GCN NDC Label Name MAC Price Effective Date Prev Price Reason DICYCLOMINE 20 MG/2 ML VIAL /23/2018 New Add Newly Added NDC
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1 GCN NDC Label Name MAC Price Effective Date Prev Price Reason DICYCLOMINE 20 MG/2 ML VIAL /23/2018 New Add Newly Added NDC DICYCLOMINE 20 MG/2 ML VIAL /23/2018 New Add Newly Added NDC DIVALPROEX SOD ER 500 MG TAB /23/2018 New Add Newly Added NDC CLICKFINE 31G X 1/4" NEEDLES /23/ Price Change CLICKFINE 31G X 5/16" NEEDLES /23/ Price Change CLICKFINE PEN NEEDLE 32GX5/32" /23/ Price Change KETOCONAZOLE 2% SHAMPOO /25/2018 New Add Newly Added NDC MEMANTINE HCL ER 7 MG CAPSULE /25/2018 New Add Newly Added NDC MEMANTINE HCL ER 14 MG CAPSULE /25/2018 New Add Newly Added NDC MEMANTINE HCL ER 14 MG CAPSULE /25/2018 New Add Newly Added NDC MEMANTINE HCL ER 21 MG CAPSULE /25/2018 New Add Newly Added NDC MEMANTINE HCL ER 28 MG CAPSULE /25/2018 New Add Newly Added NDC MEMANTINE HCL ER 28 MG CAPSULE /25/2018 New Add Newly Added NDC INDOMETHACIN ER 75 MG CAPSULE /23/ Price Change INDOMETHACIN ER 75 MG CAPSULE /23/ Price Change INDOMETHACIN ER 75 MG CAPSULE /23/ Price Change SM TRIPLE ANTIBIOTIC OINTMENT /23/ Price Change RA ANTIFUNGAL NAIL PEN 25% /23/2018 New Add Newly Added NDC OLMSRTN AMLDPN HCTZ /23/ Price Change OLMSRTN AMLDPN HCTZ /23/ Price Change OLMSRTN AMLDPN HCTZ /23/ Price Change OLMSRTN AMLDPN HCTZ /23/ Price Change AGONEAZE 2.5% 2.5% CREAM DRESS /23/ Price Change ENTECAVIR 0.5 MG TABLET /23/ Price Change ENTECAVIR 1 MG TABLET /23/ Price Change OMEPRAZOLE DR 10 MG CAPSULE /23/ Price Change OMEPRAZOLE DR 20 MG CAPSULE /23/ Price Change OMEPRAZOLE DR 20 MG CAPSULE /23/ Price Change OMEPRAZOLE DR 20 MG CAPSULE /23/ Price Change OMEPRAZOLE DR 40 MG CAPSULE /23/ Price Change OMEPRAZOLE DR 40 MG CAPSULE /23/ Price Change OMEPRAZOLE DR 40 MG CAPSULE /23/ Price Change PARICALCITOL 2 MCG/ML VIAL /23/ Price Change PENTOBARBITAL 1,000 MG/20 ML /23/ Price Change PENTOBARBITAL 2,500 MG/50 ML /23/ Price Change TOBRAMYCIN DEXAMETH OPHTH SUSP /23/ Price Change TOBRAMYCIN DEXAMETH OPHTH SUSP /23/ Price Change TOBRAMYCIN DEXAMETH OPHTH SUSP /23/ Price Change DOCETAXEL 20 MG/ML VIAL /23/ Price Change DOCETAXEL 80 MG/4 ML VIAL /23/ Price Change PROMETHAZINE CODEINE SYRUP /25/2018 New Add Newly Added NDC ROSUVASTATIN CALCIUM 5 MG TAB /25/2018 New Add Newly Added NDC ROSUVASTATIN CALCIUM 10 MG TAB /25/2018 New Add Newly Added NDC ROSUVASTATIN CALCIUM 20 MG TAB /25/2018 New Add Newly Added NDC ROSUVASTATIN CALCIUM 40 MG TAB /25/2018 New Add Newly Added NDC ENDUR ACIN ER 250 MG TABLET /25/2018 New Add Newly Added NDC ENDUR ACIN ER 250 MG TABLET /25/2018 New Add Newly Added NDC ENDUR ACIN ER 250 MG TABLET /25/2018 New Add Newly Added NDC ENDUR C ROSE HIPS SR 500 MG TB /25/2018 New Add Newly Added NDC ENDUR C ROSE HIPS SR 500 MG TB /25/2018 New Add Newly Added NDC ENDUR C ROSE HIPS SR 1,000 MG /25/2018 New Add Newly Added NDC ENDUR C ROSE HIPS SR 1,000 MG /25/2018 New Add Newly Added NDC ENDUR ACIN ER 500 MG TABLET /25/2018 New Add Newly Added NDC ENDUR ACIN ER 500 MG TABLET /25/2018 New Add Newly Added NDC ENDUR ACIN ER 500 MG TABLET /25/2018 New Add Newly Added NDC ENDUR ACIN ER 750 MG TABLET /25/2018 New Add Newly Added NDC ENDUR ACIN ER 750 MG TABLET /25/2018 New Add Newly Added NDC
2 PLAIN NIACIN 250 MG TABLET /25/2018 New Add Newly Added NDC PLAIN NIACIN 500 MG TABLET /25/2018 New Add Newly Added NDC PLAIN NIACIN 500 MG TABLET /23/ Price Change PANTETHINE SR 300 MG TABLET /25/2018 New Add Newly Added NDC PANTETHINE SR 300 MG TABLET /25/2018 New Add Newly Added NDC RESVERATROL 100 MG TABLET /25/2018 New Add Newly Added NDC CHOLINE SR 300 MG TABLET /25/2018 New Add Newly Added NDC TENOFOVIR DISOP FUM 300 MG TB /23/ Price Change CITALOPRAM HBR 10 MG/5 ML SOLN /23/ Price Change FLUCONAZOLE NACL 200 MG/100 ML /23/ Price Change FLUCONAZOLE NACL 400 MG/200 ML /23/ Price Change FENOPROFEN 600 MG TABLET /25/2018 New Add Newly Added NDC UREA 40% CREAM /23/ Price Change UREA 40% CREAM /23/ Price Change UREA 40% CREAM /23/ Price Change TAMSULOSIN HCL 0.4 MG CAPSULE /25/2018 New Add Newly Added NDC MECLIZINE 25 MG TABLET CHEW /23/ Price Change SPIRONOLACTONE 100 MG TABLET /25/2018 New Add Newly Added NDC AMITRIPTYLINE HCL 50 MG TAB /25/2018 New Add Newly Added NDC SUMATRIPTAN NAPROXEN MG /23/ Price Change ESMOLOL WATER 2,500 MG/250 ML /23/2018 New Add Newly Added NDC ESMOLOL WATER 2,000 MG/100 ML /23/2018 New Add Newly Added NDC CHILD''S ALLERGY 12.5 MG/5 ML /23/ Price Change ESOMEPRAZOLE MAG DR 20 MG CAP /23/ Price Change MUCUS ER 600 MG TABLET /23/ Price Change ACETAMINOPHEN 325 MG TABLET /23/ Price Change LIDOCAINE 4% CREAM /23/ Price Change DUTASTERIDE 0.5 MG CAPSULE /23/2018 New Add Newly Added NDC DUTASTERIDE 0.5 MG CAPSULE /23/2018 New Add Newly Added NDC NITROFURANTOIN MCR 100 MG CAP /23/ Price Change NITROFURANTOIN MCR 100 MG CAP /23/ Price Change PROPRANOLOL 10 MG TABLET /25/2018 New Add Newly Added NDC PROPRANOLOL 10 MG TABLET /25/2018 New Add Newly Added NDC PROPRANOLOL 20 MG TABLET /25/2018 New Add Newly Added NDC PROPRANOLOL 20 MG TABLET /25/2018 New Add Newly Added NDC PROPRANOLOL 40 MG TABLET /25/2018 New Add Newly Added NDC PROPRANOLOL 40 MG TABLET /25/2018 New Add Newly Added NDC TAMSULOSIN HCL 0.4 MG CAPSULE /23/ Price Change TAMSULOSIN HCL 0.4 MG CAPSULE /23/ Price Change CVS CHILDREN''S COLD COUGH LIQ /25/2018 New Add Newly Added NDC VITAMIN B 12 TR 1,000 MCG TAB /25/2018 New Add Newly Added NDC CVS FLUTICASONE PROP 50 MCG /25/ Price Change CVS SERIES 100 BP MONITOR /25/2018 New Add Newly Added NDC FENTANYL 50 MCG/HR PATCH /25/2018 New Add Newly Added NDC HYDROCORTISONE BUTYR 0.1% LOTN /23/ Price Change HYDROCORTISONE BUTYR 0.1% LOTN /23/ Price Change CURAD TRIPLE ANTIBIOTIC OINT /25/2018 New Add Newly Added NDC CURAD TRIPLE ANTIBIOTIC OINT /25/2018 New Add Newly Added NDC TIMOLOL 0.5% GEL SOLUTION /23/ Price Change ADENOSINE 60 MG/20 ML VIAL /23/ Price Change ADENOSINE 90 MG/30 ML VIAL /23/ Price Change IBUPROFEN 600 MG TABLET /25/2018 New Add Newly Added NDC SILVER SULFADIAZINE 1% CREAM /23/ Price Change SILVER SULFADIAZINE 1% CREAM /23/ Price Change CVS CHILDREN''S COLD COUGH LIQ /25/2018 New Add Newly Added NDC LIDOCAINE 5% OINTMENT /25/2018 New Add Newly Added NDC BALSALAZIDE DISODIUM 750 MG CP /25/2018 New Add Newly Added NDC DOXEPIN 10 MG CAPSULE /25/2018 New Add Newly Added NDC
3 DOXEPIN 10 MG CAPSULE /25/2018 New Add Newly Added NDC DOXEPIN 25 MG CAPSULE /25/2018 New Add Newly Added NDC DOXEPIN 25 MG CAPSULE /25/2018 New Add Newly Added NDC DOXEPIN 50 MG CAPSULE /25/2018 New Add Newly Added NDC DOXEPIN 50 MG CAPSULE /25/2018 New Add Newly Added NDC DOXEPIN 75 MG CAPSULE /25/2018 New Add Newly Added NDC DOXEPIN 75 MG CAPSULE /25/2018 New Add Newly Added NDC DOXEPIN 100 MG CAPSULE /25/2018 New Add Newly Added NDC DOXEPIN 100 MG CAPSULE /25/2018 New Add Newly Added NDC PRAZOSIN 1 MG CAPSULE /25/2018 New Add Newly Added NDC PRAZOSIN 1 MG CAPSULE /25/2018 New Add Newly Added NDC PRAZOSIN 2 MG CAPSULE /25/2018 New Add Newly Added NDC PRAZOSIN 2 MG CAPSULE /25/2018 New Add Newly Added NDC PRAZOSIN 5 MG CAPSULE /25/2018 New Add Newly Added NDC PRAZOSIN 5 MG CAPSULE /25/2018 New Add Newly Added NDC DISOPYRAMIDE 100 MG CAPSULE /25/2018 New Add Newly Added NDC DISOPYRAMIDE 150 MG CAPSULE /25/2018 New Add Newly Added NDC CLOZAPINE 25 MG TABLET /25/2018 New Add Newly Added NDC CLOZAPINE 100 MG TABLET /25/2018 New Add Newly Added NDC CLOZAPINE 100 MG TABLET /25/2018 New Add Newly Added NDC GEMCITABINE 200 MG/5.26 ML VL /25/2018 New Add Newly Added NDC GEMCITABINE 1 GRAM/26.3 ML VL /25/2018 New Add Newly Added NDC GEMCITABINE 2 GRAM/52.6 ML VL /25/2018 New Add Newly Added NDC TIMOLOL 0.5% GFS GEL SOLUTION /23/ Price Change LITHIUM CARBONATE 150 MG CAP /25/2018 New Add Newly Added NDC LITHIUM CARBONATE 300 MG CAP /25/2018 New Add Newly Added NDC LITHIUM CARBONATE 300 MG CAP /25/2018 New Add Newly Added NDC LITHIUM CARBONATE 600 MG CAP /25/2018 New Add Newly Added NDC LAMOTRIGINE 25 MG TABLET /25/2018 New Add Newly Added NDC LAMOTRIGINE 100 MG TABLET /25/2018 New Add Newly Added NDC LAMOTRIGINE 150 MG TABLET /25/2018 New Add Newly Added NDC LAMOTRIGINE 200 MG TABLET /25/2018 New Add Newly Added NDC CLINDAMYCIN HCL 300 MG CAPSULE /23/2018 New Add Newly Added NDC CEPHALEXIN 500 MG CAPSULE /23/2018 New Add Newly Added NDC DIAZEPAM 10 MG TABLET /23/2018 New Add Newly Added NDC FEXOFENADINE HCL 180 MG TABLET /23/2018 New Add Newly Added NDC LEVOCETIRIZINE 5 MG TABLET /23/2018 New Add Newly Added NDC CETIRIZINE HCL 10 MG TABLET /23/2018 New Add Newly Added NDC LIDOCAINE 5% OINTMENT /23/2018 New Add Newly Added NDC DOXYCYCLINE MONO 100 MG CAP /23/2018 New Add Newly Added NDC DOXYCYCLINE MONO 100 MG CAP /23/2018 New Add Newly Added NDC QC FEXOFENADINE HCL 180 MG TAB /25/2018 New Add Newly Added NDC QC TUSSIN DM LIQUID /25/2018 New Add Newly Added NDC PIPERACIL TAZOBACT GM VL /25/2018 New Add Newly Added NDC FOSPHENYTOIN 100 MG PE/2 ML VL /23/ Price Change FOSPHENYTOIN 500 MG PE/10 ML /23/ Price Change BUDESONIDE EC 3 MG CAPSULE /25/2018 New Add Newly Added NDC OXYBUTYNIN 5 MG TABLET /23/ Price Change OXYBUTYNIN 5 MG TABLET /23/ Price Change OXYBUTYNIN 5 MG TABLET /23/ Price Change MEMANTINE HCL ER 7 MG CAPSULE /25/2018 New Add Newly Added NDC MEMANTINE HCL ER 14 MG CAPSULE /25/2018 New Add Newly Added NDC MEMANTINE HCL ER 14 MG CAPSULE /25/2018 New Add Newly Added NDC MEMANTINE HCL ER 21 MG CAPSULE /25/2018 New Add Newly Added NDC MEMANTINE HCL ER 28 MG CAPSULE /25/2018 New Add Newly Added NDC MEMANTINE HCL ER 28 MG CAPSULE /25/2018 New Add Newly Added NDC SUMATRIPTAN NAPROXEN MG /23/ Price Change IBUPROFEN 100 MG/5 ML SUSP /23/ Price Change
4 IBUPROFEN 100 MG/5 ML SUSP /23/ Price Change DULOXETINE HCL DR 20 MG CAP /23/ Price Change DULOXETINE HCL DR 30 MG CAP /23/ Price Change DULOXETINE HCL DR 60 MG CAP /23/ Price Change VITAMIN A AND D OINTMENT /23/ Price Change VANCOMYCIN 500 MG VIAL /23/ Price Change VANCOMYCIN 500 MG VIAL /23/ Price Change VANCOMYCIN 1 GM VIAL /23/ Price Change VANCOMYCIN 1 GM VIAL /23/ Price Change OXALIPLATIN 50 MG/10 ML VIAL /23/ Price Change OXALIPLATIN 100 MG/20 ML VIAL /23/ Price Change OXALIPLATIN 50 MG/10 ML VIAL /23/ Price Change OXALIPLATIN 100 MG/20 ML VIAL /23/ Price Change MEMANTINE HCL ER 7 MG CAPSULE /25/2018 New Add Newly Added NDC MEMANTINE HCL ER 14 MG CAPSULE /25/2018 New Add Newly Added NDC MEMANTINE HCL ER 14 MG CAPSULE /25/2018 New Add Newly Added NDC MEMANTINE HCL ER 21 MG CAPSULE /25/2018 New Add Newly Added NDC MEMANTINE HCL ER 28 MG CAPSULE /25/2018 New Add Newly Added NDC MEMANTINE HCL ER 28 MG CAPSULE /25/2018 New Add Newly Added NDC MEMANTINE HCL ER 28 MG CAPSULE /25/2018 New Add Newly Added NDC OSELTAMIVIR 6 MG/ML SUSPENSION /25/2018 New Add Newly Added NDC OXYBUTYNIN CL ER 5 MG TABLET /25/2018 New Add Newly Added NDC OXYBUTYNIN CL ER 5 MG TABLET /25/2018 New Add Newly Added NDC OXYBUTYNIN CL ER 10 MG TABLET /25/2018 New Add Newly Added NDC OXYBUTYNIN CL ER 10 MG TABLET /25/2018 New Add Newly Added NDC OXYBUTYNIN CL ER 15 MG TABLET /25/2018 New Add Newly Added NDC CHOLESTYRAMINE LIGHT PACKET /25/2018 New Add Newly Added NDC DOXAZOSIN MESYLATE 1 MG TAB /23/ Price Change DOXAZOSIN MESYLATE 1 MG TAB /23/ Price Change DOXAZOSIN MESYLATE 2 MG TAB /23/ Price Change DOXAZOSIN MESYLATE 2 MG TAB /23/ Price Change DOXAZOSIN MESYLATE 4 MG TAB /23/ Price Change DOXAZOSIN MESYLATE 4 MG TAB /23/ Price Change DOXAZOSIN MESYLATE 8 MG TAB /23/ Price Change DOXAZOSIN MESYLATE 8 MG TAB /23/ Price Change TRAZODONE 50 MG TABLET /23/ Price Change TRAZODONE 50 MG TABLET /23/ Price Change TRAZODONE 50 MG TABLET /23/ Price Change TRAZODONE 100 MG TABLET /23/ Price Change TRAZODONE 100 MG TABLET /23/ Price Change TRAZODONE 100 MG TABLET /23/ Price Change TRAZODONE 150 MG TABLET /23/ Price Change TRAZODONE 150 MG TABLET /23/ Price Change TRAZODONE 300 MG TABLET /23/ Price Change ENTECAVIR 0.5 MG TABLET /23/ Price Change ENTECAVIR 1 MG TABLET /23/ Price Change LOVASTATIN 20 MG TABLET /25/2018 New Add Newly Added NDC LOVASTATIN 40 MG TABLET /25/2018 New Add Newly Added NDC GLIMEPIRIDE 2 MG TABLET /25/2018 New Add Newly Added NDC GLIMEPIRIDE 4 MG TABLET /25/2018 New Add Newly Added NDC ETHACRYNATE SODIUM 50 MG VIAL /25/2018 New Add Newly Added NDC TRIENTINE HCL 250 MG CAPSULE /23/ Price Change CVS FLUTICASONE PROP 50 MCG /25/2018 New Add Newly Added NDC ACETAMINOPHEN 500 MG TABLET /23/2018 New Add Newly Added NDC ALERTNESS AID 200 MG TABLET /23/2018 New Add Newly Added NDC SLEEP AID 25 MG CAPLET /25/2018 New Add Newly Added NDC CHEST RUB /25/2018 New Add Newly Added NDC PANLOR MG TABLET /25/2018 New Add Newly Added NDC
5 SM TRIPLE ANTIBIOTIC OINTMENT /23/ Price Change HEPARIN 25,000 UNIT/500 ML NS /23/2018 New Add Newly Added NDC GABAPENTIN 600 MG TABLET /23/ Price Change GABAPENTIN 600 MG TABLET /23/ Price Change GABAPENTIN 800 MG TABLET /23/ Price Change GABAPENTIN 800 MG TABLET /23/ Price Change LIDOCAINE ANORECTAL 5% CREAM /23/ Price Change GNP CHILD ALLERGY 12.5 MG/5 ML /23/ Price Change GNP ESOMEPRAZOLE MAG DR 20 MG /23/ Price Change GNP MUCUS ER 600 MG TABLET /23/ Price Change ACETAMINOPHEN 500 MG TABLET /23/2018 New Add Newly Added NDC ALERTNESS AID 200 MG TABLET /23/2018 New Add Newly Added NDC CHEST RUB /25/2018 New Add Newly Added NDC
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 Price Effective Date Prev Price Reason 77264 24590801 KEVZARA 150 MG/1.14 ML SYRINGE 268.4211 5/11/2018 New Add Newly
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
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
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
SHORT DATED OFFERING SHEET (BY PRODUCT NAME) AS OF
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