GCN NDC Label Name MAC Price Effective Date Prev Price Reason DICYCLOMINE 20 MG/2 ML VIAL /23/2018 New Add Newly Added NDC

Similar documents
OXYCODON ACETAMINOPHEN /11/2018 New Add Newly Added NDC

PRSMEDDPRSMCC1 PRSMEDDPRSMPACE PRSMEDCPRSMPACE

HPMMCR MHPMICOMP MHPILCOMPB

MHPILMCD RXMCDP OXYCODON ACETAMINOPHEN /11/2018 New Add Newly Added NDC

Highlighted medications are NOT covered by Wal-Mart's Plan!!

Highlighted medications are NOT covered by Wal-Mart's Plan!!

SHORT DATED OFFERING SHEET (BY PRODUCT NAME) AS OF

Value-Priced Medication List

Value-Priced Medication List

PRESCRIPTION DRUG PROGRAM FORMULARY UPDATES Select Formulary July 1, 2018 Updates Formulary. Alternatives

PRESCRIPTION DRUG PROGRAM FORMULARY UPDATES Value Formulary July 1, 2018 Updates. Formulary. Alternatives

Current Effective Date

Value-Priced Medication List

Magellan Rx Medicare Basic (PDP) 2019 Formulary

Excellus BlueCross BlueShield Medicare Employer Group Plans

Medicare Blue Choice Optimum (HMO-POS) Medicare Blue Choice Select (HMO-POS) Medicare Blue Choice Value (HMO) Medicare Blue Choice Value Plus (HMO)

Ontario Drug Benefit Formulary/Comparative Drug Index

ABC DEC TPR END 3FT

ABC FEB TPR END 4FT

AFFINITY MEDICARE. Passport Essentials (HMO) Passport Essentials NYC (HMO) Solutions (HMO-SNP) Ultimate (HMO-SNP)

PNEC Calculated from Chronic Data. 5-fluorouracil Vestel et al abiraterone acetate Vestel et al. 2016

PUBLIC PROCUREMENT AUTHORITY

PUBLIC PROCUREMENT AUTHORITY UPDATE OF PRICES FOR COMMON USER ITEMS

PUBLIC PROCUREMENT AUTHORITY

Product Selection Committee / Comité de sélection des produits

Compendium of Notified Ceiling Prices NLEM 2011

The innovative Swiss pharmaceutical company. Olfen TM. Flexibility in treatment of pain

HPLC&LC-MS/MS 用試薬キット対応一覧表 - ( 株 ) エスエイエス ( )

Emblem Medicaid 4Q18 Formulary Updates

HEALTH, BEAUTY & WELLNESS SAVINGS. Summer PROMOTION FEATURING NEW PRODUCTS

Doxepin (sinequan) 10 Mg Capsule

DRUS OPEN TENDER PRICE BID -127 ITEMS

Canadian Pharmaceutical Corporation Products

ALL PAGES OF THE ORDER FORM HAVE TO BE FAXED SPECIAL NOTICES

Release Document for ChartMaker 2016 (fv6.1.4) Last Updated: 04/19/2016

2017 Formulary Annual Notice of Change

UPDATE AC Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective December 15, 2011 SUMMARY OF CHANGES

EnvisionRxPlus (PDP) 2017 Comprehensive Formulary. (List of Covered Drugs)

DESCRIPTION FORMULA UNIT PACK

The electronic Medicines Compendium ( emc )

UPDATE AQ Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective February 28, 2013 SUMMARY OF CHANGES

U.S. PHARMACEUTICAL APPLICATION

Pharmaceutics Laboratory PHM188P, Spring 2017 Syllabus/First Day Handout

Release Document for ChartMaker 2016 (fv6.1.4) Last Updated: 04/19/2016

PUBLIC PROCUREMENT AUTHORITY

Prescription Pharmaceuticals DETAIL & PRICES AVAILABLE UPON REQUEST. All Available Products, Details & Prices Available Upon Enquiry GENERICS

5 % OFF. Featured Categories: HEALTH, BEAUTY & WELLNESS SAVINGS DECEMBER 2018 BATTERIES. Smoking Deterrents, Weight Control & Batteries

2016 Formulary Annual Notice of Change. Medicare Advantage Plans (MAPD)

UPDATE AZ Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective October 31, 2013 SUMMARY OF CHANGES

UPDATE AX Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective August 29, 2013 SUMMARY OF CHANGES

Practice Partner EMR. Pre-Load/Scanning. Pre-Load and Scanning Manual HealthPoint Medical Group and Practice Partner System

2006 IEHK BASIC UNIT ( 1 complete IEHK = 10 Basic unit)

HBW. 5 % off PROFIT OPPORTUNITIES. Offers valid May 1-31, Health, Beauty & Wellness

PRINCE EDWARD ISLAND DRUG PROGRAMS INTERCHANGEABLE/MAXIMUM ALLOWABLE COST LIST. EFFECTIVE DATE January 18, 2010

HBW. 5 % off NEW ITEM. 3 % off PROFIT OPPORTUNITIES. Offers valid April 1-30, Health, Be auty & Welln ess

ANNUAL REQUIREMENT OF MEDICINES FOR THE YEAR

UPDATE AH Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective May 29, 2012 SUMMARY OF CHANGES

UPDATE AY Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective September 27, 2013 SUMMARY OF CHANGES

Creating a Methadone Mixture

PRINCE EDWARD ISLAND DRUG PROGRAMS INTERCHANGEABLE/MAXIMUM REIMBURSABLE PRICE LIST EFFECTIVE DATE APRIL 22, 2019

Piperacillin/Tazobactam. Ceftriaxone

Davidson County Emergency Services

ChartMaker Clinical Release Notes ChartMaker 2016 (fv6.2.2)

Davidson County Emergency Services

Multidophilus 24 $18.96

Borders Formulary Committee. Annual report 2012/13

4-Tier Drug Program. Preferred Drug List. Powered By:

UPDATE AL Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective 28 September, 2012 SUMMARY OF CHANGES

UPDATE AB Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective October 25, 2011 SUMMARY OF CHANGES

RPMS Pharmacy Informatics Drug File Optimization FileMan Report #2: Unit Fields and Available to erx Field

UPDATE AD Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective January 19, 2012 SUMMARY OF CHANGES

PEI PROVINCIAL INTERCHANGEABLE DRUG LIST

UPDATE AV Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective June 27, 2013 SUMMARY OF CHANGES

Davidson County Emergency Services

COVERAGE DETERMINATION REQUEST FORM

Limited availability products Immediate dispatch

English Scale A-20 persons MSN 1768

NB Drug Plans Formulary Update

SMS Text Messaging: A Ubiquitous Tool for Cheaper Medicine in the Philippines

FREE PRESCRIPTIONS * * $5 OFF THE STANDARD SUBSIDISED PRESCRIPTION CHARGE

Medtech32 WDHB SafeRx Update

AB BIODISK INTERNATIONAL PRODUCT LIST 2006

5.6 First Databank and Micromedex Cleanup Steps for Customers with PHA and RXM

Prices do not include imprint set-up or shipping. This presentation was produced from Total Awards & Promotions, Inc. 2009

UPDATE 12 Ontario Drug Benefit Formulary/Comparative Drug Index No. 40 Effective MAY 16, 2008 SUMMARY OF CHANGES

5 % OFF 8 % OFF. Featured Category: Digestive Health. Save Now! Sales effective November 1-30, 2018 HEALTH, BEAUTY & WELLNESS SAVINGS NOVEMBER 2018

B-100 Complex $16.49

Item # Pack Size Item Description Vendor Name NDC ALCOHOL PREP PADS STER MJR MAJOR-RUGBY LABORATORIES BABY MONITOR

Product Chart NONI JUICE CURCUMIN CAPSULES OMEGA 3 SOFTGELS CAPSULES FLAXSEED OMEGA 3 SOFTGELS CAPSULES MENS FORMULA CAPSULES JOINT SUPPORT CAPSULES

Hyaluronic Acid & MSM $24.69

- Monthly Messenger. Visit for our Online Catalog 35% Savings. Product number P Garcinia 1000 Mg $19.49.

Continuity of Care Document Redesign

Liaison Information Report (LIR) Healthcare & Public Heath Sector Pharmaceutical Industry

Product range. Oral.

URGENT: Hospira, Inc. Issues Voluntary Recall of Ketorolac Tromethamine Inj., USP

McDonald s Australia Beverages Allergen - Ingredients - Nutrition Information

Codonics Safe Label System Administration Tool Software

Quick Reference Guide for the i-stat 1 Handheld and i-stat Chemistry Cartridges

OperationManual. for the. Pharm-AssistDispensing Pump

- Monthly Messenger. Visit for our Online Catalog. 40% Savings. Product number P Hyaluronic Acid & MSM $24.69.

Transcription:

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 New Add Newly Added NDC 46315 904636461 DIVALPROEX SOD ER 500 MG TAB 0.5773 2/23/2018 New Add Newly Added NDC 50622 8396900100 CLICKFINE 31G X 1/4" NEEDLES 0.0570 2/23/2018 0.0416 Price Change 49240 8396900200 CLICKFINE 31G X 5/16" NEEDLES 0.0635 2/23/2018 0.0541 Price Change 66308 8396900700 CLICKFINE PEN NEEDLE 32GX5/32" 0.0539 2/23/2018 0.0393 Price Change 15568 10147075005 KETOCONAZOLE 2% SHAMPOO 0.0333 2/25/2018 New Add Newly Added NDC 70867 10370034611 MEMANTINE HCL ER 7 MG CAPSULE 2.2919 2/25/2018 New Add Newly Added NDC 70868 10370034709 MEMANTINE HCL ER 14 MG CAPSULE 2.2919 2/25/2018 New Add Newly Added NDC 70868 10370034711 MEMANTINE HCL ER 14 MG CAPSULE 2.2919 2/25/2018 New Add Newly Added NDC 70869 10370034811 MEMANTINE HCL ER 21 MG CAPSULE 2.2919 2/25/2018 New Add Newly Added NDC 70870 10370034909 MEMANTINE HCL ER 28 MG CAPSULE 2.2919 2/25/2018 New Add Newly Added NDC 70870 10370034911 MEMANTINE HCL ER 28 MG CAPSULE 2.2919 2/25/2018 New Add Newly Added NDC 8338 10702001601 INDOMETHACIN ER 75 MG CAPSULE 0.1721 2/23/2018 0.7262 Price Change 8338 10702001606 INDOMETHACIN ER 75 MG CAPSULE 0.1721 2/23/2018 0.7262 Price Change 8338 10702001650 INDOMETHACIN ER 75 MG CAPSULE 0.1707 2/23/2018 0.7262 Price Change 7694 10939083744 SM TRIPLE ANTIBIOTIC OINTMENT 0.0640 2/23/2018 0.0193 Price Change 21734 11822056557 RA ANTIFUNGAL NAIL PEN 25% 0.0574 2/23/2018 New Add Newly Added NDC 66539 13668038630 OLMSRTN AMLDPN HCTZ 40 5 12.5 3.3456 2/23/2018 0.9173 Price Change 66539 13668038690 OLMSRTN AMLDPN HCTZ 40 5 12.5 3.3456 2/23/2018 0.9172 Price Change 66538 13668039730 OLMSRTN AMLDPN HCTZ 20 5 12.5 2.6488 2/23/2018 0.7262 Price Change 66538 13668039790 OLMSRTN AMLDPN HCTZ 20 5 12.5 2.6488 2/23/2018 0.7262 Price Change 40526 15455952801 AGONEAZE 2.5% 2.5% CREAM DRESS 12.7199 2/23/2018 5.9208 Price Change 58934 16714071701 ENTECAVIR 0.5 MG TABLET 9.3910 2/23/2018 4.3725 Price Change 58935 16714071801 ENTECAVIR 1 MG TABLET 6.5469 2/23/2018 4.4650 Price Change 43136 16714074601 OMEPRAZOLE DR 10 MG CAPSULE 0.3772 2/23/2018 0.1838 Price Change 33530 16714074701 OMEPRAZOLE DR 20 MG CAPSULE 0.2689 2/23/2018 0.1261 Price Change 33530 16714074702 OMEPRAZOLE DR 20 MG CAPSULE 0.2689 2/23/2018 0.0837 Price Change 33530 16714074703 OMEPRAZOLE DR 20 MG CAPSULE 0.2689 2/23/2018 0.0628 Price Change 43137 16714074801 OMEPRAZOLE DR 40 MG CAPSULE 0.4298 2/23/2018 0.1329 Price Change 43137 16714074802 OMEPRAZOLE DR 40 MG CAPSULE 0.4298 2/23/2018 0.1029 Price Change 43137 16714074804 OMEPRAZOLE DR 40 MG CAPSULE 0.4298 2/23/2018 0.0745 Price Change 73092 16729031063 PARICALCITOL 2 MCG/ML VIAL 2.5049 2/23/2018 0.7560 Price Change 3623 24201001020 PENTOBARBITAL 1,000 MG/20 ML 31.5294 2/23/2018 10.8923 Price Change 3623 24201001050 PENTOBARBITAL 2,500 MG/50 ML 31.5294 2/23/2018 8.1252 Price Change 7986 24208029505 TOBRAMYCIN DEXAMETH OPHTH SUSP 18.5895 2/23/2018 17.0550 Price Change 7986 24208029510 TOBRAMYCIN DEXAMETH OPHTH SUSP 18.5860 2/23/2018 17.0510 Price Change 7986 24208029525 TOBRAMYCIN DEXAMETH OPHTH SUSP 18.5438 2/23/2018 17.0110 Price Change 66750 25021024501 DOCETAXEL 20 MG/ML VIAL 37.9026 2/23/2018 4.5000 Price Change 66751 25021024504 DOCETAXEL 80 MG/4 ML VIAL 38.2109 2/23/2018 3.8250 Price Change 48489 27808006502 PROMETHAZINE CODEINE SYRUP 0.0075 2/25/2018 New Add Newly Added NDC 52944 27808015501 ROSUVASTATIN CALCIUM 5 MG TAB 0.0261 2/25/2018 New Add Newly Added NDC 51784 27808015601 ROSUVASTATIN CALCIUM 10 MG TAB 0.0261 2/25/2018 New Add Newly Added NDC 51785 27808015701 ROSUVASTATIN CALCIUM 20 MG TAB 0.0261 2/25/2018 New Add Newly Added NDC 51786 27808015801 ROSUVASTATIN CALCIUM 40 MG TAB 0.0392 2/25/2018 New Add Newly Added NDC 2394 29135012102 ENDUR ACIN ER 250 MG TABLET 0.0109 2/25/2018 New Add Newly Added NDC 2394 29135012105 ENDUR ACIN ER 250 MG TABLET 0.0086 2/25/2018 New Add Newly Added NDC 2394 29135012110 ENDUR ACIN ER 250 MG TABLET 0.0087 2/25/2018 New Add Newly Added NDC 2163 29135014302 ENDUR C ROSE HIPS SR 500 MG TB 0.0108 2/25/2018 New Add Newly Added NDC 2163 29135014305 ENDUR C ROSE HIPS SR 500 MG TB 0.0071 2/25/2018 New Add Newly Added NDC 2161 29135014403 ENDUR C ROSE HIPS SR 1,000 MG 0.0132 2/25/2018 New Add Newly Added NDC 2161 29135014415 ENDUR C ROSE HIPS SR 1,000 MG 0.0180 2/25/2018 New Add Newly Added NDC 2395 29135015802 ENDUR ACIN ER 500 MG TABLET 0.0153 2/25/2018 New Add Newly Added NDC 2395 29135015805 ENDUR ACIN ER 500 MG TABLET 0.0127 2/25/2018 New Add Newly Added NDC 2395 29135015810 ENDUR ACIN ER 500 MG TABLET 0.0122 2/25/2018 New Add Newly Added NDC 2396 29135016102 ENDUR ACIN ER 750 MG TABLET 0.0221 2/25/2018 New Add Newly Added NDC 2396 29135016105 ENDUR ACIN ER 750 MG TABLET 0.0183 2/25/2018 New Add Newly Added NDC

2389 29135016807 PLAIN NIACIN 250 MG TABLET 0.0054 2/25/2018 New Add Newly Added NDC 2391 29135017006 PLAIN NIACIN 500 MG TABLET 0.0093 2/25/2018 New Add Newly Added NDC 2391 29135017013 PLAIN NIACIN 500 MG TABLET 0.0097 2/23/2018 0.0053 Price Change 77753 29135017302 PANTETHINE SR 300 MG TABLET 0.0572 2/25/2018 New Add Newly Added NDC 77753 29135017390 PANTETHINE SR 300 MG TABLET 0.0535 2/25/2018 New Add Newly Added NDC 77770 29135018615 RESVERATROL 100 MG TABLET 0.0411 2/25/2018 New Add Newly Added NDC 77752 29135018720 CHOLINE SR 300 MG TABLET 0.0158 2/25/2018 New Add Newly Added NDC 48843 31722053530 TENOFOVIR DISOP FUM 300 MG TB 4.8697 2/23/2018 0.9008 Price Change 46205 31722056424 CITALOPRAM HBR 10 MG/5 ML SOLN 0.0887 2/23/2018 0.0636 Price Change 13726 36000028706 FLUCONAZOLE NACL 200 MG/100 ML 6.7135 2/23/2018 3.5965 Price Change 15331 36000028806 FLUCONAZOLE NACL 400 MG/200 ML 4.6911 2/23/2018 3.5965 Price Change 8353 42195047101 FENOPROFEN 600 MG TABLET 0.5160 2/25/2018 New Add Newly Added NDC 16308 42291084919 UREA 40% CREAM 0.1103 2/23/2018 0.1044 Price Change 16308 42291084928 UREA 40% CREAM 0.1103 2/23/2018 0.3878 Price Change 16308 42291084985 UREA 40% CREAM 0.1103 2/23/2018 0.2207 Price Change 27546 43063072590 TAMSULOSIN HCL 0.4 MG CAPSULE 0.0508 2/25/2018 New Add Newly Added NDC 4736 43063080401 MECLIZINE 25 MG TABLET CHEW 0.0357 2/23/2018 0.0191 Price Change 6816 43063083530 SPIRONOLACTONE 100 MG TABLET 0.0864 2/25/2018 New Add Newly Added NDC 46047 43063083630 AMITRIPTYLINE HCL 50 MG TAB 0.1038 2/25/2018 New Add Newly Added NDC 63885 44183085009 SUMATRIPTAN NAPROXEN 85 500 MG 14.5476 2/23/2018 14.0800 Price Change 75966 44567081110 ESMOLOL WATER 2,500 MG/250 ML 0.2196 2/23/2018 New Add Newly Added NDC 75967 44567081210 ESMOLOL WATER 2,000 MG/100 ML 0.6119 2/23/2018 New Add Newly Added NDC 16675 46122036126 CHILD''S ALLERGY 12.5 MG/5 ML 0.0037 2/23/2018 0.0049 Price Change 47525 46122039704 ESOMEPRAZOLE MAG DR 20 MG CAP 1.0133 2/23/2018 0.0768 Price Change 71885 46122041660 MUCUS ER 600 MG TABLET 0.0822 2/23/2018 0.0941 Price Change 4489 47682014599 ACETAMINOPHEN 325 MG TABLET 0.0100 2/23/2018 0.0047 Price Change 40262 47781057072 LIDOCAINE 4% CREAM 0.1838 2/23/2018 0.1920 Price Change 51246 50268028211 DUTASTERIDE 0.5 MG CAPSULE 0.3179 2/23/2018 New Add Newly Added NDC 51246 50268028213 DUTASTERIDE 0.5 MG CAPSULE 0.3179 2/23/2018 New Add Newly Added NDC 9428 50268062411 NITROFURANTOIN MCR 100 MG CAP 1.0676 2/23/2018 0.5168 Price Change 9428 50268062415 NITROFURANTOIN MCR 100 MG CAP 1.0676 2/23/2018 0.5168 Price Change 5123 50268070011 PROPRANOLOL 10 MG TABLET 0.0818 2/25/2018 New Add Newly Added NDC 5123 50268070015 PROPRANOLOL 10 MG TABLET 0.0818 2/25/2018 New Add Newly Added NDC 5124 50268070111 PROPRANOLOL 20 MG TABLET 0.0911 2/25/2018 New Add Newly Added NDC 5124 50268070115 PROPRANOLOL 20 MG TABLET 0.0911 2/25/2018 New Add Newly Added NDC 5125 50268070211 PROPRANOLOL 40 MG TABLET 0.0978 2/25/2018 New Add Newly Added NDC 5125 50268070215 PROPRANOLOL 40 MG TABLET 0.0978 2/25/2018 New Add Newly Added NDC 27546 50268074011 TAMSULOSIN HCL 0.4 MG CAPSULE 0.3169 2/23/2018 0.0669 Price Change 27546 50268074015 TAMSULOSIN HCL 0.4 MG CAPSULE 0.3169 2/23/2018 0.0669 Price Change 60622 50428030748 CVS CHILDREN''S COLD COUGH LIQ 0.0061 2/25/2018 New Add Newly Added NDC 2342 50428048156 VITAMIN B 12 TR 1,000 MCG TAB 0.0122 2/25/2018 New Add Newly Added NDC 73300 50428050841 CVS FLUTICASONE PROP 50 MCG 0.1489 2/25/2018 0.4169 Price Change 65315 50428053560 CVS SERIES 100 BP MONITOR 4.7715 2/25/2018 New Add Newly Added NDC 15881 51862031578 FENTANYL 50 MCG/HR PATCH 2.9765 2/25/2018 New Add Newly Added NDC 18275 52565008702 HYDROCORTISONE BUTYR 0.1% LOTN 1.2172 2/23/2018 1.2267 Price Change 18275 52565008704 HYDROCORTISONE BUTYR 0.1% LOTN 1.2172 2/23/2018 1.2076 Price Change 61415 53329008787 CURAD TRIPLE ANTIBIOTIC OINT 0.0187 2/25/2018 New Add Newly Added NDC 61415 53329008796 CURAD TRIPLE ANTIBIOTIC OINT 0.0187 2/25/2018 New Add Newly Added NDC 21401 54569537200 TIMOLOL 0.5% GEL SOLUTION 13.5474 2/23/2018 1.7550 Price Change 31430 55150019220 ADENOSINE 60 MG/20 ML VIAL 0.8087 2/23/2018 1.0800 Price Change 31430 55150019330 ADENOSINE 90 MG/30 ML VIAL 0.8087 2/23/2018 1.0725 Price Change 8349 55289014204 IBUPROFEN 600 MG TABLET 0.3514 2/25/2018 New Add Newly Added NDC 7669 59762013100 SILVER SULFADIAZINE 1% CREAM 0.0770 2/23/2018 0.1391 Price Change 7669 59762013102 SILVER SULFADIAZINE 1% CREAM 0.0770 2/23/2018 0.0544 Price Change 60622 59779036326 CVS CHILDREN''S COLD COUGH LIQ 0.0061 2/25/2018 New Add Newly Added NDC 14476 60429082435 LIDOCAINE 5% OINTMENT 0.0271 2/25/2018 New Add Newly Added NDC 40304 60429095228 BALSALAZIDE DISODIUM 750 MG CP 0.0568 2/25/2018 New Add Newly Added NDC 46086 60429096601 DOXEPIN 10 MG CAPSULE 0.0565 2/25/2018 New Add Newly Added NDC

46086 60429096610 DOXEPIN 10 MG CAPSULE 0.0550 2/25/2018 New Add Newly Added NDC 46089 60429096701 DOXEPIN 25 MG CAPSULE 0.0834 2/25/2018 New Add Newly Added NDC 46089 60429096710 DOXEPIN 25 MG CAPSULE 0.0823 2/25/2018 New Add Newly Added NDC 46090 60429096801 DOXEPIN 50 MG CAPSULE 0.1107 2/25/2018 New Add Newly Added NDC 46090 60429096810 DOXEPIN 50 MG CAPSULE 0.1093 2/25/2018 New Add Newly Added NDC 46091 60429096901 DOXEPIN 75 MG CAPSULE 0.1822 2/25/2018 New Add Newly Added NDC 46091 60429096910 DOXEPIN 75 MG CAPSULE 0.1810 2/25/2018 New Add Newly Added NDC 46087 60429097001 DOXEPIN 100 MG CAPSULE 0.1987 2/25/2018 New Add Newly Added NDC 46087 60429097010 DOXEPIN 100 MG CAPSULE 0.1974 2/25/2018 New Add Newly Added NDC 291 60429097101 PRAZOSIN 1 MG CAPSULE 0.0312 2/25/2018 New Add Newly Added NDC 291 60429097110 PRAZOSIN 1 MG CAPSULE 0.0301 2/25/2018 New Add Newly Added NDC 292 60429097201 PRAZOSIN 2 MG CAPSULE 0.0371 2/25/2018 New Add Newly Added NDC 292 60429097210 PRAZOSIN 2 MG CAPSULE 0.0359 2/25/2018 New Add Newly Added NDC 293 60429097301 PRAZOSIN 5 MG CAPSULE 0.0546 2/25/2018 New Add Newly Added NDC 293 60429097325 PRAZOSIN 5 MG CAPSULE 0.0540 2/25/2018 New Add Newly Added NDC 239 60429098401 DISOPYRAMIDE 100 MG CAPSULE 0.3321 2/25/2018 New Add Newly Added NDC 240 60429098501 DISOPYRAMIDE 150 MG CAPSULE 0.4154 2/25/2018 New Add Newly Added NDC 13648 60429098901 CLOZAPINE 25 MG TABLET 0.0480 2/25/2018 New Add Newly Added NDC 13649 60429099001 CLOZAPINE 100 MG TABLET 0.1105 2/25/2018 New Add Newly Added NDC 13649 60429099005 CLOZAPINE 100 MG TABLET 0.1105 2/25/2018 New Add Newly Added NDC 68086 60505611306 GEMCITABINE 200 MG/5.26 ML VL 0.3057 2/25/2018 New Add Newly Added NDC 68084 60505611400 GEMCITABINE 1 GRAM/26.3 ML VL 0.3055 2/25/2018 New Add Newly Added NDC 68085 60505611502 GEMCITABINE 2 GRAM/52.6 ML VL 0.3054 2/25/2018 New Add Newly Added NDC 21401 61314022505 TIMOLOL 0.5% GFS GEL SOLUTION 13.5474 2/23/2018 27.7628 Price Change 4000 62332001331 LITHIUM CARBONATE 150 MG CAP 0.0209 2/25/2018 New Add Newly Added NDC 4001 62332001431 LITHIUM CARBONATE 300 MG CAP 0.0152 2/25/2018 New Add Newly Added NDC 4001 62332001491 LITHIUM CARBONATE 300 MG CAP 0.0130 2/25/2018 New Add Newly Added NDC 4002 62332001531 LITHIUM CARBONATE 600 MG CAP 0.0505 2/25/2018 New Add Newly Added NDC 17872 62332003731 LAMOTRIGINE 25 MG TABLET 0.0105 2/25/2018 New Add Newly Added NDC 17871 62332003831 LAMOTRIGINE 100 MG TABLET 0.0153 2/25/2018 New Add Newly Added NDC 22550 62332003960 LAMOTRIGINE 150 MG TABLET 0.0205 2/25/2018 New Add Newly Added NDC 22551 62332004060 LAMOTRIGINE 200 MG TABLET 0.0245 2/25/2018 New Add Newly Added NDC 9340 63187038121 CLINDAMYCIN HCL 300 MG CAPSULE 0.4187 2/23/2018 New Add Newly Added NDC 9043 63187059206 CEPHALEXIN 500 MG CAPSULE 0.2080 2/23/2018 New Add Newly Added NDC 3766 63187084606 DIAZEPAM 10 MG TABLET 0.0309 2/23/2018 New Add Newly Added NDC 33716 63187092120 FEXOFENADINE HCL 180 MG TABLET 0.2649 2/23/2018 New Add Newly Added NDC 48920 63187092230 LEVOCETIRIZINE 5 MG TABLET 0.3197 2/23/2018 New Add Newly Added NDC 17037 63187093230 CETIRIZINE HCL 10 MG TABLET 0.0888 2/23/2018 New Add Newly Added NDC 14476 63187093464 LIDOCAINE 5% OINTMENT 2.6124 2/23/2018 New Add Newly Added NDC 15943 63187093614 DOXYCYCLINE MONO 100 MG CAP 0.4941 2/23/2018 New Add Newly Added NDC 15943 63187093620 DOXYCYCLINE MONO 100 MG CAP 0.4941 2/23/2018 New Add Newly Added NDC 33716 63868014130 QC FEXOFENADINE HCL 180 MG TAB 0.0615 2/25/2018 New Add Newly Added NDC 652 63868086854 QC TUSSIN DM LIQUID 0.0020 2/25/2018 New Add Newly Added NDC 21186 64679005602 PIPERACIL TAZOBACT 3.375 GM VL 2.7096 2/25/2018 New Add Newly Added NDC 63663 64679072901 FOSPHENYTOIN 100 MG PE/2 ML VL 0.5766 2/23/2018 0.5875 Price Change 63664 64679073001 FOSPHENYTOIN 500 MG PE/10 ML 0.4256 2/23/2018 0.5875 Price Change 25750 64980025501 BUDESONIDE EC 3 MG CAPSULE 1.5510 2/25/2018 New Add Newly Added NDC 4929 64980043101 OXYBUTYNIN 5 MG TABLET 0.0911 2/23/2018 0.0925 Price Change 4929 64980043110 OXYBUTYNIN 5 MG TABLET 0.0911 2/23/2018 0.0656 Price Change 4929 64980043150 OXYBUTYNIN 5 MG TABLET 0.0911 2/23/2018 0.0925 Price Change 70867 65162078203 MEMANTINE HCL ER 7 MG CAPSULE 2.2895 2/25/2018 New Add Newly Added NDC 70868 65162078303 MEMANTINE HCL ER 14 MG CAPSULE 2.2895 2/25/2018 New Add Newly Added NDC 70868 65162078309 MEMANTINE HCL ER 14 MG CAPSULE 2.2895 2/25/2018 New Add Newly Added NDC 70869 65162078403 MEMANTINE HCL ER 21 MG CAPSULE 2.2895 2/25/2018 New Add Newly Added NDC 70870 65162078503 MEMANTINE HCL ER 28 MG CAPSULE 2.2895 2/25/2018 New Add Newly Added NDC 70870 65162078509 MEMANTINE HCL ER 28 MG CAPSULE 2.2895 2/25/2018 New Add Newly Added NDC 63885 65862092836 SUMATRIPTAN NAPROXEN 85 500 MG 14.5476 2/23/2018 15.0152 Price Change 12080 66689000901 IBUPROFEN 100 MG/5 ML SUSP 0.0272 2/23/2018 0.0207 Price Change

12080 66689000950 IBUPROFEN 100 MG/5 ML SUSP 0.0298 2/23/2018 0.0227 Price Change 57891 66993066260 DULOXETINE HCL DR 20 MG CAP 0.1223 2/23/2018 0.2936 Price Change 57892 66993066330 DULOXETINE HCL DR 30 MG CAP 0.1200 2/23/2018 0.2880 Price Change 57893 66993066430 DULOXETINE HCL DR 60 MG CAP 0.1961 2/23/2018 0.4706 Price Change 64809 67777021402 VITAMIN A AND D OINTMENT 0.0045 2/23/2018 0.0011 Price Change 9331 68001033861 VANCOMYCIN 500 MG VIAL 1.8326 2/23/2018 1.4472 Price Change 9331 68001033862 VANCOMYCIN 500 MG VIAL 1.8326 2/23/2018 1.4472 Price Change 9328 68001033963 VANCOMYCIN 1 GM VIAL 4.6557 2/23/2018 2.8872 Price Change 9328 68001033964 VANCOMYCIN 1 GM VIAL 4.6557 2/23/2018 2.8872 Price Change 59162 68001034128 OXALIPLATIN 50 MG/10 ML VIAL 2.7701 2/23/2018 0.9000 Price Change 59163 68001034129 OXALIPLATIN 100 MG/20 ML VIAL 3.0734 2/23/2018 0.9000 Price Change 59162 68001034136 OXALIPLATIN 50 MG/10 ML VIAL 2.7701 2/23/2018 0.9000 Price Change 59163 68001034137 OXALIPLATIN 100 MG/20 ML VIAL 3.0734 2/23/2018 0.9000 Price Change 70867 68180024606 MEMANTINE HCL ER 7 MG CAPSULE 2.2920 2/25/2018 New Add Newly Added NDC 70868 68180024706 MEMANTINE HCL ER 14 MG CAPSULE 2.2920 2/25/2018 New Add Newly Added NDC 70868 68180024709 MEMANTINE HCL ER 14 MG CAPSULE 2.2920 2/25/2018 New Add Newly Added NDC 70869 68180024806 MEMANTINE HCL ER 21 MG CAPSULE 2.2920 2/25/2018 New Add Newly Added NDC 70870 68180024902 MEMANTINE HCL ER 28 MG CAPSULE 2.2920 2/25/2018 New Add Newly Added NDC 70870 68180024906 MEMANTINE HCL ER 28 MG CAPSULE 2.2920 2/25/2018 New Add Newly Added NDC 70870 68180024909 MEMANTINE HCL ER 28 MG CAPSULE 2.2920 2/25/2018 New Add Newly Added NDC 67561 68180067801 OSELTAMIVIR 6 MG/ML SUSPENSION 0.3926 2/25/2018 New Add Newly Added NDC 41046 68382025501 OXYBUTYNIN CL ER 5 MG TABLET 0.1932 2/25/2018 New Add Newly Added NDC 41046 68382025505 OXYBUTYNIN CL ER 5 MG TABLET 0.1929 2/25/2018 New Add Newly Added NDC 41047 68382025601 OXYBUTYNIN CL ER 10 MG TABLET 0.1934 2/25/2018 New Add Newly Added NDC 41047 68382025605 OXYBUTYNIN CL ER 10 MG TABLET 0.1931 2/25/2018 New Add Newly Added NDC 42606 68382025701 OXYBUTYNIN CL ER 15 MG TABLET 0.1982 2/25/2018 New Add Newly Added NDC 3100 68382052960 CHOLESTYRAMINE LIGHT PACKET 0.4819 2/25/2018 New Add Newly Added NDC 15584 68382078301 DOXAZOSIN MESYLATE 1 MG TAB 0.1189 2/23/2018 0.0999 Price Change 15584 68382078310 DOXAZOSIN MESYLATE 1 MG TAB 0.1189 2/23/2018 0.0949 Price Change 15585 68382078401 DOXAZOSIN MESYLATE 2 MG TAB 0.1158 2/23/2018 0.0999 Price Change 15585 68382078410 DOXAZOSIN MESYLATE 2 MG TAB 0.1158 2/23/2018 0.0949 Price Change 15586 68382078501 DOXAZOSIN MESYLATE 4 MG TAB 0.1501 2/23/2018 0.1126 Price Change 15586 68382078510 DOXAZOSIN MESYLATE 4 MG TAB 0.1501 2/23/2018 0.1070 Price Change 15587 68382078601 DOXAZOSIN MESYLATE 8 MG TAB 0.1428 2/23/2018 0.1128 Price Change 15587 68382078610 DOXAZOSIN MESYLATE 8 MG TAB 0.1428 2/23/2018 0.1072 Price Change 46241 68382080501 TRAZODONE 50 MG TABLET 0.0217 2/23/2018 0.0156 Price Change 46241 68382080505 TRAZODONE 50 MG TABLET 0.0217 2/23/2018 0.0143 Price Change 46241 68382080510 TRAZODONE 50 MG TABLET 0.0217 2/23/2018 0.0142 Price Change 46242 68382080601 TRAZODONE 100 MG TABLET 0.0412 2/23/2018 0.0290 Price Change 46242 68382080605 TRAZODONE 100 MG TABLET 0.0412 2/23/2018 0.0272 Price Change 46242 68382080610 TRAZODONE 100 MG TABLET 0.0412 2/23/2018 0.0259 Price Change 46243 68382080701 TRAZODONE 150 MG TABLET 0.0725 2/23/2018 0.0848 Price Change 46243 68382080705 TRAZODONE 150 MG TABLET 0.0725 2/23/2018 0.0804 Price Change 46244 68382080801 TRAZODONE 300 MG TABLET 0.9307 2/23/2018 0.7654 Price Change 58934 68382092006 ENTECAVIR 0.5 MG TABLET 9.3910 2/23/2018 2.1933 Price Change 58935 68382092106 ENTECAVIR 1 MG TABLET 6.5469 2/23/2018 2.1933 Price Change 6460 68645056690 LOVASTATIN 20 MG TABLET 0.0506 2/25/2018 New Add Newly Added NDC 6461 68645056790 LOVASTATIN 40 MG TABLET 0.0813 2/25/2018 New Add Newly Added NDC 25180 68645057290 GLIMEPIRIDE 2 MG TABLET 0.0340 2/25/2018 New Add Newly Added NDC 25181 68645057390 GLIMEPIRIDE 4 MG TABLET 0.0642 2/25/2018 New Add Newly Added NDC 8200 68682001250 ETHACRYNATE SODIUM 50 MG VIAL 683.8200 2/25/2018 New Add Newly Added NDC 2554 68682021210 TRIENTINE HCL 250 MG CAPSULE 34.4139 2/23/2018 34.4139 Price Change 73300 69842000003 CVS FLUTICASONE PROP 50 MCG 0.1489 2/25/2018 New Add Newly Added NDC 4490 70000015003 ACETAMINOPHEN 500 MG TABLET 0.0098 2/23/2018 New Add Newly Added NDC 33 70000015401 ALERTNESS AID 200 MG TABLET 0.0157 2/23/2018 New Add Newly Added NDC 3705 70000024401 SLEEP AID 25 MG CAPLET 0.0231 2/25/2018 New Add Newly Added NDC 63554 70000027501 CHEST RUB 0.0129 2/25/2018 New Add Newly Added NDC 77292 70362072030 PANLOR 325 30 16 MG TABLET 0.8783 2/25/2018 New Add Newly Added NDC

7694 70677001301 SM TRIPLE ANTIBIOTIC OINTMENT 0.0640 2/23/2018 0.0193 Price Change 78086 71019013001 HEPARIN 25,000 UNIT/500 ML NS 0.0064 2/23/2018 New Add Newly Added NDC 41805 71717010210 GABAPENTIN 600 MG TABLET 0.2601 2/23/2018 0.0356 Price Change 41805 71717010250 GABAPENTIN 600 MG TABLET 0.2601 2/23/2018 0.0356 Price Change 41806 71717010310 GABAPENTIN 800 MG TABLET 0.3592 2/23/2018 0.0423 Price Change 41806 71717010350 GABAPENTIN 800 MG TABLET 0.3592 2/23/2018 0.0423 Price Change 40261 75834014130 LIDOCAINE ANORECTAL 5% CREAM 0.3119 2/23/2018 0.0777 Price Change 16675 87701042805 GNP CHILD ALLERGY 12.5 MG/5 ML 0.0037 2/23/2018 0.0049 Price Change 47525 87701042924 GNP ESOMEPRAZOLE MAG DR 20 MG 1.0133 2/23/2018 0.0768 Price Change 71885 87701042950 GNP MUCUS ER 600 MG TABLET 0.0822 2/23/2018 0.0941 Price Change 4490 96295012979 ACETAMINOPHEN 500 MG TABLET 0.0098 2/23/2018 New Add Newly Added NDC 33 96295012987 ALERTNESS AID 200 MG TABLET 0.0157 2/23/2018 New Add Newly Added NDC 63554 96295013194 CHEST RUB 0.0129 2/25/2018 New Add Newly Added NDC