|
33800
|
CPT
|
IV Irrig Nacl Ns .9% 3000cc 07972-08
|
6
|
2
|
$6.00
|
$6.00
|
$11,699.00
|
$43,133.00
|
$30,330.00
|
2026-01-15
|
|
33851
|
CPT
|
Famotidine (Pepcid) Inj 20 Mg/50ml
|
6
|
2
|
$6.00
|
$6.00
|
$11,699.00
|
$43,133.00
|
$30,330.00
|
2026-01-15
|
|
CP17677359701889942
|
CDM
|
Cervical Spinal Fusion Without Cc Or Mcc
|
7
|
4
|
$69,400.00
|
$69,400.00
|
$7,280.00
|
$43,352.00
|
$26,539.00
|
2026-01-15
|
|
CP17677359701887807
|
CDM
|
Major Joint Replacement Or Reattachment Of Lower Extremity Without Mcc
|
7
|
4
|
$37,000.00
|
$37,000.00
|
$7,280.00
|
$38,863.00
|
$23,791.00
|
2026-01-15
|
|
22319
|
CPT
|
Vitamin D Capsule 50,000iu
|
8
|
4
|
$1.00
|
$1.00
|
$8,107.00
|
$21,041.00
|
$16,295.00
|
2026-01-15
|
|
23455
|
CPT
|
Refresh Celluvisc 1% 0.4ml Opth Drops
|
8
|
4
|
$1.00
|
$1.00
|
$9,239.00
|
$20,571.00
|
$12,869.50
|
2026-01-15
|
|
24538
|
CPT
|
Clsd Tx Humeral Fx Intercondylar Extensi
|
8
|
4
|
$8,930.00
|
$8,930.00
|
$8,107.00
|
$17,734.00
|
$11,914.50
|
2026-01-15
|
|
28485
|
CPT
|
Open Tx Metatarsal Fx W/fixation
|
8
|
4
|
$8,930.00
|
$8,930.00
|
$8,107.00
|
$17,734.00
|
$11,914.50
|
2026-01-15
|
|
28103
|
CPT
|
Nitroglycerin (nitro-bid) Oint 1gm
|
8
|
4
|
$2.00
|
$2.00
|
$6,600.00
|
$14,436.00
|
$10,501.00
|
2026-01-15
|
|
26765
|
CPT
|
Open Tx Finger Fx W/fixation
|
8
|
4
|
$4,056.00
|
$4,056.00
|
$4,166.00
|
$17,734.00
|
$10,022.00
|
2026-01-15
|
|
42820
|
CPT
|
Removal Of Tonsils And Adenoid Glands, Patient Younger Than Age 12
|
8
|
4
|
$10,425.00
|
$10,425.00
|
$4,233.00
|
$9,702.00
|
$8,009.00
|
2026-01-15
|
|
25606
|
CPT
|
Clsd Tx Distal Radial
|
8
|
4
|
$4,056.00
|
$4,056.00
|
$4,166.00
|
$14,125.00
|
$7,982.50
|
2026-01-15
|
|
49505
|
CPT
|
Repair Of Groin Hernia Patient Age 5 Years Or Older
|
8
|
4
|
$7,525.00
|
$7,525.00
|
$4,559.00
|
$12,465.00
|
$7,129.50
|
2026-01-15
|
|
29881
|
CPT
|
Removal Of One Knee Cartilage Using An Endoscope
|
8
|
4
|
$11,800.00
|
$11,800.00
|
$4,166.00
|
$12,390.00
|
$7,002.00
|
2026-01-15
|
|
26952
|
CPT
|
Amputation Finger/thumb W/flaps
|
8
|
4
|
$4,056.00
|
$4,056.00
|
$4,166.00
|
$11,774.00
|
$6,654.00
|
2026-01-15
|
|
26415
|
CPT
|
IV D5 100/150cc Prefill S5104-5264
|
8
|
4
|
$2.00
|
$2.00
|
$4,166.00
|
$11,774.00
|
$6,654.00
|
2026-01-15
|
|
28022
|
CPT
|
Exploration Of Foot Joint
|
8
|
4
|
$4,056.00
|
$4,056.00
|
$4,166.00
|
$10,480.00
|
$6,208.50
|
2026-01-15
|
|
26455
|
CPT
|
Incision Finger Tendon
|
8
|
4
|
$2,001.00
|
$2,001.00
|
$2,047.00
|
$10,675.00
|
$6,033.00
|
2026-01-15
|
|
25101
|
CPT
|
Explore/treat Wrist Jt
|
8
|
4
|
$4,056.00
|
$4,056.00
|
$4,166.00
|
$9,156.00
|
$5,762.50
|
2026-01-15
|
|
27340
|
CPT
|
Removal Kneecap Bursa
|
8
|
4
|
$4,056.00
|
$4,056.00
|
$4,166.00
|
$9,156.00
|
$5,762.50
|
2026-01-15
|
|
93503
|
CPT
|
Nf-tiagabine Hydrochloride Oral Tab 4mg
|
8
|
4
|
$8.00
|
$8.00
|
$2,004.00
|
$10,035.00
|
$5,671.00
|
2026-01-15
|
|
57400
|
CPT
|
Glucose (Glutose) Gel
|
8
|
4
|
$3.00
|
$3.00
|
$3,991.00
|
$8,731.00
|
$5,591.00
|
2026-01-15
|
|
26951
|
CPT
|
Amputation Finger/thumb W/direct Closure
|
8
|
4
|
$4,056.00
|
$4,056.00
|
$3,660.00
|
$8,007.00
|
$5,376.00
|
2026-01-15
|
|
26477
|
CPT
|
IV D5/lactated Ringers 500cc
|
8
|
4
|
$7.00
|
$7.00
|
$3,660.00
|
$8,007.00
|
$5,376.00
|
2026-01-15
|
|
11770
|
CPT
|
Remove Cyst Simple
|
8
|
4
|
$3,578.00
|
$3,578.00
|
$3,699.00
|
$8,795.00
|
$5,340.00
|
2026-01-15
|
|
11012
|
CPT
|
Debridement Open Fx
|
8
|
4
|
$3,578.00
|
$3,578.00
|
$3,699.00
|
$8,795.00
|
$5,340.00
|
2026-01-15
|
|
27372
|
CPT
|
Removal Fb Thigh/knee Deep
|
8
|
4
|
$3,578.00
|
$3,578.00
|
$3,699.00
|
$8,795.00
|
$5,340.00
|
2026-01-15
|
|
21320
|
CPT
|
Clsd Tmt Nasal Fx
|
8
|
4
|
$4,054.00
|
$4,054.00
|
$3,484.00
|
$7,621.00
|
$5,282.00
|
2026-01-15
|
|
28192
|
CPT
|
Removal Fb Foot Deep
|
8
|
4
|
$2,025.00
|
$2,025.00
|
$2,103.00
|
$8,795.00
|
$4,970.50
|
2026-01-15
|
|
28193
|
CPT
|
Removal Of Foot Foreign Body
|
8
|
4
|
$2,025.00
|
$2,025.00
|
$2,103.00
|
$8,795.00
|
$4,970.50
|
2026-01-15
|
|
20670
|
CPT
|
Removal Implant Wire Pin Or Rod
|
8
|
4
|
$2,571.00
|
$2,571.00
|
$2,103.00
|
$8,795.00
|
$4,970.50
|
2026-01-15
|
|
46050
|
CPT
|
Incision Of Anal Abscess
|
8
|
4
|
$1,140.00
|
$1,140.00
|
$1,184.00
|
$8,280.00
|
$4,679.00
|
2026-01-15
|
|
5000753
|
CDM
|
Torsemide (Demadex) Tab 20mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000777
|
CDM
|
Verapamil Sr (Calan Sr) Tab 180mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000778
|
CDM
|
Verapamil Sr (Calan Sr ) Tab 240mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000774
|
CDM
|
Verapamil (Calan) Tab 80mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000733
|
CDM
|
Terazosin (Hytrin) Cap 2mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000776
|
CDM
|
Verapamil Sr (Calan Sr) Tab 120mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000780
|
CDM
|
Warfarin (Coumadin) Tab 2mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000673
|
CDM
|
Propafenone (Rythmol) Tab 225mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000514
|
CDM
|
Carbidopa/levod Cr (Sinemet Cr) 25/100mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000675
|
CDM
|
Zz
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000671
|
CDM
|
Promethazine (Phenergan) Tab 25mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000575
|
CDM
|
Multivitamin W/minerals (Theragran) Tab
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000667
|
CDM
|
Prednisone Tab 20mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000681
|
CDM
|
Propranolol ER (Inderal La) Cap 80mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000691
|
CDM
|
Quinine Sulfate Tab 324mg
|
2
|
2
|
$6.00
|
$6.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000601
|
CDM
|
Nystatin (Nilstat) Cream 15gm
|
2
|
2
|
$5.00
|
$5.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000507
|
CDM
|
Lamotrigine (Lamictal) Tab 200mg
|
2
|
2
|
$5.00
|
$5.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000669
|
CDM
|
Prochlorperazine (Compazine) Tab 5mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000371
|
CDM
|
Diltiazem Cd (Cardizem) Cap 180mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000509
|
CDM
|
Levalbuterol Inh 1.25mg/ml 3ml
|
2
|
2
|
$2.00
|
$2.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000513
|
CDM
|
Carbidopa/levodop (Sinemet) Tab 25/250mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000672
|
CDM
|
Propafenone (Rythmol) Tab 150mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000731
|
CDM
|
Tamsulosin (Flomax) Cap 0.4mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000707
|
CDM
|
Sertraline (Zoloft) Tab 100mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000676
|
CDM
|
Propranolol (Inderal) Tab 10mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000698
|
CDM
|
Rifampin (Rifadin) Cap 300mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000570
|
CDM
|
Morphine Sr (Ms Contin) Tab 60mg
|
2
|
2
|
$2.00
|
$2.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000754
|
CDM
|
Tramadol (Ultram) Tab 50mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000737
|
CDM
|
Theophylline (theo-dur) Cap 300mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000525
|
CDM
|
Levothyroxine (Synthroid) Tab 0.125mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000781
|
CDM
|
Warfarin (Coumadin) Tab 2.5mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000474
|
CDM
|
Hydralazine (Apresoline) Tab 25 Mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000695
|
CDM
|
Ramipril (Altace) Cap 2.5mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000697
|
CDM
|
Ramipril (Altace) Cap 10 Mg
|
2
|
2
|
$2.00
|
$2.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000645
|
CDM
|
Vitamin K (Mephyton) Tab 5mg
|
2
|
2
|
$7.00
|
$7.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000654
|
CDM
|
Potassium Chloride (k-dur) Tab 10meq
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000660
|
CDM
|
Pravastatin (Pravachol) Tab 40mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000764
|
CDM
|
Smx/tmp Ds (Bactrim Ds) Tab 800/160mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000626
|
CDM
|
Penicillin Vk (pen-vk) Tab 500mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000621
|
CDM
|
Paroxetine (Paxil) Tab 10mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000627
|
CDM
|
Pentoxifylline (Trental) Tab 400mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000700
|
CDM
|
Risperidone (Risperidal) Tab 2mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000663
|
CDM
|
Prazosin (Minipress) Cap 5mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000747
|
CDM
|
Timolol (Timoptic) 0.25% 5ml
|
2
|
2
|
$3.00
|
$3.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000768
|
CDM
|
Venlafaxine (Effexor) Tab 75mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000770
|
CDM
|
Venlafaxine (Effexor) Tab 37.5mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000771
|
CDM
|
Venlafaxine Xr (Effexor Xr) Cap 37.5mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000582
|
CDM
|
Naproxen (Naprosyn) Tab 375mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000634
|
CDM
|
Phenazopyridine (Pyridium) Tab 100mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000435
|
CDM
|
Fluticasone (Flonase) Nasal Spray
|
2
|
2
|
$4.00
|
$4.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000454
|
CDM
|
Gemfibrozil (Lopid) Tab 600mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000619
|
CDM
|
Oxymetazoline (Afrin) 0.05% Spray 15ml
|
2
|
2
|
$7.00
|
$7.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000622
|
CDM
|
Paroxetine (Paxil) Tab 20mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000445
|
CDM
|
Fosinopril (Monopril) Tab 20mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000635
|
CDM
|
Phenazopyridine (Pyridium) Tab 200mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000581
|
CDM
|
Naproxen (Naprosyn) Tab 250mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000553
|
CDM
|
Mesalamine (Pentasa) Cap 250mg
|
2
|
2
|
$3.00
|
$3.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000642
|
CDM
|
Phenytoin ER (Dilantin Er) Cap 100mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000196
|
CDM
|
Oxycodone Sr (Oxycontin) Tab 10mg
|
2
|
2
|
$3.00
|
$3.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000656
|
CDM
|
Potassium Chloride Liq 20meq/15ml
|
2
|
2
|
$3.00
|
$3.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000473
|
CDM
|
Hydralazine (Apresoline) Tab 10 Mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000467
|
CDM
|
Haloperidol (Haldol) Tab 5mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000489
|
CDM
|
Zz
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000547
|
CDM
|
Magnesia Citrate Of Sol 300ml
|
2
|
2
|
$2.00
|
$2.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000263
|
CDM
|
Alendronate (Fosamax) Tab 10mg
|
2
|
2
|
$3.00
|
$3.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000480
|
CDM
|
Ibuprofen (Motrin) Tab 200mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000504
|
CDM
|
Lamotrigine (Lamictal) Tab 25mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000496
|
CDM
|
Isosorbide Mono (Imdur) Tab 60mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000519
|
CDM
|
Levothyroxine (Synthroid) Tab 0.025mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000500
|
CDM
|
Labetalol (Normadyne) Tab 100mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000286
|
CDM
|
Atenolol (Tenormin) Tab 25 Mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000287
|
CDM
|
Atenolol (Tenormin) Tab 50 Mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000111
|
CDM
|
Hydrocortisone (Cortizone) 1% Cream 30gm
|
2
|
2
|
$2.00
|
$2.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000508
|
CDM
|
Levalbuterol (Xopenex) Inh0.63mg/3ml 3ml
|
2
|
2
|
$4.00
|
$4.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000134
|
CDM
|
Lidocaine (Xylocaine) 0.5% Inj 50ml
|
2
|
2
|
$6.00
|
$6.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000257
|
CDM
|
Vancomycin Inj 500mg
|
2
|
2
|
$3.00
|
$3.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
50000818
|
CDM
|
Niacin (Niaspan) Cap : 500mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000512
|
CDM
|
Carbidopa/levodop (Sinemet) Tab 25/100mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000520
|
CDM
|
Levothyroxine (Synthroid) Tab 0.05mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000592
|
CDM
|
Nifedipine Xl (Procardia Xl) Tab 60mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000699
|
CDM
|
Risperidone (Risperdal) Tab 1mg
|
2
|
2
|
$4.00
|
$4.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000372
|
CDM
|
Diltiazem Cd (Cardizem) Cap 240mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000593
|
CDM
|
Nifedipine Xl (Procardia Xl) Tab 90mg
|
2
|
2
|
$3.00
|
$3.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000568
|
CDM
|
Mirtazapine (Remeron) Tab 30mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000522
|
CDM
|
Levothyroxine (Synthroid) Tab 0.088mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000542
|
CDM
|
Losartan (Cozaar) Tab 50mg
|
2
|
2
|
$2.00
|
$2.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000559
|
CDM
|
Metolazone (Zaroxalyn) Tab 5mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000270
|
CDM
|
Alprazolam (Xanax) Tab 1mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000526
|
CDM
|
Levothyroxine (Synthroid) Tab 0.137mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000381
|
CDM
|
Divalproex ER (Depakote Er) Tab 500mg
|
2
|
2
|
$3.00
|
$3.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000560
|
CDM
|
Metoprolol (Lopressor) Tab 50mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000538
|
CDM
|
Lorazepam (Ativan) Tab 0.5mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
50002816
|
CDM
|
Niacin (Niaspan) Cap : 500mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000523
|
CDM
|
Levothyroxine (Synthriod) Tab 0.1mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000609
|
CDM
|
Oxacillin Inj 1gm
|
2
|
2
|
$8.00
|
$8.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000613
|
CDM
|
Oxcarbazepine (Trileptal) Tab 300mg
|
2
|
2
|
$3.00
|
$3.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000713
|
CDM
|
Simvastatin (Zocor) Tab 40mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000552
|
CDM
|
Mesalamine (Asacol) Tab 400 Mg
|
2
|
2
|
$2.00
|
$2.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000417
|
CDM
|
Felodipine (Plendil) Tab 5mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000591
|
CDM
|
Nifedipine Xl (Procardia Xl) Tab 30mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000758
|
CDM
|
Triam/hctz (Dyazide) Cap 37.5/25mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000711
|
CDM
|
Simvastatin (Zocor) Tab 10mg
|
2
|
2
|
$3.00
|
$3.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000712
|
CDM
|
Simvastatin (Zocor) Tab 20mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000750
|
CDM
|
Vitamin E Cap 400 Units
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000721
|
CDM
|
Spironolactone (Aldactone) Tab 25mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000156
|
CDM
|
Magnesium Sulfate 50% 2ml
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000665
|
CDM
|
Prednisone Tab 5mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000734
|
CDM
|
Terazosin (Hytrin) Cap 5mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000756
|
CDM
|
Trazodone (Desyrel) Tab 100mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000762
|
CDM
|
Zz
|
2
|
2
|
$3.00
|
$3.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000220
|
CDM
|
Propranolol (Inderal) Inj 1mg/ml
|
2
|
2
|
$2.00
|
$2.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000558
|
CDM
|
Metolazone (Zaroxolyn) Tab 2.5mg
|
2
|
2
|
$3.00
|
$3.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000614
|
CDM
|
Oxybutynin Xl (Ditropan Xl) Tab 5mg
|
2
|
2
|
$3.00
|
$3.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000546
|
CDM
|
Magnesia Milk Of (Mom) Ud 30ml
|
2
|
2
|
$2.00
|
$2.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000684
|
CDM
|
Protamine Inj 50mg/5ml
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000430
|
CDM
|
Fluconazole (Diflucan) Tab 200mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000710
|
CDM
|
Simethicone (Mylicon) Tab 80mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000199
|
CDM
|
Oxycod/apap (Percocet) 5/325mg Tab
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000242
|
CDM
|
Temazepam (Restoril) Cap 15mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000177
|
CDM
|
Mineral Oil 10ml
|
2
|
2
|
$8.00
|
$8.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000351
|
CDM
|
Clonazepam (Klonipin) Tab 0.5mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000162
|
CDM
|
Mepivacaine (Carbocaine) 1.5% Inj 20ml
|
2
|
2
|
$5.00
|
$5.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000420
|
CDM
|
Fentanyl (Duragesic) 50mcg
|
2
|
2
|
$5.00
|
$5.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000419
|
CDM
|
Fentanyl (Duragesic) 25mcg
|
2
|
2
|
$2.00
|
$2.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000418
|
CDM
|
Felodipine (Plendil) Tab 10mg
|
2
|
2
|
$3.00
|
$3.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000604
|
CDM
|
Olanzapine (Zyprexa) Tab: 2.5mg
|
2
|
2
|
$5.00
|
$5.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000331
|
CDM
|
Carisoprodol (Soma) Tab 350mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000315
|
CDM
|
Bupropion (Wellbutrin ) Sr Tab 100mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000477
|
CDM
|
Hydromorphone (Dilaudid) Tab : 4mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000319
|
CDM
|
Buspirone (Buspar) Tab 10mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000557
|
CDM
|
Methotrexate Tab 2.5mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000342
|
CDM
|
Chlorpromazine (Thorazine) Tab 10mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000433
|
CDM
|
Fluoxetine (Prozac) Cap 20mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000434
|
CDM
|
Fluoxetine (Prozac) Cap 10mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000187
|
CDM
|
Naproxen (Aleve) Tab 220mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000448
|
CDM
|
Furosemide (Lasix) Tab 40mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000253
|
CDM
|
Zz
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000443
|
CDM
|
Folic Acid Tab 1mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000131
|
CDM
|
Lacri-lube 3.5gm
|
2
|
2
|
$5.00
|
$5.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000447
|
CDM
|
Furosemide (Lasix) Tab 20mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000340
|
CDM
|
Cetirizine (Zyrtec) Tab 10mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000444
|
CDM
|
Fosinopril (Monopril) Tab 10mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000462
|
CDM
|
Glyburide (Micronase) Tab 2.5mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000456
|
CDM
|
Glipizide (Glucotrol) Tab 10mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000327
|
CDM
|
Carbamazepine (Tegretol) Tab 100mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000555
|
CDM
|
Metformin (Glucophage) Tab 850mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000457
|
CDM
|
Glipizide Xl (Glucotrol Xl) Tab 5mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000476
|
CDM
|
Hydromorphone (Dilaudid) Tab 2mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000461
|
CDM
|
Glyburide (Micronase) Tab 5mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000458
|
CDM
|
Glipizide Xl (Glucotrol Xl) Tab 10mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000189
|
CDM
|
Nifedipine (Procardia) Cap 10mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000539
|
CDM
|
Lorazepam (Ativan) Tab 1 Mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000724
|
CDM
|
Sucralfate (Carafate) Tab 1gm
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000296
|
CDM
|
Benazepril (Lotensin) Tab 10mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000152
|
CDM
|
Loratadine (Claritin) Tab 10mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000256
|
CDM
|
Vancomycin Inj 1gm
|
2
|
2
|
$4.00
|
$4.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000195
|
CDM
|
Ondansetron (Zofran) Inj 4mg/2ml
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000466
|
CDM
|
Haloperidol (Haldol) Tab 2mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000269
|
CDM
|
Alprazolam (Xanax) Tab 0.5mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000373
|
CDM
|
Diltiazem Cd (Cardizem ) Cap 300mg
|
2
|
2
|
$3.00
|
$3.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000366
|
CDM
|
Dicyclomine (Bentyl) Cap 10mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000297
|
CDM
|
Benazepril (Lotensin) Tab 20mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000019
|
CDM
|
Bacitracin Inj Vial 50,000 Units
|
2
|
2
|
$4.00
|
$4.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000103
|
CDM
|
Heparin Inj 5000 Units/ml 1ml
|
2
|
2
|
$3.00
|
$3.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000413
|
CDM
|
Estrogen (Premarin) Tab 1.25mg
|
2
|
2
|
$2.00
|
$2.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000172
|
CDM
|
Metoclopramide (Reglan) Tab 10mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000390
|
CDM
|
Doxepin (Sinequin) Cap 25mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000314
|
CDM
|
Bupropion (Wellbutrin) Tab 75mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000548
|
CDM
|
Magnesium Oxide (Magox) Tab 400mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000364
|
CDM
|
Diclofenac (Voltaren) Tab 75mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000361
|
CDM
|
Diazepam (Valium) Tab 5mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000164
|
CDM
|
Zz
|
2
|
2
|
$3.00
|
$3.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000221
|
CDM
|
Zz
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000203
|
CDM
|
Physostigmine (Antilirum) Inj 2mg/2ml
|
2
|
2
|
$5.00
|
$5.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000262
|
CDM
|
Acyclovir (Zovirax) Tab 800mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000060
|
CDM
|
Dexamethasone (Decadron) Inj 20mg/5ml
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000138
|
CDM
|
Lidocaine (Xylocaine) 2% Jelly 5ml
|
2
|
2
|
$3.00
|
$3.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000090
|
CDM
|
Furosemide (Lasix) Inj 20mg/2ml
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000099
|
CDM
|
Heparin Flush 100 Units/ml 5ml
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000058
|
CDM
|
Cyclobenzaprine (Flexeril) Tab 10mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000056
|
CDM
|
Codeine/apap (Tylenol W/cod) Elix 5ml
|
2
|
2
|
$2.00
|
$2.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000046
|
CDM
|
Cepastat Loz
|
2
|
2
|
$3.00
|
$3.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000082
|
CDM
|
Esmolol (Brevibloc) Inj 100mg/10ml
|
2
|
2
|
$7.00
|
$7.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000066
|
CDM
|
Diphenhydramine (Benadryl) Tab 25mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000110
|
CDM
|
Zz
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000061
|
CDM
|
Dexamethasone (Decadron) Inj 4mg/ml
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000603
|
CDM
|
Nystatin Susp 500,000 Units/5ml 60ml
|
2
|
2
|
$6.00
|
$6.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000077
|
CDM
|
Enoxaparin (Lovenox) Inj 30mg
|
2
|
2
|
$4.00
|
$4.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000079
|
CDM
|
Epinephrine Inj 1mg/ml
|
2
|
2
|
$4.00
|
$4.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000091
|
CDM
|
Furosemide (Lasix) Inj 40mg/4ml
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000738
|
CDM
|
Thiamine (Vitamin B-1) Tab 100mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000107
|
CDM
|
Hydralazine (Apresoline) Inj 20mg/ml
|
2
|
2
|
$4.00
|
$4.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000265
|
CDM
|
Alendronate (Fosamax) Tab 70mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000044
|
CDM
|
Cefuroxime (Ceftin) Tab 500mg
|
2
|
2
|
$3.00
|
$3.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000680
|
CDM
|
Propranolol ER (Inderal La) Cap 60mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000387
|
CDM
|
Donepezil (Aricept) Tab 5 Mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000333
|
CDM
|
Carvedilol (Coreg) Tab 6.25mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000267
|
CDM
|
Allopurinol (Zyloprim) Tab 300mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000136
|
CDM
|
Lidocaine (Xylocaine) 2% Inj 10ml
|
2
|
2
|
$7.00
|
$7.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000528
|
CDM
|
Levothyroxine (Synthroid) Tab 0.2mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000216
|
CDM
|
Promethazine (Phenergan) Supp 25mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000208
|
CDM
|
Povodine-iodine (Betadine) Ointment 30gm
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000218
|
CDM
|
Propofol (Diprivan) Inj 200mg/20ml
|
2
|
2
|
$4.00
|
$4.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000370
|
CDM
|
Diltiazem Cd (Cardizem) Cap 120mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000229
|
CDM
|
Silver Sulf (Silvadine) 1% 50gm Cream
|
2
|
2
|
$5.00
|
$5.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000398
|
CDM
|
Enoxaparin (Lovenox) Inj 80mg
|
2
|
2
|
$9.00
|
$9.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000544
|
CDM
|
Lovastatin (Mevacor) Tab 20mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000334
|
CDM
|
Carvedilol (Coreg) Tab 25mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000549
|
CDM
|
Meclizine (Antivert) Tab 12.5mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000026
|
CDM
|
Bupivacaine (Marcaine) Vial 0.5% 50ml
|
2
|
2
|
$3.00
|
$3.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000383
|
CDM
|
Divalproex (Depakote) Tab 250mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000285
|
CDM
|
Aspirin Chewable Tab 81 Mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000690
|
CDM
|
Quinine Sulfate (Leg Cramps) Tab 260mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000228
|
CDM
|
Silver Nitrate Sticks
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000545
|
CDM
|
Lovastatin (Mevacor) Tab 40mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000135
|
CDM
|
Lidocaine (Xylocaine)1% Inj 20ml
|
2
|
2
|
$3.00
|
$3.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000295
|
CDM
|
Benazepril (Lotensin) Tab 5mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000282
|
CDM
|
Artifical Tears (Tears Naturale) 15 Ml
|
2
|
2
|
$2.00
|
$2.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000021
|
CDM
|
Bacitracin Ointment Tube 15 Gm
|
2
|
2
|
$3.00
|
$3.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000011
|
CDM
|
Amiodarone (Cordarone) Inj 150mg/3ml
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000002
|
CDM
|
Acetaminophen (Tylenol) Supp 650 Mg
|
2
|
2
|
$2.00
|
$2.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000384
|
CDM
|
Divalproex (Depakote) Tab 500mg
|
2
|
2
|
$3.00
|
$3.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000339
|
CDM
|
Celecoxib (Celebrex) Cap 100mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000594
|
CDM
|
Nitrofurantoin (Macrobid) Cap 100mg
|
2
|
2
|
$2.00
|
$2.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000344
|
CDM
|
Chlorpromazine (Thorazine) Tab 50mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000360
|
CDM
|
Diazepam (Valium) Tab 2mg
|
2
|
2
|
$7.00
|
$7.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000388
|
CDM
|
Donepezil (Aricept) Tab 10 Mg
|
2
|
2
|
$6.00
|
$6.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000321
|
CDM
|
Butalbital/asa/caff/cod (Fiorinal W/cod)
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000227
|
CDM
|
Zz
|
2
|
2
|
$2.00
|
$2.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000101
|
CDM
|
Heparin Inj 1000 Units/ml 10ml
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000133
|
CDM
|
Lidocaine W/epi 2% (Xylocaine W/epi) In
|
2
|
2
|
$4.00
|
$4.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000261
|
CDM
|
Acyclovir (Zovirax) Tab 400mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000294
|
CDM
|
Belladonna (Donnatol) Tab
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000479
|
CDM
|
Hydroxyzine Pamoate (Vistaril) Cap 25mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000252
|
CDM
|
Trimethobenzamide (Tigan) Supp 100mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000049
|
CDM
|
Ivpb Ciprofloxacin (Cipro) 400mg
|
2
|
2
|
$3.00
|
$3.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000158
|
CDM
|
Zz
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000326
|
CDM
|
Captopril (Capoten) Tab 25mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000354
|
CDM
|
Clonidine (Catapres) Tab 0.1mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000318
|
CDM
|
Buspirone (Buspar) Tab 5mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000391
|
CDM
|
Doxepin (Sinequin) Cap 50mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000005
|
CDM
|
Adenosine (Adenocard) Inj 6mg/2ml
|
2
|
2
|
$2.00
|
$2.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000685
|
CDM
|
Psyllium (Metamucil) Pkt
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000130
|
CDM
|
Labetalol (Normadyne) Inj 100mg/20ml
|
2
|
2
|
$4.00
|
$4.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000696
|
CDM
|
Ramipril (Altace) Cap 5mg
|
2
|
2
|
$2.00
|
$2.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000012
|
CDM
|
Ammonia Inhalants Amp
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000705
|
CDM
|
Senna (Senokot) Tab
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000128
|
CDM
|
Ketorolac (Toradol) Inj 60mg/2ml Vial
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000289
|
CDM
|
Azithromycin (Zithromax) Tab : 250mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000232
|
CDM
|
Sodium Bicarbonate 8.4% Inj 10ml
|
2
|
2
|
$2.00
|
$2.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000127
|
CDM
|
Ketorolac (Toradol) Inj 30mg/ml
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000144
|
CDM
|
Lidocaine Mpf (Xylocaine) 1% Inj 10ml
|
2
|
2
|
$3.00
|
$3.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000151
|
CDM
|
Loperamide (Imodium) Cap 2mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000125
|
CDM
|
Ketamine (Ketalar) Inj 500mg/10ml
|
2
|
2
|
$7.00
|
$7.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000739
|
CDM
|
Thiamine (Vitamin B-1) Inj 200mg/2ml
|
2
|
2
|
$8.00
|
$8.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000014
|
CDM
|
Zz
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000184
|
CDM
|
Mupirocin (Bactroban) Ointment 22gm
|
2
|
2
|
$6.00
|
$6.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000100
|
CDM
|
Heparin Inj 1000 Units/ml 1ml
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000576
|
CDM
|
Nabumetone (Relafen) Tab 500mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000429
|
CDM
|
Fluconazole (Diflucan) Tab 100mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000394
|
CDM
|
Enalapril (Vasotec) Tab 5mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000396
|
CDM
|
Enoxaparin (Lovenox) Inj 40mg
|
2
|
2
|
$5.00
|
$5.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000617
|
CDM
|
Oxycodone Ir (Oxyir) Tab 5mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000550
|
CDM
|
Meclizine (Antivert) Tab 25mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000139
|
CDM
|
Lidocaine (Xylocaine) 2% Jelly 30ml
|
2
|
2
|
$8.00
|
$8.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000416
|
CDM
|
Felodipine (Plendil) Tab 2.5mg
|
2
|
2
|
$2.00
|
$2.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000352
|
CDM
|
Clonazepam (Klonopin) Tab 1mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|
|
5000763
|
CDM
|
Trimethoprim (Trimpex) Tab 100mg
|
2
|
2
|
$1.00
|
$1.00
|
$1,800.00
|
$7,280.00
|
$4,540.00
|
2026-01-15
|