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 Added NDC 77265 24591001 KEVZARA 200 MG/1.14 ML SYRINGE 363.1579 5/11/2018 New Add Newly Added NDC 11688 172640649 CROMOLYN 20 MG/2 ML NEB SOLN 3.4733 5/11/2018 2.3310 Price Change 45052 440500081 ALFUZOSIN HCL ER 10 MG TABLET 1.9345 5/11/2018 0.7247 Price Change 70890 525055590 CEREFOLIN NAC CAPLET 1.3693 5/11/2018 4.3821 Added 8346 573015030 ADVIL 200 MG TABLET 0.1248 5/11/2018 0.0366 Added 8346 573016030 ADVIL 200 MG CAPLET 0.1248 5/11/2018 0.0366 Added 8346 573016530 ADVIL 200 MG GEL CAPLET 0.1248 5/11/2018 0.0366 Added 13742 573018021 ADVIL COLD & SINUS CAPLET 0.0661 5/11/2018 0.1663 Added 54015 573018432 ADVIL COLD SINUS LIQUI GELS 0.0827 5/11/2018 0.3892 Added 61630 10695004710 DAPSONE POWDER 11.5000 5/11/2018 New Add Newly Added NDC 13998 10702018401 OXYCODON ACETAMINOPHEN 2.5 325 2.3560 5/11/2018 New Add Newly Added NDC 4222 10702018501 OXYCODONE ACETAMINOPHEN 5 325 0.4782 5/11/2018 New Add Newly Added NDC 4222 10702018550 OXYCODONE ACETAMINOPHEN 5 325 0.4782 5/11/2018 New Add Newly Added NDC 48976 10702018601 OXYCODON ACETAMINOPHEN 7.5 325 1.0186 5/11/2018 New Add Newly Added NDC 48976 10702018650 OXYCODON ACETAMINOPHEN 7.5 325 1.0186 5/11/2018 New Add Newly Added NDC 48977 10702018701 OXYCODONE ACETAMINOPHEN 10 325 1.1447 5/11/2018 New Add Newly Added NDC 48977 10702018750 OXYCODONE ACETAMINOPHEN 10 325 1.1447 5/11/2018 New Add Newly Added NDC 47430 10702018901 HYDROCODONE ACETAMIN 5 325 MG 0.4861 5/11/2018 0.0694 Price Change 47430 10702018910 HYDROCODONE ACETAMIN 5 325 MG 0.4861 5/11/2018 0.0515 Price Change 47430 10702018950 HYDROCODONE ACETAMIN 5 325 MG 0.4861 5/11/2018 0.0822 Price Change 30623 10702019110 HYDROCODONE ACETAMIN 10 325 MG 0.4729 5/11/2018 0.0915 Price Change 30623 10702019150 HYDROCODONE ACETAMIN 10 325 MG 0.4729 5/11/2018 0.1029 Price Change 60338 10702019201 HYDROCODONE ACETAMIN 5 300 MG 1.2494 5/11/2018 0.4698 Price Change 60338 10702019250 HYDROCODONE ACETAMIN 5 300 MG 1.2494 5/11/2018 0.4290 Price Change 60533 10702019301 HYDROCODONE ACETAMIN 7.5 300 1.3790 5/11/2018 0.6159 Price Change 57726 10702019401 HYDROCODONE ACETAMIN 10 300 MG 1.9183 5/11/2018 0.6657 Price Change 19964 10939087644 SM SENNA LAXATIVE 8.6 MG TAB 0.1383 5/11/2018 0.0151 Price Change 71638 11845016948 KRILL OIL 1,000 MG SOFTGEL 0.6108 5/11/2018 0.6108 Price Change 45802 13533063111 HYPERRHO S D 1,500 UNIT SYRING 20.8435 5/11/2018 New Add Newly Added NDC 21687 13668002907 CETIRIZINE HCL 1 MG/ML SOLN 0.1521 5/13/2018 New Add Newly Added NDC 58018 16103040299 CALCIUM 600 VIT D3 400 TABLET 0.0111 5/11/2018 0.0111 Price Change 76091 17478051701 EPHEDRINE SULFATE 50 MG/ML VL 28.3740 5/11/2018 28.3740 Price Change 78354 24359051403 GLYTACTIN RTD LITE 15 LIQUID 0.0202 5/11/2018 New Add Newly Added NDC 78354 24359051803 GLYTACTIN RTD LITE 15 LIQUID 0.0202 5/11/2018 New Add Newly Added NDC 19652 25021031066 SODIUM NITROPRUSSIDE 50 MG/2ML 102.7112 5/11/2018 24.9400 Price Change 2169 30698049301 DRISDOL 1.25 MG (50,000 UNIT) 0.6533 5/11/2018 New Add Newly Added NDC 49849 31722050430 EFAVIRENZ 600 MG TABLET 18.6317 5/11/2018 18.6317 Price Change 21982 31722051560 STAVUDINE 15 MG CAPSULE 3.0423 5/11/2018 1.9548 Added 21983 31722051660 STAVUDINE 20 MG CAPSULE 3.1637 5/11/2018 2.0330 Added 21984 31722051760 STAVUDINE 30 MG CAPSULE 3.3604 5/11/2018 1.6193 Added 21985 31722051860 STAVUDINE 40 MG CAPSULE 3.4225 5/11/2018 2.1533 Added 61086 31722092901 OXYMORPHONE HCL 5 MG TABLET 1.8378 5/11/2018 1.7850 Price Change 61087 31722093001 OXYMORPHONE HCL 10 MG TABLET 2.3584 5/11/2018 3.3600 Price Change 48770 40093010202 VITAMIN E 400 UNIT SOFTGEL 0.0294 5/13/2018 New Add Newly Added NDC 4544 42291050850 PRIMIDONE 50 MG TABLET 0.4739 5/11/2018 New Add Newly Added NDC 71430 42494033606 SELENIUM SULFIDE 2.3% SHAMPOO 1.5366 5/11/2018 New Add Newly Added NDC 393 43063007430 LISINOPRIL 5 MG TABLET 0.0936 5/11/2018 New Add Newly Added NDC 46236 43063028460 BUPROPION HCL 75 MG TABLET 0.9141 5/11/2018 New Add Newly Added NDC 29837 43063073515 TOPIRAMATE 25 MG TABLET 0.1691 5/11/2018 New Add Newly Added NDC 390 43063076912 LISINOPRIL 10 MG TABLET 0.1044 5/11/2018 New Add Newly Added NDC 2535 43063079320 ALLOPURINOL 100 MG TABLET 0.4553 5/11/2018 New Add Newly Added NDC 2535 43063079360 ALLOPURINOL 100 MG TABLET 0.4553 5/11/2018 New Add Newly Added NDC 21277 43547042010 LISINOPRIL HCTZ 10 12.5 MG TAB 0.1852 5/11/2018 0.5602 Price Change 21277 43547042050 LISINOPRIL HCTZ 10 12.5 MG TAB 0.1852 5/11/2018 0.5602 Price Change
388 43547042110 LISINOPRIL HCTZ 20 12.5 MG TAB 0.2278 5/11/2018 0.6064 Price Change 388 43547042150 LISINOPRIL HCTZ 20 12.5 MG TAB 0.2278 5/11/2018 0.6064 Price Change 389 43547042210 LISINOPRIL HCTZ 20 25 MG TAB 0.2579 5/11/2018 0.6138 Price Change 389 43547042250 LISINOPRIL HCTZ 20 25 MG TAB 0.2579 5/11/2018 0.6138 Price Change 47326 43547044103 TELMISARTAN HCTZ 40 12.5 MG TB 2.6470 5/13/2018 New Add Newly Added NDC 47324 43547044203 TELMISARTAN HCTZ 80 12.5 MG TB 2.6470 5/13/2018 New Add Newly Added NDC 57690 43547044303 TELMISARTAN HCTZ 80 25 MG TAB 2.6470 5/13/2018 New Add Newly Added NDC 8776 43598065011 THIOTEPA 15 MG VIAL 450.0000 5/13/2018 New Add Newly Added NDC 59139 45749001780 VSL#3 PACKET 0.6651 5/11/2018 3.0002 Added 62680 45749001781 VSL#3 CAPSULE 0.1965 5/11/2018 0.9256 Added 61315 45749001782 VSL#3 DS PACKET 1.3302 5/11/2018 6.1227 Added 62174 45963061455 IRINOTECAN HCL 100 MG/5 ML VL 31.7561 5/11/2018 10.6098 Added 2997 46036000168 GS MINERAL OIL 0.0027 5/11/2018 New Add Newly Added NDC 16995 46036000355 GS ASPIRIN EC 81 MG TABLET 0.0015 5/11/2018 New Add Newly Added NDC 3029 46122036428 ENEMA READY TO USE 0.0049 5/11/2018 0.0049 Price Change 21688 46122039472 ACID REDUCER 10 MG TABLET 0.6108 5/11/2018 0.1083 Price Change 64446 47335075881 VENLAFAXINE HCL ER 150 MG TAB 5.7297 5/11/2018 3.7699 Price Change 64446 47335075883 VENLAFAXINE HCL ER 150 MG TAB 5.7297 5/11/2018 3.7698 Price Change 64445 47335075981 VENLAFAXINE HCL ER 75 MG TAB 5.1660 5/11/2018 3.4598 Price Change 64445 47335075983 VENLAFAXINE HCL ER 75 MG TAB 5.1660 5/11/2018 3.4597 Price Change 64444 47335076081 VENLAFAXINE HCL ER 37.5 MG TAB 5.0914 5/11/2018 3.0899 Price Change 64444 47335076083 VENLAFAXINE HCL ER 37.5 MG TAB 5.0914 5/11/2018 3.0900 Price Change 2544 47781062307 DEFEROXAMINE 500 MG VIAL 16.2855 5/11/2018 7.5000 Price Change 15181 47781062407 DEFEROXAMINE 2 GRAM VIAL 18.6000 5/11/2018 18.6000 Price Change 53623 49348027472 SM DOUBLE ANTIBIOTIC OINT 0.0270 5/11/2018 2.2113 Added 10362 50428026012 CVS PROTECTIVE PADS 0.0885 5/13/2018 New Add Newly Added NDC 16995 50804022705 GS ASPIRIN EC 81 MG TABLET 0.0015 5/11/2018 New Add Newly Added NDC 2997 50804083143 GS MINERAL OIL 0.0027 5/11/2018 New Add Newly Added NDC 14219 52565002329 BETAMETHASONE DP AUG 0.05% LOT 2.5776 5/11/2018 1.5910 Price Change 14219 52565002359 BETAMETHASONE DP AUG 0.05% LOT 2.5776 5/11/2018 1.5679 Price Change 15606 52565007315 HALOBETASOL PROP 0.05% OINTMNT 2.8364 5/11/2018 3.4860 Price Change 15606 52565007351 HALOBETASOL PROP 0.05% OINTMNT 2.8364 5/11/2018 2.1635 Price Change 27229 52817031910 BACLOFEN 5 MG TABLET 0.6178 5/13/2018 New Add Newly Added NDC 23143 54162001728 BACITRACIN ZN 500 UNIT/GM OINT 0.0561 5/13/2018 New Add Newly Added NDC 9478 54569019700 PHENAZOPYRIDINE 200 MG TAB 2.3796 5/11/2018 2.0023 Price Change 9478 54569019701 PHENAZOPYRIDINE 200 MG TAB 2.3790 5/11/2018 2.0023 Price Change 9478 54569019704 PHENAZOPYRIDINE 200 MG TAB 2.3794 5/11/2018 2.0023 Price Change 9478 54569019706 PHENAZOPYRIDINE 200 MG TAB 2.3789 5/11/2018 2.0023 Price Change 9478 54569019707 PHENAZOPYRIDINE 200 MG TAB 2.3794 5/11/2018 2.0023 Price Change 11640 54569024306 CHLORPHENIRAMINE 4 MG TABLET 0.0094 5/11/2018 0.1554 Added 11640 54569024307 CHLORPHENIRAMINE 4 MG TABLET 0.0094 5/11/2018 0.1554 Added 48493 54569105500 PROMETHAZINE DM SYRUP 0.0526 5/11/2018 0.0652 Price Change 7669 54569108600 SILVADENE 1% CREAM 0.4292 5/11/2018 0.1452 Added 5349 54569193600 EUCERIN CREME 0.0175 5/11/2018 0.0356 Added 9416 54569250903 ISONIAZID 300 MG TABLET 0.8011 5/11/2018 0.7182 Price Change 4681 54569257300 CYCLOBENZAPRINE 10 MG TABLET 0.1560 5/11/2018 0.1384 Price Change 4681 54569257301 CYCLOBENZAPRINE 10 MG TABLET 0.1560 5/11/2018 0.1384 Price Change 4681 54569257302 CYCLOBENZAPRINE 10 MG TABLET 0.1560 5/11/2018 0.1384 Price Change 4681 54569257303 CYCLOBENZAPRINE 10 MG TABLET 0.1560 5/11/2018 0.1384 Price Change 4681 54569257304 CYCLOBENZAPRINE 10 MG TABLET 0.1560 5/11/2018 0.1384 Price Change 4681 54569257306 CYCLOBENZAPRINE 10 MG TABLET 0.1560 5/11/2018 0.1384 Price Change 4681 54569257307 CYCLOBENZAPRINE 10 MG TABLET 0.1560 5/11/2018 0.1384 Price Change 4681 54569257308 CYCLOBENZAPRINE 10 MG TABLET 0.1560 5/11/2018 0.1384 Price Change 4681 54569257309 CYCLOBENZAPRINE 10 MG TABLET 0.1560 5/11/2018 0.1384 Price Change 7866 54569278400 ATROPINE 1% EYE DROPS 3.2797 5/11/2018 5.3602 Price Change 4681 54569319301 CYCLOBENZAPRINE 10 MG TABLET 0.1560 5/11/2018 0.1384 Price Change 4681 54569319308 CYCLOBENZAPRINE 10 MG TABLET 0.1560 5/11/2018 0.1384 Price Change 37902 54569392700 VIVOTIF EC CAPSULE 4.9122 5/11/2018 8.1419 Added
1185 54569405700 SODIUM BICARB 8.4% VIAL 1.0278 5/11/2018 0.7742 Price Change 3780 54569511600 MIDAZOLAM HCL 5 MG/ML VIAL 0.2526 5/11/2018 1.1225 Added 3780 54569511601 MIDAZOLAM HCL 5 MG/ML VIAL 0.2525 5/11/2018 1.1225 Added 4681 54569518400 CYCLOBENZAPRINE 10 MG TABLET 0.1560 5/11/2018 0.1384 Price Change 30623 54569524001 HYDROCODONE ACETAMIN 10 325 MG 0.4260 5/11/2018 0.4757 Price Change 33530 54569548200 OMEPRAZOLE DR 20 MG CAPSULE 0.2780 5/11/2018 0.2497 Price Change 33530 54569548202 OMEPRAZOLE DR 20 MG CAPSULE 0.2780 5/11/2018 0.2497 Price Change 33530 54569548204 OMEPRAZOLE DR 20 MG CAPSULE 0.2780 5/11/2018 0.2497 Price Change 33530 54569548205 OMEPRAZOLE DR 20 MG CAPSULE 0.2780 5/11/2018 0.2497 Price Change 33530 54569548206 OMEPRAZOLE DR 20 MG CAPSULE 0.2780 5/11/2018 0.2497 Price Change 47430 54569552300 HYDROCODONE ACETAMIN 5 325 MG 0.4026 5/11/2018 0.4907 Price Change 47430 54569552307 HYDROCODONE ACETAMIN 5 325 MG 0.4025 5/11/2018 0.4907 Price Change 6653 54569565400 LEVOTHYROXINE 125 MCG TABLET 1.3336 5/11/2018 1.1077 Price Change 6653 54569565401 LEVOTHYROXINE 0.125 MG TABLET 1.3336 5/11/2018 1.1077 Price Change 53007 54569596901 BUPROPION HCL XL 300 MG TABLET 1.3632 5/11/2018 1.0820 Price Change 35495 54569620300 LIDOCAINE PRILOCAINE CREAM 0.6574 5/11/2018 1.0378 Price Change 51583 54738098130 GUAIFENESIN 400 MG CAPLET 0.0240 5/11/2018 0.0240 Price Change 60356 55700034930 MORPHINE SULFATE ER 20 MG CAP 3.2005 5/11/2018 New Add Newly Added NDC 46238 55700048760 BUPROPION HCL SR 150 MG TABLET 0.6219 5/11/2018 New Add Newly Added NDC 29968 55700054830 ATORVASTATIN 20 MG TABLET 0.3855 5/11/2018 New Add Newly Added NDC 41567 55700055890 LISINOPRIL 30 MG TABLET 0.3068 5/11/2018 New Add Newly Added NDC 21413 55700058401 GABAPENTIN 100 MG CAPSULE 0.1737 5/11/2018 New Add Newly Added NDC 21413 55700058430 GABAPENTIN 100 MG CAPSULE 0.1737 5/11/2018 New Add Newly Added NDC 21413 55700058460 GABAPENTIN 100 MG CAPSULE 0.1737 5/11/2018 New Add Newly Added NDC 21413 55700058490 GABAPENTIN 100 MG CAPSULE 0.1737 5/11/2018 New Add Newly Added NDC 1776 55700058530 GLIPIZIDE 10 MG TABLET 0.2135 5/11/2018 New Add Newly Added NDC 8214 55700058630 CHLORTHALIDONE 50 MG TABLET 1.4287 5/11/2018 New Add Newly Added NDC 6818 55700058730 SPIRONOLACTONE 50 MG TABLET 0.6764 5/11/2018 New Add Newly Added NDC 71410 58657048608 UREA 41% CREAM 1.7830 5/11/2018 New Add Newly Added NDC 75048 59148008707 JYNARQUE 45 MG 15 MG TABLET 64.2740 5/11/2018 New Add Newly Added NDC 75048 59148008728 JYNARQUE 45 MG 15 MG TABLET 64.2740 5/11/2018 64.2740 Price Change 75049 59148008807 JYNARQUE 60 MG 30 MG TABLET 64.2740 5/11/2018 New Add Newly Added NDC 75049 59148008828 JYNARQUE 60 MG 30 MG TABLET 64.2740 5/11/2018 64.2740 Price Change 75047 59148008907 JYNARQUE 90 MG 30 MG TABLET 64.2740 5/11/2018 New Add Newly Added NDC 75047 59148008928 JYNARQUE 90 MG 30 MG TABLET 64.2740 5/11/2018 64.2740 Price Change 24417 60687036211 LAMIVUDINE 150 MG TABLET 2.1744 5/11/2018 4.0833 Price Change 24417 60687036221 LAMIVUDINE 150 MG TABLET 2.1744 5/11/2018 4.0833 Price Change 66047 60687036425 RITONAVIR 100 MG TABLET 4.6290 5/11/2018 New Add Newly Added NDC 66047 60687036495 RITONAVIR 100 MG TABLET 4.6290 5/11/2018 New Add Newly Added NDC 16392 61919056530 ONDANSETRON HCL 4 MG TABLET 0.5435 5/11/2018 New Add Newly Added NDC 61199 63304044805 FENOFIBRATE 48 MG TABLET 0.9548 5/13/2018 New Add Newly Added NDC 61199 63304044890 FENOFIBRATE 48 MG TABLET 0.9548 5/13/2018 New Add Newly Added NDC 61200 63304044905 FENOFIBRATE 145 MG TABLET 2.8643 5/13/2018 New Add Newly Added NDC 61200 63304044990 FENOFIBRATE 145 MG TABLET 2.8643 5/13/2018 New Add Newly Added NDC 65286 63323020326 VANCOMYCIN HCL 750 MG VIAL 3.7920 5/11/2018 3.7920 Price Change 65286 63323020341 VANCOMYCIN HCL 750 MG VIAL 3.7920 5/11/2018 3.7920 Price Change 8205 63323028001 FUROSEMIDE 20 MG/2 ML VIAL 0.7906 5/13/2018 1.2760 Added 8205 63323028003 FUROSEMIDE 40 MG/4 ML VIAL 0.7906 5/13/2018 1.2760 Added 8205 63323028005 FUROSEMIDE 100 MG/10 ML VIAL 0.7906 5/13/2018 1.2760 Added 31430 63323065120 ADENOSINE 60 MG/20 ML VIAL 3.8610 5/13/2018 New Add Newly Added NDC 31430 63323065130 ADENOSINE 90 MG/30 ML VIAL 3.8808 5/13/2018 New Add Newly Added NDC 21705 64679067902 PIPERACIL TAZOBACT 40.5 GRAM 103.0800 5/13/2018 133.9138 Added 9537 66689000816 NYSTATIN 100,000 UNIT/ML SUSP 0.1156 5/11/2018 0.2722 Price Change 3026 66689005301 MILK OF MAGNESIA SUSPENSION 0.0020 5/11/2018 New Add Newly Added NDC 3026 66689005399 MILK OF MAGNESIA SUSPENSION 0.0020 5/11/2018 New Add Newly Added NDC 77810 67157010150 ASCOR 25,000 MG/50 ML BULK VL 0.3795 5/11/2018 0.3795 Price Change 77810 67157010151 ASCOR 25,000 MG/50 ML BULK VL 0.3795 5/11/2018 New Add Newly Added NDC 13630 67457085404 ADENOSINE 12 MG/4 ML VIAL 1.5000 5/13/2018 New Add Newly Added NDC
13630 67457085502 ADENOSINE 6 MG/2 ML VIAL 1.8750 5/13/2018 New Add Newly Added NDC 25750 68382072001 BUDESONIDE EC 3 MG CAPSULE 12.4282 5/13/2018 New Add Newly Added NDC 49605 68382092286 ELETRIPTAN HBR 20 MG TABLET 2.9814 5/11/2018 11.4363 Price Change 49606 68382092386 ELETRIPTAN HBR 40 MG TABLET 2.4640 5/11/2018 9.4516 Price Change 1777 68645057454 GLIPIZIDE 5 MG TABLET 0.1603 5/11/2018 New Add Newly Added NDC 1776 68645057559 GLIPIZIDE 10 MG TABLET 0.2135 5/11/2018 New Add Newly Added NDC 61267 68682002150 METFORMIN HCL ER 500 MG TABLET 16.0432 5/11/2018 27.7961 Price Change 46236 69097091707 BUPROPION HCL 75 MG TABLET 0.9141 5/11/2018 0.3209 Price Change 46237 69097091807 BUPROPION HCL 100 MG TABLET 0.9244 5/11/2018 0.4281 Price Change 7284 69315030615 NYSTATIN 100,000 UNIT/GM POWD 1.0670 5/11/2018 0.7760 Price Change 7284 69315030630 NYSTATIN 100,000 UNIT/GM POWD 1.0670 5/11/2018 0.7762 Price Change 7284 69315030660 NYSTATIN 100,000 UNIT/GM POWD 1.0670 5/11/2018 0.6930 Price Change 7547 69396000320 HYDROCORTISONE 1% OINTMENT 0.7672 5/11/2018 0.0551 Price Change 46063 69499033605 NORTRIPTYLINE 10 MG/5 ML SOLN 2.4778 5/11/2018 2.4778 Price Change 71532 69499033710 CYPROHEPTADINE 4 MG/10 ML SYRP 3.0500 5/13/2018 New Add Newly Added NDC 25061 69784020096 CROMOLYN 100 MG/5 ML ORAL CONC 1.1580 5/11/2018 0.2967 Added 62053 70069002101 DEXAMETHASONE 10 MG/ML VIAL 1.0626 5/11/2018 1.0626 Price Change 62053 70069002125 DEXAMETHASONE 10 MG/ML VIAL 1.0626 5/11/2018 1.0626 Price Change 22393 70319002603 SELECT UNDERWEAR EXTRA SMALL 0.5016 5/11/2018 0.6408 Added 22393 70319002604 SELECT UNDERWEAR SMALL 0.5016 5/11/2018 0.6408 Added 19549 70393021020 CARETOUCH GLUCOSE MONITOR SYS 5.5200 5/11/2018 New Add Newly Added NDC 6373 70393021105 CARETOUCH TEST STRIP 0.1775 5/11/2018 New Add Newly Added NDC 23512 70457989801 LIOTHYRONINE SODIUM POWDER 157.7800 5/11/2018 New Add Newly Added NDC 23512 70457989802 LIOTHYRONINE SODIUM POWDER 157.7800 5/11/2018 New Add Newly Added NDC 23660 70457994001 TETRACAINE POWDER 1.9320 5/11/2018 New Add Newly Added NDC 23660 70457994002 TETRACAINE POWDER 1.9320 5/11/2018 New Add Newly Added NDC 23660 70457994003 TETRACAINE POWDER 1.9320 5/11/2018 New Add Newly Added NDC 23660 70457994004 TETRACAINE POWDER 1.9320 5/11/2018 New Add Newly Added NDC 63020 70645012326 ZINGO 0.5 MG INTRADERMAL SYSTM 34.2677 5/11/2018 New Add Newly Added NDC 19964 70677004101 SM SENNA LAXATIVE 8.6 MG TAB 0.1383 5/11/2018 0.0151 Price Change 53076 70700011787 INTROVALE 0.15 0.03 MG TABLET 1.0063 5/11/2018 0.8827 Price Change 2535 70710120900 ALLOPURINOL 100 MG TABLET 0.2182 5/13/2018 New Add Newly Added NDC 2535 70710120901 ALLOPURINOL 100 MG TABLET 0.2416 5/13/2018 New Add Newly Added NDC 2536 70710121001 ALLOPURINOL 300 MG TABLET 0.4618 5/13/2018 New Add Newly Added NDC 2536 70710121005 ALLOPURINOL 300 MG TABLET 0.4385 5/13/2018 New Add Newly Added NDC 65738 71019014616 ROPIVACAINE 0.1% NS ON Q PUMP 0.0644 5/11/2018 0.0043 Added 65738 71019014617 ROPIVACAINE 0.1% NS ON Q PUMP 0.0629 5/11/2018 0.0043 Added 68832 71019014811 ROPIVACAINE 0.2% NS ON Q PUMP 0.0990 5/11/2018 0.0000 Added 65819 71019014829 ROPIVACAINE 0.2% NS ON Q PUMP 0.0823 5/11/2018 0.0000 Added 75128 71019014840 ROPIVACAINE HCL 0.2% ON Q PUMP 0.0753 5/11/2018 0.0000 Added 65715 71019014854 ROPIVACAINE 0.2% NS ON Q PUMP 0.0954 5/11/2018 0.0000 Added 68833 71019014858 ROPIVACAINE 0.2% NS ON Q PUMP 0.1020 5/11/2018 0.0000 Added 66170 71019014863 ROPIVACAINE 0.2% NS ON Q PUMP 0.0926 5/11/2018 0.0000 Added 65693 71019014866 ROPIVACAINE 0.2% NS ON Q PUMP 0.1020 5/11/2018 0.0000 Added 65693 71019014867 ROPIVACAINE 0.2% NS ON Q PUMP 0.0927 5/11/2018 0.0000 Added 66616 71019014871 ROPIVACAINE 0.2% NS ON Q PUMP 0.0919 5/11/2018 0.0000 Added 67508 71019014873 ROPIVACAINE 0.2% NS ON Q PUMP 0.0902 5/11/2018 0.0000 Added 68250 71019014875 ROPIVACAINE 0.2% NS ON Q PUMP 0.0892 5/11/2018 0.0000 Added 68250 71019014876 ROPIVACAINE 0.2% NS ON Q PUMP 0.0970 5/11/2018 0.0000 Added 66741 71019014877 ROPIVACAINE 0.2% NS ON Q PUMP 0.0893 5/11/2018 0.0000 Added 66741 71019014878 ROPIVACAINE 0.2% NS ON Q PUMP 0.0976 5/11/2018 0.0000 Added 77573 71019016601 LIDOCAINE 5 MG/ML 0.9% NACL 1.0327 5/11/2018 0.0000 Added 65157 71019016704 LIDOCAINE 10 MG/ML (1%) NS SYR 0.9821 5/11/2018 0.0000 Added 65157 71019016707 LIDOCAINE 1% 0.9% NACL SYRINGE 0.9200 5/11/2018 0.0000 Added 65331 71019016710 LIDOCAINE 100MG/10ML 0.9% NACL 0.1164 5/11/2018 0.0000 Added 67904 71019017008 LIDOCAINE HCL 30 MG/3 ML SYR 0.3128 5/11/2018 0.0000 Added 77623 71019017011 LIDOCAINE HCL 50 MG/5 ML SYRNG 0.1895 5/11/2018 0.0000 Added 68790 71019017014 LIDOCAINE 200 MG/20 ML(1%) SYR 0.1060 5/11/2018 0.0000 Added
67803 71019017202 LIDOCAINE 100 MG/5 ML (2%) SYR 0.1817 5/11/2018 0.0000 Added 67631 71019017302 LIDOCAINE 40 MG/2 ML (2%) SYRG 0.5405 5/11/2018 0.0000 Added 67805 71019017316 LIDOCAINE 100 MG/5 ML (2%) SYR 0.2134 5/11/2018 0.0000 Added 67803 71019017319 LIDOCAINE 100 MG/5 ML (2%) SYR 0.1950 5/11/2018 0.0000 Added 67492 71019017322 LIDOCAINE 200 MG/10 ML(2%) SYR 0.1822 5/11/2018 0.0000 Added 77636 71019017325 LIDOCAINE 400MG/20ML (2%) SYR 0.2414 5/11/2018 0.0000 Added 77701 71019017326 LIDOCAINE 400 MG/20 ML(2%) SYR 0.2001 5/11/2018 0.0000 Added 62939 71019020002 MAGNESIUM 6 GM/50 ML 0.9% NACL 0.0311 5/11/2018 0.0839 Added 65223 71019022002 NOREPINEPHR 4 MG/250 0.9% NACL 0.0310 5/11/2018 New Add Newly Added NDC 66419 71019022201 NOREPINEPHR 8 MG/250 0.9% NACL 0.0371 5/11/2018 New Add Newly Added NDC 67965 71019032303 ROPIVACAINE 0.1% 0.9% NACL 0.0484 5/11/2018 0.0000 Added 59463 71019032307 ROPIVACAINE 0.1% 0.9% NACL BAG 0.0470 5/11/2018 0.0000 Added 59463 71019032312 ROPIVACAINE 0.1% 0.9% NACL BAG 0.0491 5/11/2018 0.0000 Added 70011 71019032502 ROPIVACAINE 0.15% 0.9% NACL 0.0897 5/11/2018 0.0000 Added 59464 71019032503 ROPIVACAINE 0.15% 0.9% NACL 0.0869 5/11/2018 0.0000 Added 59464 71019032504 ROPIVACAINE 0.15% 0.9% NACL 0.0581 5/11/2018 0.0000 Added 77599 71019032602 ROPIVACAINE 0.2% 0.9% NACL 0.0917 5/11/2018 0.0000 Added 59465 71019032613 ROPIVACAINE 0.2% 0.9% NACL BAG 0.0947 5/11/2018 0.0040 Added 59465 71019032617 ROPIVACAINE 0.2% 0.9% NACL BAG 0.0947 5/11/2018 0.0040 Added 64803 71019032635 ROPIVACAINE 0.2% 0.9% NACL SYR 0.2079 5/11/2018 0.0000 Added 68703 71019032702 ROPIVACAINE 0.2% 0.9% NACL SYR 0.1778 5/11/2018 0.0000 Added 65399 71019032703 ROPIVACAINE 0.2% SYRINGE 0.1376 5/11/2018 0.0000 Added 69362 71019032704 ROPIVACAINE 0.2% 0.9% NACL SYR 0.1016 5/11/2018 0.0000 Added 59466 71019032806 ROPIVACAINE 0.25% 0.9% NACL 0.1037 5/11/2018 0.0000 Added 59468 71019033105 ROPIVACAINE 0.5% BAG 0.2111 5/11/2018 0.0000 Added 64804 71019033111 ROPIVACAINE 50 MG/10 ML SYRNG 0.2539 5/11/2018 0.0000 Added 76638 71019033114 ROPIVACAINE HCL 0.5% SYRINGE 0.2631 5/11/2018 0.0000 Added 66733 71019034701 ROPIVACAINE 0.2% NS AUTOFUSER 0.0909 5/11/2018 0.0100 Added 70268 71800063104 LIDOCAINE TETRACAINE 7% 7% CRM 5.4406 5/11/2018 New Add Newly Added NDC 70268 71800063108 LIDOCAINE TETRACAINE 7% 7% CRM 1.3602 5/11/2018 New Add Newly Added NDC 4773 71914016204 BELLADONNA PHENOBARBITAL ELIXR 0.7360 5/11/2018 New Add Newly Added NDC 4773 71914016216 BELLADONNA PHENOBARBITAL ELIXR 0.7360 5/11/2018 New Add Newly Added NDC 9224 72143021160 DOXYCYCLINE 50 MG TABLET 6.6000 5/11/2018 6.6000 Price Change 78077 75854060203 BALCOLTRA TABLET 1.7792 5/11/2018 1.7792 Price Change 46206 76282062810 CITALOPRAM HBR 10 MG TABLET 0.1750 5/11/2018 1.0440 Price Change 46203 76282062910 CITALOPRAM HBR 20 MG TABLET 0.1834 5/11/2018 1.0700 Price Change 72071 76518002050 PEDIA TRI VITE DROP 0.0829 5/13/2018 New Add Newly Added NDC 3029 87701042809 GNP ENEMA READY TO USE 0.0049 5/11/2018 0.0049 Price Change 17181 96619069977 ALLERCLEAR D 12HR TABLET 3.7152 5/11/2018 0.3000 Price Change 71825 98302014177 COMFORT EZ PEN NEEDLES 5MM 33G 0.2412 5/11/2018 0.9994 Added 71828 98302014178 COMFORT EZ PEN NEEDLES 6MM 33G 0.2412 5/11/2018 0.9994 Added 71826 98302014179 COMFORT EZ PEN NEEDLES 8MM 33G 0.2412 5/11/2018 0.9994 Added 71824 98302014807 COMFORT EZ PEN NEEDLES 4MM 33G 0.6083 5/11/2018 0.6767 Added