Bakersfield Heart Hospital

Description Charge Number PriceACT CLOTTING TIME 300009000 191.75CARDIOVERSION - OUTPATIENT ONLY 300009002 1,266.75EKG - 12 LEAD 300009010 548.00ECG - SIGNAL AVERAGE. 300009074 548.00INFUSION BLOOD PRODUCT - ONCE DAY 300009076 510.25SURG PROC SMPL@BEDSIDE W-O SEDANE 300009078 1,615.75SURG PROC SMPLE@BEDSIDE W/SEDANES 300009079 2,788.75SURG PROC CMPLX@BEDSIDE W/SEDANES 300009080 3,392.00TEMP PCMKR - DUAL CHAMBER OP 300009085 6,793.50TEMP PCMKR - SNGL CHAMBER OP 300009086 6,793.50TEMPORARY EXTERNAL PACING OP 300009087 903.00COLLECT VENOUS BLOOD-VENIPUNCTURE 300090075 98.50OP IV INF TX/DX UP TO 1 HR 300090600 479.00OP IV INF TX/DX EACH ADDL HR 300090610 107.00OP INSERT CNTRL VEN CATH PICC>5YR 300090655 999.50OP IV HYDRATE INITIAL UP TO 1 HR 300090700 479.00OP IV HYDRATE EACH ADDL HR 300090701 107.00OP INJ TX/PROPH/DX IV PUSH EA ADD 300090702 241.00OP IV INF SEQUENTIAL UP TO 1 HR 300090708 479.00OP IV INF CONCURRENT ONCE/ENCOUNT 300090709 479.00IMMUNIZATION ADMIN 300090808 107.00IMMUNIZATION ADMIN EA ADDL 300090809 46.25WOUND CARE-IP DEBRIDE/WC CONT SVC 300092006 178.50WOUND CARE-IP FU CONSLT CONTR SVC 300092008 129.00HEMODIALYSIS - INPATIENT 300092100 1,192.25PERITONEAL DIALYSIS - INPATIENT 300092101 483.25CCPD DIALYSIS - INPATIENT 300092102 564.50CRRT/CVVH DIALYSIS - INPATIENT 300092103 1,637.50HEMODIALYSIS - OUTPATIENT 300092104 1,192.25PERITONEAL DIALYSIS - OUTPATIENT 300092105 1,262.00MS MS 3 RM CHG 300098230 3,401.25MS TELE 3 RM CHG 300098231 3,653.00ACT CLOTTING TIME 301009000 191.75CARDIOVERSION OUTPATIENT ONLY 301009004 1,266.75EKG - 12 LEAD 301009013 548.00OCCULT BLOOD 301009047 46.50OVERLAY MATTRESS - ACUAIR AIRFLOW 301009052 108.00SURG PROC SMP@BEDSIDE W/O SEDANES 301009100 1,615.75SURG PROC SMPL@BEDSIDE W/SEDANES 301009101 2,788.75SURG PROC CMPLX@BEDSIDE W/SEDANES 301009102 3,392.00INFUSION BLOOD PRODUCT-ONCE DAY 301009103 510.25ECG - SIGNAL AVERAGE 301009109 548.00TEMP PCMKR-DUAL CHAMBER OUTPATIEN 301009115 6,793.50TEMP PCMKR-SNGL CHAMBER OUTPATIEN 301009116 6,793.50TEMPORARY EXTERNAL PACING OP 301009117 903.00COLLECT VENOUS BLOOD-VENIPUNCTURE 301090075 98.50OP IV INF TX/DX UP TO 1 HR 301090600 479.00OP IV INF TX/DX EACH ADDL HR 301090610 107.00OP INSERT CNTRL VEN CATH PICC>5YR 301090655 999.50OP IV HYDRATE INITIAL UP TO 1 HR 301090700 479.00OP IV HYDRATE EACH ADDL HR 301090701 107.00OP INJ TX/PROPH/DX IV PUSH EA ADD 301090702 241.00OP IV INF SEQUENTIAL UP TO 1 HR 301090708 479.00OP IV INF CONCURRENT ONCE/ENCOUNT 301090709 479.00CCU RM CHG 301098203 4,283.00CCU TELE RM CHG 301098204 3,653.00CCU MS RM CHG 301098205 3,401.25ARTERIAL LINE INSERTION 400009002 441.00BALLOON PUMP INSERTION 400009003 543.50CARDIOVERSION 400009006 1,266.75EKG - 12 LEAD 400009015 548.00O2 SATURATION 400009021 147.00

SWAN GANZ INSERTION 400009022 1,826.75THORACENTESIS 400009027 390.50TEMPORARY PACER 400009029 700.75PERICARDIOCENTESIS 400009032 495.00INFUSION BLOOD PRODUCT-ONCE DAY 400009034 510.25LUMBAR PUNCTURE 400009035 773.75BLOOD PATCH-INJ,EPIDUR,CLOT/PATCH 400009036 656.00BLOOD COLLECTION-IMP-VENOUS DEVIC 400009046 88.00TEMPORARY EXTERNAL PACING 400009047 903.00TEMP PCMKR-DUAL CHAMBER 400009048 6,793.50TEMP PCMKR-SNGL CHAMBER 400009049 6,793.50DOBHOFF INSERTION-LONG GI TUBE 400009051 666.75PUNCT ASPIR ABCESS,HEMA,CYST,BULL 400009052 265.25AICD CHECK - SCHEDULED OP 400009053 2,788.75TEE - ECHO 400009054 4,958.75LIVER BX, NEEDLE PERCUTANEOUS 400009055 1,947.00TILT TABLE 400009056 1,937.00ABI'S 400009057 403.00THORACENTESIS W/INSRT TUBE 400009058 942.00PULSE OX - SINGL DETERMINATION 400009067 190.00PULSE OX MULTIPLE DETERMINATIONS 400009068 375.00ECG - SIGNAL AVERAGE 400009070 548.00INSRT NONINDWELL BLAD CATH/STRGHT 400009080 74.50INSRT TEMP INDWELL BLAD CATH/SMPL 400009085 74.50OUTPATIENT VISIT 400009090 215.50COLLECT VENOUS BLOOD-VENIPUNCTURE 400090075 98.50I&D HEMATOMA SEROMA FLUID COLLECT 400090177 2,492.00PUNCT ASPIR ABCSS HEMA BULLA CYST 400090311 285.50OP IV INF TX/DX UP TO 1 HR 400090600 479.00OP IV INF TX/DX EACH ADDL HR 400090610 107.00OP INJ THER/PROPH/DIAG SC/IM 400090615 107.00OP INJ THER/PROPH/DIAG INTRA-ART 400090620 557.25OP INJ TX/PROPHY/DX IV PUSH 400090625 241.00INSERT CNTRL VEN CATH PICC>5YRS 400090655 999.50OP IV HYDRATE INITIAL UP TO 1 HR 400090700 479.00OP IV HYDRATE EACH ADDL HR 400090701 107.00OP INJ TX/PROPH/DX IV PUSH EA ADD 400090702 241.00OP IV INF SEQUENTIAL UP TO 1 HR 400090708 479.00OP IV INF CONCURRENT ONCE/ENCOUNT 400090709 479.00OP IV INFUSION START OUTSIDE HOSP 400090712 107.00BIOPSY SKIN SNGL LESION 400091209 286.75AVULSION OF NAIL PLATE 400091211 174.25AVULSION OF NAIL PLATE EA ADDL 400091212 174.25SUPERFICIAL/WND DEHISCENE SMPL 400091231 889.00BURN DRESSING W/O ANES SMALL 400091255 286.75DEBRIDEMENT OF NAILS 1-5 400091278 174.25DEB SUBQ TISSUE EA ADDL 20 SQ CM 400091584 523.25DEB MUSC/FASCIA EA ADDL 20 SQ CM 400091585 523.25DEB BONE EA ADDL 20 SQ CM 400091586 1,626.50DEB SUBQ TISSUE FIRST 20 SQ CM/< 400091590 523.25DEB MUSC/FASCIA FIRST 20 SQ CM/< 400091591 523.25DEB BONE FIRST 20 SQ CM/< 400091592 1,626.50NEW PATIENT LEVEL 1 400091651 145.50NEW PATIENT LEVEL 2 400091652 209.00NEW PATIENT LEVEL 3 400091653 277.25NEW PATIENT LEVEL 4 400091654 357.25NEW PATIENT LEVEL 5 400091655 469.75ESTABLISHED PATIENT LEVEL 1 400091661 145.50ESTABLISHED PATIENT LEVEL 2 400091662 209.00ESTABLISHED PATIENT LEVEL 3 400091663 209.00ESTABLISHED PATIENT LEVEL 4 400091664 277.25ESTABLISHED PATIENT LEVEL 5 400091665 357.25STRAPPING UNA BOOT LAYERED COMP 400092025 214.50INJ INTRALESIONAL UP TO INCLD 7 400092026 174.25DEBRIDEMENT OF NAILS 6 OR MORE 400092027 174.25

BIOPSY EA ADD'L LESION 400092028 174.25PARING CUTTING BENIGN SNGL LESION 400092029 174.25PARING CUTTING BENIGN 2-4 LESIONS 400092030 174.25STRAPPING MULTLAY COMPRS LWR LEG 400092404 214.50BEHAV CHNG SMOKING 3-10 MIN 400092506 57.75TRIM DYSTROPHIC NAILS ANY NUMBER 400092507 82.75DEBRIDE SEL W/O ANES >20 SQ CM 400095862 286.75DEBRIDE SEL W/O ANES <20 SQ CM 400095863 286.75DP MS RM CHG 400098245 3,401.25DP TELE RM CHG 400098246 3,653.00IV THERAPY (IVPB) 16 - 89 MINUTES 400590600 668.25IV THERAPY (IVPB) EA ADDL HR 400590610 74.00TEMP PCMKR SNGL CHAMBER OP 400590611 6,793.50TEMP PCMKR DUAL CHAMBER OP 400590612 6,793.50TEMPORARY EXTERNAL PACING OP 400590613 700.75VENIPUNCTURE COLLECT VENOUS BLOOD 400590614 90.75IM/SQ ADMINISTRATION EACH INJ 400590615 213.50SURG PROC SMPL@BEDSIDE WO SEDANES 400590616 1,615.75SURG PROC SMPL@BEDSIDE W/ SEDANES 400590617 2,788.75SURG PROC CMPL@BEDSIDE W/ SEDANES 400590618 3,392.00SURG PROC CMPL@BEDSIDE WO SEDANES 400590619 2,218.75INJ THER/PROPH/DIAG INTRA-ART 400590620 557.25IV PUSH INIT MED (1X FIRST MED) 400590625 241.00INSRT CNTRL VEN CATH PICC >5YRS 400590655 999.50BLOOD ADMINISTRATION 400590683 510.25EKG - 12 LEAD 400590684 548.00ABI'S-ANKLE BRACHIAL INDICES 400590691 403.00IV HYDRATION 31 - 89 MINUTES 400590700 668.25IV HYDRATION EACH ADDL HOUR 400590701 74.00IV PUSH EA ADDL MED 400590702 241.00IV EACH ADDL SEQUENTIAL INFUSE 400590708 241.00IV EACH ADDL CONCURRENT INFUSION 400590709 74.00CARDIOVERSION OP 400590711 1,266.75IV INFUSION STARTED OUTSIDE HOSP 400590712 74.00IV PUSH EA ADDL SEQ DRUG 400590801 241.00SSU MS RM CHG 400598392 3,401.25SSU TELE RM CHG 400598393 3,653.00IMMOBILIZER,SHOULDER LARGE 401001034 64.25IMMOBILIZER,SHOULDER MEDIUM 401001035 64.25IMMOBILIZER,SHOULDER SMALL 401001036 63.50BAG URINE DRN CLOSED SYS 401001105 30.00BAG URINE METER CLOSED SYS 401001106 61.25BANDAGE ACE ELAS 6IN 401001112 25.50BINDER ABD PANEL 3 30-45 401001131 69.50BINDER ABD PANEL 4 46-62 401001132 97.75BIOPATCH 401001134 24.75TRAY, BONE MARROW BIOPSY 11G X 4 401001135 350.00CATHETER FOLEY 14FR 5CC 401001159 26.00CATHETER FOLEY 18FR 5CC 401001161 26.00CATHETER FOLEY 3WAY 22FR 401001164 61.25CAHETER TROCAR 28FR 16STR 401001169 101.00CATHETER TROCAR 24FR 16STR 401001170 144.25CATHETER TROCAR 32FR 16STR 401001171 101.00CATHETER TROCAR 20FR 16STR 401001172 101.00CAUTERY HIGH TEMP FINE TIP DISP 401001173 34.00COLOSTOMY FLANGE 1 3/4IN 401001176 22.50COLOSTOMY FLANGE 2 3/4 401001177 262.25COLOSTOMY PASTE 401001178 54.75DRESSING,DUODERM X-THIN STR 6X6 401001210 36.50LIMB HOLDER,SOFT RESTRAINT WRAP 401001265 26.00PACKING,IDOFORM 1/2IN X 5 YDS 401001299 196.50PACKING,PLAIN 1IN X 5YDS 401001301 24.00PACKING,PLAIN 1/2IN X 5 YDS 401001302 20.75PACKING,PLAIN 1/4IN X 5 YDS 401001303 20.75PACKING,PLAIN 2IN X 5YDS 401001304 46.00

PAD,K-THERMA 18 X 26 401001308 43.25PROTECTOR,HEEL/ELBOW 401001313 65.25STAPLE, REMOVAL TRAY 401001346 15.00STOCKING,ANTI-EMBOLISM THIGH LG 401001357 43.75SUCTION,LINR W/TUBING 10FT NONSTR 401001362 22.50GARMENT DVT LARGE 401001396 112.00DVT THIGH GARMENT 401001397 316.50TRANSVENOUS PACING KIT 401001407 1,545.75TRAY, CATH FOLEY 16FR 401001409 91.00TRAY, CATH URETHERAL 14FR 401001410 22.50TRAY,LUMBAR PUNCTRE ADLT 20X3 1/2 401001411 94.75TRAY, THORACENTESIS W/CATHER 401001416 188.50TUBE, SALEM PUMP SIL W/RFLX 16FR 401001429 92.50TUBE, SALEM PUMP SIL W/RFLX 18FR 401001430 90.75VALV,ANT-REFLX W/SIL SLM SMP 14FR 401001439 134.25VALV,ANT-REFLX W/SIL SLM SMP 16FR 401001440 134.25VALV,ANT-REFLX W/SIL SLM SMP 18FR 401001441 130.75SUTURE, 1 SURGIDAC CV-29 30IN 401001469 42.50SUTURE, 2/0 SURGIPRO V-20 401001618 21.25LOPEZ VALVES 401001713 15.00WRIST SUPPORT K-C ARTERIAL 401001728 245.00CLIPPER BLADE FOR PIVOT HEAD 401001779 23.00SURGICEL 2 X 14 401001827 233.75MANIFOLD 5 PORT 3 WAY 401001870 39.75TEMPERATURE PROBE 9FR 401001872 31.50CATHETER VIP SWAN GANZ 401001873 261.00SUTURE, 2/0 SURGIDAC V-20 36IN 401001899 20.25SUTURE, 3/0 BIOSYN P-14 401001906 29.00STAPLER,ROYAL 35 DISP SKIN 401001964 48.25FEMORAL ARTERY PRESSURE DISC 401002298 14.00TRAY INSTRUMENT 401002371 26.00PORT-A-CATH NDL 20G X 1 90 DEG 401002373 24.00BLOOD TUBING OR WITH PUMP 401002459 29.00IV TUBING,BLOOD Y TYPE W/O PUMP 401002460 37.00ART PA LINE TUBING 401002461 225.75KIT,TRIPLE LUMEN 20 IN 401002474 205.50CLAVE PIGGYBACK Y SITE 401002487 16.25CHEST DRAIN ATRI SINGLE COLELCTIO 401002488 318.25BAG CPR WITH MASK 401002490 106.75CAT TRAY MAHURKAR CVD 401002683 668.00CATH TRAY MAHURHAR STRT 401002684 655.75BLANKET WARMING UPPER BODY 401002692 81.00BLANKET WARMING FULL BODY 401002693 50.50ISOVUE 370 20ML BOTTLE 10/CS 401002695 35.00ISOVUE 370 50ML BOTTLE 401002696 90.25ISOVUE 370 100ML BOTTLE 401002697 180.00ISOVUE 370 MULTIPACK 200ML BOTTLE 401002698 317.75ISOVUE 370 150ML BOTTLE 401002699 95.00VISIPAQUE 320 50ML BOTTLE 401002704 205.00VISIPAQUE 329 150ML BOTTLE 401002705 565.00SNARE AMPLATZ GOOSE NECK 2MM 401002706 5,936.25SNARE AMPLATZ GOOSE NECK 7MM 401002707 4,750.75SNARE AMPLATZ GOOSE NECK 4MM 401002708 4,750.75SNARE,GOOSENECK 35FR 401002709 2,228.25SNARE,GOOSENECK 10FR 401002710 2,228.25SNARE,GOOSENECK 15FR 401002711 2,312.00CATH RF CO MUL CUR 7FR 40-60MMSTI 401002718 5,213.00CATH RF CON MUL CU 7FR 55-75MM MD 401002719 5,213.00CAT RF MAR CU 7FR 40-60MM STD2/5 401002720 6,480.75CAT RF MA CUR 7FR 40-60MM STD5/5 401002721 6,480.75CAT RF MA CU 7FR 55-75MM XL 2/5/2 401002722 5,002.50CAT RF MA CUR 7FR 45-70MM STD 2/5 401002723 6,480.75CATH TOR ELE JO 6FR 2/5/2 110CM E 401002724 1,262.00CATH TO ELE JO 6FR 5/5/5 100CM 4E 401002725 1,262.00CAT TOR ELE CO 6FR 5/5/5 110CM 4E 401002726 1,262.00

CATH TO ELE JO 5FR 2/5/2 110CM 4E 401002727 1,633.75CAT TO ELE JO 5FR 5/5/5 110CM 4EL 401002728 1,633.75CAT TO ELE CO SIN 2/5/2 65CM10 401002729 2,270.25CAT TO EL CO SIN 5FR 2/8/2 65CM10 401002730 2,941.50PACEMAKER,KAPPA SR KSR701 401002748 14,301.75PACING LEAD CAPS Z NOVUS 5054 401002768 5,815.25PACING LEADS,CAPSURE FIX 5568 401002780 5,432.25INTRODUCER DUAL 10FR 401002784 439.00INTRODUCER DUAL 9FR 401002785 439.00INTRODUCER,DUAL 7FR 401002786 439.00INTRODUCER DUAL 8FR 401002787 439.00INTRODUCER,SINGLE 10FR 401002788 377.50INTRODUCER,SINGLE 9FR 401002789 220.00INTRODUCER SINGLE 8FR 401002790 220.00INTRODUCER SINGLE 7FR 401002791 220.00PACING LEAD,PASSIVE PLUS DX 52CM 401002820 5,255.25PACING LEAD,TENDRIL DX 46CM 401002822 7,080.25PACING LEAD,TENDRIL DX 52CM 401002823 10,089.75PACKING LEAD,TENDRIL DX 58CM 401002824 10,089.75ANGIOPLASTY Y-ADAPTER 401002852 68.50CATH GUIDE 8F C1 401002887 922.50CATH GUIDE 8F CROSSOVER 401002888 959.50CATH GUIDE 8F RESS 401002889 672.00FILTER,12F TITN GREENFIELD FEMORL 401002896 10,227.75FILTER,TITN JUGULAR VENA CAVA 401002897 7,495.00CATHETER GLIDECATH STR 65CM 5F 401002898 450.75CATHETER GLIDECATH ANG 100CM 5F 401002899 450.75WIRE GLIDE STR STIFF 035X260 401002900 395.00WIRE GLIDE ANG STIFF 035X260 401002901 395.00CATHETER GLIDECATH STR 100CM 5F 401002902 450.75GUIDEWIRE,.035 X 150 3CM ANGLED 401002904 229.75WIRE GLIDE ANG 035X260 401002905 339.00GUIDEWIRE.035X260X6CM AMPLATZ 401002906 313.50MEDITECH FLOWSWITCH 401002907 30.00STENT,WALL 7FR 10 X 39 75 401002909 7,155.50STENT,WALL 7FR 10 X 49 75 401002910 7,155.50STENT,WALL 7FR X 7 X 34 75 401002911 7,515.50STENT,WALL 7FR 7 X 55 75 401002912 7,910.75STENT,WALL 7FR 7 X 67 75 401002913 10,027.75STENT,WALL 6MM X 59MM 401002920 9,185.75STENT,WALL 7FR 8 X 20/75 401002921 7,515.50STENT,WALL 7FR 8 X 38/75 401002922 7,155.50STENT,WALL 7FR 8 X 47/75 401002923 7,155.50STENT,WALL 7FR 9 X 35/75 401002924 9,302.25STENT,WALL 7FR 9 X 52/75 401002925 7,515.50STENT,WALL 8MM X 66MM 401002926 9,643.25GUIDEWIRE,V-18 CONTROL .018X150 401002928 665.00WIRE MAGIC TORQUE .035X180 401002929 445.50BALLOON XXL 8FR 12-4/5X75 401002930 2,208.75BALLOON XXL 8FR 14-4/5X75 401002931 2,208.75CONTAMINAITON SLEEVE 401002935 54.75SERVICE KIT 401002953 309.50LEAD PIN CAP 401002954 171.75CATHETER FOLEY 10FR 10CC 401002956 95.00CATHETER FOLEY 18FR 10CC BALLOON 401002957 95.75CATHTR IABP 34CC 9.5FR PECR STATD 401002962 6,590.00CATH IABP 9.5FR 40CC PERC STAT D 401002963 6,943.75CATH IABP 8FR 34CC PROFILE 401002964 8,152.75CATHETER IABP 8FR 40CC PROFILE 401002965 5,009.50PAD,STAT DEFIB (ZOLL) 401002969 309.50STOCKING,ANTI EMBOLISM THIGH MED 401002971 43.75STOCKING,ANTI EMBOLISM THIGH SML 401002972 43.75CATH SVO2 CCO BAXTER 401002974 2,124.00CARDIAC OUTPUT SET 401002975 71.75ARROW GUIDEWIRE .025 401002979 50.00

GELFOAM 100 401002991 205.00ROSE DAMPENING DEVICE 401003109 31.50BLOOD WARMING SET STANDARD 401003111 78.50MCRO PNCTURE KIT PLATNUM TIP WIRE 401003113 264.50PACK EP 401003127 423.75PACK CARDIAC CATH 401003131 377.50PACK PACER 401003132 445.00PERCUTANEOUS SHEATH INTRO KIT 9FR 401003139 196.00CENTRAL LINE KIT 401003140 132.25TRAY, PERICARDIOCENTESIS 401003171 1,691.25RADIAL ARTERY CATH KIT 401003181 48.75ARTERIAL LINE KIT 20GA 401003182 67.00ARTERIAL LINE KIT 18G 401003183 67.00CATH FOLEY W/URINE METER 401003195 132.75IMMOBILIZER SHOULDER X-LARGE 401003207 64.25BOVIE PENCIL HAND 50/CS 401003216 19.00NEEDLE SELDINGER 2-PT 18GA X 2.75 401003244 35.25BALLOON ACE 20MM-1.5MM 401003282 3,257.25BALLOON ACE 20MM-2.0MM 401003283 3,257.25BALLOON ACE 20MM-2.5MM 401003284 3,257.25BALLOON ACE 20MM-3.0MM 401003285 2,425.25BALLOON ACE 20M-3.5MM 401003286 2,514.25BALLOON MAXXUM 10MM-3.0MM 401003291 2,514.25SHEATH SHORT W/WIRE 5FR 401003345 75.25SHEATH SHORT W/WIRE 6FR 401003346 75.25SHEATH SHORT W/WIRE 7FR 401003347 75.25SHEATH SHORT W/WIRE 8FR 401003348 75.25SHEATH SHORT W/WIRE 9FR 401003349 75.25SHEATH SHORT W/WIRE 10FR 401003350 107.25SHEATH LONG 6FR 401003352 158.00SHEATH LONG 7FR 401003353 158.00SHEATH LONG 8FR 401003354 158.00SHEATH LONG 9FR 401003355 225.75SHEATH LONG 10FR 401003356 225.75WIRE FIXED CORE STRT .035 145CM 401003357 62.00WIRE FIXED CORE STRT .038 145CM 401003358 62.00WIRE FIXED CORE STRT .025 145CM 401003359 62.00WIRE FIXED CORE J-TIP .035 145CM 401003360 62.00WIRE FIXED CORE J-TIP .038 145CM 401003361 62.00WIRE FIXED CORE J-TIP .025 145CM 401003362 62.00WIR FIXD COR EXCH STRT .035 260CM 401003363 62.00WIR FIXD CORE EXC J-TIP .035 260M 401003365 62.00WIR FIXD COR EXC J-TIP .035 260CM 401003366 62.00WIR MOVABLE COR J-TIP .038 145CM 401003368 88.25CATH DIAGNOSTIC 5FR JR3.5 100CM 401003369 97.75CATH DIAGNOSTIC 5FR JR4 100CM 401003370 97.75CATH DIAGNOSTIC 5FR JR5 100CM 401003371 97.75CATH DIAGNOSTIC 5FR JR6 100CM 401003372 97.75CATH DIAGNOSTIC 6FR JR3.5 100CM 401003373 68.50CATH DIAGNOSTIC 6F JR4 100CM 401003374 68.50CATH DIAGNOSTIC 6FR JR5 100CM 401003375 68.50CATH DIAGNOSTIC 6FR JR6 100CM 401003376 68.50CATH DIAGNOSTIC 5FR JL3.5 100CM 401003377 97.75CATH DIAGNOSTIC 5FR JL4 100CM 401003378 97.75CATH DIAGNOSTIC 5FR JL4.5 100CM 401003379 97.75CATH DIAGNOSTIC 5FR JL5 100CM 401003380 97.75CATH DIAGNOSTIC 5FR JL6 100CM 401003381 97.75CATH DIAGNOSTIC 6FR JL3.5 100CM 401003382 68.50CATH DIAGNOSTIC 6FR JL4 100CM 401003383 68.50CATH DIAGNOSTIC 6FR JL4.5 100CM 401003384 68.50CATH DIAGNOSTIC 6FR JL5 100CM 401003385 68.50CATH DIAGNOSTIC 6FR JL6 100CM 401003386 68.50CATH DIAGNOSTIC 5FR AR1 100CM 401003387 97.75CATH DIAGNOSTIC 5FR AR2 100CM 401003388 97.75CATH DIAGNOSTIC 5FR AR 100CM 401003389 97.75

CATH DIAGNOSTIC 6FR AR 1 100CM 401003390 68.50CATH DIAGNOSTIC 6FR AR2 100CM 401003391 68.50CATH DIAGNOSTIC 6FR AR MOD 100CM 401003392 68.50CATH DIAGNOSTIC 5FR AL1 100CM 401003393 68.50CATH DIAGNOSTIC 5FR AL2 100CM 401003394 68.50CATH DIAGNOSTIC 5FR AL3 100CM 401003395 97.75CATH DIAGNOSTIC 6FR AL1 100CM 401003396 68.50CATH DIAGNOSTIC 6FR AL2 100CM 401003397 68.50CATH DIAGNOSTIC 6FR AL3 100CM 401003398 97.75CATH DIAGNOSTIC 5FR RCB 100CM 401003399 97.75CATH DIAGNOSTIC 6FR RCB 100CM 401003400 68.50CATH DIAGNOSTIC 5FR LCB 100CM 401003401 97.75CATH DIAGNOSTIC 6FR LCB 100CM 401003402 68.50CATH DIAGNOSTIC 5FR IM 100CM 401003403 97.75CATH DIAGNOSTIC 6FR IM 100CM 401003404 68.50CATH DIAGNOSTIC 5FR PIG 100CM 401003405 97.75CATH DIAGNOSTIC 6FR PIG 100CM 401003406 68.50CATH DIAGNOSTIC 5FR PIG 145 110CM 401003407 97.75CATH DIAGNOSTIC 6FR PIG 145 110CM 401003408 68.50CATH DIAGNOSTIC 5FR MULTIPACK STR 401003409 292.75CATH DIAGNOSTIC 6FR MULTIPACK STR 401003410 342.00CATH DIAGNOSTIC 5FR MPA-1 100CM 401003411 97.75CATH DIAGNOSTIC 6FR MPA-1 100CM 401003412 68.50CATH DIAGNOSTIC 5FR MPA-2 100CM 401003413 97.75CATH DIAGNOSTIC 5FR MPA-2 125CM 401003414 97.75CATH DIAGNOSTIC 6FR MPA-100CM 401003415 68.50CATH DIAGNOSTIC 6FR MPA-1 125CM 401003416 97.75CATH DIAGNOSTIC 5F MPB-1 100CM 401003417 97.75CATH DIAGNOSTIC 6FR MPB-1 100CM 401003418 68.50CATH DIAGNOSTIC 5FR MPB-2 100CM 401003419 97.75CATH DIAGNOSTIC 6FR MPB-2 100CM 401003420 97.75CATH DIAGNOSTIC 5FR SON1 100CM 401003421 97.75CATH DIAGNOSTIC 6FR SON1 100CM 401003422 68.50CATH DIAGNOSTIC 5FR SON2 100CM 401003423 97.75CATH DIAGNOSTIC 6FR SON2 100CM 401003424 97.75CATH DIAGNOSTIC 5FR CAS1 100CM 401003425 97.75CATH DIAGNOSTIC 6FR CAS1 100CM 401003426 68.50CATH DIAGNOSTIC 5FR CAS2 100CM 401003427 97.75CATH DIAGNOSTIC 6FR CAS2 100CM 401003428 68.50ART LINE TUBING 401003434 158.00CVP/PA LINE TUBING 401003435 106.75TRANSDUCER ONLY 401003436 77.75PACING SWAN GANZ 401003437 2,613.75IV TUBING BLOOD PRODUCTS 401003438 30.00SUTURE SURGIDAC V-20 401003455 19.00STENT WALLSTENT 8 X 20/75CM 401003493 7,515.50DILATOR 4F 401003547 48.25DILATOR 5FR 401003548 33.75DILATOR 6F 401003549 33.75DILATOR 7F 401003550 33.75DILATOR 8F 401003551 33.75WIRE BMW .014X190 401003576 932.00GDWIRE,DOC EXT .014 X .018 401003577 652.25GDWIRE,HI-TORQ FLPY .014 X 175 401003578 932.00GDWIRE,HT CRSS-IT .014 X 190MM 401003588 652.25GDWIRE,HT CROSS-IT .014 X 300MM 401003589 932.00ANGIOPLASTY TORQUE DEVICE 401003590 45.25MAGNET EXCHANGE 401003591 480.50GUIDE CATH WISEGUIDE 6F JL3.5 401003612 439.00GUIDE CATH,WISEGD 6F JL4 401003613 439.00GUIDE CATH,WISEGD 6F JL4.5 401003614 628.00GUIDE CATH,WISEGD 6F JL5 401003615 439.00GUIDE CATH,WISEGD 7F JL3 401003616 628.00GUIDE CATH,WISEGD 7F JL3.5 401003617 439.00GUIDE CATH,WISEGD 7F JL4 401003618 439.00

GUIDE CATH,WISEGD 7FR JL4.5 401003619 439.00GUIDE CATH,WISEGD 7F JL5 401003620 439.00GUIDE CATH,WISEGD 7F JL6 401003621 628.00GUIDE CATH,WISEGD 8F JL3.5 401003622 439.00GUIDE CATH,WISEGD 8F JL4 401003623 439.00GUIDE CATH,WISEGD 8F JL4.5 401003624 628.00GUIDE CATH,WISEGD 8F JL5 401003625 439.00GUIDE CATH,WISEGD 6F JL4ST 401003626 439.00GUIDE CATH,WISEGD 7F JL4ST 401003627 439.00GUIDE CATH,WISEGD 8F JL4ST 401003628 439.00GUIDE CATH,WISEGD 6F Q3.5 401003629 628.00GUIDE CATH,WISEGD 6F Q4.0 401003630 439.00GUIDE CATH,WISEGD 6F Q4.5 401003631 628.00GUIDE CATH,WISEGD 7F Q3.5 401003632 628.00GUIDE CATH,WISEGD 7F Q4.0 401003633 628.00GUIDE CATH,WISEGD 7F Q4.5 401003634 628.00GUIDE CATH,WISEGD 8F Q3.5 401003635 628.00GUIDE CATH,WISEGD 8F Q 4.0 401003636 628.00GUIDE CATH,WISEGD 8F Q4.5 401003637 628.00GUIDE CATH,WISEGD 6F CLS4 401003638 628.00GUIDE CATH,WISEGD 8F CLS4 401003640 628.00GUIDE CATH,WISEGD 6F JR3.5 401003641 439.00GUIDE CATH,WISEGD 6F JR4.0 401003642 439.00GUIDE CATH,WISEGD 6F JR4.5 401003643 628.00GUIDE CATH,WISEGD 6F JR5.0 401003644 628.00GUIDE CATH,WISEGD 7F JR3.0 401003645 628.00GUIDE CATH,WISEGD 7F JR3.5 401003646 439.00GUIDE CATH WISEGUIDE 7F JR4.0 401003647 439.00GUIDE CATH,WISEGD 7F JR4.5 401003648 628.00GUIDE CATH,WISEGD 7F JR5.0 401003649 439.00GUIDE CATH,WISEGD 7F JR6.0 401003650 628.00GUIDE CATH,WISEGD 8F JR3.5 401003651 628.00GUIDE CATH,WISEGD 8F JR4.0 401003652 439.00GUIDE CATH,WISEGD 8F JR4.5 401003653 628.00GUIDE CATH,WISEGD 8F JR5.0 401003654 628.00GUIDE CATH,WSGD 8F JR 3.5 SIDE HL 401003655 628.00GUIDE CATH,WISEGD 8F JR4.0 SD HL 401003656 628.00GUIDE CATH,WISEGD 8F JR4.5 SD HL 401003657 628.00GUIDE CATH,WISEGD 6F JR 4.0ST 401003659 628.00GUIDE CATH,WISEGD 7F JR4.0ST 401003660 628.00GUIDE CATH,WSGD 7F JR4.0ST SIDEH 401003661 628.00GUIDE CATH,WISEGD 8F JR4.0ST 401003662 628.00GUIDE CATH WISEGUIDE 8FJR4.0ST SH 401003663 628.00GUIDE CATH WISEGUIDE 6F ART4 401003664 628.00GUIDE CATH WISEGUIDE 7F ART4 401003665 628.00GUIDE CATH,WISEGD 8F ART4 401003666 628.00GUIDE CATH,WISEGD 7F RC3.5SC 401003667 628.00GUIDE CATH,WISEGD 7F RC4.0SC 401003668 628.00GUIDE CATH WISEGUIDE 6F VL3.5 401003669 628.00GUIDE CATH,WISEGD 6F FL4.0 401003670 628.00GUIDE CATH,WISEGD 7F VL3.5 401003671 439.00GUIDE CATH,WISEGD 7F FL4.0 401003672 628.00CATHETER WISEGUIDE VL 3.5 8FR 401003673 483.75GUIDE CATH,WISEGD 8F VL4.0 401003674 628.00GUIDE CATH,WISEGD 6F AL1 401003675 439.00GUIDE CATH WISEGUIDE 6F AL2 401003677 439.00GUIDE CATH,WISEGD 7F AL.75 401003678 439.00GUIDE CATH,WISEGD 7F AL1 401003679 439.00GUIDE CATH,WISEGD 7F AL1.5 401003680 439.00GUIDE CATH,WISEGD 7F AL2 401003681 439.00GUIDE CATH,WISEGD 7F AL3 401003682 439.00GUIDE CATH,WISEGD 7F AL4 401003683 439.00GUIDE CATH,WISEGD 8F AL.75 401003684 628.00GUIDE CATH,WISEGD 8F AL1 401003685 628.00GUIDE CATH,WISEGD 8F AL1.5 401003686 628.00

GUIDE CATH,WISEGD 8F AL2 401003687 628.00GUIDE CATH,WISEGD 8F AL3 401003688 628.00GUIDECATH,WISEGD 8F AL4 401003689 628.00GUIDE CATH,WISEGD 6F AL 1 401003690 628.00GUIDE CATH,WISEGD 6F AL2 401003691 628.00GUIDE CATH WISEGUIDE 7F AL1 401003692 628.00GUIDE CATH WISEGUIDE 7F AL2 401003693 628.00GUIDE CATH,WSGD 8F AL1 401003694 628.00GUIDE CATH,WSGD 8F AL2 401003695 628.00GUIDE CATH,WSGD 6F MP1 401003696 439.00GUIDE CATH,WSGD 6F MP2 401003697 628.00GUIDE CATH,WISEGD 7F MP1 401003698 628.00GUIDE CATH,WISEGD 7F MP2 401003699 439.00GUIDE CATH,WISEGD 8F MP1 401003700 628.00GUIDE CATH,WISEGD 8F MP2 401003701 628.00GUIDE CATH,WISEGD 6F MP HS 401003702 439.00GUIDE CATH,WISEGD 7F MP HS 401003703 439.00GUIDE CATH,WISEGD 8F MP HS 401003704 628.00GUIDE CATH,WISEGD 6F IM 90CM 401003705 628.00GUIDE CATH,WISEGD 6F IM 110CM 401003706 439.00GUIDE CATH,WISEGD 7F IM 90CM 401003707 628.00GUIDE CATH,WISEGD 7F IM 110CM 401003708 628.00GUIDE CATH,WISEGD 8F IM 90CM 401003709 628.00GUIDE CATH,WISEGD 8F IM 100CM 401003710 628.00GUIDE CATH WISEGUIDE 6F LCB 401003711 439.00GUIDE CATH,WISEGD 6F RCB 401003712 628.00GUIDE CATH,WSGD 7F LCB 401003713 628.00GUIDE CATH,WSGD 7F RCB 401003714 439.00GUIDE CATH,WISEGD 8F LCB 401003715 628.00GUIDE CATH WISEGUIDE 8F RCB 401003716 439.00GUIDEWR,CHOICE PT .014X182CM STR 401003744 631.50GUIDEWR,CHOICE PT .014XL82CM JTP 401003745 631.50GUIDEWR,CRSSWR .014 X 180CM STRT 401003746 1,416.00GUIDEWR CHOICE FLPY .014 X 182STR 401003747 902.25GUIDEWR,CHOICE FLPY .014XL82 JTP 401003748 631.50GUIDEWR,CHOICE FLPY .014X300CM S 401003749 857.50GUIDEWR CHOICE FLPY.014 X 300CMJT 401003750 601.00GUIDWR,LUGE .014 X L82CM J-TIP 401003751 631.50WIRE-LUGE 0.14X300CM J-TIP 401003752 416.25GUIDWR CHOICE INTRMD .014 X 182CM 401003753 631.50GUIDWR CHOICE STD .014XL82CM JTIP 401003754 631.50GUIDEWR MAILMAN.014 X 182CM J-TIP 401003755 631.50GUIDWR,PLATNM +.014 X 300CM STR 401003756 1,093.25ROTOBLADER,BUR 1.25MCV 401003762 8,152.75ROTOBLAD,BURR 1.50MMCV 401003763 8,152.75ROTOBLADER,BURR 1.75MMCV 401003764 8,152.75ROTOBLADE,BURR 2.00MMCV 401003765 8,152.75ROTOBLADER,BURR 2.15MMCV 401003766 6,270.75ROTOBLADER,BURR 2.25MMCV 401003767 6,270.75ROTOBLADER,BURR 2.38MMCV 401003768 6,270.75ROTOBLADER,BURR 2.5MMCV 401003769 6,270.75ROTOBLADER,ROTALINK ADVANCER 401003770 2,178.75ROTOBLAD,ROTOWR GOLD.014 X 325CM 401003771 1,742.50ROTOBLAD,ROTWR EXT SUP.014 X 325C 401003772 1,524.75STENT, NIR ON RANGER 9MM X 3.0MM 401003773 9,888.25STENT, NIR ON RANGER 9MM X 3.5MM 401003774 9,837.50STENT, NIR ON RANGER 9MM X 4.0MM 401003775 9,888.25STENT, NIR ON RANGER 16MM X 3.0MM 401003777 8,121.50STENT, NIR ON RANGER 16MM X 3.5MM 401003778 8,121.50STENT, NIR ON RANGER 16MM X 4.0MM 401003779 8,121.50STENT, NIR ON RANGET 25MM X 2.5MM 401003780 9,669.50STENT, NIR ON RANGER 25MM X 3.0MM 401003781 6,768.00STENT, NIR ON RANGER 25MM X 3.5MM 401003782 9,669.50STENT, NIR ON RANGER 25MM X 4.0MM 401003783 6,768.00STENT, MAGIC WLLSNT 5.0MM X 24MM 401003790 6,572.50

STENT, MAGIC WALSTNT 5.0MM X 32MM 401003791 10,442.75STENT, MAGIC WALLS 5.0MM X 47MM 401003792 12,762.75STENT, MAGIC WALL 5.5MM X 24MM 401003793 8,637.75STENT, MAGIC WALL 5.5MM X 32MM 401003794 10,442.75STENT, MAGIC WALL 5.5MM X 47MM 401003795 13,873.25STENT, MAGIC WALL 6.0MM X 24MM 401003796 8,637.75STENT, MAGIC WALL 6.0MM X 32MM 401003797 10,442.75IN LINE SPIKE 25/BX 401003843 14.25BACK STOP 10/BX 401003844 28.00STENT, MAGIC WALL 6.0MM X 47MM 401003847 12,886.50MANIFOLD KIT 401003857 147.00INFLATION DEVICE 401003858 475.50SYRINGE - MEDRAD 150ML ANGIO 401003952 29.00TUBING-CONNECTOR 48 MEDRAD 401003955 24.00STENT,WALLSTENT 6 X 46 X 75 401003957 7,385.25STENT,WALLSTENT 12 X 20 X 75 401003958 7,385.25STENT,WALLSTENT 14 X 60 X 75 401003961 7,385.25WIRE GLIDE ANG STIFF 035X180 401003965 374.50WIRE AMPLATZ SS .035X180CM 401003966 291.00THROMBOLYSIS, MEWISSEN 5/.038/10 401003967 764.00PACING LEAD PASSFIX ATR N-P 4271 401003976 6,263.25PACING LEAD PASSFIX ATR N-P 4261 401003977 4,919.25PACING LEAD PASSFIX PREM 4033 401003978 5,114.50PCING LEAD PASSFIX PREM 4034 401003979 5,114.50PACING LEAD PASS FIX PREM 4035 401003980 5,114.50PACING LEAD ACT FIXPREM 4243 401003981 5,114.50PACING LEAD ACT FIX PREM 4244 401003982 5,114.50PACING LEAD ACT FIX PREM 4245 401003983 6,626.50PACING LEAD ACT FIX N-PREM 4269 401003984 5,128.75MERIT CONTROL SYRINGE 401004013 58.75FLUD ADMIN LINE 401004014 33.75HEMOSTASIS VALVE KIT,MERIT 401004016 137.50NEEDLE-PHS ONE WALL 18GA X 2 3/4 401004027 15.00STENT-WALLSTENT 6X46X75CM 401004065 5,821.75BIOOPSY FORCEPS T-REX 50CMX2.2MM 401004071 1,933.50WIRE GLIDE STR STIFF 035X180 401004083 360.00GLIDEWIRE .018 X 180CM ANGLED 401004084 404.50GLIDEWIRE .025 X 180CM ANGLE SM V 401004085 399.75GUIDEWIRE PLAT +.035X180CM SHORT 401004087 159.75WIRE GLIDE STR 035X180 401004089 318.25WIRE GLIDE ANG 035X180 401004090 318.25STENT-WALLSTENT 8X40X75 401004092 7,515.50STENT-WALLSTENT 8X60X75 401004093 7,515.50STENT - WALLSTENT 12X20 75 401004094 7,277.50STENT-WALLOSTENT 12X60X75 401004096 9,339.00STENT-WALLSTENT 5X55X75 401004099 9,339.00VISE - MULTI TORQUE .014 - .038 401004103 45.25GUIDE CATH WISEGUIDE 8F JL4 ST SH 401004110 439.00GUIDE CATH WISEGUIDE 8FR AR1 401004111 677.25GUIDE-CATH WISEGUIDE 8FR AR2 401004112 677.25CATH-DIAGNOSTIC 5FR JL6 401004113 97.75CATH-DIAGNOSTIC 5FR MULTIPACK 401004114 342.00CATH-DIAGNOSTIC 5FR PIG 110CM 401004115 68.50CATH-DIAGNOSTIC 5FR AR1 401004116 68.50CATH-DIAGNOSTIC 5FR AR2 401004117 97.75CATH-DIAGNOSTIC 5FR AR MOD 401004118 97.75CATH-DIAGNOSTIC 5FR AL1 401004119 68.50CATH-DIAGNOSTIC 5FR RCB 401004120 97.75CATH-DIAGNOSTIC 5FR LCB 401004121 68.50CATH-DIAGNOSTIC 5FR IM 401004122 68.50CATH-DIAGNOSTIC 5FR JL3.5 401004123 68.50CATH-DIAGNOSTIC 5FR JL4 401004124 68.50CATH DIAGNOSTIC 5FR JL5 401004125 68.50CATH-DIAGNOSTIC 5FR JL4.5 401004126 68.50CATH-DIAGNOSTIC 5FR JR6 401004127 97.75

CATH-DIAGNOTIC 5FR AL3 401004128 97.75CATH-DIAGNOSTIC 5FR MPA1 401004129 68.50CATH-DIAGNOSTIC 5FR MPA2 SH 401004130 97.75CATH-DIAGNOSTIC 5FR MPB1 401004131 68.50CATH-DIAGNOSTIC 5FR MPB2 401004132 97.75CATH-DIAGNOSTIC 5FR MPB2 SH 401004133 68.50CATH-DIAGNOSTIC 5FR JR3.5 401004134 68.50CATH-DIAGNOSTIC 5FR JR4 401004135 68.50CATH-DIAGNOSTIC 5FR JR5 401004136 97.75CATH-DIAGNOSTIC 6FR MPA2 SH 401004137 97.75CATH-DIAGNOSTIC 6FR MPB-2 SH 401004138 69.00CATH-DIAGNOSTIC 5FR PIG 145DEG 401004139 68.50GUIDE CATH WISEGUIDE 7FR JL3.5 ST 401004161 439.00GUIDE CATH WISEGUIDE 7FR Q 3.5 401004163 628.00GUIDE CATH WISEGUIDE 7FR Q5 401004164 677.25GUIDE CATH WISEGUIDE 7F Q4 SH 401004165 628.00GUIDE CATH WISEGUIDE 7F Q5 SH 401004166 628.00GUIDE CATH WISEGUIDE 7FR JL5 ST 401004167 439.00GUIDE CATH WISEGUIDE 7FR MP1 401004168 439.00GUIDE CATH WISEGUIDE 7FR MP2 401004169 628.00GUIDE CATH WISEGUIDE 7FR BR1.0 80 401004170 628.00GUIDE CATH WISEGUIDE 7F RC4 SC 401004171 628.00GUIDE CATH WISEGUIDE 7FR JR 3.5SH 401004172 439.00GUIDE CATH WISEGUIDE 7FR JR4 SH 401004173 439.00GUIDE CATH WISEGUIDE 7FR JR5 SH 401004174 628.00GUIDE CATH WISEGUIDE 7FR ART4 SH 401004175 628.00GUIDE CATH WISEGUIDE 7FR JR3.5 SH 401004176 628.00GUIDE CATH WISEGUIDE 7FR JL4 SH 401004177 439.00GUIDE CATH WISEGUIDE 7FR JL4.5 SH 401004178 628.00GUIDE CATH WISEGUIDE 7FR JL5 SH 401004179 628.00GUIDE CATH WISEGUIDE 7FR AR1 SH 401004180 439.00GUIDE CATH WISEGUIDE 7FR AR2 SH 401004181 628.00GUIDE CATH 7FR AL1 SH 401004182 439.00GUIDE CATH WISEGUIDE 7FR AL2 SH 401004183 439.00GUIDE CATH WISEGUIDE 7F VL3.5SH 401004184 439.00GUIDE CATH WISEGUIDE 7FR VL4 401004185 439.00GUIDE CATH WISEGUIDE 6FR AR1 401004186 439.00GUIDE CATH WISEGUIDE 6FR AR2 401004187 439.00GUIDE CATH WISEGUIDE 6FR AL .75 401004188 628.00GUIDE CATH WISEGUIDE 6FR AL.75 401004193 330.75GLIDE GUIDE 5FR JB2 401004194 472.25GLIDE CATH 5FR H-1 401004195 2,635.00GUIDE CATH WISEGUIDE 7FR IM 85CM 401004196 628.00GUIDE CATH WISEGUIDE 7FR LCB SH 401004197 628.00GUIDE CATH WISEGUIDE 7FR JL5 STSH 401004199 628.00GUIDE CATH WISEGUIDE 7FR CLS 3.0 401004200 628.00GUIDE CATH WISEGUIDE 7FR MP1 SH 401004201 439.00GUIDE CATH WISEGUIDE 7FR JL3.5 SH 401004202 628.00GUIDE CATH WISEGUIDE 7FR VL3.5 SH 401004203 628.00GUIDE CATH WISEGUIDE 7FR MP2 SH 401004204 628.00GUIDE-CATH WISEGUIDE-7FR JL5 STSH 401004205 628.00GUIDE CATH WISEGUIDE 8FR AL1 401004206 439.00GUIDE CATH WISEGUIDE 8FR JL4 STSH 401004207 628.00FILTER-22 UG MICRON 401004208 15.00VASCULAR HEMOSTASIS KIT #5 401004227 2,124.00SUPREME QUAD 5MM CRD 6FR 401004235 984.00SUPREME QUAD 5MM CRD 5FR 401004236 984.00SUPREME QUAD 5MM JSN 5FR 401004237 688.75SUPREME QUAD CRD-1 (HIS) 6FR 401004238 984.00RESPONSE DEC 6AFR 2-8-2 CSL 401004239 4,357.25RESPONSE DEC BLACK CABLE 210 401004240 883.00SUPREME QUAD BLUE CABLE 401004241 833.75SUPREME QUAD GREY CABLE 401004242 583.75SHEATH CATHLOCK 6FR 401004243 95.75SHEATH CATHLOCK 7FR 401004244 95.75

SHEATH CATHLOCK 8FR 401004245 95.75TEMP PACEMAKER PACEL 5F 401004254 549.00OXISENSOR (DISPOSABLE NEONATE) 401004259 114.00OXISENSOR (DISPOSABLE ADULT) 401004260 87.75OXISENSOR (DISPOSABLE PEDS) 401004261 87.75PACING CATH 5FR BIPOLAR 401004281 412.00SWAN GANZ FEMORAL 401004282 500.25SWAN GANZ SUBCLAVIAN 401004283 274.50THORACIC SEAL & MANOMETER 401004292 209.75OBTURATOR SIZE 9 401004293 20.75CONTRASR INJ LINE 20" MERIT 401004301 984.00SHEATH,10FR DI-LOCK 401004302 137.50SHEATH,12FR 401004303 137.50SHEATH,14FR 401004304 137.50CAUTRY PADS FOR ATAKAR 401004319 16.75B/S INFLATION W/HEMOST VALVE 401004354 350.00STABLEMAPR SM DOU-DECA 7FR 2/10/2 401004359 6,656.25RENO-60 10CC BOTTLE 401004429 20.25CATH VAN AMEN 401004430 171.75GLIDECATH,C2 5FR 401004479 312.75GLIDECATH,SIM 2 5FR 401004481 330.75IV,DEX 5% GLASS 500ML 401004482 15.00BALLOON QUANTUM 4.0X18 401004494 2,514.25BALLOON QUANTUM 2.75X15 401004528 2,514.25STENT-MAGIC WALLSTENT 4.5 X-SHORT 401004533 7,853.50CABLE SURGICAL PACER 401004539 45.25WIRE, HI TORQ FLOP .014 X 175 401004581 452.25SHEATH BALKIN 40CM 6F 401004587 514.25SHEATH BALKIN 40CM 7F 401004588 514.25SHEATH BALKIN 40CM 8F 401004589 514.25CATUERY PAD-ELEC/SURGICAL W/PLATE 401004590 33.75PACING LEAD,SELUTE 4185 401004592 5,591.25PACING LEAD SELUTE 4285 401004593 6,853.25PACING LEAD,SWEET TIP 4169 401004594 5,128.75PACING LEAD,SWEET TIP 4269 401004595 5,128.75PACING LEAD TINED 4171 401004596 4,919.25PACING LEAD,TINED 4261 401004597 4,919.25CATH COOK RIM 5FR 401004636 105.25CATH COOK SIM 2 5 FR 401004637 105.25CATH COOK JB1 5 FR 401004639 105.25CATH COOK RC 1 5 FR 401004641 150.00CONTRAST MISER MERIT 401004643 86.25STENT,BIL FLEX 6 X 28 X 75 401004646 9,108.75GUIDE,8FR MP1 SH 401004679 628.00GUIDE,8FR MP2 SH 401004680 628.00GUIDE,8FR FR5 SH 401004681 628.00GUIDE 8FR FL4 SH 401004682 628.00GUIDE 8FR AL2 SH 401004683 439.00GUIDE,7FR AL.75 SH 401004684 439.00GUIDE 7FR IM 100CM SH 401004685 628.00GUIDE 7FR WG FL 35 ST SH 401004686 439.00GUIDE,7FR FL4 ST SH 401004687 628.00GUIDE,7FR FL4.5 ST 401004688 439.00CATH SINGLE LUMEN INF 401004737 58.00MANIFOLD MERIT ROTATING HUB 401004768 36.50RIGHT HEART PRESSURE KIT 401004769 27.00CONTROL SYRINGE MERIT ROTATE HUB 401004771 33.75FLUID ADMIN LINE MERIT 401004772 33.75EXTENSION SET T CONNECTOR 401004790 14.50FILTER IVC SIMON NITINOL FEMORAL 401004792 9,427.00FILTER IVC SIMON NITINOL JUGULAR 401004793 7,252.00PACING LEAD,IME 49 401004859 5,465.25DERMABOND (BX/12) 401004873 172.75CATH DIAG IMC 6FR 401004896 68.50STENT,WALLSTENT 5 X 20 X 75 401004908 7,515.50

STENT,WALLSTENT 5 X 20 X 135 401004909 8,354.00STENT,WALLSTENT 5 X 40 X 75 401004910 7,814.50STENT,WALLSTENT 5 X 40 X 135 401004911 6,949.75STENT,WALLSTENT 5 X 55 X 135 401004912 9,034.50STENT,WALLSTENT 6 X 20 X 75 401004913 7,515.50STENT,WALLSTENT 6 X 20 X 135 401004914 8,354.00STENT,WALLSTENT 6 X 45 X 135 401004915 6,949.75STENT,WALLSTENT 6 X 60 X 135 401004916 6,951.00STENT,WALLSTENT 7 X 20 X 75 401004917 7,814.50STENT,WALLSTENT 7 X 40 X 75 401004918 7,515.50LOOP RECORDER,REVEAL 401004919 12,163.25MICROPUNCTURE KIT NITINOL 5FR 401004920 200.25SHEATH,RAABE 7FR 55CM 401004921 353.75SHEATH,RAABE 8 FR 55CM 401004922 504.25SHEATH,RAABE 8FR 70CM 401004923 561.50SHEATH,SHUTTLE RAABE 8FR 90CM 401004924 499.75GUIDECATH,RDC 8FR 401004925 649.25CATH DIAG VERT 5FR 125CM 401004926 105.25CATH DIAG RDC 5FR 401004927 105.25WIRE BENSTON .035X180 401004931 123.00WIRE ROADRUNNER FIRM .035X180 401004932 166.25WIRE ROADRUNNER NIMBLE .035X180 401004933 166.25ANGIOSEAL 6FR 401004953 2,124.00ROTAGLIDE 401004955 956.50IABP INSERTION KIT ONLY 401004956 1,366.25MANIFOLD CUSTOM KIT 401004960 99.00VASCULAR RETRIVAL FORCEPS 401004963 3,111.25CATH FOGARTY EMBOLECTOMY 4FR 401004986 326.00SUTURE, O SURGIDAC GS-22 BX/24 401005000 35.75CABLE 6697 401005003 218.25CATH GUIDE 7F AR1 401005012 439.00CATH GUIDE 7F AR2 401005013 439.00STENT,VELOCITY 3.0 X 33MM 401005044 10,573.50STYLET,.014 GRAY J45 OR 58 401005061 392.25STYLET,.016 PURPLE J 45 OR 53 401005062 392.25STYLET .016 RUST STR 52 OR 58 401005063 392.25STYLET,.014 BLUE STGHT 52 OR 58 401005084 392.25STYLET,.016 PURPLE STGHT 52/58 401005085 392.25STYLET,.014 WHITE J,45 OR 53 401005086 392.25STYLET,.014 GREEN STGHT 52 OR 58 401005087 392.25CATH VCF 5FR 401005098 105.25OASIS ACCESSORY KIT 401005115 270.50ADAPTER KIT Y LEAD 401005153 4,204.25GUIDE CATH JL 3.5 ST 6F 401005159 681.50DIAGNOSTIC CATH,WR,6F 401005160 68.50DIAGNOSTIC CATH,WR,5F 401005161 68.50DIAGNOSTIC CATH,IMC,5F 401005162 68.50CATHETER SUPREME DEC CSL 401005246 2,474.75GUIDEWIRE,BALANCE TREK .014 X 190 401005249 652.25WIRE BALANCE .014X190 401005250 652.25EP CATHETER,RF CONDUCTR MC 40-60 401005251 7,170.75EP CATHETER,RF CONDUCTR MC 55-75 401005252 5,535.50CABLES MODEL 6651 401005326 171.75ASH CATH 28CM 401005363 3,224.25ASH CATH 32CM 401005364 4,345.75LEAD,ATRIAL 45CM 401005369 5,640.75STENT,WALLSTENT 6 X 60 X 75 401005373 7,515.50STENT,WALLSTENT 10 X 49 X 75 401005374 7,515.50STENT,WALSTENT 10 X 69 X 75 401005375 7,515.50GUIDEWIRE,LUGE .014 X 182CM STRAI 401005376 715.75ARTERIAL LINE KIT 20X3" 401005378 65.25TUBING, CONTRAST INJECTION 48" 401005382 32.50PACING LEAD,CAPSUREFIX NOVUS 401005384 5,955.75PACING LEAD CAPSUREFIX NOVUS 401005385 7,742.25PACING,LEAD-CAPSUREFIX NOVUS 401005386 7,742.25

SHEATH,ANL1 6FR X 55CM 401005406 763.25SNEATH,ANL2 6FR X 55CM 401005407 693.75SHEATH,ANL3 6FR X 44CM 401005408 693.75SHEATH,ANL1 7FR X 55CM 401005409 693.75SHEATH,ANL2 7FR X 55CM 401005410 485.25SHEATH,ANL3 7FR X 55CM 401005411 693.75VALVE AIR SALEM PUMP 401005555 34.00STENT,ULTRA 4.5 X 13MM 401005588 7,006.75STENT,ULTRA 5.0 X 18MM 401005593 7,006.75BALLOON QUANTUM MONORAIL 9MMX2.5 401005641 2,514.25BALLOON QUANTUM MONORAIL 9MMX3 401005642 2,514.25BALLOON QUANTUM MONORAIL 9MMX3.5 401005643 2,514.25BALLOON QUANTUM MONORAIL 9MMX4 401005644 2,514.25BALLOON QUANTUM MONORAIL 15MMX2.5 401005645 2,514.25BALLOON QUANTUM MONORAIL 15MMX3 401005646 2,514.25BALLOON QUANTUM MONORAIL 15MMX3.5 401005647 2,514.25BALLOON QUANTUM MONORAIL 15MX4 401005648 2,514.25BALLOON QUANTUM MONORAIL 20MMX2.5 401005649 2,514.25BALLOON QUANTUM MONORAIL 20MMX3 401005650 2,514.25BALLOON QUANTUM MONORAIL 20MMX3.5 401005651 2,514.25BALLOON QUANTUM MONORAIL 20MMX4 401005652 2,514.25PICC KIT DUAL-L GROSHONG 5F 401005719 1,098.75BALLOON CUTTING 3.0X10 401005725 5,605.25SHEATH,6FR X 90CM 401005741 428.75SHEATH,7FR X 100CM 401005742 932.00XXL SHOULDER IMMOBILIZER 401005792 137.50IVUS CATH 401005795 5,381.00IVUS CATH,ATLANTIS SR-PLUS 401005845 5,381.00CATHETER GLIDECATH ANG 65CM 5F 401005847 488.00STENT,PIXEL 2.5 X 8.0MM 401005850 8,800.50STENT,PIXEL 2.5 X 13MM 401005853 9,360.75STENT,PIXEL 2.25 X 18MM 401005855 8,800.50STENT,PIXEL 2.0 X 23MM 401005857 8,800.50STENT,PIXEL 2.25 X 23MM 401005858 8,800.50STENT,PIXEL RX 2.25 X 8.00MM 401005864 8,800.50STENT,PIXEL RX 2.0 X 13MM 401005866 8,800.50STENT,PIXEL RX 2.25 X 13MM 401005867 8,800.50STENT,PIXEL RX 2.5 X 18MM 401005871 8,800.50STENT,PIXEL RX 2.25 X 28MM 401005876 8,800.50STENT,PIXEL RX 2.5 X 28MM 401005877 8,800.50BALLOON ATTAIN VENOGRAM 401005882 1,050.75LEADS,BIPOLAR 1346T 401005907 5,255.25LEADS,BIPOLAR ATRIAL J 1342T 401005908 5,255.25LEAD,BIPOLAR ACTIVE 1488 K/T 401005910 5,255.25WIRE, SPARTA .014 X 190 CM 401005939 933.75WIRE, SPARTA .014 X 300 CM 401005940 933.75WIRE, STEELCORE .018 X 190 CM 401005941 933.75WIRE, STEELCORE .018 X 300 CM 401005942 933.75WIRE, STEELCORE LT .018 X 190 CM 401005943 933.75WIRE, STEELCORE LT J .018 X 190CM 401005944 933.75WIRE, STEELCORE LT .018 X 300 CM 401005945 933.75WIRE, STEELCORE LT J .018 X 300CM 401005946 933.75WIRE, SUPRACORE .035 X 190 401005947 933.75WIRE, SUPRACORE .035 X 300 401005948 933.75STENT, HERCULINK + 12MMX4.0X80MM 401005949 7,175.00STENT, HERCULINK + 12MMX5.0X80MM 401005950 6,833.25STENT, HERCULINK + 12MMX6.0X80MM 401005951 7,175.00STENT, HERCULINK + 18MMX4.0X80MM 401005952 7,175.00STENT, HERCULINK + 18MMX5.0X80MM 401005953 7,175.00STENT, HERCULINK + 18MMX6.0X80MM 401005954 7,175.00STENT, HERCULINK + 18MMX7.0X80MM 401005955 7,175.00STENT,HERCULINK +12MM X 4.0X135MM 401005956 6,833.25STENT,HERCULINK +12MMX5.0X135MM 401005957 6,833.25STENT,HERCULINK +12MM X 6.0X135MM 401005958 6,833.25STENT,HERCULINK +18MM X 4.0X135MM 401005959 6,833.25

STENT,HERCULINK +18MM X 5.0X135MM 401005960 6,833.25STENT,HERCULINK +18MM X 6.0X135MM 401005961 6,833.25STENT,HERCULINK +18MM 7.0X135MM 401005962 6,833.25STENT,OMNILINK 28 X 7 X 80MM 401005971 7,118.25BALLOON VIATRAC .014 75CMX20MMX4 401005987 2,312.00BALLOON VIATRAC .014 75CMX20MMX5 401005988 2,312.00BALLOON VIATRAC .014 75CMX20MMX6 401005989 2,312.00BALLON VIATRAC .014 75CMX20MMX7 401005990 2,312.00BALLOON VIATRAC .014 135CMX20MMX4 401005991 2,312.00BALLOON VIATRAC 014 20MMX5.0 135 401005992 1,782.00BALLOON VIATRAC .014 135CMX20MMX6 401005993 2,312.00BALLOON VIATRAC .014 135CMX20MMX7 401005994 2,312.00BALLOON VIATRAC .014 135CMX30MMX4 401005995 2,312.00BALLOON VIATRAC .014 135CMX30MMX5 401005996 2,312.00BALLOON VIATRAC .014 135CMX30MMX6 401005997 2,312.00BALLOON VIATRAC .014 135CMX30MMX7 401005998 2,312.00BALLOON VIATRAC .018 75CMX20MMX6 401005999 2,312.00BALLOON VIATRAC .018 75CMX20MMX7 401006000 2,312.00BALLOON VIATRAC .018 75CMX20MMX8 401006001 2,312.00BALLOON VIATRAC .018 75CMX20MMX9 401006002 2,312.00BALLOON VIATRAC .018 75CMX20MMX10 401006003 2,312.00BALLOON VIATRAC .018 75CMX30MMX6 401006004 2,312.00BALLOON VIATRAC .018 75CMX30MMX7 401006005 2,312.00BALLOON VIATRAC .018 75CMX30MMX8 401006006 2,312.00BALLOON VIATRAC .018 75CMX30MMX9 401006007 2,312.00BALLOON VIATRAC .018 75CMX30MMX10 401006008 2,312.00BALOON VIATRAC .018 135CMX20MMX6 401006009 2,312.00BALOON VIATRAC .018 135CMX20MMX7 401006010 2,312.00TRAY PARACENTESIS 401006399 183.50TRAY PNEUMOTHORAX 401007000 346.75BALOON VIATRAC .018 135CMX20MMX8 401007001 2,312.00BALOON VIATRAC .018 135CMX20MMX9 401007002 2,312.00BALOON VIATRAC .018 135CMX20MMX10 401007003 2,312.00BALLOON VIATRAC .018 135CMX30MMX6 401007004 2,312.00BALLOON VIATRAC .018 135CMX30MMX7 401007005 2,312.00BALLOON VIATRAC .018 135CMX30MMX8 401007006 2,312.00BALLOON VIATRAC .018 135CMX30MMX9 401007007 2,312.00BALLOON VIATRAC 018 135CMX30MMX10 401007008 2,312.00GUIDING CATH,VERIPATH HS 6FR 401007009 588.75GUIDING CATH,VERIPATH HS 7FR 401007010 588.75GUIDING CATH,VERIPATH HS 8FR 401007011 588.75GUIDING CATH,VERIPATH RDC-1 6FR 401007015 588.75GUIDING CATH,VERIPATH RDC-1 7FR 401007016 588.75GUIDING CATH,VERIPATH RDC-1 8FR 401007017 588.75GUIDING CATH,VERIPATH RDC 6FR 401007018 588.75GUIDING CATH,VERIPATH RDC 7FR 401007019 588.75GUIDING CATH,VERIPATH RDC 8FR 401007020 588.75GUIDING CATH,VERIPATH LIMA 6FR 401007021 588.75GUIDING CATH,VERIPATH LIMA 7FR 401007022 588.75GUIDING CATH,VERIPATH LIMA 8FR 401007023 588.75WIRE FIXED CORE J 0.035X175CM 401007074 68.00BALLOON VIATRAC 014X4.0X135CM 401007077 2,312.00BALLOON VIATRAC 014X5.0X135CM 401007078 1,309.50BALLOON VIATRAC 014X6.0X135CM 401007079 2,312.00BALLOON VIATRAC 014X7.0X135CM 401007080 2,312.00LEAD FINE LINE II 52CM 4456 401007094 5,745.50LEAD FLEXTEND 45CM 4086 401007095 5,045.00LEAD FLEXTEND 52CM 4087 401007096 5,045.00CATHETER AO HIGHFLOW 4FR X 35 STR 401007105 77.50CATH AO HIGHFLO 5FRX38STR 401007106 190.50DILATOR 4FR X .035 401007109 29.00INTRODEUCER,BALKIN 5.5 X 38 401007110 502.25DEFIB GEM III DR 7275 401007113 64,038.00SYVEK PATCH 3 X 3CM 401007142 579.00ANGIOSEAL STS 6FR 401007150 1,841.75

ANGIOSEAL STS 8FR 401007151 1,841.75PACEMAKER IDENTITY XL DR SYSTEM 401007153 20,243.25STENT,HEPACOAT 2.5 X 18MM 401007168 5,981.00STENT,HEPACOAT 2.75 X 18MM 401007169 5,981.00STENT, HEPACOAT 5 X 23MM 401007182 5,981.00STENT,HEPACOAT 3.5 X 33MM 401007192 5,981.00SHEATH SHORT W/WIRE 4FR 401007335 107.25CATH BEACON VERT .038X100CM 5FR 401007338 205.50CATH BEACON C 2.038X80CM 5FR 401007339 205.50CATH BEACON VS 1.038X80CM 5FR 401007340 205.50CATH BEACON VCF .035X65CM 4FR 401007341 205.50SHEATH,RAABE .038 X 70CM 6FR 401007343 579.00WIRE CURVED FX CO HEP CO .035X145 401007344 152.25WIRE ROADRUNNER .014 X 180CM 401007347 992.00WIRE ROADRUNNER .018 X 180CM 401007348 992.00GUIDECATH VL SH 3.5 7FR 401007349 628.00CATH QUADRPLR XLS 7FR MED 5MM 401007352 5,002.50CATH QUADRPLR XLS 7FR LRG 5MM 401007353 5,002.50CATH LIVEWIRE TC ABLTN 7FR MD 4MM 401007354 5,045.00CATH LIVEWIRE TC ABLTN 7FR LG 4MM 401007355 5,045.00PACER LEAD,OTW CS 401007385 12,892.25DEFIB,INSYNC 401007386 96,340.25SHEATH,SAFE 10.5FR 401007387 662.25SHEATH SAFE 7FR 401007388 638.75BALLOON UTSDS 7X2X135 401007390 1,429.00BALLOON UTSDS 7X4X75 401007391 1,415.50BALLOON UTSDS 7X4X135 401007392 1,429.00BALLOON UTDSD 8X2X75 401007393 1,415.50BALLOON UTSDS 8X2X135 401007394 1,429.00BALLOON UTSDS 8X4X75 401007395 1,415.50BALLOON UTSDS 8X4X135 401007396 1,429.00BALLOON UTSDS 9X2X75 401007397 1,415.50BALLOON UTSDS 9X2X135 401007398 1,429.00BALLOON UTSDS 9X4X75 401007399 1,415.50BALLOON UTSDS 9X4X135 401007400 1,429.00BALLOON UTSDS 10X2X75 401007401 1,415.50BALLOON UTSDS 10X2X135 401007402 1,429.00BALLOON UTSDS 10X4X75 401007403 1,415.50BALLOON UTSDS 10X4X135 401007404 1,429.00BALLOON UTSDS 4X8X75 401007405 1,415.50BALLOON UTSDS 5X8X75 401007406 1,415.50BALLOON UTSDS 6X8X75 401007407 1,429.00BALLOON UTSDS 7X8X75 401007408 1,415.50GLIDEWIRE,.018 X 180ANG 401007409 630.25CATHETER GLIDECATH ANG 65CM 4F 401007410 2,530.50BALLOON UTSDS 4X2X75 401007411 1,415.50BALLOON UTSDS 4X2X135 401007412 1,429.00BALLOON UTSDS 4X4X75 401007413 1,415.50BALLOON UTSDS 4X4X135 401007414 1,415.50BALLOON UTSDS 5X2X75 401007415 1,415.50BALLOON UTSDS 5X2X135 401007416 1,415.50BALLOON UTSDS 5X4X135 401007417 1,429.00BALLOON UTSDS 6X2X75 401007418 1,415.50BALLOON UTSDS 6X2X135 401007419 1,429.00BALLOON UTSDS 6X4X75 401007420 1,415.50BALLOON UTSDS 6X4X135 401007421 1,429.00BALLON UTSDS 7X2X75 401007422 1,415.50SHEATH,RAABE 6FR .038 X 55 401007446 579.00CATH CONTRA 2 5FR .038X65CM 401007447 118.00CATH C1 5FR .038X65CM 401007448 118.00CATH C2 5FR .038X65CM 401007449 118.00CATH HK 1.0 5FR .038X65CM 401007450 118.00CATH BERN 5FR .038 X 100CM 401007451 118.00CATH H1 5FR .038X100CM 401007452 118.00CATH JB 1 5FR .038X100CM 401007453 118.00

CATH JB 2 5FR .038X100CM 401007454 118.00CATH SIM1 5FR .038X100CM 401007455 118.00CATH SIM 2 5FR .038 X 100CM 401007456 118.00CATH HIGH FLOW PIG 4FRX90 401007462 118.00CATH HIGH FLOW STRAIGHT 4FRX90 401007463 118.00BALLOON UTDSTS 5X4X75 401007466 1,421.25PCMKR,ENTRA VR 1198 401007467 23,573.25PCMKR,ENTRA VR 1195 401007468 23,573.25PCMKR,PLUS 1194 VR 401007472 23,573.25PCMKR,PLUS DR 1297 401007474 23,573.25BALLOON UTD SDS 5X4X75 401007482 1,415.50CATH RF CNTCTR 7FR 60MMX4MM FIRM 401007484 7,006.75CATH RF CNTCTR 75MMX4MM MED 401007485 7,006.75CATH RF CNTCTR 8FR 60MMX5MM FIRM 401007486 7,707.75CAH RF CNTCTR 8FR 60MMX5MM MED 401007487 7,707.75EP GUIDE,CS-MP 37CM 401007493 883.00EP GUIDE,CS-MP 42CM 401007494 883.00EP GUIDE,CS-MP 47CM 401007495 883.00EP GUIDE,CS-MPH 42CM 401007496 883.00EP GUIDE,CS-MPH 47CM 401007497 883.00EP GUIDE,CSH 42CM 401007498 883.00EP GUIDE,CSH-47CM 401007499 883.00EP GUIDE,CS-MPL 42CM 401007500 883.00EP GUIDE,CS-A6 42 401007501 883.00EP GUIDE,CS-A6 47 401007502 883.00EP GUIDE,CS-MPL 47CM 401007503 883.00BALLOON BI-V 90CM 401007504 490.50BALLOON BI-V 110CM 401007505 490.50LEAD,ADAPTER 401007506 2,943.00LEAD DELIVERY SYSTEM (LDS) 401007507 6,306.00STENT,LUMINEXX 30 X 7 X 80CM 401007536 7,006.75STENT,LUMINEXX 40 X 8 X 80CM 401007541 7,006.75STENT, LUMINEXX, 40 X 10 X 80CM 401007547 8,408.00STENT EXPRESS 24 X 4.5 401007667 7,707.75STENT,EXPRESS 20 X 4.0 401007668 7,708.00STENT,EXPRESS 20 X 4.5 401007669 7,707.75STENT,EXPRESS 20 X 5.0 401007670 7,707.75STENT,EXPRESS 24 X 2.25 401007671 7,707.75STENT,EXPRESS 24 X 2.5 401007672 7,707.75STENT,EXPRESS 24 X 2.75 401007673 7,707.75STENT,EXPRESS 24 X 3.0 401007674 7,707.75STENT,EXPRESS 24 X 3.5 401007675 7,707.75STENT,EXPRESS 24 X 4.0 401007676 7,707.75STENT,EXPRESS 24 X 4.5 401007677 5,672.00STENT,EXPRESS 24 X 5.0 401007678 177.75STENT,EXPRESS 28 X 2.75 401007679 7,707.75STENT,EXPRESS 12 X 5.0 401007680 7,707.75STENT,EXPRESS 16 X 2.25 401007681 7,707.75STENT,EXPRESS 16 X 2.5 401007682 7,707.75STENT,EXPRESS 16 X 2.75 401007683 7,707.75STENT,EXPRESS 16 X 3.0 401007684 7,707.75STENT,EXPRESS 16 X 3.5 401007685 7,707.75STENT,EXPRESS 16 X 4.0 401007686 7,707.75STENT,EXPRESS 16 X 4.5 401007687 7,707.75STENT,EXPRESS 16 X 5.0 401007688 7,707.75STENT,EXPRESS 20 X 2.25 401007689 7,707.75STENT,EXPRESS 20 X 2.5 401007690 5,672.00STENT,EXPRESS 20 X 2.75 401007691 7,707.75STENT,EXPRESS 20 X 3.0 401007692 7,707.75STENT,EXPRESS 28 X 3.0 401007693 7,707.75STENT,EXPRESS 28 X 3.5 401007694 7,707.75STENT,EXPRESS 28 X 4.0 401007695 7,707.75STENT,EXPRESS 28 X 4.5 401007696 7,707.75STENT,EXPRESS 28 X 5.0 401007697 7,707.75STENT,EXPRESS 32 X 2.75 401007698 7,707.75

STENT,EXPRESS 32 X 3.0 401007699 7,707.75STENT,EXPRESS 32 X 3.5 401007700 7,707.75STENT,EXPRESS 32 X 4.0 401007701 7,707.75STENT,EXPRESS 32 X 4.5 401007702 7,707.75STENT,EXPRESS 32 X 5.0 401007703 7,707.75STENT,EXPRESS 8 X 2.25 401007704 7,707.75STENT,EXPRESS 8 X 2.5 401007705 7,707.75SGTENT,EXPRESS 3 X 2.75 401007706 7,707.75STENT,EXPRESS 8 X 3 401007707 7,707.75STENT,EXPRESS 8 X 3.5 401007708 7,707.75STENT,EXPRESS 8 X 4 401007709 7,707.75STENT,EXPRESS 12 X 2.25 401007710 7,707.75STENT,EXPRESS 12 X 2.5 401007711 7,707.75STENT,EXPRESS 12 X 2.75 401007712 7,707.75STENT,EXPRESS 12 X 3 401007713 5,672.00STENT,EXPRESS 12 X 3.5 401007714 7,707.75STENT,EXPRESS 12 X 4 401007715 7,707.75STENT,EXPRESS 12 X 4.5 401007716 7,707.75CLOSURE DEVICE PERCLOSE AT 401007717 2,127.00BALLOON RX CUTTING 2.0X10MM 401007728 2,720.75BALLOON RX CUTTING 2.25X10MM 401007729 2,720.75BALLOON RX CUTTING 2.5X10MM 401007730 5,605.25BALLOON RX CUTTING 2.75X10MM 401007731 5,605.25BALLOON RX CUTTING 3.0X10MM 401007732 2,680.00BALLOON RX CUTTING 3.25X10MM 401007733 2,680.00BALLOON RX CUTTING 3.5X10MM 401007734 5,605.25BALLOON RX CUTTING 3.75X10MM 401007735 2,720.75BALLOON RX CUTTING 4.0X10MM 401007736 2,720.75STENT,EXPRESS MONORAIL 2.5 X 16 401007750 7,340.25STENT,EXPRESS MONORAIL 2.75 X 16 401007751 7,340.25STENT,EXPRESS MONORAIL 3.0 X 16 401007752 7,340.25STENT,EXPRESS MONORAIL 3.5 X 16 401007753 7,340.25STENT,EXPRESS MONORAIL 4.0 X 16 401007754 7,340.25STENT,EXPRESS MONORAIL 4.5 X 16 401007755 7,340.25STENT,EXPRESS MONORAIL 5.0 X 16 401007756 7,340.25STENT,EXPRESS MONORAIL 2.25 X 20 401007757 7,340.25STENT,EXPRESS MONORAIL 2.5 X 20 401007758 7,337.75STENT,EXPRESS MONORAIL 2.75 X 20 401007759 7,340.25STENT,EXPRESS MONORAIL 3.0 X 20 401007760 7,340.25STENT,EXPRESS MONORAIL 3.5 X 20 401007761 7,340.25STENT,EXPRESS MONORAIL 4.0 X 20 401007762 7,340.25STENT,EXPRESS MONORAIL 4.5 X 20 401007763 7,340.25STENT,EXPRESS MONORAIL 5.0 X 20 401007764 7,340.25STENT,EXPRESS MONORAIL 2.25 X 24 401007765 7,340.25STENT,EXPRESS MONORAIL 2.5 X 24 401007766 7,340.25STENT,EXPRESS MONORAIL 2.75 X 24 401007767 7,337.75STENT,EXPRESS MONORAIL 3.0 X 24 401007768 7,340.25STENT,EXPRESS MONORAIL 3.5 X 24 401007769 7,340.25STENT,EXPRESS MONORAIL 4.0 X 24 401007770 7,340.25STENT,EXPRESS MONORAIL 4.5 X 24 401007771 7,340.25STENT,EXPRESS MONORAIL 3.0 X 28 401007772 7,340.25STENT,EXPRESS MONORAIL 3.5 X 28 401007773 7,363.25STENT,EXPRESS MONORAIL 4.0 X 28 401007774 7,340.25STENT,EXPRESS MONORAIL 2.5 X 8 401007775 7,340.25STENT,EXPRESS MONORAIL 2.75 X 8 401007776 7,340.25STENT EXP MON 3.0X8 401007777 7,340.25STENT,EXPRESS MONORAIL 3.5 X 8 401007778 7,340.25STENT EXPRESS MONORAIL 4.0 X 8MM 401007779 7,340.25STENT,EXPRESS MONORAIL 2.25 X 12M 401007780 7,340.25STENT,EXPRESS MONORAIL 2.5 X 12 401007781 7,340.25STENT,EXPRESS MONORAIL 2.75 X 12M 401007782 7,340.25STENT,EXPRESS MONORAIL 3.0 X 12 401007783 7,340.25STENT,EXPRESS MONORAIL 3.5 X 12 401007784 7,340.25STENT,EXPRESS MONORAIL 4.0 X 12 401007785 7,340.25STENT,EXPRESS MONORAIL 4.5 X 12 401007786 7,340.25

STENT,EXPRESS MONORAIL 2.25 X 16M 401007787 7,340.25BALLOON AGILTRAC 018/4.0X20X135CM 401007788 2,202.00BALLOON AGILTRAC 018/5.0X20X135CM 401007789 2,202.00BALLOON AGILTRAC 018/7.0X30X80CM 401007799 2,202.00BALLOON AGILTRAC 018/5.0X40X135CM 401007806 2,202.00BALLOON AGILTRAC 018/5.0X60X135CM 401007814 2,202.00LEADS,CAPSURE SENSE 4514 401007833 5,338.50LEADS,CAPSURE SENSE 4074 401007834 5,338.50LEADS,CRYSTALINE ICM 09 B 401007836 5,338.50SHEATH,RAABE 6.0 X .038 X 90CM 401007845 551.25SHEATH,RAABE 7.0 X .038 X 90CM 401007846 551.25STENT,ZETA 2.75 X 13MM 401007875 6,405.75STENT ZETA 4.0 X 8MM 401007892 6,405.75STENT ZETA 4.0 X 15MM 401007894 6,405.75STENT ZETA 4.0 X 18MM 401007895 6,405.75STENT ZETA 4.0 X 23MM 401007896 6,405.75INFUSION CATH,RENEGADE 3FX135CM 401007919 3,603.50BALLOON QUANT/MAV MONO 8.0X2.0 401007970 2,394.00BALLOON QUANT/MAV MONO 8.0X2.25 401007971 2,394.00BALLOON QUANT/MAV MONO 8.0X2.5 401007972 2,394.00BALLOON QUANT/MAV MONO 8.0X2.75 401007973 2,394.00BALLOON QUANT/MAV MONO 8.0X3.0 401007974 2,394.00BALLOON QUANT/MAV MONO 8.0X3.25 401007975 2,394.00BALLOON QUANT/MAV MONO 8.0MMX3.5 401007976 2,394.00BALLOON QUANT/MAV MONO 8.0X3.75 401007977 2,394.00BALLOON QUANT/MAV MONO 8.0X4.0 401007978 2,394.00BALLOON QUANT/MAV MONO 8.0X4.5 401007979 2,394.00BALLOON QUANT/MAV MONO 8.0X5.0 401007980 2,394.00BALLOON QUANT/MAV MONO 12.0X2.0 401007981 2,394.00BALLOON QUANT/MAV MONO 12.0X2.25 401007982 2,394.00BALLOON QUANT/MAV MONO 12.0X2.5 401007983 2,394.00BALLOON QUANT/MAV MONO 12.0X2.75 401007984 2,394.00BALLOON QUANT/MAV MONO 12.0X3.0 401007985 2,394.00BALLOON QUANT/MAV MONO 12.0X3.25 401007986 2,394.00BALLOON QUANT/MAV MONO 12.0X3.5 401007987 2,394.00BALLOON QUANT/MAV MONO 12.0X3.75 401007988 2,394.00BALLOON QUANT/MAV MONO 12.0X4.0 401007989 2,394.00BALLOON QUANT/MAV MONO 12.0X4.5 401007990 2,394.00BALLOON QUANT/MAV MONO 12.0X5.0 401007991 2,394.00BALLOON QUANT/MAV MONO 15.0X2.0 401007992 2,394.00BALLOON QUANT/MAV MONO 15.0X2.25 401007993 2,394.00BALLOON QUANT/MAV MONO 15.0X2.5 401007994 2,394.00BALLOON QUANT/MAV MONO 15.0X2.75 401007995 2,394.00BALLOON QUANT/MAV MONO 15.0X3.0 401007996 2,394.00BALLOON QUANT/MAV MONO 15.0X3.25 401007997 2,394.00BALLOON QUANT/MAV MONO 15.0X3.5 401007998 2,394.00BALLOON QUANT/MAV MONO 15.0X3.75 401007999 2,394.00BALLOON QUANT/MAV MONO 15.0X4.0 401008000 2,394.00BALLOON QUANT/MAV MONO 15.0X4.5 401008001 2,394.00BALLOON QUANT/MAV MONO 15.0X5.0 401008002 2,394.00BALLOON QUANT/MAV MONO 20.0X2.0 401008003 2,394.00BALLOON QUANT/MAV MONO 20MMX2.25 401008004 2,394.00BALLOON QUANT/MAV MONO 20.0X2.5 401008005 2,394.00BALLOON QUANT/MAV MONO 2.0MMX2 401008006 2,394.00BALLOON QUANT/MAV MONO 20.0X3.0 401008007 2,394.00BALLOON QUANT/MAV MONO 20.0X3.25 401008008 2,394.00BALLOON QUANT/MAV MONO 20.0X3.5 401008009 2,394.00BALLOON QUANT/MAV MONO 20.0X3.75 401008010 2,394.00BALLOON QUANT/MAV MONO 20.0X4.0 401008011 2,394.00BALLOON QUANT/MAV MONO 20.0X4.5 401008012 2,394.00BALLOON QUANT/MAV MONO 20.0X5.0 401008013 2,394.00BALLOON QUANT/MAV MONO 30.0X2.0 401008014 2,394.00BALLOON QUANT/MAV MONO 30.0X2.25 401008015 2,394.00BALLOON QUANT/MAV MONO 30.0X2.5 401008016 2,394.00BALLOON QUANT/MAV MONO 30.0X2.75 401008017 2,394.00

BALLOON QUANT/MAV MONO 30.0X3.0 401008018 2,394.00BALLOON QUANT/MAV MONO 30.0X3.25 401008019 2,394.00BALLOON QUANT/MAV MONO 30.0X3.5 401008020 2,394.00BALLOON QUANT/MAV MONO 30.0X3.75 401008021 2,394.00BALLOON QUANT/MAV MONO 30.0X4.0 401008022 2,394.00BALLOON QUANT/MAV MONO 30.0X4.5 401008023 2,394.00BALLOON QUANT/MAV MONO 30.0X5.0 401008024 2,394.00DEFIB LEAD,RIATA 1580 401008027 20,019.00DEFIB LEAD,RIATA 1581 401008028 20,019.00SHEATH,BI-V 9FR STNDRD 40CM 401008033 2,342.75SHEATH,BI-V 9FR JUMBO 50CM 401008034 2,342.75BI-V PIN PLUG KIT 401008035 1,001.50HEMODIALYSIS CATH,19CM 401008121 2,892.75HEMODIALYSIS CATH,23CM 401008122 2,892.75HEMODIALYSIS CATH, 28CM 401008123 2,892.75VASOSEAL, IOPROFILE #5 401008128 1,200.75CHITOSEAL 401008129 504.25SAFE SHEATH,SEALING ADAPTER 401008156 515.25BI-V PACER INSYNC 8042B 401008157 36,754.50CONTOUR SE 700-900 401008158 1,001.50COIL 018 2MMX3MM 401008159 763.25COIL 018 2MMX4M 401008160 763.25COIL VORTEX WIRE PUSHER 401008161 1,156.25CATH RENEGADE .021 MICROCATH 401008162 2,522.25WIRE, TRANSEND .014 401008163 1,441.25CATH IVUS ATLANTIS PRO 401008168 5,124.50CATH IVUS ATLANTIS SR PLUS 401008169 5,124.50CATH IVUS GALAXY SLED 401008171 327.50FILTER WIRE EZ 3.5-5.5 300CM 401008219 7,482.00FILTER EZ BENT TIP RETRIEVAL 401008220 606.75STENT DES,CYPHER OTW 2.5 X 13MM 401008221 17,056.25STENT DES CYPHER OTW 3.0 X 13MM 401008222 17,056.25STENT DES CYPHER OTW 2.5 X 18MM 401008223 17,056.25STENT DES CYPHER OTW 3.0 X 18MM 401008224 17,056.25STENT DES CYPHER OTW 2.5 X 23MM 401008225 17,056.25STENT DES CYPHER OTW 3.0 X 23MM 401008226 17,056.25STENT DES CYPHER OTW 2.5 X 28MM 401008227 17,056.25STENT DES CYPHER OTW 3.0 X 33MM 401008228 17,056.25STENT DES CYPHER RX 2.5 X 13MM 401008229 17,056.25STENT DES CYPHER RX 3.0 X 13MM 401008230 17,056.25STENT DES CYPHER RX 2.5 X 18MM 401008231 17,056.25STENT DES CYPHER RX 3.0 X 18MM 401008232 17,056.25STENT DES CYPHER RX 2.5 X 23MM 401008233 17,056.25STENT DES CYPHER RX 3.0 X 23MM 401008234 17,056.25STENT DES CYPHER RX 2.5 X 28MM 401008235 17,056.25DEFIB, ATLAS DR V-242 401008237 68,464.25DEFIB, EPIC DR V-233 401008239 79,274.50SHEATH,ATTAIN 6216-MP 401008261 1,601.75FEMOSTOP PLUS COMPRESSION 401008263 607.75CATH SIM 3 401008264 112.00STENT DES CYPHER OTW 3.5 X 8MM 401008265 17,056.25STENT DES CYPER OTW 3.5 X 13MM 401008266 17,056.25STENT DES CYPHER OTW 3.5 X 18MM 401008267 17,056.25STENT DES CYPHER OTW 3.5 X 23MM 401008268 17,056.25STENT DES CYPHER RX 3.5 X 8 401008269 17,056.25STENT DES CYPHER RX 3.5 X 13 401008270 17,056.25STENT DES CYPHER RX 3.5 X 18 401008271 14,766.75STENT DES CYPHER RX 3.5X23 401008272 17,056.25RF CATH MARINR 075312 401008284 4,764.75RD CATH MARINR 075402 401008285 4,764.75PACEMAKER VERITY ADX DR M/S 5357 401008286 19,819.00PACEMAKER VERITY ADX SR M/S 5157 401008287 18,737.50CUTTING BALLOON ULTRA MR2.50X6MM 401008293 5,338.50DES STENT CYPHER RX 3.0 X 33MM 401008306 17,056.25SHEATH,ATTAIN MP 401008307 1,601.75

SHEATH,ATTAIN AMPLATZ 401008308 1,601.75PACER DDDR W/ATP 401008310 24,142.75STENT DES CYPHER RX 3.5 X 28MM 401008320 17,056.25STENT DES CYPHER RX 3.5 X 33MM 401008321 17,056.25STENT DES CYPHER OTW 3.5 X 33MMC 401008322 17,056.25PACEMAKER DDDR C60DR 401008332 23,319.00STENT DES CYPHER RX 3.0X28MM 401008334 13,193.25DEFIB MAXIMO DR 7278 401008351 87,354.75STENT DES CYPHER RX 2.75 X 18MM 401008361 15,832.25STENT DES CYPHER RX 2.75X28MM 401008362 15,832.25STENT DES CYPHER OTW 2.75X18MM 401008363 15,832.25STENT DES CYPHER OTW 2.75X28MM 401008364 15,832.25BALLOON MAVERICK XL 6.0X20 401008384 2,280.50CATH FOGARTY 5.5FR 80CM 401008397 630.75CATH FOGARTY 5.5FR 40CM 401008398 630.75CATH HELIX CLOT NUSTER 7FRX75CM 401008399 3,813.25CATH HELIX CLOT NUSTER 7FRX120CM 401008400 3,813.25GUIDE 6FR FR4SH 401008404 517.75GUIDE VL 3.0 7FR 401008405 517.75GUIDE VL 3.0SH 7FR 401008406 517.75ESSENTIALS KIT 401008407 245.50VASOSEAL ELITE 401008408 1,490.75BALLOON CONQUEST 7MMX8CMX75 401008418 1,906.25BALLOON CONQUEST 8MMX8CMX75 401008419 1,906.25INFLATOR MAX 30 401008420 1,906.25DEFIB RENEW 3H175 401008428 76,778.50DEFIB RENEW H179 401008430 79,243.00TRI ADAPTOR KIT 401008445 194.25FILTER IVC TRAPEAZ 401008448 7,770.75STENT DES CYPHER OTW 2.5 X 8MM 401008449 14,766.75PCMKR,DDR E1DR01 401008452 18,251.00PCMKR VVI E2SR01 401008453 18,251.00STENT DRIVER 3.0 X 9MM 401008457 6,644.25STENT DRIVER 3.0 X 18MM 401008460 6,644.25DEFIB VITALITY 135 401008472 44,132.75STENT WALLSTENT 18 X 40CM 401008499 6,527.75STENT WALLSTENT 18 X 60CM 401008500 6,527.75STENT WALLSTENT 20 X 40CM 401008501 6,212.00STENT WALLSTENT 20 X 55CM 401008502 6,212.00GUIDE CATH 7FR INTRODUCER 401008523 161.75NEEDLE CHIBA 20GAX15CM 401008605 73.25NEEDLE CHIBA 22GAX15CM 401008606 73.25SHEATH DESTINATION 45CM 6F 401008610 424.00SHEATH DESTINATION 45CM 7F 401008611 424.00STENT EXPRESS BILIARY LD 5X17X75 401008613 6,210.75STENT EXPRESS BILIARY LD 5X27X75 401008614 6,210.75X STENT EXPRESS BILIARY LD5X37X75 401008615 6,210.75X STENT EXPRESS BILIARYLD5X537X75 401008616 6,210.75STENT EXPRESS BILIARY LD 6X17X75 401008617 6,210.75STENT EXPRESS BILIARY LD 6X27X75 401008618 6,210.75STENT EXPRESS BILIARY LD 6X37X75 401008619 6,210.75STENT EXPRESS BILIARY LD 6X57X75 401008620 6,210.75STENT EXPRESS BILIARY LD 7X17X75 401008621 6,210.75STENT EXPRESS BILIARY LD 7X27X75 401008622 6,210.75STENT EXPRESS BILIARY LD 7X37X75 401008623 6,210.75STENT EXPRESS BILIARY LD 7X57X75 401008624 6,210.75STENT EXPRESS BILIARY LD 7X27X135 401008625 6,210.75STENT EXPRESS BILIARY LD 8X17X135 401008626 6,210.75STENT EXPRESS BILIARY LD 8X27X135 401008627 19,938.25STENT EXPRESS BILIARY LD 8X17X75 401008628 6,210.75STENT EXPRESS BILIARY LD 8X27X75 401008629 6,210.75STENT EXPRESS BILIARY LD 8X37X75 401008630 6,210.75STENT EXPRESS BILIARY LD 8X57X75 401008631 6,210.75STENT EXPRESS BILIARY LD 9X25X75 401008632 6,210.75STENT EXPRESS BILIARY LD 9X37X75 401008633 6,210.75

STENT EXPRESS BILIARY LD 9X57X75 401008634 6,210.75STENT EXPRESS BILIARY LD 10X25X75 401008635 6,210.75STENT EXPRESS BILIARY LD 10X37X75 401008636 6,210.75STENT EXPRESS BILIARY LD 10X57X75 401008637 6,210.75STENT EXPRESS BILIARY LD 5X17X135 401008638 6,210.75STENT EXPRESS BILIARY LD 5X27X135 401008639 6,210.75STENT EXPRESS BILIARY LD 6X17X135 401008640 6,210.75STENT EXPRESS BILIARY LD 6X27X135 401008641 6,210.75STENT EXPRESS BILIARY LD 7X17X135 401008642 6,210.75DIALYSIS CATH HEMOSPLIT 19CM KIT 401008660 2,426.50DIALYSIS CATH HEMOSPLIT 24CM KIT 401008661 2,426.50DEFIB ATLAS PLUS VR 193 401008665 62,396.00DEFIB ATLAS PLUS VR 196 401008666 65,516.00DEFIB ATLAS PLUSDR 243 401008669 73,549.50STENT SENTINOL 6FR 7X78X135 401008670 6,066.25STENT SENTINOL 6FR 7X39X135 401008671 6,066.25CATH PIG CSC-20 ROYAL FLUSH 401008672 792.25STENT SENTINOL 8X42X75 401008673 6,066.25STENT SENTINOL 8 X60X75 401008674 6,066.25STENT SENTINOL 8X42X135 401008675 6,066.25STENT SENTINOL 8X60X135 401008676 6,066.25STENT SENTINOL 8X81X135 401008677 6,066.25STENT SENTINOL 9X21X75 401008678 6,066.25STENT SENTINOL 9X42X75 401008679 6,066.25STENT SENTINOL 9X60X75 401008680 6,066.25STENT EXPRESS BILI SD 4X15X90 401008684 6,210.75STENT EXPRESS BILI SD 4X19X90 401008685 6,210.75STENT EXPRESS BILI SD 5X15X90 401008686 6,210.75STENT EXPRESS BILI SD 5X19X90 401008687 6,210.75STENT EXPRESS BILI SD 6X14X90 401008688 6,210.75STENT EXPRESS BILI SD 6X18X90 401008689 6,210.75STENT EXPRESS BILI SD 7X15X90 401008690 6,210.75STENT EXPRESS BILI SD 7X19X90 401008691 6,210.75CATH UTDS 3X2X150CM 401008721 1,212.50CATH UTDS 4X2X150CM 401008722 1,212.50CATH UTDS 5X2X150CM 401008723 1,212.50CATH UTDS 6X2X150CM 401008724 1,212.50CATH UTDS 7X2X150CM 401008725 1,212.50SHEATH PINNICAL 90CM 401008726 831.75STENT AURORA SE 10X60X130 401008729 5,777.50STENT BRIDGE ASSURANT 8X80X30 401008749 5,777.50STENT RACER 4X12X80 401008750 5,777.50STENT RACER 4X18X80 401008751 5,777.50STENT RACER 5X18X80 401008753 5,777.50STENT RACER 6X12X80 401008754 5,777.50STENT RACER 8X16X80 401008755 5,777.50STENT RACER 7X12X80 401008756 5,777.50STENT RACER 7X18X80 401008757 5,777.50STENT PALMAZ 10CM X 39MM 401008774 6,008.25BI-V ACID ATLAS +HF V340 401008821 68,168.00BI-V ACID HF V338 401008822 68,168.00LEAD BI-V QUICKSITE 1056K 401008825 18,487.50BI-V LIVEWIRE CANNULATOR 401008826 2,599.75BI-V REFLEXION CANNULATOR 401008827 3,293.50CATH ALLIANCE DELIVERY SYSTEM 401008828 3,813.25CATH APEEL CS 407564 401008829 2,599.75CATH APEEL CS 407565 401008830 2,599.75CATH APEEL CS 407566 401008831 2,599.75CATH APEEL CS 407567 401008832 2,599.75CATH APEEL CS 407568 401008833 2,599.75CATH APEEL CS 407569 401008834 2,599.75CATH APEEL CS 407570 401008835 2,599.75STENT RACER 5MMX12MMX130 401008836 5,777.50STENT RACER 5MMX1MMX130 401008837 5,777.50STENT RACER 6MMX12MMX130 401008838 5,777.50

STENT RACER 6MMX18MMX130 401008839 5,777.50GUIDE CATH PREVAIL 401008840 2,426.50CUTTER SLITTER 401008841 202.50CATH APEEL CS 407571 401008842 2,599.75CATH APEEL CS 407572 401008843 2,599.75CATH APEEL CS 407573 401008844 2,599.75SYLET STEERABLE 4036 401008845 1,733.50BALLOON XXL 14X2X75 401008846 1,816.25BALLOON XXL 16X2X75 401008847 1,816.25BALLOON XXL 18X2X75 401008848 1,816.25STENT WALLSTENT 20X40 401008849 6,212.00STENT WALLSTENT 22X35 401008850 6,212.00STENT WALLSTENT 224X35 401008851 6,212.00ROTALINK PLUS 1.25 401008852 5,488.50ROTALINK PLUS 1.50 401008853 5,488.50ROTALINK PLUS 1.75 401008854 5,488.50ROTALINK PLUS 2.0 401008855 5,488.50ROTALINK PLUS 2.15 401008856 5,488.50ROTALINK PLUS 2.25 401008857 5,488.50ROTALINK PLUS 2.38 401008858 5,488.50ROTALINK PLUS 2.50 401008859 5,488.50AICD BI-V INSYCH MAXIMO 7307 401008868 73,315.25SHEATH 11FR 401008872 299.25PACER INSIGNIA 1290 401008881 20,744.00PACER IDENTITY ADX 5180 401008883 16,690.75PACER T60DR 401008884 21,152.00PACER T20SR 401008885 15,287.25GUIDE LAUNCHER 6FR IMA 401008915 445.00GUIDE LAUNCHER 6FR RDC 401008916 445.00GUIDE LAUNCHER 6FR P1 401008918 445.00GUIDE LAUNCHER 7FR RDC 401008921 445.00GUIDE LAUNCHER 7FR P1 401008923 445.00CATHETER EXPORT KIT 401008961 4,818.50WIRE IQ 300X.014 STR 401008963 630.75WIRE IQ 185X.014 J 401008964 630.75WIRE IQ 300X.014J 401008965 630.75WIRE PT2MS .014X185 STR 401008966 630.75WIRE PT2MS .014X300STR 401008967 630.75WIRE PT2MS .014X185J 401008968 630.75WIRE PT2MS .014X300J 401008969 630.75FILTER WIRE EZ 3.5-5.5 190CM 401008970 5,985.25FILTER WIRE EZ SYS 190 401008971 5,985.25SHEATH EZ BENTEN TIP RETRIVAL 401008972 606.75SEL CATH PLC ART EA ORD ABD/PEV 401009000 1,335.50SEL CATH PLC ART INIT 2ND LOW/EX 401009001 1,522.50I&S PELVIC EA VESSEL SELECT 401009002 5,448.00SEL CATH PLC ART INIT 3RD ORD ABD 401009003 3,050.25ANGIO EXT CAROTD BILT SLT RAD S&I 401009005 3,506.75ANGIO EX CAROTID UNIL SLT RAD S&I 401009006 2,971.00CARDIAC OUTPUT NOT DURING CATH 401009007 292.50CONSCIOUS SEDATION 401009011 1,211.50CORONARY ATHERECTOMY 401009012 14,407.50CORONARY STENT PLACEMENT 401009013 22,139.00THROMBOLYSIS INTRACOR INFS/ANGIO 401009014 1,706.75VASC US COR DUR DX EVL/TXS/I&R IN 401009015 5,891.75EKG- 12 LEAD 401009016 450.75SEL CATH PLC VENOUS, 2ND ORD/MORE 401009017 1,465.50IABP INSERTION, PERC 401009018 1,071.75VASC US-NON COR-W/EVAL/TX,INT VES 401009019 3,885.25VASC US NON-CORN W/EVAL/TX EA ADD 401009020 1,997.50MYOCARDIAL BIOPSY 401009029 1,826.75PERICARDIOCENTESIS 401009033 347.00TRNSCTH STENT RAD S&I - EACH 401009035 5,684.50TRANSCATH THERAPY INFUSION 401009037 4,845.50O2 SAT <NON-INVASIVE> 401009039 196.50

PTA, BRACHIOCEPHALIC 401009040 9,686.25PTA, VENOUS RAD S&I 401009043 12,416.00PTCA EACH ADD. VESSEL 401009044 6,712.75PTCA - SINGLE VESSEL 401009045 12,308.25PTA, RENAL/VISCERAL RAD S&I 401009052 11,526.73TRNSCTH OCC/EMB-PERC-NON CNS/HEAD 401009053 10,040.00INTRO NDL/CATH PLC EXTREM ART 401009056 726.00INTRO NDL/CATH, RTROGRD BRACH ART 401009057 1,003.50TRANSCATH EMBOLZ ANY METH RAD S&I 401009058 3,713.00TRNSCTH RETIEV PERC-IV FB RAD S&I 401009059 5,176.75VENOGRAPHY EXTREM UNILAT RAD S&I 401009061 766.50VENOGRAPHY EXTREM BILAT RAD S&I 401009063 766.50INTRO NDL/CATH CAROT/VERTEB ART 401009065 1,390.00ANGIO CERB CEREB INC VESS RAD S&I 401009066 2,166.50ANGIO PULM, UNILAT, SEL RAD S&I 401009067 5,705.00INFUSION FOR LYSIS (NON-CORONARY) 401009068 2,511.00ANGIO VISCERAL, SELECT RAD S&I 401009070 2,479.75REPOS PREV PLACED CVC W/ FLUORO 401009071 630.25INSRT CANNULA HEMO, VEIN TO VEIN 401009072 3,628.25EXT CANNULA DECLOTTING 401009073 7,029.00CANNULA DECLOTTING 401009074 6,694.75INSRT TEMP PCMKR-SINGLE CHAMBER 401009077 8,257.85FLUOROSCOPY LESS THAN 1 HOUR 401009078 612.25FLUOROSCOPY GREATER THAN 1 HOUR 401009079 835.75INTRO CATH RT HEART/MAIN PULM ART 401009080 116.75CARDIOVERSION, ELECTIVE EXT 401009083 1,335.00THORACENTESIS-ASPIRATION-INITIAL 401009090 1,122.00PTA, VENOUS 401009091 6,772.75AORTOGR ABD & BILAT ILEOFIM LE 401009093 3,795.50ANGIO CAROTID/CERV UNILAT RAD S&I 401009094 2,341.75ANGIO CAROTID CEREB BILAT RAD S&I 401009095 2,479.75ANGIO VERT CRV &OR INTRCRN RAD SI 401009096 2,479.75ANGIO EXTREMITY, UNILAT RAD S&I 401009097 4,546.25ANGIO EXTREMITY, BILAT RAD S&I 401009098 4,938.75ANGIO ADRENAL, UNILAT SEL RAD S&I 401009099 4,578.00ANGIO ADRENAL, BILAT SEL RAD S&I 401009100 4,846.75ANGIO PULM,BILAT,SELECT RAD S&I 401009101 3,803.75VENOGRPHY CAV/INFR W/SERIO RAD SI 401009103 4,212.75VENOGRPHY CAVAL, SUPER RAD S&I 401009104 4,679.25VENOGRPHY RENAL UNILAT SEL RAD SI 401009105 3,991.50VENOGRPHY RENAL BILAT SEL RAD SI 401009106 4,362.00VENOUS SAMPLNG W/WO ANGIO RAD S&I 401009107 4,280.25ANGIO POST INFUSION 401009108 847.75INTRAVSC US RAD S/I EA ADD NONCOR 401009109 928.50INTRAVSC US NON-COR RAD SI,INT VE 401009110 653.25EXCHNG THROMBOLYSIS CATH RAD S&I 401009111 3,246.75PTA, PERIPHERAL EA ADD, RAD S&I 401009112 4,968.25PTA, RENAL/VISC EC ADD RAD S&I 401009113 6,628.25SEL CATH PLC ADD'L 2&3 THOR-BRACH 401009114 327.00SEL CATH PLC VENOUS, 1ST ORDER 401009115 1,255.25CPR 401009118 345.75THROMBOLYSIS BY IV INFUSION 401009119 1,056.00CORONARY ATHERECTOMY ADD'L VESSEL 401009121 11,096.75WAVEWIRE PRESS MEASURE ONE-VESSEL 401009125 3,492.25WAVEWIRE PRESS MEASURE EA ADDL VE 401009126 1,997.50ANGIO CAROT/CER BILAT RAD S&I 401009129 2,479.75INSRT FLOW DIRCT CATH-SWAN GANZ 401009130 1,826.75CORONARY STENT EA ADD'L VESSEL 401009131 9,811.25PERC TRNSLM PULM ART BAL ANGIO 1V 401009134 5,133.25PERC TRNSLM PULM ART ANGIO EA ADD 401009135 5,133.2502 SAT INVASIVE/NON-RHC 401009138 166.75THORACENTESIS, W/INSRT TUBE 401009139 1,122.00PTA, PERIPHERAL RAD S&I 401009141 11,526.73INTRO CATH AORTA 401009142 939.25AORTOGR THORAC SERIALOGR RAD S&I 401009146 2,479.75

PTA, AORTA 401009149 6,772.75ANGIO CAROTID CEREB UNILAT RAD SI 401009150 2,479.75INTRO OF CATH CUP/INF VENA CAVA 401009153 1,958.00AORTOGR ABD-SERIALOGR RAD S&I 401009154 2,299.25AORTOGR ADB & BILAT ILEOFIM LE 401009155 2,424.75PTA, RENAL 401009162 6,772.75SEL CATH PLC LT/RT PULM ART 401009164 1,696.25SEL CATH PLC SEGMT/SUBSQ PULM ART 401009165 1,506.75BLOOD GASES, 0O2 SATURATIONS ONLY 401009166 166.75CATH ABLAT, BLOCK W/WO TEMP 401009200 11,654.00CATH ABLATE, SV TACH 401009201 11,654.00CATH ABLATE, VENT TACHY 401009202 10,489.00EP EVAL W/ INDUCTION ARRHY 401009204 13,800.00EP EVAL W/O INDUCTION ARRHY 401009205 11,208.50BUNDLE OF HIS RECORDING 401009206 4,008.75EP, LT ATRIAL RECORD INDUCE ARRHY 401009207 14,752.50TILT TABLE EVALUATION 401009210 2,443.00IVUS CORONARY VESSEL 401009211 9,778.25IVUS CORONARY VESSEL ADD'L VSL 401009212 5,297.50INST/REPLC DUAL CHMBR LEAD 401009213 8,257.85PEPR LEAD 1 PACER/CARDIO-DEFIB 401009214 3,805.73REPR LEAD 2 PACER/CARDIO-DEFIB 401009215 3,805.73EP F/U INCL INDUCT/ATTEMPT ARRHY 401009216 3,554.25REVIS/RELOCAT SKIN POCKET-PCMKR 401009217 2,935.48RIGHT VENTRICULAR RECORDING 401009218 4,008.75STIM/PACE POST DRUG INFUSION 401009219 3,930.00MAPPING OF TACHYCARDIA 401009220 4,008.75ESOPHAGEAL RECORDING W/ PACING 401009221 4,008.75INDUCTION ARRTHY BY ELEC PACING 401009222 4,008.75INSRT TEMP PCMKR-DUAL CHAMBER 401009223 8,257.85UPGRADE IMPLNT PACER SNGL TO DUAL 401009224 24,095.28INTRA-ATRIAL PACING 401009226 4,008.75INTRAVENTRICULAR PACING 401009227 4,008.75EVAL SNGL/DUAL CHAMB CARDIOV 401009228 2,133.50EP, LT VENT RECORD INDUCE ARRHY 401009229 14,752.50EVAL CARD-DEFIB LEAD INT IMPLNT 401009231 2,133.50EVAL CARD-DEF LEAD INT W/ GEN TES 401009233 2,133.50REM TRNSV PACER ELEC, 1 LEAD SET 401009234 3,805.73REM TANSV PACER ELECT, DUAL LEAD 401009235 3,805.73IMPLNT PT ACTIV EVENT/LOOP REC 401009236 9,097.00REM IMPLNT PT ACTIV EVNT/LOOP REC 401009237 1,356.75INST/REPLC SNGL CHMBR LEAD 401009240 8,257.85REVIS SKIN POCKET-PCNG CARD-DEFIB 401009241 2,935.48REMOVE PERM PCMKR PULSE GEN ONLY 401009242 3,805.73SUBQ REM PACING CARDIO-DEFIB GEN 401009244 2,670.25REM CARDIO-DEFIB ELEC TRNSV EXTRA 401009245 3,805.73INJ PROC CONTRAST VENOGRAPHY, LL 401009253 334.75INJ PROC CONTRAST VENOGRAPHY, RL 401009254 334.75INJ PROC CONTRAST VENOGRAPHY, LU 401009255 334.75INJ PROC CONTRAST VENOGRAPHY, RU 401009256 334.75SEL CATH PLC 2ND THORAC-BRACH LT 401009260 2,093.00SEL CATH PLC 2ND THORAC-BRACH RT 401009261 2,093.00SEL CATH PLC 3RD THORAC-BRACH LT 401009262 2,093.00SEL CATH PLC 3RD THORAC-BRACH RT 401009263 2,093.00SEL CATH ART SYS EA ORD REN-B 401009264 1,335.50SEL CATH PLC ART SYS EA ORD REN-L 401009265 1,335.50SEL CATH PLC ART SYS EA ORD REN-R 401009266 1,335.50SEL CATH PLC ART SYS EA ORD FEM-B 401009267 1,335.50SEL CATH PLC ART SYS EA ORD FEM-L 401009268 1,335.50SEL CATH PLC ART SYS EA ORD FEM-R 401009269 1,335.50SEL CATH PLC ART SYS EX ORD ILIAC 401009270 1,335.50SEL CATH PLC ART SYS INIT 2ND LT 401009271 1,522.50SEL CATH PLC ART SYS INIT 2ND RT 401009272 1,522.50SELCATH PLC ART SYS IN 2ND EA ADL 401009273 1,522.50SEL CATH PLC ART ADD 2&3 ORD ABD 401009274 1,522.50

INSERT IMPL INTRA ART INF PUMP 401009275 3,297.50REV IMPLANT INTRA-ART INFUS PUMP 401009276 3,297.50REM IMPLANT INTRA-ART INFUS PUMP 401009277 2,209.25UNLISTED PROC VASCULAR INJECT 401009278 20,211.75INSERT IMPLANT IV INFUSION PUMP 401009280 4,090.25REMOV IMPLANT IV INFUS PUMP 401009282 2,832.00REM IMPNT VENOUS ACCESS DVC 401009285 3,011.00DECLOT-THROMBOLYTIC ACCESS 401009286 314.00TRAN CATH THERAP INFU NOT THROMB 401009287 1,003.50TRANSCATH RETRIEVAL PERCUT-IV FB 401009288 5,690.50INTERPT PART/CMPLT-INFR VENA CAVA 401009289 4,079.75AORTOGR THORAC WO SERIALO RAD S&I 401009290 3,292.00ANGIO SEL EA ADDL VESSEL RAD S&I 401009291 1,821.50VENOGRAM-LLE 401009292 766.50VENOGRAM-LUE 401009293 766.50VENOGRAM-RLE 401009294 766.50VENOGRAM-RUE 401009295 766.50TEMPORARY TRANSCUTANEOUS PACING 401009296 700.75TEMPORARY EXTERNAL PACING 401009297 700.75CARDIOVERSION, ELECTIVE, INT 401009298 3,266.75INTRA VASC US DUR TX S/I&R EA ADD 401009301 5,145.50STNT PLCMT PERC SNG VSL L CIR ART 401009302 18,706.75STNT PLCMNT PERC SNG VSL LAD ART 401009303 18,706.75STNT PLCMT PERC SNG VSL R COR ART 401009304 18,706.75EA ADDL STENT PLCMT L CIR COR ART 401009305 13,362.50EA ADDL STENT PLCMT LAD COR ART 401009306 15,443.50EA ADDL STENT PLCMT R COR ART 401009307 13,362.50PTCA SNGL VESSL L CIR COR ART 401009308 18,087.25PTCA SNGL VESSL LAD COR ART 401009309 18,087.25PTCA SNGL VESSL R COR ART 401009310 18,087.25VALVULOPLASTY, PERC, AORTIC VALVE 401009311 11,526.72PERC ATHEREC W/WO ANGIO L CIR ART 401009316 11,234.25PERC ATHEREC W/WO ANGIO LAD 401009317 11,234.25PERC ATHEREC W/WO ANGIO R COR ART 401009318 11,234.25ATHEREC ADD VSL L CIR COR ART 401009319 11,234.25ATHEREC ADD VSL LAD COR ART 401009320 11,234.25ATHEREC ADD VSL R COR ART 401009321 11,234.25COMB TRNSPT/RETRO LEFT HEART CATH 401009323 8,249.50LEFT & RIGHT CATH W/ VENT. PUNCT 401009325 8,249.50RIGHT HEART CATH W/ CONG ANOM 401009327 10,314.00LEFT & RIGHT CATH,CONG ANOM,RETRO 401009328 10,314.00LEFT & RIGHT CATH,CONG AN,TRANSEP 401009329 10,314.00LEFT & RIGHT,CONG AN,SEPTAL OPEN 401009330 10,314.00CARDIAC OUTPUT ADDL N/DURING CATH 401009333 292.50ESOPHAGEAL RECORDING W/O PACING 401009334 4,008.75INTRA-OP EPICARDIAL PACING 401009335 3,693.50ENDO REPAIR AAA W/PROST TUBE 401009348 25,509.00ENDO REPAIR MOD W/BIFUR PROTHESIS 401009349 25,509.00ENDO REPAIR AAA W/UNIBDY BIFUR PR 401009350 12,754.50ENDO REPAIR AA/IA EXT RPR INITIAL 401009352 12,754.50ENDO REPAIR AA/IA EXT ADDL VESSEL 401009353 8,503.00THROMBECTOMY ARTERIAL/VENOUS 401009355 7,581.25THROMBECTOMY WITH REVISION OF ART 401009356 7,581.25INFUSION BLOOD/BLD PROD-ONCE VISI 401009357 510.25PERC THROMBECT AV FISTULA 401009362 9,433.25NEPHOSYOMY TUBE CHANGE 401009371 1,656.50PERC TRANSHEPATIC CHOLAN,RAD S&I 401009376 883.25ANGIO BRACH/RETROGRADE RT RAD S&I 401009383 8,289.50ANGIO BRACH/RETROGRADE LT RAD S&I 401009384 8,289.50ANGIO CAROTID,CERV RT RAD S&I 401009385 3,646.00ANGIO CAROTID,CERV LT RAD S&I 401009386 3,646.00ANGIO VERT CRV&OR INTRCRN BIL RAD 401009387 5,224.25ANGIO VERT CRV&OR INTRCRN RT RAD 401009388 5,224.25ANGIO VERT CRV&OR INTRCRN LT RAD 401009389 5,224.25ANGIO EXTREMITY,RT RAD S&I 401009391 4,546.25

ANGIO EXTREMITY,LT RAD S&I 401009392 4,546.25ANGIO ILIAC BILAT S&I 401009395 4,853.50ANGIO ILIAC RT S&I 401009396 4,853.50ANGIO ILIAC LT S&I 401009397 4,853.50ANGIO INTERNAL MAMMARY RAD S&I 401009402 3,723.50PTA PERIPHERAL,RT RAD S&I 401009410 11,526.73PTA PERIPHERAL LT RAD S&I 401009411 11,526.73PTA PERIPH EA ADD,BIL RAD S&I 401009412 7,756.50PTA PERIP EA ADD RT RAD S&I 401009413 5,171.00PTA PERIPH EA ADD LT RAD S&I 401009414 5,171.00PTA VENOUS RT RAD S&I 401009417 3,514.75PTA VENOUS RAD LT S&I 401009418 3,374.25PULSE OX-SNGL DETERMINATION 401009437 190.00PULSE OX-MULTI DETERMINATION 401009438 375.00PTA, RENAL, RT 401009447 14,219.00PTA, RENAL, LT 401009448 14,219.00ATHERECTOMY, PERIPH BRACH, BIL 401009449 17,027.25ATHERECTOMY, PERIPH BRACH, RT 401009450 8,514.25PTCA EA ADD VESSEL, L CIR COR ART 401009456 13,247.50PTCA EA ADD VESSEL, LAD COR ART 401009457 13,247.50PTCA EA ADD VESSEL, R COR ART 401009458 21,521.50ANGIO CAROTID CEREB RT RAD S&I 401009460 3,646.00ANGIO CAROTID CEREB LT RAD S&I 401009461 3,646.00DOSE PLAN/ISODO SMPL 1-8SRC 401009470 981.25DOSE PLAN/ISODOS INTRMD 9-12 SRC 401009475 981.25DOSE PLAN/ISODO CMPLX 9-12 SRC 401009480 981.25SEL CATH PLC 1ST THORACIC BRACH-R 401009497 1,276.00SEL CATH PLC 1ST THORACIC BRACH-L 401009498 1,276.00REMOTE AFTERLOADING >12 POS/CATH 401009500 9,380.50SURFACE APPLICATION RADIATION SRC 401009501 525.75SUPERVISION/HNDLNG/LOAD RAD SRC 401009502 1,581.50VENOGRAPHY SINUS/JUG CATH RAD S&I 401009510 1,253.50PLCMNT OCCLUSIVE DEVICE VEN/ART 401009520 1,614.25TRNSCTH PLC DES SNGL LCIR COR ART 401009525 24,636.00TRNSCTH PLC DES SNGL R COR ART 401009526 24,636.00TRNSCTH PLC DES SNGL LAD COR ART 401009527 24,636.00TRNSCTH PLC DES ADD LCIR COR ART 401009530 23,696.75TRNSCTH PLC DES ADD R COR ART 401009531 23,696.75TRNSCTH PLC DES ADD LAD COR ART 401009532 23,696.75INSRT IAB ASSIST DEV FEM ART-OPEN 401009533 1,071.75ANGIO ILIAC W/CARDIAC CATH BI 401009540 2,934.00ANGIO ILIAC W/CARDIAC CATH LF 401009545 2,934.00ANGIO ILIAC W/CARDIAC CATH RT 401009550 2,934.00ANGIO RENAL W/CARDIAC CATH BI 401009555 2,934.00ANGIO RENAL W/CARDIAC CATH LT 401009560 2,934.00ANGIO RENAL W/CARDIAC CATH RT 401009565 2,934.00REPOS PREV IMPLANT TRNS PCMKR/DEF 401009603 3,805.73PERC PLCMNT DRAIN CATH BIL S&I 401009610 715.75CHNG PERC CATH GI/GU S&I 401009612 252.50PERC TRNSHEP BILI DRAIN S&I 401009614 619.00CHOLANGIO TRNS CATH S&I 401009616 1,056.25CHOLANGIO PERC TRANSHEPATIC S&I 401009618 367.25INTRO PERC TRNSHPTC STNT DRAIN 401009620 2,215.25REV/RINSRT TRANSHEPATIC TUBE 401009622 1,156.50INTRO PERC TRNSHPTC CATH BIL DRN 401009624 2,215.25CHNG PERC BILIARY DRAIN CATH 401009626 1,156.50INJECT CHOLANGIO EXIST CATH 401009628 214.00INJECT PERC TRNSHPTC CHLANGIO 401009630 237.75RPLCMNT TUNNELED CNTRL VEN CATH 401009640 2,580.00ENDO REPAIR AAA RAD S&I 401009675 3,401.25ENDO GRAFT REPAIR ILIAC ARTERY 401009677 12,754.50ENDO REPAIR AA EXTENSION RAD S&I 401009678 3,401.25ENDO REPAIR AAA AORTO UNIIL-UNIFE 401009679 25,509.00ENDO PLCMNT ILIAC ART OCCLU DEV 401009680 1,190.50EXCISE BENIGN LESION .6 TO 1.0CM 401009681 503.50

ENDO REPAIR AAA STENT W/2 LIMB 401009682 25,509.00EXCISON BENIGN LESION 0.6-1.0 CM 401009683 503.50ENDO REPAIR OPEN FEM ART EXPOSURE 401009684 17,006.25REM TUNNEL CEN VEN CATH W/O PORT 401009685 1,566.50ENDO REPAIR PLCMNT PROS GRAFT AA 401009688 12,754.50ENDO REPAIR ILIAC AA RAD S&I 401009689 3,401.25REM TUNNEL CEN VEN CATH W/PORT 401009695 1,053.25I&D SOFT TISSUE NECK-THORAX 401009698 1,979.25BOOT VASCULAR ROOKE UNV SZ 401010274 388.50NEEDLE HUBER SAFETY 20GX3/4 401020044 35.75NEEDLE HUBER SAFETY 20GX1 401020045 35.75CATH HEMOSPLIT SUR 27CM 401060004 1,312.25CATHETER DIALYSIS HEMOSPLIT 35CM 401060005 2,426.50SYVEK SP PATCH 401060032 517.75CLOSURE DEVICE SYVEK PATCH NT 401060033 598.50STENT PERFORMAXX 7X30MMX135CM 401060057 4,251.50STENT PERFORMAXX 8X60MMX80CM 401060061 5,777.50STENT PERFORMAXX 9X60MMX80CM 401060067 4,251.50STENT PERFORMAXX 10X60MMX80CM 401060073 5,777.50STENT PERFORMAXX 10X80MMX80CM 401060074 5,777.50STENT PERFORMAXX 12X40X135CM 401060078 3,401.25STENT PERFORMAXX 14X40X80CM 401060081 5,777.50BALLOON MAVERICK XL MR 4X15MM 401060086 1,608.50BALLOON MAVERICK XL MR 4X20MM 401060087 1,608.50BALLOON MAVERICK XL MR 4.5X15MM 401060088 1,608.50BALLOON MAVERICK XL MR 4.5X20MM 401060089 1,608.50BALLOON MAVERICK XL MR 5X15MM 401060090 1,608.50BALLOON MAVERICK XL MR 5X20MM 401060091 1,608.50BALLOON MAVERICK XL MR 5.5X15MM 401060092 1,608.50BALLOON MAVERICK XL MR 5.5X20MM 401060093 1,608.50BALLOON MAVERICK XL MR 6X15MM 401060094 1,608.50WIRE COUGAR XT 190XX.014 STR 401060095 121.50WIRE 6720 401060098 687.75CATH 7720 401060099 866.75CATH 7552 401060100 866.75CATH 6776 401060101 866.75CATH 7721 401060102 866.75SHEATH RAPIDO CS-SH 401060103 2,045.25SHEATH RAPIDO C-EH-R 401060104 2,045.25SHEATH RAPIDO CR-EH-ST-R 401060105 2,045.25PACEMAKER, 1190 401060111 15,711.00LEAD DEFIB 170 401060117 13,774.75LEAD DEFIB 147 401060118 12,627.00LEAD DEFIB 157 401060119 13,774.75BALLOON VOYAGER RX 1.5X20MM 401060120 1,101.75BALLOON VOYAGER RX 2.0X20MM 401060121 1,101.75BALLOON VOYAGER RX 2.25X20MM 401060122 1,101.75BALLOON VOYAGER RX 2.5X20MM 401060123 1,101.75BALLOON VOYAGER RX 3.0X20MM 401060124 1,101.75BALLOON VOYAGER RX 3.5X20MM 401060125 1,101.75BALLOON VOYAGER RX 4.0X20MM 401060126 1,101.75BALLOON VOYAGER RX 1.5X12MM 401060127 1,101.75BALLOON VOYAGER RX 2.0X12MM 401060128 1,101.75BALLOON VOYAGER RX 2.25X12MM 401060129 1,101.75BALLOON VOYAGER RX 2.5X12MM 401060130 1,101.75BALLOON VOYAGER RX 3.0X12MM 401060131 1,101.75BALLOON VOYAGER RX 3.5X12MM 401060132 1,101.75BALLOON VOYAGER RX 4.0X12MM 401060133 1,101.75BALLOON VOYAGER RX 1.5X15MM 401060134 1,101.75BALLOON VOYAGER RX 2.0X15MM 401060135 1,872.25BALLOON VOYAGER RX 2.25X15MM 401060136 1,101.75BALLOON VOYAGER RX 2.5X15MM 401060137 1,872.25BALLOON VOYAGER RX 3.0X15MM 401060138 1,101.75BALLOON VOYAGER RX 4.0X15MM 401060140 1,101.75WIRE PILOT HT 50 J 190CM 401060141 687.75

WIRE PILOT HT 50 J 300CM 401060142 687.75WIRE PILOT HT 150 J 190CM 401060143 687.75WIRE PILOT HT 150 J 300CM 401060144 687.75WIRE PILOT HT 200 J 190CM 401060145 687.75WIRE PILOT HT 200 J 300CM 401060146 687.75BALLOON VOYAGER RX 4.0X8MM 401060147 1,101.75BALLOON VOYAGER RX 2.0X8MM 401060148 1,101.75BALLOON VOYAGER RX 2.25X8MM 401060149 1,101.75BALLOON VOYAGER RX 2.5X8MM 401060150 1,101.75BALLOON VOYAGER RX 3.0X8MM 401060151 1,101.75BALLOON VOYAGER RX 3.5X8MM 401060152 1,101.75STENT, PROTEGE 12X40X80CM 401060186 8,377.00DEFIB, 7288 401060199 48,148.25LEAD, DEFIB 6949 401060200 23,571.75LEAD, OWT CS 4194 401060201 12,017.50CLOSURE DEVICE PERCLOSE PROGLIDE 401060202 1,733.50CATH, ALLIANCE 04125JM 401060203 323.50CLOSURE DEVICE SAFEGUARD 401060204 567.00PCMKR ADX 5380 401060205 18,562.75PCMKR ADX 5386 401060206 18,562.75LEAD PCMKR 1642 401060207 4,621.75BALLOON CS VENOGRAPHY 401060208 762.50DEFIB EPIC DR V235 401060209 68,635.50BALLOON VOYAGER RX 3.25MM X 20MM 401060210 1,101.75BALLOON VOYAGER RX 3.75MM X 20MM 401060211 1,101.75BALLOON VOYAGER RX 2.75MM X 15MM 401060212 1,101.75BALLOON VOYAGER RX 3.25MM X 15MM 401060213 1,101.75BALLOON VOYAGER RX 3.75MM X 15MM 401060214 1,101.75BALLOON VOYAGER RX 2.75MM X 20MM 401060215 1,101.75TUBING HIGH PRESSURE 20INCH 401060217 26.50CATHETER SILVERHAWK TIP 6.0CM 401060219 9,164.00CATHETER SILVERHAWK TIP 9.0CM 401060220 8,826.00CATHETER SILVERHAWK TIP 2.6CM 401060221 7,061.00CATHETER SILVERHAWK TIP 4.3CM 401060222 8,769.50CATHETER SILVERHAWK TIP 2.2CM 401060223 7,061.00EASYTRAK 2LVA DUAL ELOCTRODE 401060224 15,899.50WIRE FINISHING SUPPORTRAK 401060225 970.75GUIDEWIRE 035 HYDROPHYLIC 401060226 970.75CATHETER TORGR 5FR EP 110CM RP 401060227 323.50KIT INTERVENTIONAL NAMIC 401060229 323.50CATHETER LVUS PERI IMAG 3.2 20MHZ 401060230 4,104.25BALLOON PERI CUTTING 5MMX90MM 401060231 4,621.75BALLOON PERI CUTTING 6MMX90MM 401060232 4,621.75BALLOON PERI CUTTING 7.0MMX90MM 401060233 4,621.75BALLOON PERI CUTTING 8.0MMX90MM 401060234 4,621.75STENT INTROCOIL VT PERI4.0X40/135 401060235 7,684.00STENT INTROCOIL VT PERI5.0X40/135 401060236 7,684.00STENT INTROCOIL VT PERI6.0X40/135 401060237 7,684.00STENT INTROCOIL VT PERI4.0X60/135 401060238 8,510.50STENT INTROCOIL VT PERI5.0X60/135 401060239 8,510.50STENT INTROCOIL VT PERI6.0X60/135 401060240 8,510.50CATHETER GUIDE VL 4 SH 8FR 401060250 380.25LEAD ACCESSORY KIT 401060251 808.75CATH SILVERHAWK TIP 6.0 MS 401060252 7,061.00STENT LIBERTE MONORAIL 16MMX5.0 401060253 4,049.50STENT LIBERTE MONORAIL 20MMX2.75 401060254 4,049.50STENT LIBERTE MONORAIL 20MMX3.00 401060255 4,049.50STENT LIBERTE MONORAIL 20MMX3.50 401060256 4,049.50STENT LIBERTE MONORAIL 20MMX4.00 401060257 4,049.50STENT LIBERTE MONORAIL 20MMX4.50 401060258 4,049.50STENT LIBERTE MONORAIL 20MMX5.00 401060259 4,049.50STENT LIBERTE MONORAIL 24MMX2.75 401060260 4,049.50STENT LIBERTE MONORAIL 24MMX3.00 401060261 4,049.50STENT LIBERTE MONORAIL 24MMX3.50 401060262 4,049.50STENT LIBERTE MONORAIL 24MMX4.00 401060263 4,049.50

STENT LIBERTE MONORAIL 24MMX4.50 401060264 4,049.50STENT LIBERTE MONORAIL 24MMX5.00 401060265 4,049.50STENT LIBERTE MONORAIL 28MMX2.75 401060266 4,049.50STENT LIBERTE MONORAIL 28MMX3.00 401060267 4,049.50CLOSURE DEV PERCLOSE PROSTAR XL10 401060268 1,782.00CLOSURE DEVICE ARTERIAL TAMPER 401060269 151.50CLOSURE DEVICE CLINCHER 401060270 151.50CLOSURE DEVICE SUTURE TRIMMER 401060271 151.50ENDO TRUNK-IPSI LEG 23X12X14 401060272 23,066.00ENDO TRUNK-IPSI LEG 23X12X16 401060273 23,066.00ENDO TRUNK-IPSI LEG 23X12X18 401060274 23,066.00ENDO TRUNK-IPSI LEG 23X14.5X14 401060275 23,066.00ENDO TRUNK-IPSI LEG 23X14.5X16 401060276 23,066.00ENDO TRUNK-IPSI LEG 23X14.5X18 401060277 23,066.00ENDO TRUNK-IPSI LEG 26X12X14 401060278 26,458.00ENDO TRUNK-IPSI LEG 26X12X16 401060279 23,066.00ENDO TRUNK-IPSI LEG 26X12X18 401060280 23,066.00ENDO TRUNK-IPSI LEG 26X14.5X14 401060281 23,066.00ENDO TRUNK-IPSI LEG 26X14.5X16 401060282 23,066.00ENDO TRUNK-IPSI LEG 26X14.5X18 401060283 23,066.00ENDO TRUNK-IPSI LEG 28.5X12X14 401060284 23,066.00ENDO TRUNK-IPSI LEG 28.5X12X16 401060285 23,066.00ENDO TRUNK-IPSI LEG 28.5X12X18 401060286 26,458.00ENDO TRUNK-IPSI LEG 28.5X14.5X14 401060287 23,066.00ENDO TRUNK-IPSI LEG 28.5X14.5X16 401060288 23,066.00ENDO TRUNK-IPSI LEG 28.5X14.5X18 401060289 23,066.00ENDO CONTRA LEG 12X10 401060290 14,198.50ENDO CONTRA LEG 12X12 401060291 14,198.50ENDO CONTRA LEG 12X14 401060292 14,198.50ENDO CONTRA LEG 14.5X10 401060293 14,198.50ENDO CONTRA LEG 14.5X12 401060294 14,198.50ENDO CONTRA LEG 14.5X14 401060295 14,198.50ENDO CONTRA LEG 16X9.5 401060296 14,198.50ENDO CONTRA LEG 16X11.5 401060297 14,198.50ENDO CONTRA LEG 16X13.5 401060298 14,198.50ENDO CONTRA LEG 18X9.5 401060299 14,198.50ENDO CONTRA LEG 18X11.5 401060300 14,198.50ENDO CONTRA LEG 18X13.5 401060301 14,198.50SHEATH INTRODUCER 12X30CM 401060302 578.25SHEATH INTRODUCER 18X35CM 401060303 861.75BALLOON OCCLUSSION 27MMX65CM 401060304 1,555.25BALLOON OCCLUSSION 33MMX65CM 401060305 1,555.25GUIDEWIRE MEIER .035X185CM 401060306 483.75BALLOON PERIPHERAL XXL 10-4X75CM 401060307 1,701.75STENT ENDO CONTRALAT LEG 20X9.5 401060308 14,198.50STENT ENDO CONTRALAT LEG 20X11.5 401060309 14,198.50STENT ENDO CONTRALAT LEG 20X13.5 401060310 14,198.50STENT AORTIC EXTENDER 23X3.3 401060311 9,952.25STENT AORTIC EXTENDER 26X3.3 401060312 9,952.25STENT AORTIC EXTENDER 28.5X3.3 401060313 9,952.25STENT ILLIAC EXTENDER 10X7 401060314 9,952.25STENT ILLIAC EXTENDER 12X7 401060315 9,952.25STENT ILLIAC EXTENDER 14.5X7 401060316 9,952.25STENT LIBERTE MONORAIL 28MMX3.50 401060317 4,049.50STENT LIBERTE MONORAIL 28MMX4.00 401060318 4,049.50STENT LIBERTE MONORAIL 28MMX4.50 401060319 4,049.50STENT LIBERTE MONORAIL 28MMX5.00 401060320 4,049.50STENT LIBERTE MONORAIL 32MMX2.75 401060321 4,049.50STENT LIBERTE MONORAIL 32MMX3.00 401060322 4,049.50STENT LIBERTE MONORAIL 32MMX3.50 401060323 4,049.50STENT LIBERTE MONORAIL 32MMX4.00 401060324 4,049.50STENT LIBERTE MONORAIL 32MMX4.50 401060325 4,049.50STENT LIBERTE MONRAIL 32MMX5.00 401060326 4,049.50STENT LIBERTE OTW 8MMX2.75 401060327 4,049.50STENT LIBERTE OTW 8MMX3.00 401060328 4,049.50

STENT LIBERTE OTW 8MMX3.50 401060329 4,049.50STENT LIBERTE OTW 8MMX4.00 401060330 4,049.50STENT LIBERTE OTW 12MMX2.75 401060331 4,049.50STENT LIBERTE OTW 12MMX3.00 401060332 4,049.50STENT LIBERTE OTW 12MMX3.50 401060333 4,049.50STENT LIBERTE OTW 12MMX4.00 401060334 4,049.50STENT LIBERTE OTW 12MMX4.50 401060335 4,049.50STENT LIBERTE OTW 12MMX5.00 401060336 4,049.50STENT LIBERTE OTW 16MMX2.75 401060337 4,049.50STENT LIBERTE OTW 16MMX3.00 401060338 4,049.50STENT LIBERTE OTW 16MMX3.50 401060339 4,049.50STENT LIBERTE OTW 16MMX4.00 401060340 4,049.50STENT LIBERTE OTW 16MMX4.50 401060341 4,049.50STENT LIBERTE OTW 28MMX3.50 401060342 4,049.50STENT LIBERTE OTW 28MMX4.00 401060343 4,049.50STENT LIBERTE OTW 28MMX4.50 401060344 4,049.50STENT LIBERTE OTW 28MMX5.00 401060345 4,049.50STENT LIBERTE OTW 32MMX2.75 401060346 4,049.50STENT LIBERTE OTW 32MMX3.00 401060347 4,049.50STENT LIBERTE OTW 32MMX3.50 401060348 4,049.50STENT LIBERTE OTW 32MMX4.00 401060349 4,049.50STENT LIBERTE OTW 32MMX4.50 401060350 4,049.50STENT LIBERTE OTW 32MMX5.00 401060351 4,049.50STENT DES CYPHER RX 8MMX3.00 401060352 9,935.25STENT DES CYPHER RX 8MMX2.50 401060353 9,935.25STENT DES CYPHER RX 28MMX3.00 401060354 9,935.25STENT PO40012 ACCULINK 5.00X40 401060355 8,855.00STENT PO40012 ACCULINK 6.00X40 401060356 8,855.00STENT PO40012 ACCULINK 7.00X40 401060357 8,855.00STENT PO40012 ACCULINK 8.00X40 401060358 8,855.00STENT PO40012 ACCULINK 9.00X40 401060359 8,855.00STENT PO40012 ACCULINK 10.00X40 401060360 8,855.00STENT PO40012 ACCULINK TA 6X8X40 401060361 9,719.00STENT PO40012 ACCULINK TA 7X10X40 401060362 9,719.00FILTER ACCUNET 4.5X190 401060363 6,695.50FILTER ACCUNET 5.5X190 401060364 6,695.50FILTER ACCUNET 6.5X190 401060365 6,695.50FILTER ACCUNET 7.5X190 401060366 6,695.50STENT PO40012 ACCULINK 5.00X20 401060367 8,855.00STENT PO40012 ACCULINK 6.0X20 401060368 8,855.00STENT PO40012 ACCULINK 7.00X20 401060369 8,855.00STENT PO40012 ACCULINK 8.00X20 401060370 8,855.00STENT PO40012 ACCULINK 9.00X20 401060371 8,855.00STENT PO40012 ACCULINK 10.00X20 401060372 8,855.00STENT PO40012 ACCULINK 5.00X30 401060373 8,855.00STENT PO40012 ACCULINK 6.00X30 401060374 8,855.00STENT PO40012 ACCULINK 7.00X30 401060375 8,855.00STENT PO40012 ACCULINK 8.00X30 401060376 8,855.00STENT PO40012 ACCULINK 9.00X30 401060377 8,855.00STENT PO40012 ACCULINK 10.00X30 401060378 8,855.00STENT PO40012 ACCULINK TAP6X8X30 401060379 9,719.00STENT PO40012 ACCULINK TAP7X10X30 401060380 9,719.00GUIDE CATH SHUTTLE SL 5.0X90 401060381 874.75GUIDE CATH SHUTTLE SL 6.0X90 401060382 874.75GUIDE CATH SHUTTLE SL 7.0X80 401060383 874.75GUIDE CATH SHUTTLE SL 7.0X90 401060384 874.75GUIDE CATH H1 6.5X125 401060385 697.25GUIDE CATH JB1 6.5X125 401060386 697.25CATHETER VANSCHIE 4 401060387 162.50CATHETER VANSCHIE 5 401060388 162.50STENT LIBERTE RX 8MMX2.75 401060389 4,049.50STENT LIBERTE RX 8MMX3.00 401060390 3,188.75STENT LIBERTE RX 8MMX3.50 401060391 4,049.50STENT LIBERTE RX 8MMX4.00 401060392 4,049.50STENT LIBERTE RX 12MMX2.75 401060393 4,049.50

STENT LIBERTE RX 12MMX3.00 401060394 4,049.50STENT LIBERTE RX 12MMX3.50 401060395 4,049.50STENT LIBERTE RX 12MMX4.00 401060396 4,049.50STENT LIBERTE RX 12MMX4.50 401060397 4,049.50STENT LIBERTE RX 12MMX5.00 401060398 4,049.50STENT LIBERTE RX 16MMX2.75 401060399 4,049.50STENT LIBERTE RX 16MMX3.00 401060400 4,049.50STENT LIBERTE RX 16MMX3.50 401060401 4,049.50STENT LIBERTE RX 16MMX4.00 401060402 4,049.50STENT LIBERTE RX 16MMX4.50 401060403 4,049.50BI-V ICD MEDTRONIC SENTRY 7299 401060404 93,140.25CLOSURE DEVICE KNOT PUSHER 401060405 75.50BI-V PACER 5586 FRONTIER 2 PU 401060406 23,325.25PACEMAKER LEAD ISOFLEX T1648 58CM 401060407 3,887.75PACEMAKER LEAD ISOFLEX T1642 46CM 401060408 3,887.75CATHETER SILVERHAWK LS-F 401060410 11,209.50STENT LIBERTE OTW 5.00X16 401060411 4,049.50STENT LIBERTE OTW 2.75X20 401060412 4,049.50STENT LIBERTE OTW 3.00X20 401060413 4,049.50STENT LIBERTE OTW 3.50X20 401060414 4,049.50STENT LIBERTE OTW 4.00X20 401060415 4,049.50STENT LIBERTE OTW 4.50X20 401060416 4,049.50STENT LIBERTE OTW 5.00X20 401060417 4,049.50STENT LIBERTE OTW 2.75X24 401060418 4,049.50STENT LIBERTE OTW 3.00X24 401060419 4,049.50STENT LIBERTE OTW 3.50X24 401060420 4,049.50STENT LIBERTE OTW 4.00X24 401060421 4,049.50STENT LIBERTE OTW 4.50X24 401060422 4,049.50STENT LIBERTE OTW 5.00X24 401060423 4,049.50STENT LIBERTE OTW 2.75X28 401060424 4,049.50STENT LIBERTE OTW 3.00X28 401060425 4,049.50STENT WALL 16X20MM 401060426 5,222.25GUIDE CATH 5FRX38X125 SIM2 401060427 463.00BALLOON CUTTING FLEXTOME MR6X2.00 401060428 2,720.75BALLOON CUTTING FLEXTOME MR6X2.25 401060429 2,720.75BALLOON CUTTING FLEXTOME MR6X2.50 401060430 2,720.75BALLOON CUTTING FLEXTOME MR6X2.75 401060431 2,720.75BALLOON CUTTING FLEXTOME MR6X3.00 401060432 2,720.75BALLOON CUTTING FLEXTOME MR6X3.25 401060433 2,720.75BALLOON CUTTING FLEXTOME MR6X3.50 401060434 2,720.75BALLOON CUTTING FLEXTOME MR6X4.00 401060435 2,720.75BALLOON CUTTING FLEXTOM MR10X2.00 401060436 4,319.50BALLOON CUTTING FLEXTOM MR10X2.25 401060437 2,720.75BALLOON CUTTING FLEXTOM MR10X2.50 401060438 2,720.75BALLOON CUTTING FLEXTOM MR10X2.75 401060439 2,720.75BALLOON CUTTING FLEXTOM MR10X3.00 401060440 2,720.75BALLOON CUTTING FLEXTOM MR10X3.25 401060441 2,720.75BALLOON CUTTING FLEXTOM MR10X3.50 401060442 2,720.75BALLOON CUTTING FLEXTOM MR10X4.00 401060443 2,720.75BALLOON CUTTING FLEXTOM MR15X2.50 401060445 2,720.75BALLOON CUTTING FLEXTOM MR15X2.75 401060446 2,720.75BALLOON CUTTING FLEXTOM MR15X3.00 401060447 2,720.75BALLOON CUTTING FLEXTOM MR15X3.25 401060448 2,720.75BALLOON CUTTING FLEXTOM MR15X3.50 401060449 2,720.75BALLOON CUTTING FLEXTOM MR15X3.75 401060450 2,720.75BALLOON CUTTING FLEXTOM MR15X4.00 401060451 2,720.75CATHETER GUIDING 7FR XB3 401060452 713.00CATHETER GUIDING 7FR XB3 SH 401060453 713.00CATHETER GUIDING 7FR XB3.5 401060454 713.00CATHETER GUIDING 7FR XB3.5 SH 401060455 713.00CATHETER GUIDING 7FR XB4 401060456 713.00CATHETER GUIDING 7FR XB4 SH 401060457 713.00CATHETER GUIDING 7FR XB4.5 401060458 713.00CATHETER GUIDING 7FR XB4.5 SH 401060459 713.00CATHETER GUIDING 7FR XBLAD3.5 401060460 713.00

CATHETER GUIDING 7FR XBLAD3.5 SH 401060461 713.00CATHETER GUIDING 7FR XBLAD4 401060462 713.00CATHETER GUIDING 7FR XBLAD4 SH 401060463 713.00CATHETER GUIDING 7FR XBLAD4.5 401060464 713.00CATHETER GUIDING 7FR XBLAD4.5 SH 401060465 713.00CATHETER GUIDING 8FR XB3 401060466 713.00CATHETER GUIDING 8FR XB3 SH 401060467 713.00CATHETER GUIDING 8FR XB3.5 401060468 713.00CATHETER GUIDING 8FR XB3.5 SH 401060469 713.00CATHETER GUIDING 8FR XB4 401060470 713.00CATHETER GUIDING 8FR XB4 SH 401060471 713.00CATHETER GUIDING 8FR XB4.5 401060472 713.00CATHETER GUIDING 8FR XB4.5 SH 401060473 713.00CATHETER GUIDING 8FR XBLAD 3.5 401060474 713.00CATHETER GUIDING 8FR XBLAD 3.5SH 401060475 713.00CATHETER GUIDING 8FR XBLAD 4 401060476 713.00CATHETER GUIDING 8FR XBLAD 4 SH 401060477 713.00CATHETER GUIDING 8FR XBLAD 4.5 401060478 713.00CATHETER GUIDING 8FR XBLAD4.5 SH 401060479 713.00STENT ABSOLUTE 7X80X135 401060486 6,479.50CATHETER WISEGUIDE ART3 7FR 401060497 355.50CATHETER WISEGUIDE ART3.5 7FR 401060498 355.50CATHETER WISEGUIDE ART3.5 SH 7FR 401060499 355.50CATHETER WISEGUIDE ART4 7FR 401060500 355.50CATHETER WISEGUIDE CLS3.5 7FR 401060501 355.50CATHETER WISEGUIDE CLS3.5 SH 7FR 401060502 355.50CATHETER WISEGUIDE CLS4 7FR 401060503 355.50CATHETER WISEGUIDE CLS4 SH 7FR 401060504 355.50WIRE MAILMAN .014X300 401060505 590.00BALLOON TRI-LOBE TAA 401060506 3,226.75SHEATH INTRODUCER 20 X 30 401060507 1,530.75SHEATH INTRODUCER 22 X 30 401060508 1,943.75SHEATH INTRODUCER 24 X 30 401060509 1,943.75STENT GRAFT TAA 26MMX10CM 401060510 35,636.50STENT GRAFT TAA 28MMX10CM 401060511 35,636.50STENT GRAFT TAA 28MMX15CM 401060512 35,636.50STENT GRAFT TAA 31MMX10CM 401060513 35,636.50STENT GRAFT TAA 31MMX15CM 401060514 35,636.50STENT GRAFT TAA 34MMX10CM 401060515 35,636.50STENT GRAFT TAA 34MMX15CM 401060516 39,114.00STENT GRAFT TAA 34MMX20CM 401060517 35,636.50STENT GRAFT TAA 37MMX10CM 401060518 35,636.50STENT GRAFT TAA 37MMX15CM 401060519 35,636.50STENT GRAFT TAA 37MMX20CM 401060520 35,636.50STENT GRAFT TAA 40MMX10CM 401060521 35,636.50STENT GRAFT TAA 40MMX15CM 401060522 35,636.50STENT GRAFT TAA 40MMX20CM 401060523 39,114.00STENT FLUENCY 7X60X117 401060524 9,049.75BALLOON CUTTING FLEX OTW 2.00X10 401060527 4,319.50BALLOON CUTTING FLEX OTW 2.25X10 401060528 4,319.50BALLOON CUTTING FLEX OTW 2.50X10 401060529 4,319.50BALLOON CUTTING FLEX OTW 2.75X10 401060530 4,319.50BALLOON CUTTING FLEX OTW 3.0X10 401060531 4,319.50BALLOON CUTTING FLEX OTW 3.25X10 401060532 4,319.50BALLOON CUTTING FLEX OTW 3.5X10 401060533 4,319.50BALLOON CUTTING FLEX OTW 3.75X10 401060534 4,319.50BALLOON CUTTING FLEX OTW 4.0X10 401060535 4,319.50BALLOON CUTTING FLEX OTW 2.00X15 401060536 4,319.50BALLOON CUTTING FLEX OTW 2.25X15 401060537 4,319.50BALLOON CUTTING FLEX OTW 2.50X15 401060538 4,319.50BALLOON CUTTING FLEX OTW 2.75X15 401060539 4,319.50BALLOON CUTTING FLEX OTW 3.0X15 401060540 4,319.50BALLOON CUTTING FLEX OTW 3.25X15 401060541 4,319.50BALLOON CUTTING FLEX OTW 3.50X15 401060542 4,319.50BALLOON CUTTING FLEX OTW 3.75X15 401060543 4,319.50

BALLOON CUTTING FLEX OTW 4.0X15 401060544 4,319.50CATH GUIDE RUNWAY Q3.5SH6F 100CM 401060546 355.50CATH GUIDE RUNWAY Q4.0 6FR 100CM 401060547 355.50CATH GUIDE RUNWAY Q4.0SH6F 100CM 401060548 355.50CATH GUIDE RUNWAY Q4.5 6F 100CM 401060549 355.50CATH GUIDE RUNWAY Q5.0 6F 100CM 401060550 355.50CATH GUIDE RUNWAY ART 3 6F 100CM 401060551 355.50CATH GUIDE RUNWAY ART 3 SF 6F 100 401060552 355.50CATH GUIDE RUNWAY ART 3.5 6F 100 401060553 355.50CATH GUIDE RUNWAY ART 3.5SH6F 100 401060554 355.50CATH GUIDE RUNWAY ART 4.0 6F 100 401060555 355.50CATH GUIDE RUNWAY ART 4 SH 6F 100 401060556 355.50CATH GUIDE RUNWAY ART 4.5 6F 100 401060557 355.50CATH GUIDE RUNWAY CLS 3.5 6F 100 401060558 355.50CATH GUIDE RUNWAY CLS 3.5SH6F 100 401060559 355.50CATH GUIDE RUNWAY CLS 3.75 6F 100 401060560 355.50CATH GUIDE RUNWAY CLS 4 6F 100CM 401060561 355.50CATH GUIDE RUNWAY CLS 4 SH 6F 100 401060562 355.50CATH GUIDE RUNWAY CLS 4.5 6F 100 401060563 355.50CATH GUIDE RUNWAY CLS 3.75SH6F100 401060564 355.50CATH GUIDE RUNWAY KR 6F/3H 100CM 401060565 355.50CATH GUIDE RUNWAY KR 6F/3H SH 100 401060566 355.50CATH GUIDE RUNWAY KR 6F/4H 100CM 401060567 355.50CATH GUIDE RUNWAY KR 6F/4H SH 100 401060568 355.50CATH GUIDE RUNWAY KR 6F/5H 100CM 401060569 355.50CATH GUIDE RUNWAY KR 6F/5H SH 100 401060570 355.50CATH GUIDE RUNWAY KR 6F/3S 100CM 401060571 355.50CATH GUIDE RUNWAY KR 6F/3S SH 100 401060572 355.50CATH GUIDE RUNWAY KR 6F/4S 100CM 401060573 355.50CATH GUIDE RUNWAY KR 5F/4S SH 100 401060574 355.50CATH GUIDE RUNWAY KR 6F/5S 100CM 401060575 355.50CATH GUIDE RUNWAY KR 6F/5S SH 100 401060576 355.50FILTER EMOSHIELD 5.0MM 401060577 7,321.75FILTER EMBOSHIELD 6.0MM 401060578 7,321.75STENT WALLSTENT 16X40X75 401060579 6,527.75STENT WALLSTENT 16X60X75 401060580 6,527.75CATH GUIDE RUNWAY Q3.5 6FR 100CM 401060581 355.50DEFIB BIV ICD ATLAS HF V343 401060582 72,892.75MICROPUNCTURE PEDIATRIC KIT 401060583 239.00BALLOON CUTTING FLEXTOME 2.0X6MM 401060588 4,190.25BALLOON CUTTING FLEXTOME 2.25X6MM 401060589 4,190.25BALLOON CUTTING FLEXTOME 2.5X6MM 401060590 4,190.25BALLOON CUTTING FLEXTOME 2.75X6MM 401060591 4,190.25BALLOON CUTTING FLEXTOME 3.0X6MM 401060592 4,190.25BALLOON CUTTING FLEXTOME 3.25X6MM 401060593 4,190.25BALLOON CUTTING FLEXTOME 3.50X6MM 401060594 4,190.25BALLOON CUTTING FLEXTOME 3.75X6MM 401060595 4,190.25BALLOON CUTTING FLEXTOME 4.0X6MM 401060596 4,190.25WIRE MEIER 0.035X300CM 401060597 483.75CATHETER WISEGUIDE VL 3.0 8FR 401060598 483.75CATHETER WISEGUIDE VL 3.0 SH 8FR 401060599 483.75CATHETER WISEGUIDE VL 3.5 SH 8FR 401060600 483.75CATHETER EP DECAPOLAR 401060601 2,138.50CATHETER EP QUAD 5FR 10MM 120 401060602 758.25CABLE EXT EP H/O/D BLK 210 401060603 675.25CABLE EXT EP B/T/Q BLU 150 401060604 546.00CABLE EXT EP B/T/Q GRY 150 401060605 546.00CABLE EXT EP B/T/Q RED 150 401060606 546.00WIRE FATHOM PVS .016/180/25 401060608 1,872.50CATHETER RENEGADE 150/20/1 TIP 401060609 2,381.25CATHETER RENEGADE HI-FLO 150/20 401060610 2,313.25COIL VORTEX .018 2MM X 5MM 401060611 694.00COIL VORTEX .018 2MM X 6MM 401060612 694.00CATHETER FRONTRUNNER XP 90CM 401060613 5,372.75CATHETER FRONTRUNNER XP 140CM 401060614 5,372.75

CATHETER MICRO GUIDE MGX 401060615 1,620.00CATHETER MICRO GUIDE MGC 401060616 1,620.00CATHETER OUTBACK LTD 401060617 8,185.50CLOSURE DEVICE ANGIOSEAL VIP 6F 401060623 1,522.75CLOSURE DEVICE ANGIOSEAL VIP 8F 401060624 1,522.75ANGIOSEAL STS PLUS 8FR 401060625 1,425.25WIRE NITREX .035X180 STRT 401060626 256.75WIRE NITREX .035X180 ANGLED 401060627 256.75WIRE NITREX .014X180 ANGLED 401060628 522.00WIRE NITREX .014X300 ANGLED 401060629 567.00FILTER EMBOLIC PROTECTION 5.0MM 401060630 5,615.50FILTER EMBOLIC PROTECTION 6.0MM 401060631 5,615.50FILTER EMBOLIC PROTECTION 7.0MM 401060632 5,615.50FILTER EMBOLIC PROTECTION 4.0MM 401060633 5,615.50PACEMAKER ENPULSE E2DR21 401060634 15,745.00LEAD CAPSURE FIX 4076 45CM 401060635 4,212.00LEAD CAPSURE FIX 4076 52CM 401060636 4,212.00PACEMAKER VERITY ADX SR 5156 401060645 8,747.25PACEMAKER E2DR01 401060646 12,397.25STENT GRAFT VIABAHN 6X5X110 401060647 9,200.50STENT GRAFT VIABAHN 7X5X110 401060648 9,200.50STENT GRAFT VIABAHN 7X10X110 401060649 11,015.00STENT GRAFT VIABAHN 7X15X110 401060650 12,829.25STENT GRAFT VIABAHN 8X5X110 401060651 9,200.50STENT GRAFT VIABAHN 8X10X110 401060652 11,015.00PACEMAKER ENRYTHM P1501DR 401060653 17,348.00STENT GRAFT VIABAHN 8X15X110 401060654 12,829.25FILTER IVC REMOVABLE G-2 401060655 4,744.75CATHETER-TRELLIS 8 15X80CM 401060656 6,785.75CATHETER-TRELLIS 8 30X80CM 401060657 6,785.75CATHETER-TRELLIS 8 15X120CM 401060658 6,785.75CATHETER TRELLIS 8 30X120CM 401060659 6,785.75CATHETER-TAL PALINDROME 19CM 401060660 3,401.25CATHETER-TAL PALINDROME 23CM 401060661 3,401.25PERCLOSE SNARED KNOT PUSHER 401060662 27.00BALLOON AMPHIRION 1.5X20X150 401060663 1,326.50BALLOON AMPHIRION 2.0X40X150 401060664 1,326.50BALLOON AMPHIRION 2.0X80MM 401060665 1,658.00BALLOON AMPHIRION 2.5X40X150 401060666 1,326.50BALLOON AMPHIRION 2.5X80MM 401060667 1,658.00LEAD PACEMAKER TENDRIL ST 1782TC 401060668 5,264.25LEAD DEFIB RIATA ST 7000 401060669 17,278.00LEAD DEFIB RIATA ST 7001 401060670 15,645.50LEAD DEFIB RIATA ST 7010 401060671 17,278.00LEAD DEFIB RIATA ST 7011 401060672 17,278.00LEAD PACEMAKER APEEL CS 401060673 1,658.00CATHETER RIO ASPIRATION 401060674 4,212.00WIRE ZIP 035X180 ANGLED 401060675 68.00WIRE ZIP 035X180 STRAIGHT 401060676 68.00WIRE ZIP 035-260 ANGLED 401060677 68.00WIRE ZIP 035-260 STRAIGHT 401060678 68.00WIRE ZIP 035-180 ANGLED STIFF 401060679 68.00WIRE ZIP 035-180 STRAIGHT STIFF 401060680 68.00WIRE ZIP 035-260 ANGLED STIFF 401060681 68.00WIRE ZIP 035-260 STRAIGHT STIFF 401060682 68.00SHEATH GORE 12X30 401060690 446.25SHEATH GORE 18X30 401060691 612.25STENT CONFORM EXX 7X120CM 401060692 4,676.75COIL EMBOLIZATION TORNADO 3/2 401060693 377.50COIL EMBOLIZATION TORNADO 4/3 401060694 377.50COIL EMBOLIZATION TORNADO 5/3 401060695 377.50COIL EMBOLIZATION TORNADO 6/3 401060696 377.50COIL EMBOLIZATION TORNADO 7/3 401060697 377.50COIL EMBOLIZATION TORNADO 8/4 401060698 377.50COIL EMBOLIZATION TORNADO 10/4 401060699 377.50

COIL EMBOLIZATION NESTER 10MM 401060700 432.75COIL EMBOLIZATION NESTER 12MM 401060701 432.75COIL EMBOLIZATION FLIPPER 8MM 401060702 372.75CATHETER VENTURE 401060703 3,316.25DEFIB BI-V ICD ATLAS HF V337 401060704 43,276.50WIRE LUNDERQUIST STIFF 260CM STRT 401060705 344.00WIRE LUNDERQUIST STIFF 260CM CURV 401060706 511.75CATHETER GUIDE RUNWAY 6FR FL3.0 401060707 280.00CATHETER GUIDE RUNWAY 6FR FL3.5 401060708 280.00CATHETER GUIDE RUNWAY 6FR FL3.5SH 401060709 280.00CATHETER GUIDE RUNWAY 6FR FL4.0 401060710 280.00CATHETER GUIDE RUNWAY 6FR FL4.0SH 401060711 280.00CATHETER GUIDE RUNWAY 6FR FL4.5 401060712 280.00CATHETER GUIDE RUNWAY 6FR FL5.0 401060713 280.00CATHETER GUIDE RUNWAY 6FR FL6.0 401060714 280.00CATHETER GUIDE RUNWAY 6FR FL3.5ST 401060715 280.00CATHETER GUIDE RUNWAY 6FR FL4.0ST 401060716 280.00CATHETER GUIDE RUNWAY 6FR FL4.5ST 401060717 280.00CATHETER GUIDE RUNWAY 6FR FL5.0ST 401060718 280.00CATHETER GUIDE RUNWAY 6FR AL .75 401060719 280.00CATHETER GUIDE RUNWAY 6FR AL 1.0 401060720 280.00CATHETER GUIDE RUNWAY 6FR AL1.0SH 401060721 280.00CATHETER GUIDE RUNWAY 6FR AL1.5 401060722 280.00CATHETER GUIDE RUNWAY 6FR AL2.0 401060723 280.00CATHETER GUIDE RUNWAY 6FR AL2.0SH 401060724 280.00CATHETER GUIDE RUNWAY 6FR AL3.0 401060725 280.00CATHETER GUIDE RUNWAY 6FRAR1.0 401060726 280.00CATHETER GUIDE RUNWAY 6FR AR1.0SH 401060727 280.00CATHETER GUIDE RUNWAY 6FR AR2.0 401060728 280.00CATHETER GUIDE RUNWAY 6FR AR2.0SH 401060729 280.00CATHETER GUIDE RUNWAY 6FR RC3.5SC 401060730 280.00CATHETER GUIDE RUNWAY 6FR RC4.0SC 401060731 280.00CATHETER GUIDE RUNWAY 6FR MP1 401060732 280.00CATHETER GUIDE RUNWAY 6FR MP1SH 401060733 280.00CATHETER GUIDE RUNWAY 6FR MP2 401060734 280.00CATHETER GUIDE RUNWAY 6FR HS 401060735 280.00CATHETER GUIDE RUNWAY 6FR HS SH 401060736 280.00CATHETER GUIDE RUNWAY 6FR IM 401060737 280.00CATHETER GUIDE RUNWAY 6FR IM SH 401060738 280.00CATHETER GUIDE RUNWAY 6FR IM85CM 401060739 280.00CATHETER GUIDE RUNWAY 6FR IM90CM 401060740 280.00CATHETER GUIDE RUNWAY 6FRIM110CM 401060741 280.00CATHETER GUIDE RUNWAY 6FR IMC90CM 401060742 280.00CATHETER GUIDE RUNWAY 6FR LCB 401060743 280.00CATHETER GUIDE RUNWAY 6FR LCB SH 401060744 280.00CATHETER GUIDE RUNWAY 6FR RCB 401060745 280.00CATHETER GUIDE RUNWAY 6FR RCB SH 401060746 280.00CATHETER GUIDE RUNWAY 6FR WRP 401060747 280.00CATHETER GUIDE RUNWAY 6FR WRP SH 401060748 280.00CATHETER GUIDE RUNWAY 6FR CLS 3.0 401060749 280.00CATHETER GUIDE RUNWAY 6FR VL3.0 401060750 280.00CATHETER GUIDE RUNWAY 6FR VL3.5 401060751 280.00CATHETER GUIDE RUNWAY 6FR VL3.5SH 401060752 280.00CATHETER GUIDE RUNWAY 6FR VL4.0 401060753 280.00CATHETER GUIDE RUNWAY 6FR VL4.0SH 401060754 280.00CATHETER GUIDE RUNWAY 6FR VL4.5 401060755 280.00CATHETER GUIDE RUNWAY 6FR VL5.0 401060756 280.00CATHETER GUIDE RUNWAY 6FR FR3.0 401060757 280.00CATHETER GUIDE RUNWAY 6FR FR3.5 401060758 280.00CATHETER GUIDE RUNWAY 6FR FR3.5SH 401060759 280.00CATHETER GUIDE RUNWAY 6FR FR4.0 401060760 280.00CATHETER GUIDE RUNWAY 6FR FR4.0SH 401060761 280.00CATHETER GUIDE RUNWAY 6FR FR4.5 401060762 280.00CATHETER GUIDE RUNWAY 6FR FR5.0 401060763 280.00CATHETER GUIDE RUNWAY 6FR FR6.0 401060764 280.00

BALLOON Z-MED II 28MMX2CM 401060765 3,036.25BALLOON Z-MED II 28MMX4CM 401060766 3,036.25BALLOON Z-MED II 30MMX2CM 401060767 3,036.25BALLOON Z-MED II 30MMX4CM 401060768 3,036.25BALLOON Z-MED II 30MMX5CM 401060769 3,036.25CATHETER WISEGUIDE 7FR Q 3.5 SH 401060770 280.00CATHETER WISEGUIDE 7FR CLS 4.5 401060771 280.00CATHETER WISEGUIDE 7FR CLS 4.5 SH 401060772 280.00CATHETER WISEGUIDE 7FR Q 4.5 SH 401060773 280.00CATHETER WISEGUIDE 7FR ART 4.5 SH 401060774 280.00CATHETER WISEGUIDE 7FR ART 4.5 401060775 280.00LEAD PACEMAKER QUICKSITE 401060777 13,604.75CATHETER-CLIRPATH 1.7X150 401060779 7,738.00CATHETER-CLIRPATH 2.3X120 401060781 7,738.00WIRE-QUICK CROSS SUPPORT .014X135 401060783 663.00WIRE-QUICK CROSS SUPPORT .018X135 401060784 663.00WIRE-QUICK CROSS SUPPORT .035X135 401060785 714.25CATHETER CPS AIM-CSL 401060786 1,046.00CATHETER CPS AIM 90 CURVE 401060787 1,046.00CATHETER CPS AIM HS 401060788 1,046.00CATHETER CPS AIM 90 STANDARD 401060789 1,046.00CATHETER CPS AIM 90 FLEX 401060790 1,046.00CATHETER CPS AIM ACUTE 401060791 1,046.00CATHETER CPS AIM OBTUSE 401060792 1,046.00CATHETER CPS AIM 90 SUPPORT 401060793 1,046.00CATHETER CPS LUMINARY LG CURL 401060794 1,046.00CATHETER CPS LUMINARY XL CURL 401060795 1,046.00CATHETER CPS DIRECT-STRAIGHT 47CM 401060796 2,525.50CATHETER CPS DIRECT-STRAIGHT 54CM 401060797 2,525.50CATHETER CPS DIRECT-MP 47CM 401060798 2,525.50CATHETER CPS DIRECT-MP 54CM 401060799 2,525.50CATHETER CPS DIRECT-115 47CM 401060800 2,525.50CATHETER CPS DIRECT-115 54CM 401060801 2,525.50CATHETER CPS DIRECT-135 47CM 401060802 2,525.50CATHETER CPS DIRECT-135 54CM 401060803 2,525.50CATHETER CPS DIRECT-WIDE 47CM 401060804 2,525.50CATHETER CPS DIRECT-WIDE 54CM 401060805 2,525.50CATHETER CPS DIRECT-RT SIDED 47CM 401060806 2,525.50CATHETER CPS DIRECT-RT SIDED 54CM 401060807 2,525.50CATHETER CPS DIRECT-X-WIDE 47CM 401060808 2,525.50CATHETER CPS DIRECT-X-WIDE 54CM 401060809 2,525.50PACEMAKER-CYLOS VR 401060810 14,506.25PACEMAKER LEAD-SELOX 401060811 3,061.25CATHETER MACH 1 6FR-C1 55CM 401060847 387.00CATHETER MACH 1 6FR-C2 55CM 401060848 387.00CATHETER MACH 1 6FR-LIMA 55CM 401060849 387.00CATHETER MACH 1 6FR RDC 55CM 401060850 387.00CATHETER MACH 1 6FR RESS 55CM 401060851 387.00CATHETER MACH 1 6FR HS 55CM 401060852 387.00CATHETER MACH 1 6FR RDC1 55CM 401060853 387.00CATHETER MACH 1 7FR LIMA 55CM 401060854 387.00CATHETER MACH 1 7FR RDC 55CM 401060855 387.00CATHETER MACH 1 7FR HS 55CM 401060856 387.00BALLOON-STERLING MR 7X20X135 401060874 1,403.00BALLOON-CUTTING PERIPH 5X20X90 401060887 3,401.25BALLOON-CUTTING PERIPH 6X20X90 401060888 3,401.25BALLOON-CUTTING PERIPH 7X20X90 401060889 3,401.25BALLOON-CUTTING PERIPH 8X20X90 401060890 3,401.25BALLOON-CUTTING PERIPH 5X20X135 401060891 3,401.25BALLOON-CUTTING PERIPH 6X20X135 401060892 3,401.25BALLOON-CUTTING PERIPH 7X20X135 401060893 3,401.25BALLOON-CUTTING PERIPH 8X20X135 401060894 3,401.25STENT-PROTEGE EVERFLEX 6X100 401060897 4,761.75STENT-PROTEGE EVERFLEX 6X120 401060898 4,931.75STENT-PROTEGE EVERFLEX 6X150 401060899 4,761.75

STENT-PROTEGE EVERFLEX 7X100 401060900 4,761.75STENT-PROTEGE EVERFLEX 7X120 401060901 4,761.75STENT-PROTEGE EVERFLEX 7X150 401060902 4,761.75STENT-PROTEGE EVERFLEX 8X100 401060903 4,761.75STENT-PROTEGE EVERFLEX 8X120 401060904 4,931.75STENT-PROTEGE EVERFLEX 8X150 401060905 4,931.75PCMKR VICTORY XL DR 5816 401060906 14,506.25PCMKR VICTORY DR 5810 401060907 14,506.25PCMKR VICTORY SR 5610 401060908 14,506.25CATHETER-INFUSION 5X100X15 401060909 633.00CATHETER-INFUSION 5X100X7 401060910 633.00CATHETER-INFUSION 5X130X7 401060911 633.00PATCH D-STAT DRY 401060913 262.25CLOSURE DEVICE STARCLOSE 401060915 1,020.25CATHETER THERAPY LARGE 401060916 3,443.75CATHETER THERAPY MEDIUM 401060917 3,443.75CATHETER THERAPY FAR REACH 401060918 3,443.75CABLE THERAPY 401060919 867.25CATHETER THERAPY X-LARGE 401060920 3,443.75CATHETER ICE 9MHZ 401060921 3,613.75GUIDEWIRE STEER IT 180CM 401060922 1,734.75GUIDEWIRE STEER IT 300CM 401060923 1,734.75STENT ATRIUM-ICAST 9X59X120 401060924 8,562.50STENT ATRIUM-ICAST 5X16X120 401060925 7,431.75STENT ATRIUM-ICAST 5X22X120 401060926 7,593.25STENT ATRIUM-ICAST 7X38X120 401060927 7,916.50STENT ATRIUM-ICAST 7X59X120 401060928 8,562.50STENT ATRIUM-ICAST 9X38X120 401060929 7,916.50BALLOON MAXI 14MM X 60MM 401060930 1,632.75BALLOON MAXI 12MM X 40MM 401060931 1,632.75CATHETER SILVERHAWK DS 401060932 7,806.00BALLOON-SYMMETRY 2X2X150 401060933 1,403.00BALLOON-SYMMETRY 2X4X150 401060934 1,403.00BALLOON-SYMMETRY 2X10X150 401060935 1,403.00BALLOON-SYMMETRY 2.5X2X150 401060936 1,403.00BALLOON-SYMMETRY 2.5X4X150 401060937 1,403.00BALLOON-SYMMETRY 2.5X10X150 401060938 1,403.00BALLOON-SYMMETRY 3X2X150 401060939 1,403.00BALLOON-SYMMETRY 3X4X150 401060940 1,403.00BALLOON-SYMMETRY 3X10X150 401060941 1,403.00BALLOON-SYMMETRY 3.5X2X150 401060942 1,403.00BALLOON-SYMMETRY 3.5X4X150 401060943 1,403.00BALLOON-SYMMETRY 3.5X10X150 401060944 1,403.00ICD VIRTUOSO VR 401060947 64,283.25ICD ENTRUST VR 401060948 60,882.00STENT-CAROTID NEXSTENT 401060949 8,486.00PACEMAKER ADAPTA DR01 401060950 19,046.50PACEMAKER ADAPTA DR SMALL 1 401060951 19,046.50PACEMAKER ADAPTA DR LARGE 1 401060952 19,046.50PM GEN ADAPTA SR ADSR01 401060953 15,986.00ICD VIRTUOSO DR 401060954 71,425.75DEFIB BI-V CONCERTO 401060955 95,234.25DEFIB BI-V INSYNC MAXIMO 7304 401060956 79,928.75STENT-MINI VISION 2.0X8MM MR 401060957 4,251.50STENT-MINI VISION 2.0X12MM MR 401060958 4,251.50STENT-MINI VISION 2.0X15MM MR 401060959 4,251.50STENT-MINI VISION 2.0X18MM MR 401060960 4,251.50STENT-MINI VISION 2.0X23MM MR 401060961 4,251.50STENT-MINI VISION 2.0X28MM MR 401060962 4,251.50STENT-MINI VISION 2.25X8MM MR 401060963 4,251.50STENT-MINI VISION 2.25X12MM MR 401060964 4,251.50STENT-MINI VISION 2.25X15MM MR 401060965 4,251.50STENT-MINI VISION 2.25X18MM MR 401060966 4,251.50STENT-MINI VISION 2.25X23MM MR 401060967 4,251.50STENT-MINI VISION 2.25X28MM MR 401060968 4,251.50

STENT-MINI VISION 2.0X8MM OTW 401060969 4,251.50STENT-MINI VISION 2.0X12MM OTW 401060970 4,251.50STENT-MINI VISION 2.0X15MM OTW 401060971 4,251.50STENT-MINI VISION 2.0X18MM OTW 401060972 4,251.50STENT-MINI VISION 2.0X23MM OTW 401060973 4,251.50STENT-MINI VISION 2.0X28MM OTW 401060974 4,251.50STENT-MINI VISION 2.25X8MM OTW 401060975 4,251.50STENT-MINI VISION 2.25X12MM OTW 401060976 4,251.50STENT-MINI VISION 2.25X15MM OTW 401060977 4,251.50STENT-MINI VISION 2.25X18MM OTW 401060978 4,251.50STENT-MINI VISION 2.25X23MM OTW 401060979 4,251.50STENT-MINI VISION 2.25X28MM OTW 401060980 4,251.50STENT GRAFT VIABAHN 6MMX10MMX110 401060981 9,115.50STENT GRAFT VIABAHN 6MMX15MMX110 401060982 10,611.75RINSPIRATION SYSTEM 135CM 401060983 4,251.50RINSPIRATION SYSTEM 65CM 401060984 4,251.50FILTER G-2 RECOVERY CONE 401060986 2,428.50CATHETER STEERABLE DECAPOLAR 401060987 2,040.75CATHETER SAFIRE SM SWEEP 401060988 2,775.25CATHETER SAFIRE MED SWEEP 401060989 2,775.25CATHETER SAFIRE LG SWEEP 401060990 2,775.25CATHETER SAFIRE SM CURL 401060991 2,775.25CATHETER SAFIRE MED CURL 401060992 2,775.25CATHETER SAFIRE LG CURL 401060993 2,775.25CABLES ATAKR SAFIRE 150CM 401060994 714.25CABLES ATAKR SAFIRE 300CM 401060995 755.25BALLOON AMPHIRION 3.0X40X150 401060996 1,224.50BALLOON AMPHIRION 3.5X40X150 401060997 1,224.50BALLOON AMPHIRION 4.0X40X150 401060998 1,326.50BALLOON CONQUEST 6X4X75 401060999 1,164.75BALLOON CONQUEST 6X8X75 401061000 1,164.75BALLOON CONQUEST 7X4X75 401061001 1,164.75BALLOON CONQUEST 8X4X75 401061002 1,164.75BALLOON CONQUEST 9X4X75 401061003 1,164.75BALLOON CONQUEST 10X4X75 401061004 1,164.75BALLOON CONQUEST 12X4X75 401061005 1,164.75SHEATH PEEL AWAY 7FR 401061006 171.50SHEATH PEEL AWAY 8FR 401061007 171.50SHEATH PEEL AWAY 9FR 401061008 171.50RINSPIRATION SYSTEM 7FR 401061009 4,404.50CATHETER SILVERHAWK SXL 401061010 9,166.25CATHETER POLARCATH 2.5X20X135 401061011 2,720.75CATHETER POLARCATH 2.5X40X135 401061012 2,720.75CATHETER POLARCATH 2.5X60X135 401061013 2,720.75CATHETER POLARCATH 3.0X20X135 401061014 2,720.75CATHETER POLARCATH 3.0X40X135 401061015 2,720.75CATHETER POLARCATH 3.0X60X135 401061016 2,720.75CATHETER POLARCATH 3.5X20X135 401061017 2,720.75CATHETER POLARCATH 3.5X40X135 401061018 2,720.75CATHETER POLARCATH 3.5X60X135 401061019 2,720.75CATHETER POLARCATH 4.0X20X120 401061020 2,449.00CATHETER POLARCATH 4.0X40X120 401061021 2,449.00CATHETER POLARCATH 4.0X60X120 401061022 2,449.00CATHETER POLARCATH 5.0X40X120 401061023 2,449.00CATHETER POLARCATH 5.0X60X120 401061025 2,449.00CATHETER POLARCATH 6.0X40X120 401061026 2,449.00CATHETER POLARCATH 6.0X60X120 401061027 2,449.00INFLATION UNIT POLARCATH 401061028 3,231.00STENT CAROTID NITINOL 7FR 9X30 401061030 5,850.00BALLOON ANGIOPLASTY AVIATOR 6X20 401061031 1,877.50GUIDEWIRE ANGIOGUARD 7MM 401061032 4,761.75NEEDLE TRANSSEPTAL BRK-1 18GAX71 401061033 979.50NEEDLE TRANSSEPTAL BRK 18GAX89 401061034 979.50CATHETER BALLOON OPTAPRO 12X4 S 401061060 1,081.50CATHETER BALLOON OPTAPRO 10X4 S 401061061 1,081.50

CATHETER EP CELSIUS D-TYPE 401061062 2,690.25LEAD EXTENSION OSCOR BIPOLAR 401061063 2,428.50STENT OMNILINK PERIPHERAL 7X18X80 401061064 4,081.50STENT OMNILINK PERIPHERAL 7X28X80 401061065 4,081.50STENT OMNILINK PERIPHERAL 8X18X80 401061066 4,081.50STENT OMNILINK PERIPHERAL 8X28X80 401061067 4,081.50STENT OMNILINK PERIPHERAL 8X38X80 401061068 4,081.50STENT OMNILINK PERIPHERAL 9X18X80 401061069 4,081.50STENT OMNILINK PERIPHERAL 9X28X80 401061070 4,081.50STENT OMNILINK PERIPHERAL 9X38X80 401061071 4,081.50STENT OMNILINK PERIPHERAL 9X58X80 401061072 4,081.50STENT OMNILINK PERIPHERAL 10X28 401061073 4,081.50STENT OMNILINK PERIPHERAL 10X38 401061074 4,081.50STENT OMNILINK PERIPHERAL 10X58 401061075 4,081.50STENT XPERT PERIPHERAL 3X20X135 401061076 3,809.50STENT XPERT PERIPHERAL 3X40X135 401061077 3,809.50STENT XPERT PERIPHERAL 4X20X135 401061078 3,809.50STENT XPERT PERIPHERAL 4X30X135 401061079 3,809.50STENT XPERT PERIPHERAL 4X40X135 401061080 3,809.50STENT XPERT PERIPHERAL 4X60X135 401061081 3,809.50STENT XPERT PERIPHERAL 5X20X135 401061082 3,809.50STENT XPERT PERIPHERAL 5X40X135 401061083 3,809.50STENT ATRIUM ICAST 6X38X80 401061084 6,666.25STENT ATRIUM ICAST 6X59X80 401061085 7,210.50STENT ATRIUM ICAST 7X38X80 401061086 6,666.25STENT ATRIUM ICAST 7X59X80 401061087 7,210.50STENT ATRIUM ICAST 8X38X80 401061088 6,666.25STENT ATRIUM ICAST 8X59X80 401061089 7,210.50STENT ATRIUM ICAST 9X38X80 401061090 6,666.25STENT ATRIUM ICAST 9X59X80 401061091 7,210.50STENT ATRIUM ICAST 10X38X80 401061092 6,666.25STENT ATRIUM ICAST 6X38X120 401061093 6,666.25STENT ATRIUM ICAST 8X38X120 401061094 6,666.25STENT ATRIUM ICAST 8X59X120 401061095 7,210.50STENT ATRIUM ICAST 10X38X120 401061096 6,666.25STENT ATRIUM ICAST 7X22X120 401061097 6,666.25STENT ATRIUM ICAST 7X38X120 401061098 6,666.25STENT ATRIUM ICAST 7X59X120 401061099 7,210.50STENT ATRIUM ICAST 9X38X120 401061100 6,666.25STENT ATRIUM ICAST 9X59X120 401061101 7,210.50SHEATH HI-FLO 4CM 6F 401061102 107.00WIRE MIRACLEBROS 3 .014X180 401061103 530.75WIRE MIRACLEBROS 3 .014X300 401061104 530.75WIRE MIRACLEBROS 4.5 .014X180 401061105 530.75WIRE MIRACLEBROS 4.5 .014X300 401061106 530.75WIRE CONFIANZA .014X180 401061107 530.75WIRE CONFIANZA .014X300 401061108 530.75BOOMERANG ACCESS MNGMNT SYS 401061109 918.25SHEATH HI-FLO 4CM 7F 401061110 107.00SHEATH HI-FLO 4CM 8F 401061111 107.00BALLOON ANGIOPLASTY AVIATOR 5X20 401061112 1,877.50BALLOON ANGIOPLASTY AVIATOR 4X20 401061113 1,877.50STENT CAROTID NITINOL 6FR 8X40 401061114 5,850.00ADAPTER ADAP 2000 DISPOSABLE 401061115 59.50GUIDEWIRE STIFF STRAIGHT .038X180 401061116 248.25GUIDEWIRE STIFF ANGLED .038X180 401061117 248.25PACEMAKER ZEPHRY DUAL 5826 401061118 11,989.25PACEMAKER ZEPHRY DUAL 5820 401061119 11,989.25PACEMAKER ZEPHRY SINGLE 5620 401061120 9,591.25PACEMAKER ZEPHRY SINGLE 5626 401061121 15,390.50ICD CURRENT SINGLE 30-JOULES 401061122 43,399.75ICD CURRENT SINGLE 36-JOULES 401061123 54,249.50ICD CURRENT DUAL 30-JOULES 401061124 54,249.50ICD CURRENT DUAL 36-JOULES 401061125 50,848.25DEFIB CRT PROMOTE 30-JOULES 401061126 84,860.50

DEFIB CRT PROMOTE 36-JOULES 401061127 79,017.00FILTER PROXIS INFLATION DEVICE 401061128 4,067.75FILTER PROXIS 401061129 1,224.50CATHETER CPS DIRECT PL 47X135 401061130 2,020.25THROMBECTOMY SET AVX ULTRA 401061131 2,755.00THROMBECTOMY SET XPEEDIOR ULTRA 401061132 3,578.25THROMBECTOMY SET DVX ULTRA 401061133 4,122.25THROMBECTOMY SET XMI SET ULTRA 401061134 4,557.50THROMBECTOMY SET XVG ULTRA 401061135 4,748.25THROMBECTOMY SET SPIROFLEX ULTRA 401061136 6,275.25THROMBECTOMY SET SPIROFLEX VG 401061137 5,020.00GUIDE CATH WISEGUIDE 7FR ART 3 SH 401061138 304.75GUIDE CATH WISEGUIDE 8F CLS 3.5SH 401061139 304.75CATHETER CPS STD PKG 401061140 2,637.25LEAD DEFIB RIATA STS 7121 401061141 19,557.00CATHETER SILVERHAWK EXL 401061142 7,061.00CATHETER FETCH ASPIRATION 401061143 1,938.50STENT GRAFT VIABAHN HEP 6X15 401061149 8,938.25BALLOON MAVERICK OTW 1.5X9 401061150 938.75WIRE CHOICE PT 300CM J 401061151 357.25CATHETER EP QUAD 5FR 10MM JSN 401061152 477.25SHEATH 9FR X 25CM 401061153 106.75STENT PROTEGE 6X20X120 401061154 3,316.25STENT PROTEGE 6X30X120 401061155 3,316.25STENT PROTEGE 6X40X120 401061156 3,316.25STENT PROTEGE 6X60X120 401061157 3,316.25STENT PROTEGE 6X80X120 401061158 3,316.25STENT PROTEGE 7X20X120 401061159 3,316.25STENT PROTEGE 7X30X120 401061160 3,316.25STENT PROTEGE 7X40X120 401061161 3,316.25STENT PROTEGE 7X60X120 401061162 3,316.25STENT PROTEGE 7X80X120 401061163 3,316.25STENT PROTEGE 8X20X120 401061164 3,316.25STENT PROTEGE 8X30X120 401061165 3,316.25STENT PROTEGE 8X40X120 401061166 3,316.25STENT PROTEGE 8X60X120 401061167 3,316.25STENT PROTEGE 8X80X120 401061168 3,316.25BALLOON AMPHIRION 2.5X12X150 401061169 1,224.50BALLOON AMPHIRION 3X80X150 401061170 1,224.50BALLOON AMPHIRION 3.5X80X150 401061171 1,224.50BALLOON AMPHIRION 3.5X120X150 401061172 1,224.50BALLOON AMPHIRION 4X80X150 401061173 1,224.50BALLOON AMPHIRION 4X120X150 401061174 1,224.50STENT PROTEGE 10X20X120 401061175 3,316.25STENT PROTEGE 10X40X120 401061176 3,316.25STENT PROTEGE 10X60X120 401061177 3,316.25STENT PROTEGE 10X80X120 401061178 3,316.25STENT PROTEGE 12X20X120 401061179 3,316.25STENT PROTEGE 12X40X120 401061180 3,316.25STENT PROTEGE 12X60X120 401061181 3,316.25STENT PROTEGE 12X80X120 401061182 3,316.25STENT PROTEGE 14X20X120 401061183 3,316.25STENT PROTEGE 14X40X120 401061184 3,316.25STENT PROTEGE 14X60X120 401061185 3,316.25STENT PROTEGE 14X80X120 401061186 3,316.25BALLOON SUBMARINE 4.5X40X130 401061187 816.25BALLOON SUBMARINE 5X40X130 401061188 816.25BALLOON SUBMARINE 5X80X130 401061189 816.25BALLOON SUBMARINE 5X120X130 401061190 816.25BALLOON SUBMARINE 6X20X130 401061191 816.25BALLOON SUBMARINE 6X40X130 401061192 816.25BALLOON SUBMARINE 6X80X130 401061193 816.25BALLOON SUBMARINE 6X120X130 401061194 816.25BALLOON SUBMARINE 7X80X130 401061195 816.25STENT PROTEGE 6X20X80 401061196 3,316.25

STENT PROTEGE 6X30X80 401061197 3,316.25STENT PROTEGE 6X40X80 401061198 3,316.25STENT PROTEGE 6X60X80 401061199 3,316.25STENT PROTEGE 6X80X80 401061200 3,316.25STENT PROTEGE 7X20X80 401061201 3,316.25STENT PROTEGE 7X30X80 401061202 3,316.25STENT PROTEGE 7X40X80 401061203 3,316.25STENT PROTEGE 7X60X80 401061204 3,316.25STENT PROTEGE 7X80X80 401061205 3,316.25STENT PROTEGE 8X20X80 401061206 3,316.25STENT PROTEGE 8X30X80 401061207 3,316.25STENT PROTEGE 8X40X80 401061208 3,316.25STENT PROTEGE 8X60X80 401061209 3,316.25STENT PROTEGE 8X80X80 401061210 3,316.25LEAD DEFIB SPRINT QUATTRO 6947 401061211 11,564.25SHEATH-SAFE CPS VALVE 401061212 476.25STENT HERCULINK ELITE 6.5X12X135 401061213 3,741.00STENT HERCULINK ELITE 6.5X15X135 401061214 3,741.00STENT HERCULINK ELITE 6.5X18X135 401061215 3,741.00STENT HERCULINK ELITE 7X15X135 401061216 3,741.00STENT HERCULINK ELITE 7X18X135 401061217 3,741.00STENT HERCULINK ELITE 4X12X135 401061278 3,741.00STENT HERCULINK ELITE 4X15X135 401061279 3,741.00STENT HERCULINK ELITE 4X18X135 401061280 3,741.00STENT HERCULINK ELITE 4.5X12X135 401061281 3,741.00STENT HERCULINK ELITE 4.5X15X135 401061282 3,741.00STENT HERCULINK ELITE 4.5X18X135 401061283 3,741.00STENT HERCULINK ELITE 5X12X135 401061284 3,741.00STENT HERCULINK ELITE 5X15X135 401061285 3,741.00STENT HERCULINK ELITE 5X18X135 401061286 3,741.00STENT HERCULINK ELITE 5.5X12X135 401061287 3,741.00STENT HERCULINK ELITE 5.5X15X135 401061288 3,741.00STENT HERCULINK ELITE 5.5X18X135 401061289 3,741.00STENT HERCULINK ELITE 6X12X135 401061290 3,741.00STENT HERCULINK ELITE 6X15X135 401061291 3,741.00STENT HERCULINK ELITE 6X18X135 401061292 5,271.75SHEATH SAFE 8FR X 10CM 401061293 247.50SHEATH SAFE 9FR X 10CM 401061294 247.50SHEATH TURBO BOOSTER 7F 401061295 2,040.75SHEATH TURBO BOOSTER 8F 401061296 2,040.75STENT XACT TAPER 6-8X30 CAROTID 401061300 6,122.25STENT XACT TAPER 7-9X30 CAROTID 401061301 6,122.25STENT XACT TAPER 8-10X30 CAROTID 401061302 6,122.25STENT XACT TAPER 6-8X40 CAROTID 401061303 6,122.25STENT XACT TAPER 7-9X40 CAROTID 401061304 6,122.25STENT XACT TAPER 8-10X40 CAROTID 401061305 6,122.25STENT MICRO-DRIVER OTW 2.75MMX8MM 401061306 3,061.25STENT MICRO-DRIVER OTW2.75MMX12MM 401061307 3,061.25STENT MICRO-DRIVER OTW2.75MMX14MM 401061308 3,061.25STENT MICRO-DRIVER OTW2.75MMX18MM 401061309 3,061.25STENT MICRO-DRIVER OTW2.75MMX24MM 401061310 3,061.25STENT DRIVER OTW 3.0MM X 9MM 401061311 3,061.25STENT DRIVER OTW 3.0MM X 12MM 401061312 3,061.25STENT DRIVER OTW 3.0MM X 15MM 401061313 3,061.25STENT DRIVER OTW 3.0MM X 18MM 401061314 3,061.25STENT DRIVER OTW 3.0MM X 24MM 401061315 3,061.25STENT DRIVER OTW 3.0MM X 30MM 401061316 3,061.25STENT DRIVER OTW 4.0MM X 9MM 401061317 3,061.25STENT DRIVER OTW 4.0MM X 12MM 401061318 3,061.25STENT DRIVER OTW 4.0MM X 15MM 401061319 3,061.25STENT DRIVER OTW 4.0MM X 18MM 401061320 3,061.25STENT DRIVER OTW 4.0MM X 24MM 401061321 3,061.25STENT DRIVER OTW 4.0MM X 30MM 401061322 3,061.25STENT MICRO-DRIVER OTW 2.5MMX8MM 401061323 3,061.25STENT MICRO-DRIVER OTW 2.5MMX12MM 401061324 3,061.25

STENT MICRO-DRIVER OTW 2.5MMX14MM 401061325 3,061.25STENT MICRO-DRIVER OTW 2.5MMX18MM 401061326 3,061.25STENT MICRO-DRIVER OTW 2.5MMX24MM 401061327 3,061.25STENT DRIVER OTW 3.5MM X 9MM 401061328 3,061.25STENT DRIVER OTW 3.5MM X 12MM 401061329 3,061.25STENT DRIVER OTW 3.5MM X 15MM 401061330 3,061.25STENT DRIVER OTW 3.5MM X 18MM 401061331 3,061.25STENT DRIVER OTW 3.5MM X 24MM 401061332 3,061.25STENT DRIVER OTW 3.5MM X 30MM 401061333 3,061.25FILTER IVC REMOVABLE G-2 IJ 401061341 3,401.25STENT OMNILINK 5X18X80 401061358 3,401.25STENT OMNILINK 5X38X80 401061359 3,401.25STENT OMNILINK 5X58X80 401061360 3,401.25STENT OMNILINK 6X18X80 401061361 3,401.25STENT OMNILINK 6X28X80 401061362 3,401.25STENT OMNILINK 6X38X80 401061363 3,401.25STENT OMNILINK 6X58X80 401061364 3,401.25STENT OMNILINK 7X38X80 401061365 3,401.25STENT OMNILINK 7X58X80 401061366 3,401.25STENT OMNILINK 8X58X80 401061367 3,401.25STENT OMNILINK 10X18X80 401061368 3,401.25STENT OMNILINK 5X18X135 401061369 3,401.25STENT OMNILINK 5X28X135 401061370 3,401.25STENT OMNILINK 5X38X135 401061371 3,401.25STENT OMNILINK 5X58X135 401061372 3,401.25STENT OMNILINK 6X18X135 401061373 3,401.25STENT OMNILINK 6X28X135 401061374 3,401.25STENT OMNILINK 6X38X135 401061375 3,401.25STENT OMNILINK 6X58X135 401061376 3,401.25STENT OMNILINK 7X18X135 401061377 3,401.25STENT OMNILINK 7X28X135 401061378 3,401.25STENT OMNILINK 7X38X135 401061379 3,401.25STENT OMNILINK 7X58X135 401061380 3,401.25STENT OMNILINK 8X18X135 401061381 3,401.25STENT OMNILINK 8X28X135 401061382 3,401.25STENT OMNILINK 8X38X135 401061383 3,401.25STENT OMNILINK 8X58X135 401061384 3,401.25STENT OMNILINK 9X18X135 401061385 3,401.25STENT OMNILINK 9X28X135 401061386 3,401.25STENT OMNILINK 9X38X135 401061387 3,401.25STENT OMNILINK 9X58X135 401061388 3,401.25STENT OMNILINK 10X18X135 401061389 3,401.25STENT OMNILINK 10X28X135 401061390 3,401.25STENT OMNILINK 10X38X135 401061391 3,401.25STENT OMNILINK 10X58X135 401061392 3,401.25BALLOON VIATRAC 5.5X20X135 401061393 959.25SHEATH DESTINATION 65CM 6F 401061410 438.50SHEATH DESTINATION 65CM 7F 401061411 438.50STENT OMNILINK 5X28X80 401061420 3,401.25WIRE FIXED CORE J-TIP .035X175 401061421 43.00LEAD DEXTRUS 4136 401061422 2,829.75LEAD DEXTRUS 4137 401061423 2,829.75STENT PROMUS DES RX 4.0X8 401061424 6,802.50STENT PROMUS DES RX 4.0X12 401061425 6,802.50STENT PROMUS DES RX 4.0X15 401061426 6,802.50STENT PROMUS DES RX 4.0X18 401061427 6,802.50STENT PROMUS DES RX 4.0X23 401061428 6,802.50STENT PROMUS DES RX 4.0X28 401061429 6,802.50STENT ENDEAVOR DES OTW 2.5X8 401061430 6,802.50STENT ENDEAVOR DES OTW 2.5X12 401061431 6,802.50STENT ENDEAVOR DES OTW 2.5X14 401061432 6,802.50STENT ENDEAVOR DES OTW 2.5X24 401061433 6,802.50STENT ENDEAVOR DES OTW 3.0X9 401061434 6,802.50STENT ENDEAVOR DES OTW 3.0X12 401061435 6,802.50STENT ENDEAVOR DES OTW 3.0X15 401061436 6,802.50

STENT ENDEAVOR DES OTW 3.0X18 401061437 6,802.50STENT ENDEAVOR DES OTW 3.0X24 401061438 6,802.50STENT ENDEAVOR DES OTW 3.0X30 401061439 6,802.50STENT ENDEAVOR DES OTW 3.5X9 401061440 6,802.50STENT ENDEAVOR DES OTW 3.5X12 401061441 6,802.50STENT ENDEAVOR DES OTW 3.5X15 401061442 6,802.50STENT ENDEAVOR DES OTW 3.5X18 401061443 6,802.50STENT ENDEAVOR DES OTW 3.5X24 401061444 6,802.50STENT ENDEAVOR DES OTW 3.5X30 401061445 6,802.50STENT PROMUS DES OTW 2.5X8 401061446 6,802.50STENT PROMUS DES OTW 2.75X8 401061447 6,802.50STENT PROMUS DES OTW 2.5X12 401061448 6,802.50STENT PROMUS DES OTW 2.75X12 401061449 6,802.50STENT PROMUS DES OTW 2.5X15 401061450 6,802.50STENT PROMUS DES OTW 2.75X15 401061451 6,802.50STENT PROMUS DES OTW 2.5X18 401061452 6,802.50STENT PROMUS DES OTW 2.75X18 401061453 6,802.50STENT PROMUS DES OTW 2.5X23 401061454 6,802.50STENT PROMUS DES OTW 2.75X23 401061455 6,802.50STENT PROMUS DES OTW 2.5X28 401061456 6,802.50STENT PROMUS DES OTW 2.75X28 401061457 6,802.50STENT PROMUS DES OTW 3.0X8 401061458 6,802.50STENT PROMUS DES OTW 3.5X8 401061459 6,802.50STENT PROMUS DES OTW 3.0X12 401061460 6,802.50STENT PROMUS DES OTW 3.5X12 401061461 6,802.50STENT PROMUS DES OTW 3.0X15 401061462 6,802.50STENT PROMUS DES OTW 3.5X15 401061463 6,802.50STENT PROMUS DES OTW 3.0X18 401061464 6,802.50STENT PROMUS DES OTW 3.5X18 401061465 6,802.50STENT PROMUS DES OTW 3.0X23 401061466 6,802.50STENT PROMUS DES OTW 3.5X23 401061467 6,802.50STENT PROMUS DES OTW 3.0X28 401061468 6,802.50STENT PROMUS DES OTW 3.5X28 401061469 6,802.50STENT PROMUS DES OTW 4.0X8 401061470 6,802.50STENT PROMUS DES OTW 4.0X12 401061471 6,802.50STENT PROMUS DES OTW 4.0X15 401061472 6,802.50STENT PROMUS DES OTW 4.0X18 401061473 6,802.50STENT PROMUS DES OTW 4.0X23 401061474 6,802.50STENT PROMUS DES OTW 4.0X28 401061475 6,802.50STENT PROMUS DES RX 2.5X8 401061476 6,802.50STENT PROMUS DES RX 2.75X8 401061477 6,802.50STENT PROMUS DES RX 2.5X12 401061478 6,802.50STENT PROMUS DES RX 2.75X12 401061479 6,802.50STENT PROMUS DES RX 2.5X15 401061480 6,802.50STENT PROMUS DES RX 2.75X15 401061481 6,802.50STENT PROMUS DES RX 2.5X18 401061482 6,802.50STENT PROMUS DES RX 2.75X18 401061483 6,802.50STENT PROMUS DES RX 2.5X23 401061484 6,802.50STENT PROMUS DES RX 2.75X23 401061485 6,802.50STENT PROMUS DES RX 2.5X28 401061486 6,802.50STENT PROMUS DES RX 2.75X28 401061487 6,802.50STENT PROMUS DES RX 3.0X8 401061488 6,802.50STENT PROMUS DES RX 3.5X8 401061489 6,802.50STENT PROMUS DES RX 3.0X12 401061490 6,802.50STENT PROMUS DES RX 3.5X12 401061491 6,802.50STENT PROMUS DES RX 3.0X15 401061492 6,802.50STENT PROMUS DES RX 3.5X15 401061493 6,802.50STENT PROMUS DES RX 3.0X18 401061494 6,802.50STENT PROMUS DES RX 3.5X18 401061495 6,802.50STENT PROMUS DES RX 3.0X23 401061496 6,802.50STENT PROMUS DES RX 3.5X23 401061497 6,802.50STENT PROMUS DES RX 3.0X28 401061498 6,802.50STENT PROMUS DES RX 3.5X28 401061499 6,802.50FILTER IVC BIRDS NEST FEMORAL 401061500 4,234.75FILTER IVC BIRDS NEST JUGULAR 401061501 4,234.75

FILTER WIRE EZ 2.25-3.5 190CM 401061502 5,085.00CATHETER ROYAL FLUSH PIG 70CM 401061503 480.75STENT TAXUS ATOM RX 2.25X8 401061504 5,782.00STENT TAXUS ATOM RX 2.25X12 401061505 5,782.00STENT TAXUS ATOM RX 2.25X16 401061506 5,782.00STENT TAXUS ATOM RX 2.25X20 401061507 5,782.00STENT TAXUS ATOM RX 2.25X24 401061508 5,782.00STENT TAXUS ATOM OTW 2.25X8 401061509 5,782.00STENT TAXUS ATOM OTW 2.25X12 401061510 5,782.00STENT TAXUS ATOM OTW 2.25X16 401061511 5,782.00STENT TAXUS ATOM OTW 2.25X20 401061512 5,782.00STENT TAXUS ATOM OTW 2.25X24 401061513 5,782.00STENT TAXUS LIBERTE OTW 2.5X8 401061514 5,782.00STENT TAXUS LIBERTE OTW 2.75X8 401061515 5,782.00STENT TAXUS LIBERTE OTW 3.0X8 401061516 5,782.00STENT TAXUS LIBERTE OTW 3.5X8 401061517 5,782.00STENT TAXUS LIBERTE OTW 4.0X8 401061518 5,782.00STENT TAXUS LIBERTE OTW 2.5X12 401061519 5,782.00STENT TAXUS LIBERTE OTW 2.75X12 401061520 5,782.00STENT TAXUS LIBERTE OTW 3.0X12 401061521 5,782.00STENT TAXUS LIBERTE OTW 3.5X12 401061522 5,782.00STENT TAXUS LIBERTE OTW 4.0X12 401061523 5,782.00STENT TAXUS LIBERTE OTW 2.5X16 401061524 5,782.00STENT TAXUS LIBERTE OTW 2.75X16 401061525 5,782.00STENT TAXUS LIBERTE OTW 3.0X16 401061526 5,782.00STENT TAXUS LIBERTE OTW 3.5X16 401061527 5,782.00STENT TAXUS LIBERTE OTW 4.0X16 401061528 5,782.00STENT TAXUS LIBERTE OTW 2.5X20 401061529 5,782.00STENT TAXUS LIBERTE OTW 2.75X20 401061530 5,782.00STENT TAXUS LIBERTE OTW 3.0X20 401061531 5,782.00STENT TAXUS LIBERTE OTW 3.5X20 401061532 5,782.00STENT TAXUS LIBERTE OTW 4.0X20 401061533 5,782.00STENT TAXUS LIBERTE OTW 2.5X24 401061534 5,782.00STENT TAXUS LIBERTE OTW 2.75X24 401061535 5,782.00STENT TAXUS LIBERTE OTW 3.0X24 401061536 5,782.00STENT TAXUS LIBERTE OTW 3.5X24 401061537 5,782.00STENT TAXUS LIBERTE OTW 4.0X24 401061538 5,782.00STENT TAXUS LIBERTE OTW 2.5X28 401061539 5,782.00STENT TAXUS LIBERTE OTW 2.75X28 401061540 5,782.00STENT TAXUS LIBERTE OTW 3.0X28 401061541 5,782.00STENT TAXUS LIBERTE OTW 3.5X28 401061542 5,782.00STENT TAXUS LIBERTE OTW 4.0X28 401061543 5,782.00STENT TAXUS LIBERTE RX 2.5X8 401061544 5,782.00STENT TAXUS LIBERTE RX 2.75X8 401061545 5,782.00STENT TAXUS LIBERTE RX 3.0X8 401061546 5,782.00STENT TAXUS LIBERTE RX 3.5X8 401061547 5,782.00STENT TAXUS LIBERTE RX 4.0X8 401061548 5,782.00STENT TAXUS LIBERTE RX 2.5X12 401061549 5,782.00STENT TAXUS LIBERTE RX 2.75X12 401061550 5,782.00STENT TAXUS LIBERTE RX 3.0X12 401061551 5,782.00STENT TAXUS LIBERTE RX 3.5X12 401061552 5,782.00STENT TAXUS LIBERTE RX 4.0X12 401061553 5,782.00STENT TAXUS LIBERTE RX 2.5X16 401061554 5,782.00STENT TAXUS LIBERTE RX 2.75X16 401061555 5,782.00STENT TAXUS LIBERTE RX 3.0X16 401061556 5,782.00STENT TAXUS LIBERTE RX 3.5X16 401061557 5,782.00STENT TAXUS LIBERTE RX 4.0X16 401061558 5,782.00STENT TAXUS LIBERTE RX 2.5X20 401061559 5,782.00STENT TAXUS LIBERTE RX 2.75X20 401061560 5,782.00STENT TAXUS LIBERTE RX 3.0X20 401061561 5,782.00STENT TAXUS LIBERTE RX 3.5X20 401061562 5,782.00STENT TAXUS LIBERTE RX 4.0X20 401061563 5,782.00STENT TAXUS LIBERTE RX 2.5X24 401061564 5,782.00STENT TAXUS LIBERTE RX 2.75X24 401061565 5,782.00STENT TAXUS LIBERTE RX 3.0X24 401061566 5,782.00

STENT TAXUS LIBERTE RX 3.5X24 401061567 5,782.00STENT TAXUS LIBERTE RX 4.0X24 401061568 5,782.00STENT TAXUS LIBERTE RX 2.5X28 401061569 5,782.00STENT TAXUS LIBERTE RX 2.75X28 401061570 5,782.00STENT TAXUS LIBERTE RX 3.0X28 401061571 5,782.00STENT TAXUS LIBERTE RX 3.5X28 401061572 5,782.00STENT TAXUS LIBERTE RX 4.0X28 401061573 5,782.00CATHETER SILVERHAWK R-LS-C 401061574 8,486.00HEMOSTAT D-STAT FLOWABLE 401061575 510.25STENT TAXUS LIBERTE RX 2.5X32 401061576 5,782.00STENT TAXUS LIBERTE RX 2.75X32 401061577 5,782.00STENT TAXUS LIBERTE RX 3.0X32 401061578 5,782.00STENT TAXUS LIBERTE RX 3.5X32 401061579 5,782.00STENT TAXUS LIBERTE RX 4.0X32 401061580 5,782.00STENT TAXUS LIBERTE OTW 2.5X32 401061581 5,782.00STENT TAXUS LIBERTE OTW 2.75X32 401061582 5,782.00STENT TAXUS LIBERTE OTW 3.0X32 401061583 5,782.00STENT TAXUS LIBERTE OTW 3.5X32 401061584 5,782.00STENT TAXUS LIBERTE OTW 4.0X32 401061585 5,782.00CLOSURE DEVICE V-PAD 401061586 190.25STENT VIABAHN HEP 6X10CM 401061587 9,884.25STENT VIABAHN HEP 6X5CMX120 401061588 9,884.25STENT VIABAHN HEP 7X10CMX120 401061589 9,884.25STENT VIABAHN HEP 7X15CMX120 401061590 11,452.00STENT VIABAHN HEP 8X10CMX75 401061591 9,884.25STENT VIABAHN HEP 8X10CMX120 401061592 9,884.25STENT VIABAHN HEP 8X15CMX75 401061593 11,452.00LEAD CS 1158T 86CM 401061597 5,935.25DEFIB BI-V ATLAS II V-366 401061598 77,626.00DEFIB LUMAX 340 DR-T 401061599 48,324.50LEAD DEFIB LINOX SD 65/16 401061600 2,040.75LEAD CS EASYTRAK 401061601 10,846.25BALLOON FLEXTOME RX 2.0X6 401061602 2,443.75BALLOON FLEXTOME RX 2.25X6 401061603 2,443.75BALLOON FLEXTOME RX 2.5X6 401061604 2,443.75BALLOON FLEXTOME RX 2.75X6 401061605 2,443.75BALLOON FLEXTOME RX 3.0X6 401061606 2,443.75BALLOON FLEXTOME RX 3.25X6 401061607 2,443.75BALLOON FLEXTOME RX 3.5X6 401061608 2,443.75BALLOON FLEXTOME RX 3.75X6 401061609 2,443.75BALLOON FLEXTOME RX 4.0X6 401061610 2,443.75BALLOON FLEXTOME RX 2.0X15 401061611 2,443.75BALLOON FLEXTOME RX 2.25X15 401061612 2,443.75BALLOON FLEXTOME RX 2.5X15 401061613 2,443.75BALLOON FLEXTOME RX 2.75X15 401061614 2,443.75BALLOON FLEXTOME RX 3.0X15 401061615 2,443.75BALLOON FLEXTOME RX 3.25X15 401061616 2,443.75BALLOON FLEXTOME RX 3.5X15 401061617 2,443.75BALLOON FLEXTOME RX 3.75X15 401061618 2,443.75BALLOON FLEXTOME RX 4.0X15 401061619 2,443.75BALLOON FLEXTOME RX 2.0X10 401061620 2,443.75BALLOON FLEXTOME RX 2.25X10 401061621 2,443.75BALLOON FLEXTOME RX 2.5X10 401061622 2,443.75BALLOON FLEXTOME RX 2.75X10 401061623 2,443.75BALLOON FLEXTOME RX 3.0X10 401061624 2,443.75BALLOON FLEXTOME RX 3.25X10 401061625 2,443.75BALLOON FLEXTOME RX 3.5X10 401061626 2,443.75BALLOON FLEXTOME RX 3.75X10 401061627 2,443.75BALLOON FLEXTOME RX 4.0X10 401061628 2,443.75WIRE BALANCE 0.014X300 401061629 374.75WIRE WIGGLE 0.014X190 401061630 374.75WIRE RUNTHROUGH NS 0.014X180 401061631 411.25LV LEAD CS EASYTRAK 4542 401061632 9,447.75PM LEAD DEXTRUS 4135 45CM 401061633 2,437.50ICD DEFIB COGNIS HE N119 401061634 86,164.25

LEAD DEFIB RELIANCE 0157 401061635 15,274.00PACEMAKER ALTRUA DDD S603 401061636 14,285.25PACEMAKER VERSA DR 401061637 12,282.25PM ZEPHYR XL SR 5626 401061638 11,101.25PM SENSIA SR SESR01 401061639 10,077.75DEFIB MAXIMO II DR 401061640 51,648.25DEFIB MAXIMO II VR 401061641 48,184.00DEFIB BI-V MAXIMO II 401061642 60,466.25LEAD LV ATTAIN CS 4195 401061643 7,873.25IMPELLA LVAD CATHETER 2.5 401061644 78,732.00IMPELLA LVAD INTRODUCER KIT 401061645 2,645.50IMPELLA LVAD MONITORING SET 401061646 200.50RECORDER LOOP CONFIRM 2100 401061647 13,919.75KIT PATCH NAVIX 401061648 2,991.75CATHETER THERAPY CP 7-25 FLUTTER 401061649 4,094.00CATHETER THERAPY CP 7-25 M 401061650 4,094.00CATHETER THERAPY CP 7-25 L 401061651 4,094.00CATHETER THERAPY CP 7-25 XL 401061652 4,094.00RESPONSE DEC LUM 65CM 6F 401061653 1,394.50RESPONSE LUMEN CSL 2.8.2 6F 401061654 1,394.50RESPONSE LUMEN CSL 5.5.5 6F 401061655 1,394.50RESPONSE LUMEN CSL 2.2.2 6F 401061656 1,394.50RESPONSE LUMEN CSL 5.5.5 65CM 6F 401061657 1,394.50RESPONSE LUMEN DAO1 5.5.5 65CM 6F 401061658 1,394.50RESPONSE QUAD 5MM CRD 6F 401061659 408.25RESPONSE QUAD 5MM JSN 6F 401061660 408.25CATHETER SAFIRE SWEEP 5MM S 401061661 2,311.75CATHETER SAFIRE SWEEP 5MM M 401061662 2,311.75CATHETER SAFIRE SWEEP 5MM L 401061663 2,311.75CATHETER SAFIRE CURL 5MM S 401061664 2,311.75CATHETER SAFIRE CURL 5MM M 401061665 2,311.75CATHETER SAFIRE CURL 5MM L 401061666 2,311.75CATHETER SAFIRE CURL 8MM S 401061667 4,094.00CATHETER SAFIRE CURL 8MM M 401061668 4,094.00CATHETER SAFIRE CURL 8MM L 401061669 4,094.00CATHETER SAFIRE CURL 8MM XL 401061670 4,094.00CATHETER SAFIRE 8MM EXT REACH 401061671 4,094.00CATHETER SAFIRE 8MM FAR REACH 401061672 4,094.00CATHETER LASSO 25-15MM 2-6-2 7F 401061673 5,353.75CATHETER LASSO 30MM 9.5 7F 401061674 4,724.00CATHETER SCORPION TC 4MM 7F 401061675 2,755.50CABLE SCORPION ATAKR 401061676 672.75CATHETER ACCUNAV ICE 90CM 10F 401061677 8,188.00CATHETER ACCUNAV ICE 110CM 8F 401061678 8,188.00EP LIVEWIRE DUO-DECA 401904 401061679 2,777.75EP LIVEWIRE DUO-DECA 401918 401061680 3,287.75EP LIVEWIRE DUO-DECA 401932 401061681 3,259.50EP LIVEWIRE DECA CSL 401926 401061682 2,516.75EP REFLEXION SPIRAL D402865 401061683 4,566.50EP LIVEWIRE DECA 401915 401061684 1,496.50SHEATH AGILIS NXT SMALL CURL 8.5F 401061685 2,818.50SHEATH AGILIS NXT MED CURL 8.5F 401061686 2,818.50SHEATH SWARTZ BRAIDED SL1 63CM 8F 401061687 684.25SHEATH SWARTZ BRAIDED SL1 81CM 8F 401061688 733.00SHEATH SWARTZ SL1 63CM 8F 401061689 625.75SHEATH SWARTZ SL1 81CM 8F 401061690 695.50NEEDLE TRANS-SEPTAL BRK 71CM 401061691 711.00NEEDLE TRANS-SEPTAL BRK 89CM 401061692 711.00EP CABLE 401973 401061693 357.25EP CABLE 401974 401061694 357.25EP CABLE 401975 401061695 357.25EP CABLE 402578 401061696 586.00EP CATHETER BLAZER 4MM STD 7F 401061697 3,086.25EP CATHETER BLAZER 4MM SMALL 7F 401061698 3,086.25EP CATHETER BLAZER 4MM LARGE 7F 401061699 3,086.25

EP CABLE BOST/SCI M0046130 401061700 1,039.25ICD CURRENT RF DR 2207 401061701 51,789.75EP LIVEWIRE DUO-DECA 401914 401061702 2,777.75SHEATH ARROW 6F X 24CM 401061703 259.25SHEATH ARROW 6F X 45CM 401061704 310.25SHEATH ARROW 7F X 24CM 401061705 259.25SHEATH ARROW 7F X 45CM 401061706 310.25SHEATH ARROW 8F X 24CM 401061707 259.25SHEATH ARROW 8F X 45CM 401061708 310.25CATHETER GUIDE JB2 6.5 X 125 401061709 314.00ICD CURRENT VR 36J 1207 401061710 50,379.00ICD CURRENT VR 30J 1207 401061711 50,379.00DEFIB SECURA DR D224DRG 401061712 59,836.25DEFIB EPIC DR V-258 401061713 49,220.00CATHETER Q CROSS ANGLE .035X135 401061714 657.50CATHETER WISEGUIDE CLS 3.0 8F 401061715 207.25CATHETER WISEGUIDE CLS 3.5 8F 401061716 207.25CATHETER WISEGUIDE CLS 4.0 8F 401061717 207.25CATHETER WISEGUIDE CLS 4.5 8F 401061718 207.25CATHETER WISEGUIDE CLS SH 3.0 8F 401061719 207.25CATHETER WISEGUIDE CLS SH 3.5 8F 401061720 207.25CATHETER WISEGUIDE CLS SH 4.0 8F 401061721 207.25CATHETER GUIDE RUNWAY BR 1 6F 401061722 207.25CATHETER WISEGUIDE FL 3.0 8F 401061723 207.25CATHETER WISEGUIDE FL SH 3.5 8F 401061724 207.25CATHETER WISEGUIDE FL ST 3.5 8F 401061725 207.25CATHETER GUIDE RUNWAY CLS 4.0 6F 401061726 207.25CATHETER WISEGUIDE VL 2.5 7F 401061727 207.25CATHETER WISEGUIDE VL 4.5 7F 401061728 207.25CATHETER WISEGUIDE VL 5.0 7F 401061729 207.25CATHETER WISEGUIDE VL 6.0 7F 401061730 207.25CATHETER WISEGUIDE VL SH 4.0 7F 401061731 207.25CATHETER WISEGUIDE VL SH 4.5 7F 401061732 207.25CATHETER WISEGUIDE VL 4.5 8F 401061733 207.25CATHETER WISEGUIDE VL 5.0 8F 401061734 207.25CATHETER WISEGUIDE VL SH 3.5 8F 401061735 207.25CATHETER WISEGUIDE AL SH 1.5 7F 401061736 207.25CATHETER WISEGUIDE AL SH 3.0 7F 401061737 207.25CATHETER WISEGUIDE FR ST 4.0 7F 401061738 207.25CATHETER GUIDE RUNWAY MP 1 6F 401061739 207.25CATHETER GUIDE RUNWAY MP 2 6F 401061740 207.25CATHETER GUIDE RUNWAY MP HS 6F 401061741 207.25CATHETER WISEGUIDE FL ST 4.0 7F 401061742 207.25CATHETER WISEGUIDE IMC 90CM 7F 401061743 207.25CATHETER WISEGUIDE IMC SH 90CM 7F 401061744 207.25CATHETER WISEGUIDE FL SH 3.0 7F 401061745 207.25CATHETER WISEGUIDE FL ST 3.0 7F 401061746 207.25CATHETER WISEGUIDE AL SH 1 8F 401061747 207.25CATHETER WISEGUIDE CLS SH 3.0 7F 401061748 207.25CATHETER WISEGUIDE MP HS SH 7F 401061749 207.25ICD DEFIB TELIGEN DR 110 401061750 44,719.75PM GEN ALTRUA DDD S402 401061751 12,282.25BURR CLASSIC DIAMOND BACK 1.5 401061752 9,432.25BURR SOLID PREDATOR 1.5 401061753 9,432.25BURR SOLID PREDATOR 1.75 401061754 9,432.25BURR SOLID PREDATOR 2.0 401061755 9,432.25BURR SOLID PREDATOR 2.25 401061756 9,432.25WIRE FIRM DIAMOND BACK 401061757 642.25SHEATH SWARTZ BRAIDED SLO 63CM 8F 401061759 684.25SHEATH SWARTZ SLO 63CM 8F 401061760 643.25SHEATH SWARTZ SRO 63CM 8F 401061761 643.25SHEATH SWARTZ SR1 63CM 8F 401061762 643.25ICD DEFIB EPIC V-158 401061763 47,878.25DEFIB BI-V PROMOTE 3207-36 401061764 82,967.75STENT CAROTID WALLSTENT RX 6X22 401061765 7,857.50

STENT CAROTID WALLSTENT RX 8X21 401061766 7,857.50STENT CAROTID WALLSTENT RX 8X29 401061767 7,857.50STENT CAROTID WALLSTENT RX 8X36 401061768 7,857.50STENT CAROTID WALLSTENT RX 10X24 401061769 7,857.50STENT CAROTID WALLSTENT RX 10X31 401061770 7,857.50STENT CAROTID WALLSTENT RX 10X37 401061771 7,857.50CATHETER EP INQUIRY OPTI DUODECA 401061772 4,566.50CATHETER EP REFLEXION DUODECA 401061773 4,566.50DEFIB SNGL SECURA VR D224VRC 401061774 55,742.25CLOSURE DEVICE STARCLOSE SE 401061775 775.00BURR CLASSIC DIAMOND BACK 1.25 401061776 9,432.25SHEATH FLEXOR RADIAL 13CM 6FR 401061777 215.50CLOSURE DEVICE RADISTOP 401061778 152.25CATHETER INFUSION 130X15 401061779 382.00DEFIB BI-V CONSULTA D224TRK 401061780 73,693.25EP COOL FLOW IRRIGATION TUBING 401061781 264.50EP WEBSTER CS BI-DIR DF 2-8-2 7FR 401061782 2,343.00EP WEBSTER CS BI-DIR FJ 2-8-2 7FR 401061783 2,343.00EP GUIDE SHEATH MP 62CM 8FR 401061784 661.25EP EZ STEER TC DF 2-5-2 8FR 401061785 5,146.00EP EZ STEER TC FJ 2-5-2 8FR 401061786 5,146.00CATHETER DIALYSIS HEMOSTREAM 24CM 401061787 944.75CATHETER DIALYSIS HEMOSTREAM 28CM 401061788 944.75CATHETER DIALYSIS HEMOSTREAM 32CM 401061789 944.75CATHETER DIALYSIS HEMOSTREAM 40CM 401061790 944.75CATHETER CS 6250-MB2 401061793 907.00GUIDE WIRE GWR419478 401061794 755.75BALLOON APEX OTW PUSH 1.5X8 401061795 755.75BALLOON APEX OTW PUSH 1.5X12 401061796 755.75BALLOON APEX OTW PUSH 1.5X15 401061797 755.75BALLOON APEX OTW PUSH 1.5X20 401061798 755.75BALLOON APEX OTW FLEX 1.5X8 401061799 755.75BALLOON APEX OTW FLEX 1.5X12 401061800 755.75BALLOON APEX OTW FLEX 1.5X15 401061801 755.75BALLOON APEX OTW FLEX 1.5X20 401061802 755.75BALLOON APEX RX PUSH 1.5X8 401061803 755.75BALLOON APEX RX PUSH 1.5X12 401061804 755.75BALLOON APEX RX PUSH 1.5X15 401061805 755.75BALLOON APEX RX PUSH 1.5X20 401061806 755.75BALLOON APEX RX FLEX 1.5X8 401061807 755.75BALLOON APEX RX FLEX 1.5X12 401061808 755.75BALLOON APEX RX FLEX 1.5X15 401061809 755.75BALLOON APEX RX FLEX 1.5X20 401061810 755.75BALLOON APEX OTW 2X12 401061811 755.75BALLOON APEX OTW 2.25X12 401061812 755.75BALLOON APEX OTW 2.5X12 401061813 755.75BALLOON APEX OTW 2.75X12 401061814 755.75BALLOON APEX OTW 3X12 401061815 755.75BALLOON APEX OTW 3.25X12 401061816 755.75BALLOON APEX OTW 3.5X12 401061817 755.75BALLOON APEX OTW 3.75X12 401061818 755.75BALLOON APEX OTW 4X12 401061819 755.75BALLOON APEX OTW 4.5X12 401061820 755.75BALLOON APEX OTW 5X12 401061821 755.75BALLOON APEX OTW 2X15 401061822 755.75BALLOON APEX OTW 2.25X15 401061823 755.75BALLOON APEX OTW 2.5X15 401061824 755.75BALLOON APEX OTW 2.75X15 401061825 755.75BALLOON APEX OTW 3X15 401061826 755.75BALLOON APEX OTW 3.25X15 401061827 755.75BALLOON APEX OTW 3.5X15 401061828 755.75BALLOON APEX OTW 3.75X15 401061829 755.75BALLOON APEX OTW 4X15 401061830 755.75BALLOON APEX OTW 4.5X15 401061831 755.75BALLOON APEX OTW 5X15 401061832 755.75

BALLOON APEX OTW 2X20 401061833 755.75BALLOON APEX OTW 2.25X20 401061834 755.75BALLOON APEX OTW 2.5X20 401061835 755.75BALLOON APEX OTW 2.75X20 401061836 755.75BALLOON APEX OTW 3X20 401061837 755.75BALLOON APEX OTW 3.25X20 401061838 755.75BALLOON APEX OTW 3.5X20 401061839 755.75BALLOON APEX OTW 3.75X20 401061840 755.75BALLOON APEX OTW 4X20 401061841 755.75BALLOON APEX OTW 4.5X20 401061842 755.75BALLOON APEX OTW 5X20 401061843 755.75SHEATH RAABE 70CM 7FR 401061844 251.75STENT DES TAXUS LIBRT RX 2.25X8 401061845 6,141.25STENT DES TAXUS LIBRT RX 2.25X12 401061846 6,141.25STENT DES TAXUS LIBRT RX 2.25X16 401061847 6,141.25STENT DES TAXUS LIBRT RX 2.25X20 401061848 6,141.25STENT DES TAXUS LIBRT RX 2.25X24 401061849 6,141.25STENT DES TAXUS LIBRT RX 2.25X28 401061850 6,141.25STENT DES TAXUS LIBRT RX 2.25X32 401061851 6,141.25STENT DES TAXUS LIBRT OTW 2.25X8 401061852 6,141.25STENT DES TAXUS LIBRT OTW 2.25X12 401061853 6,141.25STENT DES TAXUS LIBRT OTW 2.25X16 401061854 6,141.25STENT DES TAXUS LIBRT OTW 2.25X20 401061855 6,141.25STENT DES TAXUS LIBRT OTW 2.25X24 401061856 6,141.25STENT DES TAXUS LIBRT OTW 2.25X28 401061857 6,141.25STENT DES TAXUS LIBRT OTW 2.25X32 401061858 6,141.25BALLOON APEX RX 2X12 401061859 755.75BALLOON APEX RX 2.25X12 401061860 755.75BALLOON APEX RX 2.5X12 401061861 755.75BALLOON APEX RX 2.75X12 401061862 755.75BALLOON APEX RX 3X12 401061863 755.75BALLOON APEX RX 3.25X12 401061864 755.75BALLOON APEX RX 3.5X12 401061865 755.75BALLOON APEX RX 3.75X12 401061866 755.75BALLOON APEX RX 4X12 401061867 755.75BALLOON APEX RX 4.5X12 401061868 755.75BALLOON APEX RX 5X12 401061869 755.75BALLOON APEX RX 2X15 401061870 755.75BALLOON APEX RX 2.25X15 401061871 755.75BALLOON APEX RX 2.5X15 401061872 755.75BALLOON APEX RX 2.75X15 401061873 755.75BALLOON APEX RX 3X15 401061874 755.75BALLOON APEX RX 3.25X15 401061875 755.75BALLOON APEX RX 3.5X15 401061876 755.75BALLOON APEX RX 3.75X15 401061877 755.75BALLOON APEX RX 4X15 401061878 755.75BALLOON APEX RX 4.5X15 401061879 755.75BALLOON APEX RX 5X15 401061880 755.75BALLOON APEX RX 2X20 401061881 755.75BALLOON APEX RX 2.25X20 401061882 755.75BALLOON APEX RX 2.5X20 401061883 755.75BALLOON APEX RX 2.75X20 401061884 755.75BALLOON APEX RX 3X20 401061885 755.75BALLOON APEX RX 3.25X20 401061886 755.75BALLOON APEX RX 3.5X20 401061887 755.75BALLOON APEX RX 3.75X20 401061888 755.75BALLOON APEX RX 4X20 401061889 755.75BALLOON APEX RX 4.5X20 401061890 755.75BALLOON APEX RX 5X20 401061891 755.75COIL AMPLATZER 8MM 401061892 2,519.25COIL AMPLATZER 10MM 401061893 2,519.25COIL AMPLATZER 12MM 401061894 2,519.25COIL AMPLATZER 14MM 401061895 2,519.25COIL AMPLATZER 16MM 401061896 2,519.25COIL AMPLATZER 18MM 401061897 2,519.25

AMPLATZER CRIBIFORM OCCLUDER 35MM 401061898 15,746.50AMPLATZER 45 TORQVUE 80CM-9FR 401061899 1,854.75IVUS I CROSS 40 MHZ 401061900 2,532.00ICD CURRENT PLUS DR CD2211-36 401061901 54,378.75ICD CURRENT PLUS DR CD2211-36Q 401061902 54,381.75ICD CURRENT PLUS VR CD1211-36 401061903 54,378.75ICD CURRENT PLUS VR CD1211-36Q 401061904 54,381.75LEAD ICD DURATA 7120Q/52 17CM 401061905 22,114.25LEAD ICD DURATA 7120Q/58 17CM 401061906 22,114.25LEAD ICD DURATA 7120Q/65 17CM 401061907 22,114.25LEAD ICD DURATA 7121Q/52 21CM 401061908 22,114.25LEAD ICD DURATA 7121Q/58 21CM 401061909 22,114.25LEAD ICD DURATA 7121Q/65 21CM 401061910 22,114.25LEAD ICD DURATA 7122Q/52 52CM 401061911 22,114.25LEAD ICD DURATA 7122Q/58 58CM 401061912 22,114.25LEAD ICD DURATA 7122Q/65 65CM 401061913 22,114.25BALLOON VOYAGER NC RX 2X8 401061914 755.75PM GEN ALTURA 60 DDDR IS-1 401061915 14,285.25LEAD DELIVERY SYSTEM 401061916 3,133.50ICD GEN ATLA II DR V268 401061917 49,220.00BIV GEN CRT PROMOTE CD3211-36 401061918 87,115.50BIV GEN CRT PROMOTE CD3211-36Q 401061919 87,115.50BALLOON VOYAGER NC RX 2.25X8 401061920 755.75BALLOON VOYAGER NC RX 2.5X8 401061921 755.75BALLOON VOYAGER NC RX 2.75X8 401061922 755.75BALLOON VOYAGER NC RX 3X8 401061923 755.75BALLOON VOYAGER NC RX 3.25X8 401061924 755.75BALLOON VOYAGER NC RX 3.5X8 401061925 755.75BALLOON VOYAGER NC RX 3.75X8 401061926 755.75BALLOON VOYAGER NC RX 4X8 401061927 755.75BALLOON VOYAGER NC RX 2X20 401061928 755.75BALLOON VOYAGER NC RX 2.25X20 401061929 755.75BALLOON VOYAGER NC RX 2.5X20 401061930 755.75BALLOON VOYAGER NC RX 2.75X20 401061931 755.75BALLOON VOYAGER NC RX 3X20 401061932 755.75BALLOON VOYAGER NC RX 3.25X20 401061933 755.75BALLOON VOYAGER NC RX 3.5X20 401061934 755.75BALLOON VOYAGER NC RX 3.75X20 401061935 755.75BALLOON VOYAGER NC RX 4X20 401061936 755.75PM ACCENT RF DR 401061937 12,676.00BALLOON VOYAGER NC RX 2X12 401061938 755.75BALLOON VOYAGER NC RX 2.25X12 401061939 755.75BALLOON VOYAGER NC RX 2.5X12 401061940 755.75BALLOON VOYAGER NC RX 2.75X12 401061941 755.75BALLOON VOYAGER NC RX 3X12 401061942 755.75BALLOON VOYAGER NC RX 3.25X12 401061943 755.75BALLOON VOYAGER NC RX 3.5X12 401061944 755.75BALLOON VOYAGER NC RX 3.75X12 401061945 755.75BALLOON VOYAGER NC RX 4X12 401061946 755.75BALLOON VOYAGER NC RX 2X15 401061947 755.75BALLOON VOYAGER NC RX 2.25X15 401061948 755.75BALLOON VOYAGER NC RX 2.5X15 401061949 755.75BALLOON VOYAGER NC RX 2.75X15 401061950 755.75BALLOON VOYAGER NC RX 3X15 401061951 755.75BALLOON VOYAGER NC RX 3.25X15 401061952 755.75BALLOON VOYAGER NC RX 3.5X15 401061953 755.75BALLOON VOYAGER NC RX 3.75X15 401061954 755.75BALLOON VOYAGER NC RX 4X15 401061955 755.75ICD BIV PROMOTE RF 3207-30 401061957 82,967.75PACEMAKER ACCENT SR RF PM1210 401061958 12,457.25BALLOON FOX SV 4X60X150 401061959 822.50BALLOON FOX SV 4X80X150 401061960 822.50BALLOON FOX SV 5X30X150 401061963 822.50BALLOON FOX SV 5X60X150 401061965 822.50BALLOON FOX SV 2X20X150 401061966 822.50

BALLOON FOX SV 2X30X150 401061967 822.50BALLOON FOX SV 2X60X150 401061968 822.50BALLOON FOX SV 2X80X150 401061969 822.50BALLOON FOX SV 2X100X150 401061970 822.50BALLOON FOX SV 2X120X150 401061971 822.50BALLOON FOX SV 2.5X40X150 401061972 822.50BALLOON FOX SV 2.5X80X150 401061973 822.50BALLOON FOX SV 3X40X150 401061975 822.50BALLOON FOX SV 3X60X150 401061976 822.50BALLOON FOX SV 3X80X150 401061977 822.50BALLOON FOX SV 3X120X150 401061978 822.50BALLOON FOX SV 4X40X150 401061980 822.50CATHETER JETSTREAM G2NXT 401061981 10,206.00BALLOON FOX SV 2X40X150 401061982 787.25BALLOON FOX SV 2.5X20X150 401061983 787.25BALLOON FOX SV 2.5X60X150 401061984 787.25BALLOON FOX SV 2.5X100X150 401061985 787.25BALLOON FOX SV 3X20X150 401061986 787.25BALLOON FOX SV 5X20X150 401061988 787.25BALLOON FOX SV 5X80X150 401061989 787.25BALLOON FOX SV 5X100X150 401061990 787.25BALLOON FOX SV 6X20X150 401061991 787.25BALLOON FOX SV 6X40X150 401061992 787.25BALLOON FOX SV 6X60X150 401061993 787.25BALLOON FOX SV 6X80X150 401061994 787.25BALLOON FOX SV 6X100X150 401061995 787.25CATHETER TURBOHAWK LSC 401061996 9,652.00CATHETER TURBOHAWK LXC 401061997 9,652.00STENT VIABAHN HEP 7X50CM 401061998 7,479.50CATHETER JETSTREAM G3 2.1/3 401061999 10,206.00STENT VIABAHN HEP 7X20CM 401062000 7,479.50SHEATH SAFE 6FRX10CM 401062001 212.25WIRE GRAND SLAM .014X180 401062002 318.25WIRE GRAND SLAM .014X300 401062003 318.25STENT BMS TAXUS LIBERTE RX 3X38 401062004 4,957.25LEAD ISOFLEX OPTIM STRAIGHT 401062005 2,564.25AMPLATZER CRIBIFORM OCCLUDER 24MM 401062006 14,580.00AMPLATZER CRIBIFORM OCCLUDER 25MM 401062007 14,580.00CATHETER REFLECTION SPIRAL 401062008 4,257.25LEAD PM ACUITY SPIRAL LVA 90CM 401062009 8,748.00LEAD PM TENDRIL STS 2088TC/46 401062010 2,769.50LEAD PM TENDRIL STS 2088TC/52 401062011 2,769.50LEAD PM TENDRIL STS 2088TC/58 401062012 2,769.50LEAD PM OPTISENSE 1999TC/40 401062013 2,769.50LEAD PM OPTISENSE 1999TC/46 401062014 2,769.50LEAD PM OPTISENSE 1999TC/52 401062015 2,769.50INSTAT COLLAGEN HEMOSTAT 401062016 398.25CATHETER SCORPION TM 4MM LG 401062017 2,551.50PM GEN BIV ANTHEM RF 3210 401062018 34,298.00CATHETER DECAPOLAR LG CURL 2-8-2 401062019 1,606.25SHEATH SAFE INTRODUCER 7FR 401062020 306.25SHEATH INTRODUCER PINNACLE HS 7FR 401062022 376.00SHEATH INTRODUCER PINNACLE LIMA 401062023 376.00BI-V PACEMAKER INSYNC111 401062024 23,911.25SHEATH SAFE 9FRX10CM BOS 401062025 306.25OCCLUDER AMPLATZER CRIBIFORM 18MM 401062026 14,580.00PM GEN ACCENT PM2110 401062027 10,999.25LEAD TENDRIL STS 1882TC/46 401062029 2,417.25STENT VISI-PRO 8X27X80 401062030 3,061.75LEAD ICD RELIANCE 0185 401062031 15,746.50ICD GEN FORTIFY DR40 401062032 55,385.75ICD GEN FORTIFY VR40 401062033 55,385.75BIV GEN UNIFY 401062034 88,728.75GRAFT ZENITH 32X39 G32184 401062035 5,502.50CATHETER EP RADIA DUODECA 2.7.2 401062036 2,770.25

ICD GEN TELIGEN DR HE E110 401062037 56,497.50PM GEN ACCENT SR PM1110 401062038 10,999.25BALLOON QUANTUM APEX RX 2X8 401062039 699.75BALLOON QUANTUM APEX RX 2.25X8 401062040 699.75BALLOON QUANTUM APEX RX 2.5X8 401062041 699.75BALLOON QUANTUM APEX RX 2.75X8 401062042 699.75BALLOON QUANTUM APEX RX 3X8 401062043 699.75BALLOON QUANTUM APEX RX 3.25X8 401062044 699.75BALLOON QUANTUM APEX RX 3.5X8 401062045 699.75BALLOON QUANTUM APEX RX 3.75X8 401062046 699.75BALLOON QUANTUM APEX RX 4X8 401062047 699.75BALLOON QUANTUM APEX RX 4.5X8 401062048 699.75BALLOON QUANTUM APEX RX 5X8 401062049 699.75BALLOON QUANTUM APEX RX 2X12 401062050 699.75BALLOON QUANTUM APEX RX 2.25X12 401062051 699.75BALLOON QUANTUM APEX RX 2.5X12 401062052 699.75BALLOON QUANTUM APEX RX 2.75X12 401062053 699.75BALLOON QUANTUM APEX RX 3X12 401062054 699.75BALLOON QUANTUM APEX RX 3.25X12 401062055 699.75BALLOON QUANTUM APEX RX 3.5X12 401062056 699.75BALLOON QUANTUM APEX RX 3.75X12 401062057 699.75BALLOON QUANTUM APEX RX 4X12 401062058 699.75BALLOON QUANTUM APEX RX 4.5X12 401062059 699.75BALLOON QUANTUM APEX RX 5X12 401062060 699.75BALLOON QUANTUM APEX RX 2X15 401062061 699.75BALLOON QUANTUM APEX RX 2.25X15 401062062 699.75BALLOON QUANTUM APEX RX 2.5X15 401062063 699.75BALLOON QUANTUM APEX RX 2.75X15 401062064 699.75BALLOON QUANTUM APEX RX 3X15 401062065 699.75BALLOON QUANTUM APEX RX 3.25X15 401062066 699.75BALLOON QUANTUM APEX RX 3.5X15 401062067 699.75BALLOON QUANTUM APEX RX 3.75X15 401062068 699.75BALLOON QUANTUM APEX RX 4X15 401062069 699.75BALLOON QUANTUM APEX RX 4.5X15 401062070 699.75BALLOON QUANTUM APEX RX 5X15 401062071 699.75BALLOON QUANTUM APEX RX 2X20 401062072 699.75BALLOON QUANTUM APEX RX 2.25X20 401062073 699.75BALLOON QUANTUM APEX RX 2.5X20 401062074 699.75BALLOON QUANTUM APEX RX 2.75X20 401062075 699.75BALLOON QUANTUM APEX RX 3X20 401062076 699.75BALLOON QUANTUM APEX RX 3.25X20 401062077 699.75BALLOON QUANTUM APEX RX 3.5X20 401062078 699.75BALLOON QUANTUM APEX RX 3.75X20 401062079 699.75BALLOON QUANTUM APEX RX 4X20 401062080 699.75BALLOON QUANTUM APEX RX 4.5X20 401062081 699.75BALLOON QUANTUM APEX RX 5X20 401062082 699.75BALLOON FOXCROSS 4X20X80 401062083 612.25BALLOON FOXCROSS 4X40X80 401062084 612.25BALLOON FOXCROSS 4X60X80 401062085 612.25BALLOON FOXCROSS 4X100X80 401062086 612.25BALLOON FOXCROSS 5X20X80 401062087 612.25BALLOON FOXCROSS 5X40X80 401062088 612.25BALLOON FOXCROSS 5X60X80 401062089 612.25BALLOON FOXCROSS 5X100X80 401062090 612.25BALLOON FOXCROSS 6X20X80 401062091 612.25BALLOON FOXCROSS 6X40X80 401062092 612.25BALLOON FOXCROSS 6X60X80 401062093 612.25BALLOON FOXCROSS 6X100X80 401062094 612.25BALLOON FOXCROSS 7X20X80 401062095 612.25BALLOON FOXCROSS 7X40X80 401062096 612.25BALLOON FOXCROSS 7X60X80 401062097 612.25BALLOON FOXCROSS 7X100X80 401062098 612.25BALLOON FOXCROSS 8X20X80 401062099 612.25BALLOON FOXCROSS 8X40X80 401062100 612.25BALLOON FOXCROSS 8X60X80 401062101 612.25

BALLOON FOXCROSS 9X20X80 401062102 612.25BALLOON FOXCROSS 9X40X80 401062103 612.25BALLOON FOXCROSS 9X60X80 401062104 612.25BALLOON FOXCROSS 10X20X80 401062105 612.25BALLOON FOXCROSS 10X40X80 401062106 612.25BALLOON FOXCROSS 10X60X80 401062107 612.25BALLOON FOXCROSS 4X20X135 401062108 612.25BALLOON FOXCROSS 4X40X135 401062109 612.25BALLOON FOXCROSS 4X60X135 401062110 612.25BALLOON FOXCROSS 4X100X135 401062111 612.25BALLOON FOXCROSS 5X20X135 401062112 612.25BALLOON FOXCROSS 5X40X135 401062113 612.25BALLOON FOXCROSS 5X60X135 401062114 612.25BALLOON FOXCROSS 5X100X135 401062115 612.25BALLOON FOXCROSS 6X20X135 401062116 612.25BALLOON FOXCROSS 6X40X135 401062117 612.25BALLOON FOXCROSS 6X60X135 401062118 612.25BALLOON FOXCROSS 6X100X135 401062119 612.25BALLOON FOXCROSS 7X20X135 401062120 612.25BALLOON FOXCROSS 7X40X135 401062121 612.25BALLOON FOXCROSS 7X60X135 401062122 612.25BALLOON FOXCROSS 7X100X135 401062123 612.25BALLOON FOXCROSS 8X20X135 401062124 612.25BALLOON FOXCROSS 8X30X135 401062125 612.25BALLOON FOXCROSS 8X40X135 401062126 612.25BALLOON FOXCROSS 12X20X80 401062127 612.25BALLOON FOXCROSS 12X40X80 401062128 612.25BALLOON FOXCROSS 12X60X80 401062129 612.25BALLOON FOXCROSS 14X20X80 401062130 612.25BALLOON FOXCROSS 14X40X80 401062131 612.25STENT ABSOLUTE PRO 5X20X135 401062132 3,645.00STENT ABSOLUTE PRO 5X30X135 401062133 3,645.00STENT ABSOLUTE PRO 5X40X135 401062134 3,645.00STENT ABSOLUTE PRO 5X60X135 401062135 3,645.00STENT ABSOLUTE PRO 5X100X135 401062136 3,718.00STENT ABSOLUTE PRO 6X20X135 401062137 3,645.00STENT ABSOLUTE PRO 6X30X135 401062138 3,645.00STENT ABSOLUTE PRO 6X40X135 401062139 3,645.00STENT ABSOLUTE PRO 6X60X135 401062140 3,645.00STENT ABSOLUTE PRO 6X100X135 401062141 3,718.00STENT ABSOLUTE PRO 7X20X135 401062142 3,645.00STENT ABSOLUTE PRO 7X30X135 401062143 3,645.00STENT ABSOLUTE PRO 7X40X135 401062144 3,645.00STENT ABSOLUTE PRO 7X60X135 401062145 3,645.00STENT ABSOLUTE PRO 7X100X135 401062146 3,718.00STENT ABSOLUTE PRO 8X20X135 401062147 3,645.00STENT ABSOLUTE PRO 8X30X135 401062148 3,645.00STENT ABSOLUTE PRO 8X40X135 401062149 3,645.00STENT ABSOLUTE PRO 8X60X135 401062150 3,645.00STENT ABSOLUTE PRO 8X100X135 401062151 3,718.00STENT ABSOLUTE PRO 9X20X135 401062152 3,645.00STENT ABSOLUTE PRO 9X40X135 401062153 3,645.00STENT ABSOLUTE PRO 9X60X135 401062154 3,645.00STENT ABSOLUTE PRO 9X100X135 401062155 3,718.00STENT ABSOLUTE PRO 10X20X135 401062156 3,645.00STENT ABSOLUTE PRO 10X40X135 401062157 3,645.00STENT ABSOLUTE PRO 10X60X135 401062158 3,645.00STENT ABSOLUTE PRO 10X100X135 401062159 3,718.00BALLOON QUANTUM APEX OTW 2X8 401062160 699.75BALLOON QUANTUM APEX OTW 2.25X8 401062161 699.75BALLOON QUANTUM APEX OTW 2.5X8 401062162 699.75BALLOON QUANTUM APEX OTW 2.75X8 401062163 699.75BALLOON QUANTUM APEX OTW 3X8 401062164 699.75BALLOON QUANTUM APEX OTW 3.25X8 401062165 699.75BALLOON QUANTUM APEX OTW 3.5X8 401062166 699.75

BALLOON QUANTUM APEX OTW 3.75X8 401062167 699.75BALLOON QUANTUM APEX OTW 4X8 401062168 699.75BALLOON QUANTUM APEX OTW 4.5X8 401062169 699.75BALLOON QUANTUM APEX OTW 5X8 401062170 699.75BALLOON QUANTUM APEX OTW 2X12 401062171 699.75BALLOON QUANTUM APEX OTW 2.25X12 401062172 699.75BALLOON QUANTUM APEX OTW 2.5X12 401062173 699.75BALLOON QUANTUM APEX OTW 2.75X12 401062174 699.75BALLOON QUANTUM APEX OTW 3X12 401062175 699.75BALLOON QUANTUM APEX OTW 3.25X12 401062176 699.75BALLOON QUANTUM APEX OTW 3.5X12 401062177 699.75BALLOON QUANTUM APEX OTW 3.75X12 401062178 699.75BALLOON QUANTUM APEX OTW 4X12 401062179 699.75BALLOON QUANTUM APEX OTW 4.5X12 401062180 699.75BALLOON QUANTUM APEX OTW 5X12 401062181 699.75BALLOON QUANTUM APEX OTW 2X15 401062182 699.75BALLOON QUANTUM APEX OTW 2.25X15 401062183 699.75BALLOON QUANTUM APEX OTW 2.5X15 401062184 699.75BALLOON QUANTUM APEX OTW 2.75X15 401062185 699.75BALLOON QUANTUM APEX OTW 3X15 401062186 699.75BALLOON QUANTUM APEX OTW 3.25X15 401062187 699.75BALLOON QUANTUM APEX OTW 3.5X15 401062188 699.75BALLOON QUANTUM APEX OTW 3.75X15 401062189 699.75BALLOON QUANTUM APEX OTW 4X15 401062190 699.75BALLOON QUANTUM APEX OTW 4.5X15 401062191 699.75BALLOON QUANTUM APEX OTW 5X15 401062192 699.75GEN PM ALTRUA VVI S601 401062193 15,387.25PM GEN PRODIGY SR 401062195 10,800.00LEAD PM ACUITY SPIRAL LVA 100CM 401062196 8,100.00GUIDE ACUITY CS 54CM 8FR 401062197 3,780.00FILTER IVC ECLIPSE FEMORAL 401062198 3,510.00FILTER IVC ECLIPSE IJ 401062199 3,510.00WIRE KINETIX J 185CM 401062200 62.50WIRE KINETIX PLUS J 185CM 401062201 62.50EP GUIDE CPS AIM 135 47CM-9FR 401062202 1,254.00EP GUIDE CPS AIM SUB ACUTE-8FR 401062203 525.00LEAD CS ATTAIN 4196 401062204 6,750.00ICD VIRTUOSO II DR DEFIB 401062205 46,440.00ICD BI-V CONCERTO II D274TRK 401062206 54,810.00CPS CATHETER RT SIDED RS 47 401062207 1,254.00CPS EP GUIDE SL CN CSL 401062208 612.25CPS EP GUIDE AIM SL SUB 90A 59CM 401062209 612.25ICD GEN VIRTUOSO II VR 401062210 43,470.00PM GEN EVIA DR-T 401062211 12,825.00CATHETER DIALYSIS VAXCEL 19CM 401062212 1,539.00CATHETER DIALYSIS VAXCEL 23CM 401062213 1,539.00CATHETER DIALYSIS VAXCEL 28CM 401062214 1,539.00CATHETER DIALYSIS VAXCEL 37CM 401062215 1,539.00EMBOSPHERE MICROSPHERE RED 2ML 401062217 972.00LEAD PM ACUITY SPIRAL LVA 90 401062218 8,100.00STENT DES ION OTW 2.5X8 401062219 4,846.50STENT DES ION OTW 2.75X8 401062220 4,846.50STENT DES ION OTW 3X8 401062221 4,846.50STENT DES ION OTW 3.5X8 401062222 4,846.50STENT DES ION OTW 4X8 401062223 4,846.50STENT DES ION OTW 2.5X12 401062224 4,846.50STENT DES ION OTW 2.75X12 401062225 4,846.50STENT DES ION OTW 3X12 401062226 4,846.50STENT DES ION OTW 3.5X12 401062227 4,846.50STENT DES ION OTW 4X12 401062228 4,846.50STENT DES ION OTW 2.5X16 401062229 4,846.50STENT DES ION OTW 2.75X16 401062230 4,846.50STENT DES ION OTW 3X16 401062231 4,846.50STENT DES ION OTW 3.5X16 401062232 4,846.50STENT DES ION OTW 4X16 401062233 4,846.50

STENT DES ION OTW 2.5X32 401062234 4,846.50STENT DES ION OTW 2.75X32 401062235 4,846.50STENT DES ION OTW 3X32 401062236 4,846.50STENT DES ION OTW 3.5X32 401062237 4,846.50STENT DES ION OTW 4X32 401062238 4,846.50STENT DES ION OTW 2.5X38 401062239 4,846.50STENT DES ION OTW 2.75X38 401062240 4,846.50STENT DES ION OTW 3X38 401062241 4,846.50STENT DES ION OTW 3.5X38 401062242 4,846.50STENT DES ION OTW 4X38 401062243 4,846.50STENT DES ION RX 2.5X20 401062244 4,846.50STENT DES ION RX 2.75X20 401062245 4,846.50STENT DES ION RX 3X20 401062246 4,846.50STENT DES ION RX 3.5X20 401062247 4,846.50STENT DES ION RX 4X20 401062248 4,846.50STENT DES ION RX 2.5X24 401062249 4,846.50STENT DES ION RX 2.75X24 401062250 4,846.50STENT DES ION RX 3X24 401062251 4,846.50STENT DES ION RX 3.5X24 401062252 4,846.50STENT DES ION RX 4X24 401062253 4,846.50STENT DES ION RX 2.5X28 401062254 4,846.50STENT DES ION RX 2.75X28 401062255 4,846.50STENT DES ION RX 3X28 401062256 4,846.50STENT DES ION RX 3.5X28 401062257 4,846.50STENT DES ION RX 4X28 401062258 4,846.50STENT DES ION OTW 2.5X20 401062259 4,846.50STENT DES ION OTW 2.75X20 401062260 4,846.50STENT DES ION OTW 3X20 401062261 4,846.50STENT DES ION OTW 3.5X20 401062262 4,846.50STENT DES ION OTW 4X20 401062263 4,846.50STENT DES ION OTW 2.5X24 401062264 4,846.50STENT DES ION OTW 2.75X24 401062265 4,846.50STENT DES ION OTW 3X24 401062266 4,846.50STENT DES ION OTW 3.5X24 401062267 4,846.50STENT DES ION OTW 4X24 401062268 4,846.50STENT DES ION OTW 2.5X28 401062269 4,846.50STENT DES ION OTW 2.75X28 401062270 4,846.50STENT DES ION OTW 3X28 401062271 4,846.50STENT DES ION OTW 3.5X28 401062272 4,846.50STENT DES ION OTW 4X28 401062273 4,846.50STENT DES ION RX 2.5X8 401062274 4,846.50STENT DES ION RX 2.75X8 401062275 4,846.50STENT DES ION RX 3X8 401062276 4,846.50STENT DES ION RX 3.5X8 401062277 4,846.50STENT DES ION RX 4X8 401062278 4,846.50STENT DES ION RX 2.5X12 401062279 4,846.50STENT DES ION RX 2.75X12 401062280 4,846.50STENT DES ION RX 3X12 401062281 4,846.50STENT DES ION RX 3.5X12 401062282 4,846.50STENT DES ION RX 4X12 401062283 4,846.50STENT DES ION RX 2.5X16 401062284 4,846.50STENT DES ION RX 2.75X16 401062285 4,846.50STENT DES ION RX 3X16 401062286 4,846.50STENT DES ION RX 3.5X16 401062287 4,846.50STENT DES ION RX 4X16 401062288 4,846.50STENT DES ION RX 2.5X32 401062289 4,846.50STENT DES ION RX 2.75X32 401062290 4,846.50STENT DES ION RX 3X32 401062291 4,846.50STENT DES ION RX 3.5X32 401062292 4,846.50STENT DES ION RX 4X32 401062293 4,846.50STENT DES ION RX 2.5X38 401062294 4,846.50STENT DES ION RX 2.75X38 401062295 4,846.50STENT DES ION RX 3X38 401062296 4,846.50STENT DES ION RX 3.5X38 401062297 4,846.50STENT DES ION RX 4X38 401062298 4,846.50

STENT DES ION RX 2.25X8 401062299 4,846.50STENT DES ION RX 2.25X12 401062300 4,846.50STENT DES ION RX 2.25X16 401062301 4,846.50STENT DES ION RX 2.25X20 401062302 4,846.50STENT DES ION RX 2.25X24 401062303 4,846.50STENT DES ION RX 2.25X28 401062304 4,846.50STENT DES ION RX 2.25X32 401062305 4,846.50STENT DES ION OTW 2.25X8 401062306 4,846.50STENT DES ION OTW 2.25X12 401062307 4,846.50STENT DES ION OTW 2.25X16 401062308 4,846.50STENT DES ION OTW 2.25X20 401062309 4,846.50STENT DES ION OTW 2.25X24 401062310 4,846.50STENT DES ION OTW 2.25X28 401062311 4,846.50STENT DES ION OTW 2.25X32 401062312 4,846.50LEAD ISOFLEX OPTIM US DIST 401062313 1,944.00ICD GEN COGNIS HE IS N118 401062314 73,872.00FILTER EMBOSHIELD NAV6 5MM 401062315 4,846.50FILTER EMBOSHIELD NAV6 7.2MM 401062316 4,846.50CATHETER TURBOHAWK LXM 401062317 8,910.00CATHETER TURBOHAWK LSM 401062318 8,910.00STENT VIABAHN HEP 10X10X120CM 401062319 8,356.50EP LATITUDE HF SYS MED CUFF 401062320 2,160.00EP LATITUDE HF SYS SM CUFF 401062321 2,160.00PM GEN REVO MRI RVDR01 401062322 15,646.50LEAD PM MRI 5086 401062323 2,686.50STENT DES PROMUS RX 2.25X8 401062324 4,846.50STENT DES PROMUS RX 2.25X12 401062325 4,846.50STENT DES PROMUS RX 2.25X15 401062326 4,846.50STENT DES PROMUS RX 2.25X18 401062327 4,846.50STENT DES PROMUS RX 2.25X23 401062328 4,846.50STENT DES PROMUS RX 2.25X28 401062329 4,846.50SHEATH DESTINATION MP TB 7FRX90CM 401062330 340.25BALLOON EVERCROSS 6X30X80 *TRUNK 401062331 583.25INTRODUCER AMPLATZER 18 401062332 858.50INTRODUCER AMPLATZER 24 401062333 858.50INTRODUCER AMPLATZER 34 401062334 858.50WIRES AMPLATZER SUPER STIFF 401062335 170.00SHEATH DELIVERY AMPLATZER 8FR 401062336 1,879.25SHEATH DELIVERY AMPLATZER 10FR 401062337 1,879.25SHEATH DELIVERY AMPLATZER 12FR 401062338 1,879.25PM GEN ADAPTA ADSR06 401062339 10,800.00KYPHOPLASTY SYSTEM KIT 401062340 3,375.00KIT MICROPUNCTURE STIFF WIRE 401062341 185.75KYPHOPLASTY AUTOPLEX W/HV CEMENT 401062342 2,430.00KYPHOPLASTY 10G HAND DRILL 401062343 315.00KYPHOPLASTY SYSTEM NEEDLES 401062344 227.75GUIDE CATHETER ACUITY BREAK-AWAY 401062346 1,441.75CATHETER JETSTREAM PV3118F 401062347 9,450.00SHEATH PEEL AWAY 7FR 23CM 401062348 189.00SHEATH PEEL AWAY 8FR 23CM 401062349 189.00CATHETER SAFIRE BLU MEDIUM SWEEP 401062350 3,500.00CATHETER SAFIRE BLU LARGE SWEEP 401062351 3,500.00CATH EAGLE EYE PLATINUM 401062354 1,875.00CATH PRIMEWIRE PRESTIGE 401062355 1,812.50KIT MICROPUNCTURE 7280 7CM 4F 401062356 108.50BALLOON Z MED 18MMX4CM 401062357 1,611.15BALLOON Z MED 18MMX5CM 401062358 1,736.16BALLOON Z MED 20MMX4CM 401062359 1,736.16BALLOON Z MED 20MMX5CM 401062360 1,996.59BALLOON Z MED 22MMX4CM 401062361 1,736.16BALLOON Z MED 22MMX5CM 401062362 1,996.59SHEATH CHECK FLO 11FR 401062363 178.50CATHETER DUAL LUMEN 6F 401062364 387.00INDEFLATOR COOK 401062365 208.25GUIDE WIRE ASAHI FIELDER FC STR 401062366 273.00

GUIDE WIRE ASAHI FIELDER FC J 401062367 273.00BIV DEFIB CRT CD3249-40 401062368 67,500.00BIV ICD CONSULTA D314TRM 401062369 60,770.00ICD GEN SECURA D314VRG 401062370 43,365.00SEPTAL OCCLUDER HELEXHX2025 TRUNK 401062371 16,100.00RADIAL COMPRESSION DEVICE TR BAND 401062372 138.25SHEATH INTRODUCER 11FR 10CM 401062373 33.25SHEATH INTRODUCER 11FR 25CM 401062374 66.33GLIDEACESS STAINLESS STEEL 5X40 401062375 66.50WIRE EXTRA STIFF COOK 260 401062376 131.60GLIDECATH ACCESS KIT 5FR 401062377 138.71GLIDECATH ACCESS KIT 6FR 401062378 138.71CATHETER DIAMONDBACK STEALTH 1.25 401062379 8,487.50NEEDLE THINWALL ENTRY COOK 401062380 13.13ISOVUE 370 100ML 401062381 50.61ICE INCEPTA E162 401062383 45,000.00BIV ICD CONSULTA D334TRG 401062384 57,330.00BIV ICD PROTECTA D314TRG 401062385 60,770.00CATHETER ANGIOGRAPHIC RADIAL 4.0 401062386 77.00CAATHETER ANGIOGRAPHIC RADIAL 4.5 401062387 77.00CATHETER JESTSTREAM G3 SF 1.6 401062388 8,125.00CPS EP GUIDE AIM 115-47 (SLII) 401062389 1,050.00CATHETER JETSTREAM NAVITUS L 401062390 8,750.00BALLOON EXPRESS SD 7X19X150 401062391 2,687.50BALLOON EXPRESS SD 6X18X150 401062392 2,687.50ICD DEFIB ELIPSE VR 401062393 40,000.00ICD DEFIB ELIPSE DR 401062394 41,250.00ICD FORTIFY ASSURA VR 401062395 40,000.00ICD FORTIFY ASSURA DR 401062396 41,250.00BIV DEFIB CRT-D UNIFY ASSURA 401062397 60,000.00BIV DEFIB CRT-D QUADRA ASSURA 401062398 67,500.00CATHETER KIT ARROW HEMO 19CM 401062399 924.75BALLOON CHARGER 12X40X135CM 401062400 388.11BALLOON CHARGER 8X20X135CM 401062401 388.11BALLOON CHARGER 8X40X135CM 401062402 388.11BALLOON CHARGER 9X40X75CM 401062403 388.11BALLOON CHARGER 9X40X135CM 401062404 388.11BALLOON CHARGER 3X150X135CM 401062405 490.71BALLOON CHARGER 3X180X135CM 401062406 490.71BALLOON CHARGER 3X200X135CM 401062407 490.71BALLOON CHARGER 4X20X135CM 401062408 388.11BALLOON CHARGER 4X40X135CM 401062409 388.11BALLOON CHARGER 5X120X135CM 401062410 490.71BALLOON CHARGER 5X150X135CM 401062411 490.71BALLOON CHARGER 5X180X135CM 401062412 490.71BALLOON CHARGER 5X200X135CM 401062413 490.71BALLOON CHARGER 6X20X135CM 401062414 388.11BIV ICD INCEPTA N160 401062415 71,525.00BALLOON CHARGER 8X60X75CM 401062416 388.11BALLOON CHARGER 8X100X75CM 401062417 388.11BALLOON CHARGER 9X20X75CM 401062418 388.11BALLOON CHARGER 8X100X135CM 401062419 388.11BALLOON CHARGER 9X20X135CM 401062420 388.11BALLOON CHARGER 4X40X75CM 401062421 388.11BALLOON CHARGER 4X60X75CM 401062422 388.11BALLOON CHARGER 4X100X75CM 401062423 388.11BALLOON CHARGER 5X20X75CM 401062424 388.11BALLOON CHARGER 5X40X75CM 401062425 388.11BALLOON CHARGER 5X60X75CM 401062426 388.11BALLOON CHARGER 5X100X75 401062427 388.11BALLOON CHARGER 4X100X135CM 401062428 388.11BALLOON CHARGER 9X60X75CM 401062429 388.11BALLOON CHARGER 10X20X75CM 401062430 388.11BALLOON CHARGER 10X40X75CM 401062431 388.11BALLOON CHARGER 10X60X75CM 401062432 388.11

BALLOON CHARGER 10X20X135 401062433 388.11BALLOON CHARGER 10X40X135CM 401062434 388.11BALLOON CHARGER 12X20X135CM 401062435 388.11BALLOON CHARGER 6X20X75CM 401062436 388.11BALLOON CHARGER 6X40X75CM 401062437 388.11BALLOON CHARGER 6X60X75CM 401062438 388.11BALLOON CHARGER 6X100X75CM 401062439 388.11BALLOON CHARGER 7X20X75CM 401062440 388.11BALLOON CHARGER 7X40X75CM 401062441 388.11BALLOON CHARGER 7X60X75CM 401062442 388.11BALLOON CHARGER 7X100X75CM 401062443 388.11BALLOON CHARGER 3X20X75CM 401062444 388.11BALLOON CHARGER 3X40X75CM 401062445 388.11BALLOON CHARGER 3X60X75CM 401062446 388.11BALLOON CHARGER 4X20X75CM 401062447 388.11BALLOON CHARGER 3X20X135CM 401062448 388.11BALLOON CHARGER 3X40X135CM 401062449 388.11BALLOON CHARGER 3X100X135CM 401062450 388.11BALLOON CHARGER 3X120X135CM 401062451 490.71BALLOON CHARGER 8X20X75CM 401062452 388.11BALLOON CHARGER 8X40X75CM 401062453 388.11BALLOON CHARGER 6X40X135CM 401062454 388.11BALLOON CHARGER 6X100X135CM 401062455 388.11BALLOON CHARGER 6X120X135CM 401062456 490.71BALLOON CHARGER 6X160X135CM 401062457 490.71BALLOON CHARGER 6X180X135CM 401062458 490.71CATHETER PIONEER PLUS 401062459 7,897.50CATHETER ADMIRAL XTREME 4.0X40X80 401062460 420.00CATHETER ADMIRAL XTREME 9.0X40X80 401062461 420.00BALLOON CHARGER 6X200X135CM 401062462 490.71BALLOON CHARGER 7X20X135CM 401062463 388.11BALLOON CHARGER 7X40X135CM 401062464 388.11BALLOON CHARGER 7X100X135CM 401062465 388.11BALLOON CHARGER 7X120X135CM 401062466 490.71BALLOON CHARGER 7X150X135CM 401062467 490.71BALLOON CHARGER 7X180X135CM 401062468 490.71BALLOON CHARGER 7X200X135CM 401062469 490.71BALLOON CHARGER 4X120X135CM 401062470 490.71BALLOON CHARGER 4X150X135CM 401062471 490.71BALLOON CHARGER 4X180X135CM 401062472 490.71BALLOON CHARGER 4X200X135CM 401062473 490.71BALLOON CHARGER 5X20X135CM 401062474 388.11BALLOON CHARGER 5X40X135CM 401062475 388.11BALLOON CHARGER 5X100X135CM 401062476 388.11BALLOON MUSTANG 10X60X135CM 401062477 520.35BALLOON MUSTANG 3X60X135CM 401062478 520.35BALLOON MUSTANG 4X60X135CM 401062479 520.35BALLOON MUSTANG 5X60X135CM 401062480 520.35BALLOON MUSTANG 8X60X135CM 401062481 520.35BALLOON MUSTANG 9X60X135CM 401062482 520.35BALLOON MUSTANG 10X40X75CM 401062483 520.35BALLOON MUSTANG 7X60X135CM 401062484 520.35BALLOON MUSTANG 12X40X75CM 401062485 520.35BALLOON MUSTANG 12X60X75CM 401062486 520.35BALLOON MUSTANG 6X60X135CM 401062487 520.35BALLOON MUSTANG 4X40X75CM 401062488 520.35BALLOON MUSTANG 5X40X75CM 401062489 624.89BALLOON MUSTANG 6X40X75CM 401062490 520.35BALLOON MUSTANG 7X40X75CM 401062491 520.35BALLOON MUSTANG 8X40X75CM 401062492 520.35BALLOON COYOTE ES OTW 2X20X142CM 401062492 581.22BALLOON MUSTANG 9X40X75CM 401062493 520.35BALLOON COYOTE ES OTW 2X30X143CM 401062495 581.22BALLOON COYOTE ES OTW 3X40X145CM 401062496 581.22BALLOON COYOTE ES OTW 4X30X144CM 401062497 581.22

BALLOON COYOTE ES OTW 4X40X145CM 401062498 581.22BALLOON COYOTE OTW 4X150X150CM 401062499 959.19BALLOON COYOTE OTW 4X220X150CM 401062500 959.19BALLOON COYOTE ES OTW 2X40X144CM 401062501 581.22BALLOON COYOTE ES OTW 3X20X143CM 401062502 581.22BALLOON COYOTE ES OTW 3X30X144CM 401062503 581.22BALLOON COYOTE ES OTW 4X20X143CM 401062504 581.22BALLOON COYOTE OTW 2X60X150CM 401062505 789.72BALLOON COYOTE OTW 2X100X150CM 401062506 789.72BALLOON COYOTE OTW 2X120X150CM 401062507 959.19BALLOON COYOTE OTW 2X150X150CM 401062508 959.19BALLOON COYOTE OTW 2X220X150CM 401062509 959.19BALLOON COYOTE OTW 3X60X150CM 401062510 789.72BALLOON COYOTE OTW 3X100X150CM 401062511 959.19BALLOON COYOTE OTW 3X120X150CM 401062512 959.19BALLOON COYOTE OTW 3X150X150CM 401062513 959.19BALLOON COYOTE OTW 3X220X150CM 401062514 959.19BALLOON COYOTE OTW 4X60X150CM 401062515 789.72BALLOON COYOTE OTW 4X100X150CM 401062516 789.72BALLOON COYOTE OTW 4X120X150CM 401062517 959.19BALLOON STERLING OTW 7X100X135 401062519 581.22BALLOON STERLING MR 4X20X80 401062520 581.22BALLOON STERLING MR 5X20X80 401062521 581.22BALLOON STERLING MR 6X20X80 401062522 581.22BALLOON STERLING MR 7X20X80 401062523 581.22BALLOON STERLING MR 3X40X135 401062524 581.22BALLOON STERLING MR 5X40X135 401062525 581.22BALLOON STERLING MR 6X20X135 401062526 581.22BALLOON STERLING MR 6X40X135 401062527 581.22BALLOON STERLING MR 7X40X135 401062528 581.22BALLOON STERLING OTW 9X20X80 401062529 581.22BALLOON STERLING OTW 5X100X135 401062530 581.22BALLOON STERLING MR 3X30X135 401062531 581.22BALLOON STERLING MR 4X20X135 401062532 581.22BALLOON STERLING MR 4X30X135 401062533 581.22BALLOON SSTERLING MR 4X40X135 401062534 581.22BALLOON STERLING MR 5X20X135 401062535 581.22BALLOON STERLING MR 6X30X135 401062536 581.22BALLOON STERLING MR 7X20X135 401062537 581.22BALLOON STERLING MR 7X30X135 401062538 581.22BALLOON STERLING OTW 10X20X30 401062539 581.22BALLOON STERLING OTW 5X20X135 401062540 581.22BALLOON STERLING OTW 5X40X135 401062541 581.22BALLOON STERLING OTW 5X60X135 401062542 581.22BALLOON STERLING OTW 6X20X135 401062543 581.22BALLOON STERLING OTW 6X40X135 401062544 581.22BALLOON STERLING OTW 6X60X135 401062545 581.22BALLOON STERLING OTW 6X100X135 401062546 581.22BALLOON STERLING OTW 7X20X135 401062547 581.22BALLOON STERLING OTW 7X40X135 401062548 581.22BALLOON STERLING OTW 9X40X80 401062549 581.22BALLOON STERLING OTW 10X40X80 401062550 581.22BALLOON STERLING MR 3X20X135 401062551 581.22BALLOON STERLING MR 5X30X135 401062552 581.22BALLOON STERLING OTW 8X20X80 401062553 581.22BALLOON STERLING OTW 8X40X80 401062554 581.22BALLOON STERLING OTW 8X60X80 401062555 581.22BIV ICD D314DRM 401062556 49,492.50STENT GRAFT VIABAHN 9 X 10 401070142 8,673.00STENT GRAFT VIABAHN 7 X 15 401070143 10,101.50CONVERTER AAA ZENITH 401070152 5,441.75GRAFT AAA LLIAC LEG ZENITH 401070153 4,625.75GRAFT BIFURCATED ZENITH MAIN BODY 401070154 20,135.25BALLOON LRG DIAMETER OCCULUSION 401070155 1,408.00STENT GRAFT ZENITH 36 X 113 401070239 20,739.25

STENT GRAFT ZENITH 24 X 88 401070240 7,567.00STENT GRAFT ZENITH 24 X 71 401070241 7,567.00BALLOON CODA 32 X 34 401070242 1,477.50BALLOON CODA 40 X 40 401070243 1,477.50CATHETER KMP 65CM 401070244 215.50STENT GRAFT ZENITH 16 X 71 401070245 7,567.00STENT ENDO TRUNK IPSIL 28X14X12 401070253 25,937.75STENT GRAFT ZENITH 32 X 111 401070277 21,362.75STENT GRAFT ZENITH 12 X 71 401070278 7,793.00DILATOR 20F / 24F 401070279 641.00STENT GRAFT ZENITH 12 X 54 401070300 9,740.75STENT GRAFT ZENITH 12 X 88 401070301 9,740.75STENT PALMAZ P5010 401070302 4,761.75STENT GRAFT ZENITH AAA ILIAC LEG 401070311 9,740.75STENT GRAFT ZENITH AAA FLEX MAIN 401070312 26,852.50STENT GRAFT ZENITH 36 X 95 401070314 26,703.00STENT GRAFT ZENITH 18 X 54 401070315 9,740.75STENT GRAFT ZENITH 28 X 111 401070316 26,703.00MICROSPHERE CONTOUR 500-700 2ML 401070625 832.25MICROSPHERE CONTOUR 700-900 2ML 401070626 832.25CATHETER RENEGADE HF FATHOM 150 401070627 1,918.25PCMKR DUAL GENRTR ONLY ST JUDE 401080000 11,105.00PCMKR SNGL GENRTR ONLY ST JUDE 401080002 11,105.00PCMKR TEMP DUAL CHMBR ST JUDE 401080004 15,986.00PCMKR TEMP SNGL CHMBR ST JUDE 401080005 11,105.00LEAD PCMKR ST JUDE 401080006 2,295.75ICD DUAL GENRTR ONLY ST JUDE 401080007 48,324.50ICD SNGL GENRTR ONLY ST JUDE 401080010 48,324.50LEAD ICD ST JUDE 401080011 22,320.75ICD BI-VENT ST JUDE 401080012 77,626.00PCMKR BI-VENT ST JUDE 401080013 33,277.50LEAD CORONARY VENOUS ST JUDE 401080014 6,105.25COLLECT VENOUS BLOOD-VENIPUNCTURE 401090075 98.50TRANSCATH STENT CCA W/EPS 401090150 19,579.50TRANSCATH STENT CCA W/O EPS 401090151 32,789.00INSRT LV PACING LEAD EXIST PM 401090188 24,095.28INSRT LV PACING LEAD EXIST ICD 401090189 24,095.28INSRT LV PACING LEAD W/PM INSERT 401090191 24,095.28INSRT LV PACING LEAD W/ICD INSRT 401090192 24,095.28US COMPRESSION ART PSEUDOANEURYSM 401090579 127.25LUMBAR DISKOGRAM EA DISK RAD S&I 401090587 2,720.75INJECTION FOR DISKOGRAPHY 401090598 4,081.50OP IV INF TX/DX UP TO 1 HR 401090600 479.00OP IV INF TX/DX EACH ADDL HR 401090610 107.00OP INJ THER/PROPH/DIAG INTRA-ART 401090620 557.25OP INJ TX/PROPH/DX IV PUSH 401090625 241.00MECHANICAL THROMBECTOMY,NONCORON 401090627 7,890.75MECH THROMBCTMY,NONCOR,ADDL VES 401090628 7,890.75MECH THROMBCTMY,NONCOR,SECONDARY 401090629 7,890.75ELECTROPHYS MAP 3D ADD ON 401090654 9,183.25TRANSCATH CLOSURE OF ASD 401090697 13,857.00OP IV HYDRATE INITIAL UP TO 1 HR 401090700 479.00OP IV HYDRATE EACH ADDL HR 401090701 107.00OP INJ TX/PROPH/DX IV PUSH EA ADD 401090702 241.00OP IV INF SEQUENTIAL UP TO 1 HR 401090708 479.00OP IV INF CONCURRENT ONCE/ENCOUNT 401090709 479.00TRANSCATH CLOSURE OF VSD 401090786 13,857.00INSRT PERCUTANEOUS HAD IMPELLA 401090953 11,337.25REMOVE PERCUTANEOUS HAD IMPELLA 401090954 11,337.25REM CVA LUMEN OBSTRUCT S&I 401091286 2,247.50ENDOVENOUS ABLATION RF 1ST VEIN 401091411 12,093.25ANGIO AV SHUNT RAD S&I 401091433 565.75INTRO NDL/CATH PLC-AV SHUNT INITI 401091434 699.75RIGHT HEART CATH ONLY 401091474 5,866.25LEFT HEART CATH LV ONLY 401091475 14,882.25

RHC AND LHC LV ONLY 401091476 11,745.50CORONARY ANGIO ONLY S&I 401091477 10,312.75CORONARY AND SVG ONLY S&I 401091478 13,044.75RHC W/CORONARY/SVG 401091479 17,697.00RHC W/CORONARY/SVG/LIMA 401091480 15,630.25LHC LV/CORONARY 401091481 20,781.75LHC LV/CORONARY/SVG/LIMA 401091482 23,513.75RHC AND LHC LV/CORONARY 401091483 17,645.00RHC AND LHC LV/CORONARY/SVG/LIMA 401091484 20,377.25HEART CATH TRANSSEPTAL PUNCTURE 401091485 11,312.00INJECT CONGENITAL CORONARIES 401091488 2,618.75INJECT CONGENITAL CORONA/SVG/LIMA 401091489 2,732.25INJECT CONGENITAL LV 401091490 1,410.75INJECT CONGENITAL RV/RA 401091491 340.00INJECT AORTIC VALVE 401091492 762.00INJECT PULMONARY ARTERY 401091493 2,618.75PTA COMMON/INTRNL/EXTRNL ILIAC 401091593 11,094.25PTA/STNT COMMON/INTRNL/EXT ILIAC 401091594 13,610.50PTA COMMON/INTR/EXT ILIAC ADD VES 401091595 11,748.25PTA/STNT COM/INT/EXT ILIAC AD VES 401091596 14,456.00PTA FEMORAL/POPLITEAL 401091597 11,087.00PTA/ATHRC FEMORAL/POPLITEAL 401091598 11,433.00PTA/STNT FEMORAL/POPLITEAL 401091599 13,610.50PTA/ATHRC/STNT FEMORAL/POPL 401091600 45,031.75PTA TIBIA/PERONEAL 401091601 11,087.00PTA/ATHRC TIBIA/PERONEAL 401091602 11,549.50PTA/STNT TIBIA/PERONEAL 401091603 13,610.50PTA/ATHRC/STNT TIBIA/PERONEAL 401091604 45,031.75PTA TIBIA/PERONEAL ADD VESSEL 401091605 11,741.00PTA/ATHRC TIBIA/PERONEAL ADD VES 401091606 26,001.75PTA/STNT TIBIA/PERONEAL ADD VES 401091607 14,456.00PTA/ATHRC/STNT TIB/PERNL ADD VES 401091608 14,456.00STENT RENAL/BRACHIO/AORTA INITIAL 401091609 26,001.75STENT RENAL/BRACHIO/AORTA ADD VES 401091610 26,001.75ATHRC RENAL ARTERY 401091611 20,692.50ATHRC VISCERAL ARTERY 401091612 20,692.50ATHRC ABDOMINAL AORTA 401091613 7,196.00ATHRC BRACHIOCEPHALIC TRUNK 401091614 9,579.75ATHRC COMMON/INTRNL/EXTRNL ILIAC 401091615 8,185.75INSRT PERM PCMKR ATRIAL 401092033 19,625.80INSRT PERM PCMKR VENTRICULAR 401092034 19,625.80INSRT PERM PCMKR DUAL A&V 401092035 24,095.28INSRT INTL PM GEN EXIST SNGL LEAD 401092036 16,492.63INSRT INTL PM GEN EXIST DUAL LEAD 401092037 18,088.95INSRT INIT ICD GEN W/SNGL LEAD 401092038 35,874.72INSRT INTL PM GEN EXIST MULT LEAD 401092041 18,088.95REM/RPLC PM GEN SNGL LEAD 401092042 16,492.63REM/RPLC PM GEN DUAL LEADS 401092043 18,088.95REM/RPLC PM GEN MULT LEADS 401092044 18,088.95REM/RPLC ICD GEN SNGL LEAD 401092045 35,874.72REM/RPLC ICD GEN DUAL LEADS 401092046 35,874.72REM/RPLC ICD GEN MULT LEADS 401092047 35,874.72INSRT INIT ICD GEN SNGL LEAD 401092048 44,752.83INSRT INIT ICD GEN DUAL LEADS 401092049 44,752.83REDO ENDOVAS VENA CAVA FILTER 401092050 5,312.58INSRT ENDOVAS VENA CAVA FILTER 401092050 7,741.53REM ENDOVAS VENA CAVA FILTER 401092052 5,312.58LIGATION OF INF VENA CAVA 401092053 7,741.53INSRT CATH RENAL ART 1ST UNILAT 401092054 5,202.35INSRT CATH RENAL ART 2ND+UNILAT 401092055 5,202.35INSRT CATH RENAL ART 1ST BILAT 401092056 5,202.35INSRT CATH RENAL ART 2ND+BILAT 401092057 5,202.35INTRO NEEDLE/SHEATH VEIN 401095823 449.00US GUIDANCE VASCULAR ACCESS 401095826 247.75PERCUT CORONARY THROMBECTOMY 401095827 7,959.00

MECH THROMBCTMY VEIN 401095831 7,890.75MECH THROMBCTMY VEIN SUBSQ DAY 401095832 7,890.75REM CVA LUMEN OBSTRUCT 401095855 2,758.75IMMOBILIZER SHOULDER LARGE 403001034 64.25IMMOBILIZER, SHOULDER MEDIUM 403001035 64.25IMMBOILIZER,SHOULDER SMALL 403001036 64.00SUTURE,5/0 MONOSOF P-13 18IN 403001063 15.00SUTURE,5/0 SURGIGUT P-13 18IN 403001073 23.00BAG,URINE DRN CLOSED SYS 403001105 30.25BAG,URINE METER CLOSED SYS 403001106 61.25BANDAGE,ACE ELAS 6IN 403001112 25.50BANDAGE,ELAS NET #5 403001116 52.75BANDAGE,ELAS NET #7 403001118 172.75BINDER ABD PANEL 3 30-45 403001131 69.50BINDER ABD PANEL 4 46-62 403001132 98.00BIOPATCH 403001134 24.75TRAY,BONE MARROW BIOPSY 11G X 4 403001135 350.25CATHETER,COUDE TEF 12FR 5CC 403001153 64.00CATHETER,COUDE TEF 14FR 5CC 403001154 63.00CATHETER,COUDE TEF 16FR 5CC 403001155 63.00CATHETER,COUDE TEF 18FR 5CC 403001156 63.00CATHETER,COUDE TEF 20FR 5CC 403001157 63.00CATHETER,FOLEY 12FR 5CC 403001158 26.00CATHETER,FOLEY 14FR 5CC 403001159 26.00CATHETER,FOLEY 16FR 5CC 403001160 26.00CATHETER,FOLEY 18FR 5CC 403001161 26.00CATHETER,FOLEY 20FR 5CC 403001162 26.00CATHETER,FOLEY 22FR 5CC 403001163 26.00CATHETER,FOLEY 3WAY 22FR 403001164 61.25CATHETER,FOLEY ALL SIL 16FR 5CC 403001166 32.75CATHETER,FOLEY ALL SIL 18FR 5CC 403001167 32.75CATHETER,FOLEY LTX 22FR 30CC 403001168 30.25CATHETER,TROCAR 28FR 16 STR 403001169 100.75CATHETER,TROCAR 24FR 16STR 403001170 144.25CATHETER,TROCAR 32FR 16STR 403001171 100.75CATHETER,TROCAR 20FR 16STR 403001172 100.75COLOSTOMY,FLANGE 1 3/4 IN 403001176 22.50COLOSTOMY,FLANGE 2 3/4 403001177 262.25COLOSTOMY,PASTE 403001178 54.75DRESSING,DUODERM X-THIN STR 6X6 403001210 36.75LACERATION TRAY,NW TOWEL 403001264 78.50LIMB HOLDER,SOFT RESTRAINT WRAP 403001265 26.00PACKING,IDOFORM 1IN X 5YDS 403001297 26.75PACKING,IDOFORM 2IN X 5YDS 403001298 52.75PACKING,IDOFORM 1/2IN X 5YDS 403001299 196.50PACKING,IDOFORM 1/4IN 403001300 32.25PACKING,PLAIN 1IN X 5YDS 403001301 24.00PACKING,PLAIN 1/2IN X 5YDS 403001302 20.75PACKING,PLAIN 1/4IN X 5YDS 403001303 20.75PACKING,PLAIN 2IN X 5YDS 403001304 46.00PAD,K-THERMA 18 X 26 403001308 43.50PAD,K-THERMA 3 1/2 X 23 403001309 50.50PROTECTOR,HEEL/ELBOW 403001313 65.50STAPLE,REMOVAL TRAY 403001346 15.00STOCKING,ANTI-EMBOLISM KNEE MED 403001353 21.25STOCKING,ANTI-EMBOLISM KNEE SM 403001354 30.50STOCKING,ANTI-EMBOLIS REG KNEE LG 403001355 30.50STOCKING 403001356 21.25STOCKING,ANTI-EMBOLISM THIGH LG 403001357 43.75SUCTION,FRAZIER W/VENT 12FR 403001360 15.00SUCTION.LINR W/TUBING 10FT NONSTR 403001362 22.50GARMENT DVT LARGE 403001396 112.00DVT THIGH GARMENT 403001397 316.50TRANSVENOUS PACING KIT 403001407 1,545.75TRAY,CATH FOLEY 16FR 403001409 91.50

TRAY,CATH URETHERAL 14FR 403001410 22.50TRAY,LUMBAR PUNCTRE ADLT 20X3 1/2 403001411 94.75TRAY,THORACENTESIS W/CATHETER 403001416 188.50SUTURE,7/0 SOFSILK CV-1 403001449 61.25SUTURE,5/0 MONOSOF P-12 403001458 21.25SUTURE,DACRON TAPES 403001460 24.00SUTURE,7/0 SURGIPRO CV-1 30IN 403001461 45.25SUTURE,4/0 SURGIPRO CV-25 403001462 21.25SUTURE,3/0 SURGIPRO CV-23 403001463 30.75SUTURE,HS-6 SURGIPRO CV-11 24IN 403001464 21.25SUTURE,6/0 SOFSILK CV-11 403001465 146.00SUTURE,4/0 SURGIDAC CV-23 403001466 170.00SUTURE,2/0 SURGIDAC V-20 (3X3) 403001468 272.50SUTURE,1 SURGIDAC CV-29 30IN 403001469 42.50SUTURE,3/0 SURGIDAC CV-15 30IN 403001470 19.75SUTURE,VALVE PROCEDURE PACK 403001472 39.00SUTURE,2/0 SURGIDC MS-10 KV5 30IN 403001473 238.50SUTURE,4/0 SURGIDAC CV-15 36IN 403001474 29.25CHEST TUBE,12FR STR. SILICONE AX 403001477 71.25CHEST TUBE,20FR STR. SILICONE AX 403001480 71.25CHEST TUBE,24FR STR.SILICONE AX 403001481 71.25CHEST TUBE,28FR STR.SILICONE AX 403001482 50.50VALV,HANCOC AORTIC MODEL 250 19MM 403001484 23,822.75VALVE,HANCOC AORTC MODEL 250 21MM 403001485 23,822.75VALVE,HANCOC AORTC MODEL 250 23MM 403001486 23,822.75VALVE,HANCOC AORTC MODEL 250 25MM 403001487 23,822.75VALV,HANCOC AORTC MODEL 250 MOII2 403001488 23,822.75VALVE,HANCOC AORTC MODL 250 MO112 403001489 23,822.75VALVE,HANCOC MITRL MODEL 342 25MM 403001490 16,675.75VALVE,HANCOC VITRL MODEL 342 27MM 403001491 23,822.75VALVE,HANCOC VITRL MODEL 342 29MM 403001492 26,064.75VALVE,HANCOC MITRL MODEL 342 31MM 403001493 23,822.75VALVE,HANCOC MITRL MODEL 42 33MM 403001494 23,822.75VALV,HAL AORTC CONDUT Z7700E 25MM 403001506 24,103.00VALV,HAL AORTC CONDUT Z7700E 27MM 403001507 24,103.00VALV,HAL AORTC CONDUT Z7700E 29MM 403001508 24,103.00VALV,HAL AORTC CONDUT Z7700E 31MM 403001509 24,103.00VALV,HAL AORTC CONDUT Z7700E 33MM 403001510 24,103.00CAUTERY,DISPOSABLE MEDTRONIC 403001511 137.50VALVE,FREESTYLE AORTIC ROOT 19MM 403001512 23,962.75VALVE,FREESTYLE AORTIC ROOT 21MM 403001513 23,962.75VALVE,FREESTYLE AORTIC ROOT 23MM 403001514 23,962.75VALVE,FREESTYLE AORTIC ROOT 25MM 403001515 23,962.75VALVE FREESTYLE AORTIC ROOT 27MM 403001516 21,330.00ANNULOPLASTY RNG,25MM DURAN H608H 403001517 10,089.75ANNULOPLASTY RNG,27MM DURAN H608H 403001518 10,089.75ANNULOPLASTY RNG,29MM DURAN H608H 403001519 10,089.75ANNULOPLASTY RNG,31MM DURAN H608H 403001520 7,455.25ANNULOPLASTY RNG,33MM DURAN H608H 403001521 10,650.25ANNULOPLASTY RNG,35MM DURAN H608H 403001522 10,089.75VALV,19MM AORTC PERIMONT PERI.BIO 403001523 19,422.00VALV,21MM AORTC PERIMONT PERI.BIO 403001524 19,422.00VALV,23MM AORTC PERIMONT PERI.BIO 403001525 19,422.00VALV,25MM AORTC PERIMONT PERI.BIO 403001526 19,422.00VALV,27MM AORTC PERIMONT PERI.BIO 403001527 19,422.00VALV,19MM AORTC PERIMONT RSR PERI 403001528 19,422.00VALV,21MM AORTC PERIMONT RSR PERI 403001529 17,656.75VALV,23MM AORTC PERIMONT RSR PERI 403001530 19,422.00VALV,25MM AORTC PERIMONT RSR PERI 403001531 2,787.75VALV,27MM AORTC PERIMONT RSR PERI 403001532 27,745.75ANNULOPLASTY RNG,26MM COSGROVE ED 403001533 10,986.25ANNULOPLASTY RNG,28MM COSGROVE ED 403001534 7,690.50ANNULOPLASTY RNG,30MM COSGROVE ED 403001535 10,986.25ANNULOPLASTY RNG,32MM COSGROVE ED 403001536 7,690.50ANNULOPLASTY RNG,34MM COSGROVE ED 403001537 10,986.25

ANNULOPLASTY RNG,36MM COSGROVE ED 403001538 10,986.25ANNULOPLASTY RNG,38MM COSGROVE ED 403001539 10,986.25VALV,27MM MITRL DURAFLEX LOW PRES 403001540 24,943.25VALV,29MM MITRL DURAFLEX LOW PRES 403001541 24,943.25VALV,31MM MITRL DURAFLEX LOW PRES 403001542 24,943.25VALV,33MM MITRL DURAFLEX LOW PRES 403001543 24,943.25GRAFT,6MMX10CM STRAIGHT STD WALL 403001544 1,177.00GRAFT,6MMX20CM STRAIGHT STD WALL 403001545 2,788.50GRAFT,6MMX30CM STRAIGHT STD WALL 403001546 3,313.00GRAFT,6MMX50CM STRAIGHT STD WALL 403001547 6,078.25GRAFT,6MMX70CM STRAIGHT STD WALL 403001548 4,967.75GRAFT,8MMX70CM STRAIGHT STD WALL 403001549 5,616.75GRAFT,6MMX60CM STD. THIN WALL 403001550 6,926.00GRAFT,6MM X 90CM STD.THIN WALL 403001551 9,163.75GRAFT,8MM X 50CM STD THIN WALL 403001552 6,928.25GRAFT,8MMX70CM STD.THIN WALL 403001553 8,832.25VALVE,AORTIC 5MM-34MM ALLOGRAFT 403001554 29,217.00VALVE,PULMONARY 5MM-34MM ALLOGRAF 403001555 29,217.00AORTIC CONDUIT ALLOGRAFT BAXTER 403001556 22,421.00TISSEEL VH KIT 2ML 403001566 6,381.25GRAFT,12.6 BIFEM DEBAKEY VASC.II 403001568 4,472.75GRAFT,14X7 BIFEM DEBAKEY VASCII 403001569 4,472.75GRAFT,16 X 8 BIFEM DEBAKEY VASCII 403001570 5,795.00GRAFT,18X9 BIFEM DEBAKEY VASC.II 403001571 4,472.75GRAFT,20X10 BIFEM DEBAKEY VASC.II 403001572 4,472.75GRAFT,22X11 BIFEM DEBAKEY VASC.II 403001573 4,472.75GRAFT,24 X 12 BIFEMDEBAKEY VASCII 403001574 4,472.75GRAFT,6MM STRAIGHT VASCULAR II 403001575 3,271.00GRAFT,8MM STRAIGHT VASCULAR II 403001576 3,271.00GRAFT,10MM STRAIGHT VASC.II 403001577 3,271.00GRAFT,12MM STRAIGHT VASC.II 403001578 3,271.00GRAFT,14MM STRAIGHT VASC.II 403001579 3,271.00GRAFT,16MM STRAIGHT VASC.II 403001580 3,271.00GRAFT,18MM STRAIGHT VASC.II 403001581 3,271.00GRAFT,20MM STRAIGHT VASC.II 403001582 3,271.00GRAFT,22M STRAIGHT VASC.II 403001583 3,271.00GRAFT,24MM STRAIGHT VASC.II 403001584 3,271.00HEMASHIELD 12X6 GOLD WOVEN BIFUR 403001585 5,860.50HEMASHIELD 14X7 GOLD WOVEN BIFUR 403001586 7,592.25HEMASHIELD,16X8 GOLD WOVEN BIFUR 403001587 6,844.50HEMASHIELD,18X9 GOLD WOVEN BIFUR 403001588 6,844.50HEMASHIELD,20X10 GOLD WOVEN BIFUR 403001589 5,283.00HEMASHIELD,16MM HWDVS 16/30 403001590 4,439.50HEMASHIELD,18MM HWDVS 18/30 403001591 5,925.50HEMASHIELD,20MM HWDVS 20/30 403001592 4,574.00HEMASHIELD,22MM HWDVS 22/30 403001593 5,925.50HEMASHIELD,24MM HWDVS 24/30 403001594 5,925.50HEMASHIELD,28MM HWDVS 28/30 403001596 6,317.75HEMASHIELD,30MM HWDVS 30/30 403001597 4,876.25HEMASHIELD,32MM HWDVS 32/30 403001598 6,317.75HEMASHIELD,34MM HWDVS 34/30 403001599 6,317.75SUTURE,2 SURGIPRO GS-26 60IN 403001600 16.75SUTURE,VASCULAR PROCEDURE PACK 403001602 48.25SUTURE,2/0 SURGIDAC KV-5 403001603 357.25SUTURE,2 MONOSOF GS-18 403001611 17.25SUTURE 6/0 PROLENE C-1 30" 403001613 306.25SUTURE,4/0 SURGIPRO CVF-21 403001615 35.75SUTURE,4/0 SURGIPRO V-20 403001616 21.25SUTURE,2/0 SURGIPRO V-20 403001618 21.25SUTURE,4/0 SURGIPRO CV-23 403001619 21.25SUTURE,5/0 SURGIPRO CV-23 403001620 30.75SUTURE,4/0 SURGIPRO CV-15 403001621 32.75SUTURE,7/0 SURGIPRO CV-1 24IN BL 403001623 47.00SUTURE,6/0 SURGIPRO CV-11 403001624 29.25SUTURE,6/0 SURGIPRO CV-1 403001625 45.25

SUTURE,5/0 SURGIPRO CV-11 30IN 403001626 29.25SUTURE,8/0 SURGIPRO MV-135-5 403001627 122.50SUTURE,3/0 SURGIPRO CV-25 403001628 22.50SUTURE,3/0 SURGIPRO V-26 403001630 22.50SUTURE,2/0 SURGIPRO V-26 403001631 21.25SUTURE,5/0 SURGIPRO CV-11 36IN 403001632 29.25SUTURE,7/0 SOFSILK CV-1 18IN 403001634 265.50SUTURE,4/0 MONOSOF P-14 18IN 403001636 24.00SUTURE,1 SURGICUT GS-26 403001638 18.25SUTURE 2/0 POLYSORB TIES 403001644 40.50SUTURE,#6 STEEL SCC 403001653 92.00SUTURE 7/0 PROLENE C-1 30 403001655 312.00SUTURE - 5/0 SURGIPRO CV-11 36IN 403001658 88.75SUTURE,7/0 SURGIPRO MV-175-8 403001659 241.75SUTURE,3/0 SURGIPRO V-20 36IN 403001662 21.25LOPEZ VALVES 403001713 15.00WRIST SUPPORT K-C ARTERIAL 403001728 245.00DRAPE IOBAN INCISE 23X33 403001773 23.00DRAPE IOBAN INCISE 29X22 403001774 18.00BANDAGE,COBAN 6IN 403001776 154.50BANDAGE,COBAN STERILE 6IN 403001777 37.50CLIPPER,BLADE FOR PIVOT HEAD 403001779 23.00BRONCH,DISP SWIVEL ADAPTER 403001791 23.00TUBE ENDOBRONCH 32FR DOUBL LUM LT 403001794 242.25TUBE,28FR ENDOBRONCH DOUBL LUM LF 403001795 645.50TUBE,35FR ENDOBRONCH DOUBL LUM LF 403001796 451.25TUBE,37FR ENDOBRONCH DOUBL LUM LF 403001797 544.25TUBE,39FR ENDOBRONCH DOUBL LUM LF 403001798 451.25TUBE,41FR ENDOBRONCH DOUBL LUM LF 403001799 451.25TUBE,35FR ENDOBRONCH DOUBL LUM RT 403001802 600.75TUBE,37FR ENDOBRONCH DOUBL LUM RT 403001803 451.25TUBE,39FR ENDOBRONCH DOUBL LUM RT 403001804 451.25TUBE,41FR ENDOBRONCH DOUBL LUM RT 403001805 451.25FLEXI SLIP SYLET 44CM 10FR 403001806 61.50FLEXI SLIP STYLET 403001807 61.50TRACHLIGHT SINGLE USE ADULT 403001808 293.75STOCKINETTE 6 IN 403001825 9.50SURGICEL 4 X 8 403001826 217.00SURGICEL 2 X 14 403001827 233.75STIRRUP WITH SLIP RING 403001833 37.00FIBRILLAR 2 X 4 403001836 535.25BLADE,KNIFE BEAVER 403001847 43.00MANIFOLD 3 PORT 3 WAY 403001869 42.00MANIFOLD 5 PORT 3 WAY 403001870 40.00TEMPERATURE PROBE 9FR 403001872 32.25CATHETER,VIP SWAN GANZ 403001873 261.00ANESTHESIA BREATHING CIRCUIT 403001875 25.50CATH PERICARDIAL SUMP 403001877 97.25SUMP INTRACARDIAC 12FR PED 403001878 77.75TOURNIKWIK 403001881 54.50INSERTS 86MM SOFT 403001884 110.50RETRACT-0-TAPE 403001885 97.00SUTURE,2/0 SURGIDAC KV-5 30IN 403001889 326.00SUTRE,6/0 SOFSILK CV-11 18IN 403001890 24.00SUTURE,7/0 SURGIPRO MV175-8 24IN 403001894 122.50SUTURE,4/0 SURGIPRO KV-15 36IN 403001895 43.00SUTURE,4/0 SURGIPRO KV-5 36IN 403001898 1,748.50SUTURE,2/0 SURGIDAC V-20 36IN 403001899 20.50SUTURE,4/0 SURGIPRO KV-7 36IN 403001900 43.00SUTURE,4/0 SURGIDAC CV-23 30IN 403001901 27.50SUTURE,2/0 SURGIDAC CV-25 403001902 20.50SUTURE,3/0 BIOSYN P-14 403001906 29.00SUTURE,3/0 SURGIPRO KV-7 36IN 403001907 42.50SUTURE,2/0 SURGIDAC V-20 30IN 403001912 166.00SUTURE,2/0 SURGIDAC V-20 403001915 270.75

SUTURE - 5/0 SURGIPRO CV-11 30IN 403001916 138.75SUTURE,3/0 SURGIPRO V-20 48IN 403001917 21.25SUTURE,2/0 SURGIPRO GS-21 48IN 403001918 32.25SUTURE,CABG PROCEDURE PACK 403001919 304.50SUTURE,AAA PROCEDURE PACK 403001920 404.25RELOAD PROXIMATE 30MM BLUE 403001921 169.75RELOAD PROXIMATE 30MM GREEN 403001922 169.75RELOAD,TA PREMIUM 30-V3 TITN 403001923 554.00STAPLER PROXIMATE 60MM BLUE 403001924 366.00RELOAD PROXIMATE 60MM GREEN 403001925 183.00STAPLER PROXIMATE 90MM 403001926 393.00RELOAD PROXIMATE 90MM 403001927 194.75STAPLER,MF TA 30-3.5 TITN 403001931 1,010.50STAPLER,MF TX 30-4.8 403001932 949.00STAPLER,MF TA 55-3.5 TITN 403001933 589.75STAPLER,MF TX 55-4.8 TITN 403001934 841.50RELOAD,MULTIFREE TA 30-3.5 TITN 403001935 324.00RELOAD,MULTIFREE TA 30-4.8 TITN 403001936 463.50RELOAD,MULTIFREE TA 55-4.8 TITN 403001938 499.25STAPLER PROX ACCESS 55MM BLUE 403001939 650.50STAPLER PROX ACCESS 55MM GREEN 403001940 650.50STAPLER,ROTICULATR 30-3.5 TITN 403001941 1,929.00STAPLER,ROTICULATR 30-4.8 TITN 403001942 2,790.75STAPLER,ROTICULATR 30-V3 TITN 403001943 2,450.25STAPLER,MF GIA 60-3.8 TITN 403001944 604.00RELOAD,MF GIA 60-3.8 TITN 403001945 658.25STAPLER,MF GIA 80-3.8 TITN 403001946 1,764.75STAPLER,MF GIA 80-4.8 TITN 403001947 1,940.50RELOAD,MF GIA 80-3.8 TITN 403001948 567.25RELOAD,MF GIA 80-4.8 TITN 403001949 535.25STAPLER,ENDO GIA II 30/45/60 12MM 403001952 645.50RELOAD,ENDO GIA II 60-4.8 403001955 921.50RELOAD,ENDO GIA II 30-3.5 403001958 608.50RELOAD,ENDO GIA II 45-3.5 403001959 620.50RELOAD,ENDO GIA II 45-4.8 403001960 885.50STAPLER,ROYAL 35 DISP SKIN 403001964 48.25STAPLER,ROYAL 35W DISP SKIN 403001965 48.25ANNULOPLASTY RING,25MM SJM TAILOR 403001986 11,210.75ANNULOPLASTY RING,27MM SJM TAILOR 403001987 11,210.75ANNULOPLASTY RING,29MM SJM TAILOR 403001988 11,210.75ANNULOPLASTY RING,31MM SJM TAILOR 403001989 11,210.75ANNULOPLASTY RING,33MM SJM TAILOR 403001990 11,210.75ANNULOPLASTY RING,35MM SJM TAILOR 403001991 11,210.75VALVE,23MM MITRL MECHANICAL MS601 403001992 27,745.75VALVE,25MM MITRL MECHANICAL MS601 403001993 27,745.75VALVE,27MM MITRL MECHANICAL MS601 403001994 27,745.75VALVE,29MM MITRL MECHANICAL MS601 403001995 27,745.75VALVE,31MM MITRL MECHANICAL MS601 403001996 27,745.75VALVE,33MM MITRL MECHANICAL MS601 403001997 27,745.75VALVE,19MM AORTC MECHANICAL AS601 403001998 27,745.75VALVE,21MM AORTC MECHANICAL AS601 403001999 27,745.75VALVE,23MM AORTC MECHANICAL AS601 403002000 27,745.75VALVE,25MM AORTC MECHANICAL AS601 403002001 27,745.75VALVE,27MM AORTC MECHANICAL AS601 403002002 27,745.75VALVE,29MM AORTC MECHANICAL AS601 403002003 27,745.75VALVE,31MM AORTC MECHANICAL AS601 403002004 27,745.75VALVE,17MM AORTC HP AHPS605 403002005 27,745.75VALVE,19MM AORTIC HP AHPS605 403002006 27,745.75VALVE,21MM AORTIC HP AHPS605 403002007 27,745.75VALVE,23MM AORTIC HP AHPS605 403002008 27,745.75VALVE,25MM AORTIC HP AHPS605 403002009 27,745.75VALVE,27MM AORTIC HP AHPS605 403002010 27,745.75VALVE,21MM AORTIC TORONTO SPV 403002011 23,541.75VALVE,23MM AORTIC TORONTO SPV 403002012 23,541.75VALVE,25MM AORTIC TORONTO SPV 403002013 16,479.25

VALVE,27MM AORTIC TORONTO SPV 403002014 23,541.75VALVE,29MM AORTIC TORONTO SPV 403002015 23,541.75AORTC CONDUT 25MM W/HEMSHILD GRAF 403002016 22,281.50AORTC CONDUT 27MM W/HEMSHILD GRAF 403002017 22,490.75AORTC CONDUT 29MM W/HEMSHILD GRAF 403002018 22,490.75CHEST TUBE,36FR RT ANG SILICON AX 403002266 61.50CHEST TUBE,28FR PVC TROCAR 403002269 122.25CHEST TUBE,36FR STR PVC THORACIC 403002270 46.50CHEST TUBE,36RT ANG PVC THORACIC 403002271 52.75CORONARY PERFUSON CANULAE 6MM STR 403002275 624.25COR PERF CANNULAE 8MM STR 403002276 624.25FEMORAL ARTERY PRESSURE DISC 403002298 14.00TRACH TUBE FEN 8MM CUFFED 403002308 221.25AIRWAY,NASOPHARYN STER.8MM 403002315 16.75AIRWAY,NASOPHARYN STER.9MM 403002317 16.75AIRWAY,NASOPHARYN STER.6MM 403002320 24.00AIRWAY,NASOPHARYN STER.7MM 403002321 16.75HEMOCLIPS,SMALL 403002363 87.00HEMOCLIPS,MEDIUM 403002364 91.50HEMOCLIPS,LARGE 403002365 87.00DRAIN PENROSE 3/4 X 36" 12/BX 403002366 3.50TRAY INSTRUMENT 403002371 26.00PORT-A-CATH NDL 20G X 1 90 DEG. 403002373 24.00INSTAT 3 X 4 403002408 323.25TRAY,SPINAL 403002409 93.75TRAY,EPIDURAL 403002410 157.50PACK,VASCULAR 403002434 595.25PACK,OPEN HEART 403002435 2,567.50DOUBLE BASIN SET 403002445 80.00BLOOD TUBING O.R. WITH PUMP 403002459 29.00IV TUBING,BLOOD Y TYPE W/O PUMP 403002460 37.00ART PA LINE TUBING 403002461 225.75SAPHENOUS VEIN CANNULA-WHITE 403002468 26.75DRAIN,JACKSON PRATT 10MM 403002470 68.00DRAIN,JACKSON PRATT 7MM 403002471 90.25KIT,TRIPLE LUMEN 20 IN 403002474 205.50CLAVE PIGGYBACK Y SITE 403002487 16.25CHEST DRAIN ATRI SINGLE COLLECTIO 403002488 318.25BAG,CPR WITH MASK 403002490 106.75CAT TRAY MAHURKAR CVD 403002683 668.00CATH TRAY MAHURKAR STRT 403002684 655.75BLANKET WARMING UPPER BODY 403002692 81.00BLANKET WARMING FULL BODY 403002693 50.50ISOVUE 370 150ML BOTTLE 403002699 95.00VISIPAQUE 320 150ML BOTTLE 403002705 565.00EPICARDIAL LEADS 5071 403002763 5,675.50INTRODUCER DUAL 10FR 403002784 304.75INTRODUCER DUAL 9FR 403002785 439.00INTRODUCER DUAL 7FR 403002786 381.25INTRODUCER SINGLE 10FR 403002788 152.50INTRODUCER 9FR SINGLE 5/BX 403002789 214.00INTRODUCER SINGLE 7FR 403002791 220.25PACING LEAD TENDRIL DX 52CM 403002823 10,089.75CATHETER GLIDECATH STR 65CM 5F 403002898 450.75CATHETER GLIDECATH ANG 100CM 5F 403002899 450.75CATHETER GLIDECATH STR 100CM 5F 403002902 450.75GUIDEWIRE .035X260X6CM AMPLATZ 403002906 313.50BALLOON XXL 8FR 12-4/5X75 403002930 2,208.75SERVICE KIT 403002953 214.00LEAD PIN CAP 403002954 119.00CATHETER,FOLEY 10FR 10CC 403002956 95.00CATHER,FOLEY 18FR 10CC BALLOON 403002957 96.00CATH IABP 34CC 9.5FR PERC STATD 403002962 6,590.00CATH IABP 9.5FR 40CC PERC STAT D 403002963 6,943.75CATHETER IABP 9.5 40CC PROFILE 403002965 2,653.00

PAD,STAT DEFIB (ZOLL) 403002969 309.50STOCKING,ANTI EMBOLISM THIGH MED 403002971 43.75STOCKING,ANTI EMBOLISM THIGH SML 403002972 43.75CATH,SVO2 CCO BAXTER 403002974 2,124.00CARDIAC OUTPUT SET 403002975 71.75ARROW GUIDEWIRE .018 X 40CM 403002978 34.00ARROW GUIDEWIRE .025 403002979 50.00INTERNAL JUGULAR PUNCTURE KIT 16G 403002980 168.75SUPERSTAT 2 X 2 3% 403002982 113.50CATH,EMBOLECTOMY 2FR 60CM 403002983 637.50CATH,EMBOLECTOMY 3FR 80CM 403002986 317.50CATH,EMBOLECTOMY 4FR 80CM 403002987 343.25CATH,EMBOLECTOMY 5FR 80CM 403002988 490.75GELFOAM 100 403002991 205.00GIGLI SAW BLADE SPIRAL 12IN 403002994 121.00SPONGE PEANUT STR 5/PK 100PK/CS 403002995 23.50KIT PERMACATH DUAL LUMEN 36 403003105 806.50INTRODUCER PULL APART 10FR 403003107 212.50ROSE DAMPENING DEVICE 403003109 32.25BLOOD WARMING SET STANDARD 403003111 78.50MCRO PNCTR KIT PLTNM TIP WIRE 403003113 264.50SUTURE 2/0 SOFSILK V-20 18IN 403003114 29.00SUTURE,3/0 SOFSILK V-20 18IN 403003115 27.50SUTURE 4/0 SOFSILK V-20 18IN 403003116 29.00SUTURE 2/0 POLYSORB GS-22 18IN 403003121 27.50SUTURE 2/0 POLYSORB V-20 18IN 403003123 19.75SUTURE 3/0 POLYSORB V-20 18IN 403003124 32.50PACK CARDIAC CATH 4/CS 403003131 287.50PERCUTANEOUS SHEATH INTRO KIT 9FR 403003139 196.00CENTRAL LINE KIT 403003140 132.25RESERVOIR JACKON PRATT SM. 403003151 24.25GUIDEWIRE REPLACE IABP 145CM X .2 403003154 330.25AORTIC PUNCH LONG HANDLE 3.0MM 403003155 118.75AORTIC PUNCH LONG HANDLE 4.0MM 403003156 173.50SUCTION TUBE SOFT TIP 6FR 403003160 75.25INFNT VNT CTH W/MALEABLE TIP 13FR 403003161 139.75UNVRSAL CONVEX SOFT TIP W/HANDLE 403003163 245.00TRAY,PERICARDIOCENTESIS 403003171 1,691.50PERICARDIAL STRIP DRY 9002 403003172 1,239.75PERICARDIAL STRIP DRY 9006 403003173 1,135.00CAROTID PATCH 2CM X 9CM 403003174 1,688.50RADIAL ARTERY CATH KIT 403003181 49.75ARTERIAL LINE KIT 20GA 403003182 67.25ARTERIAL LINE KIT 18G 403003183 67.25CATHETER FOLEY 24FR 5CC 403003189 37.00CATH FOLEY W/URINE METER 403003195 132.75BANDAGE ACE ELAS STERILE 6IN 403003202 38.50BANDAGE ACE ELAS STERINE 4 IN 403003203 16.25INSERT 61MM SOFT 403003204 110.50IMMOBILIZER SHOULDER X-LARGE 403003207 64.25BOVIE BLADE EXTENSION 403003213 21.25BOVIE PENCIL FOOT 403003215 18.25BOVIE PENCIL HAND 403003216 20.75GROSHONG CATH 9.5FR 403003228 1,062.25BLANKET FULL BODY K THERMIA 403003230 101.75NEEDLE COUNTER 40CNT 403003248 34.00SHEATH SHORT W/WIRE 6FR 403003346 75.25SHEATH SHORT W/WIRE 7FR 403003347 75.25SHEATH SHORT W/WIRE 8FR 403003348 75.25SHEATH SHORT W/WIRE 9FR 403003349 75.25SHEATH SHORT W/WIRE 10FR 403003350 107.25CATH DIAGNOSTIC 6FR IM 100CM 403003404 68.50CATH DIAGNOSTIC 6FR PIG 100CM 403003406 68.50ART LINE TUBING 403003434 158.00CVP/PA LINE TUBING 403003435 106.75

TRANSDUCER ONLY 403003436 77.75PACING SWAN GANZ 403003437 2,613.75IV TUBING BLOOD PRODUCTS 403003438 30.25SUTURE SURGIDAC V-20 403003455 19.00BONE WAX 403003474 20.50IN LINE SPIKE 25/BX 403003843 14.25BACK STOP 10/BX 403003844 28.00TRAY,CRIT FOLEY MONIT TRAY 16F 403003867 357.25NEEDLE,SELD 18G 2 PORT 2 7/8 403003884 32.25STERNAL CRIMPS 403003886 142.75STERNAL NEED,SGL CUT EDG STR 3/P 403003887 584.00STERNAL NEED SGL CUT EDG STR 1/PK 403003888 274.00AORTIC PUNCH 2.8 (6/BX) 403003914 119.00SUTURE,4/0 POLYSORB P-12 403003916 26.75SYRINGE-MEDRAD 150ML ANGIO 403003952 29.00WIRE AMPLATZ SS .035X180CM 403003966 291.00PATCH-BARD 6 X 6 SAUVAGE 403004029 967.50JAVID SHUNT 403004030 941.75PTFE FELT 1 X 6 403004031 192.00FABRIC FELT PTFE 6X6 MIN ORDER 5/ 403004032 448.00SHUNT-JAVID 403004033 515.00TRANSFER SET 1000ML (96/CS) 403004046 22.75VERSAPORT TROCAR 403004050 320.00INSUFFLATION TUBING 403004052 42.00BLADE - STERNUM SAW ZIMMER 403004189 58.00BLADE - STERNUM SAW STRYKER 403004190 110.50FILTER - 22 UG MICRON 403004208 15.00CYSTO TUBING 403004221 16.75CUSTOM TUBING SET 403004229 20.75OXISENSOR (DISPOSABLE NEONATE) 403004259 114.00OXISENSOR (DISPOSABLE ADULT) 403004260 88.00OXISENSOR (DISPOSABLE PEDS) 403004261 88.00VERSAPORT TROCAR 5-12MM BLUNT 403004290 445.50THORACIC SEAL & MANOMETER 403004292 209.25TUBING CONTRAST INJ LINE 20"25/BX 403004301 15.50WIRE-TEMPORARY CARDIAC PACING 403004386 67.25IV,DEX 5% GLASS 500ML 403004482 18.75SAW BLADE-SAGITTAL-WIDE 403004541 188.75SAW BLADE-SAGITTAL-STERNUM 403004542 188.75SAW BLADE-SAGITTAL-EXTRA WIDE 403004543 188.75SUTURE-2-0 SURGIPRO GS-21 48IN 403004545 15.00CAP KIT 403004575 245.75CABLE 5455S 403004576 225.75PORTACHAT,CHEMO-SITE 403004577 2,580.00SUTURE 7/0 PROLENE BV-175 24" 403004602 1,563.25VERSAPORT 12MM V2 403004605 285.75VERSAPORT V2 5-12MM 403004606 389.50ENDO CLIP II 403004607 897.25VALVE HANCOCK II AORTIC 21MM 403004628 18,833.75VALVE HANCOCK II AORTIC 23MM 403004629 18,833.75VALVE,HANCOCK II AORTIC 25MM 403004630 18,833.75VALVE HANCOCK II AORTIC 27MM 403004631 26,905.25VALVE HANCOCK II AORTIC 29MM 403004632 26,905.25CATH COOK RIM 5FR 403004636 105.25CONTRAST MISER MERIT 403004643 86.25CATH,SINGLE LUMEN INF 403004737 58.00GRAFT 8X90 THINWALL 403004766 3,523.75EXTENSION SET T CONNECTOR 403004790 14.50VALVE,MITRAL HANCOCKII T510 25MM 403004800 26,905.25VALVE,MITRAL HANCOCKII T510 27MM 403004801 18,833.75VALVE,MITRAL HANCOCKII T510 29MM 403004802 18,833.75VALVE,MITRAL HANCOCKII T510 31MM 403004803 18,833.75VALVE,MITRAL HANCOCKII T510 33MM 403004804 18,833.75STRETCH VASCULAR GRAFT 6 X 50 403004833 4,683.50STAPLER,SURGICLIP II 9.0 SMALL 403004851 253.50

DERMABOND (12/BX) 403004873 172.75GRAFT,ALBUMIN COATED 16 X 8 403004891 6,916.00GRAFT,ALBUMIN COATED 18 X 9 403004892 5,339.25GRAFT,ALBUMIN COATED 20 X 10 403004893 5,339.25OCTOPUS 2 + 403004898 7,970.50SUTURE,4-0 SURGIPRO CVF-23 BX/36 403004959 30.50CHEST TUBE,ARGYLE 36FR RT ANGLE 403004981 43.75CHEST TUBE ARGYLE 32FR STR BX/10 403004982 29.25CHEST TUBE,ARGYLE 36FR STR BX/10 403004983 29.25ANASTO-VIEW MISTER (BX/5) 403004984 261.00CATH,FOGARTY EMBOLECTOMY 3FR 403004985 326.00CATH,FOGARTY EMBOLECTOMY 4FR 403004986 326.00CATH,FOGARTY EMBOLECTOMY 5FR 403004987 326.00LAP-CHOLE KIT 403004994 4,980.75MESH,6 X 6 HERNIA BX/3 403004999 370.50SUTURE,O SURGIDAC GS-22 BX/24 403005000 35.75CABLE SURGICAL PSA 6697 403005003 132.25TUBING,CHEST TUBE (CS/15) 403005005 146.00SUTURE,#1 POLYSORB GS-26 (BX/24) 403005079 18.00SUTURE,4-0 SURGIPRO CV-23 12/BX 403005080 110.00SUTURE,3-0 SURGIDAC CV-23 BX/36 403005081 30.25VALVE,AORTIC FREESTYLE 19MM 403005100 23,962.75VALVE,AORTIC FREESTYLE 21MM 403005101 23,962.75VALVE,AORTIC FREESTYLE 23MM 403005102 24,593.50VALVE,AORTIC FREESTYLE 25MM 403005103 17,068.50VALVE,AORTIC FREESTYLE 27 403005104 23,962.75ANNULOPLASTY BAND, DURAN 25MM 403005105 7,006.75ANNULOPLASTY BAND, DURAN 27MM 403005106 7,006.75ANNULOPLASTY BAND,DURAN 29MM 403005107 9,108.50ANNULOPLAST BAND DURAN 31MM 403005108 9,108.50ANNULOPLASTY BAND,DURAN 33MM 403005109 9,108.50ANNULOPLASTY BAND, DURAN 35 MM 403005110 7,006.75VALVE,AORTIC PERIMOUNT RSR 29MM 403005116 27,745.75VALVE AORTIC HP MASTER 17MM 403005119 27,746.00VALVE,AORTIC HEMODYNAMIC 19MM 403005120 27,745.75VALVE,AORTIC HEMODYNAMIC 21MM 403005121 27,745.75VALVE,AORTIC HEMODYNAMIC 23MM 403005122 19,422.00VALVE,AORTIC HEMODYNAMIC 25MM 403005123 19,422.00VALVE,AORTIC HEMODYNAMIC 27MM 403005124 27,745.75VALVE,MITRAL STANDARD 23MM 403005125 27,745.75VALVE,MITRAL STANDARD 25MM 403005126 27,745.75VALVE,MITRAL STANDARD 27MM 403005127 19,422.00VALVE,MITRAL STANDARD 29MM 403005128 27,745.75VALVE,MITRAL STANDARD 31MM 403005129 19,422.00VALVE,MITRAL STANDARD 33MM 403005130 27,745.75VALVE,AORTIC STANDARD 19MM 403005131 27,745.75VALVE,AORTIC STANDARD 21MM 403005132 27,745.75VALVE,AORTIC STANDARD 23MM 403005133 27,745.75VALVE,AORTIC STANDARD 25MM 403005134 27,745.75VALVE,AORTIC STANDARD 27MM 403005135 27,745.75VALVE,AORTIC STANDARD 29MM 403005136 27,745.75VALVE,AORTIC STANDARD 31MM 403005137 27,745.75COSTASIS CELL PACKER (10/BX) 403005140 130.75SUTURE,3-0 SURGIDAC CV-23 36" 403005155 29.00SHUNT,INTRAVASCULAR 1.5MM 403005156 274.00SHUNT,INTRAVASCULAR 2.0MM 403005157 274.00SHUNT,INTRAVASCULAR 2.5MM 403005158 274.00ANNULOPLASTY BAND,DURAN 25MM 403005163 7,567.25ANNULOPLASTY BAND,DURAN 27MM 403005164 7,567.25ANNULOPLASTY BAND,DURAN 29 MM 403005165 9,837.50ANNULOPLASTY BAND,DURAN 31 MM 403005166 9,809.25ANNULOPLASTY BAND,DURAN 33 MM 403005167 9,837.50ANNULOPLASTY BAND,DURAN 35MM 403005168 7,567.25WILLIAMS INTUBATOR #7 (10/BX) 403005173 14.75WILLIAMS INTUBATOR #10 403005174 14.75

SHUNT,INTRACORONARY 2.25MM 403005175 392.50PATCH,CARDIOVASCULAR 6 X 8 403005256 2,995.00CABLES MODEL 6651 403005326 171.75SUTURE 5/0 PROLENE C-1 24" 403005347 499.25ARTERIAL LINE KIT 20 X 3" 403005378 65.50SUTURE,PROLENE BV-1 403005379 622.50TRACH TUBE DCT 8 SHILEY 403005380 261.00VALVE,ATS STD AORTIC 21MM 403005389 22,421.00VALVE,ATS STD AORTIC 23MM 403005390 22,421.00VALVE,ATS STD AORTIC 25MM 403005391 22,421.00VALVE,ATS STD AORTIC 27MM 403005392 22,421.00VALVE,ATS STD AORTIC 29MM 403005393 22,421.00VALVE,ATS AP AORTIC 18MM 403005394 22,421.00VALVE,ATS AP AORTIC 20MM 403005395 22,421.00VALVE,ATS AP AORTIC 22MM 403005396 15,695.00VALVE,ATS AP AORTIC 24MM 403005397 22,421.00VALVE,ATS AP AORTIC 26MM 403005398 22,421.00VALVE,ATS STD MITRAL 29MM 403005399 22,421.00VALVE,ATS STD MITRAL 31MM 403005400 22,421.00VALVE,ATS STD MITRAL 33MM 403005401 22,421.00RETAINER,VISCERA FISH (BX/10) 403005460 144.25CHOLANGIOCATH TAUT (10/BX) 403005461 103.75SUTURE,5-0 PROLENE HS-7 BV-1 403005486 229.00UNIPORT-PLUS W/BISECTOR 403005549 6,535.25U-CLIP REMOVAL TOOL 403005550 343.25U-CLIP S18-ST .45MM 403005551 1,307.50KIT,TWO-LUMEN CENTRAL ACCESS 403005552 515.00VALVE AIR SALEM SUMP 403005555 34.00CASSETTE,MEDI-STIM 403005556 2,178.25BIOGLUE,ADHESIVE 10ML 403005564 5,391.25BIOGLUE APPLICATOR 403005565 137.50BIOGLUE,APPLICATOR 27CM 403005566 161.75U-CLIP,LONG S-18-LF 403005623 161.75U-CLIP S20-ST 403005640 1,307.50PICC KIT DUAL-L GROSHONG 5F 403005719 1,098.75OCTOPUS/STARFISH KIT 403005740 7,006.75CABLE DISPOSABLE PACING 403005743 194.25SHUNT,INTRACORONARY 1.25MM 403005785 392.50SUTURE 7-0 24" PROLENE VB D/A BV1 403005788 175.75SUTURE,8-0 SURGIPRO MV175-8 403005789 182.25XXL SHOULDER IMMOBILIZER 403005792 137.50CATHETER GLIDECATH ANG 65CM 5F 403005847 488.00TRAY PARACENTESIS 403006399 183.50TRAY PNEUMOTHORAX 403007000 346.75SHUNT,SUNDT CAROTID 3 X 4 MM 403007035 1,303.75SHUNT,SUNDT CAROTID 3.5 X 5MM 403007036 1,303.75SHUNT,SUNDT CAROTID 4 X 5MM 403007037 1,303.75JEJUNAL FEEDING TUBE,9FR 403007046 706.00KITM GUIDANT AXIUS OFF PUMP 403007047 7,674.00VALVULOTOME,GORE EZE-SIT 403007048 3,313.00ANNULOPLASTY,BAND FUTURE 26MM 403007081 12,331.00ANNULOPLASTY,BAND FUTURE 28MM 403007082 12,331.00ANNULOPLASTY,BAND FUTURE 30MM 403007083 12,331.00ANNULOPLASTY,BAND FUTURE 32MM 403007084 12,331.00ANNULOPLASTY,BAND FUTURE 34MM 403007085 12,331.00ANNULOPLASTY,BAND FUTURE 36MM 403007086 12,331.00ANNULOPLASTY,BAND FUTURE 38MM 403007087 12,331.00BLANKET,HEAD HUGGER 403007088 71.75VALV SUP ANNULAR AORTIC CMED 19MM 403007125 22,953.50VALV SUP ANNULAR AORTIC CMED 21MM 403007126 22,953.50VALV SUP ANNULAR AORTIC CMED 23MM 403007127 22,953.50VALV SUP ANNULAR AORTIC CMED 25MM 403007128 22,953.50VALVE AORTIC CARBOMEDICS 31MM 403007129 22,953.50VALV AORTIC REDUCED CARBOMED 19MM 403007130 22,953.50VALV AORTIC REDUCED CARBOMED 21MM 403007131 22,953.50

VALV AORTIC REDUCED CARBOMED 23MM 403007132 22,953.50VALV AORTIC REDUCED CARBOMED 25MM 403007133 22,953.50VALV AORTIC REDUCED CARBOMED 27MM 403007134 22,953.50VALV AORTIC REDUCED CARBOMED 29MM 403007135 22,953.50VALV OPTIFORM MITRAL CBOMED 25MM 403007136 22,953.50VLAV OPTIFORM MITRAL CBOMED 27MM 403007137 22,953.50VALV OPTIFORM MITRAL CBOMED 29MM 403007138 22,953.50VALV OPTIFORM MITRAL CBOMED 31MM 403007139 22,953.50VALV OPTIFORM MITRAL CBOMED 33MM 403007140 22,953.50SHUNT SUNDT CAROTID 2.5MM 403007155 1,606.50CATH BEACON VERT .038X100CM 5FR 403007338 205.50BALLOON UTSDS 10X4X75 403007403 1,415.50BALLOON UTSDS 6X4X75 403007420 1,415.50SHUNT,CAROTID ENDAR 3.0MM X 4.0MM 403007426 776.25CATH CONTRA 2.5FR .038X65CM 403007447 118.00CATH HK 1.0 5FR .038X65CM 403007450 118.00CATH SIM1 5FR .038X100CM 403007455 118.00DEVICE,SURGICAL ABLATION FLEX 4 403007460 15,414.75DEVICE,SURGICAL ABLATION FLEX 2 403007461 10,159.50DRAIN,BLAKE SILICONE 403007480 288.25CONNECTOR,BLAKE CARDIO 403007481 47.75DRAPE IOBAN 2 ANTIMCRBL 23X17 403007513 64.50SUNDT CAROTID ENDARECT 3.5MMX5MM 403007558 1,606.50INTUBATOR,AIRWAY ADULT FEMALE 403007559 14.75INTUBATOR,AIRWAY ADULT MALE 403007560 14.75TRACH TUBE,EXCHANGER 6.0-8.5MM 403007564 73.50TRACH TUBE,EXCHANGER JET VENTILA 403007565 73.50CHAMBER FEED SYSTEM FISHER PAYKEL 403007719 43.50CIRCUIT AIRLIFE SINGLE LIMB HEATE 403007720 23.50ANNULOPLASTY,BAND TRICUSPID 26MM 403007721 14,013.00ANNULOPLASTY,BAND TRICUSPID 28MM 403007722 14,013.00ANNULOPLASTY,BAND TRICUSPID 30MM 403007723 14,013.00ANNULOPLASTY,BAND TRICUSPID 32MM 403007724 14,013.00ANNULOPLASTY,BAND TRICUSPID 34MM 403007725 14,013.00ANNULOPLASTY,BAND TRICUSPID 36MM 403007726 14,013.00STABILIZER,VACUUM GUIDANT 403007727 3,384.25VALVE MOSAIC AORTIC MOD 1305 19MM 403007817 25,053.25VALVE AORTIC MOSAIC MOD 1305 21MM 403007818 25,053.25VALVE AORTIC MOSAIC MOD 1305 23MM 403007819 25,053.25VALVE AORTIC MOSAIC MOD 1305 25MM 403007820 25,053.25VALVE AORTIC MOSAIC MOD 1305 27MM 403007821 25,053.25VALVE AORTIC MOSAIC MOD 1305 29MM 403007822 25,053.25VALVE,MITRAL MOSAIC 25MM 403007823 21,219.75VALVE,MITRAL MOSAIC 27MM 403007824 21,219.75VALVE,MITRAL MOSAIC 29MM 403007825 21,219.75VALVE,MITRAL MOSAIC 31MM 403007826 21,219.75VALVE,MITRAL MOSAIC 33MM 403007827 21,219.75CONNECTOR BLAKE CARDIO 403008029 45.25SHUNT,K INTRACORONARY 2.5MM 403008030 374.00DRAIN,BLAKE 10FR ROUND 403008082 243.00TUBE,TRACHEAL ORAL RAE SZ 6.5 403008114 44.25TUBE,TRACHEAL ORAL RAE SZ 7.0 403008115 44.25TUBE,TRACHEAL ORAL RAE SZ 7.5 403008116 44.25TUBE,TRACHEAL ORAL RAE SZ8 403008117 44.25VALVE,MITRAL HALL EASY FIT 23M 403008130 22,421.00VALVE,MITRAL HALL EASY FIT 25M 403008131 22,421.00VALVE,MITRAL HALL EASY FIT 27M 403008132 22,421.00VALVE,MITRAL HALL EASY FIT 29M 403008133 22,421.00VALVE,MITRAL HALL EASY FIR 31M 403008134 22,421.00VALVE,AORTIC HALL EASY FIT 19M 403008135 22,421.00VALVE,AORTIC HALL EASY FIT 21M 403008136 22,421.00VALVE,AORTIC HALL EASY FIT 23M 403008137 22,421.00VALVE,AORTIC EASY FIT 25M 403008138 12,812.25VALVE,AORTIC EASY FIT 27M 403008139 12,812.25VALVE,AORTIC HALL EASY FIT 29M 403008140 12,812.25

NEEDLE ENDOPATH 120MM 403008153 201.00U-CLIP .018-/0.45MM 403008154 157.25U-CLIP .20"/.50MM 403008155 157.25TRACH,BIVONA SZ.8 403008260 1,561.50DRAIN BLAKE 24FR (BX/10) 403008262 235.75VALVE AORTIC GRAFT ROTATABLE 23MM 403008304 21,219.75CUTTING HEAD 3MM FOR VALVULOTOME 403008338 1,105.75CUTTING HEAD 4MM FOR VALVULOTOME 403008339 1,105.75CUTTING HEAD 2MM FOR VALVULOTOME 403008340 1,105.75DEVICE CADIOBLATE BP 403008380 13,380.50CORONARY PERFUSION CANNULA 6MMRT. 403008381 565.75ANNULOFLO MITRAL 26MM 403008385 6,909.50ANNULOFLO MITRAL 28MM RING 403008386 6,909.50ANNULOFLO MITRAL 30MM RING 403008387 6,909.50ANNULOFLO MITRAL 32MM 403008388 6,909.50ANNULOFLO MITRAL 34MM RING 403008389 6,909.50ANNULOFLO MITRAL 36MM RING 403008390 6,909.50ANNULOFLEX MITRAL 26MM RING 403008391 6,909.50ANNULOFLEX MITRAL 28MM 403008392 6,909.50ANNULOFLEX MITRAL 30MM RING 403008393 6,909.50ANNULOFLEX MITRAL 32MM RING 403008394 6,909.50ANNULOFLEX MITRAL 34MM RING 403008395 6,909.50ANNULOFLEX MITRAL 36MM RING 403008396 6,909.50IMPLANT SILICONE BREAST 403008401 8,088.50CONNECTOR BLAKE CARDIO 3-WAY 403008402 39.25SYSTEM BI-VENTRICULAR BLOOD PUMP 403008409 61,222.00SUPPORT HARNESS STERNUM SMALL 403008412 606.75SUPPORT HARNESS STERNUM MED 403008413 606.75SUPPORT HARNESS STERNUM LARGE 403008414 606.75NEEDLE INSUFFLATION 150MM 403008442 150.50DISSECTOR BLUNT CHERRY 10MM 403008443 136.25CARDIOBLATE BP DEVICE SINGLE 403008446 12,456.25CARDIOBLATE PEN 403008447 10,526.75SHUNT ITRACORONARY 2.75MM 403008503 606.75GRAFT MICROVEL BIF 12 X 6 40CM 403008504 4,374.00GRAFT MICROVEL BIF 14 X 7 40CM 403008505 4,374.00GRAFT MICROVEL BIF 16 X 8 40CM 403008506 4,374.00GRAFT MICROVEL BIF 18 X 9 40CM 403008507 4,374.00GRAFT MICROVEL BIF 20 X 10 40CM 403008508 4,374.00GRAFT MICROVEL BIF 24 X 12 40CM 403008509 4,374.00GRAFT,MICROVEL TUBE 8MM 60CM 403008510 3,199.00GRAFT MICROVEL TUBE 10MM 60CM 403008511 3,199.00GRAFT MICROVEL TUBR 12MM 60CM 403008512 3,199.00GRAFT MICROVEL TUBE 14MM 60CM 403008513 3,199.00GRAFT MICROVEL TUBE 16MM 60CM 403008514 3,199.00GRAFT MICROVEL TUBE 18MM 60CM 403008515 3,199.00GRAFT MICROVEL TUBE 20MM 60CM 403008516 3,199.00MASK FACE AIR CUSHION SM 403008607 4.25MASK FACE AIR CUSHION MED 403008608 4.25VALVE AORTIC GRAFT ROTATABLE 25MM 403008609 18,379.25DIALYSIS CATH HEMOSPLIT 19CM KIT 403008660 2,426.50FLOSEAL 5ML 6/CS 403008662 1,109.25CATH PIG CSC-20 ROYAL FLUSH 403008672 792.25STENT PALMAZ 10CM X 39CM 403008774 6,008.25SUTURE VYCRYL 4-0 RB-1 403008806 3.50BALLOON XXL 14X2X75 403008846 1,816.25BALLOON XXL 16X2X75 403008847 1,816.25BALLOON XXL 18X2X75 403008848 1,816.25LEAD FINELINE 4469 403008882 4,159.50PACER IDENTITY ADX 5180 403008883 16,691.25CABLE DISPOSABLE PACING BLUE 5BX 403008889 121.00STAPLER PROXIMATE CURVED 21MM 3BX 403008890 1,986.50STAPLER PROXIMATE CURVED 25MM 3BX 403008891 1,986.50STAPLER PROXIMATE CURVED 29MM 3BX 403008892 1,986.50SIZER CIRCULAR SET 25MM 29MM 33MM 403008894 488.25

CUTTER LINEAR ARTICULATING 6R/45 403008895 2,331.75CUTTER ETS-FLEX 45 ARTICULATING E 403008896 1,916.25RELOAD ETS 45-6 ROW WHITE 403008897 408.00RELOAD ENDOPATH 45MM 6ROW 12BX 403008898 841.25STAPLER TXRELOADABLE LINEAR 30MM 403008899 701.50STAPLER RXRELOADBALE LINEAR 60MM 403008900 471.00APPLIER LIGACLIP SM 6BX 403008901 195.20DRESSING ISLAND W/MICROBAN 4X14 403008907 24.25MESH PERFIX PLUG LARGE 2/CS 403008909 928.75PATCH KUGEL OVAL MED 2/CS 403008910 1,910.00VLVE ED 23MM PERICARD AORT 3000 403008960 28,656.25ANESTHESIA PER MINUTE 403009002 20.50CELL SAVER 403009009 924.25OPEN HEART OR TIME PER MINUTE 403009021 122.50PERFUSION ON PUMP 403009025 8,049.75ELECTROENCEPHALOGRAM (EEG) STUDY 403009038 685.25MAJOR OR TIME PER MINUTE 403009050 81.50MINOR OR TIME PER MINUTE 403009051 81.50MINOR OR PROCEDURE 403009053 1,983.00MAJOR OR PROCEDURE 403009054 2,423.50OPEN HEART OR PROCEDURE 403009055 3,304.00BOOT VASCULAR ROOKE UNV SZ 403010274 388.50FLOWTRAC DISPOSABLES 403010296 1,134.00NEEDLE HUBER SAFETY 20GX3/4 403020044 35.75NEEDLE HUBER SAFETY 20GX1 403020045 35.75ANNULOPLASTY RING MITRAL MCARTH30 403060001 14,120.25CATH HEMOSPLIT SUR 27CM 403060004 1,312.25DEFIB, 7288 403060199 48,148.25LEAD, DEFIB 6949 403060200 23,571.75LEAD, OWT CS 4194 403060201 12,017.00PCMKR ADX 5380 403060205 18,563.25DEFIB EPIC DR V235 403060209 68,636.00TUBING HIGH PRESSURE 20 INCH 403060217 26.75CATHETER SILVERHAWK TIP 6.0CM 403060219 7,061.00CATHETER SILVERHAWK TIP 9.0CM 403060220 7,061.00CATHETER SILVERHAWK TIP 2.6CM 403060221 7,061.00CATHETER SILVERHAWK TIP 4.3CM 403060222 7,061.00CATHETER SILVERHAWK TIP 2.2CM 403060223 7,061.00NAMIC INTERVENTIONAL KIT 403060229 190.25CATHETER SILVERHAWK TIP 6.0 MS 403060252 7,061.00CLOSURE DEV PERCLOSE PROSTAR XL10 403060268 1,782.00CLOSURE DEVICE CLINCHER 403060270 151.50ENDO TRUNK-IPSI LEG 23X12X14 403060272 14,244.00ENDO TRUNK-IPSI LEG 23X12X16 403060273 14,244.00ENDO TRUNK-IPSI LEG 23X12X18 403060274 14,244.00ENDO TRUNK-IPSI LEG 23X14.5X14 403060275 14,244.00ENDO TRUNK-IPSI LEG 23X14.5X16 403060276 14,244.00ENDO TRUNK-IPSI LEG 23X14.5X18 403060277 14,244.00ENDO TRUNK-IPSI LEG 26X12X14 403060278 14,244.00ENDO TRUNK-IPSI LEG 26X12X16 403060279 14,244.00ENDO TRUNK-IPSI LEG 26X12X18 403060280 14,244.00ENDO TRUNK-IPSI LEG 26X14.5X14 403060281 14,244.00ENDO TRUNK-IPSI LEG 26X14.5X16 403060282 14,244.00ENDO TRUNK-IPSI LEG 26X14.5X18 403060283 14,244.00ENDO TRUNK-IPSI LEG 28.5X12X14 403060284 14,244.00ENDO TRUNK-IPSI LEG 28.5X12X16 403060285 14,244.00ENDO TRUNK-IPSI LEG 28.5X12X18 403060286 14,244.00ENDO TRUNK-IPSI LEG 28.5X14.5X14 403060287 14,244.00ENDO TRUNK-IPSI LEG 28.5X14.5X16 403060288 14,244.00ENDO TRUNK-IPSI LEG 28.5X14.5X18 403060289 14,244.00ENDO CONTRA LEG 12X10 403060290 8,769.75ENDO CONTRA LEG 12X12 403060291 8,769.75ENDO CONTRA LEG 12X14 403060292 8,769.75ENDO CONTRA LEG 14.5X10 403060293 8,769.75ENDO CONTRA LEG 14.5X12 403060294 8,769.75

ENDO CONTRA LEG 14.5X14 403060295 8,769.75ENDO CONTRA LEG 16X9.5 403060296 8,769.75ENDO CONTRA LEG 16X11.5 403060297 8,769.75ENDO CONTRA LEG 16X13.5 403060298 8,769.75ENDO CONTRA LEG 18X9.5 403060299 8,769.75ENDO CONTRA LEG 18X11.5 403060300 8,769.75ENDO CONTRA LEG 18X13.5 403060301 8,769.75SHEATH INTRODUCER 12X30CM 403060302 578.25SHEATH INTRODUCER 18X35CM 403060303 861.75BALLOON OCCLUSSION 27MMX65CM 403060304 1,555.25BALLOON OCCLUSSION 33MMX65CM 403060305 1,555.25STENT ENDO CONTRALAT LEG 20X9.5 403060308 8,769.75STENT ENDO CONTRALAT LEG 20X11.5 403060309 8,769.75STENT ENDO CONTRALAT LEG 20X13.5 403060310 8,769.75STENT AORTIC EXTENDER 23X3.3 403060311 6,146.50STENT AORTIC EXTENDER 26X3.3 403060312 6,146.50STENT AORTIC EXTENDER 28.5X3.3 403060313 6,146.50STENT ILLIAC EXTENDER 10X7 403060314 6,146.50STENT ILLIAC EXTENDER 12X7 403060315 6,146.50STENT ILLIAC EXTENDER 14.5X7 403060316 6,146.50CATHETER VANSCHIE 4 403060387 162.50CATHETER VANSCHIE 5 403060388 162.50CLOSURE DEVICE KNOT PUSHER 403060405 75.50BALLOON TRI-LOBE TAA 403060506 2,581.50SHEATH INTRODUCER 20X30 403060507 1,530.75SHEATH INTRODUCER 22X30 403060508 1,224.50SHEATH INTRODUCER 24X30 403060509 1,224.50STENT GRAFT TAA 26MMX10CM 403060510 35,636.50STENT GRAFT TAA 28MMX10CM 403060511 35,636.50STENT GRAFT TAA 28MMX15CM 403060512 35,636.50STENT GRAFT TAA 31MMX10CM 403060513 35,636.50STENT GRAFT TAA 31MMX15CM 403060514 35,636.50STENT GRAFT TAA 34MMX10CM 403060515 35,636.50STENT GRAFT TAA 34MMX15CM 403060516 35,636.50STENT GRAFT TAA 34MMX20CM 403060517 35,636.50STENT GRAFT TAA 37MMX10CM 403060518 35,636.50STENT GRAFT TAA 37MMX15CM 403060519 35,636.50STENT GRAFT TAA 37MMX20CM 403060520 35,636.50STENT GRAFT TAA 40MMX10CM 403060521 35,636.50STENT GRAFT TAA 40MMX15CM 403060522 35,636.50STENT GRAFT TAA 40MMX20CM 403060523 35,636.50STENT FLUENCY 7 X 80 X 117 403060525 8,486.00WIRE NITREX .035X180 ANGLED 403060627 256.75FILTER SPIDERX 5MM 403060630 5,615.50FILTER SPIDERX 6MM 403060631 5,615.50FILTER SPIDERX 7MM 403060632 5,615.50FILTER SPIDERX 4MM 403060633 5,615.50FILTER IVC REMOVABLE G-2 403060655 4,744.75CATHETER-TRELLIS 8 15X80CM 403060656 6,785.75CATHETER-TRELLIS 8 30X80CM 403060657 6,785.75CATHETER-TRELLIS 8 15X120CM 403060658 6,785.75CATHETER TRELLIS 8 30X120CM 403060659 6,785.75CATHETER-TAL PALINDROME 19CM 403060660 3,401.25CATHETER-TAL PALINDROME 23CM 403060661 3,401.25PERCLOSE SNARED KNOT PUSHER 403060662 27.00SHEATH GORE 12 X 30 403060690 357.25SHEATH GORE 18 X 30 403060691 489.50WIRE LUNDERQUIST STIFF 260CM STRT 403060705 437.25WIRE LUNDERQUIST STIFF 260CM CURV 403060706 650.00BALLOON Z-MED II 28MMX2CM 403060765 3,856.50BALLOON Z-MED II 28MMX4CM 403060766 3,856.50BALLOON Z-MED II 30MMX2CM 403060767 3,856.50BALLOON Z-MED II 30MMX4CM 403060768 3,856.50BALLOON Z-MED II 30MMX5CM 403060769 3,856.50CATHETER TURBO ELITE 0.9 403060776 7,738.00

CATHETER TURBO ELITE 1.4 403060778 7,738.00CATHETER-CLIRPATH 1.7X150 403060779 7,738.00CATHETER TURBO ELITE 2.0 403060780 7,738.00CATHETER-CLIRPATH 2.3X120 403060781 7,738.00CATHETER TURBO ELITE 2.5 403060782 7,738.00WIRE-QUICK CROSS SUPPORT .014X135 403060783 663.00WIRE-QUICK CROSS SUPPORT .018X135 403060784 663.00WIRE-QUICK CROSS SUPPORT .035X135 403060785 714.25BALLOON-STERLING MR 3X20X135 403060812 1,403.00BALLOON-STERLING MR 3X30X135 403060813 1,403.00BALLOON-STERLING MR 3X60X135 403060814 1,403.00BALLOON-STERLING MR 3.5X20X135 403060815 1,403.00BALLOON-STERLING MR 3.5X30X135 403060816 1,403.00BALLOON-STERLING MR 3.5X40X135 403060817 1,403.00BALLOON-STERLING MR 4X10X80 403060818 1,403.00BALLOON-STERLING MR 4X15X80 403060819 1,403.00BALLOON-STERLING MR 3X40X135 403060820 1,403.00BALLOON-STERLING MR 4X20X80 403060821 1,403.00BALLOON-STERLING MR 4X30X80 403060822 1,403.00BALLOON-STERLING MR 4X40X135 403060823 1,403.00BALLOON-STERLING MR 4X60X135 403060824 1,403.00BALLOON-STERLING MR 4.5X15X80 403060825 1,403.00BALLOON-STERLING MR 4.5X20X80 403060826 1,403.00BALLOON-STERLING MR 4.5X30X80 403060827 1,403.00BALLOON-STERLING MR 4.5X40X80 403060828 1,403.00BALLOON-STERLING MR 4.5X20X135 403060829 1,403.00BALLOON-STERLING MR 4.5X30X135 403060830 1,403.00BALLOON-STERLING MR 4.5X40X135 403060831 1,403.00BALLOON-STERLING MR 5X10X80 403060832 1,403.00BALLOON-STERLING MR 5X15X80 403060833 1,403.00BALLOON-STERLING MR 5X20X80 403060834 1,403.00BALLOON-STERLING MR 5X30X80 403060835 1,403.00BALLOON-STERLING MR 5X40X80 403060836 1,403.00BALLOON-STERLING MR 5X20X135 403060837 1,403.00BALLOON-STERLING MR 5X30X135 403060838 1,403.00BALLOON-STERLING MR 5X40X135 403060839 1,403.00BALLOON-STERLING MR 5X60X135 403060840 1,403.00BALLOON-STERLING MR 5.5X15X80 403060841 1,403.00BALLOON-STERLING MR 5.5X20X135 403060842 1,403.00BALLOON-STERLING MR 5.5X30X135 403060843 1,403.00BALLOON-STERLING MR 5.5X40X135 403060844 1,403.00CATHETER MACH 1 6FR-C1 55CM 403060847 387.00CATHETER MACH 1 6FR-C2 55CM 403060848 387.00CATHETER MACH 1 6FR-LIMA 55CM 403060849 387.00CATHETER MACH 1 6FR RDC 55CM 403060850 387.00CATHETER MACH 1 6FR RESS 55CM 403060851 387.00CATHETER MACH 1 6FR HS 55CM 403060852 387.00CATHETER MACH 1 6FR RDC 1 55CM 403060853 387.00CATHETER MACH 1 7FR LIMA 55CM 403060854 387.00CATHETER MACH 1 7FR RDC 55CM 403060855 387.00CATHETER MACH 1 7FR HS 55CM 403060856 387.00BALLOON-STERLING MR 6X10X80 403060857 1,403.00BALLOON-STERLING MR 6X15X80 403060858 1,403.00BALLOON-STERLING MR 6X20X80 403060859 1,403.00BALLOON-STERLING MR 6X30X80 403060860 1,403.00BALLOON-STERLING MR 6X40X80 403060861 1,403.00BALLOON-STERLING MR 6X20X135 403060862 1,403.00BALLOON-STERLING MR 6X30X135 403060863 1,403.00BALLOON-STERLING MR 6X40X135 403060864 1,403.00BALLOON-STERLING MR 6X60X135 403060865 1,403.00BALLOON-STERLING MR 6.5X20X135 403060866 1,403.00BALLOON-STERLING MR 6.5X30X135 403060867 1,403.00BALLOON-STERLING MR 6.5X40X135 403060868 1,403.00BALLOON-STERLING MR 7X10X80 403060869 1,403.00BALLOON-STERLING MR 7X15X80 403060870 1,403.00

BALLOON-STERLING MR 7X20X80 403060871 1,403.00BALLOON-STERLING MR 7X30X80 403060872 1,403.00BALLOON-STERLING MR 7X40X80 403060873 1,403.00BALLOON-STERLING MR 7X20X135 403060874 1,403.00BALLOON-STERLING MR 7X30X135 403060875 1,403.00BALLOON-STERLING MR 7X40X135 403060876 1,403.00BALLOON-STERLING MR 7X60X135 403060877 1,403.00BALLOON-STERLING MR 8X10X80 403060878 1,403.00BALLOON-STERLING MR 8X15X80 403060879 1,403.00BALLOON-STERLING MR 8X20X80 403060880 1,403.00BALLOON-STERLING MR 8X30X80 403060881 1,403.00BALLOON-STERLING MR 8X40X80 403060882 1,403.00BALLOON-STERLING MR 8X20X135 403060883 1,403.00BALLOON-STERLING MR 8X30X135 403060884 1,403.00BALLOON-STERLING MR 8X40X135 403060885 1,403.00BALLOON-STERLING MR 8X60X135 403060886 1,403.00BALLOON-CUTTING PERIPH 5X20X90 403060887 3,401.25BALLOON-CUTTING PERIPH 6X20X90 403060888 3,401.25BALLOON-CUTTING PERIPH 7X20X90 403060889 3,401.25BALLOON-CUTTING PERIPH 8X20X90 403060890 3,401.25BALLOON-CUTTING PERIPH 5X20X135 403060891 3,401.25BALLOON-CUTTING PERIPH 6X20X135 403060892 3,401.25BALLOON-CUTTING PERIPH 7X20X135 403060893 3,401.25BALLOON-CUTTING PERIPH 8X20X135 403060894 3,401.25STENT-PROTEGE EVERFLEX 6X100 403060897 4,761.75STENT-PROTEGE EVERFLEX 6X120 403060898 4,761.75STENT-PROTEGE EVERFLEX 6X150 403060899 4,761.75STENT-PROTEGE EVERFLEX 7X100 403060900 4,761.75STENT-PROTEGE EVERFLEX 7X120 403060901 4,761.75STENT-PROTEGE EVERFLEX 7X150 403060902 4,761.75STENT-PROTEGE EVERFLEX 8X100 403060903 4,761.75STENT-PROTEGE EVERFLEX 8X120 403060904 4,761.75STENT-PROTEGE EVERFLEX 8X150 403060905 4,761.75CLOSURE DEVICE STARCLOSE 403060915 1,020.25STENT ATRIUM-ICAST 9X59X120 403060924 8,562.50STENT ATRIUM ICAST 5X16X120 403060925 7,431.75STENT ATRIUM ICAST 5X22X120 403060926 7,593.25STENT ATRIUM ICAST 7X28X120 403060927 7,916.50STENT ATRIUM ICAST 9X38X120 403060929 7,916.50BALLOON AMPHIRION 3X40X150 403060996 1,224.50BALLOON AMPHIRION 3.5X40X150 403060997 1,224.50PACEMAKER ZEPHRY DUAL 403061118 9,591.25STENT PROTEGE 6X20X120 403061154 3,316.25STENT PROTEGE 6X30X120 403061155 3,316.25STENT PROTEGE 6X40X120 403061156 3,316.25STENT PROTEGE 6X60X120 403061157 3,316.25STENT PROTEGE 6X80X120 403061158 3,316.25STENT PROTEGE 7X20X120 403061159 3,316.25STENT PROTEGE 7X30X120 403061160 3,316.25STENT PROTEGE 7X40X120 403061161 3,316.25STENT PROTEGE 7X60X120 403061162 3,316.25STENT PROTEGE 7X80X120 403061163 3,316.25STENT PROTEGE 8X20X120 403061164 3,316.25STENT PROTEGE 8X30X120 403061165 3,316.25STENT PROTEGE 8X40X120 403061166 3,316.25STENT PROTEGE 8X60X120 403061167 3,316.25STENT PROTEGE 8X80X120 403061168 3,316.25BALLOON AMPHIRION 2.5X12X150 403061169 1,224.50BALLOON AMPHIRION 3X80X150 403061170 1,224.50BALLOON AMPHIRION 3.5X80X150 403061171 1,224.50BALLOON AMPHIRION 3.5X120X150 403061172 1,224.50BALLOON AMPHIRION 4X80X150 403061173 1,224.50BALLOON AMPHIRION 4X120X150 403061174 1,224.50STENT PROTEGE 10X20X120 403061175 3,316.25STENT PROTEGE 10X40X120 403061176 3,316.25

STENT PROTEGE 10X60X120 403061177 3,316.25STENT PROTEGE 10X80X120 403061178 3,316.25STENT PROTEGE 12X20X120 403061179 3,316.25STENT PROTEGE 12X40X120 403061180 3,316.25STENT PROTEGE 12X60X120 403061181 3,316.25STENT PROTEGE 12X80X120 403061182 3,316.25STENT PROTEGE 14X20X120 403061183 3,316.25STENT PROTEGE 14X40X120 403061184 3,316.25STENT PROTEGE 14X60X120 403061185 3,316.25STENT PROTEGE 14X80X120 403061186 3,316.25BALLOON SUBMARINE 4.5X40X130 403061187 816.25BALLOON SUBMARINE 5X40X130 403061188 816.25BALLOON SUBMARINE 5X80X130 403061189 816.25BALLOON SUBMARINE 5X120X130 403061190 816.25BALLOON SUBMARINE 6X20X130 403061191 816.25BALLOON SUBMARINE 6X40X130 403061192 816.25BALLOON SUBMARINE 6X80X130 403061193 816.25BALLOON SUBMARINE 6X120X130 403061194 816.25BALLOON SUBMARINE 7X80X130 403061195 816.25STENT PROTEGE 6X20X80 403061196 3,316.25STENT PROTEGE 6X30X80 403061197 3,316.25STENT PROTEGE 6X40X80 403061198 3,316.25STENT PROTEGE 6X60X80 403061199 3,316.25STENT PROTEGE 6X80X80 403061200 3,316.25STENT PROTEGE 7X20X80 403061201 3,316.25STENT PROTEGE 7X30X80 403061202 3,316.25STENT PROTEGE 7X40X80 403061203 3,316.25STENT PROTEGE 7X60X80 403061204 3,316.25STENT PROTEGE 7X80X80 403061205 3,316.25STENT PROTEGE 8X20X80 403061206 3,316.25STENT PROTEGE 8X30X80 403061207 3,316.25STENT PROTEGE 8X40X80 403061208 3,316.25STENT PROTEGE 8X60X80 403061209 3,316.25STENT PROTEGE 8X80X80 403061210 3,316.25STENT HERCULINK ELITE 6.5X12X135 403061213 3,741.00STENT HERCULINK ELITE 6.5X15X135 403061214 3,741.00STENT HERCULINK ELITE 6.5X18X135 403061215 3,741.00STENT HERCULINK ELITE 7X15X135 403061216 3,741.00STENT HERCULINK ELITE 7X18X135 403061217 3,741.00BALLOON AGILTRAC 4X20X80 403061218 775.50BALLOON AGILTRAC 4X40X80 403061219 775.50BALLOON AGILTRAC 4X60X80 403061220 775.50BALLOON AGILTRAC 4X80X80 403061221 775.50BALLOON AGILTRAC 4X100X80 403061222 775.50BALLOON AGILTRAC 5X20X80 403061223 775.50BALLOON AGILTRAC 5X40X80 403061224 775.50BALLOON AGILTRAC 5X60X80 403061225 775.50BALLOON AGILTRAC 5X80X80 403061226 775.50BALLOON AGILTRAC 5X100X80 403061227 775.50BALLOON AGILTRAC 6X20X80 403061228 775.50BALLOON AGILTRAC 6X40X80 403061229 775.50BALLOON AGILTRAC 6X60X80 403061230 775.50BALLOON AGILTRAC 6X80X80 403061231 775.50BALLOON AGILTRAC 6X100X80 403061232 775.50BALLOON AGILTRAC 7X20X80 403061233 775.50BALLOON AGILTRAC 7X40X80 403061234 775.50BALLOON AGILTRAC 7X60X80 403061235 775.50BALLOON AGILTRAC 7X80X80 403061236 775.50BALLOON AGILTRAC 7X100X80 403061237 775.50BALLOON AGILTRAC 8X20X80 403061238 775.50BALLOON AGILTRAC 8X40X80 403061239 775.50BALLOON AGILTRAC 8X60X80 403061240 775.50BALLOON AGILTRAC 8X80X80 403061241 775.50BALLOON AGILTRAC 9X20X80 403061242 775.50BALLOON AGILTRAC 9X40X80 403061243 775.50

BALLOON AGILTRAC 9X60X80 403061244 775.50BALLOON AGILTRAC 10X20X80 403061245 775.50BALLOON AGILTRAC 10X40X80 403061246 775.50BALLOON AGILTRAC 10X60X80 403061247 775.50BALLOON AGILTRAC 4X20X135 403061248 775.50BALLOON AGILTRAC 4X40X135 403061249 775.50BALLOON AGILTRAC 4X60X135 403061250 775.50BALLOON AGILTRAC 4X80X135 403061251 775.50BALLOON AGILTRAC 4X100X135 403061252 775.50BALLOON AGILTRAC 5X20X135 403061253 775.50BALLOON AGILTRAC 5X40X135 403061254 775.50BALLOON AGILTRAC 5X60X135 403061255 775.50BALLOON AGILTRAC 5X80X135 403061256 775.50BALLOON AGILTRAC 5X100X135 403061257 775.50BALLOON AGILTRAC 6X20X135 403061258 775.50BALLOON AGILTRAC 6X40X135 403061259 775.50BALLOON AGILTRAC 6X60X135 403061260 775.50BALLOON AGILTRAC 6X80X135 403061261 775.50BALLOON AGILTRAC 6X100X135 403061262 775.50BALLOON AGILTRAC 7X20X135 403061263 775.50BALLOON AGILTRAC 7X40X135 403061264 775.50BALLOON AGILTRAC 7X60X135 403061265 775.50BALLOON AGILTRAC 7X80X135 403061266 775.50BALLOON AGILTRAC 7X100X135 403061267 775.50BALLOON AGILTRAC 8X20X135 403061268 775.50BALLOON AGILTRAC 8X40X135 403061269 775.50BALLOON AGILTRAC 8X60X135 403061270 775.50BALLOON AGILTRAC 8X80X135 403061271 775.50BALLOON AGILTRAC 9X20X135 403061272 775.50BALLOON AGILTRAC 9X40X135 403061273 775.50BALLOON AGILTRAC 9X60X135 403061274 775.50BALLOON AGILTRAC 10X20X135 403061275 775.50BALLOON AGILTRAC 10X40X135 403061276 775.50BALLOON AGILTRAC 10X60X135 403061277 775.50STENT HERCULINK ELITE 4X12X135 403061278 3,741.00STENT HERCULINK ELITE 4X15X135 403061279 3,741.00STENT HERCULINK ELITE 4X18X135 403061280 3,741.00STENT HERCULINK ELITE 4.5X12X135 403061281 3,741.00STENT HERCULINK ELITE 4.5X15X135 403061282 3,741.00STENT HERCULINK ELITE 4.5X18X135 403061283 3,741.00STENT HERCULINK ELITE 5X12X135 403061284 3,741.00STENT HERCULINK ELITE 5X15X135 403061285 3,741.00STENT HERCULINK ELITE 5X18X135 403061286 3,741.00STENT HERCULINK ELITE 5.5X12X135 403061287 3,741.00STENT HERCULINK ELITE 5.5X15X135 403061288 3,741.00STENT HERCULINK ELITE 5.5X18X135 403061289 3,741.00STENT HERCULINK ELITE 6X12X135 403061290 3,741.00STENT HERCULINK ELITE 6X15X135 403061291 3,741.00STENT HERCULINK ELITE 6X18X135 403061292 3,741.00SHEATH TURBO BOOSTER 7F 403061295 2,040.75SHEATH TURBO BOOSTER 8F 403061296 2,040.75STENT BRIDGE ASSURANT 9X30X130 403061297 3,401.25STENT BRIDGE ASSURANT 10X30X80 403061298 3,401.25STENT BRIDGE ASSURANT 10X30X130 403061299 3,401.25STENT FLUENCY 8X40X117 403061342 5,972.75STENT FLUENCY 8X80X117 403061343 5,602.50STENT FLUENCY 9X60X117 403061344 5,602.50STENT FLUENCY 10X80X117 403061345 5,972.75STENT XCEED 7X20X120 403061346 4,081.50STENT XCEED 7X30X120 403061347 4,081.50STENT XCEED 7X40X120 403061348 4,081.50STENT XCEED 7X60X120 403061349 4,081.50STENT XCEED 7X80X120 403061350 4,081.50STENT XCEED 7X100X120 403061351 4,081.50STENT XCEED 8X20X120 403061352 4,081.50

STENT XCEED 8X30X120 403061353 4,081.50STENT XCEED 8X40X120 403061354 4,081.50STENT XCEED 8X60X120 403061355 4,081.50STENT XCEED 8X80X120 403061356 4,081.50STENT XCEED 8X100X120 403061357 3,333.25STENT OMNILINK 5X18X80 403061358 3,401.25STENT OMNILINK 5X38X80 403061359 3,401.25STENT OMNILINK 5X58X80 403061360 3,401.25STENT OMNILINK 6X18X80 403061361 3,401.25STENT OMNILINK 6X28X80 403061362 3,401.25STENT OMNILINK 6X38X80 403061363 3,401.25STENT OMNILINK 6X58X80 403061364 3,401.25STENT OMNILINK 7X38X80 403061365 3,401.25STENT OMNILINK 7X58X80 403061366 3,401.25STENT OMNILINK 8X58X80 403061367 3,401.25STENT OMNILINK 10X18X80 403061368 3,401.25STENT OMNILINK 5X18X135 403061369 3,401.25STENT OMNILINK 5X28X135 403061370 3,401.25STENT OMNILINK 5X38X135 403061371 3,401.25STENT OMNILINK 5X58X135 403061372 3,401.25STENT OMNILINK 6X18X135 403061373 3,401.25STENT OMNILINK 6X28X135 403061374 3,401.25STENT OMNILINK 6X38X135 403061375 3,401.25STENT OMNILINK 6X58X135 403061376 3,401.25STENT OMNILINK 7X18X135 403061377 3,401.25STENT OMNILINK 7X28X135 403061378 3,401.25STENT OMNILINK 7X38X135 403061379 3,401.25STENT OMNILINK 7X58X135 403061380 3,401.25STENT OMNILINK 8X18X135 403061381 3,401.25STENT OMNILINK 8X28X135 403061382 3,401.25STENT OMNILINK 8X38X135 403061383 3,401.25STENT OMNILINK 8X58X135 403061384 3,401.25STENT OMNILINK 9X18X135 403061385 3,401.25STENT OMNILINK 9X28X135 403061386 3,401.25STENT OMNILINK 9X38X135 403061387 3,401.25STENT OMNILINK 9X58X135 403061388 3,401.25STENT OMNILINK 10X18X135 403061389 3,401.25STENT OMNILINK 10X28X135 403061390 3,401.25STENT OMNILINK 10X38X135 403061391 3,401.25STENT OMNILINK 10X58X135 403061392 3,401.25BALLOON VIATRAC 5.5X20X135 403061393 959.25BALLOON AGILTRAC 12X20X80 403061394 775.50BALLOON AGILTRAC 12X40X80 403061395 775.50BALLOON AGILTRAC 14X20X80 403061396 775.50BALLOON AGILTRAC 14X40X80 403061397 775.50STENT XCEED 5X20X120 403061398 4,081.50STENT XCEED 5X30X120 403061399 4,081.50STENT XCEED 5X40X120 403061400 4,081.50STENT XCEED 5X60X120 403061401 4,081.50STENT XCEED 5X80X120 403061402 4,081.50STENT XCEED 6X20X120 403061403 4,081.50STENT XCEED 6X30X120 403061404 4,081.50STENT XCEED 6X40X120 403061405 4,081.50STENT XCEED 6X60X120 403061406 4,081.50STENT XCEED 6X80X120 403061407 4,081.50STENT XCEED 6X100X120 403061408 3,333.25STENT FLUENCY 6X80X117 403061409 5,602.50SHEATH DESTINATION 65CM 6F 403061410 438.50SHEATH DESTINATION 65CM 7F 403061411 438.50STENT ABSOLUTE 9X20X120 403061412 3,401.25STENT ABSOLUTE 9X60X120 403061413 3,401.25STENT ABSOLUTE 9X80X120 403061414 3,401.25STENT ABSOLUTE 9X100X120 403061415 3,401.25STENT ABSOLUTE 10X20X120 403061416 3,401.25STENT ABSOLUTE 10X60X120 403061417 3,401.25

STENT ABSOLUTE 10X80X120 403061418 3,401.25STENT ABSOLUTE 10X100X120 403061419 3,401.25STENT OMNILINK 5X28X80 403061420 3,401.25WIRE FIXED CORE J-TIP .035X175 403061421 43.00CATHETER ROYAL FLUSH PIG 70CM 403061503 480.75CATHETER SILVERHAWK R-LS-C 403061574 8,486.00CLOSURE DEVICE V-PAD 403061586 190.25STENT VIABAHN HEP 6X10CM 403061587 9,884.25STENT VIABAHN HEP 6X5CMX120 403061588 9,884.25STENT VIABAHN HEP 7X10CMX120 403061589 9,884.25STENT VIABAHN HEP 7X15CMX120 403061590 11,452.00STENT VIABAHN HEP 8X10CMX75 403061591 9,884.25STENT VIABAHN HEP 8X10CMX120 403061592 9,884.25STENT VIABAHN HEP 8X15CMX75 403061593 11,452.00SHEATH ARROW 6F X 24CM 403061703 259.25SHEATH ARROW 6F X 45CM 403061704 310.25SHEATH ARROW 7F X 24CM 403061705 259.25SHEATH ARROW 7F X 45CM 403061706 310.25SHEATH ARROW 8F X 24CM 403061707 259.25SHEATH ARROW 8F X 45CM 403061708 310.25CATHETER GUIDE JB2 6.5 X 125 403061709 314.00BURR CLASSIC DIAMOND BACK 1.5 403061752 9,432.25BURR SOLID DIAMOND BACK 1.5 403061753 9,432.25BURR SOLID DIAMOND BACK 1.75 403061754 9,432.25BURR SOLID DIAMOND BACK 2.0 403061755 9,432.25BURR SOLID DIAMOND BACK 2.25 403061756 9,432.25WIRE FIRM DIAMOND BACK 403061757 642.25CLOSURE DEVICE STARCLOSE SE 403061775 775.00BI-V DEFIB CRT PROMOTE CD3211-36 403061918 87,115.50TUBING FLUID ADMIN 100" 403062028 9.75PACEMAKER ALTRUA VVI S601 403062193 15,387.25VALVE AORTIC BIOPROSTHESIS 21MM 403062216 16,200.00PATCH PERICARDIAL 8X8CM 403062352 453.00WATERLOCK 2 403062353 45.89VARIOUS DEG 15MM TI J CONN 403063436 5,596.50VALVE EDWARDS 23MM AORTIC PERIMOU 403070000 18,372.00ANNULOPLASTY RING MITRAL 30MM 403070001 14,120.25DEVICE EMBOLX 403070002 2,599.75ENDOPATH REDUCER CAP (BX/6) 403070003 39.00RELOAD ENDOPATH 45MM 403070004 1,486.50PROMIMATE LINEAR CUTTER 55MM 403070005 447.00RELOAD LINEAR CUTTER 55MM 403070006 457.75AORTIC CROSS CLAMP INSERT 86MM 403070008 194.25ET TUBE LMA 4 403070009 92.00ET TUBE LMA 5 403070010 91.00VALVE AORTIC PERIMOUNT 3000 19MM 403070011 18,372.00VALVE AORTIC PERIMOUNT 3000 21MM 403070012 18,372.00ACD-A (ANTICOAGULANT CITRATE) 403070013 141.50VALVE AORTIC MECHANICAL ON-X 19MM 403070015 22,878.75SUTURE 2 VICRYL TP-1 403070016 102.00KIT PLATELET GEL PROCEDURE RATIO 403070017 170.00APPLICATOR TIPS PLATELET KIT 20GA 403070018 149.00TIP DUAL SPRAY 403070019 149.00DERMABOND PROPEN 403070021 423.25SUTURE DEVICE PURESTRING 45 403070022 749.25SUTURE DEVICE PURESTRING 65 403070023 749.25SUTURE 2/0 PROLENE CT-1 42" 403070024 188.25SUTURE 3/0 PROLENE CT-1 42" 403070025 169.75DRAIN BLAKE FLAT FLUTED 7MM 403070026 280.25GRAFT DISTAFLO BYP BEAD 6MMX80CM 403070027 8,099.25GRAFT DISTAFLO BYP BEAD 6MMX70CM 403070028 8,423.25STIMULATOR SPINAL CORD PISCES QUA 403070029 6,004.00CANNULA VESSEL DLP 403070030 42.00GRAFT VASC COLLAGEN COATED 8X100 403070031 2,916.00PACK MINOR SURGICAL 6/CS 403070033 151.00

GRAFT HEMASHIELD PLATINUM 18X9 403070034 4,319.50PATCH CAROTID 2CMX9CM 403070035 1,004.50VALVE CONFORM-X AORTIC 19MM 403070036 21,381.75VALVE CONFORM-X AORTIC 21MM 403070037 21,381.75VALVE CONFORM-X AORTIC 23MM 403070038 21,381.75VALVE CONFORM-X AORTIC 27/29MM 403070039 21,381.75VALVE ON-X MITRAL 25MM 403070040 21,381.75VALVE ON-X MITRAL 27/29MM 403070041 21,381.75VALVE CONFORM-X MITRAL 25/33MM 403070042 21,381.75CATHETER PERITONEAL DIALYSIS 24.4 403070043 614.00VALVE HYDROLINE TRUMPET 12/CS 403070044 245.00VALVE AORTIC GRAFT ROTATABLE 27MM 403070045 17,176.50VALVE 29MM AORTIC PERI BIO 403070046 17,007.75EMBOL-X FILTER & CLAMP 403070047 2,754.00CLIP APPLIER CARTRIDGE MED/LG 403070048 430.50VALVE CONFORM-X AORTIC 25MM 403070049 21,381.75CO2 HEART LASER TMR KIT 403070050 12,936.75DRAIN BLAKE FLAT 10MM 3/4 FLUTTED 403070051 209.25STABILIZER OFF PUMP ESTECH 403070069 3,871.75VEIN SAPHENOUS CRYOVEIN 4MMX75CM 403070079 21,381.75VALVE AORTIC PERIMOUNT MAGNA 25MM 403070080 23,451.50VALVE AORTIC PERIMOUNT MAGNA 27MM 403070081 17,899.50VALVE AORTIC PERIMOUNT MAGNA 29MM 403070082 17,899.50CATHETER LAPAROSCOPIC CHOLANGIO 403070083 740.50FILM ADHESION BARRIER 5 X 6 10/BX 403070085 1,101.50DRESSING PATCH HERNIA "3 X 4.6" 403070090 1,775.50DRESSING PATCH HERNIA "5.4 X 7" 403070091 5,971.75DRESSING PATCH HERNIA "4.3 X 5.5" 403070092 4,711.00NEEDLE SPINAL QUINCKE 25G 403070093 3.00OPTICAL SEPARATOR THREADS 5X100MM 403070094 202.00CANNULA W/THREADS 5X100MM 403070095 51.00SUTURE 0 MONOCRYL UR-6 27" 403070096 15.50SUTURE 0 PDS ENDOLOOP 18" 403070097 122.75SUTURE 0 VICRYL ENDOLOOP 18" 403070098 105.00SUTURE 0 PDS II CT-2 27" MONO 403070100 15.75CLAMP TRANSPOLAR ABLATION 403070101 11,231.00LEAD EPICARDIAL 4968 403070102 5,939.75GRAFT STANDARD WALL 6MM X 70CM 403070103 5,437.25DRAIN FLAT W/TROCAR 7MM 403070104 57.75DRAIN TRIPLE LUMEN SUMP 403070105 252.00NEEDLE BIOPSY TRU-CUT 14GA 403070106 139.75EXPANDER TISSUE (BREAST) 403070107 6,344.75UNIVERSAL FILL SYSTEM (BREAST) 403070108 453.50NEEDLE 21 GAUGE (INAMED) 403070109 189.00VALVE AORTIC GRAFT ROTATABLE 29MM 403070110 17,520.25GRAFT ENDOVASCULAR VIABAHN 9X15MM 403070111 10,101.50TISSUE ALLODERM IMPLANTABLE 403070112 6,203.75VALVE AORTIC GRAFT ROTATABLE 19MM 403070114 13,795.50VALVE AORTIC GRAFT ROTATABLE 21MM 403070115 13,795.50VALVE AORTIC GRAFT ROTATABLE 31MM 403070116 13,795.50VALVE AORTIC GRAFT ROTATABLE 33MM 403070117 13,795.50VALVE AORTIC REGENT FLEX CUF 19MM 403070118 13,860.00VALVE AORTIC REGENT FLEX CUF 21MM 403070119 13,860.00VALVE AORTIC REGENT FLEX CUF 23MM 403070120 13,860.00VALVE AORTIC REGENT FLEX CUF 25MM 403070121 13,860.00VALVE AORTIC REGENT FLEX CUF 27MM 403070122 13,860.00STAPLER VASC ENDOCUTTER 35MM 403070124 1,350.00RELOAD ENDOCUTTER 35MM 403070125 579.25MESH MACRO POROUS (HERNIA) 6"X6" 403070126 178.50MESH MACRO POROUS (HERNIA) 3"X6" 403070127 142.75MESH MACRO POROUS (HERNIA) 12"X12 403070128 357.25MESH KEY HOLE 403070129 416.50TUBING LIPOSUCTION (6/CS) 403070139 59.50STENT GRAFT VIABAHN 9 X 10 403070142 8,673.00STENT GRAFT VIABAHN 7 X 15 403070143 10,101.50

SUTURE DISPOSABLE GUIDE 403070144 447.50BREAST IMPLANT 68-390 403070145 2,338.50BREAST IMPLANT 68-330 403070146 2,338.50BREAST IMPLANT 68-270 403070147 2,338.50BREAST IMPLANT SIZERS SZ68270 403070148 268.00BREAST IMPLANT SIZERS SZ68360 403070149 268.00NEEDLE CAUTERY ELECTRODE 403070151 2.75CONVERTER AAA ZENITH 403070152 6,802.50GRAFT AAA LLIAC LEG ZENITH 403070153 9,183.25GRAFT BIFURCATED ZENITH MAIN BODY 403070154 25,169.25BALLOON LG DIAMETER OCCULUSION 403070155 1,760.25SUTURE 7-0 PROLENE BV175-6 2PK 403070156 249.00VALVE MITRAL BIOPROTHESIS 25MM 403070157 11,564.25VALVE MITRAL BIOPROTHESIS 27MM 403070158 11,564.25VALVE MITRAL BIOPROTHESIS 29MM 403070159 11,564.25VALVE MITRAL BIOPROTHESIS 30MM 403070160 11,564.25VALVE MITRAL BIOPROTHESIS 33MM 403070161 11,564.25UNIPORT HARVESTING SYSTEM 403070162 3,571.25MESH BIORESORBABLE 8"X12" 403070163 4,889.25GRAFT AORTIC VALVED CONDUIT 27MM 403070165 22,757.75TISSUE ALLODERM IMPLANTABLE 6X12 403070167 5,530.50BREAST IMPLANT 68-600 403070168 2,806.00BREAST IMPLANT 68-510 403070169 2,806.00TUBE STERILE FILL IMPLANTS 403070170 30.00BREAST IMPLANTS 68-480 403070171 2,806.00BREAST IMPLANTS 68-540 403070172 2,806.00BREAST IMPLANTS 68-650 403070173 2,806.00BREAST IMPLANTS 68-590 403070174 2,806.00BREAST IMPLANTS 68-640 403070175 2,806.00SPLINT DENVER NASAL LG 403070176 244.00SPLINT DENVER NASAL SM/LG 403070177 244.00SPLINT BIVALVE NASAL INTERAL STAN 403070178 125.00SPLINT BIVALVE NASAL INTERAL OVSZ 403070179 125.00MESH SURGICAL COOK 20X20CM 403070180 8,503.00MESH SURGICAL COOK 13X22CM 403070181 7,312.75SUTURE 6-0 CHROMIC GUT G-1 403070182 32.25SUTURE 5-0 CHROMIC GUT P-3 403070183 23.50NASAL SPLINTS THERMOPLAS 403070184 32.75VALVE MITRAL STANDARD 19MM 403070189 12,819.00VALVE MITRAL STANDARD 21MM 403070190 12,819.00SUTURE GORETEX CV-5 403070191 115.75HEMASHIELD 8MM HMDVS 8/30 403070193 2,984.50HEMASHIELD 38MM HMDVS 38/30 403070194 3,316.25FILTER & CLAMP EMBLO-X SM 403070195 2,168.25FILTER & CLAMP EMBLO-X MED 403070196 2,168.25FILTER & CLAMP EMBLO-X LARGE 403070197 2,168.25FILTER & CLAMP EMBLO-X XL 403070198 2,168.25ANNULOPLASTY RING FUTURE 24MM 403070199 7,074.50ANNULOPLASTY RING FUTURE 26MM 403070200 7,074.50ANNULOPLASTY RING FUTURE 28MM 403070201 8,408.00ANNULOPLASTY RING FUTURE 30MM 403070202 7,074.50ANNULOPLASTY RING FUTURE 32MM 403070203 7,074.50ANNULOPLASTY RING FUTURE 34MM 403070204 7,074.50ANNULOPLASTY RING FUTURE 36MM 403070205 7,074.50ANNULOPLASTY RING FUTURE 38MM 403070206 7,074.50LEAD EPICARDIAL 35CM MODEL 511211 403070207 2,295.75LEAD EPICARDIAL 54CM MODEL 511212 403070208 2,295.75STAPLER CONTOUR CURVED CUTTER 403070209 1,618.00RELOAD CONTOUR CURVED CUTTER 403070210 836.25MESH PROCEED SURGICAL 8 X 10 403070211 4,106.50SUTURE GORTEX CV-5 TTC-13 403070221 94.25SUTURE GORTEX CV-6 TH-18 403070222 97.00SUTURE GORTEX CV-6 TTC-12 403070223 98.00GRAFT BECTRA 6MM X 40CM 403070224 3,459.25VALVULOTOME LEMAITRE EXPANDABLE 403070225 2,853.00

GRAFT STANDARD WALL 6MM X 40CM 403070226 2,392.00SUTURE 7-0 PROLENE BV-1 18" 403070227 47.25SUTURE 3-0 ETHILON FSLX 30" 403070228 2.50CANNULA CORONARY PERF 8MM ANGLE 403070229 338.25PORTACATH CHEMOSITE LOW PROFILE 403070231 959.25CARTRIDGE CLIP APPLIER MED/LG 403070233 271.25TROCAR TIP DILATOR 12MM 6/BX 403070236 287.50PATCH CORMATRIX XENOGRAFT 403070237 3,316.25TROCAR TIP 5MM W/ BLADE 403070238 218.00STENT GRAFT ZENITH 36 X 113 403070239 20,739.25STENT GRAFT ZENITH 24 X 88 403070240 7,567.00STENT GRAFT ZENITH 24 X 71 403070241 7,567.00BALLOON CODA 32 X 34 403070242 1,477.50BALLOON CODA 40 X 40 403070243 1,477.50CATHETER KMP 65CM 403070244 215.50STENT GRAFT ZENITH 16 X 71 403070245 9,740.75VALSALVA CARBO-SEAL 25MM 403070246 18,753.00GRAFT VASCULAR TAPERED 4-6MM 403070247 1,510.00SUTURE 4-0 CHROMIC GUT G-2 18" 403070248 43.75STENT GRAFT VIABAHN 11X10 403070249 7,441.75FOREHEAD ULTRATINE DEVICE 3.0MM 403070250 775.50SHEATH INTRODUCER 22 X 35 403070252 1,200.00STENT ENDO TRUNK IPSIL 28X14X12 403070253 20,750.25STENT GRAFT ZENITH 32X82 403070255 20,739.25STENT GRAFT ZENITH 10X71 403070256 7,567.00STENT GRAFT ZENITH 24X54 403070257 7,567.00STENT GRAFT ZENITH 24X37 403070258 7,567.00BREAST IMPLANT 363LF-620 403070259 2,720.75SPONGE NEURO 1/4 X 1 1/2 403070262 39.75RHINO ROCKET WIDELINE XL 403070263 125.25RHINO ROCKET SLIMLINE LG 403070264 164.25ELECTRODE CAUTERY BLADE 4IN 403070265 23.00GRAFT HEMASHIELD 22 X 11 PLANT 403070266 2,829.75STENT GRAFT ENDOLOGIX 25 X 55 403070267 7,806.00STENT GRAFT ENDOLOGIX 25 X 75 403070268 8,826.00DRESSING PATCH CRURASOFT 11CMX8CM 403070269 2,488.00SUTURE MERSILENE 4-0 S-4 (12/BX) 403070271 41.00SUTURE MONOCRYL 4-0 P-3 (12/BX) 403070272 16.75SUTURE MONOCRYL 5-0 P-3 (12/BX) 403070273 16.75VERSAPORT TROCAR 11X100MM 403070274 166.50SUTURE CHROMIC GUT 5-0 PS-3 403070275 16.25MESH HERNIA 3X6 6/BX 403070276 434.00STENT GRAFT ZENITH 32 X 111 403070277 21,362.75STENT GRAFT ZENITH 12 X 71 403070278 7,793.00DILATOR 20F / 24F 403070279 641.00SURGIVEST CHEST SUPPORT LG 37-41 403070283 285.00SURGIVEST CHEST SUPPORT XLG 40-42 403070284 285.00CAUTERY BLADE ELECTRODE 2 1/2" 403070285 29.25SUTURE 2-0 ETHIBOND CT-2 C/R 403070286 43.00SUTURE CTD VICRYL 2-0 403070287 44.75SUTURE SILK TIES 0 30" 403070288 2.50PROTACK 5MM 403070289 1,919.50SUTURE 4-0 PLAIN GUT P-3 403070290 16.25SUTURE 5-0 PLAIN GUT P-3 403070291 17.00BANDAGE ACE STERILE 2" 403070292 2.75GRAFT VASC TAPERED 4-7MM X 45 403070295 3,911.50GRAFT VASC PROPATEN 6 X 80 403070296 8,268.25GRAFT VASC PROPATEN 8 X 80 403070297 8,357.00GRAFT VASC 6 X 40 403070298 3,299.25STENT GRAFT ZENITH 12 X 54 403070300 9,740.75STENT GRAFT ZENITH 12 X 88 403070301 9,740.75STENT PALMAZ P5010 403070302 4,761.75STENT GRAFT ENDOLOGIX 28X28 403070303 8,826.00STENT GRAFT ENDOLOGIX 25X16X140 403070304 33,842.25STENT GRAFT ENDOLOGIX 20X20 403070305 7,806.00

STENT GRAFT ENDOLOGIX 16X16 403070306 7,806.00CATHETER ENDOLOGIX 403070307 918.25PORTA CATH MINI PORT 8F 403070309 2,285.75BOVIE HARMONIC ACE 403070310 1,862.50STENT GRAFT ZENITH AAA ILIAC LEG 403070311 9,740.75STENT GRAFT ZENITH AAA FLEX MAIN 403070312 26,852.50STENT GRAFT ZENITH 36 X 95 403070314 26,703.00STENT GRAFT ZENITH 18 X 54 403070315 9,740.75STENT GRAFT ZENITH 28 X 111 403070316 26,703.00STENT GRAFT ZENITH 24 X 96 403070317 26,703.00STENT GRAFT ZENITH 20 X 54 403070318 9,740.75CATHETER LUMBAR DRAINAGE 46CM 403070321 525.25BAG COLLECTION DRAINAGE SYSTEM 403070322 518.50BREAST IMPLANT 68-300 403070323 2,346.75BREAST IMPLANT 68-360 403070324 2,346.75BREAST IMPLANT 68-420 403070325 2,346.75BREAST IMPLANT 68-450 403070326 2,346.75TROCAR OPTIVIEW 5MM 403070327 165.25VALVE AORTIC EPIC STENTED 29MM 403070339 15,116.50VALVE AORTIC EPIC SUPRA STENTD 19 403070340 15,116.50VALVE AORTIC EPIC SUPRA STENTD 21 403070341 15,116.50VALVE AORTIC EPIC SUPRA STENTD 23 403070342 15,116.50VALVE AORTIC EPIC SUPRA STENTD 25 403070343 15,116.50VALVE AORTIC EPIC SUPRA STENTD 27 403070344 15,116.50VALVE MITRAL EPIC STENTED 27MM 403070345 15,116.50VALVE MITRAL EPIC STENTED 29MM 403070346 15,116.50VALVE MITRAL EPIC STENTED 31MM 403070347 15,116.50VALVE MITRAL EPIC STENTED 33MM 403070348 15,116.50CANNULA IMA 25GX28MM BX/10 403070349 1.50GRAFT 8 X 50 RINGED THIN WALL 403070350 2,806.00GRAFT 8 X 80 RINGED THIN WALL 403070351 3,791.50TROCAR OPTIVIEW 11MM 403070354 199.25SUPPORT BELT HERNIA 403070355 36.75EXPANDER TISSUE 403070356 3,464.00TISSUE STRATTICE 5 X 16 403070357 5,610.50EXPANDER TISSUE BREAST 16 403070358 4,330.25EXPANDER TISSUE BREAST 13 403070359 4,330.25EXPANDER TISSUE BREAST 12 403070360 4,330.25STENT GRAFT ZENITH AAA 24-125 403070361 24,725.00DILATOR VASCULAR 16X20 403070362 57.50DILATOR VASCULAR 14X20 403070363 57.50PORTACATH CHEMOSITE 9.6 FR 403070364 869.25LAP BAND 9.75 PORT I 403070365 10,061.75LAP BAND TUBING KIT 403070379 472.50PORTACATH HARD BASE 9.6FR 403070380 888.25BREAST IMPLANT 363LF-690 403070384 2,519.25TRACH BOVINA 6.0 403070385 767.00TROCAR XCEL 100MM 403070386 205.75TROCAR XCEL 150MM 403070387 239.00TROCAR XCEL 11MM 403070388 264.50TROCAR XCEL 15MM 403070389 401.00BREAST IMPLANT SILICONE 15-533 403070390 2,834.50BREAST IMPLANT SILICONE 15-575 403070391 2,834.50EXPANDER TISSUE BREAST 15 403070392 4,330.25GRASPER DIRECT DRIVER 403070393 317.50SHUNT CAROTID BARD 10F 5/BX 403070394 159.25SHUNT CAROTID BARD 12F 5/BX 403070395 159.25SHEATH INTRODUCER 14 X 30CM 403070396 299.75VALVE MITRAL EPIC STENTED 25MM 403070397 15,116.50COSEAL SURGICAL SEALANT 8ML 403070398 2,732.75COSEAL SPRAY SET 403070399 208.25CANNISTER SUCTION 3000CC 40/CS 403070400 7.50BALLOON UROMAX 15FR 4CM 403070401 1,240.75BALLOON UROMAX 18FR 10CM 403070402 1,240.75STENT URETERAL CONTOUR 6X22 403070403 574.25

STENT URETERAL CONTOUR 6X24 403070404 574.25STENT URETERAL CONTOUR 6X26 403070405 574.25STENT URETERAL CONTOUR 6X28 403070406 574.25STENT URETERAL CONTOUR 7X22 403070407 574.25STENT URETERAL CONTOUR 7X24 403070408 574.25STENT URETERAL CONTOUR 7X26 403070409 574.25STENT URETERAL CONTOUR 7X28 403070410 574.25STENT URETERAL POLARIS LOOP 5X22 403070411 685.25STENT URETERAL POLARIS LOOP 5X24 403070412 685.25STENT URETERAL POLARIS LOOP 5X26 403070413 685.25STENT URETERAL POLARIS LOOP 5X28 403070414 685.25STENT URETERAL POLARIS LOOP 6X22 403070415 685.25STENT POLARIS LOOP TM 6X24 403070416 685.25STENT POLARIS LOOP TM 6X26 403070417 685.25STENT POLARIS LOOP 6X28 403070418 685.25GUIDEWIRE .038" PTFE STIFF 403070419 62.00GUIDEWIRE .035" PTFE STIFF 403070420 62.00GLIDEWIRE .035X150 STR 403070421 199.00GLIDEWIRE .035X150 STRT 403070422 289.50GLIDEWIRE .038X150 STRT 403070423 289.50GLIDEWIRE .038X150 ANGL STIFF 403070424 289.50CATHETER URETERAL DUAL LUMEN 403070425 367.25DILATOR RENAL SET 403070426 640.75CATHETER URETERAL AXXCESS 6FR 403070427 58.25EVACUATOR UROVAC 403070428 101.50CUTTING LOOP 24FR 403070431 324.00CUTTING LOOP 27FR 403070432 324.00ELECTRODE ROLLERBALL 24FR 403070433 350.00ELECTRODE ROLLERBALL 27FR 403070434 350.00STENT ZENITH AAA 18X54 403070435 9,435.50GRAFT ENDOVASCULAR ZENITH TX2 403070436 19,525.50TISSUE STRATTICE 20X20 403070437 36,468.75VALVE MITRAL BIOCOR PORCINE 25MM 403070438 14,250.50STAPLER CONTOUR CUTTER THICK 403070439 1,790.25RELOAD CONTOUR CUTTER THICK 403070440 925.50LAP BAND KIT REALIZE 403070441 10,235.25LAP BAND REALIZE REPLCMNT PORT 403070442 2,991.75LEAD EPICARDIAL BIPOLAR 4047 403070446 2,569.75WRENCH HEX #2 6563 403070447 154.25WRENCH TORQUE BIDIRECTIONAL #2 403070448 220.25KIT LEAD CAP 6623 403070449 154.25SUTURE INSERTS MEDTRONIC 403070451 220.25STENT GRAFT 25X16 403070452 33,051.75SNARE EXPRO ELITE 25MM 403070453 1,606.25TROCAR FLEXIPATH 15MM 6/BX 403070454 182.50GRAFT ZENITH RENU AAA G36179 403070455 19,919.25GRAFT ZENITH FLEX AAA G48462 403070456 9,435.50GRAFT FLIXENE 4-7X45CM 403070457 5,038.75GRAFT STENT AAADVANTAGE BIF 403070458 24,485.75GRAFT STENT AAADVANTAGE ILIAC 403070459 9,605.25GRAFT STENT RELIANT BALLOON 403070460 1,681.50COSEAL 2ML 403070462 1,275.50GRAFT ZENITH TX2 TAA 40X216 403070466 35,902.00GRAFT ZENITH TX2 TAA 42X216 403070467 35,902.00GRAFT ZENITH FLEX AAA ILIAC 18X39 403070468 9,435.50GRAFT STENT MAIN BODY 28X96 403070469 25,862.00GRAFT STENT AAADVANTAGE 8.5X14MM 403070470 8,456.50GRAFT STENT AAADVANTAGE 8.5X18MM 403070471 8,748.00GRAFT STENT AAADVANTAGE 8.5X24MM 403070472 10,206.00GRAFT STENT AAADVANTAGE 13.5X14MM 403070473 10,206.00GRAFT STENT AAADVANTAGE 16.5X24MM 403070474 23,255.00GRAFT STENT AAADVANTAGE 18X135M 403070475 10,060.25GRAFT STENT AAADVANTAGE 26X15X165 403070476 23,255.00GRAFT ZENITH TX2 G48923 403070477 33,359.00GRAFT ZENITH TX2 G48922 403070478 33,359.00

STAPLER LIGACLIP APPLIER 10MM 403070479 371.75SCREW HEADLESS COMPRESSION 3X16 403070480 1,252.75GUIDEWIRE 1.1 SYNTHES 403070481 116.25SCREW HEADLESS COMPRESSION 4.5X20 403070482 1,329.75GRAFT TALENT THORACIC XCELERANT 403070483 36,158.50STENT PROTEGE RX 8X6X40 EV3 403070485 5,365.50DRESSING OPTIFOAM POST OP 3X16 403070486 169.00SCREW COMPRES DIGITAL 1.8X35MM 403070487 448.00ANCHOR GII DEPUY MITEK 403070488 1,242.25GRAFT STENT AAADVANTAGE 40X26MM 403070489 6,998.50GRAFT STENT AAADVANTAGE 11.5X14MM 403070490 8,893.75GRAFT STENT AAADVANTAGE 13.5X24MM 403070491 11,518.25BLADE SAW SAGITTAL SM 403070492 17.00BLADE SAW SAGITTAL LG 403070493 17.00GRAFT TALENT THORACIC TF3838C114X 403070494 36,158.50GRAFT TALENT THORACIC TW4238C111X 403070495 36,158.50CATHETER IMAGING VISIONS 8.2FR 403070496 2,478.50GRAFT STENT ABDOMINAL TALENT BIF 403070499 25,442.00GRAFT STENT AAADVANTAGE 11.5X16MM 403070500 8,893.75MESH SEPRA 3X6 403070502 1,575.75MESH SEPRA 4X8 403070503 2,042.00MESH SEPRA 6X8 403070504 2,768.25MESH SEPRA 8X12 403070505 5,849.50STAPLER PROXIMATE 33MM PPH03 403070508 1,350.50GRAFT STENT ABDOMINAL TALENT 403070509 26,900.00SUTURE GORTEX CV-6 TTC-13 403070510 91.75KIT ESOPHYX 403070511 9,477.00CARTRIDGE (FASTENERS) ESOPHYX 403070512 699.75BITE BLOCK ESOPHYX 403070513 163.25STENT GRAFT AAADVANTAGE ILIAC 403070514 8,893.75STENT THORACIC PROFORM 42X216 403070515 33,242.50GRAFT STENT AAA BFXCH2816165 403070516 23,255.00GRAFT STENT AAA ILXCH1616135 403070517 9,768.50GRAFT STENT AAA IEXCH161655 403070518 6,998.50TISSEEL 10ML 403070519 1,764.75STAPLER ENDOSCOPIC CUTTER 45MM 403070520 627.25RELOAD FOR SC45 WHITE 403070521 376.50RELOAD FOR SC45 GREEN 403070522 376.50GRAFT STENT TALENT IW1412C75XH 403070523 11,882.75GRAFT STENT AF3214155XH 403070524 26,900.00GRAFT STENT AAA BFXCH2414135 403070526 23,619.50GRAFT STENT AAA AEXCH242440 403070527 7,727.50MESH 12X8 LT PARIETEX 403070529 1,256.00MESH 15X10CM NONCOMPOSITE 403070530 379.25MESH 37X28CM COMPOSITE 403070531 6,378.75MESH TACKER HERNIA LONG ABSORABLE 403070532 2,096.00MESH TACKER HERNIA SM ABSORABLE 403070533 1,819.50GRAFT STENT ABD AF3016C140XH 403070538 26,389.75GRAFT STENT AAA IW1416C75XH 403070539 11,008.00PACK MAJOR LITHOTOMY 403070542 294.00SYRINGE INFLATION (SPINE) 403070544 455.00INTRODUCER SYSTEM EXPRESS OSTEO 403070545 3,499.25BONE FILLER DEVICE 403070546 437.50BALLOON 15MM (SPINE) 403070547 3,776.25GRAFT ZENITH FLEX AAA G48431 403070548 23,946.25GRAFT ZENITH FLEX AAA G48461 403070549 8,736.50GRAFT ZENITH FLEX AAA G48409 403070550 23,946.25GRAFT ZENITH FLEX AAA G48449 403070551 8,386.50CLAMP CARDIOBLATE SYNERGY 403070552 7,581.50PEN CARDIOBLATE ISOLATOR 403070553 4,665.50GUIDE WIRE THREADED TIP 2.8MM 403070554 378.00SCREW CANNULATED 7.3MMX70MM 403070555 1,018.25SCREW CANNULATED 7.3MMX90CM 403070556 1,018.25VALVE AORTIC MAGNA EASE 23MM 403070558 16,621.25VALVE AORTIC MAGNA EASE 19MM 403070559 16,621.25

VALVE AORTIC MAGNA EASE 21MM 403070560 16,621.25VALVE AORTIC MAGNA EASE 25MM 403070561 16,621.25VALVE AORTIC MAGNA EASE 27MM 403070562 16,621.25VALVE AORTIC MAGNA EASE 29MM 403070563 16,621.25BONE FILLER DEVICE F07A TRUNK 403070564 489.75BALLOON 10MM SPINE TRUNK 403070565 3,776.25BONE CEMENT C01B 403070566 735.00STENT PALMAZ P4010 403070567 5,103.00GRAFT STENT AAA IEXCH181855 403070568 8,019.00GRAFT STENT AAA ILXCH161685 403070569 9,185.50GRAFT STENT THORACIC TAXF2626W50X 403070570 16,038.00SUMP ATRA WEIGHTED 403070571 63.25KIT BIOLOGICS SPRAY 403070572 132.25KIT DUAL SPRAY 403070573 122.75KIT PLASMAX PLUS 403070574 2,565.00BURR BARREL (6MM) 403070575 119.00GRAFT ARTEGRAFT COLLAGEN 7MMX45CM 403070576 3,183.25STAPLER FLEX ARTICULATING 45 403070588 663.00PACK CABG ACCESSORY 403070589 374.25PERICARDIAL STRIP 45 403070595 459.50MESH BIO A 7CMX10CM 403070596 1,652.50INTRODUCER CHECK FLO 12FR 403070597 257.00INTRODUCER CHECK FLO 14FR 403070598 257.00INTRODUCER CHECK FLO 16FR 403070599 399.25INTRODUCER CHECK FLO 18FR 403070600 399.25VALVE AORTIC FREESTYLE 29MM 403070601 21,060.00GRAFT ZENITH 30X125 403070602 22,836.50GRAFT ZENITH 18X56 403070603 8,329.50GRAFT ZENITH 28X111 403070604 22,836.50MESH GRAFTJACKET 4X8 403070605 6,574.50MESH FLOWABLE SOFT TISSUE 2CC 403070606 5,089.50VALVE AORTIC ATS 16MM 403070607 10,530.00VALVE AORTIC ATS 18MM 403070608 10,530.00VALVE AORTIC ATS 20MM 403070609 10,530.00VALVE AORTIC ATS 22MM 403070610 10,530.00VALVE AORTIC ATS 24MM 403070611 10,530.00VALVE AORTIC ATS 26MM 403070612 10,530.00VALVE AORTIC ATS 28MM 403070613 10,530.00VALVE MITRAL ATS 25MM 403070614 10,530.00VALVE MITRAL ATS 27MM 403070615 10,530.00VALVE MITRAL ATS 29MM 403070616 10,530.00VALVE MITRAL ATS 31MM 403070617 10,530.00VALVE MITRAL ATS 33MM 403070618 10,530.00STAPLER RELOAD LINEAR 60MM 403070619 173.75VALVE AORTIC ATS MODEL 1000 25MM 403070620 17,550.00VALVE AORTIC MOSAIC CINCH II 25MM 403070621 13,500.00TISSUE STRATTICE 10X16 403070623 12,960.00ENDOCLOSE SUTURING DEVICE 403070628 242.25VALVE AORTIC MOSAIC 27MM *TRUNK 403070629 13,500.00VALVE AORTIC MOSAIC CINCH II 19MM 403070630 13,500.00VALVE AORTIC MOSAIC CINCH II 21MM 403070631 13,500.00VALVE AORTIC MOSAIC CINCH II 23MM 403070632 13,500.00VALVE AORTIC MOSAIC CINCH II 29MM 403070633 13,500.00GRAFT ZENITH 26X111 G48414 TRUNK 403070634 22,836.50GRAFT ZENITH 14X56 G48455 TRUNK 403070635 8,329.50TOURNIQUET CUFF STD 8" 403070636 177.00TOURNIQUET CUFF STD 12" 403070637 197.25TOURNIQUET CUFF STD 18" 403070638 218.50TOURNIQUET CUFF CTR 24" 403070639 248.00TOURNIQUET CUFF CTR 30" 403070640 271.50TOURNIQUET CUFF CTR 34" 403070641 295.50BANDAGE ESMARK 403070646 8.79CATHETER THORACIC 28FR 403070647 14.11CATHETER TROCAR 7MM - FLEXIBLE 403070648 148.12INTRODUCER ENDO TRACH TUBE 403070649 19.04

STAPLER SC45A 45MM 403070650 953.52NDL LAP BAND PORT ACCESS 20GA 403070651 21.00APPLICATOR COSEAL EXTENDED 403070652 139.23GUIDEWIRE BALLOON PUMP 403070653 142.80STERNAL ZIP FIX W/NDL 403070654 1,350.00TOURNIQUET 24" 403070655 244.30TOURNIQUET 30" 403070656 263.90TOURNIQUET 34" 403070657 287.00BLADE DERMATOME 403070658 150.50TUBING CALIBRATION FOR LAP BAND 403070659 375.00BLOWER MISTER ACCUMIST 403070660 231.00GRAFT ZENITH TX2 TAA G53427 403070661 30,235.00GRAFT ZENITH TX2 TAA G53457 403070662 12,995.00TISSUE STRATTICE 16X20 403070663 25,147.50LAP BAND AP STANDARD 1 PORT 403070664 8,267.50LAP BAND AP STANDARD 2 PORT 403070665 8,267.50MESH PLUG SIZE MEDIUM 403070668 658.50COTTON ROLL 403070670 24.89KWIRE 0.9 PIN 403070671 32.66KWIRE 1.1 PIN 403070672 32.66KWIRE 1.9 PIN 403070673 32.66KWIRE 2.0 PIN 403070674 37.35KWIRE 2.4 PIN 403070675 37.35KWIRE 2.8 PIN 403070676 37.35KWIRE 3.2 PIN 403070677 43.16IRRIGATOR STRYKER INTERPULSE 403070678 141.54CEMENT MIXEVAC III 403070679 203.00KIT BIO PREP BONE 403070680 325.50BLADE DOUBLE SIDED 403070681 136.50BOWL CEMENT MIXING 180GRAM 403070682 347.10BLADE SAW SAGITAL 18X.97X90MM 403070685 203.00BLADE SAW SAGITAL 18X.89X90MM 403070686 203.00BLADE SAW SAGITAL 18X1.27X90MM 403070687 203.00BLADE SAW SAGITAL 18X1.19X90MM 403070688 203.00BLADE SAW SAGITAL 25X1.27X90MM 403070689 203.00BLADE SAG DUAL CUT 18X90X1.07MM 403070690 157.50BLADE HEAVY DUTY 403070691 155.75TOURNIQUET DISP 9X1.75 403070692 61.60TOURNIQUET DISP 12X3.5 403070693 67.97TOURNIQUET DISP 18X4 403070694 76.44TOURNIQUET DISP 24X4 403070695 84.91TOURNIQUET DISP 30X4 403070696 91.25TOURNIQUET DISP 34X4 403070697 97.51TOURNIQUET DISP 44X4 403070698 106.09PAD PRESSURE PROTECTOR 403070699 209.30HIP POSITIONER DEMAYO 403070700 85.75OSTEOSET RESORBABLE BEADS 403070701 1,500.00MANIFOLD STD FOUR PORT 403070706 63.00BLADE SHAVER AGG 3.5MM 403070729 170.10BLADE SHAVER BURR 3.0MM 403070730 179.97IRRIGATOR SET TWO SPIKE STRYKER 403070731 81.20CEMENT SIMPLEX P FULL DOSE 403070740 344.16CEMENT SIMPLEX P SPEEDSET 403070741 344.16CEMENT SIMPLEX W/TOBRAMYCIN 403070742 1,196.10RECEIPICATING SAW BLADE SNGL 403070743 136.50RECEIPICATING SAW BLADE DBL 403070744 136.50WIRE FIBERWIRE #2 403070745 64.75WIRE FIBERWIRE #0 403070746 1,485.00TIGHT ROPE 403070747 1,485.00SHOE POST OP SOFT TOP SM 403070748 14.35SHOE POST OP SOFT TOP MED 403070749 14.35SHOE POST OP SOFT TOP LRG 403070750 14.35SHOE POST OP SOFT TOP XLRG 403070751 14.35SUTURE RETRIEVER HEWSON 403070754 313.85TOTAL HIP CUSTOM PACK 403070755 383.04

TOTAL KNEE CUSTOM PACK 403070756 298.59LIGACLIP MULTIPLE CLIP APPLIER LG 403070757 198.24LIGACLIP MULTIPLE CLIP APPLIER MD 403070758 196.07SUTURE ANCHOR BIOCOMP 403070759 234.50PUSHLOCK MINI BIO 2.5X8 403070760 238.00SUTURETAK MINI DIS 403070761 122.50SUTURE BRIDGE ACHILLES CONV PACK 403070762 3,000.00SCREW BIO COMPOSITE TEN 4.75X15 403070763 945.00SCREW BIO COMPOSITE TEN 5.5X15 403070764 945.00SCREW BIO COMPOSITE TEN 6.25X15 403070765 945.00SCREW BIO COMPOSITE TEN 7X23 403070766 945.00SCREW BIO COMPOSITE TEN 8X23 403070767 945.00SCREW BIO COMPOSITE TEN 9X23 403070768 945.00BIO TENODESIS DISP KIT 403070769 122.50SUTURETAK BIO-COMP MINI 403070770 213.50SUTURE ANCHOR 403070771 199.50CORKSCREW MICRO FT 403070772 199.50CORKSCREW MICRO W/2-0 FIBERWIRE 403070773 199.50SCREW CAN COUNTERSINK 6.5 & 7.3 403070774 1,686.00DRILL BIT 5.0MM CANN LG QC 300MM 403070775 1,584.00DRILL BIT 7.3MM CANN LG QC 300MM 403070776 1,605.00GUIDEWIRE 2.8 THR TROCAR PT 300MM 403070777 190.75WASHER 13.0MM 219.99 403070779 117.25WASHER 13.0MM 419.99 403070780 117.25SCREW 6.5MM CAN 16MM TH 30-150 403070781 936.00SCREW 6.5MM CAN 32MM TH 45-150 403070782 936.00SCREW 6.5MM TI CAN 16MM TH 30-150 403070783 936.00SCREW 6.5MM TI CAN 32MM TH 45-150 403070784 936.00SCREW 7.3MM CAN 16MM TH 30-150 403070785 933.00SCREW 7.3MM CAN 32MM TH 45-150 403070786 933.00SCREW 7.3MM TI CAN 16MM TH 30-150 403070787 933.00SCREW 7.3MM TI CAN 32MM TH 45-150 403070788 933.00DRILL BIT 1.5 ZIMMER 403070789 224.00DRILL BIT 2.0 ZIMMER 403070790 224.00DRILL BIT 2.5 ZIMMER 403070791 224.00SCREW 3.5MMX16MM WRIGHT MED 403070792 591.00KWIRE 1.1X150MM WRIGHT MED 403070793 80.50TOURNIQUET SET CANNULATION 403070794 15.75STOCKINETTE IMPERVIOUS LG 403070795 10.22GRAFT SIZERS 24MM - 38MM 403070796 36.40MATRIX MICROMATRISTEM 100MG/EA1MG 403070797 100.80MATRIX XS 5CMX5CM PER EA 1SQ CM 403070798 405.00PLATE LATERAL 6 RT 2.7MM 3.5MM 403070801 1,930.00SCREW SLF TAP 10MM 2.7MM LOCK 403070802 426.00SCREW SLF TAP 12MM 2.7MM LOCK 403070803 426.00SCREW SLF TAP 16MM 3.5MM CORTEX 403070804 103.25SCREW SHORT 38MM 4.0MM CANN 403070805 747.00SCREW LONG 54MM 4.0MM CANN 403070806 747.00SCREW LONG 58MM 4.0MM CANN 403070807 747.00SCREW SLF TAP 14MM 3.5MM LOCK 403070808 450.00SCREW SLF TAP 16MM 3.5MM LOCK 403070809 450.00GUIDE WIRE 150MM 1.25MM THR 403070810 124.25MATRIX 7X10 MATRISTEM EA SQ CM 403070812 94.50POSITIONER FOAM FOOT PAD W/WRAP 403070813 120.75BANDAGE ELASTIC MATRIX 6X10 STRL 403070814 14.98MATRISTEM SUR MATRIX 6X15 EA SQCM 403070815 92.79MATRISTEM MICRO MATRIX 500MG 403070816 9.10MATRISTEM USR MATRIX 7X15 EA SQCM 403070817 64.68SHEATH INTRODUCER AFX S17-45 403070818 975.00CATHETER 7FR EN SNARE 403070819 1,185.00GUIDEWIRE 0.014 403070820 525.00GRAFT STENT AFX BA25-90-I16-30 403070821 28,237.50GRAFT STENT AFX A28-28/C75-O20 403070822 8,987.50VALVE ADAPTER HEMOSTATIS HVA-100 403070823 52.50GRAFT STENT BIFUR 403070824 28,237.50

HEMISPHERICAL SHELL 60MM 403070825 3,649.73ACETABULAR LINER 44MM HXL/FMP 403070826 3,357.75FEMORAL HEAD 44MM BIOLOX 403070827 4,379.65HIP STEM OFFSET CLP 403070828 8,175.38GRAFT JACKET 4X7 403070829 5,855.00PATELLA IMPLANT 32MM 3 PEGS 403070830 879.00TIBIAL BASEPLATE #2 403070831 4,275.00FEMORAL COMPONENET #3 403070832 6,037.50TIBIAL INSERT #2 9MM 403070833 3,127.50NEEDLE FREE MAYO 1/2 CIRCLE 4 403070835 16.03PATELLA ON SET 29MM 403070836 879.00DRAIN HEMOVAC W/TROCAR 15FR 403070837 40.15PAIN PUMP POST OP 270ML 403070841 1,341.78MESH 2X4 PROLENE SPMS 403070842 1,498.29BLADE MCGRATH 403070843 341.25SCREW 4.0X50MM CAN LONG THR 403070844 744.00SCREW 4.0X60MM CAN LONG THR 403070845 747.00GUIDEWIRE 1.25MM NON THREADED 403070846 116.38PAD POSIITIONER HIP IMP 403070847 90.41SCREW CORTICAL 3.5X20 403070848 74.10SCREW CORTICAL 3.5X18 403070849 74.10SCREW CACELLOUS 5.0X10 403070850 209.16SCREW LOCKING 3.5X12 403070851 351.90SCREW LOCKING 3.5X16 403070852 351.90PLATE FIB 7 HOLE 3.5 403070853 1,751.85DRIVER BIT 4.5MM 403070854 501.00GUIDEWIRES 1.6MM 403070855 42.00X POST 8.0MMX25MM 403070856 4,500.00FEMORAL COMPONENT SIZE 5 LT 403070857 7,507.50TIBIAL BASEPLATE SIZE 4 LT 403070858 4,355.00PATELLA COMPONENT SIZE 3X10MM 403070859 1,167.00TIBIAL INSERT SIZE 3-4X12MM LT 403070860 2,665.00TIBIAL INSERT SIZE 5-6X10MM RT 403070861 2,665.00TIBIAL BASEPLATE SIZE 5 RT 403070862 4,355.00FEMORAL COMPONENT SIZE 6 RT 403070863 7,507.50INSERT ARTICULAR SZ 7-8 11MM 403070864 7,862.50FEMORAL HEAD 36MM 403070865 1,958.95ACETABULAR LINER HXL/FMP 36MM 403070866 3,003.73HEMISPHERICAL SHELL W/HOLES 52MM 403070867 3,264.93HIP FEMORAL SZ 11 403070868 8,632.48SLEEVE OFFSET +7.0MM 403070869 283.40HIP STERN STANDARD SIZE 9 403070870 8,175.384 HOLE 3.5MM 1/3 TUB VLP 403070871 622.20ACETABULAR LINER HXL/FMP 44MM 403070872 3,357.75FEMORAL HEAD CERAMIC 44MM 403070873 4,379.65SCREW LOCK OST VIP 5.0 24MM 403070874 522.75SCREW LOCK OST VLP 5.0 26MM 403070875 522.75SCREW LOCK OST VLP 5.0 28MM 403070876 522.75SCREW LOCK PERI VLP 3.5MMX18MM 403070877 351.90SCREW LOCK PERI VLP 3.5MMX20MM 403070878 351.90SCREW LOCK PERI VLP 3.5MMX30MM 403070879 351.90DRILL BIT W/QC 2.7 SHORT 403070880 292.53MATRIX SURGICAL PSM 7X10CM 403070881 64.68MATRIX MICRO 200MG 403070882 28.81MATRIX SURGICAL PSM 5X5CM 403070883 67.62MATRIX SURGICAL XS 4X12CM 403070884 94.50MATRIX WOUND SHEET 7X10CM 403070885 14.39SCREW LOCK OST VLP 5.0 30MM 403070886 522.75SCREW LOCK OST VLP 5.0 34MM 403070887 522.75FIXATION DEVICE ABSORBATACK 5MM 403070888 1,887.93MESH C-QUR 20.3CMX25.4CM 8X10 403070889 3,212.50MESH C-QUR 17.8CMX23CM 7X9 403070890 2,662.50WIRE PACING VENTRICULAR PLACEMENT 403070891 140.00DERMATOME CARRIERS 1.5-2 403070892 110.25DERMATOME CARRIERS 3-1 403070893 110.25

FEMORAL COMPONENT #6 LEFT 403070894 6,037.50BASEPLATE TIBIAL #5 403070895 4,275.00INSERT TIBIAL XPE #5 9MM 403070896 3,732.50PATELLA XPE 3 PEGS 38MM 403070897 1,389.00FEMORAL COMPONENT #4 RIGHT 403070898 6,037.50BASEPLATE TIBIAL #4 403070899 4,275.00INSERT TIBIAL XPE #4 11MM 403070900 3,732.50PATELLA XPE 3 PEGS 35MM 403070901 1,389.00FEMORAL COMPONENT #4 LEFT 403070902 6,037.50INSERT TIBIAL XPE #4 9MM 403070903 3,732.50PINS FIXATION 403070904 375.00TRACH PERCUTANEOUS BLUE RHINO 403070905 900.39TIBIAL BASEPLATE SZ 6 RT 403070906 4,355.00PATELLAR COMPONENET SZ 2X10MM 403070907 1,167.00TIBIAL INSERT SZ 5-6X12MM RT 403070908 2,665.00GLIDEWIRE STRAIGHT 0.038X150X3 403070909 196.70STENT URETERAL 6F 24CM 403070910 714.00PCMKR DUAL GENRTR ONLY ST JUDE 403080000 11,105.00PCMKR SNGL GENRTR ONLY ST JUDE 403080002 11,105.00PCMKR TEMP DUAL CHMBR ST JUDE 403080004 15,986.00PCMKR TEMP SNGL CHMBR ST JUDE 403080005 11,105.00LEAD PCMKR ST JUDE 403080006 2,295.75ICD DUAL GENRTR ONLY ST JUDE 403080007 48,324.50ICD SNGL GENRTR ONLY ST JUDE 403080010 48,324.50LEAD ICD ST JUDE 403080011 19,557.00ICD BI-VENT ST JUDE 403080012 77,626.00PCMKR BI-VENT ST JUDE 403080013 33,277.50LEAD CORONARY VENOUS ST JUDE 403080014 6,105.25PLEURX PLEURAL CATHETER 403089039 437.75PLEURX DRAINAGE KIT W 500ML 403089040 247.50PLEURX DRAINAGE KIT W 1000ML 403089041 271.25PLEURX DRAINAGE LINE SET 403089042 76.25VALVE CAP 403089043 24.00CARDIOVERSION - OUTPATIENT ONLY 404009002 1,266.75EKG - 12 LEAD 404009006 548.00INFUSION BLOOD PRODUCT - ONCE DAY 404009050 442.00TEMP PCMKR-DUAL CHAMBER OP 404009085 6,793.50TEMP PCMKR-SNGL CHAMBER OP 404009090 6,793.50TEMPORARY EXTERNAL PACING OP 404009095 903.00SURG PROC SMPL@BEDSIDE W/O SEDANE 404009100 1,615.75SURG PROC SMPL@BEDSIDE W/SEDANES 404009101 2,788.75SURG PROC CMPLX@BEDSIDE W/SEDANES 404009102 3,392.00RECOVERY CHARGE - OPEN HEART 404009300 2,476.00RECOVERY CHARGE - VASCULAR 404009301 1,857.25RECOVERY CHARGE - OTHER 404009302 1,238.00COLLECT VENOUS BLOOD-VENIPUNCTURE 404090075 98.50OP IV INF TX/DX UP TO 1 HR 404090600 479.00OP IV INF TX/DX EACH ADDL HR 404090610 107.00OP INJ THER/PROPH/DIAG SC/IM 404090615 107.00OP INJ THER/PROPH/DIAG INTRA-ART 404090620 557.25OP INJ TX/PROPHY/DX IV PUSH 404090625 241.00OP INSERT CNTRL VEN CATH PICC>5YR 404090655 999.50PULSE OX SNGL DETERMINATION 404090685 190.00PULSE OX MULTI DETERMINATION 404090686 375.00OP IV HYDRATE INITIAL UP TO 1 HR 404090700 479.00OP IV HYDRATE EACH ADDL HR 404090701 107.00OP INJ TX/PROPH/DX IV PUSH EA ADD 404090702 241.00OP IV INF SEQUENTIAL UP TO 1 HR 404090708 479.00OP IV INF CONCURRENT ONCE/ENCOUNT 404090709 479.00IV PUSH EA ADD SEQ SAME SUBS/DRUG 404090801 241.00PACU MS RM CHG 404098255 3,401.25PACU TELE RM CHG 404098256 3,653.00PACU ICU RM CHG 404098257 4,283.00ACETAMINOPHEN 405001000 543.00HIV SCREEN 405001001 245.75

DIGOXIN 405001050 372.50GENTAMICIN,PEAK 405001060 446.25GENTAMICIN,TROUGH 405001065 446.25ALBUMIN, BODY FLUID 405001075 39.75PHENOBARBITAL 405001100 343.25SALICYLATE 405001135 394.00THEOPHYLLINE 405001150 372.50TOBRAMYCIN, PEAK 405001165 416.00TOBRAMYCIN, TROUGH 405001170 416.00VANCOMYCIN,TROUGH 405001180 446.25ACETONE/KETONES 405001200 149.50VENOUS BLOOD GAS 405001205 110.25ALBUMIN,SERUM 405001210 39.75ALCOHOL(ETHANOL) 405001215 460.00ALKALINE PHOSPHATASE 405001220 224.25PROBNP. 405001221 355.50PROBNP 405001222 355.50CHOLESTEROL, BODY FLUID 405001225 101.25AMYLASE,SERUM 405001230 269.50TRIGLYCERIDE, BODY FLUID 405001235 109.00GLUCOSE 24HR URINE 405001245 72.00CALCIUM 24HR URINE 405001250 119.00CALCIUM URINE RANDOM 405001255 119.00PHOSPHOROUS URINE RANDOM 405001260 109.00BILIRUBIN,TOTAL 405001265 178.50ABG 405001275 110.25BUN 405001280 149.00CALCIUM,SERUM 405001285 119.00CARBON DIOXIDE 405001300 140.25T4,TOTAL 405001302 221.25TU 405001316 190.00CHLORIDE,SERUM 405001320 39.75VANCOMYCIN, RANDOM 405001322 449.25CHLORIDE,URINE 405001325 33.75GENTAMICIN, RANDOM 405001328 446.25CHOLESTEROL,SERUM TOTAL 405001330 47.50TOBRAMYCIN, RANDOM 405001331 416.00HDL 405001335 181.25CPK TOTAL 405001340 233.00CKMB 405001347 377.50CREATININE CLEARANCE,24HR(NEW) 405001355 87.50CREATININE SERUM 405001365 39.75D-DIMER QUANTITATIVE 405001375 360.50PHENYTOIN 405001385 298.50ELECTROLYTE PANEL,SERUM 405001390 196.00PROTEIN,URINE RANDOM 405001401 101.25CREATININE,URINE 405001402 36.75LOW DENSITY LIPOPROTEIN,DIRECT 405001446 237.75RENAL FUNCT PANEL 405001455 220.25GLUCOSE POST GLUCOSE DOSE 405001460 54.00GLUCOSE,BODY FLUID 405001465 72.00GLUCOSE,CSF 405001470 72.00GLUCOSE 405001475 39.75LACTATE 405001515 148.75LACTATE (PLASMA) 405001516 148.75LDH TOTAL 405001525 194.50LDH TOTAL,BODY FLUID 405001530 194.50LIPID PANEL 405001540 428.50MAGNESIUM 405001555 218.00HEPATIC FUNCTION PANEL 405001578 361.75PHOSPHOROUS,SERUM 405001595 144.75POTASSIUM,SERUM 405001615 48.75PROTEIN, BODY FLUID 405001640 101.25BILIRUBIN,DIRECT 405001644 178.50PROTEIN, CSF 405001645 137.75

PROTEIN,SERUM TOTAL 405001650 137.75ASPARTATE AMINO TRANSFRASE(AST) 405001660 183.25ALANINE AMINO TRANSFERASE(ALT) 405001665 197.00SODIUM,SERUM 405001675 48.75TRIGLYCERIDES 405001690 109.00THYROID STIMULATING HORMONE(TSH) 405001694 367.50URIC ACID,SERUM 405001700 39.75TROPONIN T 405001705 336.75PROCAINAMIDE - CHRG ONLY 405001712 333.00NAPA - CHRG ONLY 405001713 333.00IRON 405001720 78.00TIBC(IRON BINDING CAPACITY) 405001723 78.00PREALBUMIN 405001727 73.50IONIZED CALCIUM 405001730 131.00TROPONIN I,QUANT 405001745 363.75MYOGLOBIN,SERUM 405001750 479.75LIPASE 405001765 281.00AMMONIA 405001777 183.50CMP. 405001840 753.50BMP. 405001842 503.50HCG,SERUM,QUANTITATIVE 405001845 593.50SODIUM,URINE 24HR 405001846 48.75POTASSIUM,URINE 24HR 405001847 48.75CHLORIDE,URINE 24 HR 405001848 47.50HEMOGLOBIN-A1C 405001850 79.75AMYLASE,BODY FLUID 405001855 269.50LIPASE,BODY FLUID 405001866 365.50BNP(B TYPE NATRIURETIC PEPTIDE) 405001872 400.50CARBON MONOXIDE(CARBOXYHEMOGLOBIN 405001875 185.50CREATININE,URINE 24HR 405001877 39.75GLUCOSE TOT FIRST 3 SPEC 405001917 188.50TOLERANCE,EACH ADD.HR - CHRG ONLY 405001918 50.75TOLERANCE URINES - CHRG ONLY 405001919 80.00SODIUM,URINE 405001942 33.75POTASSIUM,URINE 405001943 33.75LIPID PANEL - CHRG ONLY 405001953 428.50CREATININE, SERUM 405001961 39.75BASIC METABOLIC PANEL 405001962 503.50COMPREHENSIVE METABOLIC PANEL 405001963 753.50RENAL FUNCTION PANEL 405001964 220.25AMYLASE,URINE RANDOM 405001966 89.75AMYLASE,URINE TIMED 405001967 91.00PROTEIN,24HR URINE 405001968 35.25T3 UPTAKE. 405001970 190.00DRUG SCREEN,URINE 405001977 524.25ACTIVATED CLOTTING TIME 405002010 229.75BLEEDING TIME 405002080 226.00CBC W/AUTO DIFF 405002090 218.25CELL COUNT,BODY FLUID W/O DIFF 405002100 175.75CELL COUNT,CSF W/O DIFF 405002110 250.25EOSINOPHIL COUNT 405002170 42.00RETIC 405002220 157.50HEPARIN ASSAY 405002244 180.75FIBRINOGEN ACTIVITY 405002250 15.75PLATELET FUNCTION ASPIRIN 405002265 78.00PLT AGGREGATION-EA AGENT-CHRG ONL 405002275 157.50HEMOGRAM & PLATELET COUNT AUTO 405002300 209.25TB TEST,SKIN 405002317 75.25MANUAL DIFFERENTIAL 405002340 59.50PLATELET COUNT 405002390 49.75PROTHROMBIN TIME 405002400 150.50PARTIAL THROMBOPLASTIN TIME 405002410 186.25PLATELET AGGREGATION ADP 405002411 82.50PLATELET AGGREGATION,COLLAGEN 405002455 82.50SEDIMENTATION RATE 405002530 145.75

EOSINOPHIL SMEAR 405002555 11.25HEMATOCRIT 405002560 48.75HEMOGLOBIN 405002565 30.50RBC COUNT 405002575 65.25WBC COUNT - CHRG ONLY 405002914 6.25ANTIBODY SCREEN 405003510 223.00DIRECT COOMBS 405003520 114.00PACKED RED BLOOD CELL - CHRG ONLY 405003900 189.00FRESH FROZEN PLASMA - TYPES A,B,O 405003901 64.75PLATELETS, PHERESIS-RANDOM/FAMILY 405003902 658.75CRYOPRECIPITATE - CHRG ONLY 405003903 48.50IS CROSSMATCH - CHRG ONLY 405003905 39.50LEUKOPOOR PRBC - CHRG ONLY 405003906 248.50CMV NEG PRBC - CHRG ONLY 405003907 27.00COMPONENT THAWING - CHRG ONLY 405003908 22.50COMPONENT POOLING - CHRG ONLY 405003909 39.50ABO - CHRG ONLY 405003910 56.75INDIRECT COOMBS 405003911 105.00COMPAT TEST AHG TECH 405003912 44.00AUTOLOGOUS UNIT - CHRG ONLY 405003914 257.00RH - CHRG ONLY 405003916 21.25IRRADIATION - CHRG ONLY 405003919 43.25RH PHENOTYPE - CHRG ONLY 405003921 66.50UNIT ANTIGEN SCREEN - CHRG ONLY 405003922 70.00ANTIBODY ELUTION - CHRG ONLY 405003923 97.00ANTIBODY IDENTIFICATION PANEL 405003924 175.75RBC ANTIGEN - CHRG ONLY 405003925 35.75CHEMICAL TREATMNT RBC - CHRG ONLY 405003926 127.25ENZYME TREATMENT RBC - CHRG ONLY 405003927 127.25RBC ADSORPTION - CHRG ONLY 405003928 214.75DIR RBC,LEUKO RED IRR - CHRG ONLY 405003932 290.00DIRECTED PRBC-LEUKO REDUCED-CHRG 405003934 256.80PLT HALF PHERESIS,LKR - CHRG ONLY 405003935 290.00PLT HALF PHER,LKR IRR - CHRG ONLY 405003936 330.00PLT HALF PHERESIS - CHRG ONLY 405003937 255.00DEGLYCERIZED PCKD RBC - CHRG ONLY 405003940 850.00PLATELET PHERESIS IRR - CHRG ONLY 405003941 550.00PLT PHERESIS LEU/IRR - CHRG ONLY 405003942 620.00PLATEPHERESIS,LEUKRD - CHRG ONLY 405003943 580.00PLAT. PHERESIS 1/2 IR - CHRG ONLY 405003944 295.00PRBC IRRADIATED - CHRG ONLY 405003945 215.00PRBC LEUKO/IRRIDATED - CHRG ONLY 405003946 246.80FRESH FROZEN PLASMA AB 405003948 65.00PRBC,LEUKO RED WASHED - CHRG ONLY 405003955 334.00FRESH FRZ PLASMA AB - CHRG ONLY 405003960 65.00WET PREP 405004045 12.25COCCIDIODES SEROLOGY 405004450 170.00CLOSTRIDIUM DIFFICILE TOXIN A & B 405004500 380.25CULTURE,URINE(COLONY COUNT) 405004501 159.00CULTURE, BACT BLOOD W/ISO + ID 405004507 420.75CULTURE,RESPIRATORY 405004512 183.50CULTURE,ROUTINE 405004516 183.50GRAM STAIN 405004530 78.00KOH PREP 405004535 13.50RAPID STREP SCREEN 405004542 172.50RSV 405004548 485.50INFLUENZA AG DETECTION-CHRG ONLY 405004722 37.75VOL MEAS FOR TIMED COLLECTION 405004901 78.00CULTURE,ANAEROBIC ADDL METH EA 405004902 117.25MICROBIAL ID,BACTERIA - CHRG ONLY 405004903 166.75CULTURE,URINE W/ISOL/ID 405004904 78.00SUSCEPTIBILITY STUDY,MIC 405004910 154.50MRSA LATEX SCN PBP - CHRG ONLY 405004915 70.50STAPH AUREUS,RAPID LATEX-CHRG ONL 405004920 22.75BETA STREP AGG TEST-CHRG ONLY 405004925 22.75

URINE SIMPLE ID-CHRG ONLY 405004930 30.255-HYDROXYINDOLEACETIC ACID UR 405005000 49.96VON WILLEBRAND AG - CHRG ONLY 405005002 39.75RISTOCETIN COFACTOR - CHRG ONLY 405005003 39.75VON WILLEBRAND MULT - CHRG ONLY 405005004 39.75ALDOSTERONE 405005010 30.83CHLAMYDIA TRACHOMATIS - CHRG ONLY 405005011 9.50NEISSERIA GONORRHOEAE - CHRG ONLY 405005012 9.50ALPHA-1-ANTITRYPSIN 405005015 10.96ANGIOTENSIN CONVERTING ENZYME 405005020 14.33TOTAL CK-CHG ONLY 405005023 20.25CK ISOENZYMES-CHG ONLY 405005024 18.75CA-19-9 405005025 13.50FACTOR V LEIDEN-CHG ONLY 405005026 6.00FACTOR V LEIDEN CHG ONLY 405005027 6.00FACTOR V-CHG ONLY 405005028 20.75FACTOR V CHG ONLY 405005029 20.75CARBAMAZEPINE(TEGRETOL) 405005030 12.74FACTOR V- CHG ONLY 405005031 6.00AFB STAIN-CHG ONLY 405005032 7.50PRELIM CULT-CHG ONLY 405005033 7.50CLOSTRIDIUM ASSAY-CHG ONLY 405005034 87.50CATECHOLAMINES,FRACT 24HR URINE 405005035 22.62DIFFICLE TOXIN-CHG ONLY 405005036 87.50FUNGAL SPECIMEN-CHG ONLY 405005037 4.75CHLAM PNEUMO IGG,IGA-CHG ONLY 405005038 10.25CHLAM PNEUM IGM-CHG ONLY 405005039 5.25ANTITHROMBIN III FUNCTIONAL 405005040 24.57MYCOPLASMA ABS-CHG ONLY 405005042 13.00ANCA TOTAL ABS-CHG ONLY 405005043 12.00ANA-CHG ONLY 405005044 12.00CERULOPLASMIN(SERUM) 405005045 8.69PSA (PROSTATE-SPECIFIC ANTIGEN) 405005046 14.00PROTEIN, TOTAL-CHG ONLY 405005047 5.50PROTEIN ELECTRO-CHG ONLY 405005048 5.50VITAMIN-B12 405005049 9.92CHLORIDE 24HR URINE 405005050 15.00PROTEIN C ACTIVITY-CHG ONLY 405005052 46.00PROTEIN S ACTIVITY- CHG ONLY 405005053 46.00STOOL PATHOGENS-CHG ONLY 405005054 2.25CHLORIDE URINE RANDOM 405005055 15.00SAL & SHIGELLA-CHG ONLY 405005056 2.25C3 COMPLEMENT - CHRG ONLY 405005057 4.00C4 COMPLEMENT - CHRG ONLY 405005058 4.00RHEUMATIOD FACTOR - CHRG ONLY 405005059 4.00COMPLEMENT-C3 405005060 7.75FOLATE-SERUM 405005061 8.78FSH - CHRG ONLY 405005062 13.00HSV 2 IGG ABS - CHRG ONLY 405005064 25.50COMPLEMENT-C4 405005065 7.75HERPES SIMPLEX VIRUS - CHRG ONLY 405005066 25.50WBC TOTAL COUNT - CHRG ONLY 405005067 110.25WBC - CHRG ONLY 405005068 13.00COPPER PLASMA 405005070 9.00MICROALBUMIN - CHRG ONLY 405005071 13.00CREATININE UR RANDOM - CHRG ONLY 405005072 11.50IGG - CHRG ONLY 405005073 24.25SM(SMITH) IGG AUTO ABS 405005074 15.00CORTISOL 405005075 17.25FACTOR VIII ACTIVITY - CHRG ONLY 405005076 39.75C - PEPTIDE 405005080 14.82CRYOGLOBULIN-SERUM 405005085 5.46CRYPTOCOCCUS-AG 405005090 9.92ISOLATION NUCLEIC ACI - CHRG ONLY 405005091 9.50ENZYME NUCLEIC ACID - CHRG ONLY 405005092 9.50

SIGNAL AMP NUCLEIC - CHRG ONLY 405005093 49.25MUTATION NUCLEIC ACID - CHRG ONLY 405005094 49.25FERRITIN(SERUM) 405005095 9.75INTER RPT NUCLEIC ACI - CHRG ONLY 405005096 9.50ID FUNGAL DNA PROBE - CHRG ONLY 405005097 32.75NUCLEIC ACID PROBE, - CHRG ONLY 405005098 9.50GLUCOSE,WHOLE BLOOD-POC 405005100 17.00TISSUE CULT BONE MARR - CHRG ONLY 405005101 252.50ALBUMIN,SERUM - CHRG ONLY 405005104 6.50VENOUS O2 SATURATION 405005105 30.50ALBUMIN,CSF - CHRG ONLY 405005106 7.00MYELIN BASIC PROTEIN - CHRG ONLY 405005107 26.75OLIGOCLONAL BAND - CHRG ONLY 405005108 32.25IGG CSF & TOTAL - CHRG ONLY 405005109 8.00URINE DIP 405005110 81.25IGM/IGA CSF & TOTAL - CHRG ONLY 405005111 8.00MOLECULAR ISOLATION - CHRG ONLY 405005112 3.50MOLECULAR ENZYME DIGE - CHRG ONLY 405005113 3.50NUCLEIC ACID PROBE - CHRG ONLY 405005114 3.50MUTATION SCANNING - CHRG ONLY 405005116 24.00NUCLEIC ACID SIGNAL - CHRG ONLY 405005117 24.00INTERP & REPORT - CHRG ONLY 405005118 3.50PATH CONSULT IN SURGE - CHRG ONLY 405005122 17.07PATH CONSULT ADD'L SI - CHRG ONLY 405005123 17.07AEROBIC SUSCEPT-GM NEG MIC PANEL 405005124 160.50AEROBIC SUSCEPT-GM NEG RESISTANCE 405005126 118.30AEROBIC SUSCEP-FASTIDIOUS ORG 405005127 91.50AEROBIC SUSCEP-GRAM POS MIC 405005128 16.00AEROBIC SUSCEP-STREP PNEUMO MIC 405005129 91.00POC - TROPONIN 405005130 363.75ANAEROBIC BACTERIAL ID 405005131 18.00ANAEROBIC SUSCEPTIBILITY PANEL 405005132 39.00POC - CKMB 405005135 377.50ENDOMYSIAL IGA AUTOABS 405005136 20.00SJOGREN'S ABS - CHRG ONLY 405005138 9.25TRANSGLUTAMINASE ABS - CHRG ONLY 405005139 43.75POC - MYOGLOBIN 405005140 479.75PH BODY FLUID - CHRG ONLY 405005141 22.25POC - DDIMER 405005145 360.50POC - BNP 405005150 400.50FIBRINOLYTIC DEGRADATION PRODUCTS 405005205 14.33FOLATE-CHG ONLY 405005210 10.75FOLATE-RBC 405005215 24.00FUNGUS IDENTIFICATION MOLD,CULTUR 405005220 21.11CHROMO ANALY 20-25 - CHRG ONLY 405005221 252.50CYTOGENTICS INTER/RPT - CHRG ONLY 405005222 31.50GAMMA-GLUTAMYL TRANSFERASE(GGT) 405005225 2.23GASTRIN 405005230 16.43HAPTOGLOBIN 405005235 9.33HELICOBACTER PYLORI IGG ABS 405005240 13.65HEPATITIS ACUTE PROFILE 405005245 44.00HEPATITIS B VIRUS CORE IGM ABS 405005250 13.25HEPATITIS B VIRUS E ANTIGEN 405005255 10.81HEPATITIS B VIRUS SURFACE ANTIGEN 405005260 7.21HEPATITIS B VIRUS SURFACE TOTAL A 405005265 7.21HEPATITIS C VIRUS ANTIBODIES(RIBA 405005270 106.47INSULIN 405005275 11.88INSULIN ANTIBODIES 405005280 25.50MEASLES IGG ABS 405005285 9.78MEASLES IGM ABS 405005290 15.75MUMPS IGG ABS 405005300 11.06MUMPS IGM ABS 405005305 13.38MYOGLOBIN URINE RANDOM 405005310 14.75OVA&PARASIE-ROUTINE EXAM 405005325 8.37PROLACTIN SERUM 405005330 12.31

PROTEIN-S ACTIVITY 405005335 51.00PROTEIN-C ACTIVITY 405005340 35.00RAPID PLASMA REAGIN(RPR) 405005350 6.28RENIN ACTIVITY PLASMA 405005355 19.11RHEUMOATOID FACTOR -SERUM 405005365 7.01ROTAVIRUS AG DETECTION 405005370 17.50RUBELLA IGG ABS 405005375 8.78RUBELLA IGM ABS 405005380 10.25TESTOSTERONE-TOTAL 405005395 96.75SCL-70IGG AUTOABS 405005400 17.12TRANSFERRIN-SERUM 405005405 9.43VARICELLA-ZOSTER VIRUS IGG ABS 405005415 8.45VARICELLA-ZOSTER VIRUS IGM ABS 405005420 12.91VIT B12-CHG ONLY 405005425 10.75PRIMIDONE,SERUM 405005430 19.00QUINIDINE-SERUM 405005435 19.75ZZ ACTIVATED PROTEIN C RESISTANCE 405005440 54.00ADRENOCORTICOTROPIC ACTH 405005445 154.50AFB IDENTIFICATION DNA PROBE 405005450 16.50ALKALINE PHOSPHATASE ISOENZYMES 405005455 14.20AFB IDENTIFICATION MYCOBACTERIUM 405005460 16.50AFB STAIN 405005465 7.00AFB SUSCEPT-M.TB RAD PANEL 405005470 25.16AFB SUSCEPT-MAI COMPLEX(MAC) AGAR 405005475 33.50AFB SUSCEPT-OTHER MYCOBACTERIUM S 405005480 29.50AFB SUSCEPT-RAPIDLY GROWING MYCOB 405005485 29.50ALPHA-2-MACROGLOBULIN 405005490 17.75ALPHA-FETOPROTEIN TUMOR MARKER 405005495 12.74AMIKACIN 405005500 19.50AMIODARONE AND METABOLITES 405005505 12.74ANA W/INTERNATIONAL UNITS & PATTE 405005510 6.81ANTISTREPTOLYSIN O AB (ASO) 405005520 7.90BABESIA ORGANISM DETECTION 405005525 11.50CA-125 405005530 11.22CA-15-3 405005535 15.00CA27.29 405005540 15.00CALCITONIN 405005545 21.00CARCINOEMBRONIC AG (CEA) 405005550 15.77CATECHOLAMINES,FRACTIONATED PLASM 405005555 26.50CATECHOLAMINES,FRACTIONATED URINE 405005560 26.50CLONAZEPAM 405005565 19.00COLD AGGLUTININS 405005570 15.50C-REACTIVE PROTEIN ULTRAQUANT 405005575 25.00CRYPTOCOCCUS AG CSF 405005580 9.92CRYPTOSPORIDIUM AG DECTECTION 405005585 60.00CYCLOSPORINE A AND METABOLITES WB 405005590 27.23CYTOMEGALOVIRUS CULTURE 405005595 15.80DEHYDROEPIANDROSTERONE 405005600 23.19DEHYDROEPIANDROSTERONE-SULFATE 405005605 17.50DESIPRAMINE 405005610 15.75DNA AUTOABS, SINGLE-STRANDED DNA 405005615 11.16DNA AUTOANTIBODIES,DOUBLE-STRANDE 405005620 11.16ENTAMOEBA HISTOLYTICA AG DETECTIO 405005625 14.75EPINEPHRINE 24HR URINE 405005630 33.00EPINEPHRINE PLASMA 405005635 33.00ERYTHROCYTE PROTOPORPHRIN 405005640 13.50ERYTHROPOIETIN(SERUM) 405005645 21.42ESTRADIOL 405005650 117.00ESTROGENS,TOTAL 405005655 28.50FACTOR VIII ACTIVITY 405005660 35.67FECAL FAT(LIPIDS),QUALITATIVE 405005665 15.93FECAL FAT,QUANTITATIVE 405005670 50.50FRUCTOSAMINE 405005675 9.00FUNGAL STAIN-CHG ONLY 405005680 4.75GLOMERULAR BASEMENT MEMBRANE IGG 405005685 32.21

GROWTH HORMONE 405005690 15.75FUNGUS IDENTIFICATION YEAST,CULTU 405005700 11.78HEPARIN-PF4 ANTIBODIES(HIT) 405005705 50.32HEPATITIS C VIRUS RNA QUANT(PCR) 405005710 120.00HERPES SIMPLEX VIRUS CULTURE 405005715 9.94HIV-1 RNA QUANT BY ROCHE 405005720 125.00HLA-B27 TYPING 405005725 13.20HOMOCYSTEINE ULTRAQUANT 405005730 25.00HYDROXYINDOLEACETIC ACID,5 24HR U 405005735 54.75HYDROXYTRYPTAMINE,5-(SEROTONIN) 405005740 36.63HYDROXYTRYPTAMINE,5-(SEROTONIN)WB 405005745 71.00IGA,TOTAL 405005750 8.65INFLUENZA VIRUS A IGM ABS 405005755 12.75INFLUENZA VIRUS B IGM ABS 405005760 12.75INSULIN-LIKE GROWTH FACTOR BINDIN 405005765 24.75INSULIN-LIKE GROWTH FACTOR I 405005770 49.50ISLET CELL AUTOAB,COMPLEMTN FIXIN 405005775 23.00LEAD 24HR URINE 405005780 8.25LEAD WHOLE BLOOD 405005785 5.82LEGIONELLA PNEUMOPHILIA AG DETECT 405005790 18.22LEGIONELLA PHEUMOPHILIA AG DETECT 405005795 21.90LIPOPROTEIN(A) 405005800 71.25LIVER-KIDNEY MICROSOME(LKM-1) 405005805 19.00LUPUS ANTICOAGULANT-DRVVT REFLEX 405005810 6.89LUTEINIZING HORMONE 405005815 14.25MALARIA ORGANISM DETECTION 405005820 17.24MICROALBUMIN 24HR URINE 405005825 23.75MITOCHONDRIAL(M2) IGG AUTOABS 405005830 10.10MONOCLONAL GAMMOPATHIES CSF 405005835 20.00MONOCLONAL GAMMOPATHIES SERUM 405005840 13.95MONOCLONAL GAMMOPATHIES URINE 405005845 17.24NEISSERIA GONORRHOEAE AG DETECTIO 405005850 9.50NORDIAZEPAM 405005855 25.50NUCLEOTIDASE,5- 405005860 46.50OSMOLALITY 24HR URINE 405005865 18.75PHOSPHORUS 24HR URINE 405005870 13.25PNEUMOCYSTIS CARINII AG DETECTION 405005875 17.24CLO TEST 405005877 66.25PROGESTERONE 405005880 71.25PROTEIN,TOTAL SYNOVIAL FLUID 405005885 44.00RISTOCETIN COFACTOR FUNCTION 405005890 148.50SM(SMITH) IGG ABS-CHG ONLY 405005895 4.00SMOOTH MUSCLE TOTAL AUTOABS 405005900 11.47SRP AUTOANTIBODIES 405005905 83.00ST.LOUIS ENCEPHALITIS IGG ABS 405005910 15.75ST. LOUIS ENCEPHALITIS IGG AB CSF 405005915 15.75ST.LOUIS ENCEPHALITIS IGM ABS 405005920 31.50ST.LOUIS ENCEPHALITIS IGM CSF 405005925 31.50STONE-A-LYZER 405005930 11.25TACROLIMUS 405005935 30.26THROMBIN TIME 405005940 15.00THYROGLOBULIN AUTOABS 405005945 8.66THYROGLOBULIN SERUM 405005950 50.25THYROXINE(T4)FREE 405005955 12.11TRIIODOTHYRONINE(T3) 405005960 12.11TRIIODOTHYRONINE(RT3)REVERSE 405005965 103.50TRIIODOTHYRONINE(T3)FREE 405005970 16.31URIC ACID 24HR URINE 405005975 16.75URIC ACID RANDOM URINE 405005980 14.33VANILLYMANDELIC ACID 24HR URINE 405005985 19.06VDRL 405005990 6.85VDRL CSF 405005995 6.84ANA TITER 405006000 7.75LYME ANTIBODY 405006001 19.25VIRAL CULTURE,RESPIRATORY 405006005 35.00

ALDOSTERONE, SERUM 405006010 36.00CHLAMYDIA TRACHOMATIS,RRNA 405006012 34.50NEISSERIA GONORRHOEAE,RRNA 405006013 34.50VITAMIN D,25-HYDROXY(CALCIFEROL) 405006020 27.00ZINC 24HR URINE 405006025 11.50AMYLASE,URINE 405006031 56.00ZINC PLASMA 405006035 11.50CATECHOLAMINES,TOTAL URINE 405006040 26.50CATECHOLAMINES,BLOOD 405006042 26.50VIRAL CULTURE 405006045 18.79VITAMIN B1(THIAMINE) 405006055 26.75ECHOVIRUS AB TYPE 4 - CHRG ONLY 405006059 13.25ECHOVIRUS AB TYPE 7 - CHRG ONLY 405006061 13.25ECHOVIRUS AB TYPE 9 - CHRG ONLY 405006063 13.25ZINC PROTOPORPHYRIN 405006065 11.50ECHOVIRUS AB TYPE 11 - CHRG ONLY 405006067 13.25ECHOVIRUS AB TYPE 30 - CHRG ONLY 405006069 13.25COXSACKIE B ABS 1-6 - CHRG ONLY 405006071 19.75COXSACKIE A ABS - CHRG ONLY 405006073 17.00PORPHOBILINOGEN 24HR URINE 405006075 26.50PORPHOBILINOGEN URINE RANDOM 405006080 75.00LITHIUM 405006085 15.00OXALATE 24HR URINE 405006090 36.75VITAMIN D, 1, 25 DIHYDROXY 405006100 33.96HEP B SURFACE AG NEUTRALIZATION 405006120 7.21IA-AG/AB,QL/SQNT-CHRG - CHRG ONLY 405006130 12.98FLUOR AB SCRN, EACH - CHRG ONLY 405006135 12.98HEPARIN ASSAY(ANTI X-A ACTIVITY) 405006244 45.00TREPONEMA PALLIDUM TOTAL ABS 405006265 31.50OSMOLALITY,SERUM 405006314 5.75OSMOLALITY,URINE 405006316 5.75BHCG, QUANTITATIVE 405006320 21.50T3 UPTAKE 405006323 204.00VALPROIC ACID (SO) 405006349 12.42CERULOPLASMIN 405006379 12.00CULTURE,GENITAL REFLEX TO SUSCEPT 405006427 10.51FIBRINOGEN (SO) 405006443 13.50PLT GLYCOPROTEIN DIRECT ABS - CO 405006554 75.75PLT GYCOPROT INDIR AB - CHRG ONLY 405006556 75.75HSV, DNA- CHRG ONLY 405006557 61.25MRSA SCREEN 405006570 43.00VRE SCREEN 405006575 53.75AMMONIA(S/O) 405006605 117.75ANTIBODY IDENTIFICATION 405006610 189.75LIDOCAINE(SO) 405006768 23.50WEST NILE IGG AB - CHRG ONLY 405006772 30.50WEST NILE IGM AB - CHRG ONLY 405006773 30.50WEST NILE IGG&IGM,CSF - CHRG ONLY 405006775 30.50COMPLEMENT CH50 405006830 23.25COCCI,IGM EIA 405006861 17.50COCCI,IGG IMMUNODIFFUSION 405006862 9.50COCCI,IGM IMMUNODIFFUSION 405006863 9.50COCCI,IGG COMPLEMENT FIXATION 405006864 20.25HANTAVIRUS ABS IGG ELISA 405006901 81.50HANTAVIRUS AB IGG BY ELISA 405006902 81.50TREPONEMA PALLIDUM ABS 405006906 31.50WEST NILE RNA VIRUS CSF 405006908 250.00COXSACKIE A AB PANEL CSF-CHRG ONL 405006910 18.25COXSACKIE B CSF-CHRG ONLY 405006912 18.00LYMPH ENUMERATE HELPER/INDUCE PNL 405006995 17.24BACTERIAL IDENTIFICATION,AEROBIC 405007005 15.02FOLLICLE-STIMULATING HORMONE 405007015 58.50HEMOGLOBIN VARIANT SCREEN REFLEX 405007020 45.00HEPATITIS B VIRUS E ANTIBODIES 405007025 10.81FEVER PANEL 405007030 65.50

HEPATITIS C VIRUS IGG ABS 405007035 8.92HETEROPHILE AGGLUTINATION 405007055 10.50ISOENZYMES, CPK 405007060 37.25ISOENZYMES, LDH 405007061 23.00HEPATITIS B VIRUS CORE TOTAL ABS 405007140 8.10IGE 405007145 10.10IGG 405007150 8.70IGM 405007160 8.65AFB SUSCEPT-MAI(MAC) RAD METHOD 405007170 74.25AMITRIPTYLINE - CHRG ONLY 405007210 12.25NORTRIPTYLINE - CHRG ONLY 405007215 12.25ANA/CHG ONLY 405007220 4.00CARDIOLIPIN IGG ABS - CHRG ONLY 405007235 11.25CARDIOLIPIN IGM ABS - CHRG ONLY 405007240 11.25CARDIOLIPIN IGA ABS - CHRG ONLY 405007245 11.25PHOSPHAT IGG AUTO AB - CHRG ONLY 405007250 11.25PHOSPHA IGM ABS - CHRG ONLY 405007255 11.25PHISPHA IGA ABS - CHRG ONLY 405007256 11.25BETA2-GLYCO IGG AB - CHRG ONLY 405007257 11.25BETA-2 GLYCO IGM AB - CHRG ONLY 405007258 11.25BETA-2 GLYCO IGA ABS - CHRG ONLY 405007259 11.25DRVVT SCREEN - CHRG ONLY 405007261 11.25ASPERGILLUS AB IGG - CHRG ONLY 405007262 21.00ASPERGILLUS AB IGM - CHRG ONLY 405007263 21.00ASPERGILLUS AB IGA - CHRG ONLY 405007264 21.00BETA-2-GLYCOPROTEIN (BETA-2-GPI) 405007280 38.22BETA-2-MICROGLOBULIN SERUM 405007300 12.74BORDETELLA PERTUSSIS IGG,IGM&IGA 405007305 180.00BORRELIA BURGDOFERI IGG,IGM ABS 405007310 16.38CARDIOLIPIN IGG,IGM&IGA ABS 405007315 31.21DSDNA AUTOANTIBODIES-CHG ONLY 405007321 4.00U1 RNP ABS CHG PN,Y 405007322 4.00SS-A IGG AUTOABS-CHG ONLY 405007323 4.00SS-B IGG AUTO ABS - CHRG ONLY 405007324 4.00SS-A IGG AUTO ABS - CHRG ONLY 405007326 4.00THYROID PEROXIDASE - CHRG ONLY 405007327 4.00RIBOSOMAL P PROTEIN - CHRG ONLY 405007328 4.00CHLAMYDIA PNEUMO ABS - CHRG ONLY 405007331 21.25CHLAMYDIA IGM AB - CHRG ONLY 405007332 21.25CH50 - CHRG ONLY 405007346 9.75C3,C4 FACTOR B - CHRG ONLY 405007347 9.75COXIELLA BURNETII IGG,IGM&IGA PHA 405007350 22.93CYTOMEGALOVIRUS IGG - CHRG ONLY 405007363 12.25CYTOMEGALOVIRUS IGM - CHRG ONLY 405007364 12.25PLATELET ANTIBODY, INDIRECT IGG 405007368 172.00APC PROTEIN C RESISTANCE 405007369 97.00DRUGS OF ABUSE SCREEN SERUM 405007370 150.00EBV VCA IGG AB - CHRG ONLY 405007382 13.75EBV VCA IGM AB - CHRG ONLY 405007383 13.75EBV EARLY AG IGG AB - CHRG ONLY 405007384 13.75EBV EARLY AG IGM AB - CHRG ONLY 405007386 13.75ARSENIC 24HR URINE - CHRG ONLY 405007393 11.50MERCURY 24HR URINE - CHRG ONLY 405007396 11.50ARSENIC WHOLE BLOOD - CHRG ONLY 405007397 10.50MERCURY WHOLE BLOOD - CHRG ONLY 405007398 10.50LEAD WHOLE BLOOD - CHRG ONLY 405007399 10.50GLIADIN IGG & IGA ABS 405007400 39.50HSV 1 IGG ABS - CHRG ONLY 405007404 25.50OVA AND PARASITE 405007409 9.75IMIPRAMINE - CHRG ONLY 405007422 11.25DESIPRAMINE - CHRG ONLY 405007423 11.25HSV 1, DNA, BLOOD 405007430 61.25LEGIONELLA PNEUMO ABS - CHRG ONLY 405007438 21.25GATED CELL TYPE - CHRG ONLY 405007439 102.00HERPES SIMPLEX TYPES 1&2 IGG,IGM 405007440 76.50

WBC-CHG ONLY 405007441 10.75% CD - CHRG ONLY 405007442 102.00% LAMBDA LIGHT CHAINS - CHRG ONLY 405007443 102.00CHOLESTEROL - CHRG ONLY 405007444 7.50HISTOPLASMA ABS 405007445 15.75TRIG AND CHLYMICRONS - CHRG ONLY 405007446 9.50LIPOPROTEINS - CHRG ONLY 405007447 19.75ABSOLUTE CD4-CHG ONLY 405007448 16.75HISTOPLASMA ABS CSF 405007450 13.38ABSOLUTE CD8 - CHRG ONLY 405007451 12.00METANEPHRINE URINE - CHRG ONLY 405007452 27.50CREATININE URINE - CHRG ONLY 405007453 8.75HIV 1 & 2 ABS IMMUNOBLOT 405007455 36.00PARVOVIRUS B19 IGG,IGM ABS 405007462 17.51PLATELET ASSOCIATED GLYCOPROTEIN 405007464 65.00INFLUENA VIRUS A&B IGG,IGM&IGA AB 405007465 65.10MYCOPLASMA IGG,IGM - CHRG ONLY 405007469 21.25IGA,IGG&IGM IMMUNO QUANT 405007470 22.11LACTATE DEHYDROGENASE (LD) ISOENZ 405007475 23.00PROTEIN URINE - CHRG ONLY 405007476 5.50ELECTROPHORESIS PROT - CHRG ONLY 405007477 5.50PARATHYROID HORMONE - CHRG ONLY 405007479 27.00LEGIONELLA PHEUMOPHILA IGG,IGM AB 405007480 31.71CALCIUM TOTAL - CHRG ONLY 405007481 8.00PTH,INTACT+TOTAL CALCIUM ONLY 405007482 24.00RICKETTSIA RICKETTSII IGG,IGM ABS 405007483 34.23RICKETTSIA TYPHI IGG,IGM ABS 405007486 33.50TOXOPLASMA IGG ABS - CHRG ONLY 405007491 20.75TOXOPLASMA IGM ABS - CHRG ONLY 405007492 20.75LEAD 24HR URINE - CHRG ONLY 405007494 11.50VIT E ALPHA - CHRG ONLY 405007498 12.75VIT E GAMMA - CHRG ONLY 405007499 12.75OCCULT BLOOD, GASTRIC 405007502 38.50FECAL OCCULT BLOOD 405007505 35.25STOOL WBC,GIEMSA STAIN 405007506 73.50URINE SPECIFIC GRAVITY 405007510 106.50PH,BODY FLUID 405007515 20.25BODY FLUID SPECIFIC GRAVITY 405007520 20.25PREGNANCY TEST,SERUM QUAL 405007550 280.00HCG,SERUM,QUALITATIVE 405007575 255.50URINE PREGNANCY TEST 405007580 154.50URINALYSIS,ROUTINE W/MICRO 405007630 176.50URINE MACROSCOPIC 405007631 91.50QUANTIFERON-TB GOLD 405007815 60.00VENIPUNCTURE 405008000 47.00PERIPH BLD SMEAR W/INTERP 405008500 36.81CYTOPATH,SMEAR W/SCR & INTERP 405008501 17.07LEVEL I-SURG PATH,GROSS EXAM 405008503 11.16L2-SURG PATH, G &M - CHRG ONLY 405008504 13.00DECALIFICATON PRO,LIST SEP 405008505 11.04GRP II ALL OTHER EXCPT IMMCHM ST 405008506 17.07CYTO,FLDS,WASH OR BRSH W/INTRP 405008513 17.07SMEARS & FILTER PREP W/INTERP 405008515 17.07CYTO CON TECH,SMEAR AND INTERP 405008516 17.07CYTOPATH,S.CELL ENW/I - CHRG ONLY 405008517 36.81CYTOPATH SMR, PREP, SCRN & INTERP 405008518 16.73EXT STUDY,>5 SLDS A/O STAINS 405008519 36.81EVAL FINE NEEDLE ASP,CYTOHIS ST 405008520 17.07CYTOPATH FNA INTERP - CHRG ONLY 405008521 36.81L3 SURG PATH,GROSS & MICRO EXAM 405008522 36.81L4 SURG PATH,GROSS & MICRO EXAM 405008523 36.81SPECIAL STAIN,GRP1,MICROORG 405008524 17.07CONSULT COMP W/REV & SPEC W/RPT 405008528 49.75PATH CNSLT 1ST TISS BI W/FRO SEC 405008530 36.81BONE MARROW SMR INTRP - CHRG ONLY 405008534 36.81

L5,SURG PATH,G&M EXAM 405008539 57.66L6,SURG PATH,G&M EXAM 405008540 57.66IMMUNOCHEM,EA ANTIBODY 405008541 36.81PATH CONSULT DURING SURGERY 405008550 16.73LEVEL II-SURG PATH MI - CHRG ONLY 405008551 17.07CONS. FRZN EA ADDT'L - CHRG ONLY 405008554 11.16HER 2/NEU,EA ANTIBODY-CHRG ONLY 405008556 36.81XX TC99 SESTAMIBI(CARDIOLITE)7899 407000005 309.75XX TC99 PYROPHOSPHATE (PYP DOSE) 407000008 196.50XX TC99 CERETEC BRAIN DOSE 407000009 1,134.50XX TC99 CERETEC WBC DOSE 407000010 1,959.75XX TC99 CHOLETEC DOSE 407000011 196.50XX TC99 DTPA DOSE 407000012 115.50XX TC99 HDP PER DOSE 407000013 425.00XX TC99 MAA DOSE 407000014 250.25XX TC99 MAG3 DOSE 407000015 303.00XX TC99 MDP DOSE 407000016 188.50XX TC99 NEUROLITE DOSE 407000017 1,701.50XX TC99 SODIUM PERTECHNETATE DOSE 407000019 115.50XX TC99 SULFUR COLLOID DOSE 407000020 115.50XX TC99 MYOVIEW (78990) 407000022 201.00XX 6F ABSCESS MINI PIG TAIL 407000023 94.75XX TC99 ACUTECT 407000025 2,526.50US COLOR FLOW CHARGE 407000053 558.25US PSEUDOANEURYSM COMPRESSION 407000054 127.25XX BX NEEDLE,21G X 150MM 407000056 101.25XX BX NEEDLE,22G X 100MM 407000057 98.50XX BX NEEDLE,22G X 150MM 407000058 98.50XX BX NEEDLE,22G X 70MM 407000059 140.75XX COAXIAL LUNG BX SET 407000060 140.75XX PNEUMOTHORAX KIT 407000061 98.50XX KINEVAC VIAL 407000062 380.75XX TC99 TAGGED RBCS (78990) 407000063 515.50XX FREDERICK MILLER FEEDING TUBE 407000066 152.25XX TUBING, LOW PRESSURE 6' 407000067 26.00XX 8F ABSCESS MINI PIGTAIL 407000068 135.25XX ELECTRODE, V-LEAD 407000069 15.00XX SYRINGE, MEDRAD W/VALVE 407000070 94.25XX THORACENTESIS TRAY W/CATH 407000077 185.50XX TRAY LUMBAR PUNCTURE ADULT 407000078 90.25XX TRAY LUMBAR PUNCTURE INFANT 407000079 71.75XX 8F ABSCESS GENERAL PIG TAIL 407000080 94.75XX 10F ABSCES GENERAL PIG TAIL 407000081 474.75XX SUCTION DRAINAGE BAG 407000082 247.25XX GRAVITY DRAINAGE BAG 407000083 490.50XX INTROPASTE 407000086 116.75XX COLOSTOMY ENEMA BAG 407000088 178.50XX FRONT LOAD CT TRI-PAK/125ML 407000094 51.25XX FRONT LOAD CT TRI-PAK 200ML 407000095 51.25XX LOW PRESS COIL TUBING FOR CT 407000096 25.50XX MYELOGRAM TRAY 407000097 189.50XX TC99 GLUCEPATE (78990) 407000099 115.50XX TC99 DTPA AEROSOL (78990) 407000102 425.00XX QUADRAMET 407000103 9,693.50XX .35 WIRE INTRODUCER SET 407000104 145.00XX DICOPAC CO57 & CO58 407000106 515.50XX GA67 GALLIUM CITRATE PER MCI 407000107 97.25XX I123 SODIUM IODIDE CAPS 100UCI 407000108 145.50XX I123 SODIUM IODIDE CAP 200UCI 407000109 290.75XX I131 IODOHIPPURATE UNIT DOSE 407000110 198.25XX I131 SOIDUM IODIDE PER UCI 407000111 917.25XX I131 SODIUM IODIDE PER MCI 407000112 1,866.50XX ISOVUE 300 PER ML 407000125 2.50XX CATHETER,FOLEY 14FR 407000130 37.00XX CATHETER, FOLEY 16FR 407000131 37.00

XX CATHETER, FOLEY 20FR 407000132 37.00XX CATHETER, FOLEY 22FR 407000133 37.00XX CATHETER, FOLEY 8FR 407000134 71.25XX, LACERATION TRAY, NM TOWEL 407000135 78.50XX THORANCENTESIS TRAY W/NEEDLE 407000136 94.25XX THROANCENTESIS TRAY W/CATHETER 407000137 158.75XX TRAY BONE MARROW BIOPSY 11G 407000138 29.00XX TRAY PED LUMBAR PUNCTURE 407000139 83.50XX FEEDING TUBE 8FR 407000140 110.00XX DEFIB PADS 3M ORANGE 407000141 20.25XX THALLIUM PER MCI 407000142 154.50XX TC99 SULFUR COLLOID EGG(78990) 407000145 309.75XX IV START KIT 407000146 24.00XX EVACUATOR CONTAINER 1000 ML 407000147 16.75XX FRANSEEN BX NEEDLE 407000148 89.00XX PARACENTESIS TRAY 407000150 134.25XX CT BIOPSY TRAY 407000165 97.00US GUIDANCE INTRAOPERATIVE 407000175 392.00XX SLIM CATH PRE CURVE 15CM TRAY 407000176 981.00XX SLIM CATH PRE CURVE 20CM TRAY 407000177 981.00XX MICROINTRODUCER KIT 5FR 10CM 407000178 304.00XX INTRODUCER 5FR 18X70 407000179 185.25XX US PORTABLE (76999) 407000180 279.25XX GUIDEWIRE(IN KIT) 407000181 185.25XX PICC KIT 4FR GROSHONG 407000188 912.75XX INDIUM 111 OXINE TAGGED WBC 407000190 3,710.50XX BONE MARROW TRAY 407000198 350.00XX VISPAQUE 320 PER ML 407000199 2.50XX ISOVUE 370 PER ML 407000300 1.25XX GADOLINIUM PER ML 407000310 17.50XX HD CATH OPTIFLOW RT IJ 19CM 407000444 2,208.75XX HD CATH OPTIFLOW LT IJ 23CM 407000445 2,208.75XR OUTSIDE FILM INTERPRET(76140) 407001001 228.25XR FLUORO CENTRAL VENOUS ACCESS 407001004 275.75XR ABD COMP,DECUB AND/OR ERECT V 407001005 910.50XR PICC/CENTRAL VENOUS CATH >=5 407001006 2,282.50XR ARTHOCENTESIS JOINT SMALL 407001008 434.50XR ARTHOCENTESIS JOINT INTERMED 407001009 434.50XR ABDOMEN,1VW ANTEROPOSTERIOR 407001010 317.75XR ARTHOCENTESIS JOINT LARGE 407001011 434.50XR ABDOMEN,ANT POS,OBLIQ,CONE VW 407001015 810.25XR AC JNT,BILAT,W/ OR W/O WGT DI 407001020 1,123.50XR BIOPSY PLEURA 407001032 870.75XR COLON,BARIUM ENEMA 407001040 722.50XR AIR CONTRAST W/HIGH DEN BARIU 407001045 909.00XR ESOPHAGUS 407001050 842.75XR OSSEOUS STUDY,COMP,AXIAL/APPE 407001055 333.25XR SPINE,CERV COMP,OBLIQ & FLEX 407001065 806.75XR CINE SWALLOW FUNCTION(74230) 407001075 168.50XR CHEST COMP,MIN 4VWS,W/FLUORO 407001080 322.50XR CHEST 2VWS,FRONT & LATERAL 407001090 649.25XR CHEST COMP,MIN 4 VWS 407001095 608.50XR CHEST 3VWS,FRNT&LAT,W/LORDOTIC 407001100 508.75XR CHOLANGIOGRAM 1V DRIP (74320) 407001105 419.75XR CHOLANGIO &/OR PANCRE INTRAOP 407001110 502.25XR ARTHROGRAM ELBOW 407001111 844.00XR CLAVICLE COMPLETE,BILAT 407001115 779.75XR ARTHROGRAM HIP 407001116 969.75XR ARTHROGRAM KNEE 407001118 969.75XR CYSTOGRAM,MIN 3 VWS 407001120 347.00XR ARTHROGRAM SHOULDER 407001123 969.75XR DISKOGRAM LUMBAR INJ EA LEVEL 407001128 2,626.50XR DISKOGRAM THOR/CERV EA LEVEL 407001133 2,103.50XR ENDO CATH,BIL & PANCR DUCT 407001135 1,547.75XR FACIAL BONES,<3 VWS 407001145 382.50

XR FACIAL BONES COMP,MIN 3 VWS 407001150 546.75XR LONG GI TUBE INTRO,MULT FLUOR 407001151 248.25XR SPINE 1VW,SPECIFY LEVEL 407001165 278.75XR FLUORO 1 HOUR OR LESS 407001170 479.50XR FLUORO GREATER 1 HOUR 407001172 424.25XR HIP,COMP,MIN 2 VWS 407001205 153.00XR HIPS BIL 2VW INC ANT PELVIS 407001210 151.00XR NEPHROSTOGRAM 407001211 733.00XR NEPHROSTOMY TUBE EXCHANGE 407001212 1,028.00XR NEPHROSTOMY TUBE PLACEMENT 407001213 1,794.00XR NEPHROSTOMY TUBE WITH STENT 407001214 1,566.00XR NEPHROSTOGRAM INJECTION 407001216 815.25XR NEPHROSTOMY PLACEMENT 407001217 2,609.00XR NEPHROSTOMY PLACE WITH STENT 407001218 2,714.75XR NEPHROSTOMY TUBE PLACE EXCHANG 407001219 1,656.50XR UROGRAPHY,IVP W/ OR W/O KUB 407001222 1,690.50XR EPIDURAL CERVICAL INJECTION 407001223 2,292.50XR KNEE 1 OR 2 VIEWS 407001225 826.50XR LUMBAR PUNCTURE ASPIRATION 407001228 982.75XR EPIDURAL LUMBAR/THORACIC INJCT 407001238 2,620.25XR SPINE,LUMBOSACRAL,MIN 4 VWS 407001245 886.25XR CHEST DECUBITUS RIGHT 407001247 508.75XR CHEST TUBE INSERTION 407001248 1,775.50XR CHEST DECUBITUS LEFT 407001249 508.75XR SPINE,LUMBO COMP,W/ BENDING V 407001250 1,080.00XR CHEST EXPIRATION 407001252 508.75XR MANDIBLE COMPLETE,MIN 4 VWS 407001260 613.25XR MASTOIDS COMP,3 VWS PER SIDE 407001265 479.75XR MYELOGRAM LUMBAR SPINE 407001270 1,391.25XR NASAL BONES,COMP,MIN OF 3 VWS 407001275 393.75XR WRIST, 2V 407001280 425.25XR OPTIC FORAMINA 1 VIEW (70190) 407001285 372.50XR ORBITS,COMP,MIN OF 4 VWS 407001290 981.50XR PACEMAKER CHEST IMAGES 407001295 161.50XR PELVIS,1 OR 2 VWS 407001300 525.25XR PELVIS,COMP,MIN 3 VWS 407001305 877.25XR BIOPSY RENAL/KIDNEY 407001310 729.25XR RIBS BILAT,MIN 4VWS,PA CHEST 407001315 496.25XR SACROILIAC JOINTS,3VWS OR MORE 407001325 144.75XR SACRUM/COCCYX,MIN 2 VWS 407001330 633.75XR SCOLIOSIS SERIES 2 VW (72090) 407001340 256.50XR SINUSES,PARANASAL,< 3 VWS 407001355 531.25XR SINUSES,PARANASAL,COMP,MIN 3V 407001360 699.75XR SKULL LIMITED 407001365 1,044.00XR SKULL COMP 4 VIEWS 407001370 1,086.00XR SMALL BOWEL,MULT SERIAL FILMS 407001375 519.00XR SUBTRACTION IN CONJ W/CONTRAST 407001377 170.00XR STERNOCLAVICULAR JNT,MIN 3 VW 407001385 171.75XR STERNUM,MIN 2 VWS 407001390 601.00XR T-TUBE POST OPERATIVE 407001395 248.25XR TMJ BILATERAL 407001400 161.50XR SPINE,THORACIC,2VWS 407001405 606.75XR SPINE,THORACIC,3VWS 407001410 661.75XX THORACENTESIS TRAY W/NEEDLE 407001417 101.00XX INSTA-VENT 407001419 192.00XR GREAT TOE-RT(73660-T5) 407001420 212.25XX HYPAQUE 30% 250 ML 407001421 407.00XX HYPAQUE 30% 300 ML 407001423 350.00XX HYPAQUE 50%, 30ML 407001424 407.00XX HYPAQUE 50% 50 ML 407001426 434.25XX HYPAQUE 60% 150 ML 407001427 490.50XX ISOVUE M 300 407001429 216.00XR UPPER GI WITHOUT KUB 407001430 1,499.50XX MICROPAQUE 407001432 185.25XR UPPER GI W/SMALL BOWEL 407001435 1,907.50

XR UPPER GI WITH KUB 407001438 1,650.00XR URETHROCYSTOGRAPHY,RETROGRADE 407001440 260.00XR URETHROCYSTOGRAPHY,VOIDING 407001445 474.75XX SHORT TERM CATH HEMODIALYSIS 407001456 185.25XX GUIDEWIRE 407001457 185.25XR CHEST, 2 VIEWS W/ FLUOROSCOPY 407001458 408.25XR WRIST,COMP,MIN 3 VWS 407001460 610.25XR ORAL CHOLECYSTOGRAM(74290) 407001475 248.25XR HYSTEROSALPINGOGRAM(74740) 407001485 413.00XR MYELOGRAM CERVICAL SPINE 407001490 1,610.00XR VENOGRAM UNILAT-RT(75820-RT) 407001495 766.50XR VENOGRAM BILAT(75822) 407001500 766.50XR INJECTION VENOGRAM 407001505 62.25XR ANKLE,2VWS 407001510 513.50XR REMOVAL CENTRAL VEN CATH TUNN 407001518 1,224.75XR ANKLE COMP,MIN 3VWS 407001520 602.00XR CLAVICLE COMPLETE 407001530 540.00XR ELBOW,2VWS 407001540 467.25XR KYPHOPLASTY THORAC INITIAL LEV 407001553 8,038.75XR ELBOW,COMP,MIN 3 VWS 407001555 551.00XR KYPHOPLASTY THOR EA ADD LEVEL 407001558 4,798.50XR FEMUR,2 VWS 407001560 355.00XR FLUOROSCOPY KYPHOPLASTY 407001563 1,177.00XR KYPHOPLASTY LUMBAR INITIAL LEV 407001568 7,370.50XR THUMB-RT(73140-F5) 407001570 455.75XR KYPHOPLASTY LUM EA ADD LEVEL 407001573 4,798.50XR FOOT,2VWS 407001620 483.25XR FOOT COMP,MIN 3 VWS 407001625 562.75XR FOREARM,2VWS 407001635 526.00XR HAND,2VWS 407001650 485.75XR HAND MIN 3 VWS 407001655 575.00XR CALCANEUS,HEEL,MIN 2 VWS 407001665 404.25XR HUMERUS,MIN 2VWS 407001685 553.00XR KNEE BOTH STANDING AP ONLY 407001690 541.50XR KNEE,3VWS 407001700 595.25XR FISTULOGRAM/SINUS TRACT 407001701 607.75XR INJECTION FISTULOG/SINUS TRACT 407001702 617.50XR RECONSTRUCTION 3D ONLY 407001703 1,214.75XR BIOPSY ABDOMEN/RETROPERITONE 407001704 1,299.25XR BIOPSY BONE DEEP 407001706 1,677.00XR BIOPSY MUSCLE 407001707 1,064.25XR BIOPSY NECK SOFT TISSUE 407001708 2,802.50XR BIOPSY PANCREAS 407001709 1,499.00XR BIOPSY LIVER 407001711 1,083.50XR BIOPSY LUNG/MEDIASTINUM 407001712 903.00XR ASPIRATION NDLE BONE CYST 407001713 720.75XR ASPIRATION NDLE HEMATOMA 407001714 431.25XR ASPIRATION NDLE LUNG 407001716 797.50XR ASPIRATION NDLE PARACENTESIS 407001717 1,007.00XR ASPIRATION NDLE THYROID 407001719 1,114.75XR MANDIBLE,PARTIAL,<4VWS 407001720 482.00XR PERICARDIOCENTESIS INITIAL 407001721 1,217.00XR PERICARDIOCENTESIS SUBSEQUENT 407001722 699.25XR GASTROSTOMY TUBE PLACEMENT 407001723 1,440.00XR DRAIN LIVER ABSCESS 407001724 1,838.00XR DRAIN RETROPERITONEAL ABSCESS 407001726 1,739.25XR DRAIN RENAL ABSCESS 407001727 2,049.75XR DRAIN SUBDIAPHRAGMATIC ABSCESS 407001728 1,623.25XR DRAIN PANCREAS PSEUD ABSCESS 407001729 1,889.50XR DRAIN ABSCESS HEMATOMA 407001731 1,549.25XR INJECTION MEDICATION C1-C2 407001732 977.25XR INJECTION MYELOGRAM INCL CT 407001733 977.75XR INJECTION SHOULDER ARTHROGRAM 407001734 528.50XR INJECTION ELBOW ARTHROGRAM 407001736 441.00XR INJECTION HIP ARTHROGRAM 407001737 621.00

XR INJECTION KNEE ARTHROGRAM 407001738 525.25XR TRANSHEPATIC CHOLE 407001739 957.50XR NEPHROSTOMY S & I 407001741 680.50XR NEPHROSTOMY 407001742 573.75XR NEPH W/PERCUT STNT PLCMNT 407001743 1,289.75XR RIBS UNILAT 3VWS INC PA CHEST 407001745 788.25XR INJECTION ERCP W/BIOPSY 407001746 1,608.50XR INJECTION ERCP WITH SPHINCTER 407001747 1,897.75XR INJECTION ERCP WITH PRESSURE 407001748 1,677.75XR INJECTION ERCP W/STONE REMOVE 407001749 1,409.75XR SCAPULA COMPLETE 407001750 487.50XR INJECTION ERCP WITH STENT 407001751 2,322.00XR INJECTION ERCP WITH DILATION 407001752 1,387.75XR BIOPSY BONE SUPERFICIAL 407001753 1,285.50XR BIOPSY THYROID 407001754 795.25XR ASPIRATION NDLE RENAL 407001756 1,241.00XR DRAIN PERITONEAL ABSCESS 407001757 1,819.25XR INJECTION ERCP WO/W SPECIMEN 407001758 2,436.25XR SHOULDER,1VW 407001760 516.00XR SHOULDER,COMP,MIN 2VWS 407001770 683.00XR TIBIA/FIBULA 2VWS 407001795 523.50XR SPINE,CERV,2 OR 3 VWS 407001800 663.00XX DRAIN CATHETER RENAL 407001801 478.75XX DRAIN CATHETER BILIARY 407001802 478.75XX DRAIN CATHETER PLEURAL PLEUREX 407001803 478.75XX DRAIN CATHETER CHEST 407001804 478.75XR SPINE,LUMBOSACRAL,2 OR 3 VWS 407001805 771.50XR COLON GASTROVIEW/GASTROGRAFIN 407001810 780.25XR FLUORO SPINE EPIDURAL LUMBAR 407001822 243.00XR FLUORO SPINE EPIDURAL THORACIC 407001832 243.00XR FLUORO SPINE EPIDURAL CERVICAL 407001842 243.00XR SPINE CERV 1 VIEW 407001846 278.75XR SPINE, THORACIC 1 VIEW 407001847 278.75XR SPINE, LUMBAR 1 VIEW 407001848 278.75XR ANGIO UPPER EXTREMITY UNILAT 407001849 1,889.50XR ANGIO LOWER EXTREMITY UNILAT 407001851 1,889.50XR ANGIO UPPER EXTREMITY BILAT 407001852 3,474.25XR ANGIO LOWER EXTREMITY BILAT 407001853 3,474.25XR ANGIO PELVIC 407001854 1,748.50XR ANGIO CAROTID/CEREBRAL UNI 407001857 2,393.50XR ANGIO CAROTID/CEREBRAL BILAT 407001858 2,790.50XR ANGIO VERTEBRAL UNILATERAL 407001859 1,637.50XR ANGIO VERTEBRAL BILATERAL 407001861 2,393.50XR ANGIO VISCERAL 407001864 2,417.25XR EPIDUROGRAPHY LUMBAR SPINE 407001866 986.50XR ANGIO FEMORAL RUNOFF & ABDOMEN 407001867 3,527.25XR PARACENTESIS 407001875 1,007.00XR ANGIO THORACIC 407001876 1,815.25XR ANGIO ABDOMEN 407001877 1,996.75XR PARACENTESIS SUBSEQUENT 407001878 1,007.00XR TEMPOROMANDIBULAR JNT,UNILAT 407001890 272.25XR VENOGRAM UNILAT-LT(75820-LT) 407001895 766.50XR GREAT TOE LT(73660-TA) 407001900 212.25XX OMNIPAQUE 240 PER ML 407001902 2.25XR EPIDUROGRAPHY THORACIC SPINE 407001903 913.50XR EPIDUROGRAPHY CERVICAL SPINE 407001904 913.50XR CHEST, 1 VIEW FRONTAL 407001940 508.75XR ABD,COMP ACUTE SERIES 407001946 1,224.25XR BONE AGE STUDY 407001947 780.50XR CHEST,EMPLOYEE,1VW,FRONT,STE 407001948 755.50XR CHOLAN,ADD SET INTRA,RAD S&I 407001949 386.00XR CPLX DYNAM PHARYN SPEECH EVAL 407001950 323.25XR EXAM,UP EXT,INFANT,MIN 2VWS 407001952 1,272.00XR FINGER OR FINGERS 407001953 760.50XR FLUORO BIOPSY/ASPIR/INJECT 407001955 262.25

XR HIP,UNILATERAL,1VW 407001956 147.00XR INJECTION SHUNT TUBING 407001958 837.00XR INJECTION NEPHROSTOMY/LOOPOG 407001959 815.25XR KNEE COMP,4VWS OR MORE 407001962 692.00XR LEG,INFANT 407001963 435.25XR LONG GI TUBE INTRO,MLT FLUORO 407001964 578.25XR LOW EXT,INFANT,MIN 2VWS 407001965 338.50XR NECK,SOFT TISSUE 407001966 459.75XR OSSEOUS SURVEY,LIMITED 407001967 318.00XR PERCUT TUBE/DRAIN CATH CHANGE 407001968 822.25XR PERCUTAN PLCMT OF GASTRO TUBE 407001969 979.50XR RIBS,BILAT,3VWS 407001970 692.50XR RIBS,UNILAT,2VWS 407001971 692.50XR SHUNTOGRAM INVEST W/SUP & INT 407001972 386.00XR SPINE,CERV,MIN 4VWS 407001973 758.75XR THORACENTESIS 407001974 675.25XR TOE OR TOES 407001975 354.00XR UROGRAPHY,ANTEG,NEPHROSTOGRAM 407001978 1,057.75XR MYELOGRAM THORACIC/LUMBAR 407001982 2,029.50XX HOLTER MONITOR REC(93225) 407001983 111.75XX HOLTER SCANNING (93226) 407001984 111.75XR MYELOGRAM THORACIC SPINE 407001985 1,610.00XR MYELOGRAM CERV,THORACIC,LUMBAR 407001987 2,819.00XR MYELOGRAM CERVICAL/THORACIC 407001990 2,029.50XR MYELOGRAM CERVICAL/LUMBAR 407001995 2,029.50XR INJECTION PSEUDOANEURYSM 407001998 534.50NM CV STRESS W/TREADMILL-TRACING 407002005 1,877.75ST HOLTER MONITOR 24HR (93224) 407002010 804.25XR PICC/CENTRAL VENOUS CATH <5 407002015 2,282.50CT ABDOMEN W/CONTRAST 407003005 4,861.25CT ABDOMEN W/O CONTRAST 407003010 3,740.75CT MAXILOFACIAL W/CON 407003011 2,422.00CT ABDOMEN W/WO CONTRAST 407003015 4,298.25CT GUIDANCE BIOPSY/ASPIR/INJECT 407003016 1,901.00CT GUIDANCE DRAIN ABCESS 407003017 2,339.00CT MAXILOFACIAL W/O CON 407003019 1,525.75CT CERVICAL SPINE,W/O CONTRAST 407003020 3,563.25CT CHEST W/CONTRAST 407003025 4,991.25CT CHEST W/O CONTRAST 407003030 2,306.00CT CHEST W/WO CONTRAST 407003035 5,275.25CT HEAD OR BRAIN,W/CONTRAST 407003040 3,875.25CT HEAD OR BRAIN,W/O CONTRAST 407003045 3,298.75CT HEAD OR BRAIN,WO/W CONTRAST 407003050 4,701.00CT EXTREMITY LOW LEFT WO CONTR 407003055 1,953.00CT EXTREMITY LOW RIGHT WO/W CONTR 407003060 2,799.25CT LUMBAR SPINE W/O CONTRAST 407003065 3,744.25CT NECK,SOFT TISSUE,W/CONTRAST 407003080 3,792.00CT NECK,SOFT TISSUE,W/O CON 407003085 3,404.00CT NECK,SOFT TISSUE,W/WO CONTRAS 407003090 3,197.00CT IAC W/CON 407003095 2,687.00CT IACS W/WO CONTRAST 407003105 3,028.25CT PELVIS W/O CONTRAST 407003110 3,630.25CT PELVIS W/CONTRAST 407003115 3,782.75CT PELVIS W/WO CONTRAST 407003120 3,252.75CT RECONSTRUCTION 3D ONLY 407003125 1,214.75CT THORACIC SPINE W/CONTRAST 407003130 5,521.00CT THORACIC SPINE W/O CONTRAST 407003135 3,317.50CT THORACIC SPINE W/WO CONTRAST 407003140 6,122.50CT EXTREMITY UPPER LEFT WITH CONT 407003145 1,790.75CT EXTREMITY UPPER LEFT WO CONTR 407003150 1,606.00CT EXTREMITY UPPER LEFT WO/W CONT 407003155 1,703.75CT EXTREMITY LOW RIGHT WO CONTR 407003175 1,953.00CT EXTREMITY LOW LEFT WO/W CONTR 407003180 2,799.25CT BIOPSY LUNG/MEDIASTINUM 407003183 903.00CT EXTREMITY UPPER RIGHT WITH CON 407003190 1,790.75

CT EXTREMITY UPPER RIGHT WO CONTR 407003200 1,606.00CT EXTREMITY UPPER RIGHT WO/W CON 407003215 1,703.75CT IAC W/O CON 407003220 3,494.25CT ANGIO ABD AORTA,BIL ILIOFEM 407003225 3,962.50CT ANGIO ABD,WO/W CON,INC POST-P 407003230 3,962.50CT ANGIO CHEST WITH CONTRAST 407003235 3,087.00CT ANGIO EXTREMITY LOWER RIGHT 407003240 2,729.50CT ANGIO EXTREMITY LOWER LEFT 407003241 2,527.25CT ANGIO NECK,WO/W CON,INC POST-P 407003245 3,093.50CT ANGIO PELVIS WITH CONTRAST 407003250 2,834.50CT ANGIO EXTREMITY UPPER 407003255 3,968.25CT CERVICAL SPINE,W/CON 407003260 2,484.75CT CERVICAL SPINE,WO/W CON 407003265 2,484.75CT EXTREMITY LOW RIGHT WITH CONTR 407003270 2,456.75CT LTD OR LOCAL FOLLOW-UP STUDY 407003275 547.50CT LUMBAR SPINE,W/CON 407003280 5,232.00CT LUMBAR SPINE,WO/W CON 407003285 5,232.00CT MAXILLOFACIAL,WO/W CON 407003290 2,575.00CT BIOPSY LIVER 407003295 1,083.50CT SINUS 407003298 2,325.50CT GUIDANCE FINE NDLE ASPIRATION 407003300 597.00CT ANGIO HEAD WITH CONTRAST 407003305 3,023.25CT GUIDANCE STEREO LOCALIZATION 407003310 1,901.00CT BIOPSY ABDOMEN/RETROPERITONE 407003315 1,299.25CT BIOPSY BONE SUPERFICIAL 407003320 1,285.50CT BIOPSY BONE DEEP 407003325 1,677.00CT BIOPSY MUSCLE 407003330 1,064.25CT BIOPSY NECK SOFT TISSUE 407003335 2,802.50CT BIOPSY PANCREAS 407003340 1,499.00CT BIOPSY THYROID 407003345 795.25CT BIOPSY PLEURA 407003350 870.75CT BIOPSY RENAL/KIDNEY 407003355 729.25CT ASPIRATION NDLE BONE CYST 407003360 720.75CT DRAIN PERITONEAL ABSCESS 407003365 1,819.25CT DRAIN RETROPERITONEAL ABSCESS 407003370 1,739.25CT DRAIN RENAL ABSCESS 407003375 2,049.75CT DRAIN SUBDIAPHRAGMATIC ABSCESS 407003380 1,623.25CT DRAIN PANCREAS PSEUD ABSCESS 407003385 1,889.50CT DRAIN ABSCESS HEMATOMA 407003390 1,549.25CT INJECTION NEPHROSTOMY/LOOPOG 407003395 815.25CT INJECTION PSEUDOANEURYSM 407003400 534.50CT INJECTION TRANSHEPATIC CHOLE 407003405 957.50CT THORACENTESIS 407003410 675.25CT ASPIRATION NDLE HEMATOMA 407003415 431.25CT ASPIRATION NDLE RENAL 407003420 1,241.00CT ASPIRATION NDLE LUNG 407003425 797.50CT ASPIRATION NDLE PARACENTESIS 407003430 1,007.00CT ASPIRATION NDLE PARACENT SUBS 407003435 1,015.50CT ASPIRATION NDLE THYROID 407003440 1,114.75CT PERICARDIOCENTESIS INITIAL 407003445 1,217.00CT PERICARDIOCENTESIS SUBSEQUENT 407003450 699.25CT GASTROSTOMY TUBE PLACEMENT 407003451 1,440.00CT DRAIN LIVER ABSCESS 407003452 1,838.00CT VERTEBROPLASTY PERCUTANEOUS 407003453 1,901.00CT INJECTION VERTEBROPL T SPINE 407003454 4,519.25CT INJECTION VERTEBROP EA ADD T/L 407003456 3,140.25CT INJECTION VERTEBROPL L SPINE 407003457 4,519.25CT ANGIO HEAD WO/W CONTRAST 407003466 2,693.25CT ABDOMEN-PELVIS WO CONTRAST 407003477 6,824.50CT REMOVAL CENTRAL VEN CATH TUNN 407003483 1,224.75CT ABDOMEN-PELVIS WITH CONTRAST 407003487 8,006.00CT EXTREMITY LOW LEFT WITH CONTR 407003488 2,456.75CT HIP RIGHT WO & WITH CONTRAST 407003493 2,799.25CT HIP LEFT WITH CONTRAST 407003495 2,456.75CT ABDOMEN-PELVIS WO/W CONTRAST 407003497 6,990.75

CT HIP LEFT WO & WITH CONTRAST 407003498 2,799.25CT PARACENTESIS 407003500 1,007.00CT SINUSES W/ CONTRAST 407003510 1,971.50CT SINUSES WITH CONTRAST 407003515 2,185.75CT SINUSES WITHOUT/WITH CONTRAST 407003520 2,532.00CT ORBITS WITHOUT CONTRAST 407003525 1,971.50CT ORBITS WITH CONTRAST 407003530 2,185.75CT ORBITS WITHOUT/WITH CONTRAST 407003535 2,532.00CT MASTOIDS WITHOUT CONTRAST 407003545 1,971.50CT CHEST TUBE INSERTION 407003550 1,775.50CT MASTOIDS WITH CONTRAST 407003555 2,185.75CT MASTOIDS WITHOUT/WITH CONTRAST 407003560 2,532.00CT NEPHROSTOGRAM 407003565 733.00CT NEPHROSTOMY TUBE EXCHANGE 407003570 1,028.00CT NEPHROSTOMY TUBE PLACEMENT 407003575 1,794.00CT NEPHROSTOMY TUBE WITH STENT 407003580 1,566.00CT NEPHROSTOGRAM INJECTION 407003585 815.25CT NEPHROSTOMY PLACEMENT 407003590 2,609.00CT NEPHROSTOMY PLACE WITH STENT 407003595 2,714.75CT NEPHROSTOMY TUBE PLACE EXCHANG 407003600 1,656.50CT KYPHOPLASTY THORAC INITIAL LEV 407003605 8,038.75CT KYPHOPLASTY THOR EA ADD LEVEL 407003615 4,798.50CT GUIDANCE KYPHOPLASTY 407003620 1,504.75CT KYPHOPLASTY LUMBAR INITIAL LEV 407003625 7,370.50CT KYPHOPLASTY LUMB EA ADD LEVEL 407003630 4,798.50CT HIP RIGHT WITH CONTRAST 407003635 2,456.75CT HIP LEFT WO CONTRAST 407003640 1,953.00CT HIP RIGHT WO CONTRAST 407003650 1,953.00CT ABDOMEN WO/W-PELVIS W CONTRAST 407003775 6,990.75NM LOCAL INFLAM PROC SPECT(78807) 407004002 1,327.75NM TUMOR LOCAL MULT AREAS(78801) 407004005 692.25NM BONE SCAN LIMITED(78300) 407004010 2,149.00NM BONE SCAN TOTAL 407004015 3,227.25NM BONE/JNT IMAG,3 PHASE 407004020 3,404.25NM BONE/JNT IMAGE(SPECT) 407004022 2,484.25NM TUMOR LOCAL SPECT (78803) 407004025 770.25NM BRAIN IMAG,SPECT 407004030 1,238.00NM CARDIAC SHUNT DETECTION 407004035 680.50NM MYOCARD IMAG,INFARCT AVID,PLA 407004040 1,535.25NM ACUTE VENOUS THROM,PEP(78456) 407004044 1,547.75NM TUMOR LOCALIZATION LTD (78800) 407004046 460.50NM TUMOR LOCALIZATION WHOLE BODY 407004051 2,000.00NM LOCAL INFLAMM,WHOLE BODY 407004056 2,654.25XR EKG-12 LEAD 407004061 50.75NM RENOGRAM W/LASIX 407004062 710.00NM GASTRIC EMPTYING SCAN 407004070 768.50NM GI BLOOD LOSS IMAGING 407004075 416.25NM HEMANGIOMA SCAN (78202) 407004077 2,029.75NM HIDA 407004085 2,433.25NM HIDA W/CCK/EF 407004087 2,707.00NM THY CARCINOMA METAST,WH BODY 407004095 2,062.75NM LIVER/SPLEEN W/VASC FLOW 407004105 1,893.00NM LUNG VENTILATION 407004107 1,363.00NM LUNG PERFUSION 407004110 1,047.00NM LUNG VENTILATION/PERFUSION 407004115 2,719.25NM LYMPHANGIOGRAPHY (78195) 407004122 722.75NM BOWEL IMAGING 407004125 462.25NM CARD BLD POOL,GATED,SINGLE 407004140 1,207.50NM CARD BLD POOL,GATED,MULT 407004145 1,598.75NM BONE SCAN MULTIPLE (78305) 407004150 2,507.50NM LUNG QUANTIT V/P/IMAGES 407004158 2,091.25NM RENAL SCAN(78700) 407004160 444.00NM RENAL SCAN/SPECT 407004165 382.50NM SESTAMIBI BREAST IMAGING(78801 407004173 845.25NM PV SHUNT EVALUATION (78291) 407004175 773.75

NM LOCAL INFLAMM PROC,LTD 407004180 1,423.25NM VASCULAR BLOOD FLOW (78445) 407004182 1,023.75NM TESTICULAR IMAGING 407004183 568.00NM TESTICULAR IMAG,VASC FLOW 407004185 670.25NM THYROID IMAGE ONLY 407004200 619.00NM RENOGRAM WITH VAS FLOW/FNCT 407004215 864.75NM VEN THROMB,VENOGRAM,UNILAT 407004235 421.75NM LOCAL WB 2 OR MORE DAYS 407004240 2,997.00NM HEMANGIOMA SPECT (78205) 407004360 2,433.25NM NUCLEAR VENOGRAM BILAT(78458) 407004370 814.75NM ADRENAL IMAG,CORTEX/MEDULLA 407004380 1,115.25NM BONE MARROW IMAG,LTD 407004385 1,265.25NM BRAIN IMAG,COMP,STATIC 407004390 806.25NM CARD BLD,MULT W/REST&STRESS 407004395 1,862.25NM CEREBRAL BLOOD FLOW 407004400 1,115.25NM CYSTOGRAM,URETERAL REFLUX 407004405 806.25NM ESOPHAGUS MOTILITY 407004410 806.25NM KIDNEY IMAGE,W/VASC FLOW 407004415 387.25NM MUGA EXERCISE,1ST PASS 407004420 1,862.25NM PARATHYROID IMAGE 407004425 580.00NM PERITONEAL-VEN SHUNT PATENCY 407004430 644.75NM LUNG QUANTIT PERFUS/IMAGES 407004435 1,614.25NM RBC SURV,DIFF ORGAN/TISSUE KI 407004440 1,699.00NM RBC SURVIVAL STUDY 407004445 1,699.00NM THYROID IMAGE/UPTAKE 407004455 806.25NM TILT TABLE EVAL 407004460 2,256.75NM UNLISTED GI PROC,DIAGNOSTIC 407004465 489.50NM CYSTERNOGRAPHY 407004470 9,693.25NM CARDIAC REST/STRESS WALL/EF 407004475 7,148.75NM CARDIAC REST ONLY 407004480 3,561.00NM CARDIAC STRESS ONLY 407004485 3,561.00NM CARDIAC REST/STRESS PLANAR 407004490 4,567.50NM CARDIAC REST PLANAR 407004495 2,817.00NM CARDIAC STRESS PLANAR 407004500 2,817.00NM PET MYOCARDIAL 407004550 1,222.50NM PET MYOCARD 1 IMAG STRESS/REST 407004555 1,222.50NM PET MULT STUDY STRESS&/OR REST 407004560 1,222.50NM PET BRAIN 407004565 1,467.00NM PET LIMITED AREA 407004570 1,467.00NM PET SKULL BASE TO MID THIGH 407004575 1,467.00NM PET WHOLE BODY 407004580 1,467.00NM PET CT LIMITED AREA 407004585 1,467.00NM PET CT SKULL BASE TO MID THIGH 407004590 1,467.00NM PET CT WHOLE BODY 407004595 1,467.00NM LYMPH NODE IMAGING 407004600 1,513.50NM INJECTION SENTINEL NODE 407004605 1,512.75US ABDOMINAL COMPLETE 407005005 1,276.00US ECHOCARDIOGRAM 2D/M-MODE 407005060 3,771.00US CAROTID BILATERAL 407005080 2,374.00US EXTREMITY LOWER ARTERIAL BILAT 407005090 2,246.50US EXTREMITY UPPER ARTERIAL BILAT 407005100 2,326.25US OB FETAL LIMITED 407005165 268.50US ABDOMINAL LIMITED 407005175 905.00US ECHOCARDIOGRAM STRESS/REST 407005180 1,212.50US TEE 407005185 4,523.25US TEE THERAPEUTIC MEASUREMENT 407005189 7,953.75US SCROTUM 407005190 870.25US TRANSVAGINAL IMAGING 407005202 975.50US UNLISTED PROCEDURE (76999) 407005204 289.00US EXTREMITY LOWER VENOUS BILAT 407005205 2,212.75US EXTREMITY LOWER VENOUS UNI 407005210 1,230.75US EXTREMITY LOWER ARTERIAL UNI 407005215 1,420.75US ARTHROCENTESIS JOINT SMALL 407005225 434.50US OB FETAL COMPLETE 407005230 594.75US PARACENTESIS 407005235 1,007.00

US GUIDE NDL BIOP/ASPI/INJ S&I 407005250 225.25US TEE LIMITED 407005253 1,710.00US ARTHROCENTESIS JOINT INTERMED 407005255 434.50US NON-INV EXT LOW ART 1-LEVEL 407005260 483.25US NON-INV EXT LOW ART MULT-LEVEL 407005265 722.75US NON-INV EXT LOW ART REST/STR 407005270 668.25US EXTREMITY LOWER NON VASCULAR 407005275 673.50US ARTHROCENTESIS JOINT MAJOR 407005285 434.50US ECHOCARDIOGRAPHY ABLATION 407005290 3,129.50US ARTHROCENTESIS KNEE RIGHT 407005295 434.50US PELVIS LIMITED NON OB/GYN 407005300 540.25US CHEST TUBE INSERTION 407005305 1,775.50US NECK SOFT TISSUE 407005315 676.50US HEAD SOFT TISSUE 407005325 676.50US EXTREMITY UPPER NON VASCULAR 407005335 673.50US OB MULTIPLE GESTATIONS 1ST 407005345 594.75US GUIDANCE DRAIN ABCESS 407005350 277.00US OB MULTIPLE GESTATIONS 2ND 407005355 350.00US OB MULTIPLE GESTATIONS 3RD 407005365 350.00US PELVIC(NONOBSTETRIC) 407005370 956.00US OB MULTIPLE GESTATIONS 4TH 407005375 350.00US REMOVAL CENTRAL VEN CATH TUNN 407005380 1,224.75US ARTHROCENTESIS KNEE LEFT 407005385 434.50US EXTREMITY LOWER NONVASCULAR 407005390 623.50US EXTREMITY UPPER NONVASCULAR 407005395 623.50US BREAST BILATERAL 407005400 177.00US EXTREMITY UPPER ARTERIAL UNI 407005410 1,820.00US EXTREMITY UPPER NON VASC LIMIT 407005415 459.00US CHEST 407005420 528.00US EXTREMITY LOWER NON VASC LIMIT 407005425 459.00US STRESS TESTING 407005435 1,351.50US IVC/ILIAC/BYPASS 407005445 431.75US ECHOCARDIOGRAM 2D & M-MODE F/U 407005460 4,329.50US CAROTID UNILATERAL 407005465 3,362.75US GUIDANCE AMNIOCENTESIS 407005470 462.75US GUIDANCE ENDOMYOCARDIAL BX 407005475 513.50US GUIDANCE PERICARDIOCENTESIS 407005480 513.50US VEIN MAP,LOWER EXT 407005485 966.75US VEIN MAP,UPPER EXT 407005490 966.75US ECHOCARDIOGRAM W/DOPPLER/COLOR 407005495 4,786.75US BIOPSY THYROID 407005505 795.25US BIOPSY LIVER 407005510 1,083.50US BIOPSY LUNG/MEDIASTINUM 407005515 903.00US ASPIRATION NDLE HEMATOMA 407005520 431.25US ASPIRATION NDLE RENAL 407005525 1,241.00US ASPIRATION NDLE LUNG 407005530 797.50US ASPIRATION NDLE PARACENTESIS 407005535 1,007.00US ASPIRATION NDLE PARACENT SUBS 407005540 1,015.50US ASPIRATION NDLE THYROID 407005545 1,114.75US PERICARDIOCENTESIS INITIAL 407005550 1,217.00US PERICARDIOCENTESIS SUBSEQUENT 407005555 699.25US DRAIN LIVER ABCESS 407005560 1,838.00US DRAIN PERITONEAL ABCESS 407005565 1,819.25US DRAIN RETROPERITONEAL ABCESS 407005570 1,739.50US DRAIN RENAL ABCESS 407005575 2,050.00US DRAIN SUBDIAPHRAMATIC ABCESS 407005580 1,623.25US DRAIN PANCREAS PSEUD ABCESS 407005585 1,889.50US DRAIN ABCESS HEMATOMA 407005590 1,549.25US PICC/CENTRAL VENOUS CATH <5 407005595 2,282.50US PICC/CENTRAL VENOUS CATH >=5 407005600 2,282.50US THORACENTESIS 407005605 675.25US INJECTION NEPHROSTOMY/LOOPOG 407005610 815.25US INJECTION PSEUDOANEURYSM 407005615 534.50US BIOPSY ABDOMEN/RETROPERITONE 407005620 1,299.25US BIOPSY MUSCLE 407005625 1,064.25

US BIOPSY NECK SOFT TISSUE 407005630 2,802.75US BIOPSY PANCREAS 407005635 1,499.00US NON-INV EXT UP ART 1-LEVEL 407005641 483.25US NON-INV EXT UP ART MULT-LEVEL 407005642 722.75US BREAST UNILATERAL 407005643 177.00US EXTREMITY UPPER VENOUS UNI 407005644 1,230.75US GUIDE VASCULAR ACCESS 407005645 595.50US EXTREMITY UPPER VENOUS BILAT 407005646 2,212.75US RENAL TRANSPLANTED KIDNEY 407005647 905.00US LIVER,ABDOMEN LIMITED 407005648 905.00US SPLEEN,ABDOMEN LIMITED 407005649 905.00US PANCREAS,ABDOMEN LIMITED 407005650 905.00US GALLBLADDER,ABDOMEN LIMITED 407005651 905.00XX PICC KIT,5FR DUAL-L GROSHONG 407005719 1,096.75XX PICC LINE KIT 6FR DUAL LUMEN 407005720 1,109.25US RENAL. 407005745 905.00US AORTA 407005750 905.00MRA-ABD ANGIOGRAPHY 407006005 2,062.75MR BONE MARROW/BLOOD SUPPLY 407006015 2,474.50MR BRAIN WO CONTRAST 407006020 5,204.00MR BRAIN WITH CONTRAST 407006025 5,204.00MR BRAIN WO/WITH CONTRAST 407006030 5,636.50MR ANGIO EXTREMITY UPPER WO/W CON 407006031 2,483.25MRA-LOWER EXTREMITY ANGIO(73725) 407006032 2,682.00MRA-HEAD ANGIOGRAPHY 407006036 2,335.00MRA-CHEST ANGIOGRAPHY 407006037 3,486.25MRA-PERFUSION CARDIAC STRESS 407006041 3,217.50MR SPINE CERVICAL WO CONTRAST 407006045 2,413.75MR SPINE CERVICAL WITH CONTRAST 407006050 2,653.75MR SPINE CERVICAL WO & W CONTRAST 407006055 2,413.75MR CHEST WO CONTRAST 407006060 2,949.00MR EXTREMITY LOWER WO & W CONTR 407006070 2,474.50MR SPINE LUMBAR WO CONTRAST 407006075 5,973.00MR SPINE LUMBAR WITH CONTRAST 407006080 3,829.75MR SPINE LUMBAR WO & W CONTRAST 407006085 6,471.25MR PELVIS W/CONTRAST 407006090 3,693.50MR SPINE THORACIC WO CONTRAST 407006095 4,859.00MR SPINE THORACIC WITH CONTRAST 407006100 4,859.00MR SPINE THORACIC WO & W CONTRAST 407006105 6,317.25MR TMJ WO CONTRAST 407006110 2,062.75MR EXTREMITY UPPER WO & W CONTR 407006115 2,268.50MR ABDOMEN,W/O CONTRAST 407006120 1,856.75MR ABDOMEN,W/CON 407006125 1,870.25MR ABDOMEN,WO/W CON 407006130 1,144.75MR ANGIO HEAD WO & W CONTRAST 407006135 3,359.25MR ANGIO HEAD,W/CON 407006140 3,359.25MR ANGIO HEAD,W/O CON 407006145 3,359.25MR ANGIO NECK,W/CON 407006150 3,359.25MR ANGIO NECK,W/O CON 407006155 3,359.25MR ANGIO NECK,WO/W CON 407006160 3,359.25MR ANGIO CHEST WITH CONTRAST 407006165 2,044.25MR ANGIO ABDOMEN WITH CONTRAST 407006170 1,839.75MR ANGIO EXTREMITY LOWER WITH CON 407006175 2,044.25MR ANGIO ABDOMEN WO CONTRAST 407006180 1,616.25MR ANGIO CHEST WO CONTRAST 407006185 1,795.75MR ANGIO EXTREMITY LOWER WO CONTR 407006190 1,795.75MR ANGIO ABDOMEN WO & W CONTRAST 407006195 2,185.75MR ANGIO CHEST WO & W CONTRAST 407006210 2,428.50MR ANGIO EXTREMITY LOW WO & W CON 407006215 2,428.50MR JOINT LOWER EXTREMITY WO CONT 407006220 2,078.25MR JOINT UPPER EXTREMITY WO CONT 407006225 2,078.25MR CHEST,W/CON 407006230 3,156.25MR CHEST,WO/W CON 407006235 3,156.25MR BREAST BILATERAL WITH CONTRAST 407006240 2,044.25MR BREAST UNILATERAL WITH CONTR 407006245 2,044.25

MR BREAST BILATERAL WO CONTRAST 407006250 1,795.75MR BREAST UNILATERAL WO CONTRAST 407006255 1,795.75MR BREAST BILATERAL WO & W CONT 407006260 2,428.50MR BREAST UNILATERAL WO & W CONT 407006265 2,428.50MR JOINT LOWER EXTREMITY WITH CON 407006270 2,078.25MR JOINT LOWER EXTREMITY WO/W CON 407006275 2,078.25MR JOINT UPPER EXTREMITY WITH CON 407006280 2,078.25MR JOINT UPPER EXTREMITY WO/W CON 407006285 2,078.25MR EXTREMITY LOWER WITH CONTRAST 407006290 2,078.25MR EXTREMITY LOWER WO CONTRAST 407006295 2,078.25MR FACIAL/ORBITS WITH CONTRAST 407006300 3,359.25MR FACIAL/ORBITS WO & W CONTRAST 407006305 3,359.25MR PELVIS,W/O CON 407006310 3,720.75MR PELVIS,WO/W CON 407006315 3,720.75MR EXTREMITY UPPER WO CONTRAST 407006320 2,078.25MR EXTREMITY UPPER WITH CONTRAST 407006325 2,078.25MR CARDIAC W/O CONTRAST 407006330 2,451.75MR CARDIAC W/O CONTRAST & STRESS 407006335 2,451.75MR CARDIAC W/O CON & FLOW/STRESS 407006340 3,081.50MR CARDIAC WO/WITH CONTRAST 407006345 3,794.50MR CARDIAC WO/W CONT & FLOW 407006350 3,794.50MR CARDIAC WO/W & STRESS 407006355 3,794.50MR CARDIAC WO/W & FLOW/STRESS 407006360 4,424.50MR RECONSTRUCTION 3D ONLY 407006365 1,214.75MR TMJ WITH CONTRAST 407006370 1,910.00MR MRCP 407006375 2,244.25MR KNEE WO CONTRAST 407006380 2,078.50MR KNEE WITH CONTRAST 407006385 2,234.75MR KNEE W/O & WITH CONTRAST 407006390 2,808.75MR HIP W/O CONTRAST 407006395 2,078.50XX LUMBAR PUNCTURE TRAY 407006397 98.50MR HIP WITH CONTRAST 407006400 2,234.75MR HIP W/O & WITH CONTRAST 407006405 2,808.75MR ANKLE W/O CONTRAST 407006410 2,078.50MR ANKLE WITH CONTRAST 407006415 2,234.75MR ANKLE W/O & WITH CONTRAST 407006420 2,808.75MR FOOT W/O CONTRAST 407006425 2,078.50MR FOOT WITH CONTRAST 407006430 2,234.75MR FOOT W/O & WITH CONTRAST 407006435 2,808.75MR TMJ WO & WITH CONTRAST 407006440 1,910.00MR ANGIO EXTREMITY UPPER WO CONTR 407006445 2,483.25MR ANGIO EXTREMITY UPPER WITH CON 407006450 2,483.25MR FACIAL/ORBITS W/O CONTRAST 407006455 2,208.00MR NECK SOFT TISSUE WO CONTRAST 407006460 2,208.00MR NECK SOFT TISSUE WITH CONTRAST 407006465 2,318.75MR NECK SOFT TISSUE WO & W/ CONTR 407006470 3,063.00MR ANGIO/VENOGRAM BRAIN WO CONTRA 407006475 3,359.25MR VENOGRAM BRAIN WO CONTRAST 407006500 3,359.25MR ANGIO/VENOGRAM BRAIN W/ CONTRA 407006505 3,359.25MR VENOGRAM BRAIN W/CONTRAST 407006510 3,359.25XX PNUEMOTHORAX 407007000 610.75XX IN-111 OCTREOSCAN UD 407008100 4,236.75XX NEEDLE BIOPSY W/ BLUNT STYLET 407008902 230.00XX NEEDLE BIOPSY 19G X 13.8 407008903 85.25XX PICC LINE CUSTOM KIT 5FR 407008940 1,317.25WOUND CARE, SIMPLE 408009111 381.75WOUND CARE, INTERMEDIATE 408009112 1,121.00WOUND CARE, COMPLEX 408009113 1,567.50WOUND CARE, FOLLOW-UP 408009114 336.75ORTHO CARE, SIMPLE 408009115 559.75ORTHO CARE, INTERMEDIATE 408009116 1,121.00ORTHO CARE, COMPLEX 408009117 1,680.00EENT MINOR 408009118 476.25CARDIO/THORACIC CARE - MINOR 408009119 1,255.25CARDIO/THORACIC CARE - MAJOR 408009120 3,494.50

GYN/OBSTETRICS CARE 408009121 3,298.50GI/GU/ENDO - MINOR 408009122 365.75GI/GU/ENDO - MAJOR 408009124 1,650.00EENT MAJOR 408009125 1,466.00OP IV INF TX/DX UP TO 1 HR 408090600 479.00OP IV INF TX/DX EACH ADDL HR 408090610 107.00VENIPUNCTURE COLLECT VENOUS BLOOD 408090614 90.75OP INJ THER/PROPH/DIAG SC/IM 408090615 107.00OP INJ THER/PROPH/DIAG INTRA-ART 408090620 557.25OP INJ TX/PROPHY/DX IV PUSH 408090625 241.00ED SERVICE LEVEL 1 408090661 295.75ED SERVICE LEVEL 2 408090662 593.50ED SERVICE LEVEL 3 408090663 1,484.00ED SERVICE LEVEL 4 408090664 2,157.00ED SERVICE LEVEL 5 408090665 2,558.00ED SVC CRITICAL CARE 30-75 MIN 408090666 3,562.75ED SVC CRITICAL CARE EA ADD 30MIN 408090667 1,700.75PSYCHIATRIC DX INTERVIEW EXAM 408090669 449.00IMMUNE ADMIN ORAL/NASAL 408090674 46.25IMMUNE ADMIN ORAL/NASAL ADDL 408090675 46.25CARDIAC MONITORING - RHYTHM ECG 408090677 46.25INJ,ANESTHETIC,TRIGEMINAL NRV 408090680 588.00NERVE BLOCK-FACIAL NERVE 408090681 588.00PERIPHERAL NERVE BLOCK 408090682 588.00INFUSION BLOOD PRODUCT ONCE/VISIT 408090683 904.75EKG 12 LEAD 408090684 100.75PULSE OX SNGL DETERMINATION 408090685 190.00PULSE OX MULTI DETERMINATION 408090686 375.00AEROSOL/VAPOR INHALA 408090688 88.25HOLTER CONTINUOUS 408090693 268.00NEBULIZER TREATMENT INITIAL 408090694 88.25NEBULIZER TREATMENT SUBSEQUENT 408090695 88.25OP IV HYDRATE INITIAL UP TO 1 HR 408090700 479.00OP IV HYDRATE EACH ADDL HR 408090701 107.00OP INJ TX/PROPH/DX IV PUSH EA ADD 408090702 241.00OP IV INF SEQUENTIAL UP TO 1 HR 408090708 479.00OP IV INF CONCURRENT ONCE/ENCOUNT 408090709 479.00OP IV INFUSION START OUTSIDE HOSP 408090712 107.00IV PUSH EA ADD SEQ SAME SUBS/DRUG 408090801 241.00IMMUNIZATION ADMN 408090808 107.00IMMUNIZATION ADMN EA ADD'L 408090809 46.25PSYCHIATRIC INTERACTIVE DX-EXAM 408090812 449.00HYPOTHERMIA TOTAL BODY 408090814 196.50ADMIN HEPATITIS B VACCINE 408091635 107.00ED MS RM CHG 408098250 3,401.25ED TELE RM CHG 408098251 3,653.00ED ICU RM CHG 408098252 4,283.00PT EVALUATION 409009001 26.25PT TREATMENT 15 MINUTE INCREMENT 409009003 48.75ST EVALUATION 410009001 170.00ST TREAMENT 15 MINUTE INCREMENTS 410009002 97.00ST EVALUATION SWALLOWING 410009003 103.75ST TRMNT SWALLOWING 410009004 131.50OT EVALUATION 411009001 33.75OT TREATMENT 15 MINUTE INCREMENT 411009002 78.00GASTROCCULT 412009037 50.75OCCULT BLOOD 412009038 50.75ENDOSCOPY LOWER AIRWAY LEVEL 1 412090762 1,742.75ENDOSCOPY LOWER AIRWAY LEVEL 2 412090763 4,508.50TUBE CHNGS/REPOSITIONING LEVEL 1 412090764 676.25TUBE CHNGS/REPOSITIONING LEVEL 2 412090765 1,723.75ESOPHAGEAL DILATION W/O ENDOSCOPY 412090766 979.75UPPER GI PROCEDURES LEVEL 1 412090767 1,472.50UPPER GI PROCEDURES LEVEL 2 412090768 4,761.75SMALL INTESTINE ENDOSCOPY 412090769 2,297.25

LOWER GI ENDOSCOPY 412090770 1,468.00SIGMOIDOSCOPY & ANOSCOPY LEVEL 1 412090771 1,049.00SIGMOIDOSCOPY & ANOSCOPY LEVEL 2 412090772 2,487.00SIGMOIDOSCOPY & ANOSCOPY LEVEL 3 412090773 3,477.25ENDOSCOPY UPPER AIRWAY LEVEL 1 412090774 329.25ENDOSCOPY UPPER AIRWAY LEVEL 2 412090775 285.75ENDOSCOPY UPPER AIRWAY LEVEL 3 412090776 830.00ENDOSCOPY UPPER AIRWAY LEVEL 4 412090777 2,399.75ENDOSCOPY UPPER AIRWAY LEVEL 5 412090778 4,351.00MINOR ANCILLARY PROCEDURES 412090779 311.00ERCP/ ENDO RETROGR CHOL-PANCREAT 412090780 3,483.50GI PROCEDURES WITH STENTS 412090781 3,434.50PULSE OX - SNGL DETERMINATION. 413090685 190.00PULSE OX - MULTI DETERMINATION. 413090686 375.00VENT MNGMNT IP/OBSER INIT DAY 413090706 1,455.50VENT MNGMNT IP/OBSER SUBQ DAY 413090707 825.00CONT INHAL TRMNT FIRST HOUR 413090746 1,444.00CONT INHAL TRMNT EACH ADDL HOUR 413090747 490.75ENDOSCOPY LOWER AIRWAY LEVEL 1 413090762 1,742.75ENDOSCOPY LOWER AIRWAY LEVEL 2 413090763 4,508.50CARDIOPULMONARY RESUSCITATION 413090827 1,122.00ENDOTRACHEAL INTUBATION/ASSIST 413090834 330.75TRACHEOSTOMY TUBE CHANGE 413090836 732.75ABG SAMPLING W/PERCUTANEOUS PUNCT 413090839 106.50NASOTRACHEAL SUCTIONING 413090841 193.00BASELINE PFT 413090843 374.75RECORDED SPIRO W/INTERPRETATION 413090844 324.00SPIROMETRY PRE/POST DILATOR 413090847 473.25IVP-IPPB TRMNT 413090862 67.25SVN TRTMNT 413090863 67.25MDI TRTMNT 413090864 67.25CPAP SET UP INITIAL 413090866 1,333.50CPAP PER DAY SUBSEQUENT. 413090867 1,115.25MDI DEMO AND/OR EVALUATION 413090871 79.75AEROSOL GEN DEMO AND/OR EVAL 413090872 79.75NEBULIZER DEMO AND/OR EVALUATION 413090873 79.75IPPB DEMO AND/OR EVALUATION 413090874 79.75CHEST WALL MANIPULATION INITIAL 413090876 160.00CHEST WALL MANIPULATION SUBSEQ 413090877 160.00ETCO2 CHECK. 413090883 294.75SVN TRTMNT W/MECH VENTILATION 413090884 67.25MDI TRMNT VENTILATION 413090886 67.25EEG - < 1 HOUR 413090901 1,692.00EEG - > 1 HOUR PER PROCEDURE 413090902 1,692.00ARTERIAL LINE INSERT PERCUTANEOUS 413095833 853.50CARDIAC REHAB INPATIENT SESSION 415509000 268.75MICROINTRODUCER KIT 5FR 10CM 999900178 304.00BANDAGE, PLASTER XFAST 4X5 YDS 999901002 24.75CAST SHOE, ROCKER SOLE LG 999901005 14.56CAST SHOE, ROCKER SOLE MED 999901006 14.56CAST TAPE, STD 3X4 YDS 999901007 57.75CAST TAPE, STD 5X4 YDS 999901008 92.00CAST TAPE, STD PLUS STD 4X4 YDS 999901009 75.25CAST TAPE, STD WHT 2X4 YDS 999901010 46.50CASTING SPLINT,PLAST XFAST 3X15 999901015 58.25CERVIC COLLAR,PHILADELPH HIGH MED 999901023 105.25CERVIC COLLAR,PHILADELPH HIGH SML 999901024 149.75CERVIC COLLAR,PHILADELPH HIGH LRG 999901025 149.75IMMOBOLIZER, KNEE 16IN 999901031 93.50IMMOBOLIZER, KNEE 20IN 999901032 99.25IMMOBILIZER, KNEE 24IN 999901033 153.25IMMOBILIZER, SHOULDER LARGE 999901034 64.25IMMOBILIZER, SHOULDER MEDIUM 999901035 64.25IMMOBILIZER, SHOULDER SMALL 999901036 64.00BELT - RIB FEMALE UNIVERSAL 6 IN. 999901039 45.25

RIB BELT, MALE UNIV 6IN 999901040 45.25SLING, ARM SPECIALTY INF 999901041 32.25STRAP,CLAVIC STRAP W/BUCKLE CHILD 999901047 62.75STRAP, CLAVICLE W/BUCKLE ADULT 999901048 62.75STRAP, CLAVICLE W/BUCKLE YOUTH 999901050 62.75WRIST SPLINT, COLLES ALUM LT LG 999901052 39.00WRIST SPLINT, COLLES ALUM LT MED 999901053 37.50WRIST SPLINT, COLLES ALUM LT SM 999901054 37.50WRIST SPLINT, COLLES ALUM RT LG 999901055 37.50WRIST SPLINT, COLLES ALUM RT MED 999901056 52.75WRIST SPLINT, COLLES ALUM RT SM 999901057 37.50SUTURE, 3/0 MONOSOF P-12 18IN 999901060 14.50SUTURE, 4/0 MONOSOF P-13 18IN 999901061 15.00SUTURE, 4/0 MONOSOF PC-11 18IN 999901062 26.75SUTURE, 5/0 MONOSOF P-11 18IN 999901064 16.75SUTURE, 6/0 MONOSOF P-13 18IN 999901065 17.25SUTURE, 6/0 MONOSOF PC-11 18IN 999901066 19.00SUTURE, 4/0 POLYSORB P-13 18IN 999901067 16.75SUTURE, 4/0 POLYSORB P-12 18IN 999901068 16.75SUTURE, 5/0 POLYSORB P-13 18IN 999901069 16.75SUTURE, 5/0 POLYSORB P-12 18IN 999901070 7.00SUTURE, 4/0 SURGIGUT P-13 18IN 999901071 23.00SUTURE, 4/0 SURGIGUT P-12 18IN 999901072 23.00SUTURE, 5/0 SURGIGUT P-13 18IN 999901073 23.00SUTURE, 6/0 POLYSORB P-13 999901076 24.25SUTURE, 6/0 SURGIPRO P-13 999901077 27.00STAPLER, ROYAL 35R SKIN 999901078 48.25BAG, BILE STR SM 90OZ. 999901100 60.75BAG, URINE DRN CLOSED SYS 999901105 30.25BAG, URINE METER CLOSED SYS 999901106 61.25BANDAGE, ACE ELAS 3IN 999901110 8.75BANDAGE, ACE ELAS 6IN 999901112 18.75BANDAGE, ELAS NET#10 999901114 175.00BANDAGE, ELAS NET #5 999901116 52.75BANDAGE, ELAS NET #6 999901117 75.25BANDAGE, ELAS NET #7 999901118 172.75BINDER ABD PANEL 3 30-45 999901131 69.50BINDER ABD PANEL 4 46-62 999901132 98.00BIOPATCH 999901134 24.75TRAY, BONE MARROW BIOPSY 11G X 4 999901135 350.25CATHETER,COUDE TEF 12FR 5CC 999901153 64.00CATHETER, COUDE TEF 14FR 5CC 999901154 63.00CATHETER, COUDE TEF 16FR 5CC 999901155 63.00CATHETER, COUDE TEF 18FR 5CC 999901156 63.00CATHETER, COUDE TEF 20FR 5CC 999901157 63.00CATHETER, FOLEY 12FR 5CC 999901158 26.00CATHETER, FOLEY 14FR 5CC 999901159 26.00CATHETER, FOLEY 16FR 5CC 999901160 26.00CATHETER, FOLEY 18FR 5CC 999901161 26.00CATHETER, FOLEY 20FR 5CC 999901162 26.00CATHETER, FOLEY 22FR 5CC 999901163 26.00CATHETER, FOLEY 3WAY 22FR 999901164 61.25CATHETER, FOLEY 8FR 3CC 999901165 71.25CATHETER, FOLEY ALL SIL 16FR 5CC 999901166 32.75CATHETER, FOLEY ALL SIL 18FR 5CC 999901167 32.75CATHETER, FOLEY LTX 22FR 30CC 999901168 30.25CATHETER, TROCAR 28FR 16 STR 999901169 100.75CATHETER, TROCAR 24FR 16STR 999901170 144.25CATHETER, TROCAR 32FR 16STR 999901171 100.75CATHETER, TROCAR 20FR 16STR 999901172 100.75CAUTERY, HIGH TEMP FINE TIP DISP 999901173 34.00COLOSTOMY, FLANGE 1 3/4 IN 999901176 22.50COLOSTOMY, FLANGE 2 3/4 999901177 262.25COLOSTOMY, PASTE 999901178 54.75DRESSING, DUODERM X-THIN STR 4X4 999901209 19.75

DRESSING, DUODERM X-THIN STR 6X6 999901210 36.75LACERATION TRAY, NW TOWEL 999901264 78.50LIMB HOLDER, SOFT RESTRAINT WRAP 999901265 26.00NEEDLE, SPINAL DIAMOND 22GX1 1/2 999901289 51.25PACKING, IODOFORM 1IN X 5YDS 999901297 26.75PACKING, IDOFORM 1/2IN X 5YDS 999901299 183.50PACKING, PLAIN 1IN X 5YDS 999901301 24.00PAD, K-THERMA 18X26 999901308 43.50PAD, K-THERMA 3 1/2 X 23 999901309 50.50TRAY, PREP SCRUB 999901312 24.25PROTECTOR, HEEL/ELBOW 999901313 65.50STAPLE, REMOVAL TRAY 999901346 15.00STOCKING, ANTI-EMBOLISM KNEE MED 999901353 21.25STOCKING, ANTI-EMBOLISM KNEE SM 999901354 30.50STOCKING,ANTI-EMBOLIS REG KNEE LG 999901355 30.50STOCKING,ANTI-EMBOLSM REG KNEE XL 999901356 21.25STOCKING, ANTI-EMBOLISM THIGH LG 999901357 43.75SUCTION, FRAZIER W/VENT 12FR 999901360 15.00SUCTION,LINR W/TUBING 10FT NONSTR 999901362 22.50GARMENT DVT LARGE 999901396 112.00DVT THIGH GARMENT 999901397 316.50TRANSVENOUS PACING KIT 999901407 1,545.75TRAY, CATH FOLEY 16FR 999901409 91.50TRAY, CATH URETHERAL 14FR 999901410 22.50TRAY,LUMBAR PUNCTRE ADLT 20X3 1/2 999901411 94.75TRAY,LUMBAR PUNCTURE PED 22X1 1/2 999901412 103.75TRAY,SHAMPO RINSETE HEVY DUTY GRN 999901414 324.00TRAY, THORACENTESIS W/CATHER 999901416 188.50TUBE, SALEM PUMP SIL W/RFLX 16FR 999901429 92.00TUBE, SALEM SUMP SIL W/RFLX 18FR 999901430 90.50TRACH TUBE DIC 6MM CUFFED 999901434 282.00VALV,ANT-REFLX W/SIL SLM SMP 14FR 999901439 134.25VALV,ANT-REFLX W/SIL SLM SMP 16FR 999901440 134.25VALV,ANT-REFLX W/SIL SLM SMP 18FR 999901441 130.75SUTURE, 7/0 SOFSILK CV-1 999901449 61.25SUTURE, 5/0 MONOSOF P-12 999901458 21.25SUTURE, HS-6 SURGIPRO CV-11 24IN 999901464 21.25SUTURE, 2/0 SURGIDAC V-20 (3X3) 999901468 272.50SUTURE, 3/0 SURGIDAC CV-15 30IN 999901470 19.75SUTURE,2/0 SURGIDC MS-10 KV5 30IN 999901473 238.50SUTURE, 4/0 SURGIDAC CV-15 36IN 999901474 29.25CHEST TUBE,12FR STR. SILICONE AX 999901477 71.25CHEST TUBE, 20FR STR. SILICONE AX 999901480 71.25CHEST TUBE, 24FR STR. SILICONE AX 999901481 71.25CHEST TUBE, 32FR STR. SILICONE AX 999901483 50.50VALVE, HALL AORTIC A7700E 20MM 999901495 22,421.00VALVE, HALL AORTIC A7700E 22MM 999901497 22,421.00VALVE, HALL AORTIC A7700E 23MM 999901498 15,695.00VALVE, HALL AORTIC A7700E 24MM 999901499 15,695.00VALVE, HALL AORTIC A7700E 25MM 999901500 26,344.50VALVE, HALL AORTIC A7700E 27MM 999901501 26,344.50VALVE, HALL MITRAL M7700E 25MM 999901502 22,421.00VALVE, HALL MITRAL M7700E 27MM 999901503 15,695.00VALVE, HALL MITRAL M7700E 29MM 999901504 15,695.00VALVE, HALL MITRAL M7700E 31MM 999901505 15,695.00DUPLOJECT SPRAY SET 999901567 1,681.75SUTURE, 4/0 SURGIPRO CV-15 999901621 32.75SUTURE, 8/0 SURGIPRO MV-135-5 999901627 122.50SUTURE, 7/0 SOFSILK CV-1 18IN 999901634 265.50SUTURE, 4/0 MONOSOF P-14 18IN 999901636 24.00SUTURE, 2/0 POLYSORB TIES 999901644 40.50SUTURE - 5/0 SURGIPRO CV-11 36IN 999901658 88.75NG TUBES KEOFEED 10FR 45IN 999901712 74.00LOPEZ VALVES 999901713 15.00WRIST SUPPORT K-C ARTERIAL 999901728 245.00

CLIPPER, BLADE FOR PIVOT HEAD 999901779 23.00BRONCH, DISP SWIVEL ADAPTER 999901791 23.00TUBE,28FR ENDOBRONCH DOUBL LUM LF 999901795 645.50TUBE,35FR ENDOBRONCH DOUBL LUM RT 999901802 600.75TUBE,41FR ENDOBRONCH DOUBL LUM RT 999901805 451.25FLEXI SLIP SYLET 44CM 10FR 999901806 61.50FLEXI SLIP STYLET 45CM 12FR 999901807 61.50TRACHLIGHT SINGLE USE ADULT 999901808 293.75SURGICEL 2X14 999901827 233.75STIRRUP WITH SLIP RING 999901833 37.00BLADE, KNIFE BEAVER 999901847 43.00MANIFOLD 3 PORT 3 WAY 999901869 42.00MANIFOLD 5 PORT 3 WAY 999901870 40.00CATHETER, VIP SWAN GANZ 999901873 261.00SUTURE, 4/0 SURGIPRO KV-15 36IN 999901895 43.00SUTURE, 4/0 SURGIPRO KV-7 36IN 999901900 43.00SUTURE, 4/0 SURGIDAC CV-23 30IN 999901901 27.50SUTURE, 2/0 SURGIDAC CV-25 999901902 20.50SUTURE, 3/0 BIOSYN P-14 999901906 29.00SUTURE, 3/0 SURGIPRO KV-7 36IN 999901907 42.50SUTURE, 2/0 SURGIPRO GS-21 48IN 999901918 32.25CHEST TUBE,36FR RT ANG SILICON AX 999902266 61.50CHEST TUBE, 28FR PVC TROCAR 999902269 122.25CHEST TUBE, 36FR STR PVC THORACIC 999902270 46.50CATH,BENTSON 2 5FR X 100CM 999902289 106.75CATH,HEADHUNTER 5FR X 100CM 999902290 152.00CATH,SIM SIDEWINDER(2)5FRX100 999902296 185.50FEMORAL ARTERY PRESSURE DISC 999902298 14.00TRACH TUBE FEN 8MM CUFFED 999902308 221.25TRACH TUBE HOLDER 999902311 16.75AIRWAY,NASOPHARYN STER. 8MM 999902315 16.75AIRWAY,NASOPHARYN STER. 8.5MM 999902316 24.00AIRWAY,NASOPHARYN STER.9MM. 999902317 16.75AIRWAY,NASOPHARYN STER. 4MM 999902318 24.00AIRWAY,NASOPHARYN STER. 5MM 999902319 24.00AIRWAY,NASOPHARYN STER. 6MM 999902320 24.00AIRWAY,NASOPHARYN STER. 7MM 999902321 16.75INCENTIVE SPIROMETER 999902323 32.50HIME W/VIAL BACTERIAL FILTER 999902326 21.25BANDAGE,PLASTER XFAST 6X5YDS 999902328 34.00FEEDING TUBE 8FR 999902344 110.00FEEDING TUBE 5FR 30IN 999902345 81.75NASOPACKING 8.0CM 999902346 43.50WRIST SPLINT, UNIVERSAL SIZE 999902347 59.50WRIST SPLINT,ALUM. PADDED SMALL 999902348 47.00WRIST SPLINT, ALUM. PAD. MEDIUM 999902349 47.00WRIST SPLINT, ALUM. PAD. LARGE 999902350 47.00CERVC.COLLAR, SERPENTINE SMALL 999902351 35.25CERV. COLLAR,SERPENTINE MEDIUM 999902352 35.25CERV. COLLAR,SERPENTINE LARGE 999902353 35.25TRAY INSTRUMENT 999902371 26.00PORT-A-CATH NDL 20G X 1 STRT. 999902372 24.00PORT-A-CATH NDL 20G X 1 90 DEG. 999902373 24.00BIPAP CIRCUITS 999902378 46.00BIPAP MASK NASAL 999902380 259.00FLUTTER DEVICE 999902385 667.75FILTER PULMONARY FUNCTION 999902386 20.75HYPERVENTILATION BAG 999902387 58.25MD1 SPACER 999902388 32.75RESUSCITATOR ADULT 999902389 77.50SUCTION CLOSED BALLARD 999902391 113.50TEE SPRING VALVE 22F 22M 999902395 26.00STYLET 2.5-4.5MM 999902397 19.75STYLET 7.5 - 9.5MM 999902399 19.75NEBULIZER PREFILLED 700ML 999902404 32.50

NEBULIZER PREFILLED 440ML 999902405 30.50TRAY,SPINAL 999902409 93.75IRRIGATOR SYSTEM BRAUN 10ML 999902423 58.25TUM-E-VAC LAVAGE KIT 999902427 119.00KNEE IMMOBILIZER UNIV. 999902428 122.75RESUS BAG INFANT-CPR W/MASK 999902430 54.50BICRO-LITE ANKLE STIRRUP REG 999902431 120.75BONE NEEDLE 16GA ADJUSTABLE 999902432 81.00PEAK FLOW METER 999902444 96.00VENT, CIRCUIT HEATED 999902451 112.00BLOOD TUBING O.R. WITH PUMP 999902459 29.00IV TUBING,BLOOD Y TYPE W/O PUMP 999902460 37.00ART PA LINE TUBING 999902461 225.75PRESSURE TUB. 48IN MEDEX M/F L/L 999902472 17.25KIT,TRIPLE LUMEN 20 IN 999902474 205.50CATH,THERMODILUTION 7 FR 999902475 490.75MEDEX WASTE BAG W/60IN LINE 999902485 42.50CLAVE PIGGYBACK Y SITE 999902487 16.25CHEST DRAIN ATRI SINGLE COLLECTIO 999902488 318.25BAG,CPR WITH MASK 999902490 106.75CANNULA TAPER .35 999902507 77.75GUIDEWIRE TRACER ANGL 260CM .35 999902510 736.00GUIDEWIRE TRACER STRT 480CM .35 999902511 736.00GUIDEWIRE TRACER ANGL 480CM .35 999902512 736.00CANNULATOME II .35 999902513 584.00HUIBREGTSE NEEDLE KNIFE .35 999902514 932.00BILLROTH II TOME 30CM .21 999902515 833.75SPHINCTERTOME TRIPLE 25MM 999902516 673.00ACTIVE CORD 999902518 412.00COTTON HUIB STENT ONLY BILI 7-5 999902522 274.00COTTON HUIB STENT ONLY BILI 7-7 999902523 392.50COTTON HUIB STENT ONLY BILI 7-9 999902524 392.50COTTON HUIB STENT ONLY BILI 8.5-9 999902529 366.75ZIMMON STENT ONLY BILI 7-4 999902542 392.50ZIMMON STENT ONLY BILI 7-7 999902543 392.50ZIMMON STENT ONLY BILI 7-10 999902544 392.50ZIMMON STENT ONLY BILI 10-4 999902545 392.50ZIMMON STENT ONLY PANCREA 7-2 999902553 392.50ZIMMON STENT ONLY PANCREA 7-8 999902556 392.50GEENEN STENT ONLY PANCRE 5-4 999902558 274.00PANCREA STENT PUSHER 999902566 171.75PANCREA STENT GUIDE 999902567 392.50BALLOON ENTRA TRIPLE LUMEN 12 999902570 617.50BALLOON EXTRA TRIPLE LUMEN 15 999902571 932.00COLON DECOMPRESSION 14FR 999902580 1,471.50LEVEEN INFLATOR 10CC 999902585 579.25JAGWIRE GUIDEWIRE .25 999902586 1,318.25JAGWIRE GUIDEWIRE .35 999902587 1,318.25JAGWIRE SUPERSTIFF .35 999902588 1,017.00GLIDEWIRE ANGLED 260CM .35 999902589 489.00GLIDEWIRE STRT 260CM .35 999902590 489.00GLIDEWIRE ANG STIF 450CM .35 999902591 1,135.00GLIDEWIRE STRT STIFF 450CM .35 999902592 1,135.00GLIDEWIRE STIFF ANGLE 450CM .18 999902593 1,135.00GLIDEWIRE STIFF STRT 450CM .18 999902594 1,135.005-4-3 CANNULA .18 999902597 480.75BALLTIP PLASTIC 999902598 336.75STONETOME 20CM SHORT .35 999902600 2,450.25AMSTERDAM BILI STENT KIT 7-5 999902608 912.75AMSTERDAM BILI STENT KIT 7-7 999902609 912.75AMSTERDAM BILI STENT KIT 7-10 999902610 912.75AMSTERDAM BILI STENT KIT 10-5 999902611 912.75AMSTERDAM BILI STENT KIT 10-7 999902612 912.75AMSTERDAM BILI STENT KIT 10-10 999902613 912.75AMSTERDAM BILI STENT KIT 12-5 999902614 912.75

AMSTERDAM BILI STENT KIT 12-7 999902615 912.75AMSTERDAM BILI STENT KIT 12-10 999902616 912.75COMBO CATH CYTOLOGY BRUSH 999902617 590.50SPEEDBANDER SUPERVIEW 5 999902618 2,102.25PONSKY DELUXE BULL PEG 999902622 1,361.50PONSKY NO BALLOON REPLACE 999902623 804.50SCLERO NEEDLE OPTIC YELLOW 999902624 267.25BIT BLOCK 999902626 25.50CANNULA METAL BALL TIP 999902627 392.50SNARE STD OVAL 999902628 273.25HOT BIOPSY FORCEP 999902629 377.50BALLOON INFLATION HANDLE 999902639 3,111.50BALLOON INFLATION SYRINGE/GAUGE 999902640 1,797.75GASTRODOME PULL PEG 999902642 687.50CANNULA H-KATON METAL BALL TIP 999902643 343.25GUIDEWIRE TRACER STRT 260CM .35 999902644 736.00MALONEY DILATOR 52FR 999902659 1,715.75PEEP VALVE 999902667 76.25CAT TRAY MAHURKAR CVD 999902683 668.00CATH TRAY MAHURKAR STRT 999902684 655.75BLANKET WARMING FULL BODY 999902693 50.50ISOVUE 370 100ML BOTTLE 999902697 229.00VISIPAQUE 320 50ML BOTTLE 999902704 260.00VISIPAQUE 320 150ML BOTTLE 999902705 717.75PACEMAKER, LEGACY II SR 528 999902829 14,832.75STENT, WALL 7FR 10X39 75 999902909 7,155.50STENT, WALL 7FR 10X49 75 999902910 7,155.50STENT, WALL 7FRX7X34 75 999902911 7,515.50STENT, WALL 7FR 7X55 75 999902912 7,910.75STENT, WALL 7FR 7 X 67 75 999902913 10,027.75BALLOON,XXL 8FR 12-4/5 X75 999902930 2,208.75BALLOON,XXL 8FR 14-4/5X75 999902931 2,208.75CATHETER,FOLEY 10FR 10CC 999902956 95.00CATHETER,FOLEY 18FR 10CC BALLOON 999902957 96.00PAD, STAT DEFIB (ZOLL) 999902969 309.50SPLINT, WRIST W/STRAP ADULT 999902970 32.75STOCKING, ANTI EMBOLISM THIGH MED 999902971 43.75STOCKING, ANTI EMBOLISM THIGH SML 999902972 43.75CATH, SVO2 CCO BAXTER 999902974 2,124.00CARDIAC OUTPUT SET 999902975 71.75SUTURE, 3/0 SOFSILK P-12 999902976 22.50SUTURE, 4/0 SOFSILK P-12 999902977 20.75CONCHA WATER 999903027 30.75CONCAH PAK 999903028 115.50RECTAL TUBES 30FR 999903029 54.75RECTAL TUBES 32FR 999903030 61.25END TIDAL CO2 MONITOR 999903052 90.50SUTURE 2/0 SOFSILK V-20 18IN 999903114 29.00SUTURE 3/0 SOFSILK V-20 18IN 999903115 27.50SUTURE 4/0 SOFSILK V-20 18IN 999903116 29.00SUTURE 2/0 POLYSORB GS-22 18IN 999903121 27.50SUTURE 2/0 POLYSORB V-20 18IN 999903123 19.75SUTURE 3/0 POLYSORB V-20 18IN 999903124 32.50PACK CARDIAC CATH 999903131 377.50PERCUTANEOUS SHEATH INTRO KIT 9FR 999903139 196.00CENTRAL LINE KIT 999903140 132.25RESERVOIR JACKSON PRATT SM. 999903151 15.50VES CNULA FF W/O VL 3MM BV TP RAD 999903162 29.00TRAY, PERICARDIOCENTESIS 999903171 1,691.50PERICARDIAL STRIP DRY 9002 999903172 1,239.75PERICARDIAL STRIP DRY 9006 999903173 1,135.00RADIAL ARTERY CATH KIT 999903181 49.75ARTERIAL LINE KIT 20GA 999903182 67.25ARTERIAL LINE KIT 18G 999903183 67.25CATHETER FOLEY 24FR 5CC 999903189 37.00

CATH FOLEY W/URINE METER 999903195 132.75STAPLER SKIN DISP ROYAL 12 999903198 48.25IMMOBILIZER SHOULDER X-LARGE 999903207 64.25NEEDLE BONE MARROW BIOPSY 999903217 128.75FEMALE CATH KIT 999903231 20.75NASAL TRUMPET SIZE 32 999903278 29.00SHEATH SHORT W/WIRE 6FR 999903346 75.25WIRE FIXED CORE J-TIP .035 145CM 999903360 61.50WIR FIXD COR EXCH STRT .038 260CM 999903364 88.25CATH DIAGNOSTIC 6FR IM 100CM 999903404 69.00CATH DIAGNOSTIC 5FR PIG 145 110CM 999903407 98.00CATH DIAGNOSTIC 6FR MULTIPACK STR 999903410 341.75CATH DIAGNOSTIC 6FR CAS2 100CM 999903428 69.00ART LINE TUBING 999903434 158.00CVP/PA LINE TUBING 999903435 106.75TRANSDUCER ONLY 999903436 77.75PACING SWAN GANZ 999903437 2,613.75IV TUBING BLOOD PRODUCTS 999903438 30.25UMBILICAL VENOUS CATHETER 3.5FR 999903483 115.50UMBILICAL VENOUS CATHETER 5FR 999903484 108.00BALLOON CHARGER 3.5X30MM 999903539 2,279.00BALLOON CHARGER 3.5X40MM 999903540 2,279.00GUIDE CATH, WISEGD 8F AL3 999903688 628.00GUIDE CATH, WISEGD 7F IM 90CM 999903707 628.00GUIDE CATH, WSGD 8F RCB 999903716 439.00GUIDWR CHOICE INTRMD .014X182CM J 999903753 590.25INLINE SPIKE, MERIT 999903843 20.50BACKSTOP 999903844 42.00SUTURE - 4.0 MONOSOFT P-12 999903935 15.00BIOPSY FORCEPS T-REX 50CMX2.2MM 999904071 1,933.50STENT - WALLSTENT 12X40 75 999904095 7,277.50STENT - WALLSTENT 14X40 75 999904097 7,277.50STENT - WALLSTENT 14X60 75 999904098 9,339.25CATH-DIAGNOSTIC 6FR MPB-2 SH 999904138 69.00INNER CANNULA 7.0 999904141 21.25INNER CANNULA 8.0 999904142 15.00INNER CANNULA 10.0 999904144 21.25CATHETER - FOLEY 10FR 3CC 999904159 54.75GUIDE CATH WISEGUIDE 7FR JL 4 ST 999904162 439.00GUIDE CATH WISEGUIDE 6FR AL .75 999904193 309.00GLIDE CATH 5FR JB2 999904194 628.00GUIDE CATH WISEGUIDE 7FR RCB SH 999904198 586.75PACKING - EPISTAXIS POSTERIOR 999904213 75.25KIT, DIAGNOSTIC PERITONEAL LAVAGE 999904226 236.75VASCULAR HEMOSTASIS KIT #5 999904227 2,124.00TEMP PACEMAKER PACEL 5F 999904254 513.25SNARE 10MM 999904256 196.50SNARE 12MM 999904257 196.50SNARE 15MM 999904258 196.50OXISENSOR (DISPOSABLE NEONATE) 999904259 114.00OXISENSOR (DISPOSABLE ADULT) 999904260 88.00OXISENSOR (DISPOSABLE PEDS) 999904261 88.00SORBSAN PACKING 999904262 32.75PACING CATH 5FR BIPOLAR 999904281 412.00SWAN GANZ FEMORAL 999904282 500.25SWAN GANZ SUBCLAVIAN 999904283 274.00THORACIC SEAL & MANOMETER 999904292 209.25TUBING, B/S INDEFLATOR 24" EXTEN. 999904315 11.25RENO-60 10CC BOTTLE 999904429 20.50ROTO CORE ADVANCERS 1.5 999904496 7,169.50ROTO CORE ADVANCERS 1.75 999904497 7,169.50STENT,NIROYAL 2.5 X 25 999904519 7,596.25STENT,NIROYAL 3.0 X 25 999904520 7,596.25PACER LEAD STERILE SLEEVE 999904540 14.00CATH,COOK JB2 5 FR 999904640 105.25

GUIDE 7FR WG FL 35 ST SH 999904686 409.75EPISTAT, NASAL CATH W/BALLOON 999904897 510.25CYTOLOGY BRUSH DISPOSABLE (CS/12) 999904954 91.50SUTURE, 4-0 SURGIPRO CVF-23 BX/36 999904959 30.50MANIFOLD CUSTOM KIT 999904960 99.25SPLINT, GEL ANKLE SM. 999904996 84.25SPLINT, GEL ANKLE REG. 999904997 110.00DRESSING, HYDRASORB FOAM 4X8 999905053 18.00SUTURE, 3-0 SURGIDAC CV-23 BX/36 999905081 30.25WILLIAMS INTUBATOR #7 999905173 28.25WILLIAMS INTUBATOR #10 999905174 28.25CATHETER, SUPREME DEC CSL 999905246 3,363.00RHINO STATPAC 999905254 243.50RHINO SMART PAC ANTERIOR 999905255 243.50BALLOON, MAVERICK 12MMX3.75MM 999905264 3,799.50VALVE, HEIMLICH CHEST DRAIN 999905329 91.50TEGANEN HYDROGEL WOUND FILLER 4OZ 999905340 69.75DRESSING, TEGAPORE WOUND CONTACT 999905341 24.00BIPAP NASAL MASK MED 999905359 171.75ASH CATH, 28CM 999905363 3,224.25ASH CATH, 32CM 999905364 4,346.00ARTERIAL LINE KIT 20X3" 999905378 65.50MINI-HEART NEBULIZER 999905383 64.50TRAY, EMTC EPISTAXIS 999905462 573.00VALVE AIR SALEM SUMP 999905555 34.00PICC KIT DUAL PER Q CATH 5FR 999905719 970.75CABLE DISPOSBLE PACING 999905743 194.25STENT S7 4.0 X 30MM 999905762 7,857.75STENT S7RX 3.0 X 9MM 999905763 7,857.75DUODERM (THICK) 4X4 999905783 32.75XXL SHOULDER IMMOBILIZER 999905792 137.504 FRENCH FILIFORM W STRAIGHT TIP 999905814 309.005 FRENCH FILIMORE W STRAIGHT TIP 999905815 309.006 FRENCH FILIFORM W STRAIGHT TIP 999905816 309.004 FRENCH FILIFORM W SPIRAL TIP 999905817 309.005 FRENCH FILIFORM W SPIRAL TIP 999905818 309.006 FRENCH FILIFORM W SPIRAL TAP 999905819 309.008 FRENCH PHILLIPS CATH FOLLOWER 999905820 128.7510 FRENCH PHILLIPS CATH FOLLOWER 999905821 128.7512 FRENCH PHILLIPS CATH FOLLOWER 999905822 128.7514 FRENCH PHILLIPS CATH FOLLOWER 999905823 128.7516 FRENCH PHILLIPS CATH FOLLOWER 999905824 128.7518 FRENCH PHILLIPS CATH FOLLOWER 999905825 128.7520 FRENCH PHILLIPS CATH FOLLOWER 999905826 128.7522 FRENCH PHILLIPS CATH FOLLOWER 999905827 128.7524 FRENCH PHILLIPS CATH FOLLOWER 999905828 128.7512FR, FOLEY CATHETER-SILICONE 999905829 59.2514FR, FOLEY CATHETER-SILICONE 999905830 59.2516FR, FOLEY CATHETER-SILICONE 999905831 59.2518FR, FOLEY CATHETER-SILICONE 999905832 59.2520FR, FOLEY CATHETER-SILICONE 999905833 59.2522FR, FOLEY CATHETER-SILICONE 999905834 59.2524FR, FOLEY CATHETER-SILICONE 999905835 59.25CATHETER STYLET-STRAIGHT 999905836 162.75CATHETER STYLET-CURVED 999905837 162.7512 FRENCH SUPRAPUBIC PROCEDURE 999905838 95.0016 FRENCH SUPRAPUBIC PROCEDURE 999905839 95.00STENT,NIR ELITE 15 X 3.0 999905924 7,857.75STENT,NIR ELITE 15 X 3.5 999905925 7,857.75TRAY PARACENTESIS 999906399 183.50TRAY PNEUMOTHORAX 999907000 346.75JEJUNAL FEEDING TUBE, 9FR 999907046 706.00VENT, CIRCUIT NON-HEATED 999907051 21.25CATH, AO HIGHFLO 5FR X 38STR 999907106 190.25ANGIOSEAL STS 6FR 999907150 1,841.75

STENT, HEPACOAT 2.25 X 18MM 999907167 7,596.25STENT, HEPACOAT 2.5 X 18MM 999907168 7,596.25CATH BEACON VERT .035 X 100CM 4FR 999907336 205.50PASSY-MUIR SPEAKING VALVE 999907366 613.50HILEY #6 DISP INNER CANNULA 999907370 26.75SHILEY #8 DISP INNER CANNULA 999907371 26.75SHILEY #10 DISP INNER CANNULA 999907372 26.75SHEATH, SAFE 7FR 999907389 638.75BALLOON, UTSDS 4X8X75 999907405 1,323.00BALLOON, UTSDS 5X8X75 999907406 1,323.00STENT BRIDGE ASSURANT 6X60X080 999907436 5,399.50STENT, BRIDGE ASSUR 9MMX60MMX80 999907439 7,006.75STENT, BRIDGE ASSUR 10MMX60MMX80 999907440 7,006.75STENT, BRIDGE ASSUR 6MMX30MMX130 999907441 7,006.75STENT,BRIDGE ASSUR 7MMX30MMX130 999907442 7,006.75SHEATH, RAABE 5FR .38 X 55 999907444 579.25SHEATH, RAABE 7FR .038 X 55 999907445 579.25CYTOLOGY BRUSH 999907464 135.25STENT, EXPRESS 24 X 4.5 999907677 7,707.75STENT, EXPRESS 20 X 2.5 999907690 7,707.75STENT, EXPRESS 12 X 3 999907713 7,707.75BALLOON, QUANT/MAV 3.0X20MM 999907953 2,394.00BALLOON, QUANT/MAV 2.0X30MM 999907960 2,394.00BALLOON, QUANT/MAV 3.5X30MM 999907965 2,394.00BALLOON, QUANT/MAV MONO 9MMX2.75 999908039 2,394.00TUBE, EXCHANGER 999908065 61.50VENT, CIRCUIT PEDIATRIC 999908067 101.75VENT, CIRCUIT NEONATAL 999908068 1,123.50STENT SONIC HEPA 3.0 X 33MM 999908112 7,234.50STENT, HEPACOAT 3.5X33MM 999908113 7,234.50CATH ATLANTIS PV 999908170 5,124.25SUTURE 3-0 MONOCRYL UND PS-1 27" 999908243 45.25SUTURE 5-0 COATED VICRYL UND PS-3 999908248 40.00SUTURE 5-0 PLAIN GUT FS-2 27" 999908250 20.75SUTURE 5-0 ETHILON PS-2 999908253 35.75SUTURE 6-0 ETHILON PS-3 999908254 36.75FEMOSTOP PLUS COMPRESSION 999908263 608.00BALLOON QUANT/MAV 4.5X12MM 999908302 2,280.50BALLOON QUANT.MAV 5.0X12MM 999908303 2,394.00AORTIC VALVED GRAFT W/ HEMASHIELD 999908304 21,219.75STENT DRIVER 3.0X15MM 999908459 6,644.25STENT, DES TAXUS 3.0X20MMM 999908487 12,742.75DES STENT TAXUS 3.5X16MM 999908581 13,635.00SHEATH DESTINATION 45CM 6F 999908610 396.00SHEATH DESTINATION 45CM 7F 999908611 396.00DIALYSIS CATH HEMOSPLIT 19CM KIT 999908660 2,426.50DIALYSIS CATH HEMOSPLIT 24CM KIT 999908661 2,426.50STENT SENTINOL 9X21X75 999908678 5,669.50STENT SENTINOL 9X42X75 999908679 5,669.50STENT GENESIS/OPTRAPRO 39MX9MX80C 999908867 5,777.50STENT WALLGRAFT 12X70 999908869 10,399.25STENT WALLGRAFT 12X50 999908870 9,013.25STENT WALLGRAFT 12X30 999908871 9,013.25MESH PERFIX PLUG MED 2/CS 999908908 928.75STENT RACER 5X12X130 999908911 5,777.50STENT RACER 5X18X130 999908912 5,777.50STENT RACER 6X12X130 999908913 5,777.50STENT RACER 6X18X130 999908914 5,777.50GUIDE LAUNCHER 6FR MPH 999908917 445.00GUIDE LAUNCHER 6FR CHAMP 20 999908919 445.00GUIDE LAUNCHER 7FR IMA 999908920 445.00GUIDE LAUNCHER 7FR MPH 999908922 445.00WIRE IQ 185X.014 STR 999908962 630.75BALL QUANTIUM MAVERICK MR 3.25X30 999909010 1,608.50BALLOON QUANTIUM MAVERICKMR2.0X15 999909013 1,608.50

BALLOON QUANTIUM MAVERICKMR2.0X30 999909015 1,608.50BALL QUANTIUM MAVERICKMR 2.25X8 999909016 1,608.50BOOT VASCULAR ROOKE UNIVERSAL SIZ 999910274 388.50FLOWTRAC DISPOSABLES 999910296 1,134.00FLEXI-SEAL FECAL MANAGEMENT SYS 999910324 669.18NEEDLE HUBER SAFETY 20GX3/4 999920044 35.75NEEDLE HUBER SAFETY 20GX1 999920045 35.75MEPILEX TRANSFER 6X8 999920046 26.00MEPILEX BORDER 7.2X7.2 AG SACRUM 999920047 116.00CONT URETHRAL STENT SET 6FRX26CM 999940008 965.50Y-TYPE TUR/BLADDER IRRIGATION SET 999940009 40.50FILIFORM 3FR STRAIGHT TIP 999940012 370.75STYLET COUNCILL 6FR THREADED TIP 999940013 114.50CATH FOLEY COUDE 22FR 2 WAY 999940014 42.75CATH FOLEY 10FR 3ML BALLOON 999940015 33.75CATH FOLEY 8FR SILICONE 999940016 17.00CATH FOLEY 10FR SILICONE 999940017 17.00CATH FOLEY 16F # WAY IRRIG 999940018 65.25CATH FOLEY 18F # WAY IRRIG 999940019 65.25CATH FOLEY 22F # WAY IRRIG 999940020 65.25CATH FOLEY 24F # WAY IRRIG 999940021 65.25LENS MORGAN THERAPEUTIC STERILE 999940022 110.25BALLOON, CRE 15-16.5 X 18MM 999955000 1,872.25WEB BASKET 2X4 999955003 1,042.75SPHINCTEROTOME FUSION 999955004 1,345.25WIRE GUIDE FUSION 999955005 941.25WIRE KNIFE FUSION 999955006 1,345.25WIRE LOCK FUSION 999955007 156.75STENT INTOR 10FR FUSION 999955008 667.00TRI-FUNNEL GASTROSTOMY TUBE 20F 999955010 172.75BIOPSY FORCEP W SPIKE DISPOSABLE 999955011 48.00RESOLUTION CLIP 999955013 653.25BIOPSY FORCEPS COLD RJ 4LC 999955014 75.75BASKET ENDO MEMORY 8 WIRE 999955017 974.75PEG ENDO COOK 14 BRT S 999955018 178.00PEG ENDO COOK 18 BRT S 999955019 178.00PEG ENDO COOK 24 BRT S 999955020 178.00BALLOON, QUANTIUM MAV MR 2.75X30 999960006 1,608.50BALLOON, QUANTIUM MAV MR 3.0X8 999960007 1,608.50BALLOON, QUANTIUM MAV MR 3.0X12 999960008 1,608.50BALLOON, QUANTIUM MAV MR 3.0X15 999960009 1,608.50BALLOON, QUANTIUM MAV MR 3.0X20 999960010 1,608.50BALLOON, QUANTIUM MAV MR 3.0X30 999960011 1,608.50BALLOON, QUANTIUM MAV MR 3.25X8 999960012 1,608.50BALLOON, QUANTIUM MAV MR 3.25X12 999960013 1,608.50BALLOON, QUANTIUM MAV MR 3.25X20 999960015 1,608.50BALLOON, QUANTIUM MAV MR 3.25X30 999960016 1,608.50CLOSURE DEVICE SYVEK PATCH NT 999960033 598.50STENT PERFORMAXX 9X80MMX135CM 999960072 5,777.50CLIPPING DEVICE 999960096 444.25CATH FLUSHING 999960097 412.50WIRE, PILOT HT 50 J 190CM 999960141 687.75WIRE, PILOT HT 50 J 300CM 999960142 687.75WIRE, PILOT HT 150 J 190CM 999960143 687.75WIRE, PILOT HT 150 J 300CM 999960144 687.75WIRE, PILOT HT 200 J 190CM 999960145 687.75WIRE, PILOT HT 200 J 300CM 999960146 687.75STENT BILIARY 10X5 999960187 323.50STENT, BILIARY 10X7 999960188 323.50STENT, BILIARY 10X9 999960189 323.50CATH, PUSHING 999960190 205.75INTRODUCER, STENT 10 999960191 428.75BALLOON, ERCP STONE EX 8.5X12X15 999960193 877.75WIRE, TRACER ETRO DIR STR 35X480C 999960195 740.00WIRE, GUIDE 018X480 999960196 740.00

CLOSURE DEVICE SAFEGUARD 999960204 567.25STENT LIBERTE RX 8MMX3.00 999960390 4,049.50CATHETER-INFUSION 5X100X15 999960909 633.00CATHETER-INFUSION 5X100X7 999960910 633.00CATHETER-INFUSION 5X130X7 999960911 633.00PATCH D-STAT DRY 999960913 262.25CLOSURE DEVICE STARCLOSE 999960915 1,020.25GRAFT AORTIC VALVED CONDUIT 27MM 999970165 22,757.75VALVE AORTIC BIOCOR 27MM 999970166 15,390.50TISSUE ALLODERM IMPLANTABLE 6X12 999970167 5,530.50

Bakersfield Heart HospitalCalculated Price by Bill Code Report

BillCode FormCode Description Strength DsgFrm U/P Price (Formula)-------- -------- ----------- -------- ------ ----- ---------- -----

40600807 I-807 PHENYLEPHRINE NASAL 0.25% SPRAY Pkg 26.49 (TO)40600807 O-807 PHENYLEPHRINE NASAL 0.25% SPRAY Pkg 26.49 (TO)40601359 1359 FLUPHENAZINE HCL 5 MG TABLET Unit 6.49 (ME)40602254 2486 CEFEPIME VIAL 1 GM INJECT Unit 127.49 (IJ)40602406 2406 PREDNISOLONE 3 MG SYRUP Unit 5.49 (OL)40602428 2428 MORPHINE SULFATE CR 15 MG TABLET Unit 6.74 (ME)40602508 2508 FLUCONAZOLE W/SALINE 100 ML INJECT Pkg 153.49 (IP)

406000009 I-9 DEXTROSE 5% NACL 0.9% INJECT Pkg 54.74 (IP)406000009 O-9 DEXTROSE 5% NACL 0.9% INJECT Pkg 54.74 (IP)406000021 I-21 ACETAZOLAMIDE SODIUM 500 MG INJECT Pkg 297.24 (IP)406000021 O-21 ACETAZOLAMIDE SODIUM 500 MG INJECT Pkg 291.24 (IP)406000031 I-31 ALPRAZOLAM 0.25 MG TABLET Unit 5.49 (ME)406000031 O-31 ALPRAZOLAM 0.25 MG TABLET Unit 5.49 (ME)406000032 I-32 ALTEPLASE 100 MG INJECT Pkg 18863.24 (IP)406000032 O-32 ALTEPLASE 100 MG INJECT Pkg 18863.24 (IP)406000037 I-37 BENAZEPRIL HCL 20 MG TABLET Unit 7.24 (ME)406000037 O-37 BENAZEPRIL HCL 20 MG TABLET Unit 7.24 (ME)406000038 I-38 BENAZEPRIL HCL 5 MG TABLET Unit 7.74 (ME)406000038 O-38 BENAZEPRIL HCL 5 MG TABLET Unit 5.49 (ME)406000039 I-39 AMIODARONE HCL 200 MG TABLET Unit 23.24 (ME)406000039 O-39 AMIODARONE HCL 200 MG TABLET Unit 23.24 (ME)406000041 I-41 AMIODARONE HCL 150 MG INJECT Pkg 16.49 (IP)406000041 O-41 AMIODARONE HCL 150 MG INJECT Pkg 16.49 (IP)406000043 I-43 AMITRIPTYLINE HCL 25 MG TABLET Unit 5.49 (ME)406000043 O-43 AMITRIPTYLINE HCL 25 MG TABLET Unit 5.49 (ME)406000044 I-44 AMLODIPINE BESYLATE 5 MG TABLET Unit 18.49 (ME)406000044 O-44 AMLODIPINE BESYLATE 5 MG TABLET Unit 18.49 (ME)406000049 I-49 AMPICILLIN SODIUM 2 G INJECT Pkg 118.24 (IP)406000049 O-49 AMPICILLIN SODIUM 2 G INJECT Pkg 118.24 (IP)406000054 I-54 NEOMYCIN-POLYMYXIN-HYDRO SOLUTI Pkg 166.49 (TO)406000054 O-54 NEOMYCIN-POLYMYXIN-HYDRO SOLUTI Pkg 166.49 (TO)406000059 I-59 ASPIRIN DR 81 MG TABLET Unit 5.49 (ME)406000059 O-59 ASPIRIN DR 81 MG TABLET Unit 5.49 (ME)406000061 I-61 ATENOLOL 50 MG TABLET Unit 6.74 (ME)406000061 O-61 ATENOLOL 50 MG TABLET Unit 6.74 (ME)406000082 I-82 CALCIUM ACETATE 667 MG CAPSUL Unit 6.49 (ME)406000082 O-82 CALCIUM ACETATE 667 MG CAPSUL Unit 6.49 (ME)406000098 I-98 CEFTAZIDIME 1 GM INJECT Pkg 92.74 (IP)406000098 O-98 CEFTAZIDIME 1 GM INJECT Pkg 86.74 (IP)406000105 I-105 CEFUROXIME AXETIL 250 MG TABLET Unit 5.49 (ME)406000105 O-105 CEFUROXIME AXETIL 250 MG TABLET Unit 5.49 (ME)406000123 I-123 CLINDAMYCIN HCL 150 MG CAPSUL Unit 8.49 (ME)406000123 O-123 CLINDAMYCIN HCL 150 MG CAPSUL Unit 8.49 (ME)406000127 I-127 CLOTRIMAZOLE 10 MG TROCHE Unit 10.49 (ME)406000127 O-127 CLOTRIMAZOLE 10 MG TROCHE Unit 10.49 (ME)406000128 I-128 CONJUGATED ESTROGENS 0.625 MG TABLET Unit 16.99 (ME)406000128 O-128 CONJUGATED ESTROGENS 0.625 MG TABLET Unit 16.99 (ME)406000133 I-133 DANTROLENE SODIUM 20 MG INJECT Unit 469.74 (IP)406000133 O-133 DANTROLENE SODIUM 20 MG INJECT Unit 469.74 (IP)406000146 I-146 DIGOXIN IMMUNE FAB 40 MG INJECT Unit 5.49 (IP)406000146 O-146 DIGOXIN IMMUNE FAB 40 MG INJECT Unit 5.49 (IP)406000153 I-153 DILTIAZEM HCL CR 120 MG CAPSUL Unit 8.74 (ME)406000153 O-153 DILTIAZEM HCL CR 120 MG CAPSUL Unit 8.74 (ME)406000154 I-154 DILTAZEM HCL CR 180 MG CAPSUL Unit 8.74 (ME)406000154 O-154 DILTAZEM HCL CR 180 MG CAPSUL Unit 8.74 (ME)406000158 I-158 DIPHENHYDRAMINE HCL 50 MG INJECT Unit 7.24 (IP)406000158 O-158 DIPHENHYDRAMINE HCL 50 MG INJECT Unit 7.24 (IP)406000180 I-180 DOXYCYCLINE HYCLATE 100 MG CAPSUL Unit 5.49 (ME)406000180 O-180 DOXYCYCLINE HYCLATE 100 MG CAPSUL Unit 5.49 (ME)406000183 I-183 EDROPHONIUM CHLORIDE 10 MG INJECT Unit 31.24 (IP)

406000183 O-183 EDROPHONIUM CHLORIDE 10 MG INJECT Unit 31.24 (IP)406000196 I-196 ERYTHROMYCIN 250 MG TABLET Unit 5.99 (ME)406000196 O-196 ERYTHROMYCIN 250 MG TABLET Unit 5.99 (ME)406000202 I-202 FAMOTIDINE 20 MG INJECT Pkg 5.49 (IP)406000202 O-202 FAMOTIDINE 20 MG INJECT Pkg 5.49 (IP)406000203 I-203 FAMOTIDINE 20 MG TABLET Unit 12.49 (ME)406000203 O-203 FAMOTIDINE 20 MG TABLET Unit 12.49 (ME)406000206 I-206 FENTANYL CITRATE 0.1 MG INJECT Pkg 8.99 (IP)406000206 O-206 FENTANYL CITRATE 0.1 MG INJECT Pkg 8.99 (IP)406000207 I-207 FENTANYL CITRATE 250 MCG INJECT Pkg 11.99 (IP)406000207 O-207 FENTANYL CITRATE 250 MCG INJECT Pkg 11.99 (IP)406000208 I-208 FERROUS SULFATE 324 MG TABLET Unit 5.49 (ME)406000208 O-208 FERROUS SULFATE 324 MG TABLET Unit 5.49 (ME)406000209 I-209 CEFAZOLIN SODIUM 1 G INJECT Unit 41.74 (IJ)406000209 O-209 CEFAZOLIN SODIUM 1 G INJECT Unit 41.74 (IJ)406000211 I-211 TRIAZOLAM 0.125 MG TABLET Unit 5.49 (ME)406000211 O-211 TRIAZOLAM 0.125 MG TABLET Unit 5.49 (ME)406000214 I-214 FINASTERIDE 5 MG TABLET Unit 21.99 (ME)406000214 O-214 FINASTERIDE 5 MG TABLET Unit 21.99 (ME)406000215 I-215 FLAVOXATE HCL 100 MG TABLET Unit 10.74 (ME)406000215 O-215 FLAVOXATE HCL 100 MG TABLET Unit 10.74 (ME)406000220 I-220 FLUMAZENIL 0.5 MG INJECT Pkg 201.74 (IP)406000220 O-220 FLUMAZENIL 0.5 MG INJECT Pkg 5.49 (IP)406000222 I-222 FLUOXETINE HCL 20 MG CAPSUL Unit 18.99 (ME)406000222 O-222 FLUOXETINE HCL 20 MG CAPSUL Unit 18.99 (ME)406000224 I-224 FOLIC ACID 1 MG TABLET Unit 5.49 (ME)406000224 O-224 FOLIC ACID 1 MG TABLET Unit 5.49 (ME)406000237 I-237 GLYBURIDE 5 MG TABLET Unit 5.49 (ME)406000237 O-237 GLYBURIDE 5 MG TABLET Unit 5.49 (ME)406000240 I-240 GLIPIZIDE XL 5 MG TABLET Unit 6.24 (ME)406000240 O-240 GLIPIZIDE XL 5 MG TABLET Unit 5.99 (ME)406000241 I-241 GLYCOPYRROLATE 0.4 MG INJECT Unit 5.49 (IJ)406000241 O-241 GLYCOPYRROLATE 0.4 MG INJECT Unit 5.49 (IJ)406000242 I-242 GUAIFENESIN 200 MG ELIXIR Unit 5.49 (OL)406000242 O-242 GUAIFENESIN 200 MG ELIXIR Unit 5.49 (OL)406000251 I-251 HEPARIN SODIUM W/NACL 1000 UNI INJECT Pkg 32.74 (IP)406000251 O-251 HEPARIN SODIUM W/NACL 1000 UNI INJECT Pkg 32.74 (IP)406000253 I-253 HEPARIN SODIUM W/D5W 25000 UN INJECT Pkg 70.99 (IP)406000253 O-253 HEPARIN SODIUM W/D5W 25000 UN INJECT Pkg 64.99 (IP)406000256 I-256 HEPARIN SODIUM 1000 UNI INJECT Unit 17.49 (IP)406000256 O-256 HEPARIN SODIUM 1000 UNI INJECT Unit 17.49 (IP)406000258 I-258 INSULIN HUMAN 70/30 INJ RE Pkg 69.74 (ME)406000258 O-258 INSULIN HUMAN 70/30 INJ RE Pkg 5.49 (ME)406000259 I-259 NPH INSULIN 100 UNIT INJ RE Pkg 315.99 (ME)406000259 O-259 NPH INSULIN 100 UNIT INJ RE Pkg 315.99 (ME)406000260 I-260 HUMULIN L INSULIN INJ RE Pkg 179.24 (IJ)406000260 O-260 HUMULIN L INSULIN INJ RE Pkg 179.24 (IJ)406000264 I-264 HYDROCHLOROTHIAZIDE 25 MG TABLET Unit 5.49 (ME)406000264 O-264 HYDROCHLOROTHIAZIDE 25 MG TABLET Unit 5.49 (ME)406000271 I-271 HYDROXYUREA 500 MG CAPSUL Unit 10.49 (ME)406000271 O-271 HYDROXYUREA 500 MG CAPSUL Unit 10.49 (ME)406000272 I-272 HYDROXYZINE HCL 50 MG INJECT Unit 27.74 (IJ)406000272 O-272 HYDROXYZINE HCL 50 MG INJECT Unit 27.74 (IJ)406000274 I-274 IBUPROFEN 200 MG TABLET Unit 5.49 (ME)406000274 O-274 IBUPROFEN 200 MG TABLET Unit 5.49 (ME)406000277 I-277 INDOMETHACIN 25 MG CAPSUL Unit 5.49 (ME)406000277 O-277 INDOMETHACIN 25 MG CAPSUL Unit 5.49 (ME)406000282 I-282 ISOSORBIDE DINITRATE 20 MG TABLET Unit 5.49 (ME)406000282 O-282 ISOSORBIDE DINITRATE 20 MG TABLET Unit 5.49 (ME)406000285 I-285 BISMUTH SUBSALIC-SODIUM SUSPEN Unit 5.49 (OL)406000285 O-285 BISMUTH SUBSALIC-SODIUM SUSPEN Unit 5.49 (OL)406000286 I-286 KETAMINE 500 MG INJECT Pkg 53.74 (IP)406000286 O-286 KETAMINE 500 MG INJECT Pkg 53.74 (IP)406000287 I-287 KETOROLAC TROMETHAMINE 30 MG INJECT Unit 5.49 (IP)406000287 O-287 KETOROLAC TROMETHAMINE 30 MG INJECT Unit 5.99 (IP)

406000293 I-293 CARBIDOPA/LEVODOPA 25/10 1 TABLET TABLET Unit 5.99 (ME)406000293 O-293 CARBIDOPA/LEVODOPA 25/10 1 TABLET TABLET Unit 5.99 (ME)406000294 I-294 CARBIDOPA/LEVODOPA CR TABLET Unit 15.24 (ME)406000294 O-294 CARBIDOPA/LEVODOPA CR TABLET Unit 15.24 (ME)406000298 I-298 LEVOTHYROXINE SODIUM 100 MCG TABLET Unit 5.74 (ME)406000298 O-298 LEVOTHYROXINE SODIUM 100 MCG TABLET Unit 5.74 (ME)406000299 I-299 LIDOCAINE HCL 1% 500 MG INJECT Unit 5.49 (IJ)406000299 O-299 LIDOCAINE HCL 1% 500 MG INJECT Unit 5.49 (IJ)406000307 I-307 BENZOCAINE-TETRACAINE-BU AEROSO Pkg 272.49 (TO)406000307 O-307 BENZOCAINE-TETRACAINE-BU AEROSO Pkg 272.49 (TO)406000308 I-308 LIDOCAINE HCL JELLY Pkg 98.24 (TO)406000308 O-308 LIDOCAINE HCL JELLY Pkg 98.24 (TO)406000309 I-309 LIDOCAINE HCL LIQUID Unit 5.49 (OL)406000309 O-309 LIDOCAINE HCL LIQUID Unit 5.49 (OL)406000310 I-310 LISINOPRIL 5 MG TABLET Unit 6.99 (ME)406000310 O-310 LISINOPRIL 5 MG TABLET Unit 6.99 (ME)406000311 I-311 LISINOPRIL 10 MG TABLET Unit 6.99 (ME)406000311 O-311 LISINOPRIL 10 MG TABLET Unit 6.99 (ME)406000316 I-316 LORAZEPAM 1 MG TABLET Unit 6.74 (ME)406000316 O-316 LORAZEPAM 1 MG TABLET Unit 6.74 (ME)406000317 I-317 LOSARTAN POTASSIUM 25 MG TABLET Unit 5.49 (ME)406000317 O-317 LOSARTAN POTASSIUM 25 MG TABLET Unit 5.49 (ME)406000327 I-327 MEPERIDINE HCL 25 MG INJ CA Unit 10.24 (IJ)406000327 O-327 MEPERIDINE HCL 25 MG INJ CA Unit 5.49 (IJ)406000329 I-329 MEPERIDINE HCL 75 MG INJ CA Pkg 14.74 (IJ)406000329 O-329 MEPERIDINE HCL 75 MG INJ CA Pkg 14.74 (IJ)406000330 I-330 MEPERIDINE HCL 100 MG INJ CA Unit 5.49 (IJ)406000330 O-330 MEPERIDINE HCL 100 MG INJ CA Unit 5.49 (IJ)406000333 I-333 METFORMIN HCL 500 MG TABLET Unit 8.49 (ME)406000333 O-333 METFORMIN HCL 500 MG TABLET Unit 8.24 (ME)406000334 I-334 METHOHEXITAL SODIUM 500 MG INJECT Unit 87.74 (IP)406000334 O-334 METHOHEXITAL SODIUM 500 MG INJECT Unit 5.49 (IP)406000337 I-337 METHYLDOPATE 250 MG INJECT Unit 61.74 (IP)406000337 O-337 METHYLDOPATE 250 MG INJECT Unit 61.74 (IP)406000343 I-343 METOPROLOL TARTRATE 5 MG INJECT Pkg 16.99 (IP)406000343 O-343 METOPROLOL TARTRATE 5 MG INJECT Pkg 16.99 (IP)406000345 I-345 METRONIDAZOLE 500 MG INJECT Pkg 15.49 (IP)406000345 O-345 METRONIDAZOLE 500 MG INJECT Pkg 15.49 (IP)406000346 I-346 MEXILETINE 150 MG CAPSUL Unit 5.49 (ME)406000346 O-346 MEXILETINE 150 MG CAPSUL Unit 5.49 (ME)406000353 I-353 MILRINONE LACTATE 10 MG INJECT Unit 10.49 (IP)406000353 O-353 MILRINONE LACTATE 10 MG INJECT Unit 10.49 (IP)406000354 I-354 MILRINONE LACTATE INJECT Unit 10.49 (IP)406000354 O-354 MILRINONE LACTATE INJECT Unit 10.49 (IP)406000356 I-356 MORPHINE SULFATE 1000 MG INJECT Unit 52.49 (IP)406000356 O-356 MORPHINE SULFATE 1000 MG INJECT Unit 10.99 (IP)406000363 I-363 NALOXONE HCL 0.4 MG INJECT Unit 70.99 (IP)406000363 O-363 NALOXONE HCL 0.4 MG INJECT Unit 70.99 (IP)406000371 I-371 NICODERM CQ PATCH 21MG/2 PATCH Unit 24.74 (TO)406000371 O-371 NICODERM CQ PATCH 21MG/2 PATCH Unit 24.74 (TO)406000390 I-390 NOREPINEPHRINE BITART 4 MG INJECT Pkg 26.99 (IP)406000390 O-390 NOREPINEPHRINE BITART 4 MG INJECT Pkg 26.99 (IP)406000391 I-391 NORTRIPTYLINE HCL 25 MG CAPSUL Unit 6.74 (ME)406000391 O-391 NORTRIPTYLINE HCL 25 MG CAPSUL Unit 6.74 (ME)406000396 I-396 OXYCODONE/APAP 5MG/325MG 5 MG TABLET Unit 10.74 (ME)406000396 O-396 OXYCODONE/APAP 5MG/325MG 5 MG TABLET Unit 10.74 (ME)406000406 I-406 PENTOXIFYLLINE 400 MG TABLET Unit 5.49 (ME)406000406 O-406 PENTOXIFYLLINE 400 MG TABLET Unit 5.49 (ME)406000413 I-413 PHENYLEPHRINE HCL INJECT Unit 21.24 (IJ)406000413 O-413 PHENYLEPHRINE HCL INJECT Unit 21.24 (IJ)406000425 I-425 POTASSIUM PHOSPHATE 3 MMO INJECT Unit 5.49 (IP)406000425 O-425 POTASSIUM PHOSPHATE 3 MMO INJECT Unit 5.49 (IP)406000430 I-430 PROCAINAMIDE HCL 1000 MG INJECT Unit 48.99 (IP)406000430 O-430 PROCAINAMIDE HCL 1000 MG INJECT Unit 48.99 (IP)406000436 I-436 PROCHLORPERAZINE 25 MG SUPPOS Unit 25.99 (TO)

406000436 O-436 PROCHLORPERAZINE 25 MG SUPPOS Unit 25.99 (TO)406000437 I-437 PROCHLORPERAZINE 5 MG TABLET Unit 5.49 (ME)406000437 O-437 PROCHLORPERAZINE 5 MG TABLET Unit 5.49 (ME)406000444 I-444 PROPAFENONE HCL 150 MG TABLET Unit 12.24 (ME)406000444 O-444 PROPAFENONE HCL 150 MG TABLET Unit 12.24 (ME)406000449 I-449 PROPOXYPHENE NAPSYLATE-A TABLET Unit 5.49 (ME)406000449 O-449 PROPOXYPHENE NAPSYLATE-A TABLET Unit 5.49 (ME)406000450 I-450 PROPRANOLOL HCL 20 MG TABLET Unit 5.49 (ME)406000450 O-450 PROPRANOLOL HCL 20 MG TABLET Unit 5.49 (ME)406000462 I-462 SALSALATE 500 MG TABLET Unit 5.49 (ME)406000462 O-462 SALSALATE 500 MG TABLET Unit 5.49 (ME)406000464 I-464 SERTRALINE 50 MG TABLET Unit 32.49 (ME)406000464 O-464 SERTRALINE 50 MG TABLET Unit 32.49 (ME)406000471 I-471 SODIUM CHLORIDE 3% HYPER 3% INJECT Unit 5.49 (IP)406000471 O-471 SODIUM CHLORIDE 3% HYPER 3% INJECT Unit 5.49 (IP)406000473 I-473 SOTALOL HCL 80 MG TABLET Unit 5.49 (ME)406000473 O-473 SOTALOL HCL 80 MG TABLET Unit 5.49 (ME)406000477 I-477 SUCCINYLCHOLINE 200 MG INJECT Pkg 14.99 (IP)406000477 O-477 SUCCINYLCHOLINE 200 MG INJECT Pkg 14.99 (IP)406000483 I-483 TAMOXIFEN CITRATE 10 MG TABLET Unit 16.99 (ME)406000483 O-483 TAMOXIFEN CITRATE 10 MG TABLET Unit 16.74 (ME)406000484 I-484 TEMAZEPAM 15 MG CAPSUL Unit 5.49 (ME)406000484 O-484 TEMAZEPAM 15 MG CAPSUL Unit 5.49 (ME)406000485 I-485 TERAZOSIN HCL 1 MG CAPSUL Unit 11.49 (ME)406000485 O-485 TERAZOSIN HCL 1 MG CAPSUL Unit 11.49 (ME)406000486 I-486 TERAZOSIN HCL 5 MG CAPSUL Unit 11.49 (ME)406000486 O-486 TERAZOSIN HCL 5 MG CAPSUL Unit 11.49 (ME)406000487 I-487 TERBUTALINE SULFATE 1 MG INJECT Unit 126.99 (IJ)406000487 O-487 TERBUTALINE SULFATE 1 MG INJECT Unit 126.99 (IJ)406000489 I-489 TETANUS TOXOID BOOSTER 8 UNITS INJECT Unit 320.49 (IJ)406000489 O-489 TETANUS TOXOID BOOSTER 8 UNITS INJECT Unit 320.49 (IJ)406000491 I-491 THEOPHYLLINE 200 MG TABLET Unit 5.49 (ME)406000491 O-491 THEOPHYLLINE 200 MG TABLET Unit 5.49 (ME)406000492 I-492 THEOPHYLLINE 300 MG TABLET Unit 5.49 (ME)406000492 O-492 THEOPHYLLINE 300 MG TABLET Unit 5.49 (ME)406000508 I-508 TORSEMIDE 20 MG INJECT Unit 30.49 (IP)406000508 O-508 TORSEMIDE 20 MG INJECT Unit 30.49 (IP)406000510 I-510 TORSEMIDE 20 MG TABLET Unit 6.24 (ME)406000510 O-510 TORSEMIDE 20 MG TABLET Unit 6.24 (ME)406000511 I-511 ULTRAM 50 MG TABLET Unit 5.99 (ME)406000511 O-511 ULTRAM 50 MG TABLET Unit 5.99 (ME)406000527 I-527 VANCOMYCIN HCL 1 GM INJECT Unit 51.99 (IP)406000527 O-527 VANCOMYCIN HCL 1 GM INJECT Unit 51.99 (IP)406000533 I-533 VERAPAMIL HCL 120 MG TABLET Unit 5.49 (ME)406000533 O-533 VERAPAMIL HCL 120 MG TABLET Unit 5.49 (ME)406000540 I-540 WARFARIN SODIUM 1 MG TABLET Unit 9.74 (ME)406000540 O-540 WARFARIN SODIUM 1 MG TABLET Unit 9.74 (ME)406000541 I-541 WARFARIN SODIUM 2 MG TABLET Unit 9.99 (ME)406000541 O-541 WARFARIN SODIUM 2 MG TABLET Unit 9.99 (ME)406000542 I-542 WARFARIN SODIUM 5 MG TABLET Unit 10.74 (ME)406000542 O-542 WARFARIN SODIUM 5 MG TABLET Unit 10.74 (ME)406000543 I-543 DEXTROSE 5% INJECT Pkg 51.99 (IP)406000543 O-543 DEXTROSE 5% INJECT Pkg 51.99 (IP)406000544 I-544 DEXTROSE 5% INJECT Pkg 57.49 (IP)406000544 O-544 DEXTROSE 5% INJECT Pkg 57.49 (IP)406000548 I-548 DEXTROSE 5% INJECT Unit 5.49 (IP)406000548 O-548 DEXTROSE 5% INJECT Unit 5.49 (IP)406000549 I-549 DEXTROSE 5% INJECT Unit 5.49 (IP)406000549 O-549 DEXTROSE 5% INJECT Unit 5.49 (IP)406000551 I-551 DEXTROSE 10% INJECT Unit 5.49 (IP)406000551 O-551 DEXTROSE 10% INJECT Unit 5.49 (IP)406000552 I-552 DEXTROSE 10% INJECT Unit 5.49 (IP)406000552 O-552 DEXTROSE 10% INJECT Unit 5.49 (IP)406000558 I-558 DEXTROSE 5% NACL 0.2% INJECT Unit 5.49 (IP)406000558 O-558 DEXTROSE 5% NACL 0.2% INJECT Unit 5.49 (IP)

406000564 I-564 DEXTROSE 5% NACL 0.45% INJECT Unit 5.49 (IP)406000564 O-564 DEXTROSE 5% NACL 0.45% INJECT Unit 5.49 (IP)406000569 I-569 DEXTROSE 5% LACTATED RIN INJECT Unit 5.49 (IP)406000569 O-569 DEXTROSE 5% LACTATED RIN INJECT Unit 5.49 (IP)406000570 I-570 SODIUM CHLORIDE 0.45% INJECT Unit 5.49 (IP)406000570 O-570 SODIUM CHLORIDE 0.45% INJECT Unit 5.49 (IP)406000571 I-571 SODIUM CHLORIDE 0.45% INJECT Pkg 51.49 (IP)406000571 O-571 SODIUM CHLORIDE 0.45% INJECT Pkg 51.49 (IP)406000576 I-576 SODIUM CHLORIDE 0.90% INJECT Pkg 41.74 (IP)406000576 O-576 SODIUM CHLORIDE 0.90% INJECT Pkg 41.74 (IP)406000577 I-577 SODIUM CHLORIDE 0.90% INJECT Unit 5.49 (IP)406000577 O-577 SODIUM CHLORIDE 0.90% INJECT Unit 5.49 (IP)406000578 I-578 SODIUM CHLORIDE 0.90% INJECT Pkg 45.24 (IP)406000578 O-578 SODIUM CHLORIDE 0.90% INJECT Pkg 45.24 (IP)406000586 I-586 DEXTRAN 40 INJECT Pkg 280.99 (IP)406000586 O-586 DEXTRAN 40 INJECT Pkg 280.99 (IP)406000597 I-597 SODIUM CHLORIDE SOLUTI Unit 5.49 (TO)406000597 O-597 SODIUM CHLORIDE SOLUTI Unit 5.49 (TO)406000598 I-598 SODIUM CHLORIDE SOLUTI Unit 5.49 (TO)406000598 O-598 SODIUM CHLORIDE SOLUTI Unit 5.49 (TO)406000602 I-602 D5%/NS + 20MEQ KCL 20 MEQ INJECT Pkg 70.24 (IP)406000602 O-602 D5%/NS + 20MEQ KCL 20 MEQ INJECT Pkg 70.24 (IP)406000606 I-606 D5%/NS 0.2% + 20MEQ KCL INJECT Pkg 70.24 (IP)406000606 O-606 D5%/NS 0.2% + 20MEQ KCL INJECT Pkg 70.24 (IP)406000609 I-609 NS 0.9% + 20MEQ KCL INJECT Pkg 70.24 (IP)406000609 O-609 NS 0.9% + 20MEQ KCL INJECT Pkg 70.24 (IP)406000610 I-610 NS 0.9% + 40MEQ KCL INJECT Unit 5.49 (IP)406000610 O-610 NS 0.9% + 40MEQ KCL INJECT Unit 5.49 (IP)406000612 I-612 DEXTROSE 5% + 20 MEQ KCL INJECT Pkg 70.24 (IP)406000612 O-612 DEXTROSE 5% + 20 MEQ KCL INJECT Pkg 70.24 (IP)406000624 I-624 PREDNISONE 1 MG TABLET Unit 5.49 (ME)406000624 O-624 PREDNISONE 1 MG TABLET Unit 5.49 (ME)406000634 I-634 LIDOCAINE 2 GM INJECT Pkg 51.49 (IP)406000634 O-634 LIDOCAINE 2 GM INJECT Pkg 51.49 (IP)406000637 I-637 NITROGLYCERIN 0.4 MG TABLET Pkg 31.74 (ME)406000637 O-637 NITROGLYCERIN 0.4 MG TABLET Pkg 31.74 (ME)406000639 I-639 REOPRO 10 MG INJECT Pkg 2984.99 (IP)406000639 O-639 REOPRO 10 MG INJECT Pkg 2984.99 (IP)406000646 I-646 DIAZOXIDE 300 MG INJECT Pkg 507.99 (IP)406000646 O-646 DIAZOXIDE 300 MG INJECT Pkg 507.99 (IP)406000650 I-650 VECURONIUM BROMIDE 10 MG INJECT Pkg 24.49 (IP)406000650 O-650 VECURONIUM BROMIDE 10 MG INJECT Pkg 24.49 (IP)406000664 I-664 HYDROCORTISONE SOD SUCCI 250 MG INJECT Unit 55.24 (IP)406000664 O-664 HYDROCORTISONE SOD SUCCI 250 MG INJECT Unit 55.24 (IP)406000665 I-665 TICLOPIDINE HCL 250 MG TABLET Unit 14.49 (ME)406000665 O-665 TICLOPIDINE HCL 250 MG TABLET Unit 14.24 (ME)406000667 I-667 METHYLPREDNISOLONE 125 MG INJECT Unit 37.74 (IP)406000667 O-667 METHYLPREDNISOLONE 125 MG INJECT Unit 37.74 (IP)406000668 I-668 PROMETHAZINE HCL 25 MG INJECT Unit 7.74 (IP)406000668 O-668 PROMETHAZINE HCL 25 MG INJECT Unit 7.74 (IP)406000670 I-670 VERAPAMIL HCL 5 MG INJECT Pkg 16.74 (IP)406000670 O-670 VERAPAMIL HCL 5 MG INJECT Pkg 16.74 (IP)406000671 I-671 ADENOSINE 6 MG INJECT Pkg 69.99 (IP)406000671 O-671 ADENOSINE 6 MG INJECT Pkg 69.99 (IP)406000672 I-672 ATROPINE SULFATE 1 MG INJECT Unit 16.99 (IJ)406000672 O-672 ATROPINE SULFATE 1 MG INJECT Unit 16.99 (IJ)406000675 I-675 EPINEPHRINE HCL VIAL INJECT Pkg 56.99 (IP)406000675 O-675 EPINEPHRINE HCL VIAL INJECT Pkg 56.99 (IP)406000680 I-680 SODIUM CHLORIDE 0.9% INJ SY Pkg 5.49 (IP)406000680 O-680 SODIUM CHLORIDE 0.9% INJ SY Pkg 5.49 (IP)406000685 I-685 BUPIVACAINE HCL 0.50% INJECT Unit 9.99 (IJ)406000685 O-685 BUPIVACAINE HCL 0.50% INJECT Unit 5.49 (IJ)406000687 I-687 PAPAVERINE HCL 30 MG INJECT Unit 11.99 (IJ)406000687 O-687 PAPAVERINE HCL 30 MG INJECT Unit 11.99 (IJ)406000688 I-688 PROPRANOLOL HCL 1 MG INJECT Unit 59.74 (IP)

406000688 O-688 PROPRANOLOL HCL 1 MG INJECT Unit 59.74 (IP)406000689 I-689 HEPARIN SODIUM 5 MU INJECT Pkg 18.99 (IJ)406000689 O-689 HEPARIN SODIUM 5 MU INJECT Pkg 18.99 (IJ)406000690 I-690 HETASTARCH W/NACL INJECT Pkg 121.99 (IP)406000690 O-690 HETASTARCH W/NACL INJECT Pkg 121.99 (IP)406000693 I-693 CYCLOBENZAPRINE HCL 10 MG TABLET Unit 7.24 (ME)406000693 O-693 CYCLOBENZAPRINE HCL 10 MG TABLET Unit 7.24 (ME)406000694 I-694 DEXTROSE LUER-JET 25 GM INJECT Pkg 243.74 (IP)406000694 O-694 DEXTROSE LUER-JET 25 GM INJECT Pkg 5.49 (IP)406000696 I-696 BENZONATATE 100 MG CAPSUL Unit 5.49 (ME)406000696 O-696 BENZONATATE 100 MG CAPSUL Unit 5.49 (ME)406000698 I-698 BISACODYL 5 MG TABLET Unit 5.49 (ME)406000698 O-698 BISACODYL 5 MG TABLET Unit 5.49 (ME)406000701 I-701 CHLORPROMAZINE HCL 25 MG TABLET Unit 5.49 (ME)406000701 O-701 CHLORPROMAZINE HCL 25 MG TABLET Unit 5.49 (ME)406000707 I-707 DOCUSATE SODIUM 100 MG CAPSUL Unit 5.49 (ME)406000707 O-707 DOCUSATE SODIUM 100 MG CAPSUL Unit 5.49 (ME)406000708 I-708 BUMETANIDE 1 MG INJECT Unit 5.49 (IP)406000708 O-708 BUMETANIDE 1 MG INJECT Unit 5.49 (IP)406000715 I-715 DIPYRIDAMOLE 25 MG TABLET Unit 5.49 (ME)406000715 O-715 DIPYRIDAMOLE 25 MG TABLET Unit 5.49 (ME)406000716 I-716 HYDROXYCHLOROQUINE SULFA 200 MG TABLET Unit 8.99 (ME)406000716 O-716 HYDROXYCHLOROQUINE SULFA 200 MG TABLET Unit 8.99 (ME)406000719 I-719 BISACODYL 10 MG SUPPOS Unit 5.49 (TO)406000719 O-719 BISACODYL 10 MG SUPPOS Unit 5.49 (TO)406000724 I-724 CEFTAZIDIME ADV 2 G INJECT Pkg 156.24 (IP)406000724 O-724 CEFTAZIDIME ADV 2 G INJECT Pkg 156.24 (IP)406000725 I-725 DIGOXIN 125 MCG TABLET Unit 5.49 (ME)406000725 O-725 DIGOXIN 125 MCG TABLET Unit 5.49 (ME)406000726 I-726 DIGOXIN 0.25 MG TABLET Unit 5.49 (ME)406000726 O-726 DIGOXIN 0.25 MG TABLET Unit 5.49 (ME)406000727 I-727 CEFTRIAXONE SODIUM 2 G INJECT Pkg 46.49 (IP)406000727 O-727 CEFTRIAXONE SODIUM 2 G INJECT Pkg 46.49 (IP)406000728 I-728 METHYLPREDNISOLONE NA SU 1000 MG INJECT Unit 178.99 (IP)406000728 O-728 METHYLPREDNISOLONE NA SU 1000 MG INJECT Unit 178.99 (IP)406000729 I-729 DEXAMETHASONE SOD PHOSPH 20 MG INJECT Unit 5.49 (IP)406000729 O-729 DEXAMETHASONE SOD PHOSPH 20 MG INJECT Unit 5.49 (IP)406000730 I-730 GENTAMICIN SULFATE 3 MG SOLUTI Unit 30.24 (TO)406000730 O-730 GENTAMICIN SULFATE 3 MG SOLUTI Unit 30.24 (TO)406000731 I-731 SODIUM CHLORIDE 15 ML SOLUTI Unit 5.49 (OL)406000731 O-731 SODIUM CHLORIDE 15 ML SOLUTI Unit 5.49 (OL)406000733 I-733 HALOPERIDOL 2 MG TABLET Unit 5.49 (ME)406000733 O-733 HALOPERIDOL 2 MG TABLET Unit 5.49 (ME)406000736 I-736 PHENAZOPYRIDINE HCL 100 MG TABLET Unit 5.49 (ME)406000736 O-736 PHENAZOPYRIDINE HCL 100 MG TABLET Unit 5.49 (ME)406000740 I-740 ESTRADIOL 1 MG TABLET Unit 5.49 (ME)406000740 O-740 ESTRADIOL 1 MG TABLET Unit 5.49 (ME)406000741 I-741 LOPERAMIDE HCL 2 MG CAPSUL Unit 5.49 (ME)406000741 O-741 LOPERAMIDE HCL 2 MG CAPSUL Unit 5.49 (ME)406000746 I-746 NITROGLYCERIN 0.3 MG PATCH Unit 30.24 (TO)406000746 O-746 NITROGLYCERIN 0.3 MG PATCH Unit 30.24 (TO)406000747 I-747 NITROGLYCERIN 0.4 MG PATCH Unit 30.24 (TO)406000747 O-747 NITROGLYCERIN 0.4 MG PATCH Unit 30.24 (TO)406000749 I-749 ALBUTEROL SULFATE 100 MG SOLUTI Unit 100.24 (OL)406000749 O-749 ALBUTEROL SULFATE 100 MG SOLUTI Unit 100.24 (OL)406000750 I-750 NICARDIPINE HCL 20 MG CAPSUL Unit 5.49 (ME)406000750 O-750 NICARDIPINE HCL 20 MG CAPSUL Unit 5.49 (ME)406000754 I-754 SODIUM CHLORIDE 3 ML SOLUTI Unit 5.49 (OL)406000754 O-754 SODIUM CHLORIDE 3 ML SOLUTI Unit 5.49 (OL)406000757 I-757 ACETAMINOPHEN 650 MG SUPPOS Unit 5.49 (TO)406000757 O-757 ACETAMINOPHEN 650 MG SUPPOS Unit 5.49 (TO)406000759 I-759 ACETAZOLAMIDE 250 MG TABLET Unit 5.49 (ME)406000759 O-759 ACETAZOLAMIDE 250 MG TABLET Unit 5.49 (ME)406000761 I-761 ALBUTEROL SULFATE 2.5 MG SOLUTI Pkg 9.74 (OL)406000761 O-761 ALBUTEROL SULFATE 2.5 MG SOLUTI Pkg 9.74 (OL)

406000762 I-762 ALBUTEROL SULFATE 4 MG TABLET Unit 5.49 (ME)406000762 O-762 ALBUTEROL SULFATE 4 MG TABLET Unit 5.49 (ME)406000763 I-763 ALLOPURINOL 300 MG TABLET Unit 5.49 (ME)406000763 O-763 ALLOPURINOL 300 MG TABLET Unit 5.49 (ME)406000764 I-764 AMOXICILLIN TRIHYDRATE 250 MG CAPSUL Unit 5.49 (ME)406000764 O-764 AMOXICILLIN TRIHYDRATE 250 MG CAPSUL Unit 5.49 (ME)406000765 I-765 ANTIPYRINE/BENZOCIANE OT SOLUTI Pkg 21.74 (TO)406000765 O-765 ANTIPYRINE/BENZOCIANE OT SOLUTI Pkg 21.74 (TO)406000770 I-770 ASPIRIN DR 325 MG TABLET Unit 5.49 (ME)406000770 O-770 ASPIRIN DR 325 MG TABLET Unit 5.49 (ME)406000778 I-778 HYDRALAZINE HCL 10 MG TABLET Unit 5.49 (ME)406000778 O-778 HYDRALAZINE HCL 10 MG TABLET Unit 5.49 (ME)406000779 I-779 HYDRALAZINE HCL 25 MG TABLET Unit 5.49 (ME)406000779 O-779 HYDRALAZINE HCL 25 MG TABLET Unit 5.49 (ME)406000780 I-780 METHYLDOPA 250 MG TABLET Unit 5.49 (ME)406000780 O-780 METHYLDOPA 250 MG TABLET Unit 5.49 (ME)406000784 I-784 SULFACETAMIDE SODIUM SOLUTI Unit 8.24 (TO)406000784 O-784 SULFACETAMIDE SODIUM SOLUTI Unit 8.24 (TO)406000785 I-785 PHENYTOIN SODIUM 100 MG INJECT Unit 5.49 (IP)406000785 O-785 PHENYTOIN SODIUM 100 MG INJECT Unit 5.49 (IP)406000788 I-788 GENTAMICIN SULFATE 0.10% CREAM Unit 5.49 (TO)406000788 O-788 GENTAMICIN SULFATE 0.10% CREAM Unit 5.49 (TO)406000790 I-790 PROMETHAZINE HCL 25 MG SUPPOS Unit 33.49 (TO)406000790 O-790 PROMETHAZINE HCL 25 MG SUPPOS Unit 33.49 (TO)406000792 I-792 LIDOCAINE 2%-EPINEPHRINE INJECT Pkg 21.24 (IJ)406000792 O-792 LIDOCAINE 2%-EPINEPHRINE INJECT Pkg 21.24 (IJ)406000794 I-794 DESFLURANE 240 ML SOLUTI Unit 5.74 (OL)406000794 O-794 DESFLURANE 240 ML SOLUTI Unit 5.74 (OL)406000796 I-796 PREDNISONE 5 MG TABLET Unit 5.49 (ME)406000796 O-796 PREDNISONE 5 MG TABLET Unit 5.49 (ME)406000797 I-797 PREDNISONE 20 MG TABLET Unit 5.49 (ME)406000797 O-797 PREDNISONE 20 MG TABLET Unit 5.49 (ME)406000802 I-802 QUINIDINE SULFATE 300 MG TABLET Unit 5.49 (ME)406000802 O-802 QUINIDINE SULFATE 300 MG TABLET Unit 5.49 (ME)406000803 I-803 SCOPOLAMINE 0.4 MG INJECT Unit 61.24 (IJ)406000803 O-803 SCOPOLAMINE 0.4 MG INJECT Unit 61.24 (IJ)406000804 I-804 QUININE SULFATE 324 MG CAPSUL Unit 42.49 (ME)406000804 O-804 QUININE SULFATE 324 MG CAPSUL Unit 42.49 (ME)406000809 I-809 HYDROCORTISONE SODIUM 100 MG INJECT Pkg 33.74 (IP)406000809 O-809 HYDROCORTISONE SODIUM 100 MG INJECT Pkg 33.74 (IP)406000810 I-810 BUTORPHANOL TARTRATE 4 MG INJECT Pkg 88.24 (IJ)406000810 O-810 BUTORPHANOL TARTRATE 4 MG INJECT Pkg 88.24 (IJ)406000812 I-812 PROMETHAZINE HCL 25 MG TABLET Unit 5.49 (ME)406000812 O-812 PROMETHAZINE HCL 25 MG TABLET Unit 5.49 (ME)406000813 I-813 HYDROCORTISONE SOD SUCCI 1 G INJECT Pkg 158.24 (IP)406000813 O-813 HYDROCORTISONE SOD SUCCI 1 G INJECT Pkg 158.24 (IP)406000814 I-814 BACITRACIN 50 MU INJECT Pkg 116.49 (IJ)406000814 O-814 BACITRACIN 50 MU INJECT Pkg 116.49 (IJ)406000815 I-815 NIFEDIPINE 30 MG TABLET Unit 11.24 (ME)406000815 O-815 NIFEDIPINE 30 MG TABLET Unit 11.24 (ME)406000817 I-817 FLEET'S ENEMA 133 ML Unit 5.49 (TO)406000817 O-817 FLEET'S ENEMA 133 ML Unit 5.49 (TO)406000818 I-818 ALBUTEROL INHALER AEROSO Pkg 112.24 (ME)406000818 O-818 ALBUTEROL INHALER AEROSO Pkg 112.24 (ME)406000819 I-819 ACETAMINOPHEN 325 MG TABLET Unit 5.49 (ME)406000819 O-819 ACETAMINOPHEN 325 MG TABLET Unit 5.49 (ME)406000828 I-828 SILVER NITRATE 1 EA STICK Unit 20.74 (TO)406000828 O-828 SILVER NITRATE 1 EA STICK Unit 20.74 (TO)406000830 I-830 DOCUSATE CALCIUM 240 MG CAPSUL Unit 5.49 (ME)406000830 O-830 DOCUSATE CALCIUM 240 MG CAPSUL Unit 5.49 (ME)406000831 I-831 DOXEPIN HCL 25 MG CAPSUL Unit 5.49 (ME)406000831 O-831 DOXEPIN HCL 25 MG CAPSUL Unit 5.49 (ME)406000832 I-832 GLUCAGON RECOMBINANT 1 MG INJECT Unit 476.99 (IJ)406000832 O-832 GLUCAGON RECOMBINANT 1 MG INJECT Unit 476.99 (IJ)406000839 I-839 MAGNESIUM OXIDE 400 MG TABLET Unit 5.49 (ME)

406000839 O-839 MAGNESIUM OXIDE 400 MG TABLET Unit 5.49 (ME)406000844 I-844 ALDACTONE 25 MG TABLET Unit 5.49 (ME)406000844 O-844 ALDACTONE 25 MG TABLET Unit 5.49 (ME)406000845 I-845 DOCUSATE SODIUM 100 MG LIQUID Pkg 5.49 (OL)406000845 O-845 DOCUSATE SODIUM 100 MG LIQUID Pkg 5.49 (OL)406000850 I-850 CONJUGATED ESTROGENS 25 MG INJECT Pkg 521.49 (IP)406000850 O-850 CONJUGATED ESTROGENS 25 MG INJECT Pkg 521.49 (IP)406000855 I-855 TERBUTALINE SULFATE 2.5 MG TABLET Unit 5.49 (ME)406000855 O-855 TERBUTALINE SULFATE 2.5 MG TABLET Unit 5.49 (ME)406000857 I-857 IRON DEXTRAN COMPLEX 100 MG INJECT Pkg 155.99 (IP)406000857 O-857 IRON DEXTRAN COMPLEX 100 MG INJECT Pkg 155.99 (IP)406000859 I-859 SODIUM CHLORIDE 4 MEQ INJECT Unit 5.49 (IP)406000859 O-859 SODIUM CHLORIDE 4 MEQ INJECT Unit 5.49 (IP)406000865 I-865 EPOETIN ALFA HUMAN RECOM 2000 UNI INJECT Unit 134.74 (ME)406000865 O-865 EPOETIN ALFA HUMAN RECOM 2000 UNI INJECT Unit 134.74 (ME)406000867 I-867 ROCURONIUM BROMIDE 50 MG INJECT Unit 35.49 (IP)406000867 O-867 ROCURONIUM BROMIDE 50 MG INJECT Unit 35.49 (IP)406000871 I-871 LIDOCAINE HCL 100 MG INJECT Pkg 33.49 (IP)406000871 O-871 LIDOCAINE HCL 100 MG INJECT Pkg 33.49 (IP)406000875 I-875 TOBRAMYCIN SULFATE 80 MG INJECT Pkg 16.99 (IP)406000875 O-875 TOBRAMYCIN SULFATE 80 MG INJECT Pkg 16.99 (IP)406000881 I-881 PROPOFOL 200 MG INJECT Pkg 24.24 (IP)406000881 O-881 PROPOFOL 200 MG INJECT Pkg 24.24 (IP)406000888 I-888 FUROSEMIDE 40 MG INJECT Pkg 5.49 (IP)406000888 O-888 FUROSEMIDE 40 MG INJECT Pkg 5.49 (IP)406000894 I-894 EPINEPHRINE HCL LUER-JET 0.1 MG INJECT Pkg 33.49 (IP)406000894 O-894 EPINEPHRINE HCL LUER-JET 0.1 MG INJECT Pkg 33.49 (IP)406000896 I-896 DIAZEPAM 5 MG TABLET Unit 5.49 (ME)406000896 O-896 DIAZEPAM 5 MG TABLET Unit 5.49 (ME)406000897 I-897 MAGNESIUM HYDROXIDE 30 ML SUSPEN Pkg 5.49 (OL)406000897 O-897 MAGNESIUM HYDROXIDE 30 ML SUSPEN Pkg 5.49 (OL)406000901 I-901 SODIUM CHLORIDE 0.90% INJECT Pkg 13.99 (IP)406000901 O-901 SODIUM CHLORIDE 0.90% INJECT Pkg 13.99 (IP)406000903 I-903 SIMVASTATIN 10 MG TABLET Unit 19.74 (ME)406000903 O-903 SIMVASTATIN 10 MG TABLET Unit 19.74 (ME)406000905 I-905 PROTAMINE SULFATE 50 MG INJECT Unit 12.49 (IP)406000905 O-905 PROTAMINE SULFATE 50 MG INJECT Unit 12.49 (IP)406000907 I-907 ASPIRIN 325 MG TABLET Unit 5.49 (ME)406000907 O-907 ASPIRIN 325 MG TABLET Unit 5.49 (ME)406000908 I-908 HYDROCODONE-ACETAMINOPHE 7.5 MG TABLET Unit 14.24 (ME)406000908 O-908 HYDROCODONE-ACETAMINOPHE 7.5 MG TABLET Unit 14.24 (ME)406000909 I-909 POTASSIUM CHLORIDE 20 MEQ INJECT Unit 5.49 (IP)406000909 O-909 POTASSIUM CHLORIDE 20 MEQ INJECT Unit 5.49 (IP)406000911 I-911 D5%/NS 0.45% + 20MEQ KCL INJECT Pkg 70.24 (IP)406000911 O-911 D5%/NS 0.45% + 20MEQ KCL INJECT Pkg 70.24 (IP)406000912 I-912 EPINEPHRINE HCL AMPUL 1 MG INJECT Unit 11.49 (IP)406000912 O-912 EPINEPHRINE HCL AMPUL 1 MG INJECT Unit 11.49 (IP)406000915 I-915 LABETALOL HCL 100 MG INJECT Pkg 13.49 (IP)406000915 O-915 LABETALOL HCL 100 MG INJECT Pkg 13.49 (IP)406000916 I-916 PSYLLIUM 1 POWDER POWDER Unit 5.49 (ME)406000916 O-916 PSYLLIUM 1 POWDER POWDER Unit 5.49 (ME)406000917 I-917 DEXTROSE 5% 250 ML INJECT Unit 5.49 (IP)406000917 O-917 DEXTROSE 5% 250 ML INJECT Unit 5.49 (IP)406000918 I-918 HYDROXYZINE HCL 25 MG TABLET Unit 6.99 (ME)406000918 O-918 HYDROXYZINE HCL 25 MG TABLET Unit 6.99 (ME)406000924 I-924 DOBUTAMINE HCL 250 MG INJECT Pkg 25.74 (IP)406000924 O-924 DOBUTAMINE HCL 250 MG INJECT Pkg 25.74 (IP)406000926 I-926 ACETAMINOPHEN CHILDREN D 30 ML SUSPEN Unit 5.49 (OL)406000926 O-926 ACETAMINOPHEN CHILDREN D 30 ML SUSPEN Unit 5.49 (OL)406000930 I-930 HYDRALAZINE HCL 20 MG INJECT Pkg 84.74 (IJ)406000930 O-930 HYDRALAZINE HCL 20 MG INJECT Pkg 84.74 (IJ)406000932 I-932 CHLORDIAZEPOXIDE HCL 25 MG CAPSUL Unit 5.49 (ME)406000932 O-932 CHLORDIAZEPOXIDE HCL 25 MG CAPSUL Unit 5.49 (ME)406000934 I-934 HYDROCODONE-ACETAMINOPHE 5 MG TABLET Unit 12.99 (ME)406000934 O-934 HYDROCODONE-ACETAMINOPHE 5 MG TABLET Unit 12.99 (ME)

406000937 I-937 PHYTONADIONE 10 MG INJECT Unit 95.24 (ME)406000937 O-937 PHYTONADIONE 10 MG INJECT Unit 95.24 (ME)406000939 I-939 ALLOPURINOL 100 MG TABLET Unit 5.49 (ME)406000939 O-939 ALLOPURINOL 100 MG TABLET Unit 5.49 (ME)406000941 I-941 OXYBUTYNIN CHLORIDE 5 MG TABLET Unit 5.49 (ME)406000941 O-941 OXYBUTYNIN CHLORIDE 5 MG TABLET Unit 5.49 (ME)406000942 I-942 NICARDIPINE 25 MG INJECT Unit 19.49 (IP)406000942 O-942 NICARDIPINE 25 MG INJECT Unit 19.49 (IP)406000944 I-944 TRIAMCINOLONE ACETONIDE 20 GM AEROSO Pkg 408.99 (ME)406000944 O-944 TRIAMCINOLONE ACETONIDE 20 GM AEROSO Pkg 408.99 (ME)406000945 I-945 PAROXETINE HCL 20 MG TABLET Unit 20.74 (ME)406000945 O-945 PAROXETINE HCL 20 MG TABLET Unit 20.74 (ME)406000948 I-948 SODIUM BICARBONATE 5 MEQ INJECT Pkg 42.74 (IP)406000948 O-948 SODIUM BICARBONATE 5 MEQ INJECT Pkg 42.74 (IP)406000949 I-949 ATENOLOL 25 MG TABLET Unit 5.99 (ME)406000949 O-949 ATENOLOL 25 MG TABLET Unit 5.99 (ME)406000950 I-950 SODIUM BICARBONATE 50 MEQ INJECT Unit 5.49 (IP)406000950 O-950 SODIUM BICARBONATE 50 MEQ INJECT Unit 5.49 (IP)406000955 I-955 EPHEDRINE SULFATE 50 MG INJECT Unit 21.99 (IJ)406000955 O-955 EPHEDRINE SULFATE 50 MG INJECT Unit 21.99 (IJ)406000957 I-957 SIMETHICONE DROPS 30 ML LIQUID Unit 5.49 (OL)406000957 O-957 SIMETHICONE DROPS 30 ML LIQUID Unit 5.49 (OL)406000962 I-962 FLUCONAZOLE W/SALINE 200 MG INJECT Pkg 63.99 (IP)406000962 O-962 FLUCONAZOLE W/SALINE 200 MG INJECT Pkg 63.99 (IP)406000965 I-965 CAPTOPRIL 25 MG TABLET Unit 5.99 (ME)406000965 O-965 CAPTOPRIL 25 MG TABLET Unit 5.99 (ME)406000966 I-966 CAPTOPRIL 12.5 MG TABLET Unit 5.49 (ME)406000966 O-966 CAPTOPRIL 12.5 MG TABLET Unit 5.49 (ME)406000967 I-967 NEOMYCIN-POLYMYXIN-BACIT 30 GM OINTME Unit 5.49 (TO)406000967 O-967 NEOMYCIN-POLYMYXIN-BACIT 30 GM OINTME Unit 5.49 (TO)406000970 I-970 HYDROCORTISONE 1% CREAM Pkg 41.74 (TO)406000970 O-970 HYDROCORTISONE 1% CREAM Pkg 41.74 (TO)406000975 I-975 TIMOLOL MALEATE 5 ML SOLUTI Unit 21.24 (TO)406000975 O-975 TIMOLOL MALEATE 5 ML SOLUTI Unit 21.24 (TO)406000976 I-976 OXYMETAZOLINE HCL SOLUTI Pkg 38.74 (TO)406000976 O-976 OXYMETAZOLINE HCL SOLUTI Pkg 38.74 (TO)406000979 I-979 TOBRAMYCIN 5 ML SOLUTI Unit 43.74 (TO)406000979 O-979 TOBRAMYCIN 5 ML SOLUTI Unit 43.74 (TO)406000980 I-980 POLYMYXIN-NEOMYCIN-DEXAM 5 ML SUSPEN Unit 27.74 (TO)406000980 O-980 POLYMYXIN-NEOMYCIN-DEXAM 5 ML SUSPEN Unit 27.74 (TO)406000983 I-983 PHENOL 1 BOTTLE LIQUID Pkg 28.49 (OL)406000983 O-983 PHENOL 1 BOTTLE LIQUID Pkg 28.49 (OL)406000984 I-984 AMPICILLIN-SULBACTAM 3 GM INJECT Pkg 59.49 (IP)406000984 O-984 AMPICILLIN-SULBACTAM 3 GM INJECT Pkg 59.49 (IP)406000986 I-986 CHARCOAL W/SORBITOL SUSPEN Pkg 98.24 (OL)406000986 O-986 CHARCOAL W/SORBITOL SUSPEN Pkg 98.24 (OL)406000990 I-990 DIGOXIN 0.5 MG INJECT Unit 13.49 (IJ)406000990 O-990 DIGOXIN 0.5 MG INJECT Unit 13.49 (IJ)406000991 I-991 DOBUTAMINE-DEXTROSE 5% 500 MG INJECT Pkg 87.24 (IP)406000991 O-991 DOBUTAMINE-DEXTROSE 5% 500 MG INJECT Pkg 87.24 (IP)406000992 I-992 DOPAMINE HCL W/DEXTROSE 400 MG INJECT Pkg 88.74 (IP)406000992 O-992 DOPAMINE HCL W/DEXTROSE 400 MG INJECT Pkg 88.74 (IP)406000995 I-995 EDROPHONIUM CHLORIDE 150 MG INJECT Pkg 66.24 (IP)406000995 O-995 EDROPHONIUM CHLORIDE 150 MG INJECT Pkg 66.24 (IP)406000996 I-996 ENALAPRILAT 2.5 MG INJECT Pkg 46.49 (IP)406000996 O-996 ENALAPRILAT 2.5 MG INJECT Pkg 46.49 (IP)406000997 I-997 ENOXAPARIN SODIUM 30 MG INJECT Pkg 146.24 (IJ)406000997 O-997 ENOXAPARIN SODIUM 30 MG INJECT Pkg 146.24 (IJ)406000998 I-998 ESMOLOL HCL 2500 MG INJECT Pkg 632.49 (IP)406000998 O-998 ESMOLOL HCL 2500 MG INJECT Pkg 632.49 (IP)406000999 I-999 ESMOLOL HCL 100 MG INJECT Pkg 119.24 (IP)406000999 O-999 ESMOLOL HCL 100 MG INJECT Pkg 119.24 (IP)406001000 I-1000 ETOMIDATE 20 MG INJECT Pkg 69.74 (IP)406001000 O-1000 ETOMIDATE 20 MG INJECT Pkg 69.74 (IP)406001001 I-1001 CALCIUM GLUCONATE 0.465 ME INJECT Pkg 6.49 (IP)

406001001 O-1001 CALCIUM GLUCONATE 0.465 ME INJECT Pkg 6.49 (IP)406001003 I-1003 ALENDRONATE SODIUM 10 MG TABLET Unit 20.49 (ME)406001003 O-1003 ALENDRONATE SODIUM 10 MG TABLET Unit 20.49 (ME)406001006 I-1006 HUMULIN-R INSULIN 100 UNIT INJECT Pkg 45.99 (ME)406001006 O-1006 HUMULIN-R INSULIN 100 UNIT INJECT Pkg 45.99 (ME)406001007 I-1007 NITROGLYCERIN 0.2 MG PATCH Unit 26.99 (TO)406001007 O-1007 NITROGLYCERIN 0.2 MG PATCH Unit 26.99 (TO)406001009 I-1009 ATROPINE SULFATE 1 MG INJECT Pkg 33.49 (IP)406001009 O-1009 ATROPINE SULFATE 1 MG INJECT Pkg 33.49 (IP)406001011 I-1011 ACETAMINOPHEN #3 TABLET Unit 5.49 (ME)406001011 O-1011 ACETAMINOPHEN #3 TABLET Unit 5.49 (ME)406001012 I-1012 METOCLOPRAMIDE HCL 10 MG TABLET Unit 5.49 (ME)406001012 O-1012 METOCLOPRAMIDE HCL 10 MG TABLET Unit 5.49 (ME)406001013 I-1013 PROCAINAMIDE HCL 750 MG TABLET Unit 6.74 (ME)406001013 O-1013 PROCAINAMIDE HCL 750 MG TABLET Unit 6.74 (ME)406001017 I-1017 SODIUM POLYSTYRENE SULFO 15 GM SUSPEN Unit 5.49 (OL)406001017 O-1017 SODIUM POLYSTYRENE SULFO 15 GM SUSPEN Unit 5.49 (OL)406001018 I-1018 ARTIFICIAL TEARS OPHTH SOLUTI Pkg 30.49 (TO)406001018 O-1018 ARTIFICIAL TEARS OPHTH SOLUTI Pkg 30.49 (TO)406001020 I-1020 TPN 1 INFUSI SOLUTI Pkg 450 (RD)406001020 O-1020 TPN 1 INFUSI SOLUTI Pkg 450 (RD)406001021 I-1021 NYSTATIN ORAL SUSP 500 MU SUSPEN Pkg 11.99 (OL)406001021 O-1021 NYSTATIN ORAL SUSP 500 MU SUSPEN Pkg 11.99 (OL)406001022 I-1022 MAGIC MOUTHWASH SUSPEN Pkg 20.99 (ME)406001022 O-1022 MAGIC MOUTHWASH SUSPEN Pkg 20.99 (ME)406001023 I-1023 MUMPS SKIN TEST ANTIGEN 40 UNITS INJECT Unit 536.74 (IV)406001023 O-1023 MUMPS SKIN TEST ANTIGEN 40 UNITS INJECT Unit 536.74 (IV)406001025 I-1025 D5%/NS 0.45% + 40MEQ KCL INJECT Pkg 70.24 (IP)406001025 O-1025 D5%/NS 0.45% + 40MEQ KCL INJECT Pkg 70.24 (IP)406001026 I-1026 DIPHENHYDRAMINE HCL 12.5 MG LIQUID Unit 5.49 (OL)406001026 O-1026 DIPHENHYDRAMINE HCL 12.5 MG LIQUID Unit 5.49 (OL)406001027 I-1027 GENTAMICIN SULFATE 80 MG INJECT Unit 5.49 (IJ)406001027 O-1027 GENTAMICIN SULFATE 80 MG INJECT Unit 5.49 (IJ)406001038 I-1038 NYSTATIN SUSPEN Unit 5.49 (OL)406001038 O-1038 NYSTATIN SUSPEN Unit 5.49 (OL)406001042 I-1042 QUINAPRIL HCL 5 MG TABLET Unit 15.24 (ME)406001042 O-1042 QUINAPRIL HCL 5 MG TABLET Unit 15.24 (ME)406001047 I-1047 DIPHENOXYLATE-ATROPINE 1 TAB TABLET Unit 5.49 (ME)406001047 O-1047 DIPHENOXYLATE-ATROPINE 1 TAB TABLET Unit 5.49 (ME)406001048 I-1048 APROTININ-SODIUM CHLORID 2000 MU INJECT Pkg 2043.49 (IP)406001048 O-1048 APROTININ-SODIUM CHLORID 2000 MU INJECT Pkg 2043.49 (IP)406001068 I-1068 AZTREONAM 1 G INJECT Pkg 152.24 (IP)406001068 O-1068 AZTREONAM 1 G INJECT Pkg 5.49 (IP)406001071 I-1071 METOPROLOL SUCCINATE XL 50 MG TABLET Unit 9.49 (ME)406001071 O-1071 METOPROLOL SUCCINATE XL 50 MG TABLET Unit 9.49 (ME)406001073 I-1073 POTASSIUM PHOSPHATE TABL 250 MG TABLET Unit 5.49 (ME)406001073 O-1073 POTASSIUM PHOSPHATE TABL 250 MG TABLET Unit 5.49 (ME)406001074 I-1074 MINERAL OIL LIGHT 30 ML OIL Unit 5.49 (OL)406001074 O-1074 MINERAL OIL LIGHT 30 ML OIL Unit 5.49 (OL)406001076 I-1076 ACETIC ACID IRRIGATION SOLUTI Pkg 22.49 (TO)406001076 O-1076 ACETIC ACID IRRIGATION SOLUTI Pkg 22.49 (TO)406001078 I-1078 NITROGLYCERIN 50MG/D5W 2 INJECT Pkg 47.74 (IP)406001078 O-1078 NITROGLYCERIN 50MG/D5W 2 INJECT Pkg 47.74 (IP)406001079 1079 VITAMIN A 10 MU CAPSUL Unit 5.49 (ME)406001080 I-1080 GEMFIBROZIL 600 MG TABLET Unit 5.49 (ME)406001080 O-1080 GEMFIBROZIL 600 MG TABLET Unit 5.49 (ME)406001081 I-1081 ASPIRIN 81 MG TABLET Unit 5.49 (ME)406001081 O-1081 ASPIRIN 81 MG TABLET Unit 5.49 (ME)406001090 I-1090 HYOSCYAMINE SULFATE 0.125 MG TABLET Unit 6.49 (ME)406001090 O-1090 HYOSCYAMINE SULFATE 0.125 MG TABLET Unit 6.49 (ME)406001093 I-1093 BISMUTH SUBSALICYLATE 262 MG TABLET Unit 5.49 (ME)406001093 O-1093 BISMUTH SUBSALICYLATE 262 MG TABLET Unit 5.49 (ME)406001094 I-1094 GLIPIZIDE 5 MG TABLET Unit 5.49 (ME)406001094 O-1094 GLIPIZIDE 5 MG TABLET Unit 5.49 (ME)406001095 I-1095 BECLOMETHASONE DIPROPION 25 GM SPRAY Pkg 636.24 (TO)

406001095 O-1095 BECLOMETHASONE DIPROPION 25 GM SPRAY Pkg 636.24 (TO)406001096 I-1096 CLONIDINE TT1 0.1 MG PATCH Unit 218.74 (TO)406001096 O-1096 CLONIDINE TT1 0.1 MG PATCH Unit 218.74 (TO)406001097 I-1097 CLONIDINE TT2 0.2 MG PATCH Unit 301.49 (TO)406001097 O-1097 CLONIDINE TT2 0.2 MG PATCH Unit 301.49 (TO)406001098 I-1098 CLONIDINE TT3 0.3 MG PATCH Unit 417.99 (TO)406001098 O-1098 CLONIDINE TT3 0.3 MG PATCH Unit 417.99 (TO)406001100 I-1100 MAGNESIUM CITRATE 296 ML LIQUID Pkg 6.24 (OL)406001100 O-1100 MAGNESIUM CITRATE 296 ML LIQUID Pkg 6.24 (OL)406001101 I-1101 ZAFIRLUKAST 20 MG TABLET Unit 11.99 (ME)406001101 O-1101 ZAFIRLUKAST 20 MG TABLET Unit 11.99 (ME)406001102 I-1102 PREDNISOLONE ACETATE 5 ML SUSPEN Unit 22.24 (TO)406001102 O-1102 PREDNISOLONE ACETATE 5 ML SUSPEN Unit 22.24 (TO)406001103 I-1103 LAVAGE POWDER Pkg 125.49 (OL)406001103 O-1103 LAVAGE POWDER Pkg 125.49 (OL)406001104 I-1104 NICODERM CQ PATCH 14MG/2 PATCH Unit 15.24 (TO)406001104 O-1104 NICODERM CQ PATCH 14MG/2 PATCH Unit 15.24 (TO)406001108 I-1108 BUPROPION HCL 75 MG TABLET Unit 5.49 (ME)406001108 O-1108 BUPROPION HCL 75 MG TABLET Unit 5.49 (ME)406001112 I-1112 HEPATITIS B VACCINE 20 MCG INJECT Unit 274.49 (IJ)406001112 O-1112 HEPATITIS B VACCINE 20 MCG INJECT Unit 274.49 (IJ)406001117 I-1117 HEPARIN LOCK FLUSH 100 UNIT INJ SY Unit 5.49 (IP)406001117 O-1117 HEPARIN LOCK FLUSH 100 UNIT INJ SY Unit 5.49 (IP)406001120 I-1120 MORPHINE SULFATE 10 MG INJECT Unit 6.74 (IJ)406001120 O-1120 MORPHINE SULFATE 10 MG INJECT Unit 6.74 (IJ)406001122 I-1122 SALINE NASAL SPRAY SPRAY Pkg 16.49 (TO)406001122 O-1122 SALINE NASAL SPRAY SPRAY Pkg 16.49 (TO)406001123 I-1123 BELLADONNA ALKALOIDS-PB ELIXIR Pkg 488.99 (OL)406001123 O-1123 BELLADONNA ALKALOIDS-PB ELIXIR Pkg 5.49 (OL)406001127 I-1127 ESTRADIOL 0.1 MG PATCH Unit 111.24 (TO)406001127 O-1127 ESTRADIOL 0.1 MG PATCH Unit 111.24 (TO)406001128 I-1128 FLUTICASONE PROPIONATE SPRAY Pkg 332.49 (TO)406001128 O-1128 FLUTICASONE PROPIONATE SPRAY Pkg 347.49 (TO)406001131 I-1131 PRAZOSIN HCL 1 MG CAPSUL Unit 5.49 (ME)406001131 O-1131 PRAZOSIN HCL 1 MG CAPSUL Unit 5.49 (ME)406001132 I-1132 NEOSTIGMINE METHYLSULFAT 10 MG INJECT Unit 8.24 (IJ)406001132 O-1132 NEOSTIGMINE METHYLSULFAT 10 MG INJECT Unit 8.24 (IJ)406001133 I-1133 THIOPENTAL SODIUM 500 MG INJECT Unit 268.24 (IP)406001133 O-1133 THIOPENTAL SODIUM 500 MG INJECT Unit 268.24 (IP)406001135 I-1135 CARVEDILOL 12.5 MG TABLET Unit 18.74 (ME)406001135 O-1135 CARVEDILOL 12.5 MG TABLET Unit 18.74 (ME)406001136 I-1136 FLUDROCORTISONE ACETATE 0.1 MG TABLET Unit 5.99 (ME)406001136 O-1136 FLUDROCORTISONE ACETATE 0.1 MG TABLET Unit 5.99 (ME)406001137 I-1137 HEPATITIS B IMMUNE INJECT Unit 491.24 (IJ)406001137 O-1137 HEPATITIS B IMMUNE INJECT Unit 491.24 (IJ)406001140 I-1140 DIVALPROEX SODIUM 250 MG TABLET Unit 17.74 (ME)406001140 O-1140 DIVALPROEX SODIUM 250 MG TABLET Unit 17.74 (ME)406001141 I-1141 RISPERIDONE 1 MG TABLET Unit 41.49 (ME)406001141 O-1141 RISPERIDONE 1 MG TABLET Unit 41.49 (ME)406001143 I-1143 CARVEDILOL 3.125 MG TABLET Unit 18.74 (ME)406001143 O-1143 CARVEDILOL 3.125 MG TABLET Unit 18.74 (ME)406001144 I-1144 ACYCLOVIR 800 MG TABLET Unit 37.49 (ME)406001144 O-1144 ACYCLOVIR 800 MG TABLET Unit 37.49 (ME)406001147 I-1147 ISOFLURANE 100 ML SOLUTI Pkg406001147 O-1147 ISOFLURANE 100 ML SOLUTI Pkg 129.74 (OL)406001148 I-1148 AMITRIPTYLINE HCL 10 MG TABLET Unit 5.49 (ME)406001148 O-1148 AMITRIPTYLINE HCL 10 MG TABLET Unit 5.49 (ME)406001149 I-1149 IMIPENEM-CILASTATIN 500 MG INJECT Unit 219.74 (IP)406001149 O-1149 IMIPENEM-CILASTATIN 500 MG INJECT Unit 219.74 (IP)406001150 I-1150 THYROID 60 MG TABLET Unit 5.49 (ME)406001150 O-1150 THYROID 60 MG TABLET Unit 5.49 (ME)406001151 I-1151 LEVOFLOXACIN-DEXTROSE 500 MG INJECT Pkg 236.49 (IP)406001151 O-1151 LEVOFLOXACIN-DEXTROSE 500 MG INJECT Pkg 236.49 (IP)406001152 I-1152 SODIUM CHLORIDE 0.90% INJECT Pkg 14.49 (IP)406001152 O-1152 SODIUM CHLORIDE 0.90% INJECT Pkg 14.49 (IP)

406001154 I-1154 GLIMEPIRIDE 2 MG TABLET Unit 8.49 (ME)406001154 O-1154 GLIMEPIRIDE 2 MG TABLET Unit 8.49 (ME)406001155 I-1155 SODIUM CITRATE-CITRIC AC 30 ML LIQUID Pkg 5.49 (OL)406001155 O-1155 SODIUM CITRATE-CITRIC AC 30 ML LIQUID Pkg 5.49 (OL)406001157 I-1157 LITHIUM CARBONATE 300 MG CAPSUL Unit 5.49 (ME)406001157 O-1157 LITHIUM CARBONATE 300 MG CAPSUL Unit 5.49 (ME)406001158 I-1158 MICONAZOLE NITRATE 100 MG SUPPOS Pkg 11.99 (TO)406001158 O-1158 MICONAZOLE NITRATE 100 MG SUPPOS Pkg 11.99 (TO)406001160 I-1160 VALSARTAN 80 MG TABLET Unit 22.74 (ME)406001160 O-1160 VALSARTAN 80 MG TABLET Unit 22.74 (ME)406001161 I-1161 NYSTATIN 15 GM CREAM Pkg 102.99 (TO)406001161 O-1161 NYSTATIN 15 GM CREAM Pkg 102.99 (TO)406001164 I-1164 DROPERIDOL 2.5 MG INJECT Pkg 28.49 (IJ)406001164 O-1164 DROPERIDOL 2.5 MG INJECT Pkg 28.49 (IJ)406001165 I-1165 PROTAMINE SULFATE 250 MG INJECT Unit 7.74 (IP)406001165 O-1165 PROTAMINE SULFATE 250 MG INJECT Unit 7.74 (IP)406001166 I-1166 MAGNESIUM SULFATE 4.06 MEQ INJECT Unit 5.49 (IP)406001166 O-1166 MAGNESIUM SULFATE 4.06 MEQ INJECT Unit 5.49 (IP)406001167 I-1167 MANNITOL 12.5 GM INJECT Pkg 23.24 (IP)406001167 O-1167 MANNITOL 12.5 GM INJECT Pkg 23.24 (IP)406001169 I-1169 NYSTATIN POWDER Pkg 148.24 (TO)406001169 O-1169 NYSTATIN POWDER Pkg 148.24 (TO)406001170 I-1170 KETOROLAC TROMETHAMINE 10 MG TABLET Unit 6.99 (ME)406001170 O-1170 KETOROLAC TROMETHAMINE 10 MG TABLET Unit 6.99 (ME)406001171 I-1171 ISOSORBIDE MONONITRATE 20 MG TABLET Unit 9.99 (ME)406001171 O-1171 ISOSORBIDE MONONITRATE 20 MG TABLET Unit 9.99 (ME)406001173 I-1173 FUROSEMIDE 20 MG TABLET Unit 5.49 (ME)406001173 O-1173 FUROSEMIDE 20 MG TABLET Unit 5.49 (ME)406001174 I-1174 FUROSEMIDE 40 MG TABLET Unit 5.49 (ME)406001174 O-1174 FUROSEMIDE 40 MG TABLET Unit 5.49 (ME)406001175 I-1175 SODIUM BICARBONATE 50 MEQ INJECT Pkg 46.49 (IJ)406001175 O-1175 SODIUM BICARBONATE 50 MEQ INJECT Pkg 46.49 (IJ)406001176 I-1176 FLUOCINONIDE 30 GM CREAM Pkg 37.49 (TO)406001176 O-1176 FLUOCINONIDE 30 GM CREAM Pkg 37.49 (TO)406001177 I-1177 AMINOPHYLLINE 500 MG INJECT Pkg 6.49 (IP)406001177 O-1177 AMINOPHYLLINE 500 MG INJECT Pkg 6.49 (IP)406001179 I-1179 DEXTROSE 5% VISIV INJECT Pkg 15.24 (IP)406001179 O-1179 DEXTROSE 5% VISIV INJECT Pkg 15.24 (IP)406001182 I-1182 RACEPINEPHRINE INHALATIO SOLUTI Unit 9.24 (ME)406001182 O-1182 RACEPINEPHRINE INHALATIO SOLUTI Unit 9.24 (ME)406001186 I-1186 LEVOFLOXACIN 500 MG TABLET Unit 5.49 (ME)406001186 O-1186 LEVOFLOXACIN 500 MG TABLET Unit 5.49 (ME)406001187 I-1187 METHYLPREDNISOLONE 4 MG TABLET Unit 8.74 (ME)406001187 O-1187 METHYLPREDNISOLONE 4 MG TABLET Unit 5.49 (ME)406001188 I-1188 ONDANSETRON HCL 4 MG INJECT Unit 5.49 (IP)406001188 O-1188 ONDANSETRON HCL 4 MG INJECT Unit 5.49 (IP)406001194 I-1194 DESMOPRESSIN ACETATE 4 MCG INJECT Unit 125.24 (IJ)406001194 O-1194 DESMOPRESSIN ACETATE 4 MCG INJECT Unit 125.24 (IJ)406001196 I-1196 SIMETHICONE 80 MG TABLET Unit 5.49 (ME)406001196 O-1196 SIMETHICONE 80 MG TABLET Unit 5.49 (ME)406001198 I-1198 METOCLOPRAMIDE HCL 10 MG INJECT Unit 5.49 (IP)406001198 O-1198 METOCLOPRAMIDE HCL 10 MG INJECT Unit 5.49 (IP)406001199 I-1199 POTASSIUM CHLORIDE 20 MEQ LIQUID Pkg 5.49 (OL)406001199 O-1199 POTASSIUM CHLORIDE 20 MEQ LIQUID Pkg 5.49 (OL)406001202 I-1202 GABAPENTIN 400 MG CAPSUL Unit 20.99 (ME)406001202 O-1202 GABAPENTIN 400 MG CAPSUL Unit 20.99 (ME)406001203 I-1203 AMINOCAPROIC ACID 5000 MG INJECT Pkg 18.24 (IP)406001203 O-1203 AMINOCAPROIC ACID 5000 MG INJECT Pkg 18.24 (IP)406001204 I-1204 PILOCARPINE 2% 2% SOLUTI Pkg 135.49 (TO)406001204 O-1204 PILOCARPINE 2% 2% SOLUTI Pkg 135.49 (TO)406001207 I-1207 FENTANYL PATCH 50 MCG PATCH Unit 67.74 (TO)406001207 O-1207 FENTANYL PATCH 50 MCG PATCH Unit 5.49 (TO)406001216 I-1216 PROPRANOLOL HCL 10 MG TABLET Unit 5.49 (ME)406001216 O-1216 PROPRANOLOL HCL 10 MG TABLET Unit 5.49 (ME)406001218 I-1218 BUPROPION SR 150 MG TABLET Unit 26.24 (ME)

406001218 O-1218 BUPROPION SR 150 MG TABLET Unit 26.24 (ME)406001220 I-1220 PIPERACILLIN-TAZOBACTAM 3.375 G INJECT Pkg 126.24 (IP)406001220 O-1220 PIPERACILLIN-TAZOBACTAM 3.375 G INJECT Pkg 126.24 (IP)406001222 I-1222 ACYCLOVIR 15 GM OINTME Pkg 787.49 (TO)406001222 O-1222 ACYCLOVIR 15 GM OINTME Pkg 787.49 (TO)406001226 I-1226 IPRATROPIUM/ALBUTEROL IN 14.7 GM AEROSO Pkg 841.74 (ME)406001226 O-1226 IPRATROPIUM/ALBUTEROL IN 14.7 GM AEROSO Pkg 841.74 (ME)406001227 I-1227 SUCRALFATE 1 G TABLET Unit 5.99 (ME)406001227 O-1227 SUCRALFATE 1 G TABLET Unit 5.99 (ME)406001230 I-1230 ALBUMIN 25% INJECT Pkg 488.99 (IP)406001230 O-1230 ALBUMIN 25% INJECT Pkg 488.99 (IP)406001231 I-1231 ALUMINUM OH-MAG CARBONAT 30 ML SUSPEN Unit 5.49 (OL)406001231 O-1231 ALUMINUM OH-MAG CARBONAT 30 ML SUSPEN Unit 5.49 (OL)406001232 1232 ONDANSETRON HCL 4 MG TABLET Unit 120.49 (ME)406001240 I-1240 FLUNISOLIDE AEROSO Pkg 432.99 (ME)406001240 O-1240 FLUNISOLIDE AEROSO Pkg 432.99 (ME)406001247 I-1247 AMINO ACIDS 3% INJECT Pkg 215.74 (IP)406001247 O-1247 AMINO ACIDS 3% INJECT Pkg 215.74 (IP)406001249 I-1249 IPECAC 42 MG ELIXIR Unit 5.49 (OL)406001249 O-1249 IPECAC 42 MG ELIXIR Unit 5.49 (OL)406001250 I-1250 THIAMINE HCL 100 MG INJECT Unit 38.49 (IJ)406001250 O-1250 THIAMINE HCL 100 MG INJECT Unit 38.49 (IJ)406001254 I-1254 CLINDAMYCIN PHOSPHATE 600 MG INJECT Pkg 93.24 (IJ)406001254 O-1254 CLINDAMYCIN PHOSPHATE 600 MG INJECT Pkg 93.24 (IJ)406001257 I-1257 SODIUM PHOSPHATE 3 MMO INJECT Pkg 13.74 (IP)406001257 O-1257 SODIUM PHOSPHATE 3 MMO INJECT Pkg 13.74 (IP)406001258 I-1258 CLOTRIMAZOLE 30 G CREAM Pkg 187.99 (TO)406001258 O-1258 CLOTRIMAZOLE 30 G CREAM Pkg 187.99 (TO)406001259 I-1259 APRACLONIDINE HCL 5 ML SOLUTI Pkg 488.99 (TO)406001259 O-1259 APRACLONIDINE HCL 5 ML SOLUTI Pkg 488.99 (TO)406001261 I-1261 PANCURONIUM BROMIDE 10 MG INJECT Pkg 13.49 (IP)406001261 O-1261 PANCURONIUM BROMIDE 10 MG INJECT Pkg 13.49 (IP)406001264 I-1264 DILTIAZEM HCL 25 MG INJECT Unit 5.49 (IJ)406001264 O-1264 DILTIAZEM HCL 25 MG INJECT Unit 5.49 (IJ)406001265 I-1265 PROBENECID 500 MG TABLET Unit 7.24 (ME)406001265 O-1265 PROBENECID 500 MG TABLET Unit 7.24 (ME)406001266 I-1266 VANCOMYCIN HCL 125 MG CAPSUL Unit 99.99 (ME)406001266 O-1266 VANCOMYCIN HCL 125 MG CAPSUL Unit 99.99 (ME)406001268 I-1268 THROMBIN-JMI 10 MU KIT Unit 175.24 (TO)406001268 O-1268 THROMBIN-JMI 10 MU KIT Unit 175.24 (TO)406001269 I-1269 GABAPENTIN 300 MG CAPSUL Unit 18.24 (ME)406001269 O-1269 GABAPENTIN 300 MG CAPSUL Unit 18.24 (ME)406001273 I-1273 CETYLPYRIDINIUM CHLORIDE 1 LOZENG LOZENG Unit 5.49 (ME)406001273 O-1273 CETYLPYRIDINIUM CHLORIDE 1 LOZENG LOZENG Unit 5.49 (ME)406001274 I-1274 INSULIN LISPRO 100 UNIT INJECT Pkg 81.74 (ME)406001274 O-1274 INSULIN LISPRO 100 UNIT INJECT Pkg 81.74 (ME)406001277 I-1277 BUSPIRONE HCL 10 MG TABLET Unit 9.74 (ME)406001277 O-1277 BUSPIRONE HCL 10 MG TABLET Unit 9.74 (ME)406001279 I-1279 CALCITONIN SALMON 400 UNIT INJECT Pkg 167.74 (IJ)406001279 O-1279 CALCITONIN SALMON 400 UNIT INJECT Pkg 167.74 (IJ)406001284 I-1284 VALPROATE SODIUM 500 MG INJECT Unit 29.74 (IP)406001284 O-1284 VALPROATE SODIUM 500 MG INJECT Unit 29.74 (IP)406001285 I-1285 PROPOFOL 1000 MG INJECT Pkg 181.49 (IP)406001285 O-1285 PROPOFOL 1000 MG INJECT Pkg 181.49 (IP)406001288 I-1288 TAMSULOSIN HCL 0.4 MG CAPSUL Unit 35.99 (ME)406001288 O-1288 TAMSULOSIN HCL 0.4 MG CAPSUL Unit 35.99 (ME)406001289 I-1289 PYRIDOSTIGMINE BROMIDE 60 MG TABLET Unit 5.49 (ME)406001289 O-1289 PYRIDOSTIGMINE BROMIDE 60 MG TABLET Unit 5.49 (ME)406001295 I-1295 METFORMIN HCL 850 MG TABLET Unit 13.49 (ME)406001295 O-1295 METFORMIN HCL 850 MG TABLET Unit 13.49 (ME)406001296 I-1296 ASCORBIC ACID 500 MG TABLET Unit 5.49 (ME)406001296 O-1296 ASCORBIC ACID 500 MG TABLET Unit 5.49 (ME)406001298 I-1298 TOCOPHEROL 400 IU CAPSUL Unit 5.49 (ME)406001298 O-1298 TOCOPHEROL 400 IU CAPSUL Unit 5.49 (ME)406001299 I-1299 PROCAINAMIDE HCL 500 MG CAPSUL Unit 7.24 (ME)

406001299 O-1299 PROCAINAMIDE HCL 500 MG CAPSUL Unit 7.24 (ME)406001300 I-1300 PHENTOLAMINE MESYLATE 5 MG INJECT Unit 370.99 (IP)406001300 O-1300 PHENTOLAMINE MESYLATE 5 MG INJECT Unit 370.99 (IP)406001303 I-1303 METOPROLOL TARTRATE 50 MG TABLET Unit 5.49 (ME)406001303 O-1303 METOPROLOL TARTRATE 50 MG TABLET Unit 5.49 (ME)406001304 I-1304 COLLAGENASE OINTME Pkg 454.74 (TO)406001304 O-1304 COLLAGENASE OINTME Pkg 454.74 (TO)406001310 I-1310 TIMOLOL MALEATE 0.50% SOLUTI Unit 68.99 (TO)406001310 O-1310 TIMOLOL MALEATE 0.50% SOLUTI Unit 68.99 (TO)406001312 I-1312 BRIMONIDINE TARTRATE SOLUTI Unit 104.49 (TO)406001312 O-1312 BRIMONIDINE TARTRATE SOLUTI Unit 104.49 (TO)406001316 I-1316 DONEPEZIL HCL 5 MG TABLET Unit 67.24 (ME)406001316 O-1316 DONEPEZIL HCL 5 MG TABLET Unit 67.24 (ME)406001318 I-1318 RAMIPRIL 2.5 MG CAPSUL Unit 16.74 (ME)406001318 O-1318 RAMIPRIL 2.5 MG CAPSUL Unit 16.74 (ME)406001321 I-1321 BELLADONNA ALKALOIDS-PB TABLET Unit 5.49 (ME)406001321 O-1321 BELLADONNA ALKALOIDS-PB TABLET Unit 5.49 (ME)406001322 I-1322 LATANOPROST 2.5 ML SOLUTI Pkg 472.74 (TO)406001322 O-1322 LATANOPROST 2.5 ML SOLUTI Pkg 472.74 (TO)406001328 I-1328 POTASSIUM CHLORIDE 20 MEQ INJECT Pkg 22.49 (IP)406001328 O-1328 POTASSIUM CHLORIDE 20 MEQ INJECT Pkg 22.49 (IP)406001332 I-1332 FLUOXETINE HCL 10 MG CAPSUL Unit 18.49 (ME)406001332 O-1332 FLUOXETINE HCL 10 MG CAPSUL Unit 18.49 (ME)406001334 I-1334 LEVOTHYROXINE SODIUM 500 MCG INJECT Unit 244.99 (IP)406001334 O-1334 LEVOTHYROXINE SODIUM 500 MCG INJECT Unit 244.99 (IP)406001337 I-1337 AMANTADINE HCL 100 MG CAPSUL Unit 5.74 (ME)406001337 O-1337 AMANTADINE HCL 100 MG CAPSUL Unit 5.74 (ME)406001339 I-1339 DOXYCYCLINE HYCLATE 100 MG INJECT Unit 109.24 (IP)406001339 O-1339 DOXYCYCLINE HYCLATE 100 MG INJECT Unit 109.24 (IP)406001340 I-1340 AZITHROMYCIN 500 MG INJECT Pkg 57.24 (IP)406001340 O-1340 AZITHROMYCIN 500 MG INJECT Pkg 57.24 (IP)406001341 I-1341 MULTIPLE VITAMINS INJECT Unit 5.49 (IP)406001341 O-1341 MULTIPLE VITAMINS INJECT Unit 5.49 (IP)406001342 I-1342 IPRATROPIUM BROMIDE 0.5 MG SOLUTI Pkg 5.49 (OL)406001342 O-1342 IPRATROPIUM BROMIDE 0.5 MG SOLUTI Pkg 5.49 (OL)406001343 I-1343 DILTIAZEM HCL 100 MG INJECT Unit 257.49 (IP)406001343 O-1343 DILTIAZEM HCL 100 MG INJECT Unit 257.49 (IP)406001344 I-1344 NEOMYCIN SULFATE 500 MG TABLET Unit 14.24 (ME)406001344 O-1344 NEOMYCIN SULFATE 500 MG TABLET Unit 14.24 (ME)406001346 I-1346 IPRATROPIUM INHALATION 12.9 G AEROSO Pkg 765.49 (ME)406001346 O-1346 IPRATROPIUM INHALATION 12.9 G AEROSO Pkg 765.49 (ME)406001347 I-1347 CALCITONIN SALMON 4400 UNI SPRAY Unit 114.99 (TO)406001347 O-1347 CALCITONIN SALMON 4400 UNI SPRAY Unit 114.99 (TO)406001348 I-1348 FENTANYL PATCH 25 MCG PATCH Unit 127.74 (TO)406001348 O-1348 FENTANYL PATCH 25 MCG PATCH Unit 127.74 (TO)406001351 I-1351 LACTULOSE 20 GM SOLUTI Pkg 78.74 (ME)406001351 O-1351 LACTULOSE 20 GM SOLUTI Pkg 5.49 (ME)406001354 I-1354 SULFASALAZINE 500 MG TABLET Unit 5.49 (ME)406001354 O-1354 SULFASALAZINE 500 MG TABLET Unit 5.49 (ME)406001357 I-1357 COLCHICINE 0.6 MG TABLET Unit 33.24 (ME)406001357 O-1357 COLCHICINE 0.6 MG TABLET Unit 5.49 (ME)406001359 1359 FLUPHENAZINE HCL 5 MG TABLET Unit 6.49 (ME)406001361 I-1361 CHLOROTHIAZIDE SODIUM 500 MG INJECT Unit 1772.49 (IP)406001361 O-1361 CHLOROTHIAZIDE SODIUM 500 MG INJECT Unit 1772.49 (IP)406001366 I-1366 BENZTROPINE MESYLATE 1 MG INJECT Unit 202.24 (IJ)406001366 O-1366 BENZTROPINE MESYLATE 1 MG INJECT Unit 202.24 (IJ)406001370 I-1370 RIFAMPIN 300 MG CAPSUL Unit 21.49 (ME)406001370 O-1370 RIFAMPIN 300 MG CAPSUL Unit 21.49 (ME)406001372 I-1372 PHYTONADIONE 5 MG TABLET Unit 54.49 (ME)406001372 O-1372 PHYTONADIONE 5 MG TABLET Unit 54.49 (ME)406001376 I-1376 CLOPIDOGREL BISULFATE 75 MG TABLET Unit 46.99 (ME)406001376 O-1376 CLOPIDOGREL BISULFATE 75 MG TABLET Unit 46.99 (ME)406001378 I-1378 IPRATROPIUM NASAL SPRAY Pkg 452.74 (TO)406001378 O-1378 IPRATROPIUM NASAL SPRAY Pkg 452.74 (TO)406001381 I-1381 BENZTROPINE MESYLATE 1 MG TABLET Unit 5.49 (ME)

406001381 O-1381 BENZTROPINE MESYLATE 1 MG TABLET Unit 5.49 (ME)406001384 I-1384 IRBESARTAN 150 MG TABLET Unit 21.99 (ME)406001384 O-1384 IRBESARTAN 150 MG TABLET Unit 21.99 (ME)406001388 I-1388 AMMONIA SPIRIT 1 INHALA INHALA Pkg 5.49 (ME)406001388 O-1388 AMMONIA SPIRIT 1 INHALA INHALA Pkg 5.49 (ME)406001396 I-1396 FUROSEMIDE 100 MG INJECT Unit 5.49 (IP)406001396 O-1396 FUROSEMIDE 100 MG INJECT Unit 5.49 (IP)406001400 I-1400 CALCITRIOL 0.25 MCG CAPSUL Unit 8.99 (ME)406001400 O-1400 CALCITRIOL 0.25 MCG CAPSUL Unit 8.99 (ME)406001401 I-1401 LOPERAMIDE HCL 2 MG LIQUID Unit 5.49 (OL)406001401 O-1401 LOPERAMIDE HCL 2 MG LIQUID Unit 5.49 (OL)406001406 I-1406 PILOCARPINE HCL 4% SOLUTI Unit 26.99 (TO)406001406 O-1406 PILOCARPINE HCL 4% SOLUTI Unit 26.99 (TO)406001408 I-1408 ESTROPIPATE 0.75 MG TABLET Unit 8.99 (ME)406001408 O-1408 ESTROPIPATE 0.75 MG TABLET Unit 8.99 (ME)406001409 2721 FISH OIL-OMEGA-3 FATTY A 1000 MG CAPSUL Unit 5.49 (ME)406001410 I-1410 SORBITOL 30 ML SOLUTI Pkg 11.24 (OL)406001410 O-1410 SORBITOL 30 ML SOLUTI Pkg 11.24 (OL)406001413 I-1413 DOCUSATE SODIUM-SENNOSID 1 TABLET TABLET Unit 5.49 (ME)406001413 O-1413 DOCUSATE SODIUM-SENNOSID 1 TABLET TABLET Unit 5.49 (ME)406001415 I-1415 BUTORPHANOL TARTRATE 1 MG SPRAY Unit 227.49 (TO)406001415 O-1415 BUTORPHANOL TARTRATE 1 MG SPRAY Unit 227.49 (TO)406001418 I-1418 MESALAMINE 400 MG TABLET Unit 15.49 (ME)406001418 O-1418 MESALAMINE 400 MG TABLET Unit 15.49 (ME)406001420 I-1420 PAPAIN-UREA OINTME Pkg 293.99 (TO)406001420 O-1420 PAPAIN-UREA OINTME Pkg 293.99 (TO)406001422 I-1422 CALAMINE-ZINC OXIDE LOTION Pkg 27.99 (TO)406001422 O-1422 CALAMINE-ZINC OXIDE LOTION Pkg 27.99 (TO)406001429 I-1429 LIDOCAINE HCL 200 MG JELLY Pkg 49.49 (TO)406001429 O-1429 LIDOCAINE HCL 200 MG JELLY Pkg 49.49 (TO)406001431 I-1431 NAFCILLIN SODIUM 2 G INJECT Pkg 118.24 (IP)406001431 O-1431 NAFCILLIN SODIUM 2 G INJECT Pkg 118.24 (IP)406001432 I-1432 PILOCARPINE 1% 15 ML SOLUTI Pkg 292.24 (TO)406001432 O-1432 PILOCARPINE 1% 15 ML SOLUTI Pkg 292.24 (TO)406001438 I-1438 COSYNTROPIN 0.25 MG INJECT Unit 501.99 (IJ)406001438 O-1438 COSYNTROPIN 0.25 MG INJECT Unit 501.99 (IJ)406001439 I-1439 BETAMETHASONE DIPROPIONA 15 GM CREAM Pkg 192.24 (TO)406001439 O-1439 BETAMETHASONE DIPROPIONA 15 GM CREAM Pkg 192.24 (TO)406001452 I-1452 PANCRELIPASE 5000 UNI CAPSUL Unit 5.49 (ME)406001452 O-1452 PANCRELIPASE 5000 UNI CAPSUL Unit 5.49 (ME)406001454 I-1454 SUCRALFATE 1 GM SUSPEN Pkg 22.74 (OL)406001454 O-1454 SUCRALFATE 1 GM SUSPEN Pkg 22.74 (OL)406001455 I-1455 NEFAZODONE HCL 50 MG TABLET Unit 12.24 (ME)406001455 O-1455 NEFAZODONE HCL 50 MG TABLET Unit 12.24 (ME)406001457 I-1457 EPTIFIBATIDE 75 MG INJECT Pkg 1488.74 (IP)406001457 O-1457 EPTIFIBATIDE 75 MG INJECT Pkg 1488.74 (IP)406001461 I-1461 DOXAPRAM HCL 400 MG INJECT Pkg 271.74 (IP)406001461 O-1461 DOXAPRAM HCL 400 MG INJECT Pkg 271.74 (IP)406001463 I-1463 AZATHIOPRINE SODIUM 100 MG INJECT Unit 375.49 (IP)406001463 O-1463 AZATHIOPRINE SODIUM 100 MG INJECT Unit 375.49 (IP)406001464 I-1464 POTASSIUM ACETATE 40 MEQ INJECT Unit 5.49 (IP)406001464 O-1464 POTASSIUM ACETATE 40 MEQ INJECT Unit 5.49 (IP)406001465 I-1465 ETHACRYNATE SODIUM 50 MG INJECT Unit 128.74 (IP)406001465 O-1465 ETHACRYNATE SODIUM 50 MG INJECT Unit 128.74 (IP)406001466 I-1466 LACTATED RINGERS 1000 ML INJECT Unit 5.49 (IP)406001466 O-1466 LACTATED RINGERS 1000 ML INJECT Unit 5.49 (IP)406001469 I-1469 HYDROMORPHONE HCL 2 MG TABLET Unit 6.24 (ME)406001469 O-1469 HYDROMORPHONE HCL 2 MG TABLET Unit 6.24 (ME)406001470 I-1470 BETHANECHOL CHLORIDE 5 MG INJECT Unit 37.49 (IJ)406001470 O-1470 BETHANECHOL CHLORIDE 5 MG INJECT Unit 37.49 (IJ)406001477 I-1477 ZINC OXIDE 56.7 GM OINTME Pkg 33.24 (TO)406001477 O-1477 ZINC OXIDE 56.7 GM OINTME Pkg 33.24 (TO)406001480 I-1480 BETAXOLOL HCL SUSPEN Unit 58.99 (TO)406001480 O-1480 BETAXOLOL HCL SUSPEN Unit 58.99 (TO)406001481 I-1481 CHLORDIAZEPOXIDE HCL 5 MG CAPSUL Unit 5.49 (ME)

406001481 O-1481 CHLORDIAZEPOXIDE HCL 5 MG CAPSUL Unit 5.49 (ME)406001486 I-1486 DEMECLOCYCLINE HCL 150 MG TABLET Unit 60.49 (ME)406001486 O-1486 DEMECLOCYCLINE HCL 150 MG TABLET Unit 60.49 (ME)406001491 I-1491 NITROGLYCERIN OINTMENT 2 30 GM OINTME Unit 67.24 (TO)406001491 O-1491 NITROGLYCERIN OINTMENT 2 30 GM OINTME Unit 67.24 (TO)406001492 I-1492 OPTHALMIC LUBRICANT OINT OINTME Pkg 65.24 (TO)406001492 O-1492 OPTHALMIC LUBRICANT OINT OINTME Pkg 65.24 (TO)406001514 I-1514 FIBER TABLET 500 MG TABLET Unit 5.49 (ME)406001514 O-1514 FIBER TABLET 500 MG TABLET Unit 5.49 (ME)406001516 I-1516 SODIUM CHLORIDE 0.90% INJECT Unit 5.49 (IP)406001516 O-1516 SODIUM CHLORIDE 0.90% INJECT Unit 5.49 (IP)406001518 I-1518 AMPHOTERICIN B 50 MG INJECT Pkg 132.49 (IP)406001518 O-1518 AMPHOTERICIN B 50 MG INJECT Pkg 132.49 (IP)406001522 I-1522 ATRACURIUM BESYLATE 100 MG INJECT Unit 11.24 (IP)406001522 O-1522 ATRACURIUM BESYLATE 100 MG INJECT Unit 11.24 (IP)406001525 1525 CEFOXITIN SODIUM 2 G INJECT Unit 5.49 (IP)406001527 I-1527 LORATADINE 10 MG TABLET Unit 6.24 (ME)406001527 O-1527 LORATADINE 10 MG TABLET Unit 6.24 (ME)406001530 I-1530 ACYCLOVIR 200 MG CAPSUL Unit 7.49 (ME)406001530 O-1530 ACYCLOVIR 200 MG CAPSUL Unit 7.49 (ME)406001532 I-1532 ALPRAZOLAM 0.5 MG TABLET Unit 13.74 (ME)406001532 O-1532 ALPRAZOLAM 0.5 MG TABLET Unit 13.74 (ME)406001533 I-1533 MORPHINE SULFATE 2 MG INJ CA Unit 12.74 (IJ)406001533 O-1533 MORPHINE SULFATE 2 MG INJ CA Unit 12.74 (IJ)406001535 I-1535 DILTIAZEM HCL 60 MG TABLET Unit 5.49 (ME)406001535 O-1535 DILTIAZEM HCL 60 MG TABLET Unit 5.49 (ME)406001536 I-1536 LIDOCAINE 1% INJECT Unit 9.99 (IJ)406001536 O-1536 LIDOCAINE 1% INJECT Unit 5.49 (IJ)406001550 I-1550 WARFARIN SODIUM 2.5 MG TABLET Unit 10.24 (ME)406001550 O-1550 WARFARIN SODIUM 2.5 MG TABLET Unit 10.24 (ME)406001551 I-1551 WARFARIN SODIUM 7.5 MG TABLET Unit 13.99 (ME)406001551 O-1551 WARFARIN SODIUM 7.5 MG TABLET Unit 13.99 (ME)406001552 I-1552 WARFARIN SODIUM 4 MG TABLET Unit 10.49 (ME)406001552 O-1552 WARFARIN SODIUM 4 MG TABLET Unit 10.49 (ME)406001554 I-1554 LEVOFLOXACIN 250 MG TABLET Unit 55.99 (ME)406001554 O-1554 LEVOFLOXACIN 250 MG TABLET Unit 5.49 (ME)406001555 I-1555 FLUCONAZOLE 100 MG TABLET Unit 87.74 (ME)406001555 O-1555 FLUCONAZOLE 100 MG TABLET Unit 87.74 (ME)406001560 I-1560 ACETAMINOPHEN 500 MG TABLET Unit 5.49 (ME)406001560 O-1560 ACETAMINOPHEN 500 MG TABLET Unit 5.49 (ME)406001569 I-1569 NAPROXEN 250 MG TABLET Unit 5.99 (ME)406001569 O-1569 NAPROXEN 250 MG TABLET Unit 5.99 (ME)406001571 I-1571 TRIAMTERENE-HCTZ CAPSUL Unit 5.49 (ME)406001571 O-1571 TRIAMTERENE-HCTZ CAPSUL Unit 5.49 (ME)406001576 I-1576 CHLORPROMAZINE HCL 25 MG INJECT Unit 30.99 (IJ)406001576 O-1576 CHLORPROMAZINE HCL 25 MG INJECT Unit 30.99 (IJ)406001577 I-1577 ENALAPRIL MALEATE 20 MG TABLET Unit 10.99 (ME)406001577 O-1577 ENALAPRIL MALEATE 20 MG TABLET Unit 10.99 (ME)406001580 I-1580 GABAPENTIN 100 MG CAPSUL Unit 5.49 (ME)406001580 O-1580 GABAPENTIN 100 MG CAPSUL Unit 5.49 (ME)406001585 I-1585 PENICILLIN V POTASSIUM 250 MG TABLET Unit 5.49 (ME)406001585 O-1585 PENICILLIN V POTASSIUM 250 MG TABLET Unit 5.49 (ME)406001591 I-1591 PROMETHAZINE 50 MG INJECT Unit 25.74 (IJ)406001591 O-1591 PROMETHAZINE 50 MG INJECT Unit 25.74 (IJ)406001592 I-1592 IBUPROFEN 800 MG TABLET Unit 5.49 (ME)406001592 O-1592 IBUPROFEN 800 MG TABLET Unit 5.49 (ME)406001594 I-1594 QUINAPRIL HCL 10 MG TABLET Unit 15.24 (ME)406001594 O-1594 QUINAPRIL HCL 10 MG TABLET Unit 15.24 (ME)406001598 I-1598 ISOSORBIDE MONONITRATE 30 MG TABLET Unit 5.49 (ME)406001598 O-1598 ISOSORBIDE MONONITRATE 30 MG TABLET Unit 5.49 (ME)406001600 I-1600 CEPHALEXIN 250 MG CAPSUL Unit 5.49 (ME)406001600 O-1600 CEPHALEXIN 250 MG CAPSUL Unit 5.49 (ME)406001601 I-1601 ENALAPRIL MALEATE 5 MG TABLET Unit 7.49 (ME)406001601 O-1601 ENALAPRIL MALEATE 5 MG TABLET Unit 7.49 (ME)406001602 I-1602 LEVOTHYROXINE SODIUM 50 MCG TABLET Unit 5.49 (ME)

406001602 O-1602 LEVOTHYROXINE SODIUM 50 MCG TABLET Unit 5.49 (ME)406001603 I-1603 ACYCLOVIR SODIUM 500 MG INJECT Unit 12.99 (IP)406001603 O-1603 ACYCLOVIR SODIUM 500 MG INJECT Unit 12.99 (IP)406001605 I-1605 METHYLPRED SOD SUCCINATE 40 MG INJECT Unit 13.49 (IJ)406001605 O-1605 METHYLPRED SOD SUCCINATE 40 MG INJECT Unit 5.49 (IJ)406001612 I-1612 BUPIVACAINE HCL 0.25% INJECT Unit 5.49 (IJ)406001612 O-1612 BUPIVACAINE HCL 0.25% INJECT Unit 5.49 (IJ)406001614 I-1614 OSCAL W/VIT-D 250 MG TABLET Unit 5.49 (ME)406001614 O-1614 OSCAL W/VIT-D 250 MG TABLET Unit 5.49 (ME)406001622 I-1622 CLONIDINE HCL 0.1 MG TABLET Unit 5.49 (ME)406001622 O-1622 CLONIDINE HCL 0.1 MG TABLET Unit 5.49 (ME)406001626 I-1626 AMOXICILLIN 125 MG SUSPEN Pkg 5.49 (OL)406001626 O-1626 AMOXICILLIN 125 MG SUSPEN Pkg 5.49 (OL)406001628 I-1628 ENALAPRILAT 1.25 MG INJECT Pkg 25.24 (IP)406001628 O-1628 ENALAPRILAT 1.25 MG INJECT Pkg 25.24 (IP)406001633 I-1633 ASPIRIN 600 MG SUPPOS Unit 10.99 (TO)406001633 O-1633 ASPIRIN 600 MG SUPPOS Unit 10.99 (TO)406001641 I-1641 DIPHENHYDRAMINE HCL 25 MG ELIXIR Unit 5.49 (OL)406001641 O-1641 DIPHENHYDRAMINE HCL 25 MG ELIXIR Unit 5.49 (OL)406001646 I-1646 ACETAMINOPHEN 120 MG SUPPOS Unit 5.49 (TO)406001646 O-1646 ACETAMINOPHEN 120 MG SUPPOS Unit 5.49 (TO)406001653 I-1653 CARISOPRODOL 350 MG TABLET Unit 5.49 (ME)406001653 O-1653 CARISOPRODOL 350 MG TABLET Unit 5.49 (ME)406001655 I-1655 CEFTRIAXONE SODIUM 1 G INJECT Pkg 17.99 (IP)406001655 O-1655 CEFTRIAXONE SODIUM 1 G INJECT Pkg 17.99 (IP)406001657 I-1657 CEFTRIAXONE SODIUM 500 MG INJECT Pkg 213.24 (IP)406001657 O-1657 CEFTRIAXONE SODIUM 500 MG INJECT Pkg 213.24 (IP)406001660 I-1660 LIDOCAINE HCL 2% JELLY Unit 11.99 (TO)406001660 O-1660 LIDOCAINE HCL 2% JELLY Unit 11.99 (TO)406001663 I-1663 PILOCARPINE HCL 0.50% SOLUTI Unit 5.49 (TO)406001663 O-1663 PILOCARPINE HCL 0.50% SOLUTI Unit 5.49 (TO)406001664 I-1664 RX PADS PAD Unit406001664 O-1664 RX PADS PAD Unit406001665 I-1665 PATIENTS OWN MEDICATION Unit406001665 O-1665 PATIENTS OWN MEDICATION Unit 5.49 (ME)406001666 I-1666 NEOMYCIN-POLYMYXIN-DEXAM OINTME Pkg 237.24 (TO)406001666 O-1666 NEOMYCIN-POLYMYXIN-DEXAM OINTME Pkg 237.24 (TO)406001667 I-1667 MECLIZINE HCL 25 MG TABLET Unit 6.49 (ME)406001667 O-1667 MECLIZINE HCL 25 MG TABLET Unit 6.49 (ME)406001668 I-1668 ISONIAZID 100 MG TABLET Unit 5.49 (ME)406001668 O-1668 ISONIAZID 100 MG TABLET Unit 5.49 (ME)406001673 I-1673 WARFARIN SODIUM 3 MG TABLET Unit 10.49 (ME)406001673 O-1673 WARFARIN SODIUM 3 MG TABLET Unit 10.49 (ME)406001674 I-1674 GLYCERIN SUPPOS Unit 5.49 (TO)406001674 O-1674 GLYCERIN SUPPOS Unit 5.49 (TO)406001675 I-1675 SUMATRIPTAN SUCCINATE 6 MG INJECT Pkg 471.74 (IJ)406001675 O-1675 SUMATRIPTAN SUCCINATE 6 MG INJECT Pkg 471.74 (IJ)406001676 I-1676 METHOCARBAMOL 750 MG TABLET Unit 5.49 (ME)406001676 O-1676 METHOCARBAMOL 750 MG TABLET Unit 5.49 (ME)406001678 I-1678 VASOPRESSIN 20 UNITS INJECT Unit 35.99 (IP)406001678 O-1678 VASOPRESSIN 20 UNITS INJECT Unit 35.99 (IP)406001680 I-1680 LIDOCAINE HCL 2% LIQUID Unit 5.49 (OL)406001680 O-1680 LIDOCAINE HCL 2% LIQUID Unit 5.49 (OL)406001682 I-1682 CLARITHROMYCIN 250 MG TABLET Unit 45.49 (ME)406001682 O-1682 CLARITHROMYCIN 250 MG TABLET Unit 45.49 (ME)406001683 I-1683 TOBRAMYCIN SULFATE 0.30% OINTME Unit 139.24 (TO)406001683 O-1683 TOBRAMYCIN SULFATE 0.30% OINTME Unit 139.24 (TO)406001688 I-1688 SILVER SULFADIAZINE 1% CREAM Pkg 52.99 (TO)406001688 O-1688 SILVER SULFADIAZINE 1% CREAM Pkg 52.99 (TO)406001689 I-1689 CHARCOAL W/SORBITOL SUSPEN Pkg 127.74 (OL)406001689 O-1689 CHARCOAL W/SORBITOL SUSPEN Pkg 127.74 (OL)406001690 I-1690 NITROGLYCERIN 1 G OINTME Unit 5.49 (TO)406001690 O-1690 NITROGLYCERIN 1 G OINTME Unit 5.49 (TO)406001691 I-1691 CROTALIDAE ANTIVENOM INJECT Unit 5.49 (IP)406001691 O-1691 CROTALIDAE ANTIVENOM INJECT Unit 5.49 (IP)

406001693 I-1693 LIDOCAINE HCL 4% SOLUTI Unit 5.49 (TO)406001693 O-1693 LIDOCAINE HCL 4% SOLUTI Unit 5.49 (TO)406001695 I-1695 POTASSIUM CHLORIDE 40 MEQ LIQUID Unit 5.49 (OL)406001695 O-1695 POTASSIUM CHLORIDE 40 MEQ LIQUID Unit 5.49 (OL)406001697 I-1697 NEOMYCIN-POLYMYXIN-GRAMI 1 EA SOLUTI Pkg 162.24 (TO)406001697 O-1697 NEOMYCIN-POLYMYXIN-GRAMI 1 EA SOLUTI Pkg 162.24 (TO)406001706 I-1706 MAGNESIUM SULFATE 2 GM INJECT Pkg 50.74 (IP)406001706 O-1706 MAGNESIUM SULFATE 2 GM INJECT Pkg 50.74 (IP)406001713 I-1713 METHADONE HCL 5 MG TABLET Unit 5.49 (ME)406001713 O-1713 METHADONE HCL 5 MG TABLET Unit 5.49 (ME)406001714 I-1714 METHADONE HCL 10 MG TABLET Unit 5.49 (ME)406001714 O-1714 METHADONE HCL 10 MG TABLET Unit 5.49 (ME)406001716 I-1716 VANCOMYCIN HCL 500 MG INJECT Pkg 29.99 (IP)406001716 O-1716 VANCOMYCIN HCL 500 MG INJECT Pkg 29.99 (IP)406001717 I-1717 PHENOBARBITAL 20 MG ELIXIR Pkg 5.49 (OL)406001717 O-1717 PHENOBARBITAL 20 MG ELIXIR Pkg 5.49 (OL)406001718 I-1718 PROMETHAZINE W/CODEINE 5 ML ELIXIR Unit 5.49 (OL)406001718 O-1718 PROMETHAZINE W/CODEINE 5 ML ELIXIR Unit 5.49 (OL)406001719 I-1719 CHLORAL HYDRATE SYRP 500 MG SYRUP Unit 5.49 (OL)406001719 O-1719 CHLORAL HYDRATE SYRP 500 MG SYRUP Unit 5.49 (OL)406001720 I-1720 ACETAMINOPHEN W/CODEINE ELIXIR Unit 5.49 (OL)406001720 O-1720 ACETAMINOPHEN W/CODEINE ELIXIR Unit 5.49 (OL)406001725 I-1725 PROMETHAZINE HCL 12.5 MG SUPPOS Unit 29.24 (TO)406001725 O-1725 PROMETHAZINE HCL 12.5 MG SUPPOS Unit 29.24 (TO)406001727 I-1727 NEOMYCIN-POLYMYXIN-BACIT OINTME Unit 95.74 (TO)406001727 O-1727 NEOMYCIN-POLYMYXIN-BACIT OINTME Unit 95.74 (TO)406001731 I-1731 NEPHRO-VITE TABLET Unit 5.49 (ME)406001731 O-1731 NEPHRO-VITE TABLET Unit 5.49 (ME)406001732 I-1732 MEDROXYPROGESTERONE ACET 2.5 MG TABLET Unit 5.49 (ME)406001732 O-1732 MEDROXYPROGESTERONE ACET 2.5 MG TABLET Unit 5.49 (ME)406001733 I-1733 CALCIUM CARBONATE 500 MG TABLET Unit 5.49 (ME)406001733 O-1733 CALCIUM CARBONATE 500 MG TABLET Unit 5.49 (ME)406001735 I-1735 DOXAZOSIN MESYLATE 2 MG TABLET Unit 6.99 (ME)406001735 O-1735 DOXAZOSIN MESYLATE 2 MG TABLET Unit 6.99 (ME)406001737 I-1737 DOCUSATE SODIUM 250MG 250 MG CAPSUL Unit 5.49 (ME)406001737 O-1737 DOCUSATE SODIUM 250MG 250 MG CAPSUL Unit 5.49 (ME)406001739 I-1739 BUPROPION HCL 100 MG TABLET Unit 7.24 (ME)406001739 O-1739 BUPROPION HCL 100 MG TABLET Unit 7.24 (ME)406001756 I-1756 PROPOFOL 500 MG INJECT Pkg 38.74 (IP)406001756 O-1756 PROPOFOL 500 MG INJECT Pkg 38.74 (IP)406001758 I-1758 PLEGISOL SOLUTI Pkg 256.49 (IV)406001758 O-1758 PLEGISOL SOLUTI Pkg 256.49 (IV)406001765 I-1765 CYANIDE ANTIDOTE 1 EA KIT Unit 1464.49 (ME)406001765 O-1765 CYANIDE ANTIDOTE 1 EA KIT Unit 1464.49 (ME)406001767 I-1767 MEASLES-MUMPS-RUBELLA 0.5 ML INJECT Unit 254.24 (IJ)406001767 O-1767 MEASLES-MUMPS-RUBELLA 0.5 ML INJECT Unit 254.24 (IJ)406001768 I-1768 TUBERCULIN PROTEIN INJECT Unit 156.49 (IV)406001768 O-1768 TUBERCULIN PROTEIN INJECT Unit 156.49 (IV)406001773 I-1773 ENOXAPARIN SODIUM 40 MG INJECT Pkg 194.74 (ME)406001773 O-1773 ENOXAPARIN SODIUM 40 MG INJECT Pkg 194.74 (ME)406001780 I-1780 LOSARTAN POTASSIUM 50 MG TABLET Unit 20.49 (ME)406001780 O-1780 LOSARTAN POTASSIUM 50 MG TABLET Unit 20.49 (ME)406001781 I-1781 MULTIPLE VITAMINS TABLET Unit 5.49 (ME)406001781 O-1781 MULTIPLE VITAMINS TABLET Unit 5.49 (ME)406001782 I-1782 EPTIFIBATIDE 20 MG INJECT Pkg 547.24 (IP)406001782 O-1782 EPTIFIBATIDE 20 MG INJECT Pkg 547.24 (IP)406001783 I-1783 TETRACYCLINE HCL 250 MG CAPSUL Unit 5.49 (ME)406001783 O-1783 TETRACYCLINE HCL 250 MG CAPSUL Unit 5.49 (ME)406001784 I-1784 RIFAMPIN 150 MG CAPSUL Unit 16.24 (ME)406001784 O-1784 RIFAMPIN 150 MG CAPSUL Unit 16.24 (ME)406001785 I-1785 FELODIPINE 2.5 MG TABLET Unit 10.99 (ME)406001785 O-1785 FELODIPINE 2.5 MG TABLET Unit 10.99 (ME)406001786 I-1786 CARBAMAZEPINE 100 MG TABLET Unit 5.49 (ME)406001786 O-1786 CARBAMAZEPINE 100 MG TABLET Unit 5.49 (ME)406001787 I-1787 DANTROLENE SODIUM 25 MG CAPSUL Unit 7.49 (ME)

406001787 O-1787 DANTROLENE SODIUM 25 MG CAPSUL Unit 7.49 (ME)406001788 I-1788 MEGACE 40 MG TABLET Unit 9.49 (ME)406001788 O-1788 MEGACE 40 MG TABLET Unit 9.49 (ME)406001789 I-1789 DICYCLOMINE HCL 10 MG CAPSUL Unit 5.49 (ME)406001789 O-1789 DICYCLOMINE HCL 10 MG CAPSUL Unit 5.49 (ME)406001790 I-1790 AMOXICILLIN-CLAVULANATE 250 MG TABLET Unit 31.24 (ME)406001790 O-1790 AMOXICILLIN-CLAVULANATE 250 MG TABLET Unit 31.24 (ME)406001792 I-1792 NICODERM CQ PATCH 7MG/24 PATCH Unit 24.74 (TO)406001792 O-1792 NICODERM CQ PATCH 7MG/24 PATCH Unit 24.74 (TO)406001794 I-1794 CONJUGATED ESTROGENS 0.3 MG TABLET Unit 16.99 (ME)406001794 O-1794 CONJUGATED ESTROGENS 0.3 MG TABLET Unit 16.99 (ME)406001796 I-1796 ALBUTEROL SULFATE CR 4 MG TABLET Unit 10.24 (ME)406001796 O-1796 ALBUTEROL SULFATE CR 4 MG TABLET Unit 10.24 (ME)406001801 I-1801 TRIAMCINOLONE ACETONIDE 0.10% CREAM Pkg 35.99 (TO)406001801 O-1801 TRIAMCINOLONE ACETONIDE 0.10% CREAM Pkg 35.99 (TO)406001803 I-1803 DESMOPRESSIN ACETATE 0.1 MG SPRAY Pkg 839.99 (TO)406001803 O-1803 DESMOPRESSIN ACETATE 0.1 MG SPRAY Pkg 839.99 (TO)406001804 I-1804 DILTIAZEM HCL 50 MG INJECT Pkg 33.49 (IP)406001804 O-1804 DILTIAZEM HCL 50 MG INJECT Pkg 33.49 (IP)406001805 I-1805 HEPARIN SODIUM 1000 MU INJECT Pkg 77.24 (IJ)406001805 O-1805 HEPARIN SODIUM 1000 MU INJECT Pkg 77.24 (IJ)406001807 I-1807 LEVOFLOXACIN-DEXTROSE 250 MG INJECT Pkg 128.74 (IP)406001807 O-1807 LEVOFLOXACIN-DEXTROSE 250 MG INJECT Pkg 128.74 (IP)406001808 I-1808 LABETALOL HCL 200 MG TABLET Unit 5.49 (ME)406001808 O-1808 LABETALOL HCL 200 MG TABLET Unit 5.49 (ME)406001809 I-1809 LIDOCAINE HCL 1% INJECT Pkg 9.74 (IJ)406001809 O-1809 LIDOCAINE HCL 1% INJECT Pkg 9.74 (IJ)406001810 I-1810 SULFAMETHOXAZOLE-TRIMETH TABLET Unit 8.49 (ME)406001810 O-1810 SULFAMETHOXAZOLE-TRIMETH TABLET Unit 8.49 (ME)406001811 I-1811 ENOXAPARIN SODIUM 80 MG INJECT Pkg 319.24 (ME)406001811 O-1811 ENOXAPARIN SODIUM 80 MG INJECT Pkg 319.24 (ME)406001814 I-1814 CELECOXIB 100 MG CAPSUL Unit 20.74 (ME)406001814 O-1814 CELECOXIB 100 MG CAPSUL Unit 20.74 (ME)406001816 I-1816 CLOTRIMAZOLE-BETAMETHASO CREAM Pkg 127.49 (TO)406001816 O-1816 CLOTRIMAZOLE-BETAMETHASO CREAM Pkg 127.49 (TO)406001817 I-1817 HYDROCORTISONE 20 MG TABLET Unit 5.49 (ME)406001817 O-1817 HYDROCORTISONE 20 MG TABLET Unit 5.49 (ME)406001818 I-1818 AZATHIOPRINE SODIUM 50 MG TABLET Unit 10.49 (ME)406001818 O-1818 AZATHIOPRINE SODIUM 50 MG TABLET Unit 10.49 (ME)406001821 I-1821 SODIUM CHLORIDE 0.65% SPRAY Pkg 15.24 (TO)406001821 O-1821 SODIUM CHLORIDE 0.65% SPRAY Pkg 15.24 (TO)406001822 I-1822 ENOXAPARIN SODIUM 100 MG INJECT Pkg 398.99 (ME)406001822 O-1822 ENOXAPARIN SODIUM 100 MG INJECT Pkg 398.99 (ME)406001823 I-1823 FOLIC ACID 5 MG INJECT Unit 18.24 (IJ)406001823 O-1823 FOLIC ACID 5 MG INJECT Unit 18.24 (IJ)406001824 I-1824 TRIAMCINOLONE ACETONIDE 55 MCG SPRAY Pkg 534.99 (TO)406001824 O-1824 TRIAMCINOLONE ACETONIDE 55 MCG SPRAY Pkg 534.99 (TO)406001827 I-1827 CEFUROXIME SODIUM 750 MG INJECT Unit 43.49 (IP)406001827 O-1827 CEFUROXIME SODIUM 750 MG INJECT Unit 43.49 (IP)406001832 I-1832 METHYLPREDNISOLONE ACETA 40 MG INJ RE Pkg 57.99 (IJ)406001832 O-1832 METHYLPREDNISOLONE ACETA 40 MG INJ RE Pkg 57.99 (IJ)406001834 I-1834 IBUTILIDE 0.1 MG INJECT Unit 292.49 (IP)406001834 O-1834 IBUTILIDE 0.1 MG INJECT Unit 292.49 (IP)406001844 I-1844 CALCIUM GLUCONATE 500 MG TABLET Unit 5.49 (ME)406001844 O-1844 CALCIUM GLUCONATE 500 MG TABLET Unit 5.49 (ME)406001845 I-1845 METOLAZONE 2.5 MG TABLET Unit 12.99 (ME)406001845 O-1845 METOLAZONE 2.5 MG TABLET Unit 12.99 (ME)406001846 I-1846 SULFAMETHOXAZOLE-TRIMETH INJECT Pkg 55.99 (IP)406001846 O-1846 SULFAMETHOXAZOLE-TRIMETH INJECT Pkg 55.99 (IP)406001847 I-1847 LIDOCAINE HCL-EPINEPHRIN INJECT Pkg 21.49 (IJ)406001847 O-1847 LIDOCAINE HCL-EPINEPHRIN INJECT Pkg 21.49 (IJ)406001848 I-1848 AZTREONAM 2 G INJECT Pkg 5.49 (IP)406001848 O-1848 AZTREONAM 2 G INJECT Pkg 5.49 (IP)406001850 I-1850 GENTAMICIN SULFATE OINTM 0.30% OINTME Pkg 115.74 (TO)406001850 O-1850 GENTAMICIN SULFATE OINTM 0.30% OINTME Pkg 115.74 (TO)

406001851 I-1851 SODIUM ACETATE 2 MEQ INJECT Pkg 16.24 (IP)406001851 O-1851 SODIUM ACETATE 2 MEQ INJECT Pkg 16.24 (IP)406001852 I-1852 NAFCILLIN SODIUM 1 G INJECT Pkg 66.49 (IP)406001852 O-1852 NAFCILLIN SODIUM 1 G INJECT Pkg 66.49 (IP)406001854 I-1854 VERAPAMIL HCL 120 MG TABLET Unit 17.99 (ME)406001854 O-1854 VERAPAMIL HCL 120 MG TABLET Unit 17.99 (ME)406001858 I-1858 PIPERACILLIN-TAZOBACTAM 2.25 G INJECT Pkg 84.24 (IP)406001858 O-1858 PIPERACILLIN-TAZOBACTAM 2.25 G INJECT Pkg 84.24 (IP)406001859 I-1859 SUFENTANIL CITRATE 50 MCG INJECT Pkg 62.74 (IP)406001859 O-1859 SUFENTANIL CITRATE 50 MCG INJECT Pkg 62.74 (IP)406001860 I-1860 HYDROMORPHONE HCL 4 MG TABLET Unit 9.24 (ME)406001860 O-1860 HYDROMORPHONE HCL 4 MG TABLET Unit 9.24 (ME)406001862 I-1862 BUMETANIDE 0.25 MG INJECT Pkg 13.49 (IP)406001862 O-1862 BUMETANIDE 0.25 MG INJECT Pkg 13.49 (IP)406001863 I-1863 PYRIDOSTIGMINE BROMIDE 2 MG INJECT Pkg 36.49 (IJ)406001863 O-1863 PYRIDOSTIGMINE BROMIDE 2 MG INJECT Pkg 36.49 (IJ)406001868 I-1868 SENNA ELIXIR Pkg 70.49 (OL)406001868 O-1868 SENNA ELIXIR Pkg 70.49 (OL)406001869 I-1869 NYSTATIN-TRIAMCINOLONE C CREAM Pkg 22.74 (TO)406001869 O-1869 NYSTATIN-TRIAMCINOLONE C CREAM Pkg 22.74 (TO)406001869 2718 NYSTATIN/TMC 30 GM OINTME Unit 5.49 (TO)406001871 I-1871 OSELTAMIVIR PHOSPHATE 75 MG CAPSUL Unit 65.99 (ME)406001871 O-1871 OSELTAMIVIR PHOSPHATE 75 MG CAPSUL Unit 65.99 (ME)406001872 I-1872 VENLAFAXINE HCL 37.5 MG TABLET Unit 17.49 (ME)406001872 O-1872 VENLAFAXINE HCL 37.5 MG TABLET Unit 17.49 (ME)406001873 I-1873 CEFTIZOXIME SODIUM 1 G INJECT Unit 67.24 (IP)406001873 O-1873 CEFTIZOXIME SODIUM 1 G INJECT Unit 67.24 (IP)406001874 I-1874 CEFTIZOXIME SODIUM 2 G INJECT Pkg 124.24 (IJ)406001874 O-1874 CEFTIZOXIME SODIUM 2 G INJECT Pkg 124.24 (IJ)406001878 I-1878 BISMUTH SUBSALICYLATE SUSPEN Pkg 16.99 (OL)406001878 O-1878 BISMUTH SUBSALICYLATE SUSPEN Pkg 16.99 (OL)406001879 I-1879 METHYCELLULOSE POWDER Unit 5.49 (ME)406001879 O-1879 METHYCELLULOSE POWDER Unit 5.49 (ME)406001880 I-1880 FILGRASTIM 300 MCG INJECT Unit 807.74 (IJ)406001880 O-1880 FILGRASTIM 300 MCG INJECT Unit 1022.49 (IJ)406001881 I-1881 CIPROFLOXACIN HCL 0.30% SOLUTI Pkg 360.49 (TO)406001881 O-1881 CIPROFLOXACIN HCL 0.30% SOLUTI Pkg 360.49 (TO)406001882 I-1882 APROTININ-SODIUM CHLORID 10 MU INJECT Pkg 1111.99 (IP)406001882 O-1882 APROTININ-SODIUM CHLORID 10 MU INJECT Pkg 1111.99 (IP)406001885 I-1885 NIACIN 500 MG TABLET Unit 5.49 (ME)406001885 O-1885 NIACIN 500 MG TABLET Unit 5.49 (ME)406001889 I-1889 ENOXAPARIN SODIUM 60 MG INJECT Pkg 292.24 (ME)406001889 O-1889 ENOXAPARIN SODIUM 60 MG INJECT Pkg 292.24 (ME)406001890 I-1890 METRONIDAZOLE 500 MG TABLET Unit 8.49 (ME)406001890 O-1890 METRONIDAZOLE 500 MG TABLET Unit 8.49 (ME)406001891 I-1891 ZINC SULFATE 220 MG CAPSUL Unit 5.49 (ME)406001891 O-1891 ZINC SULFATE 220 MG CAPSUL Unit 5.49 (ME)406001893 I-1893 MEPERIDINE HCL 300 MG INJECT Pkg 5.49 (IP)406001893 O-1893 MEPERIDINE HCL 300 MG INJECT Pkg 5.49 (IP)406001894 I-1894 VENLAFAXINE HCL 75 MG CAPSUL Unit 37.49 (ME)406001894 O-1894 VENLAFAXINE HCL 75 MG CAPSUL Unit 37.49 (ME)406001895 I-1895 ROSIGLITAZONE MALEATE 2 MG TABLET Unit 22.24 (ME)406001895 O-1895 ROSIGLITAZONE MALEATE 2 MG TABLET Unit 22.24 (ME)406001897 I-1897 OCTREOTIDE ACETATE 100 MCG INJECT Unit 124.99 (IJ)406001897 O-1897 OCTREOTIDE ACETATE 100 MCG INJECT Unit 124.99 (IJ)406001898 I-1898 CYCLOSPORINE 50 MG INJECT Pkg 142.74 (IP)406001898 O-1898 CYCLOSPORINE 50 MG INJECT Pkg 142.74 (IP)406001903 I-1903 OXYCODONE CR 20 MG TABLET Unit 23.49 (ME)406001903 O-1903 OXYCODONE CR 20 MG TABLET Unit 5.49 (ME)406001904 I-1904 OXYCODONE CR 10 MG TABLET Unit 12.49 (ME)406001904 O-1904 OXYCODONE CR 10 MG TABLET Unit 5.49 (ME)406001907 I-1907 TRAZODONE HCL 100 MG TABLET Unit 5.99 (ME)406001907 O-1907 TRAZODONE HCL 100 MG TABLET Unit 5.99 (ME)406001908 I-1908 ELECTROLYTES INJECT Pkg 29.24 (IP)406001908 O-1908 ELECTROLYTES INJECT Pkg 29.24 (IP)

406001909 I-1909 SUMATRIPTAN SUCCINATE 25 MG TABLET Unit 146.24 (ME)406001909 O-1909 SUMATRIPTAN SUCCINATE 25 MG TABLET Unit 146.24 (ME)406001910 I-1910 TERAZOSIN HCL 2 MG CAPSUL Unit 11.49 (ME)406001910 O-1910 TERAZOSIN HCL 2 MG CAPSUL Unit 11.49 (ME)406001911 I-1911 SODIUM FERRIC GLUCONATE 62.5 MG INJECT Pkg 411.99 (IP)406001911 O-1911 SODIUM FERRIC GLUCONATE 62.5 MG INJECT Pkg 5.49 (IP)406001912 I-1912 FENTANYL PATCH 75 MCG PATCH Unit 108.24 (TO)406001912 O-1912 FENTANYL PATCH 75 MCG PATCH Unit 5.49 (TO)406001913 I-1913 TENECTEPLASE RECOMBINANT KIT Pkg 13122.24 (IP)406001913 O-1913 TENECTEPLASE RECOMBINANT KIT Pkg 13122.24 (IP)406001914 I-1914 PIOGLITAZONE HCL 15 MG TABLET Unit 38.74 (ME)406001914 O-1914 PIOGLITAZONE HCL 15 MG TABLET Unit 38.74 (ME)406001915 I-1915 QUININE SULFATE 200 MG CAPSUL Unit 5.49 (ME)406001915 O-1915 QUININE SULFATE 200 MG CAPSUL Unit 5.49 (ME)406001916 I-1916 DEXTROSE 70% INJECT Unit 5.49 (IP)406001916 O-1916 DEXTROSE 70% INJECT Unit 5.49 (IP)406001917 I-1917 TRACE ELEMENTS INJECT Unit 5.49 (IP)406001917 O-1917 TRACE ELEMENTS INJECT Unit 5.49 (IP)406001919 I-1919 FAMCICLOVIR 250 MG TABLET Unit 27.99 (ME)406001919 O-1919 FAMCICLOVIR 250 MG TABLET Unit 27.99 (ME)406001921 I-1921 DIPYRIDAMOLE-ASPIRIN CAPSUL Unit 28.49 (ME)406001921 O-1921 DIPYRIDAMOLE-ASPIRIN CAPSUL Unit 28.49 (ME)406001922 I-1922 NIACIN 50 MG TABLET Unit 5.49 (ME)406001922 O-1922 NIACIN 50 MG TABLET Unit 5.49 (ME)406001924 I-1924 LISINOPRIL 40 MG TABLET Unit 11.24 (ME)406001924 O-1924 LISINOPRIL 40 MG TABLET Unit 11.24 (ME)406001925 I-1925 CIMETIDINE HCL 150 MG INJECT Unit 7.24 (IP)406001925 O-1925 CIMETIDINE HCL 150 MG INJECT Unit 7.24 (IP)406001929 I-1929 DEXAMETHASONE SOD PHOSPH 10 MG INJECT Unit 11.24 (IP)406001929 O-1929 DEXAMETHASONE SOD PHOSPH 10 MG INJECT Unit 11.24 (IP)406001930 I-1930 FOSINOPRIL SODIUM 10 MG TABLET Unit 5.49 (ME)406001930 O-1930 FOSINOPRIL SODIUM 10 MG TABLET Unit 5.49 (ME)406001931 I-1931 PHENYTOIN SODIUM 250 MG INJECT Pkg 14.24 (IP)406001931 O-1931 PHENYTOIN SODIUM 250 MG INJECT Pkg 14.24 (IP)406001932 I-1932 TRIMETHOBENZAMIDE HCL 100 MG INJECT Unit 27.74 (IJ)406001932 O-1932 TRIMETHOBENZAMIDE HCL 100 MG INJECT Unit 27.74 (IJ)406001933 I-1933 BUMETANIDE 1 MG TABLET Unit 5.49 (ME)406001933 O-1933 BUMETANIDE 1 MG TABLET Unit 5.49 (ME)406001934 I-1934 HYDROXYZINE HCL 10 MG TABLET Unit 5.49 (ME)406001934 O-1934 HYDROXYZINE HCL 10 MG TABLET Unit 5.49 (ME)406001935 I-1935 CARBIDOPA-LEVODOPA TABLET Unit 9.49 (ME)406001935 O-1935 CARBIDOPA-LEVODOPA TABLET Unit 9.49 (ME)406001937 I-1937 THIAMINE HCL 100 MG TABLET Unit 5.49 (ME)406001937 O-1937 THIAMINE HCL 100 MG TABLET Unit 5.49 (ME)406001938 I-1938 COCAINE HCL 4% SOLUTI Unit 5.49 (TO)406001938 O-1938 COCAINE HCL 4% SOLUTI Unit 5.49 (TO)406001939 I-1939 FENTANYL CITRATE 1000 MCG INJECT Pkg 35.74 (IP)406001939 O-1939 FENTANYL CITRATE 1000 MCG INJECT Pkg 35.74 (IP)406001940 I-1940 PHOSPHO-SODA LIQUID Pkg 25.24 (OL)406001940 O-1940 PHOSPHO-SODA LIQUID Pkg 25.24 (OL)406001942 I-1942 PENICILLIN G BENZATHINE 1200000 INJ CA Unit 166.49 (IJ)406001942 O-1942 PENICILLIN G BENZATHINE 1200000 INJ CA Unit 166.49 (IJ)406001943 I-1943 DOXACURIUM CHLORIDE INJECT Unit 25.24 (IP)406001943 O-1943 DOXACURIUM CHLORIDE INJECT Unit 25.24 (IP)406001944 I-1944 ATROPINE SULFATE 0.4 MG INJECT Pkg 105.99 (IJ)406001944 O-1944 ATROPINE SULFATE 0.4 MG INJECT Pkg 105.99 (IJ)406001947 I-1947 BACITRACIN 15 GM OINTME Pkg 26.99 (TO)406001947 O-1947 BACITRACIN 15 GM OINTME Pkg 26.99 (TO)406001948 I-1948 VITAMIN B COMPLEX W/C TABLET Unit 5.49 (ME)406001948 O-1948 VITAMIN B COMPLEX W/C TABLET Unit 5.49 (ME)406001949 I-1949 DICYCLOMINE HCL 20 MG INJECT Unit 55.24 (IJ)406001949 O-1949 DICYCLOMINE HCL 20 MG INJECT Unit 55.24 (IJ)406001951 I-1951 GUAIFENESIN A/C SYRUP Pkg 258.74 (OL)406001951 O-1951 GUAIFENESIN A/C SYRUP Pkg 258.74 (OL)406001952 I-1952 MORPHINE SULFATE 2 MG LIQUID Pkg

406001952 O-1952 MORPHINE SULFATE 2 MG LIQUID Pkg 5.49 (OL)406001953 I-1953 VANCOMYCIN HCL 250 MG CAPSUL Unit 168.99 (ME)406001953 O-1953 VANCOMYCIN HCL 250 MG CAPSUL Unit 168.99 (ME)406001955 I-1955 CEFOTETAN DISODIUM 1 GM INJECT Unit 80.49 (IP)406001955 O-1955 CEFOTETAN DISODIUM 1 GM INJECT Unit 80.49 (IP)406001956 I-1956 CLINDAMYCIN PHOSPHATE 600 MG INJECT Unit 17.99 (IP)406001956 O-1956 CLINDAMYCIN PHOSPHATE 600 MG INJECT Unit 17.99 (IP)406001957 I-1957 HALOPERIDOL 1 MG TABLET Unit 5.49 (ME)406001957 O-1957 HALOPERIDOL 1 MG TABLET Unit 5.49 (ME)406001960 I-1960 BENZOCAINE 20% AEROSO Pkg 200.74 (TO)406001960 O-1960 BENZOCAINE 20% AEROSO Pkg 200.74 (TO)406001961 I-1961 DEXAMETHASONE SOD PHOSPH 4 MG INJECT Unit 9.74 (IJ)406001961 O-1961 DEXAMETHASONE SOD PHOSPH 4 MG INJECT Unit 9.74 (IJ)406001966 I-1966 FLECAINIDE ACETATE 50 MG TABLET Unit 12.49 (ME)406001966 O-1966 FLECAINIDE ACETATE 50 MG TABLET Unit 12.49 (ME)406001969 I-1969 AMPICILLIN-SULBACTAM 1.5 G INJECT Unit 58.74 (IP)406001969 O-1969 AMPICILLIN-SULBACTAM 1.5 G INJECT Unit 58.74 (IP)406001971 I-1971 LIDOCAINE HCL 2% INJECT Pkg 92.49 (IJ)406001971 O-1971 LIDOCAINE HCL 2% INJECT Pkg 5.49 (IJ)406001972 I-1972 NITROGLYCERIN PATCH Unit 26.74 (TO)406001972 O-1972 NITROGLYCERIN PATCH Unit 26.74 (TO)406001973 I-1973 BUPIVACAINE HCL 0.50% INJECT Pkg 105.24 (IJ)406001973 O-1973 BUPIVACAINE HCL 0.50% INJECT Pkg 5.49 (IJ)406001974 I-1974 BUPIVACAINE HCL 0.25% INJECT Pkg 11.74 (IJ)406001974 O-1974 BUPIVACAINE HCL 0.25% INJECT Pkg 11.74 (IJ)406001976 I-1976 ERYTHROMYCIN LACTOBIONAT 500 MG INJECT Pkg 75.74 (IP)406001976 O-1976 ERYTHROMYCIN LACTOBIONAT 500 MG INJECT Pkg 75.74 (IP)406001977 I-1977 GUAIFENESIN-DM SYRUP Pkg 5.49 (OL)406001977 O-1977 GUAIFENESIN-DM SYRUP Pkg 5.49 (OL)406001978 I-1978 AMPICILLIN SODIUM 1 G INJECT Unit 66.49 (IP)406001978 O-1978 AMPICILLIN SODIUM 1 G INJECT Unit 66.49 (IP)406001980 I-1980 PNEUMOCOCCAL 50 MCG INJECT Pkg 298.49 (IJ)406001980 O-1980 PNEUMOCOCCAL 50 MCG INJECT Pkg 298.49 (IJ)406001981 I-1981 CLONAZEPAM 1 MG TABLET Unit 5.49 (ME)406001981 O-1981 CLONAZEPAM 1 MG TABLET Unit 5.49 (ME)406001982 I-1982 CITALOPRAM HYDROBROMIDE 20 MG TABLET Unit 17.24 (ME)406001982 O-1982 CITALOPRAM HYDROBROMIDE 20 MG TABLET Unit 17.24 (ME)406001983 I-1983 PROPYLTHIOURACIL 50 MG TABLET Unit 5.49 (ME)406001983 O-1983 PROPYLTHIOURACIL 50 MG TABLET Unit 5.49 (ME)406001984 I-1984 AMOXICILLIN-CLAVULANATE 875 MG TABLET Unit 52.49 (ME)406001984 O-1984 AMOXICILLIN-CLAVULANATE 875 MG TABLET Unit 52.49 (ME)406001985 I-1985 POTASSIUM CHLORIDE 0.1 MEQ INJECT Pkg 71.99 (IP)406001985 O-1985 POTASSIUM CHLORIDE 0.1 MEQ INJECT Pkg 71.99 (IP)406001986 I-1986 PYRAZINAMIDE 500 MG TABLET Unit 492.74 (ME)406001986 O-1986 PYRAZINAMIDE 500 MG TABLET Unit 492.74 (ME)406001987 I-1987 CETIRIZINE HCL 10 MG TABLET Unit 17.74 (ME)406001987 O-1987 CETIRIZINE HCL 10 MG TABLET Unit 17.74 (ME)406001988 I-1988 ACARBOSE 25 MG TABLET Unit 7.24 (ME)406001988 O-1988 ACARBOSE 25 MG TABLET Unit 7.24 (ME)406001989 I-1989 METHIMAZOLE 10 MG TABLET Unit 5.99 (ME)406001989 O-1989 METHIMAZOLE 10 MG TABLET Unit 5.99 (ME)406001993 I-1993 OXYQUINOLINE SULFATE 3% OINTME Pkg 16.74 (TO)406001993 O-1993 OXYQUINOLINE SULFATE 3% OINTME Pkg 16.74 (TO)406001994 I-1994 TRIHEXYPHENIDYL HCL 2 MG TABLET Unit 5.49 (ME)406001994 O-1994 TRIHEXYPHENIDYL HCL 2 MG TABLET Unit 5.49 (ME)406001996 I-1996 FENTANYL PATCH 100 MCG PATCH Unit 130.99 (TO)406001996 O-1996 FENTANYL PATCH 100 MCG PATCH Unit 5.49 (TO)406001997 I-1997 ACETYLCYSTEINE SOLUTI Pkg 70.74 (OL)406001997 O-1997 ACETYLCYSTEINE SOLUTI Pkg 70.74 (OL)406001999 I-1999 SCOPOLAMINE HYDROBROMIDE PATCH Unit 81.49 (TO)406001999 O-1999 SCOPOLAMINE HYDROBROMIDE PATCH Unit 81.49 (TO)406002000 I-2000 TRIAMCINOLONE ACETONIDE 40 MG INJ RE Unit 62.99 (IJ)406002000 O-2000 TRIAMCINOLONE ACETONIDE 40 MG INJ RE Unit 62.99 (IJ)406002001 I-2001 BETHANECHOL CHLORIDE 25 MG TABLET Unit 12.74 (ME)406002001 O-2001 BETHANECHOL CHLORIDE 25 MG TABLET Unit 12.74 (ME)

406002002 I-2002 LANSOPRAZOLE 15 MG CAPSUL Unit 5.49 (ME)406002002 O-2002 LANSOPRAZOLE 15 MG CAPSUL Unit 5.49 (ME)406002008 I-2008 LEVALBUTEROL HCL 0.63 MG SOLUTI Pkg 36.49 (OL)406002008 O-2008 LEVALBUTEROL HCL 0.63 MG SOLUTI Pkg 36.49 (OL)406002009 I-2009 LEVALBUTEROL HCL 1.25 MG SOLUTI Pkg 36.49 (OL)406002009 O-2009 LEVALBUTEROL HCL 1.25 MG SOLUTI Pkg 36.49 (OL)406002012 I-2012 POTASSIUM IODIDE 1 G LIQUID Pkg 89.49 (OL)406002012 O-2012 POTASSIUM IODIDE 1 G LIQUID Pkg 89.49 (OL)406002015 I-2015 MEDROXYPROGESTERONE ACET 150 MG INJ RE Pkg 318.74 (IJ)406002015 O-2015 MEDROXYPROGESTERONE ACET 150 MG INJ RE Pkg 318.74 (IJ)406002017 I-2017 ETHAMBUTOL HCL 400 MG TABLET Unit 12.74 (ME)406002017 O-2017 ETHAMBUTOL HCL 400 MG TABLET Unit 12.74 (ME)406002018 I-2018 PYRIDOXINE HCL 50 MG TABLET Unit 5.49 (ME)406002018 O-2018 PYRIDOXINE HCL 50 MG TABLET Unit 5.49 (ME)406002021 I-2021 LAMOTRIGINE 100 MG TABLET Unit 29.49 (ME)406002021 O-2021 LAMOTRIGINE 100 MG TABLET Unit 29.49 (ME)406002022 I-2022 LANSOPRAZOLE 30 MG CAPSUL Unit 13.99 (ME)406002022 O-2022 LANSOPRAZOLE 30 MG CAPSUL Unit 5.49 (ME)406002023 I-2023 OXYCODONE CR 40 MG TABLET Unit 38.24 (ME)406002023 O-2023 OXYCODONE CR 40 MG TABLET Unit 5.49 (ME)406002025 I-2025 TIMOLOL MALEATE-DORZOLAM SOLUTI Pkg 488.99 (TO)406002025 O-2025 TIMOLOL MALEATE-DORZOLAM SOLUTI Pkg 488.99 (TO)406002027 I-2027 GATIFLOXACIN 200 MG TABLET Unit 65.74 (ME)406002027 O-2027 GATIFLOXACIN 200 MG TABLET Unit 65.74 (ME)406002028 I-2028 MESALAMINE 4 GM SUSPEN Pkg 5.49 (TO)406002028 O-2028 MESALAMINE 4 GM SUSPEN Pkg 5.49 (TO)406002029 I-2029 DALFOPRISTIN-QUINUPRISTI 500 MG INJECT Unit 816.99 (IP)406002029 O-2029 DALFOPRISTIN-QUINUPRISTI 500 MG INJECT Unit 816.99 (IP)406002030 I-2030 IBUPROFEN 100 MG SUSPEN Pkg 5.49 (OL)406002030 O-2030 IBUPROFEN 100 MG SUSPEN Pkg 5.49 (OL)406002032 I-2032 PERMETHRIN CREAM 5% CREAM Pkg 157.49 (TO)406002032 O-2032 PERMETHRIN CREAM 5% CREAM Pkg 157.49 (TO)406002033 I-2033 MARCAINE W/EPINEPHRINE 0.25% INJECT Pkg 13.74 (IJ)406002033 O-2033 MARCAINE W/EPINEPHRINE 0.25% INJECT Pkg 13.74 (IJ)406002034 I-2034 NEOMYCIN-POLYMYXIN-DEXAM SUSPEN Pkg 237.24 (TO)406002034 O-2034 NEOMYCIN-POLYMYXIN-DEXAM SUSPEN Pkg 237.24 (TO)406002036 I-2036 SIMVASTATIN 20 MG TABLET Unit 34.24 (ME)406002036 O-2036 SIMVASTATIN 20 MG TABLET Unit 34.24 (ME)406002038 I-2038 ITRACONAZOLE 100 MG CAPSUL Unit 93.74 (ME)406002038 O-2038 ITRACONAZOLE 100 MG CAPSUL Unit 93.74 (ME)406002043 I-2043 DIPYRIDAMOLE 50 MG INJECT Unit 9.74 (IP)406002043 O-2043 DIPYRIDAMOLE 50 MG INJECT Unit 9.74 (IP)406002044 I-2044 SINCALIDE 5 MCG INJECT Unit 381.99 (IP)406002044 O-2044 SINCALIDE 5 MCG INJECT Unit 381.99 (IP)406002045 I-2045 WATER INJECT Unit 5.49 (IP)406002045 O-2045 WATER INJECT Unit 5.49 (IP)406002047 I-2047 METHYLENE BLUE 1% INJECT Unit 5.49 (IP)406002047 O-2047 METHYLENE BLUE 1% INJECT Unit 5.49 (IP)406002048 I-2048 NITROGLYCERIN 5 MG INJECT Unit 9.74 (IP)406002048 O-2048 NITROGLYCERIN 5 MG INJECT Unit 9.74 (IP)406002050 I-2050 SODIUM CHLORIDE 0.90% INJECT Unit 5.49 (IP)406002050 O-2050 SODIUM CHLORIDE 0.90% INJECT Unit 5.49 (IP)406002052 I-2052 BACITRACIN 500 UNIT OINTME Unit 39.99 (TO)406002052 O-2052 BACITRACIN 500 UNIT OINTME Unit 39.99 (TO)406002054 I-2054 AMPHOTERICIN B LIPID COM 5 MG LIPOSO Pkg 818.99 (IP)406002054 O-2054 AMPHOTERICIN B LIPID COM 5 MG LIPOSO Pkg 818.99 (IP)406002056 I-2056 PRIMIDONE 50 MG TABLET Unit 5.49 (ME)406002056 O-2056 PRIMIDONE 50 MG TABLET Unit 5.49 (ME)406002058 I-2058 CARBAMAZEPINE 200 MG TABLET Unit 5.49 (ME)406002058 O-2058 CARBAMAZEPINE 200 MG TABLET Unit 5.49 (ME)406002059 I-2059 MIDODRINE HCL 5 MG TABLET Unit 18.49 (ME)406002059 O-2059 MIDODRINE HCL 5 MG TABLET Unit 18.49 (ME)406002061 I-2061 LEVOCARNITINE 200 MG INJECT Unit 49.49 (IP)406002061 O-2061 LEVOCARNITINE 200 MG INJECT Unit 49.49 (IP)406002063 I-2063 PAMIDRONATE DISODIUM 30 MG INJECT Pkg 258.74 (IP)

406002063 O-2063 PAMIDRONATE DISODIUM 30 MG INJECT Pkg 258.74 (IP)406002068 I-2068 AMOXICILLIN-CLAVULANATE 250 MG TABLET Unit 28.99 (ME)406002068 O-2068 AMOXICILLIN-CLAVULANATE 250 MG TABLET Unit 28.99 (ME)406002070 I-2070 IMMUNOGLOBULIN HUMAN 6 G INJECT Unit 859.99 (IP)406002070 O-2070 IMMUNOGLOBULIN HUMAN 6 G INJECT Unit 859.99 (IP)406002071 I-2071 DEXTROSE 5% INJECT Unit 5.49 (IP)406002071 O-2071 DEXTROSE 5% INJECT Unit 5.49 (IP)406002072 I-2072 IMMUNOGLOBULIN HUMAN 20 G INJECT Unit 78.49 (IP)406002072 O-2072 IMMUNOGLOBULIN HUMAN 20 G INJECT Unit 78.49 (IP)406002073 I-2073 DEXAMETHASONE 2 MG TABLET Unit 5.49 (ME)406002073 O-2073 DEXAMETHASONE 2 MG TABLET Unit 5.49 (ME)406002074 I-2074 POTASSIUM CHLORIDE 10 MEQ TABLET Unit 5.49 (ME)406002074 O-2074 POTASSIUM CHLORIDE 10 MEQ TABLET Unit 5.49 (ME)406002076 I-2076 FERROUS SULFATE 300 MG ELIXIR Unit 5.49 (OL)406002076 O-2076 FERROUS SULFATE 300 MG ELIXIR Unit 5.49 (OL)406002080 I-2080 MEROPENEM 1000 MG INJECT Unit 355.74 (IP)406002080 O-2080 MEROPENEM 1000 MG INJECT Unit 355.74 (IP)406002081 I-2081 MICONAZOLE NITRATE 2% CREAM Unit 5.49 (TO)406002081 O-2081 MICONAZOLE NITRATE 2% CREAM Unit 5.49 (TO)406002082 I-2082 OLANZAPINE 5 MG TABLET Unit 86.49 (ME)406002082 O-2082 OLANZAPINE 5 MG TABLET Unit 86.49 (ME)406002084 I-2084 CIPROFLOXACIN HCL-DEXTRO 400 MG INJECT Pkg 161.99 (IP)406002084 O-2084 CIPROFLOXACIN HCL-DEXTRO 400 MG INJECT Pkg 161.99 (IP)406002085 I-2085 BELLADONNA-OPIUM SUPPOS Unit 22.99 (TO)406002085 O-2085 BELLADONNA-OPIUM SUPPOS Unit 22.99 (TO)406002087 I-2087 ACETAMINOPHEN 650 MG LIQUID Unit 5.49 (OL)406002087 O-2087 ACETAMINOPHEN 650 MG LIQUID Unit 5.49 (OL)406002089 I-2089 TERCONAZOLE 80 MG SUPPOS Unit 103.49 (TO)406002089 O-2089 TERCONAZOLE 80 MG SUPPOS Unit 103.49 (TO)406002092 I-2092 VALPROIC ACID 250 MG SYRUP Unit 5.49 (OL)406002092 O-2092 VALPROIC ACID 250 MG SYRUP Unit 5.49 (OL)406002093 I-2093 RIFAMPIN 600 MG INJECT Pkg 546.24 (IP)406002093 O-2093 RIFAMPIN 600 MG INJECT Pkg 546.24 (IP)406002094 I-2094 NATEGLINIDE 120 MG TABLET Unit 15.74 (ME)406002094 O-2094 NATEGLINIDE 120 MG TABLET Unit 15.74 (ME)406002095 I-2095 AMOXICILLIN-CLAVULANATE 500 MG TABLET Unit 39.49 (ME)406002095 O-2095 AMOXICILLIN-CLAVULANATE 500 MG TABLET Unit 39.49 (ME)406002096 I-2096 AMINO ACIDS INJECT Unit 5.49 (IP)406002096 O-2096 AMINO ACIDS INJECT Unit 5.49 (IP)406002097 I-2097 WATER INJECT Unit 5.49 (IP)406002097 O-2097 WATER INJECT Unit 5.49 (IP)406002099 I-2099 FLUCONAZOLE W/SALINE 400 MG INJECT Pkg 52.24 (IP)406002099 O-2099 FLUCONAZOLE W/SALINE 400 MG INJECT Pkg 52.24 (IP)406002106 I-2106 FENOFIBRATE 48 MG TABLET Unit 13.49 (ME)406002106 O-2106 FENOFIBRATE 48 MG TABLET Unit 13.49 (ME)406002107 I-2107 ACETYLCYSTEINE 800 MG SOLUTI Pkg 40.74 (ME)406002107 O-2107 ACETYLCYSTEINE 800 MG SOLUTI Pkg 40.74 (ME)406002108 I-2108 NESIRITIDE 1.5 MG INJECT Pkg 2960.49 (IP)406002108 O-2108 NESIRITIDE 1.5 MG INJECT Pkg 2960.49 (IP)406002109 I-2109 LORAZEPAM 4 MG INJECT Unit 13.74 (IP)406002109 O-2109 LORAZEPAM 4 MG INJECT Unit 13.74 (IP)406002111 I-2111 INSULIN GLARGINE 100 UNIT INJECT Pkg 443.49 (ME)406002111 O-2111 INSULIN GLARGINE 100 UNIT INJECT Pkg 443.49 (ME)406002114 I-2114 METHYL SALICYLATE-MENTHO CREAM Unit 5.49 (TO)406002114 O-2114 METHYL SALICYLATE-MENTHO CREAM Unit 5.49 (TO)406002115 I-2115 TRIAMCINOLONE ACETONIDE 0.03% CREAM Unit 5.49 (TO)406002115 O-2115 TRIAMCINOLONE ACETONIDE 0.03% CREAM Unit 5.49 (TO)406002116 I-2116 MOMETASONE FUROATE SPRAY Pkg 328.99 (TO)406002116 O-2116 MOMETASONE FUROATE SPRAY Pkg 328.99 (TO)406002120 I-2120 ARRHYTHMIA CONTROL 1 EA Unit406002120 O-2120 ARRHYTHMIA CONTROL 1 EA Unit 5.49 (IP)406002121 I-2121 WATER SOLUTI Unit 5.49 (TO)406002121 O-2121 WATER SOLUTI Unit 5.49 (TO)406002122 I-2122 BIVALIRUDIN 250 MG INJECT Unit 2840.49 (IP)406002122 O-2122 BIVALIRUDIN 250 MG INJECT Unit 2840.49 (IP)

406002123 I-2123 MISOPROSTOL 100 MCG TABLET Unit 7.49 (ME)406002123 O-2123 MISOPROSTOL 100 MCG TABLET Unit 7.49 (ME)406002125 I-2125 PYRETHRINS-PIPERONYL BUT SHAMPO Unit 5.49 (TO)406002125 O-2125 PYRETHRINS-PIPERONYL BUT SHAMPO Unit 5.49 (TO)406002126 I-2126 NIACIN 500 MG TABLET Unit 5.49 (ME)406002126 O-2126 NIACIN 500 MG TABLET Unit 5.49 (ME)406002129 I-2129 MORPHINE SULFATE 100 MG TABLET Unit 34.24 (ME)406002129 O-2129 MORPHINE SULFATE 100 MG TABLET Unit 34.24 (ME)406002133 I-2133 DESIPRAMINE HCL 25 MG TABLET Unit 5.49 (ME)406002133 O-2133 DESIPRAMINE HCL 25 MG TABLET Unit 5.49 (ME)406002135 I-2135 THEOPHYLLINE 5.33 MG ELIXIR Unit 5.49 (OL)406002135 O-2135 THEOPHYLLINE 5.33 MG ELIXIR Unit 5.49 (OL)406002136 I-2136 TICARCILLIN DISOD-CLAVUL INJECT Pkg 94.24 (IP)406002136 O-2136 TICARCILLIN DISOD-CLAVUL INJECT Pkg 94.24 (IP)406002141 I-2141 SODIUM CHLORIDE 500 MG TABLET Unit 5.49 (ME)406002141 O-2141 SODIUM CHLORIDE 500 MG TABLET Unit 5.49 (ME)406002143 I-2143 DESMOPRESSIN ACETATE 40 MCG INJECT Unit 255.24 (IJ)406002143 O-2143 DESMOPRESSIN ACETATE 40 MCG INJECT Unit 255.24 (IJ)406002144 I-2144 PANTOPRAZOLE SODIUM 40 MG INJECT Unit 84.74 (IP)406002144 O-2144 PANTOPRAZOLE SODIUM 40 MG INJECT Unit 84.74 (IP)406002147 I-2147 ALTEPLASE 2 MG INJECT Unit 488.99 (IP)406002147 O-2147 ALTEPLASE 2 MG INJECT Unit 488.99 (IP)406002148 I-2148 DOXEPIN HCL 100 MG CAPSUL Unit 7.74 (ME)406002148 O-2148 DOXEPIN HCL 100 MG CAPSUL Unit 7.74 (ME)406002154 I-2154 LIDOCAINE 5% PATCH Unit 52.24 (TO)406002154 O-2154 LIDOCAINE 5% PATCH Unit 52.24 (TO)406002157 I-2157 HEPARIN PROTOCOL Unit406002157 O-2157 HEPARIN PROTOCOL Unit 5.49 (IP)406002159 I-2159 PHENOBARBITAL 30 MG TABLET Unit 5.49 (ME)406002159 O-2159 PHENOBARBITAL 30 MG TABLET Unit 5.49 (ME)406002160 I-2160 ALTEPLASE 50 MG INJECT Unit 9431.99 (IP)406002160 O-2160 ALTEPLASE 50 MG INJECT Unit 9431.99 (IP)406002161 I-2161 LINEZOLID 600 MG TABLET Unit 473.74 (ME)406002161 O-2161 LINEZOLID 600 MG TABLET Unit 473.74 (ME)406002163 I-2163 MICONAZOLE NITRATE OINTME Pkg 37.99 (TO)406002163 O-2163 MICONAZOLE NITRATE OINTME Pkg 37.99 (TO)406002164 I-2164 LEVOTHYROXINE SODIUM 88 MCG TABLET Unit 5.49 (ME)406002164 O-2164 LEVOTHYROXINE SODIUM 88 MCG TABLET Unit 5.49 (ME)406002168 I-2168 MINOXIDIL 2.5 MG TABLET Unit 5.49 (ME)406002168 O-2168 MINOXIDIL 2.5 MG TABLET Unit 5.49 (ME)406002169 I-2169 BETAXOLOL HCL 10 MG TABLET Unit 8.99 (ME)406002169 O-2169 BETAXOLOL HCL 10 MG TABLET Unit 8.99 (ME)406002170 I-2170 ALBUMIN 5% 5% INJECT Pkg 758.24 (IP)406002170 O-2170 ALBUMIN 5% 5% INJECT Pkg 758.24 (IP)406002171 I-2171 ALBUMIN 25% INJECT Pkg 790.99 (IP)406002171 O-2171 ALBUMIN 25% INJECT Pkg 790.99 (IP)406002175 I-2175 BUPROPION SR 100 MG TABLET Unit 5.49 (ME)406002175 O-2175 BUPROPION SR 100 MG TABLET Unit 5.49 (ME)406002180 I-2180 BUDESONIDE INHALATION 0.5 MG SUSPEN Pkg 62.74 (OL)406002180 O-2180 BUDESONIDE INHALATION 0.5 MG SUSPEN Pkg 62.74 (OL)406002181 I-2181 DOPAMINE HCL 400 MG INJECT Pkg 6.74 (IP)406002181 O-2181 DOPAMINE HCL 400 MG INJECT Pkg 6.74 (IP)406002183 I-2183 MORPHINE SULFATE ADV 100 MG INJECT Pkg 69.49 (IP)406002183 O-2183 MORPHINE SULFATE ADV 100 MG INJECT Pkg 69.49 (IP)406002184 I-2184 AZITHROMYCIN 250 MG TABLET Unit 70.49 (ME)406002184 O-2184 AZITHROMYCIN 250 MG TABLET Unit 70.49 (ME)406002185 I-2185 METHYLPRED SOD SUCCINATE 500 MG INJECT Unit 79.99 (IP)406002185 O-2185 METHYLPRED SOD SUCCINATE 500 MG INJECT Unit 79.99 (IP)406002188 I-2188 FINGERSTICK Unit406002188 O-2188 FINGERSTICK Unit406002190 I-2190 ENEMA OF CHOICE Unit 5.49 (TO)406002190 O-2190 ENEMA OF CHOICE Unit 5.49 (TO)406002191 I-2191 PICC PROTOCOL Unit406002191 O-2191 PICC PROTOCOL Unit406002193 I-2193 CIPROFLOXACIN HCL 500 MG TABLET Unit 39.74 (ME)

406002193 O-2193 CIPROFLOXACIN HCL 500 MG TABLET Unit 39.74 (ME)406002194 I-2194 TRIFLUOPERAZINE HCL 10 MG TABLET Unit 11.74 (ME)406002194 O-2194 TRIFLUOPERAZINE HCL 10 MG TABLET Unit 11.74 (ME)406002195 I-2195 QUETIAPINE FUMARATE 100 MG TABLET Unit 42.74 (ME)406002195 O-2195 QUETIAPINE FUMARATE 100 MG TABLET Unit 42.74 (ME)406002196 I-2196 FUROSEMIDE 20 MG INJECT Unit 5.49 (IP)406002196 O-2196 FUROSEMIDE 20 MG INJECT Unit 5.49 (IP)406002198 I-2198 CANDESARTAN CILEXETIL 32 MG TABLET Unit 25.24 (ME)406002198 O-2198 CANDESARTAN CILEXETIL 32 MG TABLET Unit 25.24 (ME)406002199 I-2199 CANDESARTAN CILEXETIL 8 MG TABLET Unit 18.74 (ME)406002199 O-2199 CANDESARTAN CILEXETIL 8 MG TABLET Unit 18.74 (ME)406002203 I-2203 IMIPENEM-CILASTATIN 250 MG INJECT Pkg 119.24 (IP)406002203 O-2203 IMIPENEM-CILASTATIN 250 MG INJECT Pkg 119.24 (IP)406002204 I-2204 AMPICILLIN 250 MG CAPSUL Unit 5.49 (ME)406002204 O-2204 AMPICILLIN 250 MG CAPSUL Unit 5.49 (ME)406002206 I-2206 HYDROCORTISONE 2.50% CREAM Pkg 68.24 (TO)406002206 O-2206 HYDROCORTISONE 2.50% CREAM Pkg 68.24 (TO)406002211 I-2211 MORPHINE SULFATE 10 MG INJ CA Unit 8.99 (IP)406002211 O-2211 MORPHINE SULFATE 10 MG INJ CA Unit 8.99 (IP)406002213 I-2213 THROMBIN-JMI 20 MU POWDER Unit 867.74 (TO)406002213 O-2213 THROMBIN-JMI 20 MU POWDER Unit 5.49 (TO)406002214 I-2214 ETHANOLAMINE OLEATE 50 MG INJECT Unit 251.49 (IP)406002214 O-2214 ETHANOLAMINE OLEATE 50 MG INJECT Unit 251.49 (IP)406002217 I-2217 MIRALAX SACHET Pkg 8.74 (ME)406002217 O-2217 MIRALAX SACHET Pkg 8.74 (ME)406002218 I-2218 GI COCKTAIL (GREEN LIZAR 50 ML Unit 24.49 (OL)406002218 O-2218 GI COCKTAIL (GREEN LIZAR 50 ML Unit 24.49 (OL)406002219 I-2219 PREDNISOLONE SODIUM PHOS 5 MG SYRUP Unit 5.49 (OL)406002219 O-2219 PREDNISOLONE SODIUM PHOS 5 MG SYRUP Unit 5.49 (OL)406002223 I-2223 PHOSPHO-SODA LIQUID Unit 5.49 (OL)406002223 O-2223 PHOSPHO-SODA LIQUID Unit 5.49 (OL)406002225 I-2225 PIPERACILLIN-TAZOBACTAM 2.25 G INJECT Pkg 84.24 (IP)406002225 O-2225 PIPERACILLIN-TAZOBACTAM 2.25 G INJECT Pkg 84.24 (IP)406002237 I-2237 IBUPROFEN 20 MG SUSPEN Unit 5.49 (OL)406002237 O-2237 IBUPROFEN 20 MG SUSPEN Unit 5.49 (OL)406002238 I-2238 IBUPROFEN 40 MG LIQUID Unit 5.49 (OL)406002238 O-2238 IBUPROFEN 40 MG LIQUID Unit 5.49 (OL)406002239 I-2239 MORPHINE SULFATE CR 30 MG TABLET Unit 12.24 (ME)406002239 O-2239 MORPHINE SULFATE CR 30 MG TABLET Unit 12.24 (ME)406002241 I-2241 THROMBIN-JMI 5 MU POWDER Unit 380.49 (TO)406002241 O-2241 THROMBIN-JMI 5 MU POWDER Unit 380.49 (TO)406002244 I-2244 METHOCARBAMOL 500 MG TABLET Unit 5.49 (ME)406002244 O-2244 METHOCARBAMOL 500 MG TABLET Unit 5.49 (ME)406002247 I-2247 CAFFEINE-SODIUM BENZOATE 250 MG INJECT Unit 37.49 (IJ)406002247 O-2247 CAFFEINE-SODIUM BENZOATE 250 MG INJECT Unit 37.49 (IJ)406002252 I-2252 METHYLPHENIDATE HCL 10 MG TABLET Unit 5.49 (ME)406002252 O-2252 METHYLPHENIDATE HCL 10 MG TABLET Unit 5.49 (ME)406002253 I-2253 SILDENAFIL CITRATE 50 MG TABLET Unit 121.74 (ME)406002253 O-2253 SILDENAFIL CITRATE 50 MG TABLET Unit 121.74 (ME)406002254 I-2254 CEFEPIME 1 G INJECT Unit 127.49 (IJ)406002254 O-2254 CEFEPIME 1 G INJECT Unit 127.49 (IJ)406002255 I-2255 DIAZEPAM 10 MG INJ CA Unit 73.74 (IJ)406002255 O-2255 DIAZEPAM 10 MG INJ CA Unit 5.49 (IJ)406002257 I-2257 LIDOCAINE HCL-EPINEPHRIN INJECT Unit 5.49 (IJ)406002257 O-2257 LIDOCAINE HCL-EPINEPHRIN INJECT Unit 5.49 (IJ)406002258 I-2258 MEDROXYPROGESTERONE ACET 10 MG TABLET Unit 5.49 (ME)406002258 O-2258 MEDROXYPROGESTERONE ACET 10 MG TABLET Unit 5.49 (ME)406002262 I-2262 DIPHENHYDRAMINE HCL 25 MG TABLET Unit 5.49 (ME)406002262 O-2262 DIPHENHYDRAMINE HCL 25 MG TABLET Unit 5.49 (ME)406002265 I-2265 RAMIPRIL 10 MG CAPSUL Unit 16.74 (ME)406002265 O-2265 RAMIPRIL 10 MG CAPSUL Unit 16.74 (ME)406002266 I-2266 NYSTATIN 100 MU TABLET Pkg 246.49 (TO)406002266 O-2266 NYSTATIN 100 MU TABLET Pkg 246.49 (TO)406002268 I-2268 AMIODARONE HCL INJECT Pkg 60.49 (IP)406002268 O-2268 AMIODARONE HCL INJECT Pkg 60.49 (IP)

406002269 I-2269 OXYQUINOLINE SULFATE 3% OINTME Pkg 23.24 (TO)406002269 O-2269 OXYQUINOLINE SULFATE 3% OINTME Pkg 23.24 (TO)406002271 I-2271 HALDOL 5 MG INJECT Unit 46.24 (IJ)406002271 O-2271 HALDOL 5 MG INJECT Unit 46.24 (IJ)406002272 I-2272 FEXOFENADINE HCL 60 MG TABLET Unit 10.99 (ME)406002272 O-2272 FEXOFENADINE HCL 60 MG TABLET Unit 10.99 (ME)406002274 I-2274 LACTOBACILLUS ACIDOPHILU 250 MG CAPSUL Unit 5.49 (ME)406002274 O-2274 LACTOBACILLUS ACIDOPHILU 250 MG CAPSUL Unit 5.49 (ME)406002275 I-2275 NITROGLYCERIN 0.4 MG SPRAY Pkg 716.99 (TO)406002275 O-2275 NITROGLYCERIN 0.4 MG SPRAY Pkg 716.99 (TO)406002277 I-2277 TRIMETHOBENZAMIDE HCL 200 MG SUPPOS Unit 5.74 (TO)406002277 O-2277 TRIMETHOBENZAMIDE HCL 200 MG SUPPOS Unit 5.74 (TO)406002279 I-2279 TRIMETHOBENZAMIDE HCL 200 MG SUPPOS Unit 25.24 (TO)406002279 O-2279 TRIMETHOBENZAMIDE HCL 200 MG SUPPOS Unit 25.24 (TO)406002280 I-2280 TOBRAMYCIN SULFATE 40 MG INJECT Unit 7.24 (IP)406002280 O-2280 TOBRAMYCIN SULFATE 40 MG INJECT Unit 7.24 (IP)406002281 I-2281 SODIUM CHLORIDE 0.45% INJECT Unit 5.49 (IP)406002281 O-2281 SODIUM CHLORIDE 0.45% INJECT Unit 5.49 (IP)406002283 I-2283 CILOSTAZOL 50 MG TABLET Unit 5.49 (ME)406002283 O-2283 CILOSTAZOL 50 MG TABLET Unit 5.49 (ME)406002285 I-2285 LEVODOPA-CARBIDOPA TABLET Unit 7.74 (ME)406002285 O-2285 LEVODOPA-CARBIDOPA TABLET Unit 7.74 (ME)406002286 I-2286 MAGNESIUM CHLORIDE 64 MG TABLET Unit 5.49 (ME)406002286 O-2286 MAGNESIUM CHLORIDE 64 MG TABLET Unit 5.49 (ME)406002288 I-2288 LINEZOLID 2 MG INJECT Unit 5.49 (IP)406002288 O-2288 LINEZOLID 2 MG INJECT Unit 5.49 (IP)406002289 I-2289 LINEZOLID 600 MG INJECT Pkg 504.49 (IP)406002289 O-2289 LINEZOLID 600 MG INJECT Pkg 504.49 (IP)406002290 I-2290 ATROPINE SULFATE 0.4 MG INJECT Unit 6.74 (IJ)406002290 O-2290 ATROPINE SULFATE 0.4 MG INJECT Unit 6.74 (IJ)406002291 I-2291 TEMAZEPAM 7.5 MG CAPSUL Unit 72.24 (ME)406002291 O-2291 TEMAZEPAM 7.5 MG CAPSUL Unit 72.24 (ME)406002292 I-2292 SALMETEROL-FLUTICASONE POWDR Pkg 476.99 (ME)406002292 O-2292 SALMETEROL-FLUTICASONE POWDR Pkg 476.99 (ME)406002293 I-2293 SALMETEROL-FLUTICASONE POWDR Pkg 476.99 (ME)406002293 O-2293 SALMETEROL-FLUTICASONE POWDR Pkg 476.99 (ME)406002294 I-2294 SALMETEROL-FLUTICASONE POWDR Pkg 752.74 (ME)406002294 O-2294 SALMETEROL-FLUTICASONE POWDR Pkg 752.74 (ME)406002295 I-2295 SALMETEROL XINAFOATE 50 MCG POWDR Pkg 28.74 (ME)406002295 O-2295 SALMETEROL XINAFOATE 50 MCG POWDR Pkg 28.74 (ME)406002297 I-2297 ACETYLCYSTEINE 400 MG SOLUTI Pkg 35.49 (OL)406002297 O-2297 ACETYLCYSTEINE 400 MG SOLUTI Pkg 35.49 (OL)406002298 I-2298 LIDOCAINE 1%-EPINEPHRINE INJECT Pkg 15.24 (IJ)406002298 O-2298 LIDOCAINE 1%-EPINEPHRINE INJECT Pkg 15.24 (IJ)406002299 I-2299 LEVOTHYROXINE SODIUM 112 MCG TABLET Unit 5.49 (ME)406002299 O-2299 LEVOTHYROXINE SODIUM 112 MCG TABLET Unit 5.49 (ME)406002300 I-2300 NITROFURANTOIN MCR 100 MG CAPSUL Unit 14.49 (ME)406002300 O-2300 NITROFURANTOIN MCR 100 MG CAPSUL Unit 14.49 (ME)406002301 I-2301 MEPERIDINE HCL 50 MG INJ CA Unit 9.99 (IJ)406002301 O-2301 MEPERIDINE HCL 50 MG INJ CA Unit 9.99 (IJ)406002302 I-2302 TALC POWDER Unit 430.49 (ME)406002302 O-2302 TALC POWDER Unit 430.49 (ME)406002304 I-2304 MORPHINE SULFATE 4 MG INJ CA Unit 12.74 (IJ)406002304 O-2304 MORPHINE SULFATE 4 MG INJ CA Unit 12.74 (IJ)406002305 I-2305 PALIVIZUMAB 50 MG INJECT Unit 2642.74 (IJ)406002305 O-2305 PALIVIZUMAB 50 MG INJECT Unit 2642.74 (IJ)406002306 I-2306 PALIVIZUMAB 100 MG INJECT Unit 4989.74 (IJ)406002306 O-2306 PALIVIZUMAB 100 MG INJECT Unit 4989.74 (IJ)406002308 I-2308 DARBEPOETIN ALFA 25 MCG INJECT Unit 581.49 (IP)406002308 O-2308 DARBEPOETIN ALFA 25 MCG INJECT Unit 581.49 (IP)406002309 I-2309 DARBEPOETIN ALFA 40 MCG INJECT Unit 809.24 (IP)406002309 O-2309 DARBEPOETIN ALFA 40 MCG INJECT Unit 809.24 (IP)406002310 I-2310 DARBEPOETIN ALFA 60 MCG INJECT Unit 1213.49 (IP)406002310 O-2310 DARBEPOETIN ALFA 60 MCG INJECT Unit 1213.49 (IP)406002311 I-2311 DARBEPOETIN ALFA 100 MCG INJECT Unit 2021.99 (IP)

406002311 O-2311 DARBEPOETIN ALFA 100 MCG INJECT Unit 2021.99 (IP)406002312 I-2312 DARBEPOETIN ALFA 200 MCG INJECT Unit 4043.49 (IP)406002312 O-2312 DARBEPOETIN ALFA 200 MCG INJECT Unit 4043.49 (IP)406002313 I-2313 DARBEPOETIN ALFA 200 MCG INJECT Unit 4043.49 (IP)406002313 O-2313 DARBEPOETIN ALFA 200 MCG INJECT Unit 4043.49 (IP)406002314 I-2314 DARBEPOETIN ALFA 500 MCG INJECT Unit 11846.99 (IP)406002314 O-2314 DARBEPOETIN ALFA 500 MCG INJECT Unit 11846.99 (IP)406002315 I-2315 CYANOCOBALAMIN 1000 MCG INJECT Unit 12.49 (IJ)406002315 O-2315 CYANOCOBALAMIN 1000 MCG INJECT Unit 12.49 (IJ)406002317 I-2317 LEVODOPA-CARBIDOPA 25-25 TABLET Unit 7.24 (ME)406002317 O-2317 LEVODOPA-CARBIDOPA 25-25 TABLET Unit 7.24 (ME)406002318 I-2318 EZETIMIBE 10 MG TABLET Unit 33.99 (ME)406002318 O-2318 EZETIMIBE 10 MG TABLET Unit 33.99 (ME)406002322 I-2322 HYDROMORPHONE 1 MG INJ CA Unit 9.74 (IJ)406002322 O-2322 HYDROMORPHONE 1 MG INJ CA Unit 8.24 (IJ)406002325 I-2325 AL-MG HYDROXIDE-SIMETHIC SUSPEN Pkg 6.24 (OL)406002325 O-2325 AL-MG HYDROXIDE-SIMETHIC SUSPEN Pkg 6.24 (OL)406002326 I-2326 DILTIAZEM HCL 125 MG INJECT Unit 5.49 (IP)406002326 O-2326 DILTIAZEM HCL 125 MG INJECT Unit 5.49 (IP)406002328 I-2328 TACROLIMUS 1 MG CAPSUL Unit 22.49 (ME)406002328 O-2328 TACROLIMUS 1 MG CAPSUL Unit 22.49 (ME)406002329 I-2329 HEMORRHOIDAL PREPARATION CREAM Pkg 34.99 (TO)406002329 O-2329 HEMORRHOIDAL PREPARATION CREAM Pkg 34.99 (TO)406002330 I-2330 VALPROIC ACID 250 MG CAPSUL Unit 7.49 (ME)406002330 O-2330 VALPROIC ACID 250 MG CAPSUL Unit 7.49 (ME)406002331 I-2331 TRAZODONE HCL 50 MG TABLET Unit 5.49 (ME)406002331 O-2331 TRAZODONE HCL 50 MG TABLET Unit 5.49 (ME)406002332 I-2332 HEMORRHOIDAL PREPARATION SUPPOS Unit 5.49 (TO)406002332 O-2332 HEMORRHOIDAL PREPARATION SUPPOS Unit 5.49 (TO)406002333 I-2333 HYDROCORTISONE ACETATE 25 MG SUPPOS Unit 13.99 (TO)406002333 O-2333 HYDROCORTISONE ACETATE 25 MG SUPPOS Unit 13.99 (TO)406002334 I-2334 TETANUS & DIPHTHERIA TOX INJECT Pkg 119.24 (IJ)406002334 O-2334 TETANUS & DIPHTHERIA TOX INJECT Pkg 119.24 (IJ)406002336 I-2336 LEVOTHYROXINE SODIUM 100 MCG INJECT Unit 5.49 (IP)406002336 O-2336 LEVOTHYROXINE SODIUM 100 MCG INJECT Unit 5.49 (IP)406002337 I-2337 PIPERACILLIN-TAZOBACTAM 4.5 G INJECT Pkg 146.99 (IP)406002337 O-2337 PIPERACILLIN-TAZOBACTAM 4.5 G INJECT Pkg 146.99 (IP)406002338 I-2338 ISOSORBIDE DINITRATE 5 MG TABLET Unit 5.49 (ME)406002338 O-2338 ISOSORBIDE DINITRATE 5 MG TABLET Unit 5.49 (ME)406002339 I-2339 LEVOBUNOLOL HCL 0.50% SOLUTI Unit 42.99 (TO)406002339 O-2339 LEVOBUNOLOL HCL 0.50% SOLUTI Unit 42.99 (TO)406002340 I-2340 DORZOLAMIDE HCL SOLUTI Unit 48.99 (TO)406002340 O-2340 DORZOLAMIDE HCL SOLUTI Unit 48.99 (TO)406002341 I-2341 SUFENTANIL CITRATE 50 MCG INJECT Unit 24.49 (IP)406002341 O-2341 SUFENTANIL CITRATE 50 MCG INJECT Unit 24.49 (IP)406002345 I-2345 SODIUM CHLORIDE SOLUTI Unit 5.49 (TO)406002345 O-2345 SODIUM CHLORIDE SOLUTI Unit 5.49 (TO)406002346 I-2346 CHOLESTYRAMINE 4 G SACHET Pkg 23.49 (ME)406002346 O-2346 CHOLESTYRAMINE 4 G SACHET Pkg 23.49 (ME)406002348 I-2348 TENOFOVIR DISOPROXIL FUM 300 MG TABLET Unit 149.99 (ME)406002348 O-2348 TENOFOVIR DISOPROXIL FUM 300 MG TABLET Unit 149.99 (ME)406002350 I-2350 POVIDONE IODINE 10% OINTME Unit 5.49 (TO)406002350 O-2350 POVIDONE IODINE 10% OINTME Unit 5.49 (TO)406002351 I-2351 ETHYL CHLORIDE 100% AEROSO Unit 5.49 (TO)406002351 O-2351 ETHYL CHLORIDE 100% AEROSO Unit 5.49 (TO)406002353 I-2353 PIOGLITAZONE HCL 30 MG TABLET Unit 58.99 (ME)406002353 O-2353 PIOGLITAZONE HCL 30 MG TABLET Unit 58.99 (ME)406002354 I-2354 MIDAZOLAM HCL 50 MG INJECT Pkg 179.49 (IJ)406002354 O-2354 MIDAZOLAM HCL 50 MG INJECT Pkg 179.49 (IJ)406002355 I-2355 SODIUM HYPOCHLORITE 0.25% SOLUTI Pkg 62.24 (TO)406002355 O-2355 SODIUM HYPOCHLORITE 0.25% SOLUTI Pkg 62.24 (TO)406002356 I-2356 VALDECOXIB 10 MG TABLET Unit 23.24 (ME)406002356 O-2356 VALDECOXIB 10 MG TABLET Unit 23.24 (ME)406002357 I-2357 MIRTAZAPINE 15 MG TABLET Unit 31.99 (ME)406002357 O-2357 MIRTAZAPINE 15 MG TABLET Unit 31.99 (ME)

406002359 I-2359 MORPHINE SULFATE IR 15 MG TABLET Unit 5.49 (ME)406002359 O-2359 MORPHINE SULFATE IR 15 MG TABLET Unit 5.49 (ME)406002361 I-2361 CONJUGATED ESTROGENS 0.625 MG CREAM Pkg 624.99 (TO)406002361 O-2361 CONJUGATED ESTROGENS 0.625 MG CREAM Pkg 624.99 (TO)406002363 I-2363 TRIAMCINOLONE ACETONIDE 0.10% OINTME Unit 5.49 (TO)406002363 O-2363 TRIAMCINOLONE ACETONIDE 0.10% OINTME Unit 5.49 (TO)406002364 I-2364 BRINZOLAMIDE 1% SUSPEN Unit 71.99 (TO)406002364 O-2364 BRINZOLAMIDE 1% SUSPEN Unit 71.99 (TO)406002365 I-2365 QUETIAPINE FUMARATE 25 MG TABLET Unit 26.99 (ME)406002365 O-2365 QUETIAPINE FUMARATE 25 MG TABLET Unit 26.99 (ME)406002366 I-2366 PENICILLIN G POTASSIUM 5 MMU INJECT Unit 227.49 (IP)406002366 O-2366 PENICILLIN G POTASSIUM 5 MMU INJECT Unit 227.49 (IP)406002367 I-2367 TRYPSIN-BALSAM PERU 113.4 GM AEROSO Unit 5.49 (TO)406002367 O-2367 TRYPSIN-BALSAM PERU 113.4 GM AEROSO Unit 5.49 (TO)406002368 I-2368 HYDROCODONE-ACETAMINOPHE 10 MG TABLET Unit 8.24 (ME)406002368 O-2368 HYDROCODONE-ACETAMINOPHE 10 MG TABLET Unit 8.24 (ME)406002369 I-2369 PHENYTOIN 100 MG SUSPEN Unit 5.49 (OL)406002369 O-2369 PHENYTOIN 100 MG SUSPEN Unit 5.49 (OL)406002370 I-2370 GUAIFENESIN-DM SYRUP Unit 5.49 (OL)406002370 O-2370 GUAIFENESIN-DM SYRUP Unit 5.49 (OL)406002371 I-2371 DEXTROSE LUER-JET INJECT Pkg 33.49 (IP)406002371 O-2371 DEXTROSE LUER-JET INJECT Pkg 33.49 (IP)406002372 I-2372 ATROPINE SULFATE 0.1 MG INJECT Pkg 25.24 (IJ)406002372 O-2372 ATROPINE SULFATE 0.1 MG INJECT Pkg 25.24 (IJ)406002373 I-2373 LIDOCAINE HCL 1% INJECT Pkg 29.99 (IP)406002373 O-2373 LIDOCAINE HCL 1% INJECT Pkg 29.99 (IP)406002375 I-2375 MAGNESIUM SULFATE W/D5W 1 GM INJECT Pkg 49.74 (IP)406002375 O-2375 MAGNESIUM SULFATE W/D5W 1 GM INJECT Pkg 49.74 (IP)406002376 I-2376 INAMRINONE LACTATE 5 MG INJECT Unit 20.99 (IP)406002376 O-2376 INAMRINONE LACTATE 5 MG INJECT Unit 20.99 (IP)406002378 I-2378 NEOMYCIN-POLYMYXIN-BACIT OINTME Unit 5.49 (TO)406002378 O-2378 NEOMYCIN-POLYMYXIN-BACIT OINTME Unit 5.49 (TO)406002379 I-2379 BENZOCAINE-CETYLPYRDINIU SPRAY Pkg 5.49 (OL)406002379 O-2379 BENZOCAINE-CETYLPYRDINIU SPRAY Pkg 5.49 (OL)406002380 I-2380 HEXACHLOROPHENE 3% SOAP Pkg 155.99 (TO)406002380 O-2380 HEXACHLOROPHENE 3% SOAP Pkg 155.99 (TO)406002381 I-2381 PHENYLEPHRINE NASAL 0.50% SOLUTI Pkg 24.49 (TO)406002381 O-2381 PHENYLEPHRINE NASAL 0.50% SOLUTI Pkg 24.49 (TO)406002382 I-2382 FENOLDOPAM MESYLATE 10 MG INJECT Unit 417.24 (IP)406002382 O-2382 FENOLDOPAM MESYLATE 10 MG INJECT Unit 417.24 (IP)406002383 I-2383 CYCLOPENTOLATE HCL 1% SOLUTI Unit 47.74 (TO)406002383 O-2383 CYCLOPENTOLATE HCL 1% SOLUTI Unit 47.74 (TO)406002384 I-2384 SODIUM NITROPRUSSIDE 50 MG INJECT Unit 95.49 (IP)406002384 O-2384 SODIUM NITROPRUSSIDE 50 MG INJECT Unit 95.49 (IP)406002386 I-2386 PROMETHAZINE HCL 50 MG INJECT Unit 15.74 (IJ)406002386 O-2386 PROMETHAZINE HCL 50 MG INJECT Unit 15.74 (IJ)406002388 I-2388 GLYCOPYRROLATE INJECT Pkg 38.74 (IJ)406002388 O-2388 GLYCOPYRROLATE INJECT Pkg 38.74 (IJ)406002389 I-2389 LORAZEPAM 20 MG INJECT Unit 11.99 (IP)406002389 O-2389 LORAZEPAM 20 MG INJECT Unit 11.99 (IP)406002390 I-2390 LORAZEPAM 2 MG INJECT Unit 14.74 (IP)406002390 O-2390 LORAZEPAM 2 MG INJECT Unit 14.74 (IP)406002391 I-2391 MIDAZOLAM HCL 2 MG INJECT Pkg 9.99 (IJ)406002391 O-2391 MIDAZOLAM HCL 2 MG INJECT Pkg 9.99 (IJ)406002392 I-2392 MIDAZOLAM HCL 5 MG INJECT Unit 5.49 (IP)406002392 O-2392 MIDAZOLAM HCL 5 MG INJECT Unit 5.49 (IP)406002394 I-2394 FAT EMULSION 10% INJECT Pkg 229.74 (IP)406002394 O-2394 FAT EMULSION 10% INJECT Pkg 229.74 (IP)406002396 I-2396 NADOLOL 40 MG TABLET Unit 7.99 (ME)406002396 O-2396 NADOLOL 40 MG TABLET Unit 7.99 (ME)406002397 I-2397 BACLOFEN 10 MG TABLET Unit 5.49 (ME)406002397 O-2397 BACLOFEN 10 MG TABLET Unit 5.49 (ME)406002398 I-2398 ADENOSINE 60 MG INJECT Pkg 811.49 (IP)406002398 O-2398 ADENOSINE 60 MG INJECT Pkg 811.49 (IP)406002399 I-2399 VORICONAZOLE 200 MG INJECT Unit 602.49 (IP)

406002399 O-2399 VORICONAZOLE 200 MG INJECT Unit 602.49 (IP)406002403 I-2403 CLOTRIMAZOLE-BETAMETHASO CREAM Pkg 362.99 (TO)406002403 O-2403 CLOTRIMAZOLE-BETAMETHASO CREAM Pkg 362.99 (TO)406002407 I-2407 KETOCONAZOLE 2% CREAM Unit 6.99 (TO)406002407 O-2407 KETOCONAZOLE 2% CREAM Unit 6.99 (TO)406002408 I-2408 CASPOFUNGIN ACETATE 70 MG INJECT Unit 1436.49 (IP)406002408 O-2408 CASPOFUNGIN ACETATE 70 MG INJECT Unit 1436.49 (IP)406002409 I-2409 GLIPIZIDE 10 MG TABLET Unit 5.49 (ME)406002409 O-2409 GLIPIZIDE 10 MG TABLET Unit 5.49 (ME)406002410 I-2410 CASPOFUNGIN ACETATE 50 MG INJECT Pkg 1382.49 (IP)406002410 O-2410 CASPOFUNGIN ACETATE 50 MG INJECT Pkg 1382.49 (IP)406002411 I-2411 PSEUDOEPHEDRINE HCL 60 MG TABLET Unit 5.49 (ME)406002411 O-2411 PSEUDOEPHEDRINE HCL 60 MG TABLET Unit 5.49 (ME)406002412 I-2412 BACITRACIN 500 UNIT OINTME Unit 96.74 (TO)406002412 O-2412 BACITRACIN 500 UNIT OINTME Unit 96.74 (TO)406002413 I-2413 FAT EMULSION 20% INJECT Unit 5.49 (IP)406002413 O-2413 FAT EMULSION 20% INJECT Unit 5.49 (IP)406002415 I-2415 TEGASEROD HYDROGEN MALEA 6 MG TABLET Unit 19.99 (ME)406002415 O-2415 TEGASEROD HYDROGEN MALEA 6 MG TABLET Unit 19.99 (ME)406002417 I-2417 IMMUNOGLOBULIN 12 GM INJECT Pkg 4133.49 (IP)406002417 O-2417 IMMUNOGLOBULIN 12 GM INJECT Pkg 4133.49 (IP)406002418 I-2418 CHLORAMPHENICOL NA SUCCI 1 G INJECT Unit 48.99 (IP)406002418 O-2418 CHLORAMPHENICOL NA SUCCI 1 G INJECT Unit 48.99 (IP)406002419 I-2419 COLISTIMETHATE (BASE) 150 MG INJECT Unit 322.49 (IP)406002419 O-2419 COLISTIMETHATE (BASE) 150 MG INJECT Unit 322.49 (IP)406002420 I-2420 CALAMINE-ZINC OXIDE OINTME Pkg 30.99 (TO)406002420 O-2420 CALAMINE-ZINC OXIDE OINTME Pkg 5.49 (TO)406002421 I-2421 MODAFINIL 100 MG TABLET Unit 104.49 (ME)406002421 O-2421 MODAFINIL 100 MG TABLET Unit 104.49 (ME)406002423 I-2423 METOPROLOL SUCCINATE 25 MG TABLET Unit 9.49 (ME)406002423 O-2423 METOPROLOL SUCCINATE 25 MG TABLET Unit 9.49 (ME)406002425 I-2425 METOPROLOL TARTRATE 25 MG TABLET Unit 5.49 (ME)406002425 O-2425 METOPROLOL TARTRATE 25 MG TABLET Unit 5.49 (ME)406002429 I-2429 TOLTERODINE TARTRATE 2 MG CAPSUL Unit 36.99 (ME)406002429 O-2429 TOLTERODINE TARTRATE 2 MG CAPSUL Unit 36.99 (ME)406002430 I-2430 ALBUTEROL-IPRATROPIUM SOLUTI Unit 6.74 (OL)406002430 O-2430 ALBUTEROL-IPRATROPIUM SOLUTI Unit 6.74 (OL)406002432 I-2432 DROTRECOGIN ALFA 20 MG INJECT Pkg 5677.74 (IP)406002432 O-2432 DROTRECOGIN ALFA 20 MG INJECT Pkg 5677.74 (IP)406002433 I-2433 SPECIAL PROCEDURES BOX 1 Unit 5.49 (ME)406002433 O-2433 SPECIAL PROCEDURES BOX 1 Unit 5.49 (ME)406002434 I-2434 SPECIAL PROCEDURES BOX 2 Unit 5.49 (ME)406002434 O-2434 SPECIAL PROCEDURES BOX 2 Unit 5.49 (ME)406002435 I-2435 SENNA 8.6 MG TABLET Unit 5.49 (ME)406002435 O-2435 SENNA 8.6 MG TABLET Unit 5.49 (ME)406002436 I-2436 HYDROMORPHONE 10 MG INJECT Unit 15.99 (IJ)406002436 O-2436 HYDROMORPHONE 10 MG INJECT Unit 15.99 (IJ)406002437 I-2437 CEFOTAXIME SODIUM 2 G INJECT Unit 30.24 (IP)406002437 O-2437 CEFOTAXIME SODIUM 2 G INJECT Unit 30.24 (IP)406002439 I-2439 TIOTROPIUM BROMIDE POWD C Pkg 328.49 (ME)406002439 O-2439 TIOTROPIUM BROMIDE POWD C Pkg 328.49 (ME)406002440 I-2440 CHLORPHENIRAMINE MALEATE 4 MG TABLET Unit 5.49 (ME)406002440 O-2440 CHLORPHENIRAMINE MALEATE 4 MG TABLET Unit 5.49 (ME)406002442 I-2442 DEFEROXAMINE MESYLATE 2 G INJECT Unit 318.99 (IJ)406002442 O-2442 DEFEROXAMINE MESYLATE 2 G INJECT Unit 318.99 (IJ)406002443 I-2443 GENTAMICIN IN NS 80 MG INJECT Pkg 21.49 (IP)406002443 O-2443 GENTAMICIN IN NS 80 MG INJECT Pkg 21.49 (IP)406002444 I-2444 INFLUENZA VIRUS VACCINE INJ SY Pkg 72.49 (IJ)406002444 O-2444 INFLUENZA VIRUS VACCINE INJ SY Pkg 72.49 (IJ)406002446 I-2446 SILDENAFIL CITRATE 25 MG TABLET Unit 121.74 (ME)406002446 O-2446 SILDENAFIL CITRATE 25 MG TABLET Unit 121.74 (ME)406002447 I-2447 CEFAZOLIN SODIUM 1 G INJECT Pkg 17.03 (IP)406002447 O-2447 CEFAZOLIN SODIUM 1 G INJECT Pkg 10.49 (IP)406002448 I-2448 CEFTRIAXONE ADV 1 G INJECT Unit 42.74 (IP)406002448 O-2448 CEFTRIAXONE ADV 1 G INJECT Unit 42.74 (IP)

406002450 I-2450 RABIES VACCINE 2.5 UNIT INJECT Unit 776.74 (IJ)406002450 O-2450 RABIES VACCINE 2.5 UNIT INJECT Unit 776.74 (IJ)406002451 I-2451 GENTAMICIN SULFATE 60 MG INJECT Pkg 49.74 (IP)406002451 O-2451 GENTAMICIN SULFATE 60 MG INJECT Pkg 49.74 (IP)406002452 I-2452 CEFOXITIN SODIUM 1 G INJECT Pkg 49.24 (IP)406002452 O-2452 CEFOXITIN SODIUM 1 G INJECT Pkg 49.24 (IP)406002453 I-2453 LEVETIRACETAM 500 MG TABLET Unit 5.49 (ME)406002453 O-2453 LEVETIRACETAM 500 MG TABLET Unit 5.49 (ME)406002455 I-2455 VITAMIN A&D OINTME Pkg 5.49 (TO)406002455 O-2455 VITAMIN A&D OINTME Pkg 5.49 (TO)406002456 I-2456 FLUNISOLIDE 29 MCG SPRAY Pkg 259.24 (TO)406002456 O-2456 FLUNISOLIDE 29 MCG SPRAY Pkg 259.24 (TO)406002458 I-2458 EPOETIN ALFA HUMAN 20000 UN INJECT Unit 1326.49 (ME)406002458 O-2458 EPOETIN ALFA HUMAN 20000 UN INJECT Unit 1326.49 (ME)406002463 I-2463 HUMALOG MIX 75/25 INJ RE Pkg 544.99 (IJ)406002463 O-2463 HUMALOG MIX 75/25 INJ RE Pkg 544.99 (IJ)406002465 I-2465 PHENOBARBITAL SODIUM 65 MG INJECT Unit 11.74 (IP)406002465 O-2465 PHENOBARBITAL SODIUM 65 MG INJECT Unit 11.74 (IP)406002467 I-2467 CINACALET HCL 30 MG TABLET Unit 95.99 (ME)406002467 O-2467 CINACALET HCL 30 MG TABLET Unit 95.99 (ME)406002468 I-2468 MUCINEX 600 MG TABLET Unit 5.49 (ME)406002468 O-2468 MUCINEX 600 MG TABLET Unit 5.49 (ME)406002469 I-2469 MESALAMINE 500 MG SUPPOS Unit 36.24 (TO)406002469 O-2469 MESALAMINE 500 MG SUPPOS Unit 36.24 (TO)406002470 I-2470 SODIUM BICARBONATE 650 MG TABLET Unit 5.49 (ME)406002470 O-2470 SODIUM BICARBONATE 650 MG TABLET Unit 5.49 (ME)406002471 I-2471 PHENYTOIN SODIUM 100 MG CAPSUL Unit 5.49 (ME)406002471 O-2471 PHENYTOIN SODIUM 100 MG CAPSUL Unit 5.49 (ME)406002472 I-2472 PROCHLORPERAZINE 10 MG INJECT Unit 12.99 (IJ)406002472 O-2472 PROCHLORPERAZINE 10 MG INJECT Unit 12.99 (IJ)406002474 I-2474 VERAPAMIL HCL 80 MG TABLET Unit 5.49 (ME)406002474 O-2474 VERAPAMIL HCL 80 MG TABLET Unit 5.49 (ME)406002475 I-2475 VERAPAMIL HCL 180 MG TABLET Unit 8.74 (ME)406002475 O-2475 VERAPAMIL HCL 180 MG TABLET Unit 8.74 (ME)406002476 I-2476 MORPHINE SULFATE PCA 30 MG INJECT Pkg 65.49 (IP)406002476 O-2476 MORPHINE SULFATE PCA 30 MG INJECT Pkg 65.49 (IP)406002478 I-2478 POLYMYXIN B-TRIMETHOPRIM SOLUTI Pkg 79.24 (TO)406002478 O-2478 POLYMYXIN B-TRIMETHOPRIM SOLUTI Pkg 79.24 (TO)406002479 I-2479 URINARY ANTISEPTIC TABLET Unit 5.99 (ME)406002479 O-2479 URINARY ANTISEPTIC TABLET Unit 5.99 (ME)406002481 I-2481 ERYTHROMYCIN ETHYLSUCCIN 200 MG SUSPEN Unit 124.74 (OL)406002481 O-2481 ERYTHROMYCIN ETHYLSUCCIN 200 MG SUSPEN Unit 124.74 (OL)406002482 I-2482 HYDROMORPHONE 2 MG INJECT Unit 8.24 (IP)406002482 O-2482 HYDROMORPHONE 2 MG INJECT Unit 8.24 (IP)406002484 I-2484 TETRACAINE 0.50% SOLUTI Unit 31.49 (TO)406002484 O-2484 TETRACAINE 0.50% SOLUTI Unit 31.49 (TO)406002485 I-2485 ERYTHROMYCIN ETHYLSUCCIN 200 MG SUSPEN Unit 226.24 (OL)406002485 O-2485 ERYTHROMYCIN ETHYLSUCCIN 200 MG SUSPEN Unit 226.24 (OL)406002489 I-2489 SEVOFLURANE LIQUID Pkg406002489 O-2489 SEVOFLURANE LIQUID Pkg 769.99 (OL)406002491 I-2491 SODIUM CHLORIDE 0.90% INJECT Pkg 11.74 (IP)406002491 O-2491 SODIUM CHLORIDE 0.90% INJECT Pkg 11.74 (IP)406002492 I-2492 CALCIUM CHLORIDE 1 GM INJECT Unit 5.49 (IP)406002492 O-2492 CALCIUM CHLORIDE 1 GM INJECT Unit 5.49 (IP)406002493 I-2493 GENTAMICIN 800 MG INJECT Unit 5.99 (IP)406002493 O-2493 GENTAMICIN 800 MG INJECT Unit 5.99 (IP)406002495 I-2495 POTASSIUM CHLORIDE 40 MEQ INJECT Unit 5.49 (IP)406002495 O-2495 POTASSIUM CHLORIDE 40 MEQ INJECT Unit 5.49 (IP)406002497 I-2497 MUPIROCIN 2% OINTME Pkg 230.49 (TO)406002497 O-2497 MUPIROCIN 2% OINTME Pkg 230.49 (TO)406002500 I-2500 ERYTHROMYCIN 0.50% OINTME Unit 109.74 (TO)406002500 O-2500 ERYTHROMYCIN 0.50% OINTME Unit 109.74 (TO)406002501 I-2501 EPLERENONE 25 MG TABLET Unit 36.74 (ME)406002501 O-2501 EPLERENONE 25 MG TABLET Unit 36.74 (ME)406002504 I-2504 EPOPROSTENOL SODIUM 500 MCG INJECT Unit 121.24 (IP)

406002504 O-2504 EPOPROSTENOL SODIUM 500 MCG INJECT Unit 121.24 (IP)406002505 I-2505 SODIUM CHLORIDE INJECT Pkg 99.49 (IP)406002505 O-2505 SODIUM CHLORIDE INJECT Pkg 99.49 (IP)406002506 I-2506 FLUTICASONE PROPIONATE 1 AEROSO Pkg 80.99 (ME)406002506 O-2506 FLUTICASONE PROPIONATE 1 AEROSO Pkg 80.99 (ME)406002507 I-2507 FLUTICASONE PROPIONATE 2 AEROSO Pkg 873.49 (ME)406002507 O-2507 FLUTICASONE PROPIONATE 2 AEROSO Pkg 873.49 (ME)406002510 I-2510 IMMUNOGLOBULIN 5% INJECT Unit 33.74 (IP)406002510 O-2510 IMMUNOGLOBULIN 5% INJECT Unit 33.74 (IP)406002512 I-2512 ENTACAPONE 200 MG TABLET Unit 26.74 (ME)406002512 O-2512 ENTACAPONE 200 MG TABLET Unit 26.74 (ME)406002513 I-2513 VANCOMYCIN HCL 750 MG INJECT Pkg 37.74 (IP)406002513 O-2513 VANCOMYCIN HCL 750 MG INJECT Pkg 37.74 (IP)406002514 I-2514 MEGACE 400 MG SUSPEN Pkg 29.49 (OL)406002514 O-2514 MEGACE 400 MG SUSPEN Pkg 29.49 (OL)406002516 I-2516 SODIUM CHLORIDE 0.90% INJECT Pkg 57.49 (IP)406002516 O-2516 SODIUM CHLORIDE 0.90% INJECT Pkg 57.49 (IP)406002517 I-2517 KETOROLAC TROMETHAMINE 0.50% SOLUTI Pkg 539.99 (TO)406002517 O-2517 KETOROLAC TROMETHAMINE 0.50% SOLUTI Pkg 539.99 (TO)406002518 I-2518 OLOPATADINE HCL 0.10% SOLUTI Pkg 515.74 (TO)406002518 O-2518 OLOPATADINE HCL 0.10% SOLUTI Pkg 515.74 (TO)406002519 I-2519 TRIAMCINOLONE ACETONIDE 0.03% OINTME Pkg 39.49 (TO)406002519 O-2519 TRIAMCINOLONE ACETONIDE 0.03% OINTME Pkg 39.49 (TO)406002520 I-2520 TIGECYCLINE 50 MG INJECT Unit 347.49 (IP)406002520 O-2520 TIGECYCLINE 50 MG INJECT Unit 347.49 (IP)406002521 I-2521 POST OPEN HEART MEDICATI Unit 5.49 (IP)406002521 O-2521 POST OPEN HEART MEDICATI Unit 5.49 (IP)406002522 I-2522 TERBUTALINE SULFATE 5 MG TABLET Unit 5.49 (ME)406002522 O-2522 TERBUTALINE SULFATE 5 MG TABLET Unit 5.49 (ME)406002523 I-2523 PIPERACILLIN-TAZOBACTAM 3.375 G INJECT Pkg 110.99 (IP)406002523 O-2523 PIPERACILLIN-TAZOBACTAM 3.375 G INJECT Pkg 110.99 (IP)406002524 I-2524 INDIGO CARMINE 0.80% INJECT Unit 12.49 (IP)406002524 O-2524 INDIGO CARMINE 0.80% INJECT Unit 12.49 (IP)406002525 I-2525 VASOPRESSIN 200 UNIT INJECT Unit 13.24 (IJ)406002525 O-2525 VASOPRESSIN 200 UNIT INJECT Unit 13.24 (IJ)406002526 I-2526 VORICONAZOLE 200 MG TABLET Unit 281.24 (ME)406002526 O-2526 VORICONAZOLE 200 MG TABLET Unit 281.24 (ME)406002527 I-2527 SODIUM CHLORIDE 0.90% INJECT Unit 5.49 (IP)406002527 O-2527 SODIUM CHLORIDE 0.90% INJECT Unit 5.49 (IP)406002528 I-2528 METRONIDAZOLE 0.75% GEL Pkg 181.99 (TO)406002528 O-2528 METRONIDAZOLE 0.75% GEL Pkg 181.99 (TO)406002529 I-2529 ARGATROBAN 100 MG INJECT Pkg 5375.49 (IP)406002529 O-2529 ARGATROBAN 100 MG INJECT Pkg 5375.49 (IP)406002530 I-2530 DORNASE ALFA RECOMBINANT 2.5 MG SOLUTI Pkg 358.99 (OL)406002530 O-2530 DORNASE ALFA RECOMBINANT 2.5 MG SOLUTI Pkg 358.99 (OL)406002532 I-2532 DOFETILIDE 500 MCG CAPSUL Unit 28.74 (ME)406002532 O-2532 DOFETILIDE 500 MCG CAPSUL Unit 28.74 (ME)406002533 I-2533 D5%/NS 0.45% + 30MEQ KCL INJECT Pkg 70.24 (IP)406002533 O-2533 D5%/NS 0.45% + 30MEQ KCL INJECT Pkg 70.24 (IP)406002534 I-2534 CEFEPIME 2 G INJECT Pkg 232.24 (IP)406002534 O-2534 CEFEPIME 2 G INJECT Pkg 232.24 (IP)406002535 I-2535 CHLORDIAZEPOXIDE HCL 10 MG CAPSUL Unit 5.49 (ME)406002535 O-2535 CHLORDIAZEPOXIDE HCL 10 MG CAPSUL Unit 5.49 (ME)406002536 I-2536 VALPROATE SODIUM 50 MG ELIXIR Unit 5.49 (OL)406002536 O-2536 VALPROATE SODIUM 50 MG ELIXIR Unit 5.49 (OL)406002537 I-2537 GALANTAMINE HYDROBROMIDE 8 MG TABLET Unit 26.74 (ME)406002537 O-2537 GALANTAMINE HYDROBROMIDE 8 MG TABLET Unit 26.74 (ME)406002538 I-2538 QUETIAPINE FUMARATE 200 MG TABLET Unit 73.74 (ME)406002538 O-2538 QUETIAPINE FUMARATE 200 MG TABLET Unit 73.74 (ME)406002539 I-2539 PERMETHRIN 1% LOTION Unit 5.49 (TO)406002539 O-2539 PERMETHRIN 1% LOTION Unit 5.49 (TO)406002540 I-2540 ROPINIROLE HCL 0.5 MG TABLET Unit 17.74 (ME)406002540 O-2540 ROPINIROLE HCL 0.5 MG TABLET Unit 17.74 (ME)406002541 I-2541 POLYMYXIN B SULFATE 500 MU INJECT Pkg 55.49 (IP)406002541 O-2541 POLYMYXIN B SULFATE 500 MU INJECT Pkg 55.49 (IP)

406002543 I-2543 MYCOPHENOLATE SODIUM 180 MG TABLET Unit 28.49 (ME)406002543 O-2543 MYCOPHENOLATE SODIUM 180 MG TABLET Unit 28.49 (ME)406002544 I-2544 EFAVIRENZ 200 MG CAPSUL Unit 47.49 (ME)406002544 O-2544 EFAVIRENZ 200 MG CAPSUL Unit 47.49 (ME)406002545 I-2545 CYCLOSPORINE (MODIFIED) 100 MG CAPSUL Unit 38.24 (ME)406002545 O-2545 CYCLOSPORINE (MODIFIED) 100 MG CAPSUL Unit 38.24 (ME)406002546 I-2546 CROTAMITON 10% CREAM Pkg 95.99 (TO)406002546 O-2546 CROTAMITON 10% CREAM Pkg 95.99 (TO)406002548 I-2548 DRESSING CHANGE Unit406002548 O-2548 DRESSING CHANGE Unit406002549 I-2549 DRONABINOL 2.5 MG CAPSUL Unit 5.49 (ME)406002549 O-2549 DRONABINOL 2.5 MG CAPSUL Unit 5.49 (ME)406002550 I-2550 POTASSIUM IODIDE-IODINE SOLUTI Pkg 124.24 (TO)406002550 O-2550 POTASSIUM IODIDE-IODINE SOLUTI Pkg 124.24 (TO)406002551 I-2551 BUPIVACAINE-EPINEPHRINE INJECT Pkg 49.49 (IJ)406002551 O-2551 BUPIVACAINE-EPINEPHRINE INJECT Pkg 49.49 (IJ)406002552 I-2552 MEMANTINE HCL 10 MG TABLET Unit 26.74 (ME)406002552 O-2552 MEMANTINE HCL 10 MG TABLET Unit 26.74 (ME)406002553 I-2553 SODIUM THIOSULFATE 12.5 G INJECT Pkg 126.99 (IP)406002553 O-2553 SODIUM THIOSULFATE 12.5 G INJECT Pkg 126.99 (IP)406002554 I-2554 CALCITRIOL 1 MCG INJECT Unit 86.49 (IP)406002554 O-2554 CALCITRIOL 1 MCG INJECT Unit 86.49 (IP)406002558 I-2558 COLCHICINE 0.5 MG INJECT Pkg 47.99 (IP)406002558 O-2558 COLCHICINE 0.5 MG INJECT Pkg 47.99 (IP)406002559 I-2559 TIGECYCLINE LOADING DOSE 100 MG INJECT Unit 347.49 (IP)406002559 O-2559 TIGECYCLINE LOADING DOSE 100 MG INJECT Unit 347.49 (IP)406002560 I-2560 LEVOFLOXACIN-DEXTROSE 750 MG INJECT Pkg 606.74 (IP)406002560 O-2560 LEVOFLOXACIN-DEXTROSE 750 MG INJECT Pkg 5.49 (IP)406002561 2561 MESALAMINE 500 MG CAPSUL Unit 12.24 (ME)406002562 I-2562 TOPIRAMATE 100 MG TABLET Unit 77.74 (ME)406002562 O-2562 TOPIRAMATE 100 MG TABLET Unit 77.74 (ME)406002563 I-2563 FENTANYL 1000 MCG INJECT Pkg 304.24 (IP)406002563 O-2563 FENTANYL 1000 MCG INJECT Pkg 304.24 (IP)406002564 I-2564 CYANOCOBALAMIN 1 MG TABLET Unit 5.49 (ME)406002564 O-2564 CYANOCOBALAMIN 1 MG TABLET Unit 5.49 (ME)406002566 I-2566 DROTRECOGIN ALFA 5 MG INJECT Pkg 1419.99 (IP)406002566 O-2566 DROTRECOGIN ALFA 5 MG INJECT Pkg 1419.99 (IP)406002567 I-2567 MAGNESIUM IONS-POTASSIUM INJECT Pkg 102.99 (IP)406002567 O-2567 MAGNESIUM IONS-POTASSIUM INJECT Pkg 102.99 (IP)406002568 I-2568 URSODIOL 300 MG CAPSUL Unit 19.99 (ME)406002568 O-2568 URSODIOL 300 MG CAPSUL Unit 19.99 (ME)406002569 I-2569 RALOXIFENE HCL 60 MG TABLET Unit 35.49 (ME)406002569 O-2569 RALOXIFENE HCL 60 MG TABLET Unit 35.49 (ME)406002570 I-2570 STREPTOMYCIN SULFATE 1 G INJECT Pkg 62.74 (IJ)406002570 O-2570 STREPTOMYCIN SULFATE 1 G INJECT Pkg 62.74 (IJ)406002572 I-2572 PRAMIPEXOLE DIHYDROCHLOR 1.5 MG TABLET Unit 27.74 (ME)406002572 O-2572 PRAMIPEXOLE DIHYDROCHLOR 1.5 MG TABLET Unit 27.74 (ME)406002573 I-2573 PARICALCITOL 2 MCG CAPSUL Unit 119.99 (ME)406002573 O-2573 PARICALCITOL 2 MCG CAPSUL Unit 119.99 (ME)406002574 I-2574 PRIMAQUINE PHOSPHATE 26.3 MG TABLET Unit 11.74 (ME)406002574 O-2574 PRIMAQUINE PHOSPHATE 26.3 MG TABLET Unit 11.74 (ME)406002575 I-2575 DISOPYRAMIDE PHOSPHATE 150 MG CAPSUL Unit 6.24 (ME)406002575 O-2575 DISOPYRAMIDE PHOSPHATE 150 MG CAPSUL Unit 6.24 (ME)406002576 I-2576 PERINDOPRIL ERBUMINE 4 MG TABLET Unit 23.49 (ME)406002576 O-2576 PERINDOPRIL ERBUMINE 4 MG TABLET Unit 23.49 (ME)406002577 I-2577 ESCITALOPRAM OXALATE 10 MG TABLET Unit 29.24 (ME)406002577 O-2577 ESCITALOPRAM OXALATE 10 MG TABLET Unit 29.24 (ME)406002579 I-2579 DARBEPOETIN ALFA 200 MCG INJECT Pkg 4043.49 (IJ)406002579 O-2579 DARBEPOETIN ALFA 200 MCG INJECT Pkg 4043.49 (IJ)406002580 I-2580 OPRELVEKIN 5 MG INJECT Pkg 1002.24 (IJ)406002580 O-2580 OPRELVEKIN 5 MG INJECT Pkg 1002.24 (IJ)406002581 I-2581 SKIN EMOLLIENT OINTME Pkg 75.24 (TO)406002581 O-2581 SKIN EMOLLIENT OINTME Pkg 75.24 (TO)406002583 I-2583 PREGABALIN 75 MG CAPSUL Unit 21.74 (ME)406002583 O-2583 PREGABALIN 75 MG CAPSUL Unit 21.74 (ME)

406002584 I-2584 NS 0.45% + 20MEQ KCL INJECT Pkg 73.74 (IP)406002584 O-2584 NS 0.45% + 20MEQ KCL INJECT Pkg 73.74 (IP)406002586 I-2586 PREGABALIN 50 MG CAPSUL Unit 14.49 (ME)406002586 O-2586 PREGABALIN 50 MG CAPSUL Unit 14.49 (ME)406002587 I-2587 PRAMIPEXOLE DIHYDROCHLOR 1 MG TABLET Unit 28.99 (ME)406002587 O-2587 PRAMIPEXOLE DIHYDROCHLOR 1 MG TABLET Unit 28.99 (ME)406002588 I-2588 SULFAMETHOXAZOLE-TRIMETH SUSPEN Unit 5.49 (OL)406002588 O-2588 SULFAMETHOXAZOLE-TRIMETH SUSPEN Unit 5.49 (OL)406002589 I-2589 IMATINIB MESYLATE 400 MG TABLET Unit 830.74 (ME)406002589 O-2589 IMATINIB MESYLATE 400 MG TABLET Unit 830.74 (ME)406002590 I-2590 CYCLOSPORINE 0.05% EMULSI Unit 25.74 (TO)406002590 O-2590 CYCLOSPORINE 0.05% EMULSI Unit 25.74 (TO)406002591 I-2591 ARFORMOTEROL TARTRATE 15 MCG SOLUTI Pkg 49.24 (OL)406002591 O-2591 ARFORMOTEROL TARTRATE 15 MCG SOLUTI Pkg 49.24 (OL)406002592 I-2592 TETANUS IMMUNE GLOBULIN 250 UNIT INJECT Pkg 1216.74 (IJ)406002592 O-2592 TETANUS IMMUNE GLOBULIN 250 UNIT INJECT Pkg 1216.74 (IJ)406002593 I-2593 ATROPINE SULFATE 1% SOLUTI Pkg 137.74 (TO)406002593 O-2593 ATROPINE SULFATE 1% SOLUTI Pkg 137.74 (TO)406002594 I-2594 EVICEL FIBRIN SEALAN SOLUTI Pkg 1023.49 (TO)406002594 O-2594 EVICEL FIBRIN SEALAN SOLUTI Pkg 1023.49 (TO)406002595 I-2595 IMIPRAMINE HCL 50 MG TABLET Unit 8.99 (ME)406002595 O-2595 IMIPRAMINE HCL 50 MG TABLET Unit 8.99 (ME)406002596 I-2596 ABACAVIR 300 MG TABLET Unit 65.74 (ME)406002596 O-2596 ABACAVIR 300 MG TABLET Unit 65.74 (ME)406002597 I-2597 LAMIVUDINE 10 MG ELIXIR Pkg 488.99 (OL)406002597 O-2597 LAMIVUDINE 10 MG ELIXIR Pkg 488.99 (OL)406002598 I-2598 DIDANOSINE 125 MG CAPSUL Unit 32.24 (ME)406002598 O-2598 DIDANOSINE 125 MG CAPSUL Unit 32.24 (ME)406002599 I-2599 MEMANTINE HCL 5 MG TABLET Unit 26.74 (ME)406002599 O-2599 MEMANTINE HCL 5 MG TABLET Unit 26.74 (ME)406002600 I-2600 KETAMINE 200 MG INJECT Unit 69.49 (IP)406002600 O-2600 KETAMINE 200 MG INJECT Unit 5.49 (IP)406002601 I-2601 AMIKACIN SULFATE 250 MG INJECT Unit 15.74 (IP)406002601 O-2601 AMIKACIN SULFATE 250 MG INJECT Unit 15.74 (IP)406002602 I-2602 CLOSTRIDIUM BOTULINUM TO 100 UNIT INJECT Pkg 2148.99 (IJ)406002602 O-2602 CLOSTRIDIUM BOTULINUM TO 100 UNIT INJECT Pkg 2148.99 (IJ)406002603 I-2603 MYCOPHENOLATE MOFETIL 500 MG TABLET Unit 65.74 (ME)406002603 O-2603 MYCOPHENOLATE MOFETIL 500 MG TABLET Unit 65.74 (ME)406002604 I-2604 PHARMACY KEY Unit406002604 O-2604 PHARMACY KEY Unit406002605 I-2605 ALBUMIN 5% INJECT Pkg 331.24 (IP)406002605 O-2605 ALBUMIN 5% INJECT Pkg 331.24 (IP)406002606 I-2606 DAPTOMYCIN 500 MG INJECT Pkg 1049.24 (IP)406002606 O-2606 DAPTOMYCIN 500 MG INJECT Pkg 1049.24 (IP)406002608 I-2608 EPOETIN ALFA HUMAN RECOM INJECT Pkg 762.74 (ME)406002608 O-2608 EPOETIN ALFA HUMAN RECOM INJECT Pkg 762.74 (ME)406002609 I-2609 DISULFIRAM 250 MG TABLET Unit 31.74 (ME)406002609 O-2609 DISULFIRAM 250 MG TABLET Unit 31.74 (ME)406002610 I-2610 ANIDULAFUNGIN 100 MG INJECT Unit 847.24 (IP)406002610 O-2610 ANIDULAFUNGIN 100 MG INJECT Unit 847.24 (IP)406002611 I-2611 PRAMIPEXOLE DIHYDROCHLOR 0.25 MG TABLET Unit 27.74 (ME)406002611 O-2611 PRAMIPEXOLE DIHYDROCHLOR 0.25 MG TABLET Unit 27.74 (ME)406002612 I-2612 BOSENTAN 62.5 MG TABLET Unit 488.99 (ME)406002612 O-2612 BOSENTAN 62.5 MG TABLET Unit 488.99 (ME)406002613 I-2613 CARVEDILOL PHOSPHATE 10 MG CAP DU Unit 33.99 (ME)406002613 O-2613 CARVEDILOL PHOSPHATE 10 MG CAP DU Unit 33.99 (ME)406002614 I-2614 CONIVAPTAN 20 MG INJECT Pkg 2149.99 (IP)406002614 O-2614 CONIVAPTAN 20 MG INJECT Pkg 2149.99 (IP)406002615 I-2615 MIDAZOLAM DRIP 100 MG INJECT Pkg 365.74 (IP)406002615 O-2615 MIDAZOLAM DRIP 100 MG INJECT Pkg 365.74 (IP)406002616 I-2616 CLINDAMYCIN PHOSPHATE 900 MG INJECT Pkg 113.74 (IP)406002616 O-2616 CLINDAMYCIN PHOSPHATE 900 MG INJECT Pkg 113.74 (IP)406002617 I-2617 AZITHROMYCIN 250 MG INJECT Pkg 31.24 (IP)406002617 O-2617 AZITHROMYCIN 250 MG INJECT Pkg 31.24 (IP)406002618 I-2618 REGULAR INSULIN 100 UNIT INJECT Pkg 45.99 (IP)

406002618 O-2618 REGULAR INSULIN 100 UNIT INJECT Pkg 45.99 (IP)406002619 2619 LANTHANUM CARBONATE 500 MG TABLET Unit 52.49 (ME)406002620 I-2620 METRONIDAZOLE 0.75% GEL Pkg 291.24 (TO)406002620 O-2620 METRONIDAZOLE 0.75% GEL Pkg 291.24 (TO)406002622 I-2622 SOLIFENACIN SUCCINATE 5 MG TABLET Unit 40.24 (ME)406002622 O-2622 SOLIFENACIN SUCCINATE 5 MG TABLET Unit 40.24 (ME)406002623 I-2623 PILOCARPINE HCL 4% SOLUTI Pkg 142.24 (TO)406002623 O-2623 PILOCARPINE HCL 4% SOLUTI Pkg 142.24 (TO)406002624 I-2624 DIPHTHERIA-PERTUSSIS-TET INJECT Pkg 236.74 (IJ)406002624 O-2624 DIPHTHERIA-PERTUSSIS-TET INJECT Pkg 236.74 (IJ)406002625 I-2625 CLOPIDOGREL BISULFATE 300 MG TABLET Unit 157.74 (ME)406002625 O-2625 CLOPIDOGREL BISULFATE 300 MG TABLET Unit 157.74 (ME)406002626 I-2626 METHYLNALTREXONE BR 12 MG INJECT Pkg 243.99 (IJ)406002626 O-2626 METHYLNALTREXONE BR 12 MG INJECT Pkg 243.99 (IJ)406002627 I-2627 LEUPROLIDE ACETATE 7.5 MG INJ SY Pkg 1682.49 (IJ)406002627 O-2627 LEUPROLIDE ACETATE 7.5 MG INJ SY Pkg 1682.49 (IJ)406002628 I-2628 ALISKIREN HEMIFUMARATE 150 MG TABLET Unit 22.99 (ME)406002628 O-2628 ALISKIREN HEMIFUMARATE 150 MG TABLET Unit 22.99 (ME)406002629 I-2629 NISOLDIPINE 8.5 MG TABLET Unit 52.74 (ME)406002629 O-2629 NISOLDIPINE 8.5 MG TABLET Unit 52.74 (ME)406002630 I-2630 ERGOCALCIFEROL 50 MU CAPSUL Unit 17.49 (ME)406002630 O-2630 ERGOCALCIFEROL 50 MU CAPSUL Unit 17.49 (ME)406002631 I-2631 LEVETIRACETAM 100 MG INJECT Unit 59.74 (IP)406002631 O-2631 LEVETIRACETAM 100 MG INJECT Unit 59.74 (IP)406002632 I-2632 AMINO ACID 5% DEXTROSE 2 INJECT Unit 5.49 (IP)406002632 O-2632 AMINO ACID 5% DEXTROSE 2 INJECT Unit 5.49 (IP)406002633 I-2633 BROMOCRIPTINE MESYLATE 2.5 MG TABLET Unit 15.49 (ME)406002633 O-2633 BROMOCRIPTINE MESYLATE 2.5 MG TABLET Unit 15.49 (ME)406002636 I-2636 TUBE FEEDING Unit406002636 O-2636 TUBE FEEDING Unit406002637 I-2637 RANOLAZINE 500 MG TABLET Unit 28.24 (ME)406002637 O-2637 RANOLAZINE 500 MG TABLET Unit 28.24 (ME)406002638 I-2638 TELMISARTAN 40 MG TABLET Unit 28.99 (ME)406002638 O-2638 TELMISARTAN 40 MG TABLET Unit 28.99 (ME)406002639 I-2639 AMINO ACID 5% DEXTROSE 2 INJECT Unit 5.49 (IP)406002639 O-2639 AMINO ACID 5% DEXTROSE 2 INJECT Unit 5.49 (IP)406002640 I-2640 AMINO ACIDS 4.25% DEXTRO INJECT Unit 5.49 (IP)406002640 O-2640 AMINO ACIDS 4.25% DEXTRO INJECT Unit 5.49 (IP)406002641 I-2641 AMINO ACID 5% DEXTROSE 2 INJECT Unit 5.49 (IP)406002641 O-2641 AMINO ACID 5% DEXTROSE 2 INJECT Unit 5.49 (IP)406002642 I-2642 AMINO ACIDS 5% DEXTROSE INJECT Unit 5.49 (IP)406002642 O-2642 AMINO ACIDS 5% DEXTROSE INJECT Unit 5.49 (IP)406002643 I-2643 AMINO ACID 4.25% DEXTROS INJECT Unit 5.49 (IP)406002643 O-2643 AMINO ACID 4.25% DEXTROS INJECT Unit 5.49 (IP)406002644 I-2644 LACTIC ACID 12% LOTION Pkg 71.24 (TO)406002644 O-2644 LACTIC ACID 12% LOTION Pkg 71.24 (TO)406002645 I-2645 SARGRAMOSTIM 500 MCG INJECT Unit 1321.24 (IP)406002645 O-2645 SARGRAMOSTIM 500 MCG INJECT Unit 1321.24 (IP)406002646 I-2646 SITAGLIPTIN PHOSPHATE 25 MG TABLET Unit 52.24 (ME)406002646 O-2646 SITAGLIPTIN PHOSPHATE 25 MG TABLET Unit 52.24 (ME)406002647 I-2647 MOXIFLOXACIN HCL 0.50% SOLUTI Pkg 429.49 (TO)406002647 O-2647 MOXIFLOXACIN HCL 0.50% SOLUTI Pkg 429.49 (TO)406002648 I-2648 PROPAFENONE HCL 325 MG CAPSUL Unit 52.49 (ME)406002648 O-2648 PROPAFENONE HCL 325 MG CAPSUL Unit 52.49 (ME)406002649 I-2649 NEBIVOLOL HCL 10 MG TABLET Unit 14.99 (ME)406002649 O-2649 NEBIVOLOL HCL 10 MG TABLET Unit 14.99 (ME)406002650 I-2650 CATHLAB TRAYS Pkg406002650 O-2650 CATHLAB TRAYS Pkg406002651 I-2651 OXCARBAZEPINE 300 MG TABLET Unit 18.74 (ME)406002651 O-2651 OXCARBAZEPINE 300 MG TABLET Unit 18.74 (ME)406002652 I-2652 OXCARBAZEPINE 150 MG TABLET Unit 10.49 (ME)406002652 O-2652 OXCARBAZEPINE 150 MG TABLET Unit 10.49 (ME)406002653 I-2653 TACROLIMUS 0.5 MG CAPSUL Unit 16.99 (ME)406002653 O-2653 TACROLIMUS 0.5 MG CAPSUL Unit 16.99 (ME)406002654 I-2654 VOLUVEN INJECT Pkg 258.24 (IP)

406002654 O-2654 VOLUVEN INJECT Pkg 258.24 (IP)406002655 I-2655 SEVELAMER CARBONATE 800 MG TABLET Unit 19.49 (ME)406002655 O-2655 SEVELAMER CARBONATE 800 MG TABLET Unit 19.49 (ME)406002656 I-2656 SPECIAL PROCEDURE BOX Pkg406002656 O-2656 SPECIAL PROCEDURE BOX Pkg406002658 I-2658 DRONEDARONE HCL 400 MG TABLET Unit 33.24 (ME)406002658 O-2658 DRONEDARONE HCL 400 MG TABLET Unit 33.24 (ME)406002659 I-2659 PRASUGREL HCL 10 MG TABLET Unit 46.99 (ME)406002659 O-2659 PRASUGREL HCL 10 MG TABLET Unit 46.99 (ME)406002660 I-2660 RIFAXIMIN 200 MG TABLET Unit 70.24 (ME)406002660 O-2660 RIFAXIMIN 200 MG TABLET Unit 70.24 (ME)406002661 I-2661 METRONIDAZOLE 250 MG INJECT Pkg 7.99 (IP)406002661 O-2661 METRONIDAZOLE 250 MG INJECT Pkg 7.99 (IP)406002662 I-2662 VANCOMYCIN HCL 250 MG INJECT Pkg 89.49 (ME)406002662 O-2662 VANCOMYCIN HCL 250 MG INJECT Pkg 29.99 (ME)406002663 I-2663 FLUCONAZOLE W/SALINE 100 MG INJECT Pkg 34.74 (IP)406002663 O-2663 FLUCONAZOLE W/SALINE 100 MG INJECT Pkg 34.74 (IP)406002664 I-2664 AMOXICILLIN-CLAVULANATE SUSPEN Unit 5.49 (OL)406002664 O-2664 AMOXICILLIN-CLAVULANATE SUSPEN Unit 5.49 (OL)406002665 I-2665 INFLUENZA A H1N1 VACC SP INJECT Unit 5.49 (IJ)406002665 O-2665 INFLUENZA A H1N1 VACC SP INJECT Unit 5.49 (IJ)406002666 I-2666 DORIPENEM MONOHYDRATE 500 MG INJECT Pkg 247.99 (IP)406002666 O-2666 DORIPENEM MONOHYDRATE 500 MG INJECT Pkg 247.99 (IP)406002667 I-2667 D5W/LR + 20MEQ 20 MEQ INJECT Pkg 24.49 (IP)406002667 O-2667 D5W/LR + 20MEQ 20 MEQ INJECT Pkg 24.49 (IP)406002668 I-2668 OCTREOTIDE ACETATE 200 MCG INJECT Unit 800.24 (IJ)406002668 O-2668 OCTREOTIDE ACETATE 200 MCG INJECT Unit 800.24 (IJ)406002669 I-2669 ACYCLOVIR 200 MG SUSPEN Unit 5.49 (OL)406002669 O-2669 ACYCLOVIR 200 MG SUSPEN Unit 5.49 (OL)406002670 I-2670 TOBRAMYCIN-DEXAMETHASONE SUSPEN Pkg 217.24 (TO)406002670 O-2670 TOBRAMYCIN-DEXAMETHASONE SUSPEN Pkg 217.24 (TO)406002671 I-2671 REGADENOSON 0.4 MG INJECT Pkg 879.24 (IP)406002671 O-2671 REGADENOSON 0.4 MG INJECT Pkg 879.24 (IP)406002672 I-2672 NIFEDIPINE 10 MG CAPSUL Unit 6.74 (ME)406002672 O-2672 NIFEDIPINE 10 MG CAPSUL Unit 6.74 (ME)406002673 I-2673 BETAMETHASONE NA PHOS-AC INJECT Pkg 228.49 (IV)406002673 O-2673 BETAMETHASONE NA PHOS-AC INJECT Pkg 228.49 (IV)406002674 I-2674 PRAVASTATIN SODIUM 20 MG TABLET Unit 22.99 (ME)406002674 O-2674 PRAVASTATIN SODIUM 20 MG TABLET Unit 22.99 (ME)406002675 I-2675 TIZANIDINE HCL 4 MG TABLET Unit 10.74 (ME)406002675 O-2675 TIZANIDINE HCL 4 MG TABLET Unit 10.74 (ME)406002676 I-2676 NEOMYCIN SULFATE-POLYMYX SOLUTI Pkg 133.74 (TO)406002676 O-2676 NEOMYCIN SULFATE-POLYMYX SOLUTI Pkg 133.74 (TO)406002677 I-2677 DUTASTERIDE 0.5 MG CAPSUL Unit 29.99 (ME)406002677 O-2677 DUTASTERIDE 0.5 MG CAPSUL Unit 29.99 (ME)406002678 I-2678 NALOXONE HCL 0.4 MG INJECT Pkg 234.49 (IP)406002678 O-2678 NALOXONE HCL 0.4 MG INJECT Pkg 234.49 (IP)406002680 I-2680 FEBUXOSTAT 40 MG TABLET Unit 39.99 (ME)406002680 O-2680 FEBUXOSTAT 40 MG TABLET Unit 39.99 (ME)406002681 I-2681 EXENATIDE 250 MCG INJ CA Pkg 1138.49 (IJ)406002681 O-2681 EXENATIDE 250 MCG INJ CA Pkg 1138.49 (IJ)406002682 I-2682 NEEDLE DISPOSABLE DISPOS Pkg 164.99 (ME)406002682 O-2682 NEEDLE DISPOSABLE DISPOS Pkg 164.99 (ME)406002683 I-2683 VALACYCLOVIR 500 MG TABLET Unit 51.74 (ME)406002683 O-2683 VALACYCLOVIR 500 MG TABLET Unit 51.74 (ME)406002684 I-2684 ATORVASTATIN CALCIUM 80 MG TABLET Unit 39.49 (ME)406002684 O-2684 ATORVASTATIN CALCIUM 80 MG TABLET Unit 39.49 (ME)406002686 I-2686 IMMUNOGLOBULIN RHO D 300 MCG INJECT Pkg 555.74 (IJ)406002686 O-2686 IMMUNOGLOBULIN RHO D 300 MCG INJECT Pkg 555.74 (IJ)406002687 2687 PHARMACY INTERVENTION Unit406002688 I-2688 INDAPAMIDE 2.5 MG TABLET Unit 6.24 (ME)406002688 O-2688 INDAPAMIDE 2.5 MG TABLET Unit 6.24 (ME)406002689 I-2689 LACTRODECTUS MACTANS ANT 2.4 MU INJECT Pkg 179.49 (IP)406002689 O-2689 LACTRODECTUS MACTANS ANT 2.4 MU INJECT Pkg 179.49 (IP)406002690 I-2690 TOPIRAMATE 25 MG TABLET Unit 17.99 (ME)

406002690 O-2690 TOPIRAMATE 25 MG TABLET Unit 17.99 (ME)406002691 I-2691 ARIPIPRAZOLE 2 MG TABLET Unit 118.24 (ME)406002691 O-2691 ARIPIPRAZOLE 2 MG TABLET Unit 118.24 (ME)406002692 I-2692 RIFAXIMIN 550 MG TABLET Unit 127.24 (ME)406002692 O-2692 RIFAXIMIN 550 MG TABLET Unit 127.24 (ME)406002693 I-2693 MOXIFLOXACIN HCL 400 MG INJECT Pkg 226.49 (IP)406002693 O-2693 MOXIFLOXACIN HCL 400 MG INJECT Pkg 226.49 (IP)406002694 I-2694 CLOTRIMAZOLE 1% SOLUTI Pkg 59.24 (TO)406002694 O-2694 CLOTRIMAZOLE 1% SOLUTI Pkg 59.24 (TO)406002695 I-2695 EMTRICITABINE-TENOFOVIR TABLET Unit 231.99 (ME)406002695 O-2695 EMTRICITABINE-TENOFOVIR TABLET Unit 231.99 (ME)406002696 I-2696 RITONAVIR 100 MG TABLET Unit 65.99 (ME)406002696 O-2696 RITONAVIR 100 MG TABLET Unit 65.99 (ME)406002697 I-2697 DARUNAVIR ETHANOLATE 400 MG TABLET Unit 113.24 (ME)406002697 O-2697 DARUNAVIR ETHANOLATE 400 MG TABLET Unit 113.24 (ME)406002698 I-2698 LEVETIRACETAM 100 MG LIQUID Unit 5.49 (OL)406002698 O-2698 LEVETIRACETAM 100 MG LIQUID Unit 5.49 (OL)406002699 I-2699 DIVALPROEX SODIUM 500 MG TABLET Unit 20.74 (ME)406002699 O-2699 DIVALPROEX SODIUM 500 MG TABLET Unit 20.74 (ME)406002700 I-2700 DIVALPROEX SODIUM 250 MG TABLET Unit 11.99 (ME)406002700 O-2700 DIVALPROEX SODIUM 250 MG TABLET Unit 11.99 (ME)406002701 I-2701 DABIGATRAN ETEXILATE MES 75 MG CAPSUL Unit 30.49 (ME)406002701 O-2701 DABIGATRAN ETEXILATE MES 75 MG CAPSUL Unit 30.49 (ME)406002702 I-2702 CEFTAROLINE FOSAMIL 600 MG INJECT Pkg 265.24 (IP)406002702 O-2702 CEFTAROLINE FOSAMIL 600 MG INJECT Pkg 265.24 (IP)406002703 I-2703 ROFLUMILAST 500 MCG TABLET Unit 46.99 (ME)406002703 O-2703 ROFLUMILAST 500 MCG TABLET Unit 44.49 (ME)406002704 I-2704 ETHOSUXIMIDE 250 MG CAPSUL Unit 9.74 (ME)406002704 O-2704 ETHOSUXIMIDE 250 MG CAPSUL Unit 9.74 (ME)406002705 I-2705 FLUCYTOSINE 500 MG CAPSUL Unit 250.74 (ME)406002705 O-2705 FLUCYTOSINE 500 MG CAPSUL Unit 250.74 (ME)406002706 I-2706 TELAVANCIN HCL 750 MG INJECT Unit 766.74 (IP)406002706 O-2706 TELAVANCIN HCL 750 MG INJECT Unit 766.74 (IP)406002707 I-2707 ACETYLCYSTEINE 200 MG INJECT Pkg 2962.99 (IP)406002707 O-2707 ACETYLCYSTEINE 200 MG INJECT Pkg 5.49 (IP)406002708 I-2708 BALSALAZIDE DISODIUM 750 MG CAPSUL Unit 11.49 (ME)406002708 O-2708 BALSALAZIDE DISODIUM 750 MG CAPSUL Unit 11.49 (ME)406002710 I-2710 TOLVAPTAN 15 MG TABLET Unit 1107.49 (ME)406002710 O-2710 TOLVAPTAN 15 MG TABLET Unit 5.49 (ME)406002711 I-2711 TICAGRELOR 90 MG TABLET Unit 32.24 (ME)406002711 O-2711 TICAGRELOR 90 MG TABLET Unit 5.49 (ME)406002712 I-2712 FOSPHENYTOIN SODIUM 50 MG INJECT Unit 18.99 (IP)406002712 O-2712 FOSPHENYTOIN SODIUM 50 MG INJECT Unit 5.49 (IP)406002713 I-2713 ROPIVACAINE HCL 5 MG INJECT Pkg 128.74 (IV)406002713 O-2713 ROPIVACAINE HCL 5 MG INJECT Pkg 128.74 (IV)409001659 1659 ISOPROTERENOL HCL 0.2 MG INJECT Unit 127.49 (IP)

Bakersfield Heart Hospital

Procedure Avg ChargesER Visit Level 2 $ 1,873.00 ER Visit Level 3 $ 5,024.00 ER Visit Level 4 $ 9,142.00 37.22 LEFT HEART CARDIAC CATH $ 27,926.93 99.04 PACKED CELL TRANSFUSION $ 1,809.75 00.66 PTCA OR CORONARY ATHER $ 60,753.10 86.59 SKIN CLOSURE NEC $ 3,957.80 86.04 OTHER SKIN & SUBQ I & D $ 2,311.81 93.54 APPLICATION OF SPLINT $ 3,242.79 37.23 RT/LEFT HEART CARD CATH $ 24,529.26 99.61 ATRIAL CARDIOVERSION $ 7,179.55 37.87 REPL PACEM W DUAL-CHAM $ 36,789.01 39.50 ANGIO OTH NON-CORONARY $ 37,468.46 88.41 CONTR CEREBR ARTERIOGRAM $ 15,011.63 88.56 CORONAR ARTERIOGR-2 CATH $ 18,585.31 37.72 INT INSER LEAD ATRI-VENT $ 50,338.90 99.05 PLATELET TRANSFUSION $ 2,323.87 88.48 CONTRAST ARTERIOGRAM-LEG $ 12,782.17 89.59 NONOP CARDIAC/VASC EXAM $ 2,932.22 51.23 LAPAROSCOPIC CHOLECYSTEC $ 16,617.22 21.01 ANT NASAL PACK FOR EPIST $ 3,349.41 33.24 CLOSED BRONCHIAL BIOPSY $ 4,710.59 88.42 CONTRAST AORTOGRAM $ 11,398.33 99.60 CARDIOPULM RESUSCITA NOS $ 13,128.32 37.26 CATH BASE INVASV EP TEST $ 42,958.04

Bakersfield Heart HospitalPharmacy Mark Up Formula

MarkupCost Multiplier0.00-5.50 6.845.51-11.00 6.3611.01-22.00 5.8522.01-55.00 5.3855.01-110.00 4.41110.01-220.00 3.92220.01- 3.41

Bakersfield Heart HospitalRate Increase Information

Bakersfield Heart Hospital implemented an 8% rate increase on Sept.1, 2011; therefore, the estimated percentage change in gross revenue due to price changes is 8%.