521401|392.84||392.84
WS SERVICE AREA|25010068|albumin, human 5 % intravenous solution|P9041|76125079026|409.92||409.92
WS SERVICE AREA|25010068|albumin, human 5 % intravenous solution|P9041|68982062302|591.40||591.40
WS SERVICE AREA|25010068|albumin, human 5 % intravenous solution|P9041|44206031025|768.60||768.60
WS SERVICE AREA|25010068|albumin, human 5 % intravenous solution|P9041|44206031050|768.60||768.60
WS SERVICE AREA|25010068|aldesleukin 22 million unit intravenous solution|J9015|65483011607|3,985.32||3,985.32
WS SERVICE AREA|25010068|alprostadiL 500 mcg/mL injection solution|J0270|00009316901|908.66||908.66
WS SERVICE AREA|25010068|alteplase 100 mg intravenous solution|J2997|50242008525|30,669.25||30,669.25
WS SERVICE AREA|25010068|alteplase 50 mg intravenous solution|J2997|50242004406|30,669.25||30,669.25
WS SERVICE AREA|25010068|alteplase 50 mg intravenous solution|J2997|50242004413|30,669.25||30,669.25
WS SERVICE AREA|25010068|hepatitis A virus vaccine (PF) 25 unit/0.5 mL intramuscular suspension|90633|00006483141|289.05||289.05
WS SERVICE AREA|25010068|hepatitis A virus vaccine (PF) 50 unit/mL intramuscular suspension|90632|00006484100|621.20||621.20
WS SERVICE AREA|25010068|hepatitis A virus vaccine (PF) 50 unit/mL intramuscular suspension|90632|00006484141|611.32||611.32
WS SERVICE AREA|25010068|hepatitis B immune globulin > 1,560 unit/5 mL intramuscular solution|90371|59730420301|5,606.95||5,606.95
WS SERVICE AREA|25010068|antithrombin III (human) 500 (+/-) unit intravenous solution|J7197|13533060320|12,105.60||12,105.60
WS SERVICE AREA|25010068|secretin (human) 16 mcg intravenous solution|J2850|67066000501|3,659.25||3,659.25
WS SERVICE AREA|25010068|methylnaltrexone 12 mg/0.6 mL subcutaneous solution|J2212|65649055102|850.58||
WS SERVICE AREA|25010068|diph,pertus(acell),tet,polio (PF) 25 Lf-58 mcg-10 Lf/0.5 mL IM syringe|90696|58160081252|449.54||449.54
WS SERVICE AREA|25010068|LEVOleucovorin calcium 50 mg intravenous powder for solution|J0641|68152010100|64.05||64.05
WS SERVICE AREA|25010068|coagulation factor VIIa recomb 1 mg (1,000 mcg) intravenous solution|J7189|00169720101|14,976.00||14,976.00
WS SERVICE AREA|25010068|coagulation factor VIIa recomb 2 mg (2,000 mcg) intravenous solution|J7189|00169720201|29,952.00||29,952.00
WS SERVICE AREA|25010068|coagulation factor VIIa recomb 5 mg (5,000 mcg) intravenous solution|J7189|00169720501|74,880.00||74,880.00
WS SERVICE AREA|25010068|coagulation factor VIIa recomb 5 mg (5,000 mcg) intravenous solution|J7189|00169721511|100.00||100.00
WS SERVICE AREA|25010068|calcitonin (salmon) 200 unit/mL injection solution|J0630|67457067502|22,608.45||22,608.45
WS SERVICE AREA|25010068|mitoXANTRONE 2 mg/mL concentrate,intravenous|J9293|00703468501|1,060.80||1,060.80
WS SERVICE AREA|25010068|mitoXANTRONE 2 mg/mL concentrate,intravenous|J9293|61703034318|1,066.10||1,066.10
WS SERVICE AREA|25010068|clevidipine 25 mg/50 mL intravenous emulsion|C9248|10122061001|786.96||786.96
WS SERVICE AREA|25010068|chlorothiazide sodium 500 mg intravenous solution|J1205|63323065820|2,074.97||2,074.97
WS SERVICE AREA|25010068|chlorothiazide sodium 500 mg intravenous solution|J1205|63323065827|415.81||415.81
WS SERVICE AREA|25010068|chlorothiazide sodium 500 mg intravenous solution|J1205|47335033040|869.51||869.51
WS SERVICE AREA|25010068|chlorothiazide sodium 500 mg intravenous solution|J1205|17478041940|869.51||869.51
WS SERVICE AREA|25010068|chlorothiazide sodium 500 mg intravenous solution|J1205|76478071140|4,338.62||4,338.62
WS SERVICE AREA|25010068|chlorothiazide sodium 500 mg intravenous solution|J1205|00517182001|1,115.20||1,115.20
WS SERVICE AREA|25010068|chlorothiazide sodium 500 mg intravenous solution|J1205|25021030520|512.40||512.40
WS SERVICE AREA|25010068|chlorothiazide sodium 500 mg intravenous solution|J1205|25021030566|270.55||270.55
WS SERVICE AREA|25010068|cosyntropin 0.25 mg solution for injection|J0834|67457022700|737.50||
WS SERVICE AREA|25010068|degarelix 120 mg subcutaneous solution|J9155|55566840301|9,510.88||9,510.88
WS SERVICE AREA|25010068|conivaptan 20 mg/100 mL in 5 % dextrose IV|C9488|66220016010|7,765.97||7,765.97
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|655.20||655.20
WS SERVICE AREA|25010068|temozolomide 100 mg intravenous solution|J9328|00085138101|6,259.41||6,259.41
WS SERVICE AREA|25010068|desmopressin 4 mcg/mL injection solution|J2597|00703505401|4,148.54||4,148.54
WS SERVICE AREA|25010068|desmopressin 4 mcg/mL injection solution|J2597|55566220000|692.94||692.94
WS SERVICE AREA|25010068|factor IX cplx(PCC)no.4, 3factor 1,500 (+/-) unit intravenous solution|J7194|68516320302|12,636.00||12,636.00
WS SERVICE AREA|25010068|epoetin alfa 10,000 unit/mL injection solution|J0885|59676031000|1,862.73|Q4081|1,862.73
WS SERVICE AREA|25010068|epoetin alfa 10,000 unit/mL injection solution|J0885|59676031002|1,862.66|Q4081|1,862.66
WS SERVICE AREA|25010068|epoetin alfa 3,000 unit/mL injection solution|J0885|55513026701|424.78|Q4081|424.78
WS SERVICE AREA|25010068|epoetin alfa 3,000 unit/mL injection solution|J0885|55513026710|424.78|Q4081|424.78
WS SERVICE AREA|25010068|epoetin alfa 3,000 unit/mL injection solution|J0885|59676030301|684.74|Q4081|684.74
WS SERVICE AREA|25010068|epoetin alfa 4,000 unit/mL injection solution|J0885|55513014810|566.37|Q4081|566.37
WS SERVICE AREA|25010068|epoetin alfa 4,000 unit/mL injection solution|J0885|59676030401|745.09|Q4081|745.09
WS SERVICE AREA|25010068|paliperidone palmitate 156 mg/mL intramuscular syringe|J2426|50458056301|10,246.16||10,246.16
WS SERVICE AREA|25010068|conjugated estrogens 25 mg solution for injection|J1410|00046074905|2,280.72||2,280.72
WS SERVICE AREA|25010068|PRALAtrexate 20 mg/mL (1 mL) intravenous solution|J9307|48818000101|37,803.54||37,803.54
WS SERVICE AREA|25010070|etoposide 20 mg/mL intravenous solution|J9181|16729011431|87.44||87.44
WS SERVICE AREA|25010070|etoposide 20 mg/mL intravenous solution|J9181|00703565301|72.06||72.06
WS SERVICE AREA|25010070|fluconazole 200 mg/100 mL in sod. chloride (iso) intravenous piggyback|J1450|25021011382|76.86||76.86
WS SERVICE AREA|25010070|fluconazole 200 mg/100 mL in sod. chloride (iso) intravenous piggyback|J1450|25021018466|34.16||34.16
WS SERVICE AREA|25010070|fluconazole 400 mg/200 mL in sod. chloride(iso) intravenous piggyback|J1450|00409468816|59.78||59.78
WS SERVICE AREA|25010070|gentamicin 80 mg/100 mL in sodium chloride(iso) intravenous piggyback|J1580|00338050348|31.60||31.60
WS SERVICE AREA|25010070|haloperidol decanoate 50 mg/mL intramuscular solution|J1631|10147092103|110.55||110.55
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|00409272002|19.60||19.60
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|63323054057|19.60||19.60
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|25021040030|19.60||19.60
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|00069005801|19.60||19.60
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|00069005802|19.60||19.60
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|00069013703|19.60||19.60
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|00409272031|19.60||19.60
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|67457038431|19.60||19.60
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|67457038510|19.60||19.60
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|00000005641|19.60||
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|63323054033|19.60||19.60
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|63323054001|33.05||33.05
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|63323054031|19.60||19.60
WS SERVICE AREA|25010070|heparin (porcine) 10,000 unit/mL injection solution|J1644|63739096411|45.90||45.90
WS SERVICE AREA|25010070|heparin (porcine) 10,000 unit/mL injection solution|J1644|63323054201|65.16||65.16
WS SERVICE AREA|25010070|heparin (porcine) 10,000 unit/mL injection solution|J1644|63323054207|219.22||219.22
WS SERVICE AREA|25010070|heparin (porcine) 5,000 unit/mL injection solution|J1644|00409272301|19.60||19.60
WS SERVICE AREA|25010070|heparin (porcine) 5,000 unit/mL injection solution|J1644|00641040037|21.90||21.90
WS SERVICE AREA|25010070|heparin (porcine) 5,000 unit/mL injection solution|J1644|00409272330|19.60||19.60
WS SERVICE AREA|25010070|heparin (porcine) 5,000 unit/mL injection solution|J1644|63323026203|35.53||35.53
WS SERVICE AREA|25010070|heparin (porcine) 5,000 unit/mL injection solution|J1644|63323026206|35.53||35.53
WS SERVICE AREA|25010070|heparin (porcine) 5,000 unit/mL injection solution|J1644|63323026209|19.60||19.60
WS SERVICE AREA|25010070|HYDROmorphone (PF) 10 mg/mL injection solution|J1170|17478054001|25.58||25.58
WS SERVICE AREA|25010070|HYDROmorphone (PF) 10 mg/mL injection solution|J1170|17478054005|73.57||73.57
WS SERVICE AREA|25010070|HYDROmorphone (PF) 10 mg/mL injection solution|J1170|00703001801|721.40||721.40
WS SERVICE AREA|25010070|HYDROmorphone (PF) 10 mg/mL injection solution|J1170|00703011301|80.45||80.45
WS SERVICE AREA|25010070|HYDROmorphone (PF) 10 mg/mL injection solution|J1170|00409263425|92.10||92.10
WS SERVICE AREA|25010070|LORazepam 2 mg/mL injection solution|J2060|00409678002|64.05||64.05
WS SERVICE AREA|25010070|LORazepam 2 mg/mL injection solution|J2060|00409677802|19.60||19.60
WS SERVICE AREA|25010070|LORazepam 2 mg/mL injection solution|J2060|00641604801|19.60||19.60
WS SERVICE AREA|25010070|LORazepam 2 mg/mL injection solution|J2060|00641605001|57.90||57.90
WS SERVICE AREA|25010070|melphalan 2 mg tablet|J8600|52609000105|87.05||87.05
WS SERVICE AREA|25010070|mesna 100 mg/mL intravenous solution|J9209|25021020110|170.80||170.80
WS SERVICE AREA|25010070|methadone 10 mg/mL injection solution|J1230|67457021720|3,253.46||3,253.46
WS SERVICE AREA|25010070|methadone 10 mg/mL injection solution|J1230|00000005293|99.66||99.66
WS SERVICE AREA|25010070|heparin, porcine (PF) 10 unit/mL intravenous syringe|J1642|64253022235|19.60||19.60
WS SERVICE AREA|25010070|mepivacaine (PF) 10 mg/mL (1 %) injection solution|J0670|00409103630|19.60||19.60
WS SERVICE AREA|25010070|methylergonovine 0.2 mg/mL (1 mL) injection solution|J2210|00517074001|231.60||231.60
WS SERVICE AREA|25010070|methylergonovine 0.2 mg/mL (1 mL) injection solution|J2210|51991014499|202.50||202.50
WS SERVICE AREA|25010070|methylPREDNISolone 2 mg tablet|J7509|00009002001|12.46||12.46
WS SERVICE AREA|25010070|methylPREDNISolone sodium succinate 1,000 mg intravenous solution|J2930|63323026530|292.24||292.24
WS SERVICE AREA|25010070|methylPREDNISolone sodium succinate 1,000 mg intravenous solution|J2930|00009069801|375.59||375.59
WS SERVICE AREA|25010070|methylPREDNISolone sodium succinate 1,000 mg intravenous solution|J2930|00143985101|357.74||357.74
WS SERVICE AREA|25010070|methylPREDNISolone sodium succinate 2 gram intravenous solution|J2930|00009079601|709.76||709.76
WS SERVICE AREA|25010070|enoxaparin 30 mg/0.3 mL subcutaneous syringe|J1650|63323056894|25.70||25.70
WS SERVICE AREA|25010070|enoxaparin 40 mg/0.4 mL subcutaneous syringe|J1650|00548560200|51.24||51.24
WS SERVICE AREA|25010070|enoxaparin 40 mg/0.4 mL subcutaneous syringe|J1650|63323056887|67.81||67.81
WS SERVICE AREA|25010070|enoxaparin 40 mg/0.4 mL subcutaneous syringe|J1650|63323053508|34.25||34.25
WS SERVICE AREA|25010070|enoxaparin 60 mg/0.6 mL subcutaneous syringe|J1650|00703856021|101.88||101.88
WS SERVICE AREA|25010070|enoxaparin 80 mg/0.8 mL subcutaneous syringe|J1650|00703868021|135.79||135.79
WS SERVICE AREA|25010070|enoxaparin 80 mg/0.8 mL subcutaneous syringe|J1650|63323053108|68.58||68.58
WS SERVICE AREA|25010070|enoxaparin 100 mg/mL subcutaneous syringe|J1650|00548560500|128.10||128.10
WS SERVICE AREA|25010070|enoxaparin 120 mg/0.8 mL subcutaneous syringe|J1650|00703861021|203.68||203.68
WS SERVICE AREA|25010070|enoxaparin 120 mg/0.8 mL subcutaneous syringe|J1650|00075291201|848.68||848.68
WS SERVICE AREA|25010070|diazePAM 5 mg/mL injection syringe|J3360|00409127332|235.23||235.23
WS SERVICE AREA|25010070|diazePAM 5 mg/mL injection syringe|J3360|00409127303|58.81||58.81
WS SERVICE AREA|25010070|diazePAM 5 mg/mL injection syringe|J3360|69374096502|35.23||35.23
WS SERVICE AREA|25010070|diazePAM 5 mg/mL injection syringe|J3360|69374096532|35.23||35.23
WS SERVICE AREA|25010070|ondansetron HCl (PF) 4 mg/2 mL injection solution|J2405|00409475503|19.60||19.60
WS SERVICE AREA|25010070|ondansetron HCl (PF) 4 mg/2 mL injection solution|J2405|36000001225|19.60||19.60
WS SERVICE AREA|25010070|ondansetron HCl (PF) 4 mg/2 mL injection solution|J2405|00641607801|19.60||19.60
WS SERVICE AREA|25010070|ondansetron HCl (PF) 4 mg/2 mL injection solution|J2405|00641608001|19.60||19.60
WS SERVICE AREA|25010070|ondansetron HCl (PF) 4 mg/2 mL injection solution|J2405|00409475518|19.60||19.60
WS SERVICE AREA|25010070|ondansetron HCl (PF) 4 mg/2 mL injection solution|J2405|60505613000|19.60||19.60
WS SERVICE AREA|25010070|ondansetron HCL 2 mg/mL intravenous solution|J2405|00143989001|19.60||19.60
WS SERVICE AREA|25010070|ondansetron HCL 2 mg/mL intravenous solution|J2405|55150012620|19.60||19.60
WS SERVICE AREA|25010070|acetaminophen 1,000 mg/100 mL (10 mg/mL) intravenous solution|J0131|43825010201|404.80||404.80
WS SERVICE AREA|25010070|acetaminophen 1,000 mg/100 mL (10 mg/mL) intravenous solution|J0131|24201010001|303.17||303.17
WS SERVICE AREA|25010070|acetaminophen 1,000 mg/100 mL (10 mg/mL) intravenous solution|J0131|63323043441|213.50||213.50
WS SERVICE AREA|25010070|fondaparinux 5 mg/0.4 mL subcutaneous solution syringe|J1652|55111067910|896.41||896.41
WS SERVICE AREA|25010070|fondaparinux 7.5 mg/0.6 mL subcutaneous solution syringe|J1652|67457058400|896.41||896.41
WS SERVICE AREA|25010070|fondaparinux 10 mg/0.8 mL subcutaneous solution syringe|J1652|55111068102|946.53||946.53
WS SERVICE AREA|25010070|penicillin G benzathine and procaine 1,200,000 unit/2 mL IM syringe|J0558|60793060110|585.99||585.99
WS SERVICE AREA|25010070|ertapenem 1 gram intravenous solution|J1335|00006384501|941.51||941.51
WS SERVICE AREA|25010070|ibuprofen 800 mg/8 mL (100 mg/mL) intravenous solution|J1741|66220028708|98.18||98.18
WS SERVICE AREA|25010070|levoFLOXacin 250 mg/50 mL in 5 % dextrose intravenous piggyback|J1956|25021013281|59.78||59.78
WS SERVICE AREA|25010070|levoFLOXacin 250 mg/50 mL in 5 % dextrose intravenous piggyback|J1956|25021082581|51.24||51.24
WS SERVICE AREA|25010070|levoFLOXacin 250 mg/50 mL in 5 % dextrose intravenous piggyback|J1956|00143931501|19.60||19.60
WS SERVICE AREA|25010070|levoFLOXacin 500 mg/100 mL in 5 % dextrose intravenous piggyback|J1956|25021082582|51.24||51.24
WS SERVICE AREA|25010070|levoFLOXacin 500 mg/100 mL in 5 % dextrose intravenous piggyback|J1956|00143931601|19.60||19.60
WS SERVICE AREA|25010070|levoFLOXacin 750 mg/150 mL in 5 % dextrose intravenous piggyback|J1956|25021013283|93.51||93.51
WS SERVICE AREA|25010070|levoFLOXacin 750 mg/150 mL in 5 % dextrose intravenous piggyback|J1956|25021082583|51.24||51.24
WS SERVICE AREA|25010070|levoFLOXacin 750 mg/150 mL in 5 % dextrose intravenous piggyback|J1956|00143931701|19.60||19.60
WS SERVICE AREA|25010070|ciprofloxacin 200 mg/100 mL in 5 % dextrose intravenous piggyback|J0744|36000000824|25.62||25.62
WS SERVICE AREA|25010070|ciprofloxacin 200 mg/100 mL in 5 % dextrose intravenous piggyback|J0744|36000029724|25.62||25.62
WS SERVICE AREA|25010070|ciprofloxacin 400 mg/200 mL in 5 % dextrose intravenous piggyback|J0744|36000029824|34.16||34.16
WS SERVICE AREA|25010070|amikacin 1,000 mg/4 mL injection solution|J0278|00703904001|62.34||62.34
WS SERVICE AREA|25010070|irinotecan 300 mg/15 mL intravenous solution|J9206|00009752905|702.37||702.37
WS SERVICE AREA|25010070|DOCEtaxeL 80 mg/8 mL (10 mg/mL) intravenous solution|J9171|00409020110|1,557.25||1,557.25
WS SERVICE AREA|25010070|DOCEtaxeL 160 mg/16 mL (10 mg/mL) intravenous solution|J9171|00409020120|3,110.42||3,110.42
WS SERVICE AREA|25010070|DOCEtaxeL 160 mg/16 mL (10 mg/mL) intravenous solution|J9171|66758005003|18,946.84||18,946.84
WS SERVICE AREA|25010070|caffeine citrate 60 mg/3 mL (20 mg/mL) intravenous solution|J0706|25021060103|170.81||170.81
WS SERVICE AREA|25010070|phytonadione (vitamin K1) 10 mg/mL injection solution|J3430|00409915801|414.04||414.04
WS SERVICE AREA|25010070|amiodarone 150 mg/100 mL (1.5 mg/mL) in dextrose, iso-osmotic IV|J0282|43066015010|296.34||296.34
WS SERVICE AREA|25010070|potassium chloride 10 mEq/100mL in sterile water intravenous piggyback|J3480|00409707426|41.85||41.85
WS SERVICE AREA|25010070|potassium chloride 10 mEq/100mL in sterile water intravenous piggyback|J3480|00990707426|41.85||41.85
WS SERVICE AREA|25010070|potassium chloride 20 mEq/100mL in sterile water intravenous piggyback|J3480|00409707526|23.06||23.06
WS SERVICE AREA|25010070|potassium chloride 20 mEq/100mL in sterile water intravenous piggyback|J3480|00990707526|23.06||23.06
WS SERVICE AREA|25010070|potassium chloride 20 mEq/L in 0.9 % sodium chloride intravenous|J3480|00409711509|53.70||53.70
WS SERVICE AREA|25010070|potassium chloride 20 mEq/L in 0.9 % sodium chloride intravenous|J3480|00990711509|53.70||53.70
WS SERVICE AREA|25010070|potassium chloride 40 mEq/L in 0.9 % sodium chloride intravenous|J3480|00409711609|63.09||63.09
WS SERVICE AREA|25010070|potassium chloride 40 mEq/L in 0.9 % sodium chloride intravenous|J3480|00338069504|70.10||70.10
WS SERVICE AREA|25010070|potassium chloride 40 mEq/L in 0.9 % sodium chloride intravenous|J3480|00990711609|63.09||63.09
WS SERVICE AREA|25010070|propofoL 10 mg/mL intravenous emulsion|J2704|00409469924|182.76|J2704|182.76
WS SERVICE AREA|25010070|propofoL 10 mg/mL intravenous emulsion|J2704|00409469933|91.38|J2704|91.38
WS SERVICE AREA|25010070|propofoL 10 mg/mL intravenous emulsion|J2704|63323026950|128.10|J2704|128.10
WS SERVICE AREA|25010070|propofoL 10 mg/mL intravenous emulsion|J2704|63323026965|256.20|J2704|256.20
WS SERVICE AREA|25010070|propofoL 10 mg/mL intravenous emulsion|J2704|63323026967|320.25|J2704|320.25
WS SERVICE AREA|25010070|propofoL 10 mg/mL intravenous emulsion|J2704|63323026937|20.50|J2704|20.50
WS SERVICE AREA|25010070|propofoL 10 mg/mL intravenous emulsion|J2704|25021060851|249.37|J2704|249.37
WS SERVICE AREA|25010070|propofoL 10 mg/mL intravenous emulsion|J2704|00409469950|36.55|J2704|36.55
WS SERVICE AREA|25010070|propofoL 10 mg/mL intravenous emulsion|J2704|00069023401|91.38|J2704|91.38
WS SERVICE AREA|25010070|propofoL 10 mg/mL intravenous emulsion|J2704|00069023420|91.38|J2704|91.38
WS SERVICE AREA|25010070|propofoL 10 mg/mL intravenous emulsion|J2704|00069024801|182.76|J2704|182.76
WS SERVICE AREA|25010070|propofoL 10 mg/mL intravenous emulsion|J2704|00069024810|182.76|J2704|182.76
WS SERVICE AREA|25010070|mannitoL 0 mg-5 mg-10 mg-20 mg-40 mg inhalation powder in a capsule|J7665|67850055201|60.55||60.55
WS SERVICE AREA|25010070|bupivacaine liposome(PF) 1.3 %(13.3 mg/mL) suspension for infiltration|C9290|65250026609|959.63||959.63
WS SERVICE AREA|25010070|gemcitabine 1 gram/26.3 mL (38 mg/mL) intravenous solution|J9201|00409018125|344.83||344.83
WS SERVICE AREA|25010070|rifAMPin 600 mg intravenous solution|J3370|00068059701|1,244.56||1,244.56
WS SERVICE AREA|25010070|levETIRAcetam 1,000 mg/100 mL in sodium chloride(iso-osm) IV piggyback|J1953|67457026500|508.13||508.13
WS SERVICE AREA|25010070|levETIRAcetam 1,000 mg/100 mL in sodium chloride(iso-osm) IV piggyback|J1953|43598075752|256.20||256.20
WS SERVICE AREA|25010070|levETIRAcetam 1,500 mg/100 mL in sodium chloride(iso-osm) IV piggyback|J1953|67457026600|760.91||760.91
WS SERVICE AREA|25010070|levETIRAcetam 1,500 mg/100 mL in sodium chloride(iso-osm) IV piggyback|J1953|43598075952|341.60||341.60
WS SERVICE AREA|25010070|ceFAZolin 2 gram/50 mL in dextrose (iso-osmotic) intravenous piggyback|J0690|00264310511|109.05||109.05
WS SERVICE AREA|25010070|acetaZOLAMIDE 500 mg solution for injection|J1120|39822019007|269.01||269.01
WS SERVICE AREA|25010070|acetaZOLAMIDE 500 mg solution for injection|J1120|00143950301|187.71||187.71
WS SERVICE AREA|25010070|terbutaline 1 mg/mL subcutaneous solution|J3105|63323066501|153.63||153.63
WS SERVICE AREA|25010070|terbutaline 1 mg/mL subcutaneous solution|J3105|00143974610|34.16||34.16
WS SERVICE AREA|25010070|tobramycin 1.2 gram solution for injection|J3260|63323030351|713.09||713.09
WS SERVICE AREA|25010070|tobramycin 1.2 gram solution for injection|J3260|63323030355|1,646.66||1,646.66
WS SERVICE AREA|25010070|tobramycin 1.2 gram solution for injection|J3260|39822041201|1,219.75||1,219.75
WS SERVICE AREA|25010070|triamcinolone acetonide 10 mg/mL suspension for injection|J3301|00003049420|19.60||19.60
WS SERVICE AREA|25010070|vancomycin 10 gram intravenous solution|J3370|00409651049|340.75||340.75
WS SERVICE AREA|25010070|vancomycin 10 gram intravenous solution|J3370|67457034210|1,789.97||1,789.97
WS SERVICE AREA|25010070|digoxin 250 mcg/mL (0.25 mg/mL) injection solution|J1160|00641141031|19.60||19.60
WS SERVICE AREA|25010070|digoxin 250 mcg/mL (0.25 mg/mL) injection solution|J1160|00781305972|19.60||
WS SERVICE AREA|25010070|hydrocortisone sodium succinate 100 mg solution for injection|J1720|00009082501|97.44||97.44
WS SERVICE AREA|25010070|zidovudine 10 mg/mL intravenous solution|J3485|49702021301|249.37||249.37
WS SERVICE AREA|25010070|zidovudine 10 mg/mL intravenous solution|J3485|49702021326|249.37||249.37
WS SERVICE AREA|25010070|doxercalciferoL 2 mcg/mL intravenous solution|J1270|58468012601|29.70||29.70
WS SERVICE AREA|25010070|cefTAZidime 2 gram intravenous solution|J0713|00409509311|102.26||102.26
WS SERVICE AREA|25010070|cefuroxime sodium 1.5 gram intravenous solution|J0697|63323035345|22.63||22.63
WS SERVICE AREA|25010070|penicillin G procaine 1.2 million unit/2 mL intramuscular syringe|J2510|60793013110|247.82||247.82
WS SERVICE AREA|25010070|dexAMETHasone sodium phosphate 4 mg/mL injection syringe|J1100|76045010610|19.60||19.60
WS SERVICE AREA|25010070|LORazepam 2 mg/mL injection syringe|J2060|00409198530|19.60||19.60
WS SERVICE AREA|25010070|HYDROmorphone 1 mg/mL injection syringe|J1170|00409128303|21.97||21.97
WS SERVICE AREA|25010070|HYDROmorphone 1 mg/mL injection syringe|J1170|00409128317|32.00||32.00
WS SERVICE AREA|25010070|HYDROmorphone 1 mg/mL injection syringe|J1170|00409128337|32.00||32.00
WS SERVICE AREA|25010070|naloxone 0.4 mg/mL injection syringe|J2310|00409178269|131.86||131.86
WS SERVICE AREA|25010070|aminophylline 500 mg/20 mL intravenous solution|J0280|00409592201|68.66||68.66
WS SERVICE AREA|25010070|dornase alfa 1 mg/mL solution for inhalation|J7639|50242010039|881.44||881.44
WS SERVICE AREA|25010070|oxytocin 30 unit/500 mL in 0.9 % sodium chloride intravenous|J2590|70092106807|102.48||102.48
WS SERVICE AREA|25010070|oxytocin 30 unit/500 mL in 0.9 % sodium chloride intravenous|J2590|00000005428|40.12||
WS SERVICE AREA|25010070|oxytocin 30 unit/500 mL in 0.9 % sodium chloride intravenous|J2590|71019025301|98.21||98.21
WS SERVICE AREA|25010070|meperidine (PF) 50 mg/mL injection syringe|J2175|00409117803|26.39||26.39
WS SERVICE AREA|25010070|meperidine (PF) 100 mg/mL injection solution|J2175|00409125601|19.60||19.60
WS SERVICE AREA|25010070|meperidine (PF) 100 mg/mL injection solution|J2175|00641605425|19.60||19.60
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous piggyback|J7060|00409710002|53.70||53.70
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous piggyback|J7060|00409710066|53.70||53.70
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous piggyback|J7060|00409710067|53.70||53.70
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous piggyback|J7060|00409710004|53.70||53.70
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous piggyback|J7060|00409710069|53.70||53.70
WS SERVICE AREA|25010070|heparin, porcine (PF) 100 unit/mL intravenous syringe|J1642|63807060055|30.15||30.15
WS SERVICE AREA|25010070|heparin, porcine (PF) 100 unit/mL (1 mL) intravenous solution|J1642|63323054901|24.00||24.00
WS SERVICE AREA|25010070|heparin, porcine (PF) 1,000 unit/mL injection solution|J1644|25021040102|44.41||44.41
WS SERVICE AREA|25010070|heparin, porcine (PF) 1,000 unit/mL injection solution|J1644|00069004302|50.64||50.64
WS SERVICE AREA|25010070|heparin, porcine (PF) 1,000 unit/mL injection solution|J1644|63323027601|56.32||56.32
WS SERVICE AREA|25010070|heparin, porcine (PF) 1,000 unit/mL injection solution|J1644|63323027602|112.64||112.64
WS SERVICE AREA|25010070|heparin, porcine (PF) 5,000 unit/0.5 mL injection syringe|J1644|00409131632|28.33||28.33
WS SERVICE AREA|25010070|dexAMETHasone sodium phosphate (PF) 10 mg/mL injection solution|J1100|63323050601|53.46||53.46
WS SERVICE AREA|25010070|ondansetron HCl (PF) 4 mg/2 mL injection syringe|J2405|76045010320|19.60||19.60
WS SERVICE AREA|25010070|HYDROmorphone (PF) 2 mg/mL injection solution|J1170|00641615125|19.60||19.60
WS SERVICE AREA|25010070|gentamicin sulfate (pediatric) (PF) 20 mg/2 mL injection solution|J1580|63323017302|36.64||36.64
WS SERVICE AREA|25010070|magnesium sulfate 2 gram/50 mL (4 %) in water intravenous piggyback|J3475|00409672924|102.70||102.70
WS SERVICE AREA|25010070|magnesium sulfate 2 gram/50 mL (4 %) in water intravenous piggyback|J3475|63323010605|112.51||112.51
WS SERVICE AREA|25010070|magnesium sulfate 2 gram/50 mL (4 %) in water intravenous piggyback|J3475|00000005554|68.35||68.35
WS SERVICE AREA|25010070|magnesium sulfate 2 gram/50 mL (4 %) in water intravenous piggyback|J3475|44567042000|140.90||140.90
WS SERVICE AREA|25010070|magnesium sulfate 40 gram/1,000 mL (4 %) in water intravenous solution|J3475|00409672909|68.32||68.32
WS SERVICE AREA|25010070|magnesium sulfate 40 gram/1,000 mL (4 %) in water intravenous solution|J3475|63323010610|76.86||76.86
WS SERVICE AREA|25010070|heparin (porcine) (PF) 2,000 unit/1,000 mL in 0.9 % sodium chloride IV|J1644|00409762059|59.78||59.78
WS SERVICE AREA|25010070|heparin (porcine) (PF) 2,000 unit/1,000 mL in 0.9 % sodium chloride IV|J1644|00338043304|59.78||59.78
WS SERVICE AREA|25010070|heparin (porcine) (PF) 2,000 unit/1,000 mL in 0.9 % sodium chloride IV|J1644|63323051901|76.86||76.86
WS SERVICE AREA|25010070|vinCRIStine 2 mg/2 mL intravenous solution|J9370|00703441211|231.47||231.47
WS SERVICE AREA|25010070|vinCRIStine 2 mg/2 mL intravenous solution|J9370|61703030916|82.51||82.51
WS SERVICE AREA|25010070|DOXOrubicin 50 mg/25 mL intravenous solution|J9000|00069303220|187.06||187.06
WS SERVICE AREA|25010070|DOXOrubicin 50 mg/25 mL intravenous solution|J9000|00069403201|270.50||270.50
WS SERVICE AREA|25010070|DOXOrubicin 10 mg/5 mL intravenous solution|J9000|00703504303|93.05||93.05
WS SERVICE AREA|25010070|fentaNYL (PF) 100 mcg/2 mL (50 mcg/mL) intravenous syringe|J3010|61553030328|35.78||35.78
WS SERVICE AREA|25010070|cytarabine (PF) 20 mg/mL injection solution|J9100|61703030346|209.55||209.55
WS SERVICE AREA|25010070|neostigmine methylsulfate 5 mg/5 mL (1 mg/mL) intravenous syringe|J2710|69374090205|210.08||210.08
WS SERVICE AREA|25010070|methylPREDNISolone sod succ (PF) 40 mg/mL solution for injection|J2920|00009003933|51.63||51.63
WS SERVICE AREA|25010070|methylPREDNISolone sod succ (PF) 125 mg/2 mL solution for injection|J2930|00009004727|83.15||83.15
WS SERVICE AREA|25010070|hydrocortisone sod succinate (PF) 250 mg/2 mL solution for injection|J1720|00009001305|97.46||97.46
WS SERVICE AREA|25010070|hydrocortisone sod succinate (PF) 100 mg/2 mL solution for injection|J1720|00009001103|131.69||131.69
WS SERVICE AREA|25010070|phenylephrine 1 mg/10 mL (100 mcg/mL) in 0.9 % sod.chloride IV syringe|J2370|70092104646|39.37||39.37
WS SERVICE AREA|25010070|phenylephrine 1 mg/10 mL (100 mcg/mL) in 0.9 % sod.chloride IV syringe|J2370|71019026320|40.82||40.82
WS SERVICE AREA|25010070|succinylcholine chloride 200 mg/10 mL (20 mg/mL) intravenous syringe|J0330|71019034117|320.59||320.59
WS SERVICE AREA|25010070|succinylcholine chloride 200 mg/10 mL (20 mg/mL) intravenous syringe|J0330|70324082601|102.48||102.48
WS SERVICE AREA|25010070|magnesium sulfate 6 gram/100 mL (60 mg/mL) in 0.9 % NaCl IV piggyback|J3475|00000005597|67.47||67.47
WS SERVICE AREA|25010070|octreotide acetate 50 mcg/mL (1 mL) injection syringe|J2354|67457023900|20.50||20.50
WS SERVICE AREA|25010070|octreotide acetate 500 mcg/mL (1 mL) injection syringe|J2354|67457024600|406.85||406.85
WS SERVICE AREA|25010070|octreotide acetate 100 mcg/mL (1 mL) injection syringe|J2354|67457024500|60.72||
WS SERVICE AREA|25010070|EPINEPHrine 1 mg/mL (1 mL) injection solution|J0171|42023015925|127.76||127.76
WS SERVICE AREA|25010070|epoprostenol 1.5 mg intravenous solution|J1325|66215040201|400.01||400.01
WS SERVICE AREA|25010070|epoprostenol 1.5 mg intravenous solution|J1325|62756006040|380.03||380.03
WS SERVICE AREA|25010070|tacrolimus 1 mg capsule, immediate-release|J7507|00469061773|23.83||23.83
WS SERVICE AREA|25010070|tacrolimus 1 mg capsule, immediate-release|J7507|68084045011|17.10||17.10
WS SERVICE AREA|25010070|tacrolimus 1 mg capsule, immediate-release|J7507|54288013501|26.65||26.65
WS SERVICE AREA|25010070|calcium gluconate 100 mg/mL (10 %) intravenous solution|J0610|63323036001|85.57||85.57
WS SERVICE AREA|25010070|calcium gluconate 100 mg/mL (10 %) intravenous solution|J0610|63323031110|46.12||46.12
WS SERVICE AREA|25010070|calcium gluconate 100 mg/mL (10 %) intravenous solution|J0610|63323031150|73.02||73.02
WS SERVICE AREA|25010070|calcium gluconate 100 mg/mL (10 %) intravenous solution|J0610|63323031161|149.45||149.45
WS SERVICE AREA|25010070|vinorelbine 10 mg/mL intravenous solution|J9390|25021020401|192.25||192.25
WS SERVICE AREA|25010070|vinorelbine 10 mg/mL intravenous solution|J9390|00703418201|153.80||153.80
WS SERVICE AREA|25010070|ceFAZolin 1 gram solution for injection|J0690|60505074905|22.31||22.31
WS SERVICE AREA|25010070|ceFAZolin 1 gram solution for injection|J0690|00409080501|19.60||19.60
WS SERVICE AREA|25010070|ceFAZolin 1 gram solution for injection|J0690|00409080511|19.60||19.60
WS SERVICE AREA|25010070|ceFAZolin 1 gram solution for injection|J0690|60505614200|22.29||22.29
WS SERVICE AREA|25010070|ceFAZolin 10 gram solution for injection|J0690|60505076900|223.75||223.75
WS SERVICE AREA|25010070|ceFAZolin 20 gram solution for injection|J0690|63323044961|2,197.64||2,197.64
WS SERVICE AREA|25010070|cefuroxime sodium 750 mg solution for injection|J0697|00143997990|24.96||24.96
WS SERVICE AREA|25010070|DOPamine 400 mg/250 mL (1,600 mcg/mL) in 5 % dextrose intravenous soln|J1265|00409780922|111.02||111.02
WS SERVICE AREA|25010070|DOPamine 400 mg/250 mL (1,600 mcg/mL) in 5 % dextrose intravenous soln|J1265|00338100702|111.02||111.02
WS SERVICE AREA|25010070|lidocaine (PF) 4 mg/mL (0.4 %) in 5 % dextrose intravenous solution|J2001|00338040903|51.24||51.24
WS SERVICE AREA|25010070|mycophenolate mofetil 250 mg capsule|J7517|00054016325|30.43||30.43
WS SERVICE AREA|25010070|mycophenolate mofetil 250 mg capsule|J7517|51079072101|30.40||30.40
WS SERVICE AREA|25010070|mycophenolate mofetil 250 mg capsule|J7517|60687049411|5.75||5.75
WS SERVICE AREA|25010070|leucovorin calcium 200 mg solution for injection|J0640|63323071050|599.44||599.44
WS SERVICE AREA|25010070|heparin (porcine) 25,000 unit/500 mL (50 unit/mL) in dextrose 5 % IV|J1644|00264957710|128.10||128.10
WS SERVICE AREA|25010070|heparin (porcine) 25,000 unit/500 mL (50 unit/mL) in dextrose 5 % IV|J1644|63323052277|76.86||76.86
WS SERVICE AREA|25010070|heparin (porcine) 25,000 unit/500 mL (50 unit/mL) in dextrose 5 % IV|J1644|00000005792|128.10||128.10
WS SERVICE AREA|25010070|heparin (porcine) 25,000 unit/500 mL (50 unit/mL) in dextrose 5 % IV|J1644|63323052201|76.86||76.86
WS SERVICE AREA|25010070|heparin (porcine) (PF) 1,000 unit/500 mL in 0.9 % sodium chloride IV|J1644|00409762013|46.97||46.97
WS SERVICE AREA|25010070|epoprostenol (glycine) 1.5 mg intravenous solution|J1325|00173051900|385.50||385.50
WS SERVICE AREA|25010070|DOCEtaxeL 160 mg/8 mL (20 mg/mL) intravenous solution|J9171|16729026765|18,228.29||18,228.29
WS SERVICE AREA|25010070|magnesium sulfate 1 gram/100 mL in dextrose 5 % intravenous piggyback|J3475|00409672723|63.20||63.20
WS SERVICE AREA|25010070|chloroprocaine (PF) 20 mg/mL (2 %) injection solution|J2400|63323047701|182.07||182.07
WS SERVICE AREA|25010070|chloroprocaine (PF) 30 mg/mL (3 %) injection solution|J2400|63323047827|191.13||191.13
WS SERVICE AREA|25010070|cefepime 1 gram solution for injection|J0692|44567024010|58.41||58.41
WS SERVICE AREA|25010070|cefepime 1 gram solution for injection|J0692|60505614400|173.62||173.62
WS SERVICE AREA|25010070|cefepime 1 gram solution for injection|J0692|63323032621|49.53||49.53
WS SERVICE AREA|25010070|cefepime 2 gram solution for injection|J0692|60505614500|344.67||344.67
WS SERVICE AREA|25010070|HYDROmorphone 0.5 mg/0.5 mL injection syringe|J1170|00409128305|23.18||23.18
WS SERVICE AREA|25010070|chlorproMAZINE 25 mg/mL injection solution|J3230|00641139731|246.71||246.71
WS SERVICE AREA|25010070|chlorproMAZINE 25 mg/mL injection solution|J3230|00641139831|282.69||282.69
WS SERVICE AREA|25010070|chlorproMAZINE 25 mg/mL injection solution|J3230|00641139835|282.69||282.69
WS SERVICE AREA|25010070|neostigmine methylsulfate 1 mg/mL intravenous solution|J2710|42023018910|51.50||51.50
WS SERVICE AREA|25010070|midazolam (PF) 1 mg/mL injection solution|J2250|00409230504|19.60||19.60
WS SERVICE AREA|25010070|midazolam (PF) 1 mg/mL injection solution|J2250|00409230516|19.60||19.60
WS SERVICE AREA|25010070|midazolam (PF) 1 mg/mL injection solution|J2250|00409230555|19.60||19.60
WS SERVICE AREA|25010070|bleomycin 30 unit solution for injection|J9040|63323013720|563.14||563.14
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|353.74||353.74
WS SERVICE AREA|25010070|gemcitabine 1 gram intravenous solution|J9201|47335015440|873.60||873.60
WS SERVICE AREA|25010070|meropenem 500 mg intravenous solution|J2185|00409350501|49.53||49.53
WS SERVICE AREA|25010070|meropenem 500 mg intravenous solution|J2185|63323050721|51.24||51.24
WS SERVICE AREA|25010070|meropenem 1 gram intravenous solution|J2185|00310032130|286.57||286.57
WS SERVICE AREA|25010070|meropenem 1 gram intravenous solution|J2185|00409350601|99.58||99.58
WS SERVICE AREA|25010070|meropenem 1 gram intravenous solution|J2185|63323050830|170.80||170.80
WS SERVICE AREA|25010070|meropenem 1 gram intravenous solution|J2185|63323050831|93.94||93.94
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/1,000 mL (1 unit/mL) in 0.9 % NaCl IV|J1644|71019010505|145.18||145.18
WS SERVICE AREA|25010070|neostigmine methylsulfate 4 mg/4 mL (1 mg/mL) intravenous syringe|J2710|69374094204|204.96||204.96
WS SERVICE AREA|25010070|HYDROmorphone (PF) 0.5 mg/0.5 mL injection syringe|J1170|76045000906|35.44||35.44
WS SERVICE AREA|25010070|HYDROmorphone (PF) 0.5 mg/0.5 mL injection syringe|J1170|76045000996|35.44||35.44
WS SERVICE AREA|25010070|ropivacaine (PF) 2 mg/mL (0.2 %) injection solution|J2795|63323028520|62.00||62.00
WS SERVICE AREA|25010070|ropivacaine (PF) 2 mg/mL (0.2 %) injection solution|J2795|63323028567|330.50||330.50
WS SERVICE AREA|25010070|ropivacaine (PF) 2 mg/mL (0.2 %) injection solution|J2795|63323028523|82.67||82.67
WS SERVICE AREA|25010070|ropivacaine (PF) 5 mg/mL (0.5 %) injection solution|J2795|00781314030|104.27||104.27
WS SERVICE AREA|25010070|piperacillin-tazobactam 4.5 gram intravenous solution|J2543|00409339004|117.88||117.88
WS SERVICE AREA|25010070|piperacillin-tazobactam 4.5 gram intravenous solution|J2543|44567080310|150.34||150.34
WS SERVICE AREA|25010070|piperacillin-tazobactam 3.375 gram intravenous solution|J2543|00409337811|102.45||102.45
WS SERVICE AREA|25010070|DOBUTamine 500 mg/250 mL (2,000 mcg/mL) in 5 % dextrose IV|J1250|00409234732|106.75||106.75
WS SERVICE AREA|25010070|DOBUTamine 500 mg/250 mL (2,000 mcg/mL) in 5 % dextrose IV|J1250|00338107502|318.12||318.12
WS SERVICE AREA|25010070|morphine 2 mg/2 mL (1 mg/mL) in 0.9 % sodium chloride IV syringe|J2270|42852024160|38.43||
WS SERVICE AREA|25010070|betamethasone acet,sod phos (PF) in water 6 mg/mL injection suspension|J0702|71283062002|242.79||242.79
WS SERVICE AREA|25010070|calcium gluconate 2 gram/100 mL in sodium chloride,iso-osm IV solution|J0610|44567062101|404.80||404.80
WS SERVICE AREA|25010070|calcium gluconate 2 gram/100 mL in sodium chloride,iso-osm IV solution|J0610|00000005816|142.45||
WS SERVICE AREA|25010070|ibuprofen 800 mg/200 mL (4 mg/mL) intravenous piggyback|J1741|66220028711|83.91||83.91
WS SERVICE AREA|25010070|ibuprofen 800 mg/200 mL (4 mg/mL) intravenous piggyback|J1741|66220028411|111.02||111.02
WS SERVICE AREA|25010070|vancomycin 1.25 gram/250 mL-water for injection(PEG,NADA) IV piggyback|J3370|70594005701|162.26||162.26
WS SERVICE AREA|25010070|cloNIDine (PF) 1,000 mcg/10 mL (100 mcg/mL) epidural solution|J0735|67457021810|67.64||67.64
WS SERVICE AREA|25010070|medroxyPROGESTERone 150 mg/mL intramuscular suspension|J1050|59762453701|835.64||835.64
WS SERVICE AREA|25010070|medroxyPROGESTERone 150 mg/mL intramuscular suspension|J1050|00548541000|384.30||384.30
WS SERVICE AREA|25010070|cyanocobalamin (vit B-12) 1,000 mcg/mL injection solution|J3420|00517013005|19.60||19.60
WS SERVICE AREA|25010070|cyanocobalamin (vit B-12) 1,000 mcg/mL injection solution|J3420|63323004401|19.60||19.60
WS SERVICE AREA|25010070|cytarabine (PF) 2 gram/20 mL (100 mg/mL) injection solution|J9100|63323012020|160.72||160.72
WS SERVICE AREA|25010070|cytarabine (PF) 2 gram/20 mL (100 mg/mL) injection solution|J9100|61703031922|142.11||142.11
WS SERVICE AREA|25010070|dacarbazine 200 mg intravenous solution|J9130|00703507501|126.19||126.19
WS SERVICE AREA|25010070|azithromycin 500 mg intravenous solution|J0456|63323039810|63.45||63.45
WS SERVICE AREA|25010070|azithromycin 500 mg intravenous solution|J0456|00409014411|84.62||84.62
WS SERVICE AREA|25010070|azithromycin 500 mg intravenous solution|J0456|55150017410|93.94||93.94
WS SERVICE AREA|25010070|azithromycin 500 mg intravenous solution|J0456|00409014421|84.62||84.62
WS SERVICE AREA|25010070|ketorolac 15 mg/mL injection solution|J1885|25021070001|28.87||28.87
WS SERVICE AREA|25010070|ketorolac 15 mg/mL injection solution|J1885|63323016112|19.60||19.60
WS SERVICE AREA|25010070|ketorolac 30 mg/mL (1 mL) injection solution|J1885|63323016212|19.60||19.60
WS SERVICE AREA|25010070|ketorolac 30 mg/mL (1 mL) injection solution|J1885|00409379519|51.56||51.56
WS SERVICE AREA|25010070|ketorolac 30 mg/mL (1 mL) injection solution|J1885|70860070101|19.60||19.60
WS SERVICE AREA|25010070|ketorolac 30 mg/mL (1 mL) injection solution|J1885|70860070103|19.60||19.60
WS SERVICE AREA|25010070|ketorolac 30 mg/mL (1 mL) injection solution|J1885|00338007225|19.60||19.60
WS SERVICE AREA|25010070|ketorolac 30 mg/mL (1 mL) injection solution|J1885|72611072201|19.60||19.60
WS SERVICE AREA|25010070|eptifibatide 0.75 mg/mL intravenous solution|J1327|00085113601|3,792.38||3,792.38
WS SERVICE AREA|25010070|eptifibatide 2 mg/mL intravenous solution|J1327|00085117703|1,211.66||1,211.66
WS SERVICE AREA|25010070|eptifibatide 2 mg/mL intravenous solution|J1327|00085117701|1,211.66||1,211.66
WS SERVICE AREA|25010070|acyclovir sodium 50 mg/mL intravenous solution|J0133|55150015411|136.64||136.64
WS SERVICE AREA|25010070|acyclovir sodium 50 mg/mL intravenous solution|J0133|63323032510|160.55||160.55
WS SERVICE AREA|25010070|dexAMETHasone 0.5 mg/5 mL oral solution|J8540|00000005277|22.09||22.09
WS SERVICE AREA|25010070|dexAMETHasone 0.5 mg/5 mL oral solution|J8540|00054317763|184.45||184.45
WS SERVICE AREA|25010070|dexAMETHasone 0.75 mg tablet|J8540|00054818025|4.80||4.80
WS SERVICE AREA|25010070|dexAMETHasone sodium phosphate 4 mg/mL injection solution|J1100|67457042300|19.60||
WS SERVICE AREA|25010070|dexAMETHasone sodium phosphate 4 mg/mL injection solution|J1100|67457042130|107.60||107.60
WS SERVICE AREA|25010070|dexAMETHasone sodium phosphate 4 mg/mL injection solution|J1100|00000005382|19.60||19.60
WS SERVICE AREA|25010070|dexAMETHasone sodium phosphate 4 mg/mL injection solution|J1100|63323016503|53.89||53.89
WS SERVICE AREA|25010070|dexAMETHasone sodium phosphate 4 mg/mL injection solution|J1100|63323016502|22.46||22.46
WS SERVICE AREA|25010070|dexAMETHasone sodium phosphate 4 mg/mL injection solution|J1100|67457041900|19.60||19.60
WS SERVICE AREA|25010070|dexAMETHasone sodium phosphate 4 mg/mL injection solution|J1100|63323016501|22.46||22.46
WS SERVICE AREA|25010070|dexAMETHasone sodium phosphate 4 mg/mL injection solution|J1100|63323016530|290.02||290.02
WS SERVICE AREA|25010070|leucovorin calcium 500 mg solution for injection|J0640|63323071100|672.18||672.18
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous solution|J7060|00409792203|53.70||53.70
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous solution|J7070|00409792209|53.70||53.70
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous solution|J7060|00409792337|53.70||53.70
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous solution|J7060|00409792202|53.70||53.70
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous solution|J7060|00409792313|53.70||53.70
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous solution|J7060|00409792336|53.70||53.70
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous solution|J7060|00409792323|53.70||53.70
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous solution|J7060|00264751010|53.70||53.70
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous solution|J7060|00264751020|53.70||53.70
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous solution|J7060|00990792202|53.70||53.70
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous solution|J7060|00990792261|53.70||53.70
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous solution|J7070|00990792209|53.70||53.70
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous solution|J7060|00990792337|53.70||53.70
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous solution|J7060|00990792203|53.70||53.70
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous solution|J7060|00990792225|53.70||53.70
WS SERVICE AREA|25010070|dextrose 5 % in water (D5W) intravenous solution|J7060|00990792313|53.70||53.70
WS SERVICE AREA|25010070|dicyclomine 10 mg/mL intramuscular solution|J0500|58914008052|358.93||358.93
WS SERVICE AREA|25010070|dicyclomine 10 mg/mL intramuscular solution|J0500|00517198001|166.53||166.53
WS SERVICE AREA|25010070|dicyclomine 10 mg/mL intramuscular solution|J0500|00517198005|166.53||166.53
WS SERVICE AREA|25010070|tacrolimus 0.5 mg capsule, immediate-release|J7507|68084044911|17.10||17.10
WS SERVICE AREA|25010070|sodium ferric gluconate complex in sucrose 62.5 mg/5 mL intravenous|J2916|00591014926|271.57||271.57
WS SERVICE AREA|25010070|sodium ferric gluconate complex in sucrose 62.5 mg/5 mL intravenous|J2916|00000005182|207.52||207.52
WS SERVICE AREA|25010070|sodium ferric gluconate complex in sucrose 62.5 mg/5 mL intravenous|J2916|00143929801|70.03||70.03
WS SERVICE AREA|25010070|mycophenolate mofetil 200 mg/mL oral suspension|J7517|00004026129|82.74||82.74
WS SERVICE AREA|25010070|diphenhydrAMINE 50 mg/mL injection solution|J1200|00641037621|19.60||19.60
WS SERVICE AREA|25010070|diphenhydrAMINE 50 mg/mL injection solution|J1200|63323066401|19.60||19.60
WS SERVICE AREA|25010070|ceFAZolin 1 gram/50 mL in dextrose (iso-osmotic) intravenous piggyback|J0690|00264310311|96.93||96.93
WS SERVICE AREA|25010070|ceFAZolin 1 gram/50 mL in dextrose (iso-osmotic) intravenous piggyback|J0690|00338350341|44.84||44.84
WS SERVICE AREA|25010070|DOPamine 200 mg/5 mL (40 mg/mL) intravenous solution|J1265|00409582001|24.98||24.98
WS SERVICE AREA|25010070|sirolimus 1 mg/mL oral solution|J7520|00008103004|465.51||465.51
WS SERVICE AREA|25010070|droperidoL 2.5 mg/mL injection solution|J1790|00517970225|70.03||70.03
WS SERVICE AREA|25010070|methacholine chloride 100 mg solution for inhalation|J7674|69374054206|1,242.54||1,242.54
WS SERVICE AREA|25010070|methacholine chloride 100 mg solution for inhalation|J7674|64281010006|598.26||598.26
WS SERVICE AREA|25010070|cloNIDine (PF) 5,000 mcg/10 mL epidural solution|J0735|39822201001|25.11||25.11
WS SERVICE AREA|25010070|ampicillin 1 gram intravenous solution|J0290|00781341292|152.98||152.98
WS SERVICE AREA|25010070|ampicillin 1 gram intravenous solution|J0290|00781941215|139.80||139.80
WS SERVICE AREA|25010070|ampicillin 2 gram intravenous solution|J0290|00781341392|296.75||296.75
WS SERVICE AREA|25010070|ampicillin 2 gram intravenous solution|J0290|00781941315|271.23||271.23
WS SERVICE AREA|25010070|ampicillin-sulbactam 1.5 gram intravenous solution|J0295|00409268901|45.49||45.49
WS SERVICE AREA|25010070|ampicillin-sulbactam 1.5 gram intravenous solution|J0295|00409268921|45.49||45.49
WS SERVICE AREA|25010070|ampicillin-sulbactam 3 gram intravenous solution|J0295|00409298703|78.11||78.11
WS SERVICE AREA|25010070|ampicillin-sulbactam 3 gram intravenous solution|J0295|00409298723|78.11||78.11
WS SERVICE AREA|25010070|cefTAZidime 1 gram intravenous solution|J0713|00409509216|50.33||50.33
WS SERVICE AREA|25010070|ceFAZolin 1 gram intravenous solution|J0690|00409258501|23.10||23.10
WS SERVICE AREA|25010070|cefTRIAXone 1 gram intravenous solution|J0696|00409733349|36.62||36.62
WS SERVICE AREA|25010070|cefTRIAXone 2 gram intravenous solution|J0696|00409733604|67.41||67.41
WS SERVICE AREA|25010070|cefTRIAXone 2 gram intravenous solution|J0696|00409733611|67.41||67.41
WS SERVICE AREA|25010070|cefepime 2 gram intravenous solution|J0692|00409021801|83.61||83.61
WS SERVICE AREA|25010070|cefepime 2 gram intravenous solution|J0692|00409021811|83.61||83.61
WS SERVICE AREA|25010070|milrinone 1 mg/mL intravenous solution|J2260|00143970910|78.40||78.40
WS SERVICE AREA|25010070|milrinone 1 mg/mL intravenous solution|J2260|00143971010|53.38||53.38
WS SERVICE AREA|25010070|milrinone 1 mg/mL intravenous solution|J2260|63323061710|341.60||341.60
WS SERVICE AREA|25010070|milrinone 1 mg/mL intravenous solution|J2260|63323061720|674.66||674.66
WS SERVICE AREA|25010070|doxercalciferoL 4 mcg/2 mL intravenous solution|J1270|58468012301|59.40||59.40
WS SERVICE AREA|25010070|doxercalciferoL 4 mcg/2 mL intravenous solution|J1270|58468012309|56.36||56.36
WS SERVICE AREA|25010070|doxercalciferoL 4 mcg/2 mL intravenous solution|J1270|58468012300|59.40||59.40
WS SERVICE AREA|25010070|EPINEPHrine 0.1 mg/mL injection syringe|J0171|00409492134|44.75||44.75
WS SERVICE AREA|25010070|EPINEPHrine 0.1 mg/mL injection syringe|J0171|76329331601|74.73||74.73
WS SERVICE AREA|25010070|EPINEPHrine 0.1 mg/mL injection syringe|J0171|61553036972|56.88||
WS SERVICE AREA|25010070|EPINEPHrine 0.1 mg/mL injection syringe|J0171|71019007701|207.52||207.52
WS SERVICE AREA|25010070|EPINEPHrine 0.1 mg/mL injection syringe|J0171|69374092510|51.24||51.24
WS SERVICE AREA|25010070|cycloSPORINE modified 25 mg capsule|J7515|00078024661|17.41||17.41
WS SERVICE AREA|25010070|cycloSPORINE modified 25 mg capsule|J7515|00074310832|13.43||13.43
WS SERVICE AREA|25010070|cycloSPORINE modified 25 mg capsule|J7515|00078024615|17.28||17.28
WS SERVICE AREA|25010070|cycloSPORINE modified 100 mg capsule|J7502|00078024861|17.30||17.30
WS SERVICE AREA|25010070|cycloSPORINE modified 100 mg capsule|J7502|00078024815|17.26||17.26
WS SERVICE AREA|25010070|sirolimus 1 mg tablet|J7520|00008104110|243.75||243.75
WS SERVICE AREA|25010070|sirolimus 1 mg tablet|J7520|59762100201|129.99||129.99
WS SERVICE AREA|25010070|sirolimus 1 mg tablet|J7520|55111065301|130.76||130.76
WS SERVICE AREA|25010070|iron sucrose 100 mg iron/5 mL intravenous solution|J1756|00517234010|469.70||469.70
WS SERVICE AREA|25010070|prednisoLONE sodium phosphate 15 mg/5 mL (3 mg/mL) oral solution|J7510|17856075905|18.64||18.64
WS SERVICE AREA|25010070|prednisoLONE sodium phosphate 15 mg/5 mL (3 mg/mL) oral solution|J7510|00000005186|11.97||11.97
WS SERVICE AREA|25010070|prednisoLONE sodium phosphate 15 mg/5 mL (3 mg/mL) oral solution|J7510|00121075905|4.80||
WS SERVICE AREA|25010070|estradiol valerate 20 mg/mL intramuscular oil|J1380|42023011101|159.76||159.76
WS SERVICE AREA|25010070|propranoloL 1 mg/mL intravenous solution|J1800|00143987201|68.32||68.32
WS SERVICE AREA|25010070|propranoloL 1 mg/mL intravenous solution|J1800|63323060401|86.00||86.00
WS SERVICE AREA|25010070|caspofungin 50 mg intravenous solution|J0637|00006382210|2,353.84||2,353.84
WS SERVICE AREA|25010070|fentaNYL (PF) 50 mcg/mL injection solution|J3010|00409909428|26.13||26.13
WS SERVICE AREA|25010070|fentaNYL (PF) 50 mcg/mL injection solution|J3010|00409909412|19.60||19.60
WS SERVICE AREA|25010070|fentaNYL (PF) 50 mcg/mL injection solution|J3010|63323080611|19.60||19.60
WS SERVICE AREA|25010070|PACLitaxeL 6 mg/mL concentrate,intravenous|J9267|63323076350|806.83|J9267|806.83
WS SERVICE AREA|25010070|moxifloxacin 400 mg/250 mL-sodium chloride(iso) intravenous piggyback|J2280|50419053701|435.54||435.54
WS SERVICE AREA|25010070|moxifloxacin 400 mg/250 mL-sodium chloride(iso) intravenous piggyback|J2280|67457032325|469.70||469.70
WS SERVICE AREA|25010070|enoxaparin 150 mg/mL subcutaneous syringe|J1650|00548560700|192.15||192.15
WS SERVICE AREA|25010070|ertapenem 1 gram solution for injection|J1335|55150028209|1,045.50||1,045.50
WS SERVICE AREA|25010070|fluPHENAZine decanoate 25 mg/mL injection solution|J2680|63323027205|132.34||132.34
WS SERVICE AREA|25010070|fondaparinux 2.5 mg/0.5 mL subcutaneous solution syringe|J1652|55111067811|466.71||
WS SERVICE AREA|25010070|fondaparinux 2.5 mg/0.5 mL subcutaneous solution syringe|J1652|43598060711|104.62||104.62
WS SERVICE AREA|25010070|fondaparinux 2.5 mg/0.5 mL subcutaneous solution syringe|J1652|00781344394|431.18||431.18
WS SERVICE AREA|25010070|ampicillin-sulbactam 1.5 gram solution for injection|J0295|00641611910|29.89||29.89
WS SERVICE AREA|25010070|ampicillin-sulbactam 1.5 gram solution for injection|J0295|66794020602|55.51||55.51
WS SERVICE AREA|25010070|ampicillin-sulbactam 3 gram solution for injection|J0295|00641612001|54.23||
WS SERVICE AREA|25010070|ampicillin-sulbactam 3 gram solution for injection|J0295|00641612010|54.23||54.23
WS SERVICE AREA|25010070|ampicillin-sulbactam 3 gram solution for injection|J0295|00049001483|123.13||123.13
WS SERVICE AREA|25010070|pamidronate 30 mg/10 mL (3 mg/mL) intravenous solution|J2430|61703032418|118.54||118.54
WS SERVICE AREA|25010070|pamidronate 30 mg/10 mL (3 mg/mL) intravenous solution|J2430|67457043010|276.70||276.70
WS SERVICE AREA|25010070|pamidronate 90 mg/10 mL (9 mg/mL) intravenous solution|J2430|67457044610|782.52||782.52
WS SERVICE AREA|25010070|furosemide 10 mg/mL injection solution|J1940|00409610204|24.80||24.80
WS SERVICE AREA|25010070|furosemide 10 mg/mL injection solution|J1940|00409610210|42.27||42.27
WS SERVICE AREA|25010070|furosemide 10 mg/mL injection solution|J1940|00409610227|42.27||42.27
WS SERVICE AREA|25010070|furosemide 10 mg/mL injection solution|J1940|00409610226|24.80||24.80
WS SERVICE AREA|25010070|furosemide 10 mg/mL injection solution|J1940|23155047333|19.60||19.60
WS SERVICE AREA|25010070|furosemide 10 mg/mL injection solution|J1940|23155047344|19.60||19.60
WS SERVICE AREA|25010070|furosemide 10 mg/mL injection solution|J1940|00409610236|24.80||24.80
WS SERVICE AREA|25010070|furosemide 10 mg/mL injection solution|J1940|00409610237|19.60||19.60
WS SERVICE AREA|25010070|furosemide 10 mg/mL injection solution|J1940|55150032401|19.60||19.60
WS SERVICE AREA|25010070|milrinone 20 mg/100 mL(200 mcg/mL) in 5 % dextrose intravenous piggybk|J2260|00409277623|135.79||135.79
WS SERVICE AREA|25010070|milrinone 20 mg/100 mL(200 mcg/mL) in 5 % dextrose intravenous piggybk|J2260|00338601048|263.89||263.89
WS SERVICE AREA|25010070|ziprasidone 20 mg/mL (final concentration) intramuscular solution|J3486|00049392020|233.43||233.43
WS SERVICE AREA|25010070|ziprasidone 20 mg/mL (final concentration) intramuscular solution|J3486|72266016041|85.02||85.02
WS SERVICE AREA|25010070|ziprasidone 20 mg/mL (final concentration) intramuscular solution|J3486|00049392083|466.86||466.86
WS SERVICE AREA|25010070|gentamicin 40 mg/mL injection solution|J1580|00409120703|19.60||19.60
WS SERVICE AREA|25010070|gentamicin 40 mg/mL injection solution|J1580|63323001096|155.43||155.43
WS SERVICE AREA|25010070|gentamicin 40 mg/mL injection solution|J1580|63323001002|27.58||27.58
WS SERVICE AREA|25010070|gentamicin 40 mg/mL injection solution|J1580|63323001020|198.30||198.30
WS SERVICE AREA|25010070|midazolam 1 mg/mL in 0.9 % sodium chloride intravenous|J2250|00000000323|535.46||
WS SERVICE AREA|25010070|midazolam 1 mg/mL in 0.9 % sodium chloride intravenous|J2250|70092102935|172.94||172.94
WS SERVICE AREA|25010070|zoledronic acid 4 mg/5 mL intravenous solution|J3489|25021080166|1,254.60||1,254.60
WS SERVICE AREA|25010070|zoledronic acid 4 mg/5 mL intravenous solution|J3489|55111068507|5,842.88||5,842.88
WS SERVICE AREA|25010070|zoledronic acid 4 mg/5 mL intravenous solution|J3489|67457039054|4,934.76||4,934.76
WS SERVICE AREA|25010070|zoledronic acid 4 mg/5 mL intravenous solution|J3489|00078038725|6,429.69||6,429.69
WS SERVICE AREA|25010070|haloperidol lactate 5 mg/mL injection solution|J1630|63323047401|51.15||51.15
WS SERVICE AREA|25010070|potassium chloride 20 mEq/L in 0.45 % sodium chloride intravenous soln|J3480|00409925739|53.70||53.70
WS SERVICE AREA|25010070|palonosetron 0.25 mg/5 mL intravenous solution|J2469|00781331275|2,368.06||2,368.06
WS SERVICE AREA|25010070|hydrALAZINE 20 mg/mL injection solution|J0360|63323061455|128.10||128.10
WS SERVICE AREA|25010070|hydrALAZINE 20 mg/mL injection solution|J0360|17478093415|96.08||96.08
WS SERVICE AREA|25010070|hydrALAZINE 20 mg/mL injection solution|J0360|39822050001|76.86||76.86
WS SERVICE AREA|25010070|hydrALAZINE 20 mg/mL injection solution|J0360|39822050004|76.86||76.86
WS SERVICE AREA|25010070|hydrALAZINE 20 mg/mL injection solution|J0360|63323061400|111.70||111.70
WS SERVICE AREA|25010070|hydrALAZINE 20 mg/mL injection solution|J0360|63323061421|128.10||128.10
WS SERVICE AREA|25010070|DAPTOmycin 500 mg intravenous solution|J0878|67919001101|3,105.07||3,105.07
WS SERVICE AREA|25010070|DAPTOmycin 500 mg intravenous solution|J0878|00703012501|731.85||731.85
WS SERVICE AREA|25010070|DAPTOmycin 500 mg intravenous solution|J0878|63323037119|597.80||597.80
WS SERVICE AREA|25010070|DAPTOmycin 500 mg intravenous solution|J0878|67457081350|3,349.78||3,349.78
WS SERVICE AREA|25010070|HYDROmorphone 2 mg/mL injection solution|J1170|00409335601|19.60||19.60
WS SERVICE AREA|25010070|HYDROmorphone 2 mg/mL injection solution|J1170|00641012121|19.60||19.60
WS SERVICE AREA|25010070|HYDROmorphone 2 mg/mL injection solution|J1170|00641234141|183.10||183.10
WS SERVICE AREA|25010070|HYDROmorphone 2 mg/mL injection solution|J1170|00409336511|19.60||19.60
WS SERVICE AREA|25010070|hydrOXYzine HCL 50 mg/mL intramuscular solution|J3410|00517560225|318.20||318.20
WS SERVICE AREA|25010070|mycophenolate sodium 180 mg tablet,delayed release|J7518|00078038566|43.79||43.79
WS SERVICE AREA|25010070|mycophenolate sodium 180 mg tablet,delayed release|J7518|51079050801|38.85||38.85
WS SERVICE AREA|25010070|CARBOplatin 10 mg/mL intravenous solution|J9045|61703033950|358.85||358.85
WS SERVICE AREA|25010070|tobramycin 40 mg/mL injection solution|J3260|63323030602|28.95||28.95
WS SERVICE AREA|25010070|tobramycin 40 mg/mL injection solution|J3260|63323030630|187.79||187.79
WS SERVICE AREA|25010070|ciprofloxacin IVPB 2 mg/mL (peds)|J0744|00409477750|53.70||53.70
WS SERVICE AREA|25010070|dextrose 5% in water (D5W) IV|J7060|00409792203|53.70||53.70
WS SERVICE AREA|25010070|dextrose 5% in water (D5W) IV|J7070|00409792209|53.70||53.70
WS SERVICE AREA|25010070|dextrose 5% in water (D5W) IV|J7060|00409792337|53.70||53.70
WS SERVICE AREA|25010070|dextrose 5% in water (D5W) IV|J7060|00409792202|53.70||53.70
WS SERVICE AREA|25010070|dextrose 5% in water (D5W) IV|J7060|00409792313|78.86||78.86
WS SERVICE AREA|25010070|dextrose 5% in water (D5W) IV|J7060|00409792336|75.36||75.36
WS SERVICE AREA|25010070|dextrose 5% in water (D5W) IV|J7060|00409792323|53.70||53.70
WS SERVICE AREA|25010070|dextrose 5% in water (D5W) IV|J7060|00264751010|53.70||53.70
WS SERVICE AREA|25010070|dextrose 5% in water (D5W) IV|J7060|00264751020|53.70||53.70
WS SERVICE AREA|25010070|dextrose 5 % and 0.45 % sodium chloride IV|J7042|00409792603|53.70||53.70
WS SERVICE AREA|25010070|dextrose 5 % and 0.45 % sodium chloride IV|J7042|00409792609|53.70||53.70
WS SERVICE AREA|25010070|lactated ringers IV|J7120|00409795309|53.70||53.70
WS SERVICE AREA|25010070|dextrose 5% and lactated ringers IV|J7120|00409792909|53.70|J7121|53.70
WS SERVICE AREA|25010070|phenytoin sodium 50 mg/mL intravenous solution,phenytoin sodium 50 mg/mL intravenous syringe|J1165|00641255541|19.60||19.60
WS SERVICE AREA|25010070|phenytoin sodium 50 mg/mL intravenous solution,phenytoin sodium 50 mg/mL intravenous syringe|J1165|00641613801|19.60||19.60
WS SERVICE AREA|25010070|phenytoin sodium 50 mg/mL intravenous solution,phenytoin sodium 50 mg/mL intravenous syringe|J1165|00641613825|19.60||19.60
WS SERVICE AREA|25010070|phenytoin sodium 50 mg/mL intravenous solution,phenytoin sodium 50 mg/mL intravenous syringe|J1165|00641613901|19.60||19.60
WS SERVICE AREA|25010070|phenytoin sodium 50 mg/mL intravenous solution,phenytoin sodium 50 mg/mL intravenous syringe|J1165|00641613925|19.60||19.60
WS SERVICE AREA|25010070|acetaminophen 1000 mg/100 mL (10mg/mL) intrav|J0131|43825010201|404.80||404.80
WS SERVICE AREA|25010070|amiodarone 450 mg/250 mL (1.8 mg/mL) infusion|J0282|00000005469|249.80||249.80
WS SERVICE AREA|25010070|amiodarone 450 mg/250 mL (1.8 mg/mL) infusion|J0282|70092100437|123.83||123.83
WS SERVICE AREA|25010070|amiodarone 90 mg/50 mL infusion|J0282|00000005464|49.96||49.96
WS SERVICE AREA|25010070|milrinone 20 mg/100 mL(200 mcg/mL) in 5 % dextrose *|J2260|00000005378|64.90||
WS SERVICE AREA|25010070|droperidoL 2.5 mg/mL injection solution|J1790|00517970225|70.03||70.03
WS SERVICE AREA|25010070|linezolid 600 mg/300 mL in 0.9 % sodium chloride intravenous solution||00409488301|727.61||727.61
WS SERVICE AREA|25010070|linezolid 600 mg/300 mL in 0.9 % sodium chloride intravenous solution||00000005432|684.05||
WS SERVICE AREA|25010070|vitamin K oral solution 1 mg/mL|J3430|00000005607|4.80||4.80
WS SERVICE AREA|25010070|linezolid 600 mg/300 mL in 0.9 % sodium chloride intravenous solution||00409488301|727.61||727.61
WS SERVICE AREA|25010070|linezolid 600 mg/300 mL in 0.9 % sodium chloride intravenous solution||00000005431|19.60||
WS SERVICE AREA|25010070|dexAMETHasone sodium phosphate 4 mg/mL injection solution,dexAMETHasone sodium phosphate 4 mg/mL injection syringe|J1100|67457042300|19.60||
WS SERVICE AREA|25010070|dexAMETHasone sodium phosphate 4 mg/mL injection solution,dexAMETHasone sodium phosphate 4 mg/mL injection syringe|J1100|67457042130|107.60||107.60
WS SERVICE AREA|25010070|dexAMETHasone sodium phosphate 4 mg/mL injection solution,dexAMETHasone sodium phosphate 4 mg/mL injection syringe|J1100|00000005382|19.60||19.60
WS SERVICE AREA|25010070|dexAMETHasone sodium phosphate 4 mg/mL injection solution,dexAMETHasone sodium phosphate 4 mg/mL injection syringe|J1100|63323016503|53.89||53.89
WS SERVICE AREA|25010070|dexAMETHasone sodium phosphate 4 mg/mL injection solution,dexAMETHasone sodium phosphate 4 mg/mL injection syringe|J1100|63323016502|22.46||22.46
WS SERVICE AREA|25010070|dexAMETHasone sodium phosphate 4 mg/mL injection solution,dexAMETHasone sodium phosphate 4 mg/mL injection syringe|J1100|63323016501|22.46||22.46
WS SERVICE AREA|25010070|dexAMETHasone sodium phosphate 4 mg/mL injection solution,dexAMETHasone sodium phosphate 4 mg/mL injection syringe|J1100|63323016530|290.02||290.02
WS SERVICE AREA|25010070|FUROsemide 2 mg/mL in NS IV syringe (neonate)|J1940|00000005615|19.60||
WS SERVICE AREA|25010070|amiodarone 50 mg/mL intravenous solution|J0282|00143987501|19.60||19.60
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|70.03||70.03
WS SERVICE AREA|25010070|amiodarone 5.4 mg/3 mL infusion|J0282|00000005463|19.60||19.60
WS SERVICE AREA|25010070|dexamethasone 4 mg/mL injection solution|J1100|67457042130|107.60||107.60
WS SERVICE AREA|25010070|dexamethasone 4 mg/mL injection solution|J1100|63323016501|22.46||22.46
WS SERVICE AREA|25010070|dexamethasone 4 mg/mL injection solution|J1100|63323016530|290.02||290.02
WS SERVICE AREA|25010070|tobramycin 40 mg/mL Injection|J3260|63323030602|104.01||104.01
WS SERVICE AREA|25010070|tobramycin 40 mg/mL Injection|J3260|63323030630|42.17||42.17
WS SERVICE AREA|25010070|adenosine 12 mcg/mL||00000005225|19.60||19.60
WS SERVICE AREA|25010070|||00000005180|62.70||
WS SERVICE AREA|25010070|potassium chloride 2 mEq/mL intravenous injection solution|J3480|00409665305|34.82||34.82
WS SERVICE AREA|25010070|fentaNYL (PF) 50 mcg/mL injection|J3010|00409909422|19.60||19.60
WS SERVICE AREA|25010070|fentaNYL (PF) 50 mcg/mL injection|J3010|00409909425|19.60||19.60
WS SERVICE AREA|25010070|fentaNYL (PF) 50 mcg/mL injection|J3010|00641602501|20.50||20.50
WS SERVICE AREA|25010070|fentaNYL (PF) 50 mcg/mL injection|J3010|00641602601|72.59||72.59
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection,midazolam (PF) 5 mg/mL injection solution|J2250|00409230801|19.60||19.60
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection,midazolam (PF) 5 mg/mL injection solution|J2250|00409230802|19.60||19.60
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection,midazolam (PF) 5 mg/mL injection solution|J2250|00409230849|19.60||19.60
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection,midazolam (PF) 5 mg/mL injection solution|J2250|00409230850|19.60||19.60
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection,midazolam (PF) 5 mg/mL injection solution|J2250|00641606001|58.93||58.93
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection,midazolam (PF) 5 mg/mL injection solution|J2250|00641606010|58.93||58.93
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection,midazolam (PF) 5 mg/mL injection solution|J2250|17478052410|123.15||123.15
WS SERVICE AREA|25010070|atropine 0.1 mg/mL injection|J0461|00409491134|88.99||88.99
WS SERVICE AREA|25010070|atropine 0.1 mg/mL injection|J0461|76329333901|76.86||76.86
WS SERVICE AREA|25010070|milrinone 200 mcg/mL injection from bag|J2260|00143971901|19.60||19.60
WS SERVICE AREA|25010070|eptifibatide 2 mg/mL intravenous solution|J1327|00085117701|1,211.66||1,211.66
WS SERVICE AREA|25010070||J3486|0000005420|177.12||177.12
WS SERVICE AREA|25010070|azathioprine 25 mg split tab|J7500|00000005435|4.80||4.80
WS SERVICE AREA|25010070|thiamine HCl (neonatal) 0.1 mg/mL injection solution|J3411|00000005826|3,467.58||
WS SERVICE AREA|25010070|ws heparin re-bolus for heparin|J1644|00409272002|28.52||28.52
WS SERVICE AREA|25010070|ws heparin re-bolus for heparin|J1644|63323054057|22.89||22.89
WS SERVICE AREA|25010070|ws heparin re-bolus for heparin|J1644|00069005802|28.52||28.52
WS SERVICE AREA|25010070|magnesium sulfate 2 gram/50 mL (4 %) in water intravenous piggyback|J3475|00409672924|102.70||102.70
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection solution,midazolam (PF) 5 mg/mL injection solution|J2250|00409230801|19.60||19.60
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection solution,midazolam (PF) 5 mg/mL injection solution|J2250|00409230802|19.60||19.60
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection solution,midazolam (PF) 5 mg/mL injection solution|J2250|00409230849|19.60||19.60
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection solution,midazolam (PF) 5 mg/mL injection solution|J2250|00409230850|19.60||19.60
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection solution,midazolam (PF) 5 mg/mL injection solution|J2250|00641606001|58.93||58.93
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection solution,midazolam (PF) 5 mg/mL injection solution|J2250|00641606010|58.93||58.93
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection solution,midazolam (PF) 5 mg/mL injection solution|J2250|17478052410|123.15||123.15
WS SERVICE AREA|25010070|dexamethasone 4 mg/mL injection solution|J1100|63323016501|44.92||44.92
WS SERVICE AREA|25010070|sodium chloride 0.9 % IV|J7030|00409798309|53.70||53.70
WS SERVICE AREA|25010070||J3475|00000005676|83.27||
WS SERVICE AREA|25010070|vitamin K 100 mcg/mL oral syringe|J3430|00000005135|115.05||
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|512.40||
WS SERVICE AREA|25010070|morphine 2 mg/mL injection syringe,morphine 2 mg/mL intravenous syringe,morphine 2 mg/mL injection solution|J2270|00409189001|19.60||19.60
WS SERVICE AREA|25010070|morphine 2 mg/mL injection syringe,morphine 2 mg/mL intravenous syringe,morphine 2 mg/mL injection solution|J2270|76045000410|19.60||19.60
WS SERVICE AREA|25010070|morphine 2 mg/mL injection syringe,morphine 2 mg/mL intravenous syringe,morphine 2 mg/mL injection solution|J2270|00000005470|19.60||19.60
WS SERVICE AREA|25010070|morphine 2 mg/mL injection syringe,morphine 2 mg/mL intravenous syringe,morphine 2 mg/mL injection solution|J2270|63323045200|24.51||24.51
WS SERVICE AREA|25010070|morphine 2 mg/mL injection syringe,morphine 2 mg/mL intravenous syringe,morphine 2 mg/mL injection solution|J2270|63323045201|24.51||24.51
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection solution,midazolam (PF) 5 mg/mL injection solution|J2250|00409230801|19.60||19.60
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection solution,midazolam (PF) 5 mg/mL injection solution|J2250|00409230802|19.60||19.60
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection solution,midazolam (PF) 5 mg/mL injection solution|J2250|00409230849|19.60||19.60
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection solution,midazolam (PF) 5 mg/mL injection solution|J2250|00409230850|19.60||19.60
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection solution,midazolam (PF) 5 mg/mL injection solution|J2250|00641606001|58.93||58.93
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection solution,midazolam (PF) 5 mg/mL injection solution|J2250|00641606010|58.93||58.93
WS SERVICE AREA|25010070|midazolam 5 mg/mL injection solution,midazolam (PF) 5 mg/mL injection solution|J2250|17478052410|123.15||123.15
WS SERVICE AREA|25010070|midazolam 1 mg/mL injection solution,midazolam (PF) 1 mg/mL injection solution|J2250|00409230550|19.60||19.60
WS SERVICE AREA|25010070|midazolam 1 mg/mL injection solution,midazolam (PF) 1 mg/mL injection solution|J2250|00409230517|19.60||19.60
WS SERVICE AREA|25010070|midazolam 1 mg/mL injection solution,midazolam (PF) 1 mg/mL injection solution|J2250|00409230516|19.60||19.60
WS SERVICE AREA|25010070|promethazine 25 mg/mL injection solution,promethazine 25 mg/mL injection syringe|J2550|00641092821|19.60||19.60
WS SERVICE AREA|25010070|promethazine 25 mg/mL injection solution,promethazine 25 mg/mL injection syringe|J2550|00641095521|19.60||19.60
WS SERVICE AREA|25010070|promethazine 25 mg/mL injection solution,promethazine 25 mg/mL injection syringe|J2550|00641149535|19.60||19.60
WS SERVICE AREA|25010070|promethazine 25 mg/mL injection solution,promethazine 25 mg/mL injection syringe|J2550|39822552502|19.60||19.60
WS SERVICE AREA|25010070|promethazine 25 mg/mL injection solution,promethazine 25 mg/mL injection syringe|J2550|39822552503|19.60||19.60
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|21.97||21.97
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|21.97||21.97
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|35.44||35.44
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|19.60||19.60
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|183.10||183.10
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|19.60||19.60
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|19.60||19.60
WS SERVICE AREA|25010070|piperacillin-tazobactam 4.5 gram intravenous solution|J2543|00409337911|108.28||108.28
WS SERVICE AREA|25010070|acetaminophen 1000 mg/100 mL (10mg/mL) intrav|J0131|43825010201|404.80||404.80
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|22.20||22.20
WS SERVICE AREA|25010070|phenytoin sodium 50 mg/mL intravenous solution|J1165|00641255541|19.60||19.60
WS SERVICE AREA|25010070|phenytoin sodium 50 mg/mL intravenous solution|J1165|00641613801|19.60||19.60
WS SERVICE AREA|25010070|phenytoin sodium 50 mg/mL intravenous solution|J1165|00641613825|19.60||19.60
WS SERVICE AREA|25010070|phenytoin sodium 50 mg/mL intravenous solution|J1165|00641613901|19.60||19.60
WS SERVICE AREA|25010070|phenytoin sodium 50 mg/mL intravenous solution|J1165|00641613925|19.60||19.60
WS SERVICE AREA|25010070|lidocaine 2,000 mg/500 mL infusion|J2001|00338040903|51.24||51.24
WS SERVICE AREA|25010070|EPINEPHrine 0.1 mg/mL injection syringe|J0171|00409492120|44.75||44.75
WS SERVICE AREA|25010070|EPINEPHrine 0.1 mg/mL injection syringe|J0171|00409492120|44.75||44.75
WS SERVICE AREA|25010070|caffeine citrate 60 mg/3 mL (20 mg/mL) intravenous solution|J0706|55150018703|341.59||341.59
WS SERVICE AREA|25010070|heparin (porcine) 25,000 unit/500 mL (50 unit/mL) in dextrose 5 % IV|J1644|00264957710|128.10||128.10
WS SERVICE AREA|25010070|heparin (porcine) 25,000 unit/500 mL (50 unit/mL) in dextrose 5 % IV|J1644|63323052277|76.86||76.86
WS SERVICE AREA|25010070|heparin (porcine) (PF) 1,000 unit/500 mL in 0.9 % sodium chloride IV|J1644|00409762013|46.97||46.97
WS SERVICE AREA|25010070|propofol 10 mg/mL IV|J2704|00409469930|36.55||36.55
WS SERVICE AREA|25010070|propofol 10 mg/mL IV|J2704|63323027050|119.56||119.56
WS SERVICE AREA|25010070|propofol 10 mg/mL IV|J2704|00409469953|91.38||91.38
WS SERVICE AREA|25010070|propofol 10 mg/mL IV|J2704|00409469954|182.76||182.76
WS SERVICE AREA|25010070|cycloSPORINE modified 25 mg capsule|J7515|00074310832|13.43||13.43
WS SERVICE AREA|25010070|cycloSPORINE modified 25 mg Cap|J7515|00078024661|17.41||17.41
WS SERVICE AREA|25010070|cycloSPORINE modified 25 mg Cap|J7515|00078024615|17.28||17.28
WS SERVICE AREA|25010070|cycloSPORINE modified 100 mg Cap|J7502|00078024861|17.30||17.30
WS SERVICE AREA|25010070|cycloSPORINE modified 100 mg Cap|J7502|00078024815|17.26||17.26
WS SERVICE AREA|25010070|fluconazole 400 MG/200 mL in sod. chloride(ISO) IVPB,fluconazole 200 mg/100 mL in sod. chloride (iso) intravenous piggyback|J1450|00409468417|103.33||103.33
WS SERVICE AREA|25010070|tacrolimus 0.5 mg/mL oral suspension|J7507|00000005094|853.21||
WS SERVICE AREA|25010070|caffeine citrated 60 mg/3 mL (20 mg/mL) intravenous solution|J0706|25021060103|170.81||170.81
WS SERVICE AREA|25010070|caffeine citrated 60 mg/3 mL (20 mg/mL) intravenous solution|J0706|25021060103|170.81||170.81
WS SERVICE AREA|25010070|levoFLOXacin 5 mg/mL intravenous syringe|J1956|00000005368|59.78||59.78
WS SERVICE AREA|25010070|amikacin 1,000 mg/4 mL injection solution,amikacin 500 mg/2 mL injection solution|J0278|00703904001|62.34||62.34
WS SERVICE AREA|25010070||J1800|00000005370|68.32||68.32
WS SERVICE AREA|25010070|colistin (colistimethate sodium) 150 mg for nebulization|J0770|39822061502|214.76||214.76
WS SERVICE AREA|25010070||J2370|00000005575|19.60||19.60
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|19.60||19.60
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|19.60||19.60
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|19.60||19.60
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|19.60||19.60
WS SERVICE AREA|25010070|ws heparin re-bolus for heparin cpg|J1644|00409272002|28.52||28.52
WS SERVICE AREA|25010070|ws heparin re-bolus for heparin cpg|J1644|63323054057|22.89||22.89
WS SERVICE AREA|25010070|ws heparin re-bolus for heparin cpg|J1644|00069005802|28.52||28.52
WS SERVICE AREA|25010070|ws heparin re-bolus for heparin cpg|J1644|00409272002|28.52||28.52
WS SERVICE AREA|25010070|ws heparin re-bolus for heparin cpg|J1644|63323054057|22.89||22.89
WS SERVICE AREA|25010070|ws heparin re-bolus for heparin cpg|J1644|00069005802|28.52||28.52
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|25021040030|58.16||58.16
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|00069013703|65.84||65.84
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|67457038431|69.69||69.69
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|00409272002|28.52||28.52
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|63323054057|22.89||22.89
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|25021040030|58.16||58.16
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|00069005801|28.52||28.52
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|00069005802|28.52||28.52
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|00069013703|65.84||65.84
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|00409272031|28.52||28.52
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|67457038431|69.69||69.69
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|67457038510|36.89||36.89
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|00000005641|65.33||
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|63323054001|33.05||33.05
WS SERVICE AREA|25010070|heparin (porcine) 1,000 unit/mL injection solution|J1644|63323054031|60.98||60.98
WS SERVICE AREA|25010070|vinorelbine 50 mg/5 mL intravenous solution|J9390|25021020405|692.10||692.10
WS SERVICE AREA|25010070|lactated Ringers intravenous solution|J7120|00409795303|53.70||53.70
WS SERVICE AREA|25010070|lactated Ringers intravenous solution|J7120|00409795309|53.70||53.70
WS SERVICE AREA|25010070|lactated Ringers intravenous solution|J7120|00990795309|53.70||53.70
WS SERVICE AREA|25010070|lactated Ringers intravenous solution|J7120|00990795303|53.70||53.70
WS SERVICE AREA|25010070|leucovorin calcium 100 mg solution for injection|J0640|25021081430|170.80||170.80
WS SERVICE AREA|25010070|leucovorin calcium 350 mg solution for injection|J0640|00703514591|161.83||161.83
WS SERVICE AREA|25010070|leucovorin calcium 50 mg solution for injection|J0640|25021081310|66.00||66.00
WS SERVICE AREA|25010070|amphotericin B 50 mg solution for injection|J0285|39822105505|373.20||373.20
WS SERVICE AREA|25010070|ampicillin 1 gram solution for injection|J0290|00781940485|73.74||73.74
WS SERVICE AREA|25010070|ampicillin 1 gram solution for injection|J0290|67457035101|73.79||73.79
WS SERVICE AREA|25010070|magnesium sulfate 4 gram/100 mL (4 %) in water intravenous piggyback|J3475|00409672923|62.34||62.34
WS SERVICE AREA|25010070|magnesium sulfate 4 gram/100 mL (4 %) in water intravenous piggyback|J3475|63323010600|68.32||68.32
WS SERVICE AREA|25010070|ampicillin 2 gram solution for injection|J0290|00781940895|143.07||143.07
WS SERVICE AREA|25010070|ampicillin 2 gram solution for injection|J0290|00781940880|143.05||143.05
WS SERVICE AREA|25010070|ampicillin 2 gram solution for injection|J0290|00781340880|143.07||143.07
WS SERVICE AREA|25010070|ampicillin 2 gram solution for injection|J0290|67457035202|135.96||135.96
WS SERVICE AREA|25010070|magnesium sulfate 4 mEq/mL (50 %) injection solution|J3475|63323006402|19.60||19.60
WS SERVICE AREA|25010070|magnesium sulfate 4 mEq/mL (50 %) injection solution|J3475|63323006410|19.60||19.60
WS SERVICE AREA|25010070|ampicillin 250 mg solution for injection|J0290|00781340278|35.75||35.75
WS SERVICE AREA|25010070|ampicillin 500 mg solution for injection|J0290|00781940778|37.66||37.66
WS SERVICE AREA|25010070|mannitoL 25 % intravenous solution|J2150|00409403101|19.60||19.60
WS SERVICE AREA|25010070|mannitoL 25 % intravenous solution|J2150|63323002429|19.64||19.64
WS SERVICE AREA|25010070|mannitoL 25 % intravenous solution|J2150|00409403116|19.60||19.60
WS SERVICE AREA|25010070|mannitoL 25 % intravenous solution|J2150|63323002425|41.42||41.42
WS SERVICE AREA|25010070|meperidine (PF) 50 mg/mL injection solution|J2175|00409125301|34.19||34.19
WS SERVICE AREA|25010070|meperidine (PF) 50 mg/mL injection solution|J2175|00641605301|22.56||22.56
WS SERVICE AREA|25010070|meperidine (PF) 50 mg/mL injection solution|J2175|00641605325|22.56||22.56
WS SERVICE AREA|25010070|methocarbamoL 100 mg/mL injection solution|J2800|00641610301|119.56||119.56
WS SERVICE AREA|25010070|methocarbamoL 100 mg/mL injection solution|J2800|00641610325|239.12||239.12
WS SERVICE AREA|25010070|methotrexate sodium 2.5 mg tablet|J8610|67253032010|27.34||27.34
WS SERVICE AREA|25010070|methotrexate sodium 2.5 mg tablet|J8610|00054855025|27.34||27.34
WS SERVICE AREA|25010070|methotrexate sodium 25 mg/mL injection solution|J9250|61703035038|66.00||66.00
WS SERVICE AREA|25010070|methotrexate sodium (PF) 1 gram solution for injection|J9250|63323012250|489.08||489.08
WS SERVICE AREA|25010070|methylPREDNISolone 16 mg tablet|J7509|59746000314|4.80||4.80
WS SERVICE AREA|25010070|methylPREDNISolone 16 mg tablet|J7509|00009007301|4.80||4.80
WS SERVICE AREA|25010070|methylPREDNISolone 16 mg tablet|J7509|59762005001|4.80||4.80
WS SERVICE AREA|25010070|methylPREDNISolone 4 mg tablet|J7509|00009005602|4.80||4.80
WS SERVICE AREA|25010070|methylPREDNISolone 4 mg tablet|J7509|00603459321|5.48||5.48
WS SERVICE AREA|25010070|methylPREDNISolone 4 mg tablet|J7509|68084014901|8.26||8.26
WS SERVICE AREA|25010070|methylPREDNISolone 4 mg tablet|J7509|68084014911|8.26||8.26
WS SERVICE AREA|25010070|methylPREDNISolone acetate 40 mg/mL suspension for injection|J1030|00009307322|22.67||22.67
WS SERVICE AREA|25010070|methylPREDNISolone acetate 40 mg/mL suspension for injection|J1030|00009028002|19.67||19.67
WS SERVICE AREA|25010070|methylPREDNISolone acetate 80 mg/mL suspension for injection|J1040|00009347522|157.39||157.39
WS SERVICE AREA|25010070|metoclopramide 5 mg/mL injection solution|J2765|00409341401|19.60||19.60
WS SERVICE AREA|25010070|nalbuphine 10 mg/mL injection solution|J2300|00409146401|301.55||301.55
WS SERVICE AREA|25010070|nalbuphine 10 mg/mL injection solution|J2300|00409146349|30.81||30.81
WS SERVICE AREA|25010070|nalbuphine 20 mg/mL injection solution|J2300|00409146701|447.84||447.84
WS SERVICE AREA|25010070|naloxone 0.4 mg/mL injection solution|J2310|00409121501|133.14||133.14
WS SERVICE AREA|25010070|naloxone 1 mg/mL injection syringe|J2310|76329336901|281.82||281.82
WS SERVICE AREA|25010070|orphenadrine citrate 30 mg/mL injection solution|J2360|25021065102|102.48||102.48
WS SERVICE AREA|25010070|oxacillin 1 gram solution for injection|J2700|25021014610|96.08||96.08
WS SERVICE AREA|25010070|oxytocin 10 unit/mL injection solution|J2590|63323001212|40.03||40.03
WS SERVICE AREA|25010070|oxytocin 10 unit/mL injection solution|J2590|42023011602|19.60||19.60
WS SERVICE AREA|25010070|papaverine 30 mg/mL injection solution|J2440|00517400225|353.64||353.64
WS SERVICE AREA|25010070|penicillin G potassium 20 million unit solution for injection|J2540|00049053022|434.52||434.52
WS SERVICE AREA|25010070|penicillin G potassium 5 million unit solution for injection|J2540|00049052022|108.64||108.64
WS SERVICE AREA|25010070|penicillin G potassium 5 million unit solution for injection|J2540|00049052083|108.64||108.64
WS SERVICE AREA|25010070|PENTobarbital sodium 50 mg/mL injection solution|J2515|76478050120|10,543.94||10,543.94
WS SERVICE AREA|25010070|PENTobarbital sodium 50 mg/mL injection solution|J2515|17478018150|19,664.11||19,664.11
WS SERVICE AREA|25010070|phenylephrine 10 mg/mL injection solution|J2370|00641614201|34.16||34.16
WS SERVICE AREA|25010070|phenylephrine 10 mg/mL injection solution|J2370|00641614225|34.16||34.16
WS SERVICE AREA|25010070|phenylephrine 10 mg/mL injection solution|J2370|76014000410|188.48||188.48
WS SERVICE AREA|25010070|phenytoin sodium 50 mg/mL intravenous solution|J1165|00641255541|19.60||19.60
WS SERVICE AREA|25010070|phenytoin sodium 50 mg/mL intravenous solution|J1165|00641613801|19.60||19.60
WS SERVICE AREA|25010070|phenytoin sodium 50 mg/mL intravenous solution|J1165|00641613825|19.60||19.60
WS SERVICE AREA|25010070|phenytoin sodium 50 mg/mL intravenous solution|J1165|00641613901|19.60||19.60
WS SERVICE AREA|25010070|phenytoin sodium 50 mg/mL intravenous solution|J1165|00641613925|19.60||19.60
WS SERVICE AREA|25010070|phytonadione (vitamin K1) 1 mg/0.5 mL injection syringe|J3430|76329124001|192.15||192.15
WS SERVICE AREA|25010070|potassium chloride 2 mEq/mL intravenous solution|J3480|00409665305|38.77||38.77
WS SERVICE AREA|25010070|potassium chloride 2 mEq/mL intravenous solution|J3480|69374095805|29.89||
WS SERVICE AREA|25010070|potassium chloride 2 mEq/mL intravenous solution|J3480|63323096520|19.60||19.60
WS SERVICE AREA|25010070|predniSONE 5 mg/5 mL oral solution|J7512|00054372250|736.32||736.32
WS SERVICE AREA|25010070|predniSONE 10 mg tablet|J7512|00054001720|4.80||4.80
WS SERVICE AREA|25010070|predniSONE 10 mg tablet|J7512|59746017306|4.80||4.80
WS SERVICE AREA|25010070|predniSONE 50 mg tablet|J7512|00054001920|4.80||4.80
WS SERVICE AREA|25010070|procainamide 100 mg/mL injection solution|J2690|00409190201|741.36||741.36
WS SERVICE AREA|25010070|prochlorperazine Edisylate 10 mg/2 mL (5 mg/mL) injection solution|J0780|55390007710|19.60||19.60
WS SERVICE AREA|25010070|prochlorperazine Edisylate 10 mg/2 mL (5 mg/mL) injection solution|J0780|23155029442|39.50||39.50
WS SERVICE AREA|25010070|progesterone 50 mg/mL intramuscular oil|J2675|00591312879|19.60||19.60
WS SERVICE AREA|25010070|progesterone 50 mg/mL intramuscular oil|J2675|63323026110|19.60||19.60
WS SERVICE AREA|25010070|protamine 10 mg/mL intravenous solution|J2720|63323022915|83.61||83.61
WS SERVICE AREA|25010070|protamine 10 mg/mL intravenous solution|J2720|63323022935|249.15||249.15
WS SERVICE AREA|25010070|protamine 10 mg/mL intravenous solution|J2720|63323022921|74.21||74.21
WS SERVICE AREA|25010070|protamine 10 mg/mL intravenous solution|J2720|00000005830|83.61||83.61
WS SERVICE AREA|25010070|protamine 10 mg/mL intravenous solution|J2720|63323022905|104.96||104.96
WS SERVICE AREA|25010070|protamine 10 mg/mL intravenous solution|J2720|63323022930|314.70||314.70
WS SERVICE AREA|25010070|pyridoxine (vitamin B6) 100 mg/mL injection solution|J3415|63323018001|141.51||141.51
WS SERVICE AREA|25010070|atropine 0.1 mg/mL injection syringe|J0461|00409491134|88.99||88.99
WS SERVICE AREA|25010070|atropine 0.1 mg/mL injection syringe|J0461|76329333901|76.86||76.86
WS SERVICE AREA|25010070|atropine 0.1 mg/mL injection syringe|J0461|00409163015|49.53||49.53
WS SERVICE AREA|25010070|atropine 0.4 mg/mL injection solution|J0461|00517040125|68.32||68.32
WS SERVICE AREA|25010070|atropine 0.4 mg/mL injection solution|J0461|00641600601|299.75||299.75
WS SERVICE AREA|25010070|atropine 1 mg/mL injection solution|J0461|00517101025|107.26||107.26
WS SERVICE AREA|25010070|succinylcholine chloride 20 mg/mL injection solution|J0330|00409662902|163.80||163.80
WS SERVICE AREA|25010070|succinylcholine chloride 20 mg/mL injection solution|J0330|00409662912|163.80||163.80
WS SERVICE AREA|25010070|ibuprofen lysine (PF) 20 mg/2 mL intravenous solution|J1741|55292012252|6,232.39||6,232.39
WS SERVICE AREA|25010070|levETIRAcetam 500 mg/5 mL intravenous solution|J1953|00409188602|32.88||32.88
WS SERVICE AREA|25010070|levETIRAcetam 500 mg/5 mL intravenous solution|J1953|63323040009|153.72||153.72
WS SERVICE AREA|25010070|levETIRAcetam 500 mg/5 mL intravenous solution|J1953|00143957401|89.67||89.67
WS SERVICE AREA|25010070|thiamine HCl (vitamin B1) 100 mg/mL injection solution|J3411|67457019602|91.10||91.10
WS SERVICE AREA|25010070|thiamine HCl (vitamin B1) 100 mg/mL injection solution|J3411|63323001309|19.60||19.60
WS SERVICE AREA|25010070|thiamine HCl (vitamin B1) 100 mg/mL injection solution|J3411|63323001302|84.97||84.97
WS SERVICE AREA|25010070|triamcinolone acetonide 40 mg/mL suspension for injection|J3301|00003029305|79.93||79.93
WS SERVICE AREA|25010070|zoledronic acid 5 mg/100 mL in mannitoL 5 %-water intravenous piggybck|J3489|00078043561|7,554.09||7,554.09
WS SERVICE AREA|25010070|zoledronic acid 5 mg/100 mL in mannitoL 5 %-water intravenous piggybck|J3489|55111068852|7,000.67||7,000.67
WS SERVICE AREA|25010070|zoledronic acid 5 mg/100 mL in mannitoL 5 %-water intravenous piggybck|J3489|43598033111|7,000.67||7,000.67
WS SERVICE AREA|25010070|methotrexate sodium (PF) 25 mg/mL injection solution|J9260|61703040841|279.61||279.61
WS SERVICE AREA|25010070|methotrexate sodium (PF) 25 mg/mL injection solution|J9250|00703367191|66.00||66.00
WS SERVICE AREA|25010070|methotrexate sodium (PF) 25 mg/mL injection solution|J9260|00703367193|66.00||66.00
WS SERVICE AREA|25010070|fluorouraciL 2.5 gram/50 mL intravenous solution|J9190|63323011751|98.82||98.82
WS SERVICE AREA|25010070|fluorouraciL 500 mg/10 mL intravenous solution|J9190|63323011710|66.00||66.00
WS SERVICE AREA|25010070|fluorouraciL 1 gram/20 mL intravenous solution|J9190|63323011720|66.00||66.00
WS SERVICE AREA|25010070|vancomycin 1,000 mg intravenous injection|J3370|00409653301|137.66||137.66
WS SERVICE AREA|25010070|vancomycin 1,000 mg intravenous injection|J3370|00409653501|177.23||177.23
WS SERVICE AREA|25010070|vancomycin 500 mg intravenous solution|J3370|00409653401|91.75||91.75
WS SERVICE AREA|25010070|vancomycin 500 mg intravenous solution|J3370|67457033900|82.39||82.39
WS SERVICE AREA|25010070|vancomycin 500 mg intravenous solution|J3370|67457033950|82.39||82.39
WS SERVICE AREA|25010070|vancomycin 500 mg intravenous solution|J3370|63323022133|59.78||59.78
WS SERVICE AREA|25010070|vancomycin 500 mg intravenous solution|J3370|00409433211|69.00||69.00
WS SERVICE AREA|25010070|vancomycin 5 gram intravenous solution|J3370|25021015799|426.91||426.91
WS SERVICE AREA|25010070|vinBLAStine 1 mg/mL intravenous solution|J9360|63323027810|362.66||362.66
WS SERVICE AREA|25010070|vinCRIStine 1 mg/mL intravenous solution|J9370|61703030906|88.90||88.90
WS SERVICE AREA|25010070|epiRUBicin 200 mg/100 mL intravenous solution|J9178|25021020351|1,310.40||1,310.40
WS SERVICE AREA|25010070|fosphenytoin 500 mg PE/10 mL injection solution|Q2009|63323040310|192.15||192.15
WS SERVICE AREA|25010070|fosphenytoin 100 mg PE/2 mL injection solution|Q2009|63323040302|20.50||20.50
WS SERVICE AREA|25010070|fosphenytoin 100 mg PE/2 mL injection solution|Q2009|00069547101|112.63||
WS SERVICE AREA|25010070|IDArubicin 1 mg/mL intravenous solution|J9211|00703415411|633.27||633.27
WS SERVICE AREA|25010070|CISplatin 1 mg/mL intravenous solution|J9060|00703574711|154.95||154.95
WS SERVICE AREA|25010070|CISplatin 1 mg/mL intravenous solution|J9060|44567051001|276.84||276.84
WS SERVICE AREA|25010070|CISplatin 1 mg/mL intravenous solution|J9060|63323010365|277.61||277.61
WS SERVICE AREA|25010070|irinotecan 100 mg/5 mL intravenous solution|J9206|00009111102|480.63||480.63
WS SERVICE AREA|25010070|irinotecan 40 mg/2 mL intravenous solution|J9206|25021023002|132.04||132.04
WS SERVICE AREA|25010070|octreotide acetate 50 mcg/mL injection solution|J2354|00703330104|19.60||19.60
WS SERVICE AREA|25010070|octreotide acetate 50 mcg/mL injection solution|J2354|63323036501|21.61||21.61
WS SERVICE AREA|25010070|octreotide acetate 100 mcg/mL injection solution|J2354|00641617501|41.63||41.63
WS SERVICE AREA|25010070|octreotide acetate 500 mcg/mL injection solution|J2354|63323037701|424.35||424.35
WS SERVICE AREA|25010070|octreotide acetate 500 mcg/mL injection solution|J2354|62756035144|490.96||490.96
WS SERVICE AREA|25010070|octreotide acetate 1,000 mcg/mL injection solution|J2354|63323037905|3,463.25||3,463.25
WS SERVICE AREA|25010070|ketorolac 60 mg/2 mL intramuscular solution|J1885|63323016214|19.60||19.60
WS SERVICE AREA|25010070|azaTHIOprine 50 mg tablet|J7500|68084022911|4.80||4.80
WS SERVICE AREA|25010070|benztropine 1 mg/mL injection solution|J0515|17478001202|501.73||501.73
WS SERVICE AREA|25010070|betamethasone acetate and sodium phos 6 mg/mL suspension for injection|J0702|00000005591|127.76||
WS SERVICE AREA|25010070|bleomycin 15 unit solution for injection|J9040|63323013610|66.00||66.00
WS SERVICE AREA|25010070|amiodarone 50 mg/mL intravenous solution|J0282|67457015318|145.27||145.27
WS SERVICE AREA|25010070|amiodarone 50 mg/mL intravenous solution|J0282|67457015300|37.20||37.20
WS SERVICE AREA|25010070|amiodarone 50 mg/mL intravenous solution|J0282|63323061603|19.60||19.60
WS SERVICE AREA|25010070|butorphanol 2 mg/mL injection solution|J0595|00409162601|45.83||45.83
WS SERVICE AREA|25010070|butorphanol 10 mg/mL nasal spray|J0595|00378963943|607.92||607.92
WS SERVICE AREA|25010070|calcitrioL 1 mcg/mL intravenous solution|J0636|17478093101|80.07||80.07
WS SERVICE AREA|25010070|cefepime 1 gram intravenous solution|J0692|00409021701|49.45||49.45
WS SERVICE AREA|25010070|cefepime 1 gram intravenous solution|J0692|00409021711|49.45||49.45
WS SERVICE AREA|25010070|cefotaxime 500 mg solution for injection|J0698|00143993010|19.60||19.60
WS SERVICE AREA|25010070|cefOXitin 1 gram intravenous solution|J0694|60505075905|95.86||95.86
WS SERVICE AREA|25010070|cefOXitin 1 gram intravenous solution|J0694|44567024525|101.97||101.97
WS SERVICE AREA|25010070|cefOXitin 2 gram intravenous solution|J0694|44567024625|204.45||204.45
WS SERVICE AREA|25010070|cefTAZidime 1 gram solution for injection|J0713|00409508211|36.05||36.05
WS SERVICE AREA|25010070|cefTAZidime 2 gram solution for injection|J0713|00409508413|40.38||40.38
WS SERVICE AREA|25010070|cefTRIAXone 1 gram solution for injection|J0696|00409733201|19.60||19.60
WS SERVICE AREA|25010070|cefTRIAXone 1 gram solution for injection|J0696|00781320885|392.84||392.84
WS SERVICE AREA|25010070|cefTRIAXone 1 gram solution for injection|J0696|00781932885|392.84||392.84
WS SERVICE AREA|25010070|cefTRIAXone 1 gram solution for injection|J0696|00409733221|19.60||19.60
WS SERVICE AREA|25010070|cefTRIAXone 2 gram solution for injection|J0696|00409733503|24.46||24.46
WS SERVICE AREA|25010070|cefTRIAXone 250 mg solution for injection|J0696|00409733701|19.60||19.60
WS SERVICE AREA|25010070|cefTRIAXone 250 mg solution for injection|J0696|60505075004|126.53||126.53
WS SERVICE AREA|25010070|cefTRIAXone 500 mg solution for injection|J0696|00409733801|19.60||19.60
WS SERVICE AREA|25010070|colistin (colistimethate sodium) 150 mg solution for injection|J0770|39822061502|239.12||239.12
WS SERVICE AREA|25010070|colistin (colistimethate sodium) 150 mg solution for injection|J0770|42023010706|79.71||79.71
WS SERVICE AREA|25010070|colistin (colistimethate sodium) 150 mg solution for injection|J0770|39822061702|79.71||79.71
WS SERVICE AREA|25010070|lacosamide 200 mg/20 mL intravenous solution|C9254|00131181067|174.47||174.47
WS SERVICE AREA|25010070|cycloSPORINE 250 mg/5 mL intravenous solution|J7516|00574086610|400.74||400.74
WS SERVICE AREA|25010070|cycloSPORINE 100 mg capsule|J7502|00078024161|29.64||29.64
WS SERVICE AREA|25010070|cycloSPORINE 25 mg capsule|J7515|00078024015|29.68||29.68
WS SERVICE AREA|25010070|cytarabine 20 mg/mL injection solution|J9100|61703030436|118.62||118.62
WS SERVICE AREA|25010070|deferoxamine 2 gram solution for injection|J0895|00409233725|271.04||271.04
WS SERVICE AREA|25010070|deferoxamine 2 gram solution for injection|J0895|63323059930|351.85||351.85
WS SERVICE AREA|25010070|deferoxamine 500 mg solution for injection|J0895|63323059710|110.59||110.59
WS SERVICE AREA|25010070|vancomycin 750 mg intravenous solution|J3370|00409653101|94.15||94.15
WS SERVICE AREA|25010070|vancomycin 750 mg intravenous solution|J3370|00143935501|82.75||82.75
WS SERVICE AREA|25010070|dextrose 5 % and lactated ringers intravenous solution|J7121|00409792909|53.70|J7121|53.70
WS SERVICE AREA|25010070|dextrose 5 % and lactated ringers intravenous solution|J7121|00990792909|53.70|J7121|53.70
WS SERVICE AREA|25010070|dextrose 5 % and 0.9 % sodium chloride intravenous solution|J7042|00409794109|53.70||53.70
WS SERVICE AREA|25010070|fluorouraciL 5 gram/100 mL intravenous solution|J9190|63323011761|197.63||197.63
WS SERVICE AREA|25010070|digoxin 100 mcg/mL (0.1 mg/mL) injection solution|J1160|70515026210|801.38||801.38
WS SERVICE AREA|25010070|digoxin 100 mcg/mL (0.1 mg/mL) injection solution|J1160|70515026310|915.86||915.86
WS SERVICE AREA|25010070|dihydroergotamine 1 mg/mL injection solution|J1110|00574085005|673.04||673.04
WS SERVICE AREA|25010070|dimercaproL 100 mg/mL intramuscular solution|J0470|17478052603|1,341.92||1,341.92
WS SERVICE AREA|25010070|dipyridamole 5 mg/mL intravenous solution|J1245|00641256941|38.09||38.09
WS SERVICE AREA|25010070|DOBUTamine 250 mg/20 mL (12.5 mg/mL) intravenous solution|J1250|00409234488|47.14||47.14
WS SERVICE AREA|25010070|oxaliplatin 50 mg/10 mL (5 mg/mL) intravenous solution|J9263|61703036318|335.59||335.59
WS SERVICE AREA|25010070|oxaliplatin 100 mg/20 mL intravenous solution|J9263|61703036322|671.18||671.18
WS SERVICE AREA|25010073|chlorhexidine gluconate 4 % topical liquid||67618020004|44.35||44.35
WS SERVICE AREA|25010073|hydrogen peroxide 3 % solution||24385011316|10.88||10.88
WS SERVICE AREA|25010074|isopropyl alcohoL 99 % solution||00574006616|21.77||21.77
WS SERVICE AREA|25010029|aminophylline 250 mg/10 mL intravenous solution|J0280|00409592101|106.75||106.75
WS SERVICE AREA|25010075|candida albicans skin test FDA STANDARD intradermal|86485|59584013801|249.37||249.37
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|100.77||100.77
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|2,132.82||
WS SERVICE AREA|25010047|perflutren protein-type a microspheres 0.22 mg/mL intravenous susp|Q9956|00407270718|978.59||978.59
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 soln (1 of 2) (EUA)|Q0239|00002791001|0.01|Q0245|
WS SERVICE AREA|25010079|casirivimab (REGN10933) 120 mg/mL intravenous solution (1 of 2) (EUA)|Q0244|61755002401|0.01||0.01
WS SERVICE AREA|25010079|imdevimab (REGN10987) 120 mg/mL intravenous solution (2 of 2) (EUA)|Q0244|61755002501|0.01||0.01
WS SERVICE AREA|25010079|etesevimab 700 mg/20 mL (35 mg/mL) intravenous solution (2 of 2) (EUA)|Q0245|00002795001|0.01||0.01
WS SERVICE AREA|25010079|casirivimab 60 mg-imdevimab 60 mg/mL intravenous solution (EUA)|q0244|61755003901|0.01||0.01