chrg# cdsc cdept csrv cupr crev# 3095 med/surg, semi ... - CT.gov
chrg# cdsc cdept csrv cupr crev# 3095 med/surg, semi ... - CT.gov chrg# cdsc cdept csrv cupr crev# 3095 med/surg, semi ... - CT.gov
7500341 ROCALTROL .25MCG CAP 250 0 0 4300 7500358 ALLOPURINOL 300 MG TAB 250 0 0 4300 7500366 ALLOPURINOL 100 MG TAB 250 0 0 4300 7500374 VITAMIN E 50 U DROPS 250 0 0 4300 7500382 ALPRAZOLAM 0.5 MG TAB 250 0 0 4300 7500390 ALPRAZOLAM 0.25 MG TAB 250 0 0 4300 7500408 ALPRAZOLAM 1 MG TAB 250 0 0 4300 7500416 OLANZAPINE 10MG. ODT TAB LN 250 0 0 4300 7500424 ATOVAQUONE 5ML SUSP 250 0 0 4300 7500432 ALBUTEROL SOL 20ML SOLN 250 0 0 4300 7500440 MAG CARB/AL HYDROX/A SUSP 250 0 0 4300 7500457 CALCIUM ACETATE/AL PACKET 250 0 0 4300 7500465 ACAMPROSATE 333MG. EC TAB 250 0 0 4300 7500473 AMANTADINE HCL 100 M CAP 250 0 0 4300 7500481 AMINOCAPROIC ACID 25 VIAL 250 0 0 4300 7500499 AMINOCAPROIC 500MG TAB 250 0 0 4300 7500507 AMINOPHYLLINE 250 MG VIAL 636 0 0 4300 7500515 AMITRIPTYLINE HCL 25 TAB 250 0 0 4300 7500523 AMITRIPTYLINE HCL 50 TAB 250 0 0 4300 7500531 AMITRIPTYLINE HCL 10 TAB 250 0 0 4300 7500549 AMMONIA AMP 250 0 0 4300 7500556 AMOXICILLIN TRIHYDRA CAP 250 0 0 4300 7500564 AMOXICILLIN TRIHYDRA SUS REC 250 0 0 4300 7500572 AMOXICILLIN TRIHYDRA SUS REC 250 0 0 4300 7500580 AMOXICILLIN TRIHYDRA CAP 250 0 0 4300 7500598 BSS EYE SOLUTION 15ML SOLN 250 0 0 4300 7500606 AMPHOTERICIN B 50 MG VIAL 636 0 0 4300 7500614 XOPENEX 0.63/3ML VIAL 250 0 0 4300 7500622 AMPICILLIN TRIHYDRAT SUS REC 250 0 0 4300 7500630 XOPENEX 1.25/3ML SOLN 250 0 0 4300 7500648 AMPICILLIN SODIUM 50 MG VIAL 636 0 0 4300 7500655 AMPICILLIN SODIUM 1 GM ADDV 636 0 0 4300 7500663 AMPICILLIN TRIHYDRAT CAP 250 0 0 4300 7500671 AMPICILLIN SODIUM 25 VIAL 636 0 0 4300 7500689 AMPICILLIN SODIUM 2 GM ADDV 636 0 0 4300 7500697 AMPICILLIN SODIUM 1 GM VIAL 636 0 0 4300 7500705 AMPICILLIN SODIUM 125MG VIAL 636 0 0 4300 7500713 AMPICILLIN SODIUM 2 GM VIAL 636 0 0 4300 7500721 HYDROCORTISONE ACETA SUPP 250 0 0 4300 7500739 PRAM HC/BALSAM/ZNOX/ OINT 250 0 0 4300 7500747 RESOR/BALSAM/BIS SG/ SUPP 250 0 0 4300 7500754 ABILIFY 15MG. TAB 250 0 0 4300 7500762 ASCORBIC ACID 500 MG TAB 250 0 0 4300 7500770 ABILIFY 5MG. TAB 250 0 0 4300 7500788 ASPIRIN 300 MG SUPP 250 0 0 4300 7500796 ASPIRIN 600 MG SUPP 250 0 0 4300 7500804 ASPIRIN 325 MG ECTAB 250 0 0 4300
7500820 ASPIRIN 325 MG TAB 250 0 0 4300 7500838 ATENOLOL 50 MG TAB 250 0 0 4300 7500846 PILOCARPINE HCL 0 DROPS 250 0 0 4300 7500853 ATROPINE SULFATE 0 OINT 250 0 0 4300 7500861 ACET/COD #2 TAB 250 0 0 4300 7500879 ANASTRAZOLE 1MG. TAB 250 0 0 4300 7500887 ATROPINE SULFATE 0 DROPS 250 0 0 4300 7500895 ATROPINE SULFATE 0.1 SYRINGE 636 0 0 4300 7500903 AMOX TR/POTASSIUM CL SUS REC 250 0 0 4300 7500911 AMOX TR/POTASSIUM CL TAB 250 0 0 4300 7500929 AMOX TR/POTASSIUM CL SUS REC 250 0 0 4300 7500937 ANTIPYRINE/BENZOCAIN DROPS 250 0 0 4300 7500945 BACITRACIN OINT U.D. PACKET 250 0 0 4300 7500960 BACITRACIN ZINC 500 OINT 250 0 0 4300 7500978 BACLOFEN 10 MG TAB 250 0 0 4300 7500986 BECLOMETHASONE DIPRO SPRAY 250 0 0 4300 7500994 METHYL SALICYLATE/ME OINT 250 0 0 4300 7501000 BENZOIN COMPOUND TINCT 250 0 0 4300 7501018 BENZONATATE 100 MG CAP 250 0 0 4300 7501026 BENZTROPINE MESYLATE 2 MG AMP 636 0 0 4300 7501034 BENZTROPINE MESYLATE 1 MG TAB 250 0 0 4300 7501042 BETAMET ACET/BETAMET 6 MG VIAL 636 0 0 4300 7501059 BETAMETHASONE VALERA CREAM 250 0 0 4300 7501067 BETAMETHASONE VALERA OINT 250 0 0 4300 7501075 BETAMETHASONE VALERA OINT 250 0 0 4300 7501083 BETAXOLOL HCL 0 DROPS 250 0 0 4300 7501091 BETAMETHASONE VALERA CREAM 250 0 0 4300 7501109 BISACODYL 5 MG EC TAB 250 0 0 4300 7501117 BISACODYL 10 MG SUPP 250 0 0 4300 7501125 ANTIVENIN LACTRODECT BOX KIT 250 0 0 4300 7501133 LUMIGAN EYE DROPS DROPS 250 0 0 4300 7501141 SOD/POTASS/CAL/MAGNE SOLN 250 0 0 4300 7501158 BROMOCRIPTINE MESYLA TAB 250 0 0 4300 7501166 PULMICORT 0.25 INH 250 0 0 4300 7501174 RHINOCORT AQUA 8.6GM SPRAY 250 0 0 4300 7501182 BUMETANIDE 0.5 MG TAB 250 0 0 4300 7501190 PULMICORT 0.25MG/2ML INH 250 0 0 4300 7501208 BUMETANIDE 0.25 MG VIAL 250 0 0 4300 7501216 BUPIVACAINE HCL 5 MG VIAL 250 0 0 4300 7501224 BUPIVACAINE HCL 2.5 VIAL 250 0 0 4300 7501232 BUPIVACAINE HCL 7.5 VIAL 250 0 0 4300 7501240 BUPIVACAINE HCL 5 MG VIAL 250 0 0 4300 7501257 BUPIVACAINE HCL/EPIN VIAL 250 0 0 4300 7501265 BUPIVACAINE.25% 50ML VIAL 250 0 0 4300 7501273 BUSPIRONE HCL 10 MG TAB 250 0 0 4300 7501281 BUSPIRONE HCL 5 MG TAB 250 0 0 4300 7501299 BUMETANIDE 1MG. TAB 250 0 0 4300
- Page 73 and 74: 4611703 HYPERCOAG. NON-PREG 300 0 0
- Page 75 and 76: 4613063 TISSUE PREP 300 0 82.42 401
- Page 77 and 78: 4614095 LIDOCAINE AUTO ABS 300 0 26
- Page 79 and 80: 4615340 INCUBATION SERUM & DRUGS, E
- Page 81 and 82: 4619177 ALDOLASE 300 0 76.25 4010 4
- Page 83 and 84: 4620241 HEP BE AG 300 0 90.45 4010
- Page 85 and 86: 4621207 FETOMATERNAL HEMORRHAGE SCR
- Page 87 and 88: 4622148 THYROID STIM IMMUNOGLOBULIN
- Page 89 and 90: 4623146 RUBEOLA ANTIBODIES, IGG 300
- Page 91 and 92: 4624086 MUCOR RACEMOSUS, IGE 300 0
- Page 93 and 94: 4800041 SPE COLL TRAVEL/MILE 300 0
- Page 95 and 96: 5600689 MRI KEN HIP W/CONT RT 610 0
- Page 97 and 98: 5800313 MULTIPLE SLEEP LATENCY TEST
- Page 99 and 100: 6103758 BONE DENSITY FX EVAL 320 0
- Page 101 and 102: 6108906 CYSTO SCOUT FILM 320 0 108.
- Page 103 and 104: 6113864 SHLDR-ARTH PRO/INS-RT 761 0
- Page 105 and 106: 6201206 MYO-IMAGING-INFARCT 340 0 9
- Page 107 and 108: 6306005 COLOR FLOW DOPPLER 480 0 25
- Page 109 and 110: 6390132 US-MIDLINE CATHETER 278 0 1
- Page 111 and 112: 6502124 MRI-UP EX NO JT W-LT 610 0
- Page 113 and 114: 6702245 CT UP EXT W/ CON-RT 352 0 1
- Page 115 and 116: 6801187 CHEST INS & EXP LAT 320 0 1
- Page 117 and 118: 6802128 MAMMO DIAG DIGITAL RIGHT 40
- Page 119 and 120: 6901607 FINGER 2 OR MORE RT 320 0 1
- Page 121 and 122: 7000094 MRI-CHEST W/WO CONTR PLF 61
- Page 123: 7001084 MRI-LOEX NO JT W/WO RT-PLF
- Page 127 and 128: 7501794 CHOLESTYRAMINE/SUCRO PACKET
- Page 129 and 130: 7502768 DULOXETINE 30MG. CAP EC 250
- Page 131 and 132: 7503741 HALOPERIDOL LACTATE VIAL 63
- Page 133 and 134: 7504723 LIDOCAINE HCL/D7.5W INJ 250
- Page 135 and 136: 7505704 MULTIVITAMINS THERAP 250 0
- Page 137 and 138: 7506645 PHENAZOPYRIDINE HCL TAB 250
- Page 139 and 140: 7507601 SODIUM BICARBONATE SYRINGE
- Page 141 and 142: 7508583 ISOPROPYL ALCOHOL SOLN 250
- Page 143 and 144: 7509532 ISOSORBIDE MONONITRA T SR 2
- Page 145 and 146: 7510506 SUMATRIPTAN SUCCINAT TAB 25
- Page 147 and 148: 7511488 BUPROPION HCL 100 MG TAB 25
- Page 149 and 150: 7512486 LANTUS INSULIN VIAL 636 0 0
- Page 151 and 152: 7513500 POVIDONE-IODINE 10% SOLN 25
- Page 153 and 154: 7514649 PYRAZINAMIDE 500MG TAB 250
- Page 155 and 156: 7515620 BUSPIRONE 2.5 MG TAB 250 0
- Page 157 and 158: 7517618 TETANUS AND DIPTHERIA TOX .
- Page 159 and 160: 7600398 CONTAINER EMPTY 500 270 0 0
- Page 161 and 162: 7690001 RED CAP LUER LOCK MED SUPPL
- Page 163 and 164: 8201709 PROSTETIC TRAIN PER 15 MIN
- Page 165 and 166: 8403214 WHFOWOJT L3808 274 0 509.69
- Page 167 and 168: 8701500 IONTOPHORESIS PER 15 MIN DL
- Page 169 and 170: 9003112 INITIAL PSYCH EVAL MD 900 0
- Page 171 and 172: 9300518 SWALLOW GOAL STATUS 440 0 0
- Page 173 and 174: 9301441 LANG EXPRESS GOAL STATUS 44
7500341 ROCALTROL .25MCG CAP 250 0 0 4300<br />
7500358 ALLOPURINOL 300 MG TAB 250 0 0 4300<br />
7500366 ALLOPURINOL 100 MG TAB 250 0 0 4300<br />
7500374 VITAMIN E 50 U DROPS 250 0 0 4300<br />
7500382 ALPRAZOLAM 0.5 MG TAB 250 0 0 4300<br />
7500390 ALPRAZOLAM 0.25 MG TAB 250 0 0 4300<br />
7500408 ALPRAZOLAM 1 MG TAB 250 0 0 4300<br />
7500416 OLANZAPINE 10MG. ODT TAB LN 250 0 0 4300<br />
7500424 ATOVAQUONE 5ML SUSP 250 0 0 4300<br />
7500432 ALBUTEROL SOL 20ML SOLN 250 0 0 4300<br />
7500440 MAG CARB/AL HYDROX/A SUSP 250 0 0 4300<br />
7500457 CALCIUM ACETATE/AL PACKET 250 0 0 4300<br />
7500465 ACAMPROSATE 333MG. EC TAB 250 0 0 4300<br />
7500473 AMANTADINE HCL 100 M CAP 250 0 0 4300<br />
7500481 AMINOCAPROIC ACID 25 VIAL 250 0 0 4300<br />
7500499 AMINOCAPROIC 500MG TAB 250 0 0 4300<br />
7500507 AMINOPHYLLINE 250 MG VIAL 636 0 0 4300<br />
7500515 AMITRIPTYLINE HCL 25 TAB 250 0 0 4300<br />
7500523 AMITRIPTYLINE HCL 50 TAB 250 0 0 4300<br />
7500531 AMITRIPTYLINE HCL 10 TAB 250 0 0 4300<br />
7500549 AMMONIA AMP 250 0 0 4300<br />
7500556 AMOXICILLIN TRIHYDRA CAP 250 0 0 4300<br />
7500564 AMOXICILLIN TRIHYDRA SUS REC 250 0 0 4300<br />
7500572 AMOXICILLIN TRIHYDRA SUS REC 250 0 0 4300<br />
7500580 AMOXICILLIN TRIHYDRA CAP 250 0 0 4300<br />
7500598 BSS EYE SOLUTION 15ML SOLN 250 0 0 4300<br />
7500606 AMPHOTERICIN B 50 MG VIAL 636 0 0 4300<br />
7500614 XOPENEX 0.63/3ML VIAL 250 0 0 4300<br />
7500622 AMPICILLIN TRIHYDRAT SUS REC 250 0 0 4300<br />
7500630 XOPENEX 1.25/3ML SOLN 250 0 0 4300<br />
7500648 AMPICILLIN SODIUM 50 MG VIAL 636 0 0 4300<br />
7500655 AMPICILLIN SODIUM 1 GM ADDV 636 0 0 4300<br />
7500663 AMPICILLIN TRIHYDRAT CAP 250 0 0 4300<br />
7500671 AMPICILLIN SODIUM 25 VIAL 636 0 0 4300<br />
7500689 AMPICILLIN SODIUM 2 GM ADDV 636 0 0 4300<br />
7500697 AMPICILLIN SODIUM 1 GM VIAL 636 0 0 4300<br />
7500705 AMPICILLIN SODIUM 125MG VIAL 636 0 0 4300<br />
7500713 AMPICILLIN SODIUM 2 GM VIAL 636 0 0 4300<br />
7500721 HYDROCORTISONE ACETA SUPP 250 0 0 4300<br />
7500739 PRAM HC/BALSAM/ZNOX/ OINT 250 0 0 4300<br />
7500747 RESOR/BALSAM/BIS SG/ SUPP 250 0 0 4300<br />
7500754 ABILIFY 15MG. TAB 250 0 0 4300<br />
7500762 ASCORBIC ACID 500 MG TAB 250 0 0 4300<br />
7500770 ABILIFY 5MG. TAB 250 0 0 4300<br />
7500788 ASPIRIN 300 MG SUPP 250 0 0 4300<br />
7500796 ASPIRIN 600 MG SUPP 250 0 0 4300<br />
7500804 ASPIRIN 325 MG E<strong>CT</strong>AB 250 0 0 4300
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