gcn drug name price begin date end date 00031 fluvastatin sodium

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GCN DRUG NAME PRICE BEGIN DATE END DATE 00031 FLUVASTATIN SODIUM 40 MG CA 4.79799 2014-05-01 9999-12-31 00120 DIGOXIN 50 MCG/ML SOLUTION 0.67339 2013-03-01 9999-12-31 00132 DIGOXIN 125 MCG TABLET 1.48425 2013-11-01 9999-12-31 00133 DIGOXIN 250 MCG TABLET 1.18740 2014-05-01 9999-12-31 00161 V-R ASPIRIN EC 81 MG TABLET 0.00972 2014-05-01 9999-12-31 00223 VITAMIN D 1,000 UNIT TABLET 0.02445 2013-07-01 9999-12-31 00295 WOMANS LAXATIVE TABLET 0.08635 2011-11-01 9999-12-31 00410 THEOPHYLLINE ER 100 MG TABL 0.42528 2014-05-01 9999-12-31 00411 THEOPHYLLINE ER 200 MG TABL 0.48166 2014-05-01 9999-12-31 00413 THEOPHYLLINE ER 300 MG TAB 0.36336 2014-03-01 9999-12-31 00420 LOVENOX 30 MG/0.3 ML SYRING 82.50000 2013-08-01 9999-12-31 00421 THEOPHYLLINE ER 400 MG TABL 1.24620 2014-04-01 9999-12-31 00450 CASODEX 50 MG TABLET 4.59679 2014-04-01 9999-12-31 00476 LEVOPHED 1 MG/ML VIAL 1.38000 2011-01-01 9999-12-31 00701 SENNA LAX 8.6 MG TABLET 0.02520 2014-04-01 9999-12-31 00704 LAXATIVE 15 MG PILLS 0.12768 2013-10-01 9999-12-31 00780 GABAPENTIN 100 MG CAPSULE 0.06600 2013-10-01 9999-12-31 00781 GABAPENTIN 300 MG CAPSULE 0.09900 2014-03-01 9999-12-31 00782 GABAPENTIN 400 MG CAPSULE 0.13500 2013-12-01 9999-12-31 00842 HYDROCHLOROTHIAZIDE 12.5 MG 0.42000 2013-07-01 9999-12-31 00870 ZOLPIDEM TARTRATE 5 MG TABL 0.09975 2013-09-01 9999-12-31 00871 AMBIEN 10 MG TABLET 0.07980 2014-04-01 9999-12-31 00960 VASOTEC 5 MG TABLET 0.17170 2014-04-01 9999-12-31 00961 ENALAPRIL MALEATE 10 MG TAB 0.21403 2014-05-01 9999-12-31 00962 VASOTEC 20 MG TABLET 0.30463 2014-04-01 9999-12-31 00963 ENALAPRIL MALEATE 2.5 MG TA 0.16048 2014-03-01 9999-12-31 01070 ACTIGALL 300 MG CAPSULE 0.92580 2013-08-01 9999-12-31 01072 URSODIOL 250 MG TABLET 3.21885 2014-05-01 9999-12-31 01130 NORPACE 100 MG CAPSULE 0.41660 2008-03-21 9999-12-31 01131 NORPACE 150 MG CAPSULE 0.50304 2014-01-01 9999-12-31 01214 NASACORT AQ NASAL SPRAY 8.92180 2011-12-01 9999-12-31 01241 HYDRALAZINE 10 MG TABLET 0.25425 2014-02-01 9999-12-31 01242 HYDRALAZINE 100 MG TABLET 0.60300 2014-01-01 9999-12-31 01243 HYDRALAZINE 25 MG TABLET 0.31194 2011-10-01 9999-12-31 01244 HYDRALAZINE 50 MG TABLET 0.38625 2013-12-01 9999-12-31 01250 PRAZOSIN 1 MG CAPSULE 0.28800 2014-05-01 9999-12-31 01251 PRAZOSIN 2 MG CAPSULE 0.72000 2014-05-01 9999-12-31 01252 PRAZOSIN 5 MG CAPSULE 1.17000 2014-05-01 9999-12-31 01290 MINOXIDIL 10 MG TABLET 0.66162 2014-05-01 9999-12-31 01291 MINOXIDIL 2.5 MG TABLET 0.25356 2011-08-01 9999-12-31 01335 DR. SMITH'S DIAPER OINTMENT 0.11005 2014-01-01 9999-12-31 01390 CLONIDINE HCL 0.1 MG TABLET 0.06360 2011-02-01 9999-12-31 01391 CLONIDINE HCL 0.2 MG TABLET 0.08700 2014-03-01 9999-12-31 01392 CLONIDINE HCL 0.3 MG TABLET 0.14640 2014-04-01 9999-12-31 01431 METHYLDOPA 250 MG TABLET 0.22476 2013-08-01 9999-12-31 01432 METHYLDOPA 500 MG TABLET 0.39852 2013-08-01 9999-12-31 01480 CAPTOPRIL 100 MG TABLET 0.07770 2008-12-19 9999-12-31 01481 CAPTOPRIL 25 MG TABLET 1.30224 2014-05-01 9999-12-31 01482 CAPTOPRIL 50 MG TABLET 2.82630 2014-05-01 9999-12-31 01483 CAPTOPRIL 12.5 MG TABLET 0.56760 2013-10-01 9999-12-31 01551 CARVEDILOL 25 MG TABLET 0.11700 2014-03-01 9999-12-31 01552 CARVEDILOL 12.5 MG TABLET 0.10375 2014-05-01 9999-12-31 01553 COREG 3.125 MG TABLET 0.07200 2013-08-01 9999-12-31 01554 CARVEDILOL 6.25 MG TABLET 0.11400 2014-05-01 9999-12-31 01580 FLECAINIDE ACETATE 100 MG T 1.40700 2014-02-01 9999-12-31 01581 FLECAINIDE ACETATE 50 MG TA 0.68880 2013-12-01 9999-12-31 01582 FLECAINIDE ACETATE 150 MG T 1.54620 2012-01-01 9999-12-31

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Page 1: gcn drug name price begin date end date 00031 fluvastatin sodium

GCN DRUG NAME PRICE BEGIN DATE END DATE

00031 FLUVASTATIN SODIUM 40 MG CA 4.79799 2014-05-01 9999-12-31

00120 DIGOXIN 50 MCG/ML SOLUTION 0.67339 2013-03-01 9999-12-31

00132 DIGOXIN 125 MCG TABLET 1.48425 2013-11-01 9999-12-31

00133 DIGOXIN 250 MCG TABLET 1.18740 2014-05-01 9999-12-31

00161 V-R ASPIRIN EC 81 MG TABLET 0.00972 2014-05-01 9999-12-31

00223 VITAMIN D 1,000 UNIT TABLET 0.02445 2013-07-01 9999-12-31

00295 WOMANS LAXATIVE TABLET 0.08635 2011-11-01 9999-12-31

00410 THEOPHYLLINE ER 100 MG TABL 0.42528 2014-05-01 9999-12-31

00411 THEOPHYLLINE ER 200 MG TABL 0.48166 2014-05-01 9999-12-31

00413 THEOPHYLLINE ER 300 MG TAB 0.36336 2014-03-01 9999-12-31

00420 LOVENOX 30 MG/0.3 ML SYRING 82.50000 2013-08-01 9999-12-31

00421 THEOPHYLLINE ER 400 MG TABL 1.24620 2014-04-01 9999-12-31

00450 CASODEX 50 MG TABLET 4.59679 2014-04-01 9999-12-31

00476 LEVOPHED 1 MG/ML VIAL 1.38000 2011-01-01 9999-12-31

00701 SENNA LAX 8.6 MG TABLET 0.02520 2014-04-01 9999-12-31

00704 LAXATIVE 15 MG PILLS 0.12768 2013-10-01 9999-12-31

00780 GABAPENTIN 100 MG CAPSULE 0.06600 2013-10-01 9999-12-31

00781 GABAPENTIN 300 MG CAPSULE 0.09900 2014-03-01 9999-12-31

00782 GABAPENTIN 400 MG CAPSULE 0.13500 2013-12-01 9999-12-31

00842 HYDROCHLOROTHIAZIDE 12.5 MG 0.42000 2013-07-01 9999-12-31

00870 ZOLPIDEM TARTRATE 5 MG TABL 0.09975 2013-09-01 9999-12-31

00871 AMBIEN 10 MG TABLET 0.07980 2014-04-01 9999-12-31

00960 VASOTEC 5 MG TABLET 0.17170 2014-04-01 9999-12-31

00961 ENALAPRIL MALEATE 10 MG TAB 0.21403 2014-05-01 9999-12-31

00962 VASOTEC 20 MG TABLET 0.30463 2014-04-01 9999-12-31

00963 ENALAPRIL MALEATE 2.5 MG TA 0.16048 2014-03-01 9999-12-31

01070 ACTIGALL 300 MG CAPSULE 0.92580 2013-08-01 9999-12-31

01072 URSODIOL 250 MG TABLET 3.21885 2014-05-01 9999-12-31

01130 NORPACE 100 MG CAPSULE 0.41660 2008-03-21 9999-12-31

01131 NORPACE 150 MG CAPSULE 0.50304 2014-01-01 9999-12-31

01214 NASACORT AQ NASAL SPRAY 8.92180 2011-12-01 9999-12-31

01241 HYDRALAZINE 10 MG TABLET 0.25425 2014-02-01 9999-12-31

01242 HYDRALAZINE 100 MG TABLET 0.60300 2014-01-01 9999-12-31

01243 HYDRALAZINE 25 MG TABLET 0.31194 2011-10-01 9999-12-31

01244 HYDRALAZINE 50 MG TABLET 0.38625 2013-12-01 9999-12-31

01250 PRAZOSIN 1 MG CAPSULE 0.28800 2014-05-01 9999-12-31

01251 PRAZOSIN 2 MG CAPSULE 0.72000 2014-05-01 9999-12-31

01252 PRAZOSIN 5 MG CAPSULE 1.17000 2014-05-01 9999-12-31

01290 MINOXIDIL 10 MG TABLET 0.66162 2014-05-01 9999-12-31

01291 MINOXIDIL 2.5 MG TABLET 0.25356 2011-08-01 9999-12-31

01335 DR. SMITH'S DIAPER OINTMENT 0.11005 2014-01-01 9999-12-31

01390 CLONIDINE HCL 0.1 MG TABLET 0.06360 2011-02-01 9999-12-31

01391 CLONIDINE HCL 0.2 MG TABLET 0.08700 2014-03-01 9999-12-31

01392 CLONIDINE HCL 0.3 MG TABLET 0.14640 2014-04-01 9999-12-31

01431 METHYLDOPA 250 MG TABLET 0.22476 2013-08-01 9999-12-31

01432 METHYLDOPA 500 MG TABLET 0.39852 2013-08-01 9999-12-31

01480 CAPTOPRIL 100 MG TABLET 0.07770 2008-12-19 9999-12-31

01481 CAPTOPRIL 25 MG TABLET 1.30224 2014-05-01 9999-12-31

01482 CAPTOPRIL 50 MG TABLET 2.82630 2014-05-01 9999-12-31

01483 CAPTOPRIL 12.5 MG TABLET 0.56760 2013-10-01 9999-12-31

01551 CARVEDILOL 25 MG TABLET 0.11700 2014-03-01 9999-12-31

01552 CARVEDILOL 12.5 MG TABLET 0.10375 2014-05-01 9999-12-31

01553 COREG 3.125 MG TABLET 0.07200 2013-08-01 9999-12-31

01554 CARVEDILOL 6.25 MG TABLET 0.11400 2014-05-01 9999-12-31

01580 FLECAINIDE ACETATE 100 MG T 1.40700 2014-02-01 9999-12-31

01581 FLECAINIDE ACETATE 50 MG TA 0.68880 2013-12-01 9999-12-31

01582 FLECAINIDE ACETATE 150 MG T 1.54620 2012-01-01 9999-12-31

Page 2: gcn drug name price begin date end date 00031 fluvastatin sodium

01590 DIHYDROERGOTAMINE 1 MG/ML A 42.00000 2011-02-01 9999-12-31

01681 NITROGLYCERIN ER 2.5 MG CAP 0.08070 2008-12-19 9999-12-31

01682 NITROGLYCERIN ER 6.5 MG CAP 0.10080 2008-12-19 9999-12-31

01684 NITROGLYCERIN ER 9 MG CAPSU 0.14580 2008-03-21 9999-12-31

01697 LANSOPRAZOLE DR 15 MG CAPSU 2.40000 2013-06-01 9999-12-31

01698 PREVACID DR 30 MG CAPSULE 2.82349 2013-10-01 9999-12-31

01710 SPS 15 GM/60 ML SUSPENSION 0.18000 2014-01-01 9999-12-31

01740 NITROGLYCERIN 0.4 MG/HR PAT 0.97999 2014-01-01 9999-12-31

01741 NITRO-DUR 0.1 MG/HR PATCH 0.93639 2011-07-01 9999-12-31

01742 NITROGLYCERIN 0.2 MG/HR PAT 1.01749 2013-08-01 9999-12-31

01744 NITRO-DUR 0.6 MG/HR PATCH 0.88880 2007-09-21 9999-12-31

01750 DAYPRO 600 MG CAPLET 3.51744 2012-09-01 9999-12-31

01771 NITROSTAT 0.3 MG TABLET SL 0.03300 2008-03-21 9999-12-31

01772 NITROSTAT 0.4 MG TABLET SL 0.32724 2011-01-01 9999-12-31

01773 NITROSTAT 0.6 MG TABLET SL 0.03300 2008-03-21 9999-12-31

01850 CALCIPOTRIENE 0.005% OINTME 5.79019 2013-11-01 9999-12-31

01851 DOVONEX 0.005% CREAM 6.75939 2012-11-01 9999-12-31

01852 CALCIPOTRIENE 0.005% SOLUTI 4.50000 2012-11-01 9999-12-31

01931 ISOSORBIDE MN 20 MG TABLET 0.39600 2011-01-01 9999-12-31

01932 ISOSORBIDE MN 10 MG TABLET 0.48876 2011-01-01 9999-12-31

01942 ISOSORBIDE DN 10 MG TABLET 1.04016 2012-08-01 9999-12-31

01944 ISOSORBIDE DN 20 MG TABLET 1.14420 2013-01-01 9999-12-31

01945 ISOSORBIDE DN 30 MG TABLET 1.25868 2013-03-01 9999-12-31

01947 ISOSORBIDE DN 5 MG TABLET 0.04092 2012-02-01 9999-12-31

02221 NIFEDIPINE ER 30 MG TABLET 1.35633 2013-11-01 9999-12-31

02222 NIFEDIPINE ER 60 MG TABLET 2.56233 2014-03-01 9999-12-31

02223 NIFEDIPINE ER 90 MG TABLET 3.03690 2014-05-01 9999-12-31

02226 NIFEDIPINE ER 30 MG TABLET 1.29765 2012-11-01 9999-12-31

02227 NIFEDIPINE ER 60 MG TABLET 1.95108 2014-05-01 9999-12-31

02228 ADALAT CC 90 MG TABLET 2.30880 2011-01-01 9999-12-31

02318 ACARBOSE 100 MG TABLET 0.72600 2011-07-01 9999-12-31

02319 ACARBOSE 50 MG TABLET 0.55140 2013-08-01 9999-12-31

02320 DILTIAZEM ER 90 MG 12-HR CA 1.07988 2011-01-01 9999-12-31

02321 DILTIAZEM ER 120 MG 12-HR C 1.87908 2013-08-01 9999-12-31

02322 DILTIAZEM ER 60 MG 12-HR CA 1.57695 2014-04-01 9999-12-31

02323 DILTIAZEM 24HR CD 180 MG CA 1.37460 2014-05-01 9999-12-31

02324 DILTIAZEM 24HR ER 240 MG CA 1.98916 2014-02-01 9999-12-31

02325 CARTIA XT 300 MG CAPSULE 2.12400 2013-05-01 9999-12-31

02326 DILTIAZEM 24HR CD 120 MG CA 1.13877 2013-05-01 9999-12-31

02328 DILTIAZEM HCL ER 360 MG CAP 2.25079 2014-01-01 9999-12-31

02329 DILTIAZEM HCL ER 180 MG CAP 0.90079 2013-08-01 9999-12-31

02330 DILTIAZEM ER 120 MG CAPSULE 0.74653 2012-04-01 9999-12-31

02332 DILTIAZEM HCL ER 240 MG CAP 1.27839 2013-02-01 9999-12-31

02333 TAZTIA XT 300 MG CAPSULE 1.79400 2013-05-01 9999-12-31

02341 CALAN 120 MG TABLET 0.11475 2014-04-01 9999-12-31

02342 CALAN 80 MG TABLET 0.11736 2014-04-01 9999-12-31

02350 NIFEDIPINE 10 MG CAPSULE 1.28190 2013-05-01 9999-12-31

02351 NIFEDIPINE 20 MG CAPSULE 2.21064 2012-03-01 9999-12-31

02360 DILTIAZEM 30 MG TABLET 0.09468 2014-05-01 9999-12-31

02361 DILTIAZEM 60 MG TABLET 0.18228 2013-09-01 9999-12-31

02362 DILTIAZEM 90 MG TABLET 0.20292 2013-09-01 9999-12-31

02363 DILTIAZEM 120 MG TABLET 0.27324 2014-05-01 9999-12-31

02371 SODIUM CHLORIDE 0.9% INHAL 0.03999 2014-05-01 9999-12-31

02372 SODIUM CHLORIDE 10% VIAL 0.05976 2011-01-01 9999-12-31

02373 SODIUM CHLORIDE 3% VIAL 0.09999 2014-01-01 9999-12-31

02390 NICARDIPINE 20 MG CAPSULE 0.56946 2013-08-01 9999-12-31

02391 NICARDIPINE 30 MG CAPSULE 0.81532 2014-01-01 9999-12-31

02400 ACETYLCYSTEINE 10% VIAL 1.26000 2012-03-01 9999-12-31

Page 3: gcn drug name price begin date end date 00031 fluvastatin sodium

02401 ACETYLCYSTEINE 20% VIAL 0.29479 2013-10-01 9999-12-31

02440 NIMODIPINE 30 MG CAPSULE 16.27599 2013-08-01 9999-12-31

02472 COUGH SYRUP 100MG/5ML 0.01063 2013-02-01 9999-12-31

02482 REFENESEN 200 MG TABLET 0.19152 2013-04-01 9999-12-31

02487 MUCINEX ER 600 MG TABLET 0.49275 2013-11-01 9999-12-31

02512 GUAIFENESIN 100 MG/5 ML LIQ 0.00790 2012-01-01 9999-12-31

02620 FELODIPINE ER 2.5 MG TABLET 1.30200 2011-07-01 9999-12-31

02621 FELODIPINE ER 5 MG TABLET 1.30200 2011-12-01 9999-12-31

02622 FELODIPINE ER 10 MG TABLET 2.33976 2012-02-01 9999-12-31

02641 DILTIAZEM 25 MG/5 ML VIAL 0.52800 2013-09-01 9999-12-31

02670 CVS DISTILLED WATER 0.07105 2013-05-01 9999-12-31

02681 AMLODIPINE BESYLATE 2.5 MG 0.07999 2014-01-01 9999-12-31

02682 AMLODIPINE BESYLATE 10 MG T 0.09456 2013-08-01 9999-12-31

02683 AMLODIPINE BESYLATE 5 MG TA 0.07862 2013-09-01 9999-12-31

02709 WATER FOR INJECTION VIAL 0.49680 2014-04-01 9999-12-31

02729 STERILE WATER FOR INJECTION 0.00274 2013-09-01 9999-12-31

02750 SODIUM BICARB 4.2% ABBJCT 0.66360 2011-12-01 9999-12-31

02752 SODIUM BICARB 8.4% ABBOJECT 0.14880 2012-06-01 9999-12-31

02792 SODIUM BICARB 8.4% VIAL 0.12600 2014-02-01 9999-12-31

02810 SODIUM BICARBONATE POWDER 0.26214 2014-05-01 9999-12-31

02820 DENTA 5000 PLUS CREAM 0.14851 2013-07-01 9999-12-31

02840 LACTATED RINGERS INJECTION 0.00409 2014-05-01 9999-12-31

02881 DISULFIRAM 250 MG TABLET 6.62796 2014-02-01 9999-12-31

02882 DISULFIRAM 500 MG TABLET 6.26628 2013-05-01 9999-12-31

02890 SODIUM POLYSTYRENE SULF POW 0.26748 2014-02-01 9999-12-31

02961 SODIUM CHLORIDE 0.45% SOLN 0.00765 2011-02-01 9999-12-31

02962 SODIUM CHLORIDE 0.9% SOLUTI 0.00360 2014-03-01 9999-12-31

02964 SODIUM CHLORIDE 3% IV SOLN 0.01000 2013-05-01 9999-12-31

02971 SODIUM CHLORIDE 4 MEQ/ML VL 0.07200 2011-03-01 9999-12-31

03001 VERAPAMIL ER 180 MG CAPSULE 0.69600 2011-01-01 9999-12-31

03002 VERAPAMIL ER 240 MG CAPSULE 1.07460 2013-09-01 9999-12-31

03003 VERAPAMIL ER 120 MG CAPSULE 0.91248 2013-11-01 9999-12-31

03004 VERAPAMIL 360 MG CAP PELLET 1.81164 2012-04-01 9999-12-31

03020 SODIUM CHLORIDE 0.9% SYRING 0.41400 2011-07-01 9999-12-31

03034 SODIUM CHLORIDE 0.9% VIAL 0.08700 2014-05-01 9999-12-31

03050 SODIUM CHLORIDE GRANULES 0.09979 2011-01-01 9999-12-31

03121 SODIUM CHLORIDE 1 GM TABLET 0.09600 2012-11-01 9999-12-31

03200 NICORELIEF 2 MG GUM 0.20126 2014-01-01 9999-12-31

03201 CVS NICOTINE 4 MG CHEWING G 0.36912 2014-03-01 9999-12-31

03230 PROPRANOLOL ER 80 MG CAPSUL 2.93205 2014-03-01 9999-12-31

03231 PROPRANOLOL ER 120 MG CAPSU 3.65520 2014-03-01 9999-12-31

03232 PROPRANOLOL ER 160 MG CAPSU 4.78545 2014-03-01 9999-12-31

03233 PROPRANOLOL ER 60 MG CAPSUL 2.50980 2014-03-01 9999-12-31

03282 POTASSIUM CL 20 MEQ/100 ML 0.03288 2013-09-01 9999-12-31

03320 POTASSIUM CL ER 8 MEQ CAPSU 0.90216 2012-06-01 9999-12-31

03321 POTASSIUM CL ER 10 MEQ CAPS 1.13145 2014-05-01 9999-12-31

03350 POTASSIUM CL 2 MEQ/ML VIAL 0.14640 2014-02-01 9999-12-31

03404 KLOR-CON 20 MEQ PACKET 5.82120 2014-01-01 9999-12-31

03421 NICODERM CQ 7 MG/24HR PATCH 1.92753 2014-05-01 9999-12-31

03422 NICOTINE 14 MG/24HR PATCH 2.57035 2013-10-01 9999-12-31

03423 NICODERM CQ 21 MG/24HR PATC 3.42720 2014-05-01 9999-12-31

03442 POTASSIUM CHLORIDE 20% LIQ 0.15868 2014-02-01 9999-12-31

03443 POTASSIUM CL 10% (20 MEQ/15 0.10684 2014-02-01 9999-12-31

03510 K-TAB ER 10 MEQ TABLET 0.67750 2012-07-01 9999-12-31

03512 POTASSIUM CL ER 10 MEQ TABL 0.71514 2014-02-01 9999-12-31

03513 KLOR-CON M20 TABLET 0.75277 2011-01-01 9999-12-31

03514 POTASSIUM CL ER 8 MEQ TABLE 0.51489 2013-09-01 9999-12-31

03530 LOPRESSOR 5 MG/5 ML AMPUL 0.47520 2014-02-01 9999-12-31

Page 4: gcn drug name price begin date end date 00031 fluvastatin sodium

03610 METOCLOPRAMIDE 5 MG/5 ML SO 0.03284 2014-04-01 9999-12-31

03701 POTASSIUM 99 MG CAPLET 0.02688 2013-01-01 9999-12-31

03721 CALCIUM CARB 500 (1,250) MG 0.01918 2011-01-01 9999-12-31

03723 CALCIUM 600 MG TABLET 0.02880 2013-05-01 9999-12-31

03733 CALCIUM 500 MG CHEWABLE TAB 0.09996 2013-09-01 9999-12-31

03751 CALCIUM CHLORIDE 10% SYRNG 0.94080 2011-12-01 9999-12-31

03820 CALCIUM GLUCONATE 10% VIAL 0.39840 2013-10-01 9999-12-31

04030 MAG DELAY 64 MG TABLET 0.11250 2012-07-01 9999-12-31

04091 MAGNESIUM OXIDE 400 MG TABL 0.03090 2012-05-01 9999-12-31

04092 MAGNESIUM OXIDE 250 MG CAPL 0.02454 2014-01-01 9999-12-31

04093 MAGNESIUM OXIDE 420 MG TABL 0.10406 2011-01-01 9999-12-31

04095 PHILLIPS 500 MG CAPLET 0.09062 2013-08-01 9999-12-31

04163 MAGNESIUM SULFATE 50% VIAL 0.18750 2014-03-01 9999-12-31

04170 QC EPSOM SALT 0.00244 2014-01-01 9999-12-31

04210 SM MAGNESIUM 250 MG TABLET 0.02380 2012-09-01 9999-12-31

04220 RINGER'S IV SOLUTION 0.00430 2014-02-01 9999-12-31

04281 PEDIATRIC ELECTROLYTE SOLUT 0.00648 2013-02-01 9999-12-31

04300 DONEPEZIL HCL 10 MG TABLET 0.93451 2014-04-01 9999-12-31

04302 DONEPEZIL HCL 5 MG TABLET 0.21999 2014-04-01 9999-12-31

04332 RENO CAPS SOFTGEL 0.43188 2014-03-01 9999-12-31

04348 OMEPRAZOLE DR 20 MG CAPSULE 0.52294 2014-02-01 9999-12-31

04470 MAGNESIUM GLUCONATE POWDER 1.20000 2013-05-01 9999-12-31

04515 FERROCITE TABLET 0.35160 2013-11-01 9999-12-31

04580 NU-IRON 150 CAPSULE 0.15180 2012-04-01 9999-12-31

04663 FERROUS SULF 300 MG/5 ML LI 0.11568 2012-03-01 9999-12-31

04671 FERROUS SULFATE DROPS 0.06690 2011-01-01 9999-12-31

04695 IRON 325MG TABLET 0.01032 2011-01-01 9999-12-31

04701 FERROUS SULF EC 325 MG TABL 0.13821 2014-03-01 9999-12-31

04711 SLOW RELEASE IRON TABLET 0.16999 2011-01-01 9999-12-31

04749 IRBESARTAN 150 MG TABLET 0.48386 2013-11-01 9999-12-31

04750 AVAPRO 300 MG TABLET 0.55386 2014-04-01 9999-12-31

04752 IRBESARTAN 75 MG TABLET 0.26280 2012-11-01 9999-12-31

04878 ZINC GLUCONATE 50 MG TABLET 0.03036 2013-11-01 9999-12-31

04973 ZINC CHELATED 50 MG TABLET 0.02160 2011-01-01 9999-12-31

05011 SSKI 1 GM/ML SOLUTION 0.41760 2011-11-01 9999-12-31

05280 VAGISTAT-1 6.5% OINTMENT 3.33703 2014-03-01 9999-12-31

05321 MILRINONE LACT 50 MG/50 ML 0.55080 2013-08-01 9999-12-31

05423 SELENIUM 100 MCG TABLET 0.05904 2012-05-01 9999-12-31

05424 CVS SELENIUM 200 MCG TABLET 0.03792 2014-03-01 9999-12-31

05700 IMITREX 50 MG TABLET 2.11200 2014-05-01 9999-12-31

05701 SUMATRIPTAN SUCC 100 MG TAB 2.52525 2013-10-01 9999-12-31

05702 SUMATRIPTAN SUCC 25 MG TABL 2.65833 2011-05-01 9999-12-31

05710 DIABETA 1.25 MG TABLET 0.24000 2014-01-01 9999-12-31

05711 GLYBURIDE 2.5 MG TABLET 0.23925 2014-04-01 9999-12-31

05712 GLYBURIDE 5 MG TABLET 0.33000 2014-04-01 9999-12-31

05713 GLYNASE 1.5 MG PRESTAB 0.03530 2007-12-21 9999-12-31

05714 GLYNASE 3 MG PRESTAB 0.23340 2011-05-01 9999-12-31

05715 GLYNASE 6 MG PRESTAB 0.64380 2011-01-01 9999-12-31

05724 TOLBUTAMIDE 500 MG TABLET 1.13164 2013-08-01 9999-12-31

05732 CHLORPROPAMIDE 250 MG TABLE 2.03208 2014-05-01 9999-12-31

05742 TOLAZAMIDE 500 MG TABLET 2.08644 2012-07-01 9999-12-31

05760 CVS GLUCOSE 40% GEL 0.10111 2012-09-01 9999-12-31

05830 AMARYL 1 MG TABLET 0.13410 2012-07-01 9999-12-31

05832 GLIMEPIRIDE 2 MG TABLET 0.20820 2014-03-01 9999-12-31

05833 AMARYL 4 MG TABLET 0.40995 2011-09-01 9999-12-31

05987 LIDOCAINE-PRILOCAINE CREAM 1.60749 2013-04-01 9999-12-31

06019 GRANISETRON HCL 1 MG TABLET 6.72000 2014-03-01 9999-12-31

06034 MOMETASONE FUROATE 0.1% SOL 0.95079 2012-12-01 9999-12-31

Page 5: gcn drug name price begin date end date 00031 fluvastatin sodium

06040 HYDROCORTISONE VAL 0.2% OIN 3.47379 2014-01-01 9999-12-31

06074 L-LYSINE 500 MG TABLET 0.02388 2012-12-01 9999-12-31

06075 RA L-LYSINE 1,000 MG TABLET 0.07564 2011-09-01 9999-12-31

06120 DESOXIMETASONE 0.05% GEL 4.90320 2012-08-01 9999-12-31

06140 NUTRISOURCE PROTEIN POWDER 0.05814 2011-01-01 9999-12-31

06280 NUTRITIONAL DRINK LIQUID 0.00702 2014-05-01 9999-12-31

06310 MCT OIL 0.06320 2012-10-01 9999-12-31

06390 PEPTAMEN LIQUID 0.00897 2011-06-01 9999-12-31

06496 CHROMIUM PICO 200 MCG CAP 0.09399 2011-01-01 9999-12-31

06641 DEXTROSE 5%-WATER IV SOLN 0.00208 2014-01-01 9999-12-31

06671 DEXTROSE 10%-WATER IV SOLUT 0.00313 2014-02-01 9999-12-31

06771 DEXTROSE 50%-WATER ABBOJECT 0.22824 2012-12-01 9999-12-31

06780 DEXTROSE 50%-WATER VIAL 0.04920 2014-05-01 9999-12-31

06919 CLOTRIMAZOLE-BETAMETHASONE 1.76932 2011-05-01 9999-12-31

06931 DEXTROSE 5%-NS IV SOLUTION 0.00445 2014-05-01 9999-12-31

06940 DEXTROSE 5%-1/2NS IV SOLUTI 0.00224 2014-02-01 9999-12-31

06960 DEXTROSE 5%-SOD CHLORIDE 0. 0.00256 2014-02-01 9999-12-31

07070 ALLOPURINOL 100 MG TABLET 0.07063 2011-11-01 9999-12-31

07071 ALLOPURINOL 300 MG TABLET 0.15639 2014-05-01 9999-12-31

07184 DOXYCYCLINE MONO 50 MG TABL 1.87200 2013-11-01 9999-12-31

07221 TRAMADOL HCL 50 MG TABLET 0.06750 2013-11-01 9999-12-31

07310 INDAPAMIDE 2.5 MG TABLET 0.12600 2011-01-01 9999-12-31

07311 INDAPAMIDE 1.25 MG TABLET 0.19020 2013-08-01 9999-12-31

07358 PREVIDENT 1.1% GEL 0.11978 2011-01-01 9999-12-31

07401 PREVIDENT DENTAL RINSE 0.01620 2011-01-01 9999-12-31

07460 CARDIZEM CD 360 MG CAPSULE 9.82506 2012-04-01 9999-12-31

07461 DILTIAZEM ER 180 MG CAPSULE 1.11327 2014-03-01 9999-12-31

07462 DILTIAZEM ER 240 MG CAPSULE 1.31814 2013-02-01 9999-12-31

07463 DILTIAZEM ER 120 MG CAPSULE 0.77484 2013-03-01 9999-12-31

07473 SODIUM FLUORIDE 0.5 MG/ML D 0.16272 2014-02-01 9999-12-31

07510 LUDENT FLUORIDE 0.25 MG TB 0.03789 2012-06-01 9999-12-31

07511 LUDENT FLUORIDE 0.5 MG TB C 0.02398 2013-11-01 9999-12-31

07512 FLUORITAB 1 MG TABLET CHEW 0.03789 2011-01-01 9999-12-31

07560 ETOPOSIDE 50 MG CAPSULE 68.02440 2013-09-01 9999-12-31

07590 CLOTRIMAZOLE 10 MG TROCHE 1.54336 2014-04-01 9999-12-31

07651 SUCRALFATE 1 GM/10 ML SUSP 0.59964 2013-12-01 9999-12-31

07700 CLOVE OIL 1.25142 2012-03-01 9999-12-31

07833 VALSARTAN-HCTZ 80-12.5 MG T 3.77505 2014-01-01 9999-12-31

07852 SODIUM BICARB 325 MG TABLET 0.01818 2014-01-01 9999-12-31

07855 SODIUM BICARB 650 MG TABLET 0.01950 2014-01-01 9999-12-31

07872 CALCIUM CARB 1,250 MG/5 ML 0.02745 2014-05-01 9999-12-31

07893 HM CAL ANTACID 500 MG CHEW 0.01689 2013-12-01 9999-12-31

07894 TUMS E-X TABLET CHEWABLE 0.04028 2011-07-01 9999-12-31

07896 ANTACID ULTRA TABLET CHEW 0.03049 2014-01-01 9999-12-31

07950 MILK OF MAGNESIA SUSPENSION 0.00481 2013-11-01 9999-12-31

08030 ALUMINUM HYDROXIDE GEL 0.01351 2011-05-01 9999-12-31

08040 CICLOPIROX 8% SOLUTION 6.00000 2014-02-01 9999-12-31

08070 ACARBOSE 25 MG TABLET 0.55800 2014-01-01 9999-12-31

08200 SUCRALFATE 1 GM TABLET 0.32535 2011-01-01 9999-12-31

08205 BENZACLIN GEL 8.16672 2014-05-01 9999-12-31

08250 CYTOTEC 200 MCG TABLET 1.44825 2011-01-01 9999-12-31

08251 MISOPROSTOL 100 MCG TABLET 0.79500 2014-05-01 9999-12-31

08260 SB GAS RELIEF 40 MG/0.6 ML 0.12999 2013-06-01 9999-12-31

08281 GAS-X TABLET CHEWABLE 0.03708 2013-08-01 9999-12-31

08282 GAS RELIEF 125 MG CHEW TABL 0.11102 2013-02-01 9999-12-31

08323 ACIDOPHILUS TABLET CHEWABLE 0.04358 2012-03-01 9999-12-31

08342 FIBERCON 625 MG CAPLET 0.06816 2012-05-01 9999-12-31

08370 LOPERAMIDE 2 MG CAPSULE 0.21060 2012-12-01 9999-12-31

Page 6: gcn drug name price begin date end date 00031 fluvastatin sodium

08380 ACIDOPHILUS CAPSULE 0.04022 2013-11-01 9999-12-31

08390 FLORANEX GRANULES PACKET 0.64999 2013-05-01 9999-12-31

08420 STOMACH RELIEF 262 MG CHEW 0.13728 2014-05-01 9999-12-31

08421 SOOTHE 262 MG CAPLET 0.11976 2011-12-01 9999-12-31

08454 PRILOSEC OTC 20.6 MG TABLET 0.73500 2008-12-19 9999-12-31

08550 ANTI-DIARRHEAL 2 MG CAPLET 0.28279 2013-06-01 9999-12-31

08602 CILOSTAZOL 100 MG TABLET 1.64199 2012-03-01 9999-12-31

08603 CILOSTAZOL 50 MG TABLET 0.38199 2013-07-01 9999-12-31

08660 SENNA 8.8 MG/5 ML SYRUP GRX 0.05853 2013-12-01 9999-12-31

08731 BISACODYL 10 MG SUPPOSITORY 0.10716 2014-01-01 9999-12-31

08744 TROSPIUM CHLORIDE 20 MG TAB 3.40524 2013-11-01 9999-12-31

08762 RA BISACODYL EC 5 MG TABLET 0.07104 2014-05-01 9999-12-31

08860 RA GLYCERIN ADULT SUPPOSITO 0.04716 2014-05-01 9999-12-31

08861 FLEET PEDIA-LAX SUPPOSITORI 0.15624 2014-04-01 9999-12-31

09020 MINERAL OIL 0.01011 2014-05-01 9999-12-31

09049 MINERAL OIL ENEMA 0.01384 2013-01-01 9999-12-31

09061 DOCUSATE CAL 240 MG SOFTGEL 0.11356 2014-02-01 9999-12-31

09101 SOF-LAX 100 MG GELCAP 0.01999 2011-10-01 9999-12-31

09102 STOOL SOFTENER 250 MG SOFTG 0.04164 2013-05-01 9999-12-31

09115 PREDNISOLONE 5 MG/5 ML SOLN 0.98062 2013-10-01 9999-12-31

09131 DOCUSATE SODIUM 50 MG/5 ML 0.01023 2012-11-01 9999-12-31

09152 STOOL SOFTENER SYRUP 0.00849 2013-11-01 9999-12-31

09171 DOK 100 MG TABLET 0.03456 2011-01-01 9999-12-31

09200 SM EPSOM SALT GRANULES 0.00352 2013-04-01 9999-12-31

09240 CITRATE OF MAGNESIA SOLN 0.00729 2014-05-01 9999-12-31

09270 SM GAS RELIEF 125 MG SOFTGE 0.09399 2013-04-01 9999-12-31

09384 TOBRAMYCIN 0.3% EYE DROPS 3.49500 2013-06-01 9999-12-31

09440 KONSYL POWDER 0.02162 2014-04-01 9999-12-31

09522 CITRUCEL 500 MG CAPLET 0.07740 2012-02-01 9999-12-31

09760 VALSARTAN-HCTZ 160-12.5 MG 4.10732 2013-12-01 9999-12-31

09821 CALCIUM CITRATE 200 MG CAPL 0.04200 2013-04-01 9999-12-31

09850 CHOLESTYRAMINE LIGHT PACKET 3.07575 2014-04-01 9999-12-31

09920 CHOLESTYRAMINE PACKET 3.07575 2013-10-01 9999-12-31

10050 CAFFEINE CITRATED POWDER 0.88800 2012-09-01 9999-12-31

10160 ENULOSE 10 GM/15 ML SOLUTIO 0.02238 2013-11-01 9999-12-31

10167 LACTULOSE 10 GM/15 ML SOLUT 0.02343 2014-04-01 9999-12-31

10191 DEPO-TESTOSTERONE 100 MG/ML 4.96800 2011-10-01 9999-12-31

10194 DEPO-TESTOSTERONE 200 MG/ML 22.24800 2011-11-01 9999-12-31

10200 RANITIDINE 150 MG TABLET 0.07485 2013-08-01 9999-12-31

10201 RANITIDINE 300 MG TABLET 0.33456 2013-08-01 9999-12-31

10202 WAL-ZAN 75 MG TABLET 0.11119 2014-05-01 9999-12-31

10253 TESTOSTERONE ENAN 200 MG/ML 16.31040 2011-05-01 9999-12-31

10260 DDAVP 4 MCG/ML VIAL 23.18400 2011-01-01 9999-12-31

10340 LABETALOL HCL 300 MG TABLET 1.12125 2014-03-01 9999-12-31

10341 LABETALOL HCL 200 MG TABLET 0.82989 2014-04-01 9999-12-31

10342 LABETALOL HCL 100 MG TABLET 0.58407 2013-01-01 9999-12-31

10360 TESTOSTERONE POWDER 1.92000 2011-01-01 9999-12-31

10365 THEREMS-M TABLET 0.03121 2011-01-01 9999-12-31

10368 SM THERAPEUTIC M TABLET 0.05899 2014-05-01 9999-12-31

10369 WOMEN'S DAILY FORMULA CAPLE 0.05124 2012-02-01 9999-12-31

10374 CENTAVITE A-Z W-MINERAL TAB 0.05436 2011-01-01 9999-12-31

10414 HEADACHE RELIEF TABLET 0.08232 2013-10-01 9999-12-31

10430 DOCUSOL MINI-ENEMA 0.44751 2012-12-01 9999-12-31

10455 FOSINOPRIL-HCTZ 20-12.5 MG 1.05080 2007-03-16 9999-12-31

10510 FERGON 27 MG TABLET 0.06230 2014-04-01 9999-12-31

10561 OXANDROLONE 2.5 MG TABLET 3.88830 2008-12-19 9999-12-31

10770 ESTRADIOL 1 MG TABLET 0.20922 2013-01-01 9999-12-31

10771 ESTRACE 2 MG TABLET 0.30495 2013-11-01 9999-12-31

Page 7: gcn drug name price begin date end date 00031 fluvastatin sodium

10772 ESTRADIOL 0.5 MG TABLET 0.17850 2012-08-01 9999-12-31

10810 METFORMIN HCL 500 MG TABLET 0.05700 2012-09-01 9999-12-31

10811 METFORMIN HCL 850 MG TABLET 0.10632 2014-04-01 9999-12-31

10840 GLUCOTROL 5 MG TABLET 0.06298 2011-01-01 9999-12-31

10841 GLUCOTROL 10 MG TABLET 0.09000 2011-01-01 9999-12-31

10843 GLIPIZIDE ER 10 MG TABLET 0.81582 2014-04-01 9999-12-31

10844 GLIPIZIDE ER 5 MG TABLET 0.41325 2013-12-01 9999-12-31

10857 METFORMIN HCL 1,000 MG TABL 0.09492 2012-09-01 9999-12-31

10920 AMIODARONE HCL 200 MG TABLE 0.39678 2013-12-01 9999-12-31

11042 IRBESARTAN-HCTZ 150-12.5 MG 0.66879 2012-11-01 9999-12-31

11080 ESTROPIPATE 0.625(0.75 MG) 0.09780 2008-12-19 9999-12-31

11084 ESTROPIPATE 1.25(1.5 MG) TA 0.34512 2011-07-01 9999-12-31

11142 PROGESTERONE OIL 50 MG/ML V 3.18000 2013-09-01 9999-12-31

11169 O-CAL FA TABLET 0.27204 2014-01-01 9999-12-31

11177 PRENATAL TABLET 0.08630 2014-05-01 9999-12-31

11178 MYNATE 90 PLUS CAPLET SA 0.22452 2011-01-01 9999-12-31

11251 DEPO-PROVERA 150 MG/ML VIAL 69.04416 2014-04-01 9999-12-31

11254 DEPO-PROVERA 150 MG/ML SYRI 59.96400 2014-02-01 9999-12-31

11260 PROVERA 10 MG TABLET 0.38571 2014-02-01 9999-12-31

11261 MEDROXYPROGESTERONE 2.5 MG 0.16504 2014-04-01 9999-12-31

11262 MEDROXYPROGESTERONE 5 MG TA 0.25716 2013-05-01 9999-12-31

11280 NORETHINDRONE 5 MG TABLET 2.22480 2014-05-01 9999-12-31

11295 AVALIDE 300-12.5 MG TABLET 1.21440 2013-10-01 9999-12-31

11300 SPRINTEC 28 DAY TABLET 1.16374 2013-03-01 9999-12-31

11301 TRI-PREVIFEM TABLET 1.31598 2013-02-01 9999-12-31

11350 METHYLERGONOVINE 0.2 MG TAB 26.01600 2014-05-01 9999-12-31

11400 OXYTOCIN 10 UNITS/ML VIAL 0.93600 2013-06-01 9999-12-31

11461 NORETHIN/MESTRANOL 1-50 TAB 0.94728 2011-01-01 9999-12-31

11470 PHILITH 0.4-0.035 MG TABLET 1.72936 2013-06-01 9999-12-31

11471 N.E.E. 0.5/35 TABLET 1.16284 2011-01-01 9999-12-31

11474 NECON 1-35-28 TABLET 1.06552 2012-10-01 9999-12-31

11476 N.E.E. 10/11 TABLET 0.89690 2008-12-19 9999-12-31

11477 DASETTA 7/7/7-28 TABLET 1.16374 2012-10-01 9999-12-31

11478 ARANELLE 28 TABLET 1.21413 2013-12-01 9999-12-31

11480 JUNEL 1.5 MG-30 MCG TABLET 1.53511 2011-01-01 9999-12-31

11481 MICROGESTIN 21 1-20 TABLET 1.53427 2013-08-01 9999-12-31

11490 KELNOR 1-35 28 TABLET 1.18803 2011-01-01 9999-12-31

11491 ZOVIA 1-50E TABLET 1.06014 2011-01-01 9999-12-31

11500 CRYSELLE-28 TABLET 1.22571 2012-12-01 9999-12-31

11501 OGESTREL TABLET 1.28470 2008-12-19 9999-12-31

11520 CAMILA TABLET 1.33312 2014-02-01 9999-12-31

11530 LEVORA-28 TABLET 0.99342 2014-05-01 9999-12-31

11531 TRIVORA-28 TABLET 1.10374 2013-01-01 9999-12-31

11534 LUTERA-28 TABLET 1.26142 2014-02-01 9999-12-31

11616 FLUORESCEIN-BENOXINATE EYE 1.57440 2011-01-01 9999-12-31

11670 CLARITHROMYCIN 125 MG/5 ML 0.52824 2014-01-01 9999-12-31

11671 CLARITHROMYCIN 250 MG/5 ML 1.25835 2013-04-01 9999-12-31

11730 SM SLEEP AID 25 MG TABLET 0.21868 2012-09-01 9999-12-31

11800 PENTOXIFYLLINE ER 400 MG TA 0.35250 2014-03-01 9999-12-31

11854 LIDOCAINE HCL 1% VIAL 0.19560 2014-03-01 9999-12-31

11857 LIDOCAINE HCL 2% VIAL 0.10380 2013-02-01 9999-12-31

11870 LIDOCAINE HCL 2% JELLY 0.52099 2012-06-01 9999-12-31

11941 LIDOCAINE 2% VISCOUS SOLN 0.04200 2012-02-01 9999-12-31

11942 XYLOCAINE 4% SOLUTION 0.30240 2013-07-01 9999-12-31

12000 PHOSPHA 250 NEUTRAL TABLET 0.40656 2013-12-01 9999-12-31

12080 RANITIDINE HCL 25 MG/ML VIA 1.54399 2012-10-01 9999-12-31

12090 RANITIDINE 15 MG/ML SYRUP 0.06342 2014-05-01 9999-12-31

12200 HURRICAINE 20% GEL 0.18319 2011-01-01 9999-12-31

Page 8: gcn drug name price begin date end date 00031 fluvastatin sodium

12211 MEXILETINE 200 MG CAPSULE 0.99336 2014-05-01 9999-12-31

12241 METOPROLOL TART 5 MG/5 ML V 0.48000 2011-01-01 9999-12-31

12248 CONCERTA ER 54 MG TABLET 8.94795 2013-08-01 9999-12-31

12260 PV ORAL PAIN RELIEF LIQUID 0.59918 2013-11-01 9999-12-31

12263 TOLTERODINE TART ER 4 MG CA 7.70559 2014-03-01 9999-12-31

12277 NATEGLINIDE 60 MG TABLET 1.41852 2013-01-01 9999-12-31

12309 VITAMIN D-3 2,000 UNIT TABL 0.03615 2013-04-01 9999-12-31

12389 ALENDRONATE SODIUM 35 MG TA 2.81250 2013-02-01 9999-12-31

12426 CVS GLUCOSE 4 GRAM TABLET C 0.27750 2014-03-01 9999-12-31

12431 RYTHMOL 150 MG TABLET 0.46236 2011-03-01 9999-12-31

12432 PROPAFENONE HCL 300 MG TAB 1.34430 2008-03-21 9999-12-31

12433 RYTHMOL 225 MG TABLET 0.40710 2010-04-11 9999-12-31

12466 FOLIC ACID-VIT B6-VIT B12 T 0.32340 2014-01-01 9999-12-31

12469 ETHOXY DIGLYCOL REAGENT 0.03820 2012-06-01 9999-12-31

12486 HYDROCODON-ACETAMINOPHEN 5- 0.34905 2014-04-01 9999-12-31

12488 HYDROCODON-ACETAMINOPH 7.5- 0.44025 2014-05-01 9999-12-31

12529 REMERON 15 MG SOLTAB 2.18119 2011-01-01 9999-12-31

12531 REMERON 30 MG SOLTAB 2.24760 2011-05-01 9999-12-31

12555 LIPMAX LIQUID 0.08652 2014-04-01 9999-12-31

12567 CONCERTA ER 18 MG TABLET 6.22188 2014-05-01 9999-12-31

12568 CONCERTA ER 36 MG TABLET 8.22315 2013-09-01 9999-12-31

12595 FENOFIBRATE 160 MG TABLET 2.85166 2011-01-01 9999-12-31

12618 LOPROX 0.77% GEL 2.59440 2013-12-01 9999-12-31

12623 TRIPLE ANTIBIOTIC PLUS OINT 0.16056 2011-12-01 9999-12-31

12624 CEVIMELINE HCL 30 MG CAPSUL 3.10080 2013-04-01 9999-12-31

12762 DESLORATADINE 5 MG TABLET 4.51776 2013-01-01 9999-12-31

12763 SETONET PRENATAL VITAMIN 0.52099 2011-01-01 9999-12-31

12791 BETAXOLOL 10 MG TABLET 1.19280 2012-04-01 9999-12-31

12805 CYCLOBENZAPRINE 5 MG TABLET 0.19920 2014-03-01 9999-12-31

12851 KETAMINE 100 MG/ML VIAL 1.96560 2013-02-01 9999-12-31

12852 KETAMINE 500 MG/10 ML VIAL 0.79200 2012-04-01 9999-12-31

12892 PHENOBARBITAL 130 MG/ML VIA 34.56000 2013-12-01 9999-12-31

12894 PHENOBARBITAL 65 MG/ML VIAL 13.05600 2012-12-01 9999-12-31

12929 PROZAC WEEKLY 90 MG CAPSULE 35.51100 2013-01-01 9999-12-31

12933 RYNEX PSE LIQUID 0.03700 2012-09-01 9999-12-31

12934 MEDI-BROM ELIXIR 0.02125 2013-06-01 9999-12-31

12936 MELATONIN-VIT B6 3 MG-1 MG 0.02484 2014-01-01 9999-12-31

12947 METOPROLOL SUCC ER 25 MG TA 1.06789 2014-05-01 9999-12-31

12956 PHENOBARBITAL 20 MG/5 ML EL 0.22660 2013-06-01 9999-12-31

12971 PHENOBARBITAL 15 MG TABLET 0.16800 2013-07-01 9999-12-31

12972 PHENOBARBITAL 60 MG TABLET 0.02875 2013-06-01 9999-12-31

12973 PHENOBARBITAL 30 MG TABLET 0.21120 2013-07-01 9999-12-31

12975 PHENOBARBITAL 100 MG TABLET 0.37200 2013-07-01 9999-12-31

12987 NEPHRO-VITE TABLET 0.14172 2011-02-01 9999-12-31

13037 BUSPIRONE HCL 7.5 MG TABLET 1.36350 2014-01-01 9999-12-31

13041 REMERON 45 MG SOLTAB 1.43100 2008-12-19 9999-12-31

13083 OCELLA 3 MG-0.03 MG TABLET 2.95767 2012-07-01 9999-12-31

13094 CYCLESSA 28 DAY TABLET 1.29766 2013-02-01 9999-12-31

13235 NEURONTIN 250 MG/5 ML SOLN 0.35596 2014-01-01 9999-12-31

13266 FENOFIBRATE 54 MG TABLET 0.95049 2011-07-01 9999-12-31

13299 ED-SPAZ 0.125 MG ODT 1.01250 2013-11-01 9999-12-31

13310 DICLOFENAC SOD ER 100 MG TA 2.36175 2014-03-01 9999-12-31

13331 GEODON 20 MG CAPSULE 4.03350 2014-03-01 9999-12-31

13332 ZIPRASIDONE HCL 40 MG CAPSU 4.03350 2014-01-01 9999-12-31

13333 GEODON 60 MG CAPSULE 8.28960 2014-05-01 9999-12-31

13334 GEODON 80 MG CAPSULE 8.28960 2014-03-01 9999-12-31

13347 LACTINEX CHEWABLE TABLET 0.18048 2011-01-01 9999-12-31

13379 BP WASH ACNE 4% TREATMENT P 72.08400 2013-11-01 9999-12-31

Page 9: gcn drug name price begin date end date 00031 fluvastatin sodium

13391 BP WASH ACNE 8% TREATMENT P 86.35200 2013-03-01 9999-12-31

13394 CRITIC-AID CLEAR AF 2% OINT 0.07416 2012-12-01 9999-12-31

13397 LIDOCAINE-HC 3-0.5% CREAM 2.18412 2011-10-01 9999-12-31

13411 PRENATAL TABLET 0.05550 2013-06-01 9999-12-31

13456 IPRAT-ALBUT 0.5-3(2.5) MG/3 0.19999 2013-08-01 9999-12-31

13477 NUTRISOURCE FIBER POWDER 0.05940 2013-05-01 9999-12-31

13478 BENEFIBER POWDER 0.46207 2011-01-01 9999-12-31

13480 ACITRETIN 10 MG CAPSULE 29.95359 2014-03-01 9999-12-31

13483 STOOL SOFTENER-LAXATIVE TAB 0.02184 2011-01-01 9999-12-31

13521 DOXYCYCLINE HYCLATE 20 MG T 0.33732 2014-01-01 9999-12-31

13537 A THRU Z SELECT TABLET 0.05880 2013-06-01 9999-12-31

13559 ALOE VERA GELLY 0.06121 2012-07-01 9999-12-31

13641 L-TRYPTOPHAN 500 MG CAPSULE 0.31807 2012-12-01 9999-12-31

13645 PSEUDOEPHED 30 MG/5 ML SOLN 0.01191 2013-11-01 9999-12-31

13675 CALCIUM ACETATE 667 MG CAPS 0.98544 2014-02-01 9999-12-31

13721 ACYCLOVIR 800 MG TABLET 0.43500 2012-09-01 9999-12-31

13724 ACYCLOVIR 400 MG TABLET 0.20400 2014-01-01 9999-12-31

13738 CVS DRY SKIN THERAPY CREME 0.01818 2011-11-01 9999-12-31

13740 VALACYCLOVIR HCL 500 MG TAB 5.70000 2014-03-01 9999-12-31

13742 VALACYCLOVIR HCL 1 GRAM TAB 3.32199 2014-03-01 9999-12-31

13752 ALPHAGAN P 0.15% EYE DROPS 23.53050 2014-05-01 9999-12-31

13802 MEPROBAMATE 400 MG TABLET 1.75785 2012-03-01 9999-12-31

13840 TEMAZEPAM 15 MG CAPSULE 0.13095 2011-01-01 9999-12-31

13841 TEMAZEPAM 30 MG CAPSULE 0.84912 2014-03-01 9999-12-31

13845 TEMAZEPAM 7.5 MG CAPSULE 10.43745 2012-06-01 9999-12-31

13866 ALL DAY ALLERGY-D TABLET 0.95959 2014-05-01 9999-12-31

13880 OFLOXACIN 0.3% EAR DROPS 3.71250 2013-06-01 9999-12-31

13881 HYDROXYZINE 25 MG/ML VIAL 3.60000 2011-02-01 9999-12-31

13882 HYDROXYZINE 50 MG/ML VIAL 2.40000 2014-01-01 9999-12-31

13909 TRAMADOL-ACETAMINOPHN 37.5- 0.81840 2014-05-01 9999-12-31

13910 SANDIMMUNE 100 MG CAPSULE 5.79720 2012-10-01 9999-12-31

13911 SANDIMMUNE 25 MG CAPSULE 1.52239 2012-10-01 9999-12-31

13917 NEORAL 100 MG/ML SOLUTION 5.65824 2011-12-01 9999-12-31

13918 CYCLOSPORINE MODIFIED 25 MG 1.31959 2011-01-01 9999-12-31

13919 GENGRAF 100 MG CAPSULE 5.27599 2011-01-01 9999-12-31

13932 HYDROXYZINE 10 MG/5 ML SYRU 0.10131 2013-11-01 9999-12-31

13941 HYDROXYZINE HCL 10 MG TABLE 0.14025 2013-12-01 9999-12-31

13943 HYDROXYZINE HCL 25 MG TABLE 0.17040 2014-04-01 9999-12-31

13944 HYDROXYZINE HCL 50 MG TABLE 0.50895 2014-05-01 9999-12-31

13951 HYDROXYZINE PAM 100 MG CAP 0.57096 2014-05-01 9999-12-31

13952 HYDROXYZINE PAM 25 MG CAP 0.11160 2014-05-01 9999-12-31

13953 HYDROXYZINE PAM 50 MG CAP 0.15249 2014-05-01 9999-12-31

13960 DICLOFENAC POT 50 MG TABLET 1.04580 2014-05-01 9999-12-31

13971 PROMETHAZINE-CODEINE SYRUP 0.03915 2011-08-01 9999-12-31

13973 HYDROMET SYRUP 0.22182 2011-01-01 9999-12-31

13974 TUSSIONEX PENNKINETIC SUSP 0.72319 2012-07-01 9999-12-31

13975 PROMETHAZINE-DM SYRUP 0.02272 2014-02-01 9999-12-31

13977 PROMETHAZINE VC SYRUP 0.17991 2013-08-01 9999-12-31

13978 PROMETHAZINE VC-CODEINE SYR 0.28996 2014-03-01 9999-12-31

13996 ISOMETHEPT-DICHLORALP-ACETA 3.00120 2013-02-01 9999-12-31

14007 NYSTATIN-TRIAMCINOLONE CREA 5.10439 2014-03-01 9999-12-31

14008 NYSTATIN-TRIAMCINOLONE OINT 7.16400 2014-05-01 9999-12-31

14016 ACETIC ACID-ALUMINUM DROPS 1.15200 2011-01-01 9999-12-31

14017 VOSOL HC EAR DROPS 19.33440 2013-08-01 9999-12-31

14019 OTIC CARE OTIC SOLUTION 8.24570 2012-03-01 9999-12-31

14023 CORTISPORIN EAR SOLUTION 2.40240 2011-01-01 9999-12-31

14025 NEOMYCIN-POLYMYXIN-HC EAR S 2.40240 2011-07-01 9999-12-31

14026 CYTRA-K CRYSTALS PACKET 0.71748 2013-04-01 9999-12-31

Page 10: gcn drug name price begin date end date 00031 fluvastatin sodium

14027 TRICITRATES ORAL SOLUTION 0.02787 2011-12-01 9999-12-31

14029 PROBENECID-COLCHICINE TABS 0.96780 2011-06-01 9999-12-31

14031 CHLORDIAZEPOXIDE 10 MG CAPS 0.08844 2012-04-01 9999-12-31

14032 CHLORDIAZEPOXIDE 25 MG CAPS 0.10482 2013-11-01 9999-12-31

14033 CHLORDIAZEPOXIDE 5 MG CAPSU 0.10800 2014-05-01 9999-12-31

14037 ERYTHROMYCIN-SULFISOX SUSP 0.30318 2014-02-01 9999-12-31

14065 CYTRA-K ORAL SOLUTION 0.09031 2014-01-01 9999-12-31

14090 CLORAZEPATE 15 MG TABLET 0.68304 2011-01-01 9999-12-31

14092 CLORAZEPATE 3.75 MG TABLET 0.36456 2013-04-01 9999-12-31

14093 CLORAZEPATE 7.5 MG TABLET 0.15576 2013-07-01 9999-12-31

14101 FAMVIR 125 MG TABLET 3.59640 2008-12-19 9999-12-31

14108 FAMCICLOVIR 500 MG TABLET 3.87559 2013-09-01 9999-12-31

14109 FAMCICLOVIR 250 MG TABLET 1.92999 2014-04-01 9999-12-31

14125 CLOTRIMAZOLE-BETAMETHASONE 4.70439 2013-03-01 9999-12-31

14136 RA GLUCOSAMINE-CHONDR-MSM C 0.31186 2012-07-01 9999-12-31

14139 FIBER POWDER 0.03561 2013-12-01 9999-12-31

14140 LORAZEPAM 2 MG/ML VIAL 1.12500 2013-10-01 9999-12-31

14141 LORAZEPAM 4 MG/ML VIAL 1.10640 2012-02-01 9999-12-31

14150 LORAZEPAM 2 MG/ML CARPUJECT 3.04800 2014-02-01 9999-12-31

14158 RELNATE DHA PRENATAL SOFTGE 2.56719 2011-07-01 9999-12-31

14160 LORAZEPAM 0.5 MG TABLET 0.06349 2013-08-01 9999-12-31

14161 LORAZEPAM 1 MG TABLET 0.05766 2014-05-01 9999-12-31

14162 LORAZEPAM 2 MG TABLET 0.08958 2014-05-01 9999-12-31

14179 RIBAVIRIN 200 MG CAPSULE 1.60084 2013-04-01 9999-12-31

14200 DIAZEPAM 5 MG/ML SYRINGE 6.63600 2014-02-01 9999-12-31

14204 CVS DIAPER RASH OINTMENT 0.02294 2013-07-01 9999-12-31

14210 DIAZEPAM 5 MG/ML VIAL 2.26800 2013-09-01 9999-12-31

14220 DIAZEPAM 10 MG TABLET 0.05448 2014-01-01 9999-12-31

14221 VALIUM 2 MG TABLET 0.04024 2014-01-01 9999-12-31

14222 DIAZEPAM 5 MG TABLET 0.04191 2014-02-01 9999-12-31

14230 OXAZEPAM 10 MG CAPSULE 1.15200 2012-06-01 9999-12-31

14231 OXAZEPAM 15 MG CAPSULE 1.45452 2012-06-01 9999-12-31

14232 OXAZEPAM 30 MG CAPSULE 2.10384 2013-09-01 9999-12-31

14236 CEFEPIME 2 GM INJECTION 0.51096 2012-08-01 9999-12-31

14250 FLURAZEPAM 15 MG CAPSULE 0.18096 2013-08-01 9999-12-31

14251 FLURAZEPAM 30 MG CAPSULE 0.40428 2014-05-01 9999-12-31

14260 ALPRAZOLAM 0.25 MG TABLET 0.04905 2013-02-01 9999-12-31

14261 XANAX 0.5 MG TABLET 0.06016 2011-11-01 9999-12-31

14262 ALPRAZOLAM 1 MG TABLET 0.06948 2013-11-01 9999-12-31

14263 XANAX 2 MG TABLET 0.15702 2011-01-01 9999-12-31

14279 NEO-BACIT-POLY-HC EYE OINTM 17.84228 2011-03-01 9999-12-31

14280 TRIAZOLAM 0.25 MG TABLET 2.63256 2014-04-01 9999-12-31

14282 TRIAZOLAM 0.125 MG TABLET 2.63256 2013-09-01 9999-12-31

14283 NEOMYC-BACIT-POLYMIX EYE OI 15.62400 2011-03-01 9999-12-31

14285 NEOMYC-POLYM-DEXAMET EYE OI 6.64285 2014-05-01 9999-12-31

14286 MAXITROL EYE DROPS 4.65000 2011-03-01 9999-12-31

14294 POLYTRIM EYE DROPS 1.54500 2011-11-01 9999-12-31

14295 CHOLESTYRAMINE POWDER 0.41626 2013-08-01 9999-12-31

14305 LEVETIRACETAM ER 500 MG TAB 3.08318 2013-12-01 9999-12-31

14324 ZOLMITRIPTAN 5 MG ODT 53.19999 2013-07-01 9999-12-31

14330 XANTHAN GUM POWDER 0.58972 2011-02-01 9999-12-31

14335 GLYCERIN LIQUID 0.19380 2014-05-01 9999-12-31

14349 VENLAFAXINE HCL ER 37.5 MG 3.39600 2014-01-01 9999-12-31

14352 VENLAFAXINE HCL ER 75 MG TA 4.74999 2014-03-01 9999-12-31

14353 VENLAFAXINE HCL ER 150 MG T 5.17749 2012-09-01 9999-12-31

14354 VENLAFAXINE HCL ER 225 MG T 8.77119 2014-02-01 9999-12-31

14356 HM FIBER POWDER 0.01639 2013-12-01 9999-12-31

14393 METAMUCIL POWDER 0.02607 2014-01-01 9999-12-31

Page 11: gcn drug name price begin date end date 00031 fluvastatin sodium

14405 ULTIMATECARE ONE CAPSULE 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 1.62000 2014-02-01 9999-12-31

14433 CHLORPROMAZINE 50 MG TABLET 2.30850 2013-08-01 9999-12-31

14434 CHLORPROMAZINE 100 MG TABLE 3.29790 2013-07-01 9999-12-31

14435 CHLORPROMAZINE 200 MG TABLE 3.76896 2013-10-01 9999-12-31

14444 SM FIBER POWDER 0.01460 2011-10-01 9999-12-31

14540 FLUPHENAZINE DEC 25 MG/ML V 32.34240 2014-03-01 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 NATURAL FIBER LAXATIVE POWD 0.00945 2013-04-01 9999-12-31

14568 AMERIGEL WOUND DRESSING GEL 0.63858 2014-01-01 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 0.34032 2013-12-01 9999-12-31

14604 FLUPHENAZINE 2.5 MG TABLET 0.30600 2013-01-01 9999-12-31

14605 FLUPHENAZINE 5 MG TABLET 0.41040 2014-01-01 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 2012-11-01 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 2012-11-01 9999-12-31

14650 PERPHENAZINE 16 MG TABLET 1.87164 2011-05-01 9999-12-31

14651 PERPHENAZINE 2 MG TABLET 1.11732 2013-05-01 9999-12-31

14652 PERPHENAZINE 4 MG TABLET 1.91160 2014-04-01 9999-12-31

14653 PERPHENAZINE 8 MG TABLET 1.85484 2013-05-01 9999-12-31

14683 PV VITAMIN E 400 UNIT SOFTG 0.04188 2011-01-01 9999-12-31

14689 CVS NICOTINE 2 MG LOZENGE 0.47250 2014-03-01 9999-12-31

14690 TIZANIDINE HCL 2 MG TABLET 0.38499 2013-11-01 9999-12-31

14692 PROCHLORPERAZINE 5MG/ML VL 2.79000 2012-07-01 9999-12-31

14693 TIZANIDINE HCL 4 MG TABLET 0.46200 2013-09-01 9999-12-31

14759 CITRANATAL ASSURE COMBO PAC 1.38600 2013-06-01 9999-12-31

14761 PROCHLORPERAZINE 25 MG SUPP 10.69800 2013-04-01 9999-12-31

14764 LIDOCAINE HCL POWDER 3.48000 2013-11-01 9999-12-31

14771 PROCHLORPERAZINE 10 MG TAB 0.42645 2012-04-01 9999-12-31

14773 PROCHLORPERAZINE 5 MG TABLE 0.38400 2014-03-01 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 0.73452 2013-09-01 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 1.36332 2013-11-01 9999-12-31

14839 PV L-LYSINE 500 MG TABLET 0.02388 2012-12-01 9999-12-31

14850 LOSARTAN POTASSIUM 25 MG TA 0.21000 2014-04-01 9999-12-31

14851 LOSARTAN POTASSIUM 50 MG TA 0.22693 2014-04-01 9999-12-31

14852 HYZAAR 50-12.5 TABLET 0.59479 2013-09-01 9999-12-31

14853 LOSARTAN POTASSIUM 100 MG T 0.21613 2014-04-01 9999-12-31

14854 HYZAAR 100-25 TABLET 0.34800 2014-05-01 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 LEVOCETIRIZINE 5 MG TABLET 1.47666 2014-01-01 9999-12-31

14949 ARBINOXA 4 MG/5 ML LIQUID 0.14673 2011-01-01 9999-12-31

14950 UROCIT-K SR 5 MEQ TABLET 1.21104 2014-02-01 9999-12-31

14951 UROCIT-K SR 10 MEQ TABLET 1.69740 2014-02-01 9999-12-31

14965 PERCOCET 7.5-325 MG TABLET 0.99555 2014-01-01 9999-12-31

Page 12: gcn drug name price begin date end date 00031 fluvastatin sodium

14966 ENDOCET 10-325 MG TABLET 1.29504 2013-12-01 9999-12-31

14970 PROMETHAZINE 25 MG/ML AMPUL 1.58400 2013-08-01 9999-12-31

14971 PROMETHAZINE 50 MG/ML AMPUL 2.22000 2013-08-01 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 PHENERGAN 25 MG/ML VIAL 1.03200 2013-07-01 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 PROMETHAZINE 25 MG SUPPOSIT 3.29599 2011-09-01 9999-12-31

15002 PROMETHEGAN 50 MG SUPPOSITO 5.87400 2008-12-19 9999-12-31

15003 PROMETHEGAN 12.5 MG SUPPOS 14.62125 2014-01-01 9999-12-31

15035 PROMETHAZINE 6.25MG/5ML SYR 0.03484 2013-02-01 9999-12-31

15037 PHENYTEK 300 MG CAPSULE 1.14999 2014-04-01 9999-12-31

15038 PHENYTEK 200 MG CAPSULE 0.76740 2011-11-01 9999-12-31

15042 PROMETHAZINE 12.5 MG TABLET 0.21600 2013-07-01 9999-12-31

15043 PROMETHAZINE 25 MG TABLET 0.52275 2011-01-01 9999-12-31

15044 PROMETHAZINE 50 MG TABLET 0.69864 2014-04-01 9999-12-31

15081 OLANZAPINE 7.5 MG TABLET 0.96504 2013-11-01 9999-12-31

15082 OLANZAPINE 10 MG TABLET 1.19479 2014-04-01 9999-12-31

15083 OLANZAPINE 5 MG TABLET 0.53700 2013-12-01 9999-12-31

15084 ZYPREXA 2.5 MG TABLET 0.83985 2014-02-01 9999-12-31

15085 ZYPREXA 15 MG TABLET 2.24040 2014-01-01 9999-12-31

15086 ZYPREXA 20 MG TABLET 2.38959 2014-02-01 9999-12-31

15221 SOD SULFACETAMIDE-SULFUR LO 0.66879 2013-05-01 9999-12-31

15353 DOPAMINE 400 MG-D5W 250 ML 0.04785 2014-02-01 9999-12-31

15395 DOPAMINE 800 MG-D5W 500 ML 0.04166 2011-11-01 9999-12-31

15412 PRAVASTATIN SODIUM 80 MG TA 1.07874 2014-05-01 9999-12-31

15479 DROPERIDOL 2.5 MG/ML AMPUL 0.60600 2011-11-01 9999-12-31

15490 HALOPERIDOL 5 MG/ML AMPUL 7.36800 2013-01-01 9999-12-31

15494 ARIXTRA 2.5 MG SYRINGE 104.93280 2013-02-01 9999-12-31

15500 HALOPERIDOL LAC 5 MG/ML VIA 7.18800 2014-04-01 9999-12-31

15520 HALOPERIDOL LAC 2 MG/ML CON 0.47919 2013-05-01 9999-12-31

15530 HALOPERIDOL 0.5 MG TABLET 0.39060 2014-03-01 9999-12-31

15531 HALOPERIDOL 1 MG TABLET 0.55365 2014-03-01 9999-12-31

15532 HALOPERIDOL 10 MG TABLET 1.72140 2014-02-01 9999-12-31

15533 HALOPERIDOL 2 MG TABLET 0.60672 2014-02-01 9999-12-31

15534 HALOPERIDOL 20 MG TABLET 2.77908 2013-02-01 9999-12-31

15535 HALOPERIDOL 5 MG TABLET 1.22850 2014-03-01 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

15665 LEVALBUTEROL 0.31 MG/3 ML S 2.14633 2013-10-01 9999-12-31

15690 THIOTHIXENE 1 MG CAPSULE 0.15710 2008-09-19 9999-12-31

15691 THIOTHIXENE 10 MG CAPSULE 1.93164 2014-05-01 9999-12-31

15692 THIOTHIXENE 2 MG CAPSULE 0.31260 2013-11-01 9999-12-31

15694 THIOTHIXENE 5 MG CAPSULE 0.39552 2011-12-01 9999-12-31

15709 EPIVIR 300 MG TABLET 13.74919 2012-11-01 9999-12-31

15710 LITHIUM CARBONATE 300MG CAP 0.08412 2013-09-01 9999-12-31

15711 LITHIUM CARBONATE 150 MG CA 0.16755 2014-04-01 9999-12-31

15712 LITHIUM CARBONATE 600 MG CA 0.46935 2013-11-01 9999-12-31

15721 LITHIUM CARBONATE 300 MG TA 0.25800 2012-12-01 9999-12-31

15730 LITHIUM ER 450 MG TABLET 0.57960 2013-01-01 9999-12-31

15731 LITHIUM CARBONATE ER 300 MG 0.50055 2013-04-01 9999-12-31

15741 LITHIUM 8 MEQ/5 ML SOLUTION 0.07598 2014-02-01 9999-12-31

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15751 PACNEX 7% WASH 0.20785 2011-10-01 9999-12-31

15775 TRIMETHOBENZAMIDE 300 MG CA 1.99999 2013-07-01 9999-12-31

15776 VIRTI-SULF EMOLLIENT CREAM 4.05685 2013-05-01 9999-12-31

15803 CYPROHEPTADINE 2 MG/5 ML SY 0.17016 2014-03-01 9999-12-31

15811 CYPROHEPTADINE 4 MG TABLET 0.98625 2014-05-01 9999-12-31

15891 CLOBETASOL 0.05% SOLUTION 0.55200 2012-01-01 9999-12-31

15892 CLOBETASOL 0.05% GEL 0.45679 2012-12-01 9999-12-31

15911 METHYLPHENIDATE 10 MG TABLE 1.11165 2014-02-01 9999-12-31

15913 RITALIN 5 MG TABLET 0.79500 2014-02-01 9999-12-31

15920 METHYLPHENIDATE 20 MG TABLE 1.79775 2014-05-01 9999-12-31

15980 MEPERIDINE 50 MG/5 ML SOLUT 0.15866 2014-02-01 9999-12-31

15985 TARON-PREX PRENATAL DHA CAP 1.34599 2012-03-01 9999-12-31

15989 CALCIUM CITRATE-VIT D CAPLE 0.03492 2012-10-01 9999-12-31

15990 DEMEROL 100 MG TABLET 0.82776 2014-02-01 9999-12-31

15991 MEPERIDINE 50 MG TABLET 0.65856 2014-05-01 9999-12-31

16006 GLUCOSAMINE-CHONDROITIN-MSM 0.11551 2011-10-01 9999-12-31

16054 MORPHINE SULF 30 MG SUPPOS 9.00000 2012-07-01 9999-12-31

16060 MORPHINE SULF 10 MG/5 ML SO 0.05527 2012-03-01 9999-12-31

16062 MORPHINE SULF 20 MG/5 ML SO 0.15564 2013-07-01 9999-12-31

16063 MORPHINE SULF 100 MG/5 ML S 0.82500 2013-10-01 9999-12-31

16070 MORPHINE SULFATE IR 15 MG T 0.14784 2014-02-01 9999-12-31

16071 MORPHINE SULFATE IR 30 MG T 0.25164 2014-02-01 9999-12-31

16078 MORPHINE SULF ER 200 MG TAB 8.62588 2011-05-01 9999-12-31

16091 HYDROMORPHONE HCL 2 MG/ML A 1.28400 2011-05-01 9999-12-31

16105 FENOFIBRIC ACID DR 135 MG C 5.75541 2014-03-01 9999-12-31

16110 HYDROMORPHONE 1 MG/ML SYRIN 2.49600 2013-09-01 9999-12-31

16111 HYDROMORPHONE 2 MG/ML SYRIN 2.68800 2013-09-01 9999-12-31

16113 HYDROMORPHONE 4 MG/ML SYRIN 2.49600 2013-09-01 9999-12-31

16135 RISPERIDONE 1 MG/ML SOLUTIO 1.20799 2014-01-01 9999-12-31

16136 RISPERIDONE 1 MG TABLET 0.33074 2013-12-01 9999-12-31

16137 RISPERIDONE 2 MG TABLET 0.56860 2012-09-01 9999-12-31

16138 RISPERIDONE 3 MG TABLET 0.65659 2012-08-01 9999-12-31

16139 RISPERIDONE 4 MG TABLET 0.90720 2012-08-01 9999-12-31

16141 HYDROMORPHONE 2 MG TABLET 0.17472 2014-04-01 9999-12-31

16143 HYDROMORPHONE 4 MG TABLET 0.20448 2013-06-01 9999-12-31

16144 HYDROMORPHONE 8 MG TABLET 1.19100 2014-01-01 9999-12-31

16153 PNV-SELECT TABLET 2.41239 2014-01-01 9999-12-31

16180 RITALIN SR 20 MG TABLET 2.96655 2013-06-01 9999-12-31

16200 CENTRUM COMPLETE MULTIVIT T 0.03984 2012-07-01 9999-12-31

16240 CODEINE SULFATE 15 MG TABLE 0.40224 2013-03-01 9999-12-31

16241 CODEINE SULFATE 30 MG TABLE 0.47700 2014-02-01 9999-12-31

16242 CODEINE SULFATE 60 MG TABLE 0.72252 2012-04-01 9999-12-31

16280 OXYCODONE HCL 5 MG/5 ML SOL 0.34200 2014-03-01 9999-12-31

16281 OXYCODONE HCL 100 MG/5 ML S 7.03999 2012-07-01 9999-12-31

16282 OXYCONTIN 10 MG TABLET 1.83204 2011-06-01 9999-12-31

16283 OXYCONTIN 20 MG TABLET 3.50544 2011-06-01 9999-12-31

16284 OXYCONTIN 40 MG TABLET 6.21996 2011-02-01 9999-12-31

16285 OXYCODONE HCL 5 MG CAPSULE 2.20500 2014-02-01 9999-12-31

16286 OXYCONTIN 80 MG TABLET 11.69700 2011-02-01 9999-12-31

16290 OXYCODONE HCL IR 5 MG TABLE 0.29760 2014-04-01 9999-12-31

16291 OXYCODONE HCL 10 MG TABLET 0.67650 2014-02-01 9999-12-31

16296 PROGESTERONE POWDER 1.63200 2012-03-01 9999-12-31

16342 CITALOPRAM HBR 20 MG TABLET 0.07078 2013-02-01 9999-12-31

16343 CITALOPRAM HBR 40 MG TABLET 0.08325 2013-07-01 9999-12-31

16344 CITALOPRAM HBR 10 MG/5 ML S 0.24994 2012-02-01 9999-12-31

16345 CELEXA 10 MG TABLET 0.07074 2013-11-01 9999-12-31

16347 FLUVOXAMINE MALEATE 25 MG T 0.66000 2013-12-01 9999-12-31

16348 FLUVOXAMINE MALEATE 50 MG T 0.82500 2014-01-01 9999-12-31

Page 14: gcn drug name price begin date end date 00031 fluvastatin sodium

16349 FLUVOXAMINE MALEATE 100 MG 0.90000 2014-03-01 9999-12-31

16353 PROZAC 10 MG PULVULE 0.07497 2013-11-01 9999-12-31

16354 FLUOXETINE HCL 20 MG CAPSUL 0.05625 2011-01-01 9999-12-31

16355 FLUOXETINE HCL 40 MG CAPSUL 0.90547 2014-02-01 9999-12-31

16356 FLUOXETINE HCL 10 MG TABLET 0.24000 2012-02-01 9999-12-31

16357 FLUOXETINE 20 MG/5 ML SOLUT 0.18000 2013-12-01 9999-12-31

16359 SARAFEM 20 MG TABLET 1.17294 2011-10-01 9999-12-31

16360 NALBUPHINE 10 MG/ML AMPUL 3.97200 2014-02-01 9999-12-31

16364 PAROXETINE HCL 10 MG TABLET 0.32536 2011-09-01 9999-12-31

16366 PAROXETINE HCL 20 MG TABLET 0.19500 2011-01-01 9999-12-31

16367 PAROXETINE HCL 30 MG TABLET 0.37800 2014-02-01 9999-12-31

16368 PAROXETINE HCL 40 MG TABLET 0.43875 2011-01-01 9999-12-31

16373 ZOLOFT 25 MG TABLET 0.20599 2014-05-01 9999-12-31

16374 ZOLOFT 50 MG TABLET 0.12825 2013-08-01 9999-12-31

16375 ZOLOFT 100 MG TABLET 0.18000 2013-06-01 9999-12-31

16376 ZOLOFT 20 MG/ML ORAL CONC 0.97239 2012-01-01 9999-12-31

16384 BUPROPION HCL 75 MG TABLET 0.75675 2014-02-01 9999-12-31

16385 WELLBUTRIN 100 MG TABLET 1.00950 2011-01-01 9999-12-31

16386 BUPROPION SR 150 MG TABLET 0.67500 2014-05-01 9999-12-31

16387 BUPROPION HCL SR 100 MG TAB 0.53899 2013-01-01 9999-12-31

16391 TRAZODONE 50 MG TABLET 0.05940 2014-05-01 9999-12-31

16392 TRAZODONE 100 MG TABLET 0.09300 2014-02-01 9999-12-31

16393 TRAZODONE 150 MG TABLET 0.21600 2014-03-01 9999-12-31

16394 TRAZODONE 300 MG TABLET 3.90852 2011-07-01 9999-12-31

16400 METHADONE 5 MG/5 ML SOLUTIO 0.07656 2011-01-01 9999-12-31

16404 NEFAZODONE HCL 50 MG TABLET 0.59868 2012-09-01 9999-12-31

16406 NEFAZODONE HCL 100 MG TABLE 0.63019 2013-04-01 9999-12-31

16407 NEFAZODONE HCL 150 MG TABLE 0.56070 2008-12-19 9999-12-31

16408 NEFAZODONE HCL 200 MG TABLE 0.56930 2008-12-19 9999-12-31

16410 METHADONE 10 MG/5 ML SOLUTI 0.13261 2011-01-01 9999-12-31

16417 NARDIL 15 MG TABLET 0.79819 2013-07-01 9999-12-31

16418 TRANYLCYPROMINE SULF 10 MG 1.19856 2011-01-01 9999-12-31

16420 METHADONE HCL 10 MG TABLET 0.14148 2013-06-01 9999-12-31

16422 DOLOPHINE HCL 5 MG TABLET 0.34560 2014-02-01 9999-12-31

16423 METHADOSE 40 MG TABLET DISP 0.31820 2008-12-19 9999-12-31

16501 GLUCOSAMINE 500 MG CAPSULE 0.13950 2013-03-01 9999-12-31

16512 AMITRIPTYLINE HCL 10 MG TAB 0.05499 2013-12-01 9999-12-31

16513 AMITRIPTYLINE HCL 100 MG TA 1.06656 2014-02-01 9999-12-31

16514 AMITRIPTYLINE HCL 150 MG TA 0.19440 2012-03-01 9999-12-31

16515 AMITRIPTYLINE HCL 25 MG TAB 0.05649 2011-01-01 9999-12-31

16516 AMITRIPTYLINE HCL 50 MG TAB 0.06300 2011-01-01 9999-12-31

16517 AMITRIPTYLINE HCL 75 MG TAB 0.84604 2013-01-01 9999-12-31

16529 NORTRIPTYLINE HCL 10 MG CAP 0.15375 2011-09-01 9999-12-31

16530 PONSTEL 250 MG KAPSEALS 14.35999 2013-10-01 9999-12-31

16532 NORTRIPTYLINE HCL 25 MG CAP 0.20475 2011-09-01 9999-12-31

16533 NORTRIPTYLINE HCL 50 MG CAP 0.25080 2011-10-01 9999-12-31

16534 NORTRIPTYLINE HCL 75 MG CAP 0.35625 2011-10-01 9999-12-31

16535 NORTRIPTYLINE 10 MG/5 ML SO 0.10515 2011-03-01 9999-12-31

16541 TOFRANIL 10 MG TABLET 0.26430 2014-01-01 9999-12-31

16542 IMIPRAMINE HCL 25 MG TABLET 0.34357 2014-05-01 9999-12-31

16543 IMIPRAMINE HCL 50 MG TABLET 0.46035 2014-02-01 9999-12-31

16548 IMIPRAMINE PAMOATE 100 MG C 14.16039 2013-09-01 9999-12-31

16550 BUTORPHANOL 1 MG/ML VIAL 3.63600 2013-08-01 9999-12-31

16551 BUTORPHANOL 2 MG/ML VIAL 3.93600 2013-05-01 9999-12-31

16557 AMOXAPINE 100 MG TABLET 0.74400 2013-05-01 9999-12-31

16563 DOXEPIN 10 MG CAPSULE 0.32400 2014-05-01 9999-12-31

16564 DOXEPIN 100 MG CAPSULE 0.56868 2013-08-01 9999-12-31

16565 DOXEPIN 150 MG CAPSULE 0.49488 2013-01-01 9999-12-31

Page 15: gcn drug name price begin date end date 00031 fluvastatin sodium

16566 DOXEPIN 25 MG CAPSULE 0.42660 2014-05-01 9999-12-31

16567 DOXEPIN 50 MG CAPSULE 0.61116 2014-05-01 9999-12-31

16568 DOXEPIN 75 MG CAPSULE 0.49236 2013-02-01 9999-12-31

16571 DOXEPIN 10 MG/ML ORAL CONC 0.09314 2012-12-01 9999-12-31

16583 DESIPRAMINE 10 MG TABLET 1.11960 2013-06-01 9999-12-31

16584 NORPRAMIN 100 MG TABLET 0.54840 2008-06-20 9999-12-31

16585 NORPRAMIN 150 MG TABLET 6.13656 2014-02-01 9999-12-31

16586 NORPRAMIN 25 MG TABLET 1.34508 2013-09-01 9999-12-31

16587 DESIPRAMINE 50 MG TABLET 2.53224 2013-05-01 9999-12-31

16588 DESIPRAMINE 75 MG TABLET 2.93256 2013-11-01 9999-12-31

16602 ANAFRANIL 25 MG CAPSULE 10.79226 2014-05-01 9999-12-31

16603 CLOMIPRAMINE 50 MG CAPSULE 10.79226 2014-02-01 9999-12-31

16604 CLOMIPRAMINE 75 MG CAPSULE 10.79226 2014-01-01 9999-12-31

16640 MORPHINE SULF ER 30 MG TABL 1.52844 2013-12-01 9999-12-31

16641 MORPHINE SULF ER 60 MG TABL 2.98248 2014-01-01 9999-12-31

16642 MORPHINE SULF ER 100 MG TAB 4.41576 2013-09-01 9999-12-31

16643 MS CONTIN 15 MG TABLET 0.80436 2013-10-01 9999-12-31

16676 PERPHEN-AMITRIP 2 MG-25 MG 0.74220 2012-06-01 9999-12-31

16677 PERPHEN-AMITRIP 4 MG-25 MG 1.36224 2014-05-01 9999-12-31

16701 ASPIRIN 325 MG COATED TABLE 0.00984 2013-08-01 9999-12-31

16713 ASPIRIN 81 MG CHEWABLE TABL 0.02400 2014-04-01 9999-12-31

16720 ASPIRIN EC 325 MG TABLET 0.00900 2012-11-01 9999-12-31

16732 REMERON 15 MG TABLET 0.32040 2014-01-01 9999-12-31

16733 MIRTAZAPINE 30 MG TABLET 0.42276 2013-11-01 9999-12-31

16734 MIRTAZAPINE 45 MG TABLET 0.57375 2014-04-01 9999-12-31

16754 VITAMIN A & D OINTMENT 0.02787 2012-12-01 9999-12-31

16763 FENTANYL 0.05 MG/ML SYRINGE 1.03200 2013-09-01 9999-12-31

16779 LEVETIRACETAM 500 MG/5 ML S 1.38000 2011-01-01 9999-12-31

16801 SALSALATE 500 MG TABLET 1.82400 2014-02-01 9999-12-31

16802 SALSALATE 750 MG TABLET 2.49600 2014-02-01 9999-12-31

16811 VENLAFAXINE HCL 25 MG TABLE 0.93264 2013-05-01 9999-12-31

16812 VENLAFAXINE HCL 37.5 MG TAB 0.48450 2014-05-01 9999-12-31

16813 VENLAFAXINE HCL 50 MG TABLE 0.40800 2013-07-01 9999-12-31

16814 VENLAFAXINE HCL 75 MG TABLE 0.54000 2014-01-01 9999-12-31

16815 VENLAFAXINE HCL 100 MG TABL 2.22268 2014-03-01 9999-12-31

16816 VENLAFAXINE HCL ER 37.5 MG 0.61249 2013-03-01 9999-12-31

16817 EFFEXOR XR 75 MG CAPSULE 0.54892 2014-03-01 9999-12-31

16818 EFFEXOR XR 150 MG CAPSULE 0.59799 2014-03-01 9999-12-31

16851 DIFLUNISAL 500 MG TABLET 1.98360 2014-05-01 9999-12-31

16892 PAIN RELIEVER 500 MG GELCAP 0.06710 2014-05-01 9999-12-31

16903 ACEPHEN 120 MG SUPPOSITORY 0.58399 2013-07-01 9999-12-31

16905 FEVERALL 325 MG SUPPOSITORY 0.62899 2013-08-01 9999-12-31

16907 FEVERALL 650 MG SUPPOSITORY 0.67800 2011-11-01 9999-12-31

16910 SM ARTHRITIS PAIN ER 650 MG 0.07680 2014-05-01 9999-12-31

16913 CHILD PAIN & FEVER 160 MG/5 0.01323 2011-07-01 9999-12-31

16930 ACETAMINOPHEN 500 MG/5 ML L 0.02485 2011-01-01 9999-12-31

16932 PV CHILDREN'S NON-ASA LIQ 0.00798 2014-02-01 9999-12-31

16933 TYLENOL SORE THROAT 500 MG/ 0.01794 2012-08-01 9999-12-31

16942 INFANTS PAIN RELIEF W-O ASA 0.09879 2014-02-01 9999-12-31

16964 PAIN RELIEVER 325 MG TABLET 0.00633 2011-01-01 9999-12-31

16965 NON-ASPIRIN 500 MG GELCAP 0.01056 2014-05-01 9999-12-31

16971 NON-ASPIRIN 80 MG TAB CHEW 0.06639 2011-10-01 9999-12-31

16993 BIOTIN 5 MG CAPSULE 0.04581 2014-01-01 9999-12-31

17035 DAKIN'S 0.25% SOLUTION 0.02282 2013-11-01 9999-12-31

17070 NALTREXONE 50 MG TABLET 2.40000 2014-02-01 9999-12-31

17077 PAROXETINE CR 25 MG TABLET 3.62719 2013-09-01 9999-12-31

17078 PAXIL CR 12.5 MG TABLET 3.47599 2013-05-01 9999-12-31

17079 PAROXETINE ER 37.5 MG TABLE 3.73200 2011-10-01 9999-12-31

Page 16: gcn drug name price begin date end date 00031 fluvastatin sodium

17123 METHYLPHENIDATE ER 27 MG TA 7.97235 2013-04-01 9999-12-31

17142 NALOXONE 2 MG/2 ML SYRINGE 10.17000 2013-07-01 9999-12-31

17150 NALOXONE 0.4 MG/ML VIAL 26.38800 2014-02-01 9999-12-31

17200 PHENYTOIN 50MG/ML VIAL 0.43200 2011-09-01 9999-12-31

17241 PHENYTOIN 125 MG/5 ML SUSP 0.15208 2013-01-01 9999-12-31

17245 DIOVAN HCT 160-25 MG TABLET 4.65799 2013-05-01 9999-12-31

17250 PHENYTOIN 50 MG INFATAB 0.60000 2013-05-01 9999-12-31

17270 VALPROIC ACID 250MG CAPSULE 0.52500 2011-08-01 9999-12-31

17280 DEPAKENE 250 MG/5 ML SOLUTI 0.03963 2011-01-01 9999-12-31

17290 DIVALPROEX SOD DR 250 MG TA 0.42290 2013-08-01 9999-12-31

17291 DEPAKOTE DR 500 MG TABLET 0.77988 2012-07-01 9999-12-31

17292 DIVALPROEX SOD DR 125 MG TA 0.26910 2013-12-01 9999-12-31

17321 PRIMIDONE 250 MG TABLET 0.54270 2013-09-01 9999-12-31

17322 PRIMIDONE 50 MG TABLET 0.43008 2014-03-01 9999-12-31

17400 DEPAKOTE 125 MG SPRINKLE CA 0.82095 2011-10-01 9999-12-31

17420 ETHOSUXIMIDE 250 MG CAPSULE 2.67690 2014-05-01 9999-12-31

17423 XANAX XR 0.5 MG TABLET 0.86340 2012-07-01 9999-12-31

17424 XANAX XR 1 MG TABLET 1.15380 2012-05-01 9999-12-31

17425 ALPRAZOLAM ER 2 MG TABLET 1.73449 2014-05-01 9999-12-31

17430 ETHOSUXIMIDE 250 MG/5 ML SO 0.39548 2012-11-01 9999-12-31

17443 RETIN-A MICRO 0.04% GEL 12.04639 2014-01-01 9999-12-31

17450 CARBAMAZEPINE 200 MG TABLET 0.08812 2013-12-01 9999-12-31

17459 DEXTROAMP-AMPHET ER 5 MG CA 7.35780 2014-04-01 9999-12-31

17460 CARBAMAZEPINE 100 MG TAB CH 0.12859 2014-05-01 9999-12-31

17468 DEXTROAMP-AMPHET ER 15 MG C 7.35780 2011-01-01 9999-12-31

17469 DEXTROAMP-AMPHET ER 25 MG C 7.35780 2013-10-01 9999-12-31

17470 KLONOPIN 0.5 MG TABLET 0.04500 2014-01-01 9999-12-31

17471 CLONAZEPAM 1 MG TABLET 0.06300 2014-04-01 9999-12-31

17472 KLONOPIN 2 MG TABLET 0.09300 2011-01-01 9999-12-31

17498 VORICONAZOLE 200 MG TABLET 51.39249 2013-01-01 9999-12-31

17520 AMANTADINE 100MG CAPSULE 2.42280 2012-12-01 9999-12-31

17521 AMANTADINE 100 MG TABLET 1.91784 2013-10-01 9999-12-31

17530 AMANTADINE 50 MG/5 ML SYRUP 0.04552 2014-01-01 9999-12-31

17550 TRIHEXYPHENIDYL 2 MG/5 ML E 0.04338 2011-01-01 9999-12-31

17561 TRIHEXYPHENIDYL 2 MG TABLET 0.18048 2014-01-01 9999-12-31

17563 TRIHEXYPHENIDYL 5 MG TABLET 0.45525 2014-02-01 9999-12-31

17566 MIDODRINE HCL 10 MG TABLET 2.50704 2014-05-01 9999-12-31

17573 BUPROPION HCL SR 200 MG TAB 1.63860 2013-03-01 9999-12-31

17604 AMLODIPINE-BENAZEPRIL 10-20 1.09920 2014-01-01 9999-12-31

17610 BENZTROPINE 2 MG/2 ML AMPUL 36.00000 2012-06-01 9999-12-31

17620 BENZTROPINE MES 0.5 MG TAB 0.19500 2013-12-01 9999-12-31

17621 BENZTROPINE MES 1 MG TABLET 0.21675 2013-10-01 9999-12-31

17622 BENZTROPINE MES 2 MG TABLET 0.22140 2014-02-01 9999-12-31

17625 SM EYE DROPS ADVANCED RELIE 0.12159 2011-02-01 9999-12-31

17653 ORPHENADRINE 60 MG/2 ML VIA 9.51600 2014-05-01 9999-12-31

17670 ORPHENADRINE ER 100 MG TABL 1.40325 2011-06-01 9999-12-31

17700 DILANTIN 100 MG CAPSULE 0.27324 2013-08-01 9999-12-31

17730 URSODIOL 500 MG TABLET 0.05904 2011-01-01 9999-12-31

17734 METOPROLOL TARTRATE 25 MG T 0.03978 2013-01-01 9999-12-31

17748 TUSSIN COUGH LIQUID 0.05685 2014-02-01 9999-12-31

17778 USTELL CAPSULE 3.71988 2012-07-01 9999-12-31

17802 COUGH DM ER 30 MG/5 ML SUSP 0.08251 2013-10-01 9999-12-31

17851 LEXAPRO 10 MG TABLET 0.22200 2014-05-01 9999-12-31

17892 METHOCARBAMOL 500 MG TABLET 0.10854 2013-11-01 9999-12-31

17893 METHOCARBAMOL 750 MG TABLET 0.14685 2012-12-01 9999-12-31

17901 CHLORZOXAZONE 500 MG TABLET 0.08095 2011-01-01 9999-12-31

17912 SOMA 350 MG TABLET 0.10519 2014-05-01 9999-12-31

17940 DANTROLENE SODIUM 100 MG CA 1.81068 2011-01-01 9999-12-31

Page 17: gcn drug name price begin date end date 00031 fluvastatin sodium

17941 DANTROLENE SODIUM 25 MG CAP 0.97164 2011-01-01 9999-12-31

17942 DANTROLENE SODIUM 50 MG CAP 1.57032 2012-11-01 9999-12-31

17957 PULMICORT 0.25 MG/2 ML RESP 4.51879 2013-03-01 9999-12-31

17958 PULMICORT 0.5 MG/2 ML RESPU 5.31799 2013-03-01 9999-12-31

17987 ESCITALOPRAM 20 MG TABLET 0.23400 2014-04-01 9999-12-31

18010 BACLOFEN 10 MG TABLET 0.35910 2014-05-01 9999-12-31

18011 BACLOFEN 20 MG TABLET 0.30696 2014-05-01 9999-12-31

18020 CYCLOBENZAPRINE 10 MG TABLE 0.06684 2014-05-01 9999-12-31

18040 DIVALPROEX SOD ER 500 MG TA 3.91184 2014-05-01 9999-12-31

18126 ORTHO TRI-CYCLEN LO TABLET 4.32822 2013-11-01 9999-12-31

18141 CLOZAPINE 25 MG TABLET 1.06788 2012-09-01 9999-12-31

18142 CLOZAPINE 100 MG TABLET 3.35967 2014-05-01 9999-12-31

18143 CLOZAPINE 50 MG TABLET 1.38540 2008-12-19 9999-12-31

18167 CAMRESE LO TABLET 3.54130 2012-12-01 9999-12-31

18265 OXANDROLONE 10 MG TABLET 13.08480 2008-12-19 9999-12-31

18276 OYSTER SHELL CALCIUM-VIT D 0.03157 2014-01-01 9999-12-31

18301 MECLIZINE 12.5 MG TABLET 0.31260 2013-12-01 9999-12-31

18302 MECLIZINE 25 MG TABLET 0.47382 2013-09-01 9999-12-31

18312 MECLIZINE 25 MG TABLET CHEW 0.03283 2012-12-01 9999-12-31

18314 BPM-PHENYLEPH-DM LIQUID 0.17583 2011-05-01 9999-12-31

18351 BETHANECHOL 10 MG TABLET 0.50796 2013-05-01 9999-12-31

18352 BETHANECHOL 25 MG TABLET 0.73092 2011-09-01 9999-12-31

18353 BETHANECHOL 5 MG TABLET 0.25404 2012-08-01 9999-12-31

18354 BETHANECHOL 50 MG TABLET 0.89330 2008-12-19 9999-12-31

18362 MAGNESIUM 300 MG CAPSULE 0.04771 2014-05-01 9999-12-31

18366 GLIPIZIDE-METFORMIN 2.5-250 0.71970 2008-12-19 9999-12-31

18367 GLIPIZIDE-METFORMIN 2.5-500 0.89004 2013-02-01 9999-12-31

18368 GLIPIZIDE-METFORMIN 5-500 M 0.89004 2012-01-01 9999-12-31

18447 OPCON-A EYE DROPS 0.57535 2011-06-01 9999-12-31

18449 ARTIFICIAL TEARS DROPS 0.57535 2014-05-01 9999-12-31

18450 ETHYL ALCOHOL 200 PROOF 0.28644 2011-01-01 9999-12-31

18455 CVS REDNESS RELIEF DROPS 0.11199 2011-05-01 9999-12-31

18530 MESTINON 60 MG TABLET 0.46656 2012-11-01 9999-12-31

18661 ATROPINE 0.1 MG/ML SYRINGE 1.03920 2013-09-01 9999-12-31

18672 ATROPINE 0.4 MG/ML VIAL 2.10000 2011-09-01 9999-12-31

18690 ZAFIRLUKAST 20 MG TABLET 2.16199 2014-03-01 9999-12-31

18754 DEPAKOTE ER 250 MG TABLET 2.94570 2014-05-01 9999-12-31

18760 ACETAMINOPHEN POWDER 0.57600 2012-04-01 9999-12-31

18772 NICOTINE TRANSDERMAL SYSTEM 1.82763 2013-05-01 9999-12-31

18803 MONTELUKAST SOD 4 MG GRANUL 6.78150 2014-04-01 9999-12-31

18821 SCOPOLAMINE 0.4 MG/ML VIAL 9.54000 2014-03-01 9999-12-31

18898 CIPROFLOXACIN ER 500 MG TAB 9.40680 2012-05-01 9999-12-31

18906 MUCUS RELIEF 400 MG TABLET 0.35167 2014-05-01 9999-12-31

18931 HYOSYNE 125 MCG/5 ML ELIXIR 0.07455 2014-02-01 9999-12-31

18936 METHOTREXATE 50 MG/2 ML VIA 2.40000 2014-05-01 9999-12-31

18940 HYOSCYAMINE 0.125 MG/ML DRO 1.55919 2013-10-01 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 0.92235 2013-10-01 9999-12-31

18969 COPEGUS 200 MG TABLET 3.42097 2014-03-01 9999-12-31

18970 HYOSCYAMINE 0.125 MG TAB SL 0.95205 2013-01-01 9999-12-31

18973 BUPRENORPHN-NALOXN 2-0.5 MG 5.58840 2013-04-01 9999-12-31

18974 SUBOXONE 8MG TABLET 12.50550 2013-04-01 9999-12-31

18975 LEXAPRO 5 MG TABLET 0.31035 2014-01-01 9999-12-31

18990 LABETALOL HCL 100 MG/20 ML 0.30000 2013-01-01 9999-12-31

18992 PREVACID 15 MG SOLUTAB 5.66652 2012-03-01 9999-12-31

18993 PREVACID 30 MG SOLUTAB 5.66652 2012-11-01 9999-12-31

19040 PROPANTHELINE 15 MG TABLET 0.52644 2013-03-01 9999-12-31

19079 REMEDY SKIN REPAIR CREAM 0.05734 2014-02-01 9999-12-31

Page 18: gcn drug name price begin date end date 00031 fluvastatin sodium

19121 ROBINUL 0.2 MG/ML VIAL 1.90848 2013-07-01 9999-12-31

19130 GLYCOPYRROLATE 1 MG TABLET 1.32735 2012-09-01 9999-12-31

19131 ROBINUL FORTE 2 MG TABLET 2.11161 2013-01-01 9999-12-31

19142 CENTRUM SILVER ULTRA WOMEN 0.09590 2014-01-01 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 4.48080 2014-01-01 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 8.55600 2014-04-01 9999-12-31

19201 FENTANYL 50 MCG/HR PATCH 18.99900 2013-10-01 9999-12-31

19202 FENTANYL 75 MCG/HR PATCH 38.60400 2014-01-01 9999-12-31

19203 FENTANYL 100 MCG/HR PATCH 33.06960 2014-05-01 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 CVS FIBER THERAPY CAPSULE 0.06924 2014-03-01 9999-12-31

19246 HM ARTIFICIAL TEARS EYE DRO 0.10719 2014-03-01 9999-12-31

19258 REGENECARE 2% WOUND GEL 0.18352 2011-08-01 9999-12-31

19261 DICYCLOMINE 10 MG CAPSULE 0.06948 2014-04-01 9999-12-31

19331 DICYCLOMINE 20 MG TABLET 0.08868 2013-04-01 9999-12-31

19347 ED-A-HIST DM LIQUID 0.04819 2013-02-01 9999-12-31

19360 FLAVOXATE HCL 100 MG TABLET 1.08000 2013-02-01 9999-12-31

19370 OXYBUTYNIN 5 MG/5 ML SYRUP 0.07904 2013-05-01 9999-12-31

19380 OXYBUTYNIN 5 MG TABLET 0.65610 2013-08-01 9999-12-31

19388 OXYBUTYNIN CL ER 5 MG TABLE 3.68730 2014-03-01 9999-12-31

19389 OXYBUTYNIN CL ER 10 MG TABL 3.69120 2013-09-01 9999-12-31

19402 EPINEPHRINE 1 MG/ML AMPUL 2.52000 2013-02-01 9999-12-31

19411 EPINEPHRINE 0.1 MG/ML SYRIN 1.21920 2014-04-01 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 2014-05-01 9999-12-31

19469 CLONAZEPAM 0.5 MG DIS TABLE 1.10659 2011-10-01 9999-12-31

19470 CLONAZEPAM 1 MG DIS TABLET 1.28040 2014-04-01 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 3.93319 2013-04-01 9999-12-31

19549 MINOCYCLINE HCL 75 MG TABLE 2.86056 2011-06-01 9999-12-31

19551 RANITIDINE 150 MG CAPSULE 1.21344 2013-11-01 9999-12-31

19552 RANITIDINE 300 MG CAPSULE 1.75068 2014-04-01 9999-12-31

19578 METFORMIN HCL ER 750 MG TAB 0.27780 2013-12-01 9999-12-31

19591 MAXALT 5 MG TABLET 6.28099 2014-02-01 9999-12-31

19592 MAXALT 10 MG TABLET 3.76299 2014-01-01 9999-12-31

19593 RIZATRIPTAN 5 MG ODT 29.55866 2013-12-01 9999-12-31

19594 MAXALT MLT 10 MG TABLET 29.55866 2014-05-01 9999-12-31

19601 LORAZEPAM INTENSOL 2 MG/ML 1.42399 2014-03-01 9999-12-31

19646 MYFORTIC 180 MG TABLET 4.38600 2014-03-01 9999-12-31

19670 VECURONIUM 10 MG VIAL 7.20000 2011-01-01 9999-12-31

19681 XANAX XR 3 MG TABLET 2.22300 2013-09-01 9999-12-31

19719 SM LUBRICANT EYE DROPS 0.31934 2014-05-01 9999-12-31

19750 MARCAINE-EPI 0.25%-0.0005 V 0.09600 2011-05-01 9999-12-31

19757 BUPIVACAINE 0.25% VIAL 0.19320 2013-02-01 9999-12-31

19758 SENSORCAINE-MPF 0.5% VIAL 0.22200 2013-08-01 9999-12-31

19759 BUPIVACAINE 0.75% VIAL 0.18000 2011-11-01 9999-12-31

19828 ASTRAMORPH-PF 1 MG/ML AMPUL 5.44200 2011-03-01 9999-12-31

19850 D-AMPHETAMINE ER 10 MG CAPS 6.86959 2013-06-01 9999-12-31

Page 19: gcn drug name price begin date end date 00031 fluvastatin sodium

19851 D-AMPHETAMINE ER 15 MG CAPS 5.57388 2011-09-01 9999-12-31

19852 DEXEDRINE SPANSULE 5 MG 3.49944 2014-03-01 9999-12-31

19854 POTASSIUM CL 20 MEQ-0.45% N 0.00315 2013-05-01 9999-12-31

19862 EPIPEN 2-PAK 0.3 MG AUTO-IN 162.28200 2014-02-01 9999-12-31

19871 PRAMIPEXOLE 1 MG TABLET 0.17666 2012-09-01 9999-12-31

19873 PRAMIPEXOLE 0.125 MG TABLET 0.22665 2014-04-01 9999-12-31

19874 PRAMIPEXOLE 0.25 MG TABLET 0.17666 2014-02-01 9999-12-31

19875 PRAMIPEXOLE 0.5 MG TABLET 0.22665 2013-12-01 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 2013-10-01 9999-12-31

20041 ONDANSETRON HCL 4 MG TABLET 0.66499 2013-12-01 9999-12-31

20042 ONDANSETRON HCL 8 MG TABLET 0.79800 2013-07-01 9999-12-31

20045 ONDANSETRON ODT 4 MG TABLET 0.91749 2013-07-01 9999-12-31

20046 ONDANSETRON ODT 8 MG TABLET 1.38159 2013-07-01 9999-12-31

20069 ESTRADIOL TDS 0.0375 MG/DAY 19.89300 2014-01-01 9999-12-31

20071 TERBUTALINE SULFATE 5 MG TA 0.56532 2014-01-01 9999-12-31

20072 TERBUTALINE SULFATE 2.5 MG 0.38988 2011-07-01 9999-12-31

20091 OXYCODONE HCL 15 MG TABLET 0.56880 2014-04-01 9999-12-31

20092 OXYCODONE HCL 30 MG TABLET 1.07700 2014-04-01 9999-12-31

20100 ALBUTEROL SULFATE 2 MG TAB 7.05000 2013-11-01 9999-12-31

20101 ALBUTEROL SULFATE 4 MG TAB 7.05000 2014-01-01 9999-12-31

20104 CVS CHILDREN'S VIT D 400 UN 0.09072 2013-07-01 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 2014-04-01 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 BUPROPION HCL XL 300 MG TAB 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 0.15220 2014-05-01 9999-12-31

20383 CLARAVIS 30 MG CAPSULE 14.21400 2012-12-01 9999-12-31

20384 METADATE CD 10 MG CAPSULE 6.72255 2013-07-01 9999-12-31

20385 METHYLPHENIDATE CD 20 MG CA 6.72255 2013-01-01 9999-12-31

20386 METHYLPHENIDATE CD 30 MG CA 6.72255 2013-10-01 9999-12-31

20387 RITALIN LA 20 MG CAPSULE 5.44728 2013-10-01 9999-12-31

20388 RITALIN LA 30 MG CAPSULE 5.57124 2013-10-01 9999-12-31

20391 RITALIN LA 40 MG CAPSULE 5.72604 2013-11-01 9999-12-31

20414 INTROVALE 0.15-0.03 MG TABL 1.90680 2013-02-01 9999-12-31

20462 SM ADULT NASAL DECONGESTANT 0.00981 2012-04-01 9999-12-31

20472 PSEUDOEPHED 30MG/5ML SYRUP 0.01321 2012-12-01 9999-12-31

20481 PSEUDOEPHEDRINE 30 MG TABLE 0.09799 2011-10-01 9999-12-31

20482 PSEUDOEPHEDRINE 60 MG TABLE 0.03660 2013-11-01 9999-12-31

20505 RA COUGH DROPS 0.08409 2011-01-01 9999-12-31

20510 METOCLOPRAMIDE 5 MG/ML VIAL 0.66600 2014-04-01 9999-12-31

20623 MELATONIN 1 MG LIQUID 0.07999 2013-08-01 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

20633 PROPRANOLOL 60MG TABLET 1.27920 2013-04-01 9999-12-31

20634 PROPRANOLOL 80 MG TABLET 0.10200 2013-09-01 9999-12-31

20641 METOPROLOL TARTRATE 100 MG 0.05904 2014-02-01 9999-12-31

20642 METOPROLOL TARTRATE 50 MG T 0.03182 2014-02-01 9999-12-31

20652 NADOLOL 40 MG TABLET 4.76280 2014-04-01 9999-12-31

20653 NADOLOL 80 MG TABLET 2.77320 2013-02-01 9999-12-31

20654 NADOLOL 20 MG TABLET 4.07340 2014-02-01 9999-12-31

20660 ATENOLOL 100 MG TABLET 0.07320 2014-05-01 9999-12-31

20661 ATENOLOL 50 MG TABLET 0.03795 2014-02-01 9999-12-31

Page 20: gcn drug name price begin date end date 00031 fluvastatin sodium

20662 ATENOLOL 25 MG TABLET 0.03602 2011-07-01 9999-12-31

20680 PINDOLOL 10 MG TABLET 0.15690 2008-09-19 9999-12-31

20681 PINDOLOL 5 MG TABLET 0.85416 2011-12-01 9999-12-31

20692 PHENTERMINE 30 MG CAPSULE 0.59100 2011-01-01 9999-12-31

20713 PHENTERMINE 37.5 MG TABLET 1.48080 2011-01-01 9999-12-31

20741 METOPROLOL SUCC ER 50 MG TA 1.06789 2014-04-01 9999-12-31

20742 TOPROL XL 100 MG TABLET 1.60483 2012-07-01 9999-12-31

20743 METOPROLOL SUCC ER 200 MG T 2.68770 2013-10-01 9999-12-31

20765 LEVETIRACETAM ER 750 MG TAB 3.20520 2013-07-01 9999-12-31

20831 ZONISAMIDE 25 MG CAPSULE 0.37320 2013-05-01 9999-12-31

20833 ZONISAMIDE 50 MG CAPSULE 0.74556 2013-02-01 9999-12-31

20835 TETANUS DIPHTHERIA TOXOIDS 43.17600 2011-02-01 9999-12-31

20941 AMMONIUM LACTATE 12% LOTION 0.04680 2013-02-01 9999-12-31

20960 EPINASTINE HCL 0.05% EYE DR 20.54160 2014-05-01 9999-12-31

20996 SM IRON 160 MG TABLET SA 0.06279 2011-10-01 9999-12-31

21020 METOCLOPRAMIDE 10 MG TABLET 0.09177 2013-12-01 9999-12-31

21021 METOCLOPRAMIDE 5 MG TABLET 0.17688 2014-05-01 9999-12-31

21056 RYTHMOL SR 225 MG CAPSULE 6.07140 2013-02-01 9999-12-31

21086 DIAZEPAM POWDER 1.85280 2012-03-01 9999-12-31

21108 PV GLUCOSAMINE-CHONDROIT CP 0.20559 2012-04-01 9999-12-31

21109 ALENDRONATE SOD 70 MG/75 ML 0.30000 2014-03-01 9999-12-31

21130 DEMADEX 5 MG TABLET 0.16100 2009-03-07 9999-12-31

21131 TORSEMIDE 10 MG TABLET 0.63180 2013-12-01 9999-12-31

21132 DEMADEX 20 MG TABLET 0.73800 2013-12-01 9999-12-31

21133 DEMADEX 100 MG TABLET 2.33412 2014-03-01 9999-12-31

21146 HYDROCODON-ACETAMIN 7.5-325 0.35511 2014-01-01 9999-12-31

21194 OXYCODONE HCL 20 MG TABLET 1.24050 2014-02-01 9999-12-31

21290 QC SWEET OIL 0.04423 2014-01-01 9999-12-31

21311 BACITRACIN-POLYMYXIN OINTME 0.06802 2014-01-01 9999-12-31

21344 MEN'S DAILY FORMULA TABLET 0.02520 2013-08-01 9999-12-31

21353 SALAGEN 7.5 MG TABLET 1.55400 2013-07-01 9999-12-31

21396 CADUET 10 MG-20 MG TABLET 6.61599 2013-03-01 9999-12-31

21425 ISOMETHEPTENE MUCATE POWDER 7.42800 2012-04-01 9999-12-31

21440 LOBANA BATH OIL 0.00698 2011-05-01 9999-12-31

21472 RA CALCIUM CITRATE +VIT D3 0.04548 2014-01-01 9999-12-31

21475 CLOBETASOL 0.05% SHAMPOO 3.08725 2013-11-01 9999-12-31

21563 QH LIQUID 100 MG/ML DROPS 0.88234 2014-01-01 9999-12-31

21565 B-100 COMPLEX TR CAPLET 0.13951 2012-11-01 9999-12-31

21573 FOLIVANE-OB CAPSULE 0.85440 2012-02-01 9999-12-31

21574 TARON-C DHA CAPSULE 1.13400 2013-11-01 9999-12-31

21590 VITAMIN A & D OINTMENT 0.05078 2012-11-01 9999-12-31

21599 OCUSOFT LID SCRUB PLUS PADS 0.64599 2013-02-01 9999-12-31

21626 SM NATURAL BALANCED B-100 T 0.15340 2011-12-01 9999-12-31

21680 ALENDRONATE SODIUM 10 MG TA 0.44484 2014-04-01 9999-12-31

21681 ALENDRONATE SODIUM 40 MG TA 6.33480 2012-02-01 9999-12-31

21682 ALENDRONATE SODIUM 5 MG TAB 0.49040 2008-12-19 9999-12-31

21689 AQUAPHOR HEALING OINTMENT 0.03334 2014-03-01 9999-12-31

21721 TRILEPTAL 300 MG TABLET 0.66000 2014-05-01 9999-12-31

21722 OXCARBAZEPINE 600 MG TABLET 1.53600 2014-05-01 9999-12-31

21723 OXCARBAZEPINE 300 MG/5 ML S 0.79411 2013-11-01 9999-12-31

21724 OXCARBAZEPINE 150 MG TABLET 0.65412 2012-11-01 9999-12-31

21728 VINATE II TABLET 0.35203 2011-01-01 9999-12-31

21765 OCTREOTIDE ACET 50 MCG/ML V 6.07200 2013-06-01 9999-12-31

21767 OCTREOTIDE ACET 100 MCG/ML 11.92800 2013-06-01 9999-12-31

21769 CHILD CETIRIZINE 5 MG CHEW 1.99399 2014-04-01 9999-12-31

21771 CETIRIZINE HCL 10 MG CHEW T 5.14920 2013-02-01 9999-12-31

21790 CALAMINE LOTION 0.02140 2013-09-01 9999-12-31

21815 TERBUTALINE SULF 1 MG/ML VI 4.80000 2014-05-01 9999-12-31

Page 21: gcn drug name price begin date end date 00031 fluvastatin sodium

21817 MIRTAZAPINE 7.5 MG TABLET 1.45999 2014-05-01 9999-12-31

21831 METFORMIN HCL ER 1,000 MG T 12.55999 2012-10-01 9999-12-31

21832 METFORMIN HCL ER 500 MG TAB 5.51880 2013-12-01 9999-12-31

21850 ALOE VESTA SKIN CONDITIONER 0.01417 2011-11-01 9999-12-31

22007 EQL SLOW RELEASE IRON 160 M 0.16999 2011-01-01 9999-12-31

22080 ZINC OXIDE 20% OINTMENT 0.08422 2014-03-01 9999-12-31

22083 RA DIAPER RASH OINTMENT 0.04238 2014-05-01 9999-12-31

22089 ZINC OXIDE OINTMENT 0.08845 2011-01-01 9999-12-31

22090 ZINC OXIDE POWDER 0.16473 2013-11-01 9999-12-31

22148 FOLIVANE-PLUS CAPSULE 0.70399 2012-10-01 9999-12-31

22164 INTEGRA CAPSULE 0.42799 2012-12-01 9999-12-31

22170 SM ALLERGY 2% CREAM 0.14880 2014-02-01 9999-12-31

22177 FOLIVANE-F CAPSULE 0.59839 2013-11-01 9999-12-31

22218 THERA-M TABLET 0.03340 2011-05-01 9999-12-31

22228 OMEPRAZOLE DR 20 MG TABLET 0.74463 2011-08-01 9999-12-31

22391 ANAGRELIDE HCL 0.5 MG CAPSU 0.50928 2013-08-01 9999-12-31

22392 ANAGRELIDE HCL 1 MG CAPSULE 1.71936 2014-05-01 9999-12-31

22621 ALOE VERA 85% LOTION 0.04760 2012-07-01 9999-12-31

22654 FOLBIC TABLET 0.92505 2011-11-01 9999-12-31

22678 HYDROCODONE-IBUPROFEN 5-200 2.97708 2013-02-01 9999-12-31

22685 METHYLPHENIDATE 5 MG/5 ML S 0.90362 2013-03-01 9999-12-31

22686 METHYLPHENIDATE 10 MG/5 ML 1.28820 2011-11-01 9999-12-31

22696 RACEPINEPHRINE 2.25% SOLN 1.44000 2011-01-01 9999-12-31

22697 ALBUTEROL 2.5 MG/0.5 ML SOL 0.45600 2011-01-01 9999-12-31

22711 SAL-PLANT 17% GEL 0.98400 2011-11-01 9999-12-31

22713 KERALYT 6% GEL 0.96570 2013-11-01 9999-12-31

22740 SALICYLIC ACID POWDER 0.05119 2011-01-01 9999-12-31

22780 ALBUTEROL SULF 2 MG/5 ML SY 0.07810 2014-02-01 9999-12-31

22804 RA SCALP ITCH-DANDRUFF REL 0.06507 2011-05-01 9999-12-31

22811 WART REMOVER SOLUTION 0.57535 2014-04-01 9999-12-31

22814 SALICYLIC ACID 26% LIQUID 7.18560 2012-04-01 9999-12-31

22870 TRETINOIN 0.01% GEL 4.18479 2014-05-01 9999-12-31

22871 TRETINOIN 0.025% GEL 4.21866 2014-05-01 9999-12-31

22874 RETIN-A MICRO 0.1% GEL 12.04639 2013-08-01 9999-12-31

22880 RETIN-A 0.05% CREAM 4.69492 2014-05-01 9999-12-31

22881 TRETINOIN 0.1% CREAM 5.47119 2014-05-01 9999-12-31

22882 TRETINOIN 0.025% CREAM 1.82346 2014-05-01 9999-12-31

22929 XODOL 10-300 TABLET 2.65382 2014-05-01 9999-12-31

22930 BENZOYL PEROXIDE 10% GEL 0.22665 2013-08-01 9999-12-31

22931 BP 5% GEL 0.21626 2012-09-01 9999-12-31

22932 BENZOYL PEROXIDE 2.5% GEL 0.26899 2012-08-01 9999-12-31

22935 BPO 4% GEL 2.17185 2013-02-01 9999-12-31

22940 ACNE TREATMENT 10% CREAM 0.12615 2013-04-01 9999-12-31

22981 BENZOYL PEROX 4% CREAMY WAS 0.29114 2011-01-01 9999-12-31

22991 ACTIDOSE 50 GM LIQUID 0.09459 2011-05-01 9999-12-31

22994 ACTIDOSE-AQUA 50 GM LIQUID 0.09459 2011-01-01 9999-12-31

23034 ONE DAILY COMPLETE TABLET 0.06235 2013-09-01 9999-12-31

23043 AMMONIUM LACTATE 12% CREAM 0.09042 2013-03-01 9999-12-31

23045 LACTIC ACID 10% LOTION 0.07574 2011-01-01 9999-12-31

23079 DIALYVITE WITH ZINC TABLET 0.18060 2011-08-01 9999-12-31

23129 NIZATIDINE 15 MG/ML SOLUTIO 0.66148 2013-05-01 9999-12-31

23138 SUPPOSIBASE F POWDER 0.26959 2013-08-01 9999-12-31

23146 LEVALBUTEROL CONC 1.25 MG/0 6.43119 2012-07-01 9999-12-31

23161 DULOXETINE HCL DR 20 MG CAP 8.39799 2014-04-01 9999-12-31

23162 CYMBALTA 30 MG CAPSULE 8.72400 2014-04-01 9999-12-31

23164 DULOXETINE HCL DR 60 MG CAP 8.72400 2014-04-01 9999-12-31

23221 SENSI-CARE PROTECTIVE OINTM 0.07849 2013-05-01 9999-12-31

23248 PERIOGARD 0.12% ORAL RINSE 0.01141 2011-02-01 9999-12-31

Page 22: gcn drug name price begin date end date 00031 fluvastatin sodium

23271 SODIUM VALPROATE POWDER 7.02000 2014-02-01 9999-12-31

23281 MIACALCIN 200 UNIT NASAL SP 30.75566 2011-10-01 9999-12-31

23308 CEFDINIR 250 MG/5 ML SUSP 1.41792 2012-05-01 9999-12-31

23323 CALCIUM 600 + VIT D 400 TAB 0.03780 2014-04-01 9999-12-31

23373 CAPSAICIN 0.1% CREAM 0.29341 2013-12-01 9999-12-31

23400 LOPERAMIDE 1 MG/5 ML LIQUID 0.02287 2014-03-01 9999-12-31

23414 OMEGA-3 FISH OIL 1,000MG SF 0.06217 2013-11-01 9999-12-31

23444 AMINOCAPROIC ACID 1,000 MG 22.35180 2013-09-01 9999-12-31

23451 PODOFILOX 0.5% TOPICAL SOLN 27.28456 2012-12-01 9999-12-31

23495 ZATEAN-PN DHA CAPSULE 1.89519 2013-11-01 9999-12-31

23496 ALOE VESTA 43% PROTECTIVE O 0.05686 2014-05-01 9999-12-31

23549 PLAN B ONE-STEP 1.5 MG TABL 43.87500 2013-10-01 9999-12-31

23565 BOUDREAUXS BUTT PASTE 0.03237 2011-01-01 9999-12-31

23605 GALANTAMINE ER 8 MG CAPSULE 5.49919 2013-06-01 9999-12-31

23606 GALANTAMINE ER 16 MG CAPSUL 5.55320 2009-11-21 9999-12-31

23607 RAZADYNE ER 24 MG CAPSULE 5.49919 2012-09-01 9999-12-31

23610 FIP COND T-GEL SHAMPOO 0.03525 2012-07-01 9999-12-31

23611 CVS THERAPEUTIC SHAMPOO 0.5 0.03146 2014-03-01 9999-12-31

23615 IONIL T SHAMPOO 0.03525 2012-08-01 9999-12-31

23632 PNV-TOTAL SOFTGEL 2.22144 2011-02-01 9999-12-31

23666 CAVAN-EC SOD DHA VITAMINS 2.09899 2013-05-01 9999-12-31

23725 LEVOFLOXACIN 25 MG/ML SOLUT 1.20699 2013-12-01 9999-12-31

23742 FIRST-MOUTHWASH BLM SUSPENS 0.12708 2014-02-01 9999-12-31

23775 ARIXTRA 5 MG SYRINGE 308.66400 2013-04-01 9999-12-31

23776 ARIXTRA 7.5 MG SYRINGE 205.77600 2013-11-01 9999-12-31

23777 ARIXTRA 10 MG SYRINGE 162.96000 2013-05-01 9999-12-31

23807 CVS CHEST CONGESTION RLF DM 0.36768 2014-03-01 9999-12-31

23810 MENTHOL CRYSTALS 0.09916 2011-01-01 9999-12-31

23823 ACIDOPHILUS 16 MG CAPSULE 0.35167 2011-06-01 9999-12-31

23824 SELENIUM SULFIDE 2.25% SHAM 0.73039 2014-03-01 9999-12-31

23827 OXYCODONE-IBUPROFEN 5-400 T 1.27356 2012-05-01 9999-12-31

23841 ACETAMINOPHEN 80 MG RAPID T 0.05599 2014-04-01 9999-12-31

23842 JUNIOR PAIN RELIEVER 160 MG 0.23959 2012-03-01 9999-12-31

23848 EVOCLIN 1% FOAM 5.03376 2013-11-01 9999-12-31

23870 CLONIDINE 0.1 MG/DAY PATCH 39.74625 2014-04-01 9999-12-31

23871 CLONIDINE 0.2 MG/DAY PATCH 53.53500 2014-02-01 9999-12-31

23872 CLONIDINE 0.3 MG/DAY PATCH 74.34900 2013-01-01 9999-12-31

23925 ESZOPICLONE 3 MG TABLET 2.79888 2014-05-01 9999-12-31

23932 CARBAMAZEPINE ER 200 MG CAP 2.15400 2013-11-01 9999-12-31

23933 CARBAMAZEPINE ER 300 MG CAP 2.15400 2013-05-01 9999-12-31

23934 CARBAMAZEPINE ER 100 MG CAP 1.82299 2013-12-01 9999-12-31

23944 WAL-PHED PE 10 MG TABLET 0.19680 2014-05-01 9999-12-31

23969 LAMOTRIGINE 25 MG TB START 0.00000 2010-03-20 9999-12-31

24010 ICHTHAMMOL POWDER 0.61800 2014-04-01 9999-12-31

24036 TEMAZEPAM 22.5 MG CAPSULE 8.34999 2014-02-01 9999-12-31

24090 MOBISYL 10% CREAM 0.06462 2012-12-01 9999-12-31

24118 ACIDOPHILUS CAPLET 0.03360 2011-01-01 9999-12-31

24119 ACIDOPHILUS X-STR CAPTAB 0.03744 2013-08-01 9999-12-31

24121 ACIDOPHILUS TABLET 0.35167 2014-01-01 9999-12-31

24168 CALCIUM-MAGNESIUM-ZINC CPLT 0.02460 2014-02-01 9999-12-31

24226 NATURAL LUTEIN 20 MG SOFTGE 0.18000 2013-02-01 9999-12-31

24314 CENTRUM SILVER TABLET 0.07084 2014-01-01 9999-12-31

24317 BESIVANCE 0.6% SUSP 17.16720 2011-01-01 9999-12-31

24341 SELENIUM SULF 2.5% SHAMPOO 0.12375 2013-12-01 9999-12-31

24369 ALPRAZOLAM 0.5 MG ODT 1.61328 2013-08-01 9999-12-31

24374 ALPRAZOLAM ODT 2 MG TAB 3.65976 2013-10-01 9999-12-31

24394 WAL-FEX D 24 HOUR 180-240 T 1.27934 2013-12-01 9999-12-31

24410 ARIMIDEX 1 MG TABLET 0.40399 2014-04-01 9999-12-31

Page 23: gcn drug name price begin date end date 00031 fluvastatin sodium

24433 TIZANIDINE HCL 2 MG CAPSULE 2.60304 2012-08-01 9999-12-31

24434 ZANAFLEX 4 MG CAPSULE 4.12419 2014-05-01 9999-12-31

24435 ZANAFLEX 6 MG CAPSULE 4.94871 2013-10-01 9999-12-31

24444 BONIVA 150 MG TABLET 133.17999 2014-02-01 9999-12-31

24448 RISPERIDONE 0.25 MG ODT 3.82320 2013-04-01 9999-12-31

24468 METHYLCELLULOSE 1% GEL 0.02739 2012-03-01 9999-12-31

24484 DERMA-SMOOTHE-FS SCALP OIL 0.30556 2012-03-01 9999-12-31

24501 VITAMIN D 5,000 UNIT TABLET 0.03432 2013-02-01 9999-12-31

24540 LEVALBUTEROL 0.63 MG/3 ML S 2.14633 2013-12-01 9999-12-31

24541 XOPENEX 1.25 MG/3 ML SOLUTI 2.68291 2014-03-01 9999-12-31

24583 MAGNESIUM CHELATED 27 MG TA 0.02568 2011-01-01 9999-12-31

24615 ISTALOL 0.5% EYE DROPS 1.50240 2005-03-18 9999-12-31

24635 FENTANYL 12 MCG/HR PATCH 24.36300 2014-05-01 9999-12-31

24671 PILOCARPINE HCL 5 MG TABLET 1.43820 2014-05-01 9999-12-31

24673 PANOXYL 10% ACNE FOAMING WA 0.06283 2014-04-01 9999-12-31

24675 VSL#3 PACKET 2.59560 2013-05-01 9999-12-31

24697 LAMICTAL XR 50 MG TABLET 12.57000 2013-11-01 9999-12-31

24703 LAMOTRIGINE ER 100 MG TABLE 13.46479 2013-05-01 9999-12-31

24708 IMITREX 6 MG/0.5 ML CARTRID 183.72000 2013-05-01 9999-12-31

24718 OS-CAL 500+D3 CAPLET 0.01798 2011-02-01 9999-12-31

24739 LAMICTAL XR 200 MG TABLET 14.35839 2013-09-01 9999-12-31

24758 SILDENAFIL 20 MG TABLET 1.51666 2013-05-01 9999-12-31

24772 UREACIN-20 CREAM 0.14116 2011-01-01 9999-12-31

24774 UREA 40% CREAM 0.11178 2013-11-01 9999-12-31

24847 OB COMPLETE CAPLET 1.44172 2011-01-01 9999-12-31

24858 ALBUTEROL SULFATE ER 4 MG T 1.71228 2014-05-01 9999-12-31

24859 ALBUTEROL SULFATE ER 8 MG T 2.19540 2011-06-01 9999-12-31

24871 SM SINUS WASH NETI POT KIT 0.47700 2011-11-01 9999-12-31

24873 LIDOCAINE-HC 3-1% CREAM KIT 181.38000 2013-08-01 9999-12-31

24883 LUSTRA 4% CREAM 0.39200 2008-12-19 9999-12-31

24926 METROGEL TOPICAL 1% GEL 4.43619 2013-09-01 9999-12-31

24946 CIPROFLOXACIN 0.2% OTIC SOL 7.21200 2013-02-01 9999-12-31

24953 DIMETHYL SULFOXIDE LIQUID 0.16068 2014-04-01 9999-12-31

24967 COMPLETE NATAL DHA 0.41859 2013-02-01 9999-12-31

25024 RISPERIDONE 3 MG ODT 11.28985 2011-01-01 9999-12-31

25025 RISPERIDONE 4 MG ODT 15.15900 2014-01-01 9999-12-31

25057 CEFTRIAXONE 1 GM PIGGYBACK 0.34056 2012-09-01 9999-12-31

25058 CEFTRIAXONE 2 GM PIGGYBACK 0.80664 2013-01-01 9999-12-31

25065 LOPERAMIDE 1 MG/7.5 ML SUSP 0.04137 2014-01-01 9999-12-31

25092 QUININE SULFATE 324 MG CAPS 6.78159 2014-05-01 9999-12-31

25203 CALCIUM CARBONATE 648 MG TA 0.00910 2014-01-01 9999-12-31

25284 DOXYCYCLINE HYC DR 100 MG T 12.62244 2012-07-01 9999-12-31

25287 ESSENTIAL WOMAN 50+ TABLET 0.03876 2011-06-01 9999-12-31

25289 COMPLEX B-50 TABLET 0.07200 2011-01-01 9999-12-31

25331 ZINC SULFATE HEPTAHYDRATE P 0.84000 2014-04-01 9999-12-31

25440 COLESTID GRANULES PACKET 2.40360 2011-03-01 9999-12-31

25442 COLESTID 1 GM TABLET 0.56940 2014-03-01 9999-12-31

25445 ACTOPLUS MET 15 MG-850 MG T 3.83679 2013-04-01 9999-12-31

25456 AMBIEN CR 6.25 MG TABLET 6.88155 2013-03-01 9999-12-31

25457 AMBIEN CR 12.5 MG TABLET 7.03650 2012-02-01 9999-12-31

25464 TRI-VITAMIN DROPS 0.12192 2011-01-01 9999-12-31

25468 MAPAP SINUS CAPLET 0.07680 2013-04-01 9999-12-31

25473 GLUCAGEN 1 MG HYPOKIT 99.16800 2012-06-01 9999-12-31

25474 GLUCAGON 1 MG EMERGENCY KIT 99.16800 2012-06-01 9999-12-31

25486 AK-POLY-BAC EYE OINTMENT 7.85828 2011-01-01 9999-12-31

25515 PV ANTACID & PAIN RLF EFF T 0.00000 2009-05-16 9999-12-31

25519 CEFAZOLIN 1 GM ADD-VAN VIAL 2.64000 2013-02-01 9999-12-31

25526 CLEOCIN PHOS 150 MG/ML VIAL 0.85800 2013-02-01 9999-12-31

Page 24: gcn drug name price begin date end date 00031 fluvastatin sodium

25540 GEMFIBROZIL 600 MG TABLET 0.17328 2013-07-01 9999-12-31

25545 VANCOMYCIN 1 GM ADD-VAN VIA 6.28800 2013-02-01 9999-12-31

25548 VANCOMYCIN 500 MG A-V VIAL 4.03200 2013-09-01 9999-12-31

25573 SM CALCIUM SOFT TAB CHEW 0.07567 2012-03-01 9999-12-31

25580 AMINOCAPROIC ACID 25% SOLUT 2.92725 2013-11-01 9999-12-31

25590 AMINOCAPROIC ACID 500 MG TA 5.25816 2013-09-01 9999-12-31

25593 COMPLETENATE TABLET CHEW 0.66306 2012-02-01 9999-12-31

25598 DIAZEPAM 10 MG RECTAL GEL S 320.67600 2011-01-01 9999-12-31

25599 DIAZEPAM 20 MG RECTAL GEL S 320.67600 2011-01-01 9999-12-31

25603 CERTA PLUS TABLET 0.03187 2011-06-01 9999-12-31

25604 SELECT-OB CAPLET 0.95145 2011-07-01 9999-12-31

25691 HEPARIN SOD 5,000 UNIT/ML V 1.70400 2014-04-01 9999-12-31

25692 HEPARIN SODIUM 100U/ML VIAL 0.08640 2011-08-01 9999-12-31

25697 HEPARIN SOD 10,000 UNIT/ML 8.40000 2014-05-01 9999-12-31

25698 HEPARIN SODIUM 10U/ML VIAL 1.93200 2011-06-01 9999-12-31

25730 CARDEC DM DROPS 1.62600 2012-01-01 9999-12-31

25731 CARDEC DROPS 0.57199 2012-02-01 9999-12-31

25734 CALCIUM 500+D TABLET CHEW 0.04899 2012-12-01 9999-12-31

25751 DOXYCYCLINE MONO 150 MG TAB 8.76399 2012-12-01 9999-12-31

25752 ALOE VERA-LIDOCAINE GEL 0.03393 2014-01-01 9999-12-31

25774 AMPICILLIN 1 GM A-V VIAL 17.19600 2012-07-01 9999-12-31

25775 AMPICILLIN 2 GM A-V VIAL 33.35880 2012-07-01 9999-12-31

25776 NAFCILLIN 1 GM ADD-VAN VIAL 16.82040 2011-06-01 9999-12-31

25782 CEFTRIAXONE 1 GM VIAL 5.01600 2013-02-01 9999-12-31

25783 CEFTRIAXONE 2 GM ADD VIAL 9.45600 2013-02-01 9999-12-31

25790 WARFARIN SODIUM 10 MG TABLE 0.36795 2013-04-01 9999-12-31

25791 WARFARIN SODIUM 2 MG TABLET 0.19825 2014-03-01 9999-12-31

25792 WARFARIN SODIUM 1 MG TABLET 0.22020 2014-04-01 9999-12-31

25793 WARFARIN SODIUM 5 MG TABLET 0.20722 2012-08-01 9999-12-31

25794 WARFARIN SODIUM 2.5 MG TABL 0.20445 2014-03-01 9999-12-31

25795 WARFARIN SODIUM 7.5 MG TABL 0.35355 2013-04-01 9999-12-31

25796 WARFARIN SODIUM 3 MG TABLET 0.19056 2014-05-01 9999-12-31

25797 WARFARIN SODIUM 4 MG TABLET 0.20593 2014-04-01 9999-12-31

25798 COUMADIN 6 MG TABLET 0.34095 2013-10-01 9999-12-31

25805 PIPERACIL-TAZO 2.25 GM ADD 5.67600 2014-04-01 9999-12-31

25806 PIPERACIL-TAZOBACT 3.375 GM 7.86000 2014-04-01 9999-12-31

25817 PIPERACIL-TAZOBACT 4.5 GM V 26.10120 2011-05-01 9999-12-31

25839 SODIUM CHLORIDE 0.9% SOLN 0.01180 2013-09-01 9999-12-31

25851 LOSARTAN-HCTZ 100-12.5 MG T 0.17719 2014-03-01 9999-12-31

25865 TRILYTE WITH FLAVOR PACKETS 0.00564 2014-02-01 9999-12-31

25887 CLINDAMYCIN 150 MG/ML ADDVA 2.09400 2012-06-01 9999-12-31

25888 CLEOCIN 150 MG/ML ADDVN VIA 1.08900 2013-02-01 9999-12-31

25906 TL GARD RX TABLET 0.56064 2013-10-01 9999-12-31

25947 LUSTRA-ULTRA 4% CREAM 0.53750 2005-09-16 9999-12-31

26007 DIALYVITE TABLET 0.16536 2011-08-01 9999-12-31

26031 CVS DHA PRENATAL 200 MG SFT 0.24000 2014-03-01 9999-12-31

26038 WITEPSOL H-15 PELLETS 0.03676 2013-12-01 9999-12-31

26048 PROGESTERONE MICRONIZED POW 0.34560 2012-10-01 9999-12-31

26050 CORTROSYN 0.25 MG VIAL 96.24000 2011-06-01 9999-12-31

26051 CABERGOLINE 0.5 MG TABLET 29.53950 2014-01-01 9999-12-31

26059 FISH OIL 1,000 MG SOFTGEL 0.14160 2011-10-01 9999-12-31

26070 BROMOCRIPTINE 5 MG CAPSULE 8.93799 2013-08-01 9999-12-31

26078 DALLERGY DROPS 0.77959 2014-03-01 9999-12-31

26081 PARLODEL 2.5 MG TABLET 1.96719 2014-03-01 9999-12-31

26101 MODAFINIL 100 MG TABLET 19.61599 2012-11-01 9999-12-31

26102 PROVIGIL 200 MG TABLET 37.03999 2014-01-01 9999-12-31

26170 DDAVP 0.01% SOLUTION 36.16800 2011-02-01 9999-12-31

26171 DESMOPRESSIN ACETATE 0.1 MG 3.26205 2013-04-01 9999-12-31

Page 25: gcn drug name price begin date end date 00031 fluvastatin sodium

26172 DESMOPRESSIN ACETATE 0.2 MG 4.69950 2013-04-01 9999-12-31

26173 DDAVP 0.01% NASAL SPRAY 59.08500 2014-02-01 9999-12-31

26257 TANDEM DUAL ACTION CAPSULE 0.39705 2011-01-01 9999-12-31

26300 THYMOL CRYSTALS 0.33600 2014-04-01 9999-12-31

26320 SYNTHROID 112 MCG TABLET 0.52560 2013-10-01 9999-12-31

26321 LEVOTHYROXINE 25 MCG TABLET 0.35349 2014-02-01 9999-12-31

26322 LEVOXYL 50 MCG TABLET 0.40125 2013-10-01 9999-12-31

26323 LEVOTHYROXINE 100 MCG TABLE 0.45450 2013-10-01 9999-12-31

26324 LEVO-T 0.075MG TABLET 0.44347 2013-10-01 9999-12-31

26325 LEVOTHYROXINE 200 MCG TABLE 0.65325 2013-10-01 9999-12-31

26326 LEVOXYL 125 MCG TABLET 0.53295 2013-10-01 9999-12-31

26327 LEVOTHYROXINE 150 MCG TABLE 0.54849 2014-03-01 9999-12-31

26328 SYNTHROID 175 MCG TABLET 0.65182 2013-10-01 9999-12-31

26329 LEVO-T 0.3MG TABLET 0.70296 2014-01-01 9999-12-31

26336 MAPAP INFANT 80 MG/0.8 ML D 0.15999 2014-03-01 9999-12-31

26340 LIOTHYRONINE SOD 25 MCG TAB 1.26165 2014-05-01 9999-12-31

26341 LIOTHYRONINE SOD 5 MCG TAB 0.76824 2013-08-01 9999-12-31

26387 TRAMADOL HCL ER 100 MG TABL 4.04299 2014-01-01 9999-12-31

26391 PROPYLTHIOURACIL 50 MG TABL 0.57000 2014-05-01 9999-12-31

26400 METHIMAZOLE 10 MG TABLET 0.62145 2014-05-01 9999-12-31

26401 METHIMAZOLE 5 MG TABLET 0.35985 2014-05-01 9999-12-31

26409 QUETIAPINE FUMARATE 50 MG T 0.50640 2014-01-01 9999-12-31

26411 QUETIAPINE FUMARATE 400 MG 1.51356 2014-01-01 9999-12-31

26416 D-VITA 400 UNIT/ML DROP 0.11952 2014-01-01 9999-12-31

26421 ETIDRONATE DISODIUM 400 MG 7.03020 2011-05-01 9999-12-31

26426 HEPARIN 100 UNIT/10 ML (10/ 0.89160 2011-05-01 9999-12-31

26429 HEPARIN 2,000 UNIT/2 ML VIA 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

26470 XODOL 5-300 TABLET 1.83398 2014-05-01 9999-12-31

26482 CORTISONE 25 MG TABLET 3.00000 2014-01-01 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 KADIAN ER 20 MG CAPSULE 5.01960 2013-01-01 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 SIMVASTATIN 5 MG TABLET 0.03066 2013-11-01 9999-12-31

26532 SIMVASTATIN 10 MG TABLET 0.03409 2014-03-01 9999-12-31

26533 SIMVASTATIN 20 MG TABLET 0.03759 2013-09-01 9999-12-31

26534 SIMVASTATIN 40 MG TABLET 0.05569 2013-09-01 9999-12-31

26535 SIMVASTATIN 80 MG TABLET 0.09309 2014-05-01 9999-12-31

26541 SANDOSTATIN 0.2 MG/ML VIAL 23.85120 2013-06-01 9999-12-31

26542 OCTREOTIDE 5,000 MCG/5 ML V 57.60000 2014-05-01 9999-12-31

26555 GLYCERIN SKIN PROTECTANT LI 0.04174 2013-02-01 9999-12-31

26588 CALCIONATE 1.8 GM/5 ML SYRU 0.03336 2011-03-01 9999-12-31

26632 OMEPRAZOLE-BICARB 20-1,100 12.53559 2013-07-01 9999-12-31

26633 OMEPRAZOLE-BICARB 40-1,100 12.53559 2013-07-01 9999-12-31

26637 SODIUM CHLORIDE 0.9% SOLN. 0.05964 2012-08-01 9999-12-31

26657 SODIUM CHLORIDE 1000 MG TAB 0.08635 2012-11-01 9999-12-31

26666 SUMATRIPTAN 4 MG/0.5 ML INJ 215.13600 2013-07-01 9999-12-31

26667 IMITREX 4 MG/0.5 ML CARTRID 203.77200 2013-10-01 9999-12-31

26709 XODOL 7.5-300 MG TABLET 2.05699 2014-05-01 9999-12-31

26730 HYDROCORTISONE POWDER 21.80256 2014-03-01 9999-12-31

26734 METHYLPHENIDATE CD 40 MG CA 7.37700 2012-12-01 9999-12-31

26735 METADATE CD 50 MG CAPSULE 11.33025 2014-03-01 9999-12-31

26736 METHYLPHENIDATE CD 60 MG CA 9.06420 2012-11-01 9999-12-31

26737 GIANVI 3 MG-0.02 MG TABLET 3.03481 2012-04-01 9999-12-31

Page 26: gcn drug name price begin date end date 00031 fluvastatin sodium

26742 MULTI-SYMPTOM COLD CAPLET 0.11839 2013-03-01 9999-12-31

26781 CORTEF 10 MG TABLET 0.72495 2013-08-01 9999-12-31

26782 CORTEF 20 MG TABLET 1.02600 2014-02-01 9999-12-31

26783 CORTEF 5 MG TABLET 0.42930 2013-10-01 9999-12-31

26794 LIDOCAINE-HC 3-2.5% GEL KIT 192.30000 2013-12-01 9999-12-31

26800 PREDNISOLONE 15 MG/5 ML SOL 0.13575 2011-01-01 9999-12-31

26808 CHILDREN'S COLD & COUGH ELI 0.01759 2014-05-01 9999-12-31

26836 ENDODAN 4.83-325 MG TABLET 1.02372 2013-06-01 9999-12-31

26863 POLY-VI-SOL DROPS 0.09960 2011-01-01 9999-12-31

26879 LIDOCAINE HCL 1% AMPUL 0.57000 2013-09-01 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 0.65520 2013-06-01 9999-12-31

26901 NASAL DECONGEST ER 120 MG T 0.55152 2013-12-01 9999-12-31

26911 CHILD PAIN RLF 160 MG/5 ML 0.02350 2011-09-01 9999-12-31

26949 LOTREL 5-40 MG CAPSULE 4.05312 2012-04-01 9999-12-31

26950 AMLODIPINE-BENAZEPRIL 10-40 1.61400 2013-02-01 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

26960 MINOCYCLINE ER 135 MG TABLE 8.86440 2013-03-01 9999-12-31

26970 KAOPECTATE 262 MG/15 ML SUS 0.00933 2014-01-01 9999-12-31

26971 SM STOMACH RELIEF LIQUID 0.01435 2014-05-01 9999-12-31

27003 DEPO-MEDROL 40 MG/ML VIAL 5.22000 2011-03-01 9999-12-31

27015 DIOVAN HCT 320-12.5 MG TAB 5.19812 2012-11-01 9999-12-31

27016 KEFLEX 750 MG CAPSULE 7.38240 2013-07-01 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 METHYLPREDNISOLONE 4 MG TAB 1.71510 2013-11-01 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 2014-02-01 9999-12-31

27103 PCCA LIPODERM BASE 2.04000 2012-08-01 9999-12-31

27149 BEST FIBER POWDER 0.03195 2013-11-01 9999-12-31

27160 PREDNISONE 5 MG/5 ML SOLUTI 0.21969 2014-02-01 9999-12-31

27163 LEVETIRACETAM 500 MG/5 ML V 4.32000 2014-04-01 9999-12-31

27171 PREDNISONE 1 MG TABLET 0.30042 2013-08-01 9999-12-31

27172 PREDNISONE 10 MG TABLET 0.22138 2014-03-01 9999-12-31

27173 PREDNISONE 2.5 MG TABLET 0.15878 2014-02-01 9999-12-31

27174 PREDNISONE 20 MG TABLET 0.23876 2013-10-01 9999-12-31

27176 PREDNISONE 5 MG TABLET 0.21490 2014-05-01 9999-12-31

27177 PREDNISONE 50 MG TABLET 0.29529 2011-01-01 9999-12-31

27186 LIQSORB LIQUID 0.60000 2011-01-01 9999-12-31

27207 WAL-TAP ELIXIR 0.01636 2013-10-01 9999-12-31

27243 OXYMORPHONE HCL 5 MG TABLET 2.82816 2012-08-01 9999-12-31

27244 OXYMORPHONE HCL 10 MG TABLE 5.64900 2013-03-01 9999-12-31

27249 OXYMORPHONE HCL ER 20 MG TA 5.92632 2014-02-01 9999-12-31

27275 OCUVITE WITH LUTEIN TABLET 0.06180 2014-04-01 9999-12-31

27350 DEXAMETHASONE 100 MG/10 ML 1.56000 2011-07-01 9999-12-31

27354 DEXAMETHASONE 120 MG/30 ML 0.87519 2014-05-01 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 2013-10-01 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 0.25474 2013-12-01 9999-12-31

27422 DEXAMETHASONE 0.5 MG TABLET 0.07080 2013-03-01 9999-12-31

27424 DEXAMETHASONE 1 MG TABLET 0.26784 2013-03-01 9999-12-31

27425 DEXAMETHASONE 0.75 MG TABLE 0.12696 2013-03-01 9999-12-31

27426 DEXAMETHASONE 2 MG TABLET 0.52692 2013-03-01 9999-12-31

Page 27: gcn drug name price begin date end date 00031 fluvastatin sodium

27427 DEXAMETHASONE 1.5 MG TABLET 0.09456 2012-02-01 9999-12-31

27428 DEXAMETHASONE 4 MG TABLET 0.56073 2011-10-01 9999-12-31

27429 DEXAMETHASONE 6 MG TABLET 0.54240 2013-03-01 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 QUINAPRIL 10 MG TABLET 0.19999 2014-05-01 9999-12-31

27571 QUINAPRIL 20 MG TABLET 0.19999 2013-12-01 9999-12-31

27572 ACCUPRIL 5 MG TABLET 0.19999 2013-02-01 9999-12-31

27573 ACCUPRIL 40 MG TABLET 1.10079 2012-05-01 9999-12-31

27592 FLORANEX TABLET 0.12840 2013-09-01 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

27679 TRIMO-SAN JELLY 0.16507 2011-03-01 9999-12-31

27680 FLUDROCORTISONE 0.1 MG TABL 0.82320 2011-01-01 9999-12-31

27690 ALDACTONE 100 MG TABLET 1.10250 2011-03-01 9999-12-31

27691 ALDACTONE 25 MG TABLET 0.21615 2011-02-01 9999-12-31

27692 SPIRONOLACTONE 50 MG TABLET 0.65100 2014-02-01 9999-12-31

27700 AMILORIDE HCL 5MG TABLET 1.08336 2013-06-01 9999-12-31

27708 CVS WOMEN'S PRENATAL + DHA 0.17743 2014-03-01 9999-12-31

27714 CETIRIZINE HCL 5 MG/5 ML SY 0.30000 2012-11-01 9999-12-31

27735 L-ARGININE 1,000 MG TABLET 0.07200 2014-02-01 9999-12-31

27778 PROBIOTIC FORMULA CAPSULE 0.31800 2013-05-01 9999-12-31

27794 ACETAMINOPHEN 160 MG/5 ML S 0.20208 2012-03-01 9999-12-31

27798 ACETAMINOPHEN 160 MG/5 ML S 0.12756 2014-05-01 9999-12-31

27799 ACETAMINOPHEN 325 MG/10.15 0.07051 2014-05-01 9999-12-31

27802 ACETAMINOPHEN 650 MG/20.3 M 0.03948 2014-05-01 9999-12-31

27818 VITAMIN D3 1,000 UNIT TAB C 0.22387 2011-01-01 9999-12-31

27821 CARBAMAZEPINE XR 200 MG TAB 1.34352 2014-03-01 9999-12-31

27822 TEGRETOL XR 400 MG TABLET 3.35625 2013-06-01 9999-12-31

27831 FUL-GLO 1 MG OPTH STRIPS 0.13680 2012-12-01 9999-12-31

27844 MEDERMA CREAM 0.85740 2011-01-01 9999-12-31

27856 COENZYME Q10 200 MG CAPS 0.55879 2013-10-01 9999-12-31

27901 BUPROBAN 150 MG TABLET 1.62936 2012-07-01 9999-12-31

27937 CALMOSEPTINE OINTMENT 0.03769 2012-05-01 9999-12-31

27941 HYDROCORTISONE AC 25 MG SUP 3.89850 2014-03-01 9999-12-31

27947 MULTIVIT-FLUORIDE 1 MG TAB 0.21780 2012-10-01 9999-12-31

27957 RISA-BID CAPLET 0.34872 2014-04-01 9999-12-31

27990 DRONABINOL 2.5 MG CAPSULE 7.06449 2014-03-01 9999-12-31

27991 DRONABINOL 5 MG CAPSULE 14.70300 2013-12-01 9999-12-31

27992 MARINOL 10 MG CAPSULE 21.60999 2013-08-01 9999-12-31

28009 OVACE PLUS 10% SHAMPOO 1.30252 2013-06-01 9999-12-31

28020 AMOX TR-K CLV 600-42.9/5 SU 0.43815 2014-05-01 9999-12-31

28021 FLUMAZENIL 0.1 MG/ML VIAL 1.62720 2011-05-01 9999-12-31

28035 DEXMETHYLPHENIDATE ER 30 MG 6.84396 2014-05-01 9999-12-31

28038 AUVI-Q 0.15 MG AUTO-INJECTO 162.28200 2014-02-01 9999-12-31

28056 ZOO FRIENDS ORIGINAL TAB CH 0.04608 2011-08-01 9999-12-31

28068 LUBRICANT EYE OINTMENT 2.46582 2012-03-01 9999-12-31

28082 PENCREAM COMPOUNDING AGENT 0.14704 2013-03-01 9999-12-31

28098 CITRANATAL 90 DHA PACK 1.42219 2014-01-01 9999-12-31

28102 CYSTEX PLUS TABLET 0.14250 2013-10-01 9999-12-31

28126 OMEGA-3 FISH OIL 1,000 MG S 0.08784 2013-03-01 9999-12-31

28146 SENSI-CARE MOISTURIZING 2 C 0.06684 2012-09-01 9999-12-31

28180 TRIVEEN-PRX RNF CAPSULE 1.99959 2011-01-01 9999-12-31

28186 MULTIVIT-FLUOR 0.25 MG TAB 0.19644 2014-04-01 9999-12-31

28187 MULTIVIT-FLUOR 0.5 MG TAB C 0.24555 2014-04-01 9999-12-31

28188 MULTIVIT-FLUORIDE 1 MG TAB 0.24555 2013-09-01 9999-12-31

Page 28: gcn drug name price begin date end date 00031 fluvastatin sodium

28286 PREPARATION H MEDICATED WIP 0.04857 2014-01-01 9999-12-31

28310 MYCOSTATIN VAGINAL TABLET 5.47599 2011-03-01 9999-12-31

28315 CALCIUM GLUCONATE 500 MG TA 0.16452 2012-02-01 9999-12-31

28321 MIDODRINE HCL 5 MG TABLET 1.95840 2013-12-01 9999-12-31

28322 MIDODRINE HCL 2.5 MG TABLET 0.97320 2013-04-01 9999-12-31

28337 TRUNATURE DIGESTIVE PROBIOT 0.56798 2012-05-01 9999-12-31

28345 ZATEAN-PN PLUS SOFTGEL 1.88599 2012-08-01 9999-12-31

28356 WOMEN'S 50+ DAILY FORMULA T 0.15340 2013-11-01 9999-12-31

28360 CLOTRIMAZOLE 1% CREAM 0.13332 2011-01-01 9999-12-31

28361 CLOTRIMAZOLE 3 2% CREAM 0.48243 2014-05-01 9999-12-31

28380 MICONAZOLE NITRATE 2% CREAM 0.15033 2013-02-01 9999-12-31

28385 HIZENTRA 1 GRAM/5 ML VIAL 30.24000 2012-06-01 9999-12-31

28386 HIZENTRA 2 GRAM/10 ML VIAL 30.24000 2011-01-01 9999-12-31

28390 MICONAZOLE 100 MG VAG SUPP 1.13690 2013-12-01 9999-12-31

28391 MICONAZOLE 3 200 MG VAG SUP 17.52399 2011-05-01 9999-12-31

28413 CENTRAM-CARE MULTIVIT-MIN L 0.02164 2013-01-01 9999-12-31

28435 PAIRE OB PLUS DHA COMBO PAC 0.88299 2013-12-01 9999-12-31

28491 TACROLIMUS 1 MG CAPSULE 4.87815 2014-04-01 9999-12-31

28492 TACROLIMUS 5 MG CAPSULE 26.75700 2012-05-01 9999-12-31

28495 TACROLIMUS 0.5 MG CAPSULE 2.67570 2014-02-01 9999-12-31

28505 FERRALET 90 TABLET 1.05600 2011-10-01 9999-12-31

28535 NOVAFERRUM SOLUTION 0.24499 2011-05-01 9999-12-31

28549 PNV-DHA PLUS SOFTGEL 2.16079 2011-01-01 9999-12-31

28579 ARGLAES POWDER 3.84000 2011-08-01 9999-12-31

28581 CLINDAMYCIN 2% VAGINAL CREA 2.25120 2014-05-01 9999-12-31

28605 VEMAVITE-PRX 2 CAPSULE 4.10280 2013-02-01 9999-12-31

28610 BENZOYL PEROXIDE 10% LOTION 0.09199 2011-01-01 9999-12-31

28611 BENZOYL PEROXIDE 5% LOTION 0.08040 2011-01-01 9999-12-31

28626 BUTALB-ACETAMIN-CAFF 50-300 2.35356 2013-12-01 9999-12-31

28627 ZYMAXID 0.5% EYE DROPS 45.37440 2014-04-01 9999-12-31

28664 CVS OMEPRAZOLE MAG DR 20.6 0.00000 2010-10-02 9999-12-31

28679 VOL-PLUS TABLET 0.55572 2014-05-01 9999-12-31

28680 BUDESONIDE EC 3 MG CAPSULE 15.22932 2013-08-01 9999-12-31

28688 PRENATAL PLUS TABLET 0.21930 2014-04-01 9999-12-31

28775 PV GLUCOSAMINE 500 MG CAPSU 0.13950 2013-03-01 9999-12-31

28796 VOL-TAB RX TABLET 0.53106 2014-03-01 9999-12-31

28805 A THRU Z SELECT MULTIVIT TA 0.03667 2012-02-01 9999-12-31

28828 DONEPEZIL HCL 23 MG TABLET 11.35680 2014-02-01 9999-12-31

28844 ESTRADIOL 0.1 MG/DAY PATCH 22.27800 2014-02-01 9999-12-31

28845 ESTRADIOL TDS 0.05 MG/DAY 19.89300 2012-12-01 9999-12-31

28848 ESTRADIOL TDS 0.025 MG/DAY 22.27800 2013-09-01 9999-12-31

28850 PROCTOCREAM-HC 2.5% CREAM 0.59520 2013-08-01 9999-12-31

28851 PROCTO-PAK 1% CREAM 0.84295 2012-07-01 9999-12-31

28852 ANUSOL-HC 2.5% CREAM 0.59520 2013-08-01 9999-12-31

28853 ESTRADIOL TDS 0.075 MG/DAY 14.50800 2012-06-01 9999-12-31

28868 UROGESIC-BLUE TABLET 1.80000 2012-08-01 9999-12-31

28883 VOL-NATE TABLET 0.16788 2011-01-01 9999-12-31

28887 VENATAL-FA TABLET 0.14388 2012-09-01 9999-12-31

28890 BUSPIRONE HCL 5 MG TABLET 0.09516 2013-09-01 9999-12-31

28891 BUSPIRONE HCL 10 MG TABLET 0.30036 2011-03-01 9999-12-31

28892 BUSPIRONE HCL 15 MG TABLET 0.18882 2014-05-01 9999-12-31

28909 SUPER PROBIOTIC CAPSULE 0.54367 2013-08-01 9999-12-31

28923 SELENIUM DR 200 MCG TABLET 0.06439 2011-03-01 9999-12-31

28946 SM OMEGA 3-6-9 SOFTGEL 0.14383 2012-03-01 9999-12-31

28982 I-VITE PROTECT TABLET 0.08349 2013-08-01 9999-12-31

29007 ADDERALL 7.5 MG TABLET 1.38540 2012-02-01 9999-12-31

29008 ADDERALL 12.5 MG TABLET 1.38540 2012-11-01 9999-12-31

29009 AMPHETAMINE SALTS 15 MG TAB 1.38540 2011-09-01 9999-12-31

Page 29: gcn drug name price begin date end date 00031 fluvastatin sodium

29088 TRI-VIT-FLUOR 0.25 MG/ML DR 0.28416 2013-11-01 9999-12-31

29107 LEVOMEFOLATE DHA CAPSULE 2.95399 2012-01-01 9999-12-31

29108 COMPLETE MULTIVIT-MINERAL L 0.03994 2011-06-01 9999-12-31

29135 CORTIZONE-10 1% LOTION 0.05230 2013-11-01 9999-12-31

29191 INFANT'S NON-ASA SUSP DROPS 0.13999 2012-11-01 9999-12-31

29231 BAL-CARE DHA COMBO PACK 0.71700 2012-08-01 9999-12-31

29238 PV COMPLETE NUTRITION LIQUI 0.00403 2012-12-01 9999-12-31

29254 SM NAPROXEN SODIUM 220 MG C 0.14580 2012-11-01 9999-12-31

29271 CEFPROZIL 250 MG TABLET 3.94116 2014-01-01 9999-12-31

29272 CEFPROZIL 500 MG TABLET 10.17420 2013-03-01 9999-12-31

29291 CEFPROZIL 125 MG/5 ML SUSP 0.37668 2014-03-01 9999-12-31

29292 CEFPROZIL 250 MG/5 ML SUSP 0.85305 2012-08-01 9999-12-31

29300 ADAPALENE 0.1% GEL 5.24166 2011-01-01 9999-12-31

29301 ADAPALENE 0.1% CREAM 6.54999 2013-11-01 9999-12-31

29361 FLORAJEN3 CAPSULE 0.28800 2012-09-01 9999-12-31

29414 CHILDREN'S ALLERGY RELIEF O 0.27465 2014-04-01 9999-12-31

29417 TETRACAINE 0.5% EYE DROPS 0.51919 2011-01-01 9999-12-31

29438 TL-SELECT CAPSULE 2.36959 2013-11-01 9999-12-31

29457 TRI-TABS DHA COMBO PACK 1.32619 2014-03-01 9999-12-31

29517 ZOO FRIENDS TABLET CHEWABLE 0.05270 2014-05-01 9999-12-31

29572 PRENAISSANCE PLUS SOFTGEL 1.64280 2013-11-01 9999-12-31

29589 FISH OIL EC 1,000 MG SOFTGE 0.05079 2011-01-01 9999-12-31

29592 RA FISH OIL 1,000 MG SOFTGE 0.05280 2011-02-01 9999-12-31

29593 VANCOMYCIN 750 MG/150 ML BA 0.09663 2012-09-01 9999-12-31

29628 COSAMIN DS CAPSULE 0.39600 2013-07-01 9999-12-31

29639 VIRASAL ANTIVIRAL WART REMO 9.93408 2012-10-01 9999-12-31

29644 CVS SLOW RELEASE IRON TABLE 0.16999 2011-01-01 9999-12-31

29646 FERROUS SULFATE ER 140 MG T 0.16999 2012-04-01 9999-12-31

29722 POVIDONE-IODINE 7.5% SWABST 0.26232 2012-04-01 9999-12-31

29723 POVIDONE-IODINE 10% SWABSTI 0.44688 2012-06-01 9999-12-31

29725 LAMOTRIGINE ER 300 MG TABLE 19.94400 2013-07-01 9999-12-31

29746 OCTREOTIDE ACET 50 MCG/ML S 4.80000 2013-12-01 9999-12-31

29840 BENZONATATE 100 MG CAPSULE 0.18840 2013-12-01 9999-12-31

29944 PROBIOTIC 4X CAPLET 0.63428 2013-12-01 9999-12-31

29950 L-CARNITINE 250 MG CAPSULE 0.54279 2013-10-01 9999-12-31

29958 STEVIOL GLYCOSIDES POWDER 5.30400 2014-02-01 9999-12-31

29977 OYSTER SHELL CALCIUM-MAGNES 0.03331 2013-11-01 9999-12-31

30011 ANTISEPTIC SKIN CLEANSER 4% 0.04248 2013-10-01 9999-12-31

30031 DICHLORALPHENAZONE POWDER 5.76000 2012-01-01 9999-12-31

30032 WOMEN'S DAILY CAPLET 0.02518 2013-06-01 9999-12-31

30036 OCUDOX CONVENIENCE KIT 30.00000 2011-12-01 9999-12-31

30046 VITAFOL-ONE CAPSULE 3.06999 2014-02-01 9999-12-31

30111 AZITHROMYCIN I.V. 500 MG VI 11.08800 2014-03-01 9999-12-31

30122 ONE-A-DAY WOMEN'S TABLET 0.05124 2012-02-01 9999-12-31

30140 NYSTATIN 100,000 UNIT/GM CR 1.05000 2011-08-01 9999-12-31

30150 NYSTATIN 100,000 UNITS/GM O 0.84000 2011-07-01 9999-12-31

30160 PEDI-DRI TOPICAL POWDER 1.46299 2014-01-01 9999-12-31

30162 HAIR, SKIN & NAILS CAPLET 0.03388 2011-05-01 9999-12-31

30214 FIBER SELECT GUMMIES TAB CH 0.14922 2013-02-01 9999-12-31

30224 SILVERMED HYDROGEL 0.66074 2013-10-01 9999-12-31

30227 PRENATAL + DHA COMBO PACK 0.22392 2011-10-01 9999-12-31

30287 FERROUS GLUCONATE 324 MG TA 0.03828 2011-01-01 9999-12-31

30290 JOCK ITCH 1% POWDER SPRAY 0.02658 2012-11-01 9999-12-31

30300 TOLNAFTATE 1% CREAM 0.24480 2013-12-01 9999-12-31

30310 ANTI-FUNGAL 1% POWDER 0.05706 2013-11-01 9999-12-31

30314 PROCHLORPERAZINE 10 MG/2 ML 2.76000 2013-03-01 9999-12-31

30320 TOLNAFTATE 1% SOLUTION 0.25800 2013-07-01 9999-12-31

30354 CVS SORE THROAT LOZENGE 0.16532 2013-05-01 9999-12-31

Page 30: gcn drug name price begin date end date 00031 fluvastatin sodium

30370 CLOTRIMAZOLE 1% CREAM 0.15639 2014-03-01 9999-12-31

30380 CLOTRIMAZOLE 1% SOLUTION 0.55599 2014-03-01 9999-12-31

30400 SM MICONAZOLE NITRATE 2% CR 0.17280 2013-04-01 9999-12-31

30410 ZEASORB-AF 2% POWDER 0.05323 2012-08-01 9999-12-31

30430 ECONAZOLE NITRATE 1% CREAM 0.63211 2014-02-01 9999-12-31

30462 ANTIPYRINE-BENZOCAINE OTIC 17.89177 2013-11-01 9999-12-31

30480 LIDOCAINE 3% CREAM 1.98306 2013-12-01 9999-12-31

30520 SARNA 1% LOTION 0.01940 2013-09-01 9999-12-31

30521 FINASTERIDE 5 MG TABLET 0.66000 2013-11-01 9999-12-31

30533 ESTRADIOL MICRONIZED POWDER 6.99840 2011-01-01 9999-12-31

30654 REMEDY ANTIFUNGAL 2% CREAM 0.10678 2011-07-01 9999-12-31

30684 SELECT-OB + DHA PACK 1.37119 2013-07-01 9999-12-31

30691 COCAINE 4% SOLUTION 32.74800 2013-03-01 9999-12-31

30750 LIDOCAINE 5% OINTMENT 2.37330 2013-01-01 9999-12-31

30781 FLUOROURACIL 5% CREAM 7.10400 2014-05-01 9999-12-31

30791 FLUOROURACIL 2% TOPICAL SOL 6.35040 2012-11-01 9999-12-31

30795 BASE, PCCA POLOXAMER 407 GE 0.07536 2011-07-01 9999-12-31

30800 DESOXIMETASONE 0.25% OINTME 5.64519 2013-03-01 9999-12-31

30817 FLUOXETINE HCL 60 MG TABLET 4.60800 2014-05-01 9999-12-31

30841 HYDROCORTISONE 1% CREAM 0.07562 2012-12-01 9999-12-31

30851 HYDROCORTISONE 1% OINTMENT 0.13405 2014-03-01 9999-12-31

30880 HYDROCORTISONE BUTY 0.1% CR 1.83546 2014-04-01 9999-12-31

30885 LOCOID 0.1% OINTMENT 1.22239 2014-03-01 9999-12-31

30890 HYDROCORTISONE VAL 0.2% CRE 3.42933 2014-02-01 9999-12-31

30897 GNP CALCIUM 500 + VIT D3 TA 0.03157 2014-01-01 9999-12-31

30909 QC PRENATAL TABLET 0.10550 2013-05-01 9999-12-31

30916 ENEMEEZ MINI ENEMA 0.44751 2013-01-01 9999-12-31

30941 HYDROCORTISONE 0.5% CREAM 0.14284 2012-11-01 9999-12-31

30942 HYDROCORTISONE 1% CREAM 0.07071 2014-01-01 9999-12-31

30943 HYDROCORTISONE 2.5% CREAM 0.15343 2012-01-01 9999-12-31

30946 HYDROCORTISONE 1% CREAM 0.05850 2013-03-01 9999-12-31

30950 HYDROCORTISONE 0.5% OINTMEN 0.13968 2011-05-01 9999-12-31

30951 HYDROCORTISONE 1% OINTMENT 0.16930 2014-05-01 9999-12-31

30952 HYDROCORTISONE 2.5% OINTMEN 0.13968 2013-02-01 9999-12-31

30958 PRENATAL TABLET 0.06000 2011-10-01 9999-12-31

30962 LACTULOSE 20 GM/30 ML SOLUT 0.03150 2013-01-01 9999-12-31

30965 VALPROIC ACID 250 MG/5 ML S 0.14880 2012-07-01 9999-12-31

30974 AQUANIL HC 1% LOTION 0.06507 2013-11-01 9999-12-31

30975 HYDROCORTISONE 2.5% LOTION 0.60000 2013-12-01 9999-12-31

30980 DIPROLENE 0.05% LOTION 2.50659 2014-02-01 9999-12-31

30986 VALPROIC ACID 500 MG/10 ML 0.03963 2011-01-01 9999-12-31

30987 VALPROIC ACID 250 MG/5 ML S 0.03963 2011-01-01 9999-12-31

30994 LACTULOSE 10 GM/15 ML SOLUT 0.05400 2012-04-01 9999-12-31

31016 TRI-VIT-FLUOR 0.5 MG/ML DRO 0.37881 2011-01-01 9999-12-31

31060 BETAMETHASONE DP 0.05% CRM 2.16000 2013-09-01 9999-12-31

31066 POVIDONE-IODINE 10% SOLUTIO 0.01009 2011-08-01 9999-12-31

31067 POVIDONE-IODINE 10% SOLUTIO 0.01009 2011-08-01 9999-12-31

31070 BETAMETHASONE DP 0.05% OINT 2.41699 2013-02-01 9999-12-31

31080 BETAMETHASONE DP 0.05% LOT 0.75000 2012-08-01 9999-12-31

31092 OMEPRAZOLE+SYRSPEND SF ALKA 0.24480 2014-02-01 9999-12-31

31101 BETAMETHASONE VA 0.1% CREAM 0.97440 2013-08-01 9999-12-31

31110 BETAMETHASONE VALER 0.1% OI 1.10733 2014-02-01 9999-12-31

31120 BETAMETHASONE VA 0.1% LOTIO 1.20000 2014-04-01 9999-12-31

31138 FIRST-LANSOPRAZOLE 3 MG/ML 0.29280 2014-02-01 9999-12-31

31180 DESOXIMETASONE 0.05% CREAM 4.44459 2013-04-01 9999-12-31

31181 DESOXIMETASONE 0.25% CREAM 2.19159 2014-04-01 9999-12-31

31186 PRENATA CHEWABLE TABLET 0.19333 2013-10-01 9999-12-31

31211 HALOBETASOL PROP 0.05% OINT 5.09359 2014-04-01 9999-12-31

Page 31: gcn drug name price begin date end date 00031 fluvastatin sodium

31231 TRIAMCINOLONE 0.025% CREAM 0.13934 2014-05-01 9999-12-31

31232 TRIAMCINOLONE 0.1% CREAM 0.08851 2013-05-01 9999-12-31

31233 TRIAMCINOLONE 0.5% CREAM 0.81900 2011-01-01 9999-12-31

31238 MB HYDROGEL KIT 220.32000 2013-04-01 9999-12-31

31241 TRIAMCINOLONE 0.025% OINT 0.15355 2014-01-01 9999-12-31

31242 TRIAMCINOLONE 0.1% OINTMENT 0.08851 2013-12-01 9999-12-31

31244 TRIAMCINOLONE 0.5% OINTMENT 0.65439 2011-01-01 9999-12-31

31251 HALOBETASOL PROP 0.05% CREA 1.51599 2012-11-01 9999-12-31

31255 BUBBLE GUM FLAVOR CONC LIQU 0.56400 2014-04-01 9999-12-31

31260 TRIAMCINOLONE 0.025% LOTION 1.20000 2013-05-01 9999-12-31

31261 TRIAMCINOLONE 0.1% LOTION 1.44000 2014-03-01 9999-12-31

31271 KETOCONAZOLE 2% SHAMPOO 0.25312 2011-01-01 9999-12-31

31342 FLUOCINOLONE 0.01% CREAM 2.22780 2012-04-01 9999-12-31

31344 FLUOCINOLONE 0.025% CREAM 2.81400 2014-05-01 9999-12-31

31351 FLUOCINOLONE 0.025% OINTMEN 1.68780 2013-11-01 9999-12-31

31360 FLUOCINOLONE 0.01% SOLUTION 3.00000 2014-03-01 9999-12-31

31380 FLUOCINONIDE 0.05% GEL 1.27680 2012-02-01 9999-12-31

31390 FLUOCINONIDE 0.05% CREAM 0.58374 2014-05-01 9999-12-31

31400 FLUOCINONIDE 0.05% OINTMENT 0.97149 2013-08-01 9999-12-31

31401 FLUOCINONIDE 0.05% SOLUTION 2.02474 2013-10-01 9999-12-31

31425 DESONIDE 0.05% CREAM 6.42274 2013-06-01 9999-12-31

31430 DESONIDE 0.05% OINTMENT 0.64020 2012-03-01 9999-12-31

31458 CEFAZOLIN 2 GM-D5W BAG 8.76000 2012-05-01 9999-12-31

31470 DIFLORASONE 0.05% CREAM 4.51299 2012-08-01 9999-12-31

31480 DIFLORASONE 0.05% OINTMENT 3.10339 2011-07-01 9999-12-31

31489 VITALETS TABLET CHEWABLE 0.04152 2011-09-01 9999-12-31

31490 AMCINONIDE 0.1% CREAM 1.24399 2013-04-01 9999-12-31

31500 AMCINONIDE 0.1% OINTMENT 6.48000 2013-10-01 9999-12-31

31550 LINDANE 1% LOTION 2.65524 2013-10-01 9999-12-31

31570 LINDANE 1% SHAMPOO 2.65524 2013-10-01 9999-12-31

31600 MALATHION 0.5% LOTION 2.96114 2012-07-01 9999-12-31

31612 XELODA 500 MG TABLET 37.55389 2014-05-01 9999-12-31

31630 SILVER SULFADIAZINE 1% CREA 0.19870 2014-04-01 9999-12-31

31640 ACYCLOVIR 5% OINTMENT 31.90350 2014-03-01 9999-12-31

31649 MELATONIN CR 10 MG TABLET 0.12000 2013-11-01 9999-12-31

31661 MELOXICAM 7.5 MG TABLET 0.03564 2014-04-01 9999-12-31

31662 MELOXICAM 15 MG TABLET 0.04455 2013-09-01 9999-12-31

31672 CLOZAPINE 200 MG TABLET 3.97200 2013-02-01 9999-12-31

31710 ERYTHROMYCIN 2% GEL 0.93399 2013-04-01 9999-12-31

31720 CLINDAMYCIN PH 1% SOLUTION 1.63224 2013-12-01 9999-12-31

31725 ACETAMINOPHEN 80 MG/0.8 ML 0.13599 2011-10-01 9999-12-31

31760 ERYTHROMYCIN 2% PLEDGETS 1.34100 2013-12-01 9999-12-31

31770 CLEOCIN T 1% LOTION 1.99950 2013-02-01 9999-12-31

31774 METRONIDAZOLE TOPICAL 1% GE 4.83948 2013-11-01 9999-12-31

31790 GENTAMICIN 0.1% CREAM 2.63299 2014-01-01 9999-12-31

31800 GENTAMICIN 0.1% OINTMENT 2.10639 2014-01-01 9999-12-31

31806 BASE, PCCA FIXED OIL SUSP 1.11600 2012-06-01 9999-12-31

31810 BACITRACIN ZN 500 UNIT/GM O 0.23385 2012-03-01 9999-12-31

31811 BACITRACIN 500 UNIT/GM OINT 0.13749 2014-04-01 9999-12-31

31812 BACITRACIN 500 UNIT/GM OINT 0.11671 2014-05-01 9999-12-31

31813 BACITRACIN ZINC OINTMENT 0.24000 2011-01-01 9999-12-31

31827 RA GLUCOSAMINE-VIT D3 CAPLE 0.50079 2012-11-01 9999-12-31

31828 DOMEBORO PACKET 0.75000 2013-11-01 9999-12-31

31829 ACIDOPHILUS PROBIOTIC 100 M 0.04399 2013-04-01 9999-12-31

31833 NOREL AD TABLET 0.75000 2013-01-01 9999-12-31

31850 KETOCONAZOLE 2% CREAM 0.79359 2014-05-01 9999-12-31

31870 TRIAMCINOLONE 0.1% PASTE 19.34100 2014-03-01 9999-12-31

31880 SODIUM CHLORIDE 5% EYE OINT 3.23313 2011-01-01 9999-12-31

Page 32: gcn drug name price begin date end date 00031 fluvastatin sodium

31890 BETAMETHASONE DP AUG 0.05% 1.66200 2014-02-01 9999-12-31

31910 DIPROLENE 0.05% OINTMENT 3.54732 2014-02-01 9999-12-31

31922 MURO-128 2% EYE DROPS 1.10400 2011-01-01 9999-12-31

31923 SOCHLOR 5% EYE DROPS 0.75439 2014-02-01 9999-12-31

31972 ONE-A-DAY MEN'S TABLET 0.04788 2012-04-01 9999-12-31

32052 BETAMETHASONE VALER 0.12% F 4.23288 2013-09-01 9999-12-31

32091 BETAMETHASONE DP AUG 0.05% 2.18640 2011-09-01 9999-12-31

32130 CLOBETASOL 0.05% OINTMENT 0.47499 2014-05-01 9999-12-31

32140 TEMOVATE 0.05% CREAM 0.43374 2013-01-01 9999-12-31

32144 SODIUM BICARB 8.4% ABBOJECT 1.32720 2013-09-01 9999-12-31

32160 VITAMIN A & D OINTMENT PACK 0.05269 2012-12-01 9999-12-31

32191 MAVIK 1 MG TABLET 0.50360 2008-03-21 9999-12-31

32192 MAVIK 2 MG TABLET 0.50360 2008-03-21 9999-12-31

32193 MAVIK 4 MG TABLET 0.46310 2008-03-21 9999-12-31

32206 CITRANATAL B-CALM COMBO PAC 0.83719 2014-01-01 9999-12-31

32229 TRICARE PRENATAL TABLET 0.17760 2011-01-01 9999-12-31

32231 CEFDINIR 300 MG CAPSULE 3.17499 2013-12-01 9999-12-31

32232 CEFDINIR 125 MG/5 ML SUSP 0.72696 2012-05-01 9999-12-31

32252 NAPHAZOLINE 0.1% EYE DROPS 0.37999 2013-01-01 9999-12-31

32261 CARTEOLOL HCL 1% EYE DROPS 2.93400 2013-10-01 9999-12-31

32282 PHENYLEPHRINE 10% EYE DROPS 3.43200 2013-11-01 9999-12-31

32283 MYDFRIN 2.5% EYE DROPS 1.61199 2012-07-01 9999-12-31

32311 EYE DROPS 0.12639 2013-06-01 9999-12-31

32351 TAZICEF 1 GRAM VIAL 5.76000 2012-06-01 9999-12-31

32433 BITTER STOP FLAVOR LIQUID 2.60400 2014-04-01 9999-12-31

32470 VERAPAMIL ER 240 MG TABLET 0.46425 2014-05-01 9999-12-31

32471 VERAPAMIL ER 180 MG TABLET 2.83950 2014-04-01 9999-12-31

32472 CALAN SR 120 MG CAPLET 1.79220 2013-08-01 9999-12-31

32480 GUANFACINE 1 MG TABLET 0.30600 2013-12-01 9999-12-31

32481 GUANFACINE 2 MG TABLET 0.42900 2014-04-01 9999-12-31

32531 KETOROLAC 10 MG TABLET 0.85140 2013-09-01 9999-12-31

32600 VASOPRESSIN 20 UNITS/ML VIA 5.18400 2011-01-01 9999-12-31

32632 PRENATAL MULTI + DHA SOFTGE 0.15120 2012-11-01 9999-12-31

32704 ISOPTO CARPINE 1% EYE DROPS 0.14900 2008-12-19 9999-12-31

32706 PILOCARPINE 2% EYE DROPS 6.08799 2013-12-01 9999-12-31

32749 XALATAN 0.005% EYE DROPS 8.02800 2013-12-01 9999-12-31

32752 ISOPTO CARPINE 4% EYE DROPS 3.17599 2012-02-01 9999-12-31

32806 FENTANYL 0.05 MG/ML AMPUL 0.10560 2014-02-01 9999-12-31

32807 FENTANYL 0.05 MG/ML VIAL 0.53400 2013-03-01 9999-12-31

32820 TIMOPTIC 0.25% EYE DROPS 0.72000 2014-05-01 9999-12-31

32821 TIMOPTIC 0.5% EYE DROPS 0.85200 2014-04-01 9999-12-31

32822 TIMOPTIC-XE 0.25% EYE SOLN 24.96000 2014-03-01 9999-12-31

32823 TIMOPTIC-XE 0.5% EYE SOLN 27.36000 2014-03-01 9999-12-31

32850 ALCAINE 0.5% EYE DROPS 1.11600 2011-11-01 9999-12-31

32881 TETRACAINE 0.5% EYE DROPS 0.67519 2011-05-01 9999-12-31

32931 ATROPINE 1% EYE OINTMENT 5.46170 2011-03-01 9999-12-31

32952 ATROPINE 1% EYE DROPS 2.65699 2013-12-01 9999-12-31

32961 NABUMETONE 500 MG TABLET 0.54600 2014-01-01 9999-12-31

32962 NABUMETONE 750 MG TABLET 1.37856 2013-12-01 9999-12-31

33021 MYDRIACYL 1% EYE DROPS 2.44800 2011-03-01 9999-12-31

33028 CALMOSEPTINE OINTMENT 0.03769 2012-05-01 9999-12-31

33031 CYCLOPENTOLATE 1% EYE DROPS 2.79999 2013-12-01 9999-12-31

33090 LOTREL 5-20 MG CAPSULE 0.94620 2014-05-01 9999-12-31

33092 AMLODIPINE-BENAZEPRIL 5-10 2.59884 2013-07-01 9999-12-31

33093 LOTREL 2.5-10 MG CAPSULE 2.36010 2008-12-19 9999-12-31

33153 PREDNISOLONE AC 1% EYE DROP 12.77199 2013-12-01 9999-12-31

33181 PREDNISOLONE SOD 1% EYE DRO 5.75520 2011-12-01 9999-12-31

33191 BENAZEPRIL-HCTZ 5-6.25 MG T 0.45744 2012-10-01 9999-12-31

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33192 BENAZEPRIL-HCTZ 10-12.5 MG 1.98468 2013-09-01 9999-12-31

33193 BENAZEPRIL-HCTZ 20-12.5 MG 1.98468 2013-12-01 9999-12-31

33194 BENAZEPRIL-HCTZ 20-25 MG TA 1.98468 2014-04-01 9999-12-31

33205 VANCOMYCIN 750 MG VIAL 4.20000 2014-02-01 9999-12-31

33210 BETAXOLOL HCL 0.5% EYE DROP 11.31960 2013-02-01 9999-12-31

33220 DEXAMETHASONE 0.1% EYE DROP 4.06800 2014-01-01 9999-12-31

33249 CALTRATE 600 + D TABLET 0.02419 2012-09-01 9999-12-31

33250 FLUOROMETHOLONE 0.1% DROPS 10.56000 2014-03-01 9999-12-31

33291 VINATE CARE CHEWABLE TABLET 1.11199 2011-06-01 9999-12-31

33308 MORPHINE 2 MG/ML CARPUJECT 2.19600 2014-02-01 9999-12-31

33309 MORPHINE 4 MG/ML CARPUJECT 2.19600 2014-02-01 9999-12-31

33310 BETAGAN 0.5% EYE DROPS 1.11600 2012-11-01 9999-12-31

33312 MORPHINE 10 MG/ML CARPUJECT 1.95600 2013-02-01 9999-12-31

33330 SULFACETAMIDE 10% EYE OINTM 18.81600 2012-05-01 9999-12-31

33340 BLEPH-10 10% EYE DROPS 4.45200 2013-10-01 9999-12-31

33377 HYDROCODONE-HOMATROPINE SYR 0.22182 2011-01-01 9999-12-31

33380 TRUSOPT 2% EYE DROPS 5.09850 2013-06-01 9999-12-31

33414 NATURE'S TEARS DROPS 0.21999 2011-01-01 9999-12-31

33422 ARTIFICIAL TEARS 1.4 % DROP 0.17760 2013-09-01 9999-12-31

33431 DOXAZOSIN MESYLATE 1 MG TAB 0.99840 2014-04-01 9999-12-31

33432 DOXAZOSIN MESYLATE 2 MG TAB 1.01145 2014-03-01 9999-12-31

33433 DOXAZOSIN MESYLATE 4 MG TAB 1.06155 2014-02-01 9999-12-31

33434 DOXAZOSIN MESYLATE 8 MG TAB 0.89184 2013-09-01 9999-12-31

33448 POLY-VITAMIN DROPS 0.09450 2013-05-01 9999-12-31

33451 MICONAZOLE 3 COMBO PACK 16.31040 2012-03-01 9999-12-31

33454 POLYVITAMIN W-IRON DROPS 0.07968 2014-02-01 9999-12-31

33456 MIDAZOLAM HCL 5 MG/ML VIAL 3.43200 2013-07-01 9999-12-31

33457 MIDAZOLAM HCL 10 MG/2 ML VI 3.43200 2013-07-01 9999-12-31

33458 MIDAZOLAM HCL 2 MG/2 ML VIA 0.28200 2014-05-01 9999-12-31

33459 MIDAZOLAM HCL 5 MG/5 ML VIA 0.36000 2013-07-01 9999-12-31

33463 POLY-VI-SOL-IRON DROPS 0.09960 2011-01-01 9999-12-31

33500 TRIFLURIDINE 1% EYE DROPS 20.67840 2013-06-01 9999-12-31

33540 ERYTHROMYCIN 0.5% EYE OINTM 6.39427 2011-02-01 9999-12-31

33559 MEGESTROL ACET 400 MG/10 ML 0.22500 2012-06-01 9999-12-31

33560 CAPSAICIN 0.025% CREAM 0.26400 2011-02-01 9999-12-31

33561 TRIXAICIN HP 0.075% CREAM 0.43118 2011-03-01 9999-12-31

33562 CAPSAICIN 0.025% HOT PATCH 0.84480 2011-10-01 9999-12-31

33569 MEGESTROL ACET 40 MG/ML SUS 0.22500 2012-06-01 9999-12-31

33580 CIPROFLOXACIN 0.3% EYE DROP 2.40000 2014-04-01 9999-12-31

33589 ACETAMINOPHEN-CODEINE SOLUT 0.29680 2014-05-01 9999-12-31

33590 GENTAK 3 MG/GM EYE OINTMENT 5.05713 2011-01-01 9999-12-31

33600 GENTAMICIN 3 MG/ML EYE DROP 1.99999 2014-01-01 9999-12-31

33604 ACETAMINOPHN-COD 240-24 MG 0.12708 2013-05-01 9999-12-31

33606 ACETAMINOPHEN-CODEINE SOLUT 0.13996 2014-05-01 9999-12-31

33622 COMPLETE LICE TREATMENT KIT 18.23040 2013-10-01 9999-12-31

33638 SM COUGH DROPS 0.02959 2014-02-01 9999-12-31

33641 BACITRACIN 500 UNIT/GM OPHT 19.81028 2013-01-01 9999-12-31

33667 IRON CHEWS 15 MG TABLET CHE 0.23979 2013-03-01 9999-12-31

33710 ALCLOMETASONE DIPRO 0.05% C 2.08026 2013-10-01 9999-12-31

33730 ALCLOMETASONE DIPR 0.05% OI 1.89960 2013-08-01 9999-12-31

33792 KETOPROFEN ER 200 MG CAPSUL 2.35890 2008-03-21 9999-12-31

33799 MIDAZOLAM HCL 2 MG/2 ML VIA 0.36000 2013-07-01 9999-12-31

33806 PREDNISOLONE 15 MG/5 ML SOL 0.20886 2013-08-01 9999-12-31

33815 MIDAZOLAM HCL 5 MG/5 ML VIA 0.36000 2013-07-01 9999-12-31

33816 MIDAZOLAM HCL 10 MG/10 ML V 0.36000 2013-07-01 9999-12-31

33820 MIDAZOLAM HCL 10 MG/2 ML VI 3.43200 2013-07-01 9999-12-31

33823 MIDAZOLAM HCL 5 MG/ML VIAL 3.43200 2013-07-01 9999-12-31

33831 DICLOFENAC 0.1% EYE DROPS 3.41760 2014-05-01 9999-12-31

Page 34: gcn drug name price begin date end date 00031 fluvastatin sodium

33846 PRENATAL PLUS IRON TABLET 0.08760 2013-12-01 9999-12-31

33868 FERATE 28 MG TABLET 0.03588 2013-10-01 9999-12-31

33870 ETODOLAC 200 MG CAPSULE 1.29336 2012-05-01 9999-12-31

33871 ETODOLAC 300 MG CAPSULE 1.55208 2014-01-01 9999-12-31

33884 PROBIOTIC SOFTGEL 0.27182 2013-10-01 9999-12-31

33941 CEFOXITIN 1 GM VIAL 7.20000 2013-03-01 9999-12-31

33942 CEFOXITIN 2 GM VIAL 15.30000 2012-12-01 9999-12-31

34027 NATEGLINIDE 120 MG TABLET 1.47384 2013-12-01 9999-12-31

34040 CLOBEX 0.05% TOPICAL LOTION 4.63057 2013-08-01 9999-12-31

34050 ANEFRIN 0.05% NASAL SPRAY 0.44736 2013-02-01 9999-12-31

34062 NASAL SPRAY 0.05% 0.07249 2013-11-01 9999-12-31

34070 NEO-SYNEPHRINE 12 HOUR SPRA 0.13279 2013-08-01 9999-12-31

34100 ROPINIROLE HCL 0.25 MG TABL 0.73971 2012-09-01 9999-12-31

34101 REQUIP 1 MG TABLET 0.75450 2014-03-01 9999-12-31

34102 ROPINIROLE HCL 2 MG TABLET 2.40000 2014-05-01 9999-12-31

34103 ROPINIROLE HCL 5 MG TABLET 0.62628 2012-09-01 9999-12-31

34104 REQUIP 0.5 MG TABLET 0.75450 2014-01-01 9999-12-31

34141 CLOBETASOL EMOLLIENT 0.05% 0.95599 2014-05-01 9999-12-31

34176 MULTI FOR HER TABLET 0.03187 2011-06-01 9999-12-31

34186 V-R NOSE DROPS 0.19166 2013-04-01 9999-12-31

34193 ACIDOPHILUS PROBIOTIC TABLE 0.03000 2011-10-01 9999-12-31

34280 FLUNISOLIDE 0.025% SPRAY 3.30000 2013-12-01 9999-12-31

34291 SB SALINE 0.65% NOSE SPRAY 0.02625 2012-09-01 9999-12-31

34341 ACETIC ACID 2% EAR SOLUTION 2.79999 2014-05-01 9999-12-31

34360 OCUFEN 0.03% EYE DROPS 3.35040 2011-01-01 9999-12-31

34401 EARWAX TREATMENT 6.5% DROPS 0.12879 2011-03-01 9999-12-31

34405 VITRON-C TABLET 0.18279 2011-01-01 9999-12-31

34420 KETOPROFEN 50 MG CAPSULE 0.26760 2014-02-01 9999-12-31

34421 KETOPROFEN 75 MG CAPSULE 0.37185 2013-09-01 9999-12-31

34536 HEMORRHOIDAL SUPPOSITORIES 0.19200 2013-01-01 9999-12-31

34577 INSTA-GLUCOSE GEL 0.12639 2011-01-01 9999-12-31

34672 GUAIFENESIN-CODEINE SYRUP 0.10147 2013-03-01 9999-12-31

34673 GUAIFENESIN-CODEINE SYRUP 0.10147 2013-03-01 9999-12-31

34700 DIAMOX SEQUELS ER 500 MG CA 4.63695 2014-03-01 9999-12-31

34719 DICYCLOMINE 10 MG/5 ML SOLN 0.22078 2014-02-01 9999-12-31

34721 ACETAZOLAMIDE 125 MG TABLET 2.09268 2014-01-01 9999-12-31

34722 ACETAZOLAMIDE 250 MG TABLET 3.45975 2014-01-01 9999-12-31

34740 METHAZOLAMIDE 50 MG TABLET 3.11808 2014-02-01 9999-12-31

34741 METHAZOLAMIDE 25 MG TABLET 1.37880 2011-01-01 9999-12-31

34798 METOCLOPRAMIDE 5 MG/5 ML SO 0.02061 2013-07-01 9999-12-31

34802 CHLOROTHIAZIDE 250 MG TABLE 0.20760 2013-08-01 9999-12-31

34803 CHLOROTHIAZIDE 500 MG TABLE 1.18884 2014-05-01 9999-12-31

34814 FLINTSTONES IRON TAB CHEW 0.04152 2011-09-01 9999-12-31

34820 HYDROCHLOROTHIAZIDE 12.5 MG 0.11400 2013-10-01 9999-12-31

34823 OSTEO BI-FLEX CAPLET 0.31186 2012-07-01 9999-12-31

34824 HYDROCHLOROTHIAZIDE 25 MG T 0.02700 2014-03-01 9999-12-31

34825 HYDROCHLOROTHIAZIDE 50 MG T 0.12768 2014-05-01 9999-12-31

34850 CALCIUM MAGNESIUM CAPLET 0.05932 2011-01-01 9999-12-31

34864 BIOFREEZE 4% GEL 0.16707 2013-09-01 9999-12-31

34940 FUROSEMIDE 10 MG/ML VIAL 0.30000 2014-02-01 9999-12-31

34950 FUROSEMIDE 10 MG/ML SOLUTIO 0.16362 2012-02-01 9999-12-31

34951 FUROSEMIDE 40 MG/5 ML SOLN 0.08376 2012-10-01 9999-12-31

34961 FUROSEMIDE 20 MG TABLET 0.01713 2014-02-01 9999-12-31

34962 FUROSEMIDE 40 MG TABLET 0.01953 2014-02-01 9999-12-31

34963 FUROSEMIDE 80 MG TABLET 0.11210 2011-09-01 9999-12-31

34982 CHLORTHALIDONE 25 MG TABLET 0.92688 2014-05-01 9999-12-31

34984 CHLORTHALIDONE 50 MG TABLET 1.14312 2014-05-01 9999-12-31

34990 METOLAZONE 10 MG TABLET 1.80000 2014-05-01 9999-12-31

Page 35: gcn drug name price begin date end date 00031 fluvastatin sodium

34991 METOLAZONE 2.5 MG TABLET 1.65330 2014-05-01 9999-12-31

34992 METOLAZONE 5 MG TABLET 1.87845 2014-05-01 9999-12-31

35020 BUMETANIDE 0.5 MG TABLET 0.23748 2011-01-01 9999-12-31

35021 BUMETANIDE 1 MG TABLET 0.83796 2014-05-01 9999-12-31

35022 BUMETANIDE 2 MG TABLET 1.55448 2014-05-01 9999-12-31

35072 PROBENECID 500 MG TABLET 0.71328 2013-08-01 9999-12-31

35086 EQ PROBIOTIC 5 BILL CELL CA 0.86125 2014-03-01 9999-12-31

35118 MELATONIN 3 MG ODT 0.02484 2014-01-01 9999-12-31

35236 KETOROLAC 60 MG/2 ML VIAL 0.96000 2011-01-01 9999-12-31

35238 KETOROLAC 15 MG/ML VIAL 1.68000 2012-04-01 9999-12-31

35239 KETOROLAC 30 MG/ML VIAL 1.72800 2014-05-01 9999-12-31

35248 HEPARIN LOCK FLUSH 100 UNIT 1.75200 2011-05-01 9999-12-31

35254 HEPARIN 200 UNIT/2 ML (100/ 1.75200 2011-05-01 9999-12-31

35256 HEPARIN 500 UNIT/5 ML (100/ 1.75200 2011-05-01 9999-12-31

35257 HEPARIN 300 UNIT/3 ML (100/ 1.75200 2011-05-01 9999-12-31

35266 SE-NATAL 19 CHEWABLE TABLET 0.87465 2014-05-01 9999-12-31

35270 KETOROLAC 30 MG/ML CARPUJEC 2.52000 2014-02-01 9999-12-31

35297 SE-NATAL 19 TABLET 0.66564 2014-05-01 9999-12-31

35350 ADENOSINE 6 MG/2 ML VIAL 3.60000 2011-10-01 9999-12-31

35464 SM MELATONIN 3 MG TABLET 0.06300 2013-11-01 9999-12-31

35476 NEPHRONEX-SL TABLET 0.00000 2009-08-08 9999-12-31

35535 PV L-LYSINE 1,000 MG TABLET 0.07564 2011-09-01 9999-12-31

35565 HYDROPHOR 42% OINTMENT 0.02560 2013-01-01 9999-12-31

35568 FISH OIL EC 1,200 MG SOFTGE 0.11503 2013-09-01 9999-12-31

35585 PREPARATION H SUPPOSITORY 0.19200 2013-01-01 9999-12-31

35680 INDOMETHACIN 25 MG CAPSULE 0.27997 2014-01-01 9999-12-31

35681 INDOMETHACIN 50 MG CAPSULE 0.32631 2012-03-01 9999-12-31

35690 INDOMETHACIN ER 75 MG CAPSU 2.80200 2014-04-01 9999-12-31

35710 FLURBIPROFEN 50 MG TABLET 0.24828 2013-04-01 9999-12-31

35711 FLURBIPROFEN 100 MG TABLET 0.37392 2013-05-01 9999-12-31

35741 IBUPROFEN 400 MG TABLET 0.04578 2014-05-01 9999-12-31

35742 IBUPROFEN 600 MG TABLET 0.07912 2014-05-01 9999-12-31

35743 IBUPROFEN 200 MG TABLET 0.01908 2012-01-01 9999-12-31

35744 IBUPROFEN 800 MG TABLET 0.08220 2014-04-01 9999-12-31

35749 IBUPROFEN JR STR 100 MG TB 0.23959 2013-11-01 9999-12-31

35760 FENOPROFEN 600 MG TABLET 0.38240 2008-12-19 9999-12-31

35770 TOLMETIN SODIUM 400 MG CAP 0.80770 2008-12-19 9999-12-31

35781 TOLMETIN SODIUM 600 MG TAB 1.54850 2008-12-19 9999-12-31

35790 NAPROSYN 250 MG TABLET 0.09877 2013-09-01 9999-12-31

35792 NAPROXEN 375 MG TABLET 0.13410 2013-12-01 9999-12-31

35793 NAPROSYN 500 MG TABLET 0.12075 2013-08-01 9999-12-31

35800 SULINDAC 150 MG TABLET 0.26210 2014-02-01 9999-12-31

35801 SULINDAC 200 MG TABLET 0.31824 2013-02-01 9999-12-31

35820 FELDENE 10 MG CAPSULE 1.35168 2013-08-01 9999-12-31

35821 PIROXICAM 20 MG CAPSULE 2.48294 2013-11-01 9999-12-31

35830 THIOLA 100 MG TABLET 1.51200 2014-02-01 9999-12-31

35850 DICLOFENAC SOD EC 25 MG TAB 1.27968 2014-03-01 9999-12-31

35851 DICLOFENAC SOD DR 50 MG TAB 0.48024 2014-05-01 9999-12-31

35852 DICLOFENAC SOD DR 75 MG TAB 0.56649 2014-04-01 9999-12-31

35930 CHILDREN IBUPROFEN 100 MG/5 0.03661 2014-05-01 9999-12-31

35931 SM INFANT IBUPROFEN SUSP DR 0.38335 2014-05-01 9999-12-31

35954 PV VITAMIN E 200 UNITS SOFT 0.05592 2013-11-01 9999-12-31

36166 TRI-VI-SOL DROPS 0.12192 2011-01-01 9999-12-31

36281 BRIMONIDINE 0.2% EYE DROP 5.80560 2014-04-01 9999-12-31

36441 ACAMPROSATE CALC DR 333 MG 0.98565 2013-12-01 9999-12-31

36550 TOPIRAMATE 50 MG TABLET 0.15000 2013-12-01 9999-12-31

36551 TOPIRAMATE 100 MG TABLET 0.19002 2012-08-01 9999-12-31

36552 TOPIRAMATE 200 MG TABLET 0.30402 2012-08-01 9999-12-31

Page 36: gcn drug name price begin date end date 00031 fluvastatin sodium

36553 TOPIRAMATE 25 MG TABLET 0.09999 2012-08-01 9999-12-31

36556 TOPAMAX 15 MG SPRINKLE CAP 1.29999 2013-07-01 9999-12-31

36557 TOPIRAMATE 25 MG SPRINKLE C 1.59000 2014-01-01 9999-12-31

36600 OFLOXACIN 0.3% EYE DROPS 1.92000 2014-04-01 9999-12-31

36639 BACTERIOSTATIC WATER VIAL 0.03159 2013-02-01 9999-12-31

36790 PETROLATUM JELLY WHITE 0.01987 2012-06-01 9999-12-31

36830 HYDROLATUM OINTMENT 0.01018 2012-05-01 9999-12-31

36840 PROPYLENE GLYCOL LIQUID 0.01251 2013-07-01 9999-12-31

36980 CHERRY SYRUP 0.02724 2012-12-01 9999-12-31

37010 CITRIC ACID GRANULES 0.02995 2012-03-01 9999-12-31

37061 DETROL 1 MG TABLET 3.97099 2014-01-01 9999-12-31

37062 TOLTERODINE TARTRATE 2 MG T 3.26059 2014-04-01 9999-12-31

37181 DERMATOP 0.1% CREAM 1.47679 2011-11-01 9999-12-31

37198 CHLD ALLEGRA ALLERGY 30 MG 0.66972 2013-02-01 9999-12-31

37201 ROCURONIUM 50 MG/5 ML VIAL 1.04748 2014-02-01 9999-12-31

37211 LACTOSE POWDER 0.12734 2011-01-01 9999-12-31

37381 LUBRICANT 0.5% EYE DROPS 0.43166 2013-06-01 9999-12-31

37499 METHYLPREDNISOLONE 4 MG DOS 1.71000 2014-03-01 9999-12-31

37830 ALMOND OIL SWEET 0.09630 2013-10-01 9999-12-31

38360 CYCLOPHOSPHAMIDE 25 MG TAB 2.67456 2014-02-01 9999-12-31

38361 CYCLOPHOSPHAMIDE 50 MG TABL 4.90860 2014-02-01 9999-12-31

38363 PREDNISONE 5 MG TABLET 0.50284 2013-10-01 9999-12-31

38364 PREDNISONE 10 MG TAB DOSE P 0.39885 2012-12-01 9999-12-31

38400 HYDROXYUREA 500 MG CAPSULE 0.67200 2013-11-01 9999-12-31

38466 METHOTREXATE 25 MG/ML VIAL 4.29600 2013-02-01 9999-12-31

38489 METHOTREXATE 2.5 MG TABLET 3.53175 2013-12-01 9999-12-31

38520 MERCAPTOPURINE 50 MG TABLET 3.80400 2014-05-01 9999-12-31

38680 MEGESTROL 20 MG TABLET 0.22800 2011-10-01 9999-12-31

38681 MEGESTROL 40 MG TABLET 0.54036 2014-01-01 9999-12-31

38720 TAMOXIFEN 10 MG TABLET 0.57124 2013-08-01 9999-12-31

38721 TAMOXIFEN 20 MG TABLET 1.14225 2012-10-01 9999-12-31

38760 PENICILLIN G NA 5 MILLION U 55.29360 2013-05-01 9999-12-31

38804 PFIZERPEN 5 MILLION UNITS V 42.00000 2011-01-01 9999-12-31

39022 PENICILLIN VK 125MG/5ML SUS 0.03375 2013-12-01 9999-12-31

39024 PENICILLIN VK 250 MG/5 ML S 0.03742 2011-01-01 9999-12-31

39053 PENICILLIN VK 250 MG TABLET 0.31284 2012-11-01 9999-12-31

39055 PENICILLIN VK 500 MG TABLET 0.44916 2013-11-01 9999-12-31

39240 AMPICILLIN 1 GM VIAL 6.00000 2013-12-01 9999-12-31

39243 AMPICILLIN 2 GM VIAL 16.08240 2012-06-01 9999-12-31

39244 AMPICILLIN 250 MG VIAL 2.70000 2012-03-01 9999-12-31

39245 AMPICILLIN 500 MG VIAL 2.95200 2011-06-01 9999-12-31

39271 AMPICILLIN 250 MG CAPSULE 0.14076 2014-03-01 9999-12-31

39272 AMPICILLIN 500 MG CAPSULE 0.29910 2012-11-01 9999-12-31

39313 AMPICILLIN 125MG/5ML SUSP 0.07416 2011-11-01 9999-12-31

39316 AMPICILLIN 250MG/5ML SUSP 0.12960 2013-02-01 9999-12-31

39460 NAFCILLIN 1 GM VIAL 14.01360 2012-02-01 9999-12-31

39461 NAFCILLIN 10 GM VIAL 133.22520 2012-12-01 9999-12-31

39511 SOTALOL 160 MG TABLET 0.27216 2013-02-01 9999-12-31

39512 SOTALOL 80 MG TABLET 0.33600 2014-01-01 9999-12-31

39516 SOTALOL 120 MG TABLET 0.45000 2011-01-01 9999-12-31

39541 DICLOXACILLIN 250 MG CAPSUL 0.68400 2014-05-01 9999-12-31

39542 DICLOXACILLIN 500 MG CAPSUL 1.36800 2014-05-01 9999-12-31

39632 AMOXICILLIN 875 MG TABLET 0.42000 2011-03-01 9999-12-31

39650 AMOXICILLIN 125 MG TAB CHEW 0.19188 2013-04-01 9999-12-31

39651 AMOXICILLIN 250 MG TAB CHEW 0.28776 2012-09-01 9999-12-31

39660 AMOXICILLIN 250 MG CAPSULE 0.12163 2011-01-01 9999-12-31

39661 AMOXICILLIN 500 MG CAPSULE 0.17983 2012-11-01 9999-12-31

39681 AMOXICILLIN 125 MG/5 ML SUS 0.03049 2011-05-01 9999-12-31

Page 37: gcn drug name price begin date end date 00031 fluvastatin sodium

39683 AMOXICILLIN 250 MG/5 ML SUS 0.04425 2011-01-01 9999-12-31

39801 CEPHALEXIN 250 MG CAPSULE 0.19500 2011-02-01 9999-12-31

39802 CEPHALEXIN 500 MG CAPSULE 0.25935 2011-10-01 9999-12-31

39811 CEPHALEXIN 125 MG/5 ML SUSP 0.24000 2014-05-01 9999-12-31

39812 CEPHALEXIN 250 MG/5 ML SUSP 0.30750 2014-05-01 9999-12-31

39903 CEFAZOLIN 1 GM VIAL 1.57800 2014-04-01 9999-12-31

39904 CEFAZOLIN 10 GM VIAL 14.40000 2013-09-01 9999-12-31

39960 CEFTRIAXONE 250 MG VIAL 2.70000 2013-12-01 9999-12-31

39961 CEFTRIAXONE 500 MG VIAL 1.14000 2013-12-01 9999-12-31

39962 CEFTRIAXONE 1 GM VIAL 2.64000 2013-12-01 9999-12-31

39963 CEFTRIAXONE 2 GM VIAL 5.28000 2014-03-01 9999-12-31

40020 CEFACLOR 250 MG CAPSULE 1.68000 2013-02-01 9999-12-31

40021 CEFACLOR 500 MG CAPSULE 2.61000 2013-10-01 9999-12-31

40030 CEFACLOR 125 MG/5 ML SUSP 0.93576 2013-07-01 9999-12-31

40031 CEFACLOR 250 MG/5 ML SUSP 1.87135 2013-11-01 9999-12-31

40050 CLAFORAN 1 GM VIAL 10.56000 2011-01-01 9999-12-31

40072 TETRACYCLINE 250 MG CAPSULE 5.40000 2014-04-01 9999-12-31

40073 TETRACYCLINE 500 MG CAPSULE 10.80000 2014-02-01 9999-12-31

40120 PANTOPRAZOLE SOD DR 40 MG T 0.15834 2013-08-01 9999-12-31

40290 DEMECLOCYCLINE 150 MG TABLE 7.91040 2008-03-21 9999-12-31

40291 DEMECLOCYCLINE 300 MG TABLE 13.75500 2011-06-01 9999-12-31

40331 DOXYCYCLINE HYCLATE 100 MG 0.07719 2012-11-01 9999-12-31

40333 DOXYCYCLINE HYCLATE 50 MG C 2.70390 2013-03-01 9999-12-31

40340 DOXY 100 VIAL 28.99200 2014-03-01 9999-12-31

40360 DOXYCYCLINE HYCLATE 100 MG 3.30000 2014-05-01 9999-12-31

40363 DOXYCYCLINE MONO 100 MG TAB 3.79200 2014-05-01 9999-12-31

40370 VIBRAMYCIN 25 MG/5 ML SUSP 0.36439 2013-10-01 9999-12-31

40381 MEGESTROL ACET 40 MG/ML SUS 0.25374 2013-10-01 9999-12-31

40410 MINOCYCLINE 100 MG CAPSULE 0.66840 2013-03-01 9999-12-31

40411 MINOCYCLINE 50 MG CAPSULE 0.33945 2013-08-01 9999-12-31

40450 MINOCYCLINE HCL 100 MG TABL 4.76760 2014-02-01 9999-12-31

40560 ERYTHROMYCIN ES 400 MG TAB 5.70876 2014-05-01 9999-12-31

40651 DOXYCYCLINE MONO 100 MG CAP 1.74456 2011-10-01 9999-12-31

40652 DOXYCYCLINE MONO 50 MG CAP 0.62400 2012-06-01 9999-12-31

40660 ERYTHROMYCIN EC 250 MG CAP 3.79152 2013-02-01 9999-12-31

40720 ERYTHROMYCIN 250 MG FILMTAB 5.94468 2014-04-01 9999-12-31

40721 ERYTHROMYCIN 500 MG FILMTAB 8.08548 2014-04-01 9999-12-31

40821 CLEOCIN 600 MG-D5W-GALAXY 0.28489 2013-06-01 9999-12-31

40830 CLEOCIN HCL 150 MG CAPSULE 0.21525 2011-01-01 9999-12-31

40832 CLEOCIN HCL 300 MG CAPSULE 0.64530 2011-01-01 9999-12-31

40843 CLINDAMYCIN PH 150MG/ML VL 1.47600 2014-01-01 9999-12-31

40850 MIDAZOLAM HCL 25 MG/5 ML VI 3.32640 2014-04-01 9999-12-31

40852 MIDAZOLAM HCL 2 MG/ML SYRUP 0.66100 2013-04-01 9999-12-31

40860 CLINDAMYCIN 75 MG/5 ML SOLN 0.70560 2014-01-01 9999-12-31

41072 NEOMYCIN 500 MG TABLET 1.22220 2014-04-01 9999-12-31

41130 GENTAMICIN 20 MG/2 ML VIAL 2.40000 2011-08-01 9999-12-31

41132 GENTAMICIN 80 MG/2 ML VIAL 0.97200 2013-06-01 9999-12-31

41185 TOBRAMYCIN 40 MG/ML VIAL 2.03400 2013-07-01 9999-12-31

41260 RIFAMPIN 150 MG CAPSULE 0.99852 2014-04-01 9999-12-31

41261 RIFAMPIN 300 MG CAPSULE 1.50876 2013-11-01 9999-12-31

41280 VANCOMYCIN 500 MG VIAL 3.02400 2013-02-01 9999-12-31

41281 VANCOMYCIN 1 GM VIAL 15.60000 2014-02-01 9999-12-31

41282 VANCOMYCIN HCL 10 GM VIAL 47.88000 2014-05-01 9999-12-31

41283 VANCOMYCIN HCL 5 GM VIAL 24.57600 2013-09-01 9999-12-31

41321 POTASSIUM CL 10 MEQ/50 ML S 0.06456 2013-09-01 9999-12-31

41370 VANCOMYCIN HCL 125 MG CAPSU 30.08700 2013-11-01 9999-12-31

41371 VANCOMYCIN HCL 250 MG CAPSU 58.69440 2014-05-01 9999-12-31

41585 OYSTER SHELL 250 MG + VIT D 0.01524 2014-01-01 9999-12-31

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41586 KEPPRA 750 MG TABLET 0.76260 2014-03-01 9999-12-31

41587 LEVETIRACETAM 250 MG TABLET 0.46060 2014-05-01 9999-12-31

41597 KEPPRA 500 MG TABLET 0.39999 2014-03-01 9999-12-31

41611 SULFASALAZINE 500 MG TABLET 0.27870 2013-11-01 9999-12-31

41620 AZULFIDINE ENTAB 500 MG 0.35760 2011-01-01 9999-12-31

41670 NAPROSYN 125 MG/5 ML SUSPEN 0.08191 2012-03-01 9999-12-31

41680 ALBUTEROL 5 MG/ML SOLUTION 1.15875 2013-11-01 9999-12-31

41681 ALBUTEROL 0.083% INHAL SOLN 0.07999 2013-04-01 9999-12-31

41742 ISONIAZID 300 MG TABLET 0.19800 2012-07-01 9999-12-31

41790 PYRAZINAMIDE 500 MG TABLET 2.68824 2013-07-01 9999-12-31

41801 ETHAMBUTOL HCL 400 MG TABLE 1.52508 2011-12-01 9999-12-31

41820 NITROFURANTOIN MCR 100 MG C 3.52320 2014-02-01 9999-12-31

41822 NITROFURANTOIN MCR 50 MG CA 2.07450 2013-11-01 9999-12-31

41870 FURADANTIN 25 MG/5 ML SUSP 3.17582 2012-04-01 9999-12-31

42071 LOVENOX 150 MG/ML SYRINGE 123.75000 2013-08-01 9999-12-31

42091 ENOXAPARIN 120 MG/0.8 ML SY 123.75000 2014-05-01 9999-12-31

42109 MELATONIN 3 MG TABLET 0.07875 2011-10-01 9999-12-31

42121 PHENAZOPYRIDINE 100 MG TAB 0.24225 2011-01-01 9999-12-31

42122 PHENAZOPYRIDINE 200 MG TAB 0.31500 2014-05-01 9999-12-31

42190 FLUCONAZOLE 100 MG TABLET 8.45088 2011-09-01 9999-12-31

42191 FLUCONAZOLE 200 MG TABLET 13.82846 2011-02-01 9999-12-31

42192 FLUCONAZOLE 50 MG TABLET 1.68049 2014-03-01 9999-12-31

42193 FLUCONAZOLE 150 MG TABLET 2.24100 2011-02-01 9999-12-31

42200 TRIMETHOPRIM 100 MG TABLET 0.37260 2013-11-01 9999-12-31

42235 IPRATROPIUM BR 0.02% SOLN 0.09000 2012-06-01 9999-12-31

42238 IPRATROPIUM 0.06% SPRAY 2.95599 2014-02-01 9999-12-31

42239 IPRATROPIUM 0.03% SPRAY 1.47799 2013-08-01 9999-12-31

42331 NIASPAN ER 500 MG TABLET 4.06732 2014-04-01 9999-12-31

42333 NIASPAN ER 1,000 MG TABLET 7.19359 2014-04-01 9999-12-31

42373 MONTELUKAST SOD 4 MG TAB CH 1.12500 2013-12-01 9999-12-31

42390 GRISEOFULVIN 125 MG/5 ML SU 0.40437 2013-10-01 9999-12-31

42402 GRIFULVIN V 500 MG TABLET 6.43200 2013-03-01 9999-12-31

42412 GRISEOFULVIN ULTRA 250 MG T 6.12000 2013-04-01 9999-12-31

42440 MYCOSTATIN 100000U/ML SUSP 0.22530 2011-08-01 9999-12-31

42452 NILSTAT 500000U ORAL TABLET 0.57312 2014-02-01 9999-12-31

42590 KETOCONAZOLE 200 MG TABLET 2.65860 2014-05-01 9999-12-31

42681 GENTIAN VIOLET 1% SOLUTION 0.05359 2012-04-01 9999-12-31

42682 GENTIAN VIOLET 2% SOLUTION 0.20379 2013-09-01 9999-12-31

42890 CHLOROQUINE PH 250 MG TABLE 1.55400 2013-08-01 9999-12-31

42891 CHLOROQUINE PH 500 MG TABLE 4.03200 2012-03-01 9999-12-31

42900 MEFLOQUINE HCL 250 MG TABLE 9.53040 2013-12-01 9999-12-31

42940 HYDROXYCHLOROQUINE 200 MG T 0.22800 2012-06-01 9999-12-31

42970 PAROMOMYCIN 250 MG CAPSULE 5.44320 2012-09-01 9999-12-31

43025 METRONIDAZOLE 500 MG/100 ML 0.01920 2013-09-01 9999-12-31

43031 FLAGYL 250 MG TABLET 0.42750 2011-09-01 9999-12-31

43032 FLAGYL 500 MG TABLET 0.72609 2011-09-01 9999-12-31

43035 FLAGYL 375 CAPSULE 4.69296 2012-09-01 9999-12-31

43201 METRONIDAZOLE 0.75% LOTION 4.18880 2012-04-01 9999-12-31

43202 METRONIDAZOLE TOPICAL 0.75% 4.55599 2013-04-01 9999-12-31

43203 METRONIDAZOLE 0.75% CREAM 5.05999 2014-03-01 9999-12-31

43360 DAPSONE 100 MG TABLET 1.29999 2011-01-01 9999-12-31

43361 DAPSONE 25 MG TABLET 1.05999 2011-01-01 9999-12-31

43390 ACYCLOVIR SODIUM 500 MG VIA 5.40000 2013-02-01 9999-12-31

43396 ACYCLOVIR 500 MG/10 ML VIAL 1.80000 2011-01-01 9999-12-31

43692 OFLOXACIN 300 MG TABLET 5.46516 2012-09-01 9999-12-31

43693 OFLOXACIN 400 MG TABLET 5.76348 2013-09-01 9999-12-31

43703 CARIMUNE NF 6 GM VIAL 606.02400 2011-01-01 9999-12-31

43720 ATORVASTATIN 10 MG TABLET 0.30978 2013-11-01 9999-12-31

Page 39: gcn drug name price begin date end date 00031 fluvastatin sodium

43721 ATORVASTATIN 20 MG TABLET 0.44055 2013-11-01 9999-12-31

43722 LIPITOR 40 MG TABLET 0.44055 2013-09-01 9999-12-31

43723 LIPITOR 80 MG TABLET 0.44055 2013-08-01 9999-12-31

43731 ZOVIRAX 200 MG/5 ML SUSP 0.34677 2011-01-01 9999-12-31

43790 ACYCLOVIR 200 MG CAPSULE 0.14280 2013-12-01 9999-12-31

43951 FLUTICASONE PROP 0.05% CREA 0.70299 2014-05-01 9999-12-31

44022 P-EPHED-CPM SR 120-8 MG CAP 0.68180 2008-12-19 9999-12-31

44023 SUDOGEST COLD & ALLERGY TAB 0.13978 2013-11-01 9999-12-31

44370 PERMETHRIN 5% CREAM 2.47500 2013-05-01 9999-12-31

44382 ANTACID CHEWABLE TABLET 0.03192 2012-12-01 9999-12-31

44410 RETROVIR 10 MG/ML SYRUP 0.23088 2014-05-01 9999-12-31

44520 NIX 1% CREME RINSE LIQUID 0.12966 2011-06-01 9999-12-31

44530 RETROVIR 100 MG CAPSULE 1.36700 2008-12-19 9999-12-31

44533 ZIDOVUDINE 300 MG TABLET 1.07499 2011-12-01 9999-12-31

45061 BISOPROLOL-HCTZ 2.5-6.25 MG 0.20100 2013-02-01 9999-12-31

45062 BISOPROLOL-HCTZ 5-6.25 MG T 0.24660 2014-01-01 9999-12-31

45063 BISOPROLOL-HCTZ 10-6.25 MG 0.07970 2008-12-19 9999-12-31

45121 HYDROGEN PEROXIDE 3% SOLUTI 0.00480 2013-05-01 9999-12-31

45260 PROPRANOLOL 20 MG/5 ML SOLN 0.09417 2014-02-01 9999-12-31

45261 PROPRANOLOL 40 MG/5 ML SOLN 0.11020 2011-02-01 9999-12-31

45334 POVIDONE-IODINE 10% SOLUTIO 0.01200 2014-05-01 9999-12-31

45340 STERILE WATER FOR IRRIGATIO 0.00403 2014-04-01 9999-12-31

45341 CEFADROXIL 500 MG CAPSULE 0.63600 2014-05-01 9999-12-31

45343 CEFADROXIL 250 MG/5 ML SUSP 0.58368 2012-04-01 9999-12-31

45344 CEFADROXIL 500 MG/5 ML SUSP 0.72670 2008-12-19 9999-12-31

45360 SODIUM CHLORIDE 0.9% IRRIG. 0.00409 2014-04-01 9999-12-31

45390 ACETIC ACID 0.25% IRRIG SOL 0.00523 2014-01-01 9999-12-31

45410 CLEOCIN T 1% GEL 2.58849 2013-02-01 9999-12-31

45411 CLEOCIN T 1% PLEDGETS 0.47799 2014-03-01 9999-12-31

45470 CLORPACTIN WCS-90 POWDER 2.75400 2013-07-01 9999-12-31

45510 BORIC ACID POWDER 0.03387 2014-04-01 9999-12-31

45551 CAFFEINE CIT 60 MG/3 ML ORA 17.49999 2014-01-01 9999-12-31

45560 DIAZEPAM 5 MG/5 ML SOLUTION 0.12052 2014-02-01 9999-12-31

45712 L-CARNITINE 500 MG TABLET 0.23438 2012-02-01 9999-12-31

45810 SODIUM BENZOATE POWDER 0.18720 2013-05-01 9999-12-31

45850 ELOCON 0.1% CREAM 0.99999 2014-01-01 9999-12-31

45930 MOMETASONE FUROATE 0.1% OIN 1.27999 2014-05-01 9999-12-31

45960 FAMOTIDINE 40 MG/5 ML SUSP 3.97680 2011-11-01 9999-12-31

45971 ALLERGY RELIEF 25 MG CAPSUL 0.03099 2014-04-01 9999-12-31

45972 DIPHENHYDRAMINE 50 MG CAPSU 0.03470 2011-11-01 9999-12-31

46013 DIPHENHYDRAMINE 50 MG/ML VI 3.30000 2011-01-01 9999-12-31

46032 V-R VALUDRYL 12.5 MG/5 ML E 0.09152 2014-05-01 9999-12-31

46060 VALU-DRYL 12.5 MG TAB CHEW 0.34612 2012-09-01 9999-12-31

46062 QUENALIN 12.5 MG/5 ML SYRUP 0.00878 2011-09-01 9999-12-31

46071 BANOPHEN 25 MG TABLET 0.04836 2014-01-01 9999-12-31

46072 DIPHENHIST 50 MG TABLET 0.06912 2011-09-01 9999-12-31

46131 ZOLMITRIPTAN 2.5 MG TABLET 60.15249 2014-05-01 9999-12-31

46132 ZOLMITRIPTAN 5 MG TABLET 53.19999 2014-05-01 9999-12-31

46170 CARBINOXAMINE MALEATE 4 MG 0.65820 2014-03-01 9999-12-31

46430 ACID CONTROLLER 20 MG TABLE 0.12000 2011-07-01 9999-12-31

46431 FAMOTIDINE 40 MG TABLET 0.24000 2013-09-01 9999-12-31

46432 FAMOTIDINE 10 MG TABLET 0.10779 2013-09-01 9999-12-31

46503 ALLER-CHLOR 2 MG/5 ML SYRUP 0.02104 2011-01-01 9999-12-31

46512 CHLORPHENIRAMINE 4 MG TABLE 0.01020 2014-01-01 9999-12-31

46593 SM FEXOFENADINE HCL 60 MG T 0.87699 2014-05-01 9999-12-31

46594 FEXOFENADINE HCL 180 MG TAB 0.46350 2013-05-01 9999-12-31

46690 TAVIST-1 1.34 MG TABLET 0.20892 2011-01-01 9999-12-31

46740 CIMETIDINE 300 MG/5 ML SOLN 0.10632 2013-07-01 9999-12-31

Page 40: gcn drug name price begin date end date 00031 fluvastatin sodium

46750 CIMETIDINE 200 MG TABLET 0.10500 2011-07-01 9999-12-31

46751 CIMETIDINE 300 MG TABLET 0.28800 2014-05-01 9999-12-31

46752 CIMETIDINE 400 MG TABLET 0.46824 2014-05-01 9999-12-31

46753 CIMETIDINE 800 MG TABLET 0.56568 2013-02-01 9999-12-31

46771 AZATHIOPRINE 50 MG TABLET 0.54000 2013-09-01 9999-12-31

46780 CROMOLYN 20 MG/2 ML NEB SOL 0.92209 2012-10-01 9999-12-31

46790 CROMOLYN SODIUM NASAL SOLUT 0.32260 2011-10-01 9999-12-31

46952 HEPARIN SOD 1,000 UNIT/ML V 0.28519 2014-05-01 9999-12-31

46953 HEPARIN SOD 20,000 UNIT/ML 20.11200 2011-01-01 9999-12-31

46990 CLEMASTINE 0.5 MG/5 ML SYRU 0.18699 2013-09-01 9999-12-31

47040 MEVACOR 20 MG TABLET 0.24552 2013-02-01 9999-12-31

47041 LOVASTATIN 40 MG TABLET 0.39470 2011-05-01 9999-12-31

47042 LOVASTATIN 10 MG TABLET 0.25119 2013-12-01 9999-12-31

47050 CIPROFLOXACIN HCL 250 MG TA 0.17445 2013-05-01 9999-12-31

47051 CIPROFLOXACIN HCL 500 MG TA 0.25425 2011-06-01 9999-12-31

47052 CIPROFLOXACIN HCL 750 MG TA 0.48000 2012-01-01 9999-12-31

47071 LEVOFLOXACIN 500 MG/20 ML V 2.14740 2012-07-01 9999-12-31

47072 LEVOFLOXACIN-D5W 250 MG/50 0.17328 2012-05-01 9999-12-31

47073 LEVOFLOXACIN 250 MG TABLET 0.50490 2013-11-01 9999-12-31

47074 LEVAQUIN 500 MG TABLET 0.57870 2013-05-01 9999-12-31

47110 VERAPAMIL 40 MG TABLET 0.18576 2011-02-01 9999-12-31

47124 TERAZOSIN 1 MG CAPSULE 0.17392 2013-08-01 9999-12-31

47125 TERAZOSIN 2 MG CAPSULE 0.11400 2013-06-01 9999-12-31

47126 TERAZOSIN 5 MG CAPSULE 1.49456 2014-04-01 9999-12-31

47127 TERAZOSIN 10 MG CAPSULE 0.17748 2014-02-01 9999-12-31

47130 NAPROXEN SODIUM 275 MG TAB 0.26124 2014-05-01 9999-12-31

47131 NAPROXEN SODIUM 550 MG TAB 0.39866 2014-03-01 9999-12-31

47132 SB NAPROXEN SOD 220 MG CAPL 0.07428 2014-03-01 9999-12-31

47162 WART REMOVER 40% PATCH 0.98400 2014-05-01 9999-12-31

47260 LISINOPRIL 5 MG TABLET 0.03673 2011-01-01 9999-12-31

47261 ZESTRIL 10 MG TABLET 0.05164 2013-10-01 9999-12-31

47262 LISINOPRIL 20 MG TABLET 0.05724 2013-10-01 9999-12-31

47263 LISINOPRIL 40 MG TABLET 0.12000 2014-04-01 9999-12-31

47264 LISINOPRIL 2.5 MG TABLET 0.03444 2012-05-01 9999-12-31

47265 LISINOPRIL 30 MG TABLET 0.16305 2013-10-01 9999-12-31

47281 CEFUROXIME AXETIL 250 MG TA 2.02500 2014-05-01 9999-12-31

47282 CEFUROXIME AXETIL 500 MG TA 3.90900 2014-03-01 9999-12-31

47284 CEFTIN 250 MG/5 ML ORAL SUS 0.81380 2008-12-19 9999-12-31

47450 BACTROBAN 2% OINTMENT 1.74872 2012-08-01 9999-12-31

47459 BACTROBAN 2% CREAM 3.91119 2013-05-01 9999-12-31

47500 CARBAMAZEPINE 100 MG/5 ML S 0.19939 2013-12-01 9999-12-31

47560 MYCOPHENOLATE 250 MG CAPSUL 0.82005 2014-03-01 9999-12-31

47561 MYCOPHENOLATE 500 MG TABLET 1.90428 2014-05-01 9999-12-31

47580 ENALAPRILAT 1.25 MG/ML VIAL 3.60000 2013-04-01 9999-12-31

47631 SYNTHROID 88 MCG TABLET 0.45099 2013-10-01 9999-12-31

47632 SYNTHROID 137 MCG TABLET 0.54030 2013-10-01 9999-12-31

47710 NIZATIDINE 150 MG CAPSULE 1.44559 2012-11-01 9999-12-31

47711 NIZATIDINE 300 MG CAPSULE 0.80210 2008-06-20 9999-12-31

47860 LIDOCAINE POWDER 0.22944 2011-01-01 9999-12-31

48102 ISOSORBIDE MN ER 60 MG TABL 0.84000 2014-05-01 9999-12-31

48103 ISOSORBIDE MN ER 120 MG TAB 1.26000 2013-12-01 9999-12-31

48104 ISOSORBIDE MN ER 30 MG TABL 0.52500 2013-12-01 9999-12-31

48131 DIAZEPAM 2.5 MG RECTAL GEL 270.32400 2011-01-01 9999-12-31

48191 FLOMAX 0.4 MG CAPSULE 0.54000 2013-03-01 9999-12-31

48370 TERCONAZOLE 80 MG SUPPOSITO 32.65599 2013-04-01 9999-12-31

48380 TERAZOL 7 CREAM 1.09132 2013-06-01 9999-12-31

48381 TERAZOL 3 CREAM 2.45550 2013-06-01 9999-12-31

48541 RAMIPRIL 1.25 MG CAPSULE 1.46880 2012-07-01 9999-12-31

Page 41: gcn drug name price begin date end date 00031 fluvastatin sodium

48542 RAMIPRIL 2.5 MG CAPSULE 0.39240 2012-08-01 9999-12-31

48543 RAMIPRIL 5 MG CAPSULE 0.39144 2014-05-01 9999-12-31

48544 ALTACE 10 MG CAPSULE 0.56850 2013-12-01 9999-12-31

48561 UNIVASC 7.5 MG TABLET 0.73820 2008-09-19 9999-12-31

48562 MOEXIPRIL HCL 15 MG TABLET 0.72540 2008-09-19 9999-12-31

48580 FOSINOPRIL SODIUM 40 MG TAB 0.51082 2014-03-01 9999-12-31

48581 FOSINOPRIL SODIUM 10 MG TAB 0.39460 2013-10-01 9999-12-31

48582 FOSINOPRIL SODIUM 20 MG TAB 0.41106 2011-12-01 9999-12-31

48590 TRETINOIN 10 MG CAPSULE 25.81776 2011-09-01 9999-12-31

48591 CHERACOL SORE THROAT SPRAY 0.01567 2013-01-01 9999-12-31

48611 BENAZEPRIL HCL 5 MG TABLET 0.19488 2014-04-01 9999-12-31

48612 BENAZEPRIL HCL 10 MG TABLET 0.24360 2013-12-01 9999-12-31

48613 LOTENSIN 20 MG TABLET 0.51373 2014-05-01 9999-12-31

48614 BENAZEPRIL HCL 40 MG TABLET 0.19488 2013-05-01 9999-12-31

48641 FLUTICASONE PROP 0.005% OIN 0.88879 2013-07-01 9999-12-31

48671 PRAVASTATIN SODIUM 10 MG TA 0.72000 2014-05-01 9999-12-31

48672 PRAVASTATIN SODIUM 20 MG TA 0.52260 2013-11-01 9999-12-31

48673 PRAVASTATIN SODIUM 40 MG TA 0.94141 2014-05-01 9999-12-31

48790 ZITHROMAX 1 GM POWDER PACKE 29.12799 2014-02-01 9999-12-31

48792 AZITHROMYCIN 100 MG/5 ML SU 2.61600 2014-01-01 9999-12-31

48793 ZITHROMAX 250 MG TABLET 2.10999 2011-01-01 9999-12-31

48794 ZITHROMAX 600 MG TABLET 5.52639 2011-09-01 9999-12-31

48795 ZITHROMAX I.V. 500 MG VIAL 7.20000 2012-04-01 9999-12-31

48810 SODIUM SULF-SULFUR CLEANSER 0.56930 2013-01-01 9999-12-31

48811 HYDROCORTISONE 0.1% SOLN 0.49860 2014-02-01 9999-12-31

48821 CEFPODOXIME 100 MG TABLET 5.38980 2012-01-01 9999-12-31

48822 CEFPODOXIME 200 MG TABLET 8.11860 2013-02-01 9999-12-31

48831 DIPHEDRYL 12.5 MG/5 ML ELIX 0.01191 2014-02-01 9999-12-31

48850 BIAXIN XL 500 MG TABLET 4.50579 2014-01-01 9999-12-31

48851 BIAXIN 500 MG TABLET 4.34040 2012-05-01 9999-12-31

48852 CLARITHROMYCIN 250 MG TABLE 5.77459 2013-07-01 9999-12-31

48971 DESONIDE 0.05% LOTION 3.56673 2013-06-01 9999-12-31

49001 NITROFURANTOIN MONO-MCR 100 3.69702 2013-03-01 9999-12-31

49101 SPORANOX 100 MG CAPSULE 15.09559 2013-10-01 9999-12-31

49122 MAXIPIME 1 GRAM VIAL 7.20000 2014-01-01 9999-12-31

49123 CEFEPIME HCL 2 GRAM VIAL 16.95000 2011-01-01 9999-12-31

49237 COENZYME Q10 60 MG CAPSULE 0.50400 2011-01-01 9999-12-31

49261 VANDAZOLE VAGINAL 0.75% GEL 1.00970 2011-01-01 9999-12-31

49290 SM CHILD ALL DAY ALLER 1 MG 0.02719 2014-05-01 9999-12-31

49291 CETIRIZINE HCL 10 MG TABLET 0.15156 2014-04-01 9999-12-31

49292 CETIRIZINE HCL 5 MG TABLET 0.19950 2013-03-01 9999-12-31

49301 CEFPODOXIME 50 MG/5 ML SUSP 0.82716 2013-02-01 9999-12-31

49302 CEFPODOXIME 100 MG/5 ML SUS 1.65432 2014-05-01 9999-12-31

49541 LETROZOLE 2.5 MG TABLET 0.37500 2011-12-01 9999-12-31

50001 HUMULIN 70-30 VIAL 7.19232 2011-05-01 9999-12-31

50159 BP FOLINATAL PLUS B TABLET 1.04928 2011-01-01 9999-12-31

50272 LIDODERM 5% PATCH 8.98599 2013-10-01 9999-12-31

50384 BOOST GLUCOSE CONTROL LIQUI 0.01392 2011-03-01 9999-12-31

50417 TRAMADOL HCL ER 200 MG TABL 5.34960 2013-10-01 9999-12-31

50427 ULTRAM ER 300 MG TABLET 9.01519 2013-11-01 9999-12-31

50463 BICILLIN L-A 1,200,000 UNIT 30.81840 2011-02-01 9999-12-31

50473 BICILLIN L-A 2,400,000 UNIT 31.57590 2011-02-01 9999-12-31

50502 NTG 0.2 MG/ML IN D5W 0.02966 2011-09-01 9999-12-31

50638 GLIPIZIDE ER 2.5 MG TABLET 0.34719 2014-05-01 9999-12-31

50740 IMITREX 5 MG NASAL SPRAY 47.28399 2013-06-01 9999-12-31

50741 ALSUMA 6 MG/0.5 ML AUTO-INJ 229.50000 2014-03-01 9999-12-31

50742 IMITREX 6 MG/0.5 ML VIAL 163.51680 2012-11-01 9999-12-31

50744 IMITREX 20 MG NASAL SPRAY 47.28399 2013-06-01 9999-12-31

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50748 CAFFEINE CIT 60 MG/3 ML VIA 11.37199 2012-09-01 9999-12-31

50767 MOXIFLOXACIN HCL 400 MG TAB 27.00000 2014-04-01 9999-12-31

50776 PROGESTERONE 100 MG CAPSULE 2.55810 2013-12-01 9999-12-31

50786 PROGESTERONE 200 MG CAPSULE 4.85955 2014-05-01 9999-12-31

50815 CALCIUM 600 + VIT D 200 TAB 0.04389 2013-07-01 9999-12-31

50835 ESTER-C 500 MG TABLET 0.10279 2013-06-01 9999-12-31

50925 ACEROLA C 500 MG WAFER 0.05270 2011-01-01 9999-12-31

51245 VANCOMYCIN HCL 1G/200 ML BA 0.13824 2012-09-01 9999-12-31

51261 CEFAZOLIN 1 GM-D5W BAG 0.10752 2012-08-01 9999-12-31

51550 LOPRESSOR HCT 50-25 TABLET 1.01400 2013-11-01 9999-12-31

51551 METOPROLOL-HCTZ 100-25 MG T 2.10312 2013-08-01 9999-12-31

51957 SOD CITRATE-CITRIC ACID SOL 0.02348 2014-02-01 9999-12-31

52030 PROPRANOLOL-HCTZ 40-25 MG T 0.17910 2008-12-19 9999-12-31

52122 CIPROFLOXACN-D5W 400 MG/200 0.02530 2013-11-01 9999-12-31

52220 TINIDAZOLE 500 MG TABLET 10.55580 2013-02-01 9999-12-31

52423 ALPHA LIPOIC ACID 100 MG CA 0.27806 2011-01-01 9999-12-31

52480 METHYLENE BLUE 1% VIAL 0.97680 2013-03-01 9999-12-31

52700 ACULAR 0.5% EYE DROPS 8.40000 2013-04-01 9999-12-31

52772 PROSIGHT TABLET 0.06300 2011-07-01 9999-12-31

53090 WAL-TUSSIN COUGH & COLD CF 0.02313 2014-05-01 9999-12-31

53141 DIPYRIDAMOLE 25 MG TABLET 0.23820 2012-09-01 9999-12-31

53142 DIPYRIDAMOLE 50 MG TABLET 0.33630 2007-12-21 9999-12-31

53143 DIPYRIDAMOLE 75 MG TABLET 0.46740 2007-12-21 9999-12-31

53280 PIPERACIL-TAZOBACT 2.25 GM 8.28000 2013-07-01 9999-12-31

53281 PIPERACIL-TAZOBACT 3.375 GM 6.04800 2013-09-01 9999-12-31

53282 ZOSYN 4/0.5G VIAL 21.04680 2012-02-01 9999-12-31

53382 ADULT WAL-TUSSIN DM MAX LIQ 0.03438 2013-02-01 9999-12-31

53491 ADULT ROBITUSSIN PEAK COLD 0.05083 2014-04-01 9999-12-31

53494 NEO-TUSS LIQUID 0.00000 2010-08-28 9999-12-31

53495 TUSSIN DM COUGH SYRUP 0.01102 2012-12-01 9999-12-31

53497 CHILD MUCUS RELIEF COUGH LI 0.02307 2014-05-01 9999-12-31

53740 VITAMIN D3 400 UNIT TABLET 0.01875 2012-03-01 9999-12-31

54160 ACCURETIC 10-12.5 MG TABLET 1.23306 2011-11-01 9999-12-31

54161 ACCURETIC 20-12.5 MG TABLET 1.23306 2011-01-01 9999-12-31

54190 CAFF-SOD BENZOATE 500 MG VL 6.00000 2012-03-01 9999-12-31

54201 ALDARA 5% CREAM 17.65999 2014-02-01 9999-12-31

54650 FLUOCINONIDE-E 0.05% CREAM 1.18719 2013-09-01 9999-12-31

54670 PHENYLHISTINE EXPECTORANT 0.26485 2013-07-01 9999-12-31

54681 GABITRIL 2 MG TABLET 6.66600 2014-01-01 9999-12-31

54860 ENALAPRIL-HCTZ 10-25 MG TAB 1.00200 2014-03-01 9999-12-31

54862 ENALAPRIL-HCTZ 5-12.5 MG TA 0.76740 2011-01-01 9999-12-31

54940 CAPTOPRIL-HCTZ 25-15 MG TAB 0.18876 2012-02-01 9999-12-31

54941 CAPTOPRIL-HCTZ 25-25 MG TAB 0.33408 2013-02-01 9999-12-31

54942 CAPTOPRIL-HCTZ 50-15 MG TAB 0.15180 2008-12-19 9999-12-31

54943 CAPTOPRIL-HCTZ 50-25 MG TAB 0.15180 2008-12-19 9999-12-31

55130 KONSYL-ORANGE POWDER 0.02132 2012-11-01 9999-12-31

55402 ACETAMINOPHEN-CODEINE SOLUT 0.02520 2013-08-01 9999-12-31

56590 KCL 20 MEQ-NS 1,000 ML IV S 0.00422 2014-01-01 9999-12-31

56591 KCL 40 MEQ-NS 1,000 ML IV S 0.00327 2013-12-01 9999-12-31

56780 BACTERIOSTATIC SALINE VIAL 0.04599 2011-10-01 9999-12-31

56821 EFFER-K 25 MEQ TABLET EFF 1.20319 2013-09-01 9999-12-31

56960 ARTIFICIAL TEAR OINTMENT 0.69256 2011-08-01 9999-12-31

56970 AMPHETAMINE SALTS 5 MG TABL 1.72815 2011-11-01 9999-12-31

56971 AMPHETAMINE SALTS 10 MG TAB 1.73175 2011-09-01 9999-12-31

56972 AMPHETAMINE SALTS 30 MG TAB 1.72815 2014-01-01 9999-12-31

56973 AMPHETAMINE SALTS 20 MG TAB 1.72815 2011-11-01 9999-12-31

57226 CALCIUM 500 + VIT D CAPLET 0.04603 2011-06-01 9999-12-31

58821 TRIGELS-F FORTE SOFTGEL 0.45588 2012-03-01 9999-12-31

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59511 LIDOCAINE-PRILOCAINE CREAM 38.40000 2012-08-01 9999-12-31

59841 AMNESTEEM 10 MG CAPSULE 15.44400 2011-02-01 9999-12-31

59842 AMNESTEEM 20 MG CAPSULE 10.20000 2014-03-01 9999-12-31

59843 AMNESTEEM 40 MG CAPSULE 14.79999 2014-04-01 9999-12-31

60141 HEMOCYTE-F TABLET 0.35640 2013-11-01 9999-12-31

60521 CHILD CLEAR-ATADINE 10 MG T 0.59250 2014-01-01 9999-12-31

60544 AZELASTINE 137 MCG NASAL SP 3.82749 2012-09-01 9999-12-31

60548 GRANISETRON HCL 4 MG/4 ML V 23.88000 2010-09-18 9999-12-31

60562 HM CHILD LORATADINE 5 MG/5 0.05574 2013-12-01 9999-12-31

60563 LORATADINE 10 MG TABLET 0.06066 2013-03-01 9999-12-31

60821 FLUCONAZOLE 40 MG/ML SUSP 3.68956 2013-12-01 9999-12-31

60822 FLUCONAZOLE 10 MG/ML SUSP 0.92571 2013-01-01 9999-12-31

60823 LAMISIL 250 MG TABLET 0.30000 2013-07-01 9999-12-31

61140 STRONG IODINE SOLUTION 0.09792 2012-09-01 9999-12-31

61198 AZITHROMYCIN 500 MG TABLET 4.38799 2014-05-01 9999-12-31

61199 AZITHROMYCIN 200 MG/5 ML SU 1.30800 2014-02-01 9999-12-31

61221 CEFTIN 125 MG/5 ML ORAL SUS 0.54300 2008-12-19 9999-12-31

61252 AMOXICILLIN 500 MG TABLET 0.52350 2014-05-01 9999-12-31

61761 ETODOLAC 400 MG TABLET 1.47724 2014-02-01 9999-12-31

61762 ETODOLAC ER 600 MG TABLET 3.14316 2013-09-01 9999-12-31

61765 ETODOLAC ER 400 MG TABLET 2.78520 2013-09-01 9999-12-31

61766 ETODOLAC 500 MG TABLET 1.68750 2013-09-01 9999-12-31

61767 ETODOLAC ER 500 MG TABLET 2.95872 2013-10-01 9999-12-31

61850 EC-NAPROSYN EC 375 MG TABLE 0.54000 2011-01-01 9999-12-31

61851 NAPROXEN EC 500 MG TABLET 0.88125 2013-02-01 9999-12-31

62263 FLUTICASONE PROP 50 MCG SPR 2.06250 2012-04-01 9999-12-31

62427 WAL-SPORIN FIRST AID OINTME 0.32535 2013-04-01 9999-12-31

62498 TERBINAFINE HCL 1% CREAM 0.48150 2013-08-01 9999-12-31

62591 CARBIDOPA-LEVO ER 50-200 TA 1.73414 2014-02-01 9999-12-31

62592 CARBIDOPA-LEVO ER 25-100 TA 0.45000 2013-11-01 9999-12-31

62600 KCL 20 MEQ IN D5W-NS 0.00315 2012-11-01 9999-12-31

62661 D5%-1/2NS-KCL 40 MEQ/L IV S 0.00422 2012-09-01 9999-12-31

62663 KCL 20 MEQ IN D5W-0.45% NAC 0.00243 2014-02-01 9999-12-31

62723 KCL 20 MEQ IN D5W-0.2% NACL 0.00422 2012-08-01 9999-12-31

62729 ARTHROTEC 50 MG-200 MCG TAB 3.21879 2013-02-01 9999-12-31

62740 CARBIDOPA-LEVODOPA 10-100 T 0.38442 2014-03-01 9999-12-31

62741 CARBIDOPA-LEVODOPA 25-100 T 0.34927 2014-05-01 9999-12-31

62742 SINEMET 25-250 MG TABLET 0.41160 2014-02-01 9999-12-31

62771 LOVENOX 60 MG/0.6 ML SYRING 82.50000 2013-08-01 9999-12-31

62772 ENOXAPARIN 80 MG/0.8 ML SYR 82.50000 2013-05-01 9999-12-31

62773 LOVENOX 100 MG/ML SYRINGE 82.50000 2013-06-01 9999-12-31

63101 VICOPROFEN 200-7.5 MG TAB 1.27425 2011-01-01 9999-12-31

63565 FEXOFENADINE-PSE ER 60-120 2.23740 2011-03-01 9999-12-31

63570 ALLERGY & CONGESTION RLF TA 0.76766 2014-04-01 9999-12-31

63577 WAL-ITIN D 24 HOUR TABLET 0.59250 2014-05-01 9999-12-31

63820 BISOPROLOL FUMARATE 10 MG T 0.76260 2008-12-19 9999-12-31

63821 BISOPROLOL FUMARATE 5 MG TA 0.85500 2012-10-01 9999-12-31

63910 MI ACID SUSPENSION 0.00544 2014-01-01 9999-12-31

63915 SM ANTACID ANTI-GAS LIQUID 0.00984 2013-04-01 9999-12-31

63922 ANTACID PLUS X STRNGTH SUSP 0.00793 2011-02-01 9999-12-31

63970 ANTACID SUSPENSION 0.00624 2011-01-01 9999-12-31

64269 LANSOPRAZOL-AMOXICIL-CLARIT 4.92750 2014-01-01 9999-12-31

64316 LAMOTRIGINE 100 MG TABLET 0.33165 2013-09-01 9999-12-31

64317 LAMOTRIGINE 25 MG TABLET 0.19752 2014-04-01 9999-12-31

64322 LAMOTRIGINE 25 MG DISPER TA 0.52872 2013-04-01 9999-12-31

64323 LAMOTRIGINE 5 MG DISPER TAB 0.52872 2014-03-01 9999-12-31

64324 LAMOTRIGINE 150 MG TABLET 0.30900 2012-05-01 9999-12-31

64325 LAMOTRIGINE 200 MG TABLET 0.39574 2011-01-01 9999-12-31

Page 44: gcn drug name price begin date end date 00031 fluvastatin sodium

64371 VALPROATE SOD 500 MG/5 ML V 0.86400 2014-04-01 9999-12-31

64672 BUPRENORPHINE 2 MG TABLET S 3.72600 2012-02-01 9999-12-31

64673 BUPRENORPHINE 8 MG TABLET S 6.96600 2012-01-01 9999-12-31

65020 DIPHENOXYLAT-ATROP 2.5-0.02 0.16579 2014-02-01 9999-12-31

65030 DIPHENOXYLATE-ATROP 2.5-0.0 0.67200 2014-05-01 9999-12-31

65061 HM VITAMIN B-1 100 MG TABLE 0.03043 2014-05-01 9999-12-31

65070 ACIDOPHILUS-PECTIN CAPSULE 0.03588 2012-01-01 9999-12-31

66392 COLOCORT 100 MG ENEMA 0.12956 2013-02-01 9999-12-31

66559 HM ENEMA READY TO USE 0.00834 2013-12-01 9999-12-31

66560 PV PHOSPHATE LAXATIVE SOLUT 0.06452 2013-03-01 9999-12-31

66600 REGULOID POWDER REGULAR 0.01642 2014-04-01 9999-12-31

66610 NATURAL FIBER POWDER 0.01484 2014-04-01 9999-12-31

66990 ATENOLOL-CHLORTHAL 50-25 TB 0.53664 2014-05-01 9999-12-31

66991 ATENOLOL-CHLORTHALIDONE 100 0.75399 2014-05-01 9999-12-31

67031 LEFLUNOMIDE 10 MG TABLET 0.99999 2014-03-01 9999-12-31

67032 LEFLUNOMIDE 20 MG TABLET 2.16799 2014-04-01 9999-12-31

67070 AMOX TR-K CLV 250-125 MG TA 7.11849 2013-06-01 9999-12-31

67071 AMOX TR-K CLV 500-125 MG TA 1.69260 2014-04-01 9999-12-31

67076 AMOX TR-K CLV 875-125 MG TA 1.94460 2013-04-01 9999-12-31

67077 AMOX TR-K CLV 400-57 TAB CH 3.10500 2014-02-01 9999-12-31

67078 AMOX TR-K CLV 200-28.5 TAB 1.62900 2013-08-01 9999-12-31

67093 MEROPENEM IV 1 GM VIAL 67.55640 2012-09-01 9999-12-31

67151 AUGMENTIN 250-62.5 MG/5 ML 1.42207 2013-10-01 9999-12-31

67153 AMOX TR-K CLV 400-57/5 SUSP 0.38127 2014-03-01 9999-12-31

67154 AMOX TR-K CLV 200-28.5/5 SU 0.29551 2014-05-01 9999-12-31

67334 ITCH RELIEF CREAM 0.18556 2014-04-01 9999-12-31

67661 QUETIAPINE FUMARATE 25 MG T 0.30810 2014-01-01 9999-12-31

67662 QUETIAPINE FUMARATE 100 MG 0.52890 2014-02-01 9999-12-31

67663 QUETIAPINE FUMARATE 200 MG 0.99780 2014-01-01 9999-12-31

67665 SEROQUEL 300 MG TABLET 1.06380 2014-05-01 9999-12-31

67700 KONSYL PACKET 0.27799 2014-03-01 9999-12-31

67950 VITAMIN A & D OINTMENT 0.05088 2013-09-01 9999-12-31

68030 COVARYX H.S. TABLET 1.80000 2011-03-01 9999-12-31

68031 COVARYX TABLET 0.70310 2008-12-19 9999-12-31

68101 JUNEL FE 1.5 MG-30 MCG TABL 0.92106 2012-08-01 9999-12-31

68102 JUNEL FE 1 MG-20 MCG TABLET 0.92106 2012-08-01 9999-12-31

68105 TILIA FE 28 TABLET 1.76348 2014-02-01 9999-12-31

68233 XYLOCAINE 1%-EPI 1:100,000 0.10560 2013-10-01 9999-12-31

68237 LIDOCAINE 2%-EPI 1:100,000 0.14880 2014-02-01 9999-12-31

68737 MELATONIN SR 3 MG TABLET 0.05604 2012-10-01 9999-12-31

68738 MELATONIN 3 MG TABLET 0.06300 2014-04-01 9999-12-31

68811 APRI 28 DAY TABLET 1.09500 2013-11-01 9999-12-31

69069 CROMOLYN 4% EYE DROPS 3.37500 2011-01-01 9999-12-31

69380 SM MICONAZOLE 3 COMBO PACK 11.70240 2014-05-01 9999-12-31

69500 ASCOMP WITH CODEINE CAPSULE 3.28785 2014-03-01 9999-12-31

69790 FLUCONAZOLE-NS 200 MG/100 M 0.09804 2011-12-01 9999-12-31

69950 DRY SKIN TREATMENT 0.06325 2013-08-01 9999-12-31

70022 ENOXAPARIN 40 MG/0.4 ML SYR 82.50000 2013-07-01 9999-12-31

70131 ACETAMINOPHEN-COD #2 TABLET 0.29222 2012-08-01 9999-12-31

70134 ACETAMINOPHEN-COD #3 TABLET 0.27120 2011-09-01 9999-12-31

70136 ACETAMINOPHEN-COD #4 TABLET 0.42000 2014-02-01 9999-12-31

70140 BUTALB-CAFF-ACETAMINOPH-COD 1.43040 2013-06-01 9999-12-31

70221 SM PAIN RELIEVER PM CAPLET 0.05673 2012-03-01 9999-12-31

70330 HYDROCODONE-APAP 10-325 TAB 0.43140 2013-07-01 9999-12-31

70491 OXYCODONE-ACETAMINOPHEN 5-3 0.35625 2014-01-01 9999-12-31

70492 OXYCODON-ACETAMINOPHEN 2.5- 1.96716 2011-01-01 9999-12-31

70741 BELLADONNA-OPIUM 16.2-30 SU 20.40000 2011-05-01 9999-12-31

70742 BELLADONNA-OPIUM 16.2-60 SU 27.03199 2012-04-01 9999-12-31

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71039 GLUCOSAMINE-CHONDROITIN CAP 0.20559 2012-04-01 9999-12-31

71060 PENTAZOCINE-NALOXONE TABLET 1.24836 2014-02-01 9999-12-31

71150 BUTALBITAL-ASA-CAFFEINE CAP 1.31400 2014-05-01 9999-12-31

71200 ORPHENADRINE COMP FORTE TAB 1.80850 2008-09-19 9999-12-31

72510 ESGIC CAPSULE 1.98000 2013-12-01 9999-12-31

72530 BUTALB-ACETAMIN-CAFF 50-325 1.53898 2014-05-01 9999-12-31

72711 ACETAMINOPHN-BUTALBITAL 325 0.36278 2011-03-01 9999-12-31

72751 MENSTRUAL RELIEF CAPLET 0.14688 2011-01-01 9999-12-31

72950 CAFERGOT TABLET 3.63804 2013-11-01 9999-12-31

73543 ATACAND 8 MG TABLET 3.17319 2014-01-01 9999-12-31

73710 ANTI-NAUSEA LIQUID 0.04303 2013-08-01 9999-12-31

74040 BELLADONNA-PHENOBARB ELIXIR 0.16209 2012-11-01 9999-12-31

74070 BELLADONNA-PHENOBARBITAL TA 0.02419 2012-01-01 9999-12-31

74801 CHLORDIAZEPOXIDE-CLIDINIUM 0.94740 2014-04-01 9999-12-31

74975 DOPAMINE 800 MG-D5W 250 ML 0.08966 2013-09-01 9999-12-31

75051 CALPHRON 667 MG TABLET 0.59394 2011-10-01 9999-12-31

77350 DML LOTION 0.02450 2013-12-01 9999-12-31

77562 ERYTHROMYCIN 2% SOLUTION 0.99225 2014-01-01 9999-12-31

77641 MEDERMA GEL 0.55752 2012-09-01 9999-12-31

77729 MINERIN CREME 0.01818 2011-11-01 9999-12-31

78069 CETAPHIL CREAM 0.03390 2011-03-01 9999-12-31

78091 CETAPHIL MOISTURIZING LOT 0.02130 2011-03-01 9999-12-31

78092 CETAPHIL MOISTURIZING CREAM 0.02222 2011-02-01 9999-12-31

79831 ANTI-ITCH LOTION 0.01940 2013-09-01 9999-12-31

80619 SM COLD & HOT PAIN RELIEF B 0.05709 2011-01-01 9999-12-31

81111 NARATRIPTAN HCL 2.5 MG TABL 24.00000 2013-05-01 9999-12-31

81112 NARATRIPTAN HCL 1 MG TABLET 13.14133 2014-01-01 9999-12-31

81240 DANDRUFF 1% SHAMPOO 0.02359 2013-03-01 9999-12-31

82300 CELESTONE SOLUSPAN 6 MG/ML 7.68000 2012-08-01 9999-12-31

82330 SPIRONOLACTONE-HCTZ 25-25 T 1.53345 2013-12-01 9999-12-31

82341 AMILORIDE HCL-HCTZ 5-50 MG 0.28281 2012-07-01 9999-12-31

84597 LEUPROLIDE 2WK 1 MG/0.2 ML 136.17000 2008-12-19 9999-12-31

84853 GALANTAMINE HBR 12 MG TABLE 2.77660 2010-02-06 9999-12-31

84854 GALANTAMINE HBR 4 MG TABLET 2.77660 2009-10-03 9999-12-31

84855 GALANTAMINE HBR 8 MG TABLET 2.77660 2009-12-05 9999-12-31

85080 FLUOCINOLONE 0.01% BODY OIL 2.23503 2013-12-01 9999-12-31

85361 ALENDRONATE SODIUM 70 MG TA 1.05000 2013-12-01 9999-12-31

85400 ERYTHROMYCIN-BENZOYL GEL 2.69517 2012-10-01 9999-12-31

85451 TRIPLE ANTIBIOTIC OINTMENT 0.23332 2013-07-01 9999-12-31

85459 TRIPLE ANTIBIOTIC OINTMENT 0.14577 2014-04-01 9999-12-31

85909 AKWA TEARS OINTMENT 1.06285 2012-09-01 9999-12-31

86211 POLYETHYLENE GLYCOL 3350 PO 1.80759 2013-04-01 9999-12-31

86212 POLYETHYLENE GLYCOL 3350 PO 0.02958 2013-11-01 9999-12-31

86223 LEVETIRACETAM 1,000 MG TABL 0.98499 2014-01-01 9999-12-31

86903 SULF-PRED 10-0.23% EYE DROP 3.60000 2013-03-01 9999-12-31

86960 ARTIFICIALS TEARS DROPS 0.31934 2014-05-01 9999-12-31

87270 NEOMYCIN-POLY-HC EYE DROPS 18.10879 2014-05-01 9999-12-31

87555 LEUCOVORIN CALCIUM 10 MG TA 6.73599 2013-07-01 9999-12-31

87556 LEUCOVORIN CALCIUM 15 MG TA 10.18478 2011-01-01 9999-12-31

87557 LEUCOVORIN CALCIUM 25 MG TA 9.70620 2008-12-19 9999-12-31

87558 LEUCOVORIN CALCIUM 5 MG TAB 1.63305 2014-05-01 9999-12-31

87940 MAXILUBE PERSONAL LUBRICANT 0.03388 2012-02-01 9999-12-31

88000 LISINOPRIL-HCTZ 20-12.5 MG 0.20100 2013-01-01 9999-12-31

88001 LISINOPRIL-HCTZ 20-25 MG TA 0.22140 2013-12-01 9999-12-31

88002 ZESTORETIC 10-12.5 MG TABLE 0.13395 2013-12-01 9999-12-31

88490 SWIM EAR DROPS 0.10550 2012-11-01 9999-12-31

88730 TRIAMTERENE-HCTZ 50-25 MG C 1.99380 2011-03-01 9999-12-31

88731 TRIAMTERENE-HCTZ 37.5-25 MG 0.31815 2014-04-01 9999-12-31

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88740 MAXZIDE 75 MG-50 MG TABLET 0.41010 2012-02-01 9999-12-31

88741 MAXZIDE 37.5 MG-25 MG TABLE 0.40725 2012-02-01 9999-12-31

88861 HEMORRHOIDAL SUPPOSITORY 0.20899 2011-02-01 9999-12-31

89321 BACLOFEN POWDER 36.34320 2014-05-01 9999-12-31

89397 CALCIUM-500 MG TABLET CHEWA 0.05419 2011-01-01 9999-12-31

89452 LEVOFLOXACIN 0.5% EYE DROPS 15.30000 2013-10-01 9999-12-31

89520 UNASYN 1.5 GM VIAL 7.32600 2011-11-01 9999-12-31

89521 UNASYN 3 GM VIAL 9.25200 2014-01-01 9999-12-31

89596 LEVOFLOXACIN-D5W 750 MG/150 0.10495 2013-08-01 9999-12-31

89597 LEVOFLOXACIN 750 MG TABLET 1.08360 2011-10-01 9999-12-31

89621 LAMIVUDINE-ZIDOVUDINE TABLE 14.90580 2013-08-01 9999-12-31

89743 OLUX 0.05% FOAM 5.89608 2013-10-01 9999-12-31

89863 METFORMIN HCL ER 500 MG TAB 0.12547 2012-09-01 9999-12-31

89878 GLYBURID-METFORMIN 1.25-250 0.11796 2013-12-01 9999-12-31

89879 GLYBURIDE-METFORMIN 5-500 M 0.28548 2013-08-01 9999-12-31

89891 MALARONE 250-100 MG TABLET 7.00399 2012-04-01 9999-12-31

90099 CYCLOBENZAPRINE HCL POWDER 45.54000 2012-08-01 9999-12-31

90139 SULFAMETHOXAZOLE-TMP VIAL 0.79620 2013-04-01 9999-12-31

90146 CALCIUM FOLINATE POWDER 0.00634 2011-10-01 9999-12-31

90150 SULFAMETHOXAZOLE-TMP SUSP 0.10338 2012-12-01 9999-12-31

90161 SULFAMETHOXAZOLE-TMP SS TAB 0.27900 2014-05-01 9999-12-31

90163 SULFAMETHOXAZOLE-TMP DS TAB 0.10560 2013-04-01 9999-12-31

90168 MICONAZOLE POWDER 18.48000 2011-05-01 9999-12-31

90176 NIFEDIPINE POWDER 4.41600 2011-09-01 9999-12-31

90228 SODIUM CHLORIDE POWDER 0.01004 2012-04-01 9999-12-31

90280 PYRIDOXINE HCL CRYSTALS 0.36576 2012-03-01 9999-12-31

90302 SODIUM ASCORBATE POWDER 0.94800 2014-02-01 9999-12-31

90347 METRONIDAZOLE BENZOATE POWD 1.09440 2012-10-01 9999-12-31

90382 KOBEE TABLET 0.04872 2013-07-01 9999-12-31

90396 RIVASTIGMINE 1.5 MG CAPSULE 2.49999 2013-02-01 9999-12-31

90397 EXELON 3 MG CAPSULE 4.05120 2011-08-01 9999-12-31

90399 EXELON 6 MG CAPSULE 4.07379 2013-10-01 9999-12-31

90460 CHOLECALCIFEROL CRYSTALS 75.93600 2011-01-01 9999-12-31

90806 CALCIUM CITRATE - VIT D CAP 0.11178 2012-10-01 9999-12-31

90819 MELATONIN 5 MG TABLET 0.11551 2013-10-01 9999-12-31

90835 CALCIUM CITRATE 250 MG TABL 0.02812 2013-01-01 9999-12-31

91071 LICE KILLING SHAMPOO 0.09753 2013-08-01 9999-12-31

91690 V-R SORE THROAT SPRAY 0.01232 2013-04-01 9999-12-31

91713 GUAIFEN-CODEINE 100-10 MG/5 0.11320 2014-05-01 9999-12-31

91765 SKELAXIN 800 MG TABLET 6.11250 2013-09-01 9999-12-31

91883 INSPRA 25 MG TABLET 3.71959 2014-05-01 9999-12-31

91915 NIACIN FLUSH-FREE 500 MG CA 0.10392 2011-06-01 9999-12-31

91941 AUGMENTIN XR 1,000-62.5 TAB 6.70140 2013-10-01 9999-12-31

92007 ZYPREXA ZYDIS 5 MG TABLET 8.55519 2014-01-01 9999-12-31

92008 ZYPREXA ZYDIS 10 MG TABLET 12.58440 2014-05-01 9999-12-31

92121 BUSPIRONE HCL 30 MG TABLET 4.36125 2012-09-01 9999-12-31

92219 ZONISAMIDE 100 MG CAPSULE 0.49995 2013-08-01 9999-12-31

92250 WAL-PROFEN COLD & SINUS CPL 0.28800 2011-06-01 9999-12-31

92253 NAPRELAN CR 500 MG TABLET 0.00000 2009-11-07 9999-12-31

92257 NITROGLYCERIN LINGUAL 0.4 M 27.93000 2014-05-01 9999-12-31

92280 TOBRAMYCIN-DEXAMETH OPHTH S 27.86400 2014-04-01 9999-12-31

92353 TEA TREE OIL 0.12000 2011-08-01 9999-12-31

92411 HYDROCORTISONE 1% OINTMENT 0.08485 2012-11-01 9999-12-31

92421 HYDROCORTISONE-ALOE 1% CREA 0.13942 2014-03-01 9999-12-31

92451 EYE ITCH RELIEF 0.025% DROP 1.38240 2013-04-01 9999-12-31

92504 FENOFIBRATE 134 MG CAPSULE 1.64556 2012-06-01 9999-12-31

92529 ICAR 15 MG/1.25 ML SUSPENSI 0.18294 2012-09-01 9999-12-31

92574 MAGNEBIND 400 RX TABLET 0.27199 2014-01-01 9999-12-31

Page 47: gcn drug name price begin date end date 00031 fluvastatin sodium

92713 ZALEPLON 5 MG CAPSULE 0.48000 2013-07-01 9999-12-31

92723 ZALEPLON 10 MG CAPSULE 0.59088 2013-11-01 9999-12-31

92868 FIRST-PROGESTERONE VGS 200 3.19999 2013-08-01 9999-12-31

92872 RISPERIDONE 0.25 MG TABLET 0.42496 2012-08-01 9999-12-31

92875 PROPRANOLOL 1 MG/ML VIAL 10.20000 2011-03-01 9999-12-31

92889 GLYBURIDE-METFORMIN 2.5-500 0.12060 2012-08-01 9999-12-31

92892 RISPERIDONE 0.5 MG TABLET 0.45864 2012-08-01 9999-12-31

92896 AROMASIN 25 MG TABLET 20.25000 2014-03-01 9999-12-31

92903 TEMODAR 20 MG CAPSULE 46.55485 2014-01-01 9999-12-31

92913 TEMOZOLOMIDE 100 MG CAPSULE 232.77120 2013-11-01 9999-12-31

92933 TEMOZOLOMIDE 250 MG CAPSULE 582.09120 2013-11-01 9999-12-31

92989 OMEPRAZOLE DR 10 MG CAPSULE 1.38750 2014-05-01 9999-12-31

92991 ACTOS 15 MG TABLET 0.33720 2014-04-01 9999-12-31

92999 OMEPRAZOLE DR 40 MG CAPSULE 0.69312 2014-05-01 9999-12-31

93001 ACTOS 30 MG TABLET 0.51559 2014-04-01 9999-12-31

93007 BENZONATATE 200 MG CAPSULE 0.50400 2014-03-01 9999-12-31

93011 ACTOS 45 MG TABLET 0.55920 2014-04-01 9999-12-31

93038 REQUIP 4 MG TABLET 2.49600 2014-01-01 9999-12-31

93048 ROPINIROLE HCL 3 MG TABLET 0.78285 2012-10-01 9999-12-31

93054 FOLBEE PLUS TABLET 0.50946 2012-05-01 9999-12-31

93075 METHYLPHENIDATE ER 10 MG TA 1.65036 2013-06-01 9999-12-31

93142 ROCALTROL 1 MCG/ML ORAL SOL 11.45599 2014-05-01 9999-12-31

93226 LEVONORGESTREL 0.75 MG TABL 17.55000 2014-05-01 9999-12-31

93240 VITAMIN D 400 UNIT SOFTGEL 0.05269 2013-02-01 9999-12-31

93241 VITAMIN D 1,000 UNITS SOFTG 0.07095 2014-04-01 9999-12-31

93242 VITAMIN D3 5,000 UNIT CAPSU 0.12470 2013-09-01 9999-12-31

93271 CRANBERRY URINARY COMF SFTG 0.09129 2012-01-01 9999-12-31

93365 AMOXICILLIN 400 MG TAB CHEW 0.43380 2008-09-19 9999-12-31

93375 AMOXICILLIN 400 MG/5 ML SUS 0.09600 2011-01-01 9999-12-31

93385 AMOXICILLIN 200 MG/5 ML SUS 0.09000 2014-05-01 9999-12-31

93387 MINOCYCLINE 75 MG CAPSULE 0.76920 2013-10-01 9999-12-31

93437 FENOFIBRATE 200 MG CAPSULE 2.64660 2012-11-01 9999-12-31

93446 FENOFIBRATE 67 MG CAPSULE 1.10925 2013-11-01 9999-12-31

93557 OXYBUTYNIN CL ER 15 MG TABL 3.78795 2014-02-01 9999-12-31

93686 NIACINAMIDE 500 MG TABLET 0.03435 2013-11-01 9999-12-31

93945 PREDNISOLONE SOD PH 25 MG/5 0.78480 2013-12-01 9999-12-31

94035 MELATONIN 1 MG TABLET 0.04892 2012-05-01 9999-12-31

94122 VERAPAMIL ER PM 100 MG CAPS 1.25950 2008-12-19 9999-12-31

94123 VERAPAMIL ER PM 200 MG CAPS 1.55580 2008-12-19 9999-12-31

94124 VERAPAMIL ER PM 300 MG CAPS 3.52296 2011-01-01 9999-12-31

94144 SUPER B COMPLEX-VIT C CAPLE 0.05078 2014-05-01 9999-12-31

94148 VITAMIN B COMPLEX-VIT C CAP 0.05059 2013-11-01 9999-12-31

94161 VITAMIN A 10,000 UNITS CAPS 0.02412 2011-01-01 9999-12-31

94164 VITAMIN A 8,000 UNIT CAPSUL 0.02294 2013-11-01 9999-12-31

94227 BETA-CAROTENE 25,000 UNITS 0.06672 2011-01-01 9999-12-31

94230 VITAMIN B COMPLEX CAPSULE 0.08323 2012-08-01 9999-12-31

94240 B-50 BALANCED TABLET 0.01860 2013-07-01 9999-12-31

94305 ASCORBIC ACID POWDER 0.30295 2011-07-01 9999-12-31

94322 VIT C-ROSE HIPS 1,000 MG CP 0.04488 2013-08-01 9999-12-31

94325 VITAMIN C 250 MG TABLET 0.02294 2014-01-01 9999-12-31

94327 VITAMIN C-500 MG TABLET 0.02103 2011-01-01 9999-12-31

94332 VITAMIN C 250 MG TABLET CHE 0.03331 2013-11-01 9999-12-31

94333 CVS VITAMIN C 500 MG TAB CH 0.03300 2014-03-01 9999-12-31

94351 VITAMIN C 500 MG CAPSULE SA 0.10608 2013-11-01 9999-12-31

94363 VITAMIN C 500 MG/5 ML SYRUP 0.03097 2013-05-01 9999-12-31

94380 CARISOPRODOL COMPOUND TAB 2.00928 2011-06-01 9999-12-31

94411 ERGOCALCIFEROL ORAL SOLUTIO 1.51174 2013-12-01 9999-12-31

94422 VIT D2 1.25 MG (50,000 UNIT 0.89925 2013-03-01 9999-12-31

Page 48: gcn drug name price begin date end date 00031 fluvastatin sodium

94440 MONTELUKAST SOD 5 MG TAB CH 1.12500 2013-12-01 9999-12-31

94444 SINGULAIR 10 MG TABLET 1.12500 2014-01-01 9999-12-31

94446 SULFACETAMIDE SOD 10% TOP S 0.99966 2014-02-01 9999-12-31

94447 GABAPENTIN 800 MG TABLET 0.89340 2014-02-01 9999-12-31

94481 CALCITRIOL 0.25 MCG CAPSULE 1.43325 2011-01-01 9999-12-31

94482 CALCITRIOL 0.5 MCG CAPSULE 1.83324 2013-11-01 9999-12-31

94490 ACCURETIC 20-25 MG TABLET 1.10066 2012-07-01 9999-12-31

94501 VITAMIN E 50 UNIT/ML DROPS 1.09959 2011-11-01 9999-12-31

94530 VITAMIN E 1,000 UNITS SOFTG 0.11940 2013-12-01 9999-12-31

94531 VITAMIN E 100 UNIT CAPSULE 0.01980 2011-02-01 9999-12-31

94532 VITAMIN E 200 UNIT CAPSULE 0.05592 2013-11-01 9999-12-31

94534 VITAMIN E 400 UNIT CAPSULE 0.04188 2011-01-01 9999-12-31

94563 VITAMIN B-12 100 MCG TABLET 0.01704 2011-06-01 9999-12-31

94564 VITAMIN B-12 250 MCG TABLET 0.01633 2011-01-01 9999-12-31

94565 VITAMIN B12 500 MCG TABLET 0.02736 2014-04-01 9999-12-31

94566 VITAMIN B-12 1,000 MCG TABL 0.05376 2011-10-01 9999-12-31

94570 CVS VIT B-12 TR 1,000 MCG T 0.11184 2014-03-01 9999-12-31

94571 RA VITAMIN B12 ER 2,000 MCG 0.12782 2011-03-01 9999-12-31

94594 CYANOCOBALAMIN 1,000 MCG/ML 3.75600 2013-12-01 9999-12-31

94615 OPTIVAR 0.05% DROPS 18.75000 2013-12-01 9999-12-31

94624 GABAPENTIN 600 MG TABLET 0.75957 2014-02-01 9999-12-31

94639 RABEPRAZOLE SOD DR 20 MG TA 2.19799 2014-04-01 9999-12-31

94652 GAS RELIEF 180 MG SOFTGEL 0.06999 2014-01-01 9999-12-31

94677 CICLOPIROX 0.77% CREAM 1.53699 2011-10-01 9999-12-31

94691 DILTIAZEM HCL ER 420 MG CAP 1.36940 2008-12-19 9999-12-31

94700 VITAMIN B-12 1,000 MCG TAB 0.04500 2012-06-01 9999-12-31

94725 VITAMIN K 10 MG/ML AMPUL 13.74000 2014-02-01 9999-12-31

94781 FOLIC ACID 1 MG TABLET 0.03112 2012-07-01 9999-12-31

94783 SM FOLIC ACID 0.4 MG TABLET 0.01770 2014-05-01 9999-12-31

94784 FOLIC ACID 0.8 MG TABLET 0.01824 2011-01-01 9999-12-31

94801 FOLIC ACID 5 MG/ML VIAL 3.20400 2013-10-01 9999-12-31

94812 PV VITAMIN A 10,000 UNITS S 0.02412 2011-01-01 9999-12-31

94868 KARIVA 28 DAY TABLET 2.31276 2011-01-01 9999-12-31

94872 FIP NIACIN 500MG CAP SA 0.05760 2014-05-01 9999-12-31

94874 NIACIN SA 250 MG CAPSULE 0.10656 2013-04-01 9999-12-31

94881 NIACIN 500 MG TABLET 0.02580 2013-07-01 9999-12-31

94885 NIACIN 250 MG TABLET 0.02617 2013-04-01 9999-12-31

94890 NIACIN TR 250 MG TABLET 0.09516 2013-07-01 9999-12-31

94891 CVS NIACIN CR 500 MG CAPLET 0.04788 2014-03-01 9999-12-31

94961 PYRIDOXINE 100 MG/ML VIAL 10.78800 2012-03-01 9999-12-31

94971 VITAMIN B-6 100 MG TABLET 0.03000 2014-01-01 9999-12-31

94976 VITAMIN B-6 50 MG TABLET 0.01512 2013-06-01 9999-12-31

94977 PYRIDOXINE 25 MG TABLET 0.09000 2014-04-01 9999-12-31

95011 VITAMIN B-2 25 MG TABLET 0.02412 2011-05-01 9999-12-31

95013 IBUPROFEN POWDER 0.38256 2011-10-01 9999-12-31

95014 VITAMIN B-2 100 MG TABLET 0.04884 2014-04-01 9999-12-31

95021 VITAMIN B1 100MG/ML VIAL 5.97000 2011-01-01 9999-12-31

95033 VITAMIN B-1 100 MG TABLET 0.01512 2011-01-01 9999-12-31

95046 MIMVEY 1-0.5 MG TABLET 3.84042 2012-09-01 9999-12-31

95050 CVS SPECTRAVITE LIQUID 0.01374 2013-11-01 9999-12-31

95079 COMTAN 200 MG TABLET 3.79656 2014-02-01 9999-12-31

95172 GERAVIM LIQUID 0.00874 2011-01-01 9999-12-31

95176 CENTRAL-VITE SENIORS TABLET 0.07286 2011-12-01 9999-12-31

95220 MATERNITY VITAMIN 0.17184 2014-04-01 9999-12-31

95221 MULTIVITS W/F 0.5MG/ML DROP 0.22680 2014-05-01 9999-12-31

95223 MULTIVIT-FLUOR 0.25 MG/ML D 0.22680 2013-03-01 9999-12-31

95250 TRI-VIT-FLUOR-IRON 0.25 MG/ 0.37881 2011-05-01 9999-12-31

95272 BRONTO-VITES TABLET CHEW 0.02190 2013-11-01 9999-12-31

Page 49: gcn drug name price begin date end date 00031 fluvastatin sodium

95280 SOLUVITE TABLET 0.04152 2011-09-01 9999-12-31

95324 LEVOTHYROXINE SODIUM POWDER 794.58000 2012-06-01 9999-12-31

95348 BALSALAZIDE DISODIUM 750 MG 1.35933 2014-02-01 9999-12-31

95353 CICLOPIROX 0.77% TOPICAL SU 1.20000 2013-11-01 9999-12-31

95361 MULTIVIT-IRON-FL 0.25 MG/ML 0.22680 2013-03-01 9999-12-31

95382 POTASSIUM CITRATE GRANULES 0.05623 2014-04-01 9999-12-31

95387 SODIUM CITRATE DIHYDRATE PO 0.07651 2012-01-01 9999-12-31

95389 HEMORRHOIDAL SUPPOSITORIES 0.19200 2013-01-01 9999-12-31

95391 PRENATAL WITH IRON TABLET 0.08016 2014-02-01 9999-12-31

95396 PLURONIC 20% GEL 0.09708 2014-04-01 9999-12-31

95405 LMX 4 4% CREAM 1.11999 2013-11-01 9999-12-31

95500 MULTIPLE VITAMINS TABLET 0.01198 2013-10-01 9999-12-31

95501 THERA CAPLET 0.04300 2013-12-01 9999-12-31

95502 CHEWABLE-VITE TABLET 0.03984 2011-07-01 9999-12-31

95533 KENWOOD THERAPEUTIC LIQUID 0.02287 2011-02-01 9999-12-31

95540 ICAPS PLUS TABLET 0.03388 2011-05-01 9999-12-31

95580 STRESS FORMULA TABLET 0.04980 2011-01-01 9999-12-31

95600 COMPETE TABLET 0.04761 2011-07-01 9999-12-31

95601 MULTILEX-T-M-MINERALS TAB 0.05184 2013-08-01 9999-12-31

95620 ADVANCED FORMULA TABLET 0.05673 2012-03-01 9999-12-31

95621 THERAPEUTIC M TABLET 0.06672 2011-01-01 9999-12-31

95680 DAILY-VITES WITH IRON TABLE 0.02100 2011-01-01 9999-12-31

95766 MEDIWASH EYE IRRIGANT SOLUT 0.01473 2013-08-01 9999-12-31

95820 MULTIVIT WITH IRON TAB CHEW 0.03528 2013-03-01 9999-12-31

95833 BENZOYL PEROXIDE 6% CLEANSE 0.08817 2012-10-01 9999-12-31

95883 SM FISH OIL CONCENTRATE SFG 0.10543 2011-12-01 9999-12-31

95919 DORZOLAMIDE-TIMOLOL EYE DRO 7.49850 2013-12-01 9999-12-31

95976 PANTOPRAZOLE SOD DR 20 MG T 0.16666 2013-02-01 9999-12-31

96010 CLOPIDOGREL 75 MG TABLET 0.24990 2013-05-01 9999-12-31

96041 TUSSIGON TABLET 0.71376 2013-10-01 9999-12-31

96136 BROMFED DM COUGH SYRUP 0.23862 2014-02-01 9999-12-31

96334 ENOXAPARIN 300 MG/3 ML VIAL 81.19200 2013-12-01 9999-12-31

96337 KETAMINE HCL POWDER 2.30400 2011-01-01 9999-12-31

96445 WAL-ACT TABLET 0.06450 2011-07-01 9999-12-31

96616 CALDYPHEN CLEAR LOTION 0.03790 2013-07-01 9999-12-31

96842 DEXTROMETHORPHAN HBR POWDER 11.87025 2013-11-01 9999-12-31

97002 FENOFIBRATE 48 MG TABLET 2.25000 2014-05-01 9999-12-31

97003 FENOFIBRATE 145 MG TABLET 6.83332 2013-09-01 9999-12-31

97034 MAGONATE 27 MG TABLET 0.13572 2014-01-01 9999-12-31

97048 SURGILUBE LUBRICANT 0.03519 2013-09-01 9999-12-31

97111 FOCALIN XR 15 MG CAPSULE 6.58548 2014-04-01 9999-12-31

97127 SALICYLIC ACID 6% CREAM 0.16674 2011-05-01 9999-12-31

97141 FERREX 150 PLUS CAPSULE 1.16479 2012-01-01 9999-12-31

97145 ORAZINC 220 MG CAPSULE 0.03315 2011-01-01 9999-12-31

97147 MULTIGEN CAPLET 1.19785 2011-01-01 9999-12-31

97148 MULTIGEN PLUS CAPLET 1.19785 2011-01-01 9999-12-31

97167 ZEOSA CHEWABLE TABLET 2.50899 2012-08-01 9999-12-31

97196 CHILDRENS PLUS M-S COLD SUS 0.06092 2013-11-01 9999-12-31

97216 H-CHLOR 12 0.125% SOLUTION 0.02396 2014-05-01 9999-12-31

97258 FISH OIL CONCENTRATE SOFTGE 0.11990 2013-09-01 9999-12-31

97267 FISH OIL 1,000 MG SOFTGEL 0.05280 2013-01-01 9999-12-31

97292 SALEX 6% SHAMPOO 0.21117 2012-07-01 9999-12-31

97298 FISH OIL 1,000 MG SOFTGEL 0.05730 2013-05-01 9999-12-31

97358 MUCUS RELIEF SINUS TABLET 0.38366 2014-01-01 9999-12-31

97420 LIDOCAINE HCL 2% VIAL 0.50400 2014-03-01 9999-12-31

97502 ONDANSETRON HCL 4 MG/2 ML V 0.57000 2012-12-01 9999-12-31

97503 FERROUS GLUCONATE 324 MG TA 0.05160 2011-02-01 9999-12-31

97508 KADIAN ER 80 MG CAPSULE 14.54652 2013-09-01 9999-12-31

Page 50: gcn drug name price begin date end date 00031 fluvastatin sodium

97534 KADIAN ER 30 MG CAPSULE 5.45964 2013-01-01 9999-12-31

97535 KADIAN ER 60 MG CAPSULE 10.91904 2012-10-01 9999-12-31

97548 FISH OIL 500 MG SOFTGEL 0.03451 2012-06-01 9999-12-31

97586 GNP MUSCLE RUB CREAM 0.03175 2013-10-01 9999-12-31

97587 HM CALAMINE LOTION 0.01016 2013-12-01 9999-12-31

97624 VITAFOL-OB CAPLET 0.81960 2012-02-01 9999-12-31

97651 VOL-CARE RX TABLET 0.46428 2014-01-01 9999-12-31

97706 PHENOBARBITAL 16.2 MG TABLE 0.20984 2014-02-01 9999-12-31

97721 FER-IN-SOL 15 MG/ML DROPS 0.08250 2011-03-01 9999-12-31

97790 EPINEPHRINE 1 MG/ML AMPUL 1.58400 2011-05-01 9999-12-31

97802 ISO GENTAMICIN 100 MG/100 M 0.05364 2013-10-01 9999-12-31

97827 PROCTOFOAM 1% FOAM 3.27999 2013-12-01 9999-12-31

97837 DEXAMETHASONE 10 MG/ML VIAL 3.87600 2011-02-01 9999-12-31

97857 ESTRIOL MICRONIZED POWDER 10.56000 2011-01-01 9999-12-31

97950 LEVOCETIRIZINE 2.5 MG/5 ML 0.59869 2013-12-01 9999-12-31

97965 PHENOBARBITAL 32.4 MG TABLE 0.26384 2014-05-01 9999-12-31

97966 PHENOBARBITAL 64.8 MG TABLE 0.32994 2014-02-01 9999-12-31

97967 PHENOBARBITAL 97.2 MG TABLE 0.49032 2014-02-01 9999-12-31

98019 VITAFOL-OB+DHA COMBO PACK 0.99480 2013-11-01 9999-12-31

98049 MUPIROCIN POWDER 25.92000 2011-05-01 9999-12-31

98232 DUAC GEL 5.42499 2013-09-01 9999-12-31

98308 PEG-3350 AND ELECTROLYTES S 0.00514 2011-09-01 9999-12-31

98310 TEMOZOLOMIDE 140 MG CAPSULE 325.88400 2013-11-01 9999-12-31

98379 TRAVOPROST 0.004% EYE DROP 36.99840 2013-09-01 9999-12-31

98399 SM CALCIUM SOFT TAB CHEW 0.11184 2011-01-01 9999-12-31

98425 D3-50 50,000 UNITS CAPSULE 0.18000 2011-01-01 9999-12-31

98433 COLYTE WITH FLAVOR PACKETS 0.00300 2011-01-01 9999-12-31

98446 NEOSPORIN EYE DROPS 5.57400 2013-05-01 9999-12-31

98454 VSL#3 CAPSULE 0.77739 2014-03-01 9999-12-31

98507 LEVOCARNITINE 100 MG/ML SOL 0.25867 2014-04-01 9999-12-31

98512 SM REDNESS RELIEF EYE DROPS 0.22334 2011-12-01 9999-12-31

98520 SODIUM CHLORIDE 7% VIAL 0.21999 2014-03-01 9999-12-31

98527 FERROUS SULF EC 324 MG TABL 0.05160 2011-02-01 9999-12-31

98535 BP CLEANSING WASH 0.24640 2011-02-01 9999-12-31

98548 CVS CALCIUM CHEWABLES PLUS 0.08030 2012-04-01 9999-12-31

98551 AMETHYST 90-20 MCG TABLET 2.03656 2012-05-01 9999-12-31

98609 PLO20 FLOWABLE BASE GEL 0.19117 2011-01-01 9999-12-31

98654 CHOLESTYRAMINE LIGHT POWDER 0.31954 2013-08-01 9999-12-31

98676 FISH OIL 1,200 MG SOFTGEL 0.11503 2013-12-01 9999-12-31

98740 ONE DAILY FOR MEN TABLET 0.04788 2012-04-01 9999-12-31

98746 URETRON D-S TABLET 1.51788 2011-01-01 9999-12-31

98754 GENTAMICIN PED 20 MG/2 ML V 2.36400 2013-08-01 9999-12-31

98810 FERROUS GLUCONATE 325 MG TA 0.04452 2013-11-01 9999-12-31

98818 DOXYCYCLINE MONO 150 MG CAP 21.82479 2013-12-01 9999-12-31

98828 NASOHIST DM PEDIATRIC DROPS 0.85959 2013-12-01 9999-12-31

98829 FERREX 28 TABLET 1.00370 2012-01-01 9999-12-31

98844 OVACE 10% WASH 0.50678 2011-11-01 9999-12-31

98857 SOMA 250 MG TABLET 3.17364 2011-01-01 9999-12-31

98859 FISH OIL 1,000 MG SOFTGEL 0.06999 2012-05-01 9999-12-31

98905 TRIADVANCE TABLET 0.21319 2011-01-01 9999-12-31

98907 TRINATAL GT TABLET 0.25266 2012-06-01 9999-12-31

98909 INATAL ULTRA TABLET 0.17184 2012-10-01 9999-12-31

98923 CHLORHEXIDINE GLUC 2% CLOTH 1.53124 2012-04-01 9999-12-31

98929 TRIVEEN-DUO DHA COMBO PACK 0.55560 2011-01-01 9999-12-31

98935 ARTIFICIAL TEARS EYE OINT 0.94285 2011-02-01 9999-12-31

98948 STALEVO 200 TABLET 3.60072 2012-09-01 9999-12-31

98955 CORVITA 150 TABLET 1.39555 2011-03-01 9999-12-31

98973 PRAMIPEXOLE 0.75 MG TABLET 0.22665 2013-05-01 9999-12-31

Page 51: gcn drug name price begin date end date 00031 fluvastatin sodium

98991 FISH OIL 1,200 MG SOFTGEL 0.07549 2011-12-01 9999-12-31

99002 FAMOTIDINE 20 MG/2 ML VIAL 0.54000 2012-07-01 9999-12-31

99040 ANTI-ITCH CREME 1% CREAM 0.03085 2011-05-01 9999-12-31

99090 MAGNESIUM SULF 4% IV SOLN 0.16728 2013-09-01 9999-12-31

99097 MAGNESIUM SULF 4% IV SOLN 0.07668 2013-10-01 9999-12-31

99103 PRENATAL COMPLETE CAPLET 0.11191 2012-03-01 9999-12-31

99119 CITRANATAL RX TABLET 2.01253 2014-01-01 9999-12-31

99124 KETOPROFEN POWDER 0.50880 2011-01-01 9999-12-31

99126 BIOTIN POWDER 50.97600 2012-04-01 9999-12-31

99150 PLO20 BASE GEL 0.19117 2011-01-01 9999-12-31

99151 TRAMADOL ER 100 MG TABLET 4.23159 2014-01-01 9999-12-31

99183 SALICYLIC ACID 6% LOTION KI 0.15324 2011-01-01 9999-12-31

99184 SALICYLIC ACID 6% CREAM KIT 170.10000 2014-01-01 9999-12-31

99223 MAGNESIUM SULF 8% IV SOLN 0.14904 2011-05-01 9999-12-31

99224 MAGNESIUM-D5W 1 GM/100 ML S 0.07524 2013-11-01 9999-12-31

99227 MAGNESIUM SULF 4% IV SOLN 0.01344 2013-09-01 9999-12-31

99230 NATURE-THROID 65 MG TABLET 0.20628 2013-08-01 9999-12-31

99233 FERROUS SULF 220 MG/5 ML EL 0.01045 2013-11-01 9999-12-31

99234 SM GLUCOSAMINE HCL 1,500 MG 0.19183 2011-12-01 9999-12-31

99267 GRANISETRON HCL 1 MG/ML VIA 59.70000 2010-09-18 9999-12-31

99283 ARTIFICIAL TEARS EYE DROPS 0.57535 2013-12-01 9999-12-31

99356 TL-HIST DM LIQUID 0.10908 2012-08-01 9999-12-31

99371 HYDROCODONE-IBUPROFEN 10-20 3.92640 2013-03-01 9999-12-31

99384 FOSPHENYTOIN 100 MG PE/2 ML 0.87600 2012-01-01 9999-12-31

99385 FOSPHENYTOIN 500 MG PE/10 M 0.79200 2011-01-01 9999-12-31

99388 GLUCOSAMINE-CHONDROIT-MSM C 0.17599 2013-01-01 9999-12-31

99421 TARON FORTE CAPSULE 0.60696 2013-01-01 9999-12-31

99442 HYDROCODONE-ACETAMIN 2.5-16 0.02180 2008-03-21 9999-12-31

99451 PRISTIQ ER 50 MG TABLET 0.00000 2010-07-31 9999-12-31

99455 COMPLEX B-100 ER CAPLET 0.10800 2011-01-01 9999-12-31

99467 GABAPENTIN POWDER 58.21200 2014-02-01 9999-12-31

99481 FLUVOXAMINE ER 100 MG CAPSU 9.05280 2014-03-01 9999-12-31

99557 PHENYTOIN 100 MG/4 ML SUSP 0.00000 2010-06-05 9999-12-31

99570 REQUIP XL 2 MG TABLET 2.58600 2012-11-01 9999-12-31

99581 HCU EXPRESS POWDER 10.62000 2011-01-01 9999-12-31

99590 SILICON DIOXIDE POWDER 2.40002 2013-09-01 9999-12-31

99620 COMPOUND - TABLET/CAPSULE/SOLN 0.09831 2011-05-01 9999-12-31

99623 FERRAPLUS 90 TABLET 0.65268 2011-01-01 9999-12-31

99629 TRINATAL RX 1 TABLET 0.21000 2012-01-01 9999-12-31

99631 STEVIA 90% POWDER 2.41920 2011-07-01 9999-12-31

99654 ACIDOPHILUS 175 MG CAPSULE 0.07044 2011-12-01 9999-12-31

99667 COLD & HOT PAIN RELIEF BALM 0.05709 2011-01-01 9999-12-31

99671 MELATONIN 5 MG TABLET 0.04800 2012-08-01 9999-12-31

99676 BENZOYL PEROXIDE 5% WASH 0.07113 2013-11-01 9999-12-31

99701 SALTSTABLE LO CREAM 0.21765 2011-07-01 9999-12-31

99710 HOME IV/ANTIBIOTIC/BAG/18 HRS 0.02314 2012-09-01 9999-12-31

99729 ATHLETE'S FOOT 1% LIQUID SP 0.05078 2011-07-01 9999-12-31

99776 MORPHINE SULFATE 1 MG/ML VI 0.31159 2011-01-01 9999-12-31

99811 HCU COOLER LIQUID 0.08168 2011-02-01 9999-12-31

99882 VITAMIN D 2,000 UNIT SOFTGE 0.07650 2013-12-01 9999-12-31

99910 BPM-PSE-DM LIQUID 0.16776 2011-05-01 9999-12-31

99945 CITRANATAL DHA PACK 1.38879 2014-04-01 9999-12-31

99947 UROMAG 140 MG CAPSULE 0.12060 2011-02-01 9999-12-31

99953 LUBRICANT EYE OINTMENT 2.46582 2012-03-01 9999-12-31

99986 DIALYVITE 5000 TABLET 0.51960 2011-06-01 9999-12-31