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Report : RBT-2015-R Interchange MMIS Run Date: 05 Report : RBT-2015-R interChange MMIS Run Date: 05/25/2010 Process : RBTJR330 MEDICAID MANAGEMENT INFORMATION SYSTEM Run Time: 17:08:55 Location: RBT2015R DRUG REBATE PARTICIPATION BY LABELER CODE Page: 62 SAGA LABELER REBATE REBATE CODE LABELER NAME EFFECTIVE DATE TERMINATION DATE 00002 ELI LILLY AND COMPANY 01/01/1991 12/31/2299 00003 E.R. SQUIBB & SONS, INC. 01/01/1991 12/31/2299 00004 HOFFMANN-LA ROCHE 01/01/1991 12/31/2299 00005 LEDERLE LABORATORIES 01/01/1991 12/31/2299 00006 MERCK & CO., INC. 01/01/1991 12/31/2299 00007 GLAXOSMITHKLINE 01/01/2009 12/31/2299 00008 WYETH LABORATORIES 01/01/1991 12/31/2299 00009 PFIZER, INC 01/01/1991 12/31/2299 00011 BECTON DICKINSON MICROBIOLOGY SYSTEMS 10/01/1991 06/30/1998 00013 PFIZER, INC. 01/01/1991 12/31/2299 00014 PHARMACIA CORPORATION 01/01/1991 12/31/2000 00015 MEAD JOHNSON AND COMPANY 01/01/1991 12/31/2299 00016 PHARMACIA CORPORATION 01/01/1991 12/31/2002 00021 REED AND CARNRICK DIV OF BLOCK DRUG 10/01/1996 12/31/1996 00023 ALLERGAN INC 01/01/1991 12/31/2299 00024 SANOFI-AVENTIS, US LLC 01/01/1991 12/31/2299 00025 PFIZER, INC. 01/01/1991 12/31/2299 00026 BAYER CORPORATION PHARMACEUTICAL DIV. 01/01/1991 12/31/2299 00028 NOVARTIS 01/01/1991 12/31/2299 00029 GLAXOSMITHKLINE 01/01/2009 12/31/2299 00031 A. H. ROBINS 01/01/1991 12/31/2299 00032 SOLVAY PHARMACEUTICALS, INC. 01/01/1991 12/31/2299 00033 SYNTEX LABORATORIES, INC. 01/01/1991 09/30/2002 00034 PURDUE FREDERICK COMPANY 01/01/1991 12/31/2008 00037 MEDA PHARMACEUTICALS, INC. 01/01/1991 12/31/2299 00038 STUART PHARMACEUTICALS 01/01/1991 06/30/2001 00039 SANOFI-AVENTIS, US LLC 01/01/1991 12/31/2299 00043 NOVARTIS CONSUMER HEALTH, INC. 01/01/1991 09/30/2005 00044 KNOLL PHARMACEUTICAL COMPANY 01/01/1991 03/31/2007 00045 ORTHO-MCNEIL-JANSSEN PHARMECEUTICAL, IN 01/01/1991 12/31/2299 00046 AYERST LABORATORIES 01/01/1991 12/31/2299 00047 WARNER CHILCOTT LABORATORIES 01/01/1991 12/31/2004 00048 KNOLL PHARMACEUTICAL COMPANY 01/01/1991 09/30/2006 00049 PFIZER, INC 01/01/1991 12/31/2299 00051 UNIMED PHARMACEUTICALS, INC 10/01/1997 12/31/2299 00052 ORGANON USA INC. 01/01/1991 12/31/2006 00053 CSL BEHRING 01/01/1991 12/31/2299 00054 ROXANE LABORATORIES, INC. 01/01/1991 12/31/2299 00056 DUPONT PHARMACEUTICALS 01/01/2008 12/31/2299 00058 NOVARTIS OPHTHALMICS, INC. 01/01/1991 06/30/2004 00060 DUPONT PHARMACEUTICALS 01/01/1991 06/30/2000 00062 ORTHO-MCNEIL JANSSEN PHARMACEUTICALS 01/01/1991 12/31/2299 00064 HEALTHPOINT, LTD. 07/01/1995 12/31/2299 00065 ALCON LABORATORIES, INC. 01/01/1991 12/31/2299 00066 AVENTIS PHARMACEUTICALS, INC. 01/01/1991 12/31/2299 00067 NOVARTIS CONSUMER HEALTH, INC. 01/01/1991 03/31/2009 Report : RBT-2015-R interChange MMIS Run Date: 05/25/2010 Process : RBTJR330 MEDICAID MANAGEMENT INFORMATION SYSTEM Run Time: 17:08:55 Location: RBT2015R DRUG REBATE PARTICIPATION BY LABELER CODE Page: 63 SAGA LABELER REBATE REBATE CODE LABELER NAME EFFECTIVE DATE TERMINATION DATE 00068 AVENTIS PHARMACEUTICALS 01/01/1991 12/31/2299 00069 PFIZER, INC 01/01/1991 12/31/2299 00070 AVENTIS PHARMACEUTICALS 07/01/1993 12/31/2005 00071 PFIZER, INC 01/01/1991 12/31/2299 00072 WESTWOOD-SQUIBB PHARMACEUTICALS 01/01/1991 03/31/2007 00074 ABBOTT LABORATORIES 01/01/1991 12/31/2299 00075 AVENTIS PHARMACEUTICALS, INC. 01/01/1991 12/31/2299 00076 STAR PHARMACEUTICALS, INC. 01/01/1991 12/31/2008 00078 NOVARTIS 01/01/1991 12/31/2299 00081 GLAXOSMITHKLINE 01/01/1991 12/31/2002 00083 NOVARTIS 01/01/1991 12/31/2299 00085 SCHERING CORPORATION 01/01/1991 12/31/2006 00086 ELAN PHARMACEUTICALS, INC./CARNRICK LAB 01/01/1991 12/31/2007 00087 BRISTOL-MYERS SQUIBB COMPANY 01/01/1991 12/31/2299 00088 AVENTIS PHARMACEUTICALS 01/01/1991 12/31/2299 00089 3M PHARMACEUTICALS 01/01/1991 12/31/2299 00091 SCHWARZ PHARMA, LLC 01/01/1991 12/31/2299 00093 TEVA PHARMACEUTICALS USA, INC. 01/01/1991 12/31/2299 00095 ECR PHARMACEUTICALS 10/01/1991 12/31/2299 00096 PERSON & COVEY, INC. 04/01/1999 07/30/2009 00108 GLAXOSMITHKLINE 01/01/1991 12/31/2005 00113 L. PERRIGO COMPANY 02/01/2008 12/31/2299 00115 GLOBAL PHARMACEUTICAL CORPORATION 10/01/2009 12/31/2299 00116 XTTRIUM LABORATORIES, INC. 08/17/2001 06/30/2009 00118 BAYER CORPORATION ALLERGY PRODUCTS 01/01/1991 09/30/2003 00121 PHARMACEUTICAL ASSOCIATES, INC. 01/01/1991 12/31/2299 00126 COLGATE ORAL PHARMACEUTICALS, INC. 01/01/1991 12/31/2299 00131 SCHWARZ PHARMA LLC 01/01/1991 12/31/2299 00132 C B FLEET COMPANY INC 01/01/1991 06/30/2009 00135 GLAXOSMITHKLINE 01/01/1995 12/31/2299 00143 WEST-WARD PHARMACEUTICAL CORP 01/01/1991 12/31/2299 00144 SUPERIOR PHARMACEUTICAL COMPANY 04/01/1995 03/31/2002 00145 STIEFEL LABORATORIES, INC, 01/01/1991 12/31/2299 00147 CAMALL COMPANY 01/01/1991 09/30/2001 00149 PROCTER & GAMBLE PHARMACEUTICALS, INC. 01/01/1991 12/31/2299 00152 THE GRAY PHARMACEUTICAL COMPANY 01/01/1991 09/30/2003 00161 BAYER CORPORATION BIOLOGICAL PRODUCTS 01/01/1991 09/30/2000 00165 BLAINE COMPANY 01/01/1992 06/30/2009 00168 E FOUGERA AND CO. 01/01/1991 12/31/2299 00169 NOVO NORDISK, INC. 01/01/1991 12/31/2299 00172 IVAX PHARMACEUTICALS, INC. 01/01/1991 12/31/2299 00173 GLAXOSMITHKLINE 01/01/2009 12/31/2299 00178 MISSION PHARMACAL COMPANY 01/01/1991 06/30/2009 00182 GOLDLINE LABORATORIES, INC. 01/01/1991 12/31/2299 00185 EON LABS, INC. 01/01/1991 12/31/2299 00186 ASTRAZENECA LP 10/01/2008 12/31/2299 Report : RBT-2015-R interChange MMIS Run Date: 05/25/2010 Process : RBTJR330 MEDICAID MANAGEMENT INFORMATION SYSTEM Run Time: 17:08:55 Location: RBT2015R DRUG REBATE PARTICIPATION BY LABELER CODE Page: 64 SAGA LABELER REBATE REBATE CODE LABELER NAME EFFECTIVE DATE TERMINATION DATE 00187 VALEANT PHARMACEUTICALS NORTH AMERICA 01/01/1991 06/02/2009 00192 BAYER CORPORATION BIOLOGICAL PRODUCTS 10/01/1994 09/30/2003 00205 LEDERLE PARENTERALS 01/01/1991 06/30/2007 00206 LEDERLE PIPERACILLIN 01/01/1991 12/31/2299 00209 MARSAM PHARMACEUTICALS INC. 10/01/1994 03/31/2004 00214 GLAXOSMITHKLINE 12/03/2001 03/31/2007 00217 DUNHALL PHARMACEUTICALS 01/01/2000 09/30/2001 00224 KONSYL PHARMACEUTICALS, INC. 01/01/1992 06/30/2009 00225 B. F. ASCHER AND COMPANY, INC. 01/01/1991 07/30/2009 00228 ACTAVIS ELIZABETH LLC 01/01/1991 12/31/2299 00245 UPSHER-SMITH LABORATORIES, INC. 01/01/1991 12/31/2299 00249 GERIATRIC PHARMACEUTICAL CORP. 01/01/1991 09/30/1998 00254 VINTAGE PHARMACEUTICALS, INC. 04/01/1993 03/31/2008 00256 FLEMING AND COMPANY 10/01/1991 06/30/2009 00258 INWOOD LABORATORIES INC 01/01/1991 12/31/2299 00259 MERZ PHARMACEUTICALS 01/01/1991 12/31/2299 00263 RYSTAN COMPANY, INC. 10/01/1994 03/31/2002 00264 B. BRAUN MEDICAL INC. 01/01/1991 09/30/2009 00268 CENTER LABORATORIES 01/01/1991 09/30/2002 00274 SCHERER LABORATORIES INC 01/01/1991 12/31/1999 00276 MISEMER PHARMACEUTICAL, INC. 07/10/2006 06/30/2009 00277 LASER PHARMACEUTICALS, LLC 01/01/1991 09/30/2009 00281 SAVAGE LABORATORIES 01/01/1991 12/31/2299 00288 FLUORITAB CORPORATION 10/01/1991 06/30/2009 00299 GALDERMA LABORATORIES, L.P. 01/01/1991 08/31/2002 00300 TAP PHARMACEUTICALS INC 01/01/1991 12/31/2299 00303 BAUSCH & LOMB PHARMACEUTICALS, INC. 01/01/1991 12/31/1997 00304 H.D. SMITH WHOLESALE DRUG COMPANY 01/01/1991 06/30/2007 00310 ASTRAZENECA LP 10/01/2008 12/31/2299 00314 HYREX PHARMACEUTICALS 01/01/1991 03/31/2003 00327 GUARDIAN LABS DIV UNITED-GUARDIAN INC 01/01/1991 12/31/2299 00332 BIOCRAFT LABORATORIES, INC. 01/01/1991 12/31/2006 00338 BAXTER HEALTHCARE CORPORATION 01/01/1991 09/30/2009 00349 PARMED PHARMACEUTICALS INC. 01/01/1991 09/30/2002 00353 AMERICAN PHARMACAL, INC. 01/01/1995 12/31/1999 00364 WATSON PHARMA, INC. 01/01/1991 12/31/2008 00372 SCOT-TUSSIN PHARMACAL CO., INC. 04/01/1992 06/30/2004 00378 MYLAN PHARMACEUTICALS, INC. 01/01/1991 12/31/2299 00386 GEBAUER COMPANY 01/01/1991 06/30/2000 00392 CRANDALL ASSOCIATE 01/01/1991 06/30/1999 00402 STERIS LABORATORIES, INC. 01/01/1991 06/30/2005 00405 ALIGEN INDEPENDENT LABORATORIES, INC. 01/01/1991 09/30/1997 00406 MALLINCKRODT INC. 10/01/1991 12/31/2299 00409 HOSPIRA, INC. 10/28/2004 06/30/2009 00414 PERRIGO PHARMACEUTICALS 04/01/1994 12/31/2299 00417 HALL LABORATORIES, INCORPORATED 10/01/1992 03/31/1998 Report : RBT-2015-R interChange MMIS Run Date: 05/25/2010 Process : RBTJR330 MEDICAID MANAGEMENT INFORMATION SYSTEM Run Time: 17:08:55 Location: RBT2015R DRUG REBATE PARTICIPATION BY LABELER CODE Page: 65 SAGA LABELER REBATE REBATE CODE LABELER NAME EFFECTIVE DATE TERMINATION DATE 00418 PASADENA RESEARCH LABORATORIES, INC. 10/01/1996 09/30/1997 00421 NOVAVAX, INC. (FORMERLY FIELDING) 01/01/1991 12/31/2299 00426 MORTON GROVE PHARMACEUTICALS, INC. 01/01/1994 06/30/1999 00430 WARNER CHILCOTT LABORATORIES 01/01/1998 12/31/2299 00451 MURO ASTA MEDICA 01/01/1991 03/31/2004 00456 FOREST LABORATORIES, INC. 01/01/1991 12/31/2299 00462 PHARMADERM 02/01/2008 12/31/2299 00463 C O TRUXTON INC 10/01/2003 09/30/2004 00469 ASTELLAS PHARMA US, INC.
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