program-code!item-code!manufacturer-code!brand-name!unit-of-measure!mp-id!mp-pt!mpuu-id!mpuu-pt!mpp-id!mpp-pt!tpuu-id!tpuu-pt!tpp-id!tpp-pt!vial-content!mq-pack!mq-uu!cemp-tpp!cemp-tpuu!memp-tpp!memp-tpuu!pfdi
GE!1884E!SZ!Amoxycillin Sandoz!!21415011000036100!amoxicillin!!!28236011000036109!amoxicillin 250 mg capsule, 20!!!74369011000036107!Amoxycillin (Sandoz) 250 mg capsule, 20!!1!20!1.37!0.00!1.37!!0.00
GE!1147J!SZ!Captopril Sandoz!!21533011000036102!captopril!!!27835011000036103!captopril 12.5 mg tablet, 90!!!920438011000036107!Captopril (Sandoz) 12.5 mg tablet, 90!!1!90!3.12!0.00!3.12!!
GE!1158Y!AF!Magicul 400!!21427011000036101!cimetidine!!!27866011000036103!cimetidine 400 mg tablet, 60!!!13184011000036107!Magicul 400 mg tablet, 60!!1!60!8.37!0.00!8.37!!
GE!1269T!BN!Androcur!!21694011000036101!cyproterone!!!27796011000036102!cyproterone acetate 50 mg tablet, 20!!!11341011000036100!Androcur 50 mg tablet, 20!!1!20!13.32!0.00!15.55!!
GE!1269T!SY!Cyprostat!!21694011000036101!cyproterone!!!27796011000036102!cyproterone acetate 50 mg tablet, 20!!!13543011000036107!Cyprostat 50 mg tablet, 20!!1!20!13.32!0.00!13.32!!0.00
GE!1300K!CR!Pharmacor Diclofenac 50!!21288011000036105!diclofenac!!!27885011000036108!diclofenac sodium 50 mg enteric tablet, 50!!!1059211000168101!Diclofenac (Pharmacor) 50 mg enteric tablet, 50!!1!50!1.91!0.00!1.91!!0.00
GE!1761Q!NI!Protaphane InnoLet!!33643011000036100!insulin isophane human!!!27769011000036109!insulin isophane human 100 units/mL injection, 5 x 3 mL cartridges!!!84891000144107!Protaphane Innolet 100 units/mL injection, 5 x 3 mL cartridges!!5!5!30.20!0.00!30.20!!
GE!1763T!NI!Mixtard 30/70 InnoLet!!33639011000036103!insulin isophane human + insulin neutral human!!!27770011000036107!insulin isophane human 70 units/mL + insulin neutral human 30 units/mL injection, 5 x 3 mL cartridges!!!85271000144108!Mixtard 30/70 Innolet injection, 5 x 3 mL cartridges!!5!5!30.20!0.00!30.20!!
GE!1567L!AF!Presolol 200!!21315011000036106!labetalol!!!27361011000036106!labetalol hydrochloride 200 mg tablet, 100!!!12803011000036107!Presolol 200 mg tablet, 100!!1!100!12.32!0.00!12.32!!
GE!1629R!AF!Hydopa!!21515011000036109!methyldopa!!!27664011000036101!methyldopa 250 mg tablet, 100!!!13280011000036100!Hydopa 250 mg tablet, 100!!1!100!8.18!0.00!8.18!!
GE!1674D!AF!Inza 250!!21304011000036105!naproxen!!!27555011000036100!naproxen 250 mg tablet, 50!!!12361011000036105!Inza 250 mg tablet, 50!!2!100!4.42!0.00!4.42!!
GE!1659H!AF!Inza 500!!21304011000036105!naproxen!!!27554011000036104!naproxen 500 mg tablet, 50!!!12363011000036106!Inza 500 mg tablet, 50!!1!50!4.99!0.00!4.99!!
GE!1659H!IX!Naprosyn!!21304011000036105!naproxen!!!27554011000036104!naproxen 500 mg tablet, 50!!!13112011000036101!Naprosyn 500 mg tablet, 50!!1!50!4.99!0.00!4.99!!
GE!1248Q!AF!Anpec 40!!21287011000036109!verapamil!!!27932011000036100!verapamil hydrochloride 40 mg tablet, 100!!!13771011000036106!Anpec 40 mg tablet, 100!!1!100!4.53!0.00!4.53!!
GE!1900B!HX!Mohexal!!21734011000036101!moclobemide!!!28338011000036102!moclobemide 150 mg tablet, 60!!!13593011000036104!Mohexal 150 mg tablet, 60!!1!60!9.06!0.00!9.06!!0.00
GE!1944H!AV!Ramace 1.25 mg!!21395011000036107!ramipril!!!27336011000036108!ramipril 1.25 mg tablet, 30!!!12759011000036103!Ramace 1.25 mg tablet, 30!!1!30!0.95!0.00!0.95!!
GE!1945J!AV!Ramace 2.5 mg!!21395011000036107!ramipril!!!27365011000036108!ramipril 2.5 mg tablet, 30!!!12789011000036106!Ramace 2.5 mg tablet, 30!!1!30!1.39!0.00!1.39!!
GE!1229Q!PF!Fragmin!!21450011000036103!dalteparin sodium!!!27585011000036109!dalteparin sodium 10 000 anti-Xa units/mL injection, 10 x 1 mL syringes!!!13166011000036101!Fragmin 10 000 anti-Xa units/mL injection, 10 x 1 mL syringes!!2!20!58.08!0.00!58.08!!
GE!1296F!PF!Fragmin!!21450011000036103!dalteparin sodium!!!933226021000036100!dalteparin sodium 12 500 anti-Xa units/0.5 mL injection, 10 x 0.5 mL syringes!!!933226011000036107!Fragmin 12 500 anti-Xa units/0.5 mL injection, 10 x 0.5 mL syringes!!2!20!81.92!0.00!81.92!!
GE!1921D!SW!Apidra SoloStar!!21731011000036104!insulin glulisine!!!26809011000036105!insulin glulisine 100 units/mL injection, 5 x 3 mL cartridges!!!67951000144100!Apidra Solostar 100 units/mL injection, 5 x 3 mL cartridges!!5!5!38.14!0.00!38.14!!
GE!2977Q!AL!Austrapen!!21671011000036106!ampicillin!!!28099011000036101!ampicillin 1 g injection, 5 vials!!!12288011000036107!Austrapen 1 g powder for injection, 5 vials!!1!5!5.71!0.00!5.71!!
GE!2964B!PF!DBL Cephalothin!!21844011000036103!cefalotin!!!27524011000036100!cefalotin 1 g injection, 10 vials!!!13055011000036108!Cephalothin (DBL) 1 g powder for injection, 10 vials!!1!10!13.46!0.00!13.46!!
GE!2750R!AF!E-Mycin!!21523011000036104!erythromycin ethylsuccinate!!!27690011000036109!erythromycin (as ethylsuccinate) 400 mg tablet, 25!!!13320011000036104!E-Mycin 400 mg tablet, 25!!1!25!4.56!0.00!4.56!!
GE!2234N!FP!Pentasa!!21351011000036101!mesalazine!!!927736011000036108!mesalazine 1 g modified release granules, 120 sachets!!!927628011000036102!Pentasa 1 g modified release granules, 120 sachets!!1!120!134.17!0.00!134.17!!
GE!2732T!AF!Alodorm!!21647011000036102!nitrazepam!!!27314011000036105!nitrazepam 5 mg tablet, 25!!!12724011000036100!Alodorm 5 mg tablet, 25!!2!50!1.50!0.00!1.50!!
GE!2723H!AF!Alodorm!!21647011000036102!nitrazepam!!!27314011000036105!nitrazepam 5 mg tablet, 25!!!12724011000036100!Alodorm 5 mg tablet, 25!!1!25!1.50!0.00!1.50!!
GE!1978D!SZ!Ranitidine Sandoz!!21682011000036109!ranitidine!!!28217011000036100!ranitidine 150 mg tablet, 60!!!923467011000036102!Ranitidine (Sandoz) 150 mg tablet, 60!!1!60!3.22!0.00!3.22!!0.00
GE!1977C!SZ!Ranitidine Sandoz!!21682011000036109!ranitidine!!!28218011000036104!ranitidine 300 mg tablet, 30!!!920451011000036104!Ranitidine (Sandoz) 300 mg tablet, 30!!1!30!3.22!0.00!3.22!!0.00
GE!2109B!AF!Genox 10!!21494011000036103!tamoxifen!!!27309011000036109!tamoxifen 10 mg tablet, 60!!!12340011000036108!Genox 10 mg tablet, 60!!1!60!8.33!0.00!8.33!!
GE!1946K!AV!Ramace 5 mg!!21395011000036107!ramipril!!!27366011000036101!ramipril 5 mg tablet, 30!!!12788011000036103!Ramace 5 mg tablet, 30!!1!30!1.74!0.00!1.74!!
GE!2816F!PF!Fragmin!!21450011000036103!dalteparin sodium!!!33797011000036105!dalteparin sodium 5000 anti-Xa units/0.2 mL injection, 10 x 0.2 mL syringes!!!33313011000036101!Fragmin 5000 anti-Xa units/0.2 mL injection, 10 x 0.2 mL syringes!!2!20!35.17!0.00!35.17!!
GE!2055E!AF!Carafate!!21909011000036102!sucralfate!!!27122011000036100!sucralfate 1 g tablet, 120!!!12064011000036109!Carafate 1 g tablet, 120!!1!120!14.50!0.00!14.50!!
GE!3301R!SZ!Amoxycillin Sandoz!!21415011000036100!amoxicillin!!!28236011000036109!amoxicillin 250 mg capsule, 20!!!74369011000036107!Amoxycillin (Sandoz) 250 mg capsule, 20!!1!20!1.37!0.00!1.37!!0.00
GE!5006L!CR!Clavam 875 mg/125 mg!!21360011000036101!amoxicillin + clavulanic acid!!!28152011000036108!amoxicillin 875 mg + clavulanic acid 125 mg tablet, 10!!!164041000036100!Clavam 875 mg/125 mg tablet, 10!!1!10!2.58!0.00!2.58!!0.00
GE!3314K!AL!Austrapen!!21671011000036106!ampicillin!!!28099011000036101!ampicillin 1 g injection, 5 vials!!!12288011000036107!Austrapen 1 g powder for injection, 5 vials!!1!5!5.71!0.00!5.71!!
GE!3317N!SZ!Cefalexin Sandoz!!21224011000036108!cefalexin!!!27863011000036109!cefalexin 250 mg capsule, 20!!!39304011000036103!Cefalexin (Sandoz) 250 mg capsule, 20!!1!20!1.59!0.00!1.59!!0.00
GE!3058Y!SZ!Cefalexin Sandoz!!21224011000036108!cefalexin!!!27863011000036109!cefalexin 250 mg capsule, 20!!!39304011000036103!Cefalexin (Sandoz) 250 mg capsule, 20!!1!20!1.59!0.00!1.59!!0.00
GE!3376Q!PF!DBL Cephalothin!!21844011000036103!cefalotin!!!27524011000036100!cefalotin 1 g injection, 10 vials!!!13055011000036108!Cephalothin (DBL) 1 g powder for injection, 10 vials!!1!10!13.46!0.00!13.46!!
GE!5077F!CR!Pharmacor Diclofenac 50!!21288011000036105!diclofenac!!!27885011000036108!diclofenac sodium 50 mg enteric tablet, 50!!!1059211000168101!Diclofenac (Pharmacor) 50 mg enteric tablet, 50!!1!50!1.91!0.00!1.91!!0.00
GE!3336N!AF!E-Mycin!!21523011000036104!erythromycin ethylsuccinate!!!27690011000036109!erythromycin (as ethylsuccinate) 400 mg tablet, 25!!!13320011000036104!E-Mycin 400 mg tablet, 25!!1!25!4.56!0.00!4.56!!
GE!5176K!AF!Inza 250!!21304011000036105!naproxen!!!27555011000036100!naproxen 250 mg tablet, 50!!!12361011000036105!Inza 250 mg tablet, 50!!2!100!4.42!0.00!4.42!!
GE!5177L!AF!Inza 500!!21304011000036105!naproxen!!!27554011000036104!naproxen 500 mg tablet, 50!!!12363011000036106!Inza 500 mg tablet, 50!!1!50!4.99!0.00!4.99!!
GE!5177L!IX!Naprosyn!!21304011000036105!naproxen!!!27554011000036104!naproxen 500 mg tablet, 50!!!13112011000036101!Naprosyn 500 mg tablet, 50!!1!50!4.99!0.00!4.99!!
GE!5189D!AF!Alodorm!!21647011000036102!nitrazepam!!!27314011000036105!nitrazepam 5 mg tablet, 25!!!12724011000036100!Alodorm 5 mg tablet, 25!!1!25!1.50!0.00!1.50!!
GE!5192G!AF!Alepam 15!!21541011000036102!oxazepam!!!32769011000036106!oxazepam 15 mg tablet, 25!!!32367011000036100!Alepam 15 mg tablet, 25!!1!25!1.32!0.00!1.32!!
GE!3134Y!AF!Alepam 15!!21541011000036102!oxazepam!!!32769011000036106!oxazepam 15 mg tablet, 25!!!32367011000036100!Alepam 15 mg tablet, 25!!2!50!1.32!0.00!1.32!!
GE!3132W!AF!Alepam 15!!21541011000036102!oxazepam!!!32769011000036106!oxazepam 15 mg tablet, 25!!!32367011000036100!Alepam 15 mg tablet, 25!!1!25!1.32!0.00!1.32!!
GE!5193H!AF!Alepam 30!!21541011000036102!oxazepam!!!32770011000036109!oxazepam 30 mg tablet, 25!!!32368011000036104!Alepam 30 mg tablet, 25!!1!25!1.00!0.00!1.00!!0.00
GE!3135B!AF!Alepam 30!!21541011000036102!oxazepam!!!32770011000036109!oxazepam 30 mg tablet, 25!!!32368011000036104!Alepam 30 mg tablet, 25!!2!50!1.00!0.00!1.00!!0.00
GE!3133X!AF!Alepam 30!!21541011000036102!oxazepam!!!32770011000036109!oxazepam 30 mg tablet, 25!!!32368011000036104!Alepam 30 mg tablet, 25!!1!25!1.00!0.00!1.00!!0.00
GE!5435C!WA!Enoxaparin Winthrop!!21553011000036103!enoxaparin sodium!!!27375011000036104!enoxaparin sodium 100 mg/mL injection, 10 x 1 mL syringes!!!1145821000168101!Enoxaparin (Winthrop) 100 mg/mL injection, 10 x 1 mL syringes!!2!20!69.27!0.00!69.27!!
GE!5435C!SW!Clexane!!21553011000036103!enoxaparin sodium!!!27375011000036104!enoxaparin sodium 100 mg/mL injection, 10 x 1 mL syringes!!!12818011000036104!Clexane 100 mg/mL injection, 10 x 1 mL syringes!!2!20!69.27!0.00!69.27!!
GE!5434B!WA!Enoxaparin Winthrop!!21553011000036103!enoxaparin sodium!!!27374011000036103!enoxaparin sodium 80 mg/0.8 mL injection, 10 x 0.8 mL syringes!!!1145501000168108!Enoxaparin (Winthrop) 80 mg/0.8 mL injection, 10 x 0.8 mL syringes!!2!20!56.87!0.00!56.87!!
GE!5434B!SW!Clexane!!21553011000036103!enoxaparin sodium!!!27374011000036103!enoxaparin sodium 80 mg/0.8 mL injection, 10 x 0.8 mL syringes!!!12817011000036100!Clexane 80 mg/0.8 mL injection, 10 x 0.8 mL syringes!!2!20!56.87!0.00!56.87!!
GE!5445N!PF!Fragmin!!21450011000036103!dalteparin sodium!!!933226021000036100!dalteparin sodium 12 500 anti-Xa units/0.5 mL injection, 10 x 0.5 mL syringes!!!933226011000036107!Fragmin 12 500 anti-Xa units/0.5 mL injection, 10 x 0.5 mL syringes!!1!10!81.92!0.00!81.92!!
GE!3169T!CR!Rispericor 1!!21338011000036109!risperidone!!!27153011000036108!risperidone 1 mg tablet, 60!!!924773011000036105!Rispericor 1 mg tablet, 60!!1!60!5.80!0.00!5.80!!
GE!3170W!CR!Rispericor 2!!21338011000036109!risperidone!!!27203011000036102!risperidone 2 mg tablet, 60!!!924771011000036109!Rispericor 2 mg tablet, 60!!1!60!13.27!0.00!13.27!!
GE!5232J!CR!Tramadol SCP!!21486011000036105!tramadol!!!28222011000036107!tramadol hydrochloride 50 mg capsule, 20!!!138741000036100!Tramadol Hydrochloride (SCP) 50 mg capsule, 20!!1!20!1.86!0.00!1.86!!0.00
GE!5231H!JO!Tramadol ACT!!21486011000036105!tramadol!!!27537011000036109!tramadol hydrochloride 100 mg/2 mL injection, 5 x 2 mL ampoules!!!175121000036100!Tramadol Hydrochloride (Act) 100 mg/2 mL injection, 5 x 2 mL ampoules!!1!5!2.65!0.00!2.65!!
GE!3401B!CR!Pharmacor Esomeprazole!!21697011000036107!esomeprazole!!!27739011000036103!esomeprazole 40 mg enteric tablet, 30!!!1026621000168100!Esomeprazole (Pharmacor) 40 mg enteric tablet, 30!!1!30!9.97!0.00!9.97!!0.00
GE!5284D!VE!Humira!!21584011000036107!adalimumab!!!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!!729831000168106!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!1!2!818.54!0.00!818.54!!
GE!5282B!VE!Humira!!21584011000036107!adalimumab!!!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!!729831000168106!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!1!2!818.54!0.00!818.54!!
GE!5283C!VE!Humira!!21584011000036107!adalimumab!!!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!!14128011000036107!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!1!2!818.54!0.00!818.54!!
GE!5281Y!VE!Humira!!21584011000036107!adalimumab!!!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!!14128011000036107!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!1!2!818.54!0.00!818.54!!
GE!8254K!CR!Clavam 875 mg/125 mg!!21360011000036101!amoxicillin + clavulanic acid!!!28152011000036108!amoxicillin 875 mg + clavulanic acid 125 mg tablet, 10!!!164041000036100!Clavam 875 mg/125 mg tablet, 10!!1!10!2.58!0.00!2.58!!0.00
GE!8270G!LY!Prozac Tab!!21411011000036102!fluoxetine!!!844321000168102!fluoxetine 20 mg tablet, 28!!!844331000168104!Prozac 20 mg tablet, 28!!1!28!3.45!0.00!4.55!!
GE!8470T!AV!Ramace 10 mg!!21395011000036107!ramipril!!!27886011000036101!ramipril 10 mg capsule, 30!!!13689011000036109!Ramace 10 mg capsule, 30!!1!30!3.07!0.00!3.07!!
GE!8264Y!WA!Enoxaparin Winthrop!!21553011000036103!enoxaparin sodium!!!27375011000036104!enoxaparin sodium 100 mg/mL injection, 10 x 1 mL syringes!!!1145821000168101!Enoxaparin (Winthrop) 100 mg/mL injection, 10 x 1 mL syringes!!1!10!69.27!0.00!69.27!!
GE!8264Y!SW!Clexane!!21553011000036103!enoxaparin sodium!!!27375011000036104!enoxaparin sodium 100 mg/mL injection, 10 x 1 mL syringes!!!12818011000036104!Clexane 100 mg/mL injection, 10 x 1 mL syringes!!1!10!69.27!0.00!69.27!!
GE!8262W!WA!Enoxaparin Winthrop!!21553011000036103!enoxaparin sodium!!!27373011000036100!enoxaparin sodium 60 mg/0.6 mL injection, 10 x 0.6 mL syringes!!!1145591000168102!Enoxaparin (Winthrop) 60 mg/0.6 mL injection, 10 x 0.6 mL syringes!!1!10!49.43!0.00!49.43!!
GE!8262W!SW!Clexane!!21553011000036103!enoxaparin sodium!!!27373011000036100!enoxaparin sodium 60 mg/0.6 mL injection, 10 x 0.6 mL syringes!!!12816011000036103!Clexane 60 mg/0.6 mL injection, 10 x 0.6 mL syringes!!1!10!49.43!0.00!49.43!!
GE!8263X!SW!Clexane!!21553011000036103!enoxaparin sodium!!!27374011000036103!enoxaparin sodium 80 mg/0.8 mL injection, 10 x 0.8 mL syringes!!!12817011000036100!Clexane 80 mg/0.8 mL injection, 10 x 0.8 mL syringes!!1!10!56.87!0.00!56.87!!
GE!8263X!WA!Enoxaparin Winthrop!!21553011000036103!enoxaparin sodium!!!27374011000036103!enoxaparin sodium 80 mg/0.8 mL injection, 10 x 0.8 mL syringes!!!1145501000168108!Enoxaparin (Winthrop) 80 mg/0.8 mL injection, 10 x 0.8 mL syringes!!1!10!56.87!0.00!56.87!!
GE!8269F!PF!Fragmin!!21450011000036103!dalteparin sodium!!!27585011000036109!dalteparin sodium 10 000 anti-Xa units/mL injection, 10 x 1 mL syringes!!!13166011000036101!Fragmin 10 000 anti-Xa units/mL injection, 10 x 1 mL syringes!!1!10!58.08!0.00!58.08!!
GE!8271H!PF!Fragmin!!21450011000036103!dalteparin sodium!!!27584011000036105!dalteparin sodium 7500 anti-Xa units/0.75 mL injection, 10 x 0.75 mL syringes!!!13165011000036108!Fragmin 7500 anti-Xa units/0.75 mL injection, 10 x 0.75 mL syringes!!1!10!42.55!0.00!42.55!!
GE!8002E!CR!Famciclovir SCP 250!!21221011000036105!famciclovir!!!27248011000036102!famciclovir 250 mg tablet, 21!!!144781000036100!Famciclovir (SCP) 250 mg tablet, 21!!1!21!21.22!0.00!21.22!!
GE!8217L!CR!Famciclovir SCP 250!!21221011000036105!famciclovir!!!27249011000036105!famciclovir 250 mg tablet, 56!!!144791000036103!Famciclovir (SCP) 250 mg tablet, 56!!1!56!56.59!0.00!56.59!!
GE!8302Y!SZ!Venlafaxine Sandoz XR!!21313011000036105!venlafaxine!!!27471011000036106!venlafaxine 150 mg modified release capsule, 28!!!6601000036109!Venlafaxine XR (Sandoz) 150 mg modified release capsule, 28!!1!28!4.08!0.00!4.08!!
GE!8301X!SZ!Venlafaxine Sandoz XR!!21313011000036105!venlafaxine!!!27470011000036104!venlafaxine 75 mg modified release capsule, 28!!!6631000036102!Venlafaxine XR (Sandoz) 75 mg modified release capsule, 28!!1!28!3.35!0.00!3.35!!
GE!8212F!KP!Humalog KwikPen!!21851011000036103!insulin lispro!!!27297011000036108!insulin lispro 100 units/mL injection, 5 x 3 mL cartridges!!!136611000144109!Humalog KwikPen Injections (human analogue) 100 units per mL, 3 mL, 5, 1!!5!5!36.23!0.00!36.23!!
GE!8460G!TB!Androderm!!21290011000036109!testosterone!!!27488011000036107!testosterone 2.5 mg/24 hours patch, 60!!!12991011000036100!Androderm 2.5 mg/24 hours patch, 60!!1!1!61.41!0.00!61.41!!
GE!8189B!BN!Glucobay 100!!21888011000036104!acarbose!!!27111011000036104!acarbose 100 mg tablet, 90!!!12421011000036106!Glucobay 100 mg tablet, 90!!1!90!21.96!0.00!24.10!!
GE!8350L!JO!Tirofiban AC!!21609011000036103!tirofiban!!!27553011000036101!tirofiban 12.5 mg/50 mL injection, 50 mL vial!!!330901000144108!Tirofiban (AC) 12.5 mg/50 mL injection: concentrated, 1 x 50 mL vial!!1!1!182.50!0.00!182.50!!
GE!8363E!EL!Evifyne!!21492011000036107!raloxifene!!!27548011000036109!raloxifene hydrochloride 60 mg tablet, 28!!!150251000036106!Evifyne 60 mg tablet, 28!!1!28!19.12!0.00!19.12!!0.00
GE!8380C!JO!Temozolomide Amneal!!21595011000036105!temozolomide!!!27644011000036106!temozolomide 100 mg capsule, 5!!!850351000168102!Temozolomide (Amneal) 100 mg capsule, 5!!1!5!106.65!0.00!106.65!!
GE!8390N!KP!Humalog Mix25 KwikPen!!21622011000036101!insulin lispro + insulin lispro protamine!!!27656011000036101!insulin lispro 25 units/mL + insulin lispro protamine 75 units/mL injection, 5 x 3 mL cartridges!!!146601000144108!Humalog Mix25 KwikPen Injections (human analogue) 100 units (25 units-75 units) per mL, 3 mL, 5, 1!!5!5!36.23!0.00!36.23!!
GE!8435Y!NF!NovoRapid FlexPen!!21699011000036100!insulin aspart!!!27822011000036108!insulin aspart 100 units/mL injection, 5 x 3 mL cartridges!!!147531000144100!Novorapid Flexpen 100 units/mL injection, 5 x 3 mL cartridges!!5!5!36.23!0.00!36.23!!
GE!8455B!CR!Tramadol SCP!!21486011000036105!tramadol!!!28222011000036107!tramadol hydrochloride 50 mg capsule, 20!!!138741000036100!Tramadol Hydrochloride (SCP) 50 mg capsule, 20!!1!20!1.86!0.00!1.86!!0.00
GE!8333N!CR!Pharmacor Omeprazole!!21676011000036101!omeprazole!!!27602011000036106!omeprazole 20 mg enteric tablet, 30!!!1058571000168101!Omeprazole (Pharmacor) 20 mg enteric tablet, 30!!1!30!4.12!0.00!4.12!!0.00
GE!8331L!CR!Pharmacor Omeprazole!!21676011000036101!omeprazole!!!27602011000036106!omeprazole 20 mg enteric tablet, 30!!!1058571000168101!Omeprazole (Pharmacor) 20 mg enteric tablet, 30!!1!30!4.12!0.00!4.12!!0.00
GE!8610E!BN!Adalat Oros 20mg!!21241011000036108!nifedipine!!!27452011000036102!nifedipine 20 mg modified release tablet, 30!!!12937011000036102!Adalat Oros 20 mg modified release tablet, 30!!1!30!5.93!0.00!5.93!!
GE!8640R!WA!Enoxaparin Winthrop!!21553011000036103!enoxaparin sodium!!!27373011000036100!enoxaparin sodium 60 mg/0.6 mL injection, 10 x 0.6 mL syringes!!!1145591000168102!Enoxaparin (Winthrop) 60 mg/0.6 mL injection, 10 x 0.6 mL syringes!!2!20!49.43!0.00!49.43!!
GE!8640R!SW!Clexane!!21553011000036103!enoxaparin sodium!!!27373011000036100!enoxaparin sodium 60 mg/0.6 mL injection, 10 x 0.6 mL syringes!!!12816011000036103!Clexane 60 mg/0.6 mL injection, 10 x 0.6 mL syringes!!2!20!49.43!0.00!49.43!!
GE!8957K!PF!Fragmin!!21450011000036103!dalteparin sodium!!!27585011000036109!dalteparin sodium 10 000 anti-Xa units/mL injection, 10 x 1 mL syringes!!!13166011000036101!Fragmin 10 000 anti-Xa units/mL injection, 10 x 1 mL syringes!!3!30!58.08!0.00!58.08!!
GE!8958L!PF!Fragmin!!21450011000036103!dalteparin sodium!!!933226021000036100!dalteparin sodium 12 500 anti-Xa units/0.5 mL injection, 10 x 0.5 mL syringes!!!933226011000036107!Fragmin 12 500 anti-Xa units/0.5 mL injection, 10 x 0.5 mL syringes!!3!30!81.92!0.00!81.92!!
GE!8959M!PF!Fragmin!!21450011000036103!dalteparin sodium!!!46801000036102!dalteparin sodium 15 000 anti-Xa units/0.6 mL injection, 10 x 0.6 mL syringes!!!46791000036101!Fragmin 15 000 anti-Xa units/0.6 mL injection, 10 x 0.6 mL syringes!!3!30!98.29!0.00!98.29!!
GE!8960N!PF!Fragmin!!21450011000036103!dalteparin sodium!!!46781000036103!dalteparin sodium 18 000 anti-Xa units/0.72 mL injection, 10 x 0.72 mL syringes!!!46771000036100!Fragmin 18 000 anti-Xa units/0.72 mL injection, 10 x 0.72 mL syringes!!3!30!117.96!0.00!117.96!!
GE!8641T!PF!Fragmin!!21450011000036103!dalteparin sodium!!!33796011000036107!dalteparin sodium 2500 anti-Xa units/0.2 mL injection, 10 x 0.2 mL syringes!!!33312011000036108!Fragmin 2500 anti-Xa units/0.2 mL injection, 10 x 0.2 mL syringes!!2!20!33.76!0.00!33.76!!
GE!8603T!PF!Fragmin!!21450011000036103!dalteparin sodium!!!33796011000036107!dalteparin sodium 2500 anti-Xa units/0.2 mL injection, 10 x 0.2 mL syringes!!!33312011000036108!Fragmin 2500 anti-Xa units/0.2 mL injection, 10 x 0.2 mL syringes!!2!20!33.76!0.00!33.76!!
GE!8642W!PF!Fragmin!!21450011000036103!dalteparin sodium!!!33797011000036105!dalteparin sodium 5000 anti-Xa units/0.2 mL injection, 10 x 0.2 mL syringes!!!33313011000036101!Fragmin 5000 anti-Xa units/0.2 mL injection, 10 x 0.2 mL syringes!!2!20!35.17!0.00!35.17!!
GE!8956J!PF!Fragmin!!21450011000036103!dalteparin sodium!!!27584011000036105!dalteparin sodium 7500 anti-Xa units/0.75 mL injection, 10 x 0.75 mL syringes!!!13165011000036108!Fragmin 7500 anti-Xa units/0.75 mL injection, 10 x 0.75 mL syringes!!3!30!42.55!0.00!42.55!!
GE!8643X!PF!Fragmin!!21450011000036103!dalteparin sodium!!!27584011000036105!dalteparin sodium 7500 anti-Xa units/0.75 mL injection, 10 x 0.75 mL syringes!!!13165011000036108!Fragmin 7500 anti-Xa units/0.75 mL injection, 10 x 0.75 mL syringes!!2!20!42.55!0.00!42.55!!
GE!8869T!CR!Rispericor 0.5!!21338011000036109!risperidone!!!51485011000036105!risperidone 500 microgram tablet, 60!!!924781011000036101!Rispericor-0.5 500 microgram tablet, 60!!1!60!6.63!0.00!6.63!!
GE!8787L!CR!Rispericor 0.5!!21338011000036109!risperidone!!!51485011000036105!risperidone 500 microgram tablet, 60!!!924781011000036101!Rispericor-0.5 500 microgram tablet, 60!!1!60!6.63!0.00!6.63!!
GE!8789N!CR!Rispericor 1!!21338011000036109!risperidone!!!27153011000036108!risperidone 1 mg tablet, 60!!!924773011000036105!Rispericor 1 mg tablet, 60!!1!60!5.80!0.00!5.80!!
GE!8821G!JO!Temozolomide Amneal!!21595011000036105!temozolomide!!!27644011000036106!temozolomide 100 mg capsule, 5!!!850351000168102!Temozolomide (Amneal) 100 mg capsule, 5!!3!15!106.65!0.00!106.65!!
GE!8874C!KP!Humalog Mix50 KwikPen!!21622011000036101!insulin lispro + insulin lispro protamine!!!27657011000036103!insulin lispro 50 units/mL + insulin lispro protamine 50 units/mL injection, 5 x 3 mL cartridges!!!146621000144104!Humalog Mix50 KwikPen Injections (human analogue) 100 units (50 units-50 units) per mL, 3 mL, 5, 1!!5!5!36.23!0.00!36.23!!
GE!8582Q!JO!Tramadol ACT!!21486011000036105!tramadol!!!27537011000036109!tramadol hydrochloride 100 mg/2 mL injection, 5 x 2 mL ampoules!!!175121000036100!Tramadol Hydrochloride (Act) 100 mg/2 mL injection, 5 x 2 mL ampoules!!1!5!2.65!0.00!2.65!!
GE!8496E!CR!Pharmacor Donepezil 10!!21256011000036101!donepezil!!!27456011000036103!donepezil hydrochloride 10 mg tablet, 28!!!120301000036102!Donepezil Hydrochloride (Pharmacor) 10 mg tablet, 28!!1!28!9.36!0.00!9.36!!0.00
GE!8594H!CR!Pharmacor Amisulpride!!21522011000036106!amisulpride!!!28187011000036104!amisulpride 100 mg tablet, 30!!!1045221000168108!Amisulpride (Pharmacor) 100 mg tablet, 30!!1!30!6.47!0.00!6.47!!
GE!8594H!SZ!Amisulpride Sandoz!!21522011000036106!amisulpride!!!28187011000036104!amisulpride 100 mg tablet, 30!!!11871011000036101!Amisulpride (Sandoz) 100 mg tablet, 30!!1!30!6.47!0.00!6.47!!
GE!8595J!SZ!Amisulpride Sandoz!!21522011000036106!amisulpride!!!28188011000036103!amisulpride 200 mg tablet, 60!!!11872011000036107!Amisulpride (Sandoz) 200 mg tablet, 60!!1!60!27.89!0.00!27.89!!
GE!8595J!CR!Pharmacor Amisulpride!!21522011000036106!amisulpride!!!28188011000036103!amisulpride 200 mg tablet, 60!!!1045171000168103!Amisulpride (Pharmacor) 200 mg tablet, 60!!1!60!27.89!0.00!27.89!!
GE!8596K!CR!Pharmacor Amisulpride!!21522011000036106!amisulpride!!!27752011000036109!amisulpride 400 mg tablet, 60!!!1045451000168104!Amisulpride (Pharmacor) 400 mg tablet, 60!!1!60!50.57!0.00!50.57!!
GE!8596K!SZ!Amisulpride Sandoz!!21522011000036106!amisulpride!!!27752011000036109!amisulpride 400 mg tablet, 60!!!11873011000036100!Amisulpride (Sandoz) 400 mg tablet, 60!!1!60!50.57!0.00!50.57!!
GE!8886Q!CR!Pharmacor Esomeprazole!!21697011000036107!esomeprazole!!!27738011000036106!esomeprazole 20 mg enteric tablet, 30!!!1027151000168101!Esomeprazole (Pharmacor) 20 mg enteric tablet, 30!!1!30!5.87!0.00!5.87!!0.00
GE!8600P!CR!Pharmacor Esomeprazole!!21697011000036107!esomeprazole!!!27738011000036106!esomeprazole 20 mg enteric tablet, 30!!!1027151000168101!Esomeprazole (Pharmacor) 20 mg enteric tablet, 30!!1!30!5.87!0.00!5.87!!0.00
GE!8601Q!CR!Pharmacor Esomeprazole!!21697011000036107!esomeprazole!!!27739011000036103!esomeprazole 40 mg enteric tablet, 30!!!1026621000168100!Esomeprazole (Pharmacor) 40 mg enteric tablet, 30!!1!30!9.97!0.00!9.97!!0.00
GE!8609D!NF!NovoMix 30 FlexPen!!21276011000036104!insulin aspart + insulin aspart protamine!!!27966011000036108!insulin aspart 30 units/mL + insulin aspart protamine 70 units/mL injection, 5 x 3 mL cartridges!!!62331000144105!Novomix 30 Flexpen injection suspension, 5 x 3 mL syringes!!5!5!36.23!0.00!36.23!!
GE!8612G!AE!lax-sachets!!32631011000036109!macrogol-3350 + sodium chloride + bicarbonate + potassium chloride!!!669081000168100!macrogol-3350 13.125 g + sodium chloride 350.7 mg + sodium bicarbonate 178.5 mg + potassium chloride 46.6 mg powder for oral liquid, 30 sachets!!!674291000168101!Lax-Sachets powder for oral liquid, 30 sachets!!1!1!7.04!0.00!7.04!!
GE!8694N!SZ!Pioglitazone Sandoz!!21416011000036107!pioglitazone!!!27806011000036102!pioglitazone 15 mg tablet, 28!!!930693011000036105!Pioglitazone (Sandoz) 15 mg tablet, 28!!1!28!7.22!0.00!7.22!!
GE!8700X!SZ!Esitalo!!21534011000036100!escitalopram!!!28071011000036107!escitalopram 10 mg tablet, 28!!!74291011000036102!Esitalo 10 mg tablet, 28!!1!28!1.95!0.00!1.95!!0.00
GE!8700X!CR!Pharmacor Escitalopram 10!!21534011000036100!escitalopram!!!28071011000036107!escitalopram 10 mg tablet, 28!!!929523011000036106!Escitalopram (Pharmacor) 10 mg tablet, 28!!1!28!1.95!0.00!1.95!!0.00
GE!8701Y!SZ!Esitalo!!21534011000036100!escitalopram!!!28072011000036101!escitalopram 20 mg tablet, 28!!!74292011000036108!Esitalo 20 mg tablet, 28!!1!28!1.97!0.00!1.97!!0.00
GE!8701Y!CR!Pharmacor Escitalopram 20!!21534011000036100!escitalopram!!!28072011000036101!escitalopram 20 mg tablet, 28!!!929524011000036108!Escitalopram (Pharmacor) 20 mg tablet, 28!!1!28!1.97!0.00!1.97!!0.00
GE!8741C!VE!Humira!!21584011000036107!adalimumab!!!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!!14128011000036107!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!1!2!818.54!0.00!818.54!!
GE!8737W!VE!Humira!!21584011000036107!adalimumab!!!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!!14128011000036107!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!1!2!818.54!0.00!818.54!!
GE!8838E!AL!Glucovance 250mg/1.25mg!!21813011000036107!metformin + glibenclamide!!!28195011000036108!metformin hydrochloride 250 mg + glibenclamide 1.25 mg tablet, 90!!!14179011000036100!Glucovance 250/1.25 tablet, 90!!1!90!5.24!0.00!5.24!!
GE!8810Q!AL!Glucovance 500mg/2.5mg!!21813011000036107!metformin + glibenclamide!!!28196011000036101!metformin hydrochloride 500 mg + glibenclamide 2.5 mg tablet, 90!!!14180011000036100!Glucovance 500/2.5 tablet, 90!!1!90!5.90!0.00!5.90!!
GE!8811R!AL!Glucovance 500mg/5mg!!21813011000036107!metformin + glibenclamide!!!28197011000036103!metformin hydrochloride 500 mg + glibenclamide 5 mg tablet, 90!!!14181011000036107!Glucovance 500/5 tablet, 90!!1!90!6.82!0.00!6.82!!
GE!8639Q!WA!Enoxaparin Winthrop!!21553011000036103!enoxaparin sodium!!!33799011000036103!enoxaparin sodium 40 mg/0.4 mL injection, 10 x 0.4 mL syringes!!!1145661000168105!Enoxaparin (Winthrop) 40 mg/0.4 mL injection, 10 x 0.4 mL syringes!!2!20!34.56!0.00!34.56!!
GE!8639Q!SW!Clexane!!21553011000036103!enoxaparin sodium!!!33799011000036103!enoxaparin sodium 40 mg/0.4 mL injection, 10 x 0.4 mL syringes!!!33318011000036106!Clexane 40 mg/0.4 mL injection, 10 x 0.4 mL syringes!!2!20!34.56!0.00!34.56!!
GE!8510X!WA!Enoxaparin Winthrop!!21553011000036103!enoxaparin sodium!!!33799011000036103!enoxaparin sodium 40 mg/0.4 mL injection, 10 x 0.4 mL syringes!!!1145661000168105!Enoxaparin (Winthrop) 40 mg/0.4 mL injection, 10 x 0.4 mL syringes!!2!20!34.56!0.00!34.56!!
GE!8510X!SW!Clexane!!21553011000036103!enoxaparin sodium!!!33799011000036103!enoxaparin sodium 40 mg/0.4 mL injection, 10 x 0.4 mL syringes!!!33318011000036106!Clexane 40 mg/0.4 mL injection, 10 x 0.4 mL syringes!!2!20!34.56!0.00!34.56!!
GE!8716R!SW!Clexane!!21553011000036103!enoxaparin sodium!!!33800011000036109!enoxaparin sodium 20 mg/0.2 mL injection, 10 x 0.2 mL syringes!!!33319011000036103!Clexane 20 mg/0.2 mL injection, 10 x 0.2 mL syringes!!2!20!33.16!0.00!33.16!!
GE!8716R!WA!Enoxaparin Winthrop!!21553011000036103!enoxaparin sodium!!!33800011000036109!enoxaparin sodium 20 mg/0.2 mL injection, 10 x 0.2 mL syringes!!!1145731000168105!Enoxaparin (Winthrop) 20 mg/0.2 mL injection, 10 x 0.2 mL syringes!!2!20!33.16!0.00!33.16!!
GE!8558K!WA!Enoxaparin Winthrop!!21553011000036103!enoxaparin sodium!!!33800011000036109!enoxaparin sodium 20 mg/0.2 mL injection, 10 x 0.2 mL syringes!!!1145731000168105!Enoxaparin (Winthrop) 20 mg/0.2 mL injection, 10 x 0.2 mL syringes!!2!20!33.16!0.00!33.16!!
GE!8558K!SW!Clexane!!21553011000036103!enoxaparin sodium!!!33800011000036109!enoxaparin sodium 20 mg/0.2 mL injection, 10 x 0.2 mL syringes!!!33319011000036103!Clexane 20 mg/0.2 mL injection, 10 x 0.2 mL syringes!!2!20!33.16!0.00!33.16!!
GE!8752P!FP!Pentasa!!21351011000036101!mesalazine!!!924190011000036104!mesalazine 1 g suppository, 30!!!933226531000036105!Pentasa 1 g suppository, 30!!1!30!89.26!0.00!89.26!!
GE!9041W!PF!Leucovorin Calcium (Hospira Pty Limited)!!21617011000036108!folinic acid!!!26684011000036102!folinic acid 300 mg/30 mL injection, 30 mL vial!!!920361011000036101!Leucovorin Calcium (DBL) 300 mg/30 mL injection, 30 mL vial!!4!4!10.53!0.00!10.53!!
GE!9025B!JT!Nizoral 1%!!21500011000036103!ketoconazole!!!72441000036101!ketoconazole 1% shampoo, 100 mL!!!72431000036106!Nizoral 1% shampoo, 100 mL!!1!1!7.84!0.00!7.84!!
GE!9079W!CR!Rispericor 2!!21338011000036109!risperidone!!!27203011000036102!risperidone 2 mg tablet, 60!!!924771011000036109!Rispericor 2 mg tablet, 60!!1!60!13.27!0.00!13.27!!
GE!9191R!VE!Humira!!21584011000036107!adalimumab!!!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!!729831000168106!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!1!2!818.54!0.00!818.54!!
GE!9190Q!VE!Humira!!21584011000036107!adalimumab!!!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!!729831000168106!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!1!2!818.54!0.00!818.54!!
GE!9104E!VE!Humira!!21584011000036107!adalimumab!!!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!!729831000168106!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!1!2!818.54!0.00!818.54!!
GE!9103D!VE!Humira!!21584011000036107!adalimumab!!!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!!729831000168106!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!1!2!818.54!0.00!818.54!!
GE!9102C!VE!Humira!!21584011000036107!adalimumab!!!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!!729831000168106!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!1!2!818.54!0.00!818.54!!
GE!9101B!VE!Humira!!21584011000036107!adalimumab!!!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!!729831000168106!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!1!2!818.54!0.00!818.54!!
GE!9100Y!VE!Humira!!21584011000036107!adalimumab!!!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!!729831000168106!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!1!2!818.54!0.00!818.54!!
GE!9099X!VE!Humira!!21584011000036107!adalimumab!!!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!!729831000168106!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!1!2!818.54!0.00!818.54!!
GE!8966X!VE!Humira!!21584011000036107!adalimumab!!!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!!729831000168106!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!1!2!818.54!0.00!818.54!!
GE!8965W!VE!Humira!!21584011000036107!adalimumab!!!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!!729831000168106!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!1!2!818.54!0.00!818.54!!
GE!9187M!VE!Humira!!21584011000036107!adalimumab!!!729851000168100!adalimumab 40 mg/0.8 mL injection, 6 x 0.8 mL pen devices!!!729861000168103!Humira 40 mg/0.8 mL injection, 6 x 0.8 mL pen devices!!1!6!2455.62!0.00!2455.62!!
GE!8962Q!VE!Humira!!21584011000036107!adalimumab!!!729851000168100!adalimumab 40 mg/0.8 mL injection, 6 x 0.8 mL pen devices!!!729861000168103!Humira 40 mg/0.8 mL injection, 6 x 0.8 mL pen devices!!1!6!2455.62!0.00!2455.62!!
GE!9189P!VE!Humira!!21584011000036107!adalimumab!!!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!!14128011000036107!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!1!2!818.54!0.00!818.54!!
GE!9188N!VE!Humira!!21584011000036107!adalimumab!!!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!!14128011000036107!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!1!2!818.54!0.00!818.54!!
GE!9078T!VE!Humira!!21584011000036107!adalimumab!!!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!!14128011000036107!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!1!2!818.54!0.00!818.54!!
GE!9077R!VE!Humira!!21584011000036107!adalimumab!!!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!!14128011000036107!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!1!2!818.54!0.00!818.54!!
GE!9034L!VE!Humira!!21584011000036107!adalimumab!!!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!!14128011000036107!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!1!2!818.54!0.00!818.54!!
GE!9033K!VE!Humira!!21584011000036107!adalimumab!!!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!!14128011000036107!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!1!2!818.54!0.00!818.54!!
GE!8964T!VE!Humira!!21584011000036107!adalimumab!!!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!!14128011000036107!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!1!2!818.54!0.00!818.54!!
GE!8963R!VE!Humira!!21584011000036107!adalimumab!!!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!!14128011000036107!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!1!2!818.54!0.00!818.54!!
GE!9186L!VE!Humira!!21584011000036107!adalimumab!!!85196011000036102!adalimumab 40 mg/0.8 mL injection, 6 x 0.8 mL syringes!!!84929011000036106!Humira 40 mg/0.8 mL injection, 6 x 0.8 mL syringes!!1!6!2455.62!0.00!2455.62!!
GE!8961P!VE!Humira!!21584011000036107!adalimumab!!!85196011000036102!adalimumab 40 mg/0.8 mL injection, 6 x 0.8 mL syringes!!!84929011000036106!Humira 40 mg/0.8 mL injection, 6 x 0.8 mL syringes!!1!6!2455.62!0.00!2455.62!!
GE!9040T!NF!Levemir FlexPen!!21764011000036105!insulin detemir!!!28156011000036107!insulin detemir 100 units/mL injection, 5 x 3 mL cartridges!!!66911000144102!Levemir Flexpen 100 units/mL injection, 5 x 3 mL cartridges!!5!5!61.61!0.00!61.61!!
GE!9039R!WA!Optisulin SoloStar!!21815011000036108!insulin glargine!!!27848011000036108!insulin glargine 100 units/mL injection, 5 x 3 mL cartridges!!!446081000144109!Optisulin Solostar 100 units/mL injection, 5 x 3 mL cartridges!!5!5!31.71!0.00!31.71!!
GE!9296G!SZ!Clopidogrel/Aspirin Sandoz 75/100!!82432011000036105!clopidogrel + aspirin!!!82549011000036107!clopidogrel 75 mg + aspirin 100 mg tablet, 30!!!719121000168105!Clopidogrel/Aspirin 75/100 (Sandoz) tablet, 30!!1!30!4.07!0.00!4.07!!
GE!9286R!BZ!Dibenzyline!!21893011000036108!phenoxybenzamine!!!26799011000036105!phenoxybenzamine hydrochloride 10 mg capsule, 100!!!52078011000036104!Dibenzyline 10 mg capsule, 100!!1!100!847.64!0.00!847.64!!
GE!2655R!SZ!Cefalexin Sandoz!!21224011000036108!cefalexin!!!27863011000036109!cefalexin 250 mg capsule, 20!!!39304011000036103!Cefalexin (Sandoz) 250 mg capsule, 20!!2!40!1.59!0.00!1.59!!0.00
GE!9435N!AF!Diaformin XR!!21614011000036102!metformin!!!71365011000036100!metformin hydrochloride 500 mg modified release tablet, 120!!!66655011000036102!Diaformin XR 500 mg modified release tablet, 120!!1!120!4.01!0.00!4.01!!0.00
GE!2479L!CR!Pharmacor Donepezil 10!!21256011000036101!donepezil!!!27456011000036103!donepezil hydrochloride 10 mg tablet, 28!!!120301000036102!Donepezil Hydrochloride (Pharmacor) 10 mg tablet, 28!!1!28!9.36!0.00!9.36!!0.00
GE!10955N!VE!Humira!!21584011000036107!adalimumab!!!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!!729831000168106!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!1!2!818.54!0.00!818.54!!
GE!9428F!VE!Humira!!21584011000036107!adalimumab!!!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!!729831000168106!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!1!2!818.54!0.00!818.54!!
GE!9426D!VE!Humira!!21584011000036107!adalimumab!!!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!!729831000168106!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!1!2!818.54!0.00!818.54!!
GE!10945C!VE!Humira!!21584011000036107!adalimumab!!!729851000168100!adalimumab 40 mg/0.8 mL injection, 6 x 0.8 mL pen devices!!!729861000168103!Humira 40 mg/0.8 mL injection, 6 x 0.8 mL pen devices!!1!6!2455.62!0.00!2455.62!!
GE!10944B!VE!Humira!!21584011000036107!adalimumab!!!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!!14128011000036107!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!1!2!818.54!0.00!818.54!!
GE!9427E!VE!Humira!!21584011000036107!adalimumab!!!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!!14128011000036107!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!1!2!818.54!0.00!818.54!!
GE!9425C!VE!Humira!!21584011000036107!adalimumab!!!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!!14128011000036107!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!1!2!818.54!0.00!818.54!!
GE!10972L!VE!Humira!!21584011000036107!adalimumab!!!85196011000036102!adalimumab 40 mg/0.8 mL injection, 6 x 0.8 mL syringes!!!84929011000036106!Humira 40 mg/0.8 mL injection, 6 x 0.8 mL syringes!!1!6!2455.62!0.00!2455.62!!
GE!10062N!JU!Temolide!!21595011000036105!temozolomide!!!76851000036100!temozolomide 180 mg capsule, 5!!!919161000168106!Temolide 180 mg capsule, 5!!3!15!178.11!0.00!178.11!!
GE!2438H!JU!Temolide!!21595011000036105!temozolomide!!!76851000036100!temozolomide 180 mg capsule, 5!!!919161000168106!Temolide 180 mg capsule, 5!!1!5!178.11!0.00!178.11!!
GE!10789W!AF!E-Mycin!!21523011000036104!erythromycin ethylsuccinate!!!27690011000036109!erythromycin (as ethylsuccinate) 400 mg tablet, 25!!!13320011000036104!E-Mycin 400 mg tablet, 25!!2!50!4.56!0.00!4.56!!
GE!10422M!VE!Humira!!21584011000036107!adalimumab!!!922559011000036102!adalimumab 20 mg/0.4 mL injection, 2 x 0.4 mL syringes!!!921429011000036109!Humira 20 mg/0.4 mL injection, 2 x 0.4 mL syringes!!1!2!818.54!0.00!818.54!!
GE!10396E!VE!Humira!!21584011000036107!adalimumab!!!922559011000036102!adalimumab 20 mg/0.4 mL injection, 2 x 0.4 mL syringes!!!921429011000036109!Humira 20 mg/0.4 mL injection, 2 x 0.4 mL syringes!!1!2!818.54!0.00!818.54!!
GE!10389T!VE!Humira!!21584011000036107!adalimumab!!!922559011000036102!adalimumab 20 mg/0.4 mL injection, 2 x 0.4 mL syringes!!!921429011000036109!Humira 20 mg/0.4 mL injection, 2 x 0.4 mL syringes!!1!2!818.54!0.00!818.54!!
GE!10400J!VE!Humira!!21584011000036107!adalimumab!!!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!!729831000168106!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!1!2!818.54!0.00!818.54!!
GE!10961X!VE!Humira!!21584011000036107!adalimumab!!!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!!729831000168106!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!1!2!818.54!0.00!818.54!!
GE!10420K!VE!Humira!!21584011000036107!adalimumab!!!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!!729831000168106!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!1!2!818.54!0.00!818.54!!
GE!10413C!VE!Humira!!21584011000036107!adalimumab!!!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!!729831000168106!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!1!2!818.54!0.00!818.54!!
GE!10397F!VE!Humira!!21584011000036107!adalimumab!!!729851000168100!adalimumab 40 mg/0.8 mL injection, 6 x 0.8 mL pen devices!!!729861000168103!Humira 40 mg/0.8 mL injection, 6 x 0.8 mL pen devices!!1!6!2455.62!0.00!2455.62!!
GE!10399H!VE!Humira!!21584011000036107!adalimumab!!!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!!14128011000036107!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!1!2!818.54!0.00!818.54!!
GE!10960W!VE!Humira!!21584011000036107!adalimumab!!!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!!14128011000036107!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!1!2!818.54!0.00!818.54!!
GE!10412B!VE!Humira!!21584011000036107!adalimumab!!!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!!14128011000036107!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!1!2!818.54!0.00!818.54!!
GE!10419J!VE!Humira!!21584011000036107!adalimumab!!!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!!14128011000036107!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!1!2!818.54!0.00!818.54!!
GE!10404N!VE!Humira!!21584011000036107!adalimumab!!!85196011000036102!adalimumab 40 mg/0.8 mL injection, 6 x 0.8 mL syringes!!!84929011000036106!Humira 40 mg/0.8 mL injection, 6 x 0.8 mL syringes!!1!6!2455.62!0.00!2455.62!!
GE!10555M!PF!Ostira!!21790011000036102!zoledronic acid!!!731451000168100!zoledronic acid 5 mg/100 mL injection, 100 mL bag!!!731461000168103!Ostira 5 mg/100 mL injection, 100 mL bag!!1!1!97.47!0.00!97.47!!
GE!10571J!PF!Ostira!!21790011000036102!zoledronic acid!!!731451000168100!zoledronic acid 5 mg/100 mL injection, 100 mL bag!!!731461000168103!Ostira 5 mg/100 mL injection, 100 mL bag!!1!1!97.47!0.00!97.47!!
GE!10822N!OH!PKU Baby!!809301000168104!amino acid formula with fat, carbohydrate, vitamins, minerals and long chain polyunsaturated fatty acids without phenylalanine and supplemented with docosahexaenoic acid!!!809361000168103!amino acid formula with fat, carbohydrate, vitamins, minerals and long chain polyunsaturated fatty acids without phenylalanine and supplemented with docosahexaenoic acid oral liquid, 20 x 500 mL bottles!!!809371000168109!PKU Baby oral liquid, 20 x 500 mL bottles!!2!2!282.60!0.00!282.60!!
GE!11050N!AP!Lynparza!!807191000168100!olaparib!!!807251000168103!olaparib 50 mg capsule, 4 x 112!!!807261000168101!Lynparza 50 mg capsule, 4 x 112!!1!448!6810.00!0.00!6810.00!!
GE!11021C!MK!Zepatier!!847061000168101!elbasvir + grazoprevir!!!847091000168108!elbasvir 50 mg + grazoprevir 100 mg tablet, 28!!!847101000168103!Zepatier tablet, 28!!1!28!8400.00!0.00!8400.00!!
GE!10888C!AP!Bydureon!!44897011000036109!exenatide!!!1348111000168104!exenatide 2 mg modified release injection [1 chamber] (&) inert substance diluent [1 chamber], 4 dual chamber pen devices!!!1348121000168106!Bydureon (1 x 2 mg chamber, 1 x inert diluent chamber), 4 dual chamber pen devices!!1!4!100.30!0.00!100.30!!
GE!10687L!AS!Fraxiparine!!765071000168107!nadroparin!!!765551000168108!nadroparin calcium 1900 anti-Xa units/0.2 mL injection, 2 x 0.2 mL syringes!!!765561000168105!Fraxiparine 1900 anti-Xa units/0.2 mL injection, 2 x 0.2 mL syringes!!10!20!3.16!0.00!3.16!!
GE!10735B!AS!Fraxiparine!!765071000168107!nadroparin!!!765551000168108!nadroparin calcium 1900 anti-Xa units/0.2 mL injection, 2 x 0.2 mL syringes!!!765561000168105!Fraxiparine 1900 anti-Xa units/0.2 mL injection, 2 x 0.2 mL syringes!!10!20!3.16!0.00!3.16!!
GE!10686K!AS!Fraxiparine!!765071000168107!nadroparin!!!765631000168103!nadroparin calcium 2850 anti-Xa units/0.3 mL injection, 2 x 0.3 mL syringes!!!765641000168107!Fraxiparine 2850 anti-Xa units/0.3 mL injection, 2 x 0.3 mL syringes!!10!20!4.74!0.00!4.74!!
GE!10701F!AS!Fraxiparine!!765071000168107!nadroparin!!!765631000168103!nadroparin calcium 2850 anti-Xa units/0.3 mL injection, 2 x 0.3 mL syringes!!!765641000168107!Fraxiparine 2850 anti-Xa units/0.3 mL injection, 2 x 0.3 mL syringes!!10!20!4.74!0.00!4.74!!
GE!10685J!AS!Fraxiparine!!765071000168107!nadroparin!!!765311000168102!nadroparin calcium 3800 anti-Xa units/0.4 mL injection, 2 x 0.4 mL syringes!!!765321000168109!Fraxiparine 3800 anti-Xa units/0.4 mL injection, 2 x 0.4 mL syringes!!10!20!6.32!0.00!6.32!!
GE!10717C!AS!Fraxiparine!!765071000168107!nadroparin!!!765311000168102!nadroparin calcium 3800 anti-Xa units/0.4 mL injection, 2 x 0.4 mL syringes!!!765321000168109!Fraxiparine 3800 anti-Xa units/0.4 mL injection, 2 x 0.4 mL syringes!!10!20!6.32!0.00!6.32!!
GE!10716B!AS!Fraxiparine!!765071000168107!nadroparin!!!765391000168106!nadroparin calcium 5700 anti-Xa units/0.6 mL injection, 2 x 0.6 mL syringes!!!765401000168108!Fraxiparine 5700 anti-Xa units/0.6 mL injection, 2 x 0.6 mL syringes!!10!20!9.48!0.00!9.48!!
GE!10718D!AS!Fraxiparine!!765071000168107!nadroparin!!!765391000168106!nadroparin calcium 5700 anti-Xa units/0.6 mL injection, 2 x 0.6 mL syringes!!!765401000168108!Fraxiparine 5700 anti-Xa units/0.6 mL injection, 2 x 0.6 mL syringes!!10!20!9.48!0.00!9.48!!
GE!10734Y!AS!Fraxiparine!!765071000168107!nadroparin!!!765471000168103!nadroparin calcium 7600 anti-Xa units/0.8 mL injection, 2 x 0.8 mL syringes!!!765481000168100!Fraxiparine 7600 anti-Xa units/0.8 mL injection, 2 x 0.8 mL syringes!!5!10!12.64!0.00!12.64!!
GE!10740G!AS!Fraxiparine!!765071000168107!nadroparin!!!765471000168103!nadroparin calcium 7600 anti-Xa units/0.8 mL injection, 2 x 0.8 mL syringes!!!765481000168100!Fraxiparine 7600 anti-Xa units/0.8 mL injection, 2 x 0.8 mL syringes!!10!20!12.64!0.00!12.64!!
GE!10733X!AS!Fraxiparine!!765071000168107!nadroparin!!!765101000168103!nadroparin calcium 9500 anti-Xa units/mL injection, 2 x 1 mL syringes!!!765111000168100!Fraxiparine 9500 anti-Xa units/mL injection, 2 x 1 mL syringes!!10!20!15.80!0.00!15.80!!
GE!10702G!AS!Fraxiparine!!765071000168107!nadroparin!!!765101000168103!nadroparin calcium 9500 anti-Xa units/mL injection, 2 x 1 mL syringes!!!765111000168100!Fraxiparine 9500 anti-Xa units/mL injection, 2 x 1 mL syringes!!5!10!15.80!0.00!15.80!!
GE!10706L!AS!Fraxiparine Forte!!765071000168107!nadroparin!!!766211000168100!nadroparin calcium 11 400 anti-Xa units/0.6 mL injection, 2 x 0.6 mL syringes!!!766221000168107!Fraxiparine Forte 11 400 anti-Xa units/0.6 mL injection, 2 x 0.6 mL syringes!!5!10!18.95!0.00!18.95!!
GE!10725L!AS!Fraxiparine Forte!!765071000168107!nadroparin!!!766371000168100!nadroparin calcium 15 200 anti-Xa units/0.8 mL injection, 2 x 0.8 mL syringes!!!766381000168102!Fraxiparine Forte 15 200 anti-Xa units/0.8 mL injection, 2 x 0.8 mL syringes!!5!10!25.27!0.00!25.27!!
GE!10707M!AS!Fraxiparine Forte!!765071000168107!nadroparin!!!766521000168105!nadroparin calcium 19 000 anti-Xa units/mL injection, 2 x 1 mL syringes!!!766531000168108!Fraxiparine Forte 19 000 anti-Xa units/mL injection, 2 x 1 mL syringes!!5!10!31.59!0.00!31.59!!
GE!10787R!JO!Junalox!!33627011000036107!naloxone!!!38725011000036106!naloxone hydrochloride 400 microgram/mL injection, 5 x 1 mL ampoules!!!1309081000168107!Junalox 400 microgram/mL injection, 5 x 1 mL ampoules!!1!5!25.27!0.00!25.27!!
GE!10783M!JO!Junalox!!33627011000036107!naloxone!!!38725011000036106!naloxone hydrochloride 400 microgram/mL injection, 5 x 1 mL ampoules!!!1309081000168107!Junalox 400 microgram/mL injection, 5 x 1 mL ampoules!!1!5!25.27!0.00!25.27!!
GE!11121H!VE!Humira!!21584011000036107!adalimumab!!!922559011000036102!adalimumab 20 mg/0.4 mL injection, 2 x 0.4 mL syringes!!!921429011000036109!Humira 20 mg/0.4 mL injection, 2 x 0.4 mL syringes!!1!2!818.54!0.00!818.54!!
GE!11127P!VE!Humira!!21584011000036107!adalimumab!!!922559011000036102!adalimumab 20 mg/0.4 mL injection, 2 x 0.4 mL syringes!!!921429011000036109!Humira 20 mg/0.4 mL injection, 2 x 0.4 mL syringes!!1!2!818.54!0.00!818.54!!
GE!11132X!VE!Humira!!21584011000036107!adalimumab!!!729851000168100!adalimumab 40 mg/0.8 mL injection, 6 x 0.8 mL pen devices!!!729861000168103!Humira 40 mg/0.8 mL injection, 6 x 0.8 mL pen devices!!1!6!2455.62!0.00!2455.62!!
GE!11011M!MK!Zepatier!!847061000168101!elbasvir + grazoprevir!!!847091000168108!elbasvir 50 mg + grazoprevir 100 mg tablet, 28!!!847101000168103!Zepatier tablet, 28!!1!28!8400.00!0.00!8400.00!!
GE!11108P!VF!Keyo!!79093011000036108!high fat formula with vitamins, minerals and trace elements and low in protein and carbohydrate!!!919741000168106!high fat formula with vitamins, minerals and trace elements and low in protein and carbohydrate oral semi-solid, 48 x 100 g tubs!!!919751000168108!Keyo oral semi-solid, 48 x 100 g tubs!!3!3!232.18!0.00!232.18!!
GE!11137E!VE!Humira!!21584011000036107!adalimumab!!!940401000168102!adalimumab 40 mg/0.8 mL injection, 4 x 0.8 mL pen devices!!!940411000168104!Humira 40 mg/0.8 mL injection, 4 x 0.8 mL pen devices!!1!4!1637.08!0.00!1637.08!!
GE!11133Y!VE!Humira!!21584011000036107!adalimumab!!!940401000168102!adalimumab 40 mg/0.8 mL injection, 4 x 0.8 mL pen devices!!!940411000168104!Humira 40 mg/0.8 mL injection, 4 x 0.8 mL pen devices!!1!4!1637.08!0.00!1637.08!!
GE!11998L!SZ!Amoxycillin Sandoz!!21415011000036100!amoxicillin!!!28236011000036109!amoxicillin 250 mg capsule, 20!!!74369011000036107!Amoxycillin (Sandoz) 250 mg capsule, 20!!2!40!1.37!0.00!1.37!!0.00
GE!11933C!CR!Clavam 875 mg/125 mg!!21360011000036101!amoxicillin + clavulanic acid!!!28152011000036108!amoxicillin 875 mg + clavulanic acid 125 mg tablet, 10!!!164041000036100!Clavam 875 mg/125 mg tablet, 10!!2!20!2.58!0.00!2.58!!0.00
GE!11963P!SZ!Cefalexin Sandoz!!21224011000036108!cefalexin!!!27863011000036109!cefalexin 250 mg capsule, 20!!!39304011000036103!Cefalexin (Sandoz) 250 mg capsule, 20!!2!40!1.59!0.00!1.59!!0.00
GE!11869Q!CR!Rispericor 0.5!!21338011000036109!risperidone!!!51485011000036105!risperidone 500 microgram tablet, 60!!!924781011000036101!Rispericor-0.5 500 microgram tablet, 60!!1!60!6.63!0.00!6.63!!
GE!11881H!CR!Rispericor 0.5!!21338011000036109!risperidone!!!51485011000036105!risperidone 500 microgram tablet, 60!!!924781011000036101!Rispericor-0.5 500 microgram tablet, 60!!1!60!6.63!0.00!6.63!!
GE!11877D!CR!Rispericor 1!!21338011000036109!risperidone!!!27153011000036108!risperidone 1 mg tablet, 60!!!924773011000036105!Rispericor 1 mg tablet, 60!!1!60!5.80!0.00!5.80!!
GE!11879F!CR!Rispericor 1!!21338011000036109!risperidone!!!27153011000036108!risperidone 1 mg tablet, 60!!!924773011000036105!Rispericor 1 mg tablet, 60!!1!60!5.80!0.00!5.80!!
GE!11924N!CR!Pharmacor Donepezil 10!!21256011000036101!donepezil!!!27456011000036103!donepezil hydrochloride 10 mg tablet, 28!!!120301000036102!Donepezil Hydrochloride (Pharmacor) 10 mg tablet, 28!!1!28!9.36!0.00!9.36!!0.00
GE!11692J!CR!Pharmacor Esomeprazole!!21697011000036107!esomeprazole!!!27738011000036106!esomeprazole 20 mg enteric tablet, 30!!!1027151000168101!Esomeprazole (Pharmacor) 20 mg enteric tablet, 30!!1!30!5.87!0.00!5.87!!0.00
GE!12402R!VE!Humira!!21584011000036107!adalimumab!!!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!!729831000168106!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!3!6!818.54!0.00!818.54!!
GE!12386X!VE!Humira!!21584011000036107!adalimumab!!!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!!729831000168106!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!3!6!818.54!0.00!818.54!!
GE!11683X!CR!Pharmacor Omeprazole!!21676011000036101!omeprazole!!!27602011000036106!omeprazole 20 mg enteric tablet, 30!!!1058571000168101!Omeprazole (Pharmacor) 20 mg enteric tablet, 30!!1!30!4.12!0.00!4.12!!0.00
GE!11733M!DZ!Medsurge!!21623011000036108!flucloxacillin!!!1348001000168101!flucloxacillin 250 mg capsule, 28!!!1348011000168103!Flucloxacillin (Medreich) 250 mg capsule, 28!!0.86!24!19.50!0.00!19.50!!
GE!11746F!DZ!Medsurge!!21623011000036108!flucloxacillin!!!1348001000168101!flucloxacillin 250 mg capsule, 28!!!1348011000168103!Flucloxacillin (Medreich) 250 mg capsule, 28!!0.86!24!19.50!0.00!19.50!!
GE!11728G!DZ!Medsurge!!21623011000036108!flucloxacillin!!!1348201000168106!flucloxacillin 500 mg capsule, 100!!!1348211000168109!Flucloxacillin (Athlone) 500 mg capsule, 100!!0.24!24!49.50!0.00!49.50!!
GE!11738T!DZ!Medsurge!!21623011000036108!flucloxacillin!!!1348201000168106!flucloxacillin 500 mg capsule, 100!!!1348211000168109!Flucloxacillin (Athlone) 500 mg capsule, 100!!0.24!24!49.50!0.00!49.50!!
GE!11737R!DZ!Medsurge!!21623011000036108!flucloxacillin!!!1348201000168106!flucloxacillin 500 mg capsule, 100!!!1348211000168109!Flucloxacillin (Athlone) 500 mg capsule, 100!!0.48!48!49.50!0.00!49.50!!
GE!12024W!CR!Tramadol SCP!!21486011000036105!tramadol!!!28222011000036107!tramadol hydrochloride 50 mg capsule, 20!!!138741000036100!Tramadol Hydrochloride (SCP) 50 mg capsule, 20!!0.5!10!1.86!0.00!1.86!!0.00
GE!12008B!CR!Tramadol SCP!!21486011000036105!tramadol!!!28222011000036107!tramadol hydrochloride 50 mg capsule, 20!!!138741000036100!Tramadol Hydrochloride (SCP) 50 mg capsule, 20!!0.5!10!1.86!0.00!1.86!!0.00
GE!12369B!VE!Humira!!21584011000036107!adalimumab!!!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!!729831000168106!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!2!4!818.54!0.00!818.54!!
GE!12385W!VE!Humira!!21584011000036107!adalimumab!!!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!!729831000168106!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!2!4!818.54!0.00!818.54!!
GE!12356H!VE!Humira!!21584011000036107!adalimumab!!!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!!729831000168106!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!3!6!818.54!0.00!818.54!!
GE!12370C!VE!Humira!!21584011000036107!adalimumab!!!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!!729831000168106!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!3!6!818.54!0.00!818.54!!
GE!12388B!VE!Humira!!21584011000036107!adalimumab!!!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!!729831000168106!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!3!6!818.54!0.00!818.54!!
GE!12333D!VE!Humira!!21584011000036107!adalimumab!!!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!!14128011000036107!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!3!6!818.54!0.00!818.54!!
GE!12416L!VE!Humira!!21584011000036107!adalimumab!!!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!!14128011000036107!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!3!6!818.54!0.00!818.54!!
GE!12387Y!VE!Humira!!21584011000036107!adalimumab!!!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!!14128011000036107!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!3!6!818.54!0.00!818.54!!
GE!12331B!VE!Humira!!21584011000036107!adalimumab!!!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!!14128011000036107!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!3!6!818.54!0.00!818.54!!
PL!5302C!AS!Bisalax!!21264011000036101!bisacodyl!!!27030011000036106!bisacodyl 10 mg/5 mL enema, 25 x 5 mL!!!12268011000036105!Bisalax Micro 10 mg/5 mL enema, 25 x 5 mL!!1!1!25.49!0.00!25.49!!
PL!5303D!PP!Petrus Bisacodyl Suppositories!!21264011000036101!bisacodyl!!!27141011000036109!bisacodyl 10 mg suppository, 10!!!12473011000036106!Bisacodyl (Petrus) 10 mg suppository, 10!!3!3!3.92!0.00!3.92!!0.00
PL!5303D!VZ!Dulcolax!!21264011000036101!bisacodyl!!!27141011000036109!bisacodyl 10 mg suppository, 10!!!12160011000036106!Dulcolax 10 mg suppository, 10!!3!3!3.92!0.00!4.32!!
PL!5304E!PP!Petrus Bisacodyl Suppositories!!21264011000036101!bisacodyl!!!27142011000036103!bisacodyl 10 mg suppository, 12!!!12474011000036108!Bisacodyl (Petrus) 10 mg suppository, 12!!3!3!3.21!0.00!3.21!!
PL!5363G!NV!Voltaren 100!!21288011000036105!diclofenac!!!27064011000036105!diclofenac sodium 100 mg suppository, 20!!!12328011000036108!Voltaren 100 mg suppository, 20!!2!40!7.64!0.00!7.64!!
PL!5361E!TX!APO-Diclofenac!!21288011000036105!diclofenac!!!27884011000036109!diclofenac sodium 25 mg enteric tablet, 50!!!82187011000036103!Diclofenac Sodium (Apo) 25 mg enteric tablet, 50!!2!100!1.37!0.00!1.37!!0.00
PL!5361E!NV!Voltaren 25!!21288011000036105!diclofenac!!!27884011000036109!diclofenac sodium 25 mg enteric tablet, 50!!!11416011000036108!Voltaren 25 mg enteric tablet, 50!!2!100!1.37!0.00!2.97!!
PL!5361E!ED!Diclofenac Amneal!!21288011000036105!diclofenac!!!27884011000036109!diclofenac sodium 25 mg enteric tablet, 50!!!952111000168109!Diclofenac (Amneal) 25 mg enteric tablet, 50!!2!100!1.37!0.00!1.37!!0.00
PL!5361E!AF!Fenac 25!!21288011000036105!diclofenac!!!27884011000036109!diclofenac sodium 25 mg enteric tablet, 50!!!930788011000036107!Fenac 25 mg enteric tablet, 50!!2!100!1.37!0.00!1.37!!0.00
PL!5361E!RW!Clonac 25!!21288011000036105!diclofenac!!!27884011000036109!diclofenac sodium 25 mg enteric tablet, 50!!!13638011000036108!Clonac 25 mg enteric tablet, 50!!2!100!1.37!0.00!1.37!!0.00
PL!5361E!SZ!Diclofenac Sandoz!!21288011000036105!diclofenac!!!27884011000036109!diclofenac sodium 25 mg enteric tablet, 50!!!933226221000036106!Diclofenac Sodium (Sandoz) 25 mg enteric tablet, 50!!2!100!1.37!0.00!1.37!!0.00
PL!5361E!EA!Diclofenac AN!!21288011000036105!diclofenac!!!27884011000036109!diclofenac sodium 25 mg enteric tablet, 50!!!670631000168109!Diclofenac Sodium (AN) 25 mg enteric tablet, 50!!2!100!1.37!0.00!1.37!!0.00
PL!5362F!AF!Fenac!!21288011000036105!diclofenac!!!27885011000036108!diclofenac sodium 50 mg enteric tablet, 50!!!12365011000036107!Fenac 50 mg enteric tablet, 50!!1!50!1.91!0.00!1.91!!0.00
PL!5362F!EA!Diclofenac AN!!21288011000036105!diclofenac!!!27885011000036108!diclofenac sodium 50 mg enteric tablet, 50!!!670661000168101!Diclofenac Sodium (AN) 50 mg enteric tablet, 50!!1!50!1.91!0.00!1.91!!0.00
PL!5362F!NV!Voltaren 50!!21288011000036105!diclofenac!!!27885011000036108!diclofenac sodium 50 mg enteric tablet, 50!!!11417011000036106!Voltaren 50 mg enteric tablet, 50!!1!50!1.91!0.00!5.12!!
PL!5362F!SZ!Diclofenac Sandoz!!21288011000036105!diclofenac!!!27885011000036108!diclofenac sodium 50 mg enteric tablet, 50!!!933226211000036104!Diclofenac Sodium (Sandoz) 50 mg enteric tablet, 50!!1!50!1.91!0.00!1.91!!0.00
PL!5362F!TX!APO-Diclofenac!!21288011000036105!diclofenac!!!27885011000036108!diclofenac sodium 50 mg enteric tablet, 50!!!84042011000036107!Diclofenac Sodium (Apo) 50 mg enteric tablet, 50!!1!50!1.91!0.00!1.91!!0.00
PL!5362F!CR!Pharmacor Diclofenac 50!!21288011000036105!diclofenac!!!27885011000036108!diclofenac sodium 50 mg enteric tablet, 50!!!1059211000168101!Diclofenac (Pharmacor) 50 mg enteric tablet, 50!!1!50!1.91!0.00!1.91!!0.00
PL!5362F!RW!Clonac 50!!21288011000036105!diclofenac!!!27885011000036108!diclofenac sodium 50 mg enteric tablet, 50!!!13637011000036107!Clonac 50 mg enteric tablet, 50!!1!50!1.91!0.00!1.91!!0.00
PL!5362F!ED!Diclofenac Amneal!!21288011000036105!diclofenac!!!27885011000036108!diclofenac sodium 50 mg enteric tablet, 50!!!952191000168100!Diclofenac (Amneal) 50 mg enteric tablet, 50!!1!50!1.91!0.00!1.91!!0.00
PL!5378C!AS!Indocid!!21301011000036107!indometacin!!!26600011000036106!indometacin 100 mg suppository, 20!!!11311011000036105!Indocid 100 mg suppository, 20!!2!40!6.50!0.00!6.50!!
PL!5345H!AF!Inza 250!!21304011000036105!naproxen!!!27555011000036100!naproxen 250 mg tablet, 50!!!12361011000036105!Inza 250 mg tablet, 50!!2!100!4.42!0.00!4.42!!
PL!5346J!AF!Inza 500!!21304011000036105!naproxen!!!27554011000036104!naproxen 500 mg tablet, 50!!!12363011000036106!Inza 500 mg tablet, 50!!1!50!4.99!0.00!4.99!!
PL!5346J!IX!Naprosyn!!21304011000036105!naproxen!!!27554011000036104!naproxen 500 mg tablet, 50!!!13112011000036101!Naprosyn 500 mg tablet, 50!!1!50!4.99!0.00!4.99!!
PL!5359C!AF!Alodorm!!21647011000036102!nitrazepam!!!27314011000036105!nitrazepam 5 mg tablet, 25!!!12724011000036100!Alodorm 5 mg tablet, 25!!2!50!1.50!0.00!1.50!!
PL!5371Q!AF!Alepam 15!!21541011000036102!oxazepam!!!32769011000036106!oxazepam 15 mg tablet, 25!!!32367011000036100!Alepam 15 mg tablet, 25!!2!50!1.32!0.00!1.32!!
PL!5372R!AF!Alepam 30!!21541011000036102!oxazepam!!!32770011000036109!oxazepam 30 mg tablet, 25!!!32368011000036104!Alepam 30 mg tablet, 25!!2!50!1.00!0.00!1.00!!0.00
PL!5389P!AE!lax-sachets!!32631011000036109!macrogol-3350 + sodium chloride + bicarbonate + potassium chloride!!!669081000168100!macrogol-3350 13.125 g + sodium chloride 350.7 mg + sodium bicarbonate 178.5 mg + potassium chloride 46.6 mg powder for oral liquid, 30 sachets!!!674291000168101!Lax-Sachets powder for oral liquid, 30 sachets!!2!2!7.04!0.00!7.04!!
PL!5301B!AE!Lax-Tab!!21264011000036101!bisacodyl!!!27705011000036106!bisacodyl 5 mg enteric tablet, 200!!!11603011000036102!Lax-Tab 5 mg enteric tablet, 200!!1!200!5.57!0.00!5.57!!
DB!3484J!JO!Tramadol ACT!!21486011000036105!tramadol!!!27537011000036109!tramadol hydrochloride 100 mg/2 mL injection, 5 x 2 mL ampoules!!!175121000036100!Tramadol Hydrochloride (Act) 100 mg/2 mL injection, 5 x 2 mL ampoules!!1!5!2.65!0.00!2.65!!
DB!10786Q!JO!Junalox!!33627011000036107!naloxone!!!38725011000036106!naloxone hydrochloride 400 microgram/mL injection, 5 x 1 mL ampoules!!!1309081000168107!Junalox 400 microgram/mL injection, 5 x 1 mL ampoules!!2!10!25.27!0.00!25.27!!
R1!4022Q!IL!Gold Cross!!21628011000036103!methyl salicylate + eucalyptus oil + menthol!!!26849011000036104!methyl salicylate 25% + eucalyptus oil 10% + menthol 4% cream, 100 g!!!12015011000036109!Methyl Salicylate Compound (Gold Cross) cream, 100 g!!1!1!6.15!0.00!6.15!!
R1!4026X!IL!Gold Cross!!21251011000036106!methyl salicylate!!!27011011000036108!methyl salicylate 25% liniment, 100 mL!!!12246011000036100!Methyl Salicylate (Gold Cross) 25% liniment, 100 mL!!1!1!2.85!0.00!2.85!!
R1!4023R!IL!Gold Cross!!21251011000036106!methyl salicylate!!!26852011000036106!methyl salicylate 50% ointment, 100 g!!!12018011000036103!Methyl Salicylate (Gold Cross) 50% ointment, 100 g!!1!1!4.65!0.00!4.65!!
R1!4074K!IL!Gold Cross!!21924011000036109!ammonium + senega root!!!27010011000036101!ammonium bicarbonate 25 mg/mL + senega root 25 mg/mL oral liquid, 200 mL!!!80624011000036108!Senega and Ammonia Mixture (Gold Cross) Cherry oral liquid, 200 mL!!1!1!2.23!0.00!2.23!!
R1!4115N!GN!Zitrocin!!21518011000036103!azithromycin!!!27420011000036100!azithromycin 500 mg tablet, 3!!!926220011000036101!Zitrocin 500 mg tablet, 3!!1!3!20.29!0.00!20.29!!
IN!7268M!JC!Velcade!1 mcg!21633011000036105!bortezomib!22006011000036104!bortezomib 3.5 mg injection, vial!26598011000036101!bortezomib 3.5 mg injection, 1 vial!5681011000036104!Velcade 3.5 mg powder for injection, 3.5 mg vial!11309011000036107!Velcade 3.5 mg powder for injection, 1 vial!3500!!3000!605.17!605.17!605.17!605.17!
IN!7268M!JC!Velcade!1 mcg!21633011000036105!bortezomib!739471000168105!bortezomib 3 mg injection, vial!739491000168106!bortezomib 3 mg injection, 1 vial!739481000168108!Velcade 3 mg powder for injection, 3 mg vial!739501000168104!Velcade 3 mg powder for injection, 1 vial!3000!!3000!518.72!518.72!518.72!518.72!
IN!7269N!JC!Velcade!1 mcg!21633011000036105!bortezomib!22006011000036104!bortezomib 3.5 mg injection, vial!26598011000036101!bortezomib 3.5 mg injection, 1 vial!5681011000036104!Velcade 3.5 mg powder for injection, 3.5 mg vial!11309011000036107!Velcade 3.5 mg powder for injection, 1 vial!3500!!3000!605.17!605.17!605.17!605.17!
IN!7269N!JC!Velcade!1 mcg!21633011000036105!bortezomib!739471000168105!bortezomib 3 mg injection, vial!739491000168106!bortezomib 3 mg injection, 1 vial!739481000168108!Velcade 3 mg powder for injection, 3 mg vial!739501000168104!Velcade 3 mg powder for injection, 1 vial!3000!!3000!518.72!518.72!518.72!518.72!
IN!7271Q!JC!Velcade!1 mcg!21633011000036105!bortezomib!22006011000036104!bortezomib 3.5 mg injection, vial!26598011000036101!bortezomib 3.5 mg injection, 1 vial!5681011000036104!Velcade 3.5 mg powder for injection, 3.5 mg vial!11309011000036107!Velcade 3.5 mg powder for injection, 1 vial!3500!!3000!605.17!605.17!605.17!605.17!
IN!7271Q!JC!Velcade!1 mcg!21633011000036105!bortezomib!739471000168105!bortezomib 3 mg injection, vial!739491000168106!bortezomib 3 mg injection, 1 vial!739481000168108!Velcade 3 mg powder for injection, 3 mg vial!739501000168104!Velcade 3 mg powder for injection, 1 vial!3000!!3000!518.72!518.72!518.72!518.72!
IN!7272R!JC!Velcade!1 mcg!21633011000036105!bortezomib!22006011000036104!bortezomib 3.5 mg injection, vial!26598011000036101!bortezomib 3.5 mg injection, 1 vial!5681011000036104!Velcade 3.5 mg powder for injection, 3.5 mg vial!11309011000036107!Velcade 3.5 mg powder for injection, 1 vial!3500!!3000!605.17!605.17!605.17!605.17!
IN!7272R!JC!Velcade!1 mcg!21633011000036105!bortezomib!739471000168105!bortezomib 3 mg injection, vial!739491000168106!bortezomib 3 mg injection, 1 vial!739481000168108!Velcade 3 mg powder for injection, 3 mg vial!739501000168104!Velcade 3 mg powder for injection, 1 vial!3000!!3000!518.72!518.72!518.72!518.72!
IN!7275X!JC!Velcade!1 mcg!21633011000036105!bortezomib!78391000036100!bortezomib 1 mg injection, vial!79861000036105!bortezomib 1 mg injection, 1 vial!78381000036102!Velcade 1 mg powder for injection, vial!79851000036107!Velcade 1 mg powder for injection, 1 vial!1000!!3000!172.91!172.91!172.91!172.91!
IN!7275X!JC!Velcade!1 mcg!21633011000036105!bortezomib!739471000168105!bortezomib 3 mg injection, vial!739491000168106!bortezomib 3 mg injection, 1 vial!739481000168108!Velcade 3 mg powder for injection, 3 mg vial!739501000168104!Velcade 3 mg powder for injection, 1 vial!3000!!3000!518.72!518.72!518.72!518.72!
IN!7238Y!JC!Velcade!1 mcg!21633011000036105!bortezomib!78391000036100!bortezomib 1 mg injection, vial!79861000036105!bortezomib 1 mg injection, 1 vial!78381000036102!Velcade 1 mg powder for injection, vial!79851000036107!Velcade 1 mg powder for injection, 1 vial!1000!!3000!172.91!172.91!172.91!172.91!
IN!7238Y!JC!Velcade!1 mcg!21633011000036105!bortezomib!739471000168105!bortezomib 3 mg injection, vial!739491000168106!bortezomib 3 mg injection, 1 vial!739481000168108!Velcade 3 mg powder for injection, 3 mg vial!739501000168104!Velcade 3 mg powder for injection, 1 vial!3000!!3000!518.72!518.72!518.72!518.72!
IN!7274W!JC!Velcade!1 mcg!21633011000036105!bortezomib!78391000036100!bortezomib 1 mg injection, vial!79861000036105!bortezomib 1 mg injection, 1 vial!78381000036102!Velcade 1 mg powder for injection, vial!79851000036107!Velcade 1 mg powder for injection, 1 vial!1000!!3000!172.91!172.91!172.91!172.91!
IN!7274W!JC!Velcade!1 mcg!21633011000036105!bortezomib!739471000168105!bortezomib 3 mg injection, vial!739491000168106!bortezomib 3 mg injection, 1 vial!739481000168108!Velcade 3 mg powder for injection, 3 mg vial!739501000168104!Velcade 3 mg powder for injection, 1 vial!3000!!3000!518.72!518.72!518.72!518.72!
IN!11701W!QY!Bleomycin for Injection, USP!1 iu!857781000168109!bleomycin!23152011000036109!bleomycin sulfate 15 000 international units injection, vial!27097011000036101!bleomycin sulfate 15 000 international units injection, 1 vial!476541000144109!Bleomycin for Injection, USP, 15 000 international units powder for injection, 15 000 international units vial!475891000144105!Bleomycin for Injection, USP, 1 vial!15000!!30000!40.00!40.00!40.00!40.00!
IP!4706Q!JC!Velcade!1 mcg!21633011000036105!bortezomib!22006011000036104!bortezomib 3.5 mg injection, vial!26598011000036101!bortezomib 3.5 mg injection, 1 vial!5681011000036104!Velcade 3.5 mg powder for injection, 3.5 mg vial!11309011000036107!Velcade 3.5 mg powder for injection, 1 vial!3500!!3000!605.17!605.17!605.17!605.17!
IP!4706Q!JC!Velcade!1 mcg!21633011000036105!bortezomib!739471000168105!bortezomib 3 mg injection, vial!739491000168106!bortezomib 3 mg injection, 1 vial!739481000168108!Velcade 3 mg powder for injection, 3 mg vial!739501000168104!Velcade 3 mg powder for injection, 1 vial!3000!!3000!518.72!518.72!518.72!518.72!
IP!4712B!JC!Velcade!1 mcg!21633011000036105!bortezomib!22006011000036104!bortezomib 3.5 mg injection, vial!26598011000036101!bortezomib 3.5 mg injection, 1 vial!5681011000036104!Velcade 3.5 mg powder for injection, 3.5 mg vial!11309011000036107!Velcade 3.5 mg powder for injection, 1 vial!3500!!3000!605.17!605.17!605.17!605.17!
IP!4712B!JC!Velcade!1 mcg!21633011000036105!bortezomib!739471000168105!bortezomib 3 mg injection, vial!739491000168106!bortezomib 3 mg injection, 1 vial!739481000168108!Velcade 3 mg powder for injection, 3 mg vial!739501000168104!Velcade 3 mg powder for injection, 1 vial!3000!!3000!518.72!518.72!518.72!518.72!
IP!4713C!JC!Velcade!1 mcg!21633011000036105!bortezomib!22006011000036104!bortezomib 3.5 mg injection, vial!26598011000036101!bortezomib 3.5 mg injection, 1 vial!5681011000036104!Velcade 3.5 mg powder for injection, 3.5 mg vial!11309011000036107!Velcade 3.5 mg powder for injection, 1 vial!3500!!3000!605.17!605.17!605.17!605.17!
IP!4713C!JC!Velcade!1 mcg!21633011000036105!bortezomib!739471000168105!bortezomib 3 mg injection, vial!739491000168106!bortezomib 3 mg injection, 1 vial!739481000168108!Velcade 3 mg powder for injection, 3 mg vial!739501000168104!Velcade 3 mg powder for injection, 1 vial!3000!!3000!518.72!518.72!518.72!518.72!
IP!4725Q!JC!Velcade!1 mcg!21633011000036105!bortezomib!22006011000036104!bortezomib 3.5 mg injection, vial!26598011000036101!bortezomib 3.5 mg injection, 1 vial!5681011000036104!Velcade 3.5 mg powder for injection, 3.5 mg vial!11309011000036107!Velcade 3.5 mg powder for injection, 1 vial!3500!!3000!605.17!605.17!605.17!605.17!
IP!4725Q!JC!Velcade!1 mcg!21633011000036105!bortezomib!739471000168105!bortezomib 3 mg injection, vial!739491000168106!bortezomib 3 mg injection, 1 vial!739481000168108!Velcade 3 mg powder for injection, 3 mg vial!739501000168104!Velcade 3 mg powder for injection, 1 vial!3000!!3000!518.72!518.72!518.72!518.72!
IP!4732C!JC!Velcade!1 mcg!21633011000036105!bortezomib!78391000036100!bortezomib 1 mg injection, vial!79861000036105!bortezomib 1 mg injection, 1 vial!78381000036102!Velcade 1 mg powder for injection, vial!79851000036107!Velcade 1 mg powder for injection, 1 vial!1000!!3000!172.91!172.91!172.91!172.91!
IP!4732C!JC!Velcade!1 mcg!21633011000036105!bortezomib!739471000168105!bortezomib 3 mg injection, vial!739491000168106!bortezomib 3 mg injection, 1 vial!739481000168108!Velcade 3 mg powder for injection, 3 mg vial!739501000168104!Velcade 3 mg powder for injection, 1 vial!3000!!3000!518.72!518.72!518.72!518.72!
IP!4403R!JC!Velcade!1 mcg!21633011000036105!bortezomib!78391000036100!bortezomib 1 mg injection, vial!79861000036105!bortezomib 1 mg injection, 1 vial!78381000036102!Velcade 1 mg powder for injection, vial!79851000036107!Velcade 1 mg powder for injection, 1 vial!1000!!3000!172.91!172.91!172.91!172.91!
IP!4403R!JC!Velcade!1 mcg!21633011000036105!bortezomib!739471000168105!bortezomib 3 mg injection, vial!739491000168106!bortezomib 3 mg injection, 1 vial!739481000168108!Velcade 3 mg powder for injection, 3 mg vial!739501000168104!Velcade 3 mg powder for injection, 1 vial!3000!!3000!518.72!518.72!518.72!518.72!
IP!4429D!JC!Velcade!1 mcg!21633011000036105!bortezomib!78391000036100!bortezomib 1 mg injection, vial!79861000036105!bortezomib 1 mg injection, 1 vial!78381000036102!Velcade 1 mg powder for injection, vial!79851000036107!Velcade 1 mg powder for injection, 1 vial!1000!!3000!172.91!172.91!172.91!172.91!
IP!4429D!JC!Velcade!1 mcg!21633011000036105!bortezomib!739471000168105!bortezomib 3 mg injection, vial!739491000168106!bortezomib 3 mg injection, 1 vial!739481000168108!Velcade 3 mg powder for injection, 3 mg vial!739501000168104!Velcade 3 mg powder for injection, 1 vial!3000!!3000!518.72!518.72!518.72!518.72!
IP!11704B!QY!Bleomycin for Injection, USP!1 iu!857781000168109!bleomycin!23152011000036109!bleomycin sulfate 15 000 international units injection, vial!27097011000036101!bleomycin sulfate 15 000 international units injection, 1 vial!476541000144109!Bleomycin for Injection, USP, 15 000 international units powder for injection, 15 000 international units vial!475891000144105!Bleomycin for Injection, USP, 1 vial!15000!!30000!40.00!40.00!40.00!40.00!
CT!5870Y!PF!Leucovorin Calcium (Hospira Pty Limited)!!21617011000036108!folinic acid!!!26684011000036102!folinic acid 300 mg/30 mL injection, 30 mL vial!!!920361011000036101!Leucovorin Calcium (DBL) 300 mg/30 mL injection, 30 mL vial!!4!4!10.53!0.00!10.53!!
CA!10275T!MK!Stocrin!!21616011000036105!efavirenz!!!27991011000036101!efavirenz 30 mg/mL oral liquid, 180 mL!!!13884011000036102!Stocrin 30 mg/mL oral liquid, 180 mL!!7!7!66.18!0.00!66.18!!
CA!10306K!RO!Valcyte!!21859011000036104!valganciclovir!!!27995011000036104!valganciclovir 450 mg tablet, 60!!!13892011000036107!Valcyte 450 mg tablet, 60!!2!120!547.77!0.00!547.77!!
CA!10279B!BQ!Baraclude!!21490011000036108!entecavir!!!829511000168101!entecavir 500 microgram tablet, 30!!!829521000168108!Baraclude 500 microgram tablet, 30!!2!60!61.78!0.00!61.78!!
CA!10353X!BQ!Baraclude!!21490011000036108!entecavir!!!829461000168104!entecavir 1 mg tablet, 30!!!829471000168105!Baraclude 1 mg tablet, 30!!2!60!100.46!0.00!100.46!!
CA!10287K!JC!Prezista!!32622011000036101!darunavir!!!86436011000036108!darunavir 150 mg tablet, 240!!!85693011000036109!Prezista 150 mg tablet, 240!!1!240!896.64!0.00!896.64!!
HS!6332G!IS!Somatuline LA!!21278011000036100!lanreotide!!!27901011000036104!lanreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL ampoule], 1 pack!!!13726011000036102!Somatuline LA (1 x 30 mg vial, 1 x 2 mL inert diluent ampoule), 1 pack!!2!2!609.19!0.00!609.19!!
HS!6371H!PF!DBL Zoledronic Acid!!21790011000036102!zoledronic acid!!!28024011000036106!zoledronic acid 4 mg/5 mL injection, 5 mL vial!!!730741000168104!Zoledronic Acid (DBL) 4 mg/5 mL injection, 5 mL vial!!1!1!72.80!0.00!72.80!!
HS!6357N!RO!Valcyte!!21859011000036104!valganciclovir!!!27995011000036104!valganciclovir 450 mg tablet, 60!!!13892011000036107!Valcyte 450 mg tablet, 60!!2!120!547.77!0.00!547.77!!
HS!9678J!VE!Humira!!21584011000036107!adalimumab!!!922559011000036102!adalimumab 20 mg/0.4 mL injection, 2 x 0.4 mL syringes!!!921429011000036109!Humira 20 mg/0.4 mL injection, 2 x 0.4 mL syringes!!1!2!818.54!0.00!818.54!!
HS!9680L!VE!Humira!!21584011000036107!adalimumab!!!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!!729831000168106!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!1!2!818.54!0.00!818.54!!
HS!9679K!VE!Humira!!21584011000036107!adalimumab!!!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!!14128011000036107!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!1!2!818.54!0.00!818.54!!
HS!10542W!PF!DBL Zoledronic Acid!!21790011000036102!zoledronic acid!!!734521000168109!zoledronic acid 4 mg/100 mL injection, 100 mL bag!!!734531000168107!Zoledronic Acid (DBL) 4 mg/100 mL injection, 100 mL bag!!1!1!72.80!0.00!72.80!!
HS!10991L!MK!Zepatier!!847061000168101!elbasvir + grazoprevir!!!847091000168108!elbasvir 50 mg + grazoprevir 100 mg tablet, 28!!!847101000168103!Zepatier tablet, 28!!1!28!8400.00!0.00!8400.00!!
HS!10979W!MK!Zepatier!!847061000168101!elbasvir + grazoprevir!!!847091000168108!elbasvir 50 mg + grazoprevir 100 mg tablet, 28!!!847101000168103!Zepatier tablet, 28!!1!28!8400.00!0.00!8400.00!!
HS!11530W!PF!Granocyte 34!!21639011000036108!lenograstim!!!27907011000036107!lenograstim 33.6 million units (263 microgram) injection, 1 vial!!!838271000168104!Granocyte-34 33.6 million units (263 microgram) powder for injection, 1 vial!!20!20!104.26!0.00!104.26!!
HS!11517E!PF!Granocyte 13!!21639011000036108!lenograstim!!!27906011000036109!lenograstim 13.4 million units (105 microgram) injection, 1 vial!!!838231000168102!Granocyte-13 13.4 million units (105 microgram) powder for injection, 1 vial!!20!20!41.63!0.00!41.63!!
HB!5776B!IS!Somatuline LA!!21278011000036100!lanreotide!!!27901011000036104!lanreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL ampoule], 1 pack!!!13726011000036102!Somatuline LA (1 x 30 mg vial, 1 x 2 mL inert diluent ampoule), 1 pack!!2!2!609.19!0.00!609.19!!
HB!9653C!PF!DBL Zoledronic Acid!!21790011000036102!zoledronic acid!!!28024011000036106!zoledronic acid 4 mg/5 mL injection, 5 mL vial!!!730741000168104!Zoledronic Acid (DBL) 4 mg/5 mL injection, 5 mL vial!!1!1!72.80!0.00!72.80!!
HB!9569P!RO!Valcyte!!21859011000036104!valganciclovir!!!27995011000036104!valganciclovir 450 mg tablet, 60!!!13892011000036107!Valcyte 450 mg tablet, 60!!2!120!547.77!0.00!547.77!!
HB!9661L!VE!Humira!!21584011000036107!adalimumab!!!922559011000036102!adalimumab 20 mg/0.4 mL injection, 2 x 0.4 mL syringes!!!921429011000036109!Humira 20 mg/0.4 mL injection, 2 x 0.4 mL syringes!!1!2!818.54!0.00!818.54!!
HB!9663N!VE!Humira!!21584011000036107!adalimumab!!!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!!729831000168106!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!1!2!818.54!0.00!818.54!!
HB!9662M!VE!Humira!!21584011000036107!adalimumab!!!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!!14128011000036107!Humira 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!1!2!818.54!0.00!818.54!!
HB!10561W!PF!DBL Zoledronic Acid!!21790011000036102!zoledronic acid!!!734521000168109!zoledronic acid 4 mg/100 mL injection, 100 mL bag!!!734531000168107!Zoledronic Acid (DBL) 4 mg/100 mL injection, 100 mL bag!!1!1!72.80!0.00!72.80!!
HB!10986F!MK!Zepatier!!847061000168101!elbasvir + grazoprevir!!!847091000168108!elbasvir 50 mg + grazoprevir 100 mg tablet, 28!!!847101000168103!Zepatier tablet, 28!!1!28!8400.00!0.00!8400.00!!
HB!10978T!MK!Zepatier!!847061000168101!elbasvir + grazoprevir!!!847091000168108!elbasvir 50 mg + grazoprevir 100 mg tablet, 28!!!847101000168103!Zepatier tablet, 28!!1!28!8400.00!0.00!8400.00!!
HB!11551Y!PF!Granocyte 34!!21639011000036108!lenograstim!!!27907011000036107!lenograstim 33.6 million units (263 microgram) injection, 1 vial!!!838271000168104!Granocyte-34 33.6 million units (263 microgram) powder for injection, 1 vial!!20!20!104.26!0.00!104.26!!
HB!11550X!PF!Granocyte 13!!21639011000036108!lenograstim!!!27906011000036109!lenograstim 13.4 million units (105 microgram) injection, 1 vial!!!838231000168102!Granocyte-13 13.4 million units (105 microgram) powder for injection, 1 vial!!20!20!41.63!0.00!41.63!!
