63629-9196-01
|
368.76GM
|
36F79719D0139
|
X |
Bryant Ran
|
CHOLESTYRAMINE 4GM/9GM PWDR
|
CHOLESTYRAMINE 4GM/9GM PWDR
|
$36.44
|
$0.00
|
$0.00
|
72162-1478-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
GLYCOPYRROLATE 2MG TAB
|
GLYCOPYRROLATE 2MG TAB
|
$36.48
|
$0.00
|
$0.00
|
72162-1625-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
HYDROCHLOROTHIAZIDE 25MG/SPIRONOLACTONE 25MG TAB
|
HYDROCHLOROTHIAZIDE 25MG/SPIRONOLACTONE 25MG
|
$36.79
|
$0.00
|
$0.00
|
63629-1068-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
HYDROCHLOROTHIAZIDE 25MG/SPIRONOLACTONE 25MG TAB
|
HYDROCHLOROTHIAZIDE 25MG/SPIRONOLACTONE 25MG
|
$36.79
|
$0.00
|
$0.00
|
63629-9211-01
|
30
|
36F79719D0139
|
X |
Bryant Ran
|
MINOCYCLINE HCL 45MG TAB,SA
|
MINOCYCLINE HCL 45MG TAB,SA
|
$37.21
|
$0.00
|
$0.00
|
63629-9213-01
|
30
|
36F79719D0139
|
X |
Bryant Ran
|
MINOCYCLINE HCL 65MG TAB,SA
|
MINOCYCLINE HCL 65MG TAB,SA
|
$37.21
|
$0.00
|
$0.00
|
63629-9608-01
|
30
|
36F79719D0139
|
X |
Bryant Ran
|
CINACALCET HCL 30MG TAB
|
CINACALCET HCL 30MG TAB
|
$37.95
|
$0.00
|
$0.00
|
63629-8539-01
|
1000
|
36F79719D0139
|
X |
Bryant Ran
|
SPIRONOLACTONE 25MG TAB
|
SPIRONOLACTONE 25MG TAB
|
$37.95
|
$0.00
|
$0.00
|
63629-8665-01
|
50GM
|
36F79719D0139
|
X |
Bryant Ran
|
HALOBETASOL PROPIONATE 0.05% OINT,TOP
|
HALOBETASOL PROPIONATE 0.05% OINT,TOP
|
$38.11
|
$0.00
|
$0.00
|
27808-0115-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
HYDROCODONE 7.5MG/ACETAMINOPHEN 300MG TAB
|
HYDROCODONE 7.5MG/ACETAMINOPHEN 300MG TAB
|
$38.25
|
$0.00
|
$0.00
|
27808-0082-02
|
120ML
|
36F79719D0139
|
X |
Bryant Ran
|
MORPHINE CONCENTRATED 20MG/ML SOLN,ORAL
|
MORPHINE CONCENTRATED 20MG/ML SOLN,ORAL
|
$39.10
|
$0.00
|
$0.00
|
72162-1283-07
|
70ML
|
36F79719D0139
|
X |
Bryant Ran
|
HYDROCODONE POLISTIREX 10MG/CHLORPHENIRAMINE 8MG/5ML SUSP,SA
|
HYDROCODONE POLISTIREX 10MG/CHLORPHENIRAMINE
|
$39.43
|
$0.00
|
$0.00
|
63629-9148-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
PIROXICAM 10MG CAP
|
PIROXICAM 10MG CAP
|
$39.60
|
$0.00
|
$0.00
|
63629-2526-01
|
100GM
|
36F79719D0139
|
X |
Bryant Ran
|
DICLOFENAC NA 3% GEL,TOP
|
DICLOFENAC NA 3% GEL,TOP
|
$39.61
|
$0.00
|
$0.00
|
72162-1345-03
|
30
|
36F79719D0139
|
X |
Bryant Ran
|
BUPRENORPHINE HCL 8MG TAB,SUBLINGUAL
|
BUPRENORPHINE HCL 8MG TAB,SUBLINGUAL
|
$39.75
|
$0.00
|
$0.00
|
63629-8614-01
|
50GM
|
36F79719D0139
|
X |
Bryant Ran
|
BETAMETHASONE DIPROPIONATE 0.05% AUGMENTED CREAM
|
BETAMETHASONE DIPROPIONATE 0.05% AUGMENTED CR
|
$40.38
|
$0.00
|
$0.00
|
72162-1825-05
|
500
|
36F79719D0139
|
X |
Bryant Ran
|
TEMAZEPAM 30MG CAP
|
TEMAZEPAM 30MG CAP
|
$40.85
|
$0.00
|
$0.00
|
63629-2527-01
|
454GM
|
36F79719D0139
|
X |
Bryant Ran
|
HYDROCORTISONE 2.5% OINT,TOP
|
HYDROCORTISONE 2.5% OINT,TOP
|
$41.63
|
$0.00
|
$0.00
|
72162-1383-07
|
454GM
|
36F79719D0139
|
X |
Bryant Ran
|
HYDROCORTISONE 2.5% OINT,TOP
|
HYDROCORTISONE 2.5% OINT,TOP
|
$41.63
|
$0.00
|
$0.00
|
27808-0116-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
HYDROCODONE 10MG/ACETAMINOPHEN 300MG TAB
|
HYDROCODONE 10MG/ACETAMINOPHEN 300MG TAB
|
$41.65
|
$0.00
|
$0.00
|
62559-0830-80
|
80ML
|
36F79719D0139
|
X |
Bryant Ran
|
VANCOMYCIN HCL 50MG/ML SOLN,ORAL
|
VANCOMYCIN HCL 50MG/ML SOLN,ORAL
|
$42.03
|
$0.00
|
$0.00
|
62559-0430-01
|
28.4GM
|
36F79719D0139
|
X |
Bryant Ran
|
HYDROCORTISONE 1% CREAM,RTL W/APPLICATOR
|
HYDROCORTISONE 1% CREAM,RTL W/APPLICATOR
|
$42.50
|
$0.00
|
$0.00
|
72162-1786-05
|
500
|
36F79719D0139
|
X |
Bryant Ran
|
POTASSIUM CHLORIDE 10MEQ TAB,EC,SA
|
POTASSIUM CHLORIDE 10MEQ TAB,EC,SA
|
$43.68
|
$0.00
|
$0.00
|
63629-8452-01
|
4
|
36F79719D0139
|
X |
Bryant Ran
|
SCOPOLAMINE 0.33MG/24HRS PATCH
|
SCOPOLAMINE 0.33MG/24HRS PATCH
|
$44.00
|
$0.00
|
$0.00
|
63629-1162-01
|
500
|
36F79719D0139
|
X |
Bryant Ran
|
LABETALOL HCL 100MG TAB
|
LABETALOL HCL 100MG TAB
|
$44.70
|
$0.00
|
$0.00
|
72162-1675-05
|
500
|
36F79719D0139
|
X |
Bryant Ran
|
LABETALOL HCL 100MG TAB
|
LABETALOL HCL 100MG TAB
|
$44.70
|
$0.00
|
$0.00
|
63629-9606-01
|
30
|
36F79719D0139
|
X |
Bryant Ran
|
CINACALCET HCL 90MG TAB
|
CINACALCET HCL 90MG TAB
|
$44.74
|
$0.00
|
$0.00
|
72162-1786-05
|
500
|
36F79719D0139
|
X |
Bryant Ran
|
POTASSIUM CHLORIDE 10MEQ TAB,EC,SA
|
POTASSIUM CHLORIDE 10MEQ TAB,EC,SA
|
$44.90
|
$0.00
|
$0.00
|
63629-9214-01
|
30
|
36F79719D0139
|
X |
Bryant Ran
|
MINOCYCLINE HCL 80MG TAB,SA
|
MINOCYCLINE HCL 80MG TAB,SA
|
$45.31
|
$0.00
|
$0.00
|
63629-9215-01
|
30
|
36F79719D0139
|
X |
Bryant Ran
|
MINOCYCLINE HCL 90MG TAB,SA
|
MINOCYCLINE HCL 90MG TAB,SA
|
$45.31
|
$0.00
|
$0.00
|
63629-9269-01
|
1000
|
36F79719D0139
|
X |
Bryant Ran
|
CLONIDINE HCL 0.2MG TAB
|
CLONIDINE HCL 0.2MG TAB
|
$45.87
|
$0.00
|
$0.00
|
63629-9212-01
|
30
|
36F79719D0139
|
X |
Bryant Ran
|
MINOCYCLINE HCL 55MG TAB,SA
|
MINOCYCLINE HCL 55MG TAB,SA
|
$46.73
|
$0.00
|
$0.00
|
63629-9201-01
|
500
|
36F79719D0139
|
X |
Bryant Ran
|
CEPHALEXIN 500MG CAP
|
CEPHALEXIN 500MG CAP
|
$46.79
|
$0.00
|
$0.00
|
63629-8856-01
|
500
|
36F79719D0139
|
X |
Bryant Ran
|
CEPHALEXIN 500MG CAP
|
CEPHALEXIN 500MG CAP
|
$46.79
|
$0.00
|
$0.00
|
63629-8873-01
|
150
|
36F79719D0139
|
X |
Bryant Ran
|
TIZANIDINE HCL 6MG CAP,ORAL
|
TIZANIDINE HCL 6MG CAP,ORAL
|
$46.94
|
$0.00
|
$0.00
|
72162-1846-02
|
180
|
36F79719D0139
|
X |
Bryant Ran
|
COLESEVELAM HCL 625MG TAB
|
COLESEVELAM HCL 625MG TAB
|
$47.48
|
$0.00
|
$0.00
|
63629-9170-01
|
500
|
36F79719D0139
|
X |
Bryant Ran
|
METOPROLOL SUCCINATE 50MG TAB,SA
|
METOPROLOL SUCCINATE 50MG TAB,SA
|
$47.80
|
$0.00
|
$0.00
|
63629-8855-01
|
500
|
36F79719D0139
|
X |
Bryant Ran
|
CEPHALEXIN 250MG CAP
|
CEPHALEXIN 250MG CAP
|
$47.94
|
$0.00
|
$0.00
|
72162-2064-02
|
473ML
|
36F79719D0139
|
X |
Bryant Ran
|
ALBUTEROL SO4 2MG/5ML SYRUP
|
ALBUTEROL SO4 2MG/5ML SYRUP
|
$48.01
|
$0.00
|
$0.00
|
63629-9322-01
|
45GM
|
36F79719D0139
|
X |
Bryant Ran
|
ADAPALENE 0.3%/BENZOYL PEROXIDE 2.5% GEL,TOP
|
ADAPALENE 0.3%/BENZOYL PEROXIDE 2.5% GEL,TOP
|
$48.31
|
$0.00
|
$0.00
|
72162-2065-02
|
473ML
|
36F79719D0139
|
X |
Bryant Ran
|
CYPROHEPTADINE HCL 2MG/5ML SYRUP
|
CYPROHEPTADINE HCL 2MG/5ML SYRUP
|
$48.67
|
$0.00
|
$0.00
|
64850-0890-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
LOXAPINE SUCCINATE 5MG CAP
|
LOXAPINE SUCCINATE 5MG CAP
|
$49.01
|
$0.00
|
$0.00
|
63629-8764-01
|
30
|
36F79719D0139
|
X |
Bryant Ran
|
CINACALCET HCL 60MG TAB
|
CINACALCET HCL 60MG TAB
|
$49.01
|
$0.00
|
$0.00
|
63629-9168-01
|
500
|
36F79719D0139
|
X |
Bryant Ran
|
METOPROLOL SUCCINATE 25MG TAB,SA
|
METOPROLOL SUCCINATE 25MG TAB,SA
|
$49.60
|
$0.00
|
$0.00
|
63629-8455-01
|
75GM
|
36F79719D0139
|
X |
Bryant Ran
|
TESTOSTERONE 1.62% 20.25MG/PUMP GEL,TOP
|
TESTOSTERONE 1.62% 20.25MG/PUMP GEL,TOP
|
$49.92
|
$0.00
|
$0.00
|
63629-9199-01
|
500
|
36F79719D0139
|
X |
Bryant Ran
|
CEPHALEXIN 250MG CAP
|
CEPHALEXIN 250MG CAP
|
$51.84
|
$0.00
|
$0.00
|
72162-1992-05
|
500ML
|
36F79719D0139
|
X |
Bryant Ran
|
METHYLPHENIDATE HCL 5MG/5ML SOLN,ORAL
|
METHYLPHENIDATE HCL 5MG/5ML SOLN,ORAL
|
$52.35
|
$0.00
|
$0.00
|
72162-2040-05
|
500ML
|
36F79719D0139
|
X |
Bryant Ran
|
METHYLPHENIDATE HCL 5MG/5ML SOLN,ORAL
|
METHYLPHENIDATE HCL 5MG/5ML SOLN,ORAL
|
$52.40
|
$0.00
|
$0.00
|
72162-2038-02
|
473ML
|
36F79719D0139
|
X |
Bryant Ran
|
THEOPHYLLINE,ANHYDROUS 80MG/15ML (AF) SOLN,ORAL
|
THEOPHYLLINE,ANHYDROUS 80MG/15ML (AF) SOLN,OR
|
$52.84
|
$0.00
|
$0.00
|
72162-1782-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
MEXILETINE HCL 150MG CAP
|
MEXILETINE HCL 150MG CAP
|
$53.52
|
$0.00
|
$0.00
|
63629-8620-01
|
30GM
|
36F79719D0139
|
X |
Bryant Ran
|
CICLOPIROX OLAMINE 0.77% GEL,TOP
|
CICLOPIROX OLAMINE 0.77% GEL,TOP
|
$53.65
|
$0.00
|
$0.00
|
63629-8626-01
|
90GM
|
36F79719D0139
|
X |
Bryant Ran
|
CICLOPIROX OLAMINE 0.77% CREAM,TOP
|
CICLOPIROX OLAMINE 0.77% CREAM,TOP
|
$53.84
|
$0.00
|
$0.00
|
63629-1094-01
|
500
|
36F79719D0139
|
X |
Bryant Ran
|
SPIRONOLACTONE 100MG TAB
|
SPIRONOLACTONE 100MG TAB
|
$54.96
|
$0.00
|
$0.00
|
63629-2522-01
|
30ML
|
36F79719D0139
|
X |
Bryant Ran
|
CICLOPIROX 0.77% SUSP,TOP
|
CICLOPIROX 0.77% SUSP,TOP
|
$55.01
|
$0.00
|
$0.00
|
72162-1406-03
|
30ML
|
36F79719D0139
|
X |
Bryant Ran
|
CICLOPIROX 0.77% SUSP,TOP
|
CICLOPIROX 0.77% SUSP,TOP
|
$55.01
|
$0.00
|
$0.00
|
63629-2470-01
|
500
|
36F79719D0139
|
X |
Bryant Ran
|
HYDROCODONE 10MG/ACETAMINOPHEN 325MG TAB
|
HYDROCODONE 10MG/ACETAMINOPHEN 325MG TAB
|
$56.10
|
$0.00
|
$0.00
|
72162-1421-02
|
110ML
|
36F79719D0139
|
X |
Bryant Ran
|
TESTOSTERONE 30MG/PUMP SOLN,TOP
|
TESTOSTERONE 30MG/PUMP SOLN,TOP
|
$56.61
|
$0.00
|
$0.00
|
63629-9310-01
|
110ML
|
36F79719D0139
|
X |
Bryant Ran
|
TESTOSTERONE 30MG/PUMP SOLN,TOP
|
TESTOSTERONE 30MG/PUMP SOLN,TOP
|
$56.61
|
$0.00
|
$0.00
|
72162-1686-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
HALOPERIDOL 5MG TAB
|
HALOPERIDOL 5MG TAB
|
$56.74
|
$0.00
|
$0.00
|
72162-2066-00
|
1000
|
36F79719D0139
|
X |
Bryant Ran
|
CYPROHEPTADINE HCL 4MG TAB
|
CYPROHEPTADINE HCL 4MG TAB
|
$57.89
|
$0.00
|
$0.00
|
72162-1500-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
URSODIOL 250MG TAB
|
URSODIOL 250MG TAB
|
$58.00
|
$0.00
|
$0.00
|
63629-9149-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
PIROXICAM 20MG CAP
|
PIROXICAM 20MG CAP
|
$58.00
|
$0.00
|
$0.00
|
63629-2286-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
URSODIOL 250MG TAB
|
URSODIOL 250MG TAB
|
$58.00
|
$0.00
|
$0.00
|
62559-0431-30
|
30GM
|
36F79719D0139
|
X |
Bryant Ran
|
HYDROCORTISONE 2.5% CREAM,RTL W/APPLICATOR
|
HYDROCORTISONE 2.5% CREAM,RTL W/APPLICATOR
|
$58.91
|
$0.00
|
$0.00
|
27808-0058-01
|
500ML
|
36F79719D0139
|
X |
Bryant Ran
|
METHYLPHENIDATE HCL 5MG/5ML SOLN,ORAL
|
METHYLPHENIDATE HCL 5MG/5ML SOLN,ORAL
|
$59.50
|
$0.00
|
$0.00
|
72162-2046-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
DANTROLENE NA 50MG CAP
|
DANTROLENE NA 50MG CAP
|
$60.82
|
$0.00
|
$0.00
|
63629-1089-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
MORPHINE SO4 60MG TAB,SA
|
MORPHINE SO4 60MG TAB,SA
|
$61.09
|
$0.00
|
$0.00
|
64850-0891-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
LOXAPINE SUCCINATE 10MG CAP
|
LOXAPINE SUCCINATE 10MG CAP
|
$61.50
|
$0.00
|
$0.00
|
72162-1783-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
MEXILETINE HCL 200MG CAP
|
MEXILETINE HCL 200MG CAP
|
$62.07
|
$0.00
|
$0.00
|
63629-9180-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
MEXILETINE HCL 200MG CAP
|
MEXILETINE HCL 200MG CAP
|
$62.07
|
$0.00
|
$0.00
|
63629-9416-01
|
118ML
|
36F79719D0139
|
X |
Bryant Ran
|
HYDROCORTISONE 2.5% LOTION
|
HYDROCORTISONE 2.5% LOTION
|
$62.46
|
$0.00
|
$0.00
|
27808-0033-01
|
473ML
|
36F79719D0139
|
X |
Bryant Ran
|
THEOPHYLLINE,ANHYDROUS 80MG/15ML (AF) SOLN,ORAL
|
THEOPHYLLINE,ANHYDROUS 80MG/15ML (AF) SOLN,OR
|
$63.33
|
$0.00
|
$0.00
|
64850-0840-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
DANTROLENE NA 25MG CAP
|
DANTROLENE NA 25MG CAP
|
$63.96
|
$0.00
|
$0.00
|
72162-1473-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
DEXMETHYLPHENIDATE HCL 10MG CAP,SA
|
DEXMETHYLPHENIDATE HCL 10MG CAP,SA
|
$64.55
|
$0.00
|
$0.00
|
63629-8601-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
TEMAZEPAM 7.5MG CAP
|
TEMAZEPAM 7.5MG CAP
|
$67.24
|
$0.00
|
$0.00
|
72162-1502-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
DEXMETHYLPHENIDATE HCL 15MG CAP,SA
|
DEXMETHYLPHENIDATE HCL 15MG CAP,SA
|
$70.16
|
$0.00
|
$0.00
|
63629-1048-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
URSODIOL 300MG CAP
|
URSODIOL 300MG CAP
|
$70.30
|
$0.00
|
$0.00
|
62559-0730-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
FELBAMATE 400MG TAB
|
FELBAMATE 400MG TAB
|
$71.92
|
$0.00
|
$0.00
|
72162-1676-05
|
500
|
36F79719D0139
|
X |
Bryant Ran
|
LABETALOL HCL 200MG TAB
|
LABETALOL HCL 200MG TAB
|
$73.21
|
$0.00
|
$0.00
|
63629-9147-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
METFORMIN HCL 750MG 24HR TAB,SA
|
METFORMIN HCL 750MG 24HR TAB,SA
|
$74.25
|
$0.00
|
$0.00
|
63629-1176-01
|
500ML
|
36F79719D0139
|
X |
Bryant Ran
|
METHYLPHENIDATE HCL 10MG/5ML SOLN,ORAL
|
METHYLPHENIDATE HCL 10MG/5ML SOLN,ORAL
|
$74.80
|
$0.00
|
$0.00
|
72162-2041-05
|
500ML
|
36F79719D0139
|
X |
Bryant Ran
|
METHYLPHENIDATE HCL 10MG/5ML SOLN,ORAL
|
METHYLPHENIDATE HCL 10MG/5ML SOLN,ORAL
|
$74.85
|
$0.00
|
$0.00
|
63629-2164-01
|
378GM
|
36F79719D0139
|
X |
Bryant Ran
|
CHOLESTYRAMINE 4GM/9GM PWDR
|
CHOLESTYRAMINE 4GM/9GM PWDR
|
$75.01
|
$0.00
|
$0.00
|
72162-1504-02
|
378GM
|
36F79719D0139
|
X |
Bryant Ran
|
CHOLESTYRAMINE 4GM/9GM PWDR
|
CHOLESTYRAMINE 4GM/9GM PWDR
|
$75.01
|
$0.00
|
$0.00
|
62559-0731-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
FELBAMATE 600MG TAB
|
FELBAMATE 600MG TAB
|
$76.07
|
$0.00
|
$0.00
|
62559-0830-55
|
150ML
|
36F79719D0139
|
X |
Bryant Ran
|
VANCOMYCIN HCL 50MG/ML SOLN,ORAL
|
VANCOMYCIN HCL 50MG/ML SOLN,ORAL
|
$78.86
|
$0.00
|
$0.00
|
64850-0892-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
LOXAPINE SUCCINATE 25MG CAP
|
LOXAPINE SUCCINATE 25MG CAP
|
$79.43
|
$0.00
|
$0.00
|
72162-2047-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
DANTROLENE NA 100MG CAP
|
DANTROLENE NA 100MG CAP
|
$79.61
|
$0.00
|
$0.00
|
72162-1677-05
|
500
|
36F79719D0139
|
X |
Bryant Ran
|
LABETALOL HCL 300MG TAB
|
LABETALOL HCL 300MG TAB
|
$79.85
|
$0.00
|
$0.00
|
63629-8621-01
|
45GM
|
36F79719D0139
|
X |
Bryant Ran
|
CICLOPIROX OLAMINE 0.77% GEL,TOP
|
CICLOPIROX OLAMINE 0.77% GEL,TOP
|
$80.49
|
$0.00
|
$0.00
|
72162-1106-03
|
30
|
36F79719D0139
|
X |
Bryant Ran
|
TROSPIUM CL 60MG CAP,SA
|
TROSPIUM CL 60MG CAP,SA
|
$81.01
|
$0.00
|
$0.00
|
64850-0810-10
|
1000
|
36F79719D0139
|
X |
Bryant Ran
|
PHENTERMINE HCL 37.5MG TAB
|
PHENTERMINE HCL 37.5MG TAB
|
$81.18
|
$0.00
|
$0.00
|
63629-8911-01
|
1000
|
36F79719D0139
|
X |
Bryant Ran
|
PRAVASTATIN NA 40MG TAB
|
PRAVASTATIN NA 40MG TAB
|
$81.31
|
$0.00
|
$0.00
|
72162-1684-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
HALOPERIDOL 1MG TAB
|
HALOPERIDOL 1MG TAB
|
$84.46
|
$0.00
|
$0.00
|
27808-0035-03
|
1000
|
36F79719D0139
|
X |
Bryant Ran
|
HYDROCODONE 5MG/ACETAMINOPHEN 325MG TAB
|
HYDROCODONE 5MG/ACETAMINOPHEN 325MG TAB
|
$84.99
|
$0.00
|
$0.00
|
27808-0036-03
|
1000
|
36F79719D0139
|
X |
Bryant Ran
|
HYDROCODONE 7.5MG/ACETAMINOPHEN 325MG TAB
|
HYDROCODONE 7.55MG/ACETAMINOPHEN 325MG TAB
|
$84.99
|
$0.00
|
$0.00
|
27808-0059-01
|
500ML
|
36F79719D0139
|
X |
Bryant Ran
|
METHYLPHENIDATE HCL 10MG/5ML SOLN,ORAL
|
METHYLPHENIDATE HCL 10MG/5ML SOLN,ORAL
|
$84.99
|
$0.00
|
$0.00
|
62559-0210-31
|
30
|
36F79719D0139
|
X |
Bryant Ran
|
NIMODIPINE 30MG CAP
|
NIMODIPINE 30MG CAP
|
$85.19
|
$0.00
|
$0.00
|
63629-2287-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
URSODIOL 500MG TAB
|
URSODIOL 500MG TAB
|
$85.99
|
$0.00
|
$0.00
|
72162-1501-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
URSODIOL 500MG TAB
|
URSODIOL 500MG TAB
|
$85.99
|
$0.00
|
$0.00
|