Pharmaceutical Catalog Search
201 - 300 of 431 records
| NDC | PKG | Contract Number | PV | Vendor | Generic Name | Trade Name | FSS Price | NC Price | Big 4 Price |
|---|---|---|---|---|---|---|---|---|---|
| 63629-8655-01 | 118.28ML | 36F79719D0139 | X | Bryant Ran | FLUOCINOLONE ACETONIDE 0.01% OIL,TOP | FLUOCINOLONE ACETONIDE 0.01% OIL,TOP | $24.82 | $0.00 | $0.00 |
| 72162-1681-05 | 500 | 36F79719D0139 | X | Bryant Ran | CLONIDINE HCL 0.3MG TAB | CLONIDINE HCL 0.3MG TAB | $24.94 | $0.00 | $0.00 |
| 63629-8690-01 | 60GM | 36F79719D0139 | X | Bryant Ran | NYSTATIN 100000UNT/GM/TRIAMCINOLONE 0.1% CREAM,TOP | NYSTATIN 100000UNT/GM/TRIAMCINOLONE 0.1% CREA | $24.97 | $0.00 | $0.00 |
| 72162-1108-06 | 60 | 36F79719D0139 | X | Bryant Ran | TROSPIUM CL 20MG TAB | TROSPIUM CL 20MG TAB | $25.01 | $0.00 | $0.00 |
| 72162-2051-01 | 100 | 36F79719D0139 | X | Bryant Ran | AMPHETAMINE/DEXTROAMPHETAMINE 12.5MG TAB | AMPHETAMINE/DEXTROAMPHETAMINE 12.5MG TAB | $25.01 | $0.00 | $0.00 |
| 63629-8639-01 | 60GM | 36F79719D0139 | X | Bryant Ran | CLOBETASOL PROPIONATE 0.05% GEL,TOP | CLOBETASOL PROPIONATE 0.05% GEL,TOP | $25.09 | $0.00 | $0.00 |
| 72162-2312-01 | 100 | 36F79719D0139 | X | Bryant Ran | PHENTERMINE HCL 15MG CAP | PHENTERMINE HCL 15MG CAP | $25.13 | $0.00 | $0.00 |
| 72162-1279-01 | 100 | 36F79719D0139 | X | Bryant Ran | HYDROCODONE 5MG/ACETAMINOPHEN 325MG TAB | HYDROCODONE 5MG/ACETAMINOPHEN 325MG TAB | $25.38 | $0.00 | $0.00 |
| 71093-0155-06 | 1000 | 36F79719D0139 | X | Bryant Ran | ZOLPIDEM TARTRATE 5MG TAB | ZOLPIDEM TARTRATE 5MG TAB | $25.50 | $0.00 | $0.00 |
| 27808-0092-01 | 100 | 36F79719D0139 | X | Bryant Ran | DEXMETHYLPHENIDATE HCL 5MG TAB | DEXMETHYLPHENIDATE HCL 5MG TAB | $25.50 | $0.00 | $0.00 |
| 72162-1789-06 | 60 | 36F79719D0139 | X | Bryant Ran | MORPHINE SO4 15MG TAB,SA | MORPHINE SO4 15MG TAB,SA | $26.06 | $0.00 | $0.00 |
| 63629-8682-01 | 45GM | 36F79719D0139 | X | Bryant Ran | MOMETASONE FUROATE 0.1% CREAM,TOP | MOMETASONE FUROATE 0.1% CREAM,TOP | $27.03 | $0.00 | $0.00 |
| 72162-1280-01 | 100 | 36F79719D0139 | X | Bryant Ran | HYDROCODONE 7.5MG/ACETAMINOPHEN 325MG TAB | HYDROCODONE 7.5MG/ACETAMINOPHEN 325MG TAB | $27.22 | $0.00 | $0.00 |
| 72162-2318-02 | 5GM | 36F79719D0139 | X | Bryant Ran | TRIAMCINOLONE ACETONIDE 0.1% PASTE,DENTAL | TRIAMCINOLONE ACETONIDE 0.1% PASTE,DENTAL | $28.75 | $0.00 | $0.00 |
| 58657-0649-50 | 500 | 36F79719D0139 | X | Bryant Ran | CLONIDINE HCL 0.3MG TAB | CLONIDINE HCL 0.3MG TAB | $29.54 | $0.00 | $0.00 |
| 72162-1803-01 | 100 | 36F79719D0139 | X | Bryant Ran | METHIMAZOLE 10MG TAB | METHIMAZOLE 10MG TAB | $29.70 | $0.00 | $0.00 |
| 70752-0102-12 | 473ML | 36F79719D0139 | X | Bryant Ran | ALBUTEROL SO4 2MG/5ML SYRUP | ALBUTEROL SO4 2MG/5ML SYRUP | $29.72 | $0.00 | $0.00 |
| 63629-9209-01 | 30 | 36F79719D0139 | X | Bryant Ran | MINOCYCLINE HCL 115MG TAB,SA | MINOCYCLINE HCL 115MG TAB,SA | $29.75 | $0.00 | $0.00 |
| 71093-0156-06 | 1000 | 36F79719D0139 | X | Bryant Ran | ZOLPIDEM TARTRATE 10MG TAB | ZOLPIDEM TARTRATE 10MG TAB | $30.00 | $0.00 | $0.00 |
| 63629-9324-01 | 45GM | 36F79719D0139 | X | Bryant Ran | BETAMETHASONE DIPROPIONATE 0.05% OINT,TOP | BETAMETHASONE DIPROPIONATE 0.05% OINT,TOP | $30.15 | $0.00 | $0.00 |
| 63629-9205-01 | 200ML | 36F79719D0139 | X | Bryant Ran | CEPHALEXIN 125MG/5ML SUSP | CEPHALEXIN 125MG/5ML SUSP | $30.15 | $0.00 | $0.00 |
| 58657-0500-16 | 473ML | 36F79719D0139 | X | Bryant Ran | CODEINE 10MG/GUAIFENESIN 100MG/5ML (SF & AF) LIQUID | CODEINE 10MG/GUAIFENESIN 100MG/5ML (SF & AF) | $30.29 | $0.00 | $0.00 |
| 58657-0647-10 | 1000 | 36F79719D0139 | X | Bryant Ran | CLONIDINE HCL 0.1MG TAB | CLONIDINE HCL 0.1MG TAB | $30.52 | $0.00 | $0.00 |
| 63629-8774-01 | 60ML | 36F79719D0139 | X | Bryant Ran | SERTRALINE HCL 100MG/5ML SOLN | SERTRALINE HCL 100MG/5ML SOLN | $30.60 | $0.00 | $0.00 |
| 63629-9168-01 | 500 | 36F79719D0139 | X | Bryant Ran | METOPROLOL SUCCINATE 25MG TAB,SA | METOPROLOL SUCCINATE 25MG TAB,SA | $30.63 | $0.00 | $0.00 |
| 72162-2065-02 | 473ML | 36F79719D0139 | X | Bryant Ran | CYPROHEPTADINE HCL 2MG/5ML SYRUP | CYPROHEPTADINE HCL 2MG/5ML SYRUP | $30.77 | $0.00 | $0.00 |
| 58657-0705-01 | 100 | 36F79719D0139 | X | Bryant Ran | HALOPERIDOL 20MG TAB | HALOPERIDOL 20MG TAB | $30.84 | $0.00 | $0.00 |
| 63629-9151-01 | 473ML | 36F79719D0139 | X | Bryant Ran | PROMETHAZINE HCL 6.25MG/5ML SYRUP | PROMETHAZINE HCL 6.25MG/5ML SYRUP | $31.01 | $0.00 | $0.00 |
| 72162-1958-02 | 473ML | 36F79719D0139 | X | Bryant Ran | PROMETHAZINE HCL 6.25MG/5ML SYRUP | PROMETHAZINE HCL 6.25MG/5ML SYRUP | $31.01 | $0.00 | $0.00 |
| 72162-1786-04 | 360 | 36F79719D0139 | X | Bryant Ran | POTASSIUM CHLORIDE 10MEQ TAB,EC,SA | POTASSIUM CHLORIDE 10MEQ TAB,EC,SA | $31.44 | $0.00 | $0.00 |
| 70752-0138-12 | 473ML | 36F79719D0139 | X | Bryant Ran | PROMETHAZINE HCL 6.25MG/5ML SYRUP | PROMETHAZINE HCL 6.25MG/5ML SYRUP | $32.93 | $0.00 | $0.00 |
| 72162-1789-01 | 100 | 36F79719D0139 | X | Bryant Ran | MORPHINE SO4 15MG TAB,SA | MORPHINE SO4 15MG TAB,SA | $33.11 | $0.00 | $0.00 |
| 72162-2297-02 | 50GM | 36F79719D0139 | X | Bryant Ran | AZELAIC ACID 15% GEL,TOP | AZELAIC ACID 15% GEL,TOP | $33.37 | $0.00 | $0.00 |
| 63629-9210-01 | 30 | 36F79719D0139 | X | Bryant Ran | MINOCYCLINE HCL 135MG TAB,SA | MINOCYCLINE HCL 135MG TAB,SA | $33.83 | $0.00 | $0.00 |
| 27808-0093-01 | 100 | 36F79719D0139 | X | Bryant Ran | DEXMETHYLPHENIDATE HCL 10MG TAB | DEXMETHYLPHENIDATE HCL 10MG TAB | $34.00 | $0.00 | $0.00 |
| 27808-0114-01 | 100 | 36F79719D0139 | X | Bryant Ran | HYDROCODONE 5MG/ACETAMINOPHEN 300MG TAB | HYDROCODONE 5MG/ACETAMINOPHEN 300MG TAB | $34.00 | $0.00 | $0.00 |
| 72162-2072-01 | 100 | 36F79719D0139 | X | Bryant Ran | PROPYLTHIOURACIL 50MG TAB | PROPYLTHIOURACIL 50MG TAB | $34.26 | $0.00 | $0.00 |
| 72162-2039-02 | 473ML | 36F79719D0139 | X | Bryant Ran | DEXTROMETHORPHAN 15MG/PROMETHAZINE 6.25MG/5ML SYRUP | DEXTROMETHORPHAN 15MG/PROMETHAZINE 6.25MG/5ML | $34.29 | $0.00 | $0.00 |
| 63629-2527-01 | 454GM | 36F79719D0139 | X | Bryant Ran | HYDROCORTISONE 2.5% OINT,TOP | HYDROCORTISONE 2.5% OINT,TOP | $34.30 | $0.00 | $0.00 |
| 63629-8603-01 | 500 | 36F79719D0139 | X | Bryant Ran | TEMAZEPAM 15MG CAP | TEMAZEPAM 15MG CAP | $34.37 | $0.00 | $0.00 |
| 72162-1281-01 | 100 | 36F79719D0139 | X | Bryant Ran | HYDROCODONE 10MG/ACETAMINOPHEN 325MG TAB | HYDROCODONE 10MG/ACETAMINOPHEN 325MG TAB | $34.61 | $0.00 | $0.00 |
| 72162-1791-03 | 30 | 36F79719D0139 | X | Bryant Ran | MORPHINE SO4 100MG TAB,SA | MORPHINE SO4 100MG TAB,SA | $35.03 | $0.00 | $0.00 |
| 63629-9461-01 | 118ML | 36F79719D0139 | X | Bryant Ran | CLOBETASOL PROPIONATE 0.05% SHAMPOO,TOP | CLOBETASOL PROPIONATE 0.05% SHAMPOO,TOP | $35.05 | $0.00 | $0.00 |
| 63629-8663-01 | 60GM | 36F79719D0139 | X | Bryant Ran | FLUTICASONE PROPIONATE 0.05% OINT,TOP | FLUTICASONE PROPIONATE 0.05% OIN,TOP | $35.08 | $0.00 | $0.00 |
| 72162-2045-01 | 100 | 36F79719D0139 | X | Bryant Ran | DANTROLENE NA 25MG CAP | DANTROLENE NA 25MG CAP | $35.71 | $0.00 | $0.00 |
| 72162-2042-02 | 473ML | 36F79719D0139 | X | Bryant Ran | CODEINE 10MG/PROMETHAZINE 6.25MG/5ML SYRUP | CODEINE 10MG/PROMETHAZINE 6.25MG/5ML SYRUP | $36.29 | $0.00 | $0.00 |
| 72162-1287-01 | 100 | 36F79719D0139 | X | Bryant Ran | HYDROCODONE 5MG/ACETAMINOPHEN 300MG TAB | HYDROCODONE 5MG/ACETAMINOPHEN 300MG TAB | $36.47 | $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 |
| 63629-8614-01 | 50GM | 36F79719D0139 | X | Bryant Ran | BETAMETHASONE DIPROPIONATE 0.05% AUGMENTED CREAM | BETAMETHASONE DIPROPIONATE 0.05% AUGMENTED CR | $36.98 | $0.00 | $0.00 |
| 63629-8539-01 | 1000 | 36F79719D0139 | X | Bryant Ran | SPIRONOLACTONE 25MG TAB | SPIRONOLACTONE 25MG TAB | $36.99 | $0.00 | $0.00 |
| 72162-1282-02 | 120ML | 36F79719D0139 | X | Bryant Ran | MORPHINE CONCENTRATED 20MG/ML SOLN,ORAL | MORPHINE CONCENTRATED 20MG/ML SOLN,ORAL | $37.04 | $0.00 | $0.00 |
| 63629-8872-01 | 150 | 36F79719D0139 | X | Bryant Ran | TIZANIDINE HCL 4MG CAP,ORAL | TIZANIDINE HCL 4MG CAP,ORAL | $37.56 | $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 |
| 63629-9211-01 | 30 | 36F79719D0139 | X | Bryant Ran | MINOCYCLINE HCL 45MG TAB,SA | MINOCYCLINE HCL 45MG TAB,SA | $38.39 | $0.00 | $0.00 |
| 63629-9213-01 | 30 | 36F79719D0139 | X | Bryant Ran | MINOCYCLINE HCL 65MG TAB,SA | MINOCYCLINE HCL 65MG TAB,SA | $38.39 | $0.00 | $0.00 |
| 63629-8665-01 | 50GM | 36F79719D0139 | X | Bryant Ran | HALOBETASOL PROPIONATE 0.05% OINT,TOP | HALOBETASOL PROPIONATE 0.05% OINT,TOP | $39.01 | $0.00 | $0.00 |
| 70752-0119-04 | 50GM | 36F79719D0139 | X | Bryant Ran | HALOBETASOL PROPIONATE 0.05% OINT,TOP | HALOBETASOL PROPIONATE 0.05% OINT,TOP | $39.05 | $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 |
| 72162-2075-06 | 60ML | 36F79719D0139 | X | Bryant Ran | ERYTHROMYCIN 2% SOLN,TOP | ERYTHROMYCIN 2% SOLN,TOP | $39.20 | $0.00 | $0.00 |
| 63629-9196-01 | 368.76GM | 36F79719D0139 | X | Bryant Ran | CHOLESTYRAMINE 4GM/9GM PWDR | CHOLESTYRAMINE 4GM/9GM PWDR | $39.42 | $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 |
| 72162-1825-05 | 500 | 36F79719D0139 | X | Bryant Ran | TEMAZEPAM 30MG CAP | TEMAZEPAM 30MG CAP | $40.85 | $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 |
| 72162-1793-06 | 60 | 36F79719D0139 | X | Bryant Ran | MORPHINE SO4 60MG TAB,SA | MORPHINE SO4 60MG TAB,SA | $41.89 | $0.00 | $0.00 |
| 72162-1790-06 | 60 | 36F79719D0139 | X | Bryant Ran | MORPHINE SO4 30MG TAB,SA | MORPHINE SO4 30MG TAB,SA | $41.89 | $0.00 | $0.00 |
| 72162-1681-00 | 1000 | 36F79719D0139 | X | Bryant Ran | CLONIDINE HCL 0.3MG TAB | CLONIDINE HCL 0.3MG TAB | $41.96 | $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 |
| 63629-9171-01 | 500 | 36F79719D0139 | X | Bryant Ran | METOPROLOL SUCCINATE 100MG TAB,SA | METOPROLOL SUCCINATE 100MG TAB,SA | $42.12 | $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 |
| 70752-0101-12 | 473ML | 36F79719D0139 | X | Bryant Ran | CYPROHEPTADINE HCL 2MG/5ML SYRUP | CYPROHEPTADINE HCL 2MG/5ML SYRUP | $43.29 | $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 |
| 72162-1419-04 | 4 | 36F79719D0139 | X | Bryant Ran | SCOPOLAMINE 0.33MG/24HRS PATCH | SCOPOLAMINE 0.33MG/24HRS PATCH | $44.00 | $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 |
| 63629-8763-01 | 30 | 36F79719D0139 | X | Bryant Ran | CINACALCET HCL 30MG TAB | CINACALCET HCL 30MG TAB | $44.50 | $0.00 | $0.00 |
| 63629-9608-01 | 30 | 36F79719D0139 | X | Bryant Ran | CINACALCET HCL 30MG TAB | CINACALCET HCL 30MG TAB | $44.50 | $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 |
| 63629-1162-01 | 500 | 36F79719D0139 | X | Bryant Ran | LABETALOL HCL 100MG TAB | LABETALOL HCL 100MG TAB | $44.70 | $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 |
| 58657-0648-10 | 1000 | 36F79719D0139 | X | Bryant Ran | CLONIDINE HCL 0.2MG TAB | CLONIDINE HCL 0.2MG TAB | $46.33 | $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 |
| 63629-9214-01 | 30 | 36F79719D0139 | X | Bryant Ran | MINOCYCLINE HCL 80MG TAB,SA | MINOCYCLINE HCL 80MG TAB,SA | $46.75 | $0.00 | $0.00 |
| 63629-9215-01 | 30 | 36F79719D0139 | X | Bryant Ran | MINOCYCLINE HCL 90MG TAB,SA | MINOCYCLINE HCL 90MG TAB,SA | $46.75 | $0.00 | $0.00 |
| 72162-1840-03 | 30 | 36F79719D0139 | X | Bryant Ran | MINOCYCLINE HCL 105MG TAB,SA | MINOCYCLINE HCL 105MG TAB,SA | $46.75 | $0.00 | $0.00 |
| 63629-8868-01 | 90 | 36F79719D0139 | X | Bryant Ran | SOLIFENACIN SUCCINATE 5MG TAB | SOLIFENACIN SUCCINATE 5MG TAB | $46.85 | $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 |
| 63629-9170-01 | 500 | 36F79719D0139 | X | Bryant Ran | METOPROLOL SUCCINATE 50MG TAB,SA | METOPROLOL SUCCINATE 50MG TAB,SA | $47.80 | $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 |
| 64850-0890-01 | 100 | 36F79719D0139 | X | Bryant Ran | LOXAPINE SUCCINATE 5MG CAP | LOXAPINE SUCCINATE 5MG CAP | $49.01 | $0.00 | $0.00 |
| 63629-9606-01 | 30 | 36F79719D0139 | X | Bryant Ran | CINACALCET HCL 90MG TAB | CINACALCET HCL 90MG TAB | $49.26 | $0.00 | $0.00 |
| 72162-1846-02 | 180 | 36F79719D0139 | X | Bryant Ran | COLESEVELAM HCL 625MG TAB | COLESEVELAM HCL 625MG TAB | $49.26 | $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 |
| 63629-8455-01 | 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 |
| 72162-1288-01 | 100 | 36F79719D0139 | X | Bryant Ran | HYDROCODONE 7.5MG/ACETAMINOPHEN 300MG TAB | HYDROCODONE 7.5MG/ACETAMINOPHEN 300MG TAB | $50.00 | $0.00 | $0.00 |
| 63629-9199-01 | 500 | 36F79719D0139 | X | Bryant Ran | CEPHALEXIN 250MG CAP | CEPHALEXIN 250MG CAP | $51.84 | $0.00 | $0.00 |
