Magellan Medicaid Administration Portal - Run Date: 01/09 ......Any disclosure, reproduction, distribution, or other use of the KY MAC Pricing Information is strictly prohibited. You

Any disclosure, reproduction, distribution, or other use of the KY MAC Pricing Information is strictly prohibited.You are to keep the KY MAC Pricing Information confidential and not disclose it to any third party and you are not to use the KY MAC Pricing Information for any other purpose.

KY MAC Pricing Information contained in this document is confidential and proprietary and is available to you solely for the purpose of assisting with claim processing and program reimbursement analysis.

1

Run Date: 05/09/21

Monthly Maximum Allowable Cost (MAC) Listing

Due to frequent changes in price and product availability, this listing should NOT be considered all-inclusive. Updated listings will be posted monthly.



1

Run Date: 05/09/21



Generic Name Strength Form RouteEffective

DateMACPrice

0.9 % SODIUM CHLORIDE 0.9 % CARTRIDGE INJECTION 04/19/2016 0.08911

0.9 % SODIUM CHLORIDE 0.9 % VIAL INJECTION 01/26/2021 0.07271

0.9 % SODIUM CHLORIDE 0.9 % IV SOLN INTRAVEN 03/16/2021 0.00327

ABACAVIR SULFATE 20 MG/ML SOLUTION ORAL 12/29/2020 0.67190

ABACAVIR SULFATE 300 MG TABLET ORAL 02/09/2021 0.89065

ABACAVIR SULFATE/LAMIVUDINE 600-300MG TABLET ORAL 03/09/2021 2.11005

ABACAVIR/LAMIVUDINE/ZIDOVUDINE 150-300 MG TABLET ORAL 12/10/2019 26.74276

ABIRATERONE ACETATE 500 MG TABLET ORAL 01/12/2021 145.40750

ACAMPROSATE CALCIUM 333 MG TABLET DR ORAL 07/28/2020 0.97128

ACARBOSE 100 MG TABLET ORAL 11/10/2020 0.34853



ACEBUTOLOL HCL 200 MG CAPSULE ORAL 03/30/2021 0.82745

ACEBUTOLOL HCL 400 MG CAPSULE ORAL 03/30/2021 1.02443

ACETAMINOPHEN 500 MG CAPSULE ORAL 06/02/2020 0.04047

ACETAMINOPHEN 160 MG/5ML ORAL SUSP ORAL 04/13/2021 0.02010

ACETAMINOPHEN 160 MG/5ML ORAL SUSP ORAL 03/30/2021 0.25576

ACETAMINOPHEN 160 MG/5ML SOLUTION ORAL 01/26/2021 0.32329

ACETAMINOPHEN 325/10.15 SOLUTION ORAL 01/14/2020 0.21123



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Run Date: 05/09/21




DateMACPrice

ACETAMINOPHEN 650MG/20.3 SOLUTION ORAL 11/05/2019 0.09501

ACETAMINOPHEN 160 MG/5ML LIQUID ORAL 04/13/2021 0.00907

ACETAMINOPHEN 500MG/15ML LIQUID ORAL 04/07/2020 0.01600

ACETAMINOPHEN 325 MG TABLET ORAL 04/20/2021 0.01508

ACETAMINOPHEN 500 MG TABLET ORAL 03/30/2021 0.01405

ACETAMINOPHEN 160 MG TAB CHEW ORAL 02/02/2021 0.27847

ACETAMINOPHEN 650 MG TABLET ER ORAL 04/13/2021 0.06486

ACETAMINOPHEN 120 MG SUPP.RECT RECTAL 04/24/2018 0.23678



ACETAMINOPHEN 1000MG/100 PIGGYBACK INTRAVEN 03/09/2021 0.48241

ACETAMINOPHEN 1000MG/100 VIAL INTRAVEN 02/02/2021 0.45046

ACETAMINOPHEN WITH CODEINE 120-12MG/5 SOLUTION ORAL 09/17/2019 0.01530

ACETAMINOPHEN WITH CODEINE 120-12MG/5 SOLUTION ORAL 04/20/2021 0.20770

ACETAMINOPHEN WITH CODEINE 300MG/12.5 SOLUTION ORAL 03/23/2021 0.09782

ACETAMINOPHEN WITH CODEINE 300MG-15MG TABLET ORAL 03/25/2020 0.13156



ACETAMINOPHEN/CHLORPHENIRAMINE 325MG-2MG TABLET ORAL 01/12/2021 0.31698



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Run Date: 05/09/21




Date MAC Price

ACETAMINOPHEN/D-BROMPHENIRAMIN 500MG-1MG TABLET ORAL 01/17/2017 0.12060

ACETAMINOPHEN/DEXTROMETHORPHAN 325-10/10 LIQUID ORAL 05/19/2020 0.04373

ACETAMINOPHEN/DIPHENHYDRAMINE 500MG-25MG TABLET ORAL 03/01/2021 0.01487

ACETAZOLAMIDE 500 MG CAPSULE ER ORAL 04/27/2021 0.47423

ACETAZOLAMIDE 125 MG TABLET ORAL 02/23/2021 0.55905

ACETAZOLAMIDE 250 MG TABLET ORAL 02/23/2021 0.66558

ACETAZOLAMIDE SODIUM 500 MG VIAL INJECTION 07/07/2020 40.54900

ACETIC ACID 2 % SOLUTION OTIC (EAR) 07/07/2020 1.58477

ACETIC ACID 0.25 % IRRIG SOLN IRRIGATION 04/13/2021 0.00924

ACETONE LIQUID MISCELL 08/18/2020 0.02310

ACETYLCYST/METHYLB12/LEVOMEFOL 600-2-6 MG TABLET ORAL 02/23/2021 1.81198

ACETYLCYSTEINE 200 MG/ML VIAL INTRAVEN 01/14/2020 3.86694

ACETYLCYSTEINE 100 MG/ML VIAL MISCELL 04/06/2021 0.49803

ACETYLCYSTEINE 200 MG/ML VIAL MISCELL 04/28/2020 0.26666

ACITRETIN 10 MG CAPSULE ORAL 09/10/2019 10.41938

ACITRETIN 25 MG CAPSULE ORAL 10/27/2020 10.62293

ACITRETIN 17.5 MG CAPSULE ORAL 11/10/2020 14.28875

ACTIVATED CHARCOAL 260 MG CAPSULE ORAL 12/29/2020 0.14124

ACTIVATED CHARCOAL POWDER ORAL 09/10/2019 1.11979



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Run Date: 05/09/21




Date MAC Price

ACTIVATED CHARCOAL 25 G/120ML ORAL SUSP ORAL 11/10/2020 0.15756

ACTIVATED CHARCOAL 50G/240ML ORAL SUSP ORAL 04/27/2021 0.11167

ACYCLOVIR 200 MG CAPSULE ORAL 04/20/2021 0.11037

ACYCLOVIR 200 MG/5ML ORAL SUSP ORAL 09/29/2020 0.85721

ACYCLOVIR 800 MG TABLET ORAL 10/27/2020 0.15732

ACYCLOVIR 400 MG TABLET ORAL 12/15/2020 0.09166

ACYCLOVIR 5 % CREAM (G) TOPICAL 03/09/2021 120.70400

ACYCLOVIR 5 % OINT. (G) TOPICAL 02/09/2021 1.51554

ACYCLOVIR SODIUM 50 MG/ML VIAL INTRAVEN 02/09/2021 1.34777

ADAPALENE 0.1 % GEL (GRAM) TOPICAL 09/22/2020 2.88288

ADAPALENE 0.3 % GEL (GRAM) TOPICAL 03/16/2021 3.08000

ADAPALENE 0.1 % CREAM (G) TOPICAL 09/08/2020 3.67693

ADAPALENE 0.3 % GEL W/PUMP TOPICAL 11/10/2020 5.78527

ADAPALENE/BENZOYL PEROXIDE 0.1 %-2.5% GEL W/PUMP TOPICAL 08/25/2020 1.08838

ADEFOVIR DIPIVOXIL 10 MG TABLET ORAL 09/10/2019 27.67500

ADENOSINE 3 MG/ML SYRINGE INTRAVEN 10/27/2020 5.79438

ADENOSINE 3 MG/ML VIAL INTRAVEN 12/18/2018 1.47266

ADENOSINE 3 MG/ML VIAL INTRAVEN 03/02/2021 2.43969

ALBENDAZOLE 200 MG TABLET ORAL 04/20/2021 28.89475



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Run Date: 05/09/21




Date MAC Price

ALBUTEROL SULFATE 2 MG/5 ML SYRUP ORAL 12/10/2019 0.06767

ALBUTEROL SULFATE 2 MG TABLET ORAL 03/23/2021 1.02322

ALBUTEROL SULFATE 4 MG TABLET ORAL 02/23/2021 1.72297

ALBUTEROL SULFATE 2.5 MG/3ML VIAL-NEB INHALATION 02/18/2020 0.05521

ALBUTEROL SULFATE 0.63MG/3ML VIAL-NEB INHALATION 09/10/2019 0.26904

ALBUTEROL SULFATE 1.25MG/3ML VIAL-NEB INHALATION 01/28/2020 0.25585

ALBUTEROL SULFATE 90 MCG HFA AER AD INHALATION 03/22/2021 4.84828

ALBUTEROL SULFATE 5 MG/ML SOLUTION INHALATION 11/07/2017 1.03180

ALCLOMETASONE DIPROPIONATE 0.05 % CREAM (G) TOPICAL 01/28/2020 1.18277

ALCLOMETASONE DIPROPIONATE 0.05 % OINT. (G) TOPICAL 12/22/2020 0.73968

ALCOHOL ANTISEPTIC PADS MED. PAD TOPICAL 02/23/2021 0.01213

ALENDRONATE SODIUM 70 MG/75ML SOLUTION ORAL 03/02/2021 1.21225

ALENDRONATE SODIUM 10 MG TABLET ORAL 12/08/2020 0.32651



ALFUZOSIN HCL 10 MG TAB ER 24H ORAL 03/09/2021 0.13400

ALISKIREN HEMIFUMARATE 300 MG TABLET ORAL 09/10/2019 7.44800

ALISKIREN HEMIFUMARATE 150 MG TABLET ORAL 09/22/2020 5.57234

ALLOPURINOL 100 MG TABLET ORAL 05/04/2021 0.07177



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Run Date: 05/09/21




Date MAC Price

ALLOPURINOL 300 MG TABLET ORAL 03/16/2021 0.13194

ALLOPURINOL SODIUM 500 MG VIAL INTRAVEN 02/09/2021 3814.55800

ALMOTRIPTAN MALATE 12.5 MG TABLET ORAL 09/17/2019 41.26650

ALMOTRIPTAN MALATE 6.25 MG TABLET ORAL 09/17/2019 41.26308

ALOE VERA/COLLAGEN SOLUTION TOPICAL 09/10/2019 0.01368

ALOSETRON HCL 1 MG TABLET ORAL 03/30/2021 10.19667

ALOSETRON HCL 0.5 MG TABLET ORAL 03/30/2021 5.63033

ALPHA LIPOIC ACID 200 MG CAPSULE ORAL 09/10/2019 0.14796





ALPRAZOLAM 0.25 MG TABLET ORAL 01/26/2021 0.02921

ALPRAZOLAM 0.5 MG TABLET ORAL 04/27/2021 0.03551

ALPRAZOLAM 1 MG TABLET ORAL 03/31/2020 0.03895

ALPRAZOLAM 2 MG TABLET ORAL 01/12/2021 0.06713

ALPRAZOLAM 0.5 MG TAB ER 24H ORAL 11/17/2020 0.38436

ALPRAZOLAM 1 MG TAB ER 24H ORAL 12/10/2019 0.44957




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Run Date: 05/09/21




DateMACPrice


ALPRAZOLAM 0.25 MG TAB RAPDIS ORAL 11/10/2020 1.46033

ALPRAZOLAM 0.5 MG TAB RAPDIS ORAL 01/12/2021 1.81945

ALPRAZOLAM 1 MG TAB RAPDIS ORAL 07/14/2020 2.42754

ALPRAZOLAM 2 MG TAB RAPDIS ORAL 09/08/2020 4.06600

ALPROSTADIL 20 MCG KIT INTRACAVER 11/03/2020 94.48500

ALPROSTADIL 10 MCG KIT INTRACAVER 02/09/2021 136.97075

ALUMINUM HYDROXIDE 0.275 % OINT. (G) TOPICAL 05/24/2016 0.23037

ALVIMOPAN 12 MG CAPSULE ORAL 12/08/2020 101.18048

AMANTADINE HCL 100 MG CAPSULE ORAL 03/02/2021 0.27127

AMANTADINE HCL 50 MG/5 ML SOLUTION ORAL 03/16/2021 0.03699

AMANTADINE HCL 100 MG TABLET ORAL 02/16/2021 0.74075

AMBRISENTAN 5 MG TABLET ORAL 10/06/2020 170.55778

AMBRISENTAN 10 MG TABLET ORAL 10/06/2020 170.55778

AMIFOSTINE CRYSTALLINE 500 MG VIAL INTRAVEN 01/07/2020 289.53688

AMIKACIN SULFATE 500 MG/2ML VIAL INJECTION 04/06/2021 3.71580

AMIKACIN SULFATE 1000MG/4ML VIAL INJECTION 04/06/2021 3.43200

AMILORIDE HCL 5 MG TABLET ORAL 02/23/2021 0.57888

AMILORIDE/HYDROCHLOROTHIAZIDE 5 MG-50 MG TABLET ORAL 09/10/2019 0.41406



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Run Date: 05/09/21




DateMACPrice

AMINO ACIDS POWDER ORAL 05/01/2014 0.19933

AMINO ACIDS TABLET ORAL 04/30/2019 0.22333

AMINO ACIDS/MV,TX,IRON,MINERAL LIQUID ORAL 05/01/2014 0.06008

AMINOCAPROIC ACID 500 MG TABLET ORAL 03/23/2021 12.01933

AMINOCAPROIC ACID 1000 MG TABLET ORAL 11/10/2020 35.83981

AMINOCAPROIC ACID 250 MG/ML VIAL INTRAVEN 01/19/2021 0.49529

AMIODARONE HCL 200 MG TABLET ORAL 02/02/2021 0.16109



AMIODARONE HCL 50 MG/ML VIAL INTRAVEN 11/17/2020 0.43476

AMITRIPTYLINE HCL 10 MG TABLET ORAL 05/04/2021 0.07236






AMLODIPINE BES/OLMESARTAN MED 5 MG-20 MG TABLET ORAL 03/31/2020 0.27783

AMLODIPINE BES/OLMESARTAN MED 10 MG-20MG TABLET ORAL 03/31/2020 0.36180

AMLODIPINE BES/OLMESARTAN MED 5 MG-40 MG TABLET ORAL 03/31/2020 0.35197



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Run Date: 05/09/21




DateMACPrice

AMLODIPINE BES/OLMESARTAN MED 10 MG-40MG TABLET ORAL 03/31/2020 0.45783

AMLODIPINE BESYLATE 2.5 MG TABLET ORAL 05/04/2021 0.01260

AMLODIPINE BESYLATE 5 MG TABLET ORAL 09/29/2020 0.01442

AMLODIPINE BESYLATE 10 MG TABLET ORAL 12/08/2020 0.01719

AMLODIPINE BESYLATE/BENAZEPRIL 5 MG-20 MG CAPSULE ORAL 09/10/2019 0.18240


AMLODIPINE BESYLATE/BENAZEPRIL 2.5MG-10MG CAPSULE ORAL 09/17/2019 0.20958

AMLODIPINE BESYLATE/BENAZEPRIL 10 MG-20MG CAPSULE ORAL 03/16/2021 0.15531


AMLODIPINE BESYLATE/BENAZEPRIL 10 MG-40MG CAPSULE ORAL 03/16/2021 0.22834

AMLODIPINE BESYLATE/VALSARTAN 5 MG-160MG TABLET ORAL 01/14/2020 0.65854

AMLODIPINE BESYLATE/VALSARTAN 10MG-160MG TABLET ORAL 04/22/2020 0.81561

AMLODIPINE BESYLATE/VALSARTAN 5 MG-320MG TABLET ORAL 01/14/2020 0.83616

AMLODIPINE BESYLATE/VALSARTAN 10MG-320MG TABLET ORAL 01/14/2020 0.84241

AMLODIPINE/ATORVASTATIN 5 MG-10 MG TABLET ORAL 09/29/2020 2.49687




AMLODIPINE/ATORVASTATIN 10 MG-10MG TABLET ORAL 10/06/2020 2.90356



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Run Date: 05/09/21




DateMACPrice




AMLODIPINE/ATORVASTATIN 2.5MG-10MG TABLET ORAL 09/10/2019 5.18364



AMMONIA 15 % (W/V) AMPUL INHALATION 02/05/2019 0.31700

AMMONIUM LACTATE 12 % CREAM (G) TOPICAL 02/09/2021 0.08590

AMMONIUM LACTATE 12 % LOTION TOPICAL 02/09/2021 0.08260

AMOXICILLIN 250 MG CAPSULE ORAL 04/06/2021 0.06285

AMOXICILLIN 500 MG CAPSULE ORAL 02/09/2021 0.08871

AMOXICILLIN 125 MG/5ML SUSP RECON ORAL 04/21/2020 0.02318




AMOXICILLIN 500 MG TABLET ORAL 09/10/2019 0.21762

AMOXICILLIN 875 MG TABLET ORAL 04/20/2021 0.14499

AMOXICILLIN/POTASSIUM CLAV 125-31.25/ SUSP RECON ORAL 01/05/2021 6.71055

AMOXICILLIN/POTASSIUM CLAV 250-62.5/5 SUSP RECON ORAL 10/06/2020 0.49062



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Run Date: 05/09/21




DateMACPrice

AMOXICILLIN/POTASSIUM CLAV 400-57MG/5 SUSP RECON ORAL 03/23/2021 0.11881



AMOXICILLIN/POTASSIUM CLAV 250-125 MG TABLET ORAL 08/08/2017 4.63120



AMOXICILLIN/POTASSIUM CLAV 400-57MG TAB CHEW ORAL 10/27/2015 2.66838

AMOXICILLIN/POTASSIUM CLAV 1000-62.5 TAB ER 12H ORAL 12/08/2020 7.41952

AMPHETAMINE 1.25 MG/ML SUS BP 24H ORAL 02/25/2020 1.50613

AMPHETAMINE SULFATE 10 MG TABLET ORAL 02/16/2021 6.01510

AMPHETAMINE SULFATE 5 MG TABLET ORAL 02/23/2021 6.01510

AMPICILLIN SODIUM 1 G VIAL INJECTION 01/12/2021 2.04953



AMPICILLIN SODIUM 250 MG VIAL INJECTION 03/10/2020 0.82410

AMPICILLIN SODIUM 500 MG VIAL INJECTION 09/29/2020 1.02242

AMPICILLIN SODIUM/SULBACTAM NA 1.5 G VIAL INJECTION 08/06/2019 2.52322

AMPICILLIN SODIUM/SULBACTAM NA 3 G VIAL INJECTION 02/11/2020 4.51440

AMPICILLIN SODIUM/SULBACTAM NA 15 G VIAL INJECTION 02/11/2020 25.21050



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Run Date: 05/09/21




DateMACPrice

ANAGRELIDE HCL 0.5 MG CAPSULE ORAL 05/04/2021 1.71426

ANAGRELIDE HCL 1 MG CAPSULE ORAL 08/25/2020 2.11573

ANASTROZOLE 1 MG TABLET ORAL 10/13/2020 0.18179

ANISE OIL OIL MISCELL 02/11/2020 0.18733

ANTI-INHIBITOR COAGULANT COMP. 1750-3250 VIAL INTRAVEN 07/01/2018 1.82600



ANTIHEM.FVIII,SIN-CHN,B-DM TRU 250 (+/-) VIAL INTRAVEN 10/01/2020 1.40490







ANTIHEMO.FVIII,FULL LENGTH PEG 250 (+/-) VIAL INTRAVEN 04/01/2019 1.70730







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Run Date: 05/09/21




DateMACPrice



ANTIHEMOPH.FVIII REC,FC FUSION 250 UNIT VIAL INTRAVEN 01/01/2019 1.94820










ANTIHEMOPH.FVIII,B-DOM TRUNCAT 250 (+/-) VIAL INTRAVEN 04/01/2021 1.31250






ANTIHEMOPH.FVIII,B-DOMAIN DEL 250 (+/-) VIAL INTRAVEN 10/01/2018 1.28310



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Run Date: 05/09/21




DateMACPrice




ANTIHEMOPH.FVIII,B-DOMAIN DEL 3000 (+/-) SYRINGE INTRAVEN 10/01/2018 1.28310





ANTIHEMOPH.FVIII,HEK B-DELETE 250 (+/-) VIAL INTRAVEN 10/01/2019 1.30000







ANTIHEMOPHIL.FVIII,FULL LENGTH 3000 (+/-) VIAL INTRAVEN 01/01/2021 1.27995






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Run Date: 05/09/21




DateMACPrice




ANTIHEMOPHILIC FACTOR, HUM REC 250 (+/-) VIAL INTRAVEN 08/01/2018 1.24400





ANTIHEMOPHILIC FACTOR, HUMAN 500 (+/-) VIAL INTRAVEN 04/01/2020 1.06050



ANTIHEMOPHILIC FACTOR, HUMAN 220-400 VIAL INTRAVEN 04/01/2021 1.06050




ANTIHEMOPHILIC FACTOR/VWF 250-600 VIAL INTRAVEN 04/01/2020 1.26735



ANTIHEMOPHILIC FACTOR/VWF 250 (100) VIAL INTRAVEN 10/01/2018 1.04160



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DateMACPrice





ANTIHEMOPHILIC FACTOR/VWF 1K-1K UNIT VIAL INTRAVEN 10/01/2019 1.02000


ANTIHEMOPHILIC FVIII,REC PORC 500 (+/-) VIAL INTRAVEN 01/01/2020 2.95000

APRACLONIDINE HCL 0.5 % DROPS OPHTHALMIC 12/17/2019 11.30450

APREPITANT 80 MG CAPSULE ORAL 01/19/2021 143.22838



APREPITANT 125MG-80MG CAP DS PK ORAL 01/19/2021 116.60400

ARGATROBAN 100 MG/ML VIAL INTRAVEN 02/23/2021 103.00908

ARGATROBAN IN 0.9 % SOD CHLOR 50 MG/50ML VIAL INTRAVEN 03/23/2021 4.39111

ARGININE 500 MG CAPSULE ORAL 09/10/2019 0.10948

ARGININE 500 MG TABLET ORAL 05/01/2014 0.08821

ARGININE HCL 1000 MG TABLET ORAL 09/10/2019 0.19993

ARIPIPRAZOLE 1 MG/ML SOLUTION ORAL 04/20/2021 1.76451

ARIPIPRAZOLE 10 MG TABLET ORAL 01/19/2021 0.11457



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DateMACPrice






ARMODAFINIL 150 MG TABLET ORAL 01/14/2020 1.45837




ARSENIC TRIOXIDE 10 MG/10ML VIAL INTRAVEN 02/23/2021 19.16250

ARSENIC TRIOXIDE 12 MG/6 ML VIAL INTRAVEN 02/11/2020 117.57143

ASCORBATE CALCIUM/BIOFLAVONOID 500-200 MG TABLET ORAL 05/01/2014 0.13501

ASCORBIC ACID 500 MG CAPSULE ER ORAL 09/15/2020 0.09139

ASCORBIC ACID 1000 MG TABLET ORAL 08/11/2020 0.06091



ASCORBIC ACID 250 MG TAB CHEW ORAL 04/13/2021 0.05360





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DateMACPrice

ASCORBIC ACID 1000 MG TABLET ER ORAL 08/06/2019 0.06387



ASCORBIC ACID 500 MG/ML VIAL INJECTION 10/08/2019 1.45497

ASENAPINE MALEATE 10 MG TAB SUBL SUBLINGUAL 12/22/2020 2.97000

ASENAPINE MALEATE 2.5 MG TAB SUBL SUBLINGUAL 03/09/2021 19.61470

ASPIRIN 325 MG TABLET ORAL 03/30/2021 0.01387

ASPIRIN 81 MG TAB CHEW ORAL 03/02/2021 0.03071

ASPIRIN 325 MG TABLET DR ORAL 05/04/2021 0.02191

ASPIRIN 81 MG TABLET DR ORAL 03/31/2020 0.01286

ASPIRIN/ACETAMINOPHEN/CAFFEINE 227-194-33 TABLET ORAL 02/09/2021 0.08194

ASPIRIN/ACETAMINOPHEN/CAFFEINE 250-250-65 TABLET ORAL 04/13/2021 0.02915

ASPIRIN/CALCIUM CARB/MAGNESIUM 325 MG TABLET ORAL 02/23/2021 0.04633

ASPIRIN/DIPYRIDAMOLE 25MG-200MG CPMP 12HR ORAL 12/22/2020 1.05369

ATAZANAVIR SULFATE 150 MG CAPSULE ORAL 12/08/2020 3.72438



ATENOLOL 100 MG TABLET ORAL 12/22/2020 0.04288




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DateMACPrice


ATENOLOL/CHLORTHALIDONE 100MG-25MG TABLET ORAL 01/12/2021 0.67670

ATENOLOL/CHLORTHALIDONE 50 MG-25MG TABLET ORAL 07/09/2019 0.46310

ATOMOXETINE HCL 10 MG CAPSULE ORAL 04/13/2021 1.55306







ATORVASTATIN CALCIUM 10 MG TABLET ORAL 01/26/2021 0.05272




ATOVAQUONE 750 MG/5ML ORAL SUSP ORAL 01/12/2021 1.69000

ATOVAQUONE/PROGUANIL HCL 62.5-25 MG TABLET ORAL 04/20/2021 1.90427

ATOVAQUONE/PROGUANIL HCL 250-100 MG TABLET ORAL 01/28/2020 3.35555

ATRACURIUM BESYLATE 10 MG/ML VIAL INTRAVEN 10/13/2020 1.20426

ATROPINE SULFATE 0.1 MG/ML SYRINGE INJECTION 10/30/2020 0.99770



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DateMACPrice

ATROPINE SULFATE 0.4 MG/ML VIAL INJECTION 05/04/2021 2.21924

AZACITIDINE 100 MG VIAL INJECTION 09/15/2020 82.00000

AZATHIOPRINE 50 MG TABLET ORAL 12/08/2020 0.37145

AZELAIC ACID 15 % GEL (GRAM) TOPICAL 10/27/2020 2.19760

AZELASTINE HCL 0.05 % DROPS OPHTHALMIC 03/23/2021 1.81123

AZELASTINE HCL 137 MCG SPRAY/PUMP NASAL 04/06/2021 0.41272

AZELASTINE HCL 205.5 MCG SPRAY/PUMP NASAL 11/17/2020 1.63435

AZELASTINE/FLUTICASONE 137-50 MCG SPRAY/PUMP NASAL 04/13/2021 7.92887

AZITHROMYCIN 200 MG/5ML SUSP RECON ORAL 05/26/2020 0.40491

AZITHROMYCIN 100 MG/5ML SUSP RECON ORAL 05/26/2020 0.71556

AZITHROMYCIN 1 G PACKET ORAL 08/25/2020 19.52160

AZITHROMYCIN 500 MG TABLET ORAL 05/26/2020 0.96123



AZITHROMYCIN 500 MG VIAL INTRAVEN 09/29/2020 4.12104

AZTREONAM 1 G VIAL INJECTION 02/05/2019 27.71600

AZTREONAM 2 G VIAL INJECTION 02/05/2019 55.43200

B COMPLEX W-C NO.20/FOLIC ACID 1 MG CAPSULE ORAL 02/09/2021 0.12539

B-COMPLEX WITH VITAMIN C CAPSULE ORAL 08/06/2019 0.06358



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DateMACPrice

B-COMPLEX WITH VITAMIN C TABLET ORAL 11/03/2020 0.02966

B12/LEVOMEFOLATE CALCIUM/B-6 2-1.13-25 TABLET ORAL 10/22/2019 1.13647

BACILLUS COAGULANS/B. SUBTILIS 1B CELL TAB CHEW ORAL 03/30/2021 0.28349

BACILLUS COAGULANS/INULIN 1B-250 MG CAPSULE ORAL 01/19/2021 0.34170

BACITRACIN 500 UNIT/G OINT. (G) TOPICAL 04/13/2021 0.08129

BACITRACIN 500 UNIT/G PACKET TOPICAL 04/16/2019 0.06367

BACITRACIN 50000 UNIT VIAL INTRAMUSC 03/09/2021 6.15950

BACITRACIN ZINC 500 UNIT/G OINT PACK TOPICAL 01/19/2021 0.11930

BACITRACIN ZINC 500 UNIT/G OINT. (G) TOPICAL 05/04/2021 0.05382

BACITRACIN ZINC/POLYMYXIN B 500-10K/G OINT. (G) TOPICAL 04/27/2021 0.27732

BACITRACIN/POLYMYXIN B SULFATE 500-10K/G OINT. (G) OPHTHALMIC 12/01/2020 4.35930

BACLOFEN 10 MG TABLET ORAL 04/27/2021 0.05923



BACLOFEN 10000/20ML VIAL INTRATHEC 01/15/2019 9.67725

BACLOFEN 40000/20ML VIAL INTRATHEC 01/15/2019 32.88098

BACLOFEN 20K MCG/20 VIAL INTRATHEC 01/15/2019 17.67150

BACTERIOSTATIC SODIUM CHLORIDE 0.9 % VIAL INJECTION 09/10/2019 0.06788

BALANCED SALT IRRIG SOLN NO.2 IRRIG SOLN INTRAOCULR 02/16/2021 0.07567



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DateMACPrice

BALSALAZIDE DISODIUM 750 MG CAPSULE ORAL 04/06/2021 0.52657

BEESWAX 100 % WAX MISCELL 12/03/2019 0.21693

BENAZEPRIL HCL 5 MG TABLET ORAL 12/08/2020 0.08496




BENAZEPRIL/HYDROCHLOROTHIAZIDE 5-6.25MG TABLET ORAL 09/10/2019 1.17625

BENAZEPRIL/HYDROCHLOROTHIAZIDE 10-12.5MG TABLET ORAL 01/14/2020 1.07897

BENAZEPRIL/HYDROCHLOROTHIAZIDE 20-12.5 MG TABLET ORAL 01/14/2020 1.07897

BENAZEPRIL/HYDROCHLOROTHIAZIDE 20 MG-25MG TABLET ORAL 10/13/2020 1.07897

BENTONITE POWDER MISCELL 05/03/2016 0.16080

BENZALKONIUM CHLORIDE 0.13 % FOAM (ML) TOPICAL 04/28/2020 0.03589

BENZALKONIUM CHLORIDE 0.13 % LOTION TOPICAL 04/28/2020 0.03589

BENZALKONIUM CHLORIDE LIQUID TOPICAL 05/01/2014 0.01995

BENZETHONIUM CHLORIDE 0.1 % CLEANSER TOPICAL 10/24/2017 0.01554

BENZOCAINE 10 % GEL (GRAM) MUCOUS MEM 09/08/2020 1.16006

BENZOCAINE 20 % GEL (GRAM) MUCOUS MEM 10/26/2015 0.06520

BENZOCAINE/BENZETHON CL 20 %-0.2 % AEROSOL TOPICAL 08/21/2018 0.07672

BENZOCAINE/MENTH/CETYLPYRD CL 2-0.5-0.1% SPRAY MUCOUS MEM 07/05/2016 0.20993



23

Run Date: 05/09/21




DateMACPrice

BENZOCAINE/MENTHOL 15MG-3.6MG LOZENGE MUCOUS MEM 12/08/2020 0.11390

BENZOIN TINCTURE TOPICAL 04/07/2020 0.17588

BENZONATATE 100 MG CAPSULE ORAL 04/13/2021 0.08833



BENZOYL PEROXIDE 5.3% FOAM TOPICAL 06/16/2020 1.52351

BENZOYL PEROXIDE 9.8 % FOAM TOPICAL 11/19/2019 1.52700

BENZOYL PEROXIDE 10 % BAR TOPICAL 05/17/2016 5.12763

BENZOYL PEROXIDE 10 % GEL (GRAM) TOPICAL 04/03/2020 0.23516

BENZOYL PEROXIDE 2.5 % GEL (GRAM) TOPICAL 07/07/2020 0.30820

BENZOYL PEROXIDE 5 % GEL (GRAM) TOPICAL 12/22/2020 0.14636

BENZOYL PEROXIDE 10 % CLEANSER TOPICAL 10/15/2019 0.05019



BENZOYL PEROXIDE 6 % TOWELETTE TOPICAL 03/02/2021 6.18765

BENZPHETAMINE HCL 50 MG TABLET ORAL 04/13/2021 0.43907

BENZTROPINE MESYLATE 0.5 MG TABLET ORAL 04/27/2021 0.11859

BENZTROPINE MESYLATE 1 MG TABLET ORAL 02/09/2021 0.11980

BENZTROPINE MESYLATE 2 MG TABLET ORAL 04/27/2021 0.13423



24

Run Date: 05/09/21




DateMACPrice

BENZTROPINE MESYLATE 2 MG/2 ML AMPUL INJECTION 01/14/2020 27.67500

BENZTROPINE MESYLATE 2 MG/2 ML VIAL INJECTION 11/17/2020 23.62500

BETA-CAROTENE 25000 UNIT CAPSULE ORAL 10/27/2020 0.07464

BETAMETHASONE ACETATE,SOD PHOS 6 MG/ML VIAL INJECTION 07/28/2020 8.40000

BETAMETHASONE DIPROPIONATE 0.05 % CREAM (G) TOPICAL 04/20/2021 0.98058

BETAMETHASONE DIPROPIONATE 0.05 % OINT. (G) TOPICAL 01/26/2021 2.02340

BETAMETHASONE DIPROPIONATE 0.05 % LOTION TOPICAL 10/13/2020 0.66665

BETAMETHASONE VALERATE 0.12 % FOAM TOPICAL 03/09/2021 1.37136

BETAMETHASONE VALERATE 0.1 % CREAM (G) TOPICAL 07/07/2020 0.76827

BETAMETHASONE VALERATE 0.1 % OINT. (G) TOPICAL 10/13/2020 0.75040

BETAMETHASONE VALERATE 0.1 % LOTION TOPICAL 08/18/2020 1.61336

BETAMETHASONE/PROPYLENE GLYC 0.05 % CREAM (G) TOPICAL 08/04/2020 0.26532

BETAMETHASONE/PROPYLENE GLYC 0.05 % OINT. (G) TOPICAL 04/20/2021 1.06825

BETAMETHASONE/PROPYLENE GLYC 0.05 % LOTION TOPICAL 12/22/2020 1.45211

BETAXOLOL HCL 10 MG TABLET ORAL 04/13/2021 0.95475

BETAXOLOL HCL 20 MG TABLET ORAL 09/17/2019 1.12962

BETAXOLOL HCL 0.5 % DROPS OPHTHALMIC 12/10/2019 11.23100

BETHANECHOL CHLORIDE 10 MG TABLET ORAL 03/23/2021 0.35135




25

Run Date: 05/09/21




DateMACPrice



BEXAROTENE 75 MG CAPSULE ORAL 01/19/2021 60.32115

BICALUTAMIDE 50 MG TABLET ORAL 02/02/2021 0.31445

BIMATOPROST 0.03 % DROP W/APP TOPICAL 02/09/2021 33.67330

BIMATOPROST 0.03 % DROPS OPHTHALMIC 03/30/2021 19.58250

BIOFLAV,LEMON/VIT BCOMP,C 200-100 MG TABLET ORAL 08/08/2017 0.22341

BIOTIN 10000 MCG CAPSULE ORAL 12/17/2019 0.27550

BIOTIN 5 MG CAPSULE ORAL 09/10/2019 0.12886

BIOTIN 2500 MCG CAPSULE ORAL 05/01/2014 0.09986

BIOTIN 10 MG TABLET ORAL 11/08/2016 0.22747



BISACODYL 5 MG TABLET DR ORAL 04/13/2021 0.00813

BISACODYL 10 MG SUPP.RECT RECTAL 11/24/2020 0.18618

BISMUTH SUBSALICYLATE 262MG/15ML ORAL SUSP ORAL 04/12/2021 0.00994

BISMUTH SUBSALICYLATE 525MG/15ML ORAL SUSP ORAL 09/21/2020 0.00841

BISMUTH SUBSALICYLATE 262 MG TABLET ORAL 05/12/2020 0.19668

BISMUTH SUBSALICYLATE 262 MG TAB CHEW ORAL 05/04/2021 0.08308



26

Run Date: 05/09/21




DateMACPrice

BISOPROLOL FUMARATE 10 MG TABLET ORAL 11/05/2019 0.75831

BISOPROLOL FUMARATE 5 MG TABLET ORAL 04/28/2020 0.58379

BISOPROLOL/HYDROCHLOROTHIAZIDE 2.5-6.25MG TABLET ORAL 04/06/2021 0.45547

BISOPROLOL/HYDROCHLOROTHIAZIDE 5-6.25MG TABLET ORAL 04/06/2021 0.39530

BISOPROLOL/HYDROCHLOROTHIAZIDE 10-6.25MG TABLET ORAL 12/22/2020 0.39530

BIVALIRUDIN 250 MG VIAL INTRAVEN 03/02/2021 80.82125

BLEOMYCIN SULFATE 15 UNIT VIAL INJECTION 09/10/2019 29.48925

BLEOMYCIN SULFATE 30 UNIT VIAL INJECTION 09/10/2019 63.89850

BLOOD KETONE TEST, STRIPS STRIP MISCELL 04/23/2019 2.15472

BLOOD SUGAR DIAGNOSTIC STRIP MISCELL 05/14/2019 0.13685

BLOOD-GLUCOSE CONTROL, NORMAL EACH MISCELL 09/10/2019 2.01000

BOSENTAN 125 MG TABLET ORAL 01/05/2021 188.77118

BOSENTAN 62.5 MG TABLET ORAL 01/05/2021 188.77118

BRIMONIDINE TARTRATE 0.2 % DROPS OPHTHALMIC 04/27/2021 1.26585

BRIMONIDINE TARTRATE 0.15 % DROPS OPHTHALMIC 10/06/2020 24.70930

BRINZOLAMIDE 1 % DROPS SUSP OPHTHALMIC 03/16/2021 24.93120

BROMFENAC SODIUM 0.09 % DROPS OPHTHALMIC 03/09/2021 58.93750

BROMOCRIPTINE MESYLATE 5 MG CAPSULE ORAL 11/24/2020 5.09016

BROMOCRIPTINE MESYLATE 2.5 MG TABLET ORAL 12/22/2020 1.63614



27

Run Date: 05/09/21




DateMACPrice

BROMPHENIRAM/PHENYLEPHRINE/DM 1-2.5-5/5 SOLUTION ORAL 09/10/2019 0.04791

BROMPHENIRAM/PHENYLEPHRINE/DM 2-5-10MG/5 LIQUID ORAL 04/28/2020 0.05349

BROMPHENIRAM/PHENYLEPHRINE/DM 4-10-20/5 LIQUID ORAL 03/17/2020 0.02691

BROMPHENIRAMINE/PHENYLEPHRINE 1-2.5 MG/5 SOLUTION ORAL 07/07/2020 0.04110

BROMPHENIRAMINE/PSEUDOEPHED/DM 2-30-10/5 SYRUP ORAL 04/27/2021 0.08249

BUDESONIDE 3 MG CAPDR - ER ORAL 02/16/2021 1.53242

BUDESONIDE 9 MG TABDR - ER ORAL 11/24/2020 33.93741

BUDESONIDE 32MCG SPRAY/PUMP NASAL 03/09/2021 1.82743

BUDESONIDE 1 MG/2 ML AMPUL-NEB INHALATION 05/04/2021 4.79336

BUDESONIDE 0.25MG/2ML AMPUL-NEB INHALATION 05/04/2021 1.38544

BUDESONIDE 0.5 MG/2ML AMPUL-NEB INHALATION 05/04/2021 1.38226

BUDESONIDE/FORMOTEROL FUMARATE 80-4.5 MCG HFA AER AD INHALATION 02/09/2021 29.70596

BUDESONIDE/FORMOTEROL FUMARATE 160-4.5MCG HFA AER AD INHALATION 02/23/2021 35.20260

BUMETANIDE 0.5 MG TABLET ORAL 08/11/2020 0.43858

BUMETANIDE 1 MG TABLET ORAL 12/15/2020 0.41527

BUMETANIDE 2 MG TABLET ORAL 02/09/2021 0.54350

BUMETANIDE 0.25 MG/ML VIAL INJECTION 02/04/2020 0.37976

BUPIVACAINE HCL 2.5 MG/ML VIAL INJECTION 11/03/2020 0.08501

BUPIVACAINE HCL 5 MG/ML VIAL INJECTION 01/14/2020 0.09245



28

Run Date: 05/09/21




DateMACPrice

BUPIVACAINE HCL IN DEXTROSE/PF 0.75 % AMPUL INJECTION 09/29/2020 1.61738

BUPIVACAINE HCL/EPINEPHRINE 0.25-.0005 VIAL INJECTION 01/19/2021 0.29453

BUPIVACAINE HCL/EPINEPHRINE 0.5-1:200K VIAL INJECTION 10/22/2019 0.26559

BUPIVACAINE HCL/EPINEPHRINE/PF 0.25-.0005 VIAL INJECTION 01/19/2021 0.46511

BUPIVACAINE HCL/EPINEPHRINE/PF 0.5-1:200K VIAL INJECTION 01/19/2021 0.23731

BUPIVACAINE HCL/PF 2.5 MG/ML AMPUL INJECTION 12/10/2019 1.08527

BUPIVACAINE HCL/PF 5 MG/ML AMPUL INJECTION 12/10/2019 1.18309

BUPIVACAINE HCL/PF 7.5 MG/ML AMPUL INJECTION 05/01/2014 0.16231

BUPIVACAINE HCL/PF 2.5 MG/ML VIAL INJECTION 12/08/2020 0.06014

BUPIVACAINE HCL/PF 5 MG/ML VIAL INJECTION 12/08/2020 0.07761

BUPIVACAINE HCL/PF 7.5 MG/ML VIAL INJECTION 09/10/2019 0.15428

BUPRENORPHINE 5 MCG/HR PATCH TDWK TRANSDERM 07/07/2020 40.13388




BUPRENORPHINE 7.5 MCG/HR PATCH TDWK TRANSDERM 05/19/2020 93.99506

BUPRENORPHINE HCL 0.3 MG/ML VIAL INJECTION 09/15/2020 15.13208

BUPRENORPHINE HCL 2 MG TAB SUBL SUBLINGUAL 04/08/2019 0.78308

BUPRENORPHINE HCL 8 MG TAB SUBL SUBLINGUAL 02/11/2020 1.18472



29

Run Date: 05/09/21




DateMACPrice

BUPRENORPHINE HCL/NALOXONE HCL 2 MG-0.5MG FILM SUBLINGUAL 10/27/2020 2.64484

BUPRENORPHINE HCL/NALOXONE HCL 8 MG-2 MG FILM SUBLINGUAL 10/27/2020 3.60404

BUPRENORPHINE HCL/NALOXONE HCL 4MG-1MG FILM SUBLINGUAL 07/21/2020 5.01600

BUPRENORPHINE HCL/NALOXONE HCL 12 MG-3 MG FILM SUBLINGUAL 09/17/2019 9.44320

BUPRENORPHINE HCL/NALOXONE HCL 2 MG-0.5MG TAB SUBL SUBLINGUAL 03/30/2021 1.98677

BUPRENORPHINE HCL/NALOXONE HCL 8 MG-2 MG TAB SUBL SUBLINGUAL 12/01/2020 1.96104

BUPROPION HCL 75 MG TABLET ORAL 03/17/2020 0.23678

BUPROPION HCL 100 MG TABLET ORAL 06/13/2019 0.23037

BUPROPION HCL 150 MG TAB ER 24H ORAL 07/07/2020 0.12556




BUPROPION HCL 150 MG TAB SR 12H ORAL 03/09/2021 0.11149



BUSPIRONE HCL 10 MG TABLET ORAL 04/27/2021 0.05387






30

Run Date: 05/09/21




DateMACPrice

BUSPIRONE HCL 7.5 MG TABLET ORAL 03/16/2021 0.52434

BUSULFAN 60 MG/10ML VIAL INTRAVEN 03/23/2021 10.63750

BUTALB/ACETAMINOPHEN/CAFFEINE 50-325-40 CAPSULE ORAL 03/03/2020 4.89865

BUTALB/ACETAMINOPHEN/CAFFEINE 50-300-40 CAPSULE ORAL 04/20/2021 1.25598

BUTALB/ACETAMINOPHEN/CAFFEINE 50-325/15 SOLUTION ORAL 11/10/2020 1.98309

BUTALB/ACETAMINOPHEN/CAFFEINE 50-325-40 TABLET ORAL 03/02/2021 0.26160

BUTALBIT/ACETAMIN/CAFF/CODEINE 50-325-30 CAPSULE ORAL 03/25/2020 1.08590

BUTALBITAL/ACETAMINOPHEN 50MG-300MG CAPSULE ORAL 03/17/2020 33.79083

BUTALBITAL/ACETAMINOPHEN 50MG-325MG TABLET ORAL 02/09/2021 1.30610



BUTALBITAL/ASPIRIN/CAFFEINE 50-325-40 CAPSULE ORAL 09/10/2019 1.17290

BUTENAFINE HCL 1 % CREAM (G) TOPICAL 01/30/2018 0.45403

BUTORPHANOL TARTRATE 1 MG/ML VIAL INJECTION 09/10/2019 5.14477

BUTORPHANOL TARTRATE 2 MG/ML VIAL INJECTION 09/10/2019 4.13820

BUTORPHANOL TARTRATE 10 MG/ML SPRAY NASAL 08/04/2020 12.15867

BUTYLATED HYDROXYTOLUENE GRANULES MISCELL 04/21/2020 0.61142

CABERGOLINE 0.5 MG TABLET ORAL 04/28/2020 3.95010

CAFFEINE 200 MG TABLET ORAL 04/27/2021 0.07328



31

Run Date: 05/09/21




DateMACPrice

CAFFEINE CITRATE 60 MG/3 ML SOLUTION ORAL 05/06/2020 7.51160

CAFFEINE CITRATE 60 MG/3 ML VIAL INTRAVEN 02/16/2021 2.71480

CALAMINE/ZINC OXIDE 8 %-8 % LOTION TOPICAL 09/21/2020 0.00796

CALCIPOTRIENE 0.005 % CREAM (G) TOPICAL 11/10/2020 1.30583

CALCIPOTRIENE 0.005 % OINT. (G) TOPICAL 02/09/2021 2.21748

CALCIPOTRIENE 0.005 % SOLUTION TOPICAL 04/13/2021 3.41000

CALCIPOTRIENE/BETAMETHASONE 0.005-.064 SUSPENSION TOPICAL 03/23/2021 7.31840

CALCIPOTRIENE/BETAMETHASONE 0.005-.064 OINT. (G) TOPICAL 09/22/2020 5.10774

CALCITONIN,SALMON,SYNTHETIC 200/SPRAY SPRAY/PUMP NASAL 09/10/2019 9.56400

CALCITRIOL 0.25 MCG CAPSULE ORAL 03/30/2021 0.18671

CALCITRIOL 0.5 MCG CAPSULE ORAL 01/12/2021 0.56079

CALCITRIOL 1 MCG/ML SOLUTION ORAL 01/12/2021 5.97239

CALCITRIOL 1 MCG/ML AMPUL INTRAVEN 07/17/2018 7.22694

CALCIUM ACETATE 667 MG CAPSULE ORAL 02/09/2021 0.38324

CALCIUM ACETATE 667 MG TABLET ORAL 01/14/2020 0.16047

CALCIUM ACETATE 667 MG TABLET ORAL 10/13/2020 1.14724

CALCIUM ACETATE/ALUMINUM SULF 952-1347MG POWD PACK TOPICAL 01/14/2020 0.81517

CALCIUM CARBONATE 500 MG/5ML ORAL SUSP ORAL 03/30/2021 0.02750

CALCIUM CARBONATE 500(1250) TABLET ORAL 06/30/2020 0.02412



32

Run Date: 05/09/21




DateMACPrice

CALCIUM CARBONATE 600 MG TABLET ORAL 06/16/2020 0.03283

CALCIUM CARBONATE 500(1250) TAB CHEW ORAL 07/03/2018 0.04891

CALCIUM CARBONATE 200(500)MG TAB CHEW ORAL 09/08/2020 0.01242

CALCIUM CARBONATE 300MG(750) TAB CHEW ORAL 04/20/2021 0.02499

CALCIUM CARBONATE/VITAMIN D3 600 MG-200 CAPSULE ORAL 12/31/2019 0.10541



CALCIUM CARBONATE/VITAMIN D3 600 MG-200 TABLET ORAL 09/29/2020 0.03283






CALCIUM CARBONATE/VITAMIN D3 500 MG-100 TAB CHEW ORAL 07/09/2019 0.03417

CALCIUM CARBONATE/VITAMIN D3 500 MG-400 TAB CHEW ORAL 09/08/2020 0.05874

CALCIUM CHLORIDE 100 MG/ML SYRINGE INTRAVEN 09/29/2020 1.07200

CALCIUM CHLORIDE 100 MG/ML VIAL INTRAVEN 03/02/2021 0.94839

CALCIUM CITRATE 200(950)MG TABLET ORAL 03/16/2021 0.02412

CALCIUM CITRATE 250 MG TABLET ORAL 04/12/2016 0.05333



33

Run Date: 05/09/21




Date MAC Price

CALCIUM CITRATE/VITAMIN D3 315MG-5MCG TABLET ORAL 11/24/2020 0.03704

CALCIUM CITRATE/VITAMIN D3 315MG-6.25 TABLET ORAL 02/16/2021 0.02514

CALCIUM CITRATE/VITAMIN D3 200MG-6.25 TABLET ORAL 05/12/2020 0.04563

CALCIUM POLYCARBOPHIL 625 MG TABLET ORAL 02/18/2020 0.05746

CALCIUM/MAGNESIUM/ZINC 333-133-5 TABLET ORAL 09/10/2019 0.05842

CANDESARTAN CILEXETIL 4 MG TABLET ORAL 04/27/2021 2.35259




CANDESARTAN/HYDROCHLOROTHIAZID 16-12.5MG TABLET ORAL 09/10/2019 4.48609

CANDESARTAN/HYDROCHLOROTHIAZID 32-12.5MG TABLET ORAL 09/10/2019 4.57527

CANDESARTAN/HYDROCHLOROTHIAZID 32MG-25MG TABLET ORAL 07/02/2019 4.95249

CAPECITABINE 150 MG TABLET ORAL 03/30/2021 0.44153

CAPECITABINE 500 MG TABLET ORAL 03/30/2021 0.85715

CAPSAICIN 0.025 % CREAM (G) TOPICAL 10/08/2019 0.74800

CAPSAICIN 0.1 % CREAM (G) TOPICAL 02/16/2021 0.28202

CAPSAICIN 0.025 % ADH. PATCH TOPICAL 05/04/2021 1.59907

CAPSAICIN/ME-SALICYLATE/MENTH 0.025%-25% LOTION TOPICAL 11/06/2018 2.51250

CAPSAICIN/ME-SALICYLATE/MENTH 0.002%-20% LOTION TOPICAL 01/06/2015 2.32987



34

Run Date: 05/09/21




Date MAC Price

CAPSAICIN/MENTHOL 0.0375%-5% ADH. PATCH TOPICAL 11/08/2016 18.37500

CAPSAICIN/MENTHOL 0.0225-4.5 ADH. PATCH TOPICAL 10/27/2020 25.13000

CAPTOPRIL 100 MG TABLET ORAL 08/25/2020 2.16584

CAPTOPRIL 12.5 MG TABLET ORAL 11/24/2020 0.72132



CARBAMAZEPINE 200 MG CPMP 12HR ORAL 02/16/2021 1.40309



CARBAMAZEPINE 100 MG/5ML ORAL SUSP ORAL 03/23/2021 0.18221

CARBAMAZEPINE 200 MG TABLET ORAL 12/08/2020 0.28475

CARBAMAZEPINE 100 MG TAB CHEW ORAL 04/20/2021 0.38431

CARBAMAZEPINE 200 MG TAB ER 12H ORAL 04/27/2021 1.23843



CARBAMIDE PEROXIDE 6.5 % DROPS OTIC (EAR) 12/01/2020 0.14003

CARBIDOPA 25 MG TABLET ORAL 02/16/2021 2.92103

CARBIDOPA/LEVODOPA 10MG-100MG TABLET ORAL 03/23/2021 0.17393




35

Run Date: 05/09/21




Date MAC Price


CARBIDOPA/LEVODOPA 50MG-200MG TABLET ER ORAL 07/21/2020 0.36488

CARBIDOPA/LEVODOPA 25MG-100MG TABLET ER ORAL 12/23/2019 0.48334

CARBIDOPA/LEVODOPA 10MG-100MG TAB RAPDIS ORAL 06/09/2020 1.62770



CARBIDOPA/LEVODOPA/ENTACAPONE 37.5-150MG TABLET ORAL 08/25/2020 1.72900

CARBIDOPA/LEVODOPA/ENTACAPONE 25-100-200 TABLET ORAL 08/25/2020 1.72900

CARBIDOPA/LEVODOPA/ENTACAPONE 12.5-50 MG TABLET ORAL 09/10/2019 2.51016

CARBIDOPA/LEVODOPA/ENTACAPONE 50-200-200 TABLET ORAL 08/25/2020 1.72900

CARBIDOPA/LEVODOPA/ENTACAPONE 18.75-75MG TABLET ORAL 08/25/2020 1.72900

CARBIDOPA/LEVODOPA/ENTACAPONE 31.25-125 TABLET ORAL 02/02/2021 2.51016

CARBINOXAMINE MALEATE 4 MG TABLET ORAL 04/20/2021 0.46592

CARBOPLATIN 10 MG/ML VIAL INTRAVEN 12/29/2020 0.69233

CARBOXYMETHYLCELLULOSE SODIUM 1 % DROPER GEL OPHTHALMIC 03/09/2021 0.44979

CARBOXYMETHYLCELLULOSE SODIUM 0.5 % DROPERETTE OPHTHALMIC 02/23/2021 0.30731

CARBOXYMETHYLCELLULOSE SODIUM 0.5 % DROPS OPHTHALMIC 12/22/2020 0.48543

CARDIOPLEGIC SOLUTION NO.1 K+=16MEQ/L PLST BG PR PERFUSION 11/03/2020 0.07204

CARISOPRODOL 350 MG TABLET ORAL 05/04/2021 0.09736



36

Run Date: 05/09/21




Date MAC Price

CARISOPRODOL 250 MG TABLET ORAL 12/29/2020 4.25872

CARISOPRODOL/ASPIRIN 200-325 MG TABLET ORAL 09/19/2017 1.60130

CARMUSTINE 100 MG VIAL INTRAVEN 11/17/2020 2921.25000

CARVEDILOL 25 MG TABLET ORAL 07/07/2020 0.03189

CARVEDILOL 12.5 MG TABLET ORAL 04/21/2020 0.03042



CARVEDILOL PHOSPHATE 10 MG CPMP 24HR ORAL 06/02/2020 7.28514




CASPOFUNGIN ACETATE 50 MG VIAL INTRAVEN 07/28/2020 70.87875

CASPOFUNGIN ACETATE 70 MG VIAL INTRAVEN 12/15/2020 73.33875

CASTOR OIL 100 % OIL ORAL 02/18/2020 0.04013

CASTOR OIL OIL MISCELL 09/08/2020 0.05143

CEFACLOR 250 MG/5ML SUSP RECON ORAL 09/10/2019 3.04643

CEFACLOR 375 MG/5ML SUSP RECON ORAL 05/01/2018 1.95908

CEFADROXIL 500 MG CAPSULE ORAL 03/09/2021 0.17420

CEFADROXIL 250 MG/5ML SUSP RECON ORAL 01/14/2020 0.58746



37

Run Date: 05/09/21




DateMACPrice

CEFADROXIL 500 MG/5ML SUSP RECON ORAL 09/10/2019 0.38431

CEFADROXIL 1 G TABLET ORAL 08/18/2020 4.71306

CEFAZOLIN SODIUM 1 G VIAL INJECTION 10/15/2019 1.33920

CEFAZOLIN SODIUM 10 G VIAL INJECTION 03/30/2021 6.56463

CEFAZOLIN SODIUM 500 MG VIAL INJECTION 01/14/2020 1.63480

CEFDINIR 300 MG CAPSULE ORAL 03/16/2021 0.50116

CEFDINIR 125 MG/5ML SUSP RECON ORAL 03/16/2021 0.15825

CEFDINIR 250 MG/5ML SUSP RECON ORAL 06/22/2020 0.13650

CEFEPIME HCL 1 G VIAL INJECTION 04/06/2021 4.75200

CEFEPIME HCL 2 G VIAL INJECTION 09/01/2020 8.30400

CEFIXIME 400 MG CAPSULE ORAL 11/24/2020 13.07639

CEFIXIME 100 MG/5ML SUSP RECON ORAL 01/14/2020 3.69811

CEFIXIME 200 MG/5ML SUSP RECON ORAL 01/14/2020 7.11573

CEFOTAXIME SODIUM 1 G VIAL INJECTION 02/06/2018 6.37540

CEFOTETAN DISODIUM 1 G VIAL INJECTION 04/06/2021 19.18193

CEFOTETAN DISODIUM 2 G VIAL INJECTION 02/04/2020 25.67172

CEFOXITIN SODIUM 10 G VIAL INTRAVEN 07/14/2020 53.45888





38

Run Date: 05/09/21




DateMACPrice

CEFPODOXIME PROXETIL 50 MG/5 ML SUSP RECON ORAL 09/22/2020 0.57734

CEFPODOXIME PROXETIL 100 MG/5ML SUSP RECON ORAL 12/10/2019 1.09853

CEFPODOXIME PROXETIL 100 MG TABLET ORAL 01/14/2020 6.03441

CEFPODOXIME PROXETIL 200 MG TABLET ORAL 11/24/2020 5.00874

CEFPROZIL 125 MG/5ML SUSP RECON ORAL 01/30/2018 0.11059

CEFPROZIL 250 MG/5ML SUSP RECON ORAL 03/23/2021 0.47248

CEFPROZIL 250 MG TABLET ORAL 10/22/2019 1.01492

CEFPROZIL 500 MG TABLET ORAL 10/01/2019 1.16044

CEFTAZIDIME 1 G VIAL INJECTION 10/01/2019 4.15074



CEFTAZIDIME 1 G VIAL PORT INTRAVEN 09/10/2019 6.90677

CEFTAZIDIME 2 G VIAL PORT INTRAVEN 09/10/2019 12.67310

CEFTRIAXONE SODIUM 1 G VIAL INJECTION 04/07/2020 1.87131



CEFTRIAXONE SODIUM 250 MG VIAL INJECTION 09/10/2019 1.21136

CEFTRIAXONE SODIUM 500 MG VIAL INJECTION 10/13/2020 1.36873

CEFUROXIME AXETIL 250 MG TABLET ORAL 03/16/2021 0.46878



39

Run Date: 05/09/21




DateMACPrice

CEFUROXIME AXETIL 500 MG TABLET ORAL 03/16/2021 0.43483

CEFUROXIME SODIUM 750 MG VIAL INJECTION 07/14/2015 2.82150

CEFUROXIME SODIUM 1.5 G VIAL INTRAVEN 07/30/2019 6.20217

CEFUROXIME SODIUM 7.5 G VIAL INTRAVEN 07/05/2016 19.95000

CELECOXIB 100 MG CAPSULE ORAL 03/23/2021 0.17353




CELLULOSE POWDER MISCELL 02/09/2021 0.04097

CEPHALEXIN 250 MG CAPSULE ORAL 09/01/2020 0.09514



CEPHALEXIN 125 MG/5ML SUSP RECON ORAL 01/28/2020 0.11899

CEPHALEXIN 250 MG/5ML SUSP RECON ORAL 03/23/2021 0.16897

CETIRIZINE HCL 10 MG CAPSULE ORAL 02/02/2021 0.37788

CETIRIZINE HCL 1 MG/ML SOLUTION ORAL 04/13/2021 0.02602

CETIRIZINE HCL 10 MG TABLET ORAL 07/07/2020 0.03612

CETIRIZINE HCL 5 MG TABLET ORAL 11/05/2019 0.08911

CETIRIZINE HCL 5 MG TAB CHEW ORAL 09/17/2019 1.81079



40

Run Date: 05/09/21




DateMACPrice

CETIRIZINE HCL 10 MG TAB CHEW ORAL 09/10/2019 2.37761

CETIRIZINE HCL/PSEUDOEPHEDRINE 5 MG-120MG TAB ER 12H ORAL 03/16/2021 0.73812

CETYL ALC/STEARYL ALC/PG/SLS CREAM (G) TOPICAL 05/01/2014 0.03596

CETYL ALCOHOL/STEARYL ALCOHOL LOTION TOPICAL 05/01/2014 0.03303

CEVIMELINE HCL 30 MG CAPSULE ORAL 03/09/2021 0.82356

CHARCOAL/SORBITOL SOLUTION 25 G/120ML ORAL SUSP ORAL 03/30/2021 0.15756

CHARCOAL/SORBITOL SOLUTION 50G/240ML ORAL SUSP ORAL 03/30/2021 0.11167

CHLORDIAZEPOXIDE HCL 10 MG CAPSULE ORAL 09/10/2019 0.09340



CHLORDIAZEPOXIDE/CLIDINIUM BR 5 MG-2.5MG CAPSULE ORAL 08/05/2020 2.05990

CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH MUCOUS MEM 03/02/2021 0.00743

CHLORHEXIDINE GLUCONATE 4 % LIQUID TOPICAL 05/04/2021 0.00087

CHLORHEXIDINE GLUCONATE 2 % LIQUID TOPICAL 04/13/2021 0.03937

CHLORHEXIDINE/GLYCERIN/HE-CELL JELLY (G) TOPICAL 09/10/2019 0.04366

CHLOROPROCAINE HCL/PF 30 MG/ML VIAL INJECTION 02/09/2021 1.25952

CHLOROPROCAINE HCL/PF 20 MG/ML VIAL INJECTION 02/09/2021 1.19949

CHLOROTHIAZIDE SODIUM 500 MG VIAL INTRAVEN 06/02/2020 43.56250

CHLOROXYLENOL 0.43 % CLEANSER TOPICAL 05/01/2014 0.00333



41

Run Date: 05/09/21




DateMACPrice

CHLORPHENIRAMINE MALEATE 4 MG TABLET ORAL 04/06/2021 0.00570

CHLORPHENIRAMINE/DEXTROMETHORP 2-15MG/5ML LIQUID ORAL 09/10/2019 0.07448

CHLORPHENIRAMINE/DEXTROMETHORP 4 MG-30 MG TABLET ORAL 05/28/2020 0.11139

CHLORPHENIRAMINE/PHENYLEPH/DM 2-5-10MG/5 LIQUID ORAL 03/31/2020 0.02224

CHLORPHENIRAMINE/PHENYLEPH/DM 4-10-15/5 LIQUID ORAL 05/06/2020 0.09626

CHLORPHENIRAMINE/PHENYLEPHRINE 4-10MG/5ML LIQUID ORAL 05/06/2020 0.07510

CHLORPROMAZINE HCL 10 MG TABLET ORAL 05/04/2021 2.11693





CHLORPROMAZINE HCL 25 MG/ML AMPUL INJECTION 09/22/2020 16.39869

CHLORTHALIDONE 25 MG TABLET ORAL 12/22/2020 0.25492

CHLORTHALIDONE 50 MG TABLET ORAL 03/16/2021 0.57526

CHLORZOXAZONE 500 MG TABLET ORAL 01/19/2021 0.27952



CHOLECALCIFEROL (VITAMIN D3) 25 MCG CAPSULE ORAL 02/16/2021 0.02955




42

Run Date: 05/09/21




DateMACPrice




CHOLECALCIFEROL (VITAMIN D3) 10(400)/ML DROPS ORAL 02/09/2021 0.09648

CHOLECALCIFEROL (VITAMIN D3) 50MCG/DROP DROPS ORAL 02/02/2021 1.91352


CHOLECALCIFEROL (VITAMIN D3) 125 MCG/ML DROPS ORAL 09/17/2019 0.18270


CHOLECALCIFEROL (VITAMIN D3) 250 MCG TABLET ORAL 04/21/2020 1.22833





CHOLECALCIFEROL (VITAMIN D3) 10 MCG TAB CHEW ORAL 08/01/2017 0.03475

CHOLECALCIFEROL (VITAMIN D3) 25 MCG TAB CHEW ORAL 02/02/2021 0.06968

CHOLESTYRAMINE (WITH SUGAR) 4 G POWD PACK ORAL 03/16/2021 2.04685

CHOLESTYRAMINE (WITH SUGAR) 4 G POWDER ORAL 09/22/2020 0.22982

CHOLESTYRAMINE/ASPARTAME 4 G POWD PACK ORAL 01/14/2020 2.44260

CHOLESTYRAMINE/ASPARTAME 4 G POWDER ORAL 01/12/2021 0.25963



43

Run Date: 05/09/21




DateMACPrice

CHORIONIC GONADOTROPIN, HUMAN 10000 UNIT VIAL INTRAMUSC 02/11/2020 257.27500

CHROMIC CHLORIDE 4 MCG/ML VIAL INTRAVEN 05/01/2014 0.22282

CHROMIUM PICOLINATE 200 MCG TABLET ORAL 09/22/2020 0.04181

CICLOPIROX 0.77 % GEL (GRAM) TOPICAL 09/10/2019 0.61283

CICLOPIROX 8 % SOLUTION TOPICAL 03/09/2021 2.61109

CICLOPIROX 1 % SHAMPOO TOPICAL 09/10/2019 0.46241

CICLOPIROX OLAMINE 0.77 % CREAM (G) TOPICAL 02/18/2020 0.16393

CICLOPIROX OLAMINE 0.77 % SUSPENSION TOPICAL 08/25/2020 0.78993

CICLOPIROX/UREA/CAMPH/MEN/EUC 8 % SOLUTION TOPICAL 08/25/2020 12.82566

CIDOFOVIR 75 MG/ML VIAL INTRAVEN 02/02/2021 126.07500

CILOSTAZOL 100 MG TABLET ORAL 05/04/2021 0.24276

CILOSTAZOL 50 MG TABLET ORAL 05/04/2021 0.15633

CIMETIDINE 200 MG TABLET ORAL 04/27/2021 0.34090




CINACALCET HCL 30 MG TABLET ORAL 03/02/2021 1.09299





44

Run Date: 05/09/21




DateMACPrice

CIPROFLOXACIN 250 MG/5ML SUS MC REC ORAL 11/05/2019 0.81666

CIPROFLOXACIN 500 MG/5ML SUS MC REC ORAL 02/11/2020 0.95609

CIPROFLOXACIN HCL 250 MG TABLET ORAL 04/27/2021 0.18103



CIPROFLOXACIN HCL 0.3 % DROPS OPHTHALMIC 07/28/2020 1.51420

CIPROFLOXACIN HCL/DEXAMETH 0.3 %-0.1% DROPS SUSP OTIC (EAR) 05/04/2021 17.17538

CIPROFLOXACIN IN 5 % DEXTROSE 200MG/0.1L PIGGYBACK INTRAVEN 05/19/2020 0.04151

CIPROFLOXACIN IN 5 % DEXTROSE 400MG/0.2L PIGGYBACK INTRAVEN 03/30/2021 0.02417

CISATRACURIUM BESYLATE 10 MG/ML VIAL INTRAVEN 02/09/2021 6.49548

CISATRACURIUM BESYLATE 2 MG/ML VIAL INTRAVEN 04/06/2021 0.93679

CISPLATIN 1 MG/ML VIAL INTRAVEN 04/28/2020 0.33098

CITALOPRAM HYDROBROMIDE 10 MG/5 ML SOLUTION ORAL 02/18/2020 0.34271

CITALOPRAM HYDROBROMIDE 20 MG TABLET ORAL 03/31/2020 0.02737



CITRIC ACID/SODIUM CITRATE 334-500MG SOLUTION ORAL 05/06/2020 0.09226

CITRONELLA OIL OIL MISCELL 09/10/2019 0.27470

CITRULLINE POWDER ORAL 01/10/2017 0.08308



45

Run Date: 05/09/21




DateMACPrice

CLADRIBINE 10 MG/10ML VIAL INTRAVEN 06/02/2020 33.85370

CLARITHROMYCIN 500 MG TABLET ORAL 01/12/2021 1.11421

CLARITHROMYCIN 250 MG TABLET ORAL 01/12/2021 0.95832

CLARITHROMYCIN 500 MG TAB ER 24H ORAL 03/24/2020 7.31420

CLINDAMYCIN HCL 150 MG CAPSULE ORAL 04/13/2021 0.14306



CLINDAMYCIN PALMITATE HCL 75 MG/5 ML SOLN RECON ORAL 04/13/2021 0.23906

CLINDAMYCIN PHOS/BENZOYL PEROX 1 %-5 % GEL (GRAM) TOPICAL 03/02/2021 1.29873

CLINDAMYCIN PHOS/BENZOYL PEROX 1.2(1)%-5% GEL (GRAM) TOPICAL 02/11/2020 1.62825

CLINDAMYCIN PHOS/BENZOYL PEROX 1 %-5 % GEL W/PUMP TOPICAL 04/06/2021 1.88251

CLINDAMYCIN PHOS/BENZOYL PEROX 1.2%-2.5% GEL W/PUMP TOPICAL 09/24/2019 8.57424

CLINDAMYCIN PHOSPHATE 150 MG/ML VIAL INJECTION 07/07/2020 0.43885

CLINDAMYCIN PHOSPHATE 1 % FOAM TOPICAL 09/10/2019 5.41350

CLINDAMYCIN PHOSPHATE 1 % MED. SWAB TOPICAL 03/13/2018 0.41183

CLINDAMYCIN PHOSPHATE 1 % GEL (GRAM) TOPICAL 04/20/2021 0.92482

CLINDAMYCIN PHOSPHATE 1 % SOLUTION TOPICAL 03/23/2021 0.26130

CLINDAMYCIN PHOSPHATE 1 % LOTION TOPICAL 04/27/2021 1.89119

CLINDAMYCIN PHOSPHATE 2 % CREAM/APPL VAGINAL 12/10/2019 2.36376



46

Run Date: 05/09/21




DateMACPrice

CLINDAMYCIN PHOSPHATE/D5W 300MG/50ML PIGGYBACK INTRAVEN 11/24/2020 0.17906



CLINDAMYCIN/TRETINOIN 1.2-0.025% GEL (GRAM) TOPICAL 04/27/2021 7.86720

CLOBAZAM 2.5 MG/ML ORAL SUSP ORAL 02/02/2021 0.66431

CLOBAZAM 10 MG TABLET ORAL 09/15/2020 0.67040

CLOBAZAM 20 MG TABLET ORAL 09/15/2020 1.27474

CLOBETASOL PROPIONATE 0.05 % FOAM TOPICAL 01/12/2021 0.77479

CLOBETASOL PROPIONATE 0.05 % SPRAY TOPICAL 12/15/2020 0.43606

CLOBETASOL PROPIONATE 0.05 % GEL (GRAM) TOPICAL 09/10/2019 1.42129

CLOBETASOL PROPIONATE 0.05 % CREAM (G) TOPICAL 04/06/2021 0.58781

CLOBETASOL PROPIONATE 0.05 % OINT. (G) TOPICAL 03/16/2021 0.20844

CLOBETASOL PROPIONATE 0.05 % SOLUTION TOPICAL 04/06/2021 0.72440

CLOBETASOL PROPIONATE 0.05 % LOTION TOPICAL 12/03/2019 1.03113

CLOBETASOL PROPIONATE 0.05 % SHAMPOO TOPICAL 04/20/2021 1.71743

CLOBETASOL PROPIONATE/EMOLL 0.05 % FOAM TOPICAL 06/23/2020 2.33776

CLOBETASOL PROPIONATE/EMOLL 0.05 % CREAM (G) TOPICAL 03/23/2021 1.56579

CLOCORTOLONE PIVALATE 0.1 % CREAM (G) TOPICAL 11/24/2020 5.92006

CLOFARABINE 20 MG/20ML VIAL INTRAVEN 04/06/2021 34.08125



47

Run Date: 05/09/21




DateMACPrice

CLOMIPHENE CITRATE 50 MG TABLET ORAL 05/04/2021 1.47534

CLOMIPRAMINE HCL 25 MG CAPSULE ORAL 11/03/2020 0.44220



CLONAZEPAM 0.5 MG TABLET ORAL 03/23/2021 0.02238

CLONAZEPAM 1 MG TABLET ORAL 03/09/2021 0.03339

CLONAZEPAM 2 MG TABLET ORAL 02/02/2021 0.05188

CLONAZEPAM 0.125 MG TAB RAPDIS ORAL 09/24/2019 1.00053



CLONAZEPAM 2 MG TAB RAPDIS ORAL 06/09/2020 1.44474

CLONIDINE 0.1MG/24HR PATCH TDWK TRANSDERM 09/10/2019 11.96800



CLONIDINE HCL 0.1 MG TABLET ORAL 09/24/2019 0.02520



CLONIDINE HCL 0.1 MG TAB ER 12H ORAL 02/09/2021 1.00388

CLONIDINE HCL/PF 1000MCG/10 VIAL EPIDURAL 09/17/2019 2.95020



48

Run Date: 05/09/21




DateMACPrice

CLONIDINE HCL/PF 5000MCG/10 VIAL EPIDURAL 07/31/2018 10.92500

CLOPIDOGREL BISULFATE 75 MG TABLET ORAL 04/06/2021 0.08621

CLOPIDOGREL BISULFATE 300 MG TABLET ORAL 03/30/2021 9.60978

CLORAZEPATE DIPOTASSIUM 15 MG TABLET ORAL 03/04/2021 1.94518

CLORAZEPATE DIPOTASSIUM 3.75 MG TABLET ORAL 07/21/2020 1.11260

CLORAZEPATE DIPOTASSIUM 7.5 MG TABLET ORAL 02/24/2020 1.25631

CLOTRIMAZOLE 10 MG TROCHE MUCOUS MEM 08/25/2020 0.40621

CLOTRIMAZOLE 1 % CREAM (G) TOPICAL 04/13/2021 0.11435

CLOTRIMAZOLE 1 % SOLUTION TOPICAL 04/28/2020 1.79247

CLOTRIMAZOLE 1 % CREAM/APPL VAGINAL 10/22/2019 0.08904

CLOTRIMAZOLE 2 % CREAM/APPL VAGINAL 03/24/2020 0.35577

CLOTRIMAZOLE/BETAMETHASONE DIP 1 %-0.05 % CREAM (G) TOPICAL 03/30/2021 0.63546

CLOTRIMAZOLE/BETAMETHASONE DIP 1 %-0.05 % LOTION TOPICAL 06/02/2020 3.20930

CLOZAPINE 25 MG TABLET ORAL 03/02/2021 0.82745




COAGULATION FACTOR VIIA,RECOMB 1 MG VIAL INTRAVEN 07/01/2018 1.74828




49

Run Date: 05/09/21




DateMACPrice



COAL TAR 2 % FOAM TOPICAL 06/21/2016 0.20100

COAL TAR 0.5 % SHAMPOO TOPICAL 04/06/2021 0.03702

COAL TAR 2 % SHAMPOO TOPICAL 01/12/2021 0.06095

COCAINE HCL 4 % SOLUTION NASAL 08/25/2020 63.09900

COCOA BUTTER CREAM (G) MISCELL 05/23/2017 0.21105

COD LIVER OIL CAPSULE ORAL 04/03/2018 0.03990

CODEINE PHOSPHATE/GUAIFENESIN 10-100MG/5 LIQUID ORAL 01/12/2021 0.03277

CODEINE PHOSPHATE/GUAIFENESIN 10-100MG/5 LIQUID ORAL 09/10/2019 0.11701

CODEINE PHOSPHATE/GUAIFENESIN 20-200/10 LIQUID ORAL 09/10/2019 0.06782

CODEINE/BUTALBITAL/ASA/CAFFEIN 30-50-325 CAPSULE ORAL 05/06/2020 2.06762

COLA SYRUP SYRUP ORAL 09/10/2019 0.02947

COLCHICINE 0.6 MG CAPSULE ORAL 09/10/2019 6.15781

COLCHICINE 0.6 MG TABLET ORAL 04/27/2021 1.33062

COLESEVELAM HCL 3.75 G POWD PACK ORAL 11/10/2020 14.39935

COLESEVELAM HCL 625 MG TABLET ORAL 03/16/2021 0.91991

COLESTIPOL HCL 5 G GRANULES ORAL 09/10/2019 0.31356

COLESTIPOL HCL 5 G PACKET ORAL 04/28/2020 2.57995



50

Run Date: 05/09/21




DateMACPrice

COLESTIPOL HCL 1 G TABLET ORAL 02/09/2021 1.17887

COLISTIN (COLISTIMETHATE NA) 150 MG VIAL INJECTION 03/03/2020 28.70000

COLLOIDAL OATMEAL 1 % CREAM (G) TOPICAL 09/10/2019 0.05891

COMPOUND VEH.SUSP SUGAR-FREE 1 ORAL SUSP ORAL 09/10/2019 0.06700

COMPOUND VEHICLE SUGAR-FREE 9 LIQUID ORAL 09/10/2019 0.03364

COMPOUND VEHICLE SUSP SF NO.20 ORAL SUSP ORAL 01/26/2021 0.04662

COMPOUND VEHICLE SUSP SF NO.24 ORAL SUSP ORAL 03/09/2021 0.30552

COMPOUNDING VEHICLE SUSP NO.19 ORAL SUSP ORAL 12/08/2020 0.05011

COMPOUNDING VEHICLE SYRUP NO23 SYRUP ORAL 06/23/2020 0.03975

CONTAINER,EMPTY EACH MISCELL 05/06/2020 1.86260

COSYNTROPIN 0.25 MG VIAL INJECTION 01/14/2020 66.62500

CPD VEHICLE SOL.SUGARFREE NO.1 SOLUTION ORAL 09/10/2019 0.02398

CPD VEHICLE SUSP.SUGAR-FREE 12 ORAL SUSP ORAL 06/16/2020 0.05366

CROMOLYN SODIUM 20 MG/ML ORAL CONC ORAL 04/13/2021 0.53151

CROMOLYN SODIUM 4 % DROPS OPHTHALMIC 09/24/2019 2.25000

CROMOLYN SODIUM 5.2 MG SPRAY/PUMP NASAL 09/10/2019 0.62155

CROMOLYN SODIUM 20 MG/2 ML AMPUL-NEB INHALATION 09/24/2019 9.87361

CROTAMITON 10 % LOTION TOPICAL 09/04/2018 3.61252

CYANOCOBALAMIN (VITAMIN B-12) 100 MCG TABLET ORAL 08/11/2020 0.01581



51

Run Date: 05/09/21




DateMACPrice




CYANOCOBALAMIN (VITAMIN B-12) 1000 MCG TABLET ER ORAL 03/10/2020 0.05410

CYANOCOBALAMIN (VITAMIN B-12) 1000MCG/ML VIAL INJECTION 03/01/2021 0.76719

CYANOCOBALAMIN (VITAMIN B-12) 1000 MCG TAB SUBL SUBLINGUAL 05/01/2014 0.05347



CYANOCOBALAMIN/COBAMAMIDE 5K-100 MCG TAB SUBL SUBLINGUAL 09/10/2019 0.25293

CYANOCOBALAMIN/FOLIC AC/VIT B6 1-2.5-25MG TABLET ORAL 06/23/2020 0.65422

CYANOCOBALAMIN/FOLIC AC/VIT B6 2-2.5-25MG TABLET ORAL 01/14/2020 0.90338

CYANOCOBALAMIN/FOLIC ACID 0.5 MG-1MG TABLET ORAL 10/22/2019 0.19296

CYANOCOBALAMIN/MECOBALAMIN 600-600MCG TAB SUBL SUBLINGUAL 06/12/2018 0.30572

CYCLOBENZAPRINE HCL 15 MG CAP ER 24H ORAL 03/09/2021 7.99300

CYCLOBENZAPRINE HCL 30 MG CAP ER 24H ORAL 12/15/2020 8.14880

CYCLOBENZAPRINE HCL 10 MG TABLET ORAL 03/09/2021 0.03216

CYCLOBENZAPRINE HCL 5 MG TABLET ORAL 03/16/2021 0.02760

CYCLOBENZAPRINE HCL 7.5 MG TABLET ORAL 12/15/2020 1.39896

CYCLOPENTOLATE HCL 0.5 % DROPS OPHTHALMIC 07/07/2020 6.66835



52

Run Date: 05/09/21




DateMACPrice

CYCLOPENTOLATE HCL 1 % DROPS OPHTHALMIC 08/11/2020 2.48168

CYCLOPHOSPHAMIDE 25 MG CAPSULE ORAL 07/14/2020 6.84276

CYCLOPHOSPHAMIDE 50 MG CAPSULE ORAL 08/04/2020 8.84460

CYCLOPHOSPHAMIDE 1 G VIAL INTRAVEN 11/24/2020 359.86725

CYCLOPHOSPHAMIDE 2 G VIAL INTRAVEN 11/24/2020 719.73450

CYCLOPHOSPHAMIDE 500 MG VIAL INTRAVEN 11/24/2020 179.93875

CYCLOSPORINE 100 MG CAPSULE ORAL 02/09/2021 15.13505

CYCLOSPORINE 25 MG CAPSULE ORAL 09/10/2019 4.13336

CYCLOSPORINE 250 MG/5ML AMPUL INTRAVEN 03/09/2021 8.91617

CYCLOSPORINE, MODIFIED 100 MG CAPSULE ORAL 02/23/2021 2.12345



CYCLOSPORINE, MODIFIED 100 MG/ML SOLUTION ORAL 02/03/2015 3.95380

CYPROHEPTADINE HCL 2 MG/5 ML SYRUP ORAL 10/06/2020 0.06309

CYPROHEPTADINE HCL 4 MG TABLET ORAL 04/27/2021 0.10070

CYTARABINE/PF 2 G/20 ML VIAL INJECTION 01/14/2020 1.07937

CYTARABINE/PF 100 MG/5ML VIAL INJECTION 09/10/2019 1.75379

CYTARABINE/PF 20 MG/ML VIAL INJECTION 09/10/2019 0.76058

D-METHORPHAN/PE/ACETAMINOPHEN 10-5-325MG CAPSULE ORAL 12/08/2020 0.26485



53

Run Date: 05/09/21




DateMACPrice

D-METHORPHAN/PE/ACETAMINOPHEN 5-325MG/15 LIQUID ORAL 11/17/2020 0.02657

D-METHORPHAN/PE/ACETAMINOPHEN 10-5-325MG TABLET ORAL 08/29/2017 0.26892

DACARBAZINE 200 MG VIAL INTRAVEN 07/28/2020 12.45640

DALFAMPRIDINE 10 MG TAB ER 12H ORAL 05/04/2021 2.55225

DANAZOL 100 MG CAPSULE ORAL 12/15/2020 4.11932



DANTROLENE SODIUM 100 MG CAPSULE ORAL 04/27/2021 1.98213



DANTROLENE SODIUM 20 MG VIAL INTRAVEN 04/27/2021 87.53500

DAPSONE 100 MG TABLET ORAL 08/25/2020 1.17027

DAPSONE 25 MG TABLET ORAL 10/27/2020 0.52037

DAPSONE 5 % GEL (GRAM) TOPICAL 12/22/2020 3.59597

DAPSONE 7.5 % GEL W/PUMP TOPICAL 10/06/2020 6.24282

DAPTOMYCIN 500 MG VIAL INTRAVEN 11/02/2017 175.27500

DAPTOMYCIN 350 MG VIAL INTRAVEN 03/30/2021 45.35625

DARIFENACIN HYDROBROMIDE 7.5 MG TAB ER 24H ORAL 04/27/2021 2.21011

DARIFENACIN HYDROBROMIDE 15 MG TAB ER 24H ORAL 04/27/2021 3.12136



54

Run Date: 05/09/21




DateMACPrice

DAUNORUBICIN HCL 5 MG/ML VIAL INTRAVEN 03/01/2021 23.24070

DECITABINE 50 MG VIAL INTRAVEN 02/16/2021 225.80750

DEFERASIROX 90 MG GRAN PACK ORAL 03/30/2021 40.40140

DEFERASIROX 90 MG TABLET ORAL 09/08/2020 1.07334

DEFERASIROX 360 MG TABLET ORAL 02/02/2021 3.94064

DEFERASIROX 125 MG TAB DISPER ORAL 11/24/2020 7.59121



DEFERIPRONE 500 MG TABLET ORAL 04/27/2021 63.64799

DEFEROXAMINE MESYLATE 2 G VIAL INJECTION 04/27/2021 32.86150

DEMECLOCYCLINE HCL 150 MG TABLET ORAL 02/09/2021 3.66194

DEMECLOCYCLINE HCL 300 MG TABLET ORAL 09/10/2019 8.36075

DESIPRAMINE HCL 10 MG TABLET ORAL 06/23/2020 1.03582






DESLORATADINE 5 MG TABLET ORAL 03/02/2021 0.64623



55

Run Date: 05/09/21




DateMACPrice

DESMOPRESSIN (NONREFRIGERATED) 10/SPRAY SPRAY/PUMP NASAL 02/16/2021 13.32870

DESMOPRESSIN ACETATE 0.1 MG TABLET ORAL 08/04/2020 0.57004

DESMOPRESSIN ACETATE 0.2 MG TABLET ORAL 08/04/2020 0.57647

DESMOPRESSIN ACETATE 4 MCG/ML AMPUL INJECTION 05/19/2020 36.75548

DESMOPRESSIN ACETATE 4 MCG/ML VIAL INJECTION 04/06/2021 19.83741

DESOG-E.ESTRADIOL/E.ESTRADIOL 21-5 (28) TABLET ORAL 02/16/2021 0.31107

DESOGESTREL-ETHINYL ESTRADIOL 0.15-0.03 TABLET ORAL 01/12/2021 0.41093

DESOGESTREL-ETHINYL ESTRADIOL 7 DAYS X 3 TABLET ORAL 09/08/2020 1.48843

DESONIDE 0.05 % GEL (GRAM) TOPICAL 07/14/2020 8.22920

DESONIDE 0.05 % CREAM (G) TOPICAL 03/01/2021 0.79752

DESONIDE 0.05 % OINT. (G) TOPICAL 04/20/2021 0.68005

DESONIDE 0.05 % LOTION TOPICAL 03/02/2021 1.52269

DESOXIMETASONE 0.25 % SPRAY TOPICAL 08/18/2020 4.45909

DESOXIMETASONE 0.05 % CREAM (G) TOPICAL 02/23/2021 2.67419

DESOXIMETASONE 0.25 % CREAM (G) TOPICAL 02/23/2021 0.66598

DESOXIMETASONE 0.25 % OINT. (G) TOPICAL 11/03/2020 0.83638

DESOXIMETASONE 0.05 % OINT. (G) TOPICAL 10/06/2020 4.68182

DESVENLAFAXINE SUCCINATE 50 MG TAB ER 24H ORAL 11/24/2020 0.91302




56

Run Date: 05/09/21




DateMACPrice


DEXAMETHASONE 0.5 MG/5ML ELIXIR ORAL 09/10/2019 0.20854

DEXAMETHASONE 1.5 MG TABLET ORAL 04/13/2021 0.90262

DEXAMETHASONE 1.5MG (21) TAB DS PK ORAL 08/18/2020 0.99543

DEXAMETHASONE 1.5 MG(39) TAB DS PK ORAL 03/31/2020 9.55856

DEXAMETHASONE SODIUM PHOSP/PF 10 MG/ML SYRINGE INJECTION 10/27/2020 2.87760

DEXAMETHASONE SODIUM PHOSP/PF 10 MG/ML VIAL INJECTION 03/01/2021 2.88720

DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML VIAL INJECTION 01/26/2021 0.50895

DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML VIAL INJECTION 03/16/2021 0.23316

DEXAMETHASONE SODIUM PHOSPHATE 0.1 % DROPS OPHTHALMIC 03/23/2021 7.62720

DEXBROMPHENIRAMINE/PSEUDOEPHED 1MG-30MG/5 SOLUTION ORAL 09/20/2016 0.03116

DEXBROMPHENIRAMINE/PSEUDOEPHED 2 MG-60 MG TABLET ORAL 06/28/2016 0.29313

DEXCHLORPHENIR/PSE/CHLOPHEDIAN 2-60-25 MG LIQUID ORAL 09/08/2015 0.08165

DEXCHLORPHENIR/PSE/CHLOPHEDIAN 0.5-15MG/1 DROPS ORAL 09/08/2015 0.16057

DEXCHLORPHENIR/PSEUDOEPHED/DM 1-30-15/5 LIQUID ORAL 09/20/2016 0.07472

DEXCHLORPHENIRAMINE MALEATE 2 MG/5 ML SOLUTION ORAL 01/08/2019 7.55596

DEXMEDETOMIDINE HCL 200MCG/2ML VIAL INTRAVEN 02/16/2021 3.28178

DEXMEDETOMIDINE IN 0.9 % NACL 200 MCG/50 INFUS. BTL INTRAVEN 04/13/2021 0.95870

DEXMEDETOMIDINE IN 0.9 % NACL 400MCG/100 INFUS. BTL INTRAVEN 04/20/2021 0.96480



57

Run Date: 05/09/21




DateMACPrice

DEXMEDETOMIDINE IN 0.9 % NACL 80MCG/20ML VIAL INTRAVEN 09/22/2020 1.72967

DEXMEDETOMIDINE IN 0.9 % NACL 200 MCG/50 PLAST. BAG INTRAVEN 05/04/2021 1.08748

DEXMEDETOMIDINE IN 0.9 % NACL 400MCG/100 PLAST. BAG INTRAVEN 05/04/2021 0.91656

DEXMETHYLPHENIDATE HCL 5 MG CPBP 50-50 ORAL 04/27/2021 2.89740








DEXMETHYLPHENIDATE HCL 2.5 MG TABLET ORAL 03/02/2021 0.28140

DEXMETHYLPHENIDATE HCL 5 MG TABLET ORAL 03/02/2021 0.37145

DEXMETHYLPHENIDATE HCL 10 MG TABLET ORAL 03/02/2021 0.55034

DEXRAZOXANE HCL 500 MG VIAL INTRAVEN 01/19/2021 348.15150

DEXTROAMPHETAMINE SULFATE 10 MG CAPSULE ER ORAL 10/01/2019 1.17008



DEXTROAMPHETAMINE SULFATE 10 MG TABLET ORAL 03/16/2021 0.96587



58

Run Date: 05/09/21




DateMACPrice

DEXTROAMPHETAMINE SULFATE 5 MG TABLET ORAL 03/16/2021 0.95019

DEXTROAMPHETAMINE/AMPHETAMINE 10 MG CAP ER 24H ORAL 12/22/2020 1.53001






DEXTROAMPHETAMINE/AMPHETAMINE 5 MG TABLET ORAL 03/01/2021 0.19725




DEXTROAMPHETAMINE/AMPHETAMINE 7.5 MG TABLET ORAL 03/01/2021 0.82950

DEXTROAMPHETAMINE/AMPHETAMINE 12.5 MG TABLET ORAL 03/23/2021 0.71127


DEXTROMETHORPHAN HB/DOXYLAMINE 15-6.25/15 SOLUTION ORAL 06/09/2020 0.02582

DEXTROMETHORPHAN HBR 10 MG/5 ML LIQUID ORAL 03/02/2021 0.05628

DEXTROMETHORPHAN POLISTIREX 30 MG/5 ML SUS ER 12H ORAL 01/26/2021 0.07683

DEXTROMETHORPHAN/PHENYLEPHRINE 5-2.5 MG/5 LIQUID ORAL 08/04/2020 0.05016

DEXTROSE 40 % GEL (GRAM) ORAL 11/10/2020 0.12342



59

Run Date: 05/09/21




DateMACPrice

DEXTROSE 4 G TAB CHEW ORAL 03/09/2021 0.09367

DEXTROSE 10 % IN WATER 10 % DEHP FR BG INTRAVEN 02/11/2020 0.00585

DEXTROSE 10 % IN WATER 10 % IV SOLN INTRAVEN 02/02/2021 0.00668

DEXTROSE 2.5 % AND 0.45 % NACL 2.5%-0.45% IV SOLN INTRAVEN 05/04/2021 0.00761

DEXTROSE 5 % AND 0.3 % NACL 5 %-0.3 % IV SOLN INTRAVEN 05/04/2021 0.01104

DEXTROSE 5 % AND 0.9 % NACL 5 %-0.9 % IV SOLN INTRAVEN 05/04/2021 0.00461


DEXTROSE 5 %-0.2 % SOD CHLORID 5 %-0.2 % IV SOLN INTRAVEN 05/04/2021 0.00544

DEXTROSE 5 %-0.45 % SOD CHLORD 5 %-0.45 % IV SOLN INTRAVEN 05/04/2021 0.00474

DEXTROSE 5%-LACTATED RINGERS 5 % IV SOLN INTRAVEN 06/30/2020 0.00650

DEXTROSE 50 % IN WATER 50 % SYRINGE INTRAVEN 10/27/2020 0.32570


DIATRIZOATE MEGLUMINE, SODIUM 66 %-10 % SOLUTION ORAL 05/01/2014 0.35360

DIAZEPAM 5 MG/ML ORAL CONC ORAL 02/24/2020 0.88730

DIAZEPAM 10 MG TABLET ORAL 02/24/2020 0.02185



DIAZEPAM 5 MG/ML CARTRIDGE INJECTION 11/20/2018 12.03345

DIAZEPAM 5 MG/ML SYRINGE INJECTION 10/27/2020 8.86110



60

Run Date: 05/09/21




DateMACPrice

DIAZEPAM 5 MG/ML VIAL INJECTION 10/27/2020 3.16048

DIAZOXIDE 50 MG/ML ORAL SUSP ORAL 11/03/2020 10.38795

DIBUCAINE 1 % OINT. (G) RECTAL 02/09/2021 0.08602

DIBUCAINE 1 % OINT. (G) TOPICAL 01/26/2021 0.11256

DICLOFENAC POTASSIUM 50 MG TABLET ORAL 01/26/2021 0.53560

DICLOFENAC SODIUM 25 MG TABLET DR ORAL 09/10/2019 0.95261



DICLOFENAC SODIUM 100 MG TAB ER 24H ORAL 10/06/2020 2.22333

DICLOFENAC SODIUM 1 % GEL (GRAM) TOPICAL 04/13/2021 0.14995

DICLOFENAC SODIUM 3 % GEL (GRAM) TOPICAL 05/04/2021 0.83488

DICLOFENAC SODIUM 1.5 % DROPS TOPICAL 02/23/2021 0.24647

DICLOFENAC SODIUM 0.1 % DROPS OPHTHALMIC 11/10/2020 2.45220

DICLOFENAC SODIUM/MISOPROSTOL 50 MG-200 TAB IR DR ORAL 02/09/2021 2.09732

DICLOFENAC SODIUM/MISOPROSTOL 75 MG-200 TAB IR DR ORAL 12/10/2019 2.11787

DICLOXACILLIN SODIUM 250 MG CAPSULE ORAL 09/10/2019 0.83924

DICLOXACILLIN SODIUM 500 MG CAPSULE ORAL 09/10/2019 1.24084

DICYCLOMINE HCL 10 MG CAPSULE ORAL 03/01/2021 0.04690

DICYCLOMINE HCL 10 MG/5 ML SOLUTION ORAL 04/27/2021 0.35340



61

Run Date: 05/09/21




DateMACPrice

DICYCLOMINE HCL 20 MG TABLET ORAL 03/01/2021 0.05762

DICYCLOMINE HCL 10 MG/ML AMPUL INTRAMUSC 02/09/2021 40.19025

DICYCLOMINE HCL 10 MG/ML VIAL INTRAMUSC 04/20/2021 15.11160

DIETHYLPROPION HCL 25 MG TABLET ORAL 10/20/2020 0.24232

DIETHYLTOLUAMIDE 15 % AERO POWD TOPICAL 11/17/2020 0.06801

DIETHYLTOLUAMIDE 25 % SPRAY TOPICAL 09/27/2016 0.01564




DIFLORASONE DIACETATE 0.05 % OINT. (G) TOPICAL 05/04/2021 4.61208

DIFLUNISAL 500 MG TABLET ORAL 09/10/2019 1.55730

DIGOXIN 50 MCG/ML SOLUTION ORAL 05/06/2020 2.89256

DIGOXIN 125 MCG TABLET ORAL 07/21/2020 0.29225

DIGOXIN 250 MCG TABLET ORAL 04/20/2021 0.28917

DIGOXIN 250 MCG/ML AMPUL INJECTION 01/14/2020 3.56400

DIHYDROERGOTAMINE MESYLATE 1 MG/ML AMPUL INJECTION 03/01/2021 67.03000

DIHYDROERGOTAMINE MESYLATE 0.5MG/SPRY SPRAY/PUMP NASAL 03/16/2021 194.44891

DILTIAZEM HCL 120 MG CAP ER 12H ORAL 04/06/2021 5.52044




62

Run Date: 05/09/21




DateMACPrice







DILTIAZEM HCL 360 MG CAP SA 24H ORAL 05/14/2019 1.66607






DILTIAZEM HCL 180 MG CAP ER DEG ORAL 07/10/2018 0.36381



DILTIAZEM HCL 120 MG TABLET ORAL 01/05/2021 0.83107






63

Run Date: 05/09/21




DateMACPrice

DILTIAZEM HCL 180 MG TAB ER 24H ORAL 12/10/2019 2.66705





DILTIAZEM HCL 5 MG/ML VIAL INTRAVEN 02/11/2020 0.39943

DILUENT FOR EPOPROSTENOL(GLYC) VIAL INTRAVEN 11/10/2015 0.35835

DILUENT FOR EPOPROSTENOL(GLYC) 11.7-12.3 VIAL INTRAVEN 06/04/2019 0.35835

DILUENT FOR TREPROSTINIL (GLY) VIAL INTRAVEN 03/16/2021 0.48937

DILUENT,CAPLACIZUMAB-YHDP 1 ML SYRINGE INJECTION 09/29/2020 0.14003

DIMENHYDRINATE 50 MG TABLET ORAL 11/17/2020 0.01491

DIMETHICONE 1 % CREAM (G) TOPICAL 01/19/2016 0.05877

DIMETHICONE 5 % CREAM(ML) TOPICAL 09/15/2020 0.04021

DIMETHICONE 3 % LOTION TOPICAL 08/04/2020 0.03643

DIMETHYL FUMARATE 120-240 MG CAPSULE DR ORAL 03/09/2021 6.07124

DIMETHYL FUMARATE 120 MG CAPSULE DR ORAL 03/30/2021 14.76075

DIMETHYL FUMARATE 240 MG CAPSULE DR ORAL 03/30/2021 3.53034

DIPHENHYD/PHENYLEPH/ACETAMINOP 5-325MG/10 LIQUID ORAL 11/03/2020 0.06060

DIPHENHYDRAMINE HCL 25 MG CAPSULE ORAL 05/04/2021 0.02513



64

Run Date: 05/09/21




DateMACPrice

DIPHENHYDRAMINE HCL 50 MG CAPSULE ORAL 06/30/2020 0.01467

DIPHENHYDRAMINE HCL 12.5MG/5ML ELIXIR ORAL 03/14/2017 0.45059

DIPHENHYDRAMINE HCL 12.5MG/5ML LIQUID ORAL 03/30/2021 0.16799

DIPHENHYDRAMINE HCL 50 MG/30ML LIQUID ORAL 11/17/2020 0.02058

DIPHENHYDRAMINE HCL 6.25MG/ML DROPS ORAL 10/08/2019 0.22190

DIPHENHYDRAMINE HCL 25 MG TABLET ORAL 02/02/2021 0.02634

DIPHENHYDRAMINE HCL 25 MG TABLET ORAL 03/16/2021 0.01554

DIPHENHYDRAMINE HCL 12.5 MG TAB CHEW ORAL 04/27/2021 0.32428

DIPHENHYDRAMINE HCL 50 MG/ML VIAL INJECTION 07/14/2020 1.07200

DIPHENHYDRAMINE HCL/ZINC ACET 2 %-0.1 % CREAM (G) TOPICAL 08/20/2019 0.01665

DIPHENOXYLATE HCL/ATROPINE 2.5-.025MG TABLET ORAL 03/02/2021 0.40883

DIPYRIDAMOLE 25 MG TABLET ORAL 07/23/2019 0.37218



DISOPYRAMIDE PHOSPHATE 100 MG CAPSULE ORAL 04/06/2021 1.61939

DISOPYRAMIDE PHOSPHATE 150 MG CAPSULE ORAL 03/23/2021 2.05194

DISULFIRAM 250 MG TABLET ORAL 02/09/2021 2.36733

DISULFIRAM 500 MG TABLET ORAL 12/15/2020 4.26023

DIVALPROEX SODIUM 125 MG CAP DR SPR ORAL 10/20/2020 0.46069



65

Run Date: 05/09/21




DateMACPrice

DIVALPROEX SODIUM 125 MG TABLET DR ORAL 04/13/2021 0.06700



DIVALPROEX SODIUM 500 MG TAB ER 24H ORAL 11/24/2020 0.29212

DIVALPROEX SODIUM 250 MG TAB ER 24H ORAL 09/22/2020 0.30016

DM/ACETAMINOPHEN/DOXYLAMINE 15MG-325MG CAPSULE ORAL 12/08/2020 0.26503

DM/ACETAMINOPHEN/DOXYLAMINE 15-325/15 LIQUID ORAL 09/22/2020 0.01597

DOBUTAMINE HCL IN DEXTROSE 5 % 500MG/250 IV SOLN INTRAVEN 10/01/2019 0.07095

DOBUTAMINE HCL IN DEXTROSE 5 % 1000MG/250 IV SOLN INTRAVEN 04/13/2021 0.18588

DOBUTAMINE HCL IN DEXTROSE 5 % 250 MG/250 IV SOLN INTRAVEN 04/13/2021 0.14278

DOCETAXEL 20MG/ML(1) VIAL INTRAVEN 04/13/2021 21.79800

DOCETAXEL 80 MG/4 ML VIAL INTRAVEN 09/17/2019 21.74750

DOCETAXEL 160 MG/8ML VIAL INTRAVEN 02/16/2021 18.94988



DOCETAXEL 160MG/16ML VIAL INTRAVEN 04/06/2021 13.88240

DOCOSAHEXAENOIC ACID 200 MG CAPSULE ORAL 06/02/2020 0.17393

DOCOSANOL 10 % CREAM (G) TOPICAL 04/20/2021 7.40400

DOCUSATE CALCIUM 240 MG CAPSULE ORAL 03/23/2021 0.05124



66

Run Date: 05/09/21




DateMACPrice

DOCUSATE SODIUM 100 MG CAPSULE ORAL 05/04/2021 0.01960

DOCUSATE SODIUM 250 MG CAPSULE ORAL 05/04/2021 0.04261

DOCUSATE SODIUM 60 MG/15ML SYRUP ORAL 02/11/2020 0.00621

DOCUSATE SODIUM 100 MG TABLET ORAL 09/10/2019 0.01357

DOCUSATE SODIUM 283 MG/5ML ENEMA RECTAL 12/23/2019 0.55851

DOFETILIDE 125 MCG CAPSULE ORAL 03/23/2021 0.31088



DONEPEZIL HCL 10 MG TABLET ORAL 02/09/2021 0.06103



DONEPEZIL HCL 5 MG TAB RAPDIS ORAL 01/26/2021 1.93343

DONEPEZIL HCL 10 MG TAB RAPDIS ORAL 01/26/2021 1.93343

DOPAMINE HCL 200 MG/5ML VIAL INTRAVEN 11/26/2019 0.77881

DOPAMINE HCL 400MG/10ML VIAL INTRAVEN 11/26/2019 0.77886

DOPAMINE HCL IN DEXTROSE 5 % 800MG/.25L PLAST. BAG INTRAVEN 03/05/2019 0.05594

DOPAMINE HCL IN DEXTROSE 5 % 400MG/.25L PLAST. BAG INTRAVEN 04/13/2021 0.09034

DOPAMINE HCL IN DEXTROSE 5 % 800MG/0.5L PLAST. BAG INTRAVEN 04/13/2021 0.07039

DORZOLAMIDE HCL 2 % DROPS OPHTHALMIC 03/31/2020 0.98490



67

Run Date: 05/09/21




DateMACPrice

DORZOLAMIDE HCL/TIMOLOL MALEAT 22.3-6.8/1 DROPS OPHTHALMIC 05/04/2021 1.00500

DORZOLAMIDE/TIMOLOL/PF 2 %-0.5 % DROPERETTE OPHTHALMIC 12/01/2020 9.30000

DOXAPRAM HCL 20 MG/ML VIAL INTRAVEN 09/10/2019 3.44850

DOXAZOSIN MESYLATE 1 MG TABLET ORAL 07/28/2020 0.33312




DOXEPIN HCL 10 MG CAPSULE ORAL 04/27/2021 0.33875





DOXEPIN HCL 10 MG/ML ORAL CONC ORAL 06/25/2019 0.29368

DOXEPIN HCL 3 MG TABLET ORAL 02/09/2021 10.44353

DOXEPIN HCL 6 MG TABLET ORAL 02/16/2021 10.44353

DOXERCALCIFEROL 2.5 MCG CAPSULE ORAL 03/01/2021 17.80590

DOXERCALCIFEROL 0.5 MCG CAPSULE ORAL 04/27/2021 8.78400

DOXERCALCIFEROL 1 MCG CAPSULE ORAL 03/01/2021 15.37200

DOXERCALCIFEROL 4MCG/2ML VIAL INTRAVEN 02/09/2021 2.51397



68

Run Date: 05/09/21




DateMACPrice

DOXORUBICIN HCL 50 MG VIAL INTRAVEN 09/17/2019 207.90000

DOXORUBICIN HCL 2 MG/ML VIAL INTRAVEN 01/26/2021 0.57968

DOXORUBICIN HCL 10 MG/5 ML VIAL INTRAVEN 01/26/2021 2.10916

DOXORUBICIN HCL 50 MG/25ML VIAL INTRAVEN 03/03/2020 0.73593

DOXORUBICIN HCL 20 MG/10ML VIAL INTRAVEN 02/09/2021 2.08772

DOXORUBICIN HCL PEG-LIPOSOMAL 2 MG/ML VIAL INTRAVEN 10/06/2020 57.76531

DOXYCYCLINE HYCLATE 100 MG CAPSULE ORAL 02/09/2021 0.14740

DOXYCYCLINE HYCLATE 50 MG CAPSULE ORAL 02/16/2021 0.40200

DOXYCYCLINE HYCLATE 100 MG TABLET ORAL 01/26/2021 0.14764




DOXYCYCLINE HYCLATE 75 MG TABLET DR ORAL 01/12/2021 6.54410





DOXYCYCLINE HYCLATE 100 MG VIAL INTRAVEN 12/22/2020 21.17850

DOXYCYCLINE MONOHYDRATE 100 MG CAPSULE ORAL 03/09/2021 0.37145



69

Run Date: 05/09/21




DateMACPrice




DOXYCYCLINE MONOHYDRATE 40 MG CAP IR DR ORAL 01/12/2021 16.25820

DOXYCYCLINE MONOHYDRATE 25 MG/5 ML SUSP RECON ORAL 10/27/2020 0.39686

DOXYCYCLINE MONOHYDRATE 100 MG TABLET ORAL 04/13/2021 0.42210




DOXYLAM/PE/DM/ACETAMINOPHEN/GG 5-325MG/15 LIQUID SEQ ORAL 12/17/2019 0.02508

DOXYLAMINE SUCCINATE 25 MG TABLET ORAL 11/24/2020 0.20288

DOXYLAMINE SUCCINATE/VIT B6 10 MG-10MG TABLET DR ORAL 02/09/2021 5.12750

DOXYLAMINE/PHENYLEPHRINE HCL 7.5MG-10MG TABLET ORAL 07/23/2019 0.78379

DRONABINOL 10 MG CAPSULE ORAL 04/20/2021 6.52293

DRONABINOL 2.5 MG CAPSULE ORAL 08/18/2020 2.19916

DRONABINOL 5 MG CAPSULE ORAL 02/16/2021 4.39340

DROSPIR/ETH ESTRA/LEVOMEFOL CA 3-0.02(24) TABLET ORAL 03/23/2021 4.30367

DROSPIR/ETH ESTRA/LEVOMEFOL CA 3-0.03(21) TABLET ORAL 02/23/2021 5.79196

DROXIDOPA 100 MG CAPSULE ORAL 04/06/2021 6.18688



70

Run Date: 05/09/21




DateMACPrice



DULOXETINE HCL 20 MG CAPSULE DR ORAL 04/27/2021 0.17683




DUTASTERIDE 0.5 MG CAPSULE ORAL 02/09/2021 0.22825

DUTASTERIDE/TAMSULOSIN HCL 0.5-0.4 MG CPMP 24HR ORAL 03/10/2020 3.23356

ECONAZOLE NITRATE 1 % CREAM (G) TOPICAL 09/22/2020 0.23807

EFAVIRENZ 50 MG CAPSULE ORAL 09/10/2019 3.49888

EFAVIRENZ 200 MG CAPSULE ORAL 09/10/2019 11.65572

EFAVIRENZ 600 MG TABLET ORAL 03/30/2021 7.58560

EFAVIRENZ/EMTRICIT/TENOFOVR DF 600-200MG TABLET ORAL 05/04/2021 11.42295

EFAVIRENZ/LAMIVU/TENOFOV DISOP 400-300 MG TABLET ORAL 09/22/2020 54.30723

EFAVIRENZ/LAMIVU/TENOFOV DISOP 600-300MG TABLET ORAL 09/22/2020 54.30723

ELECTROLYTE-MB SOLUTION/D5W 5 % IV SOLN INTRAVEN 03/03/2020 0.00256

ELECTROLYTE-R SOLUTION IV SOLN INTRAVEN 06/09/2020 0.00675

ELECTROLYTES/DEXTROSE SOLUTION ORAL 02/23/2021 0.00488

ELETRIPTAN HYDROBROMIDE 20 MG TABLET ORAL 11/24/2020 5.54990



71

Run Date: 05/09/21




DateMACPrice

ELETRIPTAN HYDROBROMIDE 40 MG TABLET ORAL 12/08/2020 3.91710

EMOLLIENT BASE CREAM (G) TOPICAL 09/10/2019 0.02901

EMOLLIENT COMBINATION NO.53 CREAM (G) TOPICAL 09/08/2020 0.38656

EMOLLIENT NO56/HYALURONIC ACID GEL (GRAM) TOPICAL 02/18/2020 0.09056

EMTRICITABINE 200 MG CAPSULE ORAL 09/08/2020 14.46305

EMTRICITABINE/TENOFOVIR (TDF) 200-300 MG TABLET ORAL 04/06/2021 35.87841




ENALAPRIL MALEATE 10 MG TABLET ORAL 03/09/2021 0.09992

ENALAPRIL MALEATE 2.5 MG TABLET ORAL 03/09/2021 0.17031



ENALAPRIL/HYDROCHLOROTHIAZIDE 10 MG-25MG TABLET ORAL 10/22/2019 0.18184

ENALAPRIL/HYDROCHLOROTHIAZIDE 5MG-12.5MG TABLET ORAL 10/01/2019 0.19738

ENALAPRILAT DIHYDRATE 1.25 MG/ML VIAL INTRAVEN 10/27/2020 1.85222

ENOXAPARIN SODIUM 30MG/0.3ML SYRINGE SUBCUT 04/20/2021 10.15833





72

Run Date: 05/09/21




DateMACPrice

ENOXAPARIN SODIUM 100 MG/ML SYRINGE SUBCUT 04/20/2021 9.70600


ENOXAPARIN SODIUM 150 MG/ML SYRINGE SUBCUT 03/02/2021 13.12960

ENOXAPARIN SODIUM 120MG/.8ML SYRINGE SUBCUT 04/20/2021 13.28250

ENOXAPARIN SODIUM 300MG/3ML VIAL SUBCUT 02/09/2021 11.36583

ENTACAPONE 200 MG TABLET ORAL 04/20/2021 0.87288

ENTECAVIR 0.5 MG TABLET ORAL 04/27/2021 0.97418

ENTECAVIR 1 MG TABLET ORAL 09/29/2020 1.74111

EPHEDRINE SULFATE 50MG/ML(1) VIAL INTRAVEN 02/02/2021 11.32780

EPINASTINE HCL 0.05 % DROPS OPHTHALMIC 07/07/2020 6.84530

EPINEPHRINE 1 MG/ML VIAL INJECTION 12/15/2020 9.60480

EPINEPHRINE 0.3MG/0.3 AUTO INJCT INJECTION 02/11/2020 135.45888

EPINEPHRINE HCL/PF 1 MG/ML(1) AMPUL INJECTION 02/17/2015 499.84125

EPIRUBICIN HCL 50 MG/25ML VIAL INTRAVEN 02/23/2021 2.59478

EPIRUBICIN HCL 200MG/0.1L VIAL INTRAVEN 02/23/2021 2.32021

EPLERENONE 25 MG TABLET ORAL 05/06/2020 0.96123

EPLERENONE 50 MG TABLET ORAL 11/24/2020 1.56825

EPOPROSTENOL SODIUM 1.5 MG VIAL INTRAVEN 02/09/2021 44.21850

EPOPROSTENOL SODIUM 0.5 MG VIAL INTRAVEN 02/09/2021 22.65900



73

Run Date: 05/09/21




DateMACPrice

EPOPROSTENOL SODIUM (GLYCINE) 0.5 MG VIAL INTRAVEN 08/20/2014 18.64328

EPOPROSTENOL SODIUM (GLYCINE) 1.5 MG VIAL INTRAVEN 08/20/2014 43.95508

EPTIFIBATIDE 75MG/100ML VIAL INTRAVEN 02/23/2021 0.90718

EPTIFIBATIDE 2 MG/ML VIAL INTRAVEN 03/23/2021 2.77200

ERGOCALCIFEROL (VITAMIN D2) 1250 MCG CAPSULE ORAL 01/14/2020 0.13440

ERGOCALCIFEROL (VITAMIN D2) 200 MCG/ML DROPS ORAL 11/10/2020 0.52305

ERGOTAMINE TARTRATE/CAFFEINE 1 MG-100MG TABLET ORAL 01/21/2020 12.96824

ERLOTINIB HCL 100 MG TABLET ORAL 03/01/2021 17.64337

ERLOTINIB HCL 25 MG TABLET ORAL 03/01/2021 33.59813

ERTAPENEM SODIUM 1 G VIAL INJECTION 04/27/2021 86.10000

ERYTHROMYCIN BASE 250 MG TABLET ORAL 04/06/2021 13.55725

ERYTHROMYCIN BASE 500 MG TABLET ORAL 01/12/2021 16.91900

ERYTHROMYCIN BASE 250 MG TABLET DR ORAL 09/10/2019 6.54177



ERYTHROMYCIN BASE 5 MG/GRAM OINT. (G) OPHTHALMIC 12/23/2019 3.52440

ERYTHROMYCIN BASE IN ETHANOL 2 % GEL (GRAM) TOPICAL 01/12/2021 0.69611

ERYTHROMYCIN BASE IN ETHANOL 2 % SOLUTION TOPICAL 01/12/2021 0.47190

ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5ML SUSP RECON ORAL 02/09/2021 1.41169



74

Run Date: 05/09/21




DateMACPrice

ERYTHROMYCIN ETHYLSUCCINATE 400 MG/5ML SUSP RECON ORAL 02/09/2021 6.09676

ERYTHROMYCIN/BENZOYL PEROXIDE 3 %-5 % GEL (GRAM) TOPICAL 03/09/2021 1.19081

ESCITALOPRAM OXALATE 5 MG/5 ML SOLUTION ORAL 07/28/2020 0.44466

ESCITALOPRAM OXALATE 10 MG TABLET ORAL 04/20/2021 0.04435



ESMOLOL HCL 100MG/10ML VIAL INTRAVEN 04/21/2020 0.52710

ESMOLOL IN SODIUM CHLORIDE,ISO 2500MG/250 IV SOLN INTRAVEN 03/17/2020 1.61176

ESMOLOL IN SODIUM CHLORIDE,ISO 2000MG/100 IV SOLN INTRAVEN 03/17/2020 4.10550

ESOMEPRAZOLE MAGNESIUM 20 MG SUSPDR PKT ORAL 02/09/2021 10.27908



ESOMEPRAZOLE MAGNESIUM 20 MG CAPSULE DR ORAL 04/27/2021 0.34378

ESOMEPRAZOLE MAGNESIUM 40 MG CAPSULE DR ORAL 05/04/2021 0.37044

ESOMEPRAZOLE SODIUM 40 MG VIAL INTRAVEN 11/17/2020 8.04000

ESTAZOLAM 1 MG TABLET ORAL 04/27/2021 2.96571

ESTAZOLAM 2 MG TABLET ORAL 04/27/2021 2.64700

ESTRADIOL 1 MG TABLET ORAL 04/27/2021 0.12985

ESTRADIOL 2 MG TABLET ORAL 04/27/2021 0.21000



75

Run Date: 05/09/21




DateMACPrice

ESTRADIOL 0.5 MG TABLET ORAL 04/13/2021 0.09766

ESTRADIOL 0.1MG/24HR PATCH TDWK TRANSDERM 06/09/2020 14.26163

ESTRADIOL 0.05MG/24H PATCH TDWK TRANSDERM 06/09/2020 13.67888

ESTRADIOL .025MG/24H PATCH TDWK TRANSDERM 06/09/2020 12.54550

ESTRADIOL .075MG/24H PATCH TDWK TRANSDERM 06/09/2020 14.76563

ESTRADIOL 0.06MG/24H PATCH TDWK TRANSDERM 03/23/2021 13.91250

ESTRADIOL .0375MG/24 PATCH TDWK TRANSDERM 06/09/2020 13.49513

ESTRADIOL 0.05MG/24H PATCH TDSW TRANSDERM 11/24/2020 9.38688

ESTRADIOL 0.1MG/24HR PATCH TDSW TRANSDERM 11/24/2020 9.39981

ESTRADIOL .025MG/24H PATCH TDSW TRANSDERM 11/24/2020 9.37969

ESTRADIOL .075MG/24H PATCH TDSW TRANSDERM 11/24/2020 9.39694

ESTRADIOL .0375MG/24 PATCH TDSW TRANSDERM 04/18/2016 8.45900

ESTRADIOL 0.01 % CREAM/APPL VAGINAL 03/09/2021 5.53966

ESTRADIOL 10 MCG TABLET VAGINAL 01/05/2021 9.76494

ESTRADIOL VALERATE 20 MG/ML VIAL INTRAMUSC 07/14/2020 15.15255

ESTRADIOL VALERATE 40 MG/ML VIAL INTRAMUSC 07/14/2020 25.13490

ESTRADIOL/NORETHINDRONE ACET 1 MG-0.5MG TABLET ORAL 12/22/2020 2.19856

ESTRADIOL/NORETHINDRONE ACET 0.5-0.1 MG TABLET ORAL 12/22/2020 2.35633

ESZOPICLONE 3 MG TABLET ORAL 01/05/2021 0.28770



76

Run Date: 05/09/21




DateMACPrice



ETHACRYNIC ACID 25 MG TABLET ORAL 02/02/2021 3.10200

ETHAMBUTOL HCL 100 MG TABLET ORAL 08/11/2020 0.48361

ETHAMBUTOL HCL 400 MG TABLET ORAL 02/09/2021 0.66290

ETHINYL ESTRADIOL/DROSPIRENONE 0.03MG-3MG TABLET ORAL 04/20/2021 0.52132

ETHINYL ESTRADIOL/DROSPIRENONE 0.02-3(28) TABLET ORAL 03/23/2021 0.91981

ETHOSUXIMIDE 250 MG CAPSULE ORAL 09/29/2020 0.70377

ETHOSUXIMIDE 250 MG/5ML SOLUTION ORAL 03/16/2021 0.22607

ETHYL ACETATE LIQUID MISCELL 01/14/2020 0.13138

ETHYL ALCOHOL 62 % GEL (ML) TOPICAL 12/01/2020 0.00425

ETHYL ALCOHOL 70 % GEL (ML) TOPICAL 06/30/2020 0.22278

ETHYNODIOL D-ETHINYL ESTRADIOL 1 MG-35MCG TABLET ORAL 11/24/2020 0.64862

ETHYNODIOL D-ETHINYL ESTRADIOL 1 MG-50MCG TABLET ORAL 09/10/2019 1.03116

ETODOLAC 200 MG CAPSULE ORAL 02/16/2021 0.96266

ETODOLAC 300 MG CAPSULE ORAL 04/20/2021 1.11073

ETODOLAC 400 MG TABLET ORAL 07/07/2020 0.40347

ETODOLAC 500 MG TABLET ORAL 06/23/2020 0.44716

ETODOLAC 600 MG TAB ER 24H ORAL 09/10/2019 2.00705



77

Run Date: 05/09/21




DateMACPrice



ETONOGESTREL/ETHINYL ESTRADIOL .12-.015MG VAG RING VAGINAL 02/02/2021 105.21625

ETOPOSIDE 20 MG/ML VIAL INTRAVEN 07/14/2020 1.46328

EUCALYPTUS OIL OIL MISCELL 09/10/2019 0.14041

EUCALYPTUS OIL 100 % OIL MISCELL 02/03/2015 0.50920

EUCALYPTUS OIL/MENTHOL/CAMPHOR 1.2%-4.8% OINT. (G) TOPICAL 07/23/2019 0.00744

EVEROLIMUS 0.25 MG TABLET ORAL 02/09/2021 9.95383





EXEMESTANE 25 MG TABLET ORAL 04/27/2021 2.30927

EZETIMIBE 10 MG TABLET ORAL 04/20/2021 0.14732

EZETIMIBE/SIMVASTATIN 10 MG-10MG TABLET ORAL 05/04/2021 1.30293




FACTOR IX 500 (+/-) VIAL INTRAVEN 10/01/2018 1.17495



78

Run Date: 05/09/21




DateMACPrice



FACTOR IX HUMAN REC,PEGYLATED 500 (+/-) VIAL INTRAVEN 01/01/2020 4.12000



FACTOR IX HUMAN RECOMB,THR 148 3000 UNIT VIAL INTRAVEN 10/01/2019 1.58000

FACTOR IX HUMAN RECOMBINANT 250 UNIT VIAL INTRAVEN 01/01/2020 1.34330





FACTOR IX REC, FC FUSION PROTN 500 UNIT VIAL INTRAVEN 01/01/2019 2.90400






FACTOR IX RECOM,ALBUMIN FUSION 250 (+/-) VIAL INTRAVEN 04/01/2019 4.38600




79

Run Date: 05/09/21




DateMACPrice




FACTOR XIII 1000-1600 VIAL INTRAVEN 07/01/2018 8.62575

FACTOR XIII A-SUBUNIT,RECOMB 2500 UNIT VIAL INTRAVEN 01/01/2020 15.42000

FAMCICLOVIR 250 MG TABLET ORAL 05/04/2021 0.55208



FAMOTIDINE 20 MG TABLET ORAL 04/27/2021 0.04484



FAMOTIDINE 10 MG/ML VIAL INTRAVEN 12/29/2020 0.41473

FAMOTIDINE/CA CARB/MAG HYDROX 10-800-165 TAB CHEW ORAL 04/27/2021 0.29075

FAMOTIDINE/PF 20 MG/2 ML VIAL INTRAVEN 12/29/2020 0.46900

FAT EMULSIONS 20 % EMULSION INTRAVEN 02/09/2021 0.05694

FEBUXOSTAT 40 MG TABLET ORAL 01/12/2021 2.14981

FEBUXOSTAT 80 MG TABLET ORAL 01/12/2021 2.52903

FELBAMATE 600 MG/5ML ORAL SUSP ORAL 07/07/2020 1.61794

FELBAMATE 400 MG TABLET ORAL 05/04/2021 3.77109



80

Run Date: 05/09/21




DateMACPrice

FELBAMATE 600 MG TABLET ORAL 05/04/2021 2.79737

FELODIPINE 5 MG TAB ER 24H ORAL 04/27/2021 0.15544

FELODIPINE 10 MG TAB ER 24H ORAL 04/27/2021 0.17315

FELODIPINE 2.5 MG TAB ER 24H ORAL 04/27/2021 0.15276

FENOFIBRATE 160 MG TABLET ORAL 02/23/2021 0.30299




FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET ORAL 04/13/2021 0.14204

FENOFIBRATE,MICRONIZED 200 MG CAPSULE ORAL 05/04/2021 0.36528





FENOFIBRIC ACID (CHOLINE) 45 MG CAPSULE DR ORAL 12/29/2020 0.68027

FENOFIBRIC ACID (CHOLINE) 135 MG CAPSULE DR ORAL 12/22/2020 0.78926

FENTANYL 25 MCG/HR PATCH TD72 TRANSDERM 01/12/2021 3.20496

FENTANYL 50MCG/HR PATCH TD72 TRANSDERM 09/10/2019 5.33908

FENTANYL 75MCG/HR PATCH TD72 TRANSDERM 09/08/2020 8.00160



81

Run Date: 05/09/21




DateMACPrice



FENTANYL 62.5MCG/HR PATCH TD72 TRANSDERM 04/22/2020 76.47320



FENTANYL CITRATE 200 MCG LOZENGE HD BUCCAL 04/06/2021 10.82438






FENTANYL CITRATE 100 MCG TABLET EFF BUCCAL 01/12/2021 60.99848





FENTANYL CITRATE/PF 50 MCG/ML AMPUL INJECTION 09/10/2019 0.49647

FENTANYL CITRATE/PF 50 MCG/ML VIAL INJECTION 10/27/2020 0.40418

FENTANYL CITRATE/PF 100MCG/2ML CARTRIDGE INTRAVEN 08/29/2017 1.26228



82

Run Date: 05/09/21




DateMACPrice

FENTANYL CITRATE/PF 100MCG/2ML SYRINGE INTRAVEN 02/06/2018 1.26228

FERROUS FUMARATE 324(106)MG TABLET ORAL 01/12/2021 0.25949

FERROUS GLUCONATE 240(27)MG TABLET ORAL 09/22/2020 0.02090

FERROUS GLUCONATE 324(38)MG TABLET ORAL 09/08/2020 0.06057

FERROUS GLUCONATE 324(37.5) TABLET ORAL 02/09/2021 0.04061

FERROUS SULFATE 220 (44)/5 ELIXIR ORAL 08/11/2020 0.03294

FERROUS SULFATE 220 (44)/5 SOLUTION ORAL 03/09/2021 0.00813

FERROUS SULFATE 300 MG/5ML LIQUID ORAL 12/08/2020 0.73644

FERROUS SULFATE 15 MG/ML DROPS ORAL 02/09/2021 0.08710

FERROUS SULFATE 325(65) MG TABLET ORAL 03/16/2021 0.00746

FERROUS SULFATE 325(65) MG TABLET DR ORAL 03/23/2021 0.03337

FERROUS SULFATE 324(65)MG TABLET DR ORAL 07/07/2020 0.05990

FERROUS SULFATE, DRIED 160(50) MG TABLET ER ORAL 10/27/2015 0.06912

FEXOFENADINE HCL 60 MG TABLET ORAL 03/02/2021 0.18361

FEXOFENADINE HCL 180 MG TABLET ORAL 03/30/2021 0.29493

FEXOFENADINE/PSEUDOEPHEDRINE 60MG-120MG TAB ER 12H ORAL 03/16/2021 0.66464

FINASTERIDE 1 MG TABLET ORAL 03/17/2020 0.11256

FINASTERIDE 5 MG TABLET ORAL 03/23/2021 0.08233

FISH OIL/BORAGE/FLAX/OM3,6,9 1 400-400 MG CAPSULE ORAL 03/09/2021 0.08970



83

Run Date: 05/09/21




DateMACPrice

FLAVOXATE HCL 100 MG TABLET ORAL 04/13/2021 0.77318

FLECAINIDE ACETATE 100 MG TABLET ORAL 05/04/2021 0.34130



FLOXURIDINE 500 MG VIAL INJECTION 09/10/2019 153.73975

FLUCONAZOLE 40 MG/ML SUSP RECON ORAL 01/07/2020 1.09689

FLUCONAZOLE 10 MG/ML SUSP RECON ORAL 12/10/2019 0.41349

FLUCONAZOLE 100 MG TABLET ORAL 06/03/2019 0.60063




FLUCONAZOLE IN NACL,ISO-OSM 200MG/0.1L PIGGYBACK INTRAVEN 03/30/2021 0.05101

FLUCONAZOLE IN NACL,ISO-OSM 400MG/0.2L PIGGYBACK INTRAVEN 01/26/2021 0.03378

FLUCYTOSINE 250 MG CAPSULE ORAL 04/27/2021 50.13583

FLUCYTOSINE 500 MG CAPSULE ORAL 04/27/2021 75.21696

FLUDARABINE PHOSPHATE 50 MG VIAL INTRAVEN 11/17/2020 72.14975

FLUDARABINE PHOSPHATE 50 MG/2 ML VIAL INTRAVEN 10/13/2020 33.31250

FLUDROCORTISONE ACETATE 0.1 MG TABLET ORAL 02/23/2021 0.57231

FLUMAZENIL 0.1 MG/ML VIAL INTRAVEN 06/16/2020 1.40030



84

Run Date: 05/09/21




DateMACPrice

FLUOCINOLONE ACETONIDE 0.01 % CREAM (G) TOPICAL 09/10/2019 2.10648

FLUOCINOLONE ACETONIDE 0.025 % CREAM (G) TOPICAL 06/23/2020 1.81883

FLUOCINOLONE ACETONIDE 0.025 % OINT. (G) TOPICAL 09/10/2019 1.29868

FLUOCINOLONE ACETONIDE 0.01 % SOLUTION TOPICAL 03/09/2021 0.63337

FLUOCINOLONE ACETONIDE 0.01 % OIL TOPICAL 03/30/2021 0.36750

FLUOCINOLONE ACETONIDE OIL 0.01 % DROPS OTIC (EAR) 07/07/2020 2.71920

FLUOCINOLONE/SHOWER CAP 0.01 % OIL TOPICAL 09/17/2019 0.36604

FLUOCINONIDE 0.05 % GEL (GRAM) TOPICAL 09/10/2019 1.60800

FLUOCINONIDE 0.05 % CREAM (G) TOPICAL 10/27/2020 1.07624

FLUOCINONIDE 0.1 % CREAM (G) TOPICAL 09/22/2020 0.63203

FLUOCINONIDE 0.05 % OINT. (G) TOPICAL 01/12/2021 0.41562

FLUOCINONIDE 0.05 % SOLUTION TOPICAL 12/03/2019 0.70372

FLUOCINONIDE/EMOLLIENT BASE 0.05 % CREAM (G) TOPICAL 10/13/2020 1.53899

FLUORESCEIN SODIUM 500 MG/5ML VIAL INTRAVEN 04/23/2019 6.77757

FLUORIDE (SODIUM) 0.5(1.1)MG TAB CHEW ORAL 03/09/2021 0.01548

FLUORIDE (SODIUM) 1MG(2.2MG) TAB CHEW ORAL 03/09/2021 0.01548

FLUOROMETHOLONE 0.1 % DROPS SUSP OPHTHALMIC 10/08/2019 14.86590

FLUOROURACIL 5 % CREAM (G) TOPICAL 11/26/2019 2.49307

FLUOROURACIL 0.5 % CREAM (G) TOPICAL 11/27/2018 45.51239



85

Run Date: 05/09/21




DateMACPrice

FLUOROURACIL 500MG/10ML VIAL INTRAVEN 03/30/2021 0.31825

FLUOROURACIL 1 G/20 ML VIAL INTRAVEN 09/29/2020 0.39798

FLUOROURACIL 2.5 G/50ML VIAL INTRAVEN 02/25/2020 0.22512

FLUOROURACIL 5 G/100 ML VIAL INTRAVEN 09/10/2019 0.20314

FLUOXETINE HCL 10 MG CAPSULE ORAL 02/16/2021 0.04263



FLUOXETINE HCL 20 MG/5 ML SOLUTION ORAL 03/30/2021 0.54717

FLUOXETINE HCL 10 MG TABLET ORAL 04/27/2021 0.42210



FLUPHENAZINE DECANOATE 25 MG/ML VIAL INJECTION 11/10/2020 16.23510

FLUPHENAZINE HCL 1 MG TABLET ORAL 02/14/2021 1.69932


FLUPHENAZINE HCL 2.5 MG TABLET ORAL 03/06/2021 2.56266


FLURANDRENOLIDE 0.05 % CREAM (G) TOPICAL 09/08/2020 5.83660

FLURANDRENOLIDE 0.05 % OINT. (G) TOPICAL 12/17/2019 7.56410

FLURANDRENOLIDE 0.05 % LOTION TOPICAL 09/10/2019 1.70839



86

Run Date: 05/09/21




DateMACPrice

FLUTAMIDE 125 MG CAPSULE ORAL 02/23/2021 1.40022

FLUTICASONE PROPION/SALMETEROL 100-50 MCG BLST W/DEV INHALATION 11/03/2020 2.45019



FLUTICASONE PROPIONATE 0.05 % CREAM (G) TOPICAL 03/01/2021 0.22333

FLUTICASONE PROPIONATE 0.005 % OINT. (G) TOPICAL 09/10/2019 0.49491

FLUTICASONE PROPIONATE 0.05 % LOTION TOPICAL 09/10/2019 3.95340

FLUTICASONE PROPIONATE 50 MCG SPRAY SUSP NASAL 07/14/2020 0.32398

FLUTICASONE PROPIONATE 50 MCG SPRAY SUSP NASAL 03/24/2020 1.07412

FLUVASTATIN SODIUM 20 MG CAPSULE ORAL 03/31/2020 4.74995

FLUVASTATIN SODIUM 40 MG CAPSULE ORAL 03/31/2020 4.74995

FLUVASTATIN SODIUM 80 MG TAB ER 24H ORAL 04/28/2020 5.08728

FLUVOXAMINE MALEATE 100 MG CAP ER 24H ORAL 04/06/2021 7.26480

FLUVOXAMINE MALEATE 150 MG CAP ER 24H ORAL 05/22/2020 6.78500

FLUVOXAMINE MALEATE 25 MG TABLET ORAL 06/16/2020 0.26907



FOLIC ACID 0.8 MG CAPSULE ORAL 07/18/2017 0.05561

FOLIC ACID 0.4 MG TABLET ORAL 09/08/2020 0.01237



87

Run Date: 05/09/21




DateMACPrice

FOLIC ACID 0.8 MG TABLET ORAL 07/21/2020 0.00925

FOLIC ACID 1 MG TABLET ORAL 04/27/2021 0.02405

FOLIC ACID 5 MG/ML VIAL INJECTION 05/19/2020 3.04128

FOLIC ACID/MULTIVIT,IRON,MINER 0.4MG-18MG TABLET ORAL 08/26/2014 0.04348

FOLIC ACID/VIT B COMPLEX AND C 0.8 MG TABLET ORAL 02/18/2020 0.06754

FOLIC ACID/VIT B COMPLEX AND C 400 MCG TABLET ORAL 12/08/2020 0.03318

FOMEPIZOLE 1 G/ML VIAL INTRAVEN 08/20/2019 688.37487

FONDAPARINUX SODIUM 2.5 MG/0.5 SYRINGE SUBCUT 04/06/2021 24.43875

FONDAPARINUX SODIUM 10MG/0.8ML SYRINGE SUBCUT 04/06/2021 42.72328

FONDAPARINUX SODIUM 7.5MG/0.6 SYRINGE SUBCUT 04/06/2021 47.47031

FOSAMPRENAVIR CALCIUM 700 MG TABLET ORAL 07/21/2020 15.74825

FOSAPREPITANT DIMEGLUMINE 150 MG VIAL INTRAVEN 03/01/2021 46.12500

FOSCARNET SODIUM 24 MG/ML INFUS. BTL INTRAVEN 03/09/2021 2.38303

FOSFOMYCIN TROMETHAMINE 3 G PACKET ORAL 10/13/2020 70.63275

FOSINOPRIL SODIUM 10 MG TABLET ORAL 09/01/2020 0.17122



FOSINOPRIL/HYDROCHLOROTHIAZIDE 20-12.5 MG TABLET ORAL 12/08/2020 1.83084

FOSINOPRIL/HYDROCHLOROTHIAZIDE 10-12.5MG TABLET ORAL 11/12/2020 0.86185



88

Run Date: 05/09/21




DateMACPrice

FOSPHENYTOIN SODIUM 100MG PE/2 VIAL INJECTION 09/25/2018 0.86564

FOSPHENYTOIN SODIUM 500 PE/10 VIAL INJECTION 04/24/2017 0.59831

FROVATRIPTAN SUCCINATE 2.5 MG TABLET ORAL 10/27/2020 26.41311

FRUCTOOLIGOSACCHARIDES/POLYDEX 15 G/30 ML LIQUID ORAL 08/02/2016 0.02374

FULVESTRANT 250 MG/5ML SYRINGE INTRAMUSC 03/01/2021 71.27133

FUROSEMIDE 10 MG/ML SOLUTION ORAL 09/10/2019 0.11390

FUROSEMIDE 20 MG TABLET ORAL 04/27/2021 0.04114



FUROSEMIDE 10 MG/ML VIAL INJECTION 04/13/2021 0.18358

FVIII REC,B-DOM DELET PEG-AUCL 500 (+/-) VIAL INTRAVEN 04/01/2020 2.10525




FVIII REC,B-DOM TRUNC PEG-EXEI 500 (+/-) VIAL INTRAVEN 01/01/2021 1.48000







89

Run Date: 05/09/21




DateMACPrice

GABAPENTIN 100 MG CAPSULE ORAL 04/20/2021 0.02980



GABAPENTIN 250 MG/5ML SOLUTION ORAL 05/04/2021 0.20711

GABAPENTIN 300 MG/6ML SOLUTION ORAL 11/10/2020 0.44231

GABAPENTIN 600 MG TABLET ORAL 04/20/2021 0.11527

GABAPENTIN 800 MG TABLET ORAL 04/20/2021 0.14788

GADOTERATE MEGLUMINE 10MMOL/20 SYRINGE INTRAVEN 04/06/2021 6.55419

GADOTERATE MEGLUMINE 5MMOL/10ML VIAL INTRAVEN 01/19/2021 6.35013

GADOTERATE MEGLUMINE 10MMOL/20 VIAL INTRAVEN 03/31/2020 6.35006

GADOTERATE MEGLUMINE 7.5MMOL/15 VIAL INTRAVEN 02/04/2020 6.06870

GALANTAMINE HBR 8 MG CAP24H PEL ORAL 03/09/2021 1.78667



GALANTAMINE HBR 12 MG TABLET ORAL 02/09/2021 0.89802



GANCICLOVIR SODIUM 500 MG VIAL INTRAVEN 03/01/2021 64.91530

GANIRELIX ACETATE 250MCG/0.5 SYRINGE SUBCUT 09/10/2019 221.89200



90

Run Date: 05/09/21




DateMACPrice

GATIFLOXACIN 0.5 % DROPS OPHTHALMIC 03/23/2021 12.10000

GELATIN 600 MG CAPSULE ORAL 09/10/2019 0.07879

GELATIN POWDER MISCELL 09/10/2019 0.39195

GELATIN CAPSULES (EMPTY) CAPSULE ORAL 10/06/2020 0.01242

GEMCITABINE HCL 200 MG VIAL INTRAVEN 09/10/2019 7.22400

GEMCITABINE HCL 1 G VIAL INTRAVEN 03/24/2020 20.34900

GEMCITABINE HCL 2 G VIAL INTRAVEN 02/09/2021 65.60000

GEMCITABINE HCL 1 G/26.3ML VIAL INTRAVEN 04/06/2021 0.99785

GEMCITABINE HCL 2 G/52.6ML VIAL INTRAVEN 04/06/2021 1.12990

GEMCITABINE HCL 200MG/5.26 VIAL INTRAVEN 04/06/2021 1.32660

GEMCITABINE HCL 100 MG/ML VIAL INTRAVEN 12/10/2019 4.63353

GEMFIBROZIL 600 MG TABLET ORAL 04/20/2021 0.14384

GENTAMICIN SULFATE 0.1 % CREAM (G) TOPICAL 02/02/2021 1.20868

GENTAMICIN SULFATE 0.1 % OINT. (G) TOPICAL 05/19/2020 1.55619

GENTAMICIN SULFATE 0.3 % DROPS OPHTHALMIC 11/05/2019 1.32928

GENTIAN VIOLET 2 % SOLUTION TOPICAL 12/26/2017 0.19202

GLATIRAMER ACETATE 20 MG/ML SYRINGE SUBCUT 09/10/2019 66.62466

GLATIRAMER ACETATE 40 MG/ML SYRINGE SUBCUT 11/10/2020 135.44521

GLIMEPIRIDE 1 MG TABLET ORAL 02/02/2021 0.05266



91

Run Date: 05/09/21




DateMACPrice



GLIPIZIDE 10 MG TAB ER 24 ORAL 09/08/2020 0.21239

GLIPIZIDE 5 MG TAB ER 24 ORAL 01/19/2021 0.13561

GLIPIZIDE 2.5 MG TAB ER 24 ORAL 01/19/2021 0.21172

GLIPIZIDE 10 MG TABLET ORAL 07/28/2020 0.03819

GLIPIZIDE 5 MG TABLET ORAL 03/02/2021 0.03457

GLIPIZIDE/METFORMIN HCL 2.5-250 MG TABLET ORAL 01/14/2020 0.72186

GLIPIZIDE/METFORMIN HCL 2.5-500 MG TABLET ORAL 11/05/2019 0.49687

GLIPIZIDE/METFORMIN HCL 5 MG-500MG TABLET ORAL 03/16/2021 0.89445

GLUC SU/CHONDRO SU A/VIT C/MN 500-400 MG CAPSULE ORAL 03/22/2016 0.12049

GLUCAGON,HUMAN RECOMBINANT 1 MG VIAL INJECTION 02/23/2021 268.65250

GLUCOSAMINE HCL/CHONDROITIN SU 500-400 MG CAPSULE ORAL 10/13/2020 0.13110

GLUCOSAMINE SULFATE 500 MG CAPSULE ORAL 01/05/2021 0.11089

GLUCOSAMINE SULFATE 500 MG TABLET ORAL 05/01/2014 0.53935

GLUCOSAMINE SULFATE 750 MG TABLET ORAL 06/23/2020 0.33444

GLUCOSAMINE/CHONDR SU A SOD 1500-1200 LIQUID ORAL 09/10/2019 0.03093

GLUCOSAMINE/CHONDRO SU A 500-400 MG TABLET ORAL 03/02/2021 0.13389

GLUCOSAMINE/CHONDROITIN A/MSM 500-200 MG TABLET ORAL 01/06/2015 1.18418



92

Run Date: 05/09/21




DateMACPrice

GLUCOSAMINE/D3/BOSWELLIA SERRA 1500MG-400 TABLET ORAL 11/24/2020 0.49290

GLY/DIMETH/PETROLAT,WHT/WATER CREAM (G) TOPICAL 02/16/2021 0.03686

GLYBURIDE 1.25 MG TABLET ORAL 03/30/2021 0.12730

GLYBURIDE 2.5 MG TABLET ORAL 03/30/2021 0.08947

GLYBURIDE 5 MG TABLET ORAL 03/30/2021 0.04591

GLYBURIDE,MICRONIZED 1.5 MG TABLET ORAL 02/02/2021 0.15190

GLYBURIDE,MICRONIZED 3 MG TABLET ORAL 02/02/2021 0.08510

GLYBURIDE,MICRONIZED 6 MG TABLET ORAL 01/26/2021 0.10460

GLYBURIDE/METFORMIN HCL 2.5-500 MG TABLET ORAL 07/07/2020 0.09452

GLYBURIDE/METFORMIN HCL 1.25-250MG TABLET ORAL 01/05/2021 0.10492

GLYBURIDE/METFORMIN HCL 5 MG-500MG TABLET ORAL 03/16/2021 0.06633

GLYCERIN ADULT SUPP.RECT RECTAL 11/24/2020 0.09771

GLYCERIN PEDIATRIC SUPP.RECT RECTAL 11/24/2020 0.08603

GLYCERIN/MIN OIL/WH.PETROLATUM LOTION TOPICAL 04/06/2021 0.01441

GLYCERYL MONOSTEARATE POWDER MISCELL 05/26/2015 0.50920

GLYCERYL MONOSTEARATE FLAKES MISCELL 03/03/2020 0.11142

GLYCINE POWDER ORAL 05/01/2014 0.36810

GLYCINE UROLOGIC SOLUTION 1.5 % IRRIG SOLN IRRIGATION 01/21/2020 0.00379

GLYCOPYRROLATE 1 MG TABLET ORAL 04/27/2021 0.14981



93

Run Date: 05/09/21




DateMACPrice

GLYCOPYRROLATE 2 MG TABLET ORAL 04/27/2021 0.43550

GLYCOPYRROLATE 0.2 MG/ML VIAL INJECTION 04/13/2021 2.49575

GRANISETRON HCL 1 MG TABLET ORAL 03/10/2020 4.25436

GRANISETRON HCL 1 MG/ML VIAL INTRAVEN 09/10/2019 5.95948

GRANISETRON HCL 1 MG/ML(1) VIAL INTRAVEN 09/10/2019 14.11935

GRANISETRON HCL/PF 1 MG/ML(1) VIAL INTRAVEN 01/14/2020 5.93090

GREEN SOAP TINCTURE TOPICAL 10/08/2019 0.03250

GRISEOFULVIN ULTRAMICROSIZE 125 MG TABLET ORAL 12/22/2020 5.26482

GRISEOFULVIN ULTRAMICROSIZE 250 MG TABLET ORAL 12/22/2020 6.47510

GRISEOFULVIN, MICROSIZE 125 MG/5ML ORAL SUSP ORAL 09/10/2019 0.30105

GRISEOFULVIN, MICROSIZE 500 MG TABLET ORAL 01/05/2021 5.40279

GUAIFEN/DEXTROMETHORPHAN/PE 100-10-5MG LIQUID ORAL 06/09/2020 0.01484

GUAIFEN/DEXTROMETHORPHAN/PE 200-30-10 LIQUID ORAL 11/24/2015 0.03406



GUAIFEN/DEXTROMETHORPHAN/PE 75-5-2.5/5 LIQUID ORAL 03/17/2020 0.00883

GUAIFEN/DEXTROMETHORPHAN/PE 200-10-5/5 LIQUID ORAL 03/17/2020 0.00883


GUAIFEN/DEXTROMETHORPHAN/PE 18-10MG/15 LIQUID ORAL 12/03/2019 0.08199



94

Run Date: 05/09/21




DateMACPrice

GUAIFEN/DEXTROMETHORPHAN/PE 50-5-2.5/1 DROPS ORAL 01/07/2020 0.13846

GUAIFEN/DEXTROMETHORPHAN/PE 5-2.5MG/ML DROPS ORAL 09/30/2014 0.16057

GUAIFEN/PHENYLEPH/ACETAMINOPHN 200-5-325 TABLET ORAL 04/27/2021 0.32886

GUAIFENESIN 1200 MG TAB ER 12H ORAL 03/30/2021 0.85234

GUAIFENESIN 600 MG TAB ER 12H ORAL 03/30/2021 0.43143

GUAIFENESIN 200 MG/5ML LIQUID ORAL 10/13/2020 0.00817

GUAIFENESIN 100 MG/5ML LIQUID ORAL 02/23/2021 0.00949

GUAIFENESIN 200 MG TABLET ORAL 07/28/2020 0.03765

GUAIFENESIN 400 MG TABLET ORAL 03/09/2021 0.03730

GUAIFENESIN/DEXTROMETHORPHAN 200MG-10MG CAPSULE ORAL 09/10/2019 0.37922

GUAIFENESIN/DEXTROMETHORPHAN 100-10MG/5 LIQUID ORAL 04/13/2021 0.01100

GUAIFENESIN/DEXTROMETHORPHAN 100-5 MG/5 LIQUID ORAL 03/23/2021 0.04534




GUAIFENESIN/DEXTROMETHORPHAN 100-10MG/5 SYRUP ORAL 02/23/2021 0.01619

GUAIFENESIN/DEXTROMETHORPHAN 400MG-20MG TABLET ORAL 05/21/2019 0.07002

GUAIFENESIN/DEXTROMETHORPHAN 600MG-30MG TAB ER 12H ORAL 03/30/2021 0.54270

GUAIFENESIN/DEXTROMETHORPHAN 1200-60MG TAB ER 12H ORAL 11/17/2020 0.85281



95

Run Date: 05/09/21




DateMACPrice

GUAIFENESIN/DM/PSEUDOEPHEDRINE 200-15-30 SOLUTION ORAL 03/17/2020 0.02116

GUAIFENESIN/DM/PSEUDOEPHEDRINE 50-5-15/5 LIQUID ORAL 05/14/2019 0.01991

GUAIFENESIN/DM/PSEUDOEPHEDRINE 187-10-30 LIQUID ORAL 12/09/2014 0.07251

GUAIFENESIN/DM/PSEUDOEPHEDRINE 200-10-30 TABLET ORAL 10/13/2015 0.14499

GUAIFENESIN/PHENYLEPHRINE HCL 100-5 MG/5 LIQUID ORAL 03/02/2021 0.03194

GUAIFENESIN/PHENYLEPHRINE HCL 400MG-10MG TABLET ORAL 09/22/2020 0.05641

GUAIFENESIN/PSEUDOEPHEDRNE HCL 375MG-60MG TABLET ORAL 11/12/2019 0.61091

GUAIFENESIN/PSEUDOEPHEDRNE HCL 600MG-60MG TAB ER 12H ORAL 03/09/2021 0.60184

GUAIFENESIN/PSEUDOEPHEDRNE HCL 1200-120MG TAB ER 12H ORAL 02/16/2021 1.01952

GUANFACINE HCL 1 MG TABLET ORAL 04/27/2021 0.27349

GUANFACINE HCL 2 MG TABLET ORAL 04/27/2021 0.33487

GUANFACINE HCL 1 MG TAB ER 24H ORAL 12/08/2020 0.46565




HALCINONIDE 0.1 % CREAM (G) TOPICAL 09/17/2019 12.05893

HALOBETASOL PROPIONATE 0.05 % CREAM (G) TOPICAL 12/08/2020 0.92907

HALOBETASOL PROPIONATE 0.05 % OINT. (G) TOPICAL 03/30/2021 1.44816

HALOPERIDOL 0.5 MG TABLET ORAL 09/17/2019 0.28940



96

Run Date: 05/09/21




DateMACPrice

HALOPERIDOL 1 MG TABLET ORAL 04/21/2020 0.39530





HALOPERIDOL DECANOATE 50 MG/ML AMPUL INTRAMUSC 04/27/2021 22.16550

HALOPERIDOL DECANOATE 100 MG/ML AMPUL INTRAMUSC 04/27/2021 38.95000

HALOPERIDOL DECANOATE 50 MG/ML VIAL INTRAMUSC 12/08/2020 16.38000

HALOPERIDOL DECANOATE 100 MG/ML VIAL INTRAMUSC 06/30/2020 31.97798

HALOPERIDOL LACTATE 2 MG/ML ORAL CONC ORAL 07/24/2018 0.11747

HALOPERIDOL LACTATE 5 MG/ML AMPUL INJECTION 02/09/2021 20.22405

HALOPERIDOL LACTATE 5 MG/ML VIAL INJECTION 09/10/2019 0.89083

HALOPERIDOL LACTATE 5 MG/ML SYRINGE INTRAMUSC 08/25/2020 9.29948

HEPARIN SOD,PORK IN 0.45% NACL 25000/250 IV SOLN INTRAVEN 04/06/2021 0.05255

HEPARIN SOD,PORK IN 0.45% NACL 25000/500 IV SOLN INTRAVEN 03/23/2021 0.01911

HEPARIN SODIUM,PORCINE 1000/ML VIAL INJECTION 01/26/2021 0.18671






97

Run Date: 05/09/21




DateMACPrice

HEPARIN SODIUM,PORCINE/D5W 25000/250 IV SOLN INTRAVEN 02/16/2021 0.05597

HEPARIN SODIUM,PORCINE/D5W 20K/500ML IV SOLN INTRAVEN 02/09/2021 0.03123

HEPARIN SODIUM,PORCINE/D5W 25000/500 IV SOLN INTRAVEN 02/16/2021 0.02174

HEPARIN SODIUM,PORCINE/NS/PF 1000/500ML IV SOLN INTRAVEN 03/16/2021 0.00958

HEPARIN SODIUM,PORCINE/NS/PF 2K/1000ML IV SOLN INTRAVEN 03/23/2021 0.01020

HEPARIN SODIUM,PORCINE/PF 1000/ML VIAL INJECTION 02/16/2021 3.82800

HEPARIN SODIUM,PORCINE/PF 200/2 ML SYRINGE INTRAVEN 05/01/2014 0.21273

HEPARIN SODIUM,PORCINE/PF 300/3 ML SYRINGE INTRAVEN 04/19/2016 0.14181

HEPARIN SODIUM,PORCINE/PF 5000/0.5ML SYRINGE SUBCUT 02/03/2020 2.49931

HETASTARCH IN 0.9 % NACL 6 %-0.9 % PLAST. BAG INTRAVEN 09/10/2019 0.05935

HYDRALAZINE HCL 10 MG TABLET ORAL 04/06/2021 0.04931




HYDRALAZINE HCL 20 MG/ML VIAL INJECTION 04/20/2021 4.38900

HYDROCHLORIC ACID 10 % LIQUID MISCELL 04/07/2020 0.21589

HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE ORAL 04/13/2021 0.04220

HYDROCHLOROTHIAZIDE 25 MG TABLET ORAL 03/23/2021 0.01544

HYDROCHLOROTHIAZIDE 50 MG TABLET ORAL 02/09/2021 0.01876



98

Run Date: 05/09/21




DateMACPrice

HYDROCHLOROTHIAZIDE 12.5 MG TABLET ORAL 11/10/2020 0.06003

HYDROCODONE BIT/HOMATROP ME-BR 5-1.5 MG/5 SYRUP ORAL 12/08/2020 0.12353

HYDROCODONE BIT/HOMATROP ME-BR 5-1.5 MG/5 SYRUP ORAL 02/09/2021 1.90836

HYDROCODONE BIT/HOMATROP ME-BR 5 MG-1.5MG TABLET ORAL 02/09/2021 1.02370

HYDROCODONE BITARTRATE 20 MG TAB ER 24H ORAL 04/06/2021 11.27364







HYDROCODONE BITARTRATE 10 MG CAP ER 12H ORAL 02/04/2020 6.66750






HYDROCODONE/ACETAMINOPHEN 7.5-325/15 SOLUTION ORAL 03/16/2021 0.09688




99

Run Date: 05/09/21




DateMACPrice


HYDROCODONE/ACETAMINOPHEN 5-217MG/10 SOLUTION ORAL 07/02/2019 0.31758

HYDROCODONE/ACETAMINOPHEN 2.5-325 MG TABLET ORAL 05/06/2020 0.72762

HYDROCODONE/ACETAMINOPHEN 10MG-325MG TABLET ORAL 04/20/2021 0.12412

HYDROCODONE/ACETAMINOPHEN 5 MG-325MG TABLET ORAL 07/14/2020 0.05820


HYDROCODONE/ACETAMINOPHEN 10MG-300MG TABLET ORAL 03/16/2021 0.65247

HYDROCODONE/ACETAMINOPHEN 5 MG-300MG TABLET ORAL 03/16/2021 0.43116


HYDROCODONE/CHLORPHEN P-STIREX 10-8MG/5ML SUS ER 12H ORAL 03/16/2021 0.51744

HYDROCODONE/IBUPROFEN 7.5-200 MG TABLET ORAL 09/10/2019 0.33111

HYDROCODONE/IBUPROFEN 5MG-200MG TABLET ORAL 02/09/2021 2.38935

HYDROCODONE/IBUPROFEN 10MG-200MG TABLET ORAL 02/09/2021 3.10431

HYDROCORTISONE 10 MG TABLET ORAL 03/23/2021 0.40937



HYDROCORTISONE 100MG/60ML ENEMA RECTAL 04/28/2020 0.21470

HYDROCORTISONE 1 % CREAM (G) TOPICAL 02/09/2021 0.06611

HYDROCORTISONE 2.5 % CREAM (G) TOPICAL 09/10/2019 0.11479



100

Run Date: 05/09/21




DateMACPrice

HYDROCORTISONE 1 % CRM/PE APP TOPICAL 03/30/2021 1.15481

HYDROCORTISONE 2.5 % CRM/PE APP TOPICAL 03/16/2021 0.29480

HYDROCORTISONE 1 % OINT. (G) TOPICAL 03/02/2021 0.20100

HYDROCORTISONE 2.5 % OINT. (G) TOPICAL 03/10/2020 0.14159

HYDROCORTISONE 1 % LOTION TOPICAL 07/09/2019 0.14851

HYDROCORTISONE 1 % LOTION TOPICAL 09/29/2015 0.07714

HYDROCORTISONE ACETATE 1 % CREAM (G) TOPICAL 08/04/2020 0.13188

HYDROCORTISONE BUTYRATE 0.1 % CREAM (G) TOPICAL 04/20/2021 2.29587

HYDROCORTISONE BUTYRATE 0.1 % OINT. (G) TOPICAL 10/27/2020 2.50729

HYDROCORTISONE BUTYRATE 0.1 % SOLUTION TOPICAL 11/03/2020 3.00509

HYDROCORTISONE BUTYRATE 0.1 % LOTION TOPICAL 04/07/2020 4.01302

HYDROCORTISONE BUTYRATE/EMOLL 0.1 % CREAM (G) TOPICAL 05/04/2021 4.36920

HYDROCORTISONE SOD SUCCINATE 100 MG VIAL INJECTION 12/10/2019 2.54600

HYDROCORTISONE VALERATE 0.2 % CREAM (G) TOPICAL 01/28/2020 0.93681

HYDROCORTISONE VALERATE 0.2 % OINT. (G) TOPICAL 04/13/2021 3.05389

HYDROCORTISONE/ACETIC ACID 1 %-2 % DROPS OTIC (EAR) 09/22/2020 10.38335

HYDROCORTISONE/ALOE VERA 1 % CREAM (G) TOPICAL 01/26/2021 0.06546

HYDROGEN PEROXIDE 3 % SOLUTION MISCELL 11/24/2020 0.00098

HYDROMORPHONE HCL 1 MG/ML LIQUID ORAL 02/03/2020 0.26598



101

Run Date: 05/09/21




DateMACPrice

HYDROMORPHONE HCL 2 MG TABLET ORAL 11/19/2019 0.08817



HYDROMORPHONE HCL 12 MG TAB ER 24H ORAL 02/16/2021 11.94369




HYDROMORPHONE HCL 1 MG/ML CARTRIDGE INJECTION 08/29/2017 3.05976



HYDROMORPHONE HCL 0.5MG/.5ML SYRINGE INJECTION 01/02/2018 7.52400

HYDROMORPHONE HCL 2 MG/ML VIAL INJECTION 03/25/2020 1.42480

HYDROMORPHONE HCL/PF 10 MG/ML VIAL INJECTION 05/12/2020 1.57785

HYDROMORPHONE HCL/PF 2 MG/ML VIAL INJECTION 01/08/2019 4.51440

HYDROXYCHLOROQUINE SULFATE 200 MG TABLET ORAL 02/15/2021 0.28235

HYDROXYPROGESTERONE CAPROAT/PF 250 MG/ML VIAL INTRAMUSC 01/05/2021 112.75000

HYDROXYPROGESTERONE CAPROATE 250 MG/ML VIAL INTRAMUSC 08/27/2019 291.31525

HYDROXYPROPYL CELLULOSE POWDER MISCELL 11/19/2019 0.73700

HYDROXYUREA 500 MG CAPSULE ORAL 09/10/2019 0.95770



102

Run Date: 05/09/21




DateMACPrice

HYDROXYZINE HCL 10 MG/5 ML SOLUTION ORAL 03/09/2021 0.03749

HYDROXYZINE HCL 10 MG TABLET ORAL 11/10/2020 0.04445



HYDROXYZINE PAMOATE 25 MG CAPSULE ORAL 12/08/2020 0.05890

HYDROXYZINE PAMOATE 50 MG CAPSULE ORAL 12/08/2020 0.07620

HYPOCHLOROUS ACID/SODIUM CHLOR 0.01 % SPRAY TOPICAL 09/10/2019 0.37828

HYPROMELLOSE POWDER MISCELL 04/13/2021 0.08971

HYPROMELLOSE CAPSULES (EMPTY) CAPSULE ORAL 09/17/2019 0.02435

HYPROMELLOSE DR CAP (EMPTY) CAPSULE DR ORAL 06/02/2015 0.18090

IBANDRONATE SODIUM 150 MG TABLET ORAL 07/21/2020 6.41350

IBANDRONATE SODIUM 3 MG/3 ML SYRINGE INTRAVEN 01/14/2020 40.14583

IBUPROFEN 200 MG CAPSULE ORAL 03/09/2021 0.06784

IBUPROFEN 100 MG/5ML ORAL SUSP ORAL 04/20/2021 0.02926

IBUPROFEN 50 MG/1.25 DROPS SUSP ORAL 09/17/2019 0.32875

IBUPROFEN 200 MG TABLET ORAL 04/06/2021 0.03501






103

Run Date: 05/09/21




DateMACPrice

IBUPROFEN 100 MG TAB CHEW ORAL 05/04/2021 0.16499

IBUPROFEN LYSINE/PF 20 MG/2 ML VIAL INTRAVEN 05/06/2020 213.77058

IBUPROFEN/DIPHENHYDRAMINE CIT 200MG-38MG TABLET ORAL 11/17/2020 0.15164

IBUTILIDE FUMARATE 0.1 MG/ML VIAL INTRAVEN 12/08/2020 44.25986

ICARIDIN 20 % SPRAY/PUMP TOPICAL 03/02/2021 0.02456

ICE BAG EACH MISCELL 09/10/2019 6.51053

ICOSAPENT ETHYL 1 G CAPSULE ORAL 04/06/2021 3.78631

IDARUBICIN HCL 1 MG/ML VIAL INTRAVEN 07/03/2018 7.42950

IFOSFAMIDE 1 G VIAL INTRAVEN 05/01/2014 34.30521

IFOSFAMIDE 1 G/20 ML VIAL INTRAVEN 01/02/2018 3.63974

IFOSFAMIDE 3 G/60 ML VIAL INTRAVEN 01/23/2018 2.33160

IMATINIB MESYLATE 400 MG TABLET ORAL 03/22/2021 4.58253

IMATINIB MESYLATE 100 MG TABLET ORAL 03/30/2021 1.29067

IMIPENEM/CILASTATIN SODIUM 500 MG VIAL INTRAVEN 01/14/2020 13.06250

IMIPRAMINE HCL 10 MG TABLET ORAL 04/27/2021 0.12274



IMIPRAMINE PAMOATE 100 MG CAPSULE ORAL 08/11/2015 8.24760




104

Run Date: 05/09/21




DateMACPrice



IMIQUIMOD 3.75 % CRM MD PMP TOPICAL 05/04/2021 147.35656

IMIQUIMOD 5 % CREAM PACK TOPICAL 05/04/2021 2.35840

INDAPAMIDE 2.5 MG TABLET ORAL 02/16/2021 0.25286

INDAPAMIDE 1.25 MG TABLET ORAL 02/16/2021 0.27818

INDOCYANINE GREEN 25 MG VIAL INJECTION 07/07/2020 50.71614

INDOMETHACIN 25 MG CAPSULE ORAL 02/09/2021 0.13279

INDOMETHACIN 50 MG CAPSULE ORAL 02/09/2021 0.17554

INDOMETHACIN 75 MG CAPSULE ER ORAL 02/09/2021 0.35175

INDOMETHACIN SODIUM 1 MG VIAL INTRAVEN 09/17/2019 444.94225

INSULIN NPH HUMAN ISOPHANE 100/ML (3) INSULN PEN SUBCUT 12/23/2019 17.30663

INSULIN PUMP CARTRIDGE CARTRIDGE SUBCUT 11/26/2019 3.23532

IODINE/POTASSIUM IODIDE 5 %-10 % SOLUTION TOPICAL 07/16/2019 0.28455

IODINE/SODIUM IODIDE 2 % TINCTURE TOPICAL 01/12/2021 0.07515

IPRATROPIUM BROMIDE 42 MCG SPRAY NASAL 05/28/2020 1.34000

IPRATROPIUM BROMIDE 21 MCG SPRAY NASAL 11/10/2020 1.06039

IPRATROPIUM BROMIDE 0.2 MG/ML SOLUTION INHALATION 04/20/2021 0.06572

IPRATROPIUM/ALBUTEROL SULFATE 0.5-3MG/3 AMPUL-NEB INHALATION 03/16/2021 0.07370



105

Run Date: 05/09/21




DateMACPrice

IRBESARTAN 150 MG TABLET ORAL 03/09/2021 0.44741



IRBESARTAN/HYDROCHLOROTHIAZIDE 300-12.5MG TABLET ORAL 02/02/2021 0.31728

IRINOTECAN HCL 40 MG/2 ML VIAL INTRAVEN 02/23/2021 4.70580

IRINOTECAN HCL 100 MG/5ML VIAL INTRAVEN 02/23/2021 3.11784

IRINOTECAN HCL 300MG/15ML VIAL INTRAVEN 01/26/2021 6.96553

IRON FUMARATE/VIT C/VIT B12/FA 460-60MG CAPSULE ORAL 11/24/2020 0.50116

IRON POLYSACCH/IRON HEME POLYP 28 MG TABLET ORAL 09/10/2019 0.60032

IRON POLYSACCHARIDE COMPLEX 150 MG CAPSULE ORAL 12/01/2020 0.12623

IRON PS COMPLEX/B12/FOLIC ACID 150-25-1 CAPSULE ORAL 09/10/2019 0.15330

IRON,CARB/VIT C/VIT B12/FOLIC 100-250-1 TABLET ORAL 06/04/2019 0.31825

IRON,CARBONYL 15MG/1.25 ORAL SUSP ORAL 09/10/2019 0.73923

IRON,CARBONYL/ASCORBIC ACID 100-250 MG TABLET ORAL 02/06/2018 0.11055

IRON/FOLIC AC/VIT BCOMP,C/MIN 106 MG-1MG TABLET ORAL 09/24/2019 0.26800

ISONIAZID 100 MG TABLET ORAL 03/12/2019 1.19111

ISONIAZID 300 MG TABLET ORAL 10/06/2020 0.15807

ISOPROPYL ALCOHOL SOLUTION MISCELL 05/01/2014 0.00392

ISOPROPYL ALCOHOL 70 % SOLUTION MISCELL 05/26/2020 0.00334



106

Run Date: 05/09/21




DateMACPrice

ISOPROPYL ALCOHOL 99 % SOLUTION MISCELL 08/18/2020 0.01312

ISOPROPYL ALCOHOL IN GLYCERIN 95 %-5 % DROPS OTIC (EAR) 10/06/2020 0.14293

ISOPROPYL PALMITATE LIQUID MISCELL 05/01/2014 0.17085

ISOPROTERENOL HCL 0.2 MG/ML AMPUL INJECTION 01/12/2021 206.56067

ISOPROTERENOL HCL 0.2 MG/ML VIAL INJECTION 08/25/2020 44.68611

ISOSORBIDE DINITRATE 10 MG TABLET ORAL 10/27/2020 0.60903





ISOSORBIDE MONONITRATE 20 MG TABLET ORAL 03/09/2021 0.22539

ISOSORBIDE MONONITRATE 10 MG TABLET ORAL 01/12/2021 0.23155

ISOSORBIDE MONONITRATE 60 MG TAB ER 24H ORAL 10/08/2019 0.19417



ISOSULFAN BLUE 1 % VIAL SUBCUT 07/28/2020 217.56548

ISOTRETINOIN 10 MG CAPSULE ORAL 02/02/2021 10.35958





107

Run Date: 05/09/21




DateMACPrice


ISRADIPINE 2.5 MG CAPSULE ORAL 09/10/2019 1.23588

ISRADIPINE 5 MG CAPSULE ORAL 09/10/2019 1.82843

ITRACONAZOLE 100 MG CAPSULE ORAL 12/08/2020 1.29801

ITRACONAZOLE 10 MG/ML SOLUTION ORAL 02/09/2021 1.60184

IVERMECTIN 3 MG TABLET ORAL 03/23/2021 5.12953

IVERMECTIN 0.5 % LOTION TOPICAL 02/09/2021 2.79268

KETAMINE HCL 50 MG/ML VIAL INJECTION 12/23/2019 0.49888

KETOCONAZOLE 200 MG TABLET ORAL 03/23/2021 0.97820

KETOCONAZOLE 2 % FOAM TOPICAL 12/08/2020 4.45305

KETOCONAZOLE 2 % CREAM (G) TOPICAL 10/27/2020 0.51233

KETOCONAZOLE 2 % SHAMPOO TOPICAL 11/19/2019 0.21139

KETOPROFEN 50 MG CAPSULE ORAL 02/09/2021 1.96457

KETOPROFEN 75 MG CAPSULE ORAL 10/06/2020 2.18299

KETOROLAC TROMETHAMINE 10 MG TABLET ORAL 03/30/2021 1.18402

KETOROLAC TROMETHAMINE 15 MG/ML VIAL INJECTION 02/09/2021 0.99160

KETOROLAC TROMETHAMINE 30MG/ML(1) VIAL INJECTION 04/06/2021 1.10751

KETOROLAC TROMETHAMINE 0.5 % DROPS OPHTHALMIC 12/22/2020 1.75808

KETOROLAC TROMETHAMINE 0.4 % DROPS OPHTHALMIC 10/08/2019 12.24080



108

Run Date: 05/09/21




DateMACPrice

KETOROLAC TROMETHAMINE 15.75 MG SPRAY NASAL 12/01/2020 227.02213

KETOROLAC TROMETHAMINE 60 MG/2 ML VIAL INTRAMUSC 02/23/2021 0.65560

KETOTIFEN FUMARATE 0.025 % DROPS OPHTHALMIC 03/09/2021 2.67696

KIT FOR PREP TC-99M/MEBROFENIN 45 MG VIAL INTRAVEN 10/02/2018 73.80000

KIT FOR TC 99M/SESTAMIBI NO.1 VIAL INTRAVEN 11/19/2019 278.80000

KRILL/OM-3/DHA/EPA/PHOSPHO/AST 1000-170MG CAPSULE ORAL 09/10/2019 0.48240

L-MEFOL/A-CYST/MEB12/ALGAL OIL 6-600-2 MG TABLET ORAL 09/08/2020 3.83519

L-NORGEST/E.ESTRADIOL-E.ESTRAD 150-30(84) TBDSPK 3MO ORAL 12/22/2020 1.05242

L-NORGEST/E.ESTRADIOL-E.ESTRAD 100-20(84) TBDSPK 3MO ORAL 03/09/2021 0.55735

L-NORGEST/E.ESTRADIOL-E.ESTRAD 0.15MG(84) TBDSPK 3MO ORAL 10/15/2019 3.97197

L. ACIDOPHILUS/BIFID. ANIMALIS 31B CELL CAPSULE ORAL 03/16/2021 27.33333

L. ACIDOPHILUS/L.BULGARICUS 100MM CELL POWD PACK ORAL 02/19/2019 0.72667

L. ACIDOPHILUS/L.BULGARICUS 100MM CELL GRAN PACK ORAL 04/20/2021 1.84585

L. ACIDOPHILUS/L.BULGARICUS 1MM CELL TABLET ORAL 10/27/2020 0.23209

L.ACID,PARA/B.BIFIDUM/S.THERM 8B CELL CAPSULE ORAL 02/02/2021 1.26139

L.ACIDOPH/L.BULG/B.BIF/S.THERM 1B-250 MG TABLET ORAL 08/20/2014 0.33989

LABETALOL HCL 100 MG TABLET ORAL 03/02/2021 0.14928





109

Run Date: 05/09/21




DateMACPrice

LABETALOL HCL 20 MG/4 ML SYRINGE INTRAVEN 11/06/2018 2.04853

LABETALOL HCL 5 MG/ML VIAL INTRAVEN 04/13/2021 0.15310

LACTASE 3000 UNIT TABLET ORAL 03/23/2021 0.07995

LACTASE 9000 UNIT TABLET ORAL 04/13/2021 0.28118

LACTOBACIL 2-S.THERMO-BIFIDO 1 112.5B CAPSULE ORAL 01/26/2021 1.01282

LACTOBACIL 2-S.THERMO-BIFIDO 1 450B CELL PACKET ORAL 04/06/2021 3.93184

LACTOBACILLUS ACIDOPHILUS CAPSULE ORAL 09/10/2019 0.02677

LACTOBACILLUS ACIDOPHILUS 680 MG CAPSULE ORAL 11/03/2015 0.26800

LACTOBACILLUS ACIDOPHILUS 500MM CELL CAPSULE ORAL 01/26/2021 0.45694

LACTOBACILLUS ACIDOPHILUS/PECT 75 MM-100 CAPSULE ORAL 09/10/2019 0.02472

LACTOBACILLUS REUTERI 100MM/5DRP DROPS SUSP ORAL 04/23/2019 2.17750

LACTOBACILLUS REUTERI 100MM CELL TAB CHEW ORAL 12/23/2019 0.61613

LACTOBACILLUS REUTERI/VIT D3 100 MM-10 DROPS ORAL 09/10/2019 3.21024

LACTULOSE 10 G PACKET ORAL 01/26/2021 9.35218

LACTULOSE 10 G/15 ML SOLUTION ORAL 03/09/2021 0.01742




LAMIVUDINE 10 MG/ML SOLUTION ORAL 09/10/2019 0.36599



110

Run Date: 05/09/21




DateMACPrice

LAMIVUDINE 150 MG TABLET ORAL 05/26/2020 1.18210



LAMIVUDINE/ZIDOVUDINE 150-300 MG TABLET ORAL 04/27/2021 3.35478

LAMOTRIGINE 25 MG TAB ER 24 ORAL 10/13/2020 2.35438






LAMOTRIGINE 100 MG TABLET ORAL 07/28/2020 0.05900




LAMOTRIGINE 25MG (35) TAB DS PK ORAL 06/12/2018 6.41485

LAMOTRIGINE 25(84)-100 TAB DS PK ORAL 03/09/2021 12.82629

LAMOTRIGINE 25(42)-100 TAB DS PK ORAL 03/09/2021 13.33029

LAMOTRIGINE 50 MG TAB RAPDIS ORAL 09/08/2020 5.38692




111

Run Date: 05/09/21




DateMACPrice



LAMOTRIGINE 25-50-100 TB RD DSPK ORAL 02/09/2021 16.26720

LAMOTRIGINE 25(21)-50 TB RD DSPK ORAL 02/09/2021 14.23500

LAMOTRIGINE 50(42)-100 TB RD DSPK ORAL 02/09/2021 20.33344

LAMOTRIGINE 25 MG TB CHW DSP ORAL 07/18/2017 0.30378

LAMOTRIGINE 5 MG TB CHW DSP ORAL 09/10/2019 0.30123

LANOLIN ALCOHOL/MO/W.PET/CERES CREAM (G) TOPICAL 05/04/2021 0.02501

LANOLIN,ANHYDROUS OINT. (G) TOPICAL 07/30/2019 0.12518

LANOLIN/MINERAL OIL LOTION TOPICAL 09/22/2020 0.01061

LANSOPRAZOLE 15 MG CAPSULE DR ORAL 04/13/2021 0.44175

LANSOPRAZOLE 30 MG CAPSULE DR ORAL 04/06/2021 0.16777

LANSOPRAZOLE 15 MG TAB RAP DR ORAL 04/13/2021 8.41320

LANSOPRAZOLE 30 MG TAB RAP DR ORAL 04/06/2021 9.42885

LANSOPRAZOLE/AMOXICILN/CLARITH 30-500-500 COMBO. PKG ORAL 09/10/2019 5.69844

LANTHANUM CARBONATE 500 MG TAB CHEW ORAL 02/25/2020 7.37507



LATANOPROST 0.005 % DROPS OPHTHALMIC 04/13/2021 2.77640



112

Run Date: 05/09/21




DateMACPrice

LECITHIN 1200 MG CAPSULE ORAL 10/22/2019 0.03946

LECITHIN/PYRIDOXINE/KELP TABLET ORAL 08/06/2019 0.05219

LEFLUNOMIDE 10 MG TABLET ORAL 01/19/2021 1.23682

LEFLUNOMIDE 20 MG TABLET ORAL 01/19/2021 1.77014

LEMON EUCALYPTUS OIL 30 % SPRAY TOPICAL 01/07/2020 0.02821

LEMON FLAVOR EXTRACT LIQUID ORAL 08/20/2019 0.41540

LEMON OIL OIL MISCELL 09/10/2019 1.84250

LETROZOLE 2.5 MG TABLET ORAL 10/15/2019 0.15991

LEUCOVORIN CALCIUM 10 MG TABLET ORAL 01/26/2021 7.24006




LEUCOVORIN CALCIUM 100 MG VIAL INJECTION 04/20/2021 9.39600





LEUPROLIDE ACETATE 1 MG/0.2ML KIT SUBCUT 04/28/2020 691.68025

LEVALBUTEROL HCL 0.63MG/3ML VIAL-NEB INHALATION 10/13/2020 0.40219



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DateMACPrice



LEVALBUTEROL HCL 1.25MG/0.5 VIAL-NEB INHALATION 02/11/2020 5.08728

LEVETIRACETAM 100 MG/ML SOLUTION ORAL 04/27/2021 0.04081

LEVETIRACETAM 500 MG/5ML SOLUTION ORAL 05/04/2021 0.77787

LEVETIRACETAM 250 MG TABLET ORAL 05/04/2021 0.06047




LEVETIRACETAM 500 MG TAB ER 24H ORAL 01/08/2019 0.17867

LEVETIRACETAM 750 MG TAB ER 24H ORAL 03/30/2021 0.57129

LEVETIRACETAM 500 MG/5ML VIAL INTRAVEN 03/09/2021 0.41808

LEVETIRACETAM IN NACL (ISO-OS) 500MG/0.1L PIGGYBACK INTRAVEN 01/19/2021 0.18761

LEVETIRACETAM IN NACL (ISO-OS) 1000MG/100 PIGGYBACK INTRAVEN 07/21/2020 0.27370

LEVETIRACETAM IN NACL (ISO-OS) 1500MG/100 PIGGYBACK INTRAVEN 03/09/2021 0.36281

LEVOCARNITINE 100 MG/ML SOLUTION ORAL 02/09/2021 0.40647

LEVOCARNITINE 500 MG TABLET ORAL 09/10/2019 0.42121

LEVOCARNITINE 330 MG TABLET ORAL 02/27/2018 0.71858

LEVOCARNITINE (WITH SUGAR) 100 MG/ML SOLUTION ORAL 04/01/2019 0.30516



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DateMACPrice

LEVOCETIRIZINE DIHYDROCHLORIDE 2.5 MG/5ML SOLUTION ORAL 09/08/2020 0.34885

LEVOCETIRIZINE DIHYDROCHLORIDE 5 MG TABLET ORAL 02/09/2021 0.11822

LEVOFLOXACIN 250MG/10ML SOLUTION ORAL 10/22/2019 1.08004

LEVOFLOXACIN 250 MG TABLET ORAL 01/12/2021 0.21440



LEVOFLOXACIN 0.5 % DROPS OPHTHALMIC 03/26/2019 9.00000

LEVOFLOXACIN 25 MG/ML VIAL INTRAVEN 10/22/2020 0.28308

LEVOFLOXACIN IN DEXTROSE 5 % 250MG/50ML PIGGYBACK INTRAVEN 12/15/2020 0.04552

LEVOFLOXACIN IN DEXTROSE 5 % 500MG/0.1L PIGGYBACK INTRAVEN 12/15/2020 0.03109

LEVOFLOXACIN IN DEXTROSE 5 % 750MG/.15L PIGGYBACK INTRAVEN 12/15/2020 0.02211

LEVOLEUCOVORIN CALCIUM 10 MG/ML VIAL INTRAVEN 03/23/2021 3.31100

LEVOMEFOLATE CALCIUM 7.5 MG TABLET ORAL 02/09/2021 1.82151

LEVOMEFOLATE CALCIUM 15 MG TABLET ORAL 09/08/2020 1.53683

LEVOMEFOLATE/ALGAL OIL 7.5-90.314 CAPSULE ORAL 09/08/2020 3.54625

LEVOMEFOLATE/ALGAL OIL 15-90.314 CAPSULE ORAL 10/22/2019 2.98144

LEVOMEFOLATE/B6/B12/ALGAL OIL 3-35-2 MG CAPSULE ORAL 01/28/2020 1.87749

LEVONORGESTREL 1.5 MG TABLET ORAL 10/01/2019 17.67675

LEVONORGESTREL/ETHIN.ESTRADIOL 0.15-0.03 TABLET ORAL 04/21/2020 0.24551



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DateMACPrice

LEVONORGESTREL/ETHIN.ESTRADIOL 6-5-10 TABLET ORAL 11/10/2020 1.17936

LEVONORGESTREL/ETHIN.ESTRADIOL 0.1-0.02MG TABLET ORAL 04/07/2020 0.36786

LEVONORGESTREL/ETHIN.ESTRADIOL 90-20 MCG TABLET ORAL 04/27/2021 1.98320

LEVONORGESTREL/ETHIN.ESTRADIOL 0.15-0.03 TBDSPK 3MO ORAL 02/09/2021 0.30167

LEVORPHANOL TARTRATE 2 MG TABLET ORAL 03/30/2021 27.99962

LEVORPHANOL TARTRATE 3 MG TABLET ORAL 02/02/2021 41.05125

LEVOTHYROXINE SODIUM 150 MCG CAPSULE ORAL 02/16/2021 5.26724





LEVOTHYROXINE SODIUM 25 MCG TABLET ORAL 03/09/2021 0.19390










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DateMACPrice





LEVOTHYROXINE SODIUM 200 MCG VIAL INTRAVEN 07/02/2019 184.75000



LIDOCAINE 5 % CREAM (G) TOPICAL 08/25/2020 1.07200

LIDOCAINE 4 % CREAM (G) TOPICAL 12/08/2020 0.72360

LIDOCAINE 5 % OINT. (G) TOPICAL 03/30/2021 0.27765

LIDOCAINE 4 % ADH. PATCH TOPICAL 03/02/2021 1.58656

LIDOCAINE 5 % ADH. PATCH TOPICAL 03/30/2021 2.71699

LIDOCAINE HCL 5 MG/ML VIAL INJECTION 01/14/2020 0.14079



LIDOCAINE HCL 2 % JEL/PF APP MUCOUS MEM 03/30/2021 0.63650

LIDOCAINE HCL 40 MG/ML SOLUTION MUCOUS MEM 03/09/2021 0.85412

LIDOCAINE HCL 2 % SOLUTION MUCOUS MEM 04/20/2021 0.08710

LIDOCAINE HCL 3 % CREAM (G) TOPICAL 04/06/2021 1.22138



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DateMACPrice

LIDOCAINE HCL 4 % CREAM (G) TOPICAL 03/30/2021 0.08319

LIDOCAINE HCL 4 % SOLUTION TOPICAL 01/14/2020 7.36600

LIDOCAINE HCL/BENZALKONIUM CHL 2.5%-0.13% SPRAY TOPICAL 03/30/2021 4.47920

LIDOCAINE HCL/DEXTROSE 5 %/PF 4 MG/ML IV SOLN INTRAVEN 04/13/2021 0.03303

LIDOCAINE HCL/DEXTROSE 5 %/PF 8 MG/ML IV SOLN INTRAVEN 09/10/2019 0.04269

LIDOCAINE HCL/EPINEPHRINE 0.5-1:200K VIAL INJECTION 11/03/2020 0.09411

LIDOCAINE HCL/EPINEPHRINE 1%-1:100K VIAL INJECTION 02/25/2020 0.10099

LIDOCAINE HCL/EPINEPHRINE 2 %-1:100K VIAL INJECTION 02/09/2021 0.09943

LIDOCAINE HCL/EPINEPHRINE BIT 2 %-1:100K CARTRIDGE INJECTION 01/07/2020 0.22630

LIDOCAINE HCL/EPINEPHRINE BIT 2%-1:50000 CARTRIDGE INJECTION 10/29/2019 0.22630

LIDOCAINE HCL/EPINEPHRINE/PF 1.5-1:200K AMPUL INJECTION 09/01/2020 0.61613

LIDOCAINE HCL/EPINEPHRINE/PF 1.5-1:200K VIAL INJECTION 04/13/2021 0.31106

LIDOCAINE HCL/EPINEPHRINE/PF 2%-1:200K VIAL INJECTION 02/09/2021 0.35271

LIDOCAINE HCL/MENTHOL 4 %-1 % GEL (ML) TOPICAL 04/06/2021 2.74901

LIDOCAINE HCL/MENTHOL 4 %-1 % CREAM (G) TOPICAL 09/12/2017 0.10405

LIDOCAINE HCL/MENTHOL 4 %-1 % ADH. PATCH TOPICAL 09/24/2019 18.37500

LIDOCAINE HCL/PF 15 MG/ML AMPUL INJECTION 09/22/2020 0.75871





118

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DateMACPrice

LIDOCAINE HCL/PF 20 MG/ML VIAL INJECTION 07/02/2019 0.30391

LIDOCAINE HCL/PF 10 MG/ML VIAL INJECTION 02/09/2021 0.08172

LIDOCAINE HCL/PF 100 MG/5ML SYRINGE INTRAVEN 02/23/2021 0.97418

LIDOCAINE/ME-SALICYLAT/CAMPHOR 2.5%-4%-2% ADH. PATCH TOPICAL 10/20/2020 33.48333

LIDOCAINE/MENTHOL 4 %-1 % ADH. PATCH TOPICAL 02/23/2021 2.01000

LIDOCAINE/MENTHOL 4 %-4 % ADH. PATCH TOPICAL 04/13/2021 25.46250

LIDOCAINE/PRILOCAINE 2.5 %-2.5% CREAM (G) TOPICAL 10/22/2020 0.26666

LIDOCAINE/PRILOCAINE 2.5 %-2.5% KIT TOPICAL 12/29/2020 2.01161

LIDOCAINE/TRANSPARENT DRESSING 4 % KIT TOPICAL 09/10/2019 15.75000

LINCOMYCIN HCL 300 MG/ML VIAL INJECTION 02/09/2021 12.97450

LINEZOLID 100 MG/5ML SUSP RECON ORAL 02/09/2021 5.07663

LINEZOLID 600 MG TABLET ORAL 08/25/2020 2.56677

LINEZOLID IN DEXTROSE 5% 600MG/300 PIGGYBACK INTRAVEN 04/20/2021 0.07171

LIOTHYRONINE SODIUM 25 MCG TABLET ORAL 05/04/2021 0.79435



LIOTHYRONINE SODIUM 10 MCG/ML VIAL INTRAVEN 05/19/2020 333.12500

LISINOPRIL 10 MG TABLET ORAL 08/11/2020 0.02042




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DateMACPrice



LISINOPRIL 2.5 MG TABLET ORAL 09/08/2020 0.01715


LISINOPRIL/HYDROCHLOROTHIAZIDE 20-12.5 MG TABLET ORAL 04/06/2021 0.04342

LISINOPRIL/HYDROCHLOROTHIAZIDE 20 MG-25MG TABLET ORAL 03/03/2020 0.05266

LISINOPRIL/HYDROCHLOROTHIAZIDE 10-12.5MG TABLET ORAL 05/06/2020 0.03283

LITHIUM CARBONATE 150 MG CAPSULE ORAL 10/22/2019 0.10680



LITHIUM CARBONATE 300 MG TABLET ORAL 03/23/2021 0.16934

LITHIUM CARBONATE 300 MG TABLET ER ORAL 05/04/2021 0.18492

LITHIUM CARBONATE 450 MG TABLET ER ORAL 01/28/2020 0.42424

LOPERAMIDE HCL 2 MG CAPSULE ORAL 04/06/2021 0.34197

LOPERAMIDE HCL 1MG/7.5ML LIQUID ORAL 07/21/2020 0.03564

LOPERAMIDE HCL 2 MG TABLET ORAL 04/13/2021 0.07903

LOPERAMIDE HCL/SIMETHICONE 2-125MG TABLET ORAL 12/08/2020 0.13819

LORATADINE 5 MG/5 ML SOLUTION ORAL 04/20/2021 0.06186

LORATADINE 10 MG TABLET ORAL 01/10/2020 0.04378



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DateMACPrice

LORATADINE 5 MG TAB CHEW ORAL 04/13/2021 0.45560

LORATADINE 10 MG TAB RAPDIS ORAL 03/23/2021 0.36001

LORATADINE/PSEUDOEPHEDRINE 10MG-240MG TAB ER 24H ORAL 10/15/2019 0.38413

LORATADINE/PSEUDOEPHEDRINE 5 MG-120MG TAB ER 12H ORAL 04/06/2021 0.78390

LORAZEPAM 2 MG/ML ORAL CONC ORAL 06/12/2018 0.62489

LORAZEPAM 0.5 MG TABLET ORAL 12/29/2020 0.03546

LORAZEPAM 1 MG TABLET ORAL 04/06/2021 0.04422

LORAZEPAM 2 MG TABLET ORAL 10/22/2019 0.05633

LORAZEPAM 2 MG/ML VIAL INJECTION 10/06/2020 0.95475

LORAZEPAM 4 MG/ML VIAL INJECTION 04/30/2019 1.52586

LOSARTAN POTASSIUM 25 MG TABLET ORAL 03/16/2021 0.06160



LOSARTAN/HYDROCHLOROTHIAZIDE 50-12.5 MG TABLET ORAL 04/06/2021 0.04243

LOSARTAN/HYDROCHLOROTHIAZIDE 100-12.5MG TABLET ORAL 04/06/2021 0.05813

LOTEPREDNOL ETABONATE 0.5 % DROPS GEL OPHTHALMIC 03/02/2021 22.92570

LOTEPREDNOL ETABONATE 0.5 % DROPS SUSP OPHTHALMIC 12/03/2019 36.32600

LOVASTATIN 20 MG TABLET ORAL 04/21/2020 0.05829




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DateMACPrice


LOXAPINE SUCCINATE 10 MG CAPSULE ORAL 03/23/2021 0.80306




LUTEIN 6 MG CAPSULE ORAL 04/07/2020 0.08687

LUTEIN 20 MG CAPSULE ORAL 04/27/2021 0.09045

LYSINE 500 MG TABLET ORAL 09/10/2019 0.06110

LYSINE HCL 500 MG TABLET ORAL 05/04/2021 0.03410

M-VIT,TX,IRON,MINS/CALC/FOLIC 27MG-0.4MG TABLET ORAL 09/10/2019 0.04041

MAFENIDE ACETATE 50 G PACKET TOPICAL 09/10/2019 3.67884

MAG CARB/ALUMINUM HYDROX/ALGIN 358-95/15 ORAL SUSP ORAL 12/15/2020 0.02158

MAG HYDROX/ALUMINUM HYD/SIMETH 200-200-20 ORAL SUSP ORAL 02/23/2021 0.00713

MAG HYDROX/ALUMINUM HYD/SIMETH 400-400-40 ORAL SUSP ORAL 05/04/2021 0.00815

MAG HYDROX/ALUMINUM HYD/SIMETH 200-200-25 TAB CHEW ORAL 08/25/2020 0.04583

MAGNESIUM 200 MG TABLET ORAL 09/10/2019 0.04456

MAGNESIUM CARB/ALUMINUM HYDROX 105-160MG TAB CHEW ORAL 07/07/2020 0.09554

MAGNESIUM CHLORIDE 64 MG TABLET DR ORAL 09/17/2019 0.13780

MAGNESIUM CHLORIDE 71.5 MG TABLET DR ORAL 03/06/2018 0.15382



122

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DateMACPrice

MAGNESIUM CITRATE SOLUTION ORAL 11/17/2020 0.00251

MAGNESIUM GLUCONATE 27 MG(500) TABLET ORAL 09/10/2019 0.05956

MAGNESIUM HYDROXIDE 400 MG/5ML ORAL SUSP ORAL 04/13/2021 0.00609

MAGNESIUM HYDROXIDE 2400 MG/10 ORAL SUSP ORAL 11/10/2020 0.31881

MAGNESIUM L-LACTATE 84 MG TABLET ER ORAL 08/11/2020 0.29167

MAGNESIUM OXIDE 500 MG CAPSULE ORAL 09/10/2019 0.20837

MAGNESIUM OXIDE 400 MG CAPSULE ORAL 04/27/2021 0.08368

MAGNESIUM OXIDE 250 MG TABLET ORAL 04/24/2018 0.02948





MAGNESIUM STEARATE POWDER MISCELL 10/02/2018 0.09574

MAGNESIUM SULFATE 4 MEQ/ML VIAL INJECTION 03/23/2021 0.23514

MAGNESIUM SULFATE IN WATER 20 G/500ML IV SOLN INTRAVEN 08/04/2020 0.01523

MAGNESIUM SULFATE IN WATER 40G/1000ML IV SOLN INTRAVEN 08/04/2020 0.01160

MAGNESIUM SULFATE IN WATER 2 G/50 ML PIGGYBACK INTRAVEN 04/13/2021 0.34079





123

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DateMACPrice

MAGNESIUM SULFATE/D5W 1 G/100 ML PIGGYBACK INTRAVEN 02/23/2021 0.07839

MANNITOL 10 % IV SOLN INTRAVEN 04/06/2021 0.12043



MANNITOL 25 % VIAL INTRAVEN 11/22/2016 0.05907

MECLIZINE HCL 12.5 MG TABLET ORAL 04/13/2021 0.07946

MECLIZINE HCL 25 MG TABLET ORAL 04/13/2021 0.10050

MECLIZINE HCL 25 MG TAB CHEW ORAL 05/04/2021 0.01722

MECOBAL/LEVOMEFOLAT CA/B6 PHOS 2-3-35 MG TABLET ORAL 03/30/2021 1.16863

MECOBALAMIN 5000 MCG TAB RAPDIS ORAL 03/09/2021 0.85609

MECOBALAMIN 1000 MCG TAB RAPDIS SUBLINGUAL 09/10/2019 0.14651

MEDIUM CHAIN TRIGLYCERIDES 7.7KCAL/ML OIL ORAL 01/08/2019 0.07592

MEDROXYPROGESTERONE ACETATE 10 MG TABLET ORAL 12/08/2020 0.17353

MEDROXYPROGESTERONE ACETATE 2.5 MG TABLET ORAL 11/10/2020 0.13025

MEDROXYPROGESTERONE ACETATE 5 MG TABLET ORAL 03/17/2020 0.16214

MEDROXYPROGESTERONE ACETATE 150 MG/ML SYRINGE INTRAMUSC 03/01/2021 44.93600

MEDROXYPROGESTERONE ACETATE 150 MG/ML VIAL INTRAMUSC 07/02/2019 30.82544

MEFENAMIC ACID 250 MG CAPSULE ORAL 04/28/2020 3.35456

MEFLOQUINE HCL 250 MG TABLET ORAL 03/09/2021 8.12856



124

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DateMACPrice

MEGESTROL ACETATE 400MG/10ML ORAL SUSP ORAL 03/09/2021 0.10050



MEGESTROL ACETATE 20 MG TABLET ORAL 01/14/2020 0.31490

MEGESTROL ACETATE 40 MG TABLET ORAL 04/20/2021 0.19205

MELATONIN 10 MG CAPSULE ORAL 04/20/2021 0.19102

MELATONIN 1 MG/ML LIQUID ORAL 03/16/2021 0.28319

MELATONIN 3 MG TABLET ORAL 01/12/2021 0.02240



MELATONIN 2.5 MG TAB CHEW ORAL 11/17/2020 0.13199

MELATONIN 3 MG TABLET ER ORAL 04/13/2021 0.11703

MELATONIN 5 MG TAB RAPDIS ORAL 04/21/2020 0.09767

MELATONIN 3 MG TAB RAPDIS ORAL 04/06/2021 0.04772

MELATONIN 10 MG TAB SUBL SUBLINGUAL 08/27/2019 0.15149

MELATONIN/PYRIDOXAL PHOSPHATE 2.5 MG-338 TAB SUBL SUBLINGUAL 04/11/2017 0.07571

MELATONIN/PYRIDOXINE HCL (B6) 5 MG-10 MG TAB IR ER ORAL 04/06/2021 0.28345

MELATONIN/TRYPTOPHAN 3 MG-100MG CAPSULE ORAL 05/01/2014 4.90380

MELOXICAM 7.5 MG TABLET ORAL 03/23/2021 0.02401



125

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DateMACPrice

MELOXICAM 15 MG TABLET ORAL 03/16/2021 0.02484

MELOXICAM, SUBMICRONIZED 5 MG CAPSULE ORAL 03/23/2021 16.30230

MELOXICAM, SUBMICRONIZED 10 MG CAPSULE ORAL 03/23/2021 16.30230

MELPHALAN 2 MG TABLET ORAL 09/10/2019 9.57283

MELPHALAN HCL 50 MG VIAL INTRAVEN 02/16/2021 222.98875

MEMANTINE HCL 7 MG CAP SPR 24 ORAL 02/16/2021 1.99660




MEMANTINE HCL 2 MG/ML SOLUTION ORAL 03/17/2020 1.87060

MEMANTINE HCL 10 MG TABLET ORAL 02/09/2021 0.12253

MEMANTINE HCL 5 MG TABLET ORAL 04/13/2021 0.09648

MEMANTINE HCL 5 MG-10 MG TAB DS PK ORAL 04/20/2021 0.41622

MENTHOL 8 MG LOZENGE MUCOUS MEM 05/01/2014 0.05360

MENTHOL 10 % GEL (GRAM) TOPICAL 05/01/2014 0.09441

MENTHOL 2 % GEL (GRAM) TOPICAL 05/04/2021 0.02118

MENTHOL 2.5 % GEL (GRAM) TOPICAL 04/27/2021 0.07334

MENTHOL 5 % ADH. PATCH TOPICAL 04/13/2021 0.96493

MENTHOL/CAMPHOR 3.5%-0.2% GEL (GRAM) TOPICAL 09/10/2019 0.06735



126

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DateMACPrice

MENTHOL/CAMPHOR 0.5 %-0.5% LOTION TOPICAL 08/18/2020 0.02574

MENTHOL/ZINC OXIDE 0.44-20.6% OINT. (G) TOPICAL 11/12/2019 0.05583

MEPIVACAINE HCL 10 MG/ML VIAL INJECTION 04/28/2015 0.23048

MEPIVACAINE HCL 20 MG/ML VIAL INJECTION 01/19/2021 0.25433

MEPIVACAINE HCL/PF 20 MG/ML VIAL INJECTION 08/04/2020 0.45560



MEPROBAMATE 200 MG TABLET ORAL 09/10/2019 4.53750

MEPROBAMATE 400 MG TABLET ORAL 09/10/2019 5.23875

MERCAPTOPURINE 50 MG TABLET ORAL 01/12/2021 0.85760

MEROPENEM 500 MG VIAL INTRAVEN 05/04/2021 4.95000

MEROPENEM 1 G VIAL INTRAVEN 05/04/2021 7.50000

MESALAMINE 0.375G CAP ER 24H ORAL 09/01/2020 3.97848

MESALAMINE 400 MG CAP(DRTAB) ORAL 12/01/2020 2.37999

MESALAMINE 800 MG TABLET DR ORAL 09/10/2019 6.28036

MESALAMINE 1.2 G TABLET DR ORAL 11/17/2020 5.64610

MESALAMINE 1000 MG SUPP.RECT RECTAL 05/04/2021 5.88899

MESALAMINE 4 G/60 ML ENEMA RECTAL 08/27/2019 0.22333

MESNA 100 MG/ML VIAL INTRAVEN 02/11/2020 1.07200



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DateMACPrice

METAXALONE 400 MG TABLET ORAL 06/09/2020 6.26904

METAXALONE 800 MG TABLET ORAL 03/16/2021 1.20975

METFORMIN HCL 1000 MG TAB ER 24 ORAL 11/24/2020 4.21476

METFORMIN HCL 500 MG TAB ER 24 ORAL 11/24/2020 2.61479

METFORMIN HCL 500 MG TABERGR24H ORAL 04/06/2021 4.50146

METFORMIN HCL 1000 MG TABERGR24H ORAL 04/06/2021 15.19000

METFORMIN HCL 500 MG/5ML SOLUTION ORAL 04/28/2020 0.90427

METFORMIN HCL 500 MG TABLET ORAL 03/16/2021 0.01821



METFORMIN HCL 500 MG TAB ER 24H ORAL 05/04/2021 0.04224

METFORMIN HCL 750 MG TAB ER 24H ORAL 05/04/2021 0.08898

METHADONE HCL 10 MG/5 ML SOLUTION ORAL 01/14/2020 0.50598

METHADONE HCL 5 MG/5 ML SOLUTION ORAL 01/19/2021 0.25299

METHADONE HCL 10 MG/ML ORAL CONC ORAL 04/06/2021 0.10102

METHADONE HCL 10 MG TABLET ORAL 03/02/2021 0.11256

METHADONE HCL 5 MG TABLET ORAL 03/02/2021 0.11953

METHADONE HCL 40 MG TABLET SOL ORAL 05/01/2014 0.32716

METHADONE HCL 10 MG/ML VIAL INJECTION 04/20/2021 20.42145



128

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DateMACPrice

METHAMPHETAMINE HCL 5 MG TABLET ORAL 03/02/2021 9.38220

METHAZOLAMIDE 25 MG TABLET ORAL 02/16/2021 3.04392

METHAZOLAMIDE 50 MG TABLET ORAL 03/09/2021 4.49790

METHENAMINE HIPPURATE 1 G TABLET ORAL 01/19/2021 1.29256

METHENAMINE/SODIUM SALICYLATE 162-162.5 TABLET ORAL 02/23/2021 0.15117

METHIMAZOLE 10 MG TABLET ORAL 04/20/2021 0.22485

METHIMAZOLE 5 MG TABLET ORAL 04/20/2021 0.12274

METHOCARBAMOL 500 MG TABLET ORAL 04/06/2021 0.06352

METHOCARBAMOL 750 MG TABLET ORAL 04/06/2021 0.07893

METHOCARBAMOL 100 MG/ML VIAL INJECTION 03/30/2021 0.67670

METHOTREXATE SODIUM 2.5 MG TABLET ORAL 04/20/2021 0.33272

METHOTREXATE SODIUM 25 MG/ML VIAL INJECTION 06/19/2017 2.82150

METHOTREXATE SODIUM/PF 1 G VIAL INJECTION 01/26/2021 64.10350

METHOTREXATE SODIUM/PF 25 MG/ML VIAL INJECTION 11/05/2019 0.59295

METHOXSALEN 10 MG CAP LQ RAP ORAL 06/09/2020 51.32052

METHOXY PEG-EPOETIN BETA 200MCG/0.3 SYRINGE INJECTION 12/17/2019 591.37375

METHSCOPOLAMINE BROMIDE 2.5 MG TABLET ORAL 06/02/2020 1.47400

METHSCOPOLAMINE BROMIDE 5 MG TABLET ORAL 06/02/2020 2.43590

METHYL SALICYLATE LIQUID TOPICAL 10/08/2019 0.15700



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DateMACPrice

METHYL SALICYLATE OIL MISCELL 02/25/2020 0.50920

METHYL SALICYLATE/MENTHOL 15%-10% CREAM (G) TOPICAL 02/09/2021 0.03235

METHYL SALICYLATE/MENTHOL 15 %-1 % CREAM (G) TOPICAL 09/08/2020 0.03812

METHYLDOPA 250 MG TABLET ORAL 01/12/2021 0.22850

METHYLDOPA 500 MG TABLET ORAL 01/14/2020 0.25822

METHYLERGONOVINE MALEATE 0.2 MG TABLET ORAL 07/21/2020 13.52575

METHYLERGONOVINE MALEATE .2MG/ML(1) AMPUL INJECTION 01/02/2018 17.63580

METHYLPHENIDATE HCL 10 MG CPBP 30-70 ORAL 03/02/2021 2.03908











METHYLPHENIDATE HCL 15 MG CSBP 40-60 ORAL 10/20/2020 5.96530



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DateMACPrice






METHYLPHENIDATE HCL 18 MG TAB ER 24 ORAL 03/16/2021 0.94329





METHYLPHENIDATE HCL 5 MG/5 ML SOLUTION ORAL 03/02/2021 0.19218

METHYLPHENIDATE HCL 10 MG/5 ML SOLUTION ORAL 03/09/2021 0.27100

METHYLPHENIDATE HCL 10 MG TABLET ORAL 04/20/2021 0.17889



METHYLPHENIDATE HCL 2.5 MG TAB CHEW ORAL 10/01/2019 2.16852

METHYLPHENIDATE HCL 5 MG TAB CHEW ORAL 09/03/2019 3.25790

METHYLPHENIDATE HCL 10 MG TAB CHEW ORAL 04/06/2021 3.93347

METHYLPHENIDATE HCL 20 MG TABLET ER ORAL 03/10/2020 1.39340



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DateMACPrice

METHYLPHENIDATE HCL 10 MG TABLET ER ORAL 02/23/2021 2.93194

METHYLPREDNISOLONE 16 MG TABLET ORAL 03/09/2021 2.46721




METHYLPREDNISOLONE 4 MG TAB DS PK ORAL 04/20/2021 0.37711

METHYLPREDNISOLONE ACETATE 40 MG/ML VIAL INJECTION 03/16/2021 4.78500

METHYLPREDNISOLONE ACETATE 80 MG/ML VIAL INJECTION 03/16/2021 7.58190

METHYLPREDNISOLONE SOD SUCC 125 MG VIAL INJECTION 09/29/2020 9.12000

METHYLPREDNISOLONE SOD SUCC 40 MG VIAL INJECTION 09/29/2020 6.03250

METHYLPREDNISOLONE SOD SUCC 1000 MG VIAL INTRAVEN 03/09/2021 23.49900

METHYLPREDNISOLONE SOD SUCC 500 MG VIAL INTRAVEN 02/11/2020 23.63550

METHYLTESTOSTERONE 10 MG CAPSULE ORAL 02/19/2019 76.23382

METOCLOPRAMIDE HCL 5 MG/5 ML SOLUTION ORAL 03/16/2021 0.03579

METOCLOPRAMIDE HCL 10 MG/10ML SOLUTION ORAL 09/10/2019 0.53621

METOCLOPRAMIDE HCL 10 MG TABLET ORAL 02/02/2021 0.04615

METOCLOPRAMIDE HCL 5 MG TABLET ORAL 03/31/2020 0.05936

METOCLOPRAMIDE HCL 5 MG/ML VIAL INJECTION 04/06/2021 1.06396

METOLAZONE 10 MG TABLET ORAL 12/15/2020 2.03519



132

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DateMACPrice

METOLAZONE 2.5 MG TABLET ORAL 05/04/2021 1.92518

METOLAZONE 5 MG TABLET ORAL 12/15/2020 1.59447

METOPROLOL SUCCINATE 50 MG TAB ER 24H ORAL 04/06/2021 0.11403




METOPROLOL TARTRATE 100 MG TABLET ORAL 04/13/2021 0.03183



METOPROLOL TARTRATE 37.5 MG TABLET ORAL 11/19/2019 0.13306


METOPROLOL TARTRATE 5 MG/5 ML VIAL INTRAVEN 08/04/2020 0.20623

METOPROLOL/HYDROCHLOROTHIAZIDE 100MG-25MG TABLET ORAL 01/26/2021 1.99647

METOPROLOL/HYDROCHLOROTHIAZIDE 50 MG-25MG TABLET ORAL 10/22/2019 0.75978

METOPROLOL/HYDROCHLOROTHIAZIDE 100MG-50MG TABLET ORAL 12/23/2014 1.25927

METRONIDAZOLE 375 MG CAPSULE ORAL 06/02/2020 9.33144

METRONIDAZOLE 250 MG TABLET ORAL 11/24/2020 0.13384

METRONIDAZOLE 500 MG TABLET ORAL 04/06/2021 0.13320

METRONIDAZOLE 0.75 % GEL (GRAM) TOPICAL 01/12/2021 0.92788



133

Run Date: 05/09/21




DateMACPrice

METRONIDAZOLE 1 % GEL (GRAM) TOPICAL 03/31/2020 2.92952

METRONIDAZOLE 0.75 % CREAM (G) TOPICAL 03/16/2021 1.84503

METRONIDAZOLE 1 % GEL W/PUMP TOPICAL 11/03/2020 4.35000

METRONIDAZOLE 0.75 % LOTION TOPICAL 02/11/2020 3.71294

METRONIDAZOLE 0.75 % GEL W/APPL VAGINAL 04/03/2018 1.56455

METRONIDAZOLE/SODIUM CHLORIDE 500MG/0.1L PIGGYBACK INTRAVEN 04/27/2021 0.01452

MICAFUNGIN SODIUM 50 MG VIAL INTRAVEN 03/30/2021 87.27000

MICAFUNGIN SODIUM 100 MG VIAL INTRAVEN 03/30/2021 174.55000

MICONAZOLE NITRATE 2 % AERO POWD TOPICAL 01/12/2021 0.05427

MICONAZOLE NITRATE 2 % CREAM (G) TOPICAL 02/16/2021 0.08102

MICONAZOLE NITRATE 2 % OINT. (G) TOPICAL 02/09/2021 0.09993

MICONAZOLE NITRATE 2 % POWDER TOPICAL 04/20/2021 0.06803

MICONAZOLE NITRATE 2 % TINCTURE TOPICAL 09/10/2019 0.35663

MICONAZOLE NITRATE 2 % CREAM/APPL VAGINAL 04/13/2021 0.13162

MICONAZOLE NITRATE 200 MG-2 % KIT VAGINAL 05/26/2020 12.61838

MIDAZOLAM HCL 2 MG/ML SYRUP ORAL 07/07/2020 1.34168

MIDAZOLAM HCL 5 MG/ML VIAL INJECTION 10/13/2020 0.73261

MIDAZOLAM HCL 2 MG/2 ML VIAL INJECTION 02/02/2021 0.35160




134

Run Date: 05/09/21




DateMACPrice

MIDAZOLAM HCL 10 MG/10ML VIAL INJECTION 12/08/2020 0.26313


MIDAZOLAM HCL 5 MG/ML(1) VIAL INJECTION 09/24/2019 1.52760

MIDAZOLAM HCL/PF 2 MG/2 ML SYRINGE INJECTION 02/23/2021 1.27300

MIDAZOLAM HCL/PF 5 MG/ML SYRINGE INJECTION 09/10/2019 3.10992

MIDAZOLAM HCL/PF 5 MG/ML(1) VIAL INJECTION 12/08/2020 1.33029

MIDAZOLAM HCL/PF 10 MG/2 ML VIAL INJECTION 12/08/2020 0.77717



MIDODRINE HCL 5 MG TABLET ORAL 02/23/2021 0.43416

MIDODRINE HCL 2.5 MG TABLET ORAL 04/20/2021 0.28944

MIDODRINE HCL 10 MG TABLET ORAL 01/12/2021 0.71784

MIFEPRISTONE 200 MG TABLET ORAL 08/18/2020 41.00000

MIGLITOL 25 MG TABLET ORAL 03/30/2021 2.95548



MILRINONE LACTATE 1 MG/ML VIAL INTRAVEN 03/16/2021 0.33098

MILRINONE LACTATE/D5W 20MG/100ML PIGGYBACK INTRAVEN 03/16/2021 0.21475

MILRINONE LACTATE/D5W 40MG/200ML PIGGYBACK INTRAVEN 03/02/2021 0.19828



135

Run Date: 05/09/21




DateMACPrice

MINERAL OIL OIL ORAL 11/24/2020 0.00618

MINERAL OIL ENEMA RECTAL 09/03/2019 0.01112

MINERAL OIL OIL TOPICAL 03/09/2021 0.03353

MINERAL OIL/HYDROPHIL PETROLAT OINT. (G) TOPICAL 09/10/2019 0.02137

MINERAL OIL/PETROLAT,WHT/WATER LOTION TOPICAL 12/06/2016 0.02630

MINERAL OIL/PETROLATUM,WHITE 15 %-83 % OINT. (G) OPHTHALMIC 07/07/2020 2.19760

MINERAL OIL/PETROLATUM,WHITE 20%-80% OINT. (G) OPHTHALMIC 09/10/2019 2.48053

MINERAL OIL/PETROLATUM,WHITE 42.5-57.3% OINT. (G) OPHTHALMIC 03/23/2021 3.07408

MINOCYCLINE HCL 100 MG CAPSULE ORAL 02/09/2021 0.55055



MINOCYCLINE HCL 100 MG TABLET ORAL 04/20/2021 5.28498



MINOCYCLINE HCL 45 MG TAB ER 24H ORAL 02/03/2020 3.73637




MINOCYCLINE HCL 115MG TAB ER 24H ORAL 05/19/2020 7.68880



136

Run Date: 05/09/21




DateMACPrice




MINOXIDIL 10 MG TABLET ORAL 04/20/2021 0.29266

MINOXIDIL 2.5 MG TABLET ORAL 04/20/2021 0.21252

MINOXIDIL 5 % FOAM TOPICAL 04/13/2021 0.49323

MINOXIDIL 2 % SOLUTION TOPICAL 09/17/2019 0.10720

MINOXIDIL 5 % SOLUTION TOPICAL 02/23/2021 0.36259

MIRTAZAPINE 15 MG TABLET ORAL 03/23/2021 0.09501



MIRTAZAPINE 7.5 MG TABLET ORAL 10/22/2019 2.14435

MIRTAZAPINE 15 MG TAB RAPDIS ORAL 02/09/2021 0.82321



MISOPROSTOL 200 MCG TABLET ORAL 04/20/2021 0.93344

MISOPROSTOL 100 MCG TABLET ORAL 04/20/2021 0.55945

MITOMYCIN 20 MG VIAL INTRAVEN 12/21/2020 274.78000




137

Run Date: 05/09/21




DateMACPrice


MITOXANTRONE HCL 2 MG/ML VIAL INTRAVEN 07/07/2020 9.87237

MODAFINIL 100 MG TABLET ORAL 04/13/2021 0.31222

MODAFINIL 200 MG TABLET ORAL 09/29/2020 0.40155

MOEXIPRIL HCL 7.5 MG TABLET ORAL 09/10/2019 1.02376

MOEXIPRIL HCL 15 MG TABLET ORAL 09/10/2019 1.03877

MOMETASONE FUROATE 0.1 % CREAM (G) TOPICAL 03/17/2020 0.54761

MOMETASONE FUROATE 0.1 % OINT. (G) TOPICAL 03/17/2020 0.22184

MOMETASONE FUROATE 50 MCG SPRAY/PUMP NASAL 09/22/2020 3.39162

MONTELUKAST SODIUM 4 MG GRAN PACK ORAL 08/11/2020 1.59147

MONTELUKAST SODIUM 10 MG TABLET ORAL 09/08/2020 0.09335

MONTELUKAST SODIUM 5 MG TAB CHEW ORAL 09/17/2019 0.11479

MONTELUKAST SODIUM 4 MG TAB CHEW ORAL 02/09/2021 0.13415

MORPHINE SULFATE 10 MG CAP ER PEL ORAL 06/02/2015 3.12320








138

Run Date: 05/09/21




DateMACPrice


MORPHINE SULFATE 10 MG/5 ML SOLUTION ORAL 01/19/2021 0.05684

MORPHINE SULFATE 20 MG/5 ML SOLUTION ORAL 12/29/2020 0.09585

MORPHINE SULFATE 100 MG/5ML SOLUTION ORAL 03/02/2021 0.33723

MORPHINE SULFATE 15 MG TABLET ORAL 02/16/2021 0.60655

MORPHINE SULFATE 30 MG TABLET ORAL 02/16/2021 1.03348

MORPHINE SULFATE 30 MG TABLET ER ORAL 09/01/2020 0.38739





MORPHINE SULFATE 4 MG/ML VIAL INTRAVEN 04/22/2020 2.69966

MORPHINE SULFATE/PF 0.5 MG/ML AMPUL INJECTION 04/10/2018 5.14140

MORPHINE SULFATE/PF 1 MG/ML AMPUL INJECTION 08/08/2017 5.47148

MORPHINE SULFATE/PF 0.5 MG/ML VIAL INJECTION 07/02/2019 1.34683

MORPHINE SULFATE/PF 1 MG/ML VIAL INJECTION 07/02/2019 1.36720

MOXIFLOXACIN HCL 400 MG TABLET ORAL 06/16/2020 3.49448

MOXIFLOXACIN HCL 0.5 % DROPS VISC OPHTHALMIC 12/22/2020 45.61250

MOXIFLOXACIN HCL 0.5 % DROPS OPHTHALMIC 04/20/2021 7.28133



139

Run Date: 05/09/21




DateMACPrice

MOXIFLOXACIN-SOD.CHLORIDE(ISO) 400MG/.25L PIGGYBACK INTRAVEN 08/11/2020 0.30754

MULTIVIT WITH IRON,MINERALS TABLET ORAL 05/04/2021 0.04030

MULTIVIT WITH MINERALS/LUTEIN TABLET ORAL 09/10/2019 0.04696

MULTIVIT,CALC,MINS/IRON/FOLIC 9MG-400MCG TABLET ORAL 03/02/2021 0.03412

MULTIVIT,CALC,MINS/IRON/FOLIC 500-18-0.4 TABLET ORAL 01/12/2021 0.10318

MULTIVIT,STRESS FORMULA/ZINC TABLET ORAL 04/06/2021 0.03654

MULTIVIT-MIN/FA/LYCOPEN/LUTEIN .4-300-250 TABLET ORAL 05/04/2021 0.03605

MULTIVIT-MIN/FA/LYCOPEN/LUTEIN 500-300MCG TABLET ORAL 05/01/2014 0.07136

MULTIVIT-MIN/FA/LYCOPEN/LUTEIN 800-250MCG TABLET ORAL 09/08/2015 0.26733

MULTIVIT-MIN/FERROUS GLUCONATE 9 MG/15 ML LIQUID ORAL 07/07/2020 0.03506

MULTIVIT-MIN/FOLIC/VIT K/LYCOP 400-300MCG TABLET ORAL 04/20/2021 0.07797

MULTIVIT-MIN/FOLIC/VIT K/LYCOP 400-20-370 TABLET ORAL 09/29/2020 0.07214

MULTIVIT-MIN/IRON/FOLIC ACID/K 18-400-25 TABLET ORAL 09/29/2020 0.12958

MULTIVIT-MINERALS/FOLIC ACID 0.4 MG TABLET ORAL 02/06/2018 0.09755

MULTIVIT-MINERALS/FOLIC ACID 200 MCG TAB CHEW ORAL 01/26/2021 0.09436

MULTIVIT/IRON SULF/FOLIC ACID 15MG-0.4MG TABLET ORAL 02/23/2021 0.02228

MULTIVITAMIN TABLET ORAL 05/04/2021 0.01185

MULTIVITAMIN TAB CHEW ORAL 04/07/2020 0.04965

MULTIVITAMIN WITH FOLIC ACID 400 MCG TABLET ORAL 03/02/2021 0.01463



140

Run Date: 05/09/21




DateMACPrice

MULTIVITAMIN WITH IRON TABLET ORAL 03/16/2021 0.03679

MULTIVITAMIN WITH IRON TAB CHEW ORAL 02/02/2021 0.04238

MULTIVITAMIN WITH MINERALS LIQUID ORAL 01/05/2016 0.07520

MULTIVITAMIN WITH MINERALS TABLET ORAL 09/10/2019 0.06059

MULTIVITAMIN,STRESS FORMULA TABLET ORAL 09/10/2019 0.11524

MULTIVITAMIN,THERAPEUTIC TABLET ORAL 07/14/2020 0.02479

MULTIVITAMIN/IRON/FOLIC ACID 18MG-0.4MG TABLET ORAL 10/27/2020 0.01089

MUPIROCIN 2 % OINT. (G) TOPICAL 03/03/2020 0.27247

MUPIROCIN CALCIUM 2 % CREAM (G) TOPICAL 02/16/2021 10.79237

MYCOPHENOLATE MOFETIL 250 MG CAPSULE ORAL 03/09/2021 0.18219

MYCOPHENOLATE MOFETIL 200 MG/ML SUSP RECON ORAL 09/10/2019 5.88462

MYCOPHENOLATE MOFETIL 500 MG TABLET ORAL 02/02/2021 0.40436

MYCOPHENOLATE MOFETIL HCL 500 MG VIAL INTRAVEN 04/27/2021 72.77500

MYCOPHENOLATE SODIUM 180 MG TABLET DR ORAL 04/06/2021 0.88429

MYCOPHENOLATE SODIUM 360 MG TABLET DR ORAL 02/23/2021 1.63603

NABUMETONE 500 MG TABLET ORAL 12/22/2020 0.28354

NABUMETONE 750 MG TABLET ORAL 03/16/2021 0.36086

NADOLOL 20 MG TABLET ORAL 11/10/2020 0.26800




141

Run Date: 05/09/21




DateMACPrice


NAFCILLIN SODIUM 1 G VIAL INJECTION 04/13/2021 7.92000



NAFTIFINE HCL 1 % GEL (GRAM) TOPICAL 10/29/2019 6.52759

NAFTIFINE HCL 1 % CREAM (G) TOPICAL 10/22/2019 4.71394

NAFTIFINE HCL 2 % CREAM (G) TOPICAL 01/14/2020 2.97675

NALBUPHINE HCL 10 MG/ML AMPUL INJECTION 08/18/2020 5.12688

NALOXONE HCL 1 MG/ML SYRINGE INJECTION 04/06/2021 15.05385

NALOXONE HCL 0.4 MG/ML VIAL INJECTION 02/09/2021 5.29654

NALTREXONE HCL 50 MG TABLET ORAL 04/20/2021 0.90673

NAPHAZOLINE HCL/GLYCERIN 0.012-0.2% DROPS OPHTHALMIC 09/10/2019 0.45058

NAPHAZOLINE HCL/GLYCERIN 0.012-0.25 DROPS OPHTHALMIC 12/01/2020 0.26889

NAPHAZOLINE/ZINC SULF/GLYCERIN 0.012-0.25 DROPS OPHTHALMIC 10/08/2019 0.15231

NAPROXEN 125 MG/5ML ORAL SUSP ORAL 04/06/2021 0.94325

NAPROXEN 250 MG TABLET ORAL 12/15/2020 0.05743



NAPROXEN 375 MG TABLET DR ORAL 11/03/2020 0.23262



142

Run Date: 05/09/21




DateMACPrice

NAPROXEN 500 MG TABLET DR ORAL 02/02/2021 1.21605

NAPROXEN SODIUM 220 MG CAPSULE ORAL 09/10/2019 0.16750

NAPROXEN SODIUM 275 MG TABLET ORAL 12/15/2020 0.82477

NAPROXEN SODIUM 220 MG TABLET ORAL 02/02/2021 0.04536

NAPROXEN SODIUM 500 MG TBMP 24HR ORAL 02/09/2021 20.31106



NAPROXEN SODIUM/PSEUDOEPHEDRIN 220-120MG TAB ER 12H ORAL 08/25/2020 0.31457

NAPROXEN/ESOMEPRAZOLE MAG 500MG-20MG TAB IR DR ORAL 03/24/2020 21.03430

NAPROXEN/ESOMEPRAZOLE MAG 375MG-20MG TAB IR DR ORAL 04/07/2020 21.03430

NARATRIPTAN HCL 2.5 MG TABLET ORAL 09/10/2019 3.39093

NARATRIPTAN HCL 1 MG TABLET ORAL 09/10/2019 4.80627

NATEGLINIDE 120 MG TABLET ORAL 04/20/2021 0.66926

NATEGLINIDE 60 MG TABLET ORAL 04/20/2021 0.60032

NEEDLELESS DISPENSING PIN EACH MISCELL 09/10/2019 2.05958

NEEDLES, BLOOD COLLECTION 20GX1" DIS NEEDLE MISCELL 05/16/2017 0.07437

NEEDLES, BLOOD COLLECTION 21 G X 1" DIS NEEDLE MISCELL 05/16/2017 0.07437

NEEDLES, BLOOD COLLECTION 22GX1" DIS NEEDLE MISCELL 05/16/2017 0.07437

NEEDLES, DISPOSABLE 16 G X 1" DIS NEEDLE MISCELL 03/22/2016 0.09484



143

Run Date: 05/09/21




DateMACPrice

NEEDLES, DISPOSABLE 16GX1.5" DIS NEEDLE MISCELL 03/17/2020 0.19390

NEEDLES, DISPOSABLE 18GX1" DIS NEEDLE MISCELL 08/25/2020 0.04811

NEEDLES, DISPOSABLE 18GX1 1/2" DIS NEEDLE MISCELL 03/17/2020 0.05655





NEEDLES, DISPOSABLE 21 G X 1" DIS NEEDLE MISCELL 09/10/2019 0.03343



NEEDLES, DISPOSABLE 22GX3/4" DIS NEEDLE MISCELL 05/16/2017 0.09715











144

Run Date: 05/09/21




DateMACPrice




NEEDLES, DISPOSABLE 26 G X5/8" DIS NEEDLE MISCELL 09/10/2019 0.03343








NEEDLES, FILTER 18GX1 1/2" DIS NEEDLE MISCELL 09/10/2019 0.31698

NEEDLES, SAFETY 25GX5/8" DIS NEEDLE MISCELL 09/10/2019 0.14445

NEEDLES, SAFETY 23GX1" DIS NEEDLE MISCELL 02/09/2016 0.16357




NEEDLES, SAFETY 25GX1 1/2" DIS NEEDLE MISCELL 04/06/2021 0.26251




145

Run Date: 05/09/21




DateMACPrice






NEEDLES, SAFETY 21 G X 1" DIS NEEDLE MISCELL 04/28/2020 0.15464







NEOMYCIN SULF/BACITRACIN/POLY 3.5MG-400 OINT. (G) OPHTHALMIC 11/19/2019 7.50000

NEOMYCIN SULF/POLYMYXIN B SULF 40-200K/ML AMPUL IRRIGATION 09/10/2019 10.70995

NEOMYCIN SULFATE 500 MG TABLET ORAL 01/12/2021 1.20680

NEOMYCIN/BACIT/P-MYX/HYDROCORT 3.5-10K-1 OINT. (G) OPHTHALMIC 11/19/2019 13.84971

NEOMYCIN/BACITRACIN/POLYMYXINB 3.5-400-5K OINT PACK TOPICAL 04/20/2021 0.05583

NEOMYCIN/BACITRACIN/POLYMYXINB 3.5-400-5K OINT. (G) TOPICAL 04/13/2021 0.35010

NEOMYCIN/POLYMYXIN B/DEXAMETHA 3.5-10K-.1 OINT. (G) OPHTHALMIC 10/13/2020 3.85770



146

Run Date: 05/09/21




DateMACPrice

NEOMYCIN/POLYMYXIN B/DEXAMETHA 0.1 % DROPS SUSP OPHTHALMIC 09/10/2019 5.06088

NEOMYCIN/POLYMYXIN B/HYDROCORT 3.5-10K-1 SOLUTION OTIC (EAR) 04/27/2021 7.01929

NEOMYCIN/POLYMYXIN B/HYDROCORT 3.5-10K-1 DROPS SUSP OTIC (EAR) 11/10/2020 6.10870

NEOMYCIN/POLYMYXIN B/PRAMOXINE 3.5-10K-10 CREAM (G) TOPICAL 11/17/2020 0.41058

NEOMYCN/BACITRC/POLYMYX/PRAMOX 3.5-10K-10 OINT. (G) TOPICAL 02/11/2020 0.42076

NEOSTIGMINE METHYLSULFATE 0.5 MG/ML VIAL INTRAVEN 05/21/2019 1.52345

NEOSTIGMINE METHYLSULFATE 1 MG/ML VIAL INTRAVEN 04/13/2021 0.76762

NEVIRAPINE 50 MG/5 ML ORAL SUSP ORAL 04/06/2021 1.05681

NEVIRAPINE 200 MG TABLET ORAL 09/10/2019 0.21261

NIACIN 250 MG CAPSULE ER ORAL 02/25/2020 0.08353

NIACIN 500 MG CAPSULE ER ORAL 12/31/2018 0.06110

NIACIN 100 MG TABLET ORAL 06/23/2020 0.02050




NIACIN 500 MG TAB ER 24H ORAL 05/19/2020 0.45113



NIACIN 250 MG TABLET ER ORAL 02/04/2020 0.03209



147

Run Date: 05/09/21




DateMACPrice



NIACIN (INOSITOL NIACINATE) 400(500MG) CAPSULE ORAL 04/20/2021 0.05360

NIACINAMIDE 500 MG TABLET ORAL 04/27/2021 0.02673

NIACINAMIDE 500 MG TABLET ER ORAL 03/06/2018 0.05836

NICARDIPINE HCL 20 MG CAPSULE ORAL 12/22/2020 2.76804

NICARDIPINE HCL 30 MG CAPSULE ORAL 07/07/2020 3.59817

NICARDIPINE HCL 25 MG/10ML AMPUL INTRAVEN 11/10/2015 13.13156

NICARDIPINE HCL 25 MG/10ML VIAL INTRAVEN 02/09/2021 1.99941

NICOTINE 7MG/24HR PATCH TD24 TRANSDERM 09/08/2020 1.78507

NICOTINE 14MG/24HR PATCH TD24 TRANSDERM 04/06/2021 1.78507

NICOTINE 21 MG/24HR PATCH TD24 TRANSDERM 04/06/2021 1.70802

NICOTINE POLACRILEX 4 MG LOZNG MINI BUCCAL 02/09/2021 0.46371

NICOTINE POLACRILEX 2 MG LOZNG MINI BUCCAL 04/20/2021 0.46371

NICOTINE POLACRILEX 2 MG GUM BUCCAL 03/16/2021 0.29828

NICOTINE POLACRILEX 4 MG GUM BUCCAL 03/16/2021 0.31624

NICOTINE POLACRILEX 4 MG LOZENGE BUCCAL 03/16/2021 0.32979

NICOTINE POLACRILEX 2 MG LOZENGE BUCCAL 04/27/2021 0.32979

NIFEDIPINE 10 MG CAPSULE ORAL 03/02/2021 0.53533



148

Run Date: 05/09/21




DateMACPrice

NIFEDIPINE 20 MG CAPSULE ORAL 02/23/2021 1.93885

NIFEDIPINE 30 MG TAB ER 24 ORAL 03/09/2021 0.21248



NIFEDIPINE 30 MG TABLET ER ORAL 06/09/2020 0.44220



NILUTAMIDE 150 MG TABLET ORAL 04/27/2021 154.19670

NIMODIPINE 30 MG CAPSULE ORAL 01/19/2021 3.00062

NISOLDIPINE 8.5MG TAB ER 24H ORAL 09/17/2019 5.17321

NISOLDIPINE 17 MG TAB ER 24H ORAL 01/12/2021 7.19099

NISOLDIPINE 34 MG TAB ER 24H ORAL 09/10/2019 6.80314

NITAZOXANIDE 500 MG TABLET ORAL 04/20/2021 110.66156

NITISINONE 2 MG CAPSULE ORAL 04/20/2021 72.49893

NITROFURANTOIN MACROCRYSTAL 100 MG CAPSULE ORAL 12/08/2020 2.16316



NITROFURANTOIN MONOHYD/M-CRYST 100 MG CAPSULE ORAL 03/30/2021 0.80212

NITROGLYCERIN 400MCG/SPR SPRAY TRANSLING 02/23/2021 13.07167



149

Run Date: 05/09/21




DateMACPrice

NITROGLYCERIN 0.3 MG TAB SUBL SUBLINGUAL 12/10/2019 0.37935



NITROGLYCERIN 0.4MG/HR PATCH TD24 TRANSDERM 02/02/2021 1.01840




NITROGLYCERIN IN 5 % DEXTROSE 50MG/250ML INFUS. BTL INTRAVEN 03/07/2017 0.03244

NITROGLYCERIN IN 5 % DEXTROSE 25MG/250ML INFUS. BTL INTRAVEN 03/07/2017 0.03463

NITROGLYCERIN IN 5 % DEXTROSE 100MG/250 INFUS. BTL INTRAVEN 04/11/2017 0.04700

NITROPRUSSIDE SODIUM 25 MG/ML VIAL INTRAVEN 03/16/2021 9.21150

NORELGESTROMIN/ETHIN.ESTRADIOL 150-35/24H PATCH TDWK TRANSDERM 03/16/2021 37.10740

NOREPINEPHRINE BITARTRATE 1 MG/ML AMPUL INTRAVEN 11/03/2020 5.95662

NOREPINEPHRINE BITARTRATE 1 MG/ML VIAL INTRAVEN 05/04/2021 1.69627

NORETH-ETHINYL ESTRADIOL/IRON 0.8-25(24) TAB CHEW ORAL 03/23/2021 4.14087

NORETHINDRONE 0.35 MG TABLET ORAL 04/27/2021 0.10672

NORETHINDRONE AC-ETH ESTRADIOL 1.5-0.03MG TABLET ORAL 12/15/2020 0.95991

NORETHINDRONE AC-ETH ESTRADIOL 1MG-20MCG TABLET ORAL 11/05/2019 0.36797

NORETHINDRONE AC-ETH ESTRADIOL 1MG-5MCG TABLET ORAL 04/20/2021 1.70716



150

Run Date: 05/09/21




DateMACPrice

NORETHINDRONE AC-ETH ESTRADIOL 0.5MG-2.5 TABLET ORAL 12/22/2020 2.84724

NORETHINDRONE ACETATE 5 MG TABLET ORAL 08/04/2020 0.91576

NORETHINDRONE-E.ESTRADIOL-IRON 1MG-20(24) CAPSULE ORAL 05/04/2021 6.41060

NORETHINDRONE-E.ESTRADIOL-IRON 1.5-30(21) TABLET ORAL 10/27/2020 0.53616

NORETHINDRONE-E.ESTRADIOL-IRON 1MG-20(21) TABLET ORAL 01/12/2021 0.37935

NORETHINDRONE-E.ESTRADIOL-IRON 5-7-9-7 TABLET ORAL 04/27/2021 5.80012

NORETHINDRONE-E.ESTRADIOL-IRON 1MG-20(24) TABLET ORAL 11/03/2020 1.36696

NORETHINDRONE-E.ESTRADIOL-IRON 1MG-20(24) TAB CHEW ORAL 04/20/2021 2.06950

NORETHINDRONE-ETHIN. ESTRADIOL 0.4-0.035 TABLET ORAL 02/02/2021 1.16309

NORETHINDRONE-ETHIN. ESTRADIOL 0.5-0.035 TABLET ORAL 03/30/2021 0.87898

NORETHINDRONE-ETHIN. ESTRADIOL 1 MG-35MCG TABLET ORAL 11/26/2019 0.53815

NORETHINDRONE-ETHIN. ESTRADIOL 7 DAYS X 3 TABLET ORAL 02/02/2021 0.76787

NORETHINDRONE-ETHIN. ESTRADIOL 7-9-5 TABLET ORAL 09/10/2019 1.20002

NORETHINDRONE-ETHIN. ESTRADIOL 1 MG-35MCG TABLET ORAL 07/24/2018 0.52164

NORGESTIMATE-ETHINYL ESTRADIOL 0.25-0.035 TABLET ORAL 12/15/2020 0.28658

NORGESTIMATE-ETHINYL ESTRADIOL 7DAYSX3 28 TABLET ORAL 01/12/2021 0.20626

NORGESTIMATE-ETHINYL ESTRADIOL 7DAYSX3 LO TABLET ORAL 05/19/2020 0.41779

NORGESTREL-ETHINYL ESTRADIOL 0.3-0.03MG TABLET ORAL 09/10/2019 0.55634

NORTRIPTYLINE HCL 10 MG CAPSULE ORAL 02/02/2021 0.11419



151

Run Date: 05/09/21




DateMACPrice




NUT.TX FOR PKU WITH IRON NO.60 50 G-325 POWD PACK ORAL 11/24/2020 4.56368

NUTRITIONAL TX FOR PKU NO.56 0.92 G-5 TABLET ORAL 11/24/2020 0.72089

NYSTATIN 100000/ML ORAL SUSP ORAL 04/27/2021 0.07484

NYSTATIN 500K UNIT TABLET ORAL 09/10/2019 0.62337

NYSTATIN 100000/G CREAM (G) TOPICAL 02/23/2021 0.29793

NYSTATIN 100000/G OINT. (G) TOPICAL 04/06/2021 0.31713

NYSTATIN 100000/G POWDER TOPICAL 03/09/2021 0.34617

NYSTATIN/TRIAMCIN 100000-0.1 CREAM (G) TOPICAL 07/07/2020 0.25862

NYSTATIN/TRIAMCIN 100000-0.1 OINT. (G) TOPICAL 04/13/2021 0.37922

OCTREOTIDE ACETATE 50 MCG/ML AMPUL INJECTION 02/09/2021 13.56285



OCTREOTIDE ACETATE 200 MCG/ML VIAL INJECTION 05/19/2020 8.82960

OCTREOTIDE ACETATE 1000MCG/ML VIAL INJECTION 03/03/2020 31.58230





152

Run Date: 05/09/21




DateMACPrice


OFLOXACIN 400 MG TABLET ORAL 09/10/2019 12.60589

OFLOXACIN 0.3 % DROPS OPHTHALMIC 07/07/2020 2.06494

OFLOXACIN 0.3 % DROPS OTIC (EAR) 11/19/2019 2.61032

OLANZAPINE 7.5 MG TABLET ORAL 12/03/2019 0.13154

OLANZAPINE 10 MG TABLET ORAL 02/23/2021 0.14258


OLANZAPINE 2.5 MG TABLET ORAL 12/03/2019 0.09250



OLANZAPINE 5 MG TAB RAPDIS ORAL 04/20/2021 0.48731




OLANZAPINE 10 MG VIAL INTRAMUSC 03/23/2021 23.62500

OLANZAPINE/FLUOXETINE HCL 6MG-25MG CAPSULE ORAL 12/15/2020 12.02667






153

Run Date: 05/09/21




DateMACPrice

OLANZAPINE/FLUOXETINE HCL 3 MG-25 MG CAPSULE ORAL 09/10/2019 6.72761

OLIVE OIL OIL MISCELL 10/06/2020 0.02461

OLMESARTAN MEDOXOMIL 5 MG TABLET ORAL 06/09/2020 0.05583



OLMESARTAN/AMLODIPIN/HCTHIAZID 20-5-12.5 TABLET ORAL 09/17/2019 1.65445


OLMESARTAN/AMLODIPIN/HCTHIAZID 40-5-25 MG TABLET ORAL 07/21/2020 2.03948


OLMESARTAN/AMLODIPIN/HCTHIAZID 40-10-25MG TABLET ORAL 08/04/2020 1.98811

OLMESARTAN/HYDROCHLOROTHIAZIDE 20-12.5 MG TABLET ORAL 02/09/2021 0.26443

OLMESARTAN/HYDROCHLOROTHIAZIDE 40-12.5 MG TABLET ORAL 04/20/2021 0.41763

OLMESARTAN/HYDROCHLOROTHIAZIDE 40 MG-25MG TABLET ORAL 11/10/2020 0.32026

OLOPATADINE HCL 0.1 % DROPS OPHTHALMIC 05/04/2021 3.27360

OLOPATADINE HCL 0.2 % DROPS OPHTHALMIC 12/01/2020 5.48640

OLOPATADINE HCL 0.6 % SPRAY/PUMP NASAL 04/13/2021 2.38654

OMEGA-3 ACID ETHYL ESTERS 1 G CAPSULE ORAL 04/27/2021 0.28531

OMEGA-3 FATTY ACIDS 1000 MG CAPSULE ORAL 05/07/2019 0.07794

OMEGA-3 FATTY ACIDS/FISH OIL 300-1000MG CAPSULE ORAL 10/13/2020 0.06606



154

Run Date: 05/09/21




DateMACPrice

OMEGA-3 FATTY ACIDS/FISH OIL 360-1200MG CAPSULE ORAL 08/04/2020 0.03733

OMEGA-3/DHA/EPA/FISH OIL 300-1000MG CAPSULE ORAL 03/30/2021 0.06187

OMEGA-3/DHA/EPA/FISH OIL 1200 MG CAPSULE ORAL 08/04/2020 0.05843

OMEGA-3/DHA/EPA/FISH OIL 1000 MG CAPSULE ORAL 01/12/2021 0.06325

OMEGA-3/DHA/EPA/FISH OIL 60 MG-90MG CAPSULE ORAL 01/14/2020 0.03515

OMEGA-3/DHA/EPA/FISH OIL 300-1000MG CAPSULE DR ORAL 10/13/2020 0.08933

OMEGA-3S/DHA/EPA/FISH OIL/D3 360MG-1000 CAPSULE ORAL 09/10/2019 0.12522

OMEPRAZOLE 20 MG CAPSULE DR ORAL 03/16/2021 0.05137



OMEPRAZOLE 20 MG TABLET DR ORAL 03/30/2021 0.69681

OMEPRAZOLE MAGNESIUM 20 MG CAPSULE DR ORAL 04/27/2021 0.41380

OMEPRAZOLE MAGNESIUM 20 MG TABLET DR ORAL 04/20/2021 0.62501

OMEPRAZOLE/SODIUM BICARBONATE 20MG-1.1G CAPSULE ORAL 05/19/2020 1.40075

OMEPRAZOLE/SODIUM BICARBONATE 40MG-1.1G CAPSULE ORAL 06/02/2020 1.75719

OMEPRAZOLE/SODIUM BICARBONATE 20-1680MG PACKET ORAL 02/09/2021 105.45849

OMEPRAZOLE/SODIUM BICARBONATE 40-1680MG PACKET ORAL 11/01/2016 53.72845

ONDANSETRON 4 MG TAB RAPDIS ORAL 03/30/2021 0.32115

ONDANSETRON 8 MG TAB RAPDIS ORAL 03/30/2021 0.31490



155

Run Date: 05/09/21




DateMACPrice

ONDANSETRON HCL 4 MG/5 ML SOLUTION ORAL 12/15/2020 0.39798

ONDANSETRON HCL 4 MG TABLET ORAL 02/11/2020 0.09380

ONDANSETRON HCL 8 MG TABLET ORAL 07/21/2020 0.18313

ONDANSETRON HCL 2 MG/ML VIAL INTRAVEN 02/09/2021 0.28609

ONDANSETRON HCL/PF 4 MG/2 ML VIAL INJECTION 11/26/2019 0.27979

ORAL DOSING DEVICES DISP SYRIN MISCELL 05/13/2014 0.02374

ORANGE OIL OIL MISCELL 07/14/2015 0.48240

ORPHENADRINE CITRATE 100 MG TABLET ER ORAL 09/10/2019 0.36073

ORPHENADRINE CITRATE 30 MG/ML VIAL INJECTION 03/26/2019 3.16800

ORPHENADRINE/ASPIRIN/CAFFEINE 50-770-60 TABLET ORAL 07/28/2020 19.53437

OSELTAMIVIR PHOSPHATE 75 MG CAPSULE ORAL 05/26/2020 1.18858



OSELTAMIVIR PHOSPHATE 6 MG/ML SUSP RECON ORAL 05/26/2020 0.53667

OXACILLIN SODIUM 1 G VIAL INJECTION 04/13/2021 8.89320



OXALIPLATIN 50 MG VIAL INTRAVEN 04/07/2020 61.50000

OXALIPLATIN 100 MG VIAL INTRAVEN 06/08/2020 193.68000



156

Run Date: 05/09/21




DateMACPrice

OXALIPLATIN 50 MG/10ML VIAL INTRAVEN 02/02/2021 1.47400

OXALIPLATIN 100MG/20ML VIAL INTRAVEN 02/02/2021 1.23280

OXANDROLONE 2.5 MG TABLET ORAL 02/18/2020 5.57924

OXANDROLONE 10 MG TABLET ORAL 09/10/2019 9.22380

OXAPROZIN 600 MG TABLET ORAL 04/20/2021 1.13900

OXAZEPAM 10 MG CAPSULE ORAL 06/11/2019 0.79085



OXCARBAZEPINE 300 MG/5ML ORAL SUSP ORAL 02/03/2020 0.42451

OXCARBAZEPINE 300 MG TABLET ORAL 02/23/2021 0.28703



OXICONAZOLE NITRATE 1 % CREAM (G) TOPICAL 09/10/2019 4.27724

OXYBUTYNIN 3.9MG/24HR PATCH TD 4 TRANSDERM 10/29/2019 3.11149

OXYBUTYNIN CHLORIDE 5 MG TAB ER 24 ORAL 05/04/2021 0.10366



OXYBUTYNIN CHLORIDE 5 MG/5 ML SYRUP ORAL 03/09/2021 0.03638

OXYBUTYNIN CHLORIDE 5 MG TABLET ORAL 04/20/2021 0.08139



157

Run Date: 05/09/21




DateMACPrice

OXYCODONE HCL 5 MG CAPSULE ORAL 03/17/2020 1.43380

OXYCODONE HCL 10 MG TAB ER 12H ORAL 03/01/2021 2.09650







OXYCODONE HCL 5 MG/5 ML SOLUTION ORAL 04/27/2021 0.12060

OXYCODONE HCL 20 MG/ML ORAL CONC ORAL 02/19/2019 2.20743

OXYCODONE HCL 5 MG TABLET ORAL 11/17/2020 0.10747





OXYCODONE HCL/ACETAMINOPHEN 5 MG-325MG TABLET ORAL 04/20/2021 0.09420

OXYCODONE HCL/ACETAMINOPHEN 2.5-325 MG TABLET ORAL 05/06/2020 1.38184

OXYCODONE HCL/ACETAMINOPHEN 7.5-325 MG TABLET ORAL 03/23/2021 0.20234

OXYCODONE HCL/ACETAMINOPHEN 10MG-325MG TABLET ORAL 04/27/2021 0.14271



158

Run Date: 05/09/21




DateMACPrice

OXYMETAZOLINE HCL 0.05 % MIST NASAL 02/02/2021 0.49562

OXYMETAZOLINE HCL 0.05 % SPRAY NASAL 08/18/2020 0.05717

OXYMORPHONE HCL 5 MG TABLET ORAL 02/09/2021 0.76559

OXYMORPHONE HCL 10 MG TABLET ORAL 02/09/2021 0.91847

OXYTOCIN 10 UNIT/ML VIAL INJECTION 03/03/2020 1.10326

PACLITAXEL 6 MG/ML VIAL INTRAVEN 02/09/2021 0.88172

PALIPERIDONE 3 MG TAB ER 24 ORAL 10/09/2020 7.36695



PALIPERIDONE 1.5 MG TAB ER 24 ORAL 10/06/2020 6.66073

PALONOSETRON HCL 0.25MG/5ML SYRINGE INTRAVEN 04/06/2021 12.81000

PALONOSETRON HCL 0.25MG/5ML VIAL INTRAVEN 03/30/2021 7.98240

PAMIDRONATE DISODIUM 30MG/10ML VIAL INTRAVEN 09/10/2019 2.82612

PAMIDRONATE DISODIUM 90 MG/10ML VIAL INTRAVEN 09/10/2019 4.80348

PANTOPRAZOLE SODIUM 40 MG GRANPKT DR ORAL 08/18/2020 11.25447

PANTOPRAZOLE SODIUM 40 MG TABLET DR ORAL 02/02/2021 0.07444

PANTOPRAZOLE SODIUM 20 MG TABLET DR ORAL 04/06/2021 0.09291

PANTOPRAZOLE SODIUM 40 MG VIAL INTRAVEN 03/09/2021 3.01858

PARAB/CET ALC/STRYL ALC/PG/SLS CLEANSER TOPICAL 09/10/2019 0.02789



159

Run Date: 05/09/21




DateMACPrice

PARAFFIN WAX MISCELL 06/02/2015 0.16574

PARICALCITOL 1 MCG CAPSULE ORAL 03/30/2021 1.85724



PARICALCITOL 5 MCG/ML VIAL INJECTION 04/20/2021 2.45810

PARICALCITOL 2 MCG/ML VIAL INJECTION 09/15/2020 5.01600

PARICALCITOL 5 MCG/ML VIAL INTRAVEN 04/13/2021 10.62669

PAROMOMYCIN SULFATE 250 MG CAPSULE ORAL 05/01/2014 3.74220

PAROXETINE HCL 10 MG TABLET ORAL 03/16/2021 0.06930




PAROXETINE HCL 25 MG TAB ER 24H ORAL 09/22/2020 1.09835

PAROXETINE HCL 12.5 MG TAB ER 24H ORAL 03/09/2021 1.03895

PAROXETINE HCL 37.5 MG TAB ER 24H ORAL 11/24/2020 1.72011

PAROXETINE MESYLATE 7.5 MG CAPSULE ORAL 02/03/2020 4.28637

PEANUT OIL OIL MISCELL 05/20/2014 0.06045

PEDI MULTIVIT NO.16 W-FLUORIDE 0.25 MG TAB CHEW ORAL 02/16/2021 0.10439

PEDI MULTIVIT NO.25/FOLIC ACID 300 MCG TAB CHEW ORAL 02/03/2015 0.03209



160

Run Date: 05/09/21




DateMACPrice

PEDIATRIC MULTIVITAMIN NO.17 TAB CHEW ORAL 10/27/2020 0.01753

PEDIATRIC MULTIVITAMIN NO.171 750-35/ML DROPS ORAL 11/24/2020 0.23544

PEG 400/HYPROMELLOSE/GLYCERIN 1-0.2-0.2% DROPS OPHTHALMIC 03/17/2020 0.04958

PEG3350/SOD SUL/NACL/KCL/ASB/C 7.5-2.691G POWD PACK ORAL 12/01/2020 73.92300

PEG3350/SOD SULF,BICARB,CL/KCL 236-22.74G SOLN RECON ORAL 09/21/2020 0.00263

PEN NEEDLE, DIABETIC 29 GAUGE DIS NEEDLE MISCELL 11/08/2016 0.22519

PEN NEEDLE, DIABETIC 29 G X1/2" DIS NEEDLE MISCELL 01/12/2021 0.14138

PEN NEEDLE, DIABETIC 30 GX5/16" DIS NEEDLE MISCELL 04/06/2021 0.21427




PEN NEEDLE, DIABETIC 32 GX 1/4" DIS NEEDLE MISCELL 04/06/2021 0.21427


PEN NEEDLE, DIABETIC 32GX 5/32" DIS NEEDLE MISCELL 01/11/2021 0.34671





PEN NEEDLE, DIABETIC 29G X 3/8" DIS NEEDLE MISCELL 08/04/2020 0.15544



161

Run Date: 05/09/21




DateMACPrice

PEN NEEDLE, DIABETIC, SAFETY 29GX3/16" DIS NEEDLE MISCELL 07/07/2020 0.49131

PEN NEEDLE, DIABETIC, SAFETY 30 GX3/16" DIS NEEDLE MISCELL 02/09/2021 0.53975

PEN NEEDLE, DIABETIC, SAFETY 30 GX5/16" DIS NEEDLE MISCELL 02/09/2021 0.26968

PEN NEEDLE,DUAL SAFETY,DIABETC 30 GX3/16" DIS NEEDLE MISCELL 04/06/2021 0.73847

PEN NEEDLE,DUAL SAFETY,DIABETC 30 GX5/16" DIS NEEDLE MISCELL 04/06/2021 0.76367

PENICILLAMINE 250 MG TABLET ORAL 04/06/2021 44.67206

PENICILLIN G POTASSIUM 20MM UNIT VIAL INJECTION 05/04/2021 33.36375

PENICILLIN G POTASSIUM 5MM UNIT VIAL INJECTION 05/04/2021 5.24510

PENICILLIN V POTASSIUM 250 MG TABLET ORAL 04/13/2021 0.08589

PENICILLIN V POTASSIUM 500 MG TABLET ORAL 09/08/2020 0.11190

PENTAMIDINE ISETHIONATE 300 MG VIAL INJECTION 01/05/2021 105.07993

PENTAMIDINE ISETHIONATE 300 MG VIAL-NEB INHALATION 03/17/2020 96.09375

PENTAZOCINE HCL/NALOXONE HCL 50MG-0.5MG TABLET ORAL 03/23/2021 2.50218

PENTOBARBITAL SODIUM 50 MG/ML VIAL INJECTION 09/01/2020 43.95508

PENTOXIFYLLINE 400 MG TABLET ER ORAL 04/27/2021 0.30029

PERINDOPRIL ERBUMINE 4 MG TABLET ORAL 05/04/2021 0.58880



PERIT. DIALYSIS NO.6-1.5 % DEX 2.5MEQ(CA) IP SOLN INTRAPERIT 05/01/2014 0.00395



162

Run Date: 05/09/21




DateMACPrice

PERITON.DIALYSIS 7-2.5 % DEXTR 2.5MEQ(CA) IP SOLN INTRAPERIT 05/01/2014 0.00416

PERITON.DIALYSIS 8-4.25 % DEXT 2.5MEQ(CA) IP SOLN INTRAPERIT 05/01/2014 0.00426

PERMETHRIN 5 % CREAM (G) TOPICAL 05/31/2019 0.52254

PERPHENAZINE 16 MG TABLET ORAL 04/20/2021 0.86269




PETROLATUM, YELLOW 100 % JELLY (G) MISCELL 03/03/2020 0.05540

PETROLATUM,WHITE JELLY (G) TOPICAL 03/02/2021 0.00415

PETROLATUM,WHITE OINT PACK TOPICAL 06/30/2020 0.00856

PETROLATUM,WHITE OINT. (G) TOPICAL 05/01/2014 0.00711

PETROLATUM,WHITE 42 % OINT. (G) TOPICAL 03/09/2021 0.02360

PHENAZOPYRIDINE HCL 100 MG TABLET ORAL 03/02/2021 1.80893



PHENAZOPYRIDINE HCL 99.5 MG TABLET ORAL 02/23/2021 0.37855

PHENDIMETRAZINE TARTRATE 35 MG TABLET ORAL 03/16/2021 0.15249

PHENELZINE SULFATE 15 MG TABLET ORAL 06/23/2020 0.74839

PHENOL 1.4 % SPRAY MUCOUS MEM 11/17/2020 0.01735



163

Run Date: 05/09/21




DateMACPrice

PHENOL 1.5 % LIQUID TOPICAL 09/10/2019 1.03805

PHENTERMINE HCL 15 MG CAPSULE ORAL 04/06/2021 0.32022

PHENTERMINE HCL 30 MG CAPSULE ORAL 04/06/2021 0.23717

PHENTERMINE HCL 37.5 MG CAPSULE ORAL 04/06/2021 0.32468

PHENTERMINE HCL 37.5 MG TABLET ORAL 03/30/2021 0.06700

PHENTOLAMINE MESYLATE 5 MG VIAL INJECTION 01/14/2020 373.10000

PHENYLEPH/MINERAL OIL/PETROLAT 0.25 %-14% OINT/APPL RECTAL 05/04/2021 0.05471

PHENYLEPHRINE HCL 2.5 MG/5ML SOLUTION ORAL 09/10/2019 0.05997

PHENYLEPHRINE HCL 10 MG TABLET ORAL 03/30/2021 0.04597

PHENYLEPHRINE HCL 10 MG/ML VIAL INJECTION 03/02/2021 2.52054

PHENYLEPHRINE HCL 10 % DROPS OPHTHALMIC 02/09/2021 8.94960

PHENYLEPHRINE HCL 2.5 % DROPS OPHTHALMIC 02/09/2021 7.10861

PHENYLEPHRINE HCL 0.25 % SPRAY NASAL 08/18/2020 0.27185

PHENYLEPHRINE HCL 0.5 % SPRAY NASAL 08/11/2020 0.27185

PHENYLEPHRINE HCL 1 % SPRAY NASAL 03/23/2021 0.30530

PHENYLEPHRINE HCL/ACETAMINOPHN 5 MG-325MG TABLET ORAL 04/20/2021 0.07585

PHENYLEPHRINE HCL/ACETAMINOPHN 5 MG-500MG TABLET ORAL 03/02/2021 0.06545

PHENYLEPHRINE HCL/COCOA BUTTER 0.25-88.44 SUPP.RECT RECTAL 02/26/2019 0.14796

PHENYLEPHRINE/ACETAMINOPHN/CPM 5-325-2MG TABLET ORAL 03/02/2021 0.09562



164

Run Date: 05/09/21




DateMACPrice

PHENYLEPHRINE/DIPHENHYDRAMINE 5-12.5MG/5 SOLUTION ORAL 04/06/2021 0.05896

PHENYLEPHRINE/DIPHENHYDRAMINE 2.5-6.25/5 LIQUID ORAL 08/29/2017 0.05339

PHENYLEPHRINE/DM/ACETAMINOP/GG 5-325MG/15 LIQUID ORAL 03/31/2020 0.02810

PHENYLEPHRINE/DM/ACETAMINOP/GG 10-650/20 LIQUID ORAL 03/01/2021 0.02824

PHENYLEPHRINE/DM/ACETAMINOP/GG 5-325-200 TABLET ORAL 05/04/2021 0.30552

PHENYLEPHRINE/DM/ACETAMINOP/GG 5-10-325MG TABLET ORAL 06/23/2020 0.31758

PHENYTOIN 125 MG/5ML ORAL SUSP ORAL 12/22/2020 0.10396

PHENYTOIN 50 MG TAB CHEW ORAL 08/28/2018 0.36838

PHENYTOIN SODIUM 50 MG/ML VIAL INTRAVEN 09/10/2019 0.44681

PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE ORAL 03/09/2021 0.21561



PHOSPHORATED CARBO(DEXT-FRUCT) SOLUTION ORAL 03/30/2021 0.02060

PHYSIOLOGICAL IRRIG SOLN NO.1 140-5-3-98 IRRIG SOLN IRRIGATION 02/11/2020 0.00924

PHYTONADIONE (VIT K1) 5 MG TABLET ORAL 03/23/2021 38.88307

PHYTONADIONE (VIT K1) 100 MCG TABLET ORAL 09/10/2019 0.02245

PHYTONADIONE (VIT K1) 10 MG/ML AMPUL INJECTION 01/26/2021 46.27143

PILOCARPINE HCL 5 MG TABLET ORAL 02/23/2021 0.45386

PILOCARPINE HCL 7.5 MG TABLET ORAL 02/23/2021 1.42201



165

Run Date: 05/09/21




DateMACPrice

PILOCARPINE HCL 1 % DROPS OPHTHALMIC 03/23/2021 4.19584



PIMECROLIMUS 1 % CREAM (G) TOPICAL 09/08/2020 5.67838

PINDOLOL 10 MG TABLET ORAL 10/13/2020 1.53443

PINDOLOL 5 MG TABLET ORAL 07/28/2020 1.22664

PIOGLITAZONE HCL 15 MG TABLET ORAL 04/06/2021 0.07086



PIOGLITAZONE HCL/GLIMEPIRIDE 30 MG-4 MG TABLET ORAL 05/29/2018 9.36503

PIOGLITAZONE HCL/GLIMEPIRIDE 30 MG-2 MG TABLET ORAL 10/01/2019 11.30907

PIOGLITAZONE HCL/METFORMIN HCL 15MG-500MG TABLET ORAL 10/27/2020 0.69315

PIOGLITAZONE HCL/METFORMIN HCL 15MG-850MG TABLET ORAL 07/28/2020 0.64298

PIPERACILLIN SODIUM/TAZOBACTAM 2.25 G VIAL INTRAVEN 08/11/2020 3.24984




PIPERONYL BUTOXIDE/PYRETHRINS 4%-0.33% SHAMPOO TOPICAL 04/13/2021 0.04916

PIROXICAM 10 MG CAPSULE ORAL 01/12/2021 0.27738



166

Run Date: 05/09/21




DateMACPrice

PIROXICAM 20 MG CAPSULE ORAL 01/12/2021 0.36850

PNV NO.95/FERROUS FUM/FOLIC AC 28MG-0.8MG TABLET ORAL 03/09/2021 0.03704

PNV,CALCIUM 72/IRON/FOLIC ACID 27 MG-1 MG TABLET ORAL 04/20/2021 0.08033

PODOFILOX 0.5 % SOLUTION TOPICAL 07/14/2020 12.37500

POLAPREZINC (ZINC CARNOSINE) 16 MG TAB CHEW ORAL 03/16/2021 0.96323

POLYDIMETHYLSILOXANES/SILICON GEL (GRAM) TOPICAL 09/10/2019 1.22822

POLYETHYLENE GLYCOL 3350 17 G POWD PACK ORAL 03/05/2021 1.28100

POLYETHYLENE GLYCOL 3350 17 G/DOSE POWDER ORAL 12/01/2020 0.01772

POLYMYXIN B SULF/TRIMETHOPRIM 10000-1/ML DROPS OPHTHALMIC 06/30/2020 0.94604

POLYMYXIN B SULFATE 500K UNIT VIAL INJECTION 11/24/2020 7.21487

POLYSORBATE 80 SOLUTION MISCELL 10/06/2020 0.03618

POLYVINYL ALCOHOL 1.4 % DROPS OPHTHALMIC 02/02/2021 0.40468

POSACONAZOLE 100 MG TABLET DR ORAL 04/20/2021 24.60920

POTASSIUM ACETATE 2 MEQ/ML VIAL INTRAVEN 12/08/2020 0.21750

POTASSIUM BICARBONATE/CIT AC 25 MEQ TABLET EFF ORAL 05/19/2015 1.05197

POTASSIUM CHLORIDE 10 MEQ CAPSULE ER ORAL 03/09/2021 0.16093

POTASSIUM CHLORIDE 8 MEQ CAPSULE ER ORAL 01/26/2021 0.35309

POTASSIUM CHLORIDE 20 MEQ PACKET ORAL 04/06/2021 3.66076

POTASSIUM CHLORIDE 20MEQ/15ML LIQUID ORAL 02/02/2021 0.31063



167

Run Date: 05/09/21




DateMACPrice

POTASSIUM CHLORIDE 40MEQ/15ML LIQUID ORAL 03/09/2021 0.70194

POTASSIUM CHLORIDE 10 MEQ TAB ER PRT ORAL 04/13/2021 0.21662



POTASSIUM CHLORIDE 10 MEQ TABLET ER ORAL 01/12/2021 0.14338



POTASSIUM CHLORIDE 2 MEQ/ML VIAL INTRAVEN 02/04/2020 0.12730

POTASSIUM CHLORIDE IN 0.9%NACL 20 MEQ/L IV SOLN INTRAVEN 08/04/2020 0.00993

POTASSIUM CHLORIDE IN 0.9%NACL 40 MEQ/L IV SOLN INTRAVEN 08/18/2020 0.01242

POTASSIUM CHLORIDE IN D5W 20 MEQ/L IV SOLN INTRAVEN 12/15/2020 0.01214

POTASSIUM CHLORIDE IN LR-D5 20 MEQ/L IV SOLN INTRAVEN 04/13/2021 0.01714

POTASSIUM CHLORIDE IN WATER 10MEQ/0.1L PIGGYBACK INTRAVEN 09/01/2020 0.06316



POTASSIUM CHLORIDE IN WATER 10MEQ/50ML PIGGYBACK INTRAVEN 12/10/2019 0.12997

POTASSIUM CHLORIDE IN WATER 20MEQ/50ML PIGGYBACK INTRAVEN 12/03/2019 0.12997

POTASSIUM CHLORIDE-0.45% NACL 20 MEQ/L IV SOLN INTRAVEN 04/27/2021 0.00890

POTASSIUM CHLORIDE/D5-0.2%NACL 20 MEQ/L IV SOLN INTRAVEN 07/14/2020 0.01109



168

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DateMACPrice

POTASSIUM CHLORIDE/D5-0.45NACL 10 MEQ/L IV SOLN INTRAVEN 12/22/2020 0.01023






POTASSIUM CITRATE 5 MEQ TABLET ER ORAL 04/13/2021 1.10805



POTASSIUM CITRATE/CITRIC ACID 1100-334/5 SOLUTION ORAL 05/06/2020 0.14905

POTASSIUM GLUCONATE 595(99)MG TABLET ORAL 09/01/2020 0.04489

POTASSIUM GLUCONATE 550(90)MG TABLET ORAL 11/20/2018 0.02275

POTASSIUM PHOS,M-BASIC-D-BASIC 3MMOL/ML VIAL INTRAVEN 12/08/2020 1.24268

POVIDONE-IODINE 10 % MED. SWAB TOPICAL 11/17/2020 0.24951

POVIDONE-IODINE 10 % OINT. (G) TOPICAL 05/04/2021 0.07373

POVIDONE-IODINE 10 % SOLUTION TOPICAL 09/10/2019 0.00405

POVIDONE-IODINE 7.5 % SOLUTION TOPICAL 05/14/2018 0.00510

PRAMIPEXOLE DI-HCL 1 MG TABLET ORAL 03/02/2021 0.11631

PRAMIPEXOLE DI-HCL 1.5 MG TABLET ORAL 03/02/2021 0.12283



169

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DateMACPrice





PRAMIPEXOLE DI-HCL 0.75 MG TAB ER 24H ORAL 05/19/2020 10.56697



PRAMIPEXOLE DI-HCL 3 MG TAB ER 24H ORAL 04/28/2020 13.71510




PRAMOXINE HCL 1 % FOAM TOPICAL 03/19/2019 6.20099

PRAMOXINE HCL 1 % LOTION TOPICAL 07/28/2020 0.03876

PRAMOXINE HCL 1 % TOWELETTE TOPICAL 09/10/2019 0.43773

PRAMOXINE HCL/CALAMINE 1 %-8 % LOTION TOPICAL 08/06/2019 0.02790

PRAMOXINE HCL/ZINC ACETATE 1 %-0.1 % LOTION TOPICAL 08/04/2020 0.02790

PRASTERONE (DHEA) 25 MG CAPSULE ORAL 04/05/2016 0.04824

PRASUGREL HCL 5 MG TABLET ORAL 03/02/2021 0.82767

PRASUGREL HCL 10 MG TABLET ORAL 03/02/2021 0.82767



170

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DateMACPrice

PRAVASTATIN SODIUM 10 MG TABLET ORAL 04/20/2021 0.04958




PRAZIQUANTEL 600 MG TABLET ORAL 09/24/2019 53.81421

PRAZOSIN HCL 1 MG CAPSULE ORAL 03/09/2021 0.53049



PREDNISOLONE 15 MG/5 ML SOLUTION ORAL 11/20/2018 0.04746

PREDNISOLONE ACETATE 1 % DROPS SUSP OPHTHALMIC 03/02/2021 6.46853

PREDNISOLONE SODIUM PHOSPHATE 5 MG/5 ML SOLUTION ORAL 10/29/2019 0.71813




PREDNISOLONE SODIUM PHOSPHATE 10 MG TAB RAPDIS ORAL 03/02/2021 12.78452



PREDNISONE 1 MG TABLET ORAL 04/20/2021 0.11336




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DateMACPrice

PREDNISONE 2.5 MG TABLET ORAL 04/20/2021 0.14472




PREDNISONE 5 MG TAB DS PK ORAL 03/17/2020 0.51311

PREDNISONE 10 MG TAB DS PK ORAL 12/03/2019 0.84839

PREGABALIN 25 MG CAPSULE ORAL 09/10/2019 0.08338








PREGABALIN 20 MG/ML SOLUTION ORAL 09/10/2019 0.25549

PREGABALIN 82.5 MG TAB ER 24H ORAL 05/04/2021 10.19743

PREGABALIN 165 MG TAB ER 24H ORAL 05/04/2021 10.19743

PREGABALIN 330 MG TAB ER 24H ORAL 05/04/2021 10.19743

PRENATAL 48/IRON/FOLIC ACID/B6 20-1-25 MG TABLET SEQ ORAL 05/01/2014 0.48061



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DateMACPrice

PRENATAL VIT NO.130/IRON/FOLIC 27MG-0.8MG TABLET ORAL 09/10/2019 0.04013

PRENATAL VITS96/IRON FUM/FOLIC 27MG-0.8MG TABLET ORAL 02/25/2020 0.03437

PRIMAQUINE PHOSPHATE 26.3 MG TABLET ORAL 02/09/2021 2.33388

PRIMIDONE 250 MG TABLET ORAL 04/13/2021 0.43661

PRIMIDONE 50 MG TABLET ORAL 04/20/2021 0.17484

PROBENECID 500 MG TABLET ORAL 01/28/2020 0.69586

PROBENECID/COLCHICINE 500-0.5 MG TABLET ORAL 06/11/2019 0.73700

PROCAINAMIDE HCL 100 MG/ML VIAL INJECTION 08/25/2020 9.71078

PROCAINAMIDE HCL 500 MG/ML VIAL INJECTION 08/25/2020 31.57000

PROCHLORPERAZINE 25 MG SUPP.RECT RECTAL 06/23/2020 7.49088

PROCHLORPERAZINE EDISYLATE 5 MG/ML VIAL INJECTION 09/17/2019 9.25290

PROCHLORPERAZINE EDISYLATE 10 MG/2 ML VIAL INJECTION 08/04/2020 2.88420

PROCHLORPERAZINE MALEATE 10 MG TABLET ORAL 04/07/2020 0.36242

PROCHLORPERAZINE MALEATE 5 MG TABLET ORAL 04/07/2020 0.34760

PROGESTERONE 50 MG/ML VIAL INTRAMUSC 09/22/2020 3.89136

PROGESTERONE, MICRONIZED 100 MG CAPSULE ORAL 01/19/2021 0.46779

PROGESTERONE, MICRONIZED 200 MG CAPSULE ORAL 01/19/2021 0.69037

PROMETHAZINE HCL 6.25MG/5ML SYRUP ORAL 08/12/2020 0.06390

PROMETHAZINE HCL 12.5 MG TABLET ORAL 09/10/2019 0.12556



173

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DateMACPrice

PROMETHAZINE HCL 25 MG TABLET ORAL 10/01/2019 0.04158

PROMETHAZINE HCL 50 MG TABLET ORAL 09/10/2019 0.22298

PROMETHAZINE HCL 25 MG/ML AMPUL INJECTION 08/02/2016 1.06932

PROMETHAZINE HCL 50 MG/ML AMPUL INJECTION 01/14/2020 3.07718

PROMETHAZINE HCL 25 MG/ML VIAL INJECTION 12/19/2017 1.09478

PROMETHAZINE HCL 50 MG/ML VIAL INJECTION 05/01/2014 2.35505

PROMETHAZINE HCL 12.5 MG SUPP.RECT RECTAL 03/09/2021 5.96750

PROMETHAZINE HCL 25 MG SUPP.RECT RECTAL 03/01/2021 7.21600

PROMETHAZINE HCL 50 MG SUPP.RECT RECTAL 06/01/2019 25.47637

PROMETHAZINE HCL/CODEINE 6.25-10/5 SYRUP ORAL 04/06/2021 0.07091

PROMETHAZINE/DEXTROMETHORPHAN 6.25-15/5 SYRUP ORAL 04/06/2021 0.06778

PROPAFENONE HCL 225 MG CAP ER 12H ORAL 04/20/2021 1.59482



PROPAFENONE HCL 150 MG TABLET ORAL 04/20/2021 0.17840



PROPARACAINE HCL 0.5 % DROPS OPHTHALMIC 08/11/2020 2.73768

PROPRANOLOL HCL 120 MG CAP SA 24H ORAL 02/23/2021 0.82383



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DateMACPrice




PROPRANOLOL HCL 10 MG TABLET ORAL 04/20/2021 0.11993





PROPRANOLOL HCL 1 MG/ML VIAL INTRAVEN 09/10/2019 2.83800

PROPYLENE GLYCOL 0.6 % DROPS OPHTHALMIC 05/04/2021 1.03431

PROPYLENE GLYCOL/PEG 400 0.3 %-0.4% DROPS OPHTHALMIC 05/04/2021 0.66553

PROPYLTHIOURACIL 50 MG TABLET ORAL 01/28/2020 2.81600

PROTECTIVES, O.U. MED. SWAB TOPICAL 06/16/2015 1.77011

PROTRIPTYLINE HCL 10 MG TABLET ORAL 02/17/2021 3.07655

PSEUDOEPHED/CODEINE/GUAIFEN 30-10-100 SYRUP ORAL 08/20/2019 0.18582

PSEUDOEPHEDRINE HCL 30 MG TABLET ORAL 09/10/2019 0.27805

PSEUDOEPHEDRINE HCL 15 MG/5 ML LIQUID ORAL 03/24/2015 0.01306

PSEUDOEPHEDRINE HCL 30 MG TABLET ORAL 03/03/2021 0.02110

PSEUDOEPHEDRINE HCL 120 MG TABLET ER ORAL 02/18/2020 0.16884



175

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DateMACPrice

PSYLLIUM HUSK 0.4 G CAPSULE ORAL 03/23/2021 0.04556

PSYLLIUM HUSK 3.4 G/5.4G POWDER ORAL 09/10/2019 0.03404

PSYLLIUM HUSK 3 G/5.4 G POWDER ORAL 12/01/2020 0.02402

PSYLLIUM HUSK (WITH SUGAR) 3.4 G POWD PACK ORAL 01/14/2020 0.51456

PSYLLIUM HUSK (WITH SUGAR) 3.4 G/7 G POWDER ORAL 09/10/2019 0.01575

PSYLLIUM HUSK (WITH SUGAR) 3.4 G/12 G POWDER ORAL 02/23/2021 0.01642

PSYLLIUM HUSK (WITH SUGAR) 3 G/7 G POWDER ORAL 04/06/2021 0.01480

PSYLLIUM HUSK (WITH SUGAR) 3 G/12 G POWDER ORAL 03/09/2021 0.01473

PSYLLIUM HUSK/ASPARTAME 3.4G/5.8G POWDER ORAL 01/29/2019 0.03059

PSYLLIUM HUSK/ASPARTAME 3 G/5.8 G POWDER ORAL 03/09/2021 0.02555

PYRIDOSTIGMINE BROMIDE 60 MG/5 ML SOLUTION ORAL 12/22/2020 2.71026

PYRIDOSTIGMINE BROMIDE 60 MG TABLET ORAL 03/30/2021 0.61211

PYRIDOSTIGMINE BROMIDE 180 MG TABLET ER ORAL 02/18/2020 7.14714

PYRIDOXINE HCL (VITAMIN B6) 100 MG TABLET ORAL 05/19/2020 0.02492




PYRIMETHAMINE 25 MG TABLET ORAL 09/22/2020 319.08609

PYRITHIONE ZINC 0.25 % SPRAY TOPICAL 05/01/2014 0.10412



176

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DateMACPrice

PYRITHIONE ZINC 2 % BAR TOPICAL 12/08/2020 2.44550

PYRITHIONE ZINC 2 % SHAMPOO TOPICAL 10/14/2014 0.02737

QUETIAPINE FUMARATE 25 MG TABLET ORAL 01/19/2021 0.03594






QUETIAPINE FUMARATE 200 MG TAB ER 24H ORAL 03/30/2021 0.73477





QUINAPRIL HCL 10 MG TABLET ORAL 12/08/2020 0.11837




QUINAPRIL/HYDROCHLOROTHIAZIDE 10-12.5MG TABLET ORAL 03/23/2020 0.56468

QUINAPRIL/HYDROCHLOROTHIAZIDE 20-12.5 MG TABLET ORAL 02/23/2021 0.69397



177

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Date MAC Price

QUINAPRIL/HYDROCHLOROTHIAZIDE 20 MG-25MG TABLET ORAL 12/01/2020 0.69397

QUININE SULFATE 324 MG CAPSULE ORAL 08/25/2020 2.12613

RABEPRAZOLE SODIUM 20 MG TABLET DR ORAL 02/09/2021 0.33545

RALOXIFENE HCL 60 MG TABLET ORAL 04/20/2021 0.49803

RAMELTEON 8 MG TABLET ORAL 04/06/2021 1.79131

RAMIPRIL 1.25 MG CAPSULE ORAL 09/01/2020 0.14472

RAMIPRIL 2.5 MG CAPSULE ORAL 09/01/2020 0.09203

RAMIPRIL 5 MG CAPSULE ORAL 02/23/2021 0.07008

RAMIPRIL 10 MG CAPSULE ORAL 09/08/2020 0.06780

RANITIDINE HCL 15 MG/ML SYRUP ORAL 11/19/2019 0.43218

RANOLAZINE 500 MG TAB ER 12H ORAL 03/23/2021 0.44667

RANOLAZINE 1000 MG TAB ER 12H ORAL 02/16/2021 0.67625

RASAGILINE MESYLATE 1 MG TABLET ORAL 02/09/2021 2.36912

RASAGILINE MESYLATE 0.5 MG TABLET ORAL 12/29/2020 3.59479

RASPBERRY FLAVOR SYRUP ORAL 06/02/2015 0.08534

REMIFENTANIL HCL 5 MG VIAL INTRAVEN 07/07/2020 253.96861



REPAGLINIDE 0.5 MG TABLET ORAL 12/22/2020 0.26800



178

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Date MAC Price

REPAGLINIDE 1 MG TABLET ORAL 12/22/2020 0.26800

REPAGLINIDE 2 MG TABLET ORAL 12/22/2020 0.26800

RIBAVIRIN 200 MG CAPSULE ORAL 10/06/2020 1.69823

RIBAVIRIN 200 MG TABLET ORAL 03/03/2020 2.85994

RIBOFLAVIN (VITAMIN B2) 100 MG TABLET ORAL 09/10/2019 0.06392



RIFAMPIN 150 MG CAPSULE ORAL 03/02/2021 1.19573

RIFAMPIN 300 MG CAPSULE ORAL 02/16/2021 0.68126

RIFAMPIN 600 MG VIAL INTRAVEN 02/09/2021 83.87575

RILUZOLE 50 MG TABLET ORAL 11/03/2020 1.66383

RIMANTADINE HCL 100 MG TABLET ORAL 07/03/2018 1.75781

RINGER'S SOLUTION IV SOLN INTRAVEN 04/28/2020 0.00537

RINGER'S SOLUTION IRRIG SOLN IRRIGATION 11/17/2015 0.00668

RINGER'S SOLUTION,LACTATED IV SOLN INTRAVEN 03/09/2021 0.00276

RINGER'S SOLUTION,LACTATED IRRIG SOLN IRRIGATION 02/04/2020 0.00402

RISEDRONATE SODIUM 5 MG TABLET ORAL 03/30/2021 6.63914





179

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Date MAC Price

RISEDRONATE SODIUM 35 MG TABLET DR ORAL 03/24/2020 28.44375

RISPERIDONE 1 MG/ML SOLUTION ORAL 03/09/2021 0.51322

RISPERIDONE 1 MG TABLET ORAL 01/28/2020 0.06432




RISPERIDONE 0.25 MG TABLET ORAL 01/21/2020 0.04545

RISPERIDONE 0.5 MG TABLET ORAL 03/09/2021 0.05711

RISPERIDONE 1 MG TAB RAPDIS ORAL 09/10/2019 2.49575

RISPERIDONE 2 MG TAB RAPDIS ORAL 03/03/2020 3.99677

RISPERIDONE 0.25 MG TAB RAPDIS ORAL 06/19/2017 3.16823

RITONAVIR 100 MG TABLET ORAL 03/01/2021 2.85087

RIVASTIGMINE 4.6MG/24HR PATCH TD24 TRANSDERM 04/27/2021 4.46820

RIVASTIGMINE 9.5MG/24HR PATCH TD24 TRANSDERM 04/27/2021 4.14876

RIVASTIGMINE 13.3MG/24H PATCH TD24 TRANSDERM 04/27/2021 4.11092

RIVASTIGMINE TARTRATE 1.5 MG CAPSULE ORAL 01/26/2021 0.39919

RIVASTIGMINE TARTRATE 3 MG CAPSULE ORAL 12/22/2020 0.42867

RIVASTIGMINE TARTRATE 4.5 MG CAPSULE ORAL 12/22/2020 0.46887

RIVASTIGMINE TARTRATE 6 MG CAPSULE ORAL 01/21/2020 0.50907



180

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Date MAC Price

RIZATRIPTAN BENZOATE 5 MG TABLET ORAL 11/24/2020 0.75636

RIZATRIPTAN BENZOATE 10 MG TABLET ORAL 06/04/2019 0.74593

RIZATRIPTAN BENZOATE 5 MG TAB RAPDIS ORAL 05/19/2020 1.74796

RIZATRIPTAN BENZOATE 10 MG TAB RAPDIS ORAL 03/23/2021 1.33702

ROCURONIUM BROMIDE 10 MG/ML VIAL INTRAVEN 11/03/2020 0.67978

ROMIDEPSIN 10 MG/2 ML VIAL INTRAVEN 05/29/2018 3114.68544

ROPINIROLE HCL 0.25 MG TABLET ORAL 07/21/2020 0.06700

ROPINIROLE HCL 1 MG TABLET ORAL 02/09/2021 0.08421



ROPINIROLE HCL 0.5 MG TABLET ORAL 07/21/2020 0.06700



ROPINIROLE HCL 2 MG TAB ER 24H ORAL 04/06/2021 1.68408





ROPIVACAINE HCL/PF 2 MG/ML INFUS. BTL INJECTION 12/22/2020 0.54482



181

Run Date: 05/09/21




DateMACPrice

ROPIVACAINE HCL/PF 2 MG/ML VIAL INJECTION 01/26/2021 0.25125



ROPIVACAINE HCL/PF 7.5 MG/ML VIAL INJECTION 09/17/2019 1.07816

ROPIVACAINE HCL/PF 2 MG/ML PLAST. BAG INJECTION 02/23/2021 0.31579

ROSUVASTATIN CALCIUM 10 MG TABLET ORAL 04/06/2021 0.11613




RUFINAMIDE 40 MG/ML ORAL SUSP ORAL 03/16/2021 3.31095

SACCHARIN POWDER MISCELL 12/08/2020 0.68963

SACCHAROMYCES BOULARDII 250 MG CAPSULE ORAL 12/01/2020 0.78283

SALICYLIC ACID 17 % GEL (GRAM) TOPICAL 09/10/2019 0.51277

SALICYLIC ACID 10 % CREAM (G) TOPICAL 09/17/2019 0.22682

SALICYLIC ACID 2 % CLEANSER TOPICAL 04/06/2021 0.04534

SALICYLIC ACID 40 % ADH. PATCH TOPICAL 02/09/2021 0.46029

SALICYLIC ACID 17 % LIQUID TOPICAL 09/10/2019 0.92460

SALICYLIC ACID 3 % SHAMPOO TOPICAL 08/04/2020 0.02767

SALSALATE 750 MG TABLET ORAL 04/06/2021 1.87600



182

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DateMACPrice

SAPROPTERIN DIHYDROCHLORIDE 100 MG POWD PACK ORAL 05/04/2021 29.33823

SAPROPTERIN DIHYDROCHLORIDE 500 MG POWD PACK ORAL 10/06/2020 133.35455

SAPROPTERIN DIHYDROCHLORIDE 100 MG TABLET SOL ORAL 03/02/2021 26.67084

SCOPOLAMINE 1 MG/3 DAY PATCH TD 3 TRANSDERM 04/20/2021 11.35194

SELEGILINE HCL 5 MG CAPSULE ORAL 04/13/2021 1.15128

SELENIUM 200 MCG TABLET ORAL 09/10/2019 0.07370

SELENIUM 50 MCG TABLET ORAL 07/23/2019 0.06432

SELENIUM SULFIDE 2.5 % LOTION TOPICAL 03/09/2021 0.07817

SELENIUM SULFIDE 1 % SHAMPOO TOPICAL 03/23/2021 0.02725

SENNOSIDES 8.8MG/5ML SYRUP ORAL 04/27/2021 0.02259

SENNOSIDES 8.6 MG TABLET ORAL 04/13/2021 0.02191

SENNOSIDES/DOCUSATE SODIUM 8.6MG-50MG TABLET ORAL 03/23/2021 0.01640

SERTRALINE HCL 20 MG/ML ORAL CONC ORAL 10/20/2020 0.93264

SERTRALINE HCL 25 MG TABLET ORAL 07/07/2020 0.03457



SESAME OIL OIL MISCELL 10/06/2020 0.03189

SEVELAMER CARBONATE 0.8 G POWD PACK ORAL 04/20/2021 9.03093

SEVELAMER CARBONATE 2.4 G POWD PACK ORAL 04/20/2021 7.75867



183

Run Date: 05/09/21




DateMACPrice

SEVELAMER CARBONATE 800 MG TABLET ORAL 03/30/2021 0.46071

SEVELAMER HCL 800 MG TABLET ORAL 03/23/2021 6.32672

SILDENAFIL CITRATE 25 MG TABLET ORAL 08/18/2020 0.65258




SILDENAFIL CITRATE 10 MG/12.5 VIAL INTRAVEN 03/09/2021 13.35842

SILODOSIN 4 MG CAPSULE ORAL 09/01/2020 1.18947

SILODOSIN 8 MG CAPSULE ORAL 09/01/2020 1.08093

SILVER GEL ER(ML) TOPICAL 09/10/2019 0.36439

SILVER SULFADIAZINE 1 % CREAM (G) TOPICAL 03/09/2021 0.10124

SIMETHICONE 125 MG CAPSULE ORAL 04/13/2021 0.06287

SIMETHICONE 180 MG CAPSULE ORAL 05/04/2021 0.03406

SIMETHICONE 40MG/0.6ML DROPS SUSP ORAL 04/27/2021 0.08698

SIMETHICONE 125 MG TAB CHEW ORAL 11/17/2020 0.03629

SIMETHICONE 80 MG TAB CHEW ORAL 05/04/2021 0.02406

SIMPLE SYRUP SYRUP ORAL 01/14/2020 0.02630

SIMVASTATIN 5 MG TABLET ORAL 04/20/2021 0.02602




184

Run Date: 05/09/21




DateMACPrice




SIROLIMUS 1 MG/ML SOLUTION ORAL 12/08/2020 12.28003

SIROLIMUS 1 MG TABLET ORAL 03/30/2021 9.57048

SIROLIMUS 2 MG TABLET ORAL 03/30/2021 16.74855

SIROLIMUS 0.5 MG TABLET ORAL 03/30/2021 7.16166

SKIN CLEANSER CLEANSER TOPICAL 04/20/2021 0.00366

SKIN CLEANSER COMB NO.31 SPRAY TOPICAL 07/14/2015 0.01798

SOAP BAR TOPICAL 04/06/2021 2.77200

SOD BORATE/BORIC AC/WATER/NACL IRRIG SOLN OPHTHALMIC 01/26/2021 0.02825

SOD CHLOR,BICARB/SQUEEZ BOTTLE PACK W/DEV NASAL 09/10/2019 0.15811

SOD CHLOR,SOD BICARB/NETI POT PACK W/DEV NASAL 09/22/2020 0.30257

SOD PHOS DI, MONO/K PHOS MONO 250 MG TABLET ORAL 09/10/2019 1.07200

SOD PHOSPHATE,MONOBASIC-DIBAS 3MMOL/ML VIAL INTRAVEN 06/19/2017 2.31820

SOD/POT/K CIT/SOD CIT/CIT ACID 500-550/5 SOLUTION ORAL 07/21/2020 0.05190

SODIUM ACETATE 4 MEQ/ML VIAL INTRAVEN 03/03/2020 0.11215

SODIUM BENZOATE/SOD PHENYLACET 10 %-10 % VIAL INTRAVEN 07/16/2019 202.43750

SODIUM BICARBONATE 325 MG TABLET ORAL 04/07/2020 0.01138



185

Run Date: 05/09/21




DateMACPrice

SODIUM BICARBONATE 650 MG TABLET ORAL 04/13/2021 0.01253

SODIUM BICARBONATE 1 MEQ/ML SYRINGE INTRAVEN 08/04/2020 0.39535

SODIUM BICARBONATE 0.5MEQ/ML VIAL INTRAVEN 12/08/2020 1.95227

SODIUM BISULFITE 100 % POWDER MISCELL 05/20/2014 0.14070

SODIUM CHLORIDE 1 G TABLET ORAL 09/10/2019 0.11393

SODIUM CHLORIDE 5 % OINT. (G) OPHTHALMIC 01/26/2021 3.52770

SODIUM CHLORIDE 5 % DROPS OPHTHALMIC 10/13/2020 0.75308

SODIUM CHLORIDE 0.65 % SPRAY NASAL 11/10/2020 0.02829

SODIUM CHLORIDE 2.5 MEQ/ML VIAL INTRAVEN 04/28/2015 0.11357

SODIUM CHLORIDE 4 MEQ/ML VIAL INTRAVEN 11/03/2020 0.10299

SODIUM CHLORIDE 1000 MG TABLET SOL MISCELL 04/28/2020 0.07504

SODIUM CHLORIDE 0.45 % 0.45 % IV SOLN INTRAVEN 03/30/2021 0.00340

SODIUM CHLORIDE 0.9 % (FLUSH) 0.9 % SYRINGE INJECTION 05/04/2021 0.04489

SODIUM CHLORIDE 3 % 3 % IV SOLN INTRAVEN 02/25/2020 0.01216

SODIUM CHLORIDE 5 % 5 % IV SOLN INTRAVEN 04/06/2021 0.02010

SODIUM CHLORIDE FOR INHALATION 0.9 % VIAL-NEB INHALATION 01/14/2020 0.05435

SODIUM CHLORIDE FOR INHALATION 3 % VIAL-NEB INHALATION 03/17/2020 0.10759

SODIUM CHLORIDE FOR INHALATION 7 % VIAL-NEB INHALATION 03/17/2020 0.10759

SODIUM CHLORIDE IRRIG SOLUTION 0.9 % IRRIG SOLN IRRIGATION 03/09/2021 0.00294



186

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DateMACPrice

SODIUM CHLORIDE/ALOE VERA SPRAY NASAL 03/02/2021 0.27714

SODIUM CHLORIDE/SODIUM BICARB PACKET NASAL 12/04/2018 0.08211

SODIUM FERRIC GLUCONAT/SUCROSE 62.5MG/5ML VIAL INTRAVEN 04/20/2021 2.25147

SODIUM HYPOCHLORITE 0.25 % SOLUTION MISCELL 12/08/2020 0.03892



SODIUM PHENYLBUTYRATE 500 MG TABLET ORAL 01/09/2018 27.94150

SODIUM PHOSPHATE,MONO-DIBASIC 19G-7G/118 ENEMA RECTAL 06/23/2020 0.00878

SODIUM POLYSTYRENE SULFONATE POWDER ORAL 03/16/2021 0.10862

SODIUM TETRADECYL SULFATE 3 % VIAL INTRAVEN 09/22/2020 37.15625

SODIUM,POTASSIUM PHOSPHATES 280-250MG POWD PACK ORAL 12/15/2020 0.48575

SOLIFENACIN SUCCINATE 5 MG TABLET ORAL 05/04/2021 0.13177

SOLIFENACIN SUCCINATE 10 MG TABLET ORAL 05/04/2021 0.15633

SORBITOL POWDER MISCELL 09/10/2019 0.09357

SORBITOL SOLUTION 70 % SOLUTION MISCELL 02/23/2021 0.01162

SOTALOL HCL 160 MG TABLET ORAL 03/16/2021 0.24455






187

Run Date: 05/09/21




DateMACPrice

SPEARMINT OIL OIL MISCELL 05/20/2014 1.50750

SPINOSAD 0.9 % SUSPENSION TOPICAL 04/13/2021 3.04095

SPIRONOLACT/HYDROCHLOROTHIAZID 25 MG-25MG TABLET ORAL 07/28/2020 0.90745

SPIRONOLACTONE 100 MG TABLET ORAL 03/16/2021 0.22311



ST. JOHN'S WORT 300 MG CAPSULE ORAL 04/20/2021 0.10035

STARCH POWD PACK ORAL 01/26/2021 0.38592

STARCH POWDER ORAL 01/05/2021 0.02411

STAVUDINE 15 MG CAPSULE ORAL 10/29/2019 4.01588




STEARIC ACID POWDER MISCELL 10/06/2020 0.04100

STEARYL ALCOHOL FLAKES MISCELL 09/10/2019 0.07316

SUCCINYLCHOLINE CHLORIDE 20 MG/ML VIAL INJECTION 04/27/2021 1.02477

SUCRALFATE 1 G/10 ML ORAL SUSP ORAL 03/02/2021 0.61037

SUCRALFATE 1 G TABLET ORAL 01/19/2021 0.26559

SUFENTANIL CITRATE 50 MCG/ML AMPUL INTRAVEN 03/23/2021 2.67102



188

Run Date: 05/09/21




DateMACPrice

SULFACETAMIDE SODIUM 10 % SUSPENSION TOPICAL 09/10/2019 1.61113

SULFACETAMIDE SODIUM 10 % DROPS OPHTHALMIC 08/11/2020 2.64695

SULFACETAMIDE SODIUM/SULFUR 10 %-4 % MED. PAD TOPICAL 09/10/2019 3.76156

SULFACETAMIDE SODIUM/SULFUR 9 %-4.5 % CLEANSER TOPICAL 03/02/2021 2.29607

SULFACETAMIDE SODIUM/SULFUR 8 %-4 % SUSPENSION TOPICAL 03/09/2021 0.22158

SULFACETAMIDE/SULFUR/CLEANSR23 9 %-4.5 % KIT TOPICAL 09/10/2019 692.90103

SULFAMETHOXAZOLE/TRIMETHOPRIM 200-40MG/5 ORAL SUSP ORAL 03/02/2021 0.12021

SULFAMETHOXAZOLE/TRIMETHOPRIM 800-160/20 ORAL SUSP ORAL 03/10/2020 0.16549

SULFAMETHOXAZOLE/TRIMETHOPRIM 400MG-80MG TABLET ORAL 12/08/2020 0.07584

SULFAMETHOXAZOLE/TRIMETHOPRIM 800-160 MG TABLET ORAL 01/12/2021 0.07973

SULFAMETHOXAZOLE/TRIMETHOPRIM 80-16MG/ML VIAL INTRAVEN 10/20/2020 1.21297

SULFASALAZINE 500 MG TABLET ORAL 02/09/2021 0.23084

SULFASALAZINE 500 MG TABLET DR ORAL 02/09/2021 0.35456

SULFUR 3 % BAR TOPICAL 09/10/2019 4.58700

SULINDAC 150 MG TABLET ORAL 11/03/2020 0.19162

SULINDAC 200 MG TABLET ORAL 05/04/2021 0.25230

SUMATRIPTAN 5 MG SPRAY NASAL 12/01/2020 40.73179

SUMATRIPTAN 20 MG SPRAY NASAL 04/06/2021 39.27800

SUMATRIPTAN SUCC/NAPROXEN SOD 85MG-500MG TABLET ORAL 02/02/2021 51.28189



189

Run Date: 05/09/21




DateMACPrice

SUMATRIPTAN SUCCINATE 100 MG TABLET ORAL 02/23/2021 0.70722



SUMATRIPTAN SUCCINATE 6 MG/0.5ML CARTRIDGE SUBCUT 09/01/2020 100.48075

SUMATRIPTAN SUCCINATE 4 MG/0.5ML CARTRIDGE SUBCUT 09/01/2020 147.53850

SUMATRIPTAN SUCCINATE 6 MG/0.5ML VIAL SUBCUT 03/09/2021 22.03950

SUMATRIPTAN SUCCINATE 6 MG/0.5ML PEN INJCTR SUBCUT 09/29/2020 75.09150

SUMATRIPTAN SUCCINATE 4 MG/0.5ML PEN INJCTR SUBCUT 09/01/2020 124.44525

SYRGE-NDL,INS 0.3 ML HALF MARK 31 GX5/16" DISP SYRIN MISCELL 04/27/2021 0.15008

SYRGE-NDL,INS 0.3 ML HALF MARK 31GX15/64" DISP SYRIN MISCELL 09/08/2020 0.16080

SYRGE-NDL,INS 0.5 ML HALF MARK 29 G X1/2" DISP SYRIN MISCELL 03/23/2021 0.15008





SYRING-NEEDL,DISP,INSUL,0.3 ML 29 G X1/2" DISP SYRIN MISCELL 04/06/2021 0.17273

SYRING-NEEDL,DISP,INSUL,0.3 ML 30 GX5/16" DISP SYRIN MISCELL 04/06/2021 0.16603

SYRING-NEEDL,DISP,INSUL,0.3 ML 30GX1/2" DISP SYRIN MISCELL 04/06/2021 0.21159

SYRING-NEEDL,DISP,INSUL,0.3 ML 31 GX5/16" DISP SYRIN MISCELL 04/20/2021 0.16603



190

Run Date: 05/09/21




DateMACPrice

SYRING-NEEDL,DISP,INSUL,0.3 ML 31GX15/64" DISP SYRIN MISCELL 03/23/2021 0.21380

SYRING-NEEDL,DISP,INSUL,0.3 ML 31 G X1/4" DISP SYRIN MISCELL 02/02/2021 0.26264

SYRINGE ACCESSORY EACH MISCELL 04/06/2021 0.07670

SYRINGE AND NEEDLE,INSULIN,1ML 28GX1/2" DISP SYRIN MISCELL 04/06/2021 0.07432

SYRINGE AND NEEDLE,INSULIN,1ML DISP SYRIN MISCELL 05/01/2014 0.11776

SYRINGE AND NEEDLE,INSULIN,1ML 30 GX5/16" DISP SYRIN MISCELL 04/06/2021 0.16603




SYRINGE AND NEEDLE,INSULIN,1ML 29 GAUGE DISP SYRIN MISCELL 02/26/2019 0.14733

SYRINGE AND NEEDLE,INSULIN,1ML 29 G X1/2" DISP SYRIN MISCELL 04/06/2021 0.07263

SYRINGE AND NEEDLE,INSULIN,1ML 30 GAUGE DISP SYRIN MISCELL 02/26/2019 0.14733


SYRINGE AND NEEDLE,INSULIN,1ML 31 GX5/16" DISP SYRIN MISCELL 04/06/2021 0.16603


SYRINGE AND NEEDLE,INSULIN,1ML 31 G X1/4" DISP SYRIN MISCELL 02/02/2021 0.26264

SYRINGE DISPOSABLE IRRIGATION DISP SYRIN MISCELL 10/27/2020 0.05427

SYRINGE FILTER 25 MM-0.22 EACH MISCELL 09/10/2019 11.19690

SYRINGE W-NEEDLE,DISPOSAB,3 ML 20GX1" DISP SYRIN MISCELL 05/16/2017 0.08424



191

Run Date: 05/09/21




DateMACPrice

SYRINGE W-NEEDLE,DISPOSAB,3 ML 20GX1 1/2" DISP SYRIN MISCELL 04/20/2021 0.11135

SYRINGE W-NEEDLE,DISPOSAB,3 ML 21 G X 1" DISP SYRIN MISCELL 03/30/2021 0.12234


SYRINGE W-NEEDLE,DISPOSAB,3 ML 22GX3/4" DISP SYRIN MISCELL 01/02/2018 0.11558





SYRINGE W-NEEDLE,DISPOSAB,3 ML 25GX5/8" DISP SYRIN MISCELL 03/30/2021 0.12234


SYRINGE W-NEEDLE,DISPOSAB,3 ML 27GX1.25" DISP SYRIN MISCELL 05/16/2017 0.08208

SYRINGE WITH NEEDLE, 1 ML 25GX5/8" DISP SYRIN MISCELL 04/20/2021 0.16495

SYRINGE WITH NEEDLE, 1 ML 25GX1" DISP SYRIN MISCELL 01/02/2018 0.21768


SYRINGE WITH NEEDLE, 1 ML 27GX0.375" DISP SYRIN MISCELL 09/22/2015 0.11390







192

Run Date: 05/09/21




DateMACPrice

SYRINGE WITH NEEDLE, 5 ML 20GX1 1/2" DISP SYRIN MISCELL 09/17/2019 0.27548

SYRINGE WITH NEEDLE, 5 ML 21 G X 1" DISP SYRIN MISCELL 03/17/2020 0.23798





SYRINGE WITH NEEDLE, 6 ML 21 G X 1" DISP SYRIN MISCELL 05/01/2014 0.18425


SYRINGE, DISPOSABLE, 1 ML DISP SYRIN MISCELL 03/17/2020 0.11390













193

Run Date: 05/09/21




DateMACPrice

SYRINGE,ENFIT 60ML,NON-STERILE DISP SYRIN MISCELL 05/06/2020 1.69411

SYRINGE,INSULIN,NEEDLESS 1 ML DISP SYRIN MISCELL 04/06/2021 0.05621

SYRINGE,NEEDLE,INSULN,SAFE,1ML 30 GX5/16" DISP SYRIN MISCELL 09/10/2019 0.20093

SYRINGE,NEEDLE,INSULN,SAFE,1ML 29 G X1/2" DISP SYRIN MISCELL 09/10/2019 0.16415

SYRINGE,NEEDLE,INSULN,SAFE,1ML 31GX15/64" DISP SYRIN MISCELL 09/08/2020 0.41902

SYRINGE,NEEDLE,INSULN,SF 0.5ML 30 GX5/16" DISP SYRIN MISCELL 09/10/2019 0.21768

SYRINGE,NEEDLE,INSULN,SF 0.5ML 29 G X1/2" DISP SYRIN MISCELL 02/06/2018 0.16415

SYRINGE,NEEDLE,INSULN,SF 0.5ML 31GX15/64" DISP SYRIN MISCELL 09/08/2020 0.41902

SYRINGE,SAFETY NEEDLE,10 ML 21GX1 1/2" DISP SYRIN MISCELL 09/10/2019 0.20087

SYRINGE,SAFETY NEEDLE,10 ML 20GX1" DISP SYRIN MISCELL 04/06/2021 0.36957

SYRINGE,SAFETY NEEDLE,10 ML 20GX1 1/2" DISP SYRIN MISCELL 04/06/2021 0.36957

SYRINGE,SAFETY WITH NEEDLE,1ML 25GX1" SYRINGE MISCELL 09/10/2019 0.20093

SYRINGE,SAFETY WITH NEEDLE,1ML 25GX5/8" DISP SYRIN MISCELL 09/10/2019 0.20093




SYRINGE,SAFETY WITH NEEDLE,3ML 21GX1 1/2" DISP SYRIN MISCELL 09/10/2019 0.20093

SYRINGE,SAFETY WITH NEEDLE,3ML 22GX1" DISP SYRIN MISCELL 04/06/2021 0.20093




194

Run Date: 05/09/21




Date MAC Price




SYRINGE,SAFETY WITH NEEDLE,3ML 21 G X 1" DISP SYRIN MISCELL 09/10/2019 0.20093







SYRINGE-NEEDLE,INSULIN,0.5 ML 28GX1/2" DISP SYRIN MISCELL 11/12/2019 0.08362

SYRINGE-NEEDLE,INSULIN,0.5 ML 28 GAUGE DISP SYRIN MISCELL 02/26/2019 0.14733


SYRINGE-NEEDLE,INSULIN,0.5 ML 29 GAUGE DISP SYRIN MISCELL 02/26/2019 0.14733

SYRINGE-NEEDLE,INSULIN,0.5 ML 29 G X1/2" DISP SYRIN MISCELL 04/20/2021 0.16603

SYRINGE-NEEDLE,INSULIN,0.5 ML 30 GX5/16" DISP SYRIN MISCELL 04/06/2021 0.16603


SYRINGE-NEEDLE,INSULIN,0.5 ML 31 GX5/16" DISP SYRIN MISCELL 04/06/2021 0.16603




195

Run Date: 05/09/21




Date MAC Price

SYRINGE-NEEDLE,INSULIN,0.5 ML 31 G X1/4" DISP SYRIN MISCELL 02/02/2021 0.26264

TACROLIMUS 0.03 % OINT. (G) TOPICAL 02/09/2021 2.33919

TACROLIMUS 0.1 % OINT. (G) TOPICAL 07/21/2020 2.07394

TADALAFIL 10 MG TABLET ORAL 04/06/2021 0.51143



TADALAFIL 2.5 MG TABLET ORAL 04/06/2021 0.22110


TAMOXIFEN CITRATE 10 MG TABLET ORAL 04/20/2021 0.32115

TAMOXIFEN CITRATE 20 MG TABLET ORAL 04/27/2021 0.68831

TAMSULOSIN HCL 0.4 MG CAPSULE ORAL 02/23/2021 0.09052

TAVABOROLE 5 % SOL W/APPL TOPICAL 02/23/2021 71.01918

TAZAROTENE 0.1 % CREAM (G) TOPICAL 02/02/2021 2.76804

TEA TREE OIL 100 % OIL TOPICAL 09/10/2019 0.21686

TELMISARTAN 40 MG TABLET ORAL 04/13/2021 0.72449



TELMISARTAN/AMLODIPINE 40 MG-5 MG TABLET ORAL 09/29/2020 3.43200

TELMISARTAN/AMLODIPINE 40 MG-10MG TABLET ORAL 09/29/2020 3.43200



196

Run Date: 05/09/21




Date MAC Price

TELMISARTAN/AMLODIPINE 80 MG-5 MG TABLET ORAL 09/29/2020 3.43200

TELMISARTAN/AMLODIPINE 80 MG-10MG TABLET ORAL 10/06/2020 3.43200

TELMISARTAN/HYDROCHLOROTHIAZID 80-12.5MG TABLET ORAL 09/08/2020 4.30232

TELMISARTAN/HYDROCHLOROTHIAZID 40-12.5 MG TABLET ORAL 10/06/2020 4.28296

TELMISARTAN/HYDROCHLOROTHIAZID 80 MG-25MG TABLET ORAL 10/13/2020 4.30232

TEMAZEPAM 15 MG CAPSULE ORAL 03/23/2021 0.09444

TEMAZEPAM 30 MG CAPSULE ORAL 05/06/2020 0.10449

TEMAZEPAM 7.5 MG CAPSULE ORAL 09/10/2019 3.60980

TEMAZEPAM 22.5 MG CAPSULE ORAL 02/23/2021 5.44364

TEMOZOLOMIDE 5 MG CAPSULE ORAL 01/19/2021 0.89512






TEMSIROLIMUS FDN 30MG/3 VIAL INTRAVEN 09/10/2019 973.84225

TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET ORAL 04/21/2020 1.91263

TERAZOSIN HCL 1 MG CAPSULE ORAL 10/01/2019 0.13216




197

Run Date: 05/09/21




Date MAC Price



TERBINAFINE HCL 250 MG TABLET ORAL 04/27/2021 0.17058

TERBINAFINE HCL 1 % CREAM (G) TOPICAL 03/10/2020 0.42701

TERBUTALINE SULFATE 2.5 MG TABLET ORAL 03/09/2021 3.96673

TERBUTALINE SULFATE 5 MG TABLET ORAL 03/09/2021 4.80599

TERBUTALINE SULFATE 1 MG/ML VIAL SUBCUT 10/27/2020 1.82374

TERCONAZOLE 0.4 % CREAM/APPL VAGINAL 12/04/2018 0.92617

TERCONAZOLE 0.8 % CREAM/APPL VAGINAL 01/12/2021 1.99727

TERCONAZOLE 80 MG SUPP.VAG VAGINAL 09/10/2019 26.64658

TERIPARATIDE 20MCG/DOSE PEN INJCTR SUBCUT 04/27/2021 1160.27950

TESTOSTERONE 30MG/1.5ML SOL MD PMP TRANSDERM 04/07/2020 3.84384

TESTOSTERONE 50 MG (1%) GEL (GRAM) TRANSDERM 01/19/2021 3.60448

TESTOSTERONE 25MG(1%) GEL PACKET TRANSDERM 01/12/2021 3.32094

TESTOSTERONE 50 MG (1%) GEL PACKET TRANSDERM 12/08/2020 1.34125

TESTOSTERONE 1.25G-1.62 GEL PACKET TRANSDERM 03/23/2021 11.49274

TESTOSTERONE 2.5G-1.62% GEL PACKET TRANSDERM 03/23/2021 6.60959

TESTOSTERONE 12.5/1.25G GEL MD PMP TRANSDERM 09/10/2019 1.61729

TESTOSTERONE 10 MG (2%) GEL MD PMP TRANSDERM 02/18/2020 5.91968



198

Run Date: 05/09/21




DateMACPrice

TESTOSTERONE 20.25/1.25 GEL MD PMP TRANSDERM 03/02/2021 0.55387

TESTOSTERONE CYPIONATE 100 MG/ML VIAL INTRAMUSC 04/20/2021 5.20446

TESTOSTERONE CYPIONATE 200 MG/ML VIAL INTRAMUSC 03/09/2021 3.21816

TESTOSTERONE ENANTHATE 200 MG/ML VIAL INTRAMUSC 03/30/2021 14.95620

TETRABENAZINE 25 MG TABLET ORAL 08/08/2019 14.72100

TETRABENAZINE 12.5 MG TABLET ORAL 04/06/2021 8.11564

TETRACYCLINE HCL 250 MG CAPSULE ORAL 03/30/2021 1.72927

TETRACYCLINE HCL 500 MG CAPSULE ORAL 03/30/2021 9.08990

TETRAHYDROZOLINE HCL 0.05 % DROPS OPHTHALMIC 06/02/2020 0.05583

THEOPHYLLINE ANHYDROUS 80 MG/15ML ELIXIR ORAL 03/16/2021 0.82527

THEOPHYLLINE ANHYDROUS 80 MG/15ML SOLUTION ORAL 03/03/2020 0.16340

THEOPHYLLINE ANHYDROUS 400 MG TAB ER 24H ORAL 08/04/2020 0.96735

THEOPHYLLINE ANHYDROUS 600 MG TAB ER 24H ORAL 08/04/2020 1.67500

THIAMINE HCL 100 MG TABLET ORAL 01/26/2021 0.03291



THIAMINE HCL 100 MG/ML VIAL INJECTION 02/16/2021 4.33884

THIAMINE MONONITRATE (VIT B1) 100 MG TABLET ORAL 06/11/2019 0.02332

THIORIDAZINE HCL 10 MG TABLET ORAL 09/10/2019 0.48320



199

Run Date: 05/09/21




DateMACPrice




THIOTHIXENE 1 MG CAPSULE ORAL 10/29/2019 1.21230




TIAGABINE HCL 4 MG TABLET ORAL 09/10/2019 7.18481




TIGECYCLINE 50 MG VIAL INTRAVEN 03/01/2021 74.62513

TIMOLOL MALEATE 10 MG TABLET ORAL 05/06/2020 2.67648



TIMOLOL MALEATE 0.25 % SOL-GEL OPHTHALMIC 12/01/2020 32.17465

TIMOLOL MALEATE 0.5 % SOL-GEL OPHTHALMIC 01/26/2021 42.91470

TIMOLOL MALEATE 0.5 % DROP DAILY OPHTHALMIC 03/30/2021 25.71450

TIMOLOL MALEATE 0.25 % DROPS OPHTHALMIC 03/16/2021 0.79596



200

Run Date: 05/09/21




DateMACPrice

TIMOLOL MALEATE 0.5 % DROPS OPHTHALMIC 04/27/2021 1.28015

TIMOLOL MALEATE/PF 0.5 % DROPERETTE OPHTHALMIC 05/04/2021 25.88979

TINIDAZOLE 250 MG TABLET ORAL 06/30/2020 2.94822

TIZANIDINE HCL 2 MG CAPSULE ORAL 03/23/2021 0.50581



TIZANIDINE HCL 2 MG TABLET ORAL 03/09/2021 0.07121

TIZANIDINE HCL 4 MG TABLET ORAL 03/09/2021 0.06731

TOBRAMYCIN 0.3 % DROPS OPHTHALMIC 01/26/2021 2.09308

TOBRAMYCIN 300 MG/4ML AMPUL-NEB INHALATION 01/25/2021 22.44834

TOBRAMYCIN IN 0.225% SOD CHLOR 300 MG/5ML AMPUL-NEB INHALATION 03/02/2021 4.17111

TOBRAMYCIN SULFATE 1.2 G VIAL INJECTION 09/10/2019 168.34600

TOBRAMYCIN SULFATE 40 MG/ML VIAL INJECTION 08/11/2020 0.59273

TOBRAMYCIN/DEXAMETHASONE 0.3 %-0.1% DROPS SUSP OPHTHALMIC 09/10/2019 15.00800

TOBRAMYCIN/NEBULIZER 300 MG/5ML AMPUL-NEB INHALATION 11/24/2020 9.31286

TOLNAFTATE 1 % AERO POWD TOPICAL 09/10/2019 0.04881

TOLNAFTATE 1 % CREAM (G) TOPICAL 04/27/2021 0.05328

TOLNAFTATE 1 % POWDER TOPICAL 01/14/2020 0.05300

TOLNAFTATE 1 % SOLUTION TOPICAL 11/10/2020 0.20928



201

Run Date: 05/09/21




DateMACPrice

TOLTERODINE TARTRATE 4 MG CAP ER 24H ORAL 05/04/2021 1.37439

TOLTERODINE TARTRATE 2 MG CAP ER 24H ORAL 05/04/2021 1.57926

TOLTERODINE TARTRATE 1 MG TABLET ORAL 10/13/2020 0.97463

TOLTERODINE TARTRATE 2 MG TABLET ORAL 03/02/2021 0.66978

TOLVAPTAN 15 MG TABLET ORAL 03/02/2021 383.43200

TOPIRAMATE 25 MG CAP SPRINK ORAL 02/18/2020 1.95930

TOPIRAMATE 25 MG CAP SPR 24 ORAL 02/16/2021 7.35076





TOPIRAMATE 50 MG TABLET ORAL 07/07/2020 0.05601




TOPOTECAN HCL 4 MG VIAL INTRAVEN 09/10/2019 86.10000

TOPOTECAN HCL 4 MG/4 ML VIAL INTRAVEN 01/28/2020 13.27463

TOREMIFENE CITRATE 60 MG TABLET ORAL 12/22/2020 34.48954

TORSEMIDE 5 MG TABLET ORAL 05/26/2020 0.38311



202

Run Date: 05/09/21




DateMACPrice




TRAMADOL HCL 50 MG TABLET ORAL 04/13/2021 0.02860

TRAMADOL HCL 200 MG TAB ER 24H ORAL 01/12/2021 2.66571



TRAMADOL HCL 100 MG TBMP 24HR ORAL 04/22/2020 2.89080



TRAMADOL HCL/ACETAMINOPHEN 37.5-325MG TABLET ORAL 03/30/2021 0.23871

TRANDOLAPRIL 1 MG TABLET ORAL 09/10/2019 0.40401



TRANDOLAPRIL/VERAPAMIL HCL 2 MG-180MG TAB BP 24H ORAL 07/14/2020 3.49160

TRANDOLAPRIL/VERAPAMIL HCL 1MG-240 MG TAB BP 24H ORAL 03/06/2018 3.49160



TRANEXAMIC ACID 650 MG TABLET ORAL 10/06/2015 2.99156



203

Run Date: 05/09/21




DateMACPrice

TRANEXAMIC ACID 1000 MG/10 AMPUL INTRAVEN 02/16/2021 0.46900

TRANEXAMIC ACID 1000 MG/10 VIAL INTRAVEN 02/16/2021 0.70524

TRANYLCYPROMINE SULFATE 10 MG TABLET ORAL 04/20/2021 1.81557

TRAVOPROST 0.004 % DROPS OPHTHALMIC 03/01/2021 28.81890

TRAZODONE HCL 50 MG TABLET ORAL 03/31/2020 0.04301




TREPROSTINIL SODIUM 1 MG/ML VIAL INJECTION 10/29/2019 48.38600

TREPROSTINIL SODIUM 2.5 MG/ML VIAL INJECTION 10/29/2019 120.96550



TRETINOIN 10 MG CAPSULE ORAL 04/20/2021 12.51635

TRETINOIN 0.01 % GEL (GRAM) TOPICAL 02/09/2021 2.86000



TRETINOIN 0.025 % CREAM (G) TOPICAL 02/09/2021 2.19909





204

Run Date: 05/09/21




DateMACPrice

TRETINOIN MICROSPHERES 0.1 % GEL (GRAM) TOPICAL 12/08/2020 8.78880

TRETINOIN MICROSPHERES 0.04 % GEL (GRAM) TOPICAL 11/12/2019 11.33000

TRETINOIN MICROSPHERES 0.04 % GEL W/PUMP TOPICAL 09/10/2019 7.55940

TRETINOIN MICROSPHERES 0.1 % GEL W/PUMP TOPICAL 10/22/2019 7.55940

TRIACETIN 100 % LIQUID MISCELL 02/04/2020 0.17420

TRIAMCINOLONE ACETONIDE 40 MG/ML VIAL INJECTION 01/26/2021 4.73880

TRIAMCINOLONE ACETONIDE 0.147MG/G AEROSOL TOPICAL 04/13/2021 2.58365

TRIAMCINOLONE ACETONIDE 0.025 % CREAM (G) TOPICAL 09/10/2019 0.04997



TRIAMCINOLONE ACETONIDE 0.025 % OINT. (G) TOPICAL 10/13/2020 0.06585




TRIAMCINOLONE ACETONIDE 0.025 % LOTION TOPICAL 04/06/2021 0.59340

TRIAMCINOLONE ACETONIDE 0.1 % LOTION TOPICAL 05/04/2021 0.46610

TRIAMCINOLONE ACETONIDE 55 MCG SPRAY NASAL 11/17/2020 0.77835

TRIAMCINOLONE ACETONIDE 0.1 % PASTE (G) DENTAL 11/03/2020 8.79600

TRIAMTERENE 100 MG CAPSULE ORAL 10/08/2019 10.04399



205

Run Date: 05/09/21




DateMACPrice

TRIAMTERENE 50 MG CAPSULE ORAL 09/03/2019 9.94810

TRIAMTERENE/HYDROCHLOROTHIAZID 37.5-25 MG CAPSULE ORAL 01/19/2021 0.17433

TRIAMTERENE/HYDROCHLOROTHIAZID 37.5-25 MG TABLET ORAL 07/21/2020 0.11738

TRIAMTERENE/HYDROCHLOROTHIAZID 75 MG-50MG TABLET ORAL 03/23/2021 0.13480

TRIAZOLAM 0.125 MG TABLET ORAL 12/15/2020 1.79238

TRIAZOLAM 0.25 MG TABLET ORAL 12/08/2020 1.45403

TRIENTINE HCL 250 MG CAPSULE ORAL 08/04/2020 20.99979

TRIFLUOPERAZINE HCL 1 MG TABLET ORAL 12/17/2019 0.78417




TRIFLURIDINE 1 % DROPS OPHTHALMIC 07/16/2019 15.82978

TRIHEXYPHENIDYL HCL 2 MG/5 ML ELIXIR ORAL 07/16/2019 0.08931

TRIHEXYPHENIDYL HCL 2 MG TABLET ORAL 04/27/2021 0.05816

TRIHEXYPHENIDYL HCL 5 MG TABLET ORAL 04/13/2021 0.11750

TRIMETHOBENZAMIDE HCL 300 MG CAPSULE ORAL 03/10/2020 1.39583

TRIMETHOPRIM 100 MG TABLET ORAL 04/13/2021 0.45828

TRIMIPRAMINE MALEATE 100 MG CAPSULE ORAL 07/28/2020 5.99313




206

Run Date: 05/09/21




DateMACPrice


TRIPROLIDINE HCL 0.625MG/ML DROPS ORAL 09/10/2019 1.01840



TRIPROLIDINE/PHENYLEPHRINE/DM 2.5-10-20 LIQUID ORAL 04/06/2021 0.05841

TROLAMINE SALICYLATE 10 % CREAM (G) TOPICAL 03/23/2021 0.02994

TROPICAMIDE 0.5 % DROPS OPHTHALMIC 07/09/2019 0.68689

TROPICAMIDE 1 % DROPS OPHTHALMIC 03/03/2020 2.65141

TROSPIUM CHLORIDE 60 MG CAP ER 24H ORAL 04/27/2021 5.27384

TROSPIUM CHLORIDE 20 MG TABLET ORAL 04/20/2021 0.42545

ULIPRISTAL ACETATE 30 MG TABLET ORAL 12/01/2020 34.81156

UNDECYLENIC ACID 25 % SOLUTION TOPICAL 04/06/2021 1.10773

UREA 45 % GEL/PF APP TOPICAL 04/25/2017 5.08299

UREA 45 % GEL (ML) TOPICAL 05/14/2019 5.12445

UREA 10 % CREAM (G) TOPICAL 09/10/2019 0.15401



UREA 10 % LOTION TOPICAL 09/10/2019 0.04556

URINE ACETONE TEST,STRIPS STRIP MISCELL 05/01/2014 0.10311



207

Run Date: 05/09/21




DateMACPrice

URINE ALBUMIN TEST STRIP MISCELL 06/10/2014 3.16580

URSODIOL 300 MG CAPSULE ORAL 04/27/2021 1.00902

URSODIOL 250 MG TABLET ORAL 04/20/2021 1.36358

URSODIOL 500 MG TABLET ORAL 04/20/2021 1.29766

VALACYCLOVIR HCL 500 MG TABLET ORAL 12/22/2020 0.24187

VALACYCLOVIR HCL 1000 MG TABLET ORAL 04/13/2021 0.46930

VALGANCICLOVIR HCL 50 MG/ML SOLN RECON ORAL 04/07/2020 11.93280

VALGANCICLOVIR HCL 450 MG TABLET ORAL 04/20/2021 4.28604

VALPROIC ACID 250 MG CAPSULE ORAL 03/30/2021 0.25085

VALPROIC ACID (AS SODIUM SALT) 250 MG/5ML SOLUTION ORAL 03/09/2021 0.02630

VALPROIC ACID (AS SODIUM SALT) 500MG/10ML SOLUTION ORAL 02/04/2020 0.11925

VALPROIC ACID (AS SODIUM SALT) 500 MG/5ML VIAL INTRAVEN 09/01/2020 0.62835

VALRUBICIN 40 MG/ML VIAL INTRAVESIC 09/10/2019 270.25355

VALSARTAN 320 MG TABLET ORAL 09/22/2020 0.19326




VALSARTAN/HYDROCHLOROTHIAZIDE 80-12.5MG TABLET ORAL 12/08/2020 0.86624




208

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DateMACPrice

VALSARTAN/HYDROCHLOROTHIAZIDE 160MG-25MG TABLET ORAL 01/14/2020 0.34959

VALSARTAN/HYDROCHLOROTHIAZIDE 320MG-25MG TABLET ORAL 12/17/2019 0.35277


VANCOMYCIN HCL 125 MG CAPSULE ORAL 04/06/2021 1.94300

VANCOMYCIN HCL 250 MG CAPSULE ORAL 03/23/2021 4.75200

VANCOMYCIN HCL 1 G VIAL INTRAVEN 03/30/2021 3.69600



VANCOMYCIN HCL 500 MG VIAL INTRAVEN 02/23/2021 3.22080

VANCOMYCIN HCL 750 MG VIAL INTRAVEN 04/28/2020 7.92000

VAPORIZER EACH MISCELL 10/15/2019 11.90200

VARDENAFIL HCL 5 MG TABLET ORAL 03/10/2020 21.47390



VARDENAFIL HCL 2.5 MG TABLET ORAL 03/10/2020 21.47390

VARDENAFIL HCL 10 MG TAB RAPDIS ORAL 12/29/2020 18.99581

VECURONIUM BROMIDE 10 MG VIAL INTRAVEN 03/24/2020 6.21106

VECURONIUM BROMIDE 20 MG VIAL INTRAVEN 07/21/2020 11.49500

VENLAFAXINE HCL 37.5 MG CAP ER 24H ORAL 11/06/2020 0.13066



209

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DateMACPrice

VENLAFAXINE HCL 150 MG CAP ER 24H ORAL 03/01/2021 0.19192

VENLAFAXINE HCL 37.5 MG TAB ER 24 ORAL 03/23/2021 4.16973

VENLAFAXINE HCL 75 MG TAB ER 24 ORAL 03/30/2021 2.08221



VENLAFAXINE HCL 25 MG TABLET ORAL 08/25/2020 0.21440

VENLAFAXINE HCL 37.5 MG TABLET ORAL 07/07/2020 0.16844




VERAPAMIL HCL 200 MG CAP24H PCT ORAL 04/28/2020 2.44337

VERAPAMIL HCL 120 MG CAP24H PEL ORAL 09/10/2019 4.68415




VERAPAMIL HCL 120 MG TABLET ORAL 04/21/2020 0.10921



VERAPAMIL HCL 240 MG TABLET ER ORAL 02/04/2020 0.21587



210

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DateMACPrice



VERAPAMIL HCL 2.5 MG/ML VIAL INTRAVEN 04/13/2021 2.92050

VIGABATRIN 500 MG POWD PACK ORAL 05/04/2021 64.90751

VIGABATRIN 500 MG TABLET ORAL 02/09/2021 77.67886

VINCRISTINE SULFATE 1 MG/ML VIAL INTRAVEN 03/03/2020 8.14800

VINCRISTINE SULFATE 2 MG/2 ML VIAL INTRAVEN 03/03/2020 6.88975

VINORELBINE TARTRATE 10 MG/ML VIAL INTRAVEN 10/08/2019 18.90000

VINORELBINE TARTRATE 50 MG/5 ML VIAL INTRAVEN 01/07/2020 16.95750

VIT A PALMITATE/VIT C/VIT D3 750-35/ML DROPS ORAL 03/02/2021 0.11109

VIT A/VIT C/VIT E/ZINC/COPPER 14320-226 CAPSULE ORAL 09/10/2019 0.26465

VIT A/VIT C/VIT E/ZINC/COPPER 7160-113 TABLET ORAL 02/02/2021 0.08858

VIT B12/LEVOMEFOLATE/VIT B6/B2 1-6-50-5MG TABLET ORAL 04/07/2020 2.28669

VITAMIN A 2400 MCG CAPSULE ORAL 09/10/2019 0.04100

VITAMIN A/VIT C/ZINC/PROPOLIS 15 MG LOZENGE ORAL 05/01/2014 0.02673

VITAMIN B COMPLEX CAPSULE ORAL 09/10/2019 0.06338

VITAMIN B COMPLEX TABLET ORAL 08/20/2014 0.01973

VITAMIN B COMPLEX TABLET ER ORAL 08/06/2019 0.16201

VITAMIN B COMPLEX/FOLIC ACID 0.4 MG TABLET ORAL 01/28/2020 0.07249



211

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DateMACPrice

VITAMIN B COMPLEX/FOLIC ACID 0.4 MG TABLET ER ORAL 09/10/2019 0.12551

VITAMIN B COMPLEX/LYSINE 790MG/15ML LIQUID ORAL 09/13/2016 0.02092

VITAMIN E 1000 UNIT CAPSULE ORAL 12/29/2020 0.22110

VITAMIN E 400 UNIT CAPSULE ORAL 12/08/2020 0.03863

VITAMIN E CREAM (G) TOPICAL 08/04/2015 0.04456

VITAMIN E OIL TOPICAL 05/01/2014 0.21105

VITAMIN E (DL,TOCOPHERYL ACET) 450 MG CAPSULE ORAL 12/29/2020 0.13713

VITAMIN E (DL,TOCOPHERYL ACET) 400 UNIT CAPSULE ORAL 04/13/2021 0.04945

VITAMIN E (DL,TOCOPHERYL ACET) 90 MG CAPSULE ORAL 04/30/2019 0.04382

VITAMIN E (DL,TOCOPHERYL ACET) 22.5MG(50) DROPS ORAL 10/27/2020 0.90271

VITAMIN E ACETATE 400 UNIT CAPSULE ORAL 01/12/2021 0.06901

VITAMIN E MIXED 400 UNIT CAPSULE ORAL 01/21/2020 0.06961

VITAMINS B1,B2,B3,B5,AND B6 100-2MG/ML VIAL INJECTION 03/31/2020 7.31320

VITS A AND D/WHITE PET/LANOLIN OINT. (G) TOPICAL 02/23/2021 0.00369

VITS A,C,E/LUTEIN/MINERALS 1000-60-2 TABLET ORAL 06/09/2020 0.07593

VORICONAZOLE 200 MG/5ML SUSP RECON ORAL 10/27/2020 8.36992

VORICONAZOLE 50 MG TABLET ORAL 02/02/2021 1.92290

VORICONAZOLE 200 MG TABLET ORAL 02/09/2021 3.24544

VORICONAZOLE 200 MG VIAL INTRAVEN 04/06/2021 28.70000



212

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DateMACPrice

WARFARIN SODIUM 10 MG TABLET ORAL 03/02/2021 0.18680

WARFARIN SODIUM 2.5 MG TABLET ORAL 04/20/2021 0.11990



WARFARIN SODIUM 7.5 MG TABLET ORAL 03/23/2021 0.16469





WATER LIQUID ORAL 04/07/2020 0.02202

WATER FOR INJECTION,STERILE SYRINGE INJECTION 04/27/2021 0.14887

WATER FOR INJECTION,STERILE VIAL INJECTION 11/24/2020 0.07906

WATER FOR INJECTION,STERILE IV SOLN INTRAVEN 12/22/2020 0.00424

WATER FOR IRRIGATION,STERILE IRRIG SOLN IRRIGATION 03/24/2020 0.00295

WITCH HAZEL 50 % MED. PAD TOPICAL 09/29/2020 0.05398

ZAFIRLUKAST 20 MG TABLET ORAL 01/12/2021 1.26295

ZAFIRLUKAST 10 MG TABLET ORAL 04/20/2021 1.49678

ZALEPLON 5 MG CAPSULE ORAL 02/03/2020 0.20435

ZALEPLON 10 MG CAPSULE ORAL 10/22/2019 0.40629



213

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DateMACPrice

ZIDOVUDINE 100 MG CAPSULE ORAL 12/29/2020 2.02943

ZIDOVUDINE 10 MG/ML SYRUP ORAL 07/03/2018 0.15750

ZIDOVUDINE 300 MG TABLET ORAL 09/10/2019 0.68474

ZILEUTON 600 MG TBMP 12HR ORAL 04/20/2021 13.62419

ZINC AMINO ACID CHELATE 50 MG TABLET ORAL 02/26/2019 0.06298

ZINC GLUCONATE 30 MG TABLET ORAL 04/12/2016 0.05253



ZINC OXIDE 20 % OINT. (G) TOPICAL 03/01/2021 0.01435

ZINC OXIDE 40 % OINT. (G) TOPICAL 11/26/2019 0.01735

ZINC SULFATE 50(220)MG CAPSULE ORAL 10/13/2020 0.04443

ZINC SULFATE 50(220)MG TABLET ORAL 03/23/2021 0.02948

ZIPRASIDONE HCL 20 MG CAPSULE ORAL 03/01/2021 0.33790




ZIPRASIDONE MESYLATE FNL 20MG/1 VIAL INTRAMUSC 11/10/2020 41.00410

ZOLEDRONIC AC/MANNITOL/0.9NACL 4 MG/100ML PIGGYBACK INTRAVEN 10/03/2017 0.76380

ZOLEDRONIC ACID 4 MG/5 ML VIAL INTRAVEN 03/09/2021 1.80900



214

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DateMACPrice

ZOLEDRONIC ACID/MANNITOL-WATER 5 MG/100ML PIGGYBACK INTRAVEN 03/09/2021 1.07133

ZOLEDRONIC ACID/MANNITOL-WATER 5 MG/100ML PGGYBK BTL INTRAVEN 05/06/2020 2.40704

ZOLMITRIPTAN 2.5 MG TABLET ORAL 10/20/2020 1.79560

ZOLMITRIPTAN 5 MG TABLET ORAL 10/20/2020 2.10827

ZOLMITRIPTAN 2.5 MG TAB RAPDIS ORAL 03/31/2020 7.28800

ZOLMITRIPTAN 5 MG TAB RAPDIS ORAL 07/21/2020 7.12047

ZOLMITRIPTAN 5 MG SPRAY NASAL 02/09/2021 93.53125

ZOLPIDEM TARTRATE 5 MG TABLET ORAL 04/13/2021 0.02752

ZOLPIDEM TARTRATE 10 MG TABLET ORAL 09/29/2020 0.04221

ZOLPIDEM TARTRATE 6.25 MG TAB MPHASE ORAL 09/08/2020 0.91897

ZOLPIDEM TARTRATE 12.5 MG TAB MPHASE ORAL 10/20/2020 0.92406

ZOLPIDEM TARTRATE 1.75 MG TAB SUBL SUBLINGUAL 02/25/2020 8.99600

ZOLPIDEM TARTRATE 3.5 MG TAB SUBL SUBLINGUAL 09/22/2020 7.64440

ZONISAMIDE 100 MG CAPSULE ORAL 11/24/2020 0.38948



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