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 Added NDC 77265 24591001 KEVZARA 200 MG/1.14 ML SYRINGE 236.8421 5/11/2018 New Add Newly Added NDC 77884 67642606 THERAFLU MS SEVERE COLD PCKT 0.1405 5/11/2018 New Add Newly Added NDC 61093 115123313 OXYMORPHONE HCL ER 20 MG TAB 5.8908 5/11/2018 5.0223 Price Change 11688 172640649 CROMOLYN 20 MG/2 ML NEB SOLN 2.3981 5/11/2018 1.6094 Price Change 11665 378005301 CIMETIDINE 200 MG TABLET 0.3600 5/11/2018 0.3204 Price Change 8353 378047101 FENOPROFEN 600 MG TABLET 1.6084 5/10/2018 0.1834 Price Change 29312 378092393 BUPRENORPHINE 2 MG TABLET SL 0.1689 5/10/2018 0.1410 Price Change 20176 378182310 LEVOTHYROXINE 137 MCG TABLET 0.4223 5/2/2018 0.3039 Price Change 4096 406833062 MORPHINE SULF ER 30 MG TABLET 0.4111 5/11/2018 0.3939 Price Change 70890 525055590 CEREFOLIN NAC CAPLET 0.8930 5/11/2018 New Add Newly Added NDC 8346 573015030 ADVIL 200 MG TABLET 0.0174 5/11/2018 0.0276 Added 8346 573016030 ADVIL 200 MG CAPLET 0.0174 5/11/2018 0.0276 Added 8346 573016530 ADVIL 200 MG GEL CAPLET 0.0174 5/11/2018 0.0276 Added 13742 573018021 ADVIL COLD & SINUS CAPLET 0.0431 5/11/2018 0.0447 Added 54015 573018432 ADVIL COLD SINUS LIQUI GELS 0.0539 5/11/2018 New Add Newly Added NDC 61630 10695004710 DAPSONE POWDER 7.5000 5/11/2018 New Add Newly Added NDC 13998 10702018401 OXYCODON ACETAMINOPHEN 2.5 325 1.3236 5/11/2018 New Add Newly Added NDC 4222 10702018501 OXYCODONE ACETAMINOPHEN 5 325 0.3533 5/11/2018 New Add Newly Added NDC 4222 10702018550 OXYCODONE ACETAMINOPHEN 5 325 0.3533 5/11/2018 New Add Newly Added NDC 48976 10702018601 OXYCODON ACETAMINOPHEN 7.5 325 0.7120 5/11/2018 New Add Newly Added NDC 48976 10702018650 OXYCODON ACETAMINOPHEN 7.5 325 0.7120 5/11/2018 New Add Newly Added NDC 48977 10702018701 OXYCODONE ACETAMINOPHEN 10 325 0.5880 5/11/2018 New Add Newly Added NDC 48977 10702018750 OXYCODONE ACETAMINOPHEN 10 325 0.5880 5/11/2018 New Add Newly Added NDC 47430 10702018901 HYDROCODONE ACETAMIN 5 325 MG 0.3079 5/11/2018 0.0208 Price Change 47430 10702018910 HYDROCODONE ACETAMIN 5 325 MG 0.3079 5/11/2018 0.0155 Price Change 47430 10702018950 HYDROCODONE ACETAMIN 5 325 MG 0.3079 5/11/2018 0.0246 Price Change 30623 10702019110 HYDROCODONE ACETAMIN 10 325 MG 0.3130 5/11/2018 0.0274 Price Change 30623 10702019150 HYDROCODONE ACETAMIN 10 325 MG 0.3130 5/11/2018 0.0309 Price Change 60338 10702019201 HYDROCODONE ACETAMIN 5 300 MG 0.8028 5/11/2018 0.1409 Price Change 60338 10702019250 HYDROCODONE ACETAMIN 5 300 MG 0.8028 5/11/2018 0.1287 Price Change 60533 10702019301 HYDROCODONE ACETAMIN 7.5 300 1.9942 5/11/2018 0.1848 Price Change 57726 10702019401 HYDROCODONE ACETAMIN 10 300 MG 2.1401 5/11/2018 0.1997 Price Change 19964 10939087644 SM SENNA LAXATIVE 8.6 MG TAB 0.0096 5/11/2018 0.0045 Price Change 71638 11845016948 KRILL OIL 1,000 MG SOFTGEL 0.1833 5/11/2018 0.1833 Price Change 45802 13533063111 HYPERRHO S D 1,500 UNIT SYRING 13.5936 5/11/2018 New Add Newly Added NDC 21687 13668002907 CETIRIZINE HCL 1 MG/ML SOLN 0.0079 5/13/2018 New Add Newly Added NDC 1645 16103035908 FERROUS SULFATE 325 MG TABLET 0.0040 5/11/2018 New Add Newly Added NDC 58018 16103040299 CALCIUM 600 VIT D3 400 TABLET 0.0033 5/11/2018 0.0033 Price Change 76091 17478051701 EPHEDRINE SULFATE 50 MG/ML VL 9.4024 5/11/2018 8.5070 Price Change 78354 24359051403 GLYTACTIN RTD LITE 15 LIQUID 0.0132 5/11/2018 New Add Newly Added NDC 78354 24359051803 GLYTACTIN RTD LITE 15 LIQUID 0.0132 5/11/2018 New Add Newly Added NDC 29157 29300012510 MELOXICAM 15 MG TABLET 0.0275 5/10/2018 0.0275 Price Change 2169 30698049301 DRISDOL 1.25 MG (50,000 UNIT) 0.4833 5/11/2018 New Add Newly Added NDC 78324 30768030174 5 HTP 200 MG CAPSULE 0.0773 5/11/2018 New Add Newly Added NDC 49849 31722050430 EFAVIRENZ 600 MG TABLET 5.5895 5/11/2018 5.5895 Price Change 21982 31722051560 STAVUDINE 15 MG CAPSULE 1.1516 5/11/2018 0.9511 Price Change 21983 31722051660 STAVUDINE 20 MG CAPSULE 1.2188 5/11/2018 1.0067 Price Change 21984 31722051760 STAVUDINE 30 MG CAPSULE 1.5131 5/11/2018 1.2497 Price Change 21985 31722051860 STAVUDINE 40 MG CAPSULE 1.4130 5/11/2018 1.1671 Price Change 61086 31722092901 OXYMORPHONE HCL 5 MG TABLET 0.7860 5/11/2018 0.2374 Price Change 61087 31722093001 OXYMORPHONE HCL 10 MG TABLET 1.3474 5/11/2018 0.3995 Price Change 8349 35356069930 IBUPROFEN 600 MG TABLET 0.0398 5/11/2018 New Add Newly Added NDC 16579 35356077590 SIMVASTATIN 40 MG TABLET 0.3961 5/11/2018 New Add Newly Added NDC 16578 35356078118 SIMVASTATIN 20 MG TABLET 0.1492 5/11/2018 New Add Newly Added NDC
16578 35356078190 SIMVASTATIN 20 MG TABLET 0.1492 5/11/2018 New Add Newly Added NDC 29967 35356086018 ATORVASTATIN 10 MG TABLET 0.1648 5/11/2018 New Add Newly Added NDC 29967 35356086090 ATORVASTATIN 10 MG TABLET 0.1648 5/11/2018 New Add Newly Added NDC 4654 35356088720 METHOCARBAMOL 500 MG TABLET 0.0858 5/11/2018 New Add Newly Added NDC 29968 35356089418 ATORVASTATIN 20 MG TABLET 0.2223 5/11/2018 New Add Newly Added NDC 29968 35356089490 ATORVASTATIN 20 MG TABLET 0.2223 5/11/2018 New Add Newly Added NDC 16408 35356090360 ACYCLOVIR 400 MG TABLET 0.2034 5/11/2018 New Add Newly Added NDC 48770 40093010202 VITAMIN E 400 UNIT SOFTGEL 0.0088 5/13/2018 New Add Newly Added NDC 58801 40985027552 SENTRY SENIOR TABLET 0.0038 5/11/2018 New Add Newly Added NDC 4544 42291050850 PRIMIDONE 50 MG TABLET 0.0640 5/11/2018 New Add Newly Added NDC 71430 42494033606 SELENIUM SULFIDE 2.3% SHAMPOO 0.4610 5/11/2018 New Add Newly Added NDC 393 43063007430 LISINOPRIL 5 MG TABLET 0.0353 5/11/2018 New Add Newly Added NDC 46236 43063028460 BUPROPION HCL 75 MG TABLET 0.1314 5/11/2018 New Add Newly Added NDC 29837 43063073515 TOPIRAMATE 25 MG TABLET 0.2766 5/11/2018 New Add Newly Added NDC 4163 43063076315 ACETAMINOPHEN COD #2 TABLET 0.0979 5/11/2018 New Add Newly Added NDC 390 43063076912 LISINOPRIL 10 MG TABLET 0.0355 5/11/2018 New Add Newly Added NDC 48456 43063078220 TRAMADOL ACETAMINOPHN 37.5 325 0.1972 5/11/2018 New Add Newly Added NDC 391 43063078660 LISINOPRIL 20 MG TABLET 0.0525 5/11/2018 New Add Newly Added NDC 391 43063078693 LISINOPRIL 20 MG TABLET 0.0525 5/11/2018 New Add Newly Added NDC 391 43063078698 LISINOPRIL 20 MG TABLET 0.0525 5/11/2018 New Add Newly Added NDC 2366 43063079130 FOLIC ACID 1 MG TABLET 0.0159 5/11/2018 New Add Newly Added NDC 2535 43063079320 ALLOPURINOL 100 MG TABLET 0.0758 5/11/2018 New Add Newly Added NDC 2535 43063079360 ALLOPURINOL 100 MG TABLET 0.0758 5/11/2018 New Add Newly Added NDC 2535 43063079390 ALLOPURINOL 100 MG TABLET 0.0758 5/11/2018 New Add Newly Added NDC 21277 43547042010 LISINOPRIL HCTZ 10 12.5 MG TAB 0.0676 5/11/2018 0.0222 Price Change 21277 43547042050 LISINOPRIL HCTZ 10 12.5 MG TAB 0.0676 5/11/2018 0.0210 Price Change 388 43547042110 LISINOPRIL HCTZ 20 12.5 MG TAB 0.0643 5/11/2018 0.0332 Price Change 388 43547042150 LISINOPRIL HCTZ 20 12.5 MG TAB 0.0643 5/11/2018 0.0315 Price Change 389 43547042210 LISINOPRIL HCTZ 20 25 MG TAB 0.0912 5/11/2018 0.0384 Price Change 389 43547042250 LISINOPRIL HCTZ 20 25 MG TAB 0.0912 5/11/2018 0.0365 Price Change 47326 43547044103 TELMISARTAN HCTZ 40 12.5 MG TB 0.5483 5/13/2018 New Add Newly Added NDC 47324 43547044203 TELMISARTAN HCTZ 80 12.5 MG TB 0.5875 5/13/2018 New Add Newly Added NDC 57690 43547044303 TELMISARTAN HCTZ 80 25 MG TAB 0.6267 5/13/2018 New Add Newly Added NDC 8776 43598065011 THIOTEPA 15 MG VIAL 135.0000 5/13/2018 New Add Newly Added NDC 59139 45749001780 VSL#3 PACKET 0.4338 5/11/2018 New Add Newly Added NDC 62680 45749001781 VSL#3 CAPSULE 0.1281 5/11/2018 New Add Newly Added NDC 61315 45749001782 VSL#3 DS PACKET 0.8675 5/11/2018 New Add Newly Added NDC 15606 45802013135 HALOBETASOL PROP 0.05% OINTMNT 2.3039 5/11/2018 0.4397 Price Change 47346 45802039001 TACROLIMUS 0.03% OINTMENT 4.8609 5/10/2018 3.4406 Price Change 62174 45963061455 IRINOTECAN HCL 100 MG/5 ML VL 2.7195 5/11/2018 4.8853 Price Change 2997 46036000168 GS MINERAL OIL 0.0022 5/11/2018 0.0041 Price Change 3029 46122036428 ENEMA READY TO USE 0.0015 5/11/2018 0.0014 Price Change 21688 46122039472 ACID REDUCER 10 MG TABLET 0.0685 5/11/2018 0.0207 Price Change 64446 47335075881 VENLAFAXINE HCL ER 150 MG TAB 1.1881 5/11/2018 1.1310 Price Change 64446 47335075883 VENLAFAXINE HCL ER 150 MG TAB 1.1881 5/11/2018 1.1310 Price Change 64445 47335075981 VENLAFAXINE HCL ER 75 MG TAB 1.2265 5/11/2018 1.0379 Price Change 64445 47335075983 VENLAFAXINE HCL ER 75 MG TAB 1.2265 5/11/2018 1.0379 Price Change 64444 47335076081 VENLAFAXINE HCL ER 37.5 MG TAB 0.9213 5/11/2018 0.9270 Price Change 64444 47335076083 VENLAFAXINE HCL ER 37.5 MG TAB 0.9213 5/11/2018 0.9270 Price Change 2544 47781062307 DEFEROXAMINE 500 MG VIAL 2.8783 5/11/2018 2.2500 Price Change 15181 47781062407 DEFEROXAMINE 2 GRAM VIAL 5.9225 5/11/2018 5.5800 Price Change 78368 49100040012 CULTURELLE PROBIOTICS CAPSULE 0.0866 5/11/2018 New Add Newly Added NDC 53623 49348027472 SM DOUBLE ANTIBIOTIC OINT 0.0176 5/11/2018 0.0434 Added 15979 49999023140 ACYCLOVIR 800 MG TABLET 0.3616 5/11/2018 New Add Newly Added NDC 54042 50268035301 GERM BLOC 0.13% SANITIZER LOT 0.0154 5/11/2018 New Add Newly Added NDC 58801 50268070311 SENTRY SENIOR TABLET 0.0724 5/11/2018 New Add Newly Added NDC 58801 50268070315 SENTRY SENIOR TABLET 0.0724 5/11/2018 New Add Newly Added NDC 5040 50383074120 ALBUTEROL 5 MG/ML SOLUTION 1.0994 5/10/2018 1.0994 Price Change
10362 50428026012 CVS PROTECTIVE PADS 0.0266 5/13/2018 New Add Newly Added NDC 2997 50804083143 GS MINERAL OIL 0.0022 5/11/2018 0.0041 Price Change 14219 52565002329 BETAMETHASONE DP AUG 0.05% LOT 0.8227 5/11/2018 0.4701 Price Change 14219 52565002359 BETAMETHASONE DP AUG 0.05% LOT 0.8227 5/11/2018 0.4633 Price Change 15606 52565007315 HALOBETASOL PROP 0.05% OINTMNT 1.3068 5/11/2018 0.9973 Price Change 15606 52565007351 HALOBETASOL PROP 0.05% OINTMNT 1.3068 5/11/2018 0.6491 Price Change 27229 52817031910 BACLOFEN 5 MG TABLET 0.1853 5/13/2018 New Add Newly Added NDC 23143 54162001728 BACITRACIN ZN 500 UNIT/GM OINT 0.0168 5/13/2018 New Add Newly Added NDC 9478 54569019700 PHENAZOPYRIDINE 200 MG TAB 1.9275 5/11/2018 0.2106 Added 9478 54569019701 PHENAZOPYRIDINE 200 MG TAB 1.9275 5/11/2018 0.2430 Added 9478 54569019704 PHENAZOPYRIDINE 200 MG TAB 1.9275 5/11/2018 0.1333 Added 9478 54569019706 PHENAZOPYRIDINE 200 MG TAB 1.9275 5/11/2018 0.2427 Added 9478 54569019707 PHENAZOPYRIDINE 200 MG TAB 1.9275 5/11/2018 0.1917 Added 11640 54569024306 CHLORPHENIRAMINE 4 MG TABLET 0.0005 5/11/2018 0.0006 Price Change 11640 54569024307 CHLORPHENIRAMINE 4 MG TABLET 0.0019 5/11/2018 0.0024 Price Change 48493 54569105500 PROMETHAZINE DM SYRUP 0.0046 5/11/2018 0.0057 Price Change 7669 54569108600 SILVADENE 1% CREAM 0.3312 5/11/2018 0.1783 Price Change 5349 54569193600 EUCERIN CREME 0.0114 5/11/2018 0.0054 Added 9416 54569250903 ISONIAZID 300 MG TABLET 0.0136 5/11/2018 0.0122 Price Change 4681 54569257300 CYCLOBENZAPRINE 10 MG TABLET 0.0205 5/11/2018 0.0182 Price Change 4681 54569257301 CYCLOBENZAPRINE 10 MG TABLET 0.0213 5/11/2018 0.0189 Price Change 4681 54569257302 CYCLOBENZAPRINE 10 MG TABLET 0.0135 5/11/2018 0.0120 Price Change 4681 54569257303 CYCLOBENZAPRINE 10 MG TABLET 0.0224 5/11/2018 0.0199 Price Change 4681 54569257304 CYCLOBENZAPRINE 10 MG TABLET 0.0311 5/11/2018 0.0276 Price Change 4681 54569257306 CYCLOBENZAPRINE 10 MG TABLET 0.0271 5/11/2018 0.0240 Price Change 4681 54569257307 CYCLOBENZAPRINE 10 MG TABLET 0.0312 5/11/2018 0.0277 Price Change 4681 54569257308 CYCLOBENZAPRINE 10 MG TABLET 0.0314 5/11/2018 0.0279 Price Change 4681 54569257309 CYCLOBENZAPRINE 10 MG TABLET 0.0313 5/11/2018 0.0278 Price Change 7866 54569278400 ATROPINE 1% EYE DROPS 0.1325 5/11/2018 0.2165 Price Change 4681 54569319301 CYCLOBENZAPRINE 10 MG TABLET 0.0312 5/11/2018 0.0277 Price Change 4681 54569319308 CYCLOBENZAPRINE 10 MG TABLET 0.0224 5/11/2018 0.0199 Price Change 37902 54569392700 VIVOTIF EC CAPSULE 3.2036 5/11/2018 New Add Newly Added NDC 1185 54569405700 SODIUM BICARB 8.4% VIAL 0.0037 5/11/2018 0.0028 Price Change 3780 54569511600 MIDAZOLAM HCL 5 MG/ML VIAL 0.1127 5/11/2018 0.1282 Price Change 3780 54569511601 MIDAZOLAM HCL 5 MG/ML VIAL 0.1127 5/11/2018 0.1282 Price Change 4681 54569518400 CYCLOBENZAPRINE 10 MG TABLET 0.0223 5/11/2018 0.0198 Price Change 30623 54569524001 HYDROCODONE ACETAMIN 10 325 MG 0.1600 5/11/2018 0.1787 Price Change 33530 54569548200 OMEPRAZOLE DR 20 MG CAPSULE 0.0928 5/11/2018 0.0834 Price Change 33530 54569548202 OMEPRAZOLE DR 20 MG CAPSULE 0.1516 5/11/2018 0.1362 Price Change 33530 54569548204 OMEPRAZOLE DR 20 MG CAPSULE 0.1516 5/11/2018 0.1362 Price Change 33530 54569548205 OMEPRAZOLE DR 20 MG CAPSULE 0.1516 5/11/2018 0.1362 Price Change 33530 54569548206 OMEPRAZOLE DR 20 MG CAPSULE 0.6932 5/11/2018 0.6227 Price Change 47430 54569552300 HYDROCODONE ACETAMIN 5 325 MG 0.2471 5/11/2018 0.3012 Price Change 47430 54569552307 HYDROCODONE ACETAMIN 5 325 MG 0.2470 5/11/2018 0.3012 Price Change 6653 54569565400 LEVOTHYROXINE 125 MCG TABLET 0.4658 5/11/2018 0.3869 Price Change 6653 54569565401 LEVOTHYROXINE 0.125 MG TABLET 0.4658 5/11/2018 0.3869 Price Change 53007 54569596901 BUPROPION HCL XL 300 MG TABLET 0.9971 5/11/2018 0.7914 Price Change 35495 54569620300 LIDOCAINE PRILOCAINE CREAM 0.2542 5/11/2018 0.4013 Price Change 51583 54738098130 GUAIFENESIN 400 MG CAPLET 0.0072 5/11/2018 0.0072 Price Change 16927 55700001518 AMLODIPINE BESYLATE 10 MG TAB 0.2473 5/11/2018 New Add Newly Added NDC 4655 55700021845 METHOCARBAMOL 750 MG TABLET 0.1327 5/11/2018 New Add Newly Added NDC 27462 55700031490 PANTOPRAZOLE SOD DR 40 MG TAB 0.4098 5/11/2018 New Add Newly Added NDC 8337 55700033021 INDOMETHACIN 50 MG CAPSULE 0.1417 5/11/2018 New Add Newly Added NDC 60356 55700034930 MORPHINE SULFATE ER 20 MG CAP 2.4874 5/11/2018 New Add Newly Added NDC 46229 55700036200 SERTRALINE HCL 100 MG TABLET 0.4023 5/11/2018 New Add Newly Added NDC 73336 55700038330 MOVANTIK 25 MG TABLET 2.2149 5/11/2018 New Add Newly Added NDC 21415 55700038630 GABAPENTIN 400 MG CAPSULE 0.2537 5/11/2018 New Add Newly Added NDC 21415 55700038660 GABAPENTIN 400 MG CAPSULE 0.2537 5/11/2018 New Add Newly Added NDC
21415 55700038690 GABAPENTIN 400 MG CAPSULE 0.2537 5/11/2018 New Add Newly Added NDC 59211 55700039805 SILDENAFIL 20 MG TABLET 0.3737 5/11/2018 New Add Newly Added NDC 59211 55700039810 SILDENAFIL 20 MG TABLET 0.3737 5/11/2018 New Add Newly Added NDC 59211 55700039820 SILDENAFIL 20 MG TABLET 0.3737 5/11/2018 New Add Newly Added NDC 59211 55700039890 SILDENAFIL 20 MG TABLET 0.3737 5/11/2018 New Add Newly Added NDC 6653 55700040530 LEVOTHYROXINE 0.125 MG TABLET 0.4772 5/11/2018 New Add Newly Added NDC 6653 55700040590 LEVOTHYROXINE 0.125 MG TABLET 0.4772 5/11/2018 New Add Newly Added NDC 9226 55700041560 MINOCYCLINE 100 MG CAPSULE 0.4229 5/11/2018 New Add Newly Added NDC 26721 55700043206 AZITHROMYCIN 250 MG TABLET 2.2553 5/11/2018 New Add Newly Added NDC 26721 55700043266 AZITHROMYCIN 250 MG TABLET 2.2553 5/11/2018 New Add Newly Added NDC 21415 55700045360 GABAPENTIN 400 MG CAPSULE 0.2537 5/11/2018 New Add Newly Added NDC 21415 55700045390 GABAPENTIN 400 MG CAPSULE 0.2537 5/11/2018 New Add Newly Added NDC 3204 55700045830 ESTRADIOL 1 MG TABLET 0.4312 5/11/2018 New Add Newly Added NDC 3204 55700045890 ESTRADIOL 1 MG TABLET 0.4312 5/11/2018 New Add Newly Added NDC 8208 55700046130 FUROSEMIDE 20 MG TABLET 0.0214 5/11/2018 New Add Newly Added NDC 8208 55700046160 FUROSEMIDE 20 MG TABLET 0.0214 5/11/2018 New Add Newly Added NDC 23382 55700047430 LOSARTAN POTASSIUM 50 MG TAB 0.2379 5/11/2018 New Add Newly Added NDC 16393 55700048430 ONDANSETRON HCL 8 MG TABLET 2.8847 5/11/2018 New Add Newly Added NDC 46238 55700048730 BUPROPION HCL SR 150 MG TABLET 1.0077 5/11/2018 New Add Newly Added NDC 46238 55700048760 BUPROPION HCL SR 150 MG TABLET 1.0077 5/11/2018 New Add Newly Added NDC 71885 55700048920 MUCINEX ER 600 MG TABLET 0.1889 5/11/2018 New Add Newly Added NDC 16577 55700051590 SIMVASTATIN 10 MG TABLET 0.0633 5/11/2018 New Add Newly Added NDC 22141 55700052101 FLUCONAZOLE 150 MG TABLET 8.7233 5/11/2018 New Add Newly Added NDC 41563 55700052230 ONDANSETRON ODT 8 MG TABLET 1.2844 5/11/2018 New Add Newly Added NDC 3781 55700052630 BUSPIRONE HCL 10 MG TABLET 0.0402 5/11/2018 New Add Newly Added NDC 47478 55700052701 CYCLOBENZAPRINE 5 MG TABLET 0.3349 5/11/2018 New Add Newly Added NDC 47478 55700052718 CYCLOBENZAPRINE 5 MG TABLET 0.3349 5/11/2018 New Add Newly Added NDC 47478 55700052730 CYCLOBENZAPRINE 5 MG TABLET 0.3349 5/11/2018 New Add Newly Added NDC 47478 55700052760 CYCLOBENZAPRINE 5 MG TABLET 0.3349 5/11/2018 New Add Newly Added NDC 47478 55700052790 CYCLOBENZAPRINE 5 MG TABLET 0.3349 5/11/2018 New Add Newly Added NDC 9043 55700053330 CEPHALEXIN 500 MG CAPSULE 0.1814 5/11/2018 New Add Newly Added NDC 9043 55700053340 CEPHALEXIN 500 MG CAPSULE 0.1814 5/11/2018 New Add Newly Added NDC 16368 55700053514 CLARITHROMYCIN 500 MG TABLET 2.8889 5/11/2018 New Add Newly Added NDC 16368 55700053520 CLARITHROMYCIN 500 MG TABLET 2.8889 5/11/2018 New Add Newly Added NDC 16368 55700053530 CLARITHROMYCIN 500 MG TABLET 2.8889 5/11/2018 New Add Newly Added NDC 8336 55700053630 INDOMETHACIN 25 MG CAPSULE 0.1189 5/11/2018 New Add Newly Added NDC 8336 55700053660 INDOMETHACIN 25 MG CAPSULE 0.1189 5/11/2018 New Add Newly Added NDC 8337 55700053721 INDOMETHACIN 50 MG CAPSULE 0.1417 5/11/2018 New Add Newly Added NDC 8337 55700053730 INDOMETHACIN 50 MG CAPSULE 0.1417 5/11/2018 New Add Newly Added NDC 29968 55700054830 ATORVASTATIN 20 MG TABLET 0.2223 5/11/2018 New Add Newly Added NDC 16578 55700054990 SIMVASTATIN 20 MG TABLET 0.1492 5/11/2018 New Add Newly Added NDC 16579 55700055090 SIMVASTATIN 40 MG TABLET 0.3961 5/11/2018 New Add Newly Added NDC 60357 55700055260 MORPHINE SULFATE ER 50 MG CAP 3.2121 5/11/2018 New Add Newly Added NDC 76032 55700055730 XTAMPZA ER 13.5 MG CAPSULE 1.2220 5/11/2018 New Add Newly Added NDC 41567 55700055890 LISINOPRIL 30 MG TABLET 0.1232 5/11/2018 New Add Newly Added NDC 21413 55700058401 GABAPENTIN 100 MG CAPSULE 0.0573 5/11/2018 New Add Newly Added NDC 21413 55700058430 GABAPENTIN 100 MG CAPSULE 0.0573 5/11/2018 New Add Newly Added NDC 21413 55700058460 GABAPENTIN 100 MG CAPSULE 0.0573 5/11/2018 New Add Newly Added NDC 21413 55700058490 GABAPENTIN 100 MG CAPSULE 0.0573 5/11/2018 New Add Newly Added NDC 1776 55700058530 GLIPIZIDE 10 MG TABLET 0.0546 5/11/2018 New Add Newly Added NDC 8214 55700058630 CHLORTHALIDONE 50 MG TABLET 0.4694 5/11/2018 New Add Newly Added NDC 6818 55700058730 SPIRONOLACTONE 50 MG TABLET 0.2490 5/11/2018 New Add Newly Added NDC 71410 58657048608 UREA 41% CREAM 0.5349 5/11/2018 New Add Newly Added NDC 75048 59148008707 JYNARQUE 45 MG 15 MG TABLET 41.9178 5/11/2018 New Add Newly Added NDC 75048 59148008728 JYNARQUE 45 MG 15 MG TABLET 41.9178 5/11/2018 41.9178 Price Change 75049 59148008807 JYNARQUE 60 MG 30 MG TABLET 41.9178 5/11/2018 New Add Newly Added NDC 75049 59148008828 JYNARQUE 60 MG 30 MG TABLET 41.9178 5/11/2018 41.9178 Price Change 75047 59148008907 JYNARQUE 90 MG 30 MG TABLET 41.9178 5/11/2018 New Add Newly Added NDC
75047 59148008928 JYNARQUE 90 MG 30 MG TABLET 41.9178 5/11/2018 41.9178 Price Change 9340 59762501002 CLINDAMYCIN HCL 300 MG CAPSULE 0.1885 5/10/2018 0.0417 Price Change 24417 60687036211 LAMIVUDINE 150 MG TABLET 2.6675 5/11/2018 1.2250 Price Change 24417 60687036221 LAMIVUDINE 150 MG TABLET 2.6675 5/11/2018 1.2250 Price Change 66047 60687036425 RITONAVIR 100 MG TABLET 1.3887 5/11/2018 New Add Newly Added NDC 66047 60687036495 RITONAVIR 100 MG TABLET 1.3887 5/11/2018 New Add Newly Added NDC 16392 61919056530 ONDANSETRON HCL 4 MG TABLET 1.3823 5/11/2018 New Add Newly Added NDC 41563 62756035664 ONDANSETRON ODT 8 MG TABLET 0.2930 5/11/2018 0.2930 Price Change 61199 63304044805 FENOFIBRATE 48 MG TABLET 0.1197 5/13/2018 New Add Newly Added NDC 61199 63304044890 FENOFIBRATE 48 MG TABLET 0.1197 5/13/2018 New Add Newly Added NDC 61200 63304044905 FENOFIBRATE 145 MG TABLET 0.2187 5/13/2018 New Add Newly Added NDC 61200 63304044990 FENOFIBRATE 145 MG TABLET 0.2187 5/13/2018 New Add Newly Added NDC 65286 63323020326 VANCOMYCIN HCL 750 MG VIAL 2.1298 5/11/2018 1.1376 Price Change 65286 63323020341 VANCOMYCIN HCL 750 MG VIAL 2.1298 5/11/2018 1.1376 Price Change 21705 63323030474 PIPERACIL TAZOBACT 40.5 GRAM 68.1800 5/10/2018 45.6771 Price Change 31430 63323065120 ADENOSINE 60 MG/20 ML VIAL 1.1583 5/13/2018 New Add Newly Added NDC 31430 63323065130 ADENOSINE 90 MG/30 ML VIAL 1.1643 5/13/2018 New Add Newly Added NDC 48976 65162020710 OXYCODON ACETAMINOPHEN 7.5 325 0.4385 5/10/2018 0.4385 Price Change 9537 66689000816 NYSTATIN 100,000 UNIT/ML SUSP 0.0459 5/11/2018 0.1080 Price Change 3026 66689005301 MILK OF MAGNESIA SUSPENSION 0.0548 5/11/2018 New Add Newly Added NDC 3026 66689005399 MILK OF MAGNESIA SUSPENSION 0.0548 5/11/2018 New Add Newly Added NDC 77810 67157010150 ASCOR 25,000 MG/50 ML BULK VL 0.2475 5/11/2018 0.2475 Price Change 77810 67157010151 ASCOR 25,000 MG/50 ML BULK VL 0.2475 5/11/2018 New Add Newly Added NDC 13630 67457085404 ADENOSINE 12 MG/4 ML VIAL 0.4500 5/13/2018 New Add Newly Added NDC 13630 67457085502 ADENOSINE 6 MG/2 ML VIAL 0.5625 5/13/2018 New Add Newly Added NDC 63466 68001022804 TROSPIUM CHLORIDE ER 60 MG CAP 3.5202 5/11/2018 3.3671 Price Change 25750 68382072001 BUDESONIDE EC 3 MG CAPSULE 1.0458 5/13/2018 New Add Newly Added NDC 49605 68382092286 ELETRIPTAN HBR 20 MG TABLET 2.3900 5/11/2018 9.1677 Price Change 49606 68382092386 ELETRIPTAN HBR 40 MG TABLET 2.3900 5/11/2018 9.1677 Price Change 1777 68645057454 GLIPIZIDE 5 MG TABLET 0.0333 5/11/2018 New Add Newly Added NDC 1776 68645057559 GLIPIZIDE 10 MG TABLET 0.0546 5/11/2018 New Add Newly Added NDC 46236 69097091707 BUPROPION HCL 75 MG TABLET 0.1314 5/11/2018 0.0963 Price Change 46237 69097091807 BUPROPION HCL 100 MG TABLET 0.1447 5/11/2018 0.1284 Price Change 5136 69238112409 NADOLOL 40 MG TABLET 1.2315 5/11/2018 1.0600 Price Change 7284 69315030615 NYSTATIN 100,000 UNIT/GM POWD 0.3949 5/11/2018 0.2328 Price Change 7284 69315030630 NYSTATIN 100,000 UNIT/GM POWD 0.3949 5/11/2018 0.2328 Price Change 7284 69315030660 NYSTATIN 100,000 UNIT/GM POWD 0.3949 5/11/2018 0.2079 Price Change 7547 69396000320 HYDROCORTISONE 1% OINTMENT 0.0443 5/11/2018 0.0112 Price Change 46063 69499033605 NORTRIPTYLINE 10 MG/5 ML SOLN 0.3784 5/11/2018 0.7433 Price Change 71532 69499033710 CYPROHEPTADINE 4 MG/10 ML SYRP 0.9150 5/13/2018 New Add Newly Added NDC 25061 69784020096 CROMOLYN 100 MG/5 ML ORAL CONC 0.3220 5/11/2018 0.6439 Price Change 62053 70069002101 DEXAMETHASONE 10 MG/ML VIAL 0.5432 5/11/2018 0.3188 Price Change 62053 70069002125 DEXAMETHASONE 10 MG/ML VIAL 0.5432 5/11/2018 0.3188 Price Change 22393 70319002603 SELECT UNDERWEAR EXTRA SMALL 0.1976 5/11/2018 0.2785 Added 22393 70319002604 SELECT UNDERWEAR SMALL 0.1976 5/11/2018 0.2785 Added 19549 70393021020 CARETOUCH GLUCOSE MONITOR SYS 3.6000 5/11/2018 New Add Newly Added NDC 6373 70393021105 CARETOUCH TEST STRIP 0.0533 5/11/2018 New Add Newly Added NDC 23512 70457989801 LIOTHYRONINE SODIUM POWDER 102.9000 5/11/2018 New Add Newly Added NDC 23512 70457989802 LIOTHYRONINE SODIUM POWDER 102.9000 5/11/2018 New Add Newly Added NDC 62075 70457993201 ESTRADIOL MICRONIZED POWDER 5.2500 5/11/2018 New Add Newly Added NDC 62075 70457993202 ESTRADIOL MICRONIZED POWDER 5.2500 5/11/2018 New Add Newly Added NDC 62075 70457993203 ESTRADIOL MICRONIZED POWDER 5.2500 5/11/2018 New Add Newly Added NDC 62075 70457993204 ESTRADIOL MICRONIZED POWDER 5.2500 5/11/2018 New Add Newly Added NDC 23660 70457994001 TETRACAINE POWDER 1.2600 5/11/2018 New Add Newly Added NDC 23660 70457994002 TETRACAINE POWDER 1.2600 5/11/2018 New Add Newly Added NDC 23660 70457994003 TETRACAINE POWDER 1.2600 5/11/2018 New Add Newly Added NDC 23660 70457994004 TETRACAINE POWDER 1.2600 5/11/2018 New Add Newly Added NDC 63020 70645012326 ZINGO 0.5 MG INTRADERMAL SYSTM 22.3485 5/11/2018 New Add Newly Added NDC
19964 70677004101 SM SENNA LAXATIVE 8.6 MG TAB 0.0096 5/11/2018 0.0045 Price Change 53076 70700011787 INTROVALE 0.15 0.03 MG TABLET 0.5389 5/11/2018 0.1419 Price Change 2535 70710120900 ALLOPURINOL 100 MG TABLET 0.0233 5/13/2018 New Add Newly Added NDC 2535 70710120901 ALLOPURINOL 100 MG TABLET 0.0259 5/13/2018 New Add Newly Added NDC 2536 70710121001 ALLOPURINOL 300 MG TABLET 0.0494 5/13/2018 New Add Newly Added NDC 2536 70710121005 ALLOPURINOL 300 MG TABLET 0.0469 5/13/2018 New Add Newly Added NDC 65738 71019014616 ROPIVACAINE 0.1% NS ON Q PUMP 0.0420 5/11/2018 0.3642 Added 65738 71019014617 ROPIVACAINE 0.1% NS ON Q PUMP 0.0410 5/11/2018 0.3642 Added 68832 71019014811 ROPIVACAINE 0.2% NS ON Q PUMP 0.0646 5/11/2018 0.0378 Added 65819 71019014829 ROPIVACAINE 0.2% NS ON Q PUMP 0.0537 5/11/2018 0.4553 Added 75128 71019014840 ROPIVACAINE HCL 0.2% ON Q PUMP 0.0491 5/11/2018 0.0000 Added 65715 71019014854 ROPIVACAINE 0.2% NS ON Q PUMP 0.0622 5/11/2018 0.6070 Added 68833 71019014858 ROPIVACAINE 0.2% NS ON Q PUMP 0.0665 5/11/2018 0.0378 Added 66170 71019014863 ROPIVACAINE 0.2% NS ON Q PUMP 0.0604 5/11/2018 0.3642 Added 65693 71019014866 ROPIVACAINE 0.2% NS ON Q PUMP 0.0665 5/11/2018 0.3642 Added 65693 71019014867 ROPIVACAINE 0.2% NS ON Q PUMP 0.0605 5/11/2018 0.3642 Added 66616 71019014871 ROPIVACAINE 0.2% NS ON Q PUMP 0.0599 5/11/2018 0.3035 Added 67508 71019014873 ROPIVACAINE 0.2% NS ON Q PUMP 0.0588 5/11/2018 0.0378 Added 68250 71019014875 ROPIVACAINE 0.2% NS ON Q PUMP 0.0582 5/11/2018 0.0189 Added 68250 71019014876 ROPIVACAINE 0.2% NS ON Q PUMP 0.0633 5/11/2018 0.0189 Added 66741 71019014877 ROPIVACAINE 0.2% NS ON Q PUMP 0.0582 5/11/2018 0.0151 Added 66741 71019014878 ROPIVACAINE 0.2% NS ON Q PUMP 0.0636 5/11/2018 0.0151 Added 77573 71019016601 LIDOCAINE 5 MG/ML 0.9% NACL 0.6735 5/11/2018 0.0000 Added 65157 71019016704 LIDOCAINE 10 MG/ML (1%) NS SYR 0.6405 5/11/2018 0.3035 Added 65157 71019016707 LIDOCAINE 1% 0.9% NACL SYRINGE 0.6000 5/11/2018 0.3035 Added 65331 71019016710 LIDOCAINE 100MG/10ML 0.9% NACL 0.0759 5/11/2018 0.1644 Added 67904 71019017008 LIDOCAINE HCL 30 MG/3 ML SYR 0.2040 5/11/2018 0.0252 Added 77623 71019017011 LIDOCAINE HCL 50 MG/5 ML SYRNG 0.1236 5/11/2018 0.0000 Added 68790 71019017014 LIDOCAINE 200 MG/20 ML(1%) SYR 0.0567 5/11/2018 0.0378 Price Change 67803 71019017202 LIDOCAINE 100 MG/5 ML (2%) SYR 0.1185 5/11/2018 0.0151 Added 67631 71019017302 LIDOCAINE 40 MG/2 ML (2%) SYRG 0.3525 5/11/2018 0.0378 Added 67805 71019017316 LIDOCAINE 100 MG/5 ML (2%) SYR 0.1392 5/11/2018 0.0378 Added 67803 71019017319 LIDOCAINE 100 MG/5 ML (2%) SYR 0.1272 5/11/2018 0.0151 Added 67492 71019017322 LIDOCAINE 200 MG/10 ML(2%) SYR 0.1188 5/11/2018 0.0778 Added 77636 71019017325 LIDOCAINE 400MG/20ML (2%) SYR 0.1574 5/11/2018 0.0000 Added 77701 71019017326 LIDOCAINE 400 MG/20 ML(2%) SYR 0.1305 5/11/2018 0.0000 Added 62939 71019020002 MAGNESIUM 6 GM/50 ML 0.9% NACL 0.0203 5/11/2018 0.9105 Added 65223 71019022002 NOREPINEPHR 4 MG/250 0.9% NACL 0.0202 5/11/2018 New Add Newly Added NDC 66419 71019022201 NOREPINEPHR 8 MG/250 0.9% NACL 0.0242 5/11/2018 New Add Newly Added NDC 67965 71019032303 ROPIVACAINE 0.1% 0.9% NACL 0.0316 5/11/2018 0.0378 Added 59463 71019032307 ROPIVACAINE 0.1% 0.9% NACL BAG 0.0307 5/11/2018 0.5463 Added 59463 71019032312 ROPIVACAINE 0.1% 0.9% NACL BAG 0.0320 5/11/2018 0.5463 Added 70011 71019032502 ROPIVACAINE 0.15% 0.9% NACL 0.0585 5/11/2018 0.0378 Added 59464 71019032503 ROPIVACAINE 0.15% 0.9% NACL 0.0567 5/11/2018 0.3902 Added 59464 71019032504 ROPIVACAINE 0.15% 0.9% NACL 0.0379 5/11/2018 0.3902 Added 77599 71019032602 ROPIVACAINE 0.2% 0.9% NACL 0.0598 5/11/2018 0.0000 Added 59465 71019032613 ROPIVACAINE 0.2% 0.9% NACL BAG 0.0618 5/11/2018 0.5853 Added 59465 71019032617 ROPIVACAINE 0.2% 0.9% NACL BAG 0.0618 5/11/2018 0.5853 Added 64803 71019032635 ROPIVACAINE 0.2% 0.9% NACL SYR 0.1356 5/11/2018 0.4553 Added 68703 71019032702 ROPIVACAINE 0.2% 0.9% NACL SYR 0.1160 5/11/2018 0.0378 Added 65399 71019032703 ROPIVACAINE 0.2% SYRINGE 0.0897 5/11/2018 0.4553 Added 69362 71019032704 ROPIVACAINE 0.2% 0.9% NACL SYR 0.0663 5/11/2018 0.0378 Added 59466 71019032806 ROPIVACAINE 0.25% 0.9% NACL 0.0676 5/11/2018 0.6829 Added 59468 71019033105 ROPIVACAINE 0.5% BAG 0.1377 5/11/2018 0.6070 Added 64804 71019033111 ROPIVACAINE 50 MG/10 ML SYRNG 0.1656 5/11/2018 0.4553 Added 76638 71019033114 ROPIVACAINE HCL 0.5% SYRINGE 0.1716 5/11/2018 0.0378 Added 66733 71019034701 ROPIVACAINE 0.2% NS AUTOFUSER 0.0593 5/11/2018 0.0151 Added 70268 71800063104 LIDOCAINE TETRACAINE 7% 7% CRM 3.5482 5/11/2018 New Add Newly Added NDC
70268 71800063108 LIDOCAINE TETRACAINE 7% 7% CRM 0.8871 5/11/2018 New Add Newly Added NDC 4773 71914016204 BELLADONNA PHENOBARBITAL ELIXR 0.4800 5/11/2018 New Add Newly Added NDC 4773 71914016216 BELLADONNA PHENOBARBITAL ELIXR 0.4800 5/11/2018 New Add Newly Added NDC 9224 72143021160 DOXYCYCLINE 50 MG TABLET 1.9800 5/11/2018 1.9800 Price Change 78077 75854060203 BALCOLTRA TABLET 1.1604 5/11/2018 1.1604 Price Change 46206 76282062810 CITALOPRAM HBR 10 MG TABLET 0.2384 5/11/2018 0.0311 Price Change 46203 76282062910 CITALOPRAM HBR 20 MG TABLET 0.3928 5/11/2018 0.0332 Price Change 72071 76518002050 PEDIA TRI VITE DROP 0.0249 5/13/2018 New Add Newly Added NDC 3029 87701042809 GNP ENEMA READY TO USE 0.0015 5/11/2018 0.0014 Price Change 17181 96619069977 ALLERCLEAR D 12HR TABLET 0.3501 5/11/2018 0.0900 Price Change 71825 98302014177 COMFORT EZ PEN NEEDLES 5MM 33G 0.1573 5/11/2018 New Add Newly Added NDC 71828 98302014178 COMFORT EZ PEN NEEDLES 6MM 33G 0.1573 5/11/2018 New Add Newly Added NDC 71826 98302014179 COMFORT EZ PEN NEEDLES 8MM 33G 0.1573 5/11/2018 New Add Newly Added NDC 71824 98302014807 COMFORT EZ PEN NEEDLES 4MM 33G 0.1370 5/11/2018 New Add Newly Added NDC