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!1441W!VE!Genoptic!!21397011000036102!gentamicin!!!26994011000036102!gentamicin 0.3% eye drops, 5 mL!!!12225011000036109!Genoptic 0.3% eye drops, 5 mL!!1!1!6.58!0.00!6.58!!
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!1574W!KY!Nizoral 2%!!21500011000036103!ketoconazole!!!72571000036109!ketoconazole 2% shampoo, 60 mL!!!72561000036101!Nizoral 2% shampoo, 60 mL!!1!1!6.49!0.00!6.49!!
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!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!5566Y!VE!Genoptic!!21397011000036102!gentamicin!!!26994011000036102!gentamicin 0.3% eye drops, 5 mL!!!12225011000036109!Genoptic 0.3% eye drops, 5 mL!!1!1!6.58!0.00!6.58!!
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!8397Y!GO!Teveten!!21612011000036106!eprosartan!!!27543011000036104!eprosartan 400 mg tablet, 28!!!13093011000036101!Teveten 400 mg tablet, 28!!2!56!4.32!0.00!6.77!!
GE!8555G!VF!PKU gel!!50738011000036108!amino acid formula with vitamins and minerals without phenylalanine!!!927729011000036101!amino acid formula with vitamins and minerals without phenylalanine powder for oral liquid, 30 x 24 g sachets!!!78071000144104!PKU Gel powder for oral liquid, 30 x 24 g sachets!!4!4!148.75!0.00!148.75!!
GE!8951D!GO!Teveten!!21612011000036106!eprosartan!!!27543011000036104!eprosartan 400 mg tablet, 28!!!13093011000036101!Teveten 400 mg tablet, 28!!2!56!6.77!0.00!6.77!!
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!11561L!MK!Steglujan 5/100!!1232561000168104!ertugliflozin + sitagliptin!!!1232621000168108!ertugliflozin 5 mg + sitagliptin 100 mg tablet, 28!!!1232631000168106!Steglujan 5/100 tablet, 28!!1!28!53.45!0.00!53.45!!
GE!11583P!MK!Steglujan 15/100!!1232561000168104!ertugliflozin + sitagliptin!!!1232681000168107!ertugliflozin 15 mg + sitagliptin 100 mg tablet, 28!!!1232691000168105!Steglujan 15/100 tablet, 28!!1!28!53.45!0.00!53.45!!
GE!11579K!MK!Steglujan 5/100!!1232561000168104!ertugliflozin + sitagliptin!!!1232621000168108!ertugliflozin 5 mg + sitagliptin 100 mg tablet, 28!!!1232631000168106!Steglujan 5/100 tablet, 28!!1!28!53.45!0.00!53.45!!
GE!11578J!MK!Steglujan 15/100!!1232561000168104!ertugliflozin + sitagliptin!!!1232681000168107!ertugliflozin 15 mg + sitagliptin 100 mg tablet, 28!!!1232691000168105!Steglujan 15/100 tablet, 28!!1!28!53.45!0.00!53.45!!
GE!11577H!MK!Steglatro 5!!1232301000168109!ertugliflozin!!!1232401000168101!ertugliflozin 5 mg tablet, 28!!!1232411000168103!Steglatro 5 mg tablet, 28!!1!28!43.88!0.00!43.88!!
GE!11585R!MK!Steglatro 5!!1232301000168109!ertugliflozin!!!1232401000168101!ertugliflozin 5 mg tablet, 28!!!1232411000168103!Steglatro 5 mg tablet, 28!!1!28!43.88!0.00!43.88!!
GE!11570Y!MK!Steglatro 15!!1232301000168109!ertugliflozin!!!1232801000168103!ertugliflozin 15 mg tablet, 28!!!1232811000168100!Steglatro 15 mg tablet, 28!!1!28!43.88!0.00!43.88!!
GE!11571B!MK!Steglatro 15!!1232301000168109!ertugliflozin!!!1232801000168103!ertugliflozin 15 mg tablet, 28!!!1232811000168100!Steglatro 15 mg tablet, 28!!1!28!43.88!0.00!43.88!!
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!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!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!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!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!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!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!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!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!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!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!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!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!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!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!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!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!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!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!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!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!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!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!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!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!!
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!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!!
CA!10336B!MK!Stocrin!!21616011000036105!efavirenz!!!33789011000036102!efavirenz 200 mg tablet, 90!!!33273011000036101!Stocrin 200 mg tablet, 90!!2!180!171.57!0.00!171.57!!
CA!10366N!MK!Stocrin!!21616011000036105!efavirenz!!!27990011000036108!efavirenz 600 mg tablet, 30!!!13883011000036104!Stocrin 600 mg tablet, 30!!2!60!171.57!0.00!171.57!!
