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18428 AVODART 0.5 MG SOFTGEL 0.06470 2004-03-26 9999-12-31 18447 OPCON-A EYE DROPS 0.57535 2011-06-01 9999-12-31 18449 ADVANCED EYE RELIEF EYE DRO 0.63936 2011-01-01 9999-12-31 18450 ETHANOL 190 PROOF 0.28644 2011-01-01 9999-12-31 18530 PYRIDOSTIGMINE BR 60 MG TAB 1.89144 2012-08-01 9999-12-31 18562 VINATE CARE CHEWABLE TABLET 1.11199 2011-06-01 9999-12-31 18661 ATROPINE 0.1 MG/ML SYRINGE 0.99600 2012-06-01 9999-12-31 18672 ATROPINE 0.4 MG/ML VIAL 2.10000 2011-09-01 9999-12-31 18690 ACCOLATE 20 MG TABLET 1.76959 2012-02-01 9999-12-31 18754 DEPAKOTE ER 250 MG TABLET 0.84777 2011-01-01 9999-12-31 18760 ACETAMINOPHEN POWDER 0.57600 2012-04-01 9999-12-31 18898 CIPROFLOXACIN ER 500 MG TAB 9.40680 2012-05-01 9999-12-31 18906 MUCUS RELIEF 400 MG TABLET 0.08448 2012-04-01 9999-12-31 18931 HYOSCYAMINE 0.125 MG/5 ML E 0.07608 2012-03-01 9999-12-31 18936 METHOTREXATE 50 MG/2 ML VIA 2.40000 2012-03-01 9999-12-31 18940 HYOSCYAMINE 0.125 MG/ML DRO 1.55919 2012-05-01 9999-12-31 18960 HYOSCYAMINE ER 0.375 MG TAB 1.53600 2011-07-01 9999-12-31 18961 HYOSCYAMINE SULF 0.125 MG T 1.00650 2012-10-01 9999-12-31 18969 COPEGUS 200 MG TABLET 1.09280 2008-12-19 9999-12-31 18970 HYOSCYAMINE 0.125 MG TAB SL 1.01850 2012-02-01 9999-12-31 18975 ESCITALOPRAM 5 MG TABLET 1.58719 2012-10-01 9999-12-31 18990 LABETALOL HCL 5 MG/ML VIAL 0.24000 2011-01-01 9999-12-31 18992 LANSOPRAZOLE ODT 15 MG TABL 5.66652 2012-03-01 9999-12-31 18993 PREVACID 30 MG SOLUTAB 5.66652 2012-10-01 9999-12-31 19040 PROPANTHELINE 15 MG TABLET 0.58003 2011-01-01 9999-12-31 19121 GLYCOPYRROLATE 0.2 MG/ML VI 0.61440 2012-01-01 9999-12-31 19130 GLYCOPYRROLATE 1 MG TABLET 1.32735 2012-09-01 9999-12-31 19131 GLYCOPYRROLATE 2 MG TABLET 2.21850 2012-07-01 9999-12-31 19181 ESTAZOLAM 1 MG TABLET 0.29670 2008-09-19 9999-12-31 19182 ESTAZOLAM 2 MG TABLET 0.51370 2008-09-19 9999-12-31 19186 CARDIZEM LA 360 MG TABLET 5.60100 2011-05-01 9999-12-31 19191 FENTANYL CITRATE OTFC 600 M 22.77120 2010-02-20 9999-12-31 19192 FENTANYL CITRATE OTFC 800 M 26.98000 2010-02-20 9999-12-31 19193 FENTANYL CIT OTFC 1,200 MCG 33.67250 2010-02-20 9999-12-31 19194 FENTANYL CIT OTFC 1,600 MCG 40.60310 2010-02-20 9999-12-31 19200 FENTANYL 25 MCG/HR PATCH 10.69500 2011-05-01 9999-12-31 19201 FENTANYL 50 MCG/HR PATCH 15.19920 2012-10-01 9999-12-31 19202 FENTANYL 75 MCG/HR PATCH 30.03000 2012-08-01 9999-12-31 19203 FENTANYL 100 MCG/HR PATCH 33.06960 2012-09-01 9999-12-31 19204 FENTANYL CITRATE OTFC 200 M 15.12710 2010-02-20 9999-12-31 19206 FENTANYL CITRATE OTFC 400 M 18.59040 2010-02-20 9999-12-31 19218 CICLOPIROX 1% SHAMPOO 1.17878 2011-05-01 9999-12-31 19220 KONSYL 520 MG CAPSULE 0.06144 2012-09-01 9999-12-31 19246 SM ARTIFICIAL TEARS 0.40896 2011-12-01 9999-12-31 19258 REGENECARE 2% WOUND GEL 0.18352 2011-08-01 9999-12-31 19261 DICYCLOMINE 10 MG CAPSULE 0.08850 2012-07-01 9999-12-31 19323 DICYCLOMINE 10 MG/5 ML SYRU 0.10365 2012-08-01 9999-12-31 19331 DICYCLOMINE 20 MG TABLET 0.05400 2012-07-01 9999-12-31 19360 FLAVOXATE HCL 100 MG TABLET 1.35000 2012-06-01 9999-12-31 19370 OXYBUTYNIN 5 MG/5 ML SYRUP 0.05391 2012-02-01 9999-12-31 19380 OXYBUTYNIN 5 MG TABLET 0.11664 2012-03-01 9999-12-31 19388 OXYBUTYNIN CL ER 5 MG TABLE 3.68730 2012-01-01 9999-12-31 19389 OXYBUTYNIN CL ER 10 MG TABL 3.69120 2011-01-01 9999-12-31 19402 EPINEPHRINE 1 MG/ML AMPUL 1.58400 2011-05-01 9999-12-31 19411 EPINEPHRINE 0.1 MG/ML SYRIN 0.55440 2011-05-01 9999-12-31 19460 PROMETHAZINE HCL POWDER 0.37536 2011-03-01 9999-12-31 19467 CLONAZEPAM 0.125 MG DIS TAB 1.10839 2012-04-01 9999-12-31 19468 CLONAZEPAM 0.25 MG ODT 1.10839 2011-10-01 9999-12-31 19469 CLONAZEPAM 0.5 MG DIS TABLE 1.10659 2011-10-01 9999-12-31 19470 CLONAZEPAM 1 MG DIS TABLET 1.26459 2011-10-01 9999-12-31
19472 CLONAZEPAM 2 MG ODT 1.75219 2012-01-01 9999-12-31 19504 OMEPRAZOLE POWDER 5.04900 2011-02-01 9999-12-31 19541 RISPERIDONE 0.5 MG ODT 4.70913 2012-07-01 9999-12-31 19549 MINOCYCLINE HCL 75 MG TABLE 2.86056 2011-06-01 9999-12-31 19551 RANITIDINE 150 MG CAPSULE 1.21344 2012-03-01 9999-12-31 19552 RANITIDINE 300 MG CAPSULE 2.18835 2012-08-01 9999-12-31 19578 GLUCOPHAGE XR 750 MG TAB 0.28500 2012-07-01 9999-12-31 19587 RESOURCE DIABETIC TF LIQUID 0.01392 2011-03-01 9999-12-31 19601 LORAZEPAM INTENSOL 2 MG/ML 1.50199 2011-10-01 9999-12-31 19663 FLUNISOLIDE 29 MCG-0.025% S 1.01664 2011-01-01 9999-12-31 19670 VECURONIUM 10 MG VIAL 7.20000 2011-01-01 9999-12-31 19681 XANAX XR 3 MG TABLET 1.12400 2008-09-19 9999-12-31 19719 SYSTANE 0.3-0.4% EYE DROPS 0.25119 2012-09-01 9999-12-31 19745 NICOTINAMIDE TABLET 1.35919 2012-10-01 9999-12-31 19750 MARCAINE-EPI 0.25%-0.0005 V 0.09600 2011-05-01 9999-12-31 19758 BUPIVACAINE 0.5% VIAL 0.21480 2012-06-01 9999-12-31 19759 BUPIVACAINE 0.75% VIAL 0.18000 2011-11-01 9999-12-31 19828 MORPHINE 1 MG/ML AMPUL P-F 5.44200 2011-03-01 9999-12-31 19850 D-AMPHETAMINE ER 10 MG CAPS 4.37136 2011-09-01 9999-12-31 19851 D-AMPHETAMINE ER 15 MG CAPS 5.57388 2011-09-01 9999-12-31 19852 D-AMPHETAMINE ER 5 MG CAPSU 3.49944 2011-09-01 9999-12-31 19854 POTASSIUM CL 20 MEQ-0.45% N 0.00309 2012-08-01 9999-12-31 19862 EPIPEN 0.3 MG AUTO-INJECTOR 63.39600 2012-01-01 9999-12-31 19871 PRAMIPEXOLE 1 MG TABLET 0.17666 2012-09-01 9999-12-31 19873 PRAMIPEXOLE 0.125 MG TABLET 0.17666 2012-09-01 9999-12-31 19874 PRAMIPEXOLE 0.25 MG TABLET 0.23332 2012-07-01 9999-12-31 19875 PRAMIPEXOLE 0.5 MG TABLET 0.22083 2012-07-01 9999-12-31 19880 DEXTROAMPHETAMINE 10 MG TAB 3.02400 2012-09-01 9999-12-31 19881 DEXTROAMPHETAMINE 5 MG TAB 2.78400 2012-09-01 9999-12-31 20011 ONDANSETRON 40 MG/20 ML VIA 0.47100 2012-08-01 9999-12-31 20040 ONDANSETRON 4 MG/5 ML SOLUT 2.01456 2011-07-01 9999-12-31 20041 ONDANSETRON HCL 4 MG TABLET 0.49800 2012-05-01 9999-12-31 20042 ONDANSETRON HCL 8 MG TABLET 0.69000 2012-10-01 9999-12-31 20045 ZOFRAN ODT 4 MG TABLET 0.63750 2011-11-01 9999-12-31 20046 ZOFRAN ODT 8 MG TABLET 0.84750 2011-11-01 9999-12-31 20071 TERBUTALINE SULFATE 5 MG TA 0.56532 2012-07-01 9999-12-31 20072 TERBUTALINE SULFATE 2.5 MG 0.38988 2011-07-01 9999-12-31 20091 OXYCODONE HCL 15 MG TABLET 0.37956 2012-09-01 9999-12-31 20092 OXYCODONE HCL 30 MG TABLET 0.50160 2012-08-01 9999-12-31 20100 ALBUTEROL SULFATE 2 MG TAB 0.15163 2012-09-01 9999-12-31 20101 ALBUTEROL SULFATE 4 MG TAB 0.27075 2012-10-01 9999-12-31 20104 VITAMIN D 400 UNIT TAB CHEW 0.09072 2012-04-01 9999-12-31 20120 HYDROQUINONE TR 4% CREAM 0.59400 2006-06-16 9999-12-31 20255 ACULAR LS 0.4% OPHTH SOL 8.40000 2012-04-01 9999-12-31 20315 CIPROFLOXACIN ER 1,000 MG T 9.60710 2008-12-19 9999-12-31 20317 BUPROPION HCL XL 150 MG TAB 1.95750 2011-01-01 9999-12-31 20318 BUDEPRION XL 300 MG TABLET 2.24295 2011-02-01 9999-12-31 20351 BUTORPHANOL 10 MG/ML SPRAY 27.07200 2011-01-01 9999-12-31 20353 LEVETIRACETAM 100 MG/ML SOL 0.19026 2011-10-01 9999-12-31 20387 RITALIN LA 20 MG CAPSULE 4.66836 2012-06-01 9999-12-31 20414 JOLESSA 0.15 MG-0.03 MG TAB 1.52544 2012-05-01 9999-12-31 20462 SM ADULT NASAL DECONGESTANT 0.00981 2012-04-01 9999-12-31 20472 PSEUDOEPHED 30MG/5ML SYRUP 0.01321 2012-10-01 9999-12-31 20481 PSEUDOEPHEDRINE 30 MG TABLE 0.06150 2012-06-01 9999-12-31 20482 PSEUDOEPHEDRINE 60 MG TABLE 0.44112 2012-09-01 9999-12-31 20505 SM COUGH DROPS 0.08409 2011-01-01 9999-12-31 20510 METOCLOPRAMIDE 5 MG/ML VIAL 0.27000 2011-03-01 9999-12-31 20630 INDERAL 10MG TABLET 0.04965 2011-03-01 9999-12-31 20631 PROPRANOLOL 20 MG TABLET 0.05985 2011-01-01 9999-12-31 20632 PROPRANOLOL 40 MG TABLET 0.07200 2011-01-01 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 and 10: 14017 VOSOL HC EAR DROPS 19.33440 2
Page 11 and 12: 14971 PROMETHAZINE 50 MG/ML AMPUL 3
Page 13 and 14: 16366 PAROXETINE HCL 20 MG TABLET 0
Page 15: 17469 DEXTROAMP-AMPHET ER 25 MG C 7
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

gcn drug name price begin date end date 00120 digoxin 50 mcg/ml ...

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