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 Added NDC 77265 24591001 KEVZARA 200 MG/1.14 ML SYRINGE 268.4211 5/11/2018 New Add Newly Added NDC 11688 172640649 CROMOLYN 20 MG/2 ML NEB SOLN 2.0241 5/11/2018 1.3584 Price Change 70890 525055590 CEREFOLIN NAC CAPLET 0.6457 5/11/2018 2.4679 Added 8346 573015030 ADVIL 200 MG TABLET 0.0200 5/11/2018 0.0142 Added 8346 573016030 ADVIL 200 MG CAPLET 0.0200 5/11/2018 0.0142 Added 8346 573016530 ADVIL 200 MG GEL CAPLET 0.0200 5/11/2018 0.0142 Added 13742 573018021 ADVIL COLD & SINUS CAPLET 0.0489 5/11/2018 0.1438 Added 54015 573018432 ADVIL COLD SINUS LIQUI GELS 0.0611 5/11/2018 0.1797 Added 61630 10695004710 DAPSONE POWDER 8.5000 5/11/2018 New Add Newly Added NDC 13998 10702018401 OXYCODON ACETAMINOPHEN 2.5 325 0.4980 5/11/2018 New Add Newly Added NDC 4222 10702018501 OXYCODONE ACETAMINOPHEN 5 325 0.2748 5/11/2018 New Add Newly Added NDC 4222 10702018550 OXYCODONE ACETAMINOPHEN 5 325 0.2748 5/11/2018 New Add Newly Added NDC 48976 10702018601 OXYCODON ACETAMINOPHEN 7.5 325 0.4171 5/11/2018 New Add Newly Added NDC 48976 10702018650 OXYCODON ACETAMINOPHEN 7.5 325 0.4171 5/11/2018 New Add Newly Added NDC 48977 10702018701 OXYCODONE ACETAMINOPHEN 10 325 0.6200 5/11/2018 New Add Newly Added NDC 48977 10702018750 OXYCODONE ACETAMINOPHEN 10 325 0.6200 5/11/2018 New Add Newly Added NDC 47430 10702018901 HYDROCODONE ACETAMIN 5 325 MG 0.2425 5/11/2018 0.0694 Price Change 47430 10702018910 HYDROCODONE ACETAMIN 5 325 MG 0.2425 5/11/2018 0.0515 Price Change 47430 10702018950 HYDROCODONE ACETAMIN 5 325 MG 0.2425 5/11/2018 0.0822 Price Change 30623 10702019110 HYDROCODONE ACETAMIN 10 325 MG 0.2393 5/11/2018 0.0915 Price Change 30623 10702019150 HYDROCODONE ACETAMIN 10 325 MG 0.2393 5/11/2018 0.1029 Price Change 60338 10702019201 HYDROCODONE ACETAMIN 5 300 MG 0.5770 5/11/2018 0.4698 Price Change 60338 10702019250 HYDROCODONE ACETAMIN 5 300 MG 0.5770 5/11/2018 0.4290 Price Change 60533 10702019301 HYDROCODONE ACETAMIN 7.5 300 0.3709 5/11/2018 0.6159 Price Change 57726 10702019401 HYDROCODONE ACETAMIN 10 300 MG 0.6477 5/11/2018 0.6657 Price Change 19964 10939087644 SM SENNA LAXATIVE 8.6 MG TAB 0.0198 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 15.4061 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 0.0149 5/11/2018 New Add Newly Added NDC 78354 24359051803 GLYTACTIN RTD LITE 15 LIQUID 0.0149 5/11/2018 New Add Newly Added NDC 19652 25021031066 SODIUM NITROPRUSSIDE 50 MG/2ML 28.2380 5/11/2018 24.9400 Price Change 2169 30698049301 DRISDOL 1.25 MG (50,000 UNIT) 0.2492 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 1.2529 5/11/2018 1.0348 Price Change 21983 31722051660 STAVUDINE 20 MG CAPSULE 1.3027 5/11/2018 1.0760 Price Change 21984 31722051760 STAVUDINE 30 MG CAPSULE 1.3839 5/11/2018 1.1430 Price Change 21985 31722051860 STAVUDINE 40 MG CAPSULE 1.4094 5/11/2018 1.1641 Price Change 61086 31722092901 OXYMORPHONE HCL 5 MG TABLET 0.6857 5/11/2018 1.7850 Price Change 61087 31722093001 OXYMORPHONE HCL 10 MG TABLET 1.1673 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 0.1078 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 0.1561 5/11/2018 New Add Newly Added NDC 46236 43063028460 BUPROPION HCL 75 MG TABLET 0.2083 5/11/2018 New Add Newly Added NDC 29837 43063073515 TOPIRAMATE 25 MG TABLET 0.3867 5/11/2018 New Add Newly Added NDC 390 43063076912 LISINOPRIL 10 MG TABLET 0.1598 5/11/2018 New Add Newly Added NDC 2535 43063079320 ALLOPURINOL 100 MG TABLET 0.1016 5/11/2018 New Add Newly Added NDC 2535 43063079360 ALLOPURINOL 100 MG TABLET 0.1016 5/11/2018 New Add Newly Added NDC 21277 43547042010 LISINOPRIL HCTZ 10 12.5 MG TAB 0.2043 5/11/2018 0.5602 Price Change 21277 43547042050 LISINOPRIL HCTZ 10 12.5 MG TAB 0.2043 5/11/2018 0.5602 Price Change 388 43547042110 LISINOPRIL HCTZ 20 12.5 MG TAB 0.2016 5/11/2018 0.6064 Price Change

388 43547042150 LISINOPRIL HCTZ 20 12.5 MG TAB 0.2016 5/11/2018 0.6064 Price Change 389 43547042210 LISINOPRIL HCTZ 20 25 MG TAB 0.2276 5/11/2018 0.6138 Price Change 389 43547042250 LISINOPRIL HCTZ 20 25 MG TAB 0.2276 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 0.4916 5/11/2018 1.4458 Added 62680 45749001781 VSL#3 CAPSULE 0.1452 5/11/2018 0.3887 Added 61315 45749001782 VSL#3 DS PACKET 0.9832 5/11/2018 2.8918 Added 62174 45963061455 IRINOTECAN HCL 100 MG/5 ML VL 1.9182 5/11/2018 3.4459 Price Change 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 0.0039 5/11/2018 0.0049 Price Change 21688 46122039472 ACID REDUCER 10 MG TABLET 0.1116 5/11/2018 0.1083 Price Change 64446 47335075881 VENLAFAXINE HCL ER 150 MG TAB 1.8924 5/11/2018 3.7699 Price Change 64446 47335075883 VENLAFAXINE HCL ER 150 MG TAB 1.8924 5/11/2018 3.7698 Price Change 64445 47335075981 VENLAFAXINE HCL ER 75 MG TAB 1.6986 5/11/2018 3.4598 Price Change 64445 47335075983 VENLAFAXINE HCL ER 75 MG TAB 1.6986 5/11/2018 3.4597 Price Change 64444 47335076081 VENLAFAXINE HCL ER 37.5 MG TAB 1.5585 5/11/2018 3.0899 Price Change 64444 47335076083 VENLAFAXINE HCL ER 37.5 MG TAB 1.5585 5/11/2018 3.0900 Price Change 2544 47781062307 DEFEROXAMINE 500 MG VIAL 4.5542 5/11/2018 7.5000 Price Change 15181 47781062407 DEFEROXAMINE 2 GRAM VIAL 11.1490 5/11/2018 18.6000 Price Change 53623 49348027472 SM DOUBLE ANTIBIOTIC OINT 0.0199 5/11/2018 0.1055 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 0.8462 5/11/2018 1.5910 Price Change 14219 52565002359 BETAMETHASONE DP AUG 0.05% LOT 0.8462 5/11/2018 1.5679 Price Change 15606 52565007315 HALOBETASOL PROP 0.05% OINTMNT 1.3920 5/11/2018 3.4860 Price Change 15606 52565007351 HALOBETASOL PROP 0.05% OINTMNT 1.3920 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 2.1845 5/11/2018 1.7965 Added 9478 54569019701 PHENAZOPYRIDINE 200 MG TAB 2.1845 5/11/2018 1.7967 Added 9478 54569019704 PHENAZOPYRIDINE 200 MG TAB 2.1845 5/11/2018 1.7967 Added 9478 54569019706 PHENAZOPYRIDINE 200 MG TAB 2.1845 5/11/2018 1.7967 Added 9478 54569019707 PHENAZOPYRIDINE 200 MG TAB 2.1845 5/11/2018 1.7967 Added 11640 54569024306 CHLORPHENIRAMINE 4 MG TABLET 0.0070 5/11/2018 0.0049 Added 11640 54569024307 CHLORPHENIRAMINE 4 MG TABLET 0.0069 5/11/2018 0.0049 Added 48493 54569105500 PROMETHAZINE DM SYRUP 0.0090 5/11/2018 0.0102 Added 7669 54569108600 SILVADENE 1% CREAM 0.1086 5/11/2018 0.1796 Added 5349 54569193600 EUCERIN CREME 0.0129 5/11/2018 0.0271 Added 9416 54569250903 ISONIAZID 300 MG TABLET 0.2326 5/11/2018 0.1570 Added 4681 54569257300 CYCLOBENZAPRINE 10 MG TABLET 0.2493 5/11/2018 0.0271 Added 4681 54569257301 CYCLOBENZAPRINE 10 MG TABLET 0.2493 5/11/2018 0.0271 Added 4681 54569257302 CYCLOBENZAPRINE 10 MG TABLET 0.2493 5/11/2018 0.0271 Added 4681 54569257303 CYCLOBENZAPRINE 10 MG TABLET 0.2493 5/11/2018 0.0271 Added 4681 54569257304 CYCLOBENZAPRINE 10 MG TABLET 0.2493 5/11/2018 0.0271 Added 4681 54569257306 CYCLOBENZAPRINE 10 MG TABLET 0.2493 5/11/2018 0.0271 Added 4681 54569257307 CYCLOBENZAPRINE 10 MG TABLET 0.2493 5/11/2018 0.0271 Added 4681 54569257308 CYCLOBENZAPRINE 10 MG TABLET 0.2493 5/11/2018 0.0271 Added 4681 54569257309 CYCLOBENZAPRINE 10 MG TABLET 0.2493 5/11/2018 0.0271 Added 7866 54569278400 ATROPINE 1% EYE DROPS 0.5719 5/11/2018 2.2410 Added 4681 54569319301 CYCLOBENZAPRINE 10 MG TABLET 0.2493 5/11/2018 0.0271 Added 4681 54569319308 CYCLOBENZAPRINE 10 MG TABLET 0.2493 5/11/2018 0.0271 Added 37902 54569392700 VIVOTIF EC CAPSULE 3.6308 5/11/2018 8.1100 Added 1185 54569405700 SODIUM BICARB 8.4% VIAL 0.0525 5/11/2018 0.1163 Added

3780 54569511600 MIDAZOLAM HCL 5 MG/ML VIAL 0.1858 5/11/2018 0.2114 Price Change 3780 54569511601 MIDAZOLAM HCL 5 MG/ML VIAL 0.1858 5/11/2018 0.2114 Price Change 4681 54569518400 CYCLOBENZAPRINE 10 MG TABLET 0.2493 5/11/2018 0.0271 Added 30623 54569524001 HYDROCODONE ACETAMIN 10 325 MG 0.2393 5/11/2018 0.1779 Added 33530 54569548200 OMEPRAZOLE DR 20 MG CAPSULE 0.8202 5/11/2018 0.0565 Added 33530 54569548202 OMEPRAZOLE DR 20 MG CAPSULE 0.8202 5/11/2018 0.0565 Added 33530 54569548204 OMEPRAZOLE DR 20 MG CAPSULE 0.8202 5/11/2018 0.0565 Added 33530 54569548205 OMEPRAZOLE DR 20 MG CAPSULE 0.8202 5/11/2018 0.0565 Added 33530 54569548206 OMEPRAZOLE DR 20 MG CAPSULE 0.8202 5/11/2018 0.0565 Added 47430 54569552300 HYDROCODONE ACETAMIN 5 325 MG 0.2022 5/11/2018 0.2465 Price Change 47430 54569552307 HYDROCODONE ACETAMIN 5 325 MG 0.2022 5/11/2018 0.2465 Price Change 6653 54569565400 LEVOTHYROXINE 125 MCG TABLET 0.1133 5/11/2018 0.5408 Added 6653 54569565401 LEVOTHYROXINE 0.125 MG TABLET 0.1133 5/11/2018 0.5408 Added 53007 54569596901 BUPROPION HCL XL 300 MG TABLET 0.8789 5/11/2018 0.8100 Added 35495 54569620300 LIDOCAINE PRILOCAINE CREAM 0.4764 5/11/2018 1.0502 Added 51583 54738098130 GUAIFENESIN 400 MG CAPLET 0.0240 5/11/2018 0.0240 Price Change 60356 55700034930 MORPHINE SULFATE ER 20 MG CAP 0.8886 5/11/2018 New Add Newly Added NDC 46238 55700048760 BUPROPION HCL SR 150 MG TABLET 0.2875 5/11/2018 New Add Newly Added NDC 29968 55700054830 ATORVASTATIN 20 MG TABLET 0.6871 5/11/2018 New Add Newly Added NDC 41567 55700055890 LISINOPRIL 30 MG TABLET 0.2369 5/11/2018 New Add Newly Added NDC 21413 55700058401 GABAPENTIN 100 MG CAPSULE 0.0993 5/11/2018 New Add Newly Added NDC 21413 55700058430 GABAPENTIN 100 MG CAPSULE 0.0993 5/11/2018 New Add Newly Added NDC 21413 55700058460 GABAPENTIN 100 MG CAPSULE 0.0993 5/11/2018 New Add Newly Added NDC 21413 55700058490 GABAPENTIN 100 MG CAPSULE 0.0993 5/11/2018 New Add Newly Added NDC 1776 55700058530 GLIPIZIDE 10 MG TABLET 0.1094 5/11/2018 New Add Newly Added NDC 8214 55700058630 CHLORTHALIDONE 50 MG TABLET 0.2530 5/11/2018 New Add Newly Added NDC 6818 55700058730 SPIRONOLACTONE 50 MG TABLET 0.1404 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 47.5069 5/11/2018 New Add Newly Added NDC 75048 59148008728 JYNARQUE 45 MG 15 MG TABLET 47.5069 5/11/2018 47.5069 Price Change 75049 59148008807 JYNARQUE 60 MG 30 MG TABLET 47.5069 5/11/2018 New Add Newly Added NDC 75049 59148008828 JYNARQUE 60 MG 30 MG TABLET 47.5069 5/11/2018 47.5069 Price Change 75047 59148008907 JYNARQUE 90 MG 30 MG TABLET 47.5069 5/11/2018 New Add Newly Added NDC 75047 59148008928 JYNARQUE 90 MG 30 MG TABLET 47.5069 5/11/2018 47.5069 Price Change 24417 60687036211 LAMIVUDINE 150 MG TABLET 1.9413 5/11/2018 4.0833 Price Change 24417 60687036221 LAMIVUDINE 150 MG TABLET 1.9413 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 3.8351 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 2.8747 5/11/2018 3.7920 Price Change 65286 63323020341 VANCOMYCIN HCL 750 MG VIAL 2.8747 5/11/2018 3.7920 Price Change 8205 63323028001 FUROSEMIDE 20 MG/2 ML VIAL 0.7906 5/13/2018 New Add Newly Added NDC 8205 63323028003 FUROSEMIDE 40 MG/4 ML VIAL 0.7906 5/13/2018 New Add Newly Added NDC 8205 63323028005 FUROSEMIDE 100 MG/10 ML VIAL 0.7906 5/13/2018 New Add Newly Added NDC 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 New Add Newly Added NDC 9537 66689000816 NYSTATIN 100,000 UNIT/ML SUSP 0.0206 5/11/2018 0.0484 Price Change 3026 66689005301 MILK OF MAGNESIA SUSPENSION 0.0111 5/11/2018 New Add Newly Added NDC 3026 66689005399 MILK OF MAGNESIA SUSPENSION 0.0111 5/11/2018 New Add Newly Added NDC 77810 67157010150 ASCOR 25,000 MG/50 ML BULK VL 0.2805 5/11/2018 0.2805 Price Change 77810 67157010151 ASCOR 25,000 MG/50 ML BULK VL 0.2805 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 7.9668 5/11/2018 New Add Newly Added NDC 49606 68382092386 ELETRIPTAN HBR 40 MG TABLET 7.9668 5/11/2018 New Add Newly Added NDC 1777 68645057454 GLIPIZIDE 5 MG TABLET 0.0702 5/11/2018 New Add Newly Added NDC 1776 68645057559 GLIPIZIDE 10 MG TABLET 0.1094 5/11/2018 New Add Newly Added NDC 61267 68682002150 METFORMIN HCL ER 500 MG TABLET 13.5419 5/11/2018 27.7961 Price Change 46236 69097091707 BUPROPION HCL 75 MG TABLET 0.2083 5/11/2018 0.3209 Price Change 46237 69097091807 BUPROPION HCL 100 MG TABLET 0.2397 5/11/2018 0.4281 Price Change 7284 69315030615 NYSTATIN 100,000 UNIT/GM POWD 0.3698 5/11/2018 0.7760 Price Change 7284 69315030630 NYSTATIN 100,000 UNIT/GM POWD 0.3698 5/11/2018 0.7762 Price Change 7284 69315030660 NYSTATIN 100,000 UNIT/GM POWD 0.3698 5/11/2018 0.6930 Price Change 7547 69396000320 HYDROCORTISONE 1% OINTMENT 0.0418 5/11/2018 0.0551 Price Change 46063 69499033605 NORTRIPTYLINE 10 MG/5 ML SOLN 1.2762 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 0.1097 5/11/2018 0.2193 Price Change 62053 70069002101 DEXAMETHASONE 10 MG/ML VIAL 0.8858 5/11/2018 1.0626 Price Change 62053 70069002125 DEXAMETHASONE 10 MG/ML VIAL 0.8858 5/11/2018 1.0626 Price Change 22393 70319002603 SELECT UNDERWEAR EXTRA SMALL 0.2123 5/11/2018 0.3825 Added 22393 70319002604 SELECT UNDERWEAR SMALL 0.2123 5/11/2018 0.4173 Added 19549 70393021020 CARETOUCH GLUCOSE MONITOR SYS 4.0800 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 116.6200 5/11/2018 New Add Newly Added NDC 23512 70457989802 LIOTHYRONINE SODIUM POWDER 116.6200 5/11/2018 New Add Newly Added NDC 23660 70457994001 TETRACAINE POWDER 1.4280 5/11/2018 New Add Newly Added NDC 23660 70457994002 TETRACAINE POWDER 1.4280 5/11/2018 New Add Newly Added NDC 23660 70457994003 TETRACAINE POWDER 1.4280 5/11/2018 New Add Newly Added NDC 23660 70457994004 TETRACAINE POWDER 1.4280 5/11/2018 New Add Newly Added NDC 63020 70645012326 ZINGO 0.5 MG INTRADERMAL SYSTM 25.3283 5/11/2018 New Add Newly Added NDC 19964 70677004101 SM SENNA LAXATIVE 8.6 MG TAB 0.0198 5/11/2018 0.0151 Price Change 53076 70700011787 INTROVALE 0.15 0.03 MG TABLET 0.3973 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 0.0476 5/11/2018 New Add Newly Added NDC 65738 71019014617 ROPIVACAINE 0.1% NS ON Q PUMP 0.0465 5/11/2018 New Add Newly Added NDC 68832 71019014811 ROPIVACAINE 0.2% NS ON Q PUMP 0.0732 5/11/2018 New Add Newly Added NDC 65819 71019014829 ROPIVACAINE 0.2% NS ON Q PUMP 0.0608 5/11/2018 New Add Newly Added NDC 75128 71019014840 ROPIVACAINE HCL 0.2% ON Q PUMP 0.0556 5/11/2018 New Add Newly Added NDC 65715 71019014854 ROPIVACAINE 0.2% NS ON Q PUMP 0.0705 5/11/2018 New Add Newly Added NDC 68833 71019014858 ROPIVACAINE 0.2% NS ON Q PUMP 0.0754 5/11/2018 New Add Newly Added NDC 66170 71019014863 ROPIVACAINE 0.2% NS ON Q PUMP 0.0685 5/11/2018 New Add Newly Added NDC 65693 71019014866 ROPIVACAINE 0.2% NS ON Q PUMP 0.0754 5/11/2018 New Add Newly Added NDC 65693 71019014867 ROPIVACAINE 0.2% NS ON Q PUMP 0.0685 5/11/2018 New Add Newly Added NDC 66616 71019014871 ROPIVACAINE 0.2% NS ON Q PUMP 0.0679 5/11/2018 New Add Newly Added NDC 67508 71019014873 ROPIVACAINE 0.2% NS ON Q PUMP 0.0667 5/11/2018 New Add Newly Added NDC 68250 71019014875 ROPIVACAINE 0.2% NS ON Q PUMP 0.0660 5/11/2018 New Add Newly Added NDC 68250 71019014876 ROPIVACAINE 0.2% NS ON Q PUMP 0.0717 5/11/2018 New Add Newly Added NDC 66741 71019014877 ROPIVACAINE 0.2% NS ON Q PUMP 0.0660 5/11/2018 New Add Newly Added NDC 66741 71019014878 ROPIVACAINE 0.2% NS ON Q PUMP 0.0721 5/11/2018 New Add Newly Added NDC 77573 71019016601 LIDOCAINE 5 MG/ML 0.9% NACL 0.7633 5/11/2018 New Add Newly Added NDC 65157 71019016704 LIDOCAINE 10 MG/ML (1%) NS SYR 0.7259 5/11/2018 New Add Newly Added NDC 65157 71019016707 LIDOCAINE 1% 0.9% NACL SYRINGE 0.6800 5/11/2018 New Add Newly Added NDC 65331 71019016710 LIDOCAINE 100MG/10ML 0.9% NACL 0.0860 5/11/2018 New Add Newly Added NDC 67904 71019017008 LIDOCAINE HCL 30 MG/3 ML SYR 0.2312 5/11/2018 New Add Newly Added NDC 77623 71019017011 LIDOCAINE HCL 50 MG/5 ML SYRNG 0.1401 5/11/2018 New Add Newly Added NDC 68790 71019017014 LIDOCAINE 200 MG/20 ML(1%) SYR 0.0784 5/11/2018 New Add Newly Added NDC 67803 71019017202 LIDOCAINE 100 MG/5 ML (2%) SYR 0.1343 5/11/2018 New Add Newly Added NDC

67631 71019017302 LIDOCAINE 40 MG/2 ML (2%) SYRG 0.3995 5/11/2018 New Add Newly Added NDC 67805 71019017316 LIDOCAINE 100 MG/5 ML (2%) SYR 0.1578 5/11/2018 New Add Newly Added NDC 67803 71019017319 LIDOCAINE 100 MG/5 ML (2%) SYR 0.1442 5/11/2018 New Add Newly Added NDC 67492 71019017322 LIDOCAINE 200 MG/10 ML(2%) SYR 0.1346 5/11/2018 New Add Newly Added NDC 77636 71019017325 LIDOCAINE 400MG/20ML (2%) SYR 0.1784 5/11/2018 New Add Newly Added NDC 77701 71019017326 LIDOCAINE 400 MG/20 ML(2%) SYR 0.1479 5/11/2018 New Add Newly Added NDC 62939 71019020002 MAGNESIUM 6 GM/50 ML 0.9% NACL 0.0230 5/11/2018 New Add Newly Added NDC 65223 71019022002 NOREPINEPHR 4 MG/250 0.9% NACL 0.0229 5/11/2018 New Add Newly Added NDC 66419 71019022201 NOREPINEPHR 8 MG/250 0.9% NACL 0.0274 5/11/2018 New Add Newly Added NDC 67965 71019032303 ROPIVACAINE 0.1% 0.9% NACL 0.0358 5/11/2018 New Add Newly Added NDC 59463 71019032307 ROPIVACAINE 0.1% 0.9% NACL BAG 0.0347 5/11/2018 New Add Newly Added NDC 59463 71019032312 ROPIVACAINE 0.1% 0.9% NACL BAG 0.0363 5/11/2018 New Add Newly Added NDC 70011 71019032502 ROPIVACAINE 0.15% 0.9% NACL 0.0663 5/11/2018 New Add Newly Added NDC 59464 71019032503 ROPIVACAINE 0.15% 0.9% NACL 0.0642 5/11/2018 New Add Newly Added NDC 59464 71019032504 ROPIVACAINE 0.15% 0.9% NACL 0.0429 5/11/2018 New Add Newly Added NDC 77599 71019032602 ROPIVACAINE 0.2% 0.9% NACL 0.0678 5/11/2018 New Add Newly Added NDC 59465 71019032613 ROPIVACAINE 0.2% 0.9% NACL BAG 0.0700 5/11/2018 New Add Newly Added NDC 59465 71019032617 ROPIVACAINE 0.2% 0.9% NACL BAG 0.0700 5/11/2018 New Add Newly Added NDC 64803 71019032635 ROPIVACAINE 0.2% 0.9% NACL SYR 0.1537 5/11/2018 New Add Newly Added NDC 68703 71019032702 ROPIVACAINE 0.2% 0.9% NACL SYR 0.1314 5/11/2018 New Add Newly Added NDC 65399 71019032703 ROPIVACAINE 0.2% SYRINGE 0.1017 5/11/2018 New Add Newly Added NDC 69362 71019032704 ROPIVACAINE 0.2% 0.9% NACL SYR 0.0751 5/11/2018 New Add Newly Added NDC 59466 71019032806 ROPIVACAINE 0.25% 0.9% NACL 0.0766 5/11/2018 New Add Newly Added NDC 59468 71019033105 ROPIVACAINE 0.5% BAG 0.1561 5/11/2018 New Add Newly Added NDC 64804 71019033111 ROPIVACAINE 50 MG/10 ML SYRNG 0.1877 5/11/2018 New Add Newly Added NDC 76638 71019033114 ROPIVACAINE HCL 0.5% SYRINGE 0.1945 5/11/2018 New Add Newly Added NDC 66733 71019034701 ROPIVACAINE 0.2% NS AUTOFUSER 0.0672 5/11/2018 New Add Newly Added NDC 70268 71800063104 LIDOCAINE TETRACAINE 7% 7% CRM 4.0213 5/11/2018 New Add Newly Added NDC 70268 71800063108 LIDOCAINE TETRACAINE 7% 7% CRM 1.0053 5/11/2018 New Add Newly Added NDC 4773 71914016204 BELLADONNA PHENOBARBITAL ELIXR 0.5440 5/11/2018 New Add Newly Added NDC 4773 71914016216 BELLADONNA PHENOBARBITAL ELIXR 0.5440 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 1.3151 5/11/2018 1.3151 Price Change 46206 76282062810 CITALOPRAM HBR 10 MG TABLET 0.4244 5/11/2018 1.0440 Price Change 46203 76282062910 CITALOPRAM HBR 20 MG TABLET 0.4310 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 0.0039 5/11/2018 0.0049 Price Change 17181 96619069977 ALLERCLEAR D 12HR TABLET 0.3576 5/11/2018 0.3000 Price Change 71825 98302014177 COMFORT EZ PEN NEEDLES 5MM 33G 0.1783 5/11/2018 0.4470 Added 71828 98302014178 COMFORT EZ PEN NEEDLES 6MM 33G 0.1783 5/11/2018 0.4470 Added 71826 98302014179 COMFORT EZ PEN NEEDLES 8MM 33G 0.1783 5/11/2018 0.4470 Added 71824 98302014807 COMFORT EZ PEN NEEDLES 4MM 33G 0.3547 5/11/2018 0.3609 Added