OXYCODON ACETAMINOPHEN /11/2018 New Add Newly Added NDC
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1 Published 5/15/2018 Changes Effective 5/8/2018 to 5/14/2018 GCN NDC Label Name MAC Price Effective Date Prev Price Reason KEVZARA 150 MG/1.14 ML SYRINGE /11/2018 New Add Newly Added NDC KEVZARA 200 MG/1.14 ML SYRINGE /11/2018 New Add Newly Added NDC CROMOLYN 20 MG/2 ML NEB SOLN /11/ Price Change CEREFOLIN NAC CAPLET /11/ Added ADVIL 200 MG TABLET /11/ Added ADVIL 200 MG CAPLET /11/ Added ADVIL 200 MG GEL CAPLET /11/ Added ADVIL COLD & SINUS CAPLET /11/ Added ADVIL COLD SINUS LIQUI GELS /11/ Added DAPSONE POWDER /11/2018 New Add Newly Added NDC OXYCODON ACETAMINOPHEN /11/2018 New Add Newly Added NDC OXYCODONE ACETAMINOPHEN /11/2018 New Add Newly Added NDC OXYCODONE ACETAMINOPHEN /11/2018 New Add Newly Added NDC OXYCODON ACETAMINOPHEN /11/2018 New Add Newly Added NDC OXYCODON ACETAMINOPHEN /11/2018 New Add Newly Added NDC OXYCODONE ACETAMINOPHEN /11/2018 New Add Newly Added NDC OXYCODONE ACETAMINOPHEN /11/2018 New Add Newly Added NDC HYDROCODONE ACETAMIN MG /11/ Price Change HYDROCODONE ACETAMIN MG /11/ Price Change HYDROCODONE ACETAMIN MG /11/ Price Change HYDROCODONE ACETAMIN MG /11/ Price Change HYDROCODONE ACETAMIN MG /11/ Price Change HYDROCODONE ACETAMIN MG /11/ Price Change HYDROCODONE ACETAMIN MG /11/ Price Change HYDROCODONE ACETAMIN /11/ Price Change HYDROCODONE ACETAMIN MG /11/ Price Change SM SENNA LAXATIVE 8.6 MG TAB /11/ Price Change KRILL OIL 1,000 MG SOFTGEL /11/ Price Change HYPERRHO S D 1,500 UNIT SYRING /11/2018 New Add Newly Added NDC CETIRIZINE HCL 1 MG/ML SOLN /13/2018 New Add Newly Added NDC CALCIUM 600 VIT D3 400 TABLET /11/ Price Change EPHEDRINE SULFATE 50 MG/ML VL /11/ Price Change GLYTACTIN RTD LITE 15 LIQUID /11/2018 New Add Newly Added NDC GLYTACTIN RTD LITE 15 LIQUID /11/2018 New Add Newly Added NDC SODIUM NITROPRUSSIDE 50 MG/2ML /11/ Price Change DRISDOL 1.25 MG (50,000 UNIT) /11/2018 New Add Newly Added NDC EFAVIRENZ 600 MG TABLET /11/ Price Change STAVUDINE 15 MG CAPSULE /11/ Price Change STAVUDINE 20 MG CAPSULE /11/ Price Change STAVUDINE 30 MG CAPSULE /11/ Price Change STAVUDINE 40 MG CAPSULE /11/ Price Change OXYMORPHONE HCL 5 MG TABLET /11/ Price Change OXYMORPHONE HCL 10 MG TABLET /11/ Price Change VITAMIN E 400 UNIT SOFTGEL /13/2018 New Add Newly Added NDC PRIMIDONE 50 MG TABLET /11/2018 New Add Newly Added NDC SELENIUM SULFIDE 2.3% SHAMPOO /11/2018 New Add Newly Added NDC LISINOPRIL 5 MG TABLET /11/2018 New Add Newly Added NDC BUPROPION HCL 75 MG TABLET /11/2018 New Add Newly Added NDC TOPIRAMATE 25 MG TABLET /11/2018 New Add Newly Added NDC LISINOPRIL 10 MG TABLET /11/2018 New Add Newly Added NDC ALLOPURINOL 100 MG TABLET /11/2018 New Add Newly Added NDC ALLOPURINOL 100 MG TABLET /11/2018 New Add Newly Added NDC LISINOPRIL HCTZ MG TAB /11/ Price Change LISINOPRIL HCTZ MG TAB /11/ Price Change LISINOPRIL HCTZ MG TAB /11/ Price Change
2 LISINOPRIL HCTZ MG TAB /11/ Price Change LISINOPRIL HCTZ MG TAB /11/ Price Change LISINOPRIL HCTZ MG TAB /11/ Price Change TELMISARTAN HCTZ MG TB /13/2018 New Add Newly Added NDC TELMISARTAN HCTZ MG TB /13/2018 New Add Newly Added NDC TELMISARTAN HCTZ MG TAB /13/2018 New Add Newly Added NDC THIOTEPA 15 MG VIAL /13/2018 New Add Newly Added NDC VSL#3 PACKET /11/ Added VSL#3 CAPSULE /11/ Added VSL#3 DS PACKET /11/ Added IRINOTECAN HCL 100 MG/5 ML VL /11/ Price Change GS MINERAL OIL /11/2018 New Add Newly Added NDC GS ASPIRIN EC 81 MG TABLET /11/2018 New Add Newly Added NDC ENEMA READY TO USE /11/ Price Change ACID REDUCER 10 MG TABLET /11/ Price Change VENLAFAXINE HCL ER 150 MG TAB /11/ Price Change VENLAFAXINE HCL ER 150 MG TAB /11/ Price Change VENLAFAXINE HCL ER 75 MG TAB /11/ Price Change VENLAFAXINE HCL ER 75 MG TAB /11/ Price Change VENLAFAXINE HCL ER 37.5 MG TAB /11/ Price Change VENLAFAXINE HCL ER 37.5 MG TAB /11/ Price Change DEFEROXAMINE 500 MG VIAL /11/ Price Change DEFEROXAMINE 2 GRAM VIAL /11/ Price Change SM DOUBLE ANTIBIOTIC OINT /11/ Added CVS PROTECTIVE PADS /13/2018 New Add Newly Added NDC GS ASPIRIN EC 81 MG TABLET /11/2018 New Add Newly Added NDC GS MINERAL OIL /11/2018 New Add Newly Added NDC BETAMETHASONE DP AUG 0.05% LOT /11/ Price Change BETAMETHASONE DP AUG 0.05% LOT /11/ Price Change HALOBETASOL PROP 0.05% OINTMNT /11/ Price Change HALOBETASOL PROP 0.05% OINTMNT /11/ Price Change BACLOFEN 5 MG TABLET /13/2018 New Add Newly Added NDC BACITRACIN ZN 500 UNIT/GM OINT /13/2018 New Add Newly Added NDC PHENAZOPYRIDINE 200 MG TAB /11/ Added PHENAZOPYRIDINE 200 MG TAB /11/ Added PHENAZOPYRIDINE 200 MG TAB /11/ Added PHENAZOPYRIDINE 200 MG TAB /11/ Added PHENAZOPYRIDINE 200 MG TAB /11/ Added CHLORPHENIRAMINE 4 MG TABLET /11/ Added CHLORPHENIRAMINE 4 MG TABLET /11/ Added PROMETHAZINE DM SYRUP /11/ Added SILVADENE 1% CREAM /11/ Added EUCERIN CREME /11/ Added ISONIAZID 300 MG TABLET /11/ Added CYCLOBENZAPRINE 10 MG TABLET /11/ Added CYCLOBENZAPRINE 10 MG TABLET /11/ Added CYCLOBENZAPRINE 10 MG TABLET /11/ Added CYCLOBENZAPRINE 10 MG TABLET /11/ Added CYCLOBENZAPRINE 10 MG TABLET /11/ Added CYCLOBENZAPRINE 10 MG TABLET /11/ Added CYCLOBENZAPRINE 10 MG TABLET /11/ Added CYCLOBENZAPRINE 10 MG TABLET /11/ Added CYCLOBENZAPRINE 10 MG TABLET /11/ Added ATROPINE 1% EYE DROPS /11/ Added CYCLOBENZAPRINE 10 MG TABLET /11/ Added CYCLOBENZAPRINE 10 MG TABLET /11/ Added VIVOTIF EC CAPSULE /11/ Added SODIUM BICARB 8.4% VIAL /11/ Added
3 MIDAZOLAM HCL 5 MG/ML VIAL /11/ Price Change MIDAZOLAM HCL 5 MG/ML VIAL /11/ Price Change CYCLOBENZAPRINE 10 MG TABLET /11/ Added HYDROCODONE ACETAMIN MG /11/ Added OMEPRAZOLE DR 20 MG CAPSULE /11/ Added OMEPRAZOLE DR 20 MG CAPSULE /11/ Added OMEPRAZOLE DR 20 MG CAPSULE /11/ Added OMEPRAZOLE DR 20 MG CAPSULE /11/ Added OMEPRAZOLE DR 20 MG CAPSULE /11/ Added HYDROCODONE ACETAMIN MG /11/ Price Change HYDROCODONE ACETAMIN MG /11/ Price Change LEVOTHYROXINE 125 MCG TABLET /11/ Added LEVOTHYROXINE MG TABLET /11/ Added BUPROPION HCL XL 300 MG TABLET /11/ Added LIDOCAINE PRILOCAINE CREAM /11/ Added GUAIFENESIN 400 MG CAPLET /11/ Price Change MORPHINE SULFATE ER 20 MG CAP /11/2018 New Add Newly Added NDC BUPROPION HCL SR 150 MG TABLET /11/2018 New Add Newly Added NDC ATORVASTATIN 20 MG TABLET /11/2018 New Add Newly Added NDC LISINOPRIL 30 MG TABLET /11/2018 New Add Newly Added NDC GABAPENTIN 100 MG CAPSULE /11/2018 New Add Newly Added NDC GABAPENTIN 100 MG CAPSULE /11/2018 New Add Newly Added NDC GABAPENTIN 100 MG CAPSULE /11/2018 New Add Newly Added NDC GABAPENTIN 100 MG CAPSULE /11/2018 New Add Newly Added NDC GLIPIZIDE 10 MG TABLET /11/2018 New Add Newly Added NDC CHLORTHALIDONE 50 MG TABLET /11/2018 New Add Newly Added NDC SPIRONOLACTONE 50 MG TABLET /11/2018 New Add Newly Added NDC UREA 41% CREAM /11/2018 New Add Newly Added NDC JYNARQUE 45 MG 15 MG TABLET /11/2018 New Add Newly Added NDC JYNARQUE 45 MG 15 MG TABLET /11/ Price Change JYNARQUE 60 MG 30 MG TABLET /11/2018 New Add Newly Added NDC JYNARQUE 60 MG 30 MG TABLET /11/ Price Change JYNARQUE 90 MG 30 MG TABLET /11/2018 New Add Newly Added NDC JYNARQUE 90 MG 30 MG TABLET /11/ Price Change LAMIVUDINE 150 MG TABLET /11/ Price Change LAMIVUDINE 150 MG TABLET /11/ Price Change RITONAVIR 100 MG TABLET /11/2018 New Add Newly Added NDC RITONAVIR 100 MG TABLET /11/2018 New Add Newly Added NDC ONDANSETRON HCL 4 MG TABLET /11/2018 New Add Newly Added NDC FENOFIBRATE 48 MG TABLET /13/2018 New Add Newly Added NDC FENOFIBRATE 48 MG TABLET /13/2018 New Add Newly Added NDC FENOFIBRATE 145 MG TABLET /13/2018 New Add Newly Added NDC FENOFIBRATE 145 MG TABLET /13/2018 New Add Newly Added NDC VANCOMYCIN HCL 750 MG VIAL /11/ Price Change VANCOMYCIN HCL 750 MG VIAL /11/ Price Change FUROSEMIDE 20 MG/2 ML VIAL /13/2018 New Add Newly Added NDC FUROSEMIDE 40 MG/4 ML VIAL /13/2018 New Add Newly Added NDC FUROSEMIDE 100 MG/10 ML VIAL /13/2018 New Add Newly Added NDC ADENOSINE 60 MG/20 ML VIAL /13/2018 New Add Newly Added NDC ADENOSINE 90 MG/30 ML VIAL /13/2018 New Add Newly Added NDC PIPERACIL TAZOBACT 40.5 GRAM /13/2018 New Add Newly Added NDC NYSTATIN 100,000 UNIT/ML SUSP /11/ Price Change MILK OF MAGNESIA SUSPENSION /11/2018 New Add Newly Added NDC MILK OF MAGNESIA SUSPENSION /11/2018 New Add Newly Added NDC ASCOR 25,000 MG/50 ML BULK VL /11/ Price Change ASCOR 25,000 MG/50 ML BULK VL /11/2018 New Add Newly Added NDC ADENOSINE 12 MG/4 ML VIAL /13/2018 New Add Newly Added NDC ADENOSINE 6 MG/2 ML VIAL /13/2018 New Add Newly Added NDC
4 BUDESONIDE EC 3 MG CAPSULE /13/2018 New Add Newly Added NDC ELETRIPTAN HBR 20 MG TABLET /11/2018 New Add Newly Added NDC ELETRIPTAN HBR 40 MG TABLET /11/2018 New Add Newly Added NDC GLIPIZIDE 5 MG TABLET /11/2018 New Add Newly Added NDC GLIPIZIDE 10 MG TABLET /11/2018 New Add Newly Added NDC METFORMIN HCL ER 500 MG TABLET /11/ Price Change BUPROPION HCL 75 MG TABLET /11/ Price Change BUPROPION HCL 100 MG TABLET /11/ Price Change NYSTATIN 100,000 UNIT/GM POWD /11/ Price Change NYSTATIN 100,000 UNIT/GM POWD /11/ Price Change NYSTATIN 100,000 UNIT/GM POWD /11/ Price Change HYDROCORTISONE 1% OINTMENT /11/ Price Change NORTRIPTYLINE 10 MG/5 ML SOLN /11/ Price Change CYPROHEPTADINE 4 MG/10 ML SYRP /13/2018 New Add Newly Added NDC CROMOLYN 100 MG/5 ML ORAL CONC /11/ Price Change DEXAMETHASONE 10 MG/ML VIAL /11/ Price Change DEXAMETHASONE 10 MG/ML VIAL /11/ Price Change SELECT UNDERWEAR EXTRA SMALL /11/ Added SELECT UNDERWEAR SMALL /11/ Added CARETOUCH GLUCOSE MONITOR SYS /11/2018 New Add Newly Added NDC CARETOUCH TEST STRIP /11/2018 New Add Newly Added NDC LIOTHYRONINE SODIUM POWDER /11/2018 New Add Newly Added NDC LIOTHYRONINE SODIUM POWDER /11/2018 New Add Newly Added NDC TETRACAINE POWDER /11/2018 New Add Newly Added NDC TETRACAINE POWDER /11/2018 New Add Newly Added NDC TETRACAINE POWDER /11/2018 New Add Newly Added NDC TETRACAINE POWDER /11/2018 New Add Newly Added NDC ZINGO 0.5 MG INTRADERMAL SYSTM /11/2018 New Add Newly Added NDC SM SENNA LAXATIVE 8.6 MG TAB /11/ Price Change INTROVALE MG TABLET /11/ Price Change ALLOPURINOL 100 MG TABLET /13/2018 New Add Newly Added NDC ALLOPURINOL 100 MG TABLET /13/2018 New Add Newly Added NDC ALLOPURINOL 300 MG TABLET /13/2018 New Add Newly Added NDC ALLOPURINOL 300 MG TABLET /13/2018 New Add Newly Added NDC ROPIVACAINE 0.1% NS ON Q PUMP /11/2018 New Add Newly Added NDC ROPIVACAINE 0.1% NS ON Q PUMP /11/2018 New Add Newly Added NDC ROPIVACAINE 0.2% NS ON Q PUMP /11/2018 New Add Newly Added NDC ROPIVACAINE 0.2% NS ON Q PUMP /11/2018 New Add Newly Added NDC ROPIVACAINE HCL 0.2% ON Q PUMP /11/2018 New Add Newly Added NDC ROPIVACAINE 0.2% NS ON Q PUMP /11/2018 New Add Newly Added NDC ROPIVACAINE 0.2% NS ON Q PUMP /11/2018 New Add Newly Added NDC ROPIVACAINE 0.2% NS ON Q PUMP /11/2018 New Add Newly Added NDC ROPIVACAINE 0.2% NS ON Q PUMP /11/2018 New Add Newly Added NDC ROPIVACAINE 0.2% NS ON Q PUMP /11/2018 New Add Newly Added NDC ROPIVACAINE 0.2% NS ON Q PUMP /11/2018 New Add Newly Added NDC ROPIVACAINE 0.2% NS ON Q PUMP /11/2018 New Add Newly Added NDC ROPIVACAINE 0.2% NS ON Q PUMP /11/2018 New Add Newly Added NDC ROPIVACAINE 0.2% NS ON Q PUMP /11/2018 New Add Newly Added NDC ROPIVACAINE 0.2% NS ON Q PUMP /11/2018 New Add Newly Added NDC ROPIVACAINE 0.2% NS ON Q PUMP /11/2018 New Add Newly Added NDC LIDOCAINE 5 MG/ML 0.9% NACL /11/2018 New Add Newly Added NDC LIDOCAINE 10 MG/ML (1%) NS SYR /11/2018 New Add Newly Added NDC LIDOCAINE 1% 0.9% NACL SYRINGE /11/2018 New Add Newly Added NDC LIDOCAINE 100MG/10ML 0.9% NACL /11/2018 New Add Newly Added NDC LIDOCAINE HCL 30 MG/3 ML SYR /11/2018 New Add Newly Added NDC LIDOCAINE HCL 50 MG/5 ML SYRNG /11/2018 New Add Newly Added NDC LIDOCAINE 200 MG/20 ML(1%) SYR /11/2018 New Add Newly Added NDC LIDOCAINE 100 MG/5 ML (2%) SYR /11/2018 New Add Newly Added NDC
5 LIDOCAINE 40 MG/2 ML (2%) SYRG /11/2018 New Add Newly Added NDC LIDOCAINE 100 MG/5 ML (2%) SYR /11/2018 New Add Newly Added NDC LIDOCAINE 100 MG/5 ML (2%) SYR /11/2018 New Add Newly Added NDC LIDOCAINE 200 MG/10 ML(2%) SYR /11/2018 New Add Newly Added NDC LIDOCAINE 400MG/20ML (2%) SYR /11/2018 New Add Newly Added NDC LIDOCAINE 400 MG/20 ML(2%) SYR /11/2018 New Add Newly Added NDC MAGNESIUM 6 GM/50 ML 0.9% NACL /11/2018 New Add Newly Added NDC NOREPINEPHR 4 MG/ % NACL /11/2018 New Add Newly Added NDC NOREPINEPHR 8 MG/ % NACL /11/2018 New Add Newly Added NDC ROPIVACAINE 0.1% 0.9% NACL /11/2018 New Add Newly Added NDC ROPIVACAINE 0.1% 0.9% NACL BAG /11/2018 New Add Newly Added NDC ROPIVACAINE 0.1% 0.9% NACL BAG /11/2018 New Add Newly Added NDC ROPIVACAINE 0.15% 0.9% NACL /11/2018 New Add Newly Added NDC ROPIVACAINE 0.15% 0.9% NACL /11/2018 New Add Newly Added NDC ROPIVACAINE 0.15% 0.9% NACL /11/2018 New Add Newly Added NDC ROPIVACAINE 0.2% 0.9% NACL /11/2018 New Add Newly Added NDC ROPIVACAINE 0.2% 0.9% NACL BAG /11/2018 New Add Newly Added NDC ROPIVACAINE 0.2% 0.9% NACL BAG /11/2018 New Add Newly Added NDC ROPIVACAINE 0.2% 0.9% NACL SYR /11/2018 New Add Newly Added NDC ROPIVACAINE 0.2% 0.9% NACL SYR /11/2018 New Add Newly Added NDC ROPIVACAINE 0.2% SYRINGE /11/2018 New Add Newly Added NDC ROPIVACAINE 0.2% 0.9% NACL SYR /11/2018 New Add Newly Added NDC ROPIVACAINE 0.25% 0.9% NACL /11/2018 New Add Newly Added NDC ROPIVACAINE 0.5% BAG /11/2018 New Add Newly Added NDC ROPIVACAINE 50 MG/10 ML SYRNG /11/2018 New Add Newly Added NDC ROPIVACAINE HCL 0.5% SYRINGE /11/2018 New Add Newly Added NDC ROPIVACAINE 0.2% NS AUTOFUSER /11/2018 New Add Newly Added NDC LIDOCAINE TETRACAINE 7% 7% CRM /11/2018 New Add Newly Added NDC LIDOCAINE TETRACAINE 7% 7% CRM /11/2018 New Add Newly Added NDC BELLADONNA PHENOBARBITAL ELIXR /11/2018 New Add Newly Added NDC BELLADONNA PHENOBARBITAL ELIXR /11/2018 New Add Newly Added NDC DOXYCYCLINE 50 MG TABLET /11/ Price Change BALCOLTRA TABLET /11/ Price Change CITALOPRAM HBR 10 MG TABLET /11/ Price Change CITALOPRAM HBR 20 MG TABLET /11/ Price Change PEDIA TRI VITE DROP /13/2018 New Add Newly Added NDC GNP ENEMA READY TO USE /11/ Price Change ALLERCLEAR D 12HR TABLET /11/ Price Change COMFORT EZ PEN NEEDLES 5MM 33G /11/ Added COMFORT EZ PEN NEEDLES 6MM 33G /11/ Added COMFORT EZ PEN NEEDLES 8MM 33G /11/ Added COMFORT EZ PEN NEEDLES 4MM 33G /11/ Added
PRSMEDDPRSMCC1 PRSMEDDPRSMPACE PRSMEDCPRSMPACE
Published 5/15/2018 Changes effective 5/8/2018 to 5/14/2018 GCN NDC Label Name MAC Price Effective Date Prev Price Reason 77264 24590801 KEVZARA 150 MG/1.14 ML SYRINGE 363.1579 5/11/2018 New Add Newly
HPMMCR MHPMICOMP MHPILCOMPB
Published 5/15/2018 Changes Effective 5/8/2018 to 5/14/2018 GCN NDC Label Name MAC Price Effective Date Prev Price Reason 77264 24590801 KEVZARA 150 MG/1.14 ML SYRINGE 236.8421 5/11/2018 New Add Newly
MHPILMCD RXMCDP OXYCODON ACETAMINOPHEN /11/2018 New Add Newly Added NDC
Published 5/15/2018 Changes effective 5/8/2018 to 5/14/2018 GCN NDC Label Name MAC Effective Date Previous Price Reason 77264 24590801 KEVZARA 150 MG/1.14 ML SYRINGE 236.8421 5/11/2018 New Add Newly Added
GCN NDC Label Name MAC Price Effective Date Prev Price Reason DICYCLOMINE 20 MG/2 ML VIAL /23/2018 New Add Newly Added NDC
GCN NDC Label Name MAC Price Effective Date Prev Price Reason 4922 517198001 DICYCLOMINE 20 MG/2 ML VIAL 1.2870 2/23/2018 New Add Newly Added NDC 4922 517198005 DICYCLOMINE 20 MG/2 ML VIAL 1.2870 2/23/2018
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Highlighted medications are NOT covered by Wal-Mart's Plan!!
Important Roanoke Rapids Extensions Gene Minton (Owner, CEO) x140 Drew Huggins (COO) - x114 Angela Coggins (Pharmacy Manager) x111 Dial All Pharmacists on Duty x168 (No waiting on hold!!) DRUGCO GENERICS
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