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
7503253 ASPIRIN/CAFFEINE/BUT CAP 250 0 0 4300 7503279 FLUNISOLIDE 0 SPRAY 250 0 0 4300 7503287 FLUCYTOSINE 250MG. CAP 250 0 0 4300 7503303 FLUOXETINE 5ML U.D. SOLN 250 0 0 4300 7503311 FLUOXETINE HCL 20 MG CAP 250 0 0 4300 7503329 FLUPHENAZINE HCL 2.5 TAB 250 0 0 4300 7503337 FLUPHENAZINE HCL 2.5 VIAL 250 0 0 4300 7503345 FLUPHENAZINE HCL 5 M TAB 250 0 0 4300 7503352 FLUPHENAZINE DECANOA VIAL 636 0 0 4300 7503360 FLOVENT HFA 44MCG. AER 250 0 0 4300 7503378 FLOVENT HFA 110MCG. AER 250 0 0 4300 7503386 FLOVENT HFA 220MCG. AER 250 0 0 4300 7503394 FLURBIPROFEN SODIUM DROPS 250 0 0 4300 7503402 FOLIC ACID 5 MG VIAL 250 0 0 4300 7503410 FOLIC ACID 1 MG TAB 250 0 0 4300 7503428 FUROSEMIDE 20 MG TAB 250 0 0 4300 7503436 FUROSEMIDE 10 MG VIAL 636 0 0 4300 7503444 FUROSEMIDE 40 MG TAB 250 0 0 4300 7503451 FUROSEMIDE 10 MG VIAL 636 0 0 4300 7503469 FUROSEMIDE 10 MG VIAL 636 0 0 4300 7503477 FUROSEMIDE 80 MG TAB 250 0 0 4300 7503485 FUROSEMIDE 10 MG SOLN 250 0 0 4300 7503493 FONDAPARINUX 2.5MG SYRINGE 636 0 0 4300 7503501 GEMFIBROZIL 600 MG TAB 250 0 0 4300 7503519 GENTAMICIN SULFATE 0 DROPS 250 0 0 4300 7503527 GENTAMICIN SULFATE 0 OINT 250 0 0 4300 7503535 GENTAMICIN SULFATE 1 VIAL 636 0 0 4300 7503543 GENTAMICIN SULFATE 0 CREAM 250 0 0 4300 7503550 GENTAMICIN SULFATE 4 VIAL 636 0 0 4300 7503568 GLIPIZIDE 10 MG TAB 250 0 0 4300 7503576 GLIPIZIDE 5 MG TAB 250 0 0 4300 7503584 COPAXONE 20 MG KIT 636 0 0 4300 7503592 GLYBURIDE 5 MG TAB 250 0 0 4300 7503600 GLYBURIDE 2.5 MG TAB 250 0 0 4300 7503618 GLYCERIN 0 SUSP 250 0 0 4300 7503626 GLYCERIN ADULT SUPP 250 0 0 4300 7503634 GLYCOPYRROLATE 0.2 M VIAL 250 0 0 4300 7503642 GUAIFENESIN 200 MG SYRUP 637 0 0 4300 7503659 GUAIFENESIN S.F. SYRUP 637 0 0 4300 7503667 GUAIFEN/COD 10ML SYRUP 637 0 0 4300 7503675 HALOPERIDOL ORAL 5ML PO CON 637 0 0 4300 7503683 ACTHIB VIAL 250 0 0 4300 7503691 HALOPERIDOL 2 MG TAB 250 0 0 4300 7503709 HALOPERIDOL 0.5 MG TAB 250 0 0 4300 7503717 HALOPERIDOL DECANOAT VIAL 636 0 0 4300 7503725 HALOPERIDOL 5 MG TAB 250 0 0 4300 7503733 HALOPERIDOL 1 MG TAB 250 0 0 4300
7503741 HALOPERIDOL LACTATE VIAL 636 0 0 4300 7503758 HYDROCHLOROTHIAZIDE TAB 250 0 0 4300 7503766 HEPARIN SODIUM PORCI 1000U 1 ML VL 636 0 0 4300 7503774 HEPARIN SODIUM PORCI 10000U VIAL 636 0 0 4300 7503782 HEPARIN SODIUM PORCI 5000U VIAL 636 0 0 4300 7503790 HEPARIN SODIUM PORCI 100U/10ML VIAL 636 0 0 4300 7503808 HEP-LOCK 10U/1ML VIAL 636 0 0 4300 7503816 HEPARIN SODIUM PORCI 1000U/10ML VL 636 0 0 4300 7503824 HEPATITIS B IMMUNE G 1 ML VIAL 636 0 0 4300 7503832 HEP B VIR VACC RECOM VIAL 250 0 0 4300 7503840 HEP B VIR VACC RECOM SYRINGE 250 0 0 4300 7503857 HEALON 5 SYRINGE 250 0 0 4300 7503865 HYDRALAZINE HCL 10 M TAB 250 0 0 4300 7503873 HYDRALAZINE HCL 20 M VIAL 636 0 0 4300 7503881 HYDRALAZINE HCL 25 M TAB 250 0 0 4300 7503899 HYDROCORTISONE 0 CREAM 250 0 0 4300 7503907 HYDROCORTISONE 0 OINT 250 0 0 4300 7503915 HYDROCORTISONE 0 CREAM 250 0 0 4300 7503923 HYDROCORTISONE VALER CREAM 250 0 0 4300 7503931 HYDROCORTISONE SOD S VIAL 636 0 0 4300 7503949 HYDROCORTISONE 0 OINT 250 0 0 4300 7503956 HYDROCOD BIT/HOMATRO SYRUP 250 0 0 4300 7503964 HYDROCORTISONE SOD S 500 MG VIAL 636 0 0 4300 7503972 HYDROGEN PEROXIDE 0 SOLN 250 0 0 4300 7503980 HYDROMORPHONE HCL 2 TAB 250 0 0 4300 7503998 HYDROMORPHONE HCL 2 MG VIAL 636 0 0 4300 7504004 HYDROMORPH HP 50MG INJ 636 0 0 4300 7504012 HYDROXYZINE HCL 10 MG TAB 250 0 0 4300 7504020 HYDROXYUREA 500 MG CAP 250 0 0 4300 7504038 HYDROXYZINE HCL 25 M TAB 250 0 0 4300 7504046 HYDROXYZINE HCL 50 M TAB 250 0 0 4300 7504053 HYDROXYCHLOROQUINE S TAB 250 0 0 4300 7504061 NABUMETONE 500 MG TAB 250 0 0 4300 7504079 IBUPROFEN 600 MG TAB 250 0 0 4300 7504087 IBUPROFEN 400 MG TAB 250 0 0 4300 7504095 IBUPROFEN 800 MG TAB 250 0 0 4300 7504103 IC-GREEN 25MG.KIT VIAL 250 0 0 4300 7504111 IMIPRAMINE HCL 10 MG TAB 250 0 0 4300 7504129 IMIPRAMINE HCL 25 MG TAB 250 0 0 4300 7504137 IMMUNE GLOBULIN 3GM. VIAL 636 0 0 4300 7504145 IBUBROFEN U.D. SUSP. 250 0 0 4300 7504152 INDIGOTINDISULFONATE INJ 250 0 0 4300 7504160 INDOMETHACIN SR 75MG SR CAPS 250 0 0 4300 7504178 INDOMETHACIN 25 MG CAP 250 0 0 4300 7504186 M.S.ELIX 5ML U.D. SOLN 250 0 0 4300 7504202 INSULIN REGULAR HUMA VIAL 636 0 0 4300 7504210 6NSULIN NPH HUMAN RE VIAL 636 0 0 4300
- 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 and 124: 7001084 MRI-LOEX NO JT W/WO RT-PLF
- Page 125 and 126: 7500820 ASPIRIN 325 MG TAB 250 0 0
- Page 127 and 128: 7501794 CHOLESTYRAMINE/SUCRO PACKET
- Page 129: 7502768 DULOXETINE 30MG. CAP EC 250
- 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
- Page 175 and 176: 9302381 MOBILITY GOAL STATUS 420 0
- Page 177 and 178: 9303330 OTHER PT/OT D/C STATUS 420
- Page 179 and 180: 9304296 SUB PT/OT GOAL STATUS 430 0
7503741 HALOPERIDOL LA<strong>CT</strong>ATE VIAL 636 0 0 4300<br />
7503758 HYDROCHLOROTHIAZIDE TAB 250 0 0 4300<br />
7503766 HEPARIN SODIUM PORCI 1000U 1 ML VL 636 0 0 4300<br />
7503774 HEPARIN SODIUM PORCI 10000U VIAL 636 0 0 4300<br />
7503782 HEPARIN SODIUM PORCI 5000U VIAL 636 0 0 4300<br />
7503790 HEPARIN SODIUM PORCI 100U/10ML VIAL 636 0 0 4300<br />
7503808 HEP-LOCK 10U/1ML VIAL 636 0 0 4300<br />
7503816 HEPARIN SODIUM PORCI 1000U/10ML VL 636 0 0 4300<br />
7503824 HEPATITIS B IMMUNE G 1 ML VIAL 636 0 0 4300<br />
7503832 HEP B VIR VACC RECOM VIAL 250 0 0 4300<br />
7503840 HEP B VIR VACC RECOM SYRINGE 250 0 0 4300<br />
7503857 HEALON 5 SYRINGE 250 0 0 4300<br />
7503865 HYDRALAZINE HCL 10 M TAB 250 0 0 4300<br />
7503873 HYDRALAZINE HCL 20 M VIAL 636 0 0 4300<br />
7503881 HYDRALAZINE HCL 25 M TAB 250 0 0 4300<br />
7503899 HYDROCORTISONE 0 CREAM 250 0 0 4300<br />
7503907 HYDROCORTISONE 0 OINT 250 0 0 4300<br />
7503915 HYDROCORTISONE 0 CREAM 250 0 0 4300<br />
7503923 HYDROCORTISONE VALER CREAM 250 0 0 4300<br />
7503931 HYDROCORTISONE SOD S VIAL 636 0 0 4300<br />
7503949 HYDROCORTISONE 0 OINT 250 0 0 4300<br />
7503956 HYDROCOD BIT/HOMATRO SYRUP 250 0 0 4300<br />
7503964 HYDROCORTISONE SOD S 500 MG VIAL 636 0 0 4300<br />
7503972 HYDROGEN PEROXIDE 0 SOLN 250 0 0 4300<br />
7503980 HYDROMORPHONE HCL 2 TAB 250 0 0 4300<br />
7503998 HYDROMORPHONE HCL 2 MG VIAL 636 0 0 4300<br />
7504004 HYDROMORPH HP 50MG INJ 636 0 0 4300<br />
7504012 HYDROXYZINE HCL 10 MG TAB 250 0 0 4300<br />
7504020 HYDROXYUREA 500 MG CAP 250 0 0 4300<br />
7504038 HYDROXYZINE HCL 25 M TAB 250 0 0 4300<br />
7504046 HYDROXYZINE HCL 50 M TAB 250 0 0 4300<br />
7504053 HYDROXYCHLOROQUINE S TAB 250 0 0 4300<br />
7504061 NABUMETONE 500 MG TAB 250 0 0 4300<br />
7504079 IBUPROFEN 600 MG TAB 250 0 0 4300<br />
7504087 IBUPROFEN 400 MG TAB 250 0 0 4300<br />
7504095 IBUPROFEN 800 MG TAB 250 0 0 4300<br />
7504103 IC-GREEN 25MG.KIT VIAL 250 0 0 4300<br />
7504111 IMIPRAMINE HCL 10 MG TAB 250 0 0 4300<br />
7504129 IMIPRAMINE HCL 25 MG TAB 250 0 0 4300<br />
7504137 IMMUNE GLOBULIN 3GM. VIAL 636 0 0 4300<br />
7504145 IBUBROFEN U.D. SUSP. 250 0 0 4300<br />
7504152 INDIGOTINDISULFONATE INJ 250 0 0 4300<br />
7504160 INDOMETHACIN SR 75MG SR CAPS 250 0 0 4300<br />
7504178 INDOMETHACIN 25 MG CAP 250 0 0 4300<br />
7504186 M.S.ELIX 5ML U.D. SOLN 250 0 0 4300<br />
7504202 INSULIN REGULAR HUMA VIAL 636 0 0 4300<br />
7504210 6NSULIN NPH HUMAN RE VIAL 636 0 0 4300
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