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Charge Type Revenue Code Description CPT Code Rate
Drugs 250 Pharmacy 4073023 EPINEPHRINE(ADRENALIN):1MG A J0171 129.37
Drugs 250 Pharmacy 4070360 AMIKIN(AMIKACIN):500MG INJ** J0278 50.76
Drugs 250 Pharmacy 4070966 ATROPINE:0.4MG INJ J0461 35.92
Drugs 250 Pharmacy 4070968 ATROPINE:1MG SYR J0461 88.41
Drugs 250 Pharmacy 4071280 BICILLIN LA(PEN G BENZATHINE J0561 815.53
Drugs 250 Pharmacy 4078887 TEFLARO CEFTAROLINE FSML 600 J0712 866.32
Drugs 250 Pharmacy 4074061 INVANZ 1GM INJ J1335 647.98
Drugs 250 Pharmacy 4079158 LORAZEPAM 20MG/10ML VIAL J2060 48.00
Drugs 250 Pharmacy 4078672 VERSED MIDAZOLAM;25MG/5ML IN J2250 89.47
Drugs 250 Pharmacy 4072830 DURAMORPH(ASTRAMORPH):10MG/1 J2274 63.10
Drugs 250 Pharmacy 4078701 MORPHINE SULFATE .5MG/ML 10M J2274 221.15
Drugs 250 Pharmacy 4077275 PROSTAPHLIN(OXACILLIN):1GM I J2700 67.74
Drugs 250 Pharmacy 4077276 PROSTAPHLIN(OXACILLIN):2GM I J2700 67.18
Drugs 250 Pharmacy 4072634 PROPOFOL:200MG INJ 20ML J2704 24.05
Drugs 250 Pharmacy 4072636 PROPOFOL:1000MG/100ML INJ J2704 114.14
Drugs 250 Pharmacy 4078767 PROPOFOL 100MG 10ML J2704 11.80
Drugs 250 Pharmacy 4077423 REGLAN(METOCLOPRAMIDE)INJ:10 J2765 10.71
Drugs 250 Pharmacy 4075630 NAROPIN 0.2% 100ML BOTTLE J2795 241.49
Drugs 250 Pharmacy 4070035 FENTANYL:2MCG/ML//MARCAINE0. J3010 203.82
Drugs 250 Pharmacy 4078036 FENTANYL(SUBLIMAZE):2ML INJ J3010 16.63
Drugs 250 Pharmacy 4078039 FENTANYL(SUBLIMAZE):5ML INJ J3010 16.57
Drugs 250 Pharmacy 4078556 FENTANYL 2MCG/ML +MARCAINE.1 J3010 217.53
Drugs 250 Pharmacy 4074578 KENALOG(TRIAMICINOLONE):40MG J3301 94.72
Drugs 250 Pharmacy 4074470 POTASSIUM CHL 10MEQ/100ML J3480 36.38
Drugs 250 Pharmacy 4071450 CARDIZEM(DILTIAZEM):25MG/5ML J3490 21.99
Drugs 250 Pharmacy 4071455 CARDIZEM(DILTIAZEM HY100MG I J3490 102.13
Drugs 250 Pharmacy 4079202 CLEOCIN 600MG/NS 50ML J3490 108.28
Drugs 250 Pharmacy 4073942 IMURAN(AZATHIOPRINE):50MG TA J7500 4.75
Drugs 250 Pharmacy 4075054 MEDROL(METHYLPREDNISOLONE):4 J7509 4.00
Drugs 250 Pharmacy 4077014 PREDNISONE:5MG TAB J7512 4.00
Drugs 250 Pharmacy 4079048 FLAGYL (METRONIDAZOLE)250MG/ S0030 23.89
Drugs 250 Pharmacy 4071049 BACTRIM(SULFAMETHOX/TMP):10M S0039 108.15
Drugs 250 Pharmacy 4070990 AZACTAM(AZTREONAM):1GM INJ S0073 180.54
Drugs 250 Pharmacy 4078596 CEFOTETAN 2000MG/D5W 50IVPB S0074 189.25
Drugs 250 Pharmacy 4078598 CEFOTETAN 1000MG/D5W50IVPB S0074 136.32
Drugs 250 Pharmacy 4071339 BUMEX(BUMETANIDE):0.25MG/ML S0171 21.31
Drugs 250 Pharmacy 4070231 ALCAINE O.S. 15ML 108.09
Drugs 250 Pharmacy 4071028 BACTROBAN CRM/OINT (MUPIROCI 53.43
Drugs 250 Pharmacy 4071040 BACITRACIN OPHTH. OINT. 3.5G 462.00
Drugs 250 Pharmacy 4072822 DUONEB(IPRATROPIUM/ALBUTEROL 4.00
Drugs 250 Pharmacy 4072940 EMLA CREAM: 5GM 43.92
Drugs 250 Pharmacy 4073079 ERYTHROMYCIN OPHTH OINT 3.5G 64.05
Drugs 250 Pharmacy 4073727 HEP LOCK 5ML SYR 4.00
Drugs 250 Pharmacy 4075024 MAXITROL 0.0 3.5GM 68.74
Drugs 250 Pharmacy 4077072 PREMARIN VAG CR(ESTROGEN) 42 1408.00
Drugs 250 Pharmacy 4077371 PULMICORT 0.5MG/2ML 60.20
Drugs 250 Pharmacy 4077861 NS 10ML SYR 4.77
Drugs 250 Pharmacy 4078224 SYMBICORT 10.2GM INHALER 25.79
Drugs 250 Pharmacy 4078481 REVATIO 20MG TAB 4.00
Drugs 250 Pharmacy 4078706 ATROVENT .02%NEB 2.5ML 4.00
Drugs 250 Pharmacy 4078797 AKTEN 3.5% OPHTH GEL 1ML 72.80
Drugs 250 Pharmacy 4078861 TRANEXAMIC ACID 1000MG/10ML 85.24
Drugs 250 Pharmacy 4078869 ALBUTEROL .042%NEB 3ML 8.00
Drugs 250 Pharmacy 4078884 LIDOCAINE 2% JELLY 10ML 48.04
Drugs 250 Pharmacy 4078929 MOXIFLOXACIN O.5% OPHTH 0.3 145.30
Drugs 250 Pharmacy 4078935 MYDRFIN 2.5% OPTH SOLN 0.5 M 27.70
Drugs 250 Pharmacy 4078958 ALCAINE PROPARACAINE .5% OS5 7.42
Drugs 250 Pharmacy 4078975 MYDRIACIL TROPICAMIDE 1%.3ML 10.63
Drugs 250 Pharmacy 4079033 SOD CHLORIDE.3% 15ML NEB 6.95
Drugs 250 Pharmacy 4079057 MARCAINE 0.125% 362.62
Drugs 250 Pharmacy 4079100 VENTOLIN 0.083%/3ML 4.01
Drugs 250 Pharmacy 4079140 ZITHROMAX(AZITHROMYCIN):250M 9.33
Drugs 250 Pharmacy 4079157 TETRACAINE .5% OPHTH SOLN 4M 40.48
Drugs 250 Pharmacy 4079160 MUPIROCIN 2% 1GM OINT 34.45
Drugs 250 Pharmacy 4079308 LIDOCAINE VISCOUS 15ML U/D 7.11
Drugs 250 Pharmacy 4079311 XYLOCAINE(LIDOCAINE)2% JELLY 167.41
Drugs 250 Pharmacy 4079327 XOPENEX 0.63MG/3ML 16.45
Drugs 250 Pharmacy 4079340 XOPENEX 1.25MG/1MG 18.05
Drugs 251 Drugs/Generic 4074588 KETAMINE 10MG/ML 20ML INJ J3490 38.55
Drugs 251 Drugs/Generic 4074589 KETALAR(KETAMINE):50MG/ML 10 J3490 22.20
Drugs 251 Drugs/Generic 4078804 FLOIC ACID 5MG/ML 10ML MDV J3490 5.55
Drugs 251 Drugs/Generic 4078600 SYRINGE 16.00
Drugs 252 Drugs/Nongeneric 4079216 LIDOCAINE HCL MPF 1% 10 ML VIA 80176 26.20
Drugs 252 Drugs/Nongeneric 4079213 HEPARIN 10,000 UNIT/ML INJ A9270 8.42
Drugs 252 Drugs/Nongeneric 3261121 NEXTERONE(AMIODARONE)30 /360 J0282 308.37
Drugs 252 Drugs/Nongeneric 4078704 NEXTERONE AMIODARONE 150MG/1 J0282 283.98
Drugs 252 Drugs/Nongeneric 4070490 AMPICILLIN:1GM INJ J0290 16.86
Drugs 252 Drugs/Nongeneric 4070492 AMPICILLIN:2GM INJ J0290 25.36
Drugs 252 Drugs/Nongeneric 4078625 AMPICLLIN 100MG/ML INJ (NB) J0290 17.38
Drugs 252 Drugs/Nongeneric 4078868 UNASYN(AMPICILLIN/SULBACTAM) J0295 26.19
Drugs 252 Drugs/Nongeneric 4070700 APRESOLINE(HYDRALAZINE):20MG J0360 23.27
Drugs 252 Drugs/Nongeneric 4079047 ZITHROMAX (AZITHROMYCIN) 250 J0456 23.27
Drugs 252 Drugs/Nongeneric 4079141 ZITHROMAX(AZITHROMYCIN):500M J0456 22.77
Drugs 252 Drugs/Nongeneric 4071176 BENTYL(DICYCLOMINE):20MG INJ J0500 415.91
Drugs 252 Drugs/Nongeneric 4071741 COGENTIN(BENZTROPINE):2MG IN J0515 261.02
Drugs 252 Drugs/Nongeneric 4078015 STADOL(BUTORPHANOL):2MG INJ J0595 47.10
Drugs 252 Drugs/Nongeneric 4071470 CALCIUM GLUCONATE:1GM INJ J0610 6.73
Drugs 252 Drugs/Nongeneric 4071471 CALCIUM GLUCONATE:1GM INJ** J0610 86.09
Drugs 252 Drugs/Nongeneric 4078684 ANCEF(CEFAZOLIN) 1GM J0690 14.24
Drugs 252 Drugs/Nongeneric 4078784 CEFAZOLIN 2GM/D5W 50 PMIX IV J0690 84.42
Drugs 252 Drugs/Nongeneric 4079041 CEFAZOLIN 3GM/NS 100ML PMIX J0690 98.79
Drugs 252 Drugs/Nongeneric 4075016 MAXIPIME(CEFEPIME):1GM INJ J0692 34.08
Drugs 252 Drugs/Nongeneric 4075023 MAXIPIME(CEFEPIME):2GM INJ J0692 60.70
Drugs 252 Drugs/Nongeneric 4075056 MEFOXIN (CEFOXITIN): 1G INJ J0694 75.83
Drugs 252 Drugs/Nongeneric 4075059 MEFOXIN (CEFOXITIN): 2GM INJ J0694 60.69
Drugs 252 Drugs/Nongeneric 4077565 ROCEPHIN(CEFTRIAXONE):2GM IN J0696 22.42
Drugs 252 Drugs/Nongeneric 4078683 ROCEPHIN(CEFTRIAXONE) 1GM IM J0696 12.67
Drugs 252 Drugs/Nongeneric 4071553 CELESTONE SOLUSPAN(BETAM.ACE J0702 274.59
Drugs 252 Drugs/Nongeneric 4073378 FORTAZ(CEFTAZIDIME J0713 33.27
Drugs 252 Drugs/Nongeneric 4073379 FORTAZ(CEFTAZIDIME J0713 6.37
Drugs 252 Drugs/Nongeneric 4075000 PRIMAXIN(IMIPENEM J0743 107.14
Drugs 252 Drugs/Nongeneric 4070018 CIPRO 400MG/D5W 200ML J0744 37.49
Drugs 252 Drugs/Nongeneric 4072325 DEPO MEDROL:80MG INJ J1040 127.22
Drugs 252 Drugs/Nongeneric 4078574 DEXAMETHASONE 10MG/ML INJ J1100 14.15
Drugs 252 Drugs/Nongeneric 4072397 DIAMOX(ACETAZOLAMIDE):500MG J1120 146.75
Drugs 252 Drugs/Nongeneric 4078529 DIGOXIN .25MG/ML2ML INJ J1160 27.99
Drugs 252 Drugs/Nongeneric 4072536 DILAUDID(HYDROMORPHONE):1MG J1170 21.13
Drugs 252 Drugs/Nongeneric 4078918 DILAUDID HYDROMORPHONE.5MG/. J1170 26.52
Drugs 252 Drugs/Nongeneric 4071162 BENADRYL(DIPHENHYDRAMINE):50 J1200 6.10
Drugs 252 Drugs/Nongeneric 3260451 DOBUTREX(DOBUTAMINE):250MG/2 J1250 81.32
Drugs 252 Drugs/Nongeneric 4073070 ERYTHROMYCIN(ERYTH.LACTOBION J1364 312.36
Drugs 252 Drugs/Nongeneric 4070033 DIFLUCAN(FLUCONAZOLE) 200MG/ J1450 57.36
Drugs 252 Drugs/Nongeneric 4078599 FLUCONAZOLE 100MG/NS 50ML PR J1450 108.89
Drugs 252 Drugs/Nongeneric 4070024 GENTAMICIN(GARAMYCIN):80MG/N J1580 36.55
Drugs 252 Drugs/Nongeneric 4073499 GENTAMICIN(GARAMYCIN):20MG/2 J1580 15.20
Drugs 252 Drugs/Nongeneric 4073500 GENTAMICIN(GARAMYCIN):80MG I J1580 10.25
Drugs 252 Drugs/Nongeneric 4078557 GENTAMICIN 40MG/ML 20ML VIAL J1580 162.44
Drugs 252 Drugs/Nongeneric 4078626 GENTAMICIN 2MG/ML (NB) J1580 32.90
Drugs 252 Drugs/Nongeneric 4073699 HALDOL(HALOPERIDOL):5MG INJ J1630 5.85
Drugs 252 Drugs/Nongeneric 3261140 HEPARIN 1000UNITS/NS 500ML * J1644 57.65
Drugs 252 Drugs/Nongeneric 4073720 HEPARIN:5 000 UNITS INJ ** J1644 10.55
Drugs 252 Drugs/Nongeneric 4073722 HEPARIN:1 000 UNITS INJ J1644 12.55
Drugs 252 Drugs/Nongeneric 4073723 HEPARIN:25 000 UNITS/0.45% N J1644 46.68
Drugs 252 Drugs/Nongeneric 4073730 HEPARIN (IRR) 5000 UNIT INJ J1644 12.05
Drugs 252 Drugs/Nongeneric 4077980 SOLU CORTEF(HYDROCORTISONE): J1720 118.20
Drugs 252 Drugs/Nongeneric 4078648 TORADOL(KETOROLAC):30MG INJ J1885 9.28
Drugs 252 Drugs/Nongeneric 4078650 TORADOL(KETOROLAC):60MG INJ J1885 10.45
Drugs 252 Drugs/Nongeneric 4074676 LASIX(FUROSEMIDE):20MG INJ J1940 11.65
Drugs 252 Drugs/Nongeneric 4074678 LASIX(FUROSEMIDE):40MG INJ J1940 13.24
Drugs 252 Drugs/Nongeneric 4070040 LEVAQUIN(LEVOFLOXACIN):250MG J1956 29.75
Drugs 252 Drugs/Nongeneric 4070042 LEVAQUIN(LEVOFLOXACIN):500MG J1956 33.79
Drugs 252 Drugs/Nongeneric 4070044 LEVAQUIN(LEVOFLOXACIN):750MG J1956 35.63
Drugs 252 Drugs/Nongeneric 4074751 LIDOCAINE:100MG SYR J2001 25.70
Drugs 252 Drugs/Nongeneric 4070940 ATIVAN(LORAZEPAM):2MG INJ J2060 6.36
Drugs 252 Drugs/Nongeneric 4072268 DEMEROL(MEPERIDINE):25MG INJ J2175 9.65
Drugs 252 Drugs/Nongeneric 4072282 DEMEROL(MEPERIDINE):50MG INJ J2175 59.35
Drugs 252 Drugs/Nongeneric 4075180 METHERGINE(METHYLERGONOVINE) J2210 95.50
Drugs 252 Drugs/Nongeneric 4079111 VERSED(MIDAZOLAM):5MG/5ML IN J2250 5.35
Drugs 252 Drugs/Nongeneric 4079114 VERSED(MIDAZOLAM):2MG/2ML IN J2250 4.24
Drugs 252 Drugs/Nongeneric 4075387 MORPHINE:2MG INJ** J2270 12.47
Drugs 252 Drugs/Nongeneric 4075389 MORPHINE:4MG INJ** J2270 16.37
Drugs 252 Drugs/Nongeneric 4075390 MORPHINE:10MG INJ** J2270 9.75
Drugs 252 Drugs/Nongeneric 4078514 MORPHINE 5MG INJ J2270 14.70
Drugs 252 Drugs/Nongeneric 4075936 NEO J2370 35.22
Drugs 252 Drugs/Nongeneric 4075936 NEO-SYNEPHRINE(PHENYLEPHRINE J2370 44.00
Drugs 252 Drugs/Nongeneric 4078942 LIDO 1% PHENLEPHRINE 1.5%PF1 J2370 200.53
Drugs 252 Drugs/Nongeneric 4076426 PENICILLIN G : 1MU INJ J2540 53.80
Drugs 252 Drugs/Nongeneric 4078627 PENICILLIN G 100000UNITS/ML J2540 4.00
Drugs 252 Drugs/Nongeneric 4079407 ZOSYN(PIPERACILLIN/TAZOBACTA J2543 26.71
Drugs 252 Drugs/Nongeneric 4079408 ZOSYN(PIPERACILLIN/TAZOBACTA J2543 56.07
Drugs 252 Drugs/Nongeneric 4079416 ZOSYN(PIPERACILLIN/TAZOBACTA J2543 34.91
Drugs 252 Drugs/Nongeneric 4076748 PHENERGAN(PROMETHAZINE):25MG J2550 9.88
Drugs 252 Drugs/Nongeneric 4076790 PHENERGAN(PROMETHAZINE):50MG J2550 21.98
Drugs 252 Drugs/Nongeneric 4076888 PITOCIN(OXYTOCIN):10 UNIT IN J2590 5.10
Drugs 252 Drugs/Nongeneric 4072129 DDAVP(STIMATE/DESMOPRESSIN): J2597 299.24
Drugs 252 Drugs/Nongeneric 4077322 PROTAMINE SULF:50MG INJ J2720 82.05
Drugs 252 Drugs/Nongeneric 4075639 NAROPIN(ROPIVACAINE):0.5% 30 J2795 74.98
Drugs 252 Drugs/Nongeneric 4077476 ROBAXIN(METHOCARBAMOL):1GM I J2800 157.12
Drugs 252 Drugs/Nongeneric 4073155 FERRLECIT:62.5MG/5ML INJ J2916 86.81
Drugs 252 Drugs/Nongeneric 4077952 SOLU MEDROL(METHYLPREDNISOLO J2920 49.28
Drugs 252 Drugs/Nongeneric 4077925 SOLU MEDROL(METHYLPREDNISOLO J2930 105.83
Drugs 252 Drugs/Nongeneric 4077938 SOLU MEDROL(METHYLPRE.) <125 J2930 78.09
Drugs 252 Drugs/Nongeneric 4071316 BRETHINE(TERBUTALINE):1MG/ML J3105 11.70
Drugs 252 Drugs/Nongeneric 4075642 NEBCIN(TOBRAMYCIN):80MG INJ* J3260 17.20
Drugs 252 Drugs/Nongeneric 4079004 VANCOCIN(VANCOMYCIN):500MG I J3370 19.19
Drugs 252 Drugs/Nongeneric 4079005 VANCOCIN(VANCOMYCIN):1GM INJ J3370 36.90
Drugs 252 Drugs/Nongeneric 4079151 VANCOMYCIN 750 MG INJ J3370 72.98
Drugs 252 Drugs/Nongeneric 4071933 CYANOCOBALAMIN(VIT B12):1MG J3420 36.90
Drugs 252 Drugs/Nongeneric 4070728 AQUAMEPHYTON(VIT K)(PHYTONAD J3430 289.90
Drugs 252 Drugs/Nongeneric 4070742 AQUAMEPHYTON(VIT K)(PHYTONAD J3430 92.48
Drugs 252 Drugs/Nongeneric 4070038 MAG SULF 20GM/500ML BAG J3475 60.58
Drugs 252 Drugs/Nongeneric 4070050 MAGNESIUM SULFATE 4G IN 100M J3475 118.94
Drugs 252 Drugs/Nongeneric 4070051 MAGNESIUM SULFATE 1G/D5W 100 J3475 70.82
Drugs 252 Drugs/Nongeneric 4074942 MAGNESIUM SULFATE:1GM INJ J3475 11.02
Drugs 252 Drugs/Nongeneric 4074494 POTASSIUM CHL:20MEQ INJ** J3480 25.15
Drugs 252 Drugs/Nongeneric 4070055 FLAGYL (METRONIDAZOLE):500MG J3490 24.18
Drugs 252 Drugs/Nongeneric 4070350 AMIDATE(ETOMIDATE):40MG SYRI J3490 44.56
Drugs 252 Drugs/Nongeneric 4071654 CLEOCIN(CLINDAMYCIN):900MG I J3490 41.54
Drugs 252 Drugs/Nongeneric 4072320 DEPACON(VALPROATE ACID):500M J3490 19.85
Drugs 252 Drugs/Nongeneric 4074984 MARCAINE(SENSORCAINE) 0.25% J3490 24.57
Drugs 252 Drugs/Nongeneric 4074985 MARCAINE(SENSORCAINE) 0.5% 3 J3490 33.29
Drugs 252 Drugs/Nongeneric 4074986 MARCAINE(SENSORCAINE) 0.75% J3490 24.11
Drugs 252 Drugs/Nongeneric 4074987 MARCAINE(SENSORCAINE) 0.25% J3490 27.06
Drugs 252 Drugs/Nongeneric 4074988 MARCAINE(SENSORCAINE) 0.5% W J3490 19.24
Drugs 252 Drugs/Nongeneric 4074999 MARCAINE(SENSORCAINE) SPINAL J3490 29.20
Drugs 252 Drugs/Nongeneric 4076486 PEPCID(FAMOTIDINE): 20MG INJ J3490 10.00
Drugs 252 Drugs/Nongeneric 4078692 VASOTEC ENALAPRILAT INJ 1.25 J3490 10.50
Drugs 252 Drugs/Nongeneric 4077872 SOD CHLORIDE:23.4% 30ML INJ J7131 211.00
Drugs 252 Drugs/Nongeneric 4077873 HYPERTONIC SALINE:30ML J7131 0.98
Drugs 252 Drugs/Nongeneric 3260330 CLINIMIX 4.25/5 1000ML 240.22
Drugs 252 Drugs/Nongeneric 3260333 CLIMIMIX 5/15 2000ML 380.07
Drugs 252 Drugs/Nongeneric 3260450 NS :25ML 29.26
Drugs 252 Drugs/Nongeneric 3260453 NS :50ML 27.48
Drugs 252 Drugs/Nongeneric 3260454 NS :100ML 31.79
Drugs 252 Drugs/Nongeneric 3260455 NS :50ML ADVANTAGE/MINIBAG P 26.67
Drugs 252 Drugs/Nongeneric 3260456 NS :100ML MINIBAG PLUS 43.07
Drugs 252 Drugs/Nongeneric 3260457 NS 100ML ADVANTAGE BAG 25.03
Drugs 252 Drugs/Nongeneric 3260620 D5NS KCL 20MEQ 1000ML 43.79
Drugs 252 Drugs/Nongeneric 3260635 D5NS KCL 40MEQ 1000ML 36.30
Drugs 252 Drugs/Nongeneric 3260650 D5.45%NS KCL 10MEQ 1000ML 57.02
Drugs 252 Drugs/Nongeneric 3260660 D5.45%NS KCL 20MEQ 1000ML 37.77
Drugs 252 Drugs/Nongeneric 3260670 D5.45%NS KCL 40MEQ 1000ML 57.02
Drugs 252 Drugs/Nongeneric 3261091 INTRALIPID 20%:500ML (IV FAT 164.88
Drugs 252 Drugs/Nongeneric 3261150 MANNITOL 20% 500ML 119.21
Drugs 252 Drugs/Nongeneric 3261330 NS KCL 20MEQ 1000ML 38.96
Drugs 252 Drugs/Nongeneric 3261350 NS KCL 40MEQ 1000ML 50.59
Drugs 252 Drugs/Nongeneric 3261580 SOD. CHLORIDE 0.45% KCL 20ME 28.20
Drugs 252 Drugs/Nongeneric 3266058 NITROGLYCERIN 25MG/D5W 250ML 92.33
Drugs 252 Drugs/Nongeneric 4070001 PATIENT’S HOME MED IN PHARMA 8.73
Drugs 252 Drugs/Nongeneric 4070518 AMPICILLIN:250MG INJ 5.45
Drugs 252 Drugs/Nongeneric 4070600 ANECTINE 20MG/ML 10 ML MDV 145.77
Drugs 252 Drugs/Nongeneric 4071023 BSS:15ML 29.35
Drugs 252 Drugs/Nongeneric 4071026 BSS:500ML 56.70
Drugs 252 Drugs/Nongeneric 4071334 BREVIBLOC(ESMOLOL):100MG/10M 23.45
Drugs 252 Drugs/Nongeneric 4071453 CARDIZEM(DILTIAZEM):125MG/25 71.27
Drugs 252 Drugs/Nongeneric 4071468 CALCIUM CHLORIDE 10%:1GM INJ 63.97
Drugs 252 Drugs/Nongeneric 4071730 COCAINE HCL 4% TOPICAL SOLN. 889.65
Drugs 252 Drugs/Nongeneric 4072366 DEXTROSE(ABBOJECT):25GM(50%/ 75.77
Drugs 252 Drugs/Nongeneric 4072982 EPHEDRINE:50MG INJ 151.53
Drugs 252 Drugs/Nongeneric 4073376 FORANE LIQUID (ISOFLURANE) 4.00
Drugs 252 Drugs/Nongeneric 4073523 GELFILM OPHTH. FILM 973.28
Drugs 252 Drugs/Nongeneric 4073525 GELFOAM SPONGE SIZE 12 51.50
Drugs 252 Drugs/Nongeneric 4073526 GELFOAM SPONGE SIZE 180.90
Drugs 252 Drugs/Nongeneric 4073714 HEMABATE(CARBOPROST): 250MCG 1499.15
Drugs 252 Drugs/Nongeneric 4073725 HESPAN(HETASTARCH):500ML 138.22
Drugs 252 Drugs/Nongeneric 4074492 POTASSIUM ACETATE:40MEQ/20ML 29.70
Drugs 252 Drugs/Nongeneric 4074708 LEVOPHED(NOREPINEPHRINE): 4M 66.02
Drugs 252 Drugs/Nongeneric 4074863 LOPRESSOR(METOPROLOL):5MG IN 5.45
Drugs 252 Drugs/Nongeneric 4075010 ROMAZICON(FLUMAZENIL):0.5MG/ 42.60
Drugs 252 Drugs/Nongeneric 4075307 MIOCHOL:2ML 307.40
Drugs 252 Drugs/Nongeneric 4075450 MURI 123.60
Drugs 252 Drugs/Nongeneric 4075460 MVI 64.99
Drugs 252 Drugs/Nongeneric 4075628 NARCAN(NALOXONE):0.4MG INJ 62.81
Drugs 252 Drugs/Nongeneric 4075850 NEOSPORIN 66.76
Drugs 252 Drugs/Nongeneric 4075850 NEOSPORIN-GU IRRG INJ 66.70
Drugs 252 Drugs/Nongeneric 4076036 NIMBEX (CISATRACRIUM) 10MG/5 76.45
Drugs 252 Drugs/Nongeneric 4076152 NORMODYNE(LABETALOL):INJ MDV 39.66
Drugs 252 Drugs/Nongeneric 4076903 PITRESSIN(VASOPRESSIN):20UNI 625.23
Drugs 252 Drugs/Nongeneric 4076972 PONTOCAINE(TETRACAINE):1% 2M 253.25
Drugs 252 Drugs/Nongeneric 4076990 POTASSIUM PHOSPHATE : 45MM I 131.34
Drugs 252 Drugs/Nongeneric 4077780 SILVER NITRATE APPLICATORS 4.86
Drugs 252 Drugs/Nongeneric 4077855 SOD BICARB :50MEQ SYR 86.50
Drugs 252 Drugs/Nongeneric 4077866 SOD CHLORIDE:0.9% 3ML INH. 4.00
Drugs 252 Drugs/Nongeneric 4077868 SOD CHLORIDE:0.9% 10ML PF IN 14.80
Drugs 252 Drugs/Nongeneric 4077875 SOD PHOSPHATE:15MM/5ML 15ML 131.34
Drugs 252 Drugs/Nongeneric 4078017 WATER STERILE:10ML INJ 9.09
Drugs 252 Drugs/Nongeneric 4078021 WATER STERILE INJ:1000ML 61.83
Drugs 252 Drugs/Nongeneric 4078023 WATER STERILE:50ML INJ 25.55
Drugs 252 Drugs/Nongeneric 4078480 THIAMINE HCL 100MG/ML 2ML IN 56.92
Drugs 252 Drugs/Nongeneric 4078505 DEXMEDETOMIDE INJ 100MCG/ML 90.13
Drugs 252 Drugs/Nongeneric 4078572 THROMBIN:5000U 5ML 299.70
Drugs 252 Drugs/Nongeneric 4078607 BENZOCAINE SPRAY .5ML UD 95.15
Drugs 252 Drugs/Nongeneric 4078661 TRANSDERM SCOP PATCH (SCOPOL 185.42
Drugs 252 Drugs/Nongeneric 4078702 SYNTHROID(LEVOTHROID)100MCGI 492.40
Drugs 252 Drugs/Nongeneric 4078709 SODIUM BICARBONATE 4.2% INFA 90.60
Drugs 252 Drugs/Nongeneric 4078750 ROBINUL GLYCOPYROLATE .2MG/M 79.84
Drugs 252 Drugs/Nongeneric 4078768 XYLOCAINE 2% PF 5ML (EYE CAS 12.88
Drugs 252 Drugs/Nongeneric 4078814 TRACE MINERAL ADDAMEL 10ML I 146.48
Drugs 252 Drugs/Nongeneric 4078831 CARDENE(NICARDIPINE) 40MG/20 883.96
Drugs 252 Drugs/Nongeneric 4078840 ULTANE(SEVOFLURANE)SOLUTION 8.60
Drugs 252 Drugs/Nongeneric 4078998 TETRAVISC FORTE.5%OPH VISC.5 25.80
Drugs 252 Drugs/Nongeneric 4079027 ALCOHOL (DEHYDRATED)5ML VIAL 502.36
Drugs 252 Drugs/Nongeneric 4079064 BRIDION (SUGGAMADEX) 200MG 492.90
Drugs 252 Drugs/Nongeneric 4079093 HEALON DUET 308.70
Drugs 252 Drugs/Nongeneric 4079113 VIBRAMYCIN(DOXYCYCLINE):100M 126.34
Drugs 252 Drugs/Nongeneric 4079192 CLINIMIX E 4.25/5 IL 243.18
Drugs 252 Drugs/Nongeneric 4079204 MULTITRACE 106.16
Drugs 252 Drugs/Nongeneric 4079222 CONTRAST IC 2962.84
Drugs 252 Drugs/Nongeneric 4079300 HEALON GV SYRINGE 782.50
Drugs 252 Drugs/Nongeneric 4079312 LIDOCAINE 1%:20ML INJ 13.96
Drugs 252 Drugs/Nongeneric 4079313 LIDOCAINE 1%/EPI:20ML INJ 16.60
Drugs 252 Drugs/Nongeneric 4079314 LIDOCAINE 2%:20ML INJ 10.84
Drugs 252 Drugs/Nongeneric 4079315 LIDOCAINE 2%/EPI:20ML INJ 19.34
Drugs 252 Drugs/Nongeneric 4079316 XYLOCAINE(LIDOCAINE)0.5% 50M 20.85
Drugs 252 Drugs/Nongeneric 4079317 XYLOCAINE(LIDOCAINE)4% 5ML I 31.75
Drugs 252 Drugs/Nongeneric 4079318 XYLOCAINE(LIDOCAINE)2% PF 10 15.55
Drugs 252 Drugs/Nongeneric 4079325 XYLOCAINE(LIDOCAINE)2% W/EPI 48.56
Drugs 252 Drugs/Nongeneric 4079329 XYLOCAINE(LIDOCAINE):1% MPF5ML 16.15
Drugs 252 Drugs/Nongeneric 4079333 XYLOCAINE(LIDOCAINE)1% MPF 2 10.38
Drugs 252 Drugs/Nongeneric 4079404 ZEMURON 10MG/ML 5ML MDV 22.61
Drugs 252 Drugs/Nongeneric 4079420 ZOVIRAX(ACYCLOVIR):500MG INJ 30.47
Drugs 252 Drugs/Nongeneric 4080004 ULTANE 41.6 ML SOL 133.35
Drugs 253 Drugs/Takehome 4071893 ZZDP CORTISPORIN OTIC SUSP A9270 103.05
Drugs 253 Drugs/Takehome 4073277 ZZDP FLEXERIL 10MG A9270 4.00
Drugs 253 Drugs/Takehome 4077354 ZZDP PROVENTIL INHALER 80MET A9270 3.82
Drugs 253 Drugs/Takehome 4077770 ZZDP SILVADENE CREAM 20GM A9270 38.30
Drugs 253 Drugs/Takehome 4078617 ZZDP ZOFRAN 8MG ODT TABS A9270 17.35
Drugs 253 Drugs/Takehome 4078646 ZZDP TORADOL 10MG TABS A9270 9.60
Drugs 253 Drugs/Takehome 4078838 ZZDP ERYTHROMYCIN OPHTH GEL3 A9270 64.05
Drugs 253 Drugs/Takehome 4078846 ZZDP GENTAMINCIN OPHTH GEL 3 A9270 92.80
Drugs 253 Drugs/Takehome 4078864 ZZDP NORCO 5/325 TABS 4S A9270 16.00
Drugs 253 Drugs/Takehome 4078963 ZZDP ULTRAM 50MG TAB 4S A9270 6.46
Drugs 253 Drugs/Takehome 4079104 ZZDP VENTOLIN SYRUP 60ML A9270 5.85
Drugs 255 Drugs/Incident Rad 4060808 CONTRAST CYSTOGRAFIN DILUT Q9958 110.80
Drugs 255 Drugs/Incident Rad 4060809 CONTRAST GASTROGRAFIN 30ML B Q9963 74.00
Drugs 255 Drugs/Incident Rad 4060810 CONTRAST GASTROGRAFIN 120ML Q9963 89.35
Drugs 255 Drugs/Incident Rad 4060826 CONTRAST ISOVUE M Q9966 103.19
Drugs 255 Drugs/Incident Rad 4060826 CONTRAST ISOVUE M-200 10ML B Q9966 103.10
Drugs 255 Drugs/Incident Rad 4060800 CONTRAST ISOVUE 300 50ML VIA Q9967 46.43
Drugs 255 Drugs/Incident Rad 4060801 CONTRAST ISOVUE 300 100ML VI Q9967 91.41
Drugs 255 Drugs/Incident Rad 4060803 CONTRAST ISOVUE 370 50ML VIA Q9967 50.56
Drugs 255 Drugs/Incident Rad 4060804 CONTRAST ISOVUE 370 100ML BO Q9967 102.68
Drugs 255 Drugs/Incident Rad 4060814 CONTRAST VISIPAQUE 320 50ML Q9967 340.28
Drugs 255 Drugs/Incident Rad 4060815 CONTRAST VISIPAQUE 320 100ML Q9967 549.18
Drugs 258 IV Solutions 3260560 D5LR : 1000ML J7121 36.85
Drugs 258 IV Solutions 3260680 D5.45%NS : 1000ML 2B1074X S5010 36.85
Drugs 258 IV Solutions 3260438 D10W 250ML 40.73
Drugs 258 IV Solutions 3260440 D10W : 1000ML 54.79
Drugs 258 IV Solutions 3260452 SOD CHLORIDE 3% :500ML 43.97
Drugs 258 IV Solutions 3260640 D5NS 1000ML 49.28
Drugs 258 IV Solutions 3260760 D5.2%NS 1000ML 37.74
Drugs 258 IV Solutions 3260880 D5W 1000ML 35.90
Drugs 258 IV Solutions 3260960 D5W 500ML 2 34.00
Drugs 258 IV Solutions 3260970 D5W : 250ML 32.52
Drugs 258 IV Solutions 3261080 LR 1000ML 33.20
Drugs 258 IV Solutions 3261119 GENTRAN 10% 40/D5W 500ML J71 185.00
Drugs 258 IV Solutions 3261320 NS 1000ML 43.12
Drugs 258 IV Solutions 3261321 NORMOSOL 40.71
Drugs 258 IV Solutions 3261321 NORMOSOL-R 1000ML 44.40
Drugs 258 IV Solutions 3261360 NS :250ML 30.79
Drugs 258 IV Solutions 3261400 NS :500ML 31.88
Drugs 258 IV Solutions 3261560 SOD. CHLORIDE 0.45% :1000ML 38.43
Drugs 259 Drugs/Other 4075173 METHAD0NE 5 MG TABLET 4.00
Drugs 259 Drugs/Other 4079241 WELCHOL 625 MG 35.10
Drugs 272 Sterile Supply 4077885 NS IRR:1000ML A4217 23.62
Drugs 272 Sterile Supply 4078018 WATER STERILE IRR:1000ML A4217 10.46
Drugs 272 Sterile Supply 4077883 NS IRR:250ML 45.18
Drugs 272 Sterile Supply 4077886 NS IRR:3000ML 32.25
Drugs 272 Sterile Supply 4078223 SYMIBCORT 80/4.5 INHALER 25.80
Drugs 272 Sterile Supply 4078980 IC 549.40
Facility / Procedure 272 Sterile Supply 3254960 VAGINAL EXAM TRAY 63.00
Facility / Procedure 272 Sterile Supply 3261183 TRAY MYELO 33.00
Supplies 272 Sterile Supply 3250189 NIMBUS II PAINPRO PUMP A4306 741.00
Supplies 272 Sterile Supply 3268912 BB A4649 373.00
Supplies 272 Sterile Supply 3270509 BB TAK A4649 219.00
Supplies 272 Sterile Supply 3252169 DRESSING AQUACEL 4X5 A6197 75.75
Supplies 272 Sterile Supply 3252717 DRESSING AQUACEL AG 3.5X14 A6197 153.00
Supplies 272 Sterile Supply 3252503 DRESSING OPTILOCK 6.5X10 A6252 24.25
Supplies 272 Sterile Supply 3271420 DRESSING OPITLOCK 5X5.5 ADHESI A6252 24.25
Supplies 272 Sterile Supply 3268726 ANATOEMIC 21.5MM C1713 2238.00
Supplies 272 Sterile Supply 3268940 SCREW LO C1713 2560.00
Supplies 272 Sterile Supply 3269049 PLATE DISTAL CLAVICLE 8 HOLE C1713 1540.00
Supplies 272 Sterile Supply 3271287 LEGEND II FIXATION PIN C1713 722.00
Supplies 272 Sterile Supply 3251940 UROMAX C1726 961.98
Supplies 272 Sterile Supply 3268299 BALLOON TUBE EUSTACHIAN SYSTEM C1726 6370.92
Supplies 272 Sterile Supply 3261077 DREAWIRE ST GUIDEWIRE .35X260 C1769 627.00
Supplies 272 Sterile Supply 3261152 GD WIRE ST TIP .035 X 480 C1769 418.00
Supplies 272 Sterile Supply 3270202 PIN THREADED 1.6MMX70MM C1769 126.50
Supplies 272 Sterile Supply 3271961 GUIDEWIRE .86MM C1769 80.75
Supplies 272 Sterile Supply 3280026 GUIDEWIRE ZIP .038X150 C1769 133.00
Supplies 272 Sterile Supply 3255025 CATH QUICK CROSS .035X150CM C1887 634.80
Supplies 272 Sterile Supply 3251925 ARGON BEAM COAGULATOR PROBE C2618 866.25
Supplies 272 Sterile Supply 3261153 BALLOON LUTONIX 6X150X130 C2623 6935.00
Supplies 272 Sterile Supply 3231125 PACK LEFT HEART 113.00
Supplies 272 Sterile Supply 3245000 APPLICATOR,SOLERO MW 14CM 10080.00
Supplies 272 Sterile Supply 3245001 APPLICATOR,SOLERO MW 19CM 10080.00
Supplies 272 Sterile Supply 3245313 STATLOCK CV ULTRA 87.75
Supplies 272 Sterile Supply 3245326 BIOPATCH 82.25
Supplies 272 Sterile Supply 3250140 STAPLER ECHELON 60 RELOAD GRN 626.25
Supplies 272 Sterile Supply 3250141 STAPLER ECHELON 60 1287.50
Supplies 272 Sterile Supply 3250143 STAPLER ECHELON 60 RELOAD BLUE 626.25
Supplies 272 Sterile Supply 3250144 STAPLER ECHELON 60 RELOAD WHI 678.00
Supplies 272 Sterile Supply 3250145 STAPLER LINEAR 75MM 820.75
Supplies 272 Sterile Supply 3250147 STAPLER LINEAR 75 RELOAD BLUE 438.00
Supplies 272 Sterile Supply 3250166 ETHILON 3 4.56
Supplies 272 Sterile Supply 3250166 ETHILON 3-0 FS-1 30 669H 4.56
Supplies 272 Sterile Supply 3250167 PDS II 3 22.75
Supplies 272 Sterile Supply 3250168 VICRYL 2 19.75
Supplies 272 Sterile Supply 3250169 VICRYL 3 19.75
Supplies 272 Sterile Supply 3250170 NEEDLE VERESS 120MM 43.72
Supplies 272 Sterile Supply 3250171 NEEDLE VERESS 150MM 45.25
Supplies 272 Sterile Supply 3250180 LIGATOR SPEED BAND 1587.00
Supplies 272 Sterile Supply 3250181 TROCAR BLADELESS 15MM 613.25
Supplies 272 Sterile Supply 3250185 BAND FACE UNIVERSAL 123.50
Supplies 272 Sterile Supply 3250230 KIT INFUSION SLEEVE 0.9MM 80.50
Supplies 272 Sterile Supply 3250241 BANDAGE ACE 3 STERILE 4.25
Supplies 272 Sterile Supply 3250244 KIT BIO 1110.25
Supplies 272 Sterile Supply 3250267 D 279.25
Supplies 272 Sterile Supply 3250281 BANDAGE ACE 4 STERILE 4.25
Supplies 272 Sterile Supply 3250284 MONOCRYL 5 41.75
Supplies 272 Sterile Supply 3250289 KIT PEG BARD 20FR 408.75
Supplies 272 Sterile Supply 3250300 KIT BIO SUTURE 3.0 TAK DISP 869.00
Supplies 272 Sterile Supply 3250321 BANDAGE ACE 6 STERILE 4.25
Supplies 272 Sterile Supply 3250374 BANDAGE STAT WRAP 4 4.25
Supplies 272 Sterile Supply 3250378 BANDAGE ESMARK 3 4.25
Supplies 272 Sterile Supply 3250379 BANDAGE ESMARK 6 48.50
Supplies 272 Sterile Supply 3250383 CUTTER ARTICULATING 45MM RELOA 519.50
Supplies 272 Sterile Supply 3250386 PREVENA 1444.00
Supplies 272 Sterile Supply 3250389 TUBE BMT T MOD 151.50
Supplies 272 Sterile Supply 3250391 TUBE BMT T RICHARDS ULTRASIL 126.00
Supplies 272 Sterile Supply 3250406 BRAVO CAPSULE DELIVERY SYSTEM 1062.75
Supplies 272 Sterile Supply 3250480 MANOMETER TRAY 46.50
Supplies 272 Sterile Supply 3250481 ELECTRODE ENT 8227410 406.75
Supplies 272 Sterile Supply 3250486 TRACKER ENT 9733533XOM 585.75
Supplies 272 Sterile Supply 3250487 TRACKER ENT 9732500XOM 751.25
Supplies 272 Sterile Supply 3250541 NEEDLE EZ INTRAOSSEOUS 25MM 491.25
Supplies 272 Sterile Supply 3250542 NEEDLE EZ INTRAOSSEUOS 45MM 570.50
Supplies 272 Sterile Supply 3250543 BAG DRAINAGE 600ML 92.25
Supplies 272 Sterile Supply 3250544 EZ STABILIZER 41.75
Supplies 272 Sterile Supply 3250558 FORCEP BIOPSY HOT 151.00
Supplies 272 Sterile Supply 3250602 BIOPSY PUNCH 4MM 46.50
Supplies 272 Sterile Supply 3250603 HARMONIC FOCUS FCS17 2235.50
Supplies 272 Sterile Supply 3250646 NEEDLE BIOPSY 11G X 4 122.75
Supplies 272 Sterile Supply 3250666 SCLEROTHERAPY NEEDLE 228.25
Supplies 272 Sterile Supply 3250676 NEEDLE CHIBA 20GX20CM 79.00
Supplies 272 Sterile Supply 3250680 SET BLOOD INFUSION 124.50
Supplies 272 Sterile Supply 3250682 SET BLOOD HEMA W/PUMP 34.75
Supplies 272 Sterile Supply 3250692 SET FLUID WARMER 105.25
Supplies 272 Sterile Supply 3250704 LATCH ASSIST NIPPLE EVERTER 34.00
Supplies 272 Sterile Supply 3250732 BONE CEMENT 496.25
Supplies 272 Sterile Supply 3250733 BONE CEMENT W/GENTAMICIN 4G 1356.25
Supplies 272 Sterile Supply 3250750 SHIELD BREAST 34.75
Supplies 272 Sterile Supply 3250761 PUMP BREAST DOUBLE SYSTEM 174.75
Supplies 272 Sterile Supply 3250780 SYRINGE BULB 4.25
Supplies 272 Sterile Supply 3250881 ENDOCLIP LARGE 537.25
Supplies 272 Sterile Supply 3250882 ENDOLOOP OPDS 126.25
Supplies 272 Sterile Supply 3250883 ENDOCLIP 5MM 1822.75
Supplies 272 Sterile Supply 3250920 SCISSOR DISPOSABLE METZ 353.75
Supplies 272 Sterile Supply 3250923 NOVASHIELD INJ NASAL PACKING 385.00
Supplies 272 Sterile Supply 3250928 DRILL BIT 307.25
Supplies 272 Sterile Supply 3250964 DISSECTOR 350.06
Supplies 272 Sterile Supply 3250988 ENDOSTITCH VICRYL 254.75
Supplies 272 Sterile Supply 3251006 DUPLOTIP APPLICATOR 255.75
Supplies 272 Sterile Supply 3251007 FLOSEAL HEMOSTATIC MATRIC 5ML 892.50
Supplies 272 Sterile Supply 3251034 DRILL TIP GUIDE WIRE 2.5 397.00
Supplies 272 Sterile Supply 3251035 DRILL BIT 3.2MM 310.31 424.00
Supplies 272 Sterile Supply 3251044 TOURNIQUET 44 DISPOSABLE 161.25
Supplies 272 Sterile Supply 3251045 VICRYL PLUS CT 87.50
Supplies 272 Sterile Supply 3251046 DRAIN CHEST DRY CONTROL 212.00
Supplies 272 Sterile Supply 3251055 DRILL BIT 2.5MM 409.00
Supplies 272 Sterile Supply 3251056 DRILL BIT CALIBRATED 2.8MM 982.50
Supplies 272 Sterile Supply 3251075 PROLENE 6 85.75
Supplies 272 Sterile Supply 3251075 PROLENE 6-0 BV-1 8806H 85.75
Supplies 272 Sterile Supply 3251076 ENDOPATH BABCOCK 10MM 442.50
Supplies 272 Sterile Supply 3251077 ENDOPATH BABCOCK 5MM 427.50
Supplies 272 Sterile Supply 3251079 ENDOSTITCH 0 245.00
Supplies 272 Sterile Supply 3251084 CATHETER VESSEL SIZING PIGTAIL 549.75
Supplies 272 Sterile Supply 3251091 CATHETER FEMALE 8FR. 4.25
Supplies 272 Sterile Supply 3251100 CATHETER URETHRAL 10FR. 4.25
Supplies 272 Sterile Supply 3251102 CATHETER URETHRAL 16FR. 4.25
Supplies 272 Sterile Supply 3251103 CATHETER URETHRAL 18FR. 4.00
Supplies 272 Sterile Supply 3251105 CATHETER URETHRAL 14FR. 4.25
Supplies 272 Sterile Supply 3251106 CATHETER SUCTION 10FR 4.25
Supplies 272 Sterile Supply 3251107 CATHETER SUCTION 14FR 4.25
Supplies 272 Sterile Supply 3251109 CATHETER SUCTION 18FR 4.25
Supplies 272 Sterile Supply 3251111 CATHETER SUCTION PEDIATRIC 5/6 4.25
Supplies 272 Sterile Supply 3251112 CATHETER SUCTION PEDIATRIC 8FR 4.25
Supplies 272 Sterile Supply 3251113 CATHETER URETHRAL 12FR. 4.25
Supplies 272 Sterile Supply 3251120 TRAY URETHRAL CATHETER 4.25
Supplies 272 Sterile Supply 3251146 CATHETER ANGIOGRAPHIC 83.25
Supplies 272 Sterile Supply 3251171 CATHETER SUCTION 12FR 4.25
Supplies 272 Sterile Supply 3251184 ENDOSTITCH 2 254.75
Supplies 272 Sterile Supply 3251185 ENDOSTITCH SUTURING DEVICE 1067.25
Supplies 272 Sterile Supply 3251272 TUBE TEFLON 3202.80
Supplies 272 Sterile Supply 3251300 SYRINGE FOR BALLOON CATH 228.25
Supplies 272 Sterile Supply 3251305 BLADE 2MM 1882040HR 1049.25
Supplies 272 Sterile Supply 3251308 POLYMEN SILVER ROPE 66.25
Supplies 272 Sterile Supply 3251310 BLADE 4MM 1884004HR 872.25
Supplies 272 Sterile Supply 3251311 BLADE 4MM 1884016HR 859.50
Supplies 272 Sterile Supply 3251312 BLADE TRICUT 4MM 1423.25
Supplies 272 Sterile Supply 3251313 BLADE 4MM 1884006EM 1463.25
Supplies 272 Sterile Supply 3251348 CANNULA TWIST IN 7MM 100.75
Supplies 272 Sterile Supply 3251349 SUTURE LASSO 45 DEGREE 563.75
Supplies 272 Sterile Supply 3251350 FIBERWIRE #2 234.00
Supplies 272 Sterile Supply 3251368 NASAL PACKING 86.25
Supplies 272 Sterile Supply 3251371 DRESSING GLASSCOCK ADULT 95.25
Supplies 272 Sterile Supply 3251372 DRESSING GLASSCOCK PEDI 95.25
Supplies 272 Sterile Supply 3251374 BOVIE NEEDLE TIP ULTRACLEAN 49.75
Supplies 272 Sterile Supply 3251381 SPLINT NASAL IVORY TRAPAZOID 68.50
Supplies 272 Sterile Supply 3251412 TUBE CONNECTING VINYL 105.00
Supplies 272 Sterile Supply 3251433 DRILL BIT 2.0MM 456.25
Supplies 272 Sterile Supply 3251434 K 525.50
Supplies 272 Sterile Supply 3251439 DRILL BIT 4.3 728.75
Supplies 272 Sterile Supply 3251446 INCISION PROTECTOR SMALL 632.00
Supplies 272 Sterile Supply 3251458 BALLOON INFLATION DEVICE 370.25
Supplies 272 Sterile Supply 3251507 BIT CENTER 44 1422.50
Supplies 272 Sterile Supply 3251508 REAMER 44 2370.50
Supplies 272 Sterile Supply 3251516 SILK 6 22.50
Supplies 272 Sterile Supply 3251517 PROLENE 5 8.25
Supplies 272 Sterile Supply 3251518 CHROMIC GUT 6 73.75
Supplies 272 Sterile Supply 3251519 VICRYL 6 54.50
Supplies 272 Sterile Supply 3251528 V 167.00
Supplies 272 Sterile Supply 3251606 DRILL BIT 2.5, CALLIBRATED 385.25
Supplies 272 Sterile Supply 3251614 SUCTION IRRIGATOR #60 285.00
Supplies 272 Sterile Supply 3251614 SUCTION IRRIGATOR #60-6010-005 285.00
Supplies 272 Sterile Supply 3251630 DRESSING PROMOGRAN 79.00
Supplies 272 Sterile Supply 3251647 CATHETER THORACIC PVC 32FR 47.75
Supplies 272 Sterile Supply 3251648 MANIFOLD 3 PORT WITHOUT EXTEND 41.75
Supplies 272 Sterile Supply 3251649 CATHETER THORACIC PVC 36FR 47.75
Supplies 272 Sterile Supply 3251657 FLOSEAL 10ML 936.25
Supplies 272 Sterile Supply 3251680 CYTOLOGY BRUSH 357.25
Supplies 272 Sterile Supply 3251682 CYTOLOGY BRUSH 89.00
Supplies 272 Sterile Supply 3251689 NEEDLE MINOPTY 14 X 16 200.87
Supplies 272 Sterile Supply 3251695 ETHILON 8 42.00
Supplies 272 Sterile Supply 3251703 PROLENE 6 31.50
Supplies 272 Sterile Supply 3251703 PROLENE 6-0 C-1 8726H 31.50
Supplies 272 Sterile Supply 3251704 PROLENE 7 10.75
Supplies 272 Sterile Supply 3251704 PROLENE 7-0 BV-1 8701H 10.75
Supplies 272 Sterile Supply 3251742 MYOSURE CLASSIC 3629.44
Supplies 272 Sterile Supply 3251750 DETECTOR C02 89.50
Supplies 272 Sterile Supply 3251767 GUIDEWIRE W/ TROCAR TIP 2.4MM 68.50
Supplies 272 Sterile Supply 3251769 DERMACARRIER 1 153.75
Supplies 272 Sterile Supply 3251770 DERMACARRIER 1 119.08
Supplies 272 Sterile Supply 3251771 DERMABOND SKIN ADHESIVE 115.50
Supplies 272 Sterile Supply 3251787 BIO 665.00
Supplies 272 Sterile Supply 3251825 KIT TRANSDUCER SINGLE PRESSURE 63.50
Supplies 272 Sterile Supply 3251827 STAPLER SKIN 35MM WIDE 152.50
Supplies 272 Sterile Supply 3251830 STAPLER SKIN 35W 69.00
Supplies 272 Sterile Supply 3251844 KIT TRANSDUCER TRIPPLE PRESSUR 127.75
Supplies 272 Sterile Supply 3251846 KYPHOPLASTY NEEDLE 1270.50
Supplies 272 Sterile Supply 3251847 I 128.50
Supplies 272 Sterile Supply 3251851 DRAIN BLAKE ROUND 15FR 137.75
Supplies 272 Sterile Supply 3251852 DRAIN BLAKE ROUND 19FR 137.75
Supplies 272 Sterile Supply 3251855 DRAIN BLAKE ROUND 10FR 137.75
Supplies 272 Sterile Supply 3251856 DRAIN BLAKE FLAT 10MM 124.25
Supplies 272 Sterile Supply 3251857 DRAIN BLAKE FLAT 7MM 251.50
Supplies 272 Sterile Supply 3251859 DRESSING TEGADERM 4IN 4.24
Supplies 272 Sterile Supply 3251860 DRESSING TEGADERM 4.25
Supplies 272 Sterile Supply 3251861 TORQUVISE 30.00
Supplies 272 Sterile Supply 3251863 DRESSING TEGADERM 8X12 4.25
Supplies 272 Sterile Supply 3251865 DRESSING TEGADERM 4X4 48.00
Supplies 272 Sterile Supply 3251868 DRESSING KERLIX ROLL 4.14
Supplies 272 Sterile Supply 3251876 WRENCH HEX 290.75
Supplies 272 Sterile Supply 3251877 QUICKCLIP PRO 230CM 584.25
Supplies 272 Sterile Supply 3251878 SNARE SPIRAL DISP. 81.25
Supplies 272 Sterile Supply 3251884 GLIDEWIRE .021X150CM 112.25
Supplies 272 Sterile Supply 3251889 DRESSING PROFORE SYSTEM 110.75
Supplies 272 Sterile Supply 3251890 DRESSING KLING 2 4.25
Supplies 272 Sterile Supply 3251891 DRESSING KLING 3 4.25
Supplies 272 Sterile Supply 3251892 DRESSING KLING 4 4.25
Supplies 272 Sterile Supply 3251893 DRESSING BANDAID XLARGE 4.25
Supplies 272 Sterile Supply 3251894 DRESSING 2X2 STERILE 4.25
Supplies 272 Sterile Supply 3251895 DRESSING 4X4 2’S 12 4.25
Supplies 272 Sterile Supply 3251895 DRESSING 4X4 2’S 12-PLY 4.25
Supplies 272 Sterile Supply 3251896 DRESSING 4X4 10’S 4.18
Supplies 272 Sterile Supply 3251897 DRESSING ABD SURGIPAD 4.25
Supplies 272 Sterile Supply 3251898 DRESSING ADAPTIC 3X3 4.25
Supplies 272 Sterile Supply 3251899 DRESSING ADAPTIC 3X8 4.25
Supplies 272 Sterile Supply 3251900 DRESSING TELFA 3X4 4.25
Supplies 272 Sterile Supply 3251901 DRESSING TELFA 8X3 4.25
Supplies 272 Sterile Supply 3251902 DRESSING ALLEVYN 4X4 THIN 4.25
Supplies 272 Sterile Supply 3251904 DRESSING GAUZE VASELINE 3X9 4.25
Supplies 272 Sterile Supply 3251907 DRESSING ACTICOAT 4X4 80.75
Supplies 272 Sterile Supply 3251915 RAPID RHINO 5.5CM ANTERIOR 166.50
Supplies 272 Sterile Supply 3251916 RAPID RHINO 7.5CM ANTE/POST 100.00
Supplies 272 Sterile Supply 3251933 URETERAL DIALATOR SET 3000 559.75
Supplies 272 Sterile Supply 3251947 ACCUPORT KNEE CREATIONS 1591.25
Supplies 272 Sterile Supply 3251978 SPATULA 5MM 129.00
Supplies 272 Sterile Supply 3251979 HOOK L 5MM 129.00
Supplies 272 Sterile Supply 3252002 DRESSING DUODERM 4X4 EXTRA THI 4.25
Supplies 272 Sterile Supply 3252012 PROTECTOR CORNEAL CROUCH 75.50
Supplies 272 Sterile Supply 3252018 ENDOCELL SAMPLER 49.00
Supplies 272 Sterile Supply 3252031 ENDO CATCH 442.50
Supplies 272 Sterile Supply 3252040 ENEMA CLEANSING 4.25
Supplies 272 Sterile Supply 3252064 TRAY EPIDURAL CONTINUOUS 144.25
Supplies 272 Sterile Supply 3252080 DRESSING EYE PAD OVAL 4.25
Supplies 272 Sterile Supply 3252082 SHIELD EYE PLASTIC ADULT 52.75
Supplies 272 Sterile Supply 3252085 DRESSING EYE MICRO SPONGE SUPE 4.25
Supplies 272 Sterile Supply 3252086 SPLASHSHEILD EYE 4.25
Supplies 272 Sterile Supply 3252087 SPLINT NASAL LARGE 43.75
Supplies 272 Sterile Supply 3252090 SPLINT REUTER BIVALVE 234.00
Supplies 272 Sterile Supply 3252091 LIGASURE MARYLAND 5MM 2191.25
Supplies 272 Sterile Supply 3252095 SPLINT AIRWAY DOYLE 179.50
Supplies 272 Sterile Supply 3252111 BURR 7CM X 6MM BAMN 684.50
Supplies 272 Sterile Supply 3252112 BURR 7CM X 4MM 679.75
Supplies 272 Sterile Supply 3252113 BURR 7CM X 2MM BALMN 689.75
Supplies 272 Sterile Supply 3252115 BURR 7CM X 0.5MM BALMN 689.75
Supplies 272 Sterile Supply 3252116 BURR DIAMOND 7CM X 4MM 734.25
Supplies 272 Sterile Supply 3252118 BURR DIAMOND 7CM X 2MM BA 744.00
Supplies 272 Sterile Supply 3252119 BURR DIAMOND 7CM X 1MM 744.00
Supplies 272 Sterile Supply 3252121 BLADE BURR DIAMOND 7CM X 0.6MM 743.89
Supplies 272 Sterile Supply 3252133 CATHETHER KIT 5FR INFANT 18.50
Supplies 272 Sterile Supply 3252137 AQUACEL AG SCD 3.5 X 9.75 179.25
Supplies 272 Sterile Supply 3252161 TUBE FEEDING 5FR 16 4.25
Supplies 272 Sterile Supply 3252162 TUBE FEEDING 8FR 15 4.25
Supplies 272 Sterile Supply 3252173 MYOSURE LITE 3040.50
Supplies 272 Sterile Supply 3252220 ENEMA FLEET PLAIN 4.25
Supplies 272 Sterile Supply 3252231 TUBE FEEDING BAG 19.75
Supplies 272 Sterile Supply 3252258 CATHETER FOLEY 8FR 3CC 64.00
Supplies 272 Sterile Supply 3252259 CATHETER FOLEY 10FR 3CC 67.75
Supplies 272 Sterile Supply 3252260 CATHETER FOLEY 12FR 5CC 4.25
Supplies 272 Sterile Supply 3252262 CATHETER FOLEY 14FR 5CC 4.25
Supplies 272 Sterile Supply 3252264 CATHETER FOLEY 14FR 5CC SILICO 38.75
Supplies 272 Sterile Supply 3252265 CATHETER FOLEY 16FR 5CC 8.50
Supplies 272 Sterile Supply 3252267 CATHETER FOLEY 18FR 5CC 39.25
Supplies 272 Sterile Supply 3252268 CATHETER FOLEY 16FR 5CC SILICO 38.50
Supplies 272 Sterile Supply 3252269 CATHETER FOLEY 20FR 5CC 39.25
Supplies 272 Sterile Supply 3252270 CATHETER FOLEY 20FR 30CC 45.00
Supplies 272 Sterile Supply 3252271 CATHETER FOLEY 22FR 5CC 39.25
Supplies 272 Sterile Supply 3252272 CATHETER FOLEY 22FR 30CC 45.00
Supplies 272 Sterile Supply 3252275 CATHETER FOLEY 24FR 30CC 45.00
Supplies 272 Sterile Supply 3252277 CATHETER FOLEY 18FR 5CC SILICO 38.50
Supplies 272 Sterile Supply 3252278 CATHETER FOLEY 20FR 5CC SILICO 38.75
Supplies 272 Sterile Supply 3252296 CATHETER FOLEY 3 84.50
Supplies 272 Sterile Supply 3252297 CATHETER FOLEY 3 89.75
Supplies 272 Sterile Supply 3252299 CATHETER FOLEY 3 95.25
Supplies 272 Sterile Supply 3252300 CATHETER FOLEY 3 95.25
Supplies 272 Sterile Supply 3252314 CATHETER 4FR 65CM CONTRALATERA 142.25
Supplies 272 Sterile Supply 3252344 TUBE G MIC 196.25
Supplies 272 Sterile Supply 3252348 DRILL BIT LARGE CANN 12MMX19MM 2305.00
Supplies 272 Sterile Supply 3252367 BRUSH CYTOLOGY COLON 121.50
Supplies 272 Sterile Supply 3252368 PROLENE 1 TP 26.50
Supplies 272 Sterile Supply 3252407 CAPSURE FIXATION SYSTEM 15 973.25
Supplies 272 Sterile Supply 3252431 MAXBRD COBRAID #2 1/2 CIR NDL 105.00
Supplies 272 Sterile Supply 3252432 FLOWSWITCH 42.25
Supplies 272 Sterile Supply 3252453 FORCEP BIOPSY PIRAHNA 3FRX15CM 1167.25
Supplies 272 Sterile Supply 3252458 DRILL BIT 3.5 AR 318.00
Supplies 272 Sterile Supply 3252465 STYLET SC 745.25
Supplies 272 Sterile Supply 3252474 CANNULA 100MM 20G 156.40
Supplies 272 Sterile Supply 3252478 BIPOLAR ADSON FX 1.0MM 307.50
Supplies 272 Sterile Supply 3252479 PIVOTPOST DISP PAD 201.50
Supplies 272 Sterile Supply 3252496 STRATAFIX 4 85.50
Supplies 272 Sterile Supply 3252496 STRATAFIX 4-0 PS-2 85.50
Supplies 272 Sterile Supply 3252497 STRATAFIX 45CM PDS PLUS 1 103.00
Supplies 272 Sterile Supply 3252499 MEPILEX BORDER 4X10 101.00
Supplies 272 Sterile Supply 3252504 RHINO NASAL PACKING 30SEC 188.75
Supplies 272 Sterile Supply 3252505 STRATAFIX 2 80.11
Supplies 272 Sterile Supply 3252545 DRESSING QUICKCLOT 4X4 73.64
Supplies 272 Sterile Supply 3252562 BLADE 5.0 AGGRESSIVE PLUS 104.00
Supplies 272 Sterile Supply 3252563 BLADE AGGRESSIVE CUTTER 104.00
Supplies 272 Sterile Supply 3252566 REMOTE CONTROL KIT 3800.00
Supplies 272 Sterile Supply 3252569 DRESSING ALLEVYN LIFE HEEL 46.77
Supplies 272 Sterile Supply 3252570 DRESS ALLEVYN 12.9X 12.9 12.24
Supplies 272 Sterile Supply 3252571 HEMOSTAT 4X8 ABSORABLE 413.00
Supplies 272 Sterile Supply 3252572 DRESSING ALLEVYN SACRUM LG 43.67
Supplies 272 Sterile Supply 3252615 QWICK DRESSING 4X4 21.40
Supplies 272 Sterile Supply 3252617 HEMOCLIP MEDIUM 34.50
Supplies 272 Sterile Supply 3252618 HEMOCLIP LARGE 63.00
Supplies 272 Sterile Supply 3252619 HEMOCLIP MEDIUM/LARGE 45.50
Supplies 272 Sterile Supply 3252620 HEMOCLIP SMALL 61.75
Supplies 272 Sterile Supply 3252634 SEALANT FIBRIN 2ML 1019.25
Supplies 272 Sterile Supply 3252650 SEPRAFILM ADHESION BARRIER 1190.50
Supplies 272 Sterile Supply 3252666 STOCKINETTE IMPERVIOUS 12 51.25
Supplies 272 Sterile Supply 3252684 DRILL BIT 2.8 375.77
Supplies 272 Sterile Supply 3252715 CATHETER ARTERIAL RADIAL 71.75
Supplies 272 Sterile Supply 3252729 CABLE SURGICAL DISP SM 12FT 197.60
Supplies 272 Sterile Supply 3252730 WRENCH KIT STERILE 133.75
Supplies 272 Sterile Supply 3252738 KYPHOPAK II TRAY DISPOSABLE 12238.00
Supplies 272 Sterile Supply 3252739 KYPHON BONE BIOPSY DEVICE SZ2 399.50
Supplies 272 Sterile Supply 3252759 LONG TUNNELING TOOL 35CM 95.00
Supplies 272 Sterile Supply 3252764 OR CABLE AND EXT 95.00
Supplies 272 Sterile Supply 3252768 SLEEVE COMPRESSION CALF LARGE 129.75
Supplies 272 Sterile Supply 3252774 DRESSING MEPILEX BORDER SACRUM 28.50
Supplies 272 Sterile Supply 3252785 DRESSING MEPILEX BORDER HEEL 40.08
Supplies 272 Sterile Supply 3252786 DRESSING AQUACEL 3.5 X 12 144.25
Supplies 272 Sterile Supply 3252797 CATHETER CONE TIP 5FR 36.65
Supplies 272 Sterile Supply 3252834 CO 56.92
Supplies 272 Sterile Supply 3252834 CO-FLEX TLC BANDAGE SYSTEM 56.92
Supplies 272 Sterile Supply 3252840 PACKING PLAIN 1 4.25
Supplies 272 Sterile Supply 3252855 GRASPER WITH RATCHET HANDLE 77.50
Supplies 272 Sterile Supply 3252873 OPTIFOAM GENTLE AG SILICONE 25.95
Supplies 272 Sterile Supply 3252880 PACKING IODOFORM 1/4 4.25
Supplies 272 Sterile Supply 3252881 PACKING PLAIN 1/2 4.25
Supplies 272 Sterile Supply 3252884 SNARE CAPTIVATOR II 10MM 46.58
Supplies 272 Sterile Supply 3252885 ABDUCTION SHOULDER BREGG 314.25
Supplies 272 Sterile Supply 3252893 MONOCRYL 0 CT 7.00
Supplies 272 Sterile Supply 3252901 SUPRAMID 3 51.00
Supplies 272 Sterile Supply 3252904 VACCUM BOWL 5401 155.75
Supplies 272 Sterile Supply 3252906 FLIP CUTTER II 9.5MM 1506.50
Supplies 272 Sterile Supply 3252913 STRATAFIX SPIRAL PDO T6 98.25
Supplies 272 Sterile Supply 3252915 BAYONET BIPOLAR FORCEP ST 207.75
Supplies 272 Sterile Supply 3252920 TRAY IRRIGATION 4.25
Supplies 272 Sterile Supply 3252925 DRILL BIT 2.5MM 274.00
Supplies 272 Sterile Supply 3252935 NEEDLE GRANEE STERILE 10165 217.75
Supplies 272 Sterile Supply 3252936 DRESSING MEPILEX AG 4X4 287100 30.50
Supplies 272 Sterile Supply 3252937 ETHILON 8 39.50
Supplies 272 Sterile Supply 3252938 DERMABOND PRINEO CLR222US 275.42
Supplies 272 Sterile Supply 3252953 TRAY PREP BLOCK W DRUGS 304.00
Supplies 272 Sterile Supply 3252959 TROCAR B5XT 114.87
Supplies 272 Sterile Supply 3252961 NEEDLE BLOCK 6 171.00
Supplies 272 Sterile Supply 3252962 INTRODUCER 342.00
Supplies 272 Sterile Supply 3252965 KYPHON CDS CEMENT DEL SYSTEM 1319.97
Supplies 272 Sterile Supply 3252969 STYLET KIT 6057 121.60
Supplies 272 Sterile Supply 3252970 ACCESS 6056 TOOL 76.00
Supplies 272 Sterile Supply 3252988 TRIAL KIT 285.00
Supplies 272 Sterile Supply 3252996 DRESSING OPTIFOAM SILICONE 3X3 7.26
Supplies 272 Sterile Supply 3253003 CEMENT BONE W/GENT SMARTSET 1374.75
Supplies 272 Sterile Supply 3253007 DRILL BIT 2.0MM 823.00
Supplies 272 Sterile Supply 3253022 DISCOGRAM DOCKING NEEDLE SET 85.96
Supplies 272 Sterile Supply 3253023 LIMB BASIN 24.89
Supplies 272 Sterile Supply 3253024 TUNNELING TOOL 95.00
Supplies 272 Sterile Supply 3253040 STRATAFIX 3 78.43
Supplies 272 Sterile Supply 3253102 SLEVE,STAR VELCRO 463.25
Supplies 272 Sterile Supply 3253105 ACCUPORT END 1591.25
Supplies 272 Sterile Supply 3253111 FIBER HOLMIUM LASER 200 785.50
Supplies 272 Sterile Supply 3253133 ATTUNE PIN PACK 750.00
Supplies 272 Sterile Supply 3253135 BLADE SHAVER TORPEDO 4.0 467.25
Supplies 272 Sterile Supply 3253178 LOCKING CLIP 293.25
Supplies 272 Sterile Supply 3253202 SILK 6 29.91
Supplies 272 Sterile Supply 3253287 SET ARTHROSCOPIC IRRIGATION 77.25
Supplies 272 Sterile Supply 3253321 TUBE SALEM SUMP 8FR 51.50
Supplies 272 Sterile Supply 3253322 TUBE SALEM SUMP 10FR 48.00
Supplies 272 Sterile Supply 3253324 TUBE SALEM SUMP 12FR 46.75
Supplies 272 Sterile Supply 3253325 TUBE SALEM SUMP 14FR 43.50
Supplies 272 Sterile Supply 3253326 TUBE SALEM SUMP 16FR 43.50
Supplies 272 Sterile Supply 3253327 TUBE SALEM SUMP 18FR 43.50
Supplies 272 Sterile Supply 3253329 SHAVER DISSEC 4.0MM AR 153.25
Supplies 272 Sterile Supply 3253332 SHAVER BONE CUT 4MM AR 153.25
Supplies 272 Sterile Supply 3253333 BURR OVAL 8FLT 5MM AR 153.25
Supplies 272 Sterile Supply 32533401 BLADE SAG 2296 103.00
Supplies 272 Sterile Supply 3253346 DRILL CMP/FT 2.2MM AR 785.50
Supplies 272 Sterile Supply 3253347 WIRE GUIDE .86MM AR 100.75
Supplies 272 Sterile Supply 3253348 DRILL PROFILE CMP/FT AR873746 604.25
Supplies 272 Sterile Supply 3253383 PLEUREX DISCHARGE KIT 50 1067.50
Supplies 272 Sterile Supply 3253384 HAND DRIVER 403 3021.00
Supplies 272 Sterile Supply 3253385 BLADE SMALL HAND DRVR 402 1007.00
Supplies 272 Sterile Supply 3253396 BLADE DOUBLE SIDED OFFSET 104.75
Supplies 272 Sterile Supply 3253397 BLADE SAGITTAL 18.0X1.27X90MM 167.50
Supplies 272 Sterile Supply 3253398 BLADE SAGITTAL 13.0X1.19X90MM 206.25
Supplies 272 Sterile Supply 3253399 BLADE SAGITTAL 2296 103.00
Supplies 272 Sterile Supply 3253400 BLADE SAG 2296 152.25
Supplies 272 Sterile Supply 3253404 BLADE SAGITTAL 6221 206.25
Supplies 272 Sterile Supply 3253409 DRILL BIT 2.0 CMP/FT AR873734 785.50
Supplies 272 Sterile Supply 3253414 ACCUDRVR BIG BLADE 402 1007.00
Supplies 272 Sterile Supply 3253445 TRAY LUMBAR PUNCTURE INFANT 93.50
Supplies 272 Sterile Supply 3253470 NEEDLE MENISCAL REPAIR DISPOSA 140.50
Supplies 272 Sterile Supply 3253471 NEEDLE CORDIS 18G 33.50
Supplies 272 Sterile Supply 32534993 GUIDEWIRE THRD 1.35 AR 80.75
Supplies 272 Sterile Supply 3253550 DRILL BIT 3.2 ZIMMER 215.00
Supplies 272 Sterile Supply 3253622 ENEMA MINERAL OIL 4.25
Supplies 272 Sterile Supply 3253711 PAD HYDROGEL COMFORT 65.00
Supplies 272 Sterile Supply 3253724 DRAIN PENROSE 1/4 X 18 4.25
Supplies 272 Sterile Supply 3253726 DRAIN PENROSE 1/2 X 18 4.25
Supplies 272 Sterile Supply 3253827 TRAY PNEUMOTHORAX 363.25
Supplies 272 Sterile Supply 3253920 TRAY FOLEY W/O CATHETER 48.50
Supplies 272 Sterile Supply 3253961 TRAY FOLEY CATHETER 18FR 21.00
Supplies 272 Sterile Supply 3253962 TRAY FOLEY 16FR LATEX FREE 99.25
Supplies 272 Sterile Supply 3254007 SHUNT HALLEN 3.0X4.0 2618.25
Supplies 272 Sterile Supply 3254020 LOCATOR NERVE VARI 189.75
Supplies 272 Sterile Supply 3254021 POWER PULSE Y SET 371.77
Supplies 272 Sterile Supply 3254033 LOOP VESSEL SILICONE BLUE MINI 13.75
Supplies 272 Sterile Supply 3254037 SHEATH 16FRX30CM 523.50
Supplies 272 Sterile Supply 3254042 LOOP VESSEL RED MAXI 13.75
Supplies 272 Sterile Supply 3254045 STAPLE REMOVER 4.25
Supplies 272 Sterile Supply 3254060 DRESSING STERI 4.25
Supplies 272 Sterile Supply 3254061 DRESSING STERI 4.25
Supplies 272 Sterile Supply 3254062 DRESSING STERI 4.25
Supplies 272 Sterile Supply 3254062 DRESSING STERI-ST 1/2X4 4.25
Supplies 272 Sterile Supply 3254063 DRESSING STERI 20.75
Supplies 272 Sterile Supply 3254064 ON 171.00
Supplies 272 Sterile Supply 3254084 URINE METER DRAIN BAG 350CC 24.00
Supplies 272 Sterile Supply 3254089 DRESSING PURACOL PLUS 2X2 56.50
Supplies 272 Sterile Supply 3254099 KIT FILIFORM/FOLLOWER 907.25
Supplies 272 Sterile Supply 3254101 STAPLER 33MM SHEATH CEEA 1773.25
Supplies 272 Sterile Supply 3254103 STAPLER 29MM SHEATH CEEA 1773.25
Supplies 272 Sterile Supply 3254104 STAPLER 25MM SHEATH CEEA 1773.25
Supplies 272 Sterile Supply 3254122 TRAY DRESSING CENTRAL LINE 36.00
Supplies 272 Sterile Supply 3254127 RETRIEVAL NET 441.50
Supplies 272 Sterile Supply 3254129 SYRINGE BULB INFANT 4.25
Supplies 272 Sterile Supply 3254132 CATHETER SUCTION 14FR. W/STERI 4.25
Supplies 272 Sterile Supply 3254133 SET IRRIGATION SUCTION POWER 161.25
Supplies 272 Sterile Supply 3254135 TRAP MUCOUS INFANT DELEE 4.25
Supplies 272 Sterile Supply 3254143 LIGACLIP 20/20 MCM20 319.00
Supplies 272 Sterile Supply 3254145 STAPLER 30MM LINER 497.75
Supplies 272 Sterile Supply 3254147 STAPLER 60MM LINEAR 535.50
Supplies 272 Sterile Supply 3254149 LIGACLIP APPLIER LARGE 330.00
Supplies 272 Sterile Supply 3254160 TRAY SUTURE REMOVAL 4.25
Supplies 272 Sterile Supply 3254178 TUNNELER SHEATH LARGE 207.25
Supplies 272 Sterile Supply 3254204 STAPLER 35MM ARTICULATING 1604.24
Supplies 272 Sterile Supply 3254241 CATHETER COUDE 20FR 5CC 87.00
Supplies 272 Sterile Supply 3254244 CATHETER COUDE 12FR 5CC 87.00
Supplies 272 Sterile Supply 3254245 CATHETER COUDE 14FR 5CC 87.00
Supplies 272 Sterile Supply 3254246 CATHETER COUDE 18FR 5CC 96.50
Supplies 272 Sterile Supply 3254249 CATHETER COUDE 16FR 5CC 96.50
Supplies 272 Sterile Supply 3254320 CATHETER EXTERNAL URINARY 4.25
Supplies 272 Sterile Supply 3254611 CATHETER 5FR PIGTAIL 145 77.50
Supplies 272 Sterile Supply 3254622 CATHETER 5FR IM 93.75
Supplies 272 Sterile Supply 3254624 CATHETER 5FR LCC 3.5 88.25
Supplies 272 Sterile Supply 3254628 CATHETER 5FR LC 4.5 26.60
Supplies 272 Sterile Supply 3254635 TUBE CHEST 24FR 132.25
Supplies 272 Sterile Supply 3254639 TUBE CHEST 32FR 122.75
Supplies 272 Sterile Supply 3254653 GASTROSTOMY TUBE 20FR 142.75
Supplies 272 Sterile Supply 3254663 TUBE ACTIVENT PAPARELLA SINGLE 116.50
Supplies 272 Sterile Supply 3254669 CATHETER 5FR LCC5 108.75
Supplies 272 Sterile Supply 3254677 CATHETER 5FR CARDIAC TRIPAK 273.00
Supplies 272 Sterile Supply 3254682 SET TURY 66.25
Supplies 272 Sterile Supply 3254696 NEEDLE HUBER 20GX1 11.76
Supplies 272 Sterile Supply 3254707 DILATOR VASCULAR 6FR .038 47.50
Supplies 272 Sterile Supply 3254708 DILATOR VASCULAR 7FR .038 47.50
Supplies 272 Sterile Supply 3254709 DILATOR VASCULAR 8FR .038 47.50
Supplies 272 Sterile Supply 3254789 STENT URETERAL POSITIONER 4.7F 85.25
Supplies 272 Sterile Supply 3254799 URINE METER/URETERAL CATH DRAI 64.00
Supplies 272 Sterile Supply 3254801 URINEMETER W/16FR FOLEY CATHET 36.75
Supplies 272 Sterile Supply 3254840 BAG DRAIN 2000CC URINARY 4.25
Supplies 272 Sterile Supply 3254845 BAG DRAIN 4000CC URINARY 45.50
Supplies 272 Sterile Supply 3254852 D&C BOTTLE W/TRAP 113.75
Supplies 272 Sterile Supply 3254853 CATHETER INTRAUTERINE TRANSDUC 189.25
Supplies 272 Sterile Supply 3254854 D&C ASPIRATOR TUBING 72.50
Supplies 272 Sterile Supply 3254856 CANNULA DISPOSABLE 8MM CURVED 49.00
Supplies 272 Sterile Supply 3254858 CANNULA DISPOSABLE 10MM CURVED 49.00
Supplies 272 Sterile Supply 3254863 CANNULA LOW PROFILE 5MMX7CM 246.00
Supplies 272 Sterile Supply 3254865 DRESSING XEROFORM 5X9 4.25
Supplies 272 Sterile Supply 3254867 DRESSING XEROFORM 1X8 4.25
Supplies 272 Sterile Supply 3254868 CANNULA CLEAR 7X7CM 80.25
Supplies 272 Sterile Supply 3254950 CAUTERY VARI TEMP DISPOSABLE 95.25
Supplies 272 Sterile Supply 3254994 SHAVER TORPEDO CV AR 407.00
Supplies 272 Sterile Supply 3255016 CATH BERNSTEIN 5FRX65CM 142.25
Supplies 272 Sterile Supply 3255019 CATH C1 5FRX65CM 137.75
Supplies 272 Sterile Supply 3255050 SUTURE PROLENE 3 43.25
Supplies 272 Sterile Supply 3255053 SUTURE PROLENE 6 43.00
Supplies 272 Sterile Supply 3255054 SUTURE VICRYL 3 4.25
Supplies 272 Sterile Supply 3255061 SUTURE SILK 7 92.00
Supplies 272 Sterile Supply 3255062 SILK 4 35.25
Supplies 272 Sterile Supply 3255063 CATH BERNSTEIN 4FRX65CM 142.25
Supplies 272 Sterile Supply 3255119 VALVUTOME EXPANDABLE 2262.25
Supplies 272 Sterile Supply 3255121 COIL VORTX 422.00
Supplies 272 Sterile Supply 3255149 WAND TURBOVAC 90 1090.75
Supplies 272 Sterile Supply 3255495 HAND DEVICE LAP DISC 2220.25
Supplies 272 Sterile Supply 3255620 MORGAN 139.25
Supplies 272 Sterile Supply 3256098 K 1082.20
Supplies 272 Sterile Supply 3256123 BURR LONG 5.5X10MM #0050922380 102.25
Supplies 272 Sterile Supply 3256125 BURR LONG 5MM #00509223000 102.25
Supplies 272 Sterile Supply 3257035 SNARE MICRO 13MM 147.00
Supplies 272 Sterile Supply 3257040 SNARE OVAL 27MM 64.60
Supplies 272 Sterile Supply 3257045 OVAL SNARE 30MM 131.50
Supplies 272 Sterile Supply 3257077 TROCAR ENDOPATH XCEL BLADELESS 351.25
Supplies 272 Sterile Supply 3257078 TROCAR ENDOPATH CB12LT 237.75
Supplies 272 Sterile Supply 3257079 TROCAR ENDOPATH XCEL BLUNT TIP 380.25
Supplies 272 Sterile Supply 3257083 TROCAR ENDOPATH XCEL 5MM 265.75
Supplies 272 Sterile Supply 3257084 TROCAR ENDOPATH XCEL CB5LT 183.25
Supplies 272 Sterile Supply 3257085 STAPLER 45MM ART. VASCULAR 1056.50
Supplies 272 Sterile Supply 3257086 CUTTER LINEAR 45MM RELOAD 529.50
Supplies 272 Sterile Supply 3257284 FIBERWIRE #2 T 140.50
Supplies 272 Sterile Supply 3257396 BIOPINCE 18G X 15CM 133.00
Supplies 272 Sterile Supply 3257399 NEEDLE COAXIAL 17G X 11.8CM 36.68
Supplies 272 Sterile Supply 3257400 LOCKING DEVICE RAPID EXCHANGE 85.75
Supplies 272 Sterile Supply 3257408 RETRIEVAL BALLOON 8.5MM RAPID 803.50
Supplies 272 Sterile Supply 3257409 ERCP RETRVAL BALON 11.5MM RAPD 739.25
Supplies 272 Sterile Supply 3257410 BRUSH CYTOLOGY RAPID EXCHANG 391.70
Supplies 272 Sterile Supply 3257516 KIT TRANSTIBIAL ACL 1413.25
Supplies 272 Sterile Supply 3257521 SUTURELASSO 90 DEGREE 967.25
Supplies 272 Sterile Supply 3258950 DRESSING ACTICOAT 4X5 56.91
Supplies 272 Sterile Supply 3258965 INTERCEED ADHESION BARRIER 1190.50
Supplies 272 Sterile Supply 3258969 NOVASURE DISPOSABLE DEVICE 5577.75
Supplies 272 Sterile Supply 3258975 DRESSING KERLIX AMD 4.25
Supplies 272 Sterile Supply 3258990 LIGASURE SEALER DIVIDER 10MM 2213.75
Supplies 272 Sterile Supply 3259018 SUTURE CHROMIC 4 50.50
Supplies 272 Sterile Supply 3259019 SUTURE ETHILON 4 36.00
Supplies 272 Sterile Supply 3259019 SUTURE ETHILON 4-0/PS-2 36.00
Supplies 272 Sterile Supply 3259020 SUTURE ETHILON 6 36.00
Supplies 272 Sterile Supply 3259021 SUTURE ETHILON 5 4.93
Supplies 272 Sterile Supply 3259023 SUTURE ETHILON 2 4.67
Supplies 272 Sterile Supply 3259025 SUTURE SILK 0/FSL 4.25
Supplies 272 Sterile Supply 3259026 SUTURE CHROMIC 5 52.00
Supplies 272 Sterile Supply 3259029 SUTURE CHROMIC 2 4.25
Supplies 272 Sterile Supply 3259030 SUTURE CHROMIC 0/CT 4.25
Supplies 272 Sterile Supply 3259032 SUTURE PROLENE 4 8.36
Supplies 272 Sterile Supply 3259033 SUTURE PROLENE 2 4.25
Supplies 272 Sterile Supply 3259034 SUTURE PROLENE 5 44.50
Supplies 272 Sterile Supply 3259035 SUTURE PROLENE 7 87.25
Supplies 272 Sterile Supply 3259036 PROLENE 2 4.25
Supplies 272 Sterile Supply 3259037 SUTURE SILK 3 7.89
Supplies 272 Sterile Supply 3259037 SUTURE SILK 3-0/30 IN TIES 7.89
Supplies 272 Sterile Supply 3259038 SUTURE SILK 2 6.96
Supplies 272 Sterile Supply 3259038 SUTURE SILK 2-0/30 IN TIES 6.96
Supplies 272 Sterile Supply 3259039 SUTURE SILK O/30 IN TIES 4.25
Supplies 272 Sterile Supply 3259040 SUTURE ETHIBOND 5/LR 38.25
Supplies 272 Sterile Supply 3259041 SUTURE SILK 3 79.25
Supplies 272 Sterile Supply 3259042 SUTURE SILK 2 54.75
Supplies 272 Sterile Supply 3259043 SUTURE ETHIBOND O/CT 71.25
Supplies 272 Sterile Supply 3259044 SUTURE ETHIBOND O/CT 80.25
Supplies 272 Sterile Supply 3259044 SUTURE ETHIBOND O/CT-2 80.25
Supplies 272 Sterile Supply 3259045 SUTURE CHROMIC 2 4.25
Supplies 272 Sterile Supply 3259045 SUTURE CHROMIC 2-0/SH 4.25
Supplies 272 Sterile Supply 3259046 SUTURE CHROMIC 3 4.25
Supplies 272 Sterile Supply 3259047 SUTURE VICRYL 2 5.15
Supplies 272 Sterile Supply 3259048 SUTURE VICRYL 2 4.25
Supplies 272 Sterile Supply 3259049 SUTURE VICRYL O/CP 4.25
Supplies 272 Sterile Supply 3259050 SUTURE VICRYL O/CT 4.25
Supplies 272 Sterile Supply 3259051 SUTURE VICRYL O/54 IN 4.25
Supplies 272 Sterile Supply 3259052 SUTURE VICRYL 2 4.25
Supplies 272 Sterile Supply 3259053 SUTURE VICRYL O/CT 5.51
Supplies 272 Sterile Supply 3259054 SUTURE VICRYL 3 5.21
Supplies 272 Sterile Supply 3259055 SUTURE VICRYL 2 5.15
Supplies 272 Sterile Supply 3259056 SUTURE VICRYL 3 4.25
Supplies 272 Sterile Supply 3259057 SUTURE VICRYL 4 38.25
Supplies 272 Sterile Supply 3259058 SUTURE VICRYL 2 4.25
Supplies 272 Sterile Supply 3259059 SUTURE VICRYL O/UR 6.36
Supplies 272 Sterile Supply 3259060 SUTURE VICRYL 2/OS 71.00
Supplies 272 Sterile Supply 3259061 SUTURE VICRYL 2 67.75
Supplies 272 Sterile Supply 3259063 SUTURE VICRYL 2/TP 61.50
Supplies 272 Sterile Supply 3259065 SUTURE VICRYL O/CT 86.50
Supplies 272 Sterile Supply 3259066 SUTURE SILK 2 4.25
Supplies 272 Sterile Supply 3259066 SUTURE SILK 2-0/SH 4.25
Supplies 272 Sterile Supply 3259067 SUTURE PDSII 2 4.25
Supplies 272 Sterile Supply 3259067 SUTURE PDSII 2-0\CT-2 Z333H 4.25
Supplies 272 Sterile Supply 3259068 VICRYL 2 93.50
Supplies 272 Sterile Supply 3259071 SUTURE PDSII 1/TP 46.25
Supplies 272 Sterile Supply 3259072 SUTURE ETHIBOND 4 4.25
Supplies 272 Sterile Supply 3259076 SUTURE MERSILENE O/CT 4.25
Supplies 272 Sterile Supply 3259082 SUTURE MERSILENE 2/LR 36.00
Supplies 272 Sterile Supply 3259083 SUTURE MERSILENE 5MM/OS 142.50
Supplies 272 Sterile Supply 3259084 SUTURE ETHIBOND 2/OS 4.25
Supplies 272 Sterile Supply 3259085 SUTURE ETHIBOND 1/CTX 83.25
Supplies 272 Sterile Supply 3259086 SUTURE ETHIBOND 1/CT 4.25
Supplies 272 Sterile Supply 3259088 SUTURE ETHIBOND O/CT 4.25
Supplies 272 Sterile Supply 3259089 SUTURE ETHIBOND O/CT 4.25
Supplies 272 Sterile Supply 3259093 NEEDLE FREE MAYO 1/2 CIRC 6DC 4.25
Supplies 272 Sterile Supply 3259095 NEEDLE FREE MAYO 1/2 CIRC 3DC 39.25
Supplies 272 Sterile Supply 3259097 BONE WAX 2.5GM 44.50
Supplies 272 Sterile Supply 3259099 DACRON COTTONY 1/2 CIRCLE 172.00
Supplies 272 Sterile Supply 3259100 SUTURE CHROMIC 3 4.25
Supplies 272 Sterile Supply 3259101 SUTURE CHROMIC 4 23.00
Supplies 272 Sterile Supply 3259102 SUTURE CHROMIC 2 8.40
Supplies 272 Sterile Supply 3259104 SUTURE CHROMIC 4 4.25
Supplies 272 Sterile Supply 3259106 SUTURE CHROMIC O/CT 4.25
Supplies 272 Sterile Supply 3259108 SUTURE CHROMIC 6 47.50
Supplies 272 Sterile Supply 3259109 SUTURE PROLENE O/CT 4.25
Supplies 272 Sterile Supply 3259112 SUTURE PROLENE 4 7.96
Supplies 272 Sterile Supply 3259115 SUTURE PROLENE 2 43.00
Supplies 272 Sterile Supply 3259117 SUTURE PROLENE 3 43.50
Supplies 272 Sterile Supply 3259119 SUTURE PDSII O/CT 4.25
Supplies 272 Sterile Supply 3259120 SUTURE PDSII 2 4.25
Supplies 272 Sterile Supply 3259121 SUTURE PDSII 3 7.76
Supplies 272 Sterile Supply 3259125 SUTURE PDS II 3 4.25
Supplies 272 Sterile Supply 3259127 SUTURE PROLENE 3 7.96
Supplies 272 Sterile Supply 3259128 SUTURE VICRYL 2 28.00
Supplies 272 Sterile Supply 3259129 SUTURE VICRYL 4 4.25
Supplies 272 Sterile Supply 3259129 SUTURE VICRYL 4-0/SH 4.25
Supplies 272 Sterile Supply 3259130 SUTURE VICRYL 2 4.25
Supplies 272 Sterile Supply 3259132 SUTURE VICRYL 3 5.26
Supplies 272 Sterile Supply 3259133 SUTURE VICRYL 4 4.25
Supplies 272 Sterile Supply 3259135 SUTURE VICRYL 4 4.25
Supplies 272 Sterile Supply 3259137 SUTURE VICRYL 5 40.25
Supplies 272 Sterile Supply 3259137 SUTURE VICRYL 5-0/P-3 UNDYED 40.25
Supplies 272 Sterile Supply 3259138 SUTURE VICRYL 3 85.25
Supplies 272 Sterile Supply 3259138 SUTURE VICRYL 3-0/SH 85.25
Supplies 272 Sterile Supply 3259139 SUTURE SILK 3 4.25
Supplies 272 Sterile Supply 3259140 SUTURE SILK 2 4.25
Supplies 272 Sterile Supply 3259141 SUTURE SILK O/SH 4.25
Supplies 272 Sterile Supply 3259143 SUTURE SILK 4 4.25
Supplies 272 Sterile Supply 3259146 SUTURE PLAIN GUT 6 64.50
Supplies 272 Sterile Supply 3259147 SUTURE PLAIN GUT 4 9.21
Supplies 272 Sterile Supply 3259148 SUTURE VICRYL 5 50.00
Supplies 272 Sterile Supply 3259149 SUTURE ETHILON #2/LR 35.75
Supplies 272 Sterile Supply 3259150 SUTURE ETHILON 2 49.00
Supplies 272 Sterile Supply 3259150 SUTURE ETHILON 2-0/FSLX 49.00
Supplies 272 Sterile Supply 3259151 SUTURE ETHILON 3 5.06
Supplies 272 Sterile Supply 3259152 SUTURE ETHILON 4 36.00
Supplies 272 Sterile Supply 3259153 SUTURE ETHILON 5 43.00
Supplies 272 Sterile Supply 3259158 SUTURE ETHILON 10 117.50
Supplies 272 Sterile Supply 3259159 SUTURE ETHILON 5 44.00
Supplies 272 Sterile Supply 3259160 SUTURE ETHILON 6 35.75
Supplies 272 Sterile Supply 3259163 SUTURE MONOCRYL 4 45.75
Supplies 272 Sterile Supply 3259166 SUTURE NUROLON O/TP 38.96
Supplies 272 Sterile Supply 3259167 UMBILICAL TAPE 1/8 in X18 in 4.25
Supplies 272 Sterile Supply 3259168 SUTURE PROLENE 4 44.50
Supplies 272 Sterile Supply 3259170 SUTURE PROLENE 5 43.25
Supplies 272 Sterile Supply 3259171 SUTURE PROLENE 5 56.25
Supplies 272 Sterile Supply 3259174 SUTURE PROLENE 6 47.75
Supplies 272 Sterile Supply 3259176 SUTURE PROLENE 3 43.50
Supplies 272 Sterile Supply 3259178 SUTURE PROLENE 6 86.25
Supplies 272 Sterile Supply 3259180 SUTURE PROLENE 5 43.75
Supplies 272 Sterile Supply 3259182 SUTURE VICRYL 3 66.25
Supplies 272 Sterile Supply 3259183 SUTURE VICRYL 4 50.00
Supplies 272 Sterile Supply 3259184 PLAIN GUT 6 43.25
Supplies 272 Sterile Supply 3259190 DRESSING MEPITAC 1 1/2X59 73.00
Supplies 272 Sterile Supply 3259191 DRESSING MEPITEL 3X4 48.50
Supplies 272 Sterile Supply 3259198 DRESSING IODOFLEX 6X8CM 59.25
Supplies 272 Sterile Supply 3259203 VICRYL O/UR 4.25
Supplies 272 Sterile Supply 3259204 SUPRAMID 4 78.25
Supplies 272 Sterile Supply 3259205 DRESSING MEPILEX BORDER 4X4 30.58
Supplies 272 Sterile Supply 3259217 KNOT PUSHER AND SUTURE CUTTER 486.50
Supplies 272 Sterile Supply 3259223 STAPLER HEMORRHOID PROXIMATE 1913.75
Supplies 272 Sterile Supply 3259231 ETHIBOND 2 4.25
Supplies 272 Sterile Supply 3259232 PDSII 1/CTX 4.25
Supplies 272 Sterile Supply 3259235 ETHILON 6 43.75
Supplies 272 Sterile Supply 3259236 DRAIN RESERVOIR 100ML 51.25
Supplies 272 Sterile Supply 3259237 DRAIN RESERVOIR 450ML 98.50
Supplies 272 Sterile Supply 3259238 SUCTION IRRIGATOR 285.00
Supplies 272 Sterile Supply 3259239 SET GRAFT PASSING WIRE 1116.00
Supplies 272 Sterile Supply 3259260 POLYWIC WOUND FILLER 73.50
Supplies 272 Sterile Supply 3259261 POLYMEM 3X3 SILVER PAD 27.25
Supplies 272 Sterile Supply 3259273 DRESSING MEPILEX 4X4 33.75
Supplies 272 Sterile Supply 3259275 NEEDLE CHIBA 20GX10CM 79.00
Supplies 272 Sterile Supply 3259276 KIT ORAL CARE 136.75
Supplies 272 Sterile Supply 3259352 SOLUTION SPOT TATOOING 163.00
Supplies 272 Sterile Supply 3259353 VICRYL 10 126.50
Supplies 272 Sterile Supply 3259354 SILK 4 4.25
Supplies 272 Sterile Supply 3259357 GORTEX CV 126.50
Supplies 272 Sterile Supply 3259358 GORTEX CV 120.75
Supplies 272 Sterile Supply 3259382 DRESSING MEPIFORM 4X7 92.75
Supplies 272 Sterile Supply 3259383 HANDPIECE ABC LAP 516.00
Supplies 272 Sterile Supply 3259384 NEEDLE BIOPSY 18GX15.0 125.75
Supplies 272 Sterile Supply 3259388 MONOCRYL 2 6.73
Supplies 272 Sterile Supply 3259389 MONOCRYL 2 4.25
Supplies 272 Sterile Supply 3259389 MONOCRYL 2-0 SH Y417H 4.25
Supplies 272 Sterile Supply 3259392 CATHETER HEMOSTASIS INJECTION 1239.75
Supplies 272 Sterile Supply 3259412 LASER FIBER 200 SLIMLINE 1851.25
Supplies 272 Sterile Supply 3259416 FORCEP LARGE 1599 85.00
Supplies 272 Sterile Supply 3259417 STATLOCK PICC PLUS 83.50
Supplies 272 Sterile Supply 3259419 FORCEP BIOPSY JUMBO 1337 154.00
Supplies 272 Sterile Supply 3259420 BONE CEMENT CARTRIDGE 603.50
Supplies 272 Sterile Supply 3259429 BLADDER DUAL PORT 18 149.00
Supplies 272 Sterile Supply 3259430 BLADDER DUAL PORT 34 148.25
Supplies 272 Sterile Supply 3259440 VICRYL O OS 77.25
Supplies 272 Sterile Supply 3259450 PACKING STRIP AMD 4.25
Supplies 272 Sterile Supply 3259452 PLEURX PLEURAL CATHETER KIT 2355.50
Supplies 272 Sterile Supply 3259470 MONOCRYL 4 4.25
Supplies 272 Sterile Supply 3259472 SUTURE ETHIBOND 2 84.25
Supplies 272 Sterile Supply 3259473 SUTURE PROLENE 1 CT 4.25
Supplies 272 Sterile Supply 3259497 TUBE FEEDING NASAL JEJUNAL 8FR 526.25
Supplies 272 Sterile Supply 3259498 STAPLER CONTOUR BLUE 2024.25
Supplies 272 Sterile Supply 3259499 STAPLER CONTOUR BLUE RELOAD 915.00
Supplies 272 Sterile Supply 3259501 LIGASURE IMPACT 3396.25
Supplies 272 Sterile Supply 3259550 STAPLER INSORB 263.50
Supplies 272 Sterile Supply 3260107 SNAP KIT W FOAM 164.16
Supplies 272 Sterile Supply 3260108 SNAP THERAPY CARTRIDGE 437.00
Supplies 272 Sterile Supply 3260110 SNAP MEDIUM STRAP 41.80
Supplies 272 Sterile Supply 3260122 CLIK X ANCHOR 980.00
Supplies 272 Sterile Supply 3260123 DRESSING OPTIFOAM AG POST OP 98.38
Supplies 272 Sterile Supply 3260124 PREVENA CUSTOM MANAGEMENT 1926.60
Supplies 272 Sterile Supply 3260137 DURACLIP 11 MM HEMOCLIP 235CM 380.00
Supplies 272 Sterile Supply 3260153 DURACLIP 16MM HEMOCLIP 235CM 551.00
Supplies 272 Sterile Supply 3260165 REMOTE CONTROL KIT 3800.00
Supplies 272 Sterile Supply 3260167 WAND 50 APOLLO RF 665.00
Supplies 272 Sterile Supply 3261001 DRILL BIT 2.0MM ORANGE 365.00
Supplies 272 Sterile Supply 3261002 DRILL BIT 2.5MM YELLOW 325.00
Supplies 272 Sterile Supply 3261003 DRILL BIT 2.7MM CANNULATED 1981.00
Supplies 272 Sterile Supply 3261004 SUTURE MONOCRYL UNDYED RB 6.05
Supplies 272 Sterile Supply 3261005 SUTURE MONOCRYL DYED RB 6.05
Supplies 272 Sterile Supply 3261008 SUMP SUCTION TIP 44CM 123.00
Supplies 272 Sterile Supply 3261009 DRAPE ALLY UPS RUMI ARCH 471.00
Supplies 272 Sterile Supply 3261010 DRAPE ALLY UPS DELINEATOR 471.00
Supplies 272 Sterile Supply 3261012 BIOPSY NEEDLE 14GX11CM 274.00
Supplies 272 Sterile Supply 3261014 ENDOCATCH 5MM CD003 399.00
Supplies 272 Sterile Supply 3261016 SUTURE V 99.00
Supplies 272 Sterile Supply 3261017 SUTURE V 99.00
Supplies 272 Sterile Supply 3261018 CLEARIFY VISUALIZATION SYSTEM 136.00
Supplies 272 Sterile Supply 3261019 STRATAFIX SPIRAL PDS 2 103.00
Supplies 272 Sterile Supply 3261020 STRATAFIX SPIRAL PDS 2 82.00
Supplies 272 Sterile Supply 3261021 STRATAFIX SPIRAL PDS O CT 103.00
Supplies 272 Sterile Supply 3261022 STRATAFIX SPIRAL PDS 3 103.00
Supplies 272 Sterile Supply 3261023 STRATAFIX SPIRAL PDS 2 103.00
Supplies 272 Sterile Supply 3261027 TRAY BIOPSY 51.00
Supplies 272 Sterile Supply 3261031 TOE MATE INSTRUMENT 9H00 1317.75
Supplies 272 Sterile Supply 3261036 DRILL BIT 3.2MM 331.00
Supplies 272 Sterile Supply 3261037 GUIDEWIRE 2.5MM THREADED 225.00
Drugs 636 Drug/Detail Code 4077411 RABIES IMMUNE GLOBULIN:2ML I 90375 1912.13
Drugs 636 Drug/Detail Code 4073450 GAMULIN RH(RHOGAM):300MCG SY 90384 385.24
Drugs 636 Drug/Detail Code 4078854 VARIVAX VARICELA 90396 3728.44
Drugs 636 Drug/Detail Code 4078986 PREVNAR 90670 889.50
Drugs 636 Drug/Detail Code 4078852 RABIES VAC INJ 90675 1156.10
Drugs 636 Drug/Detail Code 4079078 FLUZONE VACCINE INJ 90686 152.35
Drugs 636 Drug/Detail Code 4078853 MMR VACCINE SC 90707 330.85
Drugs 636 Drug/Detail Code 4078420 TDAP >7YRS 0.5MG INJ 90715 279.15
Drugs 636 Drug/Detail Code 4075874 PNEUMOVAX VAC INJ 90732 442.30
Drugs 636 Drug/Detail Code 4079173 ENGERIX 90744 186.90
Drugs 636 Drug/Detail Code 4077324 PROTONIX(PANTOPRAZOLE):40MG C9113 31.64
Drugs 636 Drug/Detail Code 4079306 LIDODERM 5% PATCH (LIDOCAINE C9285 26.07
Drugs 636 Drug/Detail Code 4078726 EXPAREL 1.3 VIAL (BUPIVACAIN C9290 1332.45
Drugs 636 Drug/Detail Code 4080006 AMANTADINE 100MG CAP G9017 16.80
Drugs 636 Drug/Detail Code 4075447 ORENCIA(ABATACEPT) 250MG INJ J0129 2871.52
Drugs 636 Drug/Detail Code 4078763 OFIRMEV(ACETAMINOPHEN) 1000M J0131 216.67
Drugs 636 Drug/Detail Code 4079159 ACETAMINOPHEN 10 MG/ML PED D J0131 103.24
Drugs 636 Drug/Detail Code 4070138 ADENOCARD(ADENOSINE):6MG/2ML J0153 28.80
Drugs 636 Drug/Detail Code 4072986 EPINEPHRINE(ADRENALIN):1MG/1 J0171 43.81
Drugs 636 Drug/Detail Code 4080002 GLASSIA 1GM/50ML VIAL J0257 192.21
Drugs 636 Drug/Detail Code 4071325 BOTOX 100 UNIT VIAL J0585 1760.93
Drugs 636 Drug/Detail Code 4078803 CIMZIA(CERTOLIZUMAB) 200MG V J0717 3949.38
Drugs 636 Drug/Detail Code 4071895 CORTROSYN(COSYNTROPIN):0.25M J0834 173.96
Drugs 636 Drug/Detail Code 4078547 DAPTOMYCIN 500MG INJ J0878 936.08
Drugs 636 Drug/Detail Code 4073064 EPOGEN 20,000 UNITS INJ J0885 1016.89
Drugs 636 Drug/Detail Code 4078571 PROLIA (DENOSUMAB) 60MG INJ J0897 3187.26
Drugs 636 Drug/Detail Code 4072540 DILAUDID 1MG/ML 30ML PCA SYR J1170 198.71
Drugs 636 Drug/Detail Code 4072300 DIURIL SOD.(CHLOROTHIAZIDE S J1205 283.46
Drugs 636 Drug/Detail Code 3260480 DOPAMINE 800MG/D5W 500ML ** J1265 139.41
Drugs 636 Drug/Detail Code 4077071 PREMARIN(ESTROGEN CONJUGATED J1410 1174.63
Drugs 636 Drug/Detail Code 4079065 INJECTAFER 750MG(CARBOXYMALT J1439 2239.82
Drugs 636 Drug/Detail Code 4078971 GRANIX TBO J1447 826.53
Drugs 636 Drug/Detail Code 4079023 PRIVIGEN 10% IVIG 1GM/500MG J1459 281.57
Drugs 636 Drug/Detail Code 4073654 GLUCAGON:1MG INJ J1610 549.40
Drugs 636 Drug/Detail Code 4074880 LOVENOX(ENOXAPARIN):30MG INJ J1650 31.34
Drugs 636 Drug/Detail Code 4074881 LOVENOX(ENOXAPARIN):60MG INJ J1650 66.73
Drugs 636 Drug/Detail Code 4074882 LOVENOX 40MG INJ J1650 60.91
Drugs 636 Drug/Detail Code 4074884 LOVENOX 100MG INJ J1650 125.31
Drugs 636 Drug/Detail Code 4076564 REMICADE(INFLIXIMAB):100MG I J1745 2214.75
Drugs 636 Drug/Detail Code 4078569 INFED (IRON DEXTRAN) 100MG/2 J1750 207.83
Drugs 636 Drug/Detail Code 4078876 VENOFER 20MG/ML 5ML VIAL J1756 165.17
Drugs 636 Drug/Detail Code 4078710 INSULIN HUMULIN 70/30 3ML IN J1815 15.55
Drugs 636 Drug/Detail Code 4080008 LUPRON DEPORT 11.25 MG SYR J1950 10086.10
Drugs 636 Drug/Detail Code 4074585 KEPPRA 500MG INJ J1953 22.63
Supplies 272 Sterile Supply 3261038 DRILL BIT 8.0 MM 2531.00
Supplies 272 Sterile Supply 3261039 TAP FOR DHS\DCS 12.5MM/220MM 1622.00
Supplies 272 Sterile Supply 3261040 NEEDLE DELIVERY 8GX11CM 1087.00
Supplies 272 Sterile Supply 3261043 ENDOSCOPIC PLANTAR FASCI DISP 3135.00
Supplies 272 Sterile Supply 3261057 ACCUPORT DELIVERY CANNULA 1919.00
Supplies 272 Sterile Supply 3261061 SHAFT MODIFIED HALL STERILE 1223.00
Supplies 272 Sterile Supply 3261062 GUIDE WIRE SMOOTH TIP 3.0X800 763.00
Supplies 272 Sterile Supply 3261070 INJECTION GOLD PROBE 752.00
Supplies 272 Sterile Supply 3261072 ACCUPORT DELIVERY CANNULA 2052.00
Supplies 272 Sterile Supply 3261102 MALYUGIN RING 6.2ML 475.00
Supplies 272 Sterile Supply 3261118 CABLE 1X16 95.00
Supplies 272 Sterile Supply 3261128 ANTIMICROBIAL WOUND DRESSING 72.00
Supplies 272 Sterile Supply 3261139 STYLET KIT WHITE KNOB 122.00
Supplies 272 Sterile Supply 3261141 STYLET KIT J 122.00
Supplies 272 Sterile Supply 3261149 QUICKBLOC OVER NEEDLE 20G 4 106.40
Supplies 272 Sterile Supply 3261154 KWIK KIT SHORE 70.00
Supplies 272 Sterile Supply 3261162 DRILL BIT J 282.00
Supplies 272 Sterile Supply 3261167 PERC INSERT KIT FOR 2.9M P 1197.00
Supplies 272 Sterile Supply 3261172 SIZING TEMPLATE DSTL RAD 1140.00
Supplies 272 Sterile Supply 3261179 COUNTERSINK 2.0/2.4 CANNULATED 665.00
Supplies 272 Sterile Supply 3261180 DRILL BIT 1.8MM 688.00
Supplies 272 Sterile Supply 3261181 DRIVER 2.4MM 1007.00
Supplies 272 Sterile Supply 3261609 PROLENE #0 MO 4.25
Supplies 272 Sterile Supply 3267032 BLADE SHVR BC AR 149.25
Supplies 272 Sterile Supply 3267032 BLADE SHVR BC AR-8550BC 149.25
Supplies 272 Sterile Supply 3267071 PREP KIT W/RESTRIC 5461 727.00
Supplies 272 Sterile Supply 3267100 DRILL 4.0 GRADUATED 804 703.00
Supplies 272 Sterile Supply 3268007 INSUFLOW 228.00
Supplies 272 Sterile Supply 3268008 SCOPE WARMER 27.00
Supplies 272 Sterile Supply 3268009 SUTURE RETRIEVER 71111579 289.56
Supplies 272 Sterile Supply 3268010 TUBING ARTH PUMP 350 166.00
Supplies 272 Sterile Supply 3268011 TRAY SPINAL 85.00
Supplies 272 Sterile Supply 3268013 PLUME 74.10
Supplies 272 Sterile Supply 3268018 CORD BIPOLAR DISPOSABLE 76.45
Supplies 272 Sterile Supply 3268020 KIT CENTRAL LINE ANES 117.23
Supplies 272 Sterile Supply 3268021 ELECTRDE CUT LOOP 24FR 27050G 377.62
Supplies 272 Sterile Supply 3268023 DRILL BIT 25MM 2400.30
Supplies 272 Sterile Supply 3268024 BOWL MIX CEMENT DISP 40.40
Supplies 272 Sterile Supply 3268026 KNIFE COLD STRAIGHT DISP 546.25
Supplies 272 Sterile Supply 3268034 CHECK FLO ADAPTOR DISP 39.00
Supplies 272 Sterile Supply 3268035 HAND PORT SMALL DISPOSABLE 154.00
Supplies 272 Sterile Supply 3268043 SMOKE EVAC TUBE NEPTUNE 700 57.00
Supplies 272 Sterile Supply 3268044 PLUME EVAC REDUCER 905019 35.00
Supplies 272 Sterile Supply 3268045 LEEP BALL ELECTRODE 5.0 STANDA 84.00
Supplies 272 Sterile Supply 3268046 LEEP ELECTRODE 2.5CM X 1.0CM 58.00
Supplies 272 Sterile Supply 3268047 CHROMIC 3 8.75
Supplies 272 Sterile Supply 3268047 CHROMIC 3-0 SH G122H 8.75
Supplies 272 Sterile Supply 3268055 INCISION PROTECTOR MEDIUM 477.00
Supplies 272 Sterile Supply 3268061 PROBE MEASUREMENT AR 874.00
Supplies 272 Sterile Supply 3268067 BUR ROUND 4.0MM 277 83.00
Supplies 272 Sterile Supply 3268069 BOVIE PENCIL E2350H 18.42
Supplies 272 Sterile Supply 3268070 BOVIE TIP 1 INCH E1450X 11.75
Supplies 272 Sterile Supply 3268072 BOVIE TIP 1 ULTRACLEAN 12.50
Supplies 272 Sterile Supply 3268076 BOVIE TIP LONG E14506 12.70
Supplies 272 Sterile Supply 3268077 PTFE PLEDGET 4.8X9.5 27.00
Supplies 272 Sterile Supply 3268098 SCOTT RETRACTOR STAYS DISP SM 27.50
Supplies 272 Sterile Supply 3268099 SPLINT WRIST LEFT 29.00
Supplies 272 Sterile Supply 3268100 SPLINT WRIST RIGHT 26.50
Supplies 272 Sterile Supply 3268102 CAST PADDING 4 STERILE 4.50
Supplies 272 Sterile Supply 3268103 FIBERGLASS ROLL 4 INCH 14.42
Supplies 272 Sterile Supply 3268104 BOVIE NEEDLE TIP E1552 3.25
Supplies 272 Sterile Supply 3268105 SEAL SET MYOSURE DISPOSABLE 34.00
Supplies 272 Sterile Supply 3268106 BOVIE COLORADO TIP 180.00
Supplies 272 Sterile Supply 3268114 WING PAD KIT TP 2002 180.00
Supplies 272 Sterile Supply 3268115 TUBING ENT STERILE DISP 41.50
Supplies 272 Sterile Supply 3268117 ELECTROD ROLLER BALL 24 FR 377.50
Supplies 272 Sterile Supply 3268118 SHOULDER SUSPENSION DISPOSABLE 140.00
Supplies 272 Sterile Supply 3268122 BOVIE SUCTION 10FR 130188 30.00
Supplies 272 Sterile Supply 3268123 ELECTRODE LEEP 1.5X0.5MM 58.00
Supplies 272 Sterile Supply 3268124 ELECTRODE LEEP 2.0CMX105CM 58.00
Supplies 272 Sterile Supply 3268125 BLADE BEAVER # 6900 19.50
Supplies 272 Sterile Supply 3268126 CAST PADDING 6 STERILE 8.00
Supplies 272 Sterile Supply 3268127 CAST PADDING 3 STERILE 5.00
Supplies 272 Sterile Supply 3268128 COTTON ROLL STERILE 17.00
Supplies 272 Sterile Supply 3268147 RETRACTOR ACCESS MED DISP 150.00
Supplies 272 Sterile Supply 3268149 BONE CUTTTER 5.0MM AR 140.60
Supplies 272 Sterile Supply 3268151 GUIDEWIRE .045 AR 95.00
Supplies 272 Sterile Supply 3268152 DRILL PROFILE MINI AR 570.00
Supplies 272 Sterile Supply 3268153 DRILL BIT 3.2MM CAL AR 851.00
Supplies 272 Sterile Supply 3268154 DRILL PROFILE STD AR 570.00
Supplies 272 Sterile Supply 3268161 HANA AND PROFX PKIT 115.00
Supplies 272 Sterile Supply 3268162 BOOT LINER DISPOSABLE 50.00
Supplies 272 Sterile Supply 3268164 DRESS BIAS ROLL STERILE 6 10.00
Supplies 272 Sterile Supply 3268165 DRESS COBAN 4 STERILE 8.00
Supplies 272 Sterile Supply 3268166 TUBING IPC IRRIGATION IRD300 346.00
Supplies 272 Sterile Supply 3268167 BLADE MYRINGOTOMY 16.00
Supplies 272 Sterile Supply 3268172 KNIFE COLLINS ELECTRODE 27050L 484.00
Supplies 272 Sterile Supply 3268179 TURBINATOR WAND EICA6895 969.00
Supplies 272 Sterile Supply 3268180 SUTURETAPE W/TAILS WHITE/BLUE 190.00
Supplies 272 Sterile Supply 3268185 0000333 2373.48
Supplies 272 Sterile Supply 3268200 PACK BASIC 34.23
Supplies 272 Sterile Supply 3268201 DRAPE GYN/URO/W/POUCH 51.51
Supplies 272 Sterile Supply 3268202 TRAY DRY SKIN SCRUB 7.85
Supplies 272 Sterile Supply 3268203 PAD ESU GROUNDING 9.70
Supplies 272 Sterile Supply 3268208 DRAPE THREE QUARTER 5.30
Supplies 272 Sterile Supply 3268210 DRAPE WARMER 44X66 ORS 150.00
Supplies 272 Sterile Supply 3268214 DRAPE IMPERV SPLIT 7.65
Supplies 272 Sterile Supply 3268217 DRAPE IOBAN 46.00
Supplies 272 Sterile Supply 3268224 PACK TOTAL KNEE 1467.00
Supplies 272 Sterile Supply 3268225 KNIFE COLD HOOK 546.25
Supplies 272 Sterile Supply 3268227 DRAPE SHOULDER U POUCH 39.29
Supplies 272 Sterile Supply 3268228 HOOD SURGICAL STERILE DISP 240.46
Supplies 272 Sterile Supply 3268229 DRAPE U/SPLIT 20.00
Supplies 272 Sterile Supply 3268230 PACK ORTHO 60.55
Supplies 272 Sterile Supply 3268231 DRAPE UTILITY W/TAPE 2.15
Supplies 272 Sterile Supply 32682317 DRILL BIT CANN TAPERED 10MM 1875.30
Supplies 272 Sterile Supply 3268232 DRAPE C 8.50
Supplies 272 Sterile Supply 3268232 DRAPE C-ARM 8.50
Supplies 272 Sterile Supply 3268233 DRAPE IOBAN SMALL 18.96
Supplies 272 Sterile Supply 3268234 ULTRASOUND PROBE 3.3MMX403MM 1882.00
Supplies 272 Sterile Supply 3268245 DRAPE LEICA MICROSCOPE 117.70
Supplies 272 Sterile Supply 3268246 DRAPE EYE/EAR 56.85
Supplies 272 Sterile Supply 3268247 DRAPE BILATERAL LIMB 30.00
Supplies 272 Sterile Supply 3268251 KITTNER LAPARASCOPIC DISP 59.70
Supplies 272 Sterile Supply 3268252 ANKLE DISTRACTOR DISPOSABLE 178.00
Supplies 272 Sterile Supply 3268270 PASSPORT BUTTON CANNULA 122.00
Supplies 272 Sterile Supply 3268281 PACKING IODOFORM STRIP 1X5 750.00
Supplies 272 Sterile Supply 3268282 PACKING IODOFORM 1/2X5 6.00
Supplies 272 Sterile Supply 3268283 PACKING IODOFORM 1/4X5 5.75
Supplies 272 Sterile Supply 3268300 BALLOON TUBE EUSTACHIAN DEVICE 283.29
Supplies 272 Sterile Supply 3268316 DRILL BIT FLEXIBLE 16MM CANN 2337.27
Supplies 272 Sterile Supply 3268338 HEMOPORE 8CM 752.40
Supplies 272 Sterile Supply 3268347 POWERPICK 30 DEG 383.80
Supplies 272 Sterile Supply 3268368 DRILL BIT CANN STEP 6MM/9MM 2126.10
Supplies 272 Sterile Supply 3268375 SUTURE VICRYL 0 CT 5.20
Supplies 272 Sterile Supply 3268376 BUR ROUND DIAMOND 4.0MM 58.00
Supplies 272 Sterile Supply 3268382 GUIDE WIRE THREADED .86MM 114.00
Supplies 272 Sterile Supply 3268390 MALLEABLE SUCTION MEDIUM 1081.00
Supplies 272 Sterile Supply 3268393 MILLER BONE CEMENT INJECTOR 1680.00
Supplies 272 Sterile Supply 3268411 EXTENSION HOSE STERILE 39.00
Supplies 272 Sterile Supply 3268420 PUSHLOCK SHAVER DRILL 2.9MM 361.00
Supplies 272 Sterile Supply 3268424 GUIDEWIRE 2MMX200MM 109.00
Supplies 272 Sterile Supply 3268426 DRILL CANNULATED 3.5MM 665.00
Supplies 272 Sterile Supply 3268427 COVER MAYO STAND 2.85
Supplies 272 Sterile Supply 3268429 DRAPE LAPAROTOMY SHEET 15.84
Supplies 272 Sterile Supply 3268448 DRILL BIT 1.5MM 282.15
Supplies 272 Sterile Supply 3268460 SUTURE 3 9.31
Supplies 272 Sterile Supply 3268461 SURGICAL TOGA ZIPPER 2XL 268.00
Supplies 272 Sterile Supply 3268518 NEEDLE BONEE BLADDER INJECTION 145.00
Supplies 272 Sterile Supply 3268531 FLOSEAL APPLICATOR MALLEABLE 303.72
Supplies 272 Sterile Supply 3268532 FLEX TIP APPLICATOR 456.00
Supplies 272 Sterile Supply 3268551 RELOAD 60MM ECHELON 60 STAPLER 483.00
Supplies 272 Sterile Supply 3268552 GUIDEWIRE AMPLATZ SUPER STIFF 97.00
Supplies 272 Sterile Supply 3268560 MIXING SYRINGE 14CC 570.00
Supplies 272 Sterile Supply 32685604 DRILL 2.8MM 817.00
Supplies 272 Sterile Supply 32685638 FLOOR SUCTION DISC 66.00
Supplies 272 Sterile Supply 32685639 SUTURE VICRYL 4 5.25
Supplies 272 Sterile Supply 3268564 ENSEAL 2252.00
Supplies 272 Sterile Supply 32685643 PERC INSERT KIT FOR 3.0 S 852.00
Supplies 272 Sterile Supply 32685646 URETERAL ACCESS SHEATH 13X36 438.00
Supplies 272 Sterile Supply 32685647 URETERAL ACCESS SHEATH 15X36 438.00
Supplies 272 Sterile Supply 3268567 UROVAC 71.25
Supplies 272 Sterile Supply 32685678 FLIPCUTTER II SHORT 9MM 1422.00
Supplies 272 Sterile Supply 3268570 BALLOON UROMAX 6CMX18FR 952.00
Supplies 272 Sterile Supply 3268580 PACK ABDOMINAL SPECIALITY 561.00
Supplies 272 Sterile Supply 3268580 PACK ABDOMINAL SPECIALITY -CDS 561.00
Supplies 272 Sterile Supply 3268581 PACK BASIC EYE SPECIALITY CDS 80.00
Supplies 272 Sterile Supply 3268582 TRAY CATH LAB SPECIALITY CDS 139.00
Supplies 272 Sterile Supply 3268583 PACK C 422.00
Supplies 272 Sterile Supply 3268584 PACK CYSTO SPECIALITY CDS 402.00
Supplies 272 Sterile Supply 3268585 PACK ENT SPECIALITY CDS 480.00
Supplies 272 Sterile Supply 3268586 PACK EXTREMITY SPECIALITY CDS 450.00
Supplies 272 Sterile Supply 3268587 PACK IMPLANT SPECIALITY CDS 107.00
Supplies 272 Sterile Supply 3268588 PACK KNEE ARTHROSCOPY SPEC CDS 658.00
Supplies 272 Sterile Supply 3268589 PACK LAPAROSCOPY SPECIAL CDS 1808.00
Supplies 272 Sterile Supply 3268590 PACK SHOULDER ARTHROSCOPY CDS 706.00
Supplies 272 Sterile Supply 3268591 SINGLE BASIN W/GOWNS SPEC CDS 322.00
Supplies 272 Sterile Supply 3268592 PACK TOTAL HIP SPECILIATY CDS 3145.00
Supplies 272 Sterile Supply 3268593 PACK TOTAL KNEE SPECIALITY CDS 2786.00
Supplies 272 Sterile Supply 3268594 KIT ARTLINE SPECIALITY CDS 155.00
Supplies 272 Sterile Supply 3268595 STONE EXTRACTOR TIPLESS 738.00
Supplies 272 Sterile Supply 3268647 PIN BONE QUICK RELEASE 285.00
Supplies 272 Sterile Supply 3268708 SUTURE LASSO 90* STRAIGHT 700.00
Supplies 272 Sterile Supply 3268716 APOLLO RF 90 MULTIPORT 722.00
Supplies 272 Sterile Supply 3268717 GEL POINT TROCAR SYSTEM 2565.00
Supplies 272 Sterile Supply 3268730 SUTURE CAPIO MONODEK 0 105.00
Supplies 272 Sterile Supply 3268739 WILSON PENCIL MALE URO RETRACT 1045.00
Supplies 272 Sterile Supply 3268784 RECIPROCATING BLADE 958.00
Supplies 272 Sterile Supply 3268785 OSCILLATING BLADE 958.00
Supplies 272 Sterile Supply 3268786 STAR STERILE PACK DISP 4816.00
Supplies 272 Sterile Supply 3268793 SUTURETAK 3.0MM W/SUTURE TAPE 1486.00
Supplies 272 Sterile Supply 3268812 PLASMA BLADE 3.0 1085.00
Supplies 272 Sterile Supply 3268827 FASTPASS LASSO 45 DEG CURVE 700.00
Supplies 272 Sterile Supply 3268863 FIBERTAK DX DISPOSABLE KIT 1201.00
Supplies 272 Sterile Supply 3268885 DRILL STEP 3.0MM 570.00
Supplies 272 Sterile Supply 3268894 SURGICEL POWDER 690.00
Supplies 272 Sterile Supply 3268909 RADALUX LIGHTED RETRACTOR 798.00
Supplies 272 Sterile Supply 3268910 URETERAL CATHETERS AXXCESS 6FR 41.00
Supplies 272 Sterile Supply 3268915 BLADE SAGITTAL DUAL CUT 150.00
Supplies 272 Sterile Supply 3268916 AQUAMANTYS 6.0 1681.00
Supplies 272 Sterile Supply 3268950 BUR OVAL FLUTED 3.0X7CM 141.00
Supplies 272 Sterile Supply 3269022 DRILL BIT 2.5MM 323.00
Supplies 272 Sterile Supply 3269023 G 88.00
Supplies 272 Sterile Supply 3269034 CAP STERILE FINAL ASSY 5 76.00
Supplies 272 Sterile Supply 3269040 DRILL PILOT 1.8MM 741.00
Supplies 272 Sterile Supply 3269042 STYLET KIT 52CM STERILE DISP 122.00
Supplies 272 Sterile Supply 3269044 MILOOP FRAGMENT DEVICE 495.00
Supplies 272 Sterile Supply 3269050 DISP KIT HAND SWIVELOCK 1495.00
Supplies 272 Sterile Supply 3269054 ROBOTIC SCISSORS MONOPOLAR 8MM 1216.00
Supplies 272 Sterile Supply 3269055 ROBOTIC MARYLAND FORCEPS 1026.00
Supplies 272 Sterile Supply 3269056 ROBOTIC FORCEP FENESTRATED 1026.00
Supplies 272 Sterile Supply 3269057 ROBOTIC NEEDLEDRIVER SUTURECUT 912.00
Supplies 272 Sterile Supply 3269058 ROBOTIC FORCEP PROGRASP 836.00
Supplies 272 Sterile Supply 3269059 ROBOTIC NEEDLE DRIVER LARGE 836.00
Supplies 272 Sterile Supply 3269060 ROBOTIC GRASPER FEN TIP 836.00
Supplies 272 Sterile Supply 3269061 ROBOTIC GRASPER CADIERE 798.00
Supplies 272 Sterile Supply 3269062 ROBOTIC CLIP APPLIER MED 53.20
Supplies 272 Sterile Supply 3269064 ROBOTIC XI STAPLER 45 532.00
Supplies 272 Sterile Supply 3269065 ROBOTIC TIP COVER ACCESSORY 127.00
Supplies 272 Sterile Supply 3269066 ROBOTIC SEAL PORTS 5 68.40
Supplies 272 Sterile Supply 3269067 ROBOTIC OBTURATOR OPTIC 8MM 114.00
Supplies 272 Sterile Supply 3269068 ROBOTIC OBTURATOR OPTIC 8M LNG 114.00
Supplies 272 Sterile Supply 3269069 ROBOTIC HARMONIC SHEARS ACE 2071.00
Supplies 272 Sterile Supply 3269070 ROBOTIC STAPLER RELOAD 45 B 684.00
Supplies 272 Sterile Supply 3269072 ROBOTIC STAPLER RELOAD 45 G 684.00
Supplies 272 Sterile Supply 3269073 ROBOTIC DRAPE INSTRUMENT ARM 791.00
Supplies 272 Sterile Supply 3269074 ROBOTIC DRAPE COLUMN 68.40
Supplies 272 Sterile Supply 3269080 GUIDEWIRE FATHOM 215CMX10CM 1239.00
Supplies 272 Sterile Supply 3269081 ROBOTIC CAUTERY HOOK 760.00
Supplies 272 Sterile Supply 3269082 ROBOTIC VESSEL SEALER EXTEND 2375.00
Supplies 272 Sterile Supply 3269083 ROBOTIC SUCTION IRRIGATOR 1007.00
Supplies 272 Sterile Supply 3269084 ROBOTIC STAPLER CANN SEAL 12MM 76.00
Supplies 272 Sterile Supply 3269085 ROBOTIC STAPLER SHEATH 76.00
Supplies 272 Sterile Supply 3269086 ROBOTIC DRAPE ARM EXTENSION 69.00
Supplies 272 Sterile Supply 3269087 ROBOTIC CANNULA REDUCER 12 95.00
Supplies 272 Sterile Supply 3269088 CLIPS HEM 105.00
Supplies 272 Sterile Supply 3269089 CLIPS HEM 105.00
Supplies 272 Sterile Supply 3269090 BALLOON BLUNT TIP 12MMX100CM 171.00
Supplies 272 Sterile Supply 3269091 SUTURE 3 6.00
Supplies 272 Sterile Supply 3269092 STRATAFIX PDS 0 CT 89.00
Supplies 272 Sterile Supply 3270001 DRILL 4.2X240 2070.20
Supplies 272 Sterile Supply 3270008 DRILL BIT 4.2X180MM 2201.40
Supplies 272 Sterile Supply 3270011 ENDO CTR SYSTEM 953.75
Supplies 272 Sterile Supply 3270103 GUIDEWIRE .045 30.40
Supplies 272 Sterile Supply 3270327 CEMENT TOTAL ELBOW W/NOZZLE 160.25
Supplies 272 Sterile Supply 3270453 CONTROL REAMER KIT 1228.01
Supplies 272 Sterile Supply 3270454 PERIPHERAL DRILL BIT REAMER 590.75
Supplies 272 Sterile Supply 3270455 REAMER 2054.50
Supplies 272 Sterile Supply 3270470 GUIDE WIRE .045 66.25
Supplies 272 Sterile Supply 3270523 DRILL BIT 2MM 317.00
Supplies 272 Sterile Supply 3270524 DRILL BIT 2.5MM 283.75
Supplies 272 Sterile Supply 3270607 K 34.50
Supplies 272 Sterile Supply 3270668 FLIPCUTTER 8MM 1114.00
Supplies 272 Sterile Supply 3270705 DRILL BIT 26MM CANNULATED 570.50
Supplies 272 Sterile Supply 3270748 TUBE MEDIHONEY TWIST OFF .5 OZ 41.50
Supplies 272 Sterile Supply 3270890 DRILL BIT 2.0MM /QC/125MM 442.50
Supplies 272 Sterile Supply 3270891 2.8MM DRILL BIT/QC/165MM 517.50
Supplies 272 Sterile Supply 3270892 3.5MM DRILL BIT/QC/110MM 444.75
Supplies 272 Sterile Supply 3271018 GUIDE WIRE 1.25MM NON 119.00
Supplies 272 Sterile Supply 3271019 DRILL BIT 2.7MM CANN/QC 160MM 2581.00
Supplies 272 Sterile Supply 3271030 LIGASURE CURVED SMALL JAW 2527.00
Supplies 272 Sterile Supply 3271231 4.5MM DRILL BIT/QC/145MM 414.50
Supplies 272 Sterile Supply 3271232 5.0MM CANN DRILL BIT/QC 200MM 2034.14
Supplies 272 Sterile Supply 3271233 4.3MM CANN DRILL BIT/QC 200MM 1919.00
Supplies 272 Sterile Supply 3271251 2.5MM WIRE GUIDE FOR 5.0MM S 904.45
Supplies 272 Sterile Supply 3271288 SUTURE VICYRL 0 CT 15.50
Supplies 272 Sterile Supply 3271292 GUIDEWIRE 3.2MM X 400MM 615.25
Supplies 272 Sterile Supply 3271294 REAMING ROD W/BALL TIP 2.5X950 729.25
Supplies 272 Sterile Supply 3271341 DRILL BIT CANNULATED 4.0MM 744.00
Supplies 272 Sterile Supply 3271372 DRILL BIT PERCUTANEUOS 4.3MM 1127.31
Supplies 272 Sterile Supply 3271382 BAHA GUIDE DRILL 3 & 4 MM 697.22
Supplies 272 Sterile Supply 3271383 BAHA WIDENING DRILL 4MM 961.00
Supplies 272 Sterile Supply 3271384 BAHA HEALING CAP 164.00
Supplies 272 Sterile Supply 3271386 HARMONIC SCALPEL LAP HAR36 2134.25
Supplies 272 Sterile Supply 3271402 DRILL CALIBRATED BIT 2.5 X95 739.10
Supplies 272 Sterile Supply 3271413 TOURNIQUET DUAL BLADDER 24 223.50
Supplies 272 Sterile Supply 3271522 SUTURE VICRYL 3 14.75
Supplies 272 Sterile Supply 3271532 SUTURE LASSO 90 DEG TIGHT CURV 860.72
Supplies 272 Sterile Supply 3271549 DRILL BIT 1.7MM 369.75
Supplies 272 Sterile Supply 3271550 DRESSING AQUACEL 3.5 X 6 125.25
Supplies 272 Sterile Supply 3271589 DRILL GUIDE BAHA 3MM & 4MM 961.00
Supplies 272 Sterile Supply 3271724 TRAY EPIDU W/18G 51.25
Supplies 272 Sterile Supply 3271868 DRILL BIT 5.0MM CANN 300MM 1707.00
Supplies 272 Sterile Supply 3271962 GUIDEWIRE THRD .86MM 87.40
Supplies 272 Sterile Supply 3271963 GUIDEWIRE 1.1MM 85.60
Supplies 272 Sterile Supply 3271965 GUIDEWIRE 1.35MM 85.75
Supplies 272 Sterile Supply 3272200 DRILL BIT 2.5MM 328.07
Supplies 272 Sterile Supply 3276872 4.3MM PERCUTANEOUS THRD DRIL 2253.30
Supplies 272 Sterile Supply 3278161 2.4MM DRILL BIT/QC/100MM 747.00
Supplies 272 Sterile Supply 3278173 4.2MM THREE 1339.75
Supplies 272 Sterile Supply 3278175 4.2MM THREE 955.00
Supplies 272 Sterile Supply 3278184 4.2MM THREE 1339.75
Supplies 272 Sterile Supply 3278186 4.2MM THREE 955.00
Supplies 272 Sterile Supply 3278462 2.8MM GUIDE WIRE WITH FLUTES 3 588.50
Supplies 272 Sterile Supply 3280051 DRESSING HYDOFERA BLUE 4X5 26.00
Supplies 272 Sterile Supply 3280056 TRAY FOLEY CATHETER 14FR 19.50
Supplies 272 Sterile Supply 3280090 NEEDLE GRIPPER PLUS 20G X 3/4 15.00
Supplies 272 Sterile Supply 3280099 OSTOMY WAFER/ACC FLANGE 2 3/4 4.50
Supplies 272 Sterile Supply 3280101 OSTOMY POUCH W/FILTER 2 3/4 7.00
Supplies 272 Sterile Supply 3280111 CARDI NEEDLE 4 95.00
Supplies 272 Sterile Supply 3280706 GUIDWIRE 1.35MM 114.50
Supplies 272 Sterile Supply 3281230 ADVINCULA DELINEATOR 2.5CM 273.60
Supplies 272 Sterile Supply 3281231 ADVINCULA DELINEATOR 3.0CM 273.60
Supplies 272 Sterile Supply 3281232 ADVINCULA DELINEATOR 3.5CM 273.60
Supplies 272 Sterile Supply 3281233 ADVINCULA DELINEATOR 4.0CM 273.60
Supplies 272 Sterile Supply 3281234 QUICKBLOC OVER THE NEEDLE 20G 106.40
Supplies 272 Sterile Supply 3281235 TRAY T 133.00
Supplies 272 Sterile Supply 5020042 2 151.00
Supplies 272 Sterile Supply 5020044 # 2 FIBERLOOP W/STRT NDL 15 250.25
Supplies 272 Sterile Supply 5020045 #2 TIGERLOOP W/STRT NDL 15 250.25
Supplies 272 Sterile Supply 5021658 DRILL BIT 2.5MM 362.50
Supplies 272 Sterile Supply 5021681 DRILL BIT 1.7MM 430.00
Drugs 636 Drug/Detail Code 4079456 ZYVOX(LINEZOID)IV 600MG/300M J2020 259.10
Drugs 636 Drug/Detail Code 4079203 MICAFUNGIN SODIUM INJECTION J2248 382.87
Drugs 636 Drug/Detail Code 4075402 MORPHINE:150MG/30MLPCA SYRIN J2270 100.52
Drugs 636 Drug/Detail Code 4077624 SANDOSTATIN 100MC INJ J2354 28.24
Drugs 636 Drug/Detail Code 4077625 SANDOSTATIN(OCTREOTIDE):500M J2354 113.98
Drugs 636 Drug/Detail Code 4079429 ZOFRAN(ONDANSETRON):4MG INJ J2405 12.48
Drugs 636 Drug/Detail Code 4078987 ORBACTIV(ORITABANCIN)400MG I J2407 2053.39
Drugs 636 Drug/Detail Code 4076305 PAPAVERINE:60MG INJ J2440 146.90
Drugs 636 Drug/Detail Code 4080005 PENICILLIN 1MU INJ J2540 11.94
Drugs 636 Drug/Detail Code 3261358 PITOCIN 30 UNITS/NS 500ML J2590 114.60
Drugs 636 Drug/Detail Code 4074719 LEXISCAN .4MG/5ML INJ J2785 887.28
Drugs 636 Drug/Detail Code 4074593 KINEVAC(SINCALIDE):5MCG INJ J2805 524.39
Drugs 636 Drug/Detail Code 4070131 ACTIVASE(ALTEPLASE):100MG IN J2997 24665.08
Drugs 636 Drug/Detail Code 4070140 ACTIVASE CATHFLO 2MG INJ J2997 541.35
Drugs 636 Drug/Detail Code 4078040 FENTANYL 25CMG/ML 30ML PCA S J3010 268.73
Drugs 636 Drug/Detail Code 4073965 IMITREX(SUMATRIPTAN):6MG/0.5 J3030 64.77
Drugs 636 Drug/Detail Code 4077556 TNK J3101 16428.80
Drugs 636 Drug/Detail Code 4079083 VANCOMYCIN 750MG/NS 500ML J3370 45.83
Drugs 636 Drug/Detail Code 4079084 VANCOMYCIN 1250MG/NS 500ML J3370 79.65
Drugs 636 Drug/Detail Code 4079161 VANCOMYCIN 1500MG/NS 500ML J3370 201.61
Drugs 636 Drug/Detail Code 4079162 VANCOMYCIN 2000MG/NS 500ML I J3370 197.24
Drugs 636 Drug/Detail Code 4079175 VANCOMYCIN 1750MG/500ML J3370 197.24
Drugs 636 Drug/Detail Code 4078786 HYLENEX HYALURONIDASE 150U/ J3473 329.50
Drugs 636 Drug/Detail Code 4070057 MAGNESIUM SLFATE 2GM/50ML IV J3475 113.82
Drugs 636 Drug/Detail Code 4077408 RECLAST 5MG/100ML PM J3489 459.90
Drugs 636 Drug/Detail Code 4079406 ZOMETA(ZOLEDRONIC ACID):4MG J3489 305.34
Drugs 636 Drug/Detail Code 4079218 FACTOR VIII J7190 7.78
Drugs 636 Drug/Detail Code 4077020 PREDNISONE:10MG TAB J7502 4.00
Drugs 636 Drug/Detail Code 4077018 PREDNISONE:20MG TAB J7512 4.02
Drugs 636 Drug/Detail Code 4077480 RITUXAN 100 MG INJ J9310 1300.84
Drugs 636 Drug/Detail Code 4070224 ALBUMIN 5%:500ML ** P9041 433.59
Drugs 636 Drug/Detail Code 4070223 ALBUMIN 25% 100ML (25GM)** P9047 425.12
Drugs 636 Drug/Detail Code 4071863 COMPAZINE(PROCHLORPERAZINE): Q0164 4.00
Drugs 636 Drug/Detail Code 4071562 CEREBYX(FOSPHENYTOIN):100MG Q2009 41.03
Drugs 636 Drug/Detail Code 4071566 CEREBYX 500MG INJ Q2009 147.06
Drugs 636 Drug/Detail Code 4079166 INFLECTRA 100MG VIAL Q5103 1603.01
Drugs 636 Drug/Detail Code 4075195 METHYLENE BLUE:1ML INJ Q9968 158.72
Drugs 636 Drug/Detail Code 4079133 VISIONBLUE 0.5ML SYR Q9968 311.90
Drugs 636 Drug/Detail Code 4079153 PROVAYBLUE .5% 10ML INJ Q9968 858.10
Drugs 637 Drug/Self Admin 4070026 ASPIRIN(BABY)(HALFPRIN):81MG A9270 0.53
Drugs 637 Drug/Self Admin 4070027 ACETAMINOPHEN(TYLENOL):120MG A9270 0.25
Drugs 637 Drug/Self Admin 4070028 ASPIRIN:325MG TAB A9270 0.25
Drugs 637 Drug/Self Admin 4070029 ACETAMINOPHEN(TYLENOL):325MG A9270 0.50
Drugs 637 Drug/Self Admin 4070056 ACETAMINOPHEN(TYLENOL):650MG A9270 0.75
Drugs 637 Drug/Self Admin 4070062 ACIDOPHILUS TAB A9270 1.14
Drugs 637 Drug/Self Admin 4070110 ACCUPRIL(QUINAPRIL):10MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4070128 ACTIGALL(URSODIOL):300MG CAP A9270 49.95
Drugs 637 Drug/Self Admin 4070135 ACTOS(POIGLITAZONE):15MG TAB A9270 9.05
Drugs 637 Drug/Self Admin 4070195 ADVIL(IBUPROFEN):200MG TAB A9270 3.10
Drugs 637 Drug/Self Admin 4070210 AFRIN SPRAY(OXYMETAZOLINE) 1 A9270 8.17
Drugs 637 Drug/Self Admin 4070219 AGGRENOX(PERSANTINE/ASPIRIN) A9270 48.41
Drugs 637 Drug/Self Admin 4070250 SPIRIVA(TIOTROPIUM)HANDIHA 3 A9270 102.90
Drugs 637 Drug/Self Admin 4070256 ALDACTONE(SPIRONOLACTONE):25 A9270 4.00
Drugs 637 Drug/Self Admin 4070257 ALDACTONE (SPIRONOLACTONE):1 A9270 6.55
Drugs 637 Drug/Self Admin 4070321 ALPHAGAN P OPTH. SOL. 5ML A9270 563.85
Drugs 637 Drug/Self Admin 4070330 AMBIEN(ZOLPIDEM):5MG TAB A9270 4.02
Drugs 637 Drug/Self Admin 4070331 ALTACE(RAMIPRIL):2.5MG CAP A9270 4.00
Drugs 637 Drug/Self Admin 4070334 AMARYL(GLIMEPIRIDE):2MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4070337 ALTACE(RAMIPRIL):10MG CAP A9270 4.20
Drugs 637 Drug/Self Admin 4070380 AMITIZA 24MCG CAP A9270 59.20
Drugs 637 Drug/Self Admin 4070447 AMOXIL(AMOXICILLIN):875MG TA A9270 4.00
Drugs 637 Drug/Self Admin 4070462 AMOXICILLIN(TRIMOX/POLYMOX): A9270 4.10
Drugs 637 Drug/Self Admin 4070478 AMOXICILLIN 250MG/5ML UD ER A9270 21.46
Drugs 637 Drug/Self Admin 4070644 ANTIVERT(MECLIZINE):12.5MG T A9270 4.00
Drugs 637 Drug/Self Admin 4070684 ANUSOL HC CR(HYDROCORTISONE) A9270 152.15
Drugs 637 Drug/Self Admin 4070686 ANUSOL HC(HYDROCORTISONE):25 A9270 63.45
Drugs 637 Drug/Self Admin 4070714 APRESOLINE(HYDRALAZINE):25MG A9270 4.00
Drugs 637 Drug/Self Admin 4070776 ARICEPT(DONEPEZIL):5MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4070822 ASCORBIC ACID(VIT C):500MG T A9270 1.23
Drugs 637 Drug/Self Admin 4070938 ATARAX(HYDROXYZINE HCL):25MG A9270 4.00
Drugs 637 Drug/Self Admin 4070941 ATIVAN(LORAZEPAM):1MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4070943 ATIVAN (LORAZEPAM):0.5MG TAB A9270 3.53
Drugs 637 Drug/Self Admin 4070975 AUGMENTIN:875MG TAB* A9270 4.07
Drugs 637 Drug/Self Admin 4070979 AUGMENTIN:500MG TAB* A9270 4.00
Drugs 637 Drug/Self Admin 4070986 AVAPRO(IRBESARTAN):150MG TAB A9270 5.88
Drugs 637 Drug/Self Admin 4070995 AVODART (DUTASTERIDE):0.5MG A9270 4.00
Drugs 637 Drug/Self Admin 4071015 AZOPT OPTH SOLUTION 10ML A9270 1125.30
Drugs 637 Drug/Self Admin 4071035 B & O SUPP 15A:(30MG OR 1/2G A9270 182.60
Drugs 637 Drug/Self Admin 4071036 B & O SUPP 16A:(60MG OR 1GR A9270 196.35
Drugs 637 Drug/Self Admin 4071038 BACITRACIN OINT UD 0.9GM A9270 0.25
Drugs 637 Drug/Self Admin 4071064 BACTRIM DS TAB(CO A9270 4.00
Drugs 637 Drug/Self Admin 4071067 BACTRIM SUSP(SMZ A9270 4.00
Drugs 637 Drug/Self Admin 4071107 BENADRYL LIQ(DIPHENHYDRAMINE A9270 6.20
Drugs 637 Drug/Self Admin 4071134 BENADRYL(DIPHENHYDRAMINE):25 A9270 0.44
Drugs 637 Drug/Self Admin 4071175 BENICAR(OLMESARTAN):20MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4071196 BENTYL(DICYCLOMINE):20MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4071260 BETAPACE(SOTALOL):80MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4071390 BUMEX(BUMETANIDE):1MG TAB A9270 4.35
Drugs 637 Drug/Self Admin 4071429 BUSPAR(BUSPIRONE):5MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4071445 CALAN SR(VERAPAMIL A9270 4.00
Drugs 637 Drug/Self Admin 4071448 CALTRATE 600 PLUS D TAB A9270 1.70
Drugs 637 Drug/Self Admin 4071485 CAPOTEN(CAPTOPRIL):25MG TAB A9270 10.05
Drugs 637 Drug/Self Admin 4071487 CARAFATE (SUCRALFATE):1GM TA A9270 4.00
Drugs 637 Drug/Self Admin 4071489 CORDARONE(AMIODARONE):200MG A9270 4.00
Drugs 637 Drug/Self Admin 4071490 CARDIZEM(DILTIAZEM):30MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4071498 CARDIZEM CD/LA(DILACOR XR A9270 4.00
Drugs 637 Drug/Self Admin 4071499 CARDIZEM CD/LA(DILACOR XR A9270 4.00
Drugs 637 Drug/Self Admin 4071501 CARDIZEM CD(DILACOR XR A9270 12.60
Drugs 637 Drug/Self Admin 4071502 CARDURA(DOXAZOSIN):2MG TAB A9270 6.55
Drugs 637 Drug/Self Admin 4071505 CARDIZEM CD/LA(DILACOR XR A9270 4.00
Drugs 637 Drug/Self Admin 4071509 COREG(CARVEDILOL):12.5MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4071510 COREG CR 10MG CAP A9270 65.20
Drugs 637 Drug/Self Admin 4071515 COREG(CARVEDILOL):3.125MG TA A9270 4.00
Drugs 637 Drug/Self Admin 4071522 CATAPRES(CLONIDINE) TTS 1 PA A9270 125.17
Drugs 637 Drug/Self Admin 4071542 CEREFOLIN TAB A9270 22.35
Drugs 637 Drug/Self Admin 4071544 CATAPRES(CLONIDINE):0.1MG TA A9270 4.00
Drugs 637 Drug/Self Admin 4071555 CEFTIN(CEFUROXIME):250MG TAB A9270 4.98
Drugs 637 Drug/Self Admin 4071560 CEPACOL LOZENGE A9270 0.25
Drugs 637 Drug/Self Admin 4071561 CELEXA(CITALOPRAM HBR):20MG A9270 4.00
Drugs 637 Drug/Self Admin 4071564 CELEBREX(CELECOXIB):100MG CA A9270 6.70
Drugs 637 Drug/Self Admin 4071569 CERVIDIL(DINOPROSTONE):10MG A9270 1448.07
Drugs 637 Drug/Self Admin 4071575 CHLORASEPTIC SPRAY:180ML A9270 17.10
Drugs 637 Drug/Self Admin 4071620 CHRONULAC LIQ(LACTULOSE A9270 5.57
Drugs 637 Drug/Self Admin 4071623 CILOXAN(CIPROFLOXACIN) 0.3% A9270 29.52
Drugs 637 Drug/Self Admin 4071625 CIPRO(CIPROFLOXACIN):500MG T A9270 4.00
Drugs 637 Drug/Self Admin 4071636 CLEOCIN(CLINDAMYCIN):150MG C A9270 4.00
Drugs 637 Drug/Self Admin 4071661 CLARITIN(LORATADINE):10MG TA A9270 4.00
Drugs 637 Drug/Self Admin 4071748 COLACE(DOCUSATE NA):100MG CA A9270 0.25
Drugs 637 Drug/Self Admin 4071754 COLCHICINE:0.6MG TAB A9270 68.60
Drugs 637 Drug/Self Admin 4071868 CORGARD(NADOLOL):40MG TAB A9270 17.35
Drugs 637 Drug/Self Admin 4071892 CORTISPORIN OTIC SOL(OTOCORT A9270 297.62
Drugs 637 Drug/Self Admin 4071902 COUMADIN(WARFARIN):1MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4071903 COSOPT(DORZOLAMIDE/TIMOLOL M A9270 116.24
Drugs 637 Drug/Self Admin 4071904 COUMADIN(WARFARIN):2MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4071908 COUMADIN(WARFARIN):2.5MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4071914 JANUVIA 100MG TAB A9270 108.25
Drugs 637 Drug/Self Admin 4071918 COUMADIN(WARFARIN):5MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4071922 COZAAR(LOSARTAN):50MG TAB A9270 4.01
Drugs 637 Drug/Self Admin 4071932 CYANOCOBALAMIN(VIT B12):1000 A9270 0.95
Drugs 637 Drug/Self Admin 4071938 CRESTOR (ROSUVASTATIN):20MG A9270 4.00
Drugs 637 Drug/Self Admin 4071940 CRESTOR 5MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4071974 CYTOMEL(LIOTHYRONINE):5MCG T A9270 4.00
Drugs 637 Drug/Self Admin 4072004 CYMBALTA (DULOXETINE):30MG C A9270 7.86
Drugs 637 Drug/Self Admin 4072005 CYMBALTA (DULOXETINE):20MG C A9270 4.00
Drugs 637 Drug/Self Admin 4072025 CYTOTEC(MISOPROSTOL):100MCG A9270 10.58
Drugs 637 Drug/Self Admin 4072143 DECADRON(DEXAMETHASONE):4MG A9270 8.71
Drugs 637 Drug/Self Admin 4072170 DECADRON(DEXAMETHASONE)LIQ:5 A9270 4.05
Drugs 637 Drug/Self Admin 4072250 DEMADEX(TORSEMIDE):20MG TAB A9270 4.11
Drugs 637 Drug/Self Admin 4072316 DEPAKENE SYR(VALPROIC ACID)5 A9270 4.00
Drugs 637 Drug/Self Admin 4072317 DEPAKOTE(DIVALPROEX SOD):125 A9270 6.18
Drugs 637 Drug/Self Admin 4072318 DEPAKOTE(DIVALPROEX SOD):250 A9270 4.00
Drugs 637 Drug/Self Admin 4072326 DEPAKOTE ER(DIVALPROEX SOD): A9270 9.05
Drugs 637 Drug/Self Admin 4072340 DESYREL(TRAZODONE):50MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4072345 DESITIN OINT(ZINC OXIDE):30G A9270 55.95
Drugs 637 Drug/Self Admin 4072351 DESYREL(TRAZODONE):100MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4072365 DETROL LA(TOLERODINE TARTRAT A9270 67.46
Drugs 637 Drug/Self Admin 4072394 DIAMOX(ACETAZOLAMIDE):250MG A9270 30.25
Drugs 637 Drug/Self Admin 4072437 DIFLUCAN(FLUCONAZOLE):100MG A9270 11.95
Drugs 637 Drug/Self Admin 4072506 DILANTIN(PHENYTOIN):100MG CA A9270 4.05
Drugs 637 Drug/Self Admin 4072538 DILAUDID(HYDROMORPHONE):4MG A9270 4.00
Drugs 637 Drug/Self Admin 4072620 DIOVAN(VALSARTAN):80MG TAB A9270 18.95
Drugs 637 Drug/Self Admin 4072651 DITROPAN(OXYBUTYNIN):5MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4072653 DITROPAN XL(OXYBUTYNIN):5MG A9270 21.92
Drugs 637 Drug/Self Admin 4072716 DONNATAL(HYOSCYAMINE SULFATE A9270 127.62
Drugs 637 Drug/Self Admin 4072800 DULCOLAX(BISACODYL):10MG SUP A9270 0.25
Drugs 637 Drug/Self Admin 4072814 DULCOLAX(BISACODYL):5MG TAB A9270 0.25
Drugs 637 Drug/Self Admin 4072829 DURAGESIC(FENTANYL):25MCG/H A9270 29.39
Drugs 637 Drug/Self Admin 4072831 DURAGESIC(FENTANYL):50MCG/H A9270 34.33
Drugs 637 Drug/Self Admin 4072835 DURAGESIC(FENTANYL):75MCG/H A9270 50.85
Drugs 637 Drug/Self Admin 4072838 DURAGESIC(FENTANYL):100MCG/H A9270 74.00
Drugs 637 Drug/Self Admin 4072846 ECONOPRED PLUS OS(PREDNISOLO A9270 398.75
Drugs 637 Drug/Self Admin 4072849 ECOTRIN(ENT ASA):325MG TAB A9270 1.81
Drugs 637 Drug/Self Admin 4072856 ELAVIL(AMITRIPTYLINE):10MG T A9270 4.00
Drugs 637 Drug/Self Admin 4072884 ELAVIL(AMITRIPTYLINE):25MG T A9270 4.00
Drugs 637 Drug/Self Admin 4072885 ELAVIL(AMITRIPTYLINE):50MG T A9270 4.15
Drugs 637 Drug/Self Admin 4072973 ENTEREG 12MG CAP A9270 871.85
Drugs 637 Drug/Self Admin 4072978 ENTEX PSE TAB(GUAIPAX PSE)* A9270 7.75
Drugs 637 Drug/Self Admin 4072980 ENTOCORT EC 3MG CAP A9270 46.90
Drugs 637 Drug/Self Admin 4073078 ERYTHROMYCIN OPHTH OINT 1GM A9270 21.00
Drugs 637 Drug/Self Admin 4073083 ESTRACE(ESTRADIOL):1MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4073106 EVISTA(RALOXIFENE):60MG TAB A9270 12.00
Drugs 637 Drug/Self Admin 4073110 EYE STREAM(SODIUM/POTASSIUM) A9270 159.98
Drugs 637 Drug/Self Admin 4073120 EXELON PATCH 4.6MG A9270 72.50
Drugs 637 Drug/Self Admin 4073164 FERROUS SULFATE:325MG TAB A9270 2.03
Drugs 637 Drug/Self Admin 4073222 FIORICET TAB(APAP/BUTALBITAL A9270 21.20
Drugs 637 Drug/Self Admin 4073257 FLAGYL(METRONIDAZOLE):250MG A9270 4.00
Drugs 637 Drug/Self Admin 4073275 FLOMAX(TAMSULOSIN):0.4MG CAP A9270 4.00
Drugs 637 Drug/Self Admin 4073276 FLEXERIL(CYCLOBENZAPRINE):10 A9270 4.00
Drugs 637 Drug/Self Admin 4073278 FLONASE NASAL SPRAY 16GM A9270 34.29
Drugs 637 Drug/Self Admin 4073286 FLORASTOR 250MG CAP A9270 0.75
Drugs 637 Drug/Self Admin 4073310 FLUOR A9270 4.00
Drugs 637 Drug/Self Admin 4073360 FOLIC ACID(FOLVITE):1MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4073386 FOSAMAX(ALENDRONATE SOD):70M A9270 4.00
Drugs 637 Drug/Self Admin 4073514 GARAMYCIN OPHTH SOLN(GENOPTI A9270 47.46
Drugs 637 Drug/Self Admin 4073515 GARAMYCIN OPHTH OINT(GENOPTI A9270 88.35
Drugs 637 Drug/Self Admin 4073649 GLUCOPHAGE XR(METFORMIN XR): A9270 4.00
Drugs 637 Drug/Self Admin 4073652 GLUCOPHAGE(METFORMIN):500MG A9270 4.00
Drugs 637 Drug/Self Admin 4073653 GLUCOPHAGE(METFORMIN):850MG A9270 4.00
Drugs 637 Drug/Self Admin 4073655 GLUCOTROL(GLIPIZIDE):5MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4073657 GLUCOTROL XL(GLIPIZIDE):2.5M A9270 6.10
Drugs 637 Drug/Self Admin 4073682 GLYCERIN CHILD SUP A9270 0.25
Drugs 637 Drug/Self Admin 4073687 GOLYTELY(COLYTE A9270 65.87
Drugs 637 Drug/Self Admin 4073698 HALDOL (HALOPERIDOL):0.5MG T A9270 4.00
Drugs 637 Drug/Self Admin 4073701 HALCION(TRIAZOLAM):0.25MG TA A9270 13.75
Drugs 637 Drug/Self Admin 4073705 HALDOL CONC LIQ(HALOPERIDOL) A9270 26.63
Drugs 637 Drug/Self Admin 4073706 HALDOL(HALOPERIDOL):1MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4073708 HALDOL(HALOPERIDOL):5MG TAB A9270 5.00
Drugs 637 Drug/Self Admin 4073716 HEMOCYTE PLUS TABLET(FERROUS A9270 0.75
Drugs 637 Drug/Self Admin 4073781 HYDROCORTISONE(CORTEF):10MG A9270 7.50
Drugs 637 Drug/Self Admin 4073784 HUMIBID LA TAB (GUAIFENESIN) A9270 0.93
Drugs 637 Drug/Self Admin 4073785 HUMIBID DM TAB (GUAIFEN/D A9270 0.93
Drugs 637 Drug/Self Admin 4073849 HYDROCHLOROTHIAZIDE:25MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4073851 HYDROCORTISONE 1% CR 30GM A9270 37.30
Drugs 637 Drug/Self Admin 4073854 HYGROTON(CHLORTHALIDONE):25M A9270 4.05
Drugs 637 Drug/Self Admin 4073869 HYTRIN(TERAZOSIN):1MG CAP A9270 4.00
Drugs 637 Drug/Self Admin 4073871 HYTRIN(TERAZOSIN):5MG CAP A9270 4.00
Drugs 637 Drug/Self Admin 4073939 IMDUR(ISOSORBIDE MONONITRATE A9270 4.00
Drugs 637 Drug/Self Admin 4073966 IMITREX(SUMATRIPTAN):50MG TA A9270 9.83
Drugs 637 Drug/Self Admin 4073968 IMODIUM(LOPERAMIDE):2MG CAP A9270 0.25
Drugs 637 Drug/Self Admin 4073990 INDERAL(PROPRANOLOL):10MG TA A9270 4.00
Drugs 637 Drug/Self Admin 4073997 INDERAL(PROPRANOLOL):20MG TA A9270 4.00
Drugs 637 Drug/Self Admin 4074018 INDOCIN(INDOMETHACIN):25MG C A9270 4.00
Drugs 637 Drug/Self Admin 4074111 IODOSORB GEL 40GM A9270 260.55
Drugs 637 Drug/Self Admin 4074125 ATROPINE ISOPTO 1% OPHTH SOL A9270 303.09
Drugs 637 Drug/Self Admin 4074270 ISORDIL(ISOSORBIDE):10MG ORA A9270 5.40
Drugs 637 Drug/Self Admin 4074420 POTASSIUM CHL:20MEQ(KDUR/KLO A9270 4.87
Drugs 637 Drug/Self Admin 4074485 POTASSIUM CHL LIQ 20MEQ/15ML A9270 103.92
Drugs 637 Drug/Self Admin 4074491 KAYEXALATE LIQ(NA POLYSTYREN A9270 66.05
Drugs 637 Drug/Self Admin 4074522 KEFLEX(CEPHALEXIN):250MG CAP A9270 4.00
Drugs 637 Drug/Self Admin 4074577 KENALOG CR(TRIAMCINOLONE) 0. A9270 138.40
Drugs 637 Drug/Self Admin 4074581 KENALOG CR(TRIAMCINOLONE) 0. A9270 18.89
Drugs 637 Drug/Self Admin 4074584 KEPPRA(LEVETIRACETAM):500MG A9270 4.00
Drugs 637 Drug/Self Admin 4074586 KEPRRA(LEVETIRAC.):100MG/ML A9270 4.00
Drugs 637 Drug/Self Admin 4074591 KLONOPIN(CLONAZEPAM):0.5MG T A9270 4.00
Drugs 637 Drug/Self Admin 4074595 KLONOPIN(CLONAZEPAM):1MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4074620 LANOXIN(DIGOXIN):0.125MG TAB A9270 9.12
Drugs 637 Drug/Self Admin 4074623 LAMICTAL(LAMOTRIGINE):100MG A9270 4.00
Drugs 637 Drug/Self Admin 4074634 LANOXIN(DIGOXIN):0.25MG TAB A9270 7.80
Drugs 637 Drug/Self Admin 4074688 LASIX(FUROSEMIDE):20MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4074690 LASIX(FUROSEMIDE):40MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4074702 LEVAQUIN(LEVOFLOXACIN):250MG A9270 4.00
Drugs 637 Drug/Self Admin 4074706 LEVAQUIN(LEVOFLOXACIN):500MG A9270 4.00
Drugs 637 Drug/Self Admin 4074709 LEVSIN(HYOSCYAMINE):0.125MG A9270 2.97
Drugs 637 Drug/Self Admin 4074714 LEXAPRO(ESCITALOPRAM OXAL):1 A9270 4.00
Drugs 637 Drug/Self Admin 4074716 LEVAQUIN(LEVOFLOXACIN):750MG A9270 4.00
Drugs 637 Drug/Self Admin 4074732 LIBRIUM(CHLORDIAZEPOXIDE):25 A9270 5.12
Drugs 637 Drug/Self Admin 4074758 LIORESAL(BACLOFEN):10MG TAB A9270 4.03
Drugs 637 Drug/Self Admin 4074760 LIPITOR(ATORVASTATIN):10MG A9270 4.00
Drugs 637 Drug/Self Admin 4074761 LIPITOR(ATORVASTATIN):40MG A9270 4.00
Drugs 637 Drug/Self Admin 4074800 LITHIUM:300MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4074844 LOMOTIL(DIPHENOXYLATE/ATROPI A9270 4.00
Drugs 637 Drug/Self Admin 4074860 LOPRESSOR 25MG A9270 4.33
Drugs 637 Drug/Self Admin 4074862 LOPID(GEMFIBROZIL):600MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4074864 LOPRESSOR(METOPROLOL):50MG T A9270 4.02
Drugs 637 Drug/Self Admin 4074872 LOTENSIN(BENAZEPRIL):10MG TA A9270 6.43
Drugs 637 Drug/Self Admin 4074874 LOTRIMIN(CLOTRIMAZOLE) 1% 15 A9270 1.25
Drugs 637 Drug/Self Admin 4074875 LOTRISONE(CLOTRIM/BETAMETH)C A9270 77.15
Drugs 637 Drug/Self Admin 4074890 LYRICA 50MG CAP A9270 75.21
Drugs 637 Drug/Self Admin 4074891 LYRICA 75 MG CAP A9270 75.21
Drugs 637 Drug/Self Admin 4074894 LYRICA 25MG CAP A9270 18.70
Drugs 637 Drug/Self Admin 4074928 MACRODANTIN(NITROFURANTOIN): A9270 6.70
Drugs 637 Drug/Self Admin 4074929 MACROBID(NITROFURANTOIN):100 A9270 29.71
Drugs 637 Drug/Self Admin 4074939 MAG CITRATE 300ML A9270 16.84
Drugs 637 Drug/Self Admin 4074940 MAG OXIDE:400MG TAB A9270 1.19
Drugs 637 Drug/Self Admin 4075027 MAXZIDE A9270 4.00
Drugs 637 Drug/Self Admin 4075067 MELATONIN:3MG TAB A9270 2.28
Drugs 637 Drug/Self Admin 4075150 MESTINON(PYRIDOSTIGMINE):60M A9270 4.00
Drugs 637 Drug/Self Admin 4075166 METAMUCIL PACKAGE A9270 1.59
Drugs 637 Drug/Self Admin 4075172 METHADONE:10MG TABS A9270 4.00
Drugs 637 Drug/Self Admin 4075194 METHERGINE(METHYLERGONOVINE) A9270 314.75
Drugs 637 Drug/Self Admin 4075225 MEVACOR(LOVASTATIN):20MG TAB A9270 4.40
Drugs 637 Drug/Self Admin 4075227 MEXITIL(MEXILETINE):150MG CA A9270 4.00
Drugs 637 Drug/Self Admin 4075238 MIACALCIN(CALCITONIN) 4400U A9270 153.70
Drugs 637 Drug/Self Admin 4075239 POTASSIUM CHL:10MEQ(MICRO A9270 4.88
Drugs 637 Drug/Self Admin 4075241 MICRONASE(DIABETA A9270 4.00
Drugs 637 Drug/Self Admin 4075242 MICARDIS(TELMISARTAN):40MG T A9270 8.00
Drugs 637 Drug/Self Admin 4075340 MIRALAX 17GM U/D A9270 1.90
Drugs 637 Drug/Self Admin 4075347 MIRAPEX(PRAMIPEXOLE):0.25MG A9270 4.00
Drugs 637 Drug/Self Admin 4075348 MIRAPEX(PRAMIPEXOLE):1MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4075355 MOBIC(MELOXICAM):7.5MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4075386 MORPHINE:15MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4075432 MOTRIN(IBUPROFEN):400MG TAB A9270 3.96
Drugs 637 Drug/Self Admin 4075434 MOTRIN(IBUPROFEN):600MG TAB A9270 3.99
Drugs 637 Drug/Self Admin 4075438 MS CONTIN(MORPHINE):15MG TAB A9270 5.14
Drugs 637 Drug/Self Admin 4075440 MS CONTIN(MORPHINE):30MG TAB A9270 9.85
Drugs 637 Drug/Self Admin 4075443 MS CONTIN(MORPHINE):100MG TA A9270 36.60
Drugs 637 Drug/Self Admin 4075444 MULTAQ 400MG TAB A9270 102.22
Drugs 637 Drug/Self Admin 4075446 MUCOMYST 20%:SOLN 4ML A9270 102.81
Drugs 637 Drug/Self Admin 4075455 VITAMIN A9270 4.17
Drugs 637 Drug/Self Admin 4075470 MYCELEX TROCHE TAB A9270 5.90
Drugs 637 Drug/Self Admin 4075529 NYSTATIN LIQ(MYCOSTATIN)100 A9270 11.09
Drugs 637 Drug/Self Admin 4075560 MYLANTA II(MAALOX PLUS X A9270 11.39
Drugs 637 Drug/Self Admin 4075560 MYLANTA II(MAALOX PLUS X-STR A9270 2.25
Drugs 637 Drug/Self Admin 4075570 MYLICON(MYLANTA GAS A9270 0.25
Drugs 637 Drug/Self Admin 4075571 MYLICON DROPS(SIMETHICONE) 3 A9270 1.75
Drugs 637 Drug/Self Admin 4075600 MYSOLINE(PRIMIDONE):50MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4075617 NAMENDA(MEMANTINE):10MG TAB A9270 4.20
Drugs 637 Drug/Self Admin 4075626 NAPROSYN(NAPROXEN):250MG TAB A9270 1.46
Drugs 637 Drug/Self Admin 4075644 NEOMYCIN SULF:0.5GM TAB A9270 13.90
Drugs 637 Drug/Self Admin 4075657 NEOSPORIN OINT(POLYMYXIN B) A9270 2.50
Drugs 637 Drug/Self Admin 4075853 NEOSPORIN OINT(POLYMYXIN B)0 A9270 0.25
Drugs 637 Drug/Self Admin 4075858 EFFEXOR(VENLAFAXINE):75MG TA A9270 7.02
Drugs 637 Drug/Self Admin 4075859 EFFEXOR(VENLAFAXINE):25MG TA A9270 6.25
Drugs 637 Drug/Self Admin 4075861 EFFEXOR XR(VENLAFAXINE):75MG A9270 4.00
Drugs 637 Drug/Self Admin 4075862 EFFEXOR XR(VELAFAXINE):37.5M A9270 89.80
Drugs 637 Drug/Self Admin 4075863 EFFIENT 10MG TAB A9270 66.85
Drugs 637 Drug/Self Admin 4075962 NEO A9270 46.80
Drugs 637 Drug/Self Admin 4075965 NEURONTIN(GABAPENTIN):300MG A9270 4.03
Drugs 637 Drug/Self Admin 4075966 NEURONTIN(GABAPENTIN):100MG A9270 4.00
Drugs 637 Drug/Self Admin 4075975 NEURONTIN(GABAPENTIN):400MG A9270 4.00
Drugs 637 Drug/Self Admin 4076010 NIASPAN(NIACIN ER):500MG CAP A9270 6.30
Drugs 637 Drug/Self Admin 4076034 NIFEREX A9270 0.25
Drugs 637 Drug/Self Admin 4076063 NITROBID(NITROGLYCERIN) 2%OI A9270 16.25
Drugs 637 Drug/Self Admin 4076076 NITROGLYCERIN 0.4MG TAB A9270 100.99
Drugs 637 Drug/Self Admin 4076113 NORCO 5 TAB A9270 4.01
Drugs 637 Drug/Self Admin 4076114 NORCO 7.5 TAB A9270 4.00
Drugs 637 Drug/Self Admin 4076115 NORCO 10(HYDROCODONE/APAP)TA A9270 4.01
Drugs 637 Drug/Self Admin 4076149 NORMODYNE(LABETALOL A9270 4.00
Drugs 637 Drug/Self Admin 4076170 NORVASC(AMLODIPINE):5MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4076180 NYSTATIN CREAM(MYCOSTATIN) 1 A9270 47.72
Drugs 637 Drug/Self Admin 4076182 NYSTATIN POWDER(MYCOSTATIN) A9270 55.70
Drugs 637 Drug/Self Admin 4076197 OCEAN NASAL SPRAY 45ML A9270 1.00
Drugs 637 Drug/Self Admin 4076220 OCUVITE TAB A9270 3.65
Drugs 637 Drug/Self Admin 4076245 OS A9270 1.08
Drugs 637 Drug/Self Admin 4076249 OXYCONTIN(OXYCODONE):10MG TA A9270 32.55
Drugs 637 Drug/Self Admin 4076252 OXYCONTIN(OXYCODONE):20MG TA A9270 54.60
Drugs 637 Drug/Self Admin 4076255 PRELONE(PREDNISOLONE) 15MG/5 A9270 4.44
Drugs 637 Drug/Self Admin 4076256 MOTRIN SUSP 100MG/5ML UD A9270 0.75
Drugs 637 Drug/Self Admin 4076266 PAMELOR(AVENTYL/NORTRIPTYLIN A9270 4.00
Drugs 637 Drug/Self Admin 4076296 PANCREASE MT 10(PANCREALIPAS A9270 31.00
Drugs 637 Drug/Self Admin 4076350 PAXIL(PAROXETINE):20MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4076485 PEPCID(FAMOTIDINE):20MG TAB A9270 1.02
Drugs 637 Drug/Self Admin 4076497 PERCOCET TAB(ROXICET A9270 4.01
Drugs 637 Drug/Self Admin 4076720 PHENERGAN(PROMETHAZINE):25MG A9270 59.55
Drugs 637 Drug/Self Admin 4076776 PHENERGAN(PROMETHAZINE):25MG A9270 4.00
Drugs 637 Drug/Self Admin 4076833 PHENOBARBITAL:30MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4076930 PLAQUENIL(HYDROXYCHLOROQUINE A9270 13.50
Drugs 637 Drug/Self Admin 4076937 PLAVIX(CLOPIDOGREL):75MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4076939 PLENDIL(FELODIPINE):5MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4076992 K A9270 4.55
Drugs 637 Drug/Self Admin 4077000 PRAVACHOL(PRAVASTATIN):20MG A9270 4.45
Drugs 637 Drug/Self Admin 4077015 PREDNISONE:1MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4077058 PREMARIN(ESTROGEN):0.625MG T A9270 53.21
Drugs 637 Drug/Self Admin 4077159 PRINIVIL(ZESTRIL A9270 4.00
Drugs 637 Drug/Self Admin 4077160 PRINIVIL(ZESTRIL A9270 4.00
Drugs 637 Drug/Self Admin 4077160 PRINIVIL(ZESTRIL-LISINOPRIL) A9270 4.00
Drugs 637 Drug/Self Admin 4077172 PRO A9270 6.05
Drugs 637 Drug/Self Admin 4077203 PROCARDIA(NIFEDIPINE A9270 10.75
Drugs 637 Drug/Self Admin 4077205 PROCARDIA XL(ADALAT CC):30MG A9270 4.29
Drugs 637 Drug/Self Admin 4077268 PROSCAR(FINASTERIDE):5MG TAB A9270 6.79
Drugs 637 Drug/Self Admin 4077323 PROTONIX(PANTOPRAZOLE):40MG A9270 4.00
Drugs 637 Drug/Self Admin 4077326 PROTONIX(PANTOPRAZOLE):20MG A9270 4.00
Supplies 636 Drug/Detail Code 3259301 APLIGRAF 44sqcm Q4101 147.24
Supplies 636 Drug/Detail Code 3280114 PURAPLY AM 25SQ CM (5X5) Q4172 332.42
Supplies 636 Drug/Detail Code 3280115 PURAPLY AM 4SQ CM (2X2) Q4172 439.31
Supplies 636 Drug/Detail Code 3280116 PURAPLY AM 8SQ CM (2X4) Q4172 864.34
Drugs 637 Drug/Self Admin 4077327 PROTONIX GRANULES PACKET A9270 114.65
Drugs 637 Drug/Self Admin 4077351 PROVERA(MEDROXYPROGESTERONE) A9270 4.00
Drugs 637 Drug/Self Admin 4077353 PROVENTIL INH(VENTOLIN A9270 4.33
Drugs 637 Drug/Self Admin 4077353 PROVENTIL INH(VENTOLIN-ALBUT A9270 180.70
Drugs 637 Drug/Self Admin 4077361 PROZAC(FLUOXETINE):10MG CAP A9270 4.00
Drugs 637 Drug/Self Admin 4077364 PYRIDIUM(PHENAZOPYRIDINE):10 A9270 6.89
Drugs 637 Drug/Self Admin 4077366 PYRIDOXINE(VIT B6):50MG TAB A9270 2.39
Drugs 637 Drug/Self Admin 4077375 QUESTRAN POWDER(CHOLESTYRAMI A9270 8.09
Drugs 637 Drug/Self Admin 4077422 REGLAN(METOCLOPRAMIDE)TAB:10 A9270 4.00
Drugs 637 Drug/Self Admin 4077425 RESTORIL(TEMAZEPAM):15MG CAP A9270 4.19
Drugs 637 Drug/Self Admin 4077430 RIMACTANE(RIFAMPIN):300MG CA A9270 10.60
Drugs 637 Drug/Self Admin 4077433 REMERON(MIRTAZAPINE):30MG TA A9270 6.70
Drugs 637 Drug/Self Admin 4077441 REQUIP(ROPINIROLE):1MG TABS A9270 4.00
Drugs 637 Drug/Self Admin 4077442 REMERON(MIRTAZAPINE):15MG TA A9270 4.79
Drugs 637 Drug/Self Admin 4077449 REQUIP(ROPINIROLE):0.25MG TA A9270 4.17
Drugs 637 Drug/Self Admin 4077460 RISPERDAL(RISPERIDONE):1MG T A9270 4.00
Drugs 637 Drug/Self Admin 4077462 RISPERDAL A9270 4.00
Drugs 637 Drug/Self Admin 4077489 ROBAXIN(METHOCARBAMOL):500MG A9270 4.03
Drugs 637 Drug/Self Admin 4077537 ROBITUSSIN AC LIQ(GUAIFENESI A9270 0.30
Drugs 637 Drug/Self Admin 4077547 ROBITUSSIN DM LIQ(TUSSIN DM) A9270 9.80
Drugs 637 Drug/Self Admin 4077561 ROBITUSSIN LIQ(TUSSIN) 120ML A9270 9.65
Drugs 637 Drug/Self Admin 4077563 ROCALTROL(CALCITROL):0.25MCG A9270 4.00
Drugs 637 Drug/Self Admin 4077588 ROXANOL(MORPHINE):20MG/1ML L A9270 4.00
Drugs 637 Drug/Self Admin 4077589 ROXANOL LIQ 30 ML BOTTLE A9270 5.43
Drugs 637 Drug/Self Admin 4077592 ROXICODONE(OXYCODONE):5MG CA A9270 4.00
Drugs 637 Drug/Self Admin 4077636 SANTYL COLLAGENASE OINT 30GM A9270 1005.01
Drugs 637 Drug/Self Admin 4077672 SENOKOT TAB A9270 0.27
Drugs 637 Drug/Self Admin 4077673 SENOKOT A9270 0.25
Drugs 637 Drug/Self Admin 4077695 SEROQUEL(QUETIAPINE):100MG T A9270 4.06
Drugs 637 Drug/Self Admin 4077756 SILVADENE CR(THERMAZINE) 400 A9270 254.05
Drugs 637 Drug/Self Admin 4077769 SILVADENE CR(SSD) 25GM A9270 85.85
Drugs 637 Drug/Self Admin 4077797 SINEMET(CARBIDOPA):10/100 TA A9270 4.00
Drugs 637 Drug/Self Admin 4077799 SINEMET(CARBIDOPA):25/100 TA A9270 4.00
Drugs 637 Drug/Self Admin 4077811 SINEQUAN(DOXEPIN):10MG CAP A9270 4.00
Drugs 637 Drug/Self Admin 4077815 SINGULAIR(MONTELUKAST SOD):1 A9270 4.00
Drugs 637 Drug/Self Admin 4077821 SKELAXIN(METAXALONE):800MG T A9270 47.00
Drugs 637 Drug/Self Admin 4077835 SLOW A9270 3.79
Drugs 637 Drug/Self Admin 4077882 SOD BICARB :650MG TAB A9270 0.25
Drugs 637 Drug/Self Admin 4078008 SOMA(CARISOPRODOL):350MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4078176 SURFAK(DOCUSATE CALCIUM):240 A9270 0.30
Drugs 637 Drug/Self Admin 4078220 SYNERA PATCH A9270 143.60
Drugs 637 Drug/Self Admin 4078225 SYRPALTA LIQ 10ML A9270 0.28
Drugs 637 Drug/Self Admin 4078226 SYSTANE EYE DROPS 15ML A9270 73.35
Drugs 637 Drug/Self Admin 4078230 SYNTHROID(LEVOTHROID):0.125M A9270 5.05
Drugs 637 Drug/Self Admin 4078231 SYNTHROID(LEVOTHROID):0.1MG A9270 12.30
Drugs 637 Drug/Self Admin 4078232 SYNTHROID(LEVOTHROID):0.025M A9270 4.36
Drugs 637 Drug/Self Admin 4078233 SYNTHROID(LEVOTHROID):0.15MG A9270 5.05
Drugs 637 Drug/Self Admin 4078237 SYNTHROID(LEVOTHROID):0.088M A9270 11.70
Drugs 637 Drug/Self Admin 4078238 SYNTHROID(LEVOTHROID):0.112M A9270 4.00
Drugs 637 Drug/Self Admin 4078240 SYNTHROID(LEVOTHROID):0.137M A9270 4.00
Drugs 637 Drug/Self Admin 4078331 TAMBOCOR(FLECANIDE):50MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4078358 TEARS NATURALE 15ML A9270 199.17
Drugs 637 Drug/Self Admin 4078360 TEGRETOL(CARBAMAZEPINE):200M A9270 5.55
Drugs 637 Drug/Self Admin 4078363 TENORMIN(ATENOLOL):50MG TAB A9270 4.06
Drugs 637 Drug/Self Admin 4078380 TESSALON(BENZONATATE):100MG A9270 4.02
Drugs 637 Drug/Self Admin 4078471 MULTIVITAMIN W/MIN. AND FE T A9270 2.83
Drugs 637 Drug/Self Admin 4078496 THIAMINE:100MG TAB A9270 0.25
Drugs 637 Drug/Self Admin 4078502 INSULIN ASPART(NOVOLOG) 100 A9270 72.50
Drugs 637 Drug/Self Admin 4078503 INSULIN HUM REG 100UNITS/ML A9270 21.40
Drugs 637 Drug/Self Admin 4078517 RIFAXIMIN 550MG TAB A9270 277.15
Drugs 637 Drug/Self Admin 4078519 INSULIN HUMULIN N 3ML A9270 16.30
Drugs 637 Drug/Self Admin 4078524 NEBIVOLOL 5MG TAB A9270 42.81
Drugs 637 Drug/Self Admin 4078539 PRADAXA 150MG CAP A9270 56.35
Drugs 637 Drug/Self Admin 4078542 LACRILUBE OPHTH OINT 3.5 A9270 90.04
Drugs 637 Drug/Self Admin 4078568 THORAZINE(CHLORPROMAZINE):25 A9270 30.05
Drugs 637 Drug/Self Admin 4078576 MAGNESIUM HYDRXDE 400MG/5ML A9270 1.67
Drugs 637 Drug/Self Admin 4078578 CELECOXIB 200MG CAP A9270 15.57
Drugs 637 Drug/Self Admin 4078580 DICLOGENAC 1% TOPICAL GEL A9270 230.80
Drugs 637 Drug/Self Admin 4078582 THYROID:60MG TAB A9270 7.15
Drugs 637 Drug/Self Admin 4078587 PRENATAL VIT/FE/FA TAB A9270 0.88
Drugs 637 Drug/Self Admin 4078630 TENORMIN(ATENOLOL):25MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4078634 TIMOPTIC(TIMOLOL MALEATE) 0. A9270 33.05
Drugs 637 Drug/Self Admin 4078647 TORADOL(KETOROLAC):10MG TAB A9270 8.97
Drugs 637 Drug/Self Admin 4078652 TOFRANIL(IMIPRAMINE):25MG TA A9270 4.00
Drugs 637 Drug/Self Admin 4078655 TOPAMAX(TOPIRAMATE):25MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4078656 TOPAMAX(TOPIRAMATE):100MG TA A9270 4.00
Drugs 637 Drug/Self Admin 4078657 TOPROL XL(METOPROLOL):25MG A9270 5.45
Drugs 637 Drug/Self Admin 4078659 TOPROL XL(METOPROLOL):50MG A9270 6.03
Drugs 637 Drug/Self Admin 4078671 TRAVATAN OPTH SOLN 0.004% 2 A9270 792.29
Drugs 637 Drug/Self Admin 4078675 XARELTO (RIVAROXABAN) 10MG T A9270 100.30
Drugs 637 Drug/Self Admin 4078699 CYMBALTA (DULOXETINE) 60MG C A9270 8.21
Drugs 637 Drug/Self Admin 4078703 ZOCOR (SIMVASTATINE) 40MG TA A9270 4.00
Drugs 637 Drug/Self Admin 4078713 TRILEPTAL OXCARBZEPNE 300MG TA A9270 4.00
Drugs 637 Drug/Self Admin 4078714 COMBIGAN OPHTH SOLN 5ML A9270 470.90
Drugs 637 Drug/Self Admin 4078738 TRICOR(FEBOFIBRATE):48MG TAB A9270 8.40
Drugs 637 Drug/Self Admin 4078739 TRICOR(FEBOFIBRATE):145MG TA A9270 5.65
Drugs 637 Drug/Self Admin 4078747 XARELTO RIVAROXABAN 20MG TAB A9270 100.15
Drugs 637 Drug/Self Admin 4078752 TUMS(CALCIUM CARBONATE):500M A9270 0.25
Drugs 637 Drug/Self Admin 4078753 DULER MOMETSONE/FORMOTER 8.8 A9270 52.45
Drugs 637 Drug/Self Admin 4078755 XARELTO RIVAROXABAN 15MG TA A9270 100.30
Drugs 637 Drug/Self Admin 4078761 TOVIAZ FESOTERODINE 4MG TAB A9270 62.15
Drugs 637 Drug/Self Admin 4078764 TUSSIONEX LIQ(HYDROCODONE):5 A9270 20.50
Drugs 637 Drug/Self Admin 4078796 ACETAMINOPHEN 80MG 2.5 ML A9270 1.50
Drugs 637 Drug/Self Admin 4078801 LUMINGAN(BIMATOPROST).01%2.5 A9270 851.10
Drugs 637 Drug/Self Admin 4078802 MYRBETRIQ(MIRABERGRON) ER 50 A9270 93.10
Drugs 637 Drug/Self Admin 4078806 TYLENOL #3 TAB A9270 3.96
Drugs 637 Drug/Self Admin 4078810 COMBIVENT RESPIMAT INHALER A9270 10.97
Drugs 637 Drug/Self Admin 4078816 MINIPRESS (PRAZOSIN) 1MG CAP A9270 4.00
Drugs 637 Drug/Self Admin 4078820 TYLENOL W COD LIQ:5ML A9270 8.29
Drugs 637 Drug/Self Admin 4078834 TYLENOL(ACETAMINOPHEN)LIQ 16 A9270 1.25
Drugs 637 Drug/Self Admin 4078835 TYLENOL(ACETAMINOPHEN)LIQ 16 A9270 1.02
Drugs 637 Drug/Self Admin 4078848 TYLENOL(ACETAMINOPHEN):325MG A9270 0.29
Drugs 637 Drug/Self Admin 4078849 TYLENOL(ACETAMINOPHEN):500MG A9270 0.31
Drugs 637 Drug/Self Admin 4078851 TYLENOL ARTHRITIS PAIN 650MG A9270 4.00
Drugs 637 Drug/Self Admin 4078860 ULTRAM(TRAMADOL HCL):50MG TA A9270 3.97
Drugs 637 Drug/Self Admin 4078862 AMITIZA LUBIPROSTONE 8MCG CA A9270 62.50
Drugs 637 Drug/Self Admin 4078863 MYRBETRIQ ER MIRABGRON 25MG A9270 95.75
Drugs 637 Drug/Self Admin 4078881 NORCO ELIXIR U/D 15ML 7.5 A9270 17.98
Drugs 637 Drug/Self Admin 4078895 TEGRETOL (CARBARMAZEPINE)100 A9270 4.00
Drugs 637 Drug/Self Admin 4078896 DIFICID FIDAXOMICIN 200MG TA A9270 448.35
Drugs 637 Drug/Self Admin 4078908 UROCIT K 5MEQ TAB A9270 7.45
Drugs 637 Drug/Self Admin 4078911 DIOVAN (VALSARTAN) 320 MG A9270 42.29
Drugs 637 Drug/Self Admin 4078919 SYNTHROID LEVOTHYRXNE 175MGT A9270 4.00
Drugs 637 Drug/Self Admin 4078927 PROZAC (FLUOXETINE) 40MG CAP A9270 4.00
Drugs 637 Drug/Self Admin 4078940 LUVOX (FLUVOXAMINE)50MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4078949 TYLENOL #4 TAB A9270 5.43
Drugs 637 Drug/Self Admin 4078950 VALTREX(VALACYCLOVIR):500MG A9270 4.00
Drugs 637 Drug/Self Admin 4078961 VIMPAT (lACOSAMIDE) 100 TAB A9270 119.55
Drugs 637 Drug/Self Admin 4078974 VALIUM(DIAZEPAM):2MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4078976 ADVAIR HFA 45 A9270 18.38
Drugs 637 Drug/Self Admin 4078977 ADVAIR HFA 115 A9270 67.34
Drugs 637 Drug/Self Admin 4078978 ADVAIR HFA 230 A9270 48.85
Drugs 637 Drug/Self Admin 4078982 SPIRIVA(TIOTROPIUM)RESPI INH A9270 59.59
Drugs 637 Drug/Self Admin 4078984 ELIQUIS (APIXABAN) 5MG TAB A9270 53.02
Drugs 637 Drug/Self Admin 4078988 VALIUM(DIAZEPAM):5MG TAB A9270 4.05
Drugs 637 Drug/Self Admin 4078994 NAMENDA XR (MEMANTNE)28MG CA A9270 95.85
Drugs 637 Drug/Self Admin 4079007 VANCOCIN(VANCOMYCIN):125MG C A9270 49.87
Drugs 637 Drug/Self Admin 4079010 PENTASA MESALAMINE 500MG CAP A9270 44.10
Drugs 637 Drug/Self Admin 4079011 VAPONEFRIN INH TREATMENT(RAC A9270 10.35
Drugs 637 Drug/Self Admin 4079020 VASOTEC(ENALAPRIL):5MG TAB A9270 4.25
Drugs 637 Drug/Self Admin 4079022 VASOTEC(ENALAPRIL):10MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4079030 STIOLTO RESPIMAT INHALER A9270 10.88
Drugs 637 Drug/Self Admin 4079053 AZILECT (RASAGILINE) 1MG TAB A9270 106.35
Drugs 637 Drug/Self Admin 4079066 INDOCIN(INDOMETHACIN)50MG SU A9270 199.05
Drugs 637 Drug/Self Admin 4079081 INDERAL LA 120MG CAP A9270 32.20
Drugs 637 Drug/Self Admin 4079090 SEROQUEL (QUETIAPINE)300MG A9270 4.00
Drugs 637 Drug/Self Admin 4079120 VESICARE 5MG TAB A9270 101.57
Drugs 637 Drug/Self Admin 4079121 VERSED (MIDAZOLAM) 2MG/ML SY A9270 21.56
Drugs 637 Drug/Self Admin 4079125 VIGAMOX 0.5% OPHTH SOLN 3ML A9270 305.13
Drugs 637 Drug/Self Admin 4079127 VIBRAMYCIN(DOXYCYCLINE):100M A9270 17.15
Drugs 637 Drug/Self Admin 4079135 ZOCOR(SIMVASTATIN):10MG TABL A9270 4.00
Drugs 637 Drug/Self Admin 4079136 ZOCOR(SIMVASTATIN):80MG TABL A9270 4.00
Drugs 637 Drug/Self Admin 4079139 ZETIA (EZETIMIBE): 10MG TAB A9270 6.85
Drugs 637 Drug/Self Admin 4079145 ZITHROMAX 200MG/5ML UD A9270 19.59
Drugs 637 Drug/Self Admin 4079149 AUGMENTIN 400MG/5ML UD A9270 4.00
Drugs 637 Drug/Self Admin 4079150 BREO ELIPTA 100/25 MCG INJ A9270 9.33
Drugs 637 Drug/Self Admin 4079163 BICITRA 15ML SOLN U/D A9270 1.76
Drugs 637 Drug/Self Admin 4079167 ZZDP GENTAMICIN .3% OPH SOL A9270 40.00
Drugs 637 Drug/Self Admin 4079169 METHIMAZOLE 10MG TABLET A9270 4.00
Drugs 637 Drug/Self Admin 4079171 MAXITROL OINT U/D .5GM A9270 7.60
Drugs 637 Drug/Self Admin 4079180 LET GEL A9270 101.55
Drugs 637 Drug/Self Admin 4079187 DALIRESP 500 MCG TAB A9270 102.12
Drugs 637 Drug/Self Admin 4079198 VISTARIL(HYROXYZINE PAMOATE) A9270 4.00
Drugs 637 Drug/Self Admin 4079217 LITHIUM 300MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4079219 HYDROXYZINE 10MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4079220 VIT A 10,000 INTLU A9270 329.63
Drugs 637 Drug/Self Admin 4079221 BRILINTA 90MG TAB A9270 59.15
Drugs 637 Drug/Self Admin 4079226 VITAMIN D 400I.U. TAB A9270 1.32
Drugs 637 Drug/Self Admin 4079227 VITAMIN E 400U CAP A9270 0.25
Drugs 637 Drug/Self Admin 4079228 VITAMIN D 1000 INTLU TAB A9270 2.15
Drugs 637 Drug/Self Admin 4079253 WELLBUTRIN XL(BUPROPION):150 A9270 30.45
Drugs 637 Drug/Self Admin 4079254 WELLBUTRIN SR(BUPROPION):100 A9270 8.25
Drugs 637 Drug/Self Admin 4079256 SEROQUEL(QUETIAPINE):25MG TA A9270 4.00
Drugs 637 Drug/Self Admin 4079258 BUPROPION 100MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4079259 WELLBUTRIN SR(BUPROPION):150 A9270 5.09
Drugs 637 Drug/Self Admin 4079278 XANAX(ALPRAZOLAM):0.5MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4079280 XANAX(ALPRAZOLAM):0.25MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4079286 XALATAN OS(LATANOPROST)0.005 A9270 59.62
Drugs 637 Drug/Self Admin 4079299 XIFAXAN 200 MG TAB A9270 144.35
Drugs 637 Drug/Self Admin 4079385 ZANAFLEX(TIZANIDINE):4MG TAB A9270 5.25
Drugs 637 Drug/Self Admin 4079412 ZONEGRAN (ZONISAMIDE):100MG A9270 3.76
Drugs 637 Drug/Self Admin 4079413 ZAROXOLYN(METOLAZONE):2.5MG A9270 21.70
Drugs 637 Drug/Self Admin 4079419 ZOVIRAX(ACYCLOVIR):200MG CAP A9270 4.00
Drugs 637 Drug/Self Admin 4079422 ZYLOPRIM(ALLOPURINOL):100MG A9270 4.00
Drugs 637 Drug/Self Admin 4079427 ZYLOPRIM(ALLOPURINOL):300MG A9270 4.20
Drugs 637 Drug/Self Admin 4079432 ZOLOFT(SERTRALINE):50MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4079450 ZOFRAN(ONDESETRON):8MG TAB A9270 5.00
Drugs 637 Drug/Self Admin 4079457 ZYVOX:600MG TAB A9270 827.80
Drugs 637 Drug/Self Admin 4079732 ZYPREXA(OLANZAPINE):5MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4080000 CREON DR 12,000 UNITS CAPSULE A9270 18.67
Drugs 637 Drug/Self Admin 4080003 PENTOXIFYLLINE ER 400MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4089092 ULORIC 40MG A9270 102.75
Drugs 637 Drug/Self Admin 4089096 CONGENTIN 2MG TAB A9270 4.00
Drugs 637 Drug/Self Admin 4074060 INSULIN LANTUS INJ J1815 2.91
Drugs 637 Drug/Self Admin 4074066 INSULIN(NOVOLIN R)INJ:(SINGL J1815 8.50
Drugs 637 Drug/Self Admin 4070780 ARIMIDEX(ANASTROZOLE):1MG TA S0170 4.00
Drugs 637 Drug/Self Admin 4075066 MEGACE 400MG/10ML UDC S0179 23.85
Drugs 637 Drug/Self Admin 4073712 NICOTINE(NICODERM CQ) 14MG/2 S4991 16.15
Drugs 637 Drug/Self Admin 4073713 NICOTINE(HABITROL) 21MG/24HR S4991 13.70
Drugs 637 Drug/Self Admin 4073719 NICOTINE 7MG/24HR PATCH S4991 27.65
Drugs 637 Drug/Self Admin 4070713 APRESOLINE(HYDRALAZINE):10MG 4.00
Drugs 637 Drug/Self Admin 4073305 FLURESS DROPS(FLUORESCEIN SO 112.67
Drugs 637 Drug/Self Admin 4075605 REVIA(NALTREXONE):50MG TAB 7.75
Drugs 637 Drug/Self Admin 4078361 TENEX(QUANFACINE):1MG TAB 4.00
Facility / Procedure 637 Drug/Self Admin 4040400 ADVAIR HFA 45mcg/21mcg A9270 11.25
Facility / Procedure 637 Drug/Self Admin 4040401 ADVAIR HFA 115MCG/21MCG A9270 11.25
Facility / Procedure 637 Drug/Self Admin 4040402 ADVAIR HFA 230MCG/21MCG A9270 17.95
Facility / Procedure 637 Drug/Self Admin 4040407 VENTOLIN HFA A9270 4.00
Facility / Procedure 637 Drug/Self Admin 4040409 SYMBICORT 160MCG/4.5 A9270 9.15
Facility / Procedure 637 Drug/Self Admin 4040410 SPIRIVA A9270 20.60
Facility / Procedure 637 Drug/Self Admin 4040412 AEROCHAMBER A9270 73.00
Facility / Procedure 110 Room-Board/Pvt 1000.110 2 NORTH PRIVATE ROOM 1124.00
Facility / Procedure 110 Room-Board/Pvt 1000.111 2 SOUTH PRIVATE ROOM 1124.00
Facility / Procedure 112 OB/Pvt 1000.112 LDRP/OB PRIVATE ROOM 1124.00
Facility / Procedure 119 Other/Pvt 1000.113 2 NORTH TELEMETRY 2191.00
Facility / Procedure 119 Other/Pvt 1000.114 2 NORTH INTERMEDIATE CARE 2594.00
Facility / Procedure 119 Other/Pvt 1000.115 2 SOUTH TELEMETRY 2191.00
Facility / Procedure 119 Other/Pvt 1000.117 OB TELEMETRY 2191.00
Facility / Procedure 170 Nursery 1000.170 NURSERY ROOM 535.00
Facility / Procedure 170 Nursery 1000.170.1 NURSERY INTERMEDIATE 636.00
Facility / Procedure 200 Intensive Care (ICU) 1000.200 ICU 2820.00
Facility / Procedure 206 ICU/Intermediate 1000.206 INTERMEDIATE CARE 2594.00
Facility / Procedure 260 IV Therapy 3020204 IV INFUS HYDRA INTL 31 MIN 96360 459.00
Facility / Procedure 260 IV Therapy 3020209 IV INFUS HYDRA EA ADD’L HR 96361 148.15
Facility / Procedure 260 IV Therapy 3020202 INFUSION ADD SEQUENTIAL TO 1 96367 204.31
Facility / Procedure 260 IV Therapy 3020205 INFUSION CONCURRENT 96368 172.50
Facility / Procedure 260 IV Therapy 3020207 INJECTION SC/IM 96372 142.81
Facility / Procedure 260 IV Therapy 3020215 ANTIBOTIC INJECTION 96372 142.81
Facility / Procedure 260 IV Therapy 3238303 INJECTION SC IM 96372 142.81
Facility / Procedure 260 IV Therapy 3238305 THERA,PROPH,DIAG INJ 96374 290.00
Facility / Procedure 260 IV Therapy 3020206 THERA,PROPH,IVP >30MINADD SA 96376 171.00
Facility / Procedure 260 IV Therapy 3238363 THERA,PROPH,IVP >30MINADD SA 96376 171.00
Facility / Procedure 260 IV Therapy 4095963 PROLONGED IV INF REQ PUMP C8957 743.93
Facility / Procedure 270 Med-Sur Supplies 3170405 O2 PROTOCOL PER DAY 401.00
Facility / Procedure 271 Non-Ster Supply 3233310 PHOTO DOCUMENTATION 28.75
Facility / Procedure 274 Prosth/Orth Dev 4191050 WRIST HAND RIGID W/O JOINTS L3808 806.00
Facility / Procedure 274 Prosth/Orth Dev 4191054 HAND FINGER ORTH W/O JNT L3913 617.00
Facility / Procedure 300 Lab 4011983 PROCESS & REFER 36415 36.49
Facility / Procedure 300 Lab 4011984 VENIPUNCTURE 36415 36.49
Facility / Procedure 300 Lab 4016485 DRAW ONLY 36415 36.49
Facility / Procedure 300 Lab 4016431 CAPILLARY BLOOD DRAW 36416 28.00
Facility / Procedure 300 Lab 3170042 ARTERIAL PUNCTURE 36600 121.00
Facility / Procedure 300 Lab 4010006 BASIC METABOLIC PANEL 80048 183.97
Facility / Procedure 300 Lab 4012080 CHEM 4 ELECTROLYTES 80051 100.00
Facility / Procedure 300 Lab 4010012 COMPREHENSIVE METABOLIC PANE 80053 209.75
Facility / Procedure 300 Lab 4011245 LIPID PANEL 80061 165.00
Facility / Procedure 300 Lab 4011246 WC LIPID PROFILE 80061 165.00
Facility / Procedure 300 Lab 4010013 RENAL FUNCTION PANEL 80069 320.53
Facility / Procedure 300 Lab 4013335 CHEM 5 HEPATIC FUNCTION PANE 80076 280.00
Facility / Procedure 300 Lab 4011050 CARBAMAZEPINE (TEGRETOL) 80156 142.00
Facility / Procedure 300 Lab 4011980 DIGOXIN TOTAL 80162 158.00
Facility / Procedure 300 Lab 4011950 DEPAKOTE (VALPROIC) 80164 168.00
Facility / Procedure 300 Lab 4012410 GENTAMYCIN RANDOM 80170 199.00
Facility / Procedure 300 Lab 4012420 GENTAMYCIN PEAK 80170 199.00
Facility / Procedure 300 Lab 4012430 GENTAMYCIN TROUGH 80170 199.00
Facility / Procedure 300 Lab 4013320 LITHIUM 80178 129.00
Facility / Procedure 300 Lab 4013620 PHENOBARBITAL 80184 90.00
Facility / Procedure 300 Lab 4011985 DILANTIN (PHENYTOIN) 80185 174.00
Facility / Procedure 300 Lab 4015700 VANCOMYCIN PEAK LEVEL 80202 173.33
Facility / Procedure 300 Lab 4015710 VANCOMYCIN TROUGH LEVEL 80202 173.33
Facility / Procedure 300 Lab 4010688 NICOTINE METABOLITE SCRN,URI 80305 9.40
Facility / Procedure 300 Lab 4016586 URINE DRUG SCREEN (UDS) 80306 148.00
Facility / Procedure 300 Lab 4010240 ALCOHOL BLOOD 80320 217.00
Facility / Procedure 300 Lab 4016564 DIHYDROTESTOSTERONE 80327 70.00
Facility / Procedure 300 Lab 4010018 ACETAMINOPHEN (TYLENOL) 80329 134.00
Facility / Procedure 300 Lab 4016494 CLONAZEPAM (KLONOPIN) 80346 144.00
Facility / Procedure 300 Lab 4015631 UA AUTO W/MICROSCOPIC 81001 80.52
Facility / Procedure 300 Lab 4015600 URINALYSIS 81003 51.79
Facility / Procedure 300 Lab 4015600 URINALYSIS-AUTO W/O MICROSCO 81003 51.79
Facility / Procedure 300 Lab 4013130 KETONES, SERUM 82010 99.00
Facility / Procedure 300 Lab 4010220 ALBUMIN; SERUM,PLASMA/WHOLE 82040 72.00
Facility / Procedure 300 Lab 4010225 ALBUMIN BODY FLUID 82042 91.00
Facility / Procedure 300 Lab 4010320 AMMONIA 82140 205.00
Facility / Procedure 300 Lab 4010360 AMYLASE 82150 157.00
Supplies 270 Med-Sur Supplies 4072344 DERMOPLAST SPRAY A9270 37.50
Supplies 270 Med-Sur Supplies 3280059 BALLOON MUSTANG 5 X 80 X 75 C1725 785.40
Supplies 270 Med-Sur Supplies 5022493 BALLOON MUSTANG 5 X 40 X 135 C1725 741.00
Supplies 270 Med-Sur Supplies 3251295 STATLOCK 6 73.25
Supplies 270 Med-Sur Supplies 3253828 KIT TCC 238.26
Supplies 270 Med-Sur Supplies 3259397 SILVA SORB GEL 83.50
Supplies 270 Med-Sur Supplies 3259456 OSTOMY CONVEX 1 3/4 BARRIER 46.00
Supplies 270 Med-Sur Supplies 3259458 OSTOMY POUCH 1 3/4 4.25
Supplies 270 Med-Sur Supplies 3259462 OSTOMY EAKIN COHESIVE SEAL 35.75
Supplies 270 Med-Sur Supplies 3260106 CASTING SYSTEMS3 W 2BOOTS 391.78
Supplies 270 Med-Sur Supplies 3271768 SPLINT WRIST FOREARM RT 83.25
Supplies 270 Med-Sur Supplies 3271769 SPLINT WRIST FOREARM LT 83.25
Supplies 270 Med-Sur Supplies 3275457 NEEDLE COAXIAL 17G X 16.8CM 36.00
Supplies 270 Med-Sur Supplies 3280100 OSTOMY WAFER/ACC FLANG 2 1/4 4.50
Supplies 270 Med-Sur Supplies 3280102 OSTOMY POUCH W/FILTER 2 1/4 7.00
Supplies 270 Med-Sur Supplies 3280103 UROSTOMY POST 8.25
Supplies 270 Med-Sur Supplies 3280125 TRAP POLYP 14.82
Supplies 271 Non-Ster Supply 3270546 CLAVICLE STRAP LARGE L3660 78.25
Supplies 271 Non-Ster Supply 3250160 OSTOMY POUCH 2 3/4 4.25
Supplies 271 Non-Ster Supply 3250200 BANDAGE ACE 2 4.25
Supplies 271 Non-Ster Supply 3250237 CREAM ANTIFUNGAL REMEDY 67.50
Supplies 271 Non-Ster Supply 3250240 BANDAGE ACE 3 4.25
Supplies 271 Non-Ster Supply 3250280 BANDAGE ACE 4 4.25
Supplies 271 Non-Ster Supply 3250320 BANDAGE ACE 6 4.25
Supplies 271 Non-Ster Supply 3250340 CREAM MOISTURE BARRIER 57.75
Supplies 271 Non-Ster Supply 3250341 CREAM SENSI 49.75
Supplies 271 Non-Ster Supply 3250370 WRAP COMPRESSION HIP 236.50
Supplies 271 Non-Ster Supply 3250371 WRAP COMPRESSION SHOULDER 220.50
Supplies 271 Non-Ster Supply 3250384 STOCKING THIGH 49.25
Supplies 271 Non-Ster Supply 3250385 STOCKING THIGH 19.19
Supplies 271 Non-Ster Supply 3250393 COMPRESSION KNEE WRAP 179.75
Supplies 271 Non-Ster Supply 3250417 STOCKING TED KNEE 33.75
Supplies 271 Non-Ster Supply 3250418 STOCKING TED KNEE 33.75
Supplies 271 Non-Ster Supply 3250706 BOOT WALKING LARGE 202.50
Supplies 271 Non-Ster Supply 3250707 BOOT WALKING MEDIUM 191.00
Supplies 271 Non-Ster Supply 3250708 BOOT WALKING SMALL 191.00
Supplies 271 Non-Ster Supply 3250975 OSTOMY CLAMP 4.25
Supplies 271 Non-Ster Supply 3250990 OSTOMY STOMAHESIVE PASTE 60.25
Supplies 271 Non-Ster Supply 3251175 CATHETER HOLDER FOLEY 35.25
Supplies 271 Non-Ster Supply 3251993 BOOT PREVALON 268.50
Supplies 271 Non-Ster Supply 3253528 SHOE P.O. WOM W/LACE MED 52.00
Supplies 271 Non-Ster Supply 3253624 SHOE POST 52.00
Supplies 271 Non-Ster Supply 3253625 SHOE P.O. MEN W/LACE LG 52.00
Supplies 271 Non-Ster Supply 3253629 SHOE P.O. MEN W/LACE MED 52.00
Supplies 271 Non-Ster Supply 3253992 SLEEVE SEQUENTIAL COMPRESSION 147.00
Supplies 271 Non-Ster Supply 3253993 SLEEVE COMPRESSION THIGH 245.00
Supplies 271 Non-Ster Supply 3254041 SITZ BATH 4.25
Supplies 271 Non-Ster Supply 3254094 ABDUCTION PILLOW SHOULDER MEDI 281.75
Supplies 271 Non-Ster Supply 3254140 RESTRAINT ARM 34.75
Supplies 271 Non-Ster Supply 3254154 SUPPORT SCROTAL LARGE 87.75
Supplies 271 Non-Ster Supply 3254156 SUPPORT SCROTAL X 86.25
Supplies 271 Non-Ster Supply 3254287 STOCKING TED THIGH 72.25
Supplies 271 Non-Ster Supply 3254288 STOCKING TED THIGH 74.00
Supplies 271 Non-Ster Supply 3254290 STOCKING TED THIGH 72.25
Supplies 271 Non-Ster Supply 3254291 STOCKING TED THIGH LG/REGULAR 74.00
Supplies 271 Non-Ster Supply 3254294 STOCKING TED KNEE 103.75
Supplies 271 Non-Ster Supply 3254295 STOCKING TED KNEE 20.86
Supplies 271 Non-Ster Supply 3254680 PAD WITCHAZEL 4.25
Supplies 271 Non-Ster Supply 3254842 BAG LEG LARGE 4.25
Supplies 271 Non-Ster Supply 3255945 ABDUCTION PILLOW HIP 292.50
Supplies 271 Non-Ster Supply 3256930 RESTRAINT SKIN SLEEVE FOREARM 75.50
Supplies 271 Non-Ster Supply 3257264 DRESSING UNNA BOOT W/CALAMINE 39.75
Supplies 271 Non-Ster Supply 3258929 BANDAGE LOPRESS 3.9 IN X5.4YD 58.75
Supplies 271 Non-Ster Supply 3259455 OSTOMY BELT 4.25
Supplies 271 Non-Ster Supply 3270030 BINDER ABDOMINAL BINDER 10 60.75
Supplies 271 Non-Ster Supply 3270051 BINDER ABDOMINAL UNIVERSAL 12 69.00
Supplies 271 Non-Ster Supply 4071300 LANOLIN OINTMENT 30GM 50.75
Supplies 271 Non-Ster Supply 4071481 POLIDENT 4.25
Supplies 271 Non-Ster Supply 4073853 HYDROGEN PEROXIDE:120ML 4.25
Supplies 271 Non-Ster Supply 4076224 OLIVE OIL: 2 OZ 28.07
Supplies 274 Prosth/Orth Dev 3271676 SLING ARM SMALL A4565 47.25
Supplies 274 Prosth/Orth Dev 3271677 SLING ARM MEDIUM A4565 47.25
Supplies 274 Prosth/Orth Dev 3271678 SLING ARM LARGE A4565 47.25
Supplies 274 Prosth/Orth Dev 3271679 SLING ARM XLARGE A4565 47.25
Supplies 274 Prosth/Orth Dev 3271680 SLING ARM XSMALL A4565 47.25
Supplies 274 Prosth/Orth Dev 3270231 BOOT UNIVER BUCKS TRACTION E0944 91.00
Supplies 274 Prosth/Orth Dev 3270328 COLLAR PEDIATRIC STIFFNECK SEL L0140 108.50
Supplies 274 Prosth/Orth Dev 3270331 COLLAR ADULT STIFFNECK SELECT L0140 108.50
Supplies 274 Prosth/Orth Dev 3271757 IMMOBILIZER 20 UNIVERSAL L1830 102.00
Supplies 274 Prosth/Orth Dev 3271763 IMMOBILIZER 16 UNIVERSAL L1830 91.00
Supplies 274 Prosth/Orth Dev 3271764 IMMOBILIZER 24 UNIVERSAL L1830 119.25
Supplies 274 Prosth/Orth Dev 3270221 BRACE BREG POST OP L1832 534.25
Facility / Procedure 300 Lab 4010365 AMYLASE BODY FLUID 82150 157.00
Facility / Procedure 300 Lab 4010660 BILIRUBIN TOTAL 82247 43.95
Facility / Procedure 300 Lab 4010550 BILIRUBIN DIRECT 82248 73.00
Facility / Procedure 300 Lab 4013442 OCCULT BLOOD GASTRIC 82271 72.00
Facility / Procedure 300 Lab 4013441 OCCULT BLOOD NON NEOPLASMA S 82272 59.00
Facility / Procedure 300 Lab 4017135 OCCULT BLOOD IMMUNOASSAY 82274 143.02
Facility / Procedure 300 Lab 4011040 CALCIUM 82310 75.00
Facility / Procedure 300 Lab 4011035 CALCIUM IONIZED 82330 131.00
Facility / Procedure 300 Lab 4016853 ISTAT IONIZED CALCIUM CG8+ 82330 131.00
Facility / Procedure 300 Lab 4015200 STONE/CALCULI CHEMICAL ANALY 82360 181.00
Facility / Procedure 300 Lab 4011803 URINE CHLORIDE RANDOM 82436 85.00
Facility / Procedure 300 Lab 4011240 CHOLESTEROL 82465 87.00
Facility / Procedure 300 Lab 4011680 CK/CPK 82550 133.00
Facility / Procedure 300 Lab 4011720 CKMB 82553 159.00
Facility / Procedure 300 Lab 4011805 URINE CREATININE RANDOM 82570 83.00
Facility / Procedure 300 Lab 4014085 URINE CREATININE 24 HR 82570 83.00
Facility / Procedure 300 Lab 4011311 CRYGLOBULINS 82595 84.00
Facility / Procedure 300 Lab 4012135 ESTROGEN TOTAL 82672 154.00
Facility / Procedure 300 Lab 4012202 FECAL FAT QUALITATIVE 82705 84.00
Facility / Procedure 300 Lab 4012205 FERRITIN 82728 167.00
Facility / Procedure 300 Lab 4012208 FETAL FIBRONECTIN 82731 637.00
Facility / Procedure 300 Lab 3170043 VENOUS BLOOD GAS 82803 232.00
Facility / Procedure 300 Lab 3170040 ARTERIAL BLOOD GASES 82805 264.00
Facility / Procedure 300 Lab 4012520 CSF GLUCOSE 82945 78.00
Facility / Procedure 300 Lab 4012480 GLUCOSE 82947 71.00
Facility / Procedure 300 Lab 4016854 ISTAT GLUCOSE CG8+ 82947 71.00
Facility / Procedure 300 Lab 4012450 GLUCOSE, REAGENT STRIP 82948 49.99
Facility / Procedure 300 Lab 4012680 GTT 3 HOUR 82951 175.00
Facility / Procedure 300 Lab 4012660 GTT ADDITIONAL SPECIMENS 82952 80.00
Facility / Procedure 300 Lab 4011289 H.PYLORI SPECIMEN COLLECTION 83014 71.15
Facility / Procedure 300 Lab 4012701 HEMOGLOBIN A1C 83036 113.74
Facility / Procedure 300 Lab 4013115 IRON (FE) 83540 118.00
Facility / Procedure 300 Lab 4013120 IRON BINDING CAPACITY (TIBC) 83550 124.00
Facility / Procedure 300 Lab 4013190 LACTIC ACID 83605 141.00
Facility / Procedure 300 Lab 4013200 LDH 83615 67.00
Facility / Procedure 300 Lab 4013250 LDH BODY FLUID 83615 67.00
Facility / Procedure 300 Lab 4010362 LIPASE 83690 137.00
Facility / Procedure 300 Lab 4012795 HDL DIRECT 83718 112.00
Facility / Procedure 300 Lab 4013260 LDL, DIRECT MEASURE 83721 124.00
Facility / Procedure 300 Lab 4010743 OSMOLALITY 83930 90.00
Facility / Procedure 300 Lab 4010280 ASSAY ALKALINE PHOSPHATASE 84075 66.00
Facility / Procedure 300 Lab 4013720 PHOSPHORUS 84100 72.00
Facility / Procedure 300 Lab 4017085 FETAL RUPTURE OF MEMBRANE TE 84112 404.25
Facility / Procedure 300 Lab 4013881 URINE POTASSIUM RANDOM 84133 75.00
Facility / Procedure 300 Lab 4013940 PREALBUMIN 84134 116.00
Facility / Procedure 300 Lab 4016951 PROCALCITONIN 84145 176.00
Facility / Procedure 300 Lab 4013844 PSA TOTAL FREE & %FREE 84154 178.00
Facility / Procedure 300 Lab 4014960 SODIUM;SERUM,PLASMA/WHOLE BL 84295 74.00
Facility / Procedure 300 Lab 4014961 URINE SODIUM 24 HR 84300 89.00
Facility / Procedure 300 Lab 4014962 URINE SODIUM RANDOM 84300 89.00
Facility / Procedure 300 Lab 4015275 T4 FREE DIRECT 84439 129.00
Facility / Procedure 300 Lab 4010310 AST/GOT 84450 79.00
Facility / Procedure 300 Lab 4015265 T3 FREE 84481 219.00
Facility / Procedure 300 Lab 4010200 TROPONIN I 84484 192.00
Facility / Procedure 300 Lab 4015560 BUN 84520 78.00
Facility / Procedure 300 Lab 4015580 URIC ACID 84550 70.00
Facility / Procedure 300 Lab 4013900 PREGNANCY TEST 84703 136.00
Facility / Procedure 300 Lab 4011483 MANUAL DIFF 85007 61.92
Facility / Procedure 300 Lab 4012840 HEMOGLOBIN 85018 43.94
Facility / Procedure 300 Lab 4011481 CBC WITH AUTO DIFF 85025 107.78
Facility / Procedure 300 Lab 4011485 CBC W/O AUTO DIFF 85027 117.90
Facility / Procedure 300 Lab 4014360 RBC 85041 41.10
Facility / Procedure 300 Lab 4014520 RETICULOYCTES COUNT 85045 62.00
Facility / Procedure 300 Lab 4015760 WBC 85048 105.00
Facility / Procedure 300 Lab 4013840 PLATELET AUTOMATED 85049 100.00
Facility / Procedure 300 Lab 4012150 D 85379 169.00
Facility / Procedure 300 Lab 4012150 D-DIMER 85379 169.00
Facility / Procedure 300 Lab 4012210 FIBRINOGEN 85384 113.00
Facility / Procedure 300 Lab 4014280 PT & INR 85610 69.92
Facility / Procedure 300 Lab 4014298 PT/ISTAT 85610 69.92
Facility / Procedure 300 Lab 4014760 SED RATE 85652 55.00
Facility / Procedure 300 Lab 4013560 PTT 85730 107.86
Facility / Procedure 300 Lab 4011890 (C 86140 101.00
Facility / Procedure 300 Lab 4013400 MONO TEST 86308 127.00
Facility / Procedure 300 Lab 4010877 RUBELL ANTIBODIES, IGG 86762 52.73
Facility / Procedure 300 Lab 4029100 ANTIBODY ELUTION REFERENCE L 86860 332.00
Facility / Procedure 300 Lab 4011620 ANTIBODY IDENTIFICATION, RBC 86870 369.00
Facility / Procedure 300 Lab 4029120 ANTIBODY ID PANEL (STBTC) 86870 369.00
Facility / Procedure 300 Lab 4029160 ANTIBODY ID/EA CELL (STBTC) 86885 200.20
Facility / Procedure 300 Lab 4010879 BLOOD TYPE RH 86901 102.42
Facility / Procedure 300 Lab 4020600 BB RARE AG TAGGED UNITS 86902 492.37
Facility / Procedure 300 Lab 4011876 COMPATIBILITY TEST/UNIT IS 86920 208.00
Facility / Procedure 300 Lab 4012207 FETAL BLEED SCREEN 86941 186.00
Facility / Procedure 300 Lab 4029260 PRETREAT RBC w/agents REF LA 86971 332.00
Facility / Procedure 300 Lab 4010800 CULTURE BLOOD SET 87040 176.00
Facility / Procedure 300 Lab 4011905 CULTURE ANAEROBIC 87075 184.00
Facility / Procedure 300 Lab 4011910 CULTURE URINE W/COL 87088 118.80
Facility / Procedure 300 Lab 4011900 CULTURE ACID FAST BACILLUS 87116 140.00
Facility / Procedure 300 Lab 4017161 BLOOD CULTURE ID PANEL 87150 2581.20
Facility / Procedure 300 Lab 4017125 TISSUE HOMOGENIZATION, CULTU 87176 80.10
Facility / Procedure 300 Lab 4013520 OVA & PARASITE DIRECT SMEAR 87177 124.00
Facility / Procedure 300 Lab 4012760 GRAM STAIN 87205 77.00
Facility / Procedure 300 Lab 4015840 WET PREP 87210 85.00
Facility / Procedure 300 Lab 4011270 C DIFFICILE TOXIN ASSAY 87324 110.00
Facility / Procedure 300 Lab 4010040 H PYLORI ANTIGEN STOOL 87338 130.00
Facility / Procedure 300 Lab 4011041 HELICOBACTER PYLORI AB IGG 87339 151.00
Facility / Procedure 300 Lab 4014122 INFLUENZA B 87400 140.00
Facility / Procedure 300 Lab 4019588 C PNEUMONIA PCR 87486 219.88
Facility / Procedure 300 Lab 4017148 CYTOMEGALOVIRUS (CMV) 87496 286.80
Facility / Procedure 300 Lab 4017149 ENTEROVIRUS 87498 286.80
Facility / Procedure 300 Lab 4017141 GASTROINTESTINAL PANEL 87507 851.63
Facility / Procedure 300 Lab 4017151 HERPES SIMPLEX VIRUS 1(HSV 87529 286.80
Facility / Procedure 300 Lab 4017152 HERPES SIMPLEX VIRUS 2(HSV 87529 286.80
Facility / Procedure 300 Lab 4017150 HUMAN HERPESVIRUS 6 (HHV 87532 286.80
Facility / Procedure 300 Lab 4019589 M PNEUMONIA PCR 87581 219.88
Facility / Procedure 300 Lab 4019586 RESPIRATORY VIRUS PCR 87633 762.66
Facility / Procedure 300 Lab 4017146 STREPTOCOCCUS AGALACTIAE 87653 286.80
Facility / Procedure 300 Lab 4014121 INFLUENZA A 87804 140.00
Facility / Procedure 300 Lab 4017052 RSV ANTIGEN 87807 118.00
Facility / Procedure 300 Lab 4016579 IN SITU HYBRIDIZATN,(FISH) M 88368 523.55
Facility / Procedure 300 Lab 4011160 CELL COUNT FLUID WITH DIFF 89051 104.00
Facility / Procedure 300 Lab 4015000 CELL COUNT CSF WITH DIFF 89051 104.00
Facility / Procedure 300 Lab 4015210 LEUKOCYTE ASSESSMENT,FECAL 89055 90.00
Facility / Procedure 300 Lab 4015252 CRYSTAL IDENTIFICATION 89060 102.00
Facility / Procedure 300 Lab 4012984 VENIPUNCTURE N/C 0.04
Facility / Procedure 300 Lab 4016893 QUICK DRAW LIPID PANEL 30.00
Facility / Procedure 300 Lab 4016894 QUICK DRAW DIABETES PANEL 35.00
Facility / Procedure 300 Lab 4016895 QUICK DRAW 1 65.00
Facility / Procedure 300 Lab 4016896 QUICK DRAW 2 95.00
Facility / Procedure 300 Lab 4016897 QUICK DRAW WOMEN’S HEALTH 135.00
Facility / Procedure 300 Lab 4016898 QUICK DRAW MEN’S HEALTH 135.00
Facility / Procedure 305 Hematology Tests 4017009 BLOOD COLLAGEN 85576 148.00
Facility / Procedure 310 Pathology Lab 4010025 KRAS GENE FIRST VARIANT 81275 913.42
Facility / Procedure 310 Pathology Lab 4030032 CYTOLOGY, NON GYN 88112 189.00
Facility / Procedure 310 Pathology Lab 4030134 CYTOLOGIC EXAM 88177 131.00
Facility / Procedure 310 Pathology Lab 4030130 FLOW CYTOMETRY 88184 242.00
Facility / Procedure 310 Pathology Lab 4030131 FLOW CYTOMETRY EA ADDL MARKE 88185 126.00
Facility / Procedure 310 Pathology Lab 4030110 LEVEL V SURG PATH GROSS AND 88307 480.00
Facility / Procedure 310 Pathology Lab 4030105 LEVEL VI SURG PATH GROSS AND 88309 787.00
Facility / Procedure 310 Pathology Lab 4030106 DECALCIFICATION PROCEDURE 88311 74.00
Facility / Procedure 310 Pathology Lab 4030112 SPECIAL STAINS GP I FOR MICR 88312 193.00
Facility / Procedure 310 Pathology Lab 4030121 FROZEN SECTION BLOCK 1 88331 500.00
Facility / Procedure 310 Pathology Lab 4030122 FROZEN SECTION ADDITIONAL BL 88332 118.00
Facility / Procedure 310 Pathology Lab 4030123 IMMUNOHISTO ANTIBODY PER SPE 88342 846.45
Facility / Procedure 310 Pathology Lab 4016969 IMMUNOHISTO ANTIBODY SLIDE 88344 487.00
Facility / Procedure 310 Pathology Lab 4030147 FISH 88364 330.00
Facility / Procedure 310 Pathology Lab 4030129 IN SITU HYBRIDIZATION 88365 363.00
Facility / Procedure 311 Cytology Tests 4030036 FINE NEEDLE ASPIRATE, IMMEDI 88172 210.00
Facility / Procedure 311 Cytology Tests 4030126 CYTOLOGIC EXAM EA INITIAL SI 88333 735.00
Facility / Procedure 314 Biopsy Tests 4030145 SATURATION PROSTATE BX 10 G0416 848.00
Facility / Procedure 319 Path Lab Other 4016963 IMMUNOCYTOCHEMISTRY EACH ADD 88341 193.96
Facility / Procedure 320 Dx x-Ray 4054046 FLUORO W/NEEDLE ASPIR 10022 867.00
Facility / Procedure 320 Dx x-Ray 4050400 ARTHROGRAM SHOULDER INJ LT 23350 642.00
Facility / Procedure 320 Dx x-Ray 4064661 ARTHROGRAM SHOULDER INJ RT 23350 642.00
Facility / Procedure 320 Dx x-Ray 4069102 ASPIRATE PLEURA W/ IMAGING 32555 1260.00
Facility / Procedure 320 Dx x-Ray 4050041 CT ABSC.DRNG APPENDIX 49406 3732.00
Facility / Procedure 320 Dx x-Ray 4050057 CT ABSC.DRNG RETROPER 49406 3732.00
Facility / Procedure 320 Dx x-Ray 4050082 CT ABSC.DRN PERITONEA 49406 3732.00
Facility / Procedure 320 Dx x-Ray 4050284 SP ABSC.DRNG RTRPRTNL 49406 3732.00
Facility / Procedure 320 Dx x-Ray 4069987 FLUORO INJ OF G/COLON TUBE R 49465 400.00
Facility / Procedure 320 Dx x-Ray 4054038 MYELOGRAM C SPINE & S&I 62302 2483.00
Facility / Procedure 320 Dx x-Ray 4054042 MYELOGRAM L SPINE S&I 62304 2483.00
Facility / Procedure 320 Dx x-Ray 4053880 MASTOID 2 VIEWS 70120 286.15
Facility / Procedure 320 Dx x-Ray 4051840 FACIAL BONES COMPLETE 70150 343.00
Facility / Procedure 320 Dx x-Ray 4055970 SKULL 3 VIEWS 70250 334.00
Facility / Procedure 320 Dx x-Ray 4055000 RIBS 2 VIEWS & AP CHEST LT 71101 407.91
Facility / Procedure 320 Dx x-Ray 4054840 RIBS BILATERAL 3 VIEWS 71110 427.90
Facility / Procedure 320 Dx x-Ray 4056200 SPINE THORACIC 2 VIEWS 72070 334.00
Facility / Procedure 320 Dx x-Ray 4056160 SPINE THORACIC 3 VIEWS 72072 374.00
Facility / Procedure 320 Dx x-Ray 4066537 SCOLIOSIS 2 or 3 VIEW 72082 267.00
Facility / Procedure 320 Dx x-Ray 4056400 SPINE LUMBAR 3 VIEWS 72100 343.00
Facility / Procedure 320 Dx x-Ray 4056440 SPINE LUMBAR 5 VIEWS 72110 261.00
Facility / Procedure 320 Dx x-Ray 4054600 PELVIS 1 OR 2 VIEWS 72170 334.00
Facility / Procedure 320 Dx x-Ray 4054560 PELVIS COMPLETE MIN 3 VIEWS 72190 321.00
Facility / Procedure 320 Dx x-Ray 4050023 S/I EPIDUROGRAPHY 72275 741.97
Facility / Procedure 320 Dx x-Ray 4055280 SCAPULA 2 VIEWS COMPLETE RT 73010 332.00
Facility / Procedure 320 Dx x-Ray 4055480 SHOULDER 1 VIEW LT 73020 264.00
Facility / Procedure 320 Dx x-Ray 4055481 SHOULDER 1 VIEW RT 73020 264.00
Facility / Procedure 320 Dx x-Ray 4064662 ARTHROGRAM SHOULDER RT 73040 906.00
Facility / Procedure 320 Dx x-Ray 4064800 ARTHROGRAM SHOULDER LT 73040 906.00
Facility / Procedure 320 Dx x-Ray 4057640 WRIST 2 VIEWS LT 73100 279.00
Facility / Procedure 320 Dx x-Ray 4057641 WRIST 2 VIEWS RT 73100 279.00
Facility / Procedure 320 Dx x-Ray 4056330 ARTHROGRAM WRIST 73115 931.00
Facility / Procedure 320 Dx x-Ray 4052760 HAND 1 VIEW LT 73120 334.00
Facility / Procedure 320 Dx x-Ray 4052761 HAND 1 VIEW RT 73120 334.00
Facility / Procedure 320 Dx x-Ray 4052800 HAND 2 VIEWS LT 73120 334.00
Facility / Procedure 320 Dx x-Ray 4052801 HAND 2 VIEWS RT 73120 334.00
Facility / Procedure 320 Dx x-Ray 4053400 KNEE 4 VIEWS LT 73564 432.00
Facility / Procedure 320 Dx x-Ray 4053401 KNEE 4 VIEWS RT 73564 432.00
Facility / Procedure 320 Dx x-Ray 4050360 ARTHROGRAM KNEE 73580 889.00
Facility / Procedure 320 Dx x-Ray 4052280 FOOT 2 VIEWS LT 73620 259.00
Facility / Procedure 320 Dx x-Ray 4052281 FOOT 2 VIEWS RT 73620 259.00
Facility / Procedure 320 Dx x-Ray 4052320 FOOT 3 VIEWS LT 73630 261.00
Facility / Procedure 320 Dx x-Ray 4052321 FOOT 3 VIEWS RT 73630 261.00
Facility / Procedure 320 Dx x-Ray 4052360 FOOT 4 VIEWS LT 73630 261.00
Facility / Procedure 320 Dx x-Ray 4056960 TOES 1 73660 246.00
Facility / Procedure 320 Dx x-Ray 4056961 TOES 2 VIEWS RT 73660 246.00
Facility / Procedure 320 Dx x-Ray 4050080 ABD OBLIQUE & FOCUSED VIEWS 74019 328.00
Facility / Procedure 320 Dx x-Ray 4050120 ABD COMPLETE 74021 321.00
Facility / Procedure 320 Dx x-Ray 4051600 RAD EXAM ESOPHAGUS 74220 280.00
Facility / Procedure 320 Dx x-Ray 4057360 UPPER GI W/O AIR CONTRAST 74240 660.00
Facility / Procedure 320 Dx x-Ray 4057340 UPPER GI W/AIR CON,BAR,W/WOG 74246 415.00
Facility / Procedure 320 Dx x-Ray 4056358 UPPER GI W/AIR SM. BOWEL 74249 415.00
Facility / Procedure 320 Dx x-Ray 4051200 COLON; BARIUM ENEMA Sigmoido 74270 660.00
Facility / Procedure 320 Dx x-Ray 4051216 GASTROGRAFIN ENEMA 74270 660.00
Facility / Procedure 320 Dx x-Ray 4051160 COLON; BARIUM ENEMA W AIR 74280 415.00
Facility / Procedure 320 Dx x-Ray 4050133 CHOLANGIOGRAPHY 74300 754.00
Facility / Procedure 320 Dx x-Ray 4052004 TUBE INSERT W/FLUORO 74340 583.00
Facility / Procedure 320 Dx x-Ray 4050241 UROGRAPHY RETROGRADE W/WO KU 74420 1024.00
Facility / Procedure 320 Dx x-Ray 4051300 CYSTO/RETROGRADE 74450 963.00
Facility / Procedure 320 Dx x-Ray 4051240 X 74455 710.00
Facility / Procedure 320 Dx x-Ray 4053240 HYSTEROSALPINGOGRAM 74740 893.00
Facility / Procedure 320 Dx x-Ray 4064514 ARTERY X 75756 2720.00
Facility / Procedure 320 Dx x-Ray 4062045 S/I VENOGRM EXTR UNI 75820 913.00
Facility / Procedure 320 Dx x-Ray 4062050 S/I VENOGRM IVC 75825 3028.00
Facility / Procedure 320 Dx x-Ray 4062060 S/I VENOGRM SVC 75827 2370.00
Facility / Procedure 320 Dx x-Ray 4063904 S/I G 75984 881.00
Facility / Procedure 320 Dx x-Ray 4054045 S/I DRAINAGE TUBE 75989 825.00
Facility / Procedure 320 Dx x-Ray 4057319 FLUORO IN O R 76000 551.00
Facility / Procedure 320 Dx x-Ray 4057320 FLUOROSCOPY 76000 551.00
Facility / Procedure 320 Dx x-Ray 4064899 S/I FLUORO 1 HR OR LESS 7600 76000 551.00
Facility / Procedure 320 Dx x-Ray 4063628 DRNG TUBE CHECK S/I 76080 820.00
Facility / Procedure 320 Dx x-Ray 4053713 MM BREAST SURG SPEC DIGITAL 76098 885.00
Facility / Procedure 320 Dx x-Ray 4062502 S/I US VESSEL GUIDE ADD ON 76937 441.00
Facility / Procedure 320 Dx x-Ray 4050260 S/I FLUORO NEEDLE PLACE. 77002 443.00
Facility / Procedure 320 Dx x-Ray 4054050 NEEDLE LOCALIZATION BY XRAY 77002 443.00
Facility / Procedure 320 Dx x-Ray 4064634 NEEDLE PLACED W/FLUORO 77003 578.00
Facility / Procedure 320 Dx x-Ray 4050440 BONE AGE COMPLETE 77072 343.00
Facility / Procedure 323 Dx x-Ray/Arter 4062220 S/I ABDOMINAL ANGIO 75625 2884.00
Facility / Procedure 323 Dx x-Ray/Arter 4062225 S/I AORTOGRM W/RUNOFF 75630 3256.00
Facility / Procedure 323 Dx x-Ray/Arter 4062310 S/I EXTREMITY UNILAT 75710 2720.00
Facility / Procedure 323 Dx x-Ray/Arter 4069083 PLMNT OCCL DEV POST SURG/INT G0269 806.00
Facility / Procedure 324 Dx x-Ray/Chest 4050800 CHEST 4 VIEWS 71048 321.00
Facility / Procedure 333 Rad-Radiation 4065640 CT THERAPY PLANNING 77290 917.65
Facility / Procedure 335 Rad-Chemo-IV 3020200 CHEMOTHERAPY IV 0 96413 767.00
Facility / Procedure 335 Rad-Chemo-IV 3020200 CHEMOTHERAPY IV 0-60 MINUTES 96413 767.00
Facility / Procedure 335 Rad-Chemo-IV 3020201 CHEMOTHERAPY IV ADDL HR 96415 179.00
Facility / Procedure 340 Nuclear Medicine 4060381 NM LUNG VENT & PERFUSION 78582 1211.00
Facility / Procedure 341 Nuc Med/Dx 4060642 NM THYROID SCAN 1 78012 936.00
Facility / Procedure 341 Nuc Med/Dx 4060451 NM PARATHYROID W/SPEC 78071 1452.00
Facility / Procedure 341 Nuc Med/Dx 4060385 NM LYMPHOSC.SENTIN.N 78195 1717.00
Facility / Procedure 341 Nuc Med/Dx 4060260 NM HEPATOBILIARY SCAN 78227 2033.00
Facility / Procedure 341 Nuc Med/Dx 4060044 NM BONE W/SPECT 78320 1595.00
Facility / Procedure 341 Nuc Med/Dx 4060162 NM CARD STRESS REST OR STRES 78451 3859.00
Facility / Procedure 341 Nuc Med/Dx 4060161 NM SPECT MULTI REST OR STRES 78452 4042.00
Facility / Procedure 341 Nuc Med/Dx 4060164 CARDIAC STRESS DOBUTAMINE 78452 4042.00
Facility / Procedure 341 Nuc Med/Dx 4060165 CARDIAC STRESS ETT MYOVIEW 78452 4042.00
Facility / Procedure 341 Nuc Med/Dx 4060720 NM VENTILATION SCAN 78579 1187.00
Facility / Procedure 341 Nuc Med/Dx 4060565 NM RENOGRAM 78709 2058.00
Facility / Procedure 343 Nuc Med Dx Radiopharm 4061345 ISO TECHNETIUM TC99M SESTAMB A9500 477.00
Facility / Procedure 343 Nuc Med Dx Radiopharm 4061118 ISO TC A9502 424.00
Facility / Procedure 343 Nuc Med Dx Radiopharm 4061118 ISO TC-99 TETROFSMIN MYOVW A9502 424.00
Facility / Procedure 343 Nuc Med Dx Radiopharm 4060780 ISO TC A9503 91.00
Facility / Procedure 343 Nuc Med Dx Radiopharm 4060940 ISO TECHNETIUM TC99M PERTECH A9512 11.00
Facility / Procedure 343 Nuc Med Dx Radiopharm 4060782 ISO IODINE I123 SODIUM IOD 1 A9516 11.00
Facility / Procedure 343 Nuc Med Dx Radiopharm