Greenwich Hospital Price Master - CT.gov
Greenwich Hospital Price Master - CT.gov Greenwich Hospital Price Master - CT.gov
278500016648 BIOCOMPOSITE 3.0 W2 FIBERWIRE 1,165.10 4/1/2013 278500016679 DEVICE ESSURE ESS305 6,532.20 4/1/2013 278500016696 DEVICE MICROVASCULAR ANAS 1.5 764.00 4/1/2013 278500016697 DEVICE MICROVASCULAR ANAS 2.0 986.83 4/1/2013 278500016698 DEVICE MICROVASCULAR ANAS 2.5 951.82 4/1/2013 278500016708 BOLT TITANIUM 4.9MM X 46MM 635.88 4/1/2013 278500016710 DEVICE MICROVASCULAR ANAS 3.0 986.83 4/1/2013 278500016723 BOLT TIT LOCK GREEN 4.9 X36MM 577.70 4/1/2013 278500016726 BOLT TIT LOCK GREEN 4.9 X44MM 657.80 4/1/2013 278500016760 CEMENT BONE 174.11 4/1/2013 278500017181 COMPONENT FEMORAL SZ7 RT 9,206.20 4/1/2013 278500017189 PATELLAR GENESIS II 38MM 1,207.12 4/1/2013 278500017278 BIPOLAR HEAD OUTER SHELL 46MM 2,143.90 4/1/2013 278500017339 COMP TIB SZ5 KEEL 129433150 NPOR MBT 5,970.66 4/1/2013 278500017360 COMP TIB SZ4 KEEL 129433140 NPOR MBT 5,970.66 4/1/2013 278500017422 COMP TIB SZ3 KEEL 129433130 NPOR MBT 6,269.19 4/1/2013 278500017427 COMPONENT TIB SZ6 LT NPOR 4,270.76 4/1/2013 278500017430 COMPONENT TIB SZ2 RT NPOR 6,238.90 4/1/2013 278500017432 COMPONENT TIB SZ4 RT NPOR 4,270.76 4/1/2013 278500017434 COMPONENT TIB SZ6 RT NPOR 4,270.76 4/1/2013 278500017438 COMPONENT PTLR 29MM BCNVX 1,207.12 4/1/2013 278500017439 COMPONENT PATELLA 29MM RESRF 1,207.12 4/1/2013 278500017440 COMPONENT PATELLA 32MM RESRF 1,207.12 4/1/2013 278500017454 EXTRACTOR RX 9MM/12MM 4690 607.38 4/1/2013 278500017466 DEVICE MICROVASCULAR ANAS 3.5 951.82 4/1/2013 278500017539 BONE CANCELLOUS 15CC 0.1-2MM 1,091.57 4/1/2013 278500017719 BREAST TISSUE EXPANDER 133MV13 4,870.50 4/1/2013 278500017801 COMPONENT FEM OXINIUM SZ7 LT 10,433.15 4/1/2013 278500017831 BREAST IMP STYL10 360CC RD SIL 3,170.60 4/1/2013 278500017921 BONE CEMENT KYPHON ACTIV OS 10 W/HA 1,165.10 4/1/2013 278500018005 COMPONENT FEMORAL 71423214 9,206.20 4/1/2013 278500018067 COMP FEM SZ5 LT PS NPOR TRTHLN 6,207.50 4/1/2013 278500018078 TIBIAL PTLR 32X10MM 5551G320 ASYM TRTHLN X3 2,330.20 4/1/2013 278500018097 CONNECTOR ILC 5.5X40MM OPN TI 2,674.00 4/1/2013 278500018106 COMPONENT TIB SZ4 REV NPOR MBT 3,991.90 4/1/2013 278500018122 COMPONENT FEM LT SZ3 CR 960003 NPOR PFC SGMA 5,997.40 4/1/2013 278500018133 COMPONENT PTLR 3PEG 35 960101 OVL DM PFC SGMA 4,675.68 4/1/2013 278500018143 CAP LOCKING REVOLVE 676.14 4/1/2013 278500018149 BREAST IMPLANT MEDIUM 350CC CONTOUR PROFILE 5,118.80 4/1/2013 278500018152 BIOLOX CERAMIC HEAD 36 MM 3,533.50 4/1/2013 278500018796 PELVILACE BIOURETHRL SLING SYS 4,621.02 4/1/2013 278500018935 PATCH XENOSURE BIOLOGIC 8X8CM 458.40 4/1/2013 278500018973 MACROPLASTIQUE IMPLANTS 2.5ML 1,890.90 4/1/2013 278500019124 PERIETEX PROGRIP 15X9CM 1,082.17 4/1/2013 278500019196 TUBE TRIUNE PC SILICONE 1.35 108.49 4/1/2013 278500019252 TUBE VENT BAXTER BEVELED BUTTN FIRM SILICONE 171.90 4/1/2013 278500019410 LENS TORIC SN6AT6 17.0D 1,890.90 4/1/2013 278500019494 GRAFT ALYTE Y-MESH Y100 3,438.00 4/1/2013 278500019601 SPACER COALITION 14X16MM 7D 9M 14,038.50 4/1/2013 278500019773 SCREW CANN LOK 3.7MM 30MM 626.10 4/1/2013 278500019776 SCREW CANN LOK 3.7MM 36MM 626.10 4/1/2013 278500019777 SCREW CANN LOK 3.7MM 38MM 626.10 4/1/2013 278500019778 SCREW CANN LOK 3.7MM 40MM 626.10 4/1/2013 278500019976 SCREW BIOSURE HA 9MM X 25MM 1,123.08 4/1/2013 278500022326 ANCHOR SUTURE SWIVEL 4.75X19.1 7,258.00 4/1/2013 278500023663 SCREW LOK 2.7X12MM SLF TPNG W/ STRDR 387.04 4/1/2013 278500023904 SCREW SELF LOCKING 29 DWD029 510.35 4/1/2013 278500023906 SCREW LOCKING 35MM DWD035 510.35 4/1/2013 278500024875 SCREW REVOLVE 6.5X45 5,149.36 4/1/2013 278500024984 SCREW METAFIX LOCKG 3.5X24MM 706.70 4/1/2013 278500025667 SCREW ST SGL INR MIS 735.35 4/1/2013 278500025701 SCREW ACTB 6.5X25MM CANC PNCL 292.80 4/1/2013 278500025705 SCREW ACTB 6.5X30MM CANC PNCL 292.80 4/1/2013 278500025714 SCREW ACTB 6.5X35MM CANC PNCL 278.86 4/1/2013 278500025998 SCREW VAR ANGLE 4.6 SLFTAP 14 748.72 4/1/2013 278500026029 SCREW PROVIDENCE 4.2MM FIXED A NGLE SELF-TAPPING 16MM 748.72 4/1/2013 278500026063 SCREW 3.6MM BONE VARIABLE SELF -DRILLING 14MM 1,405.76 4/1/2013 278500026066 SCREW 5.5MM REVOLVE POLYAXIAL PEDICLE 45MM 5,149.36 4/1/2013 278500026067 SCREW 5.5MM REVOLVE POLYAXIAL PEDICLE 50MM 5,149.36 4/1/2013 278500026069 SCREW 6.5MM REVOLVE POLYAXIAL PEDICLE 40MM 5,149.36 4/1/2013 278500026070 SCREW 6.5MM REVOLVE POLYAXIAL PEDICLE 50MM 5,149.36 4/1/2013 278500026180 NK GSF FEMUR NON-POROUS 9,206.20 4/1/2013 278500026285 SCREW POLYAXIAL ELLIPSE 3.5MM 16MM 2,620.52 4/1/2013 278500026286 SCREW POLYAXIAL ELLIPSE 3.5MM 18MM 2,620.52 4/1/2013 278500026290 SCREW POLYAXIAL ELLIPSE 4.0MM 24MM 2,674.00 4/1/2013 278500026291 SCREW POLYAXIAL ELLIPSE 4.0MM 26MM 2,620.52 4/1/2013 278500026302 SCREW TAP FOR 4.0MM 1,348.46 4/1/2013 278500026647 CORKSCREW BIOCOMPOSITE 5.5MM 1,241.50 4/1/2013 278500029757 SUTURE ANCHOR NANOTACK 1,485.98 4/1/2013 278500133344 MONARC SUBFACIAL HAMMOCK SLING 3,346.32 4/1/2013 278500141641 PLUG MESH MARLEX MED 586.81 4/1/2013 278500141642 PLUG MESH MARLEX LG 598.86 4/1/2013 278500141890 MESH BARD 6 X 6 0112720 699.37 4/1/2013 278500143136 MESH COMPOSIX EX 6X8 3,014.21 4/1/2013 278500163449 POWERPORT TITANIUM W/8FR CATH 1,623.50 4/1/2013 278500179345 STENT WALLFLEX PC18/23MMX103MM ESOPH 9,072.50 4/1/2013 278500193922 STENT WALLFLEX DUO 22X60 6501 10,027.50 4/1/2013 278500199388 SEAL MYOSURE SINGLE USE 40-902 38.20 4/1/2013 278500231488 STENT ZAONTZ URETHRAL 111.74 4/1/2013 278500232827 POLARIS STENT KIT 6FR X 24CM 689.89 4/1/2013
278500232831 POLARIS STENT KIT 7FR X 26CM 597.56 4/1/2013 278500242358 STENT BILIARY SOLUS 10-10-RB 415.43 4/1/2013 278500265276 STRIP INTEGRA MOZIAK 15CM 4,755.90 4/1/2013 278500305158 GRAFT ALDRM 8X16CM .79-2.03MM THICK 14,325.00 4/1/2013 278500312125 AMNIOGRAFT 2.0X1.5CM SIZE B 2,425.70 4/1/2013 278500315146 ALLOGRAFT MAINTAIN 10M PARALLE 3,438.00 4/1/2013 278500383737 GLIDECATH 4FR 120CM CG417 185.46 4/1/2013 637000011027 BETAMETHASONE DIPROPIONATE 0.05 % TOPICAL CREAM 138.78 4/1/2013 637000011031 BETAMETHASONE VALERATE 0.1 % TOPICAL CREAM 66.49 4/1/2013 637000011079 BISACODYL 5 MG TABLET,DELAYED RELEASE 3.00 4/1/2013 637000011080 BISACODYL 10 MG RECTAL SUPPOSITORY 3.00 4/1/2013 637000011355 CARBAMAZEPINE 100 MG CHEWABLE TABLET 3.00 4/1/2013 637000011357 CARBAMAZEPINE 200 MG TABLET 3.00 4/1/2013 637000011359 CARBAMIDE PEROXIDE 6.5 % EAR DROPS 9.34 4/1/2013 637000011395 CARISOPRODOL 350 MG TABLET 3.00 4/1/2013 637000011622 CHLORDIAZEPOXIDE 10 MG CAPSULE 3.00 4/1/2013 637000011623 CHLORDIAZEPOXIDE 25 MG CAPSULE 3.00 4/1/2013 637000011624 CHLORDIAZEPOXIDE 5 MG CAPSULE 3.00 4/1/2013 637000011661 CHLORTHALIDONE 25 MG TABLET 3.00 4/1/2013 637000011740 CLINDAMYCIN 150 MG CAPSULE 7.31 4/1/2013 637000011755 CLONIDINE 0.1 MG TABLET 3.00 4/1/2013 637000011756 CLONIDINE 0.2 MG TABLET 3.00 4/1/2013 637000011767 CLOTRIMAZOLE 1 % TOPICAL CREAM 10.01 4/1/2013 637000011801 CODEINE SULFATE 15 MG TABLET 3.00 4/1/2013 637000011802 CODEINE SULFATE 30 MG TABLET 3.00 4/1/2013 637000011821 COLCHICINE 0.6 MG TABLET 29.45 4/1/2013 637000012017 CYCLOBENZAPRINE 10 MG TABLET 6.16 4/1/2013 637000012033 CYPROHEPTADINE 4 MG TABLET 3.00 4/1/2013 637000012322 DEXAMETHASONE 0.5 MG TABLET 0.75 4/1/2013 637000012326 DEXAMETHASONE 2 MG TABLET 0.38 4/1/2013 637000012327 DEXAMETHASONE 4 MG TABLET 0.19 4/1/2013 637000012404 DIAZEPAM 2 MG TABLET 3.00 4/1/2013 637000012405 DIAZEPAM 5 MG TABLET 3.00 4/1/2013 637000012414 DICLOXACILLIN 250 MG CAPSULE 1.50 4/1/2013 637000012418 DICYCLOMINE 10 MG CAPSULE 3.00 4/1/2013 637000012444 DIGOXIN 125 MCG TABLET 3.00 4/1/2013 637000012445 DIGOXIN 250 MCG TABLET 3.00 4/1/2013 637000012475 DILTIAZEM 30 MG TABLET 3.00 4/1/2013 637000012476 DILTIAZEM 60 MG TABLET 4.47 4/1/2013 637000012505 DIPHENHYDRAMINE 25 MG TABLET 3.00 4/1/2013 637000012509 DIPHENHYDRAMINE 25 MG CAPSULE 3.00 4/1/2013 637000012510 DIPHENHYDRAMINE 50 MG CAPSULE 3.00 4/1/2013 637000012511 DIPHENHYDRAMINE 12.5 MG/5 ML ELIXIR 3.00 4/1/2013 637000012516 DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET 3.00 4/1/2013 637000012540 DISULFIRAM 250 MG TABLET 26.03 4/1/2013 637000012551 DIVALPROEX 125 MG TABLET,DELAYED RELEASE 3.00 4/1/2013 637000012552 DIVALPROEX 250 MG TABLET,DELAYED RELEASE 3.00 4/1/2013 637000012566 DOCUSATE SODIUM 100 MG CAPSULE 3.00 4/1/2013 637000012608 DOXEPIN 10 MG CAPSULE 3.00 4/1/2013 637000012611 DOXEPIN 25 MG CAPSULE 3.00 4/1/2013 637000012623 DOXYCYCLINE HYCLATE 100 MG CAPSULE 3.00 4/1/2013 637000012625 DOXYCYCLINE HYCLATE 100 MG TABLET 3.00 4/1/2013 637000012851 RACEPINEPHRINE 2.25 % NEB SOLUTION 7.09 4/1/2013 637000012863 ERGOCALCIFEROL (VITAMIN D2) 50,000 UNIT CAPSULE 3.00 4/1/2013 637000012888 ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT 34.92 4/1/2013 637000012889 ERYTHROMYCIN 250 MG TABLET 4.08 4/1/2013 637000012938 CONJUGATED ESTROGENS 1.25 MG TABLET 13.23 4/1/2013 637000012951 ETHYL CHLORIDE 100 % TOPICAL SPRAY 184.03 4/1/2013 637000013066 FERROUS GLUCONATE 324 MG (38 MG IRON) TABLET 3.00 4/1/2013 637000013069 FERROUS SULFATE 220 MG (44 MG IRON)/5 ML ORAL SOLN 3.00 4/1/2013 637000013074 FERROUS SULFATE 325 MG (65 MG IRON) TABLET 3.00 4/1/2013 637000013184 FLUOCINOLONE 0.025 % TOPICAL CREAM 170.79 4/1/2013 637000013218 FLUPHENAZINE 1 MG TABLET 3.97 4/1/2013 637000013233 FOLIC ACID 1 MG TABLET 3.00 4/1/2013 637000013294 FUROSEMIDE 20 MG TABLET 3.00 4/1/2013 637000013295 FUROSEMIDE 40 MG TABLET 3.00 4/1/2013 637000013378 GEMFIBROZIL 600 MG TABLET 3.00 4/1/2013 637000013427 GENTAMICIN 0.3 % (3 MG/G) EYE OINTMENT 45.66 4/1/2013 637000013489 GLYBURIDE 5 MG TABLET 3.37 4/1/2013 637000013542 GUAIFENESIN 100 MG/5 ML ORAL LIQUID 3.00 4/1/2013 637000013578 HALOPERIDOL 0.5 MG TABLET 3.00 4/1/2013 637000013579 HALOPERIDOL 1 MG TABLET 3.00 4/1/2013 637000013583 HALOPERIDOL 5 MG TABLET 3.00 4/1/2013 637000013698 HYDRALAZINE 10 MG TABLET 3.00 4/1/2013 637000013700 HYDRALAZINE 25 MG TABLET 3.00 4/1/2013 637000013720 HYDROCHLOROTHIAZIDE 25 MG TABLET 3.00 4/1/2013 637000013721 HYDROCHLOROTHIAZIDE 50 MG TABLET 3.00 4/1/2013 637000013724 HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML SYRUP 16.61 4/1/2013 637000013725 HYDROCORTISONE 0.5 % TOPICAL CREAM 15.49 4/1/2013 637000013726 HYDROCORTISONE 1 % TOPICAL CREAM 25.21 4/1/2013 637000013728 HYDROCORTISONE 1 % LOTION 31.48 4/1/2013 637000013733 HYDROCORTISONE 10 MG TABLET 2.64 4/1/2013 637000013752 HYDROGEN PEROXIDE 3 % SOLN 3.75 4/1/2013 637000013760 HYDROMORPHONE 2 MG TABLET 3.00 4/1/2013 637000013761 HYDROMORPHONE 4 MG TABLET 3.00 4/1/2013 637000013774 HYDROXYZINE 25 MG TABLET 3.00 4/1/2013 637000013841 IBUPROFEN 200 MG TABLET 3.00 4/1/2013 637000013843 IBUPROFEN 400 MG TABLET 3.00 4/1/2013 637000013844 IBUPROFEN 600 MG TABLET 3.00 4/1/2013 637000013897 INDOMETHACIN 25 MG CAPSULE 3.00 4/1/2013
- Page 1 and 2: Greenwich Hospital Price Master as
- Page 3 and 4: 27200017 HC ELECTRODE TRANSVENOUS P
- Page 5 and 6: 27800067 HC STAPLER SKIN ROYAL 35 2
- Page 7 and 8: 30000464 HC ACTIVATED PROTEIN C RES
- Page 9 and 10: 30001771 HC CYSTIC FIBROSIS NEWBORN
- Page 11 and 12: 30100318 HC MOL DIA;SEP BY GEL E4,E
- Page 13 and 14: 30600038 HC PAPILLOMAVIRUS, HUMAN:A
- Page 15 and 16: 32000101 HC XR ANKLE 2 VIEWS 406.00
- Page 17 and 18: 36000178 HC BX BREAST NDL PERC W/GU
- Page 19 and 20: 40000043 HC US GUIDANCE INTRAOPERAT
- Page 21 and 22: 61000039 HC MRI UPR EXTREM JT W/O C
- Page 23 and 24: 98100016 HCPR REPAIR LAC SIMPLE SCA
- Page 25 and 26: 27250001628 SUTURE SILK 6-0 S1769K
- Page 27 and 28: 250000051465 CEFUROXIME SODIUM 750
- Page 29 and 30: 270500013282 INDERMIL TISSUE ADHESI
- Page 31 and 32: 272500012059 BLANKET WARMER BAIR HU
- Page 33 and 34: 272500015138 BLADE DIEGO SERRATED 4
- Page 35 and 36: 276500023575 LENSE SN60WF18.5 569.1
- Page 37: 278500015237 CUP BIPOLAR 5001-53-28
- Page 41 and 42: 637000017753 TEMAZEPAM 15 MG CAPSUL
- Page 43 and 44: 2500000433512 ESCITALOPRAM 10 MG TA
- Page 45 and 46: 2705000126822 TUBE VACUUM AQUILEX H
- Page 47 and 48: 6370000111218 PSYLLIUM ORAL PACKET
- Page 49 and 50: 6370000129858 METOPROLOL SUCCINATE
- Page 51 and 52: 25000005113667 SODIUM CHLORIDE 0.9
278500232831 POLARIS STENT KIT 7FR X 26CM 597.56 4/1/2013<br />
278500242358 STENT BILIARY SOLUS 10-10-RB 415.43 4/1/2013<br />
278500265276 STRIP INTEGRA MOZIAK 15CM 4,755.90 4/1/2013<br />
278500305158 GRAFT ALDRM 8X16CM .79-2.03MM THICK 14,325.00 4/1/2013<br />
278500312125 AMNIOGRAFT 2.0X1.5CM SIZE B 2,425.70 4/1/2013<br />
278500315146 ALLOGRAFT MAINTAIN 10M PARALLE 3,438.00 4/1/2013<br />
278500383737 GLIDECATH 4FR 120CM CG417 185.46 4/1/2013<br />
637000011027 BETAMETHASONE DIPROPIONATE 0.05 % TOPICAL CREAM 138.78 4/1/2013<br />
637000011031 BETAMETHASONE VALERATE 0.1 % TOPICAL CREAM 66.49 4/1/2013<br />
637000011079 BISACODYL 5 MG TABLET,DELAYED RELEASE 3.00 4/1/2013<br />
637000011080 BISACODYL 10 MG RE<strong>CT</strong>AL SUPPOSITORY 3.00 4/1/2013<br />
637000011355 CARBAMAZEPINE 100 MG CHEWABLE TABLET 3.00 4/1/2013<br />
637000011357 CARBAMAZEPINE 200 MG TABLET 3.00 4/1/2013<br />
637000011359 CARBAMIDE PEROXIDE 6.5 % EAR DROPS 9.34 4/1/2013<br />
637000011395 CARISOPRODOL 350 MG TABLET 3.00 4/1/2013<br />
637000011622 CHLORDIAZEPOXIDE 10 MG CAPSULE 3.00 4/1/2013<br />
637000011623 CHLORDIAZEPOXIDE 25 MG CAPSULE 3.00 4/1/2013<br />
637000011624 CHLORDIAZEPOXIDE 5 MG CAPSULE 3.00 4/1/2013<br />
637000011661 CHLORTHALIDONE 25 MG TABLET 3.00 4/1/2013<br />
637000011740 CLINDAMYCIN 150 MG CAPSULE 7.31 4/1/2013<br />
637000011755 CLONIDINE 0.1 MG TABLET 3.00 4/1/2013<br />
637000011756 CLONIDINE 0.2 MG TABLET 3.00 4/1/2013<br />
637000011767 CLOTRIMAZOLE 1 % TOPICAL CREAM 10.01 4/1/2013<br />
637000011801 CODEINE SULFATE 15 MG TABLET 3.00 4/1/2013<br />
637000011802 CODEINE SULFATE 30 MG TABLET 3.00 4/1/2013<br />
637000011821 COLCHICINE 0.6 MG TABLET 29.45 4/1/2013<br />
637000012017 CYCLOBENZAPRINE 10 MG TABLET 6.16 4/1/2013<br />
637000012033 CYPROHEPTADINE 4 MG TABLET 3.00 4/1/2013<br />
637000012322 DEXAMETHASONE 0.5 MG TABLET 0.75 4/1/2013<br />
637000012326 DEXAMETHASONE 2 MG TABLET 0.38 4/1/2013<br />
637000012327 DEXAMETHASONE 4 MG TABLET 0.19 4/1/2013<br />
637000012404 DIAZEPAM 2 MG TABLET 3.00 4/1/2013<br />
637000012405 DIAZEPAM 5 MG TABLET 3.00 4/1/2013<br />
637000012414 DICLOXACILLIN 250 MG CAPSULE 1.50 4/1/2013<br />
637000012418 DICYCLOMINE 10 MG CAPSULE 3.00 4/1/2013<br />
637000012444 DIGOXIN 125 MCG TABLET 3.00 4/1/2013<br />
637000012445 DIGOXIN 250 MCG TABLET 3.00 4/1/2013<br />
637000012475 DILTIAZEM 30 MG TABLET 3.00 4/1/2013<br />
637000012476 DILTIAZEM 60 MG TABLET 4.47 4/1/2013<br />
637000012505 DIPHENHYDRAMINE 25 MG TABLET 3.00 4/1/2013<br />
637000012509 DIPHENHYDRAMINE 25 MG CAPSULE 3.00 4/1/2013<br />
637000012510 DIPHENHYDRAMINE 50 MG CAPSULE 3.00 4/1/2013<br />
637000012511 DIPHENHYDRAMINE 12.5 MG/5 ML ELIXIR 3.00 4/1/2013<br />
637000012516 DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET 3.00 4/1/2013<br />
637000012540 DISULFIRAM 250 MG TABLET 26.03 4/1/2013<br />
637000012551 DIVALPROEX 125 MG TABLET,DELAYED RELEASE 3.00 4/1/2013<br />
637000012552 DIVALPROEX 250 MG TABLET,DELAYED RELEASE 3.00 4/1/2013<br />
637000012566 DOCUSATE SODIUM 100 MG CAPSULE 3.00 4/1/2013<br />
637000012608 DOXEPIN 10 MG CAPSULE 3.00 4/1/2013<br />
637000012611 DOXEPIN 25 MG CAPSULE 3.00 4/1/2013<br />
637000012623 DOXYCYCLINE HYCLATE 100 MG CAPSULE 3.00 4/1/2013<br />
637000012625 DOXYCYCLINE HYCLATE 100 MG TABLET 3.00 4/1/2013<br />
637000012851 RACEPINEPHRINE 2.25 % NEB SOLUTION 7.09 4/1/2013<br />
637000012863 ERGOCALCIFEROL (VITAMIN D2) 50,000 UNIT CAPSULE 3.00 4/1/2013<br />
637000012888 ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT 34.92 4/1/2013<br />
637000012889 ERYTHROMYCIN 250 MG TABLET 4.08 4/1/2013<br />
637000012938 CONJUGATED ESTROGENS 1.25 MG TABLET 13.23 4/1/2013<br />
637000012951 ETHYL CHLORIDE 100 % TOPICAL SPRAY 184.03 4/1/2013<br />
637000013066 FERROUS GLUCONATE 324 MG (38 MG IRON) TABLET 3.00 4/1/2013<br />
637000013069 FERROUS SULFATE 220 MG (44 MG IRON)/5 ML ORAL SOLN 3.00 4/1/2013<br />
637000013074 FERROUS SULFATE 325 MG (65 MG IRON) TABLET 3.00 4/1/2013<br />
637000013184 FLUOCINOLONE 0.025 % TOPICAL CREAM 170.79 4/1/2013<br />
637000013218 FLUPHENAZINE 1 MG TABLET 3.97 4/1/2013<br />
637000013233 FOLIC ACID 1 MG TABLET 3.00 4/1/2013<br />
637000013294 FUROSEMIDE 20 MG TABLET 3.00 4/1/2013<br />
637000013295 FUROSEMIDE 40 MG TABLET 3.00 4/1/2013<br />
637000013378 GEMFIBROZIL 600 MG TABLET 3.00 4/1/2013<br />
637000013427 GENTAMICIN 0.3 % (3 MG/G) EYE OINTMENT 45.66 4/1/2013<br />
637000013489 GLYBURIDE 5 MG TABLET 3.37 4/1/2013<br />
637000013542 GUAIFENESIN 100 MG/5 ML ORAL LIQUID 3.00 4/1/2013<br />
637000013578 HALOPERIDOL 0.5 MG TABLET 3.00 4/1/2013<br />
637000013579 HALOPERIDOL 1 MG TABLET 3.00 4/1/2013<br />
637000013583 HALOPERIDOL 5 MG TABLET 3.00 4/1/2013<br />
637000013698 HYDRALAZINE 10 MG TABLET 3.00 4/1/2013<br />
637000013700 HYDRALAZINE 25 MG TABLET 3.00 4/1/2013<br />
637000013720 HYDROCHLOROTHIAZIDE 25 MG TABLET 3.00 4/1/2013<br />
637000013721 HYDROCHLOROTHIAZIDE 50 MG TABLET 3.00 4/1/2013<br />
637000013724 HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML SYRUP 16.61 4/1/2013<br />
637000013725 HYDROCORTISONE 0.5 % TOPICAL CREAM 15.49 4/1/2013<br />
637000013726 HYDROCORTISONE 1 % TOPICAL CREAM 25.21 4/1/2013<br />
637000013728 HYDROCORTISONE 1 % LOTION 31.48 4/1/2013<br />
637000013733 HYDROCORTISONE 10 MG TABLET 2.64 4/1/2013<br />
637000013752 HYDROGEN PEROXIDE 3 % SOLN 3.75 4/1/2013<br />
637000013760 HYDROMORPHONE 2 MG TABLET 3.00 4/1/2013<br />
637000013761 HYDROMORPHONE 4 MG TABLET 3.00 4/1/2013<br />
637000013774 HYDROXYZINE 25 MG TABLET 3.00 4/1/2013<br />
637000013841 IBUPROFEN 200 MG TABLET 3.00 4/1/2013<br />
637000013843 IBUPROFEN 400 MG TABLET 3.00 4/1/2013<br />
637000013844 IBUPROFEN 600 MG TABLET 3.00 4/1/2013<br />
637000013897 INDOMETHACIN 25 MG CAPSULE 3.00 4/1/2013
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