HCM Pricing

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Charge Type	Revenue Code	Description	CPT Code	Rate
AllDrugsFacility / ProcedureSupplies	All110 Room-Board/Pvt112 OB/Pvt119 Other/Pvt170 Nursery200 Intensive Care (ICU)206 ICU/Intermediate250 Pharmacy251 Drugs/Generic252 Drugs/Nongeneric253 Drugs/Takehome255 Drugs/Incident Rad258 IV Solutions259 Drugs/Other260 IV Therapy270 Med-Sur Supplies271 Non-Ster Supply272 Sterile Supply274 Prosth/Orth Dev275 Pacemaker276 Intra Oc Lens278 Supply/Implants300 Lab305 Hematology Tests310 Pathology Lab311 Cytology Tests314 Biopsy Tests319 Path Lab Other320 Dx x-Ray323 Dx x-Ray/Arter324 Dx x-Ray/Chest333 Rad-Radiation335 Rad-Chemo-IV340 Nuclear Medicine341 Nuc Med/Dx343 Nuc Med Dx Radiopharm350 CT Scan360 OR Services361 OR/Minor370 Anesthesia371 Anesth/Incident Rad390 Blood/Admin/Stor391 Blood/Admin401 Diag Mammography402 Ultrasound403 Scrn mammography410 Respiratory Svc412 Inhalation Svc420 Physical Therp424 Phys Therp/Eval429 Other Phys Therp430 Occupational Ther434 Occup Therp/Eval440 Speech Therapy444 Speech Therp/Eval450 Emerg Room460 Pulmonary Func471 Audiology/Dx480 Cardiology481 Cardiac Cath Lab510 Clinic520 Freestand Clinic610 MRT614 MRI/Other621 Med Surg Supl-Incdt Rad623 Surg Dressings636 Drug/Detail Code637 Drug/Self Admin710 Recovery Room720 Delivery Room/Labor722 Delivery Room730 EKG/ECG740 EEG750 Gastro-Intstl Svcs760 Specialty Room761 Treatment Rm762 Observation Rm771 Vaccine Admin918 BH/Testing920 Other Dx Svcs921 Peri Vascul Lab940 Other Rx Svcs942 Educ/Training943 Cardiac Rehab948 Pulmonary Rehab			Filter
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