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!1196Y!SW!Largactil!!21310011000036102!chlorpromazine!!!27254011000036107!chlorpromazine hydrochloride 10 mg tablet, 100!!!12645011000036109!Largactil 10 mg tablet, 100!!1!100!2.92!0.00!2.92!!
GE!1567L!AS!Trandate!!21315011000036106!labetalol!!!27361011000036106!labetalol hydrochloride 200 mg tablet, 100!!!11796011000036100!Trandate 200 mg tablet, 100!!1!100!12.32!0.00!12.32!!
GE!1895R!AF!Mobilis D-10!!21531011000036103!piroxicam!!!27881011000036106!piroxicam 10 mg dispersible tablet, 50!!!12691011000036101!Mobilis D 10 mg dispersible tablet, 50!!1!50!4.15!0.00!4.15!!
GE!2682E!VB!PVA Tears!!35687011000036109!polyvinyl alcohol!!!35772011000036106!polyvinyl alcohol 1.4% eye drops, 15 mL!!!35565011000036106!PVA Tears 1.4% eye drops, 15 mL!!1!1!3.50!0.00!3.50!!0.00
GE!2682E!VE!Liquifilm Tears!!35687011000036109!polyvinyl alcohol!!!35772011000036106!polyvinyl alcohol 1.4% eye drops, 15 mL!!!35557011000036105!Liquifilm Tears 1.4% eye drops, 15 mL!!1!1!3.50!0.00!4.79!!
GE!2899N!AF!Deralin 160!!21392011000036104!propranolol!!!26940011000036104!propranolol hydrochloride 160 mg tablet, 50!!!12133011000036108!Deralin 160 mg tablet, 50!!1!50!4.70!0.00!4.70!!
GE!3179H!PF!Norinyl-1/28!!21651011000036108!norethisterone + mestranol!!!27486011000036108!norethisterone 1 mg + mestranol 50 microgram tablet [21] (&) inert substance tablet [7], 4 x 28!!!12986011000036109!Norinyl-1 28 Day (21 x 1 mg/50 microgram tablets, 7 x inert tablets), 4 x 28!!1!4!6.14!0.00!6.14!!
GE!5201R!AF!Mobilis D-10!!21531011000036103!piroxicam!!!27881011000036106!piroxicam 10 mg dispersible tablet, 50!!!12691011000036101!Mobilis D 10 mg dispersible tablet, 50!!1!50!4.15!0.00!4.15!!
GE!5259T!SW!Rulide D!!21724011000036103!roxithromycin!!!27333011000036102!roxithromycin 50 mg dispersible tablet, 10!!!12753011000036101!Rulide D 50 mg dispersible tablet, 10!!1!10!5.24!0.00!5.24!!
GE!5452Y!AF!Cozavan!!44887011000036108!losartan!!!933224091000036109!losartan potassium 25 mg tablet, 30!!!933224081000036107!Cozavan 25 mg tablet, 30!!1!30!3.83!0.00!3.83!!
GE!5526W!VB!PVA Tears!!35687011000036109!polyvinyl alcohol!!!35772011000036106!polyvinyl alcohol 1.4% eye drops, 15 mL!!!35565011000036106!PVA Tears 1.4% eye drops, 15 mL!!1!1!3.50!0.00!3.50!!0.00
GE!5526W!VE!Liquifilm Tears!!35687011000036109!polyvinyl alcohol!!!35772011000036106!polyvinyl alcohol 1.4% eye drops, 15 mL!!!35557011000036105!Liquifilm Tears 1.4% eye drops, 15 mL!!1!1!3.50!0.00!4.79!!
GE!5532E!AQ!Systane!!11731000144100!polyethylene glycol-400 + propylene glycol!!!154541000144100!polyethylene glycol-400 0.4% + propylene glycol 0.3% eye drops, 28 x 0.8 mL unit doses!!!152351000144101!Systane 0.4% / 0.3% eye drops, 28 x 0.8 mL unit doses!!2!2!7.07!0.00!7.07!!
GE!8129W!SW!Rulide D!!21724011000036103!roxithromycin!!!27333011000036102!roxithromycin 50 mg dispersible tablet, 10!!!12753011000036101!Rulide D 50 mg dispersible tablet, 10!!1!10!5.24!0.00!5.24!!
GE!8203R!AF!Cozavan!!44887011000036108!losartan!!!46465011000036101!losartan potassium 50 mg tablet, 30!!!933224071000036105!Cozavan 50 mg tablet, 30!!2!60!5.47!0.00!5.47!!
GE!9170P!AQ!Systane!!11731000144100!polyethylene glycol-400 + propylene glycol!!!154541000144100!polyethylene glycol-400 0.4% + propylene glycol 0.3% eye drops, 28 x 0.8 mL unit doses!!!152351000144101!Systane 0.4% / 0.3% eye drops, 28 x 0.8 mL unit doses!!2!2!7.07!0.00!7.07!!
GE!9220G!VE!Liquifilm Tears!!35687011000036109!polyvinyl alcohol!!!35772011000036106!polyvinyl alcohol 1.4% eye drops, 15 mL!!!35557011000036105!Liquifilm Tears 1.4% eye drops, 15 mL!!1!1!3.50!0.00!4.79!!
GE!9220G!VB!PVA Tears!!35687011000036109!polyvinyl alcohol!!!35772011000036106!polyvinyl alcohol 1.4% eye drops, 15 mL!!!35565011000036106!PVA Tears 1.4% eye drops, 15 mL!!1!1!3.50!0.00!3.50!!0.00
GE!11705C!NO!Fiasp!!21699011000036100!insulin aspart!!!476231000144102!insulin aspart 100 units/mL fast acting injection, 1 x 10 mL vial!!!476311000144100!Fiasp 100 units/mL fast acting injection, 10 mL vial!!5!5!16.33!0.00!16.33!!
GE!11706D!NO!Fiasp FlexTouch!!21699011000036100!insulin aspart!!!476411000144109!insulin aspart 100 units/mL fast acting injection, 5 x 3 mL pen devices!!!476431000144101!Fiasp Flextouch 100 units/mL fast acting injection, 5 x 3 mL pen devices!!5!5!28.18!0.00!28.18!!
GE!11924N!RW!Aridon 10!!21256011000036101!donepezil!!!27456011000036103!donepezil hydrochloride 10 mg tablet, 28!!!102061000036108!Aridon 10 mg tablet, 28!!1!28!7.44!0.00!7.44!!0.00
GE!11924N!HQ!Donepezil GH!!21256011000036101!donepezil!!!27456011000036103!donepezil hydrochloride 10 mg tablet, 28!!!933201151000036107!Donepezil Hydrochloride (GH) 10 mg tablet, 28!!1!28!7.44!0.00!7.44!!0.00
GE!11924N!AF!Arazil!!21256011000036101!donepezil!!!27456011000036103!donepezil hydrochloride 10 mg tablet, 28!!!101451000036106!Arazil 10 mg tablet, 28!!1!28!7.44!0.00!7.44!!0.00
GE!11924N!PF!Aricept!!21256011000036101!donepezil!!!27456011000036103!donepezil hydrochloride 10 mg tablet, 28!!!12942011000036100!Aricept 10 mg tablet, 28!!1!28!7.44!0.00!14.09!!
GE!11924N!TX!APO-Donepezil!!21256011000036101!donepezil!!!27456011000036103!donepezil hydrochloride 10 mg tablet, 28!!!101521000036104!Donepezil (Apo) 10 mg tablet, 28!!1!28!7.44!0.00!7.44!!0.00
GE!11924N!RF!Aridon APN 10!!21256011000036101!donepezil!!!27456011000036103!donepezil hydrochloride 10 mg tablet, 28!!!671031000168106!Aridon APN 10 mg tablet, 28!!1!28!7.44!0.00!7.44!!0.00
GE!11924N!VO!NOUMED DONEPEZIL!!21256011000036101!donepezil!!!27456011000036103!donepezil hydrochloride 10 mg tablet, 28!!!1240401000168101!Donepezil (Noumed) 10 mg tablet, 28!!1!28!7.44!0.00!7.44!!0.00
GE!11924N!SZ!Donepezil Sandoz!!21256011000036101!donepezil!!!27456011000036103!donepezil hydrochloride 10 mg tablet, 28!!!101201000036106!Donepezil Hydrochloride (Sandoz) 10 mg tablet, 28!!1!28!7.44!0.00!7.44!!0.00
GE!11922L!PF!Aricept!!21256011000036101!donepezil!!!27455011000036105!donepezil hydrochloride 5 mg tablet, 28!!!12941011000036106!Aricept 5 mg tablet, 28!!1!28!7.44!0.00!10.16!!
GE!11922L!HQ!Donepezil GH!!21256011000036101!donepezil!!!27455011000036105!donepezil hydrochloride 5 mg tablet, 28!!!933201041000036108!Donepezil Hydrochloride (GH) 5 mg tablet, 28!!1!28!7.44!0.00!7.44!!0.00
GE!11922L!AF!Arazil!!21256011000036101!donepezil!!!27455011000036105!donepezil hydrochloride 5 mg tablet, 28!!!101461000036109!Arazil 5 mg tablet, 28!!1!28!7.44!0.00!7.44!!0.00
GE!11922L!RF!Aridon APN 5!!21256011000036101!donepezil!!!27455011000036105!donepezil hydrochloride 5 mg tablet, 28!!!671061000168103!Aridon APN 5 mg tablet, 28!!1!28!7.44!0.00!7.44!!0.00
GE!11922L!VO!NOUMED DONEPEZIL!!21256011000036101!donepezil!!!27455011000036105!donepezil hydrochloride 5 mg tablet, 28!!!1240731000168103!Donepezil (Noumed) 5 mg tablet, 28!!1!28!7.44!0.00!7.44!!0.00
GE!11922L!RW!Aridon 5!!21256011000036101!donepezil!!!27455011000036105!donepezil hydrochloride 5 mg tablet, 28!!!102051000036105!Aridon 5 mg tablet, 28!!1!28!7.44!0.00!7.44!!0.00
GE!11922L!TX!APO-Donepezil!!21256011000036101!donepezil!!!27455011000036105!donepezil hydrochloride 5 mg tablet, 28!!!101531000036102!Donepezil (Apo) 5 mg tablet, 28!!1!28!7.44!0.00!7.44!!0.00
GE!11922L!SZ!Donepezil Sandoz!!21256011000036101!donepezil!!!27455011000036105!donepezil hydrochloride 5 mg tablet, 28!!!101211000036108!Donepezil Hydrochloride (Sandoz) 5 mg tablet, 28!!1!28!7.44!0.00!7.44!!0.00
GE!11917F!TX!APO-Galantamine MR!!21521011000036100!galantamine!!!28248011000036107!galantamine 8 mg modified release capsule, 28!!!43481000036102!Galantamine MR (Apo) 8 mg modified release capsule, 28!!1!28!20.35!0.00!20.35!!
GE!11917F!JC!Reminyl!!21521011000036100!galantamine!!!28248011000036107!galantamine 8 mg modified release capsule, 28!!!14249011000036104!Reminyl 8 mg modified release capsule, 28!!1!28!20.35!0.00!20.35!!
GE!11917F!RW!Gamine XR!!21521011000036100!galantamine!!!28248011000036107!galantamine 8 mg modified release capsule, 28!!!43471000036104!Gamine XR 8 mg modified release capsule, 28!!1!28!20.35!0.00!20.35!!
GE!11917F!AF!Galantyl!!21521011000036100!galantamine!!!28248011000036107!galantamine 8 mg modified release capsule, 28!!!87453011000036102!Galantyl 8 mg modified release capsule, 28!!1!28!20.35!0.00!20.35!!
GE!11918G!RW!Gamine XR!!21521011000036100!galantamine!!!28249011000036104!galantamine 16 mg modified release capsule, 28!!!43501000036107!Gamine XR 16 mg modified release capsule, 28!!1!28!24.89!0.00!24.89!!
GE!11918G!TX!APO-Galantamine MR!!21521011000036100!galantamine!!!28249011000036104!galantamine 16 mg modified release capsule, 28!!!43521000036102!Galantamine MR (Apo) 16 mg modified release capsule, 28!!1!28!24.89!0.00!24.89!!
GE!11918G!AF!Galantyl!!21521011000036100!galantamine!!!28249011000036104!galantamine 16 mg modified release capsule, 28!!!87450011000036105!Galantyl 16 mg modified release capsule, 28!!1!28!24.89!0.00!24.89!!
GE!11918G!JC!Reminyl!!21521011000036100!galantamine!!!28249011000036104!galantamine 16 mg modified release capsule, 28!!!14250011000036107!Reminyl 16 mg modified release capsule, 28!!1!28!24.89!0.00!24.89!!
GE!11899G!AF!Galantyl!!21521011000036100!galantamine!!!28250011000036107!galantamine 24 mg modified release capsule, 28!!!87455011000036101!Galantyl 24 mg modified release capsule, 28!!1!28!29.66!0.00!29.66!!
GE!11899G!TX!APO-Galantamine MR!!21521011000036100!galantamine!!!28250011000036107!galantamine 24 mg modified release capsule, 28!!!43491000036100!Galantamine MR (Apo) 24 mg modified release capsule, 28!!1!28!29.66!0.00!29.66!!
GE!11899G!JC!Reminyl!!21521011000036100!galantamine!!!28250011000036107!galantamine 24 mg modified release capsule, 28!!!14251011000036100!Reminyl 24 mg modified release capsule, 28!!1!28!29.66!0.00!29.66!!
GE!11899G!RW!Gamine XR!!21521011000036100!galantamine!!!28250011000036107!galantamine 24 mg modified release capsule, 28!!!43511000036109!Gamine XR 24 mg modified release capsule, 28!!1!28!29.66!0.00!29.66!!
GE!11925P!NV!Exelon!!21413011000036101!rivastigmine!!!27691011000036102!rivastigmine 1.5 mg capsule, 56!!!13321011000036106!Exelon 1.5 mg capsule, 56!!1!56!47.77!0.00!47.77!!
GE!11904M!NV!Exelon Patch 15!!21413011000036101!rivastigmine!!!731071000168100!rivastigmine 13.3 mg/24 hours patch, 30!!!731081000168102!Exelon-15 13.3 mg/24 hours patch, 30!!1!30!64.64!0.00!64.64!!
GE!11901J!NV!Exelon!!21413011000036101!rivastigmine!!!27692011000036108!rivastigmine 3 mg capsule, 56!!!13322011000036100!Exelon 3 mg capsule, 56!!1!56!47.77!0.00!47.77!!
GE!11923M!NV!Exelon!!21413011000036101!rivastigmine!!!27693011000036101!rivastigmine 4.5 mg capsule, 56!!!13323011000036107!Exelon 4.5 mg capsule, 56!!1!56!47.77!0.00!47.77!!
GE!11916E!NV!Exelon!!21413011000036101!rivastigmine!!!27694011000036104!rivastigmine 6 mg capsule, 56!!!13324011000036109!Exelon 6 mg capsule, 56!!1!56!47.77!0.00!47.77!!
GE!11912Y!NV!Exelon Patch 5!!21413011000036101!rivastigmine!!!38682011000036101!rivastigmine 4.6 mg/24 hours patch, 30!!!36785011000036108!Exelon-5 4.6 mg/24 hours patch, 30!!1!30!64.64!0.00!64.64!!
GE!11903L!NV!Exelon Patch 10!!21413011000036101!rivastigmine!!!38683011000036108!rivastigmine 9.5 mg/24 hours patch, 30!!!36786011000036101!Exelon-10 9.5 mg/24 hours patch, 30!!1!30!64.64!0.00!64.64!!
GE!11902K!GQ!Memantine generichealth!!37759011000036103!memantine!!!38842011000036103!memantine hydrochloride 10 mg tablet, 56!!!667601000168105!Memantine (Generic Health) 10 mg tablet, 56!!1!56!28.09!0.00!28.09!!
GE!11902K!TX!APO-Memantine!!37759011000036103!memantine!!!38842011000036103!memantine hydrochloride 10 mg tablet, 56!!!920422011000036106!Memantine (Apo) 10 mg tablet, 56!!1!56!28.09!0.00!28.09!!
GE!11902K!LU!Ebixa!!37759011000036103!memantine!!!38842011000036103!memantine hydrochloride 10 mg tablet, 56!!!36961011000036101!Ebixa 10 mg tablet, 56!!1!56!28.09!0.00!28.09!!
GE!11902K!RW!Memanxa!!37759011000036103!memantine!!!38842011000036103!memantine hydrochloride 10 mg tablet, 56!!!84002011000036103!Memanxa 10 mg tablet, 56!!1!56!28.09!0.00!28.09!!
GE!11905N!LU!Ebixa!!37759011000036103!memantine!!!83496011000036105!memantine hydrochloride 20 mg tablet, 28!!!83325011000036104!Ebixa 20 mg tablet, 28!!1!28!28.09!0.00!28.09!!
GE!11905N!GQ!Memantine generichealth!!37759011000036103!memantine!!!83496011000036105!memantine hydrochloride 20 mg tablet, 28!!!785231000168103!Memantine (Generic Health) 20 mg tablet, 28!!1!28!28.09!0.00!28.09!!
GE!11905N!TX!APO-Memantine!!37759011000036103!memantine!!!83496011000036105!memantine hydrochloride 20 mg tablet, 28!!!649551000168108!Memantine (Apo) 20 mg tablet, 28!!1!28!28.09!0.00!28.09!!
