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14405 OB-NATAL ONE PRENATAL CAPSU 1.12639 2012-08-01 9999-12-31 14431 CHLORPROMAZINE 10 MG TABLET 0.84000 2012-06-01 9999-12-31 14432 CHLORPROMAZINE 25 MG TABLET 1.20000 2012-10-01 9999-12-31 14433 CHLORPROMAZINE 50 MG TABLET 1.71000 2011-10-01 9999-12-31 14434 CHLORPROMAZINE 100 MG TABLE 1.95432 2012-09-01 9999-12-31 14435 CHLORPROMAZINE 200 MG TABLE 2.79180 2011-10-01 9999-12-31 14444 SM FIBER POWDER 0.01460 2011-10-01 9999-12-31 14540 FLUPHENAZINE DEC 25 MG/ML V 20.70000 2012-04-01 9999-12-31 14556 VIDEX EC 250 MG CAPSULE 6.79879 2011-01-01 9999-12-31 14557 VIDEX EC 400 MG CAPSULE 9.40360 2008-12-19 9999-12-31 14567 QC NATURAL VEGETABLE POWDER 0.01460 2011-10-01 9999-12-31 14568 AMERIGEL WOUND DRESSING GEL 0.60805 2011-02-01 9999-12-31 14588 SM COMPLETE ADVANCED TABLET 0.04444 2011-12-01 9999-12-31 14602 FLUPHENAZINE 1 MG TABLET 0.15000 2011-01-01 9999-12-31 14603 FLUPHENAZINE 10 MG TABLET 0.31140 2012-06-01 9999-12-31 14604 FLUPHENAZINE 2.5 MG TABLET 0.09780 2008-12-19 9999-12-31 14605 FLUPHENAZINE 5 MG TABLET 0.29400 2011-08-01 9999-12-31 14633 ALBUTEROL SUL 0.63 MG/3 ML 0.66399 2011-01-01 9999-12-31 14634 ALBUTEROL SUL 1.25 MG/3 ML 0.66399 2011-01-01 9999-12-31 14635 DEXTROAMP-AMPHET ER 10 MG C 7.35780 2011-01-01 9999-12-31 14636 DEXTROAMP-AMPHET ER 20 MG C 7.35780 2012-09-01 9999-12-31 14637 DEXTROAMP-AMPHET ER 30 MG C 7.35780 2011-01-01 9999-12-31 14650 PERPHENAZINE 16 MG TABLET 1.87164 2011-05-01 9999-12-31 14651 PERPHENAZINE 2 MG TABLET 0.79219 2011-06-01 9999-12-31 14652 PERPHENAZINE 4 MG TABLET 1.14696 2011-07-01 9999-12-31 14653 PERPHENAZINE 8 MG TABLET 1.39116 2011-05-01 9999-12-31 14683 VITAMIN E 400 UNIT SOFTGEL 0.07548 2012-05-01 9999-12-31 14689 NICOTINE 2 MG LOZENGE 0.47250 2012-07-01 9999-12-31 14690 TIZANIDINE HCL 2 MG TABLET 0.54399 2011-01-01 9999-12-31 14692 PROCHLORPERAZINE 5MG/ML VL 2.79000 2012-07-01 9999-12-31 14693 TIZANIDINE HCL 4 MG TABLET 0.30720 2011-01-01 9999-12-31 14759 CITRANATAL ASSURE COMBO PAC 1.26000 2012-06-01 9999-12-31 14761 COMPRO 25 MG SUPPOSITORY 4.35624 2012-07-01 9999-12-31 14764 LIDOCAINE HCL POWDER 0.21120 2012-06-01 9999-12-31 14771 PROCHLORPERAZINE 10 MG TAB 0.42645 2012-04-01 9999-12-31 14773 PROCHLORPERAZINE 5 MG TABLE 0.23700 2012-06-01 9999-12-31 14776 PRODRIN CAPLET 3.72000 2011-06-01 9999-12-31 14780 HALOPERIDOL DEC 50 MG/ML VI 25.92000 2012-09-01 9999-12-31 14781 HALOPERIDOL DEC 100 MG/ML V 47.52000 2011-06-01 9999-12-31 14801 HALOPERIDOL DEC 100 MG/ML A 59.22000 2011-10-01 9999-12-31 14830 TRIFLUOPERAZINE 1 MG TABLET 0.29880 2008-12-19 9999-12-31 14831 TRIFLUOPERAZINE 10 MG TABLE 0.86910 2008-12-19 9999-12-31 14832 TRIFLUOPERAZINE 2 MG TABLET 0.44390 2008-12-19 9999-12-31 14833 TRIFLUOPERAZINE 5 MG TABLET 0.94125 2011-09-01 9999-12-31 14850 COZAAR 25 MG TABLET 0.21094 2012-10-01 9999-12-31 14851 COZAAR 50 MG TABLET 0.22693 2011-12-01 9999-12-31 14852 HYZAAR 50-12.5 TABLET 0.25065 2012-10-01 9999-12-31 14853 COZAAR 100 MG TABLET 0.38616 2012-10-01 9999-12-31 14854 HYZAAR 100-25 TABLET 0.42699 2012-07-01 9999-12-31 14880 THIORIDAZINE 25 MG TABLET 0.24240 2012-03-01 9999-12-31 14881 THIORIDAZINE 50 MG TABLET 0.31080 2011-01-01 9999-12-31 14882 THIORIDAZINE 10 MG TABLET 0.12600 2008-03-21 9999-12-31 14883 THIORIDAZINE 100 MG TABLET 0.40200 2011-01-01 9999-12-31 14901 XYZAL 5 MG TABLET 1.84582 2012-05-01 9999-12-31 14949 CARBINOXAMINE 4 MG/5 ML LIQ 0.14673 2011-01-01 9999-12-31 14950 UROCIT-K SR 5 MEQ TABLET 0.72708 2012-04-01 9999-12-31 14951 UROCIT-K SR 10 MEQ TABLET 1.01904 2011-11-01 9999-12-31 14965 OXYCODON-ACETAMINOPHEN 7.5- 1.30339 2012-06-01 9999-12-31 14966 OXYCODONE-ACETAMINOPHEN 10- 0.93120 2011-01-01 9999-12-31 14970 PROMETHAZINE 25 MG/ML AMPUL 1.58400 2012-06-01 9999-12-31
14971 PROMETHAZINE 50 MG/ML AMPUL 3.68400 2011-12-01 9999-12-31 14973 FOCALIN 2.5 MG TABLET 0.65556 2011-03-01 9999-12-31 14974 FOCALIN 5 MG TABLET 0.93480 2011-01-01 9999-12-31 14975 FOCALIN 10 MG TABLET 1.34400 2011-01-01 9999-12-31 14981 PROMETHAZINE 25 MG/ML VIAL 1.03200 2012-10-01 9999-12-31 14983 PROMETHAZINE 50 MG/ML VIAL 2.22000 2011-01-01 9999-12-31 14990 PROMETHAZINE 25 MG/ML SYRIN 1.71600 2011-11-01 9999-12-31 15001 PHENADOZ 25 MG SUPPOSITORY 3.29599 2011-09-01 9999-12-31 15002 PROMETHEGAN 50 MG SUPPOSITO 5.87400 2008-12-19 9999-12-31 15003 PHENADOZ 12.5 MG SUPPOSITOR 2.89899 2011-09-01 9999-12-31 15035 PROMETHAZINE 6.25 MG/5 ML S 0.03493 2011-01-01 9999-12-31 15037 PHENYTEK 300 MG CAPSULE 1.14999 2011-11-01 9999-12-31 15038 PHENYTEK 200 MG CAPSULE 0.76740 2011-11-01 9999-12-31 15042 PROMETHAZINE 12.5 MG TABLET 0.35700 2012-08-01 9999-12-31 15043 PROMETHAZINE 25 MG TABLET 0.26400 2012-07-01 9999-12-31 15044 PROMETHAZINE 50 MG TABLET 0.69864 2012-08-01 9999-12-31 15081 ZYPREXA 7.5 MG TABLET 1.83279 2012-07-01 9999-12-31 15082 ZYPREXA 10 MG TABLET 1.48999 2012-09-01 9999-12-31 15083 ZYPREXA 5 MG TABLET 1.38519 2012-08-01 9999-12-31 15084 ZYPREXA 2.5 MG TABLET 0.67188 2012-07-01 9999-12-31 15085 ZYPREXA 15 MG TABLET 1.79232 2012-09-01 9999-12-31 15086 ZYPREXA 20 MG TABLET 4.53879 2012-06-01 9999-12-31 15353 DOPAMINE 400 MG-D5W 250 ML 0.06033 2011-01-01 9999-12-31 15395 DOPAMINE 800 MG-D5W 500 ML 0.04166 2011-11-01 9999-12-31 15412 PRAVACHOL 80 MG TABLET 0.46026 2012-04-01 9999-12-31 15479 DROPERIDOL 2.5 MG/ML AMPUL 0.60600 2011-11-01 9999-12-31 15494 ARIXTRA 2.5 MG SYRINGE 131.16600 2012-08-01 9999-12-31 15500 HALOPERIDOL LAC 5 MG/ML VIA 7.18800 2012-05-01 9999-12-31 15520 HALOPERIDOL LAC 2 MG/ML CON 0.08989 2012-09-01 9999-12-31 15530 HALOPERIDOL 0.5 MG TABLET 0.05820 2012-07-01 9999-12-31 15531 HALOPERIDOL 1 MG TABLET 0.12660 2012-10-01 9999-12-31 15532 HALOPERIDOL 10 MG TABLET 1.37712 2012-10-01 9999-12-31 15533 HALOPERIDOL 2 MG TABLET 0.12540 2012-07-01 9999-12-31 15534 HALOPERIDOL 20 MG TABLET 2.64672 2012-10-01 9999-12-31 15535 HALOPERIDOL 5 MG TABLET 0.28080 2011-01-01 9999-12-31 15560 LOXAPINE 10 MG CAPSULE 0.86280 2011-09-01 9999-12-31 15561 LOXAPINE 25 MG CAPSULE 1.31220 2012-05-01 9999-12-31 15562 LOXAPINE 5 MG CAPSULE 0.53630 2008-03-21 9999-12-31 15563 LOXAPINE 50 MG CAPSULE 1.74900 2011-03-01 9999-12-31 15603 SELEGILINE HCL 5 MG CAPSULE 2.01000 2011-11-01 9999-12-31 15621 FOSINOPRIL-HCTZ 10-12.5 MG 1.02680 2008-03-21 9999-12-31 15690 THIOTHIXENE 1 MG CAPSULE 0.15710 2008-09-19 9999-12-31 15691 THIOTHIXENE 10 MG CAPSULE 0.42320 2008-09-19 9999-12-31 15692 THIOTHIXENE 2 MG CAPSULE 0.22310 2008-09-19 9999-12-31 15694 THIOTHIXENE 5 MG CAPSULE 0.39552 2011-12-01 9999-12-31 15709 EPIVIR 300 MG TABLET 14.32200 2012-04-01 9999-12-31 15710 LITHIUM CARBONATE 300MG CAP 0.09720 2012-06-01 9999-12-31 15711 LITHIUM CARBONATE 150 MG CA 0.16755 2012-04-01 9999-12-31 15712 LITHIUM CARBONATE 600 MG CA 0.38688 2011-11-01 9999-12-31 15721 LITHIUM CARBONATE 300 MG TA 0.25800 2012-05-01 9999-12-31 15730 LITHIUM ER 450 MG TABLET 0.46368 2012-06-01 9999-12-31 15731 LITHIUM CARBONATE ER 300 MG 0.40044 2012-02-01 9999-12-31 15741 LITHIUM 8 MEQ/5 ML SOLUTION 0.13420 2011-01-01 9999-12-31 15751 PR BENZOYL PEROXIDE 7% WASH 0.20785 2011-10-01 9999-12-31 15775 TRIMETHOBENZAMIDE 300 MG CA 1.57116 2011-01-01 9999-12-31 15803 CYPROHEPTADINE 2 MG/5 ML SY 0.13612 2011-08-01 9999-12-31 15811 CYPROHEPTADINE 4 MG TABLET 0.40980 2012-09-01 9999-12-31 15891 CLOBETASOL 0.05% SOLUTION 0.55200 2012-01-01 9999-12-31 15892 CLOBETASOL 0.05% GEL 0.94599 2012-10-01 9999-12-31 15911 RITALIN 10 MG TABLET 0.24886 2012-06-01 9999-12-31
Page 1 and 2: GCN DRUG NAME PRICE BEGIN DATE END
Page 3 and 4: 02641 DILTIAZEM 25 MG/5 ML VIAL 0.4
Page 5 and 6: 07460 CARDIZEM CD 360 MG CAPSULE 9.
Page 7 and 8: 11500 CRYSELLE-28 TABLET 1.22571 20
Page 9: 14017 VOSOL HC EAR DROPS 19.33440 2
Page 13 and 14: 16366 PAROXETINE HCL 20 MG TABLET 0
Page 15 and 16: 17469 DEXTROAMP-AMPHET ER 25 MG C 7
Page 17 and 18: 19472 CLONAZEPAM 2 MG ODT 1.75219 2
Page 19 and 20: 21850 ALOE VESTA SKIN CONDITIONER 0
Page 21 and 22: 25287 ESSENTIAL WOMAN 50+ TABLET 0.
Page 23 and 24: 26836 OXYCODONE-ASPIRIN 4.83-325 1.
Page 25 and 26: 28581 CLEOCIN 2% VAGINAL CREAM 1.58
Page 27 and 28: 31092 FIRST-OMEPRAZOLE 2 MG/ML SU 0
Page 29 and 30: 33310 BETAGAN 0.5% EYE DROPS 4.2984
Page 31 and 32: 37211 LACTOSE POWDER 0.12734 2011-0
Page 33 and 34: 42239 IPRATROPIUM 0.03% SPRAY 1.429
Page 35 and 36: 47580 ENALAPRILAT 1.25 MG/ML VIAL 3
Page 37 and 38: 57903 VIAGRA 100 MG TABLET 0.39080
Page 39 and 40: 71060 PENTAZOCINE-NALOXONE TABLET 1
Page 41 and 42: 93271 CRANBERRY URINARY COMF SFTG 0
Page 43 and 44: 97048 SURGILUBE LUBRICANT 0.03349 2
Page 45: 99911 BROVEX PSB LIQUID 0.38020 201

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