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

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26059 FISH OIL 1,000 MG SOFTGEL 0.14160 2011-10-01 9999-12-31 26070 PARLODEL 5 MG CAPSULE 4.44399 2012-10-01 9999-12-31 26081 PARLODEL 2.5 MG TABLET 1.96800 2012-05-01 9999-12-31 26102 PROVIGIL 200 MG TABLET 37.03999 2012-08-01 9999-12-31 26170 DDAVP 0.01% SOLUTION 36.16800 2011-02-01 9999-12-31 26171 DDAVP 0.1 MG TABLET 3.26205 2012-09-01 9999-12-31 26172 DDAVP 0.2 MG TABLET 4.69950 2011-01-01 9999-12-31 26173 DDAVP 0.01% NASAL SPRAY 47.28240 2012-03-01 9999-12-31 26257 TANDEM DUAL ACTION CAPSULE 0.39705 2011-01-01 9999-12-31 26320 SYNTHROID 112 MCG TABLET 0.31728 2012-10-01 9999-12-31 26321 LEVO-T 0.025MG TABLET 0.16686 2012-07-01 9999-12-31 26322 LEVO-T 0.05MG TABLET 0.18954 2011-01-01 9999-12-31 26323 LEVO-T 0.1MG TABLET 0.21492 2012-06-01 9999-12-31 26324 LEVO-T 0.075MG TABLET 0.20952 2012-06-01 9999-12-31 26325 LEVO-T 0.2MG TABLET 0.44175 2011-07-01 9999-12-31 26326 LEVO-T 0.125MG TABLET 0.25164 2011-01-01 9999-12-31 26327 LEVO-T 0.15MG TABLET 0.25920 2012-08-01 9999-12-31 26328 SYNTHROID 175 MCG TABLET 0.30780 2012-08-01 9999-12-31 26329 LEVO-T 0.3MG TABLET 0.57300 2011-12-01 9999-12-31 26336 ACETAMINOPHEN 80 MG/0.8 ML 0.13599 2012-04-01 9999-12-31 26340 LIOTHYRONINE SOD 25 MCG TAB 1.26165 2012-08-01 9999-12-31 26341 LIOTHYRONINE SOD 5 MCG TAB 0.96030 2012-06-01 9999-12-31 26387 TRAMADOL HCL ER 100 MG TABL 4.04299 2012-05-01 9999-12-31 26391 PROPYLTHIOURACIL 50 MG TABL 0.71250 2012-07-01 9999-12-31 26400 METHIMAZOLE 10 MG TABLET 0.58350 2012-06-01 9999-12-31 26401 METHIMAZOLE 5 MG TABLET 0.34350 2012-07-01 9999-12-31 26409 QUETIAPINE FUMARATE 50 MG T 0.98505 2012-10-01 9999-12-31 26411 QUETIAPINE FUMARATE 400 MG 19.13712 2012-09-01 9999-12-31 26416 D-VI-SOL 400 UNITS/ML DROP 0.16350 2012-09-01 9999-12-31 26421 DIDRONEL 400 MG TABLET 7.03020 2011-05-01 9999-12-31 26426 HEPARIN LOCK FLUSH 10 UNITS 0.89160 2011-05-01 9999-12-31 26429 HEPARIN SOD 1,000 UNIT/ML V 7.91400 2012-05-01 9999-12-31 26436 HEPARIN SOD 5,000 UNIT/0.5 6.81600 2012-04-01 9999-12-31 26460 ACEBUTOLOL 200 MG CAPSULE 0.36900 2011-03-01 9999-12-31 26461 ACEBUTOLOL 400 MG CAPSULE 0.43570 2007-03-16 9999-12-31 26485 CVS MELATONIN 3 MG TABLET 0.05198 2012-09-01 9999-12-31 26491 TICLOPIDINE 250 MG TABLET 0.15150 2008-12-19 9999-12-31 26492 MORPHINE SULFATE ER 20 MG C 5.01972 2012-07-01 9999-12-31 26494 MORPHINE SULFATE ER 100 MG 18.24708 2012-08-01 9999-12-31 26506 LIQSORB DROPS 0.79800 2011-01-01 9999-12-31 26531 ZOCOR 5 MG TABLET 0.09085 2012-08-01 9999-12-31 26532 ZOCOR 10 MG TABLET 0.07268 2012-10-01 9999-12-31 26533 ZOCOR 20 MG TABLET 0.09816 2012-03-01 9999-12-31 26534 ZOCOR 40 MG TABLET 0.12804 2012-10-01 9999-12-31 26535 ZOCOR 80 MG TABLET 0.39816 2012-09-01 9999-12-31 26541 SANDOSTATIN 0.2 MG/ML VIAL 43.20000 2012-05-01 9999-12-31 26542 SANDOSTATIN 1 MG/ML VIAL 211.20000 2012-04-01 9999-12-31 26555 GLYCERIN SKIN PROTECTANT LI 0.03498 2012-05-01 9999-12-31 26588 CALCIONATE 1.8 GM/5 ML SYRU 0.03336 2011-03-01 9999-12-31 26589 NEPHRONEX CAPSULE 0.00000 2009-08-08 9999-12-31 26633 OMEPRAZOLE-BICARB 40-1,100 5.75040 2012-06-01 9999-12-31 26637 SODIUM CHLORIDE 0.9% SOLN. 0.05964 2012-08-01 9999-12-31 26666 IMITREX 4 MG/0.5 ML PEN INJ 166.17600 2011-10-01 9999-12-31 26709 XODOL 7.5-300 MG TABLET 1.85520 2011-11-01 9999-12-31 26737 GIANVI 3 MG-0.02 MG TABLET 3.03481 2012-04-01 9999-12-31 26781 CORTEF 10 MG TABLET 0.57996 2012-07-01 9999-12-31 26782 CORTEF 20 MG TABLET 0.63048 2012-06-01 9999-12-31 26783 CORTEF 5 MG TABLET 0.42390 2012-07-01 9999-12-31 26800 PREDNISOLONE 15 MG/5 ML SOL 0.13575 2011-01-01 9999-12-31 26808 DIMETAPP DM COLD & COUGH EL 0.04872 2012-05-01 9999-12-31
26836 OXYCODONE-ASPIRIN 4.83-325 1.02372 2012-06-01 9999-12-31 26879 LIDOCAINE HCL 1% AMPUL 0.51000 2011-05-01 9999-12-31 26886 LIDOCAINE HCL 1% VIAL 0.09720 2012-06-01 9999-12-31 26892 PREDNISOLONE 5 MG/5 ML SYRU 0.13879 2011-01-01 9999-12-31 26893 LIDOCAINE HCL 2% SYRINGE 0.83760 2012-01-01 9999-12-31 26901 SUDAFED 12HR 120 MG TABLET 0.46050 2011-10-01 9999-12-31 26911 CHILDREN'S TYLENOL 160 MG/5 0.02350 2012-05-01 9999-12-31 26949 LOTREL 5-40 MG CAPSULE 4.05312 2012-04-01 9999-12-31 26950 LOTREL 10-40 MG CAPSULE 4.89648 2011-07-01 9999-12-31 26957 MINOCYCLINE ER 45 MG TABLET 22.30399 2011-01-01 9999-12-31 26958 MINOCYCLINE ER 90 MG TABLET 8.86440 2012-07-01 9999-12-31 26970 KAOPECTATE 262 MG/15 ML SUS 0.00933 2012-10-01 9999-12-31 26971 STOMACH RELIEF MAX STR LIQU 0.01282 2012-06-01 9999-12-31 27003 DEPO-MEDROL 40 MG/ML VIAL 5.22000 2011-03-01 9999-12-31 27051 MEDROL 16 MG TABLET 2.98152 2011-08-01 9999-12-31 27055 MEDROL 32 MG TABLET 4.44000 2011-01-01 9999-12-31 27056 MEDROL 4 MG TABLET 1.71510 2012-08-01 9999-12-31 27058 MEDROL 8 MG TABLET 1.93008 2011-05-01 9999-12-31 27096 CAMRESE 0.15-0.03-0.01 MG T 2.83304 2011-09-01 9999-12-31 27103 PCCA LIPODERM BASE 2.04000 2012-08-01 9999-12-31 27160 PREDNISONE 5 MG/5 ML SOLUTI 0.18156 2012-03-01 9999-12-31 27171 PREDNISONE 1 MG TABLET 0.18643 2012-05-01 9999-12-31 27172 PREDNISONE 10 MG TABLET 0.04209 2012-02-01 9999-12-31 27173 PREDNISONE 2.5 MG TABLET 0.07185 2012-02-01 9999-12-31 27174 PREDNISONE 20 MG TABLET 0.07071 2012-02-01 9999-12-31 27176 PREDNISONE 5 MG TABLET 0.02284 2012-02-01 9999-12-31 27177 PREDNISONE 50 MG TABLET 0.21936 2012-02-01 9999-12-31 27186 LIQSORB LIQUID 0.60000 2011-01-01 9999-12-31 27203 TRIVEEN-U CAPSULE 0.28788 2012-09-01 9999-12-31 27207 DIMETAPP COLD & ALLERGY ELI 0.03652 2012-04-01 9999-12-31 27243 OXYMORPHONE HCL 5 MG TABLET 2.82816 2012-08-01 9999-12-31 27244 OXYMORPHONE HCL 10 MG TABLE 5.13540 2012-09-01 9999-12-31 27255 VINATE PN CARE TABLET 1.18207 2011-01-01 9999-12-31 27275 I-VITE TABLET 0.07725 2012-05-01 9999-12-31 27350 DEXAMETHASONE 10 MG/ML VIAL 1.56000 2011-07-01 9999-12-31 27354 DEXAMETHASONE 20 MG/5 ML VI 0.58500 2012-06-01 9999-12-31 27383 ARMOUR THYROID 30 MG TABLET 0.12499 2011-05-01 9999-12-31 27384 ARMOUR THYROID 60 MG TABLET 0.13891 2011-03-01 9999-12-31 27385 ARMOUR THYROID 90 MG TABLET 0.21907 2012-02-01 9999-12-31 27400 DEXAMETHASONE 0.5 MG/5 ML E 0.27208 2012-10-01 9999-12-31 27408 GNP PROBIOTIC 240 MG CAPSUL 0.27000 2012-10-01 9999-12-31 27411 DEXAMETHASONE 0.5 MG/5 ML L 0.03880 2012-05-01 9999-12-31 27422 DEXAMETHASONE 0.5 MG TABLET 0.06432 2012-02-01 9999-12-31 27424 DEXAMETHASONE 1 MG TABLET 0.24348 2012-02-01 9999-12-31 27425 DEXAMETHASONE 0.75 MG TABLE 0.31756 2011-01-01 9999-12-31 27426 DEXAMETHASONE 2 MG TABLET 0.47904 2012-02-01 9999-12-31 27427 DEXAMETHASONE 1.5 MG TABLET 0.09456 2012-02-01 9999-12-31 27428 DEXAMETHASONE 4 MG TABLET 0.12444 2012-02-01 9999-12-31 27429 DEXAMETHASONE 6 MG TABLET 0.49308 2012-02-01 9999-12-31 27465 MELATONIN 1 MG TABLET 0.04999 2011-09-01 9999-12-31 27481 NIGHTTIME SLEEP AID 25 MG C 0.14760 2012-06-01 9999-12-31 27493 ATRAC-TAIN CREAM 0.07614 2011-01-01 9999-12-31 27554 VITAMIN E 400 UNIT CAPSULE 0.09645 2012-10-01 9999-12-31 27570 ACCUPRIL 10 MG TABLET 1.10079 2012-10-01 9999-12-31 27571 ACCUPRIL 20 MG TABLET 1.10079 2012-05-01 9999-12-31 27572 ACCUPRIL 5 MG TABLET 1.10079 2012-07-01 9999-12-31 27573 ACCUPRIL 40 MG TABLET 1.10079 2012-05-01 9999-12-31 27592 FLORANEX TABLET 0.10800 2011-03-01 9999-12-31 27601 CARBAMAZEPINE 100 MG/5 ML S 0.00000 2009-10-10 9999-12-31 27602 CARBAMAZEPINE 200 MG/10 ML 0.00000 2009-10-10 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 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: 25287 ESSENTIAL WOMAN 50+ TABLET 0.
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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