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200804 Decreased Drug Co-pay

NDC DRUG NAME NDC DRUG NAME 00015722518 NAFCILLIN 00054885825 TRIAZOLAM 00015740220 AMPICILLIN SODIUM 00065070212 SULFATE 00015740520 AMPICILLIN SODIUM 00065072812 PILOCARPINE HCL 00054002025 LITHIUM CARBONATE 00065074112 TETRACAINE HCL 00054016551 SODIUM POLYSTYRENE SULFONATE 00065075212 PILOCARPINE HCL 00054016563 SODIUM POLYSTYRENE SULFONATE 00065075612 PILOCARPINE HCL 00054252625 LITHIUM CARBONATE 00074118401 CALCIUM GLUCONATE 00054252725 LITHIUM CARBONATE 00074148501 ETOPOSIDE 00054252731 LITHIUM CARBONATE 00074148502 ETOPOSIDE 00054302602 ACETYLCYSTEINE 00074148503 ETOPOSIDE 00054302802 ACETYLCYSTEINE 00074153901 LORAZEPAM 00054312041 CALCITRIOL 00074158401 SODIUM 00054329446 FUROSEMIDE 00074202302 KETOROLAC TROMETHAMINE 00054329450 FUROSEMIDE 00074202349 KETOROLAC TROMETHAMINE 00054348663 LACTULOSE 00074203602 KETOROLAC TROMETHAMINE 00054352763 LITHIUM CITRATE 00074234534 DOBUTAMINE HCL IN DEXTROSE 00054356699 MIDAZOLAM HCL 00074414103 DOPAMINE HCL IN 5% DEXTROSE 00054415625 CODEINE SULFATE 00074433504 PACLITAXEL 00054415725 CODEINE SULFATE 00074454104 LEUCOVORIN CALCIUM 00054458225 MORPHINE SULFATE 00074490023 SODIUM BICARBONATE 00054458325 MORPHINE SULFATE 00074490222 DEXTROSE IN WATER 00054474125 00074490223 DEXTROSE IN WATER 00054474131 PREDNISONE 00074490315 LIDOCAINE HCL 00054474225 PREDNISONE 00074490415 LIDOCAINE HCL 00054483413 TAMOXIFEN CITRATE 00074491023 ATROPINE SULFATE 00054483422 TAMOXIFEN CITRATE 00074491123 ATROPINE SULFATE 00054485806 TRIAZOLAM 00074491623 SODIUM BICARBONATE 00054815624 CODEINE SULFATE 00074492123 EPINEPHRINE 00054830125 FUROSEMIDE 00074493101 POTASSIUM CHLORIDE 00054848616 LACTULOSE 00074493201 POTASSIUM CHLORIDE 00054852625 LITHIUM CARBONATE 00074553423 SODIUM BICARBONATE 00054852725 LITHIUM CARBONATE 00074605514 FUROSEMIDE 00054852904 LITHIUM CITRATE 00074605618 FUROSEMIDE 00054855025 METHOTREXATE 00074614706 SODIUM CHLORIDE 00054855324 METHADONE HCL 00074614736 SODIUM CHLORIDE 00054855424 METHADONE HCL 00074663723 SODIUM BICARBONATE 00054858224 MORPHINE SULFATE 00074677701 LORAZEPAM 00054858324 MORPHINE SULFATE 00074789818 DEXTROSE IN WATER 00054872425 PREDNISONE 00074790603 DEXTROSE 5%-POTASSIUM 00054873925 PREDNISONE CHLORIDE 00074798427 00054874025 PREDNISONE SODIUM CHLORIDE 00074909610 00054883425 TAMOXIFEN CITRATE FENTANYL CITRATE 00074909620 FENTANYL CITRATE

3/19/08 Page 1 of 24 200804 Decreased Drug Co-pay

NDC DRUG NAME NDC DRUG NAME 00093026415 00093415579 AMOXICILLIN 00093026430 FLUOCINONIDE 00093415580 AMOXICILLIN 00093026492 FLUOCINONIDE 00093416073 AMOXICILLIN 00093026592 FLUOCINONIDE 00093416076 AMOXICILLIN 00093026639 FLUOCINONIDE 00093416078 AMOXICILLIN 00093030239 DIPROPIONATE 00093417573 CEPHALEXIN 00093030801 FUMARATE 00093417574 CEPHALEXIN 00093030912 CLEMASTINE FUMARATE 00093417773 CEPHALEXIN 00093050687 CIMETIDINE 00093417774 CEPHALEXIN 00093078201 TAMOXIFEN CITRATE 00093440401 00093078256 TAMOXIFEN CITRATE 00093440405 CLOZAPINE 00093084015 00093514501 AMPICILLIN TRIHYDRATE 00093084030 KETOCONAZOLE 00093514505 AMPICILLIN TRIHYDRATE 00093084092 KETOCONAZOLE 00093514601 AMPICILLIN TRIHYDRATE 00093089201 ETODOLAC 00093514605 AMPICILLIN TRIHYDRATE 00093092606 LOVASTATIN 00093547616 SULFAMETHOXAZOLE- 00093092610 LOVASTATIN TRIMETHOPRIM 00093711306 00093098301 NYSTATIN NEFAZODONE HCL 00093717201 00093102406 NEFAZODONE HCL ETODOLAC 00093717801 00093102506 NEFAZODONE HCL NEFAZODONE HCL 00093718001 00093102606 NEFAZODONE HCL OFLOXACIN 00093718101 00093108701 CEFACLOR ER OFLOXACIN 00093718201 00093112201 ETODOLAC OFLOXACIN 00093718810 00093117201 PENICILLIN V POTASSIUM FLUOXETINE HCL 00093718856 00093117210 PENICILLIN V POTASSIUM FLUOXETINE HCL 00093873901 00093215801 TRIMETHOPRIM MEXILETINE HCL 00093874001 00093226801 AMOXICILLIN MEXILETINE HCL 00093916871 00093226805 AMOXICILLIN 00093960412 00093227034 AMOX TR-POTASSIUM CLAVULANATE HALOPERIDOL LACTATE 00093960423 00093227234 AMOX TR-POTASSIUM CLAVULANATE HALOPERIDOL LACTATE 00093965457 00093310701 AMOXICILLIN SODIUM FLUORIDE 00115201101 00093310705 AMOXICILLIN CITRATE 00115201102 00093312301 DICLOXACILLIN SODIUM ORPHENADRINE CITRATE 00115279006 00093312501 DICLOXACILLIN SODIUM CHLOROQUINE PHOSPHATE 00115703302 00093319301 KETOPROFEN ACETATE 00121046516 00093319501 KETOPROFEN POTASSIUM CHLORIDE 00121046615 00093319505 KETOPROFEN POTASSIUM CHLORIDE 00121046616 00093405953 CEFADROXIL POTASSIUM CHLORIDE 00121053105 00093415073 AMOXICILLIN PHENOBARBITAL 00121053107 00093415079 AMOXICILLIN PHENOBARBITAL 00121053115 00093415080 AMOXICILLIN PHENOBARBITAL 00121053205 00093415573 AMOXICILLIN CHLORAL HYDRATE 00121053216 CHLORAL HYDRATE

3/19/08 Page 2 of 24 200804 Decreased Drug Co-pay

NDC DRUG NAME NDC DRUG NAME 00121057616 METOCLOPRAMIDE HCL 00143318901 LITHIUM CARBONATE 00121064610 AMANTADINE 00143318910 LITHIUM CARBONATE 00121064616 AMANTADINE 00143988601 AMOXICILLIN 00121064908 CIMETIDINE 00143988650 AMOXICILLIN 00121065816 HCL 00143988675 AMOXICILLIN 00121068705 00143988901 AMOXICILLIN 00121077504 GUAIFENESIN-CODEINE 00143988915 AMOXICILLIN 00121077516 GUAIFENESIN-CODEINE 00143988980 AMOXICILLIN 00121146515 POTASSIUM CHLORIDE 00143992390 CEFAZOLIN SODIUM 00121146530 POTASSIUM CHLORIDE 00143994850 CEFADROXIL 00121157610 METOCLOPRAMIDE HCL 00143997603 CEFUROXIME SODIUM 00121177505 GUAIFENESIN-CODEINE 00143997691 CEFUROXIME SODIUM 00121177510 GUAIFENESIN-CODEINE 00143998501 CEFACLOR 00121465505 HYDROCODONE-ACETAMINOPHEN 00143998601 CEFACLOR 00121465510 HYDROCODONE-ACETAMINOPHEN 00168000580 ACETONIDE 00121465515 HYDROCODONE-ACETAMINOPHEN 00168000715 NYSTATIN 00121477405 IBUPROFEN 00168000730 NYSTATIN 00121477610 00168002016 HYDROCORTISONE 00143102001 AMINOPHYLLINE 00168002031 HYDROCORTISONE 00143102010 AMINOPHYLLINE 00168002938 NEOMYCIN-BACITRACIN-POLY-HC 00143102501 AMINOPHYLLINE 00168003315 00143102510 AMINOPHYLLINE 00168003346 BETAMETHASONE VALERATE 00143119550 CHLOROQUINE PHOSPHATE 00168003760 NYSTATIN 00143120201 00168003761 NYSTATIN 00143126001 ISONIAZID 00168003774 NYSTATIN 00143126010 ISONIAZID 00168004015 BETAMETHASONE VALERATE 00143127701 LITHIUM CARBONATE 00168004046 BETAMETHASONE VALERATE 00143127709 LITHIUM CARBONATE 00168004160 BETAMETHASONE VALERATE 00143127730 LITHIUM CARBONATE 00168005515 BETAMETHASONE DIPROPIONATE 00143142501 PREDNISONE 00168005546 BETAMETHASONE DIPROPIONATE 00143145010 PHENOBARBITAL 00168005615 BETAMETHASONE DIPROPIONATE 00143148001 PROPYLTHIOURACIL 00168005646 BETAMETHASONE DIPROPIONATE 00143148010 PROPYLTHIOURACIL 00168006538 ATROPINE SULFATE 00143176301 TRIHEXYPHENIDYL HCL 00168007115 GENTAMICIN SULFATE 00143176310 TRIHEXYPHENIDYL HCL 00168007815 GENTAMICIN SULFATE 00143176401 TRIHEXYPHENIDYL HCL 00168008115 NYSTATIN-TRIAMCINOLONE 00143176410 TRIHEXYPHENIDYL HCL 00168008130 NYSTATIN-TRIAMCINOLONE 00143176501 ISOSORBIDE DINITRATE 00168008160 NYSTATIN-TRIAMCINOLONE 00143176510 ISOSORBIDE DINITRATE 00168008915 NYSTATIN-TRIAMCINOLONE 00143176701 ISOSORBIDE DINITRATE 00168008930 NYSTATIN-TRIAMCINOLONE 00143176710 ISOSORBIDE DINITRATE 00168008960 NYSTATIN-TRIAMCINOLONE 00143318801 LITHIUM CARBONATE 00168009915 KETOCONAZOLE

3/19/08 Page 3 of 24 200804 Decreased Drug Co-pay

NDC DRUG NAME NDC DRUG NAME 00168009930 KETOCONAZOLE 00172409780 BACLOFEN 00168009960 KETOCONAZOLE 00172480460 OXAZEPAM 00168013460 FLUOCINONIDE 00172480470 OXAZEPAM 00168013515 FLUOCINONIDE 00172480560 OXAZEPAM 00168014015 FLUOCINONIDE 00172480570 OXAZEPAM 00168014030 FLUOCINONIDE 00172480660 OXAZEPAM 00168014060 FLUOCINONIDE 00172496058 FLUTAMIDE 00168020437 LIDOCAINE HCL 00172496070 FLUTAMIDE 00168024215 DIACETATE 00172565746 TAMOXIFEN CITRATE 00168024230 DIFLORASONE DIACETATE 00172565755 TAMOXIFEN CITRATE 00168024260 DIFLORASONE DIACETATE 00172565770 TAMOXIFEN CITRATE 00168024615 FLUOCINONIDE 00172565780 TAMOXIFEN CITRATE 00168024630 FLUOCINONIDE 00182020100 PREDNISONE 00168024660 FLUOCINONIDE 00182020189 PREDNISONE 00168026615 BETAMETHASONE DIPROPIONATE 00182055600 HYDROCHLOROTHIAZIDE 00168026650 BETAMETHASONE DIPROPIONATE 00182055689 HYDROCHLOROTHIAZIDE 00168027815 00182055700 HYDROCHLOROTHIAZIDE 00168027830 AMCINONIDE 00182055789 HYDROCHLOROTHIAZIDE 00168027860 AMCINONIDE 00182070289 NITROGLYCERIN 00168027930 AMCINONIDE 00182129900 BENZTROPINE MESYLATE 00168027960 AMCINONIDE 00182129989 BENZTROPINE MESYLATE 00172208360 HYDROCHLOROTHIAZIDE 00182140000 THEOPHYLLINE ANHYDROUS 00172208380 HYDROCHLOROTHIAZIDE 00182140089 THEOPHYLLINE ANHYDROUS 00172208960 HYDROCHLOROTHIAZIDE 00182158900 THEOPHYLLINE ANHYDROUS 00172208980 HYDROCHLOROTHIAZIDE 00182158989 THEOPHYLLINE ANHYDROUS 00172208985 HYDROCHLOROTHIAZIDE 00182159000 THEOPHYLLINE ANHYDROUS 00172292960 HCL 00182159089 THEOPHYLLINE ANHYDROUS 00172292980 CYPROHEPTADINE HCL 00182168100 INDOMETHACIN 00172293160 METHYLDOPA 00182168200 INDOMETHACIN 00172293180 METHYLDOPA 00182170000 BENZTROPINE MESYLATE 00172293260 METHYLDOPA 00182170089 BENZTROPINE MESYLATE 00172293270 METHYLDOPA 00182170100 BENZTROPINE MESYLATE 00172295060 TRIAMTERENE-HCTZ 00182170189 BENZTROPINE MESYLATE 00172295080 TRIAMTERENE-HCTZ 00182178110 LITHIUM CARBONATE 00172297980 TOLAZAMIDE 00182181000 IBUPROFEN 00172298060 TOLAZAMIDE 00182181089 IBUPROFEN 00172367060 PERPHENAZINE 00182194900 CARBIDOPA-LEVODOPA 00172375700 LISINOPRIL 00182194989 CARBIDOPA-LEVODOPA 00172375710 LISINOPRIL 00182506851 00172409660 BACLOFEN 00182605971 HALOPERIDOL LACTATE 00172409680 BACLOFEN 00182608837 SELENIUM SULFIDE 00172409760 BACLOFEN 00182822200 HCL

3/19/08 Page 4 of 24 200804 Decreased Drug Co-pay

NDC DRUG NAME NDC DRUG NAME 00182822289 PROMETHAZINE HCL 00228206710 OXAZEPAM 00185001660 NEFAZODONE HCL 00228206750 OXAZEPAM 00185002201 ORPHENADRINE CITRATE 00228206910 OXAZEPAM 00185002210 ORPHENADRINE CITRATE 00228206950 OXAZEPAM 00185003860 NEFAZODONE HCL 00228207310 OXAZEPAM 00185007001 LOVASTATIN 00228222196 HYDROCHLOROTHIAZIDE 00185007005 LOVASTATIN 00228222296 HYDROCHLOROTHIAZIDE 00185007010 LOVASTATIN 00228234810 PROPYLTHIOURACIL 00185007060 LOVASTATIN 00228259911 ETODOLAC 00185008160 NEFAZODONE HCL 00228259950 ETODOLAC 00185012660 NEFAZODONE HCL 00228263211 ETODOLAC 00185013901 ETODOLAC 00228263306 LOVASTATIN 00185013905 ETODOLAC 00228263350 LOVASTATIN 00185013910 ETODOLAC 00245004200 POTASSIUM CHLORIDE 00185014501 NABUMETONE 00245004255 POTASSIUM CHLORIDE 00185014505 NABUMETONE 00245004285 POTASSIUM CHLORIDE 00185014601 NABUMETONE 00245008011 ZINC SULFATE 00185014605 NABUMETONE 00245024210 POTASSIUM CHLORIDE 00185014860 NEFAZODONE HCL 00245024211 POTASSIUM CHLORIDE 00185064401 PHENTERMINE HCL 00258358301 THEOPHYLLINE ANHYDROUS 00185064410 PHENTERMINE HCL 00258358305 THEOPHYLLINE ANHYDROUS 00185081460 DOXYCYCLINE HYCLATE 00258358310 THEOPHYLLINE ANHYDROUS 00185081553 DOXYCYCLINE HYCLATE 00258358401 THEOPHYLLINE ANHYDROUS 00185104701 SULFATE 00264144155 DOPAMINE HCL IN 5% DEXTROSE 00185104710 QUINIDINE SULFATE 00264144255 DOPAMINE HCL IN 5% DEXTROSE 00185112505 FLUTAMIDE 00264196010 DEXTRAN 70 IN NORMAL SALINE 00185112518 FLUTAMIDE 00264580632 GENTAMICIN SULFATE IN NS 00185112588 FLUTAMIDE 00264581238 GENTAMICIN SULFATE IN NS 00185121701 NITROGLYCERIN 00264762320 DEXTROSE 10%-1/4NS 00185121760 NITROGLYCERIN 00264764800 DEXTROSE 5%-1/4NS-KCL 00185123501 NITROGLYCERIN 00264785000 WATER 00185123560 NITROGLYCERIN 00264785010 WATER 00185434601 QUINIDINE SULFATE 00264785020 WATER 00185434610 QUINIDINE SULFATE 00264958720 HEPARIN SODIUM IN 5% DEXTROSE 00185500001 PHENTERMINE HCL 00338000402 WATER 00185500010 PHENTERMINE HCL 00338000403 WATER 00185515601 PAPAVERINE HCL 00338000404 WATER 00185515610 PAPAVERINE HCL 00338000405 WATER 00185517401 NITROGLYCERIN 00338001104 DEXTROSE IN WATER 00185517460 NITROGLYCERIN 00338001304 WATER 00186117004 DEXTROSE IN WATER 00338001306 WATER 00228202896 PHENOBARBITAL 00338001308 WATER

3/19/08 Page 5 of 24 200804 Decreased Drug Co-pay

NDC DRUG NAME NDC DRUG NAME 00338001329 WATER 00338010504 RINGERS INJECTION 00338001602 DEXTROSE IN WATER 00338011103 DEXTROSE IN RINGERS INJECTION 00338001603 DEXTROSE IN WATER 00338011104 DEXTROSE IN RINGERS INJECTION 00338001612 DEXTROSE IN WATER 00338011404 LACTATED RINGERS 00338001701 DEXTROSE IN WATER 00338011702 LACTATED RINGERS 00338001702 DEXTROSE IN WATER 00338011703 LACTATED RINGERS 00338001703 DEXTROSE IN WATER 00338011704 LACTATED RINGERS 00338002302 DEXTROSE IN WATER 00338012503 DEXTROSE IN LACTATED RINGERS 00338002303 DEXTROSE IN WATER 00338012504 DEXTROSE IN LACTATED RINGERS 00338002304 DEXTROSE IN WATER 00338031802 POTASSIUM CHLORIDE 00338002312 DEXTROSE IN WATER 00338036761 MANGANESE CHLORIDE 00338002313 DEXTROSE IN WATER 00338037403 SODIUM BICARBONATE 00338002334 DEXTROSE IN WATER 00338040902 LIDOCAINE HCL IN 5% DEXTROSE 00338003106 DEXTROSE IN WATER 00338040903 LIDOCAINE HCL IN 5% DEXTROSE 00338003113 DEXTROSE IN WATER 00338040904 LIDOCAINE HCL IN 5% DEXTROSE 00338003134 DEXTROSE IN WATER 00338041102 LIDOCAINE HCL IN 5% DEXTROSE 00338004303 SODIUM CHLORIDE 00338041103 LIDOCAINE HCL IN 5% DEXTROSE 00338004304 SODIUM CHLORIDE 00338043103 HEPARIN SODIUM IN 0.9% NACL 00338004910 SODIUM CHLORIDE 00338043903 THEOPHYLLINE IN 5% DEXTROSE 00338004911 SODIUM CHLORIDE 00338043904 THEOPHYLLINE IN 5% DEXTROSE 00338004918 SODIUM CHLORIDE 00338044102 THEOPHYLLINE IN 5% DEXTROSE 00338004931 SODIUM CHLORIDE 00338044103 THEOPHYLLINE IN 5% DEXTROSE 00338004938 SODIUM CHLORIDE 00338044348 THEOPHYLLINE IN 5% DEXTROSE 00338004941 SODIUM CHLORIDE 00338044402 THEOPHYLLINE IN 5% DEXTROSE 00338004948 SODIUM CHLORIDE 00338054903 HEPARIN SODIUM IN 5% DEXTROSE 00338005144 SODIUM CHLORIDE 00338055003 HEPARIN SODIUM IN 5% DEXTROSE 00338005403 SODIUM CHLORIDE 00338056704 DEXTROSE 5%-POTASSIUM 00338005603 SODIUM CHLORIDE CHLORIDE 00338056904 DEXTROSE 5%-POTASSIUM 00338007303 DEXTROSE WITH SODIUM CHLORIDE CHLORIDE 00338007304 DEXTROSE WITH SODIUM CHLORIDE 00338060303 DEXTROSE 5%-1/3NS-KCL 00338007702 DEXTROSE WITH SODIUM CHLORIDE 00338060304 DEXTROSE 5%-1/3NS-KCL 00338007703 DEXTROSE WITH SODIUM CHLORIDE 00338065604 ACETIC ACID 00338007704 DEXTROSE WITH SODIUM CHLORIDE 00338066303 DEXTROSE 5%-1/4NS-KCL 00338008102 DEXTROSE WITH SODIUM CHLORIDE 00338066304 DEXTROSE 5%-1/4NS-KCL 00338008103 DEXTROSE WITH SODIUM CHLORIDE 00338066904 DEXTROSE 5%-1/2NS-KCL 00338008502 DEXTROSE WITH SODIUM CHLORIDE 00338067103 DEXTROSE 5%-1/2NS-KCL 00338008503 DEXTROSE WITH SODIUM CHLORIDE 00338067104 DEXTROSE 5%-1/2NS-KCL 00338008504 DEXTROSE WITH SODIUM CHLORIDE 00338067504 DEXTROSE 5%-1/2NS-KCL 00338008902 DEXTROSE WITH SODIUM CHLORIDE 00338068303 DEXTROSE 5%-POTASSIUM 00338008903 DEXTROSE WITH SODIUM CHLORIDE CHLORIDE 00338008904 DEXTROSE WITH SODIUM CHLORIDE 00338068304 DEXTROSE 5%-POTASSIUM 00338010503 RINGERS INJECTION CHLORIDE

3/19/08 Page 6 of 24 200804 Decreased Drug Co-pay

NDC DRUG NAME NDC DRUG NAME 00338070341 POTASSIUM CHLORIDE 00378014301 INDOMETHACIN 00338070348 POTASSIUM CHLORIDE 00378014310 INDOMETHACIN 00338070541 POTASSIUM CHLORIDE 00378014701 INDOMETHACIN 00338070548 POTASSIUM CHLORIDE 00378014705 INDOMETHACIN 00338070748 POTASSIUM CHLORIDE 00378015601 PROBENECID 00338070948 POTASSIUM CHLORIDE 00378021401 HALOPERIDOL 00338071113 DEXTROSE IN WATER 00378021410 HALOPERIDOL 00338071134 DEXTROSE IN WATER 00378021701 TOLAZAMIDE 00338071313 DEXTROSE IN WATER 00378025501 ALBUTEROL SULFATE 00338071334 DEXTROSE IN WATER 00378025505 ALBUTEROL SULFATE 00338071513 DEXTROSE IN WATER 00378025701 HALOPERIDOL 00338071534 DEXTROSE IN WATER 00378025710 HALOPERIDOL 00338071713 DEXTROSE IN WATER 00378027401 TAMOXIFEN CITRATE 00338071734 DEXTROSE IN WATER 00378027493 TAMOXIFEN CITRATE 00338071913 DEXTROSE IN WATER 00378032701 HALOPERIDOL 00338071934 DEXTROSE IN WATER 00378032710 HALOPERIDOL 00338080304 DEXTROSE 5%-NS-KCL 00378035101 HALOPERIDOL 00338080704 DEXTROSE 5%-NS-KCL 00378035110 HALOPERIDOL 00338081104 POTASSIUM CHLORIDE-DW5-LR 00378042101 METHYLDOPA 00338081504 DEXTROSE 5%-LACT RINGERS-KCL 00378042105 METHYLDOPA 00338100502 DOPAMINE HCL IN 5% DEXTROSE 00378042701 SULINDAC 00338100503 DOPAMINE HCL IN 5% DEXTROSE 00378054101 CIMETIDINE 00338100702 DOPAMINE HCL IN 5% DEXTROSE 00378055101 TOLAZAMIDE 00338100703 DOPAMINE HCL IN 5% DEXTROSE 00378057201 ALBUTEROL SULFATE 00338100902 DOPAMINE HCL IN 5% DEXTROSE 00378057205 ALBUTEROL SULFATE 00338104702 NITROGLYCERIN IN D5W 00378057701 AMILORIDE HCL-HCTZ 00338104902 NITROGLYCERIN IN D5W 00378057705 AMILORIDE HCL-HCTZ 00338105102 NITROGLYCERIN IN D5W 00378061101 METHYLDOPA 00338105548 METRONIDAZOLE 00378061110 METHYLDOPA 00338107302 DOBUTAMINE HCL IN DEXTROSE 00378061201 HCL 00338107303 DOBUTAMINE HCL IN DEXTROSE 00378061210 THIORIDAZINE HCL 00338107502 DOBUTAMINE HCL IN DEXTROSE 00378061401 THIORIDAZINE HCL 00338107702 DOBUTAMINE HCL IN DEXTROSE 00378061410 THIORIDAZINE HCL 00338601048 MILRINONE IN 5% DEXTROSE 00378061601 THIORIDAZINE HCL 00378001401 METHOTREXATE 00378061610 THIORIDAZINE HCL 00378001450 METHOTREXATE 00378061801 THIORIDAZINE HCL 00378005201 PINDOLOL 00378061810 THIORIDAZINE HCL 00378005301 CIMETIDINE 00378113401 KETOROLAC TROMETHAMINE 00378006001 HCL 00378210001 LOPERAMIDE 00378007601 FLURBIPROFEN 00378210005 LOPERAMIDE 00378013001 PROPOXYPHENE HCL-APAP 00378240101 TRIFLUOPERAZINE HCL 00378013005 PROPOXYPHENE HCL-APAP 00378240201 TRIFLUOPERAZINE HCL

3/19/08 Page 7 of 24 200804 Decreased Drug Co-pay

NDC DRUG NAME NDC DRUG NAME 00378241001 TRIFLUOPERAZINE HCL 00472038045 BETAMETHASONE DIPROPIONATE 00378265001 HCL 00472075323 00378265010 AMITRIPTYLINE HCL 00472075330 IPRATROPIUM BROMIDE 00378268501 AMITRIPTYLINE HCL 00472075360 IPRATROPIUM BROMIDE 00378360101 HYDROCHLOROTHIAZIDE 00472075516 CYPROHEPTADINE HCL 00378360110 HYDROCHLOROTHIAZIDE 00472080216 PAREGORIC 00378360201 HYDROCHLOROTHIAZIDE 00472082504 ALBUTEROL SULFATE 00378360210 HYDROCHLOROTHIAZIDE 00472082516 ALBUTEROL SULFATE 00378407001 KETOPROFEN 00472127016 IBUPROFEN 00378520001 TOLMETIN SODIUM 00472127094 IBUPROFEN 00378575001 KETOPROFEN 00472132002 NYSTATIN 00378600401 FLUPHENAZINE HCL 00472132016 NYSTATIN 00378600405 FLUPHENAZINE HCL 00472132098 NYSTATIN 00378640005 ERYTHROMYCIN ETHYLSUCCINATE 00472132626 HYDROCORTISONE 00378651091 LOVASTATIN 00472162704 PROMETHAZINE-CODEINE 00406204201 PROMETHAZINE HCL 00472162708 PROMETHAZINE-CODEINE 00406895901 DEXTROAMPHETAMINE SULFATE 00472162716 PROMETHAZINE-CODEINE 00409108151 SODIUM CHLORIDE 00472162908 PROMETHAZINE VC-CODEINE 00409120901 LIDOCAINE HCL-EPINEPHRINE 00472162916 PROMETHAZINE VC-CODEINE 00409121201 NALOXONE HCL 00472163004 PROMETHAZINE-DM 00409146301 NALBUPHINE HCL 00472163016 PROMETHAZINE-DM 00409146401 NALBUPHINE HCL 00472500259 PHENYTOIN 00409146501 NALBUPHINE HCL 00472500260 PHENYTOIN 00409146701 NALBUPHINE HCL 00472500359 NYSTATIN 00409176102 MARCAINE SPINAL 00472500360 NYSTATIN 00409177510 DEXTROSE IN WATER 00472500659 METOCLOPRAMIDE HCL 00409206605 LIDOCAINE HCL 00472500660 METOCLOPRAMIDE HCL 00409307331 EPHEDRINE SULFATE 00487990402 ALBUTEROL SULFATE 00409357701 TOBRAMYCIN SULFATE 00517029925 PHENYLEPHRINE HCL 00409414202 DOPAMINE HCL IN 5% DEXTROSE 00517030110 METHYLENE BLUE 00409464601 PANCURONIUM BROMIDE 00517031010 METHYLENE BLUE 00409490034 SODIUM BICARBONATE 00517040525 PHENYLEPHRINE HCL 00409592201 AMINOPHYLLINE 00517064825 SODIUM CHLORIDE 00409602804 MORPHINE SULFATE 00517066225 WATER 00409773020 SODIUM CHLORIDE 00517090125 HYDRALAZINE HCL 00409773036 SODIUM CHLORIDE 00517107125 EPINEPHRINE 00409773037 SODIUM CHLORIDE 00517180525 DOPAMINE HCL 00409963104 FUROSEMIDE 00517190525 DOPAMINE HCL 00472015015 NYSTATIN-TRIAMCINOLONE 00517205325 POTASSIUM ACETATE 00472015030 NYSTATIN-TRIAMCINOLONE 00517209625 SODIUM ACETATE 00472015060 NYSTATIN-TRIAMCINOLONE 00517271025 CALCIUM CHLORIDE 00472038015 BETAMETHASONE DIPROPIONATE 00517300525 WATER

3/19/08 Page 8 of 24 200804 Decreased Drug Co-pay

NDC DRUG NAME NDC DRUG NAME 00517301025 WATER 00555063302 00517381025 AMINOPHYLLINE 00555063402 DANAZOL 00517460125 GLYCOPYRROLATE 00555063502 DANAZOL 00517460225 GLYCOPYRROLATE 00555063509 DANAZOL 00517460525 GLYCOPYRROLATE 00555087004 FLUTAMIDE 00517502425 POTASSIUM ACETATE 00555087063 FLUTAMIDE 00517540225 VERAPAMIL HCL 00555090401 TAMOXIFEN CITRATE 00517750425 ACETYLCYSTEINE 00555090414 TAMOXIFEN CITRATE 00517751003 ACETYLCYSTEINE 00555095302 DEXTROAMPHETAMINE SULFATE 00517760425 ACETYLCYSTEINE 00555099702 FLUDROCORTISONE ACETATE 00517761003 ACETYLCYSTEINE 00555111909 NALBUPHINE HCL 00517763003 ACETYLCYSTEINE 00555112009 NALBUPHINE HCL 00517890510 METHYLDOPATE HCL 00555112105 NALBUPHINE HCL 00517912025 AMINOCAPROIC ACID 00555112205 NALBUPHINE HCL 00527133701 BACLOFEN 00555112710 MORPHINE SULFATE 00527136701 PROBENECID 00555112810 MORPHINE SULFATE 00527136710 PROBENECID 00555112910 MORPHINE SULFATE 00527136801 DANAZOL 00555113010 MORPHINE SULFATE 00527136901 DANAZOL 00574040405 NYSTATIN 00527136906 DANAZOL 00574040415 NYSTATIN 00527139201 DANAZOL 00574040450 NYSTATIN 00548100400 CALCIUM CHLORIDE 00574085410 NOREPINEPHRINE BITARTRATE 00548103400 MAGNESIUM SULFATE 00574704012 BELLADONNA & OPIUM 00548108000 LIDOCAINE HCL 00574704512 BELLADONNA & OPIUM 00548139000 MIN-I-JET 00591038801 HYDROCODONE-ACETAMINOPHEN 00548146600 NALOXONE HCL 00591074401 ESTAZOLAM 00548200400 CALCIUM CHLORIDE 00591074501 ESTAZOLAM 00548290125 MORPHINE SULFATE 00591082001 OXYCODONE-ASPIRIN 00548330400 CALCIUM CHLORIDE 00591289030 NICOTINE PATCH 00548338000 AMIODARONE HCL 00591289330 NICOTINE PATCH 00555005902 DIPHENHYDRAMINE HCL 00591290130 NICOTINE PATCH 00555005905 DIPHENHYDRAMINE HCL 00591290154 NICOTINE PATCH 00555006602 ISONIAZID 00591312879 IN OIL 00555006605 ISONIAZID 00591355068 CEFAZOLIN SODIUM 00555030502 ACETAMINOPHEN-CODEINE 00591505201 PREDNISONE 00555044521 ERYTHROMYCIN-SULFISOXAZOLE 00591505210 PREDNISONE 00555044522 ERYTHROMYCIN-SULFISOXAZOLE 00591505901 PREDNISOLONE 00555044523 ERYTHROMYCIN-SULFISOXAZOLE 00591505910 PREDNISOLONE 00555048401 LEUCOVORIN CALCIUM 00591531901 PROMETHAZINE HCL 00555048402 LEUCOVORIN CALCIUM 00591533501 TRIHEXYPHENIDYL HCL 00555057202 METHOTREXATE 00591533510 TRIHEXYPHENIDYL HCL 00555057235 METHOTREXATE 00591533701 TRIHEXYPHENIDYL HCL

3/19/08 Page 9 of 24 200804 Decreased Drug Co-pay

NDC DRUG NAME NDC DRUG NAME 00591533710 TRIHEXYPHENIDYL HCL 00603221621 AMITRIPTYLINE HCL 00591534701 PROBENECID 00603240621 BACLOFEN 00591534710 PROBENECID 00603240628 BACLOFEN 00591552201 HYDROXYZINE HCL 00603240632 BACLOFEN 00591552205 HYDROXYZINE HCL 00603240721 BACLOFEN 00591552301 HYDROXYZINE HCL 00603240728 BACLOFEN 00591552305 HYDROXYZINE HCL 00603240732 BACLOFEN 00591552310 HYDROXYZINE HCL 00603385621 HYDROCHLOROTHIAZIDE 00591553801 QUINIDINE GLUCONATE 00603385632 HYDROCHLOROTHIAZIDE 00591553805 QUINIDINE GLUCONATE 00603385634 HYDROCHLOROTHIAZIDE 00591553825 QUINIDINE GLUCONATE 00603385721 HYDROCHLOROTHIAZIDE 00591555601 PROPRANOLOL HCL 00603385732 HYDROCHLOROTHIAZIDE 00591555610 PROPRANOLOL HCL 00603396721 HYDROXYZINE HCL 00591555701 PROPRANOLOL HCL 00603396728 HYDROXYZINE HCL 00591555705 PROPRANOLOL HCL 00603396732 HYDROXYZINE HCL 00591557101 TRIMETHOPRIM 00603396821 HYDROXYZINE HCL 00591566101 SULINDAC 00603396828 HYDROXYZINE HCL 00591566105 SULINDAC 00603396832 HYDROXYZINE HCL 00591573001 BACLOFEN 00603396921 HYDROXYZINE HCL 00591573005 BACLOFEN 00603396928 HYDROXYZINE HCL 00591573101 BACLOFEN 00603411721 ISOSORBIDE DINITRATE 00591573105 BACLOFEN 00603411732 ISOSORBIDE DINITRATE 00603102058 ACETAMINOPHEN W/CODEINE 00603411821 ISOSORBIDE DINITRATE 00603137856 LACTULOSE 00603411832 ISOSORBIDE DINITRATE 00603137858 LACTULOSE 00603447121 00603137859 LACTULOSE 00603478221 NITROGLYCERIN 00603137865 LACTULOSE 00603478321 NITROGLYCERIN 00603142258 METAPROTERENOL SULFATE 00603478420 NITROGLYCERIN 00603148149 NYSTATIN 00603504321 PAPAVERINE HCL 00603148158 NYSTATIN 00603504332 PAPAVERINE HCL 00603150858 PHENOBARBITAL 00603509021 PERPHENAZINE 00603158454 PROMETHAZINE HCL 00603509028 PERPHENAZINE 00603158458 PROMETHAZINE HCL 00603509121 PERPHENAZINE 00603158554 PROMETHAZINE-CODEINE 00603509128 PERPHENAZINE 00603158558 PROMETHAZINE-CODEINE 00603509321 PERPHENAZINE 00603158654 PROMETHAZINE-DM 00603516821 PHENOBARBITAL 00603158658 PROMETHAZINE-DM 00603516832 PHENOBARBITAL 00603168458 SULFAMETHOXAZOLE- 00603533521 PREDNISONE TRIMETHOPRIM 00603533532 PREDNISONE 00603168558 SULFAMETHOXAZOLE- 00603533621 PREDNISONE TRIMETHOPRIM 00603533721 PREDNISONE 00603221421 AMITRIPTYLINE HCL 00603533732 PREDNISONE 00603221432 AMITRIPTYLINE HCL

3/19/08 Page 10 of 24 200804 Decreased Drug Co-pay

NDC DRUG NAME NDC DRUG NAME 00603533821 PREDNISONE 00703574711 CISPLATIN 00603533828 PREDNISONE 00703574811 CISPLATIN 00603533832 PREDNISONE 00703612101 TESTOSTERONE CYPIONATE 00603533921 PREDNISONE 00703717104 PROCHLORPERAZINE EDISYLATE 00603533928 PREDNISONE 00703717501 PROCHLORPERAZINE EDISYLATE 00603533932 PREDNISONE 00703723939 ONDANSETRON HCL IN DEXTROSE 00603543921 PROMETHAZINE HCL 00713013512 PROCHLORPERAZINE MALEATE 00603546221 PROPOXYPHENE HCL-APAP 00781103001 TRIFLUOPERAZINE HCL 00603546228 PROPOXYPHENE HCL-APAP 00781103201 TRIFLUOPERAZINE HCL 00603624021 TRIHEXYPHENIDYL HCL 00781104601 PERPHENAZINE 00603624032 TRIHEXYPHENIDYL HCL 00781104613 PERPHENAZINE 00603624121 TRIHEXYPHENIDYL HCL 00781104701 PERPHENAZINE 00603624132 TRIHEXYPHENIDYL HCL 00781104713 PERPHENAZINE 00603703841 ACETIC ACID 00781104801 PERPHENAZINE 00603703939 ACETIC ACID-HYDROCORTISONE 00781104813 PERPHENAZINE 00603778178 HYDROCORTISONE 00781104901 PERPHENAZINE 00603786174 TRIAMCINOLONE ACETONIDE 00781120501 PENICILLIN V POTASSIUM 00603786190 TRIAMCINOLONE ACETONIDE 00781120510 PENICILLIN V POTASSIUM 00641036725 SODIUM 00781135901 CLEMASTINE FUMARATE PHOSPHATE 00781139101 HALOPERIDOL 00641049325 PHENYTOIN SODIUM 00781139113 HALOPERIDOL 00641149635 PROMETHAZINE HCL 00781139201 HALOPERIDOL 00641255545 PHENYTOIN SODIUM 00781139213 HALOPERIDOL 00641296545 ESMOLOL HCL 00781139301 HALOPERIDOL 00677000701 AMINOPHYLLINE 00781139313 HALOPERIDOL 00677060401 HYDROXYZINE HCL 00781139601 HALOPERIDOL 00677060405 HYDROXYZINE HCL 00781139610 HALOPERIDOL 00677060410 HYDROXYZINE HCL 00781139613 HALOPERIDOL 00677067505 QUINIDINE GLUCONATE 00781148801 AMITRIPTYLINE HCL 00677091730 SULFACETAMIDE SODIUM 00781148810 AMITRIPTYLINE HCL 00677099633 ACETAMINOPHEN W/CODEINE 00781149001 AMITRIPTYLINE HCL 00677135901 ALBUTEROL SULFATE 00781161966 AMOX TR-POTASSIUM CLAVULANATE 00677175201 TRIHEXYPHENIDYL HCL 00781164366 AMOX TR-POTASSIUM CLAVULANATE 00703127104 TERBUTALINE SULFATE 00781165501 PENICILLIN V POTASSIUM 00703292503 VECURONIUM BROMIDE 00781165510 PENICILLIN V POTASSIUM 00703301513 ADRUCIL 00781169501 ISOSORBIDE DINITRATE 00703306711 EPIRUBICIN HCL 00781169510 ISOSORBIDE DINITRATE 00703306911 EPIRUBICIN HCL 00781169513 ISOSORBIDE DINITRATE 00703440211 VINCRISTINE SULFATE 00781171501 HCL 00703441211 VINCRISTINE SULFATE 00781171601 CHLORPROMAZINE HCL 00703504001 DOXORUBICIN HCL 00781171701 CHLORPROMAZINE HCL 00703504303 DOXORUBICIN HCL 00781171801 CHLORPROMAZINE HCL 00703504601 DOXORUBICIN HCL

3/19/08 Page 11 of 24 200804 Decreased Drug Co-pay

NDC DRUG NAME NDC DRUG NAME 00781178501 DICLOFENAC SODIUM 00781912595 NAFCILLIN SODIUM 00781178701 DICLOFENAC SODIUM 00781912695 NAFCILLIN SODIUM 00781183201 PROMETHAZINE HCL 00781920746 CEFUROXIME SODIUM 00781202001 AMOXICILLIN 00781920795 CEFUROXIME SODIUM 00781202005 AMOXICILLIN 00781922492 NAFCILLIN SODIUM 00781202031 AMOXICILLIN 00781940295 AMPICILLIN SODIUM 00781202076 AMOXICILLIN 00781940495 AMPICILLIN SODIUM 00781204801 AMANTADINE 00781940895 AMPICILLIN SODIUM 00781204805 AMANTADINE 00781940995 AMPICILLIN SODIUM 00781214401 AMPICILLIN TRIHYDRATE 00781941292 AMPICILLIN SODIUM 00781214501 AMPICILLIN TRIHYDRATE 00781941392 AMPICILLIN SODIUM 00781224801 DICLOXACILLIN SODIUM 00781945196 CEFAZOLIN SODIUM 00781225801 DICLOXACILLIN SODIUM 00832030000 CHLORPROMAZINE HCL 00781261301 AMOXICILLIN 00832030010 CHLORPROMAZINE HCL 00781261305 AMOXICILLIN 00832030100 CHLORPROMAZINE HCL 00781261331 AMOXICILLIN 00832030110 CHLORPROMAZINE HCL 00781261376 AMOXICILLIN 00832030200 CHLORPROMAZINE HCL 00781280901 OXAZEPAM 00832030210 CHLORPROMAZINE HCL 00781281001 OXAZEPAM 00832030300 CHLORPROMAZINE HCL 00781281101 OXAZEPAM 00832030310 CHLORPROMAZINE HCL 00781300571 FENOLDOPAM MESYLATE 00832030400 CHLORPROMAZINE HCL 00781300592 FENOLDOPAM MESYLATE 00832030410 CHLORPROMAZINE HCL 00781312585 NAFCILLIN SODIUM 00832101500 AMANTADINE 00781312595 NAFCILLIN SODIUM 00832101550 AMANTADINE 00781312646 NAFCILLIN SODIUM 00832108000 BENZTROPINE MESYLATE 00781312695 NAFCILLIN SODIUM 00832108010 BENZTROPINE MESYLATE 00781312892 NAFCILLIN SODIUM 00904020260 AMITRIPTYLINE HCL 00781340295 AMPICILLIN SODIUM 00904020261 AMITRIPTYLINE HCL 00781340485 AMPICILLIN SODIUM 00904105560 BENZTROPINE MESYLATE 00781340495 AMPICILLIN SODIUM 00904105561 BENZTROPINE MESYLATE 00781340895 AMPICILLIN SODIUM 00904105660 BENZTROPINE MESYLATE 00781340995 AMPICILLIN SODIUM 00904105661 BENZTROPINE MESYLATE 00781341292 AMPICILLIN SODIUM 00904105680 BENZTROPINE MESYLATE 00781341392 AMPICILLIN SODIUM 00904105760 BENZTROPINE MESYLATE 00781345196 CEFAZOLIN SODIUM 00904105761 BENZTROPINE MESYLATE 00781392646 CEFUROXIME SODIUM 00904105780 BENZTROPINE MESYLATE 00781604146 AMOXICILLIN 00904190705 GENTAMICIN SULFATE 00781604155 AMOXICILLIN 00904190735 GENTAMICIN SULFATE 00781604158 AMOXICILLIN 00904205661 DIPHENHYDRAMINE HCL 00781612048 PENICILLIN V POTASSIUM 00904522261 BACLOFEN 00781613595 PENICILLIN G POTASSIUM 00904527460 MULTIVITAMINS W/FLUORIDE 00781613694 PENICILLIN G POTASSIUM 00904544561 CIMETIDINE

3/19/08 Page 12 of 24 200804 Decreased Drug Co-pay

NDC DRUG NAME NDC DRUG NAME 00904555361 FAMOTIDINE 15330024905 TRIAZOLAM 00904558152 LOVASTATIN 15330024981 TRIAZOLAM 00904575526 POLYETHYLENE GLYCOL 16252054001 ISRADIPINE 00904575527 POLYETHYLENE GLYCOL 17478053802 ORPHENADRINE CITRATE 00904765855 ALBUTEROL SULFATE 17478071510 TARTRATE 10019003372 FENTANYL CITRATE 17478071511 BRIMONIDINE TARTRATE 10019003473 FENTANYL CITRATE 17478071512 BRIMONIDINE TARTRATE 10019003574 FENTANYL CITRATE 17478093401 HYDRALAZINE HCL 10019003867 FENTANYL CITRATE 23155000501 SULINDAC 10019005006 SUFENTANIL CITRATE 23155000505 SULINDAC 10019005021 SUFENTANIL CITRATE 24208031705 SULFACETAMIDE-PREDNISOLONE 10019005043 SUFENTANIL CITRATE 24208031710 SULFACETAMIDE-PREDNISOLONE 10019017644 MORPHINE SULFATE 24208034425 10019018120 DOBUTAMINE HCL 24208034720 ALBUTEROL SULFATE 10019025112 ATROPINE SULFATE 24208041105 BRIMONIDINE TARTRATE 10019029102 OXYTOCIN 24208041110 BRIMONIDINE TARTRATE 10019029104 OXYTOCIN 24208041115 BRIMONIDINE TARTRATE 10019029112 OXYTOCIN 24208059064 10019029171 OXYTOCIN 24208067004 SULFACETAMIDE SODIUM 10019051001 DILTIAZEM HCL 24208071502 PREDNISOLONE SODIUM 10019051002 DILTIAZEM HCL PHOSPHATE 24208071506 PREDNISOLONE SODIUM 10019051004 DILTIAZEM HCL PHOSPHATE 10019051005 DILTIAZEM HCL 24208071510 PREDNISOLONE SODIUM 10019051010 DILTIAZEM HCL PHOSPHATE 10019092102 DOXORUBICIN HCL 24208078055 NEOMYCIN-BACITRACIN-POLYMYXIN 10019092602 IFOSFAMIDE 24208078555 NEOMYCIN-BACITRACIN-POLY-HC 10019092616 IFOSFAMIDE 24208081115 PILOCARPINE HCL 10019095501 CYCLOPHOSPHAMIDE 24208082115 PILOCARPINE HCL 10019095601 CYCLOPHOSPHAMIDE 24208096094 NYSTATIN 10019095701 CYCLOPHOSPHAMIDE 45802004064 SELENIUM SULFIDE 10267164101 SODIUM FLUORIDE 45802004611 GENTAMICIN SULFATE 10267164104 SODIUM FLUORIDE 45802004635 GENTAMICIN SULFATE 10768708501 PREDNISONE 45802004935 TRIAMCINOLONE ACETONIDE 10768728303 PREDNISONE 45802005405 TRIAMCINOLONE ACETONIDE 10768728304 PREDNISONE 45802005435 TRIAMCINOLONE ACETONIDE 10768773303 PREDNISONE 45802005436 TRIAMCINOLONE ACETONIDE 10914091016 BROM TANN-DM TANN-PSE TANN 45802005611 GENTAMICIN SULFATE 10914098004 HYDROCODONE-GUAIFENESIN 45802005635 GENTAMICIN SULFATE 10914098016 HYDROCODONE-GUAIFENESIN 45802006335 TRIAMCINOLONE ACETONIDE 15330024601 BACLOFEN 45802006336 TRIAMCINOLONE ACETONIDE 15330024605 BACLOFEN 45802046611 ECONAZOLE NITRATE 15330024901 TRIAZOLAM 45802046635 ECONAZOLE NITRATE

3/19/08 Page 13 of 24 200804 Decreased Drug Co-pay

NDC DRUG NAME NDC DRUG NAME 45802046653 ECONAZOLE NITRATE 49884025701 MINOXIDIL 45802095226 IBUPROFEN 49884025705 MINOXIDIL 45802095243 IBUPROFEN 49884028901 MEGESTROL ACETATE 49483001301 NIACIN 49884029001 MEGESTROL ACETATE 49483001350 NIACIN 49884029004 MEGESTROL ACETATE 49483001401 NIACIN 49884029005 MEGESTROL ACETATE 49483001410 NIACIN 49884034301 ESTAZOLAM 49884002101 ISOSORBIDE DINITRATE 49884036581 AMOX TR-POTASSIUM CLAVULANATE 49884002110 ISOSORBIDE DINITRATE 49884041447 CEPHALEXIN 49884002701 HYDRALAZINE HCL 49884041470 CEPHALEXIN 49884002710 HYDRALAZINE HCL 49884041547 CEPHALEXIN 49884002801 HYDRALAZINE HCL 49884041570 CEPHALEXIN 49884002810 HYDRALAZINE HCL 49884045305 TRIAZOLAM 49884002901 HYDRALAZINE HCL 49884058901 INDAPAMIDE 49884002910 HYDRALAZINE HCL 49884058910 INDAPAMIDE 49884004301 CYPROHEPTADINE HCL 49884059001 INDAPAMIDE 49884004310 CYPROHEPTADINE HCL 49884059010 INDAPAMIDE 49884006047 AMOXICILLIN 49884059601 ETODOLAC 49884006101 FLUPHENAZINE HCL 49884072501 BUSPIRONE HCL 49884006105 FLUPHENAZINE HCL 49884072505 BUSPIRONE HCL 49884007247 AMOXICILLIN 49884073401 FLUOXETINE HCL 49884007269 AMOXICILLIN 49884073410 FLUOXETINE HCL 49884008001 CEFACLOR ER 49884073411 FLUOXETINE HCL 49884011201 ESTAZOLAM 49884073482 FLUOXETINE HCL 49884012101 HYDRALAZINE HCL 49884075305 FLUTAMIDE 49884012110 HYDRALAZINE HCL 49884075313 FLUTAMIDE 49884016401 BENZTROPINE MESYLATE 49884075401 LOVASTATIN 49884016501 BENZTROPINE MESYLATE 49884075402 LOVASTATIN 49884016510 BENZTROPINE MESYLATE 49884075410 LOVASTATIN 49884016601 BENZTROPINE MESYLATE 50111030701 HYDROXYZINE HCL 49884016610 BENZTROPINE MESYLATE 50111030702 HYDROXYZINE HCL 49884021701 HCL 50111030703 HYDROXYZINE HCL 49884021710 DOXEPIN HCL 50111030801 HYDROXYZINE HCL 49884021801 DOXEPIN HCL 50111030802 HYDROXYZINE HCL 49884021810 DOXEPIN HCL 50111030803 HYDROXYZINE HCL 49884021901 DOXEPIN HCL 50111030901 HYDROXYZINE HCL 49884021910 DOXEPIN HCL 50111030902 HYDROXYZINE HCL 49884022001 DOXEPIN HCL 50111030903 HYDROXYZINE HCL 49884022010 DOXEPIN HCL 50111031401 CYPROHEPTADINE HCL 49884022101 DOXEPIN HCL 50111031403 CYPROHEPTADINE HCL 49884022110 DOXEPIN HCL 50111032701 HYDRALAZINE HCL 49884025601 MINOXIDIL 50111032703 HYDRALAZINE HCL

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NDC DRUG NAME NDC DRUG NAME 50111032801 HYDRALAZINE HCL 51079002720 QUINIDINE GLUCONATE 50111032803 HYDRALAZINE HCL 51079003217 PREDNISONE 50111036201 CHLORTHALIDONE 51079003219 PREDNISONE 50111036203 CHLORTHALIDONE 51079003317 PREDNISONE 50111036301 CHLORTHALIDONE 51079003319 PREDNISONE 50111036303 CHLORTHALIDONE 51079006601 DIPHENHYDRAMINE HCL 50111039301 BENZTROPINE MESYLATE 51079006617 DIPHENHYDRAMINE HCL 50111039701 HYDRALAZINE HCL 51079006619 DIPHENHYDRAMINE HCL 50111039801 HYDRALAZINE HCL 51079006620 DIPHENHYDRAMINE HCL 50111039803 HYDRALAZINE HCL 51079009501 PHENOBARBITAL 50111046901 PROPRANOLOL HCL 51079009520 PHENOBARBITAL 50111046903 PROPRANOLOL HCL 51079013301 AMITRIPTYLINE HCL 50111054601 DICLOFENAC SODIUM 51079013320 AMITRIPTYLINE HCL 50111054602 DICLOFENAC SODIUM 51079016199 ACETAMINOPHEN W/CODEINE 50111054603 DICLOFENAC SODIUM 51079019001 INDOMETHACIN 50111054604 DICLOFENAC SODIUM 51079019017 INDOMETHACIN 50111060801 KETOROLAC TROMETHAMINE 51079019019 INDOMETHACIN 50111088601 HYDROCHLOROTHIAZIDE 51079019020 INDOMETHACIN 50111088603 HYDROCHLOROTHIAZIDE 51079019101 INDOMETHACIN 50111088701 HYDROCHLOROTHIAZIDE 51079019120 INDOMETHACIN 50111088703 HYDROCHLOROTHIAZIDE 51079020001 METHYLDOPA 50383005008 CIMETIDINE 51079020020 METHYLDOPA 50383058905 NYSTATIN 51079020101 METHYLDOPA 50383058915 NYSTATIN 51079020120 METHYLDOPA 50383058950 NYSTATIN 51079022001 BENZTROPINE MESYLATE 50383074016 ALBUTEROL SULFATE 51079022020 BENZTROPINE MESYLATE 50383074120 ALBUTEROL SULFATE 51079022101 BENZTROPINE MESYLATE 50383077908 LACTULOSE 51079022117 BENZTROPINE MESYLATE 50383077932 LACTULOSE 51079022119 BENZTROPINE MESYLATE 50383079516 LACTULOSE 51079022120 BENZTROPINE MESYLATE 50383080116 PROMETHAZINE HCL 51079022201 BENZTROPINE MESYLATE 50383080316 PROMETHAZINE-DM 51079022220 BENZTROPINE MESYLATE 50383080416 PROMETHAZINE-CODEINE 51079026901 LITHIUM CARBONATE 50383082316 SULFAMETHOXAZOLE- 51079026920 LITHIUM CARBONATE TRIMETHOPRIM 51079048101 AMANTADINE 50383082416 SULFAMETHOXAZOLE- 51079048120 AMANTADINE TRIMETHOPRIM 51079051801 CHLORPROMAZINE HCL 50383085516 PAREGORIC 51079051820 CHLORPROMAZINE HCL 51079001501 NEOMYCIN SULFATE 51079056301 AMITRIPTYLINE HCL 51079001520 NEOMYCIN SULFATE 51079056320 AMITRIPTYLINE HCL 51079002217 PREDNISONE 51079056501 THIORIDAZINE HCL 51079002219 PREDNISONE 51079056520 THIORIDAZINE HCL 51079002701 QUINIDINE GLUCONATE

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NDC DRUG NAME NDC DRUG NAME 51079056701 THIORIDAZINE HCL 51672126403 FLUOCINONIDE 51079056720 THIORIDAZINE HCL 51672126901 BETAMETHASONE VALERATE 51079057201 TRIFLUOPERAZINE HCL 51672126906 BETAMETHASONE VALERATE 51079057220 TRIFLUOPERAZINE HCL 51672127302 FLUOCINONIDE 51079057301 TRIFLUOPERAZINE HCL 51672127304 FLUOCINONIDE 51079057320 TRIFLUOPERAZINE HCL 51672127401 BETAMETHASONE DIPROPIONATE 51079057501 TRIFLUOPERAZINE HCL 51672127406 BETAMETHASONE DIPROPIONATE 51079057520 TRIFLUOPERAZINE HCL 51672127501 CLOTRIMAZOLE 51079058001 THIORIDAZINE HCL 51672127502 CLOTRIMAZOLE 51079058020 THIORIDAZINE HCL 51672127506 CLOTRIMAZOLE 51079060001 AMOXICILLIN 51672127507 CLOTRIMAZOLE 51079060020 AMOXICILLIN 51672127901 FLUOCINONIDE 51079060101 AMOXICILLIN 51672127902 FLUOCINONIDE 51079060120 AMOXICILLIN 51672127903 FLUOCINONIDE 51079060501 CEPHALEXIN 51672129601 DIFLORASONE DIACETATE 51079065801 ALBUTEROL SULFATE 51672129602 DIFLORASONE DIACETATE 51079065820 ALBUTEROL SULFATE 51672129603 DIFLORASONE DIACETATE 51079066601 SULINDAC 51672129801 KETOCONAZOLE 51079066620 SULINDAC 51672129802 KETOCONAZOLE 51079067001 METHOTREXATE 51672129803 KETOCONAZOLE 51079067005 METHOTREXATE 51672130901 BETAMETHASONE DIPROPIONATE 51079069001 LOPERAMIDE 51672130903 BETAMETHASONE DIPROPIONATE 51079069017 LOPERAMIDE 51672300701 ACETIC ACID-HYDROCORTISONE 51079069019 LOPERAMIDE 51672401601 ETODOLAC 51079069020 LOPERAMIDE 51672401701 ETODOLAC 51079074101 PROPOXYPHENE HCL-APAP 51672401801 ETODOLAC 51079074120 PROPOXYPHENE HCL-APAP 51672402201 51079080701 CIMETIDINE 51672402301 ACETAZOLAMIDE 51079080720 CIMETIDINE 51672403601 ETODOLAC 51079096201 PACLITAXEL 51672405101 ETODOLAC 51079096301 PACLITAXEL 51672405104 ETODOLAC 51079097401 LOVASTATIN 51672405201 ETODOLAC 51079097420 LOVASTATIN 51672405204 ETODOLAC 51672125301 FLUOCINONIDE 51672405301 ETODOLAC 51672125302 FLUOCINONIDE 51672405304 ETODOLAC 51672125303 FLUOCINONIDE 51672405401 AMCINONIDE 51672125304 FLUOCINONIDE 51672405402 AMCINONIDE 51672126301 NYSTATIN-TRIAMCINOLONE 51672405403 AMCINONIDE 51672126302 NYSTATIN-TRIAMCINOLONE 51672407401 51672126303 NYSTATIN-TRIAMCINOLONE 51672407406 HYDROCORTISONE BUTYRATE 51672126401 FLUOCINONIDE 51672408301 HYDROCORTISONE BUTYRATE 51672126402 FLUOCINONIDE 51672408306 HYDROCORTISONE BUTYRATE

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NDC DRUG NAME NDC DRUG NAME 51672411704 NYSTATIN 53489017605 ALBUTEROL SULFATE 51672411709 NYSTATIN 53489017701 ALBUTEROL SULFATE 52152003102 MULTI-VITA BETS W/FLUORIDE 53489017705 ALBUTEROL SULFATE 52152012705 SODIUM FLUORIDE 53489028101 ERGOLOID MESYLATES 52152012805 SODIUM FLUORIDE 53489028105 ERGOLOID MESYLATES 52152017002 PHENTERMINE HCL 53489028110 ERGOLOID MESYLATES 52152017005 PHENTERMINE HCL 53489040001 NYSTATIN 52152017302 PHENTERMINE HCL 53489047801 SULINDAC 52152017305 PHENTERMINE HCL 53489047805 SULINDAC 52152019002 MEPERIDINE-PROMETHAZINE 53489050001 THIORIDAZINE HCL 52152026301 ISRADIPINE 53489060701 LOVASTATIN 52152026401 ISRADIPINE 53489060706 LOVASTATIN 52152030902 AMANTADINE 54643100600 GOLD SODIUM THIOMALATE 52152030904 AMANTADINE 54643100700 GOLD SODIUM THIOMALATE 52152031102 HYDROXYZINE HCL 54838050115 HALOPERIDOL LACTATE 52152031105 HYDROXYZINE HCL 54838050140 HALOPERIDOL LACTATE 52152031202 HYDROXYZINE HCL 54838050780 METAPROTERENOL SULFATE 52152031205 HYDROXYZINE HCL 54838052270 MAG TRISALICYLATE 52152031302 HYDROXYZINE HCL 55111016050 OFLOXACIN 52152031305 HYDROXYZINE HCL 55111016150 OFLOXACIN 52152034002 ORPHENADRINE CITRATE 55111016201 OFLOXACIN 53489010601 AMITRIPTYLINE HCL 55390000210 NOREPINEPHRINE BITARTRATE 53489010801 AMITRIPTYLINE HCL 55390000310 PROPRANOLOL HCL 53489012601 HYDROXYZINE HCL 55390000601 BLEOMYCIN SULFATE 53489012605 HYDROXYZINE HCL 55390001201 FLUCONAZOLE IN SALINE 53489012610 HYDROXYZINE HCL 55390001402 DEXRAZOXANE 53489012701 HYDROXYZINE HCL 55390003010 THIOTEPA 53489012705 HYDROXYZINE HCL 55390003110 METHOTREXATE 53489012710 HYDROXYZINE HCL 55390003210 METHOTREXATE 53489012801 HYDROXYZINE HCL 55390003310 METHOTREXATE 53489012805 HYDROXYZINE HCL 55390003410 METHOTREXATE 53489012810 HYDROXYZINE HCL 55390003501 DOXAPRAM HCL 53489014101 QUINIDINE GLUCONATE 55390003710 VECURONIUM BROMIDE 53489014103 QUINIDINE GLUCONATE 55390003910 VECURONIUM BROMIDE 53489014105 QUINIDINE GLUCONATE 55390004601 FLUCONAZOLE IN SALINE 53489014801 THIORIDAZINE HCL 55390005301 LEUCOVORIN CALCIUM 53489014810 THIORIDAZINE HCL 55390005401 LEUCOVORIN CALCIUM 53489014901 THIORIDAZINE HCL 55390006002 DEXRAZOXANE 53489014910 THIORIDAZINE HCL 55390006210 ESMOLOL HCL 53489015001 THIORIDAZINE HCL 55390006710 ADENOSINE 53489015010 THIORIDAZINE HCL 55390006801 ADENOSINE 53489017601 ALBUTEROL SULFATE 55390007701 PROCHLORPERAZINE EDISYLATE

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NDC DRUG NAME NDC DRUG NAME 55390007710 PROCHLORPERAZINE EDISYLATE 55390050002 BUMETANIDE 55390009210 FLUMAZENIL 55390050005 BUMETANIDE 55390009310 FLUMAZENIL 55390050010 BUMETANIDE 55390010205 ATRACURIUM BESYLATE 55390050102 BUMETANIDE 55390010310 ATRACURIUM BESYLATE 55390050105 BUMETANIDE 55390010601 ALLOPURINOL SODIUM 55390050110 BUMETANIDE 55390010801 DAUNORUBICIN HCL 55390050310 ALPROSTADIL 55390010810 DAUNORUBICIN HCL 55390050610 ALPROSTADIL 55390013301 CYTARABINE 55390061601 RANITIDINE HCL 55390013401 CYTARABINE 55390061610 RANITIDINE HCL 55390013501 FLOXURIDINE 55390061801 RANITIDINE HCL 55390013910 POLYMYXIN B SULFATE 55390076210 ETOMIDATE 55390014210 DAUNORUBICIN HCL 55390078410 CAFFEINE AND SODIUM BENZOATE 55390014301 METHOTREXATE 55390081810 LEUCOVORIN CALCIUM 55390014701 HALOPERIDOL LACTATE 55390082501 LEUCOVORIN CALCIUM 55390014710 HALOPERIDOL LACTATE 55390082601 LEUCOVORIN CALCIUM 55390016301 OCTREOTIDE ACETATE 55390087501 EPHEDRINE SULFATE 55390016401 OCTREOTIDE ACETATE 55654001402 SODIUM FLUORIDE 55390017910 ATRACURIUM BESYLATE 57664016408 FLURBIPROFEN 55390018005 ATRACURIUM BESYLATE 57664042818 HYDROCHLOROTHIAZIDE 55390018301 BUTORPHANOL TARTRATE 57664042888 HYDROCHLOROTHIAZIDE 55390018401 BUTORPHANOL TARTRATE 57664042918 HYDROCHLOROTHIAZIDE 55390018402 BUTORPHANOL TARTRATE 57664042988 HYDROCHLOROTHIAZIDE 55390018510 BUTORPHANOL TARTRATE 57664050608 METOPROLOL TARTRATE 55390020701 EPIRUBICIN HCL 57664050618 METOPROLOL TARTRATE 55390020801 EPIRUBICIN HCL 57664051018 55390021801 SOD SUCC 57664051083 MIRTAZAPINE 55390021901 METHYLPREDNISOLONE SOD SUCC 58177000403 NITROGLYCERIN 55390022302 AMIKACIN SULFATE 58177000404 NITROGLYCERIN 55390022402 AMIKACIN SULFATE 58177000503 NITROGLYCERIN 55390022404 AMIKACIN SULFATE 58177000504 NITROGLYCERIN 55390022502 AMIKACIN SULFATE 58177000603 NITROGLYCERIN 55390022602 AMIKACIN SULFATE 58177000604 NITROGLYCERIN 55390022604 AMIKACIN SULFATE 58177002704 MEPERIDINE-PROMETHAZINE 55390026310 DEFEROXAMINE MESYLATE 58177031304 MORPHINE SULFATE 55390026501 DEFEROXAMINE MESYLATE 58177031404 MORPHINE SULFATE 55390030405 PACLITAXEL 58809042405 CARISOPRODOL 55390030420 PACLITAXEL 59196001104 PREDNISOLONE SODIUM 55390030450 PACLITAXEL PHOSPHATE 59366270401 55390043501 FLOXURIDINE BENZOYL PEROXIDE 59366270501 55390044701 HALOPERIDOL LACTATE BENZOYL PEROXIDE 59366273103 55390044710 HALOPERIDOL LACTATE SODIUM SULFACETAMIDE-SULFUR 59366273608 BENZOYL PEROXIDE

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NDC DRUG NAME NDC DRUG NAME 59366274003 SODIUM SULFACETAMIDE-SULFUR 60505017700 LOVASTATIN 59366274201 BENZOYL PEROXIDE 60505020801 ENALAPRIL MALEATE-HCTZ 59366276205 SODIUM SULFACETAMIDE-SULFUR 60505035302 CIMETIDINE 59366276207 SODIUM SULFACETAMIDE-SULFUR 60505035700 CLEMASTINE FUMARATE 59366410002 AMMONIUM LACTATE 60505065800 BUTORPHANOL TARTRATE 59366410004 AMMONIUM LACTATE 60505065900 BUTORPHANOL TARTRATE 59390018113 TETRACAINE HCL 60505065901 BUTORPHANOL TARTRATE 59390018118 TETRACAINE HCL 60505066000 BUTORPHANOL TARTRATE 59743062004 MIDAZOLAM HCL 60505070500 KETOROLAC TROMETHAMINE 59746017106 PREDNISONE 60505070600 KETOROLAC TROMETHAMINE 59746017110 PREDNISONE 60505071101 MIDAZOLAM HCL 59746017206 PREDNISONE 60505071102 MIDAZOLAM HCL 59746017210 PREDNISONE 60505071103 MIDAZOLAM HCL 59762371704 TRIAZOLAM 60505071201 MIDAZOLAM HCL 60258009008 CHOLINE MAG TRISALICYLATE 60505071202 MIDAZOLAM HCL 60258028201 CPM 8/PSE 90/MSC 2.5 60505071203 MIDAZOLAM HCL 60432000708 CIMETIDINE 60505071204 MIDAZOLAM HCL 60432009316 AMANTADINE 60505071500 DIPYRIDAMOLE 60432015004 HYDROXYZINE HCL 60505071501 DIPYRIDAMOLE 60432015016 HYDROXYZINE HCL 60505072200 AMIODARONE HCL 60432024504 ACETAMINOPHEN W/CODEINE 60505072201 AMIODARONE HCL 60432024516 ACETAMINOPHEN W/CODEINE 60505072501 KETOROLAC TROMETHAMINE 60432045716 PAREGORIC 60505072601 KETOROLAC TROMETHAMINE 60432052804 SELENIUM SULFIDE 60505072602 KETOROLAC TROMETHAMINE 60432053316 CHLORAL HYDRATE 60505080601 IPRATROPIUM BROMIDE 60432053716 NYSTATIN 60505080701 METAPROTERENOL SULFATE 60432053760 NYSTATIN 60505080801 METAPROTERENOL SULFATE 60432060616 PROMETHAZINE-CODEINE 60505250401 LITHIUM CARBONATE 60432060804 PROMETHAZINE HCL 60505250402 LITHIUM CARBONATE 60432060816 PROMETHAZINE HCL 60505250403 LITHIUM CARBONATE 60432061304 FUROSEMIDE 60758086605 BRIMONIDINE TARTRATE 60432061360 FUROSEMIDE 60758086610 BRIMONIDINE TARTRATE 60432061616 LITHIUM CITRATE 60758086615 BRIMONIDINE TARTRATE 60432062216 METOCLOPRAMIDE HCL 61314004475 TRIFLURIDINE 60432074115 ACETIC ACID 61314014305 BRIMONIDINE TARTRATE 60505000406 CAPTOPRIL 61314014310 BRIMONIDINE TARTRATE 60505000409 CAPTOPRIL 61314014315 BRIMONIDINE TARTRATE 60505001806 CIMETIDINE 61314020815 PILOCARPINE HCL 60505003901 ETODOLAC 61314029405 DEXAMETHASONE SODIUM 60505004001 ETODOLAC PHOSPHATE 61314029705 60505004101 ETODOLAC SULFACETAMIDE-PREDNISOLONE 61314029710 60505010201 ETODOLAC SULFACETAMIDE-PREDNISOLONE 61314035401 TROPICAMIDE

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NDC DRUG NAME NDC DRUG NAME 61314063305 GENTAMICIN SULFATE 63304096901 AMOXICILLIN 61314070101 SULFACETAMIDE SODIUM 63304096903 AMOXICILLIN 61703030538 CYTARABINE 63304096904 AMOXICILLIN 61703035038 METHOTREXATE 63323000650 SODIUM BICARBONATE 61748001201 PYRAZINAMIDE 63323001002 GENTAMICIN SULFATE 61748001205 PYRAZINAMIDE 63323001020 GENTAMICIN SULFATE 61748001206 PYRAZINAMIDE 63323001201 OXYTOCIN 61748001209 PYRAZINAMIDE 63323001210 OXYTOCIN 61748001211 PYRAZINAMIDE 63323002101 HYDROXYZINE HCL 62037079101 LOVASTATIN 63323002425 MANNITOL 62037079160 LOVASTATIN 63323002510 CHORIONIC GONADOTROPIN 62584023501 CEPHALEXIN 63323003250 SODIUM ACETATE 62584023701 AMOXICILLIN 63323003261 SODIUM ACETATE 62584023801 AMOXICILLIN 63323005101 HYDROXYZINE HCL 62584071501 ATENOLOL 63323005102 HYDROXYZINE HCL 62584071511 ATENOLOL 63323006402 MAGNESIUM SULFATE 62584074701 IBUPROFEN 63323006410 MAGNESIUM SULFATE 62584074711 IBUPROFEN 63323006420 MAGNESIUM SULFATE 62584074780 IBUPROFEN 63323006450 MAGNESIUM SULFATE 62584074785 IBUPROFEN 63323008450 SODIUM BICARBONATE 63304020518 MIDAZOLAM HCL 63323008605 POTASSIUM PHOSPHATE 63304051250 CEFADROXIL 63323008615 POTASSIUM PHOSPHATE 63304051501 AMOXICILLIN 63323008650 POTASSIUM PHOSPHATE 63304051504 AMOXICILLIN 63323008861 SODIUM CHLORIDE 63304058201 CEFADROXIL 63323010510 ACYCLOVIR SODIUM 63304058250 CEFADROXIL 63323011850 SODIUM PHOSPHATE 63304065401 AMOXICILLIN 63323012020 CYTARABINE 63304065405 AMOXICILLIN 63323012102 METHOTREXATE 63304065501 AMOXICILLIN 63323012104 METHOTREXATE 63304065505 AMOXICILLIN 63323012108 METHOTREXATE 63304065801 CEFACLOR 63323012110 METHOTREXATE 63304065901 CEFACLOR 63323012140 METHOTREXATE 63304071550 OFLOXACIN 63323012302 METHOTREXATE 63304071650 OFLOXACIN 63323012310 METHOTREXATE 63304071701 OFLOXACIN 63323013011 DOXYCYCLINE HYCLATE 63304075320 AMOX TR-POTASSIUM CLAVULANATE 63323013920 SODIUM CHLORIDE 63304075420 AMOX TR-POTASSIUM CLAVULANATE 63323013940 SODIUM CHLORIDE 63304094810 CEFUROXIME SODIUM 63323014507 FLOXURIDINE 63304095801 CEPHALEXIN 63323016101 KETOROLAC TROMETHAMINE 63304095802 CEPHALEXIN 63323016201 KETOROLAC TROMETHAMINE 63304095901 CEPHALEXIN 63323016202 KETOROLAC TROMETHAMINE 63304095902 CEPHALEXIN 63323016501 DEXAMETHASONE SODIUM PHOSPHATE

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NDC DRUG NAME NDC DRUG NAME 63323016505 DEXAMETHASONE SODIUM 63323040703 CAFFEINE CITRATE PHOSPHATE 63323047401 HALOPERIDOL LACTATE 63323016530 DEXAMETHASONE SODIUM 63323054001 HEPARIN SODIUM PHOSPHATE 63323054011 HEPARIN SODIUM 63323017005 SODIUM PHOSPHATE 63323054031 HEPARIN SODIUM 63323017015 SODIUM PHOSPHATE 63323054201 HEPARIN SODIUM 63323020202 LIDOCAINE HCL 63323054207 HEPARIN SODIUM 63323022110 VANCOMYCIN HCL 63323054501 HEPARIN LOCK FLUSH 63323023401 ATROPINE SULFATE 63323054505 HEPARIN LOCK FLUSH 63323023420 ATROPINE SULFATE 63323061710 MILRINONE LACTATE 63323023710 CEFAZOLIN SODIUM 63323061720 MILRINONE LACTATE 63323024601 ATROPINE SULFATE 63323061750 MILRINONE LACTATE 63323024710 LEVOTHYROXINE SODIUM 63323066401 DIPHENHYDRAMINE HCL 63323024810 LEVOTHYROXINE SODIUM 63323066501 TERBUTALINE SULFATE 63323025503 METHYLPREDNISOLONE SOD SUCC 63323071100 LEUCOVORIN CALCIUM 63323025803 METHYLPREDNISOLONE SOD SUCC 63323073101 CALCITRIOL 63323025930 SODIUM CHLORIDE 63323073410 PAMIDRONATE DISODIUM 63323026110 PROGESTERONE IN OIL 63323073510 PAMIDRONATE DISODIUM 63323026201 HEPARIN SODIUM 63323092410 SODIUM CHLORIDE 63323026530 METHYLPREDNISOLONE SOD SUCC 63323092430 SODIUM CHLORIDE 63323027205 FLUPHENAZINE DECANOATE 63672102502 FLUVOXAMINE MALEATE 63323028002 FUROSEMIDE 63672105002 FLUVOXAMINE MALEATE 63323028004 FUROSEMIDE 63672110002 FLUVOXAMINE MALEATE 63323028010 FUROSEMIDE 63739003101 BACLOFEN 63323028420 VANCOMYCIN HCL 63739003103 BACLOFEN 63323029561 VANCOMYCIN HCL 63739003110 BACLOFEN 63323030502 TOBRAMYCIN SULFATE 63739003115 BACLOFEN 63323030602 TOBRAMYCIN SULFATE 63739003201 BACLOFEN 63323030630 TOBRAMYCIN SULFATE 63739003203 BACLOFEN 63323030655 TOBRAMYCIN SULFATE 63739003215 BACLOFEN 63323030656 TOBRAMYCIN SULFATE 63739003301 BENZTROPINE MESYLATE 63323032930 BACITRACIN 63739003303 BENZTROPINE MESYLATE 63323033115 CEFOTAXIME SODIUM 63739003310 BENZTROPINE MESYLATE 63323033215 CEFOTAXIME SODIUM 63739003315 BENZTROPINE MESYLATE 63323033361 CEFOTAXIME SODIUM 63739003401 BENZTROPINE MESYLATE 63323033510 CEFOTAXIME SODIUM 63739003403 BENZTROPINE MESYLATE 63323034120 CEFOXITIN 63739003410 BENZTROPINE MESYLATE 63323034220 CEFOXITIN 63739003415 BENZTROPINE MESYLATE 63323034361 CEFOXITIN 63739003501 BENZTROPINE MESYLATE 63323037510 SODIUM LACTATE 63739003503 BENZTROPINE MESYLATE 63323038210 METHYLSULFATE 63739003510 BENZTROPINE MESYLATE 63323038310 NEOSTIGMINE METHYLSULFATE 63739003515 BENZTROPINE MESYLATE 63323038810 AMPICILLIN SODIUM

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NDC DRUG NAME NDC DRUG NAME 63739004601 CARBIDOPA-LEVODOPA 63739026510 LITHIUM CARBONATE 63739004603 CARBIDOPA-LEVODOPA 63739026515 LITHIUM CARBONATE 63739004610 CARBIDOPA-LEVODOPA 63739028010 LOVASTATIN 63739004615 CARBIDOPA-LEVODOPA 63739028015 LOVASTATIN 63739004701 CARBIDOPA-LEVODOPA 63739028110 LOVASTATIN 63739004703 CARBIDOPA-LEVODOPA 63739028115 LOVASTATIN 63739004710 CARBIDOPA-LEVODOPA 63739028310 DILTIAZEM ER 63739004715 CARBIDOPA-LEVODOPA 63739028315 DILTIAZEM ER 63739004801 CARBIDOPA-LEVODOPA 63739028510 DILTIAZEM ER 63739004803 CARBIDOPA-LEVODOPA 63739028515 DILTIAZEM ER 63739004810 CARBIDOPA-LEVODOPA 63739030210 ENALAPRIL MALEATE 63739004815 CARBIDOPA-LEVODOPA 63739030215 ENALAPRIL MALEATE 63739012010 HALOPERIDOL 63739030501 POTASSIUM CHLORIDE 63739012015 HALOPERIDOL 63739030503 POTASSIUM CHLORIDE 63739012110 HALOPERIDOL 63739030510 POTASSIUM CHLORIDE 63739012115 HALOPERIDOL 63739030515 POTASSIUM CHLORIDE 63739012210 HALOPERIDOL 63739030601 POTASSIUM CHLORIDE 63739012215 HALOPERIDOL 63739030603 POTASSIUM CHLORIDE 63739012310 HALOPERIDOL 63739030615 POTASSIUM CHLORIDE 63739012315 HALOPERIDOL 63739031901 BUSPIRONE HCL 63739012810 HYDROCHLOROTHIAZIDE 63739031903 BUSPIRONE HCL 63739012815 HYDROCHLOROTHIAZIDE 63739031910 BUSPIRONE HCL 63739012910 HYDROCHLOROTHIAZIDE 63739031915 BUSPIRONE HCL 63739012915 HYDROCHLOROTHIAZIDE 63739032001 BUSPIRONE HCL 63739020001 PHENOBARBITAL 63739032003 BUSPIRONE HCL 63739020003 PHENOBARBITAL 63739032010 BUSPIRONE HCL 63739020010 PHENOBARBITAL 63739032015 BUSPIRONE HCL 63739020015 PHENOBARBITAL 63739032210 ENALAPRIL MALEATE 63739020101 PHENOBARBITAL 63739032215 ENALAPRIL MALEATE 63739020103 PHENOBARBITAL 63739032310 ENALAPRIL MALEATE 63739020110 PHENOBARBITAL 63739032315 ENALAPRIL MALEATE 63739020115 PHENOBARBITAL 63739032510 FAMOTIDINE 63739020710 PREDNISONE 63739032515 FAMOTIDINE 63739020715 PREDNISONE 63739033110 TORSEMIDE 63739020810 PREDNISONE 63739033115 TORSEMIDE 63739020815 PREDNISONE 63739033910 NIZATIDINE 63739020910 PREDNISONE 63739033915 NIZATIDINE 63739020915 PREDNISONE 63739034615 TIZANIDINE HCL 63739021310 PROMETHAZINE 63739034810 LISINOPRIL 63739021315 PROMETHAZINE 63739034815 LISINOPRIL 63739026501 LITHIUM CARBONATE 63739034910 LISINOPRIL 63739026503 LITHIUM CARBONATE 63739034915 LISINOPRIL

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NDC DRUG NAME NDC DRUG NAME 63739035010 LISINOPRIL 64679075906 FUROSEMIDE 63739035015 LISINOPRIL 64679075907 FUROSEMIDE 63739035510 MIRTAZAPINE 64679075908 FUROSEMIDE 63739035515 MIRTAZAPINE 64679075909 FUROSEMIDE 63739035610 MIRTAZAPINE 64980011101 BENZTROPINE MESYLATE 63739035615 MIRTAZAPINE 64980011201 BENZTROPINE MESYLATE 63739036210 WARFARIN SODIUM 64980011210 BENZTROPINE MESYLATE 63739036215 WARFARIN SODIUM 64980011301 BENZTROPINE MESYLATE 63739037410 GABAPENTIN 64980011310 BENZTROPINE MESYLATE 63739037415 GABAPENTIN 64980050448 CYPROHEPTADINE HCL 63739037510 GABAPENTIN 64980050625 FLUNISOLIDE 63739037515 GABAPENTIN 65862000101 MIRTAZAPINE 63739037610 GABAPENTIN 65862000105 MIRTAZAPINE 63739037615 GABAPENTIN 65862000130 MIRTAZAPINE 63739038810 FAMOTIDINE 65862015901 ZOLPIDEM TARTRATE 63739038815 FAMOTIDINE 65862015905 ZOLPIDEM TARTRATE 63739039110 GABAPENTIN 65862016001 ZOLPIDEM TARTRATE 63739039115 GABAPENTIN 65862016005 ZOLPIDEM TARTRATE 63739039210 GABAPENTIN 66689000901 IBUPROFEN 63739039215 GABAPENTIN 66689000950 IBUPROFEN 63739039601 POTASSIUM CHLORIDE 66758001401 PAPAVERINE HCL 63739039603 POTASSIUM CHLORIDE 66758001402 PAPAVERINE HCL 63739039610 POTASSIUM CHLORIDE 66758001601 PHENYLEPHRINE HCL 63739039615 POTASSIUM CHLORIDE 66758001602 PHENYLEPHRINE HCL 63739040510 METOPROLOL TARTRATE 66758001603 PHENYLEPHRINE HCL 64019053825 METHADONE HCL 66758001604 PHENYLEPHRINE HCL 64125013101 HYDROCHLOROTHIAZIDE 66860002102 EPINEPHRINE 64125013110 HYDROCHLOROTHIAZIDE 66860003202 CEFUROXIME SODIUM 64125090101 PHENOBARBITAL 66860004102 CEFOTAXIME SODIUM 64125090110 PHENOBARBITAL 66860004203 CEFOTAXIME SODIUM 64125090201 PHENOBARBITAL 66860004401 CEFOTAXIME SODIUM 64125090301 PHENOBARBITAL 66993080502 PROCHLORPERAZINE MALEATE 64125090310 PHENOBARBITAL 66993081002 PROCHLORPERAZINE MALEATE 64125091501 PHENOBARBITAL 66993081005 PROCHLORPERAZINE MALEATE 64125091510 PHENOBARBITAL 67253014010 AMOXICILLIN 64679072901 FOSPHENYTOIN SODIUM 67253014050 AMOXICILLIN 64679073001 FOSPHENYTOIN SODIUM 67253014110 AMOXICILLIN 64679075901 FUROSEMIDE 67253014150 AMOXICILLIN 64679075902 FUROSEMIDE 67253014215 AMOXICILLIN 64679075903 FUROSEMIDE 67253014308 AMOXICILLIN 64679075904 FUROSEMIDE 67253014310 AMOXICILLIN 64679075905 FUROSEMIDE 67253014315 AMOXICILLIN

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NDC DRUG NAME NDC DRUG NAME 67253018010 AMPICILLIN TRIHYDRATE 68084015401 PROMETHAZINE HCL 67253018050 AMPICILLIN TRIHYDRATE 68084015411 PROMETHAZINE HCL 67253018210 AMPICILLIN TRIHYDRATE 68084015501 PROMETHAZINE HCL 67253018220 AMPICILLIN TRIHYDRATE 68084015511 PROMETHAZINE HCL 67253018310 AMPICILLIN TRIHYDRATE 68084015601 PROMETHAZINE HCL 67253018320 AMPICILLIN TRIHYDRATE 68084015611 PROMETHAZINE HCL 67253020010 PENICILLIN V POTASSIUM 68084020201 PRIMIDONE 67253020011 PENICILLIN V POTASSIUM 68084020211 PRIMIDONE 67253020110 PENICILLIN V POTASSIUM 68084020401 MINOXIDIL 67253020150 PENICILLIN V POTASSIUM 68084020411 MINOXIDIL 67253020310 PENICILLIN V POTASSIUM 68084020501 MINOXIDIL 67253020320 PENICILLIN V POTASSIUM 68084020511 MINOXIDIL 67253032010 METHOTREXATE 68084020901 PROPRANOLOL HCL 67253066010 PYRAZINAMIDE 68084020911 PROPRANOLOL HCL 67253066050 PYRAZINAMIDE 68084021001 PROPRANOLOL HCL 67253082010 HYDROCHLOROTHIAZIDE 68084021011 PROPRANOLOL HCL 67253082011 HYDROCHLOROTHIAZIDE 68084021101 PROPRANOLOL HCL 67253082110 HYDROCHLOROTHIAZIDE 68084021111 PROPRANOLOL HCL 67253082111 HYDROCHLOROTHIAZIDE 68084021201 PROPRANOLOL HCL 67537027101 - 68084021211 PROPRANOLOL HCL PSEUDOEPHEDR 68094020459 RANITIDINE HCL 67767010801 ISRADIPINE 68094020461 RANITIDINE HCL 67767010901 ISRADIPINE 68094020462 RANITIDINE HCL 68013000101 COLCHICINE 68094020558 RANITIDINE HCL 68013000105 COLCHICINE 68180012301 CEPHALEXIN 68013000110 COLCHICINE 68180012302 CEPHALEXIN 68032016016 D-METHORPHAN 68180012401 CEPHALEXIN HB/PE/CHLORPHENIR 68180012402 CEPHALEXIN 68032017616 CARBETAPENTANE-PE-GUAIFENESIN 68382004201 PROMETHAZINE HCL 68084004301 LITHIUM CARBONATE 68462019301 CODEINE SULFATE 68084004311 LITHIUM CARBONATE 68462019401 CODEINE SULFATE 68084008601 HYDROCHLOROTHIAZIDE 68462020201 MORPHINE SULFATE 68084008611 HYDROCHLOROTHIAZIDE 68462020205 MORPHINE SULFATE 68084008701 HYDROCHLOROTHIAZIDE 68462020301 MORPHINE SULFATE 68084008711 HYDROCHLOROTHIAZIDE 68462020305 MORPHINE SULFATE

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