63629-9170-01
|
500
|
36F79719D0139
|
X |
Bryant Ran
|
METOPROLOL SUCCINATE 50MG TAB,SA
|
METOPROLOL SUCCINATE 50MG TAB,SA
|
$47.80
|
$0.00
|
$0.00
|
63629-1045-01
|
1000
|
36F79719D0139
|
X |
Bryant Ran
|
PHENTERMINE HCL 37.5MG CAP
|
PHENTERMINE HCL 37.5MG CAP
|
$48.74
|
$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
|
63629-9607-01
|
30
|
36F79719D0139
|
X |
Bryant Ran
|
CINACALCET HCL 60MG TAB
|
CINACALCET HCL 60MG TAB
|
$49.01
|
$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
|
63629-8866-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
METOPROLOL SUCCINATE 200MG TAB,SA
|
METOPROLOL SUCCINATE 200MG TAB,SA
|
$49.50
|
$0.00
|
$0.00
|
63629-2468-01
|
500
|
36F79719D0139
|
X |
Bryant Ran
|
HYDROCODONE 5MG/ACETAMINOPHEN 325MG TAB
|
HYDROCODONE 5MG/ACETAMINOPHEN 325MG TAB
|
$49.50
|
$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
|
63629-8855-01
|
500
|
36F79719D0139
|
X |
Bryant Ran
|
CEPHALEXIN 250MG CAP
|
CEPHALEXIN 250MG CAP
|
$51.84
|
$0.00
|
$0.00
|
63629-9199-01
|
500
|
36F79719D0139
|
X |
Bryant Ran
|
CEPHALEXIN 250MG CAP
|
CEPHALEXIN 250MG CAP
|
$51.84
|
$0.00
|
$0.00
|
63629-1175-01
|
500ML
|
36F79719D0139
|
X |
Bryant Ran
|
METHYLPHENIDATE HCL 5MG/5ML SOLN,ORAL
|
METHYLPHENIDATE HCL 5MG/5ML SOLN,ORAL
|
$52.35
|
$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
|
$54.11
|
$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
|
63629-9179-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
MEXILETINE HCL 150MG CAP
|
MEXILETINE HCL 150MG CAP
|
$55.25
|
$0.00
|
$0.00
|
72162-1782-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
MEXILETINE HCL 150MG CAP
|
MEXILETINE HCL 150MG CAP
|
$55.25
|
$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
|
63629-9310-01
|
110ML
|
36F79719D0139
|
X |
Bryant Ran
|
TESTOSTERONE 30MG/PUMP SOLN,TOP
|
TESTOSTERONE 30MG/PUMP SOLN,TOP
|
$56.61
|
$0.00
|
$0.00
|
63629-9273-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
HALOPERIDOL 5MG TAB
|
HALOPERIDOL 5MG TAB
|
$56.74
|
$0.00
|
$0.00
|
63629-9149-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
PIROXICAM 20MG CAP
|
PIROXICAM 20MG CAP
|
$58.00
|
$0.00
|
$0.00
|
72162-1500-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
URSODIOL 250MG TAB
|
URSODIOL 250MG TAB
|
$58.00
|
$0.00
|
$0.00
|
63629-2287-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
URSODIOL 500MG TAB
|
URSODIOL 500MG TAB
|
$58.34
|
$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
|
64850-0891-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
LOXAPINE SUCCINATE 10MG CAP
|
LOXAPINE SUCCINATE 10MG CAP
|
$61.50
|
$0.00
|
$0.00
|
63629-8460-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
MORPHINE SO4 30MG TAB
|
MORPHINE SO4 30MG TAB
|
$62.00
|
$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
|
63629-1089-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
MORPHINE SO4 60MG TAB,SA
|
MORPHINE SO4 60MG TAB,SA
|
$64.07
|
$0.00
|
$0.00
|
63629-9180-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
MEXILETINE HCL 200MG CAP
|
MEXILETINE HCL 200MG CAP
|
$65.25
|
$0.00
|
$0.00
|
72162-1783-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
MEXILETINE HCL 200MG CAP
|
MEXILETINE HCL 200MG CAP
|
$65.25
|
$0.00
|
$0.00
|
72162-1473-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
DEXMETHYLPHENIDATE HCL 10MG CAP,SA
|
DEXMETHYLPHENIDATE HCL 10MG CAP,SA
|
$65.30
|
$0.00
|
$0.00
|
63629-8870-01
|
90
|
36F79719D0139
|
X |
Bryant Ran
|
SOLIFENACIN SUCCINATE 10MG TAB
|
SOLIFENACIN SUCCINATE 10MG TAB
|
$65.55
|
$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
|
63629-2001-01
|
30
|
36F79719D0139
|
X |
Bryant Ran
|
AMIODARONE HCL (PACERONE) 400MG TAB
|
AMIODARONE HCL (PACERONE) 400MG TAB
|
$67.49
|
$0.00
|
$0.00
|
63629-8913-01
|
500
|
36F79719D0139
|
X |
Bryant Ran
|
PRAVASTATIN NA 80MG TAB
|
PRAVASTATIN NA 80MG TAB
|
$68.99
|
$0.00
|
$0.00
|
63629-8856-01
|
500
|
36F79719D0139
|
X |
Bryant Ran
|
CEPHALEXIN 500MG CAP
|
CEPHALEXIN 500MG CAP
|
$69.94
|
$0.00
|
$0.00
|
63629-9201-01
|
500
|
36F79719D0139
|
X |
Bryant Ran
|
CEPHALEXIN 500MG CAP
|
CEPHALEXIN 500MG CAP
|
$69.94
|
$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
|
63629-9270-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
HALOPERIDOL 0.5MG TAB
|
HALOPERIDOL 0.5MG TAB
|
$70.46
|
$0.00
|
$0.00
|
62559-0730-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
FELBAMATE 400MG TAB
|
FELBAMATE 400MG TAB
|
$71.92
|
$0.00
|
$0.00
|
63629-1164-01
|
500
|
36F79719D0139
|
X |
Bryant Ran
|
LABETALOL HCL 200MG TAB
|
LABETALOL HCL 200MG TAB
|
$73.21
|
$0.00
|
$0.00
|
72162-1472-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
DEXMETHYLPHENIDATE HCL 5MG CAP,SA
|
DEXMETHYLPHENIDATE HCL 5MG CAP,SA
|
$73.54
|
$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
|
63629-2164-01
|
378GM
|
36F79719D0139
|
X |
Bryant Ran
|
CHOLESTYRAMINE 4GM/9GM PWDR
|
CHOLESTYRAMINE 4GM/9GM PWDR
|
$75.01
|
$0.00
|
$0.00
|
63629-9585-01
|
30X5GM
|
36F79719D0139
|
X |
Bryant Ran
|
TESTOSTERONE (EQV-ANDROGEL) 1% 5GM/PKT GEL,TOP
|
TESTOSTERONE (EQV-ANDROGEL) 1% 5GM/PKT GEL,TO
|
$75.72
|
$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
|
63629-1166-01
|
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
|
63629-8458-01
|
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
|
63629-9271-01
|
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
|
72162-1488-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
DEXMETHYLPHENIDATE HCL 20MG CAP,SA
|
DEXMETHYLPHENIDATE HCL 20MG CAP,SA
|
$87.67
|
$0.00
|
$0.00
|
72162-1501-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
URSODIOL 500MG TAB
|
URSODIOL 500MG TAB
|
$88.99
|
$0.00
|
$0.00
|
63629-8604-01
|
30
|
36F79719D0139
|
X |
Bryant Ran
|
TEMAZEPAM 22.5MG CAP
|
TEMAZEPAM 22.5MG CAP
|
$89.01
|
$0.00
|
$0.00
|
63629-1107-01
|
1000
|
36F79719D0139
|
X |
Bryant Ran
|
PHENTERMINE HCL 37.5MG TAB
|
PHENTERMINE HCL 37.5MG TAB
|
$90.59
|
$0.00
|
$0.00
|
63629-1090-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
MORPHINE SO4 100MG TAB,SA
|
MORPHINE SO4 100MG TAB,SA
|
$91.52
|
$0.00
|
$0.00
|
63629-9171-01
|
500
|
36F79719D0139
|
X |
Bryant Ran
|
METOPROLOL SUCCINATE 100MG TAB,SA
|
METOPROLOL SUCCINATE 100MG TAB,SA
|
$93.85
|
$0.00
|
$0.00
|
63629-1047-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
NALTREXONE (EQV-REVIA) 50MG TAB
|
NALTREXONE (EQV-REVIA) 50MG TAB
|
$95.98
|
$0.00
|
$0.00
|
72162-1784-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
MEXILETINE HCL 250MG CAP
|
MEXILETINE HCL 250MG CAP
|
$96.25
|
$0.00
|
$0.00
|
63629-9272-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
HALOPERIDOL 2MG TAB
|
HALOPERIDOL 2MG TAB
|
$98.54
|
$0.00
|
$0.00
|
63629-9167-01
|
1000
|
36F79719D0139
|
X |
Bryant Ran
|
METOPROLOL SUCCINATE 25MG TAB,SA
|
METOPROLOL SUCCINATE 25MG TAB,SA
|
$99.20
|
$0.00
|
$0.00
|
64850-0841-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
DANTROLENE NA 50MG CAP
|
DANTROLENE NA 50MG CAP
|
$99.79
|
$0.00
|
$0.00
|
63629-1073-01
|
1000
|
36F79719D0139
|
X |
Bryant Ran
|
POTASSIUM CHLORIDE 10MEQ TAB,EC,SA
|
POTASSIUM CHLORIDE 10MEQ TAB,EC,SA
|
$99.88
|
$0.00
|
$0.00
|
63629-1066-01
|
500
|
36F79719D0139
|
X |
Bryant Ran
|
SPIRONOLACTONE 50MG TAB
|
SPIRONOLACTONE 50MG TAB
|
$100.50
|
$0.00
|
$0.00
|
72162-1626-05
|
500
|
36F79719D0139
|
X |
Bryant Ran
|
SPIRONOLACTONE 50MG TAB
|
SPIRONOLACTONE 50MG TAB
|
$100.50
|
$0.00
|
$0.00
|
63629-8451-01
|
10
|
36F79719D0139
|
X |
Bryant Ran
|
SCOPOLAMINE 0.33MG/24HRS PATCH
|
SCOPOLAMINE 0.33MG/24HRS PATCH
|
$110.00
|
$0.00
|
$0.00
|
63629-9169-01
|
1000
|
36F79719D0139
|
X |
Bryant Ran
|
METOPROLOL SUCCINATE 50MG TAB,SA
|
METOPROLOL SUCCINATE 50MG TAB,SA
|
$113.89
|
$0.00
|
$0.00
|
63629-8450-01
|
24
|
36F79719D0139
|
X |
Bryant Ran
|
SCOPOLAMINE 0.33MG/24HRS PATCH
|
SCOPOLAMINE 0.33MG/24HRS PATCH
|
$121.99
|
$0.00
|
$0.00
|
64850-0893-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
LOXAPINE SUCCINATE 50MG CAP
|
LOXAPINE SUCCINATE 50MG CAP
|
$123.08
|
$0.00
|
$0.00
|
64850-0842-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
DANTROLENE NA 100MG CAP
|
DANTROLENE NA 100MG CAP
|
$123.76
|
$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
|
$124.75
|
$0.00
|
$0.00
|
62559-0830-03
|
300ML
|
36F79719D0139
|
X |
Bryant Ran
|
VANCOMYCIN HCL 50MG/ML SOLN,ORAL
|
VANCOMYCIN HCL 50MG/ML SOLN,ORAL
|
$125.33
|
$0.00
|
$0.00
|
63629-1043-01
|
1000
|
36F79719D0139
|
X |
Bryant Ran
|
PHENTERMINE HCL 30MG CAP
|
PHENTERMINE HCL 30MG CAP
|
$125.63
|
$0.00
|
$0.00
|
63629-9275-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
HALOPERIDOL 20MG TAB
|
HALOPERIDOL 20MG TAB
|
$128.11
|
$0.00
|
$0.00
|
72162-1490-05
|
500
|
36F79719D0139
|
X |
Bryant Ran
|
MINOXIDIL 10MG TAB
|
MINOXIDIL 10MG TAB
|
$140.00
|
$0.00
|
$0.00
|
63629-9173-01
|
500
|
36F79719D0139
|
X |
Bryant Ran
|
METOPROLOL SUCCINATE 200MG TAB,SA
|
METOPROLOL SUCCINATE 200MG TAB,SA
|
$140.85
|
$0.00
|
$0.00
|
72162-1493-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
DEXMETHYLPHENIDATE HCL 25MG CAP,SA
|
DEXMETHYLPHENIDATE HCL 25MG CAP,SA
|
$142.91
|
$0.00
|
$0.00
|
63629-1041-01
|
1000
|
36F79719D0139
|
X |
Bryant Ran
|
PHENTERMINE HCL 15MG CAP
|
PHENTERMINE HCL 15MG CAP
|
$144.45
|
$0.00
|
$0.00
|
63629-9150-01
|
500
|
36F79719D0139
|
X |
Bryant Ran
|
PIROXICAM 20MG CAP
|
PIROXICAM 20MG CAP
|
$148.50
|
$0.00
|
$0.00
|
64850-0440-10
|
1000
|
36F79719D0139
|
X |
Bryant Ran
|
PHENDIMETRAZINE TARTRATE 35MG TAB
|
PHENDIMETRAZINE TARTRATE 35MG TAB
|
$154.78
|
$0.00
|
$0.00
|
63629-8622-01
|
100GM
|
36F79719D0139
|
X |
Bryant Ran
|
CICLOPIROX OLAMINE 0.77% GEL,TOP
|
CICLOPIROX OLAMINE 0.77% GEL,TOP
|
$161.20
|
$0.00
|
$0.00
|
72162-1506-03
|
30
|
36F79719D0139
|
X |
Bryant Ran
|
FLUOXETINE HCL 60MG TAB
|
FLUOXETINE HCL 60MG TAB
|
$165.83
|
$0.00
|
$0.00
|
63629-1069-01
|
500
|
36F79719D0139
|
X |
Bryant Ran
|
HYDROCHLOROTHIAZIDE 25MG/SPIRONOLACTONE 25MG TAB
|
HYDROCHLOROTHIAZIDE 25MG/SPIRONOLACTONE 25MG
|
$180.90
|
$0.00
|
$0.00
|
72162-1496-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
DEXMETHYLPHENIDATE HCL 35MG CAP,SA
|
DEXMETHYLPHENIDATE HCL 35MG CAP,SA
|
$187.73
|
$0.00
|
$0.00
|
27808-0086-02
|
473ML
|
36F79719D0139
|
X |
Bryant Ran
|
HYDROCODONE POLISTIREX 10MG/CHLORPHENIRAMINE 8MG/5ML SUSP,SA
|
HYDROCODONE POLISTIREX 10MG/CHLORPHENIRAMINE
|
$193.80
|
$0.00
|
$0.00
|
63629-8860-01
|
30
|
36F79719D0139
|
X |
Bryant Ran
|
COLESEVELAM HCL 3.75GM PWDR,PKT
|
COLESEVELAM HCL 3.75GM PWDR,PKT
|
$194.95
|
$0.00
|
$0.00
|
72162-1507-01
|
100
|
36F79719D0139
|
X |
Bryant Ran
|
DEXMETHYLPHENIDATE HCL 40MG CAP,SA
|
DEXMETHYLPHENIDATE HCL 40MG CAP,SA
|
$211.23
|
$0.00
|
$0.00
|